WQ0000672_Mod Application_20121213

December 13, 2012
N.C. Department of Environment and Natural Resources
Division of Water Quality
Land Application Permitting and Compliance Unit
Aquifer Protection Section
1636 Mail Service Center
Raleigh, NC 27699-1636
ATTENTION: Mr. Jon Risgaard
REFERENCE: APPLICATION FOR MODIFICATION OF PERMIT # WQ0000672:
CITY OF LUMBERTON
Dear Mr. Risgaard:
On behalf of the City of Lumberton, Synagro Central, LLC is submitting this application to
modify the referenced residuals land application permit. Also, please process the enclosed check
for the modification, in the amount of $395.00. We are adding an additional 411.5 acres to the
land application permit.
This application package is believed to contain all of the information necessary to complete the
requested modification of the City of Lumberton's permit. However, if you require additional
information or have further questions about the included information, please contact me at
Z.estephexisjsynagro:com�' ordby phone at 33�6=4.03�4324? Thank you in advance'for the timely
and efficient review of this application.
Sincerely, C
RECEIVEDIDENRIM
E'dwd Steel e� ns D F C 2 20 i2
t: . .
Techiical-Services Manager
Aquifer Protection Section
Cc: T. Wayne Horne, City Manager, City of Lumberton

Section #
Section 1
Section 2
Section 3
0
-9-
Table of Contents
Title
Residuals Land Application Program Form
Applicant's Certification
Land Application Site Certification Attachment
Land Application Site Certification/WSCA
Land Application Site Information
County Manager Notification
Land Owner Agreements
Setback waivers (if applicable)
Vicinity/setback/soils/topography maps
Soils Evaluation
Agronomic Evaluation

ao WA7F,State of North Carolina
CO, Department of Environment and Natural Resources
r Division of Water Quality
RESIDUALS LAND APPLICATION PROGRAM
INSTRUCTIONS FOR FORM: RLAP 08-11
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure'to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted, the Applicant shall submit one original and two copies of the application and
supporting documentation
For more information or for an electronic version of this form, visit the Land Application Unit (LA U) web site at.
http: //portal. ncdenr. org/web/wg/aps/l au
General — This application is for treatment, storage, transport, and/or land application of Class B residuals (may include residuals that
are generated from a water treatment plant or other type facilities) on the proposed or currently approved land application site(s) under
15A NCAC 02T .1100.
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Residuals Land Application Program (FORM:. RLAP 08-11) Application: (All Application Packages):
Q Submit the completed and appropriately executed Residuals Land Application Program (FORM: RLAP 08-11) form. Please
do not make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments
to the application may be made, as long as the attachments are numbered to correspond to the section and item to which they
refer.
UM The Applicant's Certification on Page 5 of this form shall be signed in accordance with 15A NCAC 02T .0106(b). An
alternate person may be designated as the signing official if a delegation letter is provided from a person who meets the
criteria in 15A NCAC 02T .0106(b).
If this project is for a modification of an existing permit, submit one copy of the existing permit.
[� Please submit this application form at least 180 days prior to the expiration date on the existing permit, or 90 days prior to
operation of proposed facility(ies) for application packages involving new or changes to treatment and storage units.
B. Application Fee (New and Major Modification Application Packages)
Submit a check, money order or electronic funds transfer made payable to: North Carolina Department of Environment and
Natural Resources (NCDENR).
ti STANDARD REVIEW — Submit the appropriate fee for all new and major modification applications as listed in the table
below.
F EXPRESS REVIEW — Visit the Express Review webpage.for the Express Fee Schedule:
STANDARD APPLICATION REVIEW FEES:
--
'
Facility Classification
New Permit
Major Modification'
Major (land are permitted for > 300 acres)
_ --i
— $1,310 — —�
—
$395
Minor (land are permitted for < 300 acres)
$810
$245
1- A major modification shall be defined as any permit modification that: increases the generating facility's residuals dry tonnage;
adds additional land application areas not previously approved; adds additional residuals sources; or includes the addition of new
treatment or storage units/processes not previously permitted. There is no fee for minor permit modifications.
C. Cover Letter (All Application Packages)
[] List all items included in the application package, as well as a brief description of the requested permitting action.
D. Environmental Assessments (May be Required — See 15A NCAC 1C .0300)
h [ Submit a, copy of the Findings of No Significant Impact (FONSI) or Environmental Impact Statement (EIS). Also, include
information on any mitigating factor(s) from the Environmental Assessment (EA) that impact the construction of the residuals
treatment and storage facilities. An EA may also be required for private systems if any public funds and/or lands are used for
the construction of the subject facilities.
INSTRUCTIONS FOR FORM: RLAP 08-11 Page 1 of 3

E. Operation and Maintenance Plan (New and Renewal Application Packages)
[] For Modification Application, if there are any changes to the existing plan, submit an updated O&M plan.
EJ Submit the O&M Plan in accordance with 15A NCAC 02T. I 110 and include at a minimum:
Operational functions; describe the operation of the program to- show what operations are necessary for the program to
function and by whom the functions are to be conducted.
'ROW [ Maintenance schedules; may include equipments calibration, maintenance of signs, etc.
Safety measures; may include safety training program, manuals, signs, etc.
Spill response plan; including control, containment, remediation, emergency contact information, etc.
=ut Inspection plan including the following information;
Names and titles of personnel responsible for conducting the inspections.
Frequency and location of inspections, including those to be conducted by the ORC, and procedures to assure that the
selected location(s) and inspection frequency are representative of the residuals management program.
Detailed description of inspection procedures including record keeping and actions to be taken by the inspector in the
event that noncompliance is observed.
Sampling and monitoring plan including the following information;
F Names and titles of personnel responsible for conducting the sampling and monitoring.
Detailed description of monitoring procedures including -parameters to be monitored.
Sampling frequency and procedures to.assure that representative samples are being collected. Fluctuation in temperature,
flow, and other operating conditions can affect the quality of the residuals gathered during a particular sampling event.
The sampling plan shall account for any foreseen fluctuations in residuals quality and indicate the most limiting times for
residuals to meet pathogen and vector attraction reduction requirements (e.g. facilities that land apply multiple times per
year but have an annual sampling frequency, may need to sample during winter months when pathogen reduction is most
likely to be negatively affected by cold temperatures.
THE FOLLOWING ADDITIONAL ITEMS (G to M) ARE REQUIRED FOR DEDICATED PROGRAM ONLY.
F. Program Determination
Q Dedicated residuals land application programs are ones in which land application sites meet the criteria in 15A NCAC 02T
.110202). Specifically, a residuals land application program is designated as dedicated if any of the following are applicable:
01 Any land application site certified for the residuals land application program that receives residuals at rates or frequencies
greater than agronomic rates.
Any land application site certified for the residuals land application program that is used primarily for residuals disposal,
and agricultural crop production is of secondary importance.
Any land application site certified for the residuals land application program that receives residuals through fixed
irrigation facilities or irrigation facilities fed through a fixed supply system.
EN Please contact the Aquifer Protection Section if you need any assistance in determining whether your residuals program falls
under the dedicated program definitions.
G. Program Information
Provide an explanation of why a dedicated system is required instead of a conventional non -dedicated system.
sib Provide an explanation of the dedicated system and its operation.
H. Detailed Site Maps (All New or Modification Application Packages)
01 Submit three (3) sets of standard size plans and two (2) sets of 11" by 17" plans (electronic format is acceptable - Adobe PDF
only). For Modifications, submit plans specific to the modification(s) only.
El Plans must include the following minimum items:
Efl A general location map, a vicinity map and a topographic map with contours not exceeding 10 feet or 25% of the total site
relief and showing all facility related structures and fences within the land application area.
The location of all wells (including usage and construction details if available), streams (ephemeral, intermittent, and
perennial), springs, lakes, ponds, and other surface drainage features within 500 feet of the land application site(s).
Delineation of the review and compliance boundaries
Al Setbacks as required by 15A NCAC 02T .1108
Site property boundaries within 500 feet of all waste treatment, storage, and disposal site(s).
A map showing the entire irrigation area with an overlay of the suitable irrigation area depicted by the soil scientist's
evaluation. The irrigation plans shall show each nozzle/emitter and wetted area (when applicable). Clearly label spray
irrigation zones as they will be operated.
Plans must depict a completed design and not be labeled with preliminary phrases (e.g., FOR REVIEW ONLY, NOT FOR
CONSTRUCTION, etc.) that indicate that they are anything other than final plans. However, the plans may be labeled
with the phrase: FINAL DESIGN - NOT RELEASED FOR CONSTRUCTION
INSTRUCTIONS FOR FORM: RLAP 08-11 Page 2 of 3

I.
E
K.
L.
M.
•
s
i
Project Evaluation and Receiver Site Management Plan (All New Application Packages or Modifications that include new
sites)
El Submit a project evaluation and a receiver site management plan (if applicable) with recommendations concerning cover
crops and their ability to accept the proposed application rates.
Hydrogeologic Report (All New Application Packages or Modifications involving increasing the total design capacity)
EJ Submit a detailed hydrogeologic evaluation in accordance with 15A NCAC 02T .1104(d)(4) and current Division Policy
available at: hqp://poftal.ncdenr.or web/wq/aps/lau/policies: The document shall be signed, sealed and dated by a qualified
professional.
Engineering Design Documents (All New or Modification Application Packages with fixed irrigation facilities or irrigation
facilities fed through fixed supply system)
Submit engineering design documents that have been signed, sealed, and dated by a NC licensed Professional Engineer and/or
Professional Land Surveyor in accordance with 15A NCAC 02T .1104(d)(2). For Modifications, submit an updated site map
specific to the modification(s) only.
The design documents must include the following minimum items:
[] Engineering plans for the facility and equipment except those previously permitted unless they are directly tied into the
new units or are critical to the understanding of the complete process;
*g Specifications describing materials to be used, method of construction, and means for ensuring quality and integrity of the
finished product including leaking testing; and.
Engineering calculations including hydraulic and pollutant loading, sizing criteria, hydraulic profile, total dynamic head
curve analysis for each pump, and irrigation design.
�] Soil mapping units shown on all disposal sites.
Water Balance (All New Application Packages or Modifications that include new sites utilizing fixed irrigation facilities or
irrigation facilities fed through fixed supply systems)
ri Submit a completed and accurate water balance in accordance with 15A NCAC 02T .1104(d)(5). and current Division Policy
available at: hqp://portal.ncdenr.or web/wq/aps/igu/policies.
Property Ownership Documentation (All New or Modification Application Packages involving new and/or relocated treatment
or irrigation components)
Property ownership documentation shall consist of one of the following: l
Legal documentation of ownership (i.e., GIS, deed or article of incorporation), or
7-3 Written notarized intent to purchase agreement signed by both parties with a plat or survey map, or
An. easement running with the land specifically indicating the intended use of the property and meeting the requirements of
15A NCAC 02L .0107(fl, or
Q A written notarized lease agreement signed by both parties, indicating the intended use of the property, as well as a plat or
survey map.
ONE ORIGINAL AND TWO COPIES OF THE COMPLETED APPLICATION PACKAGE, INCLUDING ALL
SUPPORTING INFORMATION AND MATERIALS, SHALL BE SENT TO THE FOLLOWING ADDRESS:
NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
AQUIFER PROTECTION SECTION
LAND APPLICATION UNIT
By U.S. Postal Service:
1636 MAIL SERVICE CENTER
RALEIGH, NORTH CAROLINA 27699-1636
TELEPHONE NUMBER: [phone]
By Courier/Special Delivery:
2728 CAPITAL BOULEVARD
RALEIGH, NORTH CAROLINA 27604
FAX NUMBER: [phone] ,
INSTRUCTIONS FOR FORM: RLAP 08-11 Page 3 of 3

State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
0 RESIDUALS LAND APPLICATION PROGRAM
FORM: RLAP 08-11
I. 'APPLICANT INFORMATION:
1. Applicant's name: City of Lumberton
Applicant type: El Individual El Corporation El General Partnership Privately -Owned Public Utility
0 Federal C State 0 Municipal [ County
Signature -authority's name per 15A NCAC 02T .0106: Jim Walters Title: Deputy Director of Public Works
Applicant's mailing address: 1451 Lowery St.
City: Lumberton State: NC Zip: 28358- "" -.
Telephone number: 910 671-3856 Email Address: [e-mail]
2. Consultant's name: Marshall Purvear License Number (for P.E.):
Affiliation: On Staff ( Retained (Firm: Synagro Technologies)
Consultant's mailing address: 284 Boger Rd
City: Mocksville State: NC Zip: 27028 t-.
Telephone number: [phone] Email Address: [e-mail]
3. Agronomist's name: Marshall PMearLicense Number: °. ..
Affiliation: 0 N/A El On Staff U] Retained (Firm: Svnagro Technologies)
Agronomist's mailing address: 284 Boger Rd
City: Mocksville State: NC Zip: 27028-
Telephone number: [phone] Email Address: [e-mail]
4. Soil Scientist's name: Eric Thompson License Number: 1238
Affiliation: rAl N/A El On Staff 0 Retained (Firm: Svnagro Technologies)
Soil Scientist's mailing address: 284 Boger Rd
City: Mocksville State:.NC Zip: 27028-n,..;;
Telephone number: [phone] Email Address: [e-mail]
5. Fee submitted: $395.00 (See Instruction B)
H. PERMIT INFORMATION:
1. Application is for (check all that apply): Ej new, modified, [ renewed permit
2. If this application is being submitted to renew or modify an existing permit, provide the following:
Permit number: M0000672
Date of most -recently issued permit: May 12, 2008
Date of most -recently certified Attachment A (if different than the permit): May 12, 2008
Date of most -recently certified Attachment B (if different than the permit): May 12, 2008
FORM: RLAP 08-11 Pagel of 5

III. RESIDUALS LAND APPLICATION PROGRAM INFORMATION:
1. Residuals Processing Facility's physical address: City of Lumberton WWTP, 700 Lafayette St.
City: Lumberton State: NC
Coordinates: Latitude: 34' 36' 16"
Datum: NAD83
Zip: 28358-6717
Longitude: 78' 59' 29"
Level of accuracy: Seconds
Method of measurement: Man
Residuals. Processing Facility's physical address: City of Lumberton WTP, 1451 Lowery St.
City: Lumberton State: NC Zip: 28358.
Coordinates: Latitude: 34' 37' 36" Longitude: 70' 01' 30"
Datum: NAD83 Level of accuracy: Seconds
Method of measurement: Man
2. County where residuals land application program is headquartered: Robeson
3. List the Operator In Responsible Charge (ORC) and all Back -Up ORCs for the residuals land application program, their
certification numbers, and their affiliations in the following table:
Designation
Name
Affiliation
Certification
Number
ORC
Eric Thompson
Synagro
29096
Back -Up ORC
Jon Locklear
City of Lumberton
14775
Additional Back -Up ORCs_-;
(if applicable)
If an ORC and at least one Back -Up ORC are not currently designated for this residuals land application program, provide
the candidates' names, affiliations, and an estimated time schedule for each candidate's completion of the required training
school and certification test: N/A
4. Complete the following tables regarding management of the residuals land application program:
a. Plant Available Nitrozen Summary: Determine the maximum plant available nitrogen (PAN) generated by all residuals
source -generating facilities as currently certified and proposed for certification with this application and list the results in
the following table:
Maximum amount of residuals to be certified: 1,900 dry tons per year.
PAN
Pounds of PAN per Dry Ton
(Weighted Average)
Pounds of PAN per Year
Surface
Incorporation
or Injection
Surface
Incorporation
or Injection
First -Year
25.11
30.25
47,704
57,474
Five -Year Maximum Adjusted
38.48
43.62
73,104
82,874
b. Land Application Site Use Summary: Summarize information regarding the land application sites as currently certified
and proposed for certification with this application:
Category
Use
Acres
Comments
Crops
Forest or Plantation
0
Row Crops
1324.9
Increased from 1055.7 ac.
Hay
283.3
FORM: RLAP 08-11- Page 2 of 5

Pasture
154.2
Increased from 43.1 ac.
Total:
1729.00
Methods
Surface
1729.00
[j
Incorporation or Injection
0
Total:
1729.00
c. Residuals Land Application: Summary: Determine the minimum acreage required to land apply the residuals as currently
certified and proposed for certification assuming the scenarios listed in the following table:
Assumed
Application Rate
(lbs PANIac-yr)
Acres Required Using
First -Year PAN Concentrations
Acres Required Using
Five -Year Maximum Adjusted PAN
Concentrations
Surface
Incorporation or
Injection
Surface
Incorporation or
Injection
50
954.1
1149.5
1462.1
1657.5
100
477.0
574.7
731.0
828.7
150
318.0
383.2
487.4
552.5
200
238.5
287.4
365.5
414.4
6. If applicable, provide a plan and a schedule to resolve any known issues that would prevent land application of the proposed
residuals due to the violation of North Carolina Administrative Code (e.g. not enough storage, not enough land, vector
reduction practices not in place, etc.): N/A
7. Specify type of residuals program (See Instruction F): Z Non -dedicated Q Dedicated
If Dedicated, specify the following (check all that apply):
0 Residuals program contains any land application site(s) that receives residuals at rates or frequencies greater than
agronomic rates, explain; =
(] Residuals program contains any land application site(s) that is used primarily for residuals disposal, and agricultural crop
production is of secondary importance, explain; f _
Residuals program contains any land application site(s) that receives residuals through fixed irrigation facilities or
irrigation facilities fed through a fixed supply system, explain; F___�
IV. RESIDUALS SOURCE INFORMATION: (Not required if no new, renewed, or modified residuals source)
Complete and submit the following Residuals Source Certification and all associated documentation.
I eml' .
Residuals Source
Certification
V. LAND APPLICATION SITE INFORMATION: (Not required if no new, renewed, or modified land application site)
Complete and submit the following Land Applications Site Certification and all associated documentation.
In
Land Application Site
Certification. doc
FORM: RLAP 08-11 Page 3 of 5

Note: Item VI. Applicable to Dedicated Program with fixed irrigationystem only.
I. DESIGN INFORMATION FOR FIXED IRRIGATION SYSTEM
i
1. The irrigation system is: [j Spray El Drip
2. Disposal system is: [] existing proposed.
3. Minimum depth to mean seasonal high water table (SHWT) within irrigation sites(s) per Soil Scientist's Evaluation: E
feet below ground surface. Rules 15A NCAC 02T .0505(n) requires at least one -foot vertical separation between SHWT and
ground surface.
4. Are there any artificial drainage or water movement structures within 200 feet of any irrigation area?
Q Yes or Q No If Yes, please ex lain if the soil scientist report addresses artificial structures and please indicate if
structures are to be maintained or modified:
5. Loading rates recommended by the Soil Scientist Evaluation:
Soil Series
Fields within Soil Area
Recommended
Loading Rate
in/hr
Recommended
Loading Rate
in/ r
6. Design loading rates are equal or less than the loading rates recommended by Soil Scientist?
Yes or No If No, explain why 15A NCAC 02T .0505(n) is not met:
7. Non -dedicated System Design (fill in the appropriate information for either a spray or drip irrigation system):
Spray Irrigation Design Element
Plan Sheet
Number
Specification
Page Number
Wetted diameter of nozzles
ft
am
Wetted area of nozzles
f
4
Nozzle capacity
Mgpm
Nozzle manufacturer / model
RIM / ,';
Elevation of highest nozzle
Mft
FORM: RLAP 08-11 Page 4 of 5

Applicant's Certification (signing authority must be in compliance with 15A NCAC 02T .0106):
he applicant or any affiliate has not been convicted of an environmental crime, has not abandoned a wastewater facility without
'proper closure, does not have an outstanding civil penalty where all appeals have been exhausted or abandoned, are compliant with any
active compliance schedule, and do not have any overdue annual fees under Rule 15A NCAC 02T .0105.
Q Yes E3 No, Explain; _
WA1T'g5 V� �)1-r. 1 J lrc W W' 1CS
(Signature Authority's Name - PLEASE PRINT) tt (Title)
attest that this application for
(Facility Name)
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that the Division of Water Quality
may not conduct a technical review of this program"and approval does not constitute a variance to any -rules or statutes unless
specifically granted in the permit. Further, any discharge of residuals to surface waters or the land will result in an immediate
enforcement action, which may include civil penalties, injunctive relief, and/or criminal prosecution. I will make no claim against the
Division of Water Quality should a condition of this permit be violated. I also understand that if all required parts of this application
are not completed and that if all required supporting information and attachments are not included, this application package will be
returned to me as incomplete.
Note: In accordance with North Carolina General Statutes § 143-215.6A and § 143-215.6B, any person who knowingly makes any
false statement, representation, or certification in any application shall be guilty of a Class 2 misdemeanor, which may include a fine
)t to exceed $10,000 as well as civil penalties up to $25;000 per violation.
Date: I I- - 13 - ;)-0
FORM: RLAP 08-11 Page 5 of 5

0. wA��RpG
> =1
I
MR. T. WAYNE HORNE, CITY MANAGER
CITY OF LUMBERTON ,
PO BOX 1388
LUMBERTON, NC 28359
Dear Mr. Home:
Michael F. Easley, Governor,
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Coleen H. Sullins, Director
Division of Water Quality
May 12, 2008
Subject: Permit No. WQ0000672
City of Lumberton
City of Lumberton Residuals Land
Application Program
Land Application of Residual Solids
Robeson County
In accordance with your permit renewal and modification request received November 15, 2007,
and subsequent additional information received March 24, 2008, we are forwarding herewith Permit No.
WQ0000672, dated May' 12, 2008, to the City of. Lumberton for the continued operation of the subject
land application of residuals solids program. This permit is being modified to delete field NC-RO-19-28,
NC-RO-19-31, NC-RO-19-32, NC-RO-19-33 & NC-RO-20-2 from the program, update ownership in
several fields, change" acreage of multiple fields, as a result of new mapping technology, and renew
1,277.2'acres of existing fields.
This permit shall be effective from the date of issuance until April 30, 2013, shall void Permit No.
W00000672 issued April 25, 2003, and Shall be subject to the conditions and limitations as specified
therein. Please pay particular attention to the monitoring requirements in this permit. Failure to establish
an adequate system for collecting and maintaining the required operational information. will result in
future compliance problems. Of special interest to you may be the followings:
♦ Under the State Administrative Code 15A NCAC Subchapter 02T — Waste not Discharged to
Surface Water, the application rates of plant available nitrogen (PAN) shall not exceed the
agronomic rates. Appropriate agronomic rates shall be calculated using expected nitrogen
requirements based on the Realistic Yield Expectations (RYE) for each approved land
application site. See Condition II. 9. for more detail
♦ Condition 111 13., regarding sources of nutrient and Nutrient Management Plan
Please note that the ORC and Back -Up ORC are currently designated to Rudolph Collins,
James H. Walters, and Howard G. Floyd. The Technical Assistance and Certification Unit
must be notified of any changes in ORC and/or Back -Up ORC designation. The Permittee
must submit the Water Pollution Control System ORC Designation Form to the Technical
Assistance and Certification Unit. This form can be downloaded at the Division website:
http://h2o.enr.state.nc.us/tacu/fonns.html. For more information, please contact the Technical
Assistance and Certification Unit. one
No Carolina
atura!!y
Aquifer Protection Section 1636 Mail Service Center Raleigh, NC 27699-1636 Telephone:. [phone]
Internet: www.ncwatgguality.org Location: 2728 Capital Boulevard Raleigh, NC 27604 Fax 1: [phone]
Fax 2: [phone]
An Equal Opportunity/Affirmative Action Employer— 50% Recycled/10% Post Consumer Paper Customer Service: [phone]

If any parts, requirements, or limitations contained in this permit are unacceptable, you have the
right to request an adjudicatory hearing upon written request within thirty (30) days following receipt of
this permit. This request must be in the form of a written petition, conforming to Chapter 150B of the
North Carolina General Statutes, and filed with the Office of Administrative Hearings, 6714 Mail' Service
Center, Raleigh, NC 27699-6714. Unless such demands are made this permit shall be final and binding.
r. Please note that on September 1, 2006 State Administrative Code 15A NCAC Subchapter 02T —
Waste not Discharged to Surface Water was adopted. This permit incorporates the requirement of these
rules. Remember to take the time 'to review this permit thoroughly, as some of the conditions
contained therein may have been added, changed, or deleted from those in previously issued permits.
If you need additional information concerning this matter, please contact Chonticha McDaniel at
[phone] or [e-mail].
Sincerely,
Lor Coleen H. Sullins
cc: Robeson County Health Department
Fayetteville Regional Office, Aquifer Protection Section
Eric Thompson/Synagro Central, LLC (284 Boger Rd., Mocksville, NC 27028)
Technical Assistance and Certification Unit
APS Central Files
LAU Files

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES.
RALEIGH
LAND APPLICATION OF RESIDUAL SOLIDS PERMIT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as
amended, and other applicable Laws, Rules, and Regulations
PERMISSION IS HEREBY GRANTED TO
City of Lumberton
Robeson County
FOR THE
continued operation of a residuals land application program for the City of Lumberton and consisting of
the land application of residuals generated by the residuals source -generating 'facilities listed in the most
recently -certified Attachment A to the land application sites listed in the most recently -certified
Attachment B with no discharge of wastes to surface waters, pursuant to the permit. modification and
renewal application package received on November 15, 2007 as well as the additional information
received on March 24, 2008 and in conformity with the project plan, specifications, and other supporting
data subsequently filed and approved, by the Department of Environment and Natural Resources and
considered a part of this permit.
This permit shall be effective from the date of issuance unti A ril 30, 2013 shall void Permit No.
WQ0000672 issued April 25, 2003, and shall be subject to the following specified conditions and
limitations:
I. SCHEDULES Wease review the entire permit for reporting, monitoring, and other on -going activitiesl
1. No later than six months prior to the expiration of this permit, the Permittee shall request renewal of
this permit on official Division forms. Upon receipt of the request, the Division will review the
adequacy of the facilities described therein, and if warranted, will extend the permit for such period
of time and under such conditions and limitations as it may deem appropriate. Please note that Rule
15A NCAC 02T .0105(d) requires an updated site map to be submitted with the permit renewal
application.
II. PERFORMANCE STANDARDS
1. The issuance of this permit shall not relieve the Permittee of the responsibility for damages to
surface waters or groundwater resulting from the operation of this residuals land application program
WQ0000672 Version 3.0 Shell Version 071105 Page 1 of 14

2. No residuals other than those 'generated by the residuals source -generating facilities listed in the
most recently -certified Attachment A of this permit shall be approved for land application in
accordance with this permit.
3. Only the land application sites .listed in the most recently certified Attachment B of this permit are
.approved for residuals land application. A permit modification application is required for any new
land application sites to be added to Attachment B.
4. The pollutant concentrations -in any residuals that are land applied to any land application site shall
not exceed the following Ceiling Concentrations (i.e., dry weight basis):
Parameter
Ceiling Concentration
(milligrams per kilogram)
Arsenic
75
Cadmium
85
Copper
4,300
Lead
840
Mercury
57
Molybdenum
75
Nickel
420
Selenium
100
Zinc
7,500
5. The pollutant loading rates on any land application site shall not exceed the following Cumulative
Pollutant Loading Rates (CPLRs):
Parameter.
CPLR
(pounds per acre)
Arsenic
36
Cadmium
34
Copper
1,338
Lead
267,
Mercury
15
Molybdenum
n/a
Nickel
374
Selenium
89
Zinc
2,498
The Permittee shall determine compliance with the cumulative pollutant loading rates using one of
the following methods:
1. Use site specific analytical data from all historical land application events not otherwise
exempted.
2. For land on which land application events of residuals has not occurred or for which the data is
incomplete, use background concentrations through representative sampling.
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6. When residuals are land applied under the.conditions of this permit, the Class B pathogen reduction
1 requirements in 15A NCAC 02T .1106 (a) and (c), and one vector attraction reduction requirements
in 15A NCAC 02T .1107 (a) shall be met. Additionally, an evaluation shall be performed that
demonstrates the residuals' ability to comply with this requirement. Upon request, a copy of this
evaluation, including all test results and calculations, shall be submitted. Only residuals that are
generated by the residuals source -generating facilities that are identified as being exempt from this
condition in the most recently -certified Attachment A shall not be required to comply with the
specified: pathogen reduction and vector attraction reduction requirements.
7. When land applying residuals to any land application site, the following setbacks shall be maintained
(all distances in feet):
Setback by type of application
Surface
Surface
Application
Application
by
Injection /
Description of Setback
by Vehicle
Irrigation
Incorporation
i. Habitable residence or place of public assembly
under separate ownership or not to be maintained
as part of the project site
400
400
'200
ii. Habitable residence or places of public assembly
owned by the permittee, the owner of the land, or
the lessee/operator of the land to be maintained
as part of the project site
0
200
0
iii. Property lines
50
150
50
iv. Public right of way
50
50
50
v. Private or public water supply
100
1.00
•100
vi. Surface Waters (streams — intermittent and
perennial, perennial waterbodies, and wetlands)
100
100
50
vii. Surface water diversions (ephemeral streams,
waterways, ditches)
25
100
25
viii. Groundwater lowering ditches (where the bottom
of the ditch intersects the SHWT)
25
100
25
ix. Subsurface groundwater lowering system
0
100
0
x. Wells with exception to monitoring wells
100
100
100
xi. Bedrock outcrops
25
25
25
xii. Top of slope of embankments or cuts of two feet
or more in vertical height
15
15
15
xiii. Building foundations or basements
0
15
0
xiv. Waterlines
0
10
0
xv. Swimming pools
100
100
100
xvi. Nitrification fields
0
20
0
Specific residuals land application area boundaries shall be clearly marked on each land application
site prior to and during a residuals land application event.
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9. Residuals and other sources of Plant Available Nitrogen (PAN) shall be land applied to all land
application sites at or below agronomic rates. Appropriate agronomic rates shall be calculated using ,
expected nitrogen requirements based on the Realistic Yield Expectations (RYE) for each approved
land application site. Realistic Yield Expectations for crop types and specific fields or soils types
shall be determined by using any of the following methods:.
a. North Carolina Historical Data for specific crop and soil types as provided by North Carolina
State University -Department of Soil Science. The Department webpage is located at:
http://www.soil.nesu.edu/mnp/ncnmwg/yields/ `
b. Site Specific Historical Data for crop types on specific fields or soil types by calculating the
mean of the best three yields of the last five consecutive crop harvests for each field.
c. If the RYE cannot be determined using methods 9(a) or (b) above, RYE can be established
from specially developed soil interpretation records for Nutrient Management Planning, Farm
Service Agency Records, university trials, or inference from crop performance on soil with
very similar physical and chemical features.
d. Realistic Yields. Expectations and acceptable nitrogen application rates that use the above
methodology are required parts of many agricultural planning documents. The Permittee may
use the RYE and appropriate agronomic rates reported in any of the following documents:
i. Crop management plan as outlined by the local Cooperative Extension Office, the North
Carolina Department of Agriculture and Consumer Services, the Natural Resource
Conservation Service, or other agronomist.
-low
ii. Waste Utilization Plan as outlined by Senate Bill 1217 Interagency Group- Guidance
Document: Chapter 1. Guidance for the completion of the plan can be found at:
httv://www.enr.state.nc.us/DSWC/Sages/L-uidance docs html
iii. Certified Nutrient Management Plan as outlined by Natural Resources Conservation
Services (NRCS). These plans must meet.the USDA-NRCS 590 Nutrient Management
Standards, which are available at:
ftp://ft-fc.sc.eaov.usda.gov/NHQ/practice-standards/standards/590 pdf
e. For any crop type for which the RYE and appropriate nitrogen application rate cannot be
determined, the Permittee shall contact the Division to determine necessary action.
10. If the land application sites are to be overseeded (e.g., bermuda grass in the summer and rye grass in
the winter with BOTH crops to receive residuals),. then the second crop shall receive an application
of PAN at a rate of no greater than 50 pounds per acre per year. This practice shall be allowed as
long as the second crop is to be harvested. If the second crop is to be planted for erosion control
only and is to be tilled into the soil, then no residuals shall be land applied to these sites because the
PAN will essentially be returned to the soil.
Prior to application of PAN to permitted sites at rates exceeding the agronomic rate, the Permittee
must submit and receive approval by the Division.
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11. Should any of the residuals generated by the residuals source -generating facilities listed in the most
recently -certified Attachment A of this permit contain a high salt content (i.e., high sodium
'tom/ adsorption ratio (SAR) of ten (10) or higher), the Permittee shall obtain and implement
recommendations from the local Cooperative Extension Office, the Department of Agriculture and
Consumer Services, the Natural Resource Conservation Service, a North Carolina -licensed Soil
Scientist, or other agronomist regarding sodium application rate, soil amendments (e.g., gypsum,
etc.) or other ameliorative mechanism for maintaining the integrity of the site in terms of suitability
for land application of residuals and maintaining conditions conducive to crop growth. The
Permittee shall maintain written records of each monitoring event that includes details of the sites
coveted and rate of soil amendment application.
12. The COMPLIANCE BOUNDARY for residuals land application programs is specified by
regulations in 15A NCAC 2L (i.e., "Groundwater Classifications and Standards"). The Compliance
Boundary for each land application site' is established at either 250 feet from the residuals land
application area or 50 feet within the property boundary, whichever is closest to the residuals land
application, area. Per 15A NCAC 2T .0105(h), upon the request by the Permittee the Compliance
Boundary may be located closer to the waste disposal area (provided the groundwater standards can
be met at the newly established Compliance Boundary). Any approved relocation of the
COMPLIANCE BOUNDARY will be noted in the most recently -certified Attachment B of this
permit. An exceedance of Groundwater Standards at or beyond the Compliance Boundary is subject
to remediation action according to 15A NCAC 2L .0106(d)(2) as well as enforcement actions in
accordance with North Carolina General Statute 143-215.6A through 143-215.6C. .
13. The REVIEW BOUNDARY shall be established around each land application site midway between
the Compliance Boundary and the perimeter of the residuals land application area. Any exceedance
® of Groundwater Quality Standards at the Review Boundary shall require action in accordance with
15A NCAC 2L .0106 (d)(1).
14. The appropriate local governmental official (i.e., county manager, city manager, etc.) shall be
notified at least 24 hours prior to the initial residuals land application event to any new land
application site. In addition, the appropriate county manager's office shall be notified prior to the
initial residuals land application event on any new site so that they will be aware that residuals land
application activities have commenced on the site.
15. The Aquifer Protection Section of the appropriate Division's regional office shall be notified at least
24 hours prior to the initial residuals land application event on any new land application site. Such
notification to the Regional Aquifer Protection Supervisor shall be made during normal office hours
(i.e., from 8:00 a.m. until 5:00 p.m.) between Monday and Friday, but excluding State Holidays. A
list of the Division's regional offices, their county coverage, and their contact information may be
downloaded from the web site at hilp://www.enr.state.nc.us/html/repionaloffices.html.
III. OPERATION AND MAINTENANCE REQUIREMENTS
1. The residuals land application program shall be effectively maintained and operated at all times as a
non -discharge system to prevent the discharge of any wastes resulting from the operation of this
program. The Permittee shall maintain an Operation and Maintenance Plan pursuant to 15A NCAC
02T .1110 including operational functions, maintenance schedules, safety measures, and a spill
response plan.
I ow
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2. In the event that the residuals land application program is not operated satisfactorily, including the
creation of nuisance conditions, the Permittee shall cease land applying residuals to the site, contact
the Aquifer Protection Section of the appropriate Division of Water Quality's (Division) regional
office, and take any immediate corrective actions as may be required by the Division.
3. Upon classification of the residuals land application program by the Water Pollution Control System
Operators Certification Commission (WPCSOCC), the Permittee shall designate a certified land
application/residuals operator to be in responsible charge (OF C) of the program. The operator shall
hold a certificate of the type classificatidn assigned to the program by the WPCSOCC. The
Permittee shall also designate a certified back-up operator of the appropriate type to comply with the
conditions of 15A NCAC 8G .0201.
4. This permit shall become voidable if the soils of the land application sites fail to assimilate the
residuals or the application causes contravention of surface water or groundwater standards and may
be rescinded unless the land application sites are maintained and operated in a manner that will
protect the assigned water quality standards of the surface waters and groundwater.
A copy of this permit shall be maintained in all manned equipment at the land application sites when
residuals are being land applied during the life of this permit. The spill prevention and control plan
shall be maintained in all residuals transport and application vehicles. .
6. Adequate provisions shall be taken to prevent wind erosion and surface runoff from conveying
residuals from the land application sites onto adjacent properties or into any surface waters.
7. Adequate procedures shall be provided to prevent surface runoff from carrying any land applied or
stored residuals into any surface waters. {
8. No residuals shall be stored at any land application site at any time, unless written approval has first
been requested and obtained from the Division.
9. Bulk residuals shall not be applied to the land under the following conditions:
a. If the residuals are likely to adversely affect a threatened or endangered species listed under
section 4 of the Endangered Species or its designated critical habitat;
b. If the application causes prolonged nuisance conditions;
c. If the land fails to assimilate the bulk residuals or the application causes the contravention of
surface water or groundwater standards;
d. If the land is flooded, frozen, or snow-covered or is otherwise in a condition such that runoff of
the residuals would occur;
e. Within the 100-year flood elevation unless the bulk residuals are injected or incorporated.within
a 24-hour period following the residuals land application event;
f. During a measurable precipitation event (i.e., >.01" .per hour) or within 24 hours following a
rainfall event of 0.5 inches -or greater in a 24-hour period. Any emergency residuals land
application measures shall first be approved in writing by the Division; -
g. If the slope for land is greater than 10 percent when bulk liquid residuals are surface applied, and
if the slope of the land is greater then 18 percent with bulk liquid residuals are injected or
incorporated;
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h. If the pH is not maintained in the soil, residuals, and lime mixture, greater than 6.0, on land
i application sites onto which residuals are applied. Residuals may be applied to the sites
provided that sufficient amounts of lime is also applied to achieve a final pH of the soil mixture
of at least 6.0, or if an agronomist provides information indicating that the pH of the soil,
residuals, and lime mixture is suited for the specified crop type. Any approved variations to the
acceptable soil pH (6.0) for land application will be noted in the most recently certified
Attachment B .of this permit.
i. If the land does not have an established vegetative cover in accordance with .the crop
management plan outlined by` the local Cooperative Extension Office, the' Department of
Agriculture and Consumer Services, the Natural Resource Conservation Service, or other
agronomist unless the bulk residuals are incorporated within a 24-hour period following the
residuals land application event or injected (This requirement does not apply to no -till
fields);
j. If the vertical separation of the seasonal high water table and the depth of residuals application is
less than one foot;
k.. If the vertical separation of the depth to bedrock and the depth of residuals application is less
than one foot;
10. For land onto which bulk residual that do not meet the Class A Pathogen Reduction Requirements
(15A NCAC 02T .1106(b)), the following public access restrictions apply:
a. Public access to public contact sites shall be restricted for one calendar year after any residuals
land application event;
b. Public access to land that is not a public contact site shall be restricted for 30 days after any
residuals land application event;
11. For land onto which bulk residual that do not meet the Class A pathogen Reduction Requirements
(15A NCAC 02T .1106(b)), the following harvesting and .grazing restrictions apply:
a. -Animals shall not -be allowed to graze on land application sites for 30 days after any residuals
land application event. Sites that are to be used for grazing shall have fencing that will be used.
to prevent access after each event;
b. Food crops, feed crops, and fiber crops shall not be harvested for 30 days after any residuals land
application event;
c. Food crops with harvested parts that touch the residual/soil mixture and are totally above the
land surface (e.g., tobacco, melons, cucumbers, squash, etc.) shall not be harvested for 14
months after any residuals land application event;
d. Food crops with harvested parts below the surface of the land (i.e., root crops such as potatoes,
carrots, radishes, etc.) shall not be harvested for 20 months after any residuals land application
event when the residuals remain on the land surface for four months or longer prior to
incorporation into the soil;
e. Food crops with harvested parts below the surface of the land shall not be harvested for 38
months after any residuals land application event when the residuals remain on the land surface
for less than four months prior to incorporation into the soil;
f. Turf grown on land where residuals are applied shall not be harvested for 12 months after any
residuals land application event.
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12. This permit shall become voidable unless the agreements between the Permittee and the landowners
.and lessees or operators of any land application sites listed in the most recently -certified Attachment
B of this permit not owned by the Permittee are in full force and effect. These agreements shall be
considered expired concurrent with the expiration date of the -permit and shall be renewed at the
same time the permit is renewed.
13. Upon entering an agreement with landowners to apply residuals to a land application site, the
Permittee shall require of the landowner or lessee/operator a statement detailing the volume of
nutrient sources (waste residuals, manufactured fertilizers, manures, or other animal waste products)
other than the residuals to be applied by the Permittee, that have been applied to the land, and a copy
of the most recent Nutrient Management Plan (NMP), if available, for the fields within the
agreement. For the purpose of this permit condition, a Crop Management Plan (CMP), Waste
Utilization Plan (WUP) or Certified Nutrient Management Plan (CLAMP) shall also be
considered a Nutrient Management Plan.
The NMPs must be provided only for those operations where a NMP is required by the US
Department of Agriculture — National Resources Conservation Service (MRCS) or other State
Agencies. The Permittee shall rely on the provided information to calculate appropriate reductions
in allowable nutrient loading rates. If the calculation shows that the agronomic rates in the NMP
(including PAN) have already been met or exceeded on a field, no additional residuals shall be land
applied to that field.
IV. MONITORING AND REPORTING REQUIREMENTS
1. Any monitoring (i.e., including groundwater, surface water, residuals, soil, or plant tissue analyses)
deemed necessary by the Division to ensure protection of the environment shall be established, and
anacceptable sampling and reporting schedule shall be followed.
2. Residuals generated by each residuals source -generating facility listed in the most -recently -certified
Attachment A of this permit shall be analyzed to demonstrate that they are non -hazardous under the
Resource Conservation and Recovery Act (RCRA). A corrosivity, ignitability, and reactivity
analysis as well as a Toxicity Characteristics Leaching Procedure (TCLP) analysis shall be
conducted on residuals generated by each residuals source -generating facility listed in the most
recently -certified Attachment A of this permit. The analyses shall be performed at the frequency
specified in the most recently -certified Attachment A of this permit, and the results shall be
maintained on file by the Permittee for a minimum of five years.
If residuals generated by a particular residuals source -generating facility are insufficient to require a
land application events during a required sampling period as specified in the most recently -certified
Attachment A of this permit (e.g. no land application occur during an entire year when annual
monitoring is required), no sampling data is required during the period .of inactivity. The Permittee
shall submit an annual report, as required in condition IV. 10., even in the event that no land
application events occur during an entire year; the annual report shall include an explanation for
missing sampling data.
Only residuals that are generated by the residuals source -generating facilities that are identified as
being exempt from this condition in the most recently -certified Attachment A of this permit shall not
be required to comply with this monitoring requirement.
WQ0000672 Version 3.0 Shell Version 071105 Page 8 of 14

The TCLP analysis shall include the following parameters (i.e., note the regulatory level in
milligrams per liter in parentheses):
s Arsenic (5.0)
Barium (100.0)
Benzene (0.5)
Cadmium (1.0)
Carbon tetrachloride (0.5)
`Chlordane (0.03)
Chlorobenzene (1.00.0)
Chloroform (6.0)
Chromium (5.0)
m-Cresol (200.0)
o-Cresol (200.0)
p-Cresol (200.0)
'Cresol (200.0)
2,4-D (10.0)
1,4-Dichlorobenzene (7.5) Nitrobenzene (2.0)
1,2-Dichloroethane (0.5) Pentachlorophenol-(100.0)
1,1-Dichloroethylene (0.7) . -Pyridine .(5.0) '
2,4-Dinitrotoluene (0.13)
Selenium (1.0)
Endrin (0.02)
Silver (5.0)
Hexachlorobenzene (0:13)
Tetrachloroethylene (0.7)
Heptachlor (and its hydroxide) (0.008)
Toxaphene (0.5)
Hexachloro-1,3-butadiene (0.5)
Trichloroethylene (0.5)
Hexachloroethane (3.0)
2,4,5-Trichlorophenol (400.0)
Lead (5.0)
2,4,6-Trichlorophenol (2.0)
Lindane (0.4)
2,4,5-TP (Silvex) (1.0)
Mercury (0.2)
Vinyl chloride (0.2)
Methoxychlor (10.0)
Methyl ethyl ketone (200.0)
After the residuals have been monitored as specified above for two years at the frequency specified
in the most recently -certified Attachment A- of this permit, the Permittee may submit a request to the
Division for a permit modification to request a reduction of this monitoring requirement. In no case,
however, shall the frequency of monitoring be less than once per permit cycle.
3. An analysis shall be conducted on residuals generated by each residual source -generating facility
listed in the most recently certified. Attachment A of this .permit. The analysis shall be performed at
- the frequency specified in the most recently certified: Attachment A of this permit, and the results ..
shall be maintained on file by the Permittee for a minimum of five years. The analysis shall include,
but shall not necessarily be limited to, the following parameters:
Aluminum -
Ammonia -Nitrogen
Arsenic
Cadmium
Calcium
Copper
Lead
Sodium Adsorption Ratio
(S`R)
Magnesium- pH
Mercury Plant Available Nitrogen
(by calculation)
Molybdenum
Nickel
Nitrate -Nitrite Nitrogen
Phosphorus
Potassium
Selenium "
Sodium
% Total Solids
TKN
Zinc
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[FOR 503 TYPE RESIDUALS] If residuals generated by a particular residuals source -generating
facility are insufficient to require a land application events during a required sampling period as
specified in the most recently -certified Attachment A of this permit (e.g. no land application occur
during an entire year when annual monitoring is required), the Permittee shall make up the missed
sampling either by taking additional samples during land application events previous to a planned
period of inactivity or by taking additional samples during land application events immediately
following the period of inactivity. The Permittee shall submit an annual report, as required in
condition IV. 10., even in the event that no land application events occur during an entire year; the
annual report shall include an explanation of additional sampling data intended to compensate for
periods of inactivity, or an explanation for missing sampling data
[NOTE: NON-503 TYPE RESIDUALS] If residuals generated by a particular residuals source -
generating facility are insufficient to require a land application events during a required sampling
period as specified in the most recently -certified Attachment A of this permit (e.g. no land
application occur during an entire year when annual monitoring is required), no sampling data is
required during the period of inactivity. The Permittee shall submit an annual report, as required in
condition IV. 10., even in the event that no land application events occur during an entire year. The
annual report shall include an explanation for missing sampling data.
After the residuals generated by a particular residuals source -generating' facility have been
monitored for two years at the frequency specified in the most recently -certified Attachment A. of
this permit, the Permittee may submit a request to the Division for a permit modification to reduce
the frequency of this monitoring requirement. The request must include notification from EPA that
a reduced sampling frequency has been approved as required by 40 CFR 503.16(a)(2) (not required
for non-503 type residuals). In no case, however, shall the frequency of this monitoring be less than
once per year when a residuals land application event of residuals generated by the residuals source -
generating facility occurs during that year.
4. Residuals generated by each residuals source -generating facility listed in the most recently -certified
Attachment A of this permit shall be monitored for compliance with Condition H. 6. The monitoring
shall be performed at the frequency specified in the most recently -certified Attachment A of this
permit, and data to verify pathogen and vector attraction reduction of the residuals shall be
maintained on file by the Permittee for a minimum of five years. The required data shall be specific
to the stabilization process utilized, but also shall be sufficient to demonstrate clear compliance with
the Class A pathogen reduction requirements in 15A NCAC 02T .1106 (a) and (b) or the Class B
pathogen reduction requirements in 15A NCAC 02T .1106 (a) and (c), and one vector attraction
reduction requirements in 15A NCAC 02T .1107 (a)'shall be met. In addition, the Environmental
Protection Agency (EPA) certification statements concerning compliance with pathogen reduction
requirements, vector attraction reduction requirements, and management practices shall be
completed at the frequency specified in the most recently -certified Attachment A of this permit by
the proper authority or authorities, if more than one is involved (i.e., either the person who prepares
the residuals, the person. who derives the material, or the person who applies the residuals). Only
residuals that are generated by the residuals source -generating facilities that are identified as being
exempt from Condition H. 6. in the most recently -certified Attachment A of this permit shall not be
required to comply with this monitoring requirement.
J
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5. A representative annual soils analysis (i.e., Standard Soil Fertility Analysis) shall be conducted on
each land application site on which a residuals land application event in the respective calendar year
1 has occurred or is to occur, and the results shall be maintained on file jby the Permittee for a
minimum of five years. The Standard Soil Fertility Analysis shall include, but is not necessarily
limited`to, the following parameters:
Acidity Exchangeable Sodium Percentage (by calculation)
Calcium Magnesium Phosphorus
Cation Exchange Capacity Manganese Potassium
Copper Percent Humic Matter Sodium
Base Saturation (by calculation) pH Zinc
6. Laboratory analyses 'of parameters as required by Condition IV. 1., Condition IV. 2., Condition IV.
3., and Condition IV. 4. shall be performed/gathered on the residuals as they are to be land applied.
7. Laboratory analyses of parameters as required by ,Condition IV. 1., Condition IV. '2., Condition IV.
3., Condition IV. 4., and Condition IV. 5. shall be in accordance with 15A NCAC 02B .0505.
8. Proper records shall be maintained by the Permittee tracking all residuals land application events.
These records shall include, but are not necessarily limited to, the following information:
a. Source of residuals;
b. Date of land application; ,
c. Location of land application (i.e., site, field, or zone number as listed in Attachment B);
d. Method of land application;
e. Weather conditions (e.g., sunny, cloudy, raising, etc.);
f. Predominant Soil Mapping Unit (e.g., CbB2);
g. Soil conditions (e.g., dry, wet, frozen, etc.);
h. Type of crop or crops to be grown on field;
i. Nitrogen Application Rate based on RYEs.
j. Volume of residuals land applied in gallons per acre, cubic yard per acre, dry tons per acre, wet
ton per acre, or kilograms per hectare;
k. Volume of animal waste or other nutrient source applied in gallons per acre, dry ton per acre, or
kilograms per hectare (if applicable);
1. Volume of soil amendments (e.g., lime, gypsum, etc.) applied in gallons per acre, dry ton per
acre, wet tons per acre, or kilograms per hectare (if applicable); and
m. Annual and cumulative totals of dry tons per acre of residuals as well as animal waste and other
.sources of nutrients (e.g., if applicable), annual and cumulative pounds per acre of each heavy
metal (e.g., shall include, but shall not be limited to, arsenic, cadmium, copper, lead, mercury,
molybdenum, nickel, selenium, and zinc), annual pounds per acre of PAN, and annual pounds
per acre of phosphorus applied to each field.
9. All records required as part of this permit shall be retained a minimum of five years.
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V.
10. Three copies of an annual report shall be submitted on or before March 1st. The annual report shall
meet the requirements described in the Instructions For Residuals Application Annual Reporting
Forms. The most recent instructions for reporting and annual report forms are available on the Land
Application Unit website at http://h2o.enr.state.ne.us/lau/compliance.html, or can be obtained by
contacting the Land Application Unit directly. The annual report shall be submitted to the following
address:
NCDENR-DWQ
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
11. Noncompliance Notification
The Permittee shall report by telephone to the Fayetteville Regional Office, telephone number (910)
433-3300, as soon as possible, but in no case more than 24 hours or on the next working day
following the occurrence or first knowledge of the occurrence of any of the following:
a. Any occurrence with the land application program which results in the land application of
significant amounts of wastes which are abnormal in quantity or characteristic.
b. Any failure of the land application program resulting in a release of material to receiving waters.
c. Any time that self -monitoring information indicates that the facility has gone out of compliance
with the conditions and limitations of this permit or the parameters on which the system was
designed.
d. Any process unit failure, due to known or unknown reasons, that render the facility incapable of
adequate residual treatment.
e. Any spillage or discharge from a vehicle or piping system during transportation of residuals.
For any emergency that requires immediate reporting (e.g., discharges to surface waters, imminent
failure of a storage structure, etc.) outside normal business hours must be reported to the Division's
Emergency Response personnel at telephone number [phone], [phone], or (919) 733-
3300.
Persons reporting such occurrences by telephone shall also file a written report iii letter form within
five (5) days following first knowledge of the occurrence. This report must outline the actions taken
or proposed to be taken to ensure that the problem does not recur.
1. Adequate inspection and maintenance shall be provided by the Permittee to ensure proper operation
of the subject facilities.
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2. Prior to each residuals land application event, the Permittee or his designee shall inspect the
residuals storage, transport, and application facilities to prevent malfunctions and deterioration,
operator errors, and discharges that may cause or lead to the release of wastes to the environment, a
threat to human health, or a nuisance. The Permittee shall maintain an inspection log or summary
including at least the date and time of•inspection, observations made, and any. maintenance, repairs,
or corrective actions taken by the Permittee. This log of inspections shall be maintained by the
Permittee for a period of five years from the date of the inspection and shall be made available to the
Division or other permitting authority, upon request. o
3. Any duly authorized officer, employee, or representative of the Division may, upon presentation of
credentials, enter and inspect any property, premises, or place on or related to the land application
sites or facilities at any reasonable time for the purpose of determining compliance with this permit;
may inspect or copy any records that must be kept under the terms and conditions of this permit; and
may obtain samples of groundwater, surface water, or leachate.
VI. GENERAL CONDITIONS
1. This permit shall become voidable unless the residuals land application events are carried out in
accordance with the conditions of this permit, the supporting materials, and in the manner approved
by the Division.
2. This permit shall be effective only with respect to the nature and volume of residuals described in
the application and other supporting data.
-- 3. Failure to abide by the conditions and limitations contained in this permit may subject the Permittee
to an enforcement action by the Division in accordance with North Carolina General Statutes §143-
�% 215.6Athrough §143-215.6C.
4. The annual administering and compliance fee shall be paid by the Permittee within 30 days after
being billed by the Division. Failure to pay the fee accordingly may cause the Division to initiate
action to revoke this permit, as specified by 15 NCAC 2T .0105 (e).
5. The issuance of this permit does not exempt the Permittee from complying with any and all statutes,
rules, regulations, or ordinances, which may be imposed by other government agencies (local, state,
and federal) that have jurisdiction. Of particular concern to the Division are applicable river buffer
rules in 15A NCAC 02B .0200, erosion and sedimentation control requirements in 15A NCAC
Chapter 4 and under the Division's General Permit NCGO10000, and any requirements pertaining to
wetlands under 15A NCAC 02B .0200 and 02H .0500.
6. This permit may be modified, revoked, and/or reissued to incorporate any conditions, limitations and
monitoring requirements the Division deems necessary in order to protect the environment and
public health adequately.
7. This permit shall not be automatically transferable. Iu the event that there is a desire for the
residuals land application program to change ownership or to change the name of the Permittee, a
formal permit request .shall be submitted to the Division documentation from the parties involved
and other supporting materials as may be appropriate. The approval of this request shall be
considered on its merits and may or may not be approved.
WQ0000672 Version 3.0 Shell Version 071105 Page 13 of 14

Permit issued this the 12'' day of May, 2008.
`.
NORTH C INA O ENTAL MANAGEMENT COMMISSION
Lor Coleen H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission
Permit Number WQ0000672
WQ0000672 Version 3.0 Shell Version 071105 . Page 14 of 14

ATTACHMENT A - Approved Residual Sources
Permit Number: WQ0000672 Version: 3.0
City of Lumberton
Certification Date: 05/12/2008
Monitoring
Permit
Issued
Is
Maximum
Monitoring
Frequency for
Approved
Owner
Facility Name
County
Number
By
503?
Dry Tons
Frequency for
Condition IV. 3.
Mineralization
Per Year
Condition IV. 2.
and Condition
Rate
IV. 4.
City of Lumberton
City of Lumberton WTP °
Robeson
03-78-010 -
non 503
400
Annually
4 X year
.40
City of Lumberton
Lumberton WWTP
Robeson
NCO024571
DWQ
503
1,500
Annually
4 X year
.30
Total
1,900
a The storage lagoon at this residuals source -generating facility is designed such that the residuals may remain in storage for a period of greater than two years.
Therefore, in case that the residuals remain in storage for more than two years, the storage lagoon may be considered to be an active surface disposal unit under
Part C of 40 CFR Part 503 and require a separate permit from the Division for continued operation. In order -to be exempt from this permitting requirement, a
demonstration that the storage lagoon is not an active surface disposal unit must be submitted to and kept on file by the Division as well as kept on file by the
Permittee. This demonstration shall be updated at the time of permit renewal and include the.following information:
(i) The name and address of the entity who prepares the residuals.
(ii) The name and address of the entity who owns/leases the land on which the storage lagoon is located'. _
(iii) An explanation of why residuals need to be stored for longer than two years prior to final use/disposal. ,
(iv) The approximate time when residuals will be used/disposed.
b Provided that the residuals from this residuals -source generating facility are not mixed with any other residuals authorized by this permit, this facility shall be
exempt from complying with the performance, standards stipulated in Condition H. 6. as well as the monitoring.and reporting requirements stipulated in
Condition IV. 4.
WQ0000672 Version 3.0 Shell Version 071105 Page 1 of 2

THIS PAGE BLANK
WOIIQ00672 Version 3.0 Shell Version 071105 Page 2 of 2
I

..ACEMHNT B - APPROVED LAND APPLICATION SITE
Certification Date: 051 _,.)8
.Permit Number: WQ0000672 Version: 3.0
City of Lumberton — City of Lumberton Residuals Land Application Program
Field/ Site
Owner
Lessee
County
Latitude
Longitude
Net Acreage
Dominant
Soil Series
NC-RO-19-21
Hayes, Jennings
Robeson
3403341"
7805545"
18.60
Lu
NC-RO-19-22
Hayes, Jennings
Robeson
34033'38"
78055'57"
50.60
Jo
NC-RO-19-23
Hayes, Jennings
Robeson
34033'29"
78055'50"
26.00
Jo
NC-RO-19-25
Pittman, Roland
Hayes, Jennings
Robeson
34035'32"
78052'45"
29.40
WaB
NC-RO-19-29
Pittman, Alfred M
Robeson
34037'37"
78051'18"
2.60
WaB
NC-RO-19-30
Pittman, Alfred M
-Robeson
34°37'40"
78051'10"
12.20
WaB
NC-RO-19-34
Hayes, Jennings
Robeson
34035'33"
78054'49"
28.10
NoA
NC-RO-19-35
Mayes, Jennings
Robeson
3403537"
78054'24"
23.60
NoA
NC-RO-19-36
Hayes, Jennings
Robeson
34035'25"
7805421"
12:60
WaB
NC-RO-19-37
Hayes, Jennings
Robeson
3495'20"
78054'40"
11.60
WaB
NC-RO-19-38
Hayes, Jennings
Robeson
34035'51"
78056'19"
20.80
WaB
NC-RO-20-3
Hammonds, R G
Robeson
. 34°47'19"
79005'11"
26.10
WkB
NC-RO-20-4
Hammonds, R G
Robeson
W4645"
79o05'11"
33.40
WkB
NC-RO-20-5
0
Hammonds, R G
Robeson
34042'36"
79003'01"
32.40
GoA
NC-RO-20-6
Hammonds, R G
Robeson
34043'30"
79002'29"
6.70
NoA
NC-RO-20-7
Hammonds, R G
Robeson
34*43'26"
79002'22"
12.50
GoA
NC-RO-20-8
Hammonds, R G
Robeson
3404344"
79001'60"
57.50
GoA
NC-RO-21-01
Oxendine, Fannie
Cummings, Lacy
Robeson
3404226"
79005'34"
39.70
NoA
NC-RO-21-02A
Oxendine, Fannie
Cummings, Lacy
Robeson
34042'25"
79005'22"
45.90
NoA
NC-RO-21-02B
Oxendine, Fannie
Cummings, Lacy
Robeson
34042'15"
79005'19"
5.10
WaB
NC-RO-21-03
Oxendine, Fannie
Cummings, Lacy
Robeson
34°42'19"
79°05'38"
4.00
WaB
WQ0000672 Version 3.0 Shell Version 071105 Page 2 of 3

ATTACHMENT B - APPROVED LAND APPLICATION SITES
Permit Number: WQ0000672 Version: 3.0
City of Lumberton — City of Lumberton Residuals Land Application Program
Certification Date: 05/12/2008
Field/ Site
Owner
Lessee
CountyLatitude
Longitude
g
Net Acreage g
Dominant
Soil Series
NC-RO-16-16
Campen Farms
Baker, Ozzell
Robeson
34042'53"
79006106"
4.70
WaB
NC-RO-16-17
Campen Farms
Baker, Ozzell
Robeson
34042'55"
79006'01"
6.70
WaB
NC-RO-16-18
Campen Farms
Baker, Ozzell
Robeson
34'42'48"
79'05'57"
12.80
WaB
NC-RO-16-19
Campen Farms
Baker, Ozzell
Robeson
34042'39"
79005'58"
2.30
WaB
NC-RO-16-20
D
Maynor, Thomas
Baker, Ozzell
Robeson
34044'06"
79007'49"
8.60
NoA -
NC-RO-16-21
Maynor, Thomas
Baker, Ozzell
Robeson
34044'15"
79'07'56"
25.00
WaB
NC-RO-17-01
City Of Lumberton
Allen, Delois
Robeson
34036'39"
79003'15"
36.40
Jo
NC-RO-17-04
City Of Lumberton
Allen, Delois
Robeson
34036'29"
79003'33"
49.00
Jo
NC-RO-18-01
McLean, David Knox
Robeson
34037'49"
78051'17"
18.10
WaB
NC-RO-18-02
McLean, David Knox
Robeson
34036'54"
78052'15"
65.00
NoA
NC-RO-19-01
Hayes, Jennings
Robeson
3403449"
78056'43"
20.70
PoB
NC-RO-19-05
Hayes, Jennings
Robeson
34036'10"
7805443"
7.40
WaB
NC-RO-19-08
Hayes, Jennings
Robeson
34035'12"
78054'23"
12.70
GoA
NC-RO-19-09
Hayes, Jennings
Robeson
34'34'58"
78'54'17"
11.90
GoA
NC-RO-19-10
Hayes, Jennings
Robeson
34'35'19"
7805328"
18.60
Dn
NC-RO-19-11
Hayes, Jennings
Robeson
34034'53"
78053'20"
13.30
GoA
NC-RO-19-12
Hayes, Jennings
Robeson
34034'37"
78053'30"
30.20
ExA
NC-RO-19-13A
Hayes, Jennings
Robeson
34033'53"
78053'31"
22.00
WaB
NC-RO-19-13B
Hayes, Jennings
Robeson
34033'52"
78053'40"
28.30
PoB
NC-RO-19-15
Hayes, Jennings
Robeson
34034'18"
78054'06"
17.20
ExA
NC-RO-19-20
Hayes, Jennings
Robeson
34033'52"
78056'12"
111.80
Jo
WQ0000672 Version 3.0
Shell Version 071105 Page 1 of 3

A 1`1 ACEINHNT B - APPROVED LAND APPLICATION SITE1.
Certification Date: 051 _. ,..08
Permit Number: WQ0000672 Version: 3.0
City of Lumberton — City of Lumberton Residuals Land Application Program
Field/ Site
Owner
Lessee
CountyLatitude
Longitude
Lon
Net Acreage
Dominant
Soil Series
NC-RO-21-04
Oxendine, Fannie
Cummings, Lacy
Robeson
34042'09"
79005'28"
13.00
WaB
NC-RO-21-05
Oxendine, Fannie
Cummings, Lacy
Robeson
34°42'39"
79005'26"
52.10
GoA
NC-RO-22-01
Biggs, F K
Locklear, Dexter
Robeson
34033'27"
7805341"
8.90
WaB
NC-RO-22-02
Biggs, F K
Locklear, Dexter
Robeson
34033'10"
78053'44"
44.90
WaB
NC-RO-22-03
Biggs, F K
Locklear, Dexter
Robeson
34033'02"
78053'45"
26.00
WkB
NC-RO-27-01
Biggs, F K
McLean, Chris
Robeson
34036'07"
78052'39"
22.70
MaA
NC-RO-27-02
Biggs, F K
McLean, Chris
Robeson
34035'58"
7805229"
16.40
NoA
NC-RO-27-06
Biggs, F K
McLean, Chris
Robeson
34036'04"
78052'09"
35.90
NoA
NC-RO-27-07
Biggs, F K
McLean, Chris
Robeson
34035'55"
78052'21"
35.20
WaB
Total
Robeson
1,277.2
a
WQ0000672 Version 3.0 Shell Version 071105 . Page 3 of 3

o�4F W ATFRQG State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
LAND APPLICATION SITE CERTIFICATION
` INSTRUCTIONS FOR FORM: LASC 08-11
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application., Unless otherwise noted. the Applicant shall submit one original and two conies of the application and
supporting documentation
For more information or for an electronic version of this form, visit the Land Application Unit (LAU) web site at:
;http: //portal. ncdenr. oreliveb/wg/aps/lau
General — This certification provides detailed information of receiving sites for land application of Class B residuals (may include
water treatment plant or other type residuals) in accordance with 15A NCAC 02T .1100: Do not submit this certification for review
without a corresponding application form (FORM: RLAP 08-11 or FORM: SDR 08-11).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
��
0-
0
Land Application Site Certification (FORM: LASC 08-11):
❑ Submit the completed and appropriately executed Residuals Source Certification (FORM: LASC 08-11) form. Please do not
make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to the
application may be made, as long as the attachments are numbered to correspond to the section and item to which they refer.
❑ For, new or renewed permits, submit the requested information for all land application sites.
❑ For modified permits, submit the requested information ,for only those sites that are new, transferred or affected by the
proposed modification.
Land Application Site Information:
❑ ,The status of the land application site with respect to this residuals land application program must be provided in table I. The
status categories and their corresponding codes are as follows:
♦ New (N) ♦ Renewed (R) ♦ Modified (Ivl) ♦ Transferred (r) ♦ Deleted (D)
❑ Attach the following in accordance with each status code:
Status Code
Required Item
N
R
T
M
w
County Manager
✓
Notificaation
Land Owner
✓
✓
✓
Agreement
(If applicable)
I Rd✓
✓
✓
✓
Setback Waiver
Agreement
An updated vicinity/setback map in accordance with the "Map Guidance
for Residuals Land Application Permits"
A soils and agronomic evaluation in accordance with the "Soil Scientist
✓
Evaluation Policy"
An updated accounting :of the land application site's cumulative
✓
✓
pollutant loading rates (CPLRs)
TATQTDTTr"MTC UnD T7nDAX- T AQP AQ_I 1 Pon,* 1 nF4

Status Code
Required Item
N
R
T
M
For previously permitted sites without a soil series name indicated in the
Attachment-B, submit County Soil Survey Map (or equivalent) clearly
✓
✓
✓
indicate the location of the land application site and in accordance with
the soil map requirements in the "Soil Scientist Evaluation Policy"
Acknowledgement of field transfer from Permittee relinquishing field
✓
Acknowledgement of field transfer from Land Owner (Fields may not
be permitted to multiple Permittees over the same timeperiod)
* This item may be required for land application site with a status code "W, please contact the Division if you need assistant in
detmnining attachment requirements.
❑ Crop Type should include the most likely crop types for the life of the permit (five years).
❑ Predominant Soils Series Name must be either the -name of the soil indicated in Attachment "B" of the existing permit, or
name of the soil series as provided by the licensed soil scientist.
❑ Predominant Soil Mapping Unit or Representative Slope: Either the Soil Mapping Unit or the representative slope of each
site must be provided. The predominant soil -mapping unit must be consistent with the predominant soil series name. Please
note that the soil mapping units are variable between Counties, so care should be taken in properly identifying the correct
mapping unit. If a representative slope is provided, it must be determined accordingly:
❑ For sites previously permitted for use, but do not have an established soil mapping unit (the mapping unit provides
information on both the soil series name and the slope of the soil), the Applicant may determine the representative slope
by using the average slope provided in the County Soil Survey (or equivalent). A soil type with a slope range of 4 - 81/6
would have a representative slope of 6%.
❑ New Sites to be permitted must have slopes determined as part of the soils report prepared by a licensed soil scientist
❑ Acceptable methods for determining location coordinates (i.e., latitude and longitude) and their corresponding codes are as
follows:
• Address Matching (ADD) * Digital or Raw Photo Extraction (EXT)
• Aerial Photography with Ground Control (AER) a Geodetic Quality GPS Survey (GEO)
• Cadastral Survey (SUR) • LORAN-C Navigation Device (LOR)
• Conversion from Coordinate Plane (CP) • Navigation Quality GPS (GPS)
• Conversion from Township -Section -Range (TSR) • Remote Sensing (RS)
• Conversion from Universal Trans Merc (UTM) • Zip Code Centroid (ZIP)
• Map Interpretation by Digital or Manual Extraction (MAP)
C. Waterhody and Classifications Information: (new sites only)
❑ Use an 8.5 by 11-inch copy of the portion of a 7.5-minute USGS Topographic Map to identify the location where the
residuals program activities are planned to occur as well as the closest downslope surface waters as clearly as possible. Each
map portion must be labeled with the map name and number, the identified location, and be of clear and reproducible quality.
❑ Surface water body classifications information may be found at: httn://nortal.ncdenr.or web/iv /ps/csu
❑ Any questions concerning the waterbody and its classification, please contact the Division's regional offices.
❑ A list of the Division's regional offices, their county coverage, and their contact information may be downloaded at:
htti3://i)ortal.ncdenr.org/Nvcb/ivq/liome/ro
❑ General Instructions: There are 17 river basins in North Carolina. Each basin has associated waterbodies with assigned
subbasins, location descriptions, stream index numbers and established classifications.
1. Identify the project area on a 7.5 minute USGS topographical map (an 8.5 x 11-inch sheet showing the project area
should be submitted with the permit application regardless of whether a Stream classification was completed).
2. Determine the names of all the closest down slope surface waters from the project site. For unnamed tributaries, see
Table 1: Unnamed Tributaries Entering Other States or for Specific Basin Areas. Label any unnamed tributaries as
"UT to stream name" as the waterbody name.
3. Open the link htip://h2o.enr.state.nc.us/bims/reports/repgrtsWB.html. If this link does not work, open
http://portal.ncdenr.or web/wq/ps/csu/classifications and download weekly -updated classification lists for named
waterbodies.
❑ Stream Classification Process: One of the options below may be used depending on,the known initial project information.
❑ KNOWN BASIN WHERE CLOSEST DOWN SLOPE SURFACE WATER IS LOCATED
TATQTVTTr'rTIIATQ'9n1D T:l11AA• T AQ!' AQ-1 I DnnA 7 of 2

1. Select- proper basin from the List all Waterbodies in Neuse •' Basin sorted
Ft drologically ; report. Sort hydrologically as this will provide the proper location descriptions if multiple
runs.
2. Locate the name of the identified waterbody (from General Directions) on the list.
3. For multiple listings of the, same waterbody name in the report, select and verify the location description. The term
"source" in the description means the beginning of the waterbody segment (most upstream point).
4. Record all Basins, Stream Index Numbers and Classifications applicable to the project. ,
❑ KNOWN COUNTY WHERE CLOSEST DOWN -SLOPE SURFACE WATER IS LOCATED
Alamance
1. Select the proper county from the List all Waterbodies in . -- .. °"` county, hydrologically report
2. Locate the name of the identified waterbody (from General Directions) on the list.
3. For multiple listings of the. same .waterbody name in the report, select and verify the location description. The term
11source" in the description means the beginning of the waterbody segment (most upstream point).
4. Record all Basins, Stream Index Numbers and Classifications applicable to the project.
❑ UNKNOWN BASIN WHERE CLOSEST DOWN SLOPE SURFACE WATER IS LOCATED
1. Use the Clickable basin map to hydrologically sorted list report.
2. Click on the approximate project location to bring up the hydrologically sorted list.
3. Locate the name of the identified waterbody (from General Directions) on the list.
4. For multiple listings of the same waterbody name in the report, select and verify the location description. The term
"source" in the description means the beginning of the waterbody segment (most upstream point).
5. Record all Basins, Stream Index,Numbers and Classifications applicable to the project.
❑ Notes on index number and unnamed streams:
Unnamed Streams 15A NCAC 02B .0301(i).
❑ Any stream which is not named in the schedule of stream classifications carries the same classification as that assigned.
to the stream segment to which it is tributary (at the point of entry) except:
(A) unnamed streams specifically described in the schedule of classifications;
(B) unnamed freshwaters tributary to tidal saltwaters will be classified "C"; or
(C) after November 1, 1986, any newly created areas of tidal saltwater which are connected to Class SA waters by
approved dredging projects will be classified "SC" unless case -by -case reclassification proceedings are conducted.
❑ The following river basins have different policies for unnamed streams entering other states or for specific areas of the
basin:
Unnamed Tributaries Entering Other States or for Spec Basin Areas
Hiwassee River Basin
Streams entering Georgia or Tennessee shall be classified "C Tr."
Little Tennesse River
Basin And Savannah
River Drainage Area
Streams entering Georgia or Tennessee shall be classified "C Tr." Such streams in the Savannah
River drainage area entering South Carolina shall be classified "B Tr."
French Broad River
Basin
Streams entering Tennessee will be classified "B."
Watauga River Basin
Streams entering the State of Tennessee are classified "C."
Broad River Basin
Streams entering South Carolina are classified "C."
New River Basin '
Streams entering the State of Tennessee are classified "C."
Catawba River Basin
Streams,entering South Carolina are classified "C." '
Yadkin -Pee Dee River
Basin
Streams ' entering Virginia are classified "C," and .such streams entering South Carolina are
classified "C.11
Lumber River Basin
Streams entering South Carolina are classified "C Sw."
Roanoke River Basin
Streams entering Virginia are classified "C." Except that all backwaters of John H. Kerr
Reservoir and the North Carolina portion of streams tributary thereto not otherwise named or
described shall carry the classification "B," and all backwaters of Lake Gaston and the North
Carolina portion of streams tributary thereto not otherwise named or described shall carry the
classification "C and B."
Chowan River Basin
Streams entering Virginia are classified "C."
Tar -Pamlico River
Basin
All drainage canals not noted in the schedule are classified "C Sw." except the main drainage
canals to Pamlico Sound and its bays which shall be classified "SC."
Pasquotank River Basin
All drainage canals not noted in the schedule are classified "C."
TATQ'i'DT T("PTr1XTQ VnD WNDAA• T A Qd' AQ_1 1 . Dn"A Z of Z

11
LAND (ArYLICATION SITE CERTIFICATION
Applicant's name. L Zq Q
Land application sites currently certified: net acres and Total to be certified: Dgit7let acres.
I. LAND APPLICATION SITE INFORMATION (See Instruction B):
Code'
Site/FieldStatus
ID
r�
Operator(s)
Predominant Soil
b
Series Name
Mapping Unit
or r or
M,
•
"A'S+ r
ta+�'fC x
'�3tih
�Ss �:ii �Y'
n' f'1�iS._'-i
Y
k
- Manus L;oae ror iana appucanon sites are: ♦ N (New) ♦ K (Renewed) ♦ M (Modified) ♦ T (Transferred) ♦ D (Deleted)
b Soil Series Name (i.e. Appling, Cecil, etc.)
'Mapping Unit must be consistent with those used in the County Soil Survey (i.e. for a 2-8% slope Cecil in Anson County the mapping unit is CeB2)
II. WATERBODY AND CLASSIFICATIONS INFORMATION (See Instruction C):
Site/Field ID
Latitude
Longitude
Location
Datum
Location Method Code
Location Accuracy
Waterbod y Subbasin and
Stream Index No.
Current and Proposed
Class
NAD 83
MAP
Nearest Second
ISO
'T'
`-:
ME
° ' "
jj° H' "
NAD 83
ADD
Nearest Second
NAD 83
ADD
Nearest Second
NAD 83
ADD
Nearest Second
�` r;:�
NAD 83
ADD
Nearest Second
MN' ..
i° '
110 ; ' "
NAD 83
ADD
Nearest Second
° a' "
jJ0 ' '
NAD 83
ADD
Nearest Second
i <:
am
o rSn
o rn
NAD 83
ADD
Nearest Second
r.._g
.
im
Note: Piease keep the site information (1.) and waterbody information (11.) of the same field on the same page.
FORM: LASC 08-11 Page 1

Status Code
Site/Field
ID
Landowners
Lesse(s) or
Operator(s)
Net
Acres
Count
Crop(s)
Predominant Soil
Series
Name
Mapping
Unit
M
NC-20-6
R.G. Hammonds
Same
6.3
Robeson
Row Crops
Norfolk
NoA
M
NC-RO-20-7
R.G. Hammonds
Same
24.7
Robeson
Row Crops
Goldsboro
GoA
M
NC-RO-20-8
R.G. Hammonds
Same
73.4
Robeson
Row Crops
Wagram
WaB
N
NC-RO-21-6
Lacy Cummings
Same
70.5
Robeson
Row Crops
Coxville
Co
N
NC-RO-37-1
Michael McCarthy
Danny Smith
3.1
Robeson
Coastal Bermuda
Lakeland
LaB
N
NC-RO-37-2
Michael McCarthy
Danny Smith
8.4
Robeson
Coastal Bermuda
Kalmia
KaA
N
NC-RO-37-3
Danny Smith
Same
8.9
Robeson
Row Crops
Norfolk
NoB
N
NC-RO-37-4
Phillip/Beatrice Culbreth
Danny Smith
15.1
Robeson
Row Crops
Norfolk
NoA
N
NC-RO-37-5
Phillip/Beatrice Culbreth
Danny Smith
4.1
Robeson
Row Crops
Norfolk
NoA
N
NC-RO-37-6
Phillip/Beatrice Culbreth
Danny Smith
4.4
Robeson
Coastal Bermuda
Norfolk
NoA
N
NC-RO-16-1
Ozzell Baker
Same
16.9
Robeson
Coastal Bermuda
Rains
Ra
N
NC-RO-16-2
Ozzell Baker
Same
3.6
Robeson
Fescue
Goldsboro
GoA
N
NC-RO-16-3
Ozzell Baker
Same
3.4
Robeson
Coastal Bermuda
Goldsboro
GoA
N
NC-RO-16-4
Ozzell Baker
Same
3.6
Robeson
Coastal Bermuda
Rains
Ra
N
NC-RO-16-5
Ozzell Baker
Same
8.7
Robeson
Coastal Bermuda
Rains
Ra
N
NC-RO-16-6
Ozzell Baker
Same
14.8
Robeson
Fescue
Norfolk
NoA
N
NC-RO-16-7
Ozzell Baker
Same
17.5
Robeson
Row Crops
Norfolk
NoA

Status Code
Site/Field
ID
Landowners
Lesse(s) or
Operator(s)
Net
Acres
County
Crop(s)
Predomin
ant Soil
N
NC-RO-16-6
Ozzell Baker
Same
14.8
Robeson
Fescue
Series
Name
Mapping
Unit
N
NC-RO-16-8
Ozzell Baker
Same
7.6
Robeson
Coastal Bermuda
Wagram
WaB
N
N
NC-RO-38-1
NC-RO-38-2
Leroy Harris
Leroy Harris
Chad Harris
Chad Harris
11.6
19.4
Robeson
Robeson
Coastal Bermuda
Coastal Bermuda
Norfolk
Norfolk
NoA
N
NC-RO-28-1
Robert Baskerville Jr.
Carnell Locklear
11.6
Robeson
Row Crops
Dunbar
Dn
N
NC-RO-28-2
Robert Baskerville Jr.
Carnell Locklear
56.9
Robeson
Row Crops
Rains
Ra
N
NC-RO-28-3
Robert Baskerville Jr.
Carnell Locklear
10.4
Robeson
Row Crops
Goldsboro
GoA
N
NC-RO-17-2
City of Lumberton
Pete Allen
25.4
Robeson
Row Crops
Lumbee
Lu
N
NC-RO-17-3
City of Lumberton
Pete Allen
28.0
Robeson
Row Crops
Lumbee
Lu
M
NC-RO-17-4
City of Lumberton
Pete Allen
47.7
Robeson
Row Crops
Johns
Jo
N
NC-RO-39-7
Lyndon Bullard
Lyndon Bullard
3.7
Robeson
Coastal Bermuda
Goldsboro
GoA
N
NC-RO-39-8
Lyndon Bullard
Lyndon Bullard
7.4
Robeson
Coastal Bermuda
Norfolk
NoA
N
NC-RO-39-9
Patrick Bullard
Same
62.5
Robeson
Coastal Bermuda
Wagram
WaB
N
NC-RO-39-lA
Lindbergh Bullard
Patrick Bullard
5.3
Robeson
Coastal Bermuda
Goldsboro
GoA
N
NC-RO-39-1B
Lindbergh Bullard
Patrick Bullard
2.6
Robeson
Coastal Bermuda
Goldsboro
GoA
N
NC-RO-39-2
Lindbergh Bullard
Patrick Bullard
1.4
Robeson
Coastal Bermuda
Goldsboro
GoA
N
NC-RO-39-3
Quindale Bullard
Patrick Bullard
5.1
Robeson
Coastal Bermuda
Rains
Ra
N
NC-RO-39-4
Quindale Bullard
Patrick Bullard
14.8
Robeson
Coastal Bermuda
Lynchburg
Ly
N
NC-RO-39-5
Rhonda Kay Chong
Patrick Bullard
3.8
Robeson
Coastal Bermuda
Lynchburg
Ly
N
NC-RO-39-6
Rhonda Kay Chong
Patrick Bullard
2.9
Robeson
Coastal Bermuda
Wagram
Wa
NoA

Site/Field ID
Latitude
Longitude
Location
Datum
Location
Method
Code
Location
Accuracy
Waterbody
Subbasin and
Steam Index No.
Current
and
Proposed
Class
NC-RO-20-7
34043'32"
79001'31"
NAD83
MAP
Nearest
Second
LBR51-14-12
C;Sw
NC-RO-20-8
34043'48"
79002'03"
NAD83
MAP
Nearest
Second
LBR51-14-12
C;Sw
NC-RO-21-6
34044'43"
79006'29"
NAD83
MAP
Nearest Second
LBR52-14-10-(I)
C;Sw
NC-RO-37-1
34037'26"
79009'08"
NAD83
MAP
Nearest Second
LBR51-14-8-(2.5)
WS-IV;Sw
NC-RO-37-2
34037'17"
79009'01"
NAD83
MAP
Nearest Second
LBR51-14-8-(2.5)
WS-IV;Sw
NC-RO-37-3
34037'56"
79006'49"
NAD83
MAP
Nearest Second
LBR51-14-9-(1.5)
WS-IV;Sw
NC-RO-37-4
34037'50"
79006'42"
NAD83
MAP
Nearest Second
LBR51-14-9-(1.5)
WS-IV;Sw
NC-RO-37-5
34037'55"
79006'37"
NAD83
MAP
Nearest Second
LBR51-14-9-(1.5)
WS-IV;Sw
NC-RO-37-6
34037'45"
79006'37"
NAD83
MAP
Nearest Second
LBR51-14-9-(1.5)
WS-IV;Sw
NC-RO-16-1
34042'24"
79007'40"
NAD83
MAP
Nearest Second
LBR52-14-10-8-4-(0.5)
WS-IV;Sw
NC-RO-16-2
34043' 14"
79007'37"
NAD83
MAP
Nearest Second
LBR52-14-10-8-4-(0.5)
WS-IV;Sw
NC-RO-16-3
34042'20"
79007'33"
NAD83
MAP
Nearest Second
LBR52-14-10-8-4-(0.5)
WS-IV;Sw
NC-RO-16-4
34042'17"
79007'30"
NAD83
MAP
Nearest Second
LBR52-14-10-8-4-(0.5)
WS-IV;Sw
NC-RO-16-5
34042'25"
79007'23"
NAD83
MAP
Nearest Second
LBR52-14-10-8-4-(0.5)
WS-IV;Sw
NC-RO-16-6
34042'17"
79007'18"
NAD83
MAP
Nearest Second
LBR52-14-10-8-4-(0.5)
WS-IV;Sw
NC-RO-16-7
34042'21"
79007'12"
NAD83
MAP
Nearest Second
LBR52-14-10-8-4-(0.5)
WS-IV;Sw

Site/Field ID
Latitude
Longitude
Location
Datum
Location
Method
Code
Location
Accuracy
Waterbody Subbasin and Steam
Index No.
Current and
Proposed Class
NC-RO-16-8
34042'23"
79007'03"
NAD83
MAP
Nearest Second
LBR52-14-10-8-4-(0.5)
WS-IV;Sw
NC-RO-38-1
34045'41"
79008'14"
NAD83
MAP
Nearest Second
LBR52-14-10-8-3-(2)
WS-IV;Sw
NC-RO-38-2
34045'23"
79008'14"
NAD83
MAP
Nearest Second
LBR52-14-10-8-3-(2)
WS-IV;Sw
NC-RO-28-1
34043'49"
79006'11"
NAD83
MAP
Nearest Second
LBR52-14-10-(1)
C;Sw
NC-RO-28-2
34043'58"
79006'60"
NAD83
MAP
Nearest Second
LBR52-14-10-(1)
C;Sw
NC-RO-28-3
34043'41"
79005'41"
NAD83
MAP
Nearest Second
LBR52-14-10-(1)
C;Sw
NC-RO-17-2
34035'57"
79004'29"
NAD83
MAP
Nearest Second
LBR51-14-17
C;Sw
NC-RO-17-3
34036'04"
79004'17"
NAD83
MAP
Nearest Second
LBR51-14-17
C;Sw
NC-RO-17-4
34036'27"
79003'35"
NAD83
MAP
Nearest Second
LBR51-14-17
C;Sw
NC-RO-39-7
34041'12"
79002'01"
NAD83
MAP
Nearest Second
LBR51-14-12-4
C;Sw
NC-RO-39-8
34041'13"
79001'55"
NAD83
MAP
Nearest Second
LBR51-14-12
C;Sw
NC-RO-39-9
34024'26"
79004'25"
NAD83
MAP
Nearest Second
LBR54-14-30-8
C;Sw
NC-RO-39-IA
34036'11"
79013'09"
NAD83
MAP
Nearest Second
LBR54-14-30-3-1
C;Sw
NC-RO-39-1B
34036'07"
79013'07"
NAD83
MAP
Nearest Second
LBR54-14-30-3-1
C;Sw
NC-RO-39-2
34036'08"
79013'04"
NAD83
MAP
Nearest Second
LBR54-14-30-3-1
QSw
NC-RO-39-3
34036'01"
79013'14"
NAD83
MAP
Nearest Second
LBR54-14-30-3-1
QSw
NC-RO-39-4
34036'01"
79013'08"
NAD83
MAP
Nearest Second
LBR54-14-30-3-1
QSw
NC-RO-39-5
34036'01"
79013'02"
NAD83
MAP
Nearest Second
LBR54-14-30-3-1
QSw
NC-RO-39-6
34036'03"
79012'58"
NAD83
MAP
Nearest Second
LBR54-14-30-3-1
C;Sw

. �VF W AT FRQ State of North Carolina
�4 Department of Environment_ and Natural Resources
Division of Water Quality
—(� COUNTY MANAGER NOTIFICATION
INSTRUCTIONS FOR FORM: CMN 08-11
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application Unless otherwise noted. the Applicant shall submit one original and two conies of the application and
supporting documentation
For more information or for an electronic version of thisform, visit the Land Application Unit (LA U) web site at.•
http://portal. nedenr. orjzA,eb/ivq/aps/!au
General — This notification is intended to provide the County Manager with general information on the size, location and type of
residuals land application proposed to occur in their county, and to give the County Manager an opportunity to comment on the
pending permitting request in accordance with 15A NCAC 02T A 100. Do not submit this document for review without a
corresponding residuals program application form (FORM: RLAP).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. County Manager Notification (FORM: CMN 08-11): `
❑ Submit the completed and appropriately executed County Manager Notification (FORM: CMN 08-11) form. Please do not
make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to the
application may be made, as long as the attachments are numbered to correspond to the section and item to which they refer
❑ Prepare a separate County Manager Notification (FORM: CMN 08-11) for each county in which the proposed land
application sites are located.
R Critical Watershed Areas Information:
❑ Under 15A NCAC 02B .0212, no new permitted sites for land application of residuals are allowed within critical watershed
areas. It is the Applicant's responsibility to ensure that the proposed land application sites are. not located within these areas.
❑ For more information regarding Water Supply Watershed Protection Program, please call [phone] or visit the website
at: http://portal.ncdenr.org/Nveb/wg/sivphvs/�vswp.
❑ Attach critical watershed area maps for each county to this form. -'Me map shall include location of the proposed land
application sites, and clearly show that the proposed sites are not located within the critical areas..DWQ's Water Supply
Critical Watershed Area maps may be downloaded at: http://portal.ncdenr.ory/web/wq/l)s/csu/maps.
C. Notification Package Submission:
❑ Complete and mail the notification letter, source facility summary, land application site summary, and maps. to the
appropriate County Manager by certified mail with a return receipt j
❑ The most current publication of the Directory of State and Coup_,_yt Officials may be downloaded at:
http://Nvwiv.secretarv.state.nc.us/i)ubs%veb/directasp.
❑ A list of the Division's regional offices, their county coverage, and their contact information may be downloaded at.
http://portal.ncdenr.org/webhvq/home/ro.
❑ The source facility summary shall include: facility name; county where it is located; and the proposed annual dry tonnage
(i.e., a copy of "Residuals Source Facility Summary" is adequate but not required).
❑ The land application site summary shall include: field ID; acreage; county where it is located; latitude and longitude (i.e., a
copy of "Land Application Site Certification" is adequate but not required).
D. Prove of Submission:
El Attach an 8.5 by 11-inch copy of the return receipt to the back of this attachment prior to submission of the application to the
Division for review.
INSTRUCTIONS FOR FORM: CMN 08-11
Page 1 of 1

Residuals Land Application Program Notification
lqs�ate: 12-14-12
To: Name of County Manager: Ricky Harris
Complete mailing address: 701 N. Elm Street
City: Lumberton State: NC Zip: 28358-$3
County where land application sites are located: Robeson
From: Applicant's name: City of Lumberton
Contact person and title: Jim Walters, Deputy Director of Public Works
Complete mailing address: 1451 Lower
City: Lumberton State: NC Zip: 28358-
Telephone number: 910) 671-3856 E-mail address: [e-mail]
*Application prepared by: Edward Stephens with S�nagro Technologies LLC
Address: 284 Boger Rd. Mocksville, NC 27028 Telephone: [phone] email: estephens c(r7 yna rg_o.com . .
Subject: Notification of residual land application proposal
This is to notify you that the Applicant listed above will be submitting an application to the Division of Water
Ouality for the land application of residual solids to sites located in your county. During this review, the Division will
isure that all federal and state regulations are enforced. Please forward this letter and its associated attachments to the
,,.,�propriate Department within your County (i.e., Health or Environmental Health Department and Planning Department).
More information of the land application sites included in this application will be available at the following.
Division of Water Quality Regional Office:
Name of appropriate regional office: Fayetteville Regional Office
Complete mailing address: 225 Green Street, Suite 714
City: Fayetteville
State: NC
Telephone number: (910 433-3300 E-mail address:
Expected date of application submission: 12-15-2012
Zip: 28301-5043
Should you desire to comment on this application, please do so no later than 30 calendar days following the
expected application submission date. If you have any questions or comments about this notification, or if you would like
more information, please contact the Aquifer Protection Supervisor of the appropriate regional office at the telephone
number provided above. Thank you in advance for your attention to this matter.
Enclosures: Source Facility Summary
Land Application Site Summary
Maps
FORM: CMN 08-11 Page l of 1

R O B E S O N COUNTY N. C.`' � DIVISION OF WATER QUALITY
Y COUNTY, M f! V V ENVIRONMENTAL SENSITIVITY MAP 90111
gI.n,��. +' _• v� 1Cr� ` �� "W`Y"� _ �_._.. �` ' {,jt� n -�.�. W\�, ,L ;,.�"b -, n
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N-mmileS 1

Source Facility Summary
Facility: Lumberton Wastewater Treatment Plant
County: Robeson
Proposed Annual Dry Tonnage: 1,500
Facility: City of Lumberton Water Treatment Plant
County: Robeson
Proposed Annual Dry Tonnage: 400

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DATE&TIME
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FEATURES
0099660000238001791'
First -Class Mail'e
Delivered
December 19, 2012, 1:08 p n
LUMBERTON, NO 28358
Expected Delivery By:
December 18. 2012
L
:ertfied Mail
Arrival at Unit
December 19. 201Z 8.44 am
- LUMBERTON. NC 28358
Acceotance
December 17.2012 9:51 am
COUNCIL. NC 28434
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12/26/2012 7:45 5"

SITE SUMMARY
City of Lumberton
WQ0000672
Site ID:
NC-RO-20
Owner:
R. G. Hammonds
Address:
1218 Hammonds Road
Lumberton, NC 28360
Phone:
910-734-2991
Operator: same
Estimated
Applicable
Fields Acres Cron(s)
Robeson Co. Predominant Latitude &
RYE Soil Series Longitude
PAN/ac/vr (man unit► in m ql
3
26.1
common
147
Wakulla
34.47.19 N
bermuda rass
Wk6
79.05.11 W
4
33.4
coastal
196
Wakulla
34.46.45 N
bermuda rass
WkB
79.05.11 W
6
6.3
corn.
soybeans(fs/dc)
131
164/137
Norfolk
34.43.30 N
wheat
125
(NoA)
79.02.29 W
7
24.7
corn
soybeans(fs/dc)
148
176/149
Goldsboro,
34.43.26 N
wheat
136
(GoA)
79.02.22 W
8
73.6
corn
148
Goldsboro
34.43.44
N
so beans fs/dc
.176/149
(GoA)
79.02.00
W
wheat
136
TOTALS 164.1
Notes: Fields 3-4 and 5-8 currently permitted.
Field 6 applicable area decreased from 6.7 to 6.3 acres
Field 7 applicable area increased from 12.5 to 24.7 acres
Field 8 applicable area increased from 57.5 to 73.6 acres
Date:' 12/26/12

NC -RI

NC-RO 20; Fields :6 8, 11 (all locations approximate) 1 inch = 1,000 feet

� I
d '
r Ji I: �y` sty
Prof
-RO-26

L
Legend
— — Drain
Pond
x — x - Fence
ApplicationArea
■ OnSiteHouse
■ OffSiteHouse
PropertyLine % Well
NC-RO-20; Field 11
1 inch = 660 feet
(all locations approximate)
O SoilDescription The compliance boundary is established at
either 250 feet from the residuals application
Unsuitable area or 50 feet within the property boundary,
whichever is closest to the application area..
The review boundary is established midway
between the compliance boundary and the
perimeter of the residuals application area.
Feet
0 230 460 920 1,380 1,840

WAS
I
w -• w AN
NC-RO-24; Fields 6-8, 11 (all locations approximate) 1 inch = 1,000 feet

r A
pr �••%Ic,�QG
. State of North Carolina
6 Department of Environment and -Natural Resources
>` Division of Water Quality
< LAND OWNER AGREEMENT
FORM: LOA 08-11, .
Please use the following instructions as a checklist in order to ensure all required items are submitted. -Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted. the Applicant shall submit one original and two copies of the application and
supporting documentation
For more information or for an electronic version of thisform, visit the Land Application Unit (LA U) web site at:
httn:/ portal.ncdenr.orgAvebhvq/aps/lau
General - This document is an agreement between the Applicant and land owner(s) of residuals receiving sites for land application of
Class B residuals (may include water treatment plant or other type residuals) in accordance with 15A NCAC 02T .1100. Do not
submit this agreement for review without a corresponding application form (FORM: RLAP 08-11).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below. _
A. Land Owner Agreement (FORM: LOA 08-11):
❑ Submit the completed and appropriately executed Residuals Source Certification (FORM: LASC 08-11) form. Please do not
make any unauthorized content changes to this form. If necessary for clarity or due to space 'restrictions, attachments to the
application may be made, as long as the attachments are numbered to correspond to the section and item to which they refer.
❑ Prepare a separate agreement for each set of land application sites that are owned or operated by an entity other than the
Applicant.
❑ A copy of the completed and appropriately executed agreement must be provided to the landowner and the lesseeloperator.
AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND
The undersigned landowner or his representative hereby permits:
Applicant's name:
hereinafter referred to as the Permittee, to land apply residuals from . the following facility(ies) onto the following land
application ske(s) (Le., see attached setback maps) in accordance with the stipulations and restrictions as given in this
Agreement:
Site/Field ID
Lease
(yes/no)
Land Use or
Cropping Patterns
Intended Use of Crops
Residuals Source
(optional)
Special note
(no-dWover-seed/
pasture)
Al
uI
►,,,,, 2 5,9
u W 7FW T?
n/c=t2o -zci - g
A"4 fi
G _M -Zts
Alo°'o'✓
-ytA
I
G- Y_t,
A'
c- PG - 13-
P4
`'
The landowner or his representative receives, in consideration, full use of the nutrii � esiduals while the
Al
Permittee receives, in consideration, the use of the land application sites described' A <�
app � () � �o� � the residuals.
is Agreement shall remain in effect for the length of the Division's permit for tl d'
�~ _shall be renewed each time this permit is renewed. - t` ion program and
The undersigned landowner or his representative and the Permittee agree to abide with the following restrictions and
stipulations until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement.
IAILN.
H

L STIPULATIONS:
1. The landowner or his representative shall not enter into any additional residuals application contracts or agreements with another permitted
entity for the site(s) specified by this Agreement
2. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) to a third party, the landowner shall
++ be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement.
3. The landowner or his representative shall adhere to the provisions of this Agreement until all of the site restrictions (under Section Il) are met
4. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWQ, Land Application Unit, 1636 Mail Service
Center, Raleigh, NC 27699-1636.
5. The Permittee must request and obtain a permit modification from the Division prior to a transfer of the land application site(s) to a new
landowner. In addition, the current landowner shall give a notice to the new landowner that gives full details of the residuals applied at the
land application site(s).
6. The Permittee has provided the landowner or his representative with information and data concerning the residuals land application program,
including an analysis of constituents of the residuals, residuals application methods, schedules for typical cropping patterns, a description of
the equipment used by the Permittee.
7. The Permittee will provide the landowner or his representative with a copy of the residuals permit prior to commencement of any residuals
land application event and a copy of the results of each soil analysis.
8. If the soil pH of the land application site(s) is not maintained at 6.0 of greater, sufficient amounts of lime shall be applied to achieve a final
soil pH of at least 6.0, unless an agronomist provides information indicating that the pH of the soil, residuals and lime mixture is suitable for
the specified crop.
9. The landowner or his representative and the Permittee will agree on residuals application rates and schedules based on crop patterns, results of
soil samples, and thepermitted application limits.
10. The landowner or his representative will provide the Permittee with information regarding the amount and analysis of other sources of
nutrients (e.g., fertilizer, unregulated animal waste, etc.) that have been applied to the land application site(s).
11. The landowner or his representative will inform the Permittee of any revisions or modifications to theintended use and cropping patterns for
the land application site(s) prior to each planting season to enable the Permittee to amend this Agreement and schedule residuals land
application events at appropriate periods.
12. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee, the landowner, or
his representative prior to and during a residuals land application event
13. The landowner or his representative hereby authorizes the Permittee, local officials, and )State officials or their representatives to; enter and
inspect any property, premises, or place on or related to the land application site(s) at any reasonable time for the purpose of determining
compliance with the permit; establish monitoring facilities on or near the land application site(s) as required by the permit; copy any records
that must be kept under the terms and conditions of the permit; take necessary leachate, surface water, groundwater, or soil samples during the
term of, and 12 months after termination of, this Agreement
11L RESTRICTIONS:
1. Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control public access to the land
application site(s) during active use and for the 12-month period following a residuals land application event Such controls may include the
posting of signs that indicate the activities being conducted at the land application site(s).
2. Animals shall not be grazed on the land application site(s) for a 30-day period following a residuals land application event Land application
sites that are to be used for grazing shall have fencing that will be used to prevent access during these periods after such residuals land
application events.
3. Food crops, feed crops, and fiber crops shall not be harvested for a 30-day period following a residuals land application event.
4. Food crops with harvested parts that touch the residuals/soil mixture and are totally above the land surface shall not be harvested for a 14-
month period following a residuals land application event.
5. Food crops with harvested parts below the surface of the land shall not be harvested for a 20-month period following a residuals land
application event when the residuals remain on the land surface for four months or longer prior to incorporation into the soil.
6. Food crops with harvested parts below the surface of the land shall not be harvested for a 38-month period following a residuals land
application event when the residuals remain on the land surface for less than four months prior to incorporation into the soil.
7. Turf grown on land where residuals are applied shall not be harvested for a 12-month period following a residuals land application event.
IILALTERNATIVES FOR WATER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY: (please check one)
15A NCAC 02L .0107(d) prohibits water supply wells within the compliance boundary. However, 15A NCAC 02T .0105(h) allows the
compliance boundary to be placed closer to the waste disposal area, such that the water supply well is situated outside of the compliance
boundary provided the groundwater standards can be met at the newly -established compliance boundary. Please mark one of the following;
d A re -defined compliance boundary is needed for field(s) ID: ZU
(Please include the rationale for the requested re -location of the compliance boundary and attach a map showing the newly proposed
compliance boundary to the application package)
❑ A re -defined compliance boundary is not needed for this site.
- ,.iV.ACKNOWLEDGEMENT OF FIELD TRANSFER: (if needed)
1
❑ The land application field(s) ID: is currently permitted under another
'^® residuals land application program; Permit Number WQ: The land owner hereby acknowledge that by signing this
agreement, he/she is requesting that the field(s) be removed from the previously permitted residuals land application program and transferred
into the new mos ram:
(Name of the new program)

1✓ A
Landowner's Certification:
I certify that I am a deeded landowner of the above -referenced land application site(s) and am authorized to make decisions
'Rowregarding the use of the land application site(s) on behalf of other deeded landowners OR that I am otherwise authorized,
ugh
a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the
deeded landowners. I certify that the above -referenced land application site(s) are not included in any waste disposal contract or
agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement,
understand the stipulations, restrictions, alternatives for water supply wells inside the compliance boundary, acknowledgement of
field transfer, and do hereby grant permi sion to the Permittee to land apply residuals to the land application site(s) as specified
herein.
Landowner name:
400?C t b_bk A�;r State: J V Zip: 3 (f c%
Phone: 3 q —;Lq q 1 E-mail address:
Signature: Date:
NORTH CAROLINA, % �t ✓l>; COUNTY
I, the undersigned Notary Public do hereby certify that 4�T (initials 4-1 personally
appeared before me this day, and, being duly sworn, stated that in his/her presence AAA , -doh signed
the attached document and acknowledged the due execution of the foregoing instrument. - _
WITNESS my hand and
official, eall this the day of J_C4rMe& 20
Signature and seal:
My commission expires: o T �/ y //G - r
CAROUMtA
Lessee's/Operator's Certification:
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Lessee/operator name: 0.S 4 0yf-
Address:
City:
Phone:
Signature:
Permittee's Certification:
State:
E-mail address:
Date:
Zip:
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Signing official name: �7------------
�-- 1 �� /a �•-cfS
r Signature: Date: (Z - I Sf ' PA l
Z
I

State of North Carolina
Deliartment of Environment and Natural Resources
Division of Water Quality
SETBACK WAIVER AGREEMENT ATTACHMENT
For Land Application of Residual Solids (FORM- SWAA 070807)
(THIS FOR14)�t9 Y BE PHOTOCOPIED FOR USE ASAlJ 01,UGIhAL)
The Division of Water Quality (Division) will not accept this attachment unless all the instructions are followed.
Failure to submit all required items will lead to additional processing and review time.
For more information, visit our web site at: htt '1r2o. enr.state. nc. us, Lau. main hunl
INSTRUCTIONS TO THE APPLICANT:
A. Attachment Form:
✓ Do not submit this attachment form for review without � its corresponding residuals program
application form (FORM: NDRLAP).
✓ Any changes to this attachment form will result in the application package being returned.
B. Any
a separate attichment form for each property from which a waiver from iSA NCAC 2T
.1108(b)(2)(for habitable residences or place of public assembly) is being sought.
✓ Any other setbacks required by 15A NCAC 2T .l 108,-other than those referenced above, cannot be waived
through execution of this attachment form,
+� A copy of the completed and appropriately executed attachment form must be provided to the property
owner,
AGREEMENT TO WAIVE THE SETBACK REQUIRED BY 15A NCAC 2T .1108(b)(2)(habitable residences)
The undersigned property owner hereby permits:
Applicant's name: Ci riof Lumberton
Complete mailing address of applicant: 1451 Lowery St.
City: Lumberton State: NC Zip: 28358
Telephone number: (_910 j 671-385 5 Facsimile number: ( j
E-mail address: iwalters(a)ci Lumberton nc us
hereinafterYeferred to as the Permittee, to land apply residuals within 100 feet (i.e., cannot be less
than 100 feet) of the. residence or place of public assembly located/��tt the following:
Location address of property:: j�d
City- Qs2 Al State: Zip:
This Agreement shall remain in effect for the length of the Division of Water Quality's (Division)
for the residuals land Applicationeach ) permit
time this permit is renewed. In
addition, this Agreements shall only remain in efect or as longasthe undersigned property owner owns the
pro
r'ly described herein.
The undersigned property owner agrees to abide by this Agreement until such time as written notification,
/
Oven 30 calendar days in advance, modifies or cancels this Agreement.
52( 1 certify that I am a deeded property owner of above -referenced property and am authorized to make decisions
regarding this property on behalf of other deeded property owners. Furthermore, I certify that I have read and
understand this Agreement and do hereby grant permission -to the Permittee to land apply residuals to land
application sitc(s) as specified herein.
Property owner name:
r- nDAA• CUTA A AlAgAT vn.,n I of l

State of North Carolina
,C) Department of Environment and Natural Resources
�-- ` - Division of Water Quality
SETBACK WAIVER AGREEMENT ATTACHMENT
For Land Application of Residual Solids -(FORM: SWAA 070807)
('THIS,FORMMAY BE PHOTOCOPIED FOR USE,ASAN ORIGINAL)
The, Division of Water Quality (Division) will not accept this attachment unless all the instructions are followed.
Failure.to submit all required items will lead to additional processing and review time.
For more information, visit our web site at: htt�: %Ir2o, err. state. nc. us lari main. htm!
INSTRUCTIONS TO THE APPLICANT:
A. Attachment Form:
✓ Do not submit this attachment form for review without -its correiponding residuals program
application form (FORM: NDRLAP).
✓ Any'changes to this attachment form will result in the application package being returned.
B. Prepare a separate attachment form for ggb property from which a waiver from 15A NCAC 2T
.1108(b)(2)(for habitable residences or place of public assembly) is -being sought,
✓ Any other setbacks required by 15A NCAC"2T .1108, other than those referenced above, cannot be waived
through execution of this attachment form,
✓ A copy of the completed and appropriately executed attachment form must be provided to the property
owner.
AGREEMENT TO WAIVE THE SETBACK REQUIRED By 15A NCAC 2T .1108(h)(2)(habitable residenms)
The undersigned property owner hereby permits:
Applicant's name: _ City of Lumberton
Complete mailing address of applicant: - 1451 Lowed St. _
City: Lumberton State: NC Zip: 28358 _
Telephone number: (_910_) 671-3856 Facsimile number:
E-mail address: jwaltel (&ci l r�mberton.nc.ns
hereinafter referred to as the Permittee, to land apply residuals within 100 feet 0-C, cannot be less
than 100 feet) of the residence or place of public assembly located at th olllowing:
Location address of property:
City: �_r1M�LG/ State: Zip: G"
This Agreement shall .remain in effect for the length of the Division- of Water h
Quality's (Division) permit
for the residuals land application program and shall be renewed each time this permit is renewed. In
addition; .this Agreement shall only remain in efleet for as long as the undersigned property owner owns the
property described herehL The undersignedproperty owner agrees to abide by this Agreement until such time as written notification,
given 30 calendar Sys in advance, modl6i or cancels this Agreement.
f J 1 certify that I am a deeded property owner of abuve,ieferencedipro er and am authorized to make decisions
regarding this property on behalf of other deedeii=property owners,F�iermore, I certify that I have read and
understand this Agreement and do hereby grant permission to the Permittee to land apply -residuals to land
application sites) as specified herein.
Property
n �' A `
owner name: ' // ll 1
Signatures - . '� ,'L h`���� ���/) �< Date: o %�j-d gn -�
Vr%D%X- C\i/A A n,7nQA,7 Dnrtf 1 of 1 AHnnk.nn.+ 11wAn. ! ri

V3
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality,
SETBACK WAIVER AGREEMENT ATTACHMENT
For Land.Application of Residual Solids (FORM: SWAA 070807)
(THISFORMMAYBEPHOTOCOPIED FOR USEASANORIGINAL)
The Division of Water Quality (Division) will not accept this attachment unless all the instructions are followed.
Failure to submit all required items will lead to additional processing and review time.
For more information, visit our web site at.http://h2o.enr.state.nc.us/1aulmain.html
INSTRUCTIONS TO THE APPLICANT:
A. Attachment Form:
✓ Do not submit this attachment form for review without its corresponding residuals program
application form (FORM: NDRLAP).
✓ Any changes to this attachment form will result in the application package being returned.
B. Prepare a separate attachment- form for each property from which a waiver from 15A NCAC 2T
.1108(b)(2)(for habitable residences or place of public assembly) is being sought.
✓ Any other setbacks required by 15A NCAC 2T .1108, other than those referenced above, cannot be waived
through execution of this attachment form
✓ A copy of the completed and appropriately executed attachment form must be provided to the property
owner.
AGREEMENT TO WAIVE THE SETBACK REQUIRED BY 15A NCAC 2T .1108(b)(2)(habitable residences)
The undersigned property owner hereby permits:
Applicant's name: Citv of Lumberton
Complete mailing address of applicant: 1451 Lowery St.
City: Lumberton State: NC Zip: 28358
Telephone number: p (_910_) 671-3856 Facsimile number:
E-mail address: [e-mail]
ereinafter referred to as. the Permittee, to land apply residuals within 100 feet (i.e., cannot be less
than 100 feet) of the residence or place of public assembly located at the following:
Location ddress of property: _ 0
City: State:
zip,: -11 &V
This Agreement shall remain in effect for the length of the Division of Water Quality's (Division) permit
for the residuals land application program and shall be renewed each time this permit is renewed. In
addition, this Agreement shall only remain in effect for as long as the undersigned property owner owns the
property described herein.
The undersigned property owner agrees to abide by this Agreement until such time as written notification,
give 30 calendar days in advance, modifies or cancels this Agreement.
L.� I certify that I am a deeded property owner of above -referenced property and am authorized to make decisions
regarding this property on behalf of other deeded' property owners. Furthermore, I certify that I have read and
understand this Agreement and do hereby grant permission to the Permittee to land apply residuals to land
application site(s) as specified
Property owner name:
r Signature: Date: "7 1S` U;;?-
T'nDA,f. CAIT A A n7nQn7
Dn . 1 _f 1
ANnnhmne.f IN rAn Z A

(, P—L1
State of North Carolina
Department of Environment anal Natural Resources
Division" of Water Quality
SETBACK WAIVER AGREEMENT ATTACHMENT
For Land Application of Residual Solids (FORM: SWAA 070807)
(1'111S FORM IVA "E PHOTOCOPIED FOR USEAS AA' ORIGINAL)
The Division of Water Quality (Division) will not accept this attachment unless all the instructions are followed.
Failure to submit all required items will lead to additional processing and review time.
For more information, visit our web site at.•hgp:.l;h2o.enr.,state.»c.us laulmain.himl
INSTRUCTIONS TO THE APPLICANT:
A. Attachment Form:
✓ . Do not submit this attachment form for review without itsrcorresponding residuals program
application form. (FORM: NDRLAP).
✓ Any.changes to this attachment form will result in the application package being returned.
B: Prepare a separate attachment form for each property from which a waiver from 15A NCAC 2T
.1108(b)(2)(for habitable residences or place of public assembly) is being sought.
✓ Any other setbacks required by 15A NCAC 2T .1108, other than those referenced above, carutot be waived
through execution of this attachment form.
✓ A copy of the completed and appropriately executed attachment form m
owner. ust be provided to the property
AGREEMENT TO WAIVE THE SETBACK REQUIRED BY 15A NCAC 2T .1108(b)(2)(habitable residences)
The undersigned property owner hereby permits: .
Applicant's name: _ City of Lumberton
Complete mailing address of applicant: I451 Lowery St.
City: Lumberton State: NC Zip: 28358
Telephone number: ( 910 ) 671-3856 Facsimile number:
E-mail address: nv ersla ci.lumbertn. ss �—
hereinafter referred to as the Permittee, to land apply residuals within 100 feet (i.e., cannot be less
than 100 feet) of the residence orese
of public assembly located at t 'e f )awing:
Loca 'on address of pr rty
City: State:_ Zip: 3 —�
This Agreement shall remain in effect for the length of the Division of Water
for the r�duals land a ikatioa Quality's (Division) permit
PP program and shall be renewed each time this permit is reaewed. In
addition, this Agreement shall only rrmaia in effect for ns long as the undersign
Proed property owner owns the
Property described herein.
The undersigned property owner agrees to abide by this Agreement until .such time as written notification,
given A calendar days in advance, modifies or cancels this Agreement. -
FJ I certify that I am a deeded property owner of above -referenced property and am authorized to make decisions
regarding this property on behalf of other deeded property owners. Furthermore, I certify that I have read and
understand this Agreement and do herby grant permission to the Pe to land apply residuals to land
application site(s) as specified herein.
Property o name:
Signature: �---. Date; 2
CAMS- Q\rtA A n7nQn'7 Dnetn � nP �
AHn�•i..v.on� f1�.to. Z .i
r

DF-1
0
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
SETBACK WAIVER AGREEMENT ATTACHMENT
For Land Application of Residual Solids (FORM: SWAA 070807)
(THIS FORMMAY BE PHOTOCOPIED FOR USEASAN ORIGINAL)
The Division of Water Quality .(Division) will not accept this attachment unless all the instructions are followed.
Failure to submit all required items will lead to additional processing and review time.
For more information, visit our web site at: http: jhh?o.enr.state.nc. usilau;?rain.hhnl
INSTRUCTIONS TO THE APPLICANT:
A. Attachment Form:
✓ 'Do not submit this attachment form for review without its corresponding residuals program
application form (FORM: NDRLAP).
✓ Any changes to this attachment form will result in the application package being returned.
B. Prepare a separate attachment form for each property from which a waiver from 15A NCAC 2T
.1108(b)(2)(for habitable residences or place of public assembly) is being sought.
✓ Any other setbacks required by 15A NCAC 2T .1108, other than those referenced above, cannot be waived
through execution of this attachment form.
✓ A copy of the completed and appropriately executed attachment form must be provided to the property
owner.
AGREEMENT TO WAIVE THE SETBACK REQUIRED BY 15A NCAC 2T. I 108(b)(2)(babitable residences)
The undersigned property owner hereby permits:
Applicant's name: - Ci�, a P �u n, large••
Complete mailing address of applicant: �r{s/ /Js►,l�i� S-�.
City: . Ltt4.6,4., State: Al C_ Zip: o� f 3sS
Telephone number: (!la ) -(O }[ - $S(, Facsimile number: ( )
E-mail address: w4c"S Q c, , ( wr &,4m. ►n 4 , LXS
hereinafter referred to as the Permittee, to land apply residuals within 1pt> feet (Le., cannot be less
than 100 feet) of the residence or place of pAlic assembly located at the following:
This Agreement shall remain in effect for the length of the Division of Water Quality's (Division) permit
for the residuals land application program and shall be renewed each time this permit is renewed. In
addition, this Agreement shall only remain in effect for as long as the undersigned property owner owns the
property described herein.
The -undersigned property owner agrees to abide by this Agreement until such time as written notification,
given 30 calendar days in advance, modifies or cancels this Agreement.
[ I certify that I am a deeded property owner of above -referenced property and am authorized to make decisions
regarding this property on behalf of other deeded property owners. Furthermore, I certify that I have read and
understand this Agreement and do ereby grant permission t e Permittee to land apply residuals to land
application sit ified herein
Property.o rname: /jiffy 11 .j`ltdw�U
Signature: ( (f - AI _Z_ Date: olt 7�
17nDrR• e11r n n nnnQnp7 - D. _. I _f , nff... },.,,o.,r nr.1— 'I -A

NCDA&CS Ad nic Division Phone: [phone] Website: www.l gov/agronomi/ Report No. 3L020995
Client: R G (Ronald) Hammonds Advisor.'
`-
Heavy Metals 1218 Hammond Rd
"'= Lumberton, NC 28358
' Soil Report Mehlich-3 Extraction
County. Robeson
"""� Sampled: Received: 12/23/2011 completed: 01/03/2012 Farm: 1;*9z`tB-: q�pp Links to Helaful Information
r /vC
Agronomist's Comments:
The heavy metal report is found on a separate page. Using Mehlich 3 as a soil test extractant, background levels of these metals typically seen in NC soils when analyzed are as
follows: arsenic (As)- 4.5 ppm, cadmium (Cd)- 0.1 ppm, chromium (Cr)- 0.2 ppm, lead (Pb)- 4.2 ppm, nickel (Ni)- 0.8 ppm, & selenium (Se)- 0.2 ppm (FY2005-2007).
Note elevated lead (Pb) levels. Although metals here are not believed to pose a concern for plant growth, continue to monitor these and note where elevated above background levels.
Note any lime and fertilizer recommendations. Where soil test phosphorus (P) is very high (P-1 > 100), crops will not respond to additional P applied. High pH as found here can limit
micronutrient availability, particularly manganese (Mn). Plant tissue sampling to determine the nutritional status of the crop during the growing season is advised.
i
David H. Hardy, Agronomist
January 4, 2012
Sample ID: _!_
Recommendations: Lime Nutrients (lb/acre)
More
Crop (tons/acre) N P205 K20 Mg S Mn Zn Cu B
Information
Lime History:
1 -Small Grains 0.3 80-100 20-40 0 0 0 0 0 0 0
Note: 3
2- Soybeans 0.0 0 2040 0 0 0 0 0 0
Note: 3
Test Results [units - WN in g/cO; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]: Soil Class: Mineral
HM% WN CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-1 Mn-All Mn-Al2 Zn-1 Zn-AI Cu-I Na ESP SS-1 NO3-N
1.49 1.30 7.7 84 1.2 5.8 48 127 63 13 45 55 43 43 291 291 127
Heavy Metals (parts per million): Arsenic, 0.2 Cadmium, 0.1 Nickel, 0.3 Chromium, 0.1 Lead, 8.0 Selenium, 0.0
Sample ID':- r,,8P
Recommendations: Lime Nutrients (lb/acre)
More
Crop (tons/acre) N P205 K20 Mg S Mn Zn Cu B
Information
Lime History:
1 -Small Grains 0.0 80-100 10-30 0 0 0 $pH 0 0 0
Note: 3 Note:
2-Soybeans 0.0 0 10-30 0 0 $pH 0 0 0
Note:3 Note:
Test Results [units - WN in g/cd; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]: Soil Class: Mineral
HM% WN CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-Al2 Zn-I Zn-AI Cu-I Na ESP SS -I NO3-N
1.14 1.15 17.6 100 0.0 6.7 55 142 91 5 115 32 19 19 49 49 96
Heavy Metals (parts per million): Arsenic, 0.5 Cadmium, 0.1 Nickel, 0.3 Chromium, 0.3 Lead, 6.0 Selenium, 0.1
North Carolina
Reprogramming of the laboratory -information -management system that makes this report possible is being funded
through a grant from the North Carolina Tobacco Trust Fund Commission.
Thank you for using agronomic services to manage nutrients and safeguard environmental quality.
- Steve Troxler, Commissioner of Agriculture

NCDABCS Al nic Division Phone: [phone] Website: wwwa govlagronomi/ Report No. I 3LO14424
Client_ R G (Ronald) Hammonds Advisor:
Heavy Metals 1218 Hammond Rd
[I Lumberton, NC 28358
•�`d,1 S o i I Report Mehlich-3 Extraction
County: Robeson
Links to Helpful Information
- Sampled: Received:11/09/2010 Completed: 11/18/2010 Farm: rRll=ZO,t
Agronomist's Comments:
The heavy metal report is found on a separate page. Using Mehlich 3 as a soil test extractant, background levels of these metals typically seen in NC soils when analyzed are as
follows: arsenic (As)- 4.5 ppm, cadmium (Cd)- 0.1 ppm, chromium (Cr)- 0.2 ppm, lead (Pb)- 4.2 ppm, nickel (Ni)- 0.8 ppm, & selenium (Se)- 0.2 ppm (FY2005-2007). Although the
above metals here are not believed to pose a concern for plant growth, continue to monitor these and note where elevated above background levels.
Note any lime and fertilizer recommendations. Where soil test phosphorus (P) is very high (P-1 > 100), crops will not respond to additional P applied.
Jeana Myers, Agronomist
Nov. 16, 2010
Sample ID: ,?2
Recommendations: Lime Nutrients (lb/acre)
More
Crop (tons/acre) N P205 K20 Mg S Mn Zn Cu B
Information
Lime History:
1 -Berm Hay/Pas,M 2.6 180-220 0 140-160 $ 0 0 0 0 0
Note: 12 Note:
2 -Berm Hay/Pas,M 0.0 180-220 0 140-160 $ 0 0 0 0
Note: 12 Note:
Test Results [units - WN in g/cd; CEC and Na in meq/100 cm3; NO3-N in mg/dd]: Soil -Class: Mineral
HM% WN CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-Al2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N
0.97 1.42 7.3 62 2.8 5.0 398 33 53 , 7 28 164 108 108 1011 1011 698
Heavy Metals.(parts per million): Arsenic, 0.7 Cadmium, 0.1 Nickel, 0.4 Chromium, 0:4 Lead, 8.2 Selenium, 0.0
Sample ID,' 9:
Recommendations: Lime Nutrients (lb/acre)
More
Crop (tons/acre) N P205 K20 Mg S Mn Zn Cu B
Information
Lime History:
1 -Berm Hay/Pas,M 2.1 180-220 0 100-120 0 0 0 0 0 0
Note: 12
2-Berm Hay/Pas,M 0.0 180-220 0 100-120 0 0 0 0 0
Note: 12
Test Results [units - WN in g/cd; CEC and Na in meq/100 cd; NO3-N in mg/dnr3]: Soil Class: Mineral
HM% WJV CEC BS% Ac pH P-1 K-1 Ca% Mg% $4 Mn-I Mn-All Mn;-AI2 Zn-1 Zn-AI Cu-I Na ESP SS-1 NO3-N
0.56 1.48 8.2 72 2.3- 5.5 367 50 54 14 61 101 70 70 1073 1073 588
Heavy Metals (parts per million): Arsenic, 0.2 Cadmium, 0.1 Nickel, 0.4 Chromium, 0.5 Lead, 6.3 Selenium, 0.1
North Carolina
AL
Y
i.•ie1+4CL �IGPC F(a»! l!'=hr:::),�iaiF:
Reprogramming of the laboratory -information -management system that makes this report possible is being funded
through a grant from the North Carolina Tobacco Trust Fund Commission.
Thank you for using agronomic services to manage nutrients and safeguard environmental quality.
- Steve Troxler, Commissioner of Agriculture

NCDA&CS A is Division Phone: [phone] Website: www
-gov/agronomi/
Report No.
L014424
wr
R G (Ronald) Hammonds
Page 2 of 3
Sample ID: 1 QN
Recommendations:
Lime
Nutrients (lb/acre)
. More
Crop
(tons/acre) N P205
K20
Mg S Mn
Zn
Cu
B
Information
Lime History:
1 -.Berm Hay/Pas,M
0.6 180-220 0
0
0 0 0
Z
0
0
Note: 12 Note:
2- Berm Hay/Pas,M
0.0 180-220 0
0
0 0
Z
0
0
Note: 12 Note:
Test Results [units - W/V in 9/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]:
Soil Class: Mineral
HM% W/V CEC BS% Ac pH
P-1 K-I Ca% Mg%
S-1 Mn-I
Mn All Mn-Al2 Zn-1
Zn-AI
Cu-I
Na ESP
SS-1 NO3-N
0.46 1.07 17.9 94 1.1 6.4
687 235 63 24
137 164
108 108 2116
2116
869
Heavy Metals (parts per million): Arsenic,
0.5 Cadmium, 0.1
Nickel, 0.3
Chromium, 0.6
Lead,
1.7
Selenium,
0.0
Sample ID: 11
Recommendations:
Lime
Nutrients (lb/acre)
More
Crop
(tons/acre) N P205
K20
Mg S Mn
Zn
Cu
B
Information
Lime History:
1 -Berm Hay/Pas,M
1.2 180-220 0
0
0 0 0
0
0
0
Note: 12
2-Berm Hay/Pas,M
0.0 180-220 0
0
0 0
0
0
0
Note: 12
Test Results [units - WIV in g/crrt3; CEC and Na in meq/100.cm3; NO3-N in mg/dm3]:
Soil Class: Mineral
HM% WIV CEC BS% Ac pH
P-1 K-1 Ca% Mg%
S4 Mn4
Mn-All Mn-Al2 Zn-I
Zn-AI
Cu-I
Na ESP
SS-1 NO3-N
1.74 1.07 16.9 91 1.6 6.2
643 154 67 20
46 105
72 72 1814
1814
1013
Heavy Metals (parts per million): Arsenic,
0.4 Cadmium, 0.0
Nickel, 0.4
Chromium, 0.1
Lead,
r
3.8
Selenium,
0.0

Report Number
10-292-0732 Page: 1 of 2
Account Number
46849
Send To: SYNAGRO CENTRAL LLC/PWC
MARY BREWER
284 BOGER RD
MOCKSVILLE , NC 27028
Client: PWC PERMITTING
R G HAMMONDS RO-20
Lab No Sample ID
Sample Date and Time
08867 2
08868 9
08869 10
08870 11 _-
j 1
AU Eastem Laboratories, Inc.
7621 Whitepine Road, Richmond; Virginia 23237 [phone] 'EaX,[phone]
www.aLgWm.com
REPORT OF ANALYSIS
Mercury Molybdenum,
Extractable
MEHLICH 3 HG MEHLICH 3 MO
PPm .
< 0.400
< 0.400
< 0.400
< 0.400
0.210
0.220
0.170
0.280
Submitted By: ERIC THOMPSON
Purchase Order:
Report Date: 10/22/2010
Date Received : 10/19/2010
Powfir. m�
Pauric McGroary
Sample results are reported 'as received' and are not moisture corrected unless noted

Pagerfo_��2
Report Number: 12-268,0545 _ R
Account Number:46525 ■R=1■x■�L1
Send To: SYNAGRO CENTRAL LLC/LUMBERT ""Wom
Mary Brewer
284 BOGER RD
MOCKSVILLE NC 27028
Date Received: 09/24/2012 Date Of Anahfsis: 09/25/2012
A&L Eastern Laboratories
7021 Whiteplite Road Richmond, Virginia 23237 (804) 7434401 Fax [phone]W
Grower: Submitted By: MATT HAYNES
RONALD HAMMANDS Farm ID: NG-RO-20
LUMBERTON PERMITTING
SOIL ANALYSIS REPORT Analytical Method(a):
Mehlich 3
Date Of Report: 09/26=12
`:.'� ;• t2aS. `'.f. 3.2
X ;'i �,tv
k Mutter: S.,_
�-
Y "t Rhos
x j h
P bona
Ot(Iafiugl
"A.. eaNnii :
-Caldum
'l t Sod(um r
^S pFt
AFi�
s- C E tr
�.. ..
.:. .,
_.
:A r.4.,
r
Flsldlitumpar
: NR
A Rab
U'Meh 1 . r
Raaan
K A;,L
M8
E
Nt
SoU
li;;
z
a r r
:(Val r...
•:. , < ,.. ..
,. ,(,
<::,.....
,, r 5;
Rat
, ., ,.
-i.
Rah
r r
Rati
_ r
to
«w
PHfx' Md e115
,, , .
a,
.. ...:
:....
,, �.,:p
,. ,.: .. . ,..
y
to Ua_Rats..PPmF.{�
...Q, ,.:..
P ,
PPm
PPr!! .
ms 18
400
12
A VH
85 L
127 M
929 M
14 VL
02923
2.9 M 97
5.5
6.72
2.1
8.0
=
NC 382
NC = 33
13
115 H
59 L
69 H
389 M
10 VL
02924
1.6 L 77
5.8
6.87
0.6
3.4
NC=98
NC=30
�Psrcerrt Base Sato n &
Nitrats°
Sulfur"
_
Zino `
Man nisi
W
s` on s
� Ir
fit
r.
Boron k
r solo^
bW 0alb
C hlio
Ala ninon'
k�PPs
;$
- „, 7•.;
Field •,. ,.2> �,. t
� K,, ;.
:;
, M8 ..
Ca„ r.
, .,.
Na .
't ..�._3f.
.-!
;� ax,,r:NO
� Ft..
.,- ``K
. �. N:=x'l?'
,�a��r,�
-�.
,
-ID 3Yr ��:y
. ��
,. 'Xr�s
X°''•'�.71a:
r ,3
!._...
.•,...
%
;
>w x
;,
%
a
+r <��, t
. u>•:� �
� t <,�r: 4�
.Rats
,�
'I7
ems,
ai
., :.::
: '
n
.S
x
PPm °Hsa
ppm R!a
PP!n�t Rail
ppm Rats
pm , Ra4
pmk Rate
msicm Rats
ppm Rs
12
70 VH
58.5 VH
30 H
121 VH
14.5 VH
0.4 L
0.21 VL
2.1.
13.2
58.1
0.8
25.7
NC =175
NC = 1462.5
NC =188
NC = 725.0
13
144 VH
5.0 H
7 L
VH
1.7 H
0.1 VL
VL
4A
16.9
57.2
E1318.8
19.5
1
1
1.0.07
NC = 380
NC = 125.0
NC = 44
NC = 85.0
Values on this report represent the plant available nutrients in the Explanation of symbols: % (percent), ppm (parts per million), Ibs/A
soil. Ratlng after each value: VL (Very Low), L (Low), M (Medium), (pounds per acre), me/cm (milli -mhos per centimeter), meg1100g
H (High), VH (Very High). ENR - Estimated Nitrogen Release. (milli -equivalent per 100 grams). Conversions: ppm x 2 = Ibe/A,
C.E.C. - Cation Exchange Capacity. Soluble Sags ms/om x 640 ppm.
This report applies to sample(s) tested. Samples am retained a
maximum of thirty days after testing.
Analysis prepared by. A&L EaslOm Laboratories, Ing• 4Y: pow. .
s
Pauric MgGroary

ti
Page z-or Z
Report Number: 12-268-0545
ALA
Account Number:
46525
Send To:
SYNAGRO CENTRAL, LLC/LUMBERTW*"1" 0M
Mary Brewer
284 BOGER RD
MOCKSYILLE NC 27028
A &L Eastern Laboratories
70WhftroneRoa4Richnnd,Virginia 2323T (804)743-M Pax (804) 211446
Grower: Submitted By: MATT HAYNES
RONALD HAMMANDS Farm ID: NC-RO-20
LUMBERTON PERMITTING
Date Received: 09/24/2012
Date Of Report: 09/26/2012 SOIL FERTILITY RECOMMENDATIONS
_�
�rn,7
.
a_uO'r..
�.,�.:;.
n..>:..
Ph,a., p�hst�e`
'.x:j,�;.,'.r�
P�oX#hv:-,_��.;.•,,
e>rr
--
g?
.I..,..D;."`�)z'
--8F.,4ia
pIND,x,`.
,��;,.;xI:�.r.tr ta_��n,
,�.��',s
.,d_,t 4;•.0
S��. lrd.>..:
r.0,, R..
t.;Y�
.kA
.:;��
•��� �o�
�w
rox n
�;
em.I. d
.
a•r:,;:-c�.�u
,i;.N,T.•,do: nai'.o�.-_..
n.mlds�T�
�f�"�,-.T. •
s
�
.
,.:.:.�
It
Iq!
IWA
IW
I
IbJA
Ib1A
.
__:w,. .
.s.K.�,�
.L. ,.. . .-_z,K..,�4�,
.
,t.2}:.
..• .� .. ...
•,
c:: c,
we
r.
,.
alb/
Its/ A.
12
Bermudagrass
5
1.5
50
0
418
0
0
0
0
0
0
0
13
Corn
125
0.8
137
30
106
11
0
1.0
'•
0
0
1.2
Comments:
Samples) : 12 Crop: Bermudagrass
Apply additional 65 pounds of nitrogen after every cutting and harvest of hay.
Apply N on warm season grass only after late spring when grass starts growing.
The recommended potash is the total pounds/acre needed to achieve the specified yield goal. Apply 1/2 "or 1/3 (100-150 pounds) of the total at the first application in
spring or fall. Application of the remaining should be determined by the yield achieved after the first cutting and the moisture condition. If in drought condition and yield is
low the following applications should be reduced or eliminated.
Samples) :13 Crop: Corn
'* Manganese is not effective when broadcasted. For row crops, apply 4 to 6 pounds per acre in band near the crops. For non -row crops, apply 2 pound per acre foliar
when needed.
Boron recommendations are on a broadcast basis.
For best results apply 20-40# P205 and 20-300 K20 as a side placement application. Subtract from the amount recommended above then broadcast the rest if any.
If dolomitic time is not used, apply required magnesium with magnesium oxide. Epsom Sags, K Mag or Sul-PO-Mag.
Manganese should be applied through foliar as needed during the growing season at the rate of 1.5 Ibs of elemental manganese per 30 gallon of water per acre.. (from
manganese sulfate, equivalent to 4-6 Ibs of material).
On com, reduce N application by 20-30 Ibs per acre if you have good yield on soybeans as previous crop.
Zinc should be side banded near the crops to be effective. Apply foliar for non -row crops.
'The recommendations are based on research data and experience, but NO GUARANTEE or WARRANTY expressed or implied, concerning crop perlionnance is made"
Our reports and letters are for the exclusive and confidential use of our clients„ and may not be reproduced in whole or part, nor may any reference be made to the
work,the results, or the company In any advertising, news release, or other public anouncements without obtaining our prior written authorization. Copy right 1977.
Pew m` ��"�
Pauric McGroary

Report Number
A&L Eastern Laboratories, Inc.
12-268-0545 Pag@: 1 of 1
7� Whbp1m Road Richmond, VUpinia 23237 W4) 743-ml Fax (004) 271B44i
Account Number
46525
WWKIII a Xcm
Send To: SYNAGRO CENTRAL LLC/LQMBERTON
Mary Brewer
284 BOGER RD
MOCKSVILLE , NC 27028
Submitted By: MATT HAYNES
Purchase Order:
Report Date : 9/26/2012
Client: LUMBERTON PERMITTING
Date Received: 9/24/2012
RONALD HAMMANDs
REPORT OF ANALYSIS
Mercury Molybdenum,
Extractable
MEHLICH 3 HQ MEHLICH 3 MO
Lab No Sample ID
ppm
Sample Dab and Time
02923 12
< 0.400 0,440
02924 13
< 0.400 0,700
Method Reference:
Mehlich, A. 1984. Mehlich 3 soil test extractant. Comm. Sal Sci. Plant Anal. 25:1409-1416.
Recommended Chemical Soil Test Procedures for the North Central Region. NCR Research Pub. No. 221
Revised.
USEPA, SW-846, Test Methods for Evaluating Solid Wastes, Physical/Chemical Methods, 3rd Ed. Current
Revision
fl lc4s All 69w
Pauric MQGroary
Sample results are reported 'as received' and are not -moisture corrected unless noted

l
1 /
SYNAGRIO
SOIL DESCRIPTION SHEET' A Reddrvalr Management company
Project:. Landowner: G, yAQn g�a s
Site: - 20 Field: -7 ,k Sample #: Slope: <
Acres (gross): Acres (net): Crop:
SOIL'PROFILE DESCRIPTIONS
Horizon
Depth
Texture
PROFILE A
�)- 7
l5 t7
J9 - Z.
Of ?
25-7q
�e
3y-YS
"
Color Structure Mottles-
/,O,r y�y
e 2,0
�. '2� sY.e
Depth to SHWT: a
Depth & type of restrictive layer: ?�f�
Soil Series: 6pt lei
Horizon Depth Texture Color Structure Mottles
PROFILE B
Depth to SHWT:
Depth & type of restrictive layer:
Soil Series:
Notes:
Legend
Texture
s Sand
I Loam
si Silt
c- Clay
Described By.•
Structure Grade
9 Weak
2_ Moderate
3 Strong .
Date: ► I aIA
Structure Tvoe
gr
Granular abk
pl
Platy sbk
pr
Prismatic sg
cpr
Columnar m'
Angular Blocky
Subangular Blocky
Single Grained
Massive

;SOIL DESCRIPTION SHEET
SMAGRO
A Reriduah Management Company
Project: �Vmwyoo j Landowner: 141JAAA4a rVB
Site: A -Zd_, _ Field: _ Sample #:. Slope: 6 I
Acres (gross): Acres, (net): Crop: eAIA
SOIL PROFILE DESCRIPTIONS
Horizon Depth Texture Color Structure Mottles
PROFILE A A,-? I_� IaW-Ili
c Zd /oy'lZ
�(ay 4/L
Depth to SHWT:-
Depth &,type of restrictive layer: 7'f8
Soil Series: -?o
Horizon Depth Texture Color Structure Mottles
PROFILE B
Depth to SHWT:
Depth & type of restrictive layer:
Soil Series:
Notes: , 067
Legend
Texture
Sand
Loam
si Silt
c Clay
Described By: Date: ll l /h
Structure Grade
1 Weak
2 Moderate
3 Strong
E,
Structure Tvoe
gr
Granular
abk
pl
Platy.
sbk
pr
Prismatic
sg
cpr
Columnar
m
Angular Blocky
Subangular Blocky
,Single Grained
Massive

f�
'J
SITE SUMMARY
` City of Lumberton
WQ0000672
Site ID: NC-RO-21
Owners: Fannie Oxendine
Address: 7632 NC Highway 711
Pembroke, NC 28372
Phone:
910-521-4757
Operator:
Lacy Cummings
Address:
75 Genes Road
Pembroke, NC 28372
Phone:
910-521-4950 (home) 910-827-1211 (cell)
Estimated
Total Applicable
Fields
Acres Acres Crnn(sl
Lacy Cummings
75 Genes Road
Pembroke, NC 28372
Robeson Co. Predominant Latitude &
RYE Soil Series Longitude
PAN/ac_/vr_ [man uni41 (I1M_SI
1
47.6
39.7
corn
soybeans(fs/dc)
131
164/137
Norfolk
34.42.26 N
(NoA)
79.05.34 W
wheat
125
corn
131
Norfolk
N
2-A
51.8
45.9
soybeans(fs/dc)
1641137
(NoA)
7 9.5.2.0
.20 W
wheat
125
2-B
5.1
5.1
coastal
264
Wagram
34.42.13 N
bermudagrass
(WaB)
79.05.20 W
3
4.8
4.0
coastal
264
Wagram
34.42.18 N
bermudagrass
(WaB)
79.05.40 W
4
20.2
13.0
coastal
264
Wagram
34.42.10 N
bermudagrass
(WaB)
79.05.32 W
corn
148
Goldsboro
N
5
59.9
52.1
soybeans(fs/dc)
1761149
(GoA)
..
79.05.27 W
wheat
136
6
70.5
70.5
corn
soybeans(fs/dc)
130
1551132
Coxville
34.44.43 N
(Co)
79.06.29 W
wheat
106
TOTALS 259.9 230.3
I
Notes: -
Fannie Oxendine owns fields 1-5, which are currently permitted.
Lacy Cummings owns field 6.
Date: 1119112

(all locations approximate) 1 inch=:7,500 feet:

Topographic Map
tn
•ya,
.� •, �► ,:may t 4�
._liid:
175
- 7 -9
6 M d Y
( • + -yam`,. r i rn '„„a-"."'_'tea---:.,�.. 1 �� ey -�.�a 58
"#
NC-RO-27 Field 6 (all locations approximate) -1 inch = 1,000 feet'

_ Le end 1 inch = 660 f e
g = (all locations approximate):
i The compliance, boundary Is established at,
:Dram ApplieationArea OUtbUIIC/!ng either 250 feet from the residuals application
area or 50 feet within the property boundary,
Pond .. Off86t louse �: Soi/De'scd .tlon ' whichever Is closest to the application area.
.: p . The review boundary is established midway
between the �
com
liance
.and the Propertykihe " _ M ' Store ® Unsuitable per meter of the es duals application area.
ee
Nli'RO-21: Field 6 0 230 4,60 920 - 1,380 :1;840

1
DnMA
Ag7_' .__.
Ly���a_ _ WcB
M
Ra
1� it,
y _ DpA MC
:. -' '' ©n
Bye
-LaB _ Ra
JJ
• Lab
�,
I" L,-a6 eGi�5
L•'f.. A; f �`: �; Wa6
i + -
�t
io
r _ S^, kj Si.IL11
ZA
ae
NoA
D WaB
AMIN
�' �.�-" _ �•'• tUGH �, s' �;; '•i "r `J � i� a �-°:i�"• r'aA'��,'��3 + u =e WAIF
Ly , - Wa8
NoA
NOB46
1 y
/; ��'� - ` �'� '��_ Wa6. �, ,� �= 1�w rC.t '�''' ,-�'.+ t � ^�. «g ` j t : �a,•+• {
r Y'� . u f t d s, i.•
�i,1 T -� ..
NOA
vt
jz
`
%' �a Poe '' �. y 'cam:• ,»
r rLy Dn
;^> ,� i {
JJ y \GOA
t
" �• P �" NoA • �� a Q. • .� `-
Mt
DpA
iv_c,^., '!� o si >, %� uy.�. Nod BB
\oA
NoA
GoA��'' �f BB� —�q- LY 1 ♦ WaB i.
�' - Nod �f . (:` �•
Ra %/ \•, Dn WaB J '
NC-RO-21; Field 6 (all locations approximate) 9 inch = 1,000 feet

`O��r v' `f CRQG
O �
State of North Carolina
Department of Environment and Natural Resources
Division. of Water Quality
- LAND OWNER AGREEMENT
FORM: LOA 08-11
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted. the Applicant shall submit one -original and -two conies of the application and
supporting documentation
For —more Mformation or for an electronic version of thisform, visit the LandApplication Unit (LA U) web site at:
http.11portaLncdenr.or /iveblivq/aps/lau
General - This document is an agreement between the Applicant and land owner(s) of residuals receiving sites for land application of
Class B residuals (may include water treatment plant, or other type residuals) in accordance with 15A NCAC 02T .1100. Do not
submit this agreement for review without a corresponding application form (FORM: RLAP 08-11).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Land Owner Agreement (FORM: LOA 08-11):
❑ Submit the completed and appropriately executed Residuals,Source Certification (FORM: LASC 08-11) form. Please do not
make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to the
application may be made, as long as the attachments are numbered to correspond to the section and item to which they refer.
❑ Prepare a separate agreement for each set of land application sites that are owned or operated by an entity other than the
Applicant.
❑ A copy of the completed and appropriately executed agreement must be provided to the landowner and the lesseeloperator.
AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND
— The undersigned landowner or his representative hereby permits:
Applicant's name:
hereinafter referred to as the Permittee, to land apply residuals from the following facifity(ies) onto the following land
application site(s)-(i.e., see attached setback maps) in accordance with the stipulations and restrictions as given in this
Agreement:
Site/Field ID
Lease
Land Use or
Cropping Patterns
Intended Use of Crops
Residuals Source
(optionan
Special note
(no-till/over-seed/(yes/no)
pasture)
C- D
Raw C e s
A ni n�A FeJ
The landowner or his representative receives, in consideration, full use of the nutrient value of the applied residuals while the
Permittee receives, in consideration, the use of the land application site(s) described above for the disposal of the residuals.
�' Pis Agreement shall remain in effect for the length of the Division's permit for the residuals land applicatloa program and
_• shall be renewed each time this permit is renewed.
The undersigned landowner or his representative and the Permittee agree to abide with' the following restrictions and
stipulations until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement.

l(
L STIPULATIONS:
1. The landowner or his representative shall not enter into any additional residuals application contracts or agreements with another permitted
entity for the site(s) specified by this Agreement
2. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) to a third party, the landowner shall
be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement
3. The landowner or his representative shall adhere to the provisions of this Agreement until all of the site restrictions (under Section II) are met
4. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR DWQ, Land Application Unit,1636 Mail Service
Center, Raleigh, NC 27699-1636.
5. The Permittee must request and obtain a permit modification from the Division prior to a transfer of the land application site(s) to a new
landowner. In addition, the current landowner shall give a notice to the new landowner that gives full details of the residuals applied at the
land application site(s).
6. The Permittee has provided the landowner or his representative with information and data concerning the residuals land application program,
including an analysis of constituents of the residuals, residuals application methods, schedules for typical cropping patterns, a description of
the equipment used by the Permittee.
7. The Permittee will provide the landowner or his representative with a copy of the residuals permit prior to commencement of any residuals
land application event and a copy of the results of each soil analysis.
8. If the soil pH of the land application site(s) is not maintained at 6.0 or greater, sufficient amounts of lime shall be applied to achieve a final
soil pH of at least 6.0, unless an agronomist provides information indicating that the pH of the soil, residuals and lime mixture is suitable for
the specified crop.
9. The landowner or his representative and the Permittee will agree on residuals application rates and schedules based on crop patterns, results of
soil samples, and the permitted application limits.
10. The landowner or his representative will provide the Permittee with information regarding the amount and analysis of other sources of
nutrients (e.g., fertilizer, unregulated animal waste, etc.) that have been applied to the land application site(s).
11. The landowner or his representative will inform the Permittee of any revisions or modifications to the intended use and cropping patterns for
the land application site(s) prior to each planting season to enable the Permittee to amend this Agreement and schedule residuals land
application events at appropriate periods.
12. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee, the landowner, or
his representative prior to and during a residuals land application event
13. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to; enter and
inspect any property, premises, or place on or related to the land application site(s) at any reasonable time for the purpose of determining
compliance with the permit; establish monitoring facilities on or near the land application site(s) as required by the permit; copy any records
that must be kept under the terms and conditions of the permit; take necessary leachate, surface water, groundwater, or soil samples during the
term of, and 12 months after termination of, this Agreement
— IL RESTRICTIONS:
1. Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control public access to the land
application site(s) during active use and for the 12-month period following a residuals land application event Such controls may include the
posting of signs that indicate the activities being conducted at the land application site(s).
2. Animals shall not be grazed on the land application site(s) for a 30-day period following a residuals land application event Land application
sites that are to be used for grazing shall have fencing that will be used to prevent access during these periods after such residuals land
application events.
3. Food crops, feed crops, and fiber crops shall not be harvested for a 30-day period following a residuals land application event
4. Food crops with harvested parts that touch the residualstsoil mixture and are totally above the land surface shall not be harvested for a 14-
month period following a residuals land application event.
5. Food crops with harvested parts below the surface of the land shall not be harvested for a 20-month period following a residuals land
application event when the residuals remain on the land surface for four months or longer prior to incorporation into the soil.
6. Food crops with harvested parts below the surface of the land shall not be harvested for a 38-month period following a residuals land
application event when the residuals remain on the land surface for less than four months prior to incorporation into the soil.
7. Turf grown on land where residuals are applied shall not be harvested for a 12-month period following a residuals land application event.
DLALTERNATIVES FOR WATER SUPPLY WELLS INSIDE THE COMPLLANCE BOUNDARY: (please check one)
15A NCAC 02L .0107(d) prohibits water supply wells within the compliance boundary. However, 15A NCAC 02T .0105(h) allows the
compliance boundary to be placed closer to the waste disposal area, such that the water supply well is situated outside of the compliance
boundary provided the groundwater standards can be met at the newly -established compliance boundary. Please mark one of the following;
❑ A re -defined compliance boundary is needed for field(s) ID:
(Please include the rationale for the requested re -location of the compliance boundary and attach a map showing the newly proposed
compliance boundary to the application package)
A re -defined compliance boundary is not needed for this site.
IV. ACKNOWLEDGEMENT OF FIELD TRANSFER (if needed)
❑ The land application field(s) ID: is currently permitted under another
residuals land application program; Permit Number WQ! The land owner hereby acknowledge that by signing this
agreement, he/she is requesting that the field(s) be removed from the previously permitted residuals land application program and transferred
into the new DroLram:
(Name of the new program)

Landowner's Certification:
k I certify that I am a deeded landowner of the above -referenced. land application site(s) and am authorized to make decisions
regarding the use of the land application site(s) on behalf of other deeded landowners OR that I am otherwise authorized, through
a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the
deeded landowners. I certify that the above -referenced land application site(s) are not included in any waste disposal contract or
agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have, read this Agreement,
understand the stipulations, restrictions, alternatives for water supply wells inside the compliance boundary, acknowledgement of
field transfer, and do hereby grant permission to the Permittee to land apply residuals to the land application site(s) as specified
herein.
Landowner name: ,( /y `, �r [i ., 'S^�•�b-mot
. a
Address:
City: L ,[. 14, State: -67 Zip: . '8 3 7 'Z
Phone: U s g E-mail address:
Signature: Date:
NORTH CAROLINA, V� COUNTY
I, the undersigned Notary Public do hereby certify that�(initials:) personally
appeared before me this day, and, being duly sworn, stated that in his/her presence L4C ' 404,Ar(6 S signed
the attached document and acknowledged the due execution of the foregoing instrument..
WITNESS my hand and ffici 1 seal this th ZIP 5 day of �� � , 20 /L
Signature and seal: '
My commission expires: o Nl>Aii FUBW
Sf/QEOF NOFRH CAROL!*!k
Lessee's/Operator's Certification:
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Lesseeloperator name:
Address:
City:
Phone:
Signature:
Permittee's Certification:
State: Zip:
E-mail address:
Date:
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Signing official name: ��•— l� \ ��('S
Signature: C�. Date: ( t • l $ ' a41 Z

Page 1 of 2
Report Number: 12268,-0544 A&L Eastem-Laboratofies
Account Number: 46525
7621 Whblilne Road R1Chm0d,,M%1ftI&23W (804)T434401 00(*12111440
NWA1111=1111=01111111
Send To: SYNAGRO CENTRAL, LLC/LUMBaRTON Grower; Submitted By: MATT HAYNES
Mary Brewer LACY CUMMINGS Farm ID: NC-RO-21
284 BOGER RD LUMBERTON PERMITTING
MOCKSVILLE NC 27028
SOIL ANALYSIS REPORT Analytical Method(&):
Mehlicli 3
Data Received: 09/24/2012 Date Of Analysis: 09t25/2012 Date Of Report: 09/26f20112
'­ a
ho p
77777
_,-
?N
v.
v:sue
M
Mpp3a-
0dakp
6
330 VH
so L
210 H
1476 H
13 VIL
02922
2.6 M 88
6.7
6.89
0.4
9.8
NC 275
NC 41
"100iiO itiliu
4
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op
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K
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4 IC
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7 -
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.
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M
141 V FL[
X-I
0.5 L
0.19 VL
2.1
17.9
75. 3
0.6
4.5
NC = 183
C = 3475
1 NC =125
NC 205€0
Values on this report represent the plant available nutrients In the Explanation of symbols: % (percent), ppm (parts per million), lbs/A This report applies to sample(s) tested. Samples; are retained a
soil. Rating after each value: VIL (Very Low), L (Low), M (Medium), (pounds per acre), malcm (milli -mhos per centimeter), meq/100g maximum of thirty days after testing.
H (High), VH (Very High). ENR - Estimated Nitrogen Release. (milli -equivalent per 100 grams). Conversions: ppm x 2 = Ibs1A, by: ?Wk x &Wr
C.E.C. . Cation Exchange Capacity. Soluble Safts ms/cm x 640 = ppm. Analysis prepared by. A&L Ess4m LaboratDriee, In;.
Pauric MpGroary

Page 2 fo 2
Report Number: 12-268-0544
Account Number: 46525
Send To:
SYNAGRO CENTRAL LLC/LUMBERTON
Mary Brewer
284 BOGER RD
MOCKSVILLE NC 27028
A&L Eastern Laboratories
M1 WhWN Road Richmond Virginia M237 ' (B04) T43-94b1 Fax.(a0412714401
Grower: Submitted By: MATT HAYNES
LACY CUMMINGS Farm ID: NC-RO-21
LUMBERTON PERMITTING
Date Received: 09/24/2012
Date Of Report: 09/26/2012 SOIL FERTILITY RECOMMENDATIONS
,c,, rw ?
F..,.C^ '� -r .✓ y. i K� ,C4 r� ..
� ;;.
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ri
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��
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t 7
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r
alnpai nela
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a
t ron
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Boron
. i �.
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k.
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r
6
Wheat
65
0.0
114
0
73
0
0
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••
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0.5
Comments:
Samples): 6 Crop: Wheat
Boron recommendations are on a broadcast basis.
Manganese should be applied through foliar as needed during the growing season at the rate of 1.5 Ibs of elemental manganese per 30 gallon of water per acre.. (from
manganese sulfate, equivalent to 4 6 Ibs of material).
The above N recommendation on small grain is the total amount of fall plus spring applications. Apply only 15-20# N in the fall and the balance right before the growth
starts in the spring. -
'The recommendations are based on research data and experience, but NO GUARANTEE or WARRANTY expressed or implied, concerning crop performance is made" e�ftt //�,,,,-�.�,
Our reports and letters are for the exclusive and confidential -use of our clients„ and may not be reproduced in whole or part, nor may any reference be made to the �Arww AF Vw"r
work,the results, or the company in any advertising, news release, or other public anouncements without obtaining our prior written authorization. Copy right 1977.
Pauric McGroary

RePortNumber AU EaStem Laboratories, Inc.
1-268-0544 Pagg: 1of1 M#i: 7MWrylopinaRo2dRlchnpnd,wrSinii23231 04l143-M FaxI8al27144"
Account Number wwxuN�hmrom
40525
Send To: SYNAGRO CENTRAL LLC/LUMBERTON
Mary Brewer
284 BOGER RD
MOCKSVILLE , NC 27028 Submitted By: MATT HA'YNES
Purchase Order:
Report Date: 9/26/2012
Client: LUMBERTON PERMITTING Date Received : 9/24/2012
LACY CUMMINGS REPORT OF ANALYSIS
Mercury Molybdenum,
Extractable
MEHUCH 3 HG MEHUCH 3 MO
Lab No Sample ID ppm
Sample Date and Time
02922 6 < 0.400 0,380
f4ethod Reference:
Mehlich, A. 1984. Mehlich 3 soil test extractant. Comm. Sal Sci. Plant Axial. 25:1409-1416.
Recommended Chemical Soil Teat Procedures for the North Central Region. NCR Research Pub. No. 221
Revised.
USEPA, SW-846, Test Methods for Evaluating Solid Wastes, Physical/Chemical Methods, 3rd Ed. Current
Revision
I Of 11"Pr4l
Pauric MGGroary
Sample results are reported 'as received' and are not moisture corrected unless noted

l
NOW
SOIL DESCRIPTION SHEET
Project:
Site: v- 2-1 Field:
SYNAG O
A Residuals Management Company
Landowner: L, L'1/r►.��►�1��/GS
Sample #: Slope: /
Acres (gross): Acres (net): Crop: _Jed �J 11A
PROFILE A
PROFILE B
Notes:
Legend
Texture
�s Sand
Loam
si .Silt
c Clay
SOIL PROFILE DESCRIPTIONS
Horizon Depth Texture Color Structure Mottles
7/t-1142 1ALk
lvYe 6 2 e l d /,*IW r�
L1*0 7 fr/1 S/G _
Depth to SHWT: v .,?F.
Depth & type of restrictive layer:
Soil Series: �x✓r �c1�
Horizon ` Depth
l
Texture Color Structure Mottles
Depth to SHWT:
Depth & type of restrictive layer:
Soil Series:
Described BY.,
Structure Grade
9 Weak
2 Moderate
3 Strong
Date: toA If
Structure TVDe
gr
Granular abk
pl
Platy sbk
pr
Prismatic sg
cpr
Columnar m
Angular Blocky
Subangular Blocky
Single Grained
Massive

SITE SUMMARY
City of Lumberton
WQ0000672 - -
Site ID: NC-RO-37
Owners: See Notes below:
Operator: Danny Smith
Address: 1785 Lowe Rd.
Lumberton, NC 28360 `
Phone: [phone] (home) 910-827-1914 (cell)
Estimated Robeson Co. Predominant Latitude &
Total Applicable RYE Soil Series Longitude
Fields Acres Acres Croo(s) PAN/ac./vr. (mat) unit) (D.M.S)
1
3.1
3.1.
coastal'
196
Lakeland
34.37.26 N
bermudagrass
(LaB)
79.09.08 W
2
8.4
8.4
coastal
299
Kalmia
34.37.17 N
bermudagrass
(KaA)
79.09.01 W
corn
128. ;
Norfolk
34.37.56 N
3
8.9
8.9
soybeans(fs/dc)
1611134
(NoB)
79.06.48 W
wheat
123
corn
131 i
Norfolk
34.37.50 N
4
15.1
15.1
soybeans(fs/dc)
1641137
(NoA)
.79.06.42 W
wheat
125
corn
131 �
Norfolk
3434..3737..55 55 N
N
5
4.1
4.1
soybeans ftldc)
1641137
(NoA)
wheat
.125
6
4.4
4.4
coastal
299
Norfolk
34.37.45 N
bermudagrass
(NoA)
79.06.37 W
TOTALS 44.0 44.0
Notes:
Michael McCarthy owns fields 1-2.
Danny Smith owns field 3.
Phillip/Beatrice Culbreth owns fields 4-6.
Date: 1119112
f

NC-RO-37
;' (all locations approximate) 9 inch=:7;500 feet:

TOW
Aft' -Rl,
1 GI aaJ -� (au locations approximate) 7 incti=.1,uuu teet

r
Topographic Map
9
41
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qw
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NC-RO-37; Fields 3-6 (all locations approximate) 1 inch = 9,000 feet

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I -s. ;4 µ � �,• ''' .,j,`�` :7: •fit";„� \ _ � ` y {:Za''71,t �q''" �'.'9,�1`�rT*��,;' � fr�' �'`.. .�^': "4�•..
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T� . "� � � w • �'E .yr� * e �;1; : w ley �: e+r� s L l''f�c�[ �. '.w a� '�
t. -Zf; µ'` 4`' ;, •4,� V`tl. '! , u � Y i�` '7' :. } I�` _! _ ..' l�ii'•;,Ec a" `t S •, S.>t' v
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.Rn-37- FiF

4 mot„
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PRIt T� '�M4litv.- y4
T
Ft
qU-370- Fielc

I
Soil Man
NC-RO-37; Fields 1-.2 (all locations approximate) 1 inch=.1,000 feet

r% • -0 ,Gt V ��Y , � �'
1 ✓ 1
���• � ♦ � •r ' � � of r, � . r • ' , � e:..�u'+J j •.. � -� � � I a
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e . � K•t
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_ `� < ',1`f • .. p- � �naG' }IY� b J t. � � � ` ti..�ics, 4''M a •1.a^ -r-, t�,ti' i. 4'xv rdY�' "f '^K
I � �'4,ir "f'.1 +:... � r,.< N 4K.' ��..�5' � aai.�c � '•;'a}* l��vp..�*' ..f { y
- F" x�' a 2 ,��'� t ° *rr rrl.� " . gi i�'�'L{ �. i ' `..a ,y�.�ry �� + •Y err t t r '"- '1
rT
41
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4 VI' Lr < �FI ± } j N *r3"n. fi IW
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J t. M-< � ,4, '� r a{I•tr, r`�,. r ^a , k.,� •a e,;l��a s. � r } � aµ ^`/'JT�,7�.
� r�, i i+ +� 8•�f } ;�• a , fir, a �Y y'r y^ �: � y. ,. 3U•'. `�!

�0� ^ I r90 .
State of North Carolina
Department of Environment and Natural Resources
>_ r- Division of Water Quality
LAND OWNER AGREEMENT
f FORM: LOA 08-11
l
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce A `quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted. the Applicant shall submit one original and two conies of the application and
supporting documentation
For more information or for an electronic version of thisform, visit the Land Application Unit (LAU) web site at.
http://portal.ncdenr.orgAvebi►vq/aps/lau -
General — This document is an agreement between the Applicant and land owner(s) of residuals receiving sites for land application of
Class B residuals (may include water treatment plant or other type residuals) in accordance with 15A NCAC 02T .1100. Do not
submit this agreement for review without a corresponding application form (FORM: RLAP 08-11).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Land Owner Agreement (FORM: LOA 08-11):
❑ Submit the completed and appropriately executed Residuals Source Certification (FORM: LASC 08-11) form. Please do not
make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to the
application may be made, as long as the attachments are numbered to correspond to the section and item to which they refer.
❑ Prepare a separate agreement for each set of land application sites that are owned or operated by an entity other than the
Applicant.
❑ A copy of the completed and appropriately executed agreement must be provided to the landowner and the lesseetoperator.
AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND
The undersigned landowner or his representative hereby permits:
Applicaasname: ���y a� L�r►tibsrkon
hereinafter referred to as the Permittee, to land apply residuals from the following facility(ies) onto the following land
application site(s) (Le., see attached setback maps) in accordance with the stipulations and restrictions as given in this
Agreement:
Site/Field ID
Lease
(yes/no)
Land Use or
Cropping Patterns
Intended Use of Crops .
Residuals Source
(optional)
Special note
(no-till/over--seed/
pasture)
G-A -5 1
'Qs,r►w«-:a
,, n
nt�Q !- /
Vu f Ww"fp
PWj
WTP v ww-rp
The landowner or his representative receives, in consideration, full use of the nutrient value of the applied residuals while the
Permittee receives, in consideration, the use of the land application site(s) described above for the disposal of the residuals.
r-
I/ is Agreement shall remain in effect for the length of the Division's permit for the residuals land application program and
shall be renewed each time this permit is renewed.
The undersigned landowner or his representative and the Permittee agree to abide with the following restrictions and
stipulations until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement.

U STIPULATIONS: '
1. The landowner or his representative shall not enter into any additional residuals application contracts or agreements with another permitted
entity for the site(s) specified by this Agreement
2. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) to a third party, the landowner shall
be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement
3. The landowner or his representative shall adhere to the provisions of this Agreement until all of the site restrictions (under Section 1I) are met
4. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR DWQ, Land Application Unit, 1636 Mail Service
Center, Raleigh, NC 27699-1636. .
5. The Permittee must request and obtain a permit modification from the Division prior to a transfer of the land application site(s) to a new
landowner. In addition, the current landowner shall give a notice to the new landowner that gives full details of the residuals applied at the
land application site(s).
6. The Permittee has provided the landowner or his representative with information and data concerning the residuals land application program,
including an analysis of constituents of the residuals, residuals application methods, schedules for typical cropping patterns, a description of
the equipment used by the Permittee.
7. The Permittee will provide the landowner or his representative with a copy of the residuals permit prior to commencement of any residuals
land application event and a copy of the results of each soil analysis.
8. If the soil pH of the land application site(s) is not maintained at 6.0 or greater, sufficient amounts of lime shall be applied to achieve a final
soil pH of at least 6.0, unless an agronomist provides information indicating that the pH of the soil, residuals and lime mixture is suitable for
the specified crop.
9. The landowner or his representative and the Permittee will agree on residuals application rates and schedules based on crop patterns, results of
soil samples, and the permitted application limits.
10. The landowner or his representative will provide the Permittee with information regarding the amount and analysis of other sources of
nutrients (e.g., fertilizer, unregulated animal waste, etc.) that have been applied to the land application site(s).
11. The landowner or his representative will inform the Permittee of any revisions or modifications to the intended use and cropping patterns for
the land application site(s) prior to each planting season to enable the Permittee to amend this Agreement and schedule residuals land
application events at appropriate periods.
12. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee, the landowner, or
his representative prior to and during a residuals land application event.
13. The landowner or his representative hereby authorizes the Pernuttee, local officials, and State officials or their representatives to; enter and
inspect any property, premises, or place on or related to the land application site(s) at any reasonable time for the purpose of determining
compliance with the permit; establish monitoring facilities on or near the land application site(s) as required by the permit; copy any records
© that must be kept under the terms and conditions of the permit; take necessary leachate, surface water, groundwater, or soil samples during the
term of, and 12 months after termination of, this Agreement
IL RESTRICTIONS:
1. Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control public access to the land
application site(s) during active use and for the 12-month period following a residuals land application event Such controls may include the
posting of signs that indicate the activities being conducted at the land application site(s).
2. Animals shall not be grazed on the land application site(s) for a 30-day period following a residuals land application event Land application
sites that are to be used for grazing shall have fencing that will be used to prevent access during these periods after such residuals land
application events.
3. Food crops, feed crops, and fiber crops shall not be harvested for a 30-day period following a residuals land application event
4. Food crops with harvested parts that touch the residuals/soil mixture and are totally above the land surface shall not be harvested for a 14-
month period following a residuals land application event.
5. Food crops with harvested parts below the surface of the land shall not be harvested for a 20-month period following a residuals land
application event when the residuals remain on the land surface for four months or longer prior to incorporation into the soil.
6. Food crops with harvested parts below the surface of the land shall not be harvested for a 38-month period following a residuals land
application event when the residuals remain on the land surface for less than four months prior to incorporation into the soil.
7. Turf grown on land where residuals are applied shall not be harvested for a 12-month period following a residuals land application event.
In ALTERNATIVES FOR WATER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY: (please check one)
15A NCAC 02L .0107(d) prohibits water supply wells within the compliance boundary. However, 15A NCAC 02T .0105(h) allows the
compliance boundary to be placed closer to the waste disposal area, such that the water supply well is situated outside of the compliance
boundary provided the groundwater standards can be met at the newly -established compliance boundary. Please mark one of the following;
&(A re -defined compliance boundary is needed for field(s) ID: Ale- - p- 3 i .j , N G -12a' 3-7- Z
(Please include the rationale for the requested re -location of the compliance boundary and attach a map showing the newly proposed
compliance boundary to the application package)
❑ A re -defined compliance boundary is not needed for this site.
�IV. ACKNOWLEDGEMENT OF FIELD TRANSFER: (if needed)
❑ The land application field(s) ID: is currently permitted under another
residuals land application program; Permit Number WQ: . The land owner hereby acknowledge that by signing this
agreement, he/she is requesting that the field(s) be removed from the previously permitted residuals land application program and transferred
into the new program,
(Name of the new program)

Landowner's Certification:
I certify that I am a deeded landowner of the above -referenced land application site(s) and am authorized to make decisions
regarding the use of the land application site(s) on behalf of other deeded landowners OR that I am otherwise authorized, through
a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the
deeded landowners. I certify that the above -referenced land application site(s) are not included in any waste disposal contract or
agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement,
understand the stipulations, restrictions, alternatives for water supply wells inside the compliance boundary, acknowledgement of
field transfer, and do hereby grant permission to the Permittee to land apply residuals to the land application site(s) as specified
herein.
Landown
Address:
City: �irn$�/Z 7�� State: AfK_ Zip: C jj ry
Phone: Q e9.3 90 E-mail address: e_Aee_J wc—, tzlz �o
Signature: WC
Date: �—ZZ
I, the undersigned Notary Public do hereby certify that (initials:) personally
appeared before me this day, and, being duly sworn, stated that in his/her presence Adr- 4 - A4.- Z�%�gned
the attached document and acknowledged the due
//execution of,the foregoing
instrument.
WITNESS my hand and official seal this the Zc0 %`� day of 20 /i
I !
Signature and seal:
My commission expir : D r NOTAMPUBUO
EUM:OF NORTH CARMNA 1.
Lessee's/Operator's Certification:
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Lesseetoperator name: ri n 1) i e— l Ida )I n -cam J M 0 k
Address: 17 % 5 An W 2. 9, eJ
City: L to M b e- Eho P� State: �% . C zip: 2S (ab
Phone: 9) O" iPL1 1— ) 9 14 E-mail address: T
Signature:
Permittee's Certification:
Date: R oI I — I !�
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Signing official name: 3 i rw VC0
Signature: ' -yy Date:

�o6OF vv ^ I"
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
LAND OWNER AGREEMENT
FORM: LOA 08-11
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted. the Applicant shall submit one original and two _copies of the application and
supporting documentation
For more information or for an electronic version of this form, visit the Land Application Unit (LAU) web site at:
http_//portal. ncdenr. org/web/wq/aps/lau
General — This document is an agreement between the Applicant and land owner(s) of residuals receiving sites for land application of
Class B residuals (may include water treatment plant or other type residuals) in accordance with 15A NCAC 02T .1100. Do not
submit this agreement for review without a corresponding application form (FORM: RLAP 08-11).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Land Owner Agreement (FORM: IAA 08-11): .
❑ Submit the completed and appropriately executed Residuals Source Certification (FORM: LASC 08-11) form. Please do not
make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to the
application may be made, as long as the attachments are numbered to correspond to the section and item to which they refer.
❑ Prepare a separate agreement for each set of land application sites that are owned or operated by an entity other than the
Applicant.
❑ A copy of the completed and appropriately executed agreement must be provided to the landowner and the lesseeloperator.
AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND
The undersigned landowner or his representative hereby permits:
Applicant's name: �' o��c•�
hereinafter referred to as the Permittee, to land apply residuals from the following facility(ies) onto the following land
application site(s) (Le., see attached setback maps) in accordance with the stipulations and restrictions as given in this
Agreement:
Site/Feld ID
Lease
(yes/no)
La ad Use -or
Cropping Patterns
Intended Use' of Crops
Residual's Source
(optional)
r Special note
(no-till/over-seed/
pasture)
7VG- ro �$q-- g
N
G s
n Q
W-rp r- wvv-rp
The landowner or his representative receives, in consideration, full use of the nutrient value of the applied residuals while the
Permittee receives, in consideration, the use of the land application site(s) described above for the disposal of the residuals.
(This Agreement shall remain in effect for the length of the Division's permit for the residuals land application program and
shall be renewed each time this permit is renewed.
The undersigned landowner or his representative and the Permittee agree to abide with the following restrictions and
stipulations until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement.

L STIPULATIONS:
1. The landowner or his representative shall not enter into any additional residuals application contracts or agreements with another permitted
entity for the site(s) specified by this Agreement
- 2. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) to a third party, the landowner shall
be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement
3. The landowner or,his representative shall adhere to the provisions of this Agreement until all of the site restrictions (under Section 11) are met.
4. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWQ, Land Application Unit, 1636 Mail Service
Center, Raleigh, NC 27699-1636.
5. The Permittee must request and obtain a permit modification from the Division prior to a transfer of the land application site(s) to a new
landowner. In addition, the current landowner shall give a notice to the new landowner that gives full details of the residuals applied at the
land application site(s).
6. The Permittee has provided the landowner or his representative with information and data concerning the residuals land application program,
including an analysis of constituents of the residuals, residuals application methods, schedules for typical cropping patterns, a description of
the equipment used by the Permittee.
7. The Permittee will provide the landowner or his representative with a copy of the residuals permit prior to commencement of any residuals
land application event and a copy of the results of each soil analysis.
8. If the soil pH of the land application site(s) is not maintained at 6.0 or greater, sufficient amounts of lime shall be applied to achieve a final
soil pH of at least 6.0, unless an agronomist provides information indicating that the pH of the soil, residuals and lime mixture is suitable for
the specified crop.
9. The landowner or his representative and the Permittee will agree on residuals application rates and schedules based on crop patterns, results of
soil samples, and the permitted application limits.
10. The landowner or his representative will provide the Permittee with information regarding the amount and analysis of other sources of
nutrients (e.g., fertilizer, unregulated animal waste, etc.) that have been applied to the land application site(s).
11. The landowner or his representative will inform the Permittee of any revisions or modifications to the intended use and cropping patterns for
the land application site(s) prior to each planting season to enable the Permittee to amend this Agreement and schedule residuals land
application events at appropriate periods.
12. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee, the landowner, or
his representative prior to and during a residuals land application event
13. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to; enter and
inspect any property, premises, or place on or related to the land application site(s) at any reasonable time for the purpose of determining
compliance with the permit; establish monitoring facilities on or near the land application site(s) as required by the permit; copy any records
that must be kept under the terms and conditions of the permit; take necessary leachate, surface water, groundwater, or soil samples during the
term of, and 12.months after termination of, this Agreement
IL RESTRICTIONS:
1. Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control public access to the land
application site(s) during active use and for the 12-month period following a residuals land application event Such controls may include the
posting of signs that indicate the activities being conducted at the land application site(s).
2. Animals shall not be grazed on the land application site(s) for a 30-day period following a residuals land application event Land application
sites that are to be used for grazing shall have fencing that will be used to prevent access during these periods after such residuals land
application events.
3. Food crops, feed crops, and fiber crops shall not be harvested for a 30-day period following a residuals land application event
4. Food crops with harvested parts that touch the residuals/soil mixture and are totally above the land surface shall not be harvested for a 14-
month period following a residuals land application event.
5. Food crops with harvested parts below the surface of the land shall not be harvested for a 20-month period following a residuals land
application event when the residuals remain on the land surface for four months or longer prior to incorporation into the soil.
6. Food crops with harvested parts below the surface of the land shall not be harvested for a 38-month period following a residuals land
application event when the residuals remain on the land surface for less than four months prior to incorporation into the soil.
7. Turf grown on land where residuals are applied shall not be harvested for a 12-month period following a residuals land application event.
III. ALTERNATIVES FOR WATER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY: (please check one)
15A NCAC 02L .0107(d) prohibits water supply wells within the compliance boundary. However, 15A NCAC 02T .0105(ht allows the
compliance boundary to be placed closer to the waste disposal area, such that the water supply well is situated outside of the compliance
boundary provided the groundwater standards can be met at the newly -established compliance boundary. Please mark one of the following;
❑ A re -defined compliance boundary is needed for field(s) ID:
(Please include the rationale for the requested re -location of the compliance boundary and attach a map showing the newly proposed
compliance boundary to the application package)
A re -defined compliance boundary is not needed for this site.
IV. ACKNOWLEDGEMENT OF FIELD TRANSFER (if needed)
❑ The land application field(s) ID: is currently permitted under another
residuals Iand application program; Permit Number WQ: The land owner hereby acknowledge that by signing this
agreement, he/she is requesting that the field(s) be removed from the previously permitted residuals land application program and transferred
into the new program;
(Name of the new program)

Landowner's Certification:
I certify that I am a deeded landowner of the above -referenced land application site(s) and am authorized to make decisions
regarding the use of the land application site(s) on behalf of other deeded landowners OR that I am otherwise authorized, through
a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the
deeded landowners. I certify that the above -referenced land application site(s) are not included in any waste disposal contract or
agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement,
understand the stipulations, restrictions, alternatives for water supply wells inside the compliance boundary, acknowledgement of
field transfer, and do hereby grant permission to the Permittee to land apply residuals to the land application site(s) as specified
herein. .1-11-. n _ _
Landowner name:
Address: I`1%5 �- M ^ n
City: kr l�b!r_� IN State: Ab � . Zip:
Phone: f , —7 % 6 -mail address:_ JIJ
Signature: %&�kj I-V
Date: b
NORTH CAROLINA, 04y, COUNTY
I, the undersigned Notary Public do hereby certify that f i'n/SS (initials: 1W) personally
appeared before me this day, and, being duly sworn, stated that in his/her presence u6s_L. 4y.,�� �-�.4 signed
the attached document and acknowledged the due execution of the foregoing instrument.
WITNESS my hand and4official seal this the 26 cy day of } 663- QVI , 20 / L
Signature and seal:
My commission expire . t41 — DAVIE COtMfY l
Nmwptmw
9M OF N0RTN CAFKXM
Lessee's/Operator's Certification:
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Lesseeloperator name: e.-
Address:
City:
Phone:
Signature:
Permittee's Certification:
State:
E-mail
Date:
Zip:
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Signing official name: Fe, 1� 1 R* 1 �t-�I•S
Signature: Date: , "L• it - AID I Z

Oc(Quil, QL
�9
� r
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
LAND OWNER AGREEMENT
FORM: LOA 08-11
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted. the Applicant shall submit one original and two copies of the application and
supporting documentation
For more information or for an electronic version of this form, visit the Land Application Unit (LA U) web site at:
http: //portal.ncdenr. org/web/wrl/aps/lau
General — This document is an agreement between the Applicant and land owner(s) of residuals receiving sites for land application of
Class B residuals (may include water treatment plant or other type residuals) in accordance with 15A NCAC 02T .1100. Do not
submit this agreement for review without a corresponding application form (FORM: RLAP 08-11).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Land Owner Agreement (FORM: LOA 08-11):
❑ Submit the completed and appropriately executed Residuals Source Certification (FORM: LASC 08-11) form. Please do not
make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to the
application may be made, as long as the attachments are numbered to correspond to the section and item to which they refer.
❑ Prepare a separate agreement for each set of land application sites that are owned or operated by an entity other than the
Applicant.
❑ A copy of the completed and appropriately executed agreement must be provided to the landowner and the lessee/operator.
AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND
The undersigned landowner or his representative hereby permits:
n
Applicant's name: l 6 o�
hereinafter referred to as the Permittee, to land apply residuals from the following facility(ies) onto the following land
application site(s) (i.e., see attached setback maps) in accordance with the stipulations and restrictions as given in this
Agreement:
Site/Field ID
Lease
(yes/no)
Land Use or
Cropping Patterns
Intended Use of Crops
Residuals Source
(optional)
Special note
(no-till/over-seed/
pasture)
/ e--ro-Sq �
v
I
,how e s
bn.Q �le�
W-rf +- WW-rp
/Vc-- go • 3} -
Y
erg S
Y
The landowner or his representative receives, in consideration, full use of the nutrient value of the applied residuals while the
Permittee receives, in consideration, the use of the land application site(s) described above for the disposal of the residuals.
)This Agreement shall remain in effect for the length of the Division's permit for the residuals land application program and
shall be renewed each time this permit is renewed.
The undersigned landowner or his representative and the Permittee agree to abide with the following restrictions and
stipulations until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement.
FORM: LOA 08-11 Page 1 of 3

L ST PULATIONS:
1. The landowner or his representative shall not enter into any additional residuals application contracts or agreements with another permitted
entity for the site(s) specified by this Agreement
2. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) to a third party, the landowner shall
be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement
3. The landowner or his representative shall adhere to the provisions of this Agreement until all of the site restrictions (under Section H) are met
4. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWQ, Land Application Unit,1636 Mail Service
Center, Raleigh, NC 27699-1636.
5. The Permittee must request and obtain a permit modification from the Division prior to a transfer of the land application site(s) to a new
landowner. In addition, the current landowner shall give a notice to the new landowner that gives full details of the residuals applied at the
land application site(s).
6. The Permittee has provided the landowner or his representative with information and data concerning the residuals land application program,
including an analysis of constituents of the residuals, residuals application methods, schedules for typical cropping patterns, a description of
the equipment used by the Permittee.
7. The Permittee will provide the landowner or his representative with a copy of the residuals permit prior to commencement of any residuals
land application event and a copy of the results of each soil analysis.
8. If the soil pH of the land application site(s) is not maintained at 6.0 or greater, sufficient amounts of lime shall be applied to achieve a final
soil pH of at least 6.0, unless an agronomist provides information indicating that the pH of the soil, residuals and lime mixture is suitable for
the specified crop.
9. The landowner or his representative and the Permittee will agree on residuals application rates and schedules based on crop patterns, results of
soil samples, and the permitted application limits.
10. The landowner or his representative will provide the Permittee with information regarding the amount and analysis of other sources of
nutrients (e.g., fertilizer, unregulated animal waste, etc.) that have been applied to the land application site(s).
11. The landowner or his representative will inform the Permittee of any revisions or modifications to the intended use and cropping patterns for
the land application site(s) prior to each planting season to enable the Permittee to amend this Agreement and schedule residuals land
application events at appropriate periods.
12. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee, the landowner, or
his representative prior to and during a residuals land application event
13. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to; enter and
inspect any property, premises, or place on or related to the land application site(s) at any reasonable time for the purpose of determining
compliance with the permit; establish monitoring facilities on or near the land application site(s) as required by the permit; copy any records
% that must be kept under the terms and conditions of the permit; take necessary leachate, surface water, groundwater, or soil samples during the
1) term of, and 12 months after termination of, this Agreement
IL RESTRICTIONS:
1. Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control public access to the land
application site(s) during active use and for the 12-month period following a residuals land application event Such controls may include the
posting of signs that indicate the activities being conducted at the ]and application site(s).
2. Animals shall not be grazed on the land application site(s) for a 30-day period following a residuals land application event Land application
sites that are to be used for grazing shall have fencing that will be used to prevent access during these periods after such residuals land
application events.
3. Food crops, feed crops, and fiber crops shall not be harvested for a 30-day period following a residuals land application event
4. Food crops with harvested parts that touch the residuals/soil mixture and are totally above the land surface shall not be harvested for a 14-
month period following a residuals land application event
5. Food crops with harvested parts below the surface of the land shall ' not be harvested for a 20-month period following a residuals land
application event when the residuals remain on the land surface for four months or longer prior to incorporation into the soil.
6. Food crops with harvested parts below the surface of the land shall not be harvested for a 38-month period following a residuals land
application event when the residuals remain on the land surface for less than four months prior to incorporation into the soil.
7. Turf grown on land where residuals are applied shall not be harvested for a 12-month period following a residuals land application event.
MALTERNATIVES FOR WATER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY: (please check one)
15A NCAC 02L .0107(d) prohibits water supply wells within the compliance boundary. However, 15A NCAC 02T .0105(h) allows the
compliance boundary to be placed closer to the waste disposal area, such that the water supply well is situated outside of the compliance
boundary provided the groundwater standards can be met at the newly -established compliance boundary. Please marls one of the following;
R(A re -defined compliance boundary is needed for field(s) ID: N e - ko- s4 - S
(Please include the rationale for the requested re -location of the compliance boundary and attach a map showing the newly proposed
compliance boundary to the application package)
❑ A re -defined compliance boundary is not needed for this site.
IV. ACKNOWLEDGEMENT OF FIELD TRANSFER if needed)
I ❑ The land application field(s) ID: is currently permitted under another
residuals land application program; Permit Number WQ: The land owner hereby acknowledge that by signing this
agreement, he/she is requesting that the field(s) be removed from the previously permitted residuals land application program and transferred
into the new program;
(Name of the new program)

Landowner's Certification:
I certify that I am a deeded landowner of the above -referenced land application site(s) and am authorized to make decisions
_ regarding the use of the land application site(s) on behalf of other deeded landowners OR that I am otherwise authorized, through
a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the
deeded landowners. I certify that the above -referenced land application sites) are not included in any waste disposal contract or
agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement,
understand the stipulations, restrictions, alternatives for water supply wells inside the compliance boundary, acknowledgement of
field transfer, and do hereby grant permission to the Pernuttee to land apply residuals to the land application site(s) as specified
herein. /
Landowner name: • �l.D a . 4
Address:
J.,/
City4A4, ✓ State: WC Zip: //,Z��.,, �✓C%
Phone: 910-44 Fl '/ Z— E-mail address:
Date:
NORTH CAROLINA, I/ i COUNTY
I, the undersigned Notary Public do hereby certify that MWA J 6 : 1 t /� (initialsAn personally
appeared before me this day, and, being duly sworn, stated that in his/her presence pot J �, l cf,l2(Z� signed
the attached document and acknowledged the due execution of the foregoing instrument.
WITNESS my hand and official al this the 2,0 t—Y day of ���%S�Nf� , 20� 7_
Signature and seal:
My commission expires: U ty Alice
17Z4V NORTH CAROLMR
Lessee's/Operator's Certification:
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Lessee/operator name:
Address: 17 g o W e—
City: L u. cb2 r State: �% • C Zip: g 3 6 G7
Phone:
Signature:
Permittee's Certification:
E-mail address: IV A
Date:
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Signing official name: r) f"N..
Signature: A&L-•�— Date:
z—' -10 1 z
i

State of North Carolina
Department of Environment and Natural Resources
Division of.Water Quality
SETBACK WAIVER AGREEMENT ATTACHMENT
For Land Application of Residual Solids (FORM: SWAA 070807)
(THIS FORMMAY BE PHOTOCOPIED FOR USEASAN ORIGINAL)
The Division of Water Quality (Division) will not accept this attachment unless all the instructions are followed.
Failure to submit`all required items will lead to additional processing and review time.
For more information, visit our web site at:http:11h2o.enr.state. nc.usllauhnain.htnd
INSTRUCTIONS TO THE APPLICANT:
A. Attachment Form:
✓ Do not submit this attachment form for review without its corresponding residuals program
application form (FORM: NDRLAP).
✓ Any changes to this attachment form will result in the application package being returned.
B. Prepare a separate attachment form for each property from which a waiver from 15A NCAC 2T
.1108(b)(2)(for habitable residences or place of public assembly) is being sought.
Any other setbacks required by 15A NCAC 2T ..1108, other than those referenced above, cannot be waived
through execution of this attachment form.
✓ A copy of the. completed and appropriately executed attachment form must be provided to the property
owner.
AGREEMENT TO WAIVE THE SETBACK REQUIRED BY 15A NCAC 2T .1108(b)(2)(habitable residences)
_ The undersigned property owner hereby permits:
Applicant's name: City of Lumberton
Complete mailing address of applicant: f ��
City: (,w w� 8r State: /V L Zip:
Telephone number: (`) tD) ie } l — 3 Facsimile number: ( )
E-mail address: W% @ c.; - l w� �ie.� .. n e. u .%
hereinafter referred to as the Permittee, to land apply residuals within Idb feet (Le., cannot be less
than 100 feet) of the residence or place of public assembly located at the following:
Location address of property: Lai 12J
City: � � � State: NL Zip: 99340
This Agreement shall remain in effect for the length of the Division of Water Quality's (Division) permit
for the residuals land application program and shall be renewed each time this permit is renewed. In
addition, this Agreement shall only remain in effect for as long as the undersigned property owner owns the
property described herein.
The undersigned property owner agrees to abide by this Agreement until such time as written notification,
given 30 calendar days in advance, modifies or cancels this Agreement.
I certify that I am a deeded property owner of above -referenced property and am authorized to make decisions
regarding this property on behalf of other deeded property owners. Furthermore, I certify that I have read and
understand this Agreement and do hereby grant permission to the Permittee to land apply residuals to land
application site(s) as specifigd herein..
Propero e:
Si�a
Date:

`�Jo-nn-1 Srntie� 1, )3P--A
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
SETBACK WAIVER AGREEMENT ATTACHMENT
For Land Application of Residual Solids (FORM: SWAA 070807)
(THIS FORMMAY BE PHOTOCOPIED FOR USEASAN ORIGINAL)
The Division of Water Quality (Division) will not accept this attachment unless all the instructions are followed.
Failure to submit all required items will lead to additional processing and review time.
For more information, visit our web site at: htt r/h2o. enr...state.nc. us/iauhnain.htmi
INSTRUCTIONS TO THE APPLICANT:
'A. Attachment Form:
✓ Do_ not submit this attachment form for review without its corresponding residuals program
application form (FORM: NDRLAP).
✓ Any changes to this attachment form will result in the application package being returned.
B. Prepare a separate attachment form for each property from which a waiver from 15A NCAC . 2T
.1108(b)(2)(for habitable residences or place of public assembly) is being sought."
✓ Any other setbacks required by 15A NCAC 2T .1108, other than those referenced above, cannot be waived
through execution of this attachment form.
✓ A copy of the completed and appropriately executed attachment form must be provided to the property
owner.
AGREEMENT TO WAIVE THE SETBACK REQUIRED BY 15A NCAC 2T .1108(b)(2)(habitable residences)
The undersigned property owner hereby permits:,
Applicant's name: City of Lumberton
Complete mailing address of applicant: L&w&r,4 C}
City: (, l.n Ift iw, State: � G Zip: 28 3s�
Telephone number: ( gid) (o '(- 39S_� Facsimile number: ( )
E-mail address: i �a ors @ c, (•. n. �,,r} , n ,
hereinafter referred to as the Permitiee, to land apply residuals within u u feet (Le., cannot be less
than 100 feet) of the residence or place of public assembly located at the following: .
Location address of property: LIV+
City: State: Dy L Zip: Te3(06
This Agreement shall remain in effect for the length of the Division of Water Quality's (Division) permit
for the residuals land application program and shall be renewed each time this permit is renewed. In
addition, this Agreement shall only remain in effect for as long as.the undersigned property owner owns the
property described herein.
The undersigned property owner agrees to abide by this Agreement until such time as written notification,
given 30 calendar days in. advance, modifies or cancels this Agreement.
[� I certify that I am a deeded property owner of above -referenced property and am authorized to make decisions
regarding this property on behalf of other. deeded property owners. Furthermore, I certify that I have read and
understand this Agreement and do hereby grant permission to the Permittee to. land apply residuals to land
application site(s) as specifi erelrn (.A ,
I Property owner e: h► L
Signature: Date:
Fnnr,r• corn s n7n4n'7 D­ I ..f I I A##.-1,,,, -# f1r,10 '1-.4

Page 1-of 5
Report Number: 12-268-0549.
Account Number: 46525
Send To: SYNAGRO CENTRAL LLC/LUMBERT8r&azW=0m
Mary Brewer
284 BOGER RD
MOCKS\ALLE NC 27028
Date Received: 09/24/2012 Date Of Analysis: 09/25=12
A&L Eastern Laboratories
7621 Whitepine Road Richntanck Virginia 2WT 100 TOW Fax [phone]
Grower: Submitted By: MATT HAYNES
DANNY SMITH Farm 1D-*X--C�-k---0-13-- b-
LUMBERTON PERMITTING
SOIL ANALYSIS REPORT Ana"call Method(ta):
Mehlich 3
Date Of Report- 09/2612012
g
T
q
P
W
525 - VH
56 L
64 M
390 L
11 VL
02933
3.0 M 104
I
1
5.2
6.79
1
1.4
4.1
NC = 437
NC = 29
1 1
2
842 VH
48 VL
280 H
1259 M
17 VL
02934
3.6 M 106
I
5.6
6.66
'2.7
11.5
I
NC = 702
NC=25
3
137 VH
38 VL
24 L
169 L
9 VL
.
02935
1.3 L 73
6.85
0.8
2.0
NC = 114
NC19
-5.0
4
82 H
47 L
19 L
180 L
11 L
02936
1.3 L 73
I
5.1
6.86
0.7
2.0
NC 66
NC=24
5
207 VH
L142
L
414 L
11 VL
02937
1.5 L 74
149
1
5.1
6.77
1.6
4.2
NC 172
NC=25
-
5
'2
Al
�`W�',Ratfa
'4
P",
FIRM,-
1
147 VH
17.1 VH
a L
325 VH
3.0 H
0.1 VL0.08
VL
3.5
13.0
47.6
1.2
33.8
NC = 368
--
P
NC = 38
2
103 VH
V@j
20 M
VH
12.6
0.2 VL.
0.16 VL
1.1,
20.3
1
54.7
0.6
23.3
NC=2 58
155.5
70
NC 125 .,1199
3
118 VH
2.8 M
6 L
104 VH
11.1 M
0.1 VL
0.07 VL
4.9
10.0
42.3
2.0
40.9
NC = 295
NC = 70.0
NC = 38
NC = 55.0
4
ISO VH
3.3 M
a L
115 VH
1.0 M
0.2 VL
VL
6.0
7.9
4�.O
2.4
36.9
NC = 390
NC = 82.6
- NC=50
NC = 50.0
5
go VH
5.0 H
11 M
183 NH
2.2 H
0.2 VL
0.09 VL3.0
8.3
49.3
1.1
37.2
I
I
I
I
I
NC = 248
1 NC = 125.0
NC = 69
1
1 NC = 110.0
1
Values on this report represent the plant available nutrients In the Explanation of symbols: % (percent), ppm (parts per million), Ibs/A This report applies to sample(s) tested. Samples are retained a
sail. Rating after each value: VL (Very Low), L (Low), M (Medium), (pounds per acre), me/cm (milli -mhos per centimeter), meqfl 009 maximum of thirty days after testing. s by: PO4
H (High), VH (Very High). ENR - Estimated Nitrogen Release. (milli -equivalent per 100 grams). Conventions: ppm x 2 - Ibs1A, Ana"13 prepared by A&L Easte 107000,
C.E.C. - Cation Exchange Capacity. Soluble Salts malern x 640 - ppm. rn Laboratories, Inc.
Paude McGroary

Page Hof 5
Report Number: 12 268-0549
Account Number: 46525
Send To: SYNAGRO CENTRAL LLC/LUMBERT 1 bum
Mary Brewer
284 BOGER RD
MOCKSVILLE NC 27028
Date Received: 09/24/2012 Date Of Analyels: 09/2512012
A&L Eastern Laboratories_
7621 Whbpina Road Richmond, Virginia 23W (WQ 74W4401 Fex (W4) 271-6446
Grower: Submitted By: MATT HAYNES
DANNY SMITH Farm ID:
LUMBERTON PERMITTING
SOIL ANALYSIS REPORT' Analytical Method(s):
Mehlich 3
Date Of Report: 09/26/2012
-;y ^�' �.;. .
t
_ �` r•v''' y{?l
,..f:-r s 4
S 4"`
'T x•. ,. ` .I.i k
.r: ank'Metttar Ft
-:k. _. '.
x: �P�
..'; d G'
�d Y �POLaaltllrl�E�
t -
�M- iurn
-
.X- WIWnm�-{�
Q_J , y
�,"-1,? VVMtV
S' Y.-
1'4 -.� >..
ACisY h!►
1 •/� C /�f....
.V�FuV
yx
'.Sample.
�F
•T.4„ -
-M
r
S :: s' r , ,! ,
sy6 yt
±1...; -i.e,
2
N
F
-- 1`.
5.4
�y C' 1.
r
Bufhr:
W
1:.
Fbld tD
r 3 4
yumbsr
��
i zr , Wit,
Ys
{ Rate
} Ibs/A
r
Raxts
r
=
Rath`.
Rate'
Rab
P H
lnd ex
rrrsq/1>o
„ r ,,.:
meg1100g.
ti,.:a,.
,i, <.r �r
.: a
PP!n
ppm
pm. Rat!
ppm:
ppm
,PPm
a
6
227 VH
57 L
64 H
387 M
11 VL
02938
1.9 L 83
5.7
6.86
0.7
3.4
NC = 189
NC = 29
;' 3� u;; �y ,
�.: P�reent:8ase
Saturatbn ;
r.Nitnt�, q
r �n Sulfur"
3...
Zinc
Mangan.s.
« 'Iron .,
= �oPp�r
boron
8olubN Batts
, a,.Chlortdr
Aluminum
Sam Ir �
Ar
Y
r.. ��
N a
K H;<•
�
�.$.� ry
: s
z � �,r,�
A,
r�--cMnc".w
F�
i ,�
rCux
,
r �
��K,,�
aM a
,s` �,.
%L
u.Ci.,
� =x-->
Y!
•zw
:r
r i.
9L
� •;;NON;.
.•_ -
b
,�'{,•3'.4 �
` -
�:r
•;
,.�•� .Fa
xa�
.<<
h
r'
7<
��
,=;
a �7f'M
.ppm Rate
m
Rp ,Rate
�_
=PPna, Rat
pPm ` Rati
ppm
PPm «Rain
ppm Rate
=malcm Rath
.ppJ�i, itat°
fil?P!1�rT.:
6
119 VH
5.1 H
9 L
161 VH
1.1 M
0.2 VL
0.07 VL
4.3
15.7
56.9
1.4
20.9
-
NC = 298
NC =127.5
NC = 56
NC = 55.0
Values on this report represent the plant available nutrients in the Explanation of symbols: % (percent), ppm (parts per million), Ibs/A
soil. Rating after each value: VL (Very Low), L (Low), M (Medium), (pounds per acre), mWom (milli -mhos per centimeter), meq/100g
H (High), VH (Very High). ENR - Estimated Nitrogen Release. (milli -equivalent per 100 grams). Converelons: ppm x 2 = iba/A
C.E.C. - Cation Exchange Cspa lty. Soluble Salts ms/cm x 640 - ppm.
This report applies to sample(s) tested. Samples are retained a
maximum cf thirty days aRer testing.
An"iB prepared by. A&L Eastern Laboratories, Inc.
by: paw. OF 60wr
Pauric McGroary

Page 2-5f.5
Report Number: 12-268-0649
Account Number: 46525
Send To: SYNAGRO CENTRAL LLC/LUMBERTrN"u"1Lm
-Mary Brower
284 BOGER RD
MOCKS\ALLE NC 27028
Date Received: 09124/2012
A &L Eastern Laboratories
7621 WhIlapins Road RICIVWd, Nirglall 23237 [OR T4340 Fax (M4) 2714WO
Grower: Submitted By: MATT HAYNES
DANNY SMITH Farm 10: lVe- - fl 0 - 3,1-
LUMBERTON PERMITTING
Date Of Renort: 09/26/2012 SOIL FERTILITY RECOMMENDATIONS
0,
'4�
-N
P !"Pt
M
il'
imn
.0 r
*00
Boron
'AR
GWV�e
------
7z
ended 1pro
THMA-1-
N
Cu , Mil
bau
r
ib
kA
Bermudagrass
5
1.0
50
0
393
is
0
0
0
0
2
Bermudagrass
5
1.5
so
0
471
0
0
0
0,
3
Corn
125
1.0
139
30
125
56
0
2.0
0
0
1.2
4
Cam
125
0.8
139
IV
117
61
0
1.7'
a
0
1.1
5
-1
Com
125
1.5
137
0
116
38'
0
1.6
0
0
1.1
Comments:
'The recommendations are based an research data and experience, but NO GUARANTEE or WARRANTY expressed or implied, concerning crop performance is made."
Our reports and letters are for the exclusive and confidential use of our clients,, and may not be reproduced In whole or part, nor may any reference be made to the pod, Ad ow
work ,the results, or the company in any advertising, news release, or other public anouncements without obtaining our prior written authorization. Copy right 1977.
Pauric McGroary

Page \67of-5•
Report Number: 12 268-0549
Account Number: 46525
Send To: SYNAGRO CENTRAL LLC/LUMBERTON
Mary Brewer
284 BOGER RD
MOCKSVILLE NC 27028
C)
A&L Eastern Laboratories
7821%%Ke ri*Rwd Rkh�nd,Virginir2323T (WgT"01 Fix(80.1)2714W
Grower: Submitted By: MATT HAYNES
DANNY SMITH Farm ID:�—DLO- 3�-
LUMBERTON PERMITTING
Date Received: 09/24/2012
Date Of Report: 09/26/2012 SOIL FERTILITY RECOMMENDATIONS
::� ...z, � _ ..
,-� .�� .� �: > F� .:. � , _; �� �
._ �.:,x , >
: •
-
' ": �,
",� -: • ,
tlAa'nas[iui
-r�
.s� ZNe•�.
�s
Iron .
� i~oP
Boron -
:SampI�;ID �
��,�`• ^cam 3� .�
:�Yiald-Goal
lin»
�;.� G
,..,
-.4
; w:
� ,�
��:: :;�
�
� ,�
,. �.s
«b 1
Field�,a.
�.
_ �.rlrnandsd Crop � �..TomNA',
- ' '%'`:•.> S
,.�
TOM- v
r
£,
"�i
S
S�.
}Tr
... 1
,., r ,. rev
;; ,- .�•.
!b/A f
I ta/A�-
..
aEj..- A, .;k-...
ay
dblA ,3
;.tii
Ib%
sr. IbJA
JtilA
.,:r;•'
Ibt
6
Bermudagrass
5
0.8
50
0
382
16
0
0.5
••
0"
0
Comments:
Samples): 6 Crop: Bermudagrass
Apply additional 65 pounds of nitrogen after every cutting and harvest of hay.
Apply N on warm season grass only after late spring when grass starts growing.
If dolomitic lime is not used, apply required magnesium with magnesium oxide. Epsom Salts, K-Mag or Sul -PO- Mag.
Manganese level is low in soil, however, grass or legume need only small amounts of manganese to grow well and seldom show deficient in manganese. If the plant is
used for animal feed, manganese supplement may be added to prevent nutrient imbalance.
Manganese should be applied through foliar as needed during the growing season at the rate of 1.5 Ibs of elemental manganese per 30 gallon of water per acre.. (from
manganese sulfate, equivalent to 4-6 Ibs of material).
The recommended potash is the total pounda/acre needed to achieve the specified yield goal. Apply 1/2 or 113 (100-150 pounds) of the total at the first application In
-- spring or fall. Application of the remaining should be determined by the yield achieved after the first cutting and the moisture condition. If in drought condition and yield is
low. the following applications should be reduced or eliminated.
'The recommendations are based on research data and experience, but NO GUARANTEE or WARRANTY expressed or implied, concerning crop performance is made."
Our reports and letters are for the exclusive and confidential use of our clients„ and may not be reproduced In whole or part, nor may any reference be made to the
workthe results, or the company in any advertising, news release, or other public anouncements without obtaining our prior written authorization. Copyright 1977.
Pam«
Pauric McGroary

Page 3 of 5
Report Number: 12-268-0549
Account Number: 46525
Send To: SYNAGRO CENTRAL LLC/LUMBERT N mom
Mary Brewer
284 BOGER RD
MOCKSVILLE NC 27028
A&L Eastern Laboratories
M1 Whbons Road Richmond Vlrpinia 23237 (M) 74MM Ftx (604) 2714M
Grower:
Submitted By: MATT HAYNES
DANNY SMITH Farm ID:
LUMBERTON PERMITTING
Samples): 1 Crop: Serrnudagrass
Apply dolomitic lime to raise pH and improve the magnesium level.
If dolomitic lime is not used, apply required magnesium with magnesium oxide. Epsom Saks, K-Mag or Sul-PO-Mag.
Sample(s) : 1,2 Crop: Bermudagrass
Apply additional 65 pounds of nitrogen after every cutting and harvest of hay.
Apply N on warm season grass only after late spring when grass starts growing.
Manganese level is low in soil, however, grass or legume need only small amounts of manganese to grow well and seldom show deficient in manganese. If the plant is
used for animal feed, manganese supplement may be added to prevent nutrient imbalance.
Manganese should be applied through foliar as needed during the growing season at the rate of 1.5 Ibs of elemental manganese per 30 gallon of water per acre.. (from
manganese sulfate, equivalent to 4-6 Ibs of material).
The recommended potash is the total pounds/acre needed to achieve the specified yield goal. Apply 1/2 or 1/3 (100-150 pounds) of the total at the first application in
spring or fall. Application of the remaining should be determined by the yield achieved after the first cutting and the moisture condition. If in drought condition and yield is
low the following applications should be reduced or eliminated.
Sample(s) : 3,4 Crop: Corn
For best results apply 20-40# P205 and 20-30# K20 as a side placement application. Subtract from the amount recommended above then broadcast the rest if any.
Sample(s) : 3,4,5 Crop: Corn
Manganese is not effective when broadcasted. For row crops, apply 4 to 6 pounds per acre in band near the crops. For non -row crops, apply 2 pound per acre foliar
when needed.
Apply dolomitic lime to raise pH and improve the magnesium level.
Boron recommendations are on a broadcast basis.
If dolomitic lime is not used, apply required magnesium with magnesium oxide. Epsom Salts, K-Mag or Sul-PO-Mag.
Manganese should be applied through foliar as needed during the growing season at the rate of 1.5 Ibs of elemental manganese per 30 gallon of water per acre.. (from
manganese sulfate, equivalent to 4-6 Ibs of material).
On com, reduce N application by 20-30 Ibs per acre if you have good yield on soybeans as previous crop.
Zinc should be side banded near the crops to be effective. Apply foliar for non -row crops.
'The recommendations are based on research data and experience, but NO GUARANTEE or WARRANTY expressed or implied, concerning crop performance is made."
Our reports and letters are for the exclusive and confidential use of our Gients„ and may not be reproduced in whole or part, nor may any reference be made to the
work,the results, or the company in any advertising, news release, or other. public anouncements without obtaining curprior written authorization. Copyright 1977.
Pauric McGroary

Report Number -A &L Eastern Laboratories, Inc.
12 268-0549 Page: 1 of 2 7621 whhaam® Road Richmond, virglnla 28237 (e04) 743-W1 Fax (am) 271-W6
Account Number. wwwAle tsm.com
46525
Send To: -SYNAGRO CENTRAL LLC/LUMBERTON
Mary Brewer
284 BOGER RD
Submitted By: MATT HAYNES
MOCKSVILLE , NC 27028
Purchase Order:.
Report Date: 9/26/2012
Client: LUMBERTON PERMITTING
Date Received : 9/24/2012
DANNY SMITH
REPORT OF ANALYSIS
Mercury
Molybdenum,
Extractable
MEHLICH 3 HG MEHLICH 3 MO
Lab No Sample ID,
ppm ,
Sample Date and Time
02933 1
< 0.400
0.670
02934 2
< 0.406
0.890
02935 3
< 0.400
0.680
02936 4
< 0.400
0.610
p ng
m�6 tow
Pauric McGroary
Sample results are reported 'as received' and are not moisture corrected unless noted

(/
Report Number A&L Eastem Laboratories, Inc.
12-268-0549 Page: 2 of 2 7W IMhld s Road Richmond, V1191nla 23237 W4) 74&WI Fax (M) 2714M
Account Number --
46525 wwwabast�esom
"Send To: SYNAGRO CENTRAL LLC/LUMBERTON
Mary Brewer
284 ROGER RD
MOCKSVILLE , NC 27028 Submitted By: MATT HAYNES
Purchase Order:
Report Date: 9/26/2012
Client: LUMBERTON PERMITTING Date Received: 9/24/2012
DANNY SMITH REPORT OF ANALYSIS
Mercury Molybdenum,
Extractable
MEHLICH 3 HG MEHLICH 3 MO
Lab No sample ID ppm
Sample Date and Time
02937 5 < 0.400 0.710
02938 t3 < 0.400 0.580
Method Reference:
Mehlich, A. 1984. Mehlich 3 soil teat extractant. Comm. Sal Sci. Plant Anal. 25:1409-1416.
Recommended Chemical Soil Test Procedures for the North Central Region. NCR Research Pub. No. 221
Revised.
USEPA, SW-846, Test Methods for Evaluating Solid, Wastes, Physical/Chemical Methods, 3rd Ed. Current
Revision
OF 6,ew
Pauric McGroary
Sample results are reported 'as received' and are not moisture corrected unless noted

SOIL DESCRIPTION SHEET
l� +
Project:: all%
Site: K o q Field:
,OWE SR
AG 0
A Raiduals Management Company
Landowner: i dei( y
Sample #: Slope: �1
Acres (gross): Acres (net): Crop: Z_- /I -
SOIL PROFILE DESCRIPTIONS
Horizon Depth
Texture
Color
Structure Mottles
PROFILE A T44 -- G _ d
_Z_
/0V sly
e .A -14
.4
? s;,e e.
tg
cz /d.-z
Depth to SHWT:
}yam
Depth & type of restrictive layer: >q
Soil Series: I,AK�c.A�
Horizon Depth
Texture
Color
Structure Mottles.
PROFILE B
Depth to SHWT:
Depth & type of restrictive layer:
Soil Series:
Notes:
Described By: Date: Z6 1144L
Le end
Texture
Structure Grade
Structure Type
�s Sand
9 Weak
-gr
Granular. abk
l Loam -
2 Moderate
pl
Platy sbk
si Silt
3 Strong
pr
Prismatic $g ,
c, Clay
cpr
Columnar m
Angular Blocky
Subangular Blocky .
Single Grained
Massive

,-"') SOIL DESCRIPTION SHEET
I )
I SYNAG 0
A Residuals Management Company
Project: Landowner: dlle/"-uY
Site: & � "7 Field: Z Sample #: Slope: _ /1
Acres (gross): Acres (net): Crop: 1-WY
SOIL PROFILE DESCRIPTIONS
Horizon Depth Texture Color Structure
Mottles
PROFILE A
Ile_ A"a" A !o w 40/�
� �p �� ► la rL � ; s4
_ (-L SGL 1e72 tZq -
f �5
Depth to SHWT:
Depth & type of restrictive layer:
Soil Series: IA4 l
Horizon Depth Texture Color Structure'
Mottles
PROFILE B
.
Depth to SHWT:
Depth & type of restrictive layer:
Soil Series:
Notes: k
V fe- .
Described By. • Date: 4 1
Legend
Texture"
Structure Grade Structure Type
s Sand
1 Weak gr Granular abk
Angular Blocky
Loam
2 Moderate pi Platy sbk
Subangular Blocky
si Silt
3 Strong pr Prismatic sg
Single Grained
c Clay
cpr Columnar m
Massive

` SOIL DESCRIPTION SHEET
1
Project:
OW
S"AGIRO
A Reriduah Management Company
Landowner:
Site: - 3 Field: _� Sample #: Slope: ,
Acres (gross): Acres (net): Crop:,►) �P7a�S
SOIL PROFILE DESCRIPTIONS
Horizon Depth Texture Color Structure Mottles
PROFILE A _ 0- —4LL Id W
Depth to SHWT: ZWg
Depth & type of restrictive layer:
Soil Series: P-L
Horizon
PROFILE B
Depth Texture
Depth to SHWT:
Depth & type of restrictive layer:
Soil Series:
Notes:
Le end
Texture
s Sand
Loam
si Silt
c Clay
Described By:
Color
Structure Mottles
Date:
Structure Grade
Structure Type
1 Weak
gr
Granular
abk
2 Moderate
pl
Platy
sbk
3 Strong
pr
Prismatic
sg
cpr
Columnar
m .
Angular Blocky
Subangular Blocky
Single Grained
Massive

A SYNAG 0
i f
SOIL DESCRIPTION SHEET A Residuals Management Company
� r
Project: / g„C7a.t Landowner: PIP &d3i&-74
Site: Field:_ Sample #: Slope:
Acres (gross): Acres (net): Crop: %low Mo l e
SOIL PROFILE DESCRIPTIONS
Horizon Depth, Texture Color . Structure
Mottles
PROFILE A,
/� d-y l� 10�2 y/y
Ar
Depth to SHWT:
Depth & type of restrictive layer: 41 $
Soil Series:
Horizon Depth Texture Color Structure
Mottles
PROFILE B
Depth to SHWT:
Depth & type of restrictive layer: _
Soil Series:
Notes:
-Described By: Date:
Legend
- Texture
Structure Grade Structure Type
s Sand
9 Weak gr Granular abk
Angular Blocky
1= I Loam
2 Moderate pl Platy sbk
Subangular Blocky
si Silt
3 Strong pr Prismatic sg
Single Grained
c Clay
cpr Columnar m ,
Massive,

SYNAG 0
SOIL DESCRIPTION SHEET A Residuals Management Company
Project: Landowner:/�.
Site: 20.71 Field: Sample #: Slope:
Acres (gross): Acres (net): Crop: 1��►ca �d�
Horizon
PROFILE A�
Utz
SOIL . PROFILE DESCRIPTIONS
Depth- Texture
6
Color Structure Mottles
!oY/L 14 1 Fs z
Depth to. SHWT: ? Yd
Depth & type of restrictive layer: y yS
!- Soil Series: L62F�►r.,C
Horizon Depth Texture Color Structure Mottles
PROFILE B
Depth to SHWT:
Depth & type of restrictive layer:
i
Soil Series:
Notes:
Described By.
Legend
Date:
Texture
Structure Grade
Structure Type
s Sand
9 Weak
gr
Granular abk
1 Loam
2 Moderate
pl
Platy sbk
si Silt
3 Strong
pr
Prismatic sg
c . Clay
I
cpr
Columnar m
Angular Blocky
Subangular Blocky
Single Grained
Massive

SOIL DESCRIPTION SHEET',
Project:
Site: 2n' 3Z Field:
1� SYNAG 0
A Residuals Management Company
Landowner: ,,9%9Ti�
Sample #:
Slope: ZI_
Acres (gross): Acres (net): Crop: ('- if _ 1,gwa 144Y
SOIL PROFILE DESCRIPTIONS
Horizon Depth Texture Color Structure Mottles
PROFILE A to D - D _( my,12 y �r
ly-2 _�b Y12 f Z4
�L 1' 1 1 I i Z.n Syt2 Sw
Depth to SHWT: ? $
Depth &.type of restrictive layer: }`fig
Soil Series:
Horizon Depth Texture
PROFILE B
0
Color . Structure Mottles
Depth to SHWT:
Depth & type of restrictive layer:
Soil Series:
Notes:
Described By: Date: 16 /11/1Z
Legend
Texture
Structure Grade
Structure DMe
s Sand-
1 Weak
gr
Granular abk
Angular Blocky
I Loam
2 Moderate
pl
Platy sbk
Subangular Blocky
si Silt
3 Strong
pr
Prismatic sg
Single Grained
c Clay
cpr
Columnar m ,
.Massive

SITE SUMMARY
City of Lumberton
WQ0000672
Site ID:
NC-RO-38
Owner:
Leroy Harris
Address:
588 Ashley Rd.
Red Springs, NC 28377
Phone:
910-843-2182
Operator: Ray Locklear
Address: 118 Vazquez Rd.
Shannon, NC 28386
Phone: [phone]
Estimated Robeson Co. Predominant Latitude &
Total Applicable RYE Soil Series Longitude
Fields Acres Acres Cron(sl PAN/ac./vr. .(man unit) (D.M.S)
coastal
Norfolk
34.45.41 N
1
11.6
11.6
299
bermudagrass
(NoA)
79.08.14 W
coastal
Norfolk
34.45.23 N
2
19.4
19.4
299
bermudagrass
(NoA)
79.08.14 W
TOTALS 31.0 31.0
Notes: Mickie Lockler also tends this site.
Date: 1119112

Vicinity Map
�Qe&
o 'A
�ryRd t e 5p
°� �a or J RdQa
Tv
Rd 1006
Sta{e N
dre
fate Rd.
CD
a
a
�e
o�
Q m in
�f ..
C Rd T
e
Q L.
CD r.CD
-
ar3�8 Rd 15.
ate
Meli
a .LP
46
St
.
s.pa
Dfa.
Q
d.
c R
to
'l1
�519 ine§ Dr �J
C1
a^ y
o
a -
Ow �s
d 4 ,�
'tea:.
Ab athy Dr w
o Cn M.:
�
.p o
nt
R
°�, U
{ate
a se
y `
a:
LO i fa
a
fate
�CLa�
c? s N
Rd
G
e.:
StatCII
.a
NC-RO-38
(all locations approximate) 1 inch=:7;500 feet:

Topographic Map
NC-RO-38 (all locations approximate) 1 inch = 1,000 feet

North Carolina Secretary_ of State
Page 1 of 1
North Carolina
lane F Marsall
EPART�b ENT OF THE
Secretary SECRETARYo5 STATE
PO Box 29622 Raleigh, NC 27626.0622 (919)807-21100
• Date: 1 /30/2013
I
Click here to
View Document Filings I File an Annual Report I
Print a pre=populated Annual Report Form I Amended A Previous Annual Report
Corporation Names
Name ., 'i '. Name Type
NC �RACHAD; INC. LEGAL
Business Corporation .Information
SOSID: i
0339443
Status:
Current -Active
Effective Date:
2/25/1994
Annual Report:Due Date:
Citizenship:; j;
DOMESTIC
State of Inc.: !' i :, I
NC
Duration:' j
PERPETUAL
Annual Report.Status:
CURRENT
RegisteredAgent
Agent Name:
HARRIS, LEROY JR
Office Address:
588-ASHLEY RD HWY 211
RED SPRINGS NC 28377-9582
Mailing Address:
588 ASHLEY RD HWY 211
RED SPRINGS NC 28377-9582
Principal Office : •
Office Address:
588 ASHLEY RD HWY 211
RED SPRINGS NC 28377-9582
Mailing Address:
588 ASHLEY RD HWY 211i
j ! ;
RED SPRINGS NC 28377-9582
Officers
I i
'
Title: � � '
PRESIDENT
Name: I'' '
� ,
LEROY HARRIS
Business Address:
588 ASHLEY RD HWY 211
RED SPRINGS NC 28377-9582
Stock '
Class ! ! I Shares No Par Value Par Value
COMMON.I '' i 100000 YES , I N/A
This website is provided to the public as a part of the Secretary of State Knowledge Base (SOSKB) system. Version:
4025
http://www!96sric.6om/corporations/Corp.aspx?PitemId=4865222 1/30/2013

North Carolina Secretary of State
Page 1 of 1
North Carolina
Elaine F. Marshall PARTMENT Ol= tHE
Secretary S'ECRETAR,YOF STATE
PO Box 29622 Paleigh, NC 276264622 (919)B07-200
Date..,; 1 /30/2013
Click here to:
View Document Filings I
Corporation Names
Name: Name Type
NC RACHAD, INC. I LEGAL
Limited Liability:Company Information
Status:
In Process
Effective Date:
Annual Report Due
Date:
Citizenship:
DOMESTIC
State of Inc.:
NC
Registered Agent
Agent Name: 1 !` i ! ,
HARRIS, LEROY JR
Office Address:.
588 ASHLEY RD HWY 211
RED SPRINGS NC 28377-
9582
Mailing Address: 588 ASHLEY RD HWY 211
RED SPRINGS NC 28377-
9582
Principal Office
Office Address:! ' 'i '' 588 ASHLEY RD HWY 211
' RED SPRINGS NC 28377-
9582
Mailing Address:, 588 ASHLEY RD HWY 211
RED SPRINGS NC 28377-
9582
Officers ,
This website is .provided to the public as a part of the Secretary of State Knowledge Base (SOSKB) system. Version:
4025
http://www'sosne'.com/corporations/Corp.aspx?Pitemld=8801142 1/30/2013

:,VCONNECTGIS

CONNECTGIS
mw "Itu HO'SiMr,
C.fin.ctGIS
C70,09 Various icons b3r -Sitk terns
-29L� Wt,4011, LLC

r•1 v .. • � f f j a i �r ,.. ,. w
.r •'4 _ •off,¢- �o f �` iti' �! 4�. ,, ; -ter~
v ,c
❑
It
L
_
y3
I ` � ` ® 'a. � 'fir • . . `•iy t
o t
i-
� M
y,
ice,= . " & • .� r RS Xw of ,
.�,`t't� �{� r �lt�f'`• ' �`,.rl J. 1
' -• ' i fit - �Q ';� : 's_ i.ri1W 1 ,d�JS�r � , r• //
• � - ���j i .,9�•r�h'.M:h`�l��J , i�� ��'' y� � �r' � 'rf 1. AJ� Yi..
t"t. f l f, , 3++ 1f."�- �i«`Sjt �-"�s.'� u!� '-'ti"'' ,�' •� 1,.
' -•- - �- - -- -- - • , .'__ .�- _`0�_4 ._� bra-`_�Y`�'` �C?'� •w_ .,_sr`�.ni _•�~--- -�-r"> a.
0 Pon
:Pro)
-RO=36

Soil Map
NC-RO-38 (all locations approximate) 9 inch = 1,000 feet

VM
Q�4F~/F9OG lc�k✓- Cl�cfi�ds, T State ofNorth Carolina
y ( Department of Environment and Natural Resources
Division of Water Quality.
> `= Q h'.
--1
LAND OWNER AGREEMENT.
a FORM: LOA 08-11
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted. the Applicant shall submit one original and two copies of the application and.
supporting documentation
For more information or for an electronic version of this form, visit the Land Application Unit (LAU)web site at;
http:/i grtal.ncdenr.or2hveb/wq/aps/!au
General — This document is an agreement between the Applicant and land owner(i) of residuals receiving .sites for land application of
Class B residuals (may include water treatment plant or other type -residuals) 'in accordance with 15A NCAC 02T .1100. Do not
submit this agreement for review without a corresponding application form (FORM: RLAP. 08-11).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.'
A. Land Owner Agreement (FORM: LOA 08-11):
❑ Submit the completed and appropriately executed Residuals Source Certification (FORM: LASC 08-11) form. Please do not
make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to the
application may be made, as long as the attachments aremumbered to correspond to the section and item to which they refer.
0 Prepare a separate agreement for each set of land application sites that are -owned or operated by -an entity other than the
Applicant.
❑ A copy of the completed and appropriately executed agreement must be provided to the landowner and the lesseeloperator.
AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND
The undersigned landowner" or his representative hereby permits:
Applicant's name: Cry dS u t^,y.., 4v- %
hereinafter referred to as the Permittee, to land apply residuals from the following facility(ies) onto the following land
application site(s) (i.e., see attached setback maps) in accordance with the stipulations and restrictions as given in this
Agreement:
Site/Field ID
Lease _
(yes/no):.
Land Use or
Cropping Patterns
Intended Use of Crops
Residuals.Source
(optional)(no-tiWover-seed/
Special note
pasture)
�' -3 -
w► '-
�pu9
wi-P 4-LOOTP
a-WvsT(I
The landowner or his representative .receives, in consideration, full use of the nutrient value of the applied residuals while the,
Permittee receives, in consideration, the use of the, land application site(s) described above for the disposal of the residuals.
r This Agreement shall remain in effect for the length of the Division's' permit for the residuals land application program and
Ak
shall be renewed each time this permit is renewed.
The undersigned landowner or his, representative and the Permittee agree to abide with the following restrictions and
stipulations until such time as written notification, given 30 calendar days in advance; modifies or cancels this Agreement.

Landowner's Certification: !
i I certify that I am a deeded landowner of the above -referenced land. application site(s) and am authorized to make decisions
regarding the use of the land application site(s) on behalf of other deeded landowners OR that I am otherwise authorized, through
!� a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the
y deeded landowners. I certify that the above -referenced land application site(s) are not included in any waste disposal contract or
agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement,
understand the stipulations, restrictions, alternatives for water supply wells inside the compliance boundary, acknowledgement of
field transfer, and do hereby grant permission to the Permittee to land apply residuals to the land application site(s) as specified
herein.
Landowner name�Ic : A
Address: Sp ' I�
City: !le_ State: AL Zip: -2 v
Phone: 7 L 0 PTY3 — d-- (Y' 2 E-mail address:
Signature: jvs= Date:
NORTH CAROLINA, ��) ��� COUNTY
I, the undersigned Notary Public do hereby certify that S S (initials: PA personally
appeared before me this day, anbeing duty sworn, p 6 T V
d, g y rn, stated that in his/her presence � G�,2/�i f signed
the attached document and acknowledged the due execution of the foregoing instrument.
WITNESS my hand and official seal this the l4 day of 120 l Z-
A 4, ,
Signature and seal: 7
� v
"~ My commission expires. D11
Lessee's/Operator's Certification:
I certify that I have readn Ag
!° LesseeJoperator name: UM
1 Address: C `e
City: R 1-1' ^
Phone:
Signature:
do hereby agree to abide by the stipulations and restrictions as specified herein.
r
Zip: J O ) 7 7
E-mail address:
Date:
L
Permittee's Certification:
I certify that I have read,4bkAgreeingnt and o ereby agree to abAde by the stipulations and restrictions as spe �led herein.
Signing official name:
-
Signature: ".. ' _ ��wc ' �a.`1-.-.� Date: t-$XO _ � I 1

Page I or z
Report Number: 12-268-0546.
Account Number: 46525
Send To: SYNAGRO CENTRAL, Li-C&UMBERTWa6astemmm
Mary Brewer
284 BOGER RD
MOCKSVILLE NC427028
Date Received: 09/24/2012 - Date Of Analysis: 09/2512012
A&L Eastem'Laboratories
74211 VMPApIne Road Rkt=ntvirgule 2W? (WqT43-W F#x(804)2114W
Grower: Submitted By: MATT HAYNES
RAY/MICKY LOCKLEAR Farm 10: Ak-)Zo
LUMBERTON PERMITTING
SOIL ANALYSIS REPORT Analytical Method(:):
Mehlich 3
Dote Of Report: 09/2612012 ,
sole Matta -0
�g�t'�j
4orus k'!
M iiih�i'Ii�
0
ti
"T'
Al
Id
V"
z'
-0,
4�.
C.
R'7�
L."
fp --
Pm
0-'
Re
�j,, -
� p
0
�-n'
1
177 VH
37 VL
59 M
438 M
10 VL
,02925
1.8 L 81
5.6
6.84
0.9
3.7
NC = 147
NC = 19
176 ,VH,
54 L
M
376 M
11 VL
02926
1.6 L. 77
152
1
5.3
6.82
1.1
3.8
NC = 147
NC = 28
�`� ;
P�resnt 8ss
Saturation
NitMcng
? Sulfur
4 u Zi
Manpatass
lion
1 Coppir; =
citron
-4"3olubi Saks
­N6
tl
T
k?� t! I ol!
'CIF
1
.
111 VH
4.6 H
11 M
119 VH
1.5 M
0.2 VL
.0.12 VL
2
13.3
59.2
1.2
23.2
.6
NC = 278
NC=115.0
NC=69
I
I NC = 75.0
1
1 1
1
2'
VH
H
VH
1.9 H
VL
0.09 VI -
1 3.8
12.0
52.2
1 11.3
3.1.2
192
14.8
116
.1142
1
10.2
1
F 1
1.
=2
NC 30
= 12
NC 0.0
=IM
NC 00
= 9
NC 5.0
Values on this report represent the plant available nutrients In the Explanation of symbols: % (percent), ppm (parts per million), lbs/A
soil. Rating after each value: VL (Very Low). L (Low), M (Medium), (pounds per acre), matern (milll-mhos per centimeter), meWICOU
H (High), VH (Very High). ENR - Estimated Nitrogen Release. (milli -equivalent per 100 grams). Conversions: porn x 2 - lbatA,
C.E.C. - Cation Exchange Capacity. Soluble Salts ms1cm x 640 m ppm.
This report applies to sample(s)(6sled. Samples are retained a'
nminnurn of t1drty ' days - aster testing. - by: powz.' PF &Wr
Analysis prepared by, A&L Eastern Laboratories, In;.
Pauric Mcr?roary

Page o 2
Report Number: 12 268.0546
Account Number: 46525
'Send To: SYNAGRO CENTRAL LLC/LUMB_ERTON asm
Mary Brewer
284 BOGER RD
MOCKSVILLE NC 27028
A&L Eastern► Laboratories
7621WhItIlne'RoadRichmond,Virpinisb23T 1604)743-9401 F4x(804)271046
Grower:
RAYIMICKY LOCKLEAR
LUMBERTON PERMITTING
Date Received: 09/24/2012
Date Of Report: 09/26/2012 SOIL FERTILITY RECOMMENDATIONS
Submitted By: MATT HAYNES
Farm ID: /{/C—r-o -3
x
,.;.Nffroptm
:.v a
� -h te'-
fP osphit �
tLl_. — `
u
� fi �-
Potas
4 —
,Ma aaallim
9.
r..
v 8ulfu r
.;�'=
- Sam a ID a
t z (rttend Croq w
:,
sYlatd
,
_
n.E3.
F-e
�;,n
pd
,..X.
j.
..�. g�.. ns;
k4
X•^
A
1
rc�
.. ,;1
i.. 1iF �.�'
lx »...✓ ,..,2.... y
�T-.::. _:.rFF, r.- ..
.l"�'+1.. . {'y... .� �._"°!-i .. ,, .y..iJA. ::. s"�^
.s s .,,,,. �.w•.
.•. '7 p.
:., .�� �.:r
k.. aZy_ i.
�Ib/Ar,«t.
q,
�.,..R,IbIA ..��
�•: `r':,�'
-..,Ib/ ,, .a
.?n'".�.
a ..,r.IWA
4_ 4'
Ib/A
r t.:>+}
� -`It/A;�
-", r_
,�, ,IWA ,•v
��',.�i'r.
liiw►;
Iti/A
�. rra,
::.Ib/A �,.,.
-f. .
1
Bermudagrass
5
0.8
50
0
434
21
0
0.7
0
0
-
Bermudagram
5
0.8
50
0
392
28
0
0.8'
•'
0
0
F72
Comments:;
Sample(e) : 1,2 Crop: Bermudagrass
Apply additional 65 pounds of nitrogen after every. cutting and harvest of hay.
Apply dolomitic lime to raise pH and improve the magnesium level.
Apply N on warm season grass only after late spring when grass starts growing.
If dolomitic lime is not used, apply required magnesium with magnesium oxide. Epsom Salts, K-Mag or Sul-PO-Mag.
Manganese level is low in soil, however, grass or legume need only small amounts of manganese to grow well and seldom show deficient in manganese. If the plant Is
used for animal feed, manganese supplement may be added to prevent nutrient imbalance.
Manganese should be applied through' foliar as needed during the growing season. at the rate of 1.5 Ibs of elemental manganese per 30 gallon of water per acre:. (from
manganese sulfate, equivalent to 4-6 Ibs of material).
The recommended potash is the total pounds/acre needed to achieve the specified yield goal. Apply 1/2 or 1/3 (100-150 pounds) of the total at the first application in
spring or fall. Application of the remaining should be determined by the yield achieved after the first cutting and the moisture condition. If in drought condition and yield Is
low the following applications should be reduced -or eliminated.
'The recommendations are based on research data and experience, but NO GUARANTEE or WARRANTY expressed or implied, concerning crop performance is made"
Our reports and letters are for the exclusive and confidential use of our clients,, and may not be reproduced in whole or part, nor may any reference be made to the
worKthe results, or the company in any advertising, news release, or other public anouncements without obtaining our prior written authorization. Copy right 1977.
Pow« . m° 69r
Pauric McGroery

Report Number A&L Eastern Laboratones, Inc.
12-268-0546 Page: 1 of 1 .7621 Wliltapin. Road Richmond, Virpmla 23237 (Ba) 7485101 Fax loop 27141441
Account Number
46525 vnrnKaNubm rarn
Send To: SYNAGRO CENTRAL LLC/LUMBERTON
Mary Brewer
284 BOGER RD
MOCKSVILLE , NC,27028 Submitted By ;MATT HAYNES
Purchase Order :
Report Date: 9/26/2012
Client: LUMBERTON PERMITTING Date Received: 9/24/2012
RAY/MICKY LOCKLEAR REPORT OFANALYSIS
Mercury 'Molybdenum,
- Extractable
MEHLICH 3 HG MEHUCH 3 MO
Lab No, Sample ID ppm
Sample Date and Time
02925 1 < 0.400 0.550
02926 2 < 0.400 0.630
Method Reference:
Mehlich, A. 1984. Mehlich 3 soil test extractant. Comm. Sal Sci. Plant Anal. 25:1409-1416.
Recommended Chemical Soil Test Procedures for the North Central Region. NCR Research Pub. No. 221
Revised.
USEPA, SW-846, Test Methods for Evaluating Solid Wastes, Physical/Chemical Methods; 3rd Ed. Current
Revision
Wr
Pauric McGroary
Sample results are reported 'as received' and are not moisture corrected unless noted

SOIL DESCRIPTION SHEET
Project: IVIA
Site: - 3°o Field:
SYNAG 0
A Residuals Management Company
Landowner:
Sample #: Slope: 4 t
Acres (gross): Acres (net): Crop:
SOIL PROFILE DESCRIPTIONS
H rizon Depth Texture- Color Structure
PROFILE Ay 4 /4 /oV r/y
_ld iR �/ 3
Depth to SHWT: ? Yg
Depth & type of restrictive layer: >Yg
Soil Series:_ Qxa—w
Mottles
Horizon Depth Texture Color Structure Mottles
PROFILE B
Depth to SHWT:
Depth & type of restrictive layer:
Soil Series:
Notes:
Described By: Date:
Legend
Texture
S. Sand
I Loam
si Silt
c Clay
Structure Grade
1 Weak
2 Moderate
3 Strong
Structure Tvae
gr
Granular
abk
pl '
Platy
sbk
pr
Prismatic
sg
cpr
. Columnar
m
Angular Blocky
Subangular Blocky
Single Grained
Massive

SYNAG 0
SOIL DESCRIPTION SHEET A Residuals Management Company
Project: g a iW Landowner:
Site: io - Field: Z Sample #: Slope: 1
Acres (gross): Acres (net): Crop: /I 4.4Y)
SOIL PROFILE DESCRIPTIONS
Horizon Depth Texture
PROFILE A h • e
v -(q ►�
PROFILE B
Notes:
Legend
Texture
' s Sand
I Loam
si Silt
c Clay
Color Structure
its y2 s/N
o ;t7 ell
Yle S
Depth to SHWT: 7Yo
Depth & type of restrictive layer: 7yg
Soil Series: ti%F6a
Horizon Depth Texture Color Structure
Depth to SHWT:
Depth & type of restrictive layer:
Soil Series:
Mottles
Mottles
Described By: Date: 10 LAI, �-
Structure Grade
1 Weak
2 Moderate
3 Strong
Structure Tvoe
gr
Granular
abk
pl
Platy
sbk
pr
Prismatic
sg
cpr
Columnar
m
Angular Blocky
Subangular Blocky
Single Grained
Massive

Site ID:
NC-RO-16
Owners:
See Notes below
Operator:
Ozzell Baker
Address:
2996 Evergreen Ch Rd
Pembroke, NC 28372,
Phone:
910-521-2714
Estimated,
Total Applicable
A..
SITE SUMMARY
City of Lumberton
W00000672
Robeson Co. Predominant Latitude &
RYE Soil Series Longitude
r.....Ie\ DAK11n#% rug 1m2n nnitl in_M-si
coastal
Rains
34.42.24 N
1
16.9 .
16.9
bermudagrass
194
(Ra)
79.07.40 W
Goldsboro
34.42.14 N
2
3.6
3.6
fescue
184
GoA)
79.07.37 W
coastal
Goldsboro
34.42.20 N
3
3.4
3.4
bermudagrass
299
(GoA)
79.07.33 W
4
3.6
3.6
coastal
194
Rains
34.42.17 N
bermudagrass
(Ra)
79.07.30 W
5
8.7
8:7
coastal
194
Rains
34.42.25 N
bermudagrass
(Ra)
79.07.23 W
Norfolk
34.42.17 N
6
14.8
14.8
fescue
161
NoA)
79.07.18 W
com
131
Norfolk
34.42.21 N
7
17.5
17.5
soybeans(fs/dc)
1641137'
(NoA)
79.07.12 W
wheat
125
coastal
Wagram
34.42.23 N
8
7.6
7.6
bemudagrass'
264
(WaB)
79.07.03 W
16
5.8
4.7
coastal
264
Wagram
34.42.53 N
bermudagrass
(WaB)
79.06.08 W
coastal
Wagram
34.42.57 N
1 y
8.9
6.7
bermudagrass
264
(WaB)
79.06.03 W
coastal
Wagram
34.42.47 N
18
13:6
12.8
bermudagrass
264
(WaB)
79.05.58 W
19
2.4
2.3
coastal
264
Wagram
3.4.42.37 N
.
bermudagrass
(WaB)
79.06.01 W
coastal
Norfolk
n 34.44.06 N
20
9.2
8.6
bermudagrass
299
(NoA)
79.07.49 W
21
38.1
25.0
coastal
264
Wagram
34.44.15 N
be►mudagrass
(WaB)
1 79.07.56 W
TOTALS 154.1 136.2
Notes: Fields 16-21 are currently pe►mitted.
Fields 1-8 owned by Ozzell Baker.
Fields 16-19 owned by Campen Farms.
Fields 20-21 owned by Thomas Maynor.
Date: 12113/12

�yg
0. !A
NC-RO-46*-YFields 1, 8 (all locations approximate) I inch 7,-500 feet :

_ Topographic Map
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NC-RO-16; Fields 1 _g (all locations approximate) 1 inch = 1,000 feet

�0� r9p State of North Carolina
�O G Department of Environment and Natural Resources
Division of Water Quality
LAND OWNER AGREEMENT
i FORM: LOA 08-11 .
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes mill help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted. the Applicant shall submit one orieinal and two conies of the application and
sunportins documentation
For more information or for an electronic version of thisforin, visit the Land Application Unit (LA L9 web site at.
hgp://portal.iicdenr.org/web/ii,q/ap Ilan
General — This document is an agreement between the Applicant and land owner(s) of residuals receiving sites for land application of
Class B residuals (may include water treatment plant or other type residuals) in accordance with 15A NCAC 02T .1100. Do not
submit this agreement for review without a corresponding application form (FORM: RLAP 08-11).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Land Owner Agreement (FORM: LOA 08-11):
❑ Submit the completed and appropriately executed Residuals Source Certification (FORM- LASC 08-11) form. Please do not
make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to the
application may be made, as long as the attachments are numbered to correspond to the section and item to which they refer.
❑ Prepare a separate agreement for each set of land application sites that are owned or operated by an entity other than the
Applicant.
❑ A copy of the completed and appropriately executed agreement must be provided to the landowner and the lessee/operator.
AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND
1
The undersigned landowner or his representative hereby permits:
Applicant's name:
hereinafter referred to as the Permittee, to land apply residuals from the following facility(ies) onto the following land
application site(s) (Le., see attached setback maps) in accordance with the stipulations and restrictions as given in this
Agreement:
Site/Field ID .
Lease
(yes/no)
Land Use or
Cropping Patterns
Intended Use of Crops
Residuals Source
(optional)-
Special note
(no-tiWover-seed/
Paste)
-
NG-R.o -1 - 3
„►„-�
G- - —S-
96MJA
G- - -
The landowner or his representative receives, in consideration, full use of the nutrient value of the applied residuals while the
Permittee receives, in consideration, the use of the land application site(s) described above for the disposal of the residuals.
This Agreement shall remain in effect for the length of the Division's permit for the residuals land application program and
shall be renewed each time this permit is renewed.
The undersigned landowner or his representative and the Permittee agree to abide with the following restrictions and
stipulations until such time as written notification,. given 30 calendar days in advance, modifies or cancels this Agreement.

L STIPULATIONS:
1. The landowner or his representative shall not enter into any additional residuals application contracts or agreements with another permitted
entity for the site(s) specified by this Agreement
2. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) to a third party, the landowner shall
be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement
3. The landowner or his representative shall adhere to the provisions of this Agreement until all of the site restrictions (under Section II) are met
4. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWQ, Land Application Unit,1636 Mail Service
Center, Raleigh, NC 27699-1636.
5. The Permittee must request and obtain a permit modification from the Division prior to a transfer of the land application site(s) to a new
landowner. In addition, the current landowner shall give a notice to the new landowner that gives full details of the residuals applied at the
land application site(s).
6. The Permittee has provided the landowner'or his representative with information and data concerning the residuals land application program,
including an analysis of constituents of the residuals, residuals application methods, schedules for typical cropping patterns, a description of
the equipment used by the Permittee.
7. The Permittee will provide the landowner or his representative with a copy of the residuals permit prior to commencement of any residuals
land application event and a copy of the results of each soil analysis.
8. If the soil pH of the land application site(s) is not maintained at 6.0 or greater, sufficient amounts of lime shall be applied to achieve a final
soil pH of at least 6.0, unless an agronomist provides information indicating that the pH of the soil, residuals and lime mixture is suitable for
the specified crop.
9. The landowner or his representative and the Permittee will agree on residuals application rates and schedules based on crop patterns, results of
soil samples, and the permitted application limits.
10. The landowner or his representative will provide the Permittee with information regarding the amount and analysis of other sources of
nutrients (e.g., fertilizer, unregulated animal waste, etc.) that have been applied to the land application site(s).
11. The landowner or his representative will inform the Permittee of any revisions or modifications to the intended use and cropping patterns for
the land application site(s) prior to each planting season to enable the Permittee to amend this Agreement and schedule residuals land
application events at appropriate periods.
12. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee, the landowner, or
his representative prior to and during a residuals land application event
13. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to; enter and
inspect any property, premises, or place on or related to the land application site(s) at any reasonable time for the purpose of determining
compliance with the permit; establish monitoring facilities on or near the land application site(s) as required by the permit; copy any records
that must be kept under the terns and conditions of the permit; take necessary leachate, surface water, groundwater, or soil samples during the
term of, and 12 months after termination of, this Agreement
IL RESTRICTIONS:
1. Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control public access to the land
application sites) during active use and for the 12-month period following a residuals land application event Such controls may include the
posting of signs that indicate the activities being conducted at the land application site(s).
2. Animals shall not be grazed on the land application site(s) for a 30-day period following a residuals land application event Land application
sites that are to be used for grazing shall have fencing that will be used to prevent access during these periods after such residuals land
application events.
3. Food crops, feed crops, and fiber crops shall not be harvested for a 30-day period following a residuals land application event
4. Food crops with harvested parts that touch the residualstsoil mixture and are totally above the land surface shall not be harvested for a 14-
month period following a residuals land application event.
5. Food crops with harvested parts below .the surface of the land shall not be harvested for a 20-month period following a residuals land
application event when the residuals remain on the land surface for four months or longer prior to incorporation into the soil.
6. Food crops with harvested parts below the surface of the land shall not be harvested for a 38-month period following a residuals land
application event when the residuals remain on the land surface for less than four months prior to incorporation into the soil.
7. Turf grown on land where residuals are applied shall not be harvested for a 12-month period following a residuals land application event.
I LALTERNATIVES FOR WATER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY: (please check one)
15A NCAC 02L .0107(d) prohibits water supply wells within the compliance boundary. However, 15A NCAC 02T .010i-Cm allows the
compliance boundary to be placed closer to the waste disposal area, such that the water supply well is situated outside of the compliance
boundary provided the groundwater standards can be met at the newly -established compliance boundary. Please mark one of the following;
❑ A re -defined compliance boundary is needed for field(s) ID:
(Please include the rationale for the requested re -location of the compliance boundary and attach a map showing the newly proposed
compliance boundary to the application package)
XA re -defined compliance boundary is not needed for this site.
TV. ACKNOWLEDGEMENT OF FIELD TRANSFER: (if needed)
❑ The land application field(s) ID: is currently permitted under another
® residuals land application program; Permit Number WQ: The land owner hereby acknowledge that by signing this
agreement, he/she is requesting that the field(s) be removed from the previously permitted residuals land application program and transferred
into the new program;
(Name of the new program)

Landowner's Certification:
I certify that I am a deeded landowner of the above -referenced land application site(s) and am authorized to make decisions
regarding the use of the land application site(s) on behalf of other deeded landowners OR that I am otherwise authorized, through
a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the
deeded landowners. I certify that the above -referenced land application site(s) are not included in any waste disposal contract or
agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement,
understand the stipulations, restrictions, alternatives for water supply wells inside the compliance boundary, acknowledgement of
field transfer, and do hereby grant permission to the Permittee to land apply residuals to the land application site(s) as specified
herein.
Landown
Address:
City: State: 21,
Phone: ..1 E-mail address: /
Signature: Date:
NORTH CAROLINA, ' nA ✓ (d COUNTY
I, the undersigned Notary Public do hereby certify that Mj�L IIAYnl C( (initials: YO ) personally
appeared before me this day, and, being duly sworn, stated that in his/her presence 6 -,?Cu_ & ---C%Z signed
the attached document and acknowledged the due execution of the foregoing instrument.
WITNESS my hand and se
al eal this the � �� day of �Sn
D '1 A S� 20 ! 2-
Signature and seal: '
My commission expires: 63
DAVIE COUNTY
8M OF ATH CAFMINA
Lessee's/Operator's Certification:
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Lesseeloperatorname: KS e__�dy_k_
Address:
City: _
Phone:
State:
E-mail
Signature: Date:
Permittee's Certification:
Zip:
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Signing official name: f) i
Signature: -vet Date: l Z- 1 ► Z
` j

l -
Page . = ; 6
Report Number: 12-268-0550
Account Number: 46525 99
Send To: SYNAGRO CENTRAL LLC/LUMBERT
Mary Brewer
284 BOGER RD
MOCKSVILLE NC 27028
no+. o.,•.t....t• 11010AI r119 note IN Analwola- oA125/2e12
A&L Eastem Laboratories
7621 Whbpin*Road Richmond, Virginle bW (WI743.9401 Fax ISM) 2714446
Grower: Submitted By: MATT HAYNES
02ZELL BAKER Farm ID`-�O�i (p
LUMBERTON PERMITTING
SOIL ANALYSIS REPORT Analytical Method(s):
Mehlich 3
Data Of Reeart:' 09/262012
,. _ y.
': ._'f
_
i.,:. + - J::.« ,:. .,_:. 3;,.y
Orpanfc Hefter ,,
i:. ... .. ; .:..:,: 'w2.'U '� :1.
< "Phaaphorus > w-
i- .� ^.t;. '_ _•'1. ri�
P.otasafum�5
� J.M.P
trrlagneslum
-
Caicfum� J^
-
$r x 8odtum
C ;,. _ iM
E .:pHh `
Acidity
-
C C r�
_
M.hlkha x Rwn►+'r
K
Md
=, Ca
t Na
Soft t3affe�
n H
YT r;
FbId:ID r N
Numbern,F
_Rate
? :•
Bete
.z>.0 v y
x
Rat
�arRate
Rite:;
pH`> de><
,r,,:,..
m
<'Rate: ,;
_ppm ��:>Rate
ptii ,«
ppm;'
pm
amtiq/1o0g
1
02939
2.7 M 85
147 VH
45 VL
111 H
867- H
11 VL
SA
6.88
0.5
6.0
NC = 122
NC = 23
2
82 H
142 H
'226 H
846 , M
17 VL
6.1
6.83
1.0
7.6
02941
3.9 M 117
NC=68
NC=73
1
1
-
3
02942
21 L 85
148 VH
100 H
73 M
469 L
14 VL
5.2
6.76
1.7
5.0
NC=123
NC=51
4
02943
4.9 M 137
85 H
67 L
198 H
814 M
13 VL.
6.72
2.1
8.0
NC=54
NC=34
E57
5
65 H
198 VH
135 M
972 M
6.76
1.7
8.3
02944
4.1 M 120
112'VL
NC=54
NC=101
Perclutt,Bas�
""
Saturation
Nitrate rr
SuNur-
' ZNid a
TiAe atte
n9
`='Iron
Co r
pPe
f3otron
8oluble t311db
- ChloMde
Alurttfnum
:.
-
t
,
�-Fe�
Fiel .ID
x
f
s.
,,
Rite
zv_` k
R`eb
Reb
f�ri� .�
i
:.Bete
ppin `
rru�/cmr Rete
✓ 'Bete
` Ppm
a1 .
ppm .,Reid
ppm t•'Rate
ppm
ppm
ppm
PPm� r,
,Bete
pPn!'
l
1
89 VH
2.7 M
6 L
203 VH
0.8 L
0.3 VL
0.08 VL
1.9
15.4
72.3
0.8
8.9
NC = 223
NC = 67.5
NC = 38
NC = 40.0
2
100-- VH
1.5 L
3 VL
171 VH
0,9. M
0.3 VL
VL
4.8
24.8
55.7
1.0
13.7
NC = 250
NC = 37.5
NC =19
1 NC = 45.0
10.09
3
146 VH
2.8 M
8 L
137 VH
0.9 M
0.2 VL
0.19 VL
5.1
12.2
48.9
1.2
33.9
NC=365
NC=70.0
NC=38
NC=45.0
4
108 VH
7.6 H
3 VL
185 VH
1.0 M
0.3 VL
0.13 VL
2.1
20.8
50.9
0.7
25.8
NC = 270 i„_.N�==1'9Dt
NC =19
N�'= 5Q;U3
-
E
5
107 VH
2.1 L
3 VL
103 VH
0.8 L
0.2 VL
0.2 VL
8.1
13.8
58.8
0.6
21.1
NC=268
NC=52.5
NC=19
NC=40.0
1
Values on this report represent the plant available nutrients in the Explanation of symbols: % (percent), ppm (parts per million), Ibs/A Title report applies to samples) tested. Samples are retained a
soil. Rating after each value: VL (Very Low), L (Low), M (Medium), (pounds per acre), ma/cm (milli -mhos per centimeter), megr100g maximum of thirty days alter tenting. by
H (High), VH (Very High). ENR - Estimated Nitrogen Release. (milli -equivalent per 100 prams). Conversions: ppm x 2 - Ibs/A Analysis prepay by. ARL Eastern Laboratories, Inc.
C.E.C. - Cation Exchange Capacity. Soluble Safts mslcm x 640 - ppm.
Paun_c�McGroary

Pag .','6
Report Number: 12 268-0550
Account Number: 46525
�wlest<tgtecorn
Send To: SYNAGRO CENTRAL LLC/LUMBERToN
Mary Brewer
284 BOGER RD
MOCKSVILLE NC 27028
natty Rawalvad- 09/2A/2012
nate Of Anetvala! 0925/2012
A&L Eastern Laboratories
Ml Whibpine koad Rkhmond Miginb?3bT (904) i43*M Fax (MQ 271440
Grower: Submitted By: MATT HAYNES
OZZELL BAKER Farm ID: N6-PD-11a
LUMBERTON PERMITTING
SOIL ANALYSIS REPORT Ans"cal Method(•):
Mehlich 3
Date Of Renort: 09/262012
aA iENR
1Malitieh
,...
RrurwNr
ro
K�
M c�;r,•
y Ca, ;°M
:Na
Sop;.. Buffer
l Hxr
Fblii:ID :
Numbar
G-:Rate --
IbNM
>:u:
7`a
Rate
Kati
Rab'
PH,._ Index
megllDOg
Imeq/100gy
m :Refs
,PRm' Rate
. _ :..
.pPe
_m
Ppn!:
ppm
}pPm,'-
6
144 VH
147 H
221 H
880 M
13 VL
02M
2.7 M 93
6.2
6.84
0.9
7.5
NC = 120
NC = 75
7
255 VH
54 L
42 M
360 M
•11 'VL
02946
1.6 L 78
5.7
6.87
0.6 -
3.0
NC=212
NC=28
8
10 H
90 M
123 H
579 M
14 VL
02947
2.9 M 100
5.5
6.78
1.5
5.7
NC = 89
NC = 46
r
....}-,'....,..
Pere Ila
_•n; .,
Bap
rv.,•t,^' , 4:. .
s
t3aturriHon ,�
Y ,. �.r
s r
,�
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r t
F ...:::
2ktC
.: -`_
Manpanew.
t -w`r .. .n
f `+
�,
..f
r z U
xs G`'• --
Sore n-"•`
>solutik 8aks�
N ,
Chloride
-
••11
Alumin m
Lr1 F u n
Bempls ID,,; 4 y
,_ .. •, . ,
r 4�.,r
c , �. l ,
h . .,S.e �aa� .ca
_i,.•t
t-� :,,.
,,_.w.,
.�. :x, c J,�
,Nitrate ,
M „ �...
,. "'M. ,.
•,8uifiu
..,..ixY .,nr
.�: . rre;.r� .,,?
rr:.;
,.a24 (�` -
_
j - 4
W, "�,.
#' t r,�ll. �•
,2
y Mi'
i. -.Fay"""o-.
i•- r adaY .,
( 1 ry
y .,(�, 4~iuh �. S
J hY W.:`b
.r � ivi
1'y�
Y 1 2
g rif
Fleid�ID x
a„y. ,w2 1�,a
�
•_•. i. err
9ir<
::... ,i .,
r..,..r w .c„
v_nC -...;;
cv_.�
y- t.�.
-.r.
`pfm Rath
.N:e
Rst
f r_
Rate
f
:ppm Rafe
.•^.8Z
mslcm Ftate
_
'ppm ;Kale
l �4 -
�.'
„
�L
m rRab
ppm -Kale
ppm -;?T. Rate
;ppm
ppm
°ppm
6
107 VH
1.8 L
12 M
155 VH
1.1 M
0.2 VL
0.09 VL
5.0
24.6
57.3
0.8
12.1
NC = 268
NC = 45.0
NC = 75
NC = 55.0
7
109 VH
2,3 M
9 L
147 VH
1.1 M
0.1 VL
0.06 VL
4.8
11.7
60.0
1.8
20,8
NC = 273
NC = 57.6
NC = 56
NC = 55.0
8
118 VH
1.7 L
4 L
210 VH
1.0 M
0.2 VL
VL
4.0
18.0
50.8
1.1
25.8
10.06
NC = 295
NC = 42.5
NC = 25
NC = 50.0
,
Values on this report represent the plant available nutrients In the Explanation of symbols: % (percent), ppm (parts per million), Iba(A
soil. Rating after each value: VL (Very Low), L (Low), M (Medium), (pounds.per acre), ma/cm (milli -mhos per centimeter), megl1009
H (High), VH (Very High). ENR•- Estimated Nitrogen Release. (milli -equivalent per 100 grams). Conversions: ppm x 2 = IbslA;
C.E.C. - Cation Exchange Capacity. Soluble Sake malcm x 640 - ppm.
This report applies ♦o sample(e) tested. Samples are retained a
maximum of thirty days alter testing.
Ana"Is prepared by: A&L Eastern Laboratories, Inc.
by: ?Awes or 6'rW /
Pauric McGroary

Pag LI
Report Number: 12-268-0550
Account Number: 46525
Send To: SYNAGRO CENTRAL LLC/LUMBERT6rkAst1=0M
Mary Brewer
284 BOGER RD
MOCKSVILLE.NC 27028
0
A &L Eastern .Laboratories
Mi Whftspins Road Richmond, Virginita 23237 (ftoli 743,301 fax W1) 2714M
Grower: Submitted By: MATT HAYNES
02ZELL BAKER Farm ID: lVe, -Ito-lip
LUMBERTON PERMITTING
Date Received: 09/24/2012
nafa of Rannrli. 61319aM12 SOIL FERTILITY RECOMMENDATIONS
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Ib/AIhIA
.{
1b/A ¢
Ib/A
1
Bermudagrass
5
0.0
50
0
442
0
0
1.7
_ ••
0
0
0
2
Hay
4
0.8
50
30
100
0
0
2.5'
••
0
0 •
0.
3
Bermudagrass
5
1.3
, 5O
0
298
7
0
1.6
'•
0
0-
4
Bermudagrass
5
1.5
50
30
413
0
0
0
••
0
0
0
5
Bermudagrass
5
1.0
50
30
102
0
0
2.0
••
0
0
Comments:
'The recommendations are based on research data and experience, but NO GUARANTEE or WARRANTY expressed or implied, concerning crop performance is made."
Our reports and letters are for the exclusive and confidential use of our clients„ and may not be reproduced In whole or part, nor may any reference be made to the
workthe results, or the company In any advertising, news release, or other public anouncements without obtaining our prior written authorization. Copyright 1977.
Pauric McGroary
r

Pag- 6
Report Number: 12-268-0550
Account Number: 46525
Send To: SYNAGRO CENTRAL LI-C&UMBERArls"m-com
Mary Brewer
284 BOGER RD
MOCKSVILLE NC 27028
C
A &L. Eastern Laboratories
Mi Whhpfn# Road RkhMand, V]Nlnli 23237 (804) 74350 Fax (SH) 271440
Grower: Submitted By: MATT HAYNES
OZZELL BAKER Farm ID: [V ao —Ile
LUMBERTON PERMITTING
Date Received: 09/24/2012
Date Of Report: 09/26/2012 SOIL FERTILITY RECOMMENDATIONS
9
-5 4:P"
�MlNitro
-
en
Boron
y7 �� , ,�
- - -
'y kldvio�
- 061
A 171.1 �". .1
1
'R
, 1, 1 ­.,
.�;3 CUM,
A -a-, w,;p
W,
b1A
Fur
I
6
Fescue Hay
4
0.0
50
0
173
0
0
2.1
i
0
0
0
7
Corn
125
0.8
137
0
111
38
0
2.2
0
0
1.2
8
7
Bermudagrass
5
1.0
50
0
330
0
0
2.2
0
0
Comments: -
'The recommendations are based on research
arch data and experience, but NO GUARANTEE or WARRANTY express6d or implied, concerning crop performance is made:'
Our reports and letters are for the. exclusive ' and confidential use of our clients,, and may not be reproduced In whole or part, nor may any reference be made to the
work,the results, or the company In any advertising, news release, or other public anouncements without obtaining our prior written authorization. Copy right 1977.
69wr
Pauric McGroary

Pa
Report Number: 12-268-0550 A&L" Eastern Lafboratofies
Account Number: 46525
7621 WhlOe0na Road Rkhmond, Vlrglnla 23237 (t161) 7434401 Fax (e04) 371di44tl .
Send To: SYNAGRO CENTRAL LLC/LUMBERT hn.com tBy:
� Grower: Submitted MATT HAYNES
Mary Brewer HELL BAKER Farm ID: NC_e-o-jlp
284 BOGER RD LUMBERTON PERMITTING
MOCKSVILLE NC 27028
Sample(s) : 1,3,4 Crop: Bermudagrass
The recommended potash. is the total pounds/acre needed to achieve the specified yield goal. Apply 1/2 or 1 /3 (100-150 pounds) of the total at the first application in
spring or fail. Application of the remaining should be determined by the yield achieved after the first cutting and the moisture condition. If in drought condition and yield is
low the following applications should be reducedor eliminated.
Sample(s) : 1,3,4,5 Crop: Bermudagrase
Apply additional 65 pounds of nitrogen after every cutting and harvest of hay.
Apply N on warm season grass only after late spring when grass starts growing.
Manganese level is lour in soil, however, grass.or legume need only small amounts of manganese to grow well and seldom show deficient in manganese. If the plant is
used for animal feed, manganese supplement may be,added to prevent nutrient imbalance.
Manganese should be applied through foliar as needed during the.growing season at the rate of 1.5 lbs of elemental manganese per 30 gallon of water per acre.. (from
manganese sulfate, equivalent to 4-6 Ibs of material).
Sample(s) : 3 Crop: Bemtudagrass
Apply dolomitic lime to raise pH and improve the magnesium level.
If dolomitic lime is not used, apply required magnesium with magnesium oxide. Epsom Salts, K-Mag or Sul-POWag.
Sample(s) : 2 Crop: Hay.
Apply additional 50 pounds of nitrogen after every cutting and harvest of hay.
Manganese level is low in soil, however, grass or legume need only small amounts of manganese to grow well and seldom show deficient in manganese. If the plant is
used for animal feed, manganese supplement may be added to prevent nutrient imbalance.
Manganese should be applied through foliar as needed during the growing season at the rate of 1.5 Ibs of elemental manganese per 30 gallon of water per acre.. (from
manganese sulfate, equivalent to 4-6 Ibs of material).
'The recommendations are based on research data and experience, but NO GUARANTEE or WARRANTY expressed or implied, concerning crop performance is made:'
Our reports and letters are for the exclusive and confidential use of our clients„ and may not be reproduced in whole or part, nor may any reference be made to the PAwr�
work,the results, orthe company in any advertising, news release, or other public anouncements without obtaining our priorwritten authorization. Copy right 1977.
Pauric McGroary
J I 1

PagtL_,_,'5
Report Number: 12-268-0550
Account Number: 46525 AL
Send To: SYNAGRO CENTRAL LLC/LUMBERT leasbm.com
Mary Brewer
284 BOGER RD
MOCKSVILLE NC 27028
A&L Eastern Laboratories
7821Whbpin@Road Riehmond,Virglnla23237 (Wg743401 Fax[phone]M
Grower: Submitted By- MATT HAYNES
OZZELL BAKER Farm ID: flee'- Izo —(to
LUMBERTON PERMITTING
Sample(s) : 8 Crop: Bermudagrass
Apply.additional 65 pounds of nitrogen after every cutting and harvest of hay.
Apply N on warm season grass only after late spring when grass starts growing.
Manganese level -is low in soil, however, grass or legume need only small amounts of manganese to grow well and seldom show deficient in manganese. If the plant Is
used for animal feed, manganese supplement may be added to prevent nutrient imbalance.
Manganese should be applied through foliar as -needed during the growing season at the rate of 1.5 Ibs of elemental manganese per 30 gallon of water per acre.. (from
manganese sulfate, equivalent to 4-6 Ibs of material).
The recommended potash is the total poundstacre needed to achieve the specified yield goal. Apply 1/2 or 1/3 (100-150 pounds) of the total at the first application in
spring or fall. Application of the remaining should be determined by the yield achieved after the first cutting and the moisture condition. If in drought condition and yield is
low the following applications should be reduced or eliminated.
Samples): 7 Crop: Corn
•' Manganese is not effective when broadcasted. For row crops, apply 4 to 6 pounds per acre in band near the crops. For non -row crops, apply 2 pound per acre foliar
when needed.
Apply dolomitic lime to raise pH and improve the magnesium level.
Boron recommendations are on a broadcast basis.
If dolomitic lime is not used, apply required magnesium with magnesium oxide. Epsom Safts, K-Meg or Sul-PO-Mag.
Manganese should be applied through foliar as needed during the growing season at the rate of 1.5 Ibs of elemental manganese per 30 gallon of water per acre.. (from
manganese sulfate, equivalent to 4-6 Ibs of material).
Zinc should be side banded near the crops to be effective. Apply foliar for non -row crops.
Samples): 6 Crop: Fescue Hay
Apply additional 50 pounds of nitrogen after every cutting and harvest of hay.
Manganese level is low In soil, however, grass or legume need only small amounts of manganese to grow well and seldom show deficient in manganese. If the plant Is
used for animal feed, manganese supplement may be added to prevent nutrient imbalance.
Manganese should be applied through foliar as needed during the growing season at the rate of 1.5 Ibs of elemental manganese per 30 gallon of water per acre.. (from
manganese sulfate, equivalent to 4-6 Ibs of material).
'The recommendations are based on research data and experience, but NO GUARANTEE or WARRANTY expressed or implied, concerning crop performance is made."
Our reports and letters are for the exclusive and confidential use of our clients„ Q and may not be reproduced in whole or part, nor may any reference be made to the par!. and
work,the results, or the company in any advertising, news release, or other public anouncementa without obtaining our prior written authorization. Copy right 1977.
Pauric McGmary
I

Report Number A&L Eastern Laboratories, Inc.
12-268-0550 Page: 1 of 3 7621 Whftpina Road Rlchmond, Virginia 2323T (W4) 743 9401 FV [phone]
Account Number vvrwvab>wabmx�
46525
Send To: SYNAGRO CENTRAL LLC/LUMBERTON
Mary Brewer
284 BOGER RD
MOCKSVILLE , NC 27028 � Submitted ey :MATT HAYNES
Purchase Order:
Report Date: 9/26/2012
Client: LUMBERTON PERMITTING Date Received : 9/24/2012
OZZELL BAKER REPORT OF ANALYSIS
Lab No
Sample ID
Sample Date and Time
02939
1
02941
2
02942.
3
02943
4
Mercury Molybdenum,
Extractable
MEHLICH 3 HG MEHLICH 3 MO
ppm
< 0.400
0.580
< 0.400
0.870 .
< 0.400
1.02
< 0.400
0.870
P �G me 6'Ow r/
Pauric McGroary
ample results are reported as received' and are not'moisture corrected ui, lOted

Report Number
A&L Eastern Laboratories, Inc.
12-268-0550 Page: 2 of 3
7621 Whltopine Road Richmond, Virginia 23237 (a04) 7434401 Fax (804) 271-UM
,Account Number
wkntern�om
46525
Send Tor SYNAGRO CENTRAL LLC/LUMBERTON
Mary Brewer
`
284 BOGER RD
Submitted By :MATT HAYNES
MOCKSVILLE , NC 2702g
Purchase Order:
Report Date: 9/26/2012
Client: LUMBERTON PERMITTING
Date Received : 9/24/2012
OZZELL BAKER
REPORT OF ANALYSIS
Mercury
Molybdenum,
Extractable
MEHLICH 3 HG MEHLICH 3 MO
Lab No Sample ID
ppm
Sample Date and Time
-.
02944 5
< 0.400
1.05
02945 6
< 0.400
0.880
02946 7
< 0.400
0.840
02947 8
< 0.400
0.930
611wr
Pauric McGroary
C
ample results are reported 'as received' and are not moisture corrected ui -J
ted

l
SY
N G130
SOIL DESCRIPTION SHEET A Raiduals Management Company'
Project: _ _(,-fAsYtr44 Landowner:_=i��
Site: _rrp Field: l Sample #: Slope: -
Acres (gross): Acres (net): Crop: Ca t.)
SOIL PROFILE. DESCRIPTIONS
Horizon Depth Texture Color Structure
Mottles
PROFILE A
l _ b" 1 w 9- ?A,
`
10 lfs/L. �t
Depth to SHWT:
Depth & type of restrictive layer: y4�
Soil Series:
Horizon Depth Texture Color Structure
Mottles
PROFILE B
Depth to SHWT:
,Depth & type of restrictive layer:
Soil Series:
Notes:
Described By: Date: o 3l i Z
Legend.
Texture
Structure Grade Structure Type
s Sand
1 Weak gr : Granular abk
Angular Blocky
l Loam
2 Moderate pi Platy sbk
Subangular Blocky
si Silt
3 Strong. pr Prismatic' sg
Single Grained
c Clay
cpr Columnar m
Massive
t

SOIL DESCRIPTION SHEET
Project: Cc�n�/�d12-a•1
Site: Field: L
'1�YNAG 0
R_
A Residuals Management Company.
Landowner: A d[cve
Sample #: Slope:_
Acres (gross): Acres (net): Crop: c.�riP
SOIL PROFILE.' DESCRIPTIONS
Horizon
Depth
Texture.
Color Structure Mottles
PROFILE A
/dYgf
Depth to SHWT: L
Depth & type of restrictive layer: SYg
Soil Series: /.e�ot/fcito
Horizon Depth Texture Color Structure Mottles
PROFILE B
Depth to SHWT:
Depth & type of restrictive layer:
Soil Series:
Notes:
Described By:
,Legend
Date: Ar Z-
Texture
Structure Grade
Structure Type
s Sand
1 Weak
gr
Granular abk
I , Loam
2 Moderate
pl
Platy sbk
si Silt
3 Strong
pr
Prismatic sg
c Clay
cpr
Columnar m
Angular Blocky
Subangular Blocky
Single Grained
Massive

SOIL DESCRIPTION SHEET
Project: L t1M/7r�ZuJ
1 S"AGPID,
A Residuals Management Company
Landowner:' - D. ��¢rc6Yc-'-
Site: b-
Field:
Sample M
Slope: C-1
Acres (gross):
Acres (net):
Crop:
1- Ar.
SOIL PROFILE DESCRIPTIONS
Horizon. - Depth
PROFILE A 9
Texture Color Structure
1 s v Ye-'—
f�� oy2 s
•► /aft � ct
Mottles
Depth to SHWT: 31
Depth & type of restrictive layer:
>
\
Soil Series: ty6�tAI419
Horizon Depth Texture Color Structure
Mottles
PROFILE. B
Depth to SHWT:
Depth & type of restrictive layer:
Soil Series:
Notes:
ghNjeff T'
Described By: -
Date: 114
Le end
Texture
Structure Grade
Structure Type
1
s Sand
1 Weak gr
Granular abk
Angular Blocky
1 Loam
2 Moderate pl
Platy sbk
Subangular Blocky
si Silt
3 Strong pr
Prismatic sg
Single Grained
c Clay
cpr
Columnar m
Massive

SOIL DESCRIPTION SHEET
Project: `a&4991 •J
SYNAG 0
A Residuals Management Company
Landowner: 1 el%ayt
Site:
Field: �_
Sample #:
Slope: <t
Acres (gross):
Acres (net):
Crop:
e-. R-*?Mv04-- e014f' )
SOIL PROFILE DESCRIPTIONS
Horizon Depth Texture Color Structure Mottles
PROFILE A �1 0-0 if; Y/9 t t 'sue
21 -q6 to jew f14
Depth to SHWT:
Depth & type of restrictive layer:
Soil Series:
Horizon Depth Texture
PROFILE B
Notes:
Depth to SHWT:
Depth & type of restrictive layer:
Soil Series:
Described By:
Legend
Texture Structure Grade
s Sand 9 Weak
Loam 2 Moderate
si Silt 3 Strong
c Clay
Color Structure Mottles
Date: 1 L
Structure Tvoe
gr
Granular
abk
pl
Platy
sbk
pr
Prismatic
sg
cpr
Columnar
m
Angular Blocky
Subangular Blocky
Single Grained
Massive

SYNAGRO
SOIL DESCRIPTION SHEET A Reriduals Manager Company
Project: _ Q,z....J Landowner:
Site: - Field: _ Sample #:
Slope: < /
Acres (gross): Acres (net): Crop: e-4- <4I �,,fOr
Horizon
PROFILE A�
T
SOIL PROFILE DESCRIPTIONS
Depth Texture Color Structure
a- _ -_
'7 s« 'rZ
l 3 -i z. � • is Y� � Z ,.
Depth to SHWT:
Depth & type of restrictive layer: > yJ
Soil Series: A^J r
Mottles
�taJ /o Pie r/e,
Horizon Depth Texture Color Structure Mottles
PROFILE B
Depth to SHWT:
Depth & type of restrictive layer:
Soil Series:
Notes:
Described By.Date:
Legend
Texture
s Sand
1
I Loam
si Silt
c Clay
Structure Grade
1 Weak
2 Moderate
3 Strong
Structure Tvpe
gr
Granular
abk
pl
Platy
sbk
pr
Prismatic
sg
cpr
Columnar
m
Angular Blocky
Subangular Blocky
Single Grained
Massive

`�r'YNAG 0
SOIL DESCRIPTION SHEET A Residuals Management Company
Project: L-ur,74w,?;Landowner: 62.2-a .
Site: 0&- lCa Field: Sample #: Slope:
Acres (gross): Acres (net): Crop: Cam � %
4 -
SOIL PROFILE DESCRIPTIONS
Horizon Depth Texture
PROFILE A
Color
:r/V
Structure
Mottles
� Y S
Y2 s 'G
of 7 y - Yb `'
'OV1 r e,
e4ol oiol /s
Depth to SHWT: ` >
Depth & type of restrictive layer: >V
Soil Series: PJ�r jje
Horizon Depth Texture
Color
Structure
Mottles
PROFILE B
Depth to SHWT:
Depth & type of restrictive layer:
Soil Series:
Notes:
Described By: Date: o /
Legend
Texture
Structure Grade
Structure Type
(� r s Sand
9 Weak
gr
Granular abk
Angular Blocky
l 'Loam
2 Moderate
ply.
Platy sbk
Subangular Blocky
si Silt
3 Strong
pr
Prismatic sg
Single Grained
c Clay
cpr
Columnar m
Massive
0

SOIL DESCRIPTION SHEET
SYNAGPNO.
A Residuals Management Company
Project: U#,,f6 j%,J Landowner:
Site: Ab- (6 Field: ._ Sample #: Slope:. L /
Acres (gross): Acres (net): Crop: AP-J 6&A
- l
Horizon
'PROFILE A A_
SOIL PROFILE, DESCRIPTIONS
Depth Texture Color Structure Mottles
9- 3l f
Depth to SHWT: rya°
Depth & type of restrictive layer: 7 YA"
Soil Series: VJUAG,(,r—
Horizon Depth Texture Color Structure Mottles
PROFILE B:
Depth to SHWT:
Depth & type of restrictive layer:
Soil Series:
Notes:
Described By.- - Date:' to a r
Le end
Texture
s Sand
I Loam
si Silt
c Clay
Structure Grade
1 Weak
2 Moderate
3 Strong
Structure Tvoe
gr
Granular
abk
pl
Platy
sbk
pr .
Prismatic
sg
cpr
Columnar
m
Angular Blocky
Subangular Blocky
Single Grained
Massive

SOIL DESCRIPTION SHEET
S"AGBO
A Reidnals Management Company
Project: ere Landowner: 4 6.4RW
Site: Field: Sample #: Slope: Z
Acres (gross): Acres (net): Crop: 6M-7)
Horizon
PROFILE A
SOIL PROFILE. DESCRIPTIONS
Depth.
Texture-
D- 7
(�s
Color Structure Mottles
!oyfe 1-4- !6 e -
toy % - sue_
IK % t, e, a
Depth to SHWT: 751�—
Depth & type of restrictive layer: y�
Soil Series:
Horizon Depth Texture Color Structure Mottles
PROFILE B
Depth to SHWT:
Depth &. type of restrictive layer:
Soil Series:
Notes:
'Described By: Date: d � c
Le end
Texture
Structure Grade
Structure DM
s Sand
1 Weak
gr
Granular
abk
Angular Blocky
I Loam
2 Moderate
pl
Platy
sbk
Subangular Blocky
si Silt
3 Strong
pr
Prismatic
sg
Single Grained
c Clay
cpr
Columnar
m.
Massive

Site ID:
NC-RO-28
Owner:
Robert Baskerville, Jr.
Address:
384 Beard's Creek Dr.
Arapahoe, NC 28510
Phone:
252-514-5869
Operator:
Carvell Locklear
Address:
3009 Daniel McLeod Rd.
Red Springs, NC 28377
Phone:
910-258-4046
Estimated
j
Total Applicable
Fiplrlc
Arrpc Ar_rpc
SITE SUMMARY
City of Lumberton
WQ0000672
Robeson Co. Predominant Latitude &
RYE Soil Series Longitude
Crnn(sl PAN/ac./vr. (man unit) (D.M.S)
corn
122
Dunbar
34.43.49 N
1
11.6
.11.6
soybeans(fsldc)
1611134
(Dn)
79.06.11 W
.wheat
102
corn
135
Rains
34.43.58 N
2
56.9
56.9
soybeans(fsldc)
1701143
(Ra)
79.06.60 W
wheat
106
corn
148
Goldsboro
34.43.41 N
3
-10.4
10.4
soybeans(fs/dc)
1761149
(GoA)
79.05.41 W
wheat
136
TOTALS 78.9 78.9
Notes:
Date: 1119112

tA
NC-RO-28
(all locations appro)imate)
9 inch=.7;500 feet:

I
Topographic Map
NC-RO-28 (al/ locations approximate) 1 inch = 1,000 feet

Application Area Map
n
�'•' sy, -ter' .i'_•,, - .
Y1 y.._ypc S ^'. K c _ S�'i377
`' •` r3. a� s=.,�. moo�q• • �''' : } , , ., �y/14 i �.✓� "
' d -' • !� Q �`�� �O • '+lam ."•F. �4
,�'t y4 �/�,//?�n� a�•• ,,, 4 ..,y.. �O ,.�{zy' N G(�� '�.. II � �5���'!li/fi! �
.' :. ,� ' A J y t!/ \\,o' _�',pT* '...5' .®.ii r fir• �,F ,�+y ���vi
M1
Legend (all locations approximate)
"-"-"- Stream ApplicationArea O SoilDescription The compliance boundary is established at :.
either 250 feet from the residuals application
' - Drain ■ OffSiteHouse Unsuitable area or 50 feet within the property boundary"
whichever is closest to the application area.
Pond 0 Outbuilding The review boundary is established midway
between.the compliance boundary and the .:
perimeter of the residuals application area.
Prope►tyL ine Well Feet
NC-RO-28 0 230 460 920 1,380 11840

T i)
Soil Map
`: F � ,fix '.'� '� - — Wag'` ���`•'a '�t;;;, " �; `4� �'�-{,�}�x
No
NoA
I06 ��'� 1,,
Dp
Cyk�i,:�,.�.
�NoA
Ly
✓1� ` j �, ` �1 NoA
aB
NOA
OK K!k
Air
GOA
• ' r a Oq a► u
Lae J -aRa,Al
� ...:
t ; 'Wa6
WB
GoA
a
a \!�,.,' �.�r.= - ,tom �• _ -
Ra - +•a°
Ly
NOA ( �1 rr(�� `�i► N �sy�- .'
NoA
IyaB
Vq
Ra—
rN_`oA
T t'IBy
NC-RO-28 (all locations approximate) 1 inch = 1,000 feet

10' V 14z90. State of North Carolina
�4 Department of Environment and Natural Resources
:r Division of Water Quality
..LAND OWNER 1 t
FORM: LOA 08-11
Please use the following hu&uctions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided bores will help. produce- a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
pu
permit application. Unless otherwise noted, the Alicant shall- submit one original and two conies of the application and
sapoortine documentation
For more information or for an electronic version of this form, visit the LandApplicahon Unit (LAUD web site at:
hitp:Aportal.nedenr.or.0ieblWa aps'lau
General = This document is an agreement between the Applicant and land owner(s) of residuals receiving sites for land application of
Class.B residuals (may include, water treatment plant or other type residuals) in'aceordance with 15A- NCAC 02T .II00. Do not
submit this agreement for review without a corresponding application form (FORM: RLAP 08-11).
Unless otherwise noted, tiie Applicant shall submit one original and two copies of the application and supporting -documentation listed
below.
A. Land Owner Agreement (FORM: LOA W11):
❑ Submit the completed and appropriately executed Residuals Source Certification (FORK- LASC 08-11) form Please do not
make any unauthorized content changes to this form If necessary for clarity or due to space restrictions, attachments to the
- application may made, as long as the attachments are numbered to correspond to the section and item to which they refer.
❑ Prepare a separate agreement for each set of land application sites that are owned or operated by an entity other than the
Applicant.
❑ A copy of the completed and appropriately executed agreement must be provided to the landowner and the lesseeloperator.
_ J
AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND
The undersigned lan4muer or his representative hereby permits:
Applicant's name:
hereinafter referred to as the Permittee, to land apply residuals from the following facility(res) onto the following land
application sites) CLe., see attached setback maps) in accordance with the stipulations and restrictions as given in this
Agreement: - -
Site/F4eld ID
(yes/nu)
Land Use or
Cropping Patterns
Intended
Intended Use- of Crops
Residuals Source
(optional)
Special note
(no-till/over-seed/
pasture)
C-►Lo-a8-1
Yt&WL'.o
S
n+C r
Ml d-wta7�
The landowner or his representative receives, in consideration, full use of the nutrient value of the applied residuals,while the
Permittee receives, in consideration, the use of the land application site(s) described above for the disposal of the residuals.
`This Agreement shall remain in effect for the length of the Division's permit for the residuals land application program and
_ shall be renewed each time -this permit is renewed.
The undersigned landowner or his representative and the- Permittee agree to abide with the following restrictions and
stipulations until such time as written -notification, given 30 calendar days in advance, modifies or cancels this Agreement.

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-s�aea uogea!ldde
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pnE jalua `.o; saeggloasatdal $aql w s1swBO alelS Pm `ste!aEgo IBaOI `aail�d ?ql sazrlott;ns ,{garaq aegetQasa$iaj slq jo iaumOPU% aq.L '£I
uaea. uogea!ldde Psi spmpg at a Sump puv of jopd aeg¢lwsajdat s!g
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`ui igotd uogmgdde Pug spVu aj ail fumla = epp Pm uoq=WJM glom aegeluasatdat siq jo mnopuel aql PaP!eoui seg om mad ags... -9
Is)m QOl1B0dck Purl
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luau oav sm. io saogipuoa Ptl� saum aq; ql!m sagduwa pug miff Almd PU% aql M amsaa of atq!sao lm aq /
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7 V sM hI pag!aads (s)ap aql jo3 LlgBa
Pall! zag1oue q;uia sluauiaatSe jo slaet;uoa uogea!tdde slenprsat iBaOgIPPB Mm olm .mlua;ou hugs aege;uasatdat slq Io _WWWVuel OU. 'I
:SMOILV-MdIZS T

Landowner's Certification:
I certify that I am a deeded landowner of the above -referenced land application site(s) and am authorized to make decisions
regarding the use of the land application site(s) on behalf of other deeded landowners OR that I am otherwise authorized, through
a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the
deeded landowners. I certify that the above -referenced land application site(s) are not included in any waste disposal contract or
agreement with another mwricipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement,
understand the stipulations, restrictions, alteratives for water supply wells inside the compliance boundary, acknowledgement of
field transfer, and do hereby grant permission to the Permittee to land apply residuals to the land application site(s) as specified
� herein. .�Y,:,*-
;randowriername::
Adaress:► �-�l i Ca ee_
-co." A&A pState: /V • C Zip: I
Phone: 2 5 Z I V 6 E-mail address: 1' �v 1 lei �rw�� A► 1. C o R�
"Signature: Date: -7 Z- �
NORTH CAROLINA,
COUNTY
L the undersigned Notary Public do hereby, certify that Robert D . Bas kervi 11, Jr.
personally appeared before me this day and acknowledged the due execution of the forgoing instrument.
WITNESS my hand and official seal this the
_ day of
1 Signature and seal:
My commission ex
Lessee's/Operator's Certification:
2012
Off! Pueoc,;:
I certify that I have read this Agreement and do hereby agree to abide by the stipnlatins as specified herein.
mu
Lesseetoperator name:
Address: 3y D Aa n. t A c_ L A
City: A S r: n state: & .0 Zip:
Phone: R 10 s Y a address-
Signature. re�-
Permittee's Certification:
I ce► * that I have read this Ag-rye-e-ment and do hereby agree to abide by the stipulations and restrictions as specified herein.
Signing official name:
Signature: Date: VZ- I $' P 1 Z
r �

Page a 3
Report Number: 12-268-0548
Account Number: 46525
Send To: SYNAGRO CENTRAL LLC/LUMBERT 8rkaonwom
Mary Brower
284 BOGER RD
MOCKSVILLE NC 27028
nt. MlAmni 9 n.#A of Annfvmift- 0912512()12
A&L Eastern Laboratories
7821 Whttspina Road.Alchmck Virginia 23231 (804)743-M FOX(N.V7114011
Grower: Submitted By: MATT HAYNES
CARNELL1OCKLEAR Farm ID: 1Ve--1z0- 29
LUMBERTON PERMITTING
SOIL ANALYSIS REPORT AnaWdcsl Method(s):
Mehlidi 3
Dine Of Report: 0912612012
0411 Calcium rJill""
10
.7
na"77
76
7 idi
7774
q
0930
3.8 113
331 VH
119 M
255 H
1065 M
18 VL
6.81
1.2
9.1 .
M
NC 276
NC 61
92
152 VH
50 L
85 H
499 M
14 VL
02931
2.3 L 89
5.4
6.80
1.3
4.7
- NC 127
NC=26
43
02932
11 L so
117 VH
139 VL
24 L
1 198 L
10 VL
4.6
6.77
1.6
2.9
NC 97 -
NC 20
cry. aa,40
Percent Bass fill
"t"
t5ith't
*ilJok
lei
Zn>tit"
Fp'.' 17
ti
7 -7777
N
777771; 7777"�777
V1
W
All
42,4,� A."
SGx'C�N'
S;-4
f+
5
pp
'p
81 VH
11.0 VH
10 M
199 VH
3.0. H
0.4 L
0.27 VL
3A
23A
58.5
0.9
.13.7
NC 203
-
LN-C----2 73 rO
N C 6 3
-- ----)
CNQ.�350.0
-
02
136 VH
7.5 -H
8• L
149 VH
2A" H
0.3 VG0.18
VL
2.F71
5.1
53.1
1.3
28.5
NC 340
NC 187.5
NC=50
NC 120.0
(P3
135 VH
3.5 H
10 M
104 VH
2.0 H -]
0.1 VL
0.11 VL
3A
6.9
6.9
34.1
1.5
54.9
NC = 338
NC = 07.5
NC=63
NC 100.0
Values an this report represent the plant available nutrients in the Explanation of symbols: % (percent), ppm (parts per million), Ibs/A This rreport 'applies tosampl, -)t-sted Samples areretained a
soil. Rating after each value: A (Very Low), -L (Low), M (Medium), (pounds per acre, ms/cm (milli -mhos per centimeter), meq11009 nvWrnurn of thirty doysiaftr t5stin
' . 9., . by: ?ad.
H (High), VH (Very High). ENR - Estimated Nitrogen Release. (milli -equivalent per .1 00 grams). Convemions:p.pm x 21= Ibs1A, .
C.E.C. -Cation Exchange Capacity. Soluble Salts ms/cmx 640 plain. Analysis prapared byA&L Eastern Laboratodw, Inc.
Pauric McGroary

Pageof 3'
Report Number: 12-268-0548 A &L Eastern taboratofies
Account Nunilber: 46525 7621 Whitapins Road Richmond, Virginis 2W? w) 743-mm Fax sm 2711
Send To: SYNAGRO CENTRAL LLC/LUMBERT Grower: Submitted By: MATT HAYNES
Mary Brewer CARNELL LOCKLEAR 'Farm ID: fia -Fw
284 BOGER RD LUMBERTONPERMITTING
MOCKS\ALLE NC 27028
Date Received: 09/24/2012
Date Of Report: 09/26/2012 SOIL FERTILITY RECOMMENDATIONS
A
k*0-
"
EW
WP
01"
1
0
T"R
N
AT
X"v
Corn
125
0.8
119
0
75
0
0
0
0
0
0.9
Com
125
0.8
131
0-
115
0
0
1.0
0
0
1.0
63
Soybeans.
45
1.5
15
0
97
56
0
2.3
0
0
1.0
Comments:
'The recommendations are based on research data and experience, but NO GUARANTEE or WARRANTY expressed or implied, concerning crop performance is made!'
Our -reports and letters are for the exclusive and confidential use of our dients,, and may not be reproduced In whole or part, nor may any reference be made to the OF Cfewr
work,tho results, or the company In any advertising, news release, or other public anouncemonts without obtaining our prior written authorization. Copy right 1977.
Pauric McGroary

Page —of 3
Report Number: 12-268-0548
Account Number: 46525
Send To: SYNAGRO CENTRAL LLC/LUMBERT"'
Mary Brewer
284 BOGER RD
MOCKSVILLE NC 27028
A &L Eastern Laboratories
M1 Whblilne Road Richmond, Virginia 23237 (O.M 743. M FaX (M) 271444
Grower:
CARNELL LOCKLEAR
LUMBERTON PERMITTING
Submitted By: MATT HAYNES
Farm ID:NC� 4 j
Sample(a) : 01,42 Crop: Corn
Manganese is not effective when broadcasted. For row crops, apply 4 to 6 pounds per acre in band near the crops. For non -row crops, apply 2 pound per acre foliar
when needed.
Boron recommendations are on a broadcast basis.
Manganese should be applied through foliar as needed during the growing season at the rate of 1.5 Ibs of elemental manganese per 30 gallon of water per acre.. (from
manganese sulfate, equivalent to 4-6 Ibs of material).
On com, reduce N application by 20-30 Ibs per acre if you have good yield on soybeans as previous crop.
Sample(a) : 02 Crop: Corn
Zinc should be side banded near the crops to be effective. 'Apply foliar for non -row crops.
$emple(e) : 43 Crop: Soybeans
" Manganese is not effective when broadcasted. For row crops, apply 4 to 6 pounds per acre in band near the crops. For non -row crops, apply 2 pound per acre foliar
when needed.
Apply dolomitic lime to raise pH and improve the magnesium_ level.
Boron recommendations are on a broadcast basis.
If dolomitic lime is not used, -apply required magnesium with magnesium oxide. Epsom Sells, K-Mag or Sul-PO-Mag.
Manganese should be applied through foliar as needed during the growing season at the rate of 1.5 Ibs of elemental manganese per 30 gallon of water per acre.. (from
manganese sulfate, equivalent to 4-6 Ibs of material).
Zinc should be side banded near the crops to be effective. Apply foliar for non -row crops.
'The recommendations are based on research data and experience, but NO GUARANTEE or WARRANTY expressed or implied,, concerning crop performance is made." Q
Our reports and letters are for the exclusive and confidential use of our clients„ and may not be reproduced in whole or part, nor may any reference be made to the
work,the results, or the company in any advertising, news release, or other public anouncements without obtaining our prior'written authorization. Copy right 1977.
Pauric McGroary
J

Report Number A &L Eastern Laboratories, Inc.
12-268-0548 Page: 1 of 2 7621 whltepine Road Richmond, Vlrginla 23237 (604) 7439101 Fax [phone]
Account Number WWWAI*aat@MX(rr
46525
Send To: SYNAGRO CENTRAL LLC/CUMBERTON ,
Mary Brewer
284 BOGER RD
MOCKSVILLE , NC 27028 Submitted By :MATT HAYNES
Purchase Order:
Report Date: 9/26/2012
Client: LUMBERTON PERMITTING Date Received: 9/24/2012
CARNELL LOCKLEAR REPORT OF ANALYSIS
Lab No Sample ID
Sample Date and Time
02930 d'd
02931, t7$
02932 ea 3
Mercury Molybdenum,
Extractable.
MEHLICH 3 HO MEHLICH 3 MO
ppm
< 0.400
0.880
0.400
0.850
< 0.400
0.650
Pauric McGroary
Sample results are reported 'as received' and are not moisture corrected unless noted

SOIL DESCRIPTION SHEET
SR
AG 0
A Residuals Management Company
Project: __L_L)MJ .
�
Landowner:
12
Site:. d• 'Zu
Field: l
Sample M.
Slope: 4-1
Acres (gross):
Acres (net):.
Crop:
�c�- 441C.
SOIL PROFILE
DESCRIPTIONS -
Horizon
Depth ,Texture
Color
Structure
Mottles
PROFILE A
1&75C S/2-
Depth to SHWT: �l�o
Depth & type of restrictive layer: 5Y8
Soil Series:
Horizon ..
Depth 'Texture
Color
Structure
Mottles
PROFILE B
Depth to SHWT:
Depth & type of restrictive layer:
Soil Series:
Notes:
Described By: -
or
Date:* to kq L
-
Legend
.//0001
Texture
Structure Grade
Structure Type
s Sand
1 Weak
gr .
Granular abk
Angular Blocky
® i Loam .
2 Moderate.
pi
Platy sbk
Subangular Blocky
si Silt
3 Strong
pr
Prismatic sg .
Single -Grained -
c Clay
cpr
Columnar m_.. -
Massive

SYNAGPO =
SOIL DESCRIPTION SHEET A.Reriduals Management Company
Project: Landowner: A. &,p-an614
Site: 2-T Field: �_ Sample #: Slope: ,_
Acres (gross): Acres (net): Crop: 4LJ t
SOIL PROFILE DESCRIPTIONS
Horizon _
Depth
Texture
PROFILE A_
8_9
L
A - i t
PROFILE B
Color Structure Mottles,
Ia:,e zh, jAr
ao y s/ ,, �n��Ll
CtrY2 S/2 — e- ZP 7SY-d Ile,
Depth. to SHWT:
Depth & type of restrictive layer: 7Yd
Soil Series: A16 6 !1 S; o✓%�/�/�
Horizon Depth Texture ' Color Structure ' Mottles
Depth to SHWT:
Depth & type of restrictive layer:
Soil Series:
Notes: ' 14" ,e W;9yelinAll ig- WuacVag ZILAY,ft &11V /Al
Described By:
Legend
Date: o
Texture
Structure Grade
Structure Type
s Sand
1 Weak
gr
Granular abk
Angular Blocky
Loam
2 Moderate
pl
Platy sbk
Subangular Blocky
si . Silt
3 Strong
pr
Prismatic sg
Single Grained
c Clay
cpr
Columnar m
Massive

ly
��o;A SYNAGRO
SOIL DESCRIPTION SHEET A Residuals Manages: company
Project: LtldLotin1 Landowner:
Site: L8 Field:_ Sample #: Slope:
Acres (gross): Acres (net): Crop: s0 110k
SOIL PROFILE DESCRIPTIONS
Horizon Depth Texture Color Structure Mottles
PROFILE A 0=8 I �s J.OU 4/)
yA 44Ja
iS- 3I SG� .t6YR SAS
Depth ,to SHWT:
Depth-& type of restrictive layer: Y9
Soil Series: 601zavoo hs,,A-JC.A16
Horizon Depth Texture Color Structure Mottles
PROFILE B
Depth to SHWT:
Depth & type of restrictive layer:
Soil Series:
Notes: �61?k7 Moy; & r o w-p ae- Gd eA,k,
Described By: -
Le end
Texture
Structure Grade
s Sand
1 Weak.
Loam
2 'Moderate
si Silt
3 Strong
c Clay
Date: is I -
Structure Tvne
gr .
Granular
abk
pl
Platy
sbk
pr
Prismatic
sg
cpr
Columnar
m-
Angular Blocky
Subangular Blocky
Single, Grained
Massive

SITE SUMMARY
City of Lumberton
WQ0000672
Site ID: NC-RO-17
Owner: City of Lumberton (Airport)
Address: Post Office Box 1388
Lumberton, NC 28359
Phone: [phone]
Operator: Delois Allen
Address: 688 Deep Branch Road
Lumberton, NC 28358
Phone: [phone] Cell.910-618-4243
Et' td Rb C P d
s ima e o eson W. re ominant Latitude 09
Total Applicable RYE Soil Series Longitude
Fields"— Acres Acres Crop(s) PAN/ac./ r.- (map unit D.M.S
1
40.1
30.6
soybeans(dc)
147
Johns
34.36.39 N
wheat ,
106
(Jo)
79.03.15 W
2
25.4,
25.4
soybeans(dc)
147
Lumbee
34.35.57 N
wheat
-97
(Lu)
79.04.29 W
3
28.0
28.0
soybeans(dc)
147
Lumbee
34.36.04 N
wheat
97
(Lu)
79.04.17. W
4
49.5
47.7
soybeans(dc)
147'
Johns
34.36.27 N
wheat
106
(Jo)
79.03.35 W
TOTALS 143.0 131.7
Notes:
Fields 1 and 4 currently permitted.
Fields 2-3 are new.
Date: 12113112

M
J
NC-RO-17
(all locations approximate) 9 inch=.7;500 feet.

Legend
— — Drain
- -- Stream
® DrainageGrate
PropertyLine
ApplicationArea
Outbuilding
Q SoilDescription
Unsuitable
w-- --I._ _i._ _ w ww
1 inch = 660 feet
(all locations approximate)
The compliance boundary is established at either 250 feet from the
residuals application area or 50 feet within the property boundary,
whichever is closest to the application area. The review boundary
is established midway between the compliance boundary and the
perimeter of the residuals application area.
NC-RO-17; Fields 1, 4
Feet
0 230 460 920 1,380 1,840

NC'RO'77 (all locations approximate) 1 inch =J,000 feet:

Application Area Map
t ?' t
- �4_`y 1 1 •� �lA.�,1 � c't,t'li lq! � /I S
�': .l. ;i. ��!(' •.� ,! fly - - K1 •
Legend
—'— Drain Outbuilding
"-' -- Stream O SoilDescription
PropertyLine ® Unsuitable
ApplicationArea
NC-RO-17; Fields 1, 4
1 inch. = 660 feet
(all locations approximate)
The compliance boundary is established at either 250 feet from the
residuals application area or 50 feet within the property boundary,
whichever is closest to the application area. The review boundary
is established midway between the compliance boundary and the
perimeter of the residuals application area.
Feet
0 230 460 920 1,380 1,840

it ! r .:,ii } �i� a •� v � F: ,
4 �
,� �; •i,4«ivy;, 4 ..- /1�
II'' j My' .,4 r ,.;. a� ., ' �va,• t`� � 3`S�:tt" � / //f
jr, :. ,� t ,. ' a1`. - ,Y;_�l�", a .� �`��,����,� '✓�
1.41
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el
yov
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n
poll swap
o
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JO
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t'1t� +C d "• ' `� r�i �� `j �', 1 7 L•.� KIaA�
-, .;,;,fir , I `•�..-� r I ,//j: i � � ,--:;;• ��\� - - ,��,��,�'
p t / � 1, • = y 1 ,.,_,sue-.-�_, ��c—� -���.c � s. t:
If
lvi
Jlk
m•1`. 77—
^� —a\ ,.� Cam, s.� '� l !� yb•� Jl (i.
Ili;
l�%�,4 <J:. •..,;H, ii �.- i.'r Jo l 7?� .� q. v 1a Jf'% .! � � c�•r.
f /�i7� i �Sf ��+ r:�l `-._. -./r tr � r r c �,. � � : 4 p� � � t l '•T
ZPoB
Jo
•t.11+•- i\:/!'j/�r r ' .�T `r�.~ •,, a•.F you !'.`:. kYF. i tiu� `-41
If1 it
. � �
A' NN
} Pa
,. Jo
7.
rim
.5' .� ~'--�••^—.-_.�—mow...- y�r v --_ jr .fj�' 4 `
NC-RO'17 (all locations approximate) finch = 9,000 feet_

o�ot `n'H 1 FgQG
State of North Carolina
Department of Environment and, Natural Resources
> Division of Water Quality
y
LAND OWNER AGREEMENT
FORM: LOA 08-11
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted. the Applicant shall submit one original and two copies of the application and
supporting documentation
For more information or for an electronic version, of thisform, visit the Land Application Unit (LA U) web site at:
http: Z%portal. ncdenr. orgAvebAvq/aps/lau
General — This document is an agreement between the Applicant, and land owner(s) of residuals receiving sites for land application of
Class B residuals (may include water treatment plant or other type residuals) in accordance with 15A NCAC 02T .1100. Do not
submit this agreement for review without a corresponding application form (FORM: RLAP 08-11).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Land Owner Agreement (FORM: LOA 08-11):
❑ Submit the completed and appropriately executed Residuals Source Certification (FORM: LASC 08-11) form Please do not
make any unauthorized content changes to this form. H necessary for clarity or due to space restrictions, attachments to the
application may be made, as long as the attachments are numbered to correspond to the section and item to which they refer.
❑ Prepare a separate agreement for each set of land application sites that are owned or operated by an entity other than the
Applicant.
❑ A copy of the completed and appropriately executed agreement must be provided to the landowner and the lessee%perator.
AGREEMENT. FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND
The undersigned landowner or his representative hereby permits:
Applicant's name:
hereinafter referred to as the Permittee, to land. apply residuals from the- following facility(ies) onto the following land
application site(s) (i.e., see attached setback maps) in accordance with the stipulations and restrictions as given in this
Agreement:
Site/Field ID'
Lease
(yes/no)
Land Use or
Cropping Patterns
Intended Use of Crops
Residuals Source
(optional)
Special note
(no-fill/over-seed/
pasture)
/VC-g6-17-a
An;Y„j
vV"(t i- wu) TP
Cw s
The landowner or his representative receives, inconsideration, full use of the nutrient value of -the applied residuals while the.
Permittee receives, in consideration, the use of the land application site(s) described above for the disposal of the residuals.
`This Agreement shall remain in effect for the length of the Division's permit for the residuals land application program and
shall be renewed each time this permit is renewed..
The undersigned landowner or his representative and the Permittee . agree to abide with the following restrictions and
stipulations until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement.
r-

V.
Landowner's Certification:
�UVI certify that I amli deeded landowner of the above -referenced land application site(s) and am authorized to make decisions
regarding the use of the land application site(s) on behalf of other deeded landowners OR that I am otherwise authorized, through
a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the
deeded landowners. I certify that the -above -referenced land application site(s) are not included in any waste disposal contract or
agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement,
understand the stipulations, restrictions, alternatives for water supply wells inside the compliance boundary, acknowledgement of
field transfer, and do hereby grant permission to the Permittee to land apply residuals to the land application site(s) as specified
herein.
Landowner name: C I4 n j ,���f1� � �c
Address:
City: Llur")D P & ., f ` State: Y1, Zip:
Phone: / s _ 4 Z`� 3 E-mail address: k 6 (,e..cA4 *—.!I G.I "
Signatuue: 0 Cl 1' 1 Q ��ov�� Date: ^ I Z
NORTH CAROLINA, -COUNTY
I, the undersigned Notary,Public do hereby certify that 64%� klaC5 (initials: 0) personally
appeared before me this day, and; being duly sworn, stated that in his/her presence A F-7 —zT �'�6� signed
the attached document and acknowledged the due execution of the foregoing instrument.
WITNESS my hand and fficial seal this .the 7/4 day of 20/2-
Signature and seal:
My commission expires: NGlplR FUKJC
t3T/iTE OF NORTH CAROLJNA
Lessee's/Operator's Certification:
I certify that I have read this Agreement and do hereby agree
//to�o abide by the stipulations and restrictions as specified herein.
Lesseetoperator name: QAD iS
Address:
City: L=1,}) Zr-11-y rt State: C . Zip: angle(�
Phone: 7///v /,a}/1— 1/U_&U. E-mail
Signature:
Permittee's Certification:
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Signing official name:
Signature: -�-." Date: I Z -1 q- '3-0 I Z

Page of 2
Report Number: 12-268-0547
Account Number: 46525
Send To: SYNAGRO CENTRAL LLC&UMBERTMab""
Mary Brewer
284 BOGER RD
MOCKSVILLE NC 27028
Date Received: 09/24/2012 Date Of Analysis: 09/25/2012
AFL Eastern Laboratories
7621Wh14pineRoad Richmond, Virginia23237 (WQ743A401'Fax(804)V14446
Grower: Submitted By: MATT HAYNES
CITY OF LUMBERTON AIRPORT Farm ID:
LUMBERTON PERMITTING
SOIL ANALYSIS REPORT Analytical Method(s):
Mehlich 3
Date Of Report: 09126/2012
. -. ',.:
6 C.. � n
N _
s+
cat' a
, - ,� k
:...�
,; ;`<O ask Niatoer,M�
rD
.,..,:^T
Phaapllorus
P.otassi u1n
-..j
Ma t1a#tium
e-.h
Csi umk
Sodiu m
x �r 'fi
P
ci tiY
t A d
C. E C
�•
, -..:
x . ENR
u w
IAehlkh 3 r
n,r
Resewe
ti
f 5 F< > K
„ r •'M
�,
x<
.
;F ld IQ w ;.
Numlter,
z7 rRate
dbplA,..
,�..i„ y a I
.
y,...,.r+L';, a it
i `P+i
i ,.st 4 .r br;
3Rats
;. .;,i
r Raul.
Rats
Rab
PH : IndOX
=m 100
L'',b) ,r„+„.rn "�'
M <°Ii,, ..,,:,
ji ..r•, r, 7Ft. :.
S:Rata<
.P J a
P!I, e
F
PPi'!�.
.
pPmt -
PP m' M ._
PPm
ms
g19009
eq1
2
16 L
43 VL
43 VL
1599 H
14 VL
02927
3.6 M 108
62
6.81-
1.2
9.7
NC=13
NC=22
3
19 L
26 VL
56 VL
1486 M
14 VL
02928
4.2 M 119
5.5
6.65
2.8
10.8
NC=16
NC=13
4
•2
108 H
22 VL
169 H
1421 H
18 VL
02929
7 M 82
71
0.0
8.6
NC = 90
NC =11
�r hj
Pe►SP� BasrSatunrtkn
:Nitrate,.
Sulfurs
-
�
t�
ZiPG:
=;Man nss
W
kon
Co ��
PW_.�
`Boron *
8olubh 8slts
°Chloride"
Aluminu►ri':
,'
-�rt ,. ,� car > >-r'e
h`
f, ,�::;��
r . , .. ..-. , ,�. ,,
_
.: ; f
:� . �
�r
r r k �-,
i•.sr 7
�
f ,
,._.>
;: r
Fu
Id:ti)„.
,::,.,.
K :ram
-,-:,:
r Mom;.
ti a
:.a Ca 3,
, �,.,
Na
,=i, .�
�
H
v ;'-`:v
xr O
N N;.
�. e:a r,::aa,,:f.H,a.
... ..�.:,.
$.. a
r
.4..a yTal r
c<'b •r:'
Mn
3
""{� .:c
AFT ,.,
r C4 e
r
�, t -
B
- a . i
F4 83
,R, •
Cl M.
, 9 ' -
AI
a 6
•�L'
f,`•�G.:
XfX
_ 5
f
:� X
- °
,�
^ Rate°
;Kati
..r
�Reti
"Rif'
;,
Kati
; ,,w� ��.;.:•.,.
z;...
°nq/cm;Rate
m t is
;fi'< r;.
r ��, .-:r:�..• ;;
, �;.:.
m` b
JRate'
.PP m
2
97 VH
1.9 L
2 VL
165 VH
0.9 M
0.2 VL
0.13 VL
1.1
3.7
82.4
0.8
12.1
,
NC=243
NC=47.5
NC=13
NC=45.0
3
102 VH
1.6 - L
2 VL
209 VH
0.8 L'
0.3. VL
0.13 VL
0.8
4.3
88.8
0.t3
25.8
NC = 255
NC = 40.0
NC =13
NC = 40.0
4
78 . VH
4.4 H
6 L
VH
VH
0.6 M
0.1 VL
0.7
. 18.4
82.8
0.9
0.0
NC = 195
NC 1
NC = 38
1136
14.5
tJC = 225:C
Values on this report represent the plant available nutrients in the
Boil. Rating after each value: VL (Very Low), L (Low), M (Medium);
H (High), VH (Very High). ENR - Estimated Nitrogen Release.
C.E.C. - Cation Exchange Capacity.
Explanation of symbols: % (percent), ppm (parts per million), Ibs/A
(pounds per acre), ma/cm (milli -mhos per centimeter), meq/1009
(milli -equivalent per 100 grams). Conversions: ppm x 2 = Ibs/A,
Soluble Salts ms/cm x 640 - ppm.
This report applies to samples) tested. Samples are retained a
maximum of thirty days after testing.
- by: Pam OF t'rwr
Analysis prepared trf. A&L Eastern Laboratories, Inc.
Pauric McGroary

1,
i
Page 2 of 2
Report Number: 12-268-0547 ( n
Account Number: 46525 ■L'�7JzY■`L1
Send To: SYNAGRO CENTRAL LLC/LUMBERTON b"I'Mom
Mary Brewer
284 BOGER RD
MOCKSVILLE NC 27028
AFL Eastern Laboratories
7621 WhttapineRoad Rkhawnd, Virginia 23237 (IM T4344M Fex [phone]
Grower:
CITY OF LUMBERTON AIRPORT
LUMBERTON PERMITTING
Date Received: 09/24/2012
Date Of"Report: 08/26/2012 SOIL FERTILITY RECOMMENDATIONS
Submitted By: MATT HAYNES
Farm IDLETQ
/V L )zo —.t �—
.. 'c,. �.
r
v.'. '�.� KS1 y y.
�,r,
a
:•.lKii :�-.iL-,
r
'. "%'F. __
Y ti t
�.::..
_
;_Nitrogen;
:....
P!I ta_•.:
`?:. `-'O F
PAtas by
_
M ntasium'
8u r-
IfY
i -
Zinc 3
't-'S
:Man antis
°
Iron':
C
boron
S�Implo ID,
�;•: YINd do
s_ ,
Ltrtu
{
;.
F Id'ID LL r to
Intended Cro n4,
p
';r'" �k !
b
s
P`O •
7
i r;
;y.
'P v, •
Mn
v'
FaY
�'t1
Cu
B
, . �L d
r�+ n
✓!: .T 4 � .rb i�?:
�+. N,., p:lh !< .3_ .j.'
f' u S
R.
'^
S T
. �
� '�
�:'F., i.'
'. fe
.cr u r
,
4
•_41'i
+•H.. 5
(b�A
i:'�` 1 ,6 5 TM,;�
� . �' , f :t?:. �S �; =x �,G .f
�•':rfe I J �r n"
_.r'_,.:d:� .f
-: +� .
;�..
.,xa
� !Wa j
7
.0 y. y, :+; �-"
z
,t �
2
Corn
125
0.0
121
82'
133
37
0
2.4
0
0
1.1
3
Corn
125
1.8
lie
76
158
24
0
2.6
"
0
0.5
1.0
4
Corn
125
0.0
128
30
152
0
0
1.2
•'
0
0
0.7
Comments:
Sample(s) : 2 Crop: Corn
Apply -required magnesium with magnesium oxide, Epsom Salts, K-Mag'or Sul-PoWag.
Samples) : 2,3,4 Crop: Cord.
Manganese is not effective when. broadcasted. For row crops, apply 4 to 6 pounds per acre in band near the crops. For non -row crops, apply 2 pound per acre foliar
when needed. .
Boron recommendations are on a broadcast basis.
For best results apply 20-40# P205 and 20-30# K20 as a side placement application. Subtract from the amount recommended above then broadcast the rest if any.
Manganese should be applied through foliar as needed during the growing season at the rate of 1.5 Ibs of elemental manganese per 30 gallon of water per acre.. (from
manganese sulfate, equivalent to 4-6 Ibs of material).
On com, reduce N application by 20-30 Ibs per acre if you have good yield on soybeans as previous crop.
Zinc should be side banded near the crops to be effective. Apply foliar for non -row crops,
Sample(e) : 3 Crop: Corn
Apply dolomitic lime to raise pH and improve the magnesium level.
If dolomitic lime is not used, apply required magnesium with magnesium oxide. Epsom Salts, K-Mag or Sul-PO-Mag.
Samples) : 4 Crop: Corn
Use ammonium sulfate as all or portion of the N requirement to reduce pH.
"The recommendations are based on research data and experience, but NO GUARANTEE or WARRANTY expressed or implied, concerning crop performance is made"
Our reports and letters are for the exclusive and confidential use of our clients„ and may not be reproduced in whole or part, nor may any reference be made to the
work,the results, or the company in any advertising, news release, or other public anouncements without obtaining our prior written authorization. Copy right 1977.
Pauric McGroary
610wr

(2)
Report Number " A&L Eastern Laboratories, Inc.
12-268-0547 Page: 1 of 2
7827 whlmpino Road Rlctxnand, VIfpINa 15237 (l41743-8{07 Fax (lOO)7r14148
Account Number
46525 arrrwaMahmsom
Send To: SYNAGRO CENTRAL LLC/LUMBERTON
Mary Brewer
284 BOGER RD
MOCKSVILLE , NC 27028 Submitted By :MATT HAYNES
Purchase Order:
Report Date: 9/26/2012
Client: LUMBERTON PERMITTING Date Received 9/24/2012
CITY OF LUMBERTON AIRPORT-PETE ALLEN REPORT OFANALYS/S
NC-�o-tom
Lab No Sample ID
Sample Date and Time
02927 2
02928 3
02929 4
Mercury Molybdenum,
Extractable
MEHLICH 3 MG . MEHLICH 3 MO
ppm
< 0.400
0.700
< 0.400
0.950
< 0.400
0.610
is 9
Pauric McGroary
Sample results are reported 'as received' and are not moisture corrected unless noted

SOIL DESCRIPTION SHEET
Project: L ,,nnQ,n2�G.l
SYNAGRO
A Residuals Management Company
Landowner: �tr_y uc L14,il/3,n2y,1
Site: Ro Field: 2, Sample #: Slope: tr
Acres (gross): Acres (net): Crop: 4,j r
SOIL PROFILE DESCRIPTIONS
Horizon Depth Texture Color Structure. Mottles
PROFILE A k a- n _/,,?�c !Z
40
Depth to SHWT:
Depth & type of restrictive- layer: >r
Soil Series:LJ"60 lak rP E )
Horizon - Depth Texture
PROFILE B
Color
Structure Mottles:
Depth to SHWT:
Depth & type of restrictive layer:
y Soil Series:
Notes: OK `Ira 0 l_® (WL,- , O"J.-e -ro IJA vK_
Legend
Texture
~ ` s Sand
Loam
sir Silt
c Clay
7i2ulr � /.�� sae oFNS `�
Described By: 1 Date:
Structure Grade
1 Weak
2 Moderate- - -
3 Strong
Structure Tvae
gr
Granular
abk
pl
Platy
sbk
pr
Prismatic
sg
cpr
Columnar
m
Angular Blocky
Subangular Blocky
Single Grained
Massive

SOIL DESCRIPTION SHEET
Project: _1 w4&Ct•,.j ,
S"AGRIO
A Residuals Management Company
Landowner: &,r� L 3s�2�os I
Site: 1 `7 Field: _ Sample #: Slope: _:�t_
Acres (gross): Acres (net): Crop: /&j vGOc
Horizon
PROFILE A_
A_
Y
SOIL PROFILE DESCRIPTIONS
Depth
Texture
Color Structure
6-, d
lz- l G
fe
!0 lie sZ
Depth to SHWT: 'v&
Depth & type of restrictive layer: ? Y°
Soil Series:R
Mottles.
Horizon Depth Texture Color Structure Mottles
PROFILE B,
Depth to SHWT:
Depth & type of restrictive layer:
Soil Series:
Notes: 4L gg y lIR/��t�•r: _ @ u fc,r nff -rQd XAA V eA-
Described By:
Legend
Date:
Texture
Structure Grade
Structure Type
s Sand
1 Weak
gr
Granular abk
® 1. Loam
2 Moderate
pl
Platy - sbk
si Silt
3 Strong
pr
Prismatic sg
c Clay
cpr
Columnar m "
Angular Blocky
Subangular Blocky
Single Grained..
Massive

SOIL DESCRIPTION SHEET
Project: _ t o o4 Q��,Pf
SYNAG 0
A Residuals Management Company
Landowner:- tKir dL Lvmd JK��
Site: t'7 Field: y Sample #:
Acres (gross): Acres (net): Crop: 4ow c� 1
SOIL PROFILE DESCRIPTIONS
Slope: _ (
Horizon Depth Texture Color Structure_ Mottles
PROFILE A��{� Jk-
YA
% .
Depth to SHWT: Sty -
Depth & type of restrictive layer:- -o y9
�S�
-Soil Series: LOM(�t•��Att). DIM* ao ?
Horizon. Depth Texture. Color_ Structure Mottles
PROFILE B.
Depth to SHWT:
Depth. type of restrictive layer:
Soil Series:
Notes:
Described By:
Legend -
Texture
Structure Grade
s Sand
1 .Weak
I Loam
2 Moderate
si Silt
3 Strong
c ' Clay
Structure Tvne
gr
Granular
abk
pl
Platy
sbk
-pr
Prismatic
sg
cpr
Columnar
m
Angular Blocky
Subangular Blocky
Single -Grained -
Massive
3L"

Site ID:
NC-RO-39
Owners:
See Notes below
Operator:
Patrick Bullard
Address:
Post Office Box 1262
Pembroke, NC 28372
Phone:
910-506-9329
Estimated
Total Applicable
Fields
Acres Acres.
SITE SUMMARY
City of Lumberton
W00000672
9
Robeson Co.
Predominant-
Latitude- &
RYE
Soil Series
Longitude
Cron(s) PAN/ac./vr.
(man unit)
'(D.M.S)
1A
5.3
5.3
coastal
29
99
Goldsboro
34.36.11 N
bermudagras
(GoA)
79.13.09 W
18 -
2.6
2.6
coastal
299
Goldsboro
34.36.07 N
bermudagrass
(GoA)
79.13:07 W
2
1.4
1.4
coastal
299
Goldsboro.
34.36.08 N
bermudagrass
(GoA)
79.13.04 W
3
5.1
5.1
coastal
194
Rains
34.36.01 N
bermudagrass
(Ra)
79.13.14 W
4
14.8
14.8
coastal
237
Lynchburg
34.36.01 N
bermudagrass
(Ly)
79.13.08 W
5
3.8
3.8
coastal
2 37
Lynchburg
34.36.'01 N
bermudagrass
(Ly)
79.13.02 W
6
2.9
2.9
coastal
264
Wagram
34.36.63 N
bermudagrass
(WaB)
79.12.58 W
7
3.7
3.7
coastal
.299.
Goldsboro
34.41.12 N
bermudagrass(GoA)
79.02.01 W
8
•. 7.4
7.4-,
coastal
299
Norfolk
34.41.13 N
bermudagrass
.
(NoA)
79.01:55 W
9
62.5
62.5
coastal
264
Wagram
34.24.26 N
bermudagrass
(WaB)
79.04.25 W
TOTALS 109.5 109.5
Notes: Lindbergh Bullard owns fields 1A, 1B, and 2
Quindale Bullard owns fields.3-4:
Rhonda Kay Chong owns fields 5-6
Lyndon Bullard owns fields 7-8.
Patrick Bullard owns field 9.
Date:. 1119112

NC-RO-39 (all locations approximate) 1 inch = 11,167 feet.

Re $ (all locations approximate) 1 inch =:1;000 feet.

Topographic Map
.1 � � �♦ \�� may, '"'"'J � + '� _ � -``,.
Z
V 8 ♦ =,mot_ iLa� 1„ di:•i�/°3.�
. Jr.q,, �; - f:.�.�-=•,•i�. _ rr � � "'tee a
°ie 1
Aw-
c, \\"Ook
} • _ \ \ ', y�� r ��+ ter^' I
5
Aft
("row"
s
F Rr4�� �=• '� �- —�_• r.---'lie 1 N, "
1! •' -� '• fir- '�' •�
oil-
1� �� \ _.. `� -�--a� `'`1, • 1 9'.' ,+lilt
5�'1'S , �� , ,� �� �r''C�<..._` 'tee '� ��� ',� •, • ,d I . �� �V_ w �- #.
-
1,
l\
";'S` ♦ � .+�1p- �Ir ..�. '`!, 1,5e ♦ rl Iw � 1r• .' �� �3' w. _
x� -:-
1{( •_`ems ,r ♦� � '1,'
_ y `e 5. ti4
� �� f �` � m ®5}i\ r 1 AtiyS�l s �"f� • •
NC-RO-39; Fields 7-8 (all locations approximate) 9 inch = 9,000 feet

Topographic Map
z
NC-RO-39; Field 9 (all locations approximate) 1 inch = 1,000 feet

< A'
®m

1
Legend _
1 � inch 660 feet
(all locations approximate)
Drain ApplicationArea O SoilDescription:
;Pond:..;: OfP36t louse..;' Unsuitable
The:compliance boundary Is established at either 250 feet from the
residuals application"aeea or 50 feet within the property boundary,
whichever is closest to the application area. The review boundary
> X, x - Fence AM QUtIJUIICilllg is established midway between the compliance boundary and the.:
Pro ert Line" Well
" p nmet the, rest application ea... ..
P.. y . a pF2et ai e �' er of• � 'duals "
NC-R0-39; Fields 7-8 0 230 460 920 = 1,380 11840

• /�, ..;tit' {•� ��-s. + �
* •� �� ./.' I` i tic r�,in�"Sr!'t4 � [ 'k4 � ? e �'as� . � ,
�Zi'q�-� gl. l``1,
LAN
Yc
TPA
Llfhll
�, ��// � /r��i" ` �! ,���, fit• - F _ y ,k
,,.s�„y, .�•, c we 0i� � 1. t�
Elm,®Ir'I/L,iy /I �� .b!_ 4+ig -. � •'' a.', eS � �
\ ♦ji\ 4 1{, tt'P1 a � , ,
Sy ok t,;♦ .r4 •tt >J� ,.� a•. �1'.,w � ..
0

FW
NC-RO-39; Fields 1-6 (all locations approximate) 9 inch = 1,000 feet

1 1),
PA
NC-RO=39 Fields':74
(all locations approximate) 1 inch=:1;o6o feet:

5�
tA
%`J p
NC-RO-39 `Field 9-.:
(all locations appro)imate) 1 inch=:1;000 feet:

o N
Ntate'of North Carolina
Departmeiit'of Environment and Natural Resources .
Division of Water Quality
LAND OWNER AGREEMENT
Q/ FORM: LOA 08-11
Please use the following instructions as a checklist in order to ensure all required items -are submitted. -Adherence to tliese
instructions and checking the provided boxes will.help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required ,items will lead to additional processing and review time for the
permit application. - Unless otherwise noted, the Applicant shall submit one original and two copies of the application and
supporting documentation
For more information or for an electronic version of thisform, visit the Land Application Unit "U) web site at.
http. /iportal. ncdenr. org/web/w2/aps11au
General - This document is an agreement between the Applicant and land owner(s) of residuals receiving sites for land application of
Class B residuals (may include water treatment plant or other type. residuals) in accordance with 15A NCAC 02T .1100. Do not
submit this agreement.for review without a corresponding application form (FORM: RLAP 08-11).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Land Owner Agreement (FORM: LOA 08-11):
❑ Submit the completed and appropriately executed Residuals Source Certification (FORM: LASC 08-11) form. Please do not
make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to the_
application may be made, as long as the attachments are numbered to correspond to the section and item to which they refer.
❑ Prepare a separate agreement for each set of land application sites that are owned or operated by an entity other than the
Applicant.
❑ A copy of the completed and appropriately executed agreement must be provided to the landowner and the lesseeloperator.
r AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND
—� The undersigned landowner or his representative hereby permits:
Applicant's name:
hereinafter referred to as the Permittee, to land apply residuals from the following facility(ies) onto the following land
application site(s) (Le., see attached setback maps) in accordance with the stipulations and restrictions as given in this
Agreement:
Site/Meld ID
Lease
(yes/no)
Land Use or
Cropping Patterns
Intended Use of Crops
Residuals Source
(optional)
Special note
(no-tiWover-seed/
pasture)
/1f�-Qp33-/�
y�K
a�..
nil
EJ�j r wtia-T�
N C - P - 3g -1 &
`/
�rr+►t
L� a- t.7 rs
Ne, -3q - 2
y
ice+ 4- W07P
t g
Y
lQ
L
The landowner or his representative receives, in consideration, full use of the nutrient value of the applied residuals while the
Permittee receives, in consideration, the use of the -land application site(s) described above for the disposal of the residuals.
This Agreement shall remain in effect for the length of the Division's permit for the residuals land application program and
shall be renewed each time this permit is renewed.
The. undersigned ..landowner or his.. representative and the Permittee agree to 'abide with the following restrictions and
stipulations until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement.

L STIPULATIONS:
1. The landowner or his representative shall not enter into any additional residuals application contracts or agreements with another permitted
entity for the site(s) specified by this Agreement
2. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) to a third party, the landowner shall
be responsible to ensure that the third party agrees and complies with the term and conditions of this Agreement
3. The landowner or his representative shall adhere to the provisions of this Agreement until all of the site restrictions (under Section H) are met.
4. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR DWQ, Land Application Unit, 1636 Mail Service
Center, Raleigh, NC 27699-1636.
5. The Permittee must request and obtain a permit modification from the Division prior to a transfer of the land application site(s) to a new
landowner. In addition, the current landowner shall give a notice to the new landowner that gives full details of the residuals applied at the
land application site(s).
6. The Permittee has provided the landowner or his representative with information and data concerning the residuals land application program,
including an analysis of constituents of the residuals, residuals application methods, schedules for typical cropping patterns, a description of
the equipment used by the Permittee.
7. The Permittee will provide the landowner or his representative with a copy of the residuals permit prior to commencement of any residuals
land application event and a copy of the results of each soil analysis.
8. If the soil pH of the land application site(s) is not maintained at 6.0 or greater, sufficient amounts of lime shall be applied to achieve a final
soil pH of at least 6.0, unless an agronomist provides information indicating that the pH of the soil, residuals and lime mixture is suitable for
the specified crop.
9. The landowner or his representative and the Permittee will agree on residuals application rates and schedules based on crop patterns, results of
soil samples, and the permitted application limits.
10. The landowner or his representative will provide the Permittee with information regarding the amount and analysis of other sources of
nutrients (e.g., fertilizer, unregulated animal waste, etc.) that have been applied to the land application site(s).
11. The landowner or his representative will inform the Permittee of any revisions or modifications to the intende&use and cropping patterns for
the land application site(s) prior to each planting season to enable the Permittee to amend this Agreement and schedule residuals land
application events at appropriate periods. - .
12. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee, the landowner, or
his representative prior to and during a residuals land application event
13. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to; enter and
inspect any property, premises, or place on or related to the land application site(s) at any reasonable time for the purpose of determining
compliance with the permit; establish monitoring facilities on or near the land application site(s) as required by the permit; copy any records
that must be kept under the terms and conditions of the permit; take necessary leachate, surface water, groundwater, or soil samples during the
term of, and 12 months after termination of, this Agreement
%IL RESTRICTIONS:
1. Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control public access to the land
application site(s) during active use and for the 12-month period following a residuals land application event Such controls may include the
posting of signs that indicate the activities being conducted at the land application site(s).
2. Animals shall not be grazed on the land application site(s) for a 30-day period following a residuals land application event Land application
sites that are to be used for grazing shall have fencing that will be used to prevent access during these periods after such residuals land
application events.
3. Food crops, feed crops, and fiber crops shall not be harvested for a 30-day period following a residuals land application event
4. Food crops with harvested parts that touch the residualstsoil mixture and are totally above the land surface shall not be harvested for a 14-
month period following a residuals land application event.
5. Food crops with harvested parts below the surface of the land shall not be harvested for a 20-month period following a residuals land
application event when the residuals remain on the land surface for four months or longer prior to incorporation into the soil.
6. Food crops with harvested parts below the surface of the land shall not be harvested for a 38-month period following a residuals land
application event when the residuals remain on the land surface for less than four months prior to incorporation into the soil.
7. Turf grown on land where residuals are applied shall not be harvested for a 12-month period following a residuals land application event.
IIL ALTERNATIVES FOR WATER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY: (please check one)
15A NCAC 02L .0107(d) prohibits water supply wells within the compliance boundary. However, 15A NCAC 02T .0105h: allows the
compliance boundary to be placed closer to the waste disposal area, such that the water supply well is situated outside of the compliance
boundary provided the groundwater standards can be met at the newly -established compliance boundary. Please mark one of the following;
EVA re -defined compliance boundary is needed for field(s) ID: /VC -PO `%I- AA "-zd -31- / a , Ne-- 0.3 9 - A
(Please include the rationale for the requested re -location of the compliance boundary and attach a map showing the newly proposed
compliance boundary to the application package)
❑ A re -defined compliance boundary is not needed for this site.
IV. ACKNOWLEDGEMENT OF FIELD TRANSFER: (if needed)
❑ The land application field(s) ID: is currently permitted under another
residuals Iand application program; Permit Number WQ: The land owner hereby acknowledge that by signing this
agreement, he/she is requesting that the field(s) be removed from the previously permitted residuals land application program and transferred
into the new moezam:
(Name of the new program)

Landowner's Certification:
I certify that I am a deeded landowner of -the above -referenced land application site(s) and am authorized to make decisions
regarding the use of the land "application site(s) on behalf of other deeded landowners OR that I am otherwise authorized, through
a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the
deeded landowners. I certify that the above -referenced land application site(s)'are not included in any waste disposal.contract or
agreement with another municipality, contractor,•or other permitted entity. Furthermore, I certify'that I have read this Agreement,
understand the. stipulations, restrictions, alteratives for water. supply wells, inside the compliance boundary, acknowledgement of
field transfer, and do hereby grant permission to the Permittee to land apply residuals to the land application site(s) as specified
herein.
Landowner name:F
Address: U*x)
City: ' 012 State: Zip:
Phone: `� oZ E- ddress:
Signature: Dater.. d �,
NORTH CAROLINA, �,J� V, COUNTY
I, the undersigned. Notary Public do hereby certify that % i /�/�i (initials:194) personally
appeared before me this day, and, being duly sworn, stated that in his/her presence &L,, 6 signed
the attached document and acknowledged the due execution of the foregoing instrument. —
WITNESS my hand an _ o vial seal this the �p 7 day of 20 / Z
Signature and seal'
My commission expires: 1 rN 1(� "DOWPUBW
SMEOFNORM CAF;CUNA
Lessee's/Operator's Certification: -
I certify that I have read
Lessee/operaqname*,
Address: City:
Phone: 9b 06
Signature:
to abide by the stipulations and restrictions as specified herein:
Zip:z--
Permittee's Certification:
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Signing official name: r—T Kk- W N \�WS
Signature: Date:

State of North Carolina
or 1_%1t 'y
' �O� QG
O 'C
Department -of Environment and Natural Resources
Division of Water. Quality
LAND OWNER AGREEMENT
FORM: LOA 08-11
Please'use the following instructions as a checklist in order to ensure all required items are submitted Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted. the Applicant shall submit one original and two conies of the application and
supporting documentation
For more information or for an electronic version of this form, visit,the Land Application Unit (LA U) web site at;
http://portal. ncdenr. oreAveb/wq/aps/iau
General — This document is an agreement between the Applicant and land owner(s) of residuals receiving sites for land application of
Class B residuals (may include water treatment plant or other type residuals) in accordance with 15A NCAC 02T A 100. Do not
submit this agreement for review without a corresponding application form (FORM: RLAP 08-11).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Land Owner Agreement (FORM: LOA 08-11):
❑ Submit'the completed and appropriately executed Residuals Source Certification (FORM: LASC 08-11') form. Please do not
make any unauthorised content changes to this form. If necessary for clarity or due to space restrictions, attachments to the
application may be made, as long as the attachments are numbered to correspond to the section and item to which they refer.
❑ Prepare a separate agreement for each set of land application sites that are owned or operated by an entity other than the
Applicant.
❑ A copy of the completed and appropriately executed agreement must be provided to the landowner and the lesseetoperator.
AGREEMENT FOR -THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND
The undersigned landowner or hisrepresentativehereby permits:
Applicant's name:
hereinafter referred to as. the Permittee, to land apply residuals from the following facility(ies) onto the following land
application site(s) (i.e., see attached setback maps) in accordance with the stipulations and restrictions -as given in this
Agreement:
Site/Field ID
Lease
es/no
(y )
Land Use or
-Cropping pares
pp�
Mended Use of Crops
Residuals Source
(optional)
Special note
(no-till/over-seed/
pasture}
NC-P-0- 3l -3
�r r•ka�a
�,r.Q
W-wt,�-tp
-
The landowner or his representative receives, in consideration, full use of the nutrient value of the applied residuals while the
Permittee receives, in, consideration, the use of the land, application site(s) described above for the disposal. of the residuals.
This Agreement shall remain in effect for the length of the Division's permit for the residuals land application program ,and
'shall be renewed each time this permit is renewed
The undersigned landowner or his representative and the Permittee agree to abide. with the -following restrictions ­ and
stipulations until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement.

L STIPULATIONS:
1. The landowner or his representative shall not enter into any additional residuals application contracts or agreements with another permitted
entity for the site(s) specified by this Agreement
2. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) to a third party, the landowner shall
be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement
(� 3. The landowner or his representative shall adhere to the provisions of this Agreement until all of the site restrictions (under Section H) are met
4. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWQ, Land Application Unit, 1636 Mail Service
Center, Raleigh, NC 27699-1636.
5. The Permittee must request and obtain a permit modification from the Division prior to a transfer of the land application site(s) to a new
landowner. In addition, the current landowner shall give a notice to the new landowner that gives full details of the residuals applied at the
land application site(s).
6. The Permittee has provided the landowner or his representative with information and data concerning the residuals land application program,
including an analysis of constituents of the residuals, residuals application methods, schedules for typical cropping patterns, a description of
the equipment used by the Permittee.
7. The Permittee will provide the landowner or his representative with a copy of the residuals permit prior to commencement of any residuals
land application event and a copy of the results of each soil analysis.
8. If the soil pH of the land application site(s) is not maintained at 6.0 or greater, sufficient amounts of lime shall be applied to achieve a final
soil pH of at least 6.0, unless an agronomist provides information indicating that the pH of the soil, residuals and lime mixture is suitable for
the specified crop.
9. The landowner or his representative and the Permittee will agree on residuals application rates and schedules based on crop patterns, results of
soil samples, and the permitted application limits.
10. The landowner or his representative will provide the Permittee with information regarding the amount and analysis of other sources of
nutrients (e.g., fertilizer, unregulated animal waste, etc.) that have been applied to the land application site(s).
11. The landowner or his representative will inform the Permittee of any revisions or modifications to the intended use and cropping patterns for
the land application site(s) prior to each planting season to enable the Permittee to amend this,Agreement and schedule residuals land
application events at appropriate periods.
12. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee, the landowner, or
his representative prior to and during'a residuals land application event
13. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to; enter and
inspect any property, premises, or place on or related to the land application site(s) at any reasonable time for the purpose of determining
compliance with the permit; establish monitoring facilities on or near the land application site(s) as required by the permit; copy any records
that must be kept under the terms and conditions of the permit; take necessary leachate, surface water, groundwater, or soil samples during the
term of, and 12 months after termination of, this Agreement
,d RESTRICTIONS:
1. Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control public access to the land
application site(s) during active use and for the 12-month period following a residuals land application event Such controls may include the
posting of signs that indicate the activities being conducted at the land application site(s).
2. Animals shall not be grazed on the land application site(s) for a 30-day period following a residuals land application event Land application
sites that are to be used for grazing shall have fencing that will be used to prevent access during these periods after such residuals land
application events.
3. Food crops, feed crops, and fiber crops shall not be harvested for a 30-day period following a residuals land application event
4. Food crops with harvested parts that touch the residualstsoil mixture and are totally above the land surface shall not be harvested for a 14-
month period following a residuals land application event.
5. Food crops with harvested parts below the surface of the land shall not be harvested for a 20-month period following a residuals land
application event when the residuals remain on the land surface for four months or longer prior to incorporation into the soil.
6. Food crops with harvested parts below the surface of the land shall not be harvested for a 38-month period following a residuals land
application event when the residuals remain on the land surface for less than four months prior to incorporation into the soil.
7. Turf grown on land where residuals are applied shall not be harvested for a 12-month period following a residuals land application event.
III ALTERNATIVES FOR WATER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY: (please check one)
15A NCAC 02L .0107(d) prohibits water supply wells within the compliance boundary. However, 15A NCAC 02T .0105(h, allows the
compliance boundary to be placed closer to the waste disposal area, such that the water supply well is situated outside of the compliance
boundary provided the groundwater standards can be met at the newly -established compliance boundary. Please marls one of the following;
dA re -defined compliance boundary is needed for field(s) ID: /VC - ko - g9 " 3 >> AIC— P — 3g
(Please include the rationale for the requested re -location of the compliance boundary and attach a map showing the newly proposed
compliance boundary to the application package)
❑ A re -defined compliance boundary is not needed for this site.
IV. ACKNOWLEDGEMENT OF FIELD TRANSFER: (if needed)
❑ The land application field(s) ID: is currently permitted under another
residuals Iand application program; Permit Number WQ: The land owner hereby acknowledge that by signing this
agreement, he/she is requesting that the field(s) be removed from the previously permitted residuals land application program and transferred
into the new program;
(Name of the new program)

1
Landowner's Certification:
I certify that I am a deeded landowner of the above -referenced land application site(s) and am authorized to make decisions
regarding the use of the land application site(s) on behalf of other deeded landowners OR that I am otherwise authorized, through
® a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the
deeded landowners. I certify that the above -referenced land application site(s) are not included in any waste disposal contract or
agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement,
understand the stipulations, restrictions, alternatives for water supply wells inside the compliance boundary, acknowledgement of
field transfer, and do hereby grant permission to the Permittee to land apply residuals to the land application site(s) as specified
herein. ;
Landowner name: (�/�tNd 2 FUJC&1—d
Address: 3 !� � 60 , b e J
City: 1. OLo ��" Me— State: Zip: Z$ SO 3
Phone: E-mail address:
Signature: Date: j2j C- 1 U L
NORTHCAROLINA, _ n COUNTY,
I, the undersigned Notary Public do hereby certify than r�Afl\lc� (initials: personally
appeared before me this day, and, being duly sworn, stated that in his/her presence 4 21 r.rl��,� �d�. � signed
the attached document and acknowledged the due execution of the foregoing instrument.
WITNESS y hand and official seal this the N day of -cM b 20 2-1)(1-
—
Signature and seal:
My commission expires: /l D 3
Lessee's/Operator's Certification:
i
I certify that I have read thiAgreement and
Lessee/op
Address:
City:
Phone:
Signature:
Goo -1
Permittee's Certification:
2b Z-
1� •1�
to abide by the stipulations and restrictions as specified herein.
State: A, Zip:
E-mail
Date:
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Signing official name: ►°n.L W x
Signature: Cx VW wl Date:
i

1 .
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
SETBACK WAIVER AGREEMENT ATTACHMENT
For Land Application of Residual Solids (FORM: SWAA 070807)
(THIS FORMMAY BE PHOTOCOPIED FOR USEASAN ORIGINAL)
The Division of Water Quality (Division) will not accept this attachment unless all the. instructions are followed.
Failure to submit all required items will lead to additional processing and review time.
For more information, visit our web site at. http:11h2o. enr.state. nc. us/lau/main. htnl
LAW
INSTRUCTIONS TO THE APPLICANT:
A. Attachment Form:
✓ Do not submit this attachment form for review without its corresponding residuals program
application form (FORM: NDRLAP).
✓ Any changes to this attachment form will result in the application package being returned.
B. Prepare {a separate attachment form for each property from which a waiver from 15A NCAC 2T
.1108(b)(2)(for habitable residences or place of public assembly) is being sought.
✓ Any other setbacks required by 15A NCAC 2T .1108, other than those referenced above, cannot be waived
through execution of this attachment form.
✓ A .copy -of the completed and appropriately executed attachment form must be provided to the property
owner.i
AGREEMENT TO WAIVE THE SETBACK REQUIRED BY 15A NCAC 2T .1108(b)(2)(habitable residences)
The undersigned property owner hereby permits:
Applicant's name: ­ City of Lumberton
Complete mailing address of applicant: J491 S
i
t
City: LwwJb .K State: Me, Zip: 28uy
Telephone number: lo ) 67-1= 3$ Facsimile number: (- )
E-mail address.
hereinafter referred to as the Permittee, to land apply residualsmithin _ feet (i.e., cannot be less
than 100 feet) of the residence or place of public assembly located at the following.
Location address of property:cl-
City: �' . L,A 0,._,. State: IU . L Zip: i' t3 3
This Agreement shall remain in effect for the length of the Division of Water. Quality's (Division) permit
for the residuals land application program and shallbe renewed each time this permit is renewed. In
addition, this Agreement shall only remain in effect for as long as the undersigned property owner owns the
property described herein.
The undersigned property owner agrees -to abide by this Agreement until such time as.written notification,
given 30 calendar days in advance, modifies or cancels this Agreement.
certify that I am a deeded property owner of above -referenced property and am authorized to make decisions
regarding this property on behalf of other deeded property owners. Furthermore, I certify that I have read and
understand this Agreement and do hereby grant permission to the Permittee to land apply residuals to land
application site(s) as specifi rein.
Property owner e:
�s�tgnature: Date:zoiz
WADAX- QU7AjA A-17AQA-7

.:., F W A
OTFR State of North Carolina
�� Department of Environment and Natural Resources
Division of Water Quality
a LAND OWNER AGREEMENT
FORM: LOA 08-11
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions andjchecking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted, the Applicant shall submit one original and -two copies of the application and
supporting documentation
I For more information orfor an electronic version of this form, visit the Land Application Unit (LAU) web site at:
if ,�7r�1.ltcrl��nr. a u ch art apv /(-,It
General - This document is an agreement between the Applicant and land owner(s) of residuals receiving sites for Iand application of
Class B residuals .(may include water treatment plant or other type residuals) in accordance with I.iA NCAC_02T_. 1100. Do not
submit this agreement for reviewwithout a corresponding application form (FORM: RLAP 08-11).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and -supporting documentation listed
below.
A. Land Owner'Agreement (FORM: LOA 00-11):
❑ Submit the completed and appropriately executed Residuals Source Certification (FORM: LASC 08-11) form. Please do not
make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to the
application may be made, as long as the attachments are numbered to correspond to the section and item'to which they refer.
❑ Prepare a separate agreement for each 'set of land application sites that are owned or operated by an entity other than the
❑ A copy of the completed and appropriately executed agreement must be provided to the landowner and the lesseeloperator.
AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS.TO PRIVATELY OWNED LAND
— / The undersignedllandowner orhisrepresentative hereby permits:
Applicant's name: - C ` �1 Lwytte 4 --
hereinafter referred to as the Permittee, to land apply residuals from the following facility(ies) onto the following land
application site(s) (Le., see attached setback maps) in accordance with the stipulations and restrictions as given in this
Agreement:
I
{
Site/Held ID
Lease
(yes/no)
Land Use or
Cropping Patterns
Intended Use of Crops
Residuals Source.
(optional)
Special note
(no-tiWover-seed/
pasture)
C -art -39-
nrw►�.
7Y,a +
��3'CP +' �.1`^S`t'�
I
The landowner or his representative receives, in consideration, full use of the nutrient value of the applied residuals while the
Permittee receives, in consideration, the use of the land application site(s) described above for the disposal of the residuals.
This Agreement shall remain in effect for the length of the Division's permit for the residuals land application program and
shall tic renewed each time this permit is renewed.
The undersigned landowner or his representative and the Permittee agree to abide with the following restrictions and
stipulations until!such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement.

L STIPULATIONS:
l . The landowner or his representative shall not enter into any additional residuals application contracts or agreements with another permitted
entity for the site(s) specified by this Agreement.
2. Should the landowner or his representative lease or otherwise permit the use of the land application sites) to a third party, the landowner shall
be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement.
3. The landowner or his representative shall adhere to the provisions of this Agreement until all of the site restrictions (under Section 11) are met.
4. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWQ, land Application Unit,1636 Mail Service
Center, Raleigh, NC 27699-1636.
5. -The Permittee must request and obtain a permit modification from the Division prior to a transfer of the land application site(s) to a new
landowner. In addition, the current landowner shall give a notice to the new landowner that gives full details of the residuals applied at the
land application site(s).
6. The Permittee has provided the landowner or his representative with information and data concerning the residuals land application program,
including an analysis of constituents of the residuals, residuals application methods, schedules for typical cropping patterns, a description of
the equipment used by the Permittee.
7. The Permittee will provide the landowner or his representative with a copy of the residuals permit prior to commencement of any residuals
land application event and a copy of the results of each soil analysis.
8. If the soil pH of the land application site(s) is not maintained at 6.0 or greater, sufficient amounts of lime shall be applied to achieve a final
soil pH of at least 6.0, unless an agronomist provides information indicating that the pH of the soil, residuals and lime mixture is suitable for
the specified crop.
9. The landowner or his representative and the Permittee will agree on residuals application rates and schedules based on crop patterns, results of
soil samples, and the permitted application limits.
10. The landowner or his representative will provide the Pernritte a with information regarding the amount and analysis of other sources of
nutrients (e.g., fertilizer, unregulated animal waste, etc.) that have been applied to the land application site(s).
11. The landowner or his representative will inform the Permittee of any revisions or modifications to the intended.use and cropping patterns for
the land application site(s) prior to each planting season to enable the Permitter to amend this Agreement and schedule residuals land
application events at appropriate periods.
12. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee, the landowner, or
his representative prior to and during a residuals land application event.
13. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to; enter and
inspect any property, premises, or place on or related to the land application sites) at any reasonable time for the purpose of determining
compliance with the permit; establish monitoring facilities on or near the land application site(s) as required by the permit; copy any records
that must be kept under the terms and conditions of the permit; take necessary leachate, surface water, groundwater, or soil samples during the
term of, and 12 months after termination of, this Agreement
IL RESTRICTIONS:
1. Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control public access to the land
application site(s) during active use and for the 12-month period following a residuals land application event Such controls may include the
posting of signs that indicate the activities being conducted at the land application site(s).
2. Animals shall not be grazed on the land application site(s) for a 30-day period following a residuals land application event Land application
sites that are to be used for grazing shall have fencing that will be used to prevent access during these periods after such residuals land
application events.
3. Food crops, feed crops, and fiber crops shall not be harvested for a 30-day period following a residuals land application event
4. Food crops with harvested parts that touch the residuals/sod mixture and are totally above the land surface shall not be harvested for a 14-
. month period following a residuals land application event.
5. Food crops with harvested parts below the surface of the land shall not be harvested for a 20-month period following a residuals land
application event when the residuals remain on the land surface for four months or longer prior to incorporation into the soil.
6. Food crops with harvested parts below the surface of the land shall not be harvested for a 38-month period following a residuals land
application event when the residuals remain on the land surface for less than four months prior to incorporation into the soil.
7. Turf grown on land where residuals are applied shall not be harvested for a 12-month period following a residuals land application event.
III.ALTERNATIdES FOR WATER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY: (please check one)
15A NCAC 02I, .0107(d) prohibits water supply wells within the compliance boundary. However, 15A NCAC'_(!__I.!Jt!�:, allows the
is
compliance boundary to be placed closer to the waste disposal area, such that the water supply well situated outside of the compliance
boundary provided the groundwater standards can be met at the newly -established compliance boundary. Ptease mark one of the following;
IR(A re-de:f nal compliance boundary is needed for freld(s)1D: /V t-D ,V -s-, 0(,- "1 -A4P-
(Please include the rationale for the requested re -location of the compliance boundary and attach a map showing the newly proposed
compliance boundary to the application package)
A re -defined compliance boundary is not needed for this site.
IV. ACKNOWLEDGEMENT OF FIELD TRANSFER: (if needed)
❑ The land application field(s) ID: is currently permitted under another
residuals land application program; Permit Number WQ: The land owner hereby acknowledge that by signing this
agreement, he/she is requesting that the field(s) be removed from the previously permitted residuals land application program and transferred
into the new program; _
(Name of the new program)

11 12 02:16p David (Andy) Kimball I DUO-1+-ju-uzlo I N.
CIO
ieaadowser''s Ct:rtdicatiw:
1 =dfy tbat I am a deeded b ndoarner of the above -refer land application sites) and am autbmized to GWw decisions
'rega ft *e use of the land application site(s) on behalf of Sher deeded 19a&wners OR that I am otherwise autiterized, thronrgh
a power of altamey or other legal delegation, to make decisions regarding the use of the land application site(s) an behalf of dw
deeded landowners. I certify that the above-re%reaced land application site(s) are not included in any waste disposal contract or
agreement with another municipality, eontrac W, a other pitted entity Fwdwn core, I certify that I have read this Agteemem,
understand the stipullWon% resbicsions, altesnadm for water supply wells inside the complimm boundary, acknowledgmuent of
field transfer, and do hereby grant permission to the Parnettoe to land apply residuals to the laud application sites) as specified
heron , . IL - U.,
Landowner name:
Address: —7514 t.")
CW.. -ee, ✓ e V. l r _State: l e Zip:
Pbcme: 7 ? " - 2 6 S? - E-nail address: iL11 b t 44,
57%� �� r.� �, `T ��.1 . ld
SigcaLucC: L Dale: &/IL
NORTH CAROLMA, �rn I�/ COUNTY
I, the undersigned Notary Public do hereby certify that r' I � l � yMii � (initials: l 7� i personally
appeared before me this day, and, being duly sworn, stated that in his/her presenceCl,�c� signed
the attached document and acknowledged the due execution of the foregoing instrument.
WITNESS my hand and official seal this the ILt day ofaCjr 41 ,f)2 •20-LL --
Signature and seal:
My commission expires:`
LwAe'sfOperator's Cerdficsfts:
I aartify that I have mad
Lesseelbpentornane: .
z
Is
sL7fl �a
pernittee's CerdlICA ioa:
STIRS OF NORTH CAROLINA
and dp hereby knee to abide by the stipulations and restrictions as specified heretic.
State: AX— zip:
i
nm
I certify that I have read this Agree m�eat- and do hereby agree to abide by the stipulations and restrictions as 4='fLcd h=m
SigAimg official
Signatum:
Date: t z - ► 1 " `ol-O l

State of North Carolina
(ram Department of Environment and,Natnral Resources
Division of Water Quality.
SETBACK WAIVER AGREEMENT, ATTACHMENT
For Land Application of Residual Solids (FORM: SWAA 070807)
(THIS FORM MAY BE PHOTOCOPIED FOR USE AS AN ORIGINAL)
The Division of Water Quality (Division) will not accept this attachment unless all the instructions are
followed Failure to submit all required items will lead to additional processing and review time.
For more information, visa ourweb sire at: jtigY&2o ehr.state.nc.ssdauhnain.hmd
INSTRUCTIONS TO THE APPLICANT:
A. • Attachment Form:
Do not submit this attachment form for review without its corresponding residuals program
application form (FORM: NDRLAP).
Any changes to this attachment form will result in the application package being returned.
B. Prepare a separate attachment form for MLeh property from which a waiver from 15A NCAC 2T
.1108(b)(2)(for habitable residences or place of public assembly) is being sought.
/ Any other setbacks required by 15A NCAC 2T .I.108, other than those referenced above, cannot be waived
through execution of this attachment form.
A copy of the completed and appropriately executed attachment form must be provided to the property owner.
AGREEMENT TO WAIVE THE SETBACK REQUIRED BY ISA NCAC 2T .1108(b)(2)(haNtable residences)
The undersigned property owner hereby permits:
Applicant's name: City of Lumberton
Complete mailing address of applicant: 1451 Lowery ,fit
City: Lumberton State: NC Zip: 28358
Telephone number. ( 910) 671-3856 Facsimile number.
E-mail address: __ LvrAtempi.lumberton-us
hereinafter referred to as the Permittee, to land apply residuals within 100 feet (Le., cannot be less
than 100 feet) of the residence or lace of public assembly' located at the following:
Lpcation address of proper... �' f
City. State: Zip: 2�3
This Agreement shall remain in effect for the length of the Division of Water Quality's (Division) permit for
the residuals land application program and shall be renewed each time this permit is renewed. In addition,
this Agreement shall only remain in effect for as long as the undersigned property owner owns the property
described herein.
The undersigned property owner agrees to abide by this Agreement until such time as written notification,
given 30 calendar days in advance, modifies or cancels this Agreement.
(certify that I am a deeded property owner of above=referenced property and am authorized to make decisions
regarding this property on half of other deeded property owners. Furthermore, I certify that I have read and
understand this A do hereby t on to the Permittee to land apply residuals to land
application site(s�)/}�
Property owner Agile:
Signature:,
Date:
FORM: SWAA 070807 Page 1 of I' Attachment Order 3-d

... .�o�V. ,mop
p -<
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
LAND OWNER AGREEMENT
rI . FORM: LOA 08-11
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence.to these
instructions and checking the provided boxes will help,produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted, the Applicant shall submit one original and two copies of the application and
supporting documentation
For more information or for an electronic version of thisform, visit the Land Application Unit (LA U) web site at.-,
http:Aportal, ncdenr. or&/web/wq/apsdau
General = This document is an agreement between the Applicant and land owner(s) of residuals receiving sites for land application of
Class B residuals (may include water treatment plant or other type residuals) in accordance with 15A NC_AC 02T .1100. Do not
submit this agreement for review without a corresponding application form (FORM: RLAP 08-11).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A.. Land Owner Agreement (FORM: LOA 08-11):
❑ Submit the completed and appropriately executed Residuals Source Certification (FORM: LASC 08-11) form. Please do not
make any unauthorized content changes to this form If necessary'for clarity or due to space restrictions, attachments to the
application may be made, as long as the attachments are numbered to correspond to the section and item to which they refer.
❑ Prepare a separate agreement for each set of land application sites that are owned or operated by an entity other than the
Applicant.
❑ A copy of the completed and appropriately executed agreement must be provided to the landowner and the lessee/operator.
AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND
The undersigned landowner or his representative hereby permits:
Applicant's name: l.i d
hereinafter referred Was the Permittee, to land apply residuals from the following facility(ies) onto the following land
application site(s) (Le., see attached setback maps) in accordance with the stipulations and restrictions as given in this
Agreement:
Site/Field ID
Lease
(yes/no)
Land Use or
Cropping Patterns
Intended Use of Crops
Residuals Source
(optional)
Special note
(no-till/over-seed/
pasture)
JV
nw.dia
,,,cam
Li-T? i- u.aw `f T
4*d
twolt
The landowner or his representative receives, in consideration, full use of the nutrient value of the applied residuals while the
Permittee receives, in consideration, -the use of the land application site(s) described above for the disposal of the residuals.
This Agreement shall remain in. effect for the length of the Division's permit for the residuals land application program and
Ishall be renewed each time this permit is renewed.
The. undersigned - landowner_ or his representative. and the Permittee. agreeto abide with the following . restrictions- and .
stipulations until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement.

L STIPULATIONS:
• 1. The landowner or his representative shall not enter into any additional residuals application contracts or agreements with another permitted
entity for the site(s) specified by this Agreement
2. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) to a third party, the landowner shall
be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement
3. The landowner or his representative shall adhere to the provisions of this Agreement until all of the site restrictions (under Section 1)) are met
4. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWQ, Land Application Unit, 1636 Mail Service
Center, Raleigh, NC 27699-1636.
5. The Permittee must request and obtain a permit modification from the Division prior to a transfer of the land application site(s) to a new
landowner. In addition, the current landowner shall give a notice to the new landowner that gives full details of the residuals applied at the
land application site(s).
6. The Permittee has provided the landowner or his representative with information and data concerning the residuals land application program,
including an analysis of constituents of the residuals, residuals application methods, schedules for typical cropping patterns, a description of
the equipment used by the Permittee.
7. The Permittee will provide the landowner or his representative with a coby of the residuals permit prior to commencement of any residuals
land application event and a copy of the results of each soil analysis.
8. If the soil pH of the land application site(s) is not maintained at 6.0 or greater, sufficient amounts of lime shall be applied to achieve a final
soil pH of at least 6.0, unless an agronomist provides information indicating that the pH of the soil, residuals and lime mixture is suitable for
the specified crop.
9. The landowner or his representative and the Permittee will agree on residuals application rates and schedules based on crop patterns, results of
soil samples, and the permitted application limits.
10. The landowner or his representative will provide the Permittee with information regarding the amount and analysis of other sources of
nutrients (e.g., fertilizer, unregulated animal waste, etc.) that have been applied to the land application site(s).
11. The landowner or his representative will inform the Permittee of any revisions or modifications to the intended use and cropping patterns for
the land application site(s) prior to each planting season to enable the Permittee to amend this Agreement and schedule residuals land
application events at appropriate periods.
12. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee, the landowner, or
his representative prior to and during a residuals land application event
13. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to; enter and
inspect any property, premises, or place on or related to the land application site(s) at any reasonable time for the purpose of determining
compliance with the permit; establish monitoring facilities on or near the land application site(s) as required by the permit; copy any records
that must be kept under the terms and conditions of the permit; take necessary leachate, surface water, groundwater, or soil samples during the
term of, and 12 months after termination of, this Agreement
M RESTRICTIONS:
,-cow
I. Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control public access to the land
application site(s) during active use and for the 12-month period following a residuals land application event Such controls may include the
posting of signs that indicate the activities being conducted at the land application site(s).
2. Animals shall not be grazed on the land application site(s) for a 30-day period following a residuals land application event Land application
sites that are to be used for grazing shall have fencing that will be used to prevent access during these periods after such residuals land
application events.
3. Food crops, feed crops, and fiber crops shall not be harvested for a 30-day period following a residuals land application event
4. Food crops with harvested parts that touch the residualstsoil mixture and are totally above the land surface shall not be harvested for a 14-
month period following a residuals land application event.
5. Food crops with harvested parts below the surface of the land shall not be harvested for a 20-month period following a residuals land
application event when the residuals remain on the land surface for four months or longer prior to incorporation into the soil.
6. Food crops with harvested parts below the surface of the land shall not be harvested for a 38-month period following a residuals land
application event when the residuals remain on the land surface for less than four months prior to incorporation into the soil.
7. Turf grown on land where residuals are applied shall not be harvested for a 12-month period following a residuals land application event.
IILALTERNATIVES FOR WATER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY: (please check one)
15A NCAC 02L .0107(d) prohibits water supply wells within the compliance boundary. However, 15A NCAC 02T .010501, allows the
compliance boundary to be placed closer to the waste disposal area, such that the water supply well is situated outside of the compliance
boundary provided the groundwater standards can be met at the newly -established compliance boundary. Please mark one of the following;
❑ A re -defined compliance boundary is needed for field(s) M:
(Please include the rationale for the requested re -location of the compliance boundary and attach a map showing the newly proposed
compliance boundary to the application package)
Ed A re -defined compliance boundary is not needed for this site.
IV. ACKNOWLEDGEMENT OF FIELD TRANSFER: (if needed)
❑ The land application field(s) ID: is currently permitted under another
residuals land application program; Permit Number WQ: The land owner hereby acknowledge that by signing this
® agreement, he/she is requesting that the field(s) be removed from the previously permitted residuals land application program and transferred
into the new program;
(Name of the new program)

Landowner's Certification:
I certify that I am a deeded landowner of the above -referenced land application site(s) and am authorized to make decisions
regarding the use of the land application site(s) on behalf of other deeded landowners OR that I am otherwise authorized, through
a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the
deeded landowners. I certify that the above -referenced land application site(s) are not included in any waste disposal contract or
agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement,
- understand the stipulations, restrictions, alteratives for water supply wells inside the compliance boundary, acknowledgement of
field transfer, and do hereby grant permission to the Permittee to land apply residuals to the land application site(s) as specified
herein.
Landowner name:
Address: 1-5(44
1 Qc
City: G// .. Z nK, 6e r---l-c State: C.. Zip: 4,4-0
2 Q �2-3
Phone: E-mail address:
Signature: Date:
NORTH IAROLINA, COUNTY
I, the undersigned Notary Public do hereby certify that (initials: M ) personally
appeared before me this day, and, being duly sworn, stated that in his/her presence J t LA1e_'j'_� signed
the attached document and acknowledged the due execution of the foregoing instrument. —
\ WITNESS my hand and official seal this the day of L0016-,y /1s,2 , 20 1 `_ —
( J Signature and seal:
My commission expires: 03 (N 1(o tMARY FMW
OWE COUM
13'1yQE OF NORTH CAROUNA
Lessee's/Operator's Certification:
I certify that I have read this Agreeme and do hereby agree to abide by the stipulations and restrictions as specified herein.
Lessee/operator name:L— .�
Address: �rr
City:
Phone:
Signature:
Permittee's Certification:
State: 6 ` C'. Zip: .23a 4
E-mail address:
Date:S'-
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Signing official name:
Signature: ! ��� Date: 1 77—

.� OF W ATF�
O� pG State of North Carolina
Department of Environment and Natural Resources
>_ y Division of Water Quality
f1 0 LAND OWNER AGREEMENT
FORM: LOA 08-11
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted the Applicant shall submit one original and two copies of the application and
supporting documentation
!%or more information or for an electronic version ojthis form, visit the Land Application Unit (LA U) web site at:
h �_ ,rlr�l.i�rrlrr�rJr, ireh u•r/ rrfx• oy
General — This document is an agreement between the Applicant and land owner(s) of residuals receiving sites for Iand application of
Class B residuals (may include water treatment plant or other type residuals) in accordance with I iA NCAC 02T . 11011. Do not
submit this agreement for review without a corresponding application form (FORM: RLAP 08-11).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Land Owner Agreement (FORM: LOA 08-11):
❑ Submit the completed and appropriately executed Residuals Source Certification (FORM: LASC 08-11) form. Please do not
make any unauthorized content changes to this form. if necessary for clarity or due to space restrictions, attachments to the
application may be made, as long as the attaciunents are numbered to correspond to the section and item to which they refer.
❑ Prepare a separate agreement for each set of land application sites that are owned or operated- by an entity other than the
Applicant.
❑ A copy of the completed and appropriately executed agreement must be provided to the landowner and the lessee/operator.
AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND
The undersigned landowner orhisrepresentative hereby permits:
Applicanfs name:
hereinafter referred to as the Permittee, to land apply residuals from the following facifity(ics) onto the following land
application site(s) (Le., see attached setback maps) in accordance with the stipulations and restrictions as given in this
Agreement:
Siteffileld ID
1,ease
es/no
tY )
Land Use or
Cropping PP Patterns
Intended Use of Crops
Residuals Source
(optional)
Special note
(no-tiWover-seed/
pasture)
Al
8&6tWdA_
j+.�VQ 4,Uj
w 4- wr,-n-)
The landowner or his representative receives, in consideration, full use of the nutrient value of the applied residuals while the
Permittee receives, in consideration, the use of the land application site(s) described above for the disposal of the residuals.
This Agreement shall remain in effect for the length of the Division's permit for the residuals land application program and
shall be renewed each time this permit is renewed.
The undersigned landowner or his representative and the Permittee agree to abide with the following restrictions and
stipulations until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement.

L STIIPULATIONS:
1. The landowner or his representative shall not enter into any additional residuals application contracts or agreements with another permitted
entity for the site(s) specified by this Agreement.
2. Should the landowner or his representative lease or otherwise permit the use of the land application sites) to a third party, the landowner shall
s be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement.
3. The landowner or his representative shall adhere to the provisions of this Agreement until all of the site restrictions (under Section 11) are met.
4. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWQ, land Application Unit, 1636 Mail Service
Center, Raleigh, NC 27699-1636.
5. "Ihe Permittee must request and obtain a permit modification from the Division prior to a transfer of the land application site(s) to a new
landowner. In addition, the current landowner shall give a notice to the new landowner that gives full details of the residuals applied at the
land application site(s).
6. The Permittee has provided the landowner or his representative with information and data concerning the residuals land application program,
including an analysis of constituents of the residuals, residuals application methods, schedules for typical cropping patterns, a description of
the equipment used by the Permittee.
7. The Permittee will provide the landowner or his representative with a copy of the residuals permit prior to commencement of any residuals
land application event and a copy of the results of each soil analysis.
8. If the soil pH of the land application site(s) is not maintained at 6.0 or greater, sufficient amounts of lime shall be applied to achieve a final
soil pH of at least 6.0, unless an agronomist provides information indicating that the pH of the soil, residuals and lime mixture is suitable for
the specified crop:
9. The landowner or his representative and the Permittee will agree on residuals application rates and schedules based on crop patterns, results of
soil samples, and the permitted application limits.
10. The landowner or his rcTresentative will provide the Permittee with information regarding the amount and analysis of other sources of
nutrients (e.g., fertilizer, unregulated animal waste, etc.) that have been applied to the land application site(s).
11. The landowner or his representative will inform the Permittee of any revisions or modifications to the intended use and cropping patterns for
the land application site(s) prior to each planting season to enable the Permittee to amend this Agreement and schedule residuals land
application events at appropriate periods.
12. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee, the landowner, or
his representative prior to and during a residuals land application event.
13. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to; enter and
inspect any property, premises, or place on or related to the land application site(s) at any reasonable time for the purpose of determining
compliance with the permit; establish monitoring facilities on or near the land application site(s) as required by the permit; copy any records
that must be kept under the terms and conditions of the permit; take necessary leachate, surface water, groundwater, or soil samples during the
term of, and 12 months after termination of, this Agreement
It RESTRICTIONS:
1. Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control public access to the land
application site(s) during active use and for the 12-month period following a residuals land application event. Such controls may include the
posting of signs that indicate the activities being conducted at the land application site(s).
2. Animals shall not be grazed on the land application site(s) for a 30-day period following a residuals land application event. Land application
sites that are to be used for grazing shall have fencing that will be used to prevent access during these periods after such residuals land
application events.
3. Food crops, feed crops; and fiber crops shall not be harvested for a 30-day period following a residuals land application event
4. Food crops with harvested parts that touch the residuals/soil mixture and are totally above the- land surface shall not be harvested for a 14-
month period following a residuals land application event.
5. Food crops with harvested pacts below the surface of the land shall not be harvested for a 20-month period following a residuals land
application event when the residuals remain on the land surface for four months or longer prior to incorporation into the soil.
6. Food crops with harvested parts below the surface of the land shall not be harvested for a 38-month period following a residuals land
application event when the residuals remain on the land surface for less than four months prior to incorporation into the soil.
7. Turf grown on land where residuals ant applied shall not be harvested for a 12-month period following a residuals land application event.
IILALTERNATIVES FOR WATER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY: (please check one)
15A NCAC 02L .0107(d) prohibits water supply wells within the compliance boundary. However, 15A NCAC_02T .011l__;,, allows the
compliance boundary to be placed closer to the waste disposal area, such that the water supply well is situated outside of the compliance
boundary provided the groundwater standards can be met at the newly -established compliance boundary. Please mark one of the following;
❑ A re -defined compliance boundary is needed for field(s) ID:
(Please include the rationale for the requested re -location of the compliance boundary and attach a map showing the newly proposed
compliance boundary to the application package)
A re -defined compliance boundary is not needed for this site.
IV. ACKNOWLEDGEMENT OF FIELD TRANSFER: (if needed)
❑ The land application field(s) ID: is currently permitted under another
residuals land application program; Permit Number WQ: The land owner hereby acknowledge that by signing this
agreement, he/she is requesting that the field(s) be removed from the previously permitted residuals land application program and transferred
into the new program;
(Name of the new program)

Landowner's Certification:
I certify that I am a deeded landowner of the above -referenced land application site(s) and am authorized to make decisions
regarding the use of the land application site(s) on behalf of other deeded landowners OR that I am otherwise authorized, through
a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the
deeded landowners. I certify that the above -referenced land application site(s) are not included in any waste disposal contract or
agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement,
understand the stipulations, restrictions, alternatives for water supply wells inside the compliance boundary, acknowledgement of
field transfer, and do hereby grant permission to the Permittee to land'annly residuals to the land annlicaaon site(s) as specified
j� herein.
Landoi
0-911, K - Yt,- I
/ State: /tom. 'Lip: Iffy ?__
Phon Q �l�' 13 E-mail address:
Signature: Date. �ZS
NORTH CAROLINA, COUNTY
I, the undersigned Notary Public do hereby certify that &:(--f , nlg (initials: !(A j personally
appeared before me this day, and,.being duly sworn, stated that in his/her presence f -'ei q-, /S )t,,44� signed
the attached document and acknowledged the due execution of the foregoing instrument.
WITNESS my hand and official spl this the 26 D'f day of �isQr dl , 20 l
Signature and seal:
My commission expires: o ( NCTAR1f PLOW
DAVIE COUNTY
f3TATE OF NORTH CARO M
Lessee's/Operator's Certification:
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Lesseeloperator name: P&4,^ L R-ILJ
Address: FCI Qdx h(v?.
City: 1.t,1.0k State: lUL zip:
Phone: A(0) " 93 E-mail address:
LSignature: Date:
Permittee's Certification:
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Signing official name: M- LA \
Signature: A Date: Z - I $ ' '-O ► Z

State of North Carolina.
Department of Environment and Natural Resources .
Division of Water Quality
SETBACK WAIVER AGREEMENT ATTACHMENT
For Land Application of Residual Solids. (FORM: SWAA 070807),
(THIS FORMMAYBE PHOTOCOPIED FOR USEASAN ORIGINAL)
The Division_ of -Water Quality (Division) will not accept this attachment unless all the instructions are followed_
Failure to submit all required items will lead to additional processing and review time.
For more information, visit our web site at:http,11h2o.enr.state.nc.us/lati inain.hhnl
INSTRUCTIONS TO THE APPLICANT: '*
.A. Attachment Form:
✓ Do not submit this attachment form for review without its corresponding residuals program
application form (FORM: NDRLAP).
✓ Any changes to this attachment form will result in the application package being returned.
B. Prepare a separate attachment form for each property from which a waiver from 15A NCAC 2T
.1108(b)(2)(for habitable residences or place of public assembly) is being sought.
✓ Any other setbacks required by 15A NCAC 2T .1108, other than those referenced above, cannot be waived
through execution of this attachment form.
✓ A copy of the completed and appropriately executed attachment form must be provided to the property
owner.
AGREEMENT TO WAIVE THE SETBACK REQUIRED BY 15A NCAC 2T .1108(b)(2)(habitable residences)
The undersigned property owner hereby permits:
Applicant's name: City of Lumberton t
Complete mailing address of applicant:
city: Ltt" rkVV,, State: NL Zip: 243 6
Telephone number: ( -710 3m Facsimile number: ( )
E-mail address:
hereinafter referred to as the Permittee, to land apply residuals within feet (Le., cannot be less
than 100 feet) of the residence or place of public assembly locat at the following:
Location a dress of property: /
City.
/1J State: %% C Zip:
This Agreement shall remain in effect for the length of the Division of Water Quality's (Division) permit
for the. residuals land application program and shall be renewed each time this permit is renewed. In
addition, this Agreement shall only remain in effect for as long as the undersigned property owner owns the
property described herein.
The undersigned property owner agrees to abide by this Agreement until such time as written notification,
given 30 calendar days in advance, modifies or cancels this Agreement.
[j I certify that I am a deeded property owner of abc
regarding this property on behalf of other deeded
understand this Agreement and do hereby grant
application site(s) as specified herein.
e!r Property ow n�e:. c�'L
-.6
Signature:
WnUAd• QXx7A A A7AQA7
aced property and amauthorized to make decisions
owners. Furthermore, I certify that I have read and
in to the Permittee to land apply residuals to land
Date: 9 - ',2 2 - /Z
A tt—h—+ ll 4— Z vi

1
Page 1 of 4
Report Number: 12-268-0553 ((
Account Number: 46525 - H
Send To: SYNAGRO CENTRAL LLC/LUMBERTM"b""eom
Mary Brewer
284 BOGER RD
MOCKSVILLE NC 27028
Date Raceivad: 09/24/2012
Date Of Analvals: 09/25/2012
A&L Eastern Laboratories
76210bpineRoad Rkhrn0n0Irglniti23237 (804)7439401 NX(M41271.6446
Grower: Submitted. By: MATT HAYNES
PATRICK BULLARD Farm ID: BH
LUMBERTON PERMITTING
SOIL ANALYSIS REPORT Analytical Methods):,
Mehlich 3
Data Of Report: ' 09/26/2012
. c .�h..-(r .S ""
,x,
. * 3.a '✓
.:<f. ,. .,,. ....M1,
:' anlcMttltter w
y�,�
J ., �.:._ ::, t.
Phos,�porus
�., c .
.. ; ;r'
~«
ph ..- t ,:}..� -:.r
_��
P otasslum
M n lum x
�?
t ct'
C lelum� ��
St .r�':
Y �;
Sodiulowi
r
F r- ply .�
fi,Aald
Y
J.
'.:.J-.. rw :.f&
Sampf IQ
W �.. ... a .:.
w' Lab
,: .,u
Nit
:...
3:
Y
K `Fr?
t
::Ca F
s J,'
,Na >•
Buffet:
H.
,y
sty as h
-t
bsM
.,.t(Nhllt:h sF
_�y,+`ftaaafvs ;s r
�. n
r -via r
Y,.
.�Q
_„
-!'
�.x8oI1
`h
Index_pp�
Y,,
:. n .
r 1
ppm ,b Ratr
ppm Rate
4 pm Rath
P pm w Rita;
ppm Rate
pp pate
PH
m
mM008
-
Bft1�R'
124 VH
172 H
91 M
785 M
12 VL
NC -ea 21- A02951
2.9 M 99
8.0
6.84
0.9
6.1
NC = 103
NC = 88
SWA
120 VH
163 H
90 M
858 M
13 VL
02952
3.2 M 1'05
6.0
6.83
1.0
6.5
NC -VA -3q - 18
NC =100
NC = 83
BW-2
70 H
107 M
133 H
688 MI
12 VL
02953
2.6 M 84
6.3
6.87
0.6
5.5
Nc--0-31 - a.
NC = 58
NC = 55
pFi
41 -M
67 L
133 H
932 M
13 VL
02954
3.2 M 104
6.0
6.82
1.1
7.1
L`Cl-0-3ai - 3
NC = 34
NC = 34
B"
M
127 H
121 M.
966 H
11 VL
02955
3.0 M 100
6A
6.87
0.'6
6.8
We, IZO-3`j -'�
NC = 36
NC = 66
x x
5s
,r PRresrrt
Base
tiaturation
4 Nitrate s
�.. Sulfa rt
Zf
Manes
��„ Iron
,_, C --�
apl».
;Boron ,
solubl,salb
ChlorideAluminum
.
r.-si•
.'�
Jig,
-,,.
'.v '4.:
r
4�S
« S i •
,r,
• .tr
3
fK:. /
:i` J {i,f i•ry �F
r!j-:ii.r
a�
%�
��
tii
< '� Rate
m'.^+;Rata
'm Rab
m; ti Rate
Rate
e
m
r�.t"'
f..
�;Rata
PP, �:...
P O ;«
PP,
PP.
PP ,
i
PWn „a,.
PP
,Rate
i"4A
119 VH
3.1 M
6 L
179 VH
1.2 M
0.3 VL
0.09 VL
7.2
12.4
64.3
0.9
15.4
NC- = 298
NC = 77.5
NC = 38
NC = 80.0
-
ah{-4S
125 .. VH
2.8 M
5 L
165 VH
1.2 M
0.2 VL
VL
8.4
11.5
66.0
0.9"
15.4
10.09
NC-IZO-3q-�6
NC=313
NC=70.0
NC=31
NC=80.0
$FIB
138 VH
6.3 H
8 L
107 VH
0.2 VL
VL
5.0
20.2
62.5
0.8
10.5
10.13
NC.- Ro-3q - �.
NC = 345
NC =157.5
NC = 50
9FF6
127 VH
3.3 M
4 L
158 VH
B
0.4 L
0.08 VL
3q-3
2.4
15.6
'65.6
0.8
15.4NC-"
NC=318
NC=82.5
NC=25
BN-4
108 VH
M
5 L
VH
0.9 M
VL
VL
4.8
14.8
71.0
0.7
9.0
NC=270
12.5
NC=62.5
NC=31
1119
NC=45.0
10.3
10.07
Values on this report represent the plant available nutrients In the Explanation of symbols: % (percent), ppm (parts per million), Ibs/A This report applies to sample(s) tested. Samples am retained a
soil. Rating after each value: VL (Very Low), L (Low), M (Medium), (pounds per acre), ma/ern (milli -mhos per centimeter), mety100g mo imum of thirty days after tealling.
H (High), VH (Very High). ENR - Estimated Nitrogen Release. (milli -equivalent per 100 grams). Conversions: ppm x 2 = Ibs/q Analysis prepared by 43� Eastern t aboratoriea, Inc.
C.E.C. - Cation Exchange Capacity. Soluble Salts rns/cm x 640 - ppm.
b: pod. PF 607l--
Pauric McGroary
L

Ir
Page 3 of 4
Report Number: 12-268-0553
Account Number: 46525
Send To: SYNAGRO CENTRAL LLC/LUMBERT "*"8M
Mary Brewer
284 BOGER RD
MOCKSVILLE NC 27028
Date Received: 09/24/2012 Data Of Analysis: Og/25/2012
A&L Eastern Laboratories
7621 WhbVm Road Richmond. Mrghtfa 23237 (004) T43-MM Fax (60/) 2714M
Grower: Submitted By: MATT HAYNES
PATRICK BULLARD Farm ID: BH
LUMBERTON PERMITTING
SOIL ANALYSIS REPORT Analytical Method(s):
Mehlioh 3
Date Of Report: 09/26/2012
f
Numbe
a� Rital
a-
ehy lktih:.
erse4
r.:K.:
a
ryPY
e f
wr,"*1 SPtc
Btnudffiucr'-
xtm}
h
:�
, ..r;IEbNR f'
slA
':P-,m.Yt a .. ta
R
ynr a..e ta
.P:.
Rys;e
b
R .t .�4•
Bur ab
Mii
5� ,�
.,e:..
11j0
s,`
:tP
PP".<:!:R! ,�sB
P...✓m...,E
PPm.�w,ar
pmNr
m h100
BFtT
112 H
153 H
101 H
663 M
13 VL
02856
2.4 L 81
6.2
6.87
0.6
5.2
i:-K0.-1Q -S
NC = 93
NC = 78
e".
192 VH
268 VH
148 H
746 M
17 VL
02857
3.0 M 101
6.4
6.87
0.8-
6.3
P�'39 -(o
NC = 160.
NC =138
•r .+'d' �n F t:.:,1i
x�
r t ' ' ... . ti :. ice,
Pill Bas.Baturatlon
r.£. ;.. ;. t
Nitrab
{ ..:, f,�'..
SuHur
7�+'� C,.:
Zlne
... ,
Minpan ud
t -
Iron
S� a t '.
CopWr,
F C Y7.
Bo ron
f
Sofubw salts
r
Chlo ridgy
Aluminum
,...
,
A : , ,,.
'x„
;r.
NO`N._: _a
s,. #3 _., zc
.y..,,' n: ry
�z'-.
� Z71 a
'1.�`,
r M rG
rFa
�
CuN
B 5 .f
tr.
yG i(i - '/.> '
�:<>., ,
. �..
Rath
.�...�
..r+. ,r,+_
tR�ie
Bad•
45�
.0 fi`.
.r ..,7 ,� ;
: ` y'!
ppm
Rats
pm
PP_m_
ppn! +�
,P_P!n Rate
Ppm � Bata
nna/eni .Rats
:ppra}„R+e�#e
ppm
.Bi INS
116 VH
3.0 M
7 L
132 VH
1.2 M
0.2 VL
0.08 VL
7.5
18.2
63.8
1.1
12.2
�ao
/U -39 -S
NC = 290
NC = 75.0
NC = 44
NC = 60'.0
$FIB
116 VH
H
15 M
VH
1.2 M
0.4 L
VL
10.8
19.6
59.4
1.2
8.9
16.7
1140
10.17
NG-!&o 3R -G
NC = 280
NC = 167.5
NC = 94
NC = 60.0
Values on this report represent the plant available nutrients in the Explanation of symbols: % (percent), ppm (parts per million), Ibs/A This report applies to samples) tested. Samples are retained a
soil. Rating after each value: VL (Very Low), L (Low), M (Medium), (pounds per acre), me/cm (milli -mhos per centimeter), meq/100g maximum of thirty days after testing. r
H (High), VH (Very High). ENR - Estimated Nitrogen Release. (milli -equivalent per 100 grams). Conversions: ppm x 2 - IbsfA, by: P""'4 &W
C.E.C. - Cation Exchange Capacity. Soluble Saks rns/cm x 640 m ppm. Analysis prepared by, A&L Eastern Laboratories, Inc.
Paude MoGroary

I
Page I - of 2-
Report Number: 12-268-0552
Account Number: 46525
Send To: SYNAGRO CENTRAL LLC/LUMBERT
Mary Brewer
284'BOGER RD
MOCKSVILLE NC 27028
Date Received: 09/24/2012 Date Of Aneivsis: 0=5/2012
A&L Eastern Laborato►ies
M1 whiapirm Road Rkhmond, virglnia 2323T poq Tow Fax *4) 2714M ,
Grower: Submitted By: MATT HAYNES .
PATRICK BULLARD Farm ID: 944-FARM.
LUMBERTON PERMITTING
SOIL ANALYSIS REPORT Anaiytiaal Method(&):
Date Of Renort: 09/26/2012 Mehlich 3
F ... „
r
�- .•mil
m ,,
',g N _ ,.� N
Oryark M�tbr
: 1k-g• F1
R Phosphoiu
s$y',k...-.fir:
z f,�.
k Potassium
Mnalum
CiilWttm
Sodium
; pH z
Adtlity
C E C
r Y 3}
{. i;, �
f_
��Numbfr�
�k ,Y .ENR
�.,Mshlkh3 �
Rsans+ s
'� ,1(` � Y.
�.:
�,, -�,kr y
'��" 1 •-Ca
,� 5
Na
: u h:
�,, Buffet".
�.
li;;,.�
s:. c,
:FbIdID ,,u::,.,
X'.. l -,kf. 3,ry
y3 }"F:;'hM t
€= ., :t• �.. `--,
y, A iiti-; C J,. F�M�
¢.. �>: a,.
,: 7�k..+
.. _ u ,y,..,,
,r
;,. „•
�.;,� ,, �,
.,, ,r..
_.
»:: ,2� ,d:
>
'meq/10Qg;
. ,: (.
_....
{
,
ppm.,h Kati:
ppm Rats:
Pptnf�; Rab
, PM
,lndexa
migl100p
44"
02949
1.6 L 79
173 VH
83 M
44 H
241 M
9 VL
5.8
6.87
0.6
2.4
NC=144
NC=42
02950
2.2 L 89
309 VH
58 L
50 M
404 M
14 VL
5A
6.83
1.0
3.7
NC=257
NC=30
,, a
,+' �. P�reentBasr:Sahiratio
R
Utz Nitiat�
rr;Suifur
F nc x °
Maflnpanass
r : kon;,
;t' ,. CA
4 PMr
y' x ,`
Boron
solubM'8sBs}
.,1" ,
Chloride
z Alumin um-
ampl�.IDS S:4 F
Isld.@•�.��, �, �F
♦ l '.�.�
��tt
'-x
Mp
`,.,
a C
�,y,.. : •:
y ,
w+ , _...-, C
:.
4
Y
��
r &
h
s•
ry, -,e c•.`d
:ry� `� C x
U
Y,.
Rt#b
Rats
Rath
Rats
ppm
PPm
ppm
PPm�;
,PPm Rat!
ppgj &Rate
ms/em Rate
.ppm, Rtiite
x PPm
20-1'
113 VH
8.4 • H
11. M
128 VH
12 M
0.3 VL
0.1 VL
8.9
15.3
50,2
1.8
23.1
.
'NC=89
NC=283
NC=210.0
NC=60.0
244
4.0
11.3
54.8
1.8
28.3
129 VH
4.4 H
10 M
280 VH
1.3 M
0.2 VL
0.06 VL
NC=323
NC=110.0
NC=63
NC=85.0
values on tnls report represent the plant available nutrients in the Explanation of symbols:.% (percent), ppm (parts per million), Ibs/A
sgil. Rating after each value: VL (Very Low), L (Low), M (Medium), (pounds per acre), ma/cm (milli -mhos per centimeter), meq/100g
H (High), VH (Very High). ENR - Estimated Nitrogen Release. (milll-equivalent per 100 grams). Converelons: ppm x 2 - ibs/A.
C.E.C. - Cation Exchange Capacity. Soluble Safts rns/cm x 640 - ppm.
This report applies to sample(s) tested. Samples ere retained a
maximum of thirty days after testing,
by: pApw
atyea prepared by. A6L EasternLaborebrles, Ina
Mm G�
Pauric McGroary

1 �•'
Page 1 of 2
Report Number: 12-268-0551
Account Number: 46525
Send To: SYNAGRO CENTRAL LLC/LUMBERT illi
Mary Brewer
284 BOGER RD
MOCKSVILLE NC 27028
Date Recelved: 09/24/2012 . Date Of Analvsis: 09/25/2012
1 i
AFL Eastern Laboratories
70WhlbpineRoad Richmond, Virginia2323T W4)74390 Fax[phone]
Grower: Submitted By: MATT HAYNES
PATRICK BULLARD Farm ID: ARRfN-, "C-
LUCM- BERTON PERMITTING �1C-Ro -39
=1a0 39
SOIL ANALYSIS REPORT Analytical Method(s):
Mehlich 3•
Date Of Reoort: 09/26/2012
-.
SON ��
:K tatrtie Matter.
z , ;Rhos
horns
Potssshrm °
�I nesiumCalcium
^ w Sodom
H
Aall
J C E C
;<
Nuinbtr�
r_.,. �Ty 7 - a�, ENR
�
,-,r '.��.
M•irfit:t`3
:� '�
R•s•ev
�-:' _ a:n
K
Y�- n. s^S(�:
€ �°;
r , +r • �":
Cs .�,
.�Ix �.....,
fi: Pfa
:.
o Buffer,
1 F
H
a ;r
<_.y �
1
�.,
k� � ,.,
i
t
,. ��
Indox
ulbt/A..�
ppm . R+it�
ppm , Rote
ppm. Rp4
u'r
ppm.: RrAb�'
ppm Raga
n
ppm. Rab
i.P I�
meg11008
meg11008
ORRFN-1
167 VH
77 M
89 H
399 M
14 VL
02848
1.6 L 77
6.0
6.88
0.5
3.5
NC =139
NC = 39
�� - a
d raw .PrcantBaseSaturation_r
a
' ,Nftratp hY'
_:_iSulfur.
ro7,ing _ s,
:Man�tt�s�
7 Y 5;lron
Copp'rSauba;aala
Chiorida
Aluminum'``
'8amw �'; ID ,a-ti r
•.,
K
:1
rMp
.; .n
r,�%+I! :�;
-r.
,Ns,�,
.�Hr
., i. ' . -s r
NO N.
�
� ...
t3
-,. . �
�. ,,Z►1x ,
tar � :
^ �r
Mn
^.
.7,s 1;.
;Fe .�
;x
. c sJo,.
- Cu„
Fs�
f
�y%,. e'`
� B`�
:� �
Fte d IQ.rN'
/ _ �
r.:� s
F.
r 7G,..4
�f'
.Y.
X
!L
• P
!�►
�:a
+•.4'aL.
x }y''-
Rstt
; v,4
a, Rsb
ry .,� y.,11 l
Rstt
{tf�� •
f2att
• C, j
ptn iiat�
l
f 1
Rate
�• ,T
n.,.>> t
^
pmr
p pm°i,
_.., .-
pp m
..,. _,.
ppm rr
PPm -.....
p w. _
na/cm Rate
..... .,.
ppm
ppm
6RRIN-4.
130 VH
8.3 H
12 M
108 - VH
2.1 H
0.2 VL
0.14 VL
q
5.6
21.2
57.0
1.7
15.6
NC = 325
NC = 207.5
NC =
NC =105.0
75
Values on this report represent the plant available nutrients in the Explanation of symbols: % (percent), ppm (parts per million), IbarA
soil. Rating after each value: VL (Very Low), L (Low), M (Medium), (pounds per acre), malcm (milli -mhos per centimeter), megr100g
H (High), VH (Very High). ENR - Estimated Nitrogen Release. (milli -equivalent per 100 grams). Conversions: ppm x 2 o Ibs1A,
C.E.C. - Cation Exchange Capacity. Soluble Saks ma/cm; x 640 - ppm.
IN
This report applies to a{mple(s) tested. Samples are retained a
m�rimum of tldrty days after testing. J �
by: Pod. OFGam"
Analysis prepared by. A&L Eastern Laboratories, Inc.
Pauric McGroary

F •
Page z•oT %
Report Number: 12 268-0553
Account Number: 46525
Send To: SYNAGRO CENTRAL LLC/LUMBERTgrukaftmzoni
Mary Brewer
284 BOGER RD
MOCKSVILLE NC 27028
A&L Eastern Laboratories
7621 Whltapins Road Richmond. Virginia 23237 , (804) 743 M Fax [phone] -
Grower:
PATRICK BULLARD
LUMBERTON PERMITTING
Data Received: 09/24/2012
Date Of Report: 09/26/2012 SOIL FERTILITY RECOMMENDATIONS
Submitted By: MATT HAYNES
Farm ID: BH .
r
�lt.:i
�, �Yf
,�
�T.
N.Yi,tirotN4lA
i0A►taM3
:,Pi t�
h,l,•n
.F`x�P+
aIttUeAs,
t.tgAF-s...8.. ".InI6NeJpAsi
�h.�r:r,
,,{r s,SIubllfAu.;r
c
ar
n
I�.¢..e,., b
a.mf...
•II.s. D
rWr,,
�K:,:,.,::.,:-.k,z fip.d_,w s:s.r„ R-
.dI.r4..t, Sp
C)ro
,fl_
bld Go2 4:
aT
r.
.,.TJ- .,
M1:.
.'4',->
,2
€r
Y.;
-
8.4_L
.'
•r�
uPA
,.
n.1.y,.
.
s1
t
t
s�1AY,
:naonEtm
t-A:.?
,.o. x:P__.sW:;.,
rh.
,f
tK,L..=r:f
�u,...,m.
.ZIZhb/niA
r
?
r
Ibl
_.
.B1obBr/Ao
.. ..
,d,.
.
.:�.,�::y.i. �T :r'
.r++.n... x.
.0O'Fn../4
...
t,
,n rJ
_F1Nd
(,2
iy
-
.5.
Bermudagrass
5
0.8
50
0
138
0
0
1.5
'•
0
0
0
-2o 39-1h
ONA .
Bermudagrass
5
0.8
50
0
165
0
0
1.6
"`
0
0
BW 12•
Bermudagrass
5
0.0
50.
30
287'
0
0
0
•'
0
0
--Z
8kl.3-
Barmudagrass
5
0.8
50
65
402
0
0-
1.4
•'.
0
0
0
BFI�-
Bermudagrasa
5
0.0
50
58
255
0
0
1.8
••
0
0
0
Comments:
Sample(s) : BH4A,BH4B Crop: Bermudagrass
Apply dolomitic lime to raise pH and improve the magnesium level.
Sample(s) : BH-1A,BH4 B,BH-2,BH-3,BH-4 Crop: Bermudagrass;
Apply additional 65 pounds of nitrogen after every cutting and harvest of hay. .
Apply N on warm season grass only after late spring when grass starts growing.
-Manganese level is low in soil, however, grass or legume need only small amounts of manganese to grow well and seldom show deficient in manganese. If the plant is
used for animal feed, manganese supplement may be added to prevent nutrient imbalance.
Manganese should be applied through foliar as needed during the growing season at the rate of 1.5 Ibs of elemental manganese per 30 gallon of water per acre.. (from
manganese sulfate, equivalent to 4-6 We of material).
Samples): BH-2,BH-3,0H-4 Crop: Bermudagrass
The recommended potash is the total pounds/acre needed to achieve the specified yield goal. Apply 1/2 or 1/3 (1ODA 50 pounds) of the total at the first application in
spring or fall. Application of the remaining should be determined by the yield achieved after the first cutting and the moisture condition. if in drought condition and yield is
low the following applications should be reduced or eliminated.
'The recommendations are based on research data and experience, but NO GUARANTEE or WARRANTY expressed or implied, concerning crop performance is made."
Our reports and letters are for the exclusive and confidential use of our clients,, and may not be reproduced in whole or part, nor may any reference be made to the
work,the results, or the company in any advertising, news release, or other public anouncements without obtaining our prior written authorization. Copy right 1977.
Pauric McGroary

Page 4 of 4
Report Number: 12 268-0553
Account Number: 46525
Send To:
ala
SYNAGRO CENTRAL LLC/LUMBERTONg"nWM
Mary Brewer
284 BOGER RD . ' .
MOCKSVILLE NC 27028
A &L Eastern Laboratories_
70 MINMns Road Richmond, Virginla 23237 (1104) 74MO Fax [phone]-VA
Grower:
Submitted By: MATT HAYNES
PATRICK BULLARD Farm ID: BH
LUMBERTON PERMITTING
Date ' Re ce lved : 09/24/2012
Date Of Report: 09/26/2012 SOIL FERTILITY RECOMMENDATIONS
tom '
nes.. M
-
1 Sulfi r }
ZMc x
Mang arias
Rep.,C
n
Sam • ID
<- s. .,,, * > fir ,- ;
YiNd Oo-it
• Limeys
� '
7
:
L
,a�
a
t :
• IdID�
N Sir
P
;Mn`
:F "
r ,..Cul-
�,
rB
`,4 r
Ib/A,,;
'IWA
Ib/A't.�
`IWA
IbIA;
IbU k
Ib/A
Ib/A
=
i •.'
rr'
y y
r
.ItiJA
�..lb/A
Bennudagrass
5
0.0
50.
0
173
0
0
1.5
••
0
0
_
_
Bermudagrass
5'
0.0
50
0
0
0
0
0
•`
0,
0
0
Comments:
Sample(s) : BH-6,BH-6 Crop: Bermudagrass
Apply additional 65 pounds of nitrogen after every cutting and.harvest of hay.
Apply N on warm season grass only after late spring when grass starts growing.
Manganese level is low in soil, however, grass or legume need only small amounts of manganese to grow well and seldom show deficient in manganese. If the plant is
used for animal feed, manganese supplement may be added to prevent nutrient imbalance.
Manganese should be. applied through foliar as needed during the growing season at the rate of 1.5 Ibs of elemental manganese per 30 gallon of water per acre.. (from
manganese sulfate, equivalent to 4-6 Ibs of material).
','The recommendations are based on research data and experience, but NO GUARANTEE or WARRANTY expressed or implied, concerning crop performance is made." 0 ow
�Our reports and letters are for the exclusive and confidential use of our clients„ and may not be reproduced in whole or part, nor may any reference be made to the PAW�c
work lthe results, or the company in any advertising, news release, or other public anouncements without obtaining our prior written authorization. Copy right 1977.
Pauric McGroary

Page z or z .
Report Number: 12-268-0552
Account Number: 46525
Send To: SYNAGRO CENTRAL LLC/LUMBERT
Mary Brewer
284 BOGER RD
MOCKSVILLE' NC 27028
Date Received: 09/24/2012
Date Of Report: 09/26/2012
A&L Eastern Laboratories
7621 Whbpin& Road Rkhmond, Virgin!& 23237 I604) 7434N IM Fax [phone]
Grower:
PATRICK BULLARD
LUMBERTON PERMITTING
SOIL FERTILITY RECOMMENDATIONS
Submitted By: MATT HAYNES
Farm ID: g41-FARM
/\JC_ FZ-3'}
z, 4.
s. r
: Y
litr
F.Nen r
_0
•PhDs b
.. Ph+
-,Potash?
t-.
IMlart m
ul. d sr
Pit-
t
y.,
N ::^°
�,�'r
-c-si
-aa
zr ,ice
p130f41
Torts/A j'
t
`.Ib/A �
�:• IbIA
Ib/A
t IWA=
K�1b/A
4444
Bennudagrass
5
0.8
50
0
308
36
0
0
'•
0
0
0
Bennudagrass
5
0.8
50
0
383
30
0
FuT
•`
0
1 0
Comments: -
Sample(s) : 211-1,211-2 Crop: Bermudagrass
Apply additional 65 pounds of nitrogen after every cutting and harvest of hay.
Apply N on warm season grass only after late spring when grass starts growing.
If dolomitic lime Is not used, apply required magnesium with magnesium oxide. Epsom Salts, K-Mag or Sul-PO-Mag.
Manganese level is low in soil, however, grass or legume need only small amounts of manganese to grow well and seldom show deficient in manganese. If the plant is
used for animal feed, manganese supplement may be added to prevent nutrient imbalance.
Manganese should. be applied through foliar as needed during the growing season at the rate of 1.5 Ibs of elemental manganese per 30 gallon of water per acre.. (from
manganese sulfate, equivalent to 4-6 Ibs of material).
The recommended potash is the total poundslacre needed to achieve the specified yield goal. Apply 1/2 or 1/3 (100-150 pounds) of the total at the first application in
spring or fall. Application of the remaining should be determined by the yield achieved after the first cutting and the moisture condition. If in drought condition and yield is
low the following applications should be reduced or eliminated.
Sa_mple(s) : 211-2 Crop: Bermudagress
Apply dolomitic lime to raise pH and improve the magnesium level.
'The recommendations are based on research data and experience, but NO GUARANTEE or WARRANTY expressed or implied, conceming crop performance is made."
Our reports and letters am for the exclusive and confidential use of our clients„ and may not be reproduced in whole or part, nor may any reference be made to the
work,the results, or the company in any advertising, news release, or other.public anouncements without obtaining our prior written authorization. Copy right 1977.
Pam« m° &Wr
Pauric McGroary

I
Page z of z
Report Number: 12-268-0551
Account Number: 46525
Send To: SYNAGRO CENTRAL LLC/LUMBERT 1 basb " m
Mary Brewer -
284 BOGER RD
MOCKSVILLE NC 27028
A&L Eastern Laboratories
A211Rhitepins Road Rkhmond, Vhllnla 2323T (804) 74M.W Fax (00q V1.6446
Grower:
PATRICK BULLARD
LUMBERTON PERMITTING
Date Received:09/24/2012
Date Of Report: 09/26/2012 SOIL FERTILITY RECOMMENDATIONS
Submitted By: MATT HAYNES
Farm ID: GRR Nr-N&
Ne--RO-3q
,._
� ,. , ,
! .. < yr� ✓� � Y' R; t
~ y .; .� '
tivc �L
en
`:PhDs
Pofaeh
-
tillay msium
.+_i'J
$trifur
•.
�-Zlnc
-
ci y
`�4ntw'^���?
c`�`x,�
�5 :. <a �'L�'ir
�:��1d=Q0a1
tl•Inf�
-4 -
1
z
?rJ,.'-
`,;.f
,
.�l.,�i
.+t.. .Y �q
�..kr, u
Id ®a10'
rA
x_�{ t UylrtitendedCrop. $ r:.r
- „:
TonslA
N
:fir s
t?zOs�
s
K
IYIg
1
Ztf a
t Fe
Cu�'�;
,,
c
IWA..
IWA
IbIA
IbJA
IWA_
=1bU
IWA
IAA
IblA,
IbM
.r
:.,° .r '` >
1
r
r>.
Bemtudagrass
5
0.5
50
0
335
0
0
0
••
0
0'
Comments:'
Samples): ORRIN4 Crop: Bermudagrass
Apply additional 65 pounds of nitrogen after every cutting and harvest of hay.
Apply N on warm season grass only after late spring when grass starts growing.
Manganese level is low in soil, however, grass or legume need only small amounts of manganese to grow well and seldom show deficient in manganese. If the plant is
used for animal feed, manganese supplement may be added to prevent nutrient imbalance.
Manganese should be applied through foliar as needed during the growing season at the rate of 1.5 Ibs of elemental manganese per 30 gallon of water per acre.. (from
manganese sulfate, equivalent to" Ibs of material).
The recommended potash is the total poundslacre needed to achieve the specified yield goal. Apply 1/2 or 1/3 (100-150 pounds) of the total at the first application In
spring or fall. Application of the remaining should be determined by the yield achieved after the first cutting and the moisture condition. If in drought condition and yield is
low the following applications should be reduced or eliminated. .
"The recommendations are based on research data and experience, but NO GUARANTEE or WARRANTY expressed or implied, concerning crop performance is made" ♦♦��,,...�,
Our reporta and letters are for the exclusive and confidential use of our clients„ and may not be reproduced in whole or part, nor may any reference be made to the Pt w &Wr
work,the results, or the company in any advertising, news release, or other public anouncements without obtaining our prior written authorization. Copy right 1977.
Pauric McGroary

Report Number A&L Eastern Laboratories, Inc. `
12-268-0553 Page: 1 of 3 7WWhitapMe Road Richmond, Virginia 23237 [phone] Fax [phone]U
Account Number
46525 aiww�aMaslantom
Send To: SYNAGRO CENTRAL LLC/LUMBERTON
Mary Brewer
284 BOGER RD
MOCKSVILLE , NC 27028 Submitted By: MATT HAYNES
Purchase Order:
Report Date: 9/2612012
Client: LUMBERTON PERMITTING Date Received : 9/24/2012
PATRICK BULLARD REPORT OF ANALYSIS
lVc- P-0 -3.9
Lab No
Sample 10
Sample Date and Time
02951
S IA
02952
&W-1B.
02953
W2
02954
3*3
Mercury Molybdenum,
Extractable
MEHUCH 3 HG MEHUCH 3 MO
ppm
< 0.400
0.740
< 0.400
0.920
< 0.400
0.590
< 0.400 _
0.720 .
&Wr
Pauric McGroary
Sample results are reported 'as received' and are not -moisture corrected unless noted

i
Report Number A &L Eastern Laboratories, Inc:
12-268-0553 Page: 2 of 3 7W WhRopino Road Richmond, Virginia 2323T iewl »aao1 Fax feoq z»4W
Account Number
46525 xnvxrabutKnaom
Send To: SYNAGRO CENTRAL LLC/LUMBERTON
Mary Brewer
284 BOGER RD
MOCKSVILLE , NC 27028 Submitted ey :MATT HAYNES
Purchase Order:
Report Date: 9/26/2012
Client: LUMBERTON PERMITTING Date Received : 9/24/2012
PATRICK BULLARD REPORT OF ANALYSIS
Nc-P -,q
Lab No Sample ID
Sample Date and Time
02955• AW-4
02956 - -81+1-5
02957 pill-6
Mercury Molybdenum,
Extractable
MEHLICH 3 HG MEHLICH 3 MO
ppm
< 0.400
0.700
< 0.400
0.920
< 0.400
0.780
'Wr
Pauric McGroary
Sample results are reported 'as received' and are not moisture corrected unless noted

Report Number A &L Eastern Laboratories, Inc.
12-268-0552 Page: 1 of 1 1
' 7621 whimpina Road Richmond, Virginia 23UT (eat) 743-Mi Fax ($N) 271-WB
Account Number
46525 wohasbm can
Send To
• SYNAGRO CENTRALLLC/LUMBERTON
Mary Brewer
284 BOGER RD
MOCKSVILLE , NC 27028 Submitted By: MATT HAYNES
,Purchase Order
Report Date: 9/26/2012
Client LUMBERTON PERMITTING Date Received : 9/24/2012
PATRICK BULLARD
REPORT OFANALYS/S
Mercury Molybdenum,
Extractable
MEHLICH 3 HG MEHLICH 3 MO
Lab No Semple ID ppm
Sample Date and Time
02949 -24+of < 0.400 0.540
/de_-IZO 34 -T
02950 .244.2 < 0.400 0.540
Method Reference:
Mehlich, A. 1984. Mehlich 3 soil test extractant. Comm. Soil Sci. Plant Anal. 25:1409-1416.
Recommended Chemical Soil Test Procedures for the North Central Region. NCR Research Pub. No. 221
Revised. - '
USEPA, SW-846, Test Methods for Evaluating Solid Wastes, Physical/Chemical Methods, 3rd Ed. Current
Revision
Pauric McGroary
Sample results are reported 'as received' and are not moisture corrected unless noted

Report Number A&L Eastern Laboratories, Inc.
12-268-0551 Page: 1 Of 1 701 Whftpine Road Rlchmond, VIrgINx 2323T (BW)7439401 Fax (804) VI-640
Account Number
46525 wwuwleubmram
Send To: SYNAGRO CENTRAL LLC/LUMBERTON
Mary. Brewer
284 BOGER RD
MOCKSVILLE , NC 27028 Submitted By: MATT HAYNES
Purchase Order:
Report Date : 9/26/2012.
'Client: LUMBERTON PERMITTING Date Received: 9/24/20.12
PATRICK BULLARD REPORT OF ANALYSIS
Mercury Molybdenum,
Extractable
MEHLICH 3 HG MEHLICH 3 MO
Lab -No Sample ID PPm
Sample Date and Time
02948, JORRioll 4 < 0.400 0.500
Method Reference:
Mehlich, A. 1984. Mehlich 3 soil test extractant. Comm. Soil Sci. Plant Anal. 25:1409-1416.
Recommended Chemical Soil Test Procedures for the North Central Region. NCR Research Pub. No. 221
Revised.
USEPA, SW-846, Test Methods for Evaluating Solid Wastes, Physical/Chemical Methods, 3rd Ed. Current
Revision
Pauric McGroary
Sample results are reported 'as received' and are not moisture corrected unless noted

";YNAGRO
SOIL DESCRIPTION SHEET A Reriduals Manage Company
Project: Landowner:.
Site: 3 ci Field: -,,T Sample #: Slope:
Acres (gross): Acres (net): Crop:
SOIL PROFILE DESCRIPTIONS
Horizon Depth Texture. Color
PROFILE A: e-,-* ,/ rey, f/L
1 (-A
o 2 f
a _tom . Alle S
Depth to SHWT: 3 , S -
Depth & type of restrictive layer: Yo
Soil Series:c-4f�S�o l �ir»iu,ti/l)
Structure Mottles
�T
Horizon Depth Texture Color Structure Mottles
PROFILE B
Depth to SHWT:
Depth & type of restrictive layer:
L Soil Series:
Notes: 1t Ayrwy Mims?, ceder lroo Dip ae ego*aC
Described By: 'Date: le.11
Legend
Texture
Structure Grade
Structure Type
s Sand
1 Weak
gr
Granular abk
Angular Blocky
1 1 -- ---- - Loam
2- Moderate,.'pl
Platy sbk
Subang War Blocky
si Silt
3 Strong
pr
Prismatic sg
Single Grained -
c Clay - ,
cpr
Columnar m
Massive

SOIL DESCRIPTION SHEET
Project: /,r✓��rJ
SYNAGRO
A Residuals Management Company
Landowner: G. 6✓.t�/J
Site: 0 - �Cq
Field:
Sample #:
Slope:
Acres (gross):
Acres (net):
Crop:
SOIL PROFILE DESCRIPTIONS
Horizon Depth Texture Color Structure
PROFILE A _Ae_ 6-3 �ac2 fl1
Ir
s/ A_
,iL 7. SYle
PROFILE B
Depth to SHWT: v
Depth & type of restrictive layer: -
Soil Series:
Horizon Depth . Texture Color Structure
Depth to SHWT:
Depth & type of restrictive layer:
��yy Soil Series:
Notes:1�4.6,7r;,. s/ Tau D '/J /g-r G /folev e dA/i1
Legend
Mottles
,� U me 41Z.
Mottles
Described By: Z Date: �o 1
Texture
Structure Grade
Structure Type
s Sand
1 Weak
gr
Granular abk
Angular Blocky
I Loam
2 Moderate
pl
Platy sbk
Subangular Blocky
si Silt
3 Strong
pr
Prismatic sg
Single Grained
c Clay
cpr
Columnar m
Massive

�r
SOIL DESCRIPTION SHEET
Project: Z.yri49a2,raJ
�1S"AGRO_
A Reridualc Management Company
Landowner:✓�.��
Site: 5 7
Field: Z
Sample #:
Slope: L f
Acres (gross):
Acres (net):
Ctop:
e. /3.
SOIL PROFILE DESCRIPTIONS
Horizon Depth Texture Color . Structure Mottles
PROFILE A 6-9 14 oxw S/* . l�
lot
Depth to SHWT:
Depth & type of restrictive layer: > rQ c
Soil Series: Gmj re jfe, 11.4 um, I
Horizon Depth Texture Color Structure Mottles
PROFILE B
Depth to SHWT:
Depth & type of restrictive layer:
Soil Series:
Notes: '11,1ZAE me?&T Too 00f rle f4�
Legend
Texture
Js Sand
I Loam
si ' Silt
c Clay
Described By: Date: �.
Structure Grade
Structure Tvpe
1 Weak
gr
Granular
abk
Angular Blocky
2 Moderate
pl
Platy
sbk
Subangular Blocky
3 Strong
pr
Prismatic
sg
Single Grained
cpr
Columnar
m
Massive

N1V�
SYNAGRQ
SOIL DESCRIPTION SHEET AResiduals Management Company
Project: 1, ,% Landowner: �_ ✓�u��,4��1
Site: Field: �_ Sample #: Slope:
Acres (gross): Acres (net): Crop: C•�G,aorf
SOIL PROFILE DESCRIPTIONS
Horizon Depth Texture Color Structure
PROFILE A —A A Idw
Iff l r f- S° � 1d%-�e %- r�s h k-
Mottles.
Depth to SHWT: N &Wr
Depth &, type of restrictive layer: > Yd
Soil Series:
Horizon' Depth Texture Color Structure _Mottles
PROFILE B
Notes:
Depth to SHWT:
Depth & type of restrictive layer:
Soil Series:
Described By:
Date: l , a . z
Legend
Texture
Structure Grade
Structure Type
s Sand
1 Weak
gr
Granular abk
® I Loam
2 Moderate
pl
Platy sbk
si - Silt
3 Strong
pr
Prismatic sg
c Clay
cpr
Columnar m,
Angular Blocky
Subangular Blocky
Single -Grained -
Massive

SOIL DESCRIPTION SHEET
Project:
hIV,
SYNAGRO.
A Residuals Management Company
Landowner: 6 ._evk lwo
Site: 3q Field: q Sample #: Slope: �!
Acres (gross): Acres (net): Crop: L &(, Ace
PROFILE A
PROFILE B-
SOIL PROFILE DESCRIPTIONS
Horizon.
,Depth
Texture
/)_D
J-
9-/1
fc
D�
rl
!/ 30
e4
Color Structure. Mottles
i0 i /l sl) <4
Depth to SHWT: ! I
Depth & type of restrictive layer: 7 yam.
Soil Series: _L_Y� 42(A
Horizon Depth Texture Color Structure Mottles
Notes: ! .
Depth to SHWT:
Depth & type of restrictive layer:
Soil Series:
Described By.
Date: r�
Legend.
Texture
Structure Grade
Structure Type
s Sand
1 Weak
gr
Granular abk
Angular Blocky
1 Loam
2 Moderate
pl.
Platy . sbk
Subangular Blocky
si Silt
3 Strong
pr
Prismatic sg
Single Grained
c Clay
cpr
Columnar m
Massive

SOIL DESCRIPTION SHEET
SYNAGI\O
A Residuals Management Company
Project: /-o-owrq�� Landowner: -tie,
Site: , 5 q Field: Sample #: Slope: 41
Acres (gross): Acres (net): Crop: 1, �S •�.,,�,y�r
SOIL PROFILE DESCRIPTIONS
Horizon
Depth
Texture
Color Structure
PROFILE A
/1 14/3 l
(312,
P- 2.2
613
27'.YJ
.1
tr << ,•
Depth to SHWT: 17
- Depth & type of restrictive layer: 7 y$
Soil Series: 1 j,4rkg 'e'-
Horizon. Depth Texture
PROFILE B
Depth to SHWT:
Depth & type of restrictive layer:
Soil Series:
Notes:
Described By:
Legend
Mottles
,a t ,C Y z
Color Structure, Mottles
Texture
Structure Grade
Structure Type
s Sand
1 Weak
gr
Granular abk
1 Loam
2 Moderate
pl
Platy sbk
si Silt
3 Strong
pr
Prismatic sg
c Clay
cpr
Columnar m
Angular Blocky
Subangular Blocky
Single Grained
Massive

SOIL -DESCRIPTION -SHEET
Project: Gutit�rr�r�
Site: AIN Field:
Acres (gross): Acres (net):
SYNAGR-
0
A Residuals Management Company
Landowner:
Sample.#: Slope: G [_
Crop:
SOIL PROFILE- DESCRIPTIONS
Horizon Depth Texture . Color . ° Structure Mottles
PROFILE A 1gy
£ -z� 'Loyd 6
Depth -to 8HWT:
Depth & type of restrictive layer:
Soil Series:
Horizon, Depth Texture _ Color Structure Mottles
PROFILE B
Depth to SHWT:
Depth & type of restrictive layer:
Soil Series:.
Notes:
Described By:
Legend
Texture Structure Grade
s Sand 1 Weak
®� I Loam 2 Moderate
si Silt 3 Strong
c' Clay
Date: la�l X Z
Structure Tvve
gr
Granular
abk
pl
Platy
sbk
pr
Prismatic
sg
cpr
Columnar
m
Angular Blocky
Subangular Blocky
Single Grained
Massive

'r� f SOIL DESCRIPTION SHEET
v _
Project: LAA&n�ar
Site: �d 3q Field: %,
SYNAGRO
A Residuals Management Company
Landowner: ✓�i��i1,e/�
Sample M. Slope: z l
Acres (gross): Acres (net): Crop:
Horizon,
PROFILE A
l
SOIL PROFILE DESCRIPTIONS
Depth.. Texture Color Structure Mottles
d- a 1 io;.cyi 14.0c _
l -I dYR s/s1-
« Dill sy cL f%Z 5r 2 e 7
Depth to SHWT:
Depth & type of restrictive layer: �`fa ,
- Soil Series: lsa
Horizon Depth Texture Color Structure Mottles
PROFILE B
Depth to SHWT:
Depth & type of restrictive layer:
Soil Series:
Notes:,,
Described By: ye�z `— Date: e
Legend
Texture
Structure Grade
Structure Type
s Sand
9 Weak
gr
Granular abk -
o I Loam
2 Moderate
pi
Platy sbk
si Silt
3 Strong
pr
Prismatic sg
c Clay
cpr
Columnar m
Angular Blocky
Subangular Blocky
Single Grained
Massive

SYNAG 0
r SOIL DESCRIPTION SHEET A Residuals Management Company
a -
Project:-_13,�0•n,.�
'Landowner:
Site: i10 - a Field: $
Sample #:- Slope:
Acres (gross):
Acres (net):
Crop: e .S - G,gAs I w-r
SOIL PROFILE
DESCRIPTIONS
Horizon _ Depth Texture
Color Structure Mottles
PROFILE A
g-! ?.
myle / sc
_ 17. 31 ,Gam►
/�
�. s `/1 SIA
Depth to SHWT:
Depth & type of restrictive layer: 5 y8
r'
Soil Series: fJoe�a t_1G
Horizon- Depth. Texture
Colon Structure Mottles
PROFILE 13
Depth to SHWT:
Depth & type of restrictive layer:
Soil Series:
Notes:
Described By. -
Date: o �
Legend
Texture
Structure Grade
Structure Type
s Sand
1 Weak
gr Granular abk Angular Blocky
.o I Loam
2 Moderate
pl Platy sbk Subangular Blocky .
si Silt
3 Strong
pr Prismatic sg Single Grained
c , Clay
cpr Columnar m Massive

SOIL DESCRIPTION SHEET
Project:
Site: Field:
Acres (gross):
Acres (net):
S"AGBO
A Residuals Management Company
Landowner:
Sample #: Slope: /
e eE WA F IVA 4,T,
SOIL PROFILE DESCRIPTIONS
Horizon Depth Texture Color Structure Mottles
PROFILE A
Depth to SHWT:
Depth & type of restrictive layer:: >`f 5
Soil Series: -
Horizon
PROFILE B
Depth Texture
Color Structure Mottles
Notes:
Depth to SHWT:
Depth & type of restrictive layer:
Soil Series:
Described By:
Date: a 9 1
Legend
Texture
Structure Grade
Structure Type
s Sand
1 Weak
gr
Granular . abk ,
Angular Blocky
Loam
2 Moderate
pl
Platy sbk
Subangular Blocky
Si.Silt
3 Strong
pr
Prismatic sg ,
Single Grained
c Clay
cpr
Columnar n -"
Massive

AGRONOMIST REPORT
Synagro Central (Synagro) is operating a land application program for the recyclingibeneficial reuse
of water and wastewater biosolids produced by The City of Lumberton. The agronomist report is
submitted as a crucial step in the review of potential receiver sites for the program. Several factors
should be, taken into consideration in determining a site's suitability to receive biosolids. These
factors are:
• Site Investigation
• Topography
• Soils
• Biosolids Characteristics and Loading Rates
• Crop Management
Site Investigation
The site investigation consisted of a physical observation of each proposed site in which the
following parameters were evaluated:
• Soil Characteristics
• Slope
• Cropping Systems
• Location of Property Lines
• Location of Residences
• Location of Wells and Surface Water Features
Site specific information is enclosed for each site evaluated. Application area maps delineating
the proposed application areas within each field are also enclosed.
Topography
The slope of each site was evaluated during the site investigation. The slope for the individual
sites ranges from 0 to 3 percent for surface application. Areas of excessive slope have been
eliminated from the application areas.
Soils
Soil fertility samples were collected from each site and were analyzed for standard soil fertility
parameters and regulated metals content. Soil testing of the sites included in this application
indicates that the soil pH is moderately acidic on some sites. The pH -of these sites will be
adjusted by the addition of agricultural lime in order to achieve optimal crop production. The
lime recommendations are generally made based on raising the pH to a minimum of 6.0.

Biosolids Characteristics and Loading
Biosolids samples are collected per event' by Synagro and analyzed by an independent
laboratory. The biosolids analysis report and calculations indicate that the residuals are non-
hazardous and non -toxic. Both the soils and the crops should be able to assimilate the proposed
loadings of liquids, solids, nitrogen, phosphorus, heavy metals, and salts known to be in the
residuals. This assessment is based on the biosolids analysis provided, the planned application
rate, proper crop management guidelines, and adherence to permit requirements. On an annual
basis, nitrogen is considered to be the most limiting characteristic of these biosolids. However,
soil tests should be reviewed annually.
Crop Management
Based on the site and soil evaluations, crop nutrient requirements and the nutrient content of the
biosolids, all sites should readily assimilate the residuals, however crop rotations and
management practices should be evaluated prior to each application to account for changes in the
proposed crop rotation and land use objectives. Site -specific cropping patterns are discussed
further in the Site Descriptions contained in the Site Summary Sheet. Crop management
guidelines that will be of importance for these sites will be:
• 'timing of application events with plant nutritional needs and periods of plant dormancy,
split applications to, prevent hydraulic overloading or nutrient leaching,
• performance of proper stabilization methods to fit crop and soil needs,
• establishment of suitable vegetative cover on current agricultural sites,
• incorporation or injection of residual solids on fields that have a high incidence of flooding,
• maintenance of proper vegetative cover on more sloping areas with runoff potential, and
• proper coordination between application events and crop harvesting.
Land application should provide an environmentally acceptable means of beneficial reuse of the
biosolids provided all the parameters of the agronomist report and the requirements of the permit
are followed.
Edward W. Stephens
Agronomist