WQ0006906_2023 Residual Annual Report_20240212 (2)

Initial Review
Reviewer
nathaniel.thorn burg
Is this submittal an application? (Excluding additional information.) *
Yes No
If not an application what is the submittal type?* Annual Report
Residual Annual Report
Additional Information
Other
Annual Report Year* 2023
Permit Number (IR) * WQ0006906
Applicant/Permittee Town of Taylorsville
Email Notifications
Does this need review by the hydrogeologist? * Yes No
Regional Office Mooresville
CO Reviewer
Admin Reviewer Wanda Gerald

Submittal Form
Project Contact Information
Please provide information on the person to be contacted by NDB Staff regarding electronic submittal, confirmation of receipt, and other correspondence.
Name* Brian Eades
Email Address*
[e-mail]
Project Information
.........................
Application/Document Type*
New (Fee Required)
Modification - Major (Fee Required)
Renewal with Major Modification (Fee
Required)
Annual Report
Additional Information
Other
Phone Number*
8286122684
Modification - Minor
Renewal
GW-59, NDMR, NDMLR, NDAR-1,
N DAR-2
Residual Annual Report
Change of Ownership
We no longer accept these monitoring reports through this portal. Please click on the link below and it will take you to the correct form.
https://edoes.deq.nc.gov/Forms/NonDischarge_Monitoring_Report
Permit Type:*
Wastewater Irrigation
High -Rate Infiltration
Other Wastewater
Reclaimed Water
Closed -Loop Recycle
Residuals
Single -Family Residence Wastewater
Other
Irrigation
Permit Number:*
WQ0006906
Has Current Existing permit number
Applicant/Permittee Address*
67 Main Avenue Drive, Taylorsville NC 28681
Facility Name*
Town of Taylorsville Class B Residuals Program
Please provide comments/notes on your current submittal below.
2023 Annual Land Application Report
At this time, paper copies are no longer required. If you have any questions about what is required, please contact Nathaniel Thornburg
at [e-mail].
Please attach all information required or requested for this submittal to be reviewed here.
(Application Form, Engineering Plans, Specifications, Calculations, Etc.)
land application cert form.pdf 1.89MB
Upload only 1 PDF document (less than 250 MB). Multiple documents must be combined into one PDF file unless file is larger
than upload limit.
* By checking this box, I acknowledge that I understand the application will not be accepted for pre -review until the fee (if required) has
been received by the Non -Discharge Branch. Application fees must be submitted by check or money order and made payable to the
North Carolina Department of Environmental Quality (NCDEQ). I also confirm that the uploaded document is a single PDF with all parts
of the application in correct order (as specified by the application).
Mail payment to:
NCDEQ — Division of Water Resources
Attn: Non -Discharge Branch
1617 Mail Service Center
Raleigh, NC 27699-1617
Signature
Submission Date 2/12/2024

ANNUAL LAND APPLICATION CERTIFICATION FORM
WQ Permit#: WQ0006906 County:
Facility Name (as shown on permit):
Land Application Operator:
Alexander
Year: 2023
Town of Taylorsville
U.S. Biosolids, Inc. Phone: [phone]
Land application of residuals as allowed by the permit occurred during the past calendar year?
RJ Yes ❑ No - If No, skip Part A, and Part B and proceed to Part C. Also, If residuals were
generated but not land applied, please attach an explanation on how the residuals were handled.
Part A - Residuals Application Summary:
Total number of application fields in thepermit:
7
Total number of fields utilized for land application during the year:
4
Total amount of dry tons applied during the year for all application sites:
96.95
Total number of acres utilizes for land application during the year:
56
Part B - Annual Compiance Statement:
Facility was compliant during calendar ,year 2023 with all conditions of the land application permit
(including but not limited to items 1-13 below) issued by the Division of Water Resources. R] Yes ❑ No
If no please, provide a written description why the facility was not compliant, the dates, and explain corrective action
taken.
1) Only residuals approved for this permit were applied to the permitted sites.
2) Soil pH was adjusted as specified in the permit and lime was applied (if needed) to achieve a soil pH of at least 6.0 or the
limit specified in the permit.
3) Annual soils analysis were performed on each site receiving residuals during the past calendar year and three (3) copies of
laboratory results are attached.
4) Annual TCLP analysis (if required) was performed and three (3) copies of certified laboratory results are attached.
5) All other monitoring was performed in accordance with the permit and reported during the year as required and three (3)
copies of certified laboratory results are attached.
6) The facility did not exceed any of the Pollutant Concentration Limits in 15A NCAC 02T. I 105(a) or the Pollutant Loading
Rates in 15A NCAC 02T .1105(b) (applicable to 40 CFR Part 503 regulated facilities).
7) All general requirements in as specified in the Land Application Permit were complied with (applicable to 40 CFR Part
503 regulated facilities).
8) All monitoring and reporting requirements in 15A NCAC 02T .1111 were complied with (applicable to 40 CFR Part 503
regulated facilities).
9) All operations and maintenance requirements in the permit were complied with or, in the case of a deviation, prior
authorization was received from the Division of Water Resources.
10) No contravention of Ground Water Quality Standards occurred at a monitoring well or explanations of violations arc
attached to include appropriate actions and remediations.
11) Vegetative cover was maintained and proper crop management was performed on each site receing residuals, as specified
in the permit.
12) No runoff of residuals from the application sites onto adjacent property or nearby surface waters has occurred.
13) All buffer requirements as specified on the permit were maintained during each application of residuals.
Part C - Certification:
"I certify, under penalty of law, that the above information is, to the best of my knowledge and belief, true, accurate,
and complete. I am aware that there are significant penalties for submitting false information, including the possibility
of fines and imprisonment for knowing violations."
Permittedlame and Title (type or print)
Signature of Permittee Date
1-23-2024
Signature of Preparer* Date Sil�6ature of Lar&Applier Date
(if different from Permittee) (if different from Permittee and Preparer)
* Preparer is defined in 40 CFR Part 503.9 (r) and 15A NCAC 02T. 1102 (26) DENR FORM ACF (12/2006)

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ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: Town of Taylorsville Total Dry Tons Applied (Annual): 25.81
Permit #: WQ0006906 Cation Exchange Capacity (non 503 only):
Operator: Clyde Hendren Owner: Clyde Hendren Predominant Soil Series: PcB2
Acres Used: 23.4 Acres Permitted: 23.4 Site #: CHO1 Field #: CH01
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
Non
©
O
00000000
Total
Phos-
��
t�
Annual Heavy Metal Field Loadings (Calculated in lbs/acre):
Total
1
2
3
41
51
6
7j
8
9
10
IIJ
12
DT/Ac./
APP•
Event
1.10
Arsenic
0.021
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0,021
Cadmium
0.004
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.004
Copper
0.536
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.536
Chromiurr
0.056
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.056
Lead
0.038
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.038
Mercury
0.008
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.008
Molyb-
0.010
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.010
denum denum
Nickel
0.027
0.000
0.000
0.000
0.000
0.000
0.000
0,000
0.000
0.000
0.000
0.000
0.027
Selenium
0.021
0.000
0.000
0.000
0.000
0.000
0.000
0,000
0.000
0.000
0.000
0.000
0.021
Zinc
2.405
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
2.405
Total
Phos-
27.575
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
27.575
horus
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am
aware that there are significant penalties for submitting false information, including the possibility of fines and
imprisonment for knowing violations".
?� /�¢cL 1-23-2024
Signa ure of Land kpplier Date
DENR FORM MFLSF (12/2006)

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ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name:
Permit #:
Operator:
Acres Used:
Town of Taylorsville Total Dry Tons Applied (Annual):
WQ0006906 Cation Exchange Capacity (non 503 only):
Carol Price Owner: Carol Price Predominant Soil Series:
2.87
F eB2
7 Acres Permitted: 7 Site #: CP01 Field #: C1,01
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
©
©
©
OEM
Total
•
phorus
_ENEENEENEEN
M
Annual Heavy Metal Field Loadings (Calculated in lbs/acre):
Total
11
2j
3
41
5
6
7j
8
9j
10J
11
12
DT/Ac./
App.
r°y.
Event
0.41
Arsenic
0.008
1 0.000
0.000
0.000
1 0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
1 0.008
Cadmium
0.002
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.002
Copper
0.199
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.199
Chromiurr
0.021
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.021
Lead
0.014
0.000
0.000
1 0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.014
Mercury
0.003
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.003
Molyb-
0.004
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.004
denum
Nickel
0.010
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.010
Selenium
0.008
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.008
Zinc
0.894
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0,000
0.000
0.894
Total
Phos-
10.250
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
10.250
horus
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am
aware that there are significant penalties for submitting false information, including the possibility of fines and
imprisonment for knowing violations".
Ca /l
Signa re of Land plier
1-23-2024
Date
DENR FORM MFLSF (1212006)

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ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: Town of Taylorsville Total Dry Tons Applied (Annual):
Permit #: WQ0006906 Cation Exchange Capacity (non 503 only):
Operator: Phillip Hoover Owner: Phillip Hoover Predominant Soil Series:
Acres Used: 14.7 Acres Permitted: 14.7 Site #: PH01 Field #:
41.59
PcB2
PH01
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
Sample©
or Com-
posite
Date
©
©
m
M
Total
•
phorusENEENEENEEN
M
Annual Heavy Metal Field Loadings (Calculated in lbs/acre):
Total
11
21
3
4
5
6
7
8
9
10
11 j
12
DT/Ac./
App-
Event
2.83
Arsenic
0.053
1 0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.053
Cadmium
0.011
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.011
Copper
1.375
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
1.375
Chromiurr
0.143
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.143
Lead
0.096
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.096
Mercury
0.020
1 0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
1 0.000
0.000
0.000
0.020
Molyb-
0.027
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.027
denum
Nickel
0.070
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.070
Selenium
0.053
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.053
Zinc
6.167
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
1 0.000
0.000
0.000
6.167
Total
Phos-
70.725
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
70.725
horus
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am
aware that there are significant penalties for submitting false information, including the possibility of fines and
imprisonment for knowing violations".
/1 1-23-2024
Signature of Land i4plie, Date
DENR FORM MFLSF (12/2006)

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ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: Town of Taylorsville Total Dry Tons Applied (Annual): 28.68
Permit #: WQ0006906 Cation Exchange Capacity (non 503 only):
Operator: Yolanda Prince Owner: Tun Keever Predominant Soil Series: CeB2
Acres Used: 10.9 Acres Permitted: 10.9 Site #: YP01 Field #: YP01
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent ft
Total
• .M
phoENEENEENEEN
Annual Heavy Metal Field Loadings (Calculated in Ibs/acre):
Total
1
2
3
4
5
6
7
8
9
10
11
12
DT/Ac./
App.
y
Event
2.63
Arsenic
0.050
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.050
Cadmium
0.010
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.010
Copper
1.279
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
1.279
Chromiurr
0.133
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.133
Lead
0.089
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.089
Mercury
0.019
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.019
Molyb-
0.025
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.025
denum
Nickel
0.065
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.065
Selenium
0.050
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.050
Zinc
5.736
0.000
0.000
0.000
0.000
0.000
1 0.000
0.000
0.000
0.000
0.000
0.000
5.736
Total
Phos-
65.775
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
65.775
horus
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am
aware that there are significant penalties for submitting false information, including the possibility of fines and
imprisonment for knowing violations".
VA4 6:�11
Signs ure of Land pplier
1-23-2024
Date
DENR FORM MFLSF (12/2006)

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ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (02T Rules)
Facility Name: Town of Taylorsville WQ Permit Number: WQ0006906
WWTP Name: Town of Taylorsville WWTP NPDES Number: NCO026271
Monitoring Period: From l/1/2023 To 12/31/2023
Pathogen Reduction (15A NCAC 02T .1106) - Please indicate level achieved and alternative performed:
Class A:
Alt. A (time/temp) ❑
Alt B (Alk Treatment) ❑ 1
Alt. C (Prior Testing)❑
Alt.D (No Prior Test)
I Process to Further Reduce Pathogengs ❑
If applicable to alternative
performed (Class A only) indicate "Process to Further Reduce Pathogens":
Compost [7
Heat Drying ❑
Heat Treatment ❑
Therrnophilic ❑
Beta Ray ❑
f Gamma Ray ❑
Pasteurization ❑
Class B:
Alt. (1) Fecal Density ❑
Alt. (2) Process to Significantly Reduce Pathogens p
If applicable to alternative
performed (Class B only) indicate "Process to Significantly Reduce Pathogens":
Lime Stabilization p
Air Drying ❑
Composting ❑
jAerobic Digestion ❑
Anaerobic Digestion ❑
If applicable to alternative performed (Class A or Class B) complete the
following monitoring data:
Parameterin
Allowable Level
Sludge
Pathogen Density
Number of
dences e-
Frequency
of Analysis
Sample
Type
Analytical
Tech-
inimu
Geo. Mean
aximut
Units
Fecal Colifonm
2 x 10 to the
6th power
per gram of
total solids
MPN
CFU
1000 mpn per gram
of total solid (dry
weight)
Salmonella bacteria
(in lieu of fecal
coliform)
3 MPN per 4 grams
total solid (dry
I weight)
Vector Attraction Reduction (15A NCAC 02T .1107) - Please indicate alternative performed:
Alt.l (VS reduction) ❑
Alt. 2 (40-day bench) ❑
Alt. 3 (30-day bench) ❑
I Alt. 4 (Spec. OZ uptake) ❑
Alt. 5 (14-Day Aerobic) ❑
Alt. 6 (Alk. Stabilization
Alt 7 (Drying - Stable) ❑
JAIt. 8 (Drying - Unstable) ❑
Alt. 9 (Injection) ❑
Alt. 10 (Incorporation) ❑
No vector attraction reduction alternatives
were performed ❑
CERTIFICATION STATEMENT (please check the appropriate statement)
"I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the
vector attraction reduction requirement in 15A NCAC 02T .1107 have been met."
❑ "1 certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the
vector attraction reduction requirement in 15A NCAC 02T .1107 have not been met." (Please note
if you check this statement attach an explanation why you have not met one or both of the
requirements.)
"This determination has been made under my direction and supervision in accordance with the system
designed to ensure that qualified personnel properly gather and evaluate the information used to determine
that the pathogen and vector attraction reduction requirements have been met. I am aware that there are
significant penalties for false certification including fine and imprisonment."
Zach Key U.S. Biosolids, Inc.
Preparer Name and Title (type or print) Land Applier Name and Title (if applicable)(type or print)
Z -1 z-Zy /� 1-23-2024
Signature of Preparer* Date Signature of LanApplier (if applicable) Date
*Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26)
DENR FORM PVRF 02T (12/2006)

Waypoint,Q)
ANALYTICAL
9/12/2023
US Biosolids Inc
Dennis Key
958 Hoots Road
Roaring River, NC, 28669
Ref: Analytical Testing
Report Number: 23-235-0003
Project Description: Taylorsville
7621 Whitepine Road, Richmond, VA 23237
Main 804-743-9401 ° Fax [phone]
www.waypointanalytical.com
Dear Dennis Key:
Waypoint Analytical Virginia, Inc. received sample(s) on 8/23/2023 for the analyses presented in the following
report.
The above referenced project has been analyzed per your instructions. The analyses were performed in
accordance with the applicable analytical method. Sub -contracted testing is noted on the Sample Summary Table
if applicable.
The analytical data has been validated using standard quality control measures performed as required by the
analytical method. Quality Assurance, method validations, instrumentation maintenance and calibration for all
parameters (NELAP and non-NELAP) were performed in accordance with guidelines established by the USEPA
(including 40 CFR 136 Method Update Rule May 2012) and NELAC unless otherwise indicated.
Certain parameters (chlorine, pH, dissolved oxygen, sulfite...) are required to be analyzed within 15 minutes of
sampling. Usually, but not always, any field parameter analyzed at the laboratory is outside of this holding time.
Refer to sample analysis time for confirmation of holding time compliance.
The results are shown on the attached Report of Analysis(s). Results for solid matrices are reported on an as -
received basis unless otherwise indicated. This report shall not be reproduced except in full and relates only to
the samples included in this report.
Please do not hesitate to contact me or client services if you have any questions or need additional information.
Sincerely,
Brandi Watson
Laboratory's liability in any claim relating to analyses performed shall be limited to, at laboratory's option, repeating the
analysis in question at laboratory's expense, or the refund of the charges paid for performance of said analysis.
Page 1 of 7

Waypointo
ANALYTICAL
Report Number: 23-235-0003
Client Project Description: Taylorsville
7621 Whitepine Road, Richmond, VA 23237
Main 804-743-9401 ° Fax [phone]
www.waypointanalytical.com
Sample Summary Table
Lab No Client Sample ID Matrix Date Collected Date Received Method Lab ID
63145
Taylorsville
Solids
08/16/2023 10:00
08/23/2023
63145
Taylorsville
Solids
08/16/2023 10:00
08/23/2023
SM-4500-NH3C
WP MTN
63145
Taylorsville
Solids
08/16/2023 10:00
08/23/2023
9045D
WP MTN
63145
Taylorsville
Solids
08/16/2023 10:00
08/23/2023
4500NO3F-2016
WP MTN
63145
Taylorsville
Solids
08/16/2023 10:00
08/23/2023
6010D
WP MTN
63145
Taylorsville
Solids
08/16/2023 10:00
08/23/2023
SW-7471B
WP MTN
63145
Taylorsville
Solids
08/16/2023 10:00
08/23/2023
SM-4500-NH3C-TKN
WP MTN
63145
Taylorsville
Solids
08/16/2023 10:00
08/23/2023
SM-2540G
WP MTN
WP MTN - Memphis, TN: Waypoint Analytical - TN, Memphis, TN
Page 2 of 7

•
Waypoint
7621 Whitepine
Road, Richmond,
VA 23237
Main 804-743-9401 ° Fax [phone]
ANALYTICAL
www.waypointanalytical.com
46381
US Biosolids Inc
Project
Taylorsville
Dennis Key
Report Date : 09/12/2023
958 Hoots Road
Information :
Received : 08/23/2023
Roaring River , NC 28669
Brandi Watson
Report Number: 23-235-0003
REPORTOFANALYSIS
Lab No : 63145
Matrix: Solids
Sample ID : Taylorsville
Sampled: 8/16/2023 10:00
Test
Results
Units
MQL
DF
Date / Time
By Analytical
Analyzed
Method
Moisture
94.7 H
%
0.010
1
08/28/23 16:48
CAH SM-254OG
Sulfur
8260
mg/Kg - dry
189
1
09/01/23 03:54
TJS 6010D
Calcium
163000
mg/Kg - dry
943
1
09/01/23 03:54
TJS 6010D
Aluminum
9190
mg/Kg - dry
94.3
1
09/01/23 03:54
TJS 6010D
Manganese
162
mg/Kg - dry
9.43
1
09/01/23 03:54
TJS 6010D
Organic N
31280
mg/Kg - dry
4717
1
09/11/23 10:45
CALCULATION
Nickel
12.4
mg/Kg - dry
4.72
1
09/01/23 03:54
TJS 6010D
Lead
17.0
mg/Kg - dry
5.66
1
09/01/23 03:54
TJS 6010D
Arsenic
<9.43
mg/Kg - dry
9.43
1
09/01/23 03:54
TJS 6010D
Selenium
<9.43
mg/Kg - dry
9.43
1
09/01/23 03:54
TJS 6010D
Test
Results
Units
MQL
DF
Date / Time
By Analytical
Analyzed
Method
Total Solids
5.29 H
%
0.010
1
08/28/23 16:48
CAH
SM-254OG
Phosphorus
12500
mg/Kg - dry
94.3
1
09/01/23 03:54
TJS
6010D
Copper
243
mg/Kg - dry
9.43
1
09/01/23 03:54
TJS
6010D
Total Kjeldahl Nitrogen 37400 mg/Kg - dry 4720 1 09/11/23 10:45 JPJ ;M-4500-NH3C-TKP
Qualifiers/ DF Dilution Factor H Beyond holding time
Definitions MQL Method Quantitation Limit
Page 3 of 7

Waypoin(l)t.
ANALYTICAL
46381
US Biosolids Inc Project Taylorsville
Dennis Key
958 Hoots Road Information
Roaring River , NC 28669
Report Number:23-235-0003
7621 Whitepine Road, Richmond, VA 23237
Main 804-743-9401 ° Fax [phone]
www.waypointanalytical.com
REPORT OFANAL YSIS
Report Date : 09/12/2023
Received : 08/23/2023
Brandi Watson
Lab No : 63145
Sample ID : Taylorsville
Matrix: Solids
Sampled: 8/16/2023 10:00
Potassium
i570
mg/Kg - dry
189
1
09/01/23 03:54
TJS
6010D
Magnesium
3080
mg/Kg - dry
94.3
1
09/01/23 03:54
TJS
6010D
Sodium
1190
mg/Kg - dry
472
1
09/01/23 03:54
TJS
6010D
Iron
10400
mg/Kg - dry
189
1
09/01/23 03:54
TJS
6010D
Zinc
1090
mg/Kg - dry
23.6
1
09/01/23 03:54
TJS
6010D
Ammonia Nitrogen
6080
mg/Kg - dry
1890
1
09/11/23 15:45
JPJ
SM-4500-NH3C
Nitrate+Nitrite-N
127
mg/Kg - dry
94.3
1
08/29/23 14:58
CLP
4500NO3F-2016
Cadmium
<1.89
mg/Kg - dry
1.89
1
09/01/23 03:54
TJS
6010D
Chromium
25.3
mg/Kg - dry
4.72
1
09/01/23 03:54
TJS
6010D
Mercury
<3.62
mg/Kg - dry
3.62
1
09/05/23 12:07
MRE
SW-7471B
PH
8.0
S.U.
1
08/29/2317:06
CNB
9045D
Molybdenum
<4.72
mg/Kg - dry
4.72
1
09/01/23 03:54
TJS
6010D
Qualifiers/ DF Dilution Factor H Beyond holding time
Definitions MQL Method Quantitation Limit
Page 4 of 7

Waypointo
ANALYTICAL
7621 Whitepine Road, Richmond, VA 23237
Main 804-743-9401 ° Fax [phone]
www.waypointanalytical.com
Client: US Biosolids Inc CASE NARRATIVE
Project: Taylorsville
Lab Report Number: 23-235-0003
Date: 9/11 /2023
Metals Analysis Method 6010D
Sample 63146 (Forest City)
Analyte: Aluminum
QC Batch No: 1-702189/1-701766
The matrix spike and/or the matrix spike duplicate was outside quality control acceptance ranges. A dilution test
was performed and passed quality control acceptance ranges. No matrix interference is suspected.
Sample 63146 (Forest City)
Analyte: Potassium
QC Batch No: 1-702189/1-701766
The matrix spike and/or the matrix spike duplicate was outside quality control acceptance ranges. A dilution test
was performed and passed quality control acceptance ranges. No matrix interference is suspected.
Solids Total Mercury Analysis - CVAA Method 7471A
Sample 89856 (Sludge)
Analyte: Mercury
QC Batch No: 1-702537/1-702311
The matrix spike and/or the matrix spike duplicate was outside quality control acceptance ranges. A post
digestion spike was performed and passed quality control acceptance ranges. No matrix interference is
suspected.
Page 5 of 7

I
LU

WayPAoint
NALYTICAL
7621 Whitepine Road, Richmond, VA 23237
Main 804-743-9401 ° Fax [phone]
www.waypointanalytical.com
Shipment Receipt Form
Customer Number: 46381
Customer Name: US Biosolids Inc
Report Number: 23-235-0003
Shipping Method
0 Fed Ex 0 US Postal 0 Lab
UPS 0 Client 0 Courier
0 Other:
Thermometer ID:
Shipping container/cooler uncompromised?
# Yes
0 No
Number of coolers/boxes received
1
Custody seals intact on shipping container/cooler?
0 Yes
0 No
Not Present
Custody seals intact on sample bottles?
0 Yes
0 No
Not Present
Chain of Custody (COC) present?
Yes
0 No
COC agrees with sample label(s)?
Yes
0 No
COC properly completed
Yes
0 No
Samples in proper containers?
0 Yes
0 No
Sample containers intact?
Yes
0 No
Sufficient sample volume for indicated test(s)?
Yes
0 No
All samples received within holding time?
0 Yes
* No
Cooler temperature in compliance?
Yes
0 No
Cooler/Samples arrived at the laboratory on ice.
Samples were considered acceptable as cooling
process had begun.
Yes
0 No
Water - Sample containers properly preserved
0 Yes
0 No
0 N/A
Water - VOA vials free of headspace
0 Yes
0 No
N/A
Trip Blanks received with VOAs
0 Yes
0 No
N/A
Soil VOA method 5035 — compliance criteria met
0 Yes
0 No
N/A
j High concentration container (48 hr) (— Low concentration EnCore samplers (48 hr)
High concentration pre -weighed (methanol -14 d) F_ Low conc pre -weighed vials (Sod Bis -14 d)
Special precautions or instructions included? 0 Yes A No
Comments:
Signature: jDavid Lennon I Date & Time: 8/23/2023 12:40:51
Page 6 of 7

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