WQ0000543_Renewal Application_20240229

Initial Review
Reviewer nathaniel.thorn burg
Is this submittal an application? (Excluding additional information.) *
Yes No
Permit Number (IR) * WQ0000543
Applicant/Permittee City of Sanford
Applicant/Permittee Address 5327 Iron Furnace Rd Sanford, NC 27330
Is the owner in BIMS? Yes No Is the facility in BIMS? Yes No
Owner Type
Facility Name
County
Fee Category Major
Is this a complete application?*
Yes No
Signature Authority
Signature Authority Title
Signature Authority Email
Document Type (if non -application)
Email Notifications
Municipal
City of Sanford Class B Residuals Program
Lee
Does this need review by the hydrogeologist? * Yes No
Regional Office
CO Reviewer
Admin Reviewer
Fee Amount
Complete App Date
02/29/2024
$0
Below list any additional email address that need notification about a new project.
Email Address
Comments to be added to email notfication
Comments for Admin
Comments for RO

Comments for Reviewer
Comments for Applicant

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* Adam Brigman
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*
17046504341
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:*
WQ0000543
Has Current Existing permit number
Applicant/Permittee *
City of Sanford
Applicant/Permittee Address*
5327 Iron Furnace Rd Sanford, NC 27330
Facility Name*
City of Sanford Class B Residuals Program
Please provide comments/notes on your current submittal below.
Attached is the permit renewal for the City of Sanford Residuals land application permit, W00000543.
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.)
Sanford WQ0000543 Permit Renewal 2024.pdf 165.58MB
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 2/28/2024

SYNAGRO
YOUR PARTNER FOR A CLEANER, GREENER WORLD
02/24/24
NCDENR-DWQ
Division of Water Resources- Non -Discharge Branch
1617 Mail Service Center Raleigh, NC 27699-1617
ATTENTION: Mr. Nathaniel Thornburg
REFERENCE: MODIFICATION OF PERMIT NO. WU0000543
City of Sanford
Dear Mr. Thornburg,
Synagro is submitting, on behalf of the City of Sanford, an application to renew the residuals
land application permit. Listed below are the changes to the existing permit:
\1_➢ Delete fields NC-CH-10-(1 & 4)
No other changes to the permit are requested at this time. If you have any questions or concerns
about this renewal, contact meat 704-650-4341. I look forward to working with you to ensure
that this is an efficient review process.
Sincerely,
Adam Brigman
Technical Services Manager
Cc: Scott Siletzky; City of Sanford
Enc: Application Package (4)

State of North Carolina
DWR
Department of Environmental Quality
Division of Water Resources
Division of Water Resources 15A NCAC 02T .1100 — RESIDUALS LAND APPLICATION PROGRAM
INSTRUCTIONS FOR FORM: RLAP 06-16 & SUPPORTING DOCUMENTATION
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. visit the Water Quality Permitting Section's Nan Discharge Permitting Unit
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 orother 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 documentatio n listed
below.
A. Residuals Land Application Program (FORM: RLAP 0646) Application: (All Application Packages):
E Submit the completed and appropriately executed Residuals Land Application Program (FORM: RLAP 06-16) form. Please
do not make any unauthorized content changes to this form. If necessary forclarity 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.
ER The Applicant's Certification on Page 5 of this form shall be signed in accordance with 15ANCAC 02T .0I06(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 Environmental
Quality (NCDEQ).
Facility Classification New Permit Major Modification r
Major (land are pennitted for > 300 acres) $1,310 $395
Minor (land are permitted for < 300 acres _ $810 $245
-A majormodification shall be defined as any permit modification that: increases the generating facility's residuals dry tonnage;
adds additional land application areas not previously approved for that particular program [including transferring of field(s) from
one program to another]; adds additionalresiduals sources; or includes the addition of new treatment or storage units/processes not
previously permitted. There is no fee for minor modifications to a permit.
C. Cover Letter (All Application Packages)
ER 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 I .0300)
El Submit a copy of the Findings of No Significapt Impact (FONSI) or Environmental Impact Statement (EIS). Also, include
information on any mitigating factor(s) from the EnvironmentalAssessment (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 06-16 Page I 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.
Submit the O&M Plan in accordance with 15ANCAC 02T .1110 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.
Maintenance schedules; may
include equipment 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.
® 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.
t� Detailed description orinspection 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;
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 annualsampling 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
0 Dedicated residuals land application programs are ones in which land application sites meet the criteria in 15A NCAC 02T
.1102(12). Specifically, a residuals land application program is designated as dedicated if any of the following are applicable:
Any land application site certified for the residuals land application program that receives residuals at rates or frequenci s
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.
El Any land application site certified forthe residuals land application program that receives residuals through fixed irrigation
facilities or irrigation facilities fed through a fixed supply system.
Q Please contact the Non -Discharge Permitting Unit 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.
❑ Provide an explanation of the dedicated system and its operation.
H. Detailed Site Maps (All New or Modification Application Packages)
❑ 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.
❑ Plans must include the following minimum items:
A general location map, a vicinity map and a topographic map with contoursnot exceeding 10 feet or 25% of the totalsite
relief and showing all facility related structures and fences within the land application area.
El 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
❑ Setbacks as required by 15ANCAC 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 finalplans. However, the plans maybe labeled with
the phrase: FINAL DESIGN -NOT RELEASED FOR CONSTRUCTION
INSTRUCTIONS FOR FORM: RLAP 06-16 Page 2 of 3

I. Project Evaluation and Receiver Site Management Plan (All New Application Packages or Modifications that include new sites)
❑ Submit a project evaluation and a receiver site management plan (if applicable)with recommendations concemmg cover crops
and their ability to accept the proposed application rates.
J. Hydrogeologie Report (All New Application Packages or Modifications involving increasing the total design capacity)
❑ Submit a detailed hydrogeologic evaluation in accordance with 15A NCAC 02T .1 104(d)(4) and current Division Policy
available at: htlE://www.ncwater.or&Rules, Policies and Regulations/. The document shall be signed, sealed and dated by a
qualified professional.
K. Engineering Design Documents (All New or Modification Application Packages With fixed irrigation facilities or irrigation
facilities fed through fixed supply system)
El Submit engineering design documents that have been signed, sealed, and datedby 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;
❑ Specifications describing materials to be used, method of constriction, and means forensuring 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.
L. Water Balance (All New Application Packages or Modifications that include new sites utilizing fixed irrigation facilities or
irrigation facilities fed through fixed supply systems)
❑ Submit a completed and accurate water balance in accordance with 15A NCAC 02T .l 104(d)(5) and current Division Policy
available at: htto://www.ncwater.org/Rules Policies and Regulations/.
M. Property Ownership Documentation (All New or Modification Application Packages involving new and/orrelocatedtreatment
or irrigation components)
El Property ownership documentation shall consist of one of the following:
Legal documentation of ownership (i.e., GIS, deed or article of incorporation), or
❑ 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(f), or
❑ 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 ENVIRONMENTAL QUALITY
DIVISION OF WATER RESOURCES
WATER QUALITY PERMITTING SECTION
NON -DISCHARGE PERMITTING UNIT
By U.S. Postal Service:
1617 MAIL SERVICE CENTER
RALEIGH, NORTH CAROLINA 27699-1617
TELEPHONE NUMBER: [phone]
INSTRUCTIONS FOR FORM: RLAP 06-16
By Courier/Special Delivery:
512 N. SALISBURY STREET
RALEIGH, NORTH CAROLINA 27604
FAX NUMBER: [phone]
Page 3 of 3

State of North Carolina
DWR
Department of Environmental Quality
Division of Water Resources
Division of Water Resources 15A NCAC 02T .1100 —RESIDUALS LAND APPLICATION PROGRAM
FORM: RLAP 06-16
I. APPLICANT INFORMATION:
1. Applicant's name: City of Sanford
Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership ❑ Privately -Owned Public Utility
❑ Federal ❑ State 0 Municipal ❑ County
Signature authority's name per 15ANCAC 02T .0106: HalHegwer Title: City Manager
Applicant's mailing address: PO Box 3729
City: Sanford State: NC Zip: 27331-
Telephone number: 919) 775-8202 Email Address: hal.hegweraa.sanfordnc.net
2. Consultant's name: Adam Bringnlann License Number (for P.E.):
Affiliation: ❑ On Staff M Retained (Firm: Svna oo )
Consultant's mailing address: 284 Boger Rd.
City: Mocksville State: NC Zip: 27028-
Telephone number: [phone] Email Address: [e-mail]
3. Agronomist's name:
License Number:
Affiliation: ❑ N/A ❑ On Staff
❑ Retained (Firm: i)
Agronomist's mailing address:
City: State:
Zip:
Telephone number: (_) =
Email Address:
T
4. Soil Scientist's name: License Number: 1
Affiliation: ❑ N/A ❑ On Staff
❑ Retained (Firm:
Soil Scientist's mailing address:
City: State:
Zip: -
Telephone number:
Email Address:
5. Fee submitted: N/A Renewal (See Instruction B)
II. PERMIT INFORMATION:
1. Application is for(check all that apply):[] new, ❑ modified, ® renewed permit
2. If this application is being submitted to renew or modify an existing permit, provide the following:
Permit number: M0000543
Date of most -recently issued permit: 1/14/2019
Date of most -recently certified Attachment A (if different than the permit): 12/14/21
Date of most -recently certified Attachment B (if different than the pen -nit): 1/14/19
III. RESIDUALS LAND APPLICATION PROGRAM INFORMATION:
FORM: RLAP 06-16 Page i of 5

1. Residuals Processing Facility's physical address: 5327 Iron Furnace Rd.
City: Sanford State: NC
Coordinates: Latitude:35 Deg, 32 Min, 47.25 Sec
Datum: NAD84
Method of measurement: MAP
Zip: -27331
Longitude: 79 Deg, 13 Min, 10.22 Sec
Level of accuracy: second
2. County where residuals land application program is headquartered: Chatham
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
Robert N. Roth
Synagro
1001672
Back -Up ORC
Adam. Brigman
Synagro
1006653
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: ORC update to include Adam Brigman in process
Complete the following tables regarding management of the residuals land application program:
a. Plant Available Nitrogen Summate: 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: 1500 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
48.84
67.14
73,257
100,707
Five -Year Maximum Adjusted
68.46
86.76
102,696
130,146
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
0
Hay
27.85
Pasture
765.64
Total:
793.49
Methods
Surface
793.49
Incorporation orInjection
Total:
793.49
c. Residuals Land ApplieationSummar': 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:
FORM: RLAP 06-16
Page 2 of 5

Assumed
Acres Required Using
Acres Required Using
Application Rate
First -Year PAN Concentrations
Five -Year Maximum Adjusted PAN
(lbs PANIac yr)
Concentrations
Surface
Incorporation or
Surface
Incorporation or
Injection
Injection
50
1465.1
2014.1
2053.9
2602.9
100
732.6
1007.1
1027.0
1301.5
150
488.4
671.4
684.6
867.6
200
366.3
503.5
513.5
650.7
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, vectorreduct ion
practices not in place, etc.):
7. Specify type of residuals program (See Instruction F): E Non -dedicated 0 Dedicated
If Dedicated, specify the following (check all that apply):
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;
❑ 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;
IV. RESIDUALS SOURCE INFORMATION: (Required for all new, renewed, or modified residuals source)
Complete and submit the following Residuals Source Certification and all associated documentation.
Residuals Source
Certification
V. LAND APPLICATION SITE INFORMATION: (Required for all new, renewed, or modified land application site)
Complete and submit the following Land Applications Site Certification and all associated documentation.
Land Application Siite
Certification.doc
FORM: RLAP 06-16 Page 3 of 5

Note: Item VI. Applicable to Dedicated Program with fixed irrigation system only.
VI. DESIGN INFORMATION FOR FIXED IRRIGATION SYSTEM
1. The irrigation system is: ❑ Spray ❑ 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: feet
below ground surface. Rules 15ANCAC 02T.0505(2)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?
❑ Yes or ❑ No IfYes, please explain if the soil scientist report addresses artificial structures andplease 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/yr)
6. Design loading rates are equal or less than the loading rates recommended by Soil Scientist?
ElYes 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):
Field / Zone Design Area Number of Maximum Application Design Annual Loading
(ft2) Nozzles Rate ( allons/hr) Rate ( allons/yr)
Total
Spray Irrigation Design Element
Plan Sheet
Number
Specification
Page Number
Wetted diameter of nozzles
ft
Wetted area of nozzles
ft2
Nozzle capacity
gpm
Nozzle manufacturer/ model
/
Elevation of highest nozzle
ft
FORM: RLAP 06-16
Page 4 of 5

DWR
Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
RESIDUALS SOURCE CERTIFICATION
INSTRUCTIONS FOR FORM: RSC 06-16
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 rting documentation
For more information, visit the Water Quality Permitting Section's Non -Discharge Permitting Unit
General — This certification provides detailed information of residuals source generating facility and its residuals quality for land
application, distribution, or disposal in accordance with 15A NCAC 02T .1100. Do not submit this certification for review without
a corresponding application form (FORM: RLAP 11-15, FORM: DCAR 11-15, or FORM: SDR 11-15).
Unless otherwise noted,the Applicant shall submit one original andtwo copies of the application and supporting documentatio n listed
below.
A. Residuals Source Certification (FORM: RSC 11-15):
Submit the completed and appropriately executed Residuals Source Certification (FORM: RSC 11-15) 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 maybe 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 a separate certification for each source facility.
For modified permits, submit a separate certification for only those facilities that are affected by the proposed modification.
® Complete the residuals source facility summary page. List all new, renewed, or modified facilities.
B. Residuals Source -Generating Facility Information:
® For each source facility, attach the following:
® Vicinity map - A vicinity map that shows the location of the facility and meets all of the criteria in the "Map Guidance for
Residuals Land Application Permits".
® Process flow diagram and/or narrative - A detailed narrative and/or process flow diagram that describes how the residuals
are to be generated, treated, processed, and stored at the facility.
Quantitative justification for residuals production rate - A quantitative justification for the value provided in Item I. 8.
Ensure that the amount of residuals listed is the maximum amount expected to be generated by the facility for the life of
the permit. In addition, ensure that this amount is equivalent to that which is actually to be land applied, distributed,
and/or disposed, including any chemicals, amendments, or other additives that are added to the residuals during
processing.
Sampling plan - A detailed sampling plan for the residuals source -generating facility. Ensure that the plan identifies
sampling points, sampling frequency, sample type, as well as the Division -certified laboratory to be used. In addition,
ensure that the plan details how the facility and/or the residuals are monitored for any applicable pathogen reduction and
vector attraction reduction requirements. Note that all sampling and monitoring must be completed on the residuals as
they are to be land applied, distributed, and/or disposed.
C. Residuals Quality Information:
® For each source facility, attach the following:
® Laboratory analytical reports and operational data - reports for all laboratory analyses used to complete this certification.
Documentation that the facility complies and/or the residuals comply with any applicable pathogen reduction and vector
attraction reduction requirements.
® For new facility that may have not yet been constructed and analytical results of residuals cannot be obtained, please
attach analytical results of residuals generated from a similar facility along with the description of similarities of the two
facilities.
INSTRUCTIONS FOR FORM: RSC 06-16 Page 1 of I

RESIDUALS SOURCE FACILITY SUMMARY
Applicant's name: City of Sanford
Status Maximum Dry Tons Per Year
Code a Facility Permit Bolder Facility Name County Permit Number
Current n Proposed
R City of Sanford Big Buffalo WWTP Chatham NCO024127 1500 1500
2 Stahzs Code for source facility are: ♦ N (New) ♦ R (Renewed) ♦ M (Modified) ♦ D (Deleted)
b The amount of residuals currently permitted for distribution, land application, or disposal (i.e, not applicable to new facility).
SUMMARY FOR FORM: RSC 06-16 Page 1

DWR
Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
RESIDUALS SOURCE CERTIFICATION
FORM: RSC 06-16
I. RESIDUALS SOURCE -GENERATING FACILITY INFORMATION (See Instruction B.):
1. Facility Name: Big Buffalo WWTP
2. Facility permit holder is: [ Federal, ❑; State, X Local Government, or ❑ Private.
Facility permit issued by: X Div. of Water Resources, ❑. Div. of Environmental Health,
or ❑ Other (explain: _.
3. Facility contact person and title: Scott Siletzky, Water Reclamation Facility Administrator
Complete mailing address: PO Box 3729
City: Sanford State: NC Zip: 27331-!
Telephone number: [phone] E-mail address: scott.sfletzkvla.sanfordnc.net
4. Facility physical address: 5327 Iron Furnace Rd
City: Sanford State: NC Zip: 27331
Coordinates: Latitude: 350 32' 47.25" Longitude: 790 13' 10.22"
Datum: NAD83 Level of accuracy: second
Method of measurement: MAP
5. Purpose of the facility:
treatment of municipal wastewater, Q' treatment of 100% domestic wastewater,
0; treatment of potable water, Q treatment of 100% industrial wastewater,
treatment of industrial wastewater mixed with domestic wastewater,
(approximate percentages: % industrial and % domestic)
Q other (explain: ).
6. Does the facility have an approved pretreatment program: X Yes ❑' No
7. Facility permitted/design flow: 6_8 MGD and facility average daily flow: 6_3 MGD
8. Average amount of residuals being generated at this facility 1231.68 dry tons per year.
9. Specify the following regarding treatment and storage volumes available at the facility:
Type and volume of residuals treatment: Aerobic digesters, 4-1 million gal each
Type and volume of residuals storage (i.e., outside of residuals treatment units): 4 Storage tanks each 1 million gallons
II. INFORMATION (See Instruction C.):
1. Specify if residuals are regulated under:
X 40 CFR Part503 or ❑'. 40 CFR Part 257.
Note: Only residuals that are generated during domestic/municipal wastewater treatment processes are regulated under 40
CFR Part 503, otherwise, the residuals are regulated under 40 CFR Part 257.
2. Specify if residuals are defined under 15A NCAC 02T.1102(6) as:
X Biological QNon-Biological
Note: Biological residuals are residuals that have been generated during the treatment of domestic wastewater, animal
processing wastewater, or the biological treatment of industrial wastewater (biological treatment is a system that utilizes
biological processes including lagoons, activated sludge systems, extended aeration systems, and fixed fihn systems).
FORM: RSC 06-16 Page 1 of 5

3. Hazardous Waste Determination: Complete the following to demonstrate that the residuals are non -hazardous under
RCRA: (Note - this item does not have to be completed for facilities that are less than 0.5 MGD in design flow that treat
100% non -municipal, domestic wastewater only)
a. Are the residuals listed in 40 CFR §261.31-§261.33: Q!. yes X no.
If yes, list the number(s):
b. Specify whether or not the residuals exhibit any of the characteristics defined by 40 CFR §261.21-
261.24: 13yes X no.
Fill in the following tables with the results of the latest toxicity characteristic leaching procedure (TCLP) analysis as
well as those for corrosivity, ignitability, and reactivity:
Laboratory: Summit Environmental Tech Inc Date of analysis: 2/7/2023
Passed corrosivity test: X yesno. pH: s.u. (2 < pH < 12.5)
Passed ignitability test: X yes ❑ no. Flashpoint: °F (> 140°F)
Passed reactivity test: X yes ❑no. HCN mg/kg (<250) & H2S: mg/kg (<500)
TCLP Parameter
Limit
(mg/1)
Result
(mg/1)
TCLP Parameter
Limit
(mg/l)
Result
(mg/1)
Arsenic
5.0
ND
Hexachlorobenzene
0.13
ND
Barium
100.0
ND
Hexachloro-1,3-Butadiene
0.5
ND
Benzene
0.5
ND
Hexachloroethane
3.0
ND
Cadmium
1.0
ND
Lead
5.0
ND
Carbon Tetrachloride
0.5
ND
Lnidane
0.4
ND
Chlordane
0.03
ND
Mercury
0.2
ND
Chlorobenzene
100.0
ND
Methoxychlor
10.0
ND
Chloroform
6.0
ND
Methyl Ethyl Ketone
200.0
ND
Chromium
5.0
ND
Nitrobenzene
2.0
ND
m-Cresol
200.0
ND
Pentachlorophenot
100.0
ND
o-Cresol
200.0
ND
Pyridine
5.0
ND
p-Cresol
200.0
ND
Selenium
1.0
ND
Cresol
200.0
ND
Silver
5.0
ND
2,4-D
10.0
ND
Tetra chloroethylene
0.7
ND
1,4-Dichlorobenzene
7.5
ND
Toxaphene
0.5
ND
1,2-Dichloroethane
0.5
ND
Trichloroethylene
0.5
ND
1,1-Dichloroethylene
0.7
ND
2,4,5-TrichlorophenoI
400.0
ND
2,4-Dinitrotoluene
0.13
ND
2,4,6-Trichlorophenol
2.0
ND
Endrin
0.02
ND
2,4,5-TP (Silvex)
1.0
ND
Heptachlorand its Hydroxide
0.008
ND
Vinyl Chloride
0.2
ND
FORM: RSC 06-16 Page 2 of 5

4. Metals Determination: Complete one of the following tables (i.e., as applicable) to demonstrate that the residuals do not
violate the ceiling concentrations formetals regulated under 15A NCAC 02T .1105.
a. For Distribution/Land Application: Fill in the following table with the results of the latest analyses (i.e., on a dry weight
basis) for the following metal parameters:
Laboratory: Wavpoint Analytical Date of analysis: 8/8/2023
Parameter
Ceiling
Concentration Limits
tcra_ -� czu -sad
(mg/kg)
Monthly Average
Concentration Limits
("01— A o«zj�)
(mg1kg)
Result
(mg/kg)
Arsenic
75
41
<17.9
Cadmium
85
39
<3.57
Copper
4,300
1,500
355
Lead
840
300
18.5
Mercury
57
17
<6.21
Molybdenum
75
n/a
14.0
Nickel
420
420
41.8
Selenium
100
100
<17.9
Zinc
7,500
2,800
918
b. For Surface Disposal Unit (landfill): Fill in the following table with the results of the latest analyses (i.e., on a dry weight
basis) for the following metal parameters:
Laborator
y: and Date of analysis:
Distance from Disposal
Unit to Boundary to
Closest Property Line
(meters, checkone)
Arsenic
(mg/kg)
Chromium
(mg/kg)
Nickel
(mg/kg)
❑ > 0 but <25
30
200
210
> 25 but < 50
34
220
240
Q > 50 but < 75
39
260
270
> 75 but < 100
46
300
320
❑ >_ 100 but < 125
53
360
390
> 125
62
450
420
Result (mg/kg)
FORM: RSC 06-16 Page 3 of 5

5. Nutrient/Mieronutrient Determination: Complete the following:
a. Total solids: 2.76 %.
b. Fill in the following table with the results of the latest analyses (i.e., on a dry weight basis) for the following nutrient and
micronutrient parameters:
Laboratory: Waypoint Analytical Date of analysis: 8/8/2023
Parameter
Result
(mg/kg)
Aluminum
11600
Ammonia -Nitrogen
18300
Calcium
15000
Magnesium
4610
Nitrate -Nitrite Nitrogen
<179
pH (Standard Unit)
7.5
Phosphorus
25000
Potassium
6360
Sodium
2250
Total Kjeldahl Nitrogen
68600
c. Using the results listed in Item II. 5b. above, calculate the sodium adsorption ration (SAR): 0.68
[Note: If residuals contain SAR of 10 or higher, the applicant shall obtain 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 an agronomist, prior to land application of residuals. The recommendations shall
address the sodium application rate, soil amendments (e.g., gypsum, etc.), or a mechanism for maintaining site integrity
and conditions conducive to crop growth].
d. Specify the mineralization rate to be used in calculating the plant available nitrogen (PAN) of the residuals: 30 %. This
rate is a (check one): X default value, or ❑. actually established.
If the residuals are not generated from the treatment of municipal or domestic wastewater, explain or provide technical
justification as to why the selected default value is appropriate to be applied to these residuals: _
e. Calculate the PAN for the residuals (i.e., on a dry weight basis) and fill the results in the following table:
Application Method
First (1st) Year PAN
Five -Year
(mg�kg)
Maximum Adjusted PAN
(mg/kg)
Surface
24,419
34,232
Injection/Incorporation
33,569
43,382
6. Other Pollutants Determination: Specify whether or not there are any other pollutants of concern in the residuals and provide
the results of the latest analyses: N/A
FORM: RSC 06-16 Page 4 of 5

7. Pathogen Reduction: Per 15A NCAC 02T.1106, specify how residuals will meet the pathogen reduction requirements:
a. For Distribution/LandApplication ofClass A or Equivalent:
V ❑! A fecal coliform density that is demonstrated to be less than 1,000 MPN per gram of total dry solids,
or
[' A salmonella sp. density that is demonstration to be less than 3 MPN per 4 grams of total dry solids.
AND one of the followings (except for non -biological residuals):
'. Alternative I [15A NCAC 02T_1106(b)(3)(A)] - Time/Temperature Compliance,
Q Alternative 2 [15A NCAC 02T.I 106(b)(3)(B)] -Alkaline Treatment.
Alternative 3 [15A NCAC 02T.I 106(b)(3)(C)] - Prior Testing for Enteric Virus/Viable Hehninth Ova.
Alternative 4 [15A NCAC 02T.I 106(b)(3)(D)] - No Prior Testing for Enteric Virus/Viable Hehninth Ova.
❑ Alternative 5 [15A NCAC 02T.1106(b)(3)(E)-(K)] - Process to Further Reduce Pathogens (PFRP).
Specify one: 0'i composting,'' heat drying, heat treatment,
El thermophilic aerobic digestion, F1 beta ray irradiation,
❑ gamma ray irradiation, or pasteurization.
b. For Land Application of Class B:
N Alternative 1 [15A NCAC 02T.1106(c)(1)] - Fecal Coliform Density Demonstration.
Alternative 2 [15A NCAC 02T.1106(c)(2)] - Process to Significantly Reduce Pathogens (PSRP).
Specify one: 0; aerobic digestion, Ea, air drying,(; anaerobic digestion,
composting, or lime stabilization.
c. For Surface Disposal:
P Select One of the Class A or Equivalent Pathogen Reduction Alternatives in Item II.7a. above.
Q! Select One of the Class B or Equivalent Pathogen Reduction Alternatives in Item II.7b. above.
Exempt - If Daily Cover Alternative is chosen in Item I1.8. below [ 15A NCAC 02T.1106(a)(2)].
Not Applicable - Non -Biological Residuals with NO Domestic Wastewater Contribution.
8. Vector Attraction Reduction (VAR): Per 15A NCAC 02T.1107, specify how residuals will meet the VAR requirements:
Alternative 1 [15A NCAC 02T.1107(a)(1)] - 38% Volatile Solids Reduction (Aerobic/Anaerobic Digestion).
Alternative 2 [15A NCAC 02T.I 107(a)(2)] - 40-Day Bench Scale Test (Anaerobic Digestion).
Alternative 3 [15A NCAC 02T.1107(a)(3)] - 30-Day Bench Scale Test (Aerobic Digestion).
Alternative 4 [15A NCAC 02T.1107(a)(4)] - Specific Oxygen Uptake Rate Test (Aerobic Digestion).
Alternative 5 [15A NCAC 02T.1107(a)(5)] - 14-Day Aerobic Processes.
X Alternative 6 [15A NCAC 02T.I 107(a)(6)] -Alkaline Stabilization.
Alternative 7 [15A NCAC 02T.1107(a)(7)] - Drying of Stabilized Residuals.
❑ Alternative 8 [15A NCAC 02T.1107(a)(8)] - Drying of Unstabilized Residuals.
Alternative 9 [15A NCAC 02T.1107(a)(9)] - Injection.
Alternative 10 [15A NCAC 02T.1107(a)(10)] - Incorporation.
Q' Alternative for Surface Disposal Units Only - Soil/Other Material Cover [15ANCAC 02T1107(b)(2)].
❑' Not Applicable - Non -Biological Residuals with NO Domestic Wastewater Contribution.
Note: For animal processing residuals, only alternatives 9 or 10 may be chosen due to the nuisance conditions that typically
occur when these residuals are applied and left on the land surface.
FORM: RSC 06-16 Page 5 of 5

Applicant's Certification (signing authority must be in compliance with 15A NCAC 02T .0106):
�. The applicant orany 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 orabandoned, are compliant with any active
compliance schedule, and do not have any overdue annual fees under Rule 15A NCAC 02T .0105.
M Yes El No, Explain;
u
I, HalHeawer City Manager (Signature Authority's Name — PLEASE PRINT) (Title)
attest that this application for City of Sanford RLAP
(Facility Name)
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand thatthe Division of Water Resources
may not conduct a technica I 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
Resources should acondition 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 t o me as
incomplete.
Note: In accordance with North Carolina General Statutes § 143-215.6A and § 143-215.6B, anyperson 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 not to
exceed $10,000 as wellas civil penalties up to $25,000 per violation.
Signature:
Z �q 202�
Date:
FORM: RLAP 06-16 Page 5 of 5

SYNAGRO
Please see the required note for each of the requested redefined compliance boundaries:
NC-CH49-03: A redefined compliance boundary is requested for this site. The
redefined compliance boundary is centrally located in this field and shall be located 50 feet
from the well_
NC-CH-49-04: A redefined compliance boundary is requested for this site. The
redefined compliance boundary is to the East of the field and shall be located 50 feet from
the well.
NC-CH49-06: A: A redefined compliance boundary is requested for this site. The
redefined compliance boundary is centrally located in this field and shall be located 50 feet
from the well.
NC-CH-66-04: A redefined compliance boundary is requested for this site. The
redefined compliance boundary is to the north of this field and shall be located 50 feet from
the well.
NC-CH-66-05: A redefined compliance boundary is requested for this site. The
redefined compliance boundary is to the south of this field and shall be located 50 feet
from the well.
284 Boger Road, Mocksville, NC 27028 • Phone: [phone] • Fax: [phone]

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Residuals Sampling Plan
City of Sanford Land Application Program
Wastewater Treatment Plant
Nutrients and Metals Analysis
Sampling Point: Basin
Sampling Frequency: Based on Dry Tons Land Applied
Sample Type: Composite
Lab: Waypoint Analytical
Pathogen (Fecal Testing)
Sampling Point: Basin
Sampling Frequency: Based on Dry Tons Land Applied
Sample Type: Grab
Lab: Cameron Testing
Vector (30-Day Bench)
TCLP
Sampling Point: Basin
Sampling Frequency: Based on Dry Tons Land Applied
Sample Type: Composite
Lab: Cameron Testing
Sampling Point: Basin
Sampling Frequency: Annually
Sample Type: Composite
Lab: Sunlinit Environmental Technologies, Inc

Quantitative Justification for Residuals Production Rate
City of Sanford WWTP (Big Buffalo)
Between the years of 2020 and 2023, the City of Sanford WWTP land applied on
average 1231.68 dry tons of material each year. The currently permitted 1500 dry
tons/per year maximum to be produced at this plant, should allow for current biosolids
production rates and any periodic maintenance cleanouts.
Dry tons land applied between 2020 and 2023.
Year
Dry Tons
2020
953.75
2021
1163.28
2022
1595.15
2023
1214.56

Environmental Laboratory
Laboratory Certification No165
Contact: Ryan Copeland
Client Synagro
284 Boger Road
Mocksville, NC 27028
Report Date: 6/19/2023
Project- Sanford
Date Sample Rcvd: 5/11/2023
Vector A-ctracticm Red-uctia-n / Aerobically Digested Sludge (20 Day Test).
Meritech. Work Order# 05112346 Sample: Sanford Effluent Composite 5/11/23
total Solids Volatile Solids % Volatile Solids
Week- 1.29 0.90 0.698
Week 2
1.19
0.87
0.728
Weeli3
0.96
0.65
0.681
Week-4
1.01
0.73
0.720
Week 5 1M 0.70 0.687
Van Kleeck Reduction (0/o): 4.74
I hereby certify that I have reviewed and approve these data.
Laboratory Representative
642 Tamco Road, Reidsville, North Carolina 27320
tel.[phone] fax.[phone]

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tus?ot� Cliain of dotn Rrd (C OC)
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Email: f17.J._6aA
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Attent"ron: �� °r` � = N WoTurrk
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MC INC..
ENVIRONMENTAL LABORATORIES
Rd. Phone, 336-342-4748
Reidsville NC 27320 Fax! 336-342-1522
W�11. Email. ir�fr��., meritechlabs,com
w , I eritech a . co
Sample Location and/or la #
Sampling Cates !� Times
Per to i'Okltt sample {Sign tint):
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Meriftech, Inc.
Environmental Laboratory
Laboratory Certification No. 165
Contact: Alex Fox
Report Date:
Page i
10/4/2023
Client STiagro
Z�
284 Boger Road
Project-
Sanford
Mocksville, NC 27028
Date Sample Rcvd:
9/28/2023
Meritech Work Order 4
09282328 Sample:
SAI Grab
9/28/23
PaL4-mete—rs
Results
Analysis Date
Reporting Limit
Method
%Total Solids
3.50 %
9/29/23
0-100 %
SM 2540B
Fecal Coliform (Class B Sludge)
<260 CFU/gdry wt
9/28/23
260 CFU/g dry wt
SM 9222D
Meritech Work Order #
09282329 Sample:
SA2 Grab
9/28/23
Parameters
Results
Analysis Date
Reporting Limit
MeLhod
% Total Solids
3.53 %
9/29/23
0-100 9/b
SM 2540B
Fecal Coliforn) (Class B Sludge)
3,090 CFU/gday wt
9/28/23
484 CFU/g dry wt
SM 9222D
Meritech Work Order #
09282330 Sample: SA3 Grab
9/28/23
Parameters
Results
Analysis Late
ReVorUngjjBjq
Method
% Total Solids
3.46 (Yo
9/29/23
0-100 %
SM 2540B
Fecal Coliform (Class B Sludge)
<263 CFU/g dry wt
9/28/23
263 CFU/gdry iA,-t
SM 9222D
Meritech Work Order #
09282331 Sample., SA4 Grab
9/218/23
Parameters
Resin L5
Analysis Mate
BAP-0aw9liniq
Method
(Yo Total Solids
3.47 %
9/29/23
0-100 %
SM 2540B
Fecal Coliform (Class B Sludge)
1,834 CFU/g dry wt
9/28/23
130 CFU/g dry wt
SM 9222D
Meritech Work Order# 09282332 Sample: SAS Grab 9/28/23
Rarametsr., s Results Analysis Date Reporting Limit Method
% Total Solids 3.44% 9/29/23 0-100 0/0 SM 2540B
Fecal Coliform (Class B Sludge) 528 CFU/gdry wt 9/28/23
491 CFU/g dry wt
0 SNfl 9222D
642 Tamco Road, Reidsville, North Carolina 27320
tel,[phone] fax.[phone]

Contact.- Alex Fox
Client. Synagro
284 Boger Road
Mocksville, NC 27028
Meritech Work Order# 09282333
Parameter
Meriftech, Inc.
Environmental Laboratory
Laboratory Certification. No. 165
Sample: SA6 Grab
Results Analysis Dag
Page 2
Report Date: 10/4/2023
Project: Sanford
Date Sample Rcvd: 9/28/23
9/28/23
ReporLiqg-Lunit Meth�qd
% Total Solids
3.40 %
9/29/23
0-100 %
SM 2540B
Fecal Coliform (Class B Sludge)
<267 CFU/g dry wt
9/28/23
267 CFU/g dry wt
SM 9222D
Meritech Work Order# 09282334
Parameters
Sample: SA7 Grab
Results Analysis Date
9/28/23
Reporting Limit-Mgtlwd
% Total Solids
3.39 %
9/29/23
0-100 %
SM 2540B
Fecal Coliform (Class B Sludge)
1- -1
<268 CFU/g dry wt
9/28/23
268 CFU/g dry wt
SM 9222D
N
hereby certify that I have reviewed and approve these data.
Laboratory Representative
642 Tamco Road, Reidsville, North Carolina 27320
tel.[phone] fax.[phone]

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222220141S 1"I"Ilt
Summit Environmental Technologies, Inc.
3310 Win St.
ENVIRONMENTAL Tr-CHNOtOCAEg,. tqC Cuyahoga Falls, Ohio 44223
Aas"ftW U*OrAft" : TEL: [phone] FAX. [phone]
Website: htto://www.settek.com
February 10, 2023
Ryan Copeland
Synagro
284 Boger Rd.
Mocksville, NC 27028
TEL:
FAX:
RE: Sanford WWTP
Dear Ryan Copeland:
Order No.: 23011736
Summit Environmental Technologies, Inc. received 1 sample(s) on 1/27/2023 for the
analyses presented in the following report.
There were no problems with the analytical events associated with this report unless noted
in the Case Narrative.
Quality control data is within laboratory defined or method specified acceptance limits
except where noted.
If you have any questions regarding these tests results, please feel free to call the
laboratory.
Sincerely,
Jennifer Woolf
Project Manager
3310 Win St.
Cuyahoga Falls, Ohio 44223
Arkansas 88-0735, California 2943, Colorado, Connecticut PH-0108, Florida NELAC E87688, Idaho OH00923, Illinois 200061, Indiana C-OH-13,
LSO/IEC 17025:2017 119125 L22-544, Kansas E-10347, Kentucky (Underground Storage Tank) 3, Kentucky 90146, Maryland 339, Michigan 9988,
Minnesota 1780279, Nevada 011009232020-1, New Hampshire 2996, New Jersey OH006, Newyork 11777, North Carolina 39705 and 631, North Dakota
R-201, Ohio DW, Ohio VAP CL0052, Oklahoma 2019-155, Oregon OH2O0001, Pennsylvania 68-01335, Rhode Island LA000317, South Carolina
92016001, Texas T104704466-19-16, Utah OH009232020-12, Virginia VELAP 10381, West Virginia 9957C
Page 1 of 39

g2�SU
Summit Environmental Technologies, Inc.
ZZMAOrl
JMMI 3310Win St. Case Narrative
EMARONMENTAL ECH2 01oGfFS, iNC Cuyahoga Falls, Ohio 44223
Arran kgl f.tb4rgtar1ms TEL: [phone] FAX. [phone] WO#: 23011736
Website: Lap://www.settek.com Date: 2/10/2023
CLIENT: Synagro
Project: Sanford WWTP
WorkOrder Narrative:
23011736: This report in its entirety consists of the following documents: Cover Letter, Case Narrative,
Analytical Results, QC Summary Report, Applicable Accreditation Information, Chain -of -Custody,
Cooler Receipt Form, and other applicable forms as necessary. All documents contain the Summit
Environmental Technologies, Inc., Work Order Number assigned to this report.
Summit Environmental Technologies, Inc., holds the accreditation/certifications listed at the bottom of
the cover letter that may or may not pertain to this report. Please refer to the "Accreditation Program
Analytes Report" for accredited analytes list.
The information contained in this analytical report is the sole property of Summit Environmental
Technologies, Inc. and that of the customer. It cannot be reproduced in any form without the consent of
Summit Environmental Technologies, Inc. or the customer for which this report was issued. The results
contained in this report are only representative of the samples received. Conditions can vary at different
times and at different sampling conditions. Summit Environmental Technologies, Inc. is not responsible
for use or interpretation of the data included herein.
All results for Solid Samples are reported on an "as received" or "wet weight" basis unless indicated as
"dry weight" using the "-dry" designation on the reporting units.
This report is believed to meet all of the requirements of the accrediting agency, where applicable. Any
comments or problems with the analytical events associated with this report are noted below.
Analytical Sequence Sample Notes:
23011736-00Ia TCLP-SVOC_8270E: CCV exhibited high recovery for Pentachlorophenol. Sample is
ND for this analyte.
23011736-OOIA TCLP-VOC-MSTR_8260D: Possible low bias for Vinyl chloride due to low recovery
in the CCV. Adequate sensitivity demonstrated in Reporting Limit Check.
Original
Page 2 of 39

=01J� Summit Environmental Technologies, I
Qualifiers and Acronyms
�11
3310 Wing
A
:ECNihT01�G+VS, INC Cuyahoga Falls, Ohio 442�
TEL: [phone] FAX.- (330) 253-44f Wo# 23011736
Website: http:/1Www.settek co Date: 2/10/2023
These commonly used Qualifiers and Acronyms may or may not be present in this report,
Qualifiers
U
The compound was analyzed for but was not detected.
J
The reported value is greater than the Method Detection Limit but less than the Reporting Limit.
H
The hold time for sample preparation and/or analysis was exceeded.
D
The result is reported from a dilution.
E
The result exceeded the linear range of the calibration or is estimated due to interference.
MC
The result is below the Minimum Compound Limit.
*
The result exceeds the Regulatory Limit or Maximum Contamination Limit.
in
Manual integration was used to determine the area response.
d
Manual integration in which peak was deleted
N
The result is presumptive based on a Mass Spectral library search assuming a 1:1 response.
P
The second column confirmation exceeded 25% difference.
C
The result has been confirmed. by GC/MS.
X
The result was not confirmed when GUMS Analysis was performed.
B/MB+
The analyte was detected in the associated blank.
G
The ICB or CCB contained reportable amounts of analyte.
QC-/+
The CCV recovery failed low (-) or high (+).
R/QDR
The RPD, was outside of accepted recovery limits.
QL-/+
The LCS or LCSD recovery failed low (-) or high (+).
QLR
The LCS/LCSD RPD was outside of accepted recovery limits.
QM-/+
The MS or MSD recovery failed low (-) or high (+).
QMR
The MS/MSD RPD was outside of accepted recovery limits.
QV-/+
The ICV recovery failed low (-) or high (+),
S
The spike result was outside of accepted recovery limits.
Z
Deviation; A deviation from the method was performed; Please refer to the Case Narrative for
additional information
Acronyms
ND
QC
Not Detected RL Reporting Limit
Quality Control MDL Method Detection Limit
MB
Method Blank LOD Level of Detection
LCS
Laboratory Control Sample LOQ Level of Quantitation
LCSD
Laboratory Control Sample Duplicate PQL Practical Quantitation Limit
QCS
Quality Control Sample CRQL Contract Required Quantitation Limit
DUP
MS
Duplicate PL Permit Limit
Matrix Spike RegLvl Regulatory Limit
MSD
RPD
Matrix Spike Duplicate MCL Maximum Contamination Limit
Relative Percent Different MinCL Minimum Compound Limit
ICV
Initial Calibration Verification RA Reanalysis
ICB
Initial Calibration Blank RE Reextraction
CCV
Continuing Calibration Verification TIC Tentatively Identified Compound
CCB
Continuing Calibration Blank RT Retention Time
RLC
Reporting Limit Check CF Calibration Factor
DF
Dilution Factor RF Response Factor
This list of Qualifiers and Acronyms reflects the most commonly utilized Qualifiers and Acronyms for reporting.
Please refer to the Analytical Notes in the Case Narrative for any Qualifiers or Acronyms that do not appear in this
list or for additional information regarding the use of these Qualifiers on reported data.
Original
Page 3 of 39

SUMMlySummit Environmental Technologies,
Workorder
3310 10 Win St.
St.
ENVIRONMENTAL
AnAOytkw
TrmiHt3iDGSE5,
INC: Cuyahoga Falls, Ohio 44223
Sample Summary
t Ibocw* Ifs
TEL: [phone] FAX.• [phone]
WO#:
Website: htta://www.settek.com
23011736
10-Feb-23
CLIENT:
Synagro
Project:
Sanford WWTP
Lab SampleID
Client Sample ID
Tag No Date Collected
Date Received Matrix
23011736-001
Sanford WWTP
1/26/2023 8:08:00 AM
1/27/2023 10:10:00 AM Sludge
Page 4 of 39

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n mmit Environmental Technologies, Inc.
SUMMIT"u
3310 Win St.
Analytical Report
ENVI40MMENTAL T[CHNot oGt6S, retr
A
Cuyahoga Falls, Ohio 44223
(base report)
; q# .�rgJsry« TEL: (330)
253-8211 FAX.- [phone]
WO#: 23011736
Website: hQ.Ilwww.seUek.com
Date Reported: 2/10/2023
CLIENT: Synagro
Tag Number:
Matrix: SLUDGE
Collection Date:
1/26/2023 8:08:00 AM
Lab ID: 23011736-OOIA
Project: Sanford WWTP
Client Sample ID Sanford WWTP
Analyses Result
RL
Qual Units DF Date Analyzed
TCLP METALS, VOC, BNA, PEST, HERB -SOLID
TCLP MERCURY ANALYSIS (SW1311/7470)
SW7470A
SW7470A Analyst: JJF
TCLP Mercury ND
0.00200
m /L 1 9
2/7/2023 10:03:00 AM
TCLP METALS, VOC, BNA, PEST, HERB -SOLID
TCLP METALS ANALYSIS (SW1311/6010)
SW6010
SW3010A Analyst: RJE
TCLP Arsenic(As) ND
0.500
mg/L 1
2/7/2023 T23:00 AM
TCLP Barium(Ba) ND
5.00
mg/L 1
2/7/2023 7:23:00 AM
TCLP Cadmium(Cd) ND
0.100
mg/L 1
2/7/2023 7:23:00 AM
TCLP Chromium(Cr) ND
0.200
mg/L 1
2/7/2023 7:23:00 AM
TCLP Lead(Pb) ND
0.500
mg/L 1
2/7/2023 7:23:00 AM
TCLP Selenium(Se) ND
0.0500
m /L 1 9
217/2023 7:23:00 AM
TCLP Silver(Ag) ND
0.500
mg/L 1
2/7/2023 7:23:00 AM
TCLP METALS, VOC, BNA, PEST, HERB -SOLID
TCLP SEMI-VOLATILES ANALYSIS (SW1311/8270)
SW8270
SW3510C Analyst: CSS
1,4-Dichlorobenzene ND
0.100
mg/L 1
2/7/2023 3:25:00 AM
2,4,5-Trichlorophenol ND
0.250
mg/L 1
2/7/2023 3:25:00 AM
2,4,6-Trichlorophenol ND
0.250
mg/L 1
2/7/2023 3:25:00 AM
2,4-Dinitrotoluene ND
0.0500
mg/L 1
2/7/2023 3:25:00 AM
Cresols, Total ND
5.00
mg/L 1
2/7/2023 3:25:00 AM
Hexachloro-1,3-butadiene ND
0.0200
mg/L 1
2/7/2023 3:25:00 AM
Hexachlorobenzene ND
0.0500
mg/L 1
2/7/2023 3:25:00 AM
Hexachloroethane ND
0.100
mg/L 1
2/7/2023 3:25:00 AM
Nitrobenzene ND
0.100
mg/L 1
2/7/2023 3:25:00 AM
Pentachlorophenol ND
0.250
QC+ m /L
9 1
2/7/2023 3:25:00 AM
Pyridine ND
Surr: 2-Fluorophenol
0.250
mg/L 1
2/7/2023 3:25:00 AM
75.8
Surr: Phenol-d6
10 - 157
%Rec 1
2/7/2023 3:25:00 AM
73.6
surr: Nitrobenzene-d5 81.3
10 - 169
32.1 - 130
%Rec 1
%Rec
2/7/2023 3:25:00 AM
Surr: 2,4,6-Tribromophenol 96.8
45.4 - 166
1
%Rec 1
2/7/2023 3:25:00 AM
Surr: 2-Fluorobiphenyl 83.9
35.7 -130
%Rec 1
2/7/2023 3:25:00 AM
Surr: p-Terphenyl-d14 101
70 - 145
%Rec
2/7/2023 3:26:00 AM
1
2/7/2023 3:25:00 AM
Qualifiers: B Analyte detected in the associated Method Blank
E Value above quantitation range
H Holding times for preparation or analysis exceeded
M Manual Integration used
to determine area response
i ^ MC Value is below Minimum Compound Limit.
N Tentatively identified compounds
ND Not Detected
OGl
P Second column confirmation exceeds
PL Permit Limit
R RPD outside accepted recovery limits
p D'
RL Reporting Detection
Original
Limit
Page 6 of 39

Summit Environmental Technologies, Inc.
e—N==603 sulmmir
3310 win St.
Analytical Report
ENVIRONMENTAL TC.CHNni 0Gt€5,
tta `
Cuyahoga Falls, Ohio 44223
(base report)
Aiylyr/ral t Vr ,.qip
TEL: [phone] FAX. [phone]
WO#: 23011736
Website: http://www.settek.com
Date Reported: 2/10/2023
CLIENT: Synagro
Tag Number:
Matrix: SLUDGE
Collection Date:
1/26/2023 8:08:00 AM
Lab ID: 23011736-OOIA
Project: Sanford WWTP
Client Sample ED Sanford WWTP
Analyses
Result
RL
Qual Units
DF
Date Analyzed
TCLP METALS, VOC, BNA, PEST, HERB -SOLID
TCLP PESTICIDES ANALYSIS (SW1311/8081)
SW8081
SW3510C
Analyst: PGP
Chlordane, total
ND
0.0125
m /L
g
5
2/9/2023 11:51:00 PM
Toxaphene
ND
0.0250
mg/L
5
2/9/2023 11:51:00 PM
Endrin
ND
0.00250
mg/L
5
2/9/2023 11:51:00 PM
gamma-BHC
ND
0.00250
m /L
g
5
2/9/2023 11:51:00 PM
Heptachlor
ND
0.00250
mg/L
5
2/9/2023 11:51:00 PM
Heptachlor epoxide
ND
0.00250
mg/L
5
2/9/2023 11:51:00 PM
Methoxychlor
ND
0,00250
mg/L
5
2/9/2023 11:51:00 PM
Surr: TCMX
77.4
10 - 119
%Rec
5
2/9/2023 11:51:00 PM
Surr: DCB
88.8
10 - 119
%Rec
5
2/9/2023 11:51:00 PM
TCLP HERBICIDES BY EPA 8321 B
SW8321
Analyst: PGP
2,4-D
ND
0.500
mg/L
50
2/6/2023 9:00:00 AM
2,4,5-TP
ND
0.500
mg/L
50
2/6/2023 9:00:00 AM
Surr: 2,4-Dichlorophenylacetic aci
98.9
70 - 130
%Rec
50
2/6/2023 9:00:00 AM
TCLP METALS, VOC, BNA, PEST, HERB -SOLID
SW8260
TCLP VOLATILES ANALYSIS
Analyst: ALS
M-Dichloroethene
ND
0.500
mg/L
100
2/9/2023 11:53:00 PM
1,2-Dichloroethane
ND
0.500
mg/L
100
2/9/2023 11:53:00 PM
MEK
Benzene
ND
20.0
mg/L
100
2/9/2023 11:53:00 PM
Carbon tetrachloride
ND
0.500
mg/L
100
2/9/2023 11:53:00 PM
ND
0.500
mg/L
100
2/9/2023 11:53:00 PM
Chlorobenzene
ND
5.00
mg/L
100
2/9/2023 11:53:00 PM
Chloroform
ND
0.500
mg/L
100
2/9/2023 11:53:00 PM
Tetrachloroethene
ND
0.500
mg/L
100
2/9/2023 11:53:00 PM
Trichloroethene
ND
0.500
mg/L
100
2/9/2022 11-92:00 PM
Vinyi cnlonde
ND
0.200
QC- mg/L
100
2/9/2023 11:53:00 PM
Surr: 4-Bromofluorobenzene
99.7
70 - 130
%Rec
100
2/9/2023 11:53:00 PM
Surr: Dibromofluoromethane
W2
70 -130
%Rec
100
2/9/2023 11:53:00 PM
Surr: Toluene-d8
110
70 - 130
%Rec
100
2/9/2023 11:53:00 PM
Qualifiers: B
Analyte detected in the associated Method Blank
E
Value above quantitation range
H
Holding times for preparation or analysis exceeded
M
Manual Integration used to determine area response
MC
Value is below Minimum Compound Limit.
N
Tentatively identified compounds
ND
Not Detected
OGl
P
Second column confirmation exceeds
PL
Permit Limit
R
RPD outside accepted recovery limits
p rY
RL
Original
Reporting Detection Limit
Page 7 of 39

Summit Environmental Technologies, Inc.
SUMMIEr3310Win St.
UJENVIRO14MENTAL TECHf4oj )GIFS 1pir Cuyahoga Falls, Ohio 44223
AnAtu+lrwt i Xhrerg10pftS TEL: [phone] FAX.- [phone]
Website: httn:llwww.settek com
Analytical Report
(base report)
WO#: 23011736
Date Reported: 2/10/2023
CLIENT: Synagro
Tag Number:
Matrix: SLUDGE
Collection Date:
1/26/2023 8:08:00 AM
Lab ID: 23011736-OOIA
Project: Sanford WWTP
Client Sample ID Sanford WWTP
Analyses
Result RL Qual Units
DF Date Analyzed
RCI
REACTIVE CYANIDE (9014/7.3.3.2)-SOLID
SW9014
Analyst: MS
Cyanide, Reactive
ND 0.495 mg/Kg
1 2/3/2023 2:35:00 PM
IGNITABILITY OF SOLIDS (SW-846: 1030)
SW1030
Analyst: SMZ
Ignitability non—flammable mm/sec
1 1/30/2023 6:24:53 PM
RCI
PH (SW9045D)
SW9045D
Analyst: SMZ
pH
6•4 s.u.@19.9C
1 1/30/2023 6:29:23 PM
RCI
REACTIVE SULFIDE (9034)/7.3.4.2
SW9034
Analyst: MS
Sulfide, Reactive
ND 25.0 mg/Kg
1 2/1/2023 2:35:00 PM
Qualifiers: B
Analyte detected in the associated Method Blank
H
Holding times for preparation or analysis exceeded
MC
Value is below Minimum Compound Limit.
ND
Not Detected
P
Second coltunn confirmation exceeds
R
RPD outside accepted recovery limits
E Value above quantitation range
M Manual Integration used to determine area response
N Tentatively identified compounds
OGl
PL Permit Limit Original
RL Reporting Detection Limit
Page 8 of 39

Summit Environmental Technologies, Inc.
r:;Moorl SUMMIII
Accreditation Program
lS
1lti#iDt'�R4Ea�1'feliL Y�Gikt}1..flGsE�,
33 Win
s�tC Cuyahoga Falls, Ohio 44223 23
Anal tes Report
y p
Analytkw La grrN
TEL: [phone] FAX.- [phone]
WO#:
23011736
Website. htto://www.settekcom
1D Feb-23
Client: Synagro
State: NW
Project: Sanford WWTP
Program Name: NC
WW_SCM
Sample ID Matrix
Test Name
Analyte
Status
23011736-OOIA Sludge
Ignitability of Solids (SW-846: 1030)
Igaitability
A
Sludge
pH (SW9045D)
Hydrogen Ion (pH)
A
Sludge
Reactive Cyanide (9014/7.3.3.2)-Solid
Cyanide, Reactive
U
Sludge
Reactive Sulfide (9034)/7.3.4.2
Sulfide, Reactive
U
Sludge
TCLP Herbicides by EPA 8321B
2,4,5-TP
A
Sludge
TCLP Herbicides by EPA 8321 B
2 4-D
A
Sludge
TCLP Mercury Analysis (SW131117470)
Mercury
A
Sludge
TCLP Metals Analysis (SW1311/6010)
Arsenic
A
Sludge
TCLP Metals Analysis (SW1311/6010)
Barium
A
Sludge
TCLP Metals Analysis (SW1311/6010)
Cadmium
A
Sludge
TCLP Metals Analysis (SW1311/6010)
Chromium
A
Sludge
TCLP Metals Analysis (SW1311/6010)
Lead
A
^ Sludge
TCLP Metals Analysis (SW1311/6010)
Selenium
A
Sludge
TCLP Metals Analysis (SW1311/6010)
Silver
A
Sludge
TCLP Pesticides Analysis (SW1311/8081)
Chlordane, total
A
Sludge
TCLP Pesticides Analysis (SW1311/8081)
Endrin
A
Sludge
TCLP Pesticides Analysis (SW131I/8081)
gamma-BHC
A
Sludge
TCLP Pesticides Analysis (SW1311/8081)
Heptachlor
A
Sludge
TCLP Pesticides Analysis (SW1311/8081)
Heptachlor epoxide
A
Sludge
TCLP Pesticides Analysis (SW1311/8081)
Methoxychlor
A
Sludge
TCLP Pesticides Analysis (SW1311/8081)
Toxaphene
A
Sludge
TCLP Semi-Volatiles Analysis (SW1311/8270)
1,4-Dichlorobenzene
A
Sludge
TCLP Semi-Volatiles Analysis (SW1311/8270)
2,4,5-Trichlorophenol
A
Sludge
TCLP Semi-Volatiles Analysis (SW1311/8270)
2,4,6-Trichlorophenol
A
Sludge
TCLP Semi-Volatiles Analysis (SW1311/8270)
2,4-Dinitrotoluene
A
Sludge
TCLP Senn-Volatiles Analysis (SW1311/8270)
Cresols, Total
A
Sludge
TCLP Semi-Volatiles Analysis (SWI111/92'70)
H—hl—benzene
A
Sludge
TCLP Semi-Volatiles Analysis (SW1311/8270)
Hexachlorobutadiene
A
Sludge
TCLP Semi-Volatiles Analysis (SW1311/8270)
Hexachloroetbane
A
Sludge
TCLP Semi-Volafiles Analysis (SW1311/8270)
Nitrobenzene
A
Sludge
TCLP Semi-Volatiles Analysis (SW1311/8270)
Pentachlorophenol
A
Sludge
TCLP Semi-Volatiles Analysis (SW1311/8270)
Pyridine
A
Original #1
Page 9 of 39

SUNt MM Summit Environmental Technologies, Inc.
Accreditation Program
ENVIRONMENTAL 7ECHNAtGGIfS,
3310 Win St.
ilqfi Cuyahoga Falls, Ohio 44223
Analytes Report
bpWljyN t&borejo fs
TEL: [phone] FAX: [phone]
WO#: 23011736
Website: httn:llwww.settelccom
10-Feb-23
Client: Synagro
State: NW
Project: Sanford WWTP
Program Name: NC_WW_SCM
Sample ID Matrix
Test Name
Analyte Status
23011736-OOIA Sludge
TCLP Volatiles Analysis
1,1-Dichloroethene A
Sludge
TCLP Volatiles Analysis
1,2-Dichloroethane A
Sludge
TCLP Volatiles Analysis
2-Butanone A
Sludge
TCLP Volatiles Analysis
Benzene A
Sludge
TCLP Volatiles Analysis
Carbon tetrachloride A
Sludge
TCLP Volatiles Analysis
Chlorobenzene A
Sludge
TCLP Volatiles Analysis
Chloroform A
Sludge
TCLP Volatiles Analysis
Tetrachloroethene A
Sludge
TCLP Volatiles Analysis
Trichloroethene A
Sludge
TCLP Volatiles Analysis
Vinyl chloride A
Original #1
Page 10 of 39

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Page 38 of 39

��� Summit Environmental Technologies, Inc.
3310 Win St.
FTEN#IRONMENTALTECliNOkOGIES,;14C Cuyahoga Falls, Ohio44223 Sample Log -In Check List
^ ^'{ytica` ' ''-'aroo TEL: [phone] FAX: [phone]
Website: http://www.settek.com
Client Name: SYN-NC-27028 Work Order Number: 23011736 RcptNo: 1
Logged by: Anthony W. Britton
Completed By: Tegan A. Richards
Reviewed By: Jennifer Woolf
Chain of Custody
1. Is Chain of Custody complete?
2. How was the sample delivered?
Log in
3. Coolers are present?
1/27/2023 10:10:00 AM
1/27/2023 12:30:59 PM
1/27/2023 2:05:59 PM
4. Shipping container/cooler in good condition?
Custody seals intact on shipping container/cooler?
No. Seal Date:
5. Was an attempt made to cool the samples?
6. Were all samples received at a temperature of >0° C to 6.0°C
7, Sample(s) in proper container(s)?
8. Sufficient sample volume for indicated test(s)?
9, Are samples (except VOA and ONG) properly preserved?
10. Was preservative added to bottles?
Yes
❑
No W_j
Not Present
UPS
Yes
No ❑
NA El
Yes
0
No ❑
Yes
❑
No ❑
Not Present WI
Signed By:
Yes
❑d
No ❑
NA J
Yes
No ❑
NA ❑
Yes
❑d
No ❑
Yes
0
No ❑
Yes
No ❑
Yes
❑
No
NA ❑
11. Is the headspace in the VOA vials less than 1/4 inch or 6 mm?
Yes
❑
No ❑ No VOA Vials IJj
12. Were any sample containers received broken?
Yes
❑
No
13. Does paperwork match bottle labels?
Yes
W
No ❑
(Note discrepancies on chain of custody)
14. Are matrices correctly identified on Chain of Custody?
Yes
©
No ❑i
15. Is it clear what analyses were requested?
Yes
V/
No
16. Were all holding times able to be met?
Yes
F/I
No _
(If no, notify customer for authorization.)
Special Handling (if applicable)
17. Was client notified of all discrepancies with this order?
Yes
❑
No ❑ NA
Person Notified: Date:
By Whom: Via:
❑ eMail
❑ Phone Fax ❑ In Person
Regarding:
Client Instructions:
18. Additional remarks:
NC per email
state not included
r--� Cooler Information
Cooler No Temp aC Condition seal Intact Seal No I
seal Date
ii-g-n-e—d—Byl
—
1 10.7 Good Not Present I
Page 39 of 39

Waypointo
ANALYTICAL
8/18/2023
Synagro Central LLC/ Sanford
Mary Brewer
284 Boger Road
Mocksville, NC, 27028
7621 Whitepine Road, Richmond, VA 23237
Main 804-743-9401 ° Fax [phone]
www.waypointanalytical.com
Ref: Analytical Testing
Report Number: 23-215-0008
Project Description: Sanford
Dear Mary Brewer:
Waypoint Analytical Virginia, Inc. received sample(s) on 8/3/2023 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

Waypoint,
ANALYTICAL
Report Number: 23-215-0008
Client Project Description: Sanford
7621 Whitepine Road, Richmond, VA 23237
hVlain 804-743-9401 ° fax [phone]
www.waypointanaly-ticai.coon
Sample Summary Table
Lab No
Client Sample ID
Matrix
Date Collected
Date Received
Method
Lab ID
63009
Lagoon
Solids
08/02/2023 08:15
08/03/2023
63009
Lagoon
Solids
08/02/2023 08:15
08/03/2023
SM-4500-NH3C
WP MTN
63009
Lagoon
Solids
08/02/2023 08:15
08/03/2023
9045D
WP MTN
63009
Lagoon
Solids
08/02/2023 08:15
08/03/2023
4500NO3F-2016
WP MTN
63009
Lagoon
Solids
08/02/2023 08:15
08/03/2023
6010D
WP MTN
63009
Lagoon
Solids
08/02/2023 08:15
08/03/2023
SW-7471B
WP MTN
63009
Lagoon
Solids
08/02/2023 08:15
08/03/2023
SM-4500-NH3C-TKN
WP MTN
63009
Lagoon
Solids
08/02/2023 08:15
08/03/2023
SM-2540G
WP MTN
WP MTN - Memphis, TN: Waypoint Analytical - TN, Memphis, TN
Page 2 of 7

Waypoi to
ANALYTICAL
46489
Synagro Central LLC/ Sanford Project Sanford
Mary Brewer
284 Boger Road Information
Mocksville , NC 27028
7621 Whilepine Road, Richmond, VA 23237
Main 804-743-9401 " Fax [phone]
www.waypointanalytical.com
Report Date : 08/18/2023
Received : 08/03/2023
& vd*'l
Brandi Watson
Report Number: 23-215-0008
Lab No : 63009
Sample ID : Lagoon
REPOR T OF A NA L YSIS
Matrix: Solids
Sampled: 8/2/2023 8:15
Test
Results
Units
MQL
DF
Date / Time
By
Analytical
Analyzed
Method
Moisture
97.2
%
0.010
1
08/08/2316:25
OR
SM-2540G
Sulfur
9790
mg/Kg - dry
357
1
08/08/23 21:42
TJS
6010D
Calcium
15000
mg/Kg - dry
1790
1
08/08/23 21:42
TJS
6010D
Aluminum
11600
mg/Kg - dry
179
1
08/08/23 21:42
TJS
6010D
Manganese
1030
mg/Kg - dry
17.9
1
08/08/23 21:42
TJS
6010D
^ Organic N
50320
mg/Kg - dry
8929
1
08/15/23 10:00
CALCULATION
Nickel
41.8
mg/Kg - dry
8.93
1
08/08/23 21:42
TJS
6010D
Lead
18.5
mg/Kg - dry
10.7
1
08/08/23 21:42
TJS
6010D
Arsenic
<17.9
mg/Kg - dry
17.9
1
08/08/23 21:42
TJS
6010D
Selenium
<17.9
mg/Kg - dry
17.9
1
08/08/23 21:42
TJS
6010D
Test
Results
Units
MQL
DF
Date / Time
By
Analytical
Analyzed
Method
Total Solids
2.76
%
0.010
1
08/08/23 16:25
OR
SM-2540G
Phosphorus
25000
mg/Kg - dry
179
1
08/08/23 21:42
TJS
6010D
Copper
355
mg/Kg - dry
17.9
1
08/08/23 21:42
TJS
6010D
Total Kjeldahl Nitrogen 68600 mg/Kg - dry 8930 1 08/15/23 10:00 JPJ >M-4500-NH3C-TKP
Qualifiers/ DF Dilution Factor MQL Method Quantitation Limit
Definitions
Page 3 of 7

11►
Waypoint.
ANALYTICAL
46489
Synagro CentralLLC/ Sanford Project Sanford
Mary Brewer
284 Boger Road Information
Mocksville , NC 27028
Report Number : 23-215-0008
7621 Whitepine Road, Richmond, VA 23237
(Main 804-743-9401 °fax [phone]
www.waypoititanalytical.com
REPORT OPANAL YSIS
Report Date : 08/18/2023
Received : 08/03/2023
Brandi Watson
Lab No : 63009
Sample ID : Lagoon
Matrix: Solids
Sampled: 8/2/2023 8:15
Potassium
6360
mg/Kg - dry
357
1
08/08/23 21:42
TJS
6010D
Magnesium
4610
mg/Kg - dry
179
1
08/08/23 21:42
TJS
6010D
Sodium
2250
mg/Kg - dry
893
1
08/08/23 21:42
TJS
6010D
Iron
16100
mg/Kg - dry
357
1
08/08/23 21:42
TJS
6010D
Zinc
918
mg/Kg - dry
44.6
1
08/08/23 21:42
TJS
6010D
Ammonia Nitrogen
18300
mg/Kg - dry
3570
1
08/17/23 14:30
JPJ
SM-4500-NH3C
Nitrate+Nitrite-N
<179
mg/Kg - dry
179
1
08/07/23 14:35
CLP
4500NO3F-2016
Cadmium
<3.57
mg/Kg - dry
3.57
1
08/08/23 21:42
TJS
6010D
Chromium
51.8
mg/Kg - dry
8.93
1
08/08/23 21:42
TJS
6010D
Mercury
<6.21
mg/Kg - dry
6.21
1
08/08/23 11:49
FDS
SW-7471B
pH
7.5
S.U.
1
08/08/2315:00
CNB
9045D
Molybdenum
14.0
mg/Kg - dry
8.93
1
08/08/23 21:42
TJS
6010D
Qualifiers/ DF Dilution Factor MQL Method Quantitation Limit
Definitions
Page 4 of 7

Waypointo
�-� ANALYTICAL
Client: Synagro Central LLC/ Sanford
Project: Sanford
Lab Report Number: 23-215-0008
Date: 8/17/2023
7621 Whitepine Road, Richmond, VA 23237
Main 804-743-9401 ° Fax [phone]
www.waypointanalytical.com
CASE NARRATIVE
Metals Analysis Method 6010D
Sample 63010 (Lagoon)
Analyte: Zinc
QC Batch No: L697634/1-697089
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.
Page 5 of 7

w •
Waypoint :.
ANALYTICAL
7621 Whitepine Road, Richmond, VA 23237
Amain 804-743-9401 ° Fax $04-271-6446
www.waypointanalytical.com
Shipment Receipt Form
Customer Number: 46489
Customer Name: Synagro Central LLC/ Sanford
Report Number: 23-215-0008
Shipping Method
1 Fed Ex 0 US Postal O Lab
60� UPS 0 Client 0 Courier
0 Other:
Thermometer ID:
~
Shipping container/cooler uncompromised?
C Yes
0 No
Number of coolers/boxes received
1
Custody seals intact on shipping container/cooler?;
Yes
No
�' Not Present
Custody seals intact on sample bottles?
Yes
J No
Not Present
Chain of Custody (COC) present?
Yes
0 No
COC agrees with sample label(s)?
Yes
(_ ') No
COC properly completed
Yes
0 No
Samples in proper containers?
41) Yes
L No
Sample containers intact?
Yes
No
Sufficient sample volume for indicated test(s)?
Yes
No
All samples received within holding time?
Yes
No
Cooler temperature in compliance?
Yes
C-) No
Cooler/Samples arrived at the laboratory on ice.
Samples were considered acceptable as cooling
process had begun.
Yes
` `` No
Water - Sample containers properly preserved
J Yes
0 No
N/A
Water - VOA vials free of headspace
0 Yes
No
N/A
Trip Blanks received with VOAs
� j Yes
No
N/A
Soil VOA method 5035 — compliance criteria met
Yes
0 No
N/A
High concentration container (48 hr) Low concentration EnCore samplers (48 hr)
High concentration pre -weighed (methanol -14 d) Low conc pre -weighed vials (Sod Bis -14 d)
Special precautions or instructions included?
` Yes
n No
Comments:
Signature: jDavid Lennon Date & Time: 08/03/2023 10:51:47 1
Page 6 of 7

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VICINITY MAP
I ffato Lake
EiAN]
SYNAGR0
Endor Iron Furnance
lhlk
t
9 Big Buffalo
Wastewater...
SAO
-0
The Farm On cotton rr
qO SKY KING, RAN%CH
COUNTY: Chatham OWNER(S): City of Sanford WWTP (Big Buffalo
WWTP)

State of North Carolina
D-W
Department of Environment and Natural Resources ,, RDivision of Water Resources
Division of Water Resources LAND APPLICATION SITE CERTIFICATION
INSTRUCTIONS FOR FORM: LASC 1143
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, visit the Water Quality Permitting Section's Non -Discharge Permitting Unit website at:
hqR: //portal. ncdenr. orz/web/wq/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 1 5A NCAC 02T .1100. Do not submit this certification for review
without a corresponding application form (FORM: RLAP 11-13 or FORM: SDR 11-13).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Land Application Site Certification (FORM: LASC 11-13):
® Submit the completed and appropriately executed Residuals Source Certification (FORM: LASC 11-13) 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 qkly those sites that are new, transferred or affected by the
proposed modification.
/ --. B. 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 (M) ♦ Transferred (T) ♦ Deleted (D)
® Attach the following in accordance with each status code:
Status Code
Required Item
N
R
T
M
County Board
Notification. doc
f7-"A
V/
Land Owner
Agreement
(If applicable)
LM
✓
✓
✓
✓
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
✓
Evahiation Policy"
An updated accounting of the land application site's cumulative
✓
✓
pollutant loading rates(CPUs)
INSTRUCTIONS FOR FORM: LASC 11-13 Page 1 of 3

Required Item Status Code
N R T I 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 mapre uirements in the "Soil Scientist Evaluation PoIicv"
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 "M", please contact the Division if you need assistant in
determining 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 pen -nit, 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 - 8%
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) • 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. Waterbody 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: hgp://portal.ncdenr.or-/web/wq//Ts/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:
ho://portal.nedenr.org/web/Wg/home/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 bgp://h2o.enr.state.nc.us/bims/reports/repoitsWB.hbnl. If this link does not work, open
http://portal.ncdenr.Qrg/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
--
1. Select proper basin from the List all Waterbodies in Basin sorted
Hvdroloaically � +
report. Sort hydrologically as this will provide the proper location descriptions if multiple
runs.
INSTRUCTIONS FOR FORM: LASC 11-13 Page 2 of 3

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
1. Select the proper county from the List all Waterbodies in I Alamance -71 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
"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.
❑ 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 Specific 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 T."
Yadkin -Pee Dee River
Basin
Streams entering Virginia are classified "C," and such streams entering South Carolina are
classified "C."
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."
Pas uotank River Basin
All drainage canals not noted in the schedule are classified "C."
INSTRUCTIONS FOR FORM: LASC 11-13 Page 3 of 3

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SITE SUMMARY
City of Sanford
Sanford, NC
Site ID: CH-66
Owners Name: Henry Stinson Cynthia Stinson White
Address: 904 Delphus Stinson Rd 825 Porters Crossing Way
Goldston, NC 27252 Wilmington,NC 28411
[phone] 252-347-7041
Operator: Henry Stinson
Phone: [phone]
Estimated
Total Applicable
Fialric Arrec Arres
Gayle Stinson Daniel
Angela Stinson Eades
908 Driftwood Dr
1427 Cedar Lane Rd
Siler City, NC 27344
Sanford, NC 27332
919-663-2390
919-499-8000
Predominant Lat. & Long.
Cron(sl Soil Series (d.m.$)
1
31.7
31.7
Fescue
Nanford-Badin
35 22 49
79 24 40
2
20.0
20.0
Fescue
Nanford-Badin
35 32 45
79 24 57
3
16.9
16.9
Fescue
Nanford-Badin
35 32 53
79 25 00
4
30.9
30.9
Fescue
Nanford-Badin
35 33 01
79 25 03
5
14.0
14.0
Fescue
Nanford-Badin
35 33 13
79 24 54
6
24.2
21.7
Fescue
Cid
35 33 40
79 24 26
8
6.2
6.2
Fescue
Cid
35 33 26
792421
11
7.1
7.1
Fescue
Cid
35 33 22
79 25 6
TOTALS 150.9 148.4
Notes:
Date 01/31/24

LIPID
Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
15A NCAC 02T .1100 - LAND OWNER AGREEMENT
FORM: LOA 06-16
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, visit the Water Quality Permitting Section's Non -Discharge Permitting Unit.
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 06-16).
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 06-16):
® Submit the completed and appropriately executed Land Application Site Certification (FORM: LASC 06-16) 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.
1--11 AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND
he undersigned landowner or his representative hereby permits:
Applicant's name: City of Sanford
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 Patterns
pp' g
Intended Use of Crops
Residuals Source
(optional)
Special note
(no-till/over-seed/
pasture)
7
CHAq-
.•
1
14G.
nti M J T tS
d
(nn vJ Ft "
C� - I
� m
E,, f
tir., J - eU-
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
hall 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 06-16 Pagel of 3

I. 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-DWR, Non -Discharge Permitting Unit, 1617 Mail
Service Center, Raleigh, NC 27699-1617.
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.
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.
HI.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: Cal -3, r-V , (sr /C, 0 -"" 6 -9 , j
(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 moeram:
(Name of the new program)
FORM: LOA 06-16 Page 2 of 3

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 e land application site(s) as specified
herein.
Landowner name:
Address:/P z— f7teJ/fS �T/1(�S4r' /�
�,
City: (� Q L..0 <_ d A% State: / Y Zip:
Phone: S ` /2 E-mail address:
Signature: Date: /5"
NORTH CAROLINA, CNIk4l z^ COUNTY
100
I, the undersigned Notary Public do hereby certify that Pe-Mef Wei Vy S �t �j� u"� j Y
personally appeared before me this day and acknowledged the due execution of the forgoing instrument.
WITNESS my hand and official seal this the i- tena"k
day of jj�_ 12 k r
Signature and seal: V/
My commission expires: -De c _ 2 o z!
Lessee's/Operator's Certification:
,20z-'4
. ROTH
GUILFOF3ir COUNTY
STATE OF NORTH CAROLINA
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:
City:
Phone:
Signature:
Permtttee's Certification:
I certify that I have read this
Signing official n e:
Signature:
FORM: LOA 06-16
State:
F,-mail
Date:
Zip:
lent do hereby agree to abide by the stipulations and restrictions as specified herein.
L -C- c_�cTL, , _ f
Date:
2-ItGlO�n
Page 3 of 3

DWR
Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
15A NCAC 02T .1100 - LAND OWNER AGREEMENT
FORM: LOA 06-16
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, visit the Water Quality Permitting Section's Non -Discharge Permitting Unit.
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 06-16).
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 06-16):
® Submit the completed and appropriately executed Land Application Site Certification (FORM: LASC 06-16) 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
.he undersigned landowner or his representative hereby permits:
Applicants name: City of Sanford
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)
Yl
k,,xS r. A Pe-epk
40
a
M
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
,hall 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 06-16 Page 1 of 3

I. 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 parry, 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-DWR, Non -Discharge Permitting Unit, 1617 Mail
Service Center, Raleigh, NC 27699-1617.
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.
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(h) allows the compliance
boundary to by plavvd closer to tho waste disposal -, such th t the -ter supply well is situated outside of the compliance boundary prodded
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)
FORM: LOA 06-16 Page 2 of 3

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. , r!
Landowner name: �F O /� �`/C 6.1( bt)'9 / 2
Address: ?Z5 0 P0941�� C iLOsS/ 1Vd Gv 4 y WA Lkil I nJ<�, -r6 ev
City: State: Zip:
Phone: g / — 7 '-7 D V-/ E-mail address:
Signature: ��� p �'�-- Date: �i 2-t
NORTH CAROLINA, l_��^ r"' —COUNTY
I, the undersigned Notary Public do hereby certify that
personally appeared before me this day and acknowledged the due execution of the forgoing instrument.
WITNESS my hand and official seal this the 1'' -4,en
day of �� t' ;� r , 20 a`
Signature and seal:
My commission expires: 6i NOTARY ROTH
UNTY
STATE OF NORTH AROLINA
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:
City: State: Zip:
Phone: E-mail address:
Signature: Date:
Permtttee's Cernrication:
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:
FORM: LOA 06-16
Date:
Page 3 of 3

♦ " . ♦ memm
lwo";Iwrl
1
rwwi �► �
��i'rlrl►i'
;4
7-1
13,
5`pPE
s I
I\
,2,
WILS N RD
LEGEND
APPLICATION AREA UNSUITABLE AREA
- — — — — - PRIVATE ROAD WATER
— - - — STREAM ` • ONSITE HOUSE
DRAIN ■ OFFSITE HOUSE
X FENCE OUTBUILDING
PROPERTY LINE 0 WELL
he compliance boundary is established either 250 ft from the residuals application area or
50 feet within in 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. All locations are approximate-
0
3
0
GRAPHIC SCALE
1 " = 660'
660' 0 660'
CH-66
Fields I - 5

APPLICATION MAP
LEGEND
APPLICATION AREA UNSUITABLE AREA
PRIVATE ROAD WATER
— - - — STREAM ! • ONSITE HOUSE
DRAIN ■ OFFSITE HOUSE
X FENCE OUTBUILDING
PROPERTY LINE 0 WELL
he compliance boundary is established either 250 ft from the residuals application area or
50 feet within in 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. All locations are approximate.
GRAPHIC SCALE
1 " = 660'
660' 0 660'
I '
CH-66
Fields 6 & 8

APPLICATION MAP
1®
LEGEND
APPLICATION AREA
UNSUITABLE AREA
PRIVATE ROAD
w
WATER
— - - — STREAM
• i
ONSITE HOUSE
DRAIN
.
OFFSITE HOUSE
X FENCE
OUTBUILDING
PROPERTY LINE
(
WELL
he compliance boundary is established either 250 ft from the residuals application area or
50 feet within in 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. All locations are approximate.
GRAPHIC SCALE
1 " - 660'
660' 0 660'
CH-66
Field I I

Nei
SOIL SURVEY
GRAPHIC SCALE
I" = 1,000'
1,000, o 1,000,
he compliance boundary is established either 250 ft from the residuals application area or
50 feet within in 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. All locations are approximate.
CH-66
Fields I - 5, 11

N
SOIL SURVEY
GRAPHIC SCALE
I" = 1,000'
1,000' 0 1,000,
he compliance boundary is established either 250 ft from the residuals application area or
50 feet within in 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. All locations are approximate.
CH-66

TOPOGRAPHIC MAP
Ili
GRAPHIC SCALE
1,000' 0 1,000,
ne compliance boundary is established either 250 ft from the residuals application area or
50 feet within in 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. All locations are approximate.
CH-66
Fields I - 5, 11

TOPOGRAPHIC MAP
GRAPHIC SCALE
I" = 1,000'
1,000' 0 1,000,
ne compliance boundary is established either 250 ft from the residuals application area or
50 feet within in 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_ All locations are approximate.
CH-66
Fields 6 & 8

w�-
I —N, I
VICINITY MAP
jb
GRAPHIC SCALE
1 - 2,000'
2,000' 0 2,000'
.a
M
saptist iYhu€uk
ne compliance boundary is established either 250 ft from the residuals application area or C H —66
50 feet within in 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. All locations are approximate. Fields I — 5, 1 1

VICINITY MAP
>n
Fa
(A
A�
r1j
C4V,
Air
GRAPHIC SCALE
1 5,000'
5,000' 0 5,000,
,ie compliance boundary is established either 250 ft from the residuals application area or
50 feet within in 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. All locations are approximate.
CH-66
Fields 6 & 8

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SITE SUMMARY
City of Sanford
Sanford, NC
Site ID: CH-27
Owners Name: Joe Jones
Address: PO Box 217
Altamahaw, NC 27202
[phone]
Operator: Ronald Teauge
295 Davis Farm Rd
Siler City, NC 27344
Phone:
(919)-545-5070
Estimated
Total Applicable Predominant Lat. & Long.
Finlrlc ArraQ ®r_rPc Crnnlcl Soil Series (d_m.$)
1
14.1
14.1
Fescue
Georgeville
35.40.27 N
79.24.17 W
2
62.3
62.3
Fescue
Georgeville
35.40.26 N
79.23.46 W
3
31.1
31.1
Fescue
Georgeville
35.40.48 N
79.23.40 W
4
38.3
38.3
Fescue
Georgeville
35.40.51 N
79.24.02 W
5
12.5
12.5
Fescue
Georgeville
35.40.54 N
79.24.23 W
TOTALS 158.2 158.2
Notes:

Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
15A NCAC 02T .1100 — LAND OWNER AGREEMENT
FORM: LOA 06-16
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, visit the Water Quality Permitting Section's Non -Discharge Permitting Unit.
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 orother type residuals) in accordance with 15A NCAC 02T .1100. Do not submit
this agreement for review without a corresponding application form (FORM: RLAP 06-16).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentatio n listed
below.
A. Land Owner Agreement (FORM: LOA 06-16):
® Submit the completed and appropriately executed Land Application Site Certification (FORM: LASC 06-16) 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: City Of Sanford
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-tiWover-seed/
pasture)
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 residua Is.
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 06-16 Page 1 of 3

I. 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 ofthis Agreement shall be immediately forwarded to NCDENR-DWR, Non -Discharge Permitting Unit, 1617 Mail
Service Center, Raleigh, NC 27699-1617.
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 fortypical 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 Penn ittee will agree on residuals application rates and schedules based on crop patterns, results of
soil samples, and the permitted application limits.
10. The landowner orhis representative will provide the Permittee with information regarding the amount and analysis of other sources ofnutrients
(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) priorto 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
r�
term of, and 12 months after termination of, this Agreement.
II. 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 beused for grazing shall have fencing that will be used to prevent access during these periods after suchresiduals 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
S. 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 mark one of the following; i
LI A re -defined compliance boundary is needed for field(s) ID: , %
(Please include the rationale for the requested re -location of the co fiance 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)
FORM: LOA 06-16 Page 2 of 3

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 municip a lity, contractor, or other permitted entity. Furthermore, Icertify 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: Doe :Tdhe--5
Address: 15 7a tar l Gtz
City: OgfIt* lew State: IJ
Phone: /5 E-mail address:
Signature: ,(i' t Date
NORTH CAROLINA, L�— u d ` I P-L �1 COUNTY
Zip: Z712,--2
_ >ZV2 y
I, the undersigned Notary Public do hereby certify thatc
personally appeared before me this day and acknowledged the due execution of the forgoing instrumei'
WITNESS my hand and official seal this the
day of 20 '24
r
Signature and seal:
My commission expires:f,�%�f
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:
City:
Phone:
Signature:
Permittee's Certification:
I certify that I have r a
Signing official naT
Signature:
State:
E-mail address:
Date:
Zip:
this [� eemenjal dohereby agree to ide by 1(tipulations and restrictions as specified herein.
It �L
Date: a �' l9 20 2
FORM: LOA 06-16 Page 3 of 3

-
APPLICATION MAP
LEGEND
APPLICATION AREA UNSUITABLE AREA
- —nn�- PRIVATE ROAD �� WATER
— - - — STREAM ONSITE HOUSE
- --- DRAIN . OFFSITE HOUSE
X FENCE OUTBUILDING
-- - PROPERTY LINE 0 WELL
,ie compliance boundary is established either 250 ft from the residuals application area or
50 feet within in 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. All locations are approximate.
GRAPHIC SCALE
1 " = 660'
660' 0 660'

APPLICATION MAP
1 r- r" r' A 1 r�
APPLICATION AREA
UNSUITABLE AREA
- — — — — - PRIVATE ROAD
C�
WATER
— - - -- STREAM
•
ONSITE HOUSE
- - DRAIN
!
OFFSITE HOUSE
x FENCE
OUTBUILDING
PROPERTY LINE
0
WELL
,ie compliance boundary is established either 250 ft from the residuals application area or
50 feet within in 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. All locations are approximate.
GRAPHIC SCALE
1 " = 660'
660' 0 660'

APPLICATION MAP
0)
Po
0
Po
APPLICATION AREA
UNSUITABLE AREA
- — — — — - PRIVATE ROAD
WATER
— - - — STREAM
•
ONSITE HOUSE
— w - DRAIN
■
OFFSITE HOUSE
'�--� - FENCE
OUTBUILDING
PROPERTY LINE
0
WELL
ne compliance boundary is established either 2S0 ft from the residuals application area or
50 feet within in 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. All locations are approximate.
://- — _ 4 /
GRAPHIC SCALE
1 " = 660'
660' 0 660'
CH-27

TOPOGRAPHIC MAP
GRAPHIC SCALE
I" = 1,000'
1,000, 0 1,000,
ie compliance boundary is established either 250 ft from the residuals application area or
50 feet within in 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. All locations are approximate.
CH-27
Fields I - 5

VICINITY MAP
e Park.
01
z
LAN le-1.1c
1 -1 1
Son
r. 93
Qr
t. Cadge
EknB
GRAPHIC SCALE
I" = 5,000'
5,000, 0 5,000,
.ie compliance boundary is established either 250 ft from the residuals application area or
50 feet within in 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. All locations are approximate.
CH-27
Fields I - 5

C
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0
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SITE SUMMARY
City of Sanford
Sanford, NC
Site ID: CH-49
Owners Name: Henry Stinson
Address: 904 Delphus Stinson Rd
Goldston, NC 27252
[phone]
Operator: Same
Phone: [phone]
Estimated
Total Applicable
Fields Acres Acres Crnnkl
Predominant Lat. & Long.
Anil Anricm lil m al
3
3.3
3.3
Fescue
Nanford-Badin
35 33 16
79 24 37
4
11.5
11.5
Fescue
Cid
35 33 22
79 25 06
5
5.6
5.6
Fescue
Cid
35 33 25
79 24 55
6
7.3
7.3
Fescue
Cid
35 33 25
79 24 48
7
18.9
18.9
Fescue
Cid
35 33 34
79 25 05
8
9.4
9.4
Fescue
Cid
35 33 35
79 24 49
TOTALS 56.0 56.0
Notes:
Date 01 /31 /24

DWR
Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
15A NCAC 02T .1100 — LAND OWNER AGREEMENT
FORM: LOA 06-16
rlease 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, visit the Water Quality Permitting Section's Non-Dischar° e PermittitiUnit
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 06-16).
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 06-16):
® Submit the completed and appropriately executed Land Application Site Certification (FORM: LASC 06-16) 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
ie undersigned landowner or his representative hereby permits:
Applicant's name: City Of Sanford
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 Patterns
PP� g
intended Use of Crops
Residuals Source
(optional)
Special note
(no-till/over-seed/
pasture)
V
ec-
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
hall 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 06-16 Pagel of 3

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-D WF, Non -Discharge Permitting Unit, 1617 Mail
Service Center, Raleigh, NC 27699-1617.
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
(eg_, 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 o% this Agreement.
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 3 8-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.
Ul. 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_ al t (A-3 _ q , Cn
(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)
FORM: LOA 06-16 Page 2 of 3

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
herdin transfer, and do hereby grant permission to the Permittee to land apply residuals to�the land application site(s) as specified
Landowner name:
Address: ` 0 V f) i7-?�r �T�IC%S'�r� � /f�' r
City: D W ;i Cl �tl // State: ✓ +I �- zip. _ e;-2— Z,2545`?--
Phone: E-mail address:
Signature: Date:'"
NORTH CAROLINA,
k�-h tAIA COUNTY
I, the undersigned Notary Public do hereby certify that f>eAf\t'_Y* Htn y/ S h 15,9 r'1 Ty � li(� - �• ���' %�
personally appeared before me this day and acknowledged the due execution of the forgoing instrument.
WITNESS my hand and official seal this the Fi-� ,=l-k
day of !r rnC%- r , 20 Z.14
Signature and seal:
My commission expires: ZC .. 02 NOTARY
GUILFORC, COUNTY
STATE OF NORTH CAROLINA
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:
City:
Phone:
Signature:
Permittee's Certification --
I certify that I have read this greemen
Signing official n e:
Signature: ._
State:
E-mail
Date:
Zip:
and do hereby agree to abide by the stipulations and restrictions as specified herein.
Date: o 2
FORM: LOA 06-16 Page 3 of'

APPLICATION MAP
1 r' Al", r A 1 r'N
APPLICATION AREA UNSUITABLE AREA
- - - - - - PRIVATE ROAD WATER
— - - STREAM ONSITE HOUSE
�... _. _ DRAIN . OFFSITE HOUSE
X FENCE OUTBUILDING
PROPERTY LINE (� WELL
he compliance boundary is established either 250 ft from the residuals application area or
50 feet within in 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. All locations are approximate.
GRAPHIC SCALE
1"=660'
660' 0 660'
i
CH-49
Fields 3 - 8

SOIL SURVEY
j
r"--4
N�
GRAPHIC SCALE
I " = 500'
500' 0 500,
he compliance boundary is established either 250 ft from the residuals application area or
50 feet within in 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. All locations are approximate.
CH-49
Fields 3 - 8

TOPOGRAPHIC MAP
GRAPHIC SCALE
I"=500'
500, 0 500,
. he compliance boundary is established either 250 ft from the residuals application area or
50 feet within in 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. All locations are approximate.
CH-49
Fields 3 - 8

VICINITY MAP
>W
1
•
wftio'" 1$%t
VP
V
GRAPHIC SCALE
1 " = 2,000'
2,000' 0 2,000'
he compliance boundary is established either 250 ft from the residuals application area or
50 feet within in 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. All locations are approximate.
Baoiv churall
s!
yam.
v3`5
CH-49
Fields 3 - 8

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SITE SUMMARY
City of Sanford
Sanford, NC
Site ID: CH-77
Owner: Paul Price
Address: 645 J Cook Rd
Goldston, NC 27252
Operator: Same
Phone: [phone]
Estimated
Applicable
Fields Acres Cron(s)
Predominant Lat. & Long.
Soil Series (d.m.sl
1
16.5
Fescue
Cid Silt Loam
35 34'19"
6-10% Slope
79 23'14"
2
10.5
Fescue
Cid-Lignum
35 34'27"
2-6% slope
79 23'10"
3
13.0
Fescue
Cid-Lignum
35 34'27"
2-6% Slope
79 23'18"
4
53.9
Fescue
Nanford-Badin
35 33'46"
6-10% Slope
79 24'07"
5
15.6
Fescue
Cid-Lignum
35 3357"
2-6% slope
79 24'23"
6
15.0
Fescue
Cid-Lignum
35 34'00"
2-6% slope
79 24'41"
7
23.4
Fescue
Cid-Lignum
35 34'04"
2-6% slope
79 24'26"
8
31.7
Fescue
Nanford-Badin
35 34'08"
2-6% slope
79 24'39"
9
21.2
Fescue
Cid Silt Loam
35 34'07"
6-10% slope
79 24'56"

ift
11
12
13
14
15
16
17
18
Total:
18.3
Fescue
Cid-Lignum
35 34'00"
2-6% slope
79 24'57"
29.1
Fescue
Cid Silt Loam
35 34'16"
2-6% slope
79 2424"
14.4
Fescue
Cid Silt Loam
35 34'21"
2-6% slope
79 2430"
15.4
Fescue
Cid Silt Loam
35 34'27"
2-6% slope
79 24'30"
18.9
Fescue
Cid Silt Loam
35 34'30"
2-6% slope
79 24'19"
14.8
Fescue
Nanford-Badin
35 34'20"
2-6% slope
79 24'18"
30.3
Fescue
Cid-Lignum
35 34'04"
2-6% slope
79 24'09"
19.2
Fescue
Nanford-Badin
35 34'58"
2-6% slope
79 23'45"
9.0
Fescue
Cid Silt Loam
35 34'41"
2-6% slope
79 20'07"
370.2
updated: 1 /31 /24

Im
Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
15A NCAC 02T .1100 — LAND OWNER AGREEMENT
FORM: LOA 06-16
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, visit the Water Quality Permitting Section's Non -Discharge Permitting Unit.
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 06-16).
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 06-16):
® Submit the completed and appropriately executed Land Application Site Certification (FORM: LASC 06-16) 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
she undersigned landowner or his representative hereby permits:
Applicant's name: City Of Sanford
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 Patterns
PP� g
Intended Use of Crops
Residuals Source
(optional)
Special note
(no-till/over-seed/
pasture)
jj}`Try' 1
0�1,
[
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
hall 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 06-16 Page 1 of 3

I. 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.
n 3. The landowner or his representative shall adhere to the provisions of this Agreement until all of the site restrictions (under Section I1) are met.
4. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWR, Non -Discharge Permitting Unit, 1617 Mail
Service Center, Raleigh, NC 27699-1617.
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.
^I. 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.
HLALTERNATIVES 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:
(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 Droeram:
(Name of the new program)
FORM: LOA 06-16 Page 2 of 3

Landowner's Certification:
1 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: i6 %, ( L �, Pl�%6- 4_ ✓1
Address: 9s) C-00
City: � � � � ; ;-� .� State: � �- Zip: � =� ca S Z
Phone: 3 s-2". P - 3` E-mail address:
Signature: `�- 1--�:� L.= -' Date:
NORTH CAROLINA, L COUNTY
I, the undersigned Notary Public do hereby certify that 1� `�d� /J• Cy (..t
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 �� by w�.l ti 120 Z�k
Signature and seal:
My commission expires:
Lessee's/Operator's Certification:
NOTARY PUBLIC
GUILFO t7 COUNTY
STATE OF NORTH CAROLINA
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:
City:
Phone:
Signature:
Permittee's Certification:
I certify that I have read this
Signing official n
Signature:
FORM: LOA 06-16
State:
E-mail address:
Date:
Zip:
do hereby agree to abide by the stipulations and restrictions as specified herein.
Date: Z
Page 3 of',

APPLICATION MAP
Legend
APPLICATION AREA X X FENCE
PROPERTY LINE
ONSITE HOUSE
WATER
OFFSITE HOUSE
STREAM
X) WELL
DRAIN
® UNSUITABLE AREA
---- PRIVATE ROAD
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.
All locations are approximate.
1 inch = 660 feet N C-CH-77
Feet
0 165 330 660 990 1,320
Fields 1-3

APPLICATION MAP
Legend
APPLICATION AREA )F- 4 FENCE
PROPERTY LINE ONSITE HOUSE
WATER OFFSITE HOUSE
STREAM
WELL
�•�DRAIN
® UNSUITABLE AREA
---- PRIVATE ROAD
1 inch = 660 feet
Feet
0 165 330 660 990 1,320
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.
All locations are approximate.
NC-CH-77
Fields 4 & 16-17

APPLICATION MAP
Legend
Z3 APPLICATION AREA)4 44 FENCE
PROPERTY LINE
ONSITE HOUSE
WATER
OFFSITE HOUSE
sn = STREAM
f
WELL
DRAIN
® UNSUITABLE AREA
---- PRIVATE ROAD
1 inch = 660 feet
Feet
0 165 330 660 990 1,320
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.
All locations are approximate.
NC-CH-77
Fields 5-8 & 11-15

APPLICATION MAP
Legend
APPLICATION AREA )E FENCE
Jj PROPERTY LINE ONSITE HOUSE
WATER OFFSITE HOUSE
° m STREAM WELL
DRAW
® UNSUITABLE AREA
---- PRIVATE ROAD
1 inch = 660 feet
Feet
0 165 330 660 990 1,320
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.
All locations are approximate.
NC-CH-77
Fields 9-10

APPLICATION MAP
Legend
ZDAPPLICATION AREA:' )E FENCE
PROPERTY LINE 7- 1 ONSITE HOUSE
WATER �• OFFSITE HOUSE
n ° �STREAM
l� WELL
DRAIN
® UNSUITABLE AREA
---- PRIVATE ROAD
1 inch = 660 feet
Feet
0 165 330 660 990 1,320
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.
All locations are approximate.
NC-CH-77
R F

r`�J

SOIL SURVEY
NC-CH-77
Flelds 4-5 &16-17
1 inch = 800 feet
0 210 420 840 1,260 1,680
Feet
All locations are approximate.

SOIL SURVEY
NC-CH-77
Fields 6-10
1 inch = 800 feet
0 210 420 840 1,260 1,680
Feet
All locations are approximate.

SOIL SURVEY
IBC-CH-77
Flelds 11-15 &18
1 inch = 800 feet
0 210 420 840 1,260 1,680
Feet
All locations are approximate.

TOPOGRAPHIC MAP
a
{
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a
t
C�opy�rightp/2013 National Geographic S.ociely, i-cubed
NC-CH-77
Fields 1-3
1 inch = 1,100 feet
Feet
0 265530 1,060 1,590 2,120
All locations are approximate.

TOPOGRAPHIC MAP
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`"- Copyright:©2013 National Geographic Society; i'-c bed t
1 inch - 1,100 feet
N C-CH-77 Feet
0 265530 1,060 1,590 2,120
Fields 4-18
All locations are approximate.

VICINITY MAP
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Mfsm Rs C"—rR --Esri (Thailand), NGC;C, © OpenStreetMap contributors, and the
GIS User Community':
NC-CH-77
Fields 1-18
1 inch = 4,167 feet
Feet
01,0M000 4,000 6,000 8,000
All locations are approximate.

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SITE SUMMARY
City of Sanford
Sanford, NC
Site ID: CH-62
Owners Name: James Brooks
Address:
1165 Old Plank Rd
Siler City, NC 27344
[phone]
Operator:
Ronald Teauge
295 Davis Farm Rd
Siler City, NC 27344
Phone:
(919)-545-5070
Estimated
Total Applicable
Fialric
Arrrac arrac r.rnn(cl
Predominant Lat. & Long.
Soil Series (d_m_sl
3
12.4
12.4
Fescue
Georgeville
35.29.23 N
79.25.19 W
4
15.0
15.0
Fescue
Georgeville
35.29.29 N
75.29.19 W
5
5.3
3.6
Fescue
Georgeville
35.29.35 N
79.25.18 W
6
29.6
29.6
Fescue
Gaston
35.29.35 N
79.25.25 W
TOTALS
Notes:
62.4 60.7
Date 01 /31 /24

DWR
Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
15A NCAC 02T .1100 — LAND OWNER AGREEMENT
FORM: LOA 06-16
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, visit the Water Quality Permitting Section's Non -Discharge Permitting Unit.
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 06-16).
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 06-16):
® Submit the completed and appropriately executed Land Application Site Certification (FORM: LASC 06-16) 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
.he undersigned landowner or his representative hereby permits:
Applicant's name: City Of Sanford
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)
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.
-phis Agreement shall remain in effect for the length of the Division's permit for the residuals land application program and
.tall 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 06-16 Paget of 3

I. 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-DWR, Non -Discharge Permitting Unit, 1617 Mail
Service Center, Raleigh, NC 27699-1617.
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.
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 3 8-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 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)
bA 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)
FORM: LOA 06-16 Page 2 of 3

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:
Address:
city: i, State: Zip: Z ``� q-
Phone: /A 1 �� �` � 4 3 z4 E-mail address:
Signature: , Date: --l1 SI ZT
NORTH CAROLINA, �,�Aa �- COUNTY
I, the undersigned Notary Public do hereby certify that 11._ e_S ZV 9
personally appeared before me this day and acknowledged the due execution of the forgoing instrument.
WITNESS my hand and official seal this the kie_n
day of V t` 20
Signature and seal:
My commission expires:'
NOTARY PU13LIC
Lessee's/Operator's Certification: STATE TY
OF NORTH UILFORD CAROLINA
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as s e herein.
Lessee/operator name:
Address:
City: State: Zip:
Phone: E-mail address:
Signature: Date:
Permittee's Certification:
I certify that I have ead this
Signing official na e:
Signature:
-ment an o hereby agree to abide by the stipulations and restrictions as specified herein.
w*-^2, I
Date:
2�_1►CT12a
FORM: LOA 06-16 Page 3 of 3

APPLICATION MAP
LEGEND
APPLICATION AREA
UNSUITABLE AREA
CW
WATER
— - - - -
STREAM
'_!
ONSITE HOUSE
DRAIN
OFFSITE HOUSE
X *-X
FENCE
OUTBUILDING
-
PROPERTY LINE
0
WELL
he compliance boundary is established either 250 ft from the residuals application area or
50 feet within in 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. All locations are approximate.
GRAPHIC SCALE
1 " = 660'
660' 0 660'
A A i

SOIL SURVEY
GRAPHIC SCALE
I" = 500'
500' 0 500,
, he compliance boundary is established either 250 ft from the residuals application area or
50 feet within in 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. All locations are approximate.
CH-62
Fields 3 - 6

SOIL SURVEY
GRAPHIC SCALE
1 " = 500'
500' 0 500,
I '
.'he compliance boundary is established either 250 ft from the residuals application area or
50 feet within in 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. All locations are approximate.
CH-62
Fields 3 - 6

TOPOGRAPHIC— MAP
5 �
­'!#YNTY_ - L
ti
rd l ,f �••� �� ? -
V
l
w y
4 ;
GRAPHIC SCALE
" = 500'
500' 0 500'
. he compliance boundary is established either 250 ft from the residuals application area or
50 feet within in 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. All locations are approximate.
CH-62
Fields 3 - 6

I-111-N I
VICINITY MAP
19
GRAPHIC SCALE
I " = 2,000'
2,000, 0 2,000'
713
he compliance boundary is established either 250 ft from the residuals application area or
50 feet within in 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. All locations are approximate.
CH-62
Fields 3 - 6

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OPERATIONS AND MAINTENANCE PLAN
SYNAGRO RESIDUALS LAND APPLICATION FOR WQ0000543 (Sanford WWTP)
Sampling Plan
Sampling for this project consists of sampling the residuals during the time that land
application is occurring. This will result in one round of sampling to occur before land application
commences in order to insure that the residuals are suitable for land application. Based on the dry
tonnage of this plant this will be one sample for all parameters per year.
The residuals shall be sampled annually for the following: (Regulatory level in milligrams per liter in
parentheses.)
Arsenic (5.0)
Barium (100.0)
Benzene (0.5)
Cadmium (1.0)
Carbon tetrachloride (0.5)
Chlordane (0.03)
Chlorobenzene (100.0)
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)
Hexachlorethane (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)
The residuals will also be sampled based on the chart below for the following constituents
Dry Tons Generated
(short tons per year)
Monitoring Frequency
(Established in 40 CFR 503 and 15A NCAC 02T.1111)
<319
1 time per year
=>319-<1,650
1 per Quarter (4 times per year)
=>1,650-<16,500
1 every 60 days (6 times per year)
=>16,500
1 every month (12 times per year)
Aluminum Magnesium pH
Ammonia -Nitrogen Mercury Plant Available Nitrogen(calculation)
Arsenic Molybdenum Selenium
Cadmium Nickel Sodium
Calcium Nitrate -Nitrite Nitrogen % Total Solids
Copper Phosphorous Total Kjeldahl Nitrogen
Lead Potassium Zinc
Sodium Adsorption Ratio (SAR)
In order to meet pathogen and vector requirements the material will be sampled for fecals to prove
that the residuals have met the pathogen requirements of the permit. The material will be tested for vector
attraction by using a 30 day bench test. The samples will be pulled from the basins and/or cake pad that are
currently holding the residuals. The samples that will be pulled are a TCLP, nutrient and metals sample, a fecal
sample and a 30 day bench test to prove that the material is suitable for land application. The nutrient and
metal and TCLP sample will be collected randomly and consist of at least 30 individual samples mixed together
in order to get the composite sample for these parameters. This material is very consistent based on the fact
that the residuals will be mixed thoroughly with aerators and mixers. This should take care of any seasonal
fluctuations in the material.
The following people are responsible for sampling: Adam Brigman Technical Services Manager or his designee.

OPERATIONS AND MAINTENANCE PLAN
SYNAGRO RESIDUALS LAND APPLICATION FOR W00000543 (Sanford WWTP)
Inspection Plan
Inspections for the land application of residuals will be conducted on a weekly basis at the land application site
during the land application activities of this project. The inspection frequency is based on the time frame that it
is going to take to complete the project and the amount of dry tons to be land applied from this facility. The
inspections will consist of inspecting a current field that is being applied as well as inspecting random fields that
have been completed. These inspections will consist of:
1. Verifying that the Pre -Operations Check List has been completed and signed by both Operations and
Technical staff.
2. Checking the calculated loads to insure the correct amount of residuals are being land applied.
3. Insure that all manned equipment has a copy of the spill control plan, the permit, and the operations
and maintenance plan.
4. Insure that the field has been flagged properly and that all buffers are being adhered to.
5. Insure that the Crop and Landowner Verification form has been filled out.
6. Verifying that the correct number samples of the residuals have been taken and that it meets the
criteria for land application.
7. The records will be kept in the project files in the respective office for the project.
8. The Permittee or Inspector shall report by telephone to the Washington Regional Office by Telephone
at 252-946-6481 as soon as possible but no later than 24 hours after or the next working day following
the occurrence or the first knowledge of the occurrence of the following.
• Any occurrence with the distribution program resulting in the land application of significant
amounts of material that is abnormal in quantity or characteristics.
• Any failure of the distribution system that results in the release to surface waters.
• Any time that self -monitoring indicates that the facility has gone out of compliance with the
permit.
• Any process failure that results in the system not adequately treating the residuals.
• Any spill or discharge from a vehicle or piping system during residuals transportation.
• Any release that requires immediate reporting outside of normal business hours shall be called
in to DEQ at 1-800-662-7956, 1-800-858-0368, or 252-946-6481. These numbers are to be called
in the event of a release to surface waters, imminent failure of a storage system when the
event occurs outside of normal business hours.
• Within 5 days of the first notice of on occurrence a written response in the form of a letter
shall be sent to DEQ outlining the actions taken or purposed actions taken to ensure that the
problem does not recur. Persons responsible for inspections on this project are as follows:
Adam Brigman, TSM or his designee
Paul Corll is the designated land application ORC for this project and his designees are the backup ORC's for this
project.

OPERATIONS AND MAINTENANCE PLAN
SYNAGRO RESIDUALS LAND APPLICATION FOR WQ0000543 (Sanford WWTP)
Operational Functions
The operation function of this project is going to involve mixing the basin thoroughly with the WWTP mixers to achieve a
well mixed and consistent material that is suitable for land application. It is going to be spread at agronomic rates that
are determined bythe nutrient and metal sample that is current for that monitoring period. It is going to be spread with
a liquid applicator that will use pressure to spread the material in such away to achieve a consistent spread pattern. The
material is going to be land applied on fields that have grass growing on them that are going to either be grazed or cut
for hay for animal feed or row crops to be planted on them and used for animal feed.
SAFETY MEASURES
Synagro believes in operating in a safetyconscious mannerand is has all employees participate in quarterlyonline safety
course that are designed to help its employees recognize safety issues and take steps to prevent accidents from
occurring. In addition all Synagro employees have the authority to stop operations if they think any aspect of the
operation is going to cause environmental or personal harm.
Maintenance Schedule
Synagro will follow the maintenance schedule as recommended by the Synagro fleet manager for the equipment
necessary to complete the job.

SPILL RESPONSE PLAN
'?ROJECT: Sanford WWTP Permit W00000543
IN THE UNLIKELY EVENT OF A SPILL THE FOLLOWING ACTIONS SHALL BE TAKEN
IMMEDIATELY:
1. MANAGEMENT OF SPILL CLEAN-UP ACTIVITIES:
The Operations Manager shall take immediate charge and initiate clean-up activities. Synagro labor and equipment is to
be utilized. In the event additional labor and equipment is required, assistance may be requested from the City of Sanford,
the NC Department of Transportation, and other private contractors as necessary.
2. HALT THE SOURCE OF THE SPILL:
Such as a ruptured container or damaged transport unit.
3. CONTAIN THE SPILL:
Form a barrier. Sufficient quantities of straw shall be used for such purposes. Earthen barriers may be constructed to
augment the straw bale containment area of the spill. The Operations Manager or the person in charge on the spill site
will advise the clean-up personnel where to get the straw, lime, and other items necessary to complete the clean-up
operation, i.e., local farmers, farm supply centers, nurseries, etc.
4. CLEAN-UP:
Employ front-end loaders, vacuum equipment, sludge application vehicles, and/or local septic tank service to remove as
nuch of the spilled material as possible. Straw and/or sand should be scattered in the spill area to soak up the remaining
material. The straw- and sand -soaked material will be collected and removed to a disposal area approved by
representatives of the state regulatory agency.
5. FINAL CLEAN-UP:
Employ rotary brush sweeper if needed, and apply lime to the spill area upon the approval of the clean-up efforts by the
state regulatory representative. If the event occurs on private property, the clean-up will be completed to the satisfaction
of the property owner and state regulatory representatives. The ultimate goal will be to restore the spill area to its original
condition if possible.
6. NOTIFICATION:
As soon as possible after the spill occurs, the Synagro Operations Manager or assistant will notify the Synagro Central
office, and they will then be responsible for notifying other key Synagro personnel.
7. REPORTING-_
Synagro Central personnel will notify the Raleigh Regional Office by Telephone at 919-791-4200 as soon as possible, but not
more than 24 hours after, or on the next working day following the occurrence. The Operations Manager shall provide a
written report within 48 hours of the spill to the Technical Services Director. The report shall list all relative information
and actions taken. Synagro Central personnel will file a written report to the Raleigh Regional office of the NCDENR
within 5 days of the occurrence. For after hours reporting the Division's emergency number shall be called to report all
incidences (800-662-7956 or 800-858-0368 or 919-733-3300)
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