WQ0003281_2023 Residual Annual Report_20240214 (2)

Initial Review
Reviewer
nathaniel.thorn burg
Is this submittal an application? (Excluding additional information.) *
Yes No
If not an application what is the submittal type?* Annual Report
Residual Annual Report
Additional Information
Other
Annual Report Year* 2023
Permit Number (IR) * WQ0003281
Applicant/Permittee City of Belmont
Email Notifications
Does this need review by the hydrogeologist? * Yes No
Regional Office Mooresville
CO Reviewer
Admin Reviewer Wanda Gerald

Submittal Form
Project Contact Information
Please provide information on the person to be contacted by NDB Staff regarding electronic submittal, confirmation of receipt, and other correspondence.
Name* Tanya S Carter
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*
7048253791
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:*
WQ0003281
Has Current Existing permit number
Applicant/Permittee Address*
P.O. Box 431 Belmont, NC 28012
Facility Name*
City of Belmont Class B Residuals Program
Please provide comments/notes on your current submittal below.
Attached is the 2023 Land Application Report
At this time, paper copies are no longer required. If you have any questions about what is required, please contact Nathaniel Thornburg
at [e-mail].
Please attach all information required or requested for this submittal to be reviewed here.
(Application Form, Engineering Plans, Specifications, Calculations, Etc.)
Signed WAR 2023.pdf 812.48KB
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
0 Ja 45'&&wlt
Submission Date 2/14/2024

CITY OF
BELMONT
2023
Wastewater Treatment Plant
Annual Report
Land Application Program
Permit # WQ0003281

ANNUAL LAND APPLICATION CERTIFICATION FORM
WQ Permit#: WQ0003281 County: Gaston Year: 2023
Facility Name (as shown on permit); City of Belmont
Land Application Operator: U.S. Biosolids, Inc. Phone: [phone]
Land application of residuals as allowed by the permit occurred during the past calendar year?
El Yes ❑ No - If No, skip Part A, and Part B and proceed to Part C. Also, If residuals were
generated but not land applied, please attach an explanation on how the residuals rvere handled.
Part A - Residuals Application Summary:
Total number of application fields in the RLmit:
1 3
Total number of fields utilized for land application during the year:
1
Total amount of dry tons applied during the year for all application sites:
97.22
Total number of acres utilizes for land application during the year;
42.4
Part B - Annual Compiance Statement:
Facility was compliant during calendar year 2023 with all conditions of the land application permit
(including but not limited to items 1-13 below) issued by the Division of Water Resources. © Yes ❑ No
If no please, provide a written description why the facility was not compliant, the dates, and explain corrective action
taken.
1.) Only residuals approved for this permit were applied to the permitted sites.
2) Soil pH was adjusted as specified in the permit and lime was applied (if needed) to achieve a soil pH of at least 6.0 or the
limit specified in the permit.
3) Annual soils analysis were performed on each site receiving residuals during the past calendar year and three (3) copies of
laboratory results are attached.
4) Annual TCLP analysis (if required) was performed and three (3) copies of certified laboratory results are attached.
5) All other monitoring was performed in accordance with the permit and reported during the year as required and three (3)
copies of certified laboratory results are attached.
6) The facility did not exceed any of the Pollutant Concentration Limits in 15A NCAC 02T .1105(a) or the Pollutant Loading
Rates in 15A NCAC 02T .1105(b) (applicable to 40 CFR Part 503 regulated facilities).
7) All general requirements in as specified in the Land Application Permit were complied with (applicable to 40 CFR Part
503 regulated facilities).
E) All monitoring and reporting requirements in 15A NCAC 02T .1111 were complied with (applicable to 40 CFR Part 503
regulated facilities).
9) All operations and maintenance requirements in the permit were complied with or, in the case of a deviation; prior
authorization was received from the Division of Water Resources.
10) No contravention of Ground Water Quality Standards occurred at a monitoring well or explanations of violations are
attached to include appropriate actions and remediations.
11) Vegetative cover was maintained and proper crop management was performed on each site receing residuals, as specified
in the permit.
12) No runoff of residuals fiorn the application sites onto adjacent property or nearby surface waters has occurred.
13) All buffer requirements as specified on the permit were maintained during each application of residuals.
Part C - Certification:
"I certify, under penalty of law, that the above information is, to the best of my knowledge and belie€, true, accurate,
and complete. I am aware that there are significant penalties for subnutt' g false information, including the possibility
of fine and imprisonment for knowing violations."
Permittee Name and Title (type or print) Signature NPermittee Date
J0J)1, //1 X�- cmuA C� �f% 2-5-2024
Signature R Preparer* Date Signature of Land Xpplier Date
(if different from Permittee) (if different from Permittec and Preparer)
* Preparer is defined in 40 CFR Part 503.9 (r) and 15A NCAC 02T .1102 (26) DENR FORM ACF (12/2006)

ANNUAL RESIDUAL SAMPLING SUMMARY FORM
Please note that your permit may contain additional parameters to be analyzed. The parameters can be reported in FORM RSSF - B
WQ Permit Number: WQ0003281 Laboratory:
Facility Name: City of Belmont
Residual Source WQ # or
NPDES #:
WQ0003281
WWTP Name: City of Belmont
Residual Analysis Data
1) Waypoint Analytical
2)
3)
4)
5)
Parameter
(mg/1Lg)
Conc.
Limit
Ina )a
Sample or Composite Date
3-1b-23
Percent Solids (%}
NA
3.04
Arsenic
75
16.7
Cadmium
85
3.33
Copper
4,300
329
Cb3rom ium
NA
60.3
Lead
840
17.7
Mercury
57
6.17
Molybdenum
75
8.33
Nickel
420
21.1
Selenium
100
16.7
Zinc
7,500
1880
Total Phosphorus
NA
27900
TKN
NA
149000
Ammonia -Nitrogen
NA
3330
Nitrate and Nitrite
NA
343
For surface disposal facilities the ceiling concentration limits listed in this form are not applicable. Reference the individual permit for metals Iimits.
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system
designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are
significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
Signature lff Preparer *
Q? 1hA")6,-w
Date
*Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 27.1102 (26)
DENR FORM RSSF (12/2006)

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ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Belmont Total Dry Tons Applied (Annual): 97.22
Permit #: WQ0003281 Cation Exchange Capacity (non 503 only):
Operator: Thomas Warren Owner: Thomas Warren Predominant Soil Series: GaB2
Acres Used: 42.4 Acres Permitted: 42.4 Site #: BT 9-1 Field #: BT 9-1
Residual Analysis Data (Heavy Metals and Total Phos horus use mg/kg, % Solids use Raw Percent #):
r
,
Annual Heavy Metal Field Loadings (Calculated in lbs/acre):
Total
1
3j
4
61
L7 1
8
101
11
12
DT/Ac./
_2j
_.5�j
__2j
0
App.
Event
2.29
Arsenic
0.077
0.000
.0.000
.0.000
O.000
.0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.077
Cadmium
0.015
0.000
0.000
0000
0.000
0:000
0.000
0.000
0.000
0A00 ,
0.000
0.000
0.015
Copper
. 1.509
:0.000.
.0.000.
.0:060.
0:000
.-0.000
0.060.
6.060
-0.000
.0.060
0.0.601
0.000.
1.509
Chromium
0.277
0.000
0.000 _
0.000
0.000
0.000
0.000
0.000
0.000 1
6.000
0.000
0.000
0.277
Lead
81
:0.000
.0.000
.0.000
0.000
-0.000 -
- 0.000
0.000
0.000
0.000
0.000
0.000
. 0.081
Mercury
0.000
0.000
.0.000-
:0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.028
Molyb-
38
!28
0.000
0.000
0:000
0.000
0:000
0000
0:000
0:000
0.000
0.000
0.000
0.038
denumNickel
97
�.0.000
.O.O
.0.000
.0.000
0.000
0.000
0.000
0,000
0.000
0.0.00
.0.000
0.097
Selenium
:0.077
'0.000
0.000
0.000
.0.000-
. 0.000
0.000
-0.000
0.000
0.000
0.000
0.000
0077
Zinc
8.622' '
: '0:000
0:000
0.000'
'0.600.
0:000
0:000'
' 0,600 '
0.060 .
' 0.000
0.000
0.060
8.622
Total
Phos-
127.949
' 0:000
0.000
0.000
0.000
0.000
0,000
0.000
0.000
0.000
0.000
0.00.0
#009
horus
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am
aware that there are significant penalties for submitting false information, including the possibility of fines and
imprisonment for knowing violations".
2-5-2024
Signature of Land A plier Date
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ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (02T Rules)
Facility Name, City of Belmont WQ Permit Number: WQ0003281
W WTP Name: City of Belmont NPDES Number: NCO21181
Monitoring Period: From 1/1/2023 To 12131/2023
Pathogen Reduction (15A NCAC 02T .1106) - Please indicate level achieved and alternative performed:
Class A:
Alt. A (time/temp) E3 I Alt B (Alk Treatment) ❑ Alt. C (Prior Testing)!]
Alt.D (No Prior Test) El Process to Further Reduce Pathogengs 0W
00
If applicable to alternative performed (Class A only) indicate "Process to further Reduce Pathogens'%
Compost ❑
Heat Drying E3
Heat Treatment ❑
Thermophilic CI
Beta Ray ❑
Gamma Ray C]
Pasteurization ❑
cd%�:. y;<.•:v
=t`Y ...k NO, ,
'a :.,..%,:tr :xy kk
Class B:
jAlt. (1) Fecal Density-.©
Alt. (2) Process to Significantly Reduce Pathogens E3
If applicable to alternative performed (Class B only) indicate "Process to Significantly Reduce Pathogens":
Lime Stabilization i1.
Air Drying E3
Composting © Aerobic Digestion
Anaerobic Digestion
'.J>:t::•:o:,a.,; .,j;...:».. .. ..: ..2. ..: ; .Y.tr::y` ':.:Y.:: . 6•..:.::�::.:j:�.t.;o:::..5:.�::.:::
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.",#t. Y:?wR• ....
7v.y:�:£.�..�t.�;�...x. ,r,::t� .��:�:� µ:�:,�<r;:::.:.�,
If applicable to alternative performed (Class A or Class B) complete the followin monitoring data:
Allowable Level
Pathogen Density
Number °
Frequency
Sample
Analytical
Parameter
Excee-
Tech-
inimu
Geo. Mean
Maxim
Units
Sludge
g
of Analysis
ys
Type
nWUC
2 x 10 to the
WN
158833
250495
390724
MPN/g
0
7
grab
sm9221
6th power
per gram of
Fecal Coliform
total solids
CFU
1000 mpn per gram
of total solid (dry
weight)
Salmonella bacteria
3 NVN per 4 grams
(in lieu of fecal
total solid (dry
coliform)
weight)
Vector Attraction Reduction (15A NCAC 02T .1107) - Please indicate alternative performed:
Alt.1 (VS reduction) 0
Alt. 2 (40-day bench) ❑
Alt. 3 (30-daybench) 0
Alt. 4 (Spec. 02 uptake) ❑
Alt. 5 (14-Day Aerobic) ❑
Alt. 6 (Alk. Stabilization El
Alt 7 (Drying - Stable) ❑
Alt. 8 (Drying -Unstable) ❑
Alt. 9 (Injection) E3
Alt. 10 (incorporation) ©
No vector attiaction.reduction alternatives
were perfomned ❑
CERTIFICATION STATEMENT (please cheek the appropriate statement)
"I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the
vector attraction reduction requirement in 15A NCAC 02T .1107 have been met."
0 "I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the
vector attraction reduction requirement in 15A NCAC 02T .1107 have not been met." (Please note
if you check this statement attach an explanation why you have not met one or both of the
requirements.)
"This determination has been made under -my direction and supervision in accordance with the system -
designed to ensure that qualified personnel properly gather and evaluate the information used to determine
that the pathogen and vector attraction reduction requirements have been met. I am aware that there are
significant penalties for false certification including fine and imprisonment"
�(�r, ' 6, f tY,-4Cc&cn4- Zach Key U.S. BiosoIids, Inc.
Prepares Name and Title Ztype or print) Land Appher Name and Title (if applicable)(type or print)
A coAl'!�1_� ,� 2-5-2024
Signaud of Prepwer* Date Signature of Land A plier (if applicable) Date
*Prepares is defiled in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26)
DENR FORM PVRF 02T (1212006)

0
Waypoint
ANALYTICAL
3/29/2023
US Biosolids Inc
Dennis Key
958 Hoots Road
Roaring River, NC, 28669
Ref: Analytical Testing
Report Number: 23-080-0005
Project Description: Belmont
7621 Whitepine Road, Richmond, VA 23237
Main 804-743-9401 ° Fax [phone]
www-waypointanatytical:com
Dear Dennis Key:
Waypoint Analytical Virginia, Inc, received sample(s) on 3/21/2023 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

�' �� 7621 Whitepine Road,. Richmond, VA 23237
Main 304-743-9401 ° Fax [phone]
ANALYTICAL wwwwaypointanalytical.com
Sample Summary Table
Repo rt N um ber: 23-080-0005
Client Project Description: Belmont
Lab No Client Sample ID Matrix Date Collected Date Received Method Lab ID
61416
Belmont
Solids
03/161202310:30
03/21/2023
61416
Belmont
Solids
03/16/202310:30
03/21/2023
61416
Belmont
Solids
03/161202310:30
03/21/2023
61416
Belmont
Solids
03/16/202310:30
03/21/2023
61416
Belmont
Solids
03/16/2023
10:30
03/21/2023
61416
Belmont
Solids
03116/202310.30
03/21/2023
61416
Belmont
Solids
03/16/202310.30
03/21/2023
61416
Belmont
Solids
03/16/202310:30
03/21/2023
WP MTN - Memphis, TN: Waypoint Analytical - TN, Memphis, TN
SM-4500-NH3C
WP MTN
9045D
WP MTN
4500NO3F-2011
WP MTN
60100
WP MTN
SW-747113
WP MTN
SM-4500-NH3C-TKN
WP MTN
SM-254OG
WP MTN
Page 2 of 7

r
� ��� � 7521 (D Whitepine Road, Rkhmond, VA 23237
Main 804-743.4401° Fax 86M271.6"6
46381 ANALYTICAL wwwwaypolntanalytieal.com
US Biosolids Inc Project Belmont
Dennis Key Report pate : 03/29/2023
958 Hoots Road Information : Received ; 03/21/2023
Roaring River , NC 28669
Report Number: 23-080-0005 REPORT OFANALYSIS Brands Watson
Lab No : 61416 Matrix: Solids
Sample ID: Belmont Sampled: 3/16/2023 10,30
Test Results Units MQL DF Date ITime By Analytical
Analyzed Method
Moisture
97.0
%
0.010
1
03/22/2315.43
CJD
SM-254OG
Sulfur
9400
mg/Kg - dry
333
1
03/25/23 05:46
JTR
6010D
Calcium
16500
mg/Kg - dry
1670
1
03/25/23 05:46
JTR
6010D
Aluminum
43700
mg/Kg - dry
167
1
03/25/23 05:46
JTR
6010D
Manganese _
823
mg/Kg - dry
16.7
1
03/25/23 05:46
JTR
6010D
Organic N
148700
mg/Kg - dry
8333
1
03/28/23 14:00
CALCULATION
Nickel
21.1
mg/Kg - dry
8.33
1
03/25/23 05:46
JTR
6010D
Lead
17.7
mg/Kg - dry
10.0
1
03/25/23 05:46
JTR
60101)
Arsenic
<16.7
mg/Kg - dry
16.7
1
03/28/23 00:13
JTR
6010D
Selenium
<16.7
mg/Kg - dry
16.7
1
03/25/23 05:46
JTR
6010D
Test
Results
Units
MQL
DF
Date/Time
By
Analytical
Analyzed
Method
Total Solids
3.04
%
0.010
1 03/22/23 15:43 CJD SM-254OG
Phosphorus
27900
mg/Kg - dry
167
1 03/25/23 05:46 JTR 6010D
Copper
329
mg/Kg - dry
16.7
1 03/25/23 05:46 JTR 6010D
Total Kjeldahl Nitrogen
149000
mg/Kg - dry
8330
1 03/28/23 14:00 CLP ;M-4500-NH3C-TKA
Qualifiers/ DF
Dilution Factor
MQL
Method Quantitation Limit
Definitions
Page 3 of 7

or . 0
Waypoint
ANALYTICAL
46381
US Biosoilds Inc Project Belmont
Dennis Key
958 Hoots Road Information
Roaring River, NC 28669
Report Number : 23-oa0-0005
7621 Whitepine Road, Richmond, VA.23237
Main 804-743-9401 ° Fax [phone]
www.wayooltitanalytical.com
REPORTOF'ANAL YSI.S
Report Date ; 03/29/2023
Received ; 03/21/2023
'6
Brandl Watson
Lab No: 61416
Sample ID : Belmont
Matrix: Solids
Sampled: 3/16/2023 10:30
Potassium
4570
mgJKg - dry
333
1
03/25/23 05:46
JTR
6010D
Magnesium
4130
mg/Kg - dry
167
1
03/25/23 05:46
JTR
6010D
Sodium
5400
mg/Kg - dry
833
1
03/25/23 05:46
JTR
6010D
Iron
22900
mg/Kg - dry
333
1
03/25/23 05:46
JTR
6010D
Zinc
1880
mg/Kg - dry
41.7
1
03/25/23 05:46
JTR
6010D
Ammonia Nitrogen
<3330
mg/Kg - dry
3330
1
03/28/23 15:30
CLP
SM-4500-NH3C
Nitrate+Nitrite-N
343
mg/Kg - dry
167
1
03/23/23 14:36
ZBD
4500NO3F-2011
Cadmium
<3,33
mg/Kg - dry
3.33
1
03/25/23 05:46
JTR
6010D
Chromium
60.3
mg/Kg - dry
8.33
1
03/25/23 05:46
JTR
6010D
Mercury
<6A7
mg/Kg - dry
6.17
1
03/27/23 12:22
FDS
SW-7471B
pH
6.4
S.U.
1
C3/27/2317:15
CNB
9045D
Molybdenum
<8.33
mg/Kg - dry
8.33
1
03/25/23 05:46
JTR
6010D
Qualifiers/ DF Dilution Factor MQL Method Quantitation Limit
Definitions
Page 4 of 7

Wayl3oint.(D
ANALYTICAL
Client: US BiosDlids Inc
Project: Belmont
Lab Report Number: 23-080-0005
Date: 3/29/2023
7621 Whitepine Road, Richmond, VA 23237
Main 804.743-9401 ° Fax [phone]
wwwmaypo€ntana lytical.com
CASE NARRATIVE
Metals Analysis Method 6010D
Sample 61454 (Tyson Blowntsville)
Analyte; Aluminum
QC Batch No: L672212/L671763
The matrix spike and/or the matrix spike duplicate was outside quality control acceptance ranges. A dilution test
was performed and passed quality control acceptance ranges. No matrix interference is suspected.
Sample 61454 (Tyson Blowntsville)
Analyte: Calcium
QC Batch No: 1-672212/1-671763
The matrix spike and/or the matrix spike duplicate was outside quality control acceptance ranges. A dilution test
was performed and passed quality control acceptance ranges. No matrix interference is suspected.
Sample 61454 (Tyson Blowntsville)
Analyte: Potassium
QC Batch No: 1-672521/1-671763
The matrix spike and/or the matrix spike duplicate was outside quality control acceptance ranges. A past
digestion spike was performed and passed quality control acceptance ranges. No matrix interference is
suspected.
Solids Total Mercury Analysis - CVAA Method 7471A
Sample 61457 (NG5)
Analyte: Mercury
QC Batch No: 1-672319/1-672056
The matrix spike, matrix spike duplicate and the post digestion spike were all outside of the quality control
acceptance ranges. Matrix interference is suspected
Page 5 of 7

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SAMPLE TRANSMITTAL F01
as A&L 'Eastern L�
7(i2l 1t'Itiiepiae Road Richrnund VA 2.,2:7 Tel: [phone]
filell�IHl�1�l�l� IR�UIIII$JII�I��1{JI� a46381
US SiQ+OWs Ipow
nc
Belmont 09:36:12
Account #
46381
Customer Information
Submitted 2y Charge To Copy To
US Biosolids, Inc.
US Biosolids, Inc.
US Biosolids Inc.
958 Hoots Road 958 Hoots Road 958 Hoots Road
Roaring River, NC 28669 Roaring River, NC 28669 Roaring River, NC 28669
Project 1 J 6 Irr► on `�'
Sant le Information
Lai) Number
collection lriforrrialion
Container Information
Please Check Desired Tests
Sample ID
(Lab Use
Only)
Type
Date
Time
Number
Type
Volume
SLi
SL.2
503
Nitrogen
pH
CCE
Ag
C1
Volatile
Others
of Bottles
Metals
Series
Sorids
t ^}
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3-tfc_s3
iot3oq s
Glass
Plastic
— oz
—Pint
Composite
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Qz
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Glass
— P
composite
Plastic
pint
i
clt
Relin uished By: Si nature)
Date
Time
Received By: (Signature)
Date
Time
Test Packa e Details
S ecial Instructions or Remarks
SLI: Tn;al So iii,; jNinislum) Total l;iiidaW ,14nrogen. Phosphorus and Potasstr n:
d �
Sty: Baste rrsl SI.1 ply, Sulfur. Iron. Alumu:=,, Ma sar�ese. Copper And Zinc
503 Metals: Arsenic. Cadmium, Chromium, Mercury, Molybdenum, Lead, Nickel, Selenium.
(Copper & Zinc included in SL2)
Nhrxi,eta Series: Total Kiddahl. Ammonium. Nitrate e, Organic Nilrovcn
CCE: Calcium Carbonate Equivalent or Toial neutralization Value (For Lime Treated Sludge)
L'AR) �"C-

I.AT3
RELIABLE
LS, INC
REPORT OF ANALYSES
Attn: ZAC KEY
U.S. BIOS LIDS, INC. PROJECT NAME: MAR 23
PO BOX 146 DATE: 04/26/23
RONDA, NC 28670-
SAMPLE NU ER- 146747 SAMPLE ID- BELMONT
DATE SAMP ED- 03/16/23
DATE RECEIVED- 03/16/23 SAMPLER- ZK
TIME RECEIVED- 1120 DELIVERED BY- Zit
Page 1 0$ 1
SAMPLE MATRIX- WW
TIME SAMPLED- 1030
RECEIVED BY- DJ
TYPE SAMPLE- Grab
ANALYSIS
ANALYSIS METHOD DATE TIME BY RESULT UNITS
FECAL COLIFORM (GEOM. MEAN) SM 9221 E 03/16/23 16.20 RE 250,495 MPN/g
LABORATORY DIRECTOR�-
2217 Graham Park Drive • Charlotte, NC 28273
Phone: [phone] • Fax: [phone]

2217 Graham Park Drive
PO Box 411483
Charlotte, NC 28241-1483
P DM PT.A❑ LlRATE•REL..IA BLE
X.ABOR-11--EORX.ES, 11-4C NCCert#20;SCCert#99003=
U.S. BIOSOLIDS
e
BELMONT
•
03/16/23
FECAL COLIF.ORM, GEOMETRIC MEAN
m e
SM 9221 E
146747
1
5,030
3.17%
158,833.16
2
9,966
3.14%
317 456.02
3
12;500
3.20%
390724.88
4
7,407
3.51%
211037,25
5
7,532
3.18% -
236 851.12
6
$ 969
3.10%
289,310.00
7
6,994
3,22%
217,217.53
250,495

PNdM W'r�� UttItAT •RtL.tAI�LS
LABO ORIES� iNC
CHAIN OF CUSTODY
Phone (7G4)588-8333
Fax [phone]
Shipping & Mailing:
2717 G -aham Park Drive
Chariotl!te, NC 28273
It is esseh 1al that alt information be recorded on ha Ghafn of Custody document for wxeptance by PAR Laboratories, In--. ana the Norm
carnllna apartment of Environmental and NalvraI Resources.
Company Name ibtlllnftl Comments! Special Instructions
U.S. B solids, Inc,
Address
_ PO Bo(946
City, State & zip code
Ronda NC 28670
Paint of Contact ri Telephone Number
Zach Key 336-467-3550
Sample
Taken By: SIGNATURE ?#..A_ PRINTED NAME
ARE SAMPL�S FOR STAT5or EPA REPORTING? YES 4>a NO
'Sample Type: Ow ww �� Gf Mw _ HW Solt Other
Sample Tem� at time of sampling: ° C Sample Temp upon receipt: a C
"'Field Pros road: Yes No _Teflon Liner/Zero Headspace: Yes No _ nla
Residual Ch rine checked at time of sampling (YIN): Dechlorination Necessary (YIN):
trVo�1
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Ratirlquished, Oateffime Reoelved by: oateffima
' C=Composite (i=Grab DW=brinking Water WW=Wastewater G4VMW=Groundwater Mon'doring Well HW=Hazardous Waste

FZ
F
wr-ACCUR TE.RELIABLE
QRAT RIES, INC
WWW.PAR ABS.COM
REPORT OF ANALYSES
Attn: ZAC KEY
U.S. BIOS LIDS, INC. PROJECT NAME: MAR 23
PO BOX 14 DATE: 04/26/23
RONDA, NCI 28670-
SAMPLE NU BER- 146746 SAMPLE ID- BELMONT
DATE SAMP ED- 03/16/23
DATE RECE VED- 03/16/23 SAMPLER- ZK
TIME RECEIVED- 1120 DELIVERED BY- ZK
Page 1 0 2
ANALYSIS
TCLP CHAR
pH VALUE
CORROSIVI
REACTIVIT
FLASH POT
IGNITABIL
PAINT FIL
TCLP META
ARSENIC
BARIUM
CADMIUM
CHROMIUM
LEAD
MERCURY
SELENIUM
SILVER
TCLP PESZ
ENDRIN
LINDANE
METHOXYCE
TOXAPHENE
ANALYSIS
METHOD
DATE
TIME
BY
1CTERISTICS
TCLP
04/04/23
1149
CB
TCLP
04/04/23
1149
CB
PY
TCLP
04/04/23
1149
CB
e
TCLP
04/04/23
1149
CB
JT
TCLP
04/04/23
1149
CB
CTY
TCLP
04/04/23
1149
CB
PER TEST
TCLP
03/23/23
0926
CB
IS
TCLP
03/27/23
1158
JR
TCLP
03/27/23
1158
JR
TCLP
03/27/23
1159
JR
TCLP
03/21/23
1158
JR
TCLP
03/27/23
1158
JR
TCLP
03/27/23
1158
JR
TCLP
03/27/23
1158
JR
TCLP
03/27/23
1158
JR
TCLP
03/27/23
1158
JR
ICIDES
TCLP
03/25/23
1558
VC
TCLP
03/25/23
1558
VC
TCLP
03/25/23
1558
VC
LOR
TCLP
03/25/23
1558
VC
TCLP
03/25/23
1558
VC
2217 Graham Park Drive • Charlotte; NC 28273
Phone; [phone] • Fax: [phone]
SAMPLE MATRIX- WW
TIME SAMPLED- 1030
RECEIVED BY- DJ
TYPE SAMPLE- Grab
RESULT UNITS
6.6 S.U.
NON
NON
5 200 degrees F
NON
FL
< 0.5 ppm
< 10 ppm
< 0.1 ppm
< 0.5 ppm
< 0.5 ppm
< 0.02 ppm
< 0.1 ppm
< 0.5 ppm
< 0.002 ppm
< 0.04 ppm
< 1 ppm
< 0.05 ppm

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NCDA&CS Agronomic Division Phone: (919j 664-1640 Website: www.ncagr.gov/DivisionstAgronomic-Services
Report No. FY24-SLO19740
�ckL7�ar.,,,a
Client: Thomas Warren
Advisor: Zach Key
Predictive
1401 Alexis Lucia Rd.
Southern Soil Builders
G
r
Stanley, NC 28164
958 Hoots Rd
Soil Report Extraction
Roaring River, NC 28669
?
Sampled
Sampled County: Gaston
�aiirnSF''- Soil T esting Seetian
Client ID: 478946
Advisor ID: 231531
Sampled; 11/20/2023 Received: 11/2712023 Compieted: 01/2612024 Farm:
Sample ID: BT91
Recommendations: Lime
Nutrients (lb/acre)
More
Crop (tonslacre) N P2O5
K2O Mg S Mn
Zn
Cu B
Information
Lime History:
1-Fescue/OGrass/T-im, M 0.0 120-200 0
10 0 0 0
0
0 0
Note: 12
11
2- Fescue/OGrassfrim, M 0.0 120-200 0
10 0 0 0
0
0 0
Note: 12
Test Results [units - W!Y in glcm3; CEC and Na in megi100 cm3; NO3-N in mgldm3]:
Soil Class: Mineral
HM% WN GEC BS% Ac pH P-1 K-I Ca% Mg% S-1
Mn-I Mn-AI1 Mn-A]2 Zn4
Zn-AI
Cu-1 Na ESP SS-1 NOs-N
0.60 0.95 13.3 89 1.4 6.4 444 70 79 - 7 53
128 88 88 657
657
1145 0.0
North Carolina
•1.
Irotiacco Trot F and ccramlNssicm
Reprogramming of the laboratory -information -management system that makes this report possible is being funded
through a grant from the North Carolina Tobacco Trust Fund Commission.
Thank you for using agronomic services to manage nutrients and safeguard environmental quality.
- Steve Troxler, Commissioner of A.gricuiture

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