WQ0031314_2023 Residual Annual Report_20240220 (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) * WQ0031314
Applicant/Permittee Winston-Salem/Forsyth County Utilities Commission
Email Notifications
Does this need review by the hydrogeologist? * Yes OO No
Regional Office Winston-Salem
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* Alan Fowler
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*
13363977727
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:* WQ0031314
Has Current Existing permit number
Applicant/Permittee Address* 2800 River Ridge Road, Pfafftown NC 27040
Facility Name* Winston-Salem/Forsyth County Utilities Commission Class A Residuals
Program
Please provide comments/notes on your current submittal below.
Attached, please find the 2023 Land Application Report for Winston-Salem Forsyth County Utilities (WQ0031314).
At this time, paper copies are no longer required. If you have any questions about what is required, please contact Nathaniel Thornburg
at [e-mail].
Please attach all information required or requested for this submittal to be reviewed here.
(Application Form, Engineering Plans, Specifications, Calculations, Etc.)
Land Application Annual Report 2023(final-signed).pdf 5.64MB
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 2/20/2024

winston-Salem / Forsyth County
Date February 12,2024
North Carolina Division of Environmental Quality
Aquifer Protection -Land Application Section
1636 Mail Service Center
Raleigh, NC 27699-1636
Dear Sir or Madam,
Attached is our 2023 Residuals Land Application Annual Report and supporting documentation for the
City of Winston-Salem's Swann, Thomas and Neilson Water Treatment Plants for permit WQ0031314.
Swann Water Treatment Plant
The Swann Water Treatment Plant operated in compliance with all parameters of its permit during the
2023 calendar year. The Swann WTP operates one equalization basin and two residuals lagoons that
produces a Class A Residual, which is 503 exempt. Residuals generated by filter washes flow through an
equalization basin, whereas solids removed from the plant's sedimentation basins flow by gravity directly
to the residuals lagoon in service. The lagoons are operated such that one lagoon accepts residuals while
the other lagoon is cleaned or in reserve. During the 2023 calendar year, the Swann WTP contracted with
EMA Resources, Inc, to land apply 313.7 dry tons of residuals to farmland in Yadkin County. Listed
below are documents associated with this land application event.
Section 1
• DEQ Form DMSDF - Class A Annual Distribution and Marketing/Surface Disposal Certification
and Summary Form
• DEQ Form RSSF - Annual Residual Sampling Summary Form
• DEQ Form RSSF B - Annual Residual Sampling Summary Form
Section 2
• DEQ Form MFLSF - Annual Metals Field Loading Summary Form
• DEQ Form FSF - Annual Land Application Field Summary Form
Section 3
• Lab data sheets from Waypoint Analytical (nutrient metal analysis data sheets)
• Lab data sheets from Summit Environmental Technologies, Inc. (TCLP, reactivity, ignitability,
and cyanide)
• Copies of our SAR/PAN calculations
Section 4
• Maps of the residuals disposal sites
Section 5
• Field soil sampling results
M
'ti i�i, Clty Coun[JJ: Mayor Allen Joines, Denise D. Adams, Mayor Pro Tempore, North Ward; Barbara Hanes Burke, Northeast Ward; Robert C. Clark, West Ward;
�i" Jnhn C. Larsan, South Ward; Jeff Macintosh, Northwest Ward; Kevin Mundy, Southwest Ward; Annette Scippio, East Ward; lames Taylor, Jr., southeast Ward;
City Manager: Lee D. Garrity
county Commissioners: Don Martin, Chair; Gloria D. Whisenhuni, Vice Chair, Dan Besse; Richard V. Linville; Tonya D. McDaniel; David R. Piyler; Mallshal
Call 311 or 336.727.8000 Woodbury; county Manager: Dudley Watts, Jr.
at Ilnk eit afws,ar Winston-Salem/Forsyth County Utility Commission: L. Wesley Curtis, Jr., Chair; Chris Parker, Vice Chair; Simpson O. Brown, Jr.; Harold Eustache; Tom Griffin;
y y 0 Yvonne H. Hines; Hugh W. Jernigan; Duane Long; Calvin McRae; Charles Wilson; Allan Younger

Thomas Water Treatment Plant
The Thomas Water Treatment Plant operated in compliance with all parameters of its permit during the
2023 calendar year. During the 2023 calendar year the Thomas WTP hauled 475.54 dry tons to the Hanes
Mill Road Landfill located at 325 W. Hanes Mill Road, Winston-Salem, NC 27105.
Neilson Water Treatment Plant
The Neilson Plant operated in compliance with all parameters of its permit during the 2023 calendar year.
The Neilson Water Treatment Plant operates three residuals lagoons and produces a Class A Residual,
which is 503 exempt. Solids from the sedimentation basins flow directly to the residual lagoon in service.
The lagoons are in a rotation so one is in service, one is drying and one is empty and ready to be placed
into service. During the 2023 calendar year EMA Resources, Inc. removed and applied 792.74 dry tons
of residuals on land owned by Roger Spillman in Davidson County. Listed below are documents
associated with this land application event.
Section 1
• DEQ Form DMSDF - Class A Annual Distribution and Marketing/Surface Disposal Certification
and Summary Form
• DEQ Form DMSDF (Supp) - Class A Annual Distribution and Marketing/Surface Disposal
Certification and Summary Form (Supplemental Information)
• DEQ Form RSSF - Annual Residual Sampling Summary Form
• DEQ Form RSSFB - Annual Residual Sampling Summary Form
Section 2
• DEQ Form MFLSF - Annual Metals Field Loading Summary Form
• DEQ Form FSF - Annual Land Application Field Summary Form
Section 3
• Lab data sheets from Waypoint (nutrient metal analysis data sheets)
• Lab data sheets from Waypoint (TCLP, reactivity, ignitability, and cyanide)
• Copies of our SAR/PAN calculations
Section 4
• Maps of the residuals disposal sites
Section 5
• Field soil sampling results
If you have any questions or require additional information regarding our 2023 Annual Report, please
call Alan Fowler, Water Treatment Superintendent, at [phone].
Permittee:
Courtney L. Driver
Director of Utilities
Utilities Administration
P.O. Box 2511
Winston-Salem, NC 27102
Alan S. Fowler
Preparer of Annual Report;
Alan S.Fowler
Water Treatment
Superintendent
Swann Water Treatment Plant
2800 River Ridge Road

Winston-Salem/Forsyth County Utilities
WQ0031314
2023 Residuals Land Application
Report P.W. Swann Water Treatment
Plant
TABLE OF CONTENTS
Section 1
• DEQ Form DMSDF - Class A Annual Distribution and Marketing/Surface Disposal
Certification and Summary Form
• DEQ Form RSSF - Annual Residual Sampling Summary Form
• DEQ Form RSSF B - Annual Residual Sampling Summary Form
Section 2
• DEQ Form MFLSF -Annual Metals Field Loading Summary Form
• DEQ Form FSF - Annual Land Application Field Summary Form
Section 3
• Lab data sheets from Waypoint Analytical, LLC (nutrient, nutrient metal sampling data
and chain of custody's)
• Lab data sheets from Summit Environmental Technologies, INC (TCLP, Reactivity,
Ignitability Analysis for this Permit Cycle)
• Copies of our SAR/PAN calculations
Section 4
• Maps of the residuals disposal sites
• Field soil sampling results
• Agricultural Lime Application Logs
Section s
3

Section 1
• DEQ Form DMSDF -Class A Annual Distribution and
Marketing/Surface Disposal Certification and Summary Form
• DEQ Form RSSF - Annual Residual Sampling Summary Form
• DEQ Form RSSF B - Annual Residual Sampling Summary Form

CLASS A ANNUAL, DISTRIBUTION AND MARKETING/ SURFACE DISPOSAL CERTIFICATION AND SUMMARY FORM
WQPERMIT#: WQ0031314 FACILITYNAME: Winston Salem- Swarm Water Treatment Plant
PHONE; COUNTY: Forsyth OPERATOR: City of Winston Salem
FACILITY TYPE (please check onc); ❑ Surface Disposal (complete Part A (Source(s) and "Residual In" Volume only) and Part C)
pp Distribution and Marketing (complete Parts A, B, and C)
NVas the facility in operation during the past calendar year? Yes R No © --1- If No skip parts A, B, C and certify farm below
Part A*.-
Part B':
Month
Sourees(s) (include NPDES # if
applicable)
Volume (dry tons)
Reci icnt Information
Amendment/
Bulking Agent
Residual In
Product Out
Name(s)
Volume (dry tons)
Intended use(s)
January
February
March
NCG590003
81.04
8L04
Fot'est Breedlove/Allen Gilm
. 81,64
sail amendment
April
NCG590003
44.39
44,39
lForestB€eedlovelAllen Gilmc
r 44.39
soil amendment
May
.Tune
July
August
September
lForest BreedlovelAllen G41me
October
NCG590003
99.1
99.1
Edsel Woodson
99.1
soil amendment
November
5 000
48.97
4 . 7
Forest Breedlove
48.97
soil amendment
December
NCG590003
40.2
40.2 .
Forest Breedlove
40.2
soil amendment
Total from FORM DMSDF (sup)
4
313.7- :
313 7.-
"3.13.7
Totals: Annual (dry tons):
0
313.7 .'
3.I3 7
313.7
Amendment(s) used:
Bulking Agent(s) used:
E if more space is required, attach additional intormation sheets (h'01M1 Di ISDF (supp)):
Part C:
Total Number of orm DNISDf (Supp)I 1
Facility was compliant during the past calendar year with all conditions of (lie land application permit H Yes
(including but not limited to items 1-3 below) issued by the Division of Water. Quality; ❑ No ► It No, Explain In Narrltive
1. A]I monitoring was done in accordance with the permit and reported for the year as required and three (3) copies of certified laboratory results are attached.
2. All operation and maintenance requirements were compiled with or, in the case ofa deviation, prior authorization was received from the Division of Water Quality.
3. No contravention of Ground Water Quality Standards occurred at a monitoring well.
under penalty a that the above information is, to the best of my knowledge and belief, true, accurate and complete. I am aware that there are significant
or submitting Ise iti ormalioy, including the possibility of fines and imprisonment for knowing violations."
Date Signature of Preparer" Date
(if different from Permittee)
"Preparer is defined in'40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26)
DENR FORM DMSDF (1212006)

CLASS A ANNUAL DISTRIBUTION AND MARKETING/ SURFACE DISPOSAL CERTIFICATION AND SUMMARY FORM
Supplemental Information
WQ PERMIT #: WQ0031314 FACILITY NAME Winston Salem - Swann Water Treatment Plant::
PHONE: COUNTY: :.Forsyth:.:: OPERATOR: `City of Winston Salem
FACILITY TYPE (please cbecic one): ®Surface Disposal (complete Part A - "Month", "Source(s)" and "Residual In" columns only)
❑v Distribution and Marketing (complete Parts A, and B)
Part A*:
Part B*:
Month
Sources(&) (include NPDES # if
applicable)
Volume (dry tons)
Recipient Information
Amendment!
Bulking Agent
Residual In
Product Out
Name(s)
Volume (dry
tons)
Intended usc(s)
March
NCG590003
71.88
71,88
Forrest Breedlove
71,88
soil amendment
March
NCG590003
9.16
9.16
Allen Gilmer
9.16
soil amendment
April
NCG590003
2.11
2. l 1
Forrest Breedlove
2.11
soil amendment
April
NCG590003
42.28
42,28
Allen Gilmer
42,28
soil amendment
October
NCG590003
30.9
30.9
Forrest Breedlove
30.9
soil amendment
October
NCG590003
9.92
9.92
Allen Gilmer
9.92
soil amendment
October
NCG590003
58.28
58,28
Edsel Wooten
58.28
soil amendment
November
NCG590003
48.97
48.97
Forrest Breedlove
48.97
soil amendment
December
NCG590003
40.2
40.2
Forrest Breedlove
40.2
soil amendment
Totals:
Annual (dry tons):
1
313.7 .
31327 =313.7
Amendment(s) used: I
B lkin Agent(s) used:
* If more space is required, attach additional information sheets (FORM DMSDF (supp)): Total Number of Form DMSDF (Supp)l I
DENR FORM DMSDF (Supp) (1212006)

ANNUAL RESIDUAL SAMPLING SUMMARY FORM - B
Report all sampling analysis results for parameters not listed in FORM RSSF that are part of the WQ permit or were analyzed for over the past
calendar year. Use additional forms as needed.
WQ Permit Number:
Facility Name:
Residual Source
NPDES # or WQ#:
WVVTP Name:
IReaiduni Anaivsis Data
WQ0031314
Winston Salem(Forsyth County Utilities Commission
NCO590003
Swann Water Treatment Plant
Laboratory: 1) Waypoint Analytical
2)
3)
4)
5)
Parameter
"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 ofPreparer * Dkc
*Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26)
DENR FORM RSSF - B (12/2006)

Section 2
• DEQ Form MFLSF - Annual Metals Field Loading Summary Form
• DEQ Form FSF - Annual Land Application Field Summary Form

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: Winston Salem - Swann WTP Total Dry Tons Applied (Annual): 314.16
Permit #: WQ0031314 Cation Exchange Capacity (non 503 only): 0
Operator: Forrest Breedlove Owner: Forrest Breedlove Predominant Soil Series: NaB
Acres Used: 28 Acres Permitted: 28 Site #: DV33 Field #: 1
Residual Analvsis Data (Heavy Metals and Total Phosphorus use me/ka. % Solids use Raw Percent #):
Sample or
Com-
posite
Date
1
Swann
3/23/23
Swann
10/2123
3
4
5
6
7
8
9
10
11
12
% Solids
2.6
2.15
Arsenic
11.6
20.8
Cadmium
0.769
4.17
Copper
52.3
100
Chromium
35.5
58.3
Lead
21
39.8
Mercury
0.773
1.67
Molyb-
denum
5.19
12.5
Nickel
14.2
32.2
Selenium
12.3
29.2
Zinc
246
468
Total
Phos-
horus
3060
5410
Annuai
neavy ivietai rietu joaujngs
<<.atcuiateu En iusiacre);
Total
1
2
3
4
5
6
7
Bj
S
to
11
12
H
DT/Ac./
App.
Event
1.31
2.77
Arsenic
0 030
0.115
0.000
0000
0;000
0.000.
0.000
0.000
0.000
0 000
0.000 ''
0.000
Cadmium
0.002
0.023
0.000 :`
0.000
0 000
0.000
0.000
0.000
0 000
010.00.
.0 00q :'
0.000
0 0
Copper
0.137
0.554
0.000
0.000
.:.0.000
0.00G...
:0.000 .
0.000
0,000
0 000
.0.000
0,000...
0.6
Chromium
0 093 ..
0. 323
0.000.
0.000
0,000
0 000.
0.000
.0.000
0;000
0.000
0.000::
0.000
0.44
Lead
0.055
0.220
1 0.000 :
0.000
0.000
..0.000
1 ..0.000...1.0.000
0.000
0.000
`0.000..
0.000
0.2'
Mercury
9,002
U:UUy
U.UUU..
U.UUU
U:UUU 1
U.UUu
U.UUU
U UUU
U Uuu
U.uuu
:'u.uuu::
u.UUu
U.U.I. i
Mo1yb-
O.Q14
O 069
`0.000 `
O.OoO
0.000
0 000
O,OOq
0.000
0.000
0..000
I0.000.?
0.000
0.083
denum
Nickel
0.037
0.178 .
0.000 ':
0.000
01000
0.000
0.000
q.0.0.0
0,000...0.000..`0.000;
0.000
0,21.5
Selenium
.0.032
0 162
0.000..
0.000.0.000
.0,000
. 0.000 ..
0.000
0.000
0 000
0.000
0.000
0.194
Zinc
0.644
2' 591
0.000.
0.000...
0 000
0.000..
0.000 `
0.000
0.0.00
0!000
0,000..
0.000.
3 235
Total
Phos-
8.011
29.950
0.000
0.000
0.000
0.000
0 000 ':
0.000
0.000
01000
0 0.00 ':
0,000
37.961
nhorus
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with
a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am
aware that there are significant penalties for submitting false information, including the possibility of fines and
imprisonment for knowing violations".
1 /2/2024
Signature of Land Applier Date
DENR FORM MFLSF (12/2006)

ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "NIA" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: Winston Salem- Swarm WTP
Land Owner: Forrest Breedlove
Oper:ltor: Forrest Breedlove
Crop I Name: Fescue -Hay
WQ Permit H: WQ0031314 Field #:
Annual Dry Tons Applied 114. 16 Site 9:
Predominant Soil Series: NaB
Crop 1 Max. PAN: 178 Crop 2 Name:
1 Acres Utilized: 28
DV33 Acres Permitted: 29
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
O +�
,y o
C]
Volume applied
(enter one) Solids/
Liquid
Cu. Yds Gallons
%
Solids
Volume
Applied per
Acre
{DryTanslAc)
Residual Sources
(NPDES #, WOO,
Q
Fort., Animal
Waste, etc)
Coed
(Dry,,,
Moiaf)
Precip.
Past 24
Hrs.
inches
y
rc -.
c
o
* �'
°a
+ q
�.
*�
p
TKN
mgfkg
o
as
w
Mfkg
Nitrate
and
Nitrite
m fkg
PAN Applied
(Ibslacre)
Name of Crop Type
Receiving Residua!
Application
Crop 1
Crop 2
Crop I
Crop 2
3120123
52000
2.6
0.201
NC0590003
Dry
1.5"
S
0.5
0.1
8000
4980
41,5
1.125:i
NA >S'
Fescue
3121/23
65000
2.6
0.252
NCG590003
Dry
1.5"
S
0,5
0.1
8000
4880
41.5
1.406'.'
NA
Fescue
3122123
91000
2.6
0.352
NCG590003
Dry
<.5"
S
0.5
0A
8000
4880
41.5
1,969is
NA :`
Fescue
3123/23
117000
2.6
01453
NCG590003
Dry
<.5"
S
0.5
0.1
9000
4880
41.5
2,531.
NA
Fescue
3129123
13000
2.6
0,054
NC0590003
Dry
C5"
S
0,5
0.1
9000
4890
41.5
0.281 i
NA ..
Fescue
10/13/23
45500
2.15
0,146
NCG590003
Dry
<.5"
S
0.5
0.1
30300
5080
7680
3.713;
NA
Fescue
10/16/23
19500
2.15
0;062
NC6590003
Dry
<,5"
S
0.5
0.€
30300
5080
7680
1.591'i:
NA
Fescue
10/17/23
117000
2,15
0,375
NCG590003
Dry
1,5"
S
0.5
0A
30300
5080
7680
9.547.
NA
Fescue
10/18/23
71500
2.15
0.229
NC0590003
Dry
<.5"
S
0.5
0.1
30300
5080
7680
5,83.4
NA ''
Fescue
11/27/23
123500
2.15
3:6395
NC6590003
Dry
<.5"
S
0.5
0.1
30300
5090
7680
10,077
NA ':
Fescue
11/29/23
156000
2.15
0.500
NCG590003
Dry
<.5"
S
0.5
0.1
30300
5080
7680
12.729,
NA i'
Fescue
11/29/23
117000
2.15
0375
NC05WO03
Dry
S
0.5
0.1
30300
5080
7680
9.547;
NA ;'
Fescue
0
214500 ri
0;687
Residuals Applications totals on f OR 1I FSF supp ( attach FORM i�SF supp to this form):
17,503
0 600.i:
'
TOTALS
o
<'IzozSoo.
As
Cd
Cu
Cr
Pb
14g
Mo
Ni
Se
Z11
P
77.854
0.000
Lime Applicd
Annual lbs/acre
0a46
0.025
0.691
0.416
.0.275':
001.1
0.083
':0,215
0.194
3.235
3.7,961
Date
Ibs/ac
Prior Years Cumulative lbs/ac
0
0
0
0
0
0
0
0
0
0
Current Cumulative Ibs/ac
9146
6025
b0.691
0.415
0.275 <
0.011 ::
0.083
.`0.215
0.194
3.235
Permitted C. P. L, R.****
36
34
1338
267
15
314
89
2499
Permit PAN Limit Istl2nd Crop
178;
"I certify, under penalty of law, that this document was prepared under my direction or supevvision 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."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
�•�!«" 1/2/2024 "Volatilization Rate: Surface- 0.5, Injection/Incorporation -1.0
Signawre of Land Applier Date °i Mineralization Rates: Compost -0.1, anneroblally digested -0.2,
aerobically digested -0.3, raw sludge -OA
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (1212006)

ANNUAL LAND APPLICATION FIELD SUMMARY FORM
Supplemental Information
PLEASE MAKE A COPY OF THIS BLANK FORIVI TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "NIA" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name. Winston Salem - Swannn WTP WQ Permit It: W00031314 Field 4: a Acres Utilized: 28'>
Land Owner: Forrest Breedlove Annual Dry Tons Applied 114.156 Site n: I)1Y33 Acres Permitted: 28
Operator: Forrest Breedlove Predominant Soil Series: NaB Cation Exchange Capacity (non 503).
Crop 1 Name. Fescue klay Crop 1 Max. PAN: 178 Crop 2 Name: Crop 2 Max PAN
o
R b
VOlnlne applied (enter
one )
Cu. Yds Gallons
/o
Solids
Volume
Applied per
Acre
(DryTcnslAe)
Residual Sources
(NPDES #, W #
0 '
Fen., Animal
Waste, etc)
Soil
Cond.
D
('y'
Moist)
Precip,
Past 24
Hrs.
inches
a
m
c
a w
0. ?.
o
py
w _
:
�
6 �-
0
TKN
mog
z
R
o P
w.
mglkg
Nitrate
and
Nitrite
mg&g
PAN Applied
(Ibslacre)
Name of Crop Type
Receiving Residua]
Application
Crop t
Crop 2
Crop I
Crop 2
11/30
149500
2.15
0.479 (.
NCG590003
Dry
<.5"
S
0.5
0.1
30300
5080
7680
12 19.9
NA '€
Fescue
1211
65000
2,15
0.209
NC6590003
Dry
<,5"
S.
0.5
0.1
30300
5080
7680
- 5,304
NA
Fescue
0,000
fl.000
Uoo...
0,000
0.000
0,000:
0.000
0.000
0,000
0.000 '
0,000
..0,000i`.
0.000
0.000
0.000:
O.00o
0000
0.000':
Ono
0.000
1 0.000
z0.000 ..
o.000
0.000
0,000 `:
0.000
0.000':'
UA00
0,000
o.aoo'':
0.000
0.000
0.000
0.000 :
0.000
0o0DJ
0.000
0.00o
" 0.o00
0.000 ...:
0.000 :
=`0.000'
TOTALS
0
214503
�
0.687
m
.u,
M
6.600,
"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."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
1/2/2024 "Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier Date ***C.P.L.R,: Cumulative Pollutant Loading Rate
DENR FORM FSF (SUPP) (1212006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: Winston Salem. - Swann WTP Total Dry Tons Applied (Annual): .66..50..
Permit #: WQ0031314 Cation Exchange Capacity (non 503 only): 0
Operator: Forrest Breedlove Owner: Forrest Breedlove Predominant Soil Series: NaB
Acres Used: 14.5 Acres Permitted: 14.5 Site #: DV33 Field #: 2
Residual Analvsis Data (Heave Metals and Total Phosphorus use m2/ka. % Solids use Raw Percent #):
Sample or
Com-
posite
Date
1
Swann
3/23/23
2
Swann
10/2/23
3
4
5
61
_7f
8
_9j
101
11j
12
% Solids
1 2.6
2.15
Arsenic
11.6
20.8
Cadmium
0.769
4.17
Copper
52.3
100
Chromium
35.5
1 58.3
Lead
21
39.8
Mercury
0.773
1.67
Molyb-
denum
5.19
12.5
Nickel
14.2
32.2
Selenium
12.3
29.2
Zinc
246
468
Total
Phos-
horus
3060
5410
Annual Heavy tVletai riciu uoauings kC aicui iteu In IDS/acre):
Total 1 2 3 4 5 6 7 8 9 10
DT/Ac./
App.
Event 1.65 2.93
Arsenic 0.038 0:7122 0.000 0.:000 0.000 A. >0.000 0,000.; 0.000 0 000 0
Cadmium .0 003 .0.024 6.000 0.000 0 000 0.000 0.060 :1.0.000 0i000 0
rmRP.R1iRM i ! MFTIi1TiM l9�Ti iT1IEll' r&TIT1UNFiIYTITIREFAW&7lTlIMviTITIlM AWiTITim airiTTiIm�ITITITilmwwiTITi1WilpLIi!1m
Lead
0.069
0234
0.000 `
0.000:
0 000 .
0:000
::.0.000.
'a 000
0.000..Oi000.
0.000;>:
0 000
0303 `'
Mercury
0.0.03
0 010
0.000 :
0.000 .
0.000:.
0.000
0.000 >
0.000
0.000.
0.000
0.000 '
0.000
0.012 .:..
Molyb-
0,017
0073
0.000
0.000
0.000
0.000
'0.000
0.000
0.000
0:000
0.000..'
:0.000.
0.090
denum
.
..>
Nickel
0.047
0.189
:0.000'
0.000
0.000.
0.000
o.aoo
0000
00.00
0000
0.000
0.000
0236
Selenium
0;041
0 171
<0.000
0.000 ..
0.000
0.000...
' 01000.1
0.000
0 000
0..000
0.000 .
0.00.0
0 212
Zinc
0.813
2 746
0.000
0.000
0.000
0,000
0.000
0.000
0.000
0.000
0.000
0.000
3.559 '.
Total
Pllos-
10 10
31..746 1
0.000 '
01000
0,000
0.000.
.` 0.00D
0.0:00
0.000
0.000...
0.000
0.000
41856
chorus
"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".
Z-1-Z
Z 1/2/2024
Signature of Land Applier
Date
DENR FORM MFLSF (12/2006)

ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "NIA" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: Winston Salem- Swam WTP WQ Permit #: WQ0031314 Field #: 2 Acres Utilized: 14.5
Land Owner: Forrest Breedlove Annual Dry Tons Applied 66,50 Site #: DV33 Acres Permitted: 14.5
Operator: Forrest Breedlove Predominant Soil Series: NaB Cation Exchange Capacity (non 503):
Crop I Name: Fescue -Hay Crop 1 Max. PAN: 178 Crop 2 Name: Crop 2 Max. PAN:
R
Volume applied
PP
(enter one) Solids!
Liquid
Cu. Yds Gallons
Solids
Voluure
Applied per
Acre
(OryTonslAc)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Haste, etc)
Soil
Cond.
`Det
ivioist}
Precip.
past 24
Hrs.
inches
.,j
d
o
;
* o'
❑
5'
^�'
y
TKN
mglkg
z,
g v-
mglkg
Nitrate
and
Nitrite
mglkg
PAN Applied
(Ibslacpe}
Name ofCro Type
p yP
Receiving Residual
Application
Crop I
T Crop 2
Crop 1
Crop 2
3/24/23
78000
2.6
0:583 ''
NCG59GO03
Dry
<•5.1
S
0.5
0A
8000
4980
41.5
3.2$8
NA...Fescue
3/27/23
26000
2.6
.0.194 >:1
NCO590003
Dry
<,5"
S
0.5
0.1
8000
4880
41,5
LOW:.
NA '.
Fescue
3128123
110500
2.6
'O.SM `
NCG590003
Dry
<.5"
S
0.5
0.1
8000
4880
41.5
4.616r
NA
Fescue
3129/23
6500
2,6
0,049
NCG590003
Dry
<•5"
S
0.5
0.1
8000
4880
41.5
0,272 ;?
NA ':.
Fescue
10/18123
32500
2.15
0.,201
NCG590003
Dry
1.5"
S
0.5
0.1
30300
5080
7680
SAY
NA :`
Fescue
10/19/23
58500
2.15
:0,362
NCG590003
Dry
<,5"
S
0.5
0A
30300
5080
7690
9.218
NA ':',
Fescue
1214/23
110500
2,15
0:683
NC0590003
Dry
<.5.1
S
0.5
0.1
30300
5080
7680
17.Al2,
NA ::
Fescue
1215/23
162500
2.15
1.605
NCG590003
Dry
<5"
S
0.5
0A
30300
5080
7680
25.605
NA
Fescue
1216/23
110500
2.15
0,583
NCG590003
Dry
<.5"
S
0.5
0A
30300
5080
7680
11.412i
NA
Fescue
0:000
0,000
0,000::
0.001)`
0,000
0,000
0:00D.i:
0.000 '.
Residuals Applications totals of DORM I'SI supp ( »mach FORM FSF supp to this form):
TOTALS:
0
_:69wo
As
Cd
Cu
Cr
Pb
H
Mo
Ni
Se
Zn
P
'83;999:-
O.00bit
Little A lied
Annuallbs/acre
0.160
.0.027
0.760
0.459
0. 303:
0,012'
0,090 :
t0.236
0212
>3.559
4185E
Date
Ibslac
Prior Years Cumulative lbs/ac
0
0
0
0
0
0
0
0
0
0
Current Cumulative lbs/ac
0.160
0.027
0:760
11:459
0.303
0012 ;
0,090
0.236
'.0.212
3559
Permitted C. P. L. R.****
36
34
1339
267
15
374
89
2498
Permit PAN Limit lst/2nd Crop
"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."
*Application Method: S- Surface, IN - Injection, INC - Incorporation
1l2/2024 **Volatilization Rate: Surface - 0.5, InjectionlInco-poration - 1.0
Signature of Land Applier Date *a* Mineralization hates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
""C.P.L.R.: Cumulative Pollutant Loading Rate
DRNR FORM FSF (1212006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: Winston Salem - Swann WTP Total Dry Tons Applied (Annual): 13.39
Permit #: WQ0031314 Cation Exchange Capacity (non 503 only): 0
Operator: Forrest Breedlove Owner: Forrest Breedlove Predominant Soil Series: NaB
Acres Used: 5.5 Acres Permitted: 5.5 Site #: DV33 Field #: 3
-up6drral Analvcic data (Heavv metaN and Total Phosnhorus use mg/ke. % Solids use Raw Percent #):
Com-
posite
Date
Total
Phos-
1 1
Annual
tieavy 1vteLal riem i oauings
kk aic:uinteu Aix msiac:re):
Total
1
2
3
4
5
6
7
8
9 f
10J
11
12
H
DT/Ac./
App.
a�
Event
2.44
Arsenic
0.056.
0,000
D.000.0.000:.,0..000
.0.000
0.000
0,000
0 000
0,000
0.000
` 0.000
0.0
Cadmium
0.004
0.000 ..
0.000
0.000
0 000
0..000
0.000
0.000
0.000
0.000
0.000
: O.o00
0.01
Copper
0,255
0.000..
0.000
0.000
0.000
0.000
0.000':
0.000
0,000 ..
O.000
o.000
0.000
0.2.?
Chromium
0,173
0.000
0,000
0.000
0.000
0..000
0,000 '
0A00
0 000
0. 000
. O.000
0 000
O.A.
Lead
0.1.02
0000
0.000 ':
0.000
0.000:.0a.000
0.000 '
0.00.0
0 000
0.000
0.000.
0.000
1. 0A(
Mercury
0.004
O:o00
o.00O
0.000
0.000
0.000
0.000 `
0.000 ..
0000
0.000
'.0.000
OA00
0.01
Molyb-
0.025
0:,000
0.000
O.D00
O.O.oO
0.000
0.000
0.0.00
0.000
0.000
0 00.0.';'.
0.000
0.0:
denum
Nickel
0 069
0.000
0 000 '
0,000
0.000
0.000.
D.000
0,000
0.000
0.000
0.000
0.000.
O O
Selenium
0,0 bO
.0.000
0.000
0.000
0 000
0.000
0.000.. `
J 0.00.0
0.000
0.000
0..00.0..
0.000
0.`0
Zinc
1.198
0.000
'. O.000 .+
0.000
0 000 .
0 Oo0
...:0.00.0
0.000
0,0.00
0,000...
0.000
. 0.000.
I'll
Total
Phos-
14.902
0.000
0.000
0i000
0..000
0.000
0.000.
0,000
0,000
0.000.
0.000
'` 0.000
14'9
nhorus
--
"I certify, under penalty of law, that this document was prepared tender my direction or supervision in accordance v
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".
zf.e 4'"- 1 /212024
Signature of Land Applier
Date
DENR FORM MFLSF (12/2006)

ANNUAL, LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORAM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "NIA" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: Winston Salem - Swain WTP
Land Owner: Forrest Breedlove
Operator: Forrest Breedlove
Crop I Name: Fescue -flay
WQ Permit f!: WQ0031314 Field I{:
Annual Dry Tons Applied 1139.. Site #:
Predominant Soil Series: NaB
Crop I Max. PAN: 178 Crop 2 Name:
3 Acres Utilized: 5.5
DV33 Acres Permitted: 5.5
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
o
y o
Volume applied
(enter one) Solids/
Liquid
Cu. Yds Gallons
/o
Solids
Volume
Applied per
Acre
(Dry Tons Ac)
Residual Sources
(NPDES 9, WQ4,
Fert„ Animal
Waste, etc)
Soil
Coiid.
(Dry,
Wet,
Moist)
Precip.
Pas[ 24
E[rs.
inches
a
c 6,
❑
o
w
a
a
-
d 5
o
y
TKN
mgikg
Z
a
n
❑
a glkg
Nitrate
and
Nitrite
mgn g
PAN Applied
(]bslacre)
Name of Crop Type
Receiving Residual
Application
Crap 1
Crop 2
Crop 1
Crop 2
3/29123
13000
2.6
0,256
NCG590003
Dry
1.5"
S
0.5
0.1
9000
4880
41.5
1.432
NA..
Fescue
3/30/23
91000
2,6
1799
1 NCG590003
Dry
<.5"
S
0.5
0.1
8000
4880
41.5
10.02.2;
NA
Fescue
413123
6500
2.6
0.128 '.
NCG590003
Dry
1,5"
S
0.5
0.1
8000
4890
41.5
0716.j.:.NA::.l
Fescue
416/23
13000
2.6
0,2M
NCG590003
Dry
1.5"
S
0.5
0.1
9000
4880
41.5
1.432.
NA ''
Fescue
0.000
0.600
0.000
0;000 `:
0.000:
0.000.:
0 000
0 duo
0.000 .
0 00.0
OA00 %
0.000
.0;000
0 00o.,
0.000 :
0000
0.000i
0,000
0:000
0.000
0,000''
0i000 -:
0,000'
0.600';
Residuals Applications totals on FORM FSF supp { attach FORM FSF supp to this form):
TOTAL&
a
a23500
As
Cd
Cu
Cr
Pb
H
Mo.
Ni
Se
Zn
P
13.602
0.060 :
Lilne Applied
Annual lbs/acre
''0 056
0,004. :
0.255
0,173
0.102 .
0.004
0.025 .
0.069
.0X60
1::198
:14.902
Date
lbs/ac
Prior Years Cumulative lbs/ac
0
0
0
0
0
0
0
0
0
0
Current Cumulative lbs/ac
0,056
;0.909
0,255
0,173
0.102 <
0.004 '.
'..0.025 .:
`0.069 .
:0,060
11.98
Permitted C, R L, R.****
36
34
1338
267
15
374
89
2498
Permit PAN Limit l stl2nd Crop
"I certify, under penally 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."
�j/, *Application Method: S - Surface, IN - Lrjection, INC - Incorporation
Lv�"- 1/2/2024 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier Date **" Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (1212006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: Winston Salem - Swann WTP Total Dry Tons Applied (Annual): 14.32
Permit #: WQ0031314 Cation Exchange Capacity (non 503 only): 0
Operator: Allen Gilmer Owner: Allen Gilmer Predominant Soil Series: TaC
Acres Used: 4.5 Acres Permitted: 4.5 Site #: DV34 Field #: 1
Residual Analvsis Data (Heavy Metals and Total Phosphorus use me/leg, % Solids use Raw Percent ft
Sample or
Corn-
posite
Date
1
Swann
3123/23
2
Swann
10/2/23
3
4
5 j6
7
8
9
10
11
t2
% Solids
2.6
1 2.15
Arsenic
11.6
20.8
Cadmium
0.769
4.17
Copper
52.3
100
Chromium
35.5
58.3
Lead
21
39.8
Mercury
0,773
1.67
Molyb-
denum
5.19
12.5
Nickel
14.2
32.2
Selenium
12.3
29.2
Zinc
246
468
Total
Phos-
horus
3060
5410
Annual
Heavy 1Vletal Field Loadings
(Calculated in lbs/acre):
Total
11
3
4
5
6
7
8
9
10
11
12
DT/Ac./
_2j
0
App.
0
Event
2.66
0.52
Arsenic
J0.0.62
0 022
0.000
0,000
0 000
:0 000
0.000
. 0.000
0.000
0 000
0A00
! 0.000
0.083.
Cadmium
0..004
0..004
0.000 '
::.0.000.
0,000
.0.000..:
0.000
01000 .
0.000
0 000..
``0.000
` 0.00.0
0.008
Copper
U78
0 :104
0.000 ::
0.000
01000
0.'000
0.000 .
0.000
0.000
0. 000
0.000
0.000.
0.382 ''
Chromic
0.1.89
O061
0.000 :
0:000
0000
0000
0.000
0.000
0.000
0000
. `0.000`
0.000
0.250 :'
Lead
0..112
0.041
.0.000 .';
U00 .
0.000.:.].
.0.000
>0,000':.
0.0.00
0.0.00
0 000..
0.000.
0.000
0.151.
Mercury
0.004
0,002
:0.000
0.000
0.000
0.000.
0.000 '
0.000
0.000
0.000.
0.000 .'
0.000
0..006.;
Molyb-
0 028
0.013
0.000 .
0.000
0.000
0,000
0.000
0.000
0,000
0 000
:0.000
0.000
0.041
denum
Nickel
0.076
0 033
0,000
0.000
0:000
.0.000:
0,000 '
0.00.0...0:000
0. 000
..0.000 '`
0.000.
0.1.09 .:
Selenium
0.065
:0 030
0,000
0.000
0.000
0 000
0.000 `
0..000
0.0.00
0 000
::0.000.:.:
0.000
0.096
Zinc
1.310
0487
0.000
0:000
0000
0000
0,000'
0:000
0000
.0000...;0.000
`
0.00.0
L79b i
Total
Phos-
16.291
5`.626
0.000.
. 0.000
0.000
0.000.
0A00 .'
.0;000
0;000
0.000
0.000
..:0.000::
21.918
ohoru5
"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!:fe 4 1 /2/2024
Signature of Land Applier
Date
DENR FORM MFLSF (12/2006)

ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK M+ORI41'I'O DE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "NIA" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: Winston Salem- Siva-, W'l?
Land Owner: Allen Gilmer
Operator: Allen Gilmer
Crop I Name: Fescue -Hay
WQ Permit 9: WQ0031314 Field #: 1 Acres Utilized:
Annual Dry Tans Applied, 14,32 Site 4: DV34 Acres Permitted:
..................... .
Predominant Soil Series: TaC Cation Exchange Capacity (non 503):
Crop I Max. PAN: 106 Crop 2 Name: Crop 2 A4ax, PAN:
4.5
4.5
`, i
Q
Volume applied
(enter one) Solids/
Liquid
Cu. Yds Gallons
%
Solids
Volume
Applied per
Acre
(Cry TanslAc)
Residual Sources
(1VPDHS #, WQ#,
rem, Animal
Waste, etc)
Soil
Cond.
We '
Moist)
precip,
Past 24
Hrs.
inches
y
n "
� �.
o
w'
# �'
a
+ �
TKN
mg/kg
z
o
na o
o �
mg kg
Nitrate
and
Nitrite
mglkg
PAN Applied
(lbsracre)
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop €
Crop 2
3130/23
13000
2.6
'0i313 7.
NCG590003
17ry
<,5"
S
0.5
0.1
8000
4880
41.5
1:750`
NA ,;'
Fescue
3/31/23
71500
1 2.6
1..723.
NCG590003
Dry
<.5"
S
0.5
0A
8000
4881)
41.5
9.625`
NA
Fescue
413123
26000
2,6
0;626
NCG590003
Dry
1.5"
S
0.5
0.1
8000
4880
41,5
3.500
NA i':
Fescue
10/13/23
26000
2.16
0520
NCG590003
Dry
<,5"
S
0.5
0.€
30300
5080
7680
13.262
NA ;'
Fescue
.0 000
0,000.
0.000.
0.000.
0,000-`
0000
0.000
0.000
0000
0,000..
D DDD':
0 000
0.000
0,000
0000
0.000
0.0003'
000 [
0,000'
0.000. "
0.000.
0,000
Residuals Applications totals on FORM rSFsupp ( attach FORM FSFsupp to this form).
TOTALS
o
136sog
; > :.
As
Cd
Ctt
Cr
Pb
H
Mo
Ni
Se
zn
P
U;131
0.000
Lime Applied
Annual lbs/acre
0.083.._
0.008
0382.
0.250.
0153'1
. 0.006'''
0.041
. A.10.9
0,096
1.796
21.918
Lute
lbs/ac
Prior Years Cumulative Ibs/ac
0
0
0
0
0
0
0
0
0
0
2000
Current Cumulative lbs/ac
6,083
0,608
0,382
0,250
0.151
0.006'.
0.041
;'0.109
: 0.096
L796
Permitted C. P. L. R.****
36
34
1338
267
15
374
89
2498
Permit PAN Limit 1st/2nd Crop
"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."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
��L«= 1/2/2024 **Volatilization Bate: Surface - 0.5, Injectionllncorporation - 1.0
Signature of Land Appl ier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C,P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (1212006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: Winston Salem - Swann WTP Total Dry Tons Applied (Annual): 23...79.
Permit #: WQ0031314 Cation Exchange Capacity (non 503 only): 0
Operator: Allen Gilmer Owner: Allen Gilmer Predominant Soil Series: NaB
Acres Used: 4.5 Acres Permitted: 4,5 Site #: DV34 Field #: 2
Residual Analvsis Data (Heave Metals and Total PhosDhorus use me/lie, % Solids use Raw Percent #):
Sample or
Com-
posite
Date
1
Swann
3/23/23
_2j
Swann
10/2/23
3
4
5
6
7
8 j
9j
10
1 t j
12
% Solids
1 2.6
2.15
Arsenic
11,6
20,8
Cadmium
0.769
4.17
Copper
52.3
100
Chromium
35.5
1 58.3
Lead
21
39.8
Mercury
0,773
1.67
Molyb-
denurn
5.19
12.5
Nickel
14.2
32.2
Selenium
12.3
29.2
Zinc
246
468
Total
Phos-
horus
3060
5410
Annual
Heavy Metal .Field Loadings
(Calculated in lbs/acre):
Total
1
2
3
4
5
6
7
8
9
t o
11
t 2
DT/Ac./
0
App.
Event
3.60
1.68
Arsenic
0.084
0 070
0.000 `'
0.000
0A00
0 000
0.000 ''
0.000
0.000
0 000
0.000 ':
0.000
0.154
Cadmium
0,006
01014
0.000..
0.000
0 0.00
0,000
0.000.:.
..0..00.0
0 000
0 000
0.000
:' 0.000
0.020
Copper
0.377
0..337
04000 is
0.000
0.000
0`000
.0,000
0,000
0.000
0.000
::0.000::.
0.000 ....0.71.4
Chromic
0.256
0 196
0.000 .
0.000
0.000
0.000
0.000 `
0,000
0 0.0a
0 000
0.000
. 0.00.0
0.452
Lead
0..151
01:134
0,000
0 00.0
0.000:
0,000..
0,000 ':
0,000
.0 000.
0.000::
0.000 ':?
0.000
0.28.5
Mercury
0.006
0 006.
O.00a
D 0.00
a.000
O Ooo.
'01000. `
0,00.0
0.000
0 000
0.000
0.000
0.011
Molyb-
0.037
0042
OA00 `
0.000
0.000
0000
0,000 ``
0.000
0,0:00
t1000
0.000
0.000
0.079
denum
.
Nickel
0.102
0,108.
0,000 ;
0.000
.0.000.
. 0,000
0,000 `
0.000
0.000:..::.0
000
0.0.00.
: 06000
0.211 >.
Selenium
0..08.9
0 098
0. 00.
0:00.0
.0. 000
0.000:.
i0..000
0.000
.0.000
0 000
0.000...
0.000
0.`187
Zinc
1.772
1 576
;0.000.::
0.00.0
0.000
0 000
0 000
OA00
..0.000
0.000...`'O,DOD
`
0.000
3.348.
Total
Phos-
21044
18.221
0.000 '
0.000
0:000.
0 000 .
0.000
0:000
0.000
0 000
A000
` 0.000 .
40.265.''
bhorus
"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".
Z:fz 1/2/2024
Signature of hand Applier Date
DENR FORM MFLSF (1212006)

ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "NIA" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: Winston Salem- Swann WTP
Land Owner:
Operator:
Allen Gilmer
Allen Gilmer
Crop I Name: Fescue -Hay
WQ Permit #: WQ0031314 Field #:
Annual Dry Tons Applied. 23.79 Site #:
Predominant Soil Series: Nall
Crop I Max. PAN: 178 Crop 2 Name:
2 Acres Utilized: 4.5
DV34 Acres Permitted: 4.5
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
o
S o
�a
M �
Volume applied
PP
(enter one) Solids
Liquid
Cu. Yds Gallons
ale
Solids
Volume
Applied per
Acre
(Dry TonslAc)
Residual Sources
(NPDES N, WQtk,
Fert., Animal
Waste, etc)
Soil
Cond.
(Dry'
Wet,
Moist)
Precip.
Past 24
Hrs.
inches
Y
�
>v
�, „
a 5
0
o
;c w`
w �
P,
_ w
' c.
.°5
�'
°
; N'
R.
0
TKN
mglkg
'z
=t
o
m o
n
m
mg%g
Nitrate
a�rd
Nitrite
mgft
PAN Applied
( lbslacre)
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
413123
71500
2.6
1:723
NCG590003
Dry
<.5"
S
0.5
D.l
8000
4880
41.5
9.625<
NA '`
Fescue
4/4123
78000
2.6
1,079
NCG590003
Dry
1.5"
S
0.5
0.1
8000
4880
41.5
10,500.
NA
Fescue
10/16/23
8450D
2.15
1694. ''
NC0590003
Dry
<5"
S
0.5
0.[
30300
5080
7680
42,903
NA
Fescue
0.000
0.000."
0.000':
`0;00D
D.000;
0 ODD
ooDa
0.000.
o.DDO:
0000
0.000
0.000
0 000
0,000.
0,000.'%
0.006
O..00D
I 0.000 ?
0,000
0.000
6.000.]
0.000
0.000
0:000
0.000 a
0.00D`
0.060.
-
Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to Ibis form);
ToTAL&
o
�:23400D
`:
As
Cd
Cu
Cr
Pb
H
Mo
Ni
Se
Zn
P
63.027-
0.000:
Lime A lied
Annual lbslacre
O: 54
0,020
=.0.714
0 452
0.285'
0.011
0,079
0.211
0:187
3;348
40.265
Date
lbs/ac
Prior Years Cumulative lbs/ac
0
0
0
0
0
0
0
0
0
0
Current Cumulative lbs/ac
U54
0.020
0.714..
5.0.452
0.$85:
0,011ii
0.079
0,211
0.187
:3.348
Permitted C. P. L. R.****
36
34
1338
267
15
374
89
2498
Permit PAN Limit 1 stl2nd Crap
L78
"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."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
1/2/2024 **Volatilization Rate: Surface - 0.5, Injectionlhicorporation - LO
Signature of Land Applier Date *'* Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
Cumulative Pollutant Loading Rate
DENR FORM FSF (1212006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: Winston Salem - Swann WTP Total Dry Tons Applied (Annual): 23.25.....
Permit #: WQ0031314 Cation Exchange Capacity (non 503 only): 0
Operator: Allen Gilmer Owner: Allen Gilmer Predominant Soil Series: FcC2
Acres Used: 12.5 Acres Permitted: 12.5 Site #: DV34 Field #: 3
Residual Analvsis Data {Heavy Metals and Total Phosphorus use ms!/Its, % Solids use Raw Percent #):
Com-
posite
Date
WIN
re
Total
Phos-
phorus:MMENEEMENE00-
Annuai rreavy ivietai rteta .boaatngs ki.atcurate(iin ins/acre):
Total 1 2 3 4 5 6 7 8 9 10 11 12
y
DT/Ac./ 0
App-
Event 1.86 4
Arsenic 0.043 0,000 0.000 0:000 0000 0000 0.000 0M00 0000 0A00 0.000 0.000 0;0
Cadmium 0 003 6c000 0.000 0.000 0 000 0:000 0.000 0.0.00 0.000 0.000 0.000 0.000 0.0
Copper 1A.105
0 0 . 0 . 0-1.
0.000
0.000
0. 000
OM00
0.000
0 000
0 000
0.:000
0.000 .`
0.000
0.1:95
Chromium
0.132
0.000
0.000':
0.000
0.000
:0.000
0.00.0 '
0.000
0 0.00
.0`.000
0.000';
0M0.0
0.132 .`
Lead
0,078
0.000
0,000,:
0.000
.0.000....:
;0'000
0.000:..0.000::.0.000
0.000
0.0.00
0.000
0 0.78 ;
Mercury
0.0.03
0.000
0.000 `
0.000
0.000
0'.000
0.000`
0.000
0.000
0.000..:0.000.:!`
0.000
0.003
Molyb-
0.019
0.000
0.000
0.000
0.000
0..000
0.000
0.000
0.000
0..000
0.000
0.000.
0.0.19
denum
Nickel
0.053
0.:000
0.000
0,000
0 000
0.000
0.000 :'
0.000
0.000
0.000
:::0.000: `
0.000
0.0.53..
Selenium
0.046
0.6000
01000
0.00.0
0 000
0.000
0.00.0
0.000
0.000
0.000
0.000
0.000
0,046
Zinc
0 915
0.000.
0.000...
0,00.0
0.000.::
0:000
0.000 `
0.000
0.000::
0.000.
:0 000.
0.000
04915.
Total
P11os-
11.383
01000.
.' 0.000 :.
0:000
0.000
0.000
0.000.:
0.000
0.000
0.000.
0.000..
0.000
11:383
nhorus
"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".
Z' "'F 1/2/2024
Signature of Land Applier
Date
DENR FORM MFLSF (12/2006)

ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANI{ FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "NIA" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: Winston Salem - Swarm WTP WQ Permit #: WQ0031314 Field #: 3 Acres Utilized: 12.5
Land Owner: Allen Gilmer Annual Dry Tons Applied 23 25 ',i Site #: DV34 Acres Permitted: 12.5
Operator: Allen Gilmer Predominant Soil Series: FcC2 Cation Exchange Capacity (non 503):
Crop I Name: Fescue -Hay Crop 1 Max. PAN: 158 Crop 2 Name: Crop 2 Max. PAN:
°s a
Q
Volume applied
(enter one) Solids!
Liquid
Cu, Yds Gallons
%
Solids
Volume
Applied per
Acre
(DryTanslAc)
Residual Sources
( NPDFS #, WQ#,
Fert., Anima]
Waste, etc)
Soil
Cond.
(pry,
Wet,
tvloist)
Precip.
Past 24
}Ira.
inches
:n
n a
5- "
�.
a
a.
g(lbslacre)
* aRi
o'
9
Q
TKN
mg&g
Z
a
o
�,•
mglkg
Nitrate
and
Nitrite
mgft
PAN Applied
Name of crop Type
Receiving Residual
Application
Crap I
Crop 2
Crap l
Crop 2
4/4/23
39000
2.6
J.0.33V
NCG590003
Dry
<,5"
S
0.5
0.1
8000
4880
41.5
1,990i:
NA )
Fescue
4/5/23
110500
2.6
0 958 1
NC059DO03
Dry
<.5"
S
0.5
0.1
8000
4880
41.5
5.355
NA
Fescue
416123
65000
2.6
0,564
NCG590003
Dry
<.5"
S
0.5
0.1
8000
4890
4€,5
3150:.
NA '
Fescue
O'000
0.000
0,006::
q:U00
U 00D;:
0.000 ;
O:ODO
q n00;;
0.000
gA00
0,000
0.000
t).'000 :.
A.{10o`
q•000'.
0.000
0.040.`i
0.00o','
0aioo ; `
000
0.000 `<
0.000
0.000
0.000 '<
Residuals Applications totals an FORM FSF supp ( attach FORM FSF supp to this form):
TOTALS
o
:21450.0
As
Cd
Cu
Cr
Pb
Hg
Mo
Ni
Se
Zn
P
10.395
0.000
Lime Applied
Altnualll)s/aGCe
0:043
0,003
0;195
4;732
0:078:
0.043s
0.1119
';0.053
0:046
0,915:
'11r383
Date
lbsiae
Prior Years Cumulative lbs/ac
0
0
0
0
0
0
D
0
0
0
Current Cumulative lbs/ac
O:a43
.: 0,003
0a95
0.132
0.078 '
0.003`.:
0.019 '
.0.053
0.046
0.05
Pemtitted C. P. L. R.****
36
34
1339
267
15
374
89
2498
Permit PAN Limit I stl2nd Crop
"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."
*Application itlethod: S - Surface, IN - Injection, INC - Incorporation
1/2/2024 **Volatilization Rate: Surface - 0.5, Injectionllncorpo'ation - 1.0
Signature of Land Applier Date **" Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
""C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (1212006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: Winston Salem - Swann WTP Total Illy Tons Applied (Annual): 47.21
Permit #: WQ0031314 Cation Exchange Capacity (non 503 only): 0
Operator: Edsel Wooten Owner: Edsel Wooten Predominant Soil Series: CcB2
Acres Used: 22.5 Acres Permitted: 22.5 Site #: YK43 Field #: 1
Residual Analysis Data (Heave Metals and Total Phosphorus use m0ku. % Solids use Raw Percent ft
Com-
posite
Date
a
in
...
M
rauuuai
rieavy ivietai rjum imauuigs
tt.aicuiateu ►n iusracre):
Total
1 1
2
3
4j
5
6
7
8
9
i0
11
12
DTIAc./
o
App.
Event
2.10
Arsenic
0.087
0:000
0.000 '
0:000
O;oOo
o oao
0000 '
0.0.00
0 0:00
0.000:
o.oao
0.000
0.087....
Cadmium
0.017
0:000
-0.000...0.000
0.000
0,060
0A00
0.0.00
0;000
0 000
:::0.000.::
0.000
0.017 .
Copper
0.420
0 000.
U00
0.000
0.000
0. 000
.0.000 '
0 000
0.000
0.000
.::0.000.
0.000
0.420
Chromium
0.245
0`000
0.000
0.000
.0000
0000
0.000'
.0.000
0000
0000
0.000 <
0.000
0.245
Lead I.A.167
0:000
0.000 '
0.000
.0.000A.
MOO:
0.000 `
0:000
0.000
0.000
0 000:
0.000
0.167
Mercury
0.007
0000
0.000 `
0,000
0,000
0000
0.000
::.0.000.:
0.000
0.000
0.000'
O.000
0.007
Molyb-
0 000
0.000 :
0.00.0.
0.000
0.000:
0.000 '
0.000
0,000.
0.000
0.000.
0.000
0.052.
denum
..0.052
..
.
.
Nickel
0.135
0 000
..:.0.000.:
0.000.
0.0.00
..0.000.
0.000
0.000
0`000
0!000
0.000 :
0,00.0
0.1.35
Selenium
0.123
0i000
0.000. `:0.000:
0,000
0000
0.000
0.000
OOOa
0000
0.000 .;
': 0.000
0.123
Zinc
1.964
0.000
0.000.`.
0.000
0 000
0 000
0.000:..
0.000
0.000
0;000
<01000.`
0.00.0
1.964
Total
Phos-
22.700 .
0 000
0.000 `
0.000
04000.
0.000
0,000 '
0.000 ...
0,000
..0.000.
0 000
0.000
22.300.`.
nhorus
"I certify. under penalty of law. that this document was orenared 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".
;?!f.e 1 /2/2024
Signature of Land Applier
Date
DENR FORM MFLSF (12/2006)

ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE. COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "NIA" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: Winston Salem- Swann WTP WQ Permit #: WQ0031314 Field #: 1 Acres Utilized: 22.5
Land Owner: Edsel Wooten Annual Dry Tors Applied 47.21 Site #: YK43 Acres Permitted: 22.5
Operator: Edsel Wooten Predominant Soil Series: Cc132 Cation Exchange Capacity (non 503):
Cron I Name: Fescue -Hay Crop 1 Max. PAN: 216 Crop 2 Name: Crop 2 Max, PAN:
o
c
Q
Volume applied
(enter one) Solids!
Liquid
Cu. Yds Gallons
%
Solids
Volume
Applied per
Acre
(Dry TGnsfAC)
Residual sources
(NI DES #, WQt,
Fert., Annual
Waste, etc)
Soil
Cond.
(Dry,
Ways
Moist)
Precip,
past 24
inches
➢
n
a
°
o
w
w e.
d.
$
,�
, v
g.
* o
TKN
mglkg
o
o °a
mglkg
Nitrate
and
Nitrite
mglkg
PAN Applied
(lbs/acre)
Name of Crop Type
Receivio Residual
S
Application
Crop 1
Crop 2
Crop I
Crop 2
1019123
136500
2.15
0544
NC0590003
Dry
<5'
S
0.5
0.1
30300
5080
7680
13.861`
NA c
Fescue
t0110123
182000
2.15
.0.725.
NCG590003
Dry
1.5"
S
0.5
O,l
30300
5080
7690
18.481'
NA
Fescue
10/11/23
175500
2.15
0.699
NCG590003
Dry
<_5"
S
0.5
0.1
30300
5080
7680
17MI
NA...
Fescue
10/12/23
32500
2.15
0.130
NCG590003
Dry
<.5"
S
0.5
0.1
30300
m80
7680
3.300
NA 'i.
Fescue
000D `
0,000
0.000'.
b:00D :
0.000 i
0,000
0 060
0.000'.
0.000
0:000
0.000 r
0,000
0.000 : `
oAOo`
0.000
p000 '
0.900.:
0.000:
0i000
0.000:
0.000
0.000. :`
0,000:
0,000.
Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form);
TOTALS:
01
526500
As
Cd
Cu
Cr
Pb
Hg
Mo
N i
Se
Zn
P
53.464
'0.060
Lime Applied
Annuallbs/acre
0.087
0,017
0.424
0i2.45.
0,167
0.007...
.0.052
0.135
0.123
1♦964
22:700
hate
lbs/ac
Prior Years Cumulative lbs/ac
0
0
0
0
0
0
0
0
0
0
Current Cumulative lbs/ac
0:087..
'0,017
0,420..
:0.245
0.107:
0.007 :
0.052..:'0.135
:0123
1 964
Permitted C, P. L. R.****
36
34
1338
267
15
374
89
2498
Permit PAN Limit 1 st/2nd Crop
2l6
"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."
!. yam"' *Application Method: S - Surface, IN - Injection, INC - Incorporation
25�/1/2/2024 **Volatilization Bate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Laud Appl ier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: Winston Salem - Swann WTP Total Dry Tons Applied (Annual): 11 07
Permit #: WQ0031314 Cation Exchange Capacity (non 503 only): 0
Operator: Edsel Wooten Owner: Edsel Wooten Predominant Soil Series: CcB2
Acres Used: 6.5 Acres Permitted: 6.5 Site #: YK43 Field #: 2
Residual Analysis Data (Heavy Metals and Total Phosphorus use mi!/ki!, % Solids use Raw Percent #):
@Wgur-100
Date
Non
M
M
Total
Phos-
phorus
Annual
heavy lvietal new Loaaings
((_:alculatea to lbs/acre):
Total
1 1
2
3
4
5
6
7
8
9
10
11
12
DT/Ac./
o
App.
Event
1.70
`
Arsenic
01071
0...000
0.000
0.00.0
0.000
0.000 .
0,000
0 000
0.000
0.00.0.
U00
0,000
0,071
Cadmium
0.014
0000
0.000.;
0.000
0000
0000
0.000...0.:.000
.0.000:
0.r000
OA00
0.000
0014
Copper
0.341
0000
0,000
0.000
0.000
0000
0.000
0,000
0.000
0000
0 000
0,000.
0.341 `
Chromium
0.199.1.0.000
0.000 :
0.0.00
0 000
.:0.000..
0.000:.
0.000
0 000
...0.000
::0.000
'.0.000..0..199
Lead
0.136
0. 000
0.000.
0.0.00
.0.000
0.000
0.00.0
0.000
0:000
0.000.:.
' 0.000
' 0.000.
0.136
Mercury
OA06
0:000
0.004
0.000
0:000
0:000
0.000
0.000
.0 -
0 0. 0
0.000...]
0.000
01006
Molyh-
0.043
0 000
0.000
0.000
0.000
a 000
0.000
0.000
0.000
0 000
OA00
0.000.
0.043
denum
..
Nickel
0..110
0`000
0.000 '
0.000
0.000 .
::0.000.
0.000 l
0.000
0.000
:.0.000:...;'0,000:`
0.000
0.1:10
Selenium
0.099
0 000
0.000
0.0.00
0.000
0 000
0.000 `
0,000
..0.000.
:::0.000:
0.000
'10.000
0 099 `
Zinc
1..5.94
0 000
0.000 !
0A00
0.000
.0 000
0.000 ;,
0.000
0.000
0.000:::..
';OA00,.'.
0.000
1.5.94 _.
Total
t'laos-
18.426
..0.000
1 0,000 '
0.000
0.000
.0.000.::
0.000:
0.00.0
0.000
:0.000
0.000
0.000
18.426
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".
Z-z 1/2/2024
Signature of Land Appliet'
Date
DENR FORM MFLSF (12/2006)

ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK NORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: Winston Salem- Swaim WTI' WQ Permit li: WQ0031314 Field #: 2 Acres Utilized: 6.5
Land Owner: Edsel Woolen Annual Dry Tons Applied I1 07 Site 9: YK43 Acres Permitted: 6.5
Operator: Edsel Wooten Predominant Soil Series: CC132 Cation Exchange Capacity (non 503):
Crop I Name: Fescue -Hay Crop 1 Max. PAN: 216 Crop 2 Name: Crop 2 Max. PAN:
Volume applied
(enter one) Solidsl
Liquid
Cu. Yds Gallons
�u
Solids
Volume
Applied per
Acre
(My Tons7Ac)
Residual Sources
(NPDES H, IVQtk,
F•ert., Animal
Wuste, etc)
Soil
D
( �'
Moist)
Precip.
Past 24
tars.
Inches
ry ''�
o�
�
o
� �
°
w
� �
TKN
mglkg
z
m° o
} w
mglkg
Nitrate
and
Nitrite
"Ag
PAN Applied
(lbstacre)
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
10/12/23
123500
2.15
1:703
NCG590003
Dry
I.V
S
0.5
0.1
30300
5080
7680
43.411_-
NA ::
Fescue
0.000.
0 6001
0,000
0:006;'
D.00.Q.
0600''
0;000
0.000..
0,000 '.
0000
0.000
0 000:i:
0000 r'
0.000,
0000;
0000
0.000 r'
0.000
0.000:...
0.Ouo i1
0.000.:
0,000 <
0.000.;;
0.000
0;000
0.000 .
0.000''+
0.000.:....
0.000.5'
0.000
0.000
0.000..:
Residuals Applications tolals on FORM I'SF supp ( attach FORM FSF supp to this form):
TOTAL&
0
''123500
As
Cd
Cu
Cr
Pb
Hg
Mo
Ni
Se
Ln
I P
43.411.�
O.000.>'.&Lihm-cAppliedAnnual
lbslacre
0.011
0.014
0.34i
0.199
0,136.
0.006:i'
.0.643
`-.0.110
0.099.
1594
18:426
Prior Years Cumulative lbs/ac
0
0
0
0
0
0
0
0
0
0
Current Cumulative lbslac
0.071
0.414
: 0,341
0,199
0.136
0.006.'
0.043
:: 0.110
0;099
<1 594
Permitted C. P. L. R.****
36
34
1339
267
15
374
89
2498
Permit PAN Limit I st/2nd Crop
"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 lines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
(y�f�•: 1/2/2024 **Vaintiliz<ation Rate: Surface- 0.5, Injection/Incorporation - 1.0
Signature of Land Appher Date Mineralization Rates: Compost -0.1, anaeroblally digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
❑ENR FORM FSF (1212006)

Section 3
• Lab data sheets from Waypoint Analytical Services, LLC (nutrient,
nutrient metal sampling data and chain of custody's)
• Lab data sheets from Summit Environmental Technologies, INC
(TCLP, Reactivity, Ignitability Analysis for this Permit Cycle)
• Copies of our SAR/PAN calculations
0

Waypointo
ANALYTICAL
4/6/2023
EMA Resources Inc
Brent Collins
755 Yadkinville Rd
Mocksville, NC, 27028
Ref: Analytical Testing
Lab Report Number: 23-083-0012
Client Project Description: Swann WTP
2790 Whitten Road, Memphis, TN 38133
Main 901.213.2400 0 Fax [phone]
www.waypointanalytical.com
Dear Brent Collins:
Waypoint Analytical, LLC, received sample(s) on 3/24/2023 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. Where the laboratory was not responsible for the sampling
stage (refer to the chain of custody) results apply to the sample as received.
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 2021) and NELAC unless otherwise indicated. Any parameter
for which the laboratory is not officially NELAP accredited is indicated by a' —'symbol. These are not included in
the scope because NELAP accreditation is either not available or has not been applied for, Additional
certifications may be heldlare available for parameters, where NELAP accreditation is not required or applicable.
A full list of certifications is available upon request.
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,
Connie Cook
Project Manager
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.
ZVI
Page 1 of 8

Waypointo
ANALYTICAL
2790 Whitten Road, Memphis, TN 38133
Main 901.213.2400 0 Fax [phone]
www.waypointanalytical.corn
Certification Summary
Laboratory ID: WP MTN: Waypoin# Analytical, LLC., Memphis, TN
State
Program
Lab ID
Expiration Date
Alabama
State Program
40750
02/29/2024
Arkansas
State Program
88-0650
02/07/2024
California
State Program
2904
06/30/2023
Florida
State Program - NELAP
E871157
06/30/2023
Georgia
State Program
C044
11/14/2025
Georgia
State Program
04015
06/30/2023
Illinois
State Program - NELAP
200078
10/10/2023
Kentucky
State Program
80215
06/30/2023
Kentucky
State Program
KY90047
12/31/2023
Louisiana
State Program - NELAP
LA037
12/31/2023
Louisiana
State Program - NELAP
04015
06/30/2023
Mississippi
State Program
MS
02/11/2023
North Carolina
State Program
47701
07/31/2023
North Carolina
State Program
415
12/31/2023
Pennsylvania
State Program - NELAP
68-03195
05/31/2024
South Carolina
State Program
84002
06/30/2023
Tennessee
State Program
02027
11/14/2025
Texas
State Program - NELAP
T104704180
09/30/2023
Virginia
State Program
00106
06/30/2023
Virginia
State Program - NELAP
460181
09/14/2023
Page 1 of 1 00001 /23-083-0012
Page 2 of 8

Waypointo
ANALYTICAL
Report Number: 23-083-0012
Client Project Description: Swann VdTP
Lab No Client Sample ID
2790 Whitten Road, Memphis, TN 38133
Main 901.213.2400 0 Fax [phone]
www.waypointanalytical.com
Sample Summary Table
Matrix Date Collected Date Received
87054 Swann WTP Solids 03/23/2023 08:15 03/24/2023
Page 3 of 9

Waypoint.0
ANALYTICAL
Client: EMA Resources Inc
Project: Swann INTP
Lab Report Number: 23-083-0012
Date: 4/6/2023
2790 Whitten Road, Memphis, TN 38133
Main 901.213.24001 Fax 901.213,2440
www.waypolntanalytical.com
CASE NARRATIVE
Block Digestion and FIA Method 4500NORGD-2011
Analyte: Total Kjeldahl Nitrogen
QC Batch No: L6728791L672557
The MS recovery is outside QC limits due to the level of analyte present in the parent sample relative to the spike
level.
Metals Analysis Method 6010D
Sample 87054 (Swann WTP)
Analyte: Aluminum
QC Batch No: L673111/1-672380
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 87054 (Swann WTP)
Analyte: Potassium
QC Batch No: L6731111L672380
The matrix spike and/or the matrix spike duplicate was outside quality control acceptance ranges. A post
digestion spike was performed and passed quality control acceptance ranges. No matrix interference is
suspected.
Solids Total Mercury Analysis - CVAA Method 7471A
Sample 87654
Analyte: Mercury
QC Batch No: 1-67343311-673182
The matrix spike and/or the matrix spike duplicate was outside quality control acceptance ranges. A post
digestion spike was performed and passed quality control acceptance ranges. No matrix interference is
suspected.
Page 4 of 8

Waypointo
ANALYTICAL
46245
EMA Resources Inc Project Swann WTP
Brent Collins
755 Yadkinville Rd Information ;
Mocksville , NC 27028
Report Number: 23-083-0012
2790 Whitten Road, Memphis, TN 38133
Main 901.213,2400 0 Fax [phone]
www.waypointanalytical.com
REPORT OFANAL PSIS
Report Date ; 04/06/2023
Received : 03/24/2023
Connie Cook
Project Manager
Lab No : 87054
Matrix: Solids
Sample ID: Swann WTP
Sampled: 3/23/2023 8:15
Test
Results
Units
MDL
MOL
DF
Dale / Time
By
Analytical
Analyzed
Method
Moisture
97.4
%
1
03/30/2318:05
SW-DRYWT
Ammonia Nitrogen
4880
mg/Kg - dry
615
3850
1
04/03/23 14:50
]P]
4500NH3C-2011
Nitrate+Nitrite-N
41.53
mg/Kg - dry
38.5
192
1
03/28/23 15A3
ZBD
4500NO3F-2016
Organic N
3115
mg/Kg - dry
3073
6192
1
03/29/23 13:38
DH
CALCULATION
pH
7.1
S.U.
1
03/31/2312:30
CNB
9045D
Total Solids
2.60
%
0.010
0.010
1
03/30/23 18:05
CID
2540G-2011
Total Kjeldahl Nitrogen
8000
mg/Kg - dry
6190
1
03/29/23 13:38
ANH 4500NORGD-2011
Phosphorus
3060
mg/Kg - dry
106
192
1
03/30/23 06:08
BKN
6010D
Aluminum
136000
rng/Kg - dry
178
192
1
03/30/23 06:08
BKN
6010D
Arsenic
11.6 ]
mg/Kg - dry
9.23
19.2
1
03/30/23 06:08
BKN
6010D
Cadmium
<0.769
mg/Kg - dry
0.769
3.85
1
03/30/23 06:08
BKN
6010D
Calcium
2180
mg/Kg - dry
1490
1920
1
03/30/23 06:08
BKN
6010D
Chromium
35.5
mg/Kg - dry
9.08
9.62
1
03/30/23 06:08
BKN
6010D
Copper
52.3
mg/Kg - dry
11.9
19.2
1
03/30/23 06:08
BKN
6010D
Iron
36500
mg/Kg - dry
328
385
1
03/30/23 06:08
BKN
6010D
Lead
21.0
mg/Kg - dry
6.92
11.5
1
03/30/23 06:08
BKN
6010D
Magnesium
1620
mg/Kg - dry
99.2
192
1
03/30/23 06:08
BKN
6010D
Manganese
1050
mg/Kg - dry
12.5
19.2
1
03/30/23 06:08
BKN
6010D
Mercury
<0.773
mg/Kg - dry
0.773
6.42
1
03/31/23 11:57
FDS
7471A
Molybdenum
<5.19
mg/Kg - dry
5.19
9.62
1
03/30/23 06:08
BKN
6010D
Nickel
14.2
mg/Kg - dry
4.62
9.62
1
03/30/23 06:08
BKN
6010D
Potassium
1800
mg/Kg - dry
238
385
1
03/30/23 06:08
BKN
6010D
Selenium
<12.3
mg/Kg - dry
12.3
19.2
1
03/30/23 06:08
BKN
6010D
Qualifiers/ DF
Dilution Factor
]
Estimated value
Definitions MQL
Method Quantitation Limit
Page 5 of 8

Waypointo
ANALYTICAL
2790 Whitten Road, Memphis, TN 38133
Main 901.213,2400 0 Fax [phone]
www.waypointanalytical.com
46245
EMA Resources Inc Project Swann VdrP
Brent Collins Report Date : 04/06/2023
755 Yadkinviile Rd Information : Received : 03/24/2023
Mocksville , NC 27028
Connie Cook
Report Number : 23-083-0012 REPORTOFANALYSI"S Project Manager
Lab No : 87054 Matrix: Solids
Sample ID : Swann 1NTP Sampled: 3/23/2023 8,15
'rest
Results
Units
MDL
MOL
DF
Date 1 Time
Analyzed
By
Analytical
Method
Sodium
<500
mg/Kg - dry
500
962
1
03/30/23 06:08
BKN
6010D
Zinc
246
mg/Kg - dry
31.2
48.1
1
03/30/23 06:08
BKN
6010D
Sulfur
3390
mg/Kg - dry
199
385
1
03/30/23 06:08
BKN
6010D
Sodium Absorption Ratio
<0.01
Ratio
0.01
0.01
1
03/30/23 06:08
CALCULATION
Qualifiers/ DF Dilution Factor ] Estimated value
Definitions MQL Method Quantitation Limit
Page 6 of 8

0 (2)
Road,
TN 38133
Waypoint 2790 Whitten 3.240 Memphis, 21.2440
Main 90S.2S3.24QD ° fax [phone]�i40
ANALYTICAL www.waypointanaiyticaLcom
Shipment Receipt Form
Customer Number: 46245
Customer Name: EMA Resources Inc
Report Number: 23-083-0012
Shipping Method
Fed Ex 0 US Postal 0 Lab
0 UPS 0 Client 0 Courier
0 Other
Thermometer ID:
135
Shipping container/cooler uncompromised?
Yes
0 No
Number of coolers/boxes received
1
Custody seals intact on shipping container/cooler?
0 Yes
0 No
Not Present
Custody seals intact on sample bottles?
0 Yes
0 No
Not Present
Chain of Custody (COC) present?
Yes
0 No
COC agrees with sample label(s)?
Yes
0 No
COC properly completed
Yes
0 No
Samples in proper containers?
Yes
0 No
Sample containers intact?
Yes
0 No
Sufficient sample volume for indicated test(s)?
Yes
0 No
All samples received within holding time?
0 Yes
0 No
Cooler temperature in compliance?
Yes
0 No
Cooler/Samples arrived at the laboratory on ice.
Samples were considered acceptable as cooling
process had begun.
Yes
0 No
Water - Sample containers properly preserved
0 Yes
0 No
N/A
Water - VOA vials free of headspace
0 Yes
0 No
0 N/A
Trip Blanks received with VOAs
0 Yes
0 No
N/A
Soil VOA method 5035 — compliance criteria met
0 Yes
0 No
# N/A
F_ High concentration container (48 hr) F Low concentration EnCore samplers (48 hr)
F High concentration pre -weighed (methanol -14 d) F Low conc pre -weighed vials (Sod Bis -14 d)
Special precautions or instructions included? 0 Yes * No
Comments:
Signature: Emily M. P ters-on Date & Time: Vl3/24/2023 08:40:26
Page 7 of 8

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U- w a
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m -05
a cn u. _ (00605) SI 1W M z z z
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z � �
[Aa)j 03 ja;aBM xljltW
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s,aule}uoz) to iaqurnN
� Q
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co
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Page 8 of 8

Waypointo
ANALYTICAL
10/12/2023
EMA Resources Inc
Brent Collins
755 Yadkinville Rd
Mocksville, NC, 27028
Ref: Analytical Testing
Lab Report Number: 23-276-0032
Client Project Description: Swann WTP
2790 Whitten Road, Memphis, TN 38133
Main 901.213,2400 0 Fax [phone]
www.waypointanalytical.com
Dear Brent Collins:
Waypoint Analytical, LLC. received sample(s) on 10/3/2023 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. Where the laboratory was not responsible for the sampling
stage (refer to the chain of custody) results apply to the sample as received.
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 CI=R 136 Method Update Rule May 2021) and NELAC unless otherwise indicated. Any parameter
for which the laboratory is not officially NELAP accredited is indicated by a' —'symbol. These are not included in
the scope because NELAP accreditation is either not available or has not been applied for. Additional
certifications may be held/are available for parameters, where NELAP accreditation is not required or applicable.
A full list of certifications is available upon request.
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,
Connie Cook
Project Manager
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 8

Waypointo
ANALYTICAL
2790 Whitten Road, Memphis, TN 38133
Main 901.213.2400 0 Fax 901.213,2440
www.waypointa nalytical. corn
Certification Summary
Laboratory ID: WP MTN: Waypoint Analytical, LLC., Memphis, TN
State
Program
Lab ID
Expiration Date
Alabama
State Program
40750
02/29/2024
Arkansas
State Program
88-0650
02/07/2024
California
State Program
2904
06/30/2024
Florida
State Program - NELAP
E871157
06/30/2024
Georgia
State Program
C044
11/14/2025
Georgia
State Program
04015
06/30/2024
Illinois
State Program - NELAP
200078
10/31/2024
Kentucky
State Program
80215
06/30/2024
Kentucky
State Program
KY90047
12/31/2023
Louisiana
State Program - NELAP
LA037
12/31/2023
Louisiana
State Program - NELAP
04015
06/30/2024
Mississippi
State Program
MS
11/14/2025
North Carolina
State Program
47701
07/31/2024
North Carolina
State Program
415
12/31/2023
Pennsylvania
State Program - NELAP
68-03195
05/31/2024
South Carolina
State Program
84002
06/30/2024
Tennessee
State Program
02027
11/14/2025
Texas
State Program - NELAP
T104704180
09/30/2024
Virginia
State Program
00106
06/30/2024
Virginia
State Program - NELAP
460181
09/14/2024
v
Page 1 of t 00001/23-276-0032
Page 2 of 8

Waypoint'(D
ANALYTICAL
2790 Whitten Road, Memphis, TN 38133
Main 901,213.2400 ° Fax [phone]
www.waypointanalytical,com
Sample Summary Table
Report Number: 23-276-0032
Client Project Description: Swann WTP
Lab No Client Sample ID Matrix Date Collected Date Received
97300 Swann VVTP
Solids 10/02/2023 09:15 10/03/2023
Page 3 of 8

Waypointo
ANALYTICAL
Client: EMA Resources Inc
Project: Swann VVTP
Lab Report Number: 23-276-0032
Date: 10/12/2023
2790 Whitten Road, Memphis, TN 38133
Main 901,213.2400 ° Fax [phone]
www.waypointanalytical.com
CASE NARRATIVE
Metals Analysis Method 6010D
Sample 85196 (SS-3, V-3')
Analyte: Aluminum
QC Batch No: 1-709315/1-708413
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 85196 (SS-3, 1'-3')
Analyte: Iron
QC Batch No: 1-709315/1-708413
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 85196 (SS-3, 1'-3)
Analyte: Potassium
QC Batch No: 1-709315/1-708413
The matrix spike and/or the matrix spike duplicate was outside quality control acceptance ranges. A post
digestion spike was performed and passed quality control acceptance ranges. No matrix interference is
suspected.
Sample 85196 (SS-3, T-3')
Analyte: Manganese
QC Batch No: L709158IL708413
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 85196 (SS-3, 1'-3')
Analyte: Lead
QC Batch No: L7091581L708413
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 4 of 8

Wayointo
ANALYTICAL
46245
EMA Resources Inc Project Swann WTP
Brent Collins
755 Yadkinville Rd Information
Mocksville , NC 27028
Report Number: 23-276-0032
2790 Whitten Road, Memphis, TN 38133
Main 901.213.2400 0 Fax [phone]
www,waypol nta nalytical.com
REEPORrOIC'ANALYSIS
Original Report Date : 10/12/2023
Revised Report Date: 10/25/2023
Received : 10/03/2023
Lab No : 97300
Matrix: Solids
Sample ID : Swann WTP
Sampled: 10/2/2023 9:15
Test
Results
Units
MDL
MQL
DF
Date 1 Time
By
Analytical
Analyzed
Method
Moisture
98.8
%
0
0.050
1
10/09/2315:00
A.B
SW-DRYWT
Ammonia Nitrogen
50801
mg/Kg - dry
1330
8330
1
10/12/23 09:52
JPJ
4500NH3C-2011
Nitrate+ N itrite-N
7680
mg/Kg - dry
83.3
417
1
10/05/23 14:28
CLP
4500NO3F-2016
Organic N
<16420
mg/Kg - dry
16420
1
DH
CALCULATION
pH
6.4
s.u.
1
10/04/2316:20
CNB
9045D
Total Solids
2.15
%
0.010
0.010
1
10/05/23 16:10
CAH
2540G-2011
Total Volatile Solids
30.3
%
0.010
0.010
1
10/05/23 16:10
CAH
2540G-2011
Total Kjeldahl Nitrogen
<16400
mg/Kg - dry
16400
1
10/20/23 13:05
ANH 4500NORGD-2011
Phosphorus
5410
mg/Kg - dry
233
417
1
10/06/23 02:12
BKN
6010D
Aluminum
238000
mg/Kg - dry
388
417
1
10/06/23 02:12
BKN
6010D
Arsenic
<20.8
mg/Kg - dry
20.8
41.7
1
10/06/23 02:12
BKN
6010D
Cadmium
<4.17
mg/Kg - dry
4.17
8.33
1
10/06/23 02:12
BKN
6010D
Calcium
5060
mg/Kg - dry
3230
4170
1
10/06/23 02:12
BKN
6010D
Chromium
58.3
mg/Kg - dry
20.8
20.8
1
10/06/23 02:12
BKN
6010D
Copper
i00
mg/Kg - dry
25.0
41.7
1
10/06/23 02:12
BKN
6010D
Iron
59100
mg/Kg - dry
713
833
1
10/06/23 02:12
BKN
6010D
Lead
39.8
mg/Kg - dry
16.7
25.0
1
10/06/23 02:12
BKN
60101)
Magnesium
3000
mg/Kg - dry
217
417
1
10/06/23 02:12
BKN
6010D
Manganese
2670
mg/Kg - dry
29.2
41.7
1
10/06/23 02:12
BKN
6010D
Mercury
<1.67
mg/Kg - dry
1.67
13.8
1
10/06/23 11:57
MRE
7471A
Molybdenum
<12.5
mg/Kg - dry
12.5
20.8
1
10/06/23 02:12
BKN
6010D
Nickel
32.2
mg/Kg - dry
12.5
20.8
1
10/06/23 02:12
BKN
6010D
Potassium
3210
mg/Kg - dry
517
833
1
10/06/23 02:12
BKN
6010D
Qualifiers/ DF
Dilution Factor
J
Estimated value
Definitions MQL
Method Quantitation Limit
Page 5 of 8

Waypointo
ANALYTICAL
46245
EMA Resources Inc Project Swann WTP
Brent Collins
755 Yadkinville Rd Information ;
Mocksville , NC 27028
2790 Whitten Road, Memphis, TN 38133
Main 901.213.2400 0 Fax [phone]
www.waypointanalocal.com
Original Report Date : 10/12/2023
Revised Report Date: 10/25/2023
Received : 10/03/2023
Report Number: 23-276-0032 REPORTOFANALYSIS
Lab No : 97300
Sample ID : Swann WfP
Matrix: Solids
Sampled: 10/2/2023 9:15
Test
Results
Units
NIDL
INQL
DF
Date / Time By
Analytical
Analyzed
Method
Selenium
<29.2
mg/Kg - dry
29.2
41.7
1
10/06/23 02:12 BKN
6010D
Sodium
<1080
mg/Kg - dry
1080
2080
1
10/06/23 02:12 BKN
6010D
Zinc
468
mg/Kg - dry
70.8
104
1
10/06/23 02:12 BKN
6010D
Sulfur
6990
mg/Kg - dry
433
833
1
10/06/23 02:12 BKN
6010D
Sodium Absorption Ratio
<0.01
Ratio
0.01
0.01
1
10/06/23 02:12
CALCULATION
Qualifiers/ DF Dilution Factor I Estimated value
Definitions
Page 6 of 8

a
8133
Waypoint
2790 n hitten901.2 Road, Memphis, Tit .2440
Main 90S.2S3.24o0 °Fax [phone]R140
ANALYTICAL www.waypointanalytical.com
Shipment Receipt Form
Customer Number: 46245
Customer Name: EMA Resources Inc
Report Number: 23-276-0032
Shipping Method
Fed Ex 0 US Postal 0 Lab
0 UPS 0 Client 0 Courier
0 Other:
Thermometer ID:
99
Shipping container/cooler uncompromised?
Yes
0 No
Number of coolers/boxes received
r 1
Custody seals intact on shipping container/cooler?
0 Yes
0 No
0 Not Present
Custody seals intact on sample bottles?
0 Yes
0 No
0 Not Present
Chain of Custody (CDC) present?
* Yes
0 No
COC agrees with sample label(s)?
(* Yes
0 No
COC properly completed
(0) Yes
0 No
Samples in proper containers?
Yes
0 No
Sample containers intact?
0 Yes
0 No
Sufficient sample volume for indicated test(s)?
0 Yes
0 No
All samples received within holding time?
Yes
0 No
Cooler temperature in compliance?
0 Yes
0 No
Cooler/Samples arrived at the laboratory on ice.
Samples were considered acceptable as cooling
process had begun.
Yes
0 No
Water - Sample containers properly preserved
0 Yes
0 No
NIA
Water - VOA vials free of headspace
0 Yes
0 No
NIA
Trip Blanks received with VOAs
0 Yes
0 No
NIA
Soil VOA method 5035 — compliance criteria met
0 Yes
0 No
NIA
F_ High concentration container (48 hr)
F_ High concentration pre -weighed (methanol -14 d)
F_ Low concentration EnCore samplers (48 hr)
F_. Low conc pre -weighed vials (Sod Bis -14 d)
Special precautions or instructions included? 0 Yes * No
Comments:
Signature: Lexi Townsend Date & Time: 10/03/2023 08:57:49
Page 7 of 8

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Page 8 of 8

Eh Ofl{��r1Jk1 r�L 1wt1�3r1t,.43C;IF , MSUMMU11-
INC
December 18, 2020
Alex Fox
Synagro
284 Boger Rd.
Mocksville, NC 27028
TEL: [phone]
FAX: [phone]
RE: Winston WTP
Dear Alex Fox:
SummilEnviionmerrlal Technologies, Inc,
3310 On St.
Cuyahoga Falls, Ohio 44223
TEL [phone] FAX- [phone]
Website: httn://it tii aysettek.coui
Order No.: 20120299
Summit Environmental Technologies, Inc. received I sample(s) on 12/4/2020 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-Oioa, Florida NELAC C87688, Idaho OH00923, Illinois 200061, Indiana C-OH-13, Kansas
E-10347, Kennucky (Underground Storage Tank) 3, Kentucky 90146, Matylattd 339, Michigan 9988, Minnesota 1780279, Nevada 011009232020-1, New
Hampshire 2996, New Jersey 0I1006, New York 11777, North Carolina 39705 and 631, North Dakota R-201, Ohio 17W, Ohio VAP CL0052, Oklahoma
2019-155, Oregon OH2O0001, Pennsylvania 011, Rhode Island LA000317, South Carolina 92016001, Texas T104704466-19-16, Utah 011009232020-12,
Virginia VELAP 10381, West Virginia 9957C
Page 1 of 34

WorkOrder Narrative:
20120299: 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 accreditations/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 QC Notes:
40PPM SVOC-MSTR_S(8270): 8270 CCV exhibits high recovery for Pyridine. Associated samples are
N.D. for this analyte.
LCS-46757 SVOC-BNA_TCLP(8270): Possible high bias for Pyridine due to high recovery in CCV.
Original
Page 2 of 34

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 I.,imit.
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 l: l 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/i41B+ 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 fi•om the method was performed; Please refer to the Case Narrative for
additional information
Acronyms
ND
Not Detected
RL
Reporting Limit
QC
Quality Control
A'IDL
Method Detection Limit
i41B
Method Blank
LOD
Level of Detection
LCS
Laboratory Control Sample
LOQ
Level ofQuantitation
LCSD
Laboratory Control Sample Duplicate
PQL
Practical Quantitation Limit
QCS
Quality Control Sample
CRQL
Contract Required Quantitation Limit
DLIP
Duplicate
PL
Permit Limit
NIS
Matrix Spike
RegLvl
Regulatory Limit
MSD
Matrix Spike Duplicate
IVICL
Maximum Contamination Limit
RPD
Relative Percent Different
MinCL
Minimum Compound Limit
ICV
Initial Calibration Verification
RA
Reanalysis
ICB
Initial Calibration Blank
RR
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 34

Summit Environmental Technologies, l„c. Work©rder
SUMMIEff- 3310 Win St.
t 91tt�N►t�NY#L st gi �c�F sflIFS, WC. Cuyahoga Falls, Ohio 44223 Sample Summary
�. iaiy tir ! L .% r Tr�tie TEL: [phone] FAX' [phone] WO#: 20120299
lVebsite: h1(2://www.se1fekxotn 18-Dec-20
CLIENT: Synagro
Project: Winston W"iTP
Lab SampleID Client Sample ID Tag No Date Collected Date Received Matrix
20120299-001 Winston WTP 12/2/2020 11:15:00 AM 12/4/2020 10:55:00 AM Sludge
Page 4 of 34

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SUMMIT
Snnnnit Environmental Technologies, Inc.
3310 Win St.
Analytical Report
ENVIFIO A rtlrWAL t cst,doL4c�iFs, we
Cuyahoga Falls, Ohio 44223
(base report)
Amat ri;m r.;I.boratorwib
7EL: [phone] FAX: [phone]
WO#: 20120299
Websile: hrtn:/hisvwseuek.ca"
Date Reported: 12/18/2020
CLIENT: Synagro
Tag Number:
Matrix: SLUDGE
Collection Date:
12/2/2020 11:15:00 AM
Lab ID: 20120299-OOIA
Project: Winston WTP
Client Sample ID Winston WTP
Analyses Result
RL
Qual Units
DF Date Analyzed
TCLP METALS, VOC, BNA, PEST, HERB -SOLID
SW7470A
SW7470A Analyst: ERA
TCLP MERCURY ANALYSIS (SW131117470)
TCLP Mercury
ND
0.00200
mglL
1 12/10/2020 3:05:00 PM
TCLP METALS, VOC, BNA, PEST, HERB -SOLID
SW6010D
SW3010A Analyst: EAM
TCLP METALS ANALYSIS (SW131116010)
TCLP Arsenlc(As)
ND
0,500
mglL
1 12/9/2020 6:23:41 PM
TCLP Barium(Ba)
ND
5,00
mglL
1 1219120206:23:41 PM
TCLP Cadmium(Cd)
ND
0.100
mg1L
1 12/9/2020 6:23:41 PM
TCLPChromium(Cr)
ND
0.200
mg1L
1 1219120206:23:41 PM
TCLP Lead(Pb)
ND
0.500
mg1L
1 12/9/2020 6:23A1 PM
TCLP Selenium(Se)
ND
0.0500
mglL
1 12/9/2020 6:23AI PM
TCLP Silver(Ag)
ND
0.500
mg1L
1 12/9/2020 6:23AII PM
TCLP METALS, VOC, BNA, PEST, HERB -SOLID
SW8270
SW351OC Analyst: SFG
TCLP SEMI-VOLATILES ANALYSIS (SW131118270)
1,40chlorobenzene
ND
0.200
mglL
2 12/9/2020 10:30:00 Pull
2,4,5-Trichlorophenol
ND
0.500
mg1L
2 12/9/2020 10:30:00 PM
2,4,6-Trichlorophenol
ND
0.500
mg1L
2 12/9/2020 10:30:00 PM
2,4-Dinitrotoluene
ND
0,100
mg1L
2 12/9/2020 10:30:00 PM
Cresols, Total
ND
10.0
mg1L
2 12/9/2020 10:30:00 PM
Hexachloro-1,3-butadiene
ND
0,0400
mg1L
2 12/9/2020 10:30:00 PM
Hexachiorobenzene
ND
0,100
mg1L
2 12/9/2020 10:30:00 PM
Hexachloroethane
ND
0.200
mg1L
2 12/9/2020 10:30:00 PM
Nitrobenzene
ND
0.200
mg1L
2 12/9/2020 10:30:00 PM
Pentachlorophenol
ND
0.500
mg1L
2 12/9/2020 10:30:00 PM
Pyridine
ND
0.500
QC+ mg1L
2 12/9/2020 10:30:00 PM
Surr: 2-Fluorophenol
41.2
10 - 157
%Rec
2 12/9/2020 10:30:00 PM
Surr: Phenol-d6
46.8
10 - 169
%Rec
2 12/9/2020 10:30:00 PM
Surr: Nitrobenzene-d5
46.2
32.1 - 130
%Rec
2 12/9/2020 10:30:00 PM
Surr: 2,4,6-Tribromophenol
58.6
45.4 - 166
%Rec
2 12/9/2020 10:30:00 PM
Surr: 2-Fluorobiphenyl
57.6
35.7 - 130
%Rec
2 12/9/2020 10:30:00 PM
Surr: p-Terphenyl-d14
116
74.7 - 145
%Rec
2 12/9/2020 10:30:00 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
P Second column confirmation exceeds
PL Permit Limit
R RPD outside accepted recovery limits Original
RL Reporting Detection Limit
U Samples with CalcVal
< MDL
Page 6 of 34

MSUMMSummit Environmental Technologies, hic. Analytical Report
11- 3310 IVin St.
ENVIItWRAEWTAL rECI€NOLOGIV.S, INN Cuyahoga Falls, Ohio 44223 (base report)
lkttn3f rt}; I l Per. -Tone TEL: [phone] FAX. [phone] WOff: 20120299
IVebsite: mtt ://innv.settek.com Date Reported: 12/18/2020
CLIENT: Synagro Tag Number:
Matrix: SLUDGE Collection Date: 12/2/2020 11:15:00 AM
Lab ID: 20120299-001 A
Project: Winston WTP
Client Sample ID Winston WTP
Analyses
Result
RL Qual
Units
DR
Date Analyzed
TCLP METALS, VOC, BNA, PEST, HERB -SOLID
SW8081
SW3510C Analyst: CSS
TCLP PESTICIDES ANALYSIS
(SW131118081)
Chlordane, total
ND
0.0250
mglL
1
12/12/2020 1:03:00 AM
Toxaphene
ND
0.0500
mg/L
1
12/12/2020 1:03:00 AM
Endrin
ND
0.00250
mg1L
1
12/12/2020 1:03:00 AM
gamma-BHC
ND
0.00250
mg1L
1
12/12/2020 1:03:00 AM
Heptachlor
ND
0.00250
mglL
1
12112/2020 1:03:00 AM/
Heptachlor epoxide
NO
0.00250
mg1L
1
12/12/2020 1:03:00 AM
Methoxychlor
ND
0.00250
mg/L
1
12/12/2020 1:03:00 AM
Surr: TCMX
73A
10 - 119
%Rec
1
12/12/2020 1:03:00 AM
Surr: DCB
71.3
10 - 119
%Rec
1
12/12/2020 1:03:00 AM
TCLP HERBICIDES BY EPA 8321B
SW8321A
Analyst: TM
2,4-D
ND
0.500
mg/L
50 12/16/2020 6:47:00 PM
2,4,5-TP
ND
0,500
mg/L
50 12/16/2020 6:47:00 PM
Surr. 2,4-Dichlorophenylacetic aci
83.2
70 - 130
%Rec
50 12/16/2020 6:47:00 PM
TCLP METALS, VOC, BNA, PEST, HERB -SOLID
SW8260
SW1311M Analyst: SLV
TCLP VOLATILES ANALYSIS
1,1-Dichloroethene
ND
0.250
mg/L
50 1219120206:08:00 PM
1,2-Dichloroethane
ND
0.250
mg/L
50 1219120206:08:00 PM
MEK
ND
5.00
mg/L
50 12/9/2020 6:08:00 PM
Benzene
ND
0.250
mglL
50 12/9/2020 6:08:00 PM
Carbon tetrachloride
ND
0.250
mg/L
50 12/9/2020 6:08:00 PM
Chlorobenzene
ND
2.50
mglL
50 12/9/2020 6:08:00 PM
Chloroform
ND
0.250
mg/L
50 12/9/2020 6:08:00 PM
Tetrachloroethene
ND
0.250
mg1L
50 12/9/2020 6:08:00 PM
Trichloroethene
ND
0.250
mg/L
50 12/9/2020 6:08:00 PM
Vinyl Chloride
ND
0.100
mg1L
50 12/9/2020 6:08:00 PM
Surr: 4-Bromofluorobenzene
90.5
70 - 130
%Rec
50 12/9/2020 6:08:00 PM
Surr: Dibromofluoromethane
98.8
70 - 130
%Rec
50 12/9/2020 6:08:00 PM
Surr: Toluene-d8
98.9
70 - 130
%Rec
50 12/9/2020 6:08:00 PM
Qualifiers: B Analyte detected in the associated Method Blank
E Value above quantitation range
1-I Molding 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
P Second column
confirmation exceeds
PL. Permit Limit
R RPD outside accepted recovery limits Original
RL Reporting Detection Limit
U Samples with Ca]cVal < MDL
Page 7 of 34

MISUMMI't
�ttVltitttt t3YikLca;ta.ttG.tts;iP$, siu.r.
ftrrattWcal L ?brrra-lone!,
Summit Em47-onmental Technologies, Ine.
3310 Win Sr.
Cuyahoga Falls, Ohio 44223
TEL: [phone] FAX: [phone]
Analytical Report
(basereport)
WOII: 20120299
Websiie: hIM.Ilis,sviv.settek.com
Date Reported: 12/18/2020
CLIENT:
Synagro
Tag Number:
Matrix:
SLUDGE
Collection Date:
12/2/2020 11:15:00 AM
Lab ID:
20120299-001A
Project:
Winston WTP
Client Sample ID Winston WTP
Analyses Result RL Qual Units Di+ bate Analyzed
RCI SW9014 Analyst: MS
REACTIVE CYANIDE (9014I7.3.3.2)-SOLID
Cyanide, Reactive ND 0.490 mg/Kg 1 12/13/2020 12:46:00 PM
IGNITABILITY OF SOLIDS (SW-846: 1030) SW1030 Analyst: CXS
lgnitability nonflammable mmisec 1 12/10/2020 5:30:16 PM
RCI SW9045D Analyst: VVK
PH (SW9045D)
pH 7.2 s.u.@20.00 1 12/7/2020 12:13:39 PM
RCI SW9034 Analyst: MS
REACTIVE SULFIDE (9034)I7.3.4.2
Sulfide, Reactive ND 25.0 mg/Kg 1 12/13/2020 12:46:00 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
PL
Permit Limit
RL
Reporting Detection Limit
E Value above quantitation range
M Manual Integration used to determine area response
N Tentatively identified compounds
P Second column continuation exceeds
R RPD outside accepted recovery limits Original
U Samples with CaJcVal < MDL
Page 8 of 34

Sanrmil Lns4romnental7'echnologies, Inc. Accreditation Program
MSUMMMIr 3310 Win St. Anal tes Report
EP8VIl4t7tJtl tdii�l rrcitks L[) ;I S, W, Cuyahoga Falls, Ohio 44223 y l'
' «1 tr'c f C:u ca�iatl . TEL: [phone] FIX: [phone] WO#: 20120299
Illebsite: hay./hnosv.sellek.cour 18-Dee 20
Client: Synagro State: NW
Project: Winston WTP Program Name: NC_WW_SCM
Sample ID Matrix
Test Name
Analyte
Status
20120299-OOIA Sludge
Ignitability of Solids (SW-846: 1030)
Ignitability
A
Sludge
pi -I (SW9045D)
Hydrogen lon (PH)
A
Sludge
Reactive Cyanide (9014/7.3.3.2)-Solid
Cyanide, Reactive
N
Sludge
Reactive Sulfide(9034)n.3.4.2
Sulfide, Reactive
N
Sludge
TCLP Herbicides by EPA 8321 B
2,4,5= I'P
A
Sludge
TCLP Herbicides by EPA 8321B
2,4-D
A
Sludge
TCLP Mercury Analysis (SW 1311/7470)
Mercury
A
Sludge
TCLP Metals Analysis (SW 1311/6010)
Arsenic
A
Sludge
TCLP Metals Analysis (SW 1311/6010)
Barium
A
Sludge
TCLP Metals Analysis (SW 1311/6010)
Cadmium
A
Sludge
TCLP Metals Analysis (SW 131116010)
Chromium
A
Sludge
TCLP Metals Analysis (SW 131 1/6010)
Lead
A
Sludge
TCLP Metals Analysis (SW1311/6010)
Selenium
A
Sludge
TCLP Metals Analysis (SW 131116010)
Silver
A
Sludge
TCLP Pesticides Analysis (SW 1311Y8091)
Chlordane, total
A
Sludge
TCLP Pesticides Analysis (SW 1311/8081)
Endrin
A
Sludge
TCLP Pesticides Analysis (SW 1311/8091)
gamma-BHC
A
Sludge
TCLP Pesticides Analysis (SW 131 1/8081)
Heptachlor
A
Sludge
TCLP Pesticides Analysis (SW 1311 /8081)
Heptachlor epoxide
A
Sludge
TCLP Pesticides Analysis (SW 1311/8081)
Methoxychlor
A
Sludge
TCLP Pesticides Analysis (SW l31 1/8081)
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-Vola€iles Analysis (SW1311/8270)
2,4,64richlorophenol
A
Sludge
TCLP Semi-Volatiles Analysis (SW 1311/8270)
2,4-Dinitrotoluene
A
Sludge
TCLP Semi-Volatiles Analysis (SW1311/8270)
Cresols, Total
A
Sludge
TCLP Semi-Volatiles Analysis (SW1311/8270)
Hexachlorobenzene
A
Sludge
TCLP Semi-Volatiles Analysis (SW1311/8270)
Hexachlorobutadiene
A
Sludge
TCLP Semi-Volatiles Analysis (SW1311/8270)
Hexachloroethane
A
Sludge
TCLP Semi-Volatiles Analysis (SW1311/8270)
Nitrobenzenc
A
Sludge
TCLP Semi-Volatiles Analysis (SW1311/8270)
Pentachlorophenol
A
Sludge
TCLP Semi-Volatiles Analysis (SW1311/8270)
Pyridine
A
NC_WW_SCM A Accredited NC WW SCM N Not Accredited
Original 41
Page 9 of 34

Summit Enrironmenial Technologies, Inc.
Accreditation
Program
InSUMMIlu 3310 Wm Si.
Anal tes Report
PpdVlItJNPd! 1.17kL �cit tq[..4rlr�,
INC. Cuyahoga F'611s, Ohio 44223
A, MyUcal Laboratorieg
TEL: [phone] FAX.- [phone]
WO#:
20120299
Websile: hlm://minw.sellek.com
18-Dec-20
Client: Synagro
State: NW
Project: Winston WTP
Program Name: NC_WW_SCM
Sample ID Matrix
Test Name
Analyte
Status
20120299-OOIA Sludge
TCLP Volatiles Analysis
l,l-Dichloroe€Ilene
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
NC_WW_SCM A Accredited NC_WW SCM N Not Accredited
Original #1
Page 10 of 34

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Page 33 of 34

Summit Environmental Technologies, hrc.
RISUMMIT 3310 fVin St.
ERvlftbmo1iEwrAL INC:, Cuyahoga Falls, ohio4F223 Sample Log -in Check List
TEL: [phone] FAX: [phone]
P'ebsite: hw:1Amwry,selrek.conr
Client Name: SYN-NC-27028 Work Order Number: 20120299 RcptNo: 1
Logged by: Jacqueline Rasile
Completed By: Jacqueline Rasile
Reviewed By: Jennifer Woolf
12/4/2020 10;55-.00 AM
12/6/2020 3:47,22 PM
12/712020 2:04:11 PM
-F4�Aj
Chain of Custody
1. Is Chain of Custody complete? Yes ElNo W Not Present El2. Flow was the sample delivered? FedEx
Lop In
3. Coolers are present? Yes V No ❑ NA ❑
4. Shipping container/cooler in good condition? Yes V No ❑
Custody seals intact on shipping containericooler? Yes ❑ No ❑ Not Present n
No. Sea[ Date: Signed By:
5. Was an attempt made to cool the samples? Yes V No ❑ NA ❑
6. Were all samples received at a temperature of >0° C to 6.0°C Yes L] No ❑ NA ❑
7. Sample(s) in proper container(s)? Yes 0 No ❑
g, Sufficient sample volume for indicated test(s)? Yes ❑ No ❑
9, Are samples (except VOA and ONG) property preserved? Yes ❑ No ❑
10. Was preservative added to bottles? Yes ❑ No W NA ❑
11. Is the headspace in the VOA vials less than 114 inch or 6 mm?
Yes
❑
No ❑ No VOA Vials❑
12. Were any sample containers received broken?
Yes
❑
No d❑
13. Does paperwork match bottle labels?
Yes
0
No ❑
(Note discrepancies on chain of custody)
14. Are matrices correctly identified on Chain of Custody?
Yes
❑
No ❑
15. Is it clear what analyses were requested?
Yes
❑
No ❑
16. Were all holding times able to be met?
Yes
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: Alex Fox Date: F1217/2020
By Whom: Jennifer Woolf Via: k eMail ❑ Phone ❑ Fax ❑ In Person
Regarding: jramplWdare listed as 9/22120. time as 10/15/20
....... _...
Client instructions: I It was samAled on 1212120 and time collected be 11:15 shipped at 1:00
18, Additional remarks:
sample date incorrect
Cooeor information
Cooler No Tem °C Condition Sea[ Intact Seal No Seal Date Signed By
i 0.7 _.Goodl Not Present
Page 34 of 34

Sodium
Calcium
Magnesium
Percent Solids
SAR
SAR
Swann 3/23/23
mg/kg mg/l_ Equiv Weight Milli Equiv
500 13 23 0.565217
2180 56.68 20 2.834
1620 42.12 12 3.51
2.6
0.32
Nay"
z (Ca2+ + Mg2+)
0.56522
0.5( 2.834 z + 3.51000 z )

Swann 10I2I23
mg/kg mg/L
Sodium 1080 23.22
Calcium 5060 108.79
Magnesium 3000 64.5
Percent Solids 2.15
SAR 0.43
SAR = Nay
(Ca2+ } M92+)
Equiv Weight Milli Equiv
23 1.009565
20 5.4395
12 5.375
1.00957
0.5( 5.4395 2 + 5.37500 z )

Section 4
• Maps of the residuals disposal sites

Section 5
• Field soil sampling results
• Agricultural Lime Application Logs

NCDA&CS Agronomic piv€slon Phone: [phone]
Webslte: www.ncagr.gov/agronomil
Report No, FY24-SLO12358
r ex .
predictive
Client: Forrest Breedlove
3402 Harmony Hwy
Advisor: Brent Collins
EMA Resources Inc
r
i.rf
Harmony, NC 28634
755 Yadkinville Rd
S }
Soil Report Mehlich-3Extraction
Mocksville,NG27028
Sampled County : Davie
Links to HellAul information
Client ID: 513494
Advisor ID: 405413
sampled:
Received: 11/0212023 Completed: 11124/2023
Farm: DV33
Sample ID: 00001
Recommendations: Lime
Nutrients (Iblacre)
More
Crop (tonslacre)
N P20e
K20 Mg S
Mn
Zn
Cu B
Information
Lime History:
1 - FescuelOGrassiTim, M 0.0
120-200 40
20 0 0
0
0
0 0
Nate: 12
2 - 0.0
Test Results [units -
WN In grcm3; CEC and Na In meg1100 cm3; NO3-N In mgrdm3]:
Soil Class:
Mineral
HM% WN CEC BS°/ Ac pH P-1 K-1
Ca% Mg°/ S-1
Mn-I Mn-All Mn-AI2
Zn-I
Zn-AI
Cu4 Na ESP SS -I NO3-N
0.46 1.06 6.7
80 1.3 5,9 43 63
56 20 55
862 534
284
284
61 0.0
Sample ID: 00002
Recommendations: Lime
Nutrients (lb/acre)
More
Crop (tonslacre)
N P205
K20 Mg S
Mn
Zn
Cu B
Information
Lime History:
1-FescuelOGrassrrim, M 0.0
120-200 40
50 0 0
0
0
0 0
Nate: 12
2 - 0.0
Test Results [units -
WN In 9rcm3; CEC and Na in meg1100 cm3; NO3•N in mgldm3):
Soil Class:
Mineral
HM% WN CEC BS% Ac pH P-1 K-1
Ca% Mg% 8-1
Mn•I Mn-Alt Mn-AI2
Zn-I
Zn-AI
Cu-I Na ESP SS -I Nos-N
0,46 1.08 7.6 85 1.1 6.2 41 46
59 23 46
884 544
395
395
71 0.0
North Carolina
lobnco tmst I:uad 0111111M7a
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 Troxier, Commissioner of Aprlculture

NCDA&CS Agronomic Division Phone: [phone]
Webs€te: www.ncagr.govlagronomil
Report No.
FY24-SLO12358
Forrest Breedlove
Page 2 of 3
Sample ID: 00003
Recommendations: Lime
Nutrients (Iblacre)
More
Crop (tonslacre)
N P205
K20
Mg
S
Mn
Zn
Cu B
Information
Lime History:
1-FescuelOGrass/Tim, M 1.1
120-200 0
80
0
0
0
0
0 0
Nate: 12
2 - 0.0
Test Results [units - WN In 91cm3; CEC and Na in meg1100 cros; NO3-N In mgldrti ):
Soil Class:
Mineral
HM% W!V CEC BS% Ac pH P-1 K•1
Ca% Mg% S-1
Mn-I
Mn-All
Mn-AI2
Zn-1
Zn-AI
Cu-I Na ESP
$$-I NOs-N
0.51 1.32 3.8
52 1.8 5.0 267 28
35 13 46
91
72
172
172
31 0,0
Sample ID: 0004X
Recommendations: Lime
Nutrients (Iblacre)
More
Crop (tonslacre)
N P205
K20
Mg
S
Mn
Zn
Cu B
Information
Lime History:
1-FescuelOGrass[Tim, M 0.8
120.200 0
110
0
0
0
0
0 0
Nate: 12
2 - 0.0
Test Results [units -WN in g1cm3; CEC and Na In meg1100 cros; NO3-N In mg/did]:
Soil Class:
Mineral
HM% WN GEC BS% Ac pH P-1 K-1
Ca% Mg% S-1
Mn-I
Mn-All
Mn-AI2
Zn-I
Zn-Al
Cu-1 Na ESP SS-1 NO3-N
0.46 1,25 3.8
63 1.4 5.3 199 16
45 16 29
268
178
216
216
43 0.0

NCDA&CS Agronomic Division Phone: [phone]
Webslte: www.ncagr.gov/agronomcl
Report No. FY24-SLO12360
,,. ;t
Predictive
Client: GilmerA€len
281 rouble A Td,
Advisor: Brent Collins
EMA Resources Inc
4
Advance, NC 27006
755 Yadkinville Rd
Mehlich-3Extraction
Soil Report
Moeksville,NC27028
'r ss
Sampled County: Davie
�t'vrxn,r Links to Helpful Information
Client ID: 190572
Advisor ID: 405413
sampled: Received: 11102t2023 Compteted: 11/24/2023
Farm: DV34
Sample ID: 00001
Recommendations: Lime
Nutrients (lb/acre)
More
Crop (tonsfacre)
N P206
K20 Mg S
Mn
Zn
Cu B
Information
Lime History:
1- Fescue/CGrassfr€m, M 0.6
120-200 0
110 0 0
0
0
0 0
Note: 12
2 - 0.0
Test Results [units - W!V In 9lcm3; CEC and Na in meg1100 cm"; NO3-N In mgldm3]:
Soil Class:
Mineral
HM% WN CEC BS°/ Ac pH P-1 K-1
Ca% Mg%
S-i
Mn-I Mn-All Mn-Al2
Zn-I
Zn-Al
Cu4 Na ESP SS-1 NO3-N
0.51 1.17 7.5 80 1.5 5.6 249 17
62 17
33
205 140
640
640
ill 0.0
Sample ID: 00002
Recommendations: Lime
Nutrients (Iblacre)
More
Crop (tonsfacre)
N P206
K20 Mg S
Mn
Zn
Cu B
Information
Lime History:
1- Fescue/OGrassfrim, M 0,0
120-200 0
90 0 0
0
0
0 0
Note: 12
2 - 0.0
Test Results [units - WN In g1cm3; CEC and Na In meg1100 cm3; NO3-N In mgldm3]:
Sol[ Class:
Mineral
HM% WN CEC BS% Ac pH P-1 K-1
Ca% Mg%
S-1
Mn-I Mn-All Mn-Al2
Zn-]
Zn-Al
Cu-I Na ESP SS -I NO3-N
0.41 1.06 9.4 90 1.0 6.4 180 23
65 23
34
249 161
839
839
136 0,0
North Carolina
f�>},acco lmtt Furxt C-oa,Ii�ls�iils,
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 Traxler. Commissioner of Agriculture

NCDA&CS Agronomic Division Phone: [phone]
Webs€te: www.neagr.gov/agronomi/
Report No, FY24-SL012361
i:ui=u� -
Client: Edsel Wooten
Advisor: Brent Collins
ra Predictive
6120 Old US Hwy 421
EMA Resources Inc
East Bend, NC 27018
755 Yadkinville Rd
Mocksville, NC 27028
5 Mehlich-3
Soil Report
Extraction
4
Sampled County: Yadkin
Links to Helpful Information
Client ID: 549335
Advisor ID: 405413
Sampled: Received: 11/0212023 Completed: 11124/2023
Farm: YK43
Sample 10: 00001
Recommendations; Lime
Nutrients (lb/acre)
More
Crop (tonslacre)
N P2O5
K2O Mg S Mn
Zn
Cu B
Information
Lime History;
1-FescuelOGrassfrim, M 0.0
120-200 110
80 0 0 pH$
0
0 0
Nate, 12 Note:
2 - 0.0
Test Results [units - WN in glom?; CEC and No In meg1100 cm3; NO3-N In mgldm):
Soil Class: mineral
HM% W!V CEC BS% Ac pH P-1 K-1
Ca% Mg% 8-1
Mn-I Mn-All Mn-Al2 ZR-1
Zn-AI
Cu-I No ESP SS -I NO3-N
0,41 1.02 8.3 93 0.6 6.7 12 28
63 28 27
165 106 309
300
66 0.0
Sample ID: 00002
Recommendations: Lime
Nutrients (Iblacre)
More
Crop (tonslacre)
N P2O5
K20 Mg S Mn
Zn
Cu B
Information
Lime History:
1-FescuelOGrasslTim, M 0.0
120-200 80
70 0 0 0
0
0 0
Note: 12
2 - 0.0
Test Results [units - WIV in g1cm3; CEC and Na In meg1400 CO; NO3-N in mgldm):
Soil Class; Mineral
HM% WN CEC BS% Ac pH P-1 K-I
Ca% Mg°/ S-1
Mn•I Mn-All Mn-Al2 Zn-I
Zn-AI
Cu-I No ESP SS -I NO3-N
0.41 0.95 9.4 89 1.0 6.3 24 34
61 26 31
239 156 320
320
111 0.0
North Carolina
loba w Tuist 1'U&I CM11111W01
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, CommissionerofAwiculture

Pl A9 go€mt€ Inc.
YADKiIA€if'ILLE FdC (2 {221)
DUE
INVOICE
PO Box 8®S
Nutrien
VADKIf1 WLLE, HC 27053
3�Crfm79.13$
Invoice #; 52729125
Ag Solutions-
Invoice Data: 10/09123
DWAYNE HUTCHE:NS (026-32777)
Due Data,. Cash On Delivery
DrAtory IOste: 10j06123
ERA RESOURCES INC (1860345)
Order M 25364028
PO#t
756 YADIUM dILLIZ RD
Sales Rep: Ferguson, Jonathan
MOCKSWI.I.E, NC 27028
Shle Via., ComMnV Vehide Count. DAVIE
ergs
lu #. Pi �s14 oiu
lda1E Painelee'lfax
: ; .
1000184013 - LIME HI CAL BLK
17960.0000 LB 0.0550
66.68
987.80
1000189836 - TONNAGE TAX
1.0000 E4 12.8950
12.90
1000000671- SPREADER TRUCK - TOR!
8.9800 EA 10.0000
6.06
89.80
1000184013 - LIME PSI CAL BLK
16920.0000 LB 0.0550
62.82
930.60
1000000671- SPREADER TRUCK - TON
8.4600 EA 10.0000
5.71
84.60
1000184013 - UME HI CAL BLK
16700.0000 LB 0.0550
62.0{l
918.50
10MOO671 - SPREADER TRUCK - TON
8.3500 EA 10.0000
5.64
83.50
Safety Data SMets are avallaWe upon rquest for appllcab#e products. Contact your local firanch for details. trm a M411ca1 emergency
Involving this product, cal€1-1166-944-0565. For he€p with any spill, leak, fire or exposure, call Chernbmc at 1-800-424-9300.
*** Invokm motes***
Weight #1445419, #1445418, #1445420 �j t
Edsel Wooten
E� Payment Terms: IMMEDIATE invoice Sato Total: i�ta0ge4aa
3,107.7
Sales Tax:
206.91
Invoice TOW:
3,316.61
Lem Prepay Used.,
0100
Leas prepay b scount,
OAT}
Gross invoice Total:
3,316.61
Amount Dv+e:
3,316.61
�IIt'l6E
Nutrien A9 Solutions, Inc.
l of 2 PO Box 188
YADKINVILIE NC 27055

Pi lcher Farm
3037 Wyo Road
Yadkinv+lle, NC 27055
336-463-2582
Name
Address
City, State
Phone

Winston-Salem/Forsyth County Utilities
WQ0031314
2023 Residuals Land Application Report
R.W. Neilson Water Treatment Plant
TABLE OF CONTENTS
Section 1
• DEQ Form DMSDF - Class A Annual Distribution and Marketing/Surface Disposal Certification
and Summary Form
• DEQ Form DMSDF(Supp) - Class A Annual Distribution and Marketing/Surface Disposal
Certification and Summary Form (Supplemental Information)
• DEQ Form RSSF - Annual Residual Sampling Summary Form
• DEQ Form RSSF B - Annual Residual Sampling Summary Form
Section 2
• DEQ Form MFLSF - Annual Metals Field Loading Summary Form
• DEQ Form FSF - Annual Land Application Field Summary Form
Section 3
• Lab data sheets from Waypoint (nutrient, nutrient metal sampling data and chain of custody's)
• Lab data sheets from Waypoint for this permit cycle (TCLP, Corrosivity, Ignitability and Cyanide)
• Copies of our SAR/PAN calculations
Section 4
• Maps of the residuals disposal sites
Section 5
0 Field soil sampling results

Section 1
• DEQ Form DMSDF -Class A Annual Distribution and Marketing/Surface
Disposal Certification and Summary Form
• DEQ Form DMSDF(Supp) -Class A Annual Distribution and
Marketing/Surface Disposal Certification and Summary Form (Supplemental
Information)
• DEQ Form RSSF -Annual Residual Sampling Summary Form
• DEQ Form RSSF B -Annual Residual Sampling Summary Form

3
CLASS A ANNUAL DI8'FXW yTION AND MARKETING/ SURFACE DISPOSAL CERTIFICATION AND SUMMARY FORM
WQ PERMIT #: WQ0031314 ;ACL'Ty
INAME: Winston Salem - Neilson Water Treatment Plant
PHONE; 01}NTY:Forsyth OPERATOR: City ofWinston Salem
FACILITY TYPE (please ceck: one): ❑ Surface Disposal (complete Part A (Source(s) and "Residual In" Volume only) and Part C)
p Distribution and Marketing (complete Parts A, B, and C)
Was the facility in operation durine the oast calendar year? Yes O No 17 --ip- If No skin carts A. B. C and certify form below
Part A*•
Part B*:
mouth
Sources s include NPDES # if
() (
applicable)E
Volume (dry tons)
Recipient Information
Amendment/
Bulking Agent
Residual In
Product Out
Name(s)
Volume (dry tons)
Intended use(s)
January
February
j
March
April
i
May
June
NCO086011
701.27
701.27
Roger Spillman
701.27
soil amendment
July
NCO086011j
91.47
91.47
Boger Spillman
91.47
soil amendment
August
i
September
October
November
0
December
Total from FORM DMSDF (sup)
0
0
0
0
Totals: Annua) (dry tons).
0
7n..74
792.74 : ":
792.74
Amendment(s) used:1 P
Bulking Agent(s) used:
- it more space is required, anacn aaainon:
Part C:
Facility was compliant during the pas
(including but not limited to items 14
1. All monitoring was done in accordance
2. All operation and maintenance requirem
3. No contravention of Ground Water Qua
"I certify, under penaltythat the
plenalties for subruittinji false InNrmatioi
Of
tmormauon sneets trunm um wip tsuppp:
1-01at Number of t'orm llMSt)t• (Jupp)l U J
calendar year with all conditions of the land application permit © Yes
relow) issued by the Division of Water Quality: ❑ No If No, Explain in Narritive
Ai the permit and reported for the year as required and three (3) copies of certified laboratory results are attached.
its were compiled with or, in the case of a deviation, prior authorization was received from the Division of Water Quality.
y Standards occurred at a monitoring well.
bove information is, to the best of my knowledge and belief, true, accurate and complete. I om aware that there are significant
including the possibility of Imes and imprisonment for knowing violations."
Date Signatur reparer**
(if different from Permittee)
**Preparer is defined in 40 CFR Part 503.9(r) and lSA NCAC 2T .1102 (26)
a- g• ao�K
Date
DENR FORM DMSDF (12/2006)

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Section 2
• DEQ Form MFLSF -Annual Metals Field Loading Summary Form
• DEQ Form FSF -Annual Land Application Field Summary Form

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: Winston Salem - Swann WTP Total Dry Tons Applied (Annual): 140,86
Permit #: WQ0031314 Cation Exchange Capacity (non 503 only): 0
Operator: Roger Spillman Owner: Roger Spillman Predominant Soil Series: MrC2
Acres Used: 17.66 Acres Permitted: 17.66 Site #: DV008 Field #: 5
Residual Analvsis Data CHeavv Metals and Total Phosphorus use mglkLY. % Solids use Raw Percent ft
,.,
Com-
posite.
Date
Annual
Annual
neaVy Metal k-ield Loadings
(L'alculatecl in lbs/acre):
Total III
L2J31
LAJ6
6
7
8j
3
i Q
11 j
12
DT/Ac./
App.
Event
798
Arsenio
0. 099
0,000.1.0.0004.
0,000
0 000
0,000
0.000 '
0.000
0.000
0 000
0.000
0.00.0
0.099 :
Cadmium
0.010
0.000.
. 0.000
0.000
0.000
0.000
i1,000 '
0.000
0.000
0 000
0,900,
; 0.000
0.010
Copper
0.692
0.'000 .
`;0.000 :'
OA00
0,000
0 000
0.000 '
0.00 0
0.000
WOW
0.000 ;'
D.000
0.6.92
Chramiu
0.$57
0000
0 000
OA00
0,000
0000..
'0.000
0.000.
0000
0000
0.000..;
0.000
0.8.57
Lead
0.448 .
..O fl00
. 0.000..
OA00
D..00O
0 000
0.000 '
O.D00
0.000
0,000
0.000
V. 000
0.44$ ;
Mercury
0:002
0.000:
0.000
0.000
0,000
0.000
0.000: ;::0.000.:0:000
GOOD
0.000
QOOD
0,002
Molyb-
0,024
0.000
0.000 `
0.000
0.000
0;000
0.000:..0.000
0.000
0.000
0.000
0.000
0 024
denum
Nickel
.0,394 .
O000
.0.000
0.000
0.000
0;000
.0.000
0.000
0.000
0.000
0.000
' 0.0.00
0 394
Selenium
0.024
0000
0.000
0.000
0,000
0.000
0.000
0.D00
0.000
0000
0.000
' 0.000
0.024
Zinc
2.138
0`000
0.000 :
0.00.0
O,DOO
0:000 .
''.0.D00
0.000
0.000
0.000
..,;O.DDO
0.00.0
2.13$ .`
Total
Phos-
37.168
0 000
0.000
0.000
0.000
4.000
'0.000
Q.000
0,000
0.000
0 OOD
0.000
37.168 ':
nhorus
"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".
Z�Lle 4" 1/29/2024
Signature of Land Applier
Date
DFNR FORM MFLSF (1212006)

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ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: Winston Salem - Swann WTP Total Dry Tons Applied (Annual): 163 27
Permit #: WQ0031314 Cation Exchange Capacity (non 503 only): 0
Operator: Roger Spillman Owner: Roger Spillman Predominant Soil Series: MrB2
Acres Used: 19.08 Acres Permitted; 19.08 Site #: DVO08 Field #: 6
Residual Analvsis Data (Heavv Metals and Total Phosphorus use mElkz, % Solids use Raw Percent #):
Sample or
Com-
posite
Date
1
mocksvilla
WTP
121023
2 j
May
Average
3
4
51
61
7
8 J
10
11
12
_.
Arsenic
8.27
6.2
Cadmium
1.52
0.6
Copper
32.4
43.4
Clu-omium
80.3
53.7
Lead
33
28.1
Mercury
0.655
0.1
Molyb-
denum
4.55
1.5
Nickel
33.6
24.7
Selenium
10.6
L5
Zinc
105
134
Total
Phos-
holes
1680
2330
Annual
Heavy Metal Yield Loadings
(Ualculated in lbs/acre):
Total 1
11
21
31
4
5
6
-7J
8
_Rj
10
111
12
DT/Ac,/
o
App.
Event
3.76
4.79
Arsenic
0;062
.0,059
0.000 :`
O.00O..
0 000
0.000
.0.000 ;
0.000.
0 000
0. 000
0.000
' 0,000.;
0.1.22 '.
Cadmium
0.011
.0 006
0.000 `
0.000
0.000
0 000
0.000
0.000
0.000
0 000
0.000
: 0.000
0.0l
Copper
0.244
0 416
0.000_!
0.000
. 0,000
0000
0.000
0.000.0.000..0'000
0.000
0,000:.
0.660
Chromic
0.604
0 515
:0.000..::
0.000::...0.000
0000
0.000 '
0.000
0.000
0 004
0.000
; 0.000
1.119
Lead
0 248
0 269
0.000.:
0.0.0.0.
0.000
0 004
0A00
0,000.
4.000
0 000
0,004
0 000
0.51
Mercury
0.005
0 001
0.000
0.000
0.000.:.:0.000..
0.000
0.000
0.000
. 0,000
0,000_!:
0.000:
0.006
Molyb-
0,434
0. 014
O.ODD..
4,000
0.000
OAOo
0.000
0.000
0;0..00
0 004
0.000.
0,000.
0.049 :;
denum
.
Nickel
0.253
0.237 .
0.000:.
0.000.
0.0. 00
0 000
0.000 :':
4.00.0
4.000
.0.004
o OOD
, 0.000:
0.4..90
Selenium
.0.080
4 014
0.000
.0.000
0.000
.0.000
0.000:
0.000
0.000
..
0:000
. .0.000
4.0001
0.094
Zinc
0.790
1 2$S .
. 0.000
0.000
0.000
0 000
0.000
0.00. 0..
OA00..0.000.0,000.
. 0,000
2.075
Total
Phos-
12.644
22.340
0.000..
0.000 .
0,000
.0,000
'.0.000
0.000
0..000
.0.000:.
..;0.000
0.000
3084
nhorus
"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".
d1z
1/29/2024
Signature of Land Applier
Date
DENR FORM MFLSF (12/2006)

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ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: Winston Salem - Swann WTP Total Dry Tons Applied (Annual): 560.41
Permit #: WQ0031314 Cation Exchange Capacity (non 503 only): 0
Operator: Roger Spillman Owner: Roger Spillman Predominant Soil Series: MrB2
Acres Used: 23.67 Acres Permitted: 23.67 ,Site #: DVO08 Field #: 9
Residual Analysis Data (Heavy Metals and Total Phosphorus use mLA2, % Solids use Raw Percent #):
Rem
Com-
posite
TotalDate
Phos-
-us
MENEENEENEEN
Annual
Heavy Metal Field Loadings
(Calculated in lbs/acre):
Total
111
21
1 31
4 j5
6
7
8
9
1 D
11
12
y
DT/Ac./,
App .
in
Event
23.68
Arsenic
0.294
0-0 0 ,
`0,000 :
0 000
0:000
..::0.000..
0.000
0.000
.::.0.000.
`0.000
0.000
; 0.000
0.294
Cadmium
0.028
.06000.
0.000 ";
0.00.0
0.000
0:000
0.000 `
0.000
U00
0 000
'0.000
' 0,000
00028 '
Copper
2.055
OA00 .
'0.000 .:
0.000.
0.0.00
0 000
0.000 :
0.000
0.000
. 0 000
0.000.
- 0.000.
2 055
Chromic
2.543
0 000
0.000 '
0.000
0.006
0 000
0.000 '
0,000
0.000
0000
01000
. O.O
2.543
Lead
1.331:::j
:0.000:::.
`0.000 .>
0.000::0:000
.
.0 000
0.00.0..
0A00
0.000
0 000
O'000
` 0 000
1:33J
Mercury
0.065
0 000
:0.000.'
0.000
0.000
0 000
0.00..
0.000
0 0.00
OA00
. '0.000
4 000.
0.005
Molyb-
0,071
0 000
..0.000.
0.000
0.000
0 000
0.000 '
0.000
0,000
0 000
0.000
i 0.000`
0,071
denum
Nickel
1370
0 000
0.00.0
0.0.00
0 000
0.000::
0.000
0;000
000
0.000...:
0.000 :
01000:
lJ70
Selenium
0107:1
0.000
01000 .
OA00
0.000
0 000
0.000
0.000 .
01000
0 000..
0.000 =
0,000
0,071
Zinc
6 3.�45
Os00.0..:'
.1000.
0.000.
04000
0.000:.0.000
0.000.
.0.000
0000
0,000
` 01000,;
6.345 ;:
Total
Phos-
110.3301
0 000
0.000.
0.000
0000
0.000,
0.000 `
0,000
0.000
0.000.
0.000::
A.0006
110.330
nhorus
"I certifv. under penalty of law. that this document was nrenared 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".
Z�f� 1 /29/2024
Signature of Land Applier
Date
DENR FORM MFLSF (12/2006)

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Section 3
• Lab data sheets from Waypoint (nutrient, nutrient metal sampling data and
chain of custody's)
• Lab data sheets from Waypoint for this permit cycle (TCLP, Corrosivity,
Ignitability and Cyanide)
• Copies of our SAR/PAN calculations

Waypointo
ANALYTICAL
5/25/2023
EMA Resources Inc
Mr. Brent Collins
755 Yadkinville Rd
Mocksville, NC, 27028
Lab Report Number: 23-137-0151
Client Project Description: Neilson
2790 Whitten Road, Memphis, TN 38133
Main 901.213.2400 ° Fax [phone]A40
www.waypolntanalytical.corn
Dear Mr. Brent Collins:
Waypoint Analytical, LLC. received sample(s) on 5/17/2023 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. Where the laboratory was not responsible for the sampling
stage (refer to the chain of custody) results apply to the sample as received.
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 2021) and NELAC unless otherwise indicated. Any parameter
for which the laboratory is not officially NELAP accredited is Indicated by a W symbol. These are not included in
the scope because NELAP accreditation is either not available or has not been applied for. Additional
certifications may be heldlare available for parameters, where NELAP accreditation is not required or applicable.
A full list of certifications is available upon request.
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,
Connie Cook
Project Manager
Laboratory's liability in any claim relating to analyses performed shalt 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.

Waypoint
ANALYTICAL
2790 Whitten Road, Memphis, TN 38133
Mal 901.213.24000 Fax [phone]
www,waypointanalytical.com
Certification Summary
Laboratory ID. WP MTN: Waypoint Analytical, LLC., Memphis, TN
State
Program
Lab ID
Expiration Date
Alabama
State Program
40750
02/29/2024
Arkansas
State Program
88-0650
02/07/2024
California
State Program
2904
06/30/2023
Florida
State Program - NELAP
E871157
06/30/2023
Georgia
State Program
C044
11/14/2025
Georgia
State Program
04015
06/30/2023
Illinois
State Program - NELAP
200078
10/10/2023
Kentucky
State Program
80215
06/30/2023
Kentucky
State Program
KY90047
12/31/2023
Louisiana
State Program - NELAP
LA037
12/31/2023
Louisiana
State Program - NELAP
04015
06/30/2023
Mississippi
State Program
MS
11/14/2025
North Carolina
State Program
47701
07/31/2023
North Carolina
State Program
415
12/31/2023
Pennsylvania
State Program - NELAP
68-03195
05/31/2024
South Carolina
State Program
84002
06/30/2023
Tennessee
State Program
02027
11/14/2025
Texas
State Program - NELAP
T104704180
09/30/2023
Virginia
State Program
00106
06/30/2023
Virginia
State Program - NELAP
460181
09/14/2023
Page 1 of 1 00001/23-137-0161

Waypoint,
ANALYTICAL
2790 Whitten Road, Memphis, TN U133
Main 901,213.2400 0 Fax 901.213,2440
www.waypointanalytical.com
Sample Summary Table
Report Number: 23-137-0151
Client Project Description: Neilson
Lab No Client Sample ID Matrix Date Collected Date Received
95140
Neilson #2
Solids
05/15/2023 08:00
05/17/2023
95141
Neilson #3
Solids
05/15/2023 08:00
05/17/2023
95142
Neilson #4
Solids
05/15/2023 08:00
05/17/2023

Waypoint.a
ANALYTICAL
Client: > MA Resources Inc
Project: Neilson
Lab Report Number: 23-137-0151
Date: 5/25/2023
2790 Whitten Road, Memphis, TN 38133
Main 901,213.2400 'Fax [phone]
www.waypointanaiytical.com
CASE NARRATIVE
Metals Analysis Method 6010D.
Sample 95251 (Pilgrims Hickory Hatchery PILHIHA)
Analyte: Aluminum
QC Batch No: 1-683237/1-682745
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 95251 (Pilgrims Hickory Hatchery PILHIHA)
Analyte: Calcium
QC Batch No: 1-683237/1-682745
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 95251 (Pilgrims Hickory Hatchery PILHIHA)
Analyte: Potassium
QC Batch No: 1-683237/1-682745
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 95251 {Pilgrims Hickory Hatchery PILHIHA}
Analyte: Phosphorus
QC Batch No: L683237/1-682745
The matrix spike and/or the matrix spike duplicate was outside quality control acceptance ranges. A dilution test
was performed and passed quality control acceptance ranges. No matrix interference Is suspected.
Solids Total Mercury Analysis - CVAA Method 7471A
Sample 59842 (OIM-ONT 2632)
Analyte: Mercury
QC Batch No: L683650/1-683458
The matrix spike, matrix spike duplicate and the post digestion spike were all outside of the quality control
acceptance ranges. Matrix interference is suspected

0
Waypoint..
ANALYTICAL
46245
EMA Resources Inc Project Neilson
Mr, Brent Collins
755 Yadkinvllle Rd Information
Mocksville , NC 27028
2790 Whitten Road, Memphis, TN 38133
Main 901,213.24000 Fax [phone]
www.waypointanalytical.com
Report Date : 05/25/2023
Received : 05/17/2023
Connie Cook
REPORTOPAINALYSI.S
p,ectManag,:r
Lab No: 95139
Matrix:
Solids
Sample ID : Neilson #1
Sampled. 5/15/2023 8:00
Test
Results
Units
MDL
MQL
DF
Date / Time
By
Analytical
Analyzed
Method
Moisture
79.7
%
1
05/22/2317:15
JLS
SW-DRYWT
Ammonia Nitrogen
685
mg/Kg - dry
78.8
493
1
05/25/23 14:20
JPJ
4500NH3C-2011
Nitrate*Nitrite-N
11.2 ]B
mg/Kg - dry
4,93
24.6
1
05/18/23 14:55
ZBD
4500NO3F-2016
organic N
6015
mg/Kg - dry
427.6
862.1
1
05/22/23 15:19
CALCULATION
phi
5.7
S.U.
1
05/23/2316.00
CNI3
9045D
Total Solids
20.3
%
0.010
0,010
1
05/22/23 17:15
JLS
254OG-2011
Total Kjeldahl Nitrogen
6700
mg/Kg - dry
862
1
05/22/23 15:19
ANH 4500NORGD-2011
Phosphorus
2380
mgJKg - dry
13.6
24.6
1
05/20/23 08:24
BKN
6010D
Aluminum
112000
mg/Kg - dry
228
246
10
05/22/23 22:21
BKN
6010D
Arsenic
4.89
mg/Kg - dry
1.18
2.46
1
05/20/23 08:24
BKN
6010D
Cadmium
0.517
mgJKg - dry
0.0985
0.493
1
05/20/23 08:24
BKN
6010D
Calcium
926
mgJKg - dry
191
246
1
05/20/23 08:24
BKN
6010D
Chromium
50.2
mgJKg - dry
1.16
1.23
1
05/20/23 08:24
BKN
6010D
Copper
43.1
mg/Kg - dry
1.53
2.46
1
05/20/23 08:24
BKN
6010D
Iron
43900
mgJKg - dry
42.0
49.3
1
05/20/23 08:24
BKN
6010D
Lead
25.4
mg/Kg - dry
0.886
1.48
1
05/20/23 08:24
BKN
6010D
Magnesium
1960
mgJKg - dry
12.7
24.6
1
05/20/23 08.24
BKN
6010D
Manganese
512
mg/Kg - dry
1.60
2.46
1
05/20/23 08:24
BKN
6010D
Mercury
<0.0961
mgJKg - dry
0.0961
0.798
1
05/23/23 10:55
FDS
7471A
Molybdenum
1.40
mgJKg - dry
0.665
1.23
1
05/20/23 08:24
BKN
6010D
Nickel
22.6
mgJKg - dry
0.591
1.23
1
05/20/23 08:24
BKN
6010D
Potassium
1810
mgJKg - dry
30.4
49.3
1
05/20/23 08:24
BKN
6010D
Selenium
<1.58
mgJKg - dry
1.58
2.46
1
05/20/23 08:24
BKN
6010D
Qualifiers/ B
Anatyte detected in blank
DF
Dilution Factor
Definitions J
Estimated value
MQL
Method Quantitat€on Limit

Waypol t }..
ANALYTICAL
46245
EMA Resources Inc Project Neilson
Mr. Brent Collins
755 Yadkinville Rd Information :
Mocksvllle , NC 27028
2790 Whitten Road, Memphis, TN 38133
Main 901.213.2400 0 FaK 901.213,2440
www.waypolntanalyti6i.com
Report Date: 05/25/2023
Received: 05/17/Z023
Connie Cook
Lab No : 95139
Sample ID : Neilson #1
Matrix: Solids
Sampled: 5/15/2023 8:00
Test
Results
Units
MDL
MQL
IDF
Date / Time By
Analytical
Analyzed
Method
Sodium
1003
mg/Kg - dry
64.0
123
1
05/20/23 08:24 BKN
6010D
Zinc
125
mg/Kg - dry
3.99
6.16
1
05/20/23 08:24 BKN
6010D
Sulfur
2280
mg/Kg - dry
25.5
49.3
1
05/20/23 08:24 BKN
6010D
Sodium Absorption Ratio
0.193
Ratio
0.01
0.01
1
05/20/23 08:24
CALCULATION
Qualifiers/ 8 Analyte detected In blank DF Dilution Factor
Definitions J Estimated value MQL Method Quantitation Limit

0
Waypoib
ANALYTICAL
46245
EMA Resources Inc Project Neilson
Mr, Brent Collins
755 Yadkinville Rd Information
Mocksville , NC 27028
2790 Whitten Road, Memphis, TN 38133
Main 901.213.2400 0 FaK 901.213.2440
www.waypolntanalytical,com
Report Date : 05/25/2023
Received : 05/17/2023
%-�
Connie Cook
Lab No: 95140
Matrix: Solids
Sample ID : Neilson #2
Sampled: 5/15/2023 8:00
Test
Results
Units
MDL
MQL
DF
Date / Time
By
Analytical
Analyzed
Method
Moisture
75.5
%
1
05/22/2317:15
JLS
SW-DRYWT
Ammonia Nitrogen
588
mg/Kg - dry
65.3
408
1
05/25/23 14:20
JPJ
4500NH3C-2011
Nitrate+Nitrite-N
10,8 JB
mg/Kg - dry
4.08
20.4
1
05/18/23 14,56
ZBD
4500NO3F-2016
Organic N
4147
mg/Kg - dry
473.5
951.0
1
05/22/23 15:22
CALCULATION
PH
5.8
S.U.
1
05/23/2316:00
CN8
9045D
Total Solids
24,5
%
0.010
0.010
1
05/22/23 17:15
JLS
2540G-2011
Total Kjeldahl Nitrogen
4730
mg/Kg - dry
951
1
05/22/23 15:22
ANH 4500NORGD-2011
Phosphorus
1920
mg/Kg - dry
11.3
20.4
1
05/20/23 08:29
BKN
6010D
Aluminum
93900
mg/Kg - dry
189
204
10
05/22/23 22:26
BKN
6010D
Arsenic
6.00
mg/Kg - dry
0.979
2.04
1
05/20/23 08:29
BKN
6010D
Cadmium
0.547
mg/Kg - dry
0.0816
0.408
1
05/20/23 08:29
BKN
6010D
Calcium
759
mg/Kg - dry
158
204
1
05/20/23 08:29
BKN
6010D
Chromium
45.3
mg/Kg - dry
0.963
1.02
1
05/20/23 08:29
BKN
6010D
Copper
36.5
mg/Kg - dry
1.27
2.04
1
05/20/23 08:29
BKN
6010D
Iron
49000
mg/Kg - dry
348
408
10
05/22/23 22:26
BKN
6010D
Lead
25.7
mg/Kg - dry
0.734
1.22
1
05/20/23 08:29
BKN
6010D
Magnesium
2290
mg/Kg - dry
10.5
20.4
1
05/20/23 08:29
BKN
6010D
Manganese
510
mg/Kg - dry
1,33
2.04
1
05/20/23 08:29
BKN
6010D
Mercury
<0,0922
mg/Kg - dry
0.0922
0.763
1
05/23/23 10:57
FDS
7471A
Molybdenum
1.23
mg/Kg - dry
0.551
1.02
1
05/20/23 08:29
BKN
6010D
Nickel
22.0
mg/Kg - dry
0.489
1.02
1
05/20/23 08:29
BKN
6010D
Potassium
2110
mg/Kg - dry
25,2
40.8
1
05/20/23 08:29
BKN
6010D
Selenium
<1.31
mgJKg - dry
1.31
2.04
1
05/20/23 08:29
BKN
6010D
Qualifiers/ B
Analyte detected In blank
DF
Dilution Factor
Definitions J
Estimated value
MQL
Method Quantitation Limit

Waypointo
ANALYTICAL
2790 Whitten Road, Memphis, TN 38133
Main 901.213,2400 0 Fax [phone]
www,weiypointanalytical.com
46245
EMA Resources Inc Project Neilson
Mr. Brent Collins Report Date ; 05/25/2023
755 Yadkinville Rd Information : Received ; 05/17/2023
Mocksville , NC 27028 n
c 6w^K.O
Connie Cook
Report N.umber:-*.23-137nft151R,EPORTOFANALYW
Lab No : 95140 Matrix: Solids
Sample ID : Neilson #2 Sampled: 5/15/2023 8:00
Test
Results
Units
MDL
MQL
DF
Date / 71me
Analyzed
By
Analytical
Method
Sodium
94.33
mg/Kg - dry
53.1
102
1
05/20/23 08:29
BKN
6010D
Zinc
125
mg/Kg - dry
3.31
5.10
1
05/20/23 08:29
BKN
6010D
Sulfur
1630
mg/Kg - dry
21.1
40.8
1
05/20/23 08:29
BKN
6010D
Sodium Absorption Ratio
0.193
Ratio
0.01
0.01
1
05/20/23 08,29
CALCULATION
Qualifiers/ B Analyte detected In blank DF Dilution Factor
Definitions J Estimated value MQL Method Quantltation Limit

Waypointo
ANALYTICAL
46245
EMA Resources Inc Project Neilson
Mr. Brent Collins
755 Yadkinville Rd Information
Mocksville , NC 27028
2790 Whitten Road, Mefnphis, TN 38133
Win 901,213.2400 0 Fax [phone]
www.waypointanalytical.com
Report Date ; 05/25/2023
Received : 05/17/2023
Connie Cook
REPORTOFANALYSIS
...._
Pra'cct~CRar�ager
Lab No ; 95141
Matrix:
Solids
Sample ID : Neilson #3
Sampled: 5/15/2023 8.00
Test
Results
Units
MDL
MQL
DF
Date 1 Time
By
Analytical
Analyzed
Method
Moisture
79.7
%
1
05/22/2317:15
JLS
SW-DRYWT
Ammonia Nitrogen
552
mgJKg - dry
78.8
493
1
05/25/23 14,20
JPJ
4500NH3C-2011
Nitrate+Nitrite-N
35.6 B
mg/Kg - dry
4.93
24.6
1
05/18/23 14:56
ZBD
4500NO3F-2016
Organic N
4320
mg/Kg - dry
541.9
1094
1
05/22/23 15:23
CALCULATION
pH
5.5
s.u.
1
0512312316:00
CNB
9045D
Total Solids
20.3
%
0.010
0.010
1
05/22/23 17:15
JL.S
2540G-2011
Total Kjeldahl Nitrogen
4870
mg/Kg - dry
1090
1
05/22/23 15:23
ANH 4500NORGD-2011
Phosphorus
2800
mg/Kg - dry
13.6
24.6
1
05/20/23 08:45
BKN
6010D
Aluminum
140000
mg/Kg - dry
228
246
10
05/22/23 22:31
BKN
6010D
Arsenic
8.67
mgIK9 - dry
1.18
2.46
1
05/20/23 08:45
BKN
6010D
Cadmium
0.975
mg/Kg - dry
0.0985
0.493
1
05/20/23 08:45
BKN
6010D
Calcium
1010
mgJKg - dry
191
246
1
05/20/23 08:45
BKN
6010D
Chromium
71.9
mg/Kg - dry
1.16
1.23
1
05/20/23 08:45
BKN
6010D
Copper
54.7
mgJKg - dry
1.53
2.46
1
05/20/23 08:45
BKN
6010D
Iron
75900
mg/Kg - dry
420
493
10
05/22/23 22:31
BKN
6010D
Lead
38.2
mg/Kg - dry
0.886
1.48
1
05/20/23 08:45
BKN
6010D
Magnesium
3130
mg/Kg - dry
12.7
24.6
1
05/20/23 08:45
BKN
6010D
Manganese
655
mg/Kg - dry
1.60
2.46
1
05/20/23 08:45
BKN
6010D
Mercury
<0.113
mg/Kg - dry
0.113
0.941
1
05/23/23 10:58
FDS
7471A
Molybdenum
2.05
mg/Kg - dry
0.665
1.23
1
05/20/23 08:45
BKN
6010D
Nickel
33.5
mgJKg - dry
0.591
1.23
1
05/20/23 08:45
BKN
6010D
Potassium
2980
mg/Kg - dry
30,4
49.3
1
05/20/23 08:45
BKN
6010D
Selenium
<1.58
mg/Kg - dry
1.58
2.46
1
05/20/23 08:45
BKN
6010D
Qualifiers/ B
Analyte detected in blank
DF
Dilution Factor
Definitions J
Estimated value
MQL
Method Quantitation Limit

•
Waypol t..ANALYTICAL
2790 Whitten Road, Memphis, TN 38133
Main 901.213.2400 0 Fax [phone]
www.waypointanalyticaLeom
46245
EMA Resources Inc Project Neilson
Mr. Brent Collins Report Date : 05/25/2023
755 Yadkinville Rd Information : Received ; 05/17/2023
Mocksville , NC 27028 A d
Connie Cook
NALYSlS
Lab No: 95141 Matrix: Solids
Sample ID : Neilson #3 Sampled: 5/15/2023 8:00
Test
Results
Units
MDL
MQL
DF
Date ! Time
Analyzed
By
Analytical
Method
Sodium
133
mg/Kg - dry
64.0
123
1
05/20/23 08:45
BKN
6010D
Zinc
176
mg/Kg - dry
3.99
6.16
1
05/20/23 08:45
BKN
6010D
Sulfur
2860
mg/Kg - dry
25.5
49.3
1
05/20/23 08:45
BKN
6010D
Sodium Absorption Ratio
0.21
Ratio
0.01
0.01
1
05/20/23 08:45
CALCULATION
Qualiflers/ B Analyte detected In blank DF Dilution Factor
Definitions J Estimated value MQL Method Quantitation Limit

•
Wa� � �� � 279p Whitten Road, Memphis, TN 3$133
Main 901,213.2400 ° Fax [phone]
ANALYTICAL www.waypointanalytical.com
46245
EMA Resources Inc Project Neilson
Mr, Brent Collins Report Date . 05/25/2023
755 Yadkinville Rd Information : Received : 05/17/2023
Mocksville , NC 27028
Connie Cook
Lab No : 95142
Matrix: Solids
Sample ID., Neilson #4
Sampled: 5/15/2023 8:00
Test
Results
Units
MDL
MOL
DF
Date /`lime
By
Analytical
Analyzed
Method
Moisture
75.9
%
1
05/22/2317:15
JLS
SW-DRYWT
Ammonia Nitrogen
602
mg/Kg - dry
66A
415
1
05/25/23 14:20
JP)
4500NH3C-2011
Nitrate+Nltrite-N
45.6 B
mg/Kg - dry
4.15
20.7
1
05/18/23 14:57
ZBD
4500NO3F-2016
Organic N
3353
mg/Kg - dry
360.2
726A
1
05/22/2315:24
CALCULATION
pH
5.6
S.U.
1
05/23/2316:00
CNB
9045D
Total Solids
24.1
%
0.010
0,010
1
05/22/23 17:15
JLS
2540G-2011
Total Kjeldahl Nitrogen
3950
mg/Kg - dry
726
1
05/22/23 15:24
ANH 4500NORGD-2011
Phosphorus
2220
mg/Kg - dry
11.5
20.7
1
05/20/23 08:50
BKN
6010D
Aluminum
105000
mg/Kg - dry
192
207
10
05/22/23 22:36
BKN
6010D
Arsenic
5.10
mg/Kg - dry
0.995
2.07
1
05/20/23 08:50
BKN
6010D
Cadmium
0.527
mg/Kg - dry
0.0829
0.415
1
05/20/23 08:50
BKN
6010D
Calcium
726
mg/Kg - dry
161
207
1
05/20/23 08:50
BKN
6010D
Chromium
47.3
mg/Kg - dry
0.979
1.04
1
05/20/23 08:50
BKN
6010D
Copper
39.3
mg/Kg - dry
1.29
2.07
1
05/20/23 08:50
BKN
6010D
Iron
49400
mg/Kg - dry
354
415
10
05/22/23 22:36
BKN
6010D
Lead
23.0
mg/Kg - dry
0.746
1.24
1
05/20/23 08:50
BKN
6010D
Magnesium
17BG
mg/Kg - dry
10.7
20.7
1
05/20/23 08:50
BKN
6010D
Manganese
436
mg/Kg - dry
1.35
2.07
1
05/20/23 08:50
BKN
6010D
Mercury
<0.0963
mg/Kg - dry
0.0963
0.797
1
05/23/23 10:59
FDS
7471A
Molybdenum
2.25
mg/Kg - dry
0.560
1.04
1
05/20/23 08:50
BKN
6010D
Nickel
20.8
mg/Kg - dry
0,497
1.04
1
05/20/23 08:50
BKN
6010D
Potassium
1640
mg/Kg - dry
25.6
41.5
1
05/20/23 08:50
BKN
6010D
Selenium
<1.33
mg/Kg - dry
1.33
2.07
1
05/20/23 08:50
BKN
6010D
Qualifiers/ B
Analyte detected in blank
DF
Dilution Factor
Definitions J
Estimated value
MQL
Method Quantitation Limit

Waypointo.
ANALYTICAL
46245
EMA Resources Inc
Mr, Brent Collins
755 Yadkinville Rd
Mocksv€Ile , NC 27028
Project Neilson
Information :
2790 Whitten Road, Memphis, TN 0133
Main 961.213,2400 6 Fax [phone]
www.waypolhtanalytical.com
Report Date : 05/25/2023
Received : 05/17/2023
6�0�
,_.
Connie Cook
.'1'1'QJ000T�iana��Y
Lab No : 85142 Matrix: Solids
Sample ID : Neilson #4 Sampled: 5/15/2023 8:00
Test
Results
Units
MDL
MQL
OF
Date / Time
Analyzed
By
Analytical
Method
Sodium
80.53
mg/Kg - dry
53.9
104
1
05/20/23 08:50
BKN
6010D
Zinc
110
mg/Kg _ dry
3.36
5.19
1
05/20/23 08:50
BKN
6010D
Sulfur
2450
mg/Kg - dry
21.5
41,5
1
05/20/23 08:50
BKN
6010D
Sodium Absorption Ratio
0.17 J
Ratio
0.01
0.01
1
05/20/23 08:50
CALCULATION
Qualifiers/ B Analyte detected in blank DF Dilution Factor
Definitions 3 Estimated value MQL Method Quant€tation Llmit

i
Waypoint 2790 Whitten Road, Memphis, TN 38133
.2440
Main 9D1.27,3.24flD °Fax 9D7..21213.244D
ANALYTICAL www.waypointanalytical.com
Shipment Receipt Form
Customer Number: 46245
Customer Name: EMA Resources Inc
Report Number: 23-137-0151
Shipping Method
• Fed ostal Lab
Ex Q ..... ,U5.._..P.. st .... ..,.. 0 ..........:.
0 UPS 0 Client 0 Courier
Other
Thermometer ID:
. ,:_..
136
Shipping container/cooler uncompromised?
0• Yes
0 No
Number of coolers/boxes received
F j
Custody seals intact on shipping container/cooler?
0 Yes
0 No
Not Present
Custody seals intact on sample bottles?
0 Yes
0 No
Not Present
Chain of Custody (COC) present?
# Yes
0 No
COC agrees with sample label(s)?
0 Yes
0 No
COC properly completed
# Yes
O No
Samples in proper containers?
Yes
0 No
Sample containers intact?
Yes
0 No
Sufficient sample volume for indicated test(s)?
Yes
0 No
All samples received within holding time?
Yes
0 No
Cooler temperature in compliance?
0 Yes
0 No
Cooler/Samples arrived at the laboratory on ice.
Samples were considered acceptable as cooling
process had begun.
Yes
0 No
Water - Sample containers properly preserved
0 Yes
0 No
0• N/A
Water - VOA vials free of headspace
0 Yes
0 No
NIA
Trip Blanks received with VOAs
0 Yes
0 No
(0) NIA
Soil VOA method 5035 — compliance criteria met
0 Yes
0 No
* NIA
F- High concentration container (48 hr) F Low concentration EnCore samplers (48 hr)
F- High concentration pre -weighed (methanol -14 d) I Low conc pre -weighed vials (Sod Bis -14 d)
Special precautions or instructions included?
0 Yes
0• No
Comments: f
Signature: Makayla Weaver Date & Time: i0 /57/2023 14:34:54

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Neilson 05/15/23 #1
mglkg mglL Equiv Weight Milli Equiv
Sodium 100 20.3 23 0.882609
Calcium 926 187.978 20 9.3989
Magnesium 1960 397.88 12 33.15667
Percent Solids 20.3
SAR 0.19
0.88261
Na+
SAR = ."I 0.5( 9.3989 z + 33.15667
z (Caa+ + Mg2+ )

Sodium
Calcium
Magnesium
Percent Solids
!`9sji
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Neilson 05/15/23 #2
mglkg mglL
94.3 23.1036
759 185.956
2290 561.05
24.5
0.19
Na+
a (Ca2+ + M92+ )
Equiv Weight Milli Equiv
23 1.0045
20 9.29775
12 46.75417
1.00450
0.5( 9,2978 2 + 46.75417 2 )

Neilson 05/15/23 #3
mg/kg mg/L Equiv Weight Milli Equiv
Sodium 133 26.999 23 1.17387
Calcium 1010 205.03 20 10.2515
Magnesium 3130 635.39 12 62,94917
Percent Solids 20.3
SAR 0.21
SAP, = Na+
z (Caa+ + Mg2+ )
1.17387
0.5{ 10.262 2 + 52.94917 z )

Neilson 05/15/23 #4
mg/kg
mg/L
Equiv Weight Milli Equiv
Sodium
80.5
19.4005
23 0.8435
Calcium
726
174.966
20 8.7483
Magnesium
1780
428.98
12 35.74833
Percent Solids
24.1
SAR
0.18
SAR = Na+
�112 (C,,2+ + M32+)
0.84350
F 0.5( 8,7483 z + 35.74833 z )

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