WQ0000455_2023 Residual Annual Report_20240222 (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) * W00000455
Applicant/Permittee Lewis Farms and Liquid Waste, Inc.
Email Notifications
Does this need review by the hydrogeologist? * Yes U No
Regional Office Wilmington
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* Martin Mabe
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*
3363121396
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:*
WQ0000455
Has Current Existing permit number
Applicant/Permittee Address*
8155 Malpass Corner Road, Currie, NC 28435
Facility Name*
Lewis Farms and Liquid Waste Class B Residuals Program
Please provide comments/notes on your current submittal below.
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.)
Lewis Farms - 2023 Annual Report WQ0000455.pdf 19.46MB
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 2/22/2024

2023 ANNUAL REPORT
LAND APPLICATION PROGRAM
LEWIS FARMS AND LIQUID WASTE, INC.
PERMIT #WQ0000455
Prepared For:
Lewis Farms and Liquid Waste, Inc.
8155 Malpass Corner Road
Currie, North Carolina 28435
Compiled By:
Willcox & Mabe Soil Solutions, PLLC
7231 B Summerf eld Road
Summerfield, North Carolina 27358
February 2024

�f
willcox&mate
SOIL SOLUTIONS
February 21, 2024
NCDEQ-DWRNon-Discharge Compliance Unit
512 North Salisbury Street
91h Floor, Office 942X
Raleigh, North Carolina 27604
Attention: Non -Discharge Compliance Unit
Reference: 2023 LAND APPLICATION ANNUAL REPORT
Lewis Farms and Liquid Waste, Inc.
Permit No. WQ0000455
WMSS Project No. 15-20 Ph: 01
Non -Discharge Compliance Unit:
Willcox & Mabe Soil Solutions, PLLC (WMSS) is submitting all monitoring and reporting
requirements as specified in the above referenced permit on behalf of Lewis Farms and Liquid
Waste, Inc. (Lewis Fanns). WMSS compiled this report using data gathered during the
compliance year by Lewis Farms. This data includes: 1) certification form, 2) residuals
analyses and pathogen / vector data, 3) application summaries and field loading rate reports,
and 4) soil analyses.
If there is any further information required or questions regarding this annual report please do
not hesitate to contact Lewis Farms or WMSS for further assistance.
Sincerely,
Willcox & Mabe Soil Solutions, PLLC
Martin Mabe
NC Land Application/Residuals Operator
#22753
Enclosures
Shared\WMSS Pro}ects\2015\15-20 Lewis Farms\2023 Annual Report\2023 ANNUAL REPORT.doc
Willcox & Mabe Soil Solutions, PLLC / 7231 B Summerfield Road / Summerfield, NC 27358 / Rob 336.339.9128 or
Martin 336.312.1396 / www.wilicoxmabesoil.com

TABLE OF CONTENTS
SECTION NO. TITLE
Certification Form
II Residuals Analyses & Pathogen / Vector Attraction Data
III 2023 Application Summary and Field Loading Rate Reports
IV Soil Analysis

CERTIFICATION FORM

ANNUAL LAND APPLICATION CERTIFICATION FORM
WQ Permit#: WQ0000455 County:
Facility Name (as shown on permit):
Land Application Operator:
Pender
Year: 2023
Lewis Farms and Liquid Waste, Inc.
Mr. Wesley Wooten Phone: [phone]
Land application of residuals as allowed by the permit occurred during the past calendar year?
2 Yes ❑ No - If No, skip Part A, and Part B and proceed to Part C. Also, If residuals were
generated but not land applied, please attach an explanation on how the residuals were handled.
Part A - Residuals Application Summarv:
Total number of application fields in thepermit: 19
Total number of fields utilized for land application during the year: 10
Total amount of dry tons applied during the year for all application sites: 671.79
Total number of acres utilizes for land application during the year:
271.00
Part B - Annual Compiance Statement:
Facility was compliant during calendar year _2023 with all conditions of the land application permit
(including but not limited to items 1-13 below) issued by the Division of Water Quality. 0 Yes ❑ No
If no please, provide a written description why the facility was not compliant, the dates, and explain corrective action
taken.
1) Only residuals approved for this permit were applied to the permitted sites.
2) Soil pH was adjusted as specified in the permit and lime was applied (if needed) to achieve a soil pH of at least 6.0 or
the limit specified in the permit.
3) Annual soils analysis were performed on each site receiving residuals during the past calendar year and three (3) copies
of laboratory results are attached.
4) Annual TCLP analysis (if required) was performed and three (3) copies of certified laboratory results are attached.
5) All other monitoring was performed in accordance with the permit and reported during the year as required and three
(3) copies of certified laboratory results are attached.
6) The facility did not exceed any of the Pollutant Concentration Limits in 15A NCAC 02T .1105(a) or the Pollutant
Loading Rates in 15A NCAC 02T .1105(b) (applicable to 40 CFR Part 503 regulated facilities).
7) All general requirements in as specified in the Land Application Permit were complied with (applicable to 40 CFR Part
503 regulated facilities).
8) All monitoring and reporting requirements in 15A NCAC 02T .1111 were complied with (applicable to 40 CFR Part
503 regulated facilities).
9) All operations and maintenance requirements in the permit were complied with or, in the case of a deviation, prior
authorization was received from the Division of Water Quality.
10) No contravention of Ground Water Quality Standards occurred at a monitoring well or explanations of violations are
attached to include appropriate actions and remediations.
11) Vegetative cover was maintained and proper crop management was performed on each site receing residuals, as
specified in the permit.
12) No runoff of residuals from the application sites onto adjacent property or nearby surface waters has occurred.
13) All buffer requirements as specified on the permit were maintained during each application of residuals.
Part C - Certification:
"I certify, under penalty of law, that the above information is, to the best of my knowledge and belief, true, accurate,
and complete. I am aware that there are significant penalties for submitting false information, including the
possibility of fines and imprisonment for knowing violations."
Mr. Wesley Wooten, President
Permittee Name and Title (type or print)
2/21 /2024
Signature o Permittee Date
Signature of Preparer* Date Signature of Land Applier Date
(if different from Permittee) (if different from Permittee and Preparer)
* Preparer is defined in 40 CFR Part 503.9 (r) and 15A NCAC 02T .1102 (26) DENR FORM ACF (12/2006)

TCLP ANALYSES IF REQUIRED
AND PATHOGEN AND VECTOR ATTRACTION REDUCTION

ANNUAL RESIDUAL SAMPLING SUMMARY FORM
Attach this form to the corresponding laboratory analysis.
Please note that your permit may contain additional parameters to he analyzed than those required to be summarized on this form.
Permit Number I W00000455
Facility Name Lewis Farms and Liquid Waste, Inc.
NPDES # Fsee
WWTP Name I See Below 2023 DATA
RESIDUAL ANALYSIS DATA
Laboratory 1) Envirochem
U Environment 1 j
13)
NPDES #
NCO065480
NCO021253
NCO021253
NCO021253
NCO021253
NC0003344
W00005849
NCO057703
NCO021342
NCO062642
WWTP Name
Beau Rivage
Havelock
Havelock
Havelock
Havelock
House of Raeford
North Topsail
The Cape
Trenton
Webb Creek
Composited I Grab
08/09/23
I 01/19/23
I 04/03/23
07/17/23
I 10/11/23 I 01/16/23
04/11/23
09/22/23
02/09/23
10/24/23
Percent Solids
1.59
4.35
4.53
4.72
4.17 2.06
4.19
3.07
3.54
1.58
PARAMETERS (mq/kq dry weight)
Arsenic
43.50
2.50
2.50
2.50
2.70
36.06
27.00
22.70
2.50
14.70
Cadmium
43.50
1.40
1.30
1.30
1.40
18.05
27.00
22.70
0.50
14.70
Copper
654.00
600.00
526.00
544.00
631.00
316.00
175.00
423.00
54.00
146.00
Lead
86.80
13.00
13.00
13.00
14.00
18.05
27.00
23.90
5.80
14.70
Mercury
1.16
0.27
0.27
0.19
026
0.92
0.40
0.65
0.04
1.33
Molybdenum
43.50
5.00
5.00
5.90
7.50
18.05
27.00
22.70
5.00
14.70
Nickel
86.80
12.00
15.00
12.00
13.00
18.05
27.00
22.70
5.00
14.70
Selenium
43.50
5.00
5.00
5.00
5.00
18.05
27.00
22.70
5.00
14.70
Zinc
2,150.00
2,302.00
2.137.00
2,239.00
2,424.00
220.00
3,750.00 1,180.00
210.00
1,990.00
TKN
172,000.00
51,390.00
42,980.00
47,930.00 I
43,920.00
58,900.00
70,600.00 61,500.00
10,390.00
53,400.00
Ammonia -Nitrogen
29,800.00
2,705.00
2,403.00
2,180.00
2,960:00
4,270.00
15,200.00 2,580.60
287.50
2,270.00
Nitrate -Nitrogen
35.70
4.97
3.99
2.99
10.00
32.60
64.40 89.30
64.89
1,030.00
Total Phosphorus
25,400.00
41,850.00
44,640.00
29,890.00 I
38,970.00
12,200.00
18,800.00 10.300.00
7,572.00
31,800.00
RESIDUAL ANALYSIS DATA
NPDES #
WWTP Name
Composited / Grab
Percent Solids
PARAMETERS (mg/kg dry weight)
Arsenic
Cadmium
I Copper
Lead
Mercury
Molybdenum
Nickel
Selenium
Zinc
TKN
Ammonia -Nitrogen
Nitrate -Nitrogen
Total Phosphorus
X _N/A due to number of sources Page 1 of 1
(SIGNATURE OF PREPARER) DATE
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.

LEWIS FARMS
LAND APPLICATION PROGRAM
RESIDUALS ANALYSIS
Residual Type: Wastewater Treatment Plant
Date Sampled: August 9, 2023
Beau Rivage
1.59 % Solids
7.47 n14
Permit No. WQ0000455
Parameter
%
Nlg/Kg Dry Weight
(% x 10,000)
Pounds/Dry Ton
(Mg/Kg x 0.002)
Nitrogen (TKN)
17.200
172,000.000
344.000
Phosphorus
2.540 1
25,400.000
50.800
Potassium
0.460 1
4,600.000
9.200
II PAN (infected)*
7.250 1
72,495.700
144.991
PAN (surface)*
5.760
57,595.700
115.191
(Ammonia Nitrogen
2.980
29,800.000
59.600
Calcium
5.020
50,200.000
100.400
Calcium Carbonate Eq.
---
---
---
Magnesium
---
4,380.000
8.760
IlSodium
---
4,650.000
9.300
IlSulfur
---
---
---
(Nitrate N / Nitrite N
---
35.700
0.071
barium
--
---
---
Chloride
---
---
---
11
(Aluminum
---
3,610.00
7.220I
I Arsenic
---
43.50
0,087 11
Cadmium
---
43.50
0.08711
Chromium
---
86.800
Copper
---
654.00
1,308
Lead
---
86.80
0.174 I
Mercur
---
1.160
0.002
Molybdenum
---
43.50
0.087
Nickel
---
86.80
0.17411
Selenium
---
43.50
0.087 II
Zinc
---
2,150.00
4.300 11
Environmental Chemists, Inc. 4 2023-17635
*Determination of Plant Available Nitrogen (PAN):
Injected Application:
(Mineralization Rate)(TKN-Ammonia N) + Ammonia N + Nitrate N + Nitrite N = % PAN
SAR
0.67
Ceiling Concen.
(n,rg,rt(g) li
75
85
Surface Application:
(Mineralization Rate)(TKN-Ammonia N) + (0.5)(Ammonia N) + Nitrate N + Nitrite N = % PAN
Note: Constituents N.D. (Not Detected) or < detection limits are listed as detection limits
for calculation purposes.
4,300
840
57
75
420
100
7.500

LEWIS FARMS AND LIQUID WASTE, INC.
WQ0000455
Beau Rivage W WTP
08/09/23
60,378
4.7809
08/09/23
58,824
4.7696
08/09/23
57,143
4.7570
08/09/23
34,981
4.5438
08/09/23
70,485
4.8481
08/09/23
60,378
4.7809
08/09/23
61,303
4.7875
Total 1 33.2677
Average 4.7525
Geometric Mean €56G Fecal Coliform MPN / gram
Geometric Mean of Less than 2,000,000 meets Class B - Alternative 1 Pathogen Reduction
requirement.

Environmental Chemists, Inc.
1 7-
6602 Windmill Way, Wilmington, NC 28405 • 910.392,0223 Lab • 910.392.4424 Fax
kk. 710 Bowsertown Road, Manteo, NC 27954 • 252.473.5702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax
ANALYTICAL & CONSULTING CHEMISTS info(4environmentalchemists.com
Lewis Farms & Liquid Waste, INC. Revised Report: Dec 04, 2023
8155 Malpass Corner Road Original Report Date: Sep 14, 2023
Currie NC 28435 Report #: 2023-17635
Attention: Customer ID: 14020008
Project ID: AquaNC-Beau Rivage Sludge
Lab ID Sample ID: Collect Date/Time Matrix Sampled by
23A3243 Site: Sludge 8/9/2023 10:19 AM Solid/Sludge Client
Test
Method
Results
Date Analyzed
Sludge Residuals
Aluminum
EPA200.7. Rev. 4.4, 1994
3610 mg/kg
09/01/2023
Calcium
EPA 200.7. Rev. 4.4, 1994
50200 mg/kg
09/01/2023
Chromium
EPA 200.7, Rev. 4.4, 1994
<86.8 mg/kg
09/01/2023
Copper
EPA 200.7, Rev. 4.4. 1994
654mg/kg
09/01/2023
Lead
EPA 200.7, Rev. 4.4, 1994
<86.8 mg/kg
09/01/2023
Magnesium
EPA 200.7, Rev. 4.4. 1994
4380 mg/kg
09/01/2023
Nickel
EPA 200.7, Rev. 4.4, 1994
<86.8 mg/kg
09/01/2023
Potassium
EPA 200.7. Rev. 4.4, 1994
4600 mg/kg
09/12/2023
Sodium
EPA 200.7, Rev. 4.4, 1994
4650 mg/kg
09/01/2023
Zinc
EPA 200.7. Rev. 4.4, 1994
2150 mg/kg
09/01/2023
Nitrate+ Nitrite-N itrogen
EPA353.2
35.7mg/kg
08/16/2023
Total Solids (%)
SM 2540 B
1.59 %
08/10/2023
Ammonia Nitrogen
SM 4500 NH3 C-2011
29800 mg/kg
08/18/2023
Total Kjeldahl Nitrogen (TKN)
SM 4500 Norg B-2011
172000 mg/kg
08/17/2023
Total Phosphorus
SM 4500 P (F.H)-2011
25400 mg/kg
08/18/2023
pH
SW 646 Method 9045D
7.57 units
08/23/2023
Result estimated. Analyzed out of
15 minutes hold time.
Mercury
SW-846 7471 B
<1.16 mg/kg
08/22/2023
Lab ID Sample ID:
Collect DatelTime
Matrix Sampled by
23-43243A Site: Sludge
8/9/2023 10:19 AM
Solid/Sludge Client
Test
Method
Results
Date Analyzed
Arsenic
EPA 200.7, Rev. 4.4. 1994
<43.5 mg/kg
09/28/2023
Cadmium
EPA 200,7. Rev. 4.4, 1994
43.5 mg/kg
09/28/2023
Molybdenum
EPA 200.7. Rev. 4.4, 1994
<43.5 mg/kg
09/28/2023
Selenium
EPA200-7. Rev.4.4.1994
<43.5 mg/kg
09/28/2023
Report k.: 2023-17635
Page 1 of 3

envirochem
ANALYTICAL & CONSULTING CHEMISTS
Lewis Farms & Liquid Waste, INC.
8155 Malpass Corner Road
Currie NC 28435
Attention:
Environmental Chemists, Inc.
6602 Windmill Way, Wilmington, NC 28405 • 910.392.0223 Lab 4 910.392.4424 Fax
710 Bowsertown Road, Manteo, NC 27954 4 252.473.5702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax
[e-mail]
Revised Report: Dec 04, 2023
Original Report Date: Sep 14, 2023
Report #: 2023-17635
Customer ID: 14020008
Project ID: AquaNC-Beau Rivage Sludge
Lab ID Sample ID: Collect DatelTime Matrix Sampled by
23A3249 Site: 1 8/9/2023 10:19 AM Solid/Sludge Client
Test Method Results Date Analyzed
Total Solids (%) SM 2540 B 2.65 % 08/10/2023
Fecal Density SM 9221C E-2014 60378 MPN/g 08/09/2023
Lab ID Sample ID: Collect Date/Time Matrix Sampled by
23-43250 Site: 2 8/9/2023 10:19 AM Solid/Sludge Client
Test Method Results Date Analyzed
Total Solids (%) SM 2540 B 2.72 % 08/10/2023
Fecal Density SM9221C E-2014 58824 MPN/g 08/09/2023
Lab ID Sample ID: Collect Date/Time Matrix Sampled by
23-43251 Site: 3 8/9/2023 10:19 AM Solid/Sludge Client
Test Method Results Date Analyzed
Total Solids (%
Fecal Density
Lab ID Sample ID:
23-43252 Site:4
Test
Total Solids (%)
Fecal Density
SM 2540 B
S M 9221 C E-2014
2.80 % 08/10/2023
57143 MPN/g 08/09/2023
Collect Date/Time Matrix Sampled by
8/9/2023 10:19 AM Solid/Sludge Client
Method Results Date Analyzed
SM 2540 B 2.63 % 08/10/2023
SM 9221C E-2014 34981 MPN/g 08/09/2023
Lab ID Sample ID: Collect DatelTime Matrix Sampled by
23-43253 Site: 5 8/9/2023 10:19 AM Solid/Sludge Client
Test Method Results Date Analyzed
Total Solids (%) SM 2540 B 2.27 % 08/10/2023
Fecal Density SM 9221C E-2014 70485 MPN/g 08/09/2023
Report # : 2023-17635 Page 2 or 3

envirochem
ram,:
ANALYTICAL & CONSULTING CHEMISTS
Lewis Farms & Liquid Waste, INC.
8155 Malpass Corner Road
Currie NC 28435
Attention:
Environmental Chemists, Inc.
6602 Windmill Way, Wilmington, NC 28405 • 910.392.0223 Lab • 910.392.4424 Fax
710 Bowsertown Road, Manteo, NC 27954 • 252.473.5702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax
inforu<environmentalchemists.com
Revised Report: Dec 04, 2023
Original Report Date: Sep 14, 2023
Report #: 2023-17635
Customer ID: 14020008
Project ID: AquaNC-Beau Rivage Sludge
Lab ID Sample ID: Collect Date/Time Matrix Sampled by
23-43254 Site: 6 8/9/2023 10:19 AM Solid/Sludge Client
Test Method Results Date Analyzed
Total Solids (%)
SM 2540 B
2.65 %
08/10/2023
Fecal Density
SM 9221 C E-2014
60378 MPN/g
08/09/2023
Lab ID Sample ID:
Collect Date/Time
Matrix Sampled by
23A3255 Site: 7
8/9/2023 10:19 AM
Solid/Sludge Client
Test
Method
Results
Date Analyzed
Total Solids (%)
SM 2540 s
2.61 %
08/10/2023
Fecal Density
SM 9221C E-2014
61303 MPN/g
08/09/2023
Comment:
Reviewed by:
Results, except pH, reported on a dry weight basis. pH reported on an as received basis. Revised
As, Cd,Mo, and Se reanalyzed to a lower detection limit.
Report #.. 2023-17835 Page 3 of

Environmental Chemist, Inc., Wilmington, NC Lab #94
Sample Receipt Checklist
6602 Windmill W,
Wilmington, NC 284C
910.392.022
Client:j,� � L) �( YYI,� Date: , `I _Report Number: _ 2023-1
Receipt of sample: ECHFM Pickup D Client DeliveryQP IUP5 ❑ FedEx D Other ❑
13 YES 10
NO
© N/A
1. Were custody seals present on the cooler?
❑ YES
O NO
® N/A J2.
If custody seals were present, were they intact/unbroken?
Original temperature upo,i receipt C Corrected tem eraturc- upon receipt °(
How temperature taken: ❑ Temperature Blank © Against Bottles
IR Gun lD: Thomas Traceable S/N 210886869 IR Gun Correction factor °C: 0.0
© YES
❑ NO
3. If temperature of cooler exceeded 6'C, was Project Mgr./QA notified?
0 YES
❑ NO
4. Were proper custody procedures (relinquished/received) followed?
® YES
❑ NO
5. Were sample ID's listed on the COC?
® YES
❑ NO
6. Were samples ID's listed on sample containers?
® YES
❑ NO
7. Were collection date and time listed on the COC?
® YES
❑ NO
8. Were tests to be performed listed on the COO
® YES
❑ NO
9. Did samples arrive in proper containers for each test?
O YES
❑ NO
10. Did samples arrive In good condition for each test?
lD YES
113 NO
11. Was adequate sample volume available?'
® YES
❑ NO
12. Were samples received within proper holding time for requested tests?
❑ YES
O NO
13. Were acid preserved samples received at a pH of <2?
❑ YES
0 NO
14. Were cyanide samples received at a pH >32?
❑ YES
❑ NO
15. Were sulfide samples received at a pH >9?
❑ YES
❑ NO
16. Were NH3/TKN/Phenol received at chlorine residual of <O.S m/L? •*
❑ YES
10 NO
17. Were Sulfide/Cyanide received at a chlorine residual of <0.5 m/L?
❑ YES
113 NO
18. Were orthophosphate samples filtered in the field within 1S minutes?
* TOC/Volatiles a re pH checked at time of analysis and recorded on the benchsheet.
*' Bacteria samples are checked for Chlorine at time of analysis and recorded on the benchsheet.
Sample Preservation: (Must be completed for any sample(s) incorrectly preserved or with headspace)
Sample(s) were received incorrectly-preserved-arrdtwere-adjaWd accordingly
by adding (circle one): H2SO4 HNO3 MCI NaOH
Time of preservation: If more than one preservative is needed, notate in comments below
Note. Notify customer service Immediately for Incorrectly preserved samples. Obtain a new sample or
notify the state lab if directed to analyzed by the customer. Who was notified, date and time.
Volatiles Sample(s) were received with headspace
COMMENTS:
DOC. QA.002 Rev 1

"*2 Wbx"Il Way Wftirogkw% KC
ENVIRONMENTAL CHEMISTS, INC OFFIM910-M4=FAX 9110-M44U
Ana NCa6XR: DWQ CERTIFICATION it 94 MCIMMS: IXS CERTIFICATION a 3T>'28
COLLECTION AND
OF CUSTODY
Client: Lewis Farms 8 Liquid Waste 1PROJECT NAME: REPORT NO: o7U •Z 3- / 7 L-35 11
ACT NAME:
REPORT TO: Martin
COPY TO: -d " L
Wooten
PO NO:
%MMPMq • b" - SMIRLE TYPE:
1 a Influent, E = ERluellt,
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Delivered By;. NA Received By: Date: Time:
Comments-. TURNAROUND:

ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (02T Rules)
Facility Name: Lewis Farms and Liquid Waste, Inc. WQ Permit Number: WQ0000455
WWTP Name: Beau Rivage NPDES Number: NCO065480
Monitoring Period: From 1/l/2023 To 12/31/2023
Pathogen Reduction (15A NCAC 02T .1106) - Please indicate level achieved and alternative performed:
Class A:
Alt. A (time/temp) ❑ Alt B (Alk Treatment) ❑ I Alt. C (Prior Testing) ❑
A1t.D (No Prior Test) ❑ Process to Further Reduce Patliogengs ❑
If applicable to alternative performed (Class A only) indicate "Process to Further Reduce Pathogens":
Compost ❑
Heat Drying ❑
Heat Treatment ❑
Thennophilic ❑
Beta Ray ❑
Gamma Ray ❑
Pasteurization ❑
Class B: Alt. (1) Fecal Density
Alt. (2) Process to Significantly Reduce Pathogens ❑
If applicable to alternative performed (Class B only) indicate "Process to Significantly Reduce Pathogens":
Lime Stabilization ❑ Air Drying ❑ Composting ❑ Aerobic Digestion ❑
Anaerobic Digestion ❑
If applicable to alternative performed (Class A or Class B) complete the
following monitoring data:
Parameter
Allowable Level
in Sludge
Pathogen Density
" y
Numuer of
Excee-
dences
Frequency
ofAnalysis
Sample
'Type
Analytical
Tech -
n� ,
Minimum
Geo. Mean
Maximuml
Units
Fecal Coliform
2 x 10 to the
6th power
per gram of
total solids
MPN
34,981
56,562
70,485
MPN/g
0
Annual
Grab
SM9221C
CFU
1000 mpn per gram
of total solid (dry
weight)
Salmonella bacteria
(in lieu of fecal
Coliform)
3 MPN per 4 grams
total solid (dry
I weight)
Vector Attraction Reduction (15A NCAC 02T .1107) - Please indicate alternative performed:
Alt.1 (VS reduction)
❑
Alt. 2 (40-day bench) ❑
Alt. 3 (30-day bench) ❑ I Alt. 4 (Spec. O, uptake)
❑
Alt. 5 (14-Day Aerobic)
❑
Alt. 6 (Alk. Stabilization ❑
Alt 7 (Drying - Stable) ❑ Alt. 8 (Drying -Unstable)
❑
Alt. 9 (Injection)
p
Alt. 10 (Incorporation) E]
No vector attraction reduction alternatives were performed
❑
CERTIFICATION STATEMENT (please check the appropriate statement)
El "I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the
vector attraction reduction requirement in 15A NCAC 02T .1107 have been met."
❑ "I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the
vector attraction reduction requirement in 15A NCAC 02T .1107 have not been met." (Please note if
you check this statement attach an explanation why you have not met one or both of the
requirements.)
"This determination has been made under my direction and supervision in accordance with the system
designed to ensure that qualified personnel properly gather and evaluate the information used to determine
that the pathogen and vector attraction reduction requirements have been met. I am aware that there are
significant penalties for false certification including fine and imprisonment."
Christian McDonald, ORC Wesley Wooten, President
Preparer Name and Title (type or pri t) Land Applier Name and Title (if applicable)(type or print)
—N L (-� _12/5/23 12/5/23
Siature of Preparer* Date Signature of Land pplier (if applicable) Date
*Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26)
DENR FORM PVRF 02T (12/2006)

LEWIS FARMS
LAND APPLICATION PROGRAM
RESIDUALS ANALYSIS
Residual Type: Wastewater Treatment Plant
Date Sampled: January 19, 2023
Havelock Permit No. WQ0000455
4.35 % Solids
6.7 PH
Parameter
%
Mg/Kg Dry Weight
(% x 10,000)
P.;ounds7Dry Ton
(M2/K2 x 0.002)
Nitrogen (TKN)
5.139
51,390.000
102.780
Phosphorus
4.185
41,850.000
83.700
Potassium
0.369
3,692.000
7.384
PAN (injected)*
L732
17,315.470
34.631
PAN (surface)*
1.596
15,962.970
31.926
Ammonia Nitrogen
0.271
2,705.000
5.410
Calcium
3.707
37,074.000
74.148
Calcium Carbonate E .
---
---
---
Magnesium
2,385.000
4.770
Sodium
3,525.000
7.050
Sulfur
---
---
---
Nitrate N / Nitrite N
4.970
0.010
Barium
Chloride
-
---
---
---
---
---
SAR
L 1.00
Iron
---
---
---
Ceiling Concen.
Aluminum
---
28.280.00
56.560
(Me/1<0
IlArsenic
2.50
0.005
75
IlCadmium
I -
1.40
0.003
85
I!Chromium
21.000
---
---
IlCopper
600.00
1.200
4,300
Lead
-
13.00
0.026
840
Mercury
-
0.27
0.001
57
IlMolybdenum
I
I 5.00
0.010
75
Nickel
I -
I 12.00
0.024
420
Selenium
5.00
0.010
100
Zinc
2,302.00
4.604
7,500
Environment 1, Inc. # 414
*Determination of Plant Available Nitrogen (PAN):
Injected Application:
(Mineralization Rate)(TKN-Ammonia N) + Ammonia N + Nitrate N + Nitrite N = % PAN
Surface Application:
(Mineralization Rate)(TKN-Ammonia N) + (0.5)(Ammonia N) + Nitrate N + Nitrite N = % PAN
Note: Constituents N.D. (Not Detected) or < detection limits are listed as detection limits
for calculation purposes.

EmbbMIR(W Flo hCOTPOTMd
114 OAKMONT DRIVE
GREENVILLE, N.C. 27858
CITY OF HAVELOCK(SLUDGE)
DEVIN ADAMS
WASTEWATER TREATMENT PLANT
304 N. JACKSON DRIVE
HAVELOCK, NC 28532
PARAMETERS
PH, Units (Non -Aqueous)
Aluminum, (dry wt. basis), mg/kg
Arsenic (dry wt. basis), mg/kg
Calcium (dry wt. basis), mg/kg
Cadmium (dry wt. basis), mg/kg
Copper (dry wt. basis), mg/kg
Chromium, T.(dry wt. basis),mg/lcg
Lead (dry weight basis), mg/kg
Magnesium (dry wt. basis), mg/kg
Mercury (dry wt. basis), mg/lcg
Nickel (dry wt. basis), mg/kg
Potassium (dry wt. basis), mg/kg
Selenium (dry wt. basis), mg/kg
Sodium (dry wt. basis), mg/kg
Zinc (dry wt. basis), mg/kg
Sodium Adsorption Ratio (calc)
Total Solids, %
TKN (dry wt.), mg/kg
Ammonia Nitrogen (dry wt.),mg/Icg
Phosphorus, T. (dry wt.), mg/Icg
Nitrate+Nitrite (dry wt.), mg/kg
Plant Available Nitrogen, mg/kg
Molybdenum (dry wt. basis), mg/kg
Sludge Analysis Method
Sample Date Analyst Code
c 6.7
01/26/23
BLV
4500HB-11
28280
02/10/23
MTM
EPA200.7
<2.5
02/01/23
DRC
3113B-04
37074
02/10/23
MTM
EPA200.7
1.4
02/02/23
DRC
3113B-04
600
02/10/23
MTM
EPA200.7
21
02/10/23
MTM
EPA200.7
13
02/02/23
DRC
311313-04
2385
02/10/23
MTM
EPA200.7
0.27
02/14/23
DRC
EPA7471B
12
02/10/23
MTM
EPA200.7
3692
02/10/23
MTM
EPA200.7
<5.0
02/02/23
DRC
3113B-04
3525
02/10/23
MTM
EPA200.7
2302
02/10/23
MTM
EPA200.7
4.8
4.35
01/24/23
HMV
2540G-15
c 51390
01/31/23
BMD
351.2 R2-93
c 2705
01/30/23
KES
350.1 R2-93
c 41850
01/31/23
TRJ
365.4-74
c 4.97
01/26/23
BMD
353.2 R2-93
15963
02/03/23
BMD
<5.0
02/10/23
MTM
EPA200.7
Drinking Water ID: 37715
Wastewater ID: 10
PHONE [phone]
FAX [phone]
ID#: 414
DATE COLLECTED: 01/19/23
DATE REPORTED : 02/15/23
REVIEWED BY: y
c Uncertified data. DWR does not offer non -aqueous certification for this analytical procedure.

C
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Environment 1, Inc. CHAIN OF CUSTODY RECORD
P.O. Box 7085. 114 Oakmont Dr. Pa"C 1 of
1
etironeatt I inc.cot
ITY
WASTEWATER
04
IIAVELOCK
DISINFECTION
CHLORINE NEUTRALIZED AT COLLECTION
Phone [phone] • Fax [phone]
CI-iLORINE
Ij
—
CLIENT: 414 Week.8
UV
pHCHECK (LAB)
P
P
P
P
P
P
P
P
P
P
G
G
G
G
CONTAINER TYPE, P/G
OF HAVELOCK(SLUDGE)
NONE
EVIN ADAMS
TREATMENT PLANT
A
A
A
CHEMICAL PRESERVATION
N. JACKSON DRIVE
A
A
A
A
A
A
A
A
A
A
A
A
- -
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NC 28532
A -NONE D-NAOH
52) 671-6373
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CLASSIFICATION:
�S
WASTEWATER (NPDES)
—
J DRINKINGWATER
Ij DWRIGW
13 SOLID WASTE SECTION
CHAIN OF CUSTODY (SEAL) MAINTAINED
DURING SHIPMENT/DELIVERY
d N
SAMPLES COLLECTED BY:
(Please Print)
�/Nt `I✓ Did A v r�
_
SAMPLES RECEIVED IN LAB AT� '•°C
RF 0 S ED3 IG.) (SAMPLER)
DATE/TIME
RECEIVED BY (SIG.)
DATE(TIME
COMMENTS:
RELINOUlSHED BY (SIG.)
DATE/TIME
RECEIVED BY (SIG.)
DATE/TIME
RELINQUISHED BY (SIG.)
DATE/TIME
RECEIVED BY (SIG.)
DATE/TIME
Sampler must place a "C" for composite sample or a "G" for
PLEASE READ Instructions for completing this form on the reverse side. �o (�12617
FORM k5 Grab sample in the blocks above for each parameter requested.

CITY OF HAVELOCK
W Q0000702
City of Havelock WWTP
�FeoalColiForire�
`��`�1��`
O1/19/23
150,000
5.1761
O1/19/23
97,000
4.9868
O1/19/23
68,000
4.8325
O1/19/23
140,000
5.1461
O1/19/23
150,000
5.1761
O1/19/23
70,000
4.8451
O1/19/23
130,000
5.1139
Total 1 35.2766
Average 5.0395
Geometric Mean s92G[? Fecal Coiiform MPN / gram
Geometric Mean of Less than 2,000,000 meets Class B - Alternative 1 Pathogen Reduction
requirement.

�Rwkoiflmfll Flo hmpormNo
114 OAKMONT DRIVE
GREENVILLE, N.C. 27858
CITY OF HAVELOCK(SLUDGE)
DEVIN ADAMS
WASTEWATER TREATMENT PLANT
304 N. JACKSON DRIVE
HAVELOCK, NC 28532
Drinking Water ID: 37715
Wastewater ID: 1a
PHONE [phone]
FAX [phone]
ID#: 414 B
DATE COLLECTED: 01/19/23
DATE REPORTED : 01/26/23
REVIEWED BY:
Sample
Sample
Sample
Sample
Sample
Analysis
Method
PARAMETERS #1
N2
N3
H4
N5
Date Analyst
Code
Total Residue, mg/l 33367
33900
34000
34633
33100
01/23/23 BLV
2540B-15
Fecal Coliform (MPN), /gram Solids 150000
97000
68000
140000
150000
01/19/23 BNC
9221E-14

Environment .Incoraorated
114 OAKMONT DRIVE
GREENVILLE, N.C. 27858
CITY OF HAVELOCK(SLUDGE)
DEVIN ADAMS
WASTEWATER TREATMENT PLANT
304 N. JACKSON DRIVE
HAVELOCK, NC 28532
Drinking Water IDt 37715
Wastewater ID: 10
PHONE [phone]
FAX [phone]
ID#: 414 B
DATE COLLECTED: 01/19/23
DATE REPORTED : 01/26/23
J
J
REVIEWED BY:
Sample Sample Analysis Method
PARAMETERS N6 N7 Date Analyst Code
Total Residue, mg/l 32867 36067 01/23/23 BLV 254OB-15
Fecal Coliform (MPN), /gram Solids 70000 130000 01/19/23 BNC 9221E-14

Environment 1, Inc. CHAIN OF CUSTODY RECORD
P.O. Box 7085, 114 Oakmont Dr.
Page 1 of 1
Greenville. NC 27858
ei�vironmentlinc.com
DISINFECTION
I
CHLORINE NEUTRALIZED ATCOLLECTION
Phone [phone] ^ Fax [phone]
CHLORINE
12
CLIENT: 414 B Week: 7
pH CHECK (LAB)
ITY OF HAVELOCK(SLUDGE)
J NONE
P
P
CONTAINER TYPE, PIG
EVIN ADAMS
-----
1ASTEWATER TREATMENT PLANT
CHEMICAL PRESERVATION
M N. JACKSON DRIVE
A
A
[AVELOCK NC 28532
- z
E 0
A -NONE D-NAOH
152) 671-6373
ILU � "'
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SAMPLE LOCATION
DATE
TIME
Sample #1
=''
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CLASSIFICATION:
WASTEWATER(NPDES)
Sample#2
1-447
102
_—
2
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Pool'
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Sample #4
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CHAIN OF CUSTODY (SEAL) MAINTAINED
DURING SHIPMENT/DELIVERY
—
N
SAMPLES COLLECTED BY:
—
--
--
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(Please Pdnt)
'QAAA 61V 05i 't >>M
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SAMPLES RECEIVED IN LABAT_i_�-j 1C
RELI ISH D (SIG.) (SAMPLER)
DATEMME
RECEIVED BY (SIG.) _
DATEMME
COMMENTS:
i-tq-Z3�3-�2,
FfElINQUISHED BY (SIG.)
DATE71ME
RECEIVED BY (SIG.)
DATEITIME
RELINQUISHED BY (SIG.)
DATEMME
RECEIVED BY (SIG.)
DATEMME
PLEASE READ Instructions for completing this form on the reverse side.l Sampler must place a "C" for composite sample or a "G" for
FORM #5 Grab sample in the blocks above for each parameter requested. N-_o
413266

-.,. ,
}C t+l >
Orlando, FL
e-H[ardcor,y z D
The results set Forth herein Lire provided by SGS North. Anierica Inc.
.tu[onfa[ed Report
Technical Report for
Environment 1, Inc
City of Havelock WWTP; 304 N Jackson Dr, Havelock, NC
414
SGS Job Number: FC2163
Sampling Date: 01/19/23
Report to:
Environment 1, Inc
PO Box 7085
Greenville, NC 27835
abrown@environmentIinc. com
TTN: Ann Brown
Total number of pages in report: 26
pCCR ��
nr,
t�
60�A'10'
Test results contained within Otis data package meet the requirements
of the National Environmental Laboratory Accreditation Program
and/or state specific certification programs as applicable.
Client Service contact: Ariel Hartney 407-425-6700
Norm Farmer
Technical Director
Certifications: FL(E83510), LA(03051), KS(E-10327), NC(573), NI(FLO02), NY(12022), SC(9G038001)
DoD ELAP(ANAB L2229), AZ(AZO80G), CA(2937), TX(T104704404), PA(GB-03573), VA(4GO177),
AL, AK, AR, CT, IA, KY, MA, MI. MS, ND, NH, NV, OK, OR, IL, UT, VT, WA, WI, WV
This report shall not be reproduced, except In its entirety, without the written approval of SGS.
Test results relate only to samples analyzed.
SGS North America Inc. • 4405 Vineland Road • Suite C-15 • Orlando, FL 32811 • tel: [phone] • fax: [phone]
SGS is the s0lc authority ti,r authori7in.c edits 0r modilicati0ns to this dOCU1M!tt. Please share your idea; about
Unoulhoriud modiiioation of dik rere you hotter ne port is slriOly prohibited. how we can se _ g
Review siandurd kn-ws at: 11t1p:ri'l1'Waasgs.conven%teruts..:md•con<lilions EllS.l rS.CustonrerC:ur(rrags.cont
'I of 26
FC21G3

Sections:
Table of Contents
Section 1: Summary Sample S.............................1................................................................... 3
P Y
Section2: Summary of Hits.................................................................................................... 4 ; }'
Section3: Sample. Results........................................................................................................ 5
3.1: FC2163-1: SLUDGE SAMPLE................................................................................... 6
3.2: FC2163-1L: SLUDGE SAMPLE
Section 4: Subcontract Lab Data............................................................................................ I2
Section5: vise. Forms............................................................................................................ 24
5.1: Chain of Custody........................................................................................................... 25
-_-_ 2 of 26
FC2163

SGS North America Inc.
Sample Summary
Environment 1, Inc
Job No: FC2163
City of Havelock WWTP; 304 N Jackson Dr, Havelock, NC
Project No: 414
;ample Collected Matrix Client
qumber Date Time By Received Code Type Sample ID
p _ - _ _ _
Ibis re ort contains results reported as ND Nof detected. The'foltowing applies:
Organics ND = Not detected above the MDL
FC2163-1 01/19/23 10:00 HD 01/25/23 SO Sludge SLUDGE SAMPLE
FC2163-1L 01/19/23 10:00 HD 01/25/23 SO Sludge SLUDGE SAMPLE
Soil samples reported on a dry weight basis unless otherwise indicated on result page.
�I
3 of 26
FC2163

Summary of Hits
Job Number:
FC2163
Account:
Environment 1, Inc
Project:
City of Havelock WWTP; 304 N Jackson Dr, Havelock, NC
Collected:
O1/19/23
Lab Sample ID Client Sample ID Result/
Analyte Qua]
FC2163-1 SLUDGE SAMPLE
Corrosivity as pH 7.8
Ignitability (Flaslipoint) a > 200
FC2163-IL SLUDGE SAMPLE
Tetracldoroethylene 0.0102
Mercury 0.042
(a) Not ignitable.
RL MDL
Units
Method
Page 1 of 1 Em
FM
on
su SW846 CHAP7
Deg. F SW846 1020C MOD
0.010 0.0022 mg/1 SW846 8260D
0.0050 mg/1 SW846 7470A
4 of 26
FC2169

SGS North America Inc.
Report of Analysis
Client Sample ID: SLUDGE SAMPLE
Lab Sample ID: FC2163-1 Date Sampled: 01/19/23
Matrix: SO - Sludge Date Received: 01/25/23
Percent Solids: 3.7
Project: City of Havelock VVWTP; 304 N Jackson Dr, Havelock, NC
General Chemistry
Analyte Result RL Units DF
Corrosivity as pH 7.8 su 1
Ignitability (Flashpoint) a > 200 Deg. F 1
Solids, Percent 3.7 % 1
(a) Not ignitable.
RL = Reporting Limit
Page 1 of 1 G;
Analyzed By Method
01/27/23 13:37 GT Sw846 CHAP?
01/30/23 10:21 GT sw8461020C MOD
01/30/23 15:19 GT SM19 2540G
� 6 of 26
>.. . N ._
FC2163

SGS North America Inc.
Report of Analysis Page 1 of 1
Client Sample ID: SLUDGE SAMPLE
Lab Sample ID: FC2163-IL Date Sampled: 01/19/23
Matrix: SO - Sludge Date Received: 01/25/23
Method: SW846 8260D SW846 1311 Percent Solids: 3.7
Project: City of Havelock WWTP; 304 N Jackson Dr, Havelock, NC
File ID DF Analyzed �By Prep Date Prep Batch Analytical Batch
Run #1 2A43233.1) 10 01/31/23 13:28 KG 01/26/23 08:00 OP95163 V2A1702
Run #2
Purge Volume
un #1 5.0 ml
on #2
VOA TCLP List
CAS No.
Compound
71-43-2
Benzene
78-93-3
2-Butanone (MEK)
56-23-5
Carbon Tetrachloride
108-90-7
Chlorobenzene
67-66-3
Chloroform
106-46-7
1,4-Dichlorobenzene
107-06-2
1,2-Dicliloroethane
75-35-4
1,1-Dichloroethylene
127-18-4
Tetrachloroethylene
79-01-6
Trichloro ethylene
75-01-4
Vinyl Chloride
CAS No.
Surrogate Recoveries
1868-53-7
Dibromofluoromethane
17060-07-0
1, 2-Dicldoroethane-D4
2037-26-5
Toluene-D8
460-00-4
4-Bromofluorobenzene
TCLP Leachate method SW846 1311
Result
HW#
MCL
RL
MDL
Units Q
ND
D018
0.50
0.010
0.0031
mg/I
ND
D035
200
0.050
0.020
mg/I
ND
D019
0.50
0.010
0.0036
mg/I
ND
D021
100
0.010
0.0020
mg/I
ND
D022
6.0
0.010
0.0030
mg/1
ND
D027
7.5
0.010
0.0026
mg/I
ND
D028
0.50
0.010
0.0031
mg/I
ND
D029
0.70
0.010
0.0032
mg/I
0.0102
D039
0.70
0.010
0.0022
mg/1
ND
D040
0.50
0.010
0.0035
mg/I
ND
D043
0.20
0.010
0.0041
mg/I
Run# 1 Run# 2 Limits
100%
83-118%
107%
79-125%
105%
85-112%
98%
83-118%
ND = Not detected MDL = Method Detection Limit J = Indicates an estimated value
MCL = Maximum Contamination Level (40 CFR 261 7/1/11) B = Indicates analyte found in associated method blank
E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound
'7 of 26
G% _..
FC2163

SGS North America Inc.
Report of Analysis
'lient Sample ID: SLUDGE SAMPLE
.ab Sample ID: FC2163-IL Date Sampled: 01/19/23
,Iatrix: SO - Sludge Date Received: 01/25/23
4ethod: SW846 8270E SW846 3510C Percent Solids: 3.7
'roject: City of Havelock WWTP; 304 N Jackson Dr, Havelock, NC
Page 1 of 1 s�
File ID DF Analyzed By Prep Date Prep Batch Analytical Batch
Run #1 X086111.1) 1 01/30/23 12:14 KA O1/28/23 07:00 OP95197 SX3412
Run #2
Initial Volume Final Volume
un #1 100 ml 1.0 ml
un #2
ABN TCLP List
CAS No.
Compound
95-48-7
2-Methylphenol
3&4-Methylphenol
87-86-5
Pentacldorophenol
95-95-4
2,4,5-Trichlorophenol
88-06-2
2,4,6-Triclilorophenol
106-46-7
1,4-Dichlorobenzene
121-14-2
2,4-Dinitrotoluene
118-74-1
Hexachlorobenzene
87-68-3
Hexachlorobutad'iene
67-72-1
Hexachloroethane
98-95-3
Nitrobenzene
110-86-1
Pyridine
CAS No.
Surrogate Recoveries
367-12-4
2-Fluorophenol
4165-62-2
Phenol-d5
118-79-6
2,4,6-Tribromophenol
4165-60-0
Nitrobenzene-d5
321-60-8
2-Fluorobiphenyl
1718-51-0
Terphenyl-d14
TCLP Leachate method SW846 1311
Result
I1W#
MCL
RL
MDL
Units Q
ND
D023
200
0.050
0.0056
mg/I
ND
D024
200
0.050
0.0098
mg/I
ND
D037
100
0.25
0.050
mg/I
ND
D041
400
0.050
0.0074
mg/1
ND
D042
2.0
0.050
0.0075
mg/I
ND
D027
7.5
0,050
0.0050
mg/l
ND
D030
0.13
0.050
0.0081
mg/I
ND
D032
0.13
0.050
0.0069
mg/l
ND
D033
0.50
0.050
0.0050
mg/I
ND
D034
3.0
0.050
0.016
mg/I
ND
D036
2.0
0.050
0.0093
mg/I
ND
D038
5.0
0.10
0.020
mg/I
Rung 1 Rung 2 Limits
47%
14-67%
45%
10-50%
65%
33-118%
63%
42-108%
61%
40-106%
79%
39-121%
ND = Not detected MDL = Method Detection Limit J = Indicates an estimated value
MCL = Maximum Contamination Level (40 CFR 261 7/1/11) B = Indicates analyte found in associated method blank
E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound
P uG s 8 of 26
FC2163

SGS North America Inc.
Report of Analysis
Client Sample ID: SLUDGE SAMPLE
Lab Sample ID: FC2163-11 Date Sampled: 01/19/23
Matrix: SO - Sludge Date Received: 01/25/23
Method: SW846 8151A SW846 3510C Percent Solids: 3.7
Project: City of Havelock WWTP; 304 N Jackson Dr, Havelock, NC
File ID DF Analyzed By Prep Date Prep Batch Analytical Batch
Run#1 CC087395.D 1 01/30/2317:10 AF 01/28/2309:00 OP95199 GCC2268
Run #2
Initial Volume Final Volume
un #1 10.0 ml 5.0 ml
un #2
Page 1 of 1 P
6,1
Herbicide TCLP List
TCLP Leachate method SW846 1311
CAS No. Compound
Result
HW# MCL RL
MDL Units Q
94-75-7 2,4-D a
ND
D016 10
0.050
0.017 mg/1
93-72-1 2,4,5-TP (Silvex) a
ND
D017 1.0
0.0050
0.0013 mg/1
CAS No. Surrogate Recoveries
Rung 1
Rung 2
Limits
19719-28-9 2,4-DCAA
103%
39-135%
(a) Associated CCV outside of control limits high, sample was ND.
ND = Not detected MDL = Method Detection Limit J = Indicates an estimated value
MCL = Maximum Contamination Level (40 CFR 261 7/1/11) B = Indicates analyte found in associated method blank
E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound
�ry 9 of 26
FC2163

SGS North America Inc.
Report of Analysis Page 1 of 1;
Client Sample ID: SLUDGE SAMPLE
Lab Sample ID: FC2163-IL Date Sampled: 01/19/23
Matrix: SO - Sludge Date Received: 01/25/23
Method: SW846 808113 SW846 3510C Percent Solids: 3.7
Project: City of Havelock WWTP; 304 N Jackson Dr, Havelock, NC
File ID DF Analyzed By Prep Date Prep Batch Analytical Batch
Run #1 ST165558.1) 1 01/30/23 21:59 EM 01/28/23 07:00 OP95198 GST4047
Run #2
Initial Volume Final Volume
un #1 100 ml 5.0 ml
un #2
Pesticide TCLP List
TCLP Leachate method SW846 1311
CAS No.
Compound
Result
HW#
MCL RL
MDL
Units Q
58-89-9
gamma-BHC (Lindane)
ND
D013
0.40 0.00010
0.000022
mg/l
12789-03-6
Chlordane
ND
D020
0.030 0.0010
0.00038
mg/l
72-20-8
Endrin
ND
D012
0.020 0.00020
0.000021
mg/1
76-44-8
Heptachlor
ND
D031
0,00800.00010
0.000026
mg/1
1024-57-3
Heptachlor epoxide
ND
D031
0.0080 0.00010
0.000020
mg/1
72-43-5
Methoxychlor
ND
D014
10 0.00020
0.000050
mg/l
8001-35-2
Toxaphene
ND
D015
0.50 0.0050
0.0021
mg/l
CAS No.
Surrogate Recoveries
Rung 1
Run# 2
Limits
877-09-8
Tetracliloro-m-xylene
76%
42-127%
2051-24-3
Decachlorobiphenyl
79%
27-127%
ND = Not detected MDL = Method Detection Limit J = Indicates an estimated value
MCL = Maximum Contamination Level (40 CFR 261 7/1/11) B = Indicates analyte found in associated method blank
E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound
10 of 26
FC2163

SGS North America Inc.
Report of Analysis
'lient Sample ID: SLUDGE SAMPLE
gab Sample ID: FC2163-1L Date Sampled: 01/19/23
Qatrix: SO - Sludge Date Received: 01/25/23
Percent Solids: 3.7
roject: City of Havelock WWTP; 304 N Jackson Dr, Havelock, NC
Page 1 of 1�
Metals Analysis, TCLP Leachate SW846 1311
Analyte Result IiW#
MCL
RL
Units
DF
Prep
Analyzed
By
Method
Prep Method
Arsenic < 0.10 D004
5.0
0.10
mg/1
1
01/28/23
01/30/23
DM
SW846 6010D 1
SW846 3010A 3
Barium < 2.0 D005
100
2.0
mg/1
1
01/28/23
01/30/23
DM
SW846 6010D 1
SW846 3010A 3
Cadmium < 0.050 D006
1.0
0.050
mg/1
1
01/28/23
01/30/23
DM
SW846 6010D 1
SW84G 3010A 3
Chromium < 0.10 D007
5.0
0.10
mg/1
1
01/28/23
01/30/23
DM
SW846 6010D 1
SW84G 3010A 3
Lead < 0.050 D008
5.0
0.050
mg/I
1
01/28/23
01/30/23
DM
SW846 6010D 1
SW846 3010A 3
Mercury 0.042 D009
0.20
0,0050
mg/I
1
01/31/23
01/31/23
is
SW846 7470A 2
SW846 7470A 4
Selenium < 0.10 D010
1.0
0.10
mg/I
1
01/28/23
01/30/23
DM
SW8466010D 1
SW846 3010A 3
Silver < 0.10 D011
5.0
0.10
mg/1
1
01/28/23
01/30/23
DM
SW846 6010D 1
SW840 3010A 3
(1) Instrument QC Batch: MA19185
(2) Instrument QC Batch: MA19187
(3) Prep QC Batch: MP41767
(4) Prep QC Batch: MP41778
RL = Reporting Limit
MCL = Maximum Contamination Level (40 CFR 261 7/1/11)
M- 11 of 26
FC2163

1
Orlando, FL a
Section 4
I:
Subcontract Lab Data
Report of Analysis
12 of 26
FC21G3

aceAnalxical® ANALYTICAL REPORT --
February 04, 2023
�Ss
SGS North America Inc. - Orlando, FL
} Sample Delivery Group: L1580647
Fie
Samples Received: 01/31/2023
f
) EProject
Number: I
Description: Havelock WWTP
'(�c
i
rGl
Report To: Ariel Hartney
4405 Vineland Rd
rAl
Suite C-15
BSc
F Orlando, FL 32811
Entire Report Reviewed By:
Jeff Carr
Project Manager
Results relate only to The Items tested or calibrated and are repoiled as rounded values. This lest report shall not be
reproduced, except In full• withoulwrilten approval of the laboratory. Where applicable. sampling conducted by Pace
Analytical National Is performed per guidance provided In laboratory standard operating procedures ENV-SOP.MTJL-0067 and
ENV•SOP-MTJL•0068. Where sampling conducted by the customer, results relate to the accuracy of the Information provided.
and as the samples are received.
1
ACCOUNT: PROJECT: SDG: DATEMNIE: PAGE:
SGS North America Inc. - Orlando. FL L1580647 02/0412312:18 1 of 11
�i 13 of 26
-SG>:<UI-_
FC2163

- `.�''. it fi7±5e3�'nm�is$`�'tix•._...T"�"'J.fSi"iFuZt:�:7a�'>«'`i'�FtT: kieu!t�riY" .:.�� .1:r asv%iii�
TABLE OF CONTENTS
r^p: Covor Gage
1
Tc: Table of Contents
2
�-
Ss: Sample Summary
3
i
Cn: Case Narrative
4
3Ss
Sr: Sample Results
5
SLUDGE SAMPLE L1580647-01
5
`
Cc: Quality Control Summary
6
Cn
Wet Chemistry by Method 9012 B
6
Sr
Wet Chemistry by Method 9034-9030B
7
GI: Glossary of Terms
8
Gr-
Al: Accreditations & Locations
9
/GI
Sc: Sample Chain of Custody
10
�al
aSc
ACCOUNT: PROJECT: SDG; DATEMME: PAGE:
SGS North America Inc. - Orlando. FL L1580647 02104/23 12:18 2 or li
14 of 26
FC2163

SAMPLE SUMMARY
Colic-cted by tbikcted dateAlme Received date!6me
SLUDGE SAMPLE L1580647-01 Solid HD DU19/2310:00 0161,12309:30 i
•p I
Method
Wet Chemistry by Method 9012 B
Wet Chemistry by Method 9034.9030B
ACCOUNT:
SGS North America Inc. _ Orlando. FL
Batch Dllullon Preparation
Analysis
da(ellime
date/time
WG1996091 1 02/01/2317:27
02101/23 23:59
WG1997685 1 02/02/23 20:09
02103/23 01:00
Analyst
LDT
RCD
PROJECT: SDG: DATE/TIME:
L1580647 . 02/04123 12:16
Location
Mt. Julie(, TN
Mi. Julle6 TN
PAGE:
3of11
15 of 26
FC2163

CASE NARRATIVE
All sample aliquots were received at the correct temperature, in the proper containers, with the
appropriate preservatives, and within method specified holding times, unless qualified or notated within
_
the report. Where applicable, all MDL (LOD) and RDL (LOQ) values reported for environmental samples
7c
have been corrected for the dilution factor used in the analysis. All Method and Batch Quality Control
are within established criteria except where addressed in this case narrative, a non-conformance form
or properly qualified within the sample results. By my digital signature below, I affirm to the best of my
Ss
knowledge, all problems/anomalies observed by the laboratory as having the potential to affect the
quality of the data have been Identified by the laboratory, and no Information or data have been
knowingly withheld that would affect the quality of the data.
Sr
Jeff Carr
Project Manager
AI
`Sc
Project Narrative
All Reactive Cyanide results reported In the attached report were determined as totals using method 9012 B.
All Reactive Suinde results reported In the attached report were determined as totals using method 9034-90308.
ACCOUNT: PROJECT: SOG: DATEITIME: PAGE:
SGS Norin America Inc. - Orlando. FL L1580647 02104/2312:18 4 of 11
16 of 26
FC2163

- -, ,
65,.
1
SLUDGE SAMPLE SAMPLE RESULTS - 01
Collected dale/lime: 0111912310:00 L1580647
Wet Chemistry by Method 9012 B F7, 1
Result Oualifier L00 Dilution Analysis lth J
Analyte mg/kg mg/kg date 1 time
_ __... - ..... - .._._ .__...... _.__.. ..._..._..._..._ _..._. ,._..._ _.._._.._..._.._... �...._.....__...........,,...._,._..._._................_ _
Reactive Cyanide NO Pi 0.250 1 021OU2023 23:59 N1619MI �C
Wet Chemistry by Method 9034-9O3OB 3Ss
Result Oualifier L00 Dilution Analysis Balch
Analyte mgAg mg/kg date/lime
Reactive Sulfide ND T8 75.0 1 02/0312023 01:00 ING1997685
7G1
yAl
FC1
ACCOUNT: PROJECT: SOG: DATE/TIME: PAGE:
SGS North America Inc. - Orlando. FL L1580647 02/0412312:18 5 of 11
I��� 17 of 26
Ica
..
FC2163

?F.F'<(7FIti1FF3FiFFFA_TarrttiFSFE3!�xxt!Isii'i!A'r%xT�crx7r7r�fRn[efraa2fAm*.?°!a:}gn';.. ,. •.;'„C:.i7d:,7¢c7;�f:
WG1998091 QUALITY CONTROL SUMMARY
Wet Chemistry by Method 9012 6'11580647.011
Metiod Blank (MB)
-_—
I11J�
(MB) R3886575-1 02/01/23 23:54
ME Result ME OualiFier ME OL ME LOD ME LOD
Analyle mg/kg mg/kg mg/kg mg/kg
Reactive Cyanide iJ 0.0390 0.250
01580647-01 Original Sample (OS) • DLIPlicrlte (DUP)
L1580647-01 02/01/23 23:59 • (DUP) R3886575-3 02/02/23 00:00
rcn](C)S)
Original Result DUP Result Dilution DUP RPD DUP ODUP RPDualiFler
Limits
s
S r
Analyte mg/kg mg/kg % %
Reactive Cyanide NO NO 1 200 Pl 20
LahorF'�..tor. Control Sample (LCS)
�GI
(LCS) R3886575-2 02/01/23 23:55
Spike Amount LCS Result LCS Rec. Rec Limits LCS Qualifier,
a
Analyte mglkg mg/kg. _
._..
....,._.—%
Reactive Cyanide -- �2.50 2.44 47.7 85.0.115
FSCI
L15309 5-01 Original Sample (OS) . Matrix Spike (MS) • Mai rix Spike DLlplicate (PSSD)
(OS) L1580945-01 02/02/23 00:01 • (MS) R38865754 02/02/23 00:02 • (MSD) R3886575-5 02/02/23 00103
Spike Amount Original Result MS Result MSD Result MS Rec. MSD Rec. Dilution Rec. Limits MS Oualifier MSD Oualifrer RPD RPD Limits
Analyte mg/kg mg&g mg/kg mg/kg % % % % %
Reactive Cyanide 1.67 ND 1.57 1.46 94.3 87.4 1 75.0.125 7.57 20
ACCOUNT:
SGS North America Inc. - Odando. FL
� m
2 0
m »
u �
PROJECT:
SDG:
L1580647
DATEMME:
02/0023 17:18
0
PAGE:
6 of11

�ill3tffFTtSiiiiFF4Tl[1fdN. 43Tt3AS3E!R1it1E,`7F,'3 _RF. R3^CC ,._R _ T.+ sA7>:11i7?Fr1rZig :7:
WG1997685 QUALITY CONTROL SUMMARY
.Wet Chemistry by Method 9034-90308 1.1560647.01
Method Blank (NIB) Cp
(MB) R3887035-1 02/03/23 01:00 L i
MB Result MB Qualifier MB DL MB LOD M8 LOD
Analyle mg/kg mg/kg mg/kg mg/kg t r
Reactive Sulfide (1 30.0 75.0
�Ss
Laboratory Control Scomple
r.,
(LCS) R3887035-2 02/03/23 01:00
Spike Amount LCS Result LCS Rec, Rec. Limits LCS Oualifier
Analyte mglkg mglkg % %
Reactive Sulfide 100 72.1 72.1 53.8.124
L1580931-02 Original Saniple (OS) • Matrix Spike (INAS) • Matrix Spike Duplicate ',MSD)
(OS) L1580931-02 02/03/23 01:00 • (MS) R3887035-3 02/03/23 OL'00 • (MSD) R3887035-4 02/03/23 01:00
Spike Amount Original Result MS Result MSD Result MS Rec MSD Rec. Dilution Rec. Limits
Analyte mg/kg mg/kg mg/kg mglkg % % %
-----------
Reactive Sulfide 100 NO NO NO 47.4 55A 1 100436
ACCOUNT:
SGS North America Inc. - Orlando. FL
m �
2
u N
PROJECT: SDG: -
L1560647
u
FSr
7GI
MS Qualifier MSD Oualifier RPD RPD Limits
% % fil
15.0 20
FC
DATE/TIME: PAGE
02/0412312:18 7 of 1t

EM211111�EF&�� -^s tn^rronanaraws3m maref- �r .
t,riseF ui::trrri
GLOSSARY OF TERMS
Guide to Reading and Understanding Your Laboratory Report
The Information below Is designed to better explain the various terms used in your report of analytical results from the Laboratory. This is not
Intended as a comprehensive explanation, and If you have additional questions please contact your project representative.
Results Disclaimer - Information that may be provided by the customer, and contained within this report, Include Permit Limits. Project Name,
TC
Sample ID, Sample Matrix,
Sample Preservation, Feld Blanks, Field Spikes, Field Duplicates, On -Site Data. Sampling Collection Dates/Times, and
Sampling Location. Results relate to the accuracy of this Information provided, and as the samples are received.
3
Abbreviations and Definitions
SS
Limit.
DetectionLimit
ACn
LO
LOD
LImR of Detection.
LOQ
Limit of Quantitallon.
ND
Not detected at the Reporting Limit (or DL where applicable).
Rec.
Recovery.
Sr
I
RPD
Relative Percent Difference.
SDG
Sample Delivery Group.
Q!_
Analyte
The name of the particular compound or analysis performed. Some Analyses and Methods will have multiple analytes
reported.
If the sample matrix contains an Interfering material, the sample preparation volume or weight values differ from the
Dilution
standard, or if concentrations of analytes in the sample are higher than the highest limit of concentration that the
laboratory can accurately report, the sample may be diluted for analysis. If a value different than I Is used In this field, the
aAi
result reported has already been corrected for this factor.
These are the target % recovery ranges or % difference value that the laboratory has historically determined as normal
Limits
for the method and analyse being reported. Successful QC Sample analysis will target all analytes recovered or
duplicated within these ranges.
ySC
Original Sample
The non -spiked sample In the prep batch used to determine the Relative Percent Difference (RPD) from a quality control
sample. The Original Sample may not be Included within the reported SDG.
This column provides a letter and/or number designation that corresponds to.addltional Information concerning the result
Qualifier
reported. If a Qualifier Is present, a definition per Qualifier is provided within the Glossary and Definitions page and
potentially a discussion of possible Implications of the Qualifier in the Case Narrative If applicable.
The actual analytical final result (corrected for any sample specific characteristics) reported for your sample. If there was
no measurable result returned for a specific analyte, the result In this column may state 'ND' (Not Detected) or "BDL"
Result
(Below Detectable Levels). The Information In the results column should always be accompanied by either an MDL
(Method Detection Llmlt) or RDL (Reporting Detection Limit) that defines the lowestvalue that the laboratory could detect
or report for this analyte.
Uncertainty
(Radlochemistry)
Confidence level of 2 sigma.
A brief discussion about the Included sample results, including a discussion of any non -conformances to protocol
Case Narrative (Cn)
observed either at sample receipt by the laboratory from the field or during the analytical process. If present, there will
be a section In the Case Narrative to discuss the meaning of any data qualifiers used in the report.
Quality Control
This section of the report includes the results of the laboratory quality control analyses required by procedure or
Summary (Qc)
analytical methods to assist In evaluating the validity of the results reported for your samples. These analyses are not
being performed on your samples typically, but on laboratory generated material.
This Is the document created in the field when your samples were Initially collected. This is used to verify the time and
Sample Chain of
date of collection, the person collecting the samples, and the analyses that the laboratory Is requested to perform. This
Custody (Sc)
chain of custody also documents all persons (excluding commercial shippers) that have had control or possession of the
samples from the time of collection until delivery to the laboratory for analysis.
This section of your report will provide the results of all testing performed on your samples. These results are provided
Sample Results (Sr)
by sample ID and are separated by the analyses performed on each sample. The header line of each analysis section for
each sample will provide the name and method number for. the analysis reported.
Sample Summary (Ss)
This section of the Analytical Report defines the specific analyses performed for each sample ID, Including the dates and
limes of preparation and/or analysis.
Qualifier Description
P1 RPD value not applicable for sample concentrations less than 5 times the reporting limit.
T8 Sample(s) received past/too close to holding time expiration.
U Below Detectable Limits: Indicates that the analyte was not detected.
ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE:
SGS North America Inc. - Orlando. FL L1580647 02I0412312t18 8 of 11
20 of 26
- FC21sa

ACCREDITATIONS & LOCATIONS
Pace Analytical National 12065 Lebanon Rd MOILI[lt Juliet, TN 37122
Alabama
40660
Nebraska
1-05�5
Alaska
17-026
Nevada
TN000032021-1
Arizona
A20612 . ......
New Hampshire
2975
Arkansas
88.0469
MOM__
NewJe
__ney-.NELAt_
TN002
California
2932
Newmexlco,
TN00003.______ .
Colorado
TN00003
New York
11742
-Connecticut,
-North Carolina
±�o�dd
North Carolina'
DW21704
.......
NELAP
North Ce,oline'.
41
_121
North Dakota
_
Idaho
LN00003
Ohio-VAP
EL0069
Fillirmis
iopool!
- -----
9T5
frtMana
C-7N.01
Iowa
364
68.02979
Kansas
E.-19277
Rhode Island
LA000356
Xen!ll.clky."
KY90010
South Carolina
....840040.92 .... ... ..........
16
Dakota
nfa
.,South
Tennessee
2006
Louisiana
LAIIIIIIII
-Maine
TNDDOD3
Texas
LA80152
Maryland
324
Utah
TN000032021-11
Massachusetts
MaTN003
Vermont
V72006
M"Igan
9958-
Virginia ,
110033
-Minnesota
047-999-395
..Washington
C847
MlsslsslpPi....... ....
. NO-01__._____
2
la�.
_Wt�!y0glol .---
Missouri
340 —
----- Wisconsin
998093910
Montana
CERT00116
.. ..........
Wyoming
A2LA
A2tA- IS01702S
1461.01
AINA-LAP.LLC EMLAP
100789
A2LA - ISO 17025
1461.02
COD
1461.01
Canada
1461.01
USDA
P330.15-00234
_.Ln-CIYPLO
' Drinking Water 2Undergtound Storage Tanks 3 Aquatic Toxicity 'Chemical/Microbiological sMold 'Wastewater r9a Accreditation not applicable
Not all cedflicallons held by the laboratory are applicable to the results reported In the attached report.
Accreditation Is only applicable to the test methods specliled on each scope of accreditation held by Pace Analytical.
ACCOUNT: PROJECT: SDG, DAT5ffIM5, PAGE:
SGS North America Inc.. Orlando. FL L1580647 02104123 12 IS 9 of 11
21 of 26
Lid FC2163

FC2163-1 FC2163.1 N1P
Bot # 1 Bot #i
3D00
CHAIN OF CUSTODY
Sr4 Ki.r ai--ina I— _ nrlanrin
die
� �e,�(Asq-q,
Page 1 of 1
R-2D 405 Vineland Road, Suite C-15 Orlando, FI 32811
FEU -EX T,.ckkg
an4 OMar Coreula
181,601,
)OOR- Ij�f��i��;l����l��i41�1������ii��'�I�!�I��I TEL FAX: 4D7-425.0707
I 1
SGSc—
SO5�ubz
wwwsgs.comlohsusa
FC2t63X
Reg, ested Anal
sis (s
a TEST COD
sheet)
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SGS North America Inc_
City of Havelock WLNTP:304 N Jackson Or. Havelock. NC
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s 23 of 26
FC2163

Orlando, FL
Misc. Forms
Custody Documents and Other Forms
Includes the following where applicable:
• Chain of Custody
ism
24 of 26
FC2163

limir-nnmrnr 1. fne. CHAIN Or CUSTODY RECORDRVZ 1; I)ax 7085. 114 Oakomw Dr.of—
cn v irmumm�l) int.cons
Ph wv. (2423 756-6208 • Fax [phone]:13
DISI NI'ECTION
CLILDRINE
CH.OnINE HEUfRAU7_EDATCOLLEMIM
_ ---
pH CHECK(CAB]
Cl..nslv'r: 414 Week:S
F_vyUV
1
—
P
P
—
P
P
P
G
G
G
G
CONTAMERTYPE. PiG
NTYOFTLLVELOCK(SLUDGE)
❑ NONE
)EVIN ADAMS
CHEWCALPRESERVATION
VASfEWATERTREATMENT PLANT
J
04 N. JACICSON DRIVE
A
A
A
A
A
A
A
A
A
UVELOCIC INC 28532
F A•NONE D-NAOH
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252)671.6373
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I+C,'2163: Chain of Custody
Page 1 of 2
25 of 26
---
r.____ FC2163

SGS Sample Receipt Summary
Job Number: FC2163
Client: ENVIRONMENT 1
Project: CITY OF HAVELOCK
Date/Time Received: 1/25/2023 9:30:00 AM Delivery Method: FX
Airbill#'s: 605166539190
Therm ID: IR 1;
Therm CF: 0.2;
# of Coolers:
1
Cooler Temps (Raw Measured) °C: Cooler 1: (4.2);
Cooler Temps (Corrected) °C: Cooler 1: (4.4);
Cooler Informatjpr
i QL N
Samnle Information
Y_gs_�_
NIA
1. Custody Seals Present
dG ❑
1. Sample labels present on bottles
2. Custody Seals Intact
It/_i L)
2. Samples preserved properly
3. Temp criteria achieved
'yi f':J
3. Sufficient volumetcontainers recvd for analysis:
y.
4. Cooler temp verification
IR Gun
4. Condition of sample
In ac
5. Cooler media
Ice (Baal
5. Sample recvd within HT
❑
6. Dates/TimesllDs on COC match Sample Label
`1
Q
ItipBlanklnforma o
_ y L_ !A
7. VOCs have headspace
1. Trip Blank present / cooler
i_j ri ,-Net
8. Bottles received for unspecified tests
D
R"
2. Trip Blank listed on COC
;J ❑ '�.
S. Composting instructions clear
❑
W 21--E_ NIA
10. Voa Soit KilslJars received past 48hrs?
❑
11. Solids Jar received?
❑
❑
�.
3. Type Of TB Received
,1J ❑ J
12. Residual Chlorine Present?
11
Misc..Informatipnr
Number of Encores: 25-Gram 5-Gram Number of 5035 Field Kits: Number of Lab Filtered Metals:
Test Strip Lot its: pH 0-3 230315 pH 10-12 219813A Other: (Specify)
Residual Chlorine Test Strip Lot #:
Comments
sM001 Technician: NATANS Dale: 12512023930:00AMRw.Dato05rt4117 — _
Reviewer: Date:
FC2163: Chain of Custody
Page 2 of 2
26 of 26
FC2163

ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (02T Rules)
Facility Name: Lewis Farms and Liquid Waste, Inc.
WWTP Name: Havelock WWTP
Monitoring Period:
From 1L1L=
To
WQ Permit Number: WQ0000455
NPDES Number: NCO021253
3/31/2023
Pathogen Reduction (15A NCAC 02T .1106) - Please indicate level achieved and alternative performed:
Class A:
Alt. A (time/temp) ❑ Alt B (Alk Treatment) ❑ Alt. C (Prior Testing) ❑
A1t.D (No Prior Test) I Process to Further Reduce Pathogengs ❑
If applicable to alternative performed (Class A only) indicate "Process to Further Reduce Pathogens":
Compost ❑
Heat Drying ❑
Heat Treatment ❑
Thermophilic ❑
Beta Ray ❑
Gamma Ray ❑
Pasteurization El
Class B: Alt. (1) Fecal Density H1 I
Alt. (2) Process to Significantly Reduce Pathogens ❑
If applicable to alternative performed (Class B only) Indicate "Process to SignWicantly Reduce Pathogens":
Lime Stabilization ❑ Air Drying ❑ Composting [I
Aerobic Digestion ❑
Anaerobic Digestion ❑
If applicable to alternative performed Class A or Class B) complete the
following monitoring data:
Parameter
Allowable Level
in Sludge
Pathogen Density
Numoer ot
Excee-
�ofAnal
Frequency
sis
Sample
Type
AnalyticaI
Tech -
i e
Minimu
Geo. Mean
Maximum
Units
Fecal Coliform
2 x 10 to the
6th power
per gram of
total solids
MPN
68,000
109,526
150,000
MPNIg
0
Quarterly
Grab
SM92210E
CFU
1000 mpn per gram
of total solid (dry
weight)
Salmonella bacteria
(in lieu of fecal
coliform)
3 MPN per 4 grams
total solid (dry
weight)
Vector Attraction Reduction (15A NCAC 02T .1107) - Please indicate alternative performed:
Alt.l (VS reduction)
❑
Alt. 2 (40-day bench) ❑
Alt. 3 (30-day bench) ❑ 1Alt. 4 (Spec. O, uptake)
❑
Alt. 5 (14-Day Aerobic)
❑
Alt. 6 (Ak Stabilization ❑
Alt 7 (Drying - Stable) ❑Alt. 8 (Drying - Unstable)
❑
Alt. 9 (Injection)
p
Alt. 10 (Incorporation) []
No vector attraction reduction alternatives were performed
❑
CERTIFICATION STATEMENT (please check the appropriate statement)
Cl "I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the
vector attraction reduction requirement in 15A NCAC 02T .1107 have been met. -
"I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the
vector attraction reduction requirement in 15A NCAC 02T .1107 have not been met." (Please note if
you check this statement attach an explanation why you have not met one or both of the
requirements.)
"This determination has been made under my direction and supervision in accordance with the system
designed to ensure that qualified personnel properly gather and evaluate the information used to determine
that the pathogen and vector attraction reduction requirements have been met. I am aware that there are
significant penalties for false certification including fine and imprisonment."
Rodney George, ORC Wesley Wooten, President
Pre me and Title (type or print) Land Applier Name and Title (if applicable)(type or print)
12/li23
Signature of reparer Date Signature of La Applier (if applicable) Date
*Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26)
DENR FORM PVRF 02T (12/2006)

LEWIS FARMS
LAND APPLICATION PROGRAM
RESIDUALS ANALYSIS
Residual Type: Wastewater Treatment Plant
Date Sampled: April 3, 2023
Havelock
4.53 % Solids
6.7 nH
Permit No, WQ0000455
Parameter I
% JMg/KgDryWeightJPounds/Dry
(% x 10,000)
Ton
(Mg/K x 0.002)
Nitrogen (TKN)
4.298 1
42,980.000
85.960
Phosphorus
4.464
44,640.000
89.280
(Potassium
0.349
3,485.000
6.970
IPAN (injected)*
1.458
14,580.090
29.16011
IPAN (surface)* I
1.338
13,378.590
26.757 11
Ammonia Nitrogen
0.240
2,403.000
4.806
Calcium
3.671
1 36,707.000
73.414
(Calcium Carbonate G . I
---
I ---
---
(Magnesium
2,438.000
4.876
Sodium
3,128.000
6.256
I1Sulfur
--
---
--
Nitrate N / Nitrite N
3.990
0.008
Barium
---
I ---
---
Chloride
---
---
---
Iron
---
---
---
liAluminum
---
24,790.00
49.5801
IlArsenic
---
2.50
0.005
IlCadmium
I ---
1.30
0.003II
IlChromium
---
17.000
---
Copper
I ---
526.00
1.052
Lead
---
13.00
0.026
Mercury
---
0.27
0,001
IMolybdenum
I ---
I 5.00
0.01011
FIN
1---
I 15.00
0.030
Selenium
1---
I 5.00
0.010I
Zinc
---
I 2,137.00
4.274I
Environment I, Inc. # 414
*Determination of Plant Available Nitrogen (PAN):
Injected Application:
(Mineralization Rate)(TKN-Ammonia N) + Ammonia N + Nitrate N + Nitrite N = % PAN
SAR
�-0.91
Ceiling Concen.
Surface Application:
(Mineralization Rate)(TKN-Ammonia N) + (0.5)(Ammonia N) + Nitrate N + Nitrite N = % PAN
Note: Constituents N.D. (Not Detected) or < detection limits are listed as detection limits
for calculation purposes.
75
85
840
57
75
420
100
7.501

Waypo i nt..
ff ANALYTICAL
114 OAKMONT DRIVE
GREENVILLE, N.C. 27858
CITY OF HAVELOCK(SLUDGE)
RODNEY GEORGE
WASTEWATER TREATMENT PLANT
304 N. JACKSON DRIVE
HAVELOCK, NC 28532
PARAMETERS
PH, Units (Non -Aqueous)
Aluminum, (dry wt. basis), mg/Icg
Arsenic (dry wt. basis), mg/kg
Calcium (dry wt. basis), mg/kg
Cadmium (dry wt. basis), mg/Icg
Copper (dry wt. basis), mg/kg
Chromium, T.(dry wt. basis),mg/Icg
Lead (dry weight basis), mg/kg
Magnesium (dry wt. basis), mg/Icg
Mercury (dry wt. basis), mg/kg
Nickel (dry wt. basis), mg/kg
Potassium (dry wt. basis), mg/kg
Selenium (dry wt. basis), mg/kg
Sodium (dry wt. basis), mg/kg
Zinc (dry wt. basis), mg/Icg
Sodium Adsorption Ratio (calc)
Total Solids,
TKN (dry wt.), mg/kg
Ammonia Nitrogen (dry wt.),mg/Icg
Phosphorus, T. (dry wt.), mg/kg
Nitrate+Nitrite (dry wt.), mg/Icg
Plant Available Nitrogen, mg/kg
Molybdenum (dry wt. basis), mg/Icg
Sludge Analysis Method
Sample Date Analyst Code
c 6.7
04/06/23
ADR
4500HB-11
24790
04/17/23
MTM
EPA200.7
2.5
04/18/23
DRC
311313-04
36707
04/18/23
MTM
EPA200.7
1.3
04/17/23
DRC
3113B-04
526
04/18/23
MTM
EPA200.7
17
04/17/23
MTM
EPA200.7
13
04/18/23
DRC
311313-04
2438
04/18/23
MTM
EPA200.7
0.27
04/14/23
DRC
EPA7471B
15
04/18/23
MTM
EPA200.7
3485
04/18/23
MTM
EPA200.7
<5.0
04/18/23
DRC
3113B-04
3128
04/18/23
MTM
EPA200.7
2137
04/18/23
MTM
EPA200.7
4.3
4.53
04/04/23
JMS
2540G-15
c 42980
04/11/23
BMD
351.2 R2-93
c 2403
04/10/23
AMC
350.1 R2-93
c 44640
04/11/23
TRJ
365.4-74
c 3.99
04/11/23
BMD
353.2 112-93
14580
04/17/23
TRJ
<5.0
04/18/23
MTM
EPA200.7
Drinking water ID: 37715
PHONE [phone]
FAX [phone]
ID#: 414
DATE COLLECTED: 04/03/23
DATE REPORTED : 04/24/23
REVIEWED BY:
c Uncertified data. DWR does not offer non -aqueous certification for this analytical procedure.

riivironment J. inC. CHAIN OF CUSTODY RECORD
P.O. Box 7085. 114 Oakmont IX. Page l of
Greenville- NC 27858
environment I inc.com
DISINI'ECTION
I
CHLORINE NEUTRALIZED AT COLLECTION
Phone [phone] • Fax [phone]
CI [f..ORINLi
Ij
-
CLIENT: 414 Week: 20
pH CHECK (LAB)
LIV
pF
P
F
P
CONTAINER TYPE. PIG
CITY OF HAVELOCK(SLUDGE)
NONI?
DEVIN ADAMS
—
CHEMICAL PRESERVATION
WASTEWATER TREATMENT PLANT
304 N. JACKSON DRIVE
A
HAVELOCK NC 28532
-� z
C o
A NONE D NAOH
[phone]
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C-HSO F ZINCACETATE;NAOH
COLLECTION
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SAMPLE LOCATION
DATE
TIME
�'�
Sludge Sample
pY Z�
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CLASSIFICATION:
WASTEWATER(NPDES)
ILI DRINKINGWATER
Ij DWR/GW
13 SOLID WASTE SECTION
CHAIN OF CUSTODY (SEAL) MAINTAINED
�—
DURING SHIPMENT/DELIVERY
C( N
SAMPLES COLLECTED BY:
(Please Print)
SAMPLES RECEIVED IN LAB AT °C
RESIG.) (SAMPLER)
DATEMME
C.
TETIME
COMMENTS: —
IEl1NQU1SHED BY (SIG.).
DATEMME
Rl�IVED BY (SIG.)
DATEMME
RELINQUISHED BY (SIG.)
DATEMME
RECEIVED BY (SIG.)
DATE/TIME
PLEASE READ Instructions for completing this form on the reverse side. Sampler must place a "C" for composite sample or a "G" for FORM 115 Grab sample in the blocks above for each parameter requested. N-o
416538

CITY OF HAVELOCK
WQ0000702
City of Havelock WWTP
04/03/23
120,000
5.0792
04/03/23
47,000
4.6721
04/03/23
36,000
4.5563
04/03/23
13,000
4.1139
04/03/23
190,000
5,2788
04/03/23
46,000
4.6628
04/03/23
19,000
4.2788
Total 1 32.6418
Average 1 4.6631
Geometric Mean Fecal Coliform MPN / gram
Geometric Mean of Less than 2,000,000 meets Class B - Alternative 1 Pathogen Reduction
requirement.

Waypo�nt--
ANALYTICAL Drinking Water ID: 37715
114 OAKMONT DRIVE PHONE [phone]
GREENVILLE, N.C. 27858 FAX [phone]
ID#: 414 B
CITY OF HAVELOCK(SLUDGE)
RODNEY GEORGE
WASTEWATER TREATMENT PLANT DATE COLLECTED: 04/03/23
304 N. JACKSON DRIVE DATE REPORTED : 04/14/23
HAVELOCK, NC 26532
REVIEWED BY: ✓'2� �.
Sample
Sample
Sample
Sample
Sample
Analysis
Method
PARAMETERS
#1
#2
#3
#4
#5
Date Analyst
Code
Total Residue, mg/1
M 37333
M 36033
M 36233
M 35133
M 36233
04/04/23 JMS
2540E-15
Fecal Coliform (MPN), /gram Solids
120000
47000
36000
13000
190000
04/03/23 JDJ
9221E-14
All QC requirements were not met: M Blank result exceeded method constant weight criteria.

Waypoint..
ANALYTICAL Drinking water ID: 37115
114 OAKMONT DRIVE
GREENVILLE, N.C. 27858
CITY OF HAVELOCK(SLUDGE)
RODNEY GEORGE
WASTEWATER TREATMENT PLANT
304 N. JACKSON DRIVE
HAVELOCK, NC 28532
Sample
PARAMETERS N6
PHONE [phone]
FAX [phone]
ID#: 414 B
DATE COLLECTED: 04/03/23
DATE REPORTED : 04/14/23
REVIEWED BY:
Sample Analysis Method
N7 Date Analyst Code
Total Residue, mg/l M 37167 M 35133 04/04/23 JMS 2540B-15
Fecal Coliform (MPH /gram Solids 46000 19000 04/03/23 JDJ 9221E-14
All QC requirements were not met: M Blank result exceeded method constant weight criteria.

Environment 1., Inc. - CHAIN OF CUSTODY RECORD
P.O. I3os 7085. 114 Oakinom Dr. Page 1 of
Greenville. NC 27858
environment I inc.com
DISINFECTION
Phone [phone] • Fax [phone]?
CHLORINENEUTRALIZEDATCOLLECTION
ClILORINI?
--
--
CLIENT: 414 B Week: 20
pH CHECK (LAB)
Uv
F
CONTAINER TYPE, P/G
CITY OF HAVELOCK(SLUDGE)
NONE
DEN IN ADAMS
CHEMICAL PRESERVATION
WASTEWATER TREATMENT PLANT
L
304 N. JACKSON DRIVE
---
HAVELOCK NC 28532
— z
—
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671-6373
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DATE
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Sample Nl
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CLASSIFICATION:
Sample N2
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2
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—
WASTEWATER (NPDES)
JX,Y'`
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Sample N3
p : Z�
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2
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DRINKINGWATER
2
x,
Sample N4
3 (�i'aL 13
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Sample !t6
3 cw x -27
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CHAIN OF CUSTODY (SEAL) MAINTAINED
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—
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SAMPLES COLLECTED BY:
(Please Print)
SAMPLES RECEIVED IN LAB AT O cC
RELIN UI FI -6 BY (SIG.) (SAMPLER)
DATEMME
RECEIVED BY SIG.)
� ,
y TEIiI ME
COMMENTS:
3AC.tiZ�I
;
RELINQUISHED BY (SIG.)
DATEMME
RET IVED BY (SIG.
DATE/TIME
RELINQUISHED BY (SIG.)
DATE/rIME
RECEIVED BY (SIG.)
DATETIME
PLEASE READ Instructions for completing this form on the reverse side. Sampler must place a "C" for composite sample or a "G" for FORM k5 Grab sample in the blocks above for each parameter requested. N-o
416537

ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (02T Rules)
Facility Name: Lewis Farms and Liquid Waste, Inc.
WWTP Name: Havelock WWTP
Monitoring Period:
From 4/l/2023
To
WQ Permit Number: WQ0000455
NPDES Number: NCO021253
6/30/2023
Pathogen Reduction (15A NCAC 02T .1106) - Please indicate level achieved and alternative performed:
Class A:
Alt. A (time/temp) ❑ I Alt B (Alk Treatment) ❑ Alt. C (Prior Testing) ❑
AID (No Prior Test) ❑ Process to Further Reduce Pathogengs ❑
If applicable to alternative performed (Class A only) indicate "Process to Further Reduce Pathogens":
Compost ❑
Heat Drying ❑
Heat Treatment ❑
Themiophilic ❑
Beta Ray ❑
Gamma Ray ❑
Pasteurization ❑
Class B: I Alt. (1) Fecal Density p I Alt. (2) Process to Significantly Reduce Pathogens ❑
If applicable to alternative performed (Class B only) indicate "Process to Significantly Reduce Pathogens":
Lime Stabilization ❑ Air Drying ❑ Composting ❑ Aerobic Digestion ❑
ae i An rob c Digestion
If applicable to alternative performed Class A or Class B complete the
following monitoring data:
—
Parameter
Allowable Level
in Sludge
Pathogen Density
g �
Numberot
Excee-
Frequency
of Analysis
Sample
Type
Anaiyucal
Tech -
11ech-
Minimum
Geo. Mean
Maximuml
Unitsences
Fecal Coliform
2x 10 to the
6th power
per gram of
total solids
WIN
13,000
46,038
190,000
MPN/g
0
Quarterly
Grab
SM92210E
CFU
1000 mpn per gram
of total solid (dry
weight)
Salmonella bacteria
(in lieu of fecal
coliform)
3 MPN per 4 grams
total solid (dry
weight)
Vector Attraction Reduction (15A NCAC 02T .1107) -Please indicate alternative performed:
Alt.1 (VS reduction) ❑
Alt. 2 (40-day bench) ❑
Alt. 3 (30-day bench) ❑
Flt. 4 (Spec. O, uptake) ❑
Alt. 5 (14-Day Aerobic) ❑
Alt. 6 (Alk. Stabilization ❑
Alt 7 (Drying - Stable) ❑Alt.
8 (Drying - Unstable) ❑
Alt. 9 (Injection) El
Alt. 10 (Incorporation) B
No vector attraction reduction alternatives were performed ❑
CERTIFICATION STATEMENT (please check the appropriate statement)
(] "I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the
vector attraction reduction requirement In 15A NCAC 02T .1107 have been met."
❑ "I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the
vector attraction reduction requirement in 15A NCAC 02T .1107 have not been met." (Please note if
you check this statement attach an explanation why you have not met one or both of the
requirements.)
"This determination has been made under my direction and supervision in accordance with the system
designed to ensure that qualified personnel properly gather and evaluate the information used to determine
that the pathogen and vector attraction reduction requirements have been met. I am aware that there are
significant penalties for false certification including fine and imprisonment."
Rodney George, ORC Wesley Wooten, President
Prepareame and Title (type or print) Land Applier Name and Title (if applicable)(type or print)
�r_ZL4 .�. ^. 12/l/23
signature o reparCr Date Signature of L id Applier (if applicable) Date
*Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26)
DENR FORM PVRF 02T (12/2006)

LEWIS FARMS
LAND APPLICATION PROGRAM
RESIDUALS ANALYSIS
Residual Type: Wastewater Treatment Plant
Date Sampled: July 17, 2023
Havelock
4.72 % Solids
6.9 nH
Permit No. WQ0000455
Parameter
%
Mg/Kg Dry Weight
(% x 10,000
Pounds/Dry Ton
0.002)
Nitrogen (TKN)
4.793
47,930.000
95,860
IlPhosphorus
2.989
29,890.000
59.780
Potassium
0.371
3,710.000
7.420
PAN (injected)*
1.591
15,907.990
31.816
PAN surface)*
1.482
14,817.990
29.636
Ammonia Nitrogen
0.218
2,180.000
I 4.360
Calcium
3.773
37,725.000
75.450
IICalcium Carbonate Eq.
---
---
---
Magnesium
2,450.000
4.900
IlSodium
3,165.000
6.330
IlSulfur
---
---
---
Nitrate N / Nitrite N
2.990
0.006
Barium
---
---
I ---
Chloride
---
---
Iron
---
---
Aluminum
---
25,652.00
51.304
Arsenic
---
2.50
0.005
Cadmium
---
1.30
0.003
Chromium
---
1 20.000
1 --- —�
Copper
---
1 544.00
1 1.088
Lead
---
1 13.00
1 0.026 I�
Mercury
---
( 0.19
1 0.000 11
Molybdenum
--
5.90
1 0.012
Nickel
--
12.00
1 0.024 11
Selenium
---
1 5.00
1 0.01011
Zinc
---1
2,239.00
1 4.478
Environment I, Inc. # 414
*Determination of Plant Available Nitrogen (PAN):
Injected Application:
(Mineralization Rate)(TKN-Ammonia N) + Ammonia N + Nitrate N + Nitrite N = % PAN
SAR
0.92
Ceiling Concen.
Surface Application:
(Mineralization Rate)(TKN-Ammonia N) + (0.5)(Ammonia N) + Nitrate N + Nitrite N = % PAN
Note: Constituents N.D. (Not Detected) or < detection limits are listed as detection limits
for calculation purposes.
75
85
4,300
840
57
75
420
100
7,500

Waypoint"'-'-" .
ANALYTICAL
114 OAKMONT DRIVE
GREENVILLE, NC 27858
CITY OF HAVELOCK(SLUDGE)
RODNEY GEORGE
WASTEWATER TREATMENT PLANT
304 N. JACKSON DRIVE
HAVELOCK, NC 28532
PARAMETERS
PH, Units (Non -Aqueous)
Aluminum, (dry wt. basis), mg/Icg
Arsenic (dry wt. basis), mg/Icg
Calcium (dry wt. basis), mg/kg
Cadmium (dry tint. basis), mg/Icg
Copper (dry wt. basis), mg/lcg
Chromium, T.(dry wt. basis),mg/Icg
Lead (dry weight basis), mg/l(g
Magnesium (dry wt. basis), mg/Icg
Mercury (dry wt. basis), mg/Icg
Nickel (dry wt. basis), mg/lcg
Potassium (dry wt. basis), mg/lcg
Selenium (dry wt. basis), mg/Icg
Sodium (dry wt. basis), mg/Icg
Zinc (dry wt. basis), mg/Icg
Sodium Adsorption Ratio (calc)
Total Solids, %s
TKN (dry wt.), mg/Icg
Ammonia Nitrogen (dry wt.),mg/Icg
Phosphorus, T. (dry wt.), mg/kg
Nitrate+Nitrite (dry wt.), mg/Icg
Plant Available Nitrogen, mg/Icg
Molybdenum (dry wt. basis), mg/Icg
Sludge
Analysis
Method
Sample
Date Analyst
Code
c 6.9
07/20/23
JMS
4500HB-11
25652
07/26/23
NITNI
EPA200.7
<2.5
07/21/23
DRC
3113B-04
37725
07/26/23
NITNI
FPA200.7
1.3
07/24/23
DRC
311313-04
544
07/26/23
MTN4
EPA200.7
20
07/26/23
NITNI
EPA200.7
13
07/25/23
DRC
311313-04
2450
07/26/23
NITNI
EPA200.7
0.19
07/26/23
DRC
EPA7471B
12
07/26/23
NITNI
EPA200.7
3710
07/26/23
NITNI
EPA200.7
<5.0
07/25/23
DRC
3113B-04
3165
07/26/23
NITNI
EPA200.7
2239
07/26/23
NITM
EPA200.7
4.3
4.72
07/18/23
BLV
2540G-15
c 47930
07/25/23
MID
351.2 112-93
c 2180
07/21/23
AMC
350.1 112-93
c 29890
07/25/23
MID
365.4-74
c 2.99
07/24/23
AN/IC
353.2 R2-93
15908
08/03/23
MID
5.9
07/26/23
NITNI
EPA200.7
Drinking Water ID! 37715
Wastewater ID: 10
PHONE [phone]
FAX [phone]
ID#: 414
DATE COLLECTED: 07/17/23
DATE REPORTED : 08/07/23
REVIEWED BY:
c uncertified data. DWR does not offer non -aqueous certification for this analytical procedure.

C
R
3
6-
Waypoint
ANaIYiICAI ..
Waypoint Analytical - Greenville
114 Oakmont fir
CHAIN OF CUSTODY RECORD
Page I of I
Greenville, NC 21858
WASTEWATER
04
HAVELOCK
DISINFECTION
CHLORINE NEUTRALIZED ATCOLLECIION
www.WaypointAnalytical.com
Phone [phone] • Fax [phone]
CHLORINE
CLIENT: 414 Week: 33
UV
pH CHECK (LAB)
ITY OF HAVELOCK(SLUDGE)
NONE
P
P
P
P
P
P
P
CONTAINER TYPE,P/G
ODNEY GEORGE
TREATIMENT PLANT
CHEMICAL PRESERVATION
N. JACKSON DRIVE
A
A
A
A
A
A
A
A
NC 28532
A -NONE D-NAOH
< z
m0
52) 671-6373
z'�
w z
w
D
Lu
B-HNO3 E HCL
0
Cr 0
w
z
-
z
�
�-
z
cc
w C- HzSO, F- ZINC ACETATE/NAOH
COLLECTION
J m
0
w
a- 0
i�' a
00
c.
Cnn
c
z
F
5
d
a
Z
a
¢ G- NATHIOSULFATE
�
SAMPLELOCAT10N
DATE
TIMEcc
Sludge Sample
ti"l�s�
' "I U
3j9f0
5
CLASSIFICATION:
WASTEWATER (NPDES)
DRINKING WATER
DWR(GW
SOLID WASTE SECTION
CHAIN OF CUSTODY (SEAL) MAINTAINED
DURING SHIPMENT/DELIVERY
—
N
SAMPLES COLLECTED BY:
(Please Print)
SAMPLES RECEIVED IN LAB AT �% • 5. °C
RE H BY (SIG.) (SAMPLER)
DATE/TIME
RECEIVED BY (SIG.)
DATE/TIME
COMMENTS:
RELINQUISHED BY (SIG.)
DATE/TIME
RECEIVED BY (SIG.)
DATErrIME
RELINQUISHED BY (SIG.)
DATEMME
RECEIVED BY (SIG.)
DATEMME
PLEASE READ Instructions for completing this form on the reverse side. Sampler must place a "C" for composite sample or a "G" for
FORM #5 Grab sample in the blocks above for each parameter requested.

CITY OF HAVELOCK
WQ0000702
City of Havelock WWTP
07/17/23
150,000
5.1761
07/17/23
2,300
3.3617
07/17/23
2,400
3.3802
07/17/23
150,000
5.1761
07/17/23
3,900
3.5911
07/17/23
75,000
4.8751
07/17/23
3,600
3.5563
Total 1 29.1165
Average 1 4.1595 1
Geometric Mean Fecal Coliform MPN / gram
Geometric Mean of Less than 2,000,000 meets Class B - Alternative I Pathogen Reduction
requirement.

Waypoint'�
ANALYTICAL
114 OAKMONT DRIVE
GREENVILLE, NC 27858
CITY OF HAVELOCK(SLUDGE)
RODNEY GEORGE
WASTEWATER TREATMENT PLANT
304 N. JACKSON DRIVE
HAVELOCK, NC 28532
Drinking Water ID: 31715
Wastewater ID: 10
PHONE [phone]
FAX [phone]
ID#: 414 B
DATE COLLECTED: 07/17/23
DATE REPORTED : 07/27/23
REVIEWED BY:
Sample
Sample Sample Sample
Sample Analysis
Method
PARAMETERS
#1
#2 #3 #4
#5 Date Analyst
Code
Total Residue, mg/I
33133
34200 33367 33200
33233 07/18/23 HMV
2540E-15
Fecal Coliform (MPN), /gram Solids
150000
2300 2400 150000
3900 07/17/23 HMV
9221E-14

•
Waypoir�t,.
ANALYTICAL
114 OAKMONT DRIVE
GREENVILLE, NC 27858
CITY OF HAVELOCK(SLUDGE)
RODNEY GEORGE
WASTEWATER TREATMENT PLANT
304 N. JACKSON DRIVE
HAVELOCK, NC 28532
PARAMETERS
Total Residue, ►ng/I
Fecal Coliform (MPIN), /gram Solids
Sample Sample
#6 N7
Drinking Water ID, 37715
Wastewater ID: 10
PHONE [phone]
FAX [phone]
ID#: 414 B
DATE COLLECTED: 07/17/23
DATE REPORTED : 07/27/23
REVIEWED BY: + ��✓f
Analysis Method
Date Analyst Code
32007 d 34300 07/18/23 HMV 2540B-15
75000 3600 07/17/23 HMV 9221E-14
All QC requirements were not met: d Duplicate data not within established limits.

Wayp4int.®
Waypoint Analytical - Greenville
114 Oakmont r)r_
CHAIN OF CUSTODY RECORD
Page 1 of 1
Greenville, NC 27858
DISINFECTION
I
www.WaypointAnalytical.com
CHLORINE NEUTRAUZED AT COLLECTION
Phone [phone] • Fax [phone]
CHLORINE
pH CHECK (LAB)
CLIENT: 414 B WePk: 33
uv
P
P
—
CONTAINER TYPE,P/G
ITY OF HAVELOCK(SLUDGE)
❑ NONE
ODNEY GEORGE
CHEMICAL PRESERVATION
/ASTEWATER TREATMENT PLANT
)4 N. JACKSON DRIVE
A
A
AVELOCK NC 28532
A - NONE D - NAOH
— z
m o
E F
52) 671-6373
K _j
Ld z
,o
B HNO3 E HCL
o
o 0
w
z
8
c�
`�`' C - HZSO, F -ZINC ACETATEMAOH
COLLECTION
¢
¢� -
o o
w
a
0
o
H
w
G-NATHIOSULFATE
i
SAMPLE LOCATION
DATE
TIME
Sample N1
/ \
3
2
CLASSIFICATION:
❑ WASTEWATER (NPDES)
Sample #2
i1 ���
�
X
��' �
2
L1;' U
X
Q
Sample #3
J
2
DRINKING WATER
W.
�: �S
x
SO
':<�"'•.
�(�"
Sample 1i4
��
,�
2
❑
Sample##
*j1 S-1.
�',
SB
2
DWR/GW
� SOLID WASTE SECTION
Sample##
3�r�•�
�-'..?�.2
2
:;
Sample #7
1 0 OzX30
2
CHAIN OF CUSTODY (SEAL) MAINTAINED
DURING SHIPMENT/DELIVERY
0 N
SAMPLES COLLECTED BY:
(Please Print)
i
SAMPLES RECEIVED IN LAB AT -_ °C
BY(SIG.) (SAMPLER)
DATEMME
RECEIVED BY (SIG.)
DATEMME
COMMENTS:
LA
_BY
TIP
u 2)1 10.-10
-7/1) IZ 3 '. �
I
RE6NOUISHED BY (SIG.)
DATEMME
RECEIVED BY (SIG.)
DATEjTIME
RELINQUISHED BY (SIG.)
DATEMME
1
RECEIVED BY (SIG.)
DATEMME
PLEASE READ Instructions for completing this form on the reverse side. Sampler must place a "C" for composite sample or a "G' for
FORM #5 Grab sample in the blocks above for each parameter requested.

ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (02T Rules)
Facility Name: Lewis Farms and Liquid Waste, Inc. WQ Permit Number: WQ0000455
WWTP Name: Havelock WWTP NPDES Number: NCO021253
Monitoring Period: From 7/l/2023 To 9/3012023
Pathogen Reduction (15A NCAC 02T .1106) - Please indicate level achieved and alternative performed:
Class A:
Alt. A (time/temp) ❑ I Alt B (Alk Treatment) ❑ I Alt. C (Prior Testing) ❑
A1t.D (No Prior Test) ❑ I Process to Further Reduce Pathogengs ❑
If applicable to alternative performed (Class A only) indicate "Process to Further Reduce Pathogens":
Compost ❑
Heat Drying ❑
Heat Treatment ❑
Thermo hilic ❑
Beta Ray ❑
Gamma Ray ❑
Pasteurization ❑
Class B:
Alt. 1) Fecal Density H1
Alt. (2) Process to Significantly Reduce Pathogens ❑
If applicable to alternative performed (Class B only) indicate "Process to Significantly Reduce Pathogens":
Lime Stabilization ❑ Air Drying ❑ Composting ❑ Aerobic Digestion ❑
AnaerobicDigestion
If applicable to alternative performed (Class A or Class B) complete the
following monitoring data:
Parameter
Allowable Level
in Sludge
Pathogen Density
Number o3
Excee-
ccFof
Frequency
Analysis
Sample
Type
Ana,yucal
Tech -
nimie
Minimurr
Geo. Mean
Maximum
Units
Fecal Coliform
2 x 10 to the
6th power
per gram of
total solids
MPN
2,300
14,438
150,000
MPN/g
0
Quarterly
Grab
SM92210E
CFU
1000 mpn per gram
of total solid (dry
weight)
Salmonella bacteria
(in lieu of fecal
coliform)
3 MPN per 4 grams
total solid (dry
I weight)
Vector Attraction Reduction (15A NCAC 02T .1107) - Please indicate alternative performed:
Alt.1 (VS reduction) ❑
Alt. 2 (40-day bench) ❑
Alt. 3 (30-day bench) ❑
1Alt. 4 (Spec. 02 uptake) ❑
Alt. 5 (14-Day Aerobic) ❑
Alt. 6 (Alk. Stabilization ❑
Alt 7 (Drying - Stable) ❑
JAIL 8 (Drying -Unstable) ❑
Alt. 9 (Injection) Rl
Alt. 10 (Incorporation) El
No vector attraction reduction alternatives were performed ❑
CERTIFICATION STATEMENT (please check the appropriate statement)
El "I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the
vector attraction reduction requirement in 15A NCAC 02T .1107 have been met."
❑ "I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the
vector attraction reduction requirement in 15A NCAC 02T .1107 have not been met." (Please note if
you check this statement attach an explanation why you have not met one or both of the
requirements.)
"This determination has been made under my direction and supervision in accordance with the system
designed to ensure that qualified personnel properly gather and evaluate the information used to determine
that the pathogen and vector attraction reduction requirements have been met. I am aware that there are
significant penalties for false certification including fine and imprisonment."
Rodney George, ORC Wesley Wooten, President
Prgparer Flame and Title (type or print) Land Applier Name and Title (if applicable)(type or print)
Signature
Date Signature
*Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26)
Applier (if applicable)
12I1/23
Date
DENR FORM PVRF 02T (1212006)

LEWIS FARMS
LAND APPLICATION PROGRAM
RESIDUALS ANALYSIS
Residual Type: Wastewater Treatment Plant
Date Sampled: October 11, 2023
Havelock
4.17 % Solids
6 R nH
Permit No. WQ0000455
Parameter
%
Mg/Kg Dry Weight
(% x 10,000)
Pounds/Dry Ton
Mg/K x 0.002)
(Nitrogen (TKN)
4.392
43,920.000
87.840
Phosphorus
3.897
38,970.000
77.940
Potassium
0.400
3,999.000
7.998
PAN (injected)*
1.526
15,258.000
30.516
PAN (surface)*
1.378
13,778.000
27.556
Ammonia Nitrogen
0.296
2,960.000
5.920
Calcium
4.097
40,973.000
81.946
Calcium Carbonate E .
---
---
---
Magnesium
2,565.000
5.130
Sodium
3,164,000
6.328
Sulfur
---
---
---
IlNitrate N / Nitrite N
10.000
0.020
(Barium
---
---
Chloride
---
--
---
iron
---
---
---
IlAluminum
---
27,537.00
55.074I
Arsenic
---
2.70
0.005
(Cadmium
---
1.40
0.003
(Chromium
---
19.000
---
Copper
---
631.00
1.262
Lead
---
14.00
0.028
Mercury
---
0.26
0.001
Molybdenum
---
7.50
0.015 11
Nickel
---
13.00
0.026 11
Selenium
---
5.00
0.010
IlZinc
---
2,424.00
4.848
Environment I, Inc. # 414
*Determination of Plant Available Nitrogen (PAN):
Injected Application:
(Mineralization Rate)(TKN-Ammonia N) + Ammonia N + Nitrate N + Nitrite N = % PAN
SAR
0.84
Ceiling Concen.
Surface Application:
(Mineralization Rate)(TKN-Ammonia N) + (0.5)(Ammonia N) + Nitrate N + Nitrite N = % PAN
Note: Constituents N.D. (Not Detected) or < detection limits are listed as detection limits
for calculation purposes.
75
85
840
57
75
420
100
7.501

Waypoint",
ANALYTICAL
114 OAKMONT DRIVE
GREENVILLE, NC 27858
CITY OF HAVELOCK(SLUDGE)
RODNEY GEORGE
WASTEWATER TREATMENT PLANT
304 N. JACKSON DRIVE
HAVELOCK, NC 28532
PARAMETERS
PH, Units (Non -Aqueous)
Aluminum, (dry wt. basis), mg/kg
Arsenic (dry wt. basis), mg/kg
Calcium (dry wt. basis), mg/kg
Cadmium (dry wt. basis), mg/kg
-copper (dry wt. basis), mg/kg
iromium, T.(dry wt. basis),mg/kg
Lead (dry weight basis), mg/kg
Magnesium (dry wt. basis), mg/kg
Mercury (dry wt. basis), mg/kg
Nickel (dry wt. basis), mg/kg
Potassium (dry wt. basis), mg/kg
Selenium (dry wt. basis), mg/kg
Sodium (dry wt. basis), mg/kg
Zinc (dry wt. basis), mg/kg
Sodium Adsorption Ratio (calc)
Total Solids, %
TKN (dry wt.), mg/kg
Ammonia Nitrogen (dry wt.),mg/kg
Phosphorns, T. (dry wt.), mg/kg
Nitrate+Nitrite (dry wt.), mg/kg
Plant Available Nitrogen, mg/kg
Molybdenum (dry wt. basis), mg/kg
Sludge
Analysis
Method
Sample
Date Analyst
Code
c 6.8
10/17/23
JMS
4500HB-11
27537
10/18/23
MTM
EPA200.7
2.7
10/18/23
DRC
311313-04
40973
10/18/23
MTM
EPA200.7
1.4
10/19/23
DRC
311313-04
631
10/18/23
MTM
EPA200.7
19
10/18/23
MTII
EPA200.7
14
10/18/23
DRC
311313-04
2565
10/18/23
MTM
EPA200.7
0.26
10/27/23
DRC
EPA7471B
13
10/18/23
MTM
EPA200.7
3999
10/18/23
MTM
EPA200.7
<5.0
10/19/23
DRC
311313-04
3164
10/18/23
MTM
EPA200.7
2424
10/18/23
MTM
EPA200.7
4.1
4.17
10/16/23
BNC
254OG-15
c 43920
10/24/23
TR.1
351.2 112-93
e 2960
10/27/23
AMC
350.1 112-93
c 38970
10/24/23
TRJ
365.4-74
c 10.00
10/25/23
BMD
353.2 R2-93
15260
11/03/23
TRJ
7.5
10/18/23
MTM
EPA200.7
Drinking Water IDS 37715
wastewater ID! 10
PHONE [phone]
FAX [phone]
ID#: 414
DATE COLLECTED: 10/11/23
DATE REPORTED : 11/06/23
REVIEWED BY;
C Uncertified data. DWR does not offer non -aqueous certification for this analytical procedure.

An
Waypoint
AN 1 HULL
Waypoint Analytical - Greenville
114 Oakmont Dr.
CHAIN OF CUSTODY RECORD
Page I of
Greenville, NC 27858
www.WaypointAnalytical.co,n
DISINFECTION
CHLORINE NEUTRALIZEDAT COLLECTION
Phone [phone] - Fax [phone]
CHLORINE
To <0.5 mg/L - Yes (Y) or No (N)
pH CHECK (S.U.) (LAB)
CLIENT: 414 NVeek:46
UV
P
P
P
P
P
P
P
CONTAINER TYPE, PIG
CITY OF HAVELOCK(SLUDGE)
❑ NONE
RODNEY GEORGE
CHEMICALPRESERVATION
WASTEWATER PLANT
304 N. JACK ON DRIVE
_ _
A
A
A
A
A
A
A
A
HAVELOCK NC 28532
Cn A -NONE D-NAOH
— z
C o
E F
(252)67I-6373
z�
U Z
�
Ljj
°'
C B-HNO9 E-HCL
_ 0
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COLLECTION
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ai o
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a
SAMPLELOCATION
DATE
TIME
Sludge Sample
(nIi(I�')
l
��',�J
3
g
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f
i�€
CLASSIFICATION:
WASTEWATER (NPDES)
DRINKING WATER
DWR/GW
SOLID WASTE SECTION
CHAIN OF CUSTODY (SEAL) MAINTAINED
DURING SHIPMENT/DELIVERY
N
SAMPLES COLLECTED BY:
(Please Print)
SAMPLES RECEIVED IN LABAT _ °C
RELINQUISHED BY (SIG.) (SAMPLER)
DATEMME
RECEIVED BY (SIG.)
DATE/TIME
COMMENTS:
SAMPLES RECEIVED ON ICE: ES� - NO
REUN&ISHED BY (SIG.)
DATEMME
RECEIVED BY (SIG.)
I
DATE/TIME
IRELINQUISHED BY(SIG.)
DATEITIME
RECEIVED BY (SIG.)
DATE/TIME
-ASE READ Instructions for completing this form on the reverse side. Sampler must place a "C" for composite sample or a "G" for
FORM 1*5 Grab sample in the blocks above for each parameter requested.

CITY OF HAVELOCK
WQ0000702
City of Havelock WWTP
. ..
.......
10/11/23
9,900
3.9956
10/11/23
95,000
4.9777
10/11/23
42,000
4.6232
10/11/23
26,000
4.4150
10/11/23
43,000
46335
10/11/23
52,000
4.7160
10/11/23
19,000
4.2788
Total 1_ 31.6398 1
Average 1 4.5200
Geometric Mean Fecal Coliform MPN / gram
Geometric Mean of Less than 2,000,000 meets Class B - Alternative I Pathogen Reduction
requirement.

Waypointo
ANALYTICAL
114 OAKMONT DRIVE
GREENVILLE, NC 27858
CITY OF HAVELOCK(SLUDGE)
RODNEY GEORGE
WASTEWATER TREATMENT PLANT
304 N. JACKSON DRIVE
HAVELOCK, NC 28532
Drinking Water ID: 37715
Wastewater ID: 14
PHONE [phone]
FAX [phone]
ID#: 414 B
DATE COLLECTED: 10/11/23
DATE REPORTED : 10/20/23
REVIEWED BY:
Sample Sample Sample Sample Sample Analysis Nfethod
PARAMETERS #1 N2 N3 #4 N5 Date Analyst Code
Total Residue, mg/I L 33133 L 36700 L 31100 L 30900 L 32833 10/11/23 JNIS 2540B-15
Fecal Coliform (NIPN), /gram Solids 9900 95000 42000 26000 43000 10/11/23 BNC 9221E-14
All QC requirements were not mets L Laboratory Control Sample exceeded control limits.

Wa y p o lip nt,,.
ANALYTICAL
114 OAKMONT DRIVE
GREENVILLE, NC 27858
CITY OF HAVELOCK(SLUDGE)
RODNEY GEORGE
WASTEWATER TREATMENT PLANT
304 N. JACKSON DRIVE
HAVELOCK, NC 28532
Drinking Plater ID: 37715
Wastewater ID: to
PHONE [phone]
FAX [phone]
ID#: 414 B
DATE COLLECTED: 10/11/23
DATE REPORTED : 10/20/23
REVIEWED BY:
Sample
Sample
Analysis
Nletliod
PARAMETERS
N6
N7
Date Analyst
Code
Total Residue, mg/I
L 33067
L 34233
10/11/23 JNIS
2S40B-IS
Fecal Coliform (N1PN), /gram Solids
52000
19000
10/11/23 BNC
9221E-14
All OC requirements were not met: L Laboratory Control Sample exceeded control limits.

WaypointQ
AHAlvli(nl
Waypoint Analytical - Greenville
114 rlakmnnt nr
CHAIN OF CUSTODY RECORD
Page I of
Greenville, NC 27858
www.WaypointAnalytical.cotn
DISINFECTION
CHLORINE NEUTRALIZED AT COLLECTION
Phone [phone] • Fax [phone]
CHLORINE
To <0.5 mg/L - Yes M or No (N)
CLIENT: 414 B Week: 46
UV
pH CHECK (S.U.) (LAB)
P
CONTAINER TYPE, P/G
CITY OF HAVELOCK(SLUDGE)
❑ NONE
RODNEY GEORGE
CHEMICALPRESERVATION
WASTEWATER TREATNIENT PLANT
❑
304 N. JACKSON DRIVE
A
HAVELOCK NC 28532
A -NONE D-NAOH
m o
[phone]
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COLLECTION
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SAMPLE LOCATION
DATE
TIME
Sample#1
(� �(�,
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27
2
CLASSIFICATION:
WASTEWATER (NPDES)
Sample tl2
Q i(�2�
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� DRINKING WATER
Q (('��
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SOUD WASTE SECTION
Sample NS
(0 (l
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Samplefl7
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2
CHAIN OF CUSTODY (SEAL) MAINTAINED
DURING SHIPMENT/DELIVERY
0 N
SAMPLES COLLECTED BY:
(Please Print)
Jaall Dwi-ia/✓
SAMPLES RECEIVED IN LAB AT-0 - 9 °C
RELINQUISHED BY (SIG. (SAMPLER)
DATE111ME
RECEIVED BY (SIG.)
DATEMME
COMMENTS:
SAMPLES RECEIVED ON ICE: YE - NO
-
RELINQUISHED BY (SIG.)
DATEMME
ll
RECEIVED BY (SIG.)
DATEMME
1
RELINQUISHED BY (SIG.)
DATE/TIME
RECEIVED BY (SIG.)
DATEITIME
I PLEASE READ Instructions for completing this form on the reverse side.l Sampler must place a "C" for composite sample or a "G" for
FORM k5 Grab sample in the blocks above for each parameter requested.

ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (02T Rules)
Facility Name: Lewis Farms and Liquid Waste, Inc. WQ Permit Number: WQ0000455
WWTP Name: Havelock WWTP NPDES Number: NCO021253
Monitoring Period: From 10/1/2023 To 12/3ILM
Pathogen Reduction (15A NCAC 02T .1106) - Please indicate level achieved and alternative performed:
Class A:
Alt. A (time/temp) ❑ Alt B (Alk Treatment) [I Alt. C (Prior Testing) El
A1t.D (No Prior Test) I Process to Further Reduce Pathogengs ❑
If applicable to alternative performed (Class A only) indicate "Process to Further Reduce Pathogens":
Compost ❑
Heat Drying ❑
Heat Treatment ❑
Thermophilic ❑
Beta Ray ❑
Gamma Ray ❑
Pasteurization ❑
Class B: Alt. (1) Fecal Density El Alt. 2 Process to Si ificantly Reduce Pathogens ❑
If applicable to alternative performed (Class B only) indicate "Process to Significantly Reduce Pathogens":
Lime Stabilization ❑ Air Drying ❑ Composting ❑
Aerobic Digestion ❑
Anaerobic Digestion ❑
If applicable to alternative performed (Class A or Class B) complete the
following monitoring data:
Parameter
Allowable Level
in Sludge
Pathogen Density
g ty
Number of
Excee-
P
Frequency
of Analysis
Sample
Type
Analytical
Tech -
„• ,
jMinimun
Geo. Mean
Maximu� Units
Fecal Coliform
2 x l0 to the
6th power
per gram of
total solids
MPN
9,900
33,111
95,000
MPN/g
0
Quarterly
Grab
SM92210E
CFU
1000 mpn per gram
of total solid (dry
weight)
Salmonella bacteria
(in lieu of fecal
coliform)
3 MPN per 4 grams
total solid (dry
weight)
Vector Attraction Reduction (15A NCAC 02T .1107) - Please indicate alternative performed:
Alt. I (VS reduction)
❑
Alt. 2 (40-day bench) ❑
Alt. 3 (30-day bench) ❑ 4 (Spec. O, uptake)
❑
Alt. 5 (14-Day Aerobic)
❑
Alt. 6 (Alk. Stabilization ❑
tAlt.
Alt 7 (Drying - Stable) ❑ IAlt. 8 (Drying - Unstable)
❑
Alt. 9 (Injection)
i l
Alt. 10 (Incorporation) p
No vector attraction reduction alternatives were performed
❑
CERTIFICATION STATEMENT (please check the appropriate statement)
F1 "I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the
vector attraction reduction requirement in 15A NCAC 02T .1107 have been met."
❑ "I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the
vector attraction reduction requirement in 15A NCAC 02T .1107 have not been met." (Please note if
you check this statement attach an explanation why you have not met one or both of the
requirements.)
"This determination has been made under my direction and supervision in accordance with the system
designed to ensure that qualified personnel properly gather and evaluate the information used to determine
that the pathogen and vector attraction reduction requirements have been met. I am aware that there are
significant penalties for false certification including fine and imprisonment."
Rodney George, ORC _ Wesley Wooten, President
Pre Name and Title (type or print) Land Applier Name and
T
itle if applicable)(type or print)
�
12/1/23
Signature of repar Date Signature of Land pplier (if applicable) Date
'Treparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26)
DENR FORM PVRF 02T (12I2006)

LEWIS FARMS
LAND APPLICATION PROGRAM
RESIDUALS ANALYSIS
Residual Type: Wastewater Treatment Plant
Date Sampled: January 16, 2023
House of Raeford Permit No. WQ0000455
Wallace Plant 2.06 % Solids
7.45 pH
Parameter
%
Mg/Kg Dry Weight
(% x 10,000)
Pounds/Dry Ton
(Mg/Kg x 0.002)
Nitrogen (TKN)
1 5.890
58,900.000
117.800
Phosphorus
1.220
12,200.000
24.400
Potassium
0.544
5,440.000
10.880
PAN (injected)*
2.615
26,154.600
52.309
IIPAN (surface)*
1 2.402
24,019.600
48.039
IlAmmonia Nitrogen
I 0.427
4,270.000
8.540
Calcium
1.270
12,700.000
25.400
IlCalcium Carbonate E .
I ---
---
---
Wagnesium
---
3,240.000
6.480
lSodium
I --
7,040.000
14.080
(Sulfur
I ---
---
---
IlNitrate N / Nitrite N
I ---
32.600
0.065
Barium
---
---
---
Chloride
---
---
---
Iron
---
---
--
Aluminum
---
10,100.00
20.200
(Arsenic
---
36.06
1 0.072 11
Cadmium
I ---
18.05I
0.036I�
Chromium
---
I 18.05I
---
Cooper
---
316.00
I 0.632
Lead
I ---
18.05
0.036
Mercury
I --
0.922
0.002
II Molybdenum
I ---
18.05
1 0.036
I1Nickel
---
18.05I
0.036
ISelenium
---
18.05I
0.036I
lZinc
---
220.00
I 0.440
II.
Environmental Chemists # 2022-02705
*Determination of Plant Available Nitrogen (PAN):
Injected Application:
(Mineralization Rate)(TKN-Ammonia N) + Ammonia N + Nitrate N + Nitrite N = % PAN
SAR
2.07
Ceiling Concen.
Surface Application:
(Mineralization Rate)('FKN-Ammonia N) + (0.5)(Ammonia N) + Nitrate N + Nitrite N = % PAN
Note: Constituents N.D. (Not Detected) or < detection limits are listed as detection limits
for calculation purposes.
75
85
840
57
75
420
100

LEWIS FARMS
WQ0000455
House of Raeford - Wallace Plant
Dale
)a1olfQri0
01/16/23
81,340
4.9103
01/16/23
66,986
4.8260
01/16/23
83,744
4.9230
01/16/23
113,990
5.0569
01/16/23
176,768
5.2474
01/16/23
173,268
5.2387
01/16/23
276,924
5.4424
Total 1 35.6446
Average 5.0921
Geometric Mean 12369 Fecal Coliform MPN /gram
Geometric Mean of Less than 2,000,000 meets Class B - Alternative 1 Pathogen for Reduction
requirement.

Environmental Chemists, Inc®
envirochem 6602 Windmill Way, Wilmington, NC 28405 ° 910.392.0223 Lab ° 910.392.4424 Fax
710 Bowsertown Road, Manteo, NC 27954 • 252.473.5702 Lab/Fax
sM 255-A Wilmington Highway, Jacksonville, NC 28540 ° 910.347.5843 Lab/Fax
ANALYTICAL & CONSULTING CHEMISTS [e-mail]
House of Raeford -Wallace Facility
Date of Report: Feb 14, 2023
PO Box 669
Customer PO #:
Wallace NC 28466
Customer ID: 13030026
Attention:
Report #: 2023-01007
Project ID: Sludge
Lab ID Sample ID:
Collect Date/Time Matrix Sampled by
23-02490 Site: Sludge
1/16/2023
12:00 PM Solid/Sludge JCB/envirochem
Test
Method
Results
Date Analyzed
Chlordane (TCLP)
SW-8468081 B
<0.02mg/L
01/26/2023
Endrin (TCLP)
SW-846 8081 8
<0.0005 mg/L
01/26/2023
Heptachlor (TCLP)
SW-846 8081 B
<0.0005 mg/L
01/26/2023
Heptachlor epoxide (TCLP)
SW-846 8081 B
<0.0005 mg/L
01/26/2023
Lindane (TCLP)
SW-846 8081 B
<0.0005 mg/L
01/26/2023
Methoxychlor (TCLP)
SW-846 8081 e
<0.0005 mg/L
01/26/2023
Toxaphene (TCLP)
SW-846 8081 B
<0.05 mg/L
01/26/2023
2,4,5-TP (TCLP)
SW-846 8151 A
<0.003 mg/L
01/26/2023
2,4-D (TCLP)
SW-846 8151 A
<0.003 mg/L
01/26/2023
1,4-Dichlorobenzene (TCLP)
SW-846 8270 E
<0.050 mg/L
01/24/2023
2,4,5-Trichlorophenol (TCLP)
SW-846 8270 E
<0.050 mg/L
01/24/2023
2,4,6-Trichlorophenol (TCLP)
SW-846 8270 E
<0.050 mg/L
01/24/2023
2,4-Dinitrotoluene (TCLP)
SW-846 8270 E
<0.050 mg/L
01/24/2023
Cresol (TCLP)
SW-846 8270 E
<0.050 mg/L
01/24/2023
Hexachloro-1,3-butadiene(TCLP)
SW-8468270E
<0.050mg/L
01/24/2023
Hexachlorobenzene (TCLP)
SW-846 8270 E
<0.050 mg/L
01/24/2023
Hexachloroethane (TCLP)
SW-846 8270 E
<0.050 mg/L
01/24/2023
m + p-Cresol (TCLP)
SW-846 8270 E
<0.050 mg/L
01/24/2023
Nitrobenzene (TCLP)
SW-846 8270 E
<0.050 mg/L
01/24/2023
o-Cresol (TCLP)
SW-846 8270 E
<0.050 mg/L
01/24/2023
Pentachlorophencl (TCLP)
SW-8468270 E
<0.250 mg/L
01/24/2023
Pyridine (TCLP)
SW-846 8270 E
<0.050 mg/L
01/24/2023
1, 1 -Dichloroethylene (TCLP)
SW-846 Method8260D
<0.01 mg/L
02/01/2023
1,2-Dichloroethane (TCLP)
SW-846 Method8260D
<0.01 mg/L
02/01/2023
Benzene (TCLP)
SW-846 Method8260D
<0.01 mg/L
02/01/2023
Carbon Tetrachloride (TCLP)
SW-846 Method8260D
<0.01 mg/L
02/01/2023
Report # 2023.01007
P—P I nt e

Environmental Chemists, Inc.
enviroichem 6602 Windmill Way, Wilmington, NC 28405 • 910,392.0223 Lab ' 910.392-4424 Fax
710 Bowsertown Road, Manteo, NC 27954 ° 252.473.5702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax
ANALYTICAL & CONSULTING CHEMISTS [e-mail]
House of Raeford -Wallace Facility
Date of Report: Feb 14, 2023
PO Box 669
Customer PO #:
Wallace NC 28466
Customer ID: 13030026
Attention:
Report #: 2023-01007
Project ID: Sludge
Chlorobenzene (TCLP)
SW-845 Method 6260D
<0.01 mg/L
02/01/2023
Chloroform (TCLP)
SW-846 Method 8260D
<0.01 mg/L
02/01/2023
Methyl ethyl ketone (TCLP)
SW-846 Method 8260D
<0.05 mg/L
02/01/2023
Tetrachloroethylene (TCLP)
SW-846 Method 8260D
<0.01 mg/L
02/01/2023
Trichloroethylene (TCLP)
SW-846 Method 8260D
<0.01 mg/L
02/01/2023
Vinyl Chloride (TCLP)
SW-846 Method 8260D
<0.01 mg/L
02/01/2023
RCI
Cyanide
SM 4500 CN D-2016
2.60 mg/kg
01/17/2023
Sulfide
SM 4500 S D
1.75 mg/kg
01/19/2023
Ignitability
SW 846 method 1010
> 158 °F
01/18/2023
Sludge Residuals
Aluminum
EPA 200.7. Rev 4 4, 1994
10100 mg/kg
01/26/2023
Arsenic
EPA 200.7, Rev. 4.4, 1994
<36.068mg/kg
01/30/2023
Cadmium
EPA 200.7, Rev. 4.4, 1994
<18,058 mg/kg
01/26/2023
Calcium
EPA 200.7, Rev. 4.4, 1994
12700 mg/kg
01/26/2023
Chromium
EPA 2003. Rev. 4.4, 1994
<18.058 mg/kg
01/26/2023
Copper
EPA 200.7, Rev, 4.4, 1994
316 mg/kg
01/26/2023
Lead
EPA 200.7, Rev. 4.4, 1994
<18.058 mg/kg
01/26/2023
Magnesium
EPA 200.7, Rev. 4.4, 1994
3240 mg/kg
01/26/2023
Molybdenum
EPA 200.7, Rev. 4.4. 1994
<18.058 mg/kg
01/26/2023
Nickel
EPA 200.7, Rev. 4.4, 1994
<18,058 mg/kg
01/26/2023
Potassium
EPA 200.7, Rev 4.4, 1994
5440 mg/kg
01/26/2023
Selenium
EPA 200.7, Rev. 4.4, 1994
<18.058 mg/kg
01/26/2023
Sodium
EPA 200.7, Rev. 4.4. 1994
7040 mg/kg
01/26/2023
Zinc
EPA 200.7, Rev. 4.4, 1994
220 mg/kg
01/26/2023
Nitrate+Nitrite-Nitrogen
EPA353.2
32.6mg/kg
01/18/2023
Total Solids (%)
SM 2540 8
2.06 %
01/17/2023
Ammonia Nitrogen
SM 4500 NH3 C-2011
4270 mg/kg
01/17/2023
Total Kjeldahl Nitrogen (TKN)
SM 4500 Norg 8-2011
58900 mg/kg
01/17/2023
Total Phosphorus
SM 4500 P (F-H)-2011
12200 mg/kg
01/20/2023
Report 2023.01007 Pana 7 of d

Environmental Chemists, Inc.
envirochem 6602 Windmill Way, Wilmington, NC 28405 ° 910.392.0223 Lab ' 910.392.4424 Fax
710 Bowsertown Road, Manteo, NC 27954 ° 252.473.5702 Lab/Fax
1"1 255-A Wilmington Highway, Jacksonville, NC 28540 ° 910.347.5843 Lab/Fax
ANALYTICAL & CONSULTING CHEMISTS [e-mail]
House of Raeford -Wallace Facility Date of Report: Feb 14, 2023
PO Box 669 Customer PO #:
Wallace INC 28466 Customer ID: 13030026
Attention. Report #: 2023-01007
Project ID: Sludge
pH SW 846 Method 90450 7.45 units 01/20/2023
Result estimated. Analyzed out of 15 minutes hold time.
Mercury Svv-846 7471 B <0.922 mg/kg 01/25/2023
TCLP Metals
Arsenic (TCLP)
EPA 200.7. Rev, 4.4, 1994
<1.0 mg/L
01/26/2023
Barium (TCLP)
EPA 200.7, Rev. 4.4, 1994
<1.0 mg/L
01/26/2023
Cadmium (TCLP)
EPA 200.7, Rev. 4.4, 1994
<1.0 mg/L
01/26/2023
Chromium (TCLP)
EPA 200.7. Rev. 4.4, 1994
<1.0 mg/L
01/26/2023
Lead (TCLP)
EPA 200.7, Rev. 4.4, 1994
<1.0 mg/L
01/26/2023
Selenium (TCLP)
EPA 200.7. Rev. 4.4, 1994
<1.Omg/L
01/26/2023
Silver (TCLP)
EPA 200.7. Rev. 4.4, 1994
<1.0 mg/L
01/26/2023
Mercury (TCLP)
EPA 245.1
<0.0002 mg/L
01/27/2023
Lab ID Sample ID:
Collect Date/Time
Matrix Sampled by
23-02491 Site: 1
1/16/2023 12:01 PM
Solid/Sludge JCB/envirochem
Test
Method
Results Date Analyzed
Total Solids (%)
Fecal Density
Lab ID Sample ID:
23-02492 Site:2
Test
SM 2540 B
SM 9221C E-2014
2.09 % 01/17/2023
81340 MPN/g 01/16/2023
Collect Date/Time Matrix Sampled by
1/16/2023 12:02 PM Solid/Sludge JCB/envirochem
Method Results Date Analyzed
Total Solids (%) SM 2540 5 2.09 % 01/17/2023
Fecal Density SM 9221C E-2014 66986 MPN/g 01/16/2023
Lab ID Sample ID: Collect Date/Time Matrix Sampled by
23-02493 Site: 3 1/16/2023 12:03 PM Solid/Sludge JCB/envirochem
Test Method Results Date Analyzed
Total Solids (%) SM 2540 B 2.03 % 01/17/2023
Fecal Density SM 9221C E-2014 83744 MPN/g 01/16/2023
Report �t 2023-01007
Panes 2 nt d

envirochemt
ANALYTICAL & CONSULTING CHEMISTS
House of Raeford -Wallace Facility
PO Box 669
Wallace NC 28466
Attention:
Lab ID Sample ID:
23-02494 Site:4
Test
Total Solids (%)
Fecal Density
Lab ID Sample ID:
23-02495 Site:5
Test
Total Solids (%)
Fecal Density
Lab ID Sample ID:
23-02496 Site:6
Test
Total Solids (%)
Fecal Density
Lab ID Sample ID:
23-02497 Site:7
Test
Total Solids (%)
Fecal Density
Comment:
Reviewed by
Environmental Chemists, Inc.
6602 Windmill Way, Wilmington, NC 28405 ' 910.392.0223 Lab o 910.392.4424 Fax
710 Bowsertown Road, Manteo, NC 27954 • 252.473.5702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax
info ri:environmentalchcmists.com
Date of Report: Feb 14, 2023
Customer PO #:
Customer ID: 13030026
Report #: 2023-01007
Project ID: Sludge
~ Collect Date/Time Matrix Sampled by
1/16/2023 12:04 PM Solid/Sludge JCB/envirochem
Method Results Date Analyzed
SM 2540 B
SM 9221 C E-2014
1.93 % 01/17/2023
113990MPN/g 01/16/2023
Collect Date/Time Matrix Sampled by
1/16/2023 12:05 PM Solid/Sludge JCB/envirochem
Method Results Date Analyzed
SM 2540 B
SM 9221 C E-2014
1.98 % 01/17/2023
176768 MPN/g 01/16/2023
Collect Date/Time Matrix Sampled by
1/16/2023 12:06 PM Solid/Sludge JCB/envirochem
Method Results Date Analyzed
SM 2540 B
SM 9221C E-2014
Method
2.02 % 01/17/2023
173268MPN/g 01/16/2023
Collect Date/Time Matrix
1/16/2023 12:07 PM Solid/Sludge
Results
SM 2540 B
SM 9221C E-2014
Semivolatiles TCLP analysis had several low surrogate recoveries.
Sampled by
Date Analyzed
1.95 % 01/17/2023
276924 MPN/g 01/16/2023
Report V., 2023-01007 Page 4 of 4

Environmental Chemist, Inc., Wilmington, NC Lab 494
Sample Receipt Checklist
6602 Windmill Way
Wilmington, NC 28405
910.392.0223
Client:_�+o(kSe O � RtkC DQ-D Date: VJ Z�j Report Number: _.2023- `bD4--
Receipt of sample: E HFM PiCkUl)"o Client Delivery ❑
1UPS ❑ FeclEx ❑ Other ❑
❑ YES
10 NO
N/A
1. Were custody seals present on the cooler?
❑ YES
10 NO
V N/A
12. If custody seals were present, were they intact/unbroken?
Original temperature upon receipt 2 -D °C Corrected temperature upon receipt °C
How temperature taken. ❑ Temperature Blank Against Bottles
IR Gun ID: Thomas Traceable S/N 210886869 IR Gun Correction Factor °C: 0.0
YES
❑ NO
3. If temperature of cooler exceeded 6°C, was Project Mgr./QA notified?
YES
❑ NO
4. Were proper custody procedures (relinquished/received) followed?
YES
❑ NO
S. Were sample ID's listed on the COC?
YES
❑ NO
6. Were samples ID's listed on sample containers?
YES
❑ NO
7. Were collection date and time listed on the COC?
YES
❑ NO
8. Were tests to be performed listed on the COC?
YES
❑ NO
9. Did samples arrive in proper containers for each test?
YES
❑ NO
10. Did samples arrive in good condition for each test?
(� YES
❑ NO
11. Was adequate sample volurne availableT
YES
❑ NO 112.
Were samples received within proper holding time for requested tests?
❑ YES
❑ NO 113.
Were acid preserved samples received at a pH of <2?
❑ YES
❑ NO 114.
Were cyanide samples received at a pH >12?
❑ YES
❑ NO
15, Were sulfide samples received at a pH >9?
❑ YES
❑ NO 116.
Were NH3/TKN/Phenol received at a chlorine residual of <0.5 m/L? *'
❑ YES
❑ NO 117,
Were Sulfide/Cyanide received at a chlorine residual of <0.5 m/L?
❑ YES
❑ NO 118.
Were orthophosphate samples filtered in the field within 15 minutes?
* TOC/Volatiles are pH checked at time of analysis and recorded on the benchsheet.
** Bacteria samples are checked for Chlorine at time of analysis and recorded on the benchsheet.
Sample Preservation: (Must be completed for any sample(s) incorrectly preserved or with headspace)
Sample(s) _ _ were received incorrectly preserved and were adjusted accordingly
by adding (circle one): H,SO,, HNO3 HCI NaOH
Tirne of preservation: If more than one preservative is needed, notate in comments below
Note: Notify customer service immediately for incorrectly preserved sarnple5. Obtain a new Sample or
notify the slate lab if directed to analyzed by the customer. bVho was notified, date and time:
Volatiles Sample(s) were received with headspace
COMMENTS:
DOC. QA.002 Rev 1

Analytical R C nneultinn Chemists
ENVIRONMENTAL CHEMISTS, INC
NCDENR: DWQ CERTIFICATION # 94 NCDHHS: DLS CERTIFICATION # 37729
COLLECTION AND CHAIN OF CUSTODY
6602 Windmill Way Wilmington, NC 28405
OFFICE: 910-392-0223 FAX 910-392A424
[e-mail]
Client: House of Raeford -Wallace
PROJECT NAME: Wallace Plant -sludge (annual)
REPORT NO:
ADDRESS:
CONTACT NAME: CC: Lewis Farms
PO NO:
REPORT TO: Chris Murray
PHONEIFAX:
COPY TO: Brad Vann
email:
Sampled By: �l�,J�ti r._1 _ SAMPLE TYPE: I = Influent, E = Effluent, W = Well, ST = Stream, SO = Soil, SL = Sludge, Other:
Sample Identification
Collection
a,
E>
2
in
E o`
tj
cC7
� o
U 4
cJ
_2 rn
U E
OW
QQ
J 2
PRESERVATION
Z 'o
z = s
ANALYSIS REQUESTED
Date
Time
Temp
o
i
so
z
o
~
W
PO
Sludge
C
P
V't
X
Full TCLP, RCI,Nutrient/metals
G
G
1
7
�wJ
C
P
ti(
X
fecal density/% TS
G
G
2
C
P
"
X
fecal density/% TS
G
G
3
51 4-03
C
P
5 t1
X
fecal density/% TS
(
G
G
4
L� �{
C
P
X
fecal density/% TS
G
G
5
F1LTv
C
P
�{
X
fecal density/% TS
/i,->
G
G
6
fZ �C
C
P
Ll
X
fecal density/% TS
G
G
7
C
P
k
X
fecal density/% TS
G
G
C
P
_
G
7 G
Transfer
Relinquished By:
DatefTime
Received By:
Daterrime
1.
2.
Temperature when Received:1�_ Accepted: f( R,,eje ted: Resample (Requested:
Delivered By. _Received By:' ' _� Date: 1( � Time:
Comments: TURNAR UND:

ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (02T Rules)
Facility Name: _Lewis Farms and Liquid Waste, Inc. WQ Permit Number: WQ0000455
WWTP Name: _Wallace Chicken Processing Plant NPDES Number: NC0003344 _
Monitoring Period: From VILM To 12/31/2023
Pathogen Reduction (15A NCAC 02T .1106) - Please indicate level achieved and alternative performed:
Class A:
Alt. A (timchemp) 0_1
Alt B (Alk Treatment) ❑ AIL C (Prior Testin ) ❑
AIt.D (No Prior Test) ❑ Process to Further Reduce Pathogengs ❑
Ifopplicabletomltermative performed Class A only) indicate "Process to Further Reduce Pathogens":
Compost ❑
Heat Drying ❑
Heat Treatment ❑
Thermo hilic ❑
Beta Ray p
Gamma RaY ❑
Pasteurization ❑
Class B:
Alt. (1) Fecal Density p Alt. (2) Process to SiE!ificant:ly Reduce Pathogens ❑
If applicable to alternative performed Class B only) indicate "Process to SWfIcantly Reduce Pathogens":
Lime Stabilization ❑ Air 2aing ❑ Composting ❑
Aerobic Di esdon ❑
Anaerobic Digestion ❑
�
If applicable to alternative performed (Class A or Class B) complete the
following monitoring data:
Parameter
Allowable Level
in Sludge
Pathogen Density
1II°br of
Excee-
Frequency
of Analysis
Sample
Type
luirly csl
Tech
Minimus
Geo. Mean
Maxim
Units
Fecal Coliform
2 x 10 to the
61h power
per gram of
total solids
MPN
66,986
123,619
276,924
MPN/g
0
Annual
Grab
SM9221 C
CFU
1000 mpn per gram
of total solid (dry
weieht)
Salmonella bacteria
(in lieu of fecal
coliform)
3 MPN per 4 grams
total solid (dry
I weight)
Vector Attraction Reduction (15A NCAC 02T .1107) - Please indicate alternative performed:
AIL 1 (VS reduction) ❑
AIL 2 (40-day bench) ❑
Alt. 3 (30-day bench) ❑
]Alt 4 (Spec. Ox uptake) El
Alt. 5 (14-Day Aerobic) ❑
Alt. 6 (Alk. Stabilization ❑
Alt 7 (Drying - Stable) ❑
AIL 9 (Drying - Unstable) ❑
Alt. 9 (Injection) E]
Alt. 10 (incorporation) El
No vector attraction reduction alternatives
were performed ❑
CERTIFICATION STATEMENT (please check the appropriate statement)
El "I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the
vector attraction reduction requirement in 15A NCAC 02T .1107 have been met."
❑ "I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the
vector attraction reduction requirement in 15A NCAC 02T .1107 have not been met." (Please note if
you check this statement attach an explanation why you have not met one or both of the
requirements.)
"This determination has been made under my direction and supervision in accordance with the system
designed to ensure that qualified personnel properly gather and evaluate the information used to determine
that the pathogen and vector attraction reduction requirements have been met. I am aware that there are
significant penalties for false certification including fine and imprisonment."
Bradley Vann, ORC Wesley Wooten, President
Preparer Narne and Title�Ie or print) land Appliier Nameeand Title (if applicablextype or print)
/i+ , al //..G , /. 9/2 n:
T
Signature of parer" Date Signature of Lane Applier (if applicable) Date
'Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26)
DENR FORM PVRF 02T (12/2006)

LEWIS FARMS
LAND APPLICATION PROGRAM
RESIDUALS ANALYSIS
Residual Type: Wastewater Treatment Plant
Date Sampled: April 11, 2023
North Topsail WWTF Permit No. WQ0000455
4.19 % Solids
7.33 pH
Parameter
%
Mg/Kg Dry Weight
(% x 10,000)
P.odnds/ ;ry
(A' ./Ka x 0.002)
Nitrogen (TKN)
7,060
70,600.000
141.200
(Phosphorus
1.880
1 18,800.000
37.600
Potassium
0.656
1 6,560.000
13.120
PAN (infected)*
3.188
31,884.400
63.769
IPAN (surface)*
2.428
24,284.400
48.569
Ammonia Nitrogen
I 1.520
15,200.000
30.400
Calcium
I 1.970
I 19,700.000
39.400
(Calcium Carbonate E .
---
---
---
IlMagnesium
---
4,150.000
8.300
IlSodium
I ---
1 3,790.000
7.580
I Sulfur
I ---
---
Nitrate N / Nitrite N
I ---
64.400
0.129
Barium
Chloride
---
---
---
---
---
---
SAR
1.31
IIron
---
---
---
Ceiling Concen.
Aluminum
---
4,580.00
9.160
(MRfKa)
Arsenic
Cadmium
---
--- 1
27.00
27.00
0.054
0.054
75
85
(Chromium I
---
27.000
-
—
Copper
---
175.00
0.350
4,300
Lead I
---
27.00
0.054
840
Mercury I
---
0.403
0.001
57
Molybdenum I
---
27.00
0.054
75
Nickel I
---
27.00I
0.054
420
(Selenium 1
---
27.00 1
0.054 11
100
Zinc I
--- 1
3,750. 00
7.500
7,500
11 1
l
_1
Environment I # 2023-07013
*Determination of Plant Available Nitrogen (PAN):
Injected Application:
(Mineralization Rate)(TKN-Ammonia N) + Ammonia N + Nitrate N + Nitrite N = % PAN
Surface Application:
(Mineralization Rate)(TKN-Ammonia N) + (0.5)(Ammonia N) + Nitrate N + Nitrite N = % PAN
Note: Constituents N.D. (Not Detected) or < detection limits are listed as detection limits
for calculation purposes.

LEWIS FARMS AND LIQUID WASTE, INC.
WQ0000455
Pluris North Topsail WWTP
Ba€eeca]::Cali%xiL`
04/11/23
33,899
4.5302
04/11/23
125,582
5.0989
04/11/23
31,554
4.4991
04/11/23
43,148
4.6350
04/11/23
30,733
4.4876
04/11/23
31,250
4.4949
04/11/23
51,283
4.7100
Total 1 32.4556
Average 4.6365
Geometric Mean €3a€' Fecal Coliform MPN /gram
Geometric Mean of Less than 2,000,000 meets Class B - Alternative 1 Pathogen Reduction
requirement.

ANALYTICAL & CONSULTING CHEMISTS
F-770,7--i-77
Environmental Chemists, Inc.
6602 Windmill Way, Wilmington, NC 28405 • 910.392.0223 Lab • 910.392.4424 Fax
710 Bowsertown Road, Manteo, NC 27954 • 252.473.5702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax
infoGenvironmentalchemists.com
Pluris LLC.
Date of Report: May 01, 2023
P. O. Box 856
Customer PO #:
Sneads Ferry NC
28460
Customer ID: 09110001
Attention:
Report #: 2023-07013
Project ID: Sludge
Lab ID Sample ID:
Collect Date/Time Matrix Sampled by
23-17835 Site: 001
4/11/2023 11:02 AM Solid/Sludge
Test
Method
Results Date Analyzed
Total Solids (%)
SM 2540 B
4.13 % 04/12/2023
Fecal Density
SM 9221C E-2014
33899 MPN/g 04/11/2023
Lab ID Sample ID:
Collect Date/Time Matrix Sampled by
23-17836 Site: 002
4/11/2023 11:04 AM Solid/Sludge
Test
Method
Results Date Analyzed
Total Solids (%)
SM 2540 B
4.30 % 04/12/2023
Fecal Density
SM 9221C E-2014
125582 MPN/g 04/11/2023
Lab ID Sample ID:
Collect Daterrime Matrix Sampled by
23-17837 Site: 003
4/11/2023 11:05 AM Solid/Sludge
Test
Method
Results Date Analyzed
Total Solids (%)
SM 2540 B
4.12 % 04/12/2023
Fecal Density
SM 9221C E-2014
31554 MPN/g 04/11/2023
Lab ID Sample ID:
Collect DaterTime Matrix Sampled by
23-17838 Site: 004
4/11/2023 11:07 AM Solid/Sludge
Test
Method
Results Date Analyzed
Total Solids (%)
SM 2540 8
3.94 % 04/12/2023
Fecal Density
SM 9221C E•2014
43148 MPN/g 04/11/2023
Lab ID Sample ID:
Collect Daterrime Matrix Sampled by
23-17839 Site: 005
4/11/2023 11:10 AM Solid/Sludge
Test
Method
Results Date Analyzed
Total Solids (%)
SM 2540 B
4.23 % 04/12/2023
Fecal Density
SM 9221C E•2014
30733 MPN/g 04/11/2023
Report p:. 2023.07013 Page 1 of 3

C�
ANALYTICAL & CONSULTING CHEMISTS
Environmental Chemists, Inc.
6602 Windmill Way, Wilmington, NC 28405 • 910.392.0223 Lab • 910.392.4424 Fax
710 Bowsertown Road, Manteo, NC 27954 • 252.473.5702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax
infoCo�environmentalchemists.com
Plurls LLC. Date of Report: May 01, 2023
P. O. Box 856 Customer PO #:
Sneads Ferry NC 28460 Customer ID: 09110001
Attention: Report #: 2023-07013
Project ID: Sludge
Lab ID Sample ID: Collect Date/Time Matrix Sampled by
23-17840 Site: 006 4/11/2023 11:11 AM Solid/Sludge
Test Method Results Date Analvzed
Total Solids (%)
Fecal Density
SM 2540 B
SM 9221 C E-2014
4.16 % 04/12/2023
31250 MPN/g 04/11/2023
Lab ID Sample ID: Collect DatefTime Matrix
23-17841 Site: 007 4/11/2023 11:13 AM Solid/Sludge
Test Method Results
Total Solids (%)
Fecal Density
SM 2540 B
SM 9221C E•2014
Sampled by
Date Analyzed
4.29 % 04/12/2023
51283 MPN/g 04/11/2023
Reporl it;: 2023-07013 Page 2 of 3

!:e7nv-`iroeheih
ANALYTICAL. & CONSULTING CHEMISTS
Environmental Chemists, Inc.
6602 Windmill Way, Wilmington, NC 28405 • 910,392.0223 Lab a 910.392.4424 Fax
710 Bowsertown Road, Manteo, NC 27954 • 252.473.5702 Fab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax
[e-mail]
Pluris LLC. Date of Report: May 01, 2023
P. O. Box 856 Customer PO M
Sneads Ferry NC 28460 Customer ID: 09110001
Attention: Report #: 2023-07013
Project ID: Sludge
Lab ID Sample ID: Collect Date/Time Matrix Sampled by
23-17842 Site: Sludge 4/11/2023 11:15 AM Solid/Sludge
Test
Method
Results
Date Analyzed
Sludge Residuals
Aluminum
EPA 200.7. Rev. 4.4, 1994
4580 mg/kg
04/26/2023
Arsenic
EPA 200.7, Rev. 4.4. 1994
<27,0 mg/kg
04/26/2023
Cadmium
EPA 200.7, Rev. 4 4, 1994
<27.0 mg/kg
04/26/2023
Calcium
EPA 200.7, Rev. 4 4 1994
19700 mg/kg
04/26/2023
Chromium
EPA 200.7, Rev. 4 4. 1994
<27.0mg/kg
04/26/2023
Copper
EPA 200.7. Rev. 4 4, 1994
175 mg/kg
04/26/2023
Lead
EPA 200.7, Rev. 4 4.1994
<27.0 mg/kg
04/26/2023
Magnesium
EPA 200.7, Rev 4 4, 1994
4150 mg/kg
04/26/2023
Molybdenum
EPA 200.7. Rev.4 4 1994
<27.0 mg/kg
04/26/2023
Nickel
EPA 200.7, Rev. 4 4.1994
<27.0 mg/kg
04/26/2023
Potassium
EPA 200.7, Rev. 4 4.1994
6560 mg/kg
04/26/2023
Selenium
EPA 200.7, Rev. 4 4. 1994
<27.0 mg/kg
04/26/2023
Sodium
EPA 200.7, Rev. 4 4.1994
3790 mg/kg
04/26/2023
Zinc
EPA 200.7, Rev. 4 4, 1994
3750 mg/kg
04/26/2023
Nitrate+Nitrite-Nitrogen
EPA 353.2
64.4 mg/kg
04/12/2023
Total Solids (%)
SM 2540 B
4.19 %
04/12/2023
Ammonia Nitrogen
SM 4500 NH3 C-2011
15200 mg/kg
04/12/2023
Total Kjeldahl Nitrogen (TKN)
SM4500 Norg B-2011
70600 mg/kg
04/12/2023
Total Phosphorus
SM 4500 P (F-H)-2011
18800 mg/kg
04/20/2023
pH
Sw 846 Method 9045D
7.33 units
04/24/2023
Mercury
SW-8467471 B
<0.403mg/kg
04/14/2023
Comment: Results, except pH, reported on a dry weight basis_ pH reported on an as received basis.
Reviewed by: /-&/(
Report #': 2023.070t3
Page 3 of 3

Environmental Chemist, Inc., Wilmington, NC Lab #94
6602 Windmill Way
Wilmington, NC 28405
910.392.0223
Sample Receipt Checklist
r
Client: T-'�-�-Cy Date: C�3 Report Number:— 2023-
Receipt of sample: ECHEM Pickup �� Client Dehvery ❑ JUPS ❑ FeclEx ❑ Other ❑
❑ YES
❑ NO 10
N/A
11. `Were custody seals present on the cooler?
❑ YES
❑ NO I
1P N/A
2. If custody seals were present, were they intact/unbroken?
Original temperature upon receipt _�°C Corrected temperature upon receipt °C
How temperature taken: ❑ Temperature Blank ® Against Bottles
A Gun ID: Thomas Traceable S/N 210886869 IR Gun Correction Factor'C: 0.0
It YES
❑ NO
3. If temperature of cooler exceeded 6'C, was Project Mgr./QA notified?
YES
❑ NO
4. Were proper custody procedures (relinquished/received) followed?
11 YES
❑ NO
5. Were sample ID's listed on the COC?
�a YES
❑ NO
6. Were samples ID's listed on sample containers?
YES
❑ NO
7. Were collection date and time listed on the COC?
,19 YES
❑ NO
8. Were tests to be performed listed on the COC?
YES
❑ NO
9. Did samples arrive in proper containers for each test?
I$ YES
❑ NO
10. Did samples arrive in good condition for each test?
CX YES
❑ NO
11. Was adequate sample volume available?'
2 YES
❑ NO
12. Were samples received within proper holding time for requested tests?
❑ YES
❑ NO
13. Were acid preserved samples received at a pH of <2?
❑ YES
❑ NO
14. Were cyanide samples received at a pH >12?
❑ YES
❑ NO
15. Were sulfide samples received at a pH >9?
❑ YES
❑ NO
16. Were NH3/TKN/Phenol received at a chlorine residual of <0.5 m/L?
❑ YES
❑ NO
17. Were Sulfide/Cyanide received at a chlorine residual of <0.S m/L?
❑ YES
❑ NO
18. Were orthophosphate samples filtered in the field within 15 minutes?
* TOC/Volatiles are pH checked at time of analysis and recorded on the benchsheet.
** Bacteria samples are checked for Chlorine at time of analysis and recorded on the benchsheet.
Sample Preservation: (Must be completed for any sample(s) incorrectly preserved or with headspace)
Sample(s) were received incorrectly preserved and were adjusted accordingly
by adding (circle one): H2SO1 HNO3 HCI NaOH
Time of preservation: If more than one preservative is needed, notate in comments below
Note: Notify customer service immediately for incorrectly preserved samples. Obtaln a new sample or
notify the state lab if directed to analyzed by the customer. Who was notified, date and time:
Volatiles Sample(s) were received with headspace
COMMENTS:
DOC. QA.002 Rev 1

ton, NC
`; ENVIRONMEN6602 TAL CHEMISTS, INC OFFICE: Windmill10 20223'iFAX 9910392- 4245
WNNW NCDENR: DWQ CERTIFICATION # 94 NCDHHS: DLS CERTIFICATION # 37729 info(genvironmentaichernists.com
Analytical & Consulting Chemists
COLLECTION AND CHAIN OF CUSTODY
24
Client: ,2 i S G_.�--
PROJECT NAME:
REPORT NO: ��J T U 15
ADDRESS:
SITE:
PO NO:
REPORT TO:
PHONE/FAX:
// ll
COPY TO:
email:
• ' - � �— ___,ram+ �y�y.
Sampled By:_ SAMPLE TYPE: I = Influent, E = Effluent, W = Well, ST = Stream, SO = Soil, SL = Sludge, Other:
Sample identification
Collection
yn
H
a
�
y
in m
,
£
"
ee9
°
co J ,p
!
1E
o
a
Qm 1m4t'7
PRESERVATION
ANALYSIS REQUESTEDN
Time
Temp
o
=OW
W
a
z
oDate
6
�!
G
G
7
G
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-/
T% j� e
IS/
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P
G
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G/-ir-
�l. 3
c
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Transfer
�,� Reiiifshed By:
D5prrime
Received By:
Dateffime
1.
3_,3r
2.
Sl .
l
Temperature when Received °C. ` / , V _Accepted:
Delivered By: t -- Received By:
Comments:
tesampl Requested:
Date _,_Time:— _
TURNAROUND:

ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (02T Rules)
Facility Name: Lewis Farms and Liquid Waste Inc WQ Permit Number: WQ0000455
WWTP Name: Pluris North Topsail NPDES Number: WQ0005849
Monitoring Period: From 1/1/2023 12/31/2023
Pathogen Reduction (I5A NCAC 02T .1106) - Please indicate level achieved and alternative performed:
Class A:
Alt. A (time/temp) ❑ Alt B (Alk Treatment) ❑ I Alt. C (Prior Testing) ❑
A1t.D (No Prior Test) 1 Process to Further Reduce Pathogengs ❑
If applicable to alternative performed (Class A only) indicate "Process to Further Reduce Pathogens":
Corn ost ❑
Heat Drying ❑
Heat Treatment ❑
Thennophilic ❑
Beta Ray ❑
Gamina Ray ❑
Pasteurization ❑
Class JAIL (1) Fecal Density p Alt. (2) Process to Significantly Reduce Pathoggens ❑
If applicable to alternative performed (Class B only) indicate "Process to Si„nificantly Reduce Pathogens":
Lime Stabilization ❑ Air Drying ❑ Com osting ❑ Aerobic Digestion ❑
Anaerobic Digestion ❑
If applicable to alternative Performed (Class A or Class B) complete the
following monitoringdata:
ata:
Parameter
Allowable Level
in Sludge
g
Pathogen Density
I f r oeo
Num
Excee-
gene
Frequency
of Analysis
Y
Sample
Type
Analytical
Tech-
oiQtM__
Minimum Geo. Mean
Maximum
Units
Fecal Coliform
2 x 10 to the
6th power
per gram of
total solids
MPN
30,733
I 43,302
125,582
MPN/g
0
Annual
Grab
SN192210E
CFU
1000 mpn per gram
of total solid (dry
weielit)
Salmonella bacterial
(in lieu of fecal
coliforn I
3 MPN per4 grams
total solid (dry
wei!zlit)
Vector Attraction Reduction (15A NCAC 02T .1107) - Please indicate alternative performed:
Alt.1 (VS reduction) ❑
I Alt. 2 (40-day bench) ❑
Alt. 3 (30-day bench) ❑
jAlt. 4 (Spec. 0, uptake) ❑
JAR. 5 (14-Day Aerobic) ❑
lAlt. 6 (Alk. Stabilization ❑
Alt 7 (Drying - Stable) ❑
lAlt. 8 (Drying - Unstable) ❑
Alt. 9 (Injection) El
I Alt. 10 (Incorporation) 17
No vector attraction reduction alternatives were performed ❑
CERTIFICATION STATEMENT (please check the appropriate statement)
El "I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the
vector attraction reduction requirement in 15A NCAC 02T .1107 have been met."
❑ "I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the
vector attraction reduction requirement in 15A NCAC 02T .1107 have not been met." (Please note if
you check this statement attach an explanation why you have not met one or both of the
requirements.)
"This determination has been made under my direction and supervision in accordance with the system
designed to ensure that qualified personnel properly gather and evaluate the information used to determine
that the pathogen and vector attraction reduction requirements have been met. I am aware that there are
significant penalties for false certification including fine and imprisonment."
Dwight Peterson, ORC Wesley Wooten, President
Preparer Name and Title type or print) Land Applier Name and Title (if applicable)(type or print)
10/4123 10/4/23
Sib iatdr f Preparer* Date Signature of Lan Applier (if applicable) Date
"Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26)
DENR FORM PVRF 02T (1212006)

LEWIS FARMS
LAND APPLICATION PROGRAM
RESIDUALS ANALYSIS
Residual Type: Wastewater Treatment Plant
Date Sampled: September 22, 2023
The Cape
3.07 % Solids
'7 16 nH
Permit No. WQ0000455
Parameter
%
WeightPounds/Dry
Mg/K�10,000�)J
(%(ME/Kg
Ton
x 0.002)
Nitrogen (TKN)
6.150
61,500.000
123.000
Phosphorus
1.030
10,300.000
20.600
Potassium
0.162
1,620.000
3.240
PAN (infected)*
2.035
20,345.300
40.691
IPAN (surface)*
1.906
19,055.300
38.111
IlAmmonia Nitrogen
0.258
2,580.000
5.160
Calcium
2.530
25,300.000
50.600
Calcium Carbonate E .
---7
---
---
Magnesium
---
2,480.000
4.960
Sodium
---
1 3,750.000
7.500
�ISulfur
---
I ---
1lNitrate N / Nitrite N
---
1 89.3001
0.179
Barium
---
I ---
---
Chloride I
---
I ---
---
lIron I
---
I
I
(Aluminum I
-
I 3,650.00
7.300
Arsenic I
--
I 22.7
00.045 I
(Cadmium I
---
I 22.70
0.045 1
llChromium I
---
23.000
--- II
(Kopper
--
I 423.00I
0.846I�
IlLead I
---
I 23.90I
0.048
IiMercut I
---
I 0.651
0.00111
([Molybdenum
---
I 22.70
0.045
(Nickel
---
22.70
I 0.04571
IlSelenium I
---
1 22.70
1 0.045 11
II Zinc 1---
1,180.00 I
2.360 II
II
Environmental Chemists, Inc. # 2023-22072
*Determination of Plant Available Nitrogen (PAN):
Injected Application:
(Mineralization Rate)(TKN-Ammonia N) + Ammonia N + Nitrate N + Nitrite N = % PAN
SAR
1.05
Ceiling Concen.
Surface Application:
(Mineralization Rate)(TKN-Ammonia N) + (0.5)(Ammonia N) + Nitrate N + Nitrite N = % PAN
Note: Constituents N.D. (Not Detected) or < detection limits are listed as detection limits
for calculation purposes.
75
85
840
57
75
420
100
7,501

r_ - -7 41
ANALYTICAL 8 CONSULTING CHEMISTS
Lewis Farms & Liquid Waste, INC.
8155 Malpass Corner Road
Currie NC 28435
Attention:
Lab 1D Sample ID:
23-53774 Site: Sludge
Environmental Chemists, Inc.
6602 Windmill Way, Wilmington, NC 28405 . 910.392.0223 Lab . 910,392.4424 Fax
710 Bowsertown Road, Manteo, NC 27954 . 252,473,5702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 . 910.347.5843 Lab/Fax
[e-mail]
Date of Report: Oct 24, 2023
Customer PO #:
Customer ID: 14020008
Report #: 2023-22072
Project ID: AquaNC-The Cape Sludge
Collect Date/Time Matrix Sampled by
9/22/2023 10:30 AM Solid/Sludge Christian McDonald
Test
Method
Sludge Residuals
Aluminum
EPA 2007, Rev 4.4, 1994
Arsenic
EPA 200 7. Rev, 4 4, 1994
Cadmium
EPA 200 7. Rev, 4 4. 1994
Calcium
EPA 200 7 Rev. 4 4, 1994
Chromium
EPA 2007 Rev. 4 4, 1994
Copper
EPA 200 7 Rev. 4 4. 1994
Lead
EPA 2007 Rev 4 4. 1994
Magnesium
EPA 2007 Rev. 4 4, 1994
Molybdenum
EPA 200 7. Rev. 4 4 1994
Nickel
EPA 200.7. Rev 4 4 1994
Potassium
EPA 200.7, Rev 4.4 1994
Selenium
EPA 200.7, Rev 4 4 1994
Sodium
EPA 200.7: Rev 4.4 1994
Zinc
EPA 200.7, Rev 4.4 1994
Nitrate+Nitrite-Nitrogen
EPA 353.2
Total Solids (%)
SM 2540 B
Ammonia Nitrogen
SM 4500 NH3 C 2011
Total Kjeldahl Nitrogen (TKN)
SM 4500 Norg B-2011
Total Phosphorus
SM 4500 P (F-H).2011
pH
SW B46 Method 9045D
Result estimated. Analyzed out of 15 minutes hold time
Mercury SW-6467471 B
Results Date Analyzed
3650 mg/kg
10/17/2023
<22.7 mg/kg
10/17/2023
<22.7 mg/kg
10/09/2023
25300 mg/kg
10/17/2023
23.0 mg/kg
10/09/2023
423 mg/kg
10/09/2023
23.9 mg/kg
10/09/2023
2480 mg/kg
10/09/2023
<22.7 mg/kg
10/09/2023
<22.7 mg/kg
10/09/2023
1620 mg/kg
10/09/2023
<22.7 mg/kg
10/09/2023
3750 mg/kg
10/09/2023
1180 mg/kg
10/09/2023
89.3 mg/kg
09/27/2023
3.07 %
09/26/2023
2580 mg/kg
09/26/2023
61500 mg/kg
09/26/2023
10300 mg/kg
09/29/2023
7.36 units
10/09/2023
<0.651 mg/kg 10/11/2023
Report V 2023.22072 Page 1 of 3

Environmental Chemists, Inc.
envirochem 6602 Windmill Way, Wilmington, NC 28405 . 910.392.0223 Lab . 910.392.4424 Fax
® 710 Bowsertown Road, Manteo, NC 27954 . 252.473.5702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 . 910.347.5843 Lab/Fax
ANALYTICAL & CONSULTING CHEMISTS [e-mail]
Lewis Farms & Liquid Waste, INC. Date of Report: Oct 24, 2023
8155 Malpass Corner Road Customer PO #:
Currie NC 28435 Customer ID: 14020008
Attention: Report #: 2023-22072
Project ID: AquaNC-The Cape Sludge
Lab ID Sample ID: Collect Date/Time Matrix Sampled by
23-53775 Site: 1 9/22/2023 10:30 AM Solid/Sludge Christian McDonald
Test Method Results Date Analyzed
Total Solids (%) SM 2540 e
Fecal Density SM 9221C E-201
Lab ID Sample ID:
23-53778 Site:2
Test
Total Solids (%
Fecal Density
Lab ID Sample ID:
23-53779 Site:3
Test
Total Solids (%
Fecal Density
Lab ID Sample ID:
23-53780 Site:4
Test
Total Solids (%
Fecal Density
Lab ID Sample ID:
23-53781 Site:5
Test
Total Solids (%)
Fecal Density
Method
2.96 % 09/26/2023
4 182433 MPN/g 09/22/2023
Collect Date/Time Matrix Sampled by
9/22/2023 10:30 AM Solid/Sludge Christian McDonald
Results Date Analyzed
SM 2540 s 3.38 % 09/26/2023
SM 9221 C E-2014 473373 M PN/g 09/22/2023
Collect Date/Time Matrix Sampled by
9/22/2023 10:30 AM Solid/Sludge Christian McDonald
Method Results Date Analyzed
SM 2540 s 3.17 % 09/26/2023
SM 9221C E-2014 >504732 MPN/g 09/22/2023
Collect Date/Time Matrix Sampled by
9/22/2023 10:30 AM Solid/Sludge Christian McDonald
Method Results Date Analyzed
SM 2540 6 3.13 % 09/26/2023
SM 9221C E-2014 >611183MPN/ 09/22/2023
Method
9
Collect Date/Time Matrix Sampled by
9/22/2023 10:30 AM Solid/Sludge Christian McDonald
Results Date Analyzed
SM 2540 B
SM 9221C E-2014
3.07 % 09/26/2023
521173MPN/g 09/22/2023
Report #:_ 2023-22072 Page 2 of 3

Fop,,* --174q%
ANALYTICAL $ CONSULTING CHEMISTS
Lewis Farms 8, Liquid Waste, INC.
8155 Malpass Corner Road
Currie NC 28435
Attention:
Lab ID
Sample ID:
23-53782
Site:6
Test
Total Solids (%)
Fecal Density
Lab ID
Sample ID:
23-53783
Site:7
Test
Environmental Chemists, Inc.
6602 Windmill Way, Wilmington, NC 28405 . 910.392.0223 Lab . 910.392.4424 Fax
710 Bowsertown Road, Manteo, NC 27954 . 252.473.3702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 . 910.347.5843 Lab/Fax
[e-mail]
Date of Report: Oct 24, 2023
Customer PO #:
Customer ID: 14020008
Report #: 2023-22072
Project ID: AquaNC-The Cape Sludge
Collect Date/Time Matrix Sampled by
9/22/2023 10:30 AM Solid/Sludge Christian McDonald
Method
SM 2540 B
SM 9221C E-2014
Method
Collect Date/Time
9/22/2023 10:30 AM
Results Date Analyzed
3.15 % 09/26/2023
>507937 MPN/g 09/22/2023
Matrix Sampled by
Solid/Sludge Christian McDonald
Results
Total Solids (%) SM 2540 B 3.21
Fecal Density SM 9221C E-2014 498443 MPN/g
Comment: Results, except pH, reported on a dry weight basis. pH reported on an as received basis.
Reviewed by: --
Date Analyzed
09/26/2023
09/22/2023
Report #: 2023.22072 Page 3 of 3

... 4 vir.tuM111
Wilmington, NC 21
910.392A
Sample Receipt Checklist
Ghent- U_�Ls &LK—s �- Date: C7FG6 Report Number:� !�
lC3'NIA. 11. i here custody seals present On the cooler?
7-1 tES ❑ FAO Er NIA 2. If custody seals were present, were they intact/unbroken?
:Original temperature upon receipt 'C Corrected temperature upon receipt _
tern per2'Lur- to%on: ❑ Teri }erato,-E 2{:1r.. Against Bottles
;:r G:.r! ID. Thomas Traceable S/N 210886869 I? Gzn Correction factor `C: 0.0
LK
n P:0
13.
1> t_rverature of coo: -Ur exceeded 6-C, was Project Mgr./QA notified?
CX Y=S
❑ NO
4.
Were proper custody proccuures (relinquished/received) followed? -
YES
❑ NO
5.
Were sample ID's listed on the COC?
YES
❑ NO
6.
Were samples ID's listed on sample containers?
YES
❑ NO
7.
Were collection date and time listed on the COC?
ji YES
❑ NO
8.
Were tests to be performed listed on the COC?
JJg YES
❑ NO
1 9.
Did samples arrive in proper containers for each test?
j YES
❑ NO
110.
Did samples arrive in good condition for each test?
YES
❑ NO
111,
Was adequate sample volume available?'
YES
❑ NO
112.
Were samples received Mthin proper holding time for requested tests?
❑ YES
❑ NO
113. Were acid preserved samples received at a pH of <2?
O YES
❑ NO
114,
Were cyanide samples received at a pH >12?
❑ YES
❑ NO
1S.
Were sulfide samples received at a pH >9?
❑ `�%:S
io YES
❑ NO
116.
Were NH3/TKN, PI'enoi r _ei:ed at a chlorine residual of <-..S n./G?
❑ NO
17.
Were Sulfide/Cyanide received at a chlorine residual of <0.5 m/L?
10 YES
❑ NO
118.
Were orthophosphate samples filtered in the field within 15 minutes?
TOC 4'o!.3tiles are pH checked at time of analysis and recorded on the benchsheet.
s� Fl�C�Pf 3 53,rpI?; af� CF=C%ed for Chloftn� at t"ile CT a'1��'ji'i c'^: (eC�ro� 9 1 ine b? 1Cni'le�t.
Sample Preservation:
Sample(s)
by adding (circle one)-
Time of preservation:
(Must be completed for any sample(s) incorrectly preserved or with headspace)
were received incorrectly preserved and were adjusted accordingly
HZSO; HNO; HCI NaOH
If more than one preservative is needed, notate in comments below
`y : ~^-+e se -;Ice ; -..ed a.et f.:, incc•re._t j press-r�>j sa^:p'es Obta', a nap. s2mp!e c,
the ;:a:;! iab K directed to analyzed b-, the c s:ome-. Who was !-o : ie-. date ar.i t?ne:
"olatiles Samplq's)
v,ere received with headspace
COMMENTS:
DOC. QA.002 Rev 1

(E2� Ifi
Analytical & Consufling Chemists
ENVIRONMENTAL CHEMISTS, INC
NCDENR: DWQ CERTIFICATION # 94 NCDHHS: DLS CERTIFICATION # 37729
COLLECTION AND CHAIN OF CUSTODY
6602 Windmill Way Wilmington, NC 28405
OFFICE: 910-392-0223 FAX [phone]
[e-mail]
Client: Lewis Farms & Liquid Waste
PROJECT NAME: f1gae. _ t
REPORT NO: 2 3
ADDRESS:
CONTACT NAME: Wesley Wooten
PO NO:
REPORT TO: Martin Mabe/Mahe-Wilcox
PHONEIFAX:
COPY TO:
email:
Sampled Bv: SAMPLE TYPE: I = Influent, E = Effluent, W = Well, ST = Stream, SO = Soil, SL = Sludge, Other:
Sample Identification
Collection
= m
A
(D
m c
E c
_
et,
3 o
V
m
��
t E
U
W
m g
Z
PRESERVATION
ANALYSIS REQUESTED
Date
Time
Temp
z
i
=
y
_
$
=
c
Z
o_
W
p
Sludge
Si
C
Ca
"
X
Full LP, R I, Nutrients/Metals
r! -ZZ-ZJ
to i�q
G
1
S�tg
C
i
X
Fecal Densi /%TS
-ZZ-v
°
G
2
C
P
��jT1�
X
Fecal Densi /%TS
5'-Z Z-23
(G)
G
3
S�
C
®
_
X
Fecal Density/%TS
G)
I G
4
f�'
C
X
Fecal Density/%TS
5 -ZZ-�J
l o3u
T
G
5
5�
C
)
53�et
X
Fecal Density/%TS
9-22 -Z3
1070 ,-,
G
6
C
����
X
Fecal Density/%TS
G
7
fL
C
P
5�7v
X
I
Fecal Density/%TS
5-2Z-Z3
o3z
G
G
• i
Transfer
Relinquished By:
DaterTime
Received By:
Datefrime
1.
2.
,
Temperature when Received:_ -L, Accepted: ✓ I
Delivered By: (ILICSPI.• � Q Received By
Comments:
1
Resample Requested:
Q -Q Date�Git 2212-3 _Time•_ o
T—
TURNAROUND:

LEWIS FARMS AND LIQUID WASTE, INC.
WQ0000455
The Cape W WTP
at€ 'eat
ColEozzi
er
i....L.....:.:.:......
11/03/23
54,041
4.7327
11/03/23
23,733
4.3754
11/03/23
27,552
4.4402
11/03/23
26,601
4.4249
11/03/23
72,399
4.8597
11/03/23
78,818
4.8966
11/03/23
80,403
4.9053
Total 1 32.6348
Average 4.67627171
Geometric Mean:593 s Fecal Coliform MPN / gram
Geometric Mean of Less than 2,000,000 meets Class B - Alternative 1 Pathogen Reduction
requirement.

enviroe FM
ANALYTICAL & CONSULTING CHEMISTS
Environmental Chemists, Inc.
6602 Windmill Way, Wilmington, NC 28405 • 910.392.0223 Lab - 910.392.4424 Fax
710 Bowsertown Road, Manteo, NC 27954 - 252.473.5702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 - 910.347.5943 Lab/Fax
infoog environmentalchemists.com
Aqua America of North Carolina
Date of Report: Nov 09, 2023
251 Merchants Circle Bldg 24-1
Customer PO #:
Hampstead NC 28443
Customer ID: 08110027
Attention:
Report #: 2023-25598
Project ID: The Cape - Fecal Density
Lab ID Sample ID:
Collect DatelTime Matrix Sampled by
23-62018 Site: 1
11/3/2023 11:32 AM Solid/Sludge CM/JF
Test
Method
Results Date Analyzed
Total Solids (%)
SM 2540 B
1.98 % 11/06/2023
Fecal Density
SM 9221C E-2014
54041 MPN/g 11/03/2023
Lab ID Sample ID:
Collect Date/Time Matrix Sampled by
23-62019 Site: 2
11/3/2023 11:33 AM Solid/Sludge CM/JF
Test
Method
Results Date Analyzed
Total Solids (%)
SM 2540 a
2.02 % 11/06/2023
Fecal Density
SM 9221C E-2014
26733 MPN/g 11/03/2023
Lab ID Sample ID:
Collect Date/Time Matrix Sampled by
23-62020 Site: 3
11/3/2023 11:34 AM Solid/Sludge CM1JF
Test
Method
Results Date Analyzed
Total Solids (%)
SM 2540 B
1.96 % 11/06/2023
Fecal Density
SM 9221C E-2014
27552 MPN/g 11/03/2023
Lab ID Sample ID:
Collect DatelTime Matrix Sampled by
23-62021 Site: 4
11/3/2023 11:35 AM Solid/Sludge CM/JF
Test
Method
Results Date Analyzed
Total Solids (%)
SM 2540 9
2.03 % 11/06/2023
Fecal Density
SM 9221C E-2014
26601 MPN/g 11/03/2023
Lab ID Sample ID: Collect Daterl ime Matrix
23-62022 Site: 5 11/3/2023 11:36 AM Solid/Sludge
Test Method Results
Total Solids (%)
Fecal Density
SM 2540 B
SM 9221C E-2014
Sampled by
CM/JF
Date Analyzed
2.21 % 11/06/2023
72399 MPN/g 11/03/2023
Report a:: 2023-25598 Pagel of 2

ANALYTICAL S CONSULTING CHEMISTS
Aqua America of North Carolina
251 Merchants Circle Bldg 24-1
Hampstead NC 28443
Attention:
Environmental Chemists, Inc.
6602 Windmill Way, Wilmington, NC 28405 . 910.392.0223 Lab . 910.392.4424 Fax
710 Bowsertown Road, Manteo, NC 27954 . 252.473.5702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347,5843 Lab/Fax
[e-mail]
Date of Report: Nov 09, 2023
Customer PO #:
Customer ID: 08110027
Report #: 2023-25598
Project ID: The Cape - Fecal Density
Lab ID Sample ID: Collect Date/Time Matrix Sampled by
23-62023 Site: 6 11/3/2023 11:37 AM Solid/Sludge CM/JF
Test Method Results Date Analyzed
Total Solids (%) SM 2540 a 2.03 % 11/06/2023
Fecal Density SM 9221C E-2014 78818 MPN/g 11/03/2023
Lab ID Sample ID: Collect Daterrime Matrix Sampled by
23.82024 Site: 7 11/3/2023 11:38 AM Solid/Sludge CMIJF
Test Method Results Date Analyzed
Total Solids (%) SM 2540 B 1.99 % 11/06/2023
Fecal Density SM 9221C E-2014 80403 MPN/g 11/03/2023
Comment: Results reported on a dry weight basis
Reviewed by:
Report #:: 2023.25598 Page 2 of 2

Environmental Chemist, Inc., Wilmington, NC Lab #94 6602 Windmill Way
Wilmington, NC 28405
910.392.0223
Sample Receipt Checklist
Client: Date:. ( ( ReportNumber:_2
Receipt of sample: Echem Pick up ❑ Client Delivery ❑ UPS ❑ FeclEx ❑ Other ❑
❑ YES
❑ NO
❑ N/A
11. Were custody seats present on the cooler?
❑ YES 10
NO
10 N/Al
12. If custody seals were present, were they intact/unbroken?
Original temperature upon receipt °C Corrected temperature upon receipt °C
How temperature taken: ❑ Temperature Blank ❑ Against Bottles
IR Gun ID:
Thomas Traceable S/N 192511657 IR Gun Correction Factor "C: 0.0
❑ YES
❑ NO
3. If temperature of cooler exceeded 6'C, was Project Mgr./QA notified?
YES
❑ NO
4. Were proper custody procedures (relinquished/received) followed?
YES
❑ NO
5. Were sample ID's listed on the COC?
�j YES
❑ NO
6. Were samples ID's listed on sample containers?
YES
❑ NO
7. Were collection date and time listed on the COU
YES
❑ NO
8. Were tests to be performed listed on the COC?
YES
❑ NO
9. Did samples arrive in proper containers for each test?
YES
❑ NO
10. Did samples arrive in good condition for each test?
l6 YES
❑ NO
11. Was adequate sample volume available?'
Ig YES
❑ NO
12. Were samples received within proper holding time for requested tests?
❑ YES
❑ NO
13. Were acid preserved samples received at a pH of <2?
❑ YES
❑ NO
14. Were cyanide samples received at a pH >12?
❑ YES
❑ NO
15. Were sulfide samples received at a pH >9?
❑ YES
❑ NO
16. Were NH3/TKN/Phenol received at a chlorine residual of<0.5 m/L? **
❑ YES
❑ NO
17. Were Sulfide/Cyanide received at a chlorine residual of <0.5 m/L?
❑ YES
❑ NO
18. Were orthophosphate samples filtered in field within 15 minutes?
" TOC/Volatiles are pH checked at time of analysis and recorded on the benchsheet.
** Bacteria samples are checked for Chlorine at time of analysis and recorded on the benchsheet.
Sample Preservation (Must be completed for any sample(s) incorrectly preserved or with headspace)
Sample(s) were received incorrectly preserved and were adjusted accordingly
by adding (circle one). H2SO4 HNO3 HC NaOH
Time of preservation: _ If more than one preservative is needed, notate in comments below
Note: Notify customer service immediately for incorrectly preserved samples. Obtain a new sample or
notify the state lab if directed to analyzed by the customer. Who was notified, date and time:
Volatiles Sample(s) were received with headspace
COMMENTS:
DOC.QA.002 Rev 1

284D
ENVIRONMENTAL CHEMISTS, IN C OFFI E: 910 t392-02 3'IFAX 910 -392-4424 5
Analytical 8 Consulting Chemises
NCDENR: DWQ CERTIFICATION # 94 NCDHHS: DLS CERTIFICATION # 37729 [e-mail]
COLLECTION AND CHAIN OF CUSTODY
Client: ((�_
PROJECT NAME:
REPORT NO: Z ` Z� D
ADDRESS:
SITE:
PO NO:
REPORT TO:
PHONE/FAX:
COPY TO:
email:
Sampled By: Yam^ G� 5�- SAMPLE TYPE: I = Influent, E = Effluent, W = Well, ST = Stream, SO = Soil, SL = Sludge, Other:
Sample Identification
Collection
a
LU
o O
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Delivered By: Received 6y: 0—t , Date:— 1 \ 30 Z Time:_
Comments: TURNAROUND:

ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (02T Rules)
Facility Name: Lewis Farms & Liquid Waste, Inc. WQ Permit Number: WQ0000455
WWTP Name: The Cape NPDES Number: NCO057703
Monitoring Period: From 1L1L2023 To 1 L i /7(123
Pathogen Reduction (15A NCAC 02T .1106) - Please indicate level achieved and alternative performed:
Class A:
Alt. A (time/temp) ❑ 1 Alt B (AlkTreatment) ❑ I Alt. C (Prior Testing) ❑
Alt.D (No Prior Test) ❑ Process to Further Reduce Pathogengs ❑
If applicable to alternative performed (Class A only) indicate "Process to Further Reduce Pathogens":
Compost ❑
Heat Drying ❑
Heat Treatment ❑
Thennophilic El
Beta Ray ❑
Gamma Ray ❑
Pasteurization ❑
Class B: Alt. (1) Fecal Density El I Alt. (2) Process to Simlifcantly Reduce Pathogens ❑
If applicable to alternative performed (Class B only) indicate "Process to Significantly Reduce Pathogens":
Lime Stabilization ❑ Air Drying ❑ Composting ❑ Aerobic Digestion ❑
e t' Ana robsc Digestion ton
g
If applicable to alternative performed (Class A or Class B) complete the
following monitoring data:
Parameter
Allowable Level
in Sludge
Pathogen Density
g y
Number ot
Excee-
Arne ..,;
Frequency
of Analysis
Sample
Type
AnaiyncaT
Tech -
ninnt!
Minimum
Geo. Mean
Maximurr.
Units
Fecal Coliform
2 x 10 to the
6th power
per gram of
total solids
MPN
23,733
45,931
80,403
MPN/g
0
Annual
Grab
SM92210E
CFU
1000 mpn per gram
oftotal solid (dry
weight)
Salmonella bacteria
(in lieu of fecal
coliform)
3 MPN per 4 grams
total solid (dry
I weight)
Vector Attraction Reduction (15A NCAC 02T .1107) - Please indicate alternative performed:
Alt.1 (VS reduction)
❑
Alt. 2 (40-day bench) ❑
Alt. 3 (30-day bench) ❑
lAlt. 4 (Spec. O, uptake)
❑
Alt. 5 (14-Day Aerobic)
❑
Alt. 6 (Alk. Stabilization ❑
Alt 7 (Drying - Stable) ❑ I Alt. 8 (Drying - Unstable)
❑
Alt. 9 (Injection)
1]
Alt. 10 (Incorporation) C]
No vector attraction reduction alternatives were performed
❑
CERTIFICATION STATEMENT (please check the appropriate statement)
>] "I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the
vector attraction reduction requirement in 15A NCAC 02T .1107 have been met."
❑ "I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the
vector attraction reduction requirement in 15A NCAC 02T .1107 have not been met." (Please note if
you check this statement attach an explanation why you have not met one or both of the
requirements.)
"This determination has been made under my direction and supervision in accordance with the system
designed to ensure that qualified personnel properly gather and evaluate the information used to determine
that the pathogen and vector attraction reduction requirements have been met. I am aware that there are
significant penalties for false certification including fine and imprisonment."
Christian McDonald, ORC
Wesley Wooten - President
Preparer Name and Title (type or ri t) Land Applier Name and Title (if applicable)(type or print)
PAA IL- L M - -2121/24 ,� 12/11/23
Si ature of Preparer* Date Signature of Land;Applier (if applicable) Date
*Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26)
DENR FORM PVRF 02T (1212006)

LEWIS FARMS
LAND APPLICATION PROGRAM
RESIDUALS ANALYSIS
Residual Type: Wastewater Treatment Plant
Date Sampled: February 9, 2023
Trenton Permit No. WQ0000455
3.54 % Solids
11 RI; nH ltakrn frnm Limp Rtah_1
Parameter
I-
%
Mg/Kg Dry Weight
(% x 10,000)
Pounds/Dry Ton
(Me[Kg x 0.002)
Nitrogen (TKN)
1.039
10,390.000
20.780
Phosphorus
0.757
7,572.000
15.144
Potassium
0.054
540.000
1.080
IPAN (injected)*
0.338
3,383.140
6.766
IPAN (surface)*
0.324
3,239.390
6.479
Ammonia Nitrogen
0.029
287.500
0.575
Calcium
36.818
368,176.000
736.352
Calcium Carbonate Eq.
---
---
Magnesium
---
3,326.000
6.652
Sodium
---
1,250.000
2.500
IlSulfur
---
--- I
---
IlNitrate N / Nitrite N
---
64.890
0.130
IlBarium
---
---
Chloride
---
---
---
Iron
---
---
---
Aluminum
---
9,550.00
19.100 II
Arsenic
---
2.50
0.005 1
IlCadmium
---
0.50
1 0.001 11
11Chromium
---
I--- 11
Kopper
I ---
54.00
1 0.10811
11 Lead
---
5.80
I 0.01211
Mercury
---
0.04
1 0-00011
Molybdenum
---
5.00
I 0.01011
JNickel
---
5.00
I 0.010 I1
11Selenium
---
5.00
I 0.010 11
Zinc
-
210.00
0.420
11
Environment 1, Inc. 1t 268 B
'Determination of Plant Available Nitrogen (PAN):
Injected Application:
(Mineralization Rate)(TKN-Ammonia N) + Ammonia N + Nitrate N + Nitrite N = % PAN
SAR
0.11
Ceiling Concen.
Surface Application:
(Mineralization Rate)(TKN-Ammonia N) + (0.5)(Ammonia N) + Nitrate N + Nitrite N = % PAN
Note: Constituents N.D. (Not Detected) or < detection limits are listed as detection limits
for calculation purposes.
75
85
4,300
840
57
75
420
100
7.500

Enwuhimu(M % lumpum3d
114 OAKMONT DRIVE
GREENVILLE, N.C. 27858
TOWN OF TRENTON WWTP
ATTN: TONY HAWKINS
HAWKINS WASTEWATER
202 HWY. 41 W.
TRENTON, NC 28585
Digester
Analysis
Method
PARAMETERS
Date
Analyst
Code
Aluminum, (dry wt. basis), mg/kg
9550
02/15/23
MTM
EPA200.7
Arsenic (dry wt. basis), mg/kg
<2.5
02/16/23
DRC
3113B-04
Calcium (dry wt. basis), mg/kg
368176
02/15/23
MTM
EPA200.7
Cadmium (dry wt. basis), mg/kg
<0.5
02/16/23
DRC
3113B-04
Copper (dry wt. basis), mg/kg
54
02/15/23
MTM
EPA200.7
Lead (dry weight basis), mg/kg
5.8
02/16/23
DRC
3113B-04
Magnesium (dry wt. basis), mg/kg
3326
02/15/23
MTM
EPA200.7
Mercury (dry wt. basis), mg/kg
0.04
02/23/23
DRC
EPA7471B
Nickel (dry wt. basis), mg/kg
<5.0
02/15/23
MTM
EPA200.7
Potassium (dry wt, basis), mg/kg
540
02/15/23
MTM
EPA200.7
Selenium (dry wt. basis), mg/kg
<5.0
02/17/23
DRC
3113B-04
Sodium (dry wt. basis), mg/kg
<1250
02/15/23
MTM
EPA200.7
Zinc (dry wt. basis), mg/kg
210
02/15/23
MTM
EPA200.7
Sodium Adsorption Ratio (calc)
<0.6
Total Solids, %
3.54
02/09/23
JMS
2540G-15
TKN (dry wt.), mg/kg
c 10390
02/14/23
BMD
351.2 112-93
Ammonia Nitrogen (dry wt.),mg/kg
c 287.5
02/15/23
TRJ
350.1 112-93
Phosphorus, T. (dry wt.), mg/kg
c 7572
02/14/23
TRJ
365.4-74
Nitrate+Nitrite (dry wt.), mg/kg
c 64.89
02/14/23
BMD
353.2 112-93
Plant Available Nitrogen, mg/kg
3383
02/17/23
BMD
Molybdenum (dry wt. basis), mg/kg
<5.0
02/15/23
MTM
EPA200.7
Drinking Water ID: 37715
Wastewater IDi 10
PHONE [phone]
FAX [phone]
ID#: 268 B
DATE COLLECTED: 02/09/23
DATE REPORTED : 02/24/23
REVIEWED BY:
SAR reported as '<- due to Sodium result below reporting limit. The SAR result is calculated
using the reporting limit.
c Uncertified data. DWR does not offer non-aqueoue certification for this analytical procedure.

Environment 1, Inc. CHAIN OF CUSTODY RECORD
P.O. Box 7085, 114 Oakmont Dr. Page 1 of
Greenville- NC '17959
ell vironifant I inelcom
DISINFECTION
CHLORINENEUTRALIZEDATCOLLECTION
Phone (252) 751i-G308 • Fax (''S2) 75G-Ori33
CHLORINE
—
CLIENT: 268 B Week: 12
pH CHECK (LAB)
Ij L! V
P
P
P
P
P
P
CONTAINERTYPE, P/G
TOWN OF TRENTON WWTP
NONE
ATTN: TONY HAWKINS
CHEMICAL PRESERVATION
HAWKINS WASTEWATER
//
Z02HWY. 41 W.
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CLASSIFICATION:
WASTEWATER(NPDES)
DRINKINGWATER
DWR/GW
SOLID WASTE SECTION
CHAIN OF CUSTODY (SEAL) MAINTAINED
DURING SHIPMENT/DELIVERY
J N
SAMPLES COLLECTED BY:
(Please Print)
TTISAMPLES
RECEIVED IN LAB AT IC
RELIN UISHED BY (SI •) (S APLER)
DATEIT1ME
RECEIVED BY (SIG
DATETIME
COMMENTS:
Z/V w-
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DATEMME
DATErnME
RELINQUISHED BY (SIG.)
RECEIVED BY (SIG.)
I
RELINQUISHED BY (SIG,)
DATE/TIME
RECEIVED BY (SIG.)
DATE/TIME
[PLEASE BEAD Instructions for completing this form on the reverse side. Sampler must place a "C" for composite sample or a "T for
FORM M5 Grab sample in the blocks above for each parameter requested. IV--
o
411940

LEWIS FARMS AND LIQUID WASTE, INC.
WQ 0000455 ALKALINE STABILIZATION OF WASTEWATER BIOSOLIDS
Facility Name: Trenton P.O.#
Batch Size (gallons): L( Q4 O D Q Lbs, or Gallons Used: Material Used For Stabilization: Lime
" Initial pH
>12 pH
2 Hour pH
24
Hour pH
Operato
Date
pH
Temp, C
Cott'.
Factor+pH
Time
pH
Temp.0
Corr.
Factor+
Corrected
pH
Time
pH
Temp C
Corr.
Factor+
Corrected
pH
Time
pH
Temp C
COM
Factor+
Corrected
H
Time
Initials
�
16
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TOWN OF TRENTON
NC0021342
Trenton W WTP
02/23/23
6.8
0.8325
02/23/23
3.0
0.4771
02/23/23
1 2.7
1 0.4314
02/23/23
7.0
0.8451
02/23/23
2.5
0.3979
02/23/23
2.7
0.4314
02/23/23
3.0
0.4771
Total 1 3.8925
Average 1 0.5561
Geometric Mean �� F €; i; �l Fecal Coliform MPN / gram
Geometric Mean of Less than 2,000,000 meets Class B - Alternative 1 Pathogen Reduction
requirement.

L��doQo��c��� alp ��c�oQpoQa�c�d
114 OAKMONT DRIVE
GREENVILLE, N.C. 27858
TOWN OF TRENTON WWTP
ATTN: TONY HAWKINS
HAWKINS WASTEWATER
202 HWY, 41 W.
TRENTON, NC 28585
Drinking Water ID: 37715
Wastewater ID: 10
PHONE [phone]
FAX [phone]
ID#: 268 C
DATE COLLECTED: 02/23/23
DATE REPORTED : 03/01/23
REVIEWED BY:
Sample Sample Sample Sample Sample Analysis ik4ethod
PARAMETERS #1 H2 N3 N4 N5 Date Analvst Code
Total Solids, % 6.59 6.68 6.75 6.45 7.10 02/23/23 BNC 254OG-15
Fecal Coliform (MPN), /gram Solids 6.8 3.0 <2.7 7.0 <2.5 02/23/23 HNIV 9221E-14

ERwo (ORE(W % 0000QPmUd
114 OAKMONT DRIVE
GREENVILLE, N.C. 27858
TOWN OF TRENTON WWTP
ATTN: TONY HAWKINS
HAWKINS WASTEWATER
202 HWY. 41 W.
TRENTON, NC 28585
DrinkiAg Water ID: 37715
Wastewater ID: 10
PHONE [phone]
FAX [phone]
ID#: 268 C
DATE COLLECTED: 02/23/23
DATE REPORTED : 03/01/23
REVIEWED BY:
Sample Sample Analysis A4ethod
PARAAVIETERS N6 #7 Date Analyst Code
Total Solids, % 6.57 6.45 02/23/23 BNC 2540G-15
Fecal Coliform (MPN), /gram Solids <2.7 <3.0 02/23/23 H11-IV 9221E-14

h:nvit-nnme-11 i, 111C. CHAIN OF CUSTODY RECORD
P.O. Box 7085, 114 Oakmont Dr. Pa-c 1 of
Grecilville. NC 278i5
environment 1 inC.Ccun
DISINFECTION
CHLORINE NEUTRALIZED AT COLLECTION
Phone (252) 7�6-6208 • Fax [phone] it
—
C'IILOIZINI:
Ij
--
PH CHECK ( LAB)
CLIENT: 268 C Week: 15
�j
Ij (jV
q
—
—
CONTAINER TYPE,P/G
TOWN OF TRENTON WWTP
NONI:
ATTN: TONY HAWKINS
LJ
AA
CHEMICAL PRESERVATION
HAWKINS WASTEWATER
202 HWY. 41 W.
TRENTON NC 28585
o,o
A - NONE D -NAOH
[phone]
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co
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COLLECTION
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SAMPLE LOCATION
DATE
TIME
Sample##
2-i3'Z3
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CLASSIFICATION:
Sam le N2
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2- 3 - 3
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WASTEWATER (NPDES)
❑ DRINKINGWATER
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Sample #4
2-11-2 3
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Sample N5
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2.-13.23
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2-13-23
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CHAIN OF CUSTODY (SEAL) MAINTAINED
—
DURING $1:�ME NT/DELIVERY
SAMPLES COLLECTTIED BY:
—
(,Please Prinl)
SAMPLES RECEIVED IN LAB AT �'C
RE QUISHED BY SIG.) (S PLER)
� �
DATE/TIME
RECEIVED BY (SI-.)
'j� ATEJIME
COMMENTS:
l G
RELINQUISHED BY (SIG.)
DATE/TIME
REtEIVED BY (SIG.)
DATE/TIME
RELINQUISHED BY (SIG.)
DATE/TIME
RECEIVED BY (SIG)
DATElTIME
Sampler must place a " C" for composite sample or a "G for
PLEASE READ Instructions for completing this form on the reverse side.
FORM a5 Grab sample in the blocks above for each parameter requested. No 411733

ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (02T Rules)
Facility Name:
WWTP Name:
Monitoring Period
_Lewis Farms & Liquid Waste, Inc. WQ Permit Number:
Trenton NPDES Number:
From 1/l/2023 To 12/31/2023
WQ0000455
Pathogen Reduction (15A NCAC 02T .l 106) - Please indicate level achieved and alternative performed:
Class A: Alt. A (time/temp) ❑ 1 Alt B (Alk Treatment) ❑ I Alt. C (Prior Testing) ❑
Alt_D (No Prior Test) ❑ I Process to Further Reduce Pathogengs ❑
if applicable to alternative performed (Class A only) indicate "Process to Further Reduce Pathogens":
Compost ❑
Heat Drying ❑
Heat Treatment ❑
Thertnophilic ❑
Beta Ray 01
Gamnia Ray ❑
Pasteurization ❑
Class B:
Alt. (1) Fecal Density p Alt. (2) Process to Significantly Reduce Pathogens ❑
If applicable to alternative performed (Class B only) indicate "Process to Significantly Reduce Pathogens":
Lime Stabilization p Air Drying ❑ Composting ❑ Aerobic Digestion ❑
Anaerobic Digestion ❑
If applicable to alternative performed (Class A or Class B) complete the
following monitoring data:
Parameter
Allowable Level
in Sludge
Pathogen Density
g y
6nimiun
t umueror
Excee-
,,
Frequency
of Analysis
SampleTech-
Tenresype
Ana yT tEaI
ioue
Geo. MeanMaxitnur
Units
Fecal Coliform
2x10tothe
6th power
per gram of
total solids
lMPNI
FcFu
1000 mpn per gram
of total solid (dry
Weight)
'
Salmonella bacteria
(in lieu of fecal
colifonn)
3 MPN per 4 grams
total solid (dry
weight)
Vector Attraction Reduction HSA NCAC
kYT . 11071 - Please indicate alternative performed:
Alt.l (VS reduction)
❑
Alt. 2 (40-day bench) ❑
I Alt. 3 (30-day bench) ❑ Alt. 4 (Spec. OZ uptake)
❑
JAR. 5 (14-Day Aerobic)
❑
Alt. 6 (Alk. Stabilization O
Alt 7 (Drying - Stable) ❑ Alt. 8 (Drying - Unstable)
❑
[Alt. 9 (injection)
❑
Wt. 10 (Incoiporation) ❑
No vector attraction reduction alternatives were performed
❑
CERTIFICATION STATEMENT (please check the appropriate statement)
O "I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the
vector attraction reduction requirement in 15A NCAC 02T .1107 have been met."
❑ "I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the
vector attraction reduction requirement in 15A NCAC 02T .1107 have not been met." (Please note if
you check this statement attach an explanation why you have not met one or both of the
requirements.)
"This determination has been made under my direction and supervision in accordance with the system
designed to ensure that qualified personnel properly gather and evaluate the information used to determine
that the pathogen and vector attraction reduction requirements have been met. I am aware that there are
significant penalties for false certification including fine and imprisonment."
Tonv Hawkins, ORC
Preparer Name and Tit 6 (type r print) Land Applier Name and Title (if applicable)(type or print)
o, s 2-21-23
ignaturc of Preparer* Date Signature of Land Applier (if applicable) Date
*Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26)
DENR FORM PVRF 02T (12/2006)

LEWIS FARMS
LAND APPLICATION PROGRAM
RESIDUALS ANALYSIS
Residual Type: Wastewater Treatment Plant
Date Sampled: October 24, 2023
Pluris - Webb Creek Permit No. WQ0000455
1.58 % Solids
7.44 nH
Parameter
% �Mg/KgDryWeightlPounds/Dry
(% x 10,000) 1
Ton
(Mg/Kg x 0.002)
Nitrogen (TKN)
5.340
1 53,400.000 1
106.800
Phosphorus
3.180
1 31,800.000
1 63.600 11
Potassium
0.363 1
3,630.000 1
7.260
PAN (injected)*
1.864 1
18,639.000 1
37.278
PAN (surface)* 1
1.750
1 17,504.000
1 35.008 11
Ammonia Nitrogen
0.227
1 2,270.000
1 4.540 11
Calcium
1.940
1 19,400.000 1
38.800 11
Calcium Carbonate Eq.
---
---
---11
Ma nesium
---
1,570.000
3.14011
Sodium
---
1 5,780.000
11.560
Sulfur
---
---
I --
Nitrate N / Nitrite N
---
1,030.000
2.060
Barium
---
---
Chloride
---
---
---
Iron
---
---
---
Aluminum
---
15,300.00
30.600
Arsenic
---
1 14.70
0.029
Cadmium
---
14.70
0.029
Chromium
---
23.000
---
Copper
---
146.00
0.292
Lead
---
14.70
0.029
IMcrcury
1.330
0.003 11
Mol bdenum
---
14.70
0.029
Nickel
---
14.70
0.029
Selenium
---
1 14.70
0.02911
(Zinc
---
I 1,990.00
3.98011
Environmental Chemists 2023-24789
*Determination of Plant Available Nitrogen (PAN):
Injected Application:
(Mineralization Rate)(TKN-Ammonia N) + Ammonia N + Nitrate N + Nitrite N = % PAN
SA
1.35
Ceiling Concen.
(Mg/Kg)
75
85
Surface Application:
(Mineralization Rate)(TKN-Ammonia N) + (0.5)(Ammonia N) + Nitrate N + Nitrite N = % PAN
Note: Constituents N.D. (Not Detected) or < detection limits are listed as detection limits
for calculation purposes.
840
57
75
420
100
7.501

LEWIS FARMS
WQ0000455
Pluris Webb Creek WWTP
10/24/23
190,861
5.2807
10/24/23
833,334
5.9208
10/24/23
538,012
5.7308
10/24/23
888,889
5.9488
10/24/23
312,139
5.49143,13
10/24/23
155,845
5.1927
F104443
1 303,798
5.4826
Total 39.0508
Average 1 5.5787 1
Geometric Mean 379 Fecal Coliform MPN / gram
Geometric Mean of Less than 2,000,000 meets Class B - Alternative I Pathogen for Reduction
requirement.

VAN "M
enviroehe m m
ANALYTICAL & CONSULTING CHEMISTS
Environmental Chemists, Inc.
6602 Windmill Way, Wilmington, NC 28405 • 910.392.0223 Lab • 910.392.4424 Fax
710 Bowsertown Road, Manteo, NC 27954 • 252.473.5702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax
[e-mail]
Pluris LLC.
Date of Report: Nov 21, 2023
P. 0. Box 856
Customer PO #:
Sneads Ferry NC 28460
Customer ID: 09110001
Attention:
Report #: 2023-24789
Project ID: Webb Creek Sludge
Lab ID Sample ID:
23-60185 Site: sludge
Collect Date/Time Matrix Sampled by
10/24/2023 8:30 AM Solid/Sludge Client
Test Method Results Date Analyzed
Chlordane (TCLP)
SW-846 8081 B
<0.02 mg/L
10/27/2023
Endrin (TCLP)
SW-846 8081 B
<0.0005 mg/L
10/27/2023
Heptachlor (TCLP)
SW-846 8081 B
<0.0005 mg/L
10/27/2023
Heptachlor epoxide (TCLP)
SW-846 8081 B
<0.0005 mg/L
10/27/2023
Lindane (TCLP)
SW-846 8061 8
<0.0005 mg/L
10/27/2023
Methoxychlor (TCLP)
SW-846 8081 8
<0.0005 mg/L
10/27/2023
Toxaphene (TCLP)
SW-846 8081 B
<0.05 mg/L
10/27/2023
2,4,5-TP (TCLP)
SW-846 8151 A
<0.003 mg/L
10/30/2023
2,4-D (TCLP)
SW-846 8151 A
<0.003 mg/L
10/30/2023
1,4-Dichlorobenzene (TCLP)
SW-846 8270 E
<0.050 mg/L
10/30/2023
2,4,5-Trichlorophenol (TCLP)
SW-846 8270 E
<0.050 mg/L
10/30/2023
2,4,6-Trichlorophenol (TCLP)
SW-8468270 E
<0.050 mg/L
10/30/2023
2,4-Dinitrotoluene (TCLP)
SW-846 8270 E
<0.050 mg/L
10/30/2023
Cresol (TCLP)
SW-846 8270 E
<0.050 mg/L
10/30/2023
Hexachloro-1,3-butadiene (TCLP)
SW-846 8270 E
<0.050 mg/L
10/30/2023
Hexachlorobenzene (TCLP)
SW-846 8270 E
<0.050 mg/L
10/30/2023
Hexachloroethane (TCLP)
SW-846 8270 E
<0.050 mg/L
10/30/2023
m + p-Cresol (TCLP)
SW-846 8270 E
<0.050 mg/L
10/30/2023
Nitrobenzene (TCLP)
SW-846 8270 E
<0.050 mg/L
10/30/2023
o-Cresol (TCLP)
SW-846 8270 E
<0.050 mg/L
10/30/2023
Pentachlorophenol (TCLP)
SW 846 8270 E
<0.250 mg/L
10/30/2023
Pyridine (TCLP)
SW-846 8270 E
<0.050 mg/L
10/30/2023
1,1-Dichloroethylene (TCLP)
SW-846 Method 8260D
< 0.01 mg/L
11/1/2023
1,2-Dichloroethane (TCLP)
SW-846 Method 82600
< 0.01 mg/L
11/1/2023
Benzene (TCLP)
SW-846 Method 82600
< 0.01 mg/L
11/1/2023
Carbon Tetrachloride (TCLP)
SW.846 Method 8260D
_ < 0.01 mg/L
11/1/2023
Report #:: 2023-24789 Page 1 of 4

envirochem
ANALYTICAL & CONSULTING CHEMISTS
Environmental Chemists, Inc.
6602 Windmill Way, Wilmington, NC 28405 • 910,392.0223 Lab • 910.392.4424 Fax
710 Bowsertown Road, Manteo, NC 27954 • 252.473.5702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 • 910,347,5843 Lab/Fax
info(e4cnvironmentalchemists.com
Pluris LLC,
Date of Report: Nov 21, 2023
P. O. Box 856
Customer PO #:
Sneads Ferry NC
28460
Customer ID: 09110001
Attention:
Report #: 2023-24789
Project ID: Webb Creek Sludge
Chlorobenzene (TCLP)
SW-846 Method 82600
< 0.01 mg/L
11/1/2023
Chloroform (TCLP)
SW-846Method 8260D
< 0.01 mg/L
11/1/2023
Methyl ethyl ketone (TCLP)
SW-646 Method 82600
< 0.05 mg/L
11/1/2023
Tetrachloroethylene (TCLP)
SW-846 Method 82600
< 0.01 mg/L
11/1/2023
Trichloroethylene (TCLP)
SW-646Method 82600
< 0.01 mg/L
11/1/2023
Vinyl Chloride (TCLP)
SW-846 Method 8260D
< 0.01 mg/L
11/1/2023
RCI
Cyanide
SM 4500 CN D-2016
1.00 mg/kg
11/06/2023
Sulfide
SM 4500 s 0-2011
8.08 mg/kg
11 /08/2023
Ignitability
sw 846 method 1010
>158 °F
11/08/2023
Sludge Residuals
Aluminum
EPA 200-7, Rev. 4 4, 1994
15300mg/kg
11/01/2023
Arsenic
EPA 200.7, Rev. 4 4, 1994
<14.7 mg/kg
11/01/2023
Cadmium
EPA 200.7, Rev.4 4, 1994
<14.7 mg/kg
11/01/2023
Calcium
EPA 200.7, Rev. 4 4, 1994
19400 mg/kg
11/01/2023
Chromium
EPA 200 7, Rev 4 4, 1994
23.0 mg/kg
11/01/2023
Copper
EPA 200 7, Rev. 4 4, 1994
146 mg/kg
11/01/2023
Lead
EPA 200.7. Rev, 4.4, 1994
<14.7 mg/kg
11/01/2023
Magnesium
EPA 200.7, Rev. 4.4, 1994
1570 mg/kg
11/01/2023
Molybdenum
EPA 200.7, Rev. 4.4, 1994
<14.7 mg/kg
11/01/2023
Nickel
EPA 200.7, Rev. 4.4. 1994
<14.7 mglkg
11/01/2023
Potassium
EPA 200.7, Rev. 4.4, 1994
3630 mg/kg
11/01/2023
Selenium
EPA 200.7, Rev, 4.4, 1994
<14.7 mg/kg
11/01/2023
Sodium
EPA 200.7, Rev. 4.4, 1994
5780 mg/kg
11 /02/2023
Zinc
EPA 200.7, Rev. 4.4. 1994
1990 mg/kg
11/01/2023
Nitrate+Nitrite-Nitrogen
EPA 353.2
1030 mg/kg
10/25/2023
Total Solids (%)
SM25408
1,58%
10/26/2023
Ammonia Nitrogen
SM 4500 NH3 C-2011
2270 mg/kg
10125/2023
Total Kjeldahl Nitrogen (TKN)
SM 4500 Norg B-2011
53400 mg/kg
10/25/2023
Total Phosphorus
SM4500 P (F-H)-2011
— --- 31800 mg/kg
10/31/2023
Report M. 2023-24789
Page 2 or 4

envirochem
�s(u,
ANALYTICAL & CONSULTING CHEMISTS
Environmental Chemists, Inc.
6602 Windmill Way, Wilmington, NC 28405 • 910.392.0223 Lab 0 910.392.4424 Fax
710 Bowsertown Road, Manteo, NC 27954 • 252.473.5702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax
info Cgenvironmentalchemists.com
Pluris LLC.
Date of Report: Nov 21, 2023
P. O. Box 856
Customer PO #:
Sneads Ferry NC 28460
Customer ID: 09110001
Attention:
Report #: 2023-24789
Project ID: Webb Creek Sludge
pH
SW 846 Melhod 90450
Result estimated. Analyzed out
of 15 minutes hold time.
Mercury
SW-846 7471 B
TCLP Metals
Arsenic (TCLP)
EPA 200.7, Rev. 4.4. 1994
Barium (TCLP)
EPA 200.7. Rev. 4.4, 1994
Cadmium (TCLP)
EPA 200.7, Rev. 4.4, 1994
Chromium (TCLP)
EPA 200.7, Rev. 4.4, 1994
Lead (TCLP)
EPA 200.7, Rev 4.4, 1994
Selenium (TCLP)
EPA 200 7, Rev. 4.4. 1994
Silver (TCLP)
EPA 200.7. Rev. 4.4, 1994
Mercury (TCLP)
EPA 245.1
Lab ID Sample ID:
Collect DaterTime
23-60186 Site: 001
10/24/2023 831 AM
Test
Method
Total Solids (%) SM 2540 6
Fecal Density SM 9221C E MPN 24 hr 503
Lab ID Sample ID:
23-60187 Site:002
Test
Total Solids (%
Fecal Density
Lab ID Sample ID:
23-60188 Site:003
Test
Total Solids (%)
Fecal Density
Collect DaterTime
10/24/2023 8:32 AM
Method
SM 2540 6
SM 9221C E MPN 24 hr 503
Collect Date/Time
10/24/2023 8:33 AM
Method
SM 2540 B
SM 9221C E MPN 24 hr 503
7.44 units
<1.33 mg/kg
<1.0 mg/L
<1.0 mg/L
<1.0 mg/L
<1.0 mg/L
<1.0 mg/L
<1.0 mg/L
<1.0 mg/L
<0.0002 mg/L
Matrix Sampled by
Solid/Sludge Client
10/27/2023
11012023
11/02/2023
11/02/2023
11/02/2023
11/02/2023
11/02/2023
11/02/2023
11/02/2023
11/02/2023
Results Date Analyzed
1.86 % 10/26/2023
190861 MPN/g 10/24/2023
Matrix Sampled by
Solid/Sludge Client
Results Date Analyzed
1.92 % 10/26/2023
833334 MPN/g 10/24/2023
Matrix Sampled by
Solid/Sludge Client
Results Date Analyzed
1, 71 % 10/26/2023
538012 MPN/g 10/24/2023
Ropod 0 2023.24789 Page 3 of 4

ANALYTICAL & CONSULTING CHEMISTS
Environmental Chemists, Inc.
6602 Windmill Way, Wilmington, NC 28405 • 910.392.0223 Lab • 910.392.4424 Fax
710 Bowsertown Road, Manteo, NC 27954 • 252.473.5702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax
info `tenvironmentalchemists.com
Pluris LLC. Date of Report: Nov 21, 2023
P. O. Box 856 Customer PO #:
Sneads Ferry NC 28460 Customer ID: 09110001
Attention: Report #: 2023-24789
Project ID: Webb Creek Sludge
Lab ID Sample ID: Collect DatelTime Matrix Sampled by
23-60189 Site: 004 10/24/2023 8:34 AM Solid/Sludge Client
Test Method Results Date Analyzed
Total Solids (%) SM 2540 8 1.80 % 10/26/2023
Fecal Density SM 9221C E MPN 24 hr 503 888889 MPN/g 10/24/2023
Lab ID Sample ID: Collect Date/Time Matrix Sampled by
23-60190 Site: 005 10/24/2023 8:35 AM Solid/Sludge Client
Test Method Results Date Analyzed
Total Solids (%)
Fecal Density
SM 2540 B
SM 9221C E MPN 24 hr 503
1.73 %
312139 MPN/g
10/26/2023
10/24/2023
Lab ID Sample ID:
Collect DatelTime
Matrix Sampled by
23-60191 Site: 006
10/24/2023 8:36 AM
Solid/Sludge Client
Test
Method
Results
Date Analyzed
Total Solids (%)
SM 2540 B
1.54 %
10/26/2023
Fecal Density
SM 9221C E MPN 24 hr 503
155845 MPN/g
10/24/2023
Lab ID Sample ID: Collect DatelTime Matrix Sampled by
23-60192 Site: 007 10/24/2023 8:37 AM Solid/Sludge Client
Test Method Results Date Analyzed
Total Solids (%) SM 2540 B 0,79 % 10/26/2023
Fecal Density SM 9221C E MPN 24 hr 503 303798 MPNIg 10/24/2023
Comment: Sludge residuals, except pH, reported on a dry weight basis. pH reported on an as received basis.
Reviewed by:
Report 9: 2023-24789 Page 4 of 4

Environmental Chemist, Inc., Wilmington, NC lab ##94
Sample Receipt Checklist
6602 Windmill Way
Wilmington, NC 28405
910.392.0223
Client: \� 0D\D CA cLc . Date: _ 2 7-3 Report Number.-_ 2023- a4122—
Receipt of sample: ECHEM Pickup D� Client Delivery ❑
UPS ❑ FeclEx ❑ Other ❑
❑ YES
❑ NO
ED N/A
1. Were custody seals present on the cooler?
❑ YES 10
NO
O N/A 12.
If custody seals were present, were they intact/unbroken?
Original temperature upon receipt C Corrected temperature upon receipt
How temperature taken: ❑ Temperature Blank Z Against Bottles
IR Gun ID: Thomas Traceable S/N 210886869 IR Gun Correction Factor "C: 0.0
YES
10 NO
3. If temperature of cooler exceeded 6°C, was Project Mgr./QA notified?
9 YES
I0 NO
4. Were proper custody procedures (relinquished/received) followed?
9 YES
❑ NO
5. Were sample ID's listed on the COC?
O YES
❑ NO
6. Were samples ID's listed on sample containers?
91 YES
❑ NO
7. Were collection date and time listed on the COC?
O YES
❑ NO
8. Were tests to be performed listed on the COC?
N YES
❑ NO
9. Did samples arrive in proper containers for each test?
9 YES
❑ NO
10. Did samples arrive in good condition for each test?
0 YES
❑ NO
11. Was adequate sample volume available?'
O YES
❑ NO
12. Were samples received within proper holding time for requested tests?
❑ YES
❑ NO
13. Were acid preserved samples received at a pH of <2?
❑ YES
❑ NO
14. Were cyanide samples received at a pH >12?
❑ YES
❑ NO
15. Were sulfide samples received at a pH >9?
❑ YES
❑ NO
16. Were NH3/TKN/Phenol received at a chlorine residual of <0.5 m/L? **
❑ YES
❑ NO
17, Were Sulfide/Cyanide received at a chlorine residual of <0.5 m/L?
❑ YES
❑ NO
18. Were orthophosphate samples filtered in the field within 15 minutes?
* TOC/Volatiles are pH checked at time of analysis and recorded on the benchsheet,
** Bacteria samples are checked for Chlorine at time of analysis and recorded on the benchsheet.
Sample Preservation: (Must be completed for any sample(s) incorrectly preserved or with headspace)
Sample(s) _ _ _ were received incorrectly preserved and were adjusted accordingly
by adding (circle one): HzSO4 HNO3 NCI NaOH
Time of preservation: If more than one preservative is needed, notate in comments below
Note: Notify customer service immediately for incorrectly preserved samples. Obtain a new sample or
notify the state lab if directed to analyzed by the customer. Who was notified, date and time:_
Volatiles Sample(s) were received with headspace
COMMENTS:
DOC. QA.002 Rev 1
,�.•. ::•Y:•y....v «..r r..V.sv:rr.:�..��ra—•.•N.:.�:-�t.�.--_•'.R.*r-•C.-:_-..+s_•.�-t.'.^)r'_.-.^.t�. �.;-.�;`..-�__...._-__

6602
ndm
Way
ngton, NC
ENVIRONMENTAL CHEMISTS, INC OFFICE: 9 0392-02 3'iFAX 910392-44246
Analytical &Consulting Chemists NCDENR: DWQ CERTIFICATION # 94 NCDHHS: DLS CERTIFICATION # 37729 [e-mail]
COLLECTION AND CHAIN OF CUSTODY
Client: dhlr;5-weA1CQ()3J277
PROJECT NAME: P1Nr 'y - L•k t e C re- a.k�
REPORT NO: �- Z�-I 8Lq
ADDRESS: Q _C t.�on f"V- L.,-,n4,
CONTACT''W;//jOtN1 /1�� /
PO NO:
U Ert / C
REPORT TO: . . an F. W5 IU!"%SOa.CO/t^
PHONE/FAX: q 10 - 5y2 - 6�1
COPY TO:
I email: \A/L-A,n 'hP►n�S(�hIV/�/�r
Sampled By: SAMPLE TYPE: 11= Influent, E = Effluent, W = Well, ST = Stream, SO = Soil, SL = Sludge, Other:
Sample Identification
Collection
am
E
v
S `o L°
o
U
®_
Z° o`
c a
" `
? �'
E
"
a
o°,
m E
g z
PRESERVATION
ANALYSIS REQUESTED
Date
Time
Tem
z
0
=
i
$
N
_
o
z
=
zo
a
Z
o
=
~
W
o
Sludge
I7C
P
W� 5
X
Full TCLP, RCI, Nutrients/Metals
G
G
c
l
7C
S
/
C
(P
MO
X
Fecal Densi /%TS
7(;5
G
2s Ud
1 E
z�
I'
j 7C
S
C
X
Fecal Density/%TS
G
/
3'
`c
I/
L
C
P
X
Fecal Density/%TS
G
G
CJ
7
/ / C
5 L-
c
UP
K7Vi
X
Fecal Densi /%TS
G
G
/
5 V
1 7C
S L
C
P
C
ID
X
Fecal Density/%TS
G
I
6 l�C� �
I 7C-
5 L
C
I
U�h f
X
Fecal Density/%TS , ii
rG-P
G
7 S�v���
Z
7C
5L
G�
V
L
X
Fecal Density/%TS
Transfer
1 Relinquished By:
DaWTime
n t �ecelyed By:
Dat ime
1
2
z.
Temperature w- " ea Accepted:_ a ed: Resample Requested:
Delivered By: l ,........... _ Received By� Date: ZA Time:_
Comments:_ ( TURNAROUND:

ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (02T Rules)
Facility Name: Lewis Fartns & Liquid Waste, Inc. WQ Permit Number: WQ0000455
WWTP Name: Pluris - Webb Creek NPDES Number: NCO062642
Monitoring Period: From 1/1/2023 To 12/31/2023
Pathogen Reduction (15A NCAC 02T .1106) - Please indicate level achieved and alternative performed:
Class A:
Alt. A (time/temp) ❑ 1 Alt B (Alk Treatment) ❑ I Alt. C (Prior Testing) ❑
A(t.D (No Prior Test) ❑ Process to Further Reduce Pathogenas ❑
If applicable to alternative performed (Class A only) indicate "Process to Further Reduce Pathogens":
Compost L7
Heat Dryin- ❑
Heat Treatment ❑
Thennoplulic ❑
Beta Ray ❑
Gamin Ray [IPasteurization
❑
Class B:
Alt. (1) Fecal Density El Alt. (2) Process to Sigonificantly Reduce Pathogens ❑
If applicable to alternative performed (Class B only) indicate "Process to Sionific:tntly Reduce Pathogens":
Lime Stabilization ❑ Air D in_a ❑ Cc ostin ❑ Aerobic Digestion ❑
Anaerobic Digestion
If applicable to alternative performed (Class A or Class B) complete the
following monitoring data:
Numuer of Analytical
Exece- Frequency Sample Tech -
denceq of Analysis Type niaut
Parameter
Allowable Level
in Sludge
Pathogen Density
g y
Minimurr.
Geo. Mean
Maximurr
Units
Fecal Colifonn
2 x 10 to the
6111 power
per gram of
total solids
MPN
155,845
379,041
888,889
MPN/g
0
Annual
Grab
SM92210E
CFU
1000 mpn per gram
of total solid (dry
wei ht)
Salmonella bacteria
(in lieu of fecal
coliform)
3 MPN per 4 grams
total solid (dry
I weight)
Vector Attraction Reduction (15A NCAC 02T .1107) - Please indicate alternative performed:
Alt.1 (VS reduction) ❑
Alt. 2 (40-day bench) ❑
Alt. 3 (30-day bench) D
IAlt. 4 (Spec, O� uptake) ❑
Alt. 5 (14-Day Aerobic) ❑
Alt. 6 (Alk. Stabilization ❑
Alt 7 (Drying - Stable) ❑
Alt. 8 (Drying - Unstable) O
Alt. 9 (Injection) p
Alt. 10 (Incorporation) p
No vector attraction reduction alternatives were performed ❑
CERTIFICATION STATEMENT (please check the appropriate statement)
O "I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the
vector attraction reduction requirement in 15A NCAC 02T .1107 have been met."
❑ "I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the
vector attraction reduction requirement in 15A NCAC 02T .1107 have not been met." (Please note if
you check this statementattach an explanation why you have not met one or both of the
requirements.)
"This determination has been made under my direction and supervision in accordancewith the system
designed to ensure that qualified personnel properly gather and evaluate the information used to determine
that the pathogen and vector attraction reduction requirements have been met. I am aware that there are
significant penalties for false certification including fine and imprisonment."
William Andrews, ORC Wesley Wooten, President
Preparer Name and Tale (type or print) Land Applier Name and Title (if applicable)(type or print)
ZY1/5/24
Signature of Preparer* Date Signature of La Applier (if applicable) Date
*Preparer is defined in 40 CFR Part 503.9(r) and I5A NCAC 2T .1102 (26)
DENR FORM PVRF 02T (1212006)

2023 APPLICATION SUMMARY

LEWIS FARMS
Permit # WQ 0000455
2023
RESIDUALS APPLICATIONS
APPLICATION SUMMARY
FIELD
NO.
ACRES
USED
TOTAL
GALLONS
TOTAL
WET TONS
TOTAL
DRY TONS
TOTAL PAN
Crop 1 Crop 2
L3
18.60
377,500
48.72
52.00
44.11
L6
5.80
75,000
13.10
144.08
0.00
L7
8.10
102,000
17.82
140.31
0.00
L8
31.20
529,000
92.23
105.35
39.80
L9
36.70
811,000
103.60
130.32
38.17
L10
14.20
134,000
23.41
105.14
0.00
W1
35.10
383,500
25.43
60.53
44.51
W2
38.70
1,397,500
120.05
123.02
39.25
W3
24.20
630,500
41.54
54.75
9.24
AWF1
58.40
981,500
185.89
68.82
32.16
Totals 271.00 L59421,500 11 0 671.79
Metric Tons 609.31

FIELD LOADING RATE REPORTS

ANNUAL LAND APPLICATION FIELD SUMMARY FORM
Facility Name: Lewis Farms Permit #: W00000455
Owner: Lewis Farms Operator: Lewis Farms
Site #:
1 Field #: L3
Application Method*: S/INC
Acres Utilized: 18.6
Volatilization Rate**: 0.5/1.0
Annual Dry Tons Applied: 48.72
Acres Permitted: 18.6
Mineralization Rate: 30 %
Predominant Soil Goldsboro - GoA
House of Raeford 40%
Date
Gals.
Gals./
Acre
%
TS
DT /
Acre
Residual
Source
Site
Cond.
Metals (lbs/ac)
Nutrients (lbs/ac)
As
Cd
Cu
Pb
Hg
I Mo
Ni
Se
Zn
PAN 1
PAN 2
P
Crop 1
Crop 2
TKN
NH3
N2-N3
2023
357,500
19,220
3.07
2.46
The Cape
G/D
0.112
0.112
2.082
0.118
0.003
0.112
0.112
0.112
5.807
50.97
44.11
50.69
Corn
wheat
302.65
12.70
0.44
2023
20,000
1,075
3.54
0.16
Trenton
G/D
0.001
0.000
0.017
0.002
0.000
0.002
0.002
0.002
0.067
1.03
2.40
Corn
3.30
0.09
0.02
Total
377,500
Annual lbs/acre 0.113 0.112 2.099 0.119 0.003 0.113 0.113 0.113
Current Cumulative lbs/acre 1.39 0.96 88.89 4.95 0.05 1.29 2.91 1.27
Prior Years Cumulative lbs/acre 1.28 0.85 86.79 4.83 0.05 1.17 2.80 1.16
Permitt C.P.L.R.*** 36 34 1,338 267 15 n/a 374 89
"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."
5.874
165.12
159.25
2,498
52.00
147
44.11 53.09
1 50 Permit PAN Limit 1st/2nd Crop
Lime App.
Date
Lbs/Ac
X 2/13/23
(Signature of nd Applier) Date
*Application Method: S - Surface, IN - Injection, INC - Incorporation
**Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
***C.P.L.R.: Cumulative Pollutant Loading Rate
Bold denotes Incorporation and Volatilization Rate of 1.0
DENR FORM FSF (7/2002) Mod.
WMMS, PLLC

ANNUAL LAND APPLICATION FIELD SUMMARY FORM
Facility Name: Lewis Farms Permit #: W00000455 Annual Dry Tons Applied: 13.10
Owner: Lewis Farms Operator: Lewis Farms
Site #:
1 Field #: L6
Application Method*: S/INC
Acres Utilized: 5.80
Volatilization Rate**: 0.511.0
Acres Permitted: 5.80
Mineralization Rate: 30 %
Predominant Soil Goldsboro - GoA
House of Raeford 40%
Date
Gals.
Gals./
Acre
%
TS
DT /
Acre
Residual
Source
Site
Cond.
Metals (lbs/ac)
Nutrients (lbs/ac)
As
Cd
Cu
Pb
Hg
Mo
Ni
Se
Zn
PAN 1
PAN 2
P
Crop 1
Crop 2
TKN
NH3
N2-N3
2023
75,000
12,931
4.19
2.26
wZp
G/D
0.122
0.122
0.791
0.122
0.002
0.122
0.122
0.122
16.945
144.08
84.95
Corn
319.02
68.68
0.29
Total
75,000
Annual lbs/acre 0.122 0.122 0.791 0.122 0.002 0.122 0.122 0.122 16.945 144.08 0.00 84.95
Current Cumulative lbs/acre 0.68 0.37 18.79 1.92 0.06 0.51 1.06 0.46 81.99 147 50 Permit PAN Limt 1st/2nd Crop
Prior Years Cumulative lbs/acre 0.55 0.25 18.00 1.80 0.05 0.38 0.93 0.34 65.05
Permitt C.P.L.R.*** 1 36 1 34 1,338 267 1 15 n/a 374 1 89 1 2,498
"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."
Lime App.
Date
Lbs/A
X 2/13/24
(Signature Land Applier) Date
*Application Method: S - Surface, IN - Injection, INC - Incorporation
**Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
***C.P.L.R.: Cumulative Pollutant Loading Rate
Bold denotes Incorporation and Volatilization Rate of 1.0
DENR FORM FSF (7/2002) Mod.
WMMS, PLLC

ANNUAL LAND APPLICATION FIELD SUMMARY FORM
Facility Name: Lewis Farms Permit #: W00000455
Owner: Lewis Farms Operator: Lewis Farms
Site #:
1 Field #: L7
Application Method*: S
Acres Utilized: 8.10
Volatilization Rate**: 0.5
Annual Dry Tons Applied: 17.82
Acres Permitted: 8.10
Mineralization Rate: 30 %
Predominant Soil Goldsboro - GoA
House of Raeford 40%
Date
Gals.
Gals./
Acre
%
TS
DT /
Acre
Residual
Source
Site
Cond.
Metals (Ibs/ac)
Nutrients (lbs/ac)
As
Cd
Cu
Pb
Hg
Mo
Ni
Se
Zn
PAN 1
PAN 2
P
Crop 1
Crop 2
TKN
NH3
N2-N3
2023
102,000
12,593
4.19
2.20
North Topsail
WWTF
G/D
0.119
0.119
0.770
0.119
0.002
0.119
0.119
0.119
16.502
140.31
82.73
Corn
310.67
66.89
0.28
Total
102,000
Annual Ibs/acre 0.119 0.119 0.770 0.119 0.002 0.119 0.119 0.119 16.502 140.31 0.00 82.73 1
Current Cumulative lbs/acre 0.30 0.27 37.88 2.33 0.01 0.38 1.08 0.34 74.40 147 50 Permit PAN Limt Ist/2nd Crop
Prior Years Cumulative lbs/acre 0.18 0.15 37.11 2.21 0.01 0.26 0.97 0.22 57.90
Permitt C.RL.R.*** 36 34 1 1,338 267 1 15 n/a 374 89 2,498
"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."
Lime
App.
Date
Lbs/A
X Zel,,41,�,-- 2/13/24
(Signature Land Applier) Date
*Application Method: S - Surface, IN - Injection, INC - Incorporation
**Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
***C.P.L.R.: Cumulative Pollutant Loading Rate
Bold denotes Incorporation and Volatilization Rate of 1.0
DENR FORM FSF (7/2002) Mod.
WMMS, PLLC

Owner:
ANNUAL LAND APPLICATION FIELD SUMMARY FORM
Facility Name: Lewis Farms Permit #: W00000455
Lewis Farms Operator: Lewis Farms
1 Field #: L8
Application Method*: S/INC
Site #:
Acres Utilized: 31.20
Volatilization Rate**: 0.511.0
Annual Dry Tons Applied: 92.23
Acres Permitted: 31.20
Mineralization Rate: 30 %
Predominant Soil Grantham - Gr
House of Raeford 40%
Date
Gals.
Gals./
Acre
%
TS
DT /
Acre
Residual
Source
Site
Cond.
Metals (lbs/ac)
Nutrients (lbs/ac)
As
Cd
Cu
Pb
Hg
Mo
Ni
Se
Zn
PAN I
PAN 2
P
Crop 1
Crop 2
TKN
NH3
N2-N3
2023
234,000
7,500
4.17
1.30
Havelock
G/D
0.007
0.004
1.646
0.037
0.001
0.020
0.034
0.013
6.323
39.80
101.65
Wheat
114.56
7.72
0.03
2023
295,000
9,455
4.19
1.65
North Topsail
WWTF
G/D
0.089
0.089
0.578
0.089
0.001
0.089
0.089
0.089
12.390
105.35
62.12
Corn
233.27
50.22
0.21
Total
529,000
Annual lbs/acre 0.096 0.093 2.224 0.126 0.002 0.109 0.123 0.102 18.713 105.35 39.80 163.76
Current Cumulative lbs/acre 0.53 0.40 16.98 1.48 0.04 0.53 1.36 0.53 82.74 136 50 Permit PAN Limt 1st/2nd Crop
Prior Years Cumulative lbs/acrel 0.44 1 0.31 1 14.76 1 1.36 1 0.04 1 0.42 1 1.23 0.43 64.03
Permitt C.P.L.R.*** 36 34 1,338 267 15 n/a 374 89 2,498
"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."
Lime App.
Date
Lbs/A
X �i/� 2/13/24
(Signatur of Land Applier) Date
*Application Method: S - Surface, IN - Injection, INC - Incorporation
**Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
***C.P.L.R.: Cumulative Pollutant Loading Rate
Bold denotes Incorporation and Volatilization Rate of 1.0
DENR FORM FSF (7/2002) Mod.
WMMS, PLLC

Owner:
ANNUAL LAND APPLICATION FIELD SUMMARY FORM
Facility Name: Lewis Farms Permit #: W00000455
Lewis Farms Operator: Lewis Farms
1 Field #: L9
Application Method*: S/INC
Site #:
Annual Dry Tons Applied: 103.60
Acres Utilized: 36.70 Acres Permitted: 36.70 Predominant Soil
Volatilization Rate**: 0.511.0 Mineralization Rate: 30 % House of Raeford
Grantham - Gr
40 %
Date
Gals.
Gals./
Acre
%
TS
DT /
Acre
Residual
Source
Site
Cond.
Metals (Ibs/ac)
Nutrients (lbs/ac)
As
TCd
Cu
Pb
Hg
Mo
Ni
Se
Zn
PAN 1
PAN 2
P
Crop 1
Crop 2
TKN
NH3
N2-N3
2023
429,000
11,689
2.06
1.00
House of Raeford
G/D
0.072
0.036
0.635
0.036
0.002
0.036
0.036
0.036
0.442
18.30
34.22
24.50
Corn
Wheat
118.29
8.58
0.07
2023
382,000
10,409
4.19
1.82
North Topsail
WWTF
G/D
0.098
0.098
0.637
0.098
0.001
0.098
0.098
0.098
13.640
112.02
3.95
68.38
Corn
Wheat
256.79
55.29
0.23
Total
811,000
AnnualIbs/acre 0.171 0.134 1.271 0.134 0.003 0.134 0.134 0.134 14.082 130.32 38.17 92.88
Current Cumulative lbs/acre 0.92 0.67 60.88 3.73 0.07 1.01 2.15 0.97 112.15 136 50 Permit PAN Limt 1st/2nd Crop
Prior Years Cumulative Ibs/acre 0.75 0.54 59.61 3.60 0.06 0.88 2.01 0.83 98.07
Permitt C.RL.R.*** 36 34 1,338 267 15 n/a 374 89 2,498
"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."
Lime App.
Date
Lbs/A
X 2/13/23
(Signature o Land Applier) Date
*Application Method: S - Surface, IN - Injection, INC - Incorporation
**Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
***C.P.L.R.: Cumulative Pollutant Loading Rate
Bold denotes Incorporation and Volatilization Rate of 1.0
DENR FORM FSF (7/2002) Mod.
WMMS, PLLC

ANNUAL LAND APPLICATION FIELD SUMMARY FORM
Facility Name: Lewis Farms Permit #: W00000455
Owner: Lewis Farms Operator: Lewis Farms
Site #:
1 Field #: L10
Application Method*: S
Acres Utilized: 14.20
Volatilization Rate**: 0.5
Annual Dry Tons Applied: 23.41
Acres Permitted: 14.20
Mineralization Rate: 30 %
Predominant Soil Norfolk - NoA
House of Raeford 40%
Date
Gals.
Gals./
Acre
%
TS
DT /
Acre
Residual
Source
Site
Cond.
Metals (lbs/ac)
Nutrients (lbs/ac)
As
Cd
Cu
Pb
Hg
Mo
Ni
Se
Zn
PAN 1
PAN 2
P
Crop 1
Crop 2
TKN
NH3
N2-N3
2023
134,000
9,437
4.19
1.65
North Topsail
WWTF
G/D
0.089
0.089
0.577
0.089
0.001
0.089
0.089
0.089
12.366
105.14
61.99
Corn
232.81
50.12
0.21
Total
134,000
Annual Ibs/acre 0.089 0.089 0.577 0.089 0.001 0.089 0.089 0.089 12.366 105.14 0.00 61.99
Current Cumulative Ibs/acre 0.22 0.19 40.92 2.19 0.02 0.32 1.05 0.26 73.54 131 1 50 Permit PAN Limt 1st/2nd Crop
Prior Years Cumulative lbs/acre 0.13 0.11 40.35 1 2.10 0.02 0.23 0.96 0.17 61.17
Permitt C.RL.R.*** 36 34 1,338 267 1 15 1 n/a 1 374 1 89 1 2,498
"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."
Lime
App.
Date
Lbs/A
X 2/13/24
(Signature Land Applier) Date
*Application Method: S - Surface, IN - Injection, INC - Incorporation
**Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
***C.P.L.R.: Cumulative Pollutant Loading Rate
Bold denotes Incorporation and Volatilization Rate of 1.0
DENR FORM FSF (7/2002) Mod.
WMMS, PLLC

ANNUAL LAND APPLICATION FIELD SUMMARY FORM
Facility Name: Lewis Farms Permit #: W00000455 Annual Dry Tons Applied: 25.43
Owner: Lewis Farms Operator: Lewis Farms
Site #: W
Field #: 1
Application Method*: S/INC
Acres Utilized: 35.10
Volatilization Rate**: 0.5/1.0
Acres Permitted: 35.10
Mineralization Rate: 30 %
Predominant Soil Grantham - Gr
House of Raeford 40%
Date
Gals.
Gals./
Acre
%
TS
DT /
Acre
Residual
Source
Site
Cond.
Metals (Ibs/ac)
Nutrients (Ibs/ac)
As
Cd
Cu
Pb
Hg
Mo
Ni
Se
Zn
PAN 1
PAN 2
P
Crop 1
Crop 2
TKN
NH3
N2-N3
2023
383,500
10,926
1.59
0.72
Beau Rivage
G/D
0.063
0.063
0.948
0.126
0.002
0.063
0.126
0.063
3.115
60.53
44.51
36.80
Corn
wheat
249.20
43.18
0.05
Total
383,500
Annual Ibs/acre 0.063 0.063 0.948 0.126 0.002 0.063 0.126 0.063 3.115 60.53
Current Cumulative Ibs/acre 0.48 0.45 76.25 4.19 0.05 0.61 2.31 0.58 123.46 136
Prior Years Cumulative lbs/acre 0.42 0.39 75.31 4.07 0.04 0.55 2.18 1 0.52 1120.35
Permitt C.RL.R.*** 1 36 1 34 1,338 267 15 n/a 374 1 89 1 2,498
"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."
44.51 36.80
50 Permit PAN Limt Ist/2nd Crop
Lime App.
Date
Lbs/A
X �� 2/13/23
(Signatur f Land Applier) Date
*Application Method: S - Surface, IN - Injection, INC - Incorporation
**Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
***C.P.L.R.: Cumulative Pollutant Loading Rate
Bold denotes Incorporation and Volatilization Rate of 1.0
DENR FORM FSF (7/2002) Mod.
WMMS, PLLC

ANNUAL LAND APPLICATION FIELD SUMMARY FORM
Facility Name: Lewis Farms Permit #: W00000455 Annual Dry Tons Applied: 120.05
Owner: Lewis Farms Operator: Lewis Farms
Site #: W
Field #: 2
Application Method*: SANC
Acres Utilized: 38.70
Volatilization Rate**: 0.511.0
Acres Permitted: 38.70
Mineralization Rate: 30 %
Predominant Soil Grantham - Gr
House of Raeford 40%
Date
Gals.
Gals./
Acre
%
TS
DT /
Acre
Residual
Source
Site
Cond.
Metals (lbs/ac)
Nutrients (lbs/ac)
As
Cd
Cu
Pb
Hg
Mo
Ni
Se
Zn
PAN 1
PAN 2
P
Crop 1
Crop 2
TKN
NH3
N2-N3
2023
1,397,500
36,111
2.06
3.10
House of Raeford
G/D
0.224
0.112
1.960
0.112
0.006
0.112
0.112
0.112
1.365
123.02
39.25
75.69
Corn
Wheat
365.42
26.49
0.20
Total
1,397,500
Annual lbs/acre 0.224 0.112 1.960 0.112 0.006 0.112 0.112 0.112 1.365 123.02
Current Cumulative lbs/acre 0.76 0.55 21.98 2.17 0.04 75.55 1.03 0.70 41.23 136
Prior Years Cumulative lbs/acre 0.54 0.43 20.02 2.06 0.04 75.44 0.92 0.59 39.87
Permitt C.P.L.R.*** 36 34 1,338 267 15 n/a 374 89 21498
"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."
39.25 75.69
50 Permit PAN Limt 1st/2nd Crop
Lime App.
Date
Lbs/A
X �� 2/13/23
(Signature f Land Applier) Date
*Application Method: S - Surface, IN - Injection, INC - Incorporation
**Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
***C.P.L.R.: Cumulative Pollutant Loading Rate
Bold denotes Incorporation and Volatilization Rate of 1.0
DENR FORM FSF (7/2002) Mod.
WMMS, PLLC

ANNUAL LAND APPLICATION FIELD SUMMARY FORM
Facility Name: Lewis Farms Permit #: W00000455 Annual Dry Tons Applied: 41.54
Owner: Lewis Farms Operator: Lewis Farms
Site #: W
Field #: 3
Application Method*: S/INC
Acres Utilized: 24.20 Acres Permitted: 24.20 Predominant Soil Woodington - Wo
Volatilization Rate**: 0.5/1.0 Mineralization Rate: 30 % House of Raeford 40%
Date
WTs.
WT's./
Acre
%
TS
DT /
Acre
Residual
Source
Site
Cond.
Metals (lbs/ac)
Nutrients (lbs/ac)
As--r
Cd
Cu
Pb
Hg
Mo
Ni
Se
Zn
PAN 1
PAN 2
P
Crop 1
Crop 2
TKN
NH3
N2-N3
2023
630,500
26,054
1.58
1.72
Pluris - Webb
Creek
G/D
0.050
0.050
0.501
0.050
0.005
0.050
0.050
0.050
6.832
54.75
9.24
109.17
Corn
Wheat
183.33
7.79
3.54
Total
630,500
Annual lbs/acre 0.050 0.050 0.501 0.050 0.005 0.050 0.050 0.050 6.832 54.75 9.24 109.17
Current Cumulative lbs/acre 0.60 0.42 78.94 4.16 0.07 0.52 2.00 0.55 112.74 118 1 50 Permit PAN Limt Ist/2nd Crop
Prior Years Cumulative lbs/acre 0.55 0.36 78.44 4.11 0.07 0.47 1.95 0.50 105.90
Permitt C.P.L.R.*** 36 34 1,338 267 15 n/a 374 89 1 2,498
"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."
Lime App.
Date
Lbs/A
X 2/13/23
(Signatur of Land Applier) Date
*Application Method: S - Surface, IN - Injection, INC - Incorporation
**Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
***C.P.L.R.: Cumulative Pollutant Loading Rate
Bold denotes Incorporation and Volatilization Rate of 1.0
DENR FORM FSF (7/2002) Mod.
WMMS, PLLC

ANNUAL LAND APPLICATION FIELD SUMMARY FORM
Facility Name: Lewis Farms Permit #: W00000455 Annual Dry Tons Applied: 185.89
Owner: Allen H. Wooten Operator: Lewis Farms
Site #: AW
Field #: F1
Application Method*: INC
Acres Utilized: 58.40
Volatilization Rate**: 1.0
Acres Permitted: 58.40
Mineralization Rate: 30 %
Predominant Soil Goldsboro - GoA
House of Raeford 40%
Date
Gals.
Gals./
Acre
%
TS
DT /
Acre
Residual
Source
Site
Cond.
Metals (lbs/ac)
Nutrients (lbs/ac)
As
Cd
Cu
Pb
Hg
Mo
Ni
Se
Zn
PAN 1
PAN 2
P
Crop 1
Crop 2
TKN
NH3
N2-N3
2023
299,000
5,120
4.35
0.93
Havelock
G/D
0.005
0.003
1.114
0.024
0.001
0.009
0.022
0.009
4.276
32.16
77.73
Wheat
95.45
5.02
0.01
2023
338,000
5,788
4.53
1.09
Havelock
G/D
0.005
0.003
1.150
0.028
0.001
0.011
0.033
0.011
4.673
31.88
97.61
Corn
93.98
5.25
0.01
2023
344,500
5,899
4.72
1.16
Havelock
G/D
0.006
0.003
1.263
0.030
0.000
0.014
0.028
0.012
5.199
36.94
69.41
Corn
111.30
5.06
0.01
Total
981,500
Annual Ibs/acre 0.016 0.008 3.528 0.083 0.002 0.034 0.083 0.032 14.148 68.82 32.16 244.75
Current Cumulative lbs/acre 0.14 0.13 9.12 0.28 0.01 0.18 0.28 0.18 34.49 149 50 Permit PAN Limt Ist/2nd Crop
Prior Years Cumulative Ibs/acre 0.13 0.12 1 5.59 1 0.20 0.01 0.15 0.20 0.15 20.35
Permitt C.P.L.R.*** 36 34 1,338 267 15 n/a 374 1 89 1 2,498
"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."
Lime App.
Date
Lbs/A
X 41 2/13/23
(Signature f Land Applier) Date
*Application Method: S - Surface, IN - Injection, INC - Incorporation
**Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
***C.P.L.R.: Cumulative Pollutant Loading Rate
Bold denotes Incorporation and Volatilization Rate of 1.0
DENR FORM FSF (7/2002) Mod.
WMMS, PLLC

SOIL ANALYSIS REPORTS

Page 1 of 1
Report No: 24-029-0776
Account No: 08361
Advisor: Willcox & Mabe Soil Solutions, PLLC
7231 B. Summerfield Rd
Summerfield NC 27358
Waypointo
ANALYTICAL
Client: Lewis Farms
7621 Whitepine Road, Richmond, VA 23237
Main 804-743-9401 ° Fax [phone]
www.waypointanalytical.com
Farm:
Date Received:01/29/2024
Date of Report: 01/30/2024
Lab No Field 10
Sample 10
Soil Class
HM%
W/V pH
Ac
P-1
K-1
S-1
Mn-1
Mn-All Mn-Al2
Zn-1
Zn-AI
Cu-1
CEC
BS%
Ca %
Mg %
ESP
Na
07483
AW-F1
MIN
1.3
6.0
0.9
57
70
19
31
0
0
128
128
90
5.6
84
63
13
0.9
0.1
07484
CFC-11
MIN
1.3
6.2
0.6
47
64
23
25
0
0
113
113
85
4.9
88
66
15
0.7
0
07485
CFC-12
MIN
1.1
5.5
1.0
18
47
25
13
0
0
53
53
45
4.0
75
54
15
0.8
0
07487
JR-F1
MIN
0.8
5.8
0.5
49
45
19
31
0
0
103
103
85
2.8
82
58
16
0.9
0
07488
L02
MIN
1.2
5.7
0.9
38
45
25
19
0
0
85
85
55
4.4
79
56
17
0.7
0
07489
L03
MIN
1.3
5.6
1.0
27
65
27
19
0
0
80
80
35
4.2
76
53
14
1.2
0.1
07490
L04
MIN
0.9
5.9
0.6
51
50
21
31
0
0
118
118
95
3.6
85
60
17
0.8
0
07491
L05
MIN
1.0
6.9
0.1
66
64
17
25
0
0
93
93
85
6.7
98
83
10
0.6
0
07492
L06
MIN
1.0
6.8
0.2
69
70
19
25
0
0
95
95
80
7.2
97
82
10
0.7
0
07493
L07
MIN
0.8
5.8
0.6
52
51
19
31
0
0
108
108
105
3.2
82
57
15
1.1
0
07494
L08
MIN
0.9
6.0
0.5
57
54
21
25
0
0
120
120
95
3.1
83
57
16
1.3
0
07495
L09
MIN
0.9
6.0
0.5
56
55
19
25
0
0
120
120
95
3.4
86
59
18
1.2
0
07496
L10
MIN
1.1
6.2
0.7
61
56
25
25
0
0
100
100
80
5.9
89
71
12
0.8
0
07498
W01
MIN
0.8
5.8
0.6
56
56
19
31
0
0
105
105
95
3.0
81
54
16
1.7
0.1
07499
W02
MIN
0.9
6.2
0.4
54
47
19
31
0
0
115
115
90
3.2
88
62
17
1.2
0
07500
W03
MIN
1.0
5.4
1.1
23
36
31
13
0
0
63
63
40
3.9
72
51
15
1.0
0
07501
W04
MIN
0.8
6.2
0.4
29
37
15
19
0
0
93
93
85
3.5
89
64
19
0.7
0
Comment:
Test result units = CEC and Na in meq/100cm3: NO3 N in mg/dm3; WN in g/cm3
North Carolina Division of Water Quality Certification #257, Analysis and fertility recommendations shown on this report are performed in accordance within NCDA guidelines, Analysis prepared by: Waypoint Analytical Virginia, Inc.