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WQ0014868_Renewal Application_20240325
Initial Review Reviewer nathaniel.thorn burg Is this submittal an application? (Excluding additional information.) * Yes No Permit Number (IR) * WQ0014868 Applicant/Permittee Smithfield Fresh Meats Corp. Applicant/Permittee Address PO Box 99, Tarheel, NC 28392 Is the owner in BIMS? Yes ) No Is the facility in BIMS? Yes No Owner Type Facility Name County Fee Category Major Is this a complete application?* Yes No Signature Authority Signature Authority Title Signature Authority Email Document Type (if non -application) Email Notifications Organization Smithfield Fresh Meats Corp. Class B Residuals Program Bladen Does this need review by the hydrogeologist? * Yes No Regional Office CO Reviewer Admin Reviewer Fee Amount $0 Complete App Date 03/25/2024 Below list any additional email address that need notification about a new project. Email Address Comments to be added to email notfication Comments for Admin Comments for RO Comments for Reviewer Comments for Applicant Submittal Form Project Contact Information Please provide information on the person to be contacted by NDB Staff regarding electronic submittal, confirmation of receipt, and other correspondence. Name* Brent Collins Email Address* brent.collins@emaresourcesinc.com 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* 3363993646 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:* WQ0014868 Has Current Existing permit number Applicant/Permittee* Smithfield Fresh Meats Corp. Applicant/Permittee Address* PO Box 99, Tarheel, NC 28392 Facility Name* Smithfield Fresh Meats Corp. 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 nathaniel.thornburg@ncdenr.gov. Please attach all information required or requested for this submittal to be reviewed here. (Application Form, Engineering Plans, Specifications, Calculations, Etc.) Smithfield Fresh Meats Permit Renewal - WQ0014868.pdf 42.58MB Upload only 1 PDF document (less than 250 MB). Multiple documents must be combined into one PDF file unless file is larger than upload limit. * By checking this box, I acknowledge that I understand the application will not be accepted for pre -review until the fee (if required) has been received by the Non -Discharge Branch. Application fees must be submitted by check or money order and made payable to the North Carolina Department of Environmental Quality (NCDEQ). I also confirm that the uploaded document is a single PDF with all parts of the application in correct order (as specified by the application). Mail payment to: NCDEQ — Division of Water Resources Attn: Non -Discharge Branch 1617 Mail Service Center Raleigh, NC 27699-1617 Signature Submission Date a��GJ�lra 3/24/2024 March 22, 2024 Division of Water Resources Water Quality Permitting Section Non -Discharge Permitting Unit 1617 Mail Services Center Raleigh, NC 27699-1617 RE: Permit Renewal — WQ0014868 To Whom it May Concern: EMA Resources is submitting the included permit renewal for Smithfield Fresh Meats, Inc's permit - WQ0014868. The fields that are marked as modified (M) in the LASC form have been re -mapped using ARCGis to reflect the acres more accurately. The old maps were not very clear and not as precise. Those are the only modifications in this renewal. If you have any questions concerning this renewal, please contact Brent Collins — Director of Technical Services Respectfully, Brent Collins Director of Technical Services brent.collins(cr�,emaresourcesinc.com (336) 399-3646 Phone 336975191441 — Fax 336975191442 755 Yadkinville Rd — Mocksville, NC 27028 g Inc. Permit Renewal Application For Smithfield Fresh Meats WQ0014868 Land Application of Residuals Prepared By: EMA Resources Inc. 755 Yadkinville Road Mocksville, NC 27028 336-751-1441 March 22nd12024 Phone 336975191441 — Fax 336975191442 755 Yadkinville Road — Mocksville, NC 27028 Table of Contents 1) RLAP Form a) Current Permit 2) RSC Form a) Vicinity Map b) Process Flow Diagram c) Quantitative Justification d) Laboratory Analytical Reports 3) Operation & Maintenance Plan 4) Residuals Information Sheet 5) LASC Form a) Per Site Information i) Landowner Agreement b) Vicinity Map c) Aerial/Application Map d) Current Cumulative Loadings RLAP Form State of North Carolina DWR Department of Environmental Quality Division of Water Resources Division of Water Resources 15A NCAC 02T .1100 — RESIDUALS LAND APPLICATION PROGRAM FORM: RLAP 06-16 I. APPLICANT INFORMATION: 1. Applicant's name: Smithfield Fresh Meats Applicant type: ❑ Individual 0 Corporation ❑ General Partnership 171 Privately -Owned Public Utility ❑ Federal 0 State ❑ Municipal ❑ County Signature authority's name per 15A NCAC 02T .0106: Andrea Tucker Title: Complex Plant Manager Applicant's mailing address: Post Office Box 99 City: Tarheel State: NC Zip: 28392-0099 Telephone number: (_) WW Email Address: atucker@smithfield.com 2. Consultant's name: I License Number (for P.E.): Affiliation: ❑ On Staff ❑ Retained (Firm: ) Consultant's mailing address: City: State: Zip: - Tele hone number: P �) Email Address: T 3. Agronomist's name: .0 License Number: Affiliation: ❑ N/A a On Staff 0 Retained (Firm: ) Agronomist's mailing address: _ City: `A State: _ Zip: W-!m Telephone number: (A) Email Address: _ 4. Soil Scientist's name: AN License Number: 72 Affiliation: ❑ N/A [I On Staff 0 Retained (Firm: ) Soil Scientist's mailing address: _ City: State: Zip: E_-J Telephone number: (_) = Email Address: _ 5. Fee submitted: $0.00 (See Instruction B) IL PERMIT INFORMATION: 1. Application is for (check all that apply): 0 new, a modified, ® renewed permit 2. If this application is being submitted to renew or modify an existing permit, provide the following: Permit number: W00014868 Date of most -recently issued permit: June 10, 2019 Date of most -recently certified Attachment A (if different than the permit): June 10,2019 Date of most -recently certified Attachment B (if different than the permit): June 10, 2019 FORM: RLAP 06-16 Page 1 of 5 III. RESIDUALS LAND APPLICATION PROGRAM INFORMATION: 1. Residuals Processing Facility's physical address: 15855 NC-87 City: Tarheel State: NC Zip: 28392 Coordinates: Latitude: 34' 44' 50" Longitude: 78. 48' 17" Datum: NAD83 Method of measurement: GPS Level of accuracy: Nearest Second 2. County where residuals land application program is headquartered: Bladen 3. List the Operator In Responsible Charge (ORC) and all Back -Up ORCs for the residuals land application program, their certification numbers, and their affiliations in the following table: Designation Name Affiliation Certification Number ORC Dwayne Russ Smithfield Fresh Meats LA1004586 Corp Back -Up ORC Tim Weaver Smithfield Fresh Meats LA13281 Corp Additional Back -Up ORCs (if applicable) If an ORC and at least one Back -Up ORC are not currently designated for this residuals land application program, provide the candidates' names, affiliations, and an estimated time schedule for each candidate's completion of the required training school and certification test: 4. Complete the following tables regarding management of the residuals land application program: a. Plant Available Nitrogen Summary: Determine the maximum plant available nitrogen (PAN) generated by all residuals source -generating facilities as currently certified and proposed for certification with this application and list the results in the following table: Maximum amount of residuals to be certified: 2050 dry tons per year. PAN Pounds of PAN per Dry Ton (Weighted Average) Pounds of PAN per Year Surface Incorporation or Injection Surface Incorporation or Injection First -Year 39.879 61.979 81752 127057 Five -Year Maximum Adjusted 50.429 72.529 103379 148684 b. Land Application Site Use Summary: Summarize information regarding the land application sites as currently certified and proposed for certification with this application: Category Use Acres Comments Crops Forest or Plantation 0 Row Crops 717.96 Hay/Pasture 225.41 Total: 943.37 Methods Surface 943.37 Incorporation or Injection 0 Total: 943.37 FORM: RLAP 06-16 Page 2 of 5 c. Residuals Land Application Summary: Determine the minimum acreage required to land apply the residuals as currently certified and proposed for certification assuming the scenarios listed in the following table: Assumed Application Rate (lbs PAN/ac yr) Acres Required Using First -Year PAN Concentrations Acres Required Using Five -Year Maximum Adjusted PAN Concentrations Surface Incorporation or Injection Surface Incorporation or Injection 50 1635 2541 2068 2974 100 818 1271 1034 1487 150 545 847 689 991 200 409 635 517 743 6. If applicable, provide a plan and a schedule to resolve any known issues that would prevent land application of the proposed residuals due to the violation of North Carolina Administrative Code (e.g. not enough storage, not enough land, vector reduction practices not in place, etc.):' 7. Specify type of residuals program (See Instruction F): E Non -dedicated ❑ Dedicated If Dedicated, specify the following (check all that apply): Residuals program contains any land application site(s) that receives residuals at rates or frequencies greater than agronomic rates, explain; I_ ❑ Residuals program contains any land application site(s) that is used primarily for residuals disposal, and agricultural crop production is of secondary importance, explain; "-'9r ❑ Residuals program contains any land application site(s) that receives residuals through fixed irrigation facilities or irrigation facilities fed through a fixed supply system, explain; -A IV. RESIDUALS SOURCE INFORMATION: (Required for all new, renewed, or modified residuals source) Complete and submit the following Residuals Source Certification and all associated documentation. IR Residuals Source Certification V. LAND APPLICATION SITE INFORMATION: (Required for all new, renewed, or modified land application site) Complete and submit the following Land Applications Site Certification and all associated documentation. IR Land Application Siite Certification. doc FORM: RLAP 06-16 Page 3 of 5 Note: Item VI. Applicable to Dedicated Program with fixed irrigation system only. VI. DESIGN INFORMATION FOR FIXED IRRIGATION SYSTEM 1. The irrigation system is: ❑ Spray ❑ Drip 2. Disposal system is: ❑ existing ❑ proposed. 3. Minimum depth to mean seasonal high water table (SHWT) within irrigation sites(s) per Soil Scientist's Evaluation: feet below ground surface. Rules 15A NCAC 02T .0505(n) requires at least one -foot vertical separation between SHWT and ground surface. 4. Are there any artificial drainage or water movement structures within 200 feet of any irrigation area? ❑ Yes or ❑ No If Yes, please explain if the soil scientist report addresses artificial structures and please indicate if structures are to be maintained or modified: 5. Loading rates recommended by the Soil Scientist Evaluation: Soil Series Fields within Soil Area Recommended Loading Rate in/hr Recommended Loading Rate in/vr 6. Design loading rates are equal or less than the loading rates recommended by Soil Scientist? ❑ Yes or ❑ No If No, explain why 15A NCAC 02T .0505(n) is not met: 7. Non -dedicated System Design (fill in the appropriate information for either a spray or drip irrigation system): Field /Zone Design Area (ftZ Number of Nozzles Maximum Application Rate allons/hr Design Annual Loading Rate allons/ r Total Spray Irrigation Design Element Plan Sheet Number Specification Pa a Number Wetted diameter of nozzles ft Wetted area of nozzles ft2 Nozzle capacity gpm Nozzle manufacturer / model / Elevation of highest nozzle ft FORM: RLAP 06-16 Page 4 of 5 Applicant's Certification (signing authority must be in compliance with 15A NCAC 02T .0106): The applicant or any affiliate has not been convicted of an environmental crime, has not abandoned a wastewater facility without proper closure, does not have an outstanding civil penalty where all appeals have been exhausted or abandoned, are compliant with any active compliance schedule, and do not have any overdue annual fees under Rule 15A NCAC 02T .0105. ® Yes ❑ No, Explain; 1, Andrea Tucker — Complex Plant Manager (Signature Authority's Name — PLEASE PRINT) (Title) attest that this application for Smithfield Fresh Meats (Facility Name) has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that the Division of Water Resources may not conduct a technical review of this program and approval does not constitute a variance to any rules or statutes unless specifically granted in the permit. Further, any discharge of residuals to surface waters or the land will result in an immediate enforcement action, which may include civil penalties, injunctive relief, and/or criminal prosecution. I will make no claim against the Division of Water Resources should a condition of this permit be violated. I also understand that if all required parts of this application are not completed and that if all required supporting information and attachments are not included, this application package will be returned to me as incomplete. Note: In accordance with North Carolina General Statutes §143-215.6A and § 143-215.613, any person who knowingly makes any false statement, representation, or certification in any application shall be guilty of a Class 2 misdemeanor, which may include a fine not to exceed $10,000 as well as civil penalties up to $25,000 per violation. AI)ASignature: Date: 3 a 4 a FORM: RLAP 06-16 Page 5 of 5 Copy of Current Permit ROY COOPER Governor MICHAEL S. REGAN Secretary LINDA CULPEPPER Director DONOVAN OWENS — GENERAL MANAGER SMITHFIELD FRESH MEATS CORP. POST OFFICE BOX 99 TARHEEL, NORTH CAROLINA 28392-0099 Dear Mr. Owens: NORTH CAROLINA Environmental Quality June 10, 2019 Subject: Permit No. WQ0014868 Smithfield Fresh Meats Corp. RLAP Land Application of Class B Residuals Bladen County In accordance with your permit renewal request received April 5, 2019, we are forwarding herewith Permit No. WQ0014868 dated June 10, 2019, to Smithfield Fresh Meats Corp. for the continued operation of the subject residuals management program. Please note that this renewed permit shall become effective on August 1, 2019 (i.e., the day after the expiration date of the existing permit). Modifications to the subject permit are as follows: Modification of field SF03-06 with reduced acreage from 32.0 to 16.5 acres because of construction of new houses and 400-foot setbacks, and a minor increase in acreage for field SF08-05 due to the reduction in setbacks to surface waters. This permit shall be effective from August 1, 2019 through August 31, 2024, shall void Permit No. WQ0014868 issued June 18, 2018, and shall be subject to the conditions and limitations as specified therein. The Permittee shall submit a renewal application no later than March 4, 2024. Please pay particular attention to the monitoring requirements listed in Attachment A for they may differ from the previous permit issuance. Failure to establish an adequate system for collecting and maintaining the required operational information shall result in future compliance problems. Please note that on September 1, 2018, North Carolina Administrative Code Title 15A Subchapter 02T — Waste not Discharged to Surface Waters was readopted. Accordingly, this permit incorporates the requirements of these rules, therefore, please take the time to review this permit thoroughly. The Division has removed the following permit conditions since the last permit issuance dated June 18, 2018: ➢ Old Condition H.8. and II.9. —Replaced by Condition H.8. ➢ Old Condition IIL 10. — Redundant since covered in Old Condition 111.11.h. and Condition Ill. I0.i. �North Carolina Department of Environmental Quality I Division of Water Resources 512 North Salisbury Street 1 1617 Mail Service Center I Raleigh, North Carolina 27699-1617 44ORTFI CAROL omrm.aa�wa�.mroare 919.707.9000 Mr. Donovan Owens June 10, 2019 Page 2 of 2 ➢ Old Condition III.13. — The means of controlling public access to residuals application fields is not to be specified. ➢ Old Condition IV.8. — Replaced by Condition IV.8. ➢ Old Condition VI.2. — This condition has been removed because the permit is not voidable. ➢ Old Condition VI.8. —Replaced by Condition VI.8. The following permit condition is new since the last permit issuance dated February 28, 2014: ➢ Condition II.8. — The setback requirements for land application sites are listed in this condition. ➢ Condition III.10.1. — Watersheds in which residuals are not to be applied in bulk. ➢ Condition 11I.1 l.c. — Public access restrictions to dedicated sites have been added. Note that there are no dedicated sites in this permit. ➢ Condition IV.8. — The annual report shall be provided annually with one paper copy and one electronic copy instead of three paper copies. ➢ Condition VI.8. — The permit cannot be renewed without annual fees being paid. ➢ Attachment B — Slight changes in acreages due to improved mapping. If any parts, requirements, or limitations contained in this permit are unacceptable, the Permittee has the right to request an adjudicatory hearing upon written request within 30 days following receipt of this permit. This request shall be in the form of a written petition, conforming to Chapter 150B of the North Carolina General Statutes, and filed with the Office of Administrative Hearings at 6714 Mail Service Center, Raleigh, NC 27699-6714. Otherwise, this permit shall be final and binding. If you need additional information concerning this permit, please contact Troy Doby at (919) 707- 3655 or troy.dobynncderingov. Sincerely, zo��_Z) 9-Lmda Culpepper, Director " Division of Water Resources cc: Bladen County Health Department (Electronic Copy) Fayetteville Regional Office, Water Quality Regional Operations Section (Electronic Copy) Beth Buffington — Protection and Enforcement Branch (Electronic Copy) Laserfiche File (Electronic Copy) Digital Permit Archive (Electronic Copy) Central Files NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION DEPARTMENT OF ENVIRONMENTAL QUALITY RALEIGH LAND APPLICATION OF CLASS B RESIDUALS PERMIT In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as amended, and other applicable Laws, Rules, and Regulations PERMISSION IS HEREBY GRANTED TO Smithfield Fresh Meats Corp. Bladen County FOR THE continued operation of a residuals management program for Smithfield Fresh Meats Corp. and consisting of the land application of Class B residuals generated by the approved facility listed in Attachment A to the approved fields listed in Attachment B, with no discharge of wastes to surface waters, pursuant to the application received April 5, 2019, and in conformity with other supporting data subsequently filed and approved by the Department of Environmental Quality and considered a part of this permit. The disposal of residuals is regulated under Title 40 Code of Federal Regulations Part 257. This permit does not exempt the Permittee from complying with Federal Regulation 40 CFR Part 257. This permit shall be effective from August 1, 2019 through August 31, 2024, shall void Permit No. WQ0014868 issued June 18, 2018, and shall be subject to the following conditions and limitations: I. SCHEDULES 1. The Permittee shall request renewal of this permit on Division -approved forms no later than March 4, 2024. [15A NCAC 02T .0105(b), 02T .0109] H. PERFORMANCE STANDARDS The Permittee shall maintain and operate the subject residuals management program so there is no discharge to surface waters, nor any contravention of groundwater or surface water standards. In the event the residuals management program fails to perform satisfactorily, including the creation of nuisance conditions due to improper operation and maintenance, the Permittee shall immediately cease land applying residuals, take immediate corrective actions, and contact the Fayetteville Regional Office supervisor. [15A NCAC 02T .0108(b)(1)(A)] 2. This permit shall not relieve the Permittee of their responsibility for damages to groundwater or surface water resulting from the operation of this residuals management program. [15A NCAC 02T .0108(b)(1)(A)] 3. Only residuals generated by the facility listed in Attachment A are approved for land application in accordance with this permit. [15A NCAC 02T .1101] WQ0014868 Version 4.0 Shell Version 181130 Page 1 of 12 4. Only the fields listed in Attachment B are approved for residuals land application. [G.S. 143- 215.1(a)(9)] 5. Pollutant concentrations in residuals land applied to the sites listed in Attachment B shall not exceed the following Ceiling Concentrations or Cumulative Pollutant Loading Rates (CPLRs), on a dry weight basis: Parameter Ceiling Concentration Cumulative Pollutant Loading Rates (m9/k9) (kg/ha) (lbslac) Arsenic 75 41 36 Cadmium 85 39 34 Copper 4,300 1,500 1,338 Lead 840 300 267 Mercury 57 17 15 Molybdenum 75 N/A N/A Nickel 420 420 374 Selenium 100 100 89 Zinc 7,500 2,800 2,498 The Permittee shall determine compliance with the CPLRs using one of the following methods: a. By calculating the existing cumulative level of pollutants using actual analytical data from all historical land application events of residuals, or b. For land where residuals application has not occurred or for which the required data is incomplete, by determining background concentrations through representative soil sampling. [15A NCAC 02T. I 105(a), 02T. 1 105(b)] 6. Class B biological residuals shall meet the pathogen reduction requirements in 15A NCAC 02T .1106 (b). Exemptions to this requirement shall be specified in Attachment A. [15A NCAC 02T .1106(b), 02T .1106(d)] 7. Class B biological residuals shall meet one of the vector attraction reduction alternatives in 15A NCAC 02T .1107(a). Exemptions to this requirement shall be specified in Attachment A. [15A NCAC 02T .1107(a), 02T .1107(c)] WQ0014868 Version 4.0 Shell Version 181130 Page 2 of 12 8. The facilities and sites herein were permitted per the following setbacks: a. Setbacks for Class B land application sites are as follows (all distances in feet): Surface Irrigation Injection / Application Surface corporation by Vehicle Application i. Each habitable residence or place of assembly 400 400 200 under separate ownership: ii. Each habitable residence or places of assembly owned by the Permittee, the owner of the land, 0 200 0 or the lessee or operator of the land: iii. Each property line: 501 1501 50 iv. Public right of way: 50 50 50 v. Each private or public water supply source: 100 100 100 vi. Surface waters such as intermittent and perennial streams, perennial waterbodies, and 32.8 32.8 32.8 wetlands: vii. Surface water diversions such as ephemeral 25 25 25 streams, waterways, and ditches: viii.Groundwater lowering ditches where the 25 100 25 bottom of the ditch intersects the SHWT: ix. Subsurface groundwater lowering systems: 0 100 0 x. Each well with exception of monitoring wells: 100 100 100 xi. Bedrock outcrops: 25 25 25 xii. Top of slope of embankments or cuts of two 15 15 15 feet or more in vertical height: xiii.Each building foundation or basement: 0 15 0 xiv. Each water line: 0 10 0 xv. Nitrification field: 0 20 0 1 Setbacks to property lines are not applicable when the Permittee, or the entity from which the Permittee is leasing, owns both parcels separated by the property line. [I 5A NCAC 02T .1108(c)] d. The setbacks for residuals storage and treatment units originally permitted or modified from February 1, 1993 to August 31, 2006 are as follows (all distances in feet): i. Each private or public water supply source: 100 ii. Surface waters: 50 iii. Each well with exception of monitoring wells: 100 iv. Each property line: 501 v. Nitrification field: 20 1 Setbacks to property lines are not applicable when the Permittee, or the entity from which the Permittee is leasing, owns both parcels separated by the property line. [15A NCAC 02H .02190)(5)] 10. Class B land application areas shall be clearly marked on each site prior to and during any residuals application event. [15A NCAC 02T .0110(g)] WQ0014868 Version 4.0 Shell Version 181130 Page 3 of 12 11. Residuals and other sources of Plant Available Nitrogen (PAN) shall not be applied in exceedance of agronomic rates. Appropriate agronomic rates shall be calculated using expected nitrogen requirements based on the determined Realistic Yield Expectations (RYE) using any of the following methods: a. Division's pre -approved site specific historical data for specific crop or soil types by calculating the mean of the best three yields of the last five consecutive crop harvests for each field. b. North Carolina Historical Data for specific crop and soil types as provided by North Carolina State University Department of Soil Science (http://nutrients.soil.ncsu.edu/vields/indexphp). A copy shall be kept on file and reprinted every five years in accordance with Condition IV.6. c. If the RYE cannot be determined using methods (a) or (b) above, the Permittee may use the RYE and appropriate nutrient application rates reported in any of the following documents: i. Crop management plan as outlined by the local Cooperative Extension Office, the North Carolina Department of Agriculture and Consumer Services, the Natural Resource Conservation Service, or other agronomist. ii. Waste Utilization Plan as outlined by the Senate Bill 1217 Interagency Group - Guidance Document: Chapter 1 (http://www.ncagr.p,ov/SWC/tech/docutnents/9th Guidance Doc 100109.pdf). iii. Certified Nutrient Management Plan as outlined by the Natural Resources Conservation Services (MRCS). These plans must meet the USDA-NRCS 590 Nutrient Management Standards (ftp://ftp-fc.se.eaov.usda.govCq Q/practice-standards/standards/590.udf). d. If the RYE and appropriate nutrient application rates cannot be determined, the Permittee shall contact the Division to determine necessary action. [15A NCAC 02T . 1 109(a)(1)(K)] 12. When residuals are land applied to grazed pasture, hay crop realistic nitrogen rate shall be reduced by 25%. [15A NCAC 02T .0108(b)(1)(A)] 13. If residuals land application sites are to be over -seeded or double -cropped (e.g., bermuda grass in the summer and rye grass in the winter with both crops to receive residuals), then the second crop can receive an application of PAN at a rate not to exceed 50 pounds per acre per year (lbs/ac/yr). This practice may be allowed as long as the second crop is to be harvested or grazed. If the second crop is to be planted for erosion control only and is to be tilled into the soil, then no additional PAN shall be applied. [15A NCAC 02T .0108(b)(1)(A)] 14. Prior to land application of residuals containing a sodium adsorption ratio (SAR) of 10 or higher, the Permittee shall obtain and implement recommendations from at least one of the following: the local Cooperative Extension Office; the Department of Agriculture and Consumer Services; the Natural Resource Conservation Service; a North Carolina Licensed Soil Scientist; or an agronomist. The recommendations shall address the sodium application rate, soil amendments (e.g., gypsum, etc.), or a mechanism for maintaining site integrity and conditions conducive to crop growth. The Permittee shall maintain written records of these recommendations and details of their implementation. [15A NCAC 02T .0108(b)(1)(A)] 15. Residuals land application fields permitted on or after December 30, 1983 have a compliance boundary that is either 250 feet from the residual land application area, or 50 feet within the property boundary, whichever is closest to the residual land application area. Any exceedance of groundwater standards at or beyond the compliance boundary shall require corrective action. Division -approved relocation of the compliance boundary shall be noted in Attachment B. Multiple contiguous properties under common ownership and permitted for use as a disposal system shall be treated as a single property with regard to determination of a compliance boundary. [15A NCAC 02L .0106(d)(2), 02L .0107(b), 02T .0105(h), G.S. 143-215.1(i), G.S. 143-215.1(k)] WQ0014868 Version 4.0 Shell Version 181130 Page 4 of 12 16. The review boundary is midway between the compliance boundary and the residual land application area. Any exceedance of groundwater standards at or beyond the review boundary shall require preventative action. [15ANCAC 02L 0106(d)(1), 02L .0108] III. OPERATION AND MAINTENANCE REQUIREMENTS 1. The Permittee shall operate and maintain the residuals management program as a non -discharge system. [ 15A NCAC 02T. 1100] 2. The Permittee shall notify the Fayetteville Regional Office, telephone number (910) 433-3300, and the appropriate local government official (i.e., county manager, city manager, or health director) at least two business days in advance of a site's initial residuals land application event. [15A NCAC 02T .0108(b)(1)(A)] 3. The Permittee shall notify the Fayetteville Regional Office, telephone number (910) 433-3300, at least one business day in advance of conducting any land application activity. Notification shall include the anticipated application date, time, and field name as listed in Attachment B. Exceptions to this requirement shall be approved by the Fayetteville Regional Office. [15A NCAC 02T .0108(b)(1)(A)] 4. The Permittee shall maintain a Division -approved Operation and Maintenance Plan that shall include: a. Description of the program, and associated facilities and equipment, in sufficient detail to show what operations are necessary for the program to function and by whom the functions are to be conducted; b. Description of anticipated maintenance of facilities and equipment associated with the program; c. Include provisions for safety measures, including restriction of access to sites and equipment; d. Spill control provisions: i. Response to upsets and bypasses including control, containment, and remediation; and ii. Contact information for plant personnel, emergency responders, and regulatory agencies; e. Detailed inspection procedures: i. Names or titles of personnel responsible for conducting inspections; ii. Frequency and location of inspections, and procedures to assure that the selected locations and inspection frequency are representative of the residuals management program; and iii. Description of record keeping and actions to be taken by the inspector in the event that noncompliance is observed; f. Detailed sampling and monitoring procedures: i. Names or titles of personnel responsible for conducting sampling and monitoring; ii. Description of monitoring procedures including parameters to be monitored; and iii. Sampling frequency and procedures to assure that representative samples are collected. Fluctuation in temperature, flow, and other operating conditions can affect the quality of the residuals gathered during a particular sampling event. The sampling plan shall account for any foreseen fluctuations in residuals quality and indicate the most limiting times for residuals to meet pathogen and vector attraction reduction requirements. [ 15A NCAC 02T .1110(a)] 5. Upon the Water Pollution Control System Operators Certification Commission's (WPCSOCC) classification of the residuals management program, the Permittee shall designate and employ a certified operator in responsible charge (ORC), and one or more certified operators as back-up ORCs. The ORC or their back-up shall visit the facilities in accordance with 15A NCAC 08G 0204 and shall comply with all other requirement in 15A NCAC 08G 0204. [15A NCAC 02T .0117, 08G .0204] WQ0014868 Version 4.0 Shell Version 181130 Page 5 of 12 6. The Permittee shall ensure that a copy of this permit and the Division -approved Operation and Maintenance Plan is available when land applying residuals. [15A NCAC 02T .1110(b)] 7. The Permittee shall ensure that spill control provisions are available when residuals are transported or land applied. [15A NCAC 02T .1110(a)(4)] 8. Class B residuals shall not be stored or staged at any land application site without prior written approval from the Division. Class B residuals approved for storage shall be stored or staged in a manner to prevent runoff of leachate and other wastewaters generated. [ 15A NCAC 02T .11 I0(c), 02T .1110(e)] 9. Adequate measures shall be taken to prevent wind erosion and runoff from the land application sites listed in Attachment B. [15A NCAC 02T .0108(b)(1)(A)] 10. Class B residuals shall not be land applied under the following conditions: a. If the residuals are likely to adversely affect a threatened or endangered species listed under section 4 of the Endangered Species Act or its designated critical habitat; b. If the application causes nuisance conditions; c. If the land fails to assimilate the bulk residuals or the application causes the contravention of surface water or groundwater standards; d. If the land is flooded, frozen, or snow-covered, or is otherwise in a condition such that runoff of the residuals would occur; e. Within the 100-year flood elevation, unless the residuals are injected or incorporated within a 24- hour period following a residuals land application event; f. During precipitation events, or within 24 hours following a rainfall event of 0.5 inches or greater in a 24-hour period; g. If the slope of the land is greater than 10% when liquid residuals are surface applied, or if the slope of the land is greater than 18% when liquid residuals are injected or incorporated; h. If the land does not have an established vegetative cover crop unless the land is a Division -approved no -till site, or the residuals are incorporated within a 24-hour period following the injection or application of residuals; i. If the vertical separation of the seasonal high water table and the depth of residuals application is less than one foot; j. If the vertical separation of the depth to bedrock and the depth of residuals application is less than one foot; k. If the application exceeds agronomic rates; 1. If the land application sites are located within a WS-I watershed pursuant to 15A NCAC 02B .0212 or within the Critical Area of a WS-II pursuant to Sub -Item (4)(g) of Rule 15A NCAC 02B .0212, or within the Critical Area of a WS-III or WS-IV watershed pursuant to Sub -Item (4)(h) of Rules 15A NCAC 02B .0215, and .0216. [ 15A NCAC 02T. 1109(a)(1)] WQ0014868 Version 4.0 Shell Version 181130 Page 6 of 12 11. Class B land application sites shall have the following public access restrictions: a. Public access to public contact sites shall be restricted for one calendar year after a residuals land application event; b. Public access to non-public contact sites shall be restricted for 30 days after a residuals land application event; c. Public access to land associated with a dedicated land application site shall be restricted continuously while the land is permitted for active use, and for one calendar year after the final land application of residuals. [15A NCAC 02T .1109(a)(2)] 12. Class B land application sites shall have the following harvesting and grazing restrictions: a. Animals shall not be allowed to graze on land for 30 calendar days after any land application of residuals; b. Food crops, feed crops, and fiber crops shall not be harvested for 30 calendar days after any land application of residuals; c. Food crops with harvested parts that touch the mixture of residuals and soil and are totally above the land surface shall not be harvested for 14 months after any land application of residuals; d. Food crops with harvested parts below the land surface shall not be harvested for 20 months after any land application of residuals if the residuals remain on the land surface for four months or longer prior to incorporation into the soil; e. Food crops with harvested parts below the land surface shall not be harvested for 38 months after any land application of residuals if the residuals remain on the land surface for less than four months prior to incorporation into the soil; and f. Turf grown on land where residuals are applied shall not be harvested for one calendar year after any land application of residuals. [I 5A NCAC 02T .1109(a)(3)] 13. The Pennittee shall acquire from each landowner or lessee/operator a statement detailing the volume of other nutrient sources (i.e., manufactured fertilizers, manures, or other animal waste products) that have been applied to the site, and a copy of the most recent Nutrient Management Plan (NMP) for those operations where a NMP is required by the US Department of Agriculture — National Resources Conservation Service (NRCS) or other State Agencies. The Permittee shall calculate allowable nutrient loading rates based on the provided information and use appropriate reductions. For the purpose of this permit condition, a Crop Management Plan (CMP), Waste Utilization Plan (WUP) or Certified Nutrient Management Plan (CNMP) shall also be considered a Nutrient Management Plan. [15A NCAC 02T .0108(b)(1)(A), 02T .1104(c)(3)] 14. Class B residuals shall not be land applied to the fields listed in Attachment B unless the Land Owner Agreement between the Permittee and the respective field owners or lessees/operators of the land application site is valid. The Land Owner Agreements shall expire concurrent with the permit expiration date of August 31, 2024. [15A NCAC 02T .1104(c)(4)] WQ0014868 Version 4.0 Shell Version 181130 Page 7 of 12 IV. MONITORING AND REPORTING REQUIREMENTS The Permittee shall conduct and report any Division required monitoring necessary to evaluate this program's impact on groundwater and surface water. [15A NCAC 02T .0108(c)] 2. The residuals from each source generating facility shall be analyzed to demonstrate they are non- hazardous under the Resource Conservation and Recovery Act (RCRA). Residuals that test or are classified as a hazardous or toxic waste under 40 CFR Part 261 shall not be land applied. The analyses (i.e., corrosivity, ignitability, reactivity, and toxicity characteristic leaching procedure (TCLP)) shall be performed at the frequency specified in Attachment A, and the Permittee shall maintain these results for five years. Any exemptions from the requirements in this condition shall be specified in Attachment A. The TCLP analysis shall include the following parameters, and the Federal regulatory level (mg/L) is in parentheses: Arsenic 1,4-Dichlorobenzene (7.5) Nitrobenzene (2.0) Barium 1,2-Dichloroethane (0.5) Pentachlorophenol (100.0) Benzene 1, 1 -Dichloroethylene (0.7) Pyridine (5.0) Cadmium 2,4-Dinitrotoluene (0.13) Selenium (1.0) Carbon tetrachloride (0.5) Endrin (0.02) Silver (5.0) Chlordane (0.03) Heptachlor (and its epoxide) 0.008 Tetrachloroethylene (0.7) Chlorobenzene (100.0) Hexachlorobenzene (0.13) Toxaphene (0.5) Chloroform (6.0) Hexachlorobutadiene (0.5) Trichloroethylene (0.5) Chromium (5.0) Hexachloroethane (3.0) 2,4,5-Trichlorophenol (400.0) m-Cresol (200.0) Lead (5.0) 2,4,6-Trichlorophenol (2.0) o-Cresol (200.0) Lindane (0.4) 2,4,5-TP (Silvex) (1.0) p-Cresol (200.0) Mercury (0.2) Vinyl chloride (0.2) Cresol (200.0) Methoxychlor (10.0) 2,4-D (10.0) Methyl ethyl ketone (200.0) Once the residuals have been monitored for two years at the frequency specified in Attachment A, the Permittee may submit a permit modification request to reduce the frequency of this monitoring requirement. In no case shall the monitoring frequency be less than once per permit cycle. [15A NCAC 13A .0102(b), 02T .1101, 02T .1105] WQ0014868 Version 4.0 Shell Version 181130 Page 8 of 12 3. The residuals from each source generating facility shall be analyzed at the frequency specified in Attachment A, and the Permittee shall maintain the results for a minimum of five years. Each analysis shall include the following parameters: Aluminum Mercury Potassium Ammonia -Nitrogen Molybdenum Selenium Arsenic Nickel Sodium Cadmium Nitrate -Nitrite Nitrogen Sodium Adsorption Ratio (SAR) Calcium Percent Total Solids TKN Copper pH Zinc Lead Phosphorus Magnesium Plant Available Nitrogen (by calculation) [15A NCAC 02T. I 10 1] 4. Residuals shall be monitored for compliance with pathogen and vector attraction reduction requirements at the frequency specified in Attachment A. The monitoring results shall specify the stabilization process utilized, and demonstrate compliance with the Class B pathogen reduction requirements in 15A NCAC 02T .1106(b), and one vector attraction reduction requirement in 15A NCAC 02T .1107(a) shall be met. Any exemptions from the requirements in this condition shall be specified in Attachment A. [15A NCAC 02T .1106(b), 02T .1107(a), 02T .1111(c)] An annual representative soils analysis (i.e., Standard Soil Fertility Analysis) shall be conducted on each land application site listed in Attachment B that received residuals during the calendar year. This analysis shall be in accordance with the soil sampling guidance located in the Sampling Instructions section of the NC Department of Agriculture & Consumer Services' website (http://www.nca-r.aov/aeronomi/nubs.htm). The Permittee shall maintain these results for a period of no less than five years, and these results shall be made available to the Division upon request. Each Standard Soil Fertility Analysis shall include the following parameters: Acidity Exchangeable Sodium Percentage Phosphorus Base Saturation (by calculation) Magnesium Potassium Calcium Manganese A Sodium Cation Exchange Capacity Percent Humic Matter Zinc Copper pH [15A NCAC 02T .0108(c), 15A NCAC 02T .1111(d)] 6. Representative samples of residuals that are prepared for land application shall be collected and analyzed. [ 15A NCAC 02T .1111(a)] WQ0014868 Version 4.0 Shell Version 181130 Page 9 of 12 7. The Permittee shall maintain records for all residual land application events. These records shall include the following: a. Residuals source (as listed in Attachment A); b. Date of application; c. Location of land application (field name as listed in Attachment B); d. Approximate acreage applied; e. Method of application; f. Weather conditions; g. Dominant soil series; h. Soil conditions; i. Proposed crop; j. Nitrogen Application Rate based on RYES; k. Volume of residuals applied per acre in gallons, cubic yards, dry tons, or wet tons; 1. Volume of animal waste or other nutrient source applied per acre in gallons, cubic yards, dry tons, or wet tons; in. Volume of soil amendments applied per acre in gallons, cubic yards, dry tons, or wet tons; and n. Annual and cumulative totals applied to each field for the following: i. Class A and Class B residuals (dry tons per acre); ii. Animal waste and other sources of nutrients (dry tons per acre); iii. Heavy metals as specified in Condition II.5. (pounds per acre); iv. Plant available nitrogen (pounds per acre); and v. Phosphorus (pounds per acre). [15A NCAC 02T .0108(c)] One hard copy and one electronic copy of an annual report shall be submitted on or before March 111 The annual report shall meet the requirements described in the Instructions for Residuals Application Annual Reporting Forms. Instructions for reporting and annual report forms are available at http://deg.nc.gov/about/divisions/water-resources/water-resources-permits/wastewater-branch/non- discharge-permitting-unit/reportin -forms, or can be obtained by contacting the Non -Discharge Branch directly. The annual report shall be submitted to the following address: Division of Water Resources Information Processing Unit 1617 Mail Service Center Raleigh, North Carolina 27699-1617 [15A NCAC 02T .1111(d)] 9. Noncompliance Notification The Permittee shall report to the Fayetteville Regional Office, telephone number (910) 433-3300, within 24 hours of first knowledge of the: a. Any process unit failure (e.g., mechanical, electrical, etc.) rendering the facility incapable of adequate residual treatment. b. Any failure resulting in a discharge to surface waters. c. Any time self -monitoring indicates the program has gone out of compliance with its permit limitations. d. Land application of residuals abnormal in quantity or characteristic. e. Any discharge from a vehicle or piping system transporting residuals. Emergencies requiring reporting outside normal business hours shall call the Division's Emergency Response personnel at telephone number (800) 662-7956, (800) 858-0368, or (919) 733-3300. All noncompliance notifications shall file a written report to the Fayetteville Regional Office within five days of first knowledge of the occurrence, and this report shall outline the actions proposed or taken to ensure the problem does not recur. [15A NCAC 02T .0108(b)(1)(A)] WQ0014868 Version 4.0 Shell Version 181130 Page 10 of 12 V. INSPECTIONS 1. The Permittee shall perform inspections and maintenance to ensure proper operation of the storage, distribution, and application facilities. [15A NCAC 02T .1110(f)] 2. The Permittee shall inspect the residuals storage, transport, and application facilities to prevent malfunctions, facility deterioration, and operator errors that may result in discharges of wastes to the environment, threats to human health, or public nuisances. The Permittee shall maintain an inspection log that includes the date and time of inspection, observations made, and maintenance, repairs, or corrective actions taken. The Permittee shall maintain this inspection log for a period of five years from the date of inspection, and this log shall be made available to the Division upon request. [15A NCAC 02T .0 1 08(b)(1)(A), 02T .1110(f)] 3. Division authorized representatives may, upon presentation of credentials, enter and inspect any property, premises, or place related to the land application sites or facilities permitted herein at any reasonable time for determining compliance with this permit. Division authorized representatives may inspect or copy records maintained under the terms and conditions of this permit, and may collect groundwater, surface water, or leachate samples. [G.S. 143-215.3(a)(2)] VI. GENERAL CONDITIONS 1. Failure to comply with the conditions and limitations contained herein may subject the Permittee to a Division enforcement action. [G.S. 143-215.6A, 143-215.613, 143-215.6C] 2. This permit is effective only with respect to the nature and volume of wastes described in the permit application, and Division -approved plans and specifications. [G.S. 143-215.1(d)] 3. Unless specifically requested and approved in this permit, there are no variances to administrative codes or general statutes governing the construction or operation of the facilities permitted herein. [15A NCAC 02T .0105(n)] 4. The issuance of this permit does not exempt the Permittee from complying with all statutes, rules, regulations, or ordinances that other jurisdictional government agencies (e.g., local, state, and federal) may require. [15A NCAC 02T .0105(c)(6)] 5. If the permitted residuals program change ownership, or the Permittee changes their name, the Permittee shall submit a permit modification request on Division -approved forms. The Permittee shall comply with all terms and conditions of this permit until the permit is transferred to the successor - owner. [G.S. 143-215.1(d3)] WQ0014868 Version 4.0 Shell Version 181130 Page 11 of 12 6. This permit is subject to revocation or modification upon 60-day notice from the Division Director, in whole or part for: a. violation of any terms or conditions of this permit or Administrative Code Title 15A Subchapter 02T; b. obtaining a permit by misrepresentation or failure to disclose all relevant facts; c. the Permittee's refusal to allow authorized Department employees upon presentation of credentials: i. to enter the Permittee's premises where a system is located or where any records are required to be kept; ii. to have access to any permit required documents and records; iii. to inspect any monitoring equipment or method as required in this permit; or iv. to sample any pollutants; d. the Permittee's failure to pay the annual fee for administering and compliance monitoring; or e. a Division determination that the conditions of this permit are in conflict with North Carolina Administrative Code or General Statutes. [15A NCAC 02T .0110] 7. Unless the Division Director grants a variance, expansion of the facilities permitted herein shall not occur if any of the following apply: a. The Permittee or any parent, subsidiary, or other affiliate of the Permittee has been convicted of environmental crimes under G.S. 143-215.6B, or under Federal law that would otherwise be prosecuted under G.S. 143-215.613, and all appeals of this conviction have been abandoned or exhausted. b. The Permittee or any parent, subsidiary, or other affiliate of the Permittee has previously abandoned a wastewater treatment facility without properly closing the facility. c. The Permittee or any parent, subsidiary, or other affiliate of the Permittee has not paid a civil penalty, and all appeals of this penalty have been abandoned or exhausted. d. The Permittee or any parent, subsidiary, or other affiliate of the Permittee is currently not compliant with any compliance schedule in a permit, settlement agreement, or order. e. The Permittee or any parent, subsidiary, or other affiliate of the Permittee has not paid an annual fee. [15A NCAC 02T .0120(b), 02T .0120(d)] 8. This permit shall not be renewed if the Permittee or any affiliation has not paid the required annual fee. [15A NCAC 02T .0120(c)] Permit issued this the 101 day of June 2019 NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION �mda Culpepper, Director v Division of Water Resources By Authority of the Environmental igement Commission Permit Number WQ0014868 WQ0014868 Version 4.0 Shell Version 181130 Page 12 of 12 ATTACHMENT A — APPROVED RESIDUAL SOURCES Smithfield Fresh Meats Corp. Certification Date: June 10, 2019 Permit Number: WQ0014868 Version: 4.0 Monitoring Monitoring Monitoring Permit Biological Maximum Frequency for Frequency for Frequency for Approved Owner Facility Name County Number Residuals Dry Tons Non -hazardous Metals and Pathogen & Mineralization per Year � Characteristics s Nutrients Vector Attraction Rate Reductions 4, s Smithfield Fresh Meats Corp. Tar Heel WWTP Bladen I NCO078344 Yes 2,050 Annually See Table Below See Table Below 0.2 Total 2,050 I. Maximum Dry Tons per Year is the amount of residuals approved for land application from each permitted facility. 2. Analyses to demonstrate that residuals are non -hazardous (i.e., TCLP, ignitability, reactivity, and corrosivity) as stipulated under permit Condition IV.2. 3. Testing of metals and nutrients as stipulated under permit Condition IV.3. 4. Analyses of pathogen and vector attraction reductions as stipulated under permit Condition IVA. 5. Monitoring frequencies are based on the actual dry tons applied per year using the table below, unless specified above. Dry Tons Applied Monitoring Frequency Dry Tons Applied (metric tons) (short tons per year) (40 CFR 503 and 15A NCAC 02T .1111(c)) < 290 < 319 Once per year (Annually) > 290 to < 1,500 > 319 to < 1,650 Once per quarter (4 x Year) > 1,500 to < 15,000 >_ 1,650 to < 16,500 Once per 60 days (6 x Year) > 15,000 >_ 16,500 Once per month (12 x Year) If no land application events occur during a required sampling period (e.g., no land application occur during an entire year when annual monitoring is required), then no sampling data is required during the period of inactivity. The annual report shall include an explanation for missing sampling data. Those required to submit the annual report to United States Environmental Protection Agency (US EPA) may be required to make up the missed sampling. Contact the US EPA for additional information. WQ0014868 Version 4.0 Attachment A Page 1 of 1 ATTACHMENT B - APPROVED LAND APPLICATION SITES Smithfield Fresh Meats Corp. - Smithfield Fresh Meats Corp. RLAP Certification Date: June 10, 2019 Permit Number: WQ0014868 Version: 4.0 Field Owner Lessee County Latitude Longitude Net Acreage Dominant Soil Series Footnotes SF03-01 Dunham, Steven H. Bladen 34.7355920 -78.7183970 21.6 LaB - Lakeland 1 SF03-02 Dunham, Steven H. Bladen 34.7378000 -78.7196920 13.3 Ce - Centenary I SF03-03 Dunham, Steven H. Bladen 34.7389250 -78.721558' 21.3 Ce - Centenary I SF03-04 Dunham, Steven H. Bladen 34.7375310 -78.7244470 19.0 Wh- Wasda 1 SF03-05 Dunham, Steven H. Bladen 34.7357250 -78.7219420 8.0 LaB - Lakeland 1 SF03-06 Dunham, Steven H.; Dunham, John W. Bladen 34.7233670 -78.7257810 16.5 LaB - Lakeland 2 SF03-07 Dunham, Steven H. Dunham, Steven H. Bladen 34.7239110 34.7192890 -78.739514' 37.2 WmB - Wickham 3 SF07-01 Burney, J. W., Jr. Bladen -78.7399830 21.8 Aa - Altavista 4 SF07-03 Burney, J. W., Jr. Dunham, Steven H. Bladen 34.7208610 -78.7357580 12.3 Aa - Altavista 4 SF07-06 Burney, J. W., Jr. Dunham, Steven H. Bladen 34.7260310 -78.7311830 19.3 WmB - Wickham 5 SF07-08 Burney, J. W., Jr. Dunham, Steven H. Bladen 34.7272250 -78.7287970 12.1 Aa - Altavista 5 SF07-09 Meeker, Bonnie M. Dunham, Richard Bladen 34.7288580 -78.7297560 21.3 WmB - Wickham 5 SF07-14 Meeker, Bonnie M. Dunham, Richard Dunham, Richard Bladen 34.7320970 -78.7240170 7.5 LaB - Lakeland 6 SF07-15 Meeker, Bonnie M. Bladen 34.7309690 -78.7274190 3.0 At - Augusta 6 SF I O-01 Butler, Murdock M., Jr. Bladen 34.7754690 -78.8196280 53.0 NoA - Norfolk 7 SF10-02 Butler, Murdock M., Jr. Bladen 34.7921280 -78.8265670 45.0 AuA - Autryville 8 SF 10-03 Butler, Murdock M., Jr. Bladen 34.7898560 -78.8292720 31.0 NoA - Norfolk 8 SF 12-01 King, Hinton McCall, Jr. Bladen 34.805653° 1 -78.860608' 49.0 NoA - Norfolk 9 Total for Bladen County 412.2 SF06-01 Tyson, Vance U., Jr. Cumberland 34.9302940 -78.8495500 5.5 AuA - Autryville 10 SF06-02 Tyson, Vance U., Jr. Cumberland 34.9286360 -78.849744° 31.1 AuA - Autryville 10 SF06-03 Tyson, Vance U., Jr. Cumberland 34.9272610 -78.8399890 64.5 De - Deloss I I SF06-04 Tyson, Vance U., Jr. Cumberland 34.9282970 -78.8365670 35.0 De - Deloss 12 SF06-05 Tyson, Vance U., Jr. Cumberland 34.9306560 -78.8325640 34.0 De - Deloss 12 SF06-06 Tyson, Vance U.> Jr. Y Cumberland 34.9246640 -78.8322190 79.0 De -Deloss 13 WQ0014868 Version 4.0 Attachment B Page 1 of 2 ATTACHMENT B — APPROVED LAND APPLICATION SITES Smithfield Fresh Meats Corp. — Smithfield Fresh Meats Corp. RLAP Certification Date: June 10, 2019 Permit Number: WQ0014868 Version: 4.0 Field Owner Lessee County Latitude Longitude Net Acrea a Dominant Soil Series Footnotes SF06-07 Tyson, Vance U., Jr. Cumberland 34.931061° -78.823842° 77.0 De - Deloss 14 Total for Cumberland County 326.1 SF08-01 King, Linda Lou; Sellers, Sheila Ann King Robeson 34.7474080 -78.8872970 7.5 GoA - Goldsboro 15 SF08-02 King, Linda Lou; Sellers, Sheila Ann King Robeson 34.7456810 -78.8843580 17.0 GoA - Goldsboro 15 SF08-03 King, Elizabeth; King, Hinton McCall; King, Robeson 34.7503920 -78.8811000 89.5 MaA - Marlboro 16 Hinton McCall, Jr. SF08-04 King, Hinton McCall; King, Elizabeth C. Robeson 34.7222890 -78.917450° 64.5 NoA - Norfolk 17 SF08-05 King, Hinton McCall Robeson 34.722322° -78.9296190 46.5 GoA - Goldsboro 18 SF08-06 King, Hinton McCall Robeson 34.7307670 -78.931106' 21.5 NoA - Norfolk 19 SF08-07 King, Hinton McCall; King, Elizabeth C. Robeson 34.7224080 -78.9429670 37.0 GoA - Goldsboro 20 SF08-09 King, Hinton McCall; King, Elizabeth C. Robeson 34.7791060 -78.9651440 45.0 Co - Coxville 21 SF09-01 Musselwhite Family Trust; Wayland P. King, Hinton McCall Robeson 34.7947440 -78.9305190 36.0 WaB - Wagram 22,24 Musselwhite Trustee SF09-02 Musselwhite Family Trust; Wayland P. King, Hinton McCall Robeson 34.7969060 -78.9351130 27.5 GoA - Goldsboro 22,24 Musselwhite Trustee SF09-03 Musselwhite Family Trust; Wayland P. King, Hinton McCall Robeson 34.7890720 -78.9288360 9.5 WaB - Wagram 23 Musselwhite Trustee SF09-04 Musselwhite Family Trust; Wayland P. King, Hinton McCall Robeson 34.7873140 -78.9319280 25.0 WaB - Wagram 23 Musselwhite Trustee Total for Robeson County 426.5 Total 1,164.8 1 to 23. See Figures 1 to 23, respectively. 24. Residuals to be injected. WQ0014868 Version 4.0 Attachment B Page 2 of 2 RSC Form RESIDUALS SOURCE FACILITY SUMMARY Applicant's name: Smithfield Fresh Meats Status Code a Facility Permit Holder Facility Name County Permit Number Maximum Dry Tons Per Year Current n Proposed R Smithfield Fresh Meats Corp Tar Heel WWTP Bladen NCO078344 2050 2050 'Status Code for source facility are: ♦ N (New) ♦ R (Renewed) ♦ M (Modified) ♦ D (Deleted) b The amount of residuals currently permitted for distribution, land application, or disposal (i.e, not applicable to new facility). SUMMARY FOR FORM: RSC 06-16 Page 1 DWR Division of Water Resources State of North Carolina Department of Environmental Quality Division of Water Resources INDfy11111.11& 9111;iyD[y11;71YIWrey.1%ND ►I FORM: RSC 06-16 I. RESIDUALS SOURCE -GENERATING FACILITY INFORMATION (See Instruction B.): 1. Facility Name: Smithfield Fresh Meats Corp — Tarheel WWTP 2. Facility permit holder is: ❑ Federal, ❑ State, ❑ Local Government, or ® Private. Facility permit issued by: ® Div. of Water Resources, Div. of Environmental Health, or ❑ Other (explain: ). 3. Facility contact person and title: Robert Harris — Environmental Manager Complete mailing address: PO Box 99 City: Tar Heel State: NC Zip: 28392-0099 Telephone number: (810) 862-7675 E-mail address: rharrisksmithfield.com 4. Facility physical address: 15855 NC-87 City: Tarheel State: NC Zip: 28392 Coordinates: Latitude: 34' 44' 46" Longitude: 78. 48' 32" Datum: NAD83 Level of accuracy: Nearest Second Method of measurement: GPS 5. Purpose of the facility: ❑ treatment of municipal wastewater, treatment of 100% domestic wastewater, ❑ treatment of potable water, treatment of 100% industrial wastewater, ❑ treatment of industrial wastewater mixed with domestic wastewater, (approximate percentages: % industrial and __j % domestic) other (explain: ). 6. Does the facility have an approved pretreatment program: Yes ® No 7. Facility permitted/design flow: 3 MGD and facility average daily flow: 2.61 MGD 8. Average amount of residuals being generated at this facility 1000 dry tons per year. 9. Specify the following regarding treatment and storage volumes available at the facility: Type and volume of residuals treatment: Two 13MG anaerobic digesters (Covered Lagoons) Type and volume of residuals storage (i.e., outside of residuals treatment units): The large capacity of the anaerobic lagoons also serve as the residuals storaae of the solids. Note: Waste activated sludae is sent to a separate tank and dewatered and hauled to the landfill II. RESIDUALS QUALITY INFORMATION (See Instruction C.): 1. Specify if residuals are regulated under 40 CFR Part 503 or ® 40 CFR Part 257. Note: Only residuals that are generated during domestic/municipal wastewater treatment processes are regulated under 40 CFR Part 503, otherwise, the residuals are regulated under 40 CFR Part 257. 2. Specify if residuals are defined under 15A NCAC 02T.1102(6) as: ® Biological 0 Non -Biological FORM: RSC 06-16 Page 1 of 5 Note: Biological residuals are residuals that have been generated during the treatment of domestic wastewater, animal processing wastewater, or the biological treatment of industrial wastewater (biological treatment is a system that utilizes biological processes including lagoons, activated sludge systems, extended aeration systems, and fixed film systems). 3. Hazardous Waste Determination: Complete the following to demonstrate that the residuals are non -hazardous under RCRA: (Note - this item does not have to be completed for facilities that are less than 0.5 MGD in design flow that treat 100% non -municipal, domestic wastewater only) a. Are the residuals listed in 40 CFR §261.31-§261.33: ❑ yes ® no. If yes, list the number(s): 3- b. Specify whether or not the residuals exhibit any of the characteristics defined by 40 CFR §261.21- 261.24: ❑ yes ® no. Fill in the following tables with the results of the latest toxicity characteristic leaching procedure (TCLP) analysis as well as those for corrosivity, ignitability, and reactivity: Laboratory: Pace Analytical and Date of analysis: 01/25/2023 Passed corrosivity test: ® yes ❑ no. pH: s.u. (2 <pH < 12.5) Passed ignitability test: ® yes W no. Flashpoint: >170 OF (> 140°F) Passed reactivity test: l' yes Ono. HCN: <0.25 mg/kg (<250) & H2S: <75 mg/kg (<500) TCLP Parameter Limit (mg//) Result (mgfi) TCLP Parameter Limit (mgfi) Result (mgfi) Arsenic 5.0 ND Hexachlorobenzene 0.13 ND Barium 100.0 ND Hexachloro-1,3-Butadiene 0.5 ND Benzene 0.5 ND Hexachloroethane 3.0 ND Cadmium 1.0 ND Lead 5.0 ND Carbon Tetrachloride 0.5 ND Lindane 0.4 ND Chlordane 0.03 ND Mercury 0.2 ND Chlorobenzene 100.0 ND Methoxychlor 10.0 ND Chloroform 6.0 ND Methyl Ethyl Ketone 200.0 ND Chromium 5.0 ND Nitrobenzene 2.0 ND m-Cresol 200.0 ND Pentachlorophenol 100.0 ND o-Cresol 200.0 ND Pyridine 5.0 ND p-Cresol 200.0 ND Selenium 1.0 ND Cresol 200.0 ND Silver 5.0 ND 2,4-D 10.0 ND Tetrachloroethylene 0.7 ND 1,4-Dichlorobenzene 7.5 ND Toxaphene 0.5 ND 1,2-Dichloroethane 0.5 ND Trichloroethylene 0.5 ND 1,1-Dichloroethylene 0.7 ND 2,4,5-Trichlorophenol 400.0 ND 2,4-Dinitrotoluene 0.13 ND 2,4,6-Trichlorophenol 2.0 ND Endrin 0.02 ND 2,4,5-TP (Silvex) 1.0 ND Heptachlor and its Hydroxide 0.008 ND Vinyl Chloride 0.2 ND FORM: RSC 06-16 Page 2 of 5 4. Metals Determination: Complete one of the following tables (i.e., as applicable) to demonstrate that the residuals do not violate the ceiling concentrations for metals regulated under 15A NCAC 02T .1105. a. For Distribution/Land Application: Fill in the following table with the results of the latest analyses (i.e., on a dry weight basis) for the following metal parameters: Laboratory: Waypoint Analytical and Date of analysis: 10/17/2023 Parameter Ceiling Concentration Limits (ClassA & ClassB) (mglkg) Monthly Average Concentration Limits (Class A Only) (mglkg) Result (mglkg) Arsenic 75 41 <8.06 Cadmium 85 39 <1.61 Copper 4,300 1,500 1310 Lead 840 300 <6.45 Mercury 57 17 <0.694 Molybdenum 75 n/a <4.84 Nickel 420 420 6.26 Selenium 100 100 <11.3 Zinc 7,500 2,800 137 b. For Surface Disposal Unit (landfill): Fill in the following table with the results of the latest analyses (i.e., on a dry weight basis) for the following metal parameters: Laboratory: and Date of analysis: Distance from Disposal Unit to Boundary to Closest Property Line (meters, check one) Arsenic (mg/kg) Chromium (mg/kg) Nickel (mg/kg) ❑ > 0 but < 25 30 200 210 ❑ > 25 but < 50 34 220 240 ❑ > 50 but < 75 39 260 270 ❑ > 75 but < 100 46 300 320 ❑ > 100 but < 125 53 360 390 ❑ > 125 62 450 420 Result (mg/kg) FORM: RSC 06-16 Page 3 of 5. Nutrient/Micronutrient Determination: Complete the following: a. Total solids: 3.15 %. b. Fill in the following table with the results of the latest analyses (i.e., on a dry weight basis) for the following nutrient and micronutrient parameters: Laboratory: Waypoint Analytical and Date of analysis: 10/17/2023 Parameter Result (mglkg) Aluminum 233 Ammonia -Nitrogen 22100 Calcium 116000 Magnesium 2410 Nitrate -Nitrite Nitrogen 89.7 pH (Standard Unit) 6.7 Phosphorus 2050 Potassium 5260 Sodium 9810 Total Kjeldahl Nitrogen 66100 c. Using the results listed in Item IL 5b. above, calculate the sodium adsorption ration (SAR): 1.70 [Note: If residuals contain SAR of 10 or higher, the applicant shall obtain recommendations from the local Cooperative Extension Office, the Department of Agriculture and Consumer Services, the Natural Resource Conservation Service, a North Carolina Licensed Soil Scientist, or an agronomist, prior to land application of residuals. The recommendations shall address the sodium application rate, soil amendments (e.g., gypsum, etc.), or a mechanism for maintaining site integrity and conditions conducive to crop growth]. d. Specify the mineralization rate to be used in calculating the plant available nitrogen (PAN) of the residuals: 20 %. This rate is a (check one): ® default value, or ❑ actually established. If the residuals are not generated from the treatment of municipal or domestic wastewater, explain or provide technical justification as to why the selected default value is appropriate to be applied to these residuals: e. Calculate the PAN for the residuals (i.e., on a dry weight basis) and fill the results in the following table: Application Method First (1s) Year PAN Five -Year Maximum Adjusted PAN (mglkg) (mg/kg) Surface 19,940 25,215 Injection/Incorporation 30,990 36,265 6. Other Pollutants Determination: Specify whether or not there are any other pollutants of concern in the residuals and provide the results of the latest analyses: FORM: RSC 06-16 Page 4 of 7. Pathogen Reduction: Per 15A NCAC 02T.1106, specify how residuals will meet the pathogen reduction requirements: a. For Distribution/Land Application of Class A or Equivalent: ❑ A fecal coliform density that is demonstrated to be less than 1,000 MPN per gram of total dry solids, or ❑ A salmonella sp. density that is demonstration to be less than 3 MPN per 4 grams of total dry solids. AND one of the followings (except for non -biological residuals): ❑ Alternative 1 [15A NCAC 02T.I 106(b)(3)(A)] - Time/Temperature Compliance. ❑ Alternative 2 [15A NCAC 02T.I 106(b)(3)(B)] - Alkaline Treatment. ❑ Alternative 3 [15A NCAC 02T.I 106(b)(3)(C)] - Prior Testing for Enteric Virus/Viable Helminth Ova. ❑ Alternative 4 [15A NCAC 02T.I 106(b)(3)(D)] - No Prior Testing for Enteric Virus/Viable Helminth Ova. ❑ Alternative 5 [15A NCAC 02T.I 106(b)(3)(E)-(K)] - Process to Further Reduce Pathogens (PFRP). Specify one: ❑ composting, ❑ heat drying, ❑ heat treatment, ❑ thermophilic aerobic digestion, ❑ beta ray irradiation, ❑ gamma ray irradiation, or ❑ pasteurization. b. For Land Application of Class B: ® Alternative 1 [15A NCAC 02T.I 106(c)(1)] - Fecal Coliform Density Demonstration. ❑ Alternative 2 [15A NCAC 02T. 1106(c)(2)] - Process to Significantly Reduce Pathogens (PSRP). Specify one: ❑ aerobic digestion, N air drying, ❑ anaerobic digestion, ❑ composting, or ❑ lime stabilization. c. For Surface Disposal: ❑ Select One of the Class A or Equivalent Pathogen Reduction Alternatives in Item II. 7a. above. ❑ Select One of the Class B or Equivalent Pathogen Reduction Alternatives in Item II. 7b. above. ❑ Exempt -If Daily Cover Alternative is chosen in Item II.8. below [15A NCAC 02T.1106(a)(2)]. ❑ Not Applicable - Non -Biological Residuals with NO Domestic Wastewater Contribution. 8. Vector Attraction Reduction (VAR): Per 15A NCAC 02T.1107, specify how residuals will meet the VAR requirements: ® Alternative 1 [15A NCAC 02T.1107(a)(1)] - 38% Volatile Solids Reduction (Aerobic/Anaerobic Digestion). ❑ Alternative 2 [15A NCAC 02T.I 107(a)(2)] - 40-Day Bench Scale Test (Anaerobic Digestion). ® Alternative 3 [15A NCAC 02T.I 107(a)(3)] - 30-Day Bench Scale Test (Aerobic Digestion). ❑ Alternative 4 [15A NCAC 02T.I 107(a)(4)] - Specific Oxygen Uptake Rate Test (Aerobic Digestion). ❑ Alternative 5 [15A NCAC 02T.I 107(a)(5)] - 14-Day Aerobic Processes. ❑ Alternative 6 [15A NCAC 02T. 1107(a)(6)] - Alkaline Stabilization. ❑ Alternative 7 [15A NCAC 02T. 1107(a)(7)] - Drying of Stabilized Residuals. ❑ Alternative 8 [15A NCAC 02T. 1107(a)(8)] - Drying of Unstabilized Residuals. ❑ Alternative 9 [15A NCAC 02T.I 107(a)(9)] - Injection. ❑ Alternative 10 [15A NCAC 02T.I 107(a)(10)] - Incorporation. ❑ Alternative for Surface Disposal Units Only - Soil/Other Material Cover [15A NCAC 02T.I 107(b)(2)]. ❑ Not Applicable - Non -Biological Residuals with NO Domestic Wastewater Contribution. Note: For animal processing residuals, only alternatives 9 or 10 may be chosen due to the nuisance conditions that typically occur when these residuals are applied and left on the land surface. FORM: RSC 06-16 Page 5 of Vicinity Map Data use subject to license. TN © Del-orme. XMap® 8. MN (9.1° ) www.delorme.com L20 oogle Earth 8 Google Process Flow Diagram Kill Facility Methanol addition Anoxic Basins (3) Chlorine Addition Emergency Storage Kill Facility Primary Lift Station Internally fed Screens (3) Aerobic basins (4) 1 Re -Air Basin - Sanitary EQ Basin V Ram Process Pump DAF Clarifiers (4) "Fuzzy Filters" (4) Sludge Wasting to Storage basin Reuse feed to Refrigeration condensors UV Disinfection I - DAVCO package Plant Rendering Anaerobic Lagoons Centrifuge Fat and Land Applied Solids Water Reuse (1MM I I Kill Facility Belt Press Landfill - electrical generation Primary Lift Station to River Sludge Haul to PWC Quantitative Justification Quantitative Justification for Residuals Production Rate Facility: Smithfield Fresh Meats, Inc. Requested Permitted Rate: 2,050 dry tons/year Justification: Smithfield currently produces roughly 1,000 dry tons of biosolids, based on the calculations below. Calculations: Based on rule -of -thumb that average daily flow is approximate to annual volume of residuals produced; most recent sampling data showed 4% residual solids. The remaining dry tons will be used as needed for dredges and cleanouts. (6,000,000 gal/yr) x (4% solids) x (8.34 Ibs/gal) = 1,000 dt/yr (2,000 Ibs/ton) Laboratory Analytical Reports Waypointo ANALYTICAL 11 /7/2023 EMA Resources Inc Mr. Brent Collins 755 Yadkinville Rd Mocksville, NC, 27028 2790 Whitten Road, Memphis, TN 38133 Main 901.213.2400 ° Fax 901.213.2440 www.waypointanalytical.com Ref: Analytical Testing Revised Lab Report Number: 23-291-9074 (Original Report 23-291-0074) Client Project Description: Smithfield Dear Mr. Brent Collins: Waypoint Analytical, LLC. received sample(s) on 10/18/2023 for the analyses presented in the following report. The above referenced project has been analyzed per your instructions. The analyses were performed in accordance with the applicable analytical method. Where the laboratory was not responsible for the sampling stage (refer to the chain of custody) results apply to the sample as received. The analytical data has been validated using standard quality control measures performed as required by the analytical method. Quality Assurance, method validations, instrumentation maintenance and calibration for all parameters (NELAP and non-NELAP) were performed in accordance with guidelines established by the USEPA (including 40 CFR 136 Method Update Rule May 2021) and NELAC unless otherwise indicated. Any parameter for which the laboratory is not officially NELAP accredited is indicated by a '—'symbol. These are not included in the scope because NELAP accreditation is either not available or has not been applied for. Additional certifications may be held/are available for parameters, where NELAP accreditation is not required or applicable. A full list of certifications is available upon request. Certain parameters (chlorine, pH, dissolved oxygen, sulfite...) are required to be analyzed within 15 minutes of sampling. Usually, but not always, any field parameter analyzed at the laboratory is outside of this holding time. Refer to sample analysis time for confirmation of holding time compliance. The results are shown on the attached Report of Analysis(s). Results for solid matrices are reported on an as - received basis unless otherwise indicated. This report shall not be reproduced except in full and relates only to the samples included in this report. Please do not hesitate to contact me or client services if you have any questions or need additional information. Sincerely, Connie Cook Project Manager Laboratory's liability in any claim relating to analyses performed shall be limited to, at laboratory's option, repeating the analysis in question at laboratory's expense, or the refund of the charges paid for performance of said analysis. Page 1 of 7 Waypointo ANALYTICAL 2790 Whitten Road, Memphis, TN 38133 Main 901.213.2400 0 Fax 901.213.2440 www.waypointanalytical.com Certification Summary Laboratory ID: WP MTN: Waypoint Analytical, LLC., Memphis, TN State Program Lab ID Expiration Date Alabama State Program 40750 02/29/2024 Arkansas State Program 88-0650 02/07/2024 California State Program 2904 06/30/2024 Florida State Program - NELAP E871157 06/30/2024 Georgia State Program C044 11/14/2025 Georgia State Program 04015 06/30/2024 Illinois State Program - NELAP 200078 10/31/2024 Kentucky State Program 80215 06/30/2024 Kentucky State Program KY90047 12/31/2023 Louisiana State Program - NELAP LA037 12/31/2023 Louisiana State Program - NELAP 04015 06/30/2024 Mississippi State Program MS 11/14/2025 North Carolina State Program 47701 07/31/2024 North Carolina State Program 415 12/31/2023 Pennsylvania State Program - NELAP 68-03195 05/31/2024 South Carolina State Program 84002 06/30/2024 Tennessee State Program 02027 11/14/2025 Texas State Program - NELAP T104704180 09/30/2024 Virginia State Program 00106 06/30/2024 Virginia State Program - NELAP 460181 09/14/2024 Page 1 of 1 00001/23-291-9074 Page 2 of 7 Waypoint ANALYTICAL 2790 Whitten Road, Memphis, TN 38133 Main 901.213.2400 ° Fax 901.213.2440 www.waypointanalytical.com Sample Summary Table Report Number: 23-291-9074 Client Project Description: Smithfield Lab No Client Sample ID Matrix Date Collected Date Received 89582 South Smithfield Solids 10/17/2023 08:45 10/18/2023 Page 3 of 7 Waypointo ANALYTICAL 46245 EMA Resources Inc Mr. Brent Collins 755 Yadkinville Rd Mocksville , NC 27028 Report Number : 23-291-9074 Project Smithfield Information : 2790 Whitten Road, Memphis, TN 38133 Main 901.213.2400 ° Fax 901.213.2440 www.waypointanalytical.com Original Report Date : 11/01/2023 Revised Report Date : 11/07/2023 Received : 10/18/2023 REPORT OFANALYSIS Lab No : 89582 Matrix: Solids Sample ID : South Smithfield Sampled: 10/17/2023 8:45 Test Results Units MDL MQL DF Date / Time By Analytical Analyzed Method Moisture 96.9 % 1 11/02/23 17:28 CJR SW-DRYWT Ammonia Nitrogen 22100 mg/Kg - dry 516 3230 1 10/25/23 09:08 JPJ 4500NH3C-2011 Nitrate+Nitrite-N 89.73 mg/Kg - dry 32.3 161 1 10/19/23 12:10 CLP 4500NO3F-2016 Organic N 44060 mg/Kg - dry 9161 1 10/25/23 09:08 DH CALCULATION pH 7.6 S.U. 1 10/20/2316:00 CNB 9045D Total Solids 3.15 % 0.010 0.010 1 11/02/23 17:28 CJR 2540G-2011 Total Volatile Solids 80.2 % 0.010 0.010 1 11/02/23 17:28 CJR 2540G-2011 Total Kjeldahl Nitrogen 66100 mg/Kg - dry 9160 1 11/01/23 09:13 ANH 4500NORGD-2011 Phosphorus 2050 mg/Kg - dry 90.3 161 1 10/19/23 20:51 TJS 6010D Aluminum 233 mg/Kg - dry 150 161 1 10/19/23 20:51 BKN 6010D Arsenic <8.06 mg/Kg - dry 8.06 16.1 1 10/19/23 20:51 TJS 6010D Cadmium <1.61 mg/Kg - dry 1.61 3.23 1 10/19/23 20:51 TJS 6010D Calcium <1250 mg/Kg - dry 1250 1610 1 10/19/23 20:51 TJS 6010D Chromium <8.06 mg/Kg - dry 8.06 8.06 1 10/19/23 20:51 TJS 6010D Copper 1310 mg/Kg - dry 9.68 16.1 1 10/23/23 18:37 BKN 6010D Iron 584 mg/Kg - dry 276 323 1 10/19/23 20:51 BKN 6010D Lead <6.45 mg/Kg - dry 6.45 9.68 1 10/19/23 20:51 TJS 6010D Magnesium 471 mg/Kg - dry 83.9 161 1 10/19/23 20:51 TJS 6010D Manganese 16.13 mg/Kg - dry 11.3 16.1 1 10/19/23 20:51 BKN 6010D Mercury <0.694 mg/Kg - dry 0.694 5.74 1 10/23/23 13:38 FDS 7471A Molybdenum <4.84 mg/Kg - dry 4.84 8.06 1 10/19/23 20:51 TJS 6010D Nickel 6.263 mg/Kg - dry 4.84 8.06 1 10/19/23 20:51 TJS 6010D Potassium 5260 mg/Kg - dry 200 323 1 10/19/23 20:51 BKN 6010D Qualifiers/ DF Dilution Factor J Estimated value Definitions MQL Method Quantitation Limit Page 4 of 7 Waypointo ANALYTICAL 46245 EMA Resources Inc Project Smithfield Mr. Brent Collins 755 Yadkinville Rd Information Mocksville , NC 27028 2790 Whitten Road, Memphis, TN 38133 Main 901.213.2400 ° Fax 901.213.2440 www.waypointanalytical.com Original Report Date : 11/01/2023 Revised Report Date : 11/07/2023 Received : 10/18/2023 Report Number : 23-291-9074 REPORT OFANALYSIS Lab No : 89582 Sample ID : South Smithfield Matrix: Solids Sampled: 10/17/2023 8:45 Test Results Units MDL MQL DF Date / Time By Analytical Analyzed Method Selenium <11.3 mg/Kg - dry 11.3 16.1 1 10/19/23 20:51 TJS 6010D Sodium 12900 mg/Kg - dry 419 806 1 10/19/23 20:51 TJS 6010D Zinc 137 mg/Kg - dry 27.4 40.3 1 10/19/23 20:51 TJS 6010D Sulfur 1580 mg/Kg - dry 168 323 1 10/19/23 20:51 TJS 6010D Sodium Absorption Ratio 22.5 Ratio 0.01 0.01 1 10/19/23 20:51 CALCULATION Qualifiers/ DF Dilution Factor Definitions J Estimated value Page 5 of 7 s WayPAoi nt ..(2) �79p Whitten Road,3.240 Memphis, TN 38133 21.2440 Main 901.213.240fl °Fax 901.213.2440 N A LYT I C A L www.waypointanalytical.com Shipment Receipt Form Customer Number: 46245 Customer Name: EMA Resources Inc Report Number: 23-291-0074 Shipping Method 0 Fed Ex 0 US Postal 0 Lab 0 UPS 0 Client 0 Courier 0 Other: Thermometer ID: IT99 Shipping container/cooler uncompromised? * Yes 0 No Number of coolers/boxes received Custody seals intact on shipping container/cooler? 0 Yes 0 No Not Present Custody seals intact on sample bottles? 0 Yes 0 No Not Present Chain of Custody (COC) present? # Yes 0 No COC agrees with sample label(s)? # Yes 0 No COC properly completed # Yes 0 No Samples in proper containers? # Yes 0 No Sample containers intact? # Yes 0 No Sufficient sample volume for indicated test(s)? # Yes 0 No All samples received within holding time? # Yes 0 No Cooler temperature in compliance? # Yes 0 No Cooler/Samples arrived at the laboratory on ice. Samples were considered acceptable as cooling process had begun. # Yes 0 No Water - Sample containers properly preserved 0 Yes 0 No N/A Water - VOA vials free of headspace 0 Yes 0 No N/A Trip Blanks received with VOAs 0 Yes 0 No N/A Soil VOA method 5035 — compliance criteria met 0 Yes 0 No 0 N/A F_ High concentration container (48 hr) F_ High concentration pre -weighed (methanol -14 d) F_ Low concentration EnCore samplers (48 hr) F_ Low conc pre -weighed vials (Sod Bis -14 d) Special precautions or instructions included? 0 Yes * No Comments: Signature: ICarleen Qualls Date & Time: 10/18/2023 11:35:32 Page 6 of 7 � N ai Y LL {l7 E E E J 10 O a r 0 U � F F 0 o U N L QJ W M1� O o U G7 3 � ry v j d ry v s Qz=Nxa� c, E U Z ❑ O a m v 2 Q v ❑ rQ1 2 6J m y oa g 7t O V p m o fl o f a s c jT c-ti u u s a z s x x u Q 0 yV ]C 7 0-0 ❑ a u LL [II QL 0 x Q} a.+ R 33a w [4 5❑¢ in ¢ m V❑ u u l7 z w w cc u Q N r z z G a r LL. N ❑ M a a a Q N a a ❑ m w m 3 O V i £E n 1 2 V 7 N R i aw°J n S snl v _0 Em E v � — �I --I L ° D r a i� ❑ a i a m V c m Q ❑ m ❑ m a m J 0 Sp!lOs Ielol C N 3v CL N N 'J'ue6ap/aeJI!N ¢o m o L[7 Y 2 -E -r- of ai - c0 o w E E ?iuvwwy1N311 ❑ u ? d � C x u t�0�09i slE'}ajN z z z y v a 2p C) a` C7 l7 L7 Q o Cl y a v a [AaN of as}aV] xu;eVy y v� v l � n 1 �d Q . IS ^y �h wauip;uo3;o-jagtunN N C 10 V—_— L- V N a m o s to c a I c o !� m ¢ o t rp C w Cam. E d L d ❑ 11 w� d a V m 0. V a �] ❑ a y o a 7t a d ° co J S `a cr m a ?{) = ❑ J M 3 Vn 7 V N �n �'j a �q vZc E , \- o m01 m 7_ r a a Y m v ary c w LO d iO C ❑ Q LJn� ¢` Page 7 of 7 Meritech, Inc. Environmental Laboratory Laboratory Certification No. 165 0 Contact: Brent Collins Client: EMA Resources, Inc 755 Yadkinville Road Mocksville, NC 27028 Page 1 Report Date: 11/1/2023 Date Sample Rcvd: 10/25/2023 Meritech Work Order # 10252312 Sample: Smithfield South 1 Grab 10/25/23 Parameters Result Analysis Date Reporting Limit Method %Total Solids 3.15 % 10/26/23 0-100 % SM 2540E Fecal Coliform (Sludge) 219,048 col/g dry wt 10/25/23 130 col/g dry wt SM 9222D Meritech Work Order # 10252313 Sample: Smithfield South 2 Grab 10/25/23 Parameters Result Analysis Date Reporting Limit Method %Total Solids 3.18 % 10/26/23 0-100 % SM 2540B Fecal Coliform (Sludge) 198,113 col/g dry wt 10/25/23 130 col/g dry wt SM 9222D Meritech Work Order # 10252314 Sample: Smithfield South 3 Grab 10/25/23 Parameters Result Analysis Date Reporting Limit Method %Total Solids 3.05 % 10/26/23 0-100 % SM 2540E Fecal Coliform (Sludge) 252,459 col/g dry wt 10/25/23 130 col/g dry wt SM 9222D Meritech Work Order # 10252315 Sample: Smithfield South 4 Grab 10/25/23 Parameters Result Analysis Date Reporting Limit Method %Total Solids 3.26 % 10/26/23 0-100 % SM 2540B Fecal Coliform (Sludge) 226,994 col/g dry wt 10/25/23 130 col/g dry wt SM 9222D 642 Tamco Road, Reidsville, North Carolina 27320 tel.(336)342-4748 fax.(336)342-1522 Meritech, Inc. Environmental Laboratory Laboratory Certification No. 165 r Contact: Brent Collins Client: EMA Resources, Inc 755 Yadkinville Road Mocksviile, NC 27028 Page 2 Report Date: 11/1/2023 Date Sample Rcvd: 10/25/23 Meritech Work Order # 10252316 Sample: Smithfield South 5 Grab Parameters Result Analysis Date Reporting Limit % Total Solids 3.29 % 10/26/23 0-100 % Fecal Coliform (Sludge) 246,201 col/g dry wt 10/25/23 130 col/g dry wt Meritech Work Order # 10252317 Parameters Sample: Smithfield South 6 Grab 10/25/23 Method SM 2540B SM 9222D 10/25/23 Result Analysis Date Reporting Limit Method % Total Solids 3.11 % 10/26/23 0-100 % SM 2540B Fecal Coliform (Sludge) 218,650 col/g dry wt 10/25/23 130 col/g dry wt SM 9222D Meritech Work Order # 10252318 Sample: Smithfield South 7 Grab 10/25/23 Parameters Result Analysis Date Reporting Limit Method % Total Solids 3.17 % 10/26/23 0-100 % SM 2540B Fecal Coliform (Sludge) 630,915 col/g dry wt 10/25/23 130 col/g dry wt SM 9222D I hereby certify that I have reviewed and approve these data. Laboratory Representative 642 Tamco Road, Reidsville, North Carolina 27320 tel.(336)3424748fax.(336)342-1522 ❑ ❑ ❑ ❑ S _� 0 fD 0 m a X T3 rrD-r -v 9 o VI(D Q C 4' N Or fD r'F 0• 3 O :} o. C m m ro s a ^ 0- s Q s CL rp O m N cu j• Cl Q N Q Q ro a J i1y� -t tea lv .. fD m rD C c LA rD 0 Ln ` rD o ; F• m, nn X O Z O _ f7 n N o o rn n a - cn h 3 Z rn "I v o � ana rr o n f 1 o o = o ni w w O 3 f� {A �"' w > p N !' v o o a Qp 3 m p n Ln v rn rN.o w pop (D m --I -a rD 3 3 3 rD ro ro Z MO 2. ry n 9 > fl DCL y. 1 o a ro 7 C:L rD N ❑ r_* rah f I O O N ro 3 r9 W V m m ro m rr'n r"o lb `[' - n -a m` O D r:3r O Lri 7r D n a w 4t ao_ S..y C 0] ro o_ - F c p O w X- LA ro o o 3 n rD m @ CD O rDCL c p v n J C'CL p to Q Uq 0 o (D ro X -o -0 m -n ro Z ti a aqq m °' p a. X o ❑ C * \ c w w m o w o m S L,ray. a :0 w w d1 Ql n m a`a Z ° Ui In fl O n 3 r{p O w a r0 3 N m Ln Q 6 m= N a cu of ❑ o �Jo �^ In N o 3 rD 01 T ? * a r O v 3 tiWe— Waypointo ANALYTICAL 11 /17/2023 EMA Resources Inc Mr. Brent Collins 755 Yadkinville Rd Mocksville, NC, 27028 Ref: Analytical Testing Lab Report Number: 23-313-0137 Client Project Description: Smithfeild 2790 Whitten Road, Memphis, TN 38133 Main 901.213.2400 ° Fax 901.213.2440 www.waypointanalytical.com Dear Mr. Brent Collins: Waypoint Analytical, LLC. received sample(s) on 11/9/2023 for the analyses presented in the following report. The above referenced project has been analyzed per your instructions. The analyses were performed in accordance with the applicable analytical method. Where the laboratory was not responsible for the sampling stage (refer to the chain of custody) results apply to the sample as received. The analytical data has been validated using standard quality control measures performed as required by the analytical method. Quality Assurance, method validations, instrumentation maintenance and calibration for all parameters (NELAP and non-NELAP) were performed in accordance with guidelines established by the USEPA (including 40 CFR 136 Method Update Rule May 2021) and NELAC unless otherwise indicated. Any parameter for which the laboratory is not officially NELAP accredited is indicated by a '—'symbol. These are not included in the scope because NELAP accreditation is either not available or has not been applied for. Additional certifications may be held/are available for parameters, where NELAP accreditation is not required or applicable. A full list of certifications is available upon request. Certain parameters (chlorine, pH, dissolved oxygen, sulfite...) are required to be analyzed within 15 minutes of sampling. Usually, but not always, any field parameter analyzed at the laboratory is outside of this holding time. Refer to sample analysis time for confirmation of holding time compliance. The results are shown on the attached Report of Analysis(s). Results for solid matrices are reported on an as - received basis unless otherwise indicated. This report shall not be reproduced except in full and relates only to the samples included in this report. Please do not hesitate to contact me or client services if you have any questions or need additional information. Sincerely, Connie Cook Project Manager Laboratory's liability in any claim relating to analyses performed shall be limited to, at laboratory's option, repeating the analysis in question at laboratory's expense, or the refund of the charges paid for performance of said analysis. Page 1 of 6 Waypointo ANALYTICAL 2790 Whitten Road, Memphis, TN 38133 Main 901.213.2400 0 Fax 901.213.2440 www.waypointanalytical.com Certification Summary Laboratory ID: WP MTN: Waypoint Analytical, LLC., Memphis, TN State Program Lab ID Expiration Date Alabama State Program 40750 02/29/2024 Arkansas State Program 88-0650 02/07/2024 California State Program 2904 06/30/2024 Florida State Program - NELAP E871157 06/30/2024 Georgia State Program C044 11/14/2025 Georgia State Program 04015 06/30/2024 Illinois State Program - NELAP 200078 10/31/2024 Kentucky State Program 80215 06/30/2024 Kentucky State Program KY90047 12/31/2023 Louisiana State Program - NELAP LA037 12/31/2023 Louisiana State Program - NELAP 04015 06/30/2024 Mississippi State Program MS 11/14/2025 North Carolina State Program 47701 07/31/2024 North Carolina State Program 415 12/31/2023 Pennsylvania State Program - NELAP 68-03195 05/31/2024 South Carolina State Program 84002 06/30/2024 Tennessee State Program 02027 11/14/2025 Texas State Program - NELAP T104704180 09/30/2024 Virginia State Program 00106 06/30/2024 Virginia State Program - NELAP 460181 09/14/2024 Page 1 of 1 00001/23-313-0137 Page 2 of 6 Waypoint ANALYTICAL 2790 Whitten Road, Memphis, TN 38133 Main 901.213.2400 ° Fax 901.213.2440 www.waypointanalytical.com Sample Summary Table Report Number: 23-313-0137 Client Project Description: Smithfeild Lab No Client Sample ID Matrix Date Collected Date Received 89355 Smithfield Solids 11/08/202310:00 11/09/2023 Page 3 of 6 • Waypoint 27090 Whitten Road, Memphis, TN 38133 Main 901.213.2400 ° Fax 901.213.2440 ANALYTICAL www.waypointanalyiical.com 46245 EMA Resources Inc Project Smithfeild Mr. Brent Collins Report Date : 11/17/2023 755 Yadkinville Rd Information : Received : 11/09/2023 Mocksville , NC 27028 Connie Cook Report Number : 23-313-0137 REPORT OFANALYSIS Project Manager Lab No : 89355 Matrix: Solids Sample ID : Smithfield Sampled: 11/8/2023 10:00 Test Results Units MDL MQL DF Date / Time By Analytical Analyzed Method Moisture 95.26 % 0.010 0.010 1 11/10/2316:14 CAH SW-DRYWT pH 6.7 S.U. 1 11/14/2317:00 CNB 9045D Total Solids 4.74 % 0.010 0.010 1 11/10/23 16:14 CAH 2540G-2011 Calcium 116000 mg/Kg - dry 816 1050 1 11/14/23 19:07 BKN 6010D Magnesium 2410 mg/Kg - dry 54.9 105 1 11/14/23 19:07 BKN 6010D Sodium 9810 mg/Kg - dry 274 527 1 11/14/23 19:07 BKN 6010D Sulfur 14900 mg/Kg - dry 110 211 1 11/14/23 19:07 BKN 6010D Sodium Absorption Ratio 1.69 Ratio 0.01 0.01 1 11/14/23 19:07 CALCULATION Qualifiers/ DF Dilution Factor Definitions MQL Method Quantitation Limit Page 4 of 6 s WayPAoi nt ..(2) �79p Whitten Road,3.240 Memphis, TN 38133 21.2440 Main 901.213.240fl °Fax 901.213.2440 N A LYT I C A L www.waypointanalytical.com Shipment Receipt Form Customer Number: 46245 Customer Name: EMA Resources Inc Report Number: 23-313-0137 Shipping Method 0 Fed Ex 0 US Postal 0 Lab 0 UPS 0 Client 0 Courier 0 Other: Thermometer ID: 1036 Shipping container/cooler uncompromised? * Yes 0 No Number of coolers/boxes received Custody seals intact on shipping container/cooler? 0 Yes 0 No Not Present Custody seals intact on sample bottles? 0 Yes 0 No Not Present Chain of Custody (COC) present? # Yes 0 No COC agrees with sample label(s)? # Yes 0 No COC properly completed # Yes 0 No Samples in proper containers? # Yes 0 No Sample containers intact? # Yes 0 No Sufficient sample volume for indicated test(s)? # Yes 0 No All samples received within holding time? # Yes 0 No Cooler temperature in compliance? # Yes 0 No Cooler/Samples arrived at the laboratory on ice. Samples were considered acceptable as cooling process had begun. # Yes 0 No Water - Sample containers properly preserved Yes 0 No 0 N/A Water - VOA vials free of headspace 0 Yes 0 No N/A Trip Blanks received with VOAs 0 Yes 0 No N/A Soil VOA method 5035 — compliance criteria met 0 Yes 0 No 0 N/A F_ High concentration container (48 hr) F_ High concentration pre -weighed (methanol -14 d) F_ Low concentration EnCore samplers (48 hr) F_ Low conc pre -weighed vials (Sod Bis -14 d) Special precautions or instructions included? 0 Yes * No Comments: Signature: tuber Smith Date & Time: 11/09/2023 16:31:50 Page 5 of 6 ❑ -C m m a T L E E _ C N N Sc O W ❑ ❑ ❑ i 1 N Q 0 z I c� v N h N a y u�x a=^ xr� n� a o v c _ 0 io 3 y r d 2 m o p vi G7 v opt O o oN c 00 um o ` T u u x x i x x x (] Y ❑ u 0 O a � u A7 ❑ d LA Q m C D n wLC n a ¢it J z z z L u a� v N V N LL �q rt T El° d w C y N u u e E --a £Oj snlw N ,6a ��F NEI d� H a v� °1 E3 ro• a a sp+io5 Ielol r a N N a'ue6JO/@Ie4!N a a m � a w 0 Ln [D ❑ _ v H a W N 1r111�\l y V W W W E a ai N ¢❑ ao N ra s a a 11 (Go wq) slelan a z z o a c U m a ina C m `q cn cn n m Q a s a;isodw❑{�] �o ge�(gj E _+ i► J� r (Aah 03 JaOld) X!Jlew v N r C L_ C_ suauie;uo:) jo -jagwnN � A R �❑ M1 m N m CC a+ 9C a GL V T a O o rJ La N CO lO rJ ❑ a r1 N 1 a m l/ ,�1 ❑ t1 V r2 "' a T m 0') ui o C) N -r o d o -roT a E d d O �f•1 n O y dC � T ❑ V ML u W b - J a� ` 7 a O N m ✓1 V ti � Ln Q pN� LL ��ti •�� 7;�� m dj ( E o Qa M� — E s;LA ¢ z a a �Q F,z �wcn iv E ❑ ❑ h n a a ry ° ❑ c Q} V .Qp LO cQ [1j r- m a` t+ w a * �/ 5 E 2 m Rio Page 6 of 6 Land App ANL Volatile Solids In Jan 2023 63027.00 58890.00 93.44 Feb 2023 65950.00 63800.00 96.74 Mar 2023 74700.00 95000.00 127.18 Apr2023 78650.00 75050.00 95.42 May 2023 74600.00 71700.00 96.11 Jun 2023 73750.00 68900.00 93.42 Ju12023 81620.00 75620.00 92.65 Aug 2023 88210.00 82820.00 93.89 Sep 2023 92850.00 87550.00 94.29 Oct 2023 92900.00 87250.00 93.92 Nov 2023 68750.00 63900.00 92.95 Dec 2023 82950.00 78050.00 94.09 Minimum 63027.00 58890.00 Maximum 92900.00 95000.00 Total 937957.00 908530.00 Average 1 78163.00 75711.00 97.01 13 ace Analytical ' ANALYTICAL REPORT February 07, 2023 EMA Resources Sample Delivery Group:-1579735 Samples Received: 01/26/2023 Project Number: Description: Sludge Report To: Mr. Brent Collins 755 Yadkinville Road Mocksville, NC 27028 Entire Report Reviewed By: z � �� Cassandra Foster Project Manager Results relate only to the items tested or calibrated and are reported as rounded values. This test report shall not be reproduced, except in full, without written 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-0067and ENV-SOP-MTJL-0068. Where sampling conducted by the customer, results relate to the accuracy ofthe information provided, and as the samples are received. ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE: EMA Resources L1579735 02/07/23 13:01 1 of 22 TABLE OF CONTENTS Cp: Cover Page Tc: Table of Contents Ss: Sample Summary Cn: Case Narrative Sr: Sample Results NORTH DIGESTER L1579735-01 Qc: Quality Control Summary Wet Chemistry by Method 9012 B Wet Chemistry by Method 9034-9030B Wet Chemistry by Method 9045D Wet Chemistry by Method D93/1010A Mercury by Method 7470A Metals (ICP) by Method 6010D Volatile Organic Compounds (GC/MS) by Method 8260D Semi -Volatile Organic Compounds (LCMS) by Method SW-846 8321 Pesticides (GC) by Method 8081B Semi Volatile Organic Compounds (GC/MS) by Method 8270E GI: Glossary of Terms al: Accreditations & Locations Sc: Sample Chain of Custody 2 3 4 5 5 7 7 8 9 10 11 12 14 16 17 18 20 21 22 ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE: EMA Resources L1579735 02/07/23 13:01 2 of 22 SAMPLE SUMMARY Collected by NORTH DIGESTER L1579735-01 Waste Brent Collins Collected date/time Received date/time 01/25/23 08:05 01/26/23 09:00 C P Method Batch Dilution Preparation Analysis Analyst date/time date/time Preparation by Method 1311 WG1996662 1 01/31/23 09:19 01/31/23 09:19 JWS Preparation by Method 1311 WG1996665 1 01/30/2312:43 01/30/2312:43 _TM Wet Chemistry by Method 9012 B WG1997323 1 01/31/23 08:27 01/31/2316:52 LDT Wet Chemistry by Method 9034-9030B WG1995314 1 01/31/23 08:16 01/31/2317:39 RLS Wet Chemistry by Method 9045D WG1995819 1 01/27/2314:00 01/27/2315:52 KAD Wet Chemistry by Method D93/1010A WG1997129 1 01/31/23 0146 01/31/23 0146 CRB Mercury by Method 7470A WG1997957 1 02/01/23 09:35 02/01/2314:30 SRT Metals (ICP) by Method 6010D WG1998017 1 02/01/2313:12 02/01/2318:39 ZSA Volatile Organic Compounds (GC/MS) by Method 8260D WG1997560 1 02/01/23 0123 02/01/23 0123 DWR Semi -Volatile Organic Compounds (LCMS) by Method SW-846 8321 WG1998509 1 02/03/23 08:59 02/06/2314:41 AMG Pesticides (GC) by Method 8081B WG1998181 1 02/02/23 08:38 02/03/2314:45 RDH Semi Volatile Organic Compounds (GC/MS) by Method 8270E WG1998182 1 02/01/23 22:28 02/02/2312:59 CCW Location FC Mt. Juliet, TN Mt. Juliet, TN Mt. Juliet, TN Mt. Juliet, TN Mt. Juliet, TN Fn Mt. Juliet, TN Mt. Juliet, TN Mt. Juliet, TN Fr Mt. Juliet, TN Mt. Juliet, TN Rc Mt. Juliet, TN Mt. Juliet, TN GI SAI RC ACCOUNT: PROJECT: SDG: DATE/TIME: EMA Resources L1579735 02/07/23 13:01 PAGE: 3 of 22 CASE NARRATIVE All sample aliquots were received at the correct temperature, in the proper containers, with the FP 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 FC 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 FS 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. 0 Fr FQ-cl GI Cassandra Foster Project Manager RC Project Narrative All Reactive Cyanide results reported in the attached report were determined as totals using method 9012 B. All Reactive Sulfide results reported in the attached report were determined as totals using method 9034-903013. ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE: EMA Resources L1579735 02/07/23 13:01 4 of 22 SAMPLE RESULTS - 01 L1579735 NORTH DIGESTER Collected date/time: 01/25/23 08:05 Preparation by Method 1311 Result Qualifier Prep Batch Analyte date / time TCLP Extraction 1/31/2023 9:19:10 AM WG1996662 TCLP ZHE Extraction - 1/30/202312:43:39 PM WG1996665 Fluid 1 1/31/2023 9:19:10 AM WG1996662 Initial pH 7.54 1/31/2023 9:19:10 AM WG1996662 Final pH 4.65 1/31/2023 9:19:10 AM WG1996662 Wet Chemistry by Method 9012 B Result Qualifier RDL Analyte mg/kg mg/kg Reactive Cyanide ND 0.250 Wet Chemistry by Method 9034-9030B Result Qualifier RDL Analyte mg/kg mg/kg Reactive Sulfide ND 75.0 Wet Chemistry by Method 9045D Dilution Analysis Batch date / time 1 01/31/202316:52 WG1997323 Dilution Analysis Batch date / time 1 01/31/202317:39 WG1995314 Result Qualifier Dilution Analysis Batch Analyte su date / time Corrosivity by pH 7.53 T8 1 01/27/202315:52 WG1995819 Sample Narrative: L1579735-01 WG1995819:7.53 at19.4C Wet Chemistry by Method D93/1010A Result Analyte Deg. F Ignitability DNI at170 Mercury by Method 7470A Qualifier Dilution Analysis Batch date / time 1 01/31/2023 0146 WG1997129 Result Qualifier RDL Limit Analyte mg/I mg/I mg/I Mercury ND 0.0100 0.20 Metals (ICP) by Method 6010D Result Qualifier RDL Limit Analyte mg/I mg/I mg/I Arsenic ND 0.100 5 Barium ND 0.100 100 Cadmium ND 0.100 1 Chromium ND 0.100 5 Lead ND 0.100 5 Selenium ND 0.100 1 Silver ND 0.100 5 Volatile Organic Compounds (GC/MS) by Method 8260D Result Qualifier RDL Limit Analyte mg/I mg/I mg/I Benzene ND 0.0500 0.50 Carbon tetrachloride ND 0.0500 0.50 Chlorobenzene ND 0.0500 100 Chloroform ND 0.250 6 ACCOUNT: PROJECT: EMA Resources Dilution Analysis Batch date / time 1 02/01/202314:30 WG1997957 Dilution Analysis Batch date / time 1 02/01/202318:39 WG1998017 1 02/01/202318:39 WG1998017 1 02/01/202318:39 WG1998017 1 02/01/202318:39 WG1998017 1 02/01/202318:39 WG1998017 1 02/01/202318:39 WG1998017 1 02/01/202318:39 WG1998017 Dilution Analysis Batch date / time 1 02/01/2023 0123 WG1997560 1 02/01/2023 0123 WG1997560 1 02/01/2023 0123 WG1997560 1 02/01/2023 0123 WG1997560 SDG: DATE/TIME: PAGE: L1579735 02/07/23 13:01 5 of 22 NORTH DIGESTER SAMPLE RESULTS Collected date/time: 01/25/23 08:05 L1579735 Volatile Organic Compounds (GC/MS) by Method 8260D - 01 Result Qualifier RDL Limit Dilution Analysis Batch Analyte mg/I mg/I mg/I date/time 1,2-Dichloroethane ND 0.0500 0.50 1 02/01/2023 0123 WG1997560 1,1-Dichloroethene ND 0.0500 0.70 1 02/01/2023 0123 WG1997560 2-Butanone (MEK) ND 0.500 200 1 02/01/2023 0123 WG1997560 Tetrachloroethene ND 0.0500 0.70 1 02/01/2023 0123 WG1997560 Trichloroethene ND 0.0500 0.50 1 02/01/2023 0123 WG1997560 Vinyl chloride ND 0.0500 0.20 1 02/01/2023 0123 WG1997560 (S) Toluene-dH 107 80.0-120 0210112023 01.23 WG1997560 (S) 4-Bromofluorobenzene 89.6 77.0-126 0210112023 01.23 WG1997560 (S) 1,2-Dichloroethane-d4 94.6 70.0-130 021011202301.23 WG1997560 Semi -Volatile Organic Compounds (LCMS) by Method SW-846 8321 Result Analyte mg/I 2,4-D ND 2,4,5-TP (Silvex) ND (S) Z4-DB-D3 101 Pesticides (GC) by Method 8081B Qualifier RDL Limit Dilution Analysis Batch mg/I mg/I date / time 0.0200 10 1 02/06/202314:41 WG1998509 0.0200 1 1 02/06/202314:41 WG1998509 70.0-130 021061202314.41 WG1998509 Result Qualifier RDL Limit Analyte mg/I mg/I mg/I Chlordane ND 0.00500 0.03 Endrin ND 0.00500 0.02 Heptachlor ND 0.00500 0.0080 Heptachlor epoxide ND 0.00500 0.0080 Lindane ND 0.00500 0.40 Methoxychlor ND 0.00500 10 Toxaphene ND 0.0100 0.50 (S) Decochlorobiphenyl 50.8 10.0-128 (S) Tetrochloro-m-xylene 64.6 10.0-127 Semi Volatile Organic Compounds (GC/MS) by Method 8270E Analyte 1,4-Dichlorobenzene 2,4-Dinitrotoluene Hexachlorobenzene Hexachloro-1,3-butadiene Hexachloroethane Nitrobenzene Pyridine 3&4-Methyl Phenol 2-Methylphenol Pentachlorophenol 2,4,5-Trichlorophenol 2,4,6-Trichlorophenol (S) 2-Fluorophenol (S) Phenol-d5 (S) Nitrobenzene-d5 (S) 2-Fluorobiphenyl (S) Z4, 6-Tribromophenol (S) p-Terphenyl-d14 ACCOUNT: EMA Resources Dilution Analysis date / time 1 02/03/202314:45 1 02/03/202314:45 1 02/03/202314:45 1 02/03/202314:45 1 02/03/202314:45 1 02/03/202314:45 1 02/03/202314:45 0210312023 14.45 0210312023 14.45 Batch WG1998181 WG1998181 WG1998181 WG1998181 WG1998181 WG1998181 WG1998181 WG1998181 WG1998181 Result Qualifier RDL Limit Dilution Analysis Batch mg/I mg/I mg/I date/time ND 0.100 7.50 1 02/02/202312:59 WG1998182 ND 0.100 0.13 1 02/02/202312:59 WG1998182 ND 0.100 0.13 1 02/02/202312:59 WG1998182 ND 0.100 0.50 1 02/02/202312:59 WG1998182 ND 0.100 3 1 02/02/202312:59 WG1998182 ND 0.100 2 1 02/02/202312:59 WG1998182 ND 0.100 5 1 02/02/202312:59 WG1998182 ND 0.100 400 1 02/02/202312:59 WG1998182 ND 0.100 200 1 02/02/202312:59 WG1998182 ND 0.100 100 1 02/02/202312:59 WG1998182 ND 0.100 400 1 02/02/202312:59 WG1998182 ND 0.100 2 1 02/02/202312:59 WG1998182 35.1 10.0-120 021021202312.59 WG1998182 25.7 10.0-120 021021202312.59 WG1998182 60.6 10.0-127 021021202312.59 WG1998182 58.4 10.0-130 021021202312.59 WG1998182 67.0 10.0-155 021021202312.59 WG1998182 67.2 10.0-128 021021202312.59 WG1998182 PROJECT: SDG: DATE/TIME: PAGE: L1579735 02/07/23 13:01 6 of 22 WG1997323 QUALITY CONTROL SUMMARY Wet Chemistry by Method 9012 B L1579735-01 Method Blank (MB) C p (MB) R3336214-1 01/31/2316:43 MB Result MB Qualifier MB MDL MB RDL Analyte mg/kg mg/kg mg/kg TC I Reactive Cyanide U 0.0390 0.250 FS L1579757-05 Original Sample (OS) • Duplicate (DUP) [�n] (OS) L1579757-05 01/31/2316:56 • (DUP) R3336214-3 01/31/2316:57 Original Result DUP Result Dilution DUP RPD DUP Qualifier DUP RPD Limits F Analyte mg/kg mg/kg Reactive Cyanide ND ND 1 12.0 20 L1579757-08 Original Sample (OS) • Duplicate (DUP) GI (OS) L1579757-08 01/31/2317:02 • (DUP) R3336214-4 01/31/2317:03 Original Result DUP Result Dilution DUP RPD DUP Qualifier DUP RPD Limits FAI Analyte mg/kg mg/kg Reactive Cyanide 0.282 ND 1 16.6 20 FSc Laboratory Control Sample (LCS) (LCS) R3886214-2 01/31/23 16:49 Spike Amount LCS Result LCS Rec. Analyte mg/kg mg/kg Reactive Cyanide 2.50 2.38 95.3 Rec. Limits LCS Qualifier 85.0-115 L1579757-13 Original Sample (OS) • Matrix Spike (MS) • Matrix Spike Duplicate (MSD) (OS) L1579757-13 01/31/2317:03 • (MS) R3336214-5 01/31/2317:09 • (MSD) R3336214-6 01/31/2317:10 Spike Amount Original Result MS Result MSD Result MS Rec. MSD Rec. Dilution Rec. Limits MS Qualifier MSD Qualifier RPD RPD Limits Analyte mg/kg mg/kg mg/kg mg/kg Reactive Cyanide 1.66 ND 1.10 1.09 56.1 55.7 1 75.0-125 J6 J6 0.638 20 Sample Narrative: MS: Matrix spike failure due to matrix. MSD: Matrix spike failure due to matrix. ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE: EMA Resources L1579735 02/07/23 13:01 7 of 22 WG1995314 Wet Chemistry by Method 9034-9030B Method Blank (MB) (MB) R3886483-1 01/31/231739 MB Result MB Qualifier MB MDL Analyte mg/kg mg/kg Reactive Sulfide U 30.0 Laboratory Control Sample (LCS) (LCS) R3886483-2 01/31/23 1739 Spike Amount LCS Result LCS Rec. Analyte mg/kg mg/kg Reactive Sulfide 100 95.3 95.3 QUALITY CONTROL SUMMARY L1579735-01 MB RDL mg/kg 75.0 Rec. Limits LCS Qualifier 53.8-124 L1580173-03 Original Sample (OS) • Matrix Spike (MS) • Matrix Spike Duplicate (MSD) (OS) L1530173-03 01/31/2317:39 • (MS) R3336483-3 01/31/2317:39 • (MSD) R3336483-4 01/31/2317:39 Spike Amount Original Result MS Result MSD Result MS Rec. MSD Rec. Dilution Rec. Limits MS Qualifier MSD Qualifier RPD RPD Limits Analyte mg/kg mg/kg mg/kg mg/kg Reactive Sulfide 100 ND ND ND 36.3 51.2 1 10.0-136 0.000 20 ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE: EMA Resources L1579735 02/07/23 13:01 3 of 22 WG1995819 QUALITY CONTROL SUMMARY Wet Chemistry by Method 9045D L1579735-01 Laboratory Control Sample (LCS) C (LCS) R3335230-1 01/27/231552 p Spike Amount LCS Result LCS Rec. Rec. Limits LCS Qualifier ITC] Analyte su su % % Corrosivity by pH 10.0 9.90 99.0 99.0-101 F Sample Narrative: SS LCS: 9.9 at18C [Cn] 5 Sr �GI FAI FSC1 ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE: EMA Resources L1579735 02/07/23 13:01 9 of 22 WG1997129 QUALITY CONTROL SUMMARY Wet Chemistry by Method D93/1010A L1579735-01 L1579735-01 Original Sample (OS) • Duplicate (DUP) (OS) L1579735-01 01/31/23 0146 • (DUP) R3335376-3 01/31/23 0146 Original Result DUP Result Dilution DUP RPD Analyte Deg. F Deg. F Ignitability DNI at170 DNI at170 1 0.000 L1580173-04 Original Sample (OS) • Duplicate (DUP) DUP Qualifier DUP RPD Limits i 10 (OS) L1530173-04 01/31/23 01:46 • (DUP) R3335376-4 01/31/23 0146 Original Result DUP Result Dilution DUP RPD DUP Qualifier DUP RPD Limits Analyte Deg. F Deg. F Ignitability DNI at170 DNI at170 1 0.000 10 Laboratory Control Sample (LCS) • Laboratory Control Sample Duplicate (LCSD) (LCS) R3335376-1 01/31/23 01:46 • (LCSD) R3335376-2 01/31/23 0146 Spike Amount LCS Result LCSD Result LCS Rec. LCSD Rec. Rec. Limits LCS Qualifier LCSD Qualifier RPD RPD Limits Analyte Deg. F Deg. F Deg. F Ignitability 126 128 128 102 102 95.6-104 0.000 10 ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE: EMA Resources L1579735 02/07/23 13:01 10 of 22 WG1997957 QUALITY CONTROL SUMMARY Mercury by Method 7470A L1579735-01 Method Blank (MB) (MB) R3886455-1 02/01/231337 MB Result MB Qualifier MB MDL MB RDL Analyte mg/I mg/I mg/I Mercury U 0.00330 0.0100 Laboratory Control Sample (LCS) (LCS) R3886455-2 02/01/23 13:39 Spike Amount LCS Result LCS Rec. Analyte mg/I mg/I Mercury 0.0300 0.0281 93.7 Rec. Limits LCS Qualifier 80.0-120 L1579559-01 Original Sample (OS) • Matrix Spike (MS) • Matrix Spike Duplicate (MSD) (OS) L1579559-01 02/01/23 13:42 • (MS) R3336455-3 02/01/23 13:44 • (MSD) R3336455-4 02/01/23 13:46 Spike Amount Original Result MS Result MSD Result MS Rec. MSD Rec. Dilution Rec. Limits MS Qualifier MSD Qualifier RPD RPD Limits Analyte mg/I mg/I mg/I mg/I Mercury 0.0300 ND 0.0301 0.0299 100 99.7 1 75.0-125 0.667 20 L1579721-02 Original Sample (OS) • Matrix Spike (MS) • Matrix Spike Duplicate (MSD) (OS) L1579721-02 02/01/2313:43 • (MS) R3336455-5 02/01/2313:50 • (MSD) R3336455-6 02/01/2313:53 Spike Amount Original Result MS Result MSD Result MS Rec. MSD Rec. Dilution Rec. Limits MS Qualifier MSD Qualifier RPD RPD Limits Analyte mg/I mg/I mg/I mg/I Mercury 0.0300 ND 0.0307 0.0312 102 104 1 75.0-125 1.62 20 ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE: EMA Resources L1579735 02/07/23 13:01 11 of 22 WG1998017 Metals (ICP) by Method 6010D Method Blank (MB) (MB) R3886553-1 02/01/231723 MB Result MB Qualifier MB MDL MB RDL Analyte mg/I mg/I mg/I Arsenic U 0.0333 0.100 Barium U 0.0333 0.100 Cadmium U 0.0333 0.100 Chromium U 0.0333 0.100 Lead U 0.0333 0.100 Selenium U 0.0333 0.100 Silver U 0.0333 0.100 Laboratory Control Sample (LCS) (LCS) R3886553-2 02/01/23 1730 QUALITY CONTROL SUMMARY L1579735-01 Spike Amount LCS Result LCS Rec. Rec. Limits Analyte mg/I mg/I Arsenic 10.0 9.61 96.1 80.0-120 Barium 10.0 9.95 99.5 80.0-120 Cadmium 10.0 9.78 97.8 80.0-120 Chromium 10.0 9.51 95.1 80.0-120 Lead 10.0 9.57 95.7 80.0-120 Selenium 10.0 9.99 99.9 80.0-120 Silver 2.00 1.93 96.3 80.0-120 LCS Qualifier L1579694-06 Original Sample (OS) • Matrix Spike (MS) • Matrix Spike Duplicate (MSD) (OS) L1579694-06 02/01/23 17:34 • (MS) R3336553-4 02/01/23 17:39 • (MSD) R3336553-5 02/01/23 17:42 Spike Amount Original Result MS Result MSD Result MS Rec. MSD Rec. Analyte mg/I mg/I mg/I mg/I Arsenic 10.0 ND 10.5 10.5 105 104 Barium 10.0 0.750 10.6 10.5 98.0 97.6 Cadmium 10.0 0.560 11.3 11.2 107 106 Chromium 10.0 ND 9.40 9.31 94.0 93.1 Lead 10.0 ND 10.1 9.99 100 99.3 Selenium 10.0 0.226 10.9 11.0 107 107 Silver 2.00 ND 2.19 2.17 110 109 Dilution Rec. Limits MS Qualifier MSD Qualifier RPD RPD Limits 1 75.0-125 0.548 20 1 75.0-125 0.371 20 1 75.0-125 0.647 20 1 75.0-125 0.997 20 1 75.0-125 1.17 20 1 75.0-125 0.524 20 1 75.0-125 0.870 20 ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE: EMA Resources L1579735 02/07/23 13:01 12 of 22 WG1998017 QUALITY CONTROL SUMMARY Metals (ICP) by Method 6010D L1579735-01 L1579718-02 Original Sample (OS) • Matrix Spike (MS) • Matrix Spike Duplicate (MSD) (OS) L1579713-02 02/01/23 17:45 • (MS) R3336553-6 02/01/23 17:43 • (MSD) R3336553-7 02/01/2317:50 Spike Amount Original Result MS Result MSD Result MS Rec. MSD Rec. Analyte mg/I mg/I mg/I mg/I Arsenic 10.0 ND 9.86 9.83 98.6 98.3 Barium 10.0 ND 10.1 10.1 100 101 Cadmium 10.0 ND 9.89 9.93 98.9 99.3 Chromium 10.0 ND 9.58 9.58 95.8 95.8 Lead 10.0 ND 9.71 9.79 97.1 97.9 Selenium 10.0 ND 10.0 10.0 99.5 99.4 Silver 2.00 ND 1.95 1.96 97.4 98.0 ACCOUNT: EMA Resources PROJECT: Dilution Rec. Limits MS Qualifier MSD Qualifier RPD RPD Limits 1 75.0-125 0.260 20 1 75.0-125 0.395 20 1 75.0-125 0.446 20 1 75.0-125 0.0516 20 1 75.0-125 0.873 20 1 75.0-125 0.162 20 1 75.0-125 0.591 20 SDG: DATE/TIME: PAGE: L1579735 02/07/23 13:01 13 of 22 WG1997560 QUALITY CONTROL SUMMARY Volatile Organic Compounds (GC/MS) by Method 8260D L1579735-01 Method Blank (MB) (MB) R3336511-3 01/31/23 22:26 MB Result MB Qualifier MB MDL MB RDL Analyte mg/I mg/I mg/I Benzene U 0.0167 0.0500 Carbon tetrachloride U 0.0167 0.0500 Chlorobenzene U 0.0167 0.0500 Chloroform U 0.0833 0.250 1,2-Dichloroethane U 0.0167 0.0500 1,1-Dichloroethene U 0.0167 0.0500 2-Butanone (MEK) U 0.167 0.500 Tetrachloroethene U 0.0167 0.0500 Trichloroethene U 0.0167 0.0500 Vinyl chloride U 0.0167 0.0500 (S) Toluene-dH 112 80.0-120 (S) 4-Bromofluorobenzene 84.4 77.0-126 (S) 1,2-Dichloroethane-d4 97.1 70.0-130 Laboratory Control Sample (LCS) • Laboratory Control Sample Duplicate (LCSD) (LCS) R3336511-1 01/31/23 20:13 • (LCSD) R3336511-2 01/31/23 2142 Spike Amount LCS Result LCSD Result LCS Rec. LCSD Rec. Rec. Limits LCS Qualifier LCSD Qualifier RPD RPD Limits Analyte mg/I mg/I mg/I Benzene 0.250 0.230 0.250 92.0 100 70.0-123 8.33 20 Carbon tetrachloride 0.250 0.223 0.261 89.2 104 68.0-126 15.7 20 Chlorobenzene 0.250 0.266 0.280 106 112 80.0-121 5.13 20 Chloroform 0.250 0.217 0.243 86.8 97.2 73.0-120 11.3 20 1,2-Dichloroethane 0.250 0.212 0.233 84.8 93.2 70.0-128 9.44 20 1,1-Dichloroethene 0.250 0.201 0.232 80.4 92.8 71.0-124 14.3 20 2-Butanone (MEK) 1.25 1.00 1.12 80.0 89.6 44.0-160 11.3 20 Tetrachloroethene 0.250 0.277 0.309 ill 124 72.0-132 10.9 20 Trichloroethene 0.250 0.264 0.309 106 124 78.0-124 15.7 20 Vinyl chloride 0.250 0.233 0.284 93.2 114 67.0-131 19.7 20 (S) Toluene-dH ill ill 80.0-120 (S) 4-Bromofluorobenzene 89.6 90.6 77.0-126 (S) 1,2-Dichloroethane-d4 94.8 92.0 70.0-130 ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE: EMA Resources L1579735 02/07/23 13:01 14 of 22 WG1997560 QUALITY CONTROL SUMMARY Volatile Organic Compounds (GC/MS) by Method 8260D L1579735-01 L1579950-01 Original Sample (OS) • Matrix Spike (MS) • Matrix Spike Duplicate (MSD) (OS) L1579950-01 02/01/23 02:51 • (MS) R3336511-4 02/01/23 06:09 • (MSD) R3336511-5 02/01/23 06:31 Spike Amount Original Result MS Result MSD Result MS Rec. MSD Rec. Analyte mg/I mg/I mg/I mg/I Benzene 0.250 ND 0.140 0.195 56.0 78.0 Carbon tetrachloride 0.250 ND 0.0991 0.192 39.6 76.8 Chlorobenzene 0.250 ND 0.188 0.250 75.2 100 Chloroform 0.250 ND ND ND 58.8 76.0 1,2-Dichloroethane 0.250 ND 0.178 0.193 71.2 77.2 1,1-Dichloroethene 0.250 ND 0.0827 0.145 33.1 58.0 2-Butanone (MEK) 1.25 ND 1.22 1.14 97.6 91.2 Tetrachloroethene 0.250 ND 0.127 0.236 50.8 94.4 Trichloroethene 0.250 ND 0.149 0.227 59.6 90.8 Vinyl chloride 0.250 ND 0.109 0.198 43.6 79.2 (S) Toluene-dH 106 109 (S) 4-Bromofluorobenzene 90.8 91.6 (S) 1,2-Dichloroethane-d4 91.8 89.4 ACCOUNT: EMA Resources PROJECT: Dilution Rec. Limits MS Qualifier MSD Qualifier RPD RPD Limits 1 17.0-158 J3 32.8 27 1 23.0-159 J3 63.8 28 1 33.0-152 J3 28.3 27 1 29.0-154 25.5 28 1 29.0-151 8.09 27 1 11.0-160 J3 54.7 29 1 10.0-160 6.78 32 1 10.0-160 J3 60.1 27 1 10.0-160 J3 41.5 25 1 10.0-160 J3 58.0 27 80.0-120 77.0-126 70.0-130 SDG: DATE/TIME: PAGE: L1579735 02/07/23 13:01 15 of 22 WG1998509 QUALITY CONTROL SUMMARY Semi -Volatile Organic Compounds (LCMS) by Method SW-846 8321 L1579735-01 Method Blank (MB) (MB) R3887909-2 02/06/231210 MB Result Analyte mg/I 2,4-D U 2,4,5-TP (Silvex) U (S) Z4-DB-D3 93.5 MB Qualifier MB MDL MB RDL mg/I mg/I 0.00667 0.0200 0.00667 0.0200 70.0-130 Laboratory Control Sample (LCS) (LCS) R3887909-1 02/06/23 1148 Spike Amount LCS Result Analyte mg/I mg/I 2,4-D 0.200 0.202 2,4,5-TP (Silvex) 0.200 0.207 (S) Z4-DB-D3 LCS Rec. Rec. Limits LCS Qualifier 101 70.0-130 104 70.0-130 103 70.0-130 L1579501-01 Original Sample (OS) • Matrix Spike (MS) • Matrix Spike Duplicate (MSD) (OS) L1579501-01 02/06/2312:53 • (MS) R3337909-3 02/06/2313:15 • (MSD) R3337909-4 02/06/2313:37 Spike Amount Original Result MS Result MSD Result MS Rec. MSD Rec. Dilution Rec. Limits MS Qualifier MSD Qualifier RPD RPD Limits Analyte mg/I mg/I mg/I mg/I 2,4-D 0.200 ND 0.215 0.203 108 102 1 70.0-130 5.74 30 2,4,5-TP (Silvex) 0.200 ND 0.199 0.203 99.5 102 1 70.0-130 1.99 30 (S) Z4-DB-D3 89.5 88.0 70.0-130 ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE: EMA Resources L1579735 02/07/23 13:01 16 of 22 WG1998181 Pesticides (GC) by Method 8081B Method Blank (MB) (MB) R3887533-1 02/03/231317 MB Result MB Qualifier Analyte mg/I Chlordane U Endrin U Heptachlor U Heptachlor epoxide U Gamma BHC U Methoxychlor U Toxaphene U (S) Decachlorobiphenyl 76.9 (S) Tetrochloro-m-xylene 68.5 Laboratory Control Sample (LCS) (LCS) R3887533-2 02/03/23 13:25 Spike Amount LCS Result Analyte mg/I mg/I Endrin 0.0100 0.0104 Heptachlor 0.0100 0.0112 Heptachlor epoxide 0.0100 0.00995 Gamma BHC 0.0100 0.00983 Methoxychlor 0.0100 0.0122 (S) Decachlorobiphenyl (S) Tetrochloro-m-xylene QUALITY CONTROL SUMMARY L1579735-01 MBMDL mg/I MBRDL mg/I 0.00167 0.00500 0.00167 0.00500 0.00167 0.00500 0.00167 0.00500 0.00167 0.00500 0.00167 0.00500 0.00333 0.0100 LCS Rec. 104 112 99.5 98.3 122 80.3 70.7 10.0-128 10.0-127 Rec. Limits LCS Qualifier 57.0-134 27.0-132 57.0-130 55.0-129 54.0-155 10.0-128 10.0-127 L1579735-01 Original Sample (OS) • Matrix Spike (MS) • Matrix Spike Duplicate (MSD) (OS) L1579735-01 02/03/23 14:45 • (MS) R3337533-3 02/03/23 14:54 • (MSD) R3337533-4 02/03/23 15:03 Spike Amount Original Result MS Result MSD Result MS Rec. MSD Rec. Dilution Rec. Limits MS Qualifier MSD Qualifier RPD RPD Limits Analyte mg/I mg/I mg/I mg/I Endrin 0.0100 ND 0.00842 0.00976 84.2 97.6 1 10.0-160 14.7 39 Heptachlor 0.0100 ND 0.00915 0.0107 91.5 107 1 16.0-136 15.6 40 Heptachlor epoxide 0.0100 ND 0.00811 0.00942 81.1 94.2 1 10.0-160 14.9 36 Gamma BHC 0.0100 ND 0.00857 0.00981 85.7 98.1 1 14.0-141 13.5 40 Methoxychlor 0.0100 ND 0.00961 0.0114 96.1 114 1 10.0-160 17.0 34 (S) Decachlorobiphenyl 46.8 61.7 10.0-128 (S) Tetrochloro-m-xylene 64.1 71.9 10.0-127 ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE: EMA Resources L1579735 02/07/23 13:01 17 of 22 WG1998182 QUALITY CONTROL SUMMARY Semi Volatile Organic Compounds (GC/MS) by Method 8270E L1579735-01 Method Blank (MB) (MB) R3886726-2 02/02/231009 MB Result MB Qualifier MB MDL MB RDL Analyte mg/I mg/I mg/I 1,4-Dichlorobenzene U 0.0333 0.100 2,4-Dinitrotoluene U 0.0333 0.100 Hexachlorobenzene U 0.0333 0.100 Hexachloro-1,3-butadiene U 0.0333 0.100 Hexachloroethane U 0.0333 0.100 Nitrobenzene U 0.0333 0.100 Pyridine U 0.0333 0.100 3&4-Methyl Phenol U 0.0333 0.100 2-Methylphenol U 0.0333 0.100 Pentachlorophenol U 0.0333 0.100 2,4,5-Trichlorophenol U 0.0333 0.100 2,4,6-Trichlorophenol U 0.0333 0.100 (S) 2-Fluorophenol 38.6 10.0-120 (S) Phenol-d5 25.1 10.0-120 (S) Nitrobenzene-d5 66.4 10.0-127 (S) 2-Fluorobiphenyl 66.8 10.0-130 (S) 2,4, 6-Tribromophenol 74.5 10. 0-155 (S) p-Terphenyl-d14 75.8 10.0-128 Laboratory Control Sample (LCS) (LCS) R3886726-1 02/02/23 09:47 Spike Amount LCS Result LCS Rec. Rec. Limits LCS Qualifier Analyte mg/I mg/I 1,4-Dichlorobenzene 0.500 0.322 64.4 18.0-120 2,4-Dinitrotoluene 0.500 0.435 87.0 49.0-124 Hexachlorobenzene 0.500 0.371 74.2 44.0-120 Hexachloro-1,3-butadiene 0.500 0.335 67.0 19.0-120 Hexachloroethane 0.500 0.339 67.8 15.0-120 Nitrobenzene 0.500 0.364 72.8 27.0-120 Pyridine 0.500 0.113 22.6 10.0-120 3&4-Methyl Phenol 0.500 0.259 51.8 31.0-120 2-Methylphenol 0.500 0.268 53.6 28.0-120 Pentachlorophenol 0.500 0.397 79.4 23.0-120 2,4,5-Trichlorophenol 0.500 0.399 79.8 44.0-120 2,4,6-Trichlorophenol 0.500 0.388 77.6 42.0-120 (S) 2-Fluorophenol 42.4 10.0-120 (S) Phenol-d5 29.2 10.0-120 (S) Nitrobenzene-d5 65.1 10.0-127 ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE: EMA Resources L1579735 02/07/23 13:01 18 of 22 WG1998182 QUALITY CONTROL SUMMARY Semi Volatile Organic Compounds (GC/MS) by Method 8270E L1579735-01 Laboratory Control Sample (LCS) (LCS) R3886726-1 02/02/23 09:47 Spike Amount LCS Result LCS Rec. Rec. Limits LCS Qualifier Analyte mg/I mg/I (S) 2-Fluorobiphenyl 73.7 10.0-130 (S) 2,4, 6-Tribromophenol 83.0 10. 0-155 (S) p-Terphenyl-d14 77.0 10.0-128 L1579559-01 Original Sample (OS) • Matrix Spike (MS) • Matrix Spike Duplicate (MSD) (OS) L1579559-01 02/02/2311:55 • (MS) R3336726-3 02/02/2312:16 • (MSD) R3336726-4 02/02/2312:37 Spike Amount Original Result MS Result MSD Result MS Rec. MSD Rec. Dilution Rec. Limits Analyte mg/I mg/I mg/I mg/I 1,4-Dichlorobenzene 0.500 ND 0.294 0.283 58.8 56.6 1 17.0-120 2,4-Dinitrotoluene 0.500 ND 0.399 0.351 79.8 70.2 1 39.0-125 Hexachlorobenzene 0.500 ND 0.346 0.305 69.2 61.0 1 35.0-122 HexachIaro-1,3-butadiene 0.500 ND 0.306 0.292 61.2 58.4 1 12.0-120 Hexachloroethane 0.500 ND 0.308 0.296 61.6 59.2 1 10.0-120 Nitrobenzene 0.500 ND 0.335 0.310 67.0 62.0 1 12.0-120 Pyridine 0.500 ND 0.202 0.175 40.4 35.0 1 10.0-120 3&4-Methyl Phenol 0.500 ND 0.263 0.244 52.6 48.8 1 10.0-120 2-Methylphenol 0.500 ND 0.274 0.248 54.8 49.6 1 10.0-120 Pentachlorophenol 0.500 ND 0.355 0.327 71.0 65.4 1 10.0-128 2,4,5-Trichlorophenol 0.500 ND 0.382 0.340 76.4 68.0 1 33.0-120 2,4,6-Trichlorophenol 0.500 ND 0.375 0.327 75.0 65.4 1 26.0-120 (S) 2-Fluorophenol 42.4 38.4 10.0-120 (S) Phenol-d5 27.0 25.4 10.0-120 (S) Nitrobenzene-d5 57.8 56.4 10.0-127 (S) 2-Fluorobiphenyl 68.9 60.0 10.0-130 (S)2,4,6-Tribromophenol 76.5 64.0 10.0-155 (S) p-Terphenyl-d14 69.5 60.0 10.0-128 MS Qualifier MSD Qualifier RPD RPD Limits 3.81 40 12.8 25 12.6 24 4.68 34 3.97 40 7.75 30 14.3 37 7.50 36 9.96 30 8.21 37 11.6 31 13.7 31 ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE: EMA Resources L1579735 02/07/23 13:01 19 of 22 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 ifyou have additional questions please contactyour project representative. Results Disclaimer - Information that may be provided by the customer, and contained within this report, include Permit Limits, Project Name, Sample ID, Sample Matrix, Sample Preservation, Field 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. Abbreviations and Definitions u Fc Fss] MDL Method Detection Limit. ND Not detected at the Reporting Limit (or MDL where applicable). Fn RDL Reported Detection Limit. Rec. Recovery. Fr RPD Relative Percent Difference. SDG Sample Delivery Group. Surrogate (Surrogate Standard) - Analytes added to every blank, sample, Laboratory Control Sample/Duplicate and F (S) Matrix Spike/Duplicate; used to evaluate analytical efficiency by measuring recovery. Surrogates are not expected to be detected in all environmental media. U Not detected at the Reporting Limit (or MDL where applicable). Analyte The name ofthe particular compound or analysis performed. Some Analyses and Methods will have multiple analytes reported. Ifthe sample matrix contains an interfering material, the sample preparation volume or weight values differ from the F 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 1 is used in this field, the result reported has already been corrected for this factor. Rc These are the target % recovery ranges or % difference value that the laboratory has historically determined as normal Limits for the method and analyte being reported. Successful QC Sample analysis will target all analytes recovered or duplicated within these ranges. 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 additional 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 ofthe Qualifier in the Case Narrative if applicable. The actual analytical final result (corrected for any sample specific characteristics) reported for your sample. Ifthere 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 Limit) or RDL (Reporting Detection Limit) that defines the lowest value that the laboratory could detect or report for this analyte. Uncertainty (Radiochemistry) 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 ofthe report includes the results ofthe laboratory quality control analyses required by procedure or Summary (Qc) analytical methods to assist in evaluating the validity ofthe 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 ofthe samples from the time of collection until delivery to the laboratory for analysis. This section ofyour 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 ofthe Analytical Report defines the specific analyses performed for each sample ID, including the dates and times of preparation and/or analysis. Qualifier Description J3 The associated batch QC was outside the established quality control range for precision. J6 The sample matrix interfered with the ability to make any accurate determination, spike value is low. T8 Sample(s) received past/too close to holding time expiration. ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE: EMA Resources L1579735 02/07/23 13:01 20 of 22 ACCREDITATIONS & LOCATIONS Pace Analytical National 12065 Lebanon Rd Mount Juliet, TN 37122 Alabama 40660 Nebraska N E-OS-15-05 Alaska 17-026 Nevada TN000032021-1 Arizona AZ0612 New Hampshire 2975 Arkansas 88-0469 New Jersey—NELAP TNO02 California 2932 New Mexico TN00003 Colorado TN00003 New York 11742 Connecticut PH-0197 North Carolina Env375 Florida E87487 North Carolina' DW21704 _ Georgia NELAP North Carolina 3 41 Georgia' 923 North Dakota R-140 Idaho TN00003 Ohio—VAP CL0069 Illinois 200008 Oklahoma 9915 Indiana C-TN-01 Oregon TN200002 Iowa 364 Pennsylvania 68-02979 Kansas E-10277 Rhode Island LA000356 Kentucky' 6 KY90010 South Carolina 84004002 Kentucky 2 16 South Dakota n/a Louisiana A130792 Tennessee'" 2006 Louisiana LA018 Texas T104704245-20-18 Maine TN00003 Texas5 LABO152 Maryland 324 Utah TN000032021-11 Massachusetts M-TNO03 Vermont VT2006 Michigan 9958 Virginia 110033 Minnesota 047-999-395 Washington C847 Mississippi TN00003 West Virginia 233 Missouri 340 Wisconsin 998093910 Montana CERT0086 Wyoming A2 LA A2LA— ISO 17025 1461.01 AIHA-LAP,LLC EMLAP 100789 A2 LA — ISO 17025 5 1461.02 DOD 1461.01 Canada 1461.01 USDA P330-15-00234 EPA—Crypto TN00003 Drinking Water 2 Underground Storage Tanks 3 Aquatic Toxicity "Chemical/Microbiological 5 Mold 6 Wastewater n/a Accreditation not applicable Not all certifications held by the laboratory are applicable to the results reported in the attached report. Accreditation is only applicable to the test methods specified on each scope of accreditation held by Pace Analytical. Rc ACCOUNT: PROJECT: SDG: DATE/TIME: EMA Resources L1579735 02/07/23 13:01 PAGE: 21 of 22 Company Name/Address: EMA Resources 755 Yadkinville Road Mocksville, NC 27028 Report to: Mr. Brent Collins Project Description: Sludge Phone: 336-751-1441 Collected by (print): CFg"'1 LsatI s Collected by (signature): /0� Immediately Packed on Ice N Y ✓ Sample ID No��r"' P:SCs�r ' Matrix: 5S - Soil AIR - Air F - Filter GW- Groundwater B- Bioassay WW - wastewater DW -Thinking Water OT - Other Relinquished by : (Signaturel Relinquished by: (Signature) Relinquished by : (Signature) Billing Information Mr. Brent Collins LC'hCk' 7S5 Yadkinville Road Mocksville, NC 27028 Small To brent.collin s@e maresou rcesi nc. tom; roy.whita k City/State aG/. Please Circle: ' Collected: / rlli•1«�� PT MT CT C Project # ILab Project # v Site/Facaity ID # P.O. # z ai Q L R ? (Lab MUST Be Notified) Quote # Same Day Five Day z V J Next Day 5 Day Iliad Only) Date Results Needed ri _ _ Two Day _ 10 Day (Rad Only) No. V _ —Three Day of r�-t � U Camp/Grab Matrix' Depth Date Time ntrs u r— r ss 3` ►12SIZ3 9;aS z X X Samples returned via: —UPS _ FedEx _Courier bate: 1/yslz 3 Date: Date: Tracking r �� Time: Received by (Signature) UUU 3= 3 0 Time: Received by: (Signature) Time, Received for lab by: (Signature) i Chain of Custody "age— of _ aceAnaWical >e 120651ebanon 0.d Mount 1.1w. TN SIL22 5�1,mittmga ample via this chain of custody —titutes acknaWledgment and acceptance Of the Pace Terms and COndkik— found -0 Mtpe:/Anfu.wtel,bs comlAuVs19.-s4andard- tarm.Pdr SDG # ! 5 / Cl I/'� L D165 Acctnum: EMARES Template:T11413 Prelogin: P895389 PM: 807-Justin r II `,} � PB: l sV4, snipped vlac Fed X Ground Remarks Sample 0 (lab only) 4 Sample ReceILL Checklist CGC Seal Present/Intact: CGC Signed/Accurate: rNP _y _N —N pH Temp Flow Other — —" Bottles arrive intact: Correct betties used: Sufficient volume sent: cable �r _N c/4/ N i11 N r y 9 Lf p f J ace VOA Zero Headapace: _Y N _N Preservation Correct/Checked: RP.D Screen <0.5 mR/hr: Y f Y _N Trip Blank Received: Yes / HCL/ MecH TRR Temp: I/ °C Bottles Received: If preservation required by Login: Date/Time 0,1 ate: 1./ Tme: Hold: Conditio J_I - / n OO NCF / OK Operation & Maintenance Plan Standard Operating Procedure and Operation and Maintenance Plan for the Smithfield Fresh Meats - Land Application Program 1. Purpose a. Ensure the requirements of the City of Salisbury Non -Discharge Permit #WQ0014868 are met. 2. Personnel a. The following is a list of personnel in order they are to be contacted when information needs to be shared. 1. JJ Henry — Project Manager 704-666-0230 2. Roy Whitaker — Director of Bus.Dvlpmt./Ops. 336-909-1718 3. Brent Collins — Director of Technical Services 336-399-3646 ii. Smithfield 1. Robert Harris — WWTP & WTP Manager 910-862-7675 2. Dwayne Russ — Land Application ORC 3. Tim Weaver — WWTP Supervisor 3. Operational Functions a. The operational function of this project is going to involve removal of residuals from the anaerobic lagoons via vacuum assisted pumps. It is going to be spread at agronomic rates that are determined using the Realistic Yield Expectations (RYE) as outlined in the permit, the amount of other nutrient sources the landowner and operator has applied, and the residuals nutrient and metal sample that is current for the monitoring period. It is going to be spread with a liquid applicator that will use pressure to spread the material in such a way as to achieve a consistent spread pattern. The material is going to be land applied on fields that have a crop growing on them that are going to either be grazed or cut for animal feed. Application rates will be reduced by 25% on fields that are primarily used for grazing in accordance with USDA-NRCS 590. Grazed fields will be determined by the farmers and EMA project managers. 4. Maintenance Schedule a. EMA Resources Inc. will follow the maintenance schedule as recommended by the EMA Resources Operations Manager (Roy Whitaker) for the equipment necessary to complete the job. 5. Safety Measures a. Smithfield Tar Heel and EMA Resources Inc. believe in operating in a safety conscious manner and all employees participate in safety training that is designed to help employees recognize safety issues and take steps to prevent accidents from occurring. In addition, EMA Resources employees have the authority to stop operations if they think any aspect of the operation is going to cause environmental or personal harm. 6. Spill Response Plan a. In the unlikely event of a spill, the following action shall be taken immediately. i. Management of Spill Clean-up Activities: The EMA Resources Project Manager shall take immediate charge and initiate clean-up activities. EMA Resources labor and equipment is to be utilized. In the event additional labor and equipment is required, assistance may be requested from the Smithfield, The NC Department of Transportation, and other private contractors as necessary. ii. Halt the Source of the Spill: Such as a ruptured container or damaged transport unit. iii. Contain the Spill: Form a barrier. Sufficient quantities of straw shall be used for such purposes. Earthen barriers may be constructed to augment the straw bale containment area of the spill. The Operations Manager or the person in charge on the spill site will be to advise the clean-up personnel where to get the straw, lime, and other items necessary to complete the clean-up operation. le. local farmers, farm supply centers, nurseries. iv. Initial Clean -Up: Employ front-end loaders, vacuum equipment, sludge application vehicles, and/or local septic tank service to remove as much of the spilled material as possible. Straw and/or sand should be scattered in the spill area to soak up the remaining material. The straw and sand -soaked material will be collected and removed to a disposal area approved by representatives of the state regulatory agency. v. Final Clean-U . Employ rotary brush sweeper if needed and apply lime to the spill area upon the approval of the clean-up efforts by the state regulatory representative. If the event occurs on private property, the clean-up will be completed to the satisfactory of the property owner and state regulatory representatives. The ultimate goal will be to restore the spill area to its original condition if possible. vi. Notification: As soon as possible after the spill occurs, the EMA Resources Project Manager or designee will notify the Smithfield and the EMA Resources main office. EMA Resources office staff is then responsible for notifying other key EMA Resources personnel. vii. Reporting_ EMA Resources staff will notify the Fayetteville Regional office of NCDEQR by telephone (910) 433-3300 as soon as possible, but not more than 24 hours after, or on the next working day following the occurrence. The EMA Project Manager shall provide a written report with 48 hours of the spill to the EMA Resources Director of Technical Services and Smithfield. The report shall list all relative information and actions taken. With the assistance of EMA Resources personnel, and Smithfield personnel, a written report will be filed with the Fayetteville regional office within 5 days of the occurrence. For after-hours reporting, the Division's emergency number shall be called to report all incidences (800) 662-7956. 7. Inspection Plan a. Inspection for the land application of residuals will conducted on a minimum of a weekly basis at the land application site during land application activities. The inspection frequency is based on the time frame that it is going to take to complete the project and the amount of dry tons to be land applied from this facility. The inspections will consist of inspecting a current field that is being applied as well as inspecting random fields that have been completed. Inspections will be conducted by JJ Henry — Project Manager. These inspections will consist of the following: i. Verifying the application rates for each field that plan on receiving material. ii. Checking the calculated loads to ensure the correct amount of residuals are being land applied. iii. Ensure that all manned equipment has a copy of the permit and the operation and maintenance plan. iv. Ensure that the field has been flagged properly and that all buffers are being adhered to. v. Verify that the proper number of samples of the residuals have been taken and that it meets the criteria for land application. vi. The records will be kept in the EMA Resources project files in the main office. Copies of all analyses and records will be forwarded to Smithfield and kept on file. vii. EMA Resources and Smithfield staff will immediately inform the other party if any of the following conditions are noted. 1. Any occurrence with the distribution program resulting in the land application of significant amounts of material that is abnormal in quantity or characteristics. 2. Any failure of the distribution system that results in the release to surface waters. 3. Any time that self -monitoring indicates that the facility has gone out of compliance with the permit. 4. Any process failure that results in the system not adequately treating the residuals. 5. Any spill or discharge from a vehicle or piping system during residuals transportation. 6. Any release that requires immediate reporting outside normal business hours shall be called in by EMA Resources staff to DENR at (800) 662-7956. This number is to be called in the event of a release to surface waters or imminent failure of a storage system when the event occurs outside of normal business hours. 8. Sampling and Monitoring Plan a. Sampling for this project consists of sampling the residuals prior to land application occurring in order to ensure that the residuals are suitable for land application. b. The samples will be collected from the covered concrete storage pad that holds the residuals c. JJ Henry, Brent Collins, Roy Whitaker or other designee will be responsible for sample collection for nutrient and metal, TCLP, fecal coliform, and volatile solids. d. Nutrient, metal and TCLP sample aliquots will be collected randomly and consist of at least 7 individual aliquots mixed together in order to get the composite sample for these parameters. e. The residuals will be sampled annually for TCLP including the RClls. f. Metal and nutrient parameters will be collected and analyzed based on the requested dry ton numbers in the permit application. g. Residuals will be sampled for fecal coliform to demonstrate pathogen requirements have been met. Seven separate samples will be collected and analyzed. 9. Environmental Impacts a. The environmental impacts for residuals may be affected by this procedure. b. This procedure helps assure that land application is conducted in a safe and efficient manner while ensuring compliance with the laws and regulations and to minimize exposure, negative environmental impacts and public relation concerns. Residuals Information Sheet Residuals Information Sheet Generator: Smithfield Fresh Meats, Inc. Facility: Smithfield WWTP Add ress: PO Box 99 Tar Heel, NC 28392 Phone: (910) 862-7675 Contact: Robert Harris Land Application Contractor: EMA Resources Inc. 755 Yadkinville Rd Mocksville, NC 27028 Phone: 336-751-1441 Contact: Roy Whitaker Please Note: The application of these residuals is only allowed in accordance with subject permit. (W Q0014868 ) All applicable setbacks in accordance with 15A NCAC 02T .1108(b) will be adhered and is the responsibility of the land application contractor. Application rates shall be applied at agronomic rates for intended uses. No residuals shall be applied to any site that is flooded, frozen, or snow covered. Adequate procedures will be implemented to prevent surface runoff of residuals in any surface waters. The attached residuals analysis report is a summary of major and micro -nutrients available in the residuals. If you have any questions concerning this information, you may contact EMA Resources Inc, at the number listed above. LASC Form LAND APPLICATION SITE CERTIFICATION Applicant's name: Smithfield Fresh Meats Land application sites currently certified: 1164.8 net acres and Total to be certified: 943.37 net acres. L LAND APPLICATION SITE INFORMATION (See Instruction B): Status Codes Site/Field ID Landowners �� Lessees or O s �� Operator(s) �� Net Acres Countys Crop(s) P�) Predominant Soil Series Nameb Mapping Unit or Rep. Slope° R/M SF03-01 Steve Dunham 19.63 Bladen Bermuda Lakeland LaB R/M SF03-02 Steve Dunham 12.06 Bladen Rye Grass Centenary Cc R/M SF03-03 Steve Dunham 22.39 Bladen Rye Grass Centenary Cc R/M SF03-04 Steve Dunham 16.34 Bladen Row Crop Wasda Wh R/M SF03-05 Steve Dunham 3.05 Bladen Bermuda Lakeland LaB R/M SF03-06 John Dunham 14.18 Bladen Bermuda Lakeland LaB R/M SF03-07 Steve Dunham 30.91 Bladen Bermuda Wickham WmB R/M SF07-01 Herring Family Trust 28.97 Bladen Bermuda Altavista Aa R/M SF07-03 Herring Family Trust 11.12 Bladen Fescue Altavista Aa R/M SF07-06 Herring Family Trust 17.53 Bladen Bermuda Wickhham WmB R/M SF07-08 Herring Family Trust 9.99 Bladen Bermuda Altavista Aa R/M SF07-09 Bonnie Meeker 18.83 Bladen Row Crop Wickham WmB R/M SF07-14 Bonnie Meeker 5.63 Bladen Bermuda Lakeland LaB R/M SF07-15 Bonnie Meeker 4.05 Bladen Bermuda Augusta At R/M SF 10-01 Murdock Butler 38.86 Bladen Row Crop Norfolk NoA R/M SF 10-02 Murdock Butler 33.2 Bladen Row Crop Autryville AuA R/M SF 10-03 Murdock Butler 21.83 Bladen Row Crop Norfolk NoA R/M SF 12-01 Hinton McCall King Jr 32.45 Bladen Row Crop Norfolk NoA R/M SF06-01 Vance Tyson 10.18 Cumberland Bermuda Autryville AuA R/M SF06-02 Vance Tyson 35.72 Cumberland Bermuda Autryville AuA R/M SF06-03 Vance Tyson 67.97 Cumberland Row Crop Deloss De FORM: LASC 06-16 Page 1 LAND APPLICATION SITE CERTIFICATION R/M SF06-04 Vance Tyson 31.89 Cumberland Row Crop Deloss De R/M SF06-05 Vance Tyson 30.77 Cumberland Row Crop Deloss De R/M SF06-06 Vance Tyson 72.72 Cumberland Row Crop Deloss De R/M SF06-07 Vance Tyson 71.96 Cumberland Row Crop Deloss De R/M SF08-01 McCall King Jr. 6.19 Robeson Row Crop Goldsboro GoA R/M SF08-02 McCall King Jr. 12.32 Robeson Row Crop Goldsboro GoA R/M SF08-03 McCall King Sr. 73.92 Robeson Row Crop Marlboro MaA R/M SF08-04 McCall King Sr. 61.69 Robeson Row Crop Norfolk NoA R/M SF08-05 McCall King Sr. 39.06 Robeson Row Crop Goldsboro GoA R/M SF08-06 McCall King Sr. 17.5 Robeson Row Crop Norfolk NoA R/M SF08-07 McCall King Sr. 26.65 Robeson Row Crop Goldsboro GoA R/M SF08-09 McCall King Sr. 43.81 Robeson Row Crop Coxville Co D SF09-01 Musselwhite Family Farm 36 Robeson D SF09-02 Musselwhite Family Farm 27.5 Robeson D SF09-03 Musselwhite Family Farm 9.5 Robeson D SF09-04 Musselwhite Family Farm 25 Robeson a Status Code for land application sites are: ♦ N (New) ♦ R (Renewed) ♦ M (Modified) ♦ T (Transferred) ♦ D (Deleted) b Soil Series Name (i.e. Appling, Cecil, etc.) Mapping Unit must be consistent with those used in the County Soil Survey (i.e. for a 2-8% slope Cecil in Anson County the mapping unit is CeB2) FORM: LASC 06-16 Page 2 Site Specific Information DWR Division of Water Resources State of North Carolina Department of Environmental Quality Division of Water Resources 15A NCAC 02T .1100 — LAND OWNER AGREEMENT FORM: LOA 06-16 Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional information requested. Failure to submit all of the required items will lead to additional processing and review time for the permit application. Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation For more information, visit the Water Quality Permitting Section's Non -Discharge Permitting General — This document is an agreement between the Applicant and land owner(s) of residuals receiving sites for land application of Class B residuals (may include water treatment plant or other type residuals) in accordance with 15A NCAC 02T .1100. Do not submit this agreement for review without a corresponding application form (FORM: RLAP 06-16). Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed below. A. Land Owner Agreement (FORM: LOA 06-16): ❑ Submit the completed and appropriately executed Land Application Site Certification (FORM: LASC 06-16) form. Please do not make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to the application may be made, as long as the attachments are numbered to correspond to the section and item to which they refer. ❑ Prepare a separate agreement for each set of land application sites that are owned or operated by an entity other than the Applicant. ❑ A copy of the completed and appropriately executed agreement must be provided to the landowner and the lessee/operator. AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND The undersigned landowner or his representative hereby permits: Applicant's name: Smithfield Fresh Meats hereinafter referred to as the Permittee, to land apply residuals from the following facility(ies) onto the following land application site(s) (i.e., see attached setback maps) in accordance with the stipulations and restrictions as given in this Agreement: Site/Field ID Lease (yes/no) Land Use or Cropping Patterns Intended Use of Crops Residuals Source (optional) Special note (no-till/over-seed/ pasture) SF03-(1-3,5,7) No Grass Feed SF03-04 No Row Crop Feed The landowner or his representative receives, in consideration, full use of the nutrient value of the applied residuals while the Permittee receives, in consideration, the use of the land application site(s) described above for the disposal of the residuals. This Agreement shall remain in effect for the length of the Division's permit for the residuals land application program and shall be renewed each time this permit is renewed. The undersigned landowner or his representative and the Permittee agree to abide with the following restrictions and stipulations until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement. FORM: LOA 06-16 Page 1 of 3 L STIPULATIONS: 1. The landowner or his representative shall not enter into any additional residuals application contracts or agreements with another permitted entity for the site(s) specified by this Agreement. 2. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) to a third party, the landowner shall be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement. 3. The landowner or his representative shall adhere to the provisions of this Agreement until all of the site restrictions (under Section II) are met. 4. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWR, Non -Discharge Permitting Unit, 1617 Mail Service Center, Raleigh, NC 27699-1617. 5. The Permittee must request and obtain a permit modification from the Division prior to a transfer of the land application site(s) to a new landowner. In addition, the current landowner shall give a notice to the new landowner that gives full details of the residuals applied at the land application site(s). 6. The Permittee has provided the landowner or his representative with information and data concerning the residuals land application program, including an analysis of constituents of the residuals, residuals application methods, schedules for typical cropping patterns, a description of the equipment used by the Permittee. 7. The Permittee will provide the landowner or his representative with a copy of the residuals permit prior to commencement of any residuals land application event and a copy of the results of each soil analysis. 8. If the soil pH of the land application site(s) is not maintained at 6.0 or greater, sufficient amounts of lime shall be applied to achieve a final soil pH of at least 6.0, unless an agronomist provides information indicating that the pH of the soil, residuals and lime mixture is suitable for the specified crop. 9. The landowner or his representative and the Permittee will agree on residuals application rates and schedules based on crop patterns, results of soil samples, and the permitted application limits. 10. The landowner or his representative will provide the Permittee with information regarding the amount and analysis of other sources of nutrients (e.g., fertilizer, unregulated animal waste, etc.) that have been applied to the land application site(s). 11. The landowner or his representative will inform the Permittee of any revisions or modifications to the intended use and cropping patterns for the land application site(s) prior to each planting season to enable the Permittee to amend this Agreement and schedule residuals land application events at appropriate periods. 12. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee, the landowner, or his representative prior to and during a residuals land application event. 13. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to; enter and inspect any property, premises, or place on or related to the land application site(s) at any reasonable time for the purpose of determining compliance with the permit; establish monitoring facilities on or near the land application site(s) as required by the permit; copy any records that must be kept under the terns and conditions of the permit; take necessary leachate, surface water, groundwater, or soil samples during the tern of, and 12 months after termination of, this Agreement. IL RESTRICTIONS: 1. Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control public access to the land application site(s) during active use and for the 12-month period following a residuals land application event. Such controls may include the posting of signs that indicate the activities being conducted at the land application site(s). 2. Animals shall not be grazed on the land application site(s) for a 30-day period following a residuals land application event. Land application sites that are to be used for grazing shall have fencing that will be used to prevent access during these periods after such residuals land application events. 3. Food crops, feed crops, and fiber crops shall not be harvested for a 30-day period following a residuals land application event. 4. Food crops with harvested parts that touch the residuals/soil mixture and are totally above the land surface shall not be harvested for a 14-month period following a residuals land application event. 5. Food crops with harvested parts below the surface of the land shall not be harvested for a 20-month period following a residuals land application event when the residuals remain on the land surface for four months or longer prior to incorporation into the soil. 6. Food crops with harvested parts below the surface of the land shall not be harvested for a 38-month period following a residuals land application event when the residuals remain on the land surface for less than four months prior to incorporation into the soil. 7. Turf grown on land where residuals are applied shall not be harvested for a 12-month period following a residuals land application event. III. ALTERNATIVES FOR WATER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY: (please check one) 15A NCAC 02L .0107(d) prohibits water supply wells within the compliance boundary. However, 15A NCAC 02T .0105(hl allows the compliance boundary to be placed closer to the waste disposal area, such that the water supply well is situated outside of the compliance boundary provided the groundwater standards can be met at the newly -established compliance boundary. Please mark one of the following; ❑ A re -defined compliance boundary is needed for field(s) ID: (Please include the rationale for the requested re -location of the compliance boundary and attach a map showing the newly proposed compliance boundary to the application package) ® A re -defined compliance boundary is not needed for this site. IV. ACKNOWLEDGEMENT OF FIELD TRANSFER: (if needed) ❑ The land application field(s) ID: is currently permitted under another residuals land application program; Permit Number WQ: The land owner hereby acknowledge that by signing this agreement, he/she is requesting that the field(s) be removed from the previously permitted residuals land application program and transferred into the new program; (Name of the new program) FORM: LOA 06-16 Page 2 of 3 Landowner's Certification: I certify that I am a deeded landowner of the above -referenced land application site(s) and am authorized to make decisions regarding the use of the land application site(s) on behalf of other deeded landowners OR that I am otherwise authorized, through a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the deeded landowners. I certify that the above -referenced land application site(s) are not included in any waste disposal contract or agreement with another municipality, contractor, or other permitted entity. Furthermore, 1 certify that I have read this Agreement, understand the stipulations, restrictions, alternatives for water supply wells inside the compliance boundary, acknowledgement of field transfer, and do hereby grant permission to the Permittee to land apply residuals to the land application site(s) as specified herein. Landowner name: lest- LN*7n aM Address: 2 f(o7 i3vrAe.7 " City: W State: Zip: Z 934 Phone: address: Signature: I E-mail! ---- Date: Z NORTH CAROLINA, Zjadg,n COUNTY I, the undersigned Notary Public do hereby certify that 4. b vv h&4, personally appeared before me this day and acknowledged the due execution of the forgoing instrument. WITNESS my hand and official seal this the g rS day of 20 Signature and seal: My commission expires: Lessee's/Operator's Certification: M. Brent Collins Davie County, NC My Commission Expires March 30, 2026 I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein. Lessee/operator name: Address: City: Phone: Signature: Permittee's Certification: State: E-mail Date: Zip: 1 certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein. Signing official name: Signature: Tucker Date: 3 1 ,;? a I �_ FORM: LOA 06-16 Page 3 of 3 DWR Division of Water Resources State of North Carolina Department of Environmental Quality Division of Water Resources 15A NCAC 02T .1100 — LAND OWNER AGREEMENT FORM: LOA 06-16 Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional information requested. Failure to submit all of the required items will lead to additional processing and review time for the permit application. Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation For more information, visit the Water Quality Permitting Section's Non -Discharge Permitting General — This document is an agreement between the Applicant and land owner(s) of residuals receiving sites for land application of Class B residuals (may include water treatment plant or other type residuals) in accordance with 15A NCAC 02T .1100. Do not submit this agreement for review without a corresponding application form (FORM: RLAP 06-16). Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed below. A. Land Owner Agreement (FORM: LOA 06-16): ❑ Submit the completed and appropriately executed Land Application Site Certification (FORM: LASC 06-16) form. Please do not make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to the application may be made, as long as the attachments are numbered to correspond to the section and item to which they refer. ❑ Prepare a separate agreement for each set of land application sites that are owned or operated by an entity other than the Applicant. ❑ A copy of the completed and appropriately executed agreement must be provided to the landowner and the lessee/operator. AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND The undersigned landowner or his representative hereby permits: Applicant's name: Smithfield Fresh Meats hereinafter referred to as the Permittee, to land apply residuals from the following facility(ies) onto the following land application site(s) (i.e., see attached setback maps) in accordance with the stipulations and restrictions as given in this Agreement: Site/Field ID Lease (yes/no) Land Use or Cropping Patterns Intended Use of Crops Residuals Source (optional) Special note (no-till/over-seed/ pasture) SF03-06 No Hay/Pasture Feed The landowner or his representative receives, in consideration, full use of the nutrient value of the applied residuals while the Permittee receives, in consideration, the use of the land application site(s) described above for the disposal of the residuals. This Agreement shall remain in effect for the length of the Division's permit for the residuals land application program and shall be renewed each time this permit is renewed. The undersigned landowner or his representative and the Permittee agree to abide with the following restrictions and stipulations until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement. FORM: LOA 06-16 Page 1 of 3 L STIPULATIONS: 1. The landowner or his representative shall not enter into any additional residuals application contracts or agreements with another permitted entity for the site(s) specified by this Agreement. 2. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) to a third party, the landowner shall be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement. 3. The landowner or his representative shall adhere to the provisions of this Agreement until all of the site restrictions (under Section II) are met. 4. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWR, Non -Discharge Permitting Unit, 1617 Mail Service Center, Raleigh, NC 27699-1617. 5. The Permittee must request and obtain a permit modification from the Division prior to a transfer of the land application site(s) to a new landowner. In addition, the current landowner shall give a notice to the new landowner that gives full details of the residuals applied at the land application site(s). 6. The Permittee has provided the landowner or his representative with information and data concerning the residuals land application program, including an analysis of constituents of the residuals, residuals application methods, schedules for typical cropping patterns, a description of the equipment used by the Permittee. 7. The Permittee will provide the landowner or his representative with a copy of the residuals permit prior to commencement of any residuals land application event and a copy of the results of each soil analysis. 8. If the soil pH of the land application site(s) is not maintained at 6.0 or greater, sufficient amounts of lime shall be applied to achieve a final soil pH of at least 6.0, unless an agronomist provides information indicating that the pH of the soil, residuals and lime mixture is suitable for the specified crop. 9. The landowner or his representative and the Permittee will agree on residuals application rates and schedules based on crop patterns, results of soil samples, and the permitted application limits. 10. The landowner or his representative will provide the Permittee with information regarding the amount and analysis of other sources of nutrients (e.g., fertilizer, unregulated animal waste, etc.) that have been applied to the land application site(s). 11. The landowner or his representative will inform the Permittee of any revisions or modifications to the intended use and cropping patterns for the land application site(s) prior to each planting season to enable the Permittee to amend this Agreement and schedule residuals land application events at appropriate periods. 12. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee, the landowner, or his representative prior to and during a residuals land application event. 13. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to; enter and inspect any property, premises, or place on or related to the land application site(s) at any reasonable time for the purpose of determining compliance with the permit; establish monitoring facilities on or near the land application site(s) as required by the permit; copy any records that must be kept under the terns and conditions of the permit; take necessary leachate, surface water, groundwater, or soil samples during the tern of, and 12 months after termination of, this Agreement. IL RESTRICTIONS: 1. Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control public access to the land application site(s) during active use and for the 12-month period following a residuals land application event. Such controls may include the posting of signs that indicate the activities being conducted at the land application site(s). 2. Animals shall not be grazed on the land application site(s) for a 30-day period following a residuals land application event. Land application sites that are to be used for grazing shall have fencing that will be used to prevent access during these periods after such residuals land application events. 3. Food crops, feed crops, and fiber crops shall not be harvested for a 30-day period following a residuals land application event. 4. Food crops with harvested parts that touch the residuals/soil mixture and are totally above the land surface shall not be harvested for a 14-month period following a residuals land application event. 5. Food crops with harvested parts below the surface of the land shall not be harvested for a 20-month period following a residuals land application event when the residuals remain on the land surface for four months or longer prior to incorporation into the soil. 6. Food crops with harvested parts below the surface of the land shall not be harvested for a 38-month period following a residuals land application event when the residuals remain on the land surface for less than four months prior to incorporation into the soil. 7. Turf grown on land where residuals are applied shall not be harvested for a 12-month period following a residuals land application event. III. ALTERNATIVES FOR WATER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY: (please check one) 15A NCAC 02L .0107(d) prohibits water supply wells within the compliance boundary. However, 15A NCAC 02T .0105(hl allows the compliance boundary to be placed closer to the waste disposal area, such that the water supply well is situated outside of the compliance boundary provided the groundwater standards can be met at the newly -established compliance boundary. Please mark one of the following; ® A re -defined compliance boundary is needed for field(s) ID: SF03-06 (Please include the rationale for the requested re -location of the compliance boundary and attach a map showing the newly proposed compliance boundary to the application package) ❑ A re -defined compliance boundary is not needed for this site. IV. ACKNOWLEDGEMENT OF FIELD TRANSFER: (if needed) ❑ The land application field(s) ID: is currently permitted under another residuals land application program; Permit Number WQ: The land owner hereby acknowledge that by signing this agreement, he/she is requesting that the field(s) be removed from the previously permitted residuals land application program and transferred into the new program; (Name of the new program) FORM: LOA 06-16 Page 2 of 3 Landowner's Certification: 1 certify that I am a deeded landowner of the above -referenced land application site(s) and am authorized to make decisions regarding the use of the land application site(s) on behalf of other deeded landowners OR that I am otherwise authorized, through a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the deeded landowners. I certify that the above -referenced land application site(s) are not included in any waste disposal contract or agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that 1 have read this Agreement, understand the stipulations, restrictions, alternatives for water supply wells inside the compliance boundary, acknowledgement of field transfer, and do hereby grant permission to the Permittee to land apply residuals to the land application site(s) as specified herein. Landowner name: John Dunham Address: 707 Lilli ut Dr City: New Bern State: Zip: 28562 Phone: E-mail address: _ Signature: Date: NORTH CAROLINA, . Cog'sces,, COUNTY 1, the undersigned Notary Public do hereby certify that _ -j O I,, LJ personally appeared before me this day and acknowledged the due execution of the forgoing instrument. WITNESS my hand and official seal this the I t day of br20 a2 tl ����" L I'�Cj Signature and seal: S S =n '�� w My commission expires: t7oZSI ,qiftNG U Lessee's/operator's Certification: w•��,�+C00 ``'��,``` 1110 1 certify that 1 have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein. Lessee/operator name: Address: City: State: Zip: Phone: E-mail address: Signature: Date: Permittee's Certification: I certify that 1 have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein. Signing official Signature: Andrea Tucker Date: FORM: LOA 06-16 Page 3 of 3 The compliance boundary is established either 250 ft from the residuals application area or 50 ft within the property boundary, whichever is closest to the application area. The review boundary is established midway between the compliance boundary and the perimeter of the residuals application area. The compliance boundary is established either 250 ft from the residuals application area or 50 ft within the property boundary, whichever is closest to the application area. The review boundary is established midway between the compliance boundary and the perimeter of the residuals application area. The review boundary for this site has been modified to allow for application up to 100 feet from on -site water supply well. The compliance boundary is established either 250 ft from the residuals application area or 50 ft within the property boundary, whichever is closest to the application area. The review boundary is established midway between the compliance boundary and the perimeter of the residuals application area. ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: Smithfield Farmland Corp Land Owner: Steve Dunham Operator: Steve Dunham Crop 1 Name: Bermuda -Pasture WQ Permit #: WQ0014868 Field #: Annual Dry Tons Applied: 42.68 Site #: Predominant Soil Series: LaB Crop 1 Max. PAN: 110.25 Crop 2 Name: Acres Utilized: SF03 Acres Permitted: Cation Exchange Capacity (non 503): Crop 2 Max. PAN: 21.6 21.6 0 o � N Q Volume applied enter one Solids/ ) Liquid Cu. Yds Gallons o /o Solids Volume Applied per pp p Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (may' Wet, Moist) Precip. Past 24 Ms. inches a �a F w *o• o ,•d �, # w •, * N *� TKN mg/kg Z ; o M o mg/kg Nitrate and Nitrite mg/kg PAN Applied ( lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 2/7 104000 3.75 0.753 Tarheel WWTP Dry <.5" S 0.5 0.2 67550 14160 82.8 26.865 NA Bermuda 2/8 169000 3.75 1.223 Tarheel WWTP Dry <.5" S 0.5 0.2 67550 14160 82.8 43.656 NA Bermuda 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): TOTALS: 01 273000 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 70.521 o.000 Lime Applied Annuallbs/acre 0.026 0.003 5.948 0.290 0.052 0.001 0.062 0.258 0.034 13.516 96.824 Date lbs/ac Prior Years Cumulative lbs/ac 0.316 0.099 46.756 2.64 0.703 0.023 1.312 3.891 0.422 182.213 Current Cumulative lbs/ac 0.342 0.102 52.704 2.930 0.755 0.024 1.374 4.149 0.456 195.729 Permitted C. P. L. R.**** 9 250 1 1000 1 250 500 Permit PAN Limit lst/2nd Crop i F 110.25 "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." *Application Method: S - Surface, IN - Injection, INC - Incorporation 2/l/2024 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0 Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2, aerobically digested -0.3, raw sludge -0.4 ****C.P.L.R.: Cumulative Pollutant Loading Rate DENR FORM FSF (12/2006) Facility Name: Land Owner: ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Smithfield Fresh Meats Steve Dunham Operator: Steve Dunham Crop 1 Name: Rye Grass - Pasture WQ Permit #: WQ0014868 Field #: Annual Dry Tons Applied: 90.01 Site #: Predominant Soil Series: Ce Crop 1 Max. PAN: 168.75 Crop 2 Name: 2 SF03 Acres Utilized: Acres Permitted: Cation Exchange Capacity (non 503): Crop 2 Max. PAN: 13.3 13.3 N Q Volume applied enter one Solids/ ( ) Liquid Cu. Yds Gallons o /o Solids Volume Applied per pp p Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (may' Wet, Moist) Precip. Past 24 Ms. inches a F ,'tea c� w *o• o ,•d �, # 4 w •, * N *� TKN mg/kg Z o 8 M o mg/kg Nitrate and Nitrite mg/kg PAN Applied (lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 3/1 175500 4.8 2.641 Lower Cape Fear Dry <.5" S 0.5 0.4 1 2230 1390 20.8 5.556 NA Rye 3/7 84500 3.75 0.994 Tarheel WWTP Dry <.5" S 0.5 0.2 67550 14160 82.8 35.450 NA Rye 3/8 130000 3.75 1.528 Tarheel WWTP Dry <.5" S 0.5 0.2 67550 14160 82.8 54.539 NA Rye 11/2 104000 3.15 1.027 Tarheel WWTP Dry <.5" S 0.5 0.2 66100 22100 89.7 40.962 NA Rye 11/3 1 58500 3.15 0.578 Tarheel WWTP Dry <.5" S 0.5 0.2 66100 22100 1 89.7 23.041 NA Rye 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): TOTALS: 01 552500 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 159,547F 0.000 Lime Applied Annuallbs/acre 0.086 0.011 11.969 0.513 0.164 0.007 0.121 0.412 0.115 18.277 139.455 Date lbs/ac Prior Years Cumulative lbs/ac 0.551 0.122 55.002 2.679 0.976 0.03 1.351 4.604 0.657 194.745 Current Cumulative lbs/ac 0.637 1 0.133 66.971 3.192 1.140 0.037 1.472 5.016 0.772 213.022 Permitted C. P. L. R.****1 9 1 250 1000 250 500 Permit PAN Limit lst/2nd Crop 1 1 168.75 "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." *Application Method: S - Surface, IN - Injection, INC - Incorporation 2/1/2024 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0 Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2, aerobically digested -0.3, raw sludge -0.4 ****C.P.L.R.: Cumulative Pollutant Loading Rate DENR FORM FSF (12/2006) ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: Smithfield Farmland Corp Land Owner: Steve Dunham Operator: Steve Dunham Crop 1 Name: Rye Grass -Pasture WQ Permit #: WQ0014868 Field #: Annual Dry Tons Applied: 93.85 Site #: Predominant Soil Series: Ce Crop 1 Max. PAN: 168.75 Crop 2 Name: Acres Utilized: SF03 Acres Permitted: Cation Exchange Capacity (non 503): Crop 2 Max. PAN: 21.3 21.3 0 o � N Q Volume applied enter one Solids/ ( ) Liquid Cu. Yds Gallons o /o Solids Volume Applied per pp p Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (may' Wet, Moist) Precip. Past 24 Ms. inches a �a F w *o• o ,•d �, # w •, * N *� TKN mg/kg Z ; o M o mg/kg Nitrate and Nitrite mg/kg PAN Applied ( lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 2/27 123500 4.8 1.161 Lower Cape Fear Dry <.5" S 0.5 0.4 2230 1390 1 20.8 2.441 NA Rye 2/28 117000 4.8 1.099 Lower Cape Fear Dry <.5" S 0.5 0.4 2230 1390 20.8 2.313 NA Rye 3/1 45500 4.8 0.428 Lower Cape Fear Dry <.5" S 0.5 0.4 2230 1390 20.8 0.899 NA Rye 3/8 78000 3.75 0.573 Tarheel WWTP Dry <.5" S 0.5 0.2 67550 14160 82.8 20.433 NA Rye 3/9 156000 3.75 1.145 Tarheel WWTP Dry <.5" S 0.5 0.2 67550 14160 82.8 40.865 NA Rye 0.000 0.000 0.000 0.000 0.000 1 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): TOTALS: 0 520000 As Cd Cu Cr Pb H Mo Ni Se Zn P 66.952 0.00o Lime A lied Annuallbs/acre 0.051 0.005 5.347 0.371 0.124 0.004 0.081 0.287 0.066 12.348 93.644 Date lbs/ac Prior Years Cumulative lbs/ac 0.516 0.122 48.643 2.267 0.817 0.022 1.127 3.772 0.618 168.409 Current Cumulative lbs/ac 0.567 0.127 53.990 2.638 0.941 0.026 1.208 4.059 0.684 180.757 Permitted C. P. L. R.**** 1 9 1 250 1 1 1000 1 1 1 250 1 1 500 Permit PAN Limit lst/2nd Crop 168.75 "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." *Application Method: S - Surface, IN - Injection, INC - Incorporation 2/1/2024 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0 Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2, aerobically digested -0.3, raw sludge -0.4 ****C.P.L.R.: Cumulative Pollutant Loading Rate DENR FORM FSF (12/2006) ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: Smithfield Farmland Corp Land Owner: Steve Dunham Operator: Steve Dunham Crop 1 Name: Corn WQ Permit #: WQ0014868 Field #: Annual Dry Tons Applied: 59.47 Site #: Predominant Soil Series: Wh Crop 1 Max. PAN: 150 Crop 2 Name: 4 SF03 Acres Utilized: Acres Permitted: Cation Exchange Capacity (non 503): Crop 2 Max. PAN: 19 19 o � N Q Volume applied enter one Solids/ ( ) Liquid Cu. Yds Gallons o /o Solids Volume Applied per pp p Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (may' Wet, Moist) Precip. Past 24 Ms. inches a �a F w *o• o ,•d �, # w •, * N *� TKN mg/kg Z ; o oa o mg/kg Nitrate and Nitrite mg/kg PAN Applied ( lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 1/27 143000 4.22 1.324 Tarheel WWTP Dry <.5" S 0.5 0.2 73775 12775 140.5 49.608 NA Corn 2/15 52000 4.22 0.482 Tarheel WWTP Dry <.5" S 0.5 0.2 73775 12775 140.5 18.039 NA Corn 2/16 130000 4.22 1.204 Tarheel WWTP Dry <.5" S 0.5 0.2 73775 12775 140.5 45.098 NA Corn 2/26 13000 4.22 0.120 Tarheel WWTP Dry <.5" S 0.5 0.2 73775 12775 140.5 4.510 NA Corn 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): TOTALS: 01 338000 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 117.255 0.000 Lime Applied Annuallbs/acre 0.035 0.004 7.465 0.399 0.066 0.001 0.095 0.355 0.047 17.325 146.015 Date lbs/ac Prior Years Cumulative lbs/ac 0.193 0.059 17.984 1.681 0.365 0.012 0.674 2.029 0.242 90.766 Current Cumulative lbs/ac 0.228 1 0.063 25.449 2.080 0.431 0.013 0.769 2.384 0.289 108.091 Permitted C. P. L. R.****1 9 1 250 1 1 1000 1 1 1 250 1 1 500 Permit PAN Limit lst/2nd Crop 1 1 150 "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." *Application Method: S - Surface, IN - Injection, INC - Incorporation 1/26/2023 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0 Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2, aerobically digested -0.3, raw sludge -0.4 ****C.P.L.R.: Cumulative Pollutant Loading Rate DENR FORM FSF (12/2006) ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: Smithfield Farmland Corp Land Owner: Steve Dunham Operator: Steve Dunham Crop 1 Name: Rye Grass -Hay WQ Permit #: WQ0014868 Field #: Annual Dry Tons Applied: 23.58 Site #: Predominant Soil Series: LaB Crop 1 Max. PAN: 196 Crop 2 Name: Acres Utilized: SF03 Acres Permitted: Cation Exchange Capacity (non 503): Crop 2 Max. PAN: Q Volume applied enter one Solids/ ( ) Liquid Cu. Yds Gallons o /o Solids Volume A hed er pp p Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. Wet, Wet, Moist) Precip. Past 24 Ms. inches a 4 � F w o ,•d # 4 w , * N TKN mg/kg Z ; o M o 5• mg/kg Nitrate and Nitrite mg/kg PAN Applied ( lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 3/1 1 19500 1 4.8 0.488 Lower Cape Fear Dry <.5" S 0.5 1 0.4 2230 1390 1 20.8 1.026 NA Rye 3/7 104000 3.75 2.033 Tarheel WWTP Dry <.5" S 0.5 0.2 67550 14160 82.8 72.536 NA Rye 11/3 26000 3.15 0.427 Tarheel WWTP Dry <.5" S 0.5 0.2 66100 22100 89.7 17.025 NA Rye 0.000 0.000 0.000 0.000 1 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): TOTALS: 01 149500 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 90.587 0.000 Lime Applied Annuallbs/acre 0.038 0.005 7.270 0.327 0.073 0.003 0.073 0.282 0.051 14.131 103.085 Date lbs/ac Prior Years Cumulative lbs/ac 0.396 0.095 36.765 1.94 0.555 0.017 0.856 2.762 0.482 128.525 Current Cumulative lbs/ac 0.434 0.100 44.035 2.267 0.628 0.020 0.929 3.044 0.533 142.656 Permitted C. P. L. R. * * * * 9 1 250 1 1 1000 1 1 1 250 1 1 500 Permit PAN Limit lst/2nd Crop I 196 "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." *Application Method: S - Surface, IN - Injection, INC - Incorporation 2/1/2024 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0 Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2, aerobically digested -0.3, raw sludge -0.4 ****C.P.L.R.: Cumulative Pollutant Loading Rate DENR FORM FSF (12/2006) ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: Smithfield Farmland Corp Land Owner: Steve & John Dunham Operator: Steve Dunham Crop 1 Name: Bermuda -Hay WQ Permit #: WQ0014868 Field #: Annual Dry Tons Applied: 75.95 Site #: Predominant Soil Series: LaB Crop 1 Max. PAN: 196 Crop 2 Name: 6 SF03 Acres Utilized: Acres Permitted: Cation Exchange Capacity (non 503): Crop 2 Max. PAN: 16.5 16.5 o � N Q Volume applied enter one Solids/ ( ) Liquid Cu. Yds Gallons o /o Solids Volume Applied per pp p Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (may' Wet, Moist) Precip. Past 24 Ms. inches a �a F w *o• o ,•d �, # - w •, * N *� TKN mg/kg Z ; o M o mg/kg Nitrate and Nitrite mg/kg PAN Applied ( lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 2/8 52000 3.75 0.493 Tarheel WWTP Dry <.5" S 0.5 0.2 67550 14160 82.8 17.585 NA Bermuda 2/9 175500 3.75 1.663 Tarheel WWTP Dry <.5" S 0.5 0.2 67550 14160 82.8 59.348 NA Bermuda 2/14 78000 3.75 0.739 Tarheel WWTP Dry <.5" S 0.5 0.2 67550 14160 82.8 26.377 NA Bermuda 10/30 52000 3.15 0.414 Tarheel WWTP Dry <.5" S 0.5 0.2 66100 22100 89.7 16.509 NA Bermuda 10/31 1 130000 3.15 1.035 Tarheel WWTP Dry <.5" S 0.5 0.2 66100 22100 89.7 41.272 NA Bermuda 11/1 32500 3.15 0.259 Tarheel WWTP Dry <.5" S 0.5 0.2 66100 22100 89.7 10.318 NA Bermuda 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): TOTALS: 01 520000 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 1n.4oS o.000 Lime Applied Annuallbs/acre 0.065 0.010 13.189 0.453 0.098 0.005 0.107 0.400 0.089 20.270 148.858 Date lbs/ac Prior Years Cumulative lbs/ac 0.308 0.085 35.623 1.929 0.599 0.019 1.065 3.23 0.396 147.36 Current Cumulative lbs/ac 0.373 1 0.095 48.812 2.382 0.697 0.024 1.172 3.630 0.485 167.630 Permitted C. P. L. R.**** 1 9 1 250 1 1 1000 1 1 1 250 1 1 500 Permit PAN Limit lst/2nd Crop I I 196 "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." *Application Method: S - Surface, IN - Injection, INC - Incorporation 2/1/2024 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0 Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2, aerobically digested -0.3, raw sludge -0.4 ****C.P.L.R.: Cumulative Pollutant Loading Rate DENR FORM FSF (12/2006) ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: Smithfield Farmland Corp Land Owner: Steve Dunham Operator: Steve Dunham Crop 1 Name: Rye Grass - Hay WQ Permit #: WQ0014868 Field #: Annual Dry Tons Applied: 155.83 Site #: Predominant Soil Series: WmB Crop 1 Max. PAN: 210 Crop 2 Name: Acres Utilized: SF03 Acres Permitted: Cation Exchange Capacity (non 503): Crop 2 Max. PAN: 37.2 37.2 Q Volume applied enter one Solids/ ( ) Liquid Cu. Yds Gallons o /o Solids Volume A hed er pp p Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (may' Wet, Moist) Precip. Past 24 Ms. inches a 4 � F w *o• o ,•d 2 # 4 w , * N *� TKN mg/kg Z ; o oa o �• mg/kg Nitrate and Nitrite mg/kg PAN Applied ( lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 2/20 136500 3.75 0.574 Tarheel WWTP Dry <.5" S 0.5 0.2 67550 14160 1 82.8 20.474 NA Rye 2/21 156000 3.75 0.656 Tarheel WWTP Dry <.5" S 0.5 0.2 67550 14160 82.8 23.399 NA Rye 2/22 136500 3.75 0.574 Tarheel WWTP Dry <.5" S 0.5 0.2 67550 14160 82.8 20.474 NA Rye 2/23 65000 3.75 0.273 Tarheel WWTP Dry <.5" S 0.5 0.2 67550 14160 82.8 9.749 NA Rye 10/19 110500 3.15 0.390 Tarheel WWTP Dry <.5" S 0.5 0.2 66100 22100 89.7 15.560 NA Rye 10/20 58500 3.15 0.207 Tarheel WWTP Dry <.5" S 0.5 0.2 66100 22100 1 89.7 8.238 NA Rye 10/23 143000 3.15 0.505 Tarheel WWTP Dry <.5" S 0.5 0.2 66100 22100 89.7 20.137 NA Rye 10/24 201500 3.15 0.712 Tarheel WWTP Dry <.5" S 0.5 0.2 66100 22100 89.7 28.374 NA Rye 10/25 84500 3.15 1 0.298 Tarheel WWTP Dry <.5" S 0.5 0.2 1 66100 22100 89.7 11.899 NA Rye 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): TOTALS: 0 1092000 As Cd Cu Cr Pb H Mo Ni Se Zn P 158,304 0.00o Lime A lied Annuallbs/acre 0.061 0.010 11.785 0.339 0.082 0.004 0.086 0.298 0.084 14.785 110.432 Date lbs/ac Prior Years Cumulative lbs/ac 0.156 0.062 34.531 4.057 0.747 0.014 0.811 3.001 0.217 131.294 Current Cumulative lbs/ac 0.217 1 0.072 46.316 4.396 0.829 0.018 0.897 3.299 0.301 146.079 Permitted C. P. L. R.**** 1 9 1 250 1 1 1000 1 1 1 250 1 1 500 Permit PAN Limit lst/2nd Crop 210 "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." *Application Method: S - Surface, IN - Injection, INC - Incorporation 2/1/2024 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0 Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2, aerobically digested -0.3, raw sludge -0.4 ****C.P.L.R.: Cumulative Pollutant Loading Rate DENR FORM FSF (12/2006) DWR Division of Water Resources State of North Carolina Department of Environmental Quality Division of Water Resources 15A NCAC 02T .1100 — LAND OWNER AGREEMENT FORM: LOA 06-16 Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional information requested. Failure to submit all of the required items will lead to additional processing and review time for the permit application. Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation For more information, visit the Water Quality Permitting Section's Non -Discharge Permitting General — This document is an agreement between the Applicant and land owner(s) of residuals receiving sites for land application of Class B residuals (may include water treatment plant or other type residuals) in accordance with 15A NCAC 02T .1100. Do not submit this agreement for review without a corresponding application form (FORM: RLAP 06-16). Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed below. A. Land Owner Agreement (FORM: LOA 06-16): ❑ Submit the completed and appropriately executed Land Application Site Certification (FORM: LASC 06-16) form. Please do not make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to the application may be made, as long as the attachments are numbered to correspond to the section and item to which they refer. ❑ Prepare a separate agreement for each set of land application sites that are owned or operated by an entity other than the Applicant. ❑ A copy of the completed and appropriately executed agreement must be provided to the landowner and the lessee/operator. AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND The undersigned landowner or his representative hereby permits: Applicant's name: Smithfield Fresh Meats hereinafter referred to as the Permittee, to land apply residuals from the following facility(ies) onto the following land application site(s) (i.e., see attached setback maps) in accordance with the stipulations and restrictions as given in this Agreement: Site/Field ID Lease (yes/no) Land Use or Cropping Patterns Intended Use of Crops Residuals Source (optional) Special note (no-till/over-seed/ pasture) SF07-(01,03,06,08) No Hay/Pasture Feed The landowner or his representative receives, in consideration, full use of the nutrient value of the applied residuals while the Permittee receives, in consideration, the use of the land application site(s) described above for the disposal of the residuals. This Agreement shall remain in effect for the length of the Division's permit for the residuals land application program and shall be renewed each time this permit is renewed. The undersigned landowner or his representative and the Permittee agree to abide with the following restrictions and stipulations until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement. FORM: LOA 06-16 Page 1 of 3 L STIPULATIONS: 1. The landowner or his representative shall not enter into any additional residuals application contracts or agreements with another permitted entity for the site(s) specified by this Agreement. 2. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) to a third party, the landowner shall be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement. 3. The landowner or his representative shall adhere to the provisions of this Agreement until all of the site restrictions (under Section II) are met. 4. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWR, Non -Discharge Permitting Unit, 1617 Mail Service Center, Raleigh, NC 27699-1617. 5. The Permittee must request and obtain a permit modification from the Division prior to a transfer of the land application site(s) to a new landowner. In addition, the current landowner shall give a notice to the new landowner that gives full details of the residuals applied at the land application site(s). 6. The Permittee has provided the landowner or his representative with information and data concerning the residuals land application program, including an analysis of constituents of the residuals, residuals application methods, schedules for typical cropping patterns, a description of the equipment used by the Permittee. 7. The Permittee will provide the landowner or his representative with a copy of the residuals permit prior to commencement of any residuals land application event and a copy of the results of each soil analysis. 8. If the soil pH of the land application site(s) is not maintained at 6.0 or greater, sufficient amounts of lime shall be applied to achieve a final soil pH of at least 6.0, unless an agronomist provides information indicating that the pH of the soil, residuals and lime mixture is suitable for the specified crop. 9. The landowner or his representative and the Permittee will agree on residuals application rates and schedules based on crop patterns, results of soil samples, and the permitted application limits. 10. The landowner or his representative will provide the Permittee with information regarding the amount and analysis of other sources of nutrients (e.g., fertilizer, unregulated animal waste, etc.) that have been applied to the land application site(s). 11. The landowner or his representative will inform the Permittee of any revisions or modifications to the intended use and cropping patterns for the land application site(s) prior to each planting season to enable the Permittee to amend this Agreement and schedule residuals land application events at appropriate periods. 12. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee, the landowner, or his representative prior to and during a residuals land application event. 13. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to; enter and inspect any property, premises, or place on or related to the land application site(s) at any reasonable time for the purpose of determining compliance with the permit; establish monitoring facilities on or near the land application site(s) as required by the permit; copy any records that must be kept under the terns and conditions of the permit; take necessary leachate, surface water, groundwater, or soil samples during the tern of, and 12 months after termination of, this Agreement. IL RESTRICTIONS: 1. Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control public access to the land application site(s) during active use and for the 12-month period following a residuals land application event. Such controls may include the posting of signs that indicate the activities being conducted at the land application site(s). 2. Animals shall not be grazed on the land application site(s) for a 30-day period following a residuals land application event. Land application sites that are to be used for grazing shall have fencing that will be used to prevent access during these periods after such residuals land application events. 3. Food crops, feed crops, and fiber crops shall not be harvested for a 30-day period following a residuals land application event. 4. Food crops with harvested parts that touch the residuals/soil mixture and are totally above the land surface shall not be harvested for a 14-month period following a residuals land application event. 5. Food crops with harvested parts below the surface of the land shall not be harvested for a 20-month period following a residuals land application event when the residuals remain on the land surface for four months or longer prior to incorporation into the soil. 6. Food crops with harvested parts below the surface of the land shall not be harvested for a 38-month period following a residuals land application event when the residuals remain on the land surface for less than four months prior to incorporation into the soil. 7. Turf grown on land where residuals are applied shall not be harvested for a 12-month period following a residuals land application event. III. ALTERNATIVES FOR WATER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY: (please check one) 15A NCAC 02L .0107(d) prohibits water supply wells within the compliance boundary. However, 15A NCAC 02T .0105(hl allows the compliance boundary to be placed closer to the waste disposal area, such that the water supply well is situated outside of the compliance boundary provided the groundwater standards can be met at the newly -established compliance boundary. Please mark one of the following; ❑ A re -defined compliance boundary is needed for field(s) ID: (Please include the rationale for the requested re -location of the compliance boundary and attach a map showing the newly proposed compliance boundary to the application package) ® A re -defined compliance boundary is not needed for this site. IV. ACKNOWLEDGEMENT OF FIELD TRANSFER: (if needed) ❑ The land application field(s) ID: is currently permitted under another residuals land application program; Permit Number WQ: The land owner hereby acknowledge that by signing this agreement, he/she is requesting that the field(s) be removed from the previously permitted residuals land application program and transferred into the new program; (Name of the new program) FORM: LOA 06-16 Page 2 of 3 Landowner's Certification: I certify that 1 am a deeded landowner of the above -referenced land application site(s) and am authorized to make decisions regarding the use of the land application site(s) on behalf of other deeded landowners OR that I am otherwise authorized, through a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the deeded landowners. 1 certify that the above -referenced land application site(s) are not included in any waste disposal contract or agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement, understand the stipulations, restrictions, alternatives for water supply wells inside the compliance boundary, acknowledgement of field transfer, and do hereby grant permission to the Permittee to land apply residuals to the land application site(s) as specified herein. Landowner name: Wanda Herrin Address: 2721 Hickoa Drive City: Asheboro State: NC Zip: 27205 Phone: 336 628-4041 E-mail address: Signature: XC A Date: 221211 1 NORTH CAROLINA, K n o COUNTY ��}} / 1, the undersigned Notary Public do hereby certify that Yv on d a 8yin e P4-i � I/4 ct personally appeared before me this day and acknowledged the due execution of the forgoing instrument. WITNESS my hand and official seal this the n a/ day of eck 20 ZN Signature and seal: ev My commission expires: 3012lp NOTARY PUBLIC Davie County, NC Lessee's/Operator's Certification: My Commission Expires March 30, 2026 I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein. Lessee/operator name: .._ Address: City: State: Phone: E-mail Signature: Permittee's Certification: Date: Zip: I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein. Signing official name —_A Signature: Date: FORM: LOA 06-16 Page 3 of DWR Division of Water Resources State of North Carolina Department of Environmental Quality Division of Water Resources 15A NCAC 02T .1100 — LAND OWNER AGREEMENT FORM: LOA 06-16 Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional information requested. Failure to submit all of the required items will lead to additional processing and review time for the permit application. Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation For more information, visit the Water Quality Permitting Section's Non -Discharge Permitting General — This document is an agreement between the Applicant and land owner(s) of residuals receiving sites for land application of Class B residuals (may include water treatment plant or other type residuals) in accordance with 15A NCAC 02T .1100. Do not submit this agreement for review without a corresponding application form (FORM: RLAP 06-16). Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed below. A. Land Owner Agreement (FORM: LOA 06-16): ❑ Submit the completed and appropriately executed Land Application Site Certification (FORM: LASC 06-16) form. Please do not make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to the application may be made, as long as the attachments are numbered to correspond to the section and item to which they refer. ❑ Prepare a separate agreement for each set of land application sites that are owned or operated by an entity other than the Applicant. ❑ A copy of the completed and appropriately executed agreement must be provided to the landowner and the lessee/operator. AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND The undersigned landowner or his representative hereby permits: Applicant's name: Smithfield Fresh Meats hereinafter referred to as the Permittee, to land apply residuals from the following facility(ies) onto the following land application site(s) (i.e., see attached setback maps) in accordance with the stipulations and restrictions as given in this Agreement: Site/Field ID Lease (yes/no) Land Use or Cropping Patterns Intended Use of Crops Residuals Source (optional) Special note (no-till/over-seed/ pasture) SF07-(09,14,15) No Hay/Pasture Feed The landowner or his representative receives, in consideration, full use of the nutrient value of the applied residuals while the Permittee receives, in consideration, the use of the land application site(s) described above for the disposal of the residuals. This Agreement shall remain in effect for the length of the Division's permit for the residuals land application program and shall be renewed each time this permit is renewed. The undersigned landowner or his representative and the Permittee agree to abide with the following restrictions and stipulations until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement. FORM: LOA 06-16 Page 1 of 3 L STIPULATIONS: 1. The landowner or his representative shall not enter into any additional residuals application contracts or agreements with another permitted entity for the site(s) specified by this Agreement. 2. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) to a third party, the landowner shall be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement. 3. The landowner or his representative shall adhere to the provisions of this Agreement until all of the site restrictions (under Section II) are met. 4. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWR, Non -Discharge Permitting Unit, 1617 Mail Service Center, Raleigh, NC 27699-1617. 5. The Permittee must request and obtain a permit modification from the Division prior to a transfer of the land application site(s) to a new landowner. In addition, the current landowner shall give a notice to the new landowner that gives full details of the residuals applied at the land application site(s). 6. The Permittee has provided the landowner or his representative with information and data concerning the residuals land application program, including an analysis of constituents of the residuals, residuals application methods, schedules for typical cropping patterns, a description of the equipment used by the Permittee. 7. The Permittee will provide the landowner or his representative with a copy of the residuals permit prior to commencement of any residuals land application event and a copy of the results of each soil analysis. 8. If the soil pH of the land application site(s) is not maintained at 6.0 or greater, sufficient amounts of lime shall be applied to achieve a final soil pH of at least 6.0, unless an agronomist provides information indicating that the pH of the soil, residuals and lime mixture is suitable for the specified crop. 9. The landowner or his representative and the Permittee will agree on residuals application rates and schedules based on crop patterns, results of soil samples, and the permitted application limits. 10. The landowner or his representative will provide the Permittee with information regarding the amount and analysis of other sources of nutrients (e.g., fertilizer, unregulated animal waste, etc.) that have been applied to the land application site(s). 11. The landowner or his representative will inform the Permittee of any revisions or modifications to the intended use and cropping patterns for the land application site(s) prior to each planting season to enable the Permittee to amend this Agreement and schedule residuals land application events at appropriate periods. 12. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee, the landowner, or his representative prior to and during a residuals land application event. 13. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to; enter and inspect any property, premises, or place on or related to the land application site(s) at any reasonable time for the purpose of determining compliance with the permit; establish monitoring facilities on or near the land application site(s) as required by the permit; copy any records that must be kept under the terns and conditions of the permit; take necessary leachate, surface water, groundwater, or soil samples during the tern of, and 12 months after termination of, this Agreement. IL RESTRICTIONS: 1. Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control public access to the land application site(s) during active use and for the 12-month period following a residuals land application event. Such controls may include the posting of signs that indicate the activities being conducted at the land application site(s). 2. Animals shall not be grazed on the land application site(s) for a 30-day period following a residuals land application event. Land application sites that are to be used for grazing shall have fencing that will be used to prevent access during these periods after such residuals land application events. 3. Food crops, feed crops, and fiber crops shall not be harvested for a 30-day period following a residuals land application event. 4. Food crops with harvested parts that touch the residuals/soil mixture and are totally above the land surface shall not be harvested for a 14-month period following a residuals land application event. 5. Food crops with harvested parts below the surface of the land shall not be harvested for a 20-month period following a residuals land application event when the residuals remain on the land surface for four months or longer prior to incorporation into the soil. 6. Food crops with harvested parts below the surface of the land shall not be harvested for a 38-month period following a residuals land application event when the residuals remain on the land surface for less than four months prior to incorporation into the soil. 7. Turf grown on land where residuals are applied shall not be harvested for a 12-month period following a residuals land application event. III. ALTERNATIVES FOR WATER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY: (please check one) 15A NCAC 02L .0107(d) prohibits water supply wells within the compliance boundary. However, 15A NCAC 02T .0105(hl allows the compliance boundary to be placed closer to the waste disposal area, such that the water supply well is situated outside of the compliance boundary provided the groundwater standards can be met at the newly -established compliance boundary. Please mark one of the following; ® A re -defined compliance boundary is needed for field(s) ID: SF07-14 (Please include the rationale for the requested re -location of the compliance boundary and attach a map showing the newly proposed compliance boundary to the application package) ❑ A re -defined compliance boundary is not needed for this site. IV. ACKNOWLEDGEMENT OF FIELD TRANSFER: (if needed) ❑ The land application field(s) ID: is currently permitted under another residuals land application program; Permit Number WQ: The land owner hereby acknowledge that by signing this agreement, he/she is requesting that the field(s) be removed from the previously permitted residuals land application program and transferred into the new program; (Name of the new program) FORM: LOA 06-16 Page 2 of 3 Landowner's Certification: 1 certify that 1 am a deeded landowner of the above -referenced land application site(s) and am authorized to make decisions regarding the use of the land application site(s) on behalf of other deeded landowners OR that I am otherwise authorized, through a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the deeded landowners, i certify that the above -referenced land application site(s) are not included in any waste disposal contract or agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement, understand the stipulations, restrictions, alternatives for water supply wells inside the compliance boundary, acknowledgement of field transfer, and do hereby grant permission to the Permittee to land apply residuals to the land application site(s) as specified herein. Landownername: c Ace -lee. - Address: ) I S 30 NC t4wy 97 W es# - City: State: IV C zip: 2-'Is3 Phone: E-mail address - Signature: Date: S/ZY NORTH CAROLINA,+fn COUNTY 1, the undersigned Notary Public do hereby certify that personally appeared before me this day and acknowledged the due execution of the forgoing instrument. WITNESS my hand and official seal this the A,S4,k day of r__16rVanj, 20 2 Signature and seal: __ IV. 6,A My commission expires: r340 Lessee's/Operator's Certification: NOTARY PUBLIC My Commission Expires March 30, 2026 I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein. Lessee/operator name: Address: City: Phone: Signature: Permittee's Certification: State: E-mail address: Date: Zip: I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein. Signing official name: Andrea Tucker Signature: Date: .31a -,I I,.� FORM: LOA 06-16 Page 3 of The compliance boundary is established either 250 ft from the residuals application area or 50 ft within the property boundary, whichever is closest to the application area. The review boundary is established midway between the compliance boundary and the perimeter of the residuals application area. The compliance boundary is established either 250 ft from the residuals application area or 50 ft within the property boundary, whichever is closest to the application area. The review boundary is established midway between the compliance boundary and the perimeter of the residuals application area. Field Total Acres Applicable Acres 6 22.27 17.53 8 12.78 19.99 9 22.66 18.83 SCALE: 1":440' DATE: 3/22/2024�/ V/ H DRAWN BY: BC ' --Resources, Inc. 'ROJECT NO: WQ0014868 44 X — X Fenceline — — — Drain ® Buffer Pond Field Boundary Property Boundary Smithfield Fresh Meats, Inc. FIGURE NO. Land Application Program 2 SF07 Herring Family Trust The compliance boundary is established either 250 ft from the residuals application area or 50 ft within the property boundary, whichever is closest to the application area. The review boundary is established midway between the compliance boundary and the perimeter of the residuals application area. The review boundary for this site has been modified to allow for application up to 100 feet from on -site water supply well. ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: Smithfield Farmland Corp Land Owner: JW Burney Operator: Steve Dunham Crop 1 Name: Rye Grass - Hay WQ Permit #: WQ0014868 Field #: Annual Dry Tons Applied: 85.83 Site #: Predominant Soil Series: Aa Crop 1 Max. PAN: 207 Crop 2 Name: Acres Utilized: SF07 Acres Permitted: Cation Exchange Capacity (non 503): Crop 2 Max. PAN: 21.8 21.8 0 Q Volume applied enter one Solids/ ( ) Liquid Cu. Yds Gallons o /o Solids Volume A hed er pp p Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (may' Wet, Moist) Precip. Past 24 Ms. inches a 4 � F w *o• o ,•d 2 # 4 w , * N *� TKN mg/kg Z ; o oa o �• mg/kg Nitrate and Nitrite mg/kg PAN Applied ( lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 3/2 97500 3.75 0.699 Tarheel WWTP Dry <.5" S 0.5 0.2 67550 14160 1 82.8 24.955 NA Rye 3/3 130000 3.75 0.933 Tarheel WWTP Dry <.5" S 0.5 0.2 67550 14160 82.8 33.274 NA Rye 3/4 71500 3.75 0.513 Tarheel WWTP Dry <.5" S 0.5 0.2 67550 14160 82.8 18.300 NA Rye 3/6 26000 3.75 0.187 Tarheel WWTP Dry <.5" S 0.5 0.2 67550 14160 82.8 6.655 NA Rye 10/16 71500 3.15 0.431 Tarheel WWTP Dry <.5" S 0.5 0.2 66100 22100 89.7 17.181 NA Rye 10/17 162500 3.15 0.979 Tarheel WWTP Dry <.5" S 0.5 0.2 66100 1 22100 89.7 39.047 NA Rye 10/19 32500 3.15 0.196 Tarheel WWTP Dry <.5" S 0.5 0.2 66100 22100 89.7 7.809 NA Rye 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): TOTALS: 01 591500 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 147,2211 0.000 Lime Applied Annuallbs/acre 0.056 0.009 11.224 0.368 0.082 0.004 0.089 0.325 0.077 16.384 120.804 Date lbs/ac Prior Years Cumulative lbs/ac 0.314 0.248 108.309 1.793 1.42 0.023 1.244 2.954 0.455 318.5 Current Cumulative lbs/ac 0.370 1 0.257 119.533 2.161 1.502 0.027 1.333 3.279 0.532 334.884 Permitted C. P. L. R.**** 1 9 1 250 1 1 1000 1 1 1 250 1 1 500 Permit PAN Limit lst/2nd Crop 207 "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." *Application Method: S - Surface, IN - Injection, INC - Incorporation 2/1/2024 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0 Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2, aerobically digested -0.3, raw sludge -0.4 ****C.P.L.R.: Cumulative Pollutant Loading Rate DENR FORM FSF (12/2006) ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: Smithfield Farmland Corp Land Owner: JW Burney Operator: Steve Dunham Crop 1 Name: Rye Grass - Pasture WQ Permit #: WQ0014868 Field #: Annual Dry Tons Applied: 45.90 Site #: Predominant Soil Series: Aa Crop 1 Max. PAN: 155.25 Crop 2 Name: Acres Utilized: SF07 Acres Permitted: Cation Exchange Capacity (non 503): Crop 2 Max. PAN: 12.3 12.3 Q Volume applied enter one Solids/ ( ) Liquid Cu. Yds Gallons o /o Solids Volume A hed er pp p Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (may' Wet, Moist) Precip. Past 24 Ms. inches a 4 � F w *o• o ,•d 2 # 4 w , * N *� TKN mg/kg Z ; o oa o �• mg/kg Nitrate and Nitrite mg/kg PAN Applied ( lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 3/4 45500 3.75 0.578 Tarheel WWTP Dry <.5" S 0.5 0.2 67550 14160 1 82.8 20.640 NA Rye 3/6 117000 3.75 1.487 Tarheel WWTP Dry <.5" S 0.5 0.2 67550 14160 82.8 53.075 NA Rye 10/18 143000 3.15 1.527 Tarheel WWTP Dry <.5" S 0.5 0.2 66100 22100 89.7 60.901 NA Rye 10/19 13000 3.15 0.139 Tarheel WWTP Dry <.5" S 0.5 0.2 66100 22100 89.7 5.536 NA Rye 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): TOTALS: 01 318500 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 140-153T 0.000 Lime Applied Annuallbs/acre 0.054 0.008 10.584 0.330 0.076 0.004 0.081 0.291 0.074 14.588 108.065 Date lbs/ac Prior Years Cumulative lbs/ac 0.1 0.037 18.898 2.71 0.565 0.01 0.587 1.988 0.16 93.884 Current Cumulative lbs/ac 0.154 1 0.045 29.482 3.040 0.641 0.014 0.668 2.279 0.234 108.472 Permitted C. P. L. R. * * * * 9 1 250 1 1 1000 1 1 1 250 1 1 500 Permit PAN Limit lst/2nd Crop 155.25 "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." *Application Method: S - Surface, IN - Injection, INC - Incorporation 2/1/2024 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0 Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2, aerobically digested -0.3, raw sludge -0.4 ****C.P.L.R.: Cumulative Pollutant Loading Rate DENR FORM FSF (12/2006) ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: Smithfield Farmland Corp Land Owner: JW Burney Operator: Steve Dunham Crop 1 Name: Rye Grass - Hay WQ Permit #: WQ0014868 Field #: Annual Dry Tons Applied: 77.01 Site #: Predominant Soil Series: WmB Crop 1 Max. PAN: 220 Crop 2 Name: 6 SF07 Acres Utilized: Acres Permitted: Cation Exchange Capacity (non 503): Crop 2 Max. PAN: 19.3 19.3 0 N Q Volume applied enter one Solids/ ( ) Liquid Cu. Yds Gallons o /o Solids Volume Applied per pp p Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (may' Wet, Moist) precip. Past 24 Ms. inches a F ,'tea c� w *o• o ,•d �, # w •, * N *� TKN mg/kg Z 8 o M o mg/kg Nitrate and Nitrite mg/kg PAN Applied (lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 2/18 45500 3.75 0.369 Tarheel WWTP Dry <.5" S 0.5 0.2 67550 14160 82.8 13.154 NA Bermuda 2/19 110500 3.75 0.895 Tarheel WWTP Dry <.5" S 0.5 0.2 67550 14160 82.8 31.946 NA Bermuda 2/23 97500 3.75 0.790 Tarheel WWTP Dry <.5" S 0.5 0.2 67550 14160 82.8 28.188 NA Bermuda 2/24 26000 3.75 0.211 Tarheel WWTP Dry <.5" S 0.5 0.2 67550 14160 82.8 7.517 NA Bermuda 10/25 1 117000 3.15 0.796 Tarheel WWTP Dry <.5" S 0.5 0.2 66100 22100 89.7 31.756 NA Bermuda 10/26 136500 3.15 0.929 Tarheel WWTP Dry <.5" S 0.5 1 0.2 66100 22100 89.7 37.048 NA Bermuda 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): TOTALS: 01 533000 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 149,60 00.000 Lime Applied Annuallbs/acre 0.057 0.009 11.337 0.360 0.082 0.004 0.088 0.318 0.078 15.965 118.058 Date lbs/ac Prior Years Cumulative lbs/ac 0.413 0.267 119.476 6.947 1.981 0.032 1.826 15.486 0.549 399.536 Current Cumulative lbs/ac 0.470 0.276 130.813 7.307 2.063 0.036 1.914 15.804 0.627 415.501 Permitted C. P. L. R.****1 9 1 250 1 1 1000 1 1 1 250 1 1 500 Permit PAN Limit lst/2nd Crop 220 "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." *Application Method: S - Surface, IN - Injection, INC - Incorporation 2/1/2024 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0 Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2, aerobically digested -0.3, raw sludge -0.4 ****C.P.L.R.: Cumulative Pollutant Loading Rate DENR FORM FSF (12/2006) ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: Smithfield Farmland Corp Land Owner: JW Burney Operator: Steve Dunham Crop 1 Name: Bermuda -Pasture WQ Permit #: WQ0014868 Field #: Annual Dry Tons Applied: 46.43 Site #: Predominant Soil Series: Aa Crop 1 Max. PAN: 155 Crop 2 Name: Acres Utilized: SF07 Acres Permitted: Cation Exchange Capacity (non 503): Crop 2 Max. PAN: 12.1 12.1 o � N Q Volume applied enter one Solids/ ( ) Liquid Cu. Yds Gallons o /o Solids Volume Applied per pp p Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (may' Wet, Moist) Precip. Past 24 Ms. inches a �a F w *o• o ,•d �, # - w •, * N *� TKN mg/kg Z ; o M o mg/kg Nitrate and Nitrite mg/kg PAN Applied ( lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 2/17 65000 3.75 0.840 Tarheel WWTP Dry <.5" S 0.5 0.2 67550 14160 82.8 29.974 NA Bermuda 2/18 84500 3.75 1.092 Tarheel WWTP Dry <.5" S 0.5 0.2 67550 14160 82.8 38.966 NA Bermuda 10/26 91000 3.15 0.988 Tarheel WWTP Dry <.5" S 0.5 0.2 66100 22100 89.7 39.396 NA Bermuda 10/27 84500 3.15 0.917 Tarheel WWTP Dry <.5" S 0.5 0.2 66100 22100 89.7 36.582 NA Bermuda 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): TOTALS: 01 325000 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 144.917 o.000 Lime Applied Annuallbs/acre 0.056 0.009 10.806 0.314 0.075 0.004 0.079 0.276 0.077 13.737 102.479 Date lbs/ac Prior Years Cumulative lbs/ac 0.301 0.084 40.579 4.857 0.83 0.021 1.135 3.296 0.415 151.222 Current Cumulative lbs/ac 0.357 0.093 51.385 5.171 0.905 0.025 1.214 3.572 0.492 164.959 Permitted C. P. L. R.**** 9 250 1 1000 1 250 500 Permit PAN Limit lst/2nd Crop i Fl-55 "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." *Application Method: S - Surface, IN - Injection, INC - Incorporation 2/1/2024 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0 Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2, aerobically digested -0.3, raw sludge -0.4 ****C.P.L.R.: Cumulative Pollutant Loading Rate DENR FORM FSF (12/2006) ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: Smithfield Farmland Corp Land Owner: Bonnie Meeker Operator: Richard Dunham Crop 1 Name: Bermuda -Hay WQ Permit #: WQ0014868 Field #: Annual Dry Tons Applied: 60.62 Site #: Predominant Soil Series: WmB Crop 1 Max. PAN: 220 Crop 2 Name: 9 SF07 Acres Utilized: Acres Permitted: Cation Exchange Capacity (non 503): Crop 2 Max. PAN: 21.3 21.3 0 o � N Q Volume applied enter one Solids/ ( ) Liquid Cu. Yds Gallons o /o Solids Volume Applied per pp p Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (may' Wet, Moist) Precip. Past 24 Ms. inches a �a F w *o• o ,•d �, # - w •, * N *� TKN mg/kg Z ; o M o mg/kg Nitrate and Nitrite mg/kg PAN Applied ( lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 2/15 110500 3.75 0.811 Tarheel WWTP Dry <.5" S 0.5 0.2 67550 14160 82.8 28.946 NA Bermuda 2/16 91000 3.75 0.668 Tarheel WWTP Dry <.5" S 0.5 0.2 67550 14160 82.8 23.838 NA Bermuda 2/24 71500 3.75 0.525 Tarheel WWTP Dry <.5" S 0.5 0.2 67550 14160 82.8 18.730 NA Bermuda 11/1 97500 3.15 0.601 Tarheel WWTP Dry <.5" S 0.5 0.2 66100 22100 89.7 23.978 NA Bermuda 11/2 1 39000 3.15 0.241 Tarheel WWTP Dry <.5" S 0.5 0.2 66100 22100 89.7 9.591 NA Bermuda 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): TOTALS: 01 409500 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 105,0841 0.000 Lime Applied Annuallbs/acre 0.040 0.006 8.238 0.308 0.063 0.003 0.071 0.272 0.054 13.938 101.648 Date lbs/ac Prior Years Cumulative lbs/ac 0.369 0.122 41.547 4.466 0.914 0.021 1.187 3.712 0.456 170.774 Current Cumulative lbs/ac 0.409 0.128 49.785 4.774 0.977 0.024 1.258 3.984 0.510 184.712 Permitted C. P. L. R. * * * * 1 9 1 250 1 1 1000 1 1 1 250 1 1 500 Permit PAN Limit lst/2nd Crop 1 220 "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." *Application Method: S - Surface, IN - Injection, INC - Incorporation 2/1/2024 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0 Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2, aerobically digested -0.3, raw sludge -0.4 ****C.P.L.R.: Cumulative Pollutant Loading Rate DENR FORM FSF (12/2006) ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: Smithfield Farmland Corp Land Owner: Bonnie Meeker Operator: Richard Dunham Crop 1 Name: Bermuda -Hay WQ Permit #: WQ0014868 Field #: Annual Dry Tons Applied: 2135 Site #: Predominant Soil Series: LaB Crop 1 Max. PAN: 147 Crop 2 Name: 14 Acres Utilized: SF07 Acres Permitted: Cation Exchange Capacity (non 503): Crop 2 Max. PAN: 7.5 7.5 o � N Q Volume applied enter one Solids/ ) Liquid Cu. Yds Gallons o /o Solids Volume Applied per pp p Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (may' Wet, Moist) Precip. Past 24 Ms. inches a �a F w *o• o ,•d �, # w •, * N *� TKN mg/kg Z ; o M o mg/kg Nitrate and Nitrite mg/kg PAN Applied ( lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 2/10 117000 3.75 2.439 Tarheel WWTP Dry <.5" S 0.5 0.2 67550 14160 82.8 87.043 NA Bermuda 2/14 19500 3.75 0.407 Tarheel WWTP Dry <.5" S 0.5 0.2 67550 14160 82.8 14.507 NA Bermuda 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): TOTALS: 01 136500 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 101.551 o.000 Lime Applied Annuallbs/acre 0.037 0.004 8.566 0.418 0.075 0.002 0.089 0.372 0.049 19.467 139.454 Date lbs/ac Prior Years Cumulative lbs/ac 0.329 0.091 43.555 2.867 0.846 0.024 1.143 3.433 0.449 154.784 Current Cumulative lbs/ac 0.366 0.095 52.121 3.285 0.921 0.026 1.232 3.805 0.498 174.251 Permitted C. P. L. R.**** 9 250 1 1000 1 250 500 Permit PAN Limit lst/2nd Crop i Fl-47 "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." *Application Method: S - Surface, IN - Injection, INC - Incorporation 2/1/2024 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0 Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2, aerobically digested -0.3, raw sludge -0.4 ****C.P.L.R.: Cumulative Pollutant Loading Rate DENR FORM FSF (12/2006) ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: Smithfield Farmland Corp Land Owner: Bonnie Meeker Operator: Richard Dunham Crop 1 Name: Bermuda -Hay WQ Permit #: WQ0014868 Field #: Annual Dry Tons Applied: 8.13 Site #: Predominant Soil Series: At Crop 1 Max. PAN: 237 Crop 2 Name: 15 Acres Utilized: SF07 Acres Permitted: Cation Exchange Capacity (non 503): Crop 2 Max. PAN: Q Volume applied enter one Solids/ Liquid Cu_ Yds Gallons o /o Solids Volume A hed er pp p Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (may' Wet, Moist) Precip. Past 24 Ms. inches a 4 � F w *o• o ,•d 2 # 4 w , * N *� TKN mg/kg Z ; o oa o �• mg/kg Nitrate and Nitrite mg/kg PAN Applied ( lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 2/9 52000 3.75 2.711 Tarheel WWTP Dry <.5" S 0.5 0.2 1 67550 14160 82.8 96.715 NA Bermuda 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): TOTALS: 01 52000 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 96.715 0.000 Lime Applied Annuallbs/acre 0.035 0.004 8.160 0.398 0.071 0.002 0.085 0.354 0.047 18.543 132.839 Date lbs/ac Prior Years Cumulative lbs/ac 0.034 0.004 7.274 0.389 0.064 0.001 0.093 0.346 0.046 16.882 Current Cumulative lbs/ac 0.069 0.008 15.434 0.787 0.135 0.003 0.178 0.700 0.093 35.425 Permitted C. P. L. R.**** 1 9 1 250 1 1 1000 1 250 500 Permit PAN Limit lst/2nd Crop 1 237 "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." *Application Method: S - Surface, IN - Injection, INC - Incorporation 2/1/2024 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0 Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2, aerobically digested -0.3, raw sludge -0.4 ****C.P.L.R.: Cumulative Pollutant Loading Rate DENR FORM FSF (12/2006) DWR Division of Water Resources State of North Carolina Department of Environmental Quality Division of Water Resources 15A NCAC 02T .1100 — LAND OWNER AGREEMENT FORM: LOA 06-16 Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional information requested. Failure to submit all of the required items will lead to additional processing and review time for the permit application. Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation For more information, visit the Water Quality Permitting Section's Non -Discharge Permitting General — This document is an agreement between the Applicant and land owner(s) of residuals receiving sites for land application of Class B residuals (may include water treatment plant or other type residuals) in accordance with 15A NCAC 02T .1100. Do not submit this agreement for review without a corresponding application form (FORM: RLAP 06-16). Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed below. A. Land Owner Agreement (FORM: LOA 06-16): ❑ Submit the completed and appropriately executed Land Application Site Certification (FORM: LASC 06-16) form. Please do not make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to the application may be made, as long as the attachments are numbered to correspond to the section and item to which they refer. ❑ Prepare a separate agreement for each set of land application sites that are owned or operated by an entity other than the Applicant. ❑ A copy of the completed and appropriately executed agreement must be provided to the landowner and the lessee/operator. AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND The undersigned landowner or his representative hereby permits: Applicant's name: Smithfield Fresh Meats hereinafter referred to as the Permittee, to land apply residuals from the following facility(ies) onto the following land application site(s) (i.e., see attached setback maps) in accordance with the stipulations and restrictions as given in this Agreement: Site/Field ID Lease (yes/no) Land Use or Cropping Patterns Intended Use of Crops Residuals Source (optional) Special note (no-till/over-seed/ pasture) SF10-(1-3) No Row Crop Feed The landowner or his representative receives, in consideration, full use of the nutrient value of the applied residuals while the Permittee receives, in consideration, the use of the land application site(s) described above for the disposal of the residuals. This Agreement shall remain in effect for the length of the Division's permit for the residuals land application program and shall be renewed each time this permit is renewed. The undersigned landowner or his representative and the Permittee agree to abide with the following restrictions and stipulations until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement. FORM: LOA 06-16 Page 1 of 3 L STIPULATIONS: 1. The landowner or his representative shall not enter into any additional residuals application contracts or agreements with another permitted entity for the site(s) specified by this Agreement. 2. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) to a third party, the landowner shall be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement. 3. The landowner or his representative shall adhere to the provisions of this Agreement until all of the site restrictions (under Section II) are met. 4. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWR, Non -Discharge Permitting Unit, 1617 Mail Service Center, Raleigh, NC 27699-1617. 5. The Permittee must request and obtain a permit modification from the Division prior to a transfer of the land application site(s) to a new landowner. In addition, the current landowner shall give a notice to the new landowner that gives full details of the residuals applied at the land application site(s). 6. The Permittee has provided the landowner or his representative with information and data concerning the residuals land application program, including an analysis of constituents of the residuals, residuals application methods, schedules for typical cropping patterns, a description of the equipment used by the Permittee. 7. The Permittee will provide the landowner or his representative with a copy of the residuals permit prior to commencement of any residuals land application event and a copy of the results of each soil analysis. 8. If the soil pH of the land application site(s) is not maintained at 6.0 or greater, sufficient amounts of lime shall be applied to achieve a final soil pH of at least 6.0, unless an agronomist provides information indicating that the pH of the soil, residuals and lime mixture is suitable for the specified crop. 9. The landowner or his representative and the Permittee will agree on residuals application rates and schedules based on crop patterns, results of soil samples, and the permitted application limits. 10. The landowner or his representative will provide the Permittee with information regarding the amount and analysis of other sources of nutrients (e.g., fertilizer, unregulated animal waste, etc.) that have been applied to the land application site(s). 11. The landowner or his representative will inform the Permittee of any revisions or modifications to the intended use and cropping patterns for the land application site(s) prior to each planting season to enable the Permittee to amend this Agreement and schedule residuals land application events at appropriate periods. 12. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee, the landowner, or his representative prior to and during a residuals land application event. 13. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to; enter and inspect any property, premises, or place on or related to the land application site(s) at any reasonable time for the purpose of determining compliance with the permit; establish monitoring facilities on or near the land application site(s) as required by the permit; copy any records that must be kept under the terns and conditions of the permit; take necessary leachate, surface water, groundwater, or soil samples during the tern of, and 12 months after termination of, this Agreement. IL RESTRICTIONS: 1. Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control public access to the land application site(s) during active use and for the 12-month period following a residuals land application event. Such controls may include the posting of signs that indicate the activities being conducted at the land application site(s). 2. Animals shall not be grazed on the land application site(s) for a 30-day period following a residuals land application event. Land application sites that are to be used for grazing shall have fencing that will be used to prevent access during these periods after such residuals land application events. 3. Food crops, feed crops, and fiber crops shall not be harvested for a 30-day period following a residuals land application event. 4. Food crops with harvested parts that touch the residuals/soil mixture and are totally above the land surface shall not be harvested for a 14-month period following a residuals land application event. 5. Food crops with harvested parts below the surface of the land shall not be harvested for a 20-month period following a residuals land application event when the residuals remain on the land surface for four months or longer prior to incorporation into the soil. 6. Food crops with harvested parts below the surface of the land shall not be harvested for a 38-month period following a residuals land application event when the residuals remain on the land surface for less than four months prior to incorporation into the soil. 7. Turf grown on land where residuals are applied shall not be harvested for a 12-month period following a residuals land application event. III. ALTERNATIVES FOR WATER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY: (please check one) 15A NCAC 02L .0107(d) prohibits water supply wells within the compliance boundary. However, 15A NCAC 02T .0105(hl allows the compliance boundary to be placed closer to the waste disposal area, such that the water supply well is situated outside of the compliance boundary provided the groundwater standards can be met at the newly -established compliance boundary. Please mark one of the following; ® A re -defined compliance boundary is needed for field(s) ID: SF10-02 (Please include the rationale for the requested re -location of the compliance boundary and attach a map showing the newly proposed compliance boundary to the application package) ❑ A re -defined compliance boundary is not needed for this site. IV. ACKNOWLEDGEMENT OF FIELD TRANSFER: (if needed) ❑ The land application field(s) ID: is currently permitted under another residuals land application program; Permit Number WQ: The land owner hereby acknowledge that by signing this agreement, he/she is requesting that the field(s) be removed from the previously permitted residuals land application program and transferred into the new program; (Name of the new program) FORM: LOA 06-16 Page 2 of 3 Landowner's Certification: I certify that I am a deeded landowner of the above -referenced land application site(s) and am authorized to make decisions regarding the use of the land application site(s) on behalf of other deeded landowners OR that I am otherwise authorized, through a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the deeded landowners. I certify that the above -referenced land application site(s) are not included in any waste disposal contract or agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement, understand the stipulations, restrictions, alternatives for water supply wells inside the compliance boundary, acknowledgement of field transfer, and do hereby grant permission to the Permittee to land apply residuals to the land application site(s) as specified herein. a Landowner name: Address: /,V Kel ///c /-/r _., K / /, J i City: _ `N/' l �� State: Zip: "_17 21 — Phone: E-mail address: �:�� ��_•eF(�r� ` , ���� Signature: �� J Date:`' �Z NORTH CAROLINA, COUNTY I, the undersigned Notary Public do hereby certify that M U1,o10 ey- &v Oer personally appeared before me this day and acknowledged the due execution of the forgoing instrument. WITNESS my hand and official seal this the 20 i4 day of _Aarch , 2021/ Signature and seal: /%% My commission expires: 9130 Lessee's/Operator's Certification: Davie County, NC My Commission Expires March 30, 2026 I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein. Lessee/operator name: Address: City: Phone: Signature: Permittee's Certification: State: E-mail address: Date: Zip: 1 certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein. Signing official name: Andrea Tucker Signature: Date: .-13 1del -A FORM: LOA 06-16 Page 3 of 3 The compliance boundary is established either 250 ft from the residuals application area or 50 ft within the property boundary, whichever is closest to the application area. The review boundary is established midway between the compliance boundary and the perimeter of the residuals application area. 1 " '.jFT2 ; Field I Total Acres I Applicable Acres 1 143.64 38.86 SCALE: 1":440'T DATE : 3/22/2024 vMA DRAWN BY: BC Resources, Inc. 'ROJECT NO: WQ0014868 ® Buffer Field Boundary Property Boundary Smithfield Fresh Meats, Inc. FIGURE NO. Land Application Program 2 SF10 Murdock Butler The compliance boundary is established either 250 ft from the residuals application area or 50 ft within the property boundary, whichever is closest to the application area. The review boundary is established midway between the compliance boundary and the perimeter of the residuals application area. The review boundary for this site has been modified to allow for application up to 100 feet from on -site water supply well. There is no cumulative data for SR 0 There have been no applications to these fields DWR Division of Water Resources State of North Carolina Department of Environmental Quality Division of Water Resources 15A NCAC 02T .1100 — LAND OWNER AGREEMENT FORM: LOA 06-16 Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional information requested. Failure to submit all of the required items will lead to additional processing and review time for the permit application. Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation For more information, visit the Water Quality Permitting Section's Non -Discharge Permitting General — This document is an agreement between the Applicant and land owner(s) of residuals receiving sites for land application of Class B residuals (may include water treatment plant or other type residuals) in accordance with 15A NCAC 02T .1100. Do not submit this agreement for review without a corresponding application form (FORM: RLAP 06-16). Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed below. A. Land Owner Agreement (FORM: LOA 06-16): ❑ Submit the completed and appropriately executed Land Application Site Certification (FORM: LASC 06-16) form. Please do not make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to the application may be made, as long as the attachments are numbered to correspond to the section and item to which they refer. ❑ Prepare a separate agreement for each set of land application sites that are owned or operated by an entity other than the Applicant. ❑ A copy of the completed and appropriately executed agreement must be provided to the landowner and the lessee/operator. AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND The undersigned landowner or his representative hereby permits: Applicant's name: Smithfield Fresh Meats hereinafter referred to as the Permittee, to land apply residuals from the following facility(ies) onto the following land application site(s) (i.e., see attached setback maps) in accordance with the stipulations and restrictions as given in this Agreement: Site/Field ID Lease (yes/no) Land Use or Cropping Patterns Intended Use of Crops Residuals Source (optional) Special note (no-till/over-seed/ pasture) SF08-(1-2) No Row Crop Feed SF12-01 No Row Crop Feed The landowner or his representative receives, in consideration, full use of the nutrient value of the applied residuals while the Permittee receives, in consideration, the use of the land application site(s) described above for the disposal of the residuals. This Agreement shall remain in effect for the length of the Division's permit for the residuals land application program and shall be renewed each time this permit is renewed. The undersigned landowner or his representative and the Permittee agree to abide with the following restrictions and stipulations until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement. FORM: LOA 06-16 Page 1 of 3 L STIPULATIONS: 1. The landowner or his representative shall not enter into any additional residuals application contracts or agreements with another permitted entity for the site(s) specified by this Agreement. 2. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) to a third party, the landowner shall be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement. 3. The landowner or his representative shall adhere to the provisions of this Agreement until all of the site restrictions (under Section II) are met. 4. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWR, Non -Discharge Permitting Unit, 1617 Mail Service Center, Raleigh, NC 27699-1617. 5. The Permittee must request and obtain a permit modification from the Division prior to a transfer of the land application site(s) to a new landowner. In addition, the current landowner shall give a notice to the new landowner that gives full details of the residuals applied at the land application site(s). 6. The Permittee has provided the landowner or his representative with information and data concerning the residuals land application program, including an analysis of constituents of the residuals, residuals application methods, schedules for typical cropping patterns, a description of the equipment used by the Permittee. 7. The Permittee will provide the landowner or his representative with a copy of the residuals permit prior to commencement of any residuals land application event and a copy of the results of each soil analysis. 8. If the soil pH of the land application site(s) is not maintained at 6.0 or greater, sufficient amounts of lime shall be applied to achieve a final soil pH of at least 6.0, unless an agronomist provides information indicating that the pH of the soil, residuals and lime mixture is suitable for the specified crop. 9. The landowner or his representative and the Permittee will agree on residuals application rates and schedules based on crop patterns, results of soil samples, and the permitted application limits. 10. The landowner or his representative will provide the Permittee with information regarding the amount and analysis of other sources of nutrients (e.g., fertilizer, unregulated animal waste, etc.) that have been applied to the land application site(s). 11. The landowner or his representative will inform the Permittee of any revisions or modifications to the intended use and cropping patterns for the land application site(s) prior to each planting season to enable the Permittee to amend this Agreement and schedule residuals land application events at appropriate periods. 12. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee, the landowner, or his representative prior to and during a residuals land application event. 13. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to; enter and inspect any property, premises, or place on or related to the land application site(s) at any reasonable time for the purpose of determining compliance with the permit; establish monitoring facilities on or near the land application site(s) as required by the permit; copy any records that must be kept under the terns and conditions of the permit; take necessary leachate, surface water, groundwater, or soil samples during the tern of, and 12 months after termination of, this Agreement. IL RESTRICTIONS: 1. Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control public access to the land application site(s) during active use and for the 12-month period following a residuals land application event. Such controls may include the posting of signs that indicate the activities being conducted at the land application site(s). 2. Animals shall not be grazed on the land application site(s) for a 30-day period following a residuals land application event. Land application sites that are to be used for grazing shall have fencing that will be used to prevent access during these periods after such residuals land application events. 3. Food crops, feed crops, and fiber crops shall not be harvested for a 30-day period following a residuals land application event. 4. Food crops with harvested parts that touch the residuals/soil mixture and are totally above the land surface shall not be harvested for a 14-month period following a residuals land application event. 5. Food crops with harvested parts below the surface of the land shall not be harvested for a 20-month period following a residuals land application event when the residuals remain on the land surface for four months or longer prior to incorporation into the soil. 6. Food crops with harvested parts below the surface of the land shall not be harvested for a 38-month period following a residuals land application event when the residuals remain on the land surface for less than four months prior to incorporation into the soil. 7. Turf grown on land where residuals are applied shall not be harvested for a 12-month period following a residuals land application event. III. ALTERNATIVES FOR WATER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY: (please check one) 15A NCAC 02L .0107(d) prohibits water supply wells within the compliance boundary. However, 15A NCAC 02T .0105(hl allows the compliance boundary to be placed closer to the waste disposal area, such that the water supply well is situated outside of the compliance boundary provided the groundwater standards can be met at the newly -established compliance boundary. Please mark one of the following; ® A re -defined compliance boundary is needed for field(s) ID: SF12-01 (Please include the rationale for the requested re -location of the compliance boundary and attach a map showing the newly proposed compliance boundary to the application package) ❑ A re -defined compliance boundary is not needed for this site. IV. ACKNOWLEDGEMENT OF FIELD TRANSFER: (if needed) ❑ The land application field(s) ID: is currently permitted under another residuals land application program; Permit Number WQ: The land owner hereby acknowledge that by signing this agreement, he/she is requesting that the field(s) be removed from the previously permitted residuals land application program and transferred into the new program; (Name of the new program) FORM: LOA 06-16 Page 2 of 3 Landowner's Certification: I certify that I am a deeded landowner of the above -referenced land application site(s) and am authorized to make decisions regarding the use of the land application site(s) on behalf of other deeded landowners OR that I am otherwise authorized, through a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the deeded landowners. I certify that the above -referenced land application site(s) are not included in any waste disposal contract or agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement, understand the stipulations, restrictions, alternatives for water supply wells inside the compliance boundary, acknowledgement of field transfer, and do hereby grant permission to the Permittee to land apply residuals to the land application site(s) as specified herein. Landowner name: i -v-4a s M CCO i( k- n J r. Address: 93 ( R,.d.. City: '54 • pg.,15 State: NC 'Lip: Z" $q Phone: E-mail address: Signature: �� Date: NORTH CAROLINA, 61ad4o COUNTY I, the undersigned Notary Public do hereby certify that /4'.4 % personally appeared before me this day and acknowledged the due execution of the forgoing instrument. WITNESS my hand and official seal this the 1 ;04 day of friarck Signature and seal: My commission expires Lessee's/Operator's Certification: 3/3o/2G M. Brent Collins Y Commission Expires March 30, 2026 I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein. Lessee/operator name: Address: City: Phone: Signature: Permittee's Certification: State: E-mail Date: Zip: I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein. Signing official Signature: Andrea Tucker Date: Aaa I of FORM: LOA 06-16 Page 3 of 3 The compliance boundary is established either 250 ft from the residuals application area or 50 ft within the property boundary, whichever is closest to the application area. The review boundary is established midway between the compliance boundary and the perimeter of the residuals application area. The review boundary for this site has been modified to allow for application up to 100 feet from on -site water supply well. ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH APPLICATION FIELD. PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: Smithfield Packing Co. Permit #: WQ0014868 Annual Dry Tons Applied: 40.66 Owner: David Canady Site #: SF12 Field #: Operator: David Canady Acres Utilized: 49 Cation Exchange Capacity (non 503): 4.8 Acres Permitted: 49 o as o if Totals Per Acre % Solid s Dry Tons Per Acre Residual Sources (Summarize) Site Cond. Dry, Wet, Inches Precip. Past 24 Hrs. Appli- cation Meth- od* Vola- tili- nation Rate** Miner- all- nation Rate TKN Ammo nia- Ni- trogen Ni- trate and Nitrite PAN 1 PAN 2 Must Select Crop 1 or Crop p p 2 * kv'�Ga�l. Cu.Yd. Report TTotals in Gal. Crop 1 Crop 2 2/28 143000 2918.4 2 0.2434 Tarheel Plant Dry <.5" S 0.5 0.2 48433 9027 91 6.07783 ####### Corn 1 2/29 175500 3581.6 2 0.2987 Tarheel Plant Dry <.5" S 0.5 0.2 48433 9027 91 7.45916 ####### Corn 2 3/1 169000 3449 2 0.2876 Tarheel Plant Dry <.5" S 0.5 0.2 48433 9027 91 7.1829 ####### Corn 3 0 0.0000 0 0 4 0 0.0000 1 0 0 5 0 0.0000 0 0 6 0 0.0000 0 0 7 0 0.0000 0 0 8 0 0.0000 0 0 9 0 0.0000 0 0 10 0 0.0000 0 0 11 0 0.0000 0 0 1 12 TOTALS: 9949 As Cd Cr Cu Pb Hg Mo Ni Se Zn P PAN 1 PAN 2 Lime Applied Annuallbs/acre 0.0050 0.0017 0.1278 1.1533 0.0199 0.0007 0.0398 0.1178 0.0066 5.4544 43.697 20.7199 0 Date lbs/ac Current Cumulative lbs/ac 0.0181 0.0062 0.1278 3.8059 0.0652 0.0025 0.1532 0.3627 0.0338 120.3725 0.0131 0.0045 0 2.6526 0.0453 0.0018 0.1134 0.2449 0.0272 14.9181 9 1 250 1 1000 250 500 1 200 Prior Years Cumulative lbs/ac Permitted C. P. L. R.*** Permit PAN Limit lst/2nd Crop "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penaltpp��.. fn suhm ng false information, including the possibility of fines and imprisonment for knowing violations." ww1/14/2013 *Application Method: S - Surface, IN - Injection, INC - Incorporation Signature of Land Applier Date **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0 ***C.P.L.R.: Cumulative Pollutant Loading Rate **** The RSSF Data and the Dry Tons Per Acre are to be entered on the MFLSF Form. The FSF and MFLSF are mathematically linked so this information needs to be entered into the same numbered column on the MFLSF as is entered on the identically numbered FSF row to properly complete the metals equations. ie. FSF row # 1 to MFLSF column # 1. DENR FORM FSF (5/2003) DWR Division of Water Resources State of North Carolina Department of Environmental Quality Division of Water Resources 15A NCAC 02T .1100 — LAND OWNER AGREEMENT FORM: LOA 06-16 Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional information requested. Failure to submit all of the required items will lead to additional processing and review time for the permit application. Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation For more information, visit the Water Quality Permitting Section's Non -Discharge Permitting General — This document is an agreement between the Applicant and land owner(s) of residuals receiving sites for land application of Class B residuals (may include water treatment plant or other type residuals) in accordance with 15A NCAC 02T .1100. Do not submit this agreement for review without a corresponding application form (FORM: RLAP 06-16). Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed below. A. Land Owner Agreement (FORM: LOA 06-16): ❑ Submit the completed and appropriately executed Land Application Site Certification (FORM: LASC 06-16) form. Please do not make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to the application may be made, as long as the attachments are numbered to correspond to the section and item to which they refer. ❑ Prepare a separate agreement for each set of land application sites that are owned or operated by an entity other than the Applicant. ❑ A copy of the completed and appropriately executed agreement must be provided to the landowner and the lessee/operator. AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND The undersigned landowner or his representative hereby permits: Applicant's name: Smithfield Fresh Meats hereinafter referred to as the Permittee, to land apply residuals from the following facility(ies) onto the following land application site(s) (i.e., see attached setback maps) in accordance with the stipulations and restrictions as given in this Agreement: Site/Field ID Lease (yes/no) Land Use or Cropping Patterns Intended Use of Crops Residuals Source (optional) Special note (no-till/over-seed/ pasture) SF06-(1-2) No Grass Feed SF06-(3-7) No Row Crop Feed The landowner or his representative receives, in consideration, full use of the nutrient value of the applied residuals while the Permittee receives, in consideration, the use of the land application site(s) described above for the disposal of the residuals. This Agreement shall remain in effect for the length of the Division's permit for the residuals land application program and shall be renewed each time this permit is renewed. The undersigned landowner or his representative and the Permittee agree to abide with the following restrictions and stipulations until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement. FORM: LOA 06-16 Page 1 of 3 L STIPULATIONS: 1. The landowner or his representative shall not enter into any additional residuals application contracts or agreements with another permitted entity for the site(s) specified by this Agreement. 2. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) to a third party, the landowner shall be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement. 3. The landowner or his representative shall adhere to the provisions of this Agreement until all of the site restrictions (under Section II) are met. 4. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWR, Non -Discharge Permitting Unit, 1617 Mail Service Center, Raleigh, NC 27699-1617. 5. The Permittee must request and obtain a permit modification from the Division prior to a transfer of the land application site(s) to a new landowner. In addition, the current landowner shall give a notice to the new landowner that gives full details of the residuals applied at the land application site(s). 6. The Permittee has provided the landowner or his representative with information and data concerning the residuals land application program, including an analysis of constituents of the residuals, residuals application methods, schedules for typical cropping patterns, a description of the equipment used by the Permittee. 7. The Permittee will provide the landowner or his representative with a copy of the residuals permit prior to commencement of any residuals land application event and a copy of the results of each soil analysis. 8. If the soil pH of the land application site(s) is not maintained at 6.0 or greater, sufficient amounts of lime shall be applied to achieve a final soil pH of at least 6.0, unless an agronomist provides information indicating that the pH of the soil, residuals and lime mixture is suitable for the specified crop. 9. The landowner or his representative and the Permittee will agree on residuals application rates and schedules based on crop patterns, results of soil samples, and the permitted application limits. 10. The landowner or his representative will provide the Permittee with information regarding the amount and analysis of other sources of nutrients (e.g., fertilizer, unregulated animal waste, etc.) that have been applied to the land application site(s). 11. The landowner or his representative will inform the Permittee of any revisions or modifications to the intended use and cropping patterns for the land application site(s) prior to each planting season to enable the Permittee to amend this Agreement and schedule residuals land application events at appropriate periods. 12. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee, the landowner, or his representative prior to and during a residuals land application event. 13. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to; enter and inspect any property, premises, or place on or related to the land application site(s) at any reasonable time for the purpose of determining compliance with the permit; establish monitoring facilities on or near the land application site(s) as required by the permit; copy any records that must be kept under the terns and conditions of the permit; take necessary leachate, surface water, groundwater, or soil samples during the tern of, and 12 months after termination of, this Agreement. IL RESTRICTIONS: 1. Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control public access to the land application site(s) during active use and for the 12-month period following a residuals land application event. Such controls may include the posting of signs that indicate the activities being conducted at the land application site(s). 2. Animals shall not be grazed on the land application site(s) for a 30-day period following a residuals land application event. Land application sites that are to be used for grazing shall have fencing that will be used to prevent access during these periods after such residuals land application events. 3. Food crops, feed crops, and fiber crops shall not be harvested for a 30-day period following a residuals land application event. 4. Food crops with harvested parts that touch the residuals/soil mixture and are totally above the land surface shall not be harvested for a 14-month period following a residuals land application event. 5. Food crops with harvested parts below the surface of the land shall not be harvested for a 20-month period following a residuals land application event when the residuals remain on the land surface for four months or longer prior to incorporation into the soil. 6. Food crops with harvested parts below the surface of the land shall not be harvested for a 38-month period following a residuals land application event when the residuals remain on the land surface for less than four months prior to incorporation into the soil. 7. Turf grown on land where residuals are applied shall not be harvested for a 12-month period following a residuals land application event. III. ALTERNATIVES FOR WATER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY: (please check one) 15A NCAC 02L .0107(d) prohibits water supply wells within the compliance boundary. However, 15A NCAC 02T .0105(hl allows the compliance boundary to be placed closer to the waste disposal area, such that the water supply well is situated outside of the compliance boundary provided the groundwater standards can be met at the newly -established compliance boundary. Please mark one of the following; ® A re -defined compliance boundary is needed for field(s) ID: S1706-01. S1706-02. SF06-03 (Please include the rationale for the requested re -location of the compliance boundary and attach a map showing the newly proposed compliance boundary to the application package) ❑ A re -defined compliance boundary is not needed for this site. IV. ACKNOWLEDGEMENT OF FIELD TRANSFER: (if needed) ❑ The land application field(s) ID: is currently permitted under another residuals land application program; Permit Number WQ: The land owner hereby acknowledge that by signing this agreement, he/she is requesting that the field(s) be removed from the previously permitted residuals land application program and transferred into the new program; (Name of the new program) FORM: LOA 06-16 Page 2 of 3 Landowner's Certification: I certify that 1 am a deeded landowner of the above -referenced land application site(s) and am authorized to make decisions regarding the use of the land application site(s) on behalf of other deeded landowners OR that 1 am otherwise authorized, through a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the deeded landowners. I certify that the above -referenced land application site(s) are not included in any waste disposal contract or agreement with another municipality, contractor, or other permitted entity. Furthermore, 1 certify that 1 have read this Agreement, understand the stipulations, restrictions, alternatives for water supply wells inside the compliance boundary, acknowledgement of field transfer, and do hereby grant permission to the Permittee to land apply residuals to the land application site(s) as specified herein. ` r Landowner name: N[ 12 n e v 7• .s V^ Address: W q ZS 6 • A1G 14 W $7 City: 5& e/44 •vi 1t Y_ State: /JC- Zip: ?— 30 Phone: E-mail address: Signature: yC Date: _, I9/ZN NORTH CAROLINA, _4A?ft1&rJt?nd ,CrOUNTY 1, the undersigned Notary Public do hereby certify that V one L E.Oo.4 _ personally appeared before me this day and acknowledged the due execution of the forgoing instrument. WITNESS my hand and official seal this the 9.14 day of _ ,Fl.�'. " 20 Signature and seal: /117 My commission expires: Lessee's/Operator's Certification: NOTARY PUBLIC My Commission Expires March 30, 2026 I certify that 1 have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein. Lessee/operator name: Address: City: Phone: Signature: Permittee's Certification; State: E-mail address: Date: Zip: I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein. Signing official n": Andrea Tucker Signature: Date: FORM: LOA 06-16 Page 3 of 3 The compliance boundary is established either 250 ft from the residuals application area or 50 ft within the property boundary, whichever is closest to the application area. The review boundary is established midway between the compliance boundary and the perimeter of the residuals application area. The review boundary for this site has been modified to allow for application up to 100 feet from on -site water supply well. The compliance boundary is established either 250 ft from the residuals application area or 50 ft within the property boundary, whichever is closest to the application area. The review boundary is established midway between the compliance boundary and the perimeter of the residuals application area. The review boundary for this site has been modified to allow for application up to 100 feet from on -site water supply well. The compliance boundary is established either 250 ft from the residuals application area or 50 ft within the property boundary, whichever is closest to the application area. The review boundary is established midway between the compliance boundary and the perimeter of the residuals application area. The compliance boundary is established either 250 ft from the residuals application area or 50 ft within the property boundary, whichever is closest to the application area. The review boundary is established midway between the compliance boundary and the perimeter of the residuals application area. ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH APPLICATION FIELD. PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: Smithfield Packing Co. Permit #: WQ0014868 Annual Dry Tons Applied: 203.21 Owner: Vance Tyson Site #: SF06 Field #: Operator: Vance Tyson Acres Utilized: 64.5 Cation Exchange Capacity (non 503): 8.1 Acres Permitted: 64.5 o y o Q f Totals Per Acre I % Solid s Dry Tons Per Acre Residual Sources (Summarize) Site Cond. Dry, Wet, Moist Inches Precip. Past 24 Hrs. Appli- cation Meth- od* Vola- tili- zation Rate** Miner- all- zation Rate TKN Ammo nia- Ni- trogen Ni- trate and Nitrite PAN 1 PAN 2 Must Select p p Cro 1 or CroCu.Yd. 2 Wv'�Gal- Report Totals in Gal. Crop 1 [Crop 2 4/17 32500 503.88 4.9 0.1030 Tarheel Plant Dry <.5" S 0.5 0.2 82225 9267.5 2 3.95916 ####### Corn 1 4/18 240500 3728.7 4.9 0.7619 Tarheel Plant Dry <.5" S 0.5 0.2 82225 9267.5 2 29.2978 ####### Corn 2 4/19 156000 2418.6 4.9 0.4942 Tarheel Plant Dry <.5" S 0.5 0.2 82225 9267.5 2 19.004 ####### Corn 3 4/22 188500 2922.5 4.9 0.5972 Tarheel Plant Dry <.5" S 0.5 0.2 82225 9267.5 2 22.9631 ####### Corn 4 4/23 214500 3325.6 4.9 0.6795 Tarheel Plant Dry <.5" S 0.5 0.2 82225 9267.5 2 26.1304 ####### Corn 5 4/24 162500 2519.4 4.9 0.5148 Tarheel Plant Dry <.5" S 0.5 0.2 82225 9267.5 2 19.7958 ####### Corn 6 0 0.0000 1 0 0 7 0 0.0000 0 0 8 0 0.0000 0 0 9 0 0.0000 0 0 1 10 0 0.0000 0 0 11 0 0.0000 0 0 12 TOTALS: 15419 As Cd Cr Cu Pb Hg Mo Ni Se Zn P PAN 1 I PAN 2 Lime Applied Annuallbs/acre 0.0189 0.0126 0.4663 3.0056 0.0662 0.0025 0.1370 0.4253 0.0315 16.8552 116.7261 121.15 1 0 Date lbs/ac Current Cumulative lbs/ac 0.0580 0.0375 0.4663 14.6122 0.2286 0.0069 0.3959 1.8841 0.0792 58.5055 1 2000 Prior Years Cumulative lbs/ac 0.0391 0.0249 0.0000 11.60661 0.1624 1 0.0011f 0.2589 1.4588 0.0477 41.6503 Permitted C. P. L. R.*** 1 9 1 250 1 1000 250 500 Permit PAN Limit 1 st/2nd Crop 200 "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 penalt e% for snLvhmit ing false information, including the possibility of fines and imprisonment for knowing violations." wwZZ 1/15/2014 *Application Method: S - Surface, IN - Injection, INC - Incorporation Signature of Land Applier Date **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0 ***C.P.L.R.: Cumulative Pollutant Loading Rate **** The RSSF Data and the Dry Tons Per Acre are to be entered on the MFLSF Form. The FSF and MFLSF are mathematically linked so this information needs to be entered into the same numbered column on the MFLSF as is entered on the identically numbered FSF row to properly complete the metals equations. ie. FSF row # 1 to MFLSF column # 1. DENR FORM FSF (5/2003) ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: Smithfield Farmland Corp Land Owner: Vance Tyson Operator: Vance Tyson Crop 1 Name: Corn WQ Permit #: WQ0014868 Field #: Annual Dry Tons Applied: 67.62 Site #: Predominant Soil Series: De Crop 1 Max. PAN: 120 Crop 2 Name: 6 SF06 Acres Utilized: Acres Permitted: Cation Exchange Capacity (non 503): Crop 2 Max. PAN: 79 79 o � N Q Volume applied enter one Solids/ ( ) Liquid Cu_ Yds Gallons o /o Solids Volume Applied per pp p Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (may' Wet, Moist) Dry Precip. Past 24 Ms. inches <.5" a �a F w *o• o ,•d �, # 0.5 - w •, * N *� 1 0.2 TKN mg/kg 36050 Z ; o M o mg/kg 1 16725 Nitrate and Nitrite mg/kg 312.75 PAN Applied ( lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 4/8 169000 1.92 0.171 Tarheel WWTP S 4.296 NA Corn 4/15 182000 1.92 0.184 Tarheel WWTP Dry <.5" S 0.5 0.2 36050 16725 312.75 4.626 NA Corn 4/16 201500 1.92 0.204 Tarheel WWTP Dry <.5" S 0.5 0.2 36050 16725 312.75 5.122 NA Corn 4/17 221000 1.92 0.224 Tarheel WWTP Dry <.5" S 0.5 0.2 36050 16725 312.75 5.617 NA Corn 4/18 1 71500 1 1.92 0.072 Tarheel WWTP Dry <.5" S 0.5 0.2 36050 16725 1 312.75 1.817 NA Corn 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): TOTALS: 01 845000 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 21.478 o.000 Lime Applied Annuallbs/acre 0.047 0.005 0.946 0.078 0.040 0.000 0.018 0.080 0.054 3.674 107.214 Date lbs/ac Prior Years Cumulative lbs/ac 0.052 0.031 13.454 0.424 0.202 0.005 0.305 1.665 0.057 49.753 2000 Current Cumulative lbs/ac 0.099 0.036 14.400 0.502 0.242 0.005 0.323 1.745 0.111 53.427 Permitted C. P. L. R. * * * * 9 250 1 1000 1 250 500 Permit PAN Limit lst/2nd Crop i Fl-20 "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." *Application Method: S - Surface, IN - Injection, INC - Incorporation 2/1/2021 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0 Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2, aerobically digested -0.3, raw sludge -0.4 ****C.P.L.R.: Cumulative Pollutant Loading Rate DENR FORM FSF (12/2006) ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: Smithfield Farmland Corp Land Owner: Vance Tyson Operator: Vance Tyson Crop 1 Name: Soybeans WQ Permit #: WQ0014868 Field #: Annual Dry Tons Applied: 180.95 Site #: Predominant Soil Series: De Crop 1 Max. PAN: 156 Crop 2 Name: Acres Utilized: SF06 Acres Permitted: Cation Exchange Capacity (non 503): Crop 2 Max. PAN: 77 77 N Q Volume applied enter one Solids/ ( ) Liquid Cu_ Yds Gallons o /o Solids Volume Applied per pp p Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (may' Wet, Moist) Precip. Past 24 Ms. inches a F ,'tea c� w *o• o ,•d �, # 4 w •, * N *� TKN mg/kg Z 8 o oa o �• mg/kg Nitrate and Nitrite mg/kg PAN Applied (lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 3/20 182000 3.75 0.370 Tarheel WWTP Dry <.5" S 0.5 0.2 67550 14160 1 82.8 13.188 NA Beans 3/21 182000 3.75 0.370 Tarheel WWTP Dry <.5" S 0.5 0.2 67550 14160 82.8 13.188 NA Beans 3/22 143000 3.75 0.290 Tarheel WWTP Dry <.5" S 0.5 0.2 67550 14160 82.8 10.362 NA Beans 3/23 175500 3.75 0.356 Tarheel WWTP Dry <.5" S 0.5 0.2 67550 14160 82.8 12.717 NA Beans 3/24 169000 3.75 0.343 Tarheel WWTP Dry <.5" S 0.5 0.2 67550 14160 82.8 12.246 NA Beans 3/25 52000 3.75 0.106 Tarheel WWTP Dry <.5" S 0.5 0.2 67550 14160 1 82.8 3.768 NA Beans 3/31 169000 3.75 0.343 Tarheel WWTP Dry <.5" S 0.5 0.2 67550 14160 82.8 12.246 1 NA Beans 4/1 84500 3.75 0.172 Tarheel WWTP Dry <.5" S 0.5 0.2 67550 14160 82.8 6.123 NA Beans 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): TOTALS: 01 1157000 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 87841 0.000 Lime Applied Annuallbs/acre 0.031 0.003 7.074 0.345 0.062 0.002 0.074 0.307 0.041 16.074 115.150 Date lbs/ac Prior Years Cumulative lbs/ac 0.071 0.017 8.897 0.743 0.131 0.003 0.198 0.677 0.096 29.67 Current Cumulative lbs/ac 0.102 1 0.020 15.971 1.088 0.193 0.005 0.272 0.984 0.137 45.744 Permitted C. P. L. R.**** 9 1 250 1 1 1000 1 1 1 250 1 1 500 Permit PAN Limit lst/2nd Crop 1 156 "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." *Application Method: S - Surface, IN - Injection, INC - Incorporation 2/1/2024 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0 Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2, aerobically digested -0.3, raw sludge -0.4 ****C.P.L.R.: Cumulative Pollutant Loading Rate DENR FORM FSF (12/2006) There is no cumulative data for: SF06-01, SF06-02, SF06-04, SF06-05 There have been no applications to these fields DWR Division of Water Resources State of North Carolina Department of Environmental Quality Division of Water Resources 15A NCAC 02T .1100 — LAND OWNER AGREEMENT FORM: LOA 06-16 Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional information requested. Failure to submit all of the required items will lead to additional processing and review time for the permit application. Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation For more information, visit the Water Quality Permitting Section's Non -Discharge Permitting General — This document is an agreement between the Applicant and land owner(s) of residuals receiving sites for land application of Class B residuals (may include water treatment plant or other type residuals) in accordance with 15A NCAC 02T .1100. Do not submit this agreement for review without a corresponding application form (FORM: RLAP 06-16). Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed below. A. Land Owner Agreement (FORM: LOA 06-16): ❑ Submit the completed and appropriately executed Land Application Site Certification (FORM: LASC 06-16) form. Please do not make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to the application may be made, as long as the attachments are numbered to correspond to the section and item to which they refer. ❑ Prepare a separate agreement for each set of land application sites that are owned or operated by an entity other than the Applicant. ❑ A copy of the completed and appropriately executed agreement must be provided to the landowner and the lessee/operator. AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND The undersigned landowner or his representative hereby permits: Applicant's name: Smithfield Fresh Meats hereinafter referred to as the Permittee, to land apply residuals from the following facility(ies) onto the following land application site(s) (i.e., see attached setback maps) in accordance with the stipulations and restrictions as given in this Agreement: Site/Field ID Lease (yes/no) Land Use or Cropping Patterns Intended Use of Crops Residuals Source (optional) Special note (no-till/over-seed/ pasture) SF08-(3-7,9) No Row Crop Feed The landowner or his representative receives, in consideration, full use of the nutrient value of the applied residuals while the Permittee receives, in consideration, the use of the land application site(s) described above for the disposal of the residuals. This Agreement shall remain in effect for the length of the Division's permit for the residuals land application program and shall be renewed each time this permit is renewed. The undersigned landowner or his representative and the Permittee agree to abide with the following restrictions and stipulations until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement. FORM: LOA 06-16 Page 1 of 3 L STIPULATIONS: 1. The landowner or his representative shall not enter into any additional residuals application contracts or agreements with another permitted entity for the site(s) specified by this Agreement. 2. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) to a third party, the landowner shall be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement. 3. The landowner or his representative shall adhere to the provisions of this Agreement until all of the site restrictions (under Section II) are met. 4. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWR, Non -Discharge Permitting Unit, 1617 Mail Service Center, Raleigh, NC 27699-1617. 5. The Permittee must request and obtain a permit modification from the Division prior to a transfer of the land application site(s) to a new landowner. In addition, the current landowner shall give a notice to the new landowner that gives full details of the residuals applied at the land application site(s). 6. The Permittee has provided the landowner or his representative with information and data concerning the residuals land application program, including an analysis of constituents of the residuals, residuals application methods, schedules for typical cropping patterns, a description of the equipment used by the Permittee. 7. The Permittee will provide the landowner or his representative with a copy of the residuals permit prior to commencement of any residuals land application event and a copy of the results of each soil analysis. 8. If the soil pH of the land application site(s) is not maintained at 6.0 or greater, sufficient amounts of lime shall be applied to achieve a final soil pH of at least 6.0, unless an agronomist provides information indicating that the pH of the soil, residuals and lime mixture is suitable for the specified crop. 9. The landowner or his representative and the Permittee will agree on residuals application rates and schedules based on crop patterns, results of soil samples, and the permitted application limits. 10. The landowner or his representative will provide the Permittee with information regarding the amount and analysis of other sources of nutrients (e.g., fertilizer, unregulated animal waste, etc.) that have been applied to the land application site(s). 11. The landowner or his representative will inform the Permittee of any revisions or modifications to the intended use and cropping patterns for the land application site(s) prior to each planting season to enable the Permittee to amend this Agreement and schedule residuals land application events at appropriate periods. 12. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee, the landowner, or his representative prior to and during a residuals land application event. 13. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to; enter and inspect any property, premises, or place on or related to the land application site(s) at any reasonable time for the purpose of determining compliance with the permit; establish monitoring facilities on or near the land application site(s) as required by the permit; copy any records that must be kept under the terns and conditions of the permit; take necessary leachate, surface water, groundwater, or soil samples during the tern of, and 12 months after termination of, this Agreement. IL RESTRICTIONS: 1. Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control public access to the land application site(s) during active use and for the 12-month period following a residuals land application event. Such controls may include the posting of signs that indicate the activities being conducted at the land application site(s). 2. Animals shall not be grazed on the land application site(s) for a 30-day period following a residuals land application event. Land application sites that are to be used for grazing shall have fencing that will be used to prevent access during these periods after such residuals land application events. 3. Food crops, feed crops, and fiber crops shall not be harvested for a 30-day period following a residuals land application event. 4. Food crops with harvested parts that touch the residuals/soil mixture and are totally above the land surface shall not be harvested for a 14-month period following a residuals land application event. 5. Food crops with harvested parts below the surface of the land shall not be harvested for a 20-month period following a residuals land application event when the residuals remain on the land surface for four months or longer prior to incorporation into the soil. 6. Food crops with harvested parts below the surface of the land shall not be harvested for a 38-month period following a residuals land application event when the residuals remain on the land surface for less than four months prior to incorporation into the soil. 7. Turf grown on land where residuals are applied shall not be harvested for a 12-month period following a residuals land application event. III. ALTERNATIVES FOR WATER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY: (please check one) 15A NCAC 02L .0107(d) prohibits water supply wells within the compliance boundary. However, 15A NCAC 02T .0105(hl allows the compliance boundary to be placed closer to the waste disposal area, such that the water supply well is situated outside of the compliance boundary provided the groundwater standards can be met at the newly -established compliance boundary. Please mark one of the following; ❑ A re -defined compliance boundary is needed for field(s) ID: (Please include the rationale for the requested re -location of the compliance boundary and attach a map showing the newly proposed compliance boundary to the application package) ® A re -defined compliance boundary is not needed for this site. IV. ACKNOWLEDGEMENT OF FIELD TRANSFER: (if needed) ❑ The land application field(s) ID: is currently permitted under another residuals land application program; Permit Number WQ: The land owner hereby acknowledge that by signing this agreement, he/she is requesting that the field(s) be removed from the previously permitted residuals land application program and transferred into the new program; (Name of the new program) FORM: LOA 06-16 Page 2 of 3 Ace-11 Sr, Landowner's Certification: I certify that I am a deeded landowner of the above -referenced land application site(s) and am authorized to make decisions regarding the use of the land application site(s) on behalf of other deeded landowners OR that I am otherwise authorized, through a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the deeded landowners. 1 certify that the above -referenced land application site(s) are not included in any waste disposal contract or agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement, understand the stipulations, restrictions, alternatives for water supply wells inside the compliance boundary, acknowledgement of field transfer, and do hereby grant permission to the Permittee to land apply residuals to the land application site(s) as specified herein. Landowner name: M i n4-dn. lyle-Ca{( sc /t q Address: 34 K,43 R.O. City: 6 � % N vI S State: MC Zip: Z$3 $ Phone: E-mail address: Signature: XZZ� Date: 3I/6-I2�! NORTHCAROLINA,1LS16tV1,e^ COUNTY 1, the undersigned Notary Public do hereby certify that A n ." kcal 9 nq personally appeared before me this day and acknowledged the due execution of the forgoing instrument. WITNESS my hand and official seal this the day of jtQrck Signature and seal: My commission expires: 3/ Lessee's/Operator's Certification: 1 ! fA , 2Qzy Davie County, NC MY Commission Expires March 30, 2026 I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein. Lessee/operator name: Address: City: State: Phone: E-mail address: Signature: Date: Permittee's Certification: Zip: I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein. Signing official Signature: Andrea Tucker Date: FORM: LOA 06-16 Page 3 of 3 DWR Division of Water Resources State of North Carolina Department of Environmental Quality Division of Water Resources 15A NCAC 02T .1100 — LAND OWNER AGREEMENT FORM: LOA 06-16 Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional information requested. Failure to submit all of the required items will lead to additional processing and review time for the permit application. Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation For more information, visit the Water Quality Permitting Section's Non -Discharge Permitting General — This document is an agreement between the Applicant and land owner(s) of residuals receiving sites for land application of Class B residuals (may include water treatment plant or other type residuals) in accordance with 15A NCAC 02T .1100. Do not submit this agreement for review without a corresponding application form (FORM: RLAP 06-16). Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed below. A. Land Owner Agreement (FORM: LOA 06-16): ❑ Submit the completed and appropriately executed Land Application Site Certification (FORM: LASC 06-16) form. Please do not make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to the application may be made, as long as the attachments are numbered to correspond to the section and item to which they refer. ❑ Prepare a separate agreement for each set of land application sites that are owned or operated by an entity other than the Applicant. ❑ A copy of the completed and appropriately executed agreement must be provided to the landowner and the lessee/operator. AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND The undersigned landowner or his representative hereby permits: Applicant's name: Smithfield Fresh Meats hereinafter referred to as the Permittee, to land apply residuals from the following facility(ies) onto the following land application site(s) (i.e., see attached setback maps) in accordance with the stipulations and restrictions as given in this Agreement: Site/Field ID Lease (yes/no) Land Use or Cropping Patterns Intended Use of Crops Residuals Source (optional) Special note (no-till/over-seed/ pasture) SF08-(1-2) No Row Crop Feed SF12-01 No Row Crop Feed The landowner or his representative receives, in consideration, full use of the nutrient value of the applied residuals while the Permittee receives, in consideration, the use of the land application site(s) described above for the disposal of the residuals. This Agreement shall remain in effect for the length of the Division's permit for the residuals land application program and shall be renewed each time this permit is renewed. The undersigned landowner or his representative and the Permittee agree to abide with the following restrictions and stipulations until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement. FORM: LOA 06-16 Page 1 of 3 L STIPULATIONS: 1. The landowner or his representative shall not enter into any additional residuals application contracts or agreements with another permitted entity for the site(s) specified by this Agreement. 2. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) to a third party, the landowner shall be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement. 3. The landowner or his representative shall adhere to the provisions of this Agreement until all of the site restrictions (under Section II) are met. 4. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWR, Non -Discharge Permitting Unit, 1617 Mail Service Center, Raleigh, NC 27699-1617. 5. The Permittee must request and obtain a permit modification from the Division prior to a transfer of the land application site(s) to a new landowner. In addition, the current landowner shall give a notice to the new landowner that gives full details of the residuals applied at the land application site(s). 6. The Permittee has provided the landowner or his representative with information and data concerning the residuals land application program, including an analysis of constituents of the residuals, residuals application methods, schedules for typical cropping patterns, a description of the equipment used by the Permittee. 7. The Permittee will provide the landowner or his representative with a copy of the residuals permit prior to commencement of any residuals land application event and a copy of the results of each soil analysis. 8. If the soil pH of the land application site(s) is not maintained at 6.0 or greater, sufficient amounts of lime shall be applied to achieve a final soil pH of at least 6.0, unless an agronomist provides information indicating that the pH of the soil, residuals and lime mixture is suitable for the specified crop. 9. The landowner or his representative and the Permittee will agree on residuals application rates and schedules based on crop patterns, results of soil samples, and the permitted application limits. 10. The landowner or his representative will provide the Permittee with information regarding the amount and analysis of other sources of nutrients (e.g., fertilizer, unregulated animal waste, etc.) that have been applied to the land application site(s). 11. The landowner or his representative will inform the Permittee of any revisions or modifications to the intended use and cropping patterns for the land application site(s) prior to each planting season to enable the Permittee to amend this Agreement and schedule residuals land application events at appropriate periods. 12. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee, the landowner, or his representative prior to and during a residuals land application event. 13. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to; enter and inspect any property, premises, or place on or related to the land application site(s) at any reasonable time for the purpose of determining compliance with the permit; establish monitoring facilities on or near the land application site(s) as required by the permit; copy any records that must be kept under the terns and conditions of the permit; take necessary leachate, surface water, groundwater, or soil samples during the tern of, and 12 months after termination of, this Agreement. IL RESTRICTIONS: 1. Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control public access to the land application site(s) during active use and for the 12-month period following a residuals land application event. Such controls may include the posting of signs that indicate the activities being conducted at the land application site(s). 2. Animals shall not be grazed on the land application site(s) for a 30-day period following a residuals land application event. Land application sites that are to be used for grazing shall have fencing that will be used to prevent access during these periods after such residuals land application events. 3. Food crops, feed crops, and fiber crops shall not be harvested for a 30-day period following a residuals land application event. 4. Food crops with harvested parts that touch the residuals/soil mixture and are totally above the land surface shall not be harvested for a 14-month period following a residuals land application event. 5. Food crops with harvested parts below the surface of the land shall not be harvested for a 20-month period following a residuals land application event when the residuals remain on the land surface for four months or longer prior to incorporation into the soil. 6. Food crops with harvested parts below the surface of the land shall not be harvested for a 38-month period following a residuals land application event when the residuals remain on the land surface for less than four months prior to incorporation into the soil. 7. Turf grown on land where residuals are applied shall not be harvested for a 12-month period following a residuals land application event. III. ALTERNATIVES FOR WATER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY: (please check one) 15A NCAC 02L .0107(d) prohibits water supply wells within the compliance boundary. However, 15A NCAC 02T .0105(hl allows the compliance boundary to be placed closer to the waste disposal area, such that the water supply well is situated outside of the compliance boundary provided the groundwater standards can be met at the newly -established compliance boundary. Please mark one of the following; ® A re -defined compliance boundary is needed for field(s) ID: SF12-01 (Please include the rationale for the requested re -location of the compliance boundary and attach a map showing the newly proposed compliance boundary to the application package) ❑ A re -defined compliance boundary is not needed for this site. IV. ACKNOWLEDGEMENT OF FIELD TRANSFER: (if needed) ❑ The land application field(s) ID: is currently permitted under another residuals land application program; Permit Number WQ: The land owner hereby acknowledge that by signing this agreement, he/she is requesting that the field(s) be removed from the previously permitted residuals land application program and transferred into the new program; (Name of the new program) FORM: LOA 06-16 Page 2 of 3 hica I le. ,Is ,;, Landowner's Certification: I certify that 1 am a deeded landowner of the above -referenced land application site(s) and am authorized to make decisions regarding the use of the land application site(s) on behalf of other deeded landowners OR that I am otherwise authorized, through a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the deeded landowners. I certify that the above -referenced land application site(s) are not included in any waste disposal contract or agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement, understand the stipulations, restrictions, alternatives for water supply wells inside the compliance boundary, acknowledgement of field transfer, and do hereby grant permission to the Permittee to land apply residuals to the land application site(s) as specified herein. Landowner name: -04101 M i f f k- n J c. Address: 931 V-.t-.% 12.vL. City: 154. NA" State: PJ C Zip: Z 11r3 Phone: E-mail address: Signature:) Date: NORTH CAROLINA, L to COUNTY 1, the undersigned Notary Public do hereby certify that 141-04V A A I! personally appeared before me this day and acknowledged the due execution of the forgoing instrument. WITNESS my hand and official seal this the 16'4'1' day of Mapck Signature and seal: My commission expires: Lessee's/Operator's Certification: M. Brent Collins MY Commission Expires March 30, 2026 I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein. Lessee/operator name Address: City: Phone: Signature: Permittee's Certification: State: E-mail address: Date: Zip: I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein. Signing official name; Signature: Andrea Tucker Date: 3 I a : I �_y FORM: LOA 06-16 Page 3 of 3 The compliance boundary is established either 250 ft from the residuals application area or 50 ft within the property boundary, whichever is closest to the application area. The review boundary is established midway between the compliance boundary and the perimeter of the residuals application area. Field Total Acres Applicable Acres 1 6.93 6.19 2 17.21 12.32 SCALE: 1":440' � DATE: 3/22/2024 vMA DRAWN BY: BC Resources, Inc. 'ROJECT NO: WQ0014868 k ,yam AP i ■ Off Site Dwelling Stream — — — Drain ® Buffer Pond Field Boundary r Property Boundary Smithfield Fresh Meats, Inc. FICURENO. Land Application Program 2 SF08 McCall King A , y V l The compliance boundary is established either 250 ft from the residuals application area or 50 ft within the property boundary, whichever is closest to the application area. The review boundary is established midway between the compliance boundary and the perimeter of the residuals application area. The compliance boundary is established either 250 ft from the residuals application area or 50 ft within the property boundary, whichever is closest to the application area. The review boundary is established midway between the compliance boundary and the perimeter of the residuals application area. The compliance boundary is established either 250 ft from the residuals application area or 50 ft within the property boundary, whichever is closest to the application area. The review boundary is established midway between the compliance boundary and the perimeter of the residuals application area. The compliance boundary is established either 250 ft from the residuals application area or 50 ft within the property boundary, whichever is closest to the application area. The review boundary is established midway between the compliance boundary and the perimeter of the residuals application area. The compliance boundary is established either 250 ft from the residuals application area or 50 ft within the property boundary, whichever is closest to the application area. The review boundary is established midway between the compliance boundary and the perimeter of the residuals application area. 7 aOP 40. IL Field Total Acres I Applicable Acres 7 35.45 26.65 SCALE: 1":440' DATE: 3/22/2024 vMA DRAWN BY: BC Resources, Inc. 'ROJECT NO: WQ0014868 V /�' a +� . ►w '" '3� A fin►rT- 1 . ifl L.. .. ■ Off Site Dwelling — Drain ® Buffer Field Boundary Property Boundary p rtY Smithfield Fresh Meats, Inc. FIGURE NO. Land Application Program 2 SF08 McCall King Sr. 0 The compliance boundary is established either 250 ft from the residuals application area or 50 ft within the property boundary, whichever is closest to the application area. The review boundary is established midway between the compliance boundary and the perimeter of the residuals application area. f A fu Field Boundary .+ On Site Dwelling ■ Off Site Dwelling Stream Drain Pond . i ®Field Total Acres Applicable Acres Buffer_ r" d 9 47.72 43.81 ����+ Property Bouna ry SCALE: 1":440' �\ FIGURE NO. 7-� Smithfield Fresh Meats, Inc. DATE: 3/22/2024 `'vMA Land Application Program DRAWN BY: BC Resources, Inc. 2 PROJECT NO: SF08 WQ0014868 McCall King Sr. ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: Smithfield Farmland Corp WQ Permit #: WQ0014868 Field #: Land Owner: Linda King/Sheila Sellers Annual Dry Tons Applied: 7.28 Site #: Operator: Hinton King Crop 1 Name: Corn Predominant Soil Series Crop 1 Max. PAN: 147 Acres Utilized: SF08 Acres Permitted: GoA Cation Exchange Capacity (non 503): Crop 2 Name: Crop 2 Max. PAN: 7.5 7.5 4.0 o � N Q Volume applied enter one Solids/ ) Liquid Cu. Yds Gallons o /o Solids Volume Applied per pp p Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (may' Wet, Moist) Dry Precip. Past 24 Ms. inches <.5" a �a F w *o• o ,•d �, # 0.5 w •, * N *� 1 0.2 TKN mg/kg 36050 Z ; o M o mg/kg 1 16725 Nitrate and Nitrite mg/kg 312.75 PAN Applied ( lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 3/31 91000 1.92 0.971 Tarheel WWTP S 24.364 NA Corn 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): TOTALS: 01 91000 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 24.364 o.000 Lime Applied Annuallbs/acre 0.053 0.006 1.073 0.088 0.045 0.000 0.020 0.091 0.062 4.167 121.618 Date lbs/ac Prior Years Cumulative lbs/ac 0.0296 0.0093 5.9376 0.7369 0.0973 0.0037 0.2085 0.6114 0.0505 28.7325 Current Cumulative lbs/ac 0.082 0.016 7.011 0.825 0.142 0.004 0.229 0.702 0.112 32.900 Permitted C. P. L. R.**** 9 250 1 1000 1 250 500 Permit PAN Limit lst/2nd Crop i F-147 "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." *Application Method: S - Surface, IN - Injection, INC - Incorporation 2/1/2021 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0 Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2, aerobically digested -0.3, raw sludge -0.4 ****C.P.L.R.: Cumulative Pollutant Loading Rate DENR FORM FSF (12/2006) ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: Smithfield Farmland Corp WQ Permit #: WQ0014868 Field #: Land Owner: Linda King/Sheila Sellers Annual Dry Tons Applied: 16.13 Site #: Operator: Hinton King Crop 1 Name: Corn Predominant Soil Series Crop 1 Max. PAN: 2 SF08 Acres Utilized: Acres Permitted: GoA Cation Exchange Capacity (non 503): 147 Crop 2 Name: Crop 2 Max. PAN: 17 17 4.8 o � N Q Volume applied enter one Solids/ ) Liquid Cu. Yds Gallons o /o Solids Volume Applied per pp p Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (may' Wet, Moist) Dry Precip. Past 24 Ms. inches <.5" a �a F w *o• o ,•d �, # 0.5 w •, * N *� 1 0.2 TKN mg/kg 36050 Z ; o M o mg/kg 1 16725 Nitrate and Nitrite mg/kg 312.75 PAN Applied ( lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 3/30 117000 1.92 0.551 Tarheel WWTP S 13.820 NA Corn 3/31 84500 1.92 0.398 Tarheel WWTP Dry <.5" S 0.5 0.2 36050 16725 312.75 9.981 NA Corn 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): TOTALS: 01 201500 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 23.801 o.000 Lime Applied Annuallbs/acre 0.052 0.006 1.049 0.086 0.044 0.000 0.020 0.089 0.060 4.073 118.862 Date lbs/ac Prior Years Cumulative lbs/ac 0.0288 0.0093 6.0937 0.7202 0.1002 0.0037 0.2147 0.614 0.0529 29.2731 Current Cumulative lbs/ac 0.080 0.015 7.143 0.806 0.144 0.004 0.235 0.703 0.113 33.346 Permitted C. P. L. R. * * * * 9 250 1 1000 1 250 500 Permit PAN Limit lst/2nd Crop i F-147 "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." *Application Method: S - Surface, IN - Injection, INC - Incorporation 2/1/2021 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0 Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2, aerobically digested -0.3, raw sludge -0.4 ****C.P.L.R.: Cumulative Pollutant Loading Rate DENR FORM FSF (12/2006) ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: Smithfield Farmland Corp WQ Permit #: WQ0014868 Field #: Land Owner: Elizabeth King/Hinton King Annual Dry Tons Applied: 112.95 Site #: Operator: Hinton King Crop 1 Name: Corn Predominant Soil Series Crop 1 Max. PAN: 120 Acres Utilized: SF08 Acres Permitted: MaA Cation Exchange Capacity (non 503): Crop 2 Name: Crop 2 Max. PAN: 89.5 89.5 4.4 o � N Q Volume applied enter one Solids/ ( ) Liquid Cu. Yds Gallons o /o Solids Volume Applied per pp p Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (may' Wet, Moist) Dry Precip. Past 24 Ms. inches <.5" a �a F w *o• o ,•d �, # 0.5 w •, * N *� 1 0.2 TKN mg/kg 36050 Z ; o M o mg/kg 1 16725 Nitrate and Nitrite mg/kg 312.75 PAN Applied ( lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 3/16 117000 1.92 0.105 Tarheel WWTP S 2.625 NA Corn 3/18 201500 1.92 0.180 Tarheel WWTP Dry <.5" S 0.5 0.2 36050 16725 312.75 4.521 NA Corn 3/19 188500 1.92 0.169 Tarheel WWTP Dry <.5" S 0.5 0.2 36050 16725 312.75 4.229 NA Corn 3/20 110500 1.92 0.099 Tarheel WWTP Dry <.5" S 0.5 0.2 36050 16725 312.75 2.479 NA Corm 3/27 1 240500 1 1.92 0.215 Tarheel WWTP Dry <.5" S 0.5 0.2 36050 16725 1 312.75 5.396 NA Corn 3/28 208000 1.92 0.186 Tarheel WWTP Dry <.5" S 0.5 1 0.2 36050 16725 312.75 4.667 NA Corn 3/29 234000 1.92 0.209 Tarheel WWTP Dry <.5" S 0.5 0.2 36050 16725 312.75 5.250 NA Corn 3/30 110500 1.92 0.099 Tarheel WWTP Dry <.5" S 0.5 0.2 36050 16725 312.75 2.479 NA I Corn 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): TOTALS: 01 1410500 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 31.646 o.000 Lime Applied Annuallbs/acre 0.069 0.008 1.395 0.114 0.058 0.001 0.026 0.118 0.080 5.416 158.066 Date lbs/ac Prior Years Cumulative lbs/ac 0.053 0.026 10.573 1.377 0.187 0.007 0.34 1.132 0.091 50.284 2/20 2000 Current Cumulative lbs/ac 0.122 0.034 11.968 1.491 0.245 0.008 0.366 1.250 0.171 55.700 Permitted C. P. L. R.**** 9 250 1 1000 1 250 500 Permit PAN Limit lst/2nd Crop i F-12-0 "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." *Application Method: S - Surface, IN - Injection, INC - Incorporation 2/1/2021 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0 Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2, aerobically digested -0.3, raw sludge -0.4 ****C.P.L.R.: Cumulative Pollutant Loading Rate DENR FORM FSF (12/2006) ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: Smithfield Farmland Corp WQ Permit #: WQ0014868 Field #: Land Owner: Elizabeth King/Hinton King Annual Dry Tons Applied: 60.37 Site #: Operator: Hinton King Crop 1 Name: Corn Predominant Soil Series Crop 1 Max. PAN: 4 SF08 Acres Utilized: Acres Permitted: NoA Cation Exchange Capacity (non 503): 131 Crop 2 Name: Crop 2 Max. PAN: 64.5 64.5 4.9 o � N Q Volume applied enter one Solids/ ( ) Liquid Cu. Yds Gallons o /o Solids Volume Applied per pp p Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (may' Wet, Moist) Dry Precip. Past 24 Ms. inches <.5" a �a F w *o• o ,•d �, # 0.5 w •, * N *� 1 0.2 TKN mg/kg 36050 Z ; o M o mg/kg 1 16725 Nitrate and Nitrite mg/kg 312.75 PAN Applied ( lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 3/10 130000 1.92 0.161 Tarheel WWTP S 4.047 NA Corn 3/11 136500 1.92 0.169 Tarheel WWTP Dry <.5" S 0.5 0.2 36050 16725 312.75 4.250 NA Corn 3/12 136500 1.92 0.169 Tarheel WWTP Dry <.5" S 0.5 0.2 36050 16725 312.75 4.250 NA Corn 3/13 214500 1.92 0.266 Tarheel WWTP Dry <.5" S 0.5 0.2 36050 16725 312.75 6.678 NA Corn 3/14 1 71500 1 1.92 0.089 Tarheel WWTP Dry <.5" S 0.5 0.2 36050 16725 1 312.75 2.226 NA Corn 3/16 65000 1.92 0.081 Tarheel WWTP Dry <.5" S 0.5 1 0.2 36050 16725 312.75 2.024 NA Corn 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): TOTALS: 01 754000 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 23.474 o.000 Lime Applied Annuallbs/acre 0.051 0.006 1.035 0.085 0.043 0.000 0.020 0.088 0.059 4.017 117.234 Date lbs/ac Prior Years Cumulative lbs/ac 0.038 0.019 7.334 0.567 0.131 0.005 0.271 0.741 0.068 37.109 2/20 2000 Current Cumulative lbs/ac 0.089 0.025 8.369 0.652 0.174 0.005 0.291 0.829 0.127 41.126 Permitted C. P. L. R.**** 9 250 1 1000 1 250 500 Permit PAN Limit lst/2nd Crop i F-131 "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." *Application Method: S - Surface, IN - Injection, INC - Incorporation 2/l/2021 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0 Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2, aerobically digested -0.3, raw sludge -0.4 ****C.P.L.R.: Cumulative Pollutant Loading Rate DENR FORM FSF (12/2006) ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: Smithfield Farmland Corp Land Owner: Hinton King Operator: Hinton King Crop 1 Name: Corn WQ Permit #: WQ0014868 Field #: Annual Dry Tons Applied: 22.38 Site #: Predominant Soil Series: NoA Crop 1 Max. PAN: 125 Crop 2 Name: 6 SF08 Acres Utilized: Acres Permitted: Cation Exchange Capacity (non 503): Crop 2 Max. PAN: 21.5 21.5 7.7 o � N Q Volume applied enter one Solids/ ) Liquid Cu. Yds Gallons o /o Solids Volume Applied per pp p Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (may' Wet, Moist) Dry Precip. Past 24 Ms. inches <.5" a �a F w *o• o ,•d �, # 0.5 - w •, * N *� 1 0.2 TKN mg/kg 36050 Z ; o M o mg/kg 1 16725 Nitrate and Nitrite mg/kg 312.75 PAN Applied ( lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 3/31 32500 1.92 0.121 Tarheel WWTP S 3.035 NA Corn 4/3 182000 1.92 0.678 Tarheel WWTP Dry <.5" S 0.5 0.2 36050 16725 312.75 16.998 NA Corn 4/4 65000 1.92 0.242 Tarheel WWTP Dry <.5" S 0.5 0.2 36050 16725 312.75 6.071 NA Corn 0.000 0.000 0.000 0.000 1 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): TOTALS: 01 279500 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 26.105 o.000 Lime Applied Annuallbs/acre 0.057 0.007 1.151 0.094 0.048 0.000 0.022 0.098 0.066 4.467 130.385 Date lbs/ac Prior Years Cumulative lbs/ac 0.0296 0.0093 5.9376 0.7369 0.0973 0.0037 0.2085 0.6114 0.0505 28.7325 2/20 2000 Current Cumulative lbs/ac 0.086 0.016 7.088 0.831 0.145 0.004 0.230 0.709 0.117 33.200 Permitted C. P. L. R. * * * * 9 250 1 1000 1 250 500 Permit PAN Limit lst/2nd Crop i F-125 "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." *Application Method: S - Surface, IN - Injection, INC - Incorporation 2/1/2021 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0 Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2, aerobically digested -0.3, raw sludge -0.4 ****C.P.L.R.: Cumulative Pollutant Loading Rate DENR FORM FSF (12/2006) ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH APPLICATION FIELD. PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: Smithfield Packing Co. Permit #: WQ0014868 Annual Dry Tons Applied: 13.60 Owner: Hinton McCall King Site #: S178 Field #: Operator: 7 Hinton McCall King Cation Exchange Capacity (non 503): 5.1 Acres Utilized: 35 Acres Permitted: 35 o as o S ecif Totals Per Acre % Solid s Dry Tons Per Acre Residual Sources (Summarize) Site Cond. Dry, Wet, Inches Precip. Past 24 Hrs. Appli- cation Meth- od* Vola- tili- nation Rate** Miner- all- nation Rate TKN Ammo nia- Ni- trogen Ni- trate and Nitrite PAN 1 PAN 2 Must Select Crop 1 or Crop p p 2 * �► Gal. Cu.Yd. Report TTotals in Gal. Crop 1 Crop 2 11/7 71500 2042.9 4.56 0.3885 Tarheel Plant Dry <.5" S 0.5 0.2 70400 9650 1 13.1888 ####### Wheat 1 0 0 0 0 2 0 0 0 0 3 0 0 0 0 4 0 0 0 0 5 0 0 0 0 6 0 0 0 0 1 7 0 0 0 0 8 0 0 0 0 9 0 0 0 0 10 0 0 0 0 11 0 0 0 0 1 12 TOTALS: 2043 As Cd Cr Cu Pb Hg Mo Ni Se Zn P PAN 1 PAN 2 Lime Applied Annuallbs/acre 0.0023 0.0008 0.0614 0.5750 0.0093 0.0003 0.0179 0.0583 0.0047 2.4476 17.9487 13.1888 0 Date lbs/ac Current Cumulative lbs/ac 0.0023 0.0008 0.0614 0.5750 0.0093 0.0003 0.0179 0.0583 0.0047 2.4476 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 9 250 1000 250 500 1 100 2000 Prior Years Cumulative lbs/ac Permitted C. P. L. R.*** Permit PAN Limit lst/2nd Crop "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penaltpp��.. fn submitting false information, including the possibility of fines and imprisonment for knowing violations." ww1/9/2012 *Application Method: S - Surface, IN - Injection, INC - Incorporation Signature of Land Applier Date **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0 ***C.P.L.R.: Cumulative Pollutant Loading Rate **** The RSSF Data and the Dry Tons Per Acre are to be entered on the MFLSF Form. The FSF and MFLSF are mathematically linked so this information needs to be entered into the same numbered column on the MFLSF as is entered on the identically numbered FSF row to properly complete the metals equations. ie. FSF row # 1 to MFLSF column # 1. DENR FORM FSF (5/2003) There is no cumulative data for: SF08-09 There have been no applications to this field