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HomeMy WebLinkAboutWQ0001086_2018 Annual Report_20190215.M Town of Spring Lake, North Carolina ►KI Annual Biosolids Report SEAL v- _ 17069 - ,qy NGIN 0 S'. GG RECEIVEDIPJcDEOIDINK FEB 15 2019 Non-DischargO permii ing Unit RP FIVED FEB 15 2019 0WR SECTION WKCWaTBI FROMS16 UNIT Permit # WQ0001086 NPDES Permit # NCO030970 Prepared By MacConnell & Associates, P.C. P.O. Box 129 Morrisville, NC 27560 Phone: (919) 467-1239 Fax: (919) 319-6510 RE(;F-IUED DEQIDVVR FEB 2 5 2019 WeRos rate. ` 0 - rr€CE LVA RECEIVED/NCDEOIDWR FEB 15 2019 Non -Discharge Permitting Unit Town of Spring Lake, North Carolina 2018 Annual Biosolids Report Permit # WQ0001086 NPDES Permit # NCO030970 Prepared By MacConnell & Associates, P.C. P.O. Box 129 Morrisville, NC 27560 Phone: (919) 467-1239 Fax: (919) 319-6510 I Town of Spring Lake, North Carolina �( 2018 Annual Biosolids Report Summary Facility Name: Town of Spring Lake Wastewater Treatment Plant Address: P.O. Box 617, Spring Lake, North Carolina 28390-0617 Telephone: (910) 436-0241 �— Land Application Permit No.: W00001086 I Facllity's NPDES Permit No.: NCO030970 ` Responsible Official: Mr. Larry G. Dobbins, Mayor Address: P.O. Box 617, Spring Lake, North Carolina 28390-0617 Telephone: (910) 436-0241 Facility Operator: Mr. Richard E. Mendez, ORC C( Address: P.O. Box 617, Spring Lake, North Carolina 28390-0617 Telephone: (910) 436-0241 L L F4y Li IL Report Preparer: Mr. Gary S. MacConnell, PE Address: MacConnell & Associates, P.C., P.O. Box 129, Morrisville, NC 27560-0129 Telephone: (919) 467-1239 Dry Tons Land Applied: 59.9 Total (54.3 Metric Tons), Town Permitted Fields. Sludge Land Applied to Seven Town Permitted Sites and Contractor Sites as Noted Brinkley, Willie Calvin Field 3-3: Latitude 35.2464000, Longitude-79.021900' Brinkley, Willie Calvin Field 3-7: Latitude 35.2833330, Longitude-78.869722' Brinkley, Willie Calvin Field 3-8: Latitude 35.279939°, Longitude-78.870362' Paye, Maybob E. Field 4-1: Latitude 35.2449820, Longitude-79.022515' Chattellier, David and Diana Field 5-1: Latitude 35.272644 °, Longitude-79.9993030 Chattellier, David and Diana Field 5-2: Latitude 35.274089 °, Longitude-79.9981080 Chattellier, David and Diana Field 5-3: Latitude 35.273578 °, Longitude-79.996653' Operational Data: On Site Laboratory Methods Used: As required by regulations Description of Sludge Processes: Class B, Alkaline Prepared By: MacConnell & Associates, P.C. P.O. Box 129 Morrisville, North Carolina 27560-0129 Phone: (919) 467-1239 Fax: (919) 319-6510 1 ANNUAL LAND APPLICATION CERTIFICATION FORM L. WQ Permit#: W00001086 County: Facility Name (as shown on permit): Land Application Operator: Cumberland Richard E. Mendez Year: 2018 Lake WWTP Phone: (910)436-0241 Land application of residuals as allowed by the permit occurred during the past calendar year? 0 Yes ❑ No - If No, ship Part A, and Part B and proceed to Part C. Also, If residuals were generated but not land applied, please attach an explanation on how the residuals were handled. Part A - Residuals Application Summary: Total number of application fields in thepermit: 19 Total number of fields utilized for land application during the year: 7 Total amount of dry tons applied during the year for all application sites: 60 Total number of acres utilizes for land application during the year: 65.9 Part B - Annual Compiance Statement: Facility was compliant during calendar year 2018 with all conditions of the land application permit (including but not limited to items 1-13 below) issued by the Division of Water Resources. ❑ Yes v❑ No If no please, provide a written description why the facility was not compliant, the dates, and explain corrective action taken. 1) Only residuals approved for this permit were applied to the permitted sites. 2) Soil pH was adjusted as specified in the permit and lime was applied (if needed) to achieve a soil pH of at least 6.0 or the limit specified in the permit. 3) Annual soils analysis were performed on each site receiving residuals during the past calendar year and three (3) copies of laboratory results are attached. 4) Annual TCLP analysis (if required) was performed and three (3) copies of certified laboratory results are attached. 5) All other monitoring was performed in accordance with the permit and reported during the year as required and three (3) copies of certified laboratory results are attached. 6) The facility did not exceed any of the Pollutant Concentration Limits in 15A NCAC 02T .1105(a) or the Pollutant Loading Rates in 15A NCAC 02T. I 105(b) (applicable to 40 CFR Part 503 regulated facilities). 7) All general requirements in as specified in the Land Application Permit were complied with (applicable to 40 CFR Part 503 regulated facilities). 8) All monitoring and reporting requirements in 15A NCAC 02T .1111 were complied with (applicable to 40 CFR Part 503 regulated facilities). 9) All operations and maintenance requirements in the permit were complied with or, in the case of a deviation, prior authorization was received from the Division of Water Resources. 10) No contravention of Ground Water Quality Standards occurred at a monitoring well or explanations of violations are attached to include appropriate actions and remediations. 11) Vegetative cover was maintained and proper crop management was performed on each site receing residuals, as specified in the permit. 12) No runoff of residuals from the application sites onto adjacent property or nearby surface waters has occurred. 13) All buffer requirements as specified on the permit were maintained during each application of residuals. Part C - Certification: "I certify, under penalty of law, that the above information is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." LARR� is DodA tis — (✓elaiz Permittee Name and Title (type or print) Signature of Permittee Date -2 -11•-2-01 Signature Date Signature of Land Date (if different from Permittee) (if different from Permittee and Preparer) * Preparer is defined in 40 CFR Part 503.9 (r) and 15A NCAC 02T .1102 (26) DENR FORM ACF (12/2006) ANNUAL RESIDUAL SAMPLING SUMMARY FORM Please note that your permit may contain additional parameters to be analyzed. The parameters can be reported in FORM RSSF - B WQ Permit Number: WQ0001086 Facility Name: Spring Lake WWTP Residual Source WQ # or NCO030970 NPDES #: WWTP Name: Spring Lake WWTP Residual Analvsis Data Laboratory: 1) Meritech,Inc. 2) 3) 4) 5) Parameter ° For surface disposal facilities the ceiling concentration limits listed in this form are not applicable. Reference the individual permit for metals limits. "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 forAubmitting false iffor►nation, including the possibility of fines and imprisonment for knowing violations." Signature of Preparer *' 2-lam Date *Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26) DENR FORM RSSF (12/2006) ° For surface disposal facilities the ceiling concentration limits listed in this form are not applicable. Reference the individual permit for metals limits. "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 forAubmitting false iffor►nation, including the possibility of fines and imprisonment for knowing violations." Signature of Preparer *' 2-lam Date *Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26) DENR FORM RSSF (12/2006) ANNUAL RESIDUAL SAMPLING SUMMARY FORM - B Report all sampling analysis results for parameters not listed in FORM RSSF that are part of the WQ permit or were analyzed for over the past calendar year. Use additional forms as needed. WQ Permit Number: W00001086 Laboratory: 1) Meritech, Inc. Facility Name: Spring Lake WWTP 2) Residual Source NCO030970 3) NPDES # or WQ#: 4) WWTP Name: Spring Lake WWTP 5) Residual Analvsis Data Parameter ------------ ------------ "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." A n ,C-1 Signature of Preparer * V *Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26) Date DENR FORM RSSF - B (12/2006) Town of Spring Lake 2018 Biosolids Totals Note., Field Loading Sheets are provided for Fields currently permitted which have. had Bioslids applied this year or in the past Metric Lime Gallons per Percent DryTons Dry Tons Tons per Applied Field Acres Hectares Gallons Acre Solids Dry Tons (metric) per Acre Hectare (LBS/Acre) 1-1 8.00 3.24 0 .0 1.57% 0.00 0.00 0.00 0.00 0 2-1 20.00 8.09 0 0 1.57% 0.00 0.00 0.00 0.00 0 2-2 17.20 6.96 0 0 - 1.57% 0.00- 0.00 0.00 0.00 0 2-3 32.00 12.95 0 0 1.57% 0.00' 0.00 0.00 0.00 0 2-4 8.00 3.24 0 0 1.57% 0.00 0.00 0.00 0.00 0 2-5 13.30 5.38 0 0 1.57% 0.00 0.00 0.00 0.00 0 2-6 13.00 5.26 0 0 1.57% 0.00 0.00 0.00 0.00 0 2-8 5.90 2.39 0 0 1.57% 0.00 0.00 0.00 0.00 0 2-9 6.50 2.63 0 0 1.57% 0.00 0.00 0.00 0.00 0 3-1 5.10 2.06 0 0 1.57% 0.00 0.00 ' 0.00 0.00 0 3-2 8.20 3.32 0 0 1.57% 0.00 0.00 0.00 0.00 0 3-3 13.60 5.50 125,000 9,191 1.57% 8.18 7.42 0.60 1.35 368 3-7 15.20 6.15 238,000 15,658 1.57% 15.58 14.13 1.02 2.30 626 3-8 4.00 1.62 70,000 17,500 1.57% 4.58 4.16 1.15 2.57 • 700 4-1 4.50 1.82 98,000 21,778 1.57% 6.41 5.82 1.43 3.19 871 5-1 9.10 3.68 181,000 19,890 1.57% 11.85 10.75 1.30 2.92 796 5-2 7.20 2.91 81,000 11.250 1.57% 5.30 4.81 0.74 1.65 450 5-3 12.30 4.98 '121.500 9,878 1.57% 7.95 7.21 0.65 1-.45 395 Totals 65.90 26.67 914,500 105.145 59.85 54.30 4,206 Percent Month Solids Gallons Dry Tons Metric January 1.57% 0 0.00 0.00 February 1.57% 417,500 27.32 24.79 March 1.57% 0 0.00 0.00 " April 1.57% 0 0.00 0.00 May 1.57% 0 0.00 0.00 June' 1.57% 56,000 3.66 3.32 July" 1.57% 0 0.00 - 0.00 August 1.57% - 238,500 15.61 14.16 September 1.57% 202,500 13:25 12.02 October 1.57% 0 0.00 0.00 November 1.57% 0 0.00 0.00 December 1.57% 0 0.00 0.00 • Total 914,500 59.85 54.30 _ ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: Permit #: Operator: Acres Used: Lake W WTP Total Dry Tons Applied (Annual): 0:00 WQ0001086 Cation Exchange Capacity (non 503 only): Richard E. Mendez Owner: Spring Lake Predominant Soil Series: 8 Acres Permitted: 8 Site #: 1 Field #: W m B-Wickham Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Sample or Com- posite Date 8/28/18 2 8/28/18 3 8/28/18 4j 8/28/18 5j 8/28/18 6j 8/28/18 7j 8/28/18 8 8/28/18 9j 8/28/18 10 j 8/28/18 11 8/28/18 12 8/28/18 % Solids 1.57 1.57 1.57 1.57 1.57 1.57 1.57 1.57 1.57 1.57 1.57 1.57 Arsenic 3.18 3.18 3.18 3.18 3.18 3.18 3.18 3.18 3.18 3.18 3.18 3.18 Cadmiuml 2.81 2.81 2.81 2.81 2.81 2.81 2.81 2.81 1 2.81 2.81 2.81 2.81 Copper 330 330 330 330 1 330 1 330 330 1 330 330 330 330 330 Chrormuir 16.6 16.6 16.6 16.6 16.6 16.6 16.6 16.6 16.6 16.6 16.6 16.6 Lead 21.5 21.5 21.5 21.5 21.5 21.5 21.5 21.5 21.5 21.5 21.5 21.5 Mercury 0.191 0.191 0.191 0.191 0.191 0.191 0.191 0.191 0.191 0.191 0.191 0.191 Molyb- denum 8.34 8.34 8.34 8.34 8.34 8.34 8.34 8.34 8.34 8.34 8.34 8.34 Nickel 22.7 22.7 22.7 22.7 22.7 22.7 22.7 22.7 22.7 22.7 22.7 22.7 Selenium 12.4 12.4 12.4 12.4 12.4 12.4 12.4 12.4 12.4 12.4 12.4 12.4 Zinc 1790 1790 1790 1790 1790 1790 1790 1790 1790 1790 1790 1790 Total Phos- horns 24000 24000 24000 24000 24000 24000 24000 24000 24000 24000 24000 24000 Annual Heavy Metal Field Loadings (Calculated in lbs/acre): e eee a eee a eee a eee a eee a eee a eee a eee a eee a eee a eee a eee a eee ..�. a eee a eee a eee a eee a eee a eee a eee a eee a eee a eee a eee a eee a eee ... a eee a eee ►eee a eee a eee a eee a eee a eee a eee a eee a eee a eee a eee .. ,� a eee a eee a eee a eee a eee a eee a eee a eee a eee a eee a eee a eee a eee e eee a eee a eee a eee a eee a eee a eee a eee a eee a eee a eee a eee a eee e eee a eee a eee a eee a eee a eee a eee a eee a eee a eee a eee a eee a eee ' e eeo a eee a eee a eee a eee a eee a eee a eee a eee a eee a eee a eee a eee e eee a eee a eee a eee a eee a eee a eee a eee a eee a eee a eee a eee a eee e eee a eee a eee a eee a eee a eee a eee a eee a eee a eee a eee a eee a eee ® e eee a eee a eee a eee a eee a eee a eee a eee a eee a eee a eee a eee a eee a eee a eee a eee a eee a eee a eee a eee a eee a eee a eee a eee a eee a eee .'.. "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". J_Z-• ftnJ Signature of Land Applier Date DENR FORM MFLSF (12/2006) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: Spring Lake W WTP Total Dry Tons Applied (Annual): F 0.00 Permit #: WQ0001086 Cation Exchange Capacity (non 503 only): Operator: Richard E. Mendez Owner: Tom Brooks Predominant Soil Series: WaB-Wagram Acres Used: 20 Acres Permitted: 20 Site #: 2 Field #: 1 _ Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/ka, % Solids use Raw Percent #): Sample or Com- posite Date 1 8/28/18 2 8/28/18 3 8/28/18 4j 8/28/18 5 8/28/18 6 8/28/18 7 8/28/18 8j 8/28/18 9 8/28/18 10 j 8/28/18 11 8/28/18 12 8/28/18 % Solids 1.57 1.57 1.57 1.57 1.57 1.57 1.57 1.57 1.57 1.57 1.57 1.57 Arsenic 3.18 3.18 3.18 3.18 3.18 3.18 3.18 3.18 3.18 3.18 3.18 3.18 Cadmium 2.81 2.81 2.81 1 2.81 2.81 2.81 2.81 2.81 2.81 2.81 1 2.81 2.81 Copper 330 1 330 330 330 330 1 330 330 1 330 330 330 330 330 ChromiurE 16.6 16.6 16.6 16.6 16.6 16.6 16.6 16.6 16.6 16.6 16.6 16.6 Lead 21.5 21.5 21.5 21.5 21.5 21.5 21.5 21.5 21.5 21.5 21.5 21.5 Mercury 0.191 0.191 0.191 0.191 0.191 0.191 0.191 0.191 0.191 0.191 0.191 0.191 Molyb- denum 8.34 8.34 8.34 8.34 8.34 8.34 8.34 8.34 8.34 8.34 8.34 8.34 Nickel 22.7 22.7 22.7 22.7 22.7 22.7 22.7 22.7 22.7 22.7 22.7 1 22.7 Selenium 12.4 12.4 12.4 12.4 1 12.4 1 12.4 1 12.4 1 12.4 12.4 12.4 12.4 12.4 Zinc 1790 1790 1790 1790 1790 1790 1790 1790 1790 1790 1790 1790 Total Phos- horus 24000 24000 24000 24000 24000 24000 24000 24000 24000 24000 24000 24000 Annual meaty metal Nield Loadings walculated in ®�' 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 ., �� 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 . � �" 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 � � � 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 ®'' 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 � � 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 - - � �� 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 ®' 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 !� 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 r cenny, unaer penany or taw, mar mrs aocumem was preparea miner my airecnon or supervision in accoraance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations". /1 Signature of Land Applier Date DENR FORM MFLSF (12/2006) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report - Facility Name: Permit #: -' Operator: Acres Used: Spring Lake W WTP Total Dry Tons Applied (Annual): 0:00 W00001086 Cation Exchange Capacity (non 503 only): Richard E. Mendez Owner: Tom Brooks Predominant Soil Series: BaB-Blaney 17.2 Acres Permitted: 17.2 Site #: 2 Field #: Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Sample or Com- posite Date 1 8/28/18 2 8/28/18 3j 8/28/18 4 8/28/18 5 8/28/18 6 8/28/18 7 8/28/18 8 8/28/18 9 8/28/18 10 8/28/18 11 8/28/18 12 8/28/18 % Solids 1.57 1.57 1.57 1.57 1.57 1.57 1.57 1.57 1.57 1.57 1.57 1.57 Arsenic 3.18 3.18 3.18 3.18 3.18 3.18 3.18 3.18 3.18 3.18 3.18 3.18 Cadmium 2.81 2.81 2.81 2.81 2.81 2.81 2.81 2.81 2.81 2.81 2.81 2.81 Copper 330 330 1 330 330 330 1 330 330 1 330 330 1 330 330 330 Chromium 16.6 16.6 16.6 16.6 16.6 16.6 16.6 16.6 16.6 16.6 16.6 16.6 Lead 21.5 21.5 21.5 21.5 21.5 21.5 21.5 21.5 21.5 21.5 21.5 21.5 Mercury 0.191 0.191 0.191 0.191 0.191 0.191 0.191 0.191 0.191 0.191 0.191 0.191 Molyb- denum 8.34 8.34 8.34 8.34 8.34 8.34 8.34 8.34 8.34 8.34 8.34 8.34 22.7 22.7 22.7 22.7 22.7 22.7 22.7 22.7 22.7 22.7 22.7 22.7 12.4 12.4 12.4 12.4 12.4 12.4 12.4 12.4 12.4 12.4 12.4 12.4 thorus 1790 1790 1790 1790 1790 1790 1790 1790 1790 1790 1790 1790 24000 24000 24000 24000 24000 24000 24000 24000 24000 24000 24000 24000 Annual Heavy Metal Field Loadings (Calculated in lbs/acre): e e oee a oee o eoe a oee a ooe a oee o eee o oee a eee a ooe o eee o ooe a ooe .��� � e ooe a oee o eoe o eoe o eoe a oeo o eee a ooe a eoe a eoo a oee o ooe a eeo ... a eee a eee o ooe o oee o ooe o eoo 0 oeo 0 ooe a ooe a eoe a oeo a oeo a eoo �� �� a eeo a ooe a eee o ooe o ooe a eeo o eoe a ooe o eoo a eoe a o00 0 oeo o eoe e oeo a o0o a eoe o oee o eoe o 000 o eoe a eee a ooe a eeo 0 oeo 0 oee a eoe o ooe o ooe o eeo 0 00o a eoo 0 oee a ooe a eeo 0 oeo a eee o oee o ooe a eoo ' o oee a ooe o ooe o ooe a eee a oee a eoe a eoe o oeo a eeo 0 oeo 0 oeo a eeo � o ooe o oee a eoo 0 ooe o eoo 0 oeo a o0o a eoo 0 oeo a o00 0 oeo o eeo a eoo �� o eoe o oeo a oeo a eoe o oeo 0 oee o 000 o eeo 0 oeo o eeo 0 oeo 0 000 0 ooe ® e oeo o eoo a oee a oee a oeo 0 000 0 oeo a eoe a oee o eeo 0 oee o oee o ooe a o0o a o00 0 00o a oeo a oeo 0 000 0 oeo o eeo 0 oeo o eee a oeo o eoo 0 ooe .'., "1 certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations". Signature of Land Appher -r►Tzd! Date DENR FORM MFLSF (12/2006) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: Permit #: Operator: Acres Used: Spring Lake W WTP Total Dry Tons Applied (Annual): WQ0001086 Cation Exchange Capacity (non 503 only): Richard E. Mendez Owner: Tom Brooks Predominant Soil Series: Dp-Duplin 32 Acres Permitted: 32 Site #: 2 Field #: 3 0.00 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Sample or Com- posite Date 1 8/28/18 2 8/28/18 3 j 8/28/18 4 8/28/18 5 8/28/18 6 8/28/18 7 8/28/18 8 8/28/18 9 8/28/18 10 8/28/18 11 8/28/18 12 8/28/18 % Solids 1.57 1.57 1.57 1.57 1.57 1.57 1.57 1.57 1.57 1.57 1.57 1.57 Arsenic 3.18 3.18 3.18 3.18 3.18 3.18 3.18 3.18 3.18 3.18 3.18 3.18 Cadmiuml 2.81 2.81 2.81 2.81 2.81 2.81 2.81 2.81 2.81 2.81 2.81 2.81 Copper 330 330 330 330 330 330 1 330 330 1 330 330 1 330 1 330 Chromium 16.6 16.6 16.6 16.6 16.6 16.6 16.6 16.6 16.6 16.6 16.6 16.6 Lead 21.5 21.5 21.5 21.5 21.5 21.5 21.5 21.5 21.5 21.5 21.5 21.5 Mercury 0.191 0.191 0.191 0.191 0.191 0.191 0.191 0.191 0.191 0.191 0.191 0.191 Molyb- denum 8.34 8.34 8.34 8.34 8.34 8.34 8.34 8.34 8.34 8.34 8.34 8.34 Nickel 22.7 1 22.7 22.7 1 22.7 22.7 1 22.7 22.7 1 22.7 22.7 22.7 22.7 22.7 Selenium 12.4 12.4 12.4 12.4 12.4 12.4 12.4 12.4 12.4 12.4 12.4 1 12.4 Zinc 1790 1790 1790 1790 1790 1790 1790 1790 1790 1790 1790 1790 Total Phos- bonus 24000 24000 24000 24000 24000 24000 24000 24000 24000 24000 24000 24000 Annual Heavy Metal Field Loadings (Calculated in lbs/acre): e eee ► ►ee ► ►e► eee► ►eee a e►e a e►e eee► ►eee eee► ► 11► ► ►e► ► ►►► ... .� eee► ► ►ee ► ►ee eee► ► ►►e a e►► a e►e eee► ► ►e► eee► ► ►e► ► ee► e e►► ... ► e►e ► ►ee e ►e► eee► ► ►ee e e►► e e►e e e►► ► ►ee e e►► ► ►e► ► ee► e e►e ..�� �. a e►e ► ►ee ► ►e► eee► ► ►ee a e►► a eee eee► ► ►ee eee► ► ►e► ► e►► a e►e eee► ► 11e ► ►ee eee► a e►e a e►► a e►e ►eee ► ►ee eee► ► 1e► ► ee► a e►e eee► ► 11e ► ►ee eee► a e►e eee► a e1e ► 1e► ►eee eee► ► ►ee ► ►e► eee► a e►► ► ►►e ► ►ee eee► ► e►e eee► a e►e eee► ► ►ee eee► ► ►e► ► ee► a e►► �' eee► ► 11e ► ►ee eee► a e►e eee► a e►e eee► ► 1e► a e►► a ►e► ► e►e a e►e �. eee► ► ►►► ► ►ee eee► a e►e eee► a e►e eee► ► ►ee a e►► ► ►e► a e►e a e►e ® eee► ► ►►► ► ►e► eee► ► ►►e a e►► a e►e a ►ee ►eee eee► ► 11► ► e►e ► ►►► eee► ► e►► ►eee e eee e e►e eee► e e►e eee► eee► e e►e e e►e ►eee ► ►►► .'.. "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". a_ Signature of Land Applier Date DENR FORM MFLSF (12/2006) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: Spring Lake W WTP Total Dry Tons Applied (Annual): 0.00 Permit #: Operator: Acres Used: WQ0001086 Cation Exchange Capacity (non 503 only): Richard E. Mendez Owner: Tom Brooks Predominant Soil Series: Wab-Wagram 8 Acres Permitted: 8 Site #: 2 Field #: 4 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Sample or posite Date 1 1 8/28/18 _2j 8/28/18 3 8/28/18 _�jj 8/28/18 5 8/28/18 6 8/28/18 7j 8/28/18 8 8/28/18 9 8/28/18 10 8/28/18 r8/28/18 12Com- 8/28/18 % Solids 1.57 1.57 1.57 1.57 1.57 1.57 1.57. 1.57 1.57 1.57 1.57 1.57 Arsenic 3.18 3.18 3.18 3.18 3.18 3.18 3.18 3.18 3.18 3.18 3.18 3.18 Cadmiuml 2.81 1 2.81 2.81 1 2.81 2.81 1 2.81 2.81 2.81 2.81 2.81 2.81 2.81 Copper 330 330 330 330 330 330 330 330 330 330 330 330 Chromium 16.6 16.6 16.6 16.6 16.6 16.6 16.6 16.6 16.6 16.6 16.6 16.6 Lead 21.5 21.5 21.5 21.5 21.5 21.5 21.5 21.5 21.5 21.5 21.5 21.5 Mercury 0.191 0.191 0.191 0.191 0.191 0.191 0.191 0.191 0.191 0.191 0.191 0.191 Molyb- denum 8.34 8.34 8.34 8.34 8.34 8.34 8.34 8.34 8.34 8.34 8.34 8.34 Nickel 1 22.7 1 22.7 22.7 22.7 22.7 1 22.7 22.7 22.7 22.7 22.7 22.7 22.7 Selenium 12.4 12.4 12.4 12.4 12.4 12.4 12.4 12.4 12.4 12.4 12.4 12.4 Zinc 1790 1790 1790 1790 1790 1790 1790 1790 1790 1790 1790 1790 Total Phos- horns 24000 24000 24000 24000 24000 24000 24000 24000 24000 24000 24000 24000 Annual Heavy Metal Field Loadings (Calculated in lbs/acre): TIM 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 . � �� � 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 � � � - 1 111 1 111 1 111 1 111 1 111 1 11/ 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 Fm 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 � � 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 �� 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 ® 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 „'. "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations". Signature of Land Applier 19 2�D T.2d19 Date DENR FORM MFLSF (12/2006) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: Spring Lake W WTP Total Dry Tons Applied (Annual): 0.00 Permit #: W00001086 Cation Exchange Capacity (non 503 only): Operator: Richard E. Mendez Owner: Tom Brooks Predominant Soil Series: Wab-Wagram Acres Used: 13.3 Acres Permitted: 13.3 Site #: 2 Field #: 5 Residual Analvsis Data (Heave Metals and Total Phosnhorus use,m2/ka. % Solids use Raw Percent #1: Sample or posite Date 1 8/28/18 2 8/28/18 3 8/28/18 4 8/28/18 5 8/28/18 6 8/28/18 7j 8/28/18 8 8/28/18 9 8/28/18 10 8/28/18 r8128/18 12Com- 8/28/18 % Solids 1.57 1.57 1.57 1.57 1.57 1.57 1.57 1.57 1.57 1.57 1.57 1.57 Arsenic 3.18 3.18 3.18 3.18 3.18 3.18 3.18 3.18 3.18 3.18 3.18 3.18 Cadmium 2.81 2.81 2.81 2.81 2.81 2.81 2.81 2.81 2.81 2.81 2.81 2.81 Copper 330 330 330 330 330 330 330 330 330 330 330 330 Chromium 16.6 16.6 16.6 16.6 16.6 16.6 16.6 16.6 16.6 16.6 16.6 16.6 Lead 21.5 21.5 21.5 21.5 21.5 21.5 21.5 21.5 21.5 21.5 21.5 21.5 Mercury 0.191 0.191 0.191 0.191 0.191 0.191 0.191 0.191 0.191 0.191 0.191 0.191 Molyb- denum 8.34 8.34 8.34 8.34 8.34 8.34 8.34 8.34 8.34 8.34 8.34 8.34 Nickel 22.7 1 22.7 22.7 1 22.7 22.7 1 22.7 22.7 22.7 22.7 22.7 22.7 22.7 Selenium 12.4 12.4 12.4 12.4 12.4 1 12.4 12.4 12.4 12.4 12.4 12.4 12.4 Zinc 1790 1790 1790 1790 1790 1790 1790 1790 1790 1790 1790 1790 Total Phos- horns 24000 24000 24000 24000 24000 24000 24000 24000 24000 24000 24000 24000 Annual Heaw Metal Field in - � 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 . � � � 1 111 1 111 1 111 1 111 1 111 1 11/ 1 111 1 111 1 111 1 111 1 111 1 111 1 111 � .,�� 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 ®®®®®®®®®®®®® -. � 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 i - 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 I � � � 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 - 1 111 1 111 1 111 1 / 11 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 - � �� 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 � 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 ' �. 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 "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 (mowing violations". • / 2 -I) 20 Signature of Land Applier 61 Date DENR FORM MFLSF (12/2006) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: Spring Lake W WTP Total Dry Tons Applied (Annual): 0.00 Permit #: W00001086 Cation Exchange Capacity (non 503 only): Operator: Acres Used: Richard E. Mendez Owner: Tom Brooks Predominant Soil Series: Wab-Wagram 13 Acres Permitted: 13 Site #: Field #: Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Sample or Com- posite Date 1 8/28/18 _2j 8/28/18 3j 8/28/18 4j 8/28/18 5j 8/28/18 6j 8/28/18 7 8/28/18 _8j 8/28/18 9j 8/28/18 10 8/28/18 11 8/28/18 12 8/28/18 % Solids 1.57 1.57 1.57 1.57 1.57 1.57 1.57 1.57 1.57 1.57 1.57 1.57 Arsenic 3.18 3.18 3.18 3.18 3.18 3.18 3.18 3.18 3.18 3.18 3.18 3.18 Cadmiuml 2.81 1 2.81 2.81 2.81 2.81 1 2.81 2.81 2.81 2.81 2.81 2.81 2.81 Copper 330 330 330 1 330 330 330 330 330 1 330 330 330 330 Chromium 16.6 16.6 16.6 16.6 16.6 16.6 16.6 16.6 16.6 16.6 16.6 16.6 Lead 21.5 21.5 21.5 21.5 21.5 21.5 21.5 21.5 21.5 21.5 21.5 21.5 Mercury 0.191 0.191 0.191 0.191 0.191 0.191 0.191 0.191 0.191 0.191 0.191 0.191 Molyb- denum 8.34 8.34 8.34 8.34 8.34 8.34 8.34 8.34 8.34 8.34 8.34 8.34 Nickel 22.7 22.7 22.7 22.7 22.7 22.7 22.7 22.7 22.7 22.7 22.7 22.7 Selenium 12.4 12.4 12.4 12.4 12.4 12.4 12.4 12.A 12.4r24000 12.4 12.4 Zinc 1790 1790 1790 1790 90 1790 1790 1790 1790 1790 1790 Total Phos- horus 24000 24000 2400 224000 f24000 24000 24000 24000 24000 24000 24000 Annual Heavy Metal Field Loadings (( alculated in Ibs/acre): ..OEM, "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations". Signature of Land Applier Date DENR FORM MFLSF (12/2006) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: Permit #: Operator: Acres Used: Spring Lake W WTP Total Dry Tons Applied (Annual): F 0.00 W00001086 Cation Exchange Capacity (non 503 only): Richard E. Mendez Owner: Tom Brooks Predominant Soil Series: CaB-Candor 5.9 Acres Permitted: 5.9 Site #: Field #: Residual Analysis Data (Heavy Metals and Total Phosphorus use m¢/kQ. % Solids use Raw Percent #1_ Sample or Com- posite Date 1 8/28/18 _2j 8/28/18 3j 8/28/18 4j 8/28/18 5j 8/28/18 L6 J 8/28/18 7j 8/28/18 a V 8/28/18 9 8/28/18 10 8/28/18 11 -- 8/28/18 12--•- 8/28/18 % Solids 1.57 1.57 1.57 1.57 1.57 1.57 1.57 1.57 1.57 1.57 1.57 1.57 Arsenic 3.18 3.18 3.18 3.18 3.18 3.18 3.18 3.18 3.18 3.18 3.18 3.18 Cadmiuml 2.81 2.81 2.81 2.81 2.81 2.81 2.81 2.81 2.81 1 2.81 2.81 2.81 Copper 1 330 1 330 330 1 330 330 330 330 330 330 330 330 330 Chromiuid 16.6 1 16.6 16.6 16.6 16.6 16.6 16.6 16.6 16.6 16.6 16.6 16.6 Lead 1 21.5 21.5 21.5 21.5 21.5 21.5 21.5 21.5 21.5 21.5 21.5 21.5 Mercury 0.191 0.191 0.191 0.191 0.191 0.191 0.191 0.191 0.191 0.191 0.191 0.191 Molyb- denumd enum 8.34 8.34 8.34 8.34 8.34 8.34 8.34 8.34 8.34 8.34 8.34 8.34 Nickel 22.7 22.7 22.7 22.7 22.7 22.7 22.7 1 22.7 22.7 1 22.7 22.7 22.7 Selenium 12.4 12.4 12.4 12.4 12.4 12.4 12.4 12.4 12.4 12.4 12.4 12.4 Zinc 1790 1790 1790 1790 1790 1790 1790 1790 1790 1790 1790 17 00 Total Phos- horus 24000 24000 24000 24000 24000 24000 24000 24000 24000 24000 24000 24000 Annual Heavy Metai Field LoadtnQS (l:alCulated IIl 1bS/acre): e eee a eee a eee a eee a eee a eel a eee a eee a eee a eee a eee a eee a eee .��� � e eee a eee a eee a eee a eee a eee a eee a eee a eee a eee a eee a eee a eee ,��� a eee a eee a eee a eee a eee a eee a eee a eee a eee a eee a eee a eee a eee ,�� � e eee a eee a eee a eee a eee a eee a eee a eee a eee a eee a eee a eee a eee e eee a eee a eee a eee a eee a eee a eee a eee a eee a eee a eee a eee a eee e eee a eee a eee a eee a eee a eee a eee a eee a eee a eee a eel a eee a eee �' a eee a eee a eee a eee a eee a eee a eee a eee a eee a eee a eee a eee a eee � e eee a eee a eee a eee a eee a eee a eee a eee a eee a eee a eee a eee a eee e eee a eee a eee a eee a eee a tee a eee a eee a eee a eee a eee a eee a eee ® e eee a eee a eee a eee a eee a eee a eee a eee a eee a eee a eee a eee a eee a eee a eee a eee a eee a eee a eee a eee a eee a eee a eee a eee a eee a eee .", rriv�� r ceruly, under penairy or iaw, inar ims aocument was prepared under my direction or supervision in accordance ,with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations". Signature of Land Applier 2-11-2019 Date DENR FORM MFLSF (12/2006) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report - Facility Name: Spring Lake W WTP Total Dry Tons Applied (Annual): 0.00 Permit #: W00001086 Cation Exchange Capacity (non 503 only): Operator: Richard E. Mendez Owner: Tom Brooks Predominant Soil Series: CaB-Candor Acres Used: 6.5 Acres Permitted: 6.5 Site #: 2 Field #: 9 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Sample or Com- posite Date IJ 8/28/18 2 8/28/18 3 8/28/18 4j 8/28/18 5j 8/28/18 6 8/28/18 7 8/28/18 8j 8/28/18 9j 8/28/18 10 j 8/28/18 11 8/28/18 12 8/28/18 % Solids 1.57 1.57 1.57 1.57 1.57 1.57 1.57 1.57 1.57 1.57 1.57 1.57 Arsenic 3.18 3.18 3.18 3.18 3.18 3.18 3.18 3.18 3.18 3.18 3.18 3.18 Cadmium 1 2.81 2.81 2.81 2.81 2.81 2.81 2.81 1 2.81 2.81 2.81 2.81 2.81 Copper 330 330 330 1 330 330 1 330 330 330 1 330 330 1 330 330 Chromimu 16.6 16.6 16.6 16.6 16.6 16.6 16.6 16.6 16.6 16.6 16.6 16.6 Lead 21.5 21.5 21.5 21.5 21.5 21.5 21.5 21.5 21.5 21.5 21.5 21.5 Mercury 0.191 0.191 0.191 0.191 0.191 0.191 0.191 0.191 0.191 0.191 0.191 0.191 Molyb- denum 8.34 8.34 8.34 8.34 8.34 8.34 8.34 8.34 8.34 8.34 8.34 8.34 Nickel 22.7 22.7 22.7 22.7 22.7 22.7 22.7 22.7 22.7 22.7 22.7 22.7 Selenium 12.4 12.4 12.4 12.4 12.4 12.4 12.4 12.4 12.4 12.4 12.4 12.4 Zinc 1790 1790 1790 1790 1790 1790 1790 1790 1790 1790 1790 1790 Total Phos- horns 24000 24000 24000 24000 24000 24000 24000 24000 24000 24000 24000 24000 Annual Heavy Metal Field Loadings (Calculated in lbs/acre): 1 lel a ell I Ile 1 eel I Ile a ell 1 lel 1 Ile 1 ell a 111 1 111 1 111 1 111 .. � 1 111 1 111 1 111 1 111 1 111 l e 11 1 111 1 111 1 111 1 111 1 111 1 111 1 111 �.� 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 � . �� �� 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 ®'' 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 l e l 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 ell 1 ell 1111 1 ell 1 111 1 111 1 111 1 111 1 ell 1 eel 1111 1 ell 1 111 �' 1 eel 1 ell 1 111 1 111 1 111 1 111 1 111 1 111 1 Ill 1 Ill 1 111 1 111 1 Ill - - �� 1 111 1 lee 1 ell 1 111 1 ell 1 111 1 lee 1 Ile 1 111 1 111 1 111 1 111 1 111 1 Ile 1 Ile 1 111 1111 1 III 1 111 1111 1111 1 111 1 Ile 1 Ile 1 111 1 111 1 111 1 ell 1 111 1 111 1 111 1 111 1 111 1 III 1 111 1 111 1 111 1 Ill 1 111 .'., "1 certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations". Signature of Land Applier Date DENR FORM MFLSF (1212006) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: Spring Lake W WTP Total Dry Tons Applied (Annual): 8.18 Permit #: W00001086 Cation Exchange Capacity (non 503 only): Operator: Richard E. Mendez Owner: Willie Calvin Brinkley Predominant Soil Series: VaB-Vaucluse Acres Used: 13.6 Acres Permitted: 13.6 Site #: 3 Field #: 3 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Sample or Com- posite Date 1 8/28/18 _2j 8/28/18 3 8/28/18 _4j 8/28/18 5j 8/28/18 6j 8/28/18 7j 8/28/18 8 8/28/18 9 8/28/18 10 8/28/18 11 8/28/18 12 8128/18 % Solids 1.57 1.57 1.57 1.57 1.57 1.57 1.57 1.57 1.57 1.57 1.57 1.57 Arsenic 3.18 3.18 3.18 3.18 3.18 3.18 3.18 3.18 3.18 3.18 3.18 3.18 Cadmiuml 2.81 2.81 2.81 2.81 2.81 2.81 2.81 2.81 2.81 2.81 2.81 2.81 Copper 330 330 330 330 330 330 330 330 330 330 330 330 Chromitur 16.6 16.6 16.6 16.6 16.6 16.6 16.6 16.6 16.6 16.6 16.6 16.6 Lead 21.5 21.5 21.5 21.5 21.5 21.5 21.5 21.5 21.5 21.5 21.5 21.5 Mercury 0.191 0.191 0.191 0.191 0.191 0.191 0.191 0.191 0.191 0.191 0.191 0.191 Molyb- denum 8.34 8.34 8.34 8.34 8.34 8.34 8.34 8.34 8.34 8.34 8.34 8.34 Nickel 1 22.7 1 22.7 22.7 1 22.7 22.7 1 22.7 22.7 22.7 22.7 22.7 1 22.7 22.7 Selenium 12.4 12.4 12.4 12.4 12.4 12.4 12.4 12.4 12.4 12.4 12.4 12.4 Zinc 1790 1790 1790 1790 1790 1790 1790 1790 1790 1790 1790 1790 Total Phos- horns 24000 24000 24000 24000 24000 24000 24000 24000 24000 24000 24000 24000 Annual Heavy Metal Field Loadings (Calculated in lbs/acre): 1 1 111 1 1 . 1 111 1 111 1 111 1 1 1 111 1 1 � 1 111 1 111 1 111 1 111 1 1 1 111 1 1 1 111 1 111 1 111 1 1 1 1 111 1 1 1 111 1 111 1 111 1 111 1 1�. .�.- 1111 1' 1111 1111 1111 � 1111 �: 1111 1111 1111 1111 .. .� 1111 11:. 1111 1111 1111 11� 1111 � 1111 1111 1111 1111 1 111 � 1111 1 111 1111 1 1 ' 1111 1 . 1111 1111 1 111 1 111 1 111 1 11 1 111 1 111 1 111 1 11 1 111 1 11 1 111 1 111 1 111 1 111 1 11 �� 1 111 1 1� 1 111 1 111 1 111 1 1 1 111 1 I. 1 111 1 111 1 111 1 111 1 1111 � 1111 1111 1111 11: 1111 � 1111 1111 1111 1111 - -� �� 1 111 1 1.� 1 111 1 111 1 111 1 1� 1 111 1 1' 1 111 1 111 1 111 1 111 1 1 ® 1 111 � 1 111 1 111 1 111 '® 1 111 � 1 111 1 111 1 111 1 111 1111 ® 1 111 1 111 1 111 ® 1 111 :1 �:1 1111 1111 1 111 1 111 ' .�1 ,� "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 tines and imprisonment for knowing violations". a E�-, ;7¢ Signature of Land Applier Date DENR FORM MFLSF (12/2006) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: Spring Lake W WTP Total Dry Tons Applied (Annual): r- 0.00 Permit #: W00001086 Cation Exchange Capacity (non 503 only): Operator: Richard E. Mendez Owner: Willie Calvin Brinkley Predominant Soil Series: FaB-Fuquay Acres Used: 33.5 Acres Permitted: 33.5 Site #: 3 Field #: 4 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Sample or Com- posite Date 1 8/28/18 _2j 8/28/18 3j 8/28/18 4 8/28/18 5 8/28/18 6 8/28/18 7 8/28/18 8 8/28/18 9 [8/28/18 10 8/28/18 11 8/28/18 12 8/28/18 % Solids 1.57 1.57 1.57 1.57 1.57 1.57 1.57 1.57 1.57 1.57 1.57 1.57 Arsenic 3.18 3.18 3.18 3.18 3.18 3.18 3.18 3.18 3.18 3.18 3.18 3.18 Cadmiuml 2.81 1 2.81 2.81 2.81 2.81 2.81 2.81 2.81 2.81 2.81 2.81 2.81 Copper 330 330 330 1 330 330 330 330 1 330 330 330 1 330 330 Chromi 16.6 16.6 16.6 16.6 16.6 16.6 16.6 16.6 16.6 16.6 16.6 16.6 Lead 21.5 21.5 21.5 21.5 21.5 21.5 21.5 21.5 21.5 21.5 21.5 21.5 Mercury 0.191 0.191 0.191 0.191 0.191 0.191 0.191 0.191 0.191 0.191 0.191 0.191 Molyb- denum 8.34 8.34 8.34 8.34 8.34 8.34 8.34 8.34 8.34 8.34 8.34 8.34 Nickel 22.7 22.7 1 22.7 22.7 22.7 22.7 22.7 22.7 22.7 1 22.7 22.7 1 22.7 Selenium 12.4 12.4 12.4 12.4 12.4 12.4 12.4 12.4 12.4 12.4 12.4 12.4 Zinc 1790 1790 1790 17,90 1790 1790 1790 1790 1790 1790 1790 1790 Total Phos- horus 24000 24000 24000 24000 24000 24000 24000 24000 24000 24000 24000 24000 Annual Heavy Metal Field Loadings (Calculated in lbs/acre): e eee a eee a eee a eee a eee a eee a eee a eee a eee a eee a tee a eee a eee ..�. �. a eee a eeo a eee a oee a eoe a eeo a eee a eee a eee a ooe a oee a eeo a ooe ...- a eee a eee a eee a eee a eee a eee a eee a eee a eee a eee e eee e eee e eee ..., .� a eee a eee a eee a eee a eee a eee a eee a eee a eee a eoe a eee a eee a eee e eee a eee a eee a eee a eee a eee a eee a eee a eee a eee a eee a eee a eee e eee a eee a eee a eee a eee a eee a eee a oee a eee a eee a eee a eee a eee ' e eee a eee a eee a eee a eee a eee a eee a eee a eee a eee a eee a eee a eee e eee a eee a eee a eee a eee a eee a eee a eee a eee a eee a eee a eee a eee .� a eee a eee a eee a eee a eee a eee a eee a eee a eee a eee a eee a eee a eee � e eee a eee a eee a eee a eee a eee a eee a eee a eee a eee a eee a eee a eee e eee a eee a eee a eee a eee a oee a eee a eee a eee a eee a eee a eee a eee . "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations". Signature of Land Applier 61 1-201 Date DENR FORM MFLSF (12/2006) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: Spring Lake W WTP Total Dry Tons Applied (Annual): r 0.00 Permit #: W00001086 Cation Exchange Capacity (non 503 only): Operator: Richard E. Mendez Owner: Willie Calvin Brinkley Predominant Soil Series: FaB - Fuquay - Acres Used: 23.7 Acres Permitted: 23.7 Site #: 3 Field #: 5 Residual Analysis Data (Heavy Metals and Total Phosphorus use m2/ka, % Solids use Raw Percent #): Sample or Com- posite Date 1 8/28/18 _2_j 8/28/18 3j 8/28/18 4 8/28/18 5 8/28/18 6 8/28/18 7 8/28/18 8 8/28/18 9 8/28/18 10 8128/18 11 8/28/18 12 8/28/18 % Solids 1.57 1.57 1.57 1.57 1.57 1.57 1.57 1.57 1.57 1.57 1.57 1.57 Arsenic 3.18 3.18 3.18 3.18 3.18 3.18 3.18 3.18 3.18 3.18 3.18 3.18 Cadmiuml 2.81 2.81 2.81 2.81 2.81 2.81 2.81 2.81 2.81 2.81 2.81 2.81 Copper 330 330 330 330 330 330 330 330 330 330 330 330 Chromium 16.6 16.6 16.6 16.6 16.6 16.6 16.6 16.6 16.6 16.6 16.6 16.6 Lead 21.5 21.5 21.5 21.5 21.5 21.5 21.5 21.5 21.5 21.5 21.5 21.5 Mercury 0.191 0.191 0.191 0.191 0.191 0.191, 0.191 0.191 0.191 0.191 0.191 0.191 Molyb- denum enum 8.34 8.34 8.34 8.34 8.34 8.34 8.34 8.34 8.34 8.34 8.34 8.34 Nickel 22.7 22.7 22.7 22.7 22.7 22.7 22.7 1 22.7 22.7 1 22.7 1 22.7 22.7 Selenium 12.4 12.4 12.4 12.4 12.4 12.4 12.4 12.4 12.4 12.4 12.4 12.4 Zinc 1790 1790 1790 1790 1790 1790 1790 1790 1790 1790 1790 1790 Total Phos- horus 24000 24000 24000 24000 24000 24000 24000 24000 24000 24000 24000 24000 • Annual 1vletal rtela to o ooe a oee o ooe o 00o a oeo 0 ooe a eoe a ooe a o00 0 oeo o eoe o oee o oeo ... o ooe o eee o ooe o 00o a oeo 0 ooe a eoe a tee o oeo a oee a eoe a ooe o oeo ,� �. o ooe o oee o oee o ooe o oeo a ooe a eoo a eoe o oee o ooe a eoe a eoe o oeo .� o ooe o ooe o ooe o ooe o oeo a eoo a eoo a eeo 0 oee a ooe a eoe a eoe o oeo e eoe o ooe a eoe o eoo 0 oeo a eoe a ooe a eoo 0 oee a ooe a eoe a eoo 0 oee a eoo 0 ooe a eoe o eeo 0 oee a eoe a eoo o eeo 0 oee o ooe o eoe a eoo 0 oeo �' e eeo 0 00o a eoo a eeo 0 ooe a eeo 0 oeo o eeo 0 oee a eoe o 00o a eoo 0 oeo „ e eeo o eoo a eeo a eeo 0 ooe a eeo 0 oeo 0 oeo a eoe a eoo o eoo a eoo 0 oeo e eee a eoo a eoo a eeo 0 oee a eeo 0 ooe o oee a eoe a eeo 0 oeo 0 ooe o oeo ��. a eeo a eoo o eeo a eee a eoe a eee o oeo 0 oeo 0 oee o ooe a ooe o ooe o oeo "I certuy, unuer penalty or iaw, mat tms aocument was prepares miner my utrecnon or supervision in accormance wit a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations". Signature of Land Applier Date DENR FORM MFLSF (12/2006) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field. Loading Summary Form to be submitted in Annual Report _ Facility Name: Spring Lake W WTP Total Dry Tons Applied (Annual): 0.00 Permit #: W00001086 Cation Exchange Capacity (non 503 only): Operator: Richard E. Mendez Owner: Willie Calvin Brinkley Predominant Soil Series: FaB-Fuquay Acres Used: 29.9 Acres Permitted: 29.9 Site #: 3 Field #: 6 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Sample or Com- posite Date 1 8/28/18 2 8/28/18 3j 8/28/18 4 8/28/18 5j 8/28/18 6j 8/28/18 7 8/28/18 8 8/28/18 9j 8/28/18 0 8/28/18 IIJ 8/28/18 12 8/28/18 % Solids L57 1.57 1.57 1.57 1.57 1.57 1.57 1.57 1.57 1.57 1.57 1.57 Arsenic 3.18 3.18 3.18 3.18 3.18 3.18 3.18 3.18 3.18 3.18. 3.18 3.18 Cadmium 2.81 2.81 2.81 2.81 2.81 2.81 2.81 2.81 2.81 2.81 2'.81 2.81 Copper 330 330 330 330 330 •330 330, 330 330 330 330 330 Chromiuni 16.6 16.6 16.6 16.6 16.6 16.6 16.6 1646 16.6 16.6 16.6 16.6 Lead 21.5 21.5 21.5 21.5 21.5 21.5 21.5 21.5 21.5 21.5 21.5 21.5 Mercury 0.191 0191 0.191 0.191 0.191' 0.191 0.191 0.191 0.191 0.191 0.191 0.191 Molyb-- denum 8.34 8.34 8.34 8.34 8.34 8.34 8.34 834 8.34 8.34 8.34 8.34 Nickel 22.7 22.7 1 22.7 22.7 22.7 22.7 22.7 22.7 22.7 22.7 22.7 22.7 Selenium 12.4 12.4 12.4 12.4 12.4 .12.4 12.4 12.4 12.4 12.4 12.4 12.4 Zinc 1790 1790 1790 1790 1790 1790 1790 1790 1790 1790.]2;4000 Total Phos- horns 24000 24000 24000 24000 24000 24000 24000 24000' 24000 24000 24000 • : .M I arn rig WITITIMMIZWOM1 e eee a eee a eee a eee a eee a eee a eee a eee a eee a eee a eee a eee a eee .� � � e eee a eee a eee a eee a eee a oee a eee a eee a eee a ooe a eee a eee a eee „� a eoe a eoe a eoe o eoe a eee o eee o eoe a eee a eoe a eee a eee a eee a eeo ,�� �� a eee a eee a eee a eee a eoe a eee a eoe a eee a eoe a eee a eee a eee a eee �., a eee a eoe a eee a eee a eee a eee a eoe a eeo a eee a oee a eee a eee a eee e eee a eee a eee a eee a eee a eeo a eee a eee a eee a eee a eee a oee a eee e eee a eee a eee a eee a eee a eee a eee a eee a eee a eee a eeo a eee a eee � e eeo a eee a eee a eee a eee a eee a eee a eee a eee a eee a eoe a eee a eee ..� � e eee a eoe a eee a eeo a eee a eee a eee a oee a eee a eee a eee a eee a eee e eee a eee a eoe a oee a eeo a eee a eeo a eoe a oeo a eee a eee a eee a eee -� D orus 1O'.000 0.000 10.000 0.000 'I 0:000 10.000 0.000 10.000 10.000 0.000 II 0.000 10.000 0.000 - "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance wit a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and ` imprisonment for knowing violations". •� 2-11-20/9 Signature of Land Applier Date 1 DENR FORM MFLSF (12/2006) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report _ Facility Name: Spring Lake W WTP Total Dry Tons Applied (Annual): 15.60 Permit #: W00001086 Cation Exchange Capacity (non 503 only): Operator: Richard E. Mendez Owner: Willie Calvin Brinkley Acres Used: 15.2 Acres Permitted: 15.2 Site #: Predominant Soil Series: FaB-Fuquay 3 Field #: 7 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Sample or Com- posite Date 1 8/28/18 2 8/28/18 3j 8/28/18 4j 8/28/18 5 8/28/18 6 8/28/18 7 8/28/18 8 8/28/18 9 8/28/18 10 8/28/18 11 8/28/18 12 8/28/18 % Solids 1.57 1.57 1.57 1.57 1.57 1.57 1.57 1.57 1.57 1.57 1.57 1.57 Arsenic 3.18 3.18 3.18 3.18 3.18 3.18 3.18 3.18 3.18 3.18 3.18 3.18 Cadmiuml 2.81 2.81 2.81 2.81 2.81 2.81 2.81 2.81 2.81 2.81 2.81 2.81 Copper 330 330 330 330 330 330 330 330 330 330 330 330 Chromium 16.6 16.6 16.6 16.6 16.6 16.6 16.6 16.6 16.6 16.6 16.6 16.6 Lead 21.5 21.5 21.5 21.5 21.5 21.5 21.5 21.5 21.5 21.5 21.5 21.5 Mercury 0.191 0.191 0.191 0.191 0.191 0.191 0.191 0.191 0.191 0.191 0.191 0.191 Molyb- denum 8.34 8.34 8.34 8.34 8.34 8.34 8.34 8.34 8.34 8.34 8.34 8.34 Nickel 1 22.7 22.7 1 22.7 22.7 1 22.7 1 22.7 22.7 22.7 22.7 1 22.7 22.7 1 22.7 Selenium 12.4 12.4 12.4 12.4 12.4 12.4 12.4 12.4 12.4 12.4 12.4 12.4 Zinc 1790 1790 1790 1790 1790 1790 1790 1790 1790 1790 1790 1790 Total Phos- horus 24000 2400 224000 24000 24000 24000 24000 24000 24000 24000 24000 24000 Annual HeavyMetal Field Loadin s Calculated in lbs/acre : 1 111 1 1" 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 1:: ...- 1 111 � 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 ...� .�. 1111 � 1111 1111 1111 1111 1111 1111 1111 1111 1111 1111 ®'' 1 111 1. 1 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1. 1 1 111 1 11. 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 11. � � 1 111 1 .1 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 .1 � 1 111 1 1 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 1 - - .. 1 111 1 :. 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 :. ®' 1 111 ®' 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 ®' 1 111 � :�1 1 111 1111 1 111 1 111 1111 1 111 1111 1 111 1 101 1 111 ,". "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and 'imprisonment for knowing violations". Signature of Land Applier Date DENR FORM MFLSF (12/2006) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: Spring Lake W WTP Total Dry Tons Applied (Annual): F 4.58 Permit #: WQ0001086 Cation Exchange Capacity (non 503 only): - Operator: Richard E. Mendez Owner: Willie Calvin Brinkley Predominant Soil Series: FaB-Fuquay Acres Used: 4 Acres Permitted: 4 Site #: 3 Field #: 8 i Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Sample or Com- posite Date 1 8/28/18 2 8/28/18 3j 8/28/18 4j 8/28/18 5j 8/28/18 6 8/28/18 7j 8/28/18 8 8/28/18 9 8/28/18 10 8/28/18 11 8/28/18 12 8/28/18 % Solids 1.57 1.57 1.57 1.57 1.57 1.57 1.57 1.57 1.57 1.57 1.57 1.57 Arsenic 3.18 3.18 3.18 3.18 3.18 3.18 3.18 3.18 3.18 3.18 3.18 3.18 Cadmiuml 2.81 1 2.81 2.81 1 2.81 2.81 1 2.81 2.81 2.81 2.81 2.81 2.81 2.81 Copper 330 330 330 330 330 330 330 330 330 330 330 330 Chromium 16.6 16.6 16.6 16.6 16.6 16.6 16.6 16.6 16.6 16.6 16.6 16.6 Lead 21.5 21.5 21.5 21.5 21.5 21.5 21.5 21.5 21.5 21.5 21.5 21.5 Mercury 0.191 0.191 0.191 0.191 0.191 0.191 0.191 0.191 0.191 0.191 0.191 0.191 Molyb- denum 8.34 8.34 8.34 8.34 8.34 8.34 8.34 8.34 8.34 8.34 8.34 8.34 Nickel 1 22.7 1 22.7 22.7 1 22.7 22.7 1 22.7 22.7 22.7 22.7 22.7 22.7 22.7 Selenium 12.4 12.4 12.4 12.4 12.4 12.4 12.4 12.4 12.4 12.4 12.4 12.4 Zinc 1790 1790 1790 1790 1790 1790 1790 1790 1790 1790 1790 1790 Total Phos- horus 24000 24000 24000 24000 24000 24000 24000 24000 24000 24000 24000 24000 Annual Heavy Metal Field Loadings (Calculated in lbs/acre): My IIII I IIII IIII IIII IIII I I I IIII IIII IIII IIII IIII I I ..,, IIII II . IIII IIII IIII IIII IIII IIII IIII IIII IIII IIII I� . ,,,� IIII � � III IIII I ��� IIII IIII � III IIII IIII IIII IIII � ,,,, IIII � IIII IIII IIII IIII IIII IIII IIII IIII IIII IIII � I I I I� IIII I I I I I I I I IIII IIII IIII IIII IIII IIII IIII I � � III III IIII � III IIII IIII IIII IIII IIII IIII IIII IIII Ill �' 1 III 1 1 . 1 III 1 III 1 III 1 III 1 III 1 III 1 III 1 III 1 III 1 III 1 1 1 III 1 1: 1 III 1 III 1 III 1 III 1 III 1 III 1 III 1 III 1 III 1 III 1 1: - - �� 1 111 � IIII 1 111 IIII 1 111 IIII IIII IIII IIII IIII IIII IIII . �. IIII IIII 1 111 IIII IIII IIII IIII IIII IIII IIII . �. IIII � :�1 IIII IIII IIII IIII IIII IIII IIII IIII IIII IIII � :�1 ,"� "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". _ `Ak Signature of Land Applier 2-Wl )9 Date DENR FORM MFLSF (12/2006) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: Spring Lake W WTP Total Dry Tons Applied (Annual): �6.42 Permit #: W00001086 Cation Exchange Capacity (non 503 only): Operator: Richard E. Mendez Owner: Maybob E. Paye Predominant Soil Series: VaB-Vauduse Acres Used: 4.5 Acres Permitted: 4.5 Site #: 4 Field #: 1 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/k¢, % Solids use Raw Percent #): Sample or Com- posite Date 1 8/28/18 _2_j 8/28/18 3 8/28/18 4 8/28/18 5 8/28/18 6 8/28/18 7 8/28/18 6 8/28/18 9 8/28/18 10 8/28/18 11 8/28/18 12 8/28/18 % Solids 1.57 1.57 1.57 1.57 1.57 1.57 1.57 1.57 1.57 1.57 1.57 1.57 Arsenic 3.18 3.18 3.18 3.18 3.18 3.18 3.18 3.18 3.18 3.18 3.18 3.18 Cadmiuml 2.81 2.81 2.81 2.81 2.81 2.81 2.81 2.81 2.81 2.81 2.81 2.81 Copper 330 330 330 330 330 1 330 330 1 330 330 1 330 330 1 330 Chromium 16.6 16.6 16.6 16.6 16.6 16.6 16.6 16.6 16.6 16.6 16.6 16.6 Lead 21.5 21.5 21.5 21.5 21.5 21.5 21.5 21.5 21.5 21.5 21.5 21.5 Mercury 0.191 0.191 0.191 0.191 0.191 0.191 0.191 0.191 0.191 0.191 0.191 0.191 Molyb- denum 8.34 8.34 8.34 8.34 8.34 8.34 8.34 8.34 8.34 8.34 8.34 8.34 Nickel 1 22.7 22.7 22.7 22.7 22.7 22.7 22.7 22.7 22.7 22.7 22.7 22.7 Selenium 12.4 12.4 12.4 12.4 12.4 1 12.4 12.4 12.4 12.4 4 12L24000 4 12f240001g 14 Zinc 1790 1790 1790 1790 1790 1790 1790 1790 179Total Phos- horns 24000 24000 24000 24000 24000 24000 24000 24000 2400 Annual Heavy Metal Field Loadings (Calculated in lbs/acre): 1 M •' 1 111 1 1 1 111 1 111 1 111 1 1 1 111 1 111 1 111 1 111 1 111 1 111 1 1 .,�� � 1111 11 . 1111 1111 1111 11 1 1111 1111 1111 1111 1111 1111 11 � ...- 1111 � 1111 1111 1111 � 1111 1111 1111 1111 1111 1111 ��� �. 1111 � 1111 1111 1111 11. 1111 1111 1111 1111 1111 1111 ®'' 1 111 1` 1 111 1 111 1 111 1 1 ' 1 111 1 111 1 111 1 111 1 111 1 111 1 � 1 111 1 11 1 111 1 111 1 111 1 11 1 111 1 111 1 111 1 111 1 111 1 111 1 11 �� 1 111 1 1 . 1 111 1 111 1 111 1 1 1 111 1 111 1 111 1 111 1 111 1 111 1 1 1 111 1 1: 1 111 1 111 1 111 1 1: 1 111 1 111 1 111 1 111 1 111 1 111 1' i 1111 � 1111 1111 1111 11� 1111 1111 1111 1111 1111 1111 1 , '® 1 111 . � 1 1 111 1 111 1 111 '® 1 111 1 111 1 111 1 111 1 111 1 111 1 111 ' :` 1 111 1 111 1 111 ® 1 111 1 111 1 111 1 111 1 111 1 111 ,". "1 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". r 2- )'Zal Signature of Land Applier 61 Date DENR FORM MFLSF (12/2006) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: Permit #: Operator: Acres Used: Spring Lake W WTP Total Dry Tons Applied (Annual): WQ0001086 Cation Exchange Capacity (non 503 only): Richard E. Mendez Owner: David Chatellier Predominant Soil Series: 9.1 Acres Permitted: 9.1 Site #: Field #: 11.85 GaB-Gilead Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Sample or Com- posite Date 1 8/28/18 2 j 8/28/18 3 8/28/18 4 8/28/18 5j 8/28/18 6 8/28/18 7 8/28/18 8 j 8/28/18 9 8/28/18 10 8/28/18 11 8/28/18 12 8/28/18 % Solids 1.57 1.57 1.57 1.57 1.57 1.57 1.57 1.57 1.57 1.57 1.57 1.57 Arsenic 3.18 3.18 3.18 3.18 3.18 3.18 3.18 3.18 3.18 3.18 3.18 3.18 Cadmiuml 2.81 2.81 2.81 2.81 2.81 1 2.81 2.81 1 2.81 1 2.81 2.81 2.81 2.81 Copper 330 330 330 330 330 330 330 330 330 330 330 330 Chromium 16.6 16.6 16.6 16.6 16.6 16.6 16.6 16.6 16.6 16.6 16.6 16.6 Lead 21.5 21.5 21.5 21.5 21.5 21.5 21.5 21.5 21.5 21.5 21.5 21.5 Mercury 0.191 0.191 0.191 0.191 0.191 0.191 0.191 0.191 0.191 0.191 0.191 0.191 Molyb- denum 8.34 8.34 8.34 8.34 8.34 8.34 8.34 8.34 8.34 8.34 8.34 8.34 Nickel 1 22.7 22.7 22.7 22.7 22.7 1 22.7 22.7 1 22.7 1 22.7 22.7 22.7 22.7 Selenium 12.4 12.4 12.4 12.4 12.4 12.4 12.4 12.4 12.4 12.4 12.4 "' 4 Zinc 1790 1790 1790 1790 1790 1790 1790 1790 1790 1790 1790 1790 Total Phos- horns 24000 24000 24600' 24000 24000 24000 24000 24000 24000 24000 24000 24000 Annual Heavy Metal Field Loadings (Calculated in lbs/acre): 1 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 1• 1 111 1 111 1 111 1 111 1 1 .. � � 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 1. 1 111 1 111 1 111 1 111 1 1. ... � 1 111 1 111 1 111 1 111 1 111 1 111 1 111 � 1 111 1 111 1 011 1 111 ... . 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 ' 1 111 1 111 1 111 1 111 1 ' ®'' 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 1 1 111 1 111 1 111 1 111 1 1 rum 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 11 1 111 1 111 1 111 1 111 1 11 � � 1111 1111 1111 1111 1111 1111 1111 1 ': 1111 1111 1111 1111 1 ': 1 111 1 111 1 111 1 111 1 111 1 111 1 111 � 1 111 1 111 1 111 1 111 1111 1111 1111 1111 1111 1111 1111 1 '� 1111 1111 1111 1111 1 •. ® 1 111 1 111 1 111 1 111 1 111 1 111 1 111 � 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 .::11 1 111 1 111 1 111 1 111 .::11 Elm "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 owing violations". 2-N•2"1'. Signature of Land Applier Date DENR FORM MFLSF (1212006) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: Permit #: Operator: Acres Used: Spring Lake W WTP Total Dry Tons Applied (Annual): WQ0001086 Cation Exchange Capacity (non 503 only): Richard E. Mendez Owner: David Chatellier Predominant Soil Series: 7.2 Acres Permitted: 7.2 Site #: Field #: 5:30 GaB-Gilead Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Sample or posite Date 1 8/28/18 2 8/28/18 3 8/28/18 4 8/28/18 5 8/28/18 6 8/28/18 7 8/28/18 8 8/28/18 9 8/28/18 10 8/28/18 r8/28/18 12Com- 8/28/18 % Solids 1.57 1.57 1.57 1.57 1.57 1.57 1.57 1.57 1.57 1.57 1.57 1.57 Arsenic 3.18 3.18 3.18 3.18 3.18 3.18 3.18 3.18 3.18 3.18 3.18 3.18 Cadmium 2.81 2.81 2.81 2.81 2.81 2.81 2.81 2.81 2.81 2.81 2.81 2.81 Copper 330 330 1 330 1 330 330 1 330 330 330 330 1 330 330 330 Chromium 16.6 16.6 16.6 16.6 16.6 16.6 16.6 16.6 16.6 16.6 16.6 16.6 Lead 21.5 21.5 21.5 21.5 21.5 21.5 21.5 21.5 21.5 21.5 21.5 21.5 Mercury 0.191 0.191 0.191 0.191 0.191 0.191 0.191 0.191 0.191 0.191 0.191 0.191 IMolyb- denum 8.34 8.34 8.34 8.34 8.34 8.34 8.34 8.34 8.34 8.34 8.34 8.34 Nickel 22.7 22.7 22.7 22.7 22.7 22.7 22.7 22.7 22.7 22.7 22.7 22.7 Selenium 12.4 12.4 12.4 12.4 12.4 12.4 12.4 12.4 12.4 12.4 12.4 12.4 Zinc 1790 1790 1790 1790 1790 1790 1790 1790 1790 1790 1790 1790 Total Phos- horns 24000 24000 24000 24000 24000 24000 24000 24000 24000 24000 24000 24000 Annual Heavy Metal Field Loadings (Calculated in Ibs/acre): "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations". Signature of Land Applier Date DENR FORM MFLSF (12/2006) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: Permit #: Operator: Acres Used: Spring Lake W WTP Total Dry Tons Applied (Annual): WQ0001086 Cation Exchange Capacity (non 503 only): Richard E. Mendez Owner: David Chatellier Predominant Soil Series: 12.3 Acres Permitted: 12.3 Site #: Field #: GaB-Gilead Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Sample or posite Date 1 8/28/18 _2j 8/28/18 3j 8/28/18 4j 8/28/18 5 8/28/18 6j 8/28/18 7 8/28/18 8 8/28/18 9 8/28/18 10 8/28/18 r8/28/18 t2Com- 8/28/18 % Solids 1.57 1.57 1.57 1.57 1.57 1.57 1.57 1.57 1.57 1.57 1.57 1.57 Arsenic 3.18 3.18 3.18 3.18 3.18 3.18 3.18 3.18 3.18 3.18 3.18 3.18 Cadmiuml 2.81 1 2.81 2.81 1 2.81 2.81 1 2.81 2.81 2.81 1 2.81 2.81 2.81 2.81 Copper 330 330 330 330 330 330 330 330 330 330 330 330 Chromium 16.6 16.6 16.6 16.6 16.6 16.6 16.6 16.6 16.6 16.6 16.6 16.6 Lead 21.5 21.5 21.5 21.5 21.5 21.5 21.5 21.5 21.5 21.5 21.5 21.5 Mercury 0.191 0.191 0.191 0.191 0.191 0.191 0.191 0.191 0.191 0.191 0.191 0.191 Molyb- denum 8.34 8.34 8.34 8.34 8.34 8.34 8.34 8.34 8.34 8.34 8.34 8.34 Nickel 22.7 22.7 22.7 22.7 22.7 22.7 22.7 22.7 22.7 22.7 22.7 1 22.7 Selenium 12.4 12.4 1 12.4 12.4 1 12.4 12.4 12.4 12.4 12.4 12.4 12.4 12.4 Zinc 1790 1790 1790 1790 1790 1790 1790 1790 1790 1790 1790 1790 Total Phos- horns 24000 24000 24000 24000 24000 24000 24000 24000 24000 24000 24000 24000 Annual Heavy Metal Field Loadings (Calculated in lbs/acre): �- �"+ "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations". Signature of Land Applier 61 Date DENR FORM MFLSF (12/2006) ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: Spring Lake W WTP WQ Permit #: WQ0001086 Field #: Land Owner: Spring Lake Annual Dry Tons Applied:10.0000 Site #: Operator: Richard E. Mendez Predominant Soil Series: WmB-Wickham Crop 1 Name: Bermuda Crop 1 Max. PAN: 220 Crop 2 Name: Acres Utilized: 8 Acres Permitted: 8 Cation Exchange Capacity (non 503): N/A Crop 2 Max. PAN: 0 0 ' Y p M Volume applied PP cuter one Solids/ ( ) Liquid Cu. Yds Gallons o /o Solids Volume A lied er pp p Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. We , Moist) Prst 24 Past 24 Hrs. inches Y v or c c ° c yy „ d y, * $ z °: * �• TRN mglkg Z �� x w' c .2 mglkg Nitrate and Nitrite mg/kg PAN Applied lbs/acre ( ) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 January 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 NA Bermuda February 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 NA Bermuda March 0 1.57 1 0.000 SLWWTP S 0.5 1 0.3 68200 16600 637 0.000 NA Bermuda April 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 NA Bermuda May 0 1.57 0.000 SLWWTP S 0.5 0.3 68200. 16600 637 0.006 NA Bermuda June 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 NA Bermuda July 0 1.57 0.000. SLWWTP S 0.5 0.3 68200 16600 637 0.000 NA Bermuda August 0 1.57 0.000: SLWWTP S 0.5 0.3 68200 16600 637 0.000 NA Bermuda eptember 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 NA Bermuda October 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 NA Bermuda ovember 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 NA December 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 NA _ Residuals Applications totals on FORM FSF supp (attach FORM FSF supp to this form): TOTALS: 0 0 :::>; :::: As Cd Cu Cr 'Pb H Mo Ni Se Zn P 0.000 0.000A lied pDate Annualibs/acre 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000':;::`.:::::::i::::::i::: lbs/ac Prior Years Cumulative lbs/ac 4.605 4.605 36 1.394 1.394 '34 59.875 59.875 1338 3.799 3.799 2677 11.063 11.063 267 0.6101 0.610 15 3.482 3.482 16 9.2543 9.254 74 2.9904 2.990 89 179.95:: 179.950 2498 :c:>::i2::?;:i:::;:i:::;:;:;:i5;`: �:::'•;?:i ................... 0 Current Cumulative lbs/ac Permitted C. P. L. R.**** 1 Ell Permit PAN Limit 1st/2nd Crop 220 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�te possibility of fines and imprisonment for knowing violations." 'I 2_') _ �O/ 9 *Application Method: S - Surface, IN - Injection, INC - Incorporation ��l 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: Spring Lake W WTP WQ Permit #: WQ0001086 Field #: 2 Land Owner: Tom Brooks Annual Dry Tons Applied:10.0000 Site #: 1 Operator: Richard E. Mendez Predominant Soil Series: WaB-Wagram Crop 1 Name: N/A Crop 1 Max. PAN: N/A Crop 2 Name: Acres Utilized: 20 Acres Permitted: 20 Cation Exchange Capacity (non 503): N/A Crop 2 Max. PAN: N/A �., Ca Volume applied PP (enter one) Solids/ Liquid Cu. Yds Gallons % Solids Volume Applied Per Acre D Tons/Ac (ry ) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. Wet, Moist) Precip. past 24 Hrs. inches a v o e y o o w * _ o x =• * w o ❑ TKN mglkg z a o S m mg/kg Ni and Nitrite mg/kg PAN Applied PAN (Ibs/acre) Name of Crop Type Receiving Residual Application Crop I TCrop 2 Crop 1 Crop 2 January 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 0.000 February 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 0.000 March 0 1.57 6.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 0.000 April 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 0.000 May 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 0.000 June 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 0.000 July t 0 1.57 0.000, SLWWTP S 0.5 0.3 68200 16600 637 0.000 0.000 August 1 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 0.000 eptember 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 0.000 October 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 0.000. ovember 0 1.57 0.000 SLWWTP S 1 0.5 0.3 68200 16600 637 0.000 0.000 December 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 0.000 ....... Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): ..:::.:::..: TOTALS: 0 o .....:.. As Cd- Cu Cr I Pb I He I Mo Ni Se Zn P 0.000 0.000 Lime Applied Annuallbs/acre 0.000 0.000. 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 i .Date lbs/ac Prior Years Cumulative lbs/ac 0 0.000 36 0 0.000 34 0 0.000 1338 0 0.000 2677 0 0.000 267 0 0.000 15 0 0.000 16 0 0.000 74 0 0.000 89 0 0.000 2498 :` 2018 0 Current Cumulative lbs/ac Permitted C. P. L. R.**** Permit PAN Limit lst/2nd Cro P N/A N/A "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 offines and imprisonment for knowing violations." 7 *Application Method: S - Surface, IN - Injection, INC - Incorporation ♦ **Volatilization Rate: Surface - 0.5, Injection/Incorporation -1.0 Signature of Land Applieo Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2, aerobically digested -0.3, raw sludge -0.4 ****C.P.L.R.: Cumulative Pollutant Loadin¢ 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: Spring Lake WWI? WQ Permit #: WQ0001086 Field #: 2 Acres Utilized: 17.2 Land Owner: Tom Brooks Annual Dry Tons Applied:10.0000 Site #: 2 Acres Permitted: 17.2 Operator: Richard E. Mendez Predominant Soil Series: BaB-Blaney Cation Exchange Capacity (non 503): Crop 1 Name: N/A Crop 1 Max. PAN: N/A Crop 2 Name: N/A Crop 2 Max. PAN: N/A .. ° :: ❑ ° O 0 Volume applied enter one Solids/ ( ) Liquid Cu. Yds Gallons o /o Solids Volume Applied per Acre D Tons/Ac (ry ) Residual Sources (NPDES #, WQ#, Fen., Animal Waste, etc) $0il Cond. (Dry' Wet Moist) Precip. Past 24 Hrs. inches D ° b o d 5 o ,�, �, f0 N ° o A n d M -' * w o` ❑ TKN mg/kg z �? R o 3 R ° w. 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 January 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 0.000 February 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 0.000 March 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 0.000 April 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 0,000 May 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 0:000 June 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 0.000 July 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000. 0.000 August 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 0.000 eptember 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 0.000 October 0 1.57 0.000. SLWWTP S 0.5 0.3 68200 16600 637 0.000 0.000 ovember 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 0.000 ecember 0 1.57 0.000 SLWWTP S 0.5 0.3 1 68200 16600 637 0.000 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): .Lime TOTALS: 01 0 ;:;3:;5:;5: As Cd Cu Cr Pb Hg Mo Ni Se:.. Zn P 0.000 1 0.000 Applied Annuallbs/acre 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0:000 0.000 0.000 Date lbs/ac Prior Years Cumulative lbs/ac 0 0.000 36 0 0.000 34 0 0.000 1338 0 0.000 2677 0 0.000 26 0 0.000 I15 0 0.000 I6 0 0:000 74 0 0.000 89 0 0.000 2498 : ::: 2018 0 Current Cumulative ]bs/ac Permitted C.P. L. R.**** Permit PAN Limit 1 t/2nd s Crop N/A N/A 01I 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, incluAing the possibility of fines and imprisonment for knowing violations." 6 *Application Method: S - Surface, IN - Injection, INC - Incorporation **Volatilization Rate: Surface - 0.5, Injection/Incorporation -1.0 Signature of Land Ap ler 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: Spring Lake W WTP WQ Permit #: WQ0001086 Field #: 2 Acres Utilized: 32 Land Owner: Tom Brooks Annual Dry Tons Applied:10.0000 Site #: 3 Acres Permitted: 32 Operator: Richard E. Mendez Predominant Soil Series: Dp-Duplin Cation Exchange Capacity (non 503): Crop 1 Name: N/A Crop 1 Max. PAN: N/A Crop 2 Name: N/A Crop 2 Max. PAN: N/A w o '� Y ❑ to Volume applied enter one Solids/ ( ) Liquid Co. Yds Gallons o /o Solids Volume Applied per Acre D Tons/Ac (Dry ) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. Wes' Moist) Precip. Past 24 Hrs. inches > '� 0 '� i?. a. * ° c m y * M. o o w * w 'o' TKN mg/kg z > a o �. mglkg Nitrate and Nitrite mg/kg PAN Applied (Ibs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 January 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 0.000 February 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 0.000 March 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 0.000 April 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 0.000 May 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 0.000 June 0 1.57 0.000; SLWWTP S 0.5 0.3 68200 16600 637 0.000 0.000 July 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 0.000 August 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 0.000 eptember 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 0.000 October 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 0.000 ovember 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 0.000 December 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 0.000 Residuals Applications totals on FORM FSF supp (attach FORM FSF supp to this form): TOTALSI o As Cd Cu Cr Pb Hg Mo I Ni I Se zn P 0.000 0.000 Lime Applied Annual lbs/acre 0.000 0.000 0.000 0.000 0.000 0.000 0.000 � 0.000 0.000 1 0.000 0.000> :: Date Ibs/ac Prior Years Cumulative lbs/ac 0 0.000 36 0 0.000 34 0 0.000 1338 0 0.000 2671 0 0.000 267 0 0.000 15 0 0.000 16 0 0.000 74 0 0.000 89 0 0.000 2498 2018 0 Current Cumulative lbs/ac Permitted C. P. L. R.**** *d Permit PAN Limit 1Nt Cro P .:..::............•....•.... N /A IV/A "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, igcluding the possibility of Pipes and imprisonment for knowing violations." *Application Method: S - Surface, IN - Injection, INC - Incorporation **Volatilization Rate: Surface - 0.5, Injection/Incorporation -1.0 Signature of Land Appl 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: Spring Lake W WTP WQ Permit #: WQ0001086 Field #: 2 Acres Utilized: 8 Land Owner: Tom Brooks Annual Dry Tons Applied:10.0000 I Site #: 4 Acres Permitted: 8 Operator: Richard E. Mendez Predominant Soil Series: WaB-Wagram Cation Exchange Capacity (non 503): Crop 1 Name: N/A Crop 1 Max. PAN: N/A Crop 2 Name: N/A Crop 2 Max. PAN: N/A D ' y r id D Ca Volume applied (enter one) Solids/ Li Liquid 9 Cu. Yds Gallons % Solids Volume Applied per PP P Acre D Tons/Ac (ry ) Residual Sources (NPDES #, WQ#, Fen., Animal Waste, etc) Soil Cond. (Dry' Wet Moist) Precip. Pas[ 24 Hrs. inches 9 3 v m o .mod. a y, 0 �, ^ �, ,,. H' * w ❑ 3 7.: g w El w N * w o` O TIIN mglkg z > a E �- o o = mg/kg Nitrate and Nitrite mg/kg PAN Applied (Ibs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 January 0 1.57 0.000 SLWWTP _ S 0.5 0.3 68200 16600 637 0.000 0.000 February 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 0.000 March 0 1.57 0.000 - SLWWTP S 0.5 0.3 68200 1 16600 637 0.000 0.000 April 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 0.000 May 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 0.000 June 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 0.000 July 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 0.000 August 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 0.000 eptember 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 0.000 October 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 0.000 ovember 0 1.57 0.000 SLWWTP S 0.5 1 0.3 68200 16600 637 0.000 0.000 December 0 1.57 0.000 SLWWTP S 0.5 1 0.3 68200 16600 637 0:000 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp.to this form): TOTALSI 0 0 :::::::::::: As Cd Cu Cr Pb Hg Me Ni Se Zn P 0.000 0.000 Lime Applied Annuallbs/acre 0.000 0.000 0.000 0.006 0.000 0.000 0.000 0.000 0.000 0.000 0.000 :: Date lbs/ac Prior Years Cumulative lbs/ac 0 0.000 36 0 0.000 34 0 0.000 1338 0 0.000 2677 0 0.000 267 0 0.000 15 0 0.000 16 0 0.000 74 0 0.000 89 0 0.000 2498: .::.:::.::.. 2018 0 Current Cumulative lbs/ac Permitted C. P. L. R.**** Permit PAN Limit 1 sd2nd Crop N/A N A "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." g_*Application Method: S - Surface, IN - Injection, INC - Incorporation ot"% 'Z0l 9 **Volatilization Rate: Surface - 0.5, Injection/Incorporation -1.0 Signature o£Land Applie 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: Spring Lake W WTP Land Owner: Tom Brooks Operator: Richard E. Mendez Crop 1 Name: N/A WQ Permit #: WQ0001086 Field #: Annual Dry Tons Applied: [0.0000 I Site #: Predominant Soil Series: Wall-Wagram Crop 1 Max. PAN: N/A Crop 2 Name: Acres Utilized: 13.3 Acres Permitted: 13.3 Cation Exchange Capacity (non 503): N/A Crop 2 Max. PAN: N/A �., o Y a id Ca Volumes lied PP (enter one) Solids/ Liquid Cu. Yds Gallons % Solids Volume Applied per PP P Acre D Tons/Ac (Dry ) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (Dry' Wet, Moist) Precip. Past 24 Hrs. inches > aK b " o iu 6^.. ❑ e K _ f0 N' * .d�. e n n ., : - M m 'o' TKN mg/kg Z > i? E o E m ❑ „• mg/kg Nitrate and Nitrite mg/kg PAN Applied (Ibs/acre) Name of CropType YP ReceivingResidual Application Crop I Crop 2 Crop 1 Crop 2 January 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 0.000- February 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 0.000 March 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 1 637 0.000 0.000 April 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 0.000 May 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 0.000 June 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 1 0.000 July 0 1.57 o.b00 SLWWTP S 0.5 0.3 68200 16600 637 0.000 0.000 August 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 0.000 eptember 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 0.000 OctoberF 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 0.000 ovember 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 0.000 December 0 1.57 0.000 SLWWTP S 1 0.5 0.3 68200 16600 637 0.000 0.000 ..__._ ...._. Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): TOTALS:. ---To o ::;:;:;::::: As Cd Cu Cr Pb H Mo Ni Se Zn P o.000 o.000 Lime A lied Annuallbs/acre 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000:. ;: Date lbs/ac Prior Years Cumulative lbs/ac 0 0' 0 0 0 0 0 0 0 0 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 36 34 1338 2677 267 15 16 74 89 2498: ........................... N/A N/A 2ot8 0 Current Cumulative lbs/ac Permitted C. P. L. R.**** Permit PAN Limit lst/2nd Crop f1I 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 r�r/�' ZQi 9 **Volatilization Rate: Surface - 0.5, Injection/Incorporation -1.0 Signature of Land Ap ker 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: Spring Lake W WTP WQ Permit #: WQ0001086 Field #: 2 Acres Utilized: 13 Land Owner: Tom Brooks Annual Dry Tons Applied:10.0000 ' Site #: 6 Acres Permitted: 13 Operator: Richard E. Mendez Predominant Soil Series: WaB-Wagram Cation Exchange Capacity (non 503): Crop 1 Name: N/A Crop 1 Max. PAN: N/A Crop 2 Name: N/A Crop 2 Max. PAN: N/A o � y q "y A Volume applied (enter one) Solids/ Liquid Cu. Yds Gallons % Solids Volume Applied per PP P Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fart., Animal Waste, etc) S01I Cond. (�'� Wet, Moist) Preci P• Past 24 Hrs. inches > 0 'o' o m a o` o d E" ?. iD N • ?: �. ' * N ,*, m 0 T[QQ mg/kg z > q o 9 ' I mg/kg Nitrate and Nitrite mg/kg PAN Applied (Ibs/acre) Name of CropType Receiving Residual Application PP Crop,l Crop 2 Crop 1 Crop 2 January 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 0.000 February 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 - 0.000 0.000 March 0 1.57 1 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 0.000 April 0 1.57 1 0.000 1 SLWWTP S 0.5 0.3 68200 16600 637 0.000 0.000 May 0 1.57 1 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 0.000 June 0 1.57 1 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 0.000 July 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 0.000 August 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 0.000 eptember 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 0.000 October 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 0.000 ovember 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 0.000 ecember 0 ].57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): TOTALS: 0 0 y}:::: As Cd Cu I Cr Pb He Mo Ni - Se Zn P- 0.000. 0.000 - Lime Applied Annual lbs/acre OAF—0.000 - 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 ;: Date 2018 ]bs/ac 0 Prior Years Cumulative lbs/ac 0 0 0 0 0 0 0 0 0 0 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 :? 36 34 1338 2677 267 15 16 74 89 2498: ........................... N/A N/A Current Cumulative lbs/ac Permitted C. P. L. R.**** Permit PAN Limit lst/2nd Crop ••f certtty, 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." ��IJ , *Application Method: S - Surface, IN - Injection, INC - Incorporation ,c . L ' (� 2 (� 17 **Volatilization Rate: Surface - 0.5, Injection/Incorporation -1.0 Signature of Land App ter 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: Spring Lake W WTP Land Owner: Tom Brooks Operator: Richard E. Mendez Crop 1 Name: N/A WQ Permit #: WQ0001086 Field #: 2 Annual Dry Tons Applied:l0.0000' ' Site #: 8 Predominant Soil Series: CaB-Candor Crop 1 Max. PAN: N/A Crop 2 Name: Acres Utilized: 5.9 Acres Permitted: 5.9 Cation Exchange Capacity (non 503): N/A Crop 2 Max. PAN: N/A y p ,y 0 Ca Volumes lied pp enter one Solids/ ( ) Liquid Cu. Yds Gallons o /o Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #, WlZ#, Fert., Animal Waste, etc) Sod Cond.'d (Dry' Wet, Moist) Precip. Pas[ 24 Hrs. inches > a ?? o 8 e o ' < o _ : N * p, n ., » R.. * ^ 'a TKN mg/kg z 9 4 o ❑ a mg/kg Nitrate and Nitrite mg/kg PAN Applied (lbs/acre) Name of CropType Receiving Residual g Application Crop 1 Crop 2 Crop 1 Crop 2 January 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 0.000 February 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 0.000 March 0 1.57 0.000 SLWWTP S 0.5 1 0.3 68200 1 16600 1 637 0.000 _ 0.000 April 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 0.000 May 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 0.000 June 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 0.000 July 0 1.57 _ 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 0.000 August 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 1 0:000 eptember 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 0.000 October 1 0 1.57 0.000 SLWWTP S 0.5 _ 0.3 68200 16600 637 0.000. 0.000 ovember 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 0.000 December 0 1.57 0.060 SLWWTP- S 0.5 0.3 1 68200 16600 637 0.000 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): _ TOTALS: 0 - 0 ....... As Cd Cu Cr Pb HR I Mo Ni Se. Zn P 0.000 0.000 Lime A lied Annuallbs/acre 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 :. ;: Date 2018 lbs/ac 0 Prior Years Cumulative ]bs/ac 0 0.000 36 0 0.000 34 0 0.000 1338 0 0.000 2677 0 0.000 267 0 0.000 15 0 0.000 16 0 0.000 74 0 0.000 89 0 0.000 2498 ................ ........... Current Cumulative ]bs/ac Permitted C. P. L. R.**** Permit PAN Limit lstl2nd Crop N/A N/A "1 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,*e possibility of fines and imprisonment for knowing violations." n *Application Method: S - Surface, IN - Injection, INC - Incorporation �[ -1 % ` 2d% **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: Spring Lake W WTP WQ Permit M WQ0001086 Field #: 2 Acres Utilized: 6.5 Land Owner: Tom Brooks Annual Dry Tons Applied:10.0000 Site m 9 Acres Permitted: 6.5 Operator: Richard E. Mendez Predominant Soil Series: CaB-Candor Cation Exchange Capacity (non 503): Crop 1 Name: N/A Crop 1 Max. PAN: N/A Crop 2 Name: N/A Cron 2 Max. PAN: N/A o U ❑ ie Ca January Volume a lied PP (enter one) Solids/ Liquid Cu. Yds GeIIOnS 0 % Solids 1.57 Volume Applied per Acre (Dry Tons/Ac) 0.000 Residual Sources (NPDES #, WQ#, Fen., Anima] Waste, etc ) SLWWTP Soil Cond. -(Dry' Wet, Moist) Precip.o past 24 Hrs. Inches 4: o ry _. * o S o ,%�, a �° _ ,*, w c 0.5 w f9 �" : d' 0 0.3 TKN mg/kg 68200 Z o S w o ,�-, mg/kg 16600 Nitrate and Nitrite mg/kg 637 PAN Applied (lbs/acre) Name of Crop Type ReceivingResidual Application Crop 1 0.000 Crop 2 0.000 Crop 1 Crop 2 February 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000; 0.000 March 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 1 637 0.000 0.000 April 0 1.57 0:000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 0.000 May 1 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 0.000 June 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 0.000 July 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 0.000 August 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 0.000 eptember 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 0.000 October 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 0.000 ovember 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 0.000 December 0 1.57 0.000 SLWWTP S 0 1 68200 16600 637 0.000 0.000 _ Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): TOTALS: 0 0 ;:;:;:;:... Annuallbs/acre AS 0.000 0.0000 CdE1338 Cr - 0.000 Pb 0.000 H 0.000 Mo 0.000 Ni 0.000 Se 0.000 Zn 0.000 P 0.000 0.000 0.000 �: Lime Date A���lied lbs/ac Prior Years Cumulative lbs/ac 0 0.000 36 0 0.0000 34 0 0.000 2677 0 0.000 267 0 0.000 15 0 0.000 16 1 0 0.000 74 0 0.000 89 1 0 0.000 2498: . 2018 0 Current Cumulative ]bs/ac Permitted C. P. L. R.**** Permit PAN Limit lst/2nd CroP N/A N/A x ceriny, under penairy of taw, 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, includAg the possibility of fineshnd imprisonment for knowing violations." *Application Method: S - Surface, IN - Injection, INC - Incorporation **Volatilization Rate: Surface - 0.5, Injection/Incorporation -1.0 Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2, aerobically digested -0.3, raw sludge -0.4 ****C.P.L.R.: Cumulative Pollutant Loading Rate DENR FORM FSF (1212006) ANNUAL 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: Spring Lake W WTP WQ Permit #: WQ0001086 Field #: 3 Acres Utilized: 13.6 Land Owner: Willie Calvin Brinkley Annual Dry Tons Applied:;8.1836 I Site #: 3 Operator: Richard E. Mendez Predominant Soil Series: VaB-Vaucluse Crop I Name: Bermuda Crop 1 Max. PAN: 220 Crop 2 Name: Acres Permitted: 13.6 Cation Exchange Capacity (non 503): Crop 2 Max. PAN: w ° - 0 p ° A Volume applied PP (enter one) Solids/ Liquid Cu. Yds Gallons % Solids Volume A lied er pp p Acre D Tons/Ac (Dry ) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (Dry' Wet Moist) Precip. Past 24 Hrs. inches 9 3'v r o .cd-. a * 7 2 ;� �; m = , N * ?: 0 ❑ w : =' * TKN mg/kg z 4 o 3 °� a ❑ w mg/kg Nitrate and Nitrite mg/kg PAN Applied (Ibs/acre) Name of Crop Type Receiving Residual Application Crop 1 TCrop 2 Crop I Crop 2 January 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 NA Bermuda February 39500 1.57 0.190 SLWWTP S 0.5 0.3 68200 16600 637 9.286 NA Bermuda March 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 1 16600 1 637 0.000 NA Bermuda April 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 NA Bermuda May 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 NA Bermuda June 28000 1.57 0.135 SLWWTP S 0.5 0.3 68200 16600 637 6.582 NA Bermuda July 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 NA Bermuda August 57500 1.57 0.277 SLWWTP S 0.5 0.3 68200 16600 637 13.517 NA Bermuda eptember 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 NA Bermuda October 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 NA Bermuda ovember 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 NA Bermuda December 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 1 637 0.000 NA Bermuda Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): TOTALS: 01 tzs000 ;:.....:.: As Cd Cu Cr Pb H Mo Ni Se Zn P 29.385 0.000 Lime A lied Annual lbs/acre 0.052 0.046 5.399 0.272 0.352 1 0.003 0.136 0.371 0.203 29.284 392.640 :::::: r::: '::::'::: Date lbs/ac Prior Years Cumulative lbs/ac 0.65756 0.710 36 0.02874 0.075 34 5.1322 10.531 1338 0.26616 0.538 2677 0.54892 0.901 267 0.01946 0.023 15 0.03832 0.175 16 0.36504 0.736 74 0.06269 0.266 89 24.827 54.1 1 1 2498: .................. :::: :: :? 2018 1206.0 Current Cumulative lbs/ac Permitted C. P. L. R.**** i Perm t PAN Limit 1 st/2nd Crop 220 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." .5 ' Signature of Land ,L-11- ZO/ Date *Application Method: S - Surface, IN - Injection, INC - Incorporation **Volatilization Rate: Surface - 0.5, Injection/Incorporation -1.0 *** 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: Spring Lake W WTP WQ Permit #: WQ0001086 Field #: 3 Acres Utilized: 33.5 Land Owner: Willie Calvin Brinkley Annual Dry Tons Applied:10.0000 Site #: 4 Acres Permitted: 33.5 Operator: Richard E. Mendez Predominant Soil Series: FaB-Fuquay Cation Exchange Capacity (non 503): Crop I Name: N/A Crop 1 Max. PAN: N/A Crop 2 Name: N/A Crop 2 Max. PAN: N/A ,. y q ro q Volume applied PP (enter one) Solids/ Liquid Cu. Yds Gallons "�o Solids Volume Applied per PP P Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fen., Animal Waste, etc) Soil Cond. (Dry' Wet, Moist) Precip. Past 24 Hrs. inches' Y ,^2� n o 0 a c < o w y, �, N * ? .. : * ^ 'o TKN mg/kg 9 Z 2 B o 9 ❑ d• mg/kg Nitrate and Nitrite mg/kg PAN Applied Ibs/acre ) Name of CropType Receiving Residual Application Crop I Crop 2 Crop 1 Crop 2 January 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 0.000 February 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 0.000 March 0 1.57 0.000 SLWWTP S 0.5 0.3 1 68200 1 16600 637 1 0.000 0.000 April 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 0.000 May 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 0.000 June 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 0.000 July 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 0.000 August 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 0.000 eptember 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 0.000 October 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 0.000 ovember 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 0.000 December 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 0.000 . Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): TOTALS: 0 0 ;:....:. _ As Cd Cu Cr Pb H - Mo - Ni Se Zn P O.00O 0.000 Lime Applied Annuallbs/acre 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000- 0.000 0.000 0.000 :: Date lbs/ac Prior Years Cumulative lbs/ac 0 0.000 36 0 0.000 34 0 0.000 1338 0 0.000 2677 0 0.000 267 0 0.000 15 0 0.000 16 0 0.000 74 0 0.000 89 0 0:000 2498 :. ;: 2018 0 Current Cumulative lbs/ac Permitted C. P. L. R.**** Permit PAN Limit Ist/2nd Crop :::.:::.................. N/A N/A "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, influding the possibility of finis and imprisonment for knowing violations." a-, Signature of Land -11- 2U/ Date *Application Method: S - Surface, IN - Injection, INC - Incorporation **Volatilization Rate: Surface - 0.5, Injection/Incorporation -1.0 *** 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: Spring Lake W WTP WQ Permit #: WQ0001086 Field #: 3 Acres Utilized: 23.7 Land Owner: Willie Calvin Brinkley Annual Dry Tons Applied: [0.0000 Site #: 5 Acres Permitted: 23.7 Operator: Richard E. Mendez Predominant Soil Series: Fall - Fuguay Cation Exchange Capacity (non 503): Crop 1 Name: N/A Crop 1 Max. PAN: N/A Crop 2 Name: NIA Crop 2 Max. PAN: N/A „ 'y [ Q Volumes lied PP enter one) Solids/ ( ) Liquid Cu. Yds Gallons o /o Solids Volume Applied per Acre (Dry TonslAc) Residual Sources (NPDES #, WQ#, Fert, Animal Waste, etc) Soil Cond. (Dry, e ' Moist) Precip. Past 24 Hrs. inches 9 by °os. �, ° 0 m _, * �. > 9' ` * ^ > TKN mg/kg z > 2 3 oa o 2. mg/kg Nitrate and Nitrite mg/kg PAN Applied Ibs/acre ( ) Name of Crop Type Receiving Residual Application Crop I Crop 2 Crop 1 Crop 2 January 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 0.000 February 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 0.000 March 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 0.000 April 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 0.000 May 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 0.000 June 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000. 0.000 July 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 0.000 August 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 0.000 eptember 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 0.000 October 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 0000 ovember 0 1.57 0.000 SLWWTP S 0.5 0.3 0.000 0.000 ecember 0 1.57 0.000 SLWWTP S 0.5 0.3 0.000 0.000 7777- Residuals Applications totals an FORM FSF supp (attach FOR:TOTAIS: 0 o ;:::::;::::: As Cd Cu Cr Pb H Mo Ni o.000 0.000 Lime A lied Annuallbs/acre 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 IFSFsupp o ::Prior P Years Cumulative lbs/ac 0 0.000 36 0 0.000 34 0 0.000 1338 0 0.000 2677 0 0.000 267 0 0.000 15 0 0.000 16 0 0.000 74 Current Cumulative lbs/ac Permitted C. P. L. R.**** Permit PAN Limit 1 t/2nd Cr.............0......... so P N/A N /A "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, includigg the possibility of fines and imprisonment for knowing violations." lielo Signature of Land Applier *Application Method: S - Surface, IN - Injection, INC - Incorporation -11r 2019 **Volatilization Rate: Surface - 0.5, Injection/Incorporation -1.0 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: Spring Lake W WTP Land Owner: Willie Calvin Brinkley Operator: Richard E. Mendez Crop 1 Name: Bermuda WQ Permit #: WQ0001086 Field M 3 Annual Dry Tons Applied:10.0000 J Site #: 6 Predominant Soil Series: FaB-Fuquay Crop 1 Max. PAN: 220 Crop 2 Name: Acres Utilized: 29.9 Acres Permitted: 29.9 Cation Exchange Capacity (non 503): N/A Crop 2 Max. PAN: „ O '� y q A Volumes lied PP enter one Solids/ ( ) Liquid Cu. Yds Gallons o /a Solids Volume Applied PP i� per Acre D Tons/Ac rY ) Residual Sources (NPDES #, WQ#, Fen., Animal Waste, etc) Soil Cond. (Dry, e ' Moist) Precip. Past 24 firs. inches > 3 *5 ro a c ' c y ;, * N > ?'. * ^. > TKN mg/kg z 4 a'ro c ' w. mg/kg Nitrate and Nitrite mg/kg PAN Applied Ibs/acre ( ) Name of Crop Type Receiving Residual Application Crop I Crop 2 Crop 1 Crop 2 January 0 1.57 0.000 - SLWWTP S 0.5 0.3 68200 16600 637 0.000 NA Bermuda February 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 NA Bermuda March 0 1.57 1 0.000 SLWWTP I S 0.5 0.3 68200 16600 637 0.000 NA. Bermuda April 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 NA Bermuda May 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.600 NA. Bermuda June 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 NA. Bermuda July 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 NA Bermuda August 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 NA Bermuda eptember 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 NA Bermuda October 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 NA Bermuda ovember 0 1.57 0.000 SLWWTP S 0.5" 0.3 68200 16600 1 637 0.000 NA Bermuda December 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 1 637 0.000 NA Bermuda Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): _ . TOTALS: 0 0 :::::: :j As Cd Cu Cr Pb Hg Mo Ni Se Zn P 0.000 1 0.000 Lime Applied Annuallbs/acre 0.000 0.000 0.000 0:0" 0.000 0.000 0.000 0.000 0.000 0.000 0.000 :: Date 2018 Ibs/ac 0 Prior Years Cumulative lbs/ac 0.0149904 0.015 36 0.003 0.003 34 1.0757 1.076 1338 0.0531 0.053 2677 0.0015 0.002 2674 0.0023 0.002 15 0.0114 0.011 16 0.6955 0.696 74 0.015 0.015 89 4.86 4.860 2498 : :: <: Current Cumulative Ibs/ac Permitted C.P. L. R.**** PAN Limit lst/2nd Permit Crop 220 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, includingkjte possibility of fines agd imprisonment for knowing violations." Signature of Land Applier *Application Method: S - Surface, IN - Injection, INC - Incorporation **Volatilization Rate: Surface - 0.5, Injection/Incorporation -1.0 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: Spring Lake W WTP Land Owner: Willie Calvin Brinkley Operator: Richard E. Mendez Crop 1 Name: Bermuda WQ Permit #: WQ0001086 Field #: 7 Annual Dry Tons Applied: 115.5 816 Site #: 3 Predominant Soil Series: FaB-Fuquay Crop 1 Max. PAN: 220 Crop 2 Name: Acres Utilized: 15.2 Acres Permitted: 15.2 Cation Exchange Capacity (non 503): Crop 2 Max. PAN: p .� q Q Volume applied (enter one) Solids/ Liquid Cu. Yds GaIIOrS % Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) SoilPrecip. Cond. Wets Moist) Past 24 His. inches > "y m 'd 6 0 o R �' * N .'b m io :�, * TKN mglkg Z. Y a o ao o d. mglkg Nitrate and Nitrite mg/kg PAN Applied (]bs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 January 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 NA Bermuda February 238000 1.57 1.025 SLWWTP S 0.5 0.3 68200 16600 637 50.060 NA Bermuda March 0 1.57 1 0.000 SLWWTP S 0.5 1 0.3 68200 16600 637 0.000 NA Bermuda April 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 NA Bermuda May 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 NA Bermuda Jane 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 NA Bermuda July 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 NA Bermuda August 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 NA Bermuda eptember 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 NA Bermuda October 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 NA Bermuda ovember 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 NA Bermuda December 0 1.57 0.000. - SLWWTP S 0.5 0.3 68200 16600 637 0.000 NA Bermuda __...... ......... _ ....... ....... Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): ................... -_................ TOTALS: o 238000 ::::::::':': As Cd Cu Cr Pb H Mo Ni Se Zn P 50.060 0.000 Lime Applied Annuallbs/acre 0.099 0.088 10.283 0.517 0.670 0.006 0.260 0.707 0.386 55.776 747.840 .:::::::::::::::::ii;::::::::: ::::::::::::::�::::::.:::: ::::::::::::::: :.`::`:;:::;:;::"::`» :?:::::: ..' :;: - Date lbs/ac Prior Years Cumulative lbs/ac 0.489098 0.07082 11.5705 0.59453 1.21329 0.42448 0.0827 0.81618 0.14849 50.5979 2018 2049.5 Current Cumulative lbs/ac 0.588 0.158 21.853 1.112 1.883 0.430 0.343 1.524 0.535 106.374 Permitted C.P. L. R.**** 36 34 1338 2677 267 15 16 74 89 2498 Permit PAN Limit lsd2nd 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, includinjq the possibility of fines and imprisonment for knowing violations." ,JE� Signature of Land Applicr *Application Method: S - Surface, IN - Injection, INC - Incorporation 2B� **Volatilization Rate: Surface - 0.5, Injection/Incorporation -1.0 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: Spring Lake W WTP Land Owner: Willie Calvin Brinkley Operator: Richard E. Mendez Crop 1 Name: Bermuda WQ Permit #: WQ0001086 Field #: Annual Dry Tons Applied:14.5828 j Site #: Predominant Soil Series: FaB-Fuquay Crop 1 Max. PAN: 220 Crop 2 Name: Acres Utilized: 4 Acres Permitted: 4.0 Cation Exchange Capacity (non 503): Crop 2 Max. PAN: ,., p .i ALiquid Volumes lied PP (enter one) Solids/ Cu. Yds Gallons % Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQN, Fen., Animal Waste, etc) Soil Cond. Wet, Moist) Precip. Past 24 Hrs. Inches > 3 ti 0 b 0 o. ' o w �, « N S z' w * 0 TKN mg/kg z> 4 �' " o $ �'-. mg/kg Nitrate and Nitrite mg/kg PAN Applied (Ibs/acre) Name of Crop Type Receiving Residual Application Crop I Crop 2 Crop 1 Crap 2 January 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 NA Bermuda February 70000 1.57 1.146 SLWWTP S 0.5 0.3 68200 16600 637 55.949 NA Bermuda March 0 1.57 1 0.000 SLWWTP S 0.5 1 0.3 68200 1 16600 1 637 0.000 NA Bermuda April 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 NA Bermuda May 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 NA Bermuda June 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 NA Bermuda July 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 NA Bermuda August 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 NA Bermuda eptember 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 NA Bermuda October 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 NA Bermuda ovember 0 1.57 0.000 SLWWTP S 0.5 0.3 1 68200 1 16600 1 637 0.000 NA Bermuda December 0 1.57 0.000 SLWWTP S 0.5 0.3 1 68200 - 16600 1 637 0.000 NA Bermuda Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): TOTALS: 0 70000 ::>:::::::: As Cd Cu Cr Pb Hg Mo Ni Se Zn P 55.949 0.000 Lime A lied Annual lbs/acre 0.029 0.026 3.023 0.152 0.197 0.002 0.076 0.208 0.114 16.396 219.840 :::::;:::;:::::: : >::::::: ` ::':::'.`;:;:::'::::>:::: ....................... Date lbs/ac Prior Years Cumulative lbs/ac 0.4828484 0.01186 3.92034 0.22403 0.4766 0.00815 0.02397 0.89452 0.04031 19.0312 2018 2290.E Current Cumulative lbs/ac 0.512 0.038 6.943 0.376 0.674 0.010 0.100 1.102 0.154 35.428 Permitted C. P. L. R.**** 36 34 1 1338 2677 267 15 16 74 89 2498: Permit PAN Limit Ist/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." r *Application Method: S - Surface, IN - Injection, INC - Incorporation **Volatilization Rate: Surface - 0.5, Injection/Incorporation -1.0 Signature of Land Applier Date "*" Mineralization Rates: Compost -0.1, anaerobially digested -0.2, aerobically digested -0.3, raw sludge -0.4 ****C.P.L.R.: Cumulative Pollutant Loading Rate DENR FORM FSF (1212006) ANNUAL 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. Facitity Name: [Spring Lake WWI? WQ Permit #: WQ0001086 Land Owner: Maybob E Paye Annual Dry Tons Applied: [6.4160 Operator: Richard E. Mendez Predominant Soil Series: VaB-Vuacluse Crop 1 Name: Bermuda Field #: Site #: 4 Crop 1 Max. PAN: 220 Crop 2 Name: Acres Utilized: 4.5 Acres Permitted: 4.5 Cation Exchange Capacity (non 503): Crop 2 Max. PAN: ,.., ° y ❑ A Volumes lied PP (enter one) Solids/ Liquid Cu. Yds GaIIODS % Solids Volume Applied per PP P Acre (DryTons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc)Moist) Soil Cond. Dr , Precip. Past 24 Jim inches > n a rw• ' c m _. * N 7 7 w g * r TKN mg/kg Z S E '0 6 ❑ w. mg/kg Nitrate and Nitrite mg/kg PAN Applied (Ibs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crap 1 Crop 2 January 70,000 1.57 1.018 SLWWTP S 0.5 0.3 68200 16600 637 49.733 NA Bermuda February 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 NA Bermuda March 0 1.57 1 0.000 SLWWTP S 0.5 1 0.3 68200 16600 1 637 0.000 NA Bermuda April 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 NA Bermuda May 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 NA Bermuda June 28000 1.57 0.407 SLWWTP S 0.5 0.3 68200 16600 637 19.893 NA Bermuda July 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 NA Bermuda August 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 NA Bermuda eptember 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 NA Bermuda October 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 NA Bermuda ovember 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 NA Bermuda December 0 1.57 0.000 SLWWTP S 0.5 0.3 1 68200 16600 637 0.000 NA Bermuda Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): TOTALS: 0 98000 ;;:;:....: As Cd Cu Cr Pb H Mo Ni Se Zn P 69.626 0.000 Lime Applied Annual lbs/acre 0.041 0.036 4.231 0.213 0.276 0.002 0.107 0.291 0.159 22.952 307.737 ;:;:::; _;;:; :;'::: Date 2018 lbs/ac 2850.5 Prior Years Cumulative lbs/ac .................. 0.619308 0.07328 12.3622 0.06421 1.34176 0.42609 0.08621 0.87157 0.15554 54.5419:.:,.>:,:,::<.*".":�:�`:�:""',.2<�:.i �::.:. 0.660 0.109 16.594 0.277 1.617 0.429 0.193 1.163 0.315 77.494 : : 36 34 1338 2677 267 15 16 74 89 1 2498 220 Current Cumulative lbs/ac Permitted C.P. L. R.**** Permit PAN Limit 1st/2nd Crop "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including,the possibility of fines alpd imprisonment for knowing violations." Signature of Land Applier `Z--// - Za/ Date *Application Method: S - Surface, IN - Injection, INC - Incorporation **Volatilization Rate: Surface - 0.5, Injection/Incorporation -1.0 *** 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: Spring Lake W WTP Land Owner: David Chatellier Operator: Richard E. Mendez Crop 1 Name: Bermuda WQ Permit #: WQ0001086 Field #: 1 Annual Dry Tons Applied:111.8499 Site #: 5 Predominant Soil Series: GaB-Gilead Crop 1 Max. PAN: 220 Crop 2 Name: Acres Utilized: 9.1 Acres Permitted: 9.1 Cation Exchange Capacity (non 503): Crop 2 Max. PAN: Q w ° :1 [ ° Cl Volume applied enter one Solids/ ( ) Liquid Cu. Yds Gallons o /o Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fer., Animal Waste, etc) $0il Cond. (Dry' Wet, Moist) Precip. Past 24 Hrs. inches 9 n v e o e o o c �, _ , N' * �, 7 ' 0 w > - * TKN mg/kg z Y 2 9 o °a_ ❑ �, mg/kg. Nitrate and Nitrite mg/kg PAN Applied (Ibs/acre) Name of Crop Type Receiving Residual Application Crap 1 Crop 2 Crop. I Crop 2 January 0 1.57 0.000. SLWWTP S 0.5 0.3 68200 16600 637 0.000 NA Bermuda February 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 NA Bermuda March 0 1.57 0.000 SLWWTP S 0.5 1 0.3 68200 16600 637 0.000 NA Bermuda April 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 NA Bermuda May 0 1.57 0.600 _ SLWWTP S 0.5 0.3 68200 16600 637 0.000 NA Bermuda June 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 NA Bermuda July 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 NA Bermuda August 181000 1.57 1.302 SLWWTP S 0.5 0.3 68200 16600 637 63.591 NA Bermuda eptember 0 1.57 0:000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 NA. Bermuda October 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 NA Bermuda ovembcr 0 1.57 0.000 SLWWTP S 0.5 0.3 1 68200 16600 637 0.000 NA Bermuda December 0 1.57 0.000 SLWWTP S 0.5 1 0.3 1 68200 16600 637 0.000 NA Bermuda ......... ....... Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): ..................:. TOTALS: 01 lsl000.:.....:. As Cd Cu Cr Pb H Mo Ni Se Zn P 63.591 -0.000 Lime A lied Annual lbs/acre 0.075 0.067 - 7.821 0.393 0.510 0.005 0.198 0.538 0.294 42.423 568.800 ;:;: ;:;:;:; ::::: ::::::::::::: Date lbs/ac Prior Years Cumulative lbs/ac o 0.075 36 0 0.067 34 0 7.821 1338 0 0.393 2677 0 0.510 267 0 0.005 15 0 0.198 16 0 0.538 74 0 0.294 89 0 42.423 2498: :: :Si 2018 2603.4 Current Cumulative lbs/ac Permitted C. P. L. R.**** Permit PAN Limit Ist/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 lye possibility of fines and imprisonment for knowing violations." q *Application Method: S - Surface, IN - Injection, INC - Incorporation �` j' _()/ / **Volatilization Rate: Surface - 0.5, Injection/Incorporation -1.0 Signature of Land Applier 61, 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: Spring Lake W WTP WQ Permit #: WQ0001086 Field M 2 Acres Utilized: 7.2 Land Owner: David Chatellier Annual Dry Tons Applied:15.3030 Site #: 5 Acres Permitted: 7.2 Operator: Richard E. Mendez Predominant Soil Series: GaB-Gilead Cation Exchange Capacity (non 503): _ Crop 1 Name: Bermuda Crop 1 Max. PAN: 220 Crop 2 Name: Crop 2 Max. PAN: S ,.., y p A Volumes lied PP enter one Solids/ ( ) Liquid Cu. Yds Gallons o % Solids Volume Applied per Acre D Tons/Ac (Dry ) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (Dry, Moist) Precip. Past 24 His. inches D "y m 'd c c .0 o ^, ❑: * ^ 0 o - m * �: c TKN mg/kg z Y 4 B c 5 d. mg/kg Nitrate and Nitrite mg/kg PAN Applied lbs/acre ( ) Name of Crop Type Receiving Residual Application Crop 1 FC,,p 2 Crop 1 Crop 2 January 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 NA Bermuda February 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 NA Bermuda March 0 1.57 1 0.000 SLWWTP I S 0.5 1 0.3 68200 16600 637 0.000 NA Bermuda April 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 NA Bermuda May 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 NA Bermuda June 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 NA Bermuda July 0 1.57 0.000. SLWWTP S 0.5 0.3 68200 16600 637 0.000 NA. Bermuda August 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 NA Bermuda eptember 81000 1.57 0.737 SLWWTP S 0.5 0.3 68200 16600 637 35.968 NA Bermuda October 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 NA Bermuda ovember 0 1.57 0.000 SLWWTP S 1 0.5 0.3 68200 16600 637 0.000 NA Bermuda December 0 1.57 0.000 SLWWTP - S 0.5 0.3 68200 16600 637 0.000 NA Bermuda Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): TOTALS:1 01 As Cd Cu - Cr Pb - Hg MtO.241 Se Zn P 35.968 0.000 LimeA lied Annual lbs/acre 0.034' 0.030 3.498 0.176 0.228 0.002 0.08 0.131 18.974 254.400 :: : :::::: ::::::::::::: :';: Date 2018 lbs/ac 1472.5 Prior Years Cumulative lbs/ac 0 0 0 0 0 0 0 0 0 :: 0.034 0.030 3.498 0.176 0.228 0.002 0.080.131 18.974Permitted 36 34 1338 2677 267 15 16 89 2498 220 Current Cumulative lbs/ac C.P. L. R.**** Permit PAN Limit 1 st/2nd Crop "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, iiiclud„ng the possibility of fines and imprisonment for knowing violations." *Application Method: S - Surface, IN - Injection, INC - Incorporation **Volatilization Rate: Surface - 0.5, Injection/Incorporation -1.0 Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2, aerobically digested -0.3, raw sludge -0.4 ****C.P.L.R.: Cumulative Pollutant Loading Rate DENR FORM FSF (1212006) ANNUAL 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: Spring Lake W WTP Land Owner: David Chatellier Operator: Richard E. Mendez Crop I Name: Bermuda WQ Permit #: WQ0001086 Field #: Annual Dry Tons Applied:17.9545 I Site #: Predominant Soil Series: GaIl-Gilead Crop 1 Max. PAN: 220 Crop 2 Name: Acres Utilized: 12.3 Acres Permitted: 12.3 Cation Exchange Capacity (non 503): Crop 2 Max. PAN: .. °xi y Co A Volumes lied PP enter one Solids/ ( ) Liquid Cu. Yds Gallons o /o Solids Volume APPlied Per' Acre (Dry Tans/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (Dry, Wet Moist) Precip. Past 24 firs. inches 9 3 b o c c °0 c �; y * - z o', B * ^: TKN mglkg z > a ' 0 = m mg/kg Nitrate and Nitrite mg/kg PAN Applied (Ibs/acre) Name of Crop Type Receiving Residual Application Crop I Crop 2 Crop I Crop 2 January 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 NA Bermuda February 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 NA Bermuda March 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 NA Bermuda April 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 NA Bermuda May 0 1.57 0.000 SLWWTP - S 0.5 0.3 68200 16600 637 0.000 NA Bermuda June 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 NA Bermuda July 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 NA Bermuda August 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 NA Bermuda eptember 121500 1.57 0.647 SLWWTP S 0.5 0.3 68200 16600 637 31.581 NA Bermuda October 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 NA Bermuda ovember 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 NA December 0 1.57 0.000 SLWWTP S 0.5 0.3 68200 16600 637 0.000 NA Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): TOTALS: 0 121500 :::?22 As Cd Cu Cr Pb H Mo Ni Se Zn P 31.581 0.000Annual pLimeAvplied lbs/acre 0.051 0.045 5.247 0.264 0.342 0.003 0.133 0.361 0.197 28.461 381.600 ;:;: ;: �::: ;:;:�:Prior Years Cumulative lbs/ac 0 0 0 0 0 0 0 00 0 0.051 0.045 5.247 0.264 0.342 0.003 0.133 0.361 0.197 28.461> 36 34 1338 2677 267 15 16 74 89 2498: ............................. 220 Current Cumulative lbs/ac Permitted C. P. L. R.**** Permit PAN Limit 1 t/2n r s dCo P "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 gttd imprisonment for knowing violations." *Application Method: S - Surface, IN - Injection, INC - Incorporation **Volatilization Rate: Surface - 0.5, Injection/Incorporation -1.0 Signature of Land Applier Date **" Mineralization Rates: Compost -0.1, anaerobially digested -0.2, aerobically digested -0.3, raw sludge -0.4 ****C.P.L.R.: Cumulative Pollutant Loading Rate DENR FORM FSF (1212006) Meritech, Inc. Environmental Laboratory Laboratory Certification No.165 Contact: Henry Taylor Client: Town of Spring Lake 300 Ruth Street Spring Lake, NC 28390 Page 1 Report Date: 10/4/2018 Project: Digestar Date Sample Rcvd: 8/30/2018 mentecn work Urder # i 08301879 Sample: Digester Grab 8/28/18 1 Parameters Result Analysis Date Reporting Limit Method %Solids % Volatile Solids 1.57 % 1.17 % 8/31/18 8/31/18 0.2 % 0-100 SM2540B - - Ammonia, Nitrogen 16600 mg/kg 9/6/18. % 10 mg/kg SM 2540E EPA 350.1 _. TKN 1.68200 Nitrate/Nitrite, Nitrogen mg/kg <637 mg/kg 9/6/18 9/4[18 20 mg/kg 637 mg/kg EPA 351.1 EPA 353.2 - Nitrogen, total Aluminum, total 68200 mg/kg 8220 mg/kg 9/7/18 9/5/18 20 mg/kg EPA 353.2 Arsenic, total <3.18 mg/kg 9/5/18 2.50 mg/kg 3.18 mg/kg EPA 200.7 EPA 200.7 Cadmium, total Calcium, total 2.81 mg/kg 28800 mg/kg 9/5/18 9/5/18 0.694 mg/kg_ 10 EPA 200.7 Chromium, total 16.6 mg/kg 9/5/18 mg/kg 2.89. mg/kg EPA 200.7 EPA 200.7 Copper, total 330 mg/kg 9/5/18 1 mg/kg. EPA 200.7 - Magnesium, total 21.5'mg/kg 5000 mg/kg 9/5/18 9/5/18 3.47 mg/kg 10 mg/kg EPA 200.7 EPA 200.7 Mercury, total Molybdenum, total 0.191 mg/kg 8.34 mg/kg 9/4/18 9/5/18 0.02 mg/kg 1.21 EPA 245.1 Nickel, total 22.7 mg/kg 9/5/18 mg/kg 2 mg/kg EPA 200.7 EPA 200.7 Phosphorus, total Potassium, total 24000 mg/kg 9/5/18 2:00 mg/kg EPA 200.7 Selenium, total 9660 mg/kg 12.4 mg/kg 9/5/18 9/5/18. 20.0 mg/kg 2.43 mg/kg EPA 200.7 EPA 200.7 Silver, total Sodium, total <1.59 m g/k g 9/5/18 1.59 mg/kg EPA 200.7 Zinc, total 5200 mg/kg 1790 mg/kg 9/5/18 9/5/18 20.0 mg/kg 0.5 mg/kg EPA 200.7 EPA 200.7 642 Tamco Road, Reidsville, North Carolina 27320, tel (336)342-4748 fm(336)342-1522 Meritech, Inc. Environmental Laboratory Laboratory Certification No.165 I Page 2 Contact: Henry Taylor Report Date: 10/4/2018 Client: Town of Spring Lake 300 Ruth Street Project: Digester Spring Lake, NC 28390, Date Sample Rcvd: 8/30/2018 Meritech Work Order # 08301879 Sample: Digester Grab 8/28/18 1311- TCLP Metals. Paramete Results Analysis Date Det. Limit Red. Limit Method Arsenic <0.100 mg/L 9/7/18 0.100 5.0 EPA 200.7 Barium 0.090 mg/L 9/7/18 0.005 100.0 EPA 200.7 Cadmium' <0.020 mg/L 9/7/18' 0.020 1.0 EPA 200.7 Chromium <0.050 mg/L 9/7/18 0.050 5.0 EPA 200.7 Lead <0.100 mg/L 9/7/18 0.100 5.0 EPA 200.7 Mercury <0.02 mg/L 9/11/18 0.02 0.2 EPA 245.1 Selenium <0.100 mg/L 10/4/18 0.100 1.0 EPA 200.7 Silver <0.050 mg/L 9/7/18 0.050 5.0 EPA 200.7 TCLP Organics Paramete Results Analysis Date Reporting Limit Method Volatiles 6260 Attached 9/5/18 . 8260 Semi Vol. 8270 Attached 9/20/18 8270 Other Tests i r rarameter Results Analysis Date. Reporting Limi Method Cyanide, total 0.600 mg/L 8/31/18 0.500 mg/L EPA 335.4 Flash Point >140 °F 8/31/18 EPA 1620B ' Paint Filter Test Free Liquid Present 9/4/18 - SW-846 9095B pH 6.9 S.U. 9/7/18 1.0 -14.0 S.U. SM 4500 HB Sulfide, total <10 mg/L 9/4/18 10 mg/L SM 4500 SD 642 Tamco Road, Reidsville, North Carolina 27320 tel.(336)342-4748 fax.(336)342-1522 Meritech, Inc. z Environmental Laboratory Laboratory Certification No.165 — Page 3 Contact: Henry Taylor Report Date: 10/4/2018 Client: Town of Spring Lake 300 Ruth Street Spring Lake, NC 28390 Date Sample Rcvd: 8/30/2018 Meritech Work Order # 08301879 Sample: Digester Grab 8/28/2018 1311- TCLP Pesticides & Herbicides Pesticide - SW-846 8081 A Earameter Results Analysis Date Dbt.'Limit Reg. LimitDilution Factor Endrin <0.002 mg/L 9/19-21/18 0.002 0.02 1 Chlordane <0.003 mg/L 9/19-21/18 0.003 0.03 1 Toxaphene <0.050 mg/L 9/19-21/18- 0.050 0.5 1 Methoxychlor <1.00 mg/L 9/19-21/18 1.00 10.0 1 ' Heptachlor <0.0005 mg/L 9/19-21/18 0.0005 0.008 1 Lindane <0.040 mg/L 9/19-21/18 0.040 0.4 1 Herbicides - SW-846 8151A Parameter Results Analysis Date Det. Limit Reg, Limit Dilution Factor 2,4-D <1.00 mg/L 9/19-21/18 1.00 10.0 1 2,4,5-TP. (Silvex) <0:100 mg/L 9/19-21/18 0.100 1.0 . 1 hereby certify that i have reviewed and approve these data. 642 Tamco Road, Reidsville, North Carolina 27320 tel.(336)342-4748 fax.(336)342-1522 MERI TECH, INC. Environmental Laboratories Laboratory Certificate #165 Client: Spring Lake Project: Digester Client Sample ID: Digester Sample Collection:. 08/28/18 Meritech Sample ID: 08301879 1311 - TCLP Organics Volatiles: SW-8468260 Analysis: 09/05/18 Extraction: 09/04/18 Analyst: VWV Report Date: 09/07/18 Parameter Result Units Bet. Limit Ree. Limit Dilution Factor Benzene <0.0100 mg/L 0.6100 0.50 10 Carbon Tetrachloride <0.0100 mg/L 0.0100 0.50 10 Chlorobenzene <0.0100 mg/L 0.0100 100 10 Chloroform < 0.0100 mg/L 0.0100 6.0 10 1,2-Dichloroethane <0.0100 mg/L 0.0100 0.50 10 1,1-Dichloroethene <0.0100 mg/L 0.0100 0.70 10 Methyl Ethyl Ketone <0.100 mg/L 0.100 200 10 Tetrachloroethylene <0.0100 mg/L ' 0.0100 0.70 10 Trichloroethene <0.0100 mg/L 0.0100 0.50 10 Vinyl Chloride <0.0200 mg/L 0.020 0.20 10 i Semi-Volatiles: SW-846 8270 Analysis: 09/20/18 Extraction: 09/04/18 Analyst: PM Report Date: 09/21/18 Parameter Result Units Bet. Limit Ree, Limit Dilution Factor 1,4-Dichlorobenzene <0.100 mg/L 0.100 7.5 10 Hexachlorobenzene <0.100 mg/L 0.100 0.13 10 Hexachloro-1,3-butadiene <0.100 mg/L 0.100 0.5 10 Hexachloroethane <0.100 mg/L 0.100 3.00 10 o-cresol <0.100 mg/L 0.100 200 10 m&p-cresol <0.200 mg/L 0.200 200 10 Total cresols <0.300 mg/L 0.300 200 10 Nitrobenzene <0.100 mgIL 0.100 2.00 10 Pentachlorophenol <0.500 mg/L 0.500 100 10 Pyridine <0.100 mg/L 0.100 5.0 10 2,4,5-Trichlorophenol <0.100 mg/L 0.100 400 10 2,4,6-Trichlorophenol <0.100 mg/L 0.100 2.00 10 2,4-Dinitrotoluene <0.100 mg/L 0.100 '0.13 10 I hereby certb� that I have reviewed and approve these data �fa, t A/ t Laboratory Representative 642 Tamco Road * Reidsville, NC 27320 (336) 342-4748 * info@meritechiabs.com Chain of Custody Record (COC) Clie /t: Spring Lake, Addrei s: 300 Ruth St. Spring Lake, NC. j Attentyon: Henry Taylor 910-497-5748 ? NPDES#: jVr-6 6 ?0 Phone: (910436-0241 Fax: Email: Project: Digester PO#: MERITECH INC. Environmental Laboratories A Division of Water Technology and Control, Inc. 642 Tamco Rd Phone 1-336-342.4748 Reidsville, NC Fax: 1-336-342-1622 27320 Email: wtclati(ftellsouth.net Web Site: www.meritech-labs.com Turn Around Time* std (10 days)P,0n 24 -46 Hr o Sample Location/ID # Sampling Dates & Times Person Taking Sample (Signature): ` � Use Only START END Comp? Grab? ;.i{or 'Conte. Tests Re uired - Ann all y pH OKP C12CK?Digester Date Time Date Time —z8 /ff //Z(, ; = a'�?�r /�' / 3 1 % Solids, % Volatile Solids, Paint Filter 1 NH3,TKN,NO2,NO3,Ntot (H2SO4) 1 Metals-AI,As,Cd,Ca,Cr,Cu,Pb,Mg,Hg, 1. Mo,N1,Ptot,K,Se,Ag, Na,Zn (w/HNO3) i 4 Full TCLP Method of Shipment; Comments `` (� f e a iy- �r C� tWY j 0 O I t:PS d i ( p-�sa ©� s' �� • '�7c Lc,,I-<-'S a V UPS ❑ Fed Ex ❑ Hand Delivery n ❑Other�P' . Will these results be used for regulatory purposes? Yes No RUSH work must be approved prior to submitting samples. Rein he by: Date: "Tim : 'P: ,j d - /A d� y� Re Iv y:- Dale: Time: ` ti 3,0 • .A' 61 Y�' Re q ed byr /j _.Qe Time: 3 d Received by: Date: Time: Relinquished by: Dale: ITime: Re a at Q16 Time: 33 // V ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (02T Rules) Facility Name: Spring Lake WWTP WQ Permit Number: W00001086 WWTP Name: Spring Lake NPDES Number: NCO030970 Monitoring Period: From 1/1/2018 To 12/31/2018 Pathogen Reduction (15A NCAC 02T .1106) - Please indicate level achieved and alternative performed: Class A: Alt. A (time/temp) ❑ Alt B (Alk Treatment) [3Alt. C (Prior Testing) ❑ A1t.D (No Prior Test) ❑ Process to Further Reduce Pathogengs ❑ If applicable to alternative performed (Class A only) indicate "Process to Further Reduce Pathogens": Compost ❑ Heat Drying ❑ Heat Treatment ❑ Thermophilic ❑ Beta Ra B ❑ Gamma Ray ❑ Pasteurization ❑ _:_ .:.: Class B: JAR. (1) Fecal Density [31 Alt. (2) Process to Significantly Reduce Pathogens ❑ If applicable to alternative performed (Class B only) indicate "Process to Significantly Reduce Pathogens": Lime Stabilization 0 Air Drying ❑ Composting ❑ Aerobic Digestion ❑ Anaerobic Digestion ❑ - If applicable to alternative performed (Class A or Class B) complete the following monitoring data: Parameter Allowable Level in Sludge in Pathogen Density Number o Excee- Frequency of Analysis Y Sample Type na ytica Tech - Minimu Geo. Mean aximu Units Fecal Coliform 2 x 10 to the 6th power per gram of total solids MPN CFU 1000 mpn per gram of total solid (dry weight) Salmonella bacteria (in lieu of fecal coliform) 3 MPN per 4 grams total solid (dry weight) Vector Attraction Reduction (15A NCAC 02T .1107) - Please indicate alternative performed. Alt.1 (VS reduction) ❑ Alt. 2 (40-day bench) ❑ 1Alt. 3 (30-day, bench) ❑ Alt. 4 (Spec. OZ uptake) ❑ Alt. 5 (14-Day Aerobic) ❑ JAIL 6 (Alk. Stabilization ❑ Alt 7 (Drying - Stable) ❑ I Alt. 8 (Drying - Unstable) ❑ Alt. 9 (Injection) ❑ JAR. 10 (Incorporation) jNo vector attraction reduction alternatives were performed ❑ CERTIFICATION STATEMENT (please check the appropriate statement) R1 "I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the vector attraction reduction requirement in 15A NCAC 02T .1107 have been met." ❑ "1 certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the vector attraction reduction requirement in 15A NCAC 02T .1107 have not been met." (Please note if you check this statement attach an explanation why you have not met one or both of the requirements.) "This determination has been made under my direction and supervision in accordance with the system designed to ensure that qualified personnel properly gather and evaluate the information used to determine that the pathogen and vector attraction reduction requirements have been met. I am aware that there are significant penalties for false certification including fine and imprisonment." Richard E. Mendez, ORC Richard E. Mendez, ORC Preparer Na e and Title (type or print) Land Applier Name and Title (if applicable)(type or print) c �' 2�� )-7-01 1 Signature of Preparer* Date Signature of Land Applier (if tp licable) Date *Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26) DENR FORM PVRF 02T (12/2006) ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (503 Rules) Facility Name: Spring Lake WWTP WQ Permit Number: W00001086 WWTP Name: Spring Lake NPDES Number: NCO030970 Monitoring Period: From 1/1/2018 To 12/31/2018 Pathogen Reduction (40 CFR 503.32) - Please indicate level achieved and alternative performed: Class A: Alternative 1 ❑ Alternative 2 ❑ Alternative 3 ❑ Alternative 4 ❑ Alternative 5 ❑ Alternative 6 ❑ If applicable to alternative performed (Class A only) indicate "Process to Further Reduce Pathogens": Compost ❑ Heat Drying ❑ Heat Treatment ❑ Thermophihc ❑ Beta Ray a Gamma Y GRay Pasteurization ElClass B: Alternative 1 ❑ Alternative 2 ❑ .................... ........................................... If applicable to alternative performed (Class B only) indicate "Process to Significantly Reduce Pathogens": Lime Stabilization ❑ Air Drying❑ Com ostin [3 Aerobic Digestion ❑ Anaerobic Digestion [3 .. . _._ If applicable to alternative performed (Class A or Class B) complete the following monitoring data: Parameter Allowable Level in Sludge Pathogen Density g tY Number o Excee- enceqof Frequency Analysis Sample Type na yuca Tech - niaue ' inim Geo. Mean aximu Units Fecal Coliform 2x10tothe 6th power per gram of total solids , PN CFU 1000 mpn per gram of total solid (dry weight) Salmonella bacteria (in lieu of fecal coliform) 3 WN per 4 grams total solid (dry weight) Vector Attraction Reduction (40 CFR 503.33) - Please indicate option performed: Alt.1 (VS reduction) ❑ Alt. 2 (40-day bench) ❑ Alt. 3 (30-day bench) ❑Alt. 4 (Spec. OZ uptake) ❑ Alt. 5 (14-Day Aerobic) ❑ jAlt. 6 (Alk. Stabilization 0 Alt 7 (Drying - Stable) ❑ I Alt. 8 (Drying -Unstable) ❑ Alt. 9 (Injection) ❑ jAlt. 10 (Incorporation) ❑ No vector attraction reduction alternatives were performed ❑ CERTIFICATION STATEMENT (please check the appropriate statement) 0 "1 certify, under penalty of law, that the pathogen requirements in 40 CFR 503.32 and the vector attraction reduction requirement in 40 CFR 503.33 have been met." ❑ "I certify, under penalty of law, that the pathogen requirements in 40 CFR 503.32 and the vector attraction reduction requirement in 40 CFR 503.33 have not been met." (Please note if you check this statement attach an explanation why you have not met one or both of the requirements.) "This determination has been made under my direction and supervision in accordance with the system designed to ensure that qualified personnel properly gather and evaluate the information used to determine that the pathogen and vector attraction reduction requirements have been met. I am aware that there are significant penalties for false certification including tine and imprisonment." Richard E. Mendez, ORC Richard E. Mendez, ORC Preparer Na and Title (type or print) Land Applier Name and Title (if applicable)(type or print) e)'1f-2o F'^J1'Zo)9 Signature of Preparer* V Date Signature of Land Applier (' plicable) Date *Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26) DENR FORM PVRF 503 (12/2006) NCDA&CS AgronomicDivision Phone: (919) 733-2655 _ Websitec www ricagi.gov/agronomy Report'No FY19 SL005567 ,. ; , x Client: Richard Mendez Advisor: 'n it Predictive a = PO Box 617 J Spring Lake, NC 28390 Soil Report Mehlich-3 Extraction Sampled County: Cumberland Links to Helpful Information Client ID: 355223 Advisor ID: Sampled: 08/31/2018 Received: 09/26/2018 completed: 10/01/2018 Farm: Brinkly Chattellier Sample ID: 5-1 Recommendations: Lime Nutrients (lb/acre) More Crop I (tons/acre) N P205 K20 Mg S Mn Zn Cu B Information Lime History: 1 -Bermuda hay/past., M 0.0 180-220 0 150 0 0 pH$ 0 0 0 Note: 12 Note: 2 -Small Grain (SG) 0.0 80-100 0 70 0 0 pH$ 0 0 0 Note: 3 Note: $ Test Results [units - WN in g/cd; CEC and Na in meq/100 cm3; NO3=N In mg/dO]: Soil Class: Mineral HM% WN CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn4 Mn-All Mn-Al2 Zn-I Zn-Al Cu4 Na ESP SS-1 NO3-N 0.66 1.23 8.0 92 0.6 6.6 162 36 73 17 36 130 86 79 274 274 147 0.2 3 Sample ID: 3-8 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P205 K20 Mg S Mn Zn Cu B Information Lime History: 1 -Bermuda hay/past., M 0.0 180-220 0 220 25 25 0 0 0 0 Note: 12 2-Small Grain (SG) 0.0 80-100 0 130 $ 25 0 0 0 0 Note: 3 Note: Test Results [units - WN In g/crnii; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]: Soil Class: Mineral HM% WN CEC BS% Ac pH P4 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-Al Cu-I Na ESP SS-1 NO3-N 0.22 1.48 3.6 78 0.8 5.8 267 •.9 67 9 20 81 66 59 313 313 185 0.2 6 North Carolina Tobacco Trust Fund Commission Reprogramming of the laboratory -information -management system that makes this report possible is being funded through a grant from the North Carolina Tobacco Trust Fund Commission. Thank you for using agronomic services to manage nutrients and safeguard environmental quality. - Steve Troxler,Commissioner ofAgriculture Richard Mendez Page 2 of 2 Understanding the Soil Report: explanation of measurements, abbreviations and units Recommendations Report Abbreviations Lime Ac exchangeable acidity If testing finds that soil pH is too low for the crop(s) indicated, a time recommendation will be given in units of either B boron ton/acre or Ib/1000 sq ft. For best results, mix the lime into the top 6 to 8 inches of soil several months before planting. BS% % CEC occupied by basic cations For no -till or established plantings where this is not possible, apply no more than 1 to 1.5 ton/acre (50 Ib/1000 sq ft) at on Ca% % CEC occupied by calcium time, even if the report recommends more. You can apply the rest in similar increments every six months until the full rate CEC cation exchange capacity is applied. If MG is recommended and lime is needed, use dolomitric lime. Cu-1 copper index ESP exchangeable sodium percent Fertilizer HM% percent humic matter Recommendations for field crops or other large areas are listed separately for each nutrient to be added (in units of K-1 potassium.index lb/acre unless otherwise specified). Recommendations for N (and sometimes for B) are based on research/field studies K20 potash for the crop being grown, not on soil test results. K-1 and P-1 values are based on test results and should be > 50. If they Mg% % CEC occupied by magnesium are not, follow the fertilizer recommendations given. If Mg is needed and no lime is recommended, 0-0-22 (11.5% Mg) is MIN mineral soil class an excellent source; 175 to 250 lb per acre alone or in a fertilizer blend will usually satisfy crop needs, SS-1 levels appear Mn manganese only on reports for greenhouse soil or problem samples. Mn-All Mn-availability index for crop 1Mn-Al2 Mn-availability index for crop 2 Farmers and other commercial producers should pay special attention to micronutrient levels. If $, pH$, $pH, C or Z Mn4 manganese index notations appear on the soil report, refer to $Note: Secondary Nutrients and Micronutrients In general, homeowners do not M-0 N mineral -organic soil class need to be concerned about micronutrients. Various crop notes also address lime fertilizer needs; visit nitrogen ncagr.gov/agronomi/pubs.htm. Na sodium NOa-N nitrate nitrogen Recommendations forsmall areas, such as home lawns/gardens, are listed in units of lb/1000 sq ft. If you cannot find ORG pH organic soil class current soil pH the exact fertilizer grade recommended on the report, visit www.ncacr.cov/agronomi/oboart4.htmMfsfind information that P-1 phosphorus index may help you choose a comparable alternate. For more information, read A Homeowner's Guide to Fertilizer P20s phosphate S4 sulfur index Test Results SS4 soluble salt index Wtv weight per volume The first seven values [soil class, HM%, WN, CEC, BS%, Ac and pH] describe the soil and -its degree of acidity. The Zn-Al zinc availability index remaining 16 [P-I, K-1, Ca%, Mg%, Mn-I, Mn-Ali, Mn-AI2, Zn-I, Zn-AI, Cu-I, S-I, SS -I, Na, ESP, SS -I, NOs-N (not routinel Zn-I zinc index available)] indicate levels of plant nutrients or other fertility measurement. Visit www.ncacraov/agronomi/uvrsthtm - --- - I -- N„CDA$CSyAg�onomie!Dlvislon Phone (019) 733+2858 YI(ebslte ;�w3iwv ecegt goV/agrcnotnV Report,No , yFY19SL02128 tr ;tic -�� auuuvey Client: Richard Mendez Advisor: CumberlandCounty Predictive PO:Box 617 Master Gardenei5 Spring Lake, NC 28390 301 E. Mountaln'Dr.. .,y SoilRpipOl `- Mehlicli-3Extraction Feyetteville,NC28306 Sampled County: Cumberland 'xmc�m" Links to Helpful information CllentlD; 355223" AdvlsordD: 1 477208 .samprad:12I0512018 Rmlvad: 12114/2018 Completed:02161/2019, Farm: Sample ID: 5-3 Recommendations: Lime Nutrients "(Ib acre) -More Crop (tonslacre) N P205 KID Mg S 'Mn Zn Cu B Information Lime Histor 1-Small Grain (SG)> _ 0:0 80.100 0 96 0 0 pH$ 0 0 .0 Noie:3 Note: 2=Bennudahe / ast.,fE Off8080 0: 90 01. 0 pH$. 0 0 0 Noterl2Note: Test Results [units - WN Ing/cd CEC and No in maq/106 coo NO3-N,in ing/dift Bog Class: Mineral HM% WN CEC BS% Ac PH P-I Kd' CaeA Mg%a SDI Mn4 Mn.A11 Mn-Al2 Zna Zn-AI Cd4 No ESP ss4 .NO2-N 0.66 1.22 7.1 91 0.6 6.6 84 23. 76: 13 33 96 58' :65 140 140 • 57 0.1 1 Sampla ft 5-2 Recommendations: Lime, Nutrients (lblac e). More Crop - (tuna/acre) N P20s' K20. :Mg S' Mint Zn Cu B Information Lime History: 1-Small.Grain (SG) 0.0 80-160 0 90 0 .0' pH$ 0 0 0 Noto:3 Note:' ' 2-Bermuda h /pasL,E 0.0 6"0 0 90 'O z0. H$ 0 0 0 Note:12•Note:i Test Results [units - WNin gfcmt; CEC.and No In tr941100'Crirt; NO3-N Inmgfdift Soil Class: Mineral HM% WN CEC BS% Ac pH P4 K4 Ca%, Mg% 84 Mn4 Mn-All Mn4,U2 Zn4 Zh4U Curl Na ESP' SS -I, NOS-N 0.66 1.18 U 89 0.7 6.5 '84 . 23 172 i6 28 106 66 73 117 117' 36 0.1 Z Sample ID: 4-1 ;Recommendations: Lime Nutdents'(Ib/acre) More. Crop (tonsfacre) N P205 KzO Mg. S Mn Zn `Cu B Information: Lime History: V Fescue/OGrassTm, E 1.9 56 70 0 20: 25 0 0.- 6 0. 0 Note:12 2-Bermuda hay/post. E 0:0 60.80 0 60 $ 0, 0 0 0 0 Note:12:o Test Results [units - WN in gkrr?; CEC and No In meg1100 cnf; NW-N in mgldrrrl): Sog Class: Mineral HM% WIV CEC BS% AC pH P4 K4 Ca°/d :Mg%a Sa Mn4 Mh-All Mn+Al2 Zn4 Zn-AI Cu4 No ESP SS4 N01-N 0.56, 1.30 6.1 67 2.0 5.2 273 39 56 7 41 48 38 46 491 491 186 0.1 2 North Carolina Tob2mTrust Fund Commaskm Reprogramming of the laboratory• Infartnatior€rtranagement system,that 'makes this report posslbfe lebeing funded' througti a grantfromthe North'Carolina.Tobaco Trust Fund Commission. Thank you for using,agronomic seniices',to manage nutilents;and sateguard environmental' quality. Steve Tioxter. Commissioner ofAArfculture NCDA&CSAgronomirDivlslon rPhone 919 733=2855 YVabaite wwwmcagrg� ovf gronom/U �yW°(I 91'L.l:. 4 5 � 1 �" 'y', :R®portNo�d` FYx19 SCO 11283'};r I .l'�.M'...Y. ♦.&'�ilJi., .fiinSrtY'4 n.'a.. .. ..•iT ...ct; . 1�.. _F.'i.:..a«t.... ,Richard Mendez Page 2bf 3 Sample ID: 3-3 Recommendations: Lime Nutrients((b/acre) °More Crop (tonslacre) N' P205 X20 Mg 18 Mn. Zn .Cu B Information 'Lima History: 1-Fescue/OGrassMm,:E 1.3 50-70 0 10 0 0 0 0 0 0 ;Note::1Z 2-Bermuda hay/past, E .0.0 60:80 0 50, 0 0 -0 0 0 0 'Note: 12'. Test Results [units - WN In gfcm&; CEC and Na In meq/100 cO; NO3-N In.rogldii?] Soil class: 'Mineral HM% WN CEC BS°% Ac pH Pa K4 Ca°%' 'Mg% SDI 'Mna Mff-All Mn-Al2 Znd Zn-AI Curl Na ESP SS4 NO3-N 0:46 1.17 73 79 1.5 5.8 366 43 68 9 45 78, 56 64 878 878 245 0.1 1 Sample 10: 3-7 Recommendations: Lime Nutdents'(Ib/acre) More Crop (tons/acre) N P205 K20 Mg S Mn Zn Cu B Information Lime History: 1-Small Grain (SG) 0.0 _ 80.100 0 90 0' 25 0 0 0 0 Note: 3 2-Bermuda hay/past.. E 0.0 60-80 .0 90: 0' 25' 0 0 0 0 N e:12 Test Results [units - WN In g/cm1; CEC and Na Inmoo/100 cm3; NO3-N'In mg/do]: Soil Class; Mineral HM% WN 'CEC BS°% Ac pH P4 Ka Ca% Mg% Sa kn4 Mrr.Afl Mn=Al2 *Zn4 Zn-AI Cud Na ESP SSd NO3-N 0.41 1.32 4.6 81 0.9 5.9 284 '24 67 12 21 111 77 84 386 .386 157 0.1 2 !C-P IWJ' 9, Richard Mendez Page 31of 3 .Understanding the Sail Report: explanation of measureffidnittj abbrevlaitiona:and units Recommendations ..Report Abbreviations Ciine Ac exchangeable acidity Iftesting finds that soil OH Is too low for the crop(s) lndicated,:a -time racam*endaitfoni.winbe, gNetv In'unih; of either 0 boron 'tonfacre or lb/1 000 sq % For best results, mix the lime into the top,:6-tw8 Inches of SoWseveral months breforiafilbnting.. BS% % CEC occupied by basicoations For no -till or established. plantings %where this is not posslblej:apply, no more then 1 1o:1.5 tbriAtcre"(50 lb/1 ODOZqft) at one Ce% %,CEC occupied by calcium "time, even if the report recommends more. You can apply4he restAn similarlincrements every six inbriths-Untill the4ult-rate _GEC cation.exchange capacity is applied. If MG is recommended and lime Is needed, use:dol6m!trid lirne. CIA copper index ESP exchangeable sodium percent .Fertilizer HM% percent humic matter Recommendations for field crops or other large areas are listed-.separately'fbr,6ddh;nutiieht to be> added (fnunits of K4 potassium index Ablacre unless otherwise specified). Recommendations for N (ands6metimes for B) are based on researdVildid Atudies K20 potash for the crop being grown, not on soil test results. K-Fand P4 values:arebarsd6on testresultsand,shoul . d be > 50. If they, Mq% % CEC occupied by magnesium are notJollow the fertilizer,recommandat!6hs.giv.en. If Mg is needed and nolime..'is recommendedj,0.;0-.22.(11.5% Mg) Is, MIN mineral 6611.dass an excellent source; 175 to 250 lb per acre alone or:in a fertilizer bl6nd will usuall"ar, I gy crop, maeft SS4 levels appear Mn manganese on!y;on reports for greenhouse soil or problem samples. Mn4U1 Mnzavaitability index for crop 1 Mn4U2 Mn-availability. index forcrop 2 Farmers and other commercial producers should pay tpeeial,aftention.tb.,micronutdeiicldiials. If:$; PH$,.$OH, Car Z Mn4 MAmineral manganese Index 'organic soil rganic.soill dass notations appear on the soil report, refer to. $Note: SecandarVNufrients and MictonyWots Inigeneratiho meownerscio not N nitrogen ,need to be concerned about micronutrients. Various crop rotes also :address firne4erfilizerineeft visit He sodium ricagrgov/agranomi/pubshtm, NO3-N nitrate nitrogen ORG organic soil class d . ..Rs.df sq iRecommendatlons for small areas, such as home 1awns/gprqFensjare*fiste inun , 111511000' ft.'111yodcanfidtfind, pH current,soil pH the:exact.fiertilizer grade recommended on the report; visit. www.ncaqr...q-oklaaronomilobj)art4,h nd inliorniation that P4 phosphorus Index imay help you choose a comparable alternate. For more Information, read A=HomeoWnert GOW fo Fe;*Ifzer P203. phosphate S­11' sulfur Index Test,Results SS-11 soluble salt Index W/V welghtpervolume 'The first seven values [soil class,,HM%, W/V, C5C, BSO%, Ac and pH] descdbe thd.so-il,andlits degree of acidity; The Zn-Al zinc availability Index 'remaining 16 [P-I; K4, GA, Mg%, W4, Mn-All, MrfAl2, Zn-I, Zn-Al, Cu I; S-Ij SS -I; Na"ESP-j SS; 1, NW-N#fiot routine neP Zn4 zinc index [available)] indicate levels of plant.nutrients or other fertility measurement. Visit www.ncaqr.govlaarondmYuvmthtm.' Town of Spring Lake, North Carolina 2018 Annual Biosoli& Report EPA Forms Permit # WQ0001086 NPDES Permit # SCO030970 Prepared By MacConnell & Associates, P.C. P.O. Box 129 Morrisville, NC 27560 Phone: (919) 467-1239 Fax: (919) 319-6510 Town of Spring Lake, North Carolina 2018 Annual Biosolids Report Additional Information Permit # WQ0001086 NPDES Permit # NCO030970 Prepared By MacConnell & Associates, P.C. P.O. Box 129 Morrisville, NC 27560 Phone: (919) 467-1239 Fax: (919) 319-6510 %1 ;.1 5 Transportation/Application Log For Liquid Biosolids . .Nar /me: i L� t )7�7� 5 ' Project:_ �a Date: a—W —19 / Vehicle No: ��� Quantity:. `i� 06 Hub Meter -Start: Hub Meter -Stop: ,Alkaline Stabilization: Yes ❑ No`)NC Temperature: >90 70-90 32-70 Gil Miles to Fielji Site Conditions: Dry Q.Mojst Wet Rainfall: <'/:" raiufall >%.r rainfall BOB 0 =Boom Comments: 7�CA[ GgJQAs W45D�-Applicstioo method: S=Surface SIKSSurfaee with iuearpomdoe; 1=Injection OCettified Operator P. Inspected, — bligrrahue License No. Operator's Signature White -Office / Yellow-Cfient / Pink -Trucker I B10-GREEN LOADING LOG PROJECT: � 6 DATE Transportation/Application .Log For Liquid Biosolids 1 y r j n J. CAfr( Date Name: �US� n Project: , Vehicle No: D Quantity: �O Hub Meter -Start: Hub Meter -Stop: Alkaline Stabilization: Yes 13. No Temperature: Site Conditions: Rainfall:, >90 70-9 32-70 <32 Miles to Fiel# Dry Mots Wet <w rainfall k2 rainfall no 0 ®a®®® ©®MM °�' mmm-m ©®I M O O, �®MMEROMMM MMMMM��IMERNOMM■ ®l�M�s MffOwM=NE ®® I97MM M NNW�l mmmmmm mmm Comments: method:-S=Surface; SII=Surface with..Ioeorporation; I=Injecdon OCertiied Operator Inspected — License No. operator's Signature White -office / Yellow -Client / Pink -Trucker Transportation/Application Log For Liquid Biosolids Name: Project: r Date: t� 'C�Ll Vehicle No:(0 Quantity: (� d�0a Hub Meter -Start: Hub Meter -Stop: Alkaline. Stabilization: Yes ❑ I No W. Temperature: >90 70-90 32-70 Gil Miles to Fielll Site Conditions: Dry Moist Wet Rainfall: <Y" rainfall > I rainfall �1 & �o� Comments: •ApplicaGao method: S=Surfaee; S/I=Sortate with Incorporation; [=Injection OCettified Operator Inspected — Signature LiceEFRo—. Operator's Sipature. White —Office / Yellow —Client / Pink —Trucker TransportationjAppi !cation Log For Liquid Biosolids Name:Project: S',orl, !4 10 Date..-2 —),S)- Vehicle No: loe, Quantity: 3 sB Rub Meter -Start: Hub Meter -Stop:_ Alkaline Stabilization: Yes 0 No YL Temperature: >90 70-90 <32� Miles to Fie[#' Site Conditions: D1 moist Wet Rainfall- rainfall >Vz' • rainfall - BOB 0 00000 m=17rommm mommommm mmiKAMEN momomm9m =MR mo, mmmm®mmmmmmmm mmmmm mmmmm mmmmom mmmm mmmmm mmmm mmmmm mmmmm mmmmm mmmmm mmmmm mmmmm mmmmm mmmmm mmmmm mmmmm Commentsi -Application method: Surface; S/I=Surface with Incorporation; I=ln'ection OCertified Operator Inspected i ature icense NO. pws t - White —office Yellow -Client Pink —Trucker pera a Ignature I EL Transportation/Application Log For Liquid Biosolids J e� Name: JhS�i►� Project: Date: c � d-a—lt VehieleNo: /qq Quantity: ? Sb © Hub Meter -Start: Hub Meter -Stop: Alkaline Stabilization: Yes 0 No Temperature: >90 70-90 32-70. <32 Site Conditions: Moist Wet Rainfall: <Y:" infall >%i rainfall Miles to Fiel# BOB ®- - Offifflom =MFO® . • ommmm ©®MUMM /1 a Comments:. (7 _ S j 0 •Appliatioo method: S=Sutrace;.SH=Surfaee with Incorporation; I=lojection — OCer4fied OPe Inspecfed �gnatureLicense o.—U�erdlOr;gnature White -0@ice / Yellow -Client / Pink —Trucker It Transportation/Application Log For Liquid Biosolids Name: ,�` �r� Project: Sprt� �f`L Date: Vehicle No:_ 7 Quantity: 3 56 0 Hub Meter -Start: Hub Meter -Stop: Alkaline Stabilization: Temperature: Site Conditions: Rainfall: Yes ❑ No >90 70-90 Dry Moist 9 rajnfall 32-70 <32 Wet rainfall Miles to Fiel# ffi on ® onmem MMINJ_ , , _®RUM©' ©_MMIM41 11MMIM-IM MIMI 111IMM� _ESEEMEM OIMMi MrMIMIMMIM M®PEiM 1► - �M®M® MIMMISM Comments: &A&ff- jo 1 1-Wppliption method: S=Surface; S/f'Surfaee with Incorporation; 1=Injection ❑Certified Operator 6 Si%i'1.�� inspected t afore icense o. perator s ijjnature white —office / Yellow —Client / Pink Trucker Transportation/Application Log For Liquid Biosolids Name: t C Project: r 1 14Q_ Date: A 3- �. Vehicle No: Quantity: ' So O Hub Meter -Start: Hub Meter -Stop: Alkaline Stabilization: Yes ❑ No Temperature: >90 0 0 -70 <32 Miles to Fiel# Site Conditions: Dry Moist Wet Rainfall: <% ' rainfall > 2 rainfall BOB 0 onomia ®=IC EM= m---_ MMKIMM • _®m-M 0®-__ _®_m_ mmm Comments: �l000 •Application method: S=Surfacg S/I=Surface with Incorporation; I=Injection / ti.1/,pq,5 / ❑Certified Operator Inspected signatore License No. Operator's Signature White —Office / Yellow —Client / Pink —Trucker Transportation/Application Log For Liquid Biosolids Name: �� Cam— Project: SPN NA L&JP Date —��-1 Vehicle No:Quantity: 0 C) Hub Meter -Start: Hub Meter -Stop: Alkaline Stabilization: Yes ❑ No Temperature: >90 ( 70-90 32-70 �32 Miles to Fielji Site Conditions: Dry Moist Wet Rainfall: <'/:" rainfall >%:' rainfall Ron 0 0MM®MRAUMMMMMM m_mm_ _m-mm Comments: +0 i ❑Certified Operator Inspected rl Vv ' *Application method: S=Surface; S/I=Surraee with Ineorpomtioo; I=Injection License No. perator s Signature White -Office / Yellow -Client / Pink -Trucker moo Transportation/Application Log For Liquid Biosolids 1_ — PProject: r i -'^ - Date: I � Name: ��L�� C� a—J�� Vehicle No: / b Quantity: 39 Oa_ Hub Meter -Start: Hub. Meter-Stopr AlkalineStabilization: Yes ❑ NoA Temperature: >90 70-90 -70 <32 Site Conditions: Dry • Moist Wet IIuinfall•. < ,' rainfall >'/i rainfall Miles to Fielll o �'.4 a/ n —Surface; SH�urfacewith Ineorpondon; [=Injection Comments: pp lication method: s • ❑Certified Operator tcense o. f •� peraawr 5 016nature Insp"Wtgnature White -0tt'iceJ Yelfow-Cfient / Pink Trucker A"& Transportation/Application Log For Liquid Biosolids Name:— ►C� Project: �'Pf-i � Date: o 0 Vehicle No: l,9 Quantity: '3SO0 Hub Meter -Start: Hub Meter -Stop: Alkaline Stabilization: Yes ❑ No Temperature: Site Conditions: Rainfall: >90 70-90 Moist <% rainfall 32-70 <32 Miles to Field Wet >'' 2 rainfall BOB 0 offlowul ©=r: - mm MMAMM m_,MMM _MM-M Comments: -f tfoll �i n W rt S � sC� *APplicattoo method: S--Surface; S/I=Surface with Incorporation; I=Injection l7Certified operator Inspected Signature License No. Operator's tgna White —office / Yellow —Client / Pink —Trucker ('1 Transportatic t !, pplication Log For Liquid iosolids Name: i i Project: SP r ,oj L-a�,o—, \mate: c2 s— Vehicle No: / 0 (" Quantity: � J`q J Hub Meter -Start: Hub Meter -Stop: — Alkaline Stabilization: Yes ❑ No )- Temperature: >90 70-90 32-70 <32 Miles to Fieltl Site Conditions: ry Moist Wet Rainfall: <%-' infall > rainfall BOB „ ® onommi M-A MOB ®--__ _m--_ Comments: " t'pt¢, 07a.Wh5 3 L''I-Application method: S=Surracr S/I—Surface with Incorporation; i=Injection i' ❑Certr led Operator InspectC, ipature icense o. perator s Ignature White -Office / Yellow -Client / Pink -Trucker Transportation/Application Log For Liquid Biosolids PLJW C2i71' of Project: JQrr/its, L ��4. cp` � 7 Name:— Date: Vehicle No: % Quantity: 350 U Hub Meter -Start: Hub Meter -Stop: Alkaline Stabilization: Yes 0 No 3k Temperature: >90 70-90 32-70 <32 Site. Conditions: Moist Wet Rainfall: <':' rainfall >%i rainfall Miles to Field �� Comments: - •Applic4tiao method: S=Surface; SA=Surfaee with Incorporation; I=lojection ❑Certified Operator /� �i(�/J^' ✓ "�""`'� Inspected rgnature License NO. ors Signature White —Office / Yellow --Client / Pink —Trucker Transportation/Application. Log For Liquid Biosolids Name:. I1�� G'�M&C Project: (5 i Date: t2— Vehicle No: 0 Quantity: +3500 Hub Meter -Start: Hub Meter -Stop: Alkaline Stabilization: Yes ❑ NOR, Temperature: >90 70-90 32-70 Gil Mil to Fiel# Site Conditions: A<Y2 Moist WetRainfaW rainfall >% rainfall, own 0 =now MMMMMMW�MWV`V M ®= •# ..� ��®®R'WA11=EN MMMM .,MEMMMME Comments: %+41 L+G.,/r- i-Application method: S=Surface;-S/[=Surface with Incorporation; I=Injection ❑Certified Operator Inspected Signatum icense O. Operators SI'ignature white -0wce / Yellow —Client / Pink —Trucker Transportation/Application Log For Liquid Biosolids Name: le S Project: I�7� Date: 9 — / — 1 O Vehicle No: l n% Quantity: ys� ° Hub Meter -Start: Hub Meter -Stop: Alkaline. Stabilization: Yes ❑, No JR Temperature: >90 711-91) 32-70 <2 Miles to Fiel# Site Conditions: Dry Moist Wet Rainfall; <'/:' rainfall >''/i rainfall mmm 0 - onnom a M®m® ®M[.1ir]_IMM�_mmmm ����/ m_ �M®M®—MINEMME. mmm__ / _®--®' m_-®_ _m_-®I mmmmm __--_ m_-®_ _mmmm mmmmm Comments: *Application method: S=Sur(ace; S/I=Surface with Incorporation; I=Injection ❑Certified Operator —License No. toi S Signature j� Wbite—Office/Yellow-Client/Pink-; ker Name: cl )� A Transportation/Application Log For Liquid Biosolids S��( Project: - a- 7-1 �S �: r..� Date: Vehicle No:(0 �_ Quantity: lff 6 O Hub Meter -Start: Hub Meter -Stop: Alkaline Stabilization: Temperature: Site Conditions: Rainfall.• Yes ❑ No ❑� >90 Moi IV rainfall 32 Wet a32 + Miles to Fielo >%:' rainfall BOB " -® WZ0001 o=WM=r- mm®m© ©M111 MINNA I / ■1'� _m®®® ©m �I �m mmmmmm 0=RfflM5W _ � _m®a® Comments: •Applicatioq nethod: S=$urfaer S/I=Surface with Incorporation; I=Injection OCertified Operator , Irr Inspected t icense o: '. pegtor s Signature tWhite / Yellow�Gent/ Pink ,Tiut r BIO-GREEN LOADING LOG PROJECT: / 1� DATE': (TOTAL GAL., 1-294000 .1 ` -) 0 _J, BIO-GREEN LOADING LOG WDAE v r• � i ♦ 7I END M-MIM MUM m M wit e� I c : u Fri ITOTAL GAL!, I �Wyy I _J BIO-GREEN LOADING LOG PROJECT :Sr/m L OL,& DATE imam M min EMMIRRIM EMMM Es_vm"w 077��� EM�AssAM®M=Mvjlww�� u I I BIO-GREEN LOADING LOG PROJECT: V DATE EB m. m =� P BIO-GREEN LOADING LOG PROJECT: 46,64 DATE': 9 449 (TOTAL GAL I dLI4006 S--2 L 0 610-GREEN LOADING LOG PROJECT: S rl DATE IIUTAL UAL. I - t clop L 5 72- BIO-GREEN LOADING LOG PROJECT: u rt.h DATE 9 B'10-GREEN LOADING LOG PROJECT: j TRUCK # I DRIVER roll TTinAv ni iT Tom. Diu m�-� ®s v� GAL u y BIO-GREEN LOADING.LOG PROJECT: rit DATE : i- 7- B10-GREEN LOADING LOG PROJEM So DATE : `%-7- m molDiLl ©WRMRr`W��Im ��� �� 0 BIO-GREEN LOADING LOG PROJEM L Zak DAT : 9 --13 " I, ©.- ©-m mmw' W-" i 0 ITOTAL GAL. 13115 O'C-' I_ 5 ' 3 0