HomeMy WebLinkAboutWQ0037135_Staff Report_20240513May 13, 2024
To: DWR Central Office — WQ, Non -Discharge Unit
Attn: Erick Saunders
From: Caitlin Williams
Winston-Salem Regional Office
State of North Carolina
Division of Water Resources
Water Quality Regional Operations Section
Staff Report
Application No.: W00037135
Facility name: US Biosolids RLAP
Note: This form has been adapted from the non -discharge facility staff report to document the review of both non -discharge and NPDES permit applications and/or renewals. Please complete all sections as they are applicable.
I. GENERAL AND SITE VISIT INFORMATION
1. Was a site visit conducted? ® Yes or ❑ No
a. Date of site visit: 5/7-8/2024
b. Site visit conducted by: C. Williams
c. Inspection report attached? ❑ Yes or ® No
II. EXISTING FACILITIES: MODIFICATION AND RENEWAL APPLICATIONS
1. Are there appropriately certified Operators in Charge (ORCs) for the facility? ® Yes ❑ No ❑ N/A
2. Are the design, maintenance, and operation of the treatment facilities adequate for the type of waste and disposal
system? ® Yes or ❑ No
3. Are the site conditions (e.g., soils, topography, depth to water table, etc) maintained appropriately and adequately
assimilating the waste? ® Yes or ❑ No
4. Has the site changed in any way that may affect the permit (e.g., drainage added, new wells inside the compliance
boundary, new development, etc.)? ® Yes or ❑ No
If yes, please explain: See attached maps of new development surroundingsome ome application fields.
5. Is the residuals management plan adequate? ® Yes or ❑ No
6. Are the existing application rates (e.g., hydraulic, nutrient) still acceptable? ® Yes or ❑ No
7. Are there any setback conflicts for existing treatment, storage, and disposal sites? ® Yes or ❑ No
If yes, attach a map showing conflict areas.
8. Is the description of the facilities as written in the existing permit correct? ❑ Yes or ❑ No
9. Has a review of all self -monitoring data been conducted (e.g., AR, NDMR, NDAR, GW)? ❑ Yes or ❑ No
Please summarize any findings resulting from this review:
Provide input to help the permit writer evaluate any requests for reduced monitoring, if applicable.
10. Has a review of compliance history been completed (CEI's)? ® Yes or ❑ No
11. Are there any permit changes needed in order to address ongoing BIMS violations? ❑ Yes or ® No
12. Check all that apply:
® No compliance issues ❑ Current enforcement action(s) ❑ Currently under JOC
❑ Notice(s) of violation ❑ Currently under SOC ❑ Currently under moratorium
Have all compliance dates/conditions in the existing permit been satisfied? ® Yes ❑ No ❑ N/A
13. Are there any issues related to compliance/enforcement that should be resolved before issuing this permit?
❑ Yes ®No❑N/A
FORM: WQROSSR 04-14 Pagel of 3
III. REGIONAL OFFICE RECOMMENDATIONS
1. Do you foresee any problems with issuance/renewal of this permit? ❑ Yes or ® No
2. List any items that you would like the NPDES Unit or Non -Discharge Unit Central Office to obtain through an
additional information request:
Item
Reason
MEK levels for Belmont
Waiting on an email response from Zach about MEK.
WWTP
3. Recommendation: ® Hold, pending receipt and review of additional information by regional office
❑ Hold, pending review of draft permit by regional office
❑ Issue upon receipt of needed additional information
❑ Issue
❑ Deny (Please state reasons: )
4. Signature of report preparer: CAv, Ry�aw s
Signature of regional supervisor:
Date: 5/15/2024
IV. ADDITIONAL REGIONAL STAFF REVIEW ITEMS
DocuSigned by:
B74ss...
• Staff noted that the TCLP lab analysis provided for Belmont WWTP reported Methyl Ethyl Ketone (MEK) as
318 ppm or mg/L. The regulatory limit for MEK is 200 mg/L. Based on the available information, the
biosolids applied from Belmont WWTP are hazardous materials. Staff have contacted Mr. Key for an
explanation as Belmont WWTP biosolids were applied under the US Biosolids RLAP permit. STAFF ARE
STILL WAITING FOR AN EXPLANATION.
• The Belmont WWTP TCLP samples were collected on 3/16/23 based on the lab results, not the reported
4/26/23.
• Staff calculated the first year PAN for Belmont WWTP as 45,790 mg/kg for surface application, and 47,374
mg/kg for injection/incorporation. Ammonia-N value was reported as 330 mg/kg, lab results show 3,330
mg/kg. TKN was reported as 14,900 mg/kg, lab results show 149,000 mg/kg.
• Baxter Healthcare WWTP TCLP lab analysis shows an elevated level of MEK (196 mg/kg). Dallas WWTP
and Town of North Wilkesboro showed reportable levels of MEK. Could this be a lab error?
• The Baxter Healthcare WWTP nutrient and metals samples were collected on 2/16/23, not the reported
2/17/23. Ammonia-N was reported incorrectly as 2,260 mg/kg, lab results show 2,260 mg/kg.
• Forest City WWTP TCLP samples were collected on 2/16/23, not the reported 4/6/23.
• Corpening Creek WWTP TCLP samples were collected on 11/12/20, not the reported 12/10/2020.
• Town of North Wilkesboro WWTP sampling for TCLP, nutrients and metals were sampled on 3/16/2023 not
the reported 4/26/23.
• Town of Rutherfordton WWTP TCLP result for chloroform was <0.6 mg/L, not the reported 0.5 mg/L, and
<0.1 mg/L, not the reported 0.05 mg/L.
• The physical address for the Town of Spindale WWTP is 327 Ecology St, Spindale, NC.
• Spindale WWTP TCLP samples were collected on 6/7/23, not the reported 7/12/23.
• Staff calculated PAN for Spindale WWTP as 21,138 mg/kg for surface application, and 26,588 mg/kg for
inj ection/incorporation.
• YVSA WWTP TCLP samples were collected on 4/5/23, not the reported 5/10/23.
• YVSA WWTP TCLP result for MEK was <20 mg/L, not the reported 0.2 mg/L.
• Staff calculated YVSA WWTP PAN for injection/incorporation as 29,442 mg/kg.
• Fields NM-1 and 2 had incorrect soil series, PbB2, listed based on the previous Attachment B, PaC2.
• Fields FC-1 and 2 do not have labels on the application map.
• Field SK-04C has incorrect coordinates in BIMS and the Attachment B. It is a duplicate of SK-04B.
• Field CM-02 has a pond visible that is not buffered. It does not impact the application area.
FORM: WQROSSR 04-14 Page 2 of 3
• Field CM-02 has incorrect lat in BIMS, Attachment B is correct.
• Field RD-1B has incorrect coordinates. Correct coordinates are 35.3569,-81.7355.
• Field LB-4 coordinates do not match in BIMS and Attachment B. Both are correct.
• Field LB-3 coordinates are wrong in BIMS and Attachment B.
• Field LB-2 is on tracts 1614391 and 326478.
• Field DK-1 coordinates do not match in BIMS and Attachment B.
• Fields LW-1 through 3 have incorrect coordinates in BIMS and Attachment B. The coordinates on the
application map direct to the field for LW-1 and LW-2.
• Field BP-4 is no longer owned by the same person. The field covers parcels owned by Josephy Bryant and
Kathleen Porter. Should this field be split based on the parcel boundaries and a property line buffer
used?
• Field TL-3 has a different acreage listed from Attachment B. Clarification is needed.
• Staff calculated 126.05 acres of row crops and 376.92 acres of hay/pasture.
• Belmont WWTP, Baxter Healthcare WWTP, Corpening Creek WWTP, Spindale WWTP, and YVSA WWTP
have individual permits. Based on the PAN values staff calculated a weighted average of 24,549 mg/kg first
year surface PAN, or 49,098 lbs/ton, and 26,871 mg/kg first year injection/incorporation, or 53.742 lbs/ton,
were calculated. A total of 88,376 lbs/yr will be produced. Staff calculated a conservative PAN capacity of
63,559 lbs/ac based on the listed crop types in the LASC. Considering the individual permits there is adequate
acreage to support this program.
• Fields: TL-1, TL-2, TL-3, FLB-1, FLB-3, FLB-4, JH-1, NM-3, SK-2, SK-3, SK-4B, SK-4C haven't received
any residuals.
• Corrected LOAs are included for select fields.
• The results for City of Marion Corpening Creek WWTP results provided are the most recent available as no
land application has occurred for this sources under this permit.
• Dallas WWTP results are attached.
• On May 7 and 8, 2024, staff completed drive by inspections of all land application fields. The following
observations were noted:
o A new house has been built across from BP-2 within 240 ft of the property line and several dwellings
have changed hands or need to be corrected on the map. See attached map.
o A barn has been removed from TL-4. The acreage needs to be updated to reflect the new application
area and field conditions.
o There appears to be another dwelling close to TL-3. See attached map. Clarification is needed as to
whether this is a new house.
o Field LB-3 will need to be reseeded if it is to remain in fescue.
o Field NM-2 has a new house built south of the property. See attached map.
I have received differing information about buffering new construction around application fields. The most recent
information I have received directed that new dwellings do not need to be mapped or buffered with the following
regulation referenced.• 15 NCAC 02T .1108 (g) Habitable residences or places of assembly under separate ownership
constructed after the non -discharge facilities were originally permitted or subsequently modified are exempt from the
setback requirements in Paragraphs (a) and (d) of this Rule. Paragraphs (a) and (d) refer to treatment and storage
facilities, and surface disposal units. PLEASE ADVISE.
FORM: WQROSSR 04-14 Page 3 of 3
DWR
Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
15A NCAC 02T .1100 — LAND OWNER AGREEMENT
FORM: LOA 06-16
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted, the Applicant shall submit one original and two copies of the application and
supporting documentation
For more information, visit the Water Quality Permitting Section's Non -Discharge Permittini- Unit.
General — This document is an agreement between the Applicant and land owner(s) of residuals receiving sites for land application of
Class B residuals (may include water treatment plant or other type residuals) in accordance with 15A NCAC 02T .1100. Do not submit
this agreement for review without a corresponding application form (FORM: RLAP 06-16).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Land Owner Agreement (FORM: LOA 06-16):
❑ Submit the completed and appropriately executed Land Application Site Certification (FORM: LASC 06-16) form. Please do
not make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to
the application may be made, as long as the attachments are numbered to correspond to the section and item to which they
refer.
❑ Prepare a separate agreement for each set of land application sites that are owned or operated by an entity other than the
Applicant.
❑ A copy of the completed and appropriately executed agreement must be provided to the landowner and the lessee/operator.
AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND
The undersigned landowner or his representative hereby permits:
Applicant's name:
hereinafter referred to as the Permittee, to land apply residuals from the following facility(ies) onto the following land
application site(s) (i.e., see attached setback maps) in accordance with the stipulations and restrictions as given in this
Agreement:
Site/Field ID
Lease
(yes/no)
Land Use or
Cropping Patterns
Intended Use of Crops
Residuals Source
(optional)
Special note
(no-till/over-seed/
pasture)
LBI
No
Fescue
Hay
LB2
No
Fescue
Hay
LB3
No
Fescue
Hay
LB4
No
Fescue
Hay
LB5
No
Fescue
Hay
LB6
No
Fescue
Hay
The landowner or his representative receives, in consideration, full use of the nutrient value of the applied residuals while the
Permittee receives, in consideration, the use of the land application site(s) described above for the disposal of the residuals.
This Agreement shall remain in effect for the length of the Division's permit for the residuals land application program and
shall be renewed each time this permit is renewed.
The undersigned landowner or his representative and the Permittee agree to abide with the following restrictions and
stipulations until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement.
FORM: LOA 06-16 Page 1 of 3
I. STIPULATIONS:
1. The landowner or his representative shall not enter into any additional residuals application contracts or agreements with another permitted
entity for the site(s) specified by this Agreement.
2. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) to a third party, the landowner shall
be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement.
3. The landowner or his representative shall adhere to the provisions of this Agreement until all of the site restrictions (under Section II) are met.
4. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWR, Non -Discharge Permitting Unit, 1617 Mail
Service Center, Raleigh, NC 27699-1617.
5. The Permittee must request and obtain a permit modification from the Division prior to a transfer of the land application site(s) to a new
landowner. In addition, the current landowner shall give a notice to the new landowner that gives full details of the residuals applied at the land
application site(s).
6. The Permittee has provided the landowner or his representative with information and data concerning the residuals land application program,
including an analysis of constituents of the residuals, residuals application methods, schedules for typical cropping patterns, a description of the
equipment used by the Permittee.
7. The Permittee will provide the landowner or his representative with a copy of the residuals permit prior to commencement of any residuals land
application event and a copy of the results of each soil analysis.
8. If the soil pH of the land application site(s) is not maintained at 6.0 or greater, sufficient amounts of lime shall be applied to achieve a final soil
pH of at least 6.0, unless an agronomist provides information indicating that the pH of the soil, residuals and lime mixture is suitable for the
specified crop.
9. The landowner or his representative and the Permittee will agree on residuals application rates and schedules based on crop patterns, results of
soil samples, and the permitted application limits.
10. The landowner or his representative will provide the Permittee with information regarding the amount and analysis of other sources of nutrients
(e.g., fertilizer, unregulated animal waste, etc.) that have been applied to the land application site(s).
11. The landowner or his representative will inform the Permittee of any revisions or modifications to the intended use and cropping patterns for
the land application site(s) prior to each planting season to enable the Permittee to amend this Agreement and schedule residuals land application
events at appropriate periods.
12. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee, the landowner, or
his representative prior to and during a residuals land application event.
13. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to; enter and
inspect any property, premises, or place on or related to the land application site(s) at any reasonable time for the purpose of determining
compliance with the permit; establish monitoring facilities on or near the land application site(s) as required by the permit; copy any records
that must be kept under the terms and conditions of the permit; take necessary leachate, surface water, groundwater, or soil samples during the
term of, and 12 months after termination of, this Agreement.
II. RESTRICTIONS:
1. Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control public access to the land application
site(s) during active use and for the 12-month period following a residuals land application event. Such controls may include the posting of
signs that indicate the activities being conducted at the land application site(s).
2. Animals shall not be grazed on the land application site(s) for a 30-day period following a residuals land application event. Land application
sites that are to be used for grazing shall have fencing that will be used to prevent access during these periods after such residuals land application
events.
3. Food crops, feed crops, and fiber crops shall not be harvested for a 30-day period following a residuals land application event.
4. Food crops with harvested parts that touch the residuals/soil mixture and are totally above the land surface shall not be harvested for a 14-month
period following a residuals land application event.
5. Food crops with harvested parts below the surface of the land shall not be harvested for a 20-month period following a residuals land application
event when the residuals remain on the land surface for four months or longer prior to incorporation into the soil.
6. Food crops with harvested parts below the surface of the land shall not be harvested for a 38-month period following a residuals land application
event when the residuals remain on the land surface for less than four months prior to incorporation into the soil.
7. Turf grown on land where residuals are applied shall not be harvested for a 12-month period following a residuals land application event.
III.ALTERNATIVES FOR WATER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY: (please check one)
15A NCAC 02L .0107(d) prohibits water supply wells within the compliance boundary. However, 15A NCAC 02T .0105(h) allows the compliance
boundary to be placed closer to the waste disposal area, such that the water supply well is situated outside of the compliance boundary provided
the groundwater standards can be met at the newly -established compliance boundary. Please mark one of the following;
❑ A re -defined compliance boundary is needed for field(s) ID:
(Please include the rationale for the requested re -location of the compliance boundary and attach a map showing the newly proposed compliance
boundary to the application package)
® A re -defined compliance boundary is not needed for this site.
IV. ACKNOWLEDGEMENT OF FIELD TRANSFER: (if needed)
❑ The land application field(s) ID: , is currently permitted under another
residuals land application program; Permit Number WQ: The land owner hereby acknowledge that by signing this
agreement, he/she is requesting that the field(s) be removed from the previously permitted residuals land application program and transferred
into the new program;
(Name of the new program)
FORM: LOA 06-16 Page 2 of 3
Landowner's Certification:
I certify that I am a deeded landowner of the above -referenced land application site(s) and am authorized to make decisions
regarding the use of the land application site(s) on behalf of other deeded landowners OR that I am otherwise authorized, through
a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the
deeded landowners. I certify that the above -referenced land application site(s) are not included in any waste disposal contract or
agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement,
understand the stipulations, restrictions, alternatives for water supply wells inside the compliance boundary, acknowledgement of
field transfer, and do hereby grant permission to the Pennittee to land apply residuals to the land application site(s) as specified
herein.
Landowner name: Larry Bailey
Address: 2174 Salem Ch Rd.
City: _ Bostic State: _ NC Zip: 28018
Phone: 828-453-0396 E-mail address:
Signature: 10""04ft— /Lolf Date: �/ ) 3/2 N
NORTH CAROLINA, Rutherford COUNTY
I, the undersigned Notary Public do hereby certify that La.. Y Bailey
personally appeared before me this day and acknowledged the due execution of the forgoing instrument.
WITNESS my hand and official seal this the t
day of I 110,rc +*,
Signature and seal:
My commission expl
Lessee's/Operator's Certification:
C AkO � '
I11!1111 0
1 certify that l have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Lessee/operator name:
Address:
City:
Phone:
Signature:
Permittee's Certification:
State:
E-mail address:
Date:
Zip:
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Signing official name: Zach Key
Signature: /l Date:
5-10-2024
FORM: LOA 06-16 Page 3 of 3
Compliance and Review Boundaries:
The compliance boundary is established either 250 feet from the
edge of the residuals application area or 50 feet within the property
boundary, whichever is closest to the application area. The review
boundary is established halfway between the compliance boundary
and the edge of the residuals application area.
51
1%.
40*
V
Buffers 'jr
Property Line (50')
Surface Water (100')
Perennial Stream 100
House (400)
House (100')
Well (100')
Legend Well :
House►'
Propery Line x Soil Boring
Fleld Boundary Surface Water
Perennial Stream ® Unused Area e arAWAenter for Geographic4nformati
Bailey, Larry: Compliance and Review Field 161
Parcel: 1619517
0 140 280 560 Feet
Rutherford County, NC i I , I i . 1
35.3975,-81.7536 North Carolina 5tateplane. NAD83
f
r v
s
L
c.-
M
Compliance and Review Boundaries:
The compliance boundary is established either 250 feet from the .
edge of the residuals application area or 50 feet within the property+
boundary, whichever is closest to the application area. The review
boundary is established halfway between the compliance boundary �•
and the Prige of the residuals application area `
t.aLtll
kvw N
1
t
0
I
1
0
Buffers
Property Line (50')
Surface Water (100) �-
Perennial Stream (100')
House (400') v
House
Well (10000')
Legend
Well
House
Propery Line
x Soil Boring
Field Boundary
Surface Water
Perennial Stream
® Unused Area
Bailey, Larry: Compliance and Review Field 1-132
Parcels: 0319871, 0326478
Rutherford County, NC
0 125
i 1 ,
35.3992.-81.757
North Caroli
250
Map,.N.-
rd '
a
Sa�eR`
500 Feet
19Mi
-
Compliance and Review Boundaries:
The compliance boundary is established either 250 feet from the
edge of the residuals application area or 50 feet within the property
boundary, whichever is closest to the application area. The review
boundary is established halfway between the compliance boundary
and the edge of the residuals application area.
t l
f
Lii fail
Buffers
Property Line (50')
Surface Water (100')
Perennial Stream (100')
House (100') a
House (400),
Legend well:._;:
House .,
Propery Line x Soll Boring
Field Boundary Surface Water'
Perennial Stream ® Unused Area kneKiap NC Cent' fo'I`
Bailey, Larry: Compliance and Review Fields 1-133, 1-134, 1-65, 1-136
Parcel 0319871
0 250 500 1.000 Feet
Rutherford County, NC i 1 0 1 1 1 & i
c r,�arnati�Rrar,.�,a:rrrs .nv. .
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: U.S. Biosolids, Inc.
Land Owner: Larry Bailey
Operator: Larry Bailey
Crop 1 Name: Fescue
WQ Permit #: WQ0037105 Field #: NC-RU-LB
Annual Dry Tons Applied: 35.4808 Site #: 1
Predominant Soil Series: PbB2
Crop 1 Max. PAN:
178
Crop 2 Name:
Acres Utilized: 8
Acres Permitted: 8
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
o �
>~
o
Q
Volume applied
(enter one) Solids/
Liquid
Cu. Yds Gallons
%
Solids
Volume
Applied per
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
SoilPrecip.
Cond.
(Dry,
Wet
Moist
Past 24
Hrs.
inches
4 y
F
°o
*
o
.-
*
4
7y
?;
�.
*
TKN
mg/kg
Z a
: t
o
qQ .°n
E.
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
(lbs/acre)
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
2-2023
112
15.5
1.828
NCO025984
dry
0
s
0.5
0.3
46300
974
35.5
51.610
NA
Fescue
3-2023
70
15.5
1.142
NCO025984
dry
0
s
0.5
0.3
46300
974
35.5
32.256
NA
Fescue
8-2023
48
14.5
0.733
NCO025984
dry
0
s
0.5
0.3
63400
3920
82.8
29.142
NA
Fescue
9-2023
48
14.5
0.733
NCO025984
dry
0
s
0.5
0.3
63400
3920
82.8
29.142
NA
Fescue
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
1 0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form):
TOTALS]
2781
0
As
Cd
Cu
Cr
Pb
Hg
Mo
Ni
Se
Zn
P
142.1501
0.000
Lime Applied
Annuallbs/acre
0.039
0.021
3.450
0.389
0.566
0.010
0.065
0.147
0.095
12.720
182.508
Date
lbs/ac
Prior Years Cumulative lbs/ac
0.137
0.095
8.979
1.049
2.095
0.031
0.225
0.46
0.548
36.768
Current Cumulative lbs/ac
0.176
0.116
12.429
1.438
2.661
0.041
0.290
0.607
0.643
49.488
Permitted C. P. L. R.****
36
34
1338
NA
267
15
NA
74
89
2498
Permit PAN Limit 1 st/2nd Crop
I
"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."
G2 C /l4
Signature of Land Applier
2-23-2024
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: U.S. Biosolids, Inc.
Land Owner: Larry Bailey
Operator: Larry Bailey
Crop 1 Name: Fescue
WQ Permit #: WQ0037105 Field #: NC-RU-LB
Annual Dry Tons Applied: 39.1324 Site #: 2
Predominant Soil Series: PbB2
Crop 1 Max. PAN:
178
Crop 2 Name:
Acres Utilized: 11.7
Acres Permitted: 11.7
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
o
N
o
Q
Volume applied
(enter one) Solids/
Liquid
Cu. Yds Gallons
%
Solids
Volume
Applied per
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
SoilPrecip.
Cond.
(Dry,
Wet
Moist
Past 24
Hrs.
inches
y
4 �
N '�
zr
°o
* o
Z
o
�'
.-
*
=
7y
?; P
�.
*
TKN
mg/kg
Z a
: t
o
qQ E.
E.
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
(lbs/acre)
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
3-2023
112
15.5
1.250
NCO025984
dry
0
s
0.5
0.3
46300
974
35.5
35.289
NA
Fescue
7-2023
42
14.5
0.438
NCO025984
dry
0
s
0.5
0.3
63400
3920
82.8
17.435
NA
Fescue
10-2023
168
13.7
1.657
NCO025984
dry
0
s
0.5
0.3
70800
730
590
72.816
NA
Fescue
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form):
TOTALS]
322
o
As
Cd
Cu
Cr
Pb
H
Mo
Ni
Se
Zn
P
125,540
0.000
Lime Applied
Annuallbs/acre
0.030
0.014
2.558
0.284
0.390
0.009
0.051
0.112
0.072
9.679
145.391
Date
lbs/ac
Prior Years Cumulative lbs/ac
0.13
0.094
8.324
0.873
1.887
0.016
0.208
0.415
0.52
34.436
Current Cumulative lbs/ac
0.160
0.108
10.882
1.157
2.277
0.025
0.259
0.527
0.592
44.115
Permitted C. P. L. R.****
36
1 34
1 1338
1 NA
1 267
1 15
1 NA
1 74
1 89
1 2498
Permit PAN Limit 1 st/2nd Crop
I
F 178
"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."
/l4
Signature of Land Applier
2-23-2024
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: U.S. Biosolids, Inc.
Land Owner: Larry Bailey
Operator: Larry Bailey
Crop 1 Name: Fescue
WQ Permit #: WQ0037105 Field #: NC-RU-LB
Annual Dry Tons Applied: 11.0763 Site #: 3
Predominant Soil Series: PbB2
Crop 1 Max. PAN:
178
Crop 2 Name:
Acres Utilized: 3.1
Acres Permitted: 3.1
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
o �
>~
o
Q
Volume applied
(enter one) Solids/
Liquid
Cu. Yds Gallons
%
Solids
Volume
Applied per
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
SoilPrecip.
Cond.
(Dry,
Wet
Moist
Past 24
Hrs.
inches
4 y
F
°o
* o
o
.-
*
4
7y
?;
�.
*
TKN
mg/kg
Z a
: t
o
qQ .°n
E.
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
11-2023
96
13.7
3.573
NCO025984
dry
0
s
0.5
0.3
70800
730
590
157.040
NA
Fescue
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form):
TOTALS
961
0
As
Cd
Cu
Cr
Pb
Hg
Mo
Ni
Se
Zn
P
157.0401
0.000
Lime Applied
Annuallbs/acre
0.032
0.013
2.658
0.289
0.364
0.011
0.056
0.121
0.077
10.362
162.929
Date
lbs/ac
Prior Years Cumulative lbs/ac
0.103
0.064
6.81
0.754
1.398
0.011
0.155
1.441
0.308
28.258
Current Cumulative lbs/ac
0.135
0.077
9.468
1.043
1.762
0.022
0.211
1.562
0.385
38.620
Permitted C. P. L. R.****
36
34
1338
NA
267
15
NA
74
89
2498
Permit PAN Limit 1 st/2nd Crop
F 178
"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
2-23-2024
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: U.S. Biosolids, Inc.
Land Owner: Larry Bailey
Operator: Larry Bailey
Crop 1 Name: Fescue
WQ Permit #: WQ0037105 Field #: NC-RU-LB
Annual Dry Tons Applied: 9.6917 Site #: 4
Predominant Soil Series: PbB2
Crop 1 Max. PAN:
178
Crop 2 Name:
Acres Utilized: 5.4
Acres Permitted: 5.4
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
o �
>~
o
Q
Volume applied
(enter one) Solids/
Liquid
Cu. Yds Gallons
%
Solids
Volume
Applied per
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
SoilPrecip.
Cond.
(Dry,
Wet
Moist
Past 24
Hrs.
inches
y
4
F
°o
* o
o
.-
*
4
7y
?;
�.
*
TKN
mg/kg
Z a
: t
o
qQ .°n
E.
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
11-2023
84
13.7
1.795
NCO025984
dry
0
s
0.5
0.3
70800
730
590
78.883
NA
Fescue
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form):
TOTALS]
841
0
As
Cd
Cu
Cr
Pb
Hg
Mo
Ni
Se
Zn
P
78.883
0.000
Lime Applied
Annuallbs/acre
0.016
0.006
1.335
0.145
0.183
0.006
0.028
0.061
0.039
5.206
81.852 1
Date
lbs/ac
Prior Years Cumulative lbs/ac
0.111
0.072
7.241
0.735
1.506
0.011
0.166
1.332
0.319
30.547
Current Cumulative lbs/ac
0.127
0.078
8.576
0.880
1.689
0.017
0.194
1.393
0.358
35.753
Permitted C. P. L. R.****
36
34
1 1338
NA
267
15
NA
74
89
2498
Permit PAN Limit 1 st/2nd Crop
F 178
"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."
�K
Signature of Land Applier
2-23-2024
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: U.S. Biosolids, Inc.
Land Owner: Larry Bailey
Operator: Larry Bailey
Crop 1 Name: Fescue
WQ Permit #: WQ0037105 Field #: NC-RU-LB
Annual Dry Tons Applied: 15.2299 Site #: 5
Predominant Soil Series: PbB2
Crop 1 Max. PAN:
178
Crop 2 Name:
Acres Utilized: 4.6
Acres Permitted: 4.6
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
o �
>~
o
Q
Volume applied
(enter one) Solids/
Liquid
Cu. Yds Gallons
%
Solids
Volume
Applied per
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
SoilPrecip.
Cond.
(Dry,
Wet
Moist
Past 24
Hrs.
inches
4 y
F
°o
* o
o
.-
*
4
7y
?;
�.
*
TKN
mg/kg
Z a
: t
o
qQ .°n
E.
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
10-2023
132
13.7
3.311
NCO025984
dry
0
s
0.5
0.3
70800
730
590
145.518
NA
Fescue
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form):
TOTALS]
1321
o
As
Cd
Cu
Cr
Pb
Hg
Mo
Ni
Se
Zn
P
145.5181
0.000
Lime Applied
Annuallbs/acre
0.030
0.012
2.463
0.268
0.338
0.010
0.052
0.112
0.072
9.602
150.982
Date
lbs/ac
Prior Years Cumulative lbs/ac
0.05
0.037
3.023
0.272
0.708
0.005
0.072
0.137
0.158
13.335
Current Cumulative lbs/ac
0.080
0.049
5.486
0.540
1.046
0.015
0.124
0.249
0.230
22.937
Permitted C. P. L. R.****
36
34
1 1338
NA
267
15
NA
74
89
2498
Permit PAN Limit 1 st/2nd Crop
F 178
"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."
�K
Signature of Land Applier
2-23-2024
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: U.S. Biosolids, Inc.
Land Owner: Larry Bailey
Operator: Larry Bailey
Crop 1 Name: Fescue
WQ Permit #: WQ0037105 Field #: NC-RU-LB
Annual Dry Tons Applied: 11.0763 Site #: 6
Predominant Soil Series: PbB2
Crop 1 Max. PAN:
178
Crop 2 Name:
Acres Utilized: 3.3
Acres Permitted: 3.3
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
o �
>~
o
Q
Volume applied
(enter one) Solids/
Liquid
Cu. Yds Gallons
%
Solids
Volume
Applied per
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
SoilPrecip.
Cond.
(Dry,
Wet
Moist
Past 24
Hrs.
inches
4 y
F
°o
* o
o
.-
*
4
7y
?;
�.
*
TKN
mg/kg
Z a
: t
o
qQ .°n
E.
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
10-2023
96
13.7
3.356
NCO025984
dry
0
s
0.5
0.3
70800
730
590
147.522
NA
Fescue
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form):
TOTALS
961
0
As
Cd
Cu
Cr
Pb
Hg
Mo
Ni
Se
Zn
P
147.5221
0.000
Lime Applied
Annuallbs/acre
0.030
0.012
2.497
0.272
0.342
0.011
0.053
0.113
0.072
9.732
153.034
Date
lbs/ac
Prior Years Cumulative lbs/ac
0.367
0.047
3.795
0.28
0.867
0.006
0.089
0.169
0.174
17.018
Current Cumulative lbs/ac
0.397
0.059
6.292
0.552
1.209
0.017
0.142
0.282
0.246
26.750
Permitted C. P. L. R.****
36
34
1 1338
NA
267
15
NA
74
89
2498
Permit PAN Limit 1 st/2nd Crop
F 178
"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."
C1C /l4
Signature 6f Land Applier
2-23-2024
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)
DWR
Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
15A NCAC 02T .1100 — LAND OWNER AGREEMENT
FORM: LOA 06-16
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted, the Applicant shall submit one original and two copies of the application and
supporting documentation
For more information, visit the Water Quality Permitting Section's Non -Discharge Permittini- Unit.
General — This document is an agreement between the Applicant and land owner(s) of residuals receiving sites for land application of
Class B residuals (may include water treatment plant or other type residuals) in accordance with 15A NCAC 02T .1100. Do not submit
this agreement for review without a corresponding application form (FORM: RLAP 06-16).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Land Owner Agreement (FORM: LOA 06-16):
❑ Submit the completed and appropriately executed Land Application Site Certification (FORM: LASC 06-16) form. Please do
not make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to
the application may be made, as long as the attachments are numbered to correspond to the section and item to which they
refer.
❑ Prepare a separate agreement for each set of land application sites that are owned or operated by an entity other than the
Applicant.
❑ A copy of the completed and appropriately executed agreement must be provided to the landowner and the lessee/operator.
AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND
The undersigned landowner or his representative hereby permits:
Applicant's name:
hereinafter referred to as the Permittee, to land apply residuals from the following facility(ies) onto the following land
application site(s) (i.e., see attached setback maps) in accordance with the stipulations and restrictions as given in this
Agreement:
Site/Field ID
Lease
(yes/no)
Land Use or
Cropping Patterns
Intended Use of Crops
Residuals Source
(optional)
Special note
(no-till/over-seed/
pasture)
MH 2-1
No
Fescue
Hay
MH 2-2
No
Fescue
Hay
MH 2-4
No
Fescue
Hay
MH 2-5
No
Fescue
Hay
The landowner or his representative receives, in consideration, full use of the nutrient value of the applied residuals while the
Permittee receives, in consideration, the use of the land application site(s) described above for the disposal of the residuals.
This Agreement shall remain in effect for the length of the Division's permit for the residuals land application program and
shall be renewed each time this permit is renewed.
The undersigned landowner or his representative and the Permittee agree to abide with the following restrictions and
stipulations until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement.
FORM: LOA 06-16 Page 1 of 3
I. STIPULATIONS:
1. The landowner or his representative shall not enter into any additional residuals application contracts or agreements with another permitted
entity for the site(s) specified by this Agreement.
2. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) to a third party, the landowner shall
be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement.
3. The landowner or his representative shall adhere to the provisions of this Agreement until all of the site restrictions (under Section II) are met.
4. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWR, Non -Discharge Permitting Unit, 1617 Mail
Service Center, Raleigh, NC 27699-1617.
5. The Permittee must request and obtain a permit modification from the Division prior to a transfer of the land application site(s) to a new
landowner. In addition, the current landowner shall give a notice to the new landowner that gives full details of the residuals applied at the land
application site(s).
6. The Permittee has provided the landowner or his representative with information and data concerning the residuals land application program,
including an analysis of constituents of the residuals, residuals application methods, schedules for typical cropping patterns, a description of the
equipment used by the Permittee.
7. The Permittee will provide the landowner or his representative with a copy of the residuals permit prior to commencement of any residuals land
application event and a copy of the results of each soil analysis.
8. If the soil pH of the land application site(s) is not maintained at 6.0 or greater, sufficient amounts of lime shall be applied to achieve a final soil
pH of at least 6.0, unless an agronomist provides information indicating that the pH of the soil, residuals and lime mixture is suitable for the
specified crop.
9. The landowner or his representative and the Permittee will agree on residuals application rates and schedules based on crop patterns, results of
soil samples, and the permitted application limits.
10. The landowner or his representative will provide the Permittee with information regarding the amount and analysis of other sources of nutrients
(e.g., fertilizer, unregulated animal waste, etc.) that have been applied to the land application site(s).
11. The landowner or his representative will inform the Permittee of any revisions or modifications to the intended use and cropping patterns for
the land application site(s) prior to each planting season to enable the Permittee to amend this Agreement and schedule residuals land application
events at appropriate periods.
12. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee, the landowner, or
his representative prior to and during a residuals land application event.
13. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to; enter and
inspect any property, premises, or place on or related to the land application site(s) at any reasonable time for the purpose of determining
compliance with the permit; establish monitoring facilities on or near the land application site(s) as required by the permit; copy any records
that must be kept under the terms and conditions of the permit; take necessary leachate, surface water, groundwater, or soil samples during the
term of, and 12 months after termination of, this Agreement.
II. RESTRICTIONS:
1. Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control public access to the land application
site(s) during active use and for the 12-month period following a residuals land application event. Such controls may include the posting of
signs that indicate the activities being conducted at the land application site(s).
2. Animals shall not be grazed on the land application site(s) for a 30-day period following a residuals land application event. Land application
sites that are to be used for grazing shall have fencing that will be used to prevent access during these periods after such residuals land application
events.
3. Food crops, feed crops, and fiber crops shall not be harvested for a 30-day period following a residuals land application event.
4. Food crops with harvested parts that touch the residuals/soil mixture and are totally above the land surface shall not be harvested for a 14-month
period following a residuals land application event.
5. Food crops with harvested parts below the surface of the land shall not be harvested for a 20-month period following a residuals land application
event when the residuals remain on the land surface for four months or longer prior to incorporation into the soil.
6. Food crops with harvested parts below the surface of the land shall not be harvested for a 38-month period following a residuals land application
event when the residuals remain on the land surface for less than four months prior to incorporation into the soil.
7. Turf grown on land where residuals are applied shall not be harvested for a 12-month period following a residuals land application event.
III.ALTERNATIVES FOR WATER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY: (please check one)
15A NCAC 02L .0107(d) prohibits water supply wells within the compliance boundary. However, 15A NCAC 02T .0105(h) allows the compliance
boundary to be placed closer to the waste disposal area, such that the water supply well is situated outside of the compliance boundary provided
the groundwater standards can be met at the newly -established compliance boundary. Please mark one of the following;
❑ A re -defined compliance boundary is needed for field(s) ID:
(Please include the rationale for the requested re -location of the compliance boundary and attach a map showing the newly proposed compliance
boundary to the application package)
® A re -defined compliance boundary is not needed for this site.
IV. ACKNOWLEDGEMENT OF FIELD TRANSFER: (if needed)
❑ The land application field(s) ID: , is currently permitted under another
residuals land application program; Permit Number WQ: The land owner hereby acknowledge that by signing this
agreement, he/she is requesting that the field(s) be removed from the previously permitted residuals land application program and transferred
into the new program;
(Name of the new program)
FORM: LOA 06-16 Page 2 of 3
Landowner's Certification:
I certify that I am a deeded landowner of the above -referenced land application site(s) and am authorized to make decisions
regarding the use of the land application site(s) on behalf of other deeded landowners OR that I am otherwise authorized, through
a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the
deeded landowners. I certify that the above -referenced land application site(s) are not included in any waste disposal contract or
agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement,
understand the stipulations, restrictions, alternatives for water supply wells inside the compliance boundary, acknowledgement of
field transfer, and do hereby grant permission to the Permittee to land apply residuals to the land application site(s) as specified
herein.
Landowner name: Charlie Killian
Address: 14109 LUCIA RIVERBEND HWY
City: Mt, Holly State: NC Zip: 28120
Phone: l E-mail address:
Signature: Date:
NORTH CAROLINA, Gaston COUNTY
I, the undersigned Notary Public do hereby certify that Charlie Killian
personally appeared before me this day and acknowledged the due execution of the forgoing instrument.
WITNESS my hand and official seal this the
day of ��1VVL1Millllllp�� - —
Signature and seal:
My commission expires:
(i_ 4.2 $ = Notary Public _
Lessee's/Operator's Certification: '� �nj rCA
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Lessee/operator name:
Address:
City:
Phone:
Signature:
Permittee's Certification:
State:
E-mail address:
Date:
Zip: _
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Signing official name: Zach Key
Signature: KP-�L Date: 4-1-2024
FORM: LOA 06-16 Page 3 of 3
ANNUAL LAND APPLICATION FIELD SUMMARY FORM \ PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH APPLICATION FIELD.
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: City of Mount Holly Permit #: W 0001863
Q Annual Dry Tons Applied: 55.099044
Owner: Chales Killian Operator: Charles Killian
Site #: MH 02-01 Cation Exchange Capacity (non 503 -
Li Field #: MH 02-01 Acres Utilized: 33.3 �
Acres Permitted: 33.3
Specify ne
$ ;
Gal•
Totals
%
Dry Tons Per
Residual
Cond.
Inches
Appli-
Vola-
Miner -
Ammo
Ni-
0
C]
Re.Yrt
Revort
Per
Solid
Acre
Sources
�'
Precip.
cation
tili-
ali-
TKN
nia-
[rate
Totals
Acre
s
(Summarize)
Wet
Past 24
Meth-
zation
zation
Ni-
and
in Gal.
Hrs.
od*
Rate**
Rate
trogen
Nitrite
6-2008
429000
12883
3.08
1.654625946
WWTP
dry
0
0
p
s
0.5
300/. 89300
1010o
I
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Must Select
PAN 1 PAN 2 Crop I or Crol
2
Crop 1 Crop ;
Fescue
0.00825
I.0263
0.066
riMo
Ni
Se
Zn P PAN 1 PANslacre
lbs/ac
0.00825
0.0033
0.0231
00891
0.01221
1.7I93 5412953429 0emulative
Cumulativetbs/ac
W004290.6864
1.0263
0.066
0.0033
0.0231
0.0891
001221
1.7193s
C. P. L. R.***
36
0
0
0
J Limit lstl2nd Cron
A
1338
257
15
NA
374
89
2498
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a sy250
stem
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."
d�
Signature of Land Applier 9 �� *Application Method: S - Surface, IN - Injection, INC - Incorporation
Date **Volatilization Rate- Surface - 0.5. lniection/lncorvoration - 1.0
***C.P.L.R.: Cumulative Pollutant Loadine Rate
s s s s The RSSF Data and the Dry Tons Per Acre are to be entered on the MFLSF Form. The FSF and MFLSF are mathematically linked so this information needs to be entered into
the same numbered column on the MFLSF as is entered on the identically numbered FSF row to properly complete the metals equations. ie. FSF row # I to MFLSF column # 1.
DENR FORM FSF (5/2003)
ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PL
Facility Name: Town of Dallas
Land Owner: Charles Killian
Operator: Charles Killian
Crop f Name: Fescue
ACE A N/A IN A BLANK OR BOX WHEN NOT APPLICABLE.
WQ Permit #: WQ0020912 Field #: MH 02-02 Acres Utilized: 30.1
Annual Dry Tons Applied: 0.5123 Site #: MH 02-02 Acres Permitted: 30.1
Predominant Soil Series: Cecil Cation Exchange Capacity (non 503):
Crop 1 Max. PAN: 209 Crop 2 Name: r-- I ..-- -
M Volume applied
Volume
Residual Sources
Soil
Preci
y
•
2.
a
.....t.
., naax. rein:
(enter one) Solids/ %
Applied per
(NPDES #, WQ#,
Cond.
Past 24
o a
z v
o
Z 3
Nitrate
PAN Applied
Name of Cmp Type
�m Liquid Solids
Acre
Fem, Animal
(Dry'
IIrs.
ii 0
: q'
: ^
7
°:
�d
(Ibs/acre )
Receiving Residual
Cu. Yds Gallons
Waste, etc)
We[,
a c
; �+
w"
Nitrite
Application
5-2014 58500 0.21
(Dry Tom/Ac)
0.017
WQ0020912
Moist )
dry
;
mgn g
mgn g
ngn g
Crop 1
Crop 2
Crop 1
Crop 2
0.000
0
s
0.5
03
71400
33300
2
0.956
NA
Fescue
0.000
0.000
0.000
0.000
0.000
0.000
o.o oo
o.000
0.000
o.000
o.000
0.000
o.000
o.000
0.000
o.000
0.000
o.000
o.000
a.000
0.000
o.000
o.000
o.000
0.000
o.00a o.000
0.000
o.00a
o.000
Residuals Applications totals oo FORM FSF supp ( attach FORM FSF
o.000
o.000
)rAls: o sssoo
As
Cd Cu
Cr
Pb
supp
to this
form):
unuallbs/acre
0.000
0.000 0.008
0.001
H
Mo
Ni
Se
Zn
P
0.956
0.000
Lime A lied
.ior Years Cumulative lbs/ac
0.021
0.008 3.156
0.001
0.000 1
0.000
0.000
0.000
0.023
0.830
Date
Ibs/ac
intent Cumulative Ibs/ae
0.021
0.008 3.1"
1.366
0.142 1
0.005 1
0.07 10.18
0.034
4.817
12-2014
1000
omitted C. P. L. R.****
36
1.367
0.143
0.005
0.070
0.180
0.034
4.840
:rnlit PAN Limit ]st/2nd Crop
34 1 1338 I
NA
267
IS 1
NA 1
374 1
89
2498
209
certify, under penalty of law
that this document
was prepared under my direction or supervision in accordance with a system designed to assure that
ialifed personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
formation, including the possibility of fines and imprisonment for knowing violations."
Signature of Land Applier
*Application Method: S - Surface, IN- Injection, INC- Incorporation
**Volatilization Rate: Surface - 0.5, Injectionancorporation - 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
Facility Name: U.S. Biosolids, Inc.
Land Owner: Charles Killain
Operator: Charles Killain
Crop 1 Name: Fescue
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
WQ Permit #: WQ0037135 Field #: NC-GA-MH-2
Annual Dry Tons Applied: 8.2399 Site #: 4
Predominant Soil Series: CeB2
Crop 1 Max. PAN
209
Crop 2 Name:
Acres Utilized: 4.3
Acres Permitted: 4.3
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
o
N
p
Q
Volume applied
(enter one) Solids/
Liquid
Cu. Yds Gallons
%
Solids
Volume
Applied per
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
SoilPrecip.
Cond.
(Dry,
Wet
Moist
Past 24
Hrs.
inches
y
4 �
N '�
�
°o
* Z
o
�'
.-
*
=
7y
?; P
�.
*
TKN
mg/kg
Z a
: t
o
qQ E.
E.
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
8-2023
65000
3.04
1.916
NCO021181
dry
0
s
0.5
0.3
149000
3330
343
175.181
NA
Fescue
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
1 0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form):
TOTALS]
01
65000
As
Cd
Cu
Cr
Pb
Hg
Mo
Ni
Se
Zn
P
175.181
0.000
Lime Applied
Annuallbs/acre
0.064
0.013
1.261
0.231
0.068
0.024
0.032
0.081
0.064
7.204
106.913
Date
lbs/ac
Prior Years Cumulative lbs/ac
0.252
0.054
8.415
2.551
0.592
0.022
0.175
0.533
0.262
36.276
Current Cumulative lbs/ac
0.316
0.067
9.676
2.782
0.660
0.046
0.207
0.614
0.326
43.480
Permitted C. P. L. R.****
36
34
1 1338
NA
1 267
15
NA
74
1 89
1 2498
Permit PAN Limit I st/2nd Crop
F 2-09
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
/1 'e
Signature of Land Applier
2-12-2024
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
Facility Name: U.S. Biosolids, Inc.
Land Owner: Charles Killain
Operator: Charles Killain
Crop 1 Name: Fescue
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
WQ Permit #: WQ0037135 Field #: NC-GA-MH-2
Annual Dry Tons Applied: 12.3599 Site #: 5
Predominant Soil Series: CeB2
Crop 1 Max. PAN
209
Crop 2 Name:
Acres Utilized: 24.6
Acres Permitted: 24.6
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
o
N
p
Q
Volume applied
(enter one) Solids/
Liquid
Cu. Yds Gallons
%
Solids
Volume
Applied per
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
SoilPrecip.
Cond.
(Dry,
Wet
Moist
Past 24
Hrs.
inches
y
4 �
N '�
�
°o
* Z
o
�'
.-
*
=
7y
?; P
�.
*
TKN
mg/kg
Z a
: t
o
qQ E.
E.
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
8-2023
97500
3.04
0.502
NCO021181
dry
0
s
0.5
0.3
149000
3330
343
45.932
NA
Fescue
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
1 0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form):
TOTALS
01
97500
As
Cd
Cu
Cr
Pb
Hg
Mo
Ni
Se
Zn
P
45.932
0.000
Lime Applied
Annuallbs/acre
0.017
0.003
0.330
0.061
0.018
0.006
0.008
0.021
0.017
1.888
28.012
Date
lbs/ac
Prior Years Cumulative lbs/ac
1.544
0.193
27.839
7.86
3.472
0.129
0.719
15.447
0.344
86.01
Current Cumulative lbs/ac
1.561
0.196
28.169
7.921
3.490
0.135
0.727
15.468
0.361
87.898
Permitted C. P. L. R.****
36
34
1 1338
NA
1 267
15
NA
74
1 89
1 2498
Permit PAN Limit I st/2nd Crop
F 2-09
"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."
/l 4
Signature of Land Applier
2-12-2024
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)
� A24.6 Acres
MH2-1
28.5 Acres
Killian Farm: Buffer Man
Parcels: 3680975479, 3680987280, 3690065812,
3690178949,3690270469
Gaston County, NC
35.3995,-81.0477
MH2-5
24.6 Acres
ago
Buffers
Property Line (50') 0 House (400')
Surface Water (100') 0 Well (100')
0 Perennial Stream (100')
Legend
Property Line House
Field Boundary 0 Surface Water
Perennial Stream ®Unused Area
• Well
0 250 500 750 1000ft
I I I I I
North Carolina State Plane, NAD83
N
W E
S
Produced: 2024
Created by: Joseph Jarvis
DWR
Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
15A NCAC 02T .1100 — LAND OWNER AGREEMENT
FORM: LOA 06-16
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted, the Applicant shall submit one original and two copies of the application and
supporting documentation
For more information, visit the Water Quality Permitting Section's Non -Discharge Permitting Unit.
General — This document is an agreement between the Applicant and land owner(s) of residuals receiving sites for land application of
Class B residuals (may include water treatment plant or other type residuals) in accordance with 15A NCAC 02T .1100. Do not submit
this agreement for review without a corresponding application form (FORM: RLAP 06-16).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Land Owner Agreement (FORM: LOA 06-16):
❑ Submit the completed and appropriately executed Land Application Site Certification (FORM: LASC 06-16) form. Please do
not make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to
the application may be made, as long as the attachments are numbered to correspond to the section and item to which they
refer.
❑ Prepare a separate agreement for each set of land application sites that are owned or operated by an entity other than the
Applicant.
❑ A copy of the completed and appropriately executed agreement must be provided to the landowner and the lessee/operator.
AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND
The undersigned landowner or his representative hereby permits:
Applicant's name:
hereinafter referred to as the Permittee, to land apply residuals from the following facility(ies) onto the following land
application site(s) (i.e., see attached setback maps) in accordance with the stipulations and restrictions as given in this
Agreement:
Site/Field ID
Lease
(yes/no)
Land Use or
Cropping Patterns
Intended Use of Crops
Residuals Source
(optional)
Special note
(no-till/over-seed/
pasture)
FLAT
No
Fescue
Hay
FLA2
No
Fescue
Hay
FLB1
No
Fescue
Hay
FLB2
No
Fescue
Hay
FLB3
No
Fescue
Hay
FLB4
No
Fescue
Hay
FLCI
No
Fescue
Hay
The landowner or his representative receives, in consideration, full use of the nutrient value of the applied residuals while the
Permittee receives, in consideration, the use of the land application site(s) described above for the disposal of the residuals.
This Agreement shall remain in effect for the length of the Division's permit for the residuals land application program and
shall be renewed each time this permit is renewed.
The undersigned landowner or his representative and the Permittee agree to abide with the following restrictions and
stipulations until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement.
FORM: LOA 06-16 Page 1 of 3
I. STIPULATIONS:
1. The landowner or his representative shall not enter into any additional residuals application contracts or agreements with another permitted
entity for the site(s) specified by this Agreement.
2. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) to a third party, the landowner shall
be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement.
3. The landowner or his representative shall adhere to the provisions of this Agreement until all of the site restrictions (under Section II) are met.
4. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWR, Non -Discharge Permitting Unit, 1617 Mail
Service Center, Raleigh, NC 27699-1617.
5. The Permittee must request and obtain a permit modification from the Division prior to a transfer of the land application site(s) to a new
landowner. In addition, the current landowner shall give a notice to the new landowner that gives full details of the residuals applied at the land
application site(s).
6. The Permittee has provided the landowner or his representative with information and data concerning the residuals land application program,
including an analysis of constituents of the residuals, residuals application methods, schedules for typical cropping patterns, a description of the
equipment used by the Permittee.
7. The Permittee will provide the landowner or his representative with a copy of the residuals permit prior to commencement of any residuals land
application event and a copy of the results of each soil analysis.
8. If the soil pH of the land application site(s) is not maintained at 6.0 or greater, sufficient amounts of lime shall be applied to achieve a final soil
pH of at least 6.0, unless an agronomist provides information indicating that the pH of the soil, residuals and lime mixture is suitable for the
specified crop.
9. The landowner or his representative and the Permittee will agree on residuals application rates and schedules based on crop patterns, results of
soil samples, and the permitted application limits.
10. The landowner or his representative will provide the Permittee with information regarding the amount and analysis of other sources of nutrients
(e.g., fertilizer, unregulated animal waste, etc.) that have been applied to the land application site(s).
11. The landowner or his representative will inform the Permittee of any revisions or modifications to the intended use and cropping patterns for
the land application site(s) prior to each planting season to enable the Permittee to amend this Agreement and schedule residuals land application
events at appropriate periods.
12. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee, the landowner, or
his representative prior to and during a residuals land application event.
13. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to; enter and
inspect any property, premises, or place on or related to the land application site(s) at any reasonable time for the purpose of determining
compliance with the permit; establish monitoring facilities on or near the land application site(s) as required by the permit; copy any records
that must be kept under the terms and conditions of the permit; take necessary leachate, surface water, groundwater, or soil samples during the
term of, and 12 months after termination of, this Agreement.
II. RESTRICTIONS:
1. Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control public access to the land application
site(s) during active use and for the 12-month period following a residuals land application event. Such controls may include the posting of
signs that indicate the activities being conducted at the land application site(s).
2. Animals shall not be grazed on the land application site(s) for a 30-day period following a residuals land application event. Land application
sites that are to be used for grazing shall have fencing that will be used to prevent access during these periods after such residuals land application
events.
3. Food crops, feed crops, and fiber crops shall not be harvested for a 30-day period following a residuals land application event.
4. Food crops with harvested parts that touch the residuals/soil mixture and are totally above the land surface shall not be harvested for a 14-month
period following a residuals land application event.
5. Food crops with harvested parts below the surface of the land shall not be harvested for a 20-month period following a residuals land application
event when the residuals remain on the land surface for four months or longer prior to incorporation into the soil.
6. Food crops with harvested parts below the surface of the land shall not be harvested for a 38-month period following a residuals land application
event when the residuals remain on the land surface for less than four months prior to incorporation into the soil.
7. Turf grown on land where residuals are applied shall not be harvested for a 12-month period following a residuals land application event.
III.ALTERNATIVES FOR WATER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY: (please check one)
15A NCAC 02L .0107(d) prohibits water supply wells within the compliance boundary. However, 15A NCAC 02T .0105(h) allows the compliance
boundary to be placed closer to the waste disposal area, such that the water supply well is situated outside of the compliance boundary provided
the groundwater standards can be met at the newly -established compliance boundary. Please mark one of the following;
❑ A re -defined compliance boundary is needed for field(s) ID:
(Please include the rationale for the requested re -location of the compliance boundary and attach a map showing the newly proposed compliance
boundary to the application package)
[R A re -defined compliance boundary is not needed for this site.
IV. ACKNOWLEDGEMENT OF FIELD TRANSFER: (if needed)
❑ The land application field(s) ID: , is currently permitted under another
residuals land application program; Permit Number WQ: The land owner hereby acknowledge that by signing this
agreement, he/she is requesting that the field(s) be removed from the previously permitted residuals land application program and transferred
into the new program;
(Name of the new program)
FORM: LOA 06-16 Page 2 of 3
Landowner's Certification:
I certify that I am a deeded landowner of the above -referenced land application site(s) and am authorized to make decisions
regarding the use of the land application site(s) on behalf of other deeded landowners OR that I am otherwise authorized, through
a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the
deeded landowners. I certify that the above -referenced land application site(s) are not included in any waste disposal contract or
agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement,
understand the stipulations, restrictions, alternatives for water supply wells inside the compliance boundary, acknowledgement of
field transfer, and do hereby grant permission to the Permittee to land apply residuals to the land application site(s) as specified
herein.
Landowner name: Frank Lawson
Address: PO Box 1061
City: Ellenboro State
NC
Phone: ,828-453-0113 ) E-mail address:
Signature: l �''' /"��" Date
NORTH CAROLINA, Rutherford COUNTY
1, the undersigned Notary Public do hereby certify that Frank Lawson
Zip: 28040
,r?-Z7
personally appeared before me this day and acknowledged the due execution of the forgoing instrument.
Ir �•
WITNESS my hand and official sea] this the t 3 �'
day of m Ar C L,
Signature and seal:
My commission expires: `f ' 9' 2f
Notc�tV cop" —
Lessee's/Operator's Certification:
I certify that I have read this Agreement and do hereby agree to abide by th��fa' ` Nestrictions as specified herein.
!l1 f f 11101111
Lessee/operator name:
Address:
City:
Phone:
Signature:
Permittee's Certification:
State:
E-mail address:
, 20 :2
,,is HIJ41!//
Date:
Zip:
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Signing official name: Zach Key _
Signature:
X Date: 4-1-2024
FORM: LOA 06-16 Page 3 of 3
DWR
Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
15A NCAC 02T .1100 — LAND OWNER AGREEMENT
FORM: LOA 06-16
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted, the Applicant shall submit one original and two copies of the application and
supporting documentation
For more information, visit the Water Quality Permitting Section's Non -Discharge Permittini- Unit.
General — This document is an agreement between the Applicant and land owner(s) of residuals receiving sites for land application of
Class B residuals (may include water treatment plant or other type residuals) in accordance with 15A NCAC 02T .1100. Do not submit
this agreement for review without a corresponding application form (FORM: RLAP 06-16).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Land Owner Agreement (FORM: LOA 06-16):
❑ Submit the completed and appropriately executed Land Application Site Certification (FORM: LASC 06-16) form. Please do
not make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to
the application may be made, as long as the attachments are numbered to correspond to the section and item to which they
refer.
❑ Prepare a separate agreement for each set of land application sites that are owned or operated by an entity other than the
Applicant.
❑ A copy of the completed and appropriately executed agreement must be provided to the landowner and the lessee/operator.
AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND
The undersigned landowner or his representative hereby permits:
Applicant's name:
hereinafter referred to as the Permittee, to land apply residuals from the following facility(ies) onto the following land
application site(s) (i.e., see attached setback maps) in accordance with the stipulations and restrictions as given in this
Agreement:
Site/Field ID
Lease
(yes/no)
Land Use or
Cropping Patterns
Intended Use of Crops
Residuals Source
(optional)
Special note
(no-till/over-seed/
pasture)
TLI
No
Corn
Silage
TL2
No
Corn
Silage
TL3
No
Corn
Silage
TL4
No
Corn
Silage
The landowner or his representative receives, in consideration, full use of the nutrient value of the applied residuals while the
Permittee receives, in consideration, the use of the land application site(s) described above for the disposal of the residuals.
This Agreement shall remain in effect for the length of the Division's permit for the residuals land application program and
shall be renewed each time this permit is renewed.
The undersigned landowner or his representative and the Permittee agree to abide with the following restrictions and
stipulations until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement.
FORM: LOA 06-16 Page 1 of 3
I. STIPULATIONS:
1. The landowner or his representative shall not enter into any additional residuals application contracts or agreements with another permitted
entity for the site(s) specified by this Agreement.
2. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) to a third party, the landowner shall
be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement.
3. The landowner or his representative shall adhere to the provisions of this Agreement until all of the site restrictions (under Section II) are met.
4. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWR, Non -Discharge Permitting Unit, 1617 Mail
Service Center, Raleigh, NC 27699-1617.
5. The Permittee must request and obtain a permit modification from the Division prior to a transfer of the land application site(s) to a new
landowner. In addition, the current landowner shall give a notice to the new landowner that gives full details of the residuals applied at the land
application site(s).
6. The Permittee has provided the landowner or his representative with information and data concerning the residuals land application program,
including an analysis of constituents of the residuals, residuals application methods, schedules for typical cropping patterns, a description of the
equipment used by the Permittee.
7. The Permittee will provide the landowner or his representative with a copy of the residuals permit prior to commencement of any residuals land
application event and a copy of the results of each soil analysis.
8. If the soil pH of the land application site(s) is not maintained at 6.0 or greater, sufficient amounts of lime shall be applied to achieve a final soil
pH of at least 6.0, unless an agronomist provides information indicating that the pH of the soil, residuals and lime mixture is suitable for the
specified crop.
9. The landowner or his representative and the Permittee will agree on residuals application rates and schedules based on crop patterns, results of
soil samples, and the permitted application limits.
10. The landowner or his representative will provide the Permittee with information regarding the amount and analysis of other sources of nutrients
(e.g., fertilizer, unregulated animal waste, etc.) that have been applied to the land application site(s).
11. The landowner or his representative will inform the Permittee of any revisions or modifications to the intended use and cropping patterns for
the land application site(s) prior to each planting season to enable the Permittee to amend this Agreement and schedule residuals land application
events at appropriate periods.
12. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee, the landowner, or
his representative prior to and during a residuals land application event.
13. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to; enter and
inspect any property, premises, or place on or related to the land application site(s) at any reasonable time for the purpose of determining
compliance with the permit; establish monitoring facilities on or near the land application site(s) as required by the permit; copy any records
that must be kept under the terms and conditions of the permit; take necessary leachate, surface water, groundwater, or soil samples during the
term of, and 12 months after termination of, this Agreement.
II. RESTRICTIONS:
1. Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control public access to the land application
site(s) during active use and for the 12-month period following a residuals land application event. Such controls may include the posting of
signs that indicate the activities being conducted at the land application site(s).
2. Animals shall not be grazed on the land application site(s) for a 30-day period following a residuals land application event. Land application
sites that are to be used for grazing shall have fencing that will be used to prevent access during these periods after such residuals land application
events.
3. Food crops, feed crops, and fiber crops shall not be harvested for a 30-day period following a residuals land application event.
4. Food crops with harvested parts that touch the residuals/soil mixture and are totally above the land surface shall not be harvested for a 14-month
period following a residuals land application event.
5. Food crops with harvested parts below the surface of the land shall not be harvested for a 20-month period following a residuals land application
event when the residuals remain on the land surface for four months or longer prior to incorporation into the soil.
6. Food crops with harvested parts below the surface of the land shall not be harvested for a 38-month period following a residuals land application
event when the residuals remain on the land surface for less than four months prior to incorporation into the soil.
7. Turf grown on land where residuals are applied shall not be harvested for a 12-month period following a residuals land application event.
III.ALTERNATIVES FOR WATER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY: (please check one)
15A NCAC 02L .0107(d) prohibits water supply wells within the compliance boundary. However, 15A NCAC 02T .0105(h) allows the compliance
boundary to be placed closer to the waste disposal area, such that the water supply well is situated outside of the compliance boundary provided
the groundwater standards can be met at the newly -established compliance boundary. Please mark one of the following;
❑ A re -defined compliance boundary is needed for field(s) ID:
(Please include the rationale for the requested re -location of the compliance boundary and attach a map showing the newly proposed compliance
boundary to the application package)
® A re -defined compliance boundary is not needed for this site.
IV. ACKNOWLEDGEMENT OF FIELD TRANSFER: (if needed)
❑ The land application field(s) ID: , is currently permitted under another
residuals land application program; Permit Number WQ: The land owner hereby acknowledge that by signing this
agreement, he/she is requesting that the field(s) be removed from the previously permitted residuals land application program and transferred
into the new program;
(Name of the new program)
FORM: LOA 06-16 Page 2 of 3
Landowner's Certification:
I certify that I am a deeded landowner of the above -referenced land application site(s) and am authorized to make decisions
regarding the use of the land application site(s) on behalf of other deeded landowners OR that I am otherwise authorized, through
a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the
deeded landowners. I certify that the above -referenced land application site(s) are not included in any waste disposal contract or
agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement,
understand the stipulations, restrictions, alternatives for water supply wells inside the compliance boundary, acknowledgement of
field transfer, and do hereby grant permission to the Permittee to land apply residuals to the land application site(s) as specified
herein.
Landowner name: Eva Lucas
Address: 191 Burcham Road
City: Roaring River State: NC Zip: 28669
Phone: ('3'36-957-8091 E-mail address: 2
Signature: (.�.�A 4—Date:
NORTH CAROLINA, Wilkes COUNTY
1, the undersigned Notary Public do hereby certify that Eva Jolly Lucas
personally appeared before me this day and acknowledged the due execution of the forgoing instru"gilf„, J
WITNESS my hand and official seat this the 41A.1'p,CNER�'��
day of l 7 1 Or-C. i^. 20 O
' W I %JF Y g0707
�f% = Signature and seal: Wlfkes County
My commission exp Irs. ` oZ fJ O,o_
EM
Lessee's/Operator's Certification:
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Lessee/operator name:
Address:
City:
Phone:
Signature:
Permittee's Certification:
State:
E-mail
Date:
Zip:
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Signing official name: Zach Key
Signature: zl�-4 /� Date: 4-1-2024
FORM: LOA 06-16 Page 3 of 3
Greenhorn Rd.
TL1
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Southern Soil Builders, Lucas & Bodsford Tract - TL1
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191 Burcham Rd. Roaring River, NC
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Wilkes County, NC
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5/11/24, 9:26 PM Wilkes County Tax Administration
PARID: 0607141
BLEVINS, TRISTEN
824 GRACE HOWARD RD
Parcel
ParlD / PIN:
0607141 / 4902-90-2549
Tax Year:
2024
Tax District:
06 : Edwards
Neighborhood
508: NBHD 508
Old NBHD:
257
Ortho:
4902
Owner
Account Number:
200482
Name:
BLEVINS, TRISTEN
Name 2:
BENGE, COLBY
Care Of:
Mailing Address:
1481 BYRD RD
ROARING RIVER NC 28669
Current Book/Page: 1323/285
Description
NBHD Code / Name:
508: NBHD 508
Class:
R1 : RESIDENTIAL
Use Code:
910 : UNDEVELOPED LAND
Appraisal Territory:
3
Zoning:
Living Units:
0
Topography:
3: BELOW STREET
Location:
Parking:
Utilities:
7 : NONE
Restrictions:
Taxable Acres:
4.92
Valuation
Appraised Land:
23,500
Appraised Building:
0
Appraised Total:
23,500
Deferred:
20,200
Exempts/Excluded:
0
Assessed Real:
3,300
Total Assessed:
3,300
Legal
Physical Address: 824 GRACE HOWARD RD
Tax District Setup
Tax Dist 1: F16 : 100% : Sheperds Crossroads
Tax Dist 2: G01 : 100% : Wilkes County
Tax Dist 3:
Recorded Transaction
Date Book Page Instrument
15-FEB-21 1323 285 WD - WARRANTY DEED
Sale Price Validity Code
08
https://parcelinfo.wilkescounty.net/Datalets/PrintDatalet.aspx?pin=0607141 &gsp=PROFI LEALL&taxyear=2024&jur=097&ownseq=0&card=l &roll=RE... 1 /1
Waypointo
ANALYTICAL
1 /2/2024
US Biosolids Inc
Dennis Key
958 Hoots Road
Roaring River, NC, 28669
Ref: Analytical Testing
Report Number: 23-347-0002
Project Description: Dallas
7621 Whitepine Road, Richmond, VA 23237
Main 804-743-9401 ° Fax 804-271-6446
www.waypointanalytical.com
Dear Dennis Key:
Waypoint Analytical Virginia, Inc. received sample(s) on 12/13/2023 for the analyses presented in the following
report.
The above referenced project has been analyzed per your instructions. The analyses were performed in
accordance with the applicable analytical method. Sub -contracted testing is noted on the Sample Summary Table
if applicable.
The analytical data has been validated using standard quality control measures performed as required by the
analytical method. Quality Assurance, method validations, instrumentation maintenance and calibration for all
parameters (NELAP and non-NELAP) were performed in accordance with guidelines established by the USEPA
(including 40 CFR 136 Method Update Rule May 2012) and NELAC unless otherwise indicated.
Certain parameters (chlorine, pH, dissolved oxygen, sulfite...) are required to be analyzed within 15 minutes of
sampling. Usually, but not always, any field parameter analyzed at the laboratory is outside of this holding time
Refer to sample analysis time for confirmation of holding time compliance.
The results are shown on the attached Report of Analysis(s). Results for solid matrices are reported on an as -
received basis unless otherwise indicated. This report shall not be reproduced except in full and relates only to
the samples included in this report.
Please do not hesitate to contact me or client services if you have any questions or need additional information
Sincerely,
Brandi Watson
Laboratory's liability in any claim relating to analyses performed shall be limited to, at laboratory's option, repeating the
analysis in question at laboratory's expense, or the refund of the charges paid for performance of said analysis.
Page 1 of 10
(2)
Waypoint, 7621 Whitepine Road, Richmond, VA 23237
Main 804-743-9401 ° Fax 804-271-6446
ANALYTICAL www.waypointanalytical.com
Sample Summary Table
Report Number: 23-347-0002
Client Project Description: Dallas
Lab No Client Sample ID Matrix Date Collected Date Received Method Lab ID
64120
Dallas
Solids
64120
Dallas
Solids
64120
Dallas
Solids
64120
Dallas
Solids
64120
Dallas
Solids
64120
Dallas
Solids
64120
Dallas
Solids
64120
Dallas
Solids
12/11/2023
11:00
12/13/2023
12/11/2023
11:00
12/13/2023
12/11/2023
11:00
12/13/2023
12/11/2023
11:00
12/13/2023
12/11/2023
11:00
12/13/2023
12/11/2023
11:00
12/13/2023
12/11/2023
11:00
12/13/2023
12/11/2023
11:00
12/13/2023
SM-4500-111-13C
WP MTN
9045D
WP MTN
4500NO3F-2016
WP MTN
6010D
WP MTN
SW-7471B
WP MTN
SM-4500-NH3C-TKN
WP MTN
SM-2540G
WP MTN
WP MTN - Memphis, TN: Waypoint Analytical - TN, Memphis, TN
Page 2 of 10
WavDointo
ANALYTICAL
46381
US Biosolids Inc
Dennis Key
958 Hoots Road
Roaring River , NC 28669
Report Number : 23-347-0002
Lab No : 64120
Sample ID: Dallas
Project Dallas
Information :
7621 Whitepine Road, Richmond, VA 23237
Main 804-743-9401 ° Fax 804-271-6446
www.waypointanalytical.com
REPORT OF ANAL YSIS
Report Date : 01/02/2024
Received : 12/13/2023
Brandi Watson
Matrix: Solids
Sampled: 12/ 11/ 2023 11:00
Test
Results
Units
MQL
DF
Date / Time
Analyzed
By
Analytical
Method
Moisture
98.4
%
0.010
1
12/15/2317:26
CJR
SM-2540G
Sulfur
20800
mg/Kg - dry
625
1
12/15/23 22:25
TJS
6010D
Calcium
49600
mg/Kg - dry
3130
1
12/15/23 22:25
TJS
6010D
Aluminum
24900
mg/Kg - dry
313
1
12/15/23 22:25
TJS
6010D
Manganese
781
mg/Kg - dry
31.3
1
12/15/23 22:25
TJS
6010D
Organic N
19310
mg/Kg - dry
15630
1
12/28/23 10:27
CALCULATION
Nickel
28.1
mg/Kg - dry
15.6
1
12/15/23 22:25
TJS
6010D
Lead
54.3
mg/Kg - dry
18.8
1
12/15/23 22:25
TJS
6010D
Arsenic
<31.3
mg/Kg - dry
31.3
1
12/15/23 22:25
TJS
6010D
Selenium
<31.3
mg/Kg - dry
31.3
1
12/15/23 22:25
TJS
6010D
Test
Results
Units
MQL
DF
Date / Time
By
Analytical
Analyzed
Method
Total Solids
1.57
%
0.010
1
12/15/23 17:26
CJR
SM-2540G
Phosphorus
27200
mg/Kg - dry
313
1
12/15/23 22:25
TJS
6010D
Copper
1240
mg/Kg - dry
31.3
1
12/15/23 22:25
TJS
6010D
Qualifiers/ DF Dilution Factor
Definitions
MQL Method Quantitation Limit
Page 3 of 10
WavDointo
ANALYTICAL
46381
US Biosolids Inc
Dennis Key
958 Hoots Road
Roaring River , NC 28669
Report Number : 23-347-0002
Lab No : 64120
Sample ID: Dallas
Project Dallas
Information :
7621 Whitepine Road, Richmond, VA 23237
Main 804-743-9401 ° Fax 804-271-6446
www.waypointanalytical.com
REPORT OF ANAL YSIS
Report Date : 01/02/2024
Received : 12/13/2023
Brandi Watson
Matrix: Solids
Sampled: 12/ 11/ 2023 11:00
Test
Results
Units
MQL
DF
Date / Time
Analyzed
By
Analytical
Method
Total Kjeldahl Nitrogen
25600
mg/Kg - dry
15600
1
12/28/23 10:27
JPJ
;M-4500-NH3C-TKP
Potassium
4850
mg/Kg - dry
625
1
12/15/23 22:25
TJS
6010D
Magnesium
4010
mg/Kg - dry
313
1
12/15/23 22:25
TJS
6010D
Sodium
3400
mg/Kg - dry
1560
1
12/15/23 22:25
TJS
6010D
Iron
31400
mg/Kg - dry
625
1
12/15/23 22:25
TJS
6010D
Zinc
1980
mg/Kg - dry
78.1
1
12/15/23 22:25
TJS
6010D
Ammonia Nitrogen
6250
mg/Kg - dry
6250
1
12/28/23 13:09
JPJ
SM-4500-NH3C
Nitrate+Nitrite-N
875
mg/Kg - dry
313
1
12/22/23 12:39
CLP
4500NO3F-2016
Cadmium
<6.25
mg/Kg - dry
6.25
1
12/15/23 22:25
TJS
6010D
Chromium
63.8
mg/Kg - dry
15.6
1
12/15/23 22:25
TJS
6010D
Mercury
<10.2
mg/Kg - dry
10.2
1
12/15/23 11:24
FDS
SW-7471B
pH
7.3
S.U.
1
12/18/2314:04
RDP
9045D
Molybdenum
<15.6
mg/Kg - dry
15.6
1
12/15/23 22:25
TJS
6010D
Qualifiers/ DF Dilution Factor
Definitions
MQL Method Quantitation Limit
Page 4 of 10
Waypointo
ANALYTICAL
7621 Whitepine Road, Richmond, VA 23237
Main 804-743-9401 ° Fax 804-271-6446
www.waypointanalytical.com
Client: US Biosolids Inc CASE NARRATIVE
Project: Dallas
Lab Report Number: 23-347-0002
Date: 12/29/2023
Metals Analysis Method 6010D
Sample 64122 (Petersburg)
Analyte: Aluminum
QC Batch No: 1-723203/1-722784
The matrix spike and/or the matrix spike duplicate was outside quality control acceptance ranges. A dilution test
was performed and passed quality control acceptance ranges. No matrix interference is suspected.
Sample 64122 (Petersburg)
Analyte: Calcium
QC Batch No: 1-723451/1-722784
The matrix spike and/or the matrix spike duplicate was outside quality control acceptance ranges. A dilution test
was performed and passed quality control acceptance ranges. No matrix interference is suspected.
Sample 64122 (Petersburg)
Analyte: Copper
QC Batch No: 1-723203/1-722784
The matrix spike and/or the matrix spike duplicate was outside quality control acceptance ranges. A dilution test
was performed and passed quality control acceptance ranges. No matrix interference is suspected.
Sample 64122 (Petersburg)
Analyte: Potassium
QC Batch No: 1-723203/1-722784
The matrix spike and/or the matrix spike duplicate was outside quality control acceptance ranges. A dilution test
was performed and passed quality control acceptance ranges. No matrix interference is suspected.
Sample 64122 (Petersburg)
Analyte: Lead
QC Batch No: 1-723203/1-722784
The matrix spike and/or the matrix spike duplicate was outside quality control acceptance ranges. A dilution test
was performed and passed quality control acceptance ranges. No matrix interference is suspected.
Sample 64122 (Petersburg)
Analyte: Selenium
QC Batch No: 1-723203/1-722784
This analyte was analyzed at a dilution due to IEC interference/matrix interference.
Solids Total Mercury Analysis - CVAA Method 7471A
Sample 64122 (Petersburg)
Analyte: Mercury
QC Batch No: 1-722937/1-722669
The matrix spike and/or the matrix spike duplicate was outside quality control acceptance ranges. A post
digestion spike was performed and passed quality control acceptance ranges. No matrix interference is
suspected.
Page 5 of 10
WayPAoint.
NALYTICAL
7621 Whitepine Road, Richmond, VA 23237
Main 804-743-9401 0 Fax 804-271-6446
www.waypointanalytical.com
Shipment Receipt Form
Customer Number: 46381
Customer Name: US Biosolids Inc
Report Number: 23-347-0002
Shipping Method
0 Fed Ex 0 US Postal 0 Lab 0 Other:
UPS 0 Client 0 Courier Thermometer ID:
Shipping container/cooler uncompromised?
0 Yes
0 No
Number of coolers/boxes received
F
Custody seals intact on shipping container/cooler?
0 Yes
0 No
Not Present
Custody seals intact on sample bottles?
0 Yes
0 No
Not Present
Chain of Custody (COC) present?
Yes
0 No
COC agrees with sample label(s)?
Yes
0 No
COC properly completed
Yes
0 No
Samples in proper containers?
U Yes
0 No
Sample containers intact?
0 Yes
0 No
Sufficient sample volume for indicated test(s)?
Yes
0 No
All samples received within holding time?
Yes
0 No
Cooler temperature in compliance?
0 Yes
No
Cooler/Samples arrived at the laboratory on ice.
Samples were considered acceptable as cooling
process had begun.
0 Yes
No
Water - Sample containers properly preserved
0 Yes
0 No
CO,) N/A
Water - VOA vials free of headspace
0 Yes
0 No
�0,) N/A
Trip Blanks received with VOAs
0 Yes
0 No
�0,) N/A
Soil VOA method 5035 — compliance criteria met
0 Yes
0 No
U N/A
F_ High concentration container (48 hr)
F_ High concentration pre -weighed (methanol -14 d)
F Low concentration EnCore samplers (48 hr)
Low conc pre -weighed vials (Sod Bis -14 d)
Special precautions or instructions included?
0 Yes
0 No
Comments:
Signature: David Lennon Date & Time: 12/13/2023 09:01:02
Page 6 of 10
0 t o s �
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iJ
m
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Page 7 of 10
Waypoi nt..
ANALYTICAL
12/14/2023 07:11:32
Export Batch Report
Export Batch Id : 4334E
To; Waypoint Analytical - TN
2790 Whitten Road
Memphis, TN 38133
901-213-2400
Report N Due Da Rush
Matrix Lab No Method Na
23-347-DO02 12/28/2023
SOL 64120 SM-4500-NO3F
23-347-DO03 12/28/2023
SOL 64121 SM-4500-NO3F
23-347-DO04 12/28/2023
SOL 64122 SM-4500-NO3F
7621 Whitepine Road, Richmond, VA 23237
Main 804-743-9401 ° Fax 904-271.6446
www.waypointanalydcal.corn
Page 1 of 1
Created: 12/ 14/2023 07:11:25
Computer: WPALMS-030
User: David Lennon
From: Waypoint Analytical Virginia, Inc.
7621 Whitepine Rd.
Richmond, VA 23237
804-743-9401
Fee Code Description
Nitrate-Nitdte as N
RECYCI
RECYC1
I IIIIII IIIII IIlI IIIIII IlII IIIII IN IIIIII III I III I IIIII II IN0001
Wavpoinl Analytical Virginia 08 49 41
4334E
Sampled By
Method of AShipment
L� l
Blank / Cooler Temp.
Remarks
Relinquished By (sign)
Date Time
Received By (sign)
Date / Time
Relinquished By (sign)
Date Time
ved By (sign)
Date
ae JTime]
L1'//7
Page 8 of 10
Wa ntYPOI
ANALYTICAL
12/13/2023 12:41:20
Export Batch Report
Export Batch Id : 4333E
To: Waypoint Analytical - TN
2790 Whitten Road
Memphis, TN 38133
901-213-2400
Report ND Due Date Rush Ma rix Lab No Method NQ
23-347-0001
12/20/2023
SOL
54114f SW-6010D
23-347-0001
12/20/2023
SOL
64115r SW-6010D
23-347-0001
12/20/2023
SOL
64116.- SW-6010D
23-347-0001
12/20/2023
SOL
64117i SW-6010D
23-347-0001
12/20/2023
SOL
64118,1 SW-6010D
23-347-0001
12/20/2023
SOL
64119` SW-6010D
23-347-0002
12/28/2023
SOL
64120� SM-254OG
23-347-0002 12/28/2023 SQL 64120r-SM-4500-NH3C
23-347.0002 12/28/2023 SOL 64120 ,� S M-4500-NH3C-TKN
23-347-0002 12/28/2023 SOL 64120' SW-6010D
SOL
23-347-0002 12/28/2023
SOL
64120' SW-7471A
23-347-0002 12/28/2023
SOL
64120/ SW-9045D
23-347-0003 12/28/2023
SOL
64121 ^ AOAC 1.1.04
23-347-0003 12/28/2023
SOL
64121' SM-2320 B
23-347-0003 12/28/2023
SOL
64121r SM-2540G
23-347-0003 12/28/2023
SOL
64121., SM-4500-NH3C
23-347-0003 12/28/2023
SQL
64121, SM-4500-NH3C-TKN
23-347-0003 12/28/2023
SOL
64121. SW-6010D
23-347-0003 12/28/2023
SOL
6412E SW-7471A
23-347-0003 12/28/2023
SOL
64121-4 SW-9045D
23-347-0004 12/28/2023
SOL
64122" AOAC 1.1.04
23-347-0004 12/28/2023
SOL
64122' SM-2320 B.
23-347-0004 12/28/2023
SOL
64122- SM-254OG
23-347-0004 12/28/2023
SOL
64122' SM-4500-NH3C
7621 Whitepine Road, Richmond, VA 23237
Main 804-743-9401 0 Fax 804-271-6446
www.waypointanalytical.com
Page 1 of 2
Created: 12/13/2023 12:40:53
Computer: WPALMS-040
User: David Lennon
From: Waypoint Analytical Virginia, Inc.
7621 Whitepine Rd.
Richmond, VA 23237
804-743-9401
Fee Code Description
Lead {Total)
Lead (Total)
Lead {Total}
Lead (Total)
Lead (Total)
Lead (Total)
SL2 Biasolids Test Package using
6010D
Ammonia-Nltrogen by Distillation
(Titration)
SL2 Biosolids Test Package using
6010D
51-2 Biasolids Test Package using
6010D
503E Metals
503E Metals
pH
RECYCI
RECYCI
RECYCI
RECYCI
RECYCI
RECYCI
RECYCI
RECYCI
RECYCI
RECYCI
RECYCI
RECYCI
Sampled By Method of Shipment Blank / Cooler Temp.
i7dCJ CJ • J C.<'
Relinquished By (sign) Date / Time Received By (sign) Date / Time
1 '2- � -11-1- S � �'4 L
Relinquished By (sign) Date / Time Re ived Da e / Time
Page 9 of 10
Waypoi t
ANALYTICAL
12/13/2023 12:41:20
Export Batch Report
Export Batch Id : 4333E
To: Waypoint Analytical - TN
2790 Whitten Road
Memphis, TN 38133
901-213-2400
7621 Whitepine Road, Richmond, VA 23237
Main 804-743-9401 ° Fax 804-271-6446
www.waypointanalytical.com
Page 2 of 2
Created: 12/ 13/2023 12:40: 53
Computer: WPALMS-040
User: David Lennon
From: Waypoint Anaiytical Virginia, Inc.
7621 Whitepine Rd.
Richmond, VA 23237
804-743-9401
Report No Due Date
Rush Matrix Lab No Method No
Fee Code Description
23-347-0004 12/28/2023
SOL
64122 SM-4500-NH3C-TKN
RECYCI
23-347-0004 12/28/2023
SOL
64122' SW-6010D
RECYCI
23-347-0004 12/28/2023
SOL
64122' SW-7471A
RECYCI
23-347-0004 12/28/2023
SOL
64122� SW-9045❑
RECYCI
7 3.348-04a4
111111111�11111�1ti1llltillllltill111111ti�t111111ti1�1�«�»�u+«uti 11 42-5g23
,N1u10in1 A
4333E
Sampled By
Method of Shipment
Blank / Cooler Temp. LA--
IVl`-1' LJ
Remarks
Relinquished By (sign)
Date / Time
Received By (sign)
Date / Time
Relinquished By (sign)
Date / Time
Received By (sign
!!Da e / ime
Page 10 of 10
+� Not a dwelling
�BP2-2�
4.9 Acres
6
�Iling
BP2-1
24.5 Acres
si l S
f
y.� K
A
This parcel is owned by
�d•
a different person.
Bluffers
Could be a dwelling?
G �eerr���r
Potentially onsite well?
O Property Line (50')
Explanation needed.
0 Surface Water (100')
Land Owner House (100')
House (400')
There is no longer a
This parcel is not owned
house here, appears to
by William and Kathleen
be a new barn.
fend
Porter. Still on site
Property Line Land Owner Home
dwellin ?
Field Boundary House
Perennial Stream
Southern Soil Builders, Porter Tract - BP2 N
Kathleen G Porter W E
3573 Greenhorn Rd. Roaring River, NC
S
0 250 500 750 1000 ft
Parcel: 0604325
I I I I I
Wilkes County, NC Produced: 2024
36.2845,-81.0114 North Carolina State Plane, NAD83 Created by: Joseph Jarvis
Compliance and Review Boundaries:
r.
The compliance boundary is established either 250 feet from the
edge of the residuals application area or 50 feet within the property
boundary, whichever is closest to the application area. The review
boundary is established halfway between the compliance boundary :• .,
and the edge of the residuals application area. :
ev
F�1
r"
T. s '�I � gyp-. ,�- • 1�-� - tM,, �,;
Cr
New house built here.
4.2 acresf A -
x 4,
x 3
LIP
Buffers
Property Line (50')
Perennial Stream (100')
House (400')
L g Well
�. House
ropery Llne x Soll Boring
5 Field Boundary Surface Water
+ Perennlal Stream ® Unused Area `aa
McDaniel, Norman: Compliance and Review Field NM2
Parcel: 1646617
0 125 250 500 Feet
Rutherford County, NC t k 1_ J
35.3982.-81.725 North Carolina Stateplens, NAO83 Y--_
w 0(1)
o�
N fa
-0 Q
E
aj
0
O
0
U
7 y
O N
O
L(1
n
O
O
Lr)
O
Ln
N
rl
J
a U
a-+
U
fa
L
L
O
`V
Ln
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c zS
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-O m ol
f
m v o
Uo
Ln
M 0
i U fo
O � 0,
J
o U
m
o
(nLu
d> M
Southern Soil Builders, Lucas & Bodsford Tract - TL2 N
Eva J Lucas & Vickie Bodsford
191 Burcham Rd. Roaring River, NC w E
S
0 250 500 750 ft
I I I I
Parcel: 0601860
Wilkes County, NC Produced: December, 2018
36.2789,-80.9964 North Carolina State Plane, NAD83 Created by: Joseph Jarvis
TL4
6 Acres
hifti
its barn is no longer
ere.
n
CK
E
c�
U
U
m
IN.
A
Greenhorn Rd.
Southern Soil Builders, Lucas & Bodsford Tract - TL4
Eva ] Lucas & Vickie Bodsford
191 Burcham Rd. Roaring River, NC
Ai]
250 500
T' :lRia1 Rl"
Buffers
0 Property Line (50')
0 Land Owner House (100')
0 House (400')
0 Barn (100')
Legend
— Property Line A House
— Field Boundary • Barn
♦ Land Owner House
N
W E
S
750 ft
Parcel: 0606480
Wilkes County, NC Produced: December, 2018
36.2801,-81.0013 North Carolina State Plane, NAD83 Created by: Joseph Jarvis
Time
(minutes)
0
8
9
10
11
12
13
14
15
Specific Oxygen Upta a Rate
SOUR
Facility Name:
Biosolids Permit Number:
Date:
Digester Temperature:
Sampling Date/Time:
Sampled By:
Analysis Date/Time:
Analyzed By:
Sample Volume:
Total Solids:
Beginning Temperature:
End Temperature:
Dissolved Oxygen Level
Corpening Creek
WQ 0019960
3/14/2023
15
3/14/2023 1320
JM
3114/23 1350
NR
1000
1.93
25
25
degrees Celsius
milliliters
% Dry Solids
degrees Celsius
degrees Celsius
Slope:
0.1
Intercept:
8.0
Correlation Coefficient:
1.0
Oxygen Uptake Rate:
3.53I
mg Oxygen/hr
Ambient Specific Oxygen Uptake Rate:
0.18I
mg Oxygen/g/hr
Average Temperature:
25ldegrees
Celsius
Temperature Correction Factor:
0.783526166
Temperature Corrected Specific Oxygen Uptake Rate:
0.14 mg Oxygen/g/hr
Instructions: Enter Data in the Blue Boxes.
The Calculation anQ
the Spreadsheet execute automatically.
SOUR OXYGEN UPTAKE RATE
D.O. WORKSHEET
DATE: 3 q z-'
TIME: 13z,e
TEMPERATURE: IS oc
ANALYST: N 'Q
AERATION TIME
START: a R
STOP: 13A
DO READING START TIME: 105G
RECORD DO READINGS O intervals less than one MINUTE FOR AT LEAST 15 MIN
50 5rc
g,oZ
2
'i. s6
12
�
3
�.� `�
73
r.
. a�
4
i . 7 2
14"
5.1
l
15
6
16
7
f. 5�
17�
.0
6
16
5
9
10.-3
20
�. 5
Record the temperature at the end of the test: 2S °C
Sample collected by�LNI s @ time: 132
Temperature of sample: is °C
N
N
O
+
N
X
m
W
N
O
Q
N
II
�
M
N
ei
Y
>_
�
f0
s
U
o
N
a-�
f6
m
�
Y
E
m
E
Y
Q
° E
P
C
OA
n
X
a
M
ry
ry m co �o a ry n m Iu
oc n n r ri e e
(I/8w(uaBAzp panlossip
I
CITY OF AlARION
CORPENING CREEK WASTE TREATMENT PLANT LABORATORY
Total, Fixed, and Volatile Solids: In Solid and Semisolid Samples
Standard Methods— 2510 O-2015
DATE: 3-14.2TIMEIN: 142� _ TEMP IN: I
ANALYST : NR TIME OUT. " 3' /.S'Z3 �.L uSiC
' ti TEMP OIfi:bS °C
' Time Weighed: G`%G
-B X 100 (A -D) x 100
3ANIFILE
ID
DATE
COLLEC
gamin
Vol.
ML I
Dish
WT.
M.
Dish+
Wetsemple
m .
Dish+
Dried Raaldu
me.
WLaresiaue
+dishaher
I niSO me.
Residue
Weight
m .
Residue
Weight
m .
%Total
Solids
%o
Volatile
Solids
Blank
S
ss-4r Y'
.QG/y
13
3dU.
OSZ
IIZ 1111
V.M3%
D.59fl
39 /9G
/93
DUP.
if
n
48 Ong 1
103.Sczs
3
O.S93Z
,?9S/z
/.93
AA�
aLK
YZ433
2, 0S
0, 04/
A DUP.
% , rp/3
9Aioz,
p. G6/7—
/
B BLK
3
e
I
8a.6�
k .2.1-511.3
191 DUP.
I
I
I %8 6a"s
. Op
A) Time In: 0 %/// A) Temp. In: /OS °t
A) Time Out /0/0 A) Temp. Out:
A) Time Weighed: #6ft>5 7�
11y0
,= Weight of dried residue +dish, mg:
1= Weight of dish,
= Weight ofwm sample+dish, mg
1= Weight of residue+dish after Ignition, mg
B) Tlmeln: //�S� B)Temp. In:
B) Time Out:/2�/5' 8)Temp Out: /GS
B) Time Weighed:/565—
%Wadle Solids=SA- DI. 100
%Fixed Solids = (D - el x 100 A-B
A-B
(A-81x100
%Total Salida = C-B
/93
Specific Oxygen Uptake Rate
Sour Test
Corpening Creek Wastewater Lab
Marion, N.C.
IT, raitr.a&]IT, "1141111 *XiT d
Date: 3/14/2023
Time Sampled: 1320
Sampled By: JM
Time Started Aeration: N/A
Time Ended Aeration: N/A
Time test started: 1350
Time test complete: 1405
Analyzed By: NR
Total Time of Test: < 2 furs. ( 45 mins
Total time of test includes the time sample was aerated.
Time
(minutes)
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Specific Oxygen Uptake Rate
SOUR
Facility Name
Biosolids Permit Number
Date
Digester Temperature
Sampling Date/Time
Sampled By
Analysis Date/Time
Analyzed By
Sample Volume
Total Solids
Beginning Temperature
End Temperature
Dissolved Oxygen Level
Slope:
Intercept:
Correlation Coefficient:
Oxygen Uptake Rate:
Ambient Specific Oxygen Uptake Rate:
Average Temperature:
Temperature Correction Factor:
Cor enin Creek
WQ 0019960
3/13/2023
15
3/13/23 0900
im
3/13/23 0921
NR
1000
1.92
25
25
0.1
8.4
1.0
iegrees Celsius
milliliters
ya Dry Solids
iegrees Celsius
iegrees Celsius
3.38 mg Oxygen/hr
0.18 mg Oxygen/g/hr
25 degrees Celsius
0.783526166
Temperature Corrected Specific Oxygen Uptake Rate: 0.14 mg Oxygen/g/hr
Instructions: Enter Data in the Blue Boxes. The Calculation and the Spreadsheet execute automatically.
SOUR OXYGEN UPTAKE RATE
D.O. WORKSHEET
DATE: 03-1'a-23 AtKAT1UN TIMC
TIME: 092-1 START: Ri
TEMPERATURE: IS °C STOP: kk
ANALYST: Kr —
DO READING START TIME:
RECORD DO READINGS O Intervals less than one MINUTE FOR AT LEAST 15 MIN
S
1
$. 3(0
11
2
12
3
g', a..l
73
�7
5
9,09
15
t_S
6
$.Oa
16
9
17
.48
8
18.
A{
9
19
�, g
10
20
. 33
Record the temperature at the end of the test: !" °C
Sample collected by TTR @ time: 090D
Temperature of sample: IS °C
_
I _
N
C
W
+
N
m
N
O
Q
n
e
ry
Y
L
�
Z
v
o
v
"
Y
�
m a
(p
E
Y
E
D
C
a
ry
X
N
a
m
ry
c6 m n n n
G/Pw) ua8AXO PDAI ssi0
Specific Oxygen Uptake Rate
Sour Test
Corpening CreeklWastewater Lab
Marion, N.C.
Method: SM 2710 B-2011
Date: 3/1312023
Time Sampled: 0000
Sampled By: JM
Time Started Aeration: N/A
Time Ended Aeration: N/A
Time test started:0921
Time test complete: 0855
Analyzed By: NR
Total Time of Test: < 2 hrs. ( 36 mins. )
Total time of test includes the time sample was aerated.
U�
CITY OF MARION
CORPENING CREEK WASTE TREATMENT PLANT LABORATORY
Total, Fixed, and Volatile Solids: In Solid and Semisolid Samples
Standard Methods-02MG-2015 '23 ,3 3
DATE: 3-13 -7 TIME IN:( 4 090 TEMP IN:/0.—' -C
ANALYST: N(� TIME OUT:C 94S-3-it) TEMP OUT: -C
Time Weighed: 68 dg — r
A-B 100 IA -DI x 100
SA
DATE
Sempl
Dish
Dish+
Dish+
WLotmsidue
..-o
Residue
a-B
Residue
C-S
%To tal
A-B
%
ID
COLLEC
Val.
MIL
Wr.
Wateemple
DriedResidue
+tlishaDer
Weight
Weight
Solids
Volaula
nxi,m
.
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.
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Blank
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A)Ttme Oul:(./ /8 Z' A) Temp. Out: //'5 `G B) Time Out: B)Temp Out:
A) Time Weighed: /CS S B) Time Weighed:
Weight o1 Wet Sample +dish, mg
Weight a/residue+dish after Ignition, mg
% Volatile Solids= (A- D) x Inn
%Fled Solids=ID -BIx 100 A-B
A-B
A SIx1G0
%Total Solids = C-B
Time
(minutes)
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Specific Oxygen Uptake Rate
SOUR
Facility Name
Biosolids Permit Number
Date
Digester Temperature
Sampling DaterTime
Sampled By
Analysis Date/Time
Analyzed By
Sample Volume
Total Solids
Beginning Temperature
End Temperature
Dissolved Oxygen Level
Slope:
Intercept:
Correlation Coefficient:
Oxygen Uptake Rate:
Ambient Specific Oxygen Uptake Rate:
Average Temperature:
Temperature Correction Factor:
Cor enin Creek
WQ 0019960
3/12/2023
14
3112123
0830
JW
3112/23
0840
RGC
1000
1.95
25
25
degrees Celsius
milliliters
Y. Dry Solids
degrees Celsius
degrees Celsius
0.11
8.91
1.0'.
3.621 mg Oxygen/hr
0.%mg Oxygen/g/hr
25i degrees Celsius
0.783526166'.
Temperature Corrected Specific Oxygen Uptake Rate: 0.15 mg Oxygen/g/hr
Instructions: Enter Data in the Blue Boxes. The Calculation and the Spreadsheet execute automatically.
SOUR OXYGEN UPTAKE RATE
D.O. WORKSHEET
DATE: 33 AERATION TIME
TIME: -930 START: /✓/,�
TEMPERATURE: /`f °C STOP: N/If
ANALYST:
DO READING START TIME: 0990
RECORD DO READINGS @ intervals less than one MINUTE FOR AT LEAST 15 MIN
3
1
f'„�'S
11
�•�S
2
• %`d
12�'
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.5"n
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a
6.d5'
14,��
5
4.G6
15
8.OD
6
16
7
17
a
is
9
10
R /
20
Record the temperature at the end of the test: = °C
Sample collected by 'T R/ @ time: 3-"
Temperature of sampler °C
Jul
N
Dissolved Oxygen (mg/1)
J J V W % W P.
A U1 W W N A N �% 1p
N
W
A
ut
m
O
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V
(D
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U)
m
m
m
Specific Oxygen Uptake Rate
Sour Test
Corpening Creek Wastewater Lab
Marion, N.C.
Method: SM 2710 B-2011
Date: 3/12/2023
Time Sampled: 0830
Sampled By: JW
Time Started Aeration: N/A
Time Ended Aeration: N/A
Time test started; 0840
Time test complete: 0855
Analyzed By: RGC
Total Time of Test: < 2 hire. (25 mins
Total time of test includes the time sample was aerated.
CITY OF MARION
CORPENING CREEK WASTE TREATMENT PLANT LABORATORY
Total, Fixed, and Volatile Solids: In Solid and Semisolid Samples
Stendardhlethods—a 2MOG-2015
DATE: 3-R- Z 3 TIMEIN:
TENPIN:ANALYST. ��L F( TIME OUT:,g13 3-03 & TaAp OUT:/.p�'C
Time Weighetl:p8�
-B 100 (A-DIx100
SAMPL
ID
DATE
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Dlah
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Mofrashill
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-
Residue
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G-C
Residue
Weight
Mg.
G-B
%Totsi
Solids
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%
Volatile
Solids
Blank
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A) Time Ott/0/3 A)Temp. Out: IVS L B) Time Out: B)Temp Out:
A) Time Weighed:///j B) Time Weighed:
mg:
Weight of wet sample +dish. mg
Weight of residue - dish after Ignitor, mg
% Volatile Solids=SA- DI x too
%Fixed Solids= (D- Blxloo A B
A-e
(A - In 100
%Total Solid, = C-B
Time
(minutes)
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Specific Oxygen Uptake Rate
SOUR
Facility Name
Biosolids Permit Number
Date
Digester Temperature
Sampling Date/Time
Sampled By
Analysis Date/Time
Analyzed By
Sample Volume
Total Solids
Beginning Temperature
End Temperature
Slope:
Intercept:
Correlation Coefficient:
Oxygen Uptake Rate:
Ambient Specific Oxygen Uptake Rate:
Average Temperature:
Temperature Correction Factor:
iegrees Celsius
nilliliters
Dry Solids
iegrees Celsius
iegrees Celsius
0.1
8.2
1.0
3.00 mg Oxygen/hr
0.15 mg Oxygen/g/hr
25 degrees Celsius
0.783526166
Temperature Corrected Specific Oxygen Uptake Rate: 0.12 mg Oxygen/g/hr
Instructions: Enter Data in the Blue Boxes. The Calculation and the Spreadsheet execute automatically.
SOUR OXYGEN UPTAKE RATE
D.O. WORKSHEET
DATE: //- -' AERATION TIME
TIME. 1 /`/ START: t /A
TEMPERATURE: /S °C STOP: ill
ANALYST:
DO READING START TIME:.5.? S
RECORD DO READINGS @ intervals less than one MINUTE FOR AT LEAST 15 MIN
>•1 },
2
h,/J-
12
JC3
3
.S. C .S
13
a
14
ry s3
5
7, `J %
15
6
%•%J
16
7
/, ;9
17
S
9
ih
19
10
l. y z
20
Record the temperature at the end of the test: Z °C
Sample collected by -� W @ time: p.g/
Temperature of sample: 's` °C
m
m
N
�
+
N
N
O
N
O
O
N
II
T
m
N
L
s
v
IL
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m
a
m
N
< N c0 W tD V n
N w n n n n
(1/ew) ua8Ax0 panlossl0
A
Specific Oxygen Uptake Rate
Sour Test
Corpening Creek Wastewater Lab
Marion, N.C.
Method: SM 2710 B-2011
Date: 3/11/2023
Time Sampled: 0819
Sampled By: JW'
Time Started Aeration: N/A
Time Ended Aeration: N/A
Time test started' 0825
Time test complete: 0840
Analyzed By: RGC
Total Time of Test: < 2 hrs. ( 21 mins
Total time of test includes the time sample was aerated.
CITY OF MARIOIN
CORPENING CREEK WASTE TREATMENT PLANT LABORATORY
Total, Fixed, and Volatile Solids: In Solid and Semisolid Samples
Standard Methods —a 2540 G-2015
DATE: J-//- Z 3 TIMEIN:
ANALYST: ,(6 , TIME OUT: /f5 TEMP OUT: �01 C
Time Weighed: /1'S-6
IA-BI X 100 IA -DI x 100
e
SAtaPU
ID
DATE
COLLEC
tempt
Vol.
ML
Dish
WT.
M.
Dish+
Wetsample
m .
Dish+
Dded Rssidu
m .
W1.0fresidue
-disha@er
1 nitlon m .
-
Residue
I Weight
m .
Residue
Weight
mg.
c-C
%Total
Solids
A-tl
%
Volatile
Solids
Blank
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A) Time In: /fOCi A) Temp. In: /aS _ B) Tlme In: 0 12S B) Temp, In: /a S
3-/ZX3-w)Tlme Ouk 15'/C A)Temp. Out /C S B) Time Out: /C 30 B)Tenp Out: 10S-
i/ A) Time Weighed: d�/S- III Time Weighed://3S—
dish, mg;
B = Weight of dish,
C= Weight afMA Sample +dish. mg
D = Weight of residue +dish after Ignition, mg
% Volatile Solids= IA- DI x 100
%FOxd Solids = tD-B1xtoo A-B
A-B
A. BIx100
%Total SOOtle= C-B
(4V,i
Time
(minutes)
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Specific Oxygen Uptake Rate
SOUR
Facility Name
Biosolids Permit Number
Date
Digester Temperature
Sampling DatelTime
Sampled By
Analysis Date/rime
Analyzed By
Sample Volume
Total Solids
Beginning Temperature
End Temperature
Dissolved Oxygen Level
Slope:
Intercept:
Correlation Coefficient:
Oxygen Uptake Rate:
Ambient Specific Oxygen Uptake Rate:
Average Temperature:
Temperature Correction Factor:
Corpening Creek
WQ 0019960
3/1012023
16
3/10/23
0835
TH
3/10/23
0911
NR
1000
e44
25
25
0.1
7.6
1.0
degrees Celsius
milliliters/'.�[�
r f 0'I
degrees Celsius
degrees Celsius
3.27 mg Oxygen/hr
0.16 mg Oxygen/g/hr
25 degrees Celsius
0.783526166i
Temperature Corrected Specific Oxygen Uptake Rate: 0.13 mg Oxygen/g/hr
Instructions: Enter Data in the Blue Boxes. The Calculation and the Spreadsheet execute automatically.
SOUR OXYGEN UPTAKE RATE
D.O. WORKSHEET
DATE: 3-10-23 AERATION TII
TIME: a{ Q83S START: NIA-
6t
TEMPERATURE: Its °C STOP: A//!F
ANALYST: tjP
DO READING START TIME: 011
RECORD DO READINGS @ intervals less than one MINUTE FOR AT LEAST 15 MIN
50z°
1
-7
2
�.5�
12
3
�.t{5
13
.9
4
-1 3
14
s
.33
15
$
6
-1V
76
1J5
7
}. 23
17
8
-.FI
18
9
7.12
19
10
1 '}.p-.
20
Record the temperature at the end of the test: 25 °C
Sample collected by Tl�- @ time: 0$3S
Temperature of sample: IU °C
CITY OF MARION
CORPENING CREEK WASTE TREATMENT PLANT LABORATORY
Total, Fixed, and Volatile Solids: in Solid and Semisolid Samples
Standard Method" 25,100-2015
ANALYST: /j✓/ �.�y�- TIMEIN: CGS `�' p TEMPIN: 10 'C
TIME OUT: O8 AV 3-//-Z5 &- TEMp OUT:,g—•C
Time welghed: O JOS
iA-81 X 100 LA -DI x 100
UAMPU
ID
DATE
COLLFA
Smith
Vat
Dish
Dish«
Dish+
WL of resides
Residue
Residue
p-N
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A-6
ML•M.
WE
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Weight
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Solids
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aso
m .
Ignition, mg,.
mg.
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Solids
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OUR
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A) Tlme In: 0 915 A) Temp. In: /03� B) Time In: //US B) Temp. In: /c 3
A) Time Out: /0 /5 A) Temp. Out: /its B) Time Out: /a J/S B) Temp Out: io S
A) That) Weighed: //30 B) Time Weighed: /3 y1
residue +dish, me;
weigm orwm Sample +dish, mg
D = Weight of residue+dish alter Ignition, mg
% Volatile SOlids= (A- D) x 100
%Fbzd Solids=lD-B1x100 A-B
A-B
fA. B1 x 100
%Total Salida e C-B
Z, 0
Dissolved Oxygen (mg/1)
N A T W V N A 01 N
N
W
A
N
m
0
X
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ti
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Specific Oxygen Uptake Rate
Sour Test
Corpening Creek Wastewater Lab
Marion, N.C.
Method: SM 2710 B-2011
Date: 3/10/2023
Time Sampled: 0835
Sampled By: TH
Time Started Aeration: N/A
Time Ended Aeration: N/A
Time test started:..0911
Time test complete: 0926
Analyzed By: NR
Total Time of Test: < 2 hrs. ( 51 mins
Total time of test includes the time sample was aerated.
Time
(minutes)
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Specific Oxygen Uptake Rate
SOUR
Facility Name
Biosolids Permit Number
Date
Digester Temperature
Sampling Date/Time
Sampled By
Analysis Datefrime
Analyzed By
Sample Volume
Total Solids
Beginning Temperature
End Temperature
Dissolved Oxygen Level
Slope:
Intercept:
Correlation Coefficient:
Oxygen Uptake Rate:
Ambient Specific Oxygen Uptake Rate:
Average Temperature:
Temperature Correction Factor:
Corpening
Creek
WQ 0019960
3/9/2023
19
3/9123
0925
im
319/23
1106
RGC
1000
1.99
25
25
0.1
8.4
1.0
iegrees Celsius
nilliliters
Y. Dry Solids
iegrees Celsius
iegrees Celsius
3.20 mg Oxygen/hr
0.16 mg Oxygen/g/hr
25 degrees Celsius
0.783526166
Temperature Corrected Specific Oxygen Uptake Rate: 0.13 mg Oxygen/g/hr
Instructions: Enter Data in the Blue Boxes. The Calculation and the Spreadsheet execute automatically.
SOUR OXYGEN UPTAKE RATE
D.O. WORKSHEET
DATE: - % Z 3 AERATION TIME
TIME: O %2 s START:
TEMPERATURE: /� eC STOP:
ANALYST: 41f-
DO READING START TIME:
RECORD DO READINGS O intervals less than one MINUTE FOR AT LEAST 15 MIN
-6zls o
G
1
rp, 3 S—
2
x1d9
12
3
S',,,2,3
13
4
67,
14
S-
5
S"
1s
%6G
6
16
SN
7
D•OL
17
l l
8
%/%
18
9
19
10
7, B
20
Record the temperature at the and of the test: 3 f °C
Sample collected by J 12( @ time: D %L S
Temperature of sample:/�/ °C
Dissolved Oxygen (mg/1)
J J J V W W q
V N A OI OJ N N A OI
Y
N
W
A
N
m
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W
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NW
X
N
WW
A
W
N
m
Specific Oxygen Uptake Rate
Sour Test
Corpening Creek Wastewater Lab
Marion, N.C.
Method: SM 2710 B-2011
Date: 3/9/2023
Time Sampled: 0925
Sampled By: JM
Time Started Aeration: 0930
Time Ended Aeration: 1100
Time test started: 1106
Time test complete: 1121
Analyzed By: RGC
Total Time of Test: < 2 hrs. ( 1 hr. 56 mins
Total time of test includes the time sample was aerated.
5
2
5
CITY OF MARION
CORPENING CREEK WASTE TREATMENT PLANT LABORATORY
Total, Fixed, and Volatile Solids: In Solid and Semisolid Samples
Standard Methods-4 2500 G-2015
DATE: „3-v-Z,3 TIME IN: Id47 _ TEMP IN:.'0)
ANALYST: A/L-/4G TIMEOUT: 3'/G-236C TEMPOUT:/(S C
Time Weighed:O �W61
(A-81 X 100 (A-D1 x 100
rA—M—PU
ID
DATE
COLLEC
Sampl
Vol.
ML
Dish
WT.
Mg.
Dlah+
Wall sample
m .
Dish+
Dded Residu
,
Maffei
+dishefter
Ignition, mg.
Residue
Weight
Mg.
Residue
Weight
Mg,
%Total
Solids
A-
%a
Volatile
Solids
Blank
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A)Tlmeln: d jOZ A) Temp. In: le'3
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A) Tlme Weighed:///0
I = Weight of dish,
= Weight of s d sample+ dish, mg
1= Weight of residue +dish after Ignition, mg
B) Time In: B) Temp. In:
B) Time Out: B) Temp Out:
B) Time Weighed:
% Volatile Solids= (A- D) x too
%Fixed Solids =(D-B)x 100 A B
A-B
(A- Swart
%Total Solids = C-B
Time
(minutes)
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Specific Oxygen Uptake Rate
SOUR
Facility Name.
Biosolids Permit Number.
Date.
Digester Temperature,
Sampling Date/Time.
Sampled By
Analysis Date/Time.
Analyzed By
Sample Volume.
Total Solids.
Beginning Temperature.
End Temperature.
Slope:
Intercept:
Correlation Coefficient:
Oxygen Uptake Rate:
Ambient Specific Oxygen Uptake Rate:
Average Temperature:
Temperature Correction Factor:
Corpening Creek
WQ 0019960
3/8/2023
19
318/23 1610
DS
318/23 1640
RGC
1000
1.96
25
25
0.1
7.2
1.0
legrees Celsius
nilliliters
yo Dry Solids
iegrees Celsius
iegrees Celsius
3.57 mg Oxygen/hr
0.18 mg Oxygen/g/hr
25 degrees Celsius
0.783526166
Temperature Corrected Specific Oxygen Uptake Rate: 0.14 mg Oxygen/g/hr
Instructions: Enter Data in the Blue Boxes. The Calculation and the Spreadsheet execute automatically.
SOUR OXYGEN UPTAKE RATE
D.O. WORKSHEET
DATE: -�"�3 AERATION TIME
TIME: /7a /® START: 41 A
TEMPERATURE: / % °C STOP: IfIlh
ANALYST: DS
DO READING START TIME: /G �c
RECORD DO READINGS O Intervals less than one MINUTE FOR AT LEAST 15 MIN
5S41�,
2 L
1
7,/2-
YI
,SG
2
7,03
12
�, y
3
13
1,39
4
14
/p..33
5
15
t
5
77
i5
•,l 3
7
(p, 7,7
17
S
/
78
9
�, /p/
79
70
20
Record the temperature at the end of the test: C
Sample collected by Ds @ time:
Temperature of sample, /9 C
Specific Oxygen Uptake Rate
Sour Test
Corpening Creek Wastewater Lab
Marion, N.C.
Method: SM 2710 B-2011
Date: 3/8/2023
Time Sampled: 1610
Sampled By: DS
Time Started Aeration: N/A
Time Ended Aeration: N/A
Time test started: 1640
Time test complete: 1655
Analyzed By: RGC A-5
Total Time of Test: < 2 hrs. ( 45 mins. )
Total time of test includes the time sample was aerated.
W
�1
1
Dissolved Oxygen )mg/1)
T W OI N A Gf CO V N A
W
A
N
m
O
X
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q
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n
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v
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1
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b
V
N
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a
m
CITY OF MARION
CORPEPIING CREEK WASTE TREATMENT PLANT LABORATORY
Total, Fixed, and Volatile Solids: In Solid and Semisolid Samples
Standard%hdhGds# 2560 G-2015
GATE: -'4 -i3 TIMEIN: / �j yls f'lL
ANALYST: AS TIME OUT: O%4s_a9-L3 ?9�- TEMPOt1T:/Le °C
Time Weighed: 159sZ•
o (A-BI X 100 (A -D) x 100
SAMPL
ID
GATE
COLLECI
sampif
Vol.
MIL
Dish
WT.
mg.
Olah+
WeteamPle
m .
Dinh+
Dded Residue
m .
MO. of maidue
+dishafter
Ignition, mg.
Residua
Weight
Mg.
Residue
Weight
m
%Total
solids
P.tl
%
Volatile
Solids
Blank/`ls
sa 79
4P7q
Si). y179
0, SScw'
aH- 65 no
/. ��
OUR
��
-''0
60,7791
q,0Gs1
,3i.)5
,57`!
'9.L970
A BLK
gR,s
g,ySS�f
A
0.
s7)
0, 0013
A OUR6
. - , z�
l- 311
B BLK
B
B DUP.
3`I-2> K5c
A)Timeln: 0952— A) Temp, In: (OS B)Time In: B)Temp. In:
A)Tima Out:0'/A)Temp.Out: B) Time Out: B)Temp Out:
A) Time Weighed: /Oia' B) Time Weighed:
A= Weight of dried residue+dish, mg:
B = Weight of dish,
+��w�e elan, mg
D =Weight of realdue+dish after Ignition, mg
% Volatile Solids= 1A- 0) x too
%Food Solids =l0-B)x 100 A S
A-B
%Total Solids= —9
/'96
Time
(minutes)
8
9
10
11
12
13
14
15
Specific Oxygen Uptake Rate
SOUR
Facility Name:
Biosolids Permit Number:
Date:
Digester Temperature:
Sampling Date rime:
Sampled By:
Analysis Date/Time:
Analyzed By:
Sample Volume:
Total Solids:
Beginning Temperature:
End Temperature:
Slope:
Intercept:
Correlation Coefficient:
Oxygen Uptake Rate:
Ambient Specific Oxygen Uptake Rate:
Average Temperature:
Temperature Correction Factor:
Corpening Creek
WQ 0019960
3/7/2023
19
3/7/23 1358
Dustin Saine
3/7/23 1436
R. Carter
1000
1.94
25
25
0.0
7.9
1.0
milliliters
% Dry Solids
degrees Celsius
degrees Celsius
2.96 mg Oxygen/hr
0.15 mg Oxygen/g/hr
25 degrees Celsius
0.783526166
Temperature Corrected Specific Oxygen Uptake Rate: 0.12 mg Oxygen/g/hr
Instructions: Enter Data in the Blue Boxes. The Calculation and the Spreadsheet execute automatically.
SOUR OXYGEN UPTAKE RATE
D.O. WORKSHEET
DATE: 3 - 7 - Z 3 AERATION TIME
TIME: START: /V00
i
TEMPERATURE: °C STOP: IP35
39 ZX
ANALYST: �l�G
DO READING START TIME: 14,E
RECORD DO READINGS O intervals less than one MINUTE FOR AT LEAST 15 MIN
%, Y
1
'%3
11
% 3-3
2
72
I, 2Y
3
'/13
73
%2,
5
%(JL
15
6
j, l'�
16
7
S y
17
8
7— !
18
9
'1
19
10
-,f
20
Record the temperature at the end of the test: 'S� °C
Sample collected by 0S @ time:
Temperature of sample: � 0C
S-
d
CITY OF MARION
CORPENING CREEK WASTE TREATMENT PLANT LABORATORY
Total, Fixed, and volatile Solids: In Solid and Semisolid Samples
Standard Methods —a 25,10 G-2015
DATE: Z� TIMEIN: iq
AraALvsr: "� 2c 9 I 5'�- TEMP TEMPoirt:l j •c
_ P_ / TIMEOIlT:O% i3-9-Z3 .L'
Time weighed: Y75
nP
100 fA-D1x 100
10 SA
ID
DATE
CCLLE
S
Vol. Vol.
ML
Dish
WT.
Dish +
Wet ssmpie
m .
Dish+
Dded Residue
m .
--
MR of n sldue
+disheher
1 nidon am.
-
Residue
Weight
m .
s-o
Residua
Weight
m .
c-Is
Total
Solids
A-B
%
Volatile
Solids
Blanc
a /-z3
81.�39
gl,G321
0,000q
3-7-Z,3
/i6•abd J
8q,21
45/0
,�.ye9
ppd.ds�4
Z
Z
�,J�3iat�
3f.Os�1
,9S
sL wa
A BLK
-%23
'�. 3.9/
3
0. 000
A
zzs
d2Z2"
.0oov
A OUR
II
z
P.//s
0. 0003
e am
a
B DDP.
3-17-23 cSe-
A)nmeln: t6ST A)Temp. In: /65— B)Time In: 8)Temp. In:
A) Time out 0 %S 19 A) Temp. out: /,Ps— B) Time Out: B) Temp Out:
A) Time Weighed: /0 T 5 8) Time Weighed:
A- WeI0h1 ofddad Maus,. dish, mg;
Weight of Wait sample +dish. mg
Weight of residue+dish after ignition, mg
% V012ele Solitls= IA- D) x 100
%Fixed Solitls=lD- R)xloo A B
A-B
%Total Solids A-S1x1o0= C-B
Specific Oxygen Uptake Rate
Sour Test
Corpening Creek Wastewater Lab
Marion, N.C.
IdirMTT.'IE9J6'.YiMQ V407f
Date: 3/7/2023
Time Sampled: 1358
Sampled By: DS
Time Started Aeration: 1400
Time Ended Aeration: 1435
Time test started: 1436
Time test complete: 1451
Analyzed By: RGC
Total Time of Test: < 2 hrs. ( 53 mins. )
Total time of test includes the time sample was aerated.
Dissolved Oxygen (mg/1)
01 W V N A O1 W pJ
N
W
A
M
m
0
x
DO
DO
V
3
�
C
3
Iv
c
N
._,
.O
!v
ID
o
(i
3
N
G
'*
N
W
I
A
b
K
N
i
V
b
U)
N
•
enmmnmental Testing Solutions, Inc. Certificate of Analysis
Project name: Marion WWTP
Collection date: 6-Feb23
Date received: 6-Feb 23
Sample identification: Sludge#1-Crab
PO Box 7565
Asheville,NC 28802
Phone: (828)350-9364
Fax: (828)350-9368
Project number: 230206.504
Sample number: 234729
Parameter
Method
Result
RL
Units
Rate
Analyst Footnotes
Analyzed
%TS
SM 2540G
3.3
0.10
%
6-Feb23
KEK
Mulitple Tube Fermentation Procedum
SM 9221-E
4950
5.9
MPN
6-Feb23
KEK
Sample identification: Sludge #2-Grab Sample number: 234730
Parameter
Method
Result
RL
Units
Analyst Footnotes
Analyzed
%TS
SM 2540 G
3.4
0.10
%
4Feb23
KEK
Multiple Tube Fermentation Procedure
SM 9221-E
5780
61
MPN
s.Feb23
KEK
Sample identification: Sludge#3 Grab Sample number: 234731
Parameter
Method
Result
RL
Units
Analyst Footnotes
Analyced
%TS
SM 2540G
3.3
0.10
%
6-Rb-23
KEK
Mulitple Tube Fermentation Procedure
SM 9221-E
4290
5.9
MPN
6-Fe 23
KEK
Sample identification: Sludge#4 Grab Sample number: 234732
Parameter Method
Result
RL
Units
Data
Analyst Footnotes
Analyze)
°/aTS SM 2540 G
3.3
0.10
%
&FY23
KEK
Mulitple Tube Fermentation Procedure SM 9221-E
6600
5.9
MPN
6-FJzs
KEK
Footnotes:
RL— Reporting Limit. Values are reported down to the Reporting Limit only.
Date reviewed: NC Certification Number: 600
Data reviewed by: Kelley E. Keenan SC Certification Number: 99053
Signature:
NC Drinking Water Certification Number: 37786
This rl should not be reproducM,ex,t inmrntirety,without the 3m¢en consent of Environmental Turing Solutions. Inc
The results in Nis report relate only to the samples submiltcd for anal33is.
- -
PO Box 7565
:.
Asheville, NC 28802
Phone:
(828)350-9364
- .
Fax:
(828)350-9368
.�.. Enmrnnmandlrasan9solanonRInc.
Certificate ofAnalysis
Project name: Marion WWTP
Project number:
230213.503
Collection date: 13-Feb-23
Date received: 13-Feb-23
Sample identification: Sludge 85 - Grab
Sample number:
235088
Parameter
Method Result RL Units
Date
Analyst
Footnotes
Analyzed
a/oTS
SM 2540 G 3.3 0.10 %
13-1`A23 KEK
Muliti le Tube Fermentation Procedure
SM 9221-E 16170 5.9 MPN
13.Fh 23 KEK
Sample identification: Sludge N6-Grab Sample number: 235089
Parameter
Method
Result
RL
Units
Analyst Footnotes
AneIyzed
%TS
SM 2540 G
3.3
0.10
% 13-Ftb23
KEK
Mulitple Tube Fermentation Procedure
SM 9221-E
16170
5.9
MPN 13.1`eo-23
KEK
Sample identification: Sludge87Grab Sample number: 235090
Parameter
Method
Result
RL
Units
Date
Analyst Footnotes
Analyzed
%TS
SM 2540 G
3.3
0.10
%
u-F.b-23
KEK
Mulitple Tube Fermentation Procedure
SM 9221-E
10890
5.9
MPN
13-R623
KEK
Footnotes
RL = Reporting Limit. Values are reported down m the Reporting Limit only.
� a�
DDateoa�
e reviewed: NC Certification Number: 600
Dam reviewed by: Kelley E. Keenan SC Certification Number: 99053
Signature: it,
NC Drinking Water. Certification Number: 37786
Thisaports ouldnot be rcpsoduccd, exept in its enurcty, without the written comentof Environmental Testing Solutions, Inc.
The results in this Mien relate only to the samples submitted for analysis.
Environmental Testing Solutions, Inc.
Project name: City of Marion
Collection date: 13-Feb-23
Dalereceived: 13-Feb-23
Sample identification: FS TCLP-Grab
Certificate of Analysis
PO Box 7565
Asheville,NC 28802
Phone: (828)350-9364
Fax: (828)350-9368
Project number: 230213.505
Sample number: 235094
Parameter
Method
Result
RL
Units
Data
Analyst
Footnotes
Analyzed
Arsenic -TCLP
200.7
<1.0
1.0
mg/L
20-1`.623
ECHEM
1
Barium -TCLP
200.7
<I.0
1.0
mg/L
20-Feb23
ECHEM
1
Cadmium-TCLP
200.7
<I.0
1.0
mg/L
20-Fab23
ECHEM
1
Chromium -TCLP
200.7
<I.0
1.0
mg/L
20-1`0623
ECHEM
1
Lead -TCLP
200.7
<1.0
1.0
mgtL
20-Fea23
ECHEM
1
Selenium -TCLP
200.7
<1.0
1.0
mg/L
20-1`co-23
ECHEM
1
Silver -TCLP
200.7
<1.0
1.0
mg/L
20-Fs23
ECHEM
1
Mercury -TCLP
245.1
<0.0002
0.0002
mg/L
10-FsW3
ECHEM
1
Full Scan TCLP Organics
See attached sheets
ECHEM
L 2
Reactive Cyanide
335.4
1.30
mg/kg
35-F.623
ECHEM
1
Reactive Sulfide
SM 4500 S D
0.09
0.05
mg/kg
is-Faa23
ECHEM
1
Ignimbility,
SW 8461010
>157
157
eF
15-FA23
ECHEM
1
Arsenic
200.7
-25.6
mg/kg
20-Rb23
ECHEM
1
Cadmium
200.7
<25.6
mg/kg
20.Fm23
ECHEM
1
Copper
200.7
566
mg/kg
20-F.W3
ECHEM
1
Lead
200.7
70.5
mg/kg
2o-Fes23
ECHEM
1
Molybdenum
200.7
66.6
mg/kg
20-Feb23
ECHEM
1
Nickel
200.7
<25.6
mg/kg
20-1`e623
ECHEM
I
Selenium
200.7
<25.6
mg/kg
20-F.b23
ECHEM
I
Zinc
200.7
1530
mg/kg
MFeFQ3
ECHEM
I
Aluminium
200.7
13100
mg/kg
23-FA23
ECHEM
1
Calcium
200.7
16800
mg/kg
2o-rm23
ECHEM
1
Magnesium
200.7
5090
mgdcg
20.Feb23
ECHEM
I
Potassium
200.7
4490
mg/kg
2PFW2s
ECHEM
1
Sodium
200.7
1460
mg/kg
2o-F.b23
ECHEM
1
Mercury
SW 8467471 B
0.711
mg/kg
20-F.b23
ECHEM
1
Total Kjeldahl Nitrogen
351.2
39600
mg/kg
3-Mu-23
ECHEM
1
Nitrate+Nitrate - Nitrogen
353.2
14.6
mg/kg
13-R. 23
ECHEM
1
Total Phosphorus
200.7
23600
mg/kg
2-Ma-23
ECHEM
1
Total Solids (%)
SM 2540 B
3.32
%
I&F.W3
ECHEM
1
%Total Solid
SM 2540 G
3.3
%
13-1`.623
KEK
Ammonia Nitrogen
SM 45W NH30
580
61
mg/kg
I&F.6-23
KEK
N-Pav
Calculation
12011
mg/kg
m.Ma-23
KEK
Sodium Adsorption Ratio(SAR)
Calculation
14
mg/kg
lam,.-23
KEK
PH
SW 846 9040 C
5.0
0.1
S.U.
13-R. 23
KEK
3
The results in this report relate only to the smnples sub.lutd
777
1
_ Environmental Testing SoWuons,Ina.
Certificate of Analysis
Footnotes:
RL = Reporting Limit. Values are reported down to the Reporting Limit only.
1. Sample cou lryed by Enviro Chemists, Inc.
2. Analyzed on 02-I6-23, 02-I8-23 and 02-22-23.
3. Sample received and analzyed outside hold time.
Date reviewed: ()S 5.Z 3
Data reviewed by: Kelley E. Kremlin
Signature: w
PO Box 7565
Asheville, NC 28802
Phone: (828)350-9364
Fax: (828)350-9368
NC Certification Number: 600
SC Certification Number: 99053
NC Drinking Water Certification Number: 37786
This rep is should net be reproduced, exert in to entirely, withoutthe written coecentof Environmental Testing Solutions, Inc.
The rectum in this report relate only tole samples submitted for analysis.
Environmental Chemists, Inc.
6602 Windmill Way, Wilmington, NC 28405 . 910.392.02231ab . 910.392.4424 Fax
710 Bowsertown Road, Manteo, NC 27954 . 252.473.5702 tab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 . 910.347.5843 tab/Fax
ANAD71CAL a CONSULTING CHEMISTS info&nvironmentalchemismcom
Environmental Testing Solutions, Inc.
Revised Report: Mar 14, 2023
Post Office Box 7565
Original Report Date: Mar 08, 2023
Asheville NC 28802
Report p: 202M2965
Attention:
Customer ID: 08100055
Project ID: Marion W WTP Sludge
Lab ID Sample ID:
Collect Date/Time Matrix Sampled by
23-07308 Site: CC - Sludge
2/13/2023 T32 AM Solid/Sludge Client
Test Method
Results Date
Aluminum
EPA 2007. Rev. 4.4. 19"
13100mg/kg
02123/2023
Arsenic
EPA 2007. Rev. 4.4, 19W
<25.6 mg/kg
02/20/2023
Cadmium
EPA 200.7, Rev. 44. ION
<25.6mg/kg
02/20/2023
Calcium
EPA 200.7• Rev. 4A. ION
16800mglkg
02/20/2023
Copper
EPA20a 7, Rau. 44. ION
566 mg/kg
02/20/2023
Lead
EPA M0.7. Rev, 44.1994
70.5ITI
02/20/2023
Magnesium
EPA 200.7, Rev. 4.4. 1ON
5090mg/kg
02/20/2023
Molybdenum
EPA 200.7. Rev. 4.4. 19"
66.6 mglkg
02120/2023
Nickel
EPA 200.7. Rev. 44. ION
<25.6 mg/kg
02120/2023
Potassium
EPA 200.7. Rev. 4A, ION
4490 mglkg
02/2012023
Selenium
EPA200.7. Rev. 4.4. 19M
<25.6 mglkg
02/20/2023
Sodium
EPA 2007. Ray. 4.1994
1460mg/kg
02/20/2023
Zinc
EPA Mo.7, Rev. 4A. 1a"
1530 mg/kg
0212012023
Total Solids I%)
SM 2e40e
3.32%
02/16/2023
Total Kieldahl Nitrogen(TKN)
sM 4500 Noq e-20I I
39600mg/kg
03/03/2023
Total Phosphorus
SM 4500 P(F-H).2011
23600 mg/kg
03/02/2023
Mercury
swa87411 a
0.711 mg/kg
02/20/2023
Chlordane(TCLP)
swae e011'a
<0.02mg/L
02116/2023
Endrin(TCLP)
swa45 e041a
<0.0005mg/L
02/1612023
Heptachlor(TCLP)
SW -NO east
<0.0005mg/L
02/16/2023
Heptachlor epoxide(TCLP)
W+-U6Mel B
<0.0005 mg/L
02/16/2023
Llndane(TCLP)
swats 009I9
<0.0005 mgIL
02/16/2023
Methoxychlor(TCLP)
s9va46 e091e
<0.0005 mgIL
02/16/2023
Toxaphene(TCLP)
SWa46 8091e
<0.05 mg/L
02/16/2023
2,4,5-TP(TCLP)
SW-Na 8151A
<0.003mg/L
02116/2023
2,4-D(TCLP)
sw4545 8151A
<0.003 mgIL
02116/2023
fle,dif, 202102965
Pagel.13
Environmental Chemists, Inc.
envirochem 6602 Windmill Way, Wilmington, NC 28405 . 910,392.0223 Lab . 910.392.4424 Fax
710 Bowserlown Road, Manteo, NC 27954 . 252.473.5702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 . 910.347.5843 Lab/Fax
ANALYTICAL a CONSULTING CHEMISTS info gemironmemalchemismcom
Environmental Testing Solutions, Inc.
Post Offx:e Box 7565
Asheville NC 28802
Attention:
Revised Report: Mar 14, 2023
Original Report Date: Mar O8, 2023
Report M: 2023-02965
Customer ID: 08100055
Project ID: Marion W WTP Sludge
1,4-Dlchlorobenzene(TCLP)
swa6 U70E
<0.050mg/L
02/22/2023
2,4,5.Trichlorophenol(TCLP)
SWa6 V70E
<0.050mgr-
02/22/2023
2,4,6-Trichlorophenol(TCLP)
swab 8270E
<0.050 mg/L
02/222023
2,4-Dinitrololuene(TCLP)
swae a270E
<0.050 mg/L
02/22/2023
Cresol (TCLP)
SWa68270E
<0.050 mgIL
02/222023
Hexachloro-1,3-butadiene(TCLP)
swae 6270E
<0.050mg/L
02/222023
Hexachlorobenzene(TCLP)
swan 6270E
<0.050mgIL
02/22/2023
Hexachloroethane(TCLP)
swa68270E
<0.050 mg/L
02/22/2023
m + p-Cresol (TCLP)
Swa68270E
<0.050mg/L
02/2212023
Nitrobenzene (TCLP)
SW8168270E
<0.050 mg/L
0212212023
o-Cresol(TCLP)
SWa682TOE
<0.050 mg/L
02/222023
Pentachlorophenol(TCLP)
swae 8270E
<0.250 mg/L
02/222023
Pyddine(TCLP)
SWd466270E
<0.050mg/L
02/222023
1,1-Dichlofoethylene(TCLP)
swae MathM 82Mo
<0.01 mg/L
2/1812023
1,2-Dichloroethane(TCLP)
swae Meax,JON0D
<0.01 mg/L
2/1812023
Benzene (TCLP)
swa6MMhoda260o
<0.01 mg/L
2/1812023
Carbon Tetrachloride (TCLP)
swae M66gd 82WO
<0.01 mgIL
2/18/2023
Chlorobenzene(TCLP)
swae Meevd e29oo
<0.01 mg/L
2I18I2023
Chloroform (TCLP)
swasr dtxKls oo
<0.01 mg/L
2/18/2023
Methyl ethyl ketone (TCLP)
SWae Mews SMD
<0.05 mg/L
2/182023
Tetrachloroethylene(TCLP)
swae MdxxJ 62WD
<0.01 mgIL
2/18/2023
Trichloroethylene(TCLP)
swae WINXIO D
<0.01 mg/L
2I182023
Vinyl Chloride ITCLP)
swaa Mawd 82e0o
<0.01 mgIL
2/182023
Total Nitrogen
nalWN"mO
39600 mg/kg
03/0712023
RCI
Cyanide
W4500CND3016
1.30mglkg
02/1512023
Sulfide
SM45WSD
0.09 mglkg
02/16/2023
Ignitability
SWal6mewd70m
>157'17
02/15/2023
TCLP Metals
Repon/. 202302685 Pa,e203
Environmental Chemists, Inc.
envirochem 6602 Windmill Way, Wilmington, NC 28405 . 910392.0223 Lab . 910.392.4424 Fax
® 710 Bowsenown Road, Manteo, NC 27954 . 252.473.57021ab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 . 910.347.5843 tab/Fax
ANAMCAL 8 CONSULTING CHEMISTS infoQcnvimnmcmalchemisticom
Environmental Testing Solutions, Inc.
Post Office Box 7565
Asheville NC 28802
Attention:
Revised Report: Mar 14, 2023
Original Report Date: Mar 08, 2023
Report #: 202"2965
Customer ID: 08100055
Project ID: Marion W WTP Sludge
Arsenic(TCLP)
EPA 2001, Rev. 4A,19a4
<1.0mg1L
02202023
Barium(TCLP)
EPA200.7,R614.4,1e24
<1.0mg1L
02202023
Cadmium (TCLP)
EPAZQJ,R 4'4.1W
<1.Omg/L
02202023
Chromium(TCLP)
EPAM0.1,Ra.A4.19W
<1.0mg/L
02202023
Lead(TCLP)
EPAMI.Rm.4.4,1294
<1.Omg/L
0220/2023
Selenium(TCLP)
EPAmnz Rev.4.4.192
<1.0 mg/L
02202023
Silver(TCLP)
EPA200.7.RwA4.1W
<1.Omg/L
02/2012023
Mercury(TCLP)
EPA245.1
<0.0002 mg/L
022O/2023
Total Nitrogen (talc)
Nitrate+Nitrite-Nitrogen
EPA 3532
14.Bmg/kg
02/17/2023
Comment: Sludge residual results reported on a dry weight basis. AMENDED 03-14-2023 to add Selenium
Reviewed by:
Rep * 202302665 Pape3a3
Environmental Chemists Inc.
8270E Method Blank Summary - TCLP
Prep Batch t123-056
Sample Amounts in mg/L
MB 23.056
Compound
Sample Amount
Pyridine
<0.050
1,4-Dichlorobenzene
<0.050
2-Methylphenol
<0.050
3&4-Methylphenol
<0.050
Nitrobenzene
<0.050
Hexachlorobutadiene
<0.050
2,4,6-Trichlorophenol
<0.050
2,4,5.Trichlorophenol
<0.050
2,4-1)initrotoluene
<0.050
Hexachlorobenzene
<0.050
Pentachlorophenol
<0.250
Eo,,hanmental Chemists Inc.
Internal Standard/ Surrogate Recovery Check
MS/MS
esro..
3/2/2023
moarea
QC Section
ICAL
"MB 23-056"
"LCS 23-056"
"LCSD 23-056"
"23-07308"
l.a oxnwoe.venea9
1148182
959939
1000809
1139828
963420
xaph"tor W
2352223
1963738
2245511
2282042
2240746
M6rllhxnwGla
2388513
1378791
1192704
1515408
1385468
Fh oahllrl,da
2148401
2092951
1950012
2230009
2320769
amaaaal2
1625289
1817434
1343631
1530453
1979002
9<NIen412
2615019
2616557
2279939
2711391
2694399
x'AL
Law
KO
QCSectlpn
ICAL
host
IWIt
'Mg 23-056'
'LCS 23D56'
'LCS023L56'
'23WNS'
1148182
s14*91
22963M
pass
pass
pass
pass
2352223
1176112
4704a36
pazs
pass
pass
pass
1388513
696216
2771026
pass
pass
pass
pass
2148401
1074201
4296503
pass
pass
pass
pass
1625289
811645
3ZM79
pass
pass
pass
pass
2615019
1301510
5130038
pass
pass
pass
pass
Aqueous
Aqueous
spike amt ug/ml
low
high low high
QC Section
10
20
BLg/LFB SAMPLES
'Ms 23456"
'LCS 23-056"
'LC5023.056'
'2307308'
2-tluorophenol
40
8.00
54.5 2.83 61.4
11.082
7.765
7.94
9.859
phenol-d6
6.10
38.3 0.405 46.4
6.288
4.922
5.139
5.941
nitrobenzene-05
20.4
97.3 18.4 88.4
15.196
12.892
15.009
12.263
2-fluorobiphenyi
14.9
112 15.0 96A
9.372
15.292
14.857
11,477
2,4,6-tribromophenol
48.9
114 32.1 133
15.171
18.397
17.897
15.523
terphenyl-d14
36.5
its 31.4 120
19.205
1778
17.52
17.789
'Surrogate limits updated 08/01/2022
OF-,
1
1
'Ma 23-0S6'
RCS 23-056'
"LCSa 230S6'
'23-0730s'
10
2-fluorophenal
55.41
38.825
39.7
49.295
phenol.d6
31.44
24.61
25.695
29.705
nitrobenzene-d5
75.98
64.46
75.045
61.315
2-fluoroblphenyl
46.86
76A1
74.285
57385
2,4,6-tribromophenol
75.855
91.985
89.485
77.615
terphenyl-d14
96.025
88.9
37.6
88.945
'Ma 234D56'
'L623 S
'LM 230
'23-0730p'
2-fluorophenoi
high
pass
pass
pass
phenol.d6
pass
pass
pass
pass
nitrobenzene.d5
pass
pass
pass
pass
2-fluombiphenyi
Pass
pass
pass
pass
2,4,64ribromophenal
On
pass
pass
pass
terphenyl-d14
pass
pass
pass
pass
Environmental Chemists Inc.
Internal Standard / Surrogate Recovery Check
MS/MS
Reftrence
3/3/2023
iSTOAre.
QC Section
CCU
"23-07308 MS"
1,4mid obenzened4
1115526
1090864
N.phtha1ene 48
2108316
2261135
memphmtne-mo
1329011
1418303
phenrnft.AI0
2124386
233GS39
Cbnse.Al2
1451698
1528079
h'renedlz
2192787
2452337
¢AL
Low
Nqh
QC Section
CCV
nmit
nm4
"23-07308 MS"
1115526
557763
Z231052
pass
2108316
1054158
4216632
pass
1329011
664505
2GS8022
pass
2124386
3052193
4248772
pass
1451698
725649
2903396
pass
2192787
2096394
4365574
pass
Aqueous Aqueous
spike amt ug/ml
low
high low high
QCSection
10
20
BLK/LFB SAMPLES
"23477308 MS'
2-fluorophenol
40
8.00
54.5 2.83 64A
8.368
phenol-d6
6.20
38.3 0.405 46.4
5.535
nitrobenzene-d5
20.4
97.3 18.4 $8.4
15.081
2-fluorobiphenyl
14.9
112 15.0 96.6
35.825
2,4,6.tribromophenol
48.9
114 32.1 133
17.495
terphenyl-d14
36.5
118 31.4 120
20.436
-Surrogate limits updated 08/01/2022
'23-07308 MS'
10
2-fluorophenol
41.84
phenol-d6
27.675
nitrobenzene-d5
75.405
2-fluorobiphenyl
79.125
2,4,6-trlbromophenol
87.475
terphenyl-d14
102.18
'23,07308 Ms'
2-fluorophenol
pass
phenol-d6
pass
nitrobenzene-d5
pass
2-fluorobiphenyl
pass
2,4,6-tribromophenol
pass
terphenyl-d14
pass
!||!!||
E�§■|k\
E§§t§w\
�!!�{•
{|ili�E
§$(§§§"
Ei5■B*�
(
(§5t
§(§■§§�
Environmental Chemists Inc.
8270E-625 Retention Time Check
CCV DATE:
3/3/23
Internal Standard
LS
1,4-Dichlorobenzene-d4
6.278
Naphthalene -dB
7.799
Acenaphthene-d10
9.944
Phenanthrene-d10
11.774
Chrysene-d12
15.138
Perylene-d12
17.329
Mean FIT
Internal Standard
-/t 30 sec.
"23-07308 MS"
`
1,4-Dichlorobenzene-d4
5.778
6.778
6.208
Naphthalene-d8
7.299
-
8.299
7.728
Acenaphthene-d10
9.444
-
10.444
9.877
Phenanthrene-d10
11.274
-
12.274
11.696
Chrysene-d12
14.638
-
15.638
15.069
Perylene-d12
16.829
-
17.829
37.243
F
D
r
Q
J
W
Oj
Gp
L
O
N»
O
N
pmG�
�Ap
p
pY
O,
3
P
Environmental Chemists Inc.
8270E TCPL MS/MSD Recovery Summary
Prep Batch N 23- 56
Spike Amclug/ml) 10 20 40 SO
"23-07308 MS"
Compound
Spk Amt.(ug/ml)
Calc. Amt.(ug/ml)
%REC.
CtC
Limits
Pyridine
20
2.20
11
0.1
-
50.0
1,4-Dichlorobenzene
20
13.07
65
20.0
-
88.7
2-Methylphenol
20
12.17
61
18.1
-
87.1
3&4-Methylphenol
20
11.17
56
0.1
-
12S.6
Nitrobenzene
20
1S.51
78
14.8
-
124.4
Hexachlorobutadlene
20
13.61
68
22.5
-
102.2
2,4,6-Trichlorophenol
20
13.73
69
5.4
-
108.7
2,4,5-Trichlorophenol
20
16.69
1 83
34.7
117.9
2,4-Dinitrotoluene
20
20.44
102
31.2
-
139.5
Hexachlorobenzene
20
18.18
91
32.0
-
118.1
Pentachlorophenol
20
20.21
101
43.5
-
146.1
Recovery Llmlts Updated M/D9/22
[envirochem
ANALYTICAL A CONSULTING CHEMISTS
LCS
Environmental Chemists, Inc.
6602 Windmill Way, Wilmington, NC 28405 - 910.392.02231ab ' 910392.4424 Fax
710 Bowsertown Road, Manteo, NC 27954 • 252.4735702 Lab/Fax
255 A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax
infW,nLnvnoamcnlalchem6lxcom
QC ETS- 2023-02965
Parameter
True Value
mg L
Recull
% True Value
Lfmils
A ummum
1.0
0.98
90-I1
Arsenic
1.00
1.01
101
90-110
Barium
1.00
1.01
101
90-110
Cadmium
1.00
1.02
102
90-110
Calcium
2.00
2.01
101
90-110
Chromium
1.00
0.99
99
90-110
Cyanide
1.00
0.90
90
90-110
Copper
L00
1.01
101
90-I10
Lead
I.00
1.02
102
1 90-I10
Magnesium
2.00
2.03
102
90.110
Mercury
0.0050
0.0053
106
90-110
Mercury
0.0050
1 0.0053
106
90-110
Molybdenum
1.00
1 0.99
99
90-I10
Nickel
1.00
1 1.02
102
90-I10
NO2,NO3
1.00
1 1.03
103
90-110
Potassium
2.00
1 1.96
98
90.110
Selenium
1.00
1.00
100
90-110
-Silver
0.100
0.102
102
90.110
Sodium
2.00
2.00
100
90-110
Sulfide
0.50
0.46
92
90-110
TKN
0.50
0.5
I00
90-110
TP
L60
1.50
94
90.110
TS°/a
N/A
N/A
NIA
NIA
Zinc
1.00
1.04
104
90-110
MS/MSD
Parameter
True
MJZIL
Recovery
M91L
% Recovery
%
Di erence
Limits %
Recovery
Limits %
Difference
Aluminum
0.100
0.109/0.098
109/98
11
80-120
520
Arsenic
0.100
0.104/0.099
104/99
5
90.120
<20
Barium
0.100
0.097/0.099
97199
2
80.120
<20
Cadmium
0.100
0.099/0.098
99/98
1
80.120
<20
Calcium
1.00
0.95/0.99
95199
4
80.120
520
Chromium
1.00
0.095/0.094
95/94
1
80-120
520
Cyanide
5.00
3.8/3.9
40•/42•
2
70.130
<30
Copper
0.100
0.100/0.100F93/101
0
<20
Lead
0.100
0.098/0.097
1
< 20
Magnesium
0.100
0.093/1.01
8
s 20
Mercu
0.0020
0.0021/0.0021
0
520
Mercu
0.0040
0.0042/0.0043
3
PM120
520
Mol
bdenum
0.100
0.697/0.097
0
<20
Nickel
0.100
0.101/0.101
0
<20
NO2+NO3
0.50
0.5010.52
4
<_20
Potassium
1.00
10210.98
4
<20
Selenium
0.100
1 0.093/0.097
93/97
4
80-120
<20
Silver
1.00
0.097/0.096
97/96
1
80.120
520
Sodium
1.00
1.03/1.02
103/102
1
80-120
<20
Sulfide
0.50
0.46/0.47
92/94
2
80.120
<20
TKN
10.0
11.2/I1.2
112/112
0
80-120
520
TP
2.00
2.10/2.04
1051102
3
80-120
:520
TS°h
N/A
N/A
N/A
N/A
N/A
N/A
Zinc
0.100
0,105/0.105
1051105
0
80-120
520
'Result valid. Matrix Interference.
DUPLICATE SAMPLES
Parameter
R�sul�s
%Dierence
Limits%
TS%
1 1.77
1.81
2
510
BLANKS
Parameter
Results
m /L
Limit
mg/L
Aluminum
<0.005
0.005
Arsenic
<0.005
0.005
Barium
<0.005
0.005
Cadmium
<0.005
0.005
Calcium
<0.25
0.25
Chromium
<0.005
0.005
Cyanide
<0.5
0.5
Copper
<0.005
0.005
Lead
<0.005
0.005
Magnesium
<0.25
0.25
Memo
<0.0001
0.0001
Mercury
<0.0002
0.0002
Molybdenum
<0.005
0.005
Nickel
<0.005
0.005
NO2+NO3
<0.01
0.01
Potassium
<0.25
0.25
Selenium
<0.005
0.005
Silver
<0.005
0.005
Sodium
<0.25
0.25
Sulfide
<0.025
0.025
TKN
<0.25
0.25
TP
<0.02
0.02
TS°/n
N/A
NIA
Zinc
<0.005
0.005
QC2302521
23-07308
1,2-Dichloroethane-64
98.06
SO-120
23-07308
4-Bromofluorobenzene
10327
80.120
23-07308
Dibromofluoromethane
%.75
80.120
23-07308
Toluenc-d8
99.25
80.120
LCSIO 1
1,2.Dichloroethane-d4
97.79
90. 120
LCSI01
4-Bromofluorobenzene
10027
80-120
LCSI01
Dibromofluoromethane
96.40
80-120
LCSIOI
Toluened8
101.28
80.120
LCS151
1,2-Dichloroethaned4
105.06
80-120
LCSISI
4-Bromofluorobenune
103.70
80-120
LCS 151
Dibromofluoromethane
103.23
80-120
LCSIS I
Toluen"S
107A5
80.120
LCS152
1,2-Dichloroethand4
108.81
90- 120
LCS 152
4.Bromofluorobenune
108.42
90.120
LC9152
Dibromofluoromethane
107.37
90.120
LCSI52
Toluened8
107.05
80-120
LCS201
1,2-Dichloroethaned4
98.80
80. 120
LCS201
4.8romofluorobenune
100.62
80-120
LCS201
Dibromofluoromethane
97.61
80.120
LCS20 1
Toluene-d8
106.19
80-120
LCS202
1,2-Diehloroethane-d4
102.03
80-120
LCS202
4-Bromofluorobenzene
102.65
80. 120
LCS202
Dibromofluoromethane
102.94
80-120
LCS202
Toluened8
102.93
SO. 120
LFBIO I
1,2-Dichlorocthened4
100.31
80- 120
LFBI01
4-Bromofluorobenzene
101.48
SO. 120
LFBI01
Dibromofluoromethane
102,11
80.120
LFBI01
Toluene -de
103.64
80.120
LFBISI
1,2-Dichlorocthaned4
103.63
80-120
LFBISI
4-Bromofluorobenune
106.42
80-120
LFB151
Dibromofluoromethane
104.59
90-120
LFB151
Toluene-d8
105.37
80-120
LFBI52
1,2-Dichlotoethaned4
102.74
80-120
LFB 152
4-Brunofluorobenzene
103.50
SO. 120
LFBI52
Dibromofluoromethane
103.10
80-120
LFBI52
Toluene-d8
105.02
80-120
LFB201
1,2-Dichloroethaned4
101.33
80-120
LFB20 I
4-Bramofluarobenzene
103.37
90- 120
LFB201
Dibromofluoromethane
101.18
80-120
LF8201
Toluene-d8
IM69
80-120
LFB202
1,2-Dichlomethane-d4
103.80
$0.120
LFB202
4-Bromofluorobenure
103.65
80. 120
LF8202
Dibromofluoromethane
103.87
80-120
LFB202
Toluene-d8
103.97
80-120
Method Blank I
1,2-Dichloroelhamed4
97.15
$0. 120
Method Blank 1
4-Bromofluorobenzene
104.00
80-120
Method Blank 1
Dibromofluoromethane
96.41
80 - 120
Method Blank 1
Toluened8
100.61
90- 120
Method Blank
1,2-Dichloroethaned4
99.49
80.120
Method Blank
4-Bromotluorobenune
106.13
80.120
Method Blank
Dibrom fluoromethem
96.71
90.120
Method Blank
Toluene-d8
100.46
80-120
Method Blank 3
1,2-Dichloroethaned4
88.62
80-120
Method Blank
4-Bromolluorobenune
91.49
80-120
Method Blank
Dibromolluorome(hane
86.69
80.120
Method Blank 3
Toluene -de
99.56
80 -120
Method Blank
1,2-Dichlormthme-d4
100.06
80-120
Method Blank 4
4-Brom fluorobenum
106.34
80 - 120
Method Blank
Dibrum fluoromethme
99,91
80-120
Method Blank
Tolmmd8
99.74
80-120
Method Blank 5
1,2-Dichloroethane-d4
101.06
80. 120
Method Blank 5
4-BromaOuorobenune
104.60
80- 120
Method Blank 5
DibromoBuoromethane
99.21
80- 120
Method Blank 5
Toluenad8
99.59
80. 120
MS151
1,2-Dichloroethanc-d4
104.38
80-120
MS151
4-Bromolluorobenzene
99.98
80-120
MS151
Dibromotluoromethane
105.50
80-120
MSI51
Toluened8
104.08
80-120
MSDISI
1,2-Dichlormthme-d4
101.86
80-120
MSDIS I
4-BromoOuorobenzem
100.93
80- 120
MSD151
Dibromo0uoromethane
103.75
80-120
MSDISI
Toluene-d8
102.37
80-120
QC Results
pgmmdK-,___ .%Rase IRPD CaMro1LImIIR�
QC2302521 23-07655A: M515 1
I,1-Dichloroethylem (TCLP)
103.14
80. 120
23-07655A: MS151
1,2-Dichlormlhane(TCLP)
104.98
80.120
23-0765SA: MSI51
Benune(TCLP)
105.12
80-120
23-07655A: MSI51
Carbon Tetrachloride (TCLP)
105A5
80.120
23-07655A: MSI51
Chlorobenune(TCLP)
108.15
80.120
23-07655A: MS151
Chlorofotm(TCLP)
106.03
80-120
23-07655A: M9I5 1
Methyl ethyl ketone (TCLP)
109.67
80.120
23-0765SA: MSISI
Tetachloroethylene(TCLP)
97.6
80.120
23-07655A: MSI5 1
Trichlormthylene (TCLP)
101.38
80 - I20
23-07655A: MSI51
Vinyl Chloride (TCLP)
95.76
80.120
23-07655A: MSDISI
i,l-Dichloroethylem(TCLP)
9.1711
0.12.5
23-07655A: MSD151
1,2-Dichloroelhane(TCLP)
1.9169
0-12.3
23.07655A: MSD15 1
Benzene(TCLP)
1.6787
0-10
23-0765SA: MSDISI
Carbon Tetrachloride (TCLP)
4.862$
0.10
23.07655A: MSDIS I
Chlorobenune(TCLP)
2.4334
0-10
23-07655A: MSD151
Chlmororm(TCLP)
2.3919
0-10
23-0765SA: MSDI51
Methyl ethyl ketone(TCLP)
0.0976
0-25
23-07655A: MSDI5 I
Tetrechlormthylene (TCLP)
1.908
0 -10
23-07655A: MSDISI
Trichloroethylene CrCLP)
2.0032
0-10
23-07655A: MSDI51
Vinyl Chloride (TCLP)
2.0125
0-15
LCSIO1
1, 1 -Dichlorwhylene (TCLP)
96.72
80.120
LCSI01
1,2.Dichlormthane(TCLP)
100.16
80-120
LCSIO i
Benzene (TCLP)
102.74
80 - 120
LCSI01
Carbon Tetrachloride (TCLP)
101.86
80.120
LCSIOI
Chlorobenzene(TCLP)
108.26
80.120
LCSI01
Chlomform(TCLP)
102.26
80-120
I.CSIO 1
Methyl ethyl ketone (TCLP)
99.73
90. 170
LCSI01
Teirachlomethylem(TCLP)
98.09
80.120
LCSIOI
TrichloroethylenC(TCLP)
95.22
80-120
LCSI01
Vinyl Chloride (TCLP)
94.35
80-120
LCS 151
1,1-Dichimmthylene(TCLP)
100.99
80.120
LCS 151
1,2-Dichloroethane(fCLP)
103.02
80-120
LCS 151
Benune(TCLP)
104.97
80-120
LCSI51
Carbon Tetrachloride (TCLP)
102.55
80-120
LCS 151
Chkaobenzme(TCLP)
110.55
80.120
LCS151
Chloroform(TCLP)
105.88
80-120
LCS15I
Methyl ethyl ketone (TCLP)
104.24
80.120
LCSI51
Tetrachloraethylene(TCLP)
101.16
So. 120
LCS151
Trichloroethylene(TCLP)
100.14
80-120
LCSI51
Vinyl Chloride (TCLP)
97.39
80-120
LCS I52
1,1-Dichloroethylene(TCLP)
100.87
80-120
LCSI52
1,2-Dichloroetharm(TCLP)
108.18
80-120
LCSIS2
Benune(TCLP)
107.62
80.120
LCS15 2
Carbon Tetrachloride (TCLP)
102.42
90.120
LCS15 2
Chlorobenune (TCLP)
109.97
80- 120
LCS15 2
Chloroform (TCLP)
110.74
80 -120
LCSIS2
Methyl ethyl ketone (TCLP)
109.64
80.120
LC8I52
Tetrachlotoethylene(TCLP)
99.92
80-120
LCSI52
Trichkroethylene(TCLP)
102.75
80.120
LCSI52
Vinyl Chloride (TCLP)
102.71
$0.120
LCS201
1.I-Dichloroelhylcm(TCLP)
%.02
80-120
LCS201
1,2-Diehlormthane(TCLP)
97.89
80-120
LCS201
Benune (TCLP)
97.95
80 - 120
LCS201
Carbon Tetrachloride (TCLP)
99.28
80 -120
LCS201
Chlorobenzene(TCLP)
105.58
90.120
LCS201
Chloroform(TCLP)
100.2
80.120
LCS201
Methyl ethyl ketone (TCLP)
94.48
80. 120
LCS201
Tetrachloroethylene(TCLP)
100.67
80-120
LCS201
Trichlomelhylene(TCLP)
94.64
80-I20
LCS201
Vinyl Chloride(TCLP)
102.52
$0.120
LCS202
i,l-Dichloroethylcnc(TCLP)
97.08
80-120
LCS202
1,2.Dichloroethane(TCLP)
101.83
80-120
LCS202
Benzene (TCLP)
99.74
80-120
LCS202
Carbon Tetrachloride (TCLP)
99.36
80-120
LCS202
Chlorobenzene(TCLP)
105.99
80-120
LCS20 2
Chloroform (TCLP)
103.89
80 - 120
LCS20 2
Methyl ethyl ketone (TCLP)
102.12
80. 120
LCS202
Tetrachlorcethylene(TCLP)
99.7
80.120
LCS202
TTichloroelhylene(TCLP)
99.64
80.120
LCS20 2
Vinyl Chloride (TCLP)
87.43
80 - 120
LFBIO 1
I,I-Dicblmoethylene(TCLP)
99.14
80-120
LFBIO 1
1,2-Dichloroethene(TCLP)
103.17
80-120
LFBIO 1
Benzene (TCLP)
103.97
80-120
LFBIO I
Carbon Tetrachloride (TCLP)
103.37
SO. 120
LFBIO I
Chlombenzene (TCLP)
112.24
80 - 120
LFBIO 1
Chlorofortn(TCLP)
106.54
80.120
LFBIO 1
Methyl ethyl ketone (TCLP)
105.6
80.120
LFBIO 1
Tetmchloroethylene(TCLP)
100.33
80-120
LFBI01
TTichlorwhylene(TCLP)
98,25
90.120
LFBIO 1
Vinyl Chloride (TCLP)
99.12
30. 120
LFBI51
1,1-Dichlmmthylene(TCLP)
102,18
80.120
LFBI51
1,2-Dichloroethene(TCLP)
103.67
SO- 120
LFBI51
Benzene (TCLP)
103.85
SO. 120
LFBI5 1
Carbon Tetrachloride (TCLP)
103.94
80- 120
LFB151
Chlorobenzene(TCLP)
111.04
SO. 120
LFB151
Chlorofmm(TCLP)
105.07
90.120
LFBI51
Methyl ethyl ketone (TCLP)
105.69
90. 120
LFBI51
Tetrachloroethylene(TCLP)
100.55
80-120
LFBI51
Triehlorcethylene(TCLP)
99.68
80.120
LFBISI
Vinyl Chloride (TCLP)
100.73
80.120
LFB IS2
1.1-Dichtomcthylene(TCLP)
%.53
80-120
LFB 152
1,2.Dichtorcethane(TCLP)
102.67
80-I20
LFB 15 2
Benzene (TCLP)
103.33
80 - I20
LFB 15 2
Carbon Tetrachloride (TCLP)
101.09
80 - 120
LFB 152
Chlorobenune(TCLP)
109.65
80.120
LFB I52
Chlorofom(TCLP)
105.92
80-120
LFBI5 2
Methyl ethyl ketone (TCLP)
103.68
80- 120
LFB 152
Tetntchloreethylene(TCLP)
99.48
80-120
LFBI52
Trichlmeethylene(TCLP)
100.58
80.120
LFB I52
Vinyl Chloride (TCLP)
97.33
SO- 120
LF8201
1,1-Dichloradhylene(TCLP)
101.66
80-120
LFB201
1,2.Dlchlormthane(TCLP)
102.02
90.120
LFB201
Benzene (TCLP)
100.25
80.120
LFB201
Carbon Tetrachloride (TCLP)
ID2.81
80-120
LFB20 I
Chlombenzene (TCLP)
107.67
80- 120
LFB20 I
Chloroform (TCLP)
102.79
90. 120
LFB20 I
Methyl ethyl ketone (TCLP)
98.51
80 - 120
LFB201
Teimchloroethylene(TCLP)
104.36
80-120
LFB201
Trichlomethylene(TCLP)
99.39
80.120
LFB201
Vinyl Chloride (TCLP)
99.59
80-120
LFB202
1,1-Dichlorvethylene(TCLP)
98.64
80.120
LFB202
1,2-Dichlmoethane(TCLP)
102.53
SO- 120
LFB202
Beoeenc(TCLP)
100.52
80-120
LFI3202
Carbon Tetrachloride (TCLP)
101.49
80. 120
LFB202
Chlorobenzene(TCLP)
107.14
SO. 120
LFB202
Chlmoform(TCLP)
105.76
80-120
LF620 2
Methyl ethyl ketone (TCLP)
102.43
SO- 120
LFB202
Tetrechloroethylene(TCLP)
101.48
LFB202
Trichloroethylene(TCLP)
100.85
LF8202
Vinyl Chloride (TCLP)
87.17
Method Blank I
I,1-Dichloroethylene (TCLP)
0.0
Method Blank
1,2-Dichloroethane(TCLP)
0.0
Method Blank 1
Benzene (TCLP)
0.0
Method Blank
Carbon Tetrachloride (TCLP)
0.0
Method Blank 1
Chlorobwmne (TCLP)
0.0
Method Blank I
Chloroform (TCLP)
0.0
Method Blank 1
Methyl ethyl ketone (TCLP)
0.0
Method Blank I
Tetrachlormthylene (TCLP)
0.0
Method Blank I
Trichlomethylene (TCLP)
0.0
Method Blank I
Vinyl Chloride (TCLP)
0.0
Method Blank
I,l-Dichlotoethylem(TCLP)
0.0
Method Blank
1,2-DIchi methanc(TCLP)
0.0
Method Blank
Bcnzcm(TCLP)
0.0
Method Blank 2
Cadwn Tetrachloride (TCLP)
0.0
Method Blank 2
Chlombenzcne (TCLP)
0.0
Method Blank 2
Chlooform (TCLP)
0.0
Method Blank 2
Methyl ethyl ketone (TCLP)
0.0
Method Blank 2
Tetrechlorcethyiene (TCLP)
0.0
Method Blank 2
Trichloroethylene (TCLP)
0.0
Method Blank
Vinyl Chloride (TCLP)
0.0
Method Blank
1,1-Dichlorcethylene(TCLP)
0.0
Method Blank 3
1,2-Dichioroethane (TCLP)
0.0
Method Blank 3
Benzene (TCLP)
0.0
Method Blank
Carbon Teiraohloride(TCLP)
0.0
Method Blank
Chlorobenzene(TCLP)
0.0
Method Blank 1
Chloroform (TCLP)
0.0
Method Blank 3
Methyl ethyl ketone (TCLP)
0.0
Method Blank 3
Teimchloroethylene(TCLP)
0.0
Method Blank
Trichloroethytme(TCLP)
0.0
Method Blank 3
Vinyl Chloride (TCLP)
0.0
Method Blank 4
I,1-Dichlmoethylene (TCLP)
0.0
Method Blank
1,2-Dichlormthane(TCLP)
0.0
Method Blank
Benzene (TCLP)
0.0
Method Blank 4
Carbon Tetrachloride (TCLP)
0.0
Method Blank 4
Chlorobenzene (TCLP)
0.0
Method Blank
Chlomfarm(TCLP)
0.0
Method Blank
Methyl ethyl ketone (TCLP)
0.0
Method Blank 4
Tetrachloroethylene (TCLP)
0.0
Method Blank
Trichloroethylene(TCLP)
0.0
Method Blank
Vinyl Chloride (TCLP)
0.0
Method Blank
1,1-13khloraethylene(TCLP)
0.0
Method Blank 5
1,2-Dichloroelhane (TCLP)
0.0
Method Blank 5
Benzene (TCLP)
0.0
Method Blank
Carbon Tetrachloride(TCLP)
0.0
Method Blank 5
Chlorobmune (TCLP)
0.0
Method Blank 5
Chloroform (TCLP)
0.0
80-120
80.120
80.120
Method Blank
Methyl ethyl ketone(TCLP)
0.0
Method Blank 5
Tettachloroethylene(TCLP)
0.0
Method Blank 5
Trichlormthylene (TCLP)
0.0
Method Blank
Vinyl Chloride(TCLP)
0.0
NA -mf onofyaeC
Environmental Chemists Inc. R4pM# 23a02%5
QC Level sample# 21073"
Batch 23-050
8151 Method Blank Summary
Column 1
0 18/2023
Com pound
5 4mt.
(o9/U
Ct Rmt.
9/0
%0
CC Umit
OCPA
0.20
0.1891
5
30
2.4-D
o0.003
2,4,5 TP
N.003
Column 2
02/18/2023
Compound
Spi'lun
lue/LI
Gle. Rmt.
luVilimit
Oclm
0.20
0.1897
6
30
2,4-D
<D.003
2,4,5-TP
o0.003
Column 1
Environmental Chemists Inc.
8151 LCS Recovery Summary
sn
Compound
p Rmt
(u9/U
Cak.4mt
(u9/U
%REC.
QC Llmks
•
Cak.4ml.
(u9/U
XREC.
qC Umita
•
40%
^
2,4-D
O.ID
0.1110
]ll
70
-
130
0.10e5
101
90 -
130
10
2.4.5-TP
0.10
0.0913
91
701
113010.0916
9x
70
L30
0
column 2
LCS iron
Cam uM
Sp pml.
Ivyq
Cak. 4mt4
lu9/ll
%REC.
QCRnits
•1
G Rm1
Iu9/li
%REC.
QC Umds
40%
••
2,4-D
0.10
0.1036
1a4
70 - 130
v0986
1 99
1 70 - 11301
2,9,5-TP
0.30
0.0990
94
70- 130
0.093]
9a
701 1130
J1751H
0
8151 Matrix Spike Recovery Summary
cptvmn 1
23-6n9 MS
apt Nnt. CA client.
Compound Ipg/U 11WO %REC. Cc Umiu
2,d-0 0.10 0.0980 9a 70 - ]30
2.4.5-TP 1 0.10 1 AM" 93 1 70 - 11301
Column
Compound
Spk9m1. •cNm.
(u9/Q (.,%l
%RFC.
QC Umks
2 9.0
0.10 0.0978
ae
70 - 130
2,0,5-TD
0.10 0.0933
93
A 130
brvlmnm t.l Chemllt e.yonf )avctus
level2sm.n.. nmw
BOBS Summary
Batch R 93 W9
M S.m
IWmq
♦MC
.o4Wf
xM.tlYar
N4n3
Nt v3b[
.0.Ptls
Ir .maba..
mAd3
Uban.
.o,pp5
[nbin
Wldf
m RU3
LlavaM
.OAI
fu
N.OS
MI CCS/SCSO Redvery Summary
Mr.
4 .Im.
4 Mt
M
IWmO
%NC.
OCu.M.
•
olo
atnf
n
. In
Dam01
M
Plo
0.30
0.dE
IN
N
bf
POO
114
N
144
q
Gbnn 1
wm<
IWmp
I
wnc
Ocl3n
1 wlu
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exc�
o.d
OAIo.
N
y%..
x. .nb
n
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u
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and
u
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a10
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n
n
. IN
on»
..Labs.
olo
A.oW
n
N
N
N
. In
n
.il Nvan,
0.10
.
ndN
u
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n
GeM1r
OAfs3
»
U
OANS
M
0.10
N
1»
0.10n
N
111
n
N.
010
`IW
»
nIM
CmINLMm UUJlveantl4xr.
.r m,.
Ifl
10
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(MYaol
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cameewl
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1LM.
duwu
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Environmental Chemist, Inc., Wilmington, NC Lab #94
6602 Windmill Way
Wilmington, NC 28405
,t
Sample Receipt Checklist 910.392.0223
Client: Me�--c
ct-bon t_ t J DO,-: z�14
I2b Rr`port Number: 1023- ZQ(p5_
Were
v temperature taken:
❑ temperatureelankg
ID
Thomas Traceable S/N 210886869 IR Gun Correction Factorr
YE
YES
❑
NO
3.
If temperature of cooler exceeded VC,
YES
❑
NO
4.
was Proje
Werepropercuslodyprocedures(relinquished/n
YES
❑
NO
S.
Were sample ID's listed on the COC7
YES
❑
NO
6.
Were samples ID'S listed 0nsample containers?
YES
❑
NO
2.
Were collection date and time listed on the COC?
YES
❑
NO
8.
Were tacit e., t.e....-r_.__.,,. _. .
------ ^• ^ wvper YES I
nolamg time for
❑ NO - 13. Were acid nrem�,ed .___,______.
YES ❑ NO 18. Were orthophosphate samples filtered in the field within 15 minutes?
TOC/Volatile$ are pH checked at time ofanalysis and recorded on the benchsheel
Bacteria samples are checked for Chlorine at time of analysis and recorded on the benchsheet.
triple Preservation: (Must be completed for any sample(s rrectl
mple(s) ) inc
Y preserved or with headspace)
were received incorrectly preserved and were adjusted accordingly
adding (Circle one): HrSO, HNOa HCI NaOH
ae of preservation: If more than one preservative is needed, notate in comments below
e: rvmry cvstome: service immediately for immrecthr pres.rved Samos Obta n z s+-.p'e a -
$the state lab if directed to anaryxed by taacvstomer. w. no star hoof en ev...d'. .
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N
N
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Date Coueeted
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Tlme Coueeted
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X
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W
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PA&
PROM PT•ACCLI RATE -RELIABLE
LABORATORIES, INC
W W W.PARLABS.COM
REPORT OF ANALYSES
Attn: ZACH KEY
U.S. BIOSOLIDS, INC.
PO BOX 146
RONDA, NC 28670-
SAMPLE NUMBER- 149338 SAMPLE ID- BELMONT
DATE SAMPLED- 03/14/24
DATE RECEIVED- 03/14/24 SAMPLER- ZK
TIME RECEIVED- 1245 DELIVERED BY- RE
Page 1 of 2
ANALYSIS . METHOD
PROJECT NAME: MAR 24
DATE: 04/09/24
SAMPLE MATRIX- WW
TIME SAMPLED- 1205
RECEIVED BY- DJ
TYPE SAMPLE- Grab
ANALYSIS
DATE TIME BY RESULT UNITS
TCLP CHARACTERISTICS
TCLP
03/25/24
1615
CB
pH VALUE
TCLP
03/25/24
1615
CB
CORROSIVITY
TCLP
03/25/24
1615
CB
REACTIVITY
TCLP
03/25/24
1615
CB
FLASH POINT
TCLP
03/25/24
1615
CB
IGNITABILITY
TCLP
03/25/24
1615
CB
PAINT FILTER TEST
TCLP
03/25/24
1614
AN
TCLP METALS
TCLP
03/26/24
1755
BN
ARSENIC
TCLP
03/26/24
1755
BN
BARIUM
TCLP
03/26/24
1755
BN
CADMIUM
TCLP
03/26/24
1755
BN
CHROMIUM
TCLP
03/26/24
1755
BN
LEAD
TCLP
03/26/24
1755
BN
MERCURY
TCLP
03/26/24
1755
BN
SELENIUM
TCLP
03/26/24
1755
BN
SILVER
TCLP
03/26/24
1755
BN
TCLP PESTICIDES
TCLP
03/27/24
1306
VC
ENDRIN
TCLP
03/27/24
1306
VC
LINDANE
TCLP
03/27/24
1306
VC
METHOXYCHLOR
TCLP
03/27/24
1306
VC
TOXAPHENE
TCLP
03/27/24
1306
VC
2217 Graham Park Drive • Charlotte, NC 28273
Phone: (704) 588-8333 • Fax: (704) 588-8335
6.6 S.U.
NON
NON
> 200 degrees F
NON
FL
< 0.5 ppm
< 10 ppm
< 0.1 ppm
< 0.5 ppm
< 0.5 ppm
< 0.02 ppm
< 0.1 ppm
< 0.5 ppm
< 0.002 ppm
< 0.04 ppm
< 1 ppm
< 0.05 ppm
PA&R
PROM PT•ACCU RATE• RELIABLE
LABORATORIES, INC
W W W.PARLABS.COM
Page 2 of 2
CONTINUATION OF DATA FOR SAMPLE NUMBER 149338
ANALYSIS
ANALYSIS METHOD DATE TIME BY RESULT UNITS
CHLORDANE
TCLP
03/27/24
1306
VC
< 0.003
ppm
HEPTACHLOR (AND ITS EPDXIDE)
TCLP
03/27/24
1306
VC
< 0.0008
ppm
TCLP HERBICIDES
TCLP
03/29/24
1316
VC
2,4-D
TCLP
03/29/24
1316
VC
< 1
ppm
2,4,5-TP(SILVEX)
TCLP
03/29/24
1316
VC
< 0.1
ppm
TCLP ORGANICS
TCLP
03/18/24
1757
MS
BENZENE
TCLP
03/18/24
1757
MS
< 0.05
ppm
CARBON TETRACHLORIDE
TCLP
03/18/24
1757
MS
< 0.05
ppm
CHLOROBENZENE
TCLP
03/18/24
1757
MS
< 10
ppm
CHLOROFORM
TCLP
03/18/24
1757
MS
< 0.6
ppm
o-CRESOL
TCLP
03/18/24
1757
MS
< 20
ppm
p-CRESOL
TCLP
03/18/24
1757
MS
< 20
ppm
m-CRESOL
TCLP
03/18/24
1757
MS
< 20
ppm
1,4-DICHLOROBENZENE
TCLP
03/18/24
1757
MS
< 0.75
ppm
1,2-DICHLOROETHANE
TCLP
03/18/24
1757
MS
< 0.05
ppm
1,1-DICHLOROETHYLENE
TCLP
03/18/24
1757
MS
< 0.07
ppm
2,4-DINITROTLUENE
TCLP
03/18/24
1757
MS
< 0.013
ppm
HEXACHLOROBENZENE
TCLP
03/18/24
1757
MS
< 0.013
ppm
HEXACHLOROBUTDIENE
TCLP
03/18/24
1757
MS
< 0.05
ppm
HEXACHLOROETHANE
TCLP
03/18/24
1757
MS
< 0.3
ppm
METHYL ETHYL KETONE
TCLP
03/18/24
1757
MS
< 20
ppm
NITROBENZENE
TCLP
03/18/24
1757
MS
< 0.2
ppm
PENTACHLOROPHENOL
TCLP
03/18/24
1757
MS
< 10
ppm
PYRIDINE
TCLP
03/18/24
1757
MS
< 0.5
ppm
TETRACHLORETHYLENE
TCLP
03/18/24
1757
MS
< 0.07
ppm
TRICHLOROETHYLENE
TCLP
03/18/24
1757
MS
< 0.05
ppm
2,4,5-TRICHLOROPHENOL
TCLP
03/18/24
1757
MS
< 40
ppm
2,4,6-TRICHLORPHENOL
TCLP
03/18/24
1757
MS
< 0.2
ppm
VINYL CHLORIDE
TCLP
03/18/24
1757
MS
< 0.02
ppm
S %
LABORATORY
DIRECTOR
2217 Graham Park Drive • Charlotte, NC 28273
Phone: (704) 588-8333 • Fax: (704) 588-8335
MF:Z
PR0MF-T-^CCUFRtA'Tr• RICLIAALE
LABORATORIES, INC
Shipping 1-t Mailing:
2217 Graham Park Drive
Charlotte, NC 28273
CHAIN OF CUSTODY
Phone (7G4) 588-8333
Fax (704) 588-8335
R is essential that all information be recorded on this Chain of Custody document for acceptance by PAR Laboratories, inc. and the North
uarouna uepanmenc or rnvrronmenrai ana Natural resources.
Company Name (billing)
U.S. Biosolids, Inc.
Address
PO Box 146
City, State Es zip code
Ronda, NC 28670
Point of Contact Et Telephone Number
Zach Key 336-467-3550
Taken By: SIGNATURE
Comments/ Special Instructions
NKIN I tU NAMt C-&c.
ARE SAMPLES FOR STATE or EPA REPORTING? YES ,W NO
'Sample Type: oW ww -, GWMW ^- HW — soil other
Sample Temp at time of sampling: ° C Sample Temp upon receipt: ° C
"Field Preserved: Yes No Teflon Liner/Zero Headspace: Yes No �n/a
Residual Chlorine checked at time of sampling (Y/N): Dechlorination Necessary (YIN):
' C=Composite G=Grab DW=Drinking Water WW-Wastewater GWMW=Groundwater Monitoring Well HW=Hazardous Waste