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HomeMy WebLinkAboutWQ0038087_Response to Notice_20240803TERRA renewal August 2, 2024 Jennifer F. Graznak; Assistant Regional Supervisor Winston-Salem Regional Office Division of Water Resources North Carolina Department of Environmental Control 450 West Haines Mill Road; Suite 300 Winston-Salem, NC 27105 Subject: Response to Notice of Deficiency (NOD-2024-PC-0120) 2023 Residuals Annual Report Terra Renewal Services RLAP Permit No. WQ0038087 Wilkes County Dear Ms Graznak, P.O. Box 1746 Watkinsville, GA 30677 phone 479.747.8192 In response the Notice of Deficiency (NOD-2024-PC-0120) issued July 18, 2024, pertaining to the 2023 Annual Report review for Permit No. WQ0038087, Terra Renewal Services (TRS) is providing the following response. Items addressed in order presented and correspond to the headers and numbers in the NOD letter. Attachments are provided where appropriate. 1) Revised Field Summary Forms (FSF) are provided with corrected N values for the AdvancePierre residuals on Fields WK-MF-16 and WK-RJ-5. 2) A revised Residual Source Summary Form (RSSF) for Tyson -Wilkesboro is provided with the correct Lead concentration for the March 2 sample. The corresponding corrections were made, and revised Metals Field Loading Summary Forms (MFLSF) and FSF's are provided for fields WK-MF-9, WK-MF- 10, WK-MF-11, WK-MF-17, YK-DM-5, and YK-WK-DM-8. 3) Copies of FSF's without portions blacked out are provided for fields WK-MF-11, WK-MRF-5, WK-MRF- 14, and WK-MRF-21. This was likely an error produced by the PDF software when attempts were made to reduce (optimize) the file size prior to submittal. 4) A revised FSF for field WK-MRF-15 is provided with the corrected landowner. 5) A revised Annual Certification Form (ACF) is provided with: a. Number of fields in permit changed from 62 to 63. b. Revised annual dry tons applied based on recalculation of Mathis-1 residuals volume (see below under Additional). 6) Samples were pulled for 4 sources in September (Q3). We typically use the same laboratory (Pace - Columbia), and we send a large volume through it each year. We have one project manager that handles the Terra Renewal samples. To simply the process, we have a list of parameters on file with the lab that covers all the NC permit parameters (with or without TCLP), so that abbreviations can be written on the COC instead of listing all parameters or providing an attachment. The week that these samples were delivered to the lab, the PM was on vacation and his work was delegated to another staff member, who was not informed of this arrangement, and the parameters for the nutrients were logged in incorrectly, thus the partial nutrient results. The report was not received until Q4. Upon Page 1 of 2; WQ0038087 — Response to NOD-2024-PC-0120 discovery, arrangements were made to pull additional sample in Q4 to compensate and provide at least 4 complete samples for the required sources in calendar year 2023. 7) Storage tank records for 2023 are provided. Deficiencies: 1) Terra Renewal acknowledges that a 24 hour notification to the WSRO was missed for the application to fields WK-MF-9,10,11,15 in Sept/Oct 2024 and we are aware of the permit requirements. We will make efforts to avoid this circumstance in the future. 2) As described above, there was a problem with processing of the samples that were collected in September (Q3) for Tyson -Harmony and Tyson -Wilkesboro. So, a complete analysis is not available for Q3 of 2023. However, additional samples were pulled in Q4 to compensate, so that a complete set of four results (4x Year) could be obtained for all parameters listed in the permit (excluding TCLP) for these sources in the calendar year 2023. We have historically obtained the required number of samples at the required frequency within the quarterly framework. This was an anomaly and we do not intend to make this recurring event. Concerns: A) Status of Zinc levels in soil samples will be brought to the attention of the farmer and monitored, particularly on fields WK-MF-13, WK-MF-17, and YK-YF-03. Additional: - During the production of this response and the corresponding records, it was discovered that the spreader buggy that was used in 2023 for removing and applying loads of residuals from the Mathis-1 storage tanks to the surrounding sites was 5,600 gallons. Volumes originally reported for 2023 for the Mathis-1 residuals assumed a volume per load of 6,000 gallons. The volumes applied have been corrected accordingly on forms MSLSF and FSF for fields WK-MRF-3,5,6,12,13,14,15 and revised forms are attached. The number of Annual Dry Tons applied was also corrected on the Annual Certification Form (ACF), which is provided as part of Item-5. Thank you for your cooperation and attention to this matter. If you have any questions or require additional information, please contact me at 479-747-8192 or david. coyle(a)terrarenewal. com. Sincerely, David C. Coyle Environmental Manager Page 2 of 2; WQ0038087 — Response to NOD-2024-PC-0120 ITEM: 1 Revised FSF's for correction of AdvancePierre N values Fields MF-16, RJ-5 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: Terra Renewal Services, Inc Land Owner: Mathis Properties, LLC Operator: Terra Renewal Services Crop 1 Name: Corn Silage '24 WQ Permit #: WQ0038087 Field #: WK-MF-16 Acres Utilized: 48.8 Annual Dry Tons Applied: 76.0633 Site #: WK-MF-16 Acres Permitted: 48.8 Predominant Soil Series: Fairview Cation Exchange Capacity (non 503): 8.9 Crop 1 Max. PAN: 174 Crop 2 Name: Crop 2 Max. PAN: Q Volume applied PP (enter one) Solids/ Liquid Cu. Yds Gallons % Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (Dry, e ' Moist) Precip. Past 24 Hrs. inches y 0 * o. o C o * N w ., co �, * N TKN mg/kg Z a O o oc o 2 w mg/kg Nitrate and Nitrite mg/kg PAN Applied ( lbs/acre) Name of Crop Type p yp Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 Dec 294000 1.8 0.452 RVI-Harmony INC 1 0.4 48000 23000 40 29.882 NA Corn-s Dec 210000 4.32 0.775 Tyson -Wilkes INC 1 0.4 73000 1700 39 46.914 NA Corn-s Dec 78000 3.87 0.258 Tyson -Danville INC 1 0.4 39000 3100 25 9.020 NA Corn-s Dec 6000 14.3 0.073 AdvancePierre INC 1 0.4 27000 70 7.3 1.591 1 NA Corn-s 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0 0 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): 0.000 0.000 TOTALS: oF--5880001 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 87.407 0.00o Lime Applied Annuallbs/acre 0.022 0.007 0.291 0.000 0.020 0.007 0.059 0.092 0.038 0.252 16.358 Date lbs/ac Prior Years Cumulative lbs/ac 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Current Cumulative lbs/ac 0.022 0.007 0.291 0.000 0.020 0.007 0.059 0.092 0.038 0.252 Permitted C. P. L. R.**** 36 34 1338 N/A 267 15 N/A 374 89 2498 Permit PAN Limit 1st/2nd Crop 1 174 "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 3/1/2024 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: Terra Renewal Services, Inc Land Owner: Johnson, S L Operator: Terra Renewal Services Crop 1 Name: Small Grains WQ Permit #: WQ0038087 Field #: WK-RJ-05 Acres Utilized: 45.1 Annual Dry Tons Applied: 26.3536 Site #: WK-RJ-05 Acres Permitted: 45.1 Predominant Soil Series: Dan River Cation Exchange Capacity (non 503): 11.8 Crop 1 Max. PAN: 103 Crop 2 Name: Crop 2 Max. PAN: y N Q Volume applied PP enter one Solids/ ( ) Liquid o /o Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. �e ' Moist) Precip. Past 24 Hrs. inches y �� * o. o C o �' � * 4 CD w ., co �, * N TKN mg/kg Z a o oc o ID 2. mg/kg Nitrate and Nitrite mg/kg PAN Applied ( lbs/acre) Name of Crop Type p yp Receiving Residual Application Cu. Yds Gallons Crop 1 Crop 2 Crop 1 Crop 2 Oct 168000 1.8 0.280 RVI-Harmony INC 1 0.4 48000 23000 40 18.476 NA S.G. Oct 138000 1.43 0.182 Tyson -Wilkes INC 1 0.4 130000 5000 59 20.092 NA S.G. Oct 12000 3.87 0.043 Tyson -Danville INC 1 0.4 39000 3100 25 1.502 NA S.G. Oct 6000 14.3 0.079 AdvancePierre INC 1 0.4 27000 70 7.3 1.721 NA S.G. 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0 0 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): 31.600 0.000 TOTALS: 01 324000 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 73.392 0.000 Lime Applied Annuallbs/acre 0.014 0.005 0.126 0.000 0.010 0.005 0.038 0.048 0.025 0.110 9.135 Date lbs/ac Prior Years Cumulative lbs/ac 0.597 0.272 0.950 0.000 0.551 0.056 0.827 0.829 0.646 2.398 Current Cumulative lbs/ac 0.611 0.277 1.075 0.000 0.561 0.061 0.864 0.876 0.671 2.508 Permitted C. P. L. R.**** 36 34 1338 N/A 267 15 N/A 374 89 2498 Permit PAN Limit 1st/2nd Crop 103 "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." e �� 3/1/2024 *Application Method: S - Surface, IN - Injection, INC - Incorporation **Volatilization Rate: Surface - 0.5, Injection/Incorporation -1.0 Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2, aerobically digested -0.3, raw sludge -0.4 ****C.P.L.R.: Cumulative Pollutant Loading Rate DENR FORM FSF (12/2006) Item 2: Revised RSSF for Tyson -Wilkesboro Pb conc. Revised FSF's & MFLSF's for correction of Wilkesboro Pb conc. Fields MF-9, MF-10, MF-11, MF-17, DM-5, DM-8 ANNUAL RESIDUAL SAMPLING SUMMARY FORM Please note that your permit may contain additional parameters to be analyzed. The parameters can be reported in FORM RSSF - B WQ Permit Number: WQ0038087 Laboratory: Facility Name: Terra Renewal Services, Inc Residual Source WQ # or Tyson - Wilkesboro, NC NPDES #: WWTP Name: Residual Analysis Data 1) 2) 3) 4) 5) Pace Analytical Services, LLC Parameter (mg/kg) Ceiling Conc. Limit Sample or Composite Date 3/2/23 5/16/23 9/19/23 11/28/23 12/12/23 Percent Solids (%) NA 20.7 9.73 6.67 1.43 4.32 Arsenic 75 < 1.1 < 2.2 < 9.5 < 17 < 5.6 Cadmium 85 < 0.37 < 0.74 < 3.2 < 5.6 < 1.9 Copper 4,300 2.5 25 75 160 67 Chromium NA Lead 840 < 0.74 < 1.5 < 6.3 < 11 6.2 Mercury 57 < 0.37 < 0.82 < 5.5 < 1.8 Molybdenum 75 < 3.0 < 5.9 < 25 < 45 < 15 Nickel 420 < 3.0 < 5.9 < 25 < 45 < 15 Selenium 100 < 1.5 < 2.9 13 < 23 < 7.5 Zinc 7,500 3.9 33 110 150 81 Total Phosphorus NA 440 1,400 9,100 4,000 TKN NA 13,000 15,000 130,000 73,000 Ammonia -Nitrogen NA 120 1,600 5,000 1,700 Nitrate and Nitrite NA 7.8 17 17 1 59 39 a For surface disposal facilities the ceiling concentration limits listed in this form are not applicable. Reference the individual permit for metals limits. "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." 5� 3/l/2024 Signature of Preparer * *Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26) Date DENR FORM RSSF (12/2006) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: Terra Renewal Services, Inc Total Dry Tons Applied (Annual): 64.39 Permit #: WQ0038087 Cation Exchange Capacity (non 503 only): 13.1 Operator: Terra Renewal Services Owner: Mathis Properties, LLC Predominant Soil Series: Fairview Acres Used: 13.2 Acres Permitted: 13.2 Site #: WK-MF-09 Field #: WK-MF-09 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Sample or Com- posite Date 1 j RVI- Harm 3/2/23 2j Tyson- Wilke 3/2/23 3j RVI- Harm 11/28/23 4 Tyson- Wilke 11/28/23 5j 6j 7j 8j 9 10 11 12 % Solids 2.2 20.7 1.8 1.4 Arsenic 10.0 1.1 13.0 17.0 Cadmium 3.4 0.4 4.3 5.6 Copper 13.0 2.5 35.0 160.0 Chromium Lead 6.7 0.7 8.6 11.0 Mercury 3.6 0.4 4.2 5.5 Molyb- denum 27.0 3.0 34.0 45.0 Nickel 27.0 3.0 34.0 45.0 Selenium 13.0 1.5 27.0 23.0 Zinc 43.0 3.9 57.0 150.0 Total Phos- horus 12,000 440 8,500 9,100 Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1j 2j 3j 4j 5j 6j 7j 8j 9 10 11 12 DT/Ac./ 0 App- Event 0.49 3.92 0.27 0.19 Arsenic 0.010 0.009 0.007 0.006 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.032 Cadmium 0.003 0.003 0.002 0.002 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.011 Copper 0.013 0.020 0.019 0.061 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.112 Chromium 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Lead 0.007 0.006 0.005 0.004 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.021 Mercury 0.004 0.003 0.002 0.002 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.011 Molyb- 0.027 0.024 0.019 0.017 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.086 denum Nickel 0.027 0.024 0.019 0.017 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.086 Selenium 0.013 0.012 0.015 0.009 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.048 Zinc 0.042 0.031 0.031 0.057 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.161 Total Phos- 11.784 3.453 4.641 3.458 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 23.336 horus "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations". Signature of Land Applier 3/ 1 /2024 Date DENR FORM MFLSF (12/2006) ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: Terra Renewal Services, Inc Land Owner: Mathis Properties, LLC Operator: Terra Renewal Services Crop 1 Name: Corn Silage WQ Permit #: WQ0038087 Field #: WK-MF-09 Acres Utilized: 13.2 Annual Dry Tons Applied: 64.3840 Site #: WK-MF-09 Acres Permitted: 13.2 Predominant Soil Series: Fairview Cation Exchange Capacity (non 503): 13.1 Crop 1 Max. PAN: 189 Crop 2 Name: Small Grains Crop 2 Max. PAN: 50 Q Volume applied PP (enter one) Solids/ Liquid Cu. Yds Gallons % Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. We ' Moist) Precip. Past 24 Hrs. inches y � * o. o C o * ''o w ., co �, * N TKN mg/kg Z a O o oc o 2. mg/kg Nitrate and Nitrite mg/kg PAN Applied ( lbs/acre) Name of Crop Type p yp Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 Mar 72000 2.16 0.491 RVI-Harmony INC 1 0.4 54000 32000 120 40.208 NA Corn-s Mar 60000 20.7 3.924 Tyson -Wilkes INC 1 0.4 13000 120 7.8 41.432 NA Corn-s Oct 48000 1.8 0.273 RVI-Harmony INC 1 0.4 48000 23000 40 Na 18.036 S.G Oct 42000 1.43 0.190 Tyson -Wilkes INC 1 0.4 130000 5000 59 Na 20.893 S.G 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0 0 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): 0.000 0.000 TOTALS: 0 222000 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 81.6401 38.929 Lime Applied Annuallbs/acre 0.032 0.011 0.112 0.000 0.021 0.011 0.086 0.086 0.048 0.161 23.336 1 Date lbs/ac Prior Years Cumulative lbs/ac 0.234 0.098 1.187 0.000 0.210 0.032 0.435 0.437 0.273 5.816 April 4000 Current Cumulative lbs/ac 0.266 0.109 1.299 0.000 0.231 0.042 0.520 0.522 0.321 5.977 Permitted C. P. L. R.**** 36 34 1338 N/A 267 15 N/A 374 89 2498 Permit PAN Limit 1st/2nd Crop 189 50 "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." 3/1/2024 *Application Method: S - Surface, IN - Injection, INC - Incorporation ** Signature of Land Applier Date Volatilization Rate: Surface - 0.5, Inlection/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 METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: Terra Renewal Services, Inc Total Dry Tons Applied (Annual): 159.58 Permit #: WQ0038087 Cation Exchange Capacity (non 503 only): 13.8 Operator: Terra Renewal Services Owner: Mathis Properties, LLC Predominant Soil Series: Fairview Acres Used: 19.6 Acres Permitted: 19.6 Site #: WK-MF-10 Field #: WK-MF-10 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Sample or Com- posite Date 1 j RVI- Harm 3/2/23 2j Tyson- Wilke 3/2/23 3j RVI- Harm 11/28/23 4 Tyson- Wilke 11/28/23 5j 6j 7j 8j 9 10 11 12 % Solids 2.2 20.7 1.8 1.4 Arsenic 10.0 1.1 13.0 17.0 Cadmium 3.4 0.4 4.3 5.6 Copper 13.0 2.5 35.0 160.0 Chromium Lead 6.7 0.7 8.6 11.0 Mercury 3.6 0.4 4.2 5.5 Molyb- denum 27.0 3.0 34.0 45.0 Nickel 27.0 3.0 34.0 45.0 Selenium 13.0 1.5 27.0 23.0 Zinc 43.0 3.9 57.0 150.0 Total Phos- horus 12,000 440 8,500 9,100 Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1j 2j 3j 4j 5j 6j 7j 8 9 10 11 12 DT/Ac./ 0 App- Event 0.41 5.29 0.25 2.19 Arsenic 0.008 0.012 0.007 0.074 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.101 Cadmium 0.003 0.004 0.002 0.025 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.033 Copper 0.011 0.026 0.018 0.701 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.756 Chromium 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Lead 0.006 0.008 0.004 0.048 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.066 Mercury 0.003 0.004 0.002 0.024 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.033 Molyb- 0.022 0.032 0.017 0.197 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.268 denum Nickel 0.022 0.032 0.017 0.197 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.268 Selenium 0.011 0.016 0.014 0.101 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.141 Zinc 0.036 0.041 0.029 0.657 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.763 Total Phos- 9.936 4.651 4.301 39.858 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 58.746 horus "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations". Signature of Land Applier 3/ 1 /2024 Date DENR FORM MFLSF (12/2006) ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: Terra Renewal Services, Inc Land Owner: Mathis Properties, LLC Operator: Terra Renewal Services Crop 1 Name: Corn Silage WQ Permit #: WQ0038087 Field #: WK-MF-10 Acres Utilized: 19.6 Annual Dry Tons Applied: 120.9367 Site #: WK-MF-10 Acres Permitted: 19.6 Predominant Soil Series: Fairview Cation Exchange Capacity (non 503): 13.8 Crop 1 Max. PAN: 186 Crop 2 Name: Small Grains Crop 2 Max. PAN: 50 0 Q Volume applied PP (enter one) Solids/ Liquid Cu. Yds Gallons % Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (Dry, e ' Moist) Precip. Past 24 Hrs. inches y * o. o C o g' * 4 CD w ., co �, * N TKN mg/kg Z a o oc o ID 2. mg/kg Nitrate and Nitrite mg/kg PAN Applied ( lbs/acre) Name of Crop Type p yp Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 Mar 90000 2.16 0.414 RVI-Harmony INC 1 0.4 54000 32000 120 33.849 NA Corn-s Mar 120000 20.7 5.285 Tyson -Wilkes INC 1 0.4 13000 120 7.8 55.806 NA Corn-s Oct 66000 1.8 0.253 RVI-Harmony INC 1 0.4 48000 23000 40 Na 16.702 S.G Oct 72000 1.43 0.219 Tyson -Wilkes INC 1 0.4 130000 5000 59 Na 24.122 S.G 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0 0 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): 0.000 0.000 TOTALS: 0 348000 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 89.6541 40.824 Lime Applied Annuallbs/acre 0.101 0.033 0.756 0.000 0.066 0.033 0.268 0.268 0.141 0.763 58.746 1 Date lbs/ac Prior Years Cumulative lbs/ac 0.237 0.095 0.667 0.000 0.205 0.040 0.457 0.457 0.280 7.401 Current Cumulative lbs/ac 0.338 0.129 1.423 0.000 0.270 0.073 0.726 0.726 0.421 8.163 Permitted C. P. L. R.**** 36 34 1338 N/A 267 15 N/A 374 89 2498 Permit PAN Limit 1st/2nd Crop 186 50 "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." 3/1/2024 *Application Method: S - Surface, IN - Injection, INC - Incorporation **Volatilization Rate: Surface - 0.5, Injection/Incorporation -1.0 Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2, aerobically digested -0.3, raw sludge -0.4 ****C.P.L.R.: Cumulative Pollutant Loading Rate DENR FORM FSF (12/2006) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: Terra Renewal Services, Inc Total Dry Tons Applied (Annual): 86.90 Permit #: WQ0038087 Cation Exchange Capacity (non 503 only): 12.6 Operator: Terra Renewal Services Owner: Mathis Properties, LLC Predominant Soil Series: Fairview Acres Used: 22.5 Acres Permitted: 22.5 Site #: WK-MF-I I Field #: WK-MF-11 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Sample or Com- posite Date 1 j RVI- Harm 3/2/23 2j Tyson- Wilke 3/2/23 3j RVI- Harm 11/28/23 4 Tyson- Wilke 11/28/23 5j 6j 7j 8j 9 10 11 12 % Solids 2.2 20.7 1.8 1.4 Arsenic 10.0 1.1 13.0 17.0 Cadmium 3.4 0.4 4.3 5.6 Copper 13.0 2.5 35.0 160.0 Chromium Lead 6.7 0.7 8.6 11.0 Mercury 3.6 0.4 4.2 5.5 Molyb- denum 27.0 3.0 34.0 45.0 Nickel 27.0 3.0 34.0 45.0 Selenium 13.0 1.5 27.0 23.0 Zinc 43.0 3.9 57.0 150.0 Total Phos- horus 12,000 440 8,500 9,100 Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 2 j 3j 4j 5j 6j 7j 8j 9 10 11 12 DT/Ac./ 0 App- Event 0.38 2.99 0.20 0.29 Arsenic 0.008 0.007 0.005 0.010 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.029 Cadmium 0.003 0.002 0.002 0.003 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.010 Copper 0.010 0.015 0.014 0.092 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.130 Chromium 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Lead 0.005 0.004 0.003 0.006 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.019 Mercury 0.003 0.002 0.002 0.003 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.010 Molyb- 0.021 0.018 0.014 0.026 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.078 denum Nickel 0.021 0.018 0.014 0.026 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.078 Selenium 0.010 0.009 0.011 0.013 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.043 Zinc 0.033 0.023 0.023 0.086 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.165 Total Phos- 9.216 2.633 3.400 5.205 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 20.454 horus "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations". Signature of Land Applier 3/ 1 /2024 Date DENR FORM MFLSF (12/2006) ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: Terra Renewal Services, Inc Land Owner: Mathis Properties, LLC Operator: Terra Renewal Services Crop 1 Name: Corn Silage WQ Permit #: WQ0038087 Field #: WK-MF-11 Acres Utilized: 22.5 Annual Dry Tons Applied: 86.9195 Site #: WK-MF-11 Acres Permitted: 22.5 Predominant Soil Series: Fairview Cation Exchange Capacity (non 503): 12.6 Crop 1 Max. PAN: 153 Crop 2 Name: Small Grains Crop 2 Max. PAN: 50 a0i � Q Volume applied PP (enter one) Solids/ Liquid Cu. Yds Gallons % Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. Wet, Moist) Precip. Past 24 Hrs. inches y � � 0 * o. o C o � g' * N 4 CD w ., co �, * N TKN mg/kg Z a o oc o � 2. mg/kg Nitrate and Nitrite mg/kg PAN Applied ( lbs/acre) Name of Crop Type p yp Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 Mar/Apr 96000 2.16 0.384 RVI-Harmony INC 1 0.4 54000 32000 120 31.452 NA Corn-s Mar/Apr 78000 20.7 2.992 Tyson -Wilkes INC 1 0.4 13000 120 7.8 31.598 NA Corn-s Sep/Oct 60000 1.8 0.200 RVI-Harmony INC 1 0.4 48000 23000 40 Na 13.227 S.G Sep/Oct 108000 1.43 0.286 Tyson -Wilkes INC 1 0.4 130000 5000 59 Na 31.519 S.G 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0 0 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): 0.000 0.000 TOTALS: 01 342000 As Cd Cu Cr Pb H g I Mo Ni I Se Zn P 63.050 44.746 Lime Applied Annuallbs/acre 0.029 0.010 0.130 0.000 0.019 0.010 0.078 0.078 0.043 0.165 20.454 Date lbs/ac Prior Years Cumulative lbs/ac 0.348 0.159 0.656 0.000 0.325 0.036 0.509 0.514 0.379 5.621 Current Cumulative lbs/ac 0.377 0.169 0.786 0.000 0.344 0.046 0.587 0.592 0.422 5.786 Permitted C. P. L. R.**** 36 34 1338 N/A 267 15 N/A 374 89 2498 Permit PAN Limit 1st/2nd Crop F 153 50 "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." 3/1/2024 *Application Method: S - Surface, IN - Injection, INC - Incorporation **Volatilization Rate: Surface - 0.5, Injection/Incorporation -1.0 Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2, aerobically digested -0.3, raw sludge -0.4 ****C.P.L.R.: Cumulative Pollutant Loading Rate DENR FORM FSF (12/2006) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: Terra Renewal Services, Inc Total Dry Tons Applied (Annual): 115.89 Permit #: WQ0038087 Cation Exchange Capacity (non 503 only): 11.3 Operator: Terra Renewal Services Owner: Mathis Properties, LLC Predominant Soil Series: Fairview Acres Used: 39.5 Acres Permitted: 39.5 Site #: WK-MF-17 Field #: WK-MF-17 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Sample or Com- posite Date 1 j RVI- Harm 3/2/23 2j Tyson- Wilke 3/2/23 3j RVI- Harm 11/28/23 4 Tyson- Wilke 11/28/23 5j 6j 7j 8j 9 10 11 12 % Solids 2.2 20.7 1.8 1.4 Arsenic 10.0 1.1 13.0 17.0 Cadmium 3.4 0.4 4.3 5.6 Copper 13.0 2.5 35.0 160.0 Chromium Lead 6.7 0.7 8.6 11.0 Mercury 3.6 0.4 4.2 5.5 Molyb- denum 27.0 3.0 34.0 45.0 Nickel 27.0 3.0 34.0 45.0 Selenium 13.0 1.5 27.0 23.0 Zinc 43.0 3.9 57.0 150.0 Total Phos- horus 12,000 440 8,500 9,100 Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1j 2j 3j 4j 5j 6j 7j 8 9 10 11 12 DT/Ac./ 0 App- Event 0.22 2.23 0.21 0.28 Arsenic 0.004 0.005 0.005 0.010 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.024 Cadmium 0.001 0.002 0.002 0.003 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.008 Copper 0.006 0.011 0.014 0.090 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.121 Chromium 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Lead 0.003 0.003 0.004 0.006 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.016 Mercury 0.002 0.002 0.002 0.003 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.008 Molyb- 0.012 0.013 0.014 0.025 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.064 denum Nickel 0.012 0.013 0.014 0.025 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.064 Selenium 0.006 0.007 0.011 0.013 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.036 Zinc 0.019 0.017 0.023 0.084 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.144 Total Phos- 5.256 1.962 3.485 5.114 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 15.817 horus "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations". Signature of Land Applier 3/ 1 /2024 Date DENR FORM MFLSF (12/2006) ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: Terra Renewal Services, Inc Land Owner: Mathis Properties, LLC Operator: Terra Renewal Services Crop 1 Name: Corn Silage WQ Permit #: WQ0038087 Field #: WK-MF-17 Acres Utilized: 39.5 Annual Dry Tons Applied: 115.8901 Site #: WK-MF-17 Acres Permitted: 39.5 Predominant Soil Series: Fairview Cation Exchange Capacity (non 503): 11.3 Crop 1 Max. PAN: 174 Crop 2 Name: Small Grains Crop 2 Max. PAN: 50 c y y Q Volume applied enter one Solids/ ( ) Liquid Cu. Yds Gallons o /o Solids Volume Applied per PP P Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (Dry, We Moist) Precip. Past 24 Hrs. inches y 3 � ro 0 �• o Y * o * °� w * N P TKN mg/kg Z a o w� w mg/kg Nitrate and Nitrite mg/kg PAN Applied (lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 Feb/Mar 96000 2.16 0.219 RVI-Harmony INC 1 0.4 54000 32000 120 17.916 NA Corn-s Feb/Mar 102000 20.7 2.229 Tyson -Wilkes INC 1 0.4 13000 120 7.8 23.537 NA Corn-s Nov/Dec 108000 1.8 0.205 RVI-Harmony INC 1 0.4 48000 23000 40 Na 13.561 S.G Nov/Dec 186000 1.43 0.281 Tyson -Wilkes INC 1 0.4 130000 5000 59 Na 30.920 S.G 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0 0 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): 0.000 0.000 TOTALS: 01 492000 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 41.453 44.482 Lime Applied Annuallbs/acre 0.024 0.008 0.121 0.000 0.016 0.008 0.064 0.064 0.036 0.144 15.817 1 Date lbs/ac Prior Years Cumulative lbs/ac 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Current Cumulative lbs/ac 0.024 0.008 0.121 0.000 0.016 0.008 0.064 0.064 0.036 0.144 Permitted C. P. L. R.**** 36 34 1338 N/A 267 15 N/A 374 89 2498 Permit PAN Limit 1st/2nd Crop 1 174 50 "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." �_ �� 3/1/2024 *Application Method: S - Surface, IN - Injection, INC - Incorporation **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0 Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2, aerobically digested -0.3, raw sludge -0.4 ****C.P.L.R.: Cumulative Pollutant Loading Rate DENR FORM FSF (12/2006) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: Terra Renewal Services, Inc Total Dry Tons Applied (Annual): 65.39 Permit #: WQ0038087 Cation Exchange Capacity (non 503 only): 8.6 Operator: Terra Renewal Services Owner: George F Ireland Trust Predominant Soil Series: Clifford Acres Used: 21 Acres Permitted: 21 Site #: YK-DM-05 Field #: YK-DM-05 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Sample or Com- posite Date 1 j RVI- Harm 3/2/23 2j Tyson- Wilke 3/2/23 3j 4j 5j 6j 7j 8j 9 10 11 12 % Solids 2.2 20.7 Arsenic 10.0 1.1 Cadmium 3.4 0.4 Copper 13.0 2.5 Chromium Lead 6.7 0.7 Mercury 3.6 0.4 Molyb- denum 27.0 3.0 Nickel 27.0 3.0 Selenium 13.0 1.5 Zinc 43.0 3.9 Total Phos- horus 12,000 440 Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1j 2j 3j 4j 5j 6j 7j 8 9 10 11 12 DT/Ac./ 0 App- Event 0.15 2.96 Arsenic 0.003 0.007 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.010 Cadmium 0.001 0.002 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.003 Copper 0.004 0.015 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.019 Chromium 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Lead 0.002 0.004 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.006 Mercury 0.001 0.002 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.003 Molyb- 0.008 0.018 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.026 denum Nickel 0.008 0.018 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.026 Selenium 0.004 0.009 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.013 Zinc 0.013 0.023 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.036 Total Phos- 3.696 2.605 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 6.301 horus "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations". Signature of Land Applier 3/ 1 /2024 Date DENR FORM MFLSF (12/2006) ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: Terra Renewal Services, Inc Land Owner: George F Ireland Trust Operator: Terra Renewal Services Crop 1 Name: Corn -silage WQ Permit #: WQ0038087 Field #: YK-DM-05 Acres Utilized: 21 Annual Dry Tons Applied: 65.3923 Site #: YK-DM-05 Acres Permitted: 21.0 Predominant Soil Series: Clifford Cation Exchange Capacity (non 503): 8.6 Crop 1 Max. PAN: 241 Crop 2 Name: Crop 2 Max. PAN: � y Q Volume applied (enter one) Solids/ Liquid Cu. Yds Gallons % Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources PDES #, W #, Q Fert., Animal Waste, etc) SoilPrecip. Cond. (Dry, e ' Moist) past 24 Hrs. inches y 0 * o. Z o 7y ° = * N w ��, co * N TKN mg/kg Z a o as o mg/kg Nitrate and Nitrite mg/kg PAN Applied (lbs/acre) Name of Crop Type Receiving Residual g Application Crop 1 Crop 2 Crop 1 Crop 2 Jan 36000 2.16 0.154 RVI-Harm INC 1 0.4 54000 32000 120 12.637 NA Corn-s Jan 72000 20.7 2.960 Tyson -Wilkes INC 1 0.4 13000 120 7.8 31.251 NA Corn-s 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0 0 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): 0.000 0.000 TOTALS: OF 108000 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 43.888 0.000 Lime Applied Annuallbs/acre 0.010 0.003 0.019 0.000 0.006 0.003 0.026 0.026 0.013 0.036 6.301 Date lbs/ac Prior Years Cumulative lbs/ac 0.158 0.059 0.576 0.000 0.123 0.042 0.355 0.355 0.198 1.248 Current Cumulative lbs/ac 0.168 0.062 0.595 0.000 0.129 0.045 0.381 0.381 0.211 1.284 Permitted C. P. L. R.**** T 36 34 1338 N/A 267 15 N/A 374 89 2498 Permit PAN Limit 1st/2nd Crop 241 "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 3/1/2024 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 METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: Terra Renewal Services, Inc Total Dry Tons Applied (Annual): 135.14 Permit #: WQ0038087 Cation Exchange Capacity (non 503 only): 9.6 Operator: Terra Renewal Services Owner: George F Ireland Trust Predominant Soil Series: Clifford Acres Used: 26.2 Acres Permitted: 26.2 Site #: YK-DM-08 Field #: YK-DM-08 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Sample or Com- posite Date 1 j RVI- Harm 3/2/23 2j Tyson- Wilke 3/2/23 3j AdvPier 9/21/23 4j 5j 6j 7j 8j 9 10 11 12 % Solids 2.2 20.7 14.3 Arsenic 10.0 1.1 1.6 Cadmium 3.4 0.4 0.5 Copper 13.0 2.5 300.0 Chromium Lead 6.7 0.7 3.6 Mercury 3.6 0.4 0.6 Molyb- denum 27.0 3.0 4.2 Nickel 27.0 3.0 69.0 Selenium 13.0 1.5 2.1 Zinc 43.0 3.9 140.0 Total Phos- horus 12,000 440 2,700 Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1j 2j 3j 4j 5j 6j 7j 8j 9 10 11 12 DT/Ac./ 0 App- Event 0.47 4.55 0.14 Arsenic 0.009 0.010 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.020 Cadmium 0.003 0.003 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.007 Copper 0.012 0.023 0.082 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.117 Chromium 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Lead 0.006 0.007 0.001 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.014 Mercury 0.003 0.003 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.007 Molyb- 0.026 0.027 0.001 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.054 denum Nickel 0.026 0.027 0.019 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.072 Selenium 0.012 0.014 0.001 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.027 Zinc 0.041 0.035 0.038 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.115 Total Phos- 11.376 4.001 0.740 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 16.117 horus "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations". Signature of Land Applier 3/ 1 /2024 Date DENR FORM MFLSF (12/2006) ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: Terra Renewal Services, Inc Land Owner: George F Ireland Trust Operator: Terra Renewal Services Crop 1 Name: Corn -silage WQ Permit #: WQ0038087 Field #: YK-DM-08 Acres Utilized: 26.2 Annual Dry Tons Applied: 135.1280 Site #: YK-DM-08 Acres Permitted: 26.2 Predominant Soil Series: Clifford Cation Exchange Capacity (non 503): 9.6 Crop 1 Max. PAN: 221 Crop 2 Name: Crop 2 Max. PAN: � a0i � 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, e ' Moist) Past 24 Hrs. inches y � � 0 o Z o � g' * N w ��, co �, * N TKN mg/kg Z a o � as o mg/kg Nitrate and Nitrite mg/kg PAN Applied (lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 Feb 138000 2.16 0.474 RVI-Harmony INC 1 0.4 54000 32000 120 38.827 NA Corn-s Feb 138000 20.7 4.547 Tyson -Wilkes INC 1 0.4 13000 120 7.8 48.010 NA Corn-s Feb 6000 14.3 0.137 AdvancePierre INC 1 0.4 27000 70 7.3 2.963 NA Com-s 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0 0 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): 0.000 0.000 TOTALS: 01 282000 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 89.800 0.000 Lime A lied Annuallbs/acre 0.020 0.007 0.117 0.000 0.014 0.007 0.054 0.072 0.027 0.115 16.117 Date lbs/ac Prior Years Cumulative lbs/ac 0.163 0.057 0.728 0.000 0.124 0.046 0.369 0.398 0.210 1.878 Current Cumulative lbs/ac 0.183 0.064 0.845 0.000 0.138 0.053 0.423 0.470 0.237 1.993 Permitted C. P. L. R.**** T 36 34 1338 N/A 267 15 N/A 374 89 2498 Permit PAN Limit 1st/2nd Crop 1 1 221 "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." 3/1/2024 *Application Method: S - Surface, IN - Injection, INC - Incorporation **Volatilization Rate: Surface - 0.5, Injection/Incorporation -1.0 Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2, aerobically digested -0.3, raw sludge -0.4 ****C.P.L.R.: Cumulative Pollutant Loading Rate DENR FORM FSF (12/2006) Item 3: Reprints of FSF's due to blacked out sections for field MRF-21 (Reprints for field MF-11 are provided under Item 2. Reprints for fields MRF-5 & MRF-14 are provided under "Additional") 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: Terra Renewal Services, Inc Land Owner: Mathis Properties, LLC Operator: Terra Renewal Services Crop 1 Name: Small Grains WQ Permit #: WQ0038087 Field #: WK-MRF-21 Acres Utilized: 27.8 Annual Dry Tons Applied: 15.0520 Site #: WK-MRF-21 Acres Permitted: 27.8 Predominant Soil Series: Dan River Crop 1 Max. PAN: 103 Crop 2 Name: Cation Exchange Capacity (non 503): 11.4 Crop 2 Max. PAN: y Q Volume applied PP enter one Solids/ ( ) Liquid o /o Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (Dry, Moist) Precip. Past 24 Hrs. inches y �� 0 * o. o C o * N w ., co �, * N TKN mg/kg Z a O o oc o 2 w mg/kg Nitrate and Nitrite mg/kg PAN Applied ( lbs/acre) Name of Crop Type p yp Receiving Residual Application Cu. Yds Gallons Crop 1 Crop 2 Crop 1 Crop 2 Nov 138000 1.8 0.373 RVI-Harmony INC 1 0.4 48000 23000 40 24.621 NA S.G. Nov 30000 1.43 0.064 Tyson -Wilkes INC 1 0.4 130000 5000 59 7.086 NA S.G. Nov 18000 3.87 0.104 Tyson -Danville INC 1 0.4 39000 3100 25 3.654 NA S.G. 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0 0 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): 0.000 0.000 TOTAL&I 01 186000 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 35.362 0.00o Lime Applied Annuallbs/acre 0.013 0.004 0.047 0.000 0.009 0.004 0.035 0.035 0.025 0.066 9.2!LJ Date lbs/ac Prior Years Cumulative lbs/ac 0.139 0.048 0.318 0.000 0.098 0.028 0.338 0.340 0.181 0.836 Current Cumulative lbs/ac 0.152 0.052 0.366 0.000 0.107 0.032 0.373 0.375 0.206 0.902 Permitted C. P. L. R.**** 36 34 1338 N/A 267 15 N/A 374 89 2498 Permit PAN Limit 1st/2nd Crop 103 "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." �� 3/1/2024 *Application Method: S - Surface, IN - Injection, INC - Incorporation **Volatilization Rate: Surface - 0 5 I-ection/Incor oration -1 0 Signature of Land Applier Date • *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2, aerobically digested -0.3, raw sludge -0.4 ****C.P.L.R.: Cumulative Pollutant Loading Rate DENR FORM FSF (12/2006) Item 5: Revised ACF correcting # of fields in permit & Corrected Annual Dry Tons Applied based on volume adjustment for Mathis-1. ANNUAL LAND APPLICATION CERTIFICATION FORM WQ Permit#: WQ0038087 County: Facility Name (as shown on permit): Land Application Operator: Wilkes & Yadkin Year: 2023 Terra Renewal Services, Inc Terra Renewal Services, Inc Phone: 479-747-8192 Land application of residuals as allowed by the permit occurred during the past calendar year? ❑ Yes ❑ No - If No, skip Part A, and Part B and proceed to Part C. Also, If residuals were generated but not land applied, please attach an explanation on how the residuals were handled. Part A - Residuals Application Summary: Total number of application fields in thepermit: 63 Total number of fields utilized for land application during the year: 28 Total amount of dry tons applied during the year for all application sites: 2,826 Total number of acres utilizes for land application during the year: 829 Part B - Annual Compiance Statement: Facility was compliant during calendar year 2023 with all conditions of the land application permit (including but not limited to items 1-13 below) issued by the Division of Water Resources. © Yes ❑ No If no please, provide a written description why the facility was not compliant, the dates, and explain corrective action taken. 1) Only residuals approved for this permit were applied to the permitted sites. 2) Soil pH was adjusted as specified in the permit and lime was applied (if needed) to achieve a soil pH of at least 6.0 or the limit specified in the permit. 3) Annual soils analysis were performed on each site receiving residuals during the past calendar year and three (3) copies of laboratory results are attached. 4) Annual TCLP analysis (if required) was performed and three (3) copies of certified laboratory results are attached. 5) All other monitoring was performed in accordance with the permit and reported during the year as required and three (3) copies of certified laboratory results are attached. 6) The facility did not exceed any of the Pollutant Concentration Limits in 15A NCAC 02T .1105(a) or the Pollutant Loading Rates in 15A NCAC 02T .1105(b) (applicable to 40 CFR Part 503 regulated facilities). 7) All general requirements in as specified in the Land Application Permit were complied with (applicable to 40 CFR Part 503 regulated facilities). 8) All monitoring and reporting requirements in 15A NCAC 02T. 1111 were complied with (applicable to 40 CFR Part 503 regulated facilities). 9) All operations and maintenance requirements in the permit were complied with or, in the case of a deviation, prior authorization was received from the Division of Water Resources. 10) No contravention of Ground Water Quality Standards occurred at a monitoring well or explanations of violations are attached to include appropriate actions and remediations. 11) Vegetative cover was maintained and proper crop management was performed on each site receing residuals, as specified in the permit. 12) No runoff of residuals from the application sites onto adjacent property or nearby surface waters has occurred. 13) All buffer requirements as specified on the permit were maintained during each application of residuals. Part C - Certification: "I certify, under penalty of law, that the above information is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." David C. Coyle; Senior Environmental Manager Permittee Name and Title (type or print) 3/l/2024 Signature of Permittee Date Signature of Preparer* Date Signature of Land Applier Date (if different from Permittee) (if different from Permittee and Preparer) * Preparer is defined in 40 CFR Part 503.9 (r) and 15A NCAC 02T. 1102 (26) DENR FORM ACF (12/2006) Item 7: 2023 Storage Tank Record Summary of Storage Activity in Mathis-1 Storage Tanks for Calendar Year 2023 Loads In Volume In Volume In Loads Out Volume Out Volume Out Freeboard Week Ending Wilkesboro (Loads) Harmon (Loads) Dobson (Loads) Wilkesboro (Gallons) Harmon (Gallons) Dobson (Gallons) Wilkesboro (Dry Tons) Harmon (Dry Tons) Dobson (Dry Tons) Mathis-1 (Loads) Mathis-1 (Gallons) Mathis-1 (Dry Tons) Tank (Feet) Tank (Feet) 1/7/2023 8 6 0 48,000 36,000 0 41.4 3.2 0.0 0 0 0.0 2.0 2.0 1/14/2023 0 0 0 0 0 0 0.0 0.0 0.0 0 0 0.0 2.0 2.0 1/21/2023 0 0 0 0 0 0 0.0 0.0 0.0 15 90,000 8.5 2.0 2.8 1/28/2023 0 0 0 0 0 0 0.0 0.0 0.0 15 90,000 8.5 2.8 2.8 2/4/2023 0 0 0 0 0 0 0.0 0.0 0.0 15 90,000 8.5 3.2 3.2 2/11/2023 0 0 0 0 0 0 0.0 0.0 0.0 0 0 0.0 3.2 3.2 2/18/2023 0 0 3 0 0 18,000 0.0 0.0 5.0 0 0 0.0 3.0 3.2 2/25/2023 0 0 4 0 0 24,000 0.0 0.0 6.7 0 0 0.0 3.0 3.0 3/4/2023 0 0 6 0 0 36,000 0.0 0.0 10.0 0 0 0.0 3.0 2.7 3/11/2023 0 0 5 0 0 30,000 0.0 0.0 8.3 0 0 0.0 2.7 2.7 3/18/2023 0 0 5 0 0 30,000 0.0 0.0 8.3 0 0 0.0 2.5 2.6 3/25/2023 0 0 3 0 0 18,000 0.0 0.0 5.0 0 0 0.0 2.4 2.5 4/1/2023 0 0 2 0 0 12,000 0.0 0.0 3.3 0 0 0.0 1 2.4 2.4 4/8/2023 3 6 5 18,000 36,000 30,000 7.3 6.4 8.3 0 0 0.0 2.4 2.3 4/15/2023 5 1 6 30,000 6,000 36,000 12.2 1.1 10.0 306 1,713,600 260.1 10.1 10.3 4/22/2023 0 0 4 0 0 24,000 0.0 0.0 6.7 0 0 0.0 9.9 10.3 4/29/2023 9 6 7 54,000 36,000 42,000 21.9 6.4 11.7 0 0 0.0 8.7 10.3 5/6/2023 5 3 6 30,000 18,000 36,000 12.2 3.2 10.0 0 0 0.0 8.1 10.2 5/13/2023 0 0 6 0 0 36,000 0.0 0.0 10.0 0 0 0.0 7.8 10.2 5/20/2023 0 0 4 0 0 24,000 0.0 0.0 6.7 0 0 0.0 7.6 10.1 5/27/2023 0 0 5 0 0 30,000 0.0 0.0 8.3 0 0 0.0 7.3 10.2 6/3/2023 2 0 7 12,000 0 42,000 4.9 0.0 11.7 0 0 0.0 6.8 10.2 6/10/2023 4 0 5 24,000 0 30,000 9.7 0.0 8.3 0 0 0.0 6.3 10.1 6/17/2023 0 0 7 0 0 42,000 0.0 0.0 11.7 0 0 0.0 5.9 10.2 6/24/2023 17 2 6 102,000 12,000 36,000 41.4 2.1 10.0 0 0 0.0 4.5 10.2 7/1/2023 0 0 6 0 0 36,000 0.0 0.0 10.0 0 0 0.0 4.2 10.3 7/8/2023 0 0 7 0 0 42,000 0.0 0.0 11.7 0 0 0.0 3.8 10.3 7/15/2023 4 1 9 24,000 6,000 54,000 6.7 0.5 15.0 0 0 1 0.0 3.0 10.2 7/22/2023 2 1 8 12,000 6,000 48,000 3.3 0.5 13.4 0 0 0.0 3.0 9.6 7/29/2023 1 0 0 7 0 0 42,000 0.0 0.0 11.7 0 0 0.0 3.0 9.2 8/5/2023 6 0 4 36,000 0 24,000 10.0 0.0 6.7 0 0 0.0 2.9 8.6 8/12/2023 10 0 9 60,000 0 54,000 16.7 0.0 15.0 0 0 0.0 2.9 7.6 8/19/2023 1 0 8 6,000 0 48,000 1.7 0.0 13.4 0 0 0.0 2.8 7.1 8/26/2023 0 0 7 0 0 42,000 0.0 0.0 11.7 0 0 0.0 2.8 6.7 9/2/2023 0 0 8 0 0 48,000 0.0 0.0 13.4 0 0 0.0 2.9 6.3 9/9/2023 1 0 5 6,000 0 30,000 1.7 0.0 8.3 0 0 0.0 2.9 6.0 9/16/2023 1 0 9 6,000 0 54,000 1.7 0.0 15.0 0 0 0.0 2.9 5.4 9/23/2023 1 0 0 8 0 0 48,000 0.0 0.0 13.4 0 0 0.0 3.0 5.0 9/30/2023 0 0 6 0 0 36,000 0.0 0.0 10.0 0 0 0.0 3.0 4.7 10/7/2023 0 0 6 0 0 36,000 0.0 0.0 13.9 0 0 0.0 3.1 4.4 10/14/2023 0 0 5 0 0 30,000 0.0 0.0 11.6 306 1,713,600 150.8 10.5 10.2 10/21/2023 2 0 4 12,000 0 24,000 2.2 0.0 9.3 0 0 0.0 10.2 10.2 10/28/2023 0 0 6 0 0 36,000 0.0 0.0 13.9 0 0 0.0 9.8 10.3 11/4/2023 0 0 7 0 0 42,000 0.0 0.0 16.3 0 0 0.0 9.4 10.3 11/11/2023 0 0 4 0 0 24,000 0.0 0.0 9.3 0 0 0.0 9.6 10.3 11/18/20231 0 0 5 0 0 30,000 0.0 0.0 11.6 0 0 0.0 9.3 10.3 11/25/2023 4 0 5 24,000 0 30,000 4.3 0.0 11.6 0 0 0.0 8.7 10.2 12/2/2023 1 4 6 6,000 24,000 36,000 1.1 1.8 13.9 0 0 0.0 8.1 10.1 12/9/2023 0 0 5 0 0 30,000 0.0 0.0 11.6 0 0 0.0 7.8 10.0 12/16/2023 2 1 6 12,000 6,000 36,000 2.2 0.5 13.9 0 0 0.0 7.8 10.5 12/23/2023 13 13 5 78,000 78,000 30,000 14.1 5.9 11.6 0 0 0.0 7.7 8.8 12/30/2023 5 8 1 30,000 48,000 6,000 1 5.4 3.6 2.3 0 0 0.0 7.6 8.0 Subtotal: 105 52 262 630,000 312,000 1,572,000 222 35 480 657 3,697,200 436 Total Total Total 419 2,514,000 737 -: Indicates volume removed and managed at operational sites in SC under DHEC permits Additional: Revised MSLSF's & FSF's for fields applied solely with residuals from Mathis-1 based on volume adjustment of 5,600 gal/load versus 6,000 gal/load. This section also includes revised reports that address Item-3 (blacked out portions of FSF for fields MRF-5 & MRF-14) and Item-4 (correct landowner on forms for field MRF-15) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: Terra Renewal Services, Inc Total Dry Tons Applied (Annual): 26.20 Permit #: WQ0038087 Cation Exchange Capacity (non 503 only): 15.3 Operator: Terra Renewal Services Owner: Mathis Properties, LLC Predominant Soil Series: Danripple Acres Used: 18.9 Acres Permitted: 18.9 Site #: WK-MRF-03 Field #: WK-MRF-03 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Sample or Com- posite Date 1 j Mathis-1 5/18/23 2j Mathis-1 11/28/23 3j 4j 5j 6j 7j 8j 9 10 11 12 % Solids 3.6 1.4 Arsenic 6.1 17.0 Cadmium 2.0 5.8 Copper 27.0 75.0 Chromium Lead 4.1 12.0 Mercury 2.0 5.5 Molyb- denum 16.0 46.0 Nickel 16.0 46.0 Selenium 8.1 23.0 Zinc 36.0 87.0 Total Phos- horus 850 8,700 Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1j 2j 3j 4j 5j 6j 7j 8j 9 10 11 12 DT/Ac./ 0 App- Event 0.81 0.58 Arsenic 0.010 0.020 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.029 Cadmium 0.003 0.007 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.010 Copper 0.044 0.086 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.130 Chromium 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Lead 0.007 0.014 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.020 Mercury 0.003 0.006 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.010 Molyb- 0.026 0.053 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.079 denum Nickel 0.026 0.053 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.079 Selenium 0.013 0.026 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.040 Zinc 0.058 0.100 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.159 Total Phos- 1.377 10.022 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 11.399 horus "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations". Signature of Land Applier 3/ 1 /2024 Date DENR FORM MFLSF (12/2006) ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: Terra Renewal Services, Inc Land Owner: Mathis Properties, LLC Operator: Terra Renewal Services Crop 1 Name: Corn Silage WQ Permit #: WQ0038087 Field #: WK-MRF-03 Acres Utilized: 18.9 Annual Dry Tons Applied: 26.1776 Site #: WK-MRF-03 Acres Permitted: 18.9 Predominant Soil Series: Danripple Cation Exchange Capacity (non 503): 15.3 Crop 1 Max. PAN: 102 Crop 2 Name: Small Grains Crop 2 Max. PAN: 50 o Y o Q Volume applied PP (enter one) Solids/ Liquid Cu. Yds Gallons o /o Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #, W #, Q Fert., Animal Waste, etc) Soil Cond. (Dry, Wet Moist) Precip. Past 24 Hrs. inches °o w o Z C 2. * N 4 ' 0 = w co * N TKN mg/kg Z a o as o mg/kg Nitrate and Nitrite mg/kg PAN Applied pp (lbs/acre) Name of CropType ReceivingResidual Application Crop 1 Crop 2 Crop 1 Crop 2 Apr 100800 3.64 0.810 Mathis-1 INC 1 0.4 20000 2400 40 15.349 NA Corn-s Oct 190400 1.37 0.576 Mathis-1 INC 1 0.4 81000 12000 55 Na 45.645 S.G 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0 0 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): 0.000 0.000 TOTALS: 01 291200 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 15.349 45.645 Lime Applied Annuallbs/acre 0.029 0.010 0.130 0.000 0.020 0.010 0.079 0.079 0.040 0.159 11.399 Date lbs/ac Prior Years Cumulative lbs/ac 0.693 0.322 1.247 0.000 0.641 0.075 0.861 0.861 0.691 7.565 Current Cumulative lbs/ac 0.723 0.332 1.377 0.000 0.661 0.085 0.940 0.940 0.731 7.724 Permitted C. P. L. R.**** 36 34 1338 N/A 267 15 N/A 374 89 2498 Permit PAN Limit 1st/2nd Crop 1 102 50 "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." Q 3/1/2024 *Application Method: S - Surface, IN - Injection, INC - Incorporation **Volatilization Rate: Surface - 0.5, Injection/Incorporation -1.0 Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2, aerobically digested -0.3, raw sludge -0.4 ****C.P.L.R.: Cumulative Pollutant Loading Rate DENR FORM FSF (12/2006) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: Terra Renewal Services, Inc Total Dry Tons Applied (Annual): 42.12 Permit #: WQ0038087 Cation Exchange Capacity (non 503 only): 15.9 Operator: Terra Renewal Services Owner: Mathis Properties, LLC Predominant Soil Series: Danripple Acres Used: 25.3 Acres Permitted: 25.3 Site #: WK-MRF-05 Field #: WK-MRF-05 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Sample or Com- posite Date 1 j Mathis-1 5/18/23 2j Mathis-1 11/28/23 3j 4j 5j 6j 7j 8j 9 10 11 12 % Solids 3.6 1.4 Arsenic 6.1 17.0 Cadmium 2.0 5.8 Copper 27.0 75.0 Chromium Lead 4.1 12.0 Mercury 2.0 5.5 Molyb- denum 16.0 46.0 Nickel 16.0 46.0 Selenium 8.1 23.0 Zinc 36.0 87.0 Total Phos- horus 850 8,700 Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1j 2j 3j 4j 5j 6j 7j 8j 9 10 11 12 DT/Ac./ 0 App- Event 1.21 0.46 Arsenic 0.015 0.015 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.030 Cadmium 0.005 0.005 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.010 Copper 0.065 0.068 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.134 Chromium 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Lead 0.010 0.011 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.021 Mercury 0.005 0.005 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.010 Molyb- 0.039 0.042 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.081 denum Nickel 0.039 0.042 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.081 Selenium 0.020 0.021 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.041 Zinc 0.087 0.079 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.166 Total Phos- 2.057 7.917 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 9.974 horus "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations". Signature of Land Applier 3/ 1 /2024 Date DENR FORM MFLSF (12/2006) ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: Terra Renewal Services, Inc Land Owner: Mathis Properties, LLC Operator: Terra Renewal Services Crop 1 Name: Corn Silage WQ Permit #: WQ0038087 Field #: WK-MRF-05 Acres Utilized: 25.3 Annual Dry Tons Applied: 42.1177 Site #: WK-MRF-05 Acres Permitted: 25.3 Predominant Soil Series: Danripple Cation Exchange Capacity (non 503): 15.9 Crop 1 Max. PAN: 158 Crop 2 Name: Small Grains Crop 2 Max. PAN: 50 o Y o Q Volume applied PP (enter one) Solids/ Liquid o /o Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #, W #, Q Fert., Animal Waste, etc) Soil Cond. (Dry, Wet Moist) Precip. Past 24 Hrs. inches o °o w o o C * N w co - * N TKN mg/kg Z a o as o mg/kg Nitrate and Nitrite mg/kg pAN A lied pp (lbs/acre) Name of CropType ReceivingResidual Application Cu. Yds Gallons Crop 1 Crop 2 Crop 1 Crop 2 Apr 201600 3.64 1.210 Mathis-1 INC 1 0.4 20000 2400 40 22.932 NA Corn-s Oct 201600 1.37 0.455 Mathis-1 INC 1 0.4 81000 12000 55 Na 36.104 S.G. 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 25 0 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): 0.000 0.000 TOTALS: 25 403200 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 22.932 1 36.104 Lime Applied Annuallbs/acre 0.030 0.010 0.134 0.000 0.021 0.010 0.081 0.081 0.041 0.166 9.974 Date lbs/ac Prior Years Cumulative lbs/ac 0.781 0.360 1.291 0.000 0.715 0.089 1.122 1.127 0.850 4.665 April 2000 Current Cumulative lbs/ac 0.811 0.370 1.424 0.000 0.736 0.099 1.202 1.208 0.890 4.832 Permitted C. P. L. R.**** 1 36 34 1338 N/A 267 15 N/A 374 89 2498 Permit PAN Limit 1st/2nd Crop I F 158 1 50 "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 3/1/2024 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 METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: Terra Renewal Services, Inc Total Dry Tons Applied (Annual): 42.76 Permit #: WQ0038087 Cation Exchange Capacity (non 503 only): 16.2 Operator: Terra Renewal Services Owner: Mathis Properties, LLC Predominant Soil Series: Danripple Acres Used: 21 Acres Permitted: 21 Site #: WK-MRF-06 Field #: WK-MRF-06 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Sample or Com- posite Date 1 j Mathis-1 5/18/23 2j Mathis-1 11/28/23 3j 4j 5j 6j 7j 8j 9 10 11 12 % Solids 3.6 1.4 Arsenic 6.1 17.0 Cadmium 2.0 5.8 Copper 27.0 75.0 Chromium Lead 4.1 12.0 Mercury 2.0 5.5 Molyb- denum 16.0 46.0 Nickel 16.0 46.0 Selenium 8.1 23.0 Zinc 36.0 87.0 Total Phos- horus 850 8,700 Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1j 2 3j 4j 5j 6j 7j 8 9 10 11 12 DT/Ac./ 0 App- Event 1.46 0.58 Arsenic 0.018 0.020 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.037 Cadmium 0.006 0.007 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.013 Copper 0.079 0.087 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.166 Chromium 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Lead 0.012 0.014 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.026 Mercury 0.006 0.006 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.012 Molyb- 0.047 0.053 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.100 denum Nickel 0.047 0.053 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.100 Selenium 0.024 0.027 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.050 Zinc 0.105 0.101 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.206 Total Phos- 2.477 10.075 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 12.552 horus "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations". Signature of Land Applier 3/ 1 /2024 Date DENR FORM MFLSF (12/2006) ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: Terra Renewal Services, Inc Land Owner: Mathis Properties, LLC Operator: Terra Renewal Services Crop 1 Name: Corn Silage WQ Permit #: WQ0038087 Field #: WK-MRF-06 Acres Utilized: 21 Annual Dry Tons Applied: 42.7575 Site #: WK-MRF-06 Acres Permitted: 21.0 Predominant Soil Series: Danripple Cation Exchange Capacity (non 503): 16.2 Crop 1 Max. PAN: 170 Crop 2 Name: Small Grains Crop 2 Max. PAN: 50 o Y o Q Volume applied PP (enter one) Solids/ Liquid o /o Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #, W #, Q Fert., Animal Waste, etc) Soil Cond. (Dry, Wet Moist) Precip. Past 24 Hrs. inches o °o w o o C * N w co - * N TKN mg/kg Z a o as o mg/kg Nitrate and Nitrite mg/kg pAN A lied pp (lbs/acre) Name of CropType ReceivingResidual Application Cu. Yds Gallons Crop 1 Crop 2 Crop 1 Crop 2 Apr 201600 3.64 1.457 Mathis-1 INC 1 0.4 20000 2400 40 27.628 NA Corn-s Oct 212800 1.37 0.579 Mathis-1 INC 1 0.4 81000 12000 55 Na 45.913 S.G. 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0 0 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): 0.000 0.000 TOTALS: OF 414400 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 27.628 45.913 Lime Applied Annuallbs/acre 0.037 0.013 0.166 0.000 0.026 0.012 0.100 0.100 0.050 0.206 12.552 Date lbs/ac Prior Years Cumulative lbs/ac 0.755 0.352 1.139 0.000 0.698 0.081 1.048 1.049 0.813 5.809 Current Cumulative lbs/ac 0.792 0.364 1.305 0.000 0.723 0.094 1.148 1.149 0.864 6.015 Permitted C. P. L. R.**** T 36 34 1338 N/A 267 15 N/A 374 89 2498 Permit PAN Limit 1st/2nd Crop 170 50 "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 3/1/2024 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 METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: Terra Renewal Services, Inc Total Dry Tons Applied (Annual): 82.92 Permit #: WQ0038087 Cation Exchange Capacity (non 503 only): 14.5 Operator: Terra Renewal Services Owner: Mathis Properties, LLC Predominant Soil Series: Pfafftown Acres Used: 26.5 Acres Permitted: 26.5 Site #: WK-MRF-12 Field #: WK-MRF-12 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Sample or Com- posite Date 1 j Mathis-1 5/18/23 2j Mathis-1 11/28/23 3j 4j 5j 6j 7j 8j 9 10 11 12 % Solids 3.6 1.4 Arsenic 6.1 17.0 Cadmium 2.0 5.8 Copper 27.0 75.0 Chromium Lead 4.1 12.0 Mercury 2.0 5.5 Molyb- denum 16.0 46.0 Nickel 16.0 46.0 Selenium 8.1 23.0 Zinc 36.0 87.0 Total Phos- horus 850 8,700 Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1j 2j 3j 4j 5j 6j 7j 8j 9 10 11 12 DT/Ac./ 0 App- Event 2.69 0.44 Arsenic 0.033 0.015 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.048 Cadmium 0.011 0.005 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.016 Copper 0.145 0.065 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.211 Chromium 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Lead 0.022 0.010 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.033 Mercury 0.011 0.005 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.016 Molyb- 0.086 0.040 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.126 denum Nickel 0.086 0.040 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.126 Selenium 0.044 0.020 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.064 Zinc 0.194 0.076 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.270 Total Phos- 4.580 7.569 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 12.149 horus "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations". Signature of Land Applier 3/ 1 /2024 Date DENR FORM MFLSF (12/2006) ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: Terra Renewal Services, Inc Land Owner: Mathis Properties, LLC Operator: Terra Renewal Services Crop 1 Name: Corn Silage WQ Permit #: WQ0038087 Field #: WK-MRF-12 Acres Utilized: 26.5 Annual Dry Tons Applied: 82.9183 Site #: WK-MRF-12 Acres Permitted: 26.5 Predominant Soil Series: Pfafftown Cation Exchange Capacity (non 503): 14.5 Crop 1 Max. PAN: 170 Crop 2 Name: Small Grains Crop 2 Max. PAN: 50 o Y o Q Volume applied PP (enter one) Solids/ Liquid o /o Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #, W #, Q Fert., Animal Waste, etc) Soil Cond. (Dry, Wet Moist) Precip. Past 24 Hrs. inches o °o w o o C 2. * N 4 ' 0 = w co * N TKN mg/kg Z a o as o mg/kg Nitrate and Nitrite mg/kg PAN Applied pp (lbs/acre) Name of CropType ReceivingResidual Application Cu. Yds Gallons Crop 1 Crop 2 Crop 1 Crop 2 Apr 470400 3.64 2.694 Mathis-1 INC 1 0.4 20000 2400 40 51.085 NA Corn-s Oct 201600 1.37 0.435 Mathis-1 INC 1 0.4 81000 12000 55 Na 34.469 S.G 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0 0 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): 0.000 0.000 TOTALS: 01 672000 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 51.085 34.469 Lime Applied Annuallbs/acre 0.048 0.016 0.211 0.000 0.033 0.016 0.126 0.126 0.064 0.270 12.149 Date lbs/ac Prior Years Cumulative lbs/ac 0.410 0.185 1.002 0.000 0.369 0.051 0.630 0.360 0.455 11.628 April 2000 Current Cumulative lbs/ac 0.458 0.201 1.213 0.000 0.402 0.067 0.756 0.486 0.519 11.898 Permitted C. P. L. R.**** 36 34 1338 N/A 267 15 N/A 374 89 2498 Permit PAN Limit 1st/2nd Crop 170 50 "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." 3/1/2024 *Application Method: S - Surface, IN - Injection, INC - Incorporation **Volatilization Rate: Surface - 0.5, Injection/Incorporation -1.0 Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2, aerobically digested -0.3, raw sludge -0.4 ****C.P.L.R.: Cumulative Pollutant Loading Rate DENR FORM FSF (12/2006) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: Terra Renewal Services, Inc Total Dry Tons Applied (Annual): 85.20 Permit #: WQ0038087 Cation Exchange Capacity (non 503 only): 13.2 Operator: Terra Renewal Services Owner: Mathis Properties, LLC Predominant Soil Series: Ronda Acres Used: 41 Acres Permitted: 41 Site #: WK-MRF-13 Field #: WK-MRF-13 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Sample or Com- posite Date 1 j Mathis-1 5/18/23 2j Mathis-1 11/28/23 3j 4j 5j 6j 7j 8j 9 10 11 12 % Solids 3.6 1.4 Arsenic 6.1 17.0 Cadmium 2.0 5.8 Copper 27.0 75.0 Chromium Lead 4.1 12.0 Mercury 2.0 5.5 Molyb- denum 16.0 46.0 Nickel 16.0 46.0 Selenium 8.1 23.0 Zinc 36.0 87.0 Total Phos- horus 850 8,700 Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1j 2 3j 4j 5j 6j 7j 8 9 10 11 12 DT/Ac./ 0 App- Event 1.49 0.59 Arsenic 0.018 0.020 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.038 Cadmium 0.006 0.007 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.013 Copper 0.081 0.088 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.168 Chromium 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Lead 0.012 0.014 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.026 Mercury 0.006 0.006 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.012 Molyb- 0.048 0.054 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.102 denum Nickel 0.048 0.054 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.102 Selenium 0.024 0.027 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.051 Zinc 0.107 0.102 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.209 Total Phos- 2.538 10.179 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 12.717 horus "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations". Signature of Land Applier 3/ 1 /2024 Date DENR FORM MFLSF (12/2006) ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: Terra Renewal Services, Inc Land Owner: Mathis Properties, LLC Operator: Terra Renewal Services Crop 1 Name: Corn Silage WQ Permit #: WQ0038087 Field #: WK-MRF-13 Acres Utilized: 41 Annual Dry Tons Applied: 85.1951 Site #: WK-MRF-13 Acres Permitted: 41.0 Predominant Soil Series: Ronda Cation Exchange Capacity (non 503): 13.2 Crop 1 Max. PAN: 162 Crop 2 Name: Small Grains Crop 2 Max. PAN: 50 o Y o Q Volume applied PP (enter one) Solids/ Liquid o /o Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #, W #, Q Fert., Animal Waste, etc) Soil Cond. (Dry, Wet Moist) Precip. Past 24 Hrs. inches o °o w o o C 2. * N 4 ' 0 = w co * N TKN mg/kg Z a o as o mg/kg Nitrate and Nitrite mg/kg PAN Applied pp (lbs/acre) Name of CropType ReceivingResidual Application Cu. Yds Gallons Crop I Crop 2 Crop 1 Crop 2 Apr 403200 3.64 1.493 Mathis-1 INC 1 0.4 20000 2400 40 28.302 NA Corn-s Oct 420000 1.37 0.585 Mathis-1 INC 1 0.4 81000 12000 55 Na 46.414 S.G 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0 0 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): 0.000 0.000 TOTALS: 01 823200 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 28.302 1 46.414 Lime Applied Annuallbs/acre 0.038 0.013 0.168 0.000 0.026 0.012 0.102 0.102 0.051 0.209 12.717 Date lbs/ac Prior Years Cumulative lbs/ac 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Current Cumulative lbs/ac 0.038 0.013 0.168 0.000 0.026 0.012 0.102 0.102 0.051 0.209 Permitted C. P. L. R.**** 36 34 1338 N/A 267 15 N/A 374 89 2498 Permit PAN Limit 1st/2nd Crop 162 1 50 "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." 3/1/2024 *Application Method: S - Surface, IN - Injection, INC - Incorporation **Volatilization Rate: Surface - 0.5, Injection/Incorporation -1.0 Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2, aerobically digested -0.3, raw sludge -0.4 ****C.P.L.R.: Cumulative Pollutant Loading Rate DENR FORM FSF (12/2006) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: Terra Renewal Services, Inc Total Dry Tons Applied (Annual): 65.95 Permit #: WQ0038087 Cation Exchange Capacity (non 503 only): 11.1 Operator: Terra Renewal Services Owner: Mathis Properties, LLC Predominant Soil Series: Danripple Acres Used: 18.5 Acres Permitted: 18.5 Site #: WK-MRF-14 Field #: WK-MRF-14 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Sample or Com- posite Date 1 j Mathis-1 5/18/23 2j Mathis-1 11/28/23 3j 4j 5j 6j 7j 8j 9 10 11 12 % Solids 3.6 1.4 Arsenic 6.1 17.0 Cadmium 2.0 5.8 Copper 27.0 75.0 Chromium Lead 4.1 12.0 Mercury 2.0 5.5 Molyb- denum 16.0 46.0 Nickel 16.0 46.0 Selenium 8.1 23.0 Zinc 36.0 87.0 Total Phos- horus 850 8,700 Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1j 2j 3j 4j 5j 6j 7j 8j 9 10 11 12 DT/Ac./ 0 App- Event 2.95 0.61 Arsenic 0.036 0.021 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.057 Cadmium 0.012 0.007 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.019 Copper 0.160 0.092 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.251 Chromium 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Lead 0.024 0.015 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.039 Mercury 0.012 0.007 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.019 Molyb- 0.095 0.056 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.151 denum Nickel 0.095 0.056 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.151 Selenium 0.048 0.028 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.076 Zinc 0.213 0.106 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.319 Total Phos- 5.022 10.631 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 15.653 horus "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations". Signature of Land Applier 3/ 1 /2024 Date DENR FORM MFLSF (12/2006) ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: Terra Renewal Services, Inc Land Owner: Mathis Properties, LLC Operator: Terra Renewal Services Crop 1 Name: Corn Silage WQ Permit #: WQ0038087 Field #: WK-MRF-14 Acres Utilized: 18.5 Annual Dry Tons Applied: 61.5582 Site #: WK-MRF-14 Acres Permitted: 18.5 Predominant Soil Series: Danripple Cation Exchange Capacity (non 503): 11.1 Crop 1 Max. PAN: 179 Crop 2 Name: Small Grains Crop 2 Max. PAN: 50 o Y o Q Volume applied PP (enter one) Solids/ Liquid o /o Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #, W #, Q Fert., Animal Waste, etc) Soil Cond. (Dry, Wet Moist) Precip. Past 24 Hrs. inches o °o w o o C 2. * N 4 ' 0 = w co * N TKN mg/kg Z a o as o mg/kg Nitrate and Nitrite mg/kg PAN Applied pp (lbs/acre) Name of CropType ReceivingResidual Application Cu. Yds Gallons Crop 1 Crop 2 Crop 1 Crop 2 Apr 336000 3.64 2.757 Mathis-1 INC 1 0.4 20000 2400 40 52.269 NA Corn-s Oct 184800 1.37 0.571 Mathis-1 INC 1 0.4 81000 12000 55 Na 45.260 S.G 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0 0 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): 0.000 0.000 TOTALS: 01 520800 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 52.269 1 45.260 Lime Applied Annuallbs/acre 0.053 0.018 0.235 0.000 0.036 0.017 0.141 0.141 0.071 0.298 14.622 Date lbs/ac Prior Years Cumulative lbs/ac 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Current Cumulative lbs/ac 0.053 0.018 0.235 0.000 0.036 0.017 0.141 0.141 0.071 0.298 Permitted C. P. L. R.**** 36 34 1338 N/A 267 15 N/A 374 89 2498 Permit PAN Limit 1st/2nd Crop 179 1 50 "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." 3/1/2024 *Application Method: S - Surface, IN - Injection, INC - Incorporation **Volatilization Rate: Surface - 0.5, Injection/Incorporation -1.0 Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2, aerobically digested -0.3, raw sludge -0.4 ****C.P.L.R.: Cumulative Pollutant Loading Rate DENR FORM FSF (12/2006) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: Terra Renewal Services, Inc Total Dry Tons Applied (Annual): 17.28 Permit #: WQ0038087 Cation Exchange Capacity (non 503 only): 12.4 Operator: Terra Renewal Services Owner: Motsinger Stephen C Predominant Soil Series: Ronda Acres Used: 34.9 Acres Permitted: 34.9 Site #: WK-MRF-15 Field #: WK-MRF-15 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Sample or Com- posite Date -11 Mathis-1 11/28/23 21 3 4 1 5 6 1 7 81 9 10 11 12 % Solids 1.4 Arsenic 17.0 Cadmium 5.8 Copper 75.0 Chromium Lead 1 12.0 Mercury 5.5 Molyb- denum 46.0 Nickel 46.0 Selenium 23.0 Zinc 87.0 Total Phos- horus 8,700 Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 2 3 4 1 5 6 1 7 8 9 10 11 12 DT/Ac./ oy� App. Event 0.50 Arsenic 0.017 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.017 Cadmium 0.006 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.006 Copper 0.074 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.074 Chromium 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Lead 0.012 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.012 Mercury 0.005 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.005 Molyb- 0.046 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.046 denum Nickel 0.046 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.046 Selenium 0.023 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.023 Zinc 0.086 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.086 Total Phos- 8.613 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 8.613 horus "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations". Signature of Land Applier 3/ l /2024 Date DENR FORM MFLSF (12/2006) ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: Terra Renewal Services, Inc Land Owner: Motsinger, Stephen C Operator: Terra Renewal Services Crop 1 Name: Small Grains WQ Permit #: WQ0038087 Field #: WK-MRF-15 Acres Utilized: 34.9 Annual Dry Tons Applied: 17.2758 Site #: WK-MRF-15 Acres Permitted: 34.9 Predominant Soil Series: Ronda Cation Exchange Capacity (non 503): 12.4 Crop 1 Max. PAN: 98 Crop 2 Name: Crop 2 Max. PAN: G Q Volume applied PP (enter one) Solids/ Liquid o /o Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #, W #, Q Fert., Animal Waste, etc) Soil Cond. (Dry, Wet Moist) Precip. Past 24 Hrs. inches o �• °o w o o C 2. * N 4 ' 0 = w o * N TKN mg/kg Z a o as o mg/kg Nitrate and Nitrite mg/kg PAN Applied pp (lbs/acre) Name of CropType ReceivingResidual Application Cu. Yds Gallons Crop 1 Crop 2 Crop 1 Crop 2 Oct 302400 1.37 0.495 Mathis-1 INC 1 0.4 81000 12000 55 39.259 NA S.G. 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0 0 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): 0.000 0.000 TOTALS: 0 302400 As Cd Cu Cr Pb H Mo Ni Se Zn P 39.259 0.000 Lime Applied Annuallbs/acre 0.017 0.006 0.074 0.000 0.012 0.005 0.046 0.046 0.023 0.086 8.613 Date lbs/ac Prior Years Cumulative lbs/ac 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Current Cumulative lbs/ac 0.017 0.006 0.074 0.000 0.012 0.005 0.046 0.046 0.023 0.086 Permitted C. P. L. R.**** 1 36 34 1338 N/A 267 15 N/A 374 89 2498 Permit PAN Limit 1st/2nd Crop 1 1 98 "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." 3/1/2024 *Application Method: S - Surface, IN - Injection, INC - Incorporation **Volatilization Rate: Surface - 0.5, Injection/Incorporation -1.0 Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2, aerobically digested -0.3, raw sludge -0.4 ****C.P.L.R.: Cumulative Pollutant Loading Rate DENR FORM FSF (12/2006)