WQ0000702_Residual Annual Report 2018_20190128

INITIAL REVIEW
Reviewer Monday, Tessa R
Project Number* WQ0000702
SUBMITTAL DATED: 1/28/2019
Project Contact Information
Rease provide inforrration on the person to be contacted by MB Staff regarding electronic submittal, confirmation of receipt, and other issues.
......................................................................................................................................................................................................................................................................................................................................................................................................
Name * Martin Mabe
Email Address* Phone Number*
[e-mail] 3363121396
Project Information
Application Type*
r New
r Renewal
r Annual Report
Permit Type *
r Wastewater Irrigation
r Other Wastewater
• Closed -Loop Recycle
r Single -Family Residence
Wastewater Irrigation
Is a paper copy of the application being submitted?*
r Yes r Nor
N/A
Permit Number*
WQ0000702
Reviewer*
Nathaniel Thornburg
Permittee *
Frank Bottorff - City Manager
Facility Name * City of Havelock
County* Craven
r Modification (Major or Minor)
• Additional Information
r Other
• High -Rate Infiltration
r Reclaimed Water
r Residuals
r Other
Please provide comments/notes on your current submittal below.
Please attach all information required or requested for this submittal to be review here.
Havelock 2018 Annual Report NCDEQ.pdf 2.61 MB
Application Form Engineering Rans, Specifications, Calculations, Etc.)

For nein and modification permit applications, the paper copy is required to be subrrutted to the
Di, vision Be advised, applications ivill not be considered complete until both the paper and electronic
applications have been received_ The paper copy shall include the follo-kAmig:
• Application Farm
• All relevant attachments (talcs, soils report, specs, etc_)
• 1 full-size engineering plan set
• 2 11-17" engineenng plan sets
• 1 extra set of specifications (in addition to the set of specifications provided in the
attachments)
• Fee (if required)
This shall be mailed to the following address:
By U_S_ Postal Service:
Division of Water Resources- Non -Discharge Branch
1617 Mail Service Center Raleigb_ NC 27699-1613
By CourieriSpecial Delivery:
Division of Water Resources- Non -Discharge Branch
Ag Nathaniel Thornburg- 9th Floor, Office #942WN
512 N_ Salisbury St_ Raleigh,NC 27604
For questions or problems contact Tessa Monday at: 919.7073660 or TessaMonday([ icdcur-goo or
Sonia GraxTs at 919.747.3657 or Sonia Graves(dpc&au.gov.
* I;W By checking this box I am acknowledging that I have read the above statement and agree
to send these documents as required to one of the address given above.
Signature Sign
Submission Date 1/28/2019

2018 ANNUAL REPORT
LAND APPLICATION PROGRAM
CITY OF HAVELOCK
PERMIT #WQ0000702
Prepared For:
Bio -Noetic Services
530 Woodlawn Street
Belmont, North Carolina 28012
Compiled By:
Willcox & Mabe Soil Solutions, PLLC
7231 B Summerfield Road
Summerfield, North Carolina 27358
January 2019

willcox&mabe
SOI L SOLUTIONS
January 28, 2019
NCDEQ-DWR
512 North Salisbury Street, Room 640A
Raleigh, North Carolina 27604
Attention: Non -Discharge Permitting Unit
Reference: 2018 LAND APPLICATION ANNUAL REPORT
City of Havelock
Permit No. WQ0000702
WMSS Project No. 15-18 Ph: 02
Non -Discharge Permitting Unit:
Willcox & Mabe Soil Solutions, PLLC (WMSS) is submitting all monitoring and reporting
requirements as specified in the above referenced permit on behalf of Bio -Noetic Services,
Inc. (Bio-Nomics) for the City of Havelock. WMSS compiled this report using data gathered
during the compliance year by Bio-Nomics and the City of Havelock. This data includes: 1)
certification form, 2) residuals analyses and pathogen / vector data, 3) application summaries
and field loading rate reports, and 4) soil analyses.
If there is any further information required or questions regarding this annual report please do
not hesitate to contact the City of Havelock for further assistance.
Sincerely,
Martin Mabe
NC Land Application/Residuals Operator
#22753
Enclosures
SharedlWMSS Projects12015115-18 Bio-Nomics\Phase 02 - Havelock12018 Annual Report12018 ANNUAL REPORT.doc
Willcox & Mabe Soil Solutions, PLLC 172318 Summerfield Road / Summerfield, NC 273581 Rob 336.339.9128 or
Martin 336.312.13961 www.willooxmabesoil.00m

Bio-Nomic Services, Inc.
530 Woodlawn Street
Belmont, North Carolina 28012
704-529-0000
CITY OF HAVELOCK
NPDES #NC0021253
NC PERMIT # WQ0000702
Mr. Frank Bottorff, City Manager
City of Havelock
Post Office Box 368
Havelock, NC 28532
LAND APPLIERS:
Bio-Nomic Services, Inc.
530 Woodlawn Street
Belmont, North Carolina 28012
704-529-0000
2018 City of Havelock WWTP Dry Tons to Land Application 73.54
2018 City of Havelock WWTP Dry Tons to Landfill 68.29
2018 City of Havelock WWTP Dry Metric Tons to Land Application 66.70
2018 City of Havelock WWTP Dry Metric Tons to Landfill 61.93
Total Dry Metric Tons 128.63

FABLE OF CONTENTS
SECTION NO. TITLE
Certification Form
11 Residuals Analyses & Pathogen / Vector Attraction Data
II1 2018 Application Summary and Field Loading Rate Reports
IV Soil Analysis

ANNUAL. LANDAPPLICATION CEI2TI VICATIOiN FORM
VVQ Permith W00000702— Cuur,ty: Craven Yrrr:
Far-ility Name (as shown on permit): City of Havelock
Land Application Operator:
Bio -Noetic Services, Inc,
2018
Phouc: 704-5290000
Land application of residuals as allowed by the permit occurred during the past calends, year? _
❑ Yes ❑ No - if No, slip Part A, and Part B and proceed to Part C. Also, If residuals were.
generated but not hand applied, please ntiach an explanation on how the residuals were handled.
Total number ofapplication fields in thee�nnii j 60
Total number of Yields utilized for land application during the year: 7
amount of dry tons applied during the year for all anolication sites 73.5
Total number of acres utilizes for land appiicatIon during the year —� 39.59_
Part B - Annual Comniaace Statement: -
T
Facility was campliant during calendar year 2018 will, all conditions of the hand application permit
(including but not limited to items 1-13 below) issued by tho Division of Water Resources. l.'] Yes ❑ No
If no please, provide a written description why the facility was not compliant, flue dates, and explain corrective notion
taken.
1) Only residuals approved Illi this permit were applied to the permitted sites.
2) Soil phi was adjusted as specified in tate permit and Bine was applied (if needed) to achieve a soil pli ofat 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 TCL,P analysis (if required) was performed and three (3) copies of certified laboratory results are attached.
5) Ali other monitoring was performed in accordance will) 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 Poihdant Concentration Limits in 15A NCAC 021-.1 10.5(a) or the Pollutant Loading
Rates in I 5 NCAC 02'1' .I 105(b) (applicable to 40 CFR Part 503 regulated Facilities).
7) All goneml requir'erncnts in as specified in the Land Application Pero+.it were complied with (applicable. to 40 CFR Part
503 regulated facilities).
8) All monkoiin[; and reputing requiren'rents in 15A NCAC 021' .111 1 Were complied wish (applicable to 40 CPR 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 rcooivcd frons the Division of Water Resources.
10) No contravention of Cirrnin(I lyater Quality Slandards occurred at a monitoring well or explanations of violations are
attached to include appropriate actions and remediations.
1 1) Vegetative cover was maintained and proper crap management was performed ori each site receing residuals, as specified
in the permit.
i 2) No runoff of residuals from the application sites onto adjacent property or nearby surface waters has occurre(j,
13) All buffer requirements as specified on the pennii were maintained during each application of residuals.
Part C _-Certific tion:
"f certify, under peoaity of law, that the above inforrruation is, to tate best of my knowledge and belief, true, accurate,
and complete, I ran aware that there are significant pen,3100s for submitting false information., including the possibility
Of Ctucs and imprisonment fox• knowing violations."
Frank Bott��
orff', City Manager
Permittee Nam51and Title (type or print) Signaturo of_Permittee --� - – - Date
Signature
(f diffe'�z
zlz
of Land Applin
Date
corn WIT I[I tee) (ii'different from Permittee and Preparers)
defined in 40 CFI? Part 503,9 (r) and I5,A NCAC 027'.1102 (26) DCNR FORM ACF (12/2006)

RESIDUAL ANALYSES
TCLP ANALYSES
AND PATHOGEN AND VECTOR ATTRACTION REDUCTION

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CITY OF HAVELOCK
LAND APPLICATION PROGRAM
RESIDUALS ANALYSIS
Residual Type: Wastewater Treatment Plant
Date Sampled: January 24, 2018
Havelock
Mineralization Rate 0.30
3.34 % Solids
6.1 nH
Permit No. NCO021253
Phosphorus
3.524
35,240.000
70.480
Potassium
0.398
3,977.000
7.954
PAN (injected)*
1.481
14.812.560
29.625
PAN (surface)*
1.338
13,378.560
26.757
Ammonia Nitrogen
0.287
2,868.000
5.736
Calcium
3.440
34,395.000
68.790
Calcium Carbonate Eq.
---
---
---
Magnesium
---
2,273.000
4.546
Sodium
---
4,503.000
9.006
Sulfur
---
---
'Nitrate N / Nitrite N
---
3.960
0.008
Barium
Chloride
---
--
---
---
---
---
SAR
1;16
Iron
--- -.
--
---
Ceiling Concen. `.
Aluminum
---
20,459.00
40.918
M /IZ )
Arsenic
---
3.300
0.007
75
Cadmium
---1.500
0.003
85
Chromium
---
16.000
0.032
---
_
Copper
---
780.00
1.560
4,300
Lead
---
15.00
0.030
840
Mercury
---
0.470
0.001
57
Molybdenum
---
5.000
0.010
75
Nickel
---
11.00
0.022
420
Selenium5.007.0
0
0.010
100
Linc
---
1,930
3.874
7,500
Environmentl: 414
*Determination of Plant Available Nitrogen (PAN):
Injected Application:
(Mineralization Ratc)(TKN-Ammonia N) + Ammonia N + Nitrate N + Nitrite N = % PAN
Surface Application:
(Mineralization Rate)(TKN-Ammonia N) + (0.5)(Ammonia N) +Nitrate N + Niu ite N = % PAN
Note: Constituents N.D. (Not Detected) or <detection limits are listed as detection limits
for calculation proposes.

I a1m1'Iuur()illllm I], [1 TIcc 'r
CITY OF HAVELOCK(SLUDGE)
MR. RYAN T'ITUS
WASTEWATER TREATMENT PLANT
304 N. JACKSON DRIVE
HAVELOCK ,NC 28532
PARAMETrRS
PI -T, Units
Aluminum, (dry wt. basis), mg/kg
Arsenic ((ry wt, basis), mg/Ikg
Calcium (dry wt. basis), mg/kg
Cadmium (dry wt. basis), mg/kg
Copper (dry wt. basis), mg/kg
Chromium, T.(dry wt. basis),mg/Iig
Lead (dry weight basis), mg/kg
Magnesium (dry ivt, basis), nrg/Ikg
Mercury (dry rvt, basis), mg/kg
Nickel ((fly wt, basis), mg/kg
Potassium (dry wt. basis), mg/kg
Seleabim (dry wt, basis), mg/Icg
Sodium (dry wt. basis), mg/kg
Zinc (dry w(. basis), mg/lig
Sodium Adsorption Ratio (calk)
Total Solids, %
TKN (dry wt.), mg/kg
Ammonia Nitrogen (dry wt.),mg/kg
Phosphorus, T. (dry wt.), mg/kg
Nitrate -Nitrite ((try wt.), mg/lig
Plant Available Nitrogen, mg/kg
A'tolybdenam (dry wt, basis), ntg/kg
Sludge Analysis Method
Sample Date Analyst Code
6.1 02/09/18 KDS 4500HB-11
20459
02/09/18
LFJ
EPA200,7
3.3
02/14/18
MTM
3113B-04
34395
02/09/18
LPJ
EPA200.7
1.5
02/13/18
NtTM
3113B-04
780
02/09/18
LFJ
LPA200.7
16
02/09/18
LFJ
EPA200.7
15
02/12/18
NITM
311313-04
2273
02/09/18
LhU
EPA200.7
0.47
02/12/18
LF.I
EPA7471B
11
02/09/18
LF.1
EPA200.7
3977
02/09/18
LPJ
EPA200.7
<5.0
02/14/18
MTM
3113B-04
4503
02/09/18
LFJ
EPA200.7
1937
02/09/18
LFJ
EPA200.7
0.2
3.34
01/25/18
MAR
2540G -Il
c 42070
02/12/18
CNIL
351.2 R2-93
c 2868
02/20/18
CML
350,1 R2-93
c 35240
02/16/18
CMI.
365.4-74
c 3.96
02/13/18
MF
353.2 82-93
14812
02/21/18
SEJ
<5.0
02/09/18
LF,i
EPA200.7
ID#: 414
DATE COLLECTED: 01/24/18
DATE REPORTED : 02/21/18
REVIEWED BY:
i
i
c Uncerlt fl ad dcla. pIJF scan not offer non aquooun certi ficaLion for thio analytical PYOcaduro.

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Y
PO4
Nitrate -Nitrite
Y
PAN
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ISN.
,
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Oi
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-.
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Y
PO4
Nitrate -Nitrite
Y
PAN
Rcaetivity
Zvow U'r
ISN.
.'�'._.
Corrosivity
ul n
I CI P vol/svol
Y
TCLPPesticwes
>
T CLP Herbicides
Y
L-
TCI P Metals
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I
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Metals
Y _
SAR
'.
% Total Solids
Y
TKN
-.
Ammonia Nitro
Y
PO4
Nitrate -Nitrite
Y
PAN
Rcaetivity
Ibnit llnlrty -
.'�'._.
Corrosivity
I CI P vol/svol
Y
TCLPPesticwes
>
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Y
L-
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SGS
Environment 1, Inc
City of Havelock WWTP: 304 N Jackson Dr, Havelock, NC
414
SGS Job Number: FA51393
Sampling Date: 01/24/18
Report to:
Environment 1, Inc
PO Box 7085
Greenville, NC 27835
dwoolard@environment linc.com
TTN: Deedee Woolard
Total number of pages in report: 15
'!4� &&77"NN
Test results contained within this data package meet the requirements Caitlin Brace, M. S.
of the National Environmental Laboratory Accreditation Program General Manager
and/or state specific certification programs as applicable.
Client Service contact: Sue Bell 407-425-6700
Certifications: FL(E83510), LA(03051), KS(E-10327), IL(200063), NC(573), NJ(FL002), NY(12022), SC(96038001)
Doo ELAP(ANAB L2229), AZ(AZ0806), CA(2937), TX(T104704404), PA(68-03573), VA(460177),
AK, AR, fA, KY, MA, MS, ND, NH, NV, OK, OR, UT, WA, WV
This report shall not be reproduced, except in its entirety, without the written approval of SGS.
Test results relate only to samples analyzed.
SGS North America Inc. • 4405 Vineland Road • Suite C-15 • Orlando, FL 32811 • tel: [phone] • fax: [phone]
SGS is f o : ole t thcry i for aluhmlzmg ediia or modiricatio- .o ih'w doivmeul.
Ut .t.t�.0 c..d rodd ca r,on of this t -i ori is stti� by pwhibt[ed.
R"' icw Standard mnns aC hut) :/Avwue9gs,cm;Ueid[crns-and rondiuons
1of15
FA51393
gg
Orlando FL
ti a ME
e'Hardeopy 2.
The results set forth herein are provided
by SGS North America Inc.
Automated Report
Technical Report for
Environment 1, Inc
City of Havelock WWTP: 304 N Jackson Dr, Havelock, NC
414
SGS Job Number: FA51393
Sampling Date: 01/24/18
Report to:
Environment 1, Inc
PO Box 7085
Greenville, NC 27835
dwoolard@environment linc.com
TTN: Deedee Woolard
Total number of pages in report: 15
'!4� &&77"NN
Test results contained within this data package meet the requirements Caitlin Brace, M. S.
of the National Environmental Laboratory Accreditation Program General Manager
and/or state specific certification programs as applicable.
Client Service contact: Sue Bell 407-425-6700
Certifications: FL(E83510), LA(03051), KS(E-10327), IL(200063), NC(573), NJ(FL002), NY(12022), SC(96038001)
Doo ELAP(ANAB L2229), AZ(AZ0806), CA(2937), TX(T104704404), PA(68-03573), VA(460177),
AK, AR, fA, KY, MA, MS, ND, NH, NV, OK, OR, UT, WA, WV
This report shall not be reproduced, except in its entirety, without the written approval of SGS.
Test results relate only to samples analyzed.
SGS North America Inc. • 4405 Vineland Road • Suite C-15 • Orlando, FL 32811 • tel: [phone] • fax: [phone]
SGS is f o : ole t thcry i for aluhmlzmg ediia or modiricatio- .o ih'w doivmeul.
Ut .t.t�.0 c..d rodd ca r,on of this t -i ori is stti� by pwhibt[ed.
R"' icw Standard mnns aC hut) :/Avwue9gs,cm;Ueid[crns-and rondiuons
1of15
FA51393

Sections:
Table of Contents
-1-
Section1: Sample Summary................................................................................................... 3
Section2: Summary of Hits.................................................................................................... 4
Section 3: Sample Results......................................................................................................... 5
3.1: FA51393-1: SLUDGE SAMPLE.................................................................................. 6
Section4: Misc. Forms............................................................................................................ 12
4.1: Chain of Custody........................................................................................................... 13
a}; 2 of 15
PAIMa

SGS North America Inc.
Sample Summary
Environment 1, Inc
Job No: FA51393
City of Havelock WWTP: 304 N Jackson Dr, Havelock, NC
Project No: 414
Sample Collected Matrix Client
Number Date Time By Received Code Type Sample ID
FA51393-1 01/24/18 11:23 RG 01/27/18 SO Sludge SLUDGE SAMPLE
Soil samples reported on a dry weight basis unless otherwise indicated on result page.
3 of 15
FA51393

Summary of Hits page I of 1
Job Number: FA51393
Account: Environment 1, Inc
Project: City of Havelock W WTP: 304 N Jackson Dr, Havelock, NC
Collected: 01/24/18
Lab Sample ID Client Sample ID Result/
Analyte Qual RL MDL Units Method
FA51393-1 SLUDGE SAMPLE
Corrosivity as pH 7.6 so
Ignitability (Flashpoint) > 200 Deg. F
Trichloroethylene 0.0052 J 0.010 0.0035 mg/I
(a) Not ignitable
SW846 CHAP7
SW846 1010
SW846 8260E
J
4 of 15
PA51303

SGS
Orlando, FL
Sample Results
Report of Analysis
Section 3
gay, Sof 15
FA51393

SGS North America Inc.
Report of Analysis
Client Sample ill: SLUDGE SAMPLE
Lab Sample ID: FA51393-1 Date Sampled: 01/24/18
Matrix: SO - Sludge Date Received: 01/27/18
Method: SW8468260B SW8461311 Percent Solids: 3.6
Project: City of Havelock W WTP: 304 N Jackson Dr, Havelock, NC
Page I of)
Pile ID DP Analyzed
By
Prep Date
Prep Batch
Analytical Batch
Run #1 70989263.1) 10 02/02/18 19:41
SP
02/01/18 14:45
OP68610
VJ5818
Run #2
0.50 0.010
0.0031
mg/I
78-93-3
Purge Volume
Run #1 5.0 ml
Sun #2
VOA TCLP List TCLP Leachate method SW846 1311
CAS No.
Compound
Result
HW#
MCL, RL
MDL,
Units Q
71-43-2
Benzene
ND
D018
0.50 0.010
0.0031
mg/I
78-93-3
2-Butanone (MEK)
ND
D035
200 0.050
0.020
mg/I
56-23-5
Carbon Tetrachloride
ND
D019
0.50 0.010
0.0036
mg/I
108-90-7
Chlorobcnzene
ND
D021
100 0.010
0.0020
mg/I
67-66-3
Chloroform
ND
D022
6.0 0.010
0.0030
mg/I
106-46-7
1,4 -Dichlorobenzene
ND
D027
7.5 0.010
0.0026
mg/I
107-06-2
1,2-Dichloroethane
ND
D028
0.50 0.010
0.0031
mg/I
75-35-4
1, 1 -Dichloroethylene
NO
D029
0.70 0.010
0.0032
mg/I
127-18-4
Tetrachloroethylene
ND
D039
0.70 0.010
0.0022
mg/I
79-01-6
Trichloroethylene
0.0052
D040
0.50 0.010
0.0035
mg/I J
75-01-4
Vinyl Chloride
ND
D043
0.20 0.010
0.0041
mg/I
CAS No.
Surrogate Recoveries
Rmrff 1
Run# 2
Limits
1868-53-7
Dibromoflumomethanc
103%
83-118%
17060-07-0
1,2-Dichloroethane-D4
108%
79-125%
2037-26-5
Toluenc-D8
95%
85-112%
460-00-4
4-Bromofluorobenzene
96%
83-118%
ND = Not detected MDL = Method Detection Limit J = Indicates an estimated value
MCL = Maximum Contamination Level (40 CFR 261 7/1/I 1) B= Indicates analyte found in associated method blank
E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound
s of 15
PA51'.93

SGS North America Inc.
Report of Analysis
Page I of I
Client Sample to: SLUDGE SAMPLE
Lab Sample ID: FA51393-1 Date Sampled: 01/24/18
Matrix: SO - Sludge Date Received: 01/27/18
Method: SW846 8270D SW846 3510C Percent Solids: 3.6
Project: City of I-laveloek W WTP: 304 N Jackson Dr, Havelock, NC
Pile to DF Analyzed By Prep Date Prep Batch Analytical Batch
Run#1 91000128.D 1 02/14/1800:38 MV 02/13/1810:10 OP68750 S915
Run #2
Initial Volume Final Volume
Zito #1 1001111 1.0 1111
Zan #2
ABN TCLP List
CAS No. Compound
Result HW# MCL RL
TCLP Leachate method SW846 1311
MDI, Units Q
95-48-7
2-Methylphenol
ND
D023
200
0.050
0.0056
mg/I
3&4-Methylphenol
NO
D024
200
0.050
0.0098
mg/I
87-86-5
Pentachicuophenol
ND
D037
100
0.25
0.050
mg/1
95-95-4
2,4,5 -Trichlorophenol
ND
D041
400
0.050
0.0074
mg/I
88-06-2
2,4,6 -Trichlorophenol
ND
D042
2.0
0.050
0.0075
mg/I
106-46-7
1,4 -Dichlorobenzene
ND
D027
7.5
0.050
0.0050
mg/I
121-14-2
2,4-Dinitrotoluene
ND
D030
0.13
0.050
0.0081
mg/I
118-74-1
Hexachlorobenzene
ND
D032
0.13
0.050
0.0069
mg/I
87-68-3
Hexachlorobutadiene
ND
D033
0.50
0.050
0.0050
mg/I
67-72-1
Hexachloroethane
NO
D034
3.0
0.050
0.016
mg/I
98-95-3
Nitrobenzene
ND
D036
2.0
0.050
0.0093
mg/I
110-86-1
Pyridine
ND
D038
5.0
0.10
0.020
mg/I
CAS No.
Surrogate Recoveries
Run# 1
Ran# 2
Limits
367-12-4
2-Fluorophenol
27%
14-67%
4165-62-2
Phenol -d5
17%
10-50%
118-79-6
2,4,6-Tribromophenol
94%
33-118%
4165-60-0
Nitrobenzene -d5
77%
42-108%
321-60-8
2-Fluorobiplienyl
79%
40-106%
1718-51-0
Terphenyl-d14
70%
39-121%
ND = Not detected MDL = Method Detection Limit J = Indicates an estimated value
MCL = Maximum Contamination Level (40 CFR 261 7/1/11) B = Indicates analyte found in associated method blank
E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound
r„g �,�r;; 7 of 15
g
FA51393

SGS North America Inc.
Report of Analysis
it Sample ID: SLUDGE SAMPLE
Sample ID: FA51393-1 DateSantpled: 01/24/18
rix: SO - Sludge Date Received: 01/27/18
rod: SW846 8151A SW846 3510(' Percent Solids: 3.6
ect: City of Havelock WWTP: 304 N Jackson Dr, Havelock, NC
Page I of I
File ID DF Analyzed
By
Prep Date
Prep Batch
Analytical Batch
Run#1 CC057140.1) 1 02/05/1822:27
FS
02/02/1815:25
OP68634
GCC 1244
Run #2
Limits
84%
39-135%
Initial Volume Final Volume
.un 41 10.0 ml 5.0 ml
.on #2
Herbicide TCLP Leachate
CAS No.
Compound
94-75-7
2,4-D
93-72-1
2,4,5 -TP (Silvex)
CAS No.
Surrogate Recoveries
1971.9-28-9
2,4-DCAA
Result
HW#
MCL RL
ND
D016
10 0.050
ND
D017
1.0 0.0050
Ran# I
Run# 2
Limits
84%
39-135%
TCLP Leachate method SW846 1311
MDI, Units Q
0.017 mg/I
0.0013 mg/I
ND = Not detected MDL= Method Detection Limit J = Indicates an estimated value
MCL = Maximum Contamination Level (40 CFR 261 7/1/ 11) B = Indicates analyte found in associated method blank
E = Indicates value exceeds calibration range N =- Indicates presumptive evidence of a compound
Us, - 8 041
f e
FAST 393

SGS North America Inc.
Report of Analysis Page 1 of I
Client Sample ID: SLUDGE, SAMPLE
Lab Sample ID: FA51393-1 Date Sampled: 01/24/18 ,
Matrix: SO - Sludge Date Received: 01/27/18
Method: SW846 8081B SW846 3510C Percent Solids: 3.6
Project: City of Havelock WWTP: 304 N Jackson Dr, Havelock, NC
Pile ID DF Analyzed By Prep Date Prep Batch Analytical Batch
Run #1 ST139394.13 1 02/02/18 20:16 NG 02/02/18 10:00 OP68628 GST3318
Run #2
Initial Volume Final Volume
tun #1 1001111 5.0 nil
tun #2
Pesticide TCLP Leachate
CAS No. Compound
Result HW# MCL RL
TCLP Leachate method SW846 1311
MDL, Units Q
58-89-9
gannna-BHC (Lindane)
ND
D013
0.40 0.00010
0.000022
mg/I
12789-03-6
Chlordane
ND
D020
0.030 0.0010
0.00038
mg/I
72-20-8
Endrin
ND
D012
0.02.0 0.00020
0.000021
mg/I
76-44-8
Heptachlor
ND
D031
0.0080 0.00010
0.000026
mg/I
1024-57-3
Heptachlor epoxide
ND
D031
0.0080 0.00010
0.000020
mg/I
72-43-5
Methoxychlor
ND
D014
10 0.00020
0.000050
mg/I
8001-35-2
Toxaphene
ND
D015
0.50 0.0050
0.0021
mg/I
CAS No.
Surrogate Recoveries
Run# 1
Ran# 2
Limits
877-09-8
Tetrachloro-nl-xylene
77%
42-127%
2051-24-3
Decachlorobiphenyl
57%
27-127%
ND = Not detected MDL = Method Detection Limit J = Indicates an estimated value
MCL = Maximum Contamination Level (40 CFR 261 7/1 /11) B = Indicates analyte found in associated method blank
E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound
a. 9 of 15
;Y�1`ty4
rA51333

SGS North America Inc.
Report of Analysis
Client Sample ID: SLUDGE SAMPLE
Lab Sample to: FA51393-1 Date Sampled: 01/24/18
Matrix: SO - Sludge Date Received: 01/27/18
Percent Solids: 3.6
Project: City of Havelock W WTP: 304 N Jackson Dr, Havelock, NC
Page I of I
Metals Analysis, TCLP Leachate SW846 1311
Analyte Result HW# MCL RL Units DP Prep Analyzed By Method Prep Method
Arsenic < 0.10
D004
5.0
0.10
mg/I
Barium < 2.0
D005
100
2.0
mg/l
Cadmium < 0.050
D006
1.0
0.050
mg/l
ChI'on71l1In < 0,10
D007
5.0
0.10
mg/l
Lead < 0.050
D008
5.0
0.050
mg/I
Mercury < 0.0050 D009
0.20
0.0050
mg/I
Selenium < 0.10
DOW
1.0
0.10
mg/I
Silver < 0.10
D01 1
5.0
0.10
mg/l
(1) Instrument QC Batch:
MA 14666
(2) Instrument QC Batch:
MA14677
(3) Prep QC Batch: MP33304
(4) Prep QC Batch: MP33320
RL = Reporting Limit
MCL = Maximum Contamination Level (40 CFR 261 7/1/11)
02/09/18 02/09/18 1.M
02/09/18 02/09/18 LM
02/09/18 02/09/18 LM
02/09/18 02/09/18 LM
02/09/18 02/09/18 LM
02/02/18 02/02/18 LM
02/09/18 02/09/18 LM
02/09/18 02/09/18 LM
SW846 601 OD SW8463010A4
SW846 601 OD SW8463010A4
SW8466010D2 SW8463010A4
SW846601 OD SW8463010A4
SW846 601 OD SW8463010A4
SW8467470A1 SW8467470A3
SW8466010D2 SW8463010A4
SW846 6010D 2 SW846 3010A 4
S> a.
!I
rA51393

SGS North America Inc.
Report of Analysis
Client Sample 1D: SLUDGE SAMPLE
Lab Sample ID: FA51393-1 Date Sampled: 01/24/18
Matrix: SO - Sludge Date Received: 01/27/18
Percent Solids: 3.6
Project: City of Havelock W WTP: 304 N Jackson Dr, Havelock, NC
Page I of I w
General Chemistry
Analyte
Result
RL Units DP
Analyzed
By
Method
Corrosivity as pH
7.6
sit 1
02/01/1811:05
VK
SW846CHAP7
Cyanide Reactivity
< 1.5
1.5 tng/kg 1
02/07/1810:56
VK
SW846CIIAP7
Ignitability(Flashpoint)a
> 200
Deg. F 1
02/12/18 17:25
KII
SW8461010
Solids, Percent
3.6
% 1
02/08/18 11:34
Bw
SM 1925400
Sulfide Reactivity b
< 48
48 n1g/kg 1
02/13/18 13:00
cii
SW846 CHAP?
(a) Not ignitable.
(b) Sample was prepped within
14 days of collection, but analyzed beyond
hold time.
RL = Reporting Limit
\P ,,_, 11 of 15
5 a.x
rA51393

Misc. Forms
Custody Documents and Other Forms
Includes the following where applicable:
Chain of Custody
Section 4
1A73
.sr3 . 12 of 15
ziq ,SA
FAu13s3

¢nviromnent 1, Inc. CI3AIN OF CUSTODY RECORD
P.O. Bos 7085, 114 Oakmmni Or. Page of- 2
Grcenwllc, No 27858-
enviTonmentlinenom
D1S1NItCITON
CHLORINE NEUTRALMATCOLECBON
Phone[phone] •Pax [phone]
-
_
C HLORINE
pH CHECK(LAD)
CLIENT:414 Wealc6
CITY OF ITAYL+LOCIGSLUDGL)
(�} NONE
V
P
P
P
P
P
P
P
P
P
G
G
G
G
CONTAINER TYPE, P/G
MR. RAX BURGOS
WASCEWATER TREATMEN'P PLANT
ISI
CHEENICALPRESERVA11ON
306 N. JACKSON DIM
� —_
A
A
A
A
A
A
A
A
A
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HAVE/ACK NO 28532
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A-GaNE O 'ADH
[phone]
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C. H'SO, F- ZINC ACETATEINAOH
CaIFCTION
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SAMPLELOCATION
DATE
PNIE
6ludge Sample �
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Sa
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C(ASSIFICATICIA,
V ASTEWATER(NPCES)
DRINKIN3VA1ER
(MrAl
SOUD'd7ASTE SECTION
CHAIN 06 CUSTODY (SEAL) MAINTAINEO
DURING SHIPMENT/OELIVERY
N
SoUPLESCOLLECTE)RY
Phot)
SAMPLES fl,.CENE01NlA8 AT (� `C
BELL' HEO BY IS!I I I�PLER(
CATElRN1E
RECE Y(SIG)
I ATEMM
COVVENTS:
a�
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DArFsrltnE
"
REce er ,c.)
PEUNO. )
DATFfIIME
R EI'/EDBY(SIG.
OATH
CLP.kRAi �1} 't a ' 1 r -e.
PLEASE READ Instmcdons foreompleting lhi9 form 0=--e Ievarsi side. GrabSamsarmostplee block forwmposiachte pacam8mrmple or a 'G` for NO 3���32
crams 0 %K �I 2 Grab sample In the blocks above for each parometor requested.
G+ASI393: Chain of Custody
Page I of 3
e", 13 of 15
`sem'c
FA51393

Environment 1, Inc.
P.O. Box 7085,114 Ouknmm ID,
CHAIN Or CUSTODY RECORD
Pin C�' 4
Greenville, NC 27858
_
environment l inaeom
DISINFLCTION
CHLORNENEUTRAIRLDATWLLECTON
Phone [phone] - F. [phone]
(—y CHLORINE
—
CIAENT:414 Week:6
LJ
UV
_
P4CHECK(1AS)
R1T OF RAVELOCK(SLUDGIn
NONE
G
CA.Y(AIN¢AIYPE P/G
4R. RAY BURGOS
YA=,WATER TRE ATM NT PLANT
r`
CHELECALPRESERVATION
04 N. JACKSON DIU"
TAVLLOCIC NC 2RS32
LJ --
A
_
A NONE D -NADH
h
w v
¢ 8 HN0, E -HCL
252)671.6373
c>s Z a
s C H,SO, r- ZINC ACETATFANAOH
COLLECTFCN��
U¢
(�
OR ill- O
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P
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`a G-NATFIIOSUIFATE
p4,
SP.MPLE LCChTiON
DATE
DtE
10
6F�
'A
CLASCATION
Studio, Snmpio %
//.�j
��a
WAST NATER(
ri WASTPWATER(NPD'cG)
DRINYJ WATER
UIVOW
SOLID WASTE SECTION
CHAIN Of CUSTODY (SEAL) MAI@TAINED
DURING SHIPMENO DELIVERY
® N_
SAMPLESCOLLECTE08N
(P sepdnl)
SAMPLES R 111"DINIASAT_1--'C
RE Y(SIGJ(SMIPLER)
OATEI'dlE
l "ATE I'VE
COWAEN95:
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OATERIVIE
RECF.NE08Y(SI
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RELIIS'
DATE/M:E
RECENEOBY'81G) 5Gv
(/ DATEMHE
—
a LUa 1 c N_ 341031
Sampler mull place composite sample or 0
PLE READ Instructlonsfor-aompletin tis for�tI reverse Side. Grab sample in the blocks above for each parameter requested.
011.AE'(idy /kq'S—
FA51393: Chain of Custody
Page 2 Of 3
y �C� 14of15
FA51395

SGS Sample Receipt Summary
Job Number: FA51393 Client: ENVA Project: CITY OF HAVELOCK
Date / Time Received: 1/27/2018 11:45:00 AM Delivery Method: FED EX Airbill #'a: 1002829243910003281100420040462289
Therm ID: IR 1; Therm CF: 0.4;
Cooler Temps (Raw Measured) °C: Cooler 1: (3.8);
Cooler Temps (Corrected) °C: Cooler 1. (4.2);
Cooler Information
Y or N
1. Custody Seals Present
ry, 11
2. Custody Seals Intact
3. Temp criteria achieved
lYi [I
4. Cooler temp verification
IR G.n
5. Cooler media
Ice Mapl
Trip Blank Information
Y or N
N/A
t Trip Blank present /cooler
1-
2,
2. Tdp Blank listed on COC
❑
W or 5
N/A
3-"rype Of TS Received
II ]
(YJ
Hof Coolers: 1
p
Sample Information Y or N N/A
I. Sample labels present on bottles
2. Samples preserved properly W
3. Sufficient volume/containers recvd for analysis: [j
4. Condition of sample Intact
5. Sample recvd vnthin HT C f 1
6. Datesff mesilDs on COC match Sample Label
7. VOCs have heatlspace ] j] ',3
8. Bottles received for unspecified tests ( ;y.
9. Compositing instructions clear
10. Voa Soil Kits/Jars received past 48hrs?
11.% Solids Jarrecoved? ❑ 1
12. Residual Chlorine Present? ❑ f I
Misc. Information
Number of Encores: 25 -Gram 5 -Gram Number of 5035 Field Kits Number of Lab Filtered Metals.
Test Strip Lot#s: pH 03 230315pH 1012 _219813A Other:(Specdy)_....,
Residual Chtonne Test Strip Lot #:
Comments
snom
Rw onm osrznnr
Technician: SHAYLAP Date'. 1127/20181145:00A Reviewer. Date.
FAS1393: Chain of Custody
Page 3 of 3
'I 5 of 15
�,sc sad
FA51393

ANNUAL PATHOGEN AND VECTOR A'1TRACTIOiN ltEDUC."HON FORi14 (503 Rules)
Faeility Nnme: City otHavelock WQ Permit Numbm: W00000702
WW'PP Name: City of liavelock WWTP NPDES Number: NC0021253
Monitoring Period: From 1/112018 To 12/31/2018
Pathogen Reduction (40 (2111503.32) - Please indicate level achieved and alternative performed:
Class A_ _ Ahern alive I C1
Alternative 2 C1
Alter mhm 3 13
_ Alternative 4 ❑
Alternative 5 ❑
Alternative 6 Ll
If applicable to a_Itemative pmErmed (Class A only) indicate "Process to Further Iteduce Pathogens":
Compost El
Ileal Drying El « heat Treatment ❑
v 't'hei7nophilic L7
Beta Ray L71
Gamma Ray 0 Pasteurizalion F]
6 (AlIk Stab:h�elion
10 (�auipor3t"on)
Class B:
Alternative 1 (� Ahcrumive 2
�C7�W�� ___
If applicable to ahernative performed (Class 13 only) indicate "Process toSignificantly Reduce Pathogens". —�
Lime Stabilizalion Cl - Aii 1)rvinuCa �— Courtin C] Acrubic I)ir,estion C7M--
Anaerobic Digestion [0 -
If
If applicable to alternative perfornRed (Class A or Class B) eaTYlplCte the following monitoring data:
Allowable Level
Pathogen
Density
U111 bey
frequency
Sample°�yI'ca
Parameter
in Sludge Sludge
Bxcee-
of Analysis
'J'ype
—
ivlinintun
Geo, Mean
--
Maxinlun
--
Units
2x1I McNil'N
Gih
pa gram of GPU
Petal Coliform
tonal solids
1000 mpn per gram--
ofloWsolid (dry
1,466
3,262
8165
MPN/g
0
Quarterly
Grab
sm9NIcr
weiP,hO
Salmonella lncicria
3 M1114—per 4 grams
(in lieu of thcal
total solid (rip•
coliform
weieht
Vector Attraction Redaction (40 CFR 503.33) - Please indicate option performed:
Alt
] (VS reduction)
C 3
All
7 (4Uday bench)
L1 Aft. 3 (30 -day bench) -
Ll Ait
(spec O, uptake}(��
Alt. 5 (!4-i)ay Aerobic)
AIt.9(Irtlection)_
[ I -Alt
[yl
Alt
6 (AlIk Stab:h�elion
10 (�auipor3t"on)
[ a AIt7 (Drying- Stable) CI Alt 8 (lAI utg Un table)
C] No vectoratractionteducron tltauituve wi4portoimed
LIQ
C7�
C3 It`I'IFICATIO;el S7'A'I'iMT,,'N'I (please check the appropriate statement)
I "I eerfify, under penalty of law, that the pathogen requirements in 40 CFR 503.32 and the vector
atttaedon reduedon requirement in 40 CFR 50333 have been tnet."
C1 "I certify, under penalty of Is, that the pathogen requirements in 40 CFR 503.32 and the vector
allradion reduction requirement in 40 CFR 2W3,33 have not been met." (Please note if you cheat
— - this statement attach ata explanation why yort iaave not nxet one or both of the requirements.) ..____
"3 his dcterYn'ssuttson has been made under my direction and supervision in accordance with the system
designed to ensure that qualified personnel properly gather and evaluate the information used to determine
that the pathogen and vector attraction reduction requirements have been met. I am aware that there are
significant penalties for false certlDcadon including fine and imprisonment."
Jar les Carter, ORC Vaughn Stevenson, land Application Manager
Preparer N tnn<'andTitle ype or print) Land Applier Name and Title (if applicable)(type or print)
Signature o rep, .e k Date Signet e of Land Applies (if applicable} Date
*Prepares is deli in AO UR Part 5039(0 and 15A NCAC 2T A 102 (26)
DENR FORM PVRP 503 (12!2006)

il"iLt1.111urroo lJl�l!�.�lea.U J, iLltil�(oj
G,�e, (4,11
CITY OF HAVELOCK(SLUDGE)
MR. RYAN TITUS
WASTEWATER TREATMENT PLANT
304 N. JACKSON DRIVE
HAVELOCK ,NC 28532
Sample
PARAMETERS #1
Total Residue, mg/I 29280
Fecal Coliform (MPN), /gram Solids 3757
ID#: 414 8
DATE COLLECTED: 01/24/18
DATE REPORTED : 01/30/18
REVIEWED BY: //
Sample
Sample
Sample
Sample
Analysis
Method
#2
#3
#4
#5
Date Analyst
Code
31440
26240
30700
28880
01/25/18 MAR
25408-11
2481
8765
1466
2701
01/25/18 MAR
9221E-06

[i �]1'fAirmnmh @l.�At ii, hm')
�0'
U c�l��� �j
CITY OF HAVELOCK(SLUDGE)
MR. RYAN TITUS
WASTEWATER TREATMENT PLANT
304 N. JACKSON DRIVE
HAVELOCK ,NC 28532
ID#: 414 E
DATE COLLECTED: 01/24/18
DATE REPORTED : 01/30/18
REVIEWED BY:.,�
Sample sample Analysis Method
PARAMETERS W6 1/7 Date Analyst Code
Total Residue, mg/1 29100 29280 01/25/18 MAR 2540B-11
Fecal Coliform (MPN), /gram Solids 7904 1537 01/25/18 MAR 9221E-06

s ,, dry
til
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ro F
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m -
T6U�PE(iA;IURE,`C
'! OF CONTAINERS
Er
Total Residue a
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ra
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S3 se CC/Gram
ria
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5+

CITY OF HAVELOCK
WQ0000702
City of Havelock W WTP
Date
Fecal Coliform
MPN per grain
Log
01/24/18
3,757
3.5748
01/24/18
2,481
3.3946
01/24/18
8,765
3.9428
01/24/18
1,466
3.1661
01/24/18
2,701
3.4315
01/24/18
7,904
3.8978
01/24/18
1,537
3.1867
Total 24.5944
Average 3.5135
Geometric Mean 3,262 Fecal Coliform MPN / gram
Geometric Mean of Less than 2,000,000 meets Class B - Alternative 1 Pathogen Reduction
requirement.

�Y � � �:.''• 'L IIG �."�

CITY OF HAVELOCK
Permit #WQ0000702
2018 SUMMARY
SITE
NO.
FIELD
NO.
SOURCE -
LAND APPLIED
APPL.
DATE
ACRES .
USED
TOTAL
GALLONS
TOTAL:
DRY TONS
TOTAL PAN
Crop 1 Crop 2
NC -PA -2
8A
Havelock
Mar -18
4.04
60,000
8.36
61.28
NC -PA -2
8B
Havelock
Mar -I8
4.54
54,000
7.52
49.08
NC -PA -2
9A
Havelock
Feb -18
4.17
42,000
5.85
41.56
NC -PA -2
9B
Havelock
Feb -I8
6.79
96,000
13.37
58.34
NC -PA -2
9C
Havelock
Mar -18
6.66
96,000
13.37
59.48
NC -PA -2
91)
Havelock
Mar -18
6.62
96,000
13.37
59.84
NC -PA -2
9E
Havelock
Mar -I8
5.77
84,000
11.70
60.07
TOTALS
Dry Metric Tons 66.70

� �:� 1 • s

�NP:LIAL. P MEALS Hs',ki) LOAI')€NG SUtVtIVIAR'1 t�C?i2a4S'
Ato)01 this form to the corresponding Field lAnd ng Summary form to he submitted in Annual Report
Faciliil Name: City of havelock Total Dry Tons Applied (Annual): 8.30
Permit P: wQ.0000702 Cation Exchange Capacity (non 509 only): 10.0
Operator: Michael Spencer Owner: lwx S Farms, LLC M edonainant Soil Series: Yonges
Acres Used: 4.0; Acres Permitted: 4.04 Site N:: NC: -PA -2 Meld Mi HA
Residual Analysis Dain (heavy Metals and Total Phosphorus use mg/kg;, `% Solids use 12aav Percent #):
IT-
_
Sam le m• �J 2� -' „Tj - 6 7 8 9 10� at 12
Com -
01211719
Date
_.% 5 olide ... _...__ -_. __3 3 -'- _ ___-_-._-_-------
Arsenic�.___.......-r._ _3.3.___.___----_---.,--__-----.---_.__.....-......---.-----------....__._._--..-----...._
Annual Waspy Metal k'iM Loadings (Calculated it lbsocre
16..
Chramiun
780
Imd
S
McrcwY
447
N1alyb-
� --
dernun
Nickel
1 I
Selenium
5
Zinc
,937
mull
PI?on
35,240
Annual Waspy Metal k'iM Loadings (Calculated it lbsocre
"C cevo4 y; ander penalty of law, Ant this document was pmpuarcd under my direcdon or suporvfsieta in accordance with a
sysienn designed to ,assure Dint E{?asati;ed personnel propee9y pratlicred and e vidu;ated the information subinitte.;d. I an
ar°a,ar e That there are signs enut ¢a,.sl:,ltr _ for subinit`.in„ Wise k o. msmon, lacl ailuag the Possibility of Anes and
pjph(,,
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t u
7 J68�
I
0 0)0
0 000
0,014
0 000
0 C00
0 008
-o.-656-
I_ .
-666v
J GOu
U OOG
Q OUO
0 D00
0.014
adai,nil;
0.000
0 000
1006,
TON
0.000
ION
i uon
1 ION
o nit
Mon
0000
WIN
o oo6
Copper
.. 0.000
1, 0,066
0
TOM
_.__0
000
000
:.I _
- MON I
0 000._
0 000..
0,000
one
I �
(, 000
0
0.000
O 000
3..227
�
0 000
(00o
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0 coo
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-6-06-6-
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+.
_
G o0n
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� 0 000
_
� (+ 000
0 000
Q062
Niel c1 ry
0,000
0,000
1 0. OC a
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ION
0 000
i 0.000
_T06-6—
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pial> t
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` 0 071
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� 0, 009
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i 1 000
0 000
0,000
0.021
ae,um
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�
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0 000
G 000
0 016
0 000
0 000 �
Iwo
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0 No
0.000
( 0.000
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0.000
0.046
_
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0 000
0'060
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0 07 i
—
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� 0 000
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0 000
0 000
0 000
--.-
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R 01 S
_
0 OJO
0 000
0 000
0 000
0 NO
0 000
0('00
0 01
0 000
8 013
Total
�
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. _-
..._
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---
MY
C (`� 0
0,O) 1 �
1 4MR81
0000 1
0.000
-"-
C ON
0 000
0 000
0100
1 0 A00
O 000
145 7S
"C cevo4 y; ander penalty of law, Ant this document was pmpuarcd under my direcdon or suporvfsieta in accordance with a
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AfViNUAL iv%E'i'A LS PIEU) LOADMG SU? INIARY FOR NW
Attach this form to the car responding Field Loading Summary Form to he submitted in Annual Report
10OMy Names City of Havelock Total My Tori Applied (Anatutl): 7.52
Permit lit WQ0000702 _ Cation EXcleange Capacity (non 503 only): 0.0
Operator: Michael Spencer Owner: _- Super Fatans, ILC Predominant Soli Series: Yonge_
Acres Used: 4,54 Acres Permitted: 4.54 Sito 11: NC -IIA -2 I,ield 1): 813
Residual Analysis Data {iletavy Metals and Total Phosphorus use mLAR, (% Solids u.se Raw Pereent #l:
...-.-._.__ -..
Como-
poske
Date
%Solids
Cadmium
Coouer
Marc
Zinc
Twal
Phos -
Annual Heavy
Total t...)
D9YAr..1 --
A ou
tve,l__
t xm 0_000
CawnwMI 0.000
Coptw O.0G0
h.ominm 0.000
Lead
olR ai�9
3.34
3.3
- - LS
16
780--
- ---T
15
0.47
s
s
r 1,937
Metal Fieldload
i Otis
--may 0.011 1
0 000 0 G0S
0 OOJ 0 053
x.000 0 070 �
AMUHT 0.900.
__
1 6 000 1
0,002
0 00c,
G 000 10560
__
( 000
dcnutp
as
0.000
0.000
(),017
Nickel
0 000
_
000
01036
Sereno m
O.GOd
r0
! 0 000
0 017
m
ooG
1_ d o06
41
Total_--
0.000
000
000
ulated in lbslaere):
.7,.... G x..1.7 "i"
0 000,1 0.000 -10,00-101
0 000 0 Ot U 0 000
0oao 10-.66-0
0,000 [
0.000 (
0'002 I
0 00c,
G 000 10560
OOt)
( 000
0,00C.
WOMAN—
0 OO
0 CCG
6.000
0.000
0.000
}
0.01)0
0.000
6.500
0.600
0.006 l
0.000
0 GOC
0.000--0.000
0 000
0.000
000
000
0.000
0.000
0.000
U00
().000 j
0 000
1on 11
0-0(+0
0.000
0 000
0 OO
0 000
0 005
0.00o
0 -mm---
moo
-OV00-
-OA00
INT
0 000
0'C'00
0.000
0.000
0 000
2.584
0,000
0,000
0.000
0.000
0.000
0.050
0 000
0 000
0.000
(LOW
0-000
0.002
0 0G0
0,000
0,000
0,000
0.000
0.017
0.000
0_000
YO
0 000
0.000
10.000
0.036
0.000
G00 j
0 000
0 000
h 0 000
0,017
0.000
0 000 10.000
0.000 lo
-0-0-01
6 4 1 ey
P! os- o'c le, 1 O.Oo , , I t,.7sJl 0.000 1 0.000 1 0.000 1 0-000 1 0.000 1 0.000 1 0.000 1 0.000 1 0.000 1116.75
"i certlij, under penalty of !Q", that this clocc=men1 was prepared under my direction orsupe, rislon in acrordance with a
systein tiLsiFned to assure that ri.anMed 1 um"ne! property gaff red and evaluated the information submUted. I am
tatva, t2Erai t}s>. c -x : s!"'Hir;rmt pe alta.;, far .l:xa ding €aisC::aF.isn.a¢aon, int Udin, th", possibility of fines and
io;p tkoomcot for 1'.-mwing
- l f
i '
L rLand .IES
Deo
DENR FORM IATLSF (12/2006)

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ANNIML, NIFTALS FIELD 1, OARING SUMMARY FORM'
Attach this form to tic corresponding Field 120edln8 Summary Fm m to be submitted in Annual Report
6'itciiity Name: City of Havelock Total M y Tons Applied (Annual):
Pernik N. _ WQOOOU702� Cation T, A ange C',ap,aci(y (non 503 only): _10.0
Operator: Michael Spencer Owners _ Suter S Farms, LLC Prodeniinant Soil Series: Stockade
Acres Used: 4.17 Acres Permitted: 4.17 Site M. NC-I'A-2 Field N: 9A
Residual Analysis Data (fleavy Metals and Total Phosphorus use % Solids use Raw Percent t#):
Corn-
Heavy
Metal Field
auia
posite
elated
pate
0.000
%Salads
- _
3.34
Arsenic
3.3
-adrniurn
-- ----- -
1.5
Cooper
- 16 ---
Lead I 15
4lercl 0.47
Moly6- 5
denum
Nickel
Zinc I I I
Phos- 1 1 35,240
Annual
Heavy
Metal Field
Loadings
(Colt
elated
In lbs,racre),
0.000
0.000
0 000
moo �
C 000
0.000
0.0!."
T otl
�J
11
N ch I
0 00 0
0 1
03
C 000
�6.666
C 000
U 000
6.000
0 OOU
O 000
U 600
6-,6F
0. 00 0
0.031
Event
G 060
I !.4028
0 000
0 000
0 OOC
G 000
O.U00
0 000
U 0
00
6, OOU
0 006
0.000
0 014
Aiseni
l 0 000
__.
1 0.009
_
U.-Oo
0.000
0 000
__.
0 0+)0
0 000
0 000
U 000
------ ----
0 09'u
0.060
5.434
Total
0.00o
0,000
0.000
0.000-}-
0 0oo�
0.000
o 000
0.000
0.0c"9
Cn<',n t m
O.G00
0,004
o O(
0. 000
0.000
0.000
0 O00
0.000
L 0.000
0.000
0.000
0.000
0.004
0.000
0 0,! 5
_
U OOU
0-.- 000
0 000
U (JOU
_0,000
-0-.-0--00--
0000
0 000
MOO
0.000
0 O
0,045
-h, on , ❑ )l
0.000
? 183
U 000
C 000
U 000
000
0.000
0 000
0 000
0 000
0 000
0.000
2.188
_
czd �
0 000
U 0,1 ,.
0,000.1
0 000
0 000
_0
)00
v
WHO
_
0.0o0
0 Goo
0.000
O U00
-
U 000
0 042
M i, ury
( o.600
001
() 000
1 0 000
0.000
0,000
0.000
0.000
0.000
0,000
0.060
0.000
0.00)
"M
0.014
0.000 1
0 0000
Goo
0 000
0.000
0.000
0 000
moo �
C 000
0.000
0.0!."
acx a
N ch I
0 00 0
0 1
03
C 000
�6.666
C 000
U 000
6.000
0 OOU
O 000
U 600
6-,6F
0. 00 0
0.031
Sele uu,+
G 060
0 01 t
0 000
0 000
0 OOC
G 000
O.U00
0 000
U 0
00
6, OOU
0 006
0.000
0 014
Zinn
_
0 ODU
5 43 4
U 000
�0 OOU
0 000
__.
0 0+)0
0 000
0 000
U 000
0 000
0 09'u
0.060
5.434
Total
_
_ _
phos -
)('n
0.000
U o0o
0,090 �
0 O00
MOO
U Ct1O
0.000
0 GOr
0.000
98,86c
"( ae¢'ti4'y, under pc, elty of law, ih:s$ this docurcen4 was prshared arnder in,, di-roction or
supervision in ncewrdance
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(0 a9sure that qualified (personvel properly ptil
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malloL i!Achldilog 03",
possibility of times and
il31il imm, Yaer'i: fol" 1;.:40VJ H:`tr yV 61;3 iib Ilii `.
DFNR FGRPO M, 'LSi' Ia<!7(iv(i

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ANNUAL 'NIE, VAI -S HELD L0A0tiNG S0MItIAIZV rtOwW
Attach this form in the correspondirig Field Landing Summary Forni to ho subodited in Annual Report
Facility Name, City of, Havelock Total Liry Tour Applied (Annual): 13.37
Permit f1: WQ0000702 Cation Csehange. Capacity (non 503 oil yp l0.0
Operator: Michael Spencer owner: SuperS Farms, 1.LC. Predonduant Soil Series: Stockade
Acres Used:0.79 Ames f°er fitted: - 0.79 Sitc l: NC -PA -2 Field
Residual Analysis Data (Fleavyy Metals and Total Phosphorus use mg/kg, % Solids use Raw Per mit 9):
Sartnplc or f 2 31 4 5J 7 0 - 9. 101 19 12-�
Com-
posite ov2�na
Date
%Solids -__--
Cadmium 1 1 L5
Co-vli --------F, f -
Lead 5
!crcmy 47
1olyb- ��-
5
Selenium I 5
Zinc 1,9.37
Total
Phos- 35,240
A.nnuai Heavy [ id& F
Total
h
2 I
DT/A; /
App
Ai;°nuc
0.000
0.013
Ca Lunuu
0.00o
0.006
< rippc
_ 0 000
0.063
':hloiuwr.
0000
3-072
Le rd
O.00G
1 0.059
Mdd
seleILLur<h_
Zinc
rata)
My
0.000 0.002
0.000 T} 0.020
0.000 I 1%
0.000 I 7
d Loadings (C:'alcubb.,d in lbs/acre)
I ^
U 0 )0 fir 00 0 00) 0.000 0,000 Q 0 Od0 1,100T C 0100 Oxon 0.013
1,000 0.000 00 f 0 000 0 000 0 000 0 000 1 0.000 10 000 0 000 0 000 0 00(i
0 000 0 000 0 000 0 000 U 000 0.000 6-0-0-0 0.000 0 000 0.000 0.063
0 -0,000 -
TO
_
6-3-
O.OW- U 000 0 000 10 U00 U 000 0.000 10 OOC � 0 OGO 0(}00 U C00 3 0 72
-
_ _ -9
0.000 0 Ono T-0-0-0- � O 000 0 000 � -0-.0 OU � 0 000 (0.000 0 OGO 0 000 � 0.0_59
0.000 0,000 0,000 0.000 0,000 0 GOU ; 0.000 0,000 0.000 0.000 0.002
0.000 0 000 0 0(0 0100 0,000 0.0000 000 0.000 0,000 0000 0.020
0.000,1, 0.000 P.000 U 000 0,00_0 0.000 0.000 0.000 0.000 0.000
00 0.04:
0.0 0.0 00 0.000 0.000 0.000 0.000 0.000 O.U00 0.000 0.000 0.020
moon OAeo 0.0004 O:O000 000_7 6.000 U-000--0.000 0.000y 0.00.0 7.624
0.00:0 1 I3S.7891 0.000 1 0 coo 1 0.000 1 G 000 1 0.000 1 aOno 1 0.000 1 M000 1 0100 1 0 non W&
"I certify, under penalty of taw, that this docusn.zn, was prep:rred umfer my Mcdon orsupervkhn in &color ce wRA a
system designed to assure that qualifier; personnel pi operly gathered and evaluated the information suhrrnitted. I um
"wr; that there tire sigr-,tscarnt penaltr_s Ar_,r ndui3ug Ad" wRor asm, inciurUng the h,essibi:ity of trues and
irhpviso:thtteri fork.,00whlg�iol.�fio::ti".
ZI
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DUR FORM PART (12/2006`

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ANiN''0AI,, ME"I'ALS H b. IA) 1,(9ADIN(, SIJNIl4riRY FORi%S'
Attach Phis form to the corresponding [Meld LoadWg Summary Cerus to be submitted in Annual Report
Facility Name: City of Havelock '(brat Wy'ibns Applied (Annum): 13.37
Permit f?: _ WQOO60702 C;ttion hxetsange Opacity (non 503 anW: 0.0_
Operator: Michael Spencer Owner:_ Su{:er S Farms, LLC Prcdo nivanl Soll Sw ics: -Stockade
.Acres Used: 6.66 Aares PerruMeth _ 6.66 Site tY: NC -PA -2 field A: � 9C
Residual Analysis Data (Heavy A defals and Total Phosphorus use nig g, % Solids use BUY Percent #):
_ _r__.._
Sample or . �.... ..T_I _3... �_1 ...... .5..) _6_ _i _B 9 10 11 72
posits
ovznna
Date
%Solids i 3.3 _.
3.3
Cadmiluml__.. ._.. C ).5._
,%noun! lien
�Totai t I
App.
l v nt
Arsunc 0.1
ce-nuunt -0 4
gem--�c
eta
31 14
0,000
1 ()11) i 3
a 000
780
TIC
0.000
0,000
0.006
o 000
(o 000
0100
147
-
Molyb-
---4,_1
0.000
0.000
dtruun
OA00
60-0-F
i
Nickel
0 000
0 U00
11
0.000
----
---------
.-
------
---
Zinc
1 0.000
0 000
LAU 7
0,000
(0.000
0.000
0.064
Phos-
000
0 0000
35,240
,%noun! lien
�Totai t I
App.
l v nt
Arsunc 0.1
ce-nuunt -0 4
gem--�c
eta
31 14
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1 ()11) i 3
a 000
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0,000
0.006
o 000
(o 000
0100
a.o00
O.00a
-1[661
0.000
0.000
0 G00
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60-0-F
_31-32
_050-0-0
0 000
0 U00
O.00D
0.000
0.060
0.100
J 0.000
0.000
1 0.000
L1
9 1
101
11 1 �12.i
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1 0 000
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1
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c
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1
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0,000
0.020
0.000
0 000
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D 000
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0,000
0.000
flooa
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0 000
0 006
0 000
7. 000
0,000
(0.000
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0.064
1007-7000
000
0 0000
000
0 000
0.000
10.000
j 0.000
0.000
_ 0.000
_1132
0.060
Mu '-y
0_000
0 000
1 G 002
( 0 OOa_
1 0 000
1 0 OOP
a 000
U 000
0 000
0 tt(IO
0 000
0 O0U
0 00'2
�dcnlnsv
0.000
0,000
0.020
0.000
0.000
0.000
0.000 (
0,000
0,000
WO
0.000
0 000
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1
i,rl kOl
0.0o0
o aa0
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0 000
000
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0 000
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a 000
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0,000
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0 9uo
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0 000
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_
7.777
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�
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0 0001
01,000 1
141.496
0.000
0,000
0 O9u I
0.000
0.000
0,000
0100
0100
0100
141 A9
"I certt4'y, tinder penalty of law., that this document wens prepared tinder any dir eedort or sa, ervision in at<:corda,tee with a
systom desipa to to a"ure that 4uiHned person u I pr;;h .riy gathzred and evatnated tIze information su33mkied, i ant
aware that them are sign t3, ont penalfies for ,ohnn ,ting Nhc hAb r octan., including the pwAbility of Does cad
iti1 l'Tig i)Il i%1e3it tUY' {i FS o7,4/q kta ins"Jl?ttJns`�.
/
Srglr t a L>> r,,plier Doe
DEPIa RAW Iv1rLSF 0.2/2006;

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ANNUAL METALS P18{.,a3 WADING SUMMARY FORAV
Attach this furan to the corresponding Field Landing Sun maq Farm to he submittal in Annual Report
F adhj Name:City of I lavelock 'NMI Dry Tons Applied (.Annual): 13.37
Permit N: WQO00070.2 - 6-16on Czehatage Capacity (non 503 only): 10.0
-- - --------
Operator: Nuchae( Spencer Owmni Su wr S Farms, LLC Predominant ,Soil Scrles: Stockade
Acres Used: 6.62 _Acres Perminrd: G.G2 61fc NC -PA -2 Field t7: 9D
Residual Analysis Data (Heavy i'vlefals and 'iota( Phosphorus Ilse Ing/lig, % Solids ase Raw Percent #):
Sample m'.
--
z
_.
a
a
--
___
s -51
Tr-
o f
s 1
lo.
ill
7z_I
Com
momsposits
Date
1% Solids
3.34
Arsenic
3.3
-
-- `---
--"-
---'
Cadmium
IS----
<oppui
c hronuum
_
16
70,0
..
I,GAd
Mei curt'0.47
Molyb-
denum
5
..._.__.
__.... _..
____
_... ._..._
Nickel
Selenium
Zinc
5
�'-
Total.._1,937
____..._._.._.
--_..------_.
Phos-
35,.'.40
bows
Annual Meavy 1NfL7D,? E<ield Loa( rigs (Cal€ulafc(l ha lbs/acre):
Taal
I)'{ AC./ d
App
nt _ 2.0197
Use,
,c uW O 000 O.00Q 0.013 0 CCf, 000 O.00O 0 000 C O00 0 000 0 000 0 OCO O OOO OA 13
-- - _ _
t oppe 0 000 0.000 C.Of,S 0 UCG 0 cJ0 0 000 -0-.60-0, 0.000 0 OCO 0 000 G OOO -ART 0.006
C a<cmui t� 0.000 0.000
0 006 G i0, _ -._ _ _...
i 0,000 0.000 0.000 0.000 0.000 0,000 0.000 0,000 0.065
Chwna r �r 0 000 1 1.566 UP- am- 0 00E I. U 600 mom i' QCC 0 000 0,000 0 OCC � 0 OOG 3-I> I
d I 0 000 I
R,006- -1769F 11606- C. )Or) 0 600 0 OGO 0 COC 0 000 0 000 0 000 0 C00 0.061
n. „s 0 000 f O OCO 6.66? 0 Orae i3566- - C 0_00 _Q 000 0.000 0 00_0 -01000 0,O60 0 C00 0.002
Ivlol7b 0.000 0 000 0.020 9.000 OWN 0.000 0,000 0.0OO C.CCC 0.000 0,0001 0,000 0.020
Nickel 0 000 1.000 0.044 0,000 0.000 0.000 0 000 � 0.000 O.906 -1100 O ACO 0 000 0 Od4
SeirniIli 0.000_ 0.000 0.020 0 OOC 0 000 0 000 0 OOC O.CQO I OA00 0 Ur.0 0.000 0 Of0 0.020
_ _ _
7 i 0.000 -r 0 000 7 824 DODO 0 GCO 0 000 0,000 0.000 0.000 L 0.000 0.000 0 000 7.824
7v; C Cvi 4: 3' S 0)( C UO 0 CCC O (gal WON :a 09(1 0 t7 348
f
-f nous, .._.r, m.,....._,. .� ____.�...,w... L_w.�..>-_a... ._„...................._.,_._.....___...e._.,.....<,,.��,,._.,,.,,._..-, �. _.(._._...,.....,- ...____.._. w.._,.......:._#
"I certify, under penal y of law, That this document was prepared under my direction or sup^r-viedoat In aecordanee wit): a
systom designed to azurekhm qualified persatmel properly gadwred and Aluafed the Allormation subarittad. f um
N ar: thnt th- v arc,igARcant leen atii s fo . _ b a:itting f0se hlforin a,.,oaa., inciudb)g Inc possibility of fine=_ sold
ins llrasn r. acnt for
kno-wing violatinns".
We
DEW FORM iUli1SF (1.2/1000

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ANNUAL 7v9P.'FA1.:S FIF1,I) LOADING SUMMARY C'C}I2£11'
Attach this Conn to die corresponding PUT! Loading Summary Pone fo be suhnritted in Aniural 1Rporf
FaciMy Name: My, of Havelock Tonal My Tons Applied (Annual): 1 1 .70
Permit tP: WQ0000702 Cation Exchange Capacity (non 50.3 only): 10.0
Operator: _ Mielutel Spencer Owner: Su>er S farms, L.LC Prcdotninattf Sol) Srries: _ Stockade,,,..,,_,_",
Acres used: 5.77 Acres Permitted: 5.77 site N: NC -PA -2 Field d:
Residual Analysis Data (Heavy Metals and 71Mi Phosphorus use 1112/kL, to Solids use Raw Percent #):
Com-
posite
Gate
Solids
Cadmiwn
1.5
�lunmi um
780
Leta d
5
Mercury
0.47
Molyb-
denum
Nickel
�cicnium
Zinc"--
--
1,937
ot
- 10-3
Tal
..
Phos-
35,:%40
Annual heavy Metal Meld Loadings (Calculated it lbs/acre):
olm t I .
Apy
J,
�uot
21276 .
A� sci m0 000 Q000 owl -3 0 000 C UCO MOO 0 000 0,000 I U OOG0 000 0 000 0100 0.013
Cadmium 0 000 0.000 0 0(16 0,000 0 000 0 000 (,.000 0 000 U 000 MOO 0.000 0 000 0.006
- — —.
COp �c. U OOU 0 000 0.065 0,000 0,000 0 00`) O.00O 0 000 0"000 0 000 0.000 0 000 C 065
a"r 0 000 C 000 ) 163 0 000 C C00 0 G00 O.OGO 0 0_00 0 000 0 000 0.000 0,000 1163
_ _ 1
Lead 0 000 0 000 0 OG I 0 000 0 000 0 000 0 OOa) () 000 0 OCC 0 000 0 100 0 000 0 161
_. _. _ _
Mat . o OGo 1. 0 00 0 002 0000. U 000 0 000 ��C COO 0.000 O 0 000 0 000 0 OCO 0 000 " 0 002
Molyb 0 000 0 0 )0 0.020 0.000 0,000 0.000 0,000 0.000 0,000 0100 0 000 0100 0.020
. denv+m JJJ
Nickel 0.000 0,000 0,045 MOO rv0 000 0,000 0,006 -.000 _ 0 000 0.000 0.000 MOO 0.045
Sal noun 0,000 0 000 0 020 0 000 MOO C C00 0.001 0.000 0.000 MOO 0,000 0 OCO U 020
lure 011,1000 � U 000 7.85 5 1 0 000 C 000 0 000 0,000 0.000 0 000 0 000 0 C00 0 000 7 855
._..
__.
(n tl
Pltr�„- 0.000 1 (1000 � 141905 G.(i✓V 1 0.000 .._.t L00 1 0.000 0.00 � 0,000 � 0.000 0 000 0100 14190,
"I cat fify, tinder penally of hats;, that this document was prgmred unser my dinction or supervision in nccordrsnce with ,a
systein designed to arse ra that qualified personnal property gadwre+d and evtalttaml the information submitted. 1 sort
tatwrtrc flint there are si;nHi ant ps raP las for submitting wise iuroemadon, Ee hiding the p„ ssibiliiy of Hees and
itnlrrisonets r, tit (r: Econ°,vita, vio;a Pi,ori
5igmh r c; - end rAppli a (J,I:
DEFIR FORM PARK (12/2006)

Lime applications were performed by Spencer Farms during the 2018 calendar year to all fields
with a pH below 6.0, however the 2018 soil sampling results do not reflect the time amendments.
Additional sampling will be performed during the 2019 calendar year. Any liming adjustments
resulting from this subsequent sampling event will be made during 2019 if required.

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