WQ0019960_Residual Annual Report 2018_20190125

ANNUAL LAND APP} ,ICATION CERTIFICATION FORM
WQ Permit#: WQ0019960 County: McDowell Year
Facility Name (as shown on permit): City of Marion
Land Application Operator:
Southern Soil Builders, Inc. Phone,' 336-957-7871
Land application of residuals as allowed by the permit occurred during the past calendar year?
0 Yes 11 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 numberofapp Iication fields in the e -mit: 8
Total number of fields utilized for land application during the year: 0
Total amount of dry tons applied during the year for all application sites: 0
Total number of acres utilizes for land application during the year: 0
Fart n - Annuai Complance Statement: I
Facility was compliant during calendar year 2018 with all conditions of the land pplication 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, andanni�r� iv -fiction
to ken.
'JAN 2 5 %019
I ) 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 pP����ff6�t�`�1 9
the limit specified in the permit. liIFOR!�i�UP1 Pi�UC
3) Annual soils analysis were performed on each site receiving residuals during the paste=l a���y;0— lliee- 3) copies
of laboratory results are attached.
4) Annual TCLP analysis (if required) was performed and three (3) copies of certified Iaboratoram"UR8 rpre2gkhed.
5) All other monitoring was performed in accordance with the permit and reported during the year as r6qt_dl:e�-gd three
(3) copies of certified laboratory results are attached. Pe itiin� Unit
,rrn6) The facility did not exceed any of the Pollutant Concentration Limits in 15A NCAC 02T .1 105(a) or the Pollutant
Loading Rates in 15A NCAC 02T. I 105(b) (applicable to 40 CFR Part 503 regulated facilities).
7) All general requirements in as specified in the Land Application Permit were complied with (applicable to 40 CFR Part
503 regulated facilities).
8) All monitoring and reporting requirements in 15A NCAC 02T.] 1 1 1 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 ofia 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.
1 1) 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."
PermittName and Title (type or print) S' atu•e of Permit Date
) - IE-/
Signature orPreparer*
(if different from Permittee)
* Preparer is defined in 40 CFR Part 503.9 (r) and
Date Signature of Land Applier
/, IT dol
Date
(if different from Permittee and Pr,eparer)
15A NCAC 02T, 1102 (26) DENR FORM ACF (12/2006)