Loading...
HomeMy WebLinkAboutWQ0036561_Residual Annual Report 2018_20190228INITIAL REVIEW Reviewer Williams, Kendall Project Number* WQ0036561 SUBMITTAL DATED: 2/25/2019 Project Contact Information Rease provide inforrration on the person to be contacted by NDB Staff regarding electronic submittal, confirmation of receipt, and other issues. ...................................................................................................................................................................................................................................................................................................................................................................................................... Name * Brent Collins Email Address* Phone Number* brent.collins@emaresourcesinc.com 336-751-1441 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* WQ0036561 Reviewer* Troy Doby Permittee* Alan Johnson Facility Name * City of Danville, VA County* Caswell 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. In the drop-down box above, you cannot pick a county outside of NC but this program is located in Pittsylvania County, VA Please attach all information required or requested for this submittal to be review here. Danville Annual Report - WQ0036561.pdf 4.52MB Application Form Engineering Aans, Specifications, Calculations, Etc.) Far nein and modification permit applications, the paper copy is required to be submitted to the DRIMon Be advised, applications will not be considered complete until both the paper and electronic applications. have been received. The paper copy shall include the follo-aing: • Application Farm • All relevant attachments (talcs, soils report, specs, etc.) • 1 full-size engineering plan set • 2 11-17" engineering 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 follovVET address= By US. Postal Senice: Division of Water Resources- Non -Discharge Branch 1617 Mail Service Center Raleigh INC 27699-1617 By Courier/Special Delivery: Division of Wabcr Resources- Non -Discharge Branch - Nathaniel Thornburg- 9th Floor, Office #942WN 512 N. Salisbury St. Raleigl-4 NC 27504 For questions or problems contact Tessa Monday at 919.707.3664 or TessaAionday(i�ncdeur-gov or Sarna Graves at 919-707-3657 or Sonia-Graves(tLAcdeur_gov- * I40 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 2/25/2019 ANNUAL LAND APPLICATION CERTIFICATION FORM WQ Permit#: WQ0036561 County: Facility Name (as shown on permit): Land Application Operator: Pittsylvania County, VA Year: 2018 City of Danville, Northside W WTP EMA Resources Inc. Phone: 336-751-1441 Land application of residuals as allowed by the permit occurred during the past calendar year? 0 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 - Recidnalc Annlipafinn Total number of application fields in thepermit:] 33 Total number of fields utilized for land application during the year: 11 Total amount of dry tons applied during the year for all application sites: 664.93 Total number of acres utilizes for land application during the year: 316.7 a+aia6C111G116- Facility was compliant during calendar year 2018 with all conditions of the land application permit (including but not limited to items 1-13 below) issued by the Division of Water Quality. 0 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 Quality. 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." Alan Johnson - Division Director of Water & Wastewater Treatment Permittee Name and Title (type eoorprint) Signature of P ittee Date 1/1 Rl2�19 Signature of Preparer* `— ---ate 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) 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: Facility Name: Residual Source WQ # or NPDES #: WWTP Name: Residual Annlvcic nntn WQ0036561 City of Danville VA0060593 Northside WWTP Laboratory: 1) Waypoint Analytical 2) 3) 4) 5) Parameter (mg/kg) Cone. Limit (mg/kg a Sample or Composite Date g4.O 4/15/18 5/9/18 6/20/18 AveragePercent Solids (%) NA 5.05 5.99 7.46 5.64 Arsenic 75 4.75 5.09 6.01 5.22 5.27 Cadmium 85 2.05 2 1.84 1.3 1.80 Copper 4,300 296 312 309 364 320.25 Chromium NA 46.4 38.5 39 46.8 42.68 Lead 840 37.6 44.1 38.2 44.4 41.08 Mercury 57 0.682 0.574 0.655 1.07 0.75 Molybdenum 75 10.5 8.4 10.7 11.7 10.33 Nickel 420 45.8 48 51.8 58.2 50.95 Selenium 100 1.85 5 0.5 5.9 3.31 Zinc 7,500 1360 1870 1510 1840 1645.0 Total Phosphorus NA 15200 16500 19000 18100 17200 TKN NA 44600 38100 31200 32100 36500 Ammonia -Nitrogen NA 12700 10300 8830 7900 9933 Nitrate and Nitrite a NA 74 120 48.7 1 64.1 76.70 For surface disposal facilities the ceiling concentration limits listed in this form are not applicable. Reference the individual nermit for metals limitz "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 Preparer * >-J /y Date *Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26) DENR FORM RSSF (12/2006) ANNUAL RESIDUAL SAMPLING SUMMARY FORM - B Report all sampling analysis results for parameters not listed in FORM RSSF that are part of the WQ permit or were analyzed for over the past calendar year. Use additional forms as needed. WQ Permit Number: WQ0036561 Laboratory: 1) Facility Name: City of Danville 2) Residual Source VA0060593 3) NPDES # or WQ#: 4) WWTP Name: Northside WWTP 5) Residual Analvsis Data Waypoint Analytical Parameter (mg/kg) Sample or Composite Date 3/28/18 4/15/18 5/9/18 6/20/18 Average Aluminum 32700 20100 30800 30500 28525 Calcium 8880 10200 11800 14700 11395 Magnesium 2510 2410 2620 2690 2557.5 pH 7.7 7.9 7.6 7.9 7.775 Potassium 2720 2110 2340 2190 2340 Sodium 11200 7830 9110 7900 9010 PAN 15994 13610 11175 11274 13013 SAR 5.44 4.06 4.82 4.28 «t i VOi tiiy, under penairy of iaw, 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 significan penal ' s for submitting false i mation, including the possibility of fines and imprisonment for knowing violations." s: Signature of Preparer * "` — Date *Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26) DENR FORM RSSF - B (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: City of Danville Total Dry Tons Applied (Annual): 108.66 Permit #: WQ0036561 Cation Exchange Capacity (non 503 only): Operator: James Blackwell Owner: James Blackwell Predominant Soil Series: CgB2 Acres Used: 20.8 Acres Permitted: 20.8 Site #: CS07 Field #: 1 Residual Analvsis Data (NPavv Motalo -.1 IV-4-1 ___ 1. -, - __ _ _ Sample or[2/28/18 Com-ifi posite Date 2 Danville Avg. 3 4 --- _ _._ 5 - ,..,t,...,� 6 ua "a%, 7 lllwavg, 8 io ounus 9 use 10 rcaw rercent 11 ;F): 12 % Solids 3.51 5.64 Arsenic 3 5.27 Cadmium 2 1.8 Copper 125 320.25 Chromium 50.4 42.68 Lead 87.4 41.08 Mercury 0.921 0.75 Molyb- denum 5 10.33 Nickel 21.1 50.95 Selenium 5 3.31 Zinc 588 1645 Total Phos- horus 3200 17200 Total DT/Ac./ App.° Event 1 0.96 2 4.26 3 4 5 6 7 8 9 10 11 12 y iv y Arsenic 0.006 0.045 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1 0.000 0.000 0.000 1 0.051 Cadmium Copper Chromium Lead Mercury Molyb- denum 0.004 0.240 0.097 0.168 0.002 0.010 0.015 2.730 0.364 0.350 0.006 0.088 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.0 00 0.000 0.000 0.000 0.000 0.000 0.000 1 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0. 000 1 0.019 0.000 2.971 0.000 0.461 0.000 0.518 0.000 0.008 0.000 0.000 0.098 Nickel Selenium Zinc Total Phos- horus nI certifv. 0.041 0.010 1.130 6.150 nndi-r nPnalty 0.434 0.028 14.025 146.647 of 0.000 0.000 0.000 0.000 lom +h 0.000 0.000 0.000 0.000 * +L.*- a.. 0.000 0.000 0.000 0.000 _. Y -� 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.475 0.000 0.038 0.000 15.155 0.000 152.798 -- I-_---- --- 11 _' P' �l,al cu n1lu US Illy ulrrCUOn or supervision In accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations". 1/18/2019 Signature of Land Applier Date DENR FORM MFLSF (12/20061 Facility Name: Land Owner: Operator: 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. City of Danville WQ Permit #: 0036561 Field #: W Q 1 Acres Utilized: James Blackwell Annual Dry Tons Applied: 108.66 Site #: CS07 Acres Permitted: James Blackwell Predominant Soil Series: C4132 Cation Exchange Capacity (non 5031: Crop 1 Name: Fescue -Pasture Crop l Max. PAN: 156 Cro 2 N m 20.8 20.8 0 p a e. Crop 2 Max. PAN: Volume applied Volume Residual Sources Soil Precip. C a o Z a Nitrate (enter one) Solids/ % A lied er PP P (NPDES #, WQ#, Cond. Past 24 4 � 5 Name of Crop Type '� xO � %� PAN Applied TKN U uid q Solids Acre Fert., Animal D ( ry' Hrs. o and Receiving o N' 0 0 ( lbs/acre) g Residual Cu. Yds Gallons Waste, etc) Wet, Q ?; * w .� Nitrite Application * * (Dry Tons/Ac) 3/5 84500 3.51 Moist) inches 0 mg/kg mg/kg mg/kg Crop l Crop 2 Crop 1 Crop 2 0.595 3/6 Unifi Inc. Dry <.5" S 0.5 0.3 26400 1990 2.45 9.895 NA Fescue 52000 3.51 0.366 7/2 Unifi Inc. Dry <_5" S 0.5 0.3 26400 1990 2.45 6.089 NA Fescue 58500 5.64 0.661 Northside WWTP Dry <,g° S 0.5 0.3 36500 9932.5 76.7 17.216 NA Fescue 7/5 175500 5.64 1.984 Northside WWTP Dry <.5" S 0.5 0.3 36500 9932.5 76.7 51.647 NA Fescue 7/6 143000 5.64 1.7 Northside WWTP Dry <.5" S 0.5 0.3 36500 9932.5 76.7 42.083 NA Fescue 0.00000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF TOTALS: 01 5135001. As Cd Cu Cr Pb supp to this form): H Mo Ni Se Annuallbs/acre 0.051 0.019 2.971 0.461 0.518 Zn I P 126.929 0.000 Lime Applied 0.008 0.098 0.475 Prior Years Cumulative lbs/ac 0.56 0.186 101.38 5.273 3.84 0.038 15.155 152.798 :::::::::: Date Ibslac 0.07 Current Cumulative Ibs/ac 0.611 0.205 104.351 5. 334 4.358 0.678 2.892 0.235 75.543 O.o78 0.776 3.367 Permitted C. P. L. R.**** 36 34 1338 0.273 90.698 .;.:. . Permit PAN Limit I st/2nd Cro P 267 IS 374 89 2498 156 "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed qualified personnel properly gathered and evaluated the information to assure that information, submitted. I am aware that there are significant penalties for submitting false including the possibility of fines and imprisonment for knowing violations." *Application Method: S - Surface, IN - Injection, INC - Incorporation 1/18/2019 **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: City of Danville Total Dry Tons Applied (Annual): 108.60 Permit #: WQ0036561 Cation Exchange Capacity (non 503 only): Operator: James Blackwell Owner: James Blackwell Predominant Soil Series: FpD Acres Used: 33.6 Acres Permitted: 33.6 Site #: CS07 Field #: 2 Residual Analvsis Data mpnvv Mp*. ie ­ 1 Ir-1-1 ni. _L _ Sample or Com- posite Date 1 11 Unifi 2/28/18 2 Avg. 3 __ 4 ____ _ .... 5 6 N, 7 ilig,ng, 8 io auuus 9 use 10 rcaw rereent 11 #): 12 % Solids 3.51 5.64 Arsenic 3 5.27 Cadmium 2 1.8 Copper 125 320.25 Chromium 50.4 42.68 Lead 87.4 41.08 Mercury 0.921 0.75 Molyb- denum 5 10.33 Nickel 21.1 50.95 Selenium 5 3.31 Zinc 588 1645 Total Phos- horus Anna -al 3200 unsio A4-*-] 17200 U:..la 7 Total DT/AC./ App. Event 1.05 12 2.18 3 4 5 6 7 8 9 10 11 12 y a 14 Arsenic Cadmium Copper Chromium Lead 0.006 0.004 0.262 0.106 0.183 0.023 0.008 1.399 0.186 0.179 0.000 0.000-1 0-0001 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0. 000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 F.000 0.000 0.000 0.000 0.000 0.000 1 0.029 0.000 0.000 0.000 0.000 0.012 0.000 1.661 0.000 0.292 0.000 0.000 0.363 Mercury Molyb- d num 0.002 0.010 0.003 0.045 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.005 0.000 0.005 56 Nickel Selenium Zinc Total Phos- horus "I certifv. 0.044 0.010 1.232 6.707 under nenalty 0.223 0.014 7.185 75.130 nr 0.000 0.000 0.000 0.000 la. *l,o+ 0.000 0.000 0.000 0.000 *h.. a,.,..._. 0.000 0.000 0.000 0.000 _. 0.000 0.000 0.000 0.000 _ 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.267 0.000 0.000 0.000 0.000 0.025 0.000 8.418 0.000 81.837 _ _ ________ . -_ i,.. r-. --.., & 111,' Ulm cuiluu ur supervision in accoraance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations". zl;�z 4�_Z�. Signature of Land Applier 1 /18/2019 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: City of Danville Land Owner: James Blackwell Operator: James Blackwell WQ Permit #: WQ0036561 Field #: Annual Dry Tons Applied: 108.60 Site #: Predominant Soil Series: FpD 2 Acres Utilized: 33.6 CS07 Acres Permitted: 33.6 Cation Exchange Capacity (non 5031: 0 Crop 1 Name: Fescue -Hay Crop 1 Max. PAN: 158 Crop 2 Name: Crop 2 Max. PAN: Y a2 0 Q 2/23 2/24 2/25 6/30 7/9 7/10 Volume applied (enter one) Solids/ Liquid Cu. Yds Gallons 104000 104000 32500 19500 188500 104000 % Solids 3.51 3.51 3.51 5.64 5.64 5.64 Volume Applied per PP P Acre (Dry Tons/Ac) 0.453 0.453 0.142 0.136 1.319 0.728 Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Unifi Inc. Unifi Inc. Unifi Inc. Northside WWTP Northside WWTP Northside WWTP Soil Cond. (Dry, Wet Moist) Dry Dry Dry Dry Dry Dry Precip. Past 24 Hrs. inches <.5" <.5" <.5" <.5" <.5" <.5" Y o' o� * S S S S S S C o � � r, # �' o 0 0.5 0.5 0.5 0.5 0.5 0.5 F * *. 0 0.3 0.3 0.3 0.3 0.3 0.3 TKN mg/kg 26400 26400 26400 36500 36500 36500 Z Y o � ° w. mg/kg 1990 1990 1990 9932.5 9932.5 9932.5 Nitrate and Nitrite mg/kg PAN Applied lbs/acre ( ) Name of CropType yP ReceivingResidual Application Crop 1 Crop 2 Crop 1 Crop 2 2.45 2.45 2.45 7.539 NA Fescue 7.539 NA Fescue 2.356 NA Fescue 76.7 3.552 3.552 76.7 76.7 34.340 34.340 18.946 18.946 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Lime A lied ........ TOTALo 552500::::::::::::: Annuallbs/acre Prior Years Cumulative Ibs/ac Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): As Cd Cu Cr Pb Hg Mo Ni Se I Zn P 74.273 56.839 0.029 0.012 1.661 0.292 0.363 0.005 0.056 0.267 0.025 8.418 81.837 0.584 0.163 105.333 5.115 3.708 0.068 0.602 2.724 0.216 80.872 0.613 0.175 106.994 5.407 4.071 0.073 0.658 2.991 0.241 89.290 .... ........... 36 34 1338 267 15 374 89 2498 1 that +h58C .a. ,,,. .a _ Date lbs/ac Current Cumulative Ibs/ac Permitted C. P. L. R.**** Permit PAN Limit 1st/2nd Crop "I certify nnrler nPnal*v of law ___ . , _____ ____ .. 1'. _F.-- uuucA Ally uArccAluu or supervision to accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." *Application Method: S - Surface, IN - Injection, INC - Incorporation 1/18/2019 **Volatilization Rate: Surface - 0.5, Injection/incorporation - 1.0 Signature of Land Appiier 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: Permit #: Operator: Acres Used: City of Danville Total Dry Tons Applied (Annual): WQ0036561 Cation Exchange Capacity (non 503 only): David Sartin Owner: David Sartin Predominant Soil Series: 61.4 Acres Permitted: 61.4 Site #: CS14 Field #: Residual Analvsis Data i onvv MP+aia �_.i ir-i-1 __ n 188.01 ToB 7Datle 3 __ 4 _____ _ _�_ 5 _ 4,, r--,,• 6 �J� 7 "aw Rkg9 8 io aviius 910vg. use craw rercent ;F): % Solids 5.64 Arsenic 5.27 Cadmium 1.8 Copper 320.25 Chromium 42.68 Lead 41.08 Mercury 0.75 Molyb- denum 10.33 Nickel 50.95 Selenium 3.31 Zinc 1645 L Annnal 17200 l�Pavv Motel L`;o1.7 r „�a:_�.. ir_■__-�_�_ , . Total DT/Ac./ App. Event 1 3.06 2 3 141 [5 6 7 8 9 10 11 12 y 0 In Arsenic Cadmium Copper Chromium Lead 0.032 0.011 1.961 0.261 0.252 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0-0001 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.032 0.000 0.011 0.000 1.961 0.000 0.261 0.000 0.252 Mercury Molyb- enum 0.005 0.063 0.000 0.000 0.000 0.000 1 0.000 0.000 0.000 0.000 0.0-00 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.005 0.000 0.063 Nickel Selenium Zinc Total Phos- horus "I certlfV_ 0.312 0.020 10.074 105.333 under nPualty 0.000 0.000 0.000 0.000 of 0.000 0.000 0.000 0.000 1._ +ht+ 0.000 0.000 0.000 0.000 +h.a, 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.312 0.000 0.000 0.020 10.074 0.000 105.333 v- �Fnz uu u„uGx my uirection or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations". L�50- 1 /18/2019 Signature of Land Applier Date DENR FORM MFLSF (12/2006) Facility Name: Land Owner: Operator: 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. City of Danville WQ Permit #: WQ0036561 Field #: 1 Acres Utilized: David Sartin Annual Dry Tons Applied: 188.01 Site #: CS14 Acres Permitted: David Sartin Predominant Soil Series: ToB Cation Exchange Capacity (non 503): 61.4 61.4 0 Crop 1 Name: Bermuda -Pasture Crop 1 Max. PAN: 162 Crop 2 Name: Crop 2 Max. PAN: c� o Q 6/19 6/20 6/21 6/23 6/25 6/29 6/30 Volume applied (enter one) Solids/ Liquid Cu. Yds Gallons 45500 136500 169000 104000 65000 136500 143000 oho Solids 5.64 5.64 5.64 5.64 5.64 5.64 5.64 Volume Applied per Acre (Dry Tons/Ac) 0.174 0.523 0.647 0.398 0.249 0.523 0.548 Residual Sources NPDES #, W #, ( Q Fert., Animal Waste, etc ) Northside WWTP Northside WWTP Northside WWTP Northside WWTP Northside WWTP Northside WWTP Northside WWTP Soil Cond. Dry' Wet, Moist) Dry Dry Dry Dry Dry Dry Dry Precip. Past 24 Hrs. inches <.5" <.5" <,5" <.5" 7.5" <.5" <.5" o m o �. S S S S S S S C o a �. * N' * m °� 0.5 0.5 0.5 0.5 0.5 0.5 0.5 Pd = F' "o * j N o * 0 0.3 0.3 0.3 0.3 0.3 0.3 0.3 TKN mg/kg 36500 36500 36500 3 5500 36500 36500 36500 Z �' � � o 0 mg/kg 9932.5 9932.5 9932.5 9932.5 9932.5 9932.5 9932.5 Nitrate and Nitrite mg/kg PAN Applied lbs/acre ( ) Name of CropType yP ReceivingResidual Application Crop 1 Crop 2 Crop 1 Crop 2 76.7 76.7 76.7 4.536 1 NA Fescue 13,608 NA Fescue 16.848 NA Fescue 76.7 10.368 NA Fescue 76.7 6.480 NA Fescue 76.7 13.608 NA Fescue 76.7 14.256 NA Fescue 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 o.000 0.000 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): TOTALS: 0 799500 :::::.::::::: AS Cd Cu Cr Pb H Mo Ni Se Zn P 79.704 0.000 Lime Applied Annuallbs/acre 0.032 0.0I1 1.961 0.261 0.252 0.005 0.063 0.312 0.020 10.074 105.333 :::::::::::::::::: Date lbs/ac Prior Years Cumulative Ibs/ac 0.28 0.055 11.447 2.071 1.745 0.034 0.313 1.767 0.153 42.338 :: 2000 Current Cumulative Ibs/ac 0.312 0.066 13.408 2.332 1.997 0.039 0.376 2.079 0.173 52.412 Permitted C. P. L. R.**** 36 34 1338 267 15 374 89 2498 Permit PAN Limit 1 st/2nd Crop 162 "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." 1/18/2019 *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: City of Danville Total Dry Tons Applied (Annual): Permit #: WQ0036561 Cation Exchange Capacity (non 503 only): Operator: David Sartin Owner: David Sartin Predominant Soil Series: Acres Used: 24.3 Acres Permitted: 24.3 Site #: CS14 Field #: Residual Analvcic Dnta (HPQVI Mo+.lam .-A 'r-9-1 64.20 Toast 2 Com- posite Date Total DT/Ac./ App. Event Total DT/Ac./ App. Event 1 2.64 2 3 L 4 5 61 7 8 9 10 11 12 y 0 >v Arsenic Cadmium Copper Chromium 0.028 0.010 1.692 0.226 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.028 0.000 0.010 0.000 1,692 0.000 0.226 Lead Mercury Molyb- denum 0.217 0.004 0.055 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 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 0.217 0.000 0.004 0.000 0.055 Nickel Selenium Zinc Total Phos- horus "I certifv. 0.269 0.017 8.692 90.885 under nenalty 0.000 0.000 0.000 0.000 of 0.000 0,000 0.000 0.000 la. +h.++h:. 0'000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.269 0.000 0.017 0.000 8.692 0.000 90.885 -__ _ _ _ ________ .. -- r.. r»......... z ,,,y ui. uut uu yr supervision in aceoraanee 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". 2!:;�e 1/18/2019 Signature of Land Applier Date DENR FORM MFLSF (12/2006) Facility Name: Land Owner: Operator: 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. City of Danville WQ Permit #: WQ0036561 Field #: 2 Acres Utilized: David Sartin Annual Dry Tons Applied: 64.20 Site #: CS14 Acres Permitted: David Sartin P - 24.3 24.3 Crop 1 Name: Fescue -Pasture redommant So►1 Series: Crop 1 Max. PAN: 96 Toast Crop 2 Name: Cation Exchange Capacity (non 503): Crop 2 Max. PAN: 0 ° c� o Q 6/25 6I28 6/29 Volume applied enter one Solids/ ( ) Liquid Cu. Yds Gallons 65000 175500 32500 o /o Solids 5.64 5.64 5.64 Volume Applied per Acre (Dry Tons/Ac) 1 0.629 1.699 0.315 Soil C Residual Sources Preci y a Cond. P ,� � ° �' Z El Nitrate (NPDES #, WQ#, Past 24 � w :; TKN o E9 and (Dry, �' o' ; co " ° Fert., Animal Hrs. o Nitrite Wet C. o * * N � R. Waste, etc) inches 5 ° o Moist) ° mg/kg mg/kg mg/kg Northside WWTP Dry <.5" S 0.5 0.3 36500 9932.5 76.7 Northside WWTP Dry <.5" S 0.5 0.3 36500 9932.5 76.7 Northside WWTP Dry <.5" S 0.5 0.3 36500 9932.5 76.7 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): Cd Cu Cr Pb Hiz Mo Ni Se Zn P 0.010 1.692 0.226 0.217 0.004 0.055 0.269 0.017 8.692 90.895 0.025 4.183 0.78 0.561 0.015 0.127 0.626 0.048 17.623 0.035 5.875 1.006 0.778 0.019 0.182 0.895 0.065 26.315 34 1338 267 15 374 89 2498 PAN Applied ( ibs/acre Crop 1 16.373 44.208 8.187 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 68.768 :: 46 ) Crop 2 NA NA NA 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.400 Name of Crop Type ReceivingResidual Application Crop 1 Crop 2 Fescue Fescue Fescue 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 . TOTALS- 01 273000 ....... Annuallbs/acre Prior Years Cumulative lbs/ac Current Cumulative lbs/ac Permitted C. P. L. R.**** Permit PAN Limit 1 st/2nd C ro p "I certify under nennNv of lam 0 °0° As 0.028 0.136 0.164 36 +h-++h.. a,.,,.....,._.. Lime A lied Date lbs/ac , ____ __-_ -- U11uG1 illy ullvciiun or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." *Application Method: S - Surface, IN - Injection, INC - Incorporation 1/18/2019 **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: City of Danville Total Dry Tons Applied (Annual): 18.34 Permit #: WQ0036561 Cation Exchange Capacity (non 503 only): Operator: David Sartin Owner: David Sartin Predominant Soil Series: CgB2 Acres Used: 6.1 Acres Permitted: 6.1 Site #: CS14 Field #: 3 Residual Analvsis Data (Heave Mptadc and Tntal pl.­h,._.. _. -_n-_ a/ C1 I- Com- positeDate Phos- �i ., Total DT/Ac./ App. Event 1 3.01 2 3 141 L6j-71 1 91 1 o 11 12 y 0 14 Arsenic Cadmium 0.032 0.011 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000-f 1 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1 0.000 0.000 0.032 0.011 Copper Chromium Lead Mercury Molyb- enum 1.926 0.257 0.247 0.005 0.062 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1.926 0.257 0.247 0.005 0.062 Nickel Selenium 0.306 0.020 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.306 0.020 Zinc Total 9.893 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 9.893 Phos- horus 103.441 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 103.441 "I certify nnrdPr nnnalt 7 of Iac:, *h, i, 49 a _-,, -_ --.. , _-_- ____., ... qJ F, vpa■ cu u„ucl- my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations". 1/18/2019 Signature of Land Applier Date DENR FORM MFLSF (12/2006) Facility Name: Land Owner: 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. City of Danville David Sartin Operator: David Sartin Crop 1 Name: Fescue -Pasture WQ Permit #: WQ0036561 Field #: Annual Dry Tons Applied: 18.34 Site #: Predominant Soil Series: CgB2 Crop 1 Max. PAN: 156 Crop 2 Name: Acres Utilized: 6.1 CS 14 Acres Permitted: Cation Exchange Capacity (non 503): Cron 2 May PAN• 6.1 0 ° o 6/18 6/19 f Volume applied (enter one) Solids/ Liquid Cu. Yds Gallons 6500 71500 % Solids 5.64 5.64 Volume Applied per PP P Acre (Dry Tons/Ac) 0.251 2.757 Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc)Wet, Northside WWTP Northside WWTP Soil Cond. (Dry' Moist) Dry Dry Precip. Past 24 Hrs. inches <.5" <.5^ y n S S C o w 0mg/kg 0.5 0.5 w * 0.3 0.3 TKN 36500 36500 Z � o 5 mg/kg 9932.5 9932.5 Nitrate and Nitrite mg/kg 1 76.7 76.7 PAN Applied lbs/acre ( ) Name of Crop P Type ReceivingResidual Application Crop 1 Crop 2 Crop 1 Crop 2 6.522 NA Fescue 71.747 NA Fescue 0,000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 o.000 0.000 0.000 TOTALS: 01 78000 Annuallbs/acre Prior Years Cumulative lbs/ac Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): As Cd Cu Cr Pb H Mo Ni Se Zn P 78.270 0.000 0.032 0.011 1.926 0.257 0.247 0.005 0.062 0.306 0.020 9.893 103.441 ::::::::::::::: 0.012 0.005 0.84 0.115 O.117 0.002 0.021 0.144 0.011 4.386 :: 0.044 0.016 2.766 0.372 0.364 0.007 0.083 0.450 0.031 14.279 ..........:.................. 36 34 1338 267 15 374 89 2498 ............ ..................... 156 Lime Applied Date lbs/ac 2000 Current Cumulative lbs/ac Penn itted C. P. L. R.**** Permit PAN Limit 1 st/2nd Crop "I cerYf d ( ► y, un ex pena ty o law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." *Application Method: S - Surface, IN - Injection, INC - Incorporation 1/18/2019 **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: Permit #: Operator: Acres Used: City of Danville Total Dry Tons Applied (Annual): WQ0036561 Cation Exchange Capacity (non 503 only): James Poindexter Owner: James Poindexter Predominant Soil Series: 17 Acres Permitted: 17 Site #: PS02 Field #: Residual Analvsis Data (Hpavv 1VMPtalc and Tn+al ,. _.,._n__ of __ r 21.40 HaB 2 Com- positeDate 1111112 a--. .J . aa.aaa JJvauall Ca 1\.411L;ulQLCu III mrs/acre._ Total 1 2 3 4 51 L6 _7J 181 19110 11 j 112 DT/Ac./ *q App• i Event 1.26 1 Arsenic 0.013 0.000 0.000 0.000 0.000 0.000 1 0.000 0.000 0.000 1 0.000 0.000 0.000 1 0.013 Cadmium 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 Copper 0.806 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.806 Chromium 0.107 0.000 0.000 0.000 0.000 0.000 0A00 0.000 0.000 0.000 0.000 0.000 0.107 Lead 0.103 0.000 0.000 1 0.000 0.000 0.000 1 0.000 0.000 0.000 0.000 0.000 0.000 0.103 Mercury 0.002 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.002 Molyb- denum 0.026 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.026 Nickel 0.128 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.128 Selenium 0.008 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.008 Zinc 4.142 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 4.142 Total Phos- 43.310 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 43.310 horus 11T ear#.fv -A -I*_ ..l'l,. __. �.L _.. aL •_ �_ ______ - -- ---� . ------ I----»--.7 .._ _...., . . <u---uu.cuL -na pit a /'al-ru unuer my ulrecrion 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". zl;�z 4;510�1'- 1/18/2019 Date Signature of Land Applier DENR FORM MFLSF (12/2006) Facility Name: Land Owner: Operator: 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. City of Danville James Poindexter James Poindexter Crop 1 Name: Fescue -Hay WQ Permit #: WQ0036561 Field #: Annual Dry Tons Applied: 21.40 Site #: Predominant Soil Series: HaB Crop 1 Max. PAN: 158 Crop 2 Name: 2 Acres Utilized: 17 PS02 Acres Permitted: Cation Exchange Capacity (non 503): CroD 2 Max. PAN: 17 0 o y o 7/16 7/17 Volume applied (enter one) Solids/ Liquid Cu. Yds Gallons 45500 45500 % Solids 5.64 5.64 Volume Applied per PP P Acre (Dry Tons/Ac) 0.629 0.629 Residual Sources (NPDES #, WQ#, Fert., Animal etc Waste, ) Northside W WTP Northside WWTP Soil Cond. D (Ve ' Moist) Dry Dry Precip. Past 24 Hrs. inches <.5" <.5" Y 4 b w * S S o y 0.5 0.5 w' " * * 0.3 0.3 TKN mg/kg 36500 36500 Z o c mg/kg 9932.5 9932.5 Nitrate and Nitrite mg/kg 76.7 76.7 PAN Applied (Ibs/acre) Name of Crop Type Receiving Residual Application Crop 1 16.383 16.383 Crop 2 NA NA Crop 1 Crop 2 Fescue Fescue 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): Annuallbs/acre As 0.013 Cd 0.005 Cu 0.806 Cr 0.107 Pb I 0.103 H2 0.002 Mo 0.026 Ni 0.128 Se 0.008 Zn 4.142 P 43.310 32.766 1 0.000 Lime A lied Date Ibs/ac Prior Years Cumulative lbs/ac 0.012 0.025 36 0.005 0.010 34 0.906 1.712 1338 0.148 0.255 0.109 0.212 267 0.003 0.005 15 0.031 0.057 0.137 0.265 374 0.01 0.018 89 3.587 7.729 2498 :: ............... 2000 Current Cumulative lbs/ac Permitted C. P. L. R.**** Permit PAN Limit 1 st/2nd Crop cc ..................................................................... 158 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." *Application Method: S - Surface, IN - Injection, INC - Incorporation 1/18/2019 **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: Permit #: Operator: Acres Used: City of Danville WQ0036561 James Poindexter Owner: 21.5 Acres Permitted: Total Dry Tons Applied (Annual): Cation Exchange Capacity (non 503 only): James Poindexter Predominant Soil Series: 21.5 Site #: PS02 Field #: 53.51 FaB3 3 Residual Analvsis Data iAPavv MPtalc anti Tntal Ph.,..,1,--.. of c-.ua_ _ -Tom____.,___- I - - Com- positeDate'- Total • 11 .. Total 1 1 21 3j L_4j 1 51 L6j7 81 9 [12J 11 J 12 DT/Ac./ c App. �. Event 2.49 14 Arsenic 0.026 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1 0.000 0.000 0.000 1 0.000 0.026 Cadmium 0.009 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.009 Copper 1 1.594 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1.594 Chromiunj 0.212 0.000 0,000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.212 Lead 0.204 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.204 Mercury 0.004 0.000 0.000 0.000 0.000 0.000 1 0.000 0.000 0.000 0.000 0.000 0.000 0.004 Molyb- denum 0.051 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.051 Nickel 0.254 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.254 Selenium 0.016 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.016 Zinc 8.189 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 8.189 Total Phos- 85.622 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 85.622 L_phorus uu1c11a VVna V1WFnleU unue,- illy Uirectlon or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations". 1/18/2019 Date Signature of Land Applier DENR FORM MFLSF (12/2006) Facility Name: Land Owner: Operator: 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. City of Danville WQ Permit #: WQ0036561 Field #: 3 Acres Utilized: James Poindexter Annual Dry Tons Applied: 53.51 Site #: PS02 Acres Permitted: James Poindexter Predominant Soil Series: FaB3 Cation Exchange Capacity (non 5031 Crop 1 Name: Fescue -Pasture CroD l Max. PAN: 145 Cron 2 Name: r, o Nor D A M. 21.5 21.5 0 � >~ Q 7/18 Volume applied PP (enter one) Solids/ Liquid Cu. Yds Gallons 78000 ova Solids 5.64 Volume Applied per PP � P Acre (Dry Tons/Ac) 0.853 Residual Sources (NPDES #, WQ#, Fen., Animal Waste, etc W, ) Northside WWTP Soil Cond. D (Dry, Wet, Moist) Dry Preci P• Past 24 Hrs. inches <.5" a a S � 0 oN' si �• * =3 S C o w 0.5 � ., �' v � --• * 0.3 TKN mg/kg 36500 Z �o o � � �, mg/kg 9932.5 Nitrate and Nitrite mg/kg 76.7 PAN Applied (lbs/acre) Name of CropType Receiving Residual Application Crop 1 22.207 Crop 2 NA Crop 1 Fescue Crop 2 7/19 84500 5.64 0.924 Northside WWTP Dry <.5" S 0.5 0.3 36500 9932.5 76.7 24.057 NA Fescue 7/20 65000 5.64 0.711 Northside WWTP Dry <.5" S 0.5 0.3 36500 9932.5 76.7 18.506 NA Fescue 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 .. . Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): TOTALS: Annuallbs/acre 01 227500;:: ;:: As 0.026 Cd 0.009 Cu 1.594 Cr 0.212 Pb 0.204 Hg 0.004 Mo 0.051 Ni 0.254 0.016 SeF85.947 P 85.622 64.770 0.000 :: Lime A lied Date lbs/ac Prior Years Cumulative lbs/ac 0.578 0.604 36 0.161 0.170 34 104.984 106.578 1338 5.094 5.306 3.641 3.845 267 1 0.068 0.072 15 0.602 0.653 2.643 2.897 374 0.208:: 0.224 89 2498 2000 Current Cumulative lbs/ac Permitted C. P. L. R.**** Permit PAN Limit lst/2nd Crop 14 5 ...y, ....-1 y,�ua..y .,, law,Ma,, MIS uucument was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." *Application Method: S - Surface, IN - Injection, INC - Incorporation 1/18/2019 **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: City of Danville Total Dry Tons Applied (Annual): 13.75 Permit #: WQ0036561 Cation Exchange Capacity (non 503 only): Operator: James Poindexter Owner: James Poindexter Predominant Soil Series: FaB3 Acres Used: 26 Acres Permitted: 26 Site #: PS02 Field #: 4 Residual Analvsis Data (Heave MPtalc and Tnt.l pl,..r„1,.,-„n , -n>._ of _ " „ Com- positeDate Total •M ••EMENEENEENE1 Total 1 2 3 4 5 6 7 8 9 10 11 12 DT/Ac./ c App. Event 0.53 y Arsenic 0.006 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1 0.006 Cadmium 0.002 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1 0.002 Copper 0.339 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.339 Chromium 0.045 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.045 Lead 0.043 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.043 Mercury 0.001 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.001 Molyb-denum enum 0.011 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.011 Nickel 0.054 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.054 Selenium 0.004 0.000 0.000 1 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.004 Zinc 1.740 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1.740 Total Phos- 18.198 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 18.198 horus HT nnrii >-A - - - .. U-. ,.B l.-___ ✓'----""' Y'--' 7 .-- .+ __,_...,"l rV"a FAUN-1- u,.uvu my uirecuon or supervision inaccordance 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". 41�/ 1/18/2019 Signature of Land Applier Date DENR FORM MFLSF (12/2006) Facility Name: Land Owner: Operator: 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. City of Danville WQ Permit #: WQ0036561 Field #: 4 Acres Utilized: James Poindexter Annual Dry Tons Applied: 13.75 Site #: PS02 Acres Permitted: James Poindexter Crop 1 Name: Fescue -Pasture Predominant Soil Series: Crop 1 Max. PAN: 145 FaB3 Crop 2 Name: Cation Exchange Capacity (non 503): Cron 2 Max_ PANT 26 26 0 o +� Volume applied pp Volume Residual Sources Soil Cond. Precip. Y C o 0 Z y Nitrate PAN Name of CropType (enter one) Solids/ % Applied per PP P (NPDES #, WQ#, Past 24 cP i� ? F„ _ '� F TKN o and Applied pp ReceivingResidual ideal Q Liquid Solids Acre Fert., Animal (Dry Hrs. o w - N' CD EL °Q o 0 '2 0 Nitrite ( lbs/acre) Application Cu. Yds G8110nS (Dry Tons/Ac) Waste, etc ) Wet , Moist) inches a ? * w mg/kg mg/kg mg/kg Crop 1 Crop 2 Crop 1 Crop 2 7/20 19500 5.64 0.176 Northside WWTP Dry <.5" S 0.5 0.3 36500 9932.5 76.7 4.591 NA Fescue 7/21 39000 5.64 0. Northside WWTP Dry <.5" S 0.5 0.3 36500 9932.5 76.7 9.182 NA Fescue 0.000000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0,000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 o.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 ...... Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): TOTALS: 0 5850p :::::::::::::' As Cd Cu Cr Pb H Mo Ni Se Zn P 13.772 0.000 Lime A lied Annuallbs/acre 0.006 0 0.002 0 0.339 0 0.045 0 0.043 0 0.001 0 0.011 0.054 0.004 1.740 18.198 :: Date lbs/ac Prior Years Cumulative lbs/ac 0.006 36 0.002 34 0.339 1338 0.045 0.043 267 0.001 15 0 0.011 0 0.054 374 0 0.004 89 0 1.740 2498 2000 Current Cumulative lbs/ac Permitted C. P. L. R.**** Permit PAN Limit 1st/2nd Crop 14 5 - --JI ....,.,,. r-•""1%T - 1"VV, L=■a< 9, .5 uV%;u.uCuL WUN prepareu unaer my airecnon 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." Z;�e 4;2'1 *Application Method: S - Surface, IN - Injection, INC - Incorporation 1/18/2019 **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: Permit #: Operator: Acres Used: 29.05 FaB3 14 Acres Permitted: 14 Site #: PS02 Field #: 5 Residual Analysis Data (Heave Metals and Total Phnsnharnc imp ma/lru of Cnli.le i,en D.- D------ .u, City of Danville Total Dry Tons Applied (Annual): WQ0036561 Cation Exchange Capacity (non 503 only): James Poindexter Owner: James Poindexter Predominant Soil Series: Com- posite Date r-i-lA1 LLluavy 1firtal r1Cld Lunuings R-aiculatea In Ihs/acre►: Total 11 1 21 3 L4 5 161 L7J8 1 9 1 110111 12 DT/Ae./ -3 App. iv Event 2.08 Arsenic 0.022 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1 0.000 0.000 1 0.000 0.000 1 0.022 Cadmium 0.007 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.007 Copper 1.329 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1.329 Chromium 0.177 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.177 Lead 0.170 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.170 Mercury 0.003 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.003 Molyb- denum 0.043 0.000 0.000 0.000 0.000 . 0000 . 0000 . 0000 0.000 0.000 0.000 0.000 0.043 Nickel 0.211 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.211 Selenium 0.014 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1 0.000 0.014 Zinc 6.827 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 6.827 Total Phos- 71.380 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 71.380 horus 1 {.�- -1 -T 9 U""U1 ycuus ay V. ,aw, .na< lddocument 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". , rio TO W- -.2. 1/18/2019 Date Signature of Land Applier DENR FORM MFLSF (12/2006) Facility Name: Land Owner: 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. City of Danville James Poindexter Operator: James Poindexter WQ Permit #: WQ0036561 Field #: Annual Dry Tons Applied: 29.05 Site #: Predominant Soil Series: FaB3 Crop I Name: Fescue -Pasture Crop I Max. PAN: 145 Crop 2 Name: 5 Acres Utilized: 14 PS02 Acres Permitted: 14 Cation Exchange Capacity (non 503): 0 Crop 2 Max PAN: i Q 7/14 Volume applied (enter one) Solids/ Liquid Cu. Yds Gallons 123500 % Solids 5.64 Volume Applied per Acre (Dry Tons/Ac) 2.075 Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Northside WWTP Soil Cond. (Dry, Wet Moist) Dry Preci P past 24 Hrs. inches <.5" y n ' ory S C o %v * o 0.5 R F � * M 0 0.3 TKN mg/kg 36500 Z Y �o o mg/kg 9932.5 Nitrate and Nitrite mg/kg 76.7 PAN Applied lbs/acre ( ) Name of CropT Type Receiving Residual Application Crop 1 53.997 Crop 2 Crop 1 Crop 2 NA Fescue 0.000 0.000 0.000 0.000 0,000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 o.000 0.000 0.000 TOTALS: Annuallbs/acre 0 123500 :::::::::::: As 0.022 Residuals Applications to tals on FORM FSF supp ( attach FORM FSF supp Cd Cu Cr Pb Hg Mo Ni Se 0.007 1.329 0.177 0.170 0.003 0.043 0.211 0.014 to this form): Zn P 6.827 71.380 53.997 0.000 :: .................. . Lime Applied Date Ibs/ac Prior Years Cumulative lbs/ac 0.563 0.585 36 0.154 0.161 34 103.851 105.180 1338 4.909 5.086 3.504 3.674 267 0.065 0A68 15 0.563 0.606 2.472 2.683 374 0.196 0.210 89 73.27 80.097 2498 Current Cumulative Ibs/ac Permitted C. P. L. R.**** Permit PAN Limit lst/2nd Crop 145 I . Vx t.,y, uuum Ycuauy 01 iaw, inat this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." *Application Method: S - Surface, IN - Injection, INC - Incorporation 1 /18/2019 **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: City of Danville Total Dry Tons Applied (Annual): 70.31 Permit #: WQ0036561 Cation Exchange Capacity (non 503 only): Operator: James Poindexter Owner: James Poindexter Predominant Soil Series: FaB3 Acres Used: 34 Acres Permitted: 34 Site #: PS02 Field #: 6 Residual Analvsis Data (iupavv Mptale anti Tntal A16-16- - . -- 0/ 0-1e-3_ _ Com- posite Date Total ' 1M ..EMENEENEENE Total 1 2 3 4 5 6 7 8 9 10 11 12 DT/Ac./ -3 App. s Event 2.07 y Arsenic 0.022 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1 0.000 0.000 0.000 0.000 1 0.022 Cadmium 0.007 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.0001 0.007 Copper 1.325 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1 1.325 Chromium 0.177 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.177 Lead 0.170 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.170 Mercury 0.003 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.003 Molyb- denum 0.043 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.043 Nickel 0.211 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.211 Selenium 0.014 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.014 Zinc 6.804 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 6.804 Total Phos- 71.139 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 71.139 horus -o N1 opal - uuuc, u1y utreclion or supervision 1n 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". Mm'410MR LLLft&.w 1/18/2019 Signature of Land Applier Date DENR FORM MFLSF (12/2006) Facility Name: Land Owner: Operator: 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. City of Danville WQ Permit #: WQ0036561 Field #: 6 Acres Utilized: James Poindexter Annual Dry Tons Applied: 70.31 Site #: PS02 Acres Permitted: James Poindexter Predominant Soil Series: FaB3 Cation Exchange Capacity (non 5031: Crop 1 Name: Fescue -Pasture Crop 1 Max. PAN: 145 Crop 2 Name: Crna, 2 Mav PAN. 34 34 0 O y o ce Q 7/11 Volume applied (enter one) Solids/ Liquid a Cu. Yds Gallons 136500 % Solids 1 5.64 Volume Applied per Acre (Dry Tons/Ac) 0.944 Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc ) Northside WWTP Soil Cond. (Dry' Wet, Moist) Dry Precip. past 24 Hrs. inches <.5" L? o a a o S C o * N' 0 0.5 w N w 0.3 TKN mg/kg 36500 Z o r, w' mg/kg 9932.5 Nitrate and Nitrite mg/kg 76.7 PAN Applied lbs/acre ( ) Name of Crop Type ReceivingResidual Application Crop 1 24.574 Crop 2 NA Crop 1 Fescue Crop 2 7/12 149500 5.64 1.034 Northside WWTP Dry <.5" S 0.5 0.3 36500 9932.5 76.7 26.915 NA Fescue 7/13 13000 5.64 0.090 Northside WWTP Dry <.5" S 0.5 0.3 36500 9932.5 76.7 2.340 NA Fescue 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): TOTALS] Annuallbs/acre 01 2990001.1 As 0.022 Cd 0.007 Cu 1.325 Cr 0.177 Pb 0.170 Hg 0.003 Mo 0.043 Ni 0.211 Se 0.014 Zn 6.804 P 71.139 -53.8301 0.000 Lime Applied Date lbs/ac Prior Years Cumulative lbs/ac 0.559 0.581 36 0.152 0.159 34 103.528 104.853 1338 4.856 5.033 3.465 3.635 267 0.064 0.067 15 0.552 0.595 2.423 2.634 374 0.192 0.206 89 71.992 78.796 2498 :: .......................... ............................ Current Cumulative lbs/ac PermittedC. P. L. R.**** Permit PAN Limit 1 st/2nd Crop 14 5 - .a.., aaaaa aaQan UUVU111c"t was prepares unaer my airection or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." *Application Method: S - Surface, 1N - Injection, INC - Incorporation 1/18/2019 **Volatilization Rate: Surface - 0.5, InjectionAncorporation - 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: City of Danville Total Dry Tons Applied (Annual): 44.31 Permit #: WQ0036561 Cation Exchange Capacity (non 503 only): Operator: James Poindexter Owner: Etree LLC Predominant Soil Series: FaB3 Acres Used: 58 Acres Permitted: 58 Site #: PS03 Field #: 1 Residual Analysis Data (Heavv Metnlc and Tntal Phnenhnrne ■■moo ..,..n,,. of Q-1.11a,....... r.____ n____ 11. Com- posite Date Total ' •M .•-'IEMENEENEENE1 �s va♦ ♦ 1'lulu li■1aK1111 /N ■• .W IVINI'AIYI■ In ■FIWI .YP■• Total 1 J 1213 L 4 5 6 7 8 9 10 11 12 DT/Ac./ c App. i Event 0.76 y Arsenic 0.008 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1 0.000 0.000 0.000 1 0.008 Cadmiuml 0.003 0.000 0,000 6A00 0.000 0.004 0.000 0.000 0.000 0.000 0.000 0.000 0.003 Copper 0.489 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.489 Chromium 0.065 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.065 Lead 0.063 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.063 Mercury 0.001 0.000 0.000 1 0.000 0.000 0.000 1 0.000 0.000 0.000 1 0.000 0.000 0.000 0.001 Molyb- denum 0.016 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.016 Nickel 0.078 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.078 Selenium 0.005 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1 0.000 0.000 0.000 0.000 0.005 Zinc 2.514 0.000 0.000 0.000 0.000 0.000 1 0.000 0.000 0.000 1 0.000 0.000 0.000 2.514 Total Phos- 26.282 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0,000 0.000 26.282 horus _-- _-_J 1jr K.aV _. ­" ill"& allla uv\.uliicu. wdb p.-Cpureu unuer my alrecilon 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". 2:f-e 1/18/2019 Signature of Land Applier 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: City of Danville WQ Permit #: WQ0036561 Field #: 1 Acres Utilized: 58 Land Owner: Etree LLC Annual Dry Tons Applied: 44.31 Site #: PS03 Acres Permitted: 58 Operator: James Poindexter Predominant Soil Series: FaB3 Cation Exchange Capacity (non 503): 0 Crop 1 Name: Fescue -Pasture Crop 1 Max. PAN: 145 Crop 2 Name: C an 2 MnY_ PAN - Volume applied Volume Residual Sources Soil Cond. Preci p y C o a ZEl Nitrate PAN Name of CropType YP enter one Solids/ ( ) o /o Applied per NPDES #, W # ( Q Past 24 7���, TKN o and Applied Receiving Residual Liquid 9 Solids Acre Fert., Animal (Dry, Hrs. �• o w � _ * N' �o R Nitrite (Ibs/acre) Application Ca Cu. Yds Gallons (Dry Tons/Ac) Waste, etc)Wet, Moist) inches a o 0 0 mg/kg rn mg/kg mg/kg Crop 1 Crop 2 Crop 1 Crop 2 7/13 156000 5.64 0.633 Northside WWTP Dry <.5" S 0.5 0.3 36500 9932.5 1 76.7 16.464 NA Fescue 7/14 32500 5.64 0.132 Northside WWTP Dry <.5" S 0.5 0.3 36500 9932.5 76.7 3.430 NA Fescue 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0,000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): TOTALS: 0 tsssoo :::::::::::::: As Cd Cu Cr Pb Hg Mo Ni Se Zn I P 19.894 0.000 Lime Applied Annuallbs/acre 0.008 0.003 0.489 0.065 0.063 0.001 0.016 0.078 0.005 2.514 26.282 :: Date lbs/ac Prior Years Cumulative lbs/ac 0.542 0.550 36 1 0.145 0.148 34 102.293 102.782 1 1338 1 4.655 4.720 3.316 3.379 267 0.061 0.062 15 0.509 0.525 2.237 2.315 374 1 0.179 0.184 89 67.1 69.614 2498 2000 Current Cumulative lbs/ac Permitted C. P. L. R.**** Permit PAN Limit lst/2nd Crop l45 "' , 1111 WE PCIMny ul law, mat <nis uocument was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." *Application Method: S - Surface, IN - Injection, INC - Incorporation 1 /18/2019 **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) Waypoint(D ANALYTICAL 4/11 /2018 Inframark A/P Northside WWTP 229 Northside Drive Danville, VA, 24540 Ref: Analytical Testing Report Number: 18-089-0203 Project Description: Inframark 7621 Whitepine Road, Richmond, VA 23237 Main 804-743-9401 ° Fax 804-271-6446 www.waypointanalytical.com Dear A/P: Waypoint Analytical Virginia, Inc. received sample(s) on 3/30/2018 for the analyses presented in the following report. The above referenced project has been analyzed per your instructions. The analyses were performed in accordance with the applicable analytical method. Sub -contracted testing is noted on the Sample Summary Table if applicable. The analytical data has been validated using standard quality control measures performed as required by the analytical method. Quality Assurance, method validations, instrumentation maintenance and calibration for all parameters (NELAP and non-NELAP) were performed in accordance with guidelines established by the USEPA (including 40 CFR 136 Method Update Rule May 2012) and NELAC unless otherwise indicated. Certain parameters (chlorine, pH, dissolved oxygen, sulfite...) are required to be analyzed within 15 minutes of sampling. Usually, but not always, any field parameter analyzed at the laboratory is outside of this holding time. Refer to sample analysis time for confirmation of holding time compliance. The results are shown on the attached Report of Analysis(s). Results for solid matrices are reported on an as - received basis unless otherwise indicated. This report shall not be reproduced except in full and relates only to the samples included in this report. Please do not hesitate to contact me or client services if you have any questions or need additional information. Sincerely, Pauric McGroary Agronomist Laboratory's liability in any claim relating to analyses performed shall be limited to, at laboratory's option, repeating the analysis in question at laboratory's expense, or the refund of the charges paid for performance of said analysis. Arizona AZ0629 Pennsylvania 68-03109 Virginia 460014 South Carolina 93007 New Jersey VA011 Florida E871087 North Carolina 257 Page 1 of 8 Waypointo ANALYTICAL Client: Inframark Project: Inframark Lab Report Number: 18-089-0203 Date: 4/11 /2018 7621 Whitepine Road, Richmond, VA 23237 Main 804-743-9401 ° Fax 804-271-6446 www.waypointanalytical.com CASE NARRATIVE Nitrate + Nitrite Nitrogen Method SM-4500NO3F Sample 59476 (LTS-B 18-1397) Analyte: NO3+NO2-N QC Batch No: E63132/E63070 Refer to LCS/LCSD. RPD between MS/MSD results fails. RPD between calculated MS/MSD recoveries passes. Since all other QC data passes, results are acceptable. Metals Analysis Method SW-6010CM Sample 59492 Analyte: Al QC Batch No: L376587 MS and/or MSD spike recovery failed. Analyte concentration >25X the MQL. Dilution test within method limits. No matrix interference is suspected. Analyte: Ca QC Batch No: L376904 MS and/or MSD spike recovery failed. Analyte concentration >25X the MQL. Dilution test within method limits. No matrix interference is suspected. Analyte: Fe QC Batch No: L376904 MS and/or MSD spike recovery failed. Analyte concentration >25X the MQL. Dilution test within method limits. No matrix interference is suspected. Analyte: K QC Batch No: L376587 MS and/or MSD spike recovery failed. Analyte concentration < 25X the MQL. Post Digestion Spike within method limits. No matrix interference is suspected. Analyte: Mn QC Batch No: L376587 MS and/or MSD spike recovery failed. Analyte concentration >25X the MQL. Dilution test within method limits. No matrix interference is suspected. Analyte: P QC Batch No: L376587 MS and/or MSD spike recovery failed. Analyte concentration >25X the MQL. Dilution test within method limits. No matrix interference is suspected. Analyte: S QC Batch No: L376587 MS and/or MSD spike recovery failed. Analyte concentration >25X the MQL. Dilution test within method limits. No matrix interference is suspected. Page 2 of 8 Waypoint(D ANALYTICA L 7621 Whitepine Road, Richmond, VA 23237 Main 804-743-9401 ° Fax 804-271-6446 www.waypointanalytical.com Analyte: Zn QC Batch No: L376587 MS and/or MSD spike recovery failed. Analyte concentration >25X the MQL. Dilution test within method limits. No matrix interference is suspected. Solids Total Mercury Analysis - CVAA Method SW-7471AM Sample 59475 Analyte: Hg QC Batch No: L376465 MS and/or MSD spike recovery failed. Analyte concentration < 25X the MQL. Post Digestion Spike exceeded method limits. Matrix interference is suspected. Page 3 of 8 (2) • Waypoint. 7621 Whitepine Road, Richmond, VA 23237 Main 804-743-9401 ° Fax 804-271-6446 ANALYTICAL www.waypointanalytical.com Sample Summary Table Report Number: 18-089-0203 Client Project Description: Inframark Lab No Client Sample ID Matrix Date Collected Date Received Method Lab ID 59476 LTS-13 18-1397 Solids 03/28/2018 10:45 03/30/2018 59476 LTS-13 18-1397 Solids 03/28/2018 10:45 03/30/2018 7471A WTN 59476 LTS-1318-1397 Solids 03/28/2018 10:45 03/30/2018 6010C WTN WTN: Waypoint Analytical - TN, Memphis, TN, Certification: #1354 Page 4 of 8 Report Number: 18-089-0203 Account Number: 79434 •�/aypo0 nt a 7621 Whitepine Road, Richmond, VA 23237 Submitted By: Robert Clifton Main 804-743-9401 ° Fax 804-271-6446 ANALYTICAL www.waypointanalytical.com Send To: Inframark Project : Inframark A/P Northside WWTP 229 Northside Drive Danville, VA 24540 REPORT OF ANALYSIS Date Sampled: 3/28/2018 10:45:00 Lab Number: 59476 Date Received: 03/30/2018 00:00 Sample Id : LTS-B 18-1397 Date Reported: 04/11/2018 Total Solids 4.07 40700 100.0 R D 03/30/2018 14:00 SM-2540G Moisture ` 95.92 100.0 R D 03/30/2018 14:00 SM-2540G Total Kjeldahl Nitrogen 4.46 44600 50.0 R D 04/02/2018 08:50 SM-4500-NH3C-TKN Total Phosphorus 1.52 15200 5.00 BKN 04/06/2018 05:23 6010C Total Potassium 0.27 2720 50.0 BKN 04/09/2018 13:39 6010C Total Sulfur 0.94 9430 5.00 BKN 04/06/2018 05:23 6010C Total Calcium 0.89 8880 5.00 BKN 04/06/2018 05:23 6010C Total Magnesium 0.25 2510 5.00 BKN 04/06/2018 05:23 6010C Total Sodium 1.12 11200 250 BKN 04/09/2018 13:39 6010C Total Iron 32000 50.0 BKN 04109/201813:39 6010C Total Aluminum 32700 50.0 BKN 04/09/2018 13:39 6010C Total Manganese 862 0.500 BKN 04/06/2018 05:23 6010C Total Copper 296 0.250 BKN 04/06/2018 05:23 6010C Total Zinc 1360 0.500 BKN 04/06/2018 05:23 6010C Ammonia Nitrogen 1.27 12700 50.0 JM 04/02/2018 08:50 SM-4500-NH3C Organic N 3.19 31900 50.0 04/02/2018 08:50 CALCULATION Nitrate+Nitrite-N 74.0 2.39 MMT 04/04/201811:28 4500NO3F-2011 All values are on a dry weight basis except as noted by asterisk. Detection limit on all N series is on a wet basis. ?W;r. me 61wr Ow reports and lotto, ,; are for the oxr.lu_ ve .'Intl coofidenfial use to the woik.. the results o%the conrp any in any adverfis q news of cur clients, and tray release, orother public not bc- reproduced in whole or part, not may announcer eots without obtaining our prior inv reherence be marl, written authorization. Pauric McGroary Agronomist Page 5 of 8 Report Number: 18-089-0203 Account Number: 79434 Submitted By: Robert Clifton Send To: Inframark A/P Northside WWTP 229 Northside Drive Danville, VA 24540 Waypoint(l) ANALYTICAL Project: Inframark 7621 Whitepine Road, Richmond, VA 23237 Main 804-743-9401 0 Fax 804-271-6446 www.waypointanalytical.com REPORT OFANALYSIS Date Sampled: 3/28/2018 10:45:00 Lab Number: 59476 Date Received: 03/30/2018 00:00 Sample Id : LTS-B 18-1397 Date Reported: 04/11/2018 'UL0' �aU„11ur11 L.U9 0.100 BKN 04/06/2018 05:23 6010C Total Chromium 46.4 0.250 BKN 04/06/2018 05:23 6010C Total Nickel 45.8 0.250 BKN 04/06/2018 05:23 6010C Total Lead 37.6 0.300 BKN 04/06/2018 05:23 6010C Total Arsenic 4.75 1.00 BKN 04/06/2018 05:23 6010C Total Mercury 0.682 0.0133 KKM 04/05/2018 16:55 7471A Total Selenium 1.85 0.500 BKN 04/06/2018 05:23 6010C pH . 7.7 1.0 JM 04/03/2018 09:01 9045D Total Volatile Solids 49.01 490100 100.0 R D 03/30/2018 14:00 SM-2540G Total Molybdenum 10.5 0.250 BKN 04/06/2018 05:23 6010C Total Silver 4.04 0.250 BKN 04/06/2018 05:23 6010C Alkalinity (as CaCO3) 65900 79 JM 04/02/2018 10:15 SM-2320 B Comments: NELAP ACCREDITED: VA NELAC LAB. # 460014. PA NELAC LAB # 68-03109, FL NELAC LAB # E871087, NJ NELAC LAB # VA011. RESULTS REPORTED MEET ALL REQUIREMENTS OF THE CURRENT NELAC STANDARDS. SULFUR AND ORGANIC NITROGEN NOT FOR COMPLIANCE PURPOSES. CCE FOR COMPLIANCE IN VIRGINIA AND PENNSYLVANIA ONLY. TCLP and ICR to follow All values are on a dry weight basis except as noted by asterisk. Detection limit on all N series is on a wet basis. :Jcrr reports tettc for m`Fort.r. a, rd s are the exc!„srve and confidenfrai use of our clients, and may not be reproderred in r✓i;are or part, nor rr av ally reference be rntrde to the wolf{, tt,r results or the in any advertising news re/easel, or other public announcomcnts m}thout obtaining our pr,,or written atilhorization. Pauric McGroary Agronomist Page 6 of 8 Waypoint Anal ( ���l���II��N��������N� 0203 7621 Whitepine Road Richmond VA 2-3237 Tel: 804-743-%Ol Fax: • 03-3o-201a inframark 12:49:55 Customer Informati Intramark Submitted By Robert Clifton Inframark - Danville WWTP 229 Northside Drive, Danville, VA 24540 inframark Phone:434-799-5137 F; Inframark - Danville WWTP robert.clifton@inframark.com 229 Northside Drive, Danville, VA 24540 kimberiy.wickemeyer@inframark.com 'Po4t 14 9 P'7C) NIA robert. clifton0 inframa rk. mm Account # 79434 Sample Information Lab Number Collection Information Container information Please Write m Desired Tests Sample ID (Lab Use Only) Type Date Tone Off Number Type Volume SLi St2 503E metals hasayen pH CCE Ag CI vases SOWS Others LTS' e)Grab 2 Glass ab 0z {g-13�1 K Composite 03/28/2018 t o it 3 -T— plastic --J'ird X x X X X X TCLP, ICR qt ,t R 11n1`� _ Grab _ Glass oz Composite Plastic ---Pint _ Grab Glass 0z Composite _ Plastic --ant Glass — az Composite Plastic --porn 30 Total Solids (Moisture), Total Kjeldahl Nitrogen, Phosphorus and Potassium 2: Basic Test SLi plus Sulfur, Calcium, Magnesium, Sodium, Iron, Aluminum, Manganese, Copper and Zinc I Metals: Arsenic, Cadmium, Chromium, Mercury, Molybdenum, Lead, Nickel, and Selenium (Copper and Zinc luded in SU) roger Series. Total Kjeldahl, Ammonium, Nitrate and Organic Matter E: Calcium Carbonate Equivalent or Total Neutralization Value (for tone treated sludge) Lo !. O V_ Page: 1 of 2 Report Number: 18-107-0202 ' Account Number: 79434 WaypointM 7621 Whitepine Road, Richmond, VA 23237 Main 804-743-9401 ° Fax 804-271-6446 ANALYTICAL www.waypointanalytical.com Send To: Inframark Project : Inframark A/P Northside WWTP 229 Northside Drive Danville, VA 24540 REPORT OF ANALYSIS Date Sampled: 4/15/2018 15:15:00 Lab Number: 59772 Date Received: 04/17/2018 00:00 Sample Id : LTS-B 18-1471 Date Reported: 04/25/2018 Total Solids * 5.05 50500 100.0 JM 04/17/2018 15:40 SM-2540G Moisture * 94.94 100.0 JM 04/17/2018 15:40 SM-2540G Total Kjeldahl Nitrogen 3.81 38100 50.0 R D 04/18/2018 08:40 SM-4500-NH3C-TKN Total Phosphorus 1.65 16500 100 SMC 04/19/2018 17:21 6010C Total Potassium 0.21 2110 100 SMC 04/19/2018 17:21 6010C Total Sulfur 1.11 11100 100 SMC 04/19/2018 17:21 6010C Total Calcium 1.02 10200 100 SMC 04/19/2018 17:21 6010C Total Magnesium 0.24 2410 100 SMC 04/19/2018 17:21 6010C Total Sodium 0.78 7830 100 SMC 04/19/2018 17:21 6010C Total Iron 27200 100 SMC 04/19/2018 17:21 6010C Total Aluminum 20100 100 SMC 04/19/2018 17:21 6010C Total Manganese 854 5.00 SMC 04/19/2018 17:21 6010C Total Copper 312 5.00 SMC 04/19/2018 17:21 6010C Total Zinc 1870 50.0 SMC 04/20/2018 18:46 6010C Ammonia Nitrogen 1.03 10300 50.0 R D 04/18/2018 08:40 SM4500-NH3C Organic N 2.78 27800 50.0 04/18/2018 08:40 CALCULATION Nitrate+Nitrite-N 120 2.35 MMT 04/23/2018 09:17 4500NO3F-2011 All values are on a dry weight basis except as noted by asterisk. Detection limit on all N series is on a wet basis. Pof« mC Our repo.r sand t : hers are for tyre oycc uslve and confidential use of ou, ctieints, and may not be reproduced in whole or psrt, rror may any ef, r-nr e be rude to the work, the ,.csu-ts ct the company rn an, advetbsrogr news nrleare, or othe r pubrie anuouncements without obiamrng our pr or written authorization Pauric McGroary Agronomist Page: 2 of 2 Report Number: 18-107-0202 Account Number: 79434 Send To: Inframark A/P Northside WWTP 229 Northside Drive Danville, VA 24540 • Aga" Waypoint. ANALYTICAL Project : Inframark 7621 Whitepine Road, Richmond, VA 23237 Main 804-743-9401 ° Fax 804-271-6446 www.waypointanalytical.com REPORT OFANALYS/S Date Sampled: 4/15/2018 15:15:00 Lab Number: 59772 Date Received: 04/17/2018 00:00 Sample Id : LTS-B 18-1471 Date Reported: 04/25/2018 lutar vQurruuni <z.uu 2.00 SMC 04/19/2018 17:21 6010C Total Chromium 38.5 5.00 SMC 04/19/2018 17:21 6010C Total Nickel 48.0 5.00 SMC 04/19/2018 17:21 6010C Total Lead 44.1 5.00 SMC 04/19/2018 17:21 6010C Total Arsenic 5.09 3.00 SMC 04/19/2018 17:21 6010C Total Mercury 0.574 0.400 SMC 04/25/2018 15:06 SW-7471 B Total Selenium <5.00 5.00 SMC 04/19/2018 17:21 6010C pH . 7.9 1.0 JM 04/18/2018 08:40 9045D Total Volatile Solids 48.83 488300 100.0 JM 04/17/2018 15:40 SM-2540G Total Molybdenum 8.40 5.00 SMC 04/19/2018 17:21 6010C Alkalinity (as CaCO3) 61500 75 R D 04/18/2018 13:30 SM-2320 B Comments: All values are on a dry weight basis except as noted by asterisk. Detection limit on all N series is on a wet basis. Out .Fports avid 1pft, u for !4 e ox r r vE arrt t a �flNa �+i�1 rye. < * cu, cii,'Ot nerd r r y not he r,�,r'Ddu� i r, whc r€ o Pori, hot May any �efere -,ce bE� rrrade po ;C. to tiro worA, fire icsotts Jr tt s anr�r_r ai any advarlisi g, 170WS rOlaase_ or r 0rer pubrlc anr'7oanc oments vvdr!ouf obtarrri.9y oumi- 4n r wrateo Pauric McGroary Agronomist 0 SA MPLE TR 7621 Whitepine Road Richmond VA 23 11 N11 O,II 11I (N11 734 0044-- 7 20182 Inframark 13:17:19 Inframark Submitted By Inframark - Danville WWVTP 229 Northside Drive, Danville, VA 24540 Gnar'ge to Inframark - Danville WVVTP 229 Northside Drive, Danville, VA 24540 PO# Inframark !Phone: 434-799-5137 (Fax: N/A 1'ODY U 6 lintanalytical.com Copy To robertclifton@inframark.com kimberly.wickemeyer@inframark.com robert. diftonainfrarnark, com Account # 79434 Sam le Information Lab Number Collection Infom ation Container Infnmlation Please Write in Desired Tests Sample ID (Lab Use Only) Type Data Time ber �Bottllast Type Volume SL1 SL2 NitroW pH CCE Ag Cl Off"" of Metals Series SOWS LT $ — d B-IL{'11 Grab x Composite - 04/15/2018 1400-1515 1 Glass x Plastic — oz —pint X X X X X Alkalinity - Grab Glass oz — Composite _ Plastic --per _ Grab _ Gins — Oz Composite Plastic --pint _ Grab Glass — oz _ Composite _ Plasticat c "15 0 yktti 1: Total Sokds (Moisture), Total Kjeldahl Nitrogen, Phosphorus and Potassium 2: Basic Test SL1 plus Sulfur, Calcium, Magnesium, Sodium, Iron, Aluminum, Manganese, Copper and Zinc 1 Metals: Arsenic, Cadmium, Chromium, Mercury, Molybdenum, Lead, Nidmi, and Selenium (Copper and Zinc luded in SL2) rogen Series: Total Kjekiahl, Ammonium, Nitrate and Organic Matter E: Calcium Carbonate Equivalent or Total Neutralization Value (for lime treated sludge) W *1 o e --,,alt t P07:!�= +0 cno�' aXl (2) • Waypoint 7621 Whitepine Road, Richmond, VA 23237 Main 804-743-9401 ° Fax 804-271-6446 ANALYTICAL www.waypointanalytical.com Sample Summary Table Report Number: 18-130-0200 Client Project Description: Inframark Lab No Client Sample ID Matrix Date Collected Date Received Method Lab ID 60604 LTS-B BASIN 18-1595 Solids 05/09/2018 09:30 05/10/2018 60604 LTS-B BASIN 18-1595 Solids 05/09/2018 09:30 05/10/2018 6010C WTN WTN: Waypoint Analytical - TN, Memphis, TN, Certification: #1354 Page 1 of 4 Page: 1 of 2 Report Number: 18-130-0200 Account Number: 79434 Waypoint(D 7621 Whitepine Road, Richmond, VA 23237 Main 804-743-9401 ° Fax 804-271-6446 ANALYTICAL www.waypointanalytical.com Send To: Inframark Project : Inframark A/P Northside WWTP 229 Northside Drive Danville, VA 24540 REPORT OF ANALYSIS Date Sampled: 5/9/2018 09:30:00 Lab Number: 60604 Date Received: 05/10/2018 00:00 Sample Id : LTS-B BASIN 18-1595 Date Reported: 05/22/2018 Total Solids * 5.99 59900 100.0 R D 05/10/2018 14:30 SM-254OG Moisture * 94.00 100.0 R D 05/10/2018 14:30 SM-254OG Total Kjeldahl Nitrogen 3.12 31200 50.0 JM 05/11/2018 08:30 SM-4500-NH3C-TKN Phosphorus 1.90 19000 25.0 KKM 05/19/2018 03:02 6010C Potassium 0.23 2340 250 KKM 05/19/2018 03:17 6010C Sulfur 0.89 8850 5.00 KKM 05/19/2018 02:57 6010C Calcium 1.18 11800 25.0 KKM 05/19/2018 03:02 6010C Magnesium 0.26 2620 5.00 KKM 05/16/201819:19 6010C Sodium 0.91 9110 125 KKM 05/19/2018 03:02 6010C Iron 31500 25.0 KKM 05/19/2018 03:02 6010C Aluminum 30800 25.0 KKM 05/19/2018 03:02 6010C Manganese 1090 2.50 KKM 05/19/2018 03:02 6010C Copper 309 0.250 KKM 05/19/2018 02:57 6010C Zinc 1510 0.500 KKM 05/16/201819:19 6010C Ammonia Nitrogen 0.88 8830 50.0 JM 05/11/2018 08:30 SM-4500-NH3C Organic N 2.24 22370 50.0 05/11/2018 08:30 CALCULATION Nitrate+Nitrite-N 48.7 2.37 MMT 05/14/2018 09:06 4500NO3F-2011 All values are on a dry weight basis except as noted by asterisk. Detection limit on all N series is on a wet basis. powfic. it owl, 0 r reports en9lrfters are forth". r xchl, ' "✓a and coot deotisl IISe of car Client;, and may not r)e reproduc6,1d rrr whole or pen, rnor nr.,y any rcf,r(-.,r,,ce to rre de to the v orti, rr,c xult , �, the , .:npany inany advertising news rerr asc. or other pubfic aru,er;nc t,r eats wr ha_d ^main) g ouf ono writter+ a. thrn zatrori. Pauric McGroary Agronomist Page 2 of 4 Page: 2 of 2 Report Number: 18-130-0200 Account Number: 79434 Send To: Inframark A/P Northside WWTP 229 Northside Drive Danville, VA 24540 Waypoint.0 ANALYTICAL Project : Inframark 7621 Whitepine Road, Richmond, VA 23237 Main 804-743-9401 ° Fax 804-271-6446 www.waypointanalytical.com REPORT OFANALYSIS Date Sampled: 5/9/2018 09:30:00 Lab Number: 60604 Date Received: 05/10/2018 00:00 Sample Id: LTS-B BASIN 18-1595 Date Reported: 05/22/2018 1.01+ u.1uu KKM 05/16/201819:19 6010C Chromium 39.0 0.250 KKM 05/16/201819:19 6010C Nickel 51.8 0.250 KKM 05/16/201819:19 6010C Total Lead 38.2 0.300 KKM 05/16/2018 19:19 6010C Arsenic 6.01 1.00 KKM 05/19/2018 02:57 6010C Total Mercury 0.655 0.400 SMC 05/14/2018 15:54 SW-7471 B Selenium <0.500 0.500 KKM 05/19/2018 02:57 6010C pH " 7•6 1.0 R D 05/14/2018 08:30 9045D Total Volatile Solids 50.00 500000 100.0 R D 05/10/2018 14:30 SM-254OG Molybdenum 10.7 0.250 KKM 05/161201819:19 6010C Alkalinity (as CaCO3) 21200 86 R D 05/14/2018 12:45 SM-2320 B Comments: NELAP ACCREDITED: VA NELAC LAB. # 460014. PA NELAC LAB # 68-03109, FL NELAC LAB # E871087, NJ NELAC LAB # VA011. RESULTS REPORTED MEET ALL REQUIREMENTS OF THE CURRENT NELAC STANDARDS. ALKALINITY, SULFUR AND ORGANIC NITROGEN NOT FOR COMPLIANCE PURPOSES. CCE FOR COMPLIANCE IN VIRGINIA AND PENNSYLVANIA ONLY. All values are on a dry weight basis except as noted by asterisk. Detection limit on all N series is on a wet basis. Oia r its and le nr. s are for the oyciflswe a d confidenbal use of o r iicnts and r,—a not t e r efnc l io ( in W)"We ortra'd, not may any refr ronce be made to the work to a soles. �r r ie cnmpa ,y in any adverbs! ,g_ oe-K's r ease, ort..r er publr, arwoei ice i,ents wiltin ,t .btarnrng ourpror rrmteo, a.dhcrzatton. Pauric McGroary Agronomist Page 3 of 4 Waypoint An, 7621 Whitepinc Road Richmond VA 23237 Tel: 804-743-9401 Fax II NIIMiI�INIINIIII iIN IIINl BlI � a 018 Inframark 13.2545 Account # 79434 Customer Informs Submitted By �'Vpy I v Inframark - Danville'WWTP Inframark - Danville VVWTP robert.clifton@inframark.com 229 Northside Drive, Danville, VA 24540 229 Northside Drive, Danville, VA 24540 kimberiy.wickemeyer@inframark.com --TFax: PO# Project Inframark Phone: 434-799-5137 N/A E-mail: robert.clifton@inframark.com Sample Information Sample ID L'r"5 � � �"� 1'PJ-tsq Lab Number (Lab Use Only) Q�� Collection Information Container Infbnyk tion Please Write in Desired Tests Type Grab x Composite — Date 05/09/2018 Time 0900-0930 Number Bottles 1 Typeof - X Pay _ Volume oz _pint qt SLt SL2 X 503c Metals I X Nworn series X PH X CCE Ag Cl VolatYr sees X Others Alkalinity _ Grab — Composite _ Glass Plastic — oz —pint _ Grab — Composite Glass Plastic —' — oz —pint t _ Grab — Composite Glass Plastic — oz —pint Relinquished S nature Date Time Received By: (Signature) Date Time Test Packa e Ddtai& SL1: Total Solids (Moisture), Total Kjeldahl Nitrogen, Phosphorus and Potassium SL2: Basic Test SL1 plus Sulfur, Calcium, Magnesium, Sodium, Iron, Aluminum, Manganese, Copper and Zinc 503 Metals: Arsenic, Cadmium, Chromium, Mercury, Molybdenum, Lead. Nickel, and Selenium (Copper and Zinc included in SL2) Nitrogen Series: Total Kjeldahi, Ammonium, Nitrate and Organic Matter CCE: Calcium Carbonate Equivalent or Total Neutralization Value (for time treated sludge) special Instructions or Remarks -yT� j ,k "t' Loi"1 C.tr'� T e— e t Q Q U 0 rt� 41 Waypoint.0 ANALYTICAL 6/29/2018 Inframark A/P Northside WWTP 229 Northside Drive Danville, VA, 24540 Ref: Analytical Testing Report Number: 18-173-0200 Project Description: DANVILLE WWTP 7621 Whitepine Road, Richmond, VA 23237 Main 804-743-9401 ° Fax 804-271-6446 www.waypointanalytical.com Dear A/P: Waypoint Analytical Virginia, Inc. received sample(s) on 6/22/2018 for the analyses presented in the following report. The above referenced project has been analyzed per your instructions. The analyses were performed in accordance with the applicable analytical method. Sub -contracted testing is noted on the Sample Summary Table if applicable. The analytical data has been validated using standard quality control measures performed as required by the analytical method. Quality Assurance, method validations, instrumentation maintenance and calibration for all parameters (NELAP and non-NELAP) were performed in accordance with guidelines established by the USEPA (including 40 CFR 136 Method Update Rule May 2012) and NELAC unless otherwise indicated. Certain parameters (chlorine, pH, dissolved oxygen, sulfite...) are required to be analyzed within 15 minutes of sampling. Usually, but not always, any field parameter analyzed at the laboratory is outside of this holding time. Refer to sample analysis time for confirmation of holding time compliance. The results are shown on the attached Report of Analysis(s). Results for solid matrices are reported on an as - received basis unless otherwise indicated. This report shall not be reproduced except in full and relates only to the samples included in this report. Please do not hesitate to contact me or client services if you have any questions or need additional information. Sincerely, P.,,,. '. 6—r Pauric McGroary Agronomist Laboratory's liability in any claim relating to analyses performed shall be limited to, at laboratory's option, repeating the analysis in question at laboratory's expense, or the refund of the charges paid for performance of said analysis. Arizona AZO629 Pennsylvania 68-03109 Virginia 460014 South Carolina 93007 New Jersey VA011 Florida E871087 North Carolina 257 Pape 1 of 8 Waypointo ANALYTICAL 7621 Whitepine Road, Richmond, VA 23237 Main 804-743-9401 ° Fax 804-271-6446 www.waypointanalytical.com Client: Inframark CASE NARRATIVE Project: DANVILLE WWTP Lab Report Number: 18-173-0200 Date: 6/29/2018 TKN (Titration) Method SM-4500-NH3C-TKN Analyte: TKN QC Batch No: E64708 Analyte was flagged for 0% recovery in the LCS and/or LCSD due to the result being below the MQL. The actual result was XXJ which calculates to a recovery of XX%. Analyte was flagged for 0% recovery in the LCS and/or LCSD . The actual result was.925 which calculates to a recovery of 93%. QC Batch No: E64708 The MS/MSD recoveries are considered insignificant due to the level of analyte present in the parent sample relative to the spike level . RPD is based on the MS/MSD results and should be evaluated as laboratory duplicates. Nitrate + Nitrite Nitrogen Method SM-4500NO3F Sample 61298 (B-LTS 18-1785) Analyte: NO3+NO2-N QC Batch No: E64786/E64753 The MS/MSD recoveries are considered insignificant due to the level of analyte present in the parent sample relative to the spike level . RPD is based on the MS/MSD results and should be evaluated as laboratory duplicates. QC Batch No: E64786/E64753 RPD between MS/MSD results fails. MS/MSD recoveries both within QC limits. Since all other QC data passes, results are acceptable. Page 2 of 8 (D Waypoint,7621 Whitepine Road, Richmond, VA 23237 Main 804-743-9401 ° Fax 804-271-6446 ANALYTICAL www.waypointanalytical.com Sample Summary Table Report Number: 18-173-0200 Client Project Description: DANVILLE WWTP Lab No Client Sample ID Matrix Date Collected Date Received Method Lab ID 61298 B-LTS 18-1785 Solids 06/20/2018 09:45 06/22/2018 61298 B-LTS 18-1785 Solids 06/20/2018 09:45 06/22/2018 6010D WfN WTN: Waypoint Analytical - TN, Memphis, TN, Certification: #1354 Page 3 of 8 Report Number: 18-173-0200 Account Number: 79434 Send To: Inframark A/P Northside WWTP 229 Northside Drive Danville, VA 24540 Waypoint(D ANALYTICAL 7621 Whitepine Road, Richmond, VA 23237 Main 804-743-9401 ° fax 804-271-6446 www.waypointanalytical.com Project: DANVILLE WWTP REPORT OFANALYS/S Date Sampled: 6/20/2018 09:45:00 Lab Number: 61298 Date Received: 06/22/2018 00:00 Sample Id : B-LTS 18-1785 Date Reported: 06/29/2018 1.-+0 i4nuU 1UU.0 JM 06/22/2018 14:25 SM-254OG Moisture 92.53 100.0 JM 06/22/201814:25 SM-2540G Total Kjeldahl Nitrogen 3.21 32100 50.0 R D 06/25/2018 08:30 SM-4500-NH3C-TKN Phosphorus 1.81 18100 52.2 KKM 06/28/2018 02:34 601 OD Potassium 0.22 2190 52.2 KKM 06/28/2018 02:34 601 OD Sulfur 1.09 10900 52.2 KKM 06/28/2018 02:34 601 OD Calcium 1.47 14700 52.2 KKM 06/28/2018 02:34 601 OD Magnesium 0.27 2690 52.2 KKM 06/28/2018 02:34 601 OD Sodium 0.79 7900 261 KKM 06/28/2018 02:34 601 OD Iron 30100 52.2 KKM 06/28/2018 02:34 6010D Aluminum 30500 52.2 KKM 06/28/2018 02:34 601 OD Manganese 1050 5.22 KKM 06/28/2018 02:34 6010D Copper 364 2.61 KKM 06/28/2018 02:34 6010D Zinc 1840 5.22 KKM 06/28/2018 02:34 6010D Ammonia Nitrogen 0.79 7900 50.0 R D 06/25/2018 08:30 SM-4500-NH3C Organic N 2.42 24200 50.0 06/25/2018 08:30 CALCULATION Nitrate+Nitrite-N 64.1 2.23 MMT 06/27/2018 09:40 4500NO3F-2011 All values are on a dry weight basis except as noted by asterisk. Detection limit on all N series is on a wet basis. Our '�G imp 60wr1'' epr.,ns a attars :.-ve for t,'tF E.xctirsive ar d car;nd2r7tial use of our riiBrria and rr+ay , :ot ne rep (-'7.rced in wPoIe or part rn7r may s,q, retNrE .C,it he ma s to f ,o work, the results, o, the any a. iv e; trswg. rows rol ase. or Fut)hC uncemonts A(th01,I ohtarrirq o—rpnor.✓;:,'ten Pauric McGroary Agronomist Page 4 of 8 Report Number: 18-173-0200 Account Number: 79434 Send To: Inframark A/P Northside WWTP 229 Northside Drive Danville, VA 24540 D Waypoin(tM ANALYTICAL 7621 Whitepine Road, Richmond, VA 23237 Main 804-743-9401 ° Fax 804-271-6446 www.waypointanalytical.com Project: DANVILLE WWTP REPORT OF ANALYSIS Date Sampled: 6/20/2018 09:45:00 Lab Number: 61298 Date Received: 06/22/2018 00:00 Sample Id : B-LTS 18-1785 Date Reported. 06/29/2018 1.15U 1.U4 KKM 06/28/2018 02:34 601 OD Chromium 46.8 2.61 KKM 06/28/2018 02:34 601 OD Nickel 58.2 2.61 KKM 06/28/2018 02:34 601 OD Lead 44.4 3.13 KKM 06/28/2018 02:34 601 OD Arsenic <5.22 5.22 KKM 06/28/2018 02:34 601 OD Mercury 1.07 0.400 SMC 06/28/2018 16:13 SW-7471 B Selenium 5.90 5.22 KKM 06/28/2018 02:34 601 OD pH � 7.9 1.0 R D 06/25/2018 08:30 9045D Total Volatile Solids 45.74 457400 100.0 JM 06/22/2018 14:25 SM-2540G Molybdenum 11.7 2.61 KKM 06/28/2018 02:34 601 OD Alkalinity (as CaCO3) 43100 73 R D 06/26/2018 08:10 SM-2320 B Comments: NELAP ACCREDITED: VA NELAC LAB. # 460014. PA NELAC LAB # 68-03109, FL NELAC LAB # E871087, NJ NELAC LAB # VA011. RESULTS REPORTED MEET ALL REQUIREMENTS OF THE CURRENT NELAC STANDARDS. ALKALINITY, SULFUR AND ORGANIC NITROGEN NOT FOR COMPLIANCE PURPOSES. CCE FOR COMPLIANCE IN VIRGINIA AND PENNSYLVANIA ONLY. All values are on a dry weight basis except as noted by asterisk. Detection limit on all N series is on a wet basis. o r reports enn la tr . are f n 'he r x i time aird ron(den ia� sso ofout ur cients, and ,.:ay cot hrrepiodhccd in whole or part, nor may any ref reocc. h ,made ?W(4 PIC 60wr fo the a otk. the resuits ot !t ^ con t,a iy rn anry adver{isJog I?cws rsr?asF, r otne, public r,ncyuncetrtCMs wi`hoid obtaininq ouri>rowilten ., t.horizahn,i Pauric McGroary Agronomist Page 5 of 8 Waypoint ANALYTICAL 7621 Whitepine Road, Richmond, VA 23237 Main 804-743-9401 ° Fax 804-271-6446 www.waypointanalytical.com Cooler Receipt Form Customer Number: 79434 Customer Name: Inframark Report Number: 18-173-0200 Shipping Method 0 Fed Ex 0 US Postal 0 Lab UPS 0 Client 0 Courier 0 Other: Thermometer ID: ! Shipping container/cooler uncompromised? 0 Yes 0 No Number of coolers received F 1 Custody seals intact on shipping container/cooler? 0 Yes 0 No 0 Not Required Custody seals intact on sample bottles? 0 Yes 0 No 0 Not Required Chain of Custody (COC) present? Yes 0 No COC agrees with sample label(s)? Yes 0 No COC properly completed Yes 0 No Samples in proper containers? 0 Yes 0 No Sample containers intact? 0 Yes 0 No Sufficient sample volume for indicated test(s)? Yes 0 No All samples received within holding time? Yes 0 No Cooler temperature in compliance? Yes 0 No Cooler/Samples arrived at the laboratory on ice. Samples were considered acceptable as cooling process had begun. Yes 0 No Water - Sample containers properly preserved 0 Yes 0 No N/A Water - VOA vials free of headspace 0 Yes 0 No N/A Trip Blanks received with VOAs 0 Yes 0 No N/A Soil VOA method 5035 — compliance criteria met 0 Yes 0 No N/A I High concentration container (48 hr) Low concentration EnCore samplers (48 hr) High concentration pre -weighed (methanol -14 d) _ Low conc pre -weighed vials (Sod Bis -14 d) Special precautions or instructions included? 0 Yes No Comments: Signature: Brandi Watson j Date & Time: 6/22/2018 16:08:52 Page 6of8 X Waypoint Anatyti( 7621 Whitepine Road Richmond VA 23237 Tel: 804-743-9401 Fax: 904-2' I IINNINIMIININIIIINIII�IIIII I I � 018 IMramark 132830 Account # 79434 -I---mark Cush)tiller InfonywMen UANVILLt wav i r Submitted By Chat Inframark - Danville WWTP Inframark - Danville WWTP robert.ciifton@inframark.com 229 Northside Drive, Danville, VA 24540 229 Northside Drive, Danville, VA 24540 kimberly.wickemeyer@inframark.com PO# Project - infra-T- Phone: 434-799-5137 Fax: N/A E-mail: robert.clifton@inframark.com Sample Information Sample ID Lab Number (Lab Use Only) Collection Info ion Container Information Please Write in Desired Tests Type Date Time of umber Type Volume SLt SL2 X W3 Metals X fO9°" Sys X pH X CCE Cl CI vowft sods Others ei —L-rS l$ ., 1-7— Grab Composite 6 `20l f O 94 5 t Glass z Plastic '— — oz —pint qt X Alkalinity �all = Grab Composite Glass Plastic — Oz __pint at — Grab — Composite _ Glass Plastic — oz _pint _ Grab — Composite Glass Plastic _ oz --pint /— r ('�� aw � D r) c Relinquished By: —(Signature) Date Time Received : (Signature) Date Time I C4 � io ZZ Test Package Details SU: Total Solids (Moisture), Total Kjeldahi Nitrogen, Phosphorus and Potassium SL2: Basic Test SL1 plus Sulfur, Calcium, Magnesium, Sodium, Iron, Aluminum, Manganese, Copper and Zinc 503 Metals: Arsenic, Cadmium, Chromium, Mercury, Molybdenum, Lead, Nickel, and Selenium (Copper and Zinc included in SL2) Nitrogen series: Total Kjeilahl, Ammonium, Nitrate and Organic Matter CCE: Calcium Carbonate Equivalent or Total Neutralization Value (for time treated sludge) Special Instructions or Remarks n in a 0 r- Waypoint.(D ANALYTICAL 4/13/2018 Inframark A/P Northside WWTP 229 Northside Drive Danville, VA, 24540 Ref: Analytical Testing Report Number: 18-092-0205 Project Description: Inframark 7621 Whitepine Road, Richmond, VA 23237 Main 804-743-9401 ° Fax 804-271-6446 www.waypointanalytical.com Dear A/P: Waypoint Analytical Virginia, Inc. received sample(s) on 4/2/2018 for the analyses presented in the following report. The above referenced project has been analyzed per your instructions. The analyses were performed in accordance with the applicable analytical method. Sub -contracted testing is noted on the Sample Summary Table if applicable. The analytical data has been validated using standard quality control measures performed as required by the analytical method. Quality Assurance, method validations, instrumentation maintenance and calibration for all parameters (NELAP and non-NELAP) were performed in accordance with guidelines established by the USEPA (including 40 CFR 136 Method Update Rule May 2012) and NELAC unless otherwise indicated. Certain parameters (chlorine, pH, dissolved oxygen, sulfite...) are required to be analyzed within 15 minutes of sampling. Usually, but not always, any field parameter analyzed at the laboratory is outside of this holding time. Refer to sample analysis time for confirmation of holding time compliance. The results are shown on the attached Report of Analysis(s). Results for solid matrices are reported on an as - received basis unless otherwise indicated. This report shall not be reproduced except in full and relates only to the samples included in this report. Please do not hesitate to contact me or client services if you have any questions or need additional information. Sincerely, Pauric McGroary Agronomist Laboratory's liability in any claim relating to analyses performed shall be limited to, at laboratory's option, repeating the analysis in question at laboratory's expense, or the refund of the charges paid for performance of said analysis. Arizona AZ0629 Pennsylvania 68-03109 Virginia 460014 South Carolina 93007 New Jersey VA011 Florida E871087 North Carolina 257 Page 1 of 9 (2) Waypoint 7621 Whitepine Road, Richmond, VA 23237 Main 804-743-9401 ° Fax 804-271-6446 ANALYTICAL www.waypointanalytical.com Sample Summary Table Report Number: 18-092-0205 Client Project Description: Inframark Lab No Client Sample ID Matrix Date Collected Date Received Method Lab ID 59492 LTS-13-18-1397 Solids 03/28/2018 10:45 04/02/2018 SW-9045C WTN 59492 LTS-B-18-1397 Solids 03/28/2018 10:45 04/02/2018 SW-7.3.4 WTN 59492 LTS-B-18-1397 Solids 03/28/2018 10:45 04/02/2018 ASTM D93-80 WTN 59492 LTS-13-18-1397 Solids 03/28/2018 10:45 04/02/2018 SW-7.3.3 WTN 59492 LTS-13-18-1397 Solids 03/28/2018 10:45 04/02/2018 6010C WTN 59493 LTS-13-10-1397 TCLP 03/28/2018 10:45 04/02/2018 SW-1311 (ZHE) WTN 59493 LTS-13-10-1397 TCLP 03/28/2018 10:45 04/02/2018 82608 WTN 59493 LTS-13-10-1397 TCLP 03/28/2018 10:45 04/02/2018 SW-1311 WTN 59493 LTS-13-10-1397 TCLP 03/28/2018 10:45 04/02/2018 8151A WTN 59493 LTS-13-10-1397 TCLP 03/28/2018 10:45 04/02/2018 8081A WTN 59493 LTS-B-10-1397 TCLP 03/28/2018 10:45 04/02/2018 7470A WTN 59493 LTS-B-10-1397 TCLP 03/28/2018 10:45 04/02/2018 8270C WTN 59493 LTS-B-10-1397 TCLP 03/28/2018 10:45 04/02/2018 6010C WTN WTN: Waypoint Analytical - TN, Memphis, TN, Certification: #1354 Paae 2 of 9 Waypoin(Dt.. ANALYTICAL 79434 Inframark 7621 Whitepine Road, Richmond, VA 23237 Main 804-743-9401 ° Fax 804-271-6446 www.waypointanalytical.com Report Date : 04/13/2018 A/P Project Inframark Received : 4/2/2018 Northside WWTP Information 229 Northside Drive Danville, VA 24540 Report Number :18-092-0205 REPORTOFANALYSIS Pauric McGroary Agronomist Lab No : 59492 Matrix: Solids Sample ID : LTS-B-18-1397 Sampled: 3/28/2018 10:45 pH 1 04/12/18 08:50 JSL SW-9045C Test Results Units MQL DF Date / Time Analyzed By Analytical Method Cyanide (Reactivity) <0.125 mg/Kg 0.125 1 04/12/18 09:25 EWB SW-7.3.3 Ignitability >96 degrees C 1 04/12/18 09:00 OR ASTM D93-80 Total Silver <0.250 mg/Kg 0.250 1 04/06/18 05:37 BKN 6010C Sulfide (Reactivity) 213 mg/Kg 25.0 1 04/11/18 11:30 EWB SW-7.3.4 Qualifiers/ DF Dilution Factor MQL Method Quantitation Limit Definitions Page 3 of 9 i Waypoint. 7621 Whitepine Road, Richmond, VA 23237 Main 804-743-9401 ° Fax 804.271-6446 ANALYTICAL www.waypointanalytical.com 79434 Inframark Report Date : 04/13/2018 A/P Project Inframark Received : 4/2/2018 Northside WWTP Information 229 Northside Drive Danville , VA 24540 « �iic (f0wr (/ Report Number :18-092-0205 REPORT OPANALYSIS Pauric McGroary Agronomist Lab No : 59493 Matrix: TCLP Sample ID: LTS-B-10-1397 Sampled: 3/28/2018 10:45 Test Results Units MQL DF Date / Time By Analytical Analyzed Method TCLP Herbicide Extraction Combined 1 04/09/18 15:13 SAJ SW-1311 TCLP Metals Extraction Combined 1 04/09/18 15:13 SAJ SW-1311 TCLP Pesticide Extraction Combined 1 04/09/18 15:13 SAJ SW-1311 TCLP SVOC Extraction Combined 1 04/09/18 15:13 SAJ SW-1311 TCLP VOC ZHE Extraction Combined 1 04/09/18 14:51 SAJ SW-1311 (ZHE) Analytical Method: 6010C Prep Batch(es): L377013 04/10/18 15:34 Prep Method: 3005A Test Results Units MQL DF Date / Time By Analytical Analyzed Batch TCLP Arsenic <0.125 mg/L 0.125 1 04/12/18 07:27 BKN L377207 TCLP Barium 0.222 mg/L 0.125 1 04/12/18 07:27 BKN L377207 - TCLP Cadmium <0.025 mg/L 0.025 1 04/12/18 07:27 BKN L377207 TCLP Chromium <0.050 mg/L 0.050 1 04/12/18 07:27 BKN L377207 TCLP Lead <0.050 mg/L 0.050 1 04/12/18 07:27 BKN L377207 — TCLP Selenium <0.250 mg/L 0.250 1 04/12/18 07:27 BKN L377207 TCLP Silver <0.025 mg/L 0.025 1 04/12/18 07:27 BKN L377207 Qualifiers/ DF Dilution Factor Definitions MQL Method Quantitation Limit Page 4 of 9 Waypointo ANALYTICAL 79434 Inframark A/P Northside WWTP 229 Northside Drive Danville, VA 24540 Report Number :18-092-0205 Lab No : 59493 Sample ID: LTS-13-10-1397 7621 Whitepine Road, Richmond, VA 23237 Main 804-743-9401 ° Fax 804-271-6446 www.waypointanalytical.com Report Date: 04/13/2018 Project Inframark Received : 4/2/2018 Information : REPORT OFANAL YSIS Pam« m` (fawr Pauric McGroary Agronomist Matrix: TCLP Sampled: 3/ 28/ 2018 10:45 Analytical Method: 7470A Prep Batch(es): L376967 04/10/18 10:32 Prep Method: 7470A Test Results Units MQL DF Date / Time By Analytical Analyzed Batch TCLP Mercury <0.0200 mg/L 0.0200 1 • 04/10/18 14:56 KKM L377011 Analytical Method: 8081A Prep Method: 3510C Test Results Prep Batch(es): Units L377201 MQL 04/11/18 15:15 DF Date / Time Analyzed By Analytical Batch TCLP Endrin <0.004000 mg/L 0.004000 10 04/11/18 20:39 VIC L377363 TCLP gamma-BHC <0.004000 mg/L 0.004000 10 04/11/18 20:39 VIC L377363 TCLP Methoxychlor <0.004000 mg/L 0.004000 10 04/11/18 20:39 VIC L377363 TCLP Toxaphene <0.03000 mg/L 0.03000 10 04/11/18 20:39 VIC L377363 TCLP Chlordane <0.02000 mg/L 0.02000 10 04/11/18 20:39 VIC L377363 TCLP Heptachlor Epoxide <0.004000 mg/L 0.004000 10 04/11/18 20:39 VIC L377363 TCLP Heptachlor <0.004000 mg/L 0.004000 10 04/11/18 20:39 VIC L377363 Surrogate: Decachlorobiphenyl 71.05 Limits: 36-116% 10 04/11/18 20:39 VIC L377363 Surrogate: Tetrachloro-m-xylene 50.53 Limits: 25-123% 10 04/11/18 20:39 VIC L377363 Analytical Method. 8151A Prep Batch(es): L377049 04/10/18 17:20 Prep Method: 8151A Test Results Units MQL DF Date / Time By Analytical Analyzed Batch TCLP 2,4-D <0.0200 mg/L 0.0200 1 04/11/18 21:20 VIC L377365 Qualifiers/ DF Dilution Factor MQL Method Quantitation Limit Definitions Page 5 of 9 Waypointo ANALYTICAL 79434 Inframark A/P Northside WWTP 229 Northside Drive Danville , VA 24540 Report Number :18-092-0205 Lab No : 59493 Sample ID: LTS-8-10-1397 7621 Whitepine Road, Richmond, VA 23237 Main 804-743-9401 ° Fax 804-271-6446 www.waypointanalytical.com Report Date : 04/13/2018 Project Inframark Received : 4/2/2018 Information : REPORT OFANAL YSIS Pow i4 or (fever Pauric McGroary Agronomist Matrix: TCLP Sampled: 3/ 28/ 2018 10:45 Analytical Method: 8151A Prep Batch(es): L377049 04/10/18 17:20 Prep Method: 8151A Test Results Units MQL DF Date I Time By Analytical Analyzed Batch TCLP 2,4,5-TP (Silvex) Surrogate: DCAA Analytical Method: 8260E Prep Method: 5030E Test <0.0020 mg/L 0.0020 1 04/11/18 21:20 VIC L377365 66.20 Limits: 20-120% 1 04/11/18 21:20 VIC L377365 Prep Batch(es): L377194 04/11/18 08:15 Results Units MQL DF Date 1 Time By Analytical Analyzed Batch TCLP Benzene <0.0100 TCLP Carbon Tetrachloride <0.0100 TCLP Chlorobenzene <0.0100 TCLP Chloroform <0.0100 TCLP 1,4-Dichlorobenzene <0.0100 TCLP 1,2-Dichloroethane <0.0100 TCLP 1,1-Dichloroethene <0.0100 TCLP Methyl Ethyl Ketone (MEK) <0.200 TCLP Tetrachloroethene <0.0100 TCLP Trichloroethene <0.0100 TCLP Vinyl Chloride <0.0100 Surrogate: 4-Bromofluorobenzene Surrogate: Dibromofluoromethane Surrogate: 1,2-Dichloroethane - d4 Surrogate: Toluene-d8 Qualifiers/ DF Dilution Factor Definitions mg/L 0.0100 1 04/11/1813:33 MKD L377196 mg/L 0.0100 1 04/11/1813:33 MKD L377196 mg/L 0.0100 1 04/11/1813:33 MKD L377196 mg/L 0.0100 1 04/11/1813:33 MKD L377196 mg/L 0.0100 1 04/11/1813:33 MKD L377196 mg/L 0.0100 1 04/11/1813:33 MKD L377196 mg/L 0.0100 1 04/11/1813:33 MKD L377196 mg/L 0.200 1 04/11/1813:33 MKD L377196 mg/L 0.0100 1 04/11/1813:33 MKD L377196 mg/L 0.0100 1 04/11/1813:33 MKD L377196 m9/L 0.0100 1 04/11/1813:33 MKD L377196 85.6 Limits:71-137% 1 04/11/1813:33 MKD L377196 103 Limits:70-128% 1 04/11/1813:33 MKD L377196 86.8 Limits:63-136% 1 04/11/1813:33 MKD L377196 101 Limits:70-130% 1 04/11/1813:33 MKD L377196 MQL Method Quantitation Limit Page 6 of 9 iWaypont.0 7621 ain 80i -7 Road, Richmond, V7 -6446 Main 804-743-9401 0Fax 804-271-6446 79434 ANALYTICAL www.waypointanalytical.com Inframark Report Date : 04/13/2018 A/P Project Inframark Received : 4/2/2018 Northside WWTP Information 229 Northside Drive Danville , VA 24540 ?4441ia m` 6ew Report Number :18-092-0205 Lab No : 59493 Sample ID: LTS-B-30-1397 REPORT OFANALYSIS Pauric McGroary Agronomist Matrix: TCLP Sampled: 3/28/2018 10:45 Analytical Method: 8270C Prep Batch(es): L376969 04/10/18 10:30 Prep Method: 3510C Test Results Units MQL DF Date / Time By Analytical Analyzed Batch TCLP 2-Methylphenol <0.050 mg/L 0.050 1 04/10/18 22:00 ATF L377126 TCLP 3&4 Methylphenol <0.100 mg/L 0.100 1 04/10/18 22:00 ATF L377126 TCLP 2,4-Dinitrotoluene <0.050 mg/L 0.050 1 04/10/18 22:00 ATF L377126 TCLP Hexachlorobenzene <0.050 mg/L 0.050 1 04/10/18 22:00 ATF L377126 TCLP Hexachlorobutadiene <0.050 mg/L 0.050 1 04/10/18 22:00 ATF L377126 TCLP Hexachloroethane <0.050 mg/L 0.050 1 04/10/18 22:00 ATF L377126 TCLP Nitrobenzene <0.050 mg/L 0.050 1 04/10/18 22:00 ATF L377126 TCLP Pentachiorophenol <0.100 mg/L 0.100 1 04/10/18 22:00 ATF L377126 TCLP Pyridine <0.050 mg/L 0.050 1 04/10/18 22:00 ATF L377126 TCLP 2,4,5-Trichiorophenoi <0.050 mg/L 0.050 1 04/10/18 22:00 ATF L377126 TCLP 2,4,6-Trichlorophenol <0.050 mg/L 0.050 1 04/10/18 22:00 ATF L377126 Surrogate: TCLP 2,4,6-Tribromophenol 62.0 Limits: 40-125% 1 04/10/18 22:00 ATF L377126 Surrogate: TCLP 2-Fluorobiphenyl 42.3 Limits: 38-107% 1 04/10/18 22:00 ATF L377126 Surrogate: TCLP 2-Fluorophenol 24.9 Limits: 20-110% 1 04/10/18 22:00 ATF L377126 Surrogate: TCLP 4-Terphenyl-d14 64.9 Limits: 33-122% 1 04/10/18 22:00 ATF L377126 Surrogate: TCLP Nitrobenzene-d5 46.0 Limits: 29-110% 1 04/10/18 22:00 ATF L377126 Surrogate: TCLP Phenol-d6 19.2 Limits: 10-115% 1 04/10/18 22:00 ATF L377126 Qualifiers/ DF Dilution Factor MQL Method Quantitation Limit Definitions Page 7of9 0 0 Waypoint ANALYTICAL 7621 Whitepine Road, Richmond, VA 23237 Main 804-743-9401 ° Fax 804-271-6446 www.waypointanalytfcal.com Cooler Receipt Form Customer Number: 79434 Customer Name: Inframark Report Number: 18-092-0205 Shipping Method 0 Fed Ex 0 US Postal 0 Lab UPS 0 Client 0 Courier 0 Other: Thermometer ID: Shipping container/cooler uncompromised? 0 Yes 0 No Number of coolers received I ' Custody seals intact on shipping container/cooler? 0 Yes 0 No 0 Not Required Custody seals intact on sample bottles? 0 Yes 0 No 0 Not Required Chain of Custody (COC) present? Yes 0 No COC agrees with sample label(s)? Yes 0 No COC properly completed Yes 0 No Samples in proper containers? Yes 0 No Sample containers intact? Yes 0 No Sufficient sample volume for indicated test(s)? Yes 0 No All samples received within holding time? 0 Yes 0 No Cooler temperature in compliance? Yes 0 No Cooler/Samples arrived at the laboratory on ice. Samples were considered acceptable as cooling process had begun. Yes 0 No Water - Sample containers properly preserved Yes 0 No 0 N/A Water - VOA vials free of headspace 0 Yes 0 No N/A Trip Blanks received with VOAs 0 Yes 0 No N/A Soil VOA method 5035 — compliance criteria met 0 Yes 0 No N/A High concentration container. (48 hr) Low concentration EnCore samplers (48 hr) High concentration pre -weighed (methanol -14 d) Low conc pre -weighed vials (Sod Bis -14 d) Special precautions or instructions included? 0 Yes 0 No Comments: Signature: Morgan Tichacek ! Date & Time: 4/02/2018 13:18:51 Page 8 of 9 N .4 m 18-092-0205 79434 I Milli 1 04-02-2018 Inframork 1108 35 Inframark a rcjF., RoOerl Ctlffcsn Inframark C),tivide VXr! P - --- --- chf!on Cginframark con-, u,,-;nv ii,:v;, �29 Northside Drjvc- 1)anvtH,.1 4 Sample Information -4- t 4 p I P-Ceur ived by Test Pack.a�DetaiL,,,__ L1. M",)Isture) Iola! K)eideihl SL2 Fa CCE o?a! eC;Eli ions or Rpnnarks �434 ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (02T Rules) Facility Name: City of Danville WQ Permit Number: WQ0036561 WWTP Name: Northside WWTP NPDES Number: VA0060593 Monitoring Period: From 3/28/2018 To 3/28/2018 Pathogen Reduction (15A NCAC 02T .1106) - Plence inrlientP lnvnl anh, o.l Ana .,ls Class A: Alt. A (time/temp) ❑ _ _� _ __�__ ___�__-... _, ..,. �,. „..aaav, Alt B (Alk Treatment) ❑ vaa NIIU auc■uauvc 1JCI 1V1711CU: Alt. C (Prior Testing) ❑ A1t.D (No Prior Test) ❑ Process to Further Reduce Pathogengs ❑ If applicable to alternative performed (Class A only) indicate "Process to Further Reduce Pathogens": Compost ❑ Heat Drying ❑ Heat Treatment ❑ Thermophilic ❑ Beta Ra ❑ Gamma Rav ❑ Pasteurization ❑ _ .. Class B: Alt. (1) Fecal Density p Alt. (2) Process to Significantly Reduce Pathogens ❑ If applicable to alternative performed (Class B only) indicate "Process to Significantly Reduce Pathogens": V Lime Stabilization ❑ Air Drying ❑ Composting ❑ Aerobic Digestion ❑ Anaerobic Di estior. ❑ If applicable to alternative performed (Class A or Class B) complete the following monitoring data: Parameter Allowable Level Pathogen Density g Y Number o Frequency Sample Analytical Minimu Geo. Mean Maximurr Units in Sludge Bence -es of Analysis Type Tech -pique 26th 0 to the p MPN 395 616 1361 MPN/g 0 Quarterly G SM92210E- 2006 per gram of Fecal Coliform total solids CFU 1000 mpn per gam of total solid (dry weight) Salmonella bacteria 3 MPN per 4 grams (in lieu of fecal total solid (dry coliform weight) Vecto Att t' R d r rac lop a UCHon (15A NCAC 02T .11071 - Please indioata altnrna+ivn Alt.1 (VS reduction) ❑ Alt. 2 (40-day bench) ❑ Alt. 3 (30-day bench) 0 Alt. 4 (Spec. Oz uptake) ❑ Alt. 5 (14-Day Aerobic) ❑ Alt. 6 (Alk. Stabilization ❑ Alt 7 (Drying - Stable) ❑ Alt. 8 (Drying - Unstable) ❑ Alt. 9 (Injection) ❑ Alt. 10 (Incorporation) ❑ No vector attraction reduction alternatives were performed ❑ !`VY3rr1 1r,r1 A T7/11AT 11m ♦ mr..w,rr. _ ­Li-1 it is A I ION a l A 1 E' 1VIE' N i kplease check the appropriate statement) 0 "I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the vector attraction reduction requirement in 15A NCAC 02T 1107 have been met." ❑ "I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the vector attraction reduction requirement in 15A NCAC 02T .1107 have not been met." (Please note if you check this statement attach an explanation why you have not met one or both of the requirements.) "This determination has been made under my direction and supervision in accordance with the system designed to ensure that qualified personnel properly gather and evaluate the information used to determine that the pathogen and vector attraction reduction requirements have been met. I am aware that there are significant penalties for false certification including fine and imprisonment." Charles Overby - Project Manager Brent Collins; Director of Technical Services Preparer me an t e (type orprint) Land Applier Name and Title (if applicable)(type or print) ZQ 4;2�1 1/18/2019 Signature of Preparer* -- -. -- Date Signature of Land Applier (if applicable) *Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26) Date DENR FORM PVRF 02T (12/2006) ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (02T Rules) Facility Name: City of Danville WWTP Name: Northside WWTP Monitoring Period: From 4/25/2018 To WQ Permit Number: WQ0036561 NPDES Number: VA0060593 4/25/2018 Pathogen Reduction (15A NCAC 02T 1106) - Please indicate level achieved and alt t' Class A: Alt. A {time/temp) ❑ Alt B (Alk Treatment} ❑ erns rvE (JC1111, .11C11: Alt. C (Prior Testing) ❑ A1t.D (No Prior Test) ❑ Process to Further Reduce Pathogengs ❑ If applicable to alternative performed (Class A only) indicate "Process to Further Reduce Pathogens": Compost ❑ Heat Drying ❑ Heat Treatment ❑ Thermophilic ❑ Beta Ray ❑ Gamma Ra ❑ Pasteurization ❑ Class B: Alt. (1) Fecal Density 0 Alt. (2) Process to Significantly Reduce Pathogens ❑ If applicable to alternative performed (Class B only) indicate "Process to Significantly Reduce Pathogens": Lime Stabilization ❑ Air Drying ❑ composting ❑ JAerobic Digestion ❑ Anaerobic Di estior. ❑ ... If applicable to alternative performed (Class A or Class B) complete the following monitoring data Parameter Allowable Level Pathogen Density g y Number o Excee- Frequency Sample Analytical inimu Geo. Mean aximu Units in Sludge dences of Analysis Type Tech-nique 2 x 0 to the p MPN 702 1297 1869 MPN/g 0 Quarterly G SM92210E- 2006 per gram of Fecal Coliform total solids CFU 1000 mpn per gram of total solid (dry weight) Salmonella bacteria 3 MPN per 4 grams (in lieu of fecal total solid (dry coliform) weight) Vat.tnr Attl. n4;f... D...l....t. ,. _. /� e ♦ i►T �. r n.�m • 1 L- ki "a tx%ju 1XCuuC11V11 I1JE3 1\l f1l UL 1 A I II / 1 - rIP.ACP indieutP altarnotiva narfnl.rvl I Alt.l (VS reduction) ❑ Alt. 2 (40-day bench) ❑ Alt. 3 (30-day bench) R1 lAlt. 4 (Spec. Oz uptake) ❑ Alt. 5 (14-Day Aerobic) ❑ Alt. 6 (Alk. Stabilization ❑ Alt 7 (Drying - Stable) ❑ JAIL 8 (Drying - Unstable) ❑ Alt. 9 (Injection) ❑ Alt. 10 (Incorporation) ❑ No vector attraction reduction alternatives were performed ❑ 1 r D9r1rVY/1 A TTl%7LT cam ♦ TTw.rT 1 . _ .-JLIXAI i uK 11..E-311Vl\ 3 l ti 1 EIV]LEIN 1 tplease check the appropriate statement) 0 "I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the vector attraction reduction requirement in 15A NCAC 02T 1107 have been met." ❑ "I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the vector attraction reduction requirement in 15A NCAC 02T .1107 have not been met." (Please note if you check this statement attach an explanation why you have not met one or both of the requirements.) "This determination has been made under my direction and supervision in accordance with the system designed to ensure that qualified personnel properly gather and evaluate the information used to determine that the pathogen and vector attraction reduction requirements have been met. I am aware that there are significant penalties for false certification including fine and imprisonment." Charles Overby - Project Manager Brent Collins; Director of Technical Services Prepare �N e an - 'tle (type or print) Land Applier Name and Title (if applicable)(type or print) 1/18/2019 Signature of Preparer* Date Signature of Land Applier (if applicable) Date *Preparer is defined in 40 CFR Part 5039(r) and 15A NCAC 2T .1102 (26) DENR FORM PVRF 02T (12/2006) ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (02T Rules) Facility Name: WWTP Name: Monitoring Period: City of Danville Northside WWTP WQ Permit Number: NPDES Number: To 5/30/2018 Pathogen Reduction (15A NCAC 02T .11061 _ PlPaea inAinn+o I. —I .,,.t,;.,.,na .»A From 5/30/2018 WQ0036561 VA0060593 Class A: allu allGl IlQIIVe performea: Alt. A (time/temp) ❑ Alt B (Alk Treatment) ❑ Alt. C (Prior Testing) ❑ A1t.D (No Prior Test) ❑ Process to Further Reduce Pathogengs ❑ If applicable to alternative performed (Class A only) indicate "Process to Further Reduce Pathogens": Compost ❑ Heat Drying ❑ Heat Treatment ❑ ❑ Beta Ray ❑ Gamma Ray ❑ Pasteurization ❑ _[77,�Thermophilic Class B: JAlt. (1) Fecal Density Fv- Alt. (2) Process to Significantly Reduce Pathogens ❑ If applicable to alternative performed (Class B only) indicate "Process to Significantly Reduce Pathogens": Lime Stabilization ❑ Air Drying ❑ I Composting ❑ JAerobic Digestion ❑ Anaerobic Digestion ❑ If applicable to alternative performed (Class A or Class B) complete the following monitorin data: Parameter Allowable Level PathogenDensity y Number o Frequency Sample Analytical inimu Geo. Mean aximu Units in Sludge Excee- dence-Type of Analysis Tech-nique 2 x 0 to the p MPN 1258 2935 5000 MPN/g 0 Quarterly G SM92210E- per gram of 2006 Fecal Coliform total solids CFU 1000 mpn per gram of total solid (dry weight) bacteria 3 MPN per 4 grams ISalmonella (in lieu of fecal total solid (dry coliform) I weight) VP.e.tnr Attraotinn !l G A ATr A !v nl%m 4,9 n.r Alt.l (VS reduction) ❑ - - - -- • I Alt. 2 (40-day bench) ❑ - •-.»N- ......... - -`1 ■A""vc Ful lul lllcu: Alt. 3 (30-day bench) R1 JAIL 4 (Spec. Oz uptake) ❑ Alt. 5 (14-Day Aerobic) ❑ Alt. 6 (Alk. Stabilization ❑ Alt 7 (Drying - Stable) ❑ I Alt. 8 (Drying - Unstable) ❑ Alt. 9 (Injection) ❑ Alt. 10 (Incorporation) ❑ No vector attraction reduction alternatives were performed ❑ CERTIFICATION STAT UYIENT (please check the appropriate statement) 0 "I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the vector attraction reduction requirement in 15A NCAC 02T 1107 have been met." ❑ "I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the vector attraction reduction requirement in 15A NCAC 02T .1107 have not been met." (Please note if you check this statement attach an explanation why you have not met one or both of the requirements.) "This determination has been made under my direction and supervision in accordance with the system designed to ensure that qualified personnel properly gather and evaluate the information used to determine that the pathogen and vector attraction reduction requirements have been met. I am aware that there are significant penalties for false certification including fine and imprisonment." Charles Overby - Project Manager Brent Collins; Director of Technical Services PrepayN;Z2M_ t) % Land Applier Name and Title (if applicable)(type or print) ;� 4� 1 /18/2019 Signature of Preparer* Date Signature of Land Applier (if applicable) *Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26) Date DENR FORM PVRF 02T (12/2006) ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (02T Rules) Facility Name: City of Danville WWTP Name: Northside WWTP Monitoring Period: From 6/26/2018 WQ Permit Number: WQ0036561 NPDES Number: VA0060593 To 6/26/2018 Pathogen Reduction (15A NCAC 02T .1106) - Please indicate level achieved and alternative f Class A: Alt. A (time/tem) ❑ Alt B (Alk Treatment) ❑ per ormeu. Alt. C (Prior Testing) ❑ ........ Prior Test) ❑ Process to Further Reduce Pathogengs ❑ T.. If applicable to alternative performed (Class A only) indicate "Process to Further Reduce Pathogens": Compost ❑ Heat Drying ❑ Heat Treatment ❑ Thermophilic ❑ Beta Ray ❑ Gamma Ray ❑ Pasteurization ❑ Class B: Alt. (1) Fecal Density 0 Alt. (2) Process to Significantly Reduce Pathogens ❑ If applicable to alternative performed (Class B only) indicate "Process to Significantly Reduce Pathogens": Lime Stabilization ❑ Air Drying ❑ Composting ❑ JAerobic Digestion ❑ Anaerobic Digestion ❑ If applicable to alternative performed (Class A or Class B) complete the following monitoring data: Parameter Allowable Level Patho en Densit g y Number o Excee- Frequency Sample Analytical inimu Geo. Mean aximu Units in Slud e g ences of Analysis Type Tech -pique 2 x 10 to the 6th power MPN 4007 4260 4554 MPN/g 0 Quarterly G SM92210E- 2006 per gram of Fecal Coliform total solids CFU 1000 mpn per gram of total solid (dry weight) Salmonella bacteria 3 MPN per 4 grams (in lieu of fecal total solid (dry coliform) weight) 170..+., AEA .a---`!--- • XlT . �e�a as Kivu iXcuu16;tiuii 110E1 11Il.HI, UZ I .11 U / 1 - I'IPA%P. 1ndijentP nitPrnatiVP nnrrh"mn 1. Alt.l (VS reduction) ❑ Alt. 2 (40-day bench) ❑ Alt. 3 (30-day bench) 211 Alt. 4 (Spec. Oz uptake) ❑ Alt. 5 (14-Day Aerobic) ❑ Alt. 6 (Alk. Stabilization ❑ Alt 7 (Drying - Stable) ❑ JAIL 8 (Drying - Unstable) ❑ Alt. 9 (Injection) ❑ %�T7l TT-"Yrl 1 TYl -T -- Alt 10 (Incorporation) ❑ No vector attraction reduction alternatives were performed ❑ %-.12,1.11r 11 1111v1l a 1,611 V✓IVMN i tptease check the appropriate statement) 0 "I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the vector attraction reduction requirement in 15A NCAC 02T 1107 have been met." ❑ "I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the vector attraction reduction requirement in 15A NCAC 02T .1107 have not been met." (Please note if you check this statement attach an explanation why you have not met one or both of the requirements.) "This determination has been made under my direction and supervision in accordance with the system designed to ensure that qualified personnel properly gather and evaluate the information used to determine that the pathogen and vector attraction reduction requirements have been met. I am aware that there are significant penalties for false certification including fine and imprisonment." Charles Overby - Project Manager Preparer amen Title (t e or print Signature of Preparer* Brent Collins; Director of Technical Services Land Applier Name and Title (if applicable)(type or print) i- 3 c i9 Z�e G1 / 18/2019 Date Signature of Land Applier (if applicable) *Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26) Date DENR FORM PVRF 02T (12/2006) Analytical Results EMA Resources, Inc. 755 Yadkinville Rd, Mocksville, NC 27028 Receive Date: 03/28/2018 Reported: 05104/2018 For: Danville Comments: Geometric Mean_ <616 MPN/g MPN=Most probable number per gram Sample Number Parameter Sample ID Result Unit Method Analyzed Analyst 180328-2"1 Fecal Coliforms 1 <419 MPN/g SM92210E-MM 03/29/2018 WC 180328-26-01 Percent Solids 1 4.77 % SM2WB-1997 03/29/2018 WC 180328-26-02 Fecal Coliforms 2 <851 MPN/g SM92210E-2006 03/29/2018 WC 180328-26-02 Percent Solids 2 2.35 % SM25408-1997 03/29/2018 WC 180328-26-03 Fecal Coliforms 3 <1361 MPN/g SM92210E 2006 03/29/2018 WC 180328-26-03 Percent Solids 3 1.47 % SM254OB-1997 03/29/2018 WC 180328-26-04 Fecal Coliforms 4 <395 MPN/g SM92210E-20W 03/29/2018 WC 180328-26-04 Percent Solids 4 5.06 % SM2WB-1997 03/29/2018 WC 180328-26-05 Fecal Coliforms 5 <432 MPN/g SM92210E-2005 03/29/2018 WC 180328-26-05 Percent Solids 5 4.63 % SM25408-1997 03/29/2018 WC 180328-26-06 Fecal Coliforms 6 <637 MPN/g SM92210E-2a* 03129/2018 WC 180328-26-06 Percent Solids 6 3.14 °% SM25408-1997 03/29/2018 WC 180328-26-07 Fecal Coliforms 7 <639 MPN/g SM92210E-2006 03/29/2018 WC 180328-26-07 Percent Solids 7 3.13 % SM25400 1997 03/29/2018 WC 180328-26-08 30 Day Benchscale Danville %2 % EPAS25-R-92ro 03/2912018 WC Respectfully submitted, Dena Myers NC Cert #440, NCDW Cert #37755, EPA #NC00909 PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 1 of 4 Analytical Results EMA Resources, INC For: Danville 755 Yadkinville Rd Mocksville, NC 27028 Entered:03/29/2018 Reported: 05/04/2018 Sample ID: 180328-26-08 PARAMETER: Vector Attraction Reduction/Aerobically Digested Sludge (30day) Total Solids Volatile Solids % Volatile Solids Week 1 1.99 1.03 0.5193 Week 2 1.99 1.03 0.5193 Week 3 1.98 1.02 0.5118 Week 4 1.90 0.98 0.5187 Week 5 1.98 0.98 0.4924 Volatile Solids Reduction: 0.5193 - 0.4924X100 =10.2% 0.5193 - (0.5193X 0.4924) Respectfully submitted, Dena Myers Statesville Analytical, Inc. NC WW Cert.# 440NC DW Cert. #37755 Condition of Receipt Sample Number 180328-26-01 Temp on Arrival: 3.3 Parameter Schedule: Percent Solids Received on Ice Parameter Schedule: Fecal Coliforms Sodium Thiosulfate Received on Ice Sample Number 180328-26-02 Temp on Arrival: 3.3 Parameter Schedule: Percent Solids Received on Ice Parameter Schedule: Fecal Coliforms Sodium Thiosulfate Received on Ice Sample Number 180328-26-03 Temp on Arrival: 3.3 Parameter Schedule: Percent Solids Received on Ice Parameter Schedule: Fecal Collforms Sodium Thiosulfate Received on Ice Sample Number 180328-26-04 Temp on Arrival: 3.3 Parameter Schedule: Percent Solids Received on Ice Parameter Schedule: Fecal Coliforms Sodium Thiosulfate Received on Ice Sample Number 180328-26-05 Temp on Arrival: 3.3 Parameter Schedule: Percent Solids Received on Ice Parameter Schedule: Fecal Coliforms Sodium Thiosulfate Received on Ice Sample Number 180328-26-06 Temp on Arrival: 3.3 PO Box 228 a Statesville, NC 28687 a 704/872/4697 Page 2 of 4 Parameter Schedule: Percent Solids Received on Ice Parameter Schedule: Fecal Coliforms Sodium Thiosulfate Received on Ice Sample Number 180328-26-07 Temp on Arrival: 3.3 Parameter Schedule: Percent Solids Received on Ice Parameter Schedule: Fecal Coliforms Sodium Thiosulfate Received on Ice Sample Number 180328-26-08 Temp on Arrival: 3.3 Parameter Schedule: Received on Ice PO Box 228 a Statesville, NC 28687 • 704/872/4697 Page 3 of 4 z 00 IM 00 '0 re fD 00 'j 0 t.j M 0 %J Contact Person: PO # la L4b4O# 2U�O tys.' z 3 prf 51 0c; to.---f to.-IO %Ositioned by: Olt= PanmoWS r STATESVILLE ANALYTICAL 122 Cam Sims - PO. Box 228 1 .k&icsvhIa.NC 2W7 (7041872-4697 Chain of Custody Record IIA Relinquished by- Tkne J. 20 am, JJFDate Sampled by,.-- jc Received by: Time I am.G Date Transported by: AV4- Relinquished by Time am, pin Date r.Holding times mat ell" Received by: Time am, pm Date _J_/_ Compliance work: LI Tkyw begin--- -_ am. pm Date __J__J_ Non-compliance work: Time end -- am, pm Date __J_j_ Lob CoMnUffft: CgMPQ§ft ftMwhq ft — Tim begin,._-_ am, pm Date J__J_ Time end— --am, pm Date __ J _J__ Analytical Results EMA Resources, Inc. 755 Yadkinville Rd. Mocksville, NC 27028 Receive Date: 04/25/2018 Reported: 06/01/2018 ME For: Danville Comments: Geometric Mean <1,297 MPN/g Sample Number Parameter Sample ID Result Unit Method Analyzed Analyst 180425-38-01 Fecal Coliforms 1 <1575 MPN/g SM92210E-2006 04/26/2018 WC 180425-38-01 Percent Solids 1 1.27 % SM254OB-1997 04/26/2018 WC 180425-38-02 Fecal Coliforms 2 <1818 MPN/g SM92210E-2006 04/26/2018 WC 180425-38-02 Percent Solids 2 1.10 % SM254OB-1997 04/26/2018 WC 180425-38-03 Fecal Coliforms 3 <1047 MPN/g SM92210E-2006 04/26/2018 WC 180425-38-03 Percent Solids 3 1.91 % SM254OB-1997 04/26/2018 WC 180425-38-04 Fecal Coliforms 4 <1869 MPN/g SM92210E-2006 04/26/2018 WC 180425-38-04 Percent Solids 4 1.07 % SM254OB-1997 04/26/2018 WC 180425-38-05 Fecal Coliforms 5 <702 MPN/g SM92210E-2006 04/26/2018 WC 180425-38-05 Percent Solids 5 2.85 % SM2540B-1997 04/26/2018 WC 180425-38-06 Fecal Coliforms 6 <1053 MPN/g SM92210E-2006 04/26/2018 WC 180425-38-06 Percent Solids 6 1.90 % SM254OB-1997 04/26/2018 WC 180425-38-07 Fecal Coliforms 7 <1493 MPN/g SM92210E-2006 04/26/2018 WC 180425-38-07 Percent Solids 7 1.34 % SM254OB-1997 04/26/2018 WC 180425-38-08 30 Day Benchscale Danville 1.8 % EPA625-R-92/0 04/25/2018 WC Respectfully submitted, U Dena Myers NC Cert #440, NCDW Cert #37755, EPA #NC00909 PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 1 of 4 Analytical Results EMA Resources, Inc. Mocksville, NC 27028 Sample ID: 180425-38-08 For: Danville PARAMETER: Vector Attraction Reduction/Aerobically Digested Sludge (30day) Total Solids Volatile Solids % Volatile Solids Week 1 2.25 1.10 0.4891 Week 2 2.39 1.19 0.5000 Week 3 2.36 1.08 0.4585 Week 4 2.38 1.17 0.4904 Week 5 2.47 1.20 0.4846 Volatile Solids Reduction: 0.4891- 0.4846x 100 = 1.8% 0.4891- (0.4891 X 0.4846) Respectfully submitted, Dena Myers Statesville Analytical, Inc. NC WW Cert.# 440NC DW Cert. #37755 Condition of Receipt Sample Number 180425-38-01 Temp on Arrival: 2.3 Parameter Schedule: Percent Solids Received on Ice Parameter Schedule: Fecal Coliforms Sodium Thiosulfate Received on Ice Chemicals in containers, lab Sample Number 180425-38-02 Temp on Arrival: 2.3 Parameter Schedule: Percent Solids Received on Ice Parameter Schedule: Fecal Coliforms Sodium Thiosulfate Received on Ice Chemicals in containers, lab Sample Number 180425-38-03 Temp on Arrival: 2.3 Parameter Schedule: Percent Solids Received on Ice Parameter Schedule: Fecal Coliforms Sodium Thiosulfate Received on Ice Chemicals in containers, lab Sample Number 180425-38-04 Temp on Arrival: 2.3 Parameter Schedule: Percent Solids Received on Ice Parameter Schedule: Fecal Coliforms Sodium Thiosulfate Chemicals in containers, lab Received on Ice Sample Number 180425-38-05 Temp on Arrival: 2.3 Parameter Schedule: Percent Solids Received on Ice PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 2 of 4 Parameter Schedule: Fecal Coliforms Sodium Thiosulfate Received on Ice Chemicals in containers, lab Sample Number 180425-38-06 Temp on Arrival: 2.3 Parameter Schedule: Percent Solids Received on Ice Parameter Schedule: Fecal Coliforms Sodium Thiosulfate Received on Ice Chemicals in containers, lab Sample Number 180425-38-07 Temp on Arrival: 2.3 Parameter Schedule: Percent Solids Received on Ice Parameter Schedule: Fecal Coliforms Sodium Thiosulfate Received on Ice Sample Number 180425-38-08 Temp on Arrival: 2.3 Parameter Schedule: Chemicals in containers, lab Received on Ice PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 3 of 4 Client: � _ " t t! STAIUVEL.EANALYTICAL 122 Court Street - N.O. Box 228 Address: Statesville, NC 29697 (704)972.4697 Contact Person: Phone # FAX# Chain of Custody Record PO* v, l� Requisitioned by: (i M Date) Customer SOr ple V0 Lab-10 « Time Sampled (Grab Only) Date Sampled (Greb Ordyy Matrix xenon w ww 1 ammeters rc iuested for analysis t) VOQ111,513O /O:rsOe+ 42-r Y XI I z 02 _ 1 D 0_7 y b.t tl *r C? 'k : So ems. WWI XX Relinquished by �f� j� aF+� Timeyr am, =>Date 6 /—A—r Sampled by: 13e Received by: Iie Time 2,( am, Oate J 3 15 Transported by; Relinquished by: Time am, pm Date / i_ Holding times met: Received by: / Time am, pm Date _/_/_ / Compliance work: r/ composite sam lu ilia f1 Time begin am, pm Date _/ _ _ _/ Non-compliance work: Time end Composite_Samciing am, pm Date _/�/_ &2: Lab Commerns: Semple, Transported On Ica: Time begin am, pm Date Time end am, pm Date _/_/_ i Initials: r- rn N O r'- 00 N t p CO r- 00 tD 00 ry U Z ai .y O1 M n3 N 00 N tV X O cc O o_ Analytical Results EMA Resources, Inc. 755 Yadkinville Rd. Mocksville, NC 27028 Receive Date: 05/30/2018 Reported: 07/09/2018 For: DANVILLE Comments: Geometric Mean <2935 MPN/g Sample Number Parameter Sample ID Result Unit Method Analyzed Analyst 180530-28-01 Fecal Coliforms 1 <5000 MPN/g SM92210E-2006 05/31/2018 WC 180530-28-01 Percent Solids 1 0.40 % SM254OB-1997 05/31/2018 WC 180530-28-02 Fecal Coliforms 2 <1258 MPN/g SM92210E-2006 05/31/2018 WC 180530-28-02 Percent Solids 2 1.59 aka SM254OB-1997 05/31/2018 WC 180530-28-03 Fecal Coliforms 3 <2439 MPN/g SM92210E-2006 05/31/2018 WC 180530-28-03 Percent Solids 3 0.82 % SM254OB-1997 05/31/2018 WC 180530-28-04 Fecal Coliforms 4 <2817 MPN/g SM92210E-2006 05/31/2018 WC 180530-28-04 Percent Solids 4 0.71 % SM254OB-1997 05/31/2018 WC 180530-28-05 Fecal Coliforms 5 <5000 MPN/g SM92210E-2006 05/31/2018 WC 180530-28-05 Percent Solids 5 0.40 % SM254OB-1997 05/31/2018 WC 180530-28-06 Fecal Coliforms 6 <2083 MPN/g SM92210E-2006 05/31/2018 WC 180530-28-06 Percent Solids 6 0.96 % SM254OB-1997 05/31/2018 WC 180530-28-07 Fecal Coliforms 7 <4167 MPN/g SM92210E-2006 05/31/2018 WC 180530-28-07 Percent Solids 7 0.48 % SM254OB-1997 05/31/2018 WC 180530-28-08 30 Day Benchscale DANVILLE 5 % EPA625-R-92/0 05/30/2018 WC Respectfully submitted, Dena Myers NC Cert #440, NCDW Cert #37755, EPA #NC00909 PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 1 of 2 Analytical Results EMA Resources, Inc. 755 Yadkinville Rd Mocksville, NC 27028 Sample ID: 180530-28-08 For: Danville PARAMETER: Vector Attraction Reduction/Aerobically Digested Sludge (30day) Total Solids Volatile Solids % Volatile Solids Week 1 2.48 1.24 0.4994 Week 2 2.39 1.19 0.4958 Week 3 2.41 1.21 0.5007 Week 4 2.47 1.23 0.4987 Week 5 2.46 1.20 0.4864 Volatile Solids Reduction: 0.4994- 0.4864X 100 = 5% 0.4994 - (0,4994 X 0.4964) Respectfully submitted, Dena Myers Statesville Analytical, Inc. NC WW Cert.# 440NC DW Cert. #37755 Cbent: Q+Sad�+ .,/` K s+1 STATESWLLEANALYrICAL 122 Coarl Street - P.O. Doc 228 Address: Strresville, NC 2liG87 _- - (700.1872-4697 Contact Person: r,�i�i%nS Phone # FAX# Chain of --- PO Requisitioned by: (Time Dace) Custody Record }-. _ . - — -- - Customer lab -ID N Time Sampled Date Sampled _ Matra Parameters recuested for analysis sarnole [ON Grab On'y1 _._ .- - Grab only) swpn w _ww _ ,'->C Fec.. t Co kAt� - y: --- z L` ti Relinquished by: __ Time ,Z'Y'O am, OG>Date 5/� ��' Sampled by. Ar',_ Received by: kf" �i•�-- Time,." am, Date/J_X Transported by: /gG Relinquished by: _____ ___ Time am, pm Date _/ -1_ Holding times met: Received by: _ _ _ _.- Time _ am, pm Date _ I/_ Compliance work: Comp29ite Sampling #1• Time begin -----am, pm Date l/ Non-compliance work: Time end am, pm Date _!_/_ Lab Comments: Composite Sampling _-i? -- Time begin-- -- am, pm Date _/_/ . Time end am, pm Date r- rn �o N fV d r` N 00 N 11 O a r- 00 lD 00 [V U Z rli M to Ln 00 N N X O co 0 d Analytical Results EMA Resources, Inc. 755 Yadkinville Rd, Mocksville, NC 27028 Receive Date: 06/26/2018 Reported: 07/30/2018 For: DANVILLE Comments: Geometric Mean 4260 MPN/g Sample Number parameter Sample ID Result Unit Method Analyzed Analyst 180626-30-01 Fecal Coliforms 1 4299 MPN/g SM92210E-2006 06/27/2018 WC 180626-30-01 Percent Solids 1 5.35 % SM25406-1997 06/27/2018 WC 180626-30-02 Fecal Coliforms 2 4348 MPN/g SM92210E-2006 06/27/2018 WC 180626-30-02 Percent Solids 2 5.29 % SM2640e-1997 06/27/2018 WC 180626-30-03 Fecal Coliforms 3 4244 MPN/g SM92210E-2006 06127/2018 WC 180626-30-03 Percent Solids 3 5.42 % SM2540e-1997 06/27/2018 WC 180626-30-04 Fecal Coliforms 4 4007 MPN/g SM92210E-20M 06/27/2018 WC 180626-30-04 Percent Solids 4 5.74 % SM2WB-1997 06/27/2018 WC 180626-30-05 Fecal Coliforms 5 4174 MPN/g SM92210E-2006 06/2712018 WC 180626-30-05 Percent Solids 5 5.51 % SM2s4oe-1997 06/27/2018 WC 180626-30-06 Fecal Coliforms 6 4212 MPN/g SM92210E-2006 06/27/2018 WC 180626-30-06 Percent Solids 6 5.46 % SM254oe-1997 06/27/2018 WC 180626-30-07 Fecal Coliforms 7 4554 MPN/g SM92210E-2006 06/27/2018 WC 180626-30-07 Percent Solids 7 5.05 % SM254oe-1997 06/27/2018 WC 180626-30-08 30 Day Benchscale Danville <1 % EPAUS-R-92I0 06/2712018 WC Respectfully submitted, Dena Myers NC Cert #440, NCDW Cert #37755, EPA #NC00909 PO Box 228 a Statesville, NC 28687 • 704/972/4697 Page 1 of 4 EMA Resources Entered: 6/26/2018 Reported: 7/27/2018 Sample ID: 180626-30-08 Analytical Results For: Danville PARAMETER: Vector Attraction Reduction/Aerobically Digested Sludge (30day) Total Solids Volatile Solids % Volatile Solids Week 1 2.94 1.49 0.5077 Week 2 3.12 1.56 0.5005 Week 3 2.83 1.39 0.4894 Week 4 2.63 1.33 0.5037 Week 5 2.62 1.33 0.5084 Volatile Solids Reduction: 0.5077 - 0.5084 X 100 = <1.0 % 0.5077 - (0.5077 X 0.5084) Respectfully submitted, Dena Myers Statesville Analytical, Inc. NC WW Cert.# 440NC Condition of Receipt Sample Number 180626-30-01 Temp on Arrival: 3.2 Parameter Schedule: Percent Solids Received on Ice Parameter Schedule: Fecal Conforms Sodium Thiosulfate Received on Ice Sample Number 180626-30-02 Temp on Arrival: 3.2 Parameter Schedule: Percent Solids Received on Ice Parameter Schedule: Fecal Conforms Sodium Thiosulfate Received on Ice Sample Number 180626-30-03 Temp on Arrival: 3.2 Parameter Schedule: Percent Solids Received on Ice Parameter Schedule: Fecal Conforms Sodium Thiosulfate Received on Ice Sample Number 180626-30-04 Temp on Arrival: 3.2 Parameter Schedule: Percent Solids Received on Ice Parameter Schedule: Fecal Conforms Sodium Thiosulfate Received on Ice Sample Number 180626-30-05 Temp on Arrival, 3.2 Parameter Schedule: Percent Solids Received on Ice Parameter Schedule: Fecal Conforms Sodium Thiosulfate Received on Ice Sample Number 180626-30-06 Temp on Arrival: 3.2 PO Box 228 a Statesville, NC 28687 • 704/872/4697 Page 2 of 4 Parameter Schedule: Percent Solids Received on Ice Parameter Schedule: Fecal Coliforms Sodium Thiosulfate Received on Ice Sample Number 180626-30-07 Temp on Arrival: 3.2 Parameter Schedule: Percent Solids Received on Ice Parameter Schedule: Fecal Coliforms Sodium Thiosulfate Received on Ice Sample Number 180626-30-08 Temp on Arrival: 3.2 Parameter Schedule: Received on Ice PO Box 228 • Statesville, NC 28687 + 704/872/4697 Page 3 of 4 CAS: STATESVILLZANALYTICAL 122 Court Sum PO- Elm 222 Sutovik, Mc 28657 (704) 272-W? Address: Contact Penon: MOM 4 FAX# Chain of Custody Record PO f Requisitioned by: fame F* c S=% TWO sm"PW Date sw"PW f maw km A.Wyp* 01 03 ou 0-7 30 �1'4 Relinquished by: Received by: Relinquished by: Received by: COMMIft SaM2)bg Time begin_ Time end— Compoant Sampling Time begin__ Time end r #1: am, pm Date am, pm Date am, pm Date am, PM Date Time I .7t am, & Date -(L Sampled by: Time Y3 g am, pm Date by: IF Time am, pm Date—/ Holding times met: Time am. Pm Date —J—— Compiiance work: Non-compliance work: Lab Cornffontl: SarrVW9 TranWnod On Ice WOW& 00 N r4 x 0 cc 0 M Page 1 of 1 Report No: 19-009-0757 Account No: 46245 Advisor: EMA Resources Inc 755 Yadkinville Road Mocksville NC 27028 Waypointo ANALYTICAL Client: James Blackwell 7621 Whitepine Road, Richmond, VA 23237 Main 804-743-9401 ° Fax 804-271-6446 www.waypointanalytical.com Farm:CS07 Date Received: 01/09/2019 Date of Report: 01/11/2019 ab No Field /D Sample /D Soil Class HM% W/V pH Ac P-1 K-1 S-1 Mn-1 Zn-1 Zn-Al Cu4 CEC BS% Ca% Mg% ESP Na SS-1 NO3 N 18062 01 MIN 2.3 6.1 0.8 138 48 37 963 580 580 1005 6.0 87 61 21 1.4 0.1 11 Comment: Test result units = CEC and Na in meq/100cm3; NO3 N in mg/dm3; W/V in g/cm3 North Carolina Division of Water Quality Certification #257, Analysis and fertility recommendations shown on this report are performed in accordance within NCDA guidelines, Analysis prepared by: Waypoint Analytical Virginia, Inc. NCDA&CS Agronomic Division Phone: (919) 733-2655 Website: www.ncagr.gov/agronomi/ Report No. FY19-SL002669 �p°`n'"EMa Predictive Client: David Sartin 3404 Park Springs Rd Advisor: Brent Collins EMA Resources Inc C � Mehlich-3 Extraction Soil Report Providence, NC 27315 755 Yadkinville Rd Mocksvitte, NC 27028 Sampled County: Caswell ALL Links to Helpful Information Sampled: Not Provided VUEV x Received: 08/17/2018 Farm: CS-14 Completed: 08/22/2018 Client ID: 347847 Advisor ID: 446615 Sample ID: 00001 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1-Fescue/OGrass/Tim, M 0.3 120-200 0 30 0 0 0 0 0 0 Note: 12 2 - 0.0 Test Results [units - W/V in g/cO; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-1 Na ESP SS -I NO3-N 0.41 1.00 9.2 80 1.8 5.9 189 60 57 20 54 339 220 1003 1003 467 0.1 1 Sample ID: 00002 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1- Fescue/OGrass/Tim, M 0.0 120-200 0 0 0 0 0 0 0 0 Nate. 12 2 - 0.0 Test Results [units - W/V in glcO; CEC and Na in meq/100 cO; NO3-N in mg/do]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-1 Mn-All Mn-AI2 Zn-1 Zn-AI Cu-I Na ESP SS-1 NO3-N 0.27 0.89 16.8 90 1.6 6.4 341 174 59 26 69 285 183 1454 1454 388 0.2 1 Sample ID: 00003 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1-Fescue/OGrass/Tim, M 0.0 120-200 20 70 0 0 0 0 0 0 Note, 12 2 - 0.0 Test Results [units - W/V in g/cmR; CEC and Na in megf100 cm3; NO3-N in mg/dol: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-Al2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N 0.36 1.01 9.9 85 1.4 6.2 52 35 56 28 36 374 239 303 303 246 0.1 1 North Carolina Tobacco Trust Fund Commission Reprogramming of the laboratory -information -management system that makes this report possible is being funded through a grant from the North Carolina Tobacco Trust Fund Commission. Thank you for using agronomic services to manage nutrients and safeguard environmental quality. - Steve Troxler, Commissioner of Agriculture NCDA&CS Agronomic Division Phone: (919) 733-2666 Website: www.ncagr.gov/agronomi/ Report No. FY19-SL002667 ' " Predictive Client: James Poindexter Etree LLC Advisor: Brent Collins EMA Resources Inc �J' Soil Report Mehiich-3 Extraction 9193 McGhees Mill Rd 755 Yadkinville Rd c Semora, NC 27343 Mocksville, NC 27028 " Links to Helpful Information Sampled: Not Provided Sampled County :Person Received: 08/17/2018 Farm: PS02 Completed: 08/22/2018 Client ID: 14303 Advisor ID: 446615 Sample ID: 00002 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1-Fescue/OGrass/Tim, M 0.8 120-200 40 70 0 0 0 0 0 0 mote: 12 2- 0.0 Test Results [units - WN in g/crrr3; CEC and Na in meq/100 cm3; NO3-N in mg/drTft Soil Class: Mineral HM% WN CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N 0.36 1.03 14.7 83 2.5 5.7 41 36 55 27 35 244 163 484 484 140 0.2 1 Sample ID: 00003 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O6 K2O Mg S Mn Zn Cu B Information Lime History: 1-Fescue/OGrass/Tim, M 2.8 120-200 0 30 0 0 0 0 0 0 Note 12 2- 0.0 Test Results [units - WN in g/curl; CEC and Na in meq/100 crrp; NO3-N in mg/drrP]: Soil Class: Mineral HM% WN CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N 0.56 0.96 9.8 58 4.1 4.7 73 57 36 20 51 102 78 429 429 108 0.2 2 Sample ID: 00004 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1- Fescue/OGrass/Tim, M 0.6 120-200 80 60 0 0 0 0 0 0 Note 12 2- 0.0 Test Results [units - WN in g/crn3; CEC and Na in meq/100 cm3; NO3-N in mg/dnt3]: Soil Class: Mineral HM% WN CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-Al2 Zn-I Zn-AI Cu-1 Na ESP SS-1 NO3-N 0.56 1.14 5.9 71 1.7 5.7 25 37 43 25 27 376 243 46 46 37 0.1 2 North Carolina Tobacco Trust Fund Commission Reprogramming of the laboratory -information -management system that makes this report possible is being funded through a grant from the North Carolina Tobacco Trust Fund Commission. Thank you for using agronomic services to manage nutrients and safeguard environmental quality. - Steve Troxler, Commissioner of Agriculture NCDA&CS Agronomic Division Phone: (919) 733-2655 Website: www.neagr.gov/agronomU Report No. FY19-SL002664 Predictive Client: James Poindexter Etree LLC Advisor: Brent Collins EMA Resources Inc s � Soil Report Mehlich-3 Extraction 9193 McGhees Mill Rd 755 Yadkinville Rd b Semora, NC 27343 Mocksville, NC 27028 " Links to Helpful Information Sampled: Not Provided Sampled County :Person Received: 08/17/2018 Farm: PS02 Completed: 08/22/2018 Client ID: 14303 Advisor ID: 446615 Sample ID: 00005 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1 -Fescue/OGrass/Tim, M 0.0 120-200 50 30 0 0 pH$ 0 0 0 Note 12 Note 2 - 0.0 Test Results [units - WN in g/cO; CEC and Na in meq/100 cO; NO3-N in mg/do]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-Al2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N 0.32 1.03 12.9 92 1.0 6.7 39 57 62 28 33 360 222 256 256 98 0.1 1 Sample ID: 00006 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O6 K2O Mg S Mn Zn Cu B Information Lime History: 1-Fescue/OGrass/Tim, M 0.0 120-200 30 0 0 0 pH$ 0 0 0 Note��12 Note 2 - 0.0 Test Results [units - WN in g/cO; CEC and Na in meq/100 cO; NO3-N in mg/dnr3]: Soil Class: Mineral HM% WN CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-1 Zn-AI Cu-I Na ESP SS-1 NO3-N 0.36 0.98 14.1 91 1.3 6.6 48 139 56 30 39 275 173 373 373 138 0.1 1 k��73,w th Carolina Tobacco Trust Fund Commission Reprogramming of the laboratory -information -management system that makes this report possible is being funded through a grant from the North Carolina Tobacco Trust Fund Commission. Thank you for using agronomic services to manage nutrients and safeguard environmental quality. - Steve Troxler, Commissioner of Agriculture NCDA&CS Agronomic Division Phone: (919) 733-2665 Website: www.ncagr.gov/agronomi/ Report No. FYI 9-SL002658 ��-""mRfgvo Predictive Client: James Poindexter Etree LLC Advisor: Brent Collins EMA Resources Inc Soil Report Mehlich-3 Extraction 9193 McGhees Mill Rd 755 Yadkinville Rd F Semora, NC 27343 Mocksville, NC 27028 s Ut�� �. hU Links to Helpful Information Sampled: Not Provided Sampled County: Person Received: 08/17/2018 Farm: PS03 Completed: 08/22/2018 Client ID: 14303 Advisor ID: 446615 Sample ID: 00001 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O6 K2O Mg S Mn Zn Cu B Information Lime History: 1-Fescue/OGrass/Tim, M 0.9 120-200 50 80 0 0 0 0 0 0 Nate: 12 2 - 0.0 Test Results [units - WIV in g/cd; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-AI1 Mn-AI2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N 0.32 0.99 6.9 71 2.0 5.5 39 27 46 23 43 193 133 296 296 123 0.1 1 North Carolina j, Tobacco Trust Fund Commission Reprogramming of the laboratory -information -management system that makes this report possible is being funded through a grant from the North Carolina Tobacco Trust Fund Commission. Thank you for using agronomic services to manage nutrients and safeguard environmental quality. - Steve Troxler, Commissioner of Agriculture