WQ0001086_Annual Report_20190215

The Mown of Spring .cake
DOAU OF ALV+ilWlM .OA PROSpFR'r VI'E'1VTa OF 1IITi Ml'iYOR
James P. O'Garra, Mayor Pro Tern ° ° Larry G. Dobbins, Mayor
James Christian, Alderman o Z
Sofia L. Cooper, Alderwoman i - I1' o-o ADWNIS'Il'i T10N
Jackie Jackson, Alderwoman o fp;P Q4aly Daniel Gerald, Town Manager
Fredricka Sutherland, Alderwoman LAKE
,N�
Rhonda D. Webb, Town Clerk
S. Ellis Hankins, Town Attorney
CiT@RED IN 1951 —r
January 31, .2019 1 V a.
Nathaniel Thornburg, Branch Chief
FEB p 5 201�
NC DEQ - Division of Water Resources - Non -Discharge Branch Dipm S.�,uf),Q
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
RECEIVEDINODE01M..
Subject: Annual Report of Land Application of Biosolids FEB 1 5 2019
Town of Spring Lake, North Carolina
Permit No. WQ0001086 Non -Discharge
Spring Lake, North Carolina, Cumberland County Permitting Unit
Dear Mr.Thomburg:
We are pleased to submit for your review, three copies of the annual report for the Town's biosolids
land application program. During 2018, 59.9 total (54.3 Metric Tons) of sludge or biosolids were
land applied from the Town's Wastewater Treatment Plant to various permitted fields as presented
in the report. The following permitted fields did not receive residuals for the entire calendar year
of 2018:
Town of Spring Lake Field 1-1:
Brooks, Tom
Field 2-1:
Brooks, Tom
Field 2-2:
Brooks, Tom
Field 2-3:
Brooks, Tom
Field 2-4:
Brooks, Tom
Field 2-5:
Brooks, Tom
Field 2-6:
Brooks, Tom
Field 2-8:
Brooks, Tom
Field 2-9:
Willie Calvin
Brinkley Field 3-4:
Willie Calvin
Brinkley Field 3-5:
Willie Calvin
Brinkley Field 3-6:
Latitude 35.197368°, Longitude-78.9643570
Latitude 35.205340°, Longitude-78.9305700
Latitude 35.2103000, Longitude-78.9312900
Latitude 35. 2103501, Longitude-78.9346500
Latitude 35.2070000, Longitude-78.9356000
Latitude 35.2051800, Longitude-78.9364500
Latitude 35.2037000, Longitude-78.9336100
Latitude 35.187450°, Longitude-78.952470'
Latitude 35.1880000, Longitude-78.9567400
Latitude 35.2852780, Longitude 78.8738890
Latitude 35.2713890, Longitude 78.8722220
Latitude 35.2279720, Longitude 78.8722222
Unfortunately, the Town of Spring Lake Wastewater Plant experienced catastrophic flooding as a
result of Hurricane Florence in September of 2018. Floodwaters topped the treatment basins and
destroyed virtually all paper and electronic data regarding our biosolids land application program.
Records have been recreated to the best of our ability, using contract hauler records. Lime
stabilization of biosolids batch records were lost. Any missing data is result of the. destruction
caused by Hurricane Florence.
VOICE: (9I0) 436-024I 300 Rurh Street FAX: (9I0) 436-2667
Post Office Box 6I7
Spring Lake, NC 28390-06I7
www.spring-lake.org

Flood damage to the facility, its records, and surrounding areas where permitted land application
sites are located have left a number of uncertainties. Given the circumstances, we cannot certify
that all 13 Items (specifically Item 12) of the Annual Compliance Statement in Form ACF were
met for 2018. Failure of compliance is solely attributed the damage caused by Hurricane Florence.
The Town's WWTP is currently being assessed for the damages of Hurricane Florence and options
to mitigate flood damage in the future. Following this letter is a written statement regarding
Hurricane Florence by Richard Mendez, the Land Application Operator and ORC of Spring Lake
Wastewater Treatment Plant.
If you should have any questions please contact Richard Mendez, Land Application Operator at
[phone] or Gary S. MacConnell, PE of MacConnell & Associates, P.C. at [phone].
Mr. MacConnell has assisted the Town with the preparation of this report. Your assistance is
appreciated.
Sincerely,
Larry G. Dobbins
Mayor
cc: Mr. Gary S. MacConnell, PE, MacConnell & Associates, P.C.
Mr. Richard Mendez, Town of Spring Lake

die down of Spring Lade
BOARD OF ALDERMEN ,`' `° 'i10s ` OFFICE OF THE IVIAYOR
jatncs 11. O'(iarra, Mawr l'm -1 cm ` I_.irn• (L f obbtns. Mawr
Janie.; Chrtsuan, Al&rtnan IP
Soria I_. (:nof,cr..1(dcrt: tunas v ADMINISTRATION
I�
f.li k[C fai ki011. :11,{i I'tCtllll.11l
f rcdrtcka tiutlit rlan.f. AIJer.vtunan
Rhonda t). Webb, l*o•.t'n Clerk
CIIAI?rEP.r:U IN 1951 S. 1?11ts f ianktns, I'u:rn Ationlct-
Statement Regarding Hurricane Florence
Town of Spring Lake WWTP
Biosolids Land Application Program.
The Town of Spring Lake Wastewater Treatment Plant experienced catastrophic flooding as a
result of Hurricane Florence in September of 2018. The treatment basins were topped, and
flooding destroyed virtually all paper and electronic data regarding our biosolids land application
program. Records have been recreated to the best of our ability, using contract hauler records.
Lime stabilization of biosolids batch records were lost. However, I certify that all land applied
biosolids met Class B lime stabilization criteria for pathogen reduction and vector attraction
reduction criteria. Any missin& data is result of the destruction caused by Hurricane Florence.
Richard Mendez, Town of pring Lake WWTP ORC Date
VOICH: "910, 43o-0241 300 Ruth Street FAX: [phone]a7
Post t," ficc Eiux (717
Spring Lakc. NC 283,)(7-0617
' u u-.t sprino-lakc.ory

Town of Spring Lake, North Carolina
2018 RECD!/ED/AJCDE0IDWR
rEB 15 2019
Annual Biosolids Deport "ER„°;nh a;n e
Permit # WQ0001086
NPDES Permit # NCO030970
Prepared By
MacConnell & Associates, P.C.
P.O. Box 129
Morrisville, NC 27560
Phone: [phone]
Fax: [phone]

Town of Spring Lake, North Carolina
2018 Annual Biosolids Report Summary
Facility Name: Town of Spring Lake Wastewater Treatment Plant
Address: P.O. Box 617, Spring_Lake, North Carolina 28390-0617
Telephone: [phone]
Land Application Permit No.: M0001086
Facility's NPDES Permit No.: NCO030970
Responsible Official: Mr. Larry G. Dobbins, Mayor
Address: P.O. Box 617, Spring Lake, North Carolina 28390-0617
Telephone: [phone]
Facility Operator: Mr. Richard E. Mendez, ORC
Address: P.O. Box 617, Spring Lake, North Carolina 28390-0617
Telephone: [phone]
Report Preparer: Mr. Gary S. MacConnell, PE
Address: MacConnell & Associates, P.C. P.O. Box 129 Morrisville NC 27560-0129
Telephone: [phone]
Dry Tons Land Applied: 59.9 Total (54.3 Metric Tons), Town Permitted Fields.
Sludge Land Applied to Seven Town Permitted Sites and Contractor Sites as Noted
Brinkley, Willie Calvin Field 3-3: Latitude 35.246400°, Longitude-79.0219000
Brinkley, Willie Calvin Field 3-7: Latitude 35.283333°, Longitude-78.8697221
Brinkley, Willie Calvin Field 3-8: Latitude 35.2799390, Longitude-78.870362'
Paye, Maybob E. Field 4-1: Latitude 35.2449820, Longitude-79.022515'
Chattellier, David and Diana Field 5-1: Latitude 35.272644 °, Longitude-79.9993030
Chattellier, David and Diana Field 5-2: Latitude 35.274089 °, Longitude-79.998108'
Chattellier, David and Diana Field 5-3: Latitude 35.273578 °, Longitude-79.9966531
Operational Data: On Site
Laboratory Methods Used: As re uiq red by regulations
Description of Sludge Processes: Class B, Alkaline
' Prepared By:
MacConnell & Associates, P.C.
P.O. Box 129
Morrisville, North Carolina 27560-0129
Phone: [phone]
Fax: [phone]

Town of Spring Fake, North Carolina
2018
Annual Biosolids Report
NCDEQ-DWR Forms
Permit # WQ0001086
NPDES Permit # NCO030970
Prepared By
MacConnell & Associates, P.C.
P.O. Box 129
Morrisville, NC 27560
Phone: [phone]
Fax: [phone]

ANNUAL LAND APPLICATION CERTIFICATION FORM
WQ Permit#: WQ0001086 County: Cumberland Year: 2018
Facility Name (as shown on permit):
Land Application Operator:
Spring Lake WWTP
Richard E. Mendez Phone: [phone]
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 - Residuals Application Summary:
Total number of application fields in thepermit:
19
Total number of fields utilized for land application during the year:
7
Total amount of dry tons applied during the year for all application sites:
60
Total number of acres utilizes for land application during the year:
1 65.9
Part B - Annual Compiance Statement:
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 Resources. ® Yes 0 No
If no please, provide a written description why the facility was not compliant, the dates, and explain corrective action
taken.
1) Only residuals approved for this permit were applied to the permitted sites.
2) Soil pH was adjusted as specified in the permit and lime was applied (if needed) to achieve a soil pH of at least 6.0 or
the limit specified in the permit.
3) Annual soils analysis were performed on each site receiving residuals during the'past calendar year and three (3) copies
of laboratory results are attached.
4) Annual TCLP analysis (if required) was performed and three (3) copies of certified laboratory results are attached.
5) All other monitoring was performed in accordance with the permit and reported during the year as required and three (3)
copies of certified laboratory results are attached.
6) The facility did not exceed any of the Pollutant. Concentration Limits in 15A NCAC 02T .1105(a) or the Pollutant
Loading Rates in 15A NCAC 02T .1105(b) (applicable to 40 CFR Part 503 regulated facilities).
7) All general requirements in as specified in the Land Application Permit were complied with (applicable to 40 CFR Part
503 regulated facilities).
8) All monitoring and reporting requirements in 15A NCAC 02T .1111 were complied with (applicable to 40 CFR Part
503 regulated facilities).
9) All operations and maintenance requirements in the permit were complied with or, in the case of a deviation, prior
authorization was received from the Division of Water Resources.
10) No contravention of Ground Water Quality Standards occurred at a monitoring well or explanations of violations are
attached to include appropriate actions and remediations.
11) Vegetative cover was maintained and proper crop management was performed on each site receing residuals, as
specified in the permit.
12) No runoff of residuals from the application- sites onto adjacent property or nearby surface waters has occurred.
13) All buffer requirements as specified on the permit were maintained during each application of residuals.
Part C - Certification:
"I certify, under penalty of law, that the above information is, to the best of my knowledge and belief, true, accurate,
and complete. I am aware that there are significant penalties for submitting false information, including the
possibility of fines and imprisonment for knowing violations."
LA29- 0• 006,51 NS MA -log
Permittee Name and Title (type or print)
Signature of Preparer* Date
Signature & Permittee Date
of Land
f-ad
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: WQ0001086 Laboratory: 1) Meritech, Inc.
Facility Name: Spring Lake WWTP 2)
Residual Source WQ # or NCO030970 3)
NPDES #: 4)
WWTP Name: Spring Lake WWTP 5)
Residual Analvsis Data
Parameter
Conc.
Limit
Sample or Composite Date
08/28/
(mg/kg)
(mg/kg)'
2018
Percent Solids (%)
NA
1.57
Arsenic
75
<3.18
Cadmium
85
2.81
Copper
4,300
330
Chromium
NA
16.6
l
Lead
840
21.5
Mercury
57
0.191
Molybdenum
75
8.34
'Nickel
420
22.7
Selenium
100
12.4
Zinc
7,500
1790
Total Phosphorus
NA
24000
TKN
NA
68200
Ammonia -Nitrogen
NA
16600
Nitrate and Nitrite
NA <637
a For surface disposal facilities
the ceiling concentration limits listed
in this form are not amlicable.
Reference the individnal
nPrmit fnr mPtnla Urnite
"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 i formation, including the possibility of fines and imprisonment for knowing violations."
Signature of Preparer * 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: WQ0001086 Laboratory: 1)
Facility Name: Spring Lake WWTP 2)
Residual Source NCO030970 3)
NPDES # or WQ#:, 4)
WWTP Name: Spring Lake WWTP 5)
Residual Analvsis Data
Meritech, Inc.
Parameter
(mg/kg)_WMMMMMMMffMMMM
Volatile Solids (0/6)
Sample or • •oDate
-----------
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system
designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are
significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
e w A
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)

Town of Spring Lake
2018 Biosolids Totals
Note: Field Loading Sheets are provided for Fields currently permitted which have had
Bioslids applied this year or in the past.
Metric
Lime
Gallons per
Percent
Dry Tons
Dry Tons
Tons per
Applied
Field
Acres
Hectares
Gallons
Acre
Solids
Dry Tons
(metric)
per Acre
Hectare
(LBS/Acre)
1-1
8.00
3.24
0
.0
1.57%
0.00
0.00
0.00
0.00
0
2-1
20.00
8.09
0
0
1.57%
0.00
0.00
0.00
0.00
0
2-2
17.20
6.96
0
0
1.57%
0.00
0.00
0.00
0.00
0
2-3
32.00
12.95
0
0
1.57%
0.00'
0.00
0.00
0.00
0
2-4
8.00
3.24
0
0
1.57%
0.00
0.00
0.00
0.00
0
2-5
13.30
5.38
0
0
1.57%
0.00
0.00
0.00
0.00
0
2-6
13.00
5.26
0
0
1.57%
0.00
0.00
0.00
0.00
0
2-8
5.90
2.39
0
0
1.57%
0.00
0.00
0.00
0.00
0
2-9
6.50
2.63
0
0
1.57%
0.00
0.00
0.00
0.00
0
3-1
5.10
2.06
0
0
1.57%
0.00
0.00
0.00
0.00
0
3-2
8.20
3.32
0
0
1.57%
0.00
0.00
0.06
0.00
0
3-3
13.60
5.50
125,000
9,191
1.57%
8.18
7.42
0.60
1.35
368
3-7
15.20
6.15
238,000
15,658
1.57%
15.58
14.13
1.02
2.30.
626
3-8
4.00
1.62
70,000
17,500
1.57%
4.58
4.1,6
1.15
2.57
700
4-1
4.50
1.82
98,000
21,778
1.57%
6.41
5.82
1.43
3.19
871
5-1
9.10
3.68
181,000
19,890
1.57%
11.85
10.75
1.30
2.92
796
5-2
7.20
2.91
81,000
11,250
1.57%
5.30
4.81
0.74
1.65
450
5-3
12.30
4.98
121,500
9,878
1.57%
7.95
7.21
0.65
1.45
395
Totals
65.90
26.67
914,500
105,145
59.85
54.30
4,206
Percent
Month
Solids
Gallons
Dry Tons
Metric
January
1.57%
0
0.00
0.00
February
1.57%
417,500
27.32
24.79
March
1.57%
0
0.00
0.00
April
1.57%
0
0.00
0.00
May
1.57%
0
0.00
0.00
June
1.57%
56,000
3.66
3.32
July
1.57%
0
0.00
0.00
August
1.57%
238,500
15.61
14.16
September
1.57%
202,500
13.25
12.02
October
1.57%
0
0.00
0.00
November
1.57%
0
0.00
0.00
December
1.57%
0
0.00
0.00
Total
914,500
59.85
54.30

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: Spring Lake WWTP Total Dry Tons Applied (Annual):
Permit #: WQ0001086 Cation Exchange Capacity (non 503 only):
Operator: Richard E. Mendez Owner: Spring Lake Predominant Soil Series:
Acres Used: 8 Acres Permitted: 8 Site #: 1 Field #:
WmB-Wickham
Residual Analysis Data (heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent ft
Sample or
Com-
posite
Date
L-1J
8/28/18
1213
8/28/18
8/28/18
L4J
8/28/18
5
8/28/18
L6J
8/28/18
L 7
8/28/18
8
8/28/18
vLal
8/28/18
10
8/28/18
11
8/28/18
12
8/28/18
% Solids
1.57
1.57
1.57
1.57
1.57
1.57
1.57
1.57
1.57
1.57
1.57
1.57
Arsenic
3.18
3.18
3.18
3.18
3.18
3.18
3.18
3.18
3.18
3.18
3.18
3.18
Cadmium
2.81
2.81
2.81
2.81
2.81
2.81
2.81
2.81
2.81
2.81
2.81
2.81
Copper
330
330
330
330
330
330
330
330
330
330
330
330
Chromium
16.6
16.6
16.6
16.6
16.6
16.6
16.6
16.6
16.6
16.6
16.6
16.6
Lead
21.5
21.5
21.5
21.5
21.5
21.5
21.5
21.5
21.5
21.5
21.5
21.5
Mercury
0.191
1 0.191
0.191
0.191
0.191
0.191
0.191
0.191
0.191
0.191
0.191
0.191
Molyb-
denum
8.34
8.34
8.34
8.34
8.34
8.34
8.34
8.34
8.34
8.34
8.34
8.34
Nickel
22.7
22.7
22.7
22.7
22.7
22.7
22.7
22.7
22.7
22.7 1
22.7
22.7
Selenium
12.4
12.4
12.4
12.4
12.4
12.4
12.4
12.4
12.4
12.4
12.4
12.4
Zinc
1790
1790
1790
1790
1790
1790
1790
1790
1790
1790
1790
1790
Total
Phos-
horus
24000
24000
24000
24000
24000
24000
24000
24000
24000
24000
24000
24000
Annual Heavy Metal Field Loadings (Calculated in lbs/acre):
Total
11
2 J
L3J4
5
6
L7J
L8J
L 9
10
11
12
DT/Ac./
0
App.
Event
y
Arsenic
0, 000
0.000
7£'
0 000
0 000
0==00,0:,`
` 0 OOOi='
:0000
DODO;
0:000^'
C
=-0:0.00
y0:OQ0'
_
.0000:
-
0000fi
Cadmium
;;` r0OQ0
X 0 000
:0}W
. 0 00.0
0 000
0 OUO,
; Q` O.OQ
01, ,000 `
0, 000
„ 0 000
Q_000
Q `0004
`',0 F000°:.
Copper
0= 000
0; 000
OQ 000
0000
:0 000
Chromiumx0>000
0:000
; 0 000 =
0 000
0 000
Q 000` -
0 OOQw
'0`000s
� Q= OQO
000
O OQO
f
, ,0 ..
0:000
Q OOQ
Lead
000
0;000
000 '..<'O.pOQL
0 000
0 000j
0 000
0:000,,
0.000
0 000
r: O'OOQ'
kQ`
0�000_c;
...`0
-
_ ,
000 ,
Mercury
0 000
O'000
:0 000
0 000
0 000 ,
. ,0 000
2< 0 000
0 000
0 000 ,
`, 0 000
0 OQO
0:000
<0 000
Molyb-
0t000
0 000
0 000
0 OQ0
0 000
0 000
0 000
0 000
0`000
0 000 °0
00.0
' 0 U00
0 000
denum_
:
s
_
Nickel
0 000�
0000
0 000 �:
0` 00_ `0
Q
000
0 000�
0 �000:
O'000
0 000
„0 000'.
0 000
0 000„
, 0 OQO
Selenium
0 O,UO
0000.
0 000
0 000
0:000
U 000_,
" 0 000>
,0,000 ti
0:000
0:000'.`
` 0 000
0 OOOY
0 000LL
Zinc
'0'000
0`s000
OQOQ; '
_ 0 000,
0 Q00
Q 000
Total
-
Phos-
0 000
0 000
0 000
O'000
0 000
0 000
0.000
01 00
0.000
; 0 000
0 00.0
0 000
0 000
horus
_
'I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
imprisonment for knowing violations".
Signature of Land Applier
2-Ii-.?Q17
Date
DENR FORM MFLSF (12/2006)

I ANNUAL METALS FIELD LOADING SUMMARY FOAM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name:
Permit #:
Operator:
Acres Used:
Spring Lake WWTP Total Dry Tons Applied (Annual):
WQ0001086 Cation Exchange Capacity (non 503 only):
Richard E. Mendez Owner: Tom Brooks Predominant Soil Series: WaB-Wagram
20 Acres Permitted:
20
Site #:
2 Field #: 1
Residual Analysis Data (Heavy Metals and Total Phosphorus use mp-/kg. % Solids use flaw Percent #):
Sample or
Com-
posite
Date
Ll J
8/28/18
1213
8/28/18
8/28/18
4 J
8/28/18
L5J6
8/28/18
8/28/18
7
8/28/18
8
8/28/18
9
8/28/18
10 j
8/28/18
11
8/28/18
12
8/28/18
% Solids
1.57
1.57
1.57
1 1.57
1.57
1 1.57
1.57
1.57
1.57
1.57
1 1.57
1.57
Arsenic
3.18
3.18
3.18
3.18
3.18
3.18
3.18
3.18
3.18
3.18
3.18
3.18
Cadmium
2.81
2.81
2.81
2.81
2.81
2.81
2.81
2.81
2.81
2.81
2.81
2.81
Copper
330
330
330
330
330
330
330
330
330
330
330
330
Chromium
16.6
16.6
16.6
16.6
16.6
16.6
16.6
16.6
16.6
16.6
16.6
16.6
Lead
21.5
.21.5
21.5
21.5
21.5
21.5
21.5
21.5
21.5
21.5
21.5
21.5
Mercury
0.191
0.191
0.191
0.191
0.191
0.191
0.191
0.191
0.191
0.191
0.191
0.191
Molyb-
denum
8.34
8.34
8.34
8.34
8.34
8.34
8.34
8.34
8.34
8.34
8.34
8.34
Nickel
22.7
22.7
22.7
22.7
22.7
22.7 1
22.7
22.7
22.7
22.7
22.7
22.7
Selenium
12.4
12.4
12.4
12.4
12.4
12.4
12.4
12.4
12.4
12.4
12.4
12.4
Zinc
1790
1790
1790
1790
1790
1790
1790
1790
1790
1790
1790
1790
Total
Phos-
horus
24000
24000
24000
24000
24000
24000
24000
24000
24000
24000
24000
24000
Annual Heavy Metal Field Loadings (Calculated in lbs/acre):
non
23
0,
ml;
e eee
o eoe
o eoo
o eoe
o 00o
a eae
a eee
o ooe
a ooe
o eee
a oee
a eee
a eee
.��. �
e oeo
a oeo
a oeo
a eee
o oeo
a eoe
o ooe
a eoe
a eeo
a eee
a oee
o oee
a eee
...-
o eoe
a oeo
a eoo
a eee
o oee
a eoo
a o0o
a eoo
0 oeo
0 ooe
a ooe
a ooe
a eeo
.� ��
a eee
a eeo
0 ooe
o oee
a ooe
o oea
a eoe
a eeo
a eoo
a ooe
a eee
o eee
a ooe
o eoa
a eee
a eee
o oee
o eoo
a ooe
o eee
a oee
a eeo
a eoe
a eoe
a ooe
a eoe
FIRM
o eoe
o eee
a oeo
a ooe
a eoo
a ooe
o eoe
a ooe
a eoo
o eoe
a eoe
a oee
a eeo
��
a eoe
a eoe
a eoo
a o0o
a eoe
a eoo
a eoe
a ooe
a oee
a ooe
a eeo
a eeo
a ooe
�_'
o oee
a oee
a oee
a eoe
o oee
a eee
a ooe
a eee
a eoe
a eoe
o oee
o oeo
a eoe
V -1 �.
a eee
a eee
a eee
a ooe
o ooe
a eoo
s eoe
o eeo
0 oee
a eoo
o eee
a eoe
a ooe
®
o eeo
a eee
a eoo
o eee
o eoe
o eoe
a eee
o eeo
a ooe
a eee
a oee
a oee
o ooe
Phos-
eoeEmma
a eee
a eee
o oee
a eoe
o eoe
a eee
a eoe
a eeo
o eee
a eoe .
phorusa
1 ceruiy, under penaity 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 significant penalties for submitting false information, including the possibility of fines and
imprisonment for knowing violations".
Signature of Land Applier
Date
DENR FORM MFLSF (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:
Spring Lake WWTP Total Dry Tons Applied (Annual):
WQ0001086 Cation Exchange Capacity (non 503 only):
Richard E. Mendez Owner: Tom Brooks Predominant Soil Series:
17.2 Acres Permitted:
17.2 Site #:
BaB-Blaney
2 Field #: 2
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kR, % Solids use Raw Percent #):
Sample or
Com-
posite
Date
Ll J
8/28/18
L 2
8/28/18
3
8/28/18
4
8/28/18
5
8/28/18
L6J
8/28/18
L7J
8/28/18.
_
L8j
8/28/18
vL9J
8/28/18
10
8/28/18
11
8/28/18
12
8/28/18
% Solids
1.57
1 1.57
1.57
1.57
1.57
1.57
1.57
1.57
1.57
1.57
1.57
1.57
Arsenic
3.18
3.18
3.18
3.18
3.18
3.18
3.18
3.18
3.18
3.18
3.18
3.18
Cadmium
2.81
2.81
2.81
2.81
2.81
2.81
2.81
2.81
2.81
2.81
2.81
2.81
Copper
330
330
330
330
330
330
330
330
330
330
330
330
Chronidum
16.6
16.6
16.6
16.6
16.6
16.6
16.6
16.6
16.6
16.6
16.6
16.6
Lead
21.5
21.5
21.5
21.5
21.5
21.5
21.5
21.5
21.5
21.5
21.5
21.5
Mercury
0.191
0.191
0.191
0.191
0.191
0.191
0.191
0.191
0.191
0.191
0.191
0.191
Molyb-
denum
8.34
8.34
8.34
8.34
8.34
8.34
8.34
8.34
8.34
8.34
8.34
8.34
Nickel
22.7
22.7
22.7
22.7
22.7
22.7
22.7
22.7
22.7
22.7
22.7
22.7
Selenium
12.4
12.4
12.4
12.4
12.4
12.4
12.4
12.4
12.4
12.4
12.4
12.4
Zinc
1790
1790
1790
1790
1790
1790
1790
1790
1790
1790
1790
1790
Total
Phos-
horns
24000
24000
24000
24000
24000
24000
24000
24000
24000
24000
24000
24000
Annual Heavy Metal Field Loadings (Calculated in lbs/acre):
NONE
e see
a ooa
o oeo
a oea
o aoe
a oea
a aeo
o eea
o eae
a eee
a aee
a aoo
o eea
..�
o oea
o eee
o eoe
o eoe
o eoo
o aoa
a eee
o oea
a aee
o oae
a eao
a eaa
o oaa
...-
a eoo
0 000
o eam
a aeo
a eae
o oee
a ooa
a oeo
a oaa
a ooe
o eea
o oea
a ooa
Lei .� ��
a aoe
o oeo
a ooa
a oae
a oeo
s aao
0 ooa
o eoo
a aae
o eeo
a oea
a oao
a ooe
e ooe
o eoe
a eoo
0 oae
a ooe
o 00o
a ooe
o oee
a oeo
0 oeo
0 00o
a aoe
o ooe
�
e oaa
a oeo
0 00o
a eoe
o aae
o oeo
a aeo
a ooe
o eoo
0 oeo
a eoo
a ooe
a o00
'
e oea
a o00
o eoo
0 oao
o aeo
a ooe
a o00
o eoo
a eee
o eoo
a eoo
o aoe
o ooa
e oao
a aee
o eoe
a aeo
a aoe
a aae
o oeo
a aoe
o aeo
a aoo
a eao
a aoe
a aao
o eoa
o eoo
0 oao
o eoo
o aeo
o eoo
o aoo
a ooa
o ooa
a eoa
o ooa
o eoo
o eoa
�
e oao
o eee
a oao
0 oee
s eoe
o eae
a eoo
o aoo
a o00
o aoo
a ees
o eoo
a oeo
Total
Ph.
a o00
0 000
0 oeo
a oeo
a oae
a oaa
a o0o
a oeo
a oea
a aea
o eoe
a eao
0 ooe
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
imprisonment for knowing violations".
Signature of Land Applier
11-2d
Date
DENR FORM MFLSF (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:
Spring Lake WWTP Total Dry Tons Applied (Annual):
WQ0001086 Cation Exchange Capacity (non 503 only):
Richard E. Mendez Owner: Tom Brooks Predominant Soil Series: Dp-Duplin
32 Acres Permitted: 32 Site #: 2 Field #: 3
Residual Analysis Data (Leavy Metals and Total Phosphorus use nig/kg, % Solids use Raw Percent #):
Sample or
Com-
posite
Date
1
8/28/18
2
8/28/18
3
8/28/18
4
8/28/18
5
8/28/18
6
8/28/18
7
8/28/18
L8J
8/28/18
L9
8/28/18
10
8/28/18
11
8/28/18
12
8/28/18
% Solids
1 1.57
1.57
1.57
1 1.57
1.57
1.57
1.57
1.57
1.57
1.57
1.57
1 1.57
Arsenic
3.18
3.18
3.18
3.18
3.18
3.18
3.18
3.18
3.18
3.18
3.18
3.18
Cadmium
2.81
2.81
2.81
2.81
2.81
2.81
2.81
2.81
2.81
2.81
2.81
2.81
Copper
330
330
330
330
330
330
330
330
330
330
330
330
Chromium
16.6
16.6
16.6
16.6
16.6
16.6
16.6
16.6
16.6.
16.6
16.6
16.6
Lead
21.5
21.5
21.5
21.5
21.5
21.5
21.5
21.5
21.5
21.5
21.5
21.5
Mercury
0.191
0.191
0.191
0.191
0.191
0.191
0.191
0.191
0.191
0.191
0.191
0.191
Molyb-
denum
8.34
8.34
8.34
8.34
8.34
8.34
8.34
8.34
8.34
8.34
8.34
8.34
Nickel
22.7
22.7
22.7
22.7
22.7
22.7
22.7
22.7
22.7
22.7
22.7
22.7
Selenium
12.4
12.4
12.4
12.4
12.4
12.4
12.4
12.4
12.4
12.4
12.4
12.4
Zinc
1790
1790
1790
1790
1790
1790
1790
1790
1790
1790
1790
1790
Total
Phos-
horas
24000
24000
24000
24000
24000
24000
24000
24000
24000
24000
24000
24000
Annual Heavy Metal Field Loadings (Calculated in lbs/acre):
©
o
©
o
o
;o
o
0
0
,08
om
o oeo
o eoo
a eoe
o eoo
0 oea
a ooe
o oao
a eeo
a oes
a oeo
a oee
a oeo
0 oeo
.... I.
o eee
o oeo
a oeo
a eoo
0 oeo
a eoo
0 00o
a o00
0 00o
a oeo
0 oee
o eeo
o eoo
...
o eeo
a eoo
a ooa
o oes
a oeo
a oeo
0 oee
a oeo
0 000
o eeo
a o00
0 oeo
0 oae
.�� ��
o eoo
a aee
o ooe
o eee
a eeo
0 ooa
a o00
0 oee
a eoo
0 oeo
a oeo
a ooe
o eoe
o eeo
a eoo
a oeo
a eoo
a eee
a oee
a o0o
a eoe
o eoe
a o00
0 oeo
0 ooe
o oeo
on
e eoo
a ooe
a eoo
a eoo
0 oeo
a eoo
0 ooe
o 00o
a eeo
o eoe
a o00
0 oeo
o eoo
o ooe
a ooe
o eas
o oee
o eee
o 000
o ees
a oee
o oee
o 00o
a eoe
o eoe
IBM,
NORM
o 00o
a oee
o ooe
a oeo
0 00o
a eoo
a oeo
o eoo
a eos
o eoo
a oee
o oao
a ooe
o 00o
a oeo
a eoe
a eee
o oeo
a eoo
0 oeo
a oeo
o eoo
a eos
a ooa
a eoo
0 000
®
o eoo
a oeo
0 oee
a eoo
0 oeo
o eoe
o oeo
a eeo
a eeo
o eoo
0 oee
a eoo
0 000
Total
Phos-
e oee
a eeo
o eoe
o eee
o eeo
a eee
o ooe
a eoo
o eoo
a ooe
o aee
a oee
a o00
phorus
"I-c'ertity, 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".
c
Signature of Land Applier
Date
DENR FORM MFLSF (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:
Spring Lake WWTP Total Dry Tons Applied (Annual):
WQ0001086 Cation Exchange Capacity (non 503 only):
Richard E. Mendez Owner: Tom Brooks Predominant Soil Series:
8 Acres Permitted:
Site #:
Wab-Wagram
2 Field #: 4
Residual Analysis Data (Heavy Metals and Total Phosphorus use nfg/kg, % Solids use Raw Percent ft
Sample or
Com-
posite
Date
8/28/18
L2J
8/28/18
L 3
8/28/18
L4J
8/28/18
L5
8/28/18
6
8/28/18
L7J
8/28/18
L8J
8/28/18
191LOJ
8/28/18
8/28/18
1 •
8/28/18
12
8/28/18
% Solids
1.57
1.57
1.57
1.57
1.57
1.57
1.57
1.57
1.57
1.57
1.57
1.57
Arsenic
3.18
3.18
3.18
3.18
3.18
3.18
3.18
3.18
3.18,
3.18
3.18
3.18
Cadmium
2.81
2.81
2.81
2.81
2.81
2.81
2.81
2.81
2.81
2.81
2.81
•2.81
Copper
330
330
330
330
330
330
330
330
330
330
330
330
Chromium
16.6
16.6
16.6
16.6
16.6
16.6
16.6
16.6
16.6
16.6
16.6
16.6
Lead
21.5
21.5
21.5
21.5
21.5
21.5
21.5
21.5
21.5
21.5
21.5
21.5
Mercury
0.191
0.191
0.191
0.191
0.191
0.191
0.191
0.191
0.191
0.191
0.191
0.191
Molyb-
denum
8.34
8.34
8.34
8.34
8.34
8.34
8.34
8.34
8.34
8.34
8.34
8.34
Nickel
22.7
22.7
22.7
22.7
22.7
22.7
22.7
22.7
22.7
22.7
22.7
22.7
Selenium
12.4
12.4
12.4
12.4
12.4
12.4
12.4
12.4
12.4
12.4
12.4
12.4
Zinc
1790
1790
1790
1790
1790
1790
1790
1790
1790
1790
1790
1790
Total
Phos-
horus
24000
24000
24000
24000
24000
24000
24000
24000
24000
24000
24000
24000
Annual Heavy Metal Field Loadings (Calculated in lbs/acre):
Total
11
2 J
L 3j
4]
L5J
L6J7
8
9
10
11
12
DT/Ac./
c
App.
Event
Arsenic
:000
Q:000-::0
000
0 OO,Ot
0 000«
OOi00
e 0 OQO;
0 0;00
0 000
`'000;0%`
0 000
U 000
OOOr °
,0
.
,_
.O
Cadmium
0 OQO
Q 000"rQ
000 ;
0 OOO
0 Q00
0 000
0 000
090
0 OOO;r
' 0 0.00'
`
t
y
0
0` OOOr
_
0 000
:0 000';.
Copper
O'000
:0'000
000
0 000
0 000
0:000,: ;
0 000_
` 0 000`
0:000
0
0 000
0-000
;0 000
,
„0
,
w
�. ,
Chromium0
000
0
k
OOQ ;,
000
0 0`00
0 OOQ,,
Q¢000`
'0 000
0.000
OOOwt}
0 00=0
000
,000,.,
_0
i0 ,
0
0 000
Lead
0 000
�0`000 '
'0 000
'Ort000p"
L 0 000 '
0 000'
0.000 „
O:OOQ,
F. O 000;
0 0'00
0 000
0 00-
Mercury
0.000 ,Q.000
wQ000w
�0 00.0
O'000
0`:000
` 0 000
0 900 ;
0:000`
-0 000,+
„"Q000
0 000
' 0 000
Molyb-
0 OQO
0 000=
0 000
0 000
O Q00
0 000
y 0 000:
O 000
0 `000
O OOO t
0 000
0 000
0 000
denum
YE
-_
_°
Nickel
0 00',0
0000
0 000
0 000
0 00_,0';
'OOOQ':t,
OQ;00
3 0:000
0 00'0
0 000
0
r.0}000
_
0 000
000*y;
Selenium
0. Q00�."
t.0000
0 000 1
0 OQO
0' 000
Q 000
- 0 OOOW
Q 000
=0 000
0 00'0
OOQQ.;;
.
Q 000
0 000"
Zinc0
000
0:000;
0 000 .
0 000
Q OOOt
0 000
0 000,
0 000
0.000 .
, TO �P00_,
0.00.0"
" ,Q 000
. '01000,'
Total
:0:000
";"0:0:00;.
f
w r
-
Phos-
=:EzO':000
0 000
O:OQO
-0 000
-=0000
:,0:000
0000`£
.0,0.0,�.,
:0.000•
orus
F
-I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
imprisonment for knowing violations".
Signature of Land Applier
Date
DENR FORM MFLSF (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: Spring Lake WWTP Total Dry Tons Applied (Annual):
Permit #:
Operator:
Acres Used:
WQ0001086 Cation Exchange Capacity (non 503 only):
Richard E. Mendez Owner: Tom Brooks Predominant Soil Series:
13.3 Acres Permitted: 13.3 Site #:
Wab-Wagram
2 Field #: 5
Residual Analysis Data (Leavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
Sample or
Com-
posite
Date
1
8/28/18
2
8/28/18
L3J
8/28/18
4
8/28/18
5
8/28/18
6 J
8/28/18
7
8/28/18
8 J
8/28/18
L9]10
8/28/18
8/28/18
11
8/28/18
12
8/28/18
% Solids
1.57
1.57
1.57
1 1.57
1.57
1.57
1.57
1.57
1 1.57
1.57
1.57
1.57
Arsenic
3'.18
3.18
3.18
3.18
3.18
3.18
3.18
3.18
3.18
3.18
3.18
3.18
Cadmium
2.81
2.81
2.81
2.81
2.81
2.81
2.81
2.81
2.81
2.81
2.81
2.81
Copper
330
330
330
330
330
330
330
330
330
330
330
330
Chromium
16.6
16.6
16.6
16.6
16.6
16.6
16.6
16.6
16.6
16.6
16.6
16.6
Lead
21.5
21.5
21.5
21.5
21.5
21.5
21.5
21.5
21.5
21.5
21.5
21.5
Mercury
0.191
0.191
0.191
0.191
0.191
0.191
0.191
0.191
0.191
0.191
0.191
0.191
Molyb-
denum
g,34
8.34
8.34
8.34
8.34
8.34
8.34
8.34
8.34
8.34
8.34
8.34
Nickel
22.7
22.7
22.7
22.7
22.7
22.7
22.7
22.7
22.7
22.7
22.7
22.7
Selenium
12.4
12.4
12.4
12.4
12.4
12.4
12.4
12.4
12.4
12.4
12.4
12.4
Zinc
1790
1790
1790
1790
1790
1790
1790
1790
1790
1790
1790
1790
Total
Phos-
horus
24000
24000
24000
24000
24000
24000
24000
24000
24000
24000
24000
24000
Annual Heavy Metal Field Loadings (Calculated in lbs/acre):
• -� �
e eeo
0 oeo
a eee
a oeo
o lee
o eoo
a oee
a eee
a eoo
a oeo.
a eee
a eee
a eeo
.0� .�
o eee
o oee
o eee
s eeo
a eoe
a oeo
a oee
a eee
a oee
o ooe
a eoo
a eee
a oee
...-
o oee
a eeo
a eoo
a oee
a-eoo
o eee
a oee
o oee
o eoo
a eoe
a oee
a eoo
a ooe
.�� .�
a eee
a eeo
a ooe
a eoe
a eee
a 09e
a eee
a eoo
a eao
a eee
o eee
o oee
o eee
e oeo
o aeo
o eoo
o eeo
a eee
a eoe
a eee
a eoe
a eee
a eee
a eoo
a eee
s eeo
�
o eoa
a eee
a eoo
a eee
a eee
a eee
a eeo
a eee
a oeo
a eoo
a oee
a eee
a eoe
'
e eae
a eee
a eeo
a eeo
o eoe
o 000
a ooe
a eoa
a aea
a eee
a aee
a eoe
o eee
e oee
a eoe
o ooe
a 000
a eoe
a eeo
o eee
a eae
a eoa
a eee
o oee
a ooe
a eoe
- -� .�
a oee
o eee
a eee
o eeo
a eee
a eoe
a eee
a eoe
a eeo
a eeo
0 ooe
a eee
a eee
�
e eoo
a oeo
a oeo
o eee
a oee
o eee
a eoe
a oee
o eee
a oee
a eeo
a eoe
a eoe
Total
Phos-
e eee
a oee
a eeo
a eee
o eee
a ooe
a oeo
a ooe
a eoe
a eeo
a oee
a eee
o eoo
.h.
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance
with a system designed to.assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
imprisonment for knowing violations".
Signature of Land Applier
Date
DENR FORM MFLSF (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:
Spring Lake WWTP Total Dry Tons Applied (Annual):
WQ0001086 Cation Exchange Capacity (non 503 only):
Richard E. Mendez Owner: Tom Brooks Predominant Soil Series:
13 Acres Permitted:
Wab-Wagram
13 Site #: 2 Field #: 6
Residual Analysis Data (Heavy Metals and Total Phosphorus use in&k2, % Solids use Raw Percent #):
Sample or
Com-
posite
Date
L-1J
8/28/18
1213
8/28/18
4
8/28/18 8/28/18
L5J
8/28/18
L6J7j
8/28/18
8/28/18
L8Jv
8/28/18
vL9J
8/28/18
10
8/28/18
11 J
8/28/18
12
8/28/18
% Solids
1.57
1 1.57 .
1.57 1.57
1.57
1.57
1.57
1 1.57
1.57
1.57
1.57
1.57
Arsenic
3.18
1 3.18
3.18 3.18
3.18
3.18
3.18
3.18
3.18
3.18
3.18
3.18
Cadmium
2.81
2.81
2.81 2.81
2.81
2.81
2.81
2.81
2.81
2.81
2.81
2.81
Copper
330
330
330 330
330
330
330
330
330
330
330
330
Chromium
16.6
16.6
16.6 16.6
16.6
16.6
16.6
16.6
16.6
16.6
16.6
16.6
Lead
21.5
21.5
21.5 21.5
21.5
21.5
21.5
21.5
21.5
21.5
21.5
21.5
Mercury.
0.191
0.191
0.191 0.191
0.191
0.191
0.191
0.191
0.191
0.191
0.191
0.191
Molyb-
denum
g,34
8.34
8.34 8.34
8.34
8.34
8.34
8.34
8.34
8.34
8.34
8.34
Nickel
22.7
22.7
22.7 22.7
22.7
22.7
22.7
22.7
22.7
22.7
22.7
22.7
Selenium
12.4
12.4
12.4 12.4
12.4
12.4
12.4
12.4
12.4
12.4
12.4
12.4
Zinc
1790
1790
1790 1790
1790
1790
1790
1790
1790
1790
1790
1790
Total
Phos-
horus
24000
24000
24000 24000
24000
24000
24000
24000
24000
24000
24000
24000
Annual Heavy Metal Field Loadings (Calculated in lbs/acre):
Total
11
L2J
3 4
5
6
7
8
9
10
11
12
DT/Ac./
App.
Event
Arsenic
0 000'
0 000 -
000 " 0 000`
0 000
= 0 000^;
' 0 000
0 000'
0 000
O 000 a
0 000
0>OOO
000
;`0
.
M
; .;0
Cadmium
O'000
0000
O OOQ_ O ;g00r
0 000
0 `000
0 OOQ
Q_000
; v0 000
T'0 000
Or000
Oy000,
:0 OUO
Copper
0 000
0, `000
;' 0 000 L.-Al 00:0
0 "000
0 OQO.
0 00`Q
0 000
Chromiumr'.QO.QO
`OA00
:0 OQO_'" 0 000 ,
Q ,000
0 000=,
O OOQ
0 0,00 :
- :0 000
. 0 OOQ;
0 OQO ^
0:000
a0 000 -
Lead
0 000
y 0 000
> 0 000 : x0 000
0000
0 000} :
0 000
0.0.00 T
„ 0 000= .
<, 0 UOO w
0,000
0:000
,21
Mercury
0 OQO�
O'000,,
0..0.00== 0 000
0.000
Q-`OQQ3
0 OUQ
0.00,0
0 000 ,
, 0 000:,
0 OOOt
0:'000
F;0 000
Molyb-
denum
Nickel
0 000 „
. 0.000„
„ 0 000,` 0 000
0 000
0 000 ,,
- 0 000
0 000'
0 00.0'",
; 0 000<
Q 000
0 000' :
XO 000s:
Selenium
0 000'
0 000
0 000 ` 0 OOOs
0 000
000
0 OO,Q
00.00,
MOO ;
0 000,:
jW
ow
v000.0'<:
_0
.
Zinc
0 0
0:000
0 000e=0:000
0 000`
- ,0 000
0 000
0 000 ,
0 000
0 0,00 °
a0:00,0 '
O OOO,r
;0:000';
Total
Ph - os
0:00:0'-
- -
-000Or--
-
006,�'Q:000;
horu s
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".
O"J. �r ff"
Signature of Land Applier
/ 11, o 1-9
Date
DENR FORM MFLSF (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:
Spring Lake WWTP Total Dry Tons Applied (Annual):
WQ0001086 Cation Exchange Capacity (non 503 only):
Richard E. Mendez Owner: Tom Brooks Predominant Soil Series:
5.9 Acres Permitted
5.9 Site #:
2 Field #:
CaB-Candor
Residual Analysis Data (Leavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
Sample or
Ll J
2j
L 3
4
5
L6J
7
8
L9J
LOJ
11 J
12
Com-
posite
Date
8/28/18
8/28/18
8/28/18
8/28/18
8/28/18
8/28/18
8/28/18
8/28/18
8/28/18
8/28/18
8/28/18
8/28/18
% Solids
1.57
1.57
1.57
1.57
1.57
1.57
1.57
1.57
1.57
1.57
1.57
1.57
Arsenic
3.18
3.18
3.18
3.18
3.18
3.18
3.18
3.18
3.18
3.18
3.18
3.18
Cadmium
2.81
2.81
2.81
2.81
2.81
2.81
2.81
2.81
2.81
2.81
2.81
2.81
Copper
330
330
330
330
330
330
330
330
330
330
330
330
Chromium
16.6
16.6
16.6
16.6
16.6
16.6
16.6
16.6
16.6
16.6
16.6
16.6
Lead
21.5
21.5
21.5
21.5
21.5
21.5
21.5
21.5
21.5
21.5
21.5
21.5
Mercury
0.191
0.191
0.191
0.191
0.191
0.191
0.191
0.191
0.191
0.191
0.191
0.191
Molyb-
denum
8.34
8.34
8.34
8.34
8.34
8.34
8.34
8.34
8.34
8.34
8.34
8.34
Nickel
22.7
22.7
22.7
22.7
22.7
22.7
22.7
22.7
22.7
22.7
22.7 1
22.7
Selenium
12.4
12.4
12.4
12.4
12.4
12.4
12.4
12.4
12.4
12.4
12.4
12.4
Zinc
1790
1790
1790
1790
1790
1790
1790
1790
1790
1790
1790
1790
Total
Phos-
24000
24000
24000
24000
24000
24000
24000
24000
24000
24000
24000
24000
horus
Annual Heavy Metal Field Loadings (Calculated in lbs/acre):
Total
L 1
2
3
4
5
6
7
8
9
10
11
12
DT/Ac./
App
Event
y
Arsenic,'
0.000
0 000
0 OQQ :
k 0 OQO
QOQ
x ®000 5
0 00`0 `
0 OQ�
n,.`Q �
0 OOQ'
Q
UAO�':
Cadmium
0 000
0_'OQO
` ,:0000
a0 000
0,000
0 O00 :
0 Q00r
' Q 000
000..,
?0. �`OQ
000
�Q00
O'000_u
Copper
0 (00
`0 000
0 OOQ;'
0 000�
0,0�000
00'O.f
000
0 000
0 000
0 000"
0 0'00
0:000
,0
,_,:0 Q00'
Chromium0
000
, 0:000'
'., 0 000 .
'0 000
0 ,000
O.Q;00
0000
OOQ;,,
000
0 000.
L� 0 OOOx
O',000
, r:0,
,
.Ot000 ;
Lead
0 OOOt
` 0 000,
0 OOOa
OOOa0
000
0 000
O OOQ
Mercury
{0000=?0000
y
0 0`Q0
0 000
O:g00 `
;
0 009
:OOQO
0 000
O4`000
0 000�,©
OOtO
O:000Y
03QOOx'_
Molyb-
0 OQ0
" 0 000;
O'000
0 000
0 000
0 000
! 0 000`
Y O'Q00
:
0.000
,
0 000`
0 000
000
,
denum
x
0
0 000 :;
Nickel
0 00;0
0 000
0 000 ;
0 OQO
0 000
0 000
0 OOU4
0 Oq0 '
0000, :
, .0 ;OQ;Q
Q 0£00
O 000h
Selenium
$ O'000
0:000
0 000
0 000
0 000
Q 000
0 000`
0 000
0:000
0,000
O
;.
,
OQQtz
0,'000
0 000,
Zinc
0 Q00
Q.000
0 000
0 000'
g:;0:'000;'
;, 0 000
' Q 000
0 000
0000
:'0 000,
0°000
0 000.,
0 000
Total
fi
K
Phos-
0:000
0 00:0,
:' 0 000 ;
0 000
0 000
0 000
0 000
0 000
0.000
0 000"
0 000
000
'Q 000
h ru o s
-
__.0:
-*
1--CY Lily, UHUVI PCnuiiy ui inw, rnar tms document was prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
imprisonment for knowing violations".
Signature of Land Applier
Z- 0 2a9
Date
DENR FORM MFLSF (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:
Spring Lake WWTP Total Dry Tons Applied (Annual):
WQ0001086 Cation Exchange Capacity (non 503 only):
Richard E. Mendez Owner: Tom Brooks Predominant Soil Series:
6.5 Acres Permitted:
6.5 Site #:
2
CaB-Candor
Field #: 9
Residual Analysis Data (Heavy Metals and 'Total Phosuhorus use mPALY. % Solids use Raw Percent #)!
Sample or
Com-
posite
Date
1
8/28/18
2
8/28/18
3
8/28/18
4
8/28/18
5
8/28/18
6
8/28/18
7
8/28/18
8
8/28/18
9
8/28/18
10
8/28/18
11
8/28/18
12
8/28/18
% Solids
'1.57
1.57
1.57
1 1.57
1.57
1 1.57
1.57
1.57
1 1.57
1.57
1.57
1 1.57
Arsenic
3.18
3.18
3.18
3.18
3.18
3.18
3.18
3.18
3.18
3.18
3.18
3.18
Cadmium
2.81
2.81
2.81
2.81
2.81
2.81
2.81
2.81
2.81
2.81
2.81
2.81
Copper
330
330
330
330
330
330
330
330
330
330
330
330
Chromium
16.6
16.6
16.6
16.6
16.6
16.6
16.6
16.6
16.6
16.6
16.6
16.6
Lead
21.5
21.5
21.5
21.5
21.5
21.5
21.5
21.5
21.5
21.5
21.5
21.5
Mercury
0.191
0.191
0.191
0.191
0.191
0.191
0.191
0.191
0.191
0.191
0.191
0.191
Molyb-
denum
denum
8.34
8.34
8.34
8.34
8.34
8.34
8.34
8.34
8.34
8.34
8.34
8.34
Nickel
22.7
22.7
22.7
22.7
22.7
22.7
22.7
22.7
22.7
22.7
22.7
22.7
Selenium
12.4
12.4
12.4
12.4
12.4
12.4
12.4
12.4
12.4
12.4
12.4
12.4
Zinc
1790
1790
1790
1790
1790
1790
1790
1790
1790
1790
1790
1790
Total
Phos-
horus
24000
24000
24000
24000
24000
24000
24000
24000
24000
24000
24000
24000
Annuai Heavy ivietai view l.oaanmgs (Calculated in lbs/acre):
Total
1
2
3 J
L4J
L5J
6
7
8
9
LOJ
11 J
12
DT/Ac./
App.
Event
y
Arsenic
0 Q00
0 0000-000
0 00,0
O,O�QO
:0 000 '
h Qa000
0 000
0 000'
n,.0 000
OQ0
Q Q 000='
'. Q OOq
Cadmium
0 QQ0
0 000£
' 0 000-
;0 000
0 000
0 000;
0 000
0 OOQ
_
Q 000
: 0 000`
�O
,10 Q00
0 000 `
_;0 000
Copper
0 000
O OOOz
O::OO.OA;
0 OQO
0 OO:Q
`r;0 OOU ,
0 000
0 000 .
0 000 z0
000€:
0 000
0 000
f.0 000 i
Chromium
0 000 #
0 000
0 000` ;
0 00.0
`' 0 000 .
5=-0 000
O 000
OW
90 000
0`000'
0 000 ,
,0'=000
0 000
Lead
0 OQO
0 000
0 OOOn
0 000
0'.00©
0 000 r.
30 jOQO
0 0:00
,QOQQ
;v 0 000 °,0
OQO
0 000
0 000;
Mercury
0 000
0 000
0 000 4
0 000
0:000
0 000
0 OOQ
0, 600-
0 OOOw
' 0 QOQ"
0 000
' 0:000
r :0 OQO
Molyb- 5
0 000
0 000
0 000
0 000
0 000
0 000 :
0 000:
0 000
0: 000
0 000 v
0 000
0
,'
0
denum
{
000
000
Nickel
:0 000"A'OOOR`
O:OQO=,`
0 000
�"
0 900
0 000
0 OOQ'
0 000
Q-006
ty 0 000
0 000
0 000
v
000
,
,0 r
Selenium
0 000
0 000
y0 000 ,
0 000
0 000;;
0 000 F
p 0 000;'
0 000
0` 000
0 000 ;0
OQO
0 000 ,
, 000
Zinc;O.�60
'
0 000
.0 000 °
0 000
0,000
0 000
0 000. r
`-0:000
0.000
„0
Total
y,
Phos-
0 000
0 000
0 000 ,
0 000
0 600
0 000
- 0 000`
0 000
0 000
0 000
0, OQ'0,
0 000
0 000_.
horns
A ceruiy, under penalty of law, that this aocument was prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
imprisonment for knowing violations".
Signature of Land Applier
_1) -20
Date
DENR FORM MFLSF (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 blame: Spring Lake WWTP Total Dry Tons Applied (Annual):` j,'_}' .81'S=
Permit #: WQ0001086 Cation Exchange Capacity (non 503 only):
Operator: Richard E. Mendez Owner: Willie Calvin Brinkley Predominant Soil Series: VaB-Vaucluse
Acres Used: 13.6 Acres Permitted: 13.6 Site #: 3 Field #: 3
Residual Analvsis Data (Heave Metals and Total Phosuhorus use mg/kg. % Solids use Raw Percent #)-
Sample or
Com-
posite
Date
L 1-1
8/28/18
8/28/18
3
8/28/18
L4J
8/28/18
5
8/28/18
6
8/28/18
7
8/28/18
8
8/28/18
L9J
8/28/18
10
8/28/18
11
8/28/18
12
8/28/18
% Solids
1.57
1 1.57
1.57
1.57
1 1.57
1.57
1.57
1 1.57
1.57
1 1.57
1.57
1.57
Arsenic
3.18
1 3.18
3.18
3.18
3.18
3.18
3.18
3.18
3.18
3.18
3.18
3.18
Cadmium
2.81
2.81
2.81
2.81
2.81
2.81
2.81
2.81
2.81
2.81
2.81
2.81
Copper
330
330
330
330
330
330
330
330
330
330
330
330
Chromium
16.6
16.6
16.6
16.6
16.6
16.6
16.6
16.6
16.6
16.6
16:6
16.6
Lead
21.5
21.5
21.5
21.5
21.5
21.5
21.5
21.5
21.5
21.5
21.5
21.5
Mercury
0.191
0.191
0.191
0.191
0.191
0.191
0.191
0.191
0.191
0.191
0.191
0.191
Molyb-
denum
8.34
8.34
8.34
8.34
8.34
8.34
8.34
8.34
8.34
8.34
8.34
8.34
Nickel
22.7
22.7
22.7
22.7
22.7
22.7
22.7
22.7
22.7
22.7
22.7
22.7
Selenium
12.4
12.4
12.4
12.4
12.4
12.4
12.4
12.4
12.4
12.4
12.4
12.4
Zinc
1790
1790
1790
1790
1790
1790
1790
1790
1790
1790
1790
1790
Total
Phos-
horus
24000
24000
24000
24000
24000
24000
24000
24000
24000
24000
24000
24000
Annuai tieavy inetai rnew l.oaaings (Ualculated in lbs/acre):
Total 11 L2J3 4 L5J 6 J 1 71 1 8
DT/Ac./
App.
Event 2.59 1.83 3.76
ham•- - .; ..,
Arsenic h"016_ ti`_0 000 �,., 0.000
Lead
Z
Nickel O;:Q0.0:'{ ' 0:=118 ; '0 000 = 0 000:-s0:000'' :0 083 O'Q00: 0 171 3 0000 0 000 :- 0 000 0 QOQ,':
Selenium ?0:"OQ0 0:064 „ _0 000 0.00q ,Oa000 '0 045 ''0 000 „ 0 093 0 000 0 OOO, x: 0 00.0 , 0. 000 '0 203 ,,
Zinc 0 000 9:272 : 0 OQO.;e .,0 000 0;000 h 6' S51 , ` 0' 000 1.3.461, , 0,000 ' 0.000, , ' 0 000 , 0 000 29 284
Total .:.:
I Phos-;124:320 0 000 0 000 0 000 87 840' V 0 000 180 480 0 000 0 000 0 000 0 000 392,640
horus _
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with
a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am
aware that there are significant penalties for submitting false information, including the possibility of fines and
imprisonment for knowing violations".
Ica /) 2d i
Signature of Land Applier Date
DENR FORM MFLSF (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: Spring Lake WWTP Total Dry Tons Applied (Annual):
Permit #: WQ0001086 Cation Exchange Capacity (non 503 only):
Operator: Richard E. Mendez Owner: Willie Calvin Brinkley Predominant Soil Series: FaB-Fuquay
Acres Used: 33.5 Acres Permitted: 33.5 Site #: 3 Field #: 4
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent ft
Sample or
Com-
posite
Date
1
8/28/18
2
8/28/18
3 J
8/28/18
4
8/28/18
5 J
8/28/18
L6J7]
8/28/18
8/28/18
L8J
8/28/18
E9T-10
8/28/18
8/28/18
11
8/28/18
12
8/28/18
% Solids
1.57
1.57
1.57
1.57
1.57
1.57
1.57
1.57
1.57
1.57
1.57
1.57
Arsenic
3.18
3.18
3.18
3.18
3.18
3.18
3.18
1 3.18
3.18
3.18
3.18
3.18
Cadmium
2.81
2.81
2.81
2.81
2.81
2.81
2.81
2.81
2.81
2.81
2.81
2.81
Copper
330
330
330
330
330
330
330
330
330
330
330
330
Chromium
16.6
16.6
16.6
16.6
16.6
16.6
16.6
16.6
16.6
16.6
16.6
16.6
Lead
21.5
21.5
21.5
21.5
21.5
21.5
21.5
21.5
21.5
21.5
21.5
21.5
Mercury'
0.191
0.191
0.191
0.191
0.191
0.191
0.191
0.191
0.191
0.191
0.191
0.191
Molyb-
denum
8.34'
8.34
8.34
8.34
8.34
8.34.
8.34
8.34
8.34
8.34
8.34
8.34
Nickel
22.7
22.7
22.7
22.7
22.7
22.7
22.7
22.7
22.7
22.7
22.7
22.7
Selenium
12.4
12.4
12.4
12.4
12.4
12.4
12.4
12.4
12.4
12.4
12.4
12.4
Zinc
1790
1790
1790
1790
1790
1790
1790
1790
1790
1790
1790
1790
Total
Phos-
horus
24000
24000
24000
24000
24000
24000
24000
24000
24000
24000
24000
24000
Annual Heavy Metal Field Loadings (Calculated in lbs/acre):
Total
1j
L2J
3
4
5j
6 j
19110
11 j
12
DT/Ac./
H
c
App.
Event
y
Arsenic
0000
0000
;_�0 000
0000
0y 000
;, 0 00�0
0 000
Q 0.0`0
: 0000�
-0:000
0 0©00000a,0
000
Cadmium
J0€QQOr
0:000 `
A 000 .
Y0 OQO
0 000
.0 00,0 .
_ 0 000
0.000 .0
000. ,
` 0 „000'
% 0 OOOd
O'000
r, `0 000;''
Copper
0
0 :000
0 Q00„k
0 000 .
0 *000 g
4 0 000
0 000
0 OOOt
0` 000
t: 0 000,:
; O OQO
0 ".000
:0 OOO n
Chrome
0 OQO-
0 U0,0
0 000 `
0 000
0 000
Q -000
u O, OOO t
QOQO
0 000
' 0 000
O Y000
0, 000
000 ':
, ,
,
,
, g:,O
Lead
"` o-
� 0.000
�0 OQO ;
0 0`Q0
0.000
}OOO
; 0 09Q
0, 000 }
'0'000
O OOOx
0
O'000
.�
,;0 y:
.
.:
000
0 000�
Mercury
r 0 000 :
`„;QA00�
0 Q00 $
0 000
0000
0 000,
r 0 OOQ
u0 OOQr1
0, 000
t0-;000 ,,
0 000
000
0 000 *r'
aY
o 000
0 000
o 00o i
o 000
0 000
0 000
= `o 000
° o 000
0' o00
0 000
0 000
ox000
o 000t
um
Nickel
0 000
0 000
0 000
Qb
0, 000
000
0 000„
0 000
0:00,0
= 0 OOOa
O.OQ;O
}
,: ,0
Ov000 ,
0 000_;
Selenium
0 000
0
0 000
0 000
0 000
0 000„E
° 0 000:,
0 000
Q:000
=0 000=
0.0,0
0.000
;000
-
0 ;
0 OOOr
zinc0
000
0 000
0 000 LL
0 000
0 000,
'.� 000
Q.000,,:
>.. 0:000.=�
`O.00Q
„'0 000
0:000
0 000
Total
a
-------------
y
`x
Phos-
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
000
horus
,
, ,0
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 viol ions".
c
Signature of Land Applier Date
DENR FORM MFLSF (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:
Spring Lake WWTP Total Dry Tons Applied (Annual):
WQ0001086 Cation Exchange Capacity (non 503 only):
Richard E. Mendez Owner: Willie Calvin Brinkley Predominant Soil Series:
23.7 Acres Permitted: 23.7 Site #: 3 Field #:
FaB - Fuquay
5
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
Sample or
Com-
posite
Date
Ll J
8/28/18
1213j
8/28/18
8/28/18
L4]5
8/28/18
8/28/18
6
8/28/18
7 J
8/28/18
L8J9
8/28/18
J
8/28/18
LOJ
8/28/18
111112
8/28/18
8/28/18
% Solids
1.57
1 1.57
1.57
1.57
1.57
1.57
1.57
1.57
1.57
1.57
1.57
1.57
Arsenic
3.18
1 3.18
3.18
3.18
3.18
3.18
3.18
1 3.18
3.18
3.18
3.18
3.18
Cadmium
2.81
2.81
2.81
2.81
2.81
2.81
2.81
2.81
2.81
2.81
2.81
2.81
Copper
330
330
330
330
330
330
330
330
330
330
330
330
Chromium
16.6
16.6
16.6
16.6
16.6
16.6
16.6
16.6
16.6
16.6
16.6
16.6
Lead
21.5
21.5
21.5
21.5
21.5
21.5
21.5
21.5
21.5
21.5
21.5
21.5
Mercury,
0.191
0.191
0.191
0.191
0.191
0.191.
0.191
0.191
0.191
0.191
0.191
0.191
Molyb-
denum
8.34
8.34
8.34
8.34
8.34
8.34
8.34
8.34
8.34
8.34
8.34
8.34
Nickel
22.7
22.7
22.7
22.7
22.7
22.7
22.7
22.7
22.7
22.7
22.7
22.7
Selenium
12.4
12.4
12.4
12.4
12.4
12.4
12.4
12.4
12.4
12.4
12.4
12.4
Zinc
1790
1790
1790
1790
1790
1790
1790
1790
1790
1790
1790
1790
Total
Phos-
horus
24000
24000
24000
24000
24000
24000
24000
24000
24000
24000
24000
24000
annual Heavy Metal Field Loadings (( alculated in lbs/acre):
Total
11
L2]L3J
L4J
L5J
6
7
8 J
9 1
10
11
12
DT/Ac./
o
App.
p:
Event
Arsenic
*0 OQ0
0 000
O, O100
0 00.0
; 0 OOQ r
,.;Qi.OQO0
000
0.0040.
, Q 000
0 dOd
0 000
O.OpO
? t`0 000' ;
Cadmium
0 OQ0
O y000
OOQ
0 000
0 000
0 000
0}000
0 0.00
QvOQO•
0 000;'
' 0
,0
;
`
Copper
0, 000
0000
4 0 000
0 000
0 000
.0 000
0 000
0 000
Q 000
0 OQQ
0 00:0
0,0000
r,
000
Chroiruu
0 OQO0,000
_,0 000 =
0 00.0
0 000
0 000
` 0 O00
0 OOOw°000
0 000..
0 0`00,
'',0 Oti�O
.
;zQ:'0.00 ,
F.
Lead
00
moo,
0 0000
000
0 000}
" 0 Q00
0 000
0,000
0 O:OQ
0 000,
i 0 0_00 ;
`
,
,
000
0 Q00
:,0 000
Mercury
°'xQ00:0
0.000
`.0 000
Q 000` §
>0"000
0 OOQ,
0 Q00
0 000
0.000
a0,00Q
"
Molyb-
Os000
_v A0 000
0 000 ,
Y 0 000
03000
0 000
0 000
0 000
Of000 '
0 000,.
< 0 OQO
0 000
0 000
denum
=_
-
-
x h
-a
_•
d
,� ,
Nickel
0 0000
000;,
0 000
0 00,0
O Q00
�.0 000
0000
Or0.00
Q`.000.
0 000r=
Q OQO
0 000
0 000 Y.
Selenium
0 000
0.00Q
0 000„
0-000 ,
; :Q000
Q 000 ;
0 000,
0, 0300
U:000
w0 000 '
0 000
Q.`000`
r ,0 000 z
Zinc
0`000
`0 '000
0 000 =:
0 000
Q QOQ <
', U 000 Y
' 0 000.
0 000
0000
"0 000 :
0 000
'.=0.000
0 000 '-°
Total
{
P -
hos
0 000
00 00.
�0�000°
0 .0.00��
'O:O.QOh'
'Oc00.0`
:000`'`'"0:`000;r
-0600:`-•-00
horus
_
-
_
_ _ _
-
- - -
-
"
-
-
_ i+�
}' `:%.
,00�0:0005
1,
-
�_
�F"
I
-
_
-
I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with
a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am
aware that there are significant penalties for submitting false information, including the possibility of fines and
imprisonment for knowing viol 'ons".
Signature of Land Applier Date
DENR FORM MFLSF (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: Spring Lake WWTP Total Dry Tons Applied (Annual):
Permit #: WQ0001086 Cation Exchange Capacity (non 503 only):
Operator: Richard E. Mendez Owner: Willie Calvin Brinkley Predominant Soil Series:
Acres Used: 29.9 Acres Permitted: 29.9 Site #: 3 Field #:
FaB-Fuquay
6
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
Sample or
Com-
posite
Date
1
8/28/18
2
8/28/18
3
8/28/18
4
8/28/18
5
8/28/18
6
8/28/18
7
8/28/18
81
8/28/18
791
8/28/18
Poi
8/28/18
11
8/28/18
12
8/28/18
% Solids
1.57
1 1.57
1.57
1.57
1 1.57
1.57
1.57
1.57
1.57
1.57
1 1.57
1.57
Arsenic
3.18
3.18
3.18
3.18
3.18
3.18
3.18
3.18
3.18
3.18
3.18
3.18
Cadmium
, 2.81
2.81
2.81
2.81
2.81
2.81
2.81
2.81
2.81
2.81
2.81
2.81
Copper
330
330
330
330
330
330
330
330
330
330
330
330
Chromium
16.6
16.6
16.6
16.6
16.6
16.6
16.6
16.6
16.6
16.6
16.6
16.6
Lead
21.5
21.5
21.5
21.5
21.5
21.5
21.5
21.5
21.5
21.5
21.5
21.5
Mercury
0.191
0.191
0.191
0.191
0.191
0.191
0.191
0.191
0.191
0.191
0.191
0.191
Molyb-
denum
8.34
8.34
8.34
8.34
8.34
8.34
8.34
8.34
8.34
8.34
8.34
8J4
Nickel
22.7
22.7
22.7
22.7 1
22.7
22.7
22.7
22.7
22.7 1
22.7
22.7
22.7
Selenium
12.4
12.4
12.4
12.4
12.4
12.4
12.4
12.4
12.4
12.4
12.4
12.4
Zinc
1790
1790
1790
1790
1790
1790
1790
1790
1790
1790
1790
1790
Total
Phos-
horus
24000
24000
24000
24000
24000
24000
24000
24000
24000
24000
24000
24000
Annual Heavy Metal. Field Loadings (Calculated in lbs/acre):
Total
Ill
L2JL3J
L4 j5
6
7
8
9
10
11
12
DT/Ac./
c
App.
Event
y
Arsenic
0;0.00&
0:000 _
; 0; OOOY
0 000
0 000 ,
_. -0 XOQO,
t 0 000
0`OOD
,.
0 006 _x
OOQO
0 OrQO
` O;r000
;0 000 1
Cadmium
p 000
0:000.
=0 000">
0 000"
# 0::000
0 000',
0 000
Q.00
Q>Q00;
v 0 OQ0
0 OQO>
OOO ti
,0
Q;000
O
Copper
O.00tO
0:000
„A000.;-
0.000
0;000 ,
;0 000 i
0 OOQ
„ 0 000 .
0 000 _
„# Oy00Q
Q 000
` 0 000 `P
Chromic
0,#
7,0`000. ,
. O OQO°"
O O,Q
0°Q00 ,
„0€000
' 0 000
0 000
0 000
: 0 000=_'
O OQFO
O.y0o0
0 000,.
Lead
00. QO' _
0 00'0
0 000
0 OQ;O
0:000
0:000:
. „
y
Mercury
vz0 Q°00
i
OOOQ,,
; 0 000 '
0 000
0w
;;-0 000 ;
0 000
' 0 000
T Q 000 `
= 0 000`
0 000'"
Q"000 :
0 000 xi
Molyb-
0 000
0 000
0 000 �
� 0 000
Or000
O'000`
0 000
0 000
;
0 000'
0 000-
0 000
0 000
000,
denum
,
;0 r
Nickel
0 0:00
0000`-,
'`00.00`
0:00
F
t f
Selenium
` O ;OQO
0 000
;0 OOO u
0 00'0
f Q
000
m 0 000 :
, 0 000 ,
; 0 000
0.000 F
` 0 000`a:
; OOQO
Q OOO,;
`> 0 000 `'
Zinc
.Q000::
-`'0000
0 000
TOr00Q „`
' Q:000 '
0 000
9`g0.0
O'000
O'=0Q`0.''
.0:000$�
0 000
0000
Total
Phos-
0 000
0.000
<0 000 :
0 000.:..0"000
0 000 ;
0 000
0::000
0;000
', 0 000.`
horus
-
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with
a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am
aware that there are significant penalties for submitting false information, including the possibility of fines and
imprisonment for knowing violations".
Signature of Land Applier Date
DENR FORM MFLSF (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: Spring Lake WWTP Total Dry Tons Applied (Annual):
Permit #: WQ0001086 Cation Exchange Capacity (non 503 only):
Operator: Richard E. Mendez Owner: Willie Calvin Brinkley Predominant Soil Series:
Acres Used: 15.2 Acres Permitted: 15.2 Site #: 3 Field #:
FaB-Fuquay
7
Residual Analysis Data (Heavy Metals and Total Phosphorus use mp-/kLy, % Solids use Raw Percent #):
Sample or
Com-
posite
Date
Ll J
8/28/18
2 J
8/28/18
3
8/28/18
4
8/28/18
5 J
8/28/18
6
8/28/18
7
8/28/18
8j
8/28/18
v 9
8/28/18
LOJ
8/28/18
11 J
8/28/18
12
8/28/18
% Solids
1.57
1.57
1.57
1.57
1.57
1 1.57
1.57
1 1.57
1.57
1 1.57
1.57
1.57
Arsenic
3.18
3.18
3.18
3.18
3.18
3.18
3.18
1 3.18
3.18
3.18
3.18
3.18
Cadmium
2.81
2.81
2.81
2.81
2.81
2.81
2.81
2.81
2.81
2.81
2.81
2.81
Copper
330
330
330
330
330
330
330
330
330
330
330
330
Chromiurn
16.6
16.6
16.6
16.6
16.6
16.6
16.6
16.6
16.6
16.6
16.6
16.6
Lead
21.5
21.5
21.5
21.5
21.5
21.5
21.5
21.5
21.5
21.5
21.5
21.5
Mercury
0.191
0.191
0.191
0.191
0.191
0.191
0.191
0.191
0.191
0.191
0.191
0.191
Molyb-
denum
8.34
8.34
8.34
8.34
8.34
8.34
8.34
8.34
8.34
8.34
8.34
8.34
Nickel
22.7
22.7
22.7
22.7
22.7
22.7
22.7
22.7
22.7
22.7
22.7
22.7
Selenium
12.4
12.4
12.4
12.4
12.4
12.4
12.4
12.4
12.4
12.4
12.4
12.4
Zinc
1790
1790
1790
1790
1790
1790
1790
1790
1790
1790
1796
1790
Total
Phos-
horus
24000
24000
24000
24000
24000
24000
24000
24000
24000
24000
-
24000
24000
Annual Heavy Metal Field Loadings (Calculated in lbs/acre):
Total
1
2
3
4
5
6
7
8
9
10
11
12
DT/Ac./
H
c
App.
Event
15.58
Arsenic
0 000
Q °099
'r 0 OOOY'.
Q00
0 000
9.000; =
0
0 000
Q 000
. 0
0 O.Og2;r'
�0
,
}QOQ
R
} _
.. 40Q;
;0.OQO
_.. .,
....d...
0 099.=:
..
Cadmium
0 OQO
0.08$;`'
",0 0=00.
;:-;Q:�,00
0 000
0 000,.
` 0 OQ
0 Q.00
000,
�rO�Q,
O-661
vQ.00�
0 0$8
Copper
0 000
,1LLQ. 283
„0,000 ,
0 00:0,
�A000
0 000
0 OOQ '
0 000
Q'000
,. 0 000
0 000
OA000 '
ix`10 283
Chromi
0 000
0517
0 000 `,„
0.000
,0 q00;
_ 0�000�
0 00.0
- 0
QOQO ,-
0 000"`
0 OQO .,
,0;000 '
" 20 517 <<
Lead.'0
000
0 0,.Q=000:
0 0,00
0 000
0'"000
0
_
_,
670,;•
Mercury
0 O.QO
0 006
'0 000 '
; 0 00.0
0 OOOr j
b 000
Q00,OQO
Molyb-
0 000
0 260
0 000 ;
0 000
0 000
U` 000 .
h 0 000
0 000
0.000
0 000 =
0 000
0 000
0 260
denum
_ r3
`707
f
_ __
ii•Atw
S4¢_k..k _
Nickel
0 000
0
''g0 000 '
0 0Q0
0 000
0 000 ,
0 000.
0 0.00_
, O OQO
:; Q`OQOt
01000
0 000
Q 707
Selenium
O'000
0 386
0 OOQ _
0 000
_O.a000
Q'Q00 .;
O'000;
O Op0
0000 _
-A.00014 ;
0 OQO
0 000 ,
,0 386
Zinc
0 000`:`
`'S5 `7z76
'0 000, .
O'000 ,
0 000
';O:Q0,0 ,
0 000;
0 000
0:000
0000
0 Q00
0 •Q00
;55 776
Total:
a
Ph os-
000'
74 .840: 7
:;0:000'
<�;0:'000:•:
t "0:000.
.`0000>�
0:�0:000'�
OQ;.
O.Q06.•
• :OQ00'�
orus
,74.78,4"0
1 cernIy, under penaity 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 significant penalties for submitting false information, including the possibility of fines and
imprisonment for knowing . lations1°.
Signature of Land Applier Date
DENR FORM MFLSF (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: Spring Lake WWTP Total Dr y Tons Applied (Annual):
Permit #: WQ0001086 Cation Exchange Capacity (non 503 only):
Operator: Richard E. Mendez Owner: Willie Calvin Brinkley Predominant Soil Series: FaB-Fuquay
Acres Used: 4 Acres Permitted: 4 Site #: 3 Field #: 8
Residual Analvsis Data (Heavv Metals and Total Phoswhorus use nlg/kg. % Solids use Raw Percent #)-
Sample or
Com-
posite
Date
LIJ
8/28/18
L2J
8/28/18
L3JL4J
8/28/18
8/28/18
L5J
8/28/18
6 J
8/28/18
L7
8/28/18
8
8/28/18
9
8/28/18
10
8/28/18
11
8/28/18
12
8/28/18
% Solids
1.57
1.57
1.57
1.57
1 1.57
1.57
1.57
1.57
1.57
1.57
1.57
1.57
Arsenic
3.18
3.18
3.18
3.18
1 3.18
3.18
3.18
3.18
3.18
3.18
3.18
3.18
Cadmium
2.81
2.81
2.81
2.81
2.81
2.81
2.81
2.81
2.81
2.81
2.81
2.81
Copper
330
330
330
330
330
330
330
330
330
330
330
330
Chromium
16.6
16.6
16.6
16.6
16.6
16.6
16.6
16.6
16.6
16.6
16.6
16.6
Lead
21.5
21.5
21.5
21.5
21.5
21.5
21.5
21.5
21.5
21.5
21.5
21.5
Mercury
0.191
0.191
0.191
0.191
0.191
0.191
0.191
0.191
0.191
0.191
0.191
0.191
Molyb-
denum
8.34
8.34
8.34
8.34
8.34
8.34
8.34
8.34
8.34
8.34
8.34
8.34
Nickel
22.7
22.7
22.7
22.7
22.7
22.7
22.7
22.7
22.7
22.7
22.7
22.7
Selenium
12.4
12.4
12.4
12.4
12.4
12.4
12.4
12.4
12.4
12.4
12.4 1
12.4
Zinc
1790
1790
1790
1790
1790
1790
1790
1790
1790
1790
1790
1790
Total
Phos-
horus
24000
24000
24000
24000
24000
24000
24000
24000
24000
24000
24000
24000
Annual
heavy Metal k ielU Loadings
(Ualculated in lbs/acre):
Total
11
2 J
3
4
5
6
7
8
9
10
11
12
DT/Ac./
c
App.
Event
4.58
y
Arsenic
: OOzOQ
0029
0 000'.`
0 0000
000
, 0 000
: k0'.0;0.0
,0 Q00 `0
000
0 000'
0 Q405
00.;00:„:
`"0 0
Cadmium
0:000:
,_.�=026:;,
}3'.0:000.3
_0_ O
.0 (l��"4..:
� 00f-
O fhh, ..
n°nncl..:_:n
non..:
n nn�:
.`.n non
moon
&�,URMIA llLIARM mam9 m B 1 1 1 aNO j ja a ,off KIM1 1 lO(B1iURIA Ra0X611m11At1]d9I8Z A UJIG-118M K=11111 KIK11111M WINOW
Lead
1 Molyb-
denum 0 OOQ 0 076 0 000 , 0 000 0000 0 OOQ 0 000 0 000 O'000 :Q 000 ' 0 000 0.000 0 076
K...... .
Nickel -0 0Q0;' r.0:208`` 0. 0:00 ` 0,0'00 0 000 0 OQO i 0 000: 0 0.00:;{: ` :Q0,00 Q.00Q.'- aQ:OFQO 'y 0s000 0 208.
Selenium 0 0001 ,. Oa 14 .0{OOO F. Os000 0, 000 ;;Q 000 0.000' ` 0 000 " 0000 : 0 000: , 0000 0 000 0 114
Zinc 0 000 16396 , .0 000 0.r000 QQ00 0 000 i 0 OOQ; 0}OQ0 0:000� = 0 000';: 0 0,'0.0 0000 16 396;
Total =
Phos- 0 00;0 2iE9 840 0 000 0 000 0 000 , 0 000 0 000 0 000 0:000 0 000 = 0 000 0 000 219 840
h ru o s
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with
a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am
aware that there are significant penalties for submitting false information, including the possibility of fines and
imprisonment for knowing violations".
Signature of Land Applier Date
DENR FORM MFLSF (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: Spring Lake WWTP Total Dry Tons Applied (Annual):.
Permit #:
Operator:
Acres Used:
WQ0001086 Cation Exchange Capacity (non 503 only):
Richard E. Mendez
4.5 Acres Permitted: 4.5 Site #: 4 Field #:
Owner: Maybob E. Paye Predominant Soil Series: VaB-Vaucluse
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
Sample or
Com-
posite
Date
1 11
8/28/18
L2J
8/28/18
3
8/28/18
L4J
8/28/18
5
8/28/18
6
8/28/18
7
8/28/18
8
8/28/18
9
8/28/18
10
8/28/18
11
8/28/18
12
8/28/18
% Solids
1.57
1.57
1.57
1.57
1.57
1.57
1.57
1.57
1.57
1.57
1.57
1.57
Arsenic
1 3.18
3.18
3.18
1 3.18
3.18
3.18
1 3.18
3.18
1 3.18
3.18
3.18
3.18
Cadmium
2.81
2.81
2.81
2.81
2.81
2.81
2.81
2.81
2.81
2.81
2.81
2.81
Copper
330
330
330
330
330
330
330
330
330
330
330
330
Chromium
16.6
16.6
16.6
16.6
16.6
16.6
16.6
16.6
16.6
16.6
16.6
16.6
Lead
21.5
21.5
21.5
21.5
21.5
21.5
21.5
21.5
21.5
21.5
21.5
21.5
Mercury
0.191
0.191
0.191
0.191
0.191
0.191
0.191
0.191
0.191
0.191
0.191
0.191
Molyb-
denum
8.34
8.34
8.34
8.34
8.34
8.34
8.34
8.34
8.34
8.34
8.34
8.34
Nickel
22.7
22.7
22.7
22.7
22.7
22.7
22.7
22.7
22.7
22.7
22.7
22.7
Selenium
12.4
12.4
12.4
12.4 1
12.4
12.4
12.4
1 12.4
12.4
12.4
12.4
12.4
Zinc
1790
1790
1790
1790
1790
1790
1790
1790
1790
1790
1790
1790
Total
Phos-
horns
24000
24000
24000
24000
24000
24000
24000
24000
24000
24000
24000
24000
Annual Heavy Metal Field Loadings (Calculated in lbs/acre):
Total
11
L2JL3J
L4J
5 J
6
L 7
L8
9j
10
11
12
DT/Ac./
0
App-
Event
4.58
1.83
Arsenic
'
.; '0,'.OQO=
-
>.•0:029 ,
.:0:000:
' ';0:000:,'"
'.OQQQ..
:::0:.012 ;
+
.':, tO.O;OO:
`-00 '
A".0.. 0 :
. -'O':000
' "•0:000
Cadmium
, 0;00.0-
, =.,0 026 '.
' .0 000,{=
0 Q00
0 000
0.01'Q. a
` 0' OQ0 ..-:.O
OOQ:
'.0'.`0,00 =
y,O OQ0
0. 060
� �-0.`000',:
? 0;036
Copper
, 0_,:`0.00
3r:024°:,;,
0 000
0 Q00
1 208
0 000
O'000 `
0:000','
`0'OQO;.
0 000;
O'Q00
4231
,0,0`00
_
Chromi
0:000.:
°"'0152.,'-=O;OO;Q=:f
' `,0:000'°.
`a:OQOQ,
1 OQ6.1'''''`0000
"0 0:
Q.0_,
0;000;_;`0:0:00:
0-:000'„
Lead
;'0,000-
-
=;Q,1°97.:'
;QQ60:.
„0`:00.0:'
:'O:Q00'
- - _
:,0'079�";
- " 0' _
�Q;00-.
: 0000.
= 0:0.0.0`"
`_000:0"
_ ;00002
7
Mercury
: .0:000
Q:602 .
;;-O:OO:! V J
;0 000
O;Q00 .
,..Q 001 :::
O.OQO.
. 0 OOQ '.
0:000
0:000,
:; O Q00
00
0 0Molyb-
0:,002
0 000
0.076
=0 000
dQ:000
0 000
0 031
0 000
0 000
0:00`0
000
0 000
0:107'
Nickel
0.000
'020.8,^
0.':000 °
- 0.000
-0000 '
0:083'-`
; 0.000' ,
` '0.000 :
0000:
Q
Selenium
"'0 000 :
°'0 114 =
0 0.00"
` '0:000 `
:.=0 00 ' ::
0.
0:045
" 0:000 =
` .0:0:00,
0:0.00 .:.
-0'.000
: 0 0'00 '
0 006
- 0 =1:59
ZincOLQOQ'.
1;6v4Q1
.:9 000.
'O:QO,O
Q:000
;0;000
,. 22952
Total
-
r
Phos-
".O:OO.Q.
2.1'9:897
0 000�
;.0 000 :
,`'.0 000-'
-87 8, 0.
'4
- ,0. 000:=�
` 0<.000.-`
'..0:000-<<:
0 ��
..0:000�1.
''0:000`f-307.:737`�
horns
"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".
c
Signature of Land Applier
Date
DENR FORM MFLSF (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:
Spring Lake WWTP Total Dry Tons Applied (Annual):
WQ0001086 Cation Exchange Capacity (non 503 only):
Richard E. Mendez Owner: David Chatellier Predominant Soil Series:
9.1 Acres Permitted:
9.1
Site #: 5 Field #:
GaB-Gilead
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
Sample or
Com-
posite
Date
Ll
8/28/18
2
8/28/18
3
8/28/18
4
8/28/18
5
8/28/18
6
8/28/18
7
8/28/18
8
8/28/18
9
8/28/18
10
8/28/18
11
8/28/18
12
8/28/18
% Solids
1.57
1 1.57
1.57
1.57
1 1.57
1.57
1.57
1 1.57
1.57
1 1.57
1.57
1.57
Arsenic
3.18
1 3.18
3.18
3.18
3.18
3.18
3.18
3.18
3.18
3.18
3.18
3.18
Cadmium,
2.81
2.81
2.81
2.81
2.81
2.81
2.81
2.81
2.81
2.81
2.81
2.81
Copper
330
330
330
330
330
330
330
330
330
330
330
330
Chromium
16.6
16.6
16.6
16.6
16.6
16.6
16.6
16.6
16.6
16.6
16.6
16.6
Lead
21.5
21.5
21.5
21.5
21.5
21.5
21.5
21.5
21.5
21.5
21.5
21:5
Mercury
0.191
0.191
0.191
0.191
0.191
0.191
0.191
0.191
0.191
0.191
0.191
0.191
Molyb-
denum
8.34
8.34
8.34
8.34
8.34
8.34
8.34
8.34
8.34
8.34
8.34
8.34
Nickel
22.7
22.7
22.7
22.7
22.7
22.7
22.7
22.7
22.7
22.7
22.7
22.7
Selenium
12.4
12.4 1
12.4
12.4
12.4
12.4
12.4
12.4
12.4
12.4
12.4
12.4
Zinc
1790
1790
1790
1790
1790
1790
1790
1790
1790
1790
1790
1790
Total
Phos-
horus
24000
24000
24000
24000
24000
24000
24000
24000
24000
24000
24000
24000
Annual Heavy Metal Field Loadings (Calculated in lbs/acre):
Total
L 1 j
L2]3
4
L5J
6
7
L8J
L91
LOJ
11 J
12
DT/Ac./
o
App.
rt
Event
11.85
Arsenic0000
��, t .
0_00,0`'
tT �'N
W"0 000-"=.0<000
..� ''i` S
i .F' ,
0:,000'
iS . d
" 0 000
;.0,-000,0
x J
0'75
i
Oy000
t `� ti
i•2':.��.y. 2•- :4
i;c..•,�>': : d' <
0 000;
l t4"- � ` ':zz;.':
0 07a5a€
r:0:000;00007
_
Cadmium
Y�Y'r' _
0 000
->k. .:p
a 0000
� �. ..Y;�
r0sd0.0:0:0.0.0�
#, .�,y�N
iF,>, s��
000.0:00,0`
'�, v-1,,. �
L,.-h'
0000
.
::00'67ri
Copper
i •hd
` 0000
-
U:.000�
_ R,
0=:000:
z ��
;�tr0.00.0:
F
r`4tfM1 V' ..
:0 000.:
i00.0.0
i..
a$f�9>
;0:000''
:7_82a1.;
,Oh000
hronu
Mr ""
:.
Jti
,
N` ' 1 '
r
;
.Tt0
Lead
0 000
0,.00;0
> 0 000
� 0:000�
�OOQO->tt
;0:000
�LO';`000�W
0:5:10
;,
.,0.000 ,
w0.000
.A:5�1�0��
•-j0:000Y
.0..0"00�...
-z%N•-
77�)
Mercury
`
�'0�00.0 �
-a4-, ..�Y
-�0;.000:
•.0�000'�::
j
0:00`'S>;W
t.0000..:
�0:
.00:0
..'0:000.:'
-0°000�=
.
-0:0 .0'�
Molyb-
'r:
0000 ;
Q000
:0$000.'
000.0
Q:000 t..0000
:a
= 0000 "
0 198-;:
? 00;00''w
r0000
r 0:000
O'000
=:0 K
den
,.a ^
'•� . ..�-
ark-
�
X:�; :��.
- ,:,,:_ .
+.::.n:°. ..-�
s.:.e•._
�_ ,,
i=• �..:z; a"y_-
.�:
- `,.mot::, -
?.
.a;:..,>., _ -
Nickel
�0000
f
0;000
^3 m.
Q:000..
0 OQO
0
<:�0000
Or000
538
.
538
,000:
�0
Selenium
0000
0 :000
0 000;
e
�0000
0,00
0 294
000�O
QOQ`;
' O ;OOQ
; 0
`A294
:0`000_
0 ,000
n
;0
t
,0:
000�
_
Zinc
0 OQO
Wil
:YO ;
M000 '
0
0 000,
423,
0,000,
W
X,000.,
U00
QQ.Q_a°;0.000
. ,42
r ,0.000
0,
42`423
Total
« .4..
;k
K
Phos-00
:
0 000""
0 000
0;000,':568'800
0.000
:O,000i
0:000
0`000
568 800
h ru
o s
-
-
Csit'v!.
"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 'olations".
9-11-.2619
Signature of Land Applier Date
DENR FORM MFLSF (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: Spring Lake WWTP Total Dry Tons Applied (Annual):
Permit #: WQ0001086 Cation Exchange Capacity (non 503 only): .
Operator: Richard E. Mendez Owner: David Chatellier Predominant Soil Series: GaB-Gilead
Acres Used: 7.2 Acres Permitted: 7.2 Site #: 5 Field #: 2
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
Sample or
Com-
posite
Date
L11
8/28/18
L2J
8/28/18
L3J
8/28/18
L4J5
8/28/18
J
8/28/18
6
8/28/18
7
8/28/18
8
8/28/18
9
8/28/18
10
8/28/18
11
8/28/18
12
8/28/18
% Solids
1 1.57
1.57
1.57
1 1.57
1.57
1.57
1.57
1.57
1 1.57
1.57
1.57
1.57
Arsenic
3.18
3.18
3.18
3.18
3.18
3.18
3.18
3.18
3.18
3.18
3.18
3.18
Cadmium
2.81
2.81
2.81
2.81
2.81
2.81
2.81
2.81
2.81
2.81
2.81
2.81
Copper
330
330
330
330
330
330
330
330
330
330
330
330
Chromium
16.6
16.6
16.6
16.6
16.6
16.6
16.6
16.6
16.6
16.6
16.6
16.6
Lead
21.5
21.5
21.5
21.5
21.5
21.5
21.5
21.5
21.5
21.5
21.5
21.5
Mercury
0.191
0.191
0.191
0.191
0.191
0.191
0.191.
0.191
0.191
0.191
0.191
0.191
Molyb-
denum
8.34
8.34
8.34
8.34
8.34
8.34
8.34
8.34
8.34
8.34
8.34
8.34
Nickel
22.7
22.7
22.7
22.7
22.7
22.7
'22.7 1
22.7
22.7
22.7
22.7
22.7
Selenium
12.4
12.4
12.4
12.4
12.4
12.4
12.4
12.4
12.4
12.4
12.4
12.4
Zinc
1790
1790
1790
1790
1790
1790
1790
1790
1790
1790
1790
1790
Total
Phos-
horus
24000
24000
24000
24000
24000
24000
24000
24000
24000
24000
24000
24000
Annual Heavy Metal Field Loadings (Calculated in lbs/acre):
Total
11
2
L3J
L4J
5
6
7
L8J
9
10
11
12
DT/Ac./
App.
Event
5.30
Arsenic
Q0.9
0 w0_UO,.aA
0 000,
�,r:-
0 000
- -
Q
RY -
f 0 000
^tt^••:=w W _
0 000
- _
0:000;
0,34.
.i. e'� �^'�f' ^a,
0 00,0
__
034
w0 =_
}
_OQ9`LL
•'.
, _�0
s,a0 *QO:OaP
�0;0;00=
..0 :
Cadmium
-: 0.000==�
OOQO
_
�0':0.00,
Mai
SF}
��a 0.00.0�;:
O'00.0
A,000.0 ��
{'x
�T;,0:000�
-
` aL
�•EOOOD
.� .
.5�
r .0.000�`�
_ �:
,
_. .=,
-,0.030=���
:'000;0
�
- .0•00
.0.03'
Copper
0000
O,,Q,QU;
`0:000
0 009;
©:w000
0:0004,O.O.00z>>
3'498z
00,0°
0 Q00
O'OOQ:;
498
r0:U00
;.0
.�-
.3
-
Chromi
�'X}Fn �3
r"Q 000&0,,.000
�s.}4' -
�T x k'
0.000.
�
0 000
�
0 000
0 OQO
0 000
0 176
0 000
0 0,00
0.000
2w,.,...av
076 '
:x
. -,.
_..
G`
�0?00.0
-
w
„•.
Lead771-7
:v-.va,.,;'n•>-„_;._.:.,
,........:
rs,. ,4e�)..•.,h�,'4�
e3-....-v-=
-t...,.,..e✓.r_i.r-.
0.000 -
S,e}.ttF
<y
N w00.00,'22..0
eiv_.: ...�e.a_cE3°
V:3,..
-
8;=
Mercury
77-
Molyb-
0 000
0 OQOn='
OO.OQv=
0:000
0 000:=
°Q.0^88
denum
�
-
Nickel
:i'.',e'
Or000
��'
0:000
000
i
0 -000
0 000
:-3-
__ 0 000
0 000=Q
2410"000
0 000
'0;000
0 241,
=
¢,=0
;
Selenium0
0004w
0 000
0 000
0 OOO;`
Q000
0, 000
=`U0'000
000
0 131
0 000
Or0,00
0 0000131
f -
Zinc
0`0'OO;v;:r`;0'000
OQOOi'
0 000
0000;
0:;000;
0 000
18 974
0 000
0 000
=OA00
PO-QQO`'
..
,i`8=:974° �
Total
4:,•=
Phos-
'000O
0:0.00.
;�0:000��
-:0:0.00`';
=OQ00"'
:.OUf '0
0 -
0
Q. 00:
0:0.00.
°254.400
-
:0000+
°R�O:OU•0`'
000`�
':25440.0-
ho
-
rus
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with
a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am
aware that there are significant penalties for submitting false information, including the possibility of fines and
imprisonment for knowing violations".
Signature of Land Applier
Date
DENR FORM MFLSF (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:
Spring Lake WWTP Total Dry Tons Applied (Annual):
WQ0001086 Cation Exchange Capacity (non 503 only):
Richard E. Mendez Owner: David Chatellier Predominant Soil Series:
12.3 Acres Permitted: 12.3 Site #:
GaB-Gilead
5 Field #: 3
Residual Analysis Data (Heavy Metals and Total Phosphorus use-mg/kg, % Solids use Raw Percent #):
Sample or
Com-
posite
Date
1
8/28/18
2
8/28/18
3
8/28/18
4
8/28/18
5
8/28/18
6
8/28/18
7
8/28/18.
8
8/28/18
9
8/28/18
10
8/28/18
11
8/28/18
12
8/28/18
% Solids
1 1.57
1.57
1.57
1.57
1 1.57
1.57
1.57
1 1.57
1.57
1.57
1.57
1.57
Arsenic
3.18
3.18
3.18
3.18
1 3.18
3.18
3.18
3.18
3.18
3.18
3.18
3.18
Cadmium
2.81
2.81
2.81
2.81
2.81
2.81
2.81
2.81
2.81
2.81
2.81
2.81
Copper
330
330
330
330
330
330
330
330
330
330
330
330
Chromium
16.6
16.6
16.6
16.6
16.6
16.6
16.6
16.6
16.6
16.6
16.6
16.6
Lead
21.5
21.5
21.5
21.5
21.5
21.5
21.5
21.5
21.5
21.5
21.5
21.5
Mercury
0.191
0.191
0.191
0.191
0.191
0.191
0.191
0.191
0.191
0.191
0.191
0.191
Molyb-
denum
8.34
8.34
8.34
1.34
8.34
8.34
8.34
8.34
8.34
8.34
8.34
8.34
Nickel
22.7
22.7
22.7
22.7
22.7
22.7
22.7
22.7
22.7
22.7
22.7
22.7
Selenium
12.4
12.4
12.4
12.4
12.4
12.4
12.4
12.4
12.4
12.4
12.4
12.4
Zinc
1790
1790
1790
1790
1790
179.0
1790
1790
1790
1790
1790
1790
Total
Phos-
horus
24000
24000
24000
24000
24000
24000
24000
24000
24000
24000
24000
24000
Annual Heavy Metal Field Loadings (Calculated in lbs/acre):
Total
L11
L2J
3 J
4 J
L5J
L6JL7J
8
L9J
10 J
11 J
12
DT/Ac./
o
App.
Event
7.95
Arsenic
�
00,u,
° �0 0.
�•`
:
`:�0000..
,F
';O�O;OU`�
0.::0,0 0:�w�
0:.
_ h
`0 =
`0.. 0:0
�Q:000
y�,
.0.
tom, .:�
�00:0,0
_
�..
..
� _ _ _
.0�00
. �;0.05 t,=-
=:
� =
•�O::Q0.0,.
_0_05:1.-
_
Cadmium
-
n
-
_
Copper
-
Q
AO. n
i}
�� -�.
O:O.00.,w.
0 Ok..
77
r
s�.00.0� j
�,Q:;000;.
,
+,:0
:0�'f0 ^.•!
.0,
�0..0'QO
=0 <'0.
; �;000`U=><-
i>5:24:7=�:.7,0,000�w-
.,00:00 �.,
:,•5:247%-�,
Chrome
0
Pl0 264,E
Lead
-
'fY.
a� 5
�
,•,�
ram++ : .,;,,
: - �
-
�=--:�
- y
,� -
-
Mercury
O
O OOO K
0 °OOU`';M00`
JW
0 000.LL
"
W
M003__
M000?
0 000
$000
,OOOr`
.
000
0
`;0,003
MOlyb-`}-
Q:000:;Q:000.<-
+.."
00;0'=
' Oz0«00
enum
'�-
'"`
r0
-
-
s,,v.;;
Nickel
000° a�00,,
tf -
r=
M,Fr00
,
Selenium
' 0 000
0 `000 '
`0 000
0 000
0 000
0.000.;.
'; 0:0.00
0000
197'
0
0 000
000
;0.
; 000
,
0
, U0 19%,
Zinc
-:0 000
0.000
0 Q00=
;Q 00.0
0:000
Or 000
0 05
775
fl.y a
-
•
x,
- +�
`
Ph s-
.'.
0Tota1
��.
1:00
horus
_
-
_
"1 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".
,A4A "
-il'Zd(
Signature of Land Applie 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: Spring Lake WWTP WQ Permit #: WQ0001086 Field #: 1 Acres Utilized: 8
Land Owner: Spring Lake Annual Dry Tons Applied: QQ000 *' _ ;'; • :" Site #: 1 Acres Permitted: 8
Operator: Richard E. Mendez Predominant Soil Series: WmB-Wickham Cation Exchange Capacity (non 503):
Crop 1 Name: Bermuda Crop 1 Max. PAN: 220 Crop 2 Name: N/A Crop 2 Max. PAN:
0
w
°
° p
C °
A
Volume applied
PP
(enter one) Solids/ .
Liquid
Cu. Yds Gallons
%
Solids
Volume
Applied per
PP P
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert. Animal
Waste, etc )
Soil
Cond.
wry'
Wet
Moist)
Precip.
Past 24
Hrs.
inches
y
4 ,,
°
o iv
a
°
o
C
o
� �;
„ �•
* N'
?�
p
� 0
w .,
w
w
* FT.
0
TKN
mg/kg
Z
�
o 5
11 E!!
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
(lbs/acre)
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
January
0
1.57
': '_.0.000:; ,'''
SLWWTP
S
0.5
0.3
68200
16600
637
0000, ,`'
.°'vA;'
Bermuda
February.
0
1.57
= :, .0;000; ),
SLWWTP
S
0.5
0.3
68200
16600
637
Oi,00`0::';
'NA,xt:
Bermuda
March
0
1.57
',;;; `0:000;'', ;'
SLWWTP
S
0.5
.0.3
68200
16600
637
O,Q,QO ;;;,.TAz
;;
Bermuda
April
0
1.57
:;'- .00QO'`:`': ,`
SLWWTP
S
0.5
0.3
68200
16600
637
:;0:.000'.
• NA`::.
Bermuda
May
0
1.57
6.00,0,i`t.';
SLWWTP
S
0.5
0.3
68200
16600
637
0 000::,;
--`.:NA; =Bermuda
June
0
1.57
' i 0000;,:,.
SLWWTP
S
0.5
0.3
68200
16600
637~•O:OQ:O`'.,
i`; NA=,•:
Bermuda
July
0
1.57
`,: ���.``0:000':°°�:'
SLWWTP
S
0.5
0.3
68200
16600
637
�., Q:O.QO;�
;,.`;NA,.'a'
Bermuda
August
0
1.57
• ,=: t 0:000:- '•:"-
SLWWTP
S
0.5
0.3
68200
16600
637
',411q 00` ;:
; ; NA'..;,
Bermuda
eptember
0
1.57
„ ';O.OQO,= ;r',
SLWWTP
S
0.5
0.3 -
68200
16600
637
Bermuda
October
0
1.57,.0
000'n,;`
SLWWTP
S
0.5
0.3
68200
16600
637
O:OOQ;'
NA
Bermuda
ovember
0
1.57
= :0:000`"-'-'',
SLWWTP
S
0.5
0.3
68200
16600
637
Bermuda
December
0
1.57
"; ;`0:000:':",
SLWWTP
S
0.5
0.3
68200
16600
637
O QQO-
',•`NA. ":
Bermuda
Residuals Applications totals on FORM FSF supp ( attach FORM
FSF suPP to this form) :;
_ •" ' ';:
TOTALS:
ti'' 0
0
As
Cd
Cu
Cr
Pb
H
Mo
Ni
Se
Zn
P
`-_
0:000;
;; F0 0 04':>
Lime A lied
Annual lbs/acre
0000 ° :'.:
4.605
`4'.605 :.;'.
36
o.000 ;'
1.394
rtl 394 _.
'34
,:":0:000.";
59.875
`.°'59:875.;.
1338
=¢:o:000'
3.799
. 3:799,'
2677
os000 .:`
11.063
`l l-:Q63
1 267
o:.000 `
0.6101
J O.G10 :..
T 15
' :o ' o `
00
3.482
_3:482
16
"` ` "
0.00.0, <
9.2543
, 9.?54."
74
`, "'
t Q:000r
2.9904
2990;
89
-
o:000 ,:
179.95
179:950
2498
F ;A' op .?
::
::.:.:•:•:.:.>:.:.:.::•:•
Date
lbs/ac
Prior Years Cumulative lbs/ac
2018
0
Current Cumulative lbs/ac
Permitted C. P. L. R.****
Permit PAN Limit 1 t/2 s nd Crop
:; ,
a-rs
2 0:
"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, incjuding the possibility of fines and imprisonment for knowing violations."
' *Application Method: S - Surface, IN - Injection, INC - Incorporation
I lft-&'e-'f 2d/9 **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 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: Spring Lake WWTP WQ Permit #: WQ0001086 Field #: 2 Acres Utilized: 20
Land Owner: Tom Brooks Annual Dry 1 =`5`'"isrr` : D Tons Applied: 00©0, `,>n-, ,:�='F m Site #: 1 Acres Permitted: 20
Operator: Richard E. Mendez Predominant Soil Series:µWaB-Wagram Cation Exchange Capacity (non 503):
Crop 1 Name: N/A Crop 1 Max. PAN: N/A Crop 2 Name: N/A Crnn 2 Mnr- PAN -
N/A
Volume applied
o � PP •
Volume
Soil
Residual Sources Precip.
Cond.
,may
c
�
z �
Nitrate
Name of Crop Type
(enter one) Solids/
0
%
Applied per
PP P
(NPDES #, WQ#, Past 24
co
�,
�,
a; .,
TKN
o
and
PAN Applied
ReceivingResidual
C o Liquid
A
Solids
Acre
(Dry,
Fert., Animal Hrs.
�'
o w
°
* N
°'
N
00 °
?
Nitrite
lbs/acre
( )
A lication
PP •
Cu. Yds Gallons
(DryTons/Ac)
Waste etc) Wet' Moist) inches
*
*
mg/kg
mg/kg.
mg/kg
Crop 1 Crop 2
Crop 1 Crop 2
January 0
�l
1.57
"`-si0000
SLWWTP
S
0.5
0.3
68200
16600
637
„:,•,
February 0
1.57.0'."Q00
r':
SLW WTP
S
0.5
0.3
68200
16600
637
March 0
1.57
'q:0'QQt< S'
SLWWTP
S
0.5
0.3
68200
16600
637tiQO'90''
O:AOQ;O'
April 0
1.57
4,=Q 1#00;yj
SLWWTP
S
0.5
0.3
68200
16600
637
May 0
1.57
SLWWTP
S
0.5
0.3
68200
16600
637
^`0?:QO'0 .r,0%QOQ s`
June 0
1.57
�
-' �'.00.QO���'
SLWWTP
S
0.5
0.3
68200
16600
637
July 0
1.57
_
t.000Q`;
SLWWTP
S
0.5
0.3
68200
-16600
637;
0€Q0,0yx a ',UQ00:
August 0
1.57
;'_` 0;000, „`;
SLWWTP
S
0.5
0.3
68200
16600
637Q00.0
eptember 0
1.57,
';Q'Q00 `
SLWWTP
S
0.5
0.3
68200
16600
•637w0
October 0
1.57
SLWWTP
S
0.5
0.3
68200
16600
637
. ; .A
<<',000Qs
ovember 0
1.57
y', a;"O:U0,0: r;'
SLWWTPi
S
0.5
0.3
68200
16600
637
-6.
=,
qQO?
December 0
1.57
u
SLWWTP
S
0.5
0.3
68200
16600
637
Residuals Applications tots
pp is on FORM FSF supp (attach
FORM FSF supp
to this form):
,x x =rh
TOT x:'''e ,
AM: Z =•'z�."
As
Cd Cu Cr
Pb
H
Mo
Ni
Se
Zn
P
> ".,,.�',
�•> ..-�,vh : a:..�
', �
`.��0400,07��- ��;o�io0o��
........ lied .
Lime A lied
Annual lbs/acre
w.0900'-
r.M',
;s_. �"" � �� �'" y
•.,, _,,,, . On000 0 000 0 000
� �'�� '�
0 000 " � 000��
��}�° `, �-
0 000 � O
„• , .. _ ma:0,000
.
,,
�
OOOw,
Date lbs/ac
Prior Years Cumulative lbs/ac
0
0
0
0
0
0
0
0
0
0
2018
0
Current Cumulative lbs
�
'
77
--„��A
.Oa000«r
•-0:0005`
2498
Permitted C. P. L. R.
36
34
1338
2677
267
15
16
74
89
Permit PAN Limit 1 st/2nd Crop
-
F.•,N
%X1 My, u,iuer penalty of law, inai tms aocument 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
informatiop, in ding the possibility, of fines and imprisonment for knowing violations."
*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 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: Spring Lake WWTP WQ Permit #: WQ0001086 Field #: 2 Acres Utilized: 17,2
Land Owner: Tom Brooks Annual Dry Tons Applied: I0000.0': _ " ` s Site #: 2 Acres Permitted: 17.2
,. ,-
Operator: Richard E. Mendez Predominant Soil Series: BaB-Blaney Cation Exchange Capacity (non 503):
Crop 1 Name: N/A Crop 1 Max. PAN: N/A Crop 2 Name: N/A Crop 2 Max. PAN:
N/A
,�
o S
y o
Q
Volume applied
PP
(enter one) Solids/
Liquid
Cu. Yds Gallons
%
Solids
Volume
A hed er
PP P
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste etc)
Soil
Cond.
D
Wets
Moist)
Precip.
Past 24
Hrs.
inches
Y
4 b
oa w
*
o
03 :
*
o'
* w'
*
TKN
mg/kg
Z
8 o
CD 0•
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
(Ibs/acre)
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
January
0
1.57
SLWWTP
S
0.5
0.3
68200
16600
637
0;000'��:,_:0'�000�.:
February,
0
1.57
: ;. 0000 . ^.
SLWWTP
S
0.5
0.3
68200
16600
637
March
0
1.57
.,0:000 L: ''
SLWWTP
S
0.5
0.3
68200
16600
637
April
0
1.57
-,`0000 :, :':
SLWWTP
S
0.5
0.3
68200
16600
637
0„OQO'•.
' 0;00:0``;;
May
0
1.57
_, .:= .000Q ::,
SLWWTP
S
0.5
0.3
68200
16600
637
June
0
1.57
-,:0#000%w`
SLWWTP
S
0.5
0.3
68200
16600
637
July
0
1.57
.a:,';•`.0600;: --
SLWWTP
S
0.5
0.3
68200
16600
637
Q:QO.O';
August
0
1.57
0000'' 4
SLWWTP
S
0.5
0.3
68200
16600
637
Q.,QOO
eptember
0
1.57
:; `0000'; °;
SLWWTP
S
0.5
0.3
68200
16600
637
:.
October
0
1.57
;. 1.�9i000:`;,;" r'
SLWWTP
S
0.5
0.3
68200
16600
637
ovember
0
1.57
= "";'0.-00,0-: F ;
SLWWTP
S
0.5
1 0.3
1 68200
1 16600
637
December
0
1.57
; ,:O:000r;.. ,
SLWWTP
S
0.5
1 0.3
1 68200
1 16600
637i'Q;.00.Q
.;'.'::„
...
,. :•a.....
Res'
idu als Applications totals on FORM FSF supp (attach FORM FSF supp to this form):
TOTALS:
U
0
As
Cd
Cu
Cr
Pb
Hg
Mo
Ni
Se
Zn
P
, ;000,0
` :0:000..'=
Lime AP21ied
Annual lbs/acre
u„O:OO.Q';',a
':0'.000.
=:000.0`
,`0°000';
0:000
;0.00.0':
, 0!.000 _-
,��0:.000`_`
l`;0000 :
` 0:000
d 000 -
Date
lbs/ac
Prior Years Cumulative lbs/ac
0
0
0
0
0
0
0
0
0
0
2018
0
Current Cumulative lbs/ac
0.000-• -'.
:0':00'0:
`: 0000
y�'
0000..,
::00 "o`;
0:
'
O:OnO`;,
,'0000"
'O;UOQ'.:
;.-
0:000'`'
:0:000"
Permitted C. P. L. R.****
361
34L
1338
2677
267
15
16
74
89
2498
Perinit PAN Limit lst/2nd Crop
/A
"1 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, incg9ding the possibility/9f fines and imprisonment for knowing violations."
Signature of Land
*Application Method: S - Surface, IN - Injection, INC - Incorporation
**Volatilization Rate: Surface - 0.5, Injection/Incorporation -1.0
Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: Spring Lake WWTP WQ Permit #: WQ0001086 Field #: 2 Acres Utilized: 32
Land Owner: Tom Brooks Annual Dry Tons A PP lied• O�Q0,0'0
.,;.:.h.'. ;:;m F•, Site #: 3 Acres Permitted: 32
Operator: Richard E. Mendez Predominant Soil Series: Dp-Duplin Cation Exchange Capacity (non 503):
Crop 1 Name: N/A Crop 1 Max. PAN: N/A Crop 2 Name: N/A Cron 2 Max_ PAN -
N/A
applied
Volume
Residual Sources
SoilVolume
Precip.
a
�
Nitrate
Name of Crop Type
o(enter
s~
one) Solids/
%
A lied er
PP P
(NPDES # WQ# �
Cond.
Past 24
co �
w w
w .,
w
TKN
0 o
and
PAN Applied
Receiving Residual
Cu
Liquid
Solids
Acre
Fert., Animal
(Dry,
Hrs.
15 o
oa
S -
a
* w
°Q
w.
Nitrite
lbs/acre
( )
Application
A
Cu. Yds Gallons
(Dry Tons/Ac)
Waste, etc)
Wet
Moist)
inches
*
*
* o"
0
mg/kg
mg/kg
mg/kg
Crop 1
Crop 2
Crop 1
Crop 2
January
0
1.57
=•, _'0:000: .'
SLWWTP
S
0.5
0.3
68200
16600
637
February.
0
1.57
' ,' :Oi000:.: ;.,
SLWWTP
S
0.5
0.3
6 2200
16600
637
March
0
1.57
SLWWTP
S
0.5
0.3
68200
16600
637
April
0
1.57
'`; O'yQ00;?.`. ';
SLWWTP
S
0.5
0.3
68200
16600
637
000.0
0:000 .
May
0
1.57
.:.•=;O,;OOQ ?..;
SLWWTP
S
0.5
0.3
68200
16600
637
June
0
1.57
';=.:.0:000;''•:':.
SLWWTP
S
0.5
0.3
68200
16600
637_,0:0:00`=,QQ;00'.":
July
0
1.57
1_;r= ; 0:4000;
SLWWTP
S
0.5
0.3
68200
16600
637
August
0
1.57
O:QQO=;`°;, 1
SLWWTP S 0.5 0.3
68200 16600 637
-'r';0 000<;
* q;;ok
eptember
0
1.57
>-:'0:000�;<<,
SLWWTP S 0.5 0.3
68200 16600 637
October
0
1.57
`,',0:000_ ;-;; °
SLWWTP S 0.5 0.3
68200 16600 637
0 000,E
->_6- `.
ovember
0
1.57
;°y0.000`. ;.
SLWWTP S 0.5 0.3
68200 16600 637
0000'",
' 0„000`';•
December
0
1.57
_:•:'0000.';-';-•
SLWWTP S 0.5 0.3
68200 16600 637
Residuals Applications totals on FORM FSF su attach FORM
pp (
FSF
F supp to this form):
` a `:r^
-'k
... •:,
:::: >:
:: :::.•.
TOTALS:
As
Cd
Cu
Cr
Pb
H
Mo
Ni
Se
Zn
P
0000°
_
;0:;0:00:.
LimeA lied
Annual lbs/acre
'0:000.-';
0
'-:UoO`,
0
; o:,000 :
0
o 000 V'
0
,° o 000; F
0
.o:000`"
0
'-,0:000 =
0
-.o:o O.Q r
0
_ :o 000;
.- 0;90"0;:'
:;_0000. • :::< ::::::::::: >::
Date
lbs/ac
Prior Years Cumulative lbs/ac
0':0 ` ` ` .
00,
J`: "' '
0.000.
0.,000_ :
,; 0;'000 :'
':; 0 000 = �
1.:':0;00.0'<<
0:000';`
0.00,0,...
0
0
0.,004;'
2018
0
Current Cumulative lbs/ ac
36
34
1338
2671
267
_
15
16 y
74
,Q:.00,Oa;
" 89
;,
2498
Permitted C. P. L. R.****
Permit PAN Limit l st/2nd Crop
P
:
«.,
; .: f • , ., , ., ,: - ,'-
/A
GC1 &,,JLy, U,tUrl PCllalty ut iaw, tnat tnis uocument was prepares 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 possibil• of fines and imprisonment for knowing violations."
*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
v
DENR FORM FSF (12/2006)

ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: Spring Lake WWTP WQ Permit #: WQ0001086 Field #: 2 Acres Utilized: 8
Land Owner: Tom Brooks Annual D Tons App • ry lied.lO,Ob,O:r.z= Site 4 #:
Acres Permitted: 8
Operator: Richard E. Mendez Predominant Soil Series: WaB-Wagram Cation Exchange Capacity (non 503):
Crop 1 Name: N/A Crop 1 Max. PAN: N/A Cron 2 Name: N/A ("ran 2 May PAN-
N/A
Volume applied
pp
o
Volume
Soil
Residual Sources
Cond.
Precip.
�y
C
o
5•
Z��
Nitrate
Name of Crop Type
4 (enter one) Solids/
oho
Applied per
(NPDES #, WQ#,
Past 24
�?
K
m g
TKN
o i3
0
and
PAN Applied
ReceivingResidual
cd Liquid
A
Solids
Acre
Fert. Animal (Dry'
Hrs.
o w
°
CD w
w'
00 °
w
Nitrite
(lbs/acre)
Application
Cu. Yds Gallons
(DryTons/Ac)
Wet,
Waste, etc) Moist)
inches
a
*
*
mg/kg
mg/kg
mg/kg
Crop 1 Crop 2
Crop 1 Crop 2
January 0
1.57
Y4 ,Oh.UQO?:' --,
SLWWTP
S
0.5
0.3
68200
16600
637
;;Q`sQ0:0 s,z0?0'00;;
February. 0
1.57;
% Q`OQ;O^
SLWWTP
S
0.5
0.3
68200
16600
637
March 0
1.57
`,a'O;Q00^`'-`s
r'Y�,
SLWWTP
S
0.5
0.3
68200
16600
637
r-a
April 0
1.57
^'^ti0:000r
=�x',... �KY
SLWWTP
S-
0.5
0.3
68200
16600
637b0
000,. r
May 0
1.57
h1 Q40Q;r
SLWWTP
S
0.5
0.3
68200
16600
637
June 0
1.57
�0,000; r,
SLWWTP
S
0.5
0.3
68200
16600
637
OOOOr�ti',"b0'00'
Jul 0
y
1 .57
:{:: r
,`Q0;0;0'r ,
'�� '';;
SLWWTP
S
0.5
0.3
68200
16600
637
-
August 0
1.57
!>"<"n 0a0Q0; '>:'
o>-T_..., .. .. _. :
SLWWTP
S
� 0.5
0.3
68200
16600
637
,, _.,....
eptember 0
1.57?``°
0 OQO-% ;-
SLWWTP
S
0.5
0.3
68200
16600
637
TMz 0;000'=,f !<' Og00°=
October 0
1.57
"."»;+,0:;00;0;.:;',:i:
SLWWTP
S
0.5
0.3
68200
16600
637
,'.w}' �;'r�.•
0 000 ,0 000
ovember 0
1.57
O'000
SLWWTP
S
0.5
0.3
68200
16600
637
0;000" }OO,OOa`
ecember 0 1
1.57
r;Q:,OQQM. F", .
SLWWTP
S
0.5
0.3
68200 1
16600
637
a 000.0= w-y0s00,0;~.`,
- s.
Residuals Applications totals
on FORM FSF su attach FORM FSF su
PP (
pp to this form):
• �� : *'T
TOTALS: NE"i;x`'' 0 . `>>:; ;KO
As
Cd Cu Cr
Pb
Hg
Mo
Ni
Se
Zn
P
;,� ;
0 000;
Lime A lied
Annual lbs/acre
0000` 0 000 0 000
0. Q'00 OObO„„ 0 000 0 O0O Oc000 µ;
Or000 0 000'm
.�
s
:::::::::::::: :::':: : »:::
Date lbs/ac
Prior Years Cumulative lbs/ac
0
0
0
0
0
0
0
'..
0
0
0
Uea8o
2018
0
Current Cumulative lbs
r..
-"-7'.
! .
_:0
Permitted C. P. L. R.****
36
34
..a..::'.
1338
..
1 2677
267 1
15
1 16
74
.0.
89
_.'..0'2uf'4wO9_N`'.'
Permit PAN Limit 1 st/2nd Crop
r 2 rs
'`N/^
. G. uiy, u„uC,- Pc„any ut law, tuat tnis aocument 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 nes and imprisonment for knowing violations."
*Application Method: S Surface, IN - Injection, INC - Incorporation
dal9 **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 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: Spring Lake WWTP WQ Permit #: WQ0001086 Field #: 2 Acres Utilized: 13.3
Land Owner: Tom Brooks "
Annual Dry Tons Applied: Site #• 5 Acres Permitted: 13.3
Operator: Richard E. Mendez Predominant Soil Series: WaB-Wagram Cation Exchange Capacity (non 503):
Crop 1 Name: N/A Crop 1 Max. PAN: N/A Crop 2 Name: N/A Cron 2 Max. PAN:
N/A
�.
Volume applied
pp
Volume
Residual Sources
Soil
Cond.
Precip.
>
4
<
c
4
Z �
Nitrate
PAN Applied
Name of Crop Type
y o
(enter one) Solids/
%
Applied per
PP P
(NPDES #, WQ#,
Past 24
n b
w
w
TKN
o
and
Receiving Residual
Liquid
Solids
Acre
Fert., Animal
D
( ry'
firs.
o
* N'
t
a0
co
Nitrite
(lbs/acre)
Application
A
Cu. Yds Gallons
(Dry Tons/Ac)
Waste etc
Wet,
Moist)
inches
n* -•
?;
# w.
0
mg/kg
�,
mg/kg
mg/kg
Crop 1
Crop 2
Crop 1
Crop 2
January
0
1 1.57
.•'"0:000^,.'>
SLWWTP
S
0.5
0.3
68200
16600
637
*
r
February
0
1.57
".-`::.0.000;',-%.,
SLWWTP
S
0.5
0:3
68200
16600
637
March
0
1.57
- %:0.0�00��-�',
SLWWTP
S
0.5
0.3
68200
16600
637
;• t0:000,'�a
r ,Q000`;^;
April
0
1.57
' 0.000-` �:
SLWWTP
S
0.5
0.3
68200
16600
6370`';
May
0
1.57
70.006`=
SLWWTP
S
0.5
0.3
68200
16600
637
June
0
1.57
'::;0 000 ' ;.,
SLWWTP
S
0.5
0.3
68200
16600
637
0 00:0'r''
,-- A000 ,
July
0
1.57
SLWWTP
S
0.5
0.3
68200
16600
637
August
0
1.57
O'.'QOO;,,;i,
SLWWTP
S
0.5
0.3
68200
16600
637
ep tember
0
1.57
SLWWTP
S
0.5
0.3
68200
16600
637
October
0
1.57
'• , 0:000: ` ;
SLWWTP
S
0.5
0.3
68200
16600
637
" ;Q000' -
•,;0:'0;0'0';;
ovember
0
1.57
- -0':0.00�' -'
SLWWTP
S
F 0.5
0.3
68200
16600
637
December
0
1.57
;:;,� O:QO,O;r:,',
SLWWTP
S
1 0.5
0.3
68200
16600
637
'`
:
Residuals Applications totals on FORM FSF supp (attach FORM
FSF su pp to this form):
,
.
TOTALS:
:0
; 0
As
Cd
Cu
Cr
Pb
H
Mo
Ni
Se
Zn
P
: .0`000;
; ,0 00:0a,:
Lime Applied
lied
Annuallbs/acre:000,:.0:00'0:'.:0000,
0
0
0
0
: 0:000=;':
0
_:0000
0
:0000:
0
'0.000':
0
:'0:0 '`
9or.
0:000.:
; 0.0:0.0,::. .................
Date
lbs/ac
Prior Years Cumulative lbs/ac
0:000;:::',
36
. 0:000 ,
34
1338
.......r
2677
. ,.. :.
267
0:000`~
; ; . . , , ,
15
...
16
74
0
89 1
0
2498
......................:.:.:.:.:......................
2018
0
Current Cumulativelbs/ac
Permitted C. P. L. R.****
Permit PAN Limit l sb2nd Crop
- dN;,N-- ,•r .r
/A.
I UC. Uuy, under penany of iaw, inat ims aocument 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
informatio% me ing the possibility of nes and imprisonment for knowing violations."
4 C' *Application Method: S - Surface, IN - Injection, INC - Incorporation ,ku1 .7a **Volatilization Rate: Surface - 0.5, Injecti.on/Incorporation -1.0
*** Mineralization Rates: Compost -0.1, anaerobially digested -0.2, Signature of Land Applier Date
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL LAND APPLICATION FIELD SUMMARY FORM.
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
Facility Name: Spring Lake WWTP
Land Owner: Tom Brooks
Operator: Richard E. Mendez
Crop 1 Name: N/A
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
WQ Permit #: WQ0001086 Field #: 2 Acres Utilized: 13
Annual Dry d: x0000>'� >e "��' ` >�`
ry Tons Applied: s ��. ��,����,�,„��^; � �•`�:��;�� Site #• 6 Acres Permitted: �F, � d � ed: 13
Predominant Soil Series: WaB-Wagram Cation Exchange Capacity (non 503):
Crop 1 Max. PAN: N/A Crop 2 Name: N/A Crop 2 Max. PAN: N/A
o
Volume applied
Volume
Residual Sources
Soil
Cond.
Precip.
y
c
z
Nitrate
Name of CropType
o
(enter one) Solids/
%
Applied per
PP P
(NPDES #, WQ#,
Past 24
co b
�;
�,
w
�
TKN
o
C
and
PAN Applied
Receiving Residual
c�
Liquid
Solids
Acre
Fert., Animal
may,
Hrs.
0 o'
°a.
n'
w
* w
(4
w.
Nitrite
lbs/acre
( )
Application
A
Cu. Yds Gallons
(Dry Tons/Ac)
etc Waste, )
Wet
Moist)
inches
*
*
°p
*
mg/kg
mg/kg
mg/kg
Crop 1
Crop 2
Crop 1
Crop2
January
0
1.57
O:Qolgle
SLWWTP
S
0.5
0.3
68200
16600
637
February
0
1.57
:'c-0Q00 v
SLWWTP
S
0.5
0.3
68200
16600
6370:000
March
1
0
1.57
,: y:0:0`00; .`}"t.,w.......
9°`
SLWWTP
S
0.5
0.3
68200
16600
637
�04.00:0nW`0
0;00
April
0
1.57
`.00010Y.krr
SLWWTP
S
0.5
0.3
68200
16600
637
May
0
1.57
;r'QQ,00
SLWWTP__...F,
S
0.5
0.3
68200
16600
637
0000;.:
r,a0.Q0U'
June
0
1.57
0 000
SLWWTP
S
0.5
0.3
68200
16600
637
July
0
1.57
'a`;;°O:OQO'.;`h �:
SLWWTP
S
0.5
0.3
68200
16600
637Q.0:0'
+0�0400.Y;
August
0
1.57
{fi0z000 y
SLWWTP
S
0.5
0.3
68200
16600
637
^
;ti'0 000_
eptember
0
1.57?000U"`
SLWWTP
-S
0.5
0.3
68200
16600
637
"
October
0
1.57
, =y010'Q'6';! w
SLWWTP
S
0.5
0.3
68200
16600
637;'0`:0'O,Q`s„rt;
j0'004 ;
ovember
0
1.57
P;::`=0`QQQa
SLWWTP
S
0.5
0.3
68200
16600
637
ecember
0
1.57
r:;'.'„ U;QQ:O:
SLWWTP S 0.5 0.3
68200 16600 637
<r '
Residuals A lications totals on FORM FSF su a
PP ( attach FORM
FSF supp to this form):..
4 :`
pp
TOTALS:
,�,,- ,'k;'t=.,. ,,o
,,, `,r,, =.o,
As
Cdff�o
Cr
Pb
H
Mo
Ni
Se
Zn
PO
Lime A lied
Annual lbs/acre
+ Y �0 000
43°0 000 fi
:0 000
0 000
0 000
0000 ,
000
a:40000,.r
0 00,0 ; ;:;:;: >::::::::: >: ;:
0
0
0
0
5
0
0
,,0 }.0.:0DO
Date
lbs/ac
Prior Years Cumulative lbs/ac
:�-.,��
0 0
0
2018
0
CurrentCumulative lbs ac/
36
34
1338
2677
267
15
16
74 89 y
2498
Permitted C. P. L. R.****
Permit PAN Limit 1 st/2nd Crop
P
:TMa
;. _ f.
(
.Iv ,r N.,
"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 ftes and imprisonment for knowing violations."
l A
�. *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)

7
--- -----
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: Spring Lake WWTP
WQ Permit#: WQ0001086
Field #: 2
Acres Utilized: 5.9
Land Owner: Tom Brooks
Annual Dry Tons Applied:
Site#: 8
Acres Permitted: 5.9
Operator: Richard E. Mendez
Predominant Soil Series: CaB-Candor
Cation Exchange Capacity (non 503):
Crop 1 Name:
N/A
Crop 1 Max. PAN: N/A Crop 2 Name: N/A
Crop 2 Max. PAN: N/A
0 =
Volume applied
Volume
Residual Sources Soil Precip. �> 2.
4:
?�
Nitrate
Name Crop
(enter one) Solids/
%
Applied Per
Cond. 4'.00
(NPDES #, WQ#, Past 24 CEI�
�v 0 't
P TKN
of Type
PAN Applied
'�4 0
Liquid
Solids
Acre
(Dry,
Fert., Animal Hrs.
2
and
lbs/acre) Receiving Residual
0
Wet, C L
Nitrite
Application
Cu. Yds Gallons
(Dry Tons/Ac)
Waste, etc) 0
Moist) inches 0
8 . mg/kg mg/kg
mg/kg
Crop I Crop 2 Crop I Crop 2
January
0
1.57
SLWWTP S 0.5
0.3 68200 16600
637
February
0
1.57
L-WWTP S 0.5
0.3 68200 16600
637
March
0
1.57
SLWWTP S 0.5
0.3 68200 16600
637
Al'i
April
0
1.57
SLWWTP S 0.5
0.3 68200 16600
637
, i
5
May
0
1.57
SLWWTP S 0.5
0.3 68200 16600
637
June
0
1.57
SLWWTP S 0.5
_TP
0.3 68200 16600
6370:
000
July
0
1.57
7
S LWW S 0.5
0.3 68200 16600
637
August
0
1.57
SLWWTP S 0.5
0.3 68200 16600
637
3eptember
0
1.57
SLWWTP S 0.5
0.3 68200 16600
637
October
0
1.57
SLWWTP S 0.5
'0.3 68200 16600
637
qovember
0
1.57
�or
SLWWTP S 0.5
013 68200 16600
637
61
3*ecember
0
- ;7
1.57
SLWWTP S 0.5
0.3. 68200 16600
637
f W
..
Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form)-
As
Cd Cu Cr Pb HMo I
Ni R'. 7-
D
..................... _.
Annual lbs/acre Lime pplied I
7, ........
ZEE* Date lbs/ac
Prior Years Cumulative lbs/ac 0 0 0 0 0 0 0 0 0 0 ................................
.............
. .................... 2018 0
Current Cumulative lbs/ac
Permitted C. P. L. R.**** 36 34 1338 2677 267 15 16 74 89
x
2498 .............. ..............
................
.............. ......... ......
Permit PAN Limit Ist/2nd Cropar
l ................
. . . . . . . . . .
. . . . . . . . . . . . . . . . . No I
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, mcludi the possibility of fi es and imprisonment for knowing violations."
*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 (1212008)

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: Spring Lake WWTP WQ Permit #: WQ0001086 Field #: 2 Acres Utilized: 6.5
Land Owner: Tom Brooks Annual Dr Tons Applied: �;OsO`Q'Obs;; k 9
Y PP , :. Site #: Acres Permitted: 6.5
Operator: Richard E. Mendez Predominant Soil Series: CaB-Candor Cation Exchange Capacity (non 503):
Crop 1 Name: N/A Cron 1 Max. PAN! N/A Crnn 2 Nama- N/A r-- -'I nAr-_ ,l.l T. -
Volume applied
Z
c 1• enter one Solids/
a� >~ ( )
Q° Liquid
Cu. Yds Gallons
January 0
February 0
March 0
April 0
May 0
June 0
July 0
August 0
eptember 0
October 0
ovember 0
ecember 0
TOTALS: ;."c=,; .:-011
Annual lbs/acre
Prior Years Cumulative lbs/ac
u
�o
Solids
1.57
1.57
1.57:"0,00;0;°r.'."
1.57
1.57
1.57
1.57
1.57
1.57
1.57
1.57
1.57
Volume
Applied per
Pp P
Acre
(Dry Tons/Ac)
`, -; `.0000;;:,'.
`,; 0:00.0'F. .,
Oi00,0 :?
i OcO,OQ,; ``
`"-.:_0.000' -r'`
1. `;'':A00Q:,:= .'.
';;' O:000t3;
:..Og00'" ,'=
O:OOQ;:;';:,
(,; Q'.006,
"'0:000';'"?
As
,.`0�00,0?:
0
Residual Sources Soil Preci P Y
Cond.
(NPDES #, WQ#, Past 24 °
(DIY, o'
Fert., Animal Hrs. o
Wet, a a.
Waste, etc) inches
Moist)
SLWWTP S
SLWWTP S
SLWWTP S
SLWWTP S
SLWWTP S
SLWWTP S
SLWWTP S
SLWWTP S
SLWWTP
SLWWTP S
S
SLWWTP S
SLWWTP S
Residuals Applications totals on FORM FSF
Cd Cu Cr Pb H
T�'o00'0". ":;.;0:000:="00 -
.., ... - .� . ., ....,000`,:
0 0 0 0 0
o:000". ''0:000"- 'Q:000` ;0':0:00'= 0:000:`
34 ' + 1338 2677 267 15
C
2
�,
K , . K TKN
n' ~' o °r
* N' •-
* # �_
° * o
o ° mg/kg
0.5 0.3 68200
0.5 0.3 68200
0.5 0.3 68200
0.5 0.3 68200
0.5 0.3 68200
0.5 0.3 68200
0.5 0.3 68200
0.5 0.3 68200
0.5 0.3 68200
0.5 0.3 68200
0.5 0.3 68200
0.5 0.3 68200
supp ( attach FORM FSF supp
Mo Ni Se
- , -_`
, ..0:0.0`0'' ;;0
0 0 0
0 `00,0, " _..`"0 OQO,'; `-O'000; ; ',OOQO
16 74 89.., 12498
z Y
o 5
ao °
o
n �,•
mg/kg
16600
16600
16600
16600
16600
16600
16600
16600
16600
16600
16600
16600
to this
Zn
.00Q.O'.
0
=,
Nitrate
and
Nitrite
mg/kg
637`:000O,-4
637
637',0.`0©Q:;
637
637
637
637
637
637
637
637
637
form):
P
- -
PAN Applied
pp
(lbs/acre)
Crop 1 Crop 2
�0..0`,OO�;,t
00'00`
gQ;O; '; � �10.b0,0`
<,;00,00,, `'•=,O::QOO;r
;0 00:0„ ;;=i0'0'00's
; <QrQQO
=;0 Q00;.3' «.'Q,000'`;;
17-11000 w "'0" OQ;
4 . z,.a'. -
0:0.00 :_0:00'0
Name of Crop Type
P
Receiving Residual
g
Application
Crop 1
Crop 2
Lime A 'lied '
Date lbs/ac
2018
0
Current Cumulative='
lbs/ac
Permitted C. P. L. R.****
:; `o:god.. ;>
36
Permit PAN Limit lst/2nd Crop
?`N N%A
.,a
- ��- ---.>> r-=•.T �_ •a••, LUa< LHAD UVCUHICUL 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, iinclu ing the possibility f fines and imprisonment for knowing violations."
' *Application Method: S - Surface, IN - Injection, INC - Incorporation
**Volatilization Rate: Surface - 0.5, Injection/Incorporation -1.0
Signature of Land App ier 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
nFNR Gr1RAA CCC i,oionno%

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: Spring Lake WWTP WQ Permit #: WQ0001086 Field #: 3 Acres Utilized: 13.6
Land Owner: "'� ' F., '` :'''1''" Site #: 3 Acres Permitted: 13.6
Willie Calvin Brinkley Annual Dry Tons Applied:48=1`,83'6-' y', -, t, : ,-
Operator: Richard E. Mendez Predominant Soil Series: VaB-Vaucluse Cation Exchange Capacity (non 503):
Crop 1 Name: Bermuda Crop 1 Max. PAN: 220 Cron 2 Name.- rrn" I tvrav PAN -
pit
o
Volume applied
PP
Solids/
Volume
Residual Sources
Soil
Cond.
Precip.
o
;v
Z
Nitrate
PAN Applied
Name of Crop Type
o
(enter one)
%
A lied er
PP P
(NPDES #, WQ#,
Past 24
°
x, �;
�, a.•
�,
w °0
TKN
o
and
ReceivingResidual
c�
Q
Liquid
Solids
Acre
Fert., Animal
(Drys
Hrs.
0 o'
ory
°
* w'
* N'
00 °
Nitrite
lbs/acre
( )
Application
Cu. Yds Gallons
(Dry Tons/Ac)
Waste, etc)
Wet,
Moist)
inches
*
o
p
w
mg/kg
m'
mg/kg
mg/kg
Crop 1
Crop 2
Crop 1
Crop 2
January
0
1.57
- ,;0'.00Q; "i
SLWWTP
S
0.5
0.3
68200
16600
637
-Bermuda
February
39500
1.57
' °'' ;Oi1;90::;;; {
SLWWTP
S
0.5
0.3
68200
16600
637
?:9 286"-`..`
`k.NA,`; ;
Bermuda
March
0
1.57
? (i• Q:g00 `_:'•
SLWWTP
S
0.5
0.3
68200
16600
637
Bermuda
April
April
0
1.57
; .:,'; 0:000 ;<,'
SLWWTP
S
0.5
0.3
68200
16600
637
,A
Bermuda
May
0
1.57
:_=.0:000.':r:='
SLWWTP
S
0.5
0.3
68200
16600
637
7 d;`6 6';t
;`N%1; ",'
Bermuda
June
28000
1.570:135',;:-
c
SLWWTP
S
0.5
0.3
68200
16600
637
=`6:'SB2}';;
_ IVP;` :.Bermuda
July
0
1.57
:0:0.00 '-
`<;0:277=`r:
SLWWTP
S
0.5
0.3
68200
16600
637
;?0'000=;;
; ;NA ..i
Bermuda
August
57500
1.57
SLWWTP
S
0.5
0.3
68200
16600
637
1(3'r5'1�7-12`':NAr:`
Bermuda
eptember
0
1.57
. 0.000 :r'
SLWWTP
S
0.5
0.3
68200
16600
637
.Q:OOQ ;
,'N'A;
Bermuda
October
0
`1.57
' " Or000':'';
=
SLWWTP
S
0.5
0.3
68200
16600
637
000.0
.: NA ` '.;
Bermuda
ovember
0
1.57
- O:,OOQ": •-'
SLWWTP
S
0.5
0.3
68200
16600
637
0:'QQO;
�4,-Nk".
Bermuda
December
0
1.57
O:000•:,';
SLWWTP
S
0.5
0.3
68200
16600
637
O,000r`''°.'NA`­.,-Bermuda
.........
.. .. .
= : ;
Residuals Applications totals on FORM FSF supp (attach FORM
FSF supp to this form):
TOTA1 S:.1 " . ; 0 :: ; : 125000 :>::::
As
Cd
Cu
Cr
Pb
H
Mo
Ni Se
Zn
P . 29.3"8S"I °; 0 OOOs
Lime Applied
Annual lbs/acre
::0 052 -
0.65756
1." '
-�Or7 0
36
' =0'<3:39.9n
0.02874
34
,.. •- :
5.1322
53'�1.�
1338
r:.0:2 ,2 u
7 ",,
0.26616
�`;0538=`
2677
-�
,'i0•.352,
0.54892
r:
i.?0.901`=`
267
,, , -,
O.OQ3'`.:
0.01946
> "
:'.0:023�.f.
15
:: T ,
-01136 `;';
0.03832
0::1'75;,a,
16 1
ry _. . _..... ,
071^ a°.Q:2Q3 :
0.36504 0.06269
t•�.
'0^73;5' w0.266-:
74 :• 89
ti:29284,:
f 24.827N
;5.4'11i1
2498
�3'9.2 640 :::::< ::::: >:::::::
::
Date lbs/ac
Prior Years Cumulative lbs/ac
2018
1206.0
Current Cumulati ve lb s/ac
Permitted C. P. L. R.****
Permit PAN Limit 1st/2nd Cro P
1
^;220
1 GG1 Llly, URAUVI Fuuauy U1 iaw, ivai mis 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, inclRding the possibility of fines and imprisonment for knowing violations."
Signature of Land Applier
*Application Method: S - Surface, IN - Injection, INC - Incorporation
**Volatilization Rate: Surface - 0.5, Injection/incorporation -1.0
Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND -SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: Spring Lake WWTP
Land Owner: Willie Calvin Brinkley
Operator: Richard E. Mendez
Crop 1 Name: N/A
WQ Permit #: WQ0001086 Field #: 3
Annual Dry Tons Applied:0'"0,000`'; `'` '` s Y `''" : r 3+ Site #: 4
'i• 3
Predominant Soil Series: FaB-Fuquay
Crop 1 Max. PAN: N/A Crop 2 Name:
Acres Utilized: 33.5
Acres Permitted: 33.5
Cation Exchange Capacity (non 503):
N/A Crop 2 Max. PAN: N/A
o y
Volume applied
PP
Solids/
Volume
Residual Sources
Soil
Cond.
Preci .
p
y
4
o
2
Z
Nitrate
PAN Applied
Name of CropType
o
(enter one)
%
Applied per
PP P
(NPDES #, WQ#,
Past 24
co b
w
w A
TICN
5
and
Receiving Residual
cyd
A
Liquid
Solids
Acre
Fert. Animal
(Drys
Hrs.
o w
a
cu N'
*
a0
�•
Nitrite
lbs/acre
( )
Application
Cu. Yds Gallons
(Dry Tons/Ac)
Waste etc )
Wet,
Moist)
inches
o
0
* ?:
*
mg/kg
mg/kg
mg/kg
Crop 1
Crop 2
Crop 1
Crop 2
January
0
1.57
., ,.;;y0.00,0: <:
SLWWTP
S
0.5
0.3
68200
16600
637
:000.0
:0:000 i
February
0
1.57
0000,;'„
SLWWTP
S
0.5
0.3
68200
16600
1 637
March
0
1.57
SLWWTP
S
0.5
0.3
68200
16600
637
April
0
1.57
`".0:000,,;.
SLWWTP
S
0.5
0.3
68200
16600
63700.0::
May
0
1.57
. `:::: '.'00 `'r` '
SLWWTP
S
0.5
0.3
68200
16600
637
;:'0:000 :"
O'.'000-:
June
0
1.57
; ; O OOOi` "
SLWWTP
S
0.5
1 0.3
68200
16600
637
July
0
1.57
;<<, :'O:OQ,O;,"''
SLWWTP
S
0.5
1 0.3
68200
16600
637
August
0
1.57
; 0:000 ,; _'.
SLWWTP
S
0.5
0.3
68200
16600
637
000:0' i:;
Q000 it
eptember
0
1.57
A:000; .,, :;
SLWWTP
S
0.5
0.3
68200
16600
637
October
0
1.57
'0:000;'`:
SLWWTP
S
0.5
0.3
68200
16600
637
-• 0:000,;::;0;`00,0>'„
ovember
0
1.57
:':0:000:;:;'
SLWWTP
S
0.5
0.3
68200
16600
637
December
0
1.57
',t_'000Oi,'':° `
SLWWTP
S
0.5
0.3
68200
16600
6370000';;
%,
a::
Residuals Applications totals on FORM FSF supp ( attach FORM
FSF supp to this form):
......
.. ....
TOTALS: '' �.•;' ':.0 �, ..,. Q ....
As
Cd
Cu
Cr
Pb
Hg
Mo
Ni
Se
Zn
P #.0 �e. ?,�,o�ooq =
.
Lime Applied
Annuals acre
0:000 . -
0
" "0000,' :,
0
� 0 000 .
0
'; 0:000,'
0
; .Q:000 , `
0
• O;Q00;,;
0
; ,0;000'.
0
0
' :::::•:•:::::::::::
Date lbs/ac
Prior Years Cumulative lbs/ac
.., . a.a;;,,
0::000._ ,
; 0°000,;
,._
O.000.:
,,..,
`;:0:'000 .
0.000 :'
0. 000'-�'
': O:OOo '
,0:000ay
0
" i 0 090='
{0 00.0` :
Current Cumulative 1 bs/ac
36
34
1338
2677
267
15
16
.
74
89
2498
.................................................
Permitted C. P. L. R.****
Permit PAN Limit lst/2nd Crop
:
,us .;- - .- ..... ;•
a N A:
it cernfy, unaer 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, infludip the possibility of fines and imprisonment for knowing violations."
Signature of Land Applier
1-d -2d/
Date
*Application Method: S - Surface, IN - Injection, INC - Incorporation
**Volatilization Rate: Surface - 0.5, Injection/Incorporation -1.0
*** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/20061

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: Spring Lake WWTP
Land Owner: Willie Calvin Brinkley
Operator: Richard E. Mendez
Crop 1 Name: N/A
WQ Permit #: WQ0001086 Field #: 3
Annual Dry Tons Applied: Site #• $
Predominant Soil Series: FaB - Fuquay
Crop 1 Max. PAN: N/A Crop 2 Name:
Acres Utilized: 23.7
Acres Permitted: 23.7
Cation Exchange Capacity (non 503):
N/A Crop 2 Max. PAN: N/A
�.
Volume applied
PP
Volume
Residual Sources
Soil
Cond.
Precip.
4 �
C
0
5.
5
Z �
Nitrate
PAN Applied
Name of Crop Type
°) o
(enter one) Solids/
%
A hed er
PP P
(NPDES #, WQ#,
Past 24
cY n
�, 2
;�
K
TKN
�
o o
and
Receiving Residual
Q
Liquid
Solids
Acre
Fert. Animal
�D'�
Hrs.
�'
o w
cc :
* N'
* ?
as
o
Nitrite
lbs/acre
( )
Application
Cu. Yds Gallons
(Dry Tons/Ac)
Waste etc)
Wet,
Moist)
inches
n o
0
*?
* R
0
mg/kg
w
mglkg
mg/kg
Crop 1
Crop 2
Crop 1
Crop 2
January
0
1.57
SLWWTP
S
0.5
0.3
68200
16600
637
February
0
1.57
0:000'', ;';
SLWWTP
S
0.5
0.3
68200
16600
637
March
0
1.57
000.0::<.`;'
SLWWTP
S
0.5
0.3
68200
16600
637
April
0
1.57
=.:'`;.O.O:O.Os',
SLWWTP
S
0.5
0.3
68200
16600
637
May
0
1.57
;•: "0%000,'.
SLWWTP
S
0.5
0.3
68200
16600
637
June
0
1.57
: ,.?;;0:000ti;
SLWWTP
S
0.5
0.3
68200
16600
637
July
0
1.57
Oi0b0 ,`.
SLWWTP
S
0.5
0.3
68200
16600
637
August
0
1.57
;;;Oi000'".`; ?
SLWWTP
S
0.5
0.3
68200
16600
637
OiQ00"
" OOQO x,
eptember
0
1.57
`,:.;. ;0:000- , ::,,:
SLWWTP
S
0.5
0.3
68200
16600
637
October
0
1.57
., ''^r0:000 :?
SLWWTP
S
0.5
0.3
68200
16600
637
ovember
0
1.57
,'' ' .O:QQ;O'i- ,;.;
SLWWTP
S
0..
0.3
68200
16600
637
December
0
1.57
':<O:000`` .
SLWWTP
S
0.5
0.3
68200
1 16600
1 637
;;`
Residuals Applications totals on FORM FSF supp ( attach FORM
FSF supp to this form):
Y
As
Cd
Cu
Cr
Pb
Hg
Mo
Ni
Se
Zn
P
- 0:000;;':
';OQoo"
Lime Applied
lbs/acre
`
0
.
0
:.
0
., ,,.
0
0
.:,.
0
:
0
:-
0
A:Q
00,0Annual
lbs/acDateOr0
Prior Years Cumulative lbs/ac
=;'.:: o:000: ;';`
36
' o:ooQ'
34
;�.o':000'=�:?'�o.000
1338
:
2677
`-
<..o,o;;::„
267
15
o ...
:.,. 16
o 000
74
0
° :000:
89
0
::goon::
2498
.:.`
2018
0
Current Cumulative lbs/ac
Permitted C. P. L. R.****
Permit PAN Limit 1 st/2nd Crop
•61 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 possibili� of fines and imprisonment for knowing violations."
e - A
Signature of Land Applier
N
Date
*Application Method: S - Surface, IN - Injection, INC - Incorporation
**Volatilization Rate: Surface - 0.5, Injection/Incorporation -1.0
*** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: Spring Lake WWTP
Land Owner: Willie Calvin Brinkley
Operator: Richard E. Mendez
Crop 1 Name: Bermuda
WQ Permit #: WQ0001086 Field #: 3
Annual Dry Tons Applied (OQ000; ;,p;' ; Site #: 6
Predominant Soil Series: FaB-Fuquay
Crop 1 Max. PAN: 220 Crop 2 Name:
Acres Utilized: 29.9
Acres Permitted: 29.9
Cation Exchange Capacity (non 503):
N/A Crop 2 Max. PAN: 0
Volume applied
Volume
Residual Sources
SoilPrecip.
Cond.
y
4
c
Z
Nitrate
Name of CropType
s~
(enter one) Solids/
%
Applied per
PP P
(NPDES #, WQ#,
Past 24
° �
7y �;
�, ,,,
a; 0
TKN
° 5
and
PAN Applied
ReceivingResidual
Cd
Liquid
Solids
Acre
Fert., Animal
(D
Hrs.
E' 0.
o aY
° -
* N'
° -
ao °
°
°
Nitrite
lbs/acre
( )
Application
A
Cu. Yds Gallons
(Dry Tons/Ac)
Waste etc )
Wet,
Moist)
inches
a o
�J
*
0mg/kg
* T
w•
mg/kg
mg/kg
Crop I
Crop 2
Crop 1
Crop 2
January
0
1.57
`0000;;``.;
SLWWTP
S
0.5
0.3
68200
1 16600
637
'40:.00.0°;,.::,.:N.A;,;:.
Bermuda
February.
0
1.57
= -.060' !`.
SLWWTP
S
0.5
0.3
68200
16600
637
,.;;0:000 :
`; .NA `s'
Bermuda
March
0
1.57
';0:000=:�• ��
SLWWTP
S
0.5
0.3
68200
16600
637
``O.00Q��;,.NA;;�`�
Bermuda
April
0
1.57
> ' ';0':000 :'i";
SLWWTP
S
0.5
0.3
68200
16600
637
:0000'..
;: ;NA., `
Bermuda
May
0
1.57
_` `0;000 = _`
SLWWTP
S
0.5
.0.3
68200
16600
637
;--.60.0_'..,';
NA ."`
Bermuda
June
0
1.57
_`0:'000' _- :,
"-
SLWWTP
S
0.5
0.3
68200
16600
637
0.!000.,
Bermuda
July
0
1.57
',."0:000`°± '`
SLWWTP
S
0.5
0.3
68200
16600
637
10OQ0.:
`f;NA'; f
Bermuda
August
0
1.57
-':;0:000; ' :',
SLWWTP
S
0.5
0.3
68200
16600
637
, .0:000' ,
`. ,`, N A ''-
Bermuda
eptember
0
1.57
r0:000{ ::..,
SLWWTP
S
0.5
0.3
68200
16600
637
;;0 00.0•:°,
';.NA ;'.
Bermuda
October
0
1.57
a ,;-;O; Q00;4< .;,
SLWWTP
S
0.5
0.3
68200
16600
637
,0000•
.:; :NA:.
Bermuda
ovember
0
1.57
'.:: �;0:000`-�`
SLWWTP
S
0.5
0.3
68200
16600
637
:;',0.:,0;0,0':.<�.�NAi':
Bermuda
December
0
1.57
;,'0,000`'-'�.�:
SLWWTP
S
0.5
0.3
68200
16600
637
0.000,
•__NA�r?
Bermuda
Residuals Applications totals on FORM FSF supp ( attach FORM
FSF supp to this form):
=`
`
As
Cd
Cu
Cr
Pb
Hg
Mo
Ni Se
Zn
P j'000Q-0-1000:.
Lime A lied
Annuallbs/acre
:0:000"'-:'"0;000,:'?:0:000''
`000:0':
0000.-
"0000.
0:000°
';0000`°' `0:000'-'`'o:
000:.;
.:o;000..::::: >:: ::::::::'::
Date lbs/ac
Prior Years Cumulative lbs/ac
0.0149904
0.01.5,'. ,
0.003
• '`0:003.;
1.0757
` 1:076.'
0.0531
0.0015
0'0 02,
0.0023'
` :0 002;
0.0114
O'01;1: •
0.6955 0.015
° ='0.;696 ' -: Q:OI.S:,
4.86
�' ° ' ''
2018
0
Current Cumulative lbs/ac
36
34
1338
,-.0:053
2677
267
.
15
.
16
74 89
4..860
2498
Permitted C. P. L. R.****
Permit PAN Limit 1 st/2nd Crop
0
••1 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, inclu�ing the possibili"f fines and imprisonment for knowing violations."
1e
Signature of Land Applier
*Application Method: S - Surface, IN - Injection, INC - Incorporation
**Volatilization Rate: Surface - 0.5, Injection/Incorporation -1.0
Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: Spring Lake WWTP WQ Permit #: WQ0001086 Field #: 7 Acres Utilized: 15.2
Land Owner: Willie Calvin BrinkleyAnnual D Tons Applied:
Site #•
Dry 3 Acres Permitted: 15.2
Operator: Richard E. Mendez Predominant Soil Series: FaB-Fuquay Cation Exchange Capacity (non 503):
Crop 1 Name: Bermuda Crop 1 Max. PAN: 220 Crop 2 Name: Crop 2 Max. PAN:
n
� �
0 >~
cd
Q
January
Volume applied
pp
(enter one) Solids/
Liquid
Cu. Yds Gallons
0
%
Solids
1.57
Volume
Applied per
PP P
Acre
(Dry Tons/Ac)
0;U0,0: '.,:
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
SLWWTP
Soil
Cond.
(Dry'
Wet,
Moist)
Precip.
Past 24
Hrs.
inches
y
cu
o a
a o.
S
G
o
CD N'
*
0.5
w
0.3
TKN
mg/kg
68200
Z �
o
c°0c
mg/kg
16600
Nitrate
and
Nitrite
mg/kg
637
PAN Applied
(lbs/acre)
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Bermuda
Crop 2
February
238000
1.57
-:;1;025.,.::,;
SLWWTP
S
0.5
0.3
68200
16600
637
SQ050!
NA'•;':=Bermuda
March
0
1.57
0;000;,;,__
SLWWTP
S
0.5
0.3
68200
16600
637
;=:0000.
:N.a.``'.
Bermuda
April
p
0
1.57
._ .'.;:0:000. �• .`
SLWWTP
S
0.5
0.3
68200
16600
637
" '
k :Q:;0;00r,
,,; ',NA
Bermuda
May
0
1.57
:.. "0'000;"---:
SLWWTP
S
0.5
0.3
68200
16600
637
; 0 OOQ-;;.
; 'IVA':";
Bermuda
June
0
1.57
i:0000: •:.'':
SLWWTP
S
0.5
0.3
68200
16600
637
Q'OQO,=
`4;:'-NA ,
Bermuda
July
0
1.57
:`;:'0'000''';;
SLWWTP
S
0.5
0.3
68200
16600
637N'A'
^:;
Bermuda
August
0
1.57
; : ;0000 ' :.
SLWWTP
S
0.5
0.3
68200
16600
637
: 4.
;--%,NA.'';'
Bermuda
eP tember
0
1.57
'0:000''; `' ''
SLWWTP
S
0.5
0.3
68200
16600
637
" #' =s
O OOQ.F
' •
• - ;NA .
Bermuda
October
0
1.57
: _ `000011:'
SLWWTP
S
0.5
0.3
68200
16600
637
,:OO.00.E'`„NA<"
<
Bermuda
ovember
0
1.57
000:0. ;;
SLWWTP
S
0.5
0.3
68200
16600
637
, 0150100{:-
`•, '`NA'. u.'
Bermuda
December
0
1.57
`O.O,O:Q``"
SLWWTP
S
0.5
0.3
68200
16600
637
'0000,;
Bermuda
::::
t :''•.' ', - -
Residuals Applications totals on FORM FSF supp ( attach
FORM
FSF supp to this form):
, `•,; •.
::.::::::::::::::
::::::::::::::::<
TOTALS:.
0
23a000'
As
Cd
Cu
Cr
Pb
H
Mo
Ni
Se
Zn
P
so:oso`
::'0'0004:'
Lime Applied
Annual lbs/acre
0 099":
0.489098
0:5 8':
8
36
0:088'`
0.07082
r0:15&'-
34
ti':10:283''.
11.5705
"21;:853:;%i
1338
0:5`1'7
0.59453
: 1t1:T2 ;
2677
06.:'
70
1.21329
;.
: _ .1.883'.
267
0:00.6
0.42448
:+,0:430: '
15
0260`
0.0827
°
- _0.343:
a . ;..
16
A,.7,07`v, ,0.38'6':'
0.81618 0.14849
c :
, _ 1-.524.. ::0:-53'S='
74 89
:'SSu77;6'
50.5979
=VP;06 3,7.4`
2498
=747:8,4:Q,_
::::::::::::::::::::::::::::::
::::::.:.:......................:.:.:.: :
Date
lbs/ac
Prior Years Cumulative lbs/ac
2018
2049.5
Current Cumulative 1 bs/ac
Permitted C. P. L. R.****
Permit PAN Limit l st/2nd Crop
2 20.
-i cernry, under penairy or iaw, that tors aocument 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 Bnes and imprisonment for knowing violations."
C *Application Method: S - Surface, IN - Injection, INC - Incorporation
c ' / �� d **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 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: Spring Lake WWTP
Land Owner: Willie Calvin Brinkley
Operator: Richard E. Mendez
Crop 1 Name: Bermuda
WQ Permit #: WQ0001086 Field #: 8
Annual Dry Tons Applied: F4, -.5- ;828,;: '"' "`'" Site #• 3
Predominant Soil Series: FaB-Fuquay
Crop 1 Max. PAN: 220 Crop 2 Name:
Acres Utilized: 4
Acres Permitted: 4.0
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN: 0
N �
Volume applied
PP •
Volume
Residual Sources
Soil
Precip.
y
o
�
z �
Nitrate
Name of Crop Type
°
° >~
(enter one) Solids/
%
Applied per
PP P
(NPDES #, WQ#,
Cond.
Past 24
3 Id
°
;e 2'
w
;e R
w
TKN
o
and
PAN Applied
Receiving Residual
°
Liquid
Solids
Acre
Fert., Animal
(Dry,
Hrs.
R' 8-
oa
c^o
w'
°
* N'
M °
0 R.
Nitrite
lbs/acre
( )
Application
A
Cu. Yds Gallons
(Dry Tons/Ac)
Waste etc )
Wet
Moist)
inches
*
*
* 9
mg/kg
mg/kg
mg/kg
Crop 1
Crop 2
Crop 1
Crop 2
January
0
1.57
SLWWTP
S
0.5
0.3
68200
16600
637
::;00'00:;.�•;,:NA',`;�
Bermuda
February
70000
1.57
:' :1;,1;46 ';
SLWWTP
S
0.5
0.3
68200
16600
637
Bermuda
March
0
1.57
0:000': `t-s
SLWWTP
S
0.5
0.3
68200
16600
637
Bermuda
April
0
1.57
''. ;'0:000:' ;' `.;
SLWWTP
S
0.5
0.3
68200
16600
637
= .0000: p-
'`,NA;> r-•,
Bermuda
May
0
1.57
0.000:',: ':
SLWWTP
S
0.5
0.3
68200
16600
637
-;`;0:000';'.;
•NA =;
Bermuda
June
0
1.57
0:000,
SLWWTP
S
0.5
0.3
68200
16600
637
00.OQ
Bermuda
July
0
1.57
`-• ::Oi000 : •%
SLWWTP
S
0.5
0.3
68200
16600
637
<' 'OOOQ
'.; :'NA, "_.
Bermuda
August
0
1.57
.000 •::
SLWWTP
S
0.5
0.3
68200
16600
637
'""
0>0'Qb.'
. ; 'IVA; _`=
Bermuda
eptember
0
1.57
:. 0000"
SLWWTP
S
0.5
0.3
68200
16600
637
0T000`;;,
'.;NA°;;
Bermuda
October
0
1.57
O:OQO:'
SLWWTP
S
0.5
0.3
68200
16600
637
Q:.000' ;
NA,",;=
Bermuda
ovember
0
1.57
. ; `; 0;,000 ;"
SLWWTP
S
0.5
0.3
68200
16600
637
O:000T`
=. NA :'
Bermuda
December
0
1.57
;',.i 0000`' `:,"
SLWWTP
S
0.5
0.3
68200
16600
637
,:w0`009,:;:;
4';.-NA, .,;
Bermuda
Residuals Applications totals
on FORM FSF supp ( attach FORM
FSF supp to this form):
TOTALS:.',;,',
Q
70000
As
Cd
Cu
Cr
Pb
Hg
Mo
Ni
Se
Zn
P
.�5'S•9#9,
`:' 0°'00'0'.;
LimeA lied
Annual lbs/acre
0:029.
0A26
3:023'r':
r
0:152:
''0.;1.97`
0:002"`
;:
4' `
0.076'
'0.02397
0;208'„
-' '
,^T5.'396
`
0.4828484
0.5.12:"'.;.,
0.01186
: 0:038 '
3.92034
,''6:°°943r`
0.22403
Q;3;76 =''
0.4766
``
„0.67 `:
0. 00815
'
0;1;0,0>
0.89452
''.,.J:.1Q2' "'`
, ;0:,1;14':
0.04031+
19.0312
-33 428,;
„2T9:840;
:::::::::::::::::::::::::::::::::
Date
lbs/ac
Prior Years Cumulative lbs/ac
2018
2290.6
Current Cumulative lbs/ac
36
34
1 1338
2677
267
h0:01,4:
15
16
„
74
,0;;1''S'4`'r`''.
89
2498
Permitted C. P. L. R.****
Permit PAN Limit 1 st/2nd Crop
ba`
22' - 0:
"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
informationkincluuding the possibilitX of fines and imprisonment for knowing violations."
.01
'5,
Signature of Land
_ *Application Method: S - Surface, IN - Injection, INC - Incorporation
**Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: Spring Lake WWTP WQ Permit #: WQ0001086 Field #: 1 Acres Utilized: 4.5
Land Owner: Maybob E Paye Annual Dry Tons Applied: 6`.4'i16Qr:;.- "�' Site #• 4 Acres Permitted: 4.5
5F
Operator: Richard E. Mendez Predominant Soil Series: VaB-Vuacluse Cation Exchange Capacity (non 503):
Crop 1 Name: Bermuda Crop 1 Max. PAN: 220 Crop 2 Name: Crop 2 Max. PAN:
0
y
°2 0
cc
A
Volume applied
(enter one) Solids/
Liquid
Cu. Yds Gallons
%
Solids
Volume
Applied per
Acre
(Dry Tons/Ac)
Residual Sources
DES # W
Fert., Animal
Waste, etc)
Soil
Cond.
D
( ry'
Wet,
Moist)
Precip.
past 24
Hrs.
inches
y
10
5
o
a* c
c
7d �'
°* k.'
* N'
?;
$
w
io
0
TICN
mg/kg
Z a
v°o
mg/kg
Nitrate
and
Nitrite
mgtkg
PAN Applied
(lbs/acre)
Name of CropType
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
January
70,000
1.57
I;:O.fi8; - :.
SLWWTP
S
0.5
0.3
68200
16600
637
s;,49:733^
`."NA ;-;,:
Bermuda
February.
0
1.57
:,,;',0:00:0:';;,
SLWWTP
S
0.5
0.3
68200
16600
637
=.Q',000'.
.;FrNA''".'
Bermuda
March
0
1.57
:.0:000 "_=.%
SLWWTP
S
0.5
0.3
68200
16600
637
,; O''00.0' _'
;:N 1'i
Bermuda
April
0
1.57
:'. `0'00,0.•._
SLWWTP
S
0.5
0.3
68200
16600
637
.`:'0;000 :'
%;`NA: ;';
Bermuda
May
Y
0
1.57
0:000;-:
SLWWTP
S
0.5
0.3
68200
16600
637
0 000 `1,:..NA=.-~
Bermuda
June
28000
1.57
0 407=`;:
SLWWTP
S
0.5
0.3
68200
16600
637
`1'9:893 ,
";,;NA_-- ]
Bermuda
July
0
1.57
= .:'.o OQ.O :.. ,,,
SLWWTP
S
0.5
0.3
68200
16600
637:Bermuda
August
0
1.57
" ',: 0:00,0 " '
SLWWTP
S
0.5
0.3
68200
16600
637
;''0;:.000;"
:', ;Nk -
Bermuda
eptember
0
1.57
:'0:000`_`_,=
SLWWTP
S
0.5
0.3
68200
16600
637-y'
Bermuda
October
0
1.57
`:,; ":OQOOr :.-
SLWWTP
S
0.5
0.3
68200
16600
637
,'`:,0:000`;;
: `: NA; :r,.
Bermuda
ovember
0
1.57
;` .0:00,0` '';
SLWWTP
S
0.5
0.3
68200
16600
637
Bermuda
December
0
1.57
: ' Q8000:%'' .
SLWWTP
S
0.5
0.3
68200
16600
637
Bermuda
ITOTALS4-:�-,"%0
Residuals Applications totals on FORM FSF supp (attach FORM
FSF supp to this form):
. :.-„
' 980Q0
:
As
Cd
Cu
Cr
Pb
HZ
Mo
Ni
Se
Zn
P
59;62'6'
: ;0,00.0?',
Lime Applied
Annual 1 bs/acre
:04'`:"°r'
0 1 "
003:6 `
,....
423 i
02`13i'.:
.0:"2.6 7
0' 002 ;,
; Q,.1,0T :
'x,Q 291 ''
;
:,t0.159 ',
% 22:9515
3,0,7:73T
:::::::::::::::::::::::::::
• • ••"•.•.•.•.•.. • ••••••.•.•..•.•. ••••••••••••
Date
lbs/ac
Prior Years Cumulative lbs/ac
0.619308
0.07328
12.3622
0.06421
1.34176
0.42609
0.08621
0.87157
0.15554
54.5419
2018
2850.5
Current Cumulative lbs/ac
: 0:`6 60" . ,'...0:
y i.09` '
.,';1`6 594:f
,`'.0:27T '
..1;6;r;
,.._..... 7
0
=; " 429 ;
. �'.
'..0A93;,;,
3,::
, , .L.16 _
< "
L. rOs3a=5 c
„-.....,
77.494:,.
Permitted C. P. L. R.****
36
34
1338
2677
267
15
16
1 74
89
2498
Permit PAN Limit 1 st/2nd Crop
•.22
-•1 certity, 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
2 d **Volatilization Rate: Surface - 0.5, Injection/Incorporation -1.0
Signature of Land A(/Tier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: Spring Lake WWTP WQ Permit #: WQ0001086 Field #: 1 Acres Utilized: 9.1
Land Owner: David Chatellier ` `` '`"
Annual Dry Tons Applied: �`Lrl`:'84.9„9�,,, ���.°,, -s� .i�,;�''} Site #: 5 Acres Permitted: 9.1
Operator: Richard E. Mendez Predominant Soil Series: GaB-Gilead Cation Exchange Capacity (non 503):
Crop 1 Name: Bermuda Crop 1 Max. PAN: 220 Crop 2 Name: Crop 2 Max. PAN:
Lei
Y
Y o
c�
A
Volume applied
(enter one) Solids/
Liquid
Cu. Yds Gallons
%
Solids
Volume
Applied Per
P P
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
��'�
Wet
Moist)
Precip.
Past 24
Hrs.
inches
>
b
::
o•
o� w
*
2
qy �,
�,
* w'
o
w
*
* =•
0
TKN
mg/kg
Z
oo o
] �.
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
lbs acre)
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
January
0
1.57
+0.000' , .
SLWWTP
S
0.5
0.3
68200
16600
637
" 0 00;0 ".
;;° INA ; _
Bermuda
February
0
1.57
'" ' "0000":= :
SLWWTP
S
0.5
0.3
68200
16600
637
?0"400=
.;': IVS .;=
Bermuda
March
0
1.57
, .." 0 000 ::.:
SLWWTP
S
0.5
0.3
68200
16600
637
N-,;
Bermuda
April
0
1.57
.0:000;`;.'-"
SLWWTP
S
0.5
0.3
68200
16600
637:Bermuda
May
0
1.57
:_;0.000'-=;
SLWWTP
S
0.5
0.3
68200
16600
637
Bermuda
June
0
1.57
-;' - 0:000 .'
SLWWTP
S
0.5
0.3
68200
16600
637
; . OrO;OQ '
; ;- NA; J.
Bermuda
July
0
1.57
.'' ';0:000• :_ ,'.
SLWWTP
S
0.5
0.3
68200
16600
637
`:0`.OQO!
'.'';NAi :''
Bermuda
August
181000
1.57
,'.'.'1.302: ``
SLWWTP
S
0.5
0.3
68200
16600
637
.i`,53=591,;
Y=`NA 'Bermuda
., , t..-
eptember
0
1.57
. ,;`O::0Q'0;'
SLWWTP
-
S
0.5
0.3
68200
16600
637
';.Oi.OQO-'''
', •;NA,:,,:a
Bermuda
October
0
1.57
SLWWTP°'
S
0.5
0.3
68200
16600
637
:``'OsOQ'0` `
>;'
'r'- �N'A ^:
Bermuda
ovember
0
1.57
= : "0:000 ' =' •
SLWWTP
S
0.5
0.3
68200
16600
637
`,'Os000w:
=.'ENA;
Bermuda
December
0
1.57
`'0i000-::,
SLWWTP
S
0.5
0.3
68200
16600
637
,,Q000"`'
' :dNA;`:;;
Bermuda
_
Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form):
= `%
TOTALS:
0
181000'
As
Cd
Cu
Cr
Pb
H
Mo
Ni
Se
Zn
P
' S3 59:1`'
' .0:0.0;Q':
Lime Applied
Annual lbs/acre
0
0:075
36
0
:.0067
34 `
0
1338
0
2677
0 '
0
267
Q:.OtS ;r
0
15
: 0.,,19.8i;.
0
16
,j0,538<
0
0.538;.
74
0
= 0294_
89
0
:';42.423
2498
:::: >::
'
Date
lbs/ac
Prior Years Cumulative lbs/ac
2018
2603.4
Current Cumulative lbs/ac
Permitted C. P. L. R.****
Permit PAN Limit 1 st/2nd Crop
P
0 .e
••i certiry, 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, infludmg the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
'Cr **Volatilization Rate: Surface - 0.5, Injection/Incorporation -1.0
Signature of Land Appl Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: Spring Lake WWTP WQ Permit #: WQ0001086 Field #: 2 Acres Utilized: 7.2
Land Owner: David Chatellier Annual D Tons ' `'t y` `'''" Dry Applied:5303Q', _ Site #: 5 Acres Permitted: 7.2
Operator: Richard E. Mendez Predominant Soil Series: GaB-Gilead Cation Exchange Capacity (non 503):
Crop 1 Name: Bermuda Crop 1 Max. PAN: 220 Crop 2 Name: Crop 2 Max. PAN:
0
o
A
Volume applied
enter one Solids/
( )
Li Liquid
9
Cu. Yds Gallons
o
/o
Solids
Volume
Applied per
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES # WQ#
'
Fert. Animal
Waste, etc )
Soil
Cond.
(Dry,
Wet
Moist)
Precip.
Past 24
Hrs.
inches
>
4 b
°
o'
o w
a
* °
c
F:
��^, -�
N'
�•
0
7y
w A
c °:
*
* �•
0
TKN
mg/kg
Z
3
o
ao o
° ?
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
PP
lbs/acre
( )
Name of Crop Type
ReceivingResidual
Application
Crop 1
Crop 2
Crop 1
Crop 2
January
0
1.57
:.6.00`0. : ;
SLWWTP
S
0.5
0.3
68200
16600
637
`:Q,000:+:
'.- :NA' ;5
Bermuda
February
0
1.57
. ,0:00.0.:=.
SLWWTP
S
0.5
0.3
68200
16600
637
_Oi'Q00'
''NA;;`;
Bermuda
March
0
1.57
= 0.`000' '..`
SLWWTP
S
0.5
0.3
68200
16600
637
;` OOOOr''.
":`N,A: 'r
Bermuda
April
0
1.57
'. ` 0:000', <_
SLWWTP
S
0.5
0.3
68200
16600
637
'000`0'
>.-'NA_ `'
Bermuda
May
0
1.57
:: 9.000~ : ``_
SLWWTP
S
0.5
0.3
68200
16600
637
''OOQ,O„
NA `:+'
Bermuda
June
0
1.57
: ''`0000"T'.
SLWWTP
S
0.5
0.3
68200
16600
637
Bermuda
July
0
1.57
; 0:00.0.
SLWWTP
S
0.5
0.3
68200
16600
637
.?0':000if
'4:NA i;'
Bermuda
August
1
0
1.57
' O.000 -;, `
SLWWTP
S
0.5
0.3
68200
16600
637
;'` O':000''"
' NA; %
Bermuda
eptember
81000
1.57
0:737' ; ;.
SLWWTP
S
0.5
0.3
68200
16600
637
`3'S,968',
' ` IVA-,;: ;
Bermuda
October
0
1.57
;.r:'0:000 --.-.,
SLWWTP
S
0.5
0.3
68200
16600
637
"`
U 000";
': `.";N r=
Bermuda
ovember
0
1.57
0:;00.0'`:;
SLWWTP
S
0.5
0.3
68200
16600
637'00'0_
's'``'NA •'.'..
Bermuda
ecember
0
1.57
A:O'00:. ` '.<
SLWWTP
S
0.5
0.3
68200
16600
637
; .O QQO,;,;,
`` N%A ' r,
Bermuda
,,
Residuals Applications totals
on FORM FSF supp ( attach FORM
FSF supp to this form):
TOTALS:
o.
- oo
As
Cd
Cu
Cr
Pb
Hg
Mo
Ni
Se
Zn
P
~3`5:9$8
° 0:000 .
Lime Applied
Annual lbs/acre
_0.034' :.',
0
'0 '';b4 `0
':0
36
;; 0.'03.0 `
0
3 0;'
34
0
s.
'~3'.498_
1338
0
, "01s96'-
2677
0
""
' Q.228.
267 c
0
0.002..
15
0
.088
0
16
0
74 '
0
89 .,
0
.. 2
498
;.:.:.:.............:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.
Date
lbs/ac
Prior Years Cumulative lbs/ac
2018
1472.5
Current Cumulative lbs/ac
Permitted C. P. L. R. ****
Permit PAN Limit lst/2nd Cr 0 P
c220 -
-•i cernry, unaer penalty 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 significant penalties for submitting false
information, includi the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
**Volatilization Rate: Surface - 0.5, Injection/Incorporation -1.0
Signature of Land Applie Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: Spring Lake WWTP WQ Permit #: WQ0001086 Field #: 3 Acres Utilized: 12.3
Land Owner: David Chatellier Annual Dry Tons Applied: _ Site #: 5 Acres Permitted: 12.3
Operator: Richard E. Mendez Predominant Soil Series: GaB-Gilead Cation Exchange Capacity (non 503):
Crop 1 Name: Bermuda Crop 1 Max. PAN: 220 Crop 2 Name: Cron 2 Max. PAN:
7
w �
° y
°
1
A
January
Volume applied
PP
(enter one) Solids/
Liquid
Cu. Yds Gallons
0
%
Solids
1.57
Volume
A lied er
PP P
Acre
(DryTons/Ac)
Q:000:;
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
SLWWTP
Soil
Cond.
(Dry,
Wet,
Moist)
Precip.
Past 24
Hrs.
inches
y
4 b
cD
E'
o w
a o.
S
C
o
�,
�'
co -
* N'
w
0.5
w =
h E=
*
0.3
TKN
mg/kg
68200
Z y
�
o
04 °
mglkg
16600
Nitrate
and
Nitrite
mg/kg
637
PAN Applied
( lbs/acre)
Name of Crop Type
P
Receiving Residual
Application
Crop 1
:`0'000'
Crop 2
'. ;4'NA"'-,,'
Crop 1
Bermuda
Crop 2
February.
0
1.57
: ; "OtQ00 ,` 2
SLWWTP
S
0.5
0.3
68200
16600
637
0`90`0'';
f ; ;NA: ',
Bermuda
March
0
1.57
; . _` 'O;OQQ;, `;
SLWWTP
S
0.5
0.3
68200
16600
637
0000 ;
',„;NA }'
Bermuda
April
0
1.57
'' ;'0:000'.- :'
SLWWTP
S
0.5
0.3
68200
16600
637
",000'Q:;.:;:;NA
.`„
Bermuda
May
Y
0
1.57
SLWWTP
S
0.5
0.3
68200
16600
637
:...
O'.'000'
;..,:; .
' _ NA.:`:
Bermud a
June
0
1.57
, •: O:OQO:'; ,
SLWWTP
S
0.5
0.3
68200
16600
637
:'`. QOOQ:, s
?';NA ? ='
Bermuda
July
0
1.57
" ' :,"0;00.0'
'",;
SLWWTP
S
0.5
0.3
68200
16600
637=,;NA,";
Bermuda
August
0
1.57
';0:`OO'Q.`-�,,
SLWWTP
S
0.5
0.3
68200
16600
637
.Bermuda
e tember
P
121500
1.57
,,, _:`:Oi64,7�-,,, �,
SLWWTP
S
0.5
0.3
68200
16600
637
"3'1':58�1r�'"°
Q
:N e.�� ,Bermuda
October
0
1.57
O;QQO,::;
`r0;000
SLWWTP
S
0.5
0.3
68200
16600
637
�0')000'ar'.';':;NA;,
Bermuda
ovember
0
1.57
_;'`;
SLWWTP
S
1 0.5
1 0.3
68200
16600
637-''.Bermuda
ecember
0
1.57
; :.•0;0'00' J`IF
SLWWTP
S
0.5
1 0.3
68200
1 16600
637
=O;,OOQ:'`
` ` `'' ` •
NA'::.;
Bermuda
Residuals Applications totals on FORM FSF supp ( attach
FORM
FSF supp to this form):
-,
TOTALS:
0
121500::
As
Cd
Cu
Cr
Pb
Hg
Mo
Ni
Se
Zn
P
,3l:asi:.`
k0:'ooq' :'
Lime, lied
Annual lbs/acre
'`'0::051: .'_':
0
Oos'°1` = .
,..
36"
".`: 0 045` °'
0
34
r:5':247`:.
0
.r,
a.5:247 -
�.,
1338 I
;a .0'264'..,
0
;"= Os264 ,`
.,
' 2677
0' 342 '.
- .
0
_
.i4`
,0.342s"
267 n:
''0 0 -
..._ .. _
0
<O:OQ3.
15
6'133...;
.. ,-:.. - , ,...0._
0
_
�A1�133'.r
16
: 3'fi ':;
, . ...
0
<03'6`L
74
., = . �� ., .,
0..1"97.
0
'e0':�197�.�"
89 .,
_:. .-; ;...
, 28.46.1.
0
,
46.1�'
E2498
•,.:... .
381, 600.......•.............
Date
lbs/ac
Prior Years Cumulative lbs/ac
2018
1292.9
Current Cu
Cumulative 1 c
Permitted C. P. L. R.****
Permit PAN Limit lst/2nd Cro P
20'
--.t cerury, under penaity of law, tnat 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."
t
*Application Method: S - Surface, IN - Injection, INC - Incorporation
i Z6� **Volatilization Rate: Surface - 0.5, Injection/Incorporation -1.0
Signature of Land AppCer 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)

Meritech, Inc.
Environmental Laboratory
Laboratory Certification No.165
Contact: Henry Taylor Page 1Report Date: 10/4/2018
Client: Town of Spring Lake
300 Ruth Street Project: Digestar
Spring Lake, NC 28390 Date Sample Rcvd: 8/30/2018
i
Meritech Work Order # 08301879 Sample: Digester Grab 8/28/18
Parameters Result Analysis Date Reporting Limit Method
% Solids 1.57 % 8/31/18 0.2 % SM 2540B
% Volatile Solids 1.17 % 8/31/18 0400 % SM 2540E
Ammonia, Nitrogen 16600 mg/kg 9/6/18 10 mg/kg EPA 350.1
TKN 68200 mg/kg 9/6/18 20 mg/kg EPA 351.1
j • Nitrate/Nitrite, Nitrogen <637 mg/kg 9/4/18 637 mg/kg EPA 353.2
Nitrogen, total 68200 mg/kg 9/7/18 20 mg/kg EPA 353.2
Aluminum, total 8220 mg/kg 9/5/18 2.50 mg/kg EPA 200.7
• Arsenic, total <3.18 mg/kg 9/5/18 3.18 mg/kg EPA 200.7
Cadmium, total 2•81 mg/kg 9/5/18 0.694 mg/kg EPA 200.7
Calcium, total 28800 mg/kg 9/5/18 10 mg/kg EPA 200.7
Chromium, total 16.6 mg/kg 9/5/.18 2.89 mg/kg EPA 200.7
Copper, total 330 mg/kg 9/5/18 1 mg/kg EPA 200.7
Lead, total 21,5 mg/kg 9/5/18 3.47 mg/kg EPA 200.7
Magnesium, total 5000 mg/kg 9/5/18 10 mg/kg EPA 200.7
Mercury, total 0.191 mg/kg 9/4/18 0.02 mg/kg EPA 245.1
Molybdenum, total 8•34 mg/kg 9/5/18 1.21 mg/kg EPA 200.7
Nickel, total 22.7 mg/kg 9/5/18 2 mg/kg EPA 200.7
Phosphorus, total 24000 'mg/kg 9/5/18 2.00 mg/kg EPA 200.7
Potassium, total 9660 mg/kg 9/5/18 20.0 mg/kg EPA 200.7
Selenium, total 12.4 mg/kg 9/5/18. 2.43 mg/kg EPA 200.7
Silver, total <1.59 mg/kg 9/5/18 1.59 mg/kg EPA 200.7
Sodium, total 5200 mg/kg 9/5/18 20.0 mg/kg EPA 200.7
Zinc, total 1790 mg/kg 9/5/18 0.5 mg/kg EPA 200.7
642 Tamco Road, Reidsville, North Carolina 27320
tel.[phone] fax.[phone]
1

M-eritech, Inc.
Environmental Laboratory
Laboratory Certification No.165
Contact: Henry Taylor
Client: Town of Spring Lake
300 Ruth Street
Spring Lake, NC 28390
Page 2
Report Date: 10/4/2018
Project: Digestar
Date Sample Rcvd: 8/30/2018
Meritech Work Order # 08301879 Sample: Digester Grab 8/28/18
1311- TCLP Metals -
Parameter
Results
Analysis Date
Det. Limit
Reg. Limit
Method
Arsenic
<0.100 mg/L
9/7/18
0.100
5.0
EPA 200.7
Barium
0.090 mg/L
9/7/18
0.005
100.0
EPA 200.7
Cadmium'
<0.020 mg/L
9/7/18
0.020
1.0
EPA 200.7
Chromium
<0.050 mg/L
9/7/18
0.050
5.0
EPA 200.7
Lead
<0.100 mg/L
9/7/18
0.100
5.0
EPA 200.7
Mercury
<0.02 mg/L
9/11/18
0.02
0.2
EPA 245.1
Selenium
<0.100 mg/L
10/4/18
0.100
1.0
EPA 200.7
Silver
<0.050 mg/L
9/7/18
0.050
5.0
EPA 200.7
TCLP Organics
Parameter
Results
Analysis Date
Reporting
Limit
Method
Volatiles 8260
Attached
9/5/18
-
8260
Semi Vol. 8270
Attached
9/20/18
-
8270
Other Tests
Parameter
Results
Analysis Date.
Reporting
Limit
Method
Cyanide, total
0.600 mg/L
8/31/18
0.500 mg/L EPA 335.4
Flash Point
>140 °F
8/31/18
- - EPA 1020B
Paint Filter Test
Free Liquid Present
9/4/18
- - SW-846 9095B
pH
6.9 S.U.
9/7/18
1.0 - 14.0 S.U. SM 4500 HB
Sulfide, total
<10 mg/L
9/4/18
10 mg/L SM 4500 SD
642 Tainco Road, Reidsville, North Carolina 27320
tel.[phone] fax.[phone]

Meritech, Inc.
A4.A
Environmental Laboratory
Laboratory Certification No.165
Contact: Henry Taylor
Report Date:
Page 3
10/4/2018
Client: Town of Spring Lake
300 Ruth Street
Spring Lake, NC 28390 Date
Sample Rcvd:
8/30/2018
Meritech Work Order #
08301879 Sample: Digester Grab
8/28/2018
1311- TCLP Pesticides .& Herbicides
j Pesticide - SW-846 8081A
Parameter
es lts Analysis Date Det. Limit
Reg. LimitDilution Factor
Endrin
<0.002 mg/L 9/19-21/18 0.002
0.02
1
Chlordane
<0.003 mg/L 9/19-21/18 0.003
0.03
1
Toxaphene
<0.050 mg/L 9/19-21/18 0.050
0.5
� 1
Methoxychlor
<1.00 mg/L 9/19-21/18 1.00
10.0
1
Heptachlor
<0.0005 mg/L 9/19-21/18 0.0005
0.008
1
Lindane
<0.040 mg/L 9/19-21/18 0.040
0.4
1
Herbicides - SW-846 8151A
Parameter Results Analysis Date Det. Limit Reg. LimitDilution Factor
2,4-D <1.00 mg/L 9/19-21/18 1.00 10.0 1
i 2,4,5-TP. (Silvex) <0:100 mg/L 9/19-21/18 . 0.100 1.0. 1
r
{ I hereby certify that have reviewed and approve these data.
642 Tamco Road, Reidsville, North Carolina 27320
tel.[phone] fax.[phone]

i
MERITECH, INC.
.• - ; Environmental Laboratories
Laboratory Certificate #165
Client: Spring Lake
Project: Digester
Client Sample ID: Digester
Sample Collection:. 08/28/18
Meritech Sample ID: 08301879
1311 - TCLP Organics
VOlatiles: SW-846 8260
Analysis: 09/05/18
Extraction:
09/04/18
Analyst: VWV
Report Date:
09/07/18
Parameter
r�
Result
Units
Det. Limit
Rey. Limit
Dilution Factor
i Benzene
< 0.0100
mg/L
0.0100
0.50
10
Carbon Tetrachloride
< 0.0100
mg/L
0.0100
0.50
10
Chlorobenzene
< 0.0100
mg/L
0.0100
100
10
Chloroform
< 0.0100
mg/L
0.0100
6.0
10
1,2-Dichloroethane
< 0.0100
mg/L
0.0100
0.50
10
1,1-Dichloroethene
< 0.0100
mg/L
0.0100
0.70
10
Methyl Ethyl Ketone
< 0.100
mg/L
0.100
200
10
Tetrachloroethylene
< 0.0100
mg/L '
0.0100
0.70
10
Trichloroethene
< 0.0100
mg/L
0.0100
0.50
10
Vinyl Chloride
< 0.0200
mg/L
0.020
0.20
10
Semi-Volatiles: SW-846 8270
Analysis: 09/20/19
Extraction:
09/04/18
Analyst: PM
Report Date:
09/21/18
Parameter
Result
Units
Det. Limit
Ree. Limit
Dilution Factor
1,4-Dichlorobenzene
<0.100
mg/L
0.100
7.5
10
Hexachlorobenzene
<0.100
mg/L
0.100
0.13
10 `
Hexachloro-1,3-butadiene
<0.100
mg/L
0.100
0.5
10
Hexachloroethane
<0.100
mg/L
0.100
3.00
10
o-cresol
<0.100
mg/L
0.100
200
10
m&p-cresol
<0.200
mg/L
0.200
200
10
Total cresols
<0.300
mg/L
0.300
200
10-
Nitrobenzene
<0.100
mg/L
0.100
2.00
10
Pentachlorophenol
<0.500
mg/L
0.500
100
10
Pyridine
<0.100
mg/L
0.100
5.0
10
2,4,5-Trichlorophenol
<0.100
mg/L
0.100
400
10
2,4,6-Trichlorophenol
<0.100
mg/L
0.100
2.00
10
2,4-Dinitrotoluene
<0.100
m g/L
0.100
0.13
10
I hereby certify that I have reviewed and approve these data.
/x VU,
Laboratory Representative
642 Tamco Road * Reidsville,
NC 27320
(336)
342-4748
* [e-mail]

Chain of Custody Record (COC)
Client: Spring Lake
Address: 300 Ruth St.
I_
t: Spring Lake, NC
I.
Attent(on: Henry Taylor 910-497-6748
NPDES #: #Vc- esc.-A s 970
Phone: [phone]
Fax:
Email:
Project: Digester
PO #: '
MERITECH INC.
Environmental Laboratories
A Division of Water Technology and Control, Inc.
642 Tamco Rd Phone [phone]
Reidsville, NC Fax: [phone]
27320 Email: . wtclab(M-bellsouth.net
Web Site: www.meritech-labs.com
Turn Around Time*
ays)
3 - 5 Day
24.48 Hr
Sample
LocationilD #
Sampling Dates & Times
person Ta�Cing Sample (Signature):
Lab Use Only
START
END
Comp?
Grab?
' `#of
'fonts.
Tests Required - Annually
�n
Ice?
pH OK?
C12 OK?
Date
Time
Date
Time
Digester
j-2t-lg
//l& -� :
8-a,r'-/y
//3 �/
1
% Solids, % Volatile Solids, Paint Filter 1
i' l!
1
NH3,TKN,NO2,NO3,Ntot (H2SO4)
;j 1
Metals-AI,As,Cd,Ca,Cr,Cu,Pb,Mg,Hg,
l:
Mo,N1,Ptot,K,Se,Ag, Na,Zn (w/HNO3)
J� 4
Full TCLP
Method of Shipment:
Comments: (�
���.+ �e � z� � �r'C`� �
•� �,...�•a �� �, �r',� Lc.��� S
UPS •
Fed Ex
❑ Delivery
QOther
Will these results be used for regulatory purposes?
Yes No
rT
*RUSH work must be approved prior to submitting samples.
Date: tm
Rel 02 dp: 10 / d /
Date: Time:
�Ivy:q!
.Hand
Rel q ed by: ate: :Time:
/� ;rj
Received by: Date: Time:
Relinquished by: Date: Time:
Re a atp� �� � Time: ���

ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (02T Rules)
Facility Name: Spring Lake WWTP WQ Permit Number:
WWTP Name: Spring Lake NPDES Number:
Monitoring Period: From 1/1/2018 To 12/31/2018
WQ0001086
NCO030970
Pathogen Reduction (15A NCAC 02T .1106) - Please indicate level achieved and alternative performed:
Class A:
Alt. A (time/temp) ❑
Alt B (Alk Treatment) ❑
TAlt. 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 0
Gamma Ray
Pasteurization
Class B:
jAlt. (1) Fecal Density ❑
1 Alt. (2) Process to Significantly Reduce Pathogens ❑
............
If applicable to alternative
performed (Class
B only) indicate "Process to Significantly Reduce Pathogens":
Lime Stabilization p
Air Drying ❑
Composting [3
Aerobic Digestion ❑
Anaerobici a c Digestion [3..............................................................................:............................................................
........................................................................................................................................... .
.
If applicable to alternative performed (Class A or Class B) complete the following
monitoring
data:
Parameter
Allowable Level
in Sludge
Pathogen Density
Number o
Excee-
s
Frequency
of Analysis
Sample
Type
Analytical
Tech-
nioue
Geo. Mean
MaximumUnits
Fecal Coliform
2 x 10 to the
6th power
per gram of
total solids
MPN
CFU
1000 mpn per gram
of total solid (dry
weight)
Salmonella bacteria
(in lieu of fecal
coliform)
3 WN per 4 grams
total solid (dry
weight)
Vector Attraction Reduction (15A NCAC 02T .1107) - Please indicate alternative performed:
Alt.1 (VS reduction) ❑
Alt. 2 (40-day bench) ❑
Alt: 3 (30-day bench) ❑
Alt. 4 (Spec. 02 uptake) ❑
Alt. 5 (14-Day Aerobic) ❑
Alt. 6 (Alk. Stabilization El
Alt 7 (Drying - Stable) ❑
Alt. 8 (Drying - Unstable) ❑
Alt. 9 (Injection) ❑
Alt. 10 (Incorporation) ❑
No vector attraction reduction alternatives were performed ❑
CERTIFICATION STATEMENT (please check the appropriate statement)
"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
a 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."
Richard E. Mendez, ORC Richard E. Mendez, ORC
Prepa�er Name and Title type or print) Land Applier ame and Title if applicable)(type or print)
2 1a 20
ignature of Preparer Date Signature of Land Applier (i applicable) Date
*Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26)
DENR FORM PVRF 02T (12/2006)

ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (503 Rules)
Facility Name: Spring Lake WWTP WQ Permit Number:
WWTP Name: Spring Lake NPDES Number:
WQ0001086
NCO030970
Monitoring Period: From 1/1/2018 To 12/31/2018
Pathogen Reduction (40 CFR 503.32) - Please indicate level achieved and alternative performed:
Class A:
Alternative 1 ❑
Alternative 2 ❑.
Alternative 3 ❑
..................
Alternative 4 ❑
Alternative 5 ❑
Alternative 6 ❑
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:
Alternative 1 ❑
Alternative 2
If applicable to alternative
performed (Class B only) indicate "Process to Significantly
Reduce Pathogens":
Lime Stabilization 0
Air Drying❑
CoMosting ❑
jAerobic Digestion ❑
Anaerobic Digestion
If applicable to alternative performed (Class A or Class B) complete the following
monitoring data:
Parameter
Allowable Level
in Sludge
Pathogen Density
Number of
Excee-
dences
Frequency
of Analysis
Sample
Type
Analytical
Tech -
niaue
Minimum
Geo. Mean
Maximum
Units
Fecal Coliform
2 x 10 to the
6th power
per gram of
total solids
WN
CFU
1000 mpn per gram
of total solid (dry
weight)
Salmonella bacteria
(in lieu of fecal
coliform)
3 WN per 4 grams
total solid (dry
weight)
Vector Attraction Reduction (40 CFR 503.33) - Please indicate option performed:
Alt.1 (VS reduction) ❑
Alt. 2 (40-day bench) ❑
Alt. 3 (30-day bench) ❑
Alt. 4 (Spec. 02 uptake) ❑
Alt. 5 (14-Day Aerobic) ❑
Alt. 6 (Alk. Stabilization 0
Alt 7 (Drying - Stable) ❑
Alt. 8 (Drying - Unstable) ❑
Alt. 9 (Injection) ❑
Alt. 10 (Incorporation) ❑
No vector attraction reduction alternatives were performed ❑
CERTIFICATION STATEMENT (please check the appropriate statement)
"I certify, under penalty of law, that the pathogen requirements in 40 CFR 503.32 and the vector
attraction reduction requirement in 40 CFR 503.33 have been met."
❑ "I certify, under penalty of law, that the pathogen requirements in, 40 CFR 503.32 and the vector
attraction reduction requirement in 40 CFR 503.33 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."
Richard E. Mendez, ORC
Preparer Name and Title (type or print)
c
Si ature of Preparer*
Richard E. Mendez, ORC
Land Applier Name and Title (if applicable)(type or print)
. * -., 1'. , - gqq:�j�l 1—Zol9
Date . Signature of Land Applier (if a icable) Date
*Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26)
DENR FORM PVRF 503 (12/2006)

:,W_C....DAWSAmDiviso- ine:gr "
;Wb_site:.:wwwncagr::gaaitagronom,il,
.eportWClient:
Predictive
Richard Mendez
Advisor:
r
PO Box 617
s.
Spring Lake, NC 28390
G Soil Report Mehlich-3 Extraction
Sampled County: Cumberland
Links to Helpful Information
Sampled: 08/31/2018 Received: 09/26/2018 Completed: 10/01/2018
Client ID: 355223
Farm: Brinkly Chattellier
Advisor ID:
Sample ID: 5-1 Recommendations: Lime
Nutrients (lb/acre)
More
Crop (tons/acre)
N P2O5
K2O
Mg S
Mn
Zn
Cu B
Information
Lime History: 1 -Bermuda hay/past., M 0.0
180-220 0
150
0 0
pH$
0
0 0
Note: 12 Note:
2-Small Grain (SG) 0.0
80-100 0
70
0 0
pH$
0
0 0
Note:3 Note:
Test Results [units - WN in g/cnf; CEC and Na in meq/100 cnr3; NO3-N in mg/dO]:
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
0.66 1.23 8.0 92 0.6 6.6 162 36
73 17
36 130
86 79
274
274
147 0.2
3
Sample ID: 3-8 Recommendations: Lime
Nutrients (lb/acre)
More
Crop (tons/acre)
N P2O5
K2O
Mg S
Mn
Zn
Cu B
Information
Lime History: 1 -Bermuda hay/past., M 0.0
180-220 0
220
25 25
0
0
0 0
Note: 12
2 -Small Grain (36) 0.0
80-100 0
130
$ 25
0
0
0 0
Note: 3 Note:
Test Results [units - WN in g/cnf; CEC and Na in meq/100 cO; NO3-N in mg/drnl]:
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
0.22 1.48 3.6 78 0.8 5.8 267 • W 9
67 9
20 81
66 59
313
313
185 0.2
6
North Carnlinn
T6acco Ust Fea Commissimi
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 Aariculture

Richard Mendez
Understanding the Soil Report: explanation of measurements, abbreviations and units
Recommendations
Lime
If testing finds that. soil pH is too low for the crop(s) indicated, a lime recommendation will be given in units of either
ton/acre or Ib/1000 sq ft. For best results, mix the lime into the top 6 to 8 inches of soil several months before planting.
For no -till or established plantings where this is not possible, apply no more than 1 to 1.5 ton/acre (50 ib/1000 sq ft) at
time, even if the report recommends more. You can apply the rest in similar increments every six months until the full r
is applied. If MG is recommended and lime is needed, use dolomitric lime.
Fertilizer
Recommendations for geld crops or other large areas are listed separately for each nutrient to be added (in units of
lb/acre unless otherwise specified). Recommendations for N (and sometimes for B) are based on research/field studies
for the crop being grown, not on soil test results. K-1 and P-1 values are based on test results and should be > 50. If they
are not, follow the fertilizer recommendations given. If Mg is needed and no lime is recommended, 0-0-22 (11.5% Mg) is
an excellent source; 175 to 250 lb per acre alone or in a fertilizer blend will usually satisfy crop needs, SS-1 levels appear
only on reports for greenhouse soil or problem samples.
Farmers and other commercial producers should pay special attention to micronutrient levels. If $, pH$, $pH, C or Z
notations appear on the soil report, refer to $Note: Secondary Nutrients and Micronutrients In general, homeowners do not
need to be concerned about micronutrients. Various crop notes also address lime fertilizer needs; visit
ncagr.gov/agronomi/pubs.htm.
Recommendations for small areas, such as home lawns/gardens, are listed in units of Ib/1000 sq ft. If you cannot find
the exact fertilizer grade recommended on the report, visit www.ncagr.gov/agronomi/obnart4 htrnlgsfind information that
may help you choose a comparable alternate. For more information, read A Homeowners Guide to Fertilizei
Test Results
The first seven values [soil class, HM%, W/V, CEC, BS%, Ac and pH] describe the soil and.its degree of acidity. The
remaining 16 [P-1, K-I, Ca%, Mg%, Mn-I, Mn-All, Mn-AI2, Zn-I, Zn-Al, Cu-I, S-I, SS -I, Na, ESP, SS -I, NOs-N (not routinel
available)] indicate levels of plant nutrients or other fertility measurement. Visit www.ncagr.gov/agronomi/uvrst htm
Page 2 of 2
Report Abbreviations
Ac
exchangeable acidity
B
boron
BS%
% CEC occupied by basic cations
Ca%
% CEC occupied by calcium
CEC
cation exchange capacity
Cu-I
copper index
ESP
exchangeable sodium percent
HM%
percent humic matter
K-I
potassium index
K20
potash
Mg%
% CEC occupied by magnesium
MIN
mineral soil class
Mn
manganese
Mn-AI1
Mn-availability index for crop 1
Mn-Al2
Mn-availability index for crop 2
Mn-I
manganese.index
M-0
mineral -organic soil class
N
nitrogen
Na
sodium
NO3-N nitrate nitrogen
ORG
organic soil class
pH
current soil pH
P-1
phosphorus index
P205
phosphate
S-1
sulfur index
SS-1
soluble salt index
WN
weight per volume
Zn-AI
zinc availability index
Zn-I
zinc index

vision
MN
LX
Predictive
Rft
iS611epo,
Clibilt:, RldlibirdW161140Z
170, Bbx'S.l 71
8011V Uik%, NC.28390
SampW'County.,,Cumbbdand
Advisor:
Cumbedand-.CWnty
Master'Oardenei5
301 E. Mburiiain'Dr..
1
Fayeteville,NC 28306e-
Unks to H91001 Informadoh
35522T
Advisor
ID: 477208.,
.s&mpOed:,112105/201,8
Redelved: 12j14/2018Catnplitdd: 02/01/2019
Fans:
Sample ID: 5-3
Lime History:
Recommendations: LIM
Clop (tons/acre)'
1 -Small Grain.,(SG) 0:0
2 Bermuda haylpak,,; E. 6.0
N P20$
80A00 0
6.0-80 A
pub Mg S Mn
90 014s
Zn
0
.0
qu
0
0
B
0
0
More
Information
Note: 1 Note!
Not :12:Note:
.N in
T.0.4t.T.Results [units - WN in-Sf1cd; CEC and No in meqf100'c"0,,NO*.
. -Sail Class:
Mineral
HM%. WN
CEC BS% Ac pH P-1 K4'
da% Mg%: -
S4 M64 Mn All MnAl2
Zn4'.
Zn-AI
Cd-I
Na ESP SS4 NO 3
Z; 1.22
7.1 91 0'.,6 84 23.
7& 13
33- 26 �6 65
-140
140
57
01
. 1
i'48ffiplo,JD: 5-2
,Lime, 141story:.
Recommendations: Lline
Crop (toilslacre)
I -Small, Grain (SG) 0A
2, - Bermuda hay/past., 8 0.0
:Nutrients (Ibftqre)�
N. P26T K, 20-1 Mg S Mil.
80-100 ;0:. 0 0: PH$
60.=80 a AID 0 -01 pH$
Zn
0
0
'Cu
0
0
B
0
0
More
Information
-Note.-,3 Note:'
_Notqj2,&o�tw
test'Rosults'jijnits'm WN in gfcnf CEC and No In metillwcm2l; Wds-Ulwingldhf),
golfcigiss-
Mineral
HMW WN
CEC BS% Ac PH P4 K-1
C#W Mile/a
34 Mn4 MnA11 ;Mn-AM
Zn4
Zh_4U
Cu.4
No .ESP- 66-1 NO3;N
0.'66 1.18
.6.3 69 017 615 64 23,
72 16
18 1"66. .06 71
117
117"
36
0.1 2.
Sample,11): 4-1
'Reco.miniefideitions: LIMe
Crop (tonsfacre)
i_-Fes.cuWGrass/TimV E
2-Bermuda-hay/past., E 'Uf
N __.P2O5
0
'6 46 p
Nutrientw(lblacrer)-
imlo ft A Mn.
20, '20. 0 0:
60' 0
Zn
0
0
Cu
0;
0.
B_
0
0
More
Information,
N66: 12.
-Notir 12-
Test -Results [units -'WN in g1chf'-,CE0.And Win metil.166 cnA, 903.4 i'mr6igidrifl:
Sdll'Clatsa
'Mineral
-HM% WN-
CEC BS% Ac PH P4'L K-1
Celli 'Mg%
4 � n -A112
V Mn :M, -All M.h
Zn-14
Zit -Al
Cu4' -
Nallo ESP SS NO3-N.
IDA6. 1.30
AJ 67 2.0 52 273 tg
56 .7.1
.4.1 48 18 46
491
-491
1186.
0A 2
North Carolina
Roprogr2"ftlng,dfr'the.labdratov.i&rn4ior-mana�gementsysten,,thatx6akde'th S-report possible' 'being fun
ded
-lh.rouglisa grant, fram, the Nbrffi-Cimlirib. Tobacco TrUtt FUhd Commission.
Th",-yo-Juilfbi Ab"16- nage, nutiients;andsaldguaid'ehAtonmehtdl� qUalit
C-Sery ;ma _y.:
- Steve Troxier.,Comi"issionerafActicUlture

V
Alcherd,Mbndez
Page 2 of 3.
Sample IDt 33
116cornmenclations: Lline
"UtdOnt%,.(Ib/acr6)
Crop -(tapsi.a0i) N;, P265.
xliol
Mg: 4 Mn,.
zh
-Cu. 13
Inibisnation,
Lime.History:
I Fesc E -13 ..�10, 0.
ue/OGrassMrn
10",
CY Z
0'
1) 0
NOW: I
2 Bermuda, haylpast., E :6.0 60;80 "0
so,
0 0 0
0
0 0
'Test Result-4 [units - WIV ln:gfcnf.; CEC and Na: In meg/100 chO NO" In qhg/diift-
m1heral
HMOW WIV CEC
BS% -Ac. PH P4 K4 t a 6%, A4
An-1
Mii-All MnAl2 "bi-I
Zn;;AI
Zu4'Na ESP $84 NOI-N
0.46 1.17 71
79 -1.5 6.8- Md 43 -69. 9 -46
78,
56 6 878
-878
1246. .0A, I
Sample ID: 3-7
Recommendations- u1ne;
(141dore)
More
Crop A P106
K20,
My 8 Mn
Zn
Cu B
-Infbtmatlbn
L.1ifte History:.
1 -Small Grah (SG) 0;0 80=10 , 6
90
0., is 0
0
0 0
NOW -3
2 Bermuda hay/past., E 0.0 6040 A"
90:
;01 45 0
0
0 0
Test Results [units - WIV In 9/crf?- CEC and Navin me 00, cnf,i: NO3'k lrw,,nWA qP
:Soil Class: Mineral
HM% WIV CEC
BS% Ac PH P4 K4 Ca% Mg7,6 -S4
M c fi-I
Mrf-All Mn4Al2 'Zn-I
ZnAI
-Cu-I. Na ESP SS4 NO3-N
0.41 1.32 4.6
81 *0.,9 -5.9 284. -24 67 '12 21
14"1
77 84, 9961-.
386
157, 0.1 2

r `• 1. - - 3^� . 0 - i �• • - -i:'L• �.D':h, : *.a:Y?Y=,. r^+i: �.aRC:I.�t:'::: ,lk.' - - - - -
` Gt)A$C � c w sion= ',PHoirer 19 ,7ra3=2i35.� VYeb"s =iiuwwnca r ov a onbrriU�=• �., ° '�o': ��N`�= :=:� ' �19=5 �+0 �1:
.9,-. (. .) �' g, % g� IY,, ' = ,.. :gip, rt.. , oar L 2.283
u�iyy'T� 'dd, �"iSiiR:u
��.Me���r�������`;.^7:.*_�1t:+ �ti�'a'a�`.,Ex:l.:':
i•o...'7..'-"'
>S':hai��✓.w'.F�T."linii: 1�:�e...w1...E7.kii�.�e..Q �..
Richard Mendez
'Page-3'_00
JUnderstanding the Soil Report: explanation of -measurements;>alifireviat ons=and units
`Recommendations
.Report Abbreviations
:Ciirfe
Ac
exchangeable acidity
if testing finds, that soil pH is too, low for the crop(i) indicated,::.,a Wme�recommeWMI6.n,v✓ill t "ivei in units of either
B
boron-
ton/acre or lb/1000 sq.ft: For best results, mix the.lime; into the top"6-toL8 inches of-soil'severaf months b6f(re;planting:
SSW
%!CEC occupied°by basic,cations
For no -till or established. plantings where this is -not possible;, apply: no:,mote than.1 to 1.5 ton(acre''(501b/1000..sq ft') at, on
Ca°/a,
% CEC occupied by calcium
"'time; even if the report recommends more. You. can 'applythe rest in-similariparements•every six nibhths until;`tHe;full rate
.CEC
sation'exchange capacity.
is<:applied. If MG is recommended and lime' Is needed, use .dolomitric lime.
.l
copper index
ESP
excharigeable. sodium percent
Fertilizer
'HM%
percent humie matter
Recommendations for field crops, or other large areas'are lisfedaeparately#.oreaCh.nutrierit to be'adoet (in units of
K=t
potasslum,iridex
Ib%acre. unless otherwise specified). Recommendations for N .(and sometimes fo(B) are based on researbh0jel'datudies
K20
potash
for. the crop being grown, not on soil test results. ;K-l-and•P=f.valuesrare::based.'on:test:.result Grid `should'. bW 50'. If they
Mg%
'%:CEC occupiedi by. magnesiumMIN
are noti,J61low the fertilizererecommendations.given. If Mg is=needed and na.lime:'is recommended; 0.0 22;O 1 5%-W,g) is
MIN
mineral
an excellent source; 175 to 250 lb per acre a fertilizer blend will usualh.'satit_ cro S§Iaevels appear
p y pMn4U1
Mn
eoil:class
manganese
,.needs,
onlyon reports for.greenhouse soil or problem -samples.
Mn-availability index for -crop; l
10I6Al2
Mn-availability. indexfor.crop'2
;Farmers and.other commercial producers:should pay speciai attention:to,;micronutrlentaei a/s: If:$; pH$-„ $p -, Cor Z
Mn4
M-0
manganese index
mineral-organic'soil class
notations appear on the soil report, refer to. $Note.: Se condarv,Nutrlents-and Micronutdents_ Iry eneral; homeownersAd not
N.
nitrogen
:need to be concerned about micronutrients. Various crop notes also •address lk a fertilizer needs; 'Visit
-
Na
sodium
:ncagr.gov/agronomi/pubs.htm.
NOa N
nitrate nitrogen
ORG
orgahic-soil class
Reccommendations for small areas,'such as. 7awns/gacdens;,are; listed:in units>of lb/100.O.sq ff ..Jf.you cannot;find:
pH'
current=soil pH
4hwexact:fertiliter-grade recommended on the report;: visit: ww`w.ncacuaov/acnnnoml/ob'aart4.htm ind:iaformationahat
Pa.
phosphorus'index
may help you choose a comparable alternate. Formore information, read A�.Homeowner's Gulde•to Fertilizer
P205-
phosphate
Sa'
sulfur index
Test Results
SS4
soluble salt index
W/V
weight:pervolume
0 o
`The first seven values [soil class, .HM /o, WN; CEC; BS /o, Ac and pH] describe the�soil� and:it5 degree, ofi acidity: The
Zn AI
zinc availability index
'remaining 16-[P-I; .K-I, Ca% Mg%, Mn-I;-Mn-All, Mri-Al2, Zn-1, Zn-Ai, burl-`S-1; SS-1. -Na,, ESPY SS -I, NO:a-N ildt�routinel
zn-1
zinc index
available)] indicate.levels of plant.nutrients orotherfertility. measurement. Visit wwwricaar..aov/acronomUuvtSfhtrrr.

Town of Spring Lake, North Carolina
2018
Annual Biosolids Report
EPA Forms
Permit # WQ0001086
NPDES Permit # NCO030970
Prepared By
MacConnell & Associates, P.C.
P.O. Box 129
Morrisville, NC 27560
Phone: [phone]
Fax: [phone]

Town of Spring Lake, North Carolina
Annual Biosolids Report
Additional Information
Permit # WQ0001086
NPDES Permit # NCO030970
Prepared By
MacConnell & Associates, P.C.
P.O. Box 129
Morrisville, NC 27560
Phone: [phone]
Fax: [phone]

Transportation/Application Log
i- For Liquid Biosolids .
ame- Project: r �e~k - Date: 9rv��'"/ a
i L/�
Vehicle No: Quantity:. Z167DO Hub Meter -Start: Hub Meter -Stop:
Alkaline Stabilization: Yes ❑ No
_ z
Temperature: >90 70-90 32-70 <32 Miles to Fielo
Site Conditions: Dry Moist Wet
Rainfall: (APrainfall >%& rainfall
'TimeAt'M
Field
�
0
MA
epth'o'd
(SMID
Comments: 7�0"
OCertified Operator
Inspected
Application method: S=Surface; S/I=Surface with Incorporation; I=Injection
icense No. Operator's Signature
White -0ffice / Yellow -Client / Pink —Trucker

610-GREEN
• LOADING LOG
C
PROJECT: 5,ri
DATE
m�
m�
�s
m�
m�
IIUTAL COAL.

r/-
-' GL - -
Transportation/Application ,Log
For Liquid Biosolids
� a1:
.� r n J U },C Date:
Name: J P,� 11 Project:
Vehicle No: : j Quantity: VO O Hub Meter -Start: Hub Meter -Stop:
Alkaline Stabilization: Yes C] No
Temperature: >90 70-9 32-70 <32 Miles to Fiel#
Site Conditions: Dry Mois Wet
Rainfall:, rainfall rainfall
�ime At
Field
F;E
o��xnmnear.�����u�n=Imam
No
Comments: *t
OCertified Operator
Inspected
method: S=Surface; S/I=Surface with Incorporation; I=Injection
operator's Signature
white -uric i u cuow-Client / Pink -Trucker

aim Transportation/Application Log
For Liquid Biosolids
Pro' c • DateName• 4��k ,e t. .•
Vehicle No: Quantity: ( 5"®b Hui Meter -Start: Hub Meter -Stop:
Alkaline Stabilization:
Temperature:
Site Conditions:
Rainfall:
Yes ❑ No
>90 70-90
Dry Moist
<%" rainfall
32-70 <32
Wet
>%:" rainfall
Miles to F'iel#
Time At
Fie ld
No.
==Elm
W�
MMM
-� Comments:��LIS' 7 out
o�ments: °Application method: S=Surface; S/I=Surface with Incorporation; I=Injection
OCertified Operator
Inspected i lure icense o. Operator's Signature.
White —Office / Yellow —Client / Pink —Trucker

Transportation/Application Log
For Liquid Biosolids
Name: �� C `� Project: S I Date: ~04�
Vehicle No: %a Quantity: 3 SOD Hub Meter -Start: Hub Meter -Stop:
Alkaline Stabilization:. Yes O No 16
Temperature:
Site Conditions:
Rainfall:
>90
rainfall
70-90 32- 0
Moist Wet
<32 Miles to Fieltl
>%Ar rainfall
Time At
Field
Landowner
on
Appi
Method
(S/Suo
o��ii���■iiiiii
mom,
.�����■���u
Comments:L�
OCertified Operator /
Inspected 7�
G
*Application method: S=Surface; S/I=Surfaee with Incorporation; I=In'ection
License o. Operatoyignature
White -Office / Yellow -Client / Pink -Trucker

Transportation/Application Log
;,...�:. 'For Liquid Bliosolids
Name: Jhs17/ Project., Dater
Vehicle No: Quantity: s0 © Hub Meter -Start: Hub Meter -Stop:
Alkaline Stabilization: Yes ❑ No
Temperature: >90 70-90 32-70 <32 Miles to Field
Site Conditions: CEMP Moist Vet
Rainfall: <'/:" infall >%:' rainfall
Time At
Field
Landowner
offlow-
MA
epttold
I
Comments: 1 D-fO5 © a 'Application method: S=Surface; S/I=Surface with Incorporation; I=Injection
l7Certified Ope
Inspected tgnature License No. Operator's Signature
White -Office / Yellow -Client / Pink -Trucker

Transportation/Application Log
For Liquid'Biosotids
Name: Q940 Ce-� fro Project: S ri
l� Date• r ^ a - U
Vehicle No: Quantity: 3 549 O Hub Meter -Start: Hub Meter -Stop:
Alkaline Stabilization: Yes O No
Temperature: >90 70-90 32-70 <32 Miles to Field
Site Conditions: Dry Q Moist Wet
Rainfall: <i " rainfall >%ff rainfall
TimeAt �ffl�
Field
Landowner
REIM���m�a
Comments: %� EJ111.1 `+Appiieation method: S=Surface; S/I=Surface with Incorporation; Mnjection
OCertified Operator
Inspected i afore Operator's Signature
White —office/Yellow-Client / Pink Trucker

Transportation/Application Log
For Liquid Biosolids
f Project: %I Date:
Name: ]—r
Vehicle No:- Quantity: 3 �0 0 Hub Meter -Start: Hub Meter -Stop:
Alkaline Stabilization: Yes ❑ No
Temperature: >90 0 0 -70 <32 Miles to Fiel#
Site Conditions: Dry Moist Wet
Rainfall:
<�' rainfall
>%= rainfall
Time At
Landowner
Appi
Method
=Mr
MOM-=
mmmm
Comments: \" "5 J)1J
`Application method: S=Surface; S/I=Surface with Incorporation; I=Injection
% F
OCertified Operator
Inspected S License No. operator's Signature
White —Office / Yellow- Uient / Pink—Ti ucker <.

0
Transportation/Application Log
ICL For Liquid Biosolids
Name: IV� C� Project. h1 ' Date: J-010`ll
Vehicle No:Quantity: 5 6 Hub Meter -Start: Hub Meter -Stop:
Alkaline Stabilization: Yes ® No {I�,
Temperature:
Site Conditions:
Rainfall:
>90
Dry
C<,/:" rainfall
70-90 32-70
Moist Wet
<32 Miles to Fiel#
>%Jr rainfall
Fl—rime At
Field
, 10
Emma—
Appl
Method
(S/Svi)
mma—v �—�M'Mmmm
Comments: " 1 CJtl
OCertified Operator
Inspected
'e(30
9
� *Application method: S=Surface; Sli=Surface with Incorporation; I=Injection
r
License No. perator s Siguiture
White —Office / Yellow —Client / Pink —Trucker

Transportation/Application Log
For Liquid Biosolids
Name- a
Qp.. Project•_^ L-01L Date:
Vehicle No:
Quantity 3506 Hub Meter -Start: _Hub Meter -Stop:_
Alkaline Stabilization: Yes 0 NoA
Temperature: >90 70-90 -70 <32 Miles to Fiel#
Site Conditions: Dry Moist Wet
Rainfall: <i:' rainfall >% rainfall
JL=
Time At
Field
Ik�a���77i�f��7
I�t��i7il�if
Comments: e, j ` '"�'`�'� �,.e 9� -Application method: S=Surface; S![=Surface with Incorporation; I=Injection
❑Certified Operator icense o. perator s Signature
�p°ted ignature White -office / Yellow -Client / Pink -Trucker -

Transportation/Application Log
ICL For Liquid Biosolids
Name: R► C Project: J�� �''' �'"`�- Date: -; 7
Vehicle No: l= Quantity: �� 1 Hub Meter -Start: Hub Meter -Stop:
Alkaline Stabilization: Yes 0 No^14,
Temperature:
Site Conditions:
Rainfall:
>90
G
<t/ rainfall
70-90
=32-70D
Moist
Wet
<32 Miles to Field
>%2 rainfall
0
me At
Fld
Landowner
Mp
et Ed
MINOM
-- �/OIOOMMI1OOM
MEMO
INE
MINE
MEN
MINNIONEENION
MONSIONNIONION
Comments: ri ojArt.5�&Sb6pplication method: S=Surface; S/I=Surface with Incorporation; [=Injection
OCertified Operator
Inspected Signature License No.Operator's tgna
White —Office / Yellow -Client / Pink —Trucker

Transportatio, ��fl'.r. pplication Log
�g
For Liquid iosolids
Name: �� t-�"�—• Project: SJ ba
Vehicle No: Quantity: J S( J Hub Meter -Start:
Alkaline Stabilization: Yes ❑ No T -
Temperature: 2� >90 70-90 GG:) <32
Site Conditions: Dry Moist Wet
Rainfall: -lainfall >C,5, rainfall
te: d 'a'?— % qS
Hub Meter -Stop:
Miles to Fiel#
Time At
Landowner
MA
epthpo'd
i 2 "
Comments: al—� �`,ah'j d��6 () •Application method: S=Surface; Sn=Surface with Iocorporation; i=Injection
Mertified Operator
Inspects*,Signature.," License No. operator's Signature
White -Office / Yellow -Client / Pink -Trucker

Transportation/Application Log
For Liquid Bi.osolids
,iU
Name: )��`'1l� C��-- Project: Qf l r1s�
Date: '
Vehicle No: /
Quantity: 350 0
Hub Meter -Start:
Hub Meter -Stop:
Alkaline Stabilization:
Yes O No ),
Temperature:
>90 70-90
32-70
<32 Miles to Fieltl
Site Conditions:
Moist
Wet
Rainfall: <':' rainfall >%ff rainfall
0
Time At
Field
Landowner
0
no
MA
e P&
(S/SL4)
Comments: •Application method: S=Surface; S/I=Surface with Incorporation; I=Injection
❑Certified Operator
InspectedSignature License No. perator s Signature
White -office / Yellow -Client / Pink. Trucker

i GL
Name: A01riJ G0_DM&1L
Vehicle No: % 1-1 V Quantity: -
Alkaline Stabilization: Yes O
Transportation/Application Log
For Liquid Biosolids
Project: (5p�' � Date:
o� "' a��-��
'3 5 J U — Hub Meter -Start: Hub Meter -Stop:,
No,l,
Temperature: >90 70-90
Site Conditions: Dry Moist
Rainfall: . <%: rainfall
ut.
�7O <32 Milers to iel�
Wet
>%= rainfall
Time At
Field
Oman,
MA
(S/SL4)
EMKMM
MMMMM
Comments: —ro-M ` 0 L W *Application method: S=Surface; S/I=Surface with Incorporation; I=Injection
OCertified Operator
Inspected Signature tcense o. Aerator sSignature
White -office / Yellow -Client / Pink -Trucker

L
i
Transportation/Application Log
For Liquid Biosolids
Name: I C� �S Project: J C I� #kq LailDate: 9 r 7— O
Vehicle No: l� % Quantity: Hub Meter -Start: Hub Meter -Stop:
Alkaline Stabilization: Yes O No g
Temperature:
Site Conditions:
Rainfall:
>90 70-90
Dry Moist
AJ/2' rainfall
32-70
Wet
<32 Miles to Fiel#
>'/i rainfall
Time At
Field
0
Landowner .
ettod.
(S/S�
a=Ram�mir.R�MM,
mm
oieif7c
�C'F�f'�R11l�L'9����
O�iL'ff�L:�ili�9■��A
MIEWOM
==Rum
=�Mlm
=no
OmnIDmmt��vffwmmmmmm
mmmm
mmmmm
mmmmm
mmmm
mmmmm
mmmmm
mmmmm
mmmmm
M
mmm
mmmm
����Mmmmm
mmmm
����Mmmm
mmmmm
Comments: *Application method: S--Surface; S/I=Surface with Incorporation; I=Injection
l7Certified Operator
Inspected afore icense o. tors Signature
White -Office / Yellow -Client / Pink -Trucker

Transportation/Application Log
For Liquid Biosolids
Name: ' 04't I" Project: V ri�� �4; `�'� Date: ID- 7-1
Vehicle No: a t Quantity: Hub Meter -Start: Hub Meter -Stop:
Alkaline Ctahilizatinn: Yes ❑ No 0—
I
Temperature:
Site Conditions:
Rainfall:
>90
Moi
F<�v rainfall
32-70
Wet
<.32 p Miles to Fiel#
>ff
%2 rainfall
Time At--�ffl
Field
'
a nomf
Comments: *Application method: S=Surface; S/I=Surface with Incorporation; I=injection
❑Certified Operator ' : , ' ;`+r
Inspected i icense o: r,' perator s Signature
White -Office I Yellow -Client ! Pin1t Trutk6r

f
614-GREEN
LOADING LOG
h /� /' _
PROJECT: �;2rJ
-^O`er
DATE : (4—/S19
-
(TOTAL GAL.. Ie'9 Z c90 0 I 1 ^ 1 L

s
BIO-GREEN
LOADING LOG
wwi
fflM�����
im
d M-
m��
�
Emf/wm�
.Ali
!.N - '
®VAWM
W'T�
W
mMmwit
®
4 MW_AC�..7
J�l�
Im
-
TOTAL GAL: I m yco ��

610-GREEN
LOADING LOG PROJECT : Jl r/ L� I
DATE:
Emma
■■��
©-_■�_�_
®-
ml�l����■■�s-��

610-GREEN
LOADING LOG
t
PROJECT:. RAW
V
ha
DATE 3 8
E
WMA
-v-d
y i
Immm
m�
m�
e
I� Ul/AL UAL. 1 D1458p I 15-1 1
u

I
B10-GREEN
LOADING LOG PROJECT: I `
r DATE
(TOTAL GAL. Ii/j �6 �

BIO-GREEN
LOADING LOG
PROJECT: Yiorl-fta
DATE &:!2
I U I ML UJAL. %
IE

BIO-GREEN
LOADING LOG PROJECT:
DATE
ESN
_
mVj-�

BIO-GREEN
LOADING LOG
PROJECT
DATE : 9--I
��
l .
.
AA
mmm
mmm�,
m����■���
m�

R14-GREEN
LOADING LOG PROJECT: !�
DATE �- 7-

BIO-GREEN
LOADING LOG PROJECT:
DATE
ml
©rWAM
IErmMmill
MA
s
m�
W
�■
UUMMU14 WA V.X�0

BIO-GREEN
LOADING LOG
PROJECT:
m�
s
TOTAL GAL. 1 3105 a-V 1- 5-3 1