WQ0001048_Annual Report_20190304

Y•
CMSD f
POST OFFICE BOX 477
GRIFTON, NORTH CAROLINA 28530
CHARLES M. SMITHWICK, JR.
DISTRICT MANAGER
Mr. Daryl Merritt
DENR/DWR/Water Quality Section
Non -Discharge Compliance/Enforcement Unit
1617 Mail Service Center
Raleigh, NC 27699-1617
Re: Contentnea MSD
Land Application Permit #WQ0001048
2018 Annual Report
Dear Mr. Merritt,
February 26, 2019
MAR 0 201�
RECEIVEDNOEQ/DVIIR
MAR - 4 2019
Non -Discharge
Permitting Unit
Please find enclosed three (3) copies of the above referenced annual sludge land application program
report for the Contentnea Metropolitan Sewerage District (CMSD), Permit Number WQ0001048, for
your review.
If you should need any additional information please contact me at [phone].
Sincerely,
1
Renee Smith
Land Application ORC
Enclosure

ANNUAL LAND APPLICATION CERTIFICATION FORM
WQ Permit#: WQ0001048 County:
Facility Name (as shown on permit):
Land Application Operator:
Pitt
Year: 2018
Contentnea MSD
Renee Smith Phone: [phone]
Land application of residuals as allowed by the permit occurred during the past calendar year?
a ++ 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.RECEIVED/NcDEr-)t^), PR
Part A - Residuals Application Summary. R„ „
Total number of application fields in the ermit:
2 e
Total number of fields utilized for land application during the year:
lNon- '
Total amount of dry tons applied during the year for all application sites:
69. 6#rM QJQ Unit
Total number of acres utilizes for land application during the year:
52.17
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 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)
t 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
w 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."
Charles M. Smithwick, Jr./District Manager
x�ermittee Name and Title (type or print) Signature of Permittee Date
r
Signature of Preparer*
Date
(if different from Permittee)
* Preparer is defiried in 40 CFR Part 503.9 (r) and 15A NCAC 02T
Signature of Land Applier Date
(if different from P.ermittee and Preparer)
.1102 (26) DENR FORM ACF (12/2006)

EXPLANATIONS FOR DEVIATIONS FOR THE 2018 ANNUAL
SLUDGE LAND APPLICATION, REPORT
2-20-18 Monitoring Well #10 Chromium
0:015 mg/L
6-20-18 Monitoring Well #9 Total Organic Carbon 10.27 mg/L
Monitoring Well #10 Chromium 0.016 mg/L
Monitoring Well #15 Total Organic Carbon 11.92 mg/L
10-11-17 Monitoring Well #9 Total Organic Carbon 17.06 mg/L
Monitoring Well #10 Chromium 0.014 mg/L
All of the above violations were reported to NC Department of Environment and Natural
Resources -Washington Regional Office. We are currently working with NCDENR-WRO in an
effort to address the Chromium issues. We believe this is an issue that is. occurring in the
groundwater prior to our land application. In the past three years we have significantly
decreased our land application practices due to the use of our screw press. All of the sludge
that is processed through the screw press is hauled off site to a compost facility.

r l
4
CLASS A Ai..,1gVAL DISTRIBUTION AND MARKETING/ SURFAu:1' DISPOSAL CERTIFICATION AND SUMMARY FORM.
WQ PERMIT #: WQ0001048 FACILITY NAME:
Contentnea MSD
PHONE: [phone] COUNTY: Pitt OPERATOR: Renee Smith
FACILITY TYPE (please check one): Surface Disposal (complete Part A (Source(s) and "Residual In" Volume only) and Part C)
❑ Distribution and Marketing (complete Parts A, B, and C)
Was the facility in operation during the past calendar year? Yes ® No ❑ --► If No skip parts A, B, C and certify form below
Part A*:
Part B":
Month
Sources sinclude NPDES # if
() (
applicable)
Volume (dry tons)
Recipient Information
Amendment/
Bulking Agent
Residual In
Product Out
Name(s)
Volume (dry tons)
Intended use(s)
January
February
March
April
May
June
CMSD WWTP NCO032077
21.151
July
CMSD'WWTP NCO032077
`26.304
August
CMSD WWTP NCO032077
20.524
September
CMSD WWTP NCO032077
1.082
October
November
December
Total from FORM DMSDF sub,
of
, g<
d ?m zx
s.f:; .t,:: ,
Totals:
Annual (dry tonsi-
"..„.
'fi?
.
-^ ' ..
ii-111 �iki"
'i'.Et<... rvt
Amendment(s) used: Bulking Agent(s) used:
* If more space is required, attach additional information sheets (FORM DMSDF (supp)): Total Number of Form DMSDF (Supp)
Part C:
Facility was compliant during the past calendar year with all conditions of the land application permit ❑ Yes
(including but not limited to items 1-3 below) issued by the Division of Water Resources: ❑ No -► If No, Explain in Narritive
1. All monitoring was done in accordance with the permit and reported for the year as required and three (3) copies of certified laboratory results are attached.
2. All operation and maintenance requirements were compiled with or, in the case of a deviation, prior authorization was received from the Division of Water Resources.
3. No contravention of Ground Water Quality Standards occurred at a monitoring well.
"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." .
(%t P/ j;�l 2 2 �Jci I , �k
Signature of Permittee Date Signature of Preparer**
(if different from Permittee)
**Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26)
Z�al-e
Date
DENR FORM DMSDF (12/2006)

AND

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: WQ0001048 Laboratory:, 1) Environment I, Inc.
Facility Name: Contentnea MSD 2)
Residual Source WQ # or NCO032077 3)
NPDES #: 4)
WWTP Name: Contentnea MSD 5)
%-Qirinal Analvaic Dnfn
Parameter
(mg/kg)
Conc.
Limit
m a
Sample or Composite Date
4-10-18
5-10-18
Percent Solids (%)
NA
1.73%
Arsenic
75
<2.5
Cadmium
85
1.1
Copper
4,300
.247
Chromium
NA
13
Lead
840
18
Mercury
57
0.49
Molybdenum
75
<5.0
Nickel
420
13
Selenium
100
<5.0
Zinc
7,500
651
Total Phosphorus
NA
27260
TKN
NA
43740
Ammonia -Nitrogen
NA
788
Nitrate and Nitrite
NA
12951
a For surface disposal facilities the ceiling concentration limits listed in this form are not applicable. Reference the individual permit for metals limits.
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed
to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant
penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
of Preparer *
ZZ6 t01
Date
*Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26)
DENR FORM RSSF (12/2006)

Enw,nRE&M % hw
@Tml@d
r.O. BOX 7085, 114 OAKMONT
GREENVILLE, N.C. 27835-7085
CMSD (SLUDGE & WELLS ACCT)
CONTENTNEA METRO. SEWAGE DIST.
MS. RENEE PRIDGEN
P.O. BOX 477
GRIFTON ,NC 28530
Sludge
Analysis
Method
PARAMETERS
Sample
Date Analyst
Code
PH (not to be used for reporting)
3.9
04/10/18
JTH
4500HB-11
Aluminum, (dry wt. basis), mg/kg
17916
04/16/18
LFJ
EPA200.7
Arsenic (dry wt. basis), mg/kg
<2.5
04/18/18
MTM
3113B-04
Calcium (dry wt. basis), mg/kg
16099
04/16/18
LFJ
EPA200.7
"admium (dry wt. basis), mg/kg
1.1
04/23/18
MTM
3113B-04
opper (dry wt. basis), mg/kg
247
04/16/18
LFJ
EPA200.7
chromium, T.(dry wt. basis),mg/kg
13
04/16/18
LFJ
EPA200.7
Lead (dry weight basis), mg/kg
18
04/20/18
MTM
3113B-04
Magnesium (dry wt. basis), mg/kg
4632
04/16/18
LFJ
EPA200.7
Mercury (dry wt. basis), mg/kg
0.49
04/17/18
MTM
EPA7471B
Nickel (dry wt. basis), mg/kg
13
04/16/18
LFJ
EPA200.7
Potassium (dry wt. basis), mg/kg
7225
04/16/18
LFJ
EPA200.7
Selenium (dry wt. basis), mg/kg
<5.0
04/19/18
MTM
311313-04
Sodium (dry wt. basis), mg/kg
3163
04/17/18
ONS
3111B-11
Zinc (dry wt. basis), mg/kg
651
04/16/18
LFJ
EPA200.7
Total Nitrogen, mg/kg (calc)
Lab Error
Total Solids, %
1.73
04/10/18
KDS
2540G-11
TKN (dry wt.), mg/kg
c 39930
04/13/18
DTL
351.2 112-93
Ammonia Nitrogen (dry wt.),mg/kg
c 788.0
04/26/18
MF
350.1 R2-93
Nitrate Nitrogen(dry wt.), mg/kg
Lab Error
Nitrite Nitrogen(dry wt.), mg/kg
c 1.00
05/04/18
CLO
353.2 112-93
Phosphorus, T. (dry wt.), mg/kg
c 27260
04/13/18
CLO
365.4-74
Molybdenum (dry wt. basis), mg/kg
<5.0
04/16/18
LFJ
EPA200.7
DNE [phone]
FAX [phone]
ID#: 416
DATE COLLECTED: 04/10/18
DATE REPORTED : 05/10/18
REVIEWED BY:
c Uncertified data. DWR does not offer non -aqueous certification for this analytical procedure.

Enwokummid % hw
Tmhd
GREENVILLE, N.C. 27835-7085
CMSD (SLUDGE & WELLS ACCT)
CONTENTNEA METRO. SEWAGE DIST.
MS. RENEE PRIDGEN
P.O. BOX 477
GRIFTON ,NC 28530
PARAMETERS
Total Nitrogen, mg/kg (calc)
TKN (dry wt.), mg/kg
Nitrate Nitrogen(dry wt.), mg/kg
Nitrite Nitrogen(dry wt.), mg/kg
Sludge Analysis Method
Sample Date Analyst Code
56691
06/04/18
SEJ
c 43740
05/15/18
TLH 351.2 R2-93
c 12950
05/31/18
CLO 353.2 112-93
c 0.98
05/14/18
CLO 353.2 R2-93
nking Water ID: 37715
Wastewater ID: 10
PHONE [phone]
FAX [phone]
ID#: 416 Y
DATE COLLECTED: 05/10/18
DATE REPORTED : 06/04/18
REVIEWED BY:
6
c Uncertified data. DWR does not offer non -aqueous certification for this analytical procedure.

TC L P LAB REPORTS

__ .j 1i'.c`;T" v• £4ubi'Fr�,;f',•'�MFX.� �" 'U•`Si�< �S?CNm *A i
fiw Orland
The results set forth herein are provided by SGS North America Inc.
Technical;Report for
Environment 1, Inc
Contentnea Metro Sewage District; Grifton, NC
416
SGS Job Number: FA53172
Sampling Date: 04/04/18
Report to:
Environment 1, Inc
PO Box 7085
Greenville, NC 27835
[e-mail]
ATTN: Deedee Woolard
Total number of pages in report: 14
Autornated Report
A O
Test results contained within this data package meet the requirements
Caitlin Brice, M.S.
General Manager
of the National Environmental Laboratory Accreditation Program
and/or state specific certification programs as applicable.
Client Service contact: Jean Dent -Smith 407-425-6700
Certifications: FL(E83510), LA(03051), KS(E-10327), IL(200063), NC(573), NJ(FL002), NY(12022), SC(96038001)
DoD ELAP(ANAB L2229), AZ(AZO806), CA(2937),'TX(T104704404), PA(68-03573), VA(460177),
AK, AR, IA, KY, MA, MS, ND, NH, NV, OK, OR, UT, WA, WV
This report shall not be reproduced, except in its entirety, without the written approval of SGS.
Test results relate only to samples analyzed.
SGS North America Inc. • 4405 Vineland Road • Suite C-15 • Orlando, FL 32811 • tel: [phone] • fax: [phone]
SGS is the sole authority for authorizing edits or modifications to this document. Please share your ideas about
Unauthorized modification of this report is strictly prohibited. how we can serve you better at: _
Review standard terms at: http://w+vw.sgs.com/en/terms-and-conditions [e-mail]
1 of 14
FA53172

Table of Content Sections:
-1-
Section1: Sample Summary................................................................................................... 3
Section2: Summary of Hits.................................................................................................... 4 r
Section 3: Sample Results ....... 5
3.1.: FA53172-1: SLUDGE SAMPLE.................................................................................. 6
Section4: Misc. Forms............................................................................................................ 12
4.1: Chain of Custody........................................................................................................... 13
I
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FAS3172

SGS North America Inc.
Sample Summary
Environment 1, Inc
Job No: FA53172
Contentnea Metro Sewage District; Grifton, NC
Project No: 416
Sample Collected Matrix Client
Number Date Time By Received Code Type Sample ID
FA53112=i : ;', 04/04/18 09:15 KH 04/07/18 SO Sludge SLUDGE SAMPLE""',-,..''.
Soil samples reported on a dry weight basis unless otherwise indicated on result page.
F",
3oi14
FA53172

Summary of Hits
Job Number:
FA53172
Account:
Environment 1, Inc
Project:
Contentnea Metro Sewage District; Grifton, NC
Collected:
04/04/18
Lab Sample ID Client Sample ID Result/
Analyte Qual RL MDL Units Method
FA53172-1 SLUDGE SAMPLE
Corrosivity as pH 4.9' su SW846 CHAP?
Ignitability (Flashpoint) a "> 200;, ":: Deg. F SW846 1010
Benzene 0:0032 J;' ,.t . 0.010 0.0031 mg/1 SW846 8260B
Tetrachloroethylene 0.0235 0.010 0.0022 mg/1 SW846 8260B
(a) Not ignitable.
Page 1 of 1
4of14
FA63172

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°-,x'�i....$>}�,o`.n7E s�y"7^ .tfti"-W,r�S:';'}�z'.#ei y.}�, n`u�tt„?N v•t'. �i�. �'. c.
Sample Results
Report of Analysis
Section 3
IM
5of14
_G_
FA53172

SGS North America Inc.
Report of Analysis
Client Sample ID: SLUDGE SAMPLE
Lab Sample ID: FA53172-1 Date Sampled: 04/04/18
Matrix: SO - Sludge Date Received: 04/07/18
Method: SW846 8260B SW846 1311 Percent Solids: 1.7
Project: Contentnea Metro Sewage District; Grifton, NC
Page 1 of 1'
File ID DF Analyzed By Prep Date Prep Batch Analytical Batch
Run #1 M0102391.1) 10 04/11/18 17:40 MM 04/09/18 13:45 OP69516 VM4409
Run #2
Purge Volume
.un #1 5.0 ml
:un #2
VOA TCLP List
TCLP Leachate method SW846 1311
CAS No.
Compound
. Result HW#
MCL RL
MDL
Units Q
71-43-2
Benzene
0.50 0.010
0.0031
mg/1 J
78-93-3
2-Butanone (MEK)
: NDr ;.E D035
200 0.050
0.020
mg/1
56-23-5
Carbon Tetrachloride
ND°:? ; '.'; , = D019
0.50 0.010
0.0036
mg/1
108-90-7
Chlorobenzene
; ND ` _ ;.: >; D021
100 0.010
0.0020
mg/1
67-66-3
Chloroform
ND'a'>`_ D022
6.0 0.010
0.0030
mg/1
106-46-7
1,4-Dichlorobenzene
ND„,':': D027
7.5 0.010
0.0026
mg/1
107-06-2
1,2-Dichloroethane
Np'_' ,. ; . D028
0.50 0.010
0.0031
mg/1
75-35-4
1,1-Dichloroethylene
ND.., ,, ;; ,v„ �,,.' D029
0.70 0.010
0.0032
mg/1
127-18-4
Tetrachloroethylene
;., .., .w:
0:0235:.'-''...,''':, D039
0.70 0.010
0.0022
mg/1
79-01-6
Trichloroethylene
;Nb .''i',-''. `: D040
0.50 0.010
0.0035
mg/1
75-01-4
Vinyl Chloride
°NDr=y' ;°°` D043
0.20 0.010
0.0041
mg/1
CAS No.
Surrogate Recoveries
Run# 1 Run# 2
.Limits
1868-53-7
Dibromofluoromethane
6
'102% ` -:::
83-118%
17060-07-0
1,2-Dichloroethane-D4
.;.
-10.4% fi :.m,
79-125%
2037-26-5
Toluene-D8
101% ''
85-112%
460-00-4
4-Bromofluorobenzene
99%:'::°.;
83-118%
ND = Not detected MDL = Method Detection Limit J = Indicates an estimated value
MCL = Maximum Contamination Level (40 CFR 261 7/1/11) B = Indicates analyte found in associated method blank
E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound
6of14
FA53172

SGS North America Inc.
Report of Analysis
Client Sample ID: SLUDGE SAMPLE
Lab Sample ID: FA53172-1 Date Sampled: 04/04/18
Matrix: SO - Sludge Date Received: 04/07/18
Method: SW846 8270D SW846 3510C Percent Solids: 1.7
Project: Contentnea Metro Sewage District; Grifton, NC
Page 1 of 1
File ID DF Analyzed By Prep Date Prep Batch Analytical Batch
Run #1 9I000906.1) 1 04/12/18 09:22 MV 04/11/18 13:00 OP69573 S9134
Run #2
Initial Volume Final Volume
'un #1 100 ml 1.0 ml
'un #2
ABN TCLP List
CAS No. Compound
95-48-7 2-Methylphenol
3 &4-Methylphenol
87-86-5
Pentachlorophenol
95-95-4
2,4,5-Trichlorophenol
88-06-2
2,4,6-Trichlorophenol
106-46-7
1,4-Dichlorobenzene
121-14-2
2,4-Dinitrotoluene
118-74-1
Hexachlorobenzene
87-68-3
Hexachlorobutadiene
67-72-1
Hexachloroethane
98-95-3
Nitrobenzene
110-86-1
Pyridine
CAS No. Surrogate Recoveries
367-12-4
2-Fluorophenol
4165-62-2
Phenol-d5
118-79-6
2,4,6-Tribromophenol
4165-60-0
Nitrobenzene-d5
321-60-8
2-Fluorobiphenyl
1718-51-0
Terphenyl-dl4
Result HW#
MCL RL
NI)_ ::.::,•; D023
200
0.050
D024
200
0.050
100
0.25
D041
400
0.050
NDt- ` D042
2.0
0.050
rND=' D027
7.5
0.050
D030
0.13 0.050
D032
0.13 0.050
D033
0.50 0.050
D034
3.0
0.050
D036
2.0
0.050
D038
5.0
0.10
Run# 1 Run# 2
Limits
33418%
42-108%
39-121%
TCLP Leachate method SW846 1311
MDL Units Q
0.0056 mg/1
0.0098 mg/l
0.050 mg/1
0.0074 mg/I
0.0075 mg/1
0.0050 mg/1
0.0081 mg/1
0.0069 mg/1
0.0050 mg/1
0.016 mg/1
0.0093 mg/1
0.020 mg/1
ND = Not detected MDL = Method Detection Limit J = Indicates an estimated value
MCL = Maximum Contamination Level (40 CFR 261 7/1/11) B = Indicates analyte found in associated method blank
E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound
7of14
1 FA53172

SGS North America Inc.
Report of Analysis Page 1 of 1
Client Sample ID:. SLUDGE SAMPLE
Lab Sample ID: FA53172-1 Date Sampled: 04/04/18
Matrix: SO - Sludge Date Received: 04/07/18
Method: SW846 8151A SW846 3510C Percent Solids: 1.7
Project: Contentnea Metro Sewage District; Grifton, NC
File ID DF Analyzed By Prep Date Prep Batch Analytical Batch
Run #1 CC057863.1) 1 04/12/18 22:06 NJ 04/11/18 12:15 OP69575 GCC1276
Run #2
Initial Volume Final Volume
Run #1 10.0 ml 5.0 ml
Run #2
Herbicide TCLP Leachate
TCLP Leachate method SW846 1311
CAS No.
Compound
Result HW#
MCL RL
MDL Units Q
94-75-7 -
2,4-D
Np.;`:','' D016
10 0.050
0.017 mg/1
93-72-1
2,4,5-TP (Silvex)
ND:: ,:.'.. _ . _: D017
1.0 0.0050
0.0013 mg/1
CAS No.
Surrogate Recoveries
Run# 1 Run# 2
Limits
- 19719-28-9
2,4-DCAA
132J1''_.
39-135%
ND = Not detected MDL = Method Detection Limit J = Indicates an estimated value
MCL = Maximum Contamination Level (40 CFR 261 7/1/11) B = Indicates analyte found in associated method blank
E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound
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FA53172

SGS North America Inc.
Report of Analysis
Client Sample ID: SLUDGE SAMPLE
Lab Sample ID: FA53172-1 Date Sampled: 04/04/18
Matrix: SO - Sludge Date Received: 04/07/18
Method: SW846 8081B SW846 3510C Percent Solids: 1.7
Project: Contentnea Metro Sewage District; Grifton, NC
Page 1 of 1
File ID DF Analyzed IBy Prep Date Prep Batch Analytical Batch
Run #1 TT387928.1) 1 04/12/18 15:16 KL 04/11/18 13:00 OP69574 GTT2128.
Run #2
Initial Volume Final Volume
:un #1 100 ml 5.0 nil
:un #2
Pesticide TCLP Leachate
CAS No. Compound
58-89-9
gamma-BHC (Lindane)
12789-03-6
Chlordane
72-20-8
Endrin
76-44-8
Heptachlor
1024-57-3
Heptachlor epoxide
72-43-5
Methoxychlor
8001-35-2
Toxaphene
CAS No.
Surrogate Recoveries
877-09-8
Tetrachloro-m-xylene
2051-24-3
Decachlorobiphenyl
TCLP Leachate method SW846 1311
Result
HW#
MCL
RL
MDL
Units Q
D013
0.40
0.00010
0.000022
mg/1
D020
0.030
0.0010
0.00038
mg/1
0:020
0.00020
0.000021
mg/1
D031
0.0080 0.00010
0.000026
mg/1
D031
0.0080 0.00010
0.000020
mg/1
nNDd ` .
D014
10
0.00020
0.000050
mg/I
0.50 0.0050 0.0021 mg/1
Run# 1 Run# 2 Limits
,7 89/c 42-127%
890 , 27-127%
ND = Not detected MDL = Method Detection Limit J = Indicates an estimated value
MCL = Maximum Contamination Level (40 CFR 261 7/1/11) B = Indicates analyte found in associated method blank
E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound

SGS North America Inc.
Report of Analysis
Client Sample ID: SLUDGE SAMPLE
Lab Sample ID: FA53172-1 Date Sampled: 04/04/18
Matrix: SO - Sludge Date Received: 04/07/18
Percent Solids: 1.7
Project: Contentnea Metro Sewage District; Grifton, NC
Page 1 of 1
Metals Analysis, TCLP Leachate SW846 1311
Analyte Result HW#
MCL
RL
Units
DF
Prep
Analyzed
By
Method
Prep Method
Arsenic :410 " D004
5.0
0.10
mg/1
1
04/12/18
04/12/18
LM
SW846 6010C 2
SW846 3010A 3
1'1Barium <_2;:0 : ; :: D005
100
2.0
mg/1
1
04/12/18
04/12/18
LM
SW846 6010C 2
SW846 3010A 3
Cadmium D006
1.0
0.050
mg/1
1
04/12/18
04/12/18
LM
SW846 6010C 2
SW846 3010A 3
Chromium 5D007
5.0
0.10
mg/1
1
04/12/18
04/12/18
LM
SW846 6010C 2
SW846 3010A 3
.0.10:" .
Lead <0:050 "._, D008
5.0'
0.050
mg/1
1
04/12/18
04/12/18
LM
SW846 6010C 2
SW846 3010A 3
Mercury �,<0:0050I D009
0.20
0.0050
mg/l
1
04/12/18
04/12/18
LM
SW846 7470A 1
SW846 7470A 4
Selenium < 0.:1'0; '::''". D010
1.0
0.10
mg/1
1
04/12/18
04/12/18
LM
SW846 6010C Z
SW846 3010A 3
Silver < 0 `10 -.. - : ;,." D0l l
5.0
0.10
mg/1
1
04/12/1-8
04/12/18
LM
SW846 6010C 2
SW846 3010A 3
(1) Instrument QC Batch: MA14817
(2) Instrument QC Batch: MA14818
(3) Prep QC Batch: MP33585
(4) Prep QC Batch: MP33587
RL = Reporting Limit
MCL = Maximum Contamination Level (40 CFR 261 7/1/11)
10 of 14
FAS3'172

SGS North America Inc.
Deport of Analysis
Client Sample ID: SLUDGE SAMPLE
Lab Sample ID: FA53172-1 Date Sampled: 04/04/18
Matrix: SO - Sludge Date Received: 04/07/18
Percent Solids: 1.7
Project: Contentnea Metro Sewage District; Grifton, NC
General Chemistry
Analyte
Corrosivity as pH
Cyanide Reactivity
Ignitability (Flashpoint) a
Solids, Percent
Sulfide Reactivity
(a) Not ignitable.
RL = Reporting Limit
Result RL
Units
DF
su
1
87
mg/kg
1
>200;_:
Deg. F
1
L '.
%
1
<;2900=- 2900
mg/kg
1
Page 1 of 1
Analyzed By Method
04/09/18 12:15
BR
- SW846 CHAP7
04/19/18 18:36
JK
SW846 CHAP7
04/23/1816:20
BW
SW8461010
04/12/18 16:00
AG
SM19 2540G
04/14/18 10:55
BW
SW846 CHAP7
11 of 14
FA53972

S-
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Orland
�1Vlisc: Foriris�
Custody Documents and Other Forms
Includes the following where applicable:
• Chain of Custody
Section 4
0
�r 12 of 14
FA53172

CHAIN OF CUSTODY DY RF.COR�.®
CHAIN
P.O. BOX 7085, 114 Oakmont Dr.
__
v
v ✓
_
1
Page 1 of 1
Greenville, NC 27858
DISINFECTION
environmentl inc.com
CHLORINE NEUTRALIZED AT COLLECTION
?hone [phone] • Fax [phone]
ry CHLORINE
pHCHECK (LAB)
MIENT:416 Week:8
UV
P
P
P
G
G
G
G
G
CONTAINERTYPE,PIG
"MSD (SLUDGE & WELLS ACCT)NONE
�ONTENTNEA METRO. SEWAGE DIST.
4S. RENEE PRIDGEN
A
A
A
A
A
'A
A
A
CHEMICALPRESERVATION
.O. BOX 477
7.RIFfONNC28530
w A -NONE D-NAOH
aao
'252) 524-5584
.
1
s o
w
¢
In
w
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B-HNO, E-HCL
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COLLECTION
¢
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E.
a
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F
E+
G-NATHIOSULFATE
a
SAMPLELOCATION
DATE
TIME
�
CLASSIFICATION:
Mudge�
S
WASTEWATER(NPDES)
DRINKINGWATER
DWO/GW
SOLID WASTE SECTION
CHAIN OF CUSTODY (SEAL) MAINTAINED
DURI NG�S}I I PMENTIDELIVERY
UY N
SAMPLES COLLECTED BY:
(Please Print) 1
SAMPLES RECEIVED IN LABAT(5-3 °C
RELIN UISHEDBY(SIG.)(SAMPLER)
DATUTIME
a:s3
REG E BY( �
ATE TIME
y
COMMENTS:
y-Li�»
LI EDB )
DATNTME
REC ED
ATEITIME
RELINQUISH B
DATE/TIME
CEIVED (SIG.) 0,17
DATEMME
k(22dwf
u I PLEASE READ Instructions for eompletingAi4rm opAhe reverse si 4 Saup ur must piece a L, for composite sample or a G far
Ff1RM &S �. ,� � g 915— Grab sample in the blocks above for each parameter reouested. NO i A 17 A 1
k A53172: Chain of Custody
Page I of 2
I 13 of 14
—SG —
FA53172

SGS Sample Receipt Summary
Job Number: FA53172 Client: ENVA Project: CMSD
Date / Time Received: 4/7/2018 9:15:00 AM Delivery Method: FED EX Airbill Ws: 771940436480
- Therm ID: IR 1; Therm CF: 0.4; # of Coolers: 1
Cooler Temps (Raw Measured) °C: Cooler 1: (4.2);
Cooler Temps (Corrected) °C: Cooler 1: (4.6);
Cooler Information
Y or
N
Sample Information
Y
or N
NIA
1. Custody Seals Present
2
❑
1. Sample labels present on bottles
Rl
❑
2. Custody Seals Intact
❑�
❑
2. Samples preserved properly
❑Q
❑
3. Temp criteria achieved
❑�
❑
3. Sufficient volume/containers recvd for analysis:
0
❑
4. Cooler temp verification
IR Gun
4. Condition of sample
Intac
5. Cooler media
Ice(Ban)
5. Sample recvd within HT
2
❑
6. Datesfrimes/IDs on CDC match Sample Label
❑
Trip Blank Information
Y or
N
N/A
7. VOCs have headspace
❑
❑
❑�
1. Trip Blank present / cooler
❑
❑
R
8. Bottles received for unspecified tests
❑
❑./
2. Trip Blank listed on CDC
❑
❑
©
9. Compositing instructions clear
❑
❑
❑d
10. Voa Soil Kits/Jars received past 48hrs?
❑
❑
R1
W or
S
N/A
11. % Solids Jar received?
❑
❑
3. Type Of TB Received
El
❑
12. Residual Chlorine Present?
❑
❑
10
Misc. Information
Number of Encores: 25-Gram 5-Gram Number of 5035 Field Kits: Number of Lab Filtered Metals:
Test Strip Lot #s: pH 0-3 230315 pH 10-12 219813A Other: (Specify)
Residual Chlorine Test Strip Lot #:
Comments
SM001 Technician: SHAYLAP Date: 4/7/2018 9:15:00 AM Reviewer: SP Date: 4/7/2018
Rev. Dale 05/24/17
FA-53172: Chain of Custody
page 2 ®f Z
14off4
FA53172

Environment 1, T- CHAIN OF CUS- _ DY RECORD
P.O. Box 7085,1 ikmont Dr. Page 1 of 1
C,rPPnvi11P NC 2, ,
°nvironment1dnc.con
DISINFECTION
CHLORINE NEUTRALIZED AT COLLECTION
Phone [phone] o Fax [phone]
Ij CHLORINE
CLIENT: 416 Week: 8
uv
pH CHECK (LAB)
CONTAINER TYPE, P/G
;MSD (SLUDGE & WELLS ACCT)
NONE
p
p
p I
G
G I
G IG
G
:ONTENTNEA METRO. SEWAGE DIST.
CHEMICALPRESERVATION
CIS. RENEE PRIDGEN
JA
'.O. BOX 477
A
A
A
A
A
A
A
m zo
TRIFTON NC 28530
A - NONE D - NAOH
E�
w Uj
v
zo
cc
c
b
w
C B- HNO E- HCL
a
252) 524-5584
o
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y
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(w
c
x
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COLLECTION
Q
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Pa.
A.
a
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a G NATHIOSULFATE
2 o
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EUa
EU
H
F
°¢
SAMPLE LOCATION
DATE
TIME
5
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=<:';::>
`> :>?
>;
:>::;;:::
CLASSIFICATION:
Ij WASTEWATER (NPDES)
DRINKING WATER
DWO/GW
SOLID WASTE SECTION
CHAIN OF CUSTODY (SEAL) MAINTAINED
DURING IPMENT/DELIVERY
Y N
SAMPLES COLLECTED BY:
(Please Print) (�
SAMPLES RECEIVED IN LAB AT Q °C
RELINQUISHED BY (SIG.) (SAMPLER)
DATE/TIME
REC BY (
ATEMME
COMMENTS:
RELI ED B .)
/ DATEMME
RECEIVED B ('
DATE/TIME
RELINQUISH B
DATE/TIME
RECEIVED BY (SIG.)
DATEMME
Sampler must place a "C for composite sample or a "G" for
PLEASE READ Instructions for completing this form on the reverse side.
FORM #5 Grab sample in the blocks above for each parameter requested. N 0 _ 343741

LAND APPLICATION FIELD
SUMMARY FORMS

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: �n N4) 0-K15D WQ Permit #: t> GIoLg Field #:
Land Owner: CO-)ift4neA 1(b-D Annual Dry Tons Applied: 6•"7Cr-) Site #:
Operator: Predominant Soil Series: -i6r%nrfr�,
Crop 1 Name: (' aq ctajffkjd - Crop 1 Max. PAN: ��(�, Crop 2 Name:
Acres Utilized:
Acres Permitted:
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
Z.IgQ
Z. I� q/
0-5
° y
°
°
Q
Volume applied
enter one Solids/
( )
Liquid
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
>
o w
a.
o
w
N'
*
o'
T
w
`, -
*
TKN
mg/kg
Z a
�o o
w•
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
(lbs/acre)
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
- D-
37Z
galZWED
N
0C>
,
437)4
i6g
Zq-D,
'J. (o
bey
3 CLAD
IV,,
6AP6
3z017
Q
5
0-5
0. 30
,3(vZ
Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form):
TOTAL
As
Cd
Cu
Cr
Pb
HR
Mo
Ni
Se
Zn
P
Z3•GIZ
Lime Applied
Annual lbs/acre
,Ot
.I(o-)
O,C62
,M-5
roo2
O.C2-Q
O• Z
o.0
-
Z .-ntv
......::::::::::::
Date
lbs/ac
Prior Years Cumulative lbs/ac
• : 4q-3
o,5
,::::::::::::::
34,
,l I
U,
31-I
7,
G4is
I '
°lv
--
(,a
1
O. lv
,31vS
15
cl
L•4�3
—
9,1444a
7• ZQ
37Ci
Oa G,�
>io 3
Z� IIZ
21gi
ZUq'9
::::::::::
::::::::::::::::
:::::.:............. .
Current Cumulative lbs/ac
Permitted C. P. L. R.****
Permit PAN Limit lst/2nd Crop
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 violations."
Signature of Land Applier
-1=Z6-1 C�
Date
*Application Method: S - Surface, IN - Injection, INC - Incorporation
**Volatilization Rate: Surface - 0.5. Iniection/Incornoration - 1.0
*** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: 0( n+,ffN-1'1'C'a_M6D Total Dry Tons Applied (Annual): 6„_)09
P -mit Cation Exchange Capacity (non 503 only): .S
gyrator: -_)�i Owner: U(,.l)tfn44 0 -mb� Predominant Soil Series:
Acres Used: Z. S L/ Acres Permitted: Z. Iq L/ Site #: Field #: i
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
I
posite
Date
E
non
Non
Total
Phos-
rus
ual Heavy Metal Field Loadings (Calculated in lbs/acre):
Total
App-
Event
iiii�iiii�■
1 Total
Phos-
phorusmMENEENEENEENc.
"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
i sonment for knowing violations".
4AW"It)L_ Z 26-10
Signature of Land Applier Date
DENR FORM MFLSF (12/2006)

ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: �bn*6* 06D WQ Permit #: V_)Q0D0J04q Field #:
Land Owner: Cjj.�n+er)+n' Q 1) Annual Dry Tons Applied: 3 (" Site #:
Operator:'?)gnee6m r� Predominant Soil Series:
Crop 1 Name: Crop 1 Max. PAN: I-gO Crop 2 Name:
Z
Acres Utilized: Z . 6V Z
B Acres Permitted: Z , & Z
Cation Exchange Capacity (non 503): q- 5
Crop 2 Max. PAN:
o
° °
Q
Volume applied
(enter one) Solids/
Liquid
Cu. Yds Gallons
%
Solids
Volume
Applied per
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.'Cl
(Dry,
Moist
Precip.
Past 24
Hrs.
inches
a
co �
a w
o
o
%`�
w
7y
w
; w
* N'
w
0
TKN
mg/kg
Z a
o El
uq o
P.
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
12-iQ
"Llwo
).
.ZI I
>` cccroan
df
o
5
O, 5
0,30
43-140
az9
530
f =Z1 1
Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form):
TOTALS:
i-140D0
:
As
Cd
Cu
Cr
Pb
Hg
Mo
Ni
Se
Zn
P
W63D
Lime Applied
Annuallbs/acre
0-.00(F
O.CQ3
$
1
O.OI-A
O-CO)
O•UIZ
O. 1
,0tZ
i. o-)
-•D
:<:: :::.....:::::::: »>: >:
Date
lbs/ac
Prior Years Cumulative lbs/ac
p.IoZ1;,
6.0�2
-)Q.5 r
34.Zl5
10,0(o
L362
-0.q55
ZGl.5Q"l
Current Cumulative lbs/ac
I 0- (e4-L
5.065
4C14
,RZ44
.p D
,3W3
ZA65
q,4 5
O, -)
Permitted C. P. L. R.****
3 (e
3(-I
i3
-
Z(j)
15
—
3-)y
�G
ZsiGg
Permit PAN Limit 2 1 t s/ndCro p
O
"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
*Application Method: S - Surface, IN - Injection, INC - Incorporation
Z� **Volatilization Rate: Surface - 0.5. Iniection/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 METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: COr iff1 0e0_n1�17 Total Dry Tons Applied (Annual): 3. I-)Cf
p^-mit #: LL�Qccploug Cation Exchange Capacity (non 503 only): 4.5
:rator: R� ,eeOwner: (`1(i-)+ef- nfS)_rf)b_D Predominant Soil Series:-R�C4pjUt
Acres Used: Z, ie z Acres Permitted: Z & Z, Site 1b Field #: Z
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
Sample or
Com-
posite
Date
I 1
LI-10-1$
2
3
4
5
61
L 7
8
91
10
11
12
% Solids
1-)3%
Arsenic
CZ6
Cadmium
i. l
Copper
Zy1
Chromium 1-5
Lead
i g
Mercury
0,L4cj
Molyb-
denum
CS,p
Nickel
13
Selenium
<5.0
Zinc
(' 6 i
Total
Phos-
rus
27 k, O
ual Heavy Metal Field Loadings (Calculated in lbs/acre):
Total
1
2
3
4
5
6
7
8
9j
10
11
12
DT/Ac./
'7-1Z-lg
App.
Event
Arsenic
©, pp(,
p: OCR .
Cadmium
.CO3
,-5
Copper
p, 5C1�
D T1B
Chromium
0.O31
o p31
Lead
(),044
U4
Mercury
C>: Gn 1
Molyb-
denum
o,D1Z
C. iZ
Nickel
() , p3 i
I
Selenium
©, pi Z
I Z
Zinc
i .577
1. �7
Total
Phos-
phorus
1v.02-1+
tG b•b�U
"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 nm aware that there are significant penalties for submitting false information, including the possibility of fines and
i �sonment for knowing violations".
InL - 01- a6v
&& I
Signature of Land Applier Date
DENR FORM MFLSF (12/2006)

ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: Linn I fa (Yl b_D WQ Permit #: 00CWJ04S Field #:
Land Owner:{- (� �� Annual Dry Tons Applied:flif43xsr,Nti Site #:
Operator: I�Lh Predominant Soil Series:_fbr46m0U_+h
Crop 1 Name: Crop 1 Max. PAN: 1-) U Crop 2 Name:
9
Acres Utilized: Z,'7 Z
i� Acres Permitted:
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
Z'� Z
L/. 5
Volume applied
Volume
Residual Sources
Soil
Cond.
Precip.
Y
t'
o
9
7J �
Z4
Nitrate
PAN Applied
Name of Crop Type
(enter one) Solids/
%
Applied per
(NPDES #, WQ#,
Past 24
co
'`�
w �,
TKN
o
and
(lbs/acre)
Receiving Residual
f, o
Liquid
Solids
Acre
Fert., Animal
(Dry,
Hrs.
6
a w
-
� N
� •
Nitrite
Application -
Cu. Yds Gallons
(Dry Tons/Ac)
Waste, etc)
Wet,
Moist
inches
* �
o
p
mg/kg
mg/kg
mg/kg
Crop 1
Crop 2
Crop 1
Crop 2
L'zwo
J
1; 13`�ch
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'�rM4y'.'� Y; n�,!c�.:�':'�
..
.,��f^"��7��,N,J.{�,�,f�'�i3,�ir4 �-ey
r`'e•'wF"$^,�ry��.,,5�
t«•CJ.�.s0411 ??�h
�r'_�tk:N rS�g�y.
At
MUM
.
x s
�+"-. a",SY'J..
etAm'E iil4; .».
,aa,?j;'Jt7ts
Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form):.g
`i+�wi.'!K. '=rf"
r$h
"r"2llwnFl
„`
TOTALS
.r ; ,
br ;
::::::::...
As
Cd
Cu
Cr
Pb
Hg
Mo
Ni
Se
Zn
P
I23Z<s3:,.
_
Lime Applied
Annual lbs/acre
!f.'dNG +... F' aY
77' x ,ro.IZ�
3/ `' �r>
;D�,L �
{Rw4}rE.,�
�1. 1:'b�l
F�,.t��,�+:...
o�6
y , ijd:#r
oV,+(,6�
V d `i
..Ob2
Tr4 '.fit a
"'
,/.? :p k Y4" s
, �« � a� ale,
"N4
, .. �
'^�
' :.05��
`t .T `r'
IZ` .I
::::::::::::::::::.::::::::::::::::
.................
Date
lbs/ac
Prior Years Cumulativelbs/ac
0, 'P
.Z3Z
gZ."X�41.
ZD
.ZR
0,32 1
••'1�
fO,367
, 1P
I-61�14
-
Current Cumulative lbs/ac
/,.,,Tyr:K ":9"s .;7,.
Dr*, rlt''
{:+., n k~�P"kY'
r. 23.i;
100,
,t""'
k,' 3`.'N
i=►.. yFi
%:�.�
° !y
d..a", SN •• - - -'(�
,y (�3
.r
mot'.
�j�/G/' el;
.
l �,U�I�
yYn
�G't�C�3f�53
Permitted C. P. L. R.****
3
3t-1
133E
Zl;i
15
—
374
ZUR
ermit PA t 1st/2nd Crop
PN Limit
"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
*Application Method: S - Surface, IN - Injection, INC - Incorporation
**Volatilization Rate: Surface - 0.5. Iniection/Incornoration - 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 Bate
DENR FORM FSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: C'yy�l BCLf-fi6D Total Dry Tons Applied (Annual): (v,�iZ
" mit #:CCpj( Cation Exchange Capacity (non 503 only):
erator: �i1 ��f1i�Y1 Owner: Cc{-*lp_� j{lD Predominant Soil Series:t�
Acres Used: Z,7Z Acres Permitted: Site #: 13 Field #:
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
Sample or
Com-
posite
Date
1
4o-1-9
21
f {ao +4
3
4
5
6
7
8
_9j
10
11
12
% Solids
1.73'-U
Arsenic
C Z. 'D-
< Z.
Cadmium
1.1
1- 1
Copper
247
Chromium
13
Lead
1g
II
Mercury
D, ie
p. Liq
Molyb-
C 5 O
��. V
Nickel
13
13
Selenium
C 5.O
<$. D
Zinc
( f
(061
Total
Phos-
)rus
7ZG2 D
'1Z4.O
ival Heavv Metal Field Loadings (Calculated in lbs/acre):
Total
DT/Ac./
App.
Event
1
�7_l I - ►�
/, 0
2j
-Z�s-�
OA 6�
3
4 v
5
6 j
7
8
9
Lj
11 J
12
y
1n
L7. 350
Arsenic
G, Cps
C.
0.,01Z
Cadmium
G : CG3
D CO Z
CC5
Copper
D. b39
D.L177L
!.
Chromium
C,C3 -
0;O 5
O-C(G
Lead
o.C6C
D.C3t-1
'.4
Mercury
C, , CC, 1
t COI
&C&z
Molyb-
denumv.oi
io
u
Nickel
p, C3b
D,GLS
Selenium
D;Cit-I
C:GIO
Zinc
Wg I l0
1.2t 13
U `�
Total
Phos-
phorusiZ,91
I ZL
"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.
7 --„ aware that there are significant penalties for submitting false information, including the possibility of fines and
i isonment for knowing violations".
Signature of Land Applier
2 Zb-I
Date
DENR FORM MFLSF (12/2006)

ANNUAL LAND APPLICATION FI-LLD 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: Ca)+et)�lto- m6D WQ Permit #: L,,_�CCDD!C�Ag Field #:
Land Owner: (1) Annual Dry Tons Applied: 3.333 Site #:
Operator:'--J�er)6e,-tM1V-) Predominant Soil Series:
Crop 1 Name: Cca01aR�0n-udo - Crop 1 Max. PAN: j Qp Crop 2 Name:
L4 Acres Utilized: 3.34
Acres Permitted: 3.3U
Cation Exchange Capacity (non 503): 44`5
Crop 2 Max. PAN:
°
y °
Q4
Volume applied
(enter one) Solids/
Li uid
Cu. Yds Gallons
%
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
Y
co '�
o w
CL o
o
o
N'
* �
o
4.
:n �
w
�J
TKN
mg/kg
Z a
� El
o �
cra o
c' °
W
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
( lbs/acre)
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
�-�
Wo-760
).--)3b
O-qQS
NCC�-: Z17 )
dN
Q
S 10,5
0.38
-3W 01
1695z.:
S�
D•CP43
Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form):
...................
TOTALS:
As
Cd
Cu
Cr
Pb
Hg
Mo
Ni
Se
Zn
P
J-5-Z,3%-,1
Lime Applied
Annual lbs/acre
p.CD
0 •CCO
.u93
0,024a
0.031.>
-6o l
O• i0
,ot
. i
6 l4-Li I I :::::: :::::::::::::. :::
............................
Date
lbs/ac
Prior Years Cumulative lbs/ac
p.-)3
4•G5Z
30.3Z1
'.)43
Q,►-X,
C1.6CP
0.q7t)
ZC6,39
Current Cumulative lbs/ac
C)")41
I.9
•,SZ.y
.3U
-) .'1,1
0,177
Z.-AG
a• 6- 3
0,qzo
lib:
Permitted C. P. L. R.****
1 3 4
1 1339
1—
Z.(�7
1 �J
�
3A
1 Sq
I Zvi
mit 1 t
Permit PAN Li 2nd Crop
d
"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
*Application Method: S - Surface, IN - Injection, INC - Incorporation
o **Volatilization Rate: Surface - 0.5. Iniection/Incoraoration - 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 METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: Lanid-AeR-rf{ 'P Total Dry Tons Applied (Annual): a333
mit #: t,JQ 000fOU$ Cation Exchange Capacity (non 503 only): 45
,rator: �j� `j(31111l1 Owner: �M40 1 17 Predominant Soil Series:'17 ��U�
Acres Used: 3, 3A Acres Permitted: '3 Z14 Site #: {�j Field #: L�
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
Sample or
Com-
posite
Date
1
Cmc_ -ig
2
3
4
5
6
7
81
91
10
11
12
% Solids
' '7 `7
Arsenic
Q. 6
Cadmium
i . I
Copper
ZLO
Chromium 13
Lead
j 00
MercuryL14q
Molyb-
NickelSeleniumZinc
Total
Phos-
,rus
APO
ival Heavv Metal Field Loadings (Calculated in lbs/acre):
Total
DT/Ac./
App.
Event
1
n-Is
, qGlg
2
3
L 4 v
5
6
7
8
_qj
Loj
11 J
12
y
Arsenic
C),CffD
Cadmium
p,gD2
[:UZ
Copper
,f4C(3
6 4 C13
Chromium
CZI -,
C , U z_L-
Lead
C),(Z(,
C.G �
Mercury
C) ; CX) I
D • CO l
Molyb-
denum
O1 10
U.Ut(�
Nickel
G•GZI:
D
Selenium
p:DIC)
01010
Zinc
l ,Zgci
A1
• GG
Total
Phos-
phorus
5u •t-I 1
"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.
T nm aware that there are significant penalties for submitting false information, including the possibility of fines and
i isonment for knowing violations".
Z--Zb-hi
Signature of Land Applier Date
DENR FORM MFLSF (12/2006)

ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: rpn+e-)4� M61)
Land Owner: a�-D
Operator:F51 j
Crop 1 Name:y,L
WQ Permit #: V ICt4,q Field #:
Annual Dry Tons Applied: 5.41 1 Site #:
5
Acres Utilized:
Acres Permitted:
Predominant Soil Series: ?gC-bIU5 Cation Exchange Capacity (non 503):
Crop 1 Max. PAN: i Crop 2 Name:
Crop 2 Max. PAN:
C
Q
Volume applied
(enter one) Solids/
Liquid
Cu. Yds Gallons
%
Solids
Volume
Applied per
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
(Dry'
Moist)
Precip.
past 24
Hrs.
inches
Y
o w
o
o'
o
?:
'Y
N'
w�,
w
* N
TKN
mg/kg
Z 'D
o
ao o
w
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
(lbs/acre)
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
32UX-,
I2A
0.1oi
MC Zv`i_)
&4
©
5 1
0,.15
C),30 14-a-)40
1Zc1,f0(g
' Z3LS3
Z 1aL45=
7
ZCf
W_CC37C;-J-)
&[4
Q
J
0-5
G.
2,
0?VP9
r ►
1 .l. 4(p
Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form):
TOTALS:
)
::::::::::::::
As
Cd
Cu
CrVPb
H
Mo
Ni
Se
Zn
P
'15,S
Lime Applied
Annual lbs/acre
©.
O,C43
0,-)15
DTD•
5
O. 1
Z
• 36 ::
:::: :::::::::::::Permitted
::::::::::::::::::::::::::::::::
Date
lbs/ac
Prior Years Cumulative lbs/ac
0,905
44: I 0
7I
'mac 4
.1
4
.G -)
M.QZZCurrent
Cumulative lbs/ac
©. I
(-I>I
' AY)
b•544
.2,9(-
•191
G• Z
,ctg i
C. P. L. R.****t
3L4
13 g
—16
1
3-YI
ICI
ZUci�'
Permit PAN Limit 1 st/2nd Crop
I O
"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
*Application Method: S - Surface, IN - Injection, INC - Incorporation
**Volatilization Rate: Surface - 0.5. Iniection/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 METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: Total Dry Tons Applied (Annual): 6 Li I J
mit #: Cation Exchange Capacity (non 503 only): q.15
gyrator: Owner: Predominant Soil Series:-PCC-biU5
Acres Used:,Acres Permitted: 6 )l4 Site Field #: rj
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
Sample or
Com-
posite
Date
1
2
3
4
5
61
711111
8
L9
10
111
12
% Solids
i•�� �c
3`�y
Arsenic
<2.5
C2.5
Cadmium
1- J
1. I
Copper
r-4-)
Chromium 1
13
Lead
1
14
Mercury
O,Lrl
O
Molyb-
<56
<denum , j Cj
Nickel
13
Selenium
<6. O
<,j',(>
Zinc
iG51�
Total
Phos-
rus
____ual Heavy Metal Field Loadings (Calculated in lbs/acre):
Total
Event
Total
Phos-
"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 -- aware that there are significant penalties for submitting false information, including the possibility of fines and
i isonment for knowing violations".
Z-Z 6A�
Signature of Land Applier Date
DENR FORM MFLSF (12/2006)

ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: ffUp
Land Owner: Cf)+6-4�cLn-0
Operator: i)ff)eebm&n
Crop 1 Name: Cbc--yd 6e m 6o-
WQ Permit #: c',_'QCCCIG4q Field #: {? Acres Utilized:
Annual Dry Tons Applied: 15. OZO Site #: G l (ckCJ:ff Acres Permitted:
Cation Exchange Capacity (non 503):
Predominant Soil Series: Mrinil ,
Crop 1 Max. PAN
n Z Crop 2 Name:
Crop 2 Max. PAN:
1). 73
e1.5
°
° r
°
QWet,a
Volume applied
(enter one) Solids/
Liquid
Cu. Yds Gallons
%
Solids
Volume
Applied per
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
(Dry'
Moist)inches
Precip.
Past 24
Hrs.
Y
-2
o w
*
o
� w
_
N'
o.
w =°
CD w
N
*
TKN
mg/kg
Z a
El
o �
ao o
w
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
( lbs/acre)
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
9-6
ZUu
j.�3v
:"7Zo
t�C' 7b��
r xc,5,+
Q
0•5
C93 D
75�
z �f
77Z
arcs
-I�
U
.
o, ,W
mo,
C�•�
o, 50
43-X+0
d
. Z
N CCCtW2
, 5
3U
-rr�
rsxic x-
�3
Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form):
...................
TOTALS:
As
Cd
Cu
Cr
Pb
H
Mo
Ni
Se
Zn
P
l 31
Lime A lied
Annual lbs/acre
, D
C• oCy5-
G•Ci(oo
(�,O'5C>
O,6)b
O.Co2
D.U9
3.050
Q,0lq
Z- 3D
I . 3Z ::'::::::::::::::......... ::::
.........................
......:......
............................
Date
lbs/ac
Prior Years Cumulative lbs/ac
O,(�(7(-I
i•�Iv7
5,•25 1
Z5-bc�-1
.W(4
b•I Z
Lo 5
.25g5
Z
l�•G57
Current Cumulativelbs/ac
©-.h1
I �7Z
Ju• I
Z5-�
�5•3,N
pal
Permitted C. P. L. R.****
3
3 (-I
f3
—
Zb7
1
3-714
2nd r i PAN Limit 1st/ Crop
Permit p
Z
"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
_2t
Date
*Application Method: S - Surface, IN - Injection, INC - Incorporation
**Volatilization Rate: Surface - 0.5. Iniection/Incorooration - 1.0
*** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: &)iTt ND M_D Total Dry Tons Applied (Annual): 1.QZD
P—mit #: L;QLOQ cog Cation Exchange Capacity (non 503 only): 4. 5
-rator: " 131 ,e.C.t6 w-) Owner: rn,� DI Predominant Soil Series:
Acres Used: % 7 Acres Permitted: �.7 Site #: CTrctC,Pff Field #:
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
61FRUPTNIMON
Corn-
posite
Date
NEEMENNO
MENOMONEE
ual Heavy Metal Field Loadings (Calculated in lbs/acre):
TotalN
r 1WENEEMENEEMEN
� • •
TotalEvent
Phos-
phorus
"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
i isonment for knowing violations".
Signature of Land Applier
Date
DENR FORM MFLSF (12/2006)

ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name:
Land Owner: eip` Ij
Operator:'}�en-o-, �Man
Crop 1 Name: M-6ff
WQ Permit #: (, DO0IW9 Field #: q
Annual Dry Tons Applied: 7.—�bZ Site #:
Predominant Soil Series: A Iac1C�.
Crop 1 Max. PAN: 1-)Z Crop 2 Name:
Acres Utilized:
C-TractF Acres Permitted:
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
�5•15
°
�
°
Q
Volume applied
(enter one) Solids/
Liquid
Cu. Yds Gallons
%
Solids
Volume
Applied per
Acre
(Dry Tons/Ac)
Residual Sources
PDES #, W #
Q '
Fert., Animal
Waste, etc)
Soil
Cond.
(Dry'
Moist
Precip.
Past 24
Hrs.
inches
a
b
c 'cl
o w
* -�
o
?
° N'
m =°
N
*
TKN
mg/kg
z a
o El
�.
mgikg
Nitrate
and
Nitrite
mg/kg
PAN Applied
( lbs/acre)
Name of Crop Type
ReceivingResidual
Application
Crop 1
Crop 2
Crop 1
Crop 2
1 I 370-)
rrxddi-
G
S
O. 5
0.30
0
�Aq
Zcl-SDCq
,
Wit
- Ig
Z 000
1-VIO
0.3
3 7D
N664-
0
`7qg
-XC4
, . ?
I.Lf�ji
Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form):
TOTALS:
Ic✓appu
::::::::::::::
As
Cd
Cu
Cr
Pb
Hg
Mo
Ni
Se
Zn
P
�It -Oc
I
Lime Applied
Annual lbs/acre
U.COs
C .CD-3
0:-?Z0
C"C6Z
owl
�31
.035'
0.01
l
3( .......... ::::::
..................
...........................
: »»>::::::::::'>::::::::
Date
lbs/ac
Prior Years Cumulative lbs/ac
0,45QQ
j. I
.C42
' Dq 1
5.4(,:P
0,1 0
Z,1 Z
5
Z
- 8
Current Cumulativelbs/ac
0.65'
--04
64- Z
Zl,,•(3lC1
5.57,1
©.N
Z, 7V
5-W5
0.1666
6.-D
Permitted C. P. L. R.****
1-3
ZO
15
—
3-Y4
qC11
1 V-0
Permit PAN Limit lst/2nd Crop
t Z
"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
_ Z
Date
*Application Method: S - Surface, IN - Injection, INC - Incorporation
**Volatilization Rate: Surface - 0.5. Iniection/Incort)oration - 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 (1212006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: �� �1�� (O�J� Total Dry Tons Applied (Annual): 1.1jOZ,
Permit #: i,40CQI 041 Cation Exchange Capacity (non 503 only): 4. rj
rator: 2) entt6-i�iOwner: (_Cll-�-� (f)�D Predominant Soil Series: �,
Acres Used: 5. I ' j Acres Permitted: 6, I fj Site #: Lycacva Field #:
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
Sample or
Com-
posite
Date
1
14-ID-Iq
2
LI-10-9
3
4
5
6
7j
8
9
10
11
12
% Solids
I.�'��Ip
i,�Y)o
Arsenic
Cadmium
Copper
ZL7
Z47
Chromium j
13
Lead
I S'
I q
Mercury
p,LCi
Q,LiC
Molyb-
dennm
<5.0
<5.0
Nickel
13
j3
Selenium
<5.0
<50
Zinc
Total
Phos-
rus
o
o
ual Heavy Metal Field Loadings (Calculated in lbs/acre):
Total
a
B
D
MMEMEMENEEM
Em
no
-
•.
Event
Totalp.
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
i isonment for knowing violations".
6, i - a °Sj-
Signature of Land Applier Date
DENR FORM MFLSF (12/2006)

ANNUAL LAND APPLICATION I IELD 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: Lf)46,4� N)D WQ Permit #: IyQCptM Field #:
Land Owner: e Annual Dry Tons Applied: Z. a2, Site #:
Operator: ( Predominant Soil Series: Oci l ICL
Crop 1 Name: C0066arben-LCk)k- Crop 1 Max. PAN: 1 (o Crop 2 Name:
13 Acres Utilized: 3, Zo
—TFQCP- Acres Permitted:
Cation Exchange Capacity (non 503): �, 5
Crop 2 Max. PAN:
o
Q
Volume applied
(enter one) Solids/
Liquid
Cu. Yds Gallons
%
Solids
Volume
Applied per
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
Co it
(Dry'
Moist
Precip.
Past 24
Hrs.
inches
�Y
a 't?
w
o
o
w �,
w CCD
,
�, w
* w
]
TKN
mg/kg
Z >
o Q
w o
w
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
(lbs/acre)
Name of Crop Type
Receiving Residual
Application
Crop I
Crop 2
Crop 1
Crop 2
3E
1,%/00
1"WI
, 5
dru
n0.5
0,ao
,q
lzq��a
.(�
51�
15DUC)
`7
p.3
iXC03715»
D
S
O 5
0.30
4 i#v
`?�
z95�
0.
Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form):
...................
TOTALS:
30
As
Cd
Cu
Cr
Pb
Hg
Mo
Ni
Se
Zn
P
Lime Applied
Annuallbs/acre
O• Z
•33Z
O.01Q
zo
a-Wo
.0
©.
Z.:
....
..... .... .....
Date
lbs/ac
Prior Years Cumulative lbs/ac
03 ►
©• i
13.145
-?�
Z. DC)
. 0�3
i . OL)C1,
".c6cl
L.N3
Zt b
Current Cumulative lbs/ac
o -'alo
0,-)�Fi
13.LO)
Z-). ►11
333
0,p-)3
1.0
. --n
q
Z
Permitted C. P. L. R.****
3
3L4
i 5
—
3- I
G
Z
Permit PAN Limit 1st/2nd Crop
P
I 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 violations."
Signature of Land Applier
*Application Method: S - Surface, IN - Injection, INC - Incorporation
Zoo—� **Volatilization Rate: Surface - 0.5. Iniection/Incornoration - 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 METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: 'C n+en nea_ty1,.� 7 Total Dry Tons Applied (Annual): Z. ZZZ
'P- -mit #: k�GCCDI DL4 Cation Exchange Capacity (non 503 only): 4'S
gyrator: }henec 6mO) Owner: COnlerk(n N)Q Predominant Soil Series:
Acres Used: 3.-60 Acres Permitted: 3,3.E Site #: C.'�'j��-� Field #: (�
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent ft
Sample or
Com-
posite
Date
1
2
g
3 j4
5
6
7
181
9
10
11
12
% Solids
Arsenic
Cz .
<Z 5
Cadmium
1 .
Copper
ZLf-)
�,W7
Chromium 1-3
Lead
I (�
1 1
Mercury
0, W4
0 .L4q
Molyb-
<
Nickel
13
13
Selenium
< 5. (�
<� • (�
Zinc
6 I
I
Total
Phos-
'rus
Z(QU
JZ(¢ 0
[ual Heavy Metal Field Loadings (Calculated in lbs/acre):
Total©
D
p.
Event
,
L
©
©
0
-
r
Total
Phos-
•
,!
•
"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
i isonment for knowing violations".
Signature of Land Applier
I,-(
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
Facility Name: �cr�fen4(o,rfb-0
Land Owner: ,
Operator,,
Crop 1 Name: � Ibarq l
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
WQ Permit #: 4mcnaIoL9 Field #: 1,j Acres Utilized: Z.3-9
Annual Dry Tons Applied: A, U,3 Site #: -D Acres Permitted: Z, 3 R
Predominant Soil Series: 'k(+6m� Cation Exchange Capacity (non 503):
Cam- Crop 1 Max. PAN: I) (o Crop 2 Name: Crop 2 Max. PAN:
1U.5
° y
°) o
M
Q
Volume applied
enter one Solids/
( )
Liquid
Cu. Yds Gallons
o
/o
Solids
Volume
Applied per
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
D
( ry'
Wet'
Moist
Precip.
Past 24
Hrs.
inches
a
5 �'
o
a?
o
7y w
; N'
o'
o
w
N
w
TKN
mg/kg
Z >
o
on °
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
( Ibs/acre)
Name of Crop Type
Receiving Residual
g
Application
Crop 1
Crop 2
Crop 1
Crop 2
1
3LKW
I.
05ZCM
0.6
,6
74D
/)19
o
bsr
-lg
©DO
• 3
NC�
clr
5
4'g
,')2�
Residuals Applications totals on FORM FSF supp (attach FORM FSF supp to this form):
TOTALS:
U
:: ::::
As
Cd
Cu
Cr
Pb
H g
Mo
Ni
Se
Zn
P
/ .113
Lime Applied
Annual lbs/acre
1
LZ47
I
,bqq
©,�3
,022
(
7
„5 (IU
,�
::. ...... .... ..... .
Date
lbs/ac
Prior Years Cumulative lbs/ac
Z
040
I
7.
p , 2
7
g
I t (_ Iri
Current Cumulative lbs/ac
0. V4Z
Q ; Ul 0
61 O
•12
n - C6 5
L9
511
•17
Permitted C. P. L. R.****
I,
r
Z 7
15
Permit PAN Limit lst/2nd Crop
t"1 Lo
"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
*Application Method: S - Surface, IN - Injection, INC - Incorporation
**Volatilization Rate: Surface - 0.5. Iniection/Incoraoration - 1.0
*** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: /f I7 Total Dry Tons Applied (Annual): (o,(. q3
permit #: k)( j=1p()-1 Cation Exchange Capacity (non 503 only): 0.15
,rator: ?)aneubm g-k Owner: LaLea P1�0 Predominant Soil Series
Acres Used: Z. 3g Acres Permitted: 2 3g Site #: T Field #:
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent ft
Sample or
Com-
posite
Date
1
2
3
4
5
6
7
8
9
10
11
12
% Solids
Arsenic
< 2.5
<z . rj
Cadmium
1. 1
1
Copper
Chromium 13
13
Lead
I I
N
Mercury
C) • LJCl
0 .Lf
Molyb-
deniim
C 6.-D
Nickel
I __�
!3
Selenium
<6. p
< 5. D
Zinc
661
Total
Phos-
rus
I Z MeD
I Z12LRO
ual Heavy Metal Field Loadings (Calculated in lbs/acre):
Total
D
MENEEMEEMB
-
• ••
Event:NMEM
MRIMM�
•
__________
• r
Total
' •
• •
•
"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
i isonment for knowing violations".
Luw Z-2 b-1 ci
Signature of Land Applier Date
DENR FORM MFLSF (12/2006)

ANNUAL LAND APPLICATION I m .D 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: �O11t644)en- rl1 WQ Permit #: r oocopl c�4 Field #:
Land Owner: �j T a F`(l�l Annual Dry Tons Applied: 6-U 0 Site #:
Operator: �Ofwf 6-oi�Lh Predominant Soil Series: McQa,
Crop 1 Name: CCX % i Crop 1 Max. PAN: 11Z Crop 2 Name:
Acres Utilized:
Acres Permitted:
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
Z9Q
Z.r'/25
�• 5
o �
°
°
Volume applied
(enter one) Solids/
Liquid
Cu. Yds Gallons
%
Solids
Volume
Applied per
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
(Dry'
Wet,
Moist
Precip.
Past 24
Hrs.
inches
a
4 '�
F '�
o
cw
�. o'
°
o
7*
` N'
4.
�
w
CD w
* N
TKN
mg/kg
Z a
3
o a
oe o
w.
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
(lbs/acre)
Name of Crop Type
Receiving Residual
Application
Crop 17
Crop 2
Crop 1
Crop 2
4�Ccxj
r)3`7c)
C).
0, 0
36U
r I (QZ
Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form):
TOTALS:
U
:::
As
Cd
Cu
Cr
Pb
H.21
Mo
Ni
Se
Zn
P
Lime Applied
Annual lbs/acre
0.00(v
0-00
0.614
O.Cbb
0.04Z
0• OD 10,D)Z
O•Ca0
O.OIZ
::::::::......
..................
:::::::::::::::::::::::::::
...........................
::::::::::::::::::::::::::::::::::::::::.:
:::::::: :
Date
lbs/ac
Prior Years Cumulative lbs/ac
0,76Z
7G
,14q
7g�
Z•141a
,03Z
O-602
-Q-9
0.3��
f 1 (o
Current Cumulative lbs/ac
. Z6
0 - -b s
.b4Z
.49 1-)
Z • lO
o..033
•6ILI
Z. SI Z
.t-Ia
1 ,.:::<::::'
Permitted C. P. L. R.****
U
t3'
7
t
�..
qS
S
Permit PAN Limit t 2 1 s / nd Crop
n Z
"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
*Application Method: S - Surface, IN - Injection, INC - Incorporation
**Volatilization Rate: Surface - 0.5. Iniection/Incorvoration - 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 LoadinL3 Rate
DENR FORM FSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name:Total Dry Tons Applied (Annual): 3_063
Do-mit #: Cation Exchange Capacity (non 503 only): q- •5
;rator: Its Owner: C)C n� en�eD (fl _D Predominant Soil Series: k1 gL2Ck,
Acres Used: Z,CI g Acres Permitted: i_q g Site #: 7 Field #: 1 C,
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
Sample or
Com-
posite
Date
1
2
3
4
5
6
7
81
9
10
11
12
% Solids
Arsenic
Cadmium
.
Copper
IC�7
Chromium )3
Lead
110
Mercury
0, LP
Molyb-
denurn
<5. a
Nickel
13
Selenium
<�
Zinc
1
Total
Phos-
rus
I MOO
ual Heavy Metal Field Loadings (Calculated in lbs/acre):
TotalMoon
D
.,p
o©
o
0
0
0
-
OEM
TotalEvent
Phos-
__phorusW,EEEEEEEEEEEN
"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
i sonment for knowing violations".
Signature of Land Applier
z--Z10- 1 q
Date
DENR FORM MFLSF (12/2006)

ANNUAL LAND APPLICATION F MILD 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: ocnfff *,a,)— ftD WQ Permit #: N)()0jlCJR Field #:
Land Owner: 1 Annual D Tons Applied: zk` Y"
�i"� N-f' 1 °1`Q. (/l�� Dry PP • ix. �.�. r.��1���ln:'�>�; Site #:
Operator:--Rene—�&njsh Predominant Soil Series:
Crop 1 Name: Oaic&r ilk Crop 1 Max. PAN: 1/)�& Crop 2 Name:
17 Acres Utilized:
j7 Acres Permitted:
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
Volume applied
. Volume
Residual Sources
Soil
Precip.
o
Z
Nitrate
PAN Applied
Name of Crop Type
0 9.1(enter
one) Solids/
%
Applied per
(NPDES #, WQ#
Cond.
Past 24
a '�
w w'
w
TKN
-+ o
and
Receiving Residual
°
Liquid
Solids
Acre
Fert., Animal
(Dry,
Hrs.
o� w
;
cc ?j
* N'
o� $
w•
Nitrite
(lbs/acre)
Application
Q
Cu. Yds Gallons
(Dry Tons/Ac)
Waste, etc)
Wet'
Moist
inches
o
p
10
* o
mg/kg
mg/kg
mg/kg
Crop 1
Crop 2
Crop 1
Crop 2
2 -14
&OD6
o
A<<`'
NCC03W-1
moil
I Q
5
0.'5
O•ZO
RFD
95D-GS
:` .. 3
I-Z370
--pt)
'
-
4
7
car&+
Cx,5
0,30
JZMQS
y m
WIN,s/Kz't
''x Ati}Fdl,"Lf`j
^arl>b
�>.ai,•j+*a'x/`!"
.,}� i'�w`�;�EJrM1S°t'�'t•s,+'T�`�'a�
h ! �
;Tif' 3'S:? P R��r"„1r
k�'+7
on
� 3��X;"+S;wyf
:;"i'Jf'�;'. t '
Y.'.` s?,j'�'�":c;�`"y"a;'a�r'�:
>b,%.'4�;'s:%,G.
�f �:=�'.,�•J�t�`�e,'3X:
ti/a:,j.r
--
.........`.aRs'zinrv'�rk
:
�p�',Qe��
a';kys',i.,.y>tu'!.
��5,;,
� ,r - �
..::::::::::.
T4"ea.'F ., �,
..I;. (} ,;_
Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form):
r�i y..�
`61^t.� �>''iv'ds-i<Y`.�,`E�
v �
s f
,�a� �,
.
.:::...........=»:
:
TOTALS:
$-
; ' ".F ., ,
As
Cd
Cu
Cr
Pb
Hg
Mo
Ni
Se
Zn
P
<)
. ' `' x;
Lime A lied
Annual lbs/acre
,vlyic�' p
,,t.ilx.7.xr
Yr' •ey
?3 5i;-+• }
_^}�"t Yt
,O�-'i'i�^`
r ":�Xx.i,'lr;�"•Yo!Os �:n,
": y.^i"^`
.- r( - .
,. 3,'€:..a
) $f il :> *; ?
Sjzf:a''"'x'I` 'fi,�.'i
Date
lbs/ac
Prior Years Cumulative lbs/ac
,-'626
D.Lni
46•l
tI•g iq
Z• 41
DIC4Z
(o
&20S
0.61516g.
Current Cumulative lbs/ac
m
I
0.::.,'Z,r:t3c.
7
1.:1..$5..t�Z.
3c`i9.�l�kOx
,.e..
;.
,.{',•.+' :'f'
21.,ZU:S.O.3DI►co�.-
.�"
.t3k
;.arx'r'^>`a`v .r,
1,_.
,a,..,,...:<an>
i�
Permitted C. P. L. R.****
%3L
�
—
'UeQ
t
G
Z
't
Permit PAN Lima lst/2nd Crop
P
:..
,p.,:4.-SW „, �. v ,
l F kt r �f ✓u .
.Z , x. .
�,:' �..
F�r. "ff C'`
±.r.l
"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
*Application Method: S - Surface, IN - Injection, INC - Incorporation
**Volatilization Rate: Surface - 0.5. Iniection/Incornoration - 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 METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: 1f n tmSD Total Dry Tons Applied (Annual): 5, IP4
permit #: Cation Exchange Capacity (non 503 only): q. 6
:rator: Owner: Off-Apra-ntc,_rfXili Predominant Soil Series: 4 ICkoa-
Acres Used: 3.1Q2 Acres Permitted: 3,102 Site #: Field #: 1)
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
Sample or
Com-
posite
Date
1
q_,C�_) g
2
ig
3
4
51
6
7
81
9
10
11
12
% Solids
Arsenic
<Z.5
<2.5
Cadmium
I,1
1.1
Copper
Chromium 13
I
Lead
Mercury
. Qq
Molyb-
denum
Nickel
I
Selenium
<5.D
<5.p
Zinc
1061
1
Total
Phos-
rus
i
2721bb
ual Heavy Metal Field Loadings (Calculated in lbs/acre):
•.
o
©
©
o
©
on
m
• iv
.
We
To al
Phos-
phorus
"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
it sonment for knowing violations".
" -_ ""Wuk- _ 242_166l
Signature of Land Applier Date
DENR FORM MFLSF (12/2006)

ANNUAL LAND APPLICATION HELD. 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: 02n�� WQ Permit #: �� j ( g Field #:
Ce�� enApplied:
Land Owner: K),6 l Annual Dry Tons `r, l Cf s''`'u' k `' "`' Site #:
Operator:'`�o-)& 6m4k) Predominant Soil Series:
Crop 1 Name: Crop 1 Max. PAN: hZ Crop 2 Name:
1 q Acres Utilized:
C`('rccj-ff Acres Permitted:
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
Volume applied
pp
Volume
Residual Sources
Soil
Precip.
Y
2.
o
Z Y
Nitrate
PAN Applied
Name of Crop Type
o
�
(enter one) Solids/
%
Applied per
(NPDES #, WQ#,
Cond.
Past 24
� �
a 5
7y w
7y �
P �,
TKN
� �
o
and
Receiving Residual
° °
Liquid
Solids
Acre
Fert., Animal
wry'
Hrs.
a w
o
Nitrite
(lbs/acre)
Application
Q
Waste, etc)
Wet,
0
o
R.
Cu. Yds Gallons
(Dry Tons/Ac)
Moist
inches
mg/kg
mg/kg
mg/kg
Crop 1
Crop 2
Crop 1
Crop 2
-413
,6�0
1.-W
tIcoo3Zo---)
di
O
S
06
D-b
74
•S.r*
; S: �.:.tYagP..yb
;�,"�.{"y'i S'�S+'C,"; ',h
.:.f c��:�;K�j!,:�. c�!:i,�.i1�:f'T�`i.i°,^e✓I%'
`a';.,i:;Li°a. �'^.it',�� ,t .`:"
-''fin. Y,,'d,'�f.`"rc-b`•T*i",
i. N�3�":,u`•"y,> .x
":?.'.:.r;:,F:%� 'l
`t':.:'il �.`;i.?r:,
��4 ' ,���
iM�ria;�,„5rj:;"^vwYy�r�
�r.�:;:`;�`r'(�
_-•�:rj€�?a„'?
rk'+,a-w °,�r-u?:.l:'s,r;4z,+kt
.�,2�a4,�.+.u�a
'
'. '.
'%i �` y:"itt
C.,
FSo -
p.4 x''4
Residuals Applications totals on FORM FSF supp (attach FORM FSF su to this form):-1
.t;� sT.£5 �'rt `r'
w ;r ,
"�•" ^`,"::,F"",...
'.,,,-t:.� .
ppp
,.rig.,
aN
TOTALS:
Wt.�1_
F6,1`566%
As
Cd
Cu
Cr
Pb
H
Mo
Ni
Se
Zn
P
P `+..
I.rc
R;ff�
_„
Lime A lied
:
F.,:c ,
Annual lbs/acre
;a:i
( vZ.
C? w1.;3
-•'-.
i ° 17 F
!
G i , -
-.
Date
lbs/ac
Prior Years Cumulative lbs/ac
3L,,
1 34
I. 36
m"
Current Cumulative lbs/ac
Permitted C. P. L. R.****
Permit PAN Limit lst/2nd Crop
% r^.
.,:
"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
*Application Method: S - Surface, IN - Injection, INC - Incorporation
Z&7'1 **Volatilization Rate: Surface - 0.5. Iniection/Incornoration - 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 (1212006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: Oc�nI-d-4flffuTOP Total Dry Tons Applied (Annual): L/, )L41?
permit #: tJQOC9b1Q 1 Cation Exchange Capacity (non 503 only): U_ rj
gyrator: Owner: Or f ety�( ' Predominant Soil Series: A �aC
Acres Used: 1I,-5 Acres Permitted: Site #: CTraC47L Field #:
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
Sample or
Com-
posite
Date
1
2
3
4
5
6
7
8
9
10
11
12
% Solids
Arsenic
<1-115
Cadmium
1, 1
Copper
�
Chromium 1 'j
Lead
le
Mercury
p,Lp
Molyb-
denum
<5. n
Nickel
-5
Selenium
<5. p
Zinc
61
Total
Phos-
rus
Z7�C7
ual Heavy Metal Field Loadings (Calculated in lbs/acre):
Total
I 1
2
3
5
6
7
8
9
10
11
12
_4j
y
DT/Ac./
g Zq-Ig
C
y
App.
Event
o, 26-3
35
Arsenic
YJZ
Z
Cadmium
C), CC I
I
Copper
0,
Chromium
Lead
, O13
O • v13
Mercury
©, CC>O
O , 00c)
Molyb-
OoC04
0 cc"
Nickel
p,
(,.GYM/
Selenium
©, C L
p ,
Zinc
C.L41VO
10 4
Total
Phos-
phorus
. ZU
icl. Cn
"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
i isonment for knowing violations".
zz%orJF
Signature of Land Applier Date
DENR FORM MFLSF (12/2006)

PATHOGEN AND VECTOR
l_
ATTRACTION REDUCTION FORM

ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (02T Rules)
Facility Name: Contentnea MSD
WWTP Name: Contentnea MSD
Monitoring Period:
i
From 1/1/2018
To
WQ Permit Number:
NPDES Number:
12/31/2018
WQ0001048
NCO032077
,(, c A nrr A P n2T 11061 _ Plense indicate level achieved and alternative performed:
Yi11IlO�C11 1<CUUGUVu
Class A:
`1JA 1\t.L1v vr, a •_+���
Alt. A (time/temp) ❑
- -------------
Alt B (Alk Treatment) ❑
-
Alt. C (Prior Testing)❑
A1t.D (No Prior Test) ❑
Process to Further Reduce Pathogengs ❑
If applicable to alternative performed (Class A only) indicate "Process to Further Reduce Pathogens":
Compost ❑ Heat Drying ElHeat Treatment ❑ Thermophilic ❑
Beta Ray ❑
Gamma Ray ❑
Pasteurization ❑
Class B:
Alt. (1) Fecal Density .0 1
Alt. (2) Process to Significantly Reduce Pathogens ❑....77
If applicable to alternative performed (Class B only) indicate "Process to Significantly Reduce Pathogens":
.S
Lime Stabilization ❑ Air Drying [3 Composting ❑ Aerobic Digestion
Anaerobic Digestion ' i es i n [Ig
If applicable to alternative performed (Class A or Class B) complete the following monitoring data:
Number of Analytical
Allowable Level Pathogen Density Frequency Sample �
Parameter Excee- of Analysis Type Tech -
in Sludge Minimum Geo. Mean Maxi Units
2x10tothe
MPN
<11
117
MPK�1420
.�
0
7
Grab
f�� ►> -a,
6th power
per gram of
Fecal Coliform
total solids
CFU
1000 mpn per gram
of total solid (dry
weight)
Salmonella bacteria
3 MPN per 4 grams
(in lieu of fecal
total solid (dry
coliform)
weight)t
v ector titu-ac11U11 XXUUUW.ilVu
Alt.l (VS reduction) ❑
`iJ -1 -1--
Alt. 2 (40-day bench) ❑
Alt. 3 (30-day bench) [3Alt. 4 (Spec. Oz uptake) 0
Alt. 5 (14-Day Aerobic) [3Alt.
6 (Alk. Stabilization [3Alt
7 (Drying - Stable) ❑ Alt. 8 (Drying - Unstable) ❑
Alt. 9 (Inj ection) � [3
Alt. 10 (Incorporation) ❑
No vector attraction reduction alternatives were performed [3
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
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."
Renee Smith/Land Application ORC Renee Smith/Land Application ORC
Preparer Name and Title (type or print) Land Applier Name and Title (if applicable)(type or print)
Y�l Signature of Preparer* Date Signature of Land Applier (if applicable) Date
*Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26)
DENR FORM PVRF 02T (12/2006)

EWOmEHM % hm
* ^ P O. BOX 7085, 114 OAKMONT DRIVE
GREENVILLE, N.C. 27835-7085
TOW
CMSD (SLUDGE & WELLS ACCT)
CONTENTNEA METRO. SEWAGE DIST.
MS. RENEE PRIDGEN
P.O. BOX 477
GRIFTON ,NC 28530
PARAMETERS
Sample Analysis Method
//1 Date Analyst Code
Total Residue, mg/1 17520 04/02/18 KDS 2540B-11
Fecal Coliform (MPH /gram Solids 451 04/02/18 KDS 9221E-06
Drinking Water ID: 37715
Wastewater ID: 10
FAX [phone]
ID#: 416 A
DATE COLLECTED: 04/02/18
DATE REPORTED : 04/03/18
REVIEWED BY:

EnAmNE&W % hw
P.O. BOX 7085, 114 OAKMONT DRIVE
GREENVILLE, N.C. 27835-7085
TOW
CMSD (SLUDGE & WELLS ACCT)
CONTENTNEA METRO. SEWAGE DIST.
MS. RENEE PRIDGEN
P.O. BOX 477
GRIFTON ,NC 28530
PARAMETERS
Total Residue, mg/l
Fecal Coliform (MPH /gram Solids
Sample Analysis Method
##2 Date Analyst Code
17680 04/03/18 JMT 2540B-11
130 04/05/18 JMT 9221E-06
Drinking Water ID: 37715
Wastewater ID: 10
PHONE [phone]
FAX [phone]
ID#: 416 A
DATE COLLECTED: 04/03/18
DATE REPORTED : 04/06/18
REVIEWED BY:

., ., - n n - -- - — A — -fl
GREENVILLE, N.C. 27835-7085
CMSD (SLUDGE & WELLS ACCT)
CONTENTNEA METRO. SEWAGE DIST.
MS. RENEE PRIDGEN
P.O. BOX 477
GRIFTON ,NC 28530
PARAMETERS
Total Residue, mg/l
Fecal Coliform (MPH /gram Solids
Sample Analysis Method
#3 Date Analyst Code
17220 04/04/18 AKS 2540B-11
64 04/04/18 AKS 9221E-06
Drinking Water ID: 37715
Wastewater ID: 10
PHONE [phone]
FAX [phone]
ID#: 416 A
DATE COLLECTED: 04/04/18
DATE REPORTED : 04/09/18
REVIEWED BY:

ElMommmo % hCupund
P.O. BOX 7085, 114 OAKMONT DRIVE
GREENVILLE, N.C. 27835-7085
CMSD (SLUDGE & WELLS ACCT)
CONTENTNEA METRO. SEWAGE DIST.
MS. RENEE PRIDGEN
P.O. BOX 477
GRIFTON ,NC 28530
PARAMETERS
Total Residue, mg/1
Fecal Coliform (MPN), /gram Solids
Sample Analysis Method
##4 Date Analyst Code
16900 04/09/18 KDS 2540B-11
77 04/09/18 KDS 9221E-06
Drinking Water ID: 37715
Wastewater ID: 10
PHONE [phone]
FAX [phone]
ID#: 416 A
DATE COLLECTED: 04/09/18
DATE REPORTED : 04/12/18
REVIEWED BY:

��dor�o��c��� Flo D��oQpor�a�c�d
P.O. BOX 7085, 114 OAKMONT DRIVE
GREENVILLE, N.C. 27835-7085
CMSD (SLUDGE & WELLS ACCT)
CONTENTNEA METRO. SEWAGE DIST.
MS. RENEE PRIDGEN
P.O. BOX 477
GRIFTON ,NC 28530
PARAMETERS
Total Residue, mg/l
Fecal Coliform (MPN), /gram Solids
Sample Analysis Method
#5 Date Analyst Code
16580 04/10/18 JMT 2540B-11
66 04/12/18 JMT 9221E-06
Drinking Water ID: 37715
Wastewater ID: 10
U N E (252) 756
FAX [phone]
ID#: 416 A
DATE COLLECTED: 04/10/18
DATE REPORTED : 04/12/18
REVIEWED BY:

poQ��c�d
P.O. BOX 7085, 114 OAKMONT DRIVE
GREENVILLE, N.C. 27835-7085
CMSD (SLUDGE & WELLS ACCT)
CONTENTNEA METRO. SEWAGE DIST.
MS. RENEE PRIDGEN
P.O. BOX 477
GRIFTON ,NC 28530
PARAMETERS
Total Residue, mg/l
Fecal Coliform (M N), /gram Solids
Sample Analysis Method
#6 Date Analyst Code
16880 04/11/18 KDS 2540B-11
1420 04/11/18 KDS 9221E-06
Drinking Water in: 37715
Wastewater ID: 10
PHONE [phone]
FAX [phone]
ID#: 416 A
DATE COLLECTED: 04/11/18
DATE REPORTED : 04/16/18
REVIEWED BY:

EWOTummid alp hcqwpowm%d
P.O. BOX 7085, 114 OAKMONT DRIVE
GREENVILLE, N.C. 27835-7085
CMSD (SLUDGE & WELLS ACCT)
CONTENTNEA METRO. SEWAGE DIST.
MS. RENEE PRIDGEN
P.O. BOX 477
GRIFTON ,NC 28530
Sample Analysis Method
PARAMETERS #7 Date Analyst Code
Total Residue, mg/1 16780 04/16/18 KDS 2540B-11
Fecal Coliform (MPN), /gram Solids <11 04/16/18 KDS 9221E-06
" Drinking Water ID: 37715
Wastewater ID: 10
PHONE [phone]
FAX [phone]
ID#: 416 A
DATE COLLECTED: 04/16/18
DATE REPORTED : 04/18/18
REVIEWED BY:

Time
(minutes)
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Specific Oxygen Uptake Rate
SOUR
Facility Name: CMSD
Biosolids Permit Number: WO00
Date:
Digester Temperature:
Sampling Date/Time: 4-2-18
Sampled By: Andre
Analysis Date/Time: 4-2-1 E
Analyzed By: Windy
Sample Volume:
Total Solids:
Beginning Temperature'.
End Temperature:
Dissolved Oxygen Level
Slope:
Intercept:
Correlation Coefficient:
Oxygen Uptake Rate:
Ambient Specific Oxygen Uptake Rate:
Average Temperature:
Temperature Correction Factor:
1'
131
✓ Edwards
'1322
Sammond
000 milliliters
1.88 % Dry Solids
19 degrees Celsius
21 degrees Celsius
0.1
8.5
1.0
4.49 mg Oxygen/hr
0.24 mg Oxygen/g/hr
20 degrees Celsius
1
Temperature Corrected Specific Oxygen Uptake Rate:r 0.24 mg Oxygen/g/hr
Instructions: Enter Data in the Blue Boxes. The Calculation and the Spreadsheet execute automatically

y =-0.0749x + 8.621
Oxygen Uptake Rate Chart
8.8
I
8.6
8.4
8.2
a� 8
7.8
x
O
-a 7.6
cn
0uw 7.4
7.2
7
i
6.8
6.6
1 2 3 4 5 6 7 g g 10 11 12 13 14 15 16
Time (minutes)

Time
(minutes)
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Specific Oxygen Uptake Rate
SOUR
Facility Name: CMSD
Biosolids Permit Number: WQ00
Date:
Digester Temperature:
Sampling Date/Time: 4-3-1 E
Sampled By: Andre
Analysis Date/Time: 4-3-1 f
Analyzed By: Windy
Sample Volume:
Total Solids:
Beginning Temperature:
End Temperature:
Dissolved Oxygen Level
Slope:
Intercept:
Correlation Coefficient:
Oxygen Uptake Rate:
Ambient Specific Oxygen Uptake Rate:
Average Temperature:
Temperature Correction Factor:
Sam
000 milliliters
1.82 % Dry Solids
19 degrees Celsius
20 degrees Celsius
0.1
8.6
1.0
4.64 mg Oxygen/hr
0.26 mg Oxygen/g/hr
20 degrees Celsius
1
Temperature Corrected Specific Oxygen Uptake Ratel 0.0 mg Oxygen/g/hr
Instructions: Enter Data in the Blue Boxes. The Calculation and the Spreadsheet execute automatically.

y =-0.0774x + 8.6615
Oxygen Uptake Rate Chart
8.8
8.6
8.4 - --
8.2
a� 8
E
c
7.8
T
X
0
-a 7.6
a�
0
N 7.4
0
7.2
7
6.8
6.6 3 4 5 6 7 8 g 10 11 12 13 14 15 16
1 2 4
Time (minutes)

Time
(minutes)
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Specific Oxygen Uptake Rate
SOUR
Facility Name: CMSD
WQ0001
4
4-4-
And
4-4-
Biosolids Permit Number: 048
Date: /4/2018
Digester Temperature: 18
Sampling Date/Time: 18/1312
Sampled By: rew Edwards
Analysis Date/Time: 18/1319
Analyzed By: Windy Sammond
Sample Volume: 1000 milliliters
Total Solids: 1.8 % Dry Solids
Beginning Temperature: 20 degrees Celsius
End Temperature: 21 degrees Celsius
Dissolved Oxygen Level
Slope:
Intercept:
Correlation Coefficient:
0.1
8.2
1.0
Oxygen Uptake Rate: 5.14 mg Oxygen/hr
Ambient Specific Oxygen Uptake Rate: 0.29 mg Oxygen/g/hr
Average Temperature: 21 degrees Celsius
Temperature Correction Factor: 0.952380952
Temperature Corrected Specific Oxygen Uptake Rate:j 0.27 mg Oxygen/g/hr
Instructions: Enter Data in the Blue Boxes. The Calculation and the Spreadsheet execute automatically.

0
8.5
a
Oxygen Uptake Rate Chart
1 2 3 4 5 6 / b 0
Time (minutes)
y =-0.0857x + 8.2493

Time
(minutes)
0
1
2
3
4
5
6
7
8
.g
10
11
12
13
14
15
Specific Oxygen Uptake Rate
SOUR
Facility Name:
Biosolids Permit Number:
Date:
Digester Temperature:
Sampling Date/Time:
Sampled By:
Analysis Date/Time:
Analyzed By:
Sample Volume:
Total Solids:
Beginning Temperature:
End Temperature:
Dissolved Oxygen Level .
Slope:
Intercept:
Correlation Coefficient:
Oxygen Uptake Rate:
Ambient Specific Oxygen Uptake Rate:
Average Temperature:
Temperature Correction Factor:
0001048
rew
1000 milliliters
1.8 % Dry Solids
18 degrees Celsius
18 degrees Celsius
0.1
8.6
1.0
3.28 mg Oxygen/hr
0.18 mg Oxygen/g/hr
18 degrees Celsius
1.1449
Temperature Corrected Specific Oxygen Uptake Rate: 0.21 mg Oxygen/g/hr
Instructions: Enter Data in the Blue Boxes. The Calculation and the Spreadsheet execute automatically.

M
F.M.
8.4
a 8.2
E
O
m
0
N 7.8
0
W.
7.L
7.:
Oxygen Uptake Rate Chart
1 2 3 4 5 6 0 V l„ -
Time (minutes)
y =-0.0546x + 8.6653

Time
(minutes)
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Specific Oxygen Uptake Rate
SOUR
Facility Name:
Biosolids Permit Number:
Date:
Digester Temperature:
Sampling Date/Time:
Sampled By:
Analysis Date/Time:
Analyzed By:
Sample Volume:
. Total Solids:
Beginning Temperature:
End Temperature
Dissolved Oxygen Level
Slope:
Intercept:
Correlation Coefficient:
Q0001048
4/16/201
119
16-18/
idrew
16A 8
enee
milliliters
% Dry Solids
degrees Celsius
degrees Celsius
Oxygen Uptake Rate:
Ambient Specific Oxygen Uptake Rate:
Average Temperature:
Temperature Correction Factor:
0.1
7.0
1.0
4.70 mg Oxygen/hr
0.27 mg Oxygen/g/hr
19 degrees Celsius
1.07
Temperature Corrected Specific Oxygen Uptake Rate: 0.28 mg Oxygen/g/hr
Instructions: Enter Data in the Blue Boxes. The Calculation and the Spreadsheet execute automatically.

13
7
I
a 5
E
Oxygen Uptake Rate Chart
1 2 3 4 5 6 a v (-
Time (minutes)
y =-0.0784x + 7.0935

Time
(minutes)
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Specific Oxygen Uptake Rate
SOUR
Facility Name: CMSD
Biosolids Permit Number: WQ0001048
nnta 4/17/201
Digester Temperature:
Sampling Date/Time: 4-17-18/1020
Sampled By: Kyle Huggins
Analysis Date/Time: 4-17-18/103C
Analyzed By: Renee Smith
Sample Volume:
Total Solids:
Beginning Temperature:
End Temperature:
Dissolved Oxygen Level
1000 milliliters
1.8 % Dry Solids
17 degrees Celsius
19 degrees Celsius
Slope: 0.1
Intercept: 7.9
Correlation Coefficient: 1.0
Oxygen Uptake Rate: 3.48 mg Oxygen/hr
Ambient Specific Oxygen Uptake Rate: 0.19 mg Oxygen/g/hr
Average Temperature: 18 degrees Celsius
Temperature Correction Factor: 1.1449
Temperature Corrected Specific Oxygen Uptake Ratei u mg Oxygen/g/hr
Instructions: Enter Data in the Blue Boxes. The Calculation and the Spreadsheet execute automatically.

7.8
7.6
"a 7.4
E
6.E
M,
l
Oxygen Uptake Rate Chart
2 3 4 5 6 o C, ,-
Time (minutes)
y =-0.058x + 7.9402

. Time
(minutes)
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Specific Oxygen Uptake Rate
SOUR
Facility Name: CMSU
Biosolids Permit Number: WQ0001048
Date: 4/18/201
Digester Temperature: 1
Sampling Date/Time: 4-18-18/1035
Sampled By: Andrew Edwards
Analysis Date/Time: 4-18-18/1045
Analyzed By: Renee Smith
Sample Volume: 10(
Total Solids: 1
Beginning Temperature:
End Temperature:
Dissolved Oxygen Level
milliliters
% Dry Solids
degrees Celsius
rIParees Celsius
Slope:. 0.1
Intercept: 7.7
Correlation Coefficient: 1.0
Oxygen Uptake Rate: 4.48 mg Oxygen/hr
Ambient Specific Oxygen Uptake Rate: 0.25 mg Oxygen/g/hr
Average Temperature: 19 degrees Celsius
Temperature Correction Factor: 1.07
Temperature Corrected Specific Oxygen Uptake Ratel 0.27 mg Oxygen/g/hr
Instructions: Enter Data in the Blue Boxes. The Calculation.and the Spreadsheet execute automatically.

►M
7.6
7.4
7.2
0
E
m
7
a�
X
0
6.8
0
N
N
a,
on
Oxygen Uptake Rate Chart
1 2 3 4 5 6 / 0 Z7 1, "
Time (minutes)
y =-0.0747x + 7.7778

GROUNDWATER MONITORING
LAB REPORTS.

GW-59•A COMPLIANCE REPORT FORM Permit 9000ODIC Z
(Submit one each nionitorinb period with GJV-59 for•nis.)
Enter date monitoring results were due. (,3-�1-I� ) Will this monitoring report (GW-59 and GW-59A) YES NO
be submitted after the established due date?
Was any required information missing on the GW-59 report forms? YES
2
IF the answer to question 1 or 2 is "YES", list in the space provided below the well identification number(s) and
explain the problems encountered in obtaining the required information,
3 Are any of the monitor wells in need of repair or maintenance (damaged casing, unlocked or missiieg cap, missing I YES I NO
identification plate, area overgrown, ete.)? If the answer is "Yes ", contact the Regional Office for guidance.
4 Are any monitored constituents equal to or above the established standards? YJS NO
If the answer to question 4 is "NO", skip to section 8.
If the answer to question 4 is "YES" list the affected wells individually with constituent(s) and concentration(s)
exceeding standards in the space provided below:
�j211 � ►O C�romiurn t�uq IL
5 For the constituents identified in question 4 above, have standards been exceeded previously for the YES NO
same constituent(s) in the same well(s) in the last two years?
If the answer to question 5 is "NO , skip to section 8.
ce provided below, each well with constituents) exceeding
If the answer to question 5 is "YES", list in the spa
standards, concentration(s) reported, and sample collection date for each occurrence (for the last two years).
oell-010 ChfD3niulm 14ug1(-
(p-Z�-11 tt}211 -I-10 a-)rcv) i Li.i) 15LIg l C
��-II-i� I.�-en Flo Ci,fcm�urn t��tg1L
Are the monitoring wells listed in section 5 located at or beyond the review boundary?
YES I N
If the answer is "YES', a groundwater quality problem may be occurring. CONTACT THE REGIONAL
is "NO", monitoring wells may be.improperly
OFFICE IMMEDIATELY FOR GUIDANCE. if the answer
located; contact the Regional Office.
Is the permittee implementing previously approved actions required by the Division involving this
YES
NO
groundwater quality problem?
If the answer to question 7 is "YES", describe those actions in the space provided below.
"NO", the Regional Office within 90 days an evaluation maybe
If the answer to question 7 is contact
ad to determine the impact the waste disposal system is having at the review and compliance
re uir
boundaries s urrounding this facility. Failure to do so ma subject the permittee to a Notice of Violation
fines and/or penalties.
, -hern4C, r )C0 '1 Cr 011Ci- eN CJU(l f
The completing this portion (GW-59A) of the monitoring report should sign below and submit this
g
person
form with GW-59 forms for required wells to the address provided at the top of the current GW-59 form.
..Fr��u...-•- • �"" - '"`nwas�evaluateii=sand-tiie�nfo�mation_subm�tted;�n4this,�:,:
Lheretyacknowledg%:thatthe above informatio�,�§,�,;,,
�eport'(C"oinp nc R`eport:GW59A)`st�ue;and;complete:toahe:best_of=my.:knowledge
p lsk--
Signature of Permittee (or Authorized Agent) Date
GW-59A 12/8/2003

SUBMIT FORM ON YEL­..'APER ONLY
OF ENVIRONMENTAL QUALITY - DIV. OF WATER RESOURCES
DEPARTMENT
INFORMATION PROCESSING UNIT
GROUNDWATER QUALITY MONITORING:
1617
MAIL SERVICE CENTER, RALEIGH, NC 2768,Phone: [phone]
COMPLIANCE REPORT FORM
Please Print Clearly or Type
PERMIT Number: Expiration Date: 1-ZD70
FACILITY INFORMATION
Non -Discharge i.JQ�[O!-I�� UIC
(-���� ^„ �-�
Facility Name: I` �'�
N PDES
j--! CLY��-Z(S� Other
Permit Name (if different): rn�
I�I�L ���
TYPE OF PERMITTED OPERATION BEING MONITORED
(�.'
Facility Address: C(c)O L+�i�"C=PC
�(i�t� strZ 530 County
Lagoon ❑ Remediation: Infiltration Gallery
,;,,,,;, ,....
❑ Spray Field ❑ Remediation:
,,, iv.
�en ��ml
Telephone#: Z�Z�7s� LI
❑ Rotary Distributor Land Application of Sludge
Contact Person:
Name: ' 2CC D��[Q�li �(
-
f wells to be sampled: 6
No. owe
❑ Water Source Heat Pump Other:
Well Location/Site
(from Permit)
If WELL
SAMPLING INFORMATION
WELL ID NUMBER (from Permit): G
Date sample collected: z"ZD I�i
FIELD ANALYSES: WAS
ooaoo: L CJC_i units Temp. 00010: I os -C DRY at
Well Depth: �ft.
Well Diameter: Z in.
Screened Interval: 3 ft. to �ft.
pH . time of
��, rµMhos
Spec. Cond. 00094: sampling,
Depth to Water Level 82546: � ft. below measuring point
ft.
Odor 00085: nont check
Measuring Point is Z.'7 ft. above land surface
Relative M.P. Elevation:
Appearance here:
El
Volume of water pumped/bailed before sampling: 5
gallons
Samples for metals were collected unfiltered: [)I YES
❑ NO and field acidified: ®YES ❑ No
LABORATORY INFORMATION
Name: 1�11(C(�i n�+1
�" Certification No. 10
Date sample analyzed: 7-Zb-1
Laboratory
J�
PARAMETERS NOTE: Values should reflect dissolved and colloidal. concentrations.
mg/L
Pb - Lead D1051 ug/L
COD 00335 mg/L
Coliform: MF Fecal 31616 C ` /100mL
Nitrite (NO2) as N OD615
Nitrate (NO3) as N 00620 Q•�o
mg/L
Zn -Zinc o10s2 mglL
Coliform: MF Total 31504 /100ml-
Phosphorus: Total as P 00665
O
mg/L
mg/L
Other (Specify Compounds and Concentration Units):
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507 a .
issolved Solids:Total 70300 �?(.v mg/L
Al - Aluminum oil o5
mg/L
pH (Lab) 00403 . t4q units
Ba - Barium 01007
ug/L
TOC 006Bo mg/L
Ca - Calcium oo916
mg/L
Chloride 00940 mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002 ug/L
Chromium: Total 01034 ug/L
Cu - Copper 01042 CD,Q[Q mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Grease and Oils 00552 mg/L
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Phenol 32730 ug/L
Fe - Iron 01045
ug/L
Lab Report Attached? ❑ Yes (1) ❑ No (0)
Sulfate 00945 mg/L
Hg - Mercury 71900
mg/L
VOC 7873 method #
pecific Conductance Doo95 �Q,Fj tLMhos
Total Ammonia 00610 O, Ym9 /L
K - Potassium 00937
Mg - Magnesium 00927
mg/L
method #
(Ammonia Nitrogen; NH3 as N: Ammonia Nitrogen, Total)
Mn - Manganese olo5s
ug/L
, method #
N 5 mall_
Ni - Nickel 01067
ug/L
method #
TKN as oos2
For Remediation Systems Only (Attach Lab Reports)
Influent Total VOCS: mg/L
Effluent Total VOCs:
mg/L
VOC Removal%
Permittee (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev.3-1-2016

GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
FACILITY INFORI
Facility Name:
Permit Name (if di
Facility Address:
T
Please Print Clearly or Type
e Ij 1p, :_Ip,
SUBMIT FORM ON YEL 3APER ONLY
Contact Person: iL°� (�li Telephone#: Zd2-57-LE
Well Location/Site Name: '_� O l e� (_ No. of wells to be sampled:
DEPARTMENT OF ENVIRONMENTAL QUALITY - DIV.OF WATER-REsuurcct_:
INFORMATION PROCESSINGUNIT
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
PERMIT Number: Expiration Date: I-a(-ZOZD
Non -Discharge WQ 0001 OC-I- UIC
NPDES 1_1CCC)a20-)7 Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
❑ Rotary Distributor ® Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
SAMPLING INFORMATION
WELL ID NUMBER (from Permit): I � Date sample collected: Z-Zv--19
Well Depth: Qft. Well Diameter: z in.
Depth to Water Level 82546: 5.5 ft. below measuring point Screened Interval: Z ft. to ft.
Measuring Point is 3 ft. above land surface Relative M.P. Elevation: ft.
Volume of water pumped/bailed before sampling: 5 gallons
Samoles for metals were collected unfiltered: [2 YES ❑ NO and field acidified: ®YES ❑ NO
If WELL
FIELD ANALYSES: WAS
PH 00400: L. C 1 units Temp. 00010: 1,5 oC DRY at
time of
Spec. Cond. 000sa: 7. y µMhos sampling,
Odor 00085: n check
Appearance here:❑
LABORATORY INFORMATION
Date sample analyzed: Z Zo--I Laboratory Name: ( --�j wf) 6)enj /
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. Pb - Lead 01051
COD 00335 mg/L Nitrite (NO2) as N 00615 mg/L
Coliform: MF Fecal 31616 C /100mL Nitrate (NO3) as N 00620 % Q mg/L Zn - Zinc 01092
Coliform: MF Total 31504 /1r%n I Phosphorus: Total as P 00665 mg/L
MPIN method for highly turbid samples) O tho hos hate 70507 �, G3 mg/L Other (Specify Compounds and Concentration Units):
(Note. use
roml
r p p
issolved Solids:Total 70300
59
mg/L
Al - Aluminum 01105
mg/L
PH (Lab) 00403
G-0
units
Ba - Barium 01007
ug/L
TOC 00680
3 . �j��j
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940
mg/L
Cd - Cadmium 01027
ug/L
Ch i m Total0103a l5
ug/L
Certification No. I0
ug/L
mg/L
Arsenic 01002
ug/L
mg/L
Cu - Copper 01042
�O,OCD mg/L
-
ORGANICS: (by GC, GC/MS, HPLC)
Grease and Oils 00552
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Phenol 32730
ug/L
Fe - Iron 01045
ug/L
Lab Report Attached? ❑ Yes (1) ❑ No (0)
Sulfate 00945
mg/L
Hg - Mercury 71900
mg/L
VOC 7873 method #
pecific Conductance 00095 �1 •u
µMhos
K - Potassium 00937
Total Ammonia 00610 <O. 0LA
mg/L
Mg - Magnesium 00927
mg/L
method #
method #
(Ammonia Nitrogen: NH3as N; Ammonia Nitrogen, Total)
Mn - Manganese o1o55
ug/L
,
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L
method #
For Remediation Systems Only (Attach Lab Reports):
Effluent Total VOCs:
mg/L VOC Removal%
Influent Total VOCs: mg/L
Permittee (or Authorized Agent) Name ana i uic - rnca— N...., rN
GW-59 Rev.3-1-2016

SUBMIT FORM ON YEL__ 'APER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
- __ _ .. Please Print Clearly or Type
Facility Name:
Permit Name (if di
Facility Address:
1®
Contact Person: -P) e n-e 6r^fl l Telephone#: ZFJZ �ZLI- �u
Well Location/Site Name: 6 C5+1 Nay No. of wells to be sampled: 5
(from Permit)
DEPARTMENT OF ENVIRONMENTAL QUAY - DIW OF WATER: RESOURCES
INFORMATION PROCESSING UNIT.
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699.1617 'Phone:[phone]
PERMIT Number: Expiration Date:
Non -Discharge )C)1_0� UIC
NPDES pC0037_o�-) Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
I ❑ Spray Field ❑ Remediation:
❑ Rotary Distributor Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
SAMPLING INFORMATION
WELL ID NUMBER (from Permit): i A Date sample collected: 2 Z .
Well Depth: �ft. Well Diameter: Z in.
Depth to Water Level 82546: [C), I-j ft. below measuring point Screened Interval: ft, to ft.
Measuring Point is Z. ft. above land surface Relative M.P. Elevation: ft.
Volume of water pumped/bailed before sampling: 5 gallons
Samples for metals were collected unfiltered: ® YES ❑ NO and field acidified: ®YES El NO
FIELD ANALYSES: WAS
1
pH ooaoo: y �j units Temp. 00010: °C DRY at
time of
Spec. Cond. 00094: 10Z1 µMhos
sampling,
Odor 00085: ncn-5— check
Appearance C) f here:❑
LABORATORY INFORMATION
Laboratory Name: &
Date sample analyzed: 2-zC3 1 �5� iTll (C�lfilC'1��
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. /L Pb - Lead o1051
COD 00335 mg/L Nitrite (NO2) as N 00615 m9
Coliform: MF Fecal 31616 < ! /100mL Nitrate (NO3) as N 00620 3.L( p mg/L Zn -Zinc o1os2
/L
Coliform: MF Total 31504
/100mL
(Note: Use MPN method for highly turbid samples)
solved Solids:Total 70300 L4—)
mg/L
pH (Lab) 00403 4 -G 5
units
TOC 00680 } . U (p
mg/L
Chloride 00940
mg/L
Arsenic 01002
ug/L
Grease and Oils 00552
mg/L
Phenol 32730
ug/L
Sulfate 00945
mg/L
)ecific Conductance 00095 �Z,(�
ILMhos
Total Ammonia oo610 �U• �U
mg/L
(Ammonia Nitrogen; NH3 as N: Ammonia Nitrogen, Total)
TKN as N 00625
mg/L
Phosphorus: Total as P 00665
mg
Orthophosphate 70507
mg/L
AI - Aluminum 01105
mg/L
Ba - Barium 01007
ug/L
Ca - Calcium oo916
mg/L
Cd - Cadmium 01027
ug/L
Chromium: Total 01034
'�
ug/L
Cu - Copper 01042
CG, OIL
mg/L
Fe - Iron 01045
ug/L
Hg - Mercury 71900
ug/L
K - Potassium 00937
mg/L
Mg - Magnesium 00927
mg/L
Mn - Manganese o1o55
ug/L
Ni - Nickel 01067
ug/L
For Remediation Systems Only (Attach Lab Reports):. Influent Total VOCs
Certification No. I D
ug/L
mg/L
Other (Specify Compounds and Concentration Units)
ORGANICS: (by GC, GC/MS, HPLC)
(Specify test and method #. ATTACH LAB REPORT.)
Lab Report Attached? ❑ Yes (1) ❑ No (0)
VOC 7873 method #
method #
method #
method #
and that the laboratory analytical data
ility of fines and imprisonment for knc
JEWIF' 1
mg/L VOC Removal%
Permittee (or Authorized Agent) Name and Title - Please print or type
- GW-59 Rev.3-1-2016

SUBMIT FORM ON YEL_ - 'APER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
_. _.. Please Print Clearly or Type
Facility Name:
Permit Name (if di
Facility Address:
ontact Person: Telephone#:
fell Location/Site Name: iil-4e(6(' J iCi)u2lGlu V�21Gi0 No. of wells to be sampled: 5
(from Permit)
DEPARTMENT OF ENVIRONMENTAL QUALITY- DIV. OF WATER RE5UUKct
INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER, RALEIGH,NC 27699-1617 Phone: [phone]
PERMIT Number: Expiration Date: 1 31- L)L0 _
Non -Discharge L600000U06 UIC
NPDES pCoCa2o—
�D Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
❑ Rotary Distributor ® Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
SAMPLING INFORMAL IUN
WELL ID NUMBER (from Permit):. 15 Date sample collected: -Z(} la,
ft. Well Diameter: Z in.
Well Depth:
Depth to Water Level 62546: Le ft. below measuring point Screened Interval: J ft. to ft.
Measuring Point is Z . 5 ft. above land surface Relative M.P. Elevation: ft.
Volume of water pumped/bailed before sampling: 5 gallons
Samoles for metals were collected unfiltered: ® YES ❑ NO and field acidified: ©YES El NO
If WELL
FIELD ANALYSES: WAS
pH 00400: 49 units Temp. 00010: 'C DRY at
time of
Spec. Cond. 00094: ��.ej µMhos
u� t g sampling,
Odol' 00085:'� check
Appearance c� (�i here:11
LABORATORY INFORMATION Laboratory Name: F-mi tcnment TI lr.
l�
Date sample analyzed: 7= Z�" -
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. Pb - Lead olos1
COD 00335 mg/L Nitrite (NO2) as N oo615 mg/L
Coliform: MF Fecal 31616 /100mL Nitrate (NO3) as N ooszo
D �2 mg/L Zn - Zinc 01092
T t I P 00665 mg/L
s
Certification No. _ k)
ug/L
mg/L
Coliform: MF Total 31504 /100mL Phosphorus. o a a
b d les) h h t 7oso7 d - GZ mg/L Other (Specify Compounds and Concentration Units):
(Note: Use MPN method for highly
tur i samp
Orthop osp a e
issolved Solids:Total 70300
mg/L
Al - Aluminum 01105
mg/L
pH (Lab) 00403
(� Ct
units
Ba - Barium 01007
ug/L
TOC 00680
. �j�
mg/L
Ca - Calcium 00816
mg/L
Chloride 00940
mg/L
Cd - Cadmium 01027
ug/L
T t 1 --A
4 ug/L
Arsenic 01002
ug/L
Chromium. o a
Cu - Copper 01042 <p.0 i O
mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Grease and Oils
m /L
9
uglL
(Specify test and method #. ATTACH LAB REPORT.)
32730
Phenol 273o
uglL
Fe -Iron oloas
ug/L
Lab Report Attached? ❑ Yes (1) ❑ No (0)
Sulfate 00945
mg/L
Hg - Mercury 71900
mg/L
VOC 7873 method #
pecific Conductance 000ss '%�h (�
ItMhos
K - Potassium 00937
#
Total Ammonia 00610 D.ZS
mg/L
Mg - Magnesium 00927
mg/L
,method
method #
(Ammonia Nitrogen; NH, as N: Ammonia Nitrogen, Total)
Mn - Manganese o1o55
ug/L
,
m /L
Ni - Nickel 01067
ug/L
method #
TKN as N 00625
g
For Remediation Systems Only (Attach Lab Reports)
Influent Total VOCs: mg/L
Effluent Total VOCs:
mg/L
VOC Removal%
GW-59 Rev.3-1-2016

GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
FACILITY INFORI
Facility Name:
Permit Name (if di
Facility Address:
Print Clearly or Type
SUBMIT FORM ON YELL_ 'APER ONLY
tact Person: �} Pf j� I Telephone#: �Z-1Zu-
I Location/Site Name: 0 ©-�- 21 E'_ 1 Ch i 13 No. of wells to be sampled:
DEPARTMENT OF ENVIRON MENTAL. QUALITY- DIWOF WATER RF=UUUKets
INFORMATION PROCESSING`UNIT
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617Phone: 919-807=6306 _.
PERMIT Number: Expiration Date: I-r�il-7U7C7
Non -Discharge lJ0QCGI0Q.' UIC
NPDES zlnf ) Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
❑ Rotary Distributor ® Land Application of Sludge
❑ Water Source Heat Pump 0 Other:
SAMPLING INFORMA I IUN
WELL ID NUMBER (from Permit): 1 Date sample collected: 7- /�-I
Well Depth: }(D ft. Well Diameter: z in.
Depth to Water Level 82546: °) ft. below measuring point Screened Interval: �J ft. to 10 ft.
Measuring Point is -_ft. above land surface Relative M.P. Elevation: ft.
Volume of water pumped/bailed before sampling: 15 gallons
Samoles for metals were collected unfiltered: Q YES El NO and field acidified: ®YES El NO
If WELL
FIELD ANALYSES: WAS
oC DRY at
pH ooaoo: , units Temp. 00010: time of
Spec. Cond. 00094: LP µMhos sampling,
P 9,
Odor OD085: none- check
Appearance u P cd here: ❑
LABORATORY INFORMATION
� 2U-� �
Laboratory Name:
I (On��� j T
I
, nC. Certification No. )�
Date sample analyzed:
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
Pb - Lead 01051 ug/L
COD 00335 mg/L
Nitrite (NO2) as N 00615
mg/L
Zn - Zinc 01092 mg/L
Coliform: MF Fecal 31616 /100mL
Nitrate (NO3) as N 00620
mg/L
Coliform: MF Total 31504 /100mL
Phosphorus: Total as P 00665
mg/L
Other (Specify Compounds and Concentration Units):
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
6 . (� 1 mg/L
I
issolved Solids:Total 70300 aq mg/L
AI - Aluminum 01105
mg/L
(Lab) 00403 IWO units
Ba - Barium 01007
ug/L
pH
TOC omm mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 mg/L
Cd - Cadmium 01027
ug/L
ug/L
Chromium: Total 01034
(-P ug/L
Arsenic 01002
mg/L
Cu - Copper 01042
40.CU1c> mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Grease and Oils 00552
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Phenol 32730 ug/L
Fe - Iron 01045
ug/L
Lab Report Attached? ❑ Yes (1) ❑ No (0)
Sulfate 00945 mg/L
Hg - Mercury 7190D
mg/L
VOC 7873 method #
pecific Conductance 00095 FLMhos
K - Potassium 00937
Total Ammonia ooslo O.OIv m9 /L
Mg - Magnesium 00927
mg/L
method #
method #
(Ammonia Nitrogen; NH3as N; Ammonia Nitrogen, Total)
Mn - Manganese o1055
ug/L
,
TKN as N 00625 mg/L
Ni - Nickel 01067
ug/L
method #
For Remediation Systems Only (Attach Lab Reports;
--,I)e fLA- �I4-h (sand Rcn
Permittee (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev.3-1-2016
Influent Total VOCs: mg/L
Effluent Total VOCS:
mg/L
VOC Removal%

EWMENUMIMI� Flo hwPOTMd
tk
P.O. BOX 7085; 114 OAKMONT DRIVE
GREENVILLE, N.C. 27835-7085
CMSD (SLUDGE & WELLS ACCT)
CONTENTNEA METRO. SEWAGE DIST.
MS. RENEE PRIDGEN
P.O. BOX 477
GRIFTON ,NC 28530
PHONE [phone]
FAX [phone]
ID#: 416
DATE COLLECTED: 02/20/18
DATE REPORTED : 03/08/18
REVIEWED BY:
Well
Well
Well
Well
Well
Analysis
Method
PARAMETERS
#9
#10
#14
#15
#18
Date Analyst
Code
< 1
< 1
< 1
< 1
< 1
02/20/18
KAC
9222D-97
Fecal Coliform (MF), /100 Mls
<0.04
<0.04
0.25
0.06
03/06/18
MF
350.1 R2-93
Ammonia Nitrogen as N, mg/1
0.37
0.28
0.46
0.52
0.04
02/28/18
DTL
353.2 R2-93
Nitrate Nitrogen as N, mg/l
0.06
3.59
1.46
9.58
6.75
02/21/18
SEJ
531OC-11
Total Organic Carbon, mg/l
8.82
47
95
129
02/22/18
KAC
2540C-11
'otal Dissolved Residue, mg/l
76
54
8
6
02/26/18
LFJ
EPA200.7
.'otal Chromium, ug/l
9
15
< 10
7
< 10
< 10
< 10
02/26/18
LFJ
EPA200.7
Copper, ug/l
< 10
80.5
57.4
62.4
78.0
149
02/26/18
JTH
251OB-11
Conductivity (at 25c), uMhos/cm
0.02
0.02
0.01
02/21/18
SEJ
450OPE-11
Total Ortho-Phosphate as P, mg/l
0.02
0.03

GW-59A COMPLIANCE REPORT FORM Permit # I ') O20 U'2
(Submit one each monitoring period with GW-59 fnrms.)
Enter date monitoring results were due. ( )Will this monitoring report (GW-59 and GW-59A)
YES NO
V
be submitted after the established due date?
2 Was any required information missing on the GW-59 report forms?
YES
IF the answer to question 1 or 2 is "YES", list in the space provided below the well identification number(s) and
explain the problems encountered in obtaining the required information.
3 Are any of the monitor wells in need of repair or maintenance (damaged casing, unlocked or missing cap, missing
is "Yes", contact the Regional Office for guidance.
YES NO
x
identification plate, area overgrown, etc.)? If the answer
4 Are any monitored constituents equal to or above the established standards?
YTS NO
X
If the answer to question 4 is "NO , skip to section 8.
/f fhe answer to question 4 is "YES" list the affected wells individually with constituent(s) and concentrafion(s)
exceeding standards in ,the space, provided below:
6,?(�11 _oG io•��1�
� GG CI-a2 11L
Weil -A-10 Chrorn►uin Ilou IL
For the constituents identified in question 4 above, have standards been exceeded previously for the
YE$ NO
\i/
5
same constituent(s) in the same well(s) in the last two years?
If the answer to question 5 is "NO'; skip to section 8.
If the answer to question 5 is "YES" list in the space provided below, each well with constifuent(s) exceeding
date for each occurrence (for the fast two years).
standards, concentrations) reported, and sample collection
P31)Zn-q1L i-29-1t.' eq � S G lo,lt�l, r lc. -il�-icy oel)-woomNl r\ 15+0
'f GG ta.50K-q/L o-31-A0 IL I I t 0 ChrOm um I U u� I L "L-ZZ-�% Z Zo I
16c, V,4 C)rom'lum it-
-1•C'�C, �lz-IZrs�gl� � zN� C�ram��r'�
Are the monitoring wells listed in section 5 located at or beyond the freview:boundary?
YES N(
�(
6
If the answer is "YES"; a groundwater quality problem may be occurring. CONTACT THE REGIONAL
FOR GUIDANCE. If the answer is "NO'; monitoring wells may be improperly
OFFICE IMMEDIATELY
located; contact the Regional Office.
Is the permittee implementing previously approved actions required by the Division involving this YES NO
groundwater quality problem?
If the answer to question 7 is "YES", describe those actions in the space provided below.
onmaVb
If the answer to question 7 is "NO'; contact the Replona+.m,a ► nv nice on at the review and codays; an evaluarmp a cee
ies and/orpenalfies. a(,ee �6n�
�3cp'-ojwiz-oaeo iba��°fallViOlc cnS arm oc
� n mm i4ef ( metal ua-W- ct 11 1 5-J-L` 6 .
8 The person completing this portion (GW--59A) of fhe monitoring report should sign below and submit th
form with GW-59 forms for required wells fo the address provided of the top of the current GW-59 form.
r
Signature of Permittee (or Authorized Agent)
Date
G9V-59A 12/8/2003

SUBMIT FORM ON YELI 'APER ONLY
GROUNDWATER QUALITY MONITORING: INFrtr@M• • •
COMPLIANCE REPORT FORM
Please Print CteadyorType PERMIT Number: Expiration Date: I-ZI-ZOZQ
FACILITY INFORMATION UIC
Non -Discharge t,JQOC1'�lC�-I
Facility Name: oo NPDES tiIOther
Permit Name (if different): �GZ-fYlS� -� TYPE OF PERMITTED OPERATION BEING MONITORED
Q�
Facility Address: I� e �rl
(���Ct� (street) Z 3p County �1 _ El Lagoon ❑Remediation: Infiltration Gallery
(City)
(Slate) (Zip) ❑Spray Field ❑ Remediation:
!� Tele hone#: Z-�Z�55gu El Rotary Distributor Land Application of Sludge
Contact Person: ►� ) ��� 61-y*Ltrl p ❑Water Source Heat Pump El Other:
Well Location/Site Name:,6LO 06 QL (� Qn P �%1+� No. of wells to be sampled:
(from Permit) I If WI
3AMPLING INFORMATION
Date sample collected: J'_-Za-rq
FIELD ANALYSES:
NELL ID NUMBER (from Permit): q
Well Diameter: Z in.
pH ooaoo: 4.C1 units Temp. 00010: ZS �C
Nell Depth: ft.
Screened Interval: 3 ft. to ft.
Spec. Cond. 0009a: („5 D µ Mhos
Lhere'D
Depth to Water Level 825a6: t�.5 ft. below measuring point
ft.
Odor 000as: (10(�
Measuring Point is Z. 5 ft. above land surface
Relative M.P. Elevation:
Appearance �OUd
Volume of water pumped/bailed before sampling: �j gallons
c.... ^Ime, fnr mataic were collected unfiltered: ® YES El NO and field acidified: ®YES ❑ NO
Date sample analyzed: 0-ZO'I
PARAMETERS NOTE: Values should reflect dissolved
COD 00335
mg/L
Coliform: MF Fecal 31616 >;
/100mL
Coliform: MF Total 31504
/100mL
(Note: Use MPN method for highly turbid samples)
issolved Solids:Total 70300 /)3 mg/L
pH (Lab) 00403 4.c1
units
TOC 00680 1012�)
mg/L
Chloride 00940
mg/L
Arsenic 01002
ug/L
Grease and Oils 00552
mg/L
Phenol 32730
ug/L
Sulfate 00945
mg/L
pecific Conductance oo095 &6, D
µMhos
Total Ammonia 00610 C)•Iu
mg/L
(Ammonia Nitrogen; NH3 as N; Ammonia Nitrogen, Total)
TKN as N 00625 mg/L
For Remediation Systems Only (Attach Lab Reports):
ILL.. Lv --u -"-.... n- . ------
GW-59 Rev.3-1-2016
l `DNllt �) n C
Certification No. ►(�_
Laboratory Name:
u 1V
_
and colloidal concentrations.
mg/L Pb -Lead o1os1 ug/L
Nitrite (NO2) as N 00M
Nitrate (NO3) as N 00620
©.c)15 mg/L
Zn - Zinc 01092 mg/L
Phosphorus: Total as P 00665
mg/L
�• 1 O mg/L
Other (Specify Compounds and Concentration Units):
Orthophosphate 70507
Al -Aluminum 01105
mg/L
Ba - Barium 01007
ug/L
Ca - Calcium 00916
mg/L
Cd - Cadmium 01027
ug/L
Chromium: Total 01034
ug/L
Cu - Copper 01042 <Q .OI © mg/L
ORGANICS: (by GC, GC/MS, HPLC)
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Fe - Iron 01045
Hg - Mercury 71900
ug/L
Lab Report Attached.) ❑ Yes (1) ❑ No (0)
K - Potassium 00937
mg/L
VOC 7873 method #
Mg - Magnesium 00927
mg/L
method #
Mn - Manganese 01055
ug/L
method #
Ni - Nickel 01067
ug/L
method #
Influent Total VOCs
mg/L
Effluent Total VOCs:
mg/L VOC Removal%

SUBMIT FORM ON YELI
APER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
Facility Name:
Permit Name (if different):
Facilitv Address: na
or Type
County
Contact Person: 1' )�L°� l Telephone#: 7h7 57 U��t
Well Location/Site Name: Jl C l� FI t°16 tLl No. of wells to be sampled: �_
(from Permit)
PERMIT Number: Expiration Date: f-,-51= L/Z/_/ E
Non -Discharge ia UIC
NPDES HCOC,-�,76a Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
❑ Rotary Distributor [�Z Land Application of Sludge
SAMPLING INFORMATION
WELL ID NUMBER (from Permit): � ('} Date sample collected: lo-ZU'�
Well Depth: 19ft• Well Diameter: Z ft.
Screened Interval: Z ft. to ft.
Depth to Water Level szsas: 3, �7 ft. below measuring point —
Measuring Point is __3_ft. above land surface Relative M.P. Elevation: ft•
Volume of water pumped/bailed before sampling: 5 gallons
Samnles for metals were collected unfiltered: m YES ❑ NO and field acidified: YES ❑ NO
❑ Water Source Heat Pump ❑ Other:
FIELD ANALYSES:
pH 00400:6.0 units Temp. 000lo: Zip °C
Spec. Cond. 00094: Jrl• µMhos
Odor 000e5: r1Cr>-e_
Appearance GOCIC�
LABORATORY INFORMATION I � Laboratory Name: r-twimn rri I>e._-+ 1
Date sample analyzed: o D-
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. m /L Pb - Lead o1051
COD 00335 mg/L Nitrite (NO2) as N 00615 9
Coliform: MF Fecal 31616C /100mL Nitrate (NO3) as N 00620 ©� (P mg/L Zn - Zinc olosz
T tal as P 00665 mg/L
Certification No. ld
ug/L
mg/L
Coliform: MF Total 31504 /100mL Phosphorus. o
t rb'd sam les) Orth h s hate 70507 O . I Lp mg/L Other (Specify Compounds and Concentration Units):
(Note: Use MPN method for highly u i p
OF O p
issolved Solids:Total 70300 l-)
mg/L
Al - Aluminum 01105
mg/L
00403 5 IC1
units
Ba - Barium 01007
ug/L
pH (Lab)
TOC ooseo tkLi
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940
mg/L
Cd - Cadmium 01027
T tai 01034
ug/L
tip ug/L
DRY at
time of
check
here: ❑
Arsenic 01002
ug/L
Chromium. o
<p (,1©
mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Grease and Oils o0552
m /L
g
Cu - Copper 01042 •
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Phenol 32730
ug/L
Fe - Iron 01045
ug/L
Lab Report Attached? ❑ Yes (1) El No (0)
Sulfate 00945
5 �
mg/L
µMhos
Hg - Mercury 71900
K Potassium 00937
-
mg/L
VOC 7873 method #
pacific Conductance 000ss •
�C- ©L`
mg/L
Mg - Magnesium 00927
mg/L
,method #
Total Ammonia 00610
(Ammonia Nitrogen; NH, as N; Ammonia Nitrogen, Total)
Mn - Manganese 01055
ug/L
method #
• N' El o1os7
ug/L
method #
TKN as N 00625 mg/L NI - Ic e
For Remediation Systems Only (Attach Lab Reports)
Influent Total VOCs: mg/L
Lo [ t-� cz(.
Permittee (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev.3-1-2016
Effluent Total VOCs:
mg/L
VOC Removal%

SUBMIT FORM ON YELI APER ONLY
GROUNDWATER QUALITY MONITORING: owmars Kffp•y•
COMPLIANCE REPORT FORM-31-Z02C�
FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date:
anieAneo-m�- Non -Discharge 1��QOC�I�-�� UIC
Facility Name: l.C1 1 ' '- NPDES i�IC003Zo�� Other
Permit Name (if different): er�t.r�ea_ YYI�� �� TYPE OF PERMITTED OPERATION BEING MONITORED
Facility Address: I�� Q:��In
(Street C Z 3Q County QI ❑Lagoon ❑Remediation: Infiltration Gallery
(City) (State) (Z'N) ElSpray Field ❑Remediation:
1101-) Telephone#:57-5Zu-55��F ❑ Rotary Distributor Land Application of Sludge
Contact Person: cnfe
(� No. of wells to be sampled: ` El Source Heat Pump ❑ Other:
Well Location/Site Name: b (J' { f �� (rr°m Perm;c
If WE
SAMPLING INFORMATION
I U
Date sample collected: �i�- ZD— I�
FIELD ANALYSES: WAS
° DRY at
WELL ID NUMBER (from Permit):
ft•
Well Diameter: 7_in.
pH ooaoo;5.05 units Temp. 000io L3 C
time
M os
hell Depth:
to Water Level 82546: below measuring point Screened Interval: ft.
Spec. Cond. 000aa: �C�. li
µ sampling,
Depth _ft.
Measuring Point is Z ft. above land surface
ft.
Relative M.P. Elevation: ft.
Odor 000es: ndn check
here:❑
Volume of water pumped/bailed before sampling: 5
gallons
Appearance
Samples for metals were collected unfiltered: N YES
❑ NO and field acidified: J4 YES ❑ NO
LABORATORY INFORMATION
(p- I�"1q
Laboratory Name: �nV I(�(lh(1P�� � t `(�'
Certification No. I Q
Date sample analyzed: _
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
mg/L
Pb - Lead 01051 ug/L
COD 00335 mg/L
Coliform: MF Fecal 31616 �L 1100ML
Nitrite (NO2) as N 00615
Nitrate (NO3) as N ooszo d ,-) Q mg/L
Zn - Zinc o1os2 mg/L
Coliform: MF Total 31504 /100mL
highly turbid samples)
Phosphorus: Total as P 00665 mg/L
Orthophosphate 70507 p , C�4 mg/L
Other (Specify Compounds and Concentration Units):
(Note: Use MPN method for
issolved Solids:Total 70300 mg/L
Al -Aluminum 01105 mg/L
pH (Lab) 00403 5. () units
Ba - Barium 01007 ug/L
TOG Z �J � ('rig/L
TOG oosao
Ca - Calcium 00916 mg/L
Chloride oosao mg/L
Cd - Cadmium 01027 ug/L
_
ug/L
Chromium: Total 01034 _uglL
Arsenic 01002
Cu - Copper 01042 CO, DI0 mg/L
ORGANICS: (by GC, GC/MS, HPLC)
m /L
Grease and Oils 9
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Phenol 273o ug/L
32730
Fe -Iron oloas
ug/L
Lab Report Attached? ❑ Yes (1) ❑ No (0)
Sulfate 00945 mg/L
�' µMhos
Hg - Mercury 71900
K Potassium 00937 mg/L
-
VOC 7873 method #
pecific Conductance 00095
Total Ammonia 00610 <Q .Q� mg/L
Mg -Magnesium oos27 mg/L
method #
#
(Ammonia Nitrogen; NH3 as N; Ammonia Nitrogen, Total)
Mn - Manganese o1055 ug/L
,method
TKN as N 00625 mg/L
Ni - Nickel 01067 ug/L
method #
Only (Attach Lab Reports):
Influent Total VOCs: m g /L Effluent Total VOCs: mg/L VOC Removal%
For Remediation Systems
t
en�e�rn Land A pP� t C��tcyl OfiZC_ 2d�
Signaure of Permittee (or
ittee (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev.3-1-2016

SUBMIT FORM ON YEL 3APER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
Please Print CleadV or
Facility Name: V )W ILam'-' , 11'�
Permit Name (if different): 14 1� �0
Facility Address: Q�PJi) I ��� a6n�
(Street) i4c Z6-y-) County
l (City) (Slate) (zip)
Telephone#: Z�24 _
Contact Person: I'1>�.�.m(� -
Well Location/Site Name:,, njef682'k�'2((4lu- eL�} e1q (O No, of wells to be sampled: 5
(from Permit)
PERMIT Number: Expiration Date: I rw LU
Non -Discharge LOQ'DC) jOlk(9 UIC
NPDES )3Z6� ) Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
❑ Rotary Distributor Ed Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
SAMPLING INFORMATION
Date sample collected: (o-ZU-I
,HELL ID NUMBER (from Permit): �
Nell Depth: ft. Well Diameter: �L in.
lj ft. below measurin oint Screened Interval: 3 ft. to ft.
Depth to Water Level s2sas: �. ,_ g p
Measuring Point is 7.5 ft. above land surface Relative M.P. Elevation: ft.
Volume of water pumped/bailed before sampling: 5 gallons
Samples for metals were collected unfiltered: ® YES ❑ No and field acidified: C.YES ❑ NO
FIELD ANALYSES:
pH 00400:6.0 units Temp. 00010: Z5 °C
Spec. Cond. 00094: 1)3.(4 µMhos
Odor 00085: n On
Appearance ClIeD(
LABORATORY INFORMATION ZOJI/Laboratory Name:
2
Date sample analyzed:_ 2'
ZS )
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. mg/L Pb - Lead 01051
COD 00335 mg/L Nitrite (NOZ) as N oos15
Coliform: MF Fecal 31s1s r /100mL Nitrate (NO3) as N o062o p,� mg/L Zn -Zinc o1os2
P ss5 mg/L
Certification No. L©
ug/L
mg/L
Coliform: MF Total 31504 /100ml- Phosphorus. Total as o0
507 ©,O"7 mg/L Other (Specify Compounds and Concentration Units):
(Note: Use MPN method for highly turbld samples)
Orthophosphate ,
issolved Solids:Total 70300
i (0
mg/L
Al -Aluminum 01105
mg/L
ug/L
pH (Lab) 00403
5,13
units
Ba - Barium 01007
TOC 00680
14Z
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940
mg/L
Cd - Cadmium 01027
uglL
Ch mium: Total 01034
ug/L
DRY at
time of
check
here: ❑
Arsenic a1002
ug/L
ro
<O.OI © mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Grease and Oils 00552
mg/L
Cu - Copper oloaz
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Phenol 32730
ug/L
Fe - Iron 010a5
ug/L
Lab Report Attached? ❑ Yes (1) ❑ No (0)
Sulfate 009a5
mg/L
H Mercury 7190o
g ry
m /L
g
VOC 7873 method #
pecific Conductance 00095 03 • U
ItMhos
K - Potassium 00937
mg/L
,method #
Total Ammonia oosso ©• '?
mg/L
Mg -Magnesium oo9z7
ug/L
method #
(Ammonia Nitrogen; NH3asN; Ammonia Nitrogen, Total)
Mn - Manganese 01055
IL
,method #
TKN as N 00525 mg/L Ni - Nickel 01067 ug
For Remediation Systems Only (Attach Lab Reports):
Influent Total VOCs:
mg/L
Effluent Total VOCs:
mg/L
VOC Removal%
GW-59 Rev.3-1-2016

SUBMIT FORM ON YELL, %PER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
Please
Facility Name:
Permit Name (if di
Facility Address:
r% - r t _
(Stale)
or
o0.'N�u 16'l Telephone#: (;`j/� M-4 —r�
act Person: � lea I��, r r,...
ir(` ri el W i3 No. of wells to be sampled:
Location/Site Name: „�,� , -
PERMIT Number: Expiration Date: 1 ^^ S )1_0
Non -Discharge (�iji(Qj_ UIC
NPDES Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
❑ Rotary Distributor Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
SAMPLING INFORMATION
Date sample collected: (, - D--I
,NELL ID NUMBER (from Permit): _ � � Well Diameter: �_ in.
Nell Depth: -0ft.
Screened Interval: ft. to l O ft.
Depth to Water Level 82546:�_ft. below measuring point ft —
Measuring Point is _�_ft. above land surface Relative M.P. Elevation:
Volume of water pumped/bailed before sampling: gallons
Ilected unfiltered: JW YES ❑ NO and field acidified: YES ❑ NO
FIELD ANALYSES: DRY at
PH 00400: t units Temp. 0001o: � �C time of
Spec. Cond. 000sa: ) (2) µMhos sampling,
Odor 00085: rune- check
Appearance here:❑
Samples for metals were co _
LABORATORY INFORMATION Laboratory Name:
Date sample analyzed: �'717'I�b
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. m /L Pb - Lead o1051
COD 00335 mg/L Nitrite (NOZ) as N 00615 9
Coliform: MF Fecal 31616 /100mL Nitrate (NO3) as N 00620 ©, C3 (� mg/L Zn - Zinc 01092
P 5 mg/L
Certification No. �C)
ug/L
mg/L
Coliform: MF Total 3t5oa /100ml- Phosphorus: Total as ooss
7 © ©2, mg/L Other (Specify Compounds and Concentration Units):
(Note: Use MPN method for highly turbid samples)
Orthophosphate —
mg/L
issolved Solids:Total 70300 1 b
mg/L
Al - Aluminum 01105
PH (Lab) 00403 � • �
units
Ba - Barium 01007
ug1L
TOC 00680 (o.�)
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940
mg/L
Cd - Cadmium 01027 ug/L
Chromium: Total 01034 < �j.(� ug/L
Arsenic 01D02
ug/L
<0.0 io
mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Grease and Oils 00552
m /L
g
Cu - Copper 01042
/L u
9
(Specify test and method #. ATTACH LAB REPORT.)
( p
Phenol 32730
ug/L
Fe - Iron oloas
ug/L
Lab Report Attached? ❑ Yes (1) ❑ No (0)
Sulfate 00945
mg/L
H Mercury 7isoo
g ry
m /L
9
VOC 7B73 method #
pecific Conductance 00095 1101
µMhos
K - Potassium 00937
mg/L
method #
Total Ammonia oosso 0. 0�11
mg/L
Mg - Magnesium 00927
ug/L
method #
(Ammonia Nitrogen: NH, as N: Ammonia Nitrogen, Total)
Mn - Manganese 01055
/L
method #
TKN as N 00626 mg/L Ni - Nickel 01067 ug
For Remediation Systems Only (Attach Lab Reports):
ittee (or Authorized Agent) Nr ame and Title - P14a' a print or type
GW-59 Rev.3-1-2016
Influent Total VOCs: mg/L Effluent Total VOCs:
mg/L VOC Removal%

Enwkumm[
„.,= ;'� Drinking Wate_ ..�D377L.,.
s -
Wastewater I7): 19
O. BOX 7085, 114 OAKMONT DRIVE PHONE [phone]
GREENVILLE, N.C. 27835-7085 FAX [phone]
CMSD (SLUDGE & WELLS ACCT)
CONTENTNEA METRO. SEWAGE DIST.
MS. RENEE PRIDGEN
P.O. BOX 477
GRIFTON ,NC 28530
PARAMETERS
Fecal Coliform (MF), /100 Mls
Ammonia Nitrogen as N, mg/l
Ammonia Nitrogen as N, mg/l
Nitrate Nitrogen as N, mg/l
Total Organic Carbon, mg/l
Uotal Dissolved Residue, mg/l
Total Chromium, ug/l
Copper, ug/l
Conductivity (at 25c), uMhos/cm
Total Ortho-Phosphate as P, mg/l
Well Well Well
#9 #10 #14
ID#: 416
DATE COLLECTED: 06/20/18
DATE REPORTED : 07/11/18
REVIEWED BY:
Well Well Analysis Method
#15 #18 Date Analyst Code
<1
<1
<1
1
<1
0.74
< 0.04
< 0.04
0.28
0.09
0.05
0.76
0.78
0.07
0.06
10.27
5.44
2.39
11.92
6.81
73
48
37
100
118
8
16
8
7
<5.0
<10
<10
<10
<10
<10
65.0
51.8
50.9
73.4
161
0.10
0.16
0.04
0.07
0.02
06/20/18 JMH 9222D-06
06/26/18 TLH 350.1 112-93
06/28/18 DTL 350.1 R2-93
07/10/18 CLO 353.2 R2-93
06/28/18 SEJ 531OC-11
06/21/18 JMT 2540C-11
06/27/18 LFJ EPA200.7
06/27/18 LFJ EPA200.7
06/25/18 HMM 251OB-11
06/20/18 SEJ 450OPE-11

GW-59A COMPLIANCE REPORT FORM Permit
(Submit one each monitoring period with GW-59 forms.)
1
Enter date monitoring results were due. (113b-1 ) Will this monitoring report (GW-59 and GW-59A)
YES
NO
be submitted after the established due date? .
V
2
Was any required information missing on the GW-59 report forms?
YES
N
IF the answer to question 1 or 2 is 'YES", list in the space provided below the well identification number(s) and
explain the problems encountered in obtaining the required information.
3
Are any of the monitor wells in need of repair or maintenance (damaged casing, unlocked or missing cap, missing
"Yes",
YES
NO
identification plate, area overgrown, etc.)? If the answer is contact the Regional Office for guidance.
4
Are any monitored constituents equal to or above the established standards?
YRS
NO
If the answer to question 4 is "NO", skip to section 8.
If the answer to question 4 is "YES" list the affected wells individually with constituent(s) and concentration(s)
exceeding standards in the space provided below:
oe-I I ip TccG
tve11 *10 Chtcsniwm 14UgfC-
�� �t5 �eca(Coit�arr� 511�� 1
5
For the constituents identified in question 4 above, have standards been exceeded previously for the
YES
NO
same constituent(s) in the same well(s) in the last two years?
Y
If the answer to question 5 is "NO", skip to section 8.
If the answer to question 5 is "YES", list in the space provided below, each well with constituent(s) exceeding
standards, concentrations) reported, and sample collection date for each occurrence (for the last two years).
tell G 10G iD-3i-IG� to•ho l� i�11� I© G�tcrnicam Z ZZ-0 BLIu
Z-211--11) i1Z_1IQn-%l- ;p-BI_I IQ L41 1/16Q,
,
ZZ/
tQ_2v �S 10, Z- ry)g/L
to-
6
Are the monitoring wells listed in section 5 located at or beyond the review boundary?
YES
�TQ
X
If the answer is "YES" a groundwater quality problem may be occurring. CONTACT THE REGIONAL
OFFICE IMMEDIATELY FOR GUIDANCE. If the answer is "NO", monitoring wells maybe improperly
located; contact the Regional Office.
Is the permittee implementing previously approved actions required by the Division involving this
YES
NO
groundwater quality problem?
If the answer to question 7 is "YES", describe those actions in the space provided below.
If the answer to question 7 is "NO", contact the Regional Office within 90 days; an evaluation may be
required to determine the impact the waste disposal system is having at the review and compliance
boundaries surrounding this facility Failure to do so may subject the permittee to a Notice of Violation,
fines and/or penalties.
HCuE. (Z-'DL0V_-lJa20 1,5 au�Qri and ►�haveb�n
8
The person completing this portion (GW-59A) of the monitoring report should sign below and submit this
form with GW-59 forms for required wells to the address provided at the top of the current GW-59 form.
I�-`,'�e�eby�ac no`�iyledge that*the�afiove i"�nf�o��m,?,���evaluad a�ndthe`form �submltted ��t s
p(Cov„m�pliance�tep�„GV1/�59Q) isttrue�`and comple'�e�tothe�bes��fmv�.`-�kr�owledg�{._ �_��.� N�.,�=�1
Signature of Permittee (or Authorized Agent) Date
GW-59A 12/8/2003

SUBMIT FORM ON YE I PAPER ONLY
mg/L
Effluent Total VOCs:
mg/L
VOC Removal%
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
Facility Name: WI
Permit Name (if different):
Facility Address: Gu
Please Pnnt c)eany or
(State) (zip)
County
act Person: -?�Cnei /Yll _Telephone#: Z%­:!�lu,
Location/Site Name�,`lt) CLig No. of wells to be sampled:
�AMrl INU
NELL ID NUMBER (from Permit):
Nell Depth: Qft.
Depth to Water Level 82546: L4 ft. below measuring point
Measuring Point is Z• 15 ft. above land surface
Volume of water pumped/bailed before sampling:
Gambles for metals were collected unfiltered: N YES ❑
PERMIT Numbe'r:�cYExpiration Date: j-�1-11>LV
Non -Discharge >,Y�i� UIC
NPDESCOC)3Zv27 Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
❑ Rotary Distributor X Land. Application of Sludge
❑ Water Source Heat Pump ❑ Other:
Date sample collected: FIELD ANALYSES:
Well Diameter: Z in. pH 00400:4.2 units Temp. 00010: ZI °C
Screened Interval: ft. to �? ft. Spec. Cond. 000ea: 105 µMhos
Relative M.P. Elevation: ft. Odor 00085:
Appearance dew
NO and field acidified: ❑ YES LJ NO
t,BORATORY INFORMATION ��) f��m��+=
ate sample analyzed: I p-ZU-I Laboratory Name: t
kRAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. /L Pb _Lead o1051
COD 00335 mg/L Nitrite (NO2) as N o0615 m 9
Coliform: MF Fecal 31616 < /100mL Nitrate (NO,) as N 00620 <C), mg/L Zn - Zinc 01092
mg/L
Certification No. 10
ug/L
mg/L
Coliform: MF Total 31504 /100ml- Phosphorus. Total as P ooss5
d les) h h to 70507 Q t�n mg/L Other (Specify Compounds and Concentration Units):
(Note: Use MPN method for higfily turbi ;amp
Orthop osp a
;solved Solids:Total 70300 Cj C) mg/L
Al - Aluminum 01105
mg/L
pH (Lab) 00403 C1,Z units
Ba - Barium 01007
ug/L
TOC oosso I'1.00 mg/L
Ca - Calcium 00916
mg/L
Chloride 00940mg/L
Cd - Cadmium 01027
ug/L
Total 01034
ug/L
If WELL
WAS
DRY at
time of
check
here:0
Arsenic 01002 ug/L
Chromium.
Cu - Copper 01042 <G, �
mg/L
ORGANICS: (by GC, GC/MS, HPLC)
m /L
Grease and Oils 00552 9
ug/L
(Specify test and method #. ATTACH LAB REPORT.
Phenol 32730 ug/L
Fe -Iron 01045
ug/L
Yes (1) ❑
Lab Report Attached? IQ Yes (0)
Sulfate oosa5 mg/L
Hg -Mercury 71soo
m /L
g
,method # ip2Ll�� f`
VOC 7873 �
µMhos
pecific Conductance 00095 1 o
K -Potassium oos37
method #
_
Total Ammonia 00610 mg/L
Mg - Magnesium 00927
mg/L
_
method #
(Ammonia Nitrogen; NHaas N; Ammonia Nitrogen, Total)
Mn - Manganese 01055
uglL
u /L
,method #
TKN as N 00525 mg/L Ni - Nickel 01067 g
For Remediation Systems Only (Attach Lab Reports):

GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
Print Clearly or
Facility Name:
Permit Name (if di
Facility Address:
SUBMIT FORM ON YL___.V PAPER ONLY
ontact Person: Eenepbm I Telephone#: Z�Z-�Zu-55�� 1
/ell Location/Site Name: 6 C'� RI eld # 0 No. of wells to be sampled: (O
{from Permit)
PERMIT Number: Expiration Date: j-6) _DC_G
Non -Discharge I�Ccx- i/og UIC
NPDES N�7p77 Other
TYPE OF PERMITTED OPERATION BEING MONITORED
El Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Field El Remediation:
El Rotary Distributor ® Land Application of Sludge
El Water Source Heat Pump El Other:
If WELL
SAMPLING INFORMATION
JVELL ID NUMBER (from Permit): � �
Date sample collected:
1CYZt-i'I 9
FIELD ANALYSES: aC
WAS
DRY at
Afell Depth: ft.
Well Diameter:
Z in.
pH ooaoo: units Temp. 00010: ZZ
time of
Depth to Water Level s2sasft. below measuring point
Screened Interval:
Z ft. to ft.
Sec. Cond. 0009a: ,$0 • `) µMhos
p
sampling,
Measuring Point is ft. above land surface
5
Relative M.P. Elevation:
ft.
Odor 00085: r_lcn e
Appearance /^i ( ldsl
check
here: ❑
Volume of water pumped/bailed before sampling: gallons
Samples for metals were collected unfiltered: m YES ❑ NO
and field acidified: g YES ❑ NO
kBORATORY INFORMATION
�(j�Z4 I�
Laboratory Name:
F(NI(Onment1l
I irr Certification No. 10
ate sample analyzed:
kRAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
Pb -Lead o1051 ug/L
COD 00335
mg/L
Nitrite (NO2) as N 00615
mg/L
Coliform: MF Fecal 31616 C
/100mL
Nitrate (NO3) as N 00620
o, Iq mg/L
Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
(Note: Use MPN method for highly turbid samples)
/100mL
Phosphorus: Total as P 00665 mg/L
Orthophosphate 70507 mg/L
Other (Specify Compounds and Concentration Units):
solved Solids:Total70300 (5
mg/L
Al -Aluminum o1105
mg/L
pH (Lab) 00403 (). lv
units
Ba - Barium 01007
ug/L
TOC 00680 4.45
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940
mg/L
Cd - Cadmium olo27
ug/L
Arsenic01002
ug/L
Chromium: Total01034
ug/L
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron 01045
ug/L
(Specify test and method{#. ATTACH LAB REPORT.)
Sulfate 00945
mg/L
Hg - Mercury 71900
ug/L
Lab Report Attached? �EJ Yes (1) El No (0)
VOC method # 67-4)0 --
pecific Conductance 00095
µMhos
K - Potassium 00937
mg/L
7873
Total Ammonia omio
mg/L
Mg - Magnesium 00927
mg/L
method #
(Ammonia Nitrogen; NH3as N: Ammonia Nitrogen, Total)
Mn - Manganese 01055
ug/L
method #
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L
method #
For Remediation Systems Only (Attach Lab Reports):
Influent Total VOCs:
mg/L
Effluent Total VOCs:
mg/L VOC Removal%
GW-59 Rev.3-1-2016

CI IRMIT Pr1RM ON YF J PAPFR ONLY
(GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
Facility Name:
Permit Name (if di
Facility Address:
(City)
Print Clearly or
(State) (zip)
act Person:Telephone#: 4,57 6Z4_ JJg U_
Location/Site Name: ,� CL j-i-(. N ( Jq No. of wells to be sampled:
PERMIT Number: Expiration Date:
Non -Discharge k4cmi(((D UIC
NPDES W(j3-2C7� Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
❑ Rotary Distributor i?Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
If WELL
WELL ID NUMBER (from Permit): IZ I
Date sample collected: ZU�)g
FIELD ANALYSES:
DRY
DRY
Well Depth: 1-3 ft.
Well Diameter: in.
pH ooaoo:�/. (o units Temp. 00010: � �C
at
time of
Depth to Water Level 62546: Q.15 ft. below measuring point Screened Interval: _ft. to 13 ft.
Spec. Cond. 00094: -,)) _ 0 µMhos
sampling,
Measuring Point is Z ft. above land surface
Relative M.P. Elevation: ft.
Odor 00085: f1Cn-if
check
Volume of water pumped/bailed before sampling:
gallons
Appearance GQC1C
here: El
SamDles for metals were collected unfiltered: [N YES
❑ NO and field acidified: [N YES ❑ NO
LAt3VKAI UKT INN-UKRRA I IVIM
I&_2L► 19
Laboratory Name:((j(lf
lld'`t } _T)
I(yC• _ Certification No. 10
Date sample analyzed:
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N oo615
mg/L
Pb -Lead o1051 ug/L
Coliform: MF Fecal 31616
��
/100mL
Nitrate (NO3) as N 00620 Z� mg/L
Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
©, i:73 mg/L
Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300
5C
mg/L
AI - Aluminum o1105
mg/L
pH (Lab) 00403
L4- Lo
units
Ba - Barium 01007
ug/L
TOC 00680
3. Lj2-
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total 01034 <5 .0 ug/L
Grease and Oils 00552
mg/L
Cu - Copper 01042 <(j, Cl © mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron 01045
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg/L
Hg - Mercury 71900
ug/L
Lab Report Attached? V Yes (1) ❑ No (0)
Specific Conductance 00095
!. 0
µMhos
K - Potassium 00937
mg/L
VOC 7673 method # &WCC I i
Total Ammonia 00610
O •-ZkO
mg/L
Mg - Magnesium 00927
mg/L
method #
(Ammonia Nitrogen; NH,as N; Ammonia Nitrogen, Total)
Mn - Manganese 01055
ug/L
method #
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L t muent Iota1 vets: IltyrL_
Lood A-RpI ► Cr im Ca.
Permittee (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev.3-1-2016
of Permittee (or Authorized Agent)

VAVLK VNLT
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
Facility Name: _ I
Permit Name (if different):
Facility Address: o h(
(Street)
(city)
(Stale)
or Type
SUBMIT FORM ON
County
Contact Person: 0 Telephone#: Z62 J5N_
Well Location/Site Name: it rfe FCC ICn ,_� AIU d-62_ i A I o No. of wells to be sampled:
PERMIT Number: ,/'/� Expiration Date: r=-LDl1�
Non -Discharge wimpTow UIC
NPDES LI('hCi,3Zb77 Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
❑ Rotary Distributor [M Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
WELL ID NUMBER (from Permit): 15 Date sample collected: 10-7-4-)Q
Well Depth: 9 ft. Well Diameter: Z in.
Depth to Water Level 82546: Lj ft. below measuring point Screened Interval: 3 ft. to CZ ft.
Measuring Point is Z - S ft. above land surface Relative M.P. Elevation: ft.
Volume of water pumped/bailed before sampling: 5 gallons
Samples for metals were collected unfiltered: [N YES ❑ NO and field acidified: ® YES ❑ NO
FIELD ANALYSES: vv""
pH 00400: L ,2 units Temp. 000lo: ZC) °C DRY at
µMhos time of
Spec. Cond. 00094: / Zci sampling,
Odor 00085: 1 ont check
Appearance Gar here:
LABORATORY INFORMATION
0-LU-12
Laboratory Name: r/1Vl (C f) f -Ti I,I
r c Certification No. 13
Date sample analyzed:
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00336 mg/L
Nitrite (NO2) as N 00615
mg/L
Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616 /100mL
Nitrate (NO3) as N 00620 ©, )Z
mg/L
Zn -Zinc olosz mg/L
Coliform: MF Total 31504 /100mL
Phosphorus: Total as P 00665
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507 (j , 63
mg/L
Other (Specify Compounds and Concentration Units):
)issolved Solids:Total 70300 15 mg/L
Al -Aluminum oil o5
mg/L
pH (Lab) o04o3 4 Z units
Ba - Barium 01007
ug/L
TOC 00680 P J L4 mg/L
Ca -Calcium oosls
mg/L
Chloride 00940 mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002 ug/L
Chromium: Total 01034 �] ug/L
Grease and Oils 00552 mg/L
Cu - Copper 01042 CD. DIO
mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730 ug/L
Fe - Iron 01045
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945 mg/L
Hg - Mercury 71900
ug/L
Lab Report Attached? V Yes (1) ❑ No (0)
Specific Conductance 00095 17q µMhos
K - Potassium 00937
mg/L
VOC 7873 method # /pZC1QC-
Total Ammonia 00610 0- QZ mg/L
Mg - Magnesium 00927
mg/L
method #
(Ammonia Nitrogen; NH3 as N; Ammonia Nitrogen, Total)
Mn - Manganese 01055
ug/L
method #
TKN as N 00625 mg/L
Ni - Nickel 01067
ug/L
method #
_roe
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mgn- tmuent i otal vvL,s.
'�P� �•I� L,4oDli C�-l�ic�
Permittee (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev.3-1-2016
Of
Agent)
(Date)

.........— — -1.... __ onor=o nnn v
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
�., ...�...... Please
Facility Name: ( 0
Permit Name (if different):
Facility Address: qCD
or Type
County
(City) (State) (LIP)
act Person: ��� 6MIO-) Telephone#:
Location/Site Name: t ( C(()'f ( ©- No. of wells to be sampled
PERMIT Number: Expiration Date: ► ;tU- nt, O
Non -Discharge UIC
NPDES �f(�7i�� Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
❑ Rotary Distributor CA Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
SAMPLING INFURMA I IUN
WELL ID NUMBER (from Permit): I
Date sample collected:
ICrZU'1
AZ-
FIELD ANALYSES: o DRY at
Z(7 C
Well Depth: �ft•
Well Diameter:
Z in.
pH ooaoo: 1� units Temp. 00010:
Spec. Cond. 00094: v (p µMhos time of
Depth to Water Level 82546:_ ft, below measuring point Screened Interval:
Z ft. to _ft.
sampling,
Measuring Point is Z. ;-3 ft. above land surface
Relative M.P. Elevation:
ft.
Odor 000m: U) check
here:❑
Volume of water pumped/bailed before sampling: 5
gallons
Appearance
Samples for metals were collected unfiltered: MI YES
❑ NO and field acidified: `X. YES ❑ NO
LABORATORY INFORMATION
1 (7 �i�lg
Laboratory Name: Env
(�(��i� �1
�ic' Certification No. 10
Date sample analyzed:
PARAMETERS NOTE: Values should reflect dissolved
and colloidal concentrations.
Pb - Lead wom ug/L
COD 00335 mg/L
Nitrite (NO2) as N 00615
mg/L
Zinc mg/L
Coliform: MF Fecal 31616 G /100mL
Nitrate (NO3) as N 00620
©.Zlo mg/L
Zn - 01092
Coliform: MF Total 31504 /100mL
(Note: Use MPN method for highly turbid samples)
Phosphorus: Total as P 00665 mg/L
Orthophosphate 70507 Q , I mg/L
Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 59 mg/L
Al -Aluminum 01105
mg/L
pH (Lab) 00403 4.11 units
Ba - Barium 01007
ug/L
TOC 00680 (p• 1 5 mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 mg/L
Cd - Cadmium o1o27
ug/L
Arsenic 01002 ug/L
Chromium: Total 01034 ug/L
Grease and Oils 00552 mg/L
Cu - Copper 01042 C) mg/L
ORGANICS: (by GC, GC/MS, HPLC)
ug/L
Fe - Iron 01045
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Phenol 32730
Sulfate 00945 mg/L
Hg - Mercury 71900
ug/L
Lab Report Attached? 15 Yes (1) ❑ No (0)
VOC method # �p71xiG—�
pecific Conductance 00095 L/ (a. iv µMhos
K - Potassium 00937
mg/L
7873
Total Ammonia 0061a Q - 13 mg/L
Mg - Magnesium 00927
mg/L
method #
(Ammonia Nitrogen; NH3as N; Ammonia Nitrogen, Total)
Mn - Manganese 01055
ug/L
method #
TKN as N o0625 mg/L
Ni - Nickel 01067
ug/L
method #
— __.
T_...i I moll VOC Removal%
GW-59 Rev.3-1-2016

GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
Facility Name:
Permit Name (if di
Facility Address:
(cityi
Print Clearly or
(Zip)
SUBMIT FORM ON YELLuvv PAPER ONLY
act Person: ���I D l I Telephone#:
Location/Site Name: PI N1 d *I­5 No. of wells to be sampled:
PERMIT Number: Expiration Date:
Non -Discharge (•t)CXDC�04-9 UIC
NPDES HCQ570-)_) Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
❑ Rotary Distributor MI -and Application of Sludge
❑ Water Source Heat Pump ❑ Other:
IIf WELL
SAMPLING INt-UKMA I IUN
WELL ID NUMBER (from Permit): 1 g Date sample collected:
Well Depth: 10 ft. Well Diameter: Z in.
Depth to Water Level 82546: Ly ft. below measuring point Screened Interval: S ft. to ft.
Measuring Point is 7 ft. above land surface Relative M.P. Elevation: ft.
Volume of water pumped/bailed before sampling: 5 gallons
SamDles for metals were collected unfiltered: ® YES ❑ NO and field acidified: C9 YES ❑ NO
FIELD ANALYSES:
pH ooaoo: c4:3 units Temp. 00010: Z °C
Spec. Cond. 00094: / o ) _µMhos
Odor o0065: n of.)
Appearance Clea
LABORATORY INFOKMA I IUN
Date sample analyzed: 1C�-Laboratory Name:
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L Nitrite (NO2) as N oo615 mg/L Pb - Lead 01051
Coliform: MF Fecal 31616 C l /100mL Nitrate (NO3) as N 00620 07 mg/L Zn - Zinc 01092
Coliform: MF Total 315oa /100mL Phosphorus: Total as P 00665 mg/L
(Note: Use MPN method for highly turbid samples) Orthophosphate 70507 O.O 1 mg/L Other (Specify Compounds and Concentration Units):
Dissolved Solids:Total 70300 1 t4,5
mg/L
Al -Aluminum 01105
mg/L
pH (Lab) 00403 Ll•3
units
Ba - Barium 01007
ug/L
TOC oomo 1) . j�)5
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940
mg/L
Cd - Cadmium 01027
ug/L
IL
Chromium: Total 01034 5
ug/L
Certification No. 10
ug/L
mg/L
DRY at
time of
sampling,
here: ❑
Arsenic 01002
Oils
ug
mg/L
Cu - Copper 01042 4C)� pl C)
mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Grease and 00552
ug/L
Fe - Iron 01045
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Phenol 32730
Sulfate 00945
mg/L
Hg - Mercury 71900
ug/L
Lab Report Attached? C9 Yes (1) ❑ No (0)
#
Conductance 00095 1 O
µMhos
K - Potassium 00937
mg/L
VOC 7873 method
pecific
Total Ammonia 00610 D - Z
mg/L
Mg - Magnesium oo927
mg/L
method #
(Ammonia Nitrogen; NH3 as N; Ammonia Nitrogen, Total)
Mn - Manganese olo55
ug/L
, method #
N' k 1
u /L
method #
TKN as N 00625 mg/L NI - lc a o1os7 9
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs:
Permittee (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev.3-1-2016
Of Permittee (or Authorized Agent)
mg/L VOC Removal%

Emmkgovo % hCopumW
114 OAKMONT DRIVE
GREENVILLE, N.C. 27858
CMSD (SLUDGE & WELLS ACCT)
CONTENTNEA METRO. SEWAGE DIST.
MS. RENEE PRIDGEN
P.O. BOX 477
GRIFTON ,NC 28530
�..
vPa�t�Matar.ID� 10
PHONE [phone]
FAX [phone]
ID#: 416
DATE COLLECTED: 10/24/18
DATE REPORTED : 11/15/18
REVIEWED BY:
Well
Well
Well
Well
PARAMETERS
#9
#10
#14
#15
Fecal Coliform (MF), /100 Mls
<1
<1
<1
5
Ammonia Nitrogen as N, mg/1
0.83
0.10
0.26
0.82
Nitrate Nitrogen as N, mg/l
<0.04
0.19
1.29
0.12
Total Organic Carbon, mg/1
17.06
4.45
3.42
9.74
Total Dissolved Residue, mg/l
90
45
50
125
Total Chromium, ug/1
8
14
<5.0
7
Copper, ug/l
< 10
< 10
< 10
< 10
Conductivity (at 25c), uMhos/cm
105
50.7
71.0
129
Total Ortho-Phosphate as P, mg/1
0.09
0.08
0.03
0.03
Well
Analysis
Method
#17
Date
Analyst
Code
<1
10/24/18
JMT
9222D-06
0.13
10/29/18
DTL
350.1 112-93
0.26
10/26/18
DTL
353.2 112-93
6.15
10/24/18
SEJ
531OC-11
59
10/25/18
JTH
254OC-11
7
10/26/18
LFJ
EPA200.7
< 10
10/26/18
LFJ
EPA200.7
46.6
10/29/18
JMS
251OB-11
0.10
10/24/18
SEJ
450OPE-11

Eawn[MUM&M % hC0TP@TMW
114 OAKMONT DRIVE
GREENVILLE, N.G. 27858
CMSD (SLUDGE & WELLS ACCT)
CONTENTNEA METRO. SEWAGE DIST.
MS. RENEE PRIDGEN
P.O. BOX 477
GRIFTON ,NC 28530
Well
Analysis
Method
PARAMETERS
#18
Date
Analyst
Code
Fecal Coliform Off), /100 Mls
< 1
10/24/18
JMT
9222D-06
Ammonia Nitrogen as N, mg/l
0.24
10/29/18
DTL
350.1 R2-93
Nitrate Nitrogen as N, mg/1
0.07
10/26/18
DTL
353.2 R2-93
Total Organic Carbon, mg/l
7.05
10/24/18
SEJ
531OC-11
Total Dissolved Residue, mg/1
145
10/25/18
JTH
2540C-11
Total Chromium, ug/l
5
10/26/18
LFJ
EPA200.7
<10
10/26/18
LFJ
EPA200.7
Copper, ug/1
Conductivity (at 25c), uMhos/cm
107
10/29/18
JMS
251OB-11
Total Ortho-Phosphate as P, mg/l
0.01
10/24/18
SEJ
450OPE-11
WaotoWater IDa _..,0_..
PHONE [phone]
FAX [phone]
ID#: 416
DATE COLLECTED: 10/24/18
DATE REPORTED : 11/15/18
REVIEWED BY:

EmwonnEWC3
Flo hCOTPOTMI
114 OAKMONT DRIVE
GREENVILLE, N.C. 27858
FAX [phone]
CLIENT: CMSD (SLUDGE & WELLS ACCT)
CLIENT ID:
416
CONTENTNEA METRO. SEWAGE
DIST.
KPG
MS. RENEE PRIDGEN
ANALYST:
DATE
COLLECTED:
10/24/18
Page:
1
P.O. BOX 477
DATE
REPORTED:
11/15/18
GRIFTON, NC 28530
REVIEWED BY:
VOLATILE
ORGANICS
STD.
METHODS
6200C-3.1
Date Analyzed:
10/26/18
1100//2 /18
10/27/18
10/27/18
Well
10/27/18
eIl /18
Well
#10
Well
#14
#15
#17
PARAMETERS, ug/l
#9
<0.50
<0.50
<0.50
<0.50
<0.50
<0.50
<0.50
1.
2.
Benzene
Bromobenzene
<0.50
< 0.50
<0.50
< 0.50
<0.50
< 0.50
< 0.50
< 0.50
3.
Bromochloromethane
< 0.50
< 0.50
<0.50
< 0.50
< 0.50
4.
Bromodichloromethane
< 0.50
< 0.50
< 0.50
< 0.50
< 0.50
5.
Bromoform
< 0.50
< 0.50
< 0.50
< 0.50
< 0.50
< 0.50
6.
Bromomethane
< 0.50
< 0.50
< 0.50
< 0.50
< 0.50
7.
N-Butylbenzene
<0.50
< 0.50
< 0.50
< 0.50
< 0.50
8.
Sec-Butylbenzene
< 0.50
< 0.50
<.0.50
< 0.50
< 0.50
9.
Tert-Butylbenzene
< 0.50
< 0.50
< 0.50
< 0.50
0.50
10.
Carbon Tetrachloride
<0.50
< 0.50
< 0.50
< 0.50
<
11.
Chlorobenzene
<0.50
< 0.50
< 0.50
< 0.50
< 0.50
<0.50
12.
Chloroethane
<0.50
<0.50
<0.50
<0.50
<0.50
13.
14.
Chloroform
Chloromethane
<0.50
<0.50
<0.50
<0.50
<0.50
<0.50
<0.50
<0.50
15.
2-Chlorotoluene
<0.50
< 0.50
< 0.50
< 0.50
< 0.50
< 0.50
16.
4-Chlorotoluene
< 0.50
<0.50
< 0.50
< 0.50
< 0.50
<0.50
17.
Dibromochloromethane
<0.50
<0.50
<0.50
<0.50
18.
1,2-Dibromo-3-Chloropropane
<0.50
<0.50
<0.50
<0.50
<0.50
19.
1,2-Dibromoethane
< 0.50
< 0.50
< 0.50
< 0.50
< 0.50
20.
Dibromomethane
<0.50
< 0.50
< 0.50
< 0.50
< 0.50
21.
1,2-Dichlorobenzene
<0.50
<0.50
<0.50
<0.50
<0.50
22.
1,3-Dichlorobenzene
<0.50
<0.50
<0.50
<0.50
<0.50
23.
1,4-Dichlorobenzene
<0.50
<0.50
<0.50
<0.50
<0.50
24.
Dichlorodifluoromethane
<0.50
<0.50
<0.50
<0.50
<0.50
25.
1,1-Dichloroethane
<0.50
<0.50
<0.50
<0.50
<0.50
26.
1,2-Dichloroethane
<0.50
<0.50
<0.50
<0.50
<0.50
27.
1,1-Dichloroethene
<0.50
<0.50
<0.50
<0.50
<0.50
28.
Cis-1,2-Dichloroethene
<0.50
<0.50
<0.50
<0.50
<0.50
29.
trans-1,2-Dichloroethene
<0.50
<0.50
<0.50
<0.50
<0.50
30.
1,2-Dichloropropane
< 0.50
< 0.50
< 0.50
<0.50
< 0.50
31.
1,3-Dichloropropane
<0.50
<0.50
<0.50
<0.50
<0.50
32.
2,2-Dichloropropane
<0.50
<0.50
<0.50
<0.50
<0.50
33.
1,1-Dichloropropene
<0.50
<0.50
<0.50
<0.50
<0.50
<0.50
34.
Cis-1,3-Dichloropropene
<0.50
<0.50
<0.50
<0.50
<0.50
35.
trans-1,3-Dichloropropene
< 0.50
<0.50
< 0.50
< 0.50
<0.50
36.
37.
Ethylbenzene
Hexachlorobutadiene
< 0.50
< 0.50
< 0.50
< 0.50
< 0.50
< 0.50
< 0.50
< 0.50
38.
Isopropylbenzene
< 0.50
<0.50
<0.50
<0.50
<0.50
<0.50
39.
4-Isopropyltoluene
< 0.50
< 0.50
< 0.50
< 0.50
<0.50
< 0.50
40.
Methylene Chloride
< 0.50
<0.50
< 0.50
<0.50
< 0.50
41.
Naphthalene
< 0.50
< 0.50
< 0.50
<0.50
< 0.50
< 0.50
42.
Propylbenzene
< 0.50
< 0.50
< 0.50
< 0.50
<0.50
43.
44.
Styrene
1,1,1,2-Tetrach1oroethane
< 0.50
< 0.50
<0.50
< 0.50
<0.50
<0.50
<0.50
45. 1,1,2,2-Tetrachloroethane
<0.50
<0.50
<0.50
<0.50
<0.50
<0.50
46. Tetrachloroethene
< 0.50
< 0.50
< 0.50
< 0.50
< 0.50
47.
Toluene

F�rnnnnmrnrnr �lnrn 0 � kh (f,-,nn f�f'o1nli`�o�ft1o..1
114 OAKMONT DRIVE
GREENVILLE, N.C. 27858
CLIENT: CMSD (SLUDGE & WELLS ACCT)
CONTENTNEA METRO. SEWAGE DIST.
MS. RENEE PRIDGEN
P.O. BOX 477
GRIFTON, NCO28530
REVIEWED BY:
PHONE [phone]
FAX [phone]
CLIENT ID: 416
ANALYST: KPG
DATE COLLECTED: 10/24/18
DATE REPORTED: 11/15/18
VOLATILE ORGANICS
STD, METHODS
620OC-11
Date Analyzed:
Well /18
WeIl /18
PARAMETERS, ug/l
#9
#10
< 0.50
< 0.50
48.
1,2,3-Trichlorobenzene
< 0.50
< 0.50
49.
1,2,4-Trichlorobenzene
< 0.50
< 0.50
50.
1,1,1-Trichloroethane
<0.50
<0.50
51.
1,1,2-Trichloroethane
<0.50
<0.50
52.
Trichloroethene
< 0.50
< 0.50
53.
Trichlorofluoromethane
<0.50
<0.50
54.
1,2,3-Trichloropropane
<0.50
<0.50
55.
1,2,4-Trimethylbenzene
< 0.50
< 0.50
56.
1,3,5-Trimethylbenzene
<0.50
<0.50
57.
Vinyl Chloride
< 1.00
< 1.00
58.
Total Xylenes
< 1.00
< 1.00
59.
Methyl Tert Butyl Ether
10/27/18
Well
#14
< 0.50
< 0.50
< 0.50
< 0.50
< 0.50
< 0.50
< 0.50
< 0.50
< 0.50
< 0.50
< 1.00
< 1.00
10/27/18
Well
#15
< 0.50
< 0.50
< 0.50
<0.50
< 0.50
< 0.50
< 0.50
< 0.50
< 0.50
< 0.50
< 1.00
< 1.00
Page: 2
10/27/18
Well
#17
< 0.50
< 0.50
< 0.50
< 0.50
< 0.50
< 0.50
< 0.50
< 0.50
< 0.50
< 0.50
< 1.00
< 1.00

EOUT(BIMEW % hmpTOW
114.OAKMONT DRIVE
GREENVILLE, N.C. 27858
CLIENT: CMSD (SLUDGE & WELLS ACCT)
CONTENTNEA METRO. SEWAGE DIST.
MS. RENEE PRIDGEN
P.O. BOX 477
GRIFTON, NC 28530
REVIEWED BY:
VOLATILE ORGANICS
YNE [phone]
FAX [phone]
CLIENT ID: 416
ANALYST: KPG
DATE COLLECTED: 10/24/18 Page: 3
DATE REPORTED: 11/15/18
STD. METHODS 620OC-11
Date Analyzed:
10/27/18
Well
PARAMETERS, ug/1
#18
< 0.50
1. Benzene
<0.50
2. Bromobenzene
<0.50
3. Bromochloromethane
< 0.50
4. Bromodichloromethane
<0.50
5. Bromoform
<0.50
6. Bromomethane
<0.50
7. N-Butylbenzene
<0.50
8. Sec-Butylbenzene
<0.50
9. Tert-Butylbenzene
< 0.50
10. Carbon Tetrachloride
< 0.50
11. Chlorobenzene
< 0.50
12. Chloroethane
< 0.50
13. Chloroform
< 0.50
14. Chloromethane
<0.50
15. 2-Chlorotoluene
<0.50
16. 4-Chlorotoluene
< 0.50
17. Dibromochloromethane
<0.50
18. 1,2-Dibromo-3-Chloropropane
< 0.50
19. 1,2-Dibromoethane
< 0.50
20. Dibromomethane
< 0.50
21. 1,2-Dichlorobenzene
< 0.50
22. 1,3-Dichlorobenzene
< 0.50
23. 1,4-Dichlorobenzene
< 0.50
24. Dichlorodifluoromethane
<0.50
25. 1,1-Dichloroethane
< 0.50
26. 1,2-Dichloroethane
< 0.50
27. 1,1-Dichloroethene
< 0.50
28. Cis-1,2-Dichloroethene
<0.50
29. trans-1,2-Dichloroethene
< 0.50
30. 1,2-Dichloropropane
< 0.50
31. 1,3-Dichloropropane
< 0.50
32. 2,2-Dichloropropane
< 0.50
33. 1,1-Dichloropropene
< 0.50
34. Cis,I,3-Dichloropropene
<0.50
35. trans-1,3-Dichloropropene
< 0.50
36. Ethlbenzene
< 0.50
37. Hexachlorobutadiene
< 0.50
38. Isopropylbenzene
< 0.50
39. 4-Isopropyltoluene
< 0.50
40. Methylene Chloride
< 0.50
41. Naphthalene
< 0.50
42. Propylbenzene
< 0.50
43. Styrene
44. 1,191,2-Tetrachloroethane
< 0.50
< 0.50
45. 1,1,2,2-Tetrachloroethane
< 0.50
46. Tetrachloroethene
<0.50
47. Toluene

Enw'MRHM� % �NC@TP@T@"4
114 OAKMONT DRIVE
GREENVILLE, N,C. 27858
PHONE [phone]
FAX [phone]
CLIENT: CMSD (SLUDGE & WELLS ACCT)
CLIENT ID:
416
CONTENTNEA METRO. SEWAGE DIST.
KPG
MS. RENEE PRIDGEN
ANALYST:
DATE COLLECTED:
10/24/18
47
P.O.BOX 477
P.O. BOX
DATE REPORTED:
11/15/18
GRIF28530
REVIEWED BY:
VOLATILE ORGANICS
STD. METHODS 620OC-11
7/18
l
PARAMETERS, ug/l
7#018
48. 1,2,3-Trichlorobenzene049.
1,2,4-Trichlorobenzene050.
1,1,1-Trichloroethane5051.
1,1,2-Trichloroethane5052.
Trichloroethene5053.
Trichlorofluoromethane5054.
1,2,3-Trichloropropane5055.
1,2,4-Trimethylbenzene
.50
< 0.50
56. 1,3,5-Trimethylbenzene
< 0.50
57. Vinyl Chloride
< 1.00
58. Total Xylenes
< 1.00
59. Methyl Tert Butyl Ether
Page: 4

SOILS ANALYSIS LAB REPORTS
LIME APPLICATION

NCDA&CS Agronomic Division Phone: I
G¢ICULTUgF�N Predictive
a
2o�A cO p .
N
Soil Report
o S
Links to Helpful Information
Farm: Not Provided
19) 733-2655 Website: www.neagr.gov/agronomi/
Client: CMSD
PO Box 477
Mehlich-3 Extraction Griffon, NC 28530
Sampled: 10/18/2018
Received: 10/25/2018
Completed: 11 /06/2018
Sampled County : Pitt
Client ID: 147385
Report No. FY19-SL009950
Advisor: Chris Whitehurst
Ayden Nitrogen
P.O. Box 7
Ayden, NC 28513
Advisor ID: 490477
Agronomist's Comments:
ATTENTION: This report was flagged with a "C" and/or "Z" to alert you that copper and/or zinc have accumulated in the soil and are approaching a level that could be detrimental to crop
production. The C and Z symbols are printed on your report for soil test Zn and Cu index levels of 2000 or more for agronomic crops; for peanuts with zinc, the level is 250. This note is
designed to be a "trigger" that allows enough time to either reduce the rate of application or find another field for application of biosolids and/or waste water. The CTL (critical toxic level) for
Cu and Zn is set at a 3000 index; for peanuts with zinc, the level is 500. Maintaining a pH of 6.0 or higher may reduce potential for toxicity, especially for Zn. These levels are used by
DENR as a benchmark to determine when application of waste products should be stopped. The CTL for copper and zinc was set to prevent levels from accumulating to the point where
they become toxic to crops arown on a field. Nutrients (lb/acre) More
Sample ID: 1 Recommendations: Lime S Mn Zn Cu B Information
Crop (tons/acre) N P2O5 K2O Mg Note: 12 Note:
Lime History: 1 -Bermuda hay/past., E 0.0 60-80 0 30 0 0 pH$ Z Q 0 Note: 12 Note:
2-Bermuda hay/past., M 0.0 180-220 0 100 0 0 pH$ Z
c
Test Results [units - WN in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg1dm3]:
HM% WN ' CEC BS% Ac pH P-1 K-1 Ca% Mg%
0.76 0.99 17.1 93 1.1 6.5 817 58 70 22
Sample ID: 2 Recommendations: Lime
Crop (tons/acre) N P2O5
Lime History: 1 -Bermuda hay/past., E 0.0 60-80 0
2-Bermuda hay/past., M 0.0 180-220 0
Test Results [units - W/V in g/cnr3; CEC and Na in meq/100 cm3; NO3-N in mg1dm3]:
HM% W/v CEC BS% Ac pH P-1 K-1 Ca% Mg%
0.71 0.84 . 18.9 88 2.3 6.1 881 64 64 22
North Carolina
Tobacco Trust Fund Commission
Soil Class: Mineral
S-1 Mn-I Mn-All Mn-AI2 Zn-1 Zn-AI Cu-I Na ESP SS-1 NO3-N
7F 134 90 90 2884 2884 904 0.2 1
Nutrients (Ib/acre) More
K2O Mg S Mn Zn Cu B Information
20 0 0 0 Z 0 0 Note: 12 Note:
80 0 0 0 Z 0 0 Note: 12 Note:
Soil Class: ' Mineral
S-I Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N
82 107 79 79 3202 3202 1296 0.2 1
Reprogramming of the laboratory -information -management system that makes this report possible is
being funded through a grant from the North Carolina Tobacco Trust Fund Commission.
Thank you for using agronomic services to manage nutrients and safeguard environmental quality.
- Steve Troxler, Commissioner of Agriculture

NCDA&CS Agronomic Division
Phone: [phone] Website: www.ncagr.goviagronomi/
No. FYI--i .'J09950
Page 2 of 3
More
Sample ID: 3
Lime History:
Recommendations: Lime
Crop (tons/acre) N P2O5
1 -Bermuda hay/past., E 0.0 60-80 0
2 -Bermuda hay/past., M 0.0 180-220 0
K2O
70
160
Mg
0
0
`'"'
S
0
0
Mn
pH$
pH$
Zn
Z
Z
Cu
0
0
B
0
0
Information
Note: 12 Note:
Note: 12 Note:
Test Results [units - WN in g/crrr3; CEC and Na in meg1100 cnr3; NO3-N in mg/drrr3]:
HM% WN CEC BS% Ac pH P-1 K-1 Ca% Mg%
0.76 1.08 19.2 98 0.4 6.9 893 32 75 22
S-I
69
Mn-I
89
K2O
70
160
Soil Class: -Mineral
Mn-All Mn-AI2 Zn-I Zn-AI
Nutrient (lb/acre) 069 3069
S Mn Zn
Mg Z
0 pH$
0 0 pH$ Z
0
Cu-I
1045
Cu
_ 0
0
Na
0.2
B
0
0
ESP SS-1 NO3-N
1 More
Information
Note: 12 Note:
Note. 12 Note:
Sample ID: 4
Lime History:
Recommendations: Lime
Crop (tons/acre) N P2O5
1 -Bermuda hay/past., E 0.0 60-80 0
2 -Bermuda hay/past., M 0.0 180-220 0
Test Results [units - WN in glcm3; CEC and Na iri meg/100 crrr3; NO3-N in mg/dr&]:
HM% WN CEC BS% Ac pH P-1 K-1 Ca% Mg%
0.66 0.90 20.7 93 1.5 6.5 1036 32 73 19
S-1
93
Mn-I
106
Mn-All
73
Soil Class:
Mn-AI2
73
Mineral
Zn-I Zn-AI
4403 4403
Cu-I
1295
Na
0.2
ESP SS-1 NO3-N
1

NCDA&CS Agronomic Division Phone: [phone] Website: www.ncagr.gov/agronomi/
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 i
is applied. If MG is recommended and lime is needed, use dolomitric lime.
Fertilizer .
Recommendations for field crops or other large areas are listed separately for each nutrient (i 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 -I 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: econdary 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 lb/1000 sq ft . If you cannot find
www ncaar aov/agronomi/obpart4.htn&ffind information that
the exact fertilizer grade recommended on the report, visit A Homeowners Guide to Ferti/izei
may help you choose a comparable alternate. For more information, read
Test Results
Report Abbreviations
Ac
B
BS%
Ca%
CEC
Cu-1
ESP
HM%
K-1
K20
Mg%
MIN
Mn
Mn-All
Mn-AI2
Mn-1
M-O
N
Na
NO3-N
ORG
pH
P-1
P205
S-1
The first seven values [soil class, HM%, WN, CEC, BS%, Ac and pH] describe the soil and its degree of acidity. The
remaining 16 [P-I, K-I, Ca%, Mg%, Mn-I, Mn-All, WAR Zn-I, Zn-Al, Cu-1, S-I, SS-I,.Na, ESP, SS -I, NO3-N (not routinely
available)] indicate. levels of plant nutrients or other fertility measurement. Visit
www ncaar aov/aaronomi/uvrst hfm
SS-1
WN
Zn-AI
Zn-I
No. FY19-SL009950
Page 3 of 3
exchangeable acidity
boron
• CEC occupied by basic cations
• CEC occupied by calcium
cation exchange capacity
copper index
exchangeable sodium percent
percent humic matter
potassium index
potash
% CEC occupied by magnesium
mineral soil class
manganese
Mn-availability index for crop 1
Mn-availability index for crop 2
manganese index
mineral -organic soil class
nitrogen
sodium
nitrate nitrogen
organic soil class
current soil pH
phosphorus index
phosphate
sulfur index
soluble salt index .
weight per volume
zinc availability index
zinc index

NCDA&CS Agronomic Division Phone: [phone]
G V ULTUJ�^No Predictive
pkA CO
Soil Report
p �c
Links to Helpful Information
FUNDED \8�I
Farm: Not Provided
Website: www.ncagr.gov/agronomi/
Client: CMSD
PO Box 477
Mehlich-3 Extraction Grifton, NC 28530
Sampled: 10/18/2018.
Received: 10/25/2018
Completed: 11/06/2018
Sampled County: Pitt
Client ID: 147385
No. FY1y=6Lv09902
Advisor: Chris Whitehurst
Ayden Nitrogen
P.O. Box 7
Ayden, NC 28513
Advisor ID: 490477
Agronomist's Comments:
ATTENTION: This report was flagged with a "C" and/or "Z" to alert you that copper and/or zinc have accumulated in the soil and are approaching a level that could be detrimental to crop
production. The C and Z symbols are printed on your report for soil test Zn and Cu index levels of 2000 or more for agronomic crops; for peanuts with zinc, the level is 250. This note is
designed to be a "trigger" that allows enough time. to either reduce the rate of application or find another field for application of biosolids and/or waste water. The CTL (critical toxic level) for
Cu and Zn is set at a 3000 index; for peanuts with zinc, the level is 500. Maintaining a pH of 6.0 or higher may reduce potential for toxicity, especially for Zn. These levels are used by
ed. The CTL for copper and zinc was set to prevent levels from accumulating to the point where
DENR as a benchmark to determine when application of waste products should be stopp
they become toxic to crops rown on a field. Nutrients (fib/acre) More
Sample ID: 5 Recommendations: Lime S Mn Zn Cu B Information
Crop (tons/acre) N P2O5 K2O 0 p 0 Z 0 0 Note: 12 Note:
Lime History: 1-Bermuda hay/past., E 0.0 60-80 0 0 0
2 - 0.0
Test Results [units - W/V in g/cnt3; CEC and Na in meq/100-cnr3; NO3-N in mg/dO]:
HM%p W/V CEC
BS%p Ac pH
P-1 K-1
Ca%p Mg°/
0.66 0.74 21.0
87 2.8 6.0
930 83
63 22
Sample ID: 6
Recommendations:
Lime
Crop
(tons/acre)
N
Lime History:
1 -Bermuda hay/past., E
0.0
60-80
2 -
0.0
Soil Class: Mineral
p S-1 -Mn-1 Mn-All Mn-Al2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N
102 89 70 3974 3974 1314 0.3 1
Nutrients (Ib/acre) More
P2O6 K2O Mg S Mn Zn Cu. B Information
0 20 0 0 0 Z 0 0 Note: 12 Note:
Test Results [units - WN in glca; CEC and Na in meq/100 crr�; NO3-N in mg/dr&]: Soil Class: Mineral
HM%p WN CEC BS%p Ac pH P-1 K-1 Ca%p Mg%p S-1 Mn-1 Mn-All Mn-Al2 Zn-I Zn-AI Cu-1 Na ESP SS-1 NO3=N
0.66 0.77 22.3 88 2.7 6.1 912 65 65 21 102 , 102 77
5253 5253 1490 0.4 2
North Carolina
'Tobacco Trust Fund Commission
Reprogramming of the laboratory -information -management system that makes this report possible is
being funded through a grant from the North Carolina Tobacco Trust Fund Commission.
Thank you for using agronomic services to manage nutrients and safeguard environmental quality.
Steve Troxler, Commissioner of Agriculture

NCDA&CS Agronomic Division Phone: [phone] Website: www.ncagr.
Report No. FY19-SL009902
Page 2 of 11
More
Sample ID: 7
Recommendations: Lime
K2O
`' ­ -'
Mg S Mn
Zn
Cu
B
Information
Crop (tons/acre) N P2O5
0
.
Z
0
0
Note: 12 Note:
Lime History:
1 -Bermuda hay/past., E 0.0 60-80 0
30
0 pH$
2 _ 0.0
WN in CEC and Na in meq/100 cnr3; NO3-N in mgldrr ]:
Soil Class: Mineral
Test Results [units
- glcd;
Ca% Mg%
S-1 Mn-I
Mn-All Mn-AI2 Zn-I
Zn-Al
Cu-1
Na ESP SS-1 NO3-N
HM% WN
CEC BS% Ac pH P-1 K-1
2403
2403
5
2 180 0.
0.76 1.02
16.8 96 0.7 6.9 815 56 72 22
57 138
86
Nutrients (Ib/acre)Mn
More
Sample ID: 8
Recommendations: Lime,
K2O
M9 S
Zn
Cu
B
Information
Crop (tons/acre) N P2O5
0
Z
0
0
Note: 12 Note:
Lime History:
1-Bermuda hay/past., E 0.0 60-80 0
50
0 pH$
2 _ 0.0
WN in CEC and Na in meg1100 cd; NO37N in mgldd]:
Soil Class: Mineral
Test Results [units
- g/cO
Ca% Mg%
S-1 Mn-I
Mn-Ali Mn-AI2 Zn-1
Zn-AI
Cu-I
Na ESP SS-1 NO3-N
HM% WN
CEC 13S% Ac pH P-1 K-1
2859
2859
749
0.2 1
0.76 0.98
17.4 '95 0.9 6.8 '885 43 71 22
65 118
76
Nutrients (lb/acre)
More
Sample ID: 9
Recommendations:_ Lime
K2O
Mg S Mn
Zn
Cu
B
Information
Crop (tons/acre) N P2O5
0
Z
0
0
Note: 12 Note:
Lime History:
1 -Bermuda hay/past., E 0.0 60-80 0
60
0 pH$
2 - 0.0
WN in CEC and Na in meg1100 crrr3; NO3-N in mgldnft
Soil Class: Mineral
Test Results [units
- g/cO;
Ca% Mg%
S-1 Mn-I
Mn-All Mn-Al2 Zn-I
Zn-AI
Cu-1
Na ESP SS-1 NO3-N
HM% WN
CEC BS% Ac pH P-1 K-1
2087
2087
630
2 1 0.
0.76 0.96
17.0 96 * 0.6 7.0 699 38 74 22 .
72 103
64
Nutrients (lb/acre)
More
Sample ID: 10
Recommendations: Lime
K2O
Mg S Mn
Zn
Cu
B
Information
Crop (tonslacre) N P2O5
0
Z
0
0
Note: 12 Note:
Lime History:
1 -Bermuda hay/past., E 0.0 60-80 0
30
0 pH$
2 _ 0.0
WN in CEC and Na in meq/100 crrr3; NO3-N in mgldO]:
Soil Class: Mineral
Test Results [units
- glcrrr3;
K-1 Ca% Mg%
S-1 Mn-I
.
Mn-All Mn-AI2 Zn-I
Zn-AI
Cu-1.
Na ESP SS-1 NO3-N
HM% WN
CEC BS% Ac pH P-1
86 3259
3259
803
0.2 1
0.56 0.99
16.6 92 1.3 6.7 793 61 67 23
59 131

NCDA&CS Agronomic Division Phone: [phone] Website: www.
Page 3 of 11
More.
Sample ID: 11
Recommendations: Lime
K2O
M9 S Mn
Zn
Cu
B
Information
Crop (tons/acre) N PzOS
0'
Z
0
0
Note: 12 Note:
Lime History:
1 _Bermuda hay/past., E 0.0 60-80 0
0
0 pH$
2 - 0.0
WN in CEC and Na in'meg1100 crrr�; NO3-N in mg/drrr3]:
Soil Class: Mineral
Test Results [units
- g/curl;
Mn-I
Mrr-All Mn-AI2 Zn-I
Zn-AI
Cu-I
Na ESP SS-1 NO3-N
HM% WN
CEC BS% Ac pH P-1 K-1 Ca% Mg%
S-1
1
0.46 0.83
23.4 94 1.4 6.7 829 81 69 24
74 124
5985
5985
1700
0.3
More
Nutrients (lb/acre)
Sample ID: 12
Recommendations: Lime
K2O
M9 S Mn
Zn
Cu.
B Information
Crop (tons/acre) N _ P2O5
0
Z
0
0 Note: 12 Note:
Lime History:
1 _Bermuda hay/past., E 0.0 60-80 0
50
0 pH$
2 - 0.0
•
WN in CEC and Na in meq/100 cm3; NO3-N in mgldrrr3]:.
Soil Class: Mineral
Test Results [units
- g/cO;
S-i Mn-I
Mn-All Mn-AI2 Zn-I
Zn-Al.
Cu-I
Na ESP SS-1 NO3-N
HM% WN
CEC BS% Ac pH P-1 K-1 Ca% Mg%
0. 2 2
0.71 1.15
12.8 93 0.9 6.7 741 45 71 21
57 152
98 2401
Nutrients (lb/acre)
2401
603
More
Sample -ID: 13.
Recommendations: Lime
K2O
Mg S Mn
Zn
Cu
B
Information
Crop . (tons/acre) N P2O6
0
Z
0
p
Note: 12 Note:
Lime History:
1 =Bermuda hay/past., E 0.0 60-80 0
10
0 pH$
2 - - 0.0
WN in CEC and Na in meg1100 crrr�; NO3-N in mgldr&]:
Soil Class: Mineral
Test Results [units
- glcrr$;
S-1 Mn-1
Mn-All Mn-AI2 Zn-I
� Zn-AI
Cu-I
Na ESP SS-1 NO3-N
HM% WN
_
CEC BS% Ac pH P-I K-I Ca% Mg%
1
0.51 0.97
20.3 94 1.2 6.7 874 77 70 - 22
-67 149
4883
Nutrients (Ib/acre,)
4883
1197
0.2
More
Sample ID: 14
Recommendations: Lime
K2O
Mg S Mn
Zn
Cu
B
Information
Crop (tonslacre) N PzOs
0
Z
0
0
Note: 12 Note:
Lime History:
1 -.Bermuda haylpast., E 0.0 . 60-80 0
10
0 pH$
2 _ 0.0
WN in CEC and Na in meq/100 curl; NO3-N in mg/dm3]:
Soil Class: Mineral
Test Results [units
- g/cO;
S-1 Mn-I
Mn-All Mn-Al2 Zn-I
Zn-AI
Cu-I
Na ESP SS -I NO3-N
HM% WN
CEC BS% Ac pH P-1 K-1 Ca% Mg%
1
0.60 0.93
19.9 93 1.4 6.7 817 78 70 21
67 144
93 4791
4791
1171
0.2 _

NCDA&CS Agronomic Division Phone: [phone] Website: www.ncagr.gov/agronomi/
Report No. FYIb-oCZ09902
Page 4 of 11
Nutrients (Ib/a(-re) More
Sample ID: 15
Recommendations: Lime
K2O
Mg S Mn Zn
Cu
B
Information
Crop (tons/acre) N P2O5
0 0 0
0
0
Note:
Note: 12 -
Lime History:.
1-Bermuda hay/past., E 0.0 60-80 0
70
pH$
2-0.0
WN in CEC and Na in meg1100 crrmt ; NO3-N in mgldrrr3]:
Soil Class: Mineral
Test Results [units
- glcd;
Ca% Mg%
S-1 Mn-I
Mir -All Mn-AI2 Zn-I Zn-AI
Cu-1
Na ESP SS-1 NO3-N
HM% WN
CEC BS% Ac pH P-1 - K-1
697
133
2 2 0.
1.37 1.13
10.8 95 0.6 6.9 154 36 69 24
60 86
55 697
Nutrients (Ib/acre)
More
Sample ID:16
Recommendations: Lime
K2O
Mg S Mn Zn
Cu
B
Information
Crop (tons/acre) N P2O6
0 0 0 •
0
0
Note: 12
-
Lime History:
1 -Bermuda hay/past., E 0.0 60-80 0
70 .
0
2- 0.0
- WN iti glcO; CEC and Na in meg1100 crrr3; NO3-N in mg/dm3]:
Soil Class: Mineral
Test Results [units
K-1 Ca% Mg%
S-I Mn-I
Mri-All Mn-AI2 Zn-I Zn-AI
Cu-I
Na ESP SS-1 NO3-N
HM% WN
CEC BS% Ac pH P-1
883 883
268.
2 02
.�
1.02 1.12
8.9 87 1.1 6.4 362 36 65 21
51 84
62
Nutrients is (Ib/acre)
More
Sample ID: 17
Recommendations: Lime
K2O
Mg 15 Mn Zn
Cu
B Information
Crop (tonslacre) N P2O6
0 0 0
0
0 Note: 12
Lime History:
1 -Bermuda hay/past., E 0.0 60-80 0
80
0
2- 0.0
WN in CEC and Na in meq/100 crrr3; NO3-N in mgldrft
Soil Class: Mineral
-
Test Results [units'-
g/ca;
Ca% Mg%
S-1 Mn-I
Mn-AI1 Mn-AI2 Zn-I Zn-AI
Cu-I
Na ESP SS -I NO3-N
HM% WN
CEC BS% Ac pH P-1 K-1.
487 487
112
' 0.2 3
1.25 1.16
8.0 86 1.1 6.2 176 31 65 19
51 73
58 Nutrients (lb/acre)
More
Sample ID: 18
Recommendations: Lime
K2O
M9 g Mn Zn
Cu
B
Information
Crop (tons/acre) N P2O6
0 0
0
0
Note: 12 Note:
Lime History:
1-Bermuda hay/past., E 0.0 60-80 0
70
0 pH$
2- 0.0
c
WN in CEC and Na in meg1100 crrr3; NO3-N in mg/dm3]:
Soil Class: Mineral
Test Results [units
- glcrrr3;
Ca% Mg%
S-1 Mn-I
Mn-All Mn-Al2 Zn-1 Zn-AI
Cu-I
Na ESP SS-1 NO3-N
HM% WN
CEC BS% Ac pH P-1 K-1
969 969
237
0.2 2
0.81 1.09.
10.0 92 0.8 6.7 442 33 66 25
60 83
57

1
Y�
NCDA8,CS Agronomic Division
Phone: [phone]
Website: www.ncagr.govlagronomi/
�t
Report No. FY19-SL009902
Page 5 of 11
More
Sample -ID- 19
Recommendations: Lime
K20
Mg S Mn
Zn
Cu
B
Information
Crop (tons/acre) N P206
0
Z
0
0
Note: 12 Note:
1 -Bermuda hay/past., E 1.1 - 60-80 0
70.
0 0
Lime History:
,
0.0
2-
in CEC and Na in meq/100 cO; NO3-N in mgldrr$]:
Soil Class: Mineral
Test Results [units - WN'
glcd;
Mn-All Mn-AI2 Zn-I
Zn-Al
Cu-I
Na ESP SS-1 NO3-N
HM% WN CEC
BS% Ac pH P-1 K-1 Ca% Mg% .
S-1 Mn-I
�
0.2 2
0.60 0.99 10.3
77 2.4 5.5 953 36 57 18
78 98
2053
Nutrients (Ib/acre)
2053
619
More
Sample ID: 20
Recommendations: Lime
(tons/acre) N P205
K20
Mg S Mn
Zn
Cu
B
Information
Note: 12 Note:
Crop
1 _Bermuda hay/past., E 0.0 60-80 0
80
0 0 pH$
0
0
0
Lime History:
0.0
2_
in CEC and Na in meq/100 cm3; NO3-N in mgldrrti3]:
Soil Class: Mineral
Test Results [units - WN
glcrrr3;
Ca% Mg%
S-1 Mn-I
Mn-All Mn-Al2 Zn-I
Zn-Al
Cu-I
Na ESP SS-1 NO3-N
HM% WN CEC
BS% Ac pH P-1 K-1
1687
1687
424
0.2 2
0.97 1.04 12.1
91 1.1 ' 6.6 754 29 66 24
64 84
58
Nutrients (lb/acre)
More
More
Sample ID: 21
Recommendations: Lime
K20
Mg S Mn
Zn
Cu
B
Crop (tons/acre) N P205
0 0
0
0
0
Note: 12
1 -Bermuda hay/past., E 1.1 60-80 0
60
0
Lime History:
0.0
2 -
in CEC and Na in meq'/100 cd; NO3-N in mg1drri3]:
Soil Class: Mineral
Test Results [units.- WN
glcr&;
S-1 Mn-1
Mn-Ali Mn-Al2 Zn-I
Zn-AI
Cu-I
Na ESP SS-1 NO3-N
HM% WN CEC
BS% Ac pH P-1 K-1 Ca% Mg%
� 0.3 3
1.25 -0.92 11.6
77 2.7 5.6 875 38- 56 19
90 87
1667
(Ib/acre)
1667
582
More
Sample ID: 22
Recommendations: Lime
K20
Mn
Mg S Mn
Zn
Cu
B
Information
Crop (tonslacre) N P205
0 0
0
0
0
Note: 12
Lime History:
1 -Bermuda hay/past., E 1.0 60-80 0
60
0
2- 0.0
W/V in CEC and Na in meg1100 cd; NO3-N in mg1drrr3]:
Soil Class: Mineral
Test Results [units -
g/cm3;
Mn-I
Mn-All Mn-AI2 Zn-I
Zn-AI
Cu-I
Na ESP SS-1 NO3-N
HM% WN CEC
BS% Ac pH P-1 K-I Ca% Mg%
S-1
0.2 2
0.60 0.98 11.9
78 2.6 5.6 962 40 57 20
80 83
67 1567
1567
651

NCDA&CS Agronomic Division Phone: [phone] Website:
11
w/agronomil Report No. FY19-SL009902
Page 6 of 11
Nutrients (Ib/acre) More .
Sample ID: 23
Recommendations: Lime
K2O
M9 S Mn Zn
Cu
B
Information
Crop (tonslacre) N P2O5
0 0
0
0
Note: 12 Note:
Lime History:
1-Bermuda hay/past., E 0.0 60-80 0
.80
0 pH$
2- 0.0
in CEC and Na in meg1100 crn3; NO3-N in mg/dO]:
•
Soil Class:. Mineral
Test Results [units - WN
g/cd;
Mn-I
Mn-AI1 Mn-Al2 Zn-1 Zn-Al
Cu-I
Na ESP SS-1 NO3-N
HM% WN CEC
BS% Ac pH P-I K-I Ca% Mg %
S-1
0.2 2
0.81 1.08 11.0
98 0.2 7.2 344 29 71 26
64
111
65 715 715
Nutrients (lb/acre)
236
More
Sample ID: 24
Recommendations: Lime
K2O
Mg g Mn Zn
Cu
B
Information
Crop (tonslacre) N P2O5
0 0 0
0
0
Note:12
Lime History:
1 -Bermuda hay/past., E 0.0 60-80 0
50
0
2- 0.0
in CEC and Na in meq/100 cnr3; NO3-N in m9ldm3]:
Soil Class: Mineral
Test Results [units - WN
gled;
S-1
Mn-I
Mn-All Mn-AI2 Zn-I Zn-AI
Cu-I
Na ESP SS-1 NO3-N
HM% WN CEC
BS% Ac pH P-1 K-1 Ca% Mg%
1103
386
0.2 2
0.66 1.05 10.1
89 1.1 6.5 562 ' 43 68 19
.55
100
1103
Nutrients (Ib/acre)
More
Sample ID: 25
Recommendations: Lime
K2O
Mg g Mn Zn
Cu
B
Information
Crop (tonslacre) N P2O5
0 0 0
0
0
Note:12
1 -Bermuda hay/past., E 1.1 60-80 0
50
0
Lime History:
0.0
2-
in CEC and Na in meg1100 crrr3; NO3-N in mg/drift
Soil Class: Mineral_
Test Results [units - WN
g/crrP;
S-1
Mn-I
Mn-All Mn-AI2 Zn-I Zn-Al
Cu-I
Na ESP SS-1 NO3-N
HM% WN CEC
BS% Ac pH P-1 K-1 Ca% - Mg%
0.2 2
1.25 0.99 9.9
76 2.4 5.5 716 45 59 15
71
110
1645 1645
Nutrients (lb/acre)
596
More
Sample ID: 26
Recommendations: Lime
K2O
Mg S Mn Zn
Cu
B
Information
Crop (tons/acre) N P2O5
0 0 0
0
0
Note:12
Lime History:
1 -Bermuda hay/past., E 0.5 , 60-80 0
50
0
2- 0.0
in CEC and Na in meq/100 cnr3; NO3-N in mgldnr3]:
Soil Class:. Mineral
Test Results [units - WN
g/cO;
S-I..
Mn-I
Mn-All Mn-AI2 Zn-I Zn-AI
Cu-I
Na ESP SS-1 NO3-N
HM% WN � CEC
BS% Ac pH P-I K-I Ca% Mg%
.
0.2 2
1.43 1.05 9.5
80 1.9 5.8 570 ' 47 63 15
64
83
67 1336 1336
353

Re ort No FY19-SL009902
NCDA&CS Agronomic Division Phone: [phone] Website: www.ncagr-govlagronomi/
P
Page 7 of 11
Nutrients (lb/acre)
More
Sample ID: 27
Recommendations: Lime
K20
Mg S Mn
Zn
Cu
B Information
Crop (tonslacre) N P20s
0 0
0
0
0 Note:12
Lime History:
1-Bermuda hay/past., E 0.0 60-80 0
60
0
'
2- 0.0
WN in CEC and Na in meq/100 cd; NO3-N in mg/dm3]:
Soil Class: Mineral
Test Results [units -
glcd;
Mn-1
Mn-All Mn-AI2 Zn-I
Zn-AI
Cu-1
Na ESP SS-1 NO3-N
HM% WN CEC
BS% Ac pH P-1 , K-1 Ca% Mg% S-1
1.406
382
0.2 2
2.84 1.00 11.6
85 1.7 6.1 456, 41 66 18 58
80
1406
Nutrients (Ib/acre)
More
Sample ID: 28
Recommendations: Lime
K20
M9 S Mn
Zn
Cu
B
Information
Crop. (tons/acre) N P205
0 0
0
0
0
Note:12
Lime History:
1 -Bermuda hay/past., E 0.3 60-80 0
50
0
2- 0.0
in CEC and Na in meq/100 GO; NO3-N in mgldd]:Soil
Class: Mineral
Test7Resuultsnits-WN
g/crrr�;
S-1
Mn-I
Mn-All Mn-AI2 Zn-I
Zn-AI
Cu-I
Na ESP SS -I NO3-N
HMCEC
BS% Ac pH P-1 K-1 Ca% Mg%
0.2 2
-3.19 '0.96 12.4
81 2.4 5.9 708 47 61 18 60
81
66 1887
Nutrients (Ib/acre)
1887
542
More
Sample ID: 29
Recommendations: Lime
K20
Mg S Mn
Zn
Cu
B
Information
Crop (tons/acre) N P205
0
0
0
0
Note:12
1-Bermuda hay/past., E 0.0 60-80 0
40
0 .0
Lime History:
0.0
2-
WN in CEC and Na-in meq/100 ctrr3; NO3-N in mg/dd]:
Soil Class: Mineral
Test Results [units -
g/cO;
Mn-I
Mn-All Mn-Al2 Zn-1
Zn-AI
Cu-I
Na ESP SS-1 NO3-N
HM% WN CEC
BS%° Ac pH P-1 K-1 Ca% Mg% S-1
416
0.2 2
1.87 0.98 11.8
85 1.7 6.1 670 53 65 18 57 83
65 1601
Nutrients (Ib/acre)
1601
.
More
Sample ID: 30
Recommendations: j Lime
K20
Mg S Mn
Zn
Cu
B
Information
Crop (tonslacre) N P206
0
Z
0
0
Note: 12 Note:
Lime History:
1 - Bermuda hay/past., E 0.0 60-80 0
30
0 0
2- 0.0
in CEC and Na in meq/100 crrr�; NO3-N in mgldrrr�]:
Soil Class: Mineral
Test Results [units - WN
g/cd;
Mn
Mn Mn-AI2 Zn-I
Zn-AI
Cu-I
Na ESP SS-1 NO3-N
HM% WN CEC
BS% Ac pH P-I K-I Ca% Mg% S-1
1
2.15 0.93 13.9
86 2.0 6.0 715 61 69 15 60
85
68 2654
2654
705
0.2

NCDA&CS Agronomic Division
Phone:. [phone] Website: www.ncagr.goviagronomil
No. FY1y:�LW0990Z
Page 8 of 11
More
Sample ID: 31
Recommendations: Lime
K20
"" `.-. �-' -'
Mg S Mn
Zn
Cu
B
Information
Crop (tonslacre) N P205
0
Z
0
0
Note: 1Note:
Lime History:
1 -Bermuda hay/past., E 0.3 60-80 0
40
0 0
2 - 0.0
WN in CEC and Na in meg1100 crrr3; NO3-N in mgldO]:
Soil Class: Mineral
Test Results [units
- g/crrr3;
Ca% Mg%
S-1 Mn-I
Mn-All Mn-Al2 Zn-I
Zn-AI
Cu-I
Na ESP SS-1 NO3-N
HM% WN
CEC BS% Ac' pH P-1 K-1
•
0.2 1
1.80 r 0.90
13.6 84 2.2 5.9 808 51 67 15
60 88
3555
Nutrients (Ib/acre)
3555
890
More
Sample ID: 32
Recommendations: Lime
K20
M9 S Mn
Zn
Cu
B
Information
Crop (tons/acre) N PzOs
0
Z
0
0
Note: 12 Note:
Lime History:
1-Bermuda haylpast., E 0.0 60-80 0
40
0 pH$
2 - 0.0
WN in CEC and Na in me4/100 cnr3; NO3-N in mg/drr$]:
Soil Class: Mineral
Test Results [units
- glcrrr3;
K-1 Ca% Mg%
S-1 Mn-1
Mn-All Mn-Al2 Zn-I
Zn-AI
Cu-I
Na ESP SS-1 NO3-N
HM% WN
CEC BS% Ac pH P-1
3018
3018
749
0.2 1
1.25 1.06
13.6 • . 91 1.2 6.5 846 49 70 19
47 63
47
Nutrients (lb/acre)
More
Sample ID: 33
Recommendations: Lime
K20
Mg S Mn
Cu
B Information
Crop (tonslacre) N P206
0 0
0
0
0-
0 Note: 12
Lime History:
1 -Bermuda hay/past., E 0.0 60-80 0
70
0
2 - 0.0
WN in CEC and Na in meg1100 cO; NO3-N in mgldrrr3]:
Soil Class: Mineral
Test Results [units
- g1crrr3;
S-1 Mn-I
Mn-All Mn-Al2 Zn-I
Zn-AI
Cu-I
Na ESP SS-1 NO3-N
HM% WN
CEC BS% Ac pH P-1 K-1 . Ca% Mg%
0.51 1.08
10.4 89 1.1 6.4 558 36 64 23
46 80
59 .1499
Nutrients (Ib/acre)
1499
368
0.1 1
More
Sample ID: 34
Recommendations: Lime
K20
Mg S Mn
Zn
Cu
B
Information
Crop (tons/acre) N P206
Z
0
0
Note: 12 Note:
Lime History:
1 -Bermuda hay/past., E 0.6 60-80 0
60
0 0 •p
2 - 0.0
WN in CEC and Na in meg1100 crrr3; NO3-N in mg/drrr3]:
Soil Class: Mineral
Test Results [units
- glcnr3;
Ca% Mg%
S-I Mn-I
Mn-All Mn-AI2 Zn-I
Zn-AI
Cu-I
Na ESP SS-1 NO3-N
HM% WN
CEC BS% Ac pH P-1 K-1
2545
2545
774
0.2 2
0.46 0.96
13.0 81 2.5 5.8 951 39 59 21
72 85
68

NCDA&CS Agronomic Division Phone: [phone] Website: www.ncagr.gov/a
No. FY19-SL009902
Page 9 of 11
More
Sample ID: 35
Recommendations: Lime
K20
"' 1­_- -'
Mg S Mn
Zn
Cu
B
Information
Crop (tons/acre) N P206
0
Z
0
0
Note: 12 Note:
Lime History:
1 -Bermuda hay/past., E 0.0 60-80 0
20
0 0
2- 0.0
WN in GEC and Na in meg1100 cd; NO3-N in mg1dm3]:
Soil Class: Mineral
Test Results [units
- g1c0;
Ca% M9%
S-1 MiA
Mn-All Mn-Al2 Zn-I
Zn-AI
Cu-I
Na ESP SS-1 NO3-N
HM% WN
CEC BS% Ac pH P-1 K-1
0.51 0.90
.17.9 86 2.5 6.0 1056 62 62 22
93 76
63 4172
4172
1074 -
0.3 2
More
Nutrients (Ib/acre)Mn
Sample ID: 36
Recommendations: Lime
K20
Mg S
Zn
Cu
B
Information
Crop (tons/acre) N P205
0 0
Z
0
0
Note: 12 Note:
Lime History:
Bermuda hay/past., E 0.0 60-80 0
1 -.
40
pH$
2- 0.0
WN in CEC and Na in meq/100 crrr3; NO3-N in mgldrrr3]:
Soil Class: , Mineral
Test Results [units
- g/crif;
K-1 Ca% Mg%
S-1 Mn-I
Mn.-All Mn-AI2 Zn-I
Zn-AI
Cu-I
ESP SS-1 NO3-N
HM% WN
CEC BS% Ac pH P-1
2
1.02 0.93
18.2 92 1.4 6.6 888 48 67 24
75 94
825
Nutrients (lb/acre)
2825
•686
.3
0.3
More•
Sample ID: 37
Recommendations: Lime
K20
M9 g Mn
Zn
Cu
B
Information
Crop (tons/acre) N P206
0
0
0
0
Note: 12 Note:
Lime History:
1 -Bermuda hay/past., E 0.0 60-80 0
50
0 pH$
2- 0.0
WN in CEC and Na in meq/100 cnr3; NO3-N in mgldnr3]:
Soil Class: Mineral
Test Results [units
- g/cm3;
Ca% Mg%
S-1 Mn-I
Mn-All Mn-AI2 Zn-I
Zn-AI
Cu-I
Na ESP SS-1 NO3-N
HM% WN
CEC BS% Ac pH P-1 K-1
0.51 1.21
7.4 94 0.4 6.9 302 42 68 23
30 100
64
711
157
0.1 1 More
Nutrients (Ib/acre)711
Sample ID: 38
Recommendations: Lime
K20
Mg S Mn
Zn
Cu
B
Information
Crop(tons/acre) N P206
0
Z
0
0
Note: 12 Note:
Lime History:
1 -Bermuda hay/past., E 0.3 60-80 0
30
0 0
2- 0.0
WN in CEC and Na in megI100 crrr3; NO3-N in mg/dnf]:
Soil Class: Mineral
,
Test Results [units
- glcrrr3;
K-1 Ca% Mg%
S-1 Mn-1
Mn-All Mn-Al2 Zn-I
Zn-AI
Cu-1
Na ESP SS-1 NO3-N
HM% - WN WN
CEC BS% Ac pH P-1 .
2
0.60 1.02
13.1 82 2.4 5.9 865 , 57 59 21
74 75
62 2.269
2269
718
0.2

Report No: FY1y-bL_u09902
NCDA&CS Agronomic Division Phone: [phone]
Website: www.ncagr.goviagronomil
Page 10 of 11
Nutrients (lb/acre)
More
Sample ID: 39
Recommendations: Lime
K20
Mg
S
Mn
Zn
Cu B Information
Crop (tons/acre)
N P205
0
Z
0 0 Note: 12 Note:
Lime History:
Bermuda ha / ast., E 0.0
1 - y p
60-80 0
50
0
0
2 - 0.0
WN in CEC and Na in meq/100 crrr3; NO3-N
in mg/dO]:
Soil Class:
Mineral
Test Results [units
- g/cO;
P-1 K-1
Ca% Mg% S-1
Mn-1
Mn-All
Mn-Al2
Zn-1
Zn-AI
Cu-I Na ESP SS-1 NO3-N
HM% WN
CEC BS% Ac pH
1
0.51 0.89
16.1 86 2.3 6.1 957 42
62 23 69
52
47
3745
3745
896 0.2
More
Nutrients (Ib/acre)
Sample ID: 40
Recommendations: Lime
K20
Mg
S
Mn
Zn
Cu B Information
Crop (tons/acre)
N P205
0
Z
0 0 Note: 12 Note:
Lime History:
1 -Bermuda hay/past., E 1.8
60-80 0
70
0
0
2 - 0.0
WN in CEC and Na in meq/100 cO; NO3-N in mg/dm3]:
Soil Class:
Mineral
Test Results [units
- g/cr&;
Ca% Mg% S-1
Mn-1
Mn-All
Mn-Al2
Zn-I
Zn-AI
Cu-I Na ESP SS-1 NO3-N
HM% WN
CEC BS% Ac pH P-1 K-1
0.51 0.90
11.7 71 3A 5.3 950 36
54 16 72
72
60
3001
3001
920 0.1 1

NCDA&CS Agronomic Division Phone: [phone] Website: www
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 to (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 i
is applied. If MG is recommended and lime is needed, use dolomitric lime.
Fertilizer
Recommendations for field 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 -I 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 goylegronomi/Oboart4.htmVffsfind information that
A Homeowner's Guide to Fertilizes
may help you choose a comparable alternate. For more information, read
No. FY19=5GiU9902
Page 11 of 11
Report Abbreviations
Ac
B
BS%
Ca%
CEC
Cu-I
ESP
HM%
K-1
K20
Mg%
MIN
Mn
Mn-All
Mn-AI2
Mn-1
M-O
N
Na
NO3-N
ORG
pH
P-1
P205
S-1
SS-1
Test Results WN
Zn-AI
The first seven values [soil class, HM%, WN, CEC, BS%, Ac and pH] describe the soil and its degree o�facidity. The Zn-I
remaining 16 [P-I, K-I, Ca%, Mg%, Mn-I, Mn-AI1, Mn-AI2, Zn-I, Zn-Al, Cu-1, S-I, SS -I, Na, ESP, SS-1, N3-N (not routine)available)] indicate levels of plant nutrients or other fertility measurement. Visit
wwwrncaar gov noMi/uyrst.htm
exchangeable acidity
boron
%•CEC occupied by basic cations
% CEC occupied by calcium
cation exchange capacity
copper index
exchangeable sodium percent
percent Humic matter
potassium index
potash
% CEC occupied by magnesium
mineral soil class
manganese
Mn-availability index for crop 1
Mn-availability index for crop 2
manganese index
mineral -organic soil class
nitrogen
sodium
nitrate nitrogen
organic soil class
current soil pH
phosphorus index
phosphate
sulfur index
soluble salt index
weight per volume
zinc availability index
zinc index

<55� Statement Page: 1
Ayden Nitrogen
4728 Old NC 11 / P.O. Box 7
Ayden, NC 28513
Phone [phone]
Conteritnea Metro Sewage Dist
Po Box 477
Grifton, NC 28530
Date Number Description / Detail
Balance Forward
PaVments
01/22/2019 1004981 Regular Payment / Cash
Payment
01/29/2019 1014967 Charge Invoice'- Due 02/28/2019
GPS Fees
Dolomitic Lime - Bulk
App Fees Materials
Current
1,858.96
Ayden Nitrogen
Statement Date: 01/31/2019
ID: 010202
Total Balance: $1,858.96
s
Amount Remitted:
Terms:
Unless otherwise agreed in writing by Harvey Fertilizer &
Gas Co, interest will accrue at a periodic rate of 1.5% per
month. To avoid additional finance charges, payments must
be in office by last day of month.
.i-------- Your Share --------- i
Quantity Price/Unit Extension / Prepaid Regular
n nn 8.00
73.620 Acre
20.326 Tons
20.320 Each
1 - 30 31 - 60 61 - 90 Over 90
0.00 0.00 0.00 0.00
8.00
-8.00
Payment Total
8.00 0.00
-8.00
8.000 /Acre
588.96
588.96
49.000 !Tons
995.68
995.68
13.500 /Each
274.32
274.32
Invoice Total
1,858.96 0.00
1,858.96
Ending Total Balances 0.00
1,858.96
Unapplied
Budget Billing Prepay
Overall
0.00
0.00 0.00
1,858.96
19�r C ju Zvi
awe
d Zo l 9
I
Date: 01/31/2019 Contentnea Metro Sewage Dist

FIR
/Ll,��/ .�+� •� "airy_„'
K•.
• :l
w
v
13n -:tsyi cross tic. ter, . Legend
4.07ItedPic. Monitor Well
The Compliance Boundary shall be
House
located 50 feet within the property line-0
' Stream
`-
or 250 feet from the edge of the
r
disposal area, whichever is closer to the
— —► Ditch
source. The Review Boundary shall be
�NetArea
located halfway in between the property
rF
line and the Compliance Boundary.
® Buffer
G_
Field Boundary
'0 150
300 600 � Pond
Feet
Scale: I inch = 300 feet
SOIL
PLUS
BUFFER MAP 19 & 20
FIGURE
CMSD CLASS B LAND APPLICATION
Drawn By: CSC
-
1
Class B Permit WQ0001048
Reviewed By:
Soil Plus Project # 200710.A10
Date: June'18

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