WQ0006906_Residual Annual Report 2018_20190212

1
Town of Taylorsville �10�
2018 Annual Report
Land Application Program
Permit No. WQ0006906
RFO=ivu)
FFB122019
DWR SECTION
WFORMATION PROCESSING UNIT

ANNUAL LAND APPLICATION CERTIFICATION FORM
WQ Permit#: Q0006906 County: Alexander Year:
Facility Name (as shown on permit): Town of Taylorsville
Land Application Operator: Southern Soil Builders, Inc. Phone.: _
Land applicatior of residuals as allowed by the permit occurred during the past calendar year?
21 Yes 0 o - If No, skip Part A, and Part B and proceed to Part C. Also, If residuals were
generated but not land applied, please attach an explanation on how the residuals were handled.
Part A - Residua s Annlientinn Cnmmnrv•
2018
336-957-7871
Total number of application fields in the permit: 7
Total number of fields utilized for land application during the year: 5
Tc tal amount of dry tons applied during the year for all application sites:
Total number of acres utilizes for land application during the year: 77.5
Part B - Annual Compiance Statement:
Facility was compliant during calendar year 2018 with all conditions of the land application permit
(including but no limited to items 1-13 below) issued by the Division of Water Resources. FI Yes LJ 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 speci lied in the permit.
3) Annual soils a ialysis were performed on each site receiving residuals during the past calendar year and three (3) copies
of laboratory r salts are attached.
4) Annual TCLP analysis (if required) was performed and three (3) copies of certified laboratory results are attached.
5) All other monitoring was performed in accordance with the permit and reported during the year as required and three
(3) copies of certified laboratory results are attached.
6) The facility did not exceed any of the Pollutant Concentration Limits in 15A NCAC 02T .1 105(a) or the Pollutant
Loading Rates in 15A NCAC 02T .1 105(b) (applicable to 40 CFR Part 503 regulated facilities).
7) All general requirements in as specified in the Land Application Permit were complied with (applicable to 40 CFR Part
503 regulatedfacilities).
8) All monitoring and reporting requirements in 15A NCAC 02T.] I I I were complied with (applicable to 40 CFR Part
503 regulated acilit]es).
9) All operations and maintenance requirements in the permit were complied with or, in the case of a deviation, prior
authorization m as received from the Division of Water Resources.
10) No contravention of Ground Water Quality Standards occurred at a monitoring wel] or explanations of violations are
attached to include appropriate actions and remediations.
1 1) Vegetative cov,r 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 - Certificai
"I certify, under f
and complete. I ar
possibility of fines
malty of law, that the above information is, to the best of my knowledge and belief, true, accurate,
aware that there are significant penalties for submitting false information, including the
nd imprisonment for knowing violations."
Permittee Name and Title
Signature of Pre
(if different from I
* Preparer is defin
on
e or print)
e
Signature of Permittee Date
Date SignatZre of Land pplier Date
nittee) (if different from Permittee and Preparer)
in 40 CFR Part 503.9 (r) and 15A NCAC 02T .1 102 (26) nFNIP PnRnn nf1r 14

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: WQ0006906
Laboratory: 1) Waypoint
Facility Name: Town of Taylorsville
2)
Residual Source WQ # or
NPDES #: 4 WQ0006906 )
)
WWTP Name: Town of Taylorsville 5)
Residual Analysis Data
Cone
Parameter Limit
(mg/kg) (mg/kg) a
nce
Sample
or Composite
Date
4-19-18
L
F-T
I
I
Percent Solids (%) NA
5.63
Arsenic 75
3
Cadmium 85
2
Copper 4,300
168
Chromium NA
13.6
Lead 840
13.5
Mercury 57
0.405
Molybdenum 75
5
Nickel
5.96
Selenium
1133700
5
Zinc
620
Total Phosphorus
8630
TKN NA
Ammonia -Nitrogen NA
3720
Nitrate and Nitrite NA
a For...surface disposal facilities the ceiling
2.43
co tr ti
1
n a on ts listed in this form are not applicable. Reference the individual permit for metals limits.
.Ay, u„uc, 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 fie information, including the possibility of fines and imprisonment for knowing violations."
g 125
Signature of Preparer *
2a/i
Date
*Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1 102 (26)

ANNUAL RESIDUAL SAMPLING SUMMARY FORM - B
Report all sampling analysis results for parameters not listed in FORM RSSF that are part of the WQ permit or were analyzed for over the past -
calendar year. Use additional forms as needed.
WQ Permit Number: WQ0006906 Laboratory: 1) Waypoint
Facility ame. I own of 1 aylorsvitle 2)
Residual Source WQ0006906 3)
NPDES # or WQ#: 4)
WWTP Name: Town of Taylorsville 5)
Residual Analysis Data
Sample or Composite Date
Parameter
(mg/kg)
4- l 9-18
Moisture
94.36
Potassium
970
EE
Sulfur
3730
Calcium
92300
Magnesium
1670
Sodium
685
Iron
5360
Aluminum
11900
Manganese _
93.4
Organic N
29980
pH
12
SAR
0.145
PAN
10856.4
"I certify, under penalty of law, that this doeament as prepared ulluer lily 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."
2-7`/9
Date
*Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1 102 (26)

Attach this
Facility Name: _
Permit #:
Operator:
Acres Used:
Residual Analvsis
ANNUAL METALS FIELD LOADING SUMMARY FORM*
m to the corresponding Field Loading Summary Form to be submitted in Annual Report
Town ofTaylorsville _Total Dry Tons Applied (Annual): 18.31
WQ0006906 Cation Exchange Capacity (non 503 only):
Carol Price Owner: Carol Price Predominant Soil Series: fB2
7 Acres Permitted: 7 — Site #: CP 01 Field #: CP 01
is lAno�,�, Aiio+.,lam .,..a m,..._1„- - •- _ - _. --
Sample or
Com-
posite
Date
4/19/18
2
3
4
- - -
5
-.—F—A
6
"0 uac
7
a g/ ftg,
81
io owlus
9
use
10
% Solids
5.63
Arsenic
3
Cadmium
2
Copper
168
Chromium
13.6
Lead
13.5
Mercury
0.405
Molyb-
denum
5
Nickel
5.96
Selenium
5
Zinc
620
Total
Phos-
horus
Anneal
8630
NPavv 1V4a+
1 "V;,,ia
r
Total
DT/Ac./
App.
Event
? j
2.62
Arsenic
0.016
Cadmium
0.010
Copper
0.879
Chromium
0.071
Lead
0.071
Mercury
6.002
Molyb-
denum
0.026
Nickel
0.031
Selenium
0.026
Zinc
3.244
Total
Phos=
45.152
- r- - _ _ ..�..5� ��K,. u�a.�u .., iubiacrel:
�I11
1 101
l 111
1 Ill
1 111
1 111
1 111
1
1
1 111
1
—
1��1�
11
1 I I I
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 1 1
1 hll
1 111
1 111
1 Ill
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1•
1�111
1 111
1 111
1 111
1 111
1 011
1 Ill
1 111
1 111
1 111
1 111
1 1
1 111
1 111
1 111
1 111
1 111
1 111
1 111
a 11 e
1 111
1 111
1 111
1 1
1�1�11
1 111
1 111
1 111
1 101
1 101
1 111
1 11/
1 Ill
1 111
1 111
1 11
1 111
1 101
1 111
1 111
1 ell
1 111
1 111
1 110
1 111
1 11
1 111
®®
1 1
1 111
l 111
1 111
1 111
1 111
1 111
1 111
1 111
MCI
1 111
1 111
1 Ill
1 111
1 111
1 111
1 111
1 111
1 11
l
1 111
1 111
1 111
1 111
1 111
1 101
1 111
1 001
1 Ile
1 11
1 111
1 101
1 111
1 011
0 111
0 111
1 111
1 111
1 111
0 111
0 11
1 111
"I certify, under Pena ty of law, that this document was prepared under my direction or supervision in accordance
with a system designe to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there re significant penalties for submitting false information, including the possibility of fines and
imprisonment for I ing violations".
Signatbre of Land A
)-7)"1-7„iC4
uate
DENR FORM MFI �F (igr)nna�

ANNUAL METALS FIELD LOADING SUMMARY FORM* '
Attach this
Facility Name:
Permit #:
Operator:
Acres Used:
rm to the corresponding Field Loading Summary Form to be submitted in Annual Report
Town of Taylorsville Total Dry Tons Applied (Annual): 32.03
WQ0006906 Cation Exchange Capacity (non 503 only):
Clyde Hendren Owner: Clyde Hendren Predominant Soil Series: PcB2
23.4 Acres Permitted: 23.4 - Site H. CH 01 Field #: CH 01.
Residual Analvsis batn fueavv Niafale .,l
Sample or?
Com-
posite
Date
J
4/19/18
z
3
a
5
.,�t�.......�
6J
u��
7
urging,
8
io 301lus
use I
9�
10
%Solif63Arseni3Cadmiu2
Coppe68
Chromium
13.6
Lead
13.5
Mercury
0.405
Molyb-
denum
5
Nickel
5.'96
Selenium
5
Zinc
620
Total
Phos-
horus
Anneal
8630
Nnavv Ma+
1 Ti{..1.1
r
Total
.• p.
Event
i `
ell:
�lll
1111
1111
1111
1111
1111
elll
1111
1111
•• +
1 01
�111
1 111
1 111
1 off
1 111
1 III
I off
1 Ill
1 111 I
••••
I�iLfi'iWLiiifl
1 �.1
e l
�I11
On
1 Ile
1 111
1 111
1 111
1 lee
1 111
1 111
I I I I
1 ell
e e 11
1 111
1 111
1 111
1 ell I
1 111
1 91 e I
•''
11
�1 1!11
1 III
1 Ill
1 III
1 I11
1 111
1 110
1 III
1 lel
. • •®���
1 11
1 1
�
1 111
11
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
l®
1®�
®�
1 111
1 111 I
1 1 .
a'b'11
1 0ll
1 III
1 111
1 101
1110
1 111
1 IIo
1 ell '
®
Total
•
o o'
••�
RoIl
ON
1 011
1 Ill
1 Ile
0 101
1 I00
1 110
1 Ile
1 lel
1 011
a 911
1 ell
a III
1 Ol0
1 le/ I
1 ell
1 110
®�
11
12
r�
O
D�
0.000
0.000
0.008
6.000
0.000
0.005
6.000
0.000
0.460
Q.00.0
0.000
0.037
0.000
0.000
0.037
0.000
0.000
0.001
Q.000
0.000
0.014
0.000
0.000
0.016
0;.0.00
0.000
0.014
0.000
0.000
1.698
horus 0 Q.000 0.000 23.629
"I certify, under Pena ty 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 kno ing violations".
- r
Signature of�LandAp er
�- 91Jb
Date
DENR FORM MFI (;F mi,)nnF�

Attach this
Facility Name: _
Permit #:
Operator:
Acres Used:
Residual Analvsis
ANNUAL METALS .FIELD LOADING SUMMARY FORM*
a to the corresponding Field Loading Summary Form to be submitted in Annual Report
Town of Taylorsville Total Dry Tons Applied (Annual): 41.20
WQ0006906 Cation Exchange Capacity (non 503 only):
Phillip Hoover Owner: Phillip Hoover Predominant Soil Series: PcB2
14.7 Acres Permitted: 14.7 Site #: PH 01 Field #: PH 01
a (HpnvV MPtale and T_+n]
Sample or
Com-
posite
Date
L11
4/19/18
Z
3
4
5
6
71j
1ll6i►69
.(1 A7V1,uJ
ubr
110111
maw rercenZ
Tr):
1.2
% Solids
5.63
Arsenic
3
Cadmium
2
Copper
168
Chromium
13.6
Lead
13.5
Mercury
0.405
Molyb-
denum
Nickel
5.96
Selenium
5
Zinc
620
Total
Phos-
horus
Anniml
8630
Nenvv MPt
1 PPtA
T
Total 1 2
DT/Ac./
App.
Event 2.80
Arsenic �0.0170.Cadmium
Copper 0.942 0.
Chromium 0.076 0.1
Lead 0.076 O.I
Mercury 0.002 W
Molyb- 0.028 0.(
denum
Nickel 0.033 0.(
Selenium 0.028 0.(
Zinc 3.476 0..(
Total
Phos- 48.380 0.(
horus
"I certify, under pena
with a system designe
I am aware that there
imprisonment for kno
-sa,'" " %,u All 1U.1. /ill's-C 1:
1 111
1 111
1 111
1 111
a 111
1 111
1 111
1 111
1 111on
ME
1 1
1 111
1 ell
1 111
1 111
1 110
1 111
1 111
1 111
1 111
1 Ill
1 111
1 101
0 119
1 110
loll
1 11
1 111
1 1
1 111
1 le
1 111
1 11
1 Ill
1 111
1 Ile
1 111
1 111
1 111
1 Ile
1 111
1 11
1 111
��
1 1
1 111
1 111
®®®®®
1 111
1 Ill
1 111
1 111
1 111
1 111
1 11
1 111
1 1
1 111
1 111
1 111
1 111
1 Ill
1 111
1 111
1 111
1 11
1 111
1 1
WIT, Me
1 110
1 111
1 111
1 111
1 Ill
1 111
a 111
1 11
1 111
0 10.000 10.000 10.000.I 0.000 10.000 0.000 0.000 0.0.00 0:000 0.000 48.380
y of law, that this document was prepared under my direction or supervision in accordance
to assure that qualified personnel properly gathered and evaluated the information submitted.
re significant penalties for submitting false information, including the possibility of fines and
ing violations".
Signature of Land Appller
uate
DENR FORM MFI RF 11919nnF�

Attach this
Facility Name:
Permit th
Operator:
Acres Used:
Residual Analvsis
ANNUAL METALS FIELD LOADING SUMMARY FORM*
n to the corresponding Field Loading Summary Form to be submitted in Annual Report
Town of Taylorsville Total Dry Tons Applied (Annual): 74.77
WQ0006906 Cation Exchange Capacity (non 503 only):
Owen Isenhour Owner: Owen Isenhour Predominant Soil! Series: CeB2
19.3 Acres Permitted: 19.3 Site #: 0801 Field #: 0801
to (Heavy Metale and Tn+.,1 ____ ___ ., ... - .. .
Sample or
Com-
posite
Date
4/19/18
2
3
_
5
....... �..
6
a--- uu uJ�.
7
111611Vj;,
8�
/U oulluJ
9
uaG
10
1<aw rercenl
11
IT):
12
% Solids
5.63
Arsenic
3
Cadmium
2
Copper
168
Chromium
13.6
Lead
13.5
Mercury
0.405
Molyb-
denum
5
Nickel
5.96
Selenium
5
Zinc
620
Total
Phos-
horuS
Annnnl
8630
FTeavv Malt
Tit
-A T
Total
LIF
L_4j5_
L8
9j
10
1 i
112
DT/Ac./
App.
0
Event
3.87
a�
Arsenic
0.023
0.)00
0:000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.023
Cadmium
0.015
0.)00
0.000
0.000
0.000
0.000
0.000
0.000
0.00.0
0.000
0.000
0.000.
0.015
Copper
1.302
0.000
0..000
0.000
0.000
0.000
0:000
0.000
0.000
0.00�0
0.000
0.000
1.302
Cliromlum
0.105
0.)00
0.000
0.000
0.000
0-000.
0.000
0.000
0.000
0.000
Q.000
0.000
O.105
Lead
0.105
0:
00 0.000 0.000
00. 0.000 0.000
0.000
0.000
0.000
0.000
0.000
0..000
0.000
0.000
0:.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.105
0.003
Mercury
Molybdenun
0.003
0.:
denum
0.039
0.
00 0.000 0.000
0.000 0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.039
0.046
Nickel
0.046
0.000
Selenium
0.039
0.000
0.000 0.0 00
00: 0.000. 0.000
0.000
0.000
0.00.0
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.0.00
0.000
0.000
0.000
0.039
4.804
Zinc 4.804 0:
Total
Phos-
hor-us
66.865 0.(00
0.000 0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
66.865
"I certify, under penalty
of law, that this document was prepared under my direction or supervision in accordance
with a system designe
I 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 knolwing
violations".
Signature of L�Applier
f -13 1,11
Date
DFNR FnRnn RAPT cP (ioionnan

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this
rorm to the corresponding Field Loading Summary Form to be submitted in
Annual Report
Facility Name:
Town of Taylorsville Total Dry Tons Applied (Annual): 22.89
Permit #:
WQ0006906 Cation Exchange Capacity (non 503 only):
Operator:
Owen Icenhour Owner: Matthew Shannon Predominant Soil Series: CeB2
Acres Used;
13.1 Acres Permitted: 13.1 Site #: 0804 Field #: 0804
Residual Analysis
1
Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
Sample or 2
3 4 5 6 7 8 9 10 11 12
Com-
posite
Date 4/19/18
% Solids
5.63
Arsenic
3
Cadmium
2
Copper
168
Chromium
13.6
- Lead
13.5
Mercury
0.405
Molyb-
denum
5
Nqiurn
.96
Sel5
Z20
Total
Phos-
8630
horus
Annual
Heavy Metal
Field Loadings (Calculated in lbs/acre):
Total
DT/Ac.%
1
2
3 4 5 6 7 8 9� 10 11 12 _
-
App.
F�
o
Event
1.75
0..000 0.000 0.000 0.000 0.000 0.000 0.00p 0.000 0.000 0. 000 0.010
Arsenic 0.010 0.(L00
Cadmium 0.007
0.000
Copper 0.58? 0.
0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.007
00 0.000
Chromium 0.048 0.000
0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.587
0.000 0.000
Lead 0.047 0.
.0.000 0.000 0.000 0.000 0.000 0.000 Q.000 0.000 0.048
00 0.000 0.000 0.000 0.000 0.000
Mercury 0.001 0.
0.000 0.000 0.000 0.000 0.000 0.047
00 0.000 0.000 0.000 0.000 0.000 0.000
Molyb-
0.000 0.000 0.000. 0.000 0.001
denum 0.017 .0.
00 0.000 0.000 0.000 , 0.000 0.000 . 0.000 0.0.00 0.000 0.000 0.000 0.017
Nickel 0.01 0.(00
Selenium 0.017 0.
0,000 0.000 0.000 0.000.___O'.000 ,0.000 0.000 0.000. 0.000 0.000 0.021
00
Zinc 2.166 0;
0.000 0.000 0:000 0.000 0.000 0`.000 0..000 0.00.0 Q.000 0.000 0.017
00 0.000 0.000
Total
0.000.0.000 0.000 0.000 0.000 0.000 0-000 0.000 2.166
30.153 0.000
I701'U
110ruS
0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0{.00(1 0.000 30.153
"I certify, under Pena
ty of law, that this document was prepared
with a system designed
under my direction or supervision in accordance
to assure that qualified
I am aware that there
personnel properly gathered and evaluated the information submitted.
are significant penalties for
imprisonment for knowing
submitting false information, including the possibility of fines and
violations".
_ t
Signature of Land Appl
147-26l
Date
nPKID Crlonn nnri nr _..,....--

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: Town ofTaylorsville
Land Owner: Phillip Hoover
WQ Permit #: WQ0006906 Field #: PH 01
Annual Dry Tons Applied: 41.2023 Site #• PH 01
Onerntor• Phillip Hoover Rredexpin2nt Soil Seriesi .,_,,, ,
Crop I Name: Fescue
Crop I Max. PAN: 194 Crop 2 Name:
Acres Utilized: 14.7
Acres Permitted: 14.7
Crop 2 Max. PAN:
°
c
Q
Volume applied
PP
(enter one) Solids/
Liquid
Cu. Yds Gallons
%
Solids
Volume
A lied er
PP P
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
(Dry,
Wet,
Moist)
Precip.
Past 24
Hrs.
inches
D
K
° _
0 o
o w
* o'
o
2
_
�, -
N'
F
�
�
w '�
0
TKN
mg/kg
z ?
^,'
o
o0 0
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
]bs/acre
( )
Name of CropType
yP
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
4-2018
175500
5.63
2.803
WQ0006906
Dry
0
s
0.5
0.3
33700
3720
2.43
60.859
NA
Fescue
0.000
0.000
0-000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.006
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0-000
0.000
0.000
0.000
0.000
0.060
Residuals Applications totals on FORM FSF supp ( attach FORM
FSF supp to this form):
TOTALS:
91
175500
As
Cd
Cu
Cr
Pb
Hg
Mo
Ni
Se
Zn I
P
60.850
0.000
Lime Applied
Annual
Ibs/acre •
0.617
0.01'l
0.942
0.076
0.076
0.002
0.628
0.033
0.028
3.476
48.380
Date
lbs/ac
Prior Years Cumulative Ibs/ac
0.287
0304
36
0.029
-0:040
34
4.034
4.976
1338
0.404
'0.490
NA
0.258
0.334
267
0.011
0.013
15
0.074
0.102
NA
0.192
0.225
374
6.855
6.883
89
98.097
161.573
2498
0
Current Cumulative lbs/ac
Permitted C. P. L. R.****
Permit PAN Limit Ist/2nd Crop
. ..
194
"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
qua lified_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, Injection/]ncorporation - 1.0
xx 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

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: Town ofTaylorsville
Land Owner: Carol Price
Acres Utilized- 7
Acres Permitted: 7
Capacity non
Crop l Name: Fescue Crop I Max. PAN: 194 Crop 2 Name:
WQ Permit #: WQ0006906 Field #: CP 01
Annual Dry Tons Applied: 18.3121 Site #• CP 01
Crop 2 Max. PAN:
�
Volume applied
pp
Volume
Residual Sources
Soil
Precip.
D
<
o
y
Z -
Nitrate
Name of Crop Type
p yp
° Y
(enter one) Solids/
%
Applied per
PP P
(NPDES #, WQ#,
Cond.
Past 24
K b
;o
w
TKN
o
and
PAN Applied
Receiving Residual
°
c 7
r)
Liquid
Solids
Acre
Fert., Animal
D
( ry'
Hrs.
o
N"
w
-
co
Nitrite
(!bs/acre)
Application
Cu. Yds Gallons
(Dry Tons/Ac)
Waste, etc)
Wet,
Moist)
inches
* '
#
0
mg/kg
mg/kg
mg/kg
Crop l
Crop 2
Crop 1
Crop 2
4-2018
78000
5.63
2.616
WQ0006906
Dry
0
s
0.5
0.3
33700
3720
2.43
56.801
NA
Fescue
0.000
0.000
0.600
0.000
-
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.600
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.060
0.000
0.000
0.000
Residuals Applications totals on FORM
FSF supp ( attach FORM
FSF supp to this form):
TOTALS: 01 78000
As
Cd
Cu
Cr
Pb
Hg
Mo
Ni
Se
Zn
P 56.801 0.000
Lime
Applied
Annuallbs/acre
0.016
0.010
0.879
0.071
0.071
0.002
0.026
0.031
0.026
3.244
45.152
Date
lbs/ac
Prior Years Cumulative lbs/ac
0.014
0.03-0
36
0.009
G.619
34
1.13
2.009
1338
0.104
0.175
NA
0.08
0.151
267
0.004
0.006 '
15
0.024
6.60
NA
0.047
6.679
374 1
0.024
0.050
89 1
2.487
5.731
2498
.....,;
10-18
1000
Current Cumulative lbs/ac
Permitted C. P. L. R.****
Permit PAN Limit lstl2nd Crop
-
.. 194
j 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_awa.re that.there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
1 a3-Jui
Signature of Lid Applier Date
*Application Method: S - Surface, IN - Injection, INC- Incorporation
**Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
*** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate

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: Town of Taylorsville WQ Permit #• WQ0006'906 Field #.
' ' CH O1 Acres Utilized: 23.4
Land Owner: Clyde Hendren Annual Dry Tons Applied: 32.0462
Site #: CH O1 Acres Permitted: 23.4
Operator: Clyde Hendren Predominant Soil e '
1,1013 Exchange Capacity non .
Crop I Name: Fescue Crop 1 Max. PAN: 194 Crop 2 Name:
Crop 2 Max. PAN:
Volume applied Volume
o
Soil
Residual Sources Precip. D o z
(enter one) Solids/ o pp p
� o /o A lied er
? Nitrate Name of Crop Type
(NPDES #, W #, Cond. Past 24 � = - PAN Applied
Q pp
ca Liquid Solids Acre
D _ TKN d and
Fert., Animal ( ry' Hrs. o CD w o (lbs/acre) Receiving Residual
Cu. Yds Gallons (Dry Tons/Ac)
Waste, etc) Wet 0' �. * ,�- Nitrite Application
4-2018 136500 5.63 1.369
Moist) inches - mg/kg mg/kg mg/kg -Crop I Crop 2 Crop 1 Crop 2
WQ0006906 Dry
0.000
0 s 0.5 0.3 33700 3720 2.43 29.7M NA Fescue
0.000
0.000 0.000
0.000
0.000 0.000
0.000
0.000 0.000
0.000
0.000 0.000
0.000
0.000 0.000
0.000
o.000 o.000
0.000
0.000 0:000
0.000
0.000 0.000
0.000
0.000 0.000
0.000
0.000 0.060
oTALs] OF
Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): 0.000 0.000
136500.. As
annuallbs/acre 0.008
Cd Cu Cr I Pb I HQ I Mo Ni I Se Zn P 29.736 0.000 Lime Applied
0.005 0.460
'rior Years Cumulative lbs/ac 0.017
0.037 1 0.037 1 0.001 0.014 0.016 0.014 1.698 23.629 Date lbs/ac
0.012 1.531 0.151
:urrent Cumulative lbs/ac 0.025
O.I 0.005 0.028 0.071 2.206 32.016 .. 0
0.017
'ermitted C. P. L. R. 36
1.991 0.188 0.137 0.006 0.042 0.087 2.220 33.714
'ermit PAN Limit Ist/2nd Crop
34 1338 NA 267 15 NA 374 89 2498
_
194
certify, under penalty of law, that this document was prepared under my direction or supervision in accordance
with a system designed to assure that
ualified personnel properly gathered and evaluated the information
iformation, including the fines
submitted. I am aware that there are significant penalties -for submitting false
possibility of
and imprisonment for knowing violations."
_ *Application Method: S - Surface, IN - Injection, INC - Incorporation
3 goi
C1 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of and Applier
Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate

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: Town ofTaylorsville
Land Owner: Owen lcenhour
WQ Permit #: WQ0006906 Field #: 08 01
Annual Dry Tons Applied: 74.7746 Site #: 08 01
Acres Utilized: 19.3
Acres Permitted: 19.3
operat !Genhew Pi edonfinant Soil Series eation Exchange eapacity (non 503).
Crop 1 Name: Fescue Crop 1 Max. PAN: 216 Crop 2 Name: Crop 2 Max. PAN:
o
a)
W
r) �
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'
Wet,
Moist)
Precip.
Past 24
Hrs.
inches
o
co
o
n -•
o
-
o
N'
F
w_ -CD
,
`D RL
TKN
mg/kg
z >
o �
°D o
g
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
pp
(Ibs/acre)
Name of Crop Type
Receiving Residual
Application
Crop I
Crop 2
Crop I
Crop 2
11-2018
318500
5.63
3.874
WQ0006906
Dry
0
s
0.5
0.3
33700
3720
2.43
84.123
NA
Fescue
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000.
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000,
0.000
0.060
0.000
0.000
Residuals Applications totals on FORM FSF supp ( attach FORM
FSF supp to this form):
TOTALS:
01
318500
.
AS
Cd
Cu
Cr
Pb
Hg
Mo
Ni
Se
Zn
P
84.123
0.000
Lime Applied
Annuallbs/acre
0.023
0.015
L302
0.105
0.105
0.003
0.039
0.046
0.039
4.804
66.865
Date
lbs/ac
Prior Years Cumulative Ibs/ac
0.295
0.318
36
0.199
0.214
34
33.127
34.429
1338
1.614
1.719
NA
2.665
2.770
267
0.178
0.181
15
0.408
0.447
NA
2.846
2.892
374 1
4.132
4.171
89
120.744
125.548
2498
0
Current Cumulative lbs/ac
Permitted C. P. L. R.****
Permit PAN Limit l st/2nd Crop
1 216
"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
1-?3-2614) **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate

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: Town ofTaylorsville
Land Owner: Matthew Shannon
Acres Utilized: 13.1
Acres Permitted: 13.1
Operator: Owen Icenhour Pxeni. �.r-Sail Seeo-es. Cam$- eatiun Exchange
Crop l Name: Fescue Crop l Max. PAN: 216 Crop 2 Name: Cron 2 Max. PAN -
WQ Permit #: WQ0006906 Field #: 08 04
Annual Dry Tons Applied: 22.8902 Site #• 08 04
�.
° y
Volume applied
Volume
Residual Sources
Soil
Precip.
D
<
o
z D
Nitrate
Name of CropType
yP
Y o
(enter one) Solids/
%
Applied per
PP P
(NPDES #, WQ#,
Cond.
Past 24
K a
T
=
TKN
o
and
PAN Applied
Receiving Residual
0
Liquid
Solids
Acre
Fert., Animal
(Dry,
Hrs_
- 'o
o
_
� N'
� w
Nitrite
(lbs/acre)
Application
Cu. Yds Gallons
(Dry Tons/Ac)
Waste, etc)Wet,
Moist)
inches
* o
*
0
0
mg/kg
�•
mg/kg
mg/kg
Crop 1
Crop 2
Crop I
Crop 2
11-2018
'
97500
5.63
1.747
WQ0006906
Dry
0
s
0.5
0.3
33700
3720
2.43
37.940
NA
Fescue
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
6.600
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.006
0.000
0.000
0.000
0.000
0.006
0.000
0.000
0.000
Residuals Applications totals on FORM
FSF supp ( attach FORM
FSF supp to this form):
TOTALS:
0 97500 .
As
Cd
Cu
Cr
Pb
H
Mo
Ni
Se
Zn
P
37.940 0.000
Lime Applied
Annuallbs/acre
0.010
0.007
0.)87
0.048
0.047
0.001
0.017
0.021
0.017
2.166
30.153
Date lbs/ac
Prior Years Cumulative lbs/ac
0.256
0.266
36
0.171
0.178
34
28.912
29.499
I338
1.185
1.233
NA
2.374
2.421
267
0.171
0.172
15
0.341
0.358
NA
2.619
2.640
374
6.273
6.290
89
135.418
137.584
2498
0
Current Cumulative lbs/ac
Permitted C. P. L. R.****
Permit PAN Limit 1st12nd Crop
It cerUly, unuer penalty of taw, tnat tnis 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..tha.t.there aresignificant-penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
/-a3--9w
Signature of Land Applier Date
*Application Method: S - Surface, IN - Injection, INC - Incorporation
**Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
*** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate

Report Number: 18-113-0209
Account Number: 46381 •
W--aypoint-
7621 Whitepine Road, Richmond, VA 23237
Main 804-743-9401 ° Fax [phone]
ANALYTICAL www.waypointanalytical.com
Send To: Southern Soil Builders
Project : Taylorsville
Dennis Key
958 Hoots Road
Roaring River, NC 28669
REPORT OFANALYSIS
Date Sampled: 4/19/2018 11:30:00 '
Lab Number: 60182
Date Received: 04/23/2018 00:00
Sample Id : Taylorsville
Date Reported: 05/04/2018
e
.
D.
ev
As
Total Solids
5.63
56300
100.0
JM
04/23/2018 15:45
SM-2540G
Moisture `
94.36
100.0
JM
04/23/2018 15:45
SM-2540G
Total Kjeldahl Nitrogen
3.37
33700
50.0
R D
04/24/2018 08:45
SM-4500-NH3C-TKN
Total Phosphorus
0.86
8630
100
SMC
04/27/2018 17:33
6010C
Total Potassium
0.10
970
100
SMC
04/26/2018 16:32
6010C
Total Sulfur
0.37
3730
100
SMC
04/26/2018 16:32
6010C
Total Calcium
9.23
92300
100
SMC
04/27/2018 17:33
6010C_
Total Magnesium
0.17
1670
100
SMC
04/26/2018 16:32
6010C
Total Sodium
0.07
685
100
SMC
04/26/2018 16:32
6010C
Total Iron
5360
100
SMC
04/26/2018 16:32
6010C
Total Aluminum
11900
100
SMC
04/26/2018 16:32
6010C
Total Manganese
93.4
5.00
SMC
04/27/2018 17:33
6010C
Total Copper
168
5.00
SMC
04/27/2018 17:33
6010C
Total Zinc
620
5.00
BKN
04/26/2018 16:32
6010C
Ammonia Nitrogen
0.37
3720
50.0
JM
04/24/2018 08:54
SM-4500-NI3C
Organic N
3.00
29980
50.0
04/24/2018 08:45
CALCULATION
Nitrate+Nitrite-N
<2.43
2.43
MMT
04/25/2018 08:33
4500NO3F-2011
All values are on a dry weight basis except as noted by
asterisk. Detection limit on all
N series is on a wet basis.
Pauric McGroary
Agronomist

Report Number: 18-113-0209
Account Number: 46381.
Waypoint0 Q)
ANALYTICAL
Send To: Southern Soil Builders Project : Taylorsville
Dennis Key
958 Hoots Road
Roaring River, NC 28669
Lab Number: 60182
Sample Id : Taylorsville
REPORT OFANALYSIS
7621 Whitepine Road, Richmond, VA 23237
Main 804-743-9401 ° Fax [phone]
www.waypointanalytical.com
Date Sampled: 4/19/2018 11:30:00
Date Received: 04/23/2018 00:00
Date Reported: 05/04/2018
Total Cadmium
<2.00
2.00
SMC
04/27/2018 17:33
6010C
Total Chromium
13.6
5.00
SMC
04/27/2018 17:33
6010C
Total Nickel
5.96
5.00
SMC
04/27/2018 17:33
6010C
Total Lead
13.5
5.00
SMC
04/27/2018 17:33
6010C
Total Arsenic
<3.00
3.00
SMC
04/27/2018 17:33
6010C
Total Mercury
0.405
0.400
SMC
04/24/2018 16:18
SW-7471 B
Total Selenium
<5.00
5.00
SMC
04/27/2018 17:33
6010C
pH '
12.0
1.0
R D
04/24/2018 08:45
9045D
Calcium Carbonate Equivalent
20.70 207000
2500
R D
04/26/2018 12:20
AOAC 955.01
Total Molybdenum
<5.00
5.00
SMC
04/27/2018 17:33
6010C
Comments:
NC CERT#257
SULFUR AND ORGANIC NITROGEN NOT FOR COMPLIANCE PURPOSES.
All values are on a dry weight basis except as noted by asterisk. Detection limit on all N series is on a wet basis. M f
Our
Pauric McGroary
Agronomist

PAN
Rate
0.3
TKN
33700
NH3
3720
NO3
2.43
NO2
0
% Solids
0.0563
tons/year
Applied on
PAN Surface
10856.43 mg/kg 121.71286 lbs/dry ton
0 Ibs total PAN
#DIV/0! jibs PAN/acre
PAN Injection
12716.43 mg/kg 25.43286 lbs/dry ton
0 1 lbs total PAN
#DIV/0! I lbs PAN/acre
Dry Tons/1000 gal.
0.234771
1st year PAN
Surface lbs.
0
1st year PAN
Injected lbs.
0
lbs./acre
Surface
#DIV/01
lbs./acre
Injected
#DIV/0!
MR(TKN-NH3)+ + .5(NH3)+NO3+NO2
mg/kg x .002
MR(TKN=NH3) +.1(NH3)+NO3+NO2
mg/kg x .002
=mg/kg
=Ibs/dry ton
=mg/kg
=Ibs/dry ton
1000 X 8.34 X %solids X sp. gravity "=dry tons/1000gal."
2000

SAR
Sodium Absorption Ratio
Na: Sodium (Mg/L) Equivalent weight: 23
Ca: Calcium (Mg/L) Equivalent weight: 20
a d I
Milli Equivalent = Mg/L / Equivalent weight
Na M /L Ca M /L M M /L
38.56 5196,49 94.02
a
a
1.676522
259.8245
1 7.835
SAR= Na Milli Equivalent/[0.5 X (Ca Milli Equivalent + Mg Milli equivalent)]0.5 power
SAR = 0.144922 (From Mg/L entered above)
SAR= 0.145222 (From ME entered below)
Na (ME)
Ca (ME)
M ME
1.68
1 259.82
1 7.84
The amount of exchangeable sodium ions vei
amount of exchangeable calcium & magnesiu
Permitting guidance is if greater than 10 requi

a
• wM
m
0
>.
w
0
C
f2
(0
O
CO
CO
N
C
ca
Project: 'Toren of T
D att.
Gallons per.& hemp.
Mad
�Z�oo� /3•s �' /
Notes;
Operator:
Lime Stabilization
WWi'P location: D I
Date-,
Time: 1Y} 0-7 Time: l0 c7
I t. CarilRted 'Qme temp aver Coph 8 tempo .er r-acted
PH Added 2 hours N 1.22 hours H
auo T7 WIMIRMUM
�thl pH taken immediately after he addition.
• pH,raadings taken with an approved toly sodium glass 010011rode probo. pH Meter was caHibrated to a pH of 10 prior to sampling,
116 "nimilin
auo T7 WIMIRMUM
�thl pH taken immediately after he addition.
• pH,raadings taken with an approved toly sodium glass 010011rode probo. pH Meter was caHibrated to a pH of 10 prior to sampling,
116 "nimilin

co
Q
,V
r`
0
N
N
Q�
c�
co
N
co
D
I
pragea:t:
O,wn Of Ts
Lime Stabilization
WWTP Lne�ti
Late; 1 Date: i .W... �"'"
`lflme: flea z� _.., mate; t L6 !�_
Tirris: Time: j/o 0
Gallons p .` I 3e p t.rractad
8 : _ �N ii �L10�3 qi P +"tlri � h t mp. & (d' �.orrectm
--�,R._ J8dd0d 2 hours hours
h
l3� �z�.� G„� l3,a�» l6 °4 /Z"I y l�.-&a
S03 Flequtra,nw,t,�; 12 MIn�&nrlr t f 6 hAlnlmu,n
Notes:
~ Stnrt pH taken immediately after 4me addition,
• pH. reed>ngs taken wflh an approved low sodium glans olcotrodo probe. PH Meter wrla eaHtbreted to a pll of 1 o prior to $ainpling.
operator:

.10
0) .,
0
N
N
co
N
00
a
n
D
a,
v
Project; TOWn of %
Date:
Lime St8biiization
_WWTP Locati
Date: i zS-j/
Time: O U
2—
Date: / z ,
,nmet d �O �]
-• 2 hours H 22 hour4
s H
3v" o1/3,15/Yl/ -,-
_ . �s- G . IZ..G S /.7 jx, ��
5M Heyulrements: i7 lulnlroum t 15 MWInum
Sti�rt pH taken immedldl* after lirtia addition,
• pl-1•readin9s taken wish an approved low sodium glass olootmda probo, pH Meter was caNlbrated to a pH of tq prior to sampling,
Operator,- `

r
Q
:y
01
r .
0
N
N
cf)
co
CV
00
m
Rrojao#;
Lime Stabilization
'Town of 7avlearst'Ume wwrp I if,.%At1rV%.
Date:
iinte: I e o v
©ate: x1 y bate; (LZ 11
0 lone
p'- p. III.
rrrected
o p & Temp aftbi Caffe-oted nth $ temp. aftr Uorrected
gao�o
StanpH
/3.0 l�°�
lZ •��-
Added
'fGo�G,.+-
2 hours
f2.t; l b��
N2
1Z. 5"
hours
`14�`'`
I i
f2.z6
...,...,qy.--f.,n. tG IWliilfiliilii 115 MWMIInl
Noes:
St rt pH laken Immediately after lime addition,
• PH,roedings taken with en approved low sodluM glass otaolmdo probe. pH Meter was callibreted to a pH of to prior to stunpling,
Operator:
I

n 1-11v"JW'N AMU vECTUR ATTRACTION REDUCTION FORM (02T Rules)
Facility Name: 'Town of Taylorsville WQ Permit Number: WQ0006906
WWTP Name: Town of Taylorsville
NPDES Number: NC0026271
Monitoring Period: From 1/1/2018 To 12/31/2018
Pathogen Reduction (15A NCAC 02T .1106) - Please indicate level achieved and alternative performed:
Class A: Alt. A (time/teirip) ❑ Alt B (Alk Treatment)[] Alt. C (Prior Testing)❑
A1t.D (No Prior Test) ® Process to Further Reduce Pathogengs ❑
If applicable to alternative per (Class A only) indicate "Process to Further Reduce Pathogens":
Compost ❑ Heat Drying ❑. He
Beta Ray ❑ Gamma Ray Q P&
Class B: Alt. (1) Fecal Density ❑ Alt. (2) P
If applicable to alternative performed (Class B only) indi
Lime Stabilization ✓❑ Air Drying v❑
Anaerobic Digestion ❑
If applicable to alternative performed -(Class A or Cl
Parameter Allowable Level Pathogen
in Sludge Minimu Geo. Mean
2 x 10 to the MPN
6th power
per gram of
Fecal Coliform total solids CFU
1000 mpn per gram
of total solid (dry
Salmonella bacteria 3 MPN per 4 grams
(in lieu of fecal total solid (dry
coliform weight)
Vector Attraction Reduction (15A NCAC 02T 1107)
at Treatment ❑ Thermophilic ❑
asteurization ❑
rocess to Significantly Reduce Pathogens R1
cate
ass
-Pleas
"Process to Significantly Reduce Pathogens', -
Coin posting ©
Aerobic Digestion ❑
B) complete the following monitoring data:
Density
Units
Number o
Excee-Maximu
d nc s
Frequency
of Analysis
Sample
T e
Type
na ytica
n' e
d'
e m icate alternative performed:
Alt.1 (VS reduction) ❑ Alt. 2 (40-day bench) . ❑ Alt. 3 30-da
( Y bench) ❑ 1Alt. 4 (Spec. Oz uptake) ❑
Alt. 5 (14-Day Aerobic) ❑ Alt. 6 (Alk. Stabilization ❑ Alt 7 (Drying - Stable
Alt. 9 Injection ) ❑ Alt. 8 (Drying - Unstable) ❑
(Injection) ) ❑ Alt. 10 (Incorporation) ❑ No vector attraction reduction alternatives were performed ❑
CERTIFICATION STATEMENT (please check the appropriate statement)
Rl "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 penallties for fa se certification including fine and imprisonment."
Dennis Key Southern Soil Builders, Inc.
Preparer Name and Titl (type or print) Land Applier Name and Title (if applicable)(type or print)
IIA11.1 � - 1-7 15
Signature of Preparer* Date Sign ure of Lai d�Appri�erffa licable 1 �I_a vi
PP ) Date
*Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .l 102 (26)
DENR FORM PVRF 02T (12/2006)

NCDA&CS Agronomic Division Phone: [phone] Website: www.ncagr.gov/agronomi/ Report No. FY19-SL008253
rY"•"U ` , :' Predictive Client: Phillip Hoover Advisor: Zach Key
37 Carolina Lane Southern Soil Builders, Inc.
Mehlich-3 Extraction Taylorsville, NC 28681 958 Hoots Rd
tf'S " oil Report
Assi Roaring River, NC 28669
Sampled Count': Alexander
Links to Helpful Information Sampled: 10/08/2018
Received: 10/15/2018
Farm: Not Provided Completed: 10/2612018 Client ID: 438308 Advisor ID: 231531
Sample ID: PHI Recommendations: Lime Nutrients (lb/acre) More
. _,. ICU B „ ,...., :ice
Lime History: 1 -Fescue/OGrass/Tim, M 0.0 120-200 0 50 0 0 pH$ 0 0 0 Note: 12 Note: $
2 - 0.0
Test Results [units - WN in g/cmit; CEC and Na in meq/100 cm3; NO3-N in mg/dO]: Soil Class: Mineral
HM % WN CEC BS % Ac pH P-1 K-1 Ca % Mg% S-1 Mn-1 Mn-All Mn-Al2 Zn-I Zn-AI Cu-1 Na ESP SS-1 NO3-N
0.32 0.96 17.7 99 0.2 7.3 108 44 89 9 46 153 89 524 524 436 0.1 1
North Carolina 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.
Tobacco Trust Fund Commission - Steve Troxler, Commissioner of Agriculture

NCDABCS Agronomic Division Phone: [phone] Website: www.nca,
No.FY19-SL008392
'••
Predictive
Client:
Carol Price Advisor:
912 Boston Rd
Zach Key
Southern Soil Builders, Inc.
r I x
{ � "
��++
�7 o i l Re ®f" t
Mehlich-3 Extraction
Taylorsville, NC 28681
958 Hoots Rd
Roaring River, NC 28669
Nip` -"'
Links to Helpful Information
Sampled: 10/08/2018
Sampled County: Alexander
Received: 10117/2018
Farm: Not Provided
Completed: 10/26/2018
Client ID: 448752
Advisor ID: 231531
Sample 1D: CP1
Recommendations:
Lime
Nutrients (lb/acre)
More
Crop
tonslacre
B
Lime History:
1-Fescue/OGrass/Tim, M
0.4 120-200 0
80 0 0 0 0
..0
0 0
1wormarion
Note: 12
2 -
0.0
Test Results [units - WN in g/cnr ; CEC and Na in meq/100 cnr ; NO3-N in mgldrn;):
Soil Class: Mineral
HM % WN
CEC BS% Ac pH
P-1 K-1 Ca % Mg %
S-1 Mn-I Mn-All Mn-Al2 Zn-I Zn-AI
Cu-1 Na ESP SS-1 NO3-N
0.32 1.11
6.0 73 1.6 5.8
77 29 59 12
40 126 93 136 136
176 0.1 2
North Carolina Reprogramming of the laboratory -information -management system that makes this report possible is
beinq funded through a qrant from the North Carolina Tobacco Trust Fund Commission.
Thank you for using agronomic services to manage nutrients and safeguard environmental quality.
Tobacco Trust Fund Commission - Steve Troxler, Commissioner of Agriculture

NCDA&CS Agronomic Division Phone: [phone] Website: www.ncagr.gov/agronomi/ Report No. FY19-SL008250
Predictive
Client:
Clyde Hendren Advisor:
Zach Key
qq
PO Box 732
Southern Soil Builders, Inc.
} ���'
rT
'a
Soil Report
Mehlich-3 Extraction
Ta Iorsville,N 2
y C 8681
958 Hoots Rd
W.
Roaring River, NC 28669
Si
�
Links to Helpful Information
Sampled: 10/08/2018
Sampled County: Alexander
Received: 10/15/2018
Farm: Not Provided
Completed: 10/26/2018
Client 1D: 438306
Advisor ID: 231531
Sample ID: CH1
Recommendations:
Lime
Nutrients (Ib/acre)
More
K r
mtorma wn
Lime History:
1 -Fescue/OGrassrrim, M
0.0 120-200 50
60 0 0 pH$ 0
0 0
Note: 12 Note:
2 -
0.0
Test Results [units - WN in g/cm3; CEC and Na in meq/100 cm;; NO3-N in mg/dry]:
Soil Class: Mineral
HM% WN
CEC BS% Ac pH
P-1 K-1 Ca% Mg%
S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI
Cu-I Na ESP SS-1 NO3-N
0.46 0.99
12.6 97 0.4 7.2
37 39 8 i 14
37 70 41 178 178
164 0.1 1
North Carolina Reprogramming of the laboratory -information. -management system that makes this report possible is
beinq funded through a qrant from the North Carolina Tobacco Trust Fund Commission.
i
Thank you for using agronomic services to manage nutrients and safeguard environmental quality.
Tobacco Trust Fund commission - Steve Troxlerr, Commissioner of Agriculture

Page 1 of 1
Report Number: 19-002-0676
Account Number:4638.1
Send To: Southern Soil Builders
Dennis Key
958 Hoots Road
Roaring River NC 28669
Wax1point ...
ANALYTICAL
"Every acre... Every year. " M
7621 Whitepine Road, Richmond, VA 23237
Main 804-743-9401 0 Fax [phone]
www.waypointanalytical.com
Grower: Owen Icenhour
SOIL ANALYSIS REPORT Analytical Method(s): Mehlich 3 SMP Buffer off Loss On Ignition Water off
Date Received: 01/02/2019 Date Of Analvsis- m/n:i/gnt4 n�fo of Ro. —+- n, rnornnin
FSample ID
Lab
OM
W/V
ENR
Phosphorus
Potassium
Magnesium
Calcium
Sodium
pH
eD
Number
%
$Oil
lbs/A
M3
K
Mg
Ca
Na
Soil
Buffer
Rate
Class
ppm Rate
ppm Rate
pp m Rate
ppm Rate
ppm Rate
ppm Rate
ppm Rate
PH
Index
08-01
13961
12.9
150
675 VH
86 L
192 VL
6728 VH
25 VL
7.3
M-O
VH
NC = 562
NC = 44
"
08-04
13962
6.9
150
310 V-1
266 VH
103 VL
3656 VH
19 VL
7.5
MIN
H
NC = 258
NC = 136
e ID
Percent Base Saturation
Nitrate
Sulfur
Zinc
Manganese
Iron
Copper
Boron
Soluble salts
D
Fel
K
Mg
Ca
Na
H
NO3 N
S
Zn
Mn
Fe
Cu
B
SS
%
%
%
%
%
ppm Rate
ppm Rate
ppm Rate
ppm Rate
ppm Rate
ppm Rate
ppm Rate
ms/cm Rate
08-01
0.6
4.5
94.5
0.3
0.0
35 H
42.6 VH
18 M
175 VH
17.4 VH
1.1 M
NC=73
NC=1065.0
NC=113
NC=870.0
08-04
3.4
4.3
91.9
0.4
0.0
30 H
27.0 VH
19 M
171 VH
13.9 VH
0.9 M
NC = 62
NC = 675.0
NC = 119
1
NC = 695.0
Acidity I C.E.0
H
meq/100g meq/100g
0.01 35.6
xN,cua;ivn v- sy,nuuis: r ,perceni), ppm (p2 is per million), Ibs/A This report applies to sample(s) tested. Samples are retained a
soil. Rating after each value: V� (Very Low), L (Low), M (Medium), (pounds per acre), ms/cm (milli -mhos per centimeter), meq/1 OOg maximum of thirty days after testing.
H (iigh), VH (Very Righ). ENR - Estima!ed Nitrogen Release. (milli -equivalent per 100 grams). Conversions: ^^m x 2 = ibs/A, Soluble by: ? W« G �
C.E.C. - Cation Exchange Capacity. Salts ms/cm x 640 = ppm. Analysis prepared by: WaypcintAnalytical Virginia, Inc.
Pauric McGroary

E" .
Lime stabilization
W1 sylooe WIjVIfP
Location:
Date:
Date: wfu �T
Mite; /0- b
M
Operatow:
Maul Added 2 ho .-P v Uvou W
U115 22 P hours
/3,01 dy
9(33
FIeqWremvnI,--,: IP. NInImign 115 Minlirmin
Pthrt pH taken irnmedlately after lime addition,
pill.roadings taken with an approved low sodium ,glade olo'cirodo probe, pH Motor waa callibveted to g.j pl-I cjf W prior to sampling.
L:>