WQ0011260_Staff Report_20190613

State of North Carolina
Department of Environmental Quality
Division of Water Resources

Water Quality Permitting
Regional Staff Report

FORM: APSRSR 04-10 Page 1 of 4
June 12, 2019

To: DWR Water Quality Permitting Section Central Office Application No.: WQ0011260
Attn: Ranveer Katyal Regional Login No.:

From: Bev Price
Asheville Regional Office
I. GENERAL SITE VISIT INFORMATION
1. Was a site visit conducted? Yes or No
a. Date of site visit: 1-28-19 CEI & 6-7-19 CEIARR (No site visit)
b. Site visit conducted by: Bev Price & Mikal Willmer
c. Inspection report attached? Yes or No
d. Person contacted: and their contact information: Tony West, ORC 828-668-4561
e. Driving directions: From ARO: I-40 E to Exit 72. Continue on Hwy. 70 to Collins & Aikman. Right at Collins
& Aikman and follow paved road around behind C&A until you come to WWTP.
II. PROPOSED FACILITIES FOR NEW AND MODIFICATION APPLICATIONS
1. Facility Classification: (Please attach completed rating sheet to be attached to issued permit)
2. Are the new treatment facilities adequate for the type of waste and disposal system? Yes or No
If no, explain:
3. Are site conditions (soils, depth to water table, etc) consistent with the submitted reports? Yes No N/A
If no, please explain:
4. Do the plans and site map represent the actual site (property lines, wells, etc.)? Yes No N/A
If no, please explain:
5. Is the proposed residuals management plan adequate? Yes No N/A
If no, please explain:
6. Are the proposed application rates (e.g., hydraulic, nutrient) acceptable? Yes No N/A
If no, please explain:
7. Are there any setback conflicts for proposed treatment, storage and disposal sites? Yes or No
If yes, attach a map showing conflict areas.
8. Is the proposed or existing groundwater monitoring program adequate? Yes No N/A
If no, explain and recommend any changes to the groundwater monitoring program:
9. For residuals, will seasonal or other restrictions be required? Yes No N/A
If yes, attach list of sites with restrictions (Certification B)

DocuSign Envelope ID: 05EBEE74-CC35-460F-8C16-DD6DB14BD198
FORM: APSRSR 04-10 Page 2 of 4
III. EXISTING FACILITIES FOR MODIFICATION AND RENEWAL APPLICATIONS
1. Are there appropriately certified Operators in Charge (ORCs) for the facility? Yes No N/A
ORC: Certificate #: Backup ORC: Certificate #:
2. Are the design, maintenance and operation of the treatment facilities adequate for the type of waste and disposal
system? Yes or No
If no, please explain:
3. Are the site conditions (e.g., soils, topography, depth to water table, etc) maintained appropriately and adequately
assimilating the waste? Yes or No NE – Class A Fields
If no, please explain:
4. Has the site changed in any way that may affect the permit (e.g., drainage added, new wells inside the compliance
boundary, new development, etc.)? Yes or No
If yes, please explain:
5. Is the residuals management plan adequate? Yes or No
If no, please explain:
6. Are the existing application rates (e.g., hydraulic, nutrient) still acceptable? Yes or No
If no, please explain: Application rates would vary depending on crop and soil type; fields are not permitted as
this is a Class A permit.
7. Is the existing groundwater monitoring program adequate? Yes No N/A
If no, explain and recommend any changes to the groundwater monitoring program:
8. Are there any setback conflicts for existing treatment, storage and disposal sites? Yes or No
If yes, attach a map showing conflict areas.
9. Is the description of the facilities as written in the existing permit correct? Yes or No
If no, please explain:
10. Were monitoring wells properly constructed and located? Yes No N/A
If no, please explain:
11. Are the monitoring well coordinates correct in BIMS? Yes No N/A
If no, please complete the following (expand table if necessary):
Monitoring Well Latitude Longitude
○ ′ ″ - ○ ′ ″
○ ′ ″ - ○ ′ ″
○ ′ ″ - ○ ′ ″
○ ′ ″ - ○ ′ ″
○ ′ ″ - ○ ′ ″
12. Has a review of all self-monitoring data been conducted (e.g., NDMR, NDAR, GW)? Yes or No
Please summarize any findings resulting from this review:
13. Are there any permit changes needed in order to address ongoing BIMS violations? Yes or No
If yes, please explain:
14. Check all that apply:
No compliance issues Current enforcement action(s) Currently under JOC
Notice(s) of violation Currently under SOC Currently under moratorium
Please explain and attach any documents that may help clarify answer/comments (i.e., NOV, NOD, etc.)
15. Have all compliance dates/conditions in the existing permit been satisfied? Yes No N/A
If no, please explain:
DocuSign Envelope ID: 05EBEE74-CC35-460F-8C16-DD6DB14BD198
FORM: APSRSR 04-10 Page 3 of 4
16. Are there any issues related to compliance/enforcement that should be resolved before issuing this permit?
Yes No N/A
If yes, please explain:
IV. REGIONAL OFFICE RECOMMENDATIONS
1. Do you foresee any problems with issuance/renewal of this permit? Yes or No
If yes, please explain:
2. List any items that you would like APS Central Office to obtain through an additional information request:
Item Reason

3. List specific permit conditions recommended to be removed from the permit when issued:
Condition Reason

4. List specific special conditions or compliance schedules recommended to be included in the permit when issued:
Condition Reason

5. Recommendation: Hold, pending receipt and review of additional information by regional office
Hold, pending review of draft permit by regional office
Issue upon receipt of needed additional information
Issue
Deny (Please state reasons: )
6. Signature of report preparer:
Signature of APS regional supervisor:
Date:
V. ADDITIONAL REGIONAL STAFF REVIEW ITEMS
Recommend adding information on the cover page regarding compliance with CFR Part 261.
DocuSign Envelope ID: 05EBEE74-CC35-460F-8C16-DD6DB14BD198
6/13/2019
FORM: APSRSR 04-10 Page 4 of 4
Corrosivity: 40 CFR 261.22 states: a) A solid waste exhibits the characteristic of corrosivity if a
representative sample of the waste has either of the following properties:
(1) It is aqueous and has a pH less than or equal to 2 or greater than or equal to 12.5, as determined by a pH
meter using Method 9040C in “Test Methods for Evaluating Solid Waste, Physical/Chemical Methods,” EPA
Publication SW-846, as incorporated by reference in §260.11 of this chapter.
(2) It is a liquid and corrodes steel (SAE 1020) at a rate greater than 6.35 mm (0.250 inch) per year at a test
temperature of 55 °C (130 °F) as determined by Method 1110A in “Test Methods for Evaluating Solid Waste,
Physical/Chemical Methods,” EPA Publication SW-846, and as incorporated by reference in §260.11 of this
chapter.
A solid waste is classified as aqueous if the moisture content is ≥ 20% moisture (see SW-846 Method 9040
C). RCRA only addresses aqueous solid wastes under characteristics of corrosivity. This does not apply to
facilities with total solids >80%. Can this be clarified within their renewed permit (i.e. should they be required
to report a corrosivity since 261.22 of RCRA does not yet apply to solids)?
Reactivity: Per EPA FAQ regarding Hazardous Waste Characteristics there are no specific methods currently
available for reactive cyanide and reactive sulfide for reactivity characteristic determination. Such guidance
and methods used to exist, including regulatory thresholds, but the methods were removed from SW-846 in
1998 due to a variety of issues (e.g., the tests worked well with pure compounds, but failed with waste
mixtures such that results were very unreliable). Additionally, the FAQ indicates the following is an
acceptable method for determining reactivity: a descriptive definition of reactivity for cyanide and sulfide
wastes and depends on the generator's knowledge of their waste stream to classify it as a D003 waste, without
the benefit of a characteristic test. Can this be clarified within their renewed permit (i.e. a narrative
description of the wastes reactivity characteristics is acceptable)?

DocuSign Envelope ID: 05EBEE74-CC35-460F-8C16-DD6DB14BD198
DocuSign Envelope ID: 05EBEE74-CC35-460F-8C16-DD6DB14BD198

June 13, 2019

Rick Hensley, Mayor
Town of Old Fort
38 Catawba Avenue
Old Fort NC 28762

SUBJECT: Compliance Inspection Report
Annual Report (2018) Review
Town of Old Fort Class A Wastewater Residuals Distribution Program
Non-discharge Permit No. WQ0011260
McDowell County

Dear Permittee:

The North Carolina Division of Water Resources conducted an inspection of the Town of Old Fort Class
A Wastewater Residuals Distribution Program on 6/07/2019. This inspection was conducted to verify
that the facility is operating in compliance with the conditions and limitations specified in Non-discharge
Permit No. WQ0011260. The findings and comments noted during this inspection are provided in the
enclosed copy of the inspection report entitled "Compliance Inspection Report".

There were no significant issues or findings noted during the inspection and therefore, a response to this
inspection report is not required.

If you should have any questions, please do not hesitate to contact me at 828-296-4500 or via email at
[e-mail].

Sincerely,

Beverly Price, Environmental Specialist II
Water Quality Regional Operations Section
Asheville Regional Office
Division of Water Resources, NCDEQ

ATTACHMENTS: Inspection Report

Ec: Tony West, WWTP ORC
WQS ARO Server
LF
G:\WR\WQ\McDowell\Wastewater\Non-discharge\Town of Old Fort\Inspections\June 7, 2019 CEIARR\20190613_WQ0011260_CEIARR
DocuSign Envelope ID: 05EBEE74-CC35-460F-8C16-DD6DB14BD198
Compliance Inspection Report
Permit:WQ0011260 Effective:02/01/15 Expiration:01/31/20 Owner :Town of Old Fort
SOC:
Contact Person:
Region:
County:
Directions to Facility:
McDowell
Asheville
Anthony Glenn West
Effective:Expiration:Facility:Town of Old Fort Class A Wastewater Residuals Distribution Program
US 70
Old Fort NC 28762
Title:Phone:[phone]ORC
From ARO: Take I-40 East to Exit 72 (Old Fort/Hwy. 70 E.) Continue on Hwy. 70 E. to Collins & Aikman. Turn right at Collins &
Aikman and follow paved road around behind C&A until you come to WWTP.
Secondary ORC(s):
Phone:Certification:Primary ORC:
System Classifications:
24 hour contact name Anthony West 828-668-4561
On-Site Representative(s):
Related Permits:
NC0021229 Town of Old Fort - Old Fort WWTP
Secondary Inspector(s):
Primary Inspector:
Inspection Date:Exit Time:Entry Time:
Phone:
06/07/2019 09:00AM 10:00AM
Beverly Price 828-296-4500
Facility Status:
Permit Inspection Type:
Reason for Inspection:Inspection Type:
Not CompliantCompliant
Routine
Distribution of Residual Solids (503)
Annual Report Review
Question Areas:
Miscellaneous Questions Record Keeping Treatment
Pathogen and Vector Attraction Storage
(See attachment summary)
Page 1 of 4
DocuSign Envelope ID: 05EBEE74-CC35-460F-8C16-DD6DB14BD198
Inspection Date:
Permit:
Inspection Type :
Owner - Facility:
Reason for Visit:
WQ0011260
06/07/2019 Annual Report Review
Town of Old Fort
Routine
Inspection Summary:
The 2018 Annual Report Review was conducted by Bev Price of the Asheville Regional Office.
The facility is permitted to distribute 180 dry tons of residuals per year. 9.41 dry tons were produced in 2018 and 26.71 dry
tons were distributed. Residuals distributed in 2018 were produced in 2017.
The residuals analysis was conducted as required by the permit. Metals were within ceiling and monthly average
concentration limits.
Pathogen Reduction: Fecal coliform density was met – all seven samples were below 1000 MPN/gram of total solids. PFRP
Alternative 5 – Pasteurization temperatures were documented at 158 deg F or greater for at least 30 minutes.
Vector Attraction Reduction: Alternative 6 Alkaline Stabilization: Temperature corrected pH was documented at 12 or
greater for at least 2 hours and 11.5 after 22 additional hours.
TCLP is required once per permit cycle. The TCLP was last performed in 2015.
The Town distributes all residuals using their own equipment. Hauling records were included. Documentation of site/field
inspections was included.
According to the WWTP ORC, residuals were not processed from June 2018 – December 2018 due to problems with the
electrical control panel on the lime/sludge handling equipment. Activated sludge was held in the WWTP EQ basin and
during that period.
Page 2 of 4
DocuSign Envelope ID: 05EBEE74-CC35-460F-8C16-DD6DB14BD198
Inspection Date:
Permit:
Inspection Type :
Owner - Facility:
Reason for Visit:
WQ0011260
06/07/2019 Annual Report Review
Town of Old Fort
Routine
Type Yes No NA NE
Land Application
Distribution and Marketing
Record Keeping Yes No NA NE
Is GW monitoring being conducted, if required?
Are GW samples from all MWs sampled for all required parameters?
Are there any GW quality violations?
Is GW-59A certification form completed for facility?
Is a copy of current permit on-site?
Are current metals and nutrient analysis available?
Are nutrient and metal loading calculating most limiting parameters?
a. TCLP analysis?
b. SSFA (Standard Soil Fertility Analysis)?
Are PAN balances being maintained?
Are PAN balances within permit limits?
Has land application equipment been calibrated?
Are there pH records for alkaline stabilization?
Are there pH records for the land application site?
Are nutrient/crop removal practices in place?
Do lab sheets support data reported on Residual Analysis Summary?
Are hauling records available?
Are hauling records maintained and up-to-date?
# Has permittee been free of public complaints in last 12 months?
Has application occurred during Seasonal Restriction window?
Metals/nutrient analyses are for the 2018 distributions, howerever the analyses were conducted
in December 2017.
Comment:
Pathogen and Vector Attraction Yes No NA NE
a. Fecal coliform SM 9221 E (Class A or B)
Class A, all test must be <1000 MPN/dry gram
Geometric mean of 7 samples per monitoring period for class B<2.0*10E6 CFU/dry gram
Fecal coliform SM 9222 D (Class B only)
Geometric mean of 7 samples per monitoring period for class B<2.0*10E6 CFU/dry gram
b. pH records for alkaline stabilization (Class A)
c. pH records for alkaline stabilization (Class B)
Temperature corrected
Page 3 of 4
DocuSign Envelope ID: 05EBEE74-CC35-460F-8C16-DD6DB14BD198
Inspection Date:
Permit:
Inspection Type :
Owner - Facility:
Reason for Visit:
WQ0011260
06/07/2019 Annual Report Review
Town of Old Fort
Routine
d. Salmonella (Class A, all test must be < 3MPN/4 gram day)
e. Time/Temp on:
Digester (MCRT)
Compost
Class A lime stabilization
f. Volatile Solids Calculations
g. Bench-top Aerobic/Anaerobic digestion results
Comment:
Treatment Yes No NA NE
Check all that apply
Aerobic Digestion
Anaerobic Digestion
Alkaline Pasteurization (Class A)
Alkaline Stabilization (Class B)
Compost
Drying Beds
Other
Sludge aerated holding tanks (2)
Belt-press
RDP Lime pasteurization vessel
Comment:
Page 4 of 4
DocuSign Envelope ID: 05EBEE74-CC35-460F-8C16-DD6DB14BD198
Certificate Of Completion
Envelope Id: 83BD21ED64B249239A8E906FE6C0164F Status: Completed
Subject: Please DocuSign: 20190613_WQ0011260_CEIARR.docx, 20190613_WQ0011260_CEIARR_Draft INSP.pdf
Source Envelope:
Document Pages: 5 Signatures: 1 Envelope Originator:
Certificate Pages: 1 Initials: 1 Beverly Price
AutoNav: Disabled
EnvelopeId Stamping: Disabled
Time Zone: (UTC-08:00) Pacific Time (US & Canada)
217 W. Jones Street
Raleigh, NC 27699
[e-mail]
IP Address: 149.168.204.10
Record Tracking
Status: Original
6/13/2019 8:14:47 AM
Holder: Beverly Price
[e-mail]
Location: DocuSign
Signer Events Signature Timestamp
Beverly Price
[e-mail]
North Carolina Department of Environmental Quality
Security Level: Email, Account Authentication
(None)Signature Adoption: Pre-selected Style
Using IP Address: 149.168.204.10
Sent: 6/13/2019 8:16:57 AM
Viewed: 6/13/2019 8:17:06 AM
Signed: 6/13/2019 8:17:39 AM
Freeform Signing
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
In Person Signer Events Signature Timestamp
Editor Delivery Events Status Timestamp
Agent Delivery Events Status Timestamp
Intermediary Delivery Events Status Timestamp
Certified Delivery Events Status Timestamp
Carbon Copy Events Status Timestamp
Witness Events Signature Timestamp
Notary Events Signature Timestamp
Envelope Summary Events Status Timestamps
Envelope Sent Hashed/Encrypted 6/13/2019 8:16:57 AM
Certified Delivered Security Checked 6/13/2019 8:17:06 AM
Signing Complete Security Checked 6/13/2019 8:17:39 AM
Completed Security Checked 6/13/2019 8:17:39 AM
Payment Events Status Timestamps
DocuSign Envelope ID: 05EBEE74-CC35-460F-8C16-DD6DB14BD198

February 28, 2019

Rick Hensley, Mayor
Town of Old Fort
38 Catawba Avenue
Old Fort, NC 28762

SUBJECT: Compliance Inspection Report
Town of Old Fort Class A Wastewater Residuals Distribution Program
Non-discharge Permit No. WQ0011260
McDowell County

Dear Permittee:

The North Carolina Division of Water Resources conducted an inspection of the Town of Old Fort Class
A Wastewater Residuals Distribution Program on 1/28/2019. This inspection was conducted to verify
that the facility is operating in compliance with the conditions and limitations specified in Non-discharge
Permit No. WQ0011260. The findings and comments noted during this inspection are provided in the
enclosed copy of the inspection report entitled "Compliance Inspection Report".

The following item was noted during the inspection:

A copy of the permit and the Operation & Maintenance Plan should be on-site during land application events
performed by the Town.

DocuSign Envelope ID: 63883E32-DC9E-4EEC-BE7A-2CC1B0250653DocuSign Envelope ID: 05EBEE74-CC35-460F-8C16-DD6DB14BD198

If you should have any questions, please do not hesitate to contact me at 828-296-4500 or via email at
[e-mail].

Sincerely,

Beverly Price, Environmental Specialist II
Water Quality Regional Operations Section
Asheville Regional Office
Division of Water Resources, NCDEQ

ATTACHMENTS: Inspection Report

Ec: WQS ARO Server
LF

G:\WR\WQ\McDowell\Wastewater\Non-discharge\Town of Old Fort\Inspections\20190228_WQ0011260_CEI
DocuSign Envelope ID: 63883E32-DC9E-4EEC-BE7A-2CC1B0250653DocuSign Envelope ID: 05EBEE74-CC35-460F-8C16-DD6DB14BD198
Compliance Inspection Report
Permit:WQ0011260 Effective:02/01/15 Expiration:01/31/20 Owner :Town of Old Fort
SOC:
Contact Person:
Region:
County:
Directions to Facility:
McDowell
Asheville
Anthony Glenn West
Effective:Expiration:Facility:Town of Old Fort Class A Wastewater Residuals Distribution Program
US 70
Old Fort NC 28762
Title:Phone:[phone]ORC
From ARO: Take I-40 East to Exit 72 (Old Fort/Hwy. 70 E.) Continue on Hwy. 70 E. to Collins & Aikman. Turn right at Collins &
Aikman and follow paved road around behind C&A until you come to WWTP.
Secondary ORC(s):
Phone:Certification:Primary ORC:
System Classifications:
24 hour contact name Anthony Glenn West 828-668-4561
On-site representative Anthony Glenn West 828-652-8843
On-Site Representative(s):
Related Permits:
NC0021229 Town of Old Fort - Old Fort WWTP
Secondary Inspector(s):
Primary Inspector:
Inspection Date:Exit Time:Entry Time:
Phone:
01/28/2019 09:30AM 10:15AM
Beverly Price 828-296-4500
Mikal Willmer
Facility Status:
Permit Inspection Type:
Reason for Inspection:Inspection Type:
Not CompliantCompliant
Routine
Distribution of Residual Solids (503)
Compliance Evaluation
Question Areas:
Miscellaneous Questions Record Keeping Treatment
Sampling Pathogen and Vector Attraction Transport
(See attachment summary)
Page:1
DocuSign Envelope ID: 63883E32-DC9E-4EEC-BE7A-2CC1B0250653DocuSign Envelope ID: 05EBEE74-CC35-460F-8C16-DD6DB14BD198
Inspection Date:
Permit:
Inspection Type :
Owner - Facility:
Reason for Visit:
WQ0011260
01/28/2019 Compliance Evaluation
Town of Old Fort
Routine
Inspection Summary:
The Class A residuals facility inspection was conducted by Beverly Price and Mikal Willmer of the Asheville Regional Office.
Tony West assisted with the inspection.
The following maintenance/repairs were reported by Mr. West:
1)The lime silo vibrator shaft had seized up; a new shaft was ordered, and anticipated replacement was expected early
February.
2)The belt-press electrical panel was replaced in September 2018.
3)The electrical panel for the lime/sludge handling equipment needs to be replaced but is on hold due to higher than
anticipated replacement costs. Due to the issue with the control panel, the Town did not process residuals from June –
December 2018. During that time, sludge was wasted to the WWTP EQ basin for processing at a later time.
4)Due to I&I during 2018, some sludge was held in 3 clarifiers not currently in use. That sludge will have to be manually
removed and processed at a later time.
The Town hauls and distributes all residuals. A copy of the permit and the Operation & Maintenance Plan shall be on-site
during all bulk distribution events. The spreader truck is housed at the Town’s maintenance shop and was not observed at
the time of inspection. All distributions were to hayfields in 2018. Signed Utilization Agreements were available for review.
All residuals are stored on a covered concrete pad. Any leachate generated from stormwater flows back to the head of the
WWTP.
Page:2
DocuSign Envelope ID: 63883E32-DC9E-4EEC-BE7A-2CC1B0250653DocuSign Envelope ID: 05EBEE74-CC35-460F-8C16-DD6DB14BD198
Inspection Date:
Permit:
Inspection Type :
Owner - Facility:
Reason for Visit:
WQ0011260
01/28/2019 Compliance Evaluation
Town of Old Fort
Routine
Type Yes No NA NE
Land Application
Distribution and Marketing
Record Keeping Yes No NA NE
Is GW monitoring being conducted, if required?
Are GW samples from all MWs sampled for all required parameters?
Are there any GW quality violations?
Is GW-59A certification form completed for facility?
Is a copy of current permit on-site?
Are current metals and nutrient analysis available?
Are nutrient and metal loading calculating most limiting parameters?
a. TCLP analysis?
b. SSFA (Standard Soil Fertility Analysis)?
Are PAN balances being maintained?
Are PAN balances within permit limits?
Has land application equipment been calibrated?
Are there pH records for alkaline stabilization?
Are there pH records for the land application site?
Are nutrient/crop removal practices in place?
Do lab sheets support data reported on Residual Analysis Summary?
Are hauling records available?
Are hauling records maintained and up-to-date?
# Has permittee been free of public complaints in last 12 months?
Has application occurred during Seasonal Restriction window?
TCLP analysis and Residual Analysis Summary Form will be reviewed during the 2018 Annual
Report Review.
Comment:
Pathogen and Vector Attraction Yes No NA NE
a. Fecal coliform SM 9221 E (Class A or B)
Class A, all test must be <1000 MPN/dry gram
Geometric mean of 7 samples per monitoring period for class B<2.0*10E6 CFU/dry gram
Fecal coliform SM 9222 D (Class B only)
Geometric mean of 7 samples per monitoring period for class B<2.0*10E6 CFU/dry gram
b. pH records for alkaline stabilization (Class A)
c. pH records for alkaline stabilization (Class B)
Temperature corrected
Page:3
DocuSign Envelope ID: 63883E32-DC9E-4EEC-BE7A-2CC1B0250653DocuSign Envelope ID: 05EBEE74-CC35-460F-8C16-DD6DB14BD198
Inspection Date:
Permit:
Inspection Type :
Owner - Facility:
Reason for Visit:
WQ0011260
01/28/2019 Compliance Evaluation
Town of Old Fort
Routine
d. Salmonella (Class A, all test must be < 3MPN/4 gram day)
e. Time/Temp on:
Digester (MCRT)
Compost
Class A lime stabilization
f. Volatile Solids Calculations
g. Bench-top Aerobic/Anaerobic digestion results
Comment:
Treatment Yes No NA NE
Check all that apply
Aerobic Digestion
Anaerobic Digestion
Alkaline Pasteurization (Class A)
Alkaline Stabilization (Class B)
Compost
Drying Beds
Other
0.7 meter belt-pressComment:
Sampling Yes No NA NE
Describe sampling:
Fecal coliform samples are collected from the finished residuals pile. Seven samples are collected over a
two-week period as close to the time of distribution as possible. TCLP/nutrients/metals are collected as grab
samples from each run of the belt-press; samples are collected from the conveyor belt. Grab samples are
composited for analysis.
Is sampling adequate?
Is sampling representative?
Comment:
Transport Yes No NA NE
Is a copy of the permit in the transport vehicle?
Is a copy of the spill control plan in the vehicle?
Is the spill control plan satisfactory?
Does transport vehicle appear to be maintained?
A copy of the permit and the O&M Plan is required to be on-site during bulk land application
events.
Comment:
Page:4
DocuSign Envelope ID: 63883E32-DC9E-4EEC-BE7A-2CC1B0250653DocuSign Envelope ID: 05EBEE74-CC35-460F-8C16-DD6DB14BD198
Certificate Of Completion
Envelope Id: 63883E32DC9E4EECBE7A2CC1B0250653 Status: Completed
Subject: Please DocuSign: 20190228_WQ0011260_CEI.docx, 20190228_WQ0011260_CEI Draft.pdf
Source Envelope:
Document Pages: 6 Signatures: 1 Envelope Originator:
Certificate Pages: 2 Initials: 2 Beverly Price
AutoNav: Enabled
EnvelopeId Stamping: Enabled
Time Zone: (UTC-08:00) Pacific Time (US & Canada)
217 W. Jones Street
Raleigh, NC 27699
[e-mail]
IP Address: 149.168.204.10
Record Tracking
Status: Original
2/28/2019 10:25:21 AM
Holder: Beverly Price
[e-mail]
Location: DocuSign
Signer Events Signature Timestamp
Beverly Price
[e-mail]
North Carolina Department of Environmental Quality
Security Level: Email, Account Authentication
(None)Signature Adoption: Pre-selected Style
Using IP Address: 149.168.204.10
Sent: 2/28/2019 10:26:24 AM
Viewed: 2/28/2019 10:26:31 AM
Signed: 2/28/2019 10:26:56 AM
Freeform Signing
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Mikal Willmer
[e-mail]
Environmental Specialist
North Carolina Department of Environmental Quality
Security Level: Email, Account Authentication
(None)
Signature Adoption: Drawn on Device
Using IP Address: 149.168.204.10
Sent: 2/28/2019 10:26:57 AM
Viewed: 2/28/2019 10:27:36 AM
Signed: 2/28/2019 10:27:46 AM
Freeform Signing
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
In Person Signer Events Signature Timestamp
Editor Delivery Events Status Timestamp
Agent Delivery Events Status Timestamp
Intermediary Delivery Events Status Timestamp
Certified Delivery Events Status Timestamp
Carbon Copy Events Status Timestamp
Notary Events Signature Timestamp
Envelope Summary Events Status Timestamps
Envelope Sent Hashed/Encrypted 2/28/2019 10:26:57 AM
Certified Delivered Security Checked 2/28/2019 10:27:37 AM
Signing Complete Security Checked 2/28/2019 10:27:46 AM
Completed Security Checked 2/28/2019 10:27:46 AM
DocuSign Envelope ID: 05EBEE74-CC35-460F-8C16-DD6DB14BD198
Payment Events Status Timestamps
DocuSign Envelope ID: 05EBEE74-CC35-460F-8C16-DD6DB14BD198
Certificate Of Completion
Envelope Id: 05EBEE74CC35460F8C16DD6DB14BD198 Status: Completed
Subject: Please DocuSign: 20190613_WQ0011260_STFRPT.docx, 201900516_WQ0011260_WQROSNDARR.pdf, 20190613_W...
Source Envelope:
Document Pages: 19 Signatures: 2 Envelope Originator:
Certificate Pages: 2 Initials: 0 Beverly Price
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217 W. Jones Street
Raleigh, NC 27699
[e-mail]
IP Address: 149.168.204.10
Record Tracking
Status: Original
6/13/2019 8:46:15 AM
Holder: Beverly Price
[e-mail]
Location: DocuSign
Signer Events Signature Timestamp
Beverly Price
[e-mail]
North Carolina Department of Environmental Quality
Security Level: Email, Account Authentication
(None)Signature Adoption: Pre-selected Style
Using IP Address: 149.168.204.10
Sent: 6/13/2019 8:50:49 AM
Viewed: 6/13/2019 8:50:57 AM
Signed: 6/13/2019 8:51:11 AM
Freeform Signing
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
G. Landon Davidson
[e-mail]
Asheville Regional Office, Regional Supervisor
DEQ, Division of Water Resources, Water Quality
Regional Operatoins
Security Level: Email, Account Authentication
(None)
Signature Adoption: Uploaded Signature Image
Using IP Address: 149.168.204.10
Sent: 6/13/2019 8:51:12 AM
Viewed: 6/13/2019 8:52:08 AM
Signed: 6/13/2019 8:52:17 AM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
In Person Signer Events Signature Timestamp
Editor Delivery Events Status Timestamp
Agent Delivery Events Status Timestamp
Intermediary Delivery Events Status Timestamp
Certified Delivery Events Status Timestamp
Carbon Copy Events Status Timestamp
Witness Events Signature Timestamp
Notary Events Signature Timestamp
Envelope Summary Events Status Timestamps
Envelope Sent Hashed/Encrypted 6/13/2019 8:51:12 AM
Certified Delivered Security Checked 6/13/2019 8:52:08 AM
Signing Complete Security Checked 6/13/2019 8:52:17 AM
Envelope Summary Events Status Timestamps
Completed Security Checked 6/13/2019 8:52:17 AM
Payment Events Status Timestamps