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HomeMy WebLinkAboutWQ0002376_Residual Annual Report 2014_20150219Y �3 r7C F! L ,'b -,Resources, Inc. City of Reidsville 2014 Annual Report Residuals Land Application Permit No. WQ0002376 Prepared By: EMA Resources, Inc'. Phone 336.751.1441 —Fax 3369751 * 1442 755 Yadkinville Rd — Mocksville, NC 27028 RECEIVEDIDE DWR FEB 19 2015 waterQua8ity powiffing Section I, - 1.7 Al .NIA Resources, Inc. 6N February 13, 2015 DENR/Water Quality Section Non -Discharge Compliance Unit 1617 Mail Service Center Raleigh, NC 27699-1617 Re: 2014 Annual Report - Reidsville Treatment and Land Application of Residuals Permit No. WQ0002376 Dear Sir or Madam: Enclosed are three copies of the 2014 Annual Report for the above referenced land application permit. During 2014 EMA Resources, Inc. land applied 1322.58 dry tons of wastewater residuals to 318.1 acres of private farmland. Please contact Brent Collins - Director of Technical Services if you have any further questions regarding this report. Since , 4;:;; �ex- Brent Collins Director of Technical Services brent.collins@emaresourcesinc.com RECEVEDBDENRIDWR FE6 1. 9 7015 WaterQuality V®ramfig secrion Phone 336.751.1441 — Fax 336.751.1442 755 Yadkinville Road — Mocksville, NC 27028 - ANNUAL LAND APPLICATION CERTIFICATION FORM t Permit#: WQ0002376 County: Rockingham Year: 2014 � Facility Name (a shown on permit): City of Reidsville Land Application Operator: ENIA Resources Inc. Phone: 336-751-1441 LLand application of residual solids as allowed by the permit occurred during the past calendar year? 0 Yes ❑ No If No, skip Part A, and Part B and proceed to the certification. Also, if residuals were LI generated but not land applied, please attach an explanation on how the residuals were handled. Part A: I Total number of application fields in permit: 95 Total number of fields land application occurred during the year: 23 Total amount of dry tons applied during the year for all application sites: 1322.58 Total number of acres land application occurred during the year: 318.1 Part B: Facility was compliant during calendar year 2014 with all conditions of the land application permit (including but not limited to items 1-12 below) issued by the Division of Water Quality. p 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 was performed and'three (3) copies of certified laboratory results are attached. 5. All other monitoring was performed in accordance with the permit nand 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 Table 1 of 40 CFR Part 503.13 or the Pollutant Loading Rates in Table 2 of 40 CFR part 503.13 (applicable to 40 CFR Part 503 regulated facilities). 7. All general requirements in 40 CFR Part 503.12 and management practices in 40 CFR Part 503.14 were complied with (applicable to 40 CFR Part 503 regulated facilities). 8. All operations and maintenance requirements in the permit were complied with or, in the case of a deviation, prior authorization was received from the Division of Water Quality. 9. No contravention of Ground Water Quality Standards occurred at a monitoring well or explanations of violations are attached to include appropriate actions and remediations. 10. Vegetative cover as specified in the permit was maintained on this site and the crops grown were removed in accordance with the crop management plan. 11. No runoff of residuals from the application sites onto adjacent property or,nearby surface waters has occurred. 12. All buffer requirements as specified on the permit were maintained during each application of residuals. "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." Kevin Eason - Public Utilities Director &Vvnj� Permittee Name and Title (type or print) ignature of Permittee Date Z: 1/27/2015 Signature of Preparer* Date Signature of Land Applier Date (if different from Permittee) (if different from Permittee and Preparer) * Preparer is defined in 40 CFR Part 503.9 (r) DENR FORM ACF (5/2003) ANNUAL RESIDUAL SAMPLING SUMMARY FORM Attach this form to the corresponding Annual Report Please note that your permit may contain additional parameters to be analyzed than those required to be summarized on this form. Permit Number: WQ0002376 Laboratory: 1) A&L Laboratories Facility Name: City of Reidsville 2) NPDES # or NCO024881 3) WQ#: WWTP Name: Residual Analvsis Data Reidsville WWTP 4) 5) Sample or Composite Date 1/2/14 2/26/14 Cake 4/2/14 7/1/14 8/18/14 Cake 10/1/14 Percent Solids 0.83 16.11 2.52 5.39 18.38 1.7 Arsenic 3 5 3 4 4 7 Cadmium 2 2 2 2 2 2.4 Chromium 17 41 27 80 41 44 ,b Copper 96 1.40 100 198 163 222 Lead 13 26 14 32 25 31 Mercury 0.4 2.8 0.4 0.8 0.9 0.9 Molybdenum 5 8 5 8 5 9 y Nickel 10 26 15 42 24 29 Selenium 5 5 5 5 5 5 Zinc 205 313 213 399 375 474 Total Phosphorus 12100 15700 11400 18200 19300 23400 TKN 68700 54600 49600 47900 37200 57600 itrogen ENitraoteEan]d 19300 5460 4760 11900 7240 19400 Nitrite 265 80.1 75.4 13 8.16 2 "Icertify, 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 pe alties for; =tt'lseinformation, including the possibility of fines and imprisonment for knowing violations." Signature r arer Date DENR FORM RSSF (5/2003) ANNUAL RESIDUAL SAMPLING SUMMARY FORM Attach this form to the corresponding Annual Report Please note that your permit may contain additional parameters to be analyzed than those required to be summarized on this form. Permit Number: WQ0002376 Laboratory: 1) A&L Laboratories Facility Name: City of Reidsville 2) NPDES # or NCO024881 3) WQ#: WWTP Name: Residual Analvsis Data Reidsville WWTP 4) 5) Sample or CompositeDate M • ' I• , • ' 1 ------ . 111 1 1 • 1111 11 1 1 1 11 "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 p alties forsubmittingfalse information, including the possibility of fines and imprisonment for knowing violations." Signatur Preparer Date DENR FORM RSSF-B (5/2003) ANNUAL METALS FIELD LOADING SUMMARY FORM* i Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: City of Reidsville Total Dry Tons Applied (Annual): 136.89 'ermit #: W00002376 Cation Exchange Capacity (non 503 only): John Davenport Owner: John Davenport 18.3 Acres Permitted: 18.3 Site #: GU22 Field #: 1 Operator: Acres Used: tnaia.-I A-1-4.. 7\ = nualy015 IYALA kricavy ivietais and 1 otai ruospnorus use mgixg, ro aonas use xaw rercent #) Sample r Com- posite Date 1 4/24/14 2j 7/1/14 3j 4 5j 1617 8 1 91 LOJ 11 J 12 Solids 2.52 5.39 Arsenic 3 4 cadmium 2 2 hromium 27 80 Copper 100 198 Lead 14 32 Mercury 0.4 0.8 Molyb- denum 5 8 Nickel 15 42 Selenium 5 5 Zinc 213 399 Total I Phos- )horus 11400 18200 .nnual Heavv Metal Field Loadinuc WnlenlatpA in the/aorPl• 0 Lij L2J 1314 5 L6J 7 L 8j L9J 10 11 j 12 ��a y o 4.367 13.1135 ,arsenic 0.0262 0.0249 0 0 0 0 0 0 0 0 0 0 0.0511 Cadmium 0.0175 0.0125 0 0 0 0 0 0 0 0 0 0 0.0299 Tomi 0.2358 0.4982 0 1 0 0 0 0 0 0 0 0 0 0.734 ",opper 0.8734 1.2329 0 0 0 0 0 0 0 0 0 0 2.1063 Lead 0.1223 0.1993 0 0 0 0 0 0 0 0 0 0 0.3215 lercury 0.0035 0.005 0 0 0 0 0 0 0 0 0 0 0.0085 4olyb- denum 0.0437 0.0498 0 0 0 0 0 0 0 0 0 0 0.0935 Nickel 0.131 0.2615 0 0 0 0 0 1 0 0 0 0 0 0.3925 slenium 0.0437 0.0311 0 0 0 0 0 0 0 0 0 0 0.0748 Zinc 1.8603 2.4846 0 0 0 0 0 0 0 0 0 0 4.3449 Total Phos- 99.568 113.33 0 0 0 0 0 0 0 0 0 0 212.9 horus certify, under penalty of law, that this document was prepared under my direction or supervision in cordance 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, j cluding the possibilitv of fines and imprisonment for knowing violations" 1/27/2015 gnature of Land Applier Date ._ _>ee bottom of FSF Form for helpful instructions for this MFLSF Form and the mathematical nF (512003) - - -- -- -- - - - -- ----- - ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH APPLICATION FIELD. PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: City of Reidsville Permit #: WQ0002376 Annual Dry Tons Applied: 136.89 Owner: John Davenport Operator: John Davenport Cation Exchange Capacity (non 503): Site #: GU22 Field #: 1 Acres Utilized: - 18.3 Acres Permitted: 18.3 o 0 o A Totals Per Acre % Solid s Dry Tons Per Acre' Residual Sources (Summarize) Site Cond. D Wet, Moist4/2 Inches Precip. Past 24 Hrs. Appli- cation Meth- od* Vola- tili- zation Rate* * Miner- ali- zation Rate TKN Ammo nia- Ni- trogen Ni- trate and Nitrite PAN 1 PAN 2 Must Select Crop 1 or Crop p p 2 * G� Cu.Yd. � � ::: Report Totals in Gal. Crop 1 Crop 2 71500 3907.1 2.52 0.4106 Reidsville WWTP Dry <.5" S .0.5 0.3 49600 4760 75.4 13.0623 ####### Fescue 1 4/3 32500 1776 2.52 0.1866 Reidsville WWTP, Dry <.5" S 0.5 0.3 49600 4760 75.4 5.93742 ####### Fescue 2 4/4 130000 7103.8 2.52 0.7465 Reidsville WWTP Dry <S' S 0.5 0.3 49600 4760 75.4 23.7497 ####### Fescue 3 4/5 19500 1065.6 2.52 0.1120 Reidsville WWTP Dry <.5" S 0.5 0.3 49600 1 4760 75.4 3.56245 ####### Fescue 4 5/3 97500 5327.9 2.52 1 0.5599 Reidsville WWTP Dry <.5" S 0.5 0.3 49600 4760 75.4 117.8123 ####### Fescue 5 6/25 130000 7103.8 2.52 0.7465 Reidsville WWTP Dry <.5" S 0.5 0.3 49600 4760 75.4 23.7497 #######1 Fescue 6 6/26 149500 8169.4 2.52 0.8585 Reidsville WWTP Dry <.5" S 0.5 0.3 49600 4760 75.4 27.3122 ####### Fescue 7 6/27 130000 7103.8 2.52 0.7465 Reidsville WWTP Dry <.5" S 0.5 0.3 49600 4760 75.4 23.7497 ####### Fescue 8 9/19 162500 8879.8 5.39 1.9958 Reidsville WWTP Dry <.5" S 0.5 0.3 47900 1 11900 13 66.9127 ####### Fescue 9 9/20 91000 4972.7 5.39 1.1177 Reidsville WWTP Dry <.5" S 0.5 0.3 47900 11900 13 137.4711 ####### Fescue 1 10 0 0.0000 0 0 11 0 0.0000 0 0 12 TOTALS: 55410 :::::::::::: As Cd Cr Cu Pb Ha Mo Ni Se Zn P PAN 1 PAN 2 Lime Applied Annuallbs/acre 0.0511 0.0299 0.7340 2.1063 0.3215 0.0085 0.0935 0.3925 1 0.0748 4.3449 212.899 243.32 0 Date lbs/ac Current Cumulative lbs/ac 0.5389 0.3728 1.9516 19.6104 3.5893 0.0842 0.8994 2.8294 0.6802 36.5520:::::::::::::::::::::::::::::::::::::::::::::::: 0.4878 0.3429 1.2176 17.5041 3.2678 0.0757 0.8059 2.4369 0.6054 32.2071 :::::::::::::::::::: 36 1 34 1 1338 267 1 15 374 89 2498 250 2000 Prior Years Cumulative lbs/ac Permitted C. P. L. R.*** Permit PAN Limit 1st/ L' it 2 nd Crop •-t cernty, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." 1/27/2015 *Application Method: S - Surface, IN - Injection, INC - Incorporation Signature of Land Applier Date **Volatilization Rate: Surface - 0.5, Iniection/Incorporation - 1.0 ***C.P.L.R.: Cumulative Pollutant Loading Rate * * * * The RSSF Data and the Dry Tons Per Acre are to be entered on the MFLSF Form. The FSF and MFLSF are mathematically linked so this information needs to be entered into the same numbered column on the MFLSF as is entered on the identically numbered FSF row to properly complete the metals equations. ie. FSF row # 1 to MFLSF column # 1. DENR FORM FSF (5/2003) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: City of Reidsville Total Dry Tons Applied (Annual): 'ermit #: WQ0002376 Cation Exchange Capacity (non 503 only): Operator: Mark Doggett Owner: Mark Doggett Acres Used: 18.7 Acres Permitted: 18.7 Site #: GU13 Field #: 3 11.06 residual Analysis Data (Heavy lvletals and Total Phosphorus use mg/kg, % Solids use Raw Percent #) 7Date 1/14 2 3 4 5 6 7 8 9 10 11 12 o Solids 1.7 arsenic 7 Cadmium 2.4 hromium 44 Copper 222 Lead 31 Zercury 0.9 Molyb- lenum 9 Nickel 29 Selenium 5 Zinc 474 Total Phos- ►horus 23400 nnuai Heavy ivletal riela Eoaclings (Ualculated in lbs/acre): c 11 2 3 4 5 6 7 8 9 10 11 12 a y o 0.5914 xsenic 0.0083 0 0 0 0 0 0 0 0 0 0 0 0.0083 Cadmium 0.0028 0 0 0 0 0 0 0 0 0 -0 0 0.0028 ronnuriq 0.052 0 0 0 0 0 0 0 0 0 0 0 0.052 topper 1 0.2626 0 0 0 0 0 0 0 0 0 0 0 0.2626 Lead 0.0367 0 0 0 0 0 0 0 0 0 0 0 0.0367 :ercury 0.0011 0 0 0 0 0 0 0 0 0 0 0 0.0011 lolyb- denum 0.0106 0 0 0 0 0 0 0. 0 0 0 0 0.0106 4ickel. 0.0343 0 0 0 0 0 0 0 0 0 0 0 0.0343 leniuml 0.0059 0 0 0 0 0 0 0 0 0 0 0 0.0059 Zinc 1 0.5606 0 0 0 0 0 0 0 0 0 0 0 0.5606 Lhorus 27.678 0 0 0 0 0 0 0 0 0 0 0 127.678 cermy, unaer penalty of taw, that this document was prepared under my direction or supervision in cordance 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, i, ;luding the possibility of fines and imprisonment for knowing violations" 1/27/2015 Mature of Land Applier Date _,'ee bottom of FSF Form for helpful instructions for this MFLSF Form and the mathematicalkW*M L%F (5/2003) ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH APPLICATION FIELD. PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: City of Reidsville Permit #: WQ0002376 Annual Dry Tons Applied: 11.06 Owner: Mark Doggett Operator: Mark Doggett Cation Exchange Capacity (non 503): Site #: GU13 Field #: 3 Acres Utilized: 18.7 Acres Permitted: 18.7 o Y o A � :J Specify Totals Per Acre % Solid s Dry Tons Per Acre Residual Sources (Summarize) 1 e Cond. Dry, Wet Moist Inches Precip. Past 24 Hrs. I A h pp cation Meth-, od* Vola- tili- zation Rate** Miner- ali- zation Rate TKN Ammo nia- Ni- trogen Ni- trate and Nitrite PAN 1 PAN 2 Must Select Crop 1 or Crop P P 2 * Gal. Cu.Yd. ::: Report To in Gal. Crop 1 Crop 2 10/29 39000 2085.6 1.7 0.1478 Reidsville WWI? Dry <.5" S 0.5 0.3 57600 19400 2 6.25741 ####### Wheat 1 10/31 117000 6256.7 1.7 0.4435 Reidsville WWTP Dry <.5" S 0.5 0.3 57600 19400 2 18.7722 ####### Wheat 2 0 0.0000 0 0 3 0 0.0000 0 0 4 0 1 0.0000 0 0 5 0 0.0000 0 0 6 0 0.0000 0 0 7 0 0.0000 0 0 8 0 0.0000 0 0 9 0 0.0000 0 0 10 0 0.0000 0 0 11 0 0.0000 0 0 1 12 TOTALS: 8342 ::::::::::::::: As Cd Cr Cu Pb H Mo Ni Se Zn P PAN 1 PAN 2 Lime A lied Annuallbs/acre 0.0083 0.0028 0.0520 1 0.2626 0.0367 0.0011 0.0106 0.0343 0.0059 0.5606 127.6775 25.0296 0 Date lbs/ac Current Cumulative lbs/ac 0.0206 0.0285 0.0520 1.2297 0.2425 0.0073 0.0466 0.1423 1 0.0290 2.5925 0.0123 0.0257 0.0000 0.9671 0.2058 0.0062 0.0360 0.1080 0.0231 2.0319 36 34 1338 267 15 374 89 2498 ......... .......................... 10 0 ..... Prior Years Cumulative lbs/ac Permitted C. P. L. R.*** Permit PAN Limit 1 st/2 d n Crop "1 certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." 2!:L 1/27/2015 *Application Method: S - Surface, IN - Injection, INC - Incorporation Signature of Land Applier Date **Volatilization Rate: Surface - 0.5, Iniection/Incorvoration -1.0 ***C.P.L.R.: Cumulative Pollutant Loading Rate * * * * The RSSF Data and the Dry Tons Per Acre are to be entered on the MFLSF Form. The FSF and MFLSF are mathematically linked so this information needs to be entered into the same numbered column on the MFLSF as is entered on the identically numbered FSF row to properly complete the metals equations. ie. FSF row # 1 to MFLSF column # 1. DENR FORM FSF (5/2003) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: ermit #: -Jperator: Acres Used: City of Reidsville Total Dry Tons Applied (Annual): 11.98 WQ0002376 Cation Exchange Capacity (non 503 only): J.N. Perkins Owner: J.N. Perkins 17.1 Acres Permitted: 17.1 Site #: RC013 Field #: 4 - residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #); Sample r Com- posite Date 1 10/1/14 _jj 3 4 5 6 7 8 9 10 11 12 o Solids 1.7 arsenic 7 Cadmium 2.4 ihromium 44 Copper 222 Lead 31 4ercury 0.9 I Molyb- 3enum 9 -Nickel 29 Selenium 5 Zinc 474 Total I Phos- )horns 23400 nnual Heavv Metal Field LoadinLys (Calculated in lbs/acre): c 11 2 3 4 5 6 7 8 9 10 11 12 ��a y o 0.7006 arsenic 0.0098 0 0 0 0 0 0 0 0 0 0. 0 0.0098 Cadmium 0.0034 0 0 0 0 0 0 0 0 0 0 0 0.0034 Lromi 0.0617 0 0 0 0 0 0 0 0 0 0 0 0.0617 ,opper 0.3111 0 0 0 0 0 0 0 0 0 0 0 0.3111 Lead 0.0434 0 0 0 0 0 0 0 0 0 0 0 0.0434 Zercury 0.0013 0 0 0 0 0 0 0 0 0 0 0 0.0013 ✓Iolyb- 0.0126 0 0 0 0 0 0 0 0 0 0 0 0.0126 denum Nickel 0.0406, 0 0 0 0 0 0 0 0 0 0 0 0.0406 -lenium 0.007 0 0 0 0 0 0 0 0 0 0 0 0.007 Zinc 1 0.6642 0 0 1 0 0 0 0 0 0 0 0 0 0.6642 'Total Phos- 32.788 0 0 0 0 0 0 0 0 0 0 0 32.788 horus --I certify, under penalty of law, that this document was prepared under my direction or supervision in ;cordance 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, r .cluding the possibilitv of fines and imprisonment for knowing violations" 1/27/2015 "'.gnature of Land Applier Date ;See bottom of FSF-Form for helpful instructions for this MFLSF Form and the mathematica L�SF (5/2003) ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH APPLICATION FIELD. PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: City of Reidsville Permit #: WQ0002376 Annual Dry Tons Applied: 11.98 Owner: J.N. Perkins Operator: J.N. Perkins Cation Exchange Capacity (non 503): Site #: RC013 Field #: 4 Acres Utilized: 17.1 Acres Permitted: 17.1 o Y 0 � A :�: s eci Totals Per Acre I % Solid s Dry Tons Per Acre I Residual Sources (Summarize) Site Cond. Dry, Wet, Moist Inches Precip. Past 24 Hrs. Appli- cation Meth- od* Vola- tili- zation Rate** Miner- ali- zation Rate TKN Ammo nia- Ni- trogen Ni- Irate and Nitrite PAN 1 PAN 2 Must Select Crop 1 or Crop p p 2 Gal ffRl Cu.Yd. •:• Report Totals in Gal. Crop Ticrop 2 12/15 143000 8362.6 1.7 0.5928 Reidsville WWTP Dry <.5" S 0.5 0.3 57600 19400 2 25.0906 ####### Fescue 1 12/16 26000 1520.5 1.7 0.1078 Reidsville WWTP Dry <.5" S 0.5 0.3 57600 19400 2 4.56193 ####### Fescue 2 0 0.0000 0 0 3 0 0.0000 0 0 4 0 0.0000 1 0 0 1 5 0 0.0000 0 0 6 0 0.0000 0 0 7 0 0.0000 0 0 8 0 0.0000 0 0 9 0 0.0000 0 0 10 0 0.0000 0 0 11 0 0.0000 0 0 12 TOTALS: 9883 ::::::::::::::: As Cd Cr Cu Pb Hg Mo Ni Se Zn P PAN 1 PAN 2 Lime A lied Annuallbs/acre 0.0098 0.0034 0.0617 0.3111. 0.0434 1 0.0013 0.0126 0.0406 0.0070 0.6642 32.7881 29.6526 0 Date lbs/ac Current Cumulative lbs/ac 0.0755 0.0630 0.5315 3.7472 0.5769 0.0151 0.1364 0.4019 0.0952 6.9928 :::: 0.0657 0.0596 0.4698 3.4361 0.5335 0.0138 0.1238 0.3613 0.0882 6.3286 36 34 1338 267 15 374 1 89 1 2498 ............................. 50 2 50 Prior Years Cumulative lbs/ac Permitted C. P. L. R.*** Permit PAN Limit 1 st/2nd Crop "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." ;2!5`e 4;:; ng" 1/27/2015 *Application Method: S - Surface, IN -Injection, INC - Incorporation Signature of Land Applier Date **Volatilization Rate: Surface - 0.5, Iniection/Incorvoration -1.0 ***C.P.L.R.: Cumulative Pollutant Loading Rate **** The RSSF Data and the Dry Tons Per Acre are to be entered on the MFLSF Form. The FSF and MFLSF are mathematically linked so this information needs to be entered into the same numbered column on the MFLSF as is entered on the identically numbered FSF row to properly complete the metals equations. ie. FSF row # 1 to MFLSF column # 1. DENR FORM FSF (5/2003) L__` ANNUAL METALS FIELD LOADING SUMMARY FORM* iAttach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: ermit #: Jperator: Acres Used: City of Reidsville Total Dry Tons Applied (Annual): WQ0002376 Cation Exchange Capacity (non 503 only): Clinton Hanks Owner: Arthur Pearson 43.83 9.5 Acres Permitted: 9.5 Site #: RC22 Field #: 7 tesiauai Anaiysis vata (Heavy Metals and Total.Phosphorus use mg/kg, % Solids use Raw Percent #) Sample Ir Corn- posite Date 1 1 7/1/14 2 3 4J L-5J L6J 7 8 9 10 11 1121 'o Solids 5.39 Arsenic 4 �'admium 2 ,hromium 80 I Copper 198 Lead 32 _Mercury 0.8 Molyb- denum 8 Nickel 42 Selenium 5 Zinc 399 Total Phos- - )horus 18200 nnual Heavv Metal Field Landinus Wnlenlnted in the/arrPl- oy 1 2 3 4 L5J 6 171 1819 1101 11 j 12 d o -P- 4.6136 ;,rsemc 0.0369 0 0 0 0 0 0 0 0 0 0 0 0.0369 Cadmiuml 0.0185 0 0 0 0 0 0 0 0 0 0 0 0.0185 -` romi 0.7382 0 0 0 0 0 0 0 0 0 0 0 0.7382 topper 1.827 0 0 0 0 0 0 0 0 0 0 0 1.827 Lead 0.2953 0 0 0 0 0 0 0 0 0 0 0 0.2953 1 [ercury 0.0074 0 0 0 0 0 0 0 0 0 0 0 0.0074 _ lolyb- denum 0.0738 0 0 0 0 0 0 0 0 0 0 0 0.0738 Jickel 0.3875 0 0 0 0 0 0 0 0 1 0 0 0 0.3875 lenium 0.0461 0 0 1 0 0 0 1 0 0 0 0 0 0 1 0.0461 Zinc 3.6817 0 0 0 0 0 0 0 0 0 0 0 3.6817 r otal ?hos- 167.94 0 0 0 0 0 0 0 0 0 0 0 167.94 horus certuy, under penalty of iaw, that this document was prepared under my direction or supervision in cordance 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, } luding the possibility of famines. and imprisonment imprisonment for knowing violations" ;e :: � 1/27/2015 mature of Land Applier Date j lee bottom of FSF Form for helpful instructions for this MFLSF Form and the mathematica PtWVM IWEbF (5/2003) ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH APPLICATION FIELD. PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: City of Reidsville Permit #: WQ0002376 Annual Dry Tons Applied: 43.83 Owner: Arthur Pearson Operator: Clinton Hanks Cation Exchange Capacity (non 503): Site #: RC22 Field #: 7 Acres Utilized: 9.5 Acres Permitted: 9.5 o o Q 0 Specify Totals Per Acre % Solid s Dry Tons Per Acre Residual Sources (Summarize) site Cond. Dry, Wet, Inches Precip. Past 24 Hrs. A li pp cation Meth- od* Vola- tili- zation Rate** Miner- ali- zation Rate TKN Ammo nia- Ni- trogen Ni- trate and Nitrite PAN 1 PAN 2 Must Select Crop 1 or Crop p 2 p Gal. Report p Totals in Gal. Crop 1 Crop 2 9/18 188500 19842 5.39 4.4598 Reidsville WWTP Dry <.5" S 0.5 0.3 47900 11900 13 149.518 ####### Fescue 1 9/19 6500 684.21 5.39 0.1538 Reidsville WWTP Dry <.5" S 0.5 0.3 47900 11900 13 5.1558 ####### Fescue 2 0 0.0000 0 0 3 0 0.0000 0 0 1 4 0 0.0000 0 0 5 0 0.0000 0 0 6 0 0.0000 0 0 7 0 0.0000 0 0 8 0 0.0000 0 0 9 0 0.0000 0 0 10 0 0.0000 0 0 11 0 0.0000 0 0 12 TOTALS: 20526 ::::::::::: As Cd Cr Cu Pb Hg Mo Ni Se Zn P PAN 11 PAN 2 Lime Applied Annual lbs/acre 0.0369 0.0185 0.7382 11.8270 0.2953 0.0074 0.0738 0.3875 0.0461 3.6817 167.935 154.674 0 Date lbs/ac :*"* Current Cumulative lbs/ac 0.5274 0.4018 2.2676 34.2757 6.0927 0.1858 1.4079 5.2827 0.8069 151.9482 ::::::::::::::::::::::::::::::::::::::::::::::::::: 0.4905 0.3833 1.5294 32.4487 5.7974 0.1784 1.3341 4.8952 0.7608 48.2665 ::::::::::: ::::: : :::::::::::::::::::: 36 34 1338 1 267 15 374 89 2498 250 50 Prior Years Cumulative lbs/ac Permitted C. P. L. R.*** Permit PA L' 2 N unrt 1st/ nd Crop p --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." � it Z4�L1_' 1/27/2015 *Application Method: S - Surface, IN - Injection, INC - Incorporation Signature of Land Applier Date **Volatilization Rate: Surface - 0.5, Iniection/Incorporation -1.0 ***C.P.L.R.: Cumulative Pollutant Loading Rate * * * * The RSSF Data and the Dry Tons Per Acre are to be entered on the MFLSF Form. The FSF and MFLSF are mathematically linked so this information needs to be entered into the same numbered column on the MFLSF as is entered on the identically numbered FSF row to properly complete the metals equations. ie. FSF row # 1 to MFLSF column # 1. DENR FORM FSF (5/2003) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: City of Reidsville Total Dry Tons Applied (Annual): 44.40 ! �Iermit #: WQ0002376 - Cation Exchange Capacity (non 503 only): -Jperator: Donald Lovelace Owner: Lofton Lovelace Acres Used: 11.6 Acres Permitted: 11.6 Site #: RC41 Field #: 1 i •G��uua� �ua�ys�s "aLa kneavy ivietais ana i ozai rnospnorus use mgixg, io aonas use xaw rercent #); Sample'7r it Com- site GDate 4/24/14 2 3 4j 5 6 L7J L8J 9 10 11 12 io Solids 2.52 Arsenic 3 cadmium 2 chromium 27 Copper 100 Lead 14 _ ✓Iercury 0.4 Molyb- denum 5 Nickel 15 Selenium 5 Zinc 213 Total Phos- )horus 11400 iinual Heavv Metal Field Loadin¢c f( ''Mated in the/arrPL• c 11 1213 4 L5J L 6j L7J 181L9J LOJ 11 J 12 a, 1 � C7 rt �• I�Ay m o P 3.8274 Lrsenic 0.023 0 0 0 0 0 0 0 0 0 0 0 0.023 Cadmium 0.0153 0 0 0 0 0 0 0 0 0 0 0 0.0153 romiurn 0.2067 0 0 0 0 0 0 0 0 0 0 0 0.2067 topper 0.7655 0 0 0 0 0 0 0 0 0 0 0 0.7655 Lead 0.1072 0 0 0 0 0 0 0 0 0 0 0 0.1072 [ercury 0.0031 0 0 0 0 0 0 0 0 0 0 0 0.0031 lolyb- denum 0.0383 0 0 0 0 0 0 0 0 0 0 0 0.0383 lckel 0.1148 0 0 0 0 0 0 0 0 0 0 0 0.1148 4eniuml 0.0383 0 0 0 0 0 0 0 0 0 0 0 0.0383 Zinc 1 1.6305 0 0 0 0 0 0 0 0 0 0 0 1.6305 Total ?hos- 87.265 0 0 0 0 0 0 0 0 0 0 0 87.265 horus j y ; certify, under penalty of law, that this document was prepared under my direction or supervision in vordance 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, eluding the possibilitv of fines and imprisonment for knowing violations" ;e�s Li►'u�^-' 1/27/2015 pature of Land Applier Date ;ee bottom of FSF Form for helpful instructions for this MFLSF Form and the mathematical9LWL%F (5/2003) ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH APPLICATION FIELD. PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: City of Reidsville Permit #: WQ0002376 Annual Dry Tons Applied: 44.40 Owner: Lofton Lovelace Operator: Donald Lovelace Cation Exchange Capacity (non 503): Site #: RC41 Field #: 1 Acres Utilized: 11.6 Acres Permitted: 11.6 o 0 o 5/8 Totals Per Acre 1681 % Solid s 2.52 Dry Tons Per 0.1766 Residual Sources (Summarize) Reidsville WWTP Site Cond. D Wet'Past Dry Inches Precip. 24 Hrs. <.5" Appli- cation Meth- od* S Vola- tili- zation Rate** 0.5 Miner- ali- zation Rate 0.3 TIC 49600 Ammo nia- Ni- trogen 4760 Ni- trate andPAN Nitrite 75.4 1 5.62008 PAN 2 ####### Must Select Crop 1 or Crop p p 2 1 '' G� Cu.Yd. FReAcre 19500 Crop 1 Fescue Crop 2 5/9 201500 17371 2.52 1.8254 Reidsville WWTP Dry <S' S 0.5 0.3 49600 4760 75.4 58.0741 ####### Fescue 2 6/24 123500 10647 2.52 1.1188 Reidsville WWTP Dry <.5" S 0.5 0.3 49600 4760 75.4 35.5938 ####### Fescue 3 6/25 78000 6724.1 2.52 0.7066 Reidsville WWTP Dry <S1 S 0.5 0.3 49600 4760 75.4 22.4803 ####### Fescue 4 0 0.0000 0 0 5 0 0.0000 0 0 6 0 0.0000 0 0 7 0 0.0000 0 0 8 0 0.0000 0 0 9 0 0.0000 0 0 110 0 0.0000 0 0 11 0 0.0000 0 0 12 TOTALS: 36422 :::::::::::::::: As Cd Cr Cu Pb H Mo Ni Se Zn P PAN 1 PAN 2 Lime A 3plied Annuallbs/acre 0.0230 0.0153 0.2067 0.7655 0.1072 0.0031 1 0.0383 0.1148 0.0383 1.6305 87.2647 121.768 0 Date lbs/ac Current Cumulative lbs/ac 0.2568 0.2373 1.0556 9.4476 2.0963 0.0430 0.4751 1.3497 0.3443 17.4010::::::::::::::::::::::::::::::::::::::::::::::::::::::::: 0.2338 0.2220 0.8489 8.6821 1.9891 0.0399 0.4368 1.2349 0.3060 15.7705 ::::::::::::::::::::::::::::::::::::::::::::::: 36 34 1338 1 267 15 374 89 2498 .......:::.:................... . _ Prior Years Cumulative lbs/ac Permitted C. P. L. R.*** pPermit............... u Permit PAN Limit 1 st/2 nd Crop «r JL %.U. Xy, U11UUK PUMAILy ui ,aw, HIM iris uucumeut was prepares unaer my arrection or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." 1/27/2015 *Application Method: S - Surface, IN - Injection, INC - Incorporation Signature of Land Applier Date **Volatilization Rate: Surface - 0.5, Iniection/Incorporation -1.0 ***C.P.L.R.: Cumulative Pollutant Loading Rate * * * * The RSSF Data and the Dry Tons Per Acre are to be entered on the MFLSF Form. The FSF and MFLSF are mathematically linked so this information needs to be entered into the same numbered column on the MFLSF as is entered on the identically numbered FSF row to properly complete the metals equations. ie. FSF row # 1 to MFLSF column # 1. DENR FORM FSF (5/2003) ANNUAL METALS FIELD LOADING SUMMARY FORM* 1 11 Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: 'ermit #: Operator: Acres Used: City of Reidsville Total Dry Tons Applied (Annual): WQ0002376 . Cation Exchange Capacity (non 503 only): Donald Lovelace Owner: Lofton Lovelace 6.8 Acres Permitted: 6.8 Site #: RC41 Field #: 38.25 2 . L-1duai tivarysrs vara tneavy lvietais and t otal rnospnorus use mgixg, % aotids use xaw rercent #) Sample r Com- posite Date 1 4/24/14 2 3 4 5 6 7 8 9 10 11 12 o Solids 2.52 -Arsenic 3 Cadmium 2 hromium 27 Copper 100 Lead 14 4ercury 0.4 Molyb- 3enum 5 Nickel 15 Selenium 5 Zinc 213 Total I Phos- )horus 11400 -nnual Heavv Metal Field Landinus Wnlenlated in lhv/nrrPA- 11 121L3J 4 5 6 7J L_8J 19110 11 12 a� y o 5.6251 ,rsenic 0.0338 0 0 0 0 0 0 0 0 0 0 0 0.0338 Cadmium 0.0225 0 0 0 0 0 0 0 0 0 0 0 0.0225 romi 0.3038 0 0 0 0 0 0 0 0 0 0 0 0.3038 _'opper 1.125 0 0 0 0 0 0 0 0 0 0 0 1.125 Lead 0.1575 0 0 0 0 0 0 0 0 0 0 0 0.1575 lercury 0.0045 0 0 0 0 0 0 0 0 0 0 0 0.0045 2olyb- denum 0.0563 0 0 0 0 0 0 0 0 0 0 0 0.0563 Jickel 1 0.1688 0 0 0 0 0 0 0 0 0 0 0 0.1688 Jeniuml 0.0563 0 0 0 0 0 0 0 0 0 0 0 0.0563 Zinc 1 2.3963 0 0 0 0 0 0 0 0 0 0 0 12.3963 Total hos- 128.25 0 0 0 0 0 0 0 0 0 0 0 128.25 horus r _ : certify, under penalty of law, that this document was prepared under my direction or supervision in >cordance 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, _,eluding the possibility of fines and imprisonment for knowing violations" 1/27/2015 _''mature of Land Applier Date ;ee bottom of FSF Form for helpful instructions for this MFLSF Form and the mathematicalkVM %F (5/2003) ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH APPLICATION FIELD. PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: City of Reidsville Permit #: WQ0002376 Annual Dry Tons Applied: 38.25 Owner: Lofton Lovelace Operator: Donald Lovelace Cation Exchange Capacity (non 503): Site #: RC41 Field #: 2 Acres Utilized: 6.8 Acres Permitted: 6.8 o o 5/21 :J Specify Totals Per 24853 o /o Solid s 2.52 Dry Tons Per 2.6116 Residual Sources (Summarize)n Reidsville WWTP 1te Cond. DportAcre'Past24 Wet' Dry Inches Precip. HrsMoist. <.5" Appli- cation Meth- od* S Vola- tili- zation Rate** 0.5 Miner- ali- zation Rate 0.3 TKN 49600 Ammo ma- Ni- trogen 4760 Ni- trate and Nitrite 75.4 PAN 1 83.089 PAN 22 ####### Must Select Crop 1 or Crop 1 Gal. Cu.Yd. TRe TotalsAcre Gal. 169000 Crop 1 Fescue Crop 2 5/23 91000 13382 2.52 1.4063 Reidsville WWTP Dry <.5" S 0.5 0.3 49600 4760 75.4 44.7402 ####### Fescue 2 6/25 104000 15294 2.52 1.6072 Reidsville WWTP Dry <.5" S 1 0.5 0.3 49600 4760 75.4 51.1317 ####### Fescue 3 0 0.0000 0 0 4 0 0.0000 _ 0 0 5 0 0.0000 0 0 6 0 1 0.0000 0 0 7 0 0.0000 0 0 8 0 0.0000 0 0 9 0 0.0000 0 0 10 0 0.0000 0 0 11 0 1 0.0000 0 0 12 TOTALS: 53529 [�i:]::::: As Cd Cr Cu Pb Hg Mo Ni Se Zn P I PAN 1 PAN 2 Lime Applied ::-: Annuallbs/acre 0.0338 0.0225 0.3038 1.1250 0.1575 0.0045 0.0563 0.1688 0.0563 2.3963 128.252 178.961 0 Date lbs/ac Current Cumulative lbs/ac 0.2103 0.2362 0.5707 7.7474 1.6073 0.0334 0.3782 1.0505 0.2905 14.8173:::::::::::::::::::::::::::::::::::::::::: 0.1765 0.2137 0.2669 6.6224 1.4498 0.0289 0.3219 0.8817 0.2342 12.4210 36 34 1338 267 15 374 89 2498 ............................ 250 1 50 Prior Years Cumulative lbs/ac Permitted C. P. L. R.*** e t PAN L P rmi irnrt 1 st/2 nd Cro p --i cenuy, unuer penaity of iaw, inai tors aocument was prepares unaer 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." xf 1/27/2015 *Application Method: S - Surface, IN - Injection, INC - Incorporation Signature of Land Applier Date **Volatilization Rate: Surface - 0.5, Iniection/Incorporation -1.0 ***C.P.L.R.: Cumulative Pollutant Loading Rate **** The RSSF Data and the Dry Tons Per Acre are to be entered on the MFLSF Form. The FSF and MFLSF are mathematically linked so this information needs to be entered into the same numbered column on the MFLSF as is entered on the identically numbered FSF row to properly complete the metals equations. ie. FSF row # 1 to MFLSF column # 1. DENR FORM FSF (5/2003) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: City of Reidsville Total Dry Tons Applied (Annual): 2.73 termit #: WQ0002376 Cation Exchange Capacity (non 503 only): perator: Donald Lovelace Owner: Lofton Lovelace s,cres Used: 2.4 Acres Permitted: 2.4 Site #: RC41 Field #: 3 XINIUU , tinaiysis vata krieavy ivietais ana i otai ruospnorus use mgixg, ro nonas use xaw rercent #y Sample r Com- posite Date 1 11 4/24/14 2 3j 4 L5J L6J7 8 9 10 11 12 o Solids 2.52 Arsenic 3 admiuml 2 omium 27 Copper 100 Lead 14 4ercury 0.4 Molyb- Jenum 5 Nickel 15 Selenium 5 Zinc 213 Total I Phos- chorus 11400 .nnual Heavv Metal Field Loadings (Calenlated in the/nerel! c 1 2 L-3-J 4 151 6 L7J L8 9 10 11 12 y o' 1.1384 arsenic 0.0068 0 0 0 0 0 0 0 0 0 0 0 0.0068 Cadmium 0.0046 0 0 0 0 0 0 0 0 0 0 0 0.0046 �romi 0.0615 0 0 0 0 0 0 0 0 0 0 0 0.0615 Copper 1 0.2277 0 0 0 0 0 0 0 0 0 0 0 0.2277 Lead 0.0319 0 0 0 0 0 0 0 0 0 0 0 0.0319 [ercury 0.0009 0 0 0 0 0 0 0 0 0 0 0 0.0009 lolyb- denum 0.0114 0 0 0 0 0 0 0 0 0 0 0 0.0114 -,Tickel 1 0.0342 0 0 0 0 0 0 0 0 0 0 0 0.0342 ;leniuml 0.0114 0 0 0 0 0 0 0 0 0 0 0 0.0114 Zinc 1 0.485 0 0 0 0 0 0 0 0 0 0 0 0.485 Total Phos- 25.956 0 0 0 0 0 0 0 0 0 0 0 25.956 horus Y'certify, under penalty of law, that this document was prepared under my direction or supervision in cordance 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, j jAuding the possibilitv of fines and imprisonment for knowing violations" ;e's Lv- 1/27/2015 gnature of Land Applier Date �_ See bottom of FSF Form for helpful instructions for this MFLSF Form and the mathematical VM KffnF (5/2003) ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH APPLICATION FIELD. PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: City of Reidsville Permit #: WQ0002376 Annual Dry Tons Applied: 2.73 Owner: Lofton Lovelace Operator: Donald Lovelace Cation Exchange Capacity (non 503): Site #: RC41 Field #: 3 Acres Utilized: 2.4 Acres Permitted: 2.4 o � o Specify Totals Per % Solid s Dry Tons Per Acre' Residual Sources (Summarize) 1 e Cond. D Wet,n Inches Precip. Past24 Hrs. A li pp cation Meth- od* Vola- tili- zation Rate** Miner- ali-N zation Rate Ammo nia- Ni- trogen Ni- trate and14 Nitrite PAN 1 PAN 2 Must Select Crop1 or Crop p 2 * �' Gal. Cu.Yd. T.Re ort otalsAcre Gal. Crop 1 Crop 2 6/25 26000 10833 2.52 1.1384 Reidsville WWTP Dry <.5" S 0.5 0.3 49600 4760 75.4 36.2183 ####### Fescue 1 0 0.0000 1 0 0 1 2 0 0.0000 0 0 3 0 0.0000 0 0 4 0 1 0.0000 0 0 5 0 0.0000 0 0 6 0 0.0000 0 0 7 0 0.0000 0 0 8 0 0.0000 0 0 9 0 1 0.0000 0 0 10 0 0.0000 0 0 11 0 0.0000 0 0 12 TOTALS: 1.10833 :::::::::::::::: As Cd Cr Cu Pb H2 I Mo Ni Se I Zn P PAN 1 PAN 2 Lime Applied Annuallbs/acre 0.0068 0.0046 0.0615 0.2277 0.0319 0.0009 0.0114 0.0342 0.0114 0.4850 25.9555 36.2183 0 Date lbs/ac Current Cumulative lbs/ac 0.3384 0.2853 0.6717 9.0625 1.6792 0.1309 0.4078 1.1343 0.4063 15.9598 0.3316 0.2807 0.6102 8.8348 1.6473 0.1300 0.3964 1.1001 0.3949 15.4748 36 34 1338 1 267 15 374 89 2498 ........................... 2 50 50 Prior Years Cumulative lbs/ac Permitted C. P. L. R.*** PermitPAN Limit 2 1st/ nd Crop •-t certify, under penalty or 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." Z"ZG�l 1/27/2015 *Application Method: S - Surface, IN - Injection, INC - Incorporation Signature of Land Applier Date **Volatilization Rate: Surface - 0.5. Iniection/Incornoration -1.0 ***C.P.L.R.: Cumulative Pollutant Loading Rate * * * * The RSSF Data and the Dry Tons Per Acre are to be entered on the MFLSF Form. The FSF and MFLSF are mathematically linked so this information needs to be entered into the same numbered column on the MFLSF as is entered on the identically numbered FSF row to properly complete the metals equations. ie. FSF row # 1 to MFLSF column # 1. DENR FORM FSF (5/2003) ANNUAL METALS FIELD LOADING SUMMARY FORM* I Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: City of Reidsville Total Dry Tons Applied (Annual): 144.12 „ermit #: WQ0002376 Cation Exchange Capacity (non 503 only): Operator: Donald Lovelace Owner: Lofton Lovelace Acres Used: 19.4 Acres Permitted: 19.4 Site #: RC41 Field #: 4 P .Csiuuai rivaiysis Laia kneavy ivieiais ana i Mai rnospnorus use mg/Kg, io aonus use icaw rercent i7y Sample r Com- posite Date 1 4/24/14 2j 3j 4j L5 6 7 8 9 10 11 12 o Solids 2.52 Arsenic 3 cadmium 2 hromium 27 Copper 100 Lead 14 Mercury 0.4 Molyb- 3enum 5 Nickel 15 Selenium 5 Zinc 213 Total - I Phos- ,)horus 11400 nnual Heavv Metal Field Loadings (Calculated in the/nere)e c 1L2J 1 31 4 5] L6J L7 8 9 10 11 12 o' F 7.429 arsenic 0.0446 0 0 0 0 0 0 0 0 0 0 0 0.0446 Cadmium 0.0297 0 0 0 0 0 0 0 0 0 0 0 0.0297 - 'romi 0.4012 0 0 0 0 0 1 0 0 0 1 0 0 0 0.4012 topper 1.4858 0 0 0 0 0 0 0 0 0 0 0 1.4858 Lead 0.208 0 0 0 0 0 0 0 0 0 0 0 0.208 ,lrcury 0.0059 0 0 0 0 0 0 0 0 0 0 0 0.0059 lolyb- denum 0.0743 0 0 0 0 0 0 0 0 0 0 0 0.0743 Jickel 0.2229 0 0 0 0 0 0 0 0 0 0 0 0.2229 ;leniumi 0.0743 0 0 1 0 0 0 0 0 0 0 0 0 0.0743 Zinc 3.1648 0 0 0 0 0 0 0 0 0 0 0 3.1648 Total Phos- 169.38 0 0 0 0 0 0 0 0 0 0 0 169.38 horus F `. certifv. under penalty of law. that this document was nrennred under my airertin" nr elinplrviainn in _ �cordance 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, �cluding the possibilitv of fines and imprisonment for knowing violations" 1/27/2015 nature of Land Applier Date �ee bottom of FSF Form for helpful instructions for this MFLSF Form and the mathematicat9t*'PUH %F (5/2003) _ 1 t7D CD ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH APPLICATION FIELD. PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: City of Reidsville Permit #: WQ0002376 Annual Dry Tons Applied: 144.12 Owner: Lofton Lovelace Operator: Donald Lovelace Cation Exchange Capacity (non 503): Site #: RC41 Field #: 4 Acres Utilized: 19.4 Acres Permitted: 19.4 o A Totals Per % Solid s Dry Tons Per Residual Sources (Summarize)n site Cond. D We' Inches Precip. Past 24 Hrs. Appli- cation Meth- od* Vola- tili- zation Rate** Miner- ali- zation Rate I Ammo nia- Ni- trogen Ni- trate and Nitrite PAN 1 PAN 2 Must Select Crop 1 or Crop p p 2 G� CuNd. TRe ortAcre TotalsAcre Gal. Crop 1 Crop 2 5/7 52000 2680.4 2.52 0.2817 Reidsville WWTP Dry <.5" S 0.5 0.3 49600 4760 75.4 8.96123 ####### Fescue 1 5/8 227500 11727 2.52 1.2323 Reidsville WWTP Dry <.5" S 0.5 0.3 49600 1 4760 75.4 39.2054 ####### Fescue 2 5/21 52000 2680.4 2.52 0.2817 Reidsville WWTP Dry <.5" S 0.5 0.3 49600 4760 75.4 8.96123 ####### Fescue 3 5/22 169000 8711.3 2.52 0.9154 Reidsville WWTP Dry <.5" S 0.5 0.3 49600 4760 75.4 29.124 ####### Fescue 4 5/23 520000 26804 2.52 2.8167 Reidsville WWTP Dry <.5" S 0.5 0.3 49600 4760 75.4 189.6123 ####### Fescue 5 6/23 214500 11057 2.52 1.1619 Reidsville WWTP Dry <.5" S 0.5 0.3 49600 4760 75.4 36.9651 ####### Fescue 6 6/24 136500 7036.1 2.52 0.7394 Reidsville WWTP Dry <.5" S 0.5 0.3 1 49600 4760 75.4 23.5232 ####### Fescue 7 0 0.0000 0 0 8 0 0.0000 0 0 9 0 0.0000 0 0 10 0 0.0000 0 0 11 0 0.0000 0 0 12 TOTALS: 70696 ::::::::::: As Cd Cr Cu Pb Hg Mo Ni Se Zn P PAN 1 PAN 2 Lime Applied Annuallbs/acre 0.0446 0.0297 0.4012 L4858 0.2080 0.0059 1 0.0743 0.2229 0.0743 3.1648 169.381 236.352 0 Date lbs/ac Current Cumulative lbs/ac 0.2616 0.2559 1.1774 10.1886 2.0528 0.0481 0.4978 1.3798 0.3510 19.5177.:.:.:.:.:.:.:::::::::.:::....::::::::::::::::: 0.2170 0.2262 0.7762 8.7028 1.8448 0.0422 0.4235 1.1569 0.2767 16.3529 :::::::::::: :::::::::::::::::::: 36 34 1338 1 267 15 374 89 2498 .................... 250 50 Prior Years Cumulative lbs/ac Permitted C. P. L. R.*** Permit PAN Limit nn 2 d Pe 1 st/ n Crop ••I certlty, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." 1/27/2015 *Application Method: S - Surface, IN - Injection, INC - Incorporation Signature of Land Applier Date **Volatilization Rate: Surface - 0.5, Iniection/Incorporation -1.0 ***C.P.L.R.: Cumulative Pollutant Loading Rate * * * * The RSSF Data and the Dry Tons Per Acre are to be entered on the MFLSF Form. The FSF and MFLSF are mathematically linked so this information needs to be entered into the same numbered column on the MFLSF as is entered on the identically numbered FSF row to properly complete the metals equations. ie. FSF row # 1 to MFLSF column # 1. DENR FORM FSF (5/2003) ANNUAL METALS FIELD LOADING SUMMARY FORM* j Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: ermit #: Aerator: s.cres Used: City of Reidsville Total Dry Tons Applied (Annual): 49.28 WQ0002376 Cation Exchange Capacity (non 503 only): Johnie Carty Owner: Johnie Carty 11.4 Acres Permitted: 11.4 Site #: RC 118 Field #: 1 residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #); Sample r C LpDa]te 1 r 1/2/14 2j 4/24/14 3j 10/1/14 4 5 6 7 8 9 Oj LIJ 12 o Solids 0.83 2.52 1.7 arsenic 3 3 7 Cadmium 2 2 2.4 hromium 17 27 44 Copper 96 100 222 Lead 13 14 31 lercury 0.4 0.4 0.9 Molyb- lenum 5 5 9 [nickel 10 15 29 Selenium 5 5 5 Zinc 205 213 474 Total I Phos- chorus 12100 11400 23400 nnual Heavv Metal Field Loadings (Calculated in lhs/acre): 0 11 1213 L 4 L5J 6 L 7 8 9 10j 1111 12 o 0.2763 2.996 1.0509 arsenic 0.0017 0.018 0.0147 0 0 0 0 0 0 0 0 0 0.0343 Cadmium 0.0011 0.012 0.005 0 0 0 0 0 0 0 0 0 0.0181 - iromi urr 0.0094 0.1618 0.0925 0 0 0 0 0 0 0 0 0 0.2637 ;topper 0.053 0.5992 0.4666 0 0 0 0 0 0 0 0 0 1.1188 Lead 0.0072 0.0839 0.0652 0 0 0 0 0 0 0 0 0 0.1562 lercury 0.0002 0.0024 0.0019 0 0 0 0 0 0 0 0 0 0.0045 4olyb- 0.0028 0.03 0.0189 0 0 0 0 0 0 0 0 0 0.0516 denum Nickel 0.0055 0.0899 0.061 0 0 0 0 0 0 1 0 0 0 0.1564 ;lenium 0.0028 0.03 0.0105 0 0 0 0 0 0 0 0 1 0 0.0432 Zinc 0.1133 1.2763 0.9963 0 1 0 0 0 0 0 0 0 0 2.3858 Total Phos- 6.6865 68.309 49.182 0 0 0 0 0 0 0 0 0 124.18 horus [ certify, under penalty of law, that this document was prepared under my direction or supervision in .cordance 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, cluding the possibility of fines and imprisonment for knowing violations" 1/27/2015 -gnature of Land Applier Date > See bottom of FSF Form for helpful instructions for this MFLSF Form and the mathematicaj!kW$"NXffnF (5/2003) ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH APPLICATION FIELD. PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: City of Reidsville Permit #: WQ0002376 Annual Dry Tons Applied: 49.28 Owner: Johnie Carry Operator: Johnie Carty Cation Exchange Capacity (non 503): Site #: RC118 Field #: 1 Acres Utilized: 11.4 Acres Permitted: 11.4 �. o o A � :�: Specify Totals Per Acre o /o Solid s Dry Tons Per Acre Residual Sources (Summarize) site Cond. Dry, ' W Inches Precip. Past 24 Hrs. Appli- cation Meth- od* Vola- tili- zation Rate** Miner- ali- zation Rate TIC Ammo ma- Ni- trogen Ni- trate and Nitrite PAN 1 PAN 2 Must Select Crop 1 or Crop p P 2 Gal. Cu.Yd. :: �:� Report Totals in Gal. Crop 1 Crop 2 2/28 91000 7982.5 0.83 0.2763 Reidsville WWTP Dry <.5" S 0.5 0.3 68700 19300 265 13.6676 ####### Fescue 1 4/6 1 32500 2850.9 2.52 0.2996 Reidsville WWTP Dry <.5" S 0.5 0.3 49600 4760 75.4 9.53113 ####### Fescue 2 10/10 39000 3421.1 1.7 0.2425 Reidsville WWTP Dry <.5" S 0.5 0.3 57600 19400 2 10.2643 ####### Fescue 3 10/20 130000 11404 1.7 0.8084 Reidsville WWTP Dry <.5" S 0.5 0.3 57600 19400 2 34.2145 ####### Fescue 4 0 0.0000 0 0 1 5 0 0.0000 0 0 6 0 0.0000 0 0 7 0 0.0000 0 0 8 0 0.0000 0 0 9 0 0.0000 0 0 10 0 0.0000 0 0 11 0 0.0000 0 0 12 TOTALS: 25658 ::::::::::::::: As Cd Cr Cu Pb 112 Mo Ni Se I Zn P PAN 1 PAN 2 Lime Agplied Annuallbs/acre 0.0343 0.0181 0.2637 1.1188 0.1562 0.0045 0.0516 0.1564 0.0432 2.3858 124.177 67.67761 0 Date lbs/ac Current Cumulative lbs/ac 0.4889 0.4265 0.8711 29.5605 5.6188 0.1463 1.1225 4.1515 0.6386 48.1360:::::::::::::::::::::::::::::::::::::::::::::::::::::::::: 0.4546 0.4084 0.6074 28.4417 5.4626 0.1418 1.0709 3.9951 0.5954 45.7502.:.:.:.:::.:.::::::::::::::::....:.:::::::::::.. . 36 34 1338 267 15 374 89 2498 250 50 Prior Years Cumulative lbs/ac Permitted C. P. L. R.*** Permit PAN Limit 1 st/2nd C ro p I ceruiy, unaer penalty of iaw, tnat tnis aocument was preparea unaer my airection or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." ii-e 1/27/2015 *Application Method: S - Surface, IN - Injection, INC - Incorporation Signature of Land Applier Date **Volatilization Rate: Surface - 0.5, Iniection/Incorporation -1.0 ***C.P.L.R.: Cumulative Pollutant Loading Rate **** The RSSF Data and the Dry Tons Per Acre are to be entered on the MFLSF Form. The FSF and MFLSF are mathematically linked so this information needs to be entered into the same numbered column on the MFLSF as is entered on the identically numbered FSF row to properly complete the metals equations. ie. FSF row # 1 to MFLSF column # 1. DENR FORM FSF (5/2003) ra ANNUAL METALS FIELD LOADING SUMMARY FORM* i Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report .Facility Name: Permit #: Operatom Acres Used: City of Reidsville Total Dry Tons Applied (Annual): WQ0002376 Cation Exchange Capacity (non 503 only): Johnie Carty Owner: Johnie Carty 5.6 Acres Permitted: 5.6 Site #: RC 118 Field #: 2 22.59 ,_ .cesictual Analysis Data (Heavy Metals and 'Total Phosphorus use mg/kg, % Solids use Raw Percent #); Sample ,r Com- r posite Date 11 1/2/14 2 4/24/14 3j 10/1/14 4 5 6 7 8 9 10 11 12 'o Solids 0.83 2.52 1.7 Arsenic 3 3 7 cadmium 2 2 2.4 'hromium 17 27 44 Copper 96 100 222 Lead 13 14 31 !Iercuiy 0.4 0.4 0.9 Molyb- denum 5 5 9 Nickel 10 15 29 Selenium 5 5 5 Zinc 205 213 474 Total I Phos- chorus 12100 11400 23400 Anual Heavv Metal Field Loadinuc Wnlenlatp.d in the/avrPl- 0 11 L-21 1314 L-5j 6 J L7J8 9 LOJ 12 o -' o 0.5624 1 2.0735 1.3988 irsenic 0.0034 0.0124 0.0196 0 0 0 0 0 0 0 0 0 0.0354 Cadmium 0.0022 0.0083 0.0067 0 0 0 0 0 0 0 0 0 0.0173 romiutr 0.0191 0.112 0.1231 0 0 0 0 0 0 0 0 0 0.2542 topper 0.108 0.4147 0.6211 0 0 0 0 0 0 0 0 0 1.1437 Lead 0.0146 0.0581 0.0867 0 0 0 0 0 0 0 0 0 0.1594 iercury 0.0004 0.0017 0.0025 0 0 0 0 0 0 0 0 0 0.0046 lolyb- denum 0.0056 0.0207 0.0252 0 0 0 0 0 0 0 0 0 0.0515 4ckel 0.0112 0.0622 0.0811 0 0 0 0 0 0 0 0 0 0.1546 ,lenium 0.0056 0.0207 0.014 0 0 0 0 0 0 0 0 0 0.0403 Zinc 0.2306 0.8833 1.3261 0 0 0 0 0 0 0 0 0 2.44 Total ?hos- 13.61 47.276 65.464 0 0 0 0 0 0 0 0 0 126.35 horus certify, under penalty of law, that this document was prepared under my direction or supervision in cordance 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, `,luding the possibilitv of fines and imprisonment for knowing violations" 1/27/2015 `gnature of Land Applier Date .tee bottom of FSF Form for helpful instructions for this MFLSF Form and the mathematica ft*VM KWEbF (5/2003) ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH APPLICATION FIELD. PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: City of Reidsville Permit #: WQ0002376 Annual Dry Tons Applied: 22.59 Owner: Johnie Carty Operator: Johnie Carty Cation Exchange Capacity (non 503): Site #: RC 118 Field #: 2 Acres Utilized: 5.6 Acres Permitted: 5.6 o N P o :::I Soecify Totals Per Acre % Solid s Dry Tons Per Acre' Residual Sources (Summarize) Site Cond. D Wet, Inches Precip. Past 24 Hrs. A 11 pp cation Meth- od* Vola- tili- zation Rate** Miner- ali- zation Rate r Ammo nia- Ni- trogen Ni- trate and Nitrite PAN 1 PAN 2 Must Select Crop 1 or Crop p p 2 * Gal- Cu.Yd. Report Totals T Gal. Crop 1 Crop 2 3/1 91000 16250 0.83 0.5624 Reidsville WWTP Dry <,5" S 0.5 0.3 68700 19300 265 27.8234 ####### Fescue 1 5/4 110500 19732 2.52 2.0735 Reidsville WWTP Dry <.5" S 0.5 0.3 49600 4760 75.4 65.969 ####### Fescue 2 10/20 65000 11607 1.7 0.8228 Reidsville WWTP Dry <.5" S 0.5 0.3 57600 19400 2 34.8255 ####### Fescue 3 10/21 45500 8125 1.7 0.5760 Reidsville WWTP Dry <.5" S 0.5 0.3 57600 19400 2 24.3778 ####### Fescue 4 0 1 0.0000 1 0 0 S 0 0.0000 0 0 6 0 0.0000 0 0 7 0 0.0000 0 0 8 0 0.0000 0 0 9 0 0.0000 0 0 10 0 0.0000 0 0 11 0 0.0000 0 0 12 TOTALS: 55714 :::::::::::::: As Cd Cr Cu Pb Hg Mo Ni Se Zn P PAN 1 PAN 2 Lime Applied Annuallbs/acre 0:0354 0.0173 0.2542 1.1437 0.1594 0.0046 0.0515 0.1546 0.0403 2.4400 126.35 152.996 0 Date lbs/ac Current Cumulative lbs/ac 0.4894 0.4528 0.9107 38.4492 7.1335 1 0.1642 1 1.1865 1 5.2824 1 0.6223 158.24191::::::::::::::::::::::::::::::::::::::::::::::::: 0.4540 0.4355 0.6565 37.3055 6.9741 0.1596 1.1350 5.1278 0.5820 55.8019 ::::::: :: :::::::::::::: 36 34 1 1 1338 267 15 374 1 89 1 2498 ........................... 25 0 50 Prior Years Cumulative lbs/ac Permitted C. P. L. R.*** e P rmrt PA Li N Limit 1 st/2nd Crop p • i certiry, under penalty o1 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." z;�e 1/27/2015 *Application Method: S - Surface, IN - Injection, INC - Incorporation Signature of Land Applier Date **Volatilization Rate: Surface - 0.5, Iniection/Incorporation -1.0 ***C.P.L.R.: Cumulative Pollutant Loading Rate * * * * The RSSF Data and the Dry Tons Per Acre are to be entered on the MFLSF Form. The FSF and MFLSF are mathematically linked so this information needs to be entered into the same numbered column on the MFLSF as is entered on the identically numbered FSF row to properly complete the metals equations. ie. FSF row # 1 to MFLSF column # 1. DENR FORM FSF (5/2003) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: Permit #: Operator: -acres Used: City of Reidsville Total Dry Tons Applied (Annual): WQ0002376 Cation Exchange Capacity (non 503 only): Clinton Hanks Owner: Thomas Carter 11.1 Acres Permitted: 11.1 Site #: RC 119 61.37 Field #: 1 cesiauaI Analysis liata (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #); Sample Ir Com- �posite Date 1 4/24/14 2 10/1/14 3 4 5 6 7 8 9 10 11 12 Solids 2.52 1.7 -.Arsenic 3 7 t"admium 2 2.4 hrominm 27 44 Copper 100 222 P Lead 14 31 '4ercury 0.4 0.9 "Molyb- 3enum 5 9 ,Nickel 15 29 Selenium 5 5 Zinc 213 474 Total Phos- 2 horns 11400 23400 ;nnuai Heavy lvietal r ield Loadings (Calculated in lbs/acre): c 1 11 121L3J 4 L5J 16171 L-81 19110 11 12 b o I o r 4.6152 0.9133 lrsenic I .. 0.0277 0.0128 0 0 0 0 0 0 0 0 0 0 0.0405 Cadmium 0.0185 0.0044 0 0 0 0 0 0 0 0 0 0 0.0228 romi 0.2492 0.0804 0 0 0 0 0 0 0 0 0 0 0.3296 topper 1 0.923 0.4055 0 0 0 0 0 0 0 0 0 0 1.3285 Lead 0.1292 0.0566 0 0 0 0 0 0 0 0 0 0 0.1859 ry.[ercury 0.0037 0.0016 0 0 0 0 0 0 0 0 0 0 0.0053 Iolyb- denum 0.0462 0.0164 0 0 0 0 0 0 0 0 0 0 0.0626 Bickel 1 0.1385 0.053 0 0 0 0 0 0 0 0 0 0 0.1914 Jeniuml 0.0462 0.0091 0 0 0 0 0 0 0 0 0 0 0.0553 Zinc. 1.9661 0.8658 0 0 0 0 0 0 0 0 0 0 2.8319 Total ?hos- 105.23 42.742 0 0 0 0 0 0 0 0 0 0 147.97 horus i certify, under penalty of law, that this document was prepared under my direction or supervision in ,cordance 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, `�auding the possibilitv of fines and imprisonment for knowing violations" 1/27/2015 ,mature of Land Applier Date ,lee bottom of FSF Form for helpful instructions for this MFLSF Form and the mathematical VM %F (5/2003) ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH APPLICATION FIELD. PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: City of Reidsville Permit #: WQ0002376 Annual Dry Tons Applied: 61.37 Owner: Thomas Carter Operator: Clinton Hanks Cation Exchange Capacity- (non 503): Site #: RC119 Field #: 1 Acres Utilized: 11.1 Acres Permitted: 11.1 o � 0 o ci Totals Per Acre % Solid s Dry Tons Per Acre' Residual Sources (Summarize) ite Cond. D Wet, Inches Precip. Past 24 Hrs. A ll pp cation Meth- od* Vola- tili- zation Rate** Miner- ali- zation Rate TI�1V Ammo nia- Ni- trogen Ni- Irate and Nitrite PAN 1 PAN 2 Must Select Crop 1 or Crop p p 2 g!!Gal. Cu.Yd. Report T Totals in Gal. Crop 1 Crop 2 5/4 110500 9955 2.52 1.0461 Reidsville WWTP Dry <S' S 0.5 0.3 49600 4760 75.4 33.2817 ####### Fescue 1 515 32500 2927.9 2.52 0.3077 Reidsville WWTP Dry <.5" S 0.5 0.3 49600 4760 75.4 9.78873 ####### Fescue 2 5/6 97500 8783.8 2.52 0.9230 Reidsville WWTP Dry <.5" S 0.5 0.3 49600 4760 75.4 29.3662 ####### Fescue 3 5/7 26000 2342.3 2.52 0.2461 Reidsville WWTP Dry <.5" S 0.5 0.3 49600 4760 75.4 7.83098 ####### Fescue 4 5/8 19500 1756.8 2.52 0.1846 Reidsville WWTP Dry <.5" S 0.5 0.3 49600 4760 75.4 15.87324 ####### Fescue 5 5/9 201500 18153 2.52 1.9076 Reidsville WWTP Dry <.5" S 0.5 0.3 49600 4760 75.4 160.6901 ####### Fescue 161 10/8 143000 12883 1.7 0.9133 Reidsville WWTP Dry <.5" S 0.5 0.3 57600 19400 2 38.6531 ####### Fescue 7 0 0.0000 0 0 8 0 1 0.0000 10 0 9 0 0.0000 0 0 10 0 0.0000 0 0 11 0 0.0000 0 0 12 TOTALS: 56802 ................ As Cd Cr Cu Pb Hg Mo Ni Se Zn P PAN 1 PAN 2 Lime Applied Annuallbs/acre 0.0405 0.0228 0.3296 1.3285 0.1859 0.0053 1 0.0626 0.1914 0.0553 2.8319 147.969 185.484 0 Date lbs/ac Current Cumulative lbs/ac 0.3573 0.3620 0.9803 24.0501 4.1471 0.1251 0.9875 3.8456 0.5383 38.2887:::::::::::::::::::::::::::::::::::::::::::::::::::::::: 0.3168 0.3392 0.6507 22.7216 3.9612 0.1198 0.9249 3.6542 0.4830 35.4568....::::::::::::::::::::::::::::::::::::::: 36 34 1338 267 15 374 89 2498 .............................. 25050 Prior Years Cumulative lbs/ac Permitted C. P. L. R.*** Permit PAN Limit 1 s 2 t/ nd Crop P I ceruiy, under penalty of law, inar finis aocument was preparea unaer 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." d-Z 1/27/2015 *Application Method: S - Surface, IN - Injection, INC - Incorporation Signature of Land Applier Date **Volatilization Rate: Surface - 0.5, Iniection/Incorporation -1.0 ***C.P.L.R.: Cumulative Pollutant Loadin:l Rate * * * * The RSSF Data and the Dry Tons Per Acre are to be entered on the MFLSF Form. The FSF and MFLSF are mathematically linked so this information needs to be entered into the same numbered column on the MFLSF as is entered on the identically numbered FSF row to properly complete the metals equations. ie. FSF row # 1 to MFLSF column # 1. DENR FORM FSF (5/2003) ANNUAL METALS FIELD LOADING SUMMARY FORM* _ Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report F_ acility Name: &ermit #: '-Operator: kcres Used: City of Reidsville Total Dry Tons Applied (Annual): WQ0002376 Cation Exchange Capacity (non 503 only): Clinton Hanks Owner: 7.1 Acres Permitted: 7.1 Thomas Carter 25.64 Site #: RC 119 Field #: 2 ,:esiaual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, Ill % Solids use Raw Percent #); f Sample 1 _.?j 3j L4 5 6 7 8 9 10 11 12 r Com- 4/24/14 10/1/14 posite Date o Solids 2.52 1.7 Arsenic 3 7 ^admium 2 2.4 luomium 27 44 'Copper 100 222 ,,Lead 14 31 _ lercury 0.4 0.9 Molyb- 5 9 " lenum ,,,Tickel 15 29 Selenium 5 5 'Zinc 213 474 Jotal Phos- 11400 23400 Dhorus annual Heavv Metal Field Loadings (Calculated in the/acre)- lhs/nrre)- Ill 2 L3J 4 L5J 8 171 8 L9J 10 Ij 12 o 1.9241 1.6874 'arsenic 0.0115 0.0236 0 0 0 0 0 0 0 0 0 0 0.0352 Cadmium 0.0077 0.0081 0 0 0 0 0 0 0 0 0 0 0.0158 - romi 0.1039 0.1485 0 0 0 0 0 0 0 0 0 0 0.2524 topper 0.3848 0.7492 0 0 0 0 0 0 0 0 0 0 1.134 Lead 0.0539 0.1046 0 1 0 0 0 0 0 0 0 0 0 0.1585 lercury 0.0015 0.003 0 0 0 0 0 0 0 0 0 0 0.0046 4olyb- 0.0192 0.0304 0 0 0 0 0 0 0 0 0 0 0.0496 _denum ;Jickel 0.0577 0.0979 0 0 0 0 0 0 0 0 0 0 0.1556 ';lenium 0.0192 0.0169 0 0 0 0 0 0 0 0 0 0 0.0361 Zinc 0.8197 1.5997 0 0 0 0 0 0 0 0 0 1 0 2.4193 "rotal Phos- 43.869 78.97 0 0 0 0 0 0 0 0 0 0 122.84 horus certify, under penalty of law, that this document was prepared under my direction or supervision in `cordance 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, eluding the possibilitv of fines and imprisonment for knowing violations" Cv►9't'4- 1/27/2015 `',gnature of Land Applier Date ,iee bottom of FSF Form for helpful instructions for this MFLSF Form and the mathematicaft "DW FNESF (5/2003) ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH APPLICATION FIELD. PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: City of Reidsville Permit #: WQ0002376 Annual Dry Tons Applied: 25.64 Owner: Thomas Carter Operator: Clinton Hanks Cation Exchange Capacity (non 503): Site #: RC119 Field #: 2 Acres Utilized: 7.1 Acres Permitted: 7.1 o Y 0 A :�: Specify Totals Per Acre % Solid s Dry Tons Per Acre Residual Sources (Summarize) Cond. D ' Wet' Inches Precip. Past 24 HrsWist. Appli- cation Meth- od* Vola- tili- zation Rate** Miner- ali- nation Rate TI�IV Ammo nia- Ni- trogen Ni- trate and Nitrite PAN 1 PAN 2 Must Select Crop 1 or Crop 2 Gal. Cu.Yd. H::: Report is in Gal. Crop 1 Crop 2 5/7 130000 18310 2.52 1.9241 Reidsville WWTP Dry <.5" S 0.5 0.3 49600 4760 75.4 61.214 ####### Fescue 1 10/8 10/10 26000 143000 3662 20141 1.7 1.7 0.2596 1.4278 Reidsville WWTP Reidsville WWTP Dry Dry <,5" <.5" S S 0.5 0.5 0.3 0.3 57600 57600 19400 19400 2 2 10.9872 60.4296 ####### ####### Fescue Fescue 2 3 0 0 0.0000 0.0000 0 0 0 0 4 5 0 0.0000 0 0 6 0 0.0000 0 0 1 7 0 0.0000 0 0 8 0 0.0000 0 0 9 0 0.0000 0 0 10 0 0.0000 0 0 11 0 0.0000 0 0 12 TOTALS: 42113 :::::::::::::::: As Cd Cr Cu Pb Hg Mo Ni Se Zn P PAN 1 PAN 2 Lime A lied Annuallbs/acre 0.0352 0.0158 0.2524 1.1340 0.1585 0.0046 0.0496 0.1556 0.0361 2.4193 122.84 132.631 0 Date lbs/ac Current Cumulative lbs/ac 0.3444 0.3309 0.9102 22.7415 3.7966 0.1225 0.8704 3.5913 0.4885 35.8205::::::::::::::::::::::::::::::::::::::::::::::::::::: 0.3092 0.3151 0.6578 21.6075 3.6381 1 0.1179 0.8208 3.4357 0.4524 33.4012 36 34 1338 267 15 374 89 2498 250 50 Prior Years Cumulative lbs/ac Permitted C. P. L. R.*** Permit tPA N Limit 1 s 2 t/ nd Crop A ..Ex t.Ay, UTAUVI puna,iy Ui ,aw, Mai ims uucumenz was preparea unaer my airection or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." 1/27/2015 *Application Method: S - Surface, IN - Injection, INC - Incorporation Signature of Land Applier Date **Volatilization Rate: Surface - 0.5. Iniection/Incorporation -1.0 ***C.P.L.R.: Cumulative Pollutant Loading Rate **** The RSSF Data and the Dry Tons Per Acre are to be entered on the MFLSF Form. The FSF and MFLSF are mathematically linked so this information needs to be entered into the same numbered column on the MFLSF as is entered on the identically numbered FSF row to properly complete the metals equations. ie. FSF row # 1 to MFLSF column # 1. DENR FORM FSF (5/2003) - . ANNUAL METALS FIELD LOADING SUMMARY FORM* L-. Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: ermit #: Aerator: Alcres Used: 1-0.7-1 A-_1 City of Reidsville Total Dry Tons Applied (Annual): WQ0002376 Cation Exchange Capacity (non 503 only): Clinton Hanks Owner: Thomas Carter 19.1 Acres Permitted: 19.1 Site #: RC 119 Field #: 71 1 _ /TT _ _ _ _ _ la T _ �. _ 1 _ t m 1 T 1 57.56 4 "a .. �.....R� ly �IL5 „aLa kraeavy lvielais anu i otai rnospnorus use mg/xg, io aonas use Kaw Percent #) Samplerl 2 34 5 6 7 8 9 10 11 12r'Com-2/14 4/24/14 posite Date 6 Solids 0.83 2.52 .Arsenic 3 3 admium 2 2 hromium 17 27 Copper 96 100 Lead H13 14 _'Iercury 0.4 0.4 Molyb- 5 5 lenum Vickel 10 15 Selenium 5 5 Zinc 205 213 :Total I Phos- 12100 11400 chorus 'nnual Heavv Metal Field Lnadinuc (f'alenlatPd in the/arrPl- y c y c 11 L2J L3J-4 1 51 L6]L7J L8J9 10 Lj 12 b o H 0 o 0.1885 2.8252 rsenic 0.0011 0.017 0 0 0 0 0 0 0 0 0 0 0.0181 Cadmiuml 0.0008 0.0113 0 0 0 0 0 0 0 0 0 0 10.0121 romiun 0.0064 0.1526 0 0 0 0 0 0 0 0 0 0 0.159 opper 0.0362 0.565 0 0 0 0 0 0 0 0 0 0 0.6012 Lead 0.0049 0.0791 0 0 0 0 0 0 0 0 0 0 0.084 ercury 0.0002 0.0023 0 0 0 0 0 0 0 0 0 0 0.0024 lolyb denum 0.0019 0.0283 0 0 0 0 0 0 0 0 0 0 0.0301 lickel 0.0038 0.0848 0 0 0 0 0 0 0 0 0 0 0.0885 'lenium 0.0019 0.0283 0 0 0 0 0 1 0 0 0 0 0 0.0301 Zinc 0.0773 1.2035 0 1 0 0 0 0 0 0 0 0 0 1.2808 ' 'Cotal !Ihos- 4.5617 64.415 0 0 0 0 0 0 0 0 0 0 68.976 horus certify, under penalty of law, that this document was prepared under my direction or supervision in i eordance 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, iJuding the possibility of fines and imprisonment for knowing violations" 1/27/2015 ;]`-',Pature of Land Applier Date ' __'ee bottom of FSF Form for helpful instructions for this MFLSF Form and the mathematical M %F (5/2003) ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH APPLICATION FIELD. PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. . Facility Name: City of Reidsville Permit #: WQ0002376 Annual Dry Tons Applied: 57.56 Owner: Thomas Carter Operator: Clinton Hanks Cation Exchange Capacity (non 503): Site #: RC 119 Field #: 4 Acres Utilized: 19.1 Acres Permitted: 19.1 o � o A � Totals Per Acre % Solid s Dry Tons Per Acre Residual Sources (Summarize) site Cond. Dry, Wet, Inches Precip. Past 24 Hrs. A 11 pp cation Meth- od* Vola- tili- zation Rate** Miner- ali- zation Rate TKN Ammo nia- Ni- trogen Ni- Irate and2 Nitrite PAN 1 PAN 2 Must Select Crop 1 or Crop p p * Gal. CuNd. Report Totals I -:-in Gal. Crop 1 Crop 2 3/2 104000 5445 0.83 0.1885 Reidsville WWTP Dry <.5" S 0.5 0.3 68700 19300 265 9.32301 ####### Fescue 1 4/5 123500 6466 2.52 0.6795 Reidsville WWTP Dry <S' S 0.5 0.3 49600 4760 75.4 21.6172 ####### Fescue 2 4/6 110500 5785.3 2.52 0.6079 Reidsville WWTP Dry <.5" S 0.5 0.3 49600 4760 75.4 19.3417 ####### Fescue 3 5/7 52000 2722.5 2.52 0.2861 Reidsville WWTP Dry <.5" S 0.5 0.3 49600 4760 75.4 19.10198 ####### Fescue 4 5/8 227500 11911 2.52 1.2517 Reidsville WWTP Dry <.5" S 1 0.5 0.3 49600 1 4760 75.4 39.8212 ####### Fescue 5 0 0.0000 0 0 1 6 0 0.0000 0 0 7 0 0.0000 0 0 8 0 0 0 0 9 0 0 0 0 10 0 0 0 0 11 0 0 0 0 12 TOTALS: 32330 :::::::: As Cd Cr Cu Pb Hg Mo Ni Se Zn P PAN 1 PAN 2 Lime Applied Annuallbs/acre 0.0181 0.0121 0.1590 0.6012 0.0840 0.0024 0.0301 0.0885 0.0301 1.2808 68.9763 1 99.205 0 Date lbs/ac Current Cumulative lbs/ac 0.2662 0.3068 0.4895 20.5163 3.4193 0.1083 0.8084 3.3432 0.4435 31.3532:::................:::::::::::::::::::....:....:.: 0.2481 0.2947 0.3305 19.9151 3.3353 0.1059 0.7783 3.2547 0.4134 30.0724 36 34 1338 267 15 374 89 2498...................................... 2 50 50 Prior Years Cumulative lbs/ac Permitted C. P. L. R. Permit PAN Limit 1 st/2nd Crop "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." 1/27/2015 *Application Method: S - Surface, IN - Injection, INC - Incorporation Signature of Land Applier Date **Volatilization Rate: Surface - 0.5, Iniection/Incorporation -1.0 ***C.P.L.R.: Cumulative Pollutant Loading Rate **** The RSSF Data and the Dry Tons Per Acre are to be entered on the MFLSF Form. The FSF and MFLSF are mathematically linked so this information needs to be entered into the same numbered column on the MFLSF as is entered on the identically numbered FSF row to properly complete the metals equations. ie. FSF row # 1 to MFLSF column # 1. DENR FORM FSF (5/2003) i ANNUAL METALS FIELD LOADING SUMMARY FORM* LAttach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: City of Reidsville Total Dry Tons Applied (Annual): 38.10 Winit #: WQ0002376 Cation Exchange Capacity (non 503 only): Operator: Clinton Hanks Owner: Thomas Carter Acres Used: 8.5 Acres Permitted: 8.5 Site #: RC 119 Field #: 5 n1Xa1y31a Laia knCavy ivieLais anu i Mai rnospnorus use mg/xg, ro aonas use xaw rercent #)I Sample �r Com- posite _ Date 1 1/2/14 2 7/1/14 3 4 5 6 7 8 9 10 11 12 ,o Solids 0.83 5.39 -Arsenic 3 4 cadmium 2 2 hromium 17 80 Copper 96 198 Lead 13 32 dercury 0.4 0.8 Molyb- denum 5 8 [Nickel 10 42 Selenium 5 5 Zinc 205 399 Total I Phos- )horus 12100 18200 nnual Heavv Metal Field Landinuc (Calrnlaterl in the/aoval- 0 1 2 3 4 151 L_6J7 8 J L9J 10 11 12 c o -P- 0.5293 3.9532 Lrsenic 0.0032 0.0316 0 0 0 0 0 0 0 0 0 0 1 0.0348 Cadmium 0.0021 0.0158 0 0 0 0 0 0 0 0 0 0 0.0179 romuii 0.018 0.6325 0 0 0 0 0 0 0 0 0 0 0.6505 topper 1 0.1016 1.5655 0 0 0 0 0 0 0 0 0 0 1.6671 Lead 0.0138 0.253 0 0 0 0 0 0 0 0 0 0 0.2668 [ercury 0.0004 0.0063 0 0 0 0 0 0 0 0 0 0 0.0067 Tolyb- denum 0.0053 0.0633 0 0 0 0 0 0 0 0 0 0 0.0685 lickel 1 0.0106 0.3321 0 0 0 0 0 0 0 0 0 0 0.3427 leniuml 0.0053 0.0395 0 0 0 0 0 0 0 0 0 0 0.0448 Zinc 0.217 3.1547 0 0 0 0 0 0 0 0 0 0 3.3717 i Total ?hos- 12.809 143.9 0 0 0 0 0 0 0 0 0 0 156.71 horus Fvu.=awJ v= =a••, 6uR& ivaa uvI�u♦ucuL Wa, pr-eparea unaer my uirecnon or supervision in cordance 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, .luding the possibilitv of fines pand imprisonment for knowing violations" 1/27/2015 mature of Land Applier Date '!ee bottom of FSF Form for helpful instructions for this MFLSF Form and the mathematicakWVM ]WTSF (5/2003) �- -- -- - --� --. ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH APPLICATION FIELD. PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: City of Reidsville Permit #: WQ0002376 Annual Dry Tons Applied: 38.10 Owner: Thomas Carter Operator: Clinton Hanks Cation Exchange Capacity (non 503): Site #: RC119 Field #: 5 Acres Utilized: 8.5 Acres Permitted: R S :J Specify 1 e Gal. o Totals % Cond. Inches Appli- Vola- Miner- Ammo Ni- Must Select Cu.Yd. N 4 14 o Per Solid Dry Tons Per Residual Sources Dry, Precip. cation tili- ali- nia- trate Crop 1 or Crop A fRe or' Acre Acre (Summarize) Past 24 Meth- zation zation TKN Ni- and PAN 1 PAN 2 2 Totals s Wet, Crop 1 Crop 2 in Gal. Hrs. od* Rate** Rate trogen Nitrite 3/1 71500 8411.8 0.83 0.2911 Reidsville WWTP Dry <.5" S 0.5 0.3 68700 19300 265 14.4027 ####### Fescue 1 3/2 58500 6882.4 0.83 0.2382 Reidsville WWTP Dry <.5" S 0.5 0.3 68700 19300 265 11.784 ####### Fescue 2 9/20 58500 6882.4 5.39 1.5469 Reidsville WWTP Dry <.5" S 0.5 0.3 47900 11900 13 51.8613 ####### Fescue 3 9/21 91000 10706 5.39 2.4063 Reidsville WWTP Dry <.5" S 0.5 0.3 47906 11900 13 80.6732 ####### Fescue 4 0 0.0000 0 0 5 0 0.0000 0 0 6 0 0.0000 0 0 7 0 0.0000 0 0 8 0 0 0 0 9 0 0 0 0 10 0 0 0 0 11 0 0 0 0 12 TOTALS: 132882 :::::::::::::::: As Cd Cr Cu Pb Hg Mo Ni Se Zn P PAN 1 PAN 2 Lime Applied Annuallbs/acre 0.0348 0.0179 0.6505 1.6671 0.2668 0.0067 0.0685 0.3427 0.0448 3.3717 156.706 158.721 0 Date lbs/ac Current Cumulative lbs/ac 0.3584 0.2883 1.6040 13.8801 2.5276 0.0636 , 0.5890 1.8250 0.4548 26.7892 0.3236 0.2704 0.9535 12.2130 2.2608 0.0569 0.5205 1.4823 0.4100 23.4175 36 34 1338 267 15 374 1 89 1 2498 Prior Years Cumulative lbs/ac Permitted C. P. L. R.*** Pe rmrt PAN Limit mrt 1 b2 s nd Crop P 2 50 5 0 - --- ---.,----��- r�--�--�� - _ -, &u"& &u=0 utmumunt WAN Ni wpul-Cu unuCr my ulrection or supervision in accorclance 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." zyl4; 1`�- 1/27/2015 *Application Method: S - Surface, IN - Injection, INC - Incorporation Signature of Land Applier Date **Volatilization Rate: Surface - 0.5, Iniection/Incorporation - 1.0 ***C.P.L.R.: Cumulative Pollutant Loading Rate **** The RSSF Data and the Dry Tons Per Acre are to be entered on the MFLSF Form. The FSF and MFLSF are mathematically linked so this information needs to be entered into the same numbered column on the MFLSF as is entered on the identically numbered FSF row to properly complete the metals equations. ie. FSF row # 1 to MFLSF column # 1. DENR FORM FSF (5/2003) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: e'rmit #: Jperator: Acres Used: City of Reidsville Total Dry Tons Applied (Annual): WQ0002376 Cation Exchange Capacity (non 503 only): Clinton Hanks Owner: Thomas Carter 9.5 Acres Permitted: 9.5 Site #: RC 119 Field #: 57.82 residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #) Sample r Com- _posite Date 1 4/2/14 21 8/18/14 3 10/1/14 4 5 6 7 8 9 10 11 12 o Solids 2.52 18.38 1.7 arsenic 3 4 7 cadmium 2 2 2.4 hromium 27 41 44 Copper 100 163 222 Lead 14 25 31 Rercury 0.4 0.9 0.9 Molyb- ienum 5 5 9 [Nickel 15 24 29 Selenium 5 5 5 Zinc 213 375 474 Total I Phos- chorus 11400 19300 23400 nnual Heavy Metal Field Loadings (Calculated in lbs/acre): 0 11 L2J 1 31 5 6 7 8 9 10 11 12 y la o m o 2.0132 3.152 0.92164 ,arsenic 0.0121 0.0252 0.0129 0 0 0 0 0 0 0 0 0 0.0502 Cadmium 0.0081 0.0126 0.0044 0 0 0 0 0 0 0 0 0 0.0251 Lromiurr 0.1087 0.2585 0.0811 0 0 0 0 0 0 0 0 0 0.4483 topper 0.4026 1.0276 0.40921 0 0 0 0 0 0 0 0 0 1.8394 Lead 0.0564 0.1576 0.0571 0 0 0 0 0 0 0 0 0 0.2711 lercury 0.0016 0.0057 0.0017 0 0 0 0 0 0 0 0 0 0.0089 4olyb- 0.0201 0.0315 0.0166 0 0 0 0 0 0 0 0 0 0.0682 denum -Nickel 0.0604 0.1513 0.0535 0 0 0 0 0 0 0 0 0 0.2651 :lenium 0.0201 0.0315 0.0092 0 0 0 0 0 0 0 0 0 0.0609 Zinc 0.8576 2.364 0.87371 0 0 0 0 0 0 0 0 0 4.0953 Total _Phos- 45.901 121.67 43.131 0 0 0 0 0 0 0 0 0 210.7 horus I certify, under penalty of law, that this document was prepared under my direction or supervision in vordance 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, cluding the possibilitv of fines and imprisonment for knowing violations" :ens Lv 1/27/2015 "' gnature of Land Applier Date jee bottom of FSF Form for helpful instructions for this MFLSF Form and the mathematical L%F (5/2003) ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH APPLICATION FIELD. PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: City of Reidsville Permit #: WQ0002376 Annual Dry Tons Applied: 57.82 Owner: Thomas Carter Operator: Clinton Hanks Cation Exchange Capacity (non 503): Site #: RC119 Field #: 6 Acres Utilized: 9.5 Acres Permitted: 9.5 o g o :: Specify Totals Per Acre I % Solid s Dry Tons Per Acre' l Residual Sources (Summarize) lte Cond. D Wet, Moist Inches Precip. Past 24 Hrs. A li pp cation Meth- od* Vola- tili- zation Rate** Miner- ali- zation Rate TKN Ammo ma- Ni- trogen Ni- trace and Nitrite PAN 1 PAN 2 Must Select Crop. 1 or Crop p p 2 * Gal• Cu.Yd. � � Report X Totals in Gal. Crop 1 Crop 2 515 182000 19158 2.52 2.0132 Reidsville WWTP Dry <.5" S 0.5 0.3 49600 4760 75.4 64.0492 ####### Fescue 1 9/4 14651 1542.2 18.38 1.1820 Reidsville WWTP ' Dry <.5" S 0.5 0.3 37200 7240 8.16 29.8251 ####### Fescue 2 9/5 24418 2570.3 18.38 1.9700 Reidsville WWTP Dry <.5" S 0.5 0.3 37200 7240 8.16 49.7079 ####### Fescue 3 10/7 91000 9578.9 1.7 0.6791 Reidsville WWTP Dry <.5" S 0.5 0.3 57600 19400 2 28.7402 ####### Fescue 4 10/8 32500 3421.1 1.7 1 0.2425 Reidsville WWTP Dry 1 <.5" S 0.5 0.3 57600 19400 2 10.2643 10.26.43 5 0 0.0000 0 0 6 0 0.0000 0 0 7 0 0.0000 0 0 8 0 0 0 0 9 0 0 0 0 10 0 0 0 0 11 0 0 0 0 12 TOTALS: 36270 ::::::::::::::: As Cd Cr Cu Pb Hg Mo Ni Se Zn P PAN 1 PAN 2 Lime Applied Annuallbs/acre 0.0502 0.0251 0.4483 1.8394 0.2711 0.0089 0.0682 0.2651 0.0609 4.0953 210.699 182.587 10.2643 Date lbs/ac Current Cumulative lbs/ac 0.1596 0.0562 1.0597 4.9130 0.6973 0.0240 0.2036 0.6489 0.1799 10.0196:::::::::::::::::::::::::::::::::::::::::::: 0.1094 0.0311 0.6114 3.0736 0.4262 0.0151 0.1354 0.3838 0.1190 5.9243 36 34 1338 1 267 1 15 1 374 89 2498 ...................... 50 Prior Years Cumulative lbs/ac Permitted C. P. L. R.*** ,Permit PAN Limit 1 stl2nd Crop "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." ZLe 4;10 - 1/27/2015 *Application Method: S - Surface, IN - Injection, INC - Incorporation Signature of Land Applier Date **Volatilization Rate: Surface - 0.5, Iniection/Incorporation -1.0 ***C.P.L.R.: Cumulative Pollutant Loading Rate * * * * The RSSF Data and the Dry Tons Per Acre are to be entered on the MFLSF Form. The FSF and MFLSF are mathematically linked so this information needs to be entered into the same numbered column on the MFLSF as is entered on the identically numbered FSF row to properly complete the metals equations. ie. FSF row # 1 to MFLSF column # 1. DENR FORM FSF (5/2003) r- ANNUAL METALS FIELD LOADING SUMMARY FORM* i , I ' Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report � Facility Name: I'ermit #: `Operator: Acres Used: City of Reidsville Total Dry Tons Applied (Annual): WQ0002376 Cation.Exchange Capacity (non 503 only): 76.89 Clinton Hanks Owner: Thomas Carter 13.5 Acres Permitted: 13.5 Site #: RC119 Field #: 9 ►�i3luuQi IMUnlyIN Laid kneavy ivietais and i otai rnospnorus use mgixg, ro aonas use maw Percent #) Sample r Com- posite Date I 11 1/2/14 2 8/18/14 3j 4j 5 J L6J 1 71 L 8 9 j 0 1j 2 % Solids 0.83 18.38 -Arsenic 3 4 _admium 2 2 hromium 17 41 Copper 96 163 Lead 13 25' -Mercury 0.4 0.9 Molyb- 3enum 5 5 ,Nickel 10 24 Selenium 5 5 Zinc 205 375 Total I Phos- I )horns 1210 119300 .nnual Heavv Metal Field Loadinuc Wnle-nlated in the/arrel- 0 1 2 3 4] L5J L6 7 8 9 10 11 12 d y y o 0.5666 5.1293 Lrsenic 0.0034 0.041 0 0 0 0 0 0 0 0 0 0 0.0444 Cadmium 0.0023 0.0205 0 0 0 0 0 0 0 0 0 0 0.0228 'romium 0.0193 0.4206 0 0 0 0 0 0 0 0 0 0 0.4399 .;tipper 0.1088 1.6722 0 0 0 0 0 0 0 0 0 0 1.7809 Lead ~'[ercury 0.0147 0.2565 0 0 0 0 0 0 0 0 0 0 10.2712 0.0005 0.0092 0 0 0 0 0 0 0 0 0 0 0.0097 folyb- denum 0.0057 0.0513 0 0 0 0 0 0 0 0 0 0 0.057 Jickel 0.0113 0.2462 0 0 0 0 0 0 0 0 0 0 0.2575 jeniuml 0.0057 0.0513 0 0 0 0 0 0 0 0 0 0 0.057 Zinc 0.2323 3.847 0 0 0 0 0 0 0 0 0 0 4.0793 lGrotal "hos- 13.712 197.99 0 0 0 0 0 0 0 0 0 0 211.7 horus certify, under penalty of law, that this document was prepared under my direction or supervision in :cordance 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, �auding the possibility of fines and imprisonment for knowing violations" 1/27/2015 ,,nature of Land Applier Date ee bottom of FSF Form for helpful instructions for this MFLSF Form and the mathematical VM L%F (5/2003) ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH APPLICATION FIELD. PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: City of Reidsville Permit #: WQ0002376 Annual Dry Tons Applied: 76.89 Owner: Thomas Carter Operator: Clinton Hanks Cation Exchange Capacity (non 503): Site #: RC119 Field #: 9 Acres Utilized: 13.5 Acres Permitted: 13.5 o 0Per A :�: S �ecci Totals Acre % Solid s Dry Tons Per Acre Residual Sources (Summarize) 1 eInches Cond. Dry, Wet , Precip. Past 24 Hrs. A li pp cation Meth- od* Vola- tili- zation Rate** Miner- ali- zation Rate TKN Ammo nia- Ni- trogen Ni- trate and Nitrite PAN 1 PAN 2 Must Select Crop 1 or Crop p p 2 Cu.Yd. 4Report To in Gal. Crop 1 Crop 2 2/27 156000 11556 0.83 0.3999 Reidsville WWTP Dry <.5" S 0.5 0.3 68700 19300 265 19.7855 ####### Fescue 1 2/28 65000 4814.8 0.83 0.1666 Reidsville WWTP Dry <.5" S 0.5 0.3 68700 19300 265 8.24396 ####### Fescue 2 9/2 29301 2170.4 18.38 1.6635 Reidsville WWTP Dry <.5" S 0.5 0.3 37200 7240 8.16 41.9747 1 ####### Fescue 3 9/3 46394 3436.6 18.38 2.6340 Reidsville WWTP Dry <.5" S 0.5 0.3 37200 7240 8A6 66.461 ####### Fescue 4 9/4 14651 1085.3 18.38 0.8318 Reidsville WWTP Dry <.5" 1 S 0.5 0.3 37200 1 7240 8.16 20.9881 ####### Fescue 5 0 0.0000 0 0 6 0 0.0000 0 0 7 0 0.0000 1 0 0 8 0 0 0 0 9 0 0 0 0 110 0 0 0 0 11 0 0 0 1 0 12 TOTALS: 23063 ::_::_::_::_::_::_:::: As Cd Cr Cu Pb Hg Mo Ni Se Zn P I PAN 1 I PAN 2 Lime Applied Annuallbs/acre 0.0444 0.0228 0.4399 1.7809 0.2712 0.0097 0.0570 0.2575 0.0570 4.0793 211.7031 157.453'1 0 Date lbs/ac Current Cumulative lbs/ac 0.1603 0.0725 1.0663 4.7138 0.7471 0.0251 0.1886 0.6279 0.1974 10.1184::::::::::::::::::::::::::::::::::::::::::::::::::::: 0.1159 1 0.0497 0.6264 2.9329 0.4759 0.0154 0.1316 1 0.3704 0.1404 6.0391 36 34 1338 267 15 374 89 2498 :: ... ........................... ... 250 1 50 Prior Years Cumulative lbs/ac Permitted C. P. L. R. Permit PAN Limit 1 st/2nd Crop -I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." 1/27/2015 *Application Method: S - Surface, IN - Injection, INC - Incorporation Signature of Land Applier Date **Volatilization Rate: Surface - 0.5, Iniection/Incorporation -1.0 ***C.P.L.R.: Cumulative Pollutant Loadinz Rate * * * * The RSSF Data and the Dry Tons Per Acre are to be entered on the MFLSF Form. The FSF and MFLSF are mathematically linked so this information needs to be entered into the same numbered column on the MFLSF as is entered on the identically numbered FSF row to properly complete the metals equations. ie. FSF row # 1 to MFLSF column # 1. DENR FORM FSF (5/2003) ANNUAL METALS FIELD LOADING SUMMARY FORM* L. Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: 'ermit #. -Operator: Acres Used: City of Reidsville Total Dry -Tons Applied (Annual): WQ0002376 Cation Exchange Capacity (non 503 only): Auman French Owner: State of North Carolina 25 Acres Permitted: 25 70.17 Site #: RC 126 Field #: 2 _,'residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #) Sample ,r Com- :posite Date 1 11 7/1/14 2j 10/1/14 31 4 5j 6 7 8 9 10 11 12 'o Solids 5.39 1.7 Arsenic 4 7 Cadmium 2 2.4 hromium 80 44 Copper 198 222 Lead 32 31 .Mercury 0.8 0.9 Molyb- denum 8 9 Nickel 42 29 Selenium 5 5 Zinc 399 474 Total I Phos- horus 18200 23400 ,nnual Heavv Metal Field Loadings (Calculated in the/acre)! 1 2 3 4 5 6 7 8 9 10 11 12 oy a y o 1.8116 0.9953 8rsenic 0.0145 0.0139 0 0 0 0 0 0 0 0 0 0 0.0284 Cadmium 0.0072 0.0048 0 0 0 0 0 0 0 0 0 0 0.012 kromlUff 0.2899 0.0876 0 0 0 0 0 0 0 0 0 0 0.3774 topper 0.7174 0.4419 0 0 0 0 0 0 0 0 0 0 1.1593 Lead 0.1159 0.0617 0 0 0 0 0 0 0 0 0 0 0.1777 ,fercury 0.0029 0.0018 0 0 0 0 0 0 0 0 0 0 0.0047 Molyb- 0.029 0.0179 0 0 0 0 0 0 0 0 0 0 0.0469 denum Nickel 0.1522 0.0577 0 0 0 0 0 0 0 0 0 0 0.2099 -lenium 0.0181 0.01 0 0 0 0 0 0 0 0 0 0 0.0281 Zinc 1 1.4457 0.9435 0 0 0 0 0 0 0 0 0 0 2.3892 Total Phos- 65.942 46.58 0 0 0 0 0 0 0 0 0 0 112.52 horus certify, under penalty of law, that this document was prepared under my direction or supervision in cordance 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, ,eluding the possibilitv of fines and imprisonment for knowing violations" �J a�. 1/27/2015 gnature of Land Applier Date '§ee bottom of FSF Form for helpful instructions for this MFLSF Form and the mathematicabt10M L%F (5/2003) ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH APPLICATION FIELD. PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: City of Reidsville Permit #: WQ0002376 Annual Dry Tons Applied: 70.17 Owner: State of North Carolina Operator: Auman French Cation Exchange Capacity (non 503): Site #: RC126 Field #: 2 Acres Utilized: 25.0 Acres Permitted: 25.0 o 14 o A ::: Specify Totals Per Acre % Solid s Dry Tons Per Acre' Residual Sources (Summarize) lte Cond. D Wet, Inches Precip. Past 24 Hrs. Appli- cation Meth- od* Vola- tili- zation Rate* * Miner- ali- zation Rate TKN Ammo nia- Ni- trogen Ni-- trate and Nitrite PAN 1 PAN 2 Must Select Crop 1 or Crop P P 2 21 Gal. CuNd. Report Totals in Gal. Crop 1 Crop 2 9/17 117000 4680 5.39 1.05-19 Reidsville WWTP Dry <.5" S 0.5 0.3 47900 11900 13 35.2657 ####### Fescue 1 9/18 84500 3380 5.39 0.7597 Reidsville WWTP Dry <.5" S 0.5 0.3 47900 11900 13 25.4697 ####### Fescue 2 10/21 143000 5720 1.7 0.4055 Reidsville WWTP Dry <.5" S 0.5 0.3 57600 19400 2 17.162 ####### Fescue 3 10/22 208000 8320 1.7 0.5898 Reidsville WWTP Dry <.5" S 0.5 0.3 57600 19400 2 124.9629 ####### Fescue 4 0 1 0.0000 1 0 0 5 0 0.0000 0 0 6 0 0.0000 1 0 0 7 0 0.0000 0 0 8 0 0 0 0 9 0 0 0 0 10 0 0 0 0 11 0 0 0 0 12 TOTALS: 1 22100 ::::::::::::::: As Cd Cr Cu Pb Hg Mo Ni Se Zn P PAN 1 PAN 2 Lime A lied Annuallbs/acre 0.0284 0.0120 0.3774 1.1593 6.1777 0.0047 0.0469 0.2099 0.0281 2.3892 112.522 102.86 0 Date lbs/ac ::.-. Current Cumulative lbs/ac 0.0284 1 0.0120 0.3774 1.1593 0.1777 0.0047 0.0469 0.2099 0.0281 2.3892 0.0000 o.0000 0.0000 0.0000 0.0007 0.0000 0.0000 0.0000 0.0000 o.0000 36 34 1338 267 15 374 89 2498 : ............................. 250 1 50 Prior Years Cumulative lbs/ac Permitted C. P. L. R.*** Permit PAN Limit 2nd Crop 1st/ p r cerLuy, unaer penalty ui law, znaT finis aocumeni was preparea unaer my airection or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." Z�fG;:�Ille 1/27/2015 *Application Method: S - Surface, IN - Injection, INC - Incorporation Signature of Land Applier Date **Volatilization Rate: Surface - 0.5, Iniection/Incorporation -1.0 ***C.P.L.R.: Cumulative Pollutant LoadinE Rate **** The RSSF Data and the Dry Tons Per Acre are to be entered on the MFLSF Form. The FSF and MFLSF are mathematically linked so this information needs to be entered into the same numbered column on the MFLSF as is entered on the identically numbered FSF row to properly complete the metals equations. ie. FSF row # 1 to MFLSF column # 1. DENR FORM FSF (5/2003) rh ANNUAL METALS FIELD LOADING SUMMARY FORM* lI UAttach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: ermit #: perator: Acres Used: City of Reidsville Total Dry Tons Applied (Annual): 31.33 WQ0002376 Cation Exchange Capacity (non 503 only): Dennis Williams Owner: Dennis Williams 23.5 Acres Permitted: 23.5 Site #: RC128 Field #: 1 ,residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #); Sample r Com- posite Date 1 10/1/14 2 3 4 5 6 7 8 9 10 Ill 12 �o Solids 1.7 i -Arsenic 7 �'admium 2.4 hromium 44 Copper 222 Lead 31 Mercury 0.9 Molyb- ienum 9 )Nickel 29 Selenium 5 Zinc 474 STotal Phos- ')horus 23400 'Anual Heavv Metal Field Loadings (Calculated in the/acre): c 11 L2_JL3J 4 151 L_6J7 L8J 19110 11 12 m o F 1.3333 ►'rsenic 0.0187 0 0 0 0 0 0 0 0 0 0 0 0.0187 Cadmium 0.0064 0 0 0 0 0 0 0 0 0 0 0 0.0064 Tomiurr 0.1173 0 0 0 0 0 0 0 0 0 0 0 0.1173 topper 0.592 0 0 0 0 0 0 0 0 0 0 0 0.592 Lead 1 0.0827 0 0 0 0 0 0 0 0 0 0 0 0.0827 lercury 0.0024 0 0 0 0 0 0 0 0 0 0 0 0.0024 '4olyb- 0.024 0 0 0 0 0 0 0 0 0 0 0 0.024 denum Nickel 0.0773 0 0 0 0 0 0 0 0 0 0 0 0.0773 ;lenium 0.0133 0 0 0 0 0 0 0 0 0 0 0 0.0133 Zinc 1.264 0 0 0 0 0 0 0 0 0 0 0 1.264 Total Phos- 62.398 0 0 0 0 0 0 0 0 0 0 0 62.398 horus certify, under penalty of law, that this document was prepared under my direction or supervision in ,_ 'cordance 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, l ;eluding the possibility es and imprisonment for knowing violations" 1/27/2015 "'gnature of Land Applier Date gee bottom of FSF Form for helpful instructions for this MFLSF Form and the mathematical!kWMWSF (5/2003) ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH APPLICATION FIELD. PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: City of Reidsville Permit #: WQ0002376 Annual Dry Tons Applied: 31.33 Owner: Dennis Williams Operator: Dennis Williams Cation Exchange Capacity (non 503): Site #: RC128 Field #: 1 Acres Utilized: 23.5 Acres Permitted: 23.5 o � � o A ::: Specify. Totals Per Acre % Solid s Dry Tons Per Acre Residual Sources (Summarize) 1 e Cond. Dry, Wet, Inches Precip. Past 24 Hrs. A 11 pp cation Meth- od* Vola- tili- zation Rate** Miner- ali- zation Rate TKN Ammo nia- Ni- trogen Ni- trate and Nitrite PAN 1 PAN 2 Must Select Crop 1 or Crop P p 2 * � Gal. Report Totals in Gal. Crop 1 Crop 2 10/24 65000 2766 1.7 0.1961 Reidsville WWTP Dry <.5" S 0.5 0.3 57600 19400 2 8.29884 ####### Fescue 1 10/27 130000 5531.9 1.7 0.3922 Reidsville WWTP Dry <.5" S 0.5 0.3 57600 19400 2 16.5977 ####### Fescue 2 10/28 39000 1659.6 1.7 0.1176 Reidsville WWTP Dry <.5" S 0.5 0.3 57600 "19400 2 4.9793 ####### Fescue 3 12/5 13000 553.19 1.7 0.0392 Reidsville WWTP Dry <.5" S 0.5 0.3 57600 19400 2 -1.65977 ####### Fescue 4 12/14 117000 4978.7 1.7 0.3529 Reidsville WWTP Dry <.5" S 0.5 0.3 57600 19400 2 14.9379 ####### Fescue 5 12/15 78000 3319.1 1.7 0.2353 Reidsville WWTP Dry <.5" S 0.5 0.3 57600 19400 2 9.9586 ####### Fescue 6 0 0.0000 0 0 7 0 0.0000 0 0 8 0 0 0 0 9 0 0 0 0 10 0 0 0 0 11 0 0 0 0 12 TOTALS: 1 18809 :::::::"::::::: As Cd Cr Cu Pb Hg Mo Ni Se Zn P PAN 1 PAN 2 Lime A lied Annuallbs/acre 0.0187 0.0064 0.1173 0.5920 0.0827 0.0024 0.0240 0.0773 0.0133 1.2640 62.3984 56.4321 0 Date lbs/ac Current Cumulative lbs/ac 0.0187 0.0064 0.1173 0.5920 0.0827 0.0024 0.0240 0.0773 0.0133 1.2640 ::: 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 36 34 1338 267 15 374 89 2498 :: .................. 250 50 2000 Prior Years Cumulative lbs/ac Permitted C. P. L. R.*** Permit PAN Limit 1 st/2nd Crop "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." 44-0-e 1/27/2015 *Application Method: S - Surface, IN - Injection, INC - Incorporation Signature of Land Applier Date **Volatilization Rate: Surface - 0.5, Iniection/Incorporation -1.0 ***C.P.L.R.: Cumulative Pollutant Loading Rate * * * * The RSSF Data and the Dry Tons Per Acre are to be entered on the MFLSF Form. The FSF and MFLSF are mathematically linked so this information needs to be entered into the same numbered column on the MFLSF as is entered on the identically numbered FSF row to properly complete the metals equations. ie. FSF row # 1 to MFLSF column # 1. DENR FORM FSF (5/2003) _E 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'e'rmit #: '--Jperator: -acres Used: City of Reidsville Total Dry Tons Applied (Annual): 0.92 WQ0002376 Cation Exchange Capacity (non 503 only): Dennis Williams Owner: Kimmy Hanks 4 Acres Permitted: 4 Site #: RC 128 Field #: 2 t _>.��■.+...sue �uaay13 Luca kXXVUVY IvIeLUIS aIIu 1 Mal rHOSPIIoruS Use Mg/Kg, ro aouas use xaw rercent #) Sample it Com- -jposite Date 11 10/1/14 2j 3 41 L 5 j6 7 8 9 10 11 12 o Solids 1.7 Arsenic 7 admiuml 2.4 hromium 44 Copper 222 Lead 31 2ercury 0.9 Molyb- 3enum 9 Nickel 29 Selenium 5 Zinc 474 _ Total I Phos- 'chorus 23400 annual Heavv Metal Field Landinuc (C. alrnlatPd in the/onrnl• K o 1L2J L3J L4Jv 51 6 L7 J 8j 9 1101 11 J 1121 � d o � W o -P- 0.2304 y Lrsenic 0.0032 0 0 0 0 0 0 0 0 0 0 0 0.0032 Cadmium 0.0011 0 0 0 0 0 0 0 0 0 0 0 10.0011 romiurr 0.0203 0 0 0 0 0 0 0 0 0 0 0 0.0203 ;tipper 0.1023 0 0 0 0 0 0 0 0 0 0 0 0.1023 Lead 0.0143 0 0 0 0 0 0 0 0 0 0 0 0.0143 ,[ercury 0.0004 0 0 0 0 0 0 0 0 0 0 0 10.0004 `Zolyb denum 0.0041 0 0 0 0 0 0 0 0 0 0 0 0.0041 Bickel 0.0134 0 0 0 0 0 0 0 0 0 0 0 0.0134 lenium 0.0023 0 0 0 0 0 0 0 0 0 0 0 0.0023 Zinc 0.2184 0 0 0 0 0 0. 0 0 0 0 0 0.2184 'L otal 'hos- 10.783 0 0 0 0 0 0 0 0 0 0 0 10.783 horus i certify, unuer penalty of law, that tn1S document was prepared under my direction or supervision in i _. cordance 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, f ,luding the possibility of famines, aanndd imprisonment for knowing violations" Gv�- _ 1/27/2015 r, pature of Land Applier Date '; _ ;ee bottom of FSF Form for helpful instructions for this MFLSF Form and the mathematicaPt.VM NSF (5/2003) ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH APPLICATION FIELD. PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: City of Reidsville Permit #: WQ0002376 Annual Dry Tons Applied: 0.92 Owner: Kimmy Hanks Operator: Dennis Williams Cation Exchange Capacity (non 503): Site #: RC128 Field #: 2 Acres Utilized: 4.0 Acres Permitted: 4.0 o o :J Specify Totals Per Acre % Solid s Dry Tons Per Residual Sources (Summarize) 1 e Cond. Dry,portAcre Wet, Inches Precip. Past24 Hrs. A li pp cation Meth- od* Vola- tili- zation Rate** Miner- ali- zation Rate r Ammo nia- Ni- trogen Ni- trate and2 Nitrite PAN 1 PAN 2 Must Select Crop 1 or Crop p p * Gal. Cu.Yd. qRe Totals in Gal. Crop 1 Crop 2 10/24 13000 3250 1.7 0.2304 Reidsville WWTP Dry <.5" S 0.5 0.3 57600 19400 2 9.75113 ####### Fescue 1 0 0.0000 0 0 2 0 0.0000 0 0 3 0 0.0000 0 0 4 0 1 0.0000 0 0 1 5 0 0.0000 0 0 6 0 0.0000 0 0 7 0 0.0000 0 0 8 0 0 0 0 9 0 0 0 0 10 0 0 0 0 11 0 0 0 0 12 TOTALS: 3250 ::::::::::::::: As Cd Cr Cu Pb Hg Mo Ni Se Zn P PAN 1 PAN 2 Lime AEplied Annuallbs/acre 0.0032 0.0011 0.0203 0.1023 0.0143 0.0004 1 0.0041 0.0134 0.0023 0.2184 10.7827 9.75113 0 Date lbs/ac Current Cumulative lbs/ac 0.0032 0.0011 0.0203 0.1023 0.0143 0.0004 0.0041 0.0134 0.0023 0.2184 :::: 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 36 1 34 1 1 1338 1 267 15 374 89 1 2498 .......................... 250 50 Prior Years Cumulative lbs/ac Permitted C. P. L. R.*** Permit t/2 PAN Limit 1 s nd Crop --t certity, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." d-Z Z� 1/27/2015 *Application Method: S - Surface, IN - Injection, INC - Incorporation Signature of Land Applier Date **Volatilization Rate: Surface - 0.5. Iniection/Incorvoration - 1.0 ***C.P.L.R.: Cumulative Pollutant Loading Rate * * * * The RSSF Data and the Dry Tons Per Acre are to be entered on the MFLSF Form. The FSF and MFLSF are mathematically linked so this information needs to be entered into the same numbered column on the MFLSF as is entered on the identically numbered FSF row to properly complete the metals equations. ie. FSF row # 1 to MFLSF column # 1. DENR FORM FSF (5/2003) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: `-Jperator: - kcres Used: City of Reidsville Total Dry Tons Applied (Annual): 10.14 WQ0002376 Cation Exchange Capacity (non 503 only): Dennis Williams Owner: Kimmy Hanks 15 Acres Permitted: 15 Site #: RC128 Field #: 3 _ JLesiauai Analysis mata (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #) Sample it Com- .posit 1 10/1/14 21 31 L4J5 6 J L 7 j8 9 10 11 12 ,o Solids 1.7 ,tsenic 7 cadmium 2.4 hromium 44 T Copper 222 Lead 31 2ercury 0.9 Molyb- -denum 9 'Nickel 29 Selenium 5 � Zinc 474 'Total I Phos- !)horus 23400 nnual Heavv Metal Field Loadings (Calculated in lhc/nerp1- 0 1 2 3 L4J L5J6 7 8 9 10 11 12 � d � IR g o' P� 0.6758 Lrsenic 0.0095 0 0 0 0 0 0 0 0 0 0 0 0.0095 Cadmium 0.0032 0 0 0 0 0 0 0 0 0 0 0 0.0032 romiun 0.0595 0 0 0 0 0 0 0 0 0 0 0 0.0595 �'opper 0.3001 0 0 0 0 0 0 0 0 0 0 0 0.3001 Lead 0.0419 0 0 0 0 0 0 0 0 0 0 0 0.0419 �.prcury 0.0012 0 0 0 0 0 0 0 0 0 0 0 0.0012 �lolyb- denum 0.0122 0 0 0 0 0 0 0 0 0 0 0 0.0122 _ Jickel 1 0.0392 0 0 1 0 0 0 0 0 0 0 0 0 0.0392 ;leniuml 0.0068 0 0 0 0 0 0 0 0 0 0 0 0.0068 Zinc 0.6407 0 0 0 0 0 0 0 0 0 0 0 0.6407° rotal _'hos- 31.627 0 0 0 0 0 0 0 0 0 0 0 31.627 horus <cernry, under penalty of ►aw, tnat this document was prepared under my direction or supervision in ,cordance with a system designed to assure that qualified personnel properly gathered and evaluated the in submitted. I am aware that there are significant penalties for submitting false information, auding the possibility of fines and imprisonment for knowing violations" 1/27/2015 '`- mature of Land Applier Date ee bottom of FSF Form for helpful instructions for this MFLSF Form and the mathematicaftW M TSF (5/2003) --/-�-�-- ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH APPLICATION FIELD. PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: City of Reidsville Permit #: WQ0002376 Annual Dry Tons Applied: 10.14 Owner: Kimmy Hanks Operator: Dennis Williams Cation Exchange Capacity (non 503): Site #: RC128 Field #: 3 Acres Utilized: 15.0 Acres Permitted: 15.0 o � . N � �-o A Totals Per Acre % Solid s Dry Tons Per Acre Residual Sources (Summarize) Site Cond. Dry, Wet, Inches Precip. Past 24 Hrs. A li pp cation Meth- od* Vola- tili- zation Rate* * Miner- ali- zation Rate TKN Ammo ma- Ni- trogen Ni- trate and Nitrite PAN 1 PAN 2 Must Select Cro 1 or Cro p p 2 � Gal. Cu.yd. Report Totals in Gal. Crop 1 Crop 2 10/28 91000 6066.7 1.7 0.4301 Reidsville WWTP Dry <.5" S 0.5 0.3 57600 19400 2 18.2021 ####### Fescue 1 10/29 52000 3466.7 1.7 0.2458 Reidsville WWTP Dry <.5" S 0.5 0.3 57600 19400 2 10.4012 ####### Fescue 2 0 0.0000 0 0 3 0 0.0000 0 0 4 0 0.0000 0 0 5 0 0.0000 0. 0 6 0 0.0000 0 0 7 0 0.0000 0 0 8 0 0 0 0 9 0 0 0 0 10 0 0 0 0 11 0 0 0 0 12 TOTALS: 9533 ::::::::::::::: As Cd Cr Cu Pb Hg Mo Ni Se Zn P PAN 1 PAN 2 Lime Applied Annuallbs/acre 0.0095 0.0032 0.0595 0.3001 0.0419 0.0012 1 0.0122 0.0392 0.0068 0.6407 31.6274 28.6033 6 Date lbs/ac Current Cumulative lbs/ac 0.0095 0.0032 0.0595 0.3001 0.0419 0.0012 0.0122 0.0392 0.0068 0.6407 :::: 0.0000 0.0000 0.0000 0.0000 0.0000 0.0600 0.0000 0.0000 0.0000 0.0000 36 34. 1338 267 15 374 89 1 2498 250 1 50 Prior Years Cumulative lbs/ac Permitted C. P. L. R.*** Permit PA Limit N L mit 1 st/2nd Crop --t certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and.evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." 1/27/2015 *Application Method: S - Surface, IN - Injection, INC - Incorporation Signature of Land Applier Date **Volatilization Rate: Surface - 0.5, Iniection/Incorporation - 1.0 ***C.P.L.R.: Cumulative Pollutant Loading Rate **** The RSSF Data and the Dry Tons Per Acre are to be entered on the MFLSF Form. The FSF and MFLSF are mathematically linked so this information needs to be entered into the same numbered column on the MFLSF as is entered on the identically numbered FSF row to properly complete the metals equations. ie. FSF row # 1 to MFLSF column # 1. DENR FORM FSF (5/2003) ANNUAL METALS FIELD LOADING SUMMARY FORM* a Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: 1ermit #: 1perator: Acres Used: City of Reidsville Total Dry Tons Applied (Annual): 3.69 WQ0002376 Cation Exchange Capacity (non 503 only): Dennis Williams Owner: 2.5 Acres Permitted: 2.5 Jame Bondurant Site #: RC128 Field #: 4 �.esiaual Analysis .Data (heavy Metals and rl'otal Ynospnorus use Mg/Kg, ro aonas use naw rerceni ff); Sample r Com- posite Date 11 10/1/14 21 3j 4j L5J 6 J 1 71 8 J 9 LOJ 11 J 12 p Solids 1.7 Asenic 7 r admium 2.4 ;Vomium 44 Copper 222 "Lead 31 Zercury 0.9 Molyb- `ienum 9 'Nickel 29 Selenium 5 'r zinc 474 ,Total - Phos- )horus 23400 'nnual Heavy Metal Field Loadings (Calculated in lbs/acre): �C o 11 L-2-1 1 31 14151 6 J L-7J L8J 9 10 11 12 C7 4 r o 1.4745 ;Lrsemc 0.0206 0 0 0 0 0 0 0 0 0 0 0 0.0206 Cadmium 0.0071 0 0 0 0 0 0 0 0 0_ 0 0 0.0071 iromiurr 0.1298 0 0 0 0 0 0 0 0 0 0 0 0.1298 topper 0.6547 0 0 0 0 0 0 0 0 0 0 0 0.6547 Lead 0.0914 0 0 0 0 0 0 0 0 0 0 0 0.0914 [ercury 0.0027 0 0 0 0 0 0 0 0 0 0 0 0.0027 14olyb- 0.0265 0 0 0 0 0 0 0 0 0 0 0 0.0265 denum Jickel 0.0855 0 0 0 0 0 0 0 0 0 0 0 0.0855 ;lenium 0.0147 0 0 0 0 0 0 0 0 0 0 0 0.0147 Zinc 1.3978 0 0 0 0 0 0 0 0 0 0 0 1.3978 Total -'hos- 69.007 0 0 0 0 0 0 0 0 0 0 0 69.007 horus certify, under penalty of law, that this document was prepared under my direction or supervision in vordance 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, ,cluding the possibilitv of fines and imprisonment for knowing violations" 1/27/2015 rgnature of Land Applier Date See bottom of FSF Form for helpful instructions for this MFLSF Form and the mathematicaWM1PFL�SF (5/2003) ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH APPLICATION FIELD. PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: City of Reidsville Permit #: WQ0002376 Annual Dry Tons Applied: 3.69 Owner: Jame Bondurant Operator: Dennis Williams Cation Exchange Capacity (non 503): Site #: RC128 Field #: 4 Acres Utilized: 2.5 Acres Permitted: 2.5 o � o Specify Totals Per Acre % Solid s Dry Tons Per Residual Sources (Summarize)Totals site Cond. D Wet, Inches Precip. Hrs. A li pp cation Meth- od* Vola- tili- zation Rate** Miner- ali- zation Rate TILT Ammo nia- Ni- trogen Ni- trate andPAN Nitrite 1 PAN 2 Must Select Crop 1 or Crop p p 2 * Gal. Cu.Yd. TRe portAcre'Past24 n Gal. Crop 1 Crop 2 10/27 26000 10400 1.7 0.7373 Reidsville WWTP Dry <.5" S 0.5 0.3 57600 19400 2 31.2036 ####### Fescue 1 12/12 26000 10400 1.7 0.7373 Reidsville WWTP Dry <.5" S 0.5 0.3 57600 19400 2 31.2036 ####### Fescue 2 0 0.0000 0 0 3 0 0.0000 0 0 4 0 0.0000 0 0 5 0 0.0000 0 0 6 0 0.0000 0 0 7 0 0.0000 0 0 1 8 0 0 0 0 9 0 0 0 0 10 0 0 0 0 11 0 0 0 0 12 TOTALS: 20800 :::::::::::::::: As Cd Cr Cu Pb Hg Mo Ni Se Zn P PAN 1 PAN 2 Lime A lied Annuallbs/acre 0.0206 0.0071 0.1298 1 0.6547 0.0914 0.0027 0.0265 0.0855 0.0147 1.3978 69.0066 62.4072 0 Date lbs/ac Current Cumulative lbs/ac 0.0206 0.0071 0.1298 0.6547 0.0914 0.0027 0.0265 0.0855 0.0147 1.3978 :::: 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 36 34 1338 267 15 374 89 2498 :: ............................. . 250 50 2000 Prior Years Cumulative lbs/ac Permitted C. P. L. R.*** PermitPAN L' t um 1 st/2nd Crop 1 ceriuy, under penany of iaw, tnat tors aocument was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." Z�fe 1/27/2015 *Application Method: S - Surface, IN - Injection, INC - Incorporation Signature of Land Applier Date **Volatilization Rate: Surface - 0.5, Iniection/Incoraoration -1.0 ***C.P.L.R.: Cumulative Pollutant Loading Rate * * * * The RSSF Data and the Dry Tons Per Acre are to be entered on the MFLSF Form. The FSF and MFLSF are mathematically linked so this information needs to be entered into the same numbered column on the MFLSF as is entered on the identically numbered FSF row to properly complete the metals equations. ie. FSF row # 1 to MFLSF column # 1. DENR FORM FSF (5/2003) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: City of Reidsville Total Dry Tons Applied (Annual): 139.84 'ermit #: WQ0002376 Cation Exchange Capacity (non 503 only): Operator: Acres Used: Todd Ore 24.5 Acres Permitted: Owner: Ken Martin 24.5 Site #: RC130 Field #: residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #) Sample 'r Com- ff--posite Date 11 4/24/14 2 7/1/14 _3j 4 5 6 7 8 9 10 11 12 ;o Solids 2.52 5.39 Arsenic 3 4 ,'admium 2 2 hromium 27 80 'Copper 100 198 Lead 14 32 '4ercury 0.4 0.8 Molyb- ienum 5 8 Nickel 15 42 Selenium 5 5 zinc 213 399 Total I Phos- -)horus 11400 18200 nnual Heavv Metal Field Loadings (Calculated in the/acre)• 0 11 2 3 L41 L5J-6 7 8 9 10 11 12 e o 1.5334 4.1742 Lrsenic 0.0092 0.0334 0 0 0 0 0 0 0 0 0 0 0.0426 Cad.miural 0.0061 0.0167 0 0 0 0 0 0 0 0 0 0 0.0228 torniA 0.0828 0.6679 0 0 0 0 0 0 0 0 0 0 0.7507 ;tipper 1 0.3067 1.653 0 0 0 0 0 0 0 0 0 0 1.9597 Lead 0.0429 0.2671 0 0 0 0 0 0 0 0 0 0 0.3101 lercury 0.0012 0.0067 0 0 0 0 0 0 0 0 0 0 0.0079 lolyb- 0.0153 0.0668 0 0 0 0 0 0 0 0 0 0 0.0821 denum Bickel 0.046 0.3506 0 0 0 0 0 1 0 0 0 1 0 0 0.3966 ;lenium 0.0153 0.0417 0 0 0 0 0 0 0 0 0 0 0.0571 Zinc 0.6532 3.331 0 0 0 0 0 0 0 0 0 0 3.9842 Total _Phos- 34.962 151.94 0 0 0 0 0 0 0 0 0 0 186.9 horus certify, under penalty of law, that this document was prepared under my direction or supervision in cordance 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, eluding the possibility of fines and imprisonment for knowing violations" Z�fz 1/27/2015 'mature of Land Applier Date )ee bottom of FSF Form for helpful instructions for this MFLSF Form and the mathematicakW NF (5/2003) ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MA" A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH APPLICATION FIELD. PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: City of Reidsville Permit #: WQ0002376 Annual Dry Tons Applied: 139.84 Owner: Ken Martin Operator: Todd Ore Cation Exchange Capacity (non 503): Site #: RC130 Field #: 1 Acres Utilized: 24.5 Acres Permitted: 24.5 o N o A S eci Totals Per Acre % Solid s Dry Tons Per Acre Sources (Summarize) Site Cond. Dry, Wet, Inches PrecipResidual . Past 24 Hrs. A 11 pp cation Meth- od* tili- zation Rate** Miner- ali- zation Rate TKN Amo Annno- nia- Ni- trogen Ni- trate and Nitrite PAN .1 PAN 2 Must Select Cro 1 or Crop p p 2 Gal. Cu.Yd. Report Totals in Gal. Crop 1 Crop 2 6/26 182000 7428.6 2.52 0.7806 TP WTP WW Dry <.5" S 0.5 0.3 49600 4760 75.4 24.8354 ####### Fescue 1 6/27 175500 7163.3 2.52 0.7527 Reidsville WWTP Dry <.5" S 0.5 0.3 49600 4760 75.4 23.9484 ####### Fescue 2 7/30 117000 4775.5 5.39 1.073.4 Reidsville WWTP Dry <.5" S 0.5 0.3 47900 11900 13 35.9854 ####### Fescue 3 7/31 104000 4244.9 5.39 0.9541 Reidsville WWTP Dry <.5" S 0.5 0.3 47900 11900 13 1 31.987 ####### Fescue 4 8/5 188500 7693.9 5.39 1.7293 Reidsville WWTP Dry <.5" S 0.5 0.3 1 47900 11900 13 57.9765 ####### Fescue 5 8/6 45500 1857.1 5.39 0.4174 Reidsville WWTP Dry <.5" S 0.5 0.3 47900 11900 13 13.9943 ####### Fescue 6 0 0.0000 0 0 7 0 0.0000 0 0 8 0 0.0000 0 0 9 0 1 0.0000 0 0 10 0 0.0000 0 0 11 0 0.0000 0 0 12 TOTALS: 33163 :::::::::::::::: As Cd Cr Cu Pb H Mo Ni Se Zn P PAN 1 PAN 2 Lime Applied Annuallbs/acre 0.0426 0.0228 0.7507 1.9597 0.3101 0.0079 0.0821 0.3966 0.0571 3.9842 186.902 188.727 0 Date lbs/ac Current Cumulative lbs/ac 0.0709 0.0325 0.9789 3.0598 0.4654 0.0132 0.1188 0.5080 0.0852 6.1527 0.0283 0.0097 0.2282 1.1001 0.1553 0.0053 0.0367 0.1114 0.0281 2.1685 36 34 1338 1 267 15 1 374 89 2498 ............. 250 1 50 Prior Years Cumulative lbs/ac Permitted C. P. L. R.*** Permit PAN Limit is 2nd t/ Crop • i certily, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." 1/27/2015 *Application Method: S - Surface, IN - Injection, INC - Incorporation Signature of Land Applier Date **Volatilization Rate: Surface - 0.5. Iniection/Incorvoration -1.0 ***C.P.L.R.: Cumulative Pollutant Loading Rate * * * * The RSSF Data and the Dry Tons Per Acre are to be entered on the MFLSF Form. The FSF and MFLSF are mathematically linked so this information needs to be entered into the same numbered column on the MFLSF as is entered on the identically numbered FSF row to properly complete the metals equations. ie. FSF row # 1 to MFLSF column # 1. DENR FORM FSF (5/2003) ANNUAL METALS FIELD LOADING SUMMARY FORM* i_, Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: City of Reidsville Total Dry Tons Applied (Annual): 243.98 hermit #: WQ0002376 Cation Exchange Capacity (non 503 only): =-Jperator: Todd Ore Owner: Kenneth Crowder Acres Used: 34 Acres Permitted: A T1_ 34 Site #: RC 131 Field #: 4 ,..,.u..�. X-XuQly3l3 iraaa kXXVUVy lvieiafs and i otai rnospnorus use mg/Kg, ro aonas use Kaw Percent q Sample T Com- p'osite Date 11 7/1/14 2 3 4 5 6 7 8 9 10 11 12 ,,o Solids 5.39 --Arsenic 4 �'admium 2 FhTomium 80 -'Copper 198 Lead 32 ?Mercury Molyb- �_ 3enum 0.8 8 ,,[nickel 42 Selenium 5 Zinc 399 `Total Phos- )horus 18200 nnual Heavv. Metal Field Lnadinac tfalenlatm in the/dorm• 0 11 1 2 3 4 L5J L6J 7 L8J 9 10 11 12 o 7.1759 xsenic 0.0574 0 0 0 0 0 0 0 0 0 0 0 0.0574 Cadmium 0.0287 0 0 0 0 0 0 0 0 0 0 0 0.0287 romi 1.1481 0 0 0 0 0 0 0 0 0 0 0 1.1481 ?opper 2.8417 0 0 0 0 0 0 0 0 0 0 0 2.8417 Lead 0.4593 0 0 0 0 0 0 0 0 0 0 0 0.4593 [ercury 0.0115 0 0 0 0 0 0 0 0 0 0 0 0.0115 Zolyb denum 0.1148 0 0 0 0 0 0 0 0 0 0 0 0.1148 Mickel 0.6028 0 0 0 0 1 0 0 0 0 0 0 0 0.6028 L "Ienium 0.0718 0 0 0 0 0 0 0 0 0 0 0 0.0718 r Zinc 5.7264 0 0 0 0 0 0 0 0 0 0 0 5.7264 irotal _?hos- 261.2 0 0 0 0 0 0 0 0 0 0 0 261.2 horns Xertiry, under penalty of law, that this document was prepared under my direction or supervision in 'Dordance 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, 1. i� luding the possibilitv of fines and imprisonment for knowing violations" ZLe 1/27/2015 f`mature of Land Applier Date n ;ee bottom of FSF Form for helpful instructions for this MFLSF Form and the mathematical 11R nF (5/2003) �% � ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH APPLICATION FIELD. PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: City of Reidsville Permit #: WQ0002376 Annual Dry Tons Applied: 243:98 Owner: Kenneth Crowder Operator: Todd Ore Cation Exchange Capacity (non 503): Site #: RC131 Field #: 4 Acres Utilized: 34.0 Acres Permitted: 34.0 o N � o A 8/6 ::: Specify Totals Per Acre 3441.2 % Solid s 5.39 Dry Tons Per Acre 0.7734 Residual Sources (Summarize) Reidsville WWTP 1 e Cond. D �'�TKN Wet, Dry Inches Precip. Past 24 Hrs. <.5" Appli- cation Meth- od* S Vola- tili- zation Rate** 0.5 Miner- ali- zation Rate 0.3 47900 Ammo nia- Ni- trogen 11900 Ni- trate and Nitrite 13 PAN 1 25.9307 PAN 2 ####### Must Select Crop 1 or Crop P p 2 1 V Gal. Cu.Yd. epo tals TiTnoGal' . 117000 Crop 1 Fescue Crop 2 8/7 143000 4205.9 5.39 0.9453 Reidsville WWTP Dry <.5" S 0.5 0.3 47900 11900 13 31.693 ####### Fescue 2 8/8 52000 1529.4 5.39 0.3438 Reidsville WWTP Dry <.5" S 0.5 0.3 47900 11900 13 11.5247 ####### Fescue 3 8/22 123500 3632.4 5.39 0.8164 Reidsville WWTP Dry <.5" S 1 0.5 0.3 47900 11900 13 27.3712 ####### Fescue 4 8/23 130000 3823.5 5.39 1 0.8594 Reidsville WWTP Dry <.5" S 0.5 0.3 47900 1 11900 13 28.8118 ####### Fescue 5 8/26 8/27 91000 19500 2676.5 573.53 5.39 5.39 0.6016 0.1289 Reidsville WWTP Reidsville WWTP Dry Dry <.5" <.5" S S 0.5 0.5 0.3 0.3 47900 47900 11900 11900 13 13 20.1683 4.32178 ####### ####### Fescue Fescue 6 7 9/1 136500 4014.7 5.39 0.9024 Reidsville WWTP Dry <.5" S 0.5 0.3 47900 11900 13 30.2524 ####### Fescue 8 9/2 136500 4014.7 5.39 0.9024 Reidsville WWTP Dry <.5" S 0.5 1 0.3 47900 11900 13 30.2524 ####### Fescue 9 9/3 1 136500 4014.7 5.39 0.9024 Reidsville WWTP Dry <.5" S 0.5 0.3 47900 11900 13 30.2524 ####### Fescue 10 0 0.0000 0 0 11 0 0.0000 0 0 12 TOTALS: 31926 :::::::::::::::: As Cd Cr Cu Pb Hg Mo Ni Se Zn P PAN 1 I PAN 2 Lime Applied Annuallbs/acre 0.0574 0.0287 1.1481 2.8417 0.4593 0.0115 0.1148 0.6028 0.0718 5.7264 261.2031 240.579 1 0 Date lbs/ac Current Cumulative lbs/ac 0.0985 0.0457 1.4832 4.2150 0.6889 0.0181 0.1723 0.7765 0.1363 8.2589 0.0411 0.0170 0.3351 1.3733 0.2296 0.0066 0.0575 0.1737 0.0645 2.5325 36 34 1338 1 267 1 15 374 89 2498 :: ............................•...... 250 50 Prior Years Cumulative lbs/ac Permitted C. P. L. R.*** l• Perm't PAN Limt/ it 1 s 2nd Crop p "'.71 l A"l l V\ x"Al,' va MTV, plat Ulla UMMUMUL waa prCpareu unuer my uirecilon or supervision In accorclance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." 1/27/2015 *Application Method: S - Surface, IN - Injection, INC -.Incorporation Signature of Land Applier Date **Volatilization Rate: Surface - 0.5, Iniection/Incorporation - 1.0 ***C.P.L.R.: Cumulative Pollutant Loading Rate * * * * The RSSF Data and the Dry Tons Per Acre are to be entered on the MFLSF Form. The FSF and MFLSF are mathematically linked so this information needs to be entered into the same numbered column on the MFLSF as is entered on the identically numbered FSF row to properly complete the metals equations. ie. FSF row # 1 to MFLSF column # 1. DENR FORM FSF (5/2003) Page: 1 of 2 Report Number: 14-007-0202 Account Number: 46245 Submitted By: BRENT COLLINS Send To: EMA RESOURCES INC 755 YADKINVILLE RD MOCKSVILLE , NC 27028 Lab Number: 97355 Sample Id : REIDSVILLE 2 y A&L Eastern Laboratories, Inc. 7621 Whitipine Road Richmond, Virginia 23231 po4) 743-940 Fax (604) 271-6946 www.aleastem.com Project: REIDSVILLE NC CERT#257 REPORT OF ANALYSIS Total Solids * 0.83 8300 100.0 JM Moisture * 99.17 100.0 JM Total Kjeldahl Nitrogen 6.87 68700 10.0 JM Total Phosphorus 1.21 12100 100 KM Total Potassium 0.44 4440 100 KM Total Sulfur 0.83 8260 100 KM Total Calcium 16.60 166000 100 KM Total Magnesium 0.41 4050 100 KM Total Sodium 1.16 11600 100 KM Total Iron 5680 100 KM Total Aluminum 42200 100 KM Total Manganese 290 5 KM Total Copper 96 5 KM Total Zinc 205 5 KM Ammonia Nitrogen 1.93 19300 10.0 JM Organic N 4.94 49400 10.0 Nitrate+Nitrite-N 265 2.00 JM Total Cadmium <2.0 2.0 KM All values are on a dry weight basis except as noted by asterisk. Detection limit on all N series is on a wet basis Date Sampled: 1/2/2014 09:30:00 Date Received: 01/07/2014 00:00 Date Reported: 01/13/2014 01 /07/2014 13:34 01 /07/2014 13:34 01 /08/2014 00:00 01/10/2014 12:00 01/10/2014 12:00 01/10/2014 12:00 01/10/2014 12:00 01/10/2014 12:00 01/10/2014 12:00 01/10/2014 12:00 01/10/2014 12:00 01/10/2014 12:00 01/10/2014 12:00 01/10/2014 12:00 01 /08/2014 07:30 01 /08/2014 00:00 01/08/2014 07:30 01/10/2014 12:00 Our reports and letters are for the exclusive and confidential use of our clients, and may not be reproduced in whole or part, nor may any reference be made to the work, the results, or the company in any adverffsing, news release, or other public announcements without obtaining our prior written authorization. Debbie Holt SM-2540G SM-2540G SM-4500-NH3C-TKN SW 6010C SW 6010C SW 6010C SW 6010C SW 6010C SW 6010C SW 6010C SW 6010C 'SW 6010C SW 6010C SW 6010C SM-4500-NI3C CALCULATION SM-450ONO3F SW 6010C i----) Page: 2 of 2 Report Number: 14-007-0202 Account Number: 46245 Submitted By: BRENT COLLINS wwwaleastern.cem Send To: EMA RESOURCES INC 755 YADKINVILLE RD MOCKSVILLE , NC 27028 A&L Eastern Laboratories Inc. i621 Whitepihe Road Richmond', Virginia 23237 (804) 743-8901 Faz (804) 271,6446 Project: REIDSVILLE NC CERT#257 REPORT OF ANALYSIS Date Sampled: 1/2/2014 09:30:00 Lab Number: 97355 Date Received: 01/07/2014 00:00 Sample Id : REIDSVILLE Date Reported: 01/13/2014 ' UL° l ""'v"''V"' 1 / 5 KM 01/10/2014 12:00 SW 6010C Total Nickel 10 5 KM 01/10/2014 12:00 SW 6010C Total Lead 13 5 KM 01/10/2014 12:00 SW 6010C Total Arsenic 3.0 3.0 KM 01/10/2014 12:00 SW 6010C Total Mercury <0.4 0.4 KM 01/08/2014 09:00 SW-7471B Total Selenium <5.0 5.0 KM 01/10/2014 12:00 SW 6010C pH (Standard Units) * 11.97 2.00 JM 01/08/2014 07:30 SW-9045D Calcium Carbonate Equivalent 40.40 404000 100 JM 01/08/2014 09:30 AOAC 955.01 Total Molybdenum <5 5 KM 01/10/2014 12:00 SW 6010C Comments: SULFUR AND ORGANIC NITROGEN NOT FOR COMPLIANCE PURPOSES. QUALIFIER: THE MATRIX SPIKE WAS OUT OF LIMITS FOR "Ca". ALL OTHER QC DATA IS ACCEPTABLE. All values are on a dry weight basis except as noted by asterisk. Detection limit on all N series is on a wet basis. Our reports and letters are for the exclusive and confidential use of our clients, and may not be reproduced in whole or part nor may any reference be made to the work, the results, or the company in any advertising, news release, or other public announcements without obtaining our prior written authorization. Debbie Holt A&L. Eastern Agricultural Laboratories, Inc. 7621 WhitlepineRoad Richmond VA 73237 Tel:804-743•9401 Fax: 804.271-6446 Lmail: olT1ceLdA1-l3b;;-ea9tun.00nl CU,St(3rt w Information. _...,. EVtA Resources Inc EMA. Resources Inc 755 Yadkinville Rd 755 Yadkinville Rd Mocksville, NC 27028 IVSacksviillc, NC 27028 a�. l 1E111111111 11i11�13111111111 Z 014 EMA RESOURCES INC 12:42.35 REIDSVILLE Project Lacs Nunilw t flUBptton InfomSat�tt Container tnfcxmatirm Please chuck Clashed Test Type Date T" Number of Bottles fype Volinne S1.1 SL2 503 Metals NibNeri Serves juH ,maple ID (Lat) Use Only) S� (, ~''—Grab � � �0i�r^ ( Glass Mastic oz _pint ""X < Composite j I� jt � ✓qt Grab —Glass -- oz Composite PlastJoc cit _ Grab —Glass — oz Composite Plastic --pint Grab _ Glass — oz Composite — Plastic —pint Relin wished 13 . 5' neturs Cicl6 Tang Reoeived By., Si nature , SLt: "fatal Solids (Moisture) Total Kjeldahl Nitrogen, Phosphorus and Potassium SL2: Basic Tent SL 1 plus Sul fair, Calcium, Magnesium.Sotlium. iron_ jUurn num. Manganese, Copper A-0 Zinc 603 Metals: Arsenic, Cadmium, Chromium, Mercury, Molybdenum, Lead, Nickel, Selen'uim. (Copper& Zinc included in St2) Nitrogen Serica: Total l joldahl. Ammonium, Nitrate &: organic Nitrogen. CCE: Calcium Carbonate Equivalent or Total neutralization Value (For Lime Treated Sludge) s Page: 1 of 2 Report Number: 14-059-0207 Account Number: 46245 WWW aleasterll.com Send To: EMA RESOURCES INC 765 YADKINVILLE RD MOCKSVILLE , NC 27028 A&L Eastern Laboratories, Inc. 7621 Whitepihe Road Richmond, Virginia 23237 (804) 743-9401 Fax (804) V1.6446 Project: REIDSVILLE NC CERT#257 REPORT OF ANALYSIS Date Sampled: 2/26/2014 12:00:00 Lab Number: 98173 Date Received: 02/28/2014 00:00 Sample Id: REIDSVILLE Date Reported: 03/07/2014 I UL01 OUIJUb 10. 1 1 101 IUU IUU.0 JIVI U3lu4lLUl4 uu:ZU JIVI-z04Uh Moisture * 83.89 100.0 JM 03/04/2014 09:20 SM-2540G Total Kjeldahl Nitrogen 5.46 .54600 10.0 JM 03/03/2014 07:54 SM-4500-NH3C-TKN Total Phosphorus 1.57 15700 100 KM 03/03/2014 12:51 SW 6010C Total Potassium 0.22 2160 100 KM 03/03/2014 12:51 SW 6010C Total Sulfur 1.40 14000 100 KM 03/03/2014 12:51 SW 6010C Total Calcium 1.57 15700 100 KM 03/03/2014 12:51 SW 6010C Total Magnesium 0.22 2220 100 KM 03/03/2014 12:51 SW 6010C Total Sodium 0.23 2310 100 KM 03/03/2014 12:51 SW 6010C Total Iron 9660 100 KM 03/03/2014 12:51 SW 6010C Total Aluminum 19100 100 KM 03/03/2014 12:51 SW 6010C Total Manganese 341 5 KM 03/03/2014 12:51 SW 6010C Total Copper 140 5 KM 03/03/2014 12:51 SW 6010C Total Zinc 313 5 KM 03/03/2014 12:51 SW 6010C Ammonia Nitrogen 0.55 5460 10.0 JM 03/03/2014 07:54 SM-4500-NH3C Organic N 4.91 49140 10.0 03/03/2014 07:54 CALCULATION Nitrate+Nitrite-N 80.1 2.00 JM 03/03/2014 07:55 SM-450ONO3F Total Cadmium 2.0 2.0 KM 03/03/2014 12:51 SW 6010C All values are on a dry weight basis except as noted by asterisk. Detection limit on all N series is on a wet basis. 9 , Our reports and letters are for the exclusive and confidential use of our clients, and may not be reproduced in whole or part, nor may any reference be made Mai - to the work, the results, or the company in any advertising, news release, or other public announcements without obtaining our prior written authorization. Debbie Holt Page: 2 of 2 Report Number: 14-059-0207 Account Number: 46245 www.aleasterwaom Send To: EMA RESOURCES INC 755 YADKINVILLE RD MOCKSVILLE , NC 27028 A&L Eastern Laboratories, Inc. 7621 W iitepine Road k1*06and, Virginia 23237 (804) 743-9401 Fax (804) 271-W16 Project: REIDSVILLE NC CERT#257 REPORT OF ANALYSIS Date Sampled: 2/26/2014 12:00:00 Lab Number: 98173 Date Received: 02/28/2014 00:00 Sample Id: REIDSVILLE Date Reported: 03/07/2014 ' """ """""""" 41 5 KM 03/03/2014 12:51 SW 6010C Total Nickel 26 5 KM 03/03/2014 12:51 SW 6010C Total Lead 26 5 KM 03/03/2014 12:51 SW 6010C Total Arsenic 5.0 3.0 KM 03/03/2014 12:51 SW 6010C Total Mercury 2.8 0.4 KM 03/03/2014 09:00 SW-7471 B Total Selenium 5.0 5.0 KM 03/03/2014 12:51 SW 6010C pH (Standard Units) * 8.08 2.00 JM 03/03/2014 09:09 SW-9045D Calcium Carbonate Equivalent <0.01 <100 100 JM 03/05/2014 12:15 AOAC 955.01 Total Molybdenum 8 5 KM 03/03/2014 12:51 SW 6010C Comments: SULFUR AND ORGANIC NITROGEN NOT FOR COMPLIANCE PURPOSES. QUALIFIER: THE MATRIX SPIKE WAS OUT OF LIMITS FOR "Al", "CA', AND "NO3/NO2-N". THE MATRIX SPIKE WAS OUT OF LIMITS FOR 'NO3/NO2-N". ALL OTHER QC DATA IS ACCEPTABLE. All values are on a dry weight basis except as noted by asterisk. Detection limit on all N series is on a wet basis Our reports and letters are for the exclusive and confidential use of our clients, and may not be reproduced in whole or part, nor may any reference be made to the work, the results, or the company in any advertising, news release, or other public announcements without obtaining our prior written authorization. Debbie Holt act I /gyp 4,J Lab Number Ste lia (Lab Use 'q'15 A&L Eastern Agricultural Laboratories, Inc, 7621 Wbitepine Road Richmond VA 23237 Tel: 804-743-9401 lax: 804-271-6446 Email: offtGe@al-labs-easterrixom Customer lnformatlan Submitted By EMA Resources Inc 755 Yadkinville Rd MQcksville, NC 27028 Collection Information 'Type Data Time r Grab ��� j, y �,�:z,�,p,•. Composite Grab Composite Grab Composite Grab Composite EMA. Resources Inc 755 YadkinviHe Rd Mocksvdle, NC 27028 Container Information Number Type volume SL-t of Bottles oz Glass �� in +_"Y� ✓qt Glass oz _ Plastic —pin — t Glass oz Plastic ---_j)in at Glass —' oz _ Plastic ---pin t Total Solids (Moisture) Total Kjeldahl Nitrogen. Phosphorus and Potassium Buie'rest SLI Nus Sulfur, Calcium. Magnesium,Sod4m, Iron, Aluminum. Manganese. Copper And Zino Metals: Arsenic, Cadmium, Chromium, Mercury, Molybdenum, lead, Nickel, Selenium - (Copper & Zinc included in SL2) rogen Series: Total Kjeldahl, Ammonium, Nitrate & Organic Nitrogen. Calcium Carbonate Equivalent or Total neutralization Value (For Lime Treated Sludge) iiiiiiiiiiiiiiiiiiiiiillimill 20147 EMA RESOURCES INC 1227:i3 REIDSVII I F Pleas& Chack Desired Taste SL2 503 Ai""en pN CGi~ t Volatile Mekas Series . g Solidsm rat 1 nt. l -. r". Page: i of 2 Report Number: 14-093-0204 Account Number: 46245 Submitted By: BRENT COLLINS Send To: EMA RESOURCES INC 755 YADKINVILLE RD MOCKSVILLE , NC 27028 Lab Number: 98752 Sample Id : REIDSVILLE a L wwwaleastern.com A&L Eastern Laboratories, Inc. .7621 Whitepine Road Richmond, VirgWa 23237 (804) 743-9401Fax (804) 271-6446 Project: REIDSVILLE NC CERT#257 REPORT OF ANALYSIS Date Sampled: 4/2/2014 09:30:00 Date Received: 04/03/2014 00:00 Date Reported: 04/09/2014 Total Solids * 2.52 25200 100.0 JM 04/03/2014 14:15 SM-2540G Moisture * 97.48 100.0 JM 04/03/2014 14:15 SM-2540G Total Kjeldahl Nitrogen 4.96 49600 10.0 JM 04/04/2014 08:30 SM-4500-NH3C-TKN Total Phosphorus 1.14 11400 100 KM 04/04/2014 11:52 SW 6010C Total Potassium 0.20 2030 100 KM 04/04/2014 11:52 SW 6010C Total Sulfur 0.85 8510 100 KM 04/04/2014 11:52 SW 6010C Total Calcium 16.00 160000 100 KM 04/04/2014 11:52 SW 6010C Total Magnesium 0.28 2790 100 KM 04/04/2014 11:52 SW 6010C Total Sodium 0.43 4340 100 KM 04/04/2014 11:52 SW 6010C Total Iron 6840 100 KM 04/04/2014 11:52 SW 6010C Total Aluminum 30000 100 KM 04/04/2014 11:52 SW 6010C Total Manganese 289 5 KM 04/04/2014 11:52 SW 6010C Total Copper 100 5 KM 04/04/2014 11:52 SW 6010C Total Zinc 213 5 KM 04/04/2014 11:52 SW 6010C Ammonia Nitrogen 0.48 4760 10.0 JM 04/04/2014 08:30 SM-4500-NI3C Organic N 4.48 44840 10.0 04/04/2014 08:30 CALCULATION Nitrate+Nitrite-N 75.4 2.00 JM 04/04/2014 08:30 SM-450ONO3F Total Cadmium <2.0 2.0 KM 04/04/2014 11:52 SW 6010C All values are on a dry weight basis except as noted by asterisk. Detection limit on all N series is on a wet basis. Our reports and letters are for the exclusive and confidential use of our clients, and may not be reproduced in whole or part nor may any reference be made to the work, the results, or the company in any advertising, news release, or other public announcements without obtaining our prior written authorization. Debbie Holt r--- Page: 2 of 2 Report Number: 14-093-0204 Account Number: 46245 L; Submitted By: BRENT COLLINS wwmaleastemcom Send To: EMA RESOURCES INC 755 YADKINVILLE RD MOCKSVILLE , NC 27028 A&L Eastern Laboratories, Inc. 7621 Whitepine Road Richmond, Virginia 23237 (804) 743-9401 Fax (ew) 271.We Project: REIDSVILLE NC CERT#257 Lab Number: 98752 REPORT OF ANALYSIS Sample Id : REIDSVILLE Total Chromium 27 5 KM Total Nickel 15 5 KM Total Lead 14 5 KM Total Arsenic 3.0 3.0 KM Total Mercury <0.4 0.4 KM Total Selenium <5.0 5.0 KM pH (Standard Units)" 12.30 2.00 JM Calcium Carbonate Equivalent 32.50 325000 100 JM Total Molybdenum <5 5 KM Comments: CCE, SULFUR AND ORGANIC NITROGEN NOT FOR COMPLIANCE PURPOSES. QUALIFIER: THE MATRIX SPIKE WAS OUT OF LIMITS FOR "Ca" AND W'. ALL OTHER QC DATA IS ACCEPTABLE. Date Sampled: 4/2/2014 09:30:00 Date Received: 04/03/2014 00:00 Date Reported: 04/09/2014 04/04/2014 11:52 SW 6010C 04/04/2014 11:52 SW 6010C 04/04/2014 11:52 SW 6010C 04/04/2014 11:52 SW 6010C 04/07/2014 09:00 SW-7471 B 04/04/2014 11:52 SW 6010C 04/04/2014 08:30 SW-9045D 04/07/2014 12:15 AOAC 955.01 04/04/2014 11:52 SW 6010C All values are on a dry weight basis except as noted by asterisk. Detection limit on all N series is on a wet basis. Obr reports and letters are for the exclusive and confidential use of our clients, and may not be reproduced in whole or part, nor may any reference be made to the work, the results, or the company in any advertising, news release, or other public announcements without obtaining our prior written authorization. Debbie Holt LL - I I��I�Nal�ll�l lll�l�lWillgo �� &L Eastern g EMA RESOURCES INC '1A.- , - — , - EDO 7621 Whitepine Road Richmond VA 23237 Tel: 804-7-43.4 REIDSVILLE t t :s2.2s EMA Resources Inc EMA 'Resources 111c 755 Yadkinville Rd 755 Yadkinville'Rd Mocksville, NC 27028 Mocksville, NC 27028 ��V€wb.st 8B f'j jr ,lam ;"A✓ r'i e. �,..,.m.,. .. ..ter:. ...��,. 1 ._. Lab Number Cdwdjon Infarmwfoll Container tnformabon � � � pk'a j� *Cx i Est t 1 gists sarn*t£1 (Leta Use Only) Tye Cam i Number Gf Bot"ps 1 Type Vdlurw aka' _._._ L2, 503 �u"s,la f44t a�6 5,qr*s PH ' Ag Cf col a*0 o,ir_is enters Glass_ of ���L1 S r` / CO Qaske I /Z f f 9, 3 �1-�-. 1 vi'lastic ------ 'Pint — Grab _ Glass — 0z Composite Plastic ----pint _Grab _Glass — oz _ Composite _ Plastic --'ql Grab _ Glass 0z Composite Plastic --Pint at Y/2 f le 2. p 5Lt: Total Solids (Moisture) Total kjeldahl Nitrogen, Phosphorus and Polasaium 51,2: Basic Test SLI plus Sul Cur, Calcium, Magnesiwu,SodiuM iron, Aluminum, Mangancsc, Copper And Zinc 503 Metals., Arsenic, Cadmium, Chromium, Mercury, Molybdenum, Lead, Nickel, Seleniuim. (Copper & Zinc Included in SL2) Sitrogen (aeries; ToW Kjeidehl. Ammonium, Nitrate& Organic Nitrogen. CL: Calcium Carbonate Equivalent orTotel neutralization Value (Fear Lithe Treated Sludge) Page: 1 of 2 Report Number: 14-189-0210 Account Number: 46245 Submitted By: BRENT COLLINS Send To: EMA RESOURCES INC 755 YADKINVILLE RD MOCKSVILLE , NC 27028 Lab Number: 56320 Sample Id: REIDSVILLE wwwaleastemcom A&L Eastern Laboratories, Inc. 7621 W66pirie Road Richmond, Virginia 23237 (804) 743-Ml Fax (804) 2714446 Project: REIDSVILLE NC CERT # 257 REPORT OF ANALYSIS 'Date Sampled: 7/1/2014 09:00:00 Date Received: 07/08/2014 00:00 Date Reported: 07/11/2014 Total Solids * 5.39 53900 100.0 JM 07/08/2014 14:24 SM-254OG Moisture * 94.61 100.0 JM 07/08/2014 14:24 SM-254OG Total Kjeldahl Nitrogen 4.79 47900 10.0 JM 07/09/2014 07:59 SM-4500-NH3C-TKN Total Phosphorus 1.82 18200 100 KM 07/09/2014 13:05 SW 6010C Total Potassium 0.27 2660 100 KM 07/09/2014 13:05 SW 6010C Total Sulfur 1.49 14900 100 KM 07/09/2014 13:05 SW 6010C Total Calcium 3.91 39100 100 KM 07/09/2014 13:05 SW 6010C Total Magnesium 0.30 2960 100 KM 07/09/2014 13:05 SW 6010C Total Sodium 0.47 4690 100 KM 07/09/2014 13:05 SW 6010C Total Iron 13200 100 KM 07/09/2014 13:05 SW 6010C Total Aluminum 18700 100 KM 07/09/2014 13:05 SW 6010C Total Manganese 466 5 KM 07/09/2014 13:05 SW 6010C Total Copper 198 5 KM 07/09/2014 13:05 SW 6010C Total Zinc 399 5 KM 07/09/2014 13:05 SW 6010C Ammonia Nitrogen 1.19 11900 10.0 JM 07/09/2014 07:59 SM-4500-NH3C Organic N 3.60 36000 10.0 07/09/2014 07:59 CALCULATION Nitrate+Nitrite-N 13.0 2.00 JM 07109/201410:00 SM-450ONO3F Total Cadmium 2.0 2.0 KM 07/09/2014 13:05 SW 6010C All values are on a dry weight basis except as noted by asterisk. Detection limit on all N series is on a wet basis. 9)�za 6M , (`? Our reports and letters are for the exclusive and confidential use of our clients, and may not be reproduced in whole or part, nor may any reference be made to the work, the results, or the company in any advertising, news release, or other public announcements without obtaining our prior written authorization. Debbie Holt Page: 2 of 2 Report Number: 14-189-0210 A&L Eastern Laboratories, Inc. Account Number: 46245 �' 7621 White ineRoad Richmbnd,V.ir Virginia 804 7434401 Fax 804 271�6446 P 9 l ) i ) Submitted By: BRENT COLLINS www.aleastem.com Send To: EMA RESOURCES INC Project: REIDSVILLE 755 YADKINVILLE RD NC CERT # 257 MOCKSVILLE , NC 27028 Lab Number: 56320 REPORT OF ANALYSIS Sample Id: REIDSVILLE Total Chromium 80 5 KM Total Nickel 42 5 KM Total Lead 32 5 KM Total Arsenic 4.0 3.0 KM Total Mercury 0.8 0.4 KM Total Selenium 5.0 5.0 KM pH (Standard Units) * 7.79 2.00 JM Total Volatile Solids 68.91 689100 100.0 JM Total Molybdenum 8 5 KM Comments: SULFUR AND ORGANIC NITROGEN NOT FOR COMPLIANCE PURPOSES. QUALIFIER: THE MATRIX SPIKE WAS OUT OF LIMITS FOR "Ca" AND "Cr," ALL OTHER QC DATA IS ACCEPTABLE. Date Sampled: 7/1/2014 09:00:00 Date Received: 07/08/2014 00:00 Date Reported: 07/11/2014 07/09/2014 13:05 07/09/2014 13:05 07/09/2014 13:05 07/09/2014 13:05 07/09/2014 09:00 07/09/2014 13:05 07/09/2014 07:59 07/08/2014 14:24 07/09/2014 13:05 All values are on a dry weight basis except as noted by asterisk. Detection limit on all N series is on a wet basis. Our reports and letters are for the exclusive and confidential use of our clients, and may not be reproduced in whole or part, nor may any reference be made to the work, the results, or the company in any advertising, news release, or other public announcements without obtaining our prior written authorization. Debbie Holt SW 6010C SW 6010C SW 6010C SW 6010C SW-7471 B SW 6010C SW-9045D SM-2540G SW 6010C BI_ 1. vwr S,,lvti -L 4Q45 0210 {UWIU�I'!�U��W �tll� ���UIII INI 907-W2014 7021 Whitepine Road I EMA RFSOURCES ING 12.45.W REIDSVILLE Submitted By �. Charge To EMA Resources Inc EMA Resources Lne 755 Yadkinville Rd 755 Yadkinville Rd Modsville, NC 27028 Mockwille, NC 27028 kroject (� _ _ r! _ • t >i Sam to Infbrmation Lab Number Couction Infotmatit7n Gotrtairterinforrnatiori Satupie ID (Lab Use Only) Type TOM Number Type of Bottles Q M".3 �Greb —Composite 7'r to if L-pqa.�►. _ I Glass `�'lasbc Grab Cwtpos"'— _ Glass � _ Plastic Grab Glass Composite _ — Plastic Grab Glass _. Composite _ — Plastic arse t p (,hp k -r..- olume ; Ll 5t13 Metals Nitr�� Series AN. Ct� Ag Volatile sods — — - _ Others _ t ` ! '}�\ -- - oz ____pint t oz _pint t _ oz pint /0?0 V Tqs# Pa ka etatls S[ l: Total Solids ( Moisture) Tot&[ Kjeldahl Nitrogen. Plio & 4phvnts tmd 1� otessium S1,2: Basic Test SLl plus Sulfur, Calciuru, Magnesittro,Sodiam, Iron, Aluminum, Alanganese, Copper And Zinc 603 Metals: Arsenic, Csdrnium, Chromium, Metruty, Molybdenum, Lead, Nickel, Selenium. (Copper & Zinc included in SL2) Nitrogeo Series: Total Kjvldahl, Ammonium. Nitrate & Organic Nitrogem CCE: Calcium Carbonate Equivalent or Total neutralization Value (For time Tmated Sludge) or 0 r_ Page: 1 of 2 Report Number: 14-231-0207 DA&L Eastern Laboratories, inc. Account Number: ,46245 7621 Whitdpine Road Richmond, Vir ioia 23237' 604 743-*1. Fax 604 271.6446 9 ( ) ( ) ,www.aleastern.cotn Send To: EMA RESOURCES INC 755 YADKINVILLE RD MOCKSVILLE , NC 27028 Lab Number: 57101 Sample Id : REIDSVILLE Project: REIDSVILLE NC CERT#257 REPORT OF ANALYSIS Date Sampled: 8/18/2014 10:30:00 Date Received: 08/19/2014 00:00 Date Reported: 08/27/2014 Total Solids * 18.38 183800 100.0 RD 08/19/2014 13:54 SM-2540G Moisture " 81.62 100.0 RD 08/19/2014 13:54 SM-254OG Total Kjeldahl Nitrogen 3.72 37200 10.0 TW 08/20/2014 08:35 SM4500-NH3C-TKN Total Phosphorus 1.93 19300 100 KM 08/26/2014 16:42 SW 6010C Total Potassium 0.13 1330 100 KM 08/26/2014 16:42 SW 6010C Total Sulfur 1.22 12200 100 KM 08/26/2014 16:42 SW 6010C Total Calcium 9.10 91000 100 KM 08/26/2014 16:42 SW 6010C Total Magnesium 0.40 4040 100 KM 08/26/2014 16:42 SW 6010C Total Sodium 0.17 1710 100 KM 08/26/2014 16:42 SW 6010C Total Iron 10000 100 KM 08/26/2014 16:42 SW 6010C Total Aluminum 16300 100 KM 08/26/2014 16:42 SW 6010C Total Manganese 432 5 KM 08/26/2014 16:42 SW 6010C Total Copper 163 5 KM 08/26/2014 16:42 SW 6010C Total Zinc 375 5 KM 08/26/2014 16:42 SW 6010C Ammonia Nitrogen 0.72 7240 10.0 MW 08/20/2014 08:35 SM4500-NH3C Organic N 3.00 29960 10.0 08/20/2014 08:35 CALCULATION Nitrate+Nitrite-N 8.16 2.00 TW 08/20/2014 08:55 SM-450ONO3F Total Cadmium 2.0 2.0 KM 08/26/2014 16:42 SW 6010C All values are on a dry weight basis except as noted by asterisk. Detection limit on all N series is on a wet basis. Our reports and letters are for the exclusive and confidential use of our clients, and may not be reproduced in whole or part, nor may any reference be made to the work, the results, or the company in any advertising, news release, or other public announcements without obtaining our prior written authorization. Debbie Holt Page: 2 of 2 Report Number: 14-231-0207 Account Number: 46245 RL ? .WWW leastempom Send To: EMA RESOURCES INC 755 YADKINVILLE RD MOCKSVILLE , NC 27028 Lab Number: 57101 Sample Id : REIDSVILLE A&L Eastern Laboratories, Inc.. 7621 Whitepihe Road Richmond, *Oinia=37'(804) 749-9401. Fax (804)_271.6446 Project : REIDSVILLE NC CERT#257 REPORT OF ANALYSIS Date Sampled: 8/18/2014 10:30:00 Date Received: 08/19/2014 00:00 Date Reported: 08/27/2014 Total Chromium 41 5 KM 08/26/2014 16:42 SW 6010C Total Nickel 24 5 KM 08/26/2014 16:42 SW 6010C Total Lead 25 5 KM 08/26/2014 16:42 SW 6010C Total Arsenic 4.0 3.0 KM 08/26/2014 16:42 SW 6010C Total Mercury 0.9 0.4 KM 08/20/2014 08:50 SW-7471 B Total Selenium <5.0 5.0 KM 08/26/2014 16:42 SW 6010C pH (Standard Units) " 8.68 2.00 TW 08/20/2014 09:45 SW-9045D Total Volatile Solids 60.87 608700 100.0 RD 08/19/2014 13:54 SM-2540G Total Molybdenum <5 5 KM 08/26/2014 16:42 SW 6010C Comments: SULFUR AND ORGANIC NITROGEN NOT FOR COMPLIANCE PURPOSES. QUALIFIER: THE MATRIX SPIKE WAS OUT OF LIMITS FOR "Ca". ALL OTHER QC DATA IS ACCEPTABLE. All values are on a dry weight basis except as noted by asterisk. Detection limit on all N series is on a wet basis. Our reports and letters are for the exclusive and confidential use of our clients, and may not be reproduced in whole or part, nor may any reference be made to the work, the results, or the company in any advertising, news release, or other pubfic announcements without obtaining our prior written authorization. Debbie Holt U }roJect B10SOLIDS SMPL.E TRANSNUTTAL FORM/04AI ' OF CUSTODY A&L Easter Agricultural Laboratories, Inc. 7621 Whitepine Road Richmand VA 23237 Tel: 804-743-9461 Fax; 804-271-6446 E-mail, plitce -labs-eastetis. zrrn Submitted 8y Change To -- rnmt r EMA Resources Inc EMA, Resources Inc '4s.j:l1c ' 755 Yadkinville Rd 755 Yadkinville Rd I �I�l�ulll�l� 111111111111111111111 8-;9-2014 EMA RESOURCES ING 13:18.14 Mocksville, NC 27028 Mocksville, NC 27028 REIDSMLLEINC CERT#257 Sample Information t..ab'Ntrmber Collection ltltomlal>asah Please Check Desired Tests sampis'n (Lab Use Only) Data ate f wl"nlaer Of Softies Type Vole 5L1 5L6 903 Metals Nitrogen pH C CE A Ct Volatile Solids 1Grab ComposRe 7��� }1�•>M _Glass ,y�lastic -- oz �yptnt / q )< — drab Composite _ Glass _ PWSW — nz -----Pint Grab `Composite _ Glass Pfastic — oz —pint t _ Grab — Composite _ Glass Plastic oz _Pint ------------ 'Clete kyceryoo Si Qjtj Trt* V3oa+. j r Qr Remarks ;Lt r Total Solids (.Moistare,) Total KjeidafW1,N1vugM Piiaspborus dad Potusium �L-1: Basic Test SLI plus.314fur. ealcium Magncsium,Sodiunr, Irort, Aluminum Manganese, Copper And zinc 03 Metals: Arsenic, Cadmium, Chromium, Mercury, Molybdenum, Lead, Nickel, Selenium. (Copper & zinc Included in 51-2) titi-ugen Series: Total Kjcltl[W, Ammonium, Nitraty & Organic Nitrogen, JCE: Calcium Carbonate Equivalent or Total neutralization Value (For Lime Treated Sludge) Page: 1 of 2 Report Number: 14-281-0202 Account Number: 46245 E,k Submitted By: BRENT COLLINS www.aleastemcom Send To: EMA RESOURCES INC 755 YADKINVILLE RD MOCKSVILLE , NC 27028 A&L Eastern Laboratories, Inc. 7621 Whiti?pf66 Road Richmond, Virginia 23237 (804) 743-9401 Faz j804) 271-6446 Project: REIDSVILLE NC CERT#257 REPORT OF ANALYSIS Lab Number: 58004 Sample Id : REIDSVILLE Total Solids * 1.70 17000 100.0 JM Moisture " 98.30 100.0 JM Total Kjeldahl Nitrogen 5.76 57600 10.0 JM Total Phosphorus 2.34 23400 100 KM Total Potassium 0.82 8230 100 KM Total Sulfur 1.48 14800 100 KM Total Calcium 3.91 39100 100 KM Total Magnesium 0.54 5370 100 KM Total Sodium 1.82 18200 100 KM Total Iron 13200 100 KM Total Aluminum 18000 100 KM Total Manganese 450 5 KM Total Copper 222 5 KM Total Zinc 474 5 KM Ammonia Nitrogen 1.94 19400 10.0 JM Organic N 3.82 38200 10.0 Nitrate+Nitrite-N <2.00 2.00 JM Total Cadmium 2.4 2.0 KM All values are on a dry weight basis except as noted by asterisk. Detection limit on all N series is on a wet basis Date Sampled: 10/1/2014 10:00:00 Date Received: 10/08/2014 00:00 Date Reported: 10/17/2014 10/081201413:45 SM-2540G 10/08/201413:45 SM-2540G 10/09/2014 08:19 SM4500-NH3C-TKN 10/17/2014 08:39 SW 6010C 10/17/2014 08:39 SW 6010C 10/17/2014 08:39 SW 6010C 10/17/2014 08:39 SW 6010C 10/17/2014 08:39 SW 6010C 10/17/2014 08:39 SW 6010C 10/17/2014 08:39 SW 6010C 10/17/2014 08:39 SW 6010C 10/17/2014 08:39 SW 6010C 10/17/2014 08:39 SW 6010C 10/17/2014 08:39 SW 6010C 10/09/2014 08:19 SM-4500-NH3C 10/09/2014 08:19 CALCULATION 10/09/2014 08:20 SM450ONO3F 10/17/2014 08:39 SW 6010C Our reports and letters are for the exclusive and confidential use of our clients, and may not be reproduced in whole or part nor may any reference be made to the work, the results, or the company in any advertising, news release, or other public announcements without obtaining our prior written authorization. Debbie Holt Alz-mg.a Page: 2 of 2 Report Number: 14-281-0202 Account Number: 46245 Submitted By: BRENT COLLINS Send To: EMA RESOURCES INC 755 YADKINVILLE RD MOCKSVILLE , NC 27028 Cl wwwaleasterncom A&L Eastern Laboratories, Inc. 7621 Whitepihe Road Richmond, Virginia 23237(804) 743-9401. Fax (804) 271-6446 Project: REIDSVILLE NC CERT#257 REPORT OF ANALYSIS Date Sampled: 10/1/2014 10:00:00 Lab Number: 58004 Date Received: 10/08/2014 00:00 Sample Id :REIDSVILLE Date Reported: 10/17/2014 , W-1 - 11 U1I RUI11 44 5 KM 10/17/2014 08:39 SW 6010C Total Nickel 29 5 KM 10/17/2014 08:39 SW 6010C Total Lead 31 5 KM 10/17/2014 08:39 SW 6010C Total Arsenic 7.0 3.0 KM 10/17/2014 08:39 SW 6010C Total Mercury 0.9 0.4 KM 10/09/2014 09:00 SW-7471 B Total Selenium <5.0 5.0 KM 10/17/2014 08:39 SW 6010C pH (Standard Units) * 8.17 2.00 JM 10/09/2014 08:19 SW-9045D Total Volatile Solids 69.76 697600 100.0 JM 10/08/2014 13:45 SM-2540G Total Molybdenum 9 5 KM 10117/2014 08:39 SW 6010C Comments: SULFUR AND ORGANIC NITROGEN NOT FOR COMPLIANCE PURPOSES. QUALIFIER: THE MATRIX SPIKE WAS OUT OF LIMITS FOR "Al", "Mn", AND "Se". ALL OTHER QC DATA IS ACCEPTABLE. All values are on a dry weight basis except as noted by asterisk. Detection limit on all N series is on a wet basis. Our reports and letters are for the exclusive and confidential use of our clients, and may not be reproduced in whole or part nor may any reference be made to the work, the results, or the company in any advertising, news release, or other public announcements without obtaining our prior written authorization. Debbie Holt 2 jL A&L Eastern Agricultural Laboratories, Inc. 7621 Whitep me Road Richmond VA 23237 TO: 804443-9401 E<tuc 804-271-6446 Email: ofitice(real-labs-eastem-com. tsbm tied'By ENIA Resources Inc EMA Resources Inc. �s,002 755 Yadkinville Rd 755 Yadkinvil.le Rd EMA RESOURCES INC ° ?°ta Mocksville, NC 27028 Mocksville, NC 2702$ REIDSVtLLElNC CJ=RT#257 1 1 56:35 CGl Sample Information Lab Number Collection Informatbn; Container iniormaborr Please -Check Desired Tests Vs IQ (Lab i150 only) Type Aare `r' 8otdes Type Vcdurna SLI St2 en pii t Ag q ile Vso�rt . JrO,�h' Metals Series a V�✓Grab la��t�Ia.j 1Dxr+oo,k tc — of _pint _Composite — t _ Grab Glass oz _ Composite — Plastic _Pint Ot _ Gran Glass oz — Composite _ Plastic —Pint t Grab Glass — Oz _ Composite_ _ Plastic —art 12 '+c�ypa to:cj Total Solids (Moisture) Total Kjeldahl Nitrogen, Phosphorus and Potassium Basic Teat SL1 plus Sulfur, Calcium, It gnmium,Sodinm, iron, Aluminum, Manganese, Copper And Zinc Metals: Arsenic, Cadmium, Chromium, Mercury, Molybdenum, Lead, Nickel, Sdertiurm (Capper & Zinc included In SI-2) ages Series: Total Kjeldahl. Ammonium, Nitrate & Organic Nitrogen, Calcium Carbonate Equivalent or Total neutralization Value (For lime Treated Sludge) YOUR LAB OF CHOICE Mr. Brent Collins EMA Resources 755 Yadkinville Road Mocksville, NC 27028 12065 Lebanon Rd. Mt. Juliet, TN 37122 (615) 758-5858 1-800-767-5859 Fax (615) 758-5859 Tax I.D. 62-0814289 Est. 1970 . N The analytical results in this report are based upon information supplied by you, the client, and are for your exclusive use. If you have any questions regarding this data package, please do not hesitate to call. Entire Report Reviewed By: p T. Alan Harvill , ESC Representative Laboratory Certification Numbers A2LA - 1461-01, AIHA - 100789, AL - 40660, CA.- 01157CA, CT - PH-0197, !�! FL - E87487, GA - 923, IN - C-TN-01, KY - 90010, KYUST - 0016, i NC - ENV375/DW21704/BI0041, ND - R-140. NJ - TN002, NJ NELAP - TN002, -' SC - 84004, TN - 2006, VA - 460132, WV - 233, AZ - 0612, MN - 047-999-395, NY - 11742, WI - 998093910, NV - TN000032011-1, i TX - T104704245-11-3, OK - 9915, PA - 68-02979, IA Lab #364, EPA - TNO02 Accreditation is only applicable to.the test methods specified on each scope of accreditation held by ESC Lab Sciences. This report may not be reproduced, except in full, without written approval from ESC Lab Sciences. Where applicable, sampling conducted by ESC is performed per guidance provided } in laboratory standard operating procedures: 060302, 060303, and 060304. Page 1 of 3 iJ 12065 Lebanon Rd. Mt. Juliet, TN 37122 (615) 758-5858 4*ESC 1-800-767-5859 Fax (615) 758-5859 L-A-B S•C-I-M- -C-M-S ( Tax I.D. 62-0814289 ♦ ♦ Y Est. 1970 REPORT OF ANALYSIS Mr. Brent Collins March 11,2014 EMA Resources 755 Yadkinville Road Mocksville, NC 27028 ESC Sample # L685967-01 Date Received March 04, 2014 Description Sludge Site ID Sample ID REIDSVILLE Project Collected By Jeff Thompson Collection Date 03/03/14 07:00 Parameter Result Det. Limit Units Limit Method Date/Time By Dil Corrosivity Non-Corrosiv 9045D 03/07/14 1639 MGM 1 Ignitability See Footnote Deg. F D93/101 03/10/14 0940 AS 1 Reactive CN (SW846 7.3.3.2) BDL 0.125 mg/kg 9012B 03/06/14 1800 ASK 1 Reactive Sulf.(SW846 7.3.4.1) BDL 25. mg/kg 9034/90 03/06/14 1630 DJD 1 TCLP Extraction - 1311 03/06/14 0700 LJN 1 Mercury BDL 0.0010 mg/1 0.20 7470A 03/06/14 1833 CCE 1 _ Arsenic BDL 0.050 mg/1 5.0 6010B 03/10/14 1436 JJT 1 Barium BDL 0.15 mg/1 100 6010B 03/10/14 1436 JJT 1 Cadmium BDL 0.050 mg/l 1.0 6010B 03/10/14 1436 JJT 1 Chromium BDL 0.050 mg/l 5.0 6010B 03/10/14 1436 JJT 1 Lead BDL 0.050 mg/1 5.0 6010B 03/10/14 1436 JJT 1 Selenium BDL 0.050 mg/1 1.0 6010D 03/10/14 1436 JJT 1 Silver BDL 0.050 mg/1 5.0 6010B 03/10/14 1436 JJT 1 TCLP ZHE Extraction - 1311 03/06/14 1056 MVE 1 TCLP Volatiles Benzene BDL 0.050 mg/1 0.50 8260B 03/06/14 1645 RB 1 Carbon tetrachloride BDL 0.050 mg/l 0.50 8260B 03/06/14 1645 RB 1 Chlorobenzene BDL 0.050 mg/1 100 8260B 03/06/14 1645 RB 1 Chloroform BDL 0.25 mg/l 6.0 8260B 03/06/14 1645 RB 1 1,2-Dichloroethane BDL 0.050 mg/1 0.50 8260B 03/06/14 1645 RB 1 1,1-Dichloroethene BDL 0.050 mg/1 0.70 8260B 03/06/14 1645 RB 1 - 2-Butanone (MEK) BDL 0.50 mg/1 200 8260B 03/06/14 1645 RB 1 Tetrachloroethene BDL 0.050 mg/1 0.70 8260B 03/06/14 1645 RB 1 Trichloroethene BDL 0.050 mg/l 0.50 8260B 03/06/14 1645 RB 1 Vinyl chloride BDL 0.050 mg/1 0.20 8260B 03/06/14 1645 RB 1 Surrogate Recovery Toluene-d8 104. % Rec. 114. 8260B 03/06/14 1645 RB 1 Dibromofluoromethane 102. 6 Rec. 125. 8260B 03/06/14 1645 RB 1 a,a,a-Trifluorotoluene 94.2, % Rec. 114. 8260B 03/06/14 1645 RB 1 - 4-Bromofluorobenzene 96.9 o Rec. 128. 8260B 03/06/14 1645 RB 1 - TCLP Pesticides Chlordane BDL 0.0050 mg/1 0.030 8081A 03/10/14 1519 CBB 1 Endrin BDL 0.0050 mg/l 0.020 8081A 03/10/14 1519 CBB 1 Heptachlor BDL 0.0050 mg/1 0.0080 8081A 03/10/14 1519 CBB 1 L685967-01 (IGNITABILITY) - Did Not Ignite @ 170 F Page 2 of 3 c 12065 Lebanon Rd. Mt. Juliet, TN 37122 (615) 758-5858 4*ESC 1-800-767-5859 Fax (615) 758-5859 L•A•B S•C.1•E-N.c.E.5 Tax I.D. 62-0814289 t Est. 1970 REPORT OF ANALYSIS _ Mr. Brent Collins March 11,2014 EMA Resources 755 Yadkinville Road Mocksville, NC 27028 ESC Sample # L685967-01 1 Date Received March 04, 2014 Description Sludge Site ID Sample ID REIDSVILLE Project Collected By Jeff Thompson Collection Date 03/03/14 07:00 Parameter Result Det. Limit Units Limit Method Date/Time By Dil Lindane BDL 0.0050 mg/1 0.40 8081A 03/10/14 1519 CBB 1 Methoxychlor BDL 0.0050 mg/1 10. 8081A 03/10/14 1519 CBB 1 Toxaphene BDL 0.010 mg/1 0.50 8081A 03/10/14 1519 CBB 1 Surrogate Recovery Decachlorobiphenyl 83.3 % Rec. 123. 8081A 03/10/14 1519 CBB 1 Tetrachloro-m-xylene 89.6 % Rec. 114. 8081A 03/10/14 1519 CBB 1 TCLP Herbicides 2,4,5-TP (Silvex) BDL 0.0020 mg/1 1.0 8151A 03/11/14 0245 KLM 1 2,4-D BDL 0.0020 mg/1 10. 8151A 03/11/14 0245 KLM 1 Surrogate Recovery 2,4-Dichlorophenyl Acetic Acid 90.2 % Rec. 8151A 03/11/14 0245 KLM 1 TCLP Semi-Volatiles 1,4-Dichlorcbenzene BDL 0.10 mg/l 7.5 8270D 03/07/14 0158 KMF 1 2,4-Dinitrotoluene BDL 0.10 mg/1 0.13 8270D 03/07/14 0158 KMF 1 Hexachlorobenzene BDL 0.10 mg/1 0.13 8270D 03/07/14 0158 KMF 1 Hexachloro-1,3-butadiene BDL 0.10 mg/l 0.50 8270D 03/07/14 0158 KMF 1 Hexachloroethane BDL 0.10 mg/1 3.0 8270D 03/07/14 6158 KMF 1 .I Nitrobenzene BDL 0.10 mg/1 2.0 8270D 03/07/14 0158 KMF 1 Pyridine BDL 0.10 mg/1 5.0 8270D 03/07/14 0158 KMF 1 _ 3&4-Methyl Phenol BDL 0.10 mg/1 400 8270D 03/07/14 0158 KMF 1 2-Methylphenol BDL 0.10 mg/1 200 8270D 03/07/14 0158 KMF 1 Pentachlorophenol BDL 0.10 mg/1 100 8270D 03/07/14 0158 KMF 1 2,4;5-Trichlorophenol BDL 0.10 mg/1 400 8270D 03/07/14 0158 KMF 1 2,4,6-Trichlorophenol BDL 0.10 mg/1 2.0 8270D 03/07/14 0158 KMF 1 Surrogate Recovery 2-Fluorophenol 40.4 % Rec. 87.0 8270D 03/07/14 0158 KMF 1 Phenol-d5 29.5 % Rec. 67.0 8270D 03/07/14 0158 KMF 1 Nitrobenzene-d5 73.2 % Rec. 120. 8270D 03/07/14 0158 KMF 1 2-Fluorobiphenyl 87.5 % Rec. 122. 8270D 03/07/14 0158 KMF 1 2,4,6-Tribromophenol 72.3 % Rec. 148. 8270D 03/07/14 0158 KMF 1 p-Terphenyl-dl4 85.7 % Rec. 149. 8270D 03/07/14 0158 KMF 1 BDL - Below Detection Limit �f! Det. Limit - Estimated Quantitation Limit(EQL) Limit - Maximum Contaminant Level as established by the US EPA Note: The reported analytical results relate only to the sample submitted. This report shall not be reproduced, except in full, without the written approval from ESC. F-) Reported: 03/11/14 16:43 Printed: 03/11/14 16:51 L685967-01 (IGNITABILITY) - Did Not Ignite @ 170 F Page 3 of 3 F4 in an: el is lif)ef rvath GucOai errs _ EMA Resources Mr. Brent CoMing 7 S5 YadkhAVNIS Road 755 Vadlkinvillo Rood McxkwIlk, NC 270211 M"k%YHl*, NC 27132 i . 31= Lvbwwn Ikd w.rahin 7w3712d � Upon to EmailTo: '6rlMr coilllriiiflJl sourcesitc-cnrn Mr. Want �CcOns . I sw,<s w5M 3ka�sass ■ project G�ty�kaka dsvr 11 l Ile ii; ,�; �,�r III: L.0 a R, Phone. 36- 5 -1q :Y went pro0k.ir ri�,lk Project a� Faa: 33&751-1 CL [cl eared by i, rintV. 31tagacil ty ID iF p p,_ N MARES .p + ti t'7i i ..r•rr l ste:T11413 Pfi3lrryys.. P4SS182 1 a T�S�fl; ; TsmmfWt} Fu"ra {qq; b�8eet brreitneturej;ate 14�rsh� $Lsh hit�iT BeRt NvAltied� 5 irre®Qay X4% MR1Ve4s iuits►iperdl Y,eass [RDay 5+39E Y...........Adon lrtt DEr FAX?_No M� �d 4 4 o via: f6dEX Ground Sdmpi*10 CamplGrah Metri. * pgpth Date Ttmy ndrs i i --------------- a i E l Matrix: 3#-Soil OW-Ground"ter WW'-WastoWater DW- Drinking Winer OT-00o, w , . - 6/ttAIfiS3c ¢ Temp �#.� Flay latter Hca� u � fig,. � i Rollo s hry : at rea paka: Tinwt: 4c*, Vd by: Isig iNurej Samples returned via; UP5 tdi ,i + Fr taL era yl C] F,edEx 13 cpt.xGer 17 i 11 i' ui by: " Date. Tlmie; rieccroxri by: ( - Tamp: oC 9ratiles 1lecelvet,`: g t=DC Star lntaazt e S' � ht r9M1 i Reii6glrlh8dby a Dat3►: Tfm3r: tiece ,ed for lab Ly: [�, g�o; r?[ tcy Time: pH Qt;,rkad: tJCF: ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM 0 i Facility Name: City of Reidsville Permit Number: WQ0002376 WWTP Name: Reidsville WWTP NPDES Number: NCO024881 Monitoring Period: From 1/1/2014 To 3/31/2014 Pathogen Reduction (40 CFR 503.32) - Please indicate level achieved and alternative performed: Class A: Alternative 1 ❑ Alternative 2 ❑ Alternative 3 ❑ Alternative 4❑ Alternative 5 ❑ Alternative 6 ❑ If applicable to alternative erformed (Class A only) indicate "Process to Further Reduce Pathogens": Compost ❑ Heat Drying ❑ Heat Treatment ❑ Thermophilic ❑ Beta Ra Y ❑ Gamma Ra Y ❑ Pasteurization nzation Class B: Alternative 1 r❑ Alternative 2 ❑ Alternative 3 ❑ If applicable to alternative performed (Class B only) indicate "Process to Significantly Reduce Pathogens": Lime Stabilization ❑ Air Drying ❑ Composting ❑ Aerobic Digestion ❑ Anaerobic ' bic es ' D1 tton g If applicable to alternative erformed (Class A or Class B) complete the following monitoring data: Parameter Allowable Level in Sludge Pathogen Density g � Number o Excee- deuces Frequency of Analysis Sample Type Analytical Tech -pique imu Geo. Mean aximu Units Fecal Coliform 2 x 10 to the 6t power MPN per gram of total solids or 2 x 10 to the 6th power CFU per ram of 1266 1305 1379 MPN/g 0 QuarterlyG SM92210E 1000 mpn per gram of total solid (dry weight) Salmonella bacteria (in lieu of fecal coliform 3 MPN per 4 grams total solid weight) Vector Attraction Reduction (40 CFR 503.33) - Please indicate option performed: Option 1 ❑ Option 2 ❑ Option 3 0 Option 4 ❑ Option 5 ❑ Option 6 ❑ Option 7 ❑ Option 8 ❑ Option 9 ❑ Option 10 ❑ No vector attraction reduction options we re performed ❑ p j CEKI'IFICATION STATEMENT (please check the appropriate statement) 0 "I certify, under penalty of law, that the pathogen requirements in 40 CFR 503.32 and the vector attraction reduction requirement in 40 CFR 503.33 have been met." i ❑ "I certify, under penalty of law, that the pathogen requirements in 40 CFR 503.32 and the vector attraction reduction requirement in 40 CFR 503.33 have not been met." (Please note if you check +Y r 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." L i Kevin Eason - Public Utilities Director Brent Collins - Director of Technical Services Prep er ame and I (type or print) -Land Applier Name and Title (if applicable)(type or print) F �J 1/27/2015 Si a e of Preparer Date Signature of Land Applier (if applicable) Date DENR FORM RF (5/2003) i ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM Facility Name: City of Reidsville Permit Number: WWTP Name: Reidsville WWTP NPDES Number: Monitoring Period: From 4/1/2014 To 6/30/2014 WQ0002376 NCO024881 Pathogen Reduction (40 CFR 503.32) - Please indicate level achieved and alternative nerformed! Class A: Alternative 1 ❑ Alternative 2 ❑ Alternative 3 ❑ ............. Alternative 4❑ Alternative 5 ❑ Alternative 6 ❑ .:.:.:.:.:.:.:.:.:.:.:.:.:. If applicable to alternative performed (Class A only) indicate "Process to Further Reduce Pathogens": Compost 131 Heat Drying ❑ Heat Treatment ❑ Thermophilic ❑ et B a Ra Y ❑ Gamma Ra Y ❑ Pasteurization Class B: Alternative 10 Alternative 2 ❑ 1 Alternative 3 ❑ If applicable to alternative performed (Class B on) In"Process to Significantly Reduce Pathogens": Lime Stabilization ❑ Air Drying ❑ Composting ❑ Aerobic Digestion ❑ Anaerobic c Digso e ' on❑ If applicable to alternative performed (Class A or Class B) complete the following monitoring data: Parameter Allowable Level in Sludge g Pathogen Density Number o Excee- dences requency of Anal sis Sample p Type Anal Analytical Tech -pique inimu Geo. Mean aximu Units Fecal Coliform 2 x 10 to the 6th power MPN per gram of total solids or-2 x 10 to the 6th power CFU per gram of 627 665 712 MPN/g 0 Quarterly Grab SM9221 CE 1000 mpn per gram of total solid (dry weight) Salmonella bacteria (in lieu of fecal coliform) 3 MPN per 4 grams total solid (dry weight) Vector Attraction Reduction (40 CFR 503.33) - Please indicate option performed: Option 1 ❑ Option 2 ❑ Option 3 0 Option 4 ❑ Option 5 ❑ Option 6 ❑ Option 7 ❑ Option 8 ❑ Option 9 ❑ Option 10 ❑ No vector attraction a tion ed r uctio n options ions were performed 13 C;1+.K17 I A ION SIATE'A NT (please check the appropriate statement) 0 " I certify, under penalty of law, that the pathogen requirements in 40 CFR 503.32 and the vector -; attraction reduction requirement in 40 CFR 503.33 have been met." { ❑ " I certify, under penalty of law, that the pathogen requirements in 40 CFR 503.32 and the vector - attraction reduction requirement in 40 CFR 503.33 have not been met." (Please note if you check this statement attach an explanation why you have not met one or both of the requirements.) "This determination has been made under my direction and supervision in accordance with the system designed to ensure that qualified personnel properly gather and evaluate the information used to determine that the pathogen and vector attraction reduction requirements have been met. I am aware that there are significant penalties for false certification including fine and imprisonment." Kevin Eason -Public Utilities Director Brent Collins - Director of Technical Services Preparer Name and (type or print) Land Applier Name and Title (if applicable)(type or print) r 1/27/2015 SiVature of Preparer Date Signature of Land Applier (if applicable) Date I! DENR FORM RF (5/2003) ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM i-� U i� Facility Name: City of Reidsville Permit Number: WQ0002376 WWTP Name: Reidsville WWTP NPDES Number: NCO024881 Monitoring Period: From 7/1/2014 To 9/30/2014 Pathogen Reduction (40 CFR 503.32) - Please indicate level achieved and alternative performed: Class A:- f Alternative 1 ❑ Alternative 2 ❑ Alternative 3 ❑ .............. Alternative 40 Alternative 5 ❑ Alternative 6 ❑ .......................... If applicable to alternative performed (Class A only) indicate "Process to Further Reduce Pathogens": Compost ❑ Heat Drying ❑ Heat Treatment ❑ Thermophilic ❑ Beta Ray ❑ Y Gamma a R Y ❑ Pasteurization Class B: Alternative 10 Alternative 2 ❑ Alternative 3 ❑ If applicable to alternative performed (Class B on! ) indicate "Process to Significantly Reduce Pathogens": Lime Stabilization ❑ Air Drying ❑ Composting ❑ Aerobic Digestion ❑ ae An ro ' bic i es 'on D ti ❑ g ::....:...................................:......:::......:.................. . If applicable to alternative performed (Class A or Class B) complete the following monitoring data: Parameter Allowable Level in Sludge Pathogen Density Number ot Excee- dences krequency of Analysis Sample Type Analytical Tech -pique imu Geo. Mean aximu Units Fecal Coliform 2 x 10 to the 6th power MPN per gram of total solids or 2 x 10 to the 6th power CFU per gram of 1550 3349 10268 MPN/g 0 Quarterly Grab SM92210E 1000 mpn per gram of total solid (dry weight) Salmonella bacteria (in lieu of fecal coliform) 3 MPN per 4 grams total solid (dry weight) Vector Attraction Reduction (40 CFR 503.33) - Please indicate option performed: Option 1 ❑ Option 2 ❑ Option 3 0 Option 4 ❑ Option 5 ❑ Option 6 ❑ Option 7 ❑ Option 8 ❑ Option 9 ❑ Option 10 ❑ No vector attraction reduction p were options r p performed ❑ CERTIFICATION STATEMENT (please check the appropriate statement) ® "I certify, under penalty of law, that the pathogen requirements in 40 CFR 503.32 and the vector attraction reduction requirement in 40 CFR 503.33 have been met." ❑ "I certify, under penalty of law, that the pathogen requirements in 40 CFR 503.32 and the vector attraction reduction requirement in 40 CFR 503.33 have not been met." (Please note if you check this statement attach an explanation why you have not met one or both of the requirements.) "This determination has been made under my direction and supervision in accordance with the system designed to ensure that qualified personnel properly gather and evaluate the information used to determine that the pathogen and vector attraction reduction requirements have been met. I am aware that there are significant penalties for false certification including fine and imprisonment." Kevin Eason - Public Utilities Director Brent Collins - Director of Technical Services Preparer ame and Titl or print) Land Applier Name and Title (if applicable)(type or print) 1/27/2015 Si e of Preparer Date Signature of Land Applier (if applicable) Date —I DENR FORM RF (5/2003) ANI UAL PATHOGEN AND VECTOR ATTRACTION: REDUCTION FORM Faci . I i t y.: Na' m- e:' City. of Reidsville .Permit Number: WQ 0002376 WWTP Name:- Reidsville:.WWTP NPDES Number: NCO024881 monitpring-Period; Froth- I0/l/2014 To 12/3 1/20 14 Pathogen. Reduction (40 eFR-S0132')'- Please indicate ,level. achieved -and.alternative performed: Class A:., Alternative 10 AlWnitivie-2: U Alternative 3. 0 ............ .......... Altemdtve-40 Alternative 5- E Alternatve-.6 U I ltlikpl6bte to�Alternative pert6hned- (da-w k6bly),Indicate 'Process: toYurtfia Reduce Pathoms.._. �COmpostf E3 Heat.Drying [3, Heat: Treatment'Ll Thermophiljc E:I ... ....... Befit [3 Ga'- * m' "m-- a-. Ri' 0 y - Past 6fi6n 0- ........... ClksgR:, Alternative I U. Alternative.2' [3. Alternative 0 Ia p cable to alternative. (Class. indicate'"Pioceis to MZnificAntly-Reduce Pathogone. Lirn6StabHiigfi6fil: 13 c6mPbstin gi [3: Aerobic c; Digestion [3 Ajiaerdbie- 0�gestion[3. ............... .. If-, 40 livable -to. plete t rnied::(C. W&A or Class B)-. e� t followj ative p com a inonito ;data: ring4ata Allowable Level Palo .0 Pathogen -Density ensity NuMberot TTeqmAcy Sample, mmytital. Parameter inShi* Excee- deh�xs, of �Ana ysis Type Tech-niqu TO e MiAthiuh�Ged Mean -Urr Units 2: x, 1010 the 6th power MENger 1440' 09 . 0 3.090 935 3' MM& 0. Quarterly Grab. SM0221C . E gram of total §OH& 6r.2-It 10 to Feecal Coliforiji the,6th-powef CF U-1-per mm of 10001M'PnP6f gram oftotal. solid. (dryw.ci&) Sahftonella.bacteria 3.1VS - PeT, 4 ((in lieu of &W giirm§,totits6lid cbfif6rm� y *(drweight) Vector. Attraction Reduction (40 CFA 50-3.33) - Please indicate option.I performed: QPti6A.I. Q 1()p# 2 L31 :3 21 [Qption 4. EI Qoti6n 5: 13. ... ..... . . Option 10 -L3 ........... U -T-5-pTion, 9.% ClOption -0 13 .Option,? 0'10ption 9. No, ve _t .' tii .. tl...'. Were -pe ormp., q or.. a_. ad qb �teductioti o ons rf "' d' ............. CERTIFICATION -STATEMENT- check the appropriate -statement) - .21 4 cortify, under -penalty of Iaw, that the pathogen. requirements in 40 C FR 503.32 and the vector attracti . on.redhetiou requirement-Iii.46. CFIK 50.33 have: been , met:' cer*, .un4orpenaiiyoflawthat the pathogen requirements.,in4O-C-FR,503.3i.andihe;vectbr attraction. reduction requirement in *0 CFA- 503.33 have not been -met" (Please note ifyou,e eck thb.statement attach an explanation why y6u have, nor.t'luet-qhe or'both of the requirements.) "This: determination. has been wade under n!y. direction and sapervisibiwin accordance with the systemdesignedto ensure. that: qualified* personnel properly gather and; evaluate.the information used to determine that the pathogen. an.&vector attraction,. redbdiqn,requirements have -been- I . arn.:awake that there aire.esignificant penalties for false certification including fine. and imprisonment." Keviii Eason --Public Utilities Director BrbntsCbllinsi Director of Technical Services Priepare-r-Nam-do,-and-Titl 6.( -6rprint) Land Applies NAme-Ah&Title (W-appli6a6k)(type or print). 1/27/�Q 1 -(if applicable) Date Signature of Land. AppliesDate DiENR FORM RF (5/2003) Azalytcal Results, `- . EIVIA:' Res'o:u roes fi k ' 755. °Yadidriviile:Rd ' L, i mod ill NC 21028: i Entered` 1/ti2014; .FOIL _. For, Reidsville Date Sample';ID Parameter Gus# LQ` Reslulf Units Method Anal ed.Arialyst YZ. -14012:A 5,:. � . %'-:Solids � o. 8M2540$419.97 1/2/14 CL 94012-151` Fe(W CONforre-MTF 1 <.1266 MPTVIg; $M92210E-2Q06 1121.1'4 'CL ;1401'2=15.1 Geoinefrc:Mean' 1.. <1.30$ MPN/g` dry,:wt:.,iasis 1/3/14 CL 14012-15.2 �Ia.Solift 2. d . 156.'::..,,. ; . %,'�:. SM2540B�1997 .112114 ' CL 14Q12-15:2ecai°Coliforrrl,;MTF 2'< <1282: AAPN/g: SM92210E 204fi 172/94 CL 1`4012�15 - '/o SoOds:: 3:: 1:55.:' %: SM2540B-1997. 1/2/14 CL. 14012'-15 ' Fecal Coliiform MTF 3: 51`290 ` - MPN/g>: SM92210E 2006 1/2/. 4: CL 140:12=:15:4: 4' 1:-4 11214 CL 14092;-4b.4 Fecal Coliform;MT 4., - <1` 1 MPN/_ SMO - iCE-2006 1/2/14. CL '1401245]5 % Solids 5 1.56 % 8M254QB-1:997 1&14 CL A cal,COlifo Ferr�ic182 ' SC92210E 200fi'a'" `1211,4 ' CL'' 1:55'; ' `.` W. �: . SM254013-1.997 1/2114 CL: 140.124-&6' Fecal.Colif6ft MTF: 6 <1290:.' ' MPN/g S1V1922'lCE 2006. 1/2/:14 CL '401,2='!'S.7 9'o•Solids: 7 0 1;45.`' ` %. SM25408-1997 1J2114 -CL 14012�i`5.7 Fecal Colforiri MTF 7" <1;379. MPN/g.. SM92210E-2006 1/2J14 CL ;4A.12_1,5:8` B`isncfi`30'DaY Ad ay 15.3: °10`. EPA625.R-8210 _ 112114 CL' yI I P O: B.ox'228; Statesville;, Mori h' Caroliria:2$6$7 •.' 704/87214fi9'T r- _'MA Rosou rces,, inc. 155 Y�tdki�Ville Rd:.. 1oeksville Entered 112j20,14: Reported' 2/14/2014: Coe: NC 27028 Date. ,ale ID Patametbt' Cust-113 Result Units- 'Method Analyzed nalyzed'Analyst DpOa Myers, �Nd Cett#440', CbW Cert 937755,, EPA NC00909 f Or� P.O. Box.40 - -States,Q,.North Carolina: 28687 9,704/872/4697 STATES .L ANALYTIcA Address n 122 CotftSlreeC ;:, I?O, Boz 22$ (704a 8'TZ-46g7 Contact person::' '3 4 Cha>ia� �f ::Requismoned by rnm�- aate� Custady,Record .:: customer. Sample'ID#. :. : LaW , # e.` a�M!Pled . ' . , (Grab .. _ } DateSampiedy : - .: tabOnh�?: Matrix W- -.w:. Parameters requested for anal j ! .. hk N Relinquished by Tine ;Pj ,, m pm Da#e Sampled by , Received by; - Tine : am, pm Date �., /_J Transported` " Relinquished by:. : • "Time., am pm Date d _ Hotding;times.mef: Received. by �. Tine ... W _ mpt ance Work:. Caniposite'.Samr�l(na .. . _...: #1:: 'i Tittle 6e in am; pm; Pate .• _/'~ ' Noh-compliance:work 7me:;end am, pm. Date:_ J' ., , .. Lab;Gomments: composite Sampling:#2: Time begin am, pm Date:��. t Time `end 11 ' %S e --J Analytical Results 755 YadkihvilJb:;Rd':' Mocksvl Ile: W.-.27028- Entered! 2* h-8/1*4 Repotted: '3/21 A _0 Parameter- Vector Attraction ReductiorgA 0 robic. bi*gested Skidgo .30"day, $61ch,76st Total -Solids 8/0--vaotile.saft % Volatilo Fraction Weekl 0.4 0 0.6777 We6k I 0:4 0.27 0.67% Wbek.3- OA 0.26 R6584. Week 4 0*.368-. 024 0'6605 Week 5 0356: 0.23. 0'.6462:*. VOIa'*tile Solids Reduction: (.0. 677T0.6462)Xl 00 .R 0. Box 22$... - Statesville, North. .,Ca.rollna-28687 o. 7,04/872/4697 •>t orr r' ; " SGS,'CESj'1LLEAiVALYiGAL, Address �yJ ✓ !/ l t{ 122 court sheer , • P p soir=228; . Sraresvi a NIC 28G8.7 44 :{ Gontaot Berson Phone # .. FAX#:' Cvaua of P+JJ #; R {lime gate) egwsi#iane_r3 by rCus#Ody"Ie�ord customer Sam le ip# p Lah-ID` # Ttme: saml®d (Grab 0�(y}.? [?ate Sampled {Grab anfy)'... _ . . Matrix Slll g :w-= iarameters regiesred faranal eis Y 1 t Ow Relingwshed by: - f� _ Tune J.i i' m Date-! ll` Sampledby:: JC ` Received b y' Time, . %- + m ,pm Da#e. j �Ql� "d° Trans ort®d ` p Relinquished by: ;1 Time: am m Date;/�%' ' p 77— Haidir►g times met: Fie by: Time: am, pm Date., pliance.: . Com worka-- Composite Sampling "Time begin am, pm a7ate 1. ! "_ Non-compliance .wprk: Time; end.. � �. am, ,pm� Date.' -_!_I lab Gomrraenrs: ,Composite,-Samling ' Time;pegn am, pm Date:_!'" - „ 5 l iirie,end am, .pm Date.: _ "I_!� Sam P) lu MOW Date Analyzed, Analyst 14 024 61 SM2540B -1997 412/114 �:CL 140402161-1 Fe6af C61&trii MTF: ''MPW': SM9221, CL �M tiO- <6155". MPNI gi )14 4�4 SM26405-1907 4j2114 :CL. 04027,46;'�2`,: -PTM: IVIT F 2, MPIN 9 40,14 �CL' 146402A6A '2 SM2540B 1997 412 CL 8M9221,CE-2006': 4/2114.CL 4 a Yc' M254, OB4 4 4. CL ,4 �e'ml oo r T F 4 MPN/ .,'9 '8M 21tc 41W14 CL 40402-46.5' WS611di 412/14 'CL MTTF • 62 " , 006 412114 CL, 40 MAE 4 6' 04 -, ,192210E MT �A, X 140402-16.6 .L MTF 2 ',',l C E 006' .2 4/2/14 c 4,0402-1-667- %. flft:. 7' SM26,4013-1007 *2114 U, 140402- 1-6�.T Feaal,660* M# T 2 SM92 I CE--2006: 7 4/1/14 Ck '40402', 6.8 Be -ph Reidsville_.-."i EPA625R-9210 4/2/14 CL, 28 T. Box 2 C -28687 704/872/4 7 Nl�r�::Resaurces; l nc;' ' �:5"5 Yadkiinville Rd:; ' 4ocks ► lle 27028' 11 '--r Z f_,1 - o, FE '� P 4 _ Box 228 * Sia#esviUe;, North.- Carolina:_286$7 704/$'1214697. J L! EMA'Resourcesllnc. 75s Yadkj* - nyll.110: Rd' Mocksville Nt 27028 Ehtered!-4/2/2014 Reporte&. 5/.7/­`2.Oi4 ,pie ID - 14040 Annhitirni R-a-cijift FOr*,. KelaSViiie;, PARAMETER: Attraction Reduction/Aerdbiaillif Dikostied.Sludmi (30day.) Total Solids . Volatile Solids 6V61atileLSolids Week, 1 1.79 0.86 0.4823 Week 2 1,90 0.58.; 0.513Z Week k 3` 1J7 0.84% 0.4774, Week: -4 1.73. 0:84 0.4865, Week 5 1.19 0.87 0.4869 Volatile Solids Reduction: 0.4823-"'-0.496-,,-X`* b.4823 - (0A825 0.48,69); Respecffqlly.Submitted, Ddng Myers Stat6s.ville Analytical, Inc. 14c, W.` c`6rt.#*.4-40Nc, DWCert. #377-55 J P.P. Box 2.99 • Statesville,: Nbrih 04olina W7 7048,72/4697 IM Etelinquished' by ReceiYed Py- ROinquMed by: Received' y,�: n' Com'Do.§ite.Sampllng#j-:*, Tim 0, -pg!n—,am,.pm Dafe,---L— Time .:end . am, pm a Date Comoo6lte:Som p4ing 42: Mme-beg'!n ':pm, -pi DaW Time end am; pm Qate. Analytical Results --..E,M,A Resources, Inc. 755. Yadki-"016 Rd. 'Wocks ville NC r: 27026 �_nt6 . " d 7/ . 112014-1 8/6/2014 ors Reidsville _'S,ample,lb.' Piarametar Cust: ID: Result Units Method: Date analyzed Analp't nwSolids, SM2540B_ 997 1. 7/1/14 MR 14070'1.-2.1 Fecal Cbljf6ft:,MTF 1:., 2083 SM92210E-2006 711114- MID 140701.=2.1 Geornetric Mean 1 3349 MPNIg: ft Wt. basi, 7/2/14 CL 146701­2'2 Solids 2 8.18 'O/li SM2546137 1 9,q7 71,1114 MD 4010-1Z'2 Fecal C611f6ft3 MTF 3459 MPN 7/1/14 MD 14070.14.3 W.Solids 31 2.59. % SM2540B.-1997 7/1/14 MD: 40701-2.3 Fec6l:,C6lifp,rm, M'rF:: ,3- 1550 MpNig, 711/1 4 MD .i40701-m-2.4 WSolids 4 2.24 % SM2540B.4997 7/1/14 MD A 46701-2-A Fecal CouformM.''', 4 101268, MP.N/g sm9221m2006. 7/11/14. M D� OWSplids 5, 3.10% 8M25406-1997 7/1114 MID, Fecal Colffdtm_MTP`- $MO?Z'f CE200GG'� VIM* MD 40701-2.6 -lq Solids & 3.. 0% W2540BA'997 - 7/1114, MD 1407014.6.1'. Fdcal Colffbrrn MTF- .6. 2276 A ;wg M922 006, S. ­ I 08�2 7/1114 MID 40701-w2l % Solids 7 2.55, % SM2540B_ -997 7/1/14 MD 1467014T Fecal .. CbliforM M,TF 1 5098. Mpwg SM9 2210E-2006 7/1/14 M : D 401.012.8:_ Be.nch.30,1)py, '30 day 71111* % 0 26R42/0: CL P.0 BQx:92 w Ratesville,,- North Carolina 28687 a 704/872/4697 EMA htesources, Inc: Rd. Moicksqjlhe .Entered 7/112014- F6r: NC* 270218.. A 4rnplek- ID, Parameter CustO Result Units Methdd. Date Analyst alyze Respectfully submitted'; Dena Myers - !NC :Cent #440, ' :i N -C D,: W Cent -,#3* 7 7 5 5, EPA NCO0909 p P-Oi Box'228 -- StatesviH6,. Ndrth Cairdfiria.28687* 704/872/4691 E►rytA Q { y rtti '. STATFSVII�i,E,APIALYTICAL .. Address: it .. Court Street , P.. Bgx 2 8 Staiesvrlle - c NC 2868"7 ,f7U4j 8'72"' 97- :CantactPerson: ll;.i► Phone # FAX# ��d ' /-1, r am,of P�};#: 3v;.ft Requ�stticned ay (Time, ;; Hate) ; ' CuStOt�y YtCO3rd, G Customer Sample itl#„ Lab-1D # Time:Sam led Oo owj Date S` !ed - (Grab OnIY}; Matrix;; smaso w ._; .ww Parameters r uested for anal sis e4 Y XV z 40 ----------------- Sa d: mple by BC Relinquished by: Time �A�'tJ Date:' i / /` m �._ _ # Rece.ived:by: Time-// pm Date; j_/! ...:Transported by Relinquished;iiy; Time. am, pm Holding times:: met, , Received by; r.. Time am, pm Compliance -work• � ,Composite Sampling #1: . - Time:4egin am,:pm Date _/_lY - . Non-c ce;w.ork:. omplian - Time; end am,, prri Date - Lab.Co'mrnerttsr .. y. Time:begin am, pm' -Date Time•end am, pm.S`Date. / �! Tl Analytical :Results EMA-Resources,.Jhc. . Y 1515 -- , eld , ldfiVill * 6 'Rd." rt MbOksVilldi NC, 27026- Receive Date: 10/01/2014 keported-, 10I3172014 lFor.1,, Reidsville comments:- Geometric Mearr=-3600 PAPN/g Saffi0e.Nu-beir, Parameter Sample 10. Result Unit Method, Analyzed Analyst 141,991-12-01 Fec4l-CAtbrtnt 1: 144 MPW­g 'SM§�lCE-2066`. 0-* CL 141001-12,01 Rqtbent.Solids: 1" 1.3816 % SIV12540134,997. f0/024014. 6L 141001AZO2. FecaFC611fohnil: 2 5147- MPN/§ SM9221C&2 W 1010212014 CL rb"- 0 S611ds 13666- 5/6 . SWWB=1997 -10/02noi* CL .141 Fecal Colifairms 3: .3077; MPp#j SM9221tE-2606 I0IO2Y 914: -CL -1411 001A2 4a- Percent Solids; 3 f.30112 OWI 'SM2W­B-19­97 CL .141001AZ04�- FecalC61dOrms- 4 9353' MPN/b -SM9221,bE-2006 10102/20-1* CL. 141001A2-04 '06rdent SdIds.- 4, 139 % SM2540B-1997- 10/02/2014 CL 141001r12-05' F6da1:*Cbfifbftns: 5 1460 MPN/O SM92210E-2006: 10/02/2014 -CL 1.41oof-'12-05 Percerit,.Solids 5 1.3732 SM2540BA997 10/02/2014, 'CL 14.1d01=114i: Fp,*'CbHfbF"1s.. Q 2920 MPWg SM02210E-2006, 10/02=14. CL 10001'"'12-06 Percent Solids:: a 1.3728 SM12640B-1097- 107f32f2Q14 CL. 1410014MT F6wl--Colifbrmi§ 7 2941 hipWg SM9221C.E-2006 1 O/O2J2014, CL 141001-AZ07 Pbrcefit;Sblids 7. 1-.35.72 SM254OB-1 997. 10102/2014 CL. 1.41.001-12-;08 W Day 136ftftca"46. 8: -cl % EPA625-R-9210 10/01/2614 CL Res . pectfOy, Dena, M" . . yers NC-Cdrt#440j� NCDWCert.#37755, EPA #NC0669: PO'Box 228*-Siatesville, Nit.1968710 704187214697 Page Of a- EMA ResouTces 755 Y-6dkinville Rd. Mocksville: N'C''27028 Entet-6dis 7/1/2.0.14 Reported: 8/5/2014 Sampfell):14.0101- , 2.9 Analytical ReSUIts For-: Reidsville, PARAMETER: Vector Attraction Reduction/Aerobically Digested Sludge (30day) Total solids Volatile Solids & % Volatile Solids, Week, 1. 1.87 1.25 0.6702' Week. 2 .1.77 MR: 0.6752: 'Week: 1 1.91 0.6708:. Week 4 1.81 1.19 M593' Week 5 1.89 1,27 0.6724 Volatile Solids Reduction: 0.6702 -- 0.6724 X-T100 <1 % 0.61.02- (0.6102 X 0.6 24) Respectfully submitted, Dena, Myers Statesville Analytical,. Ift. NC WW Cert:# 44ONC DW- CeM #37755 P.O. Box 228 - Statesville, North Carolina 28687 9 70-1/872/4697 oil lent: e j � A-{--ATEsyip.rs ANALYTI(A[; W 122Cc1urt.Street •.'P.p.Box =' Siutesyille, ,t �Q f1E Z NC:,28b&7 (Jt?4) 872:.,"7 Contact Person ,. =.i - Phone:# FAX#'.1 Cha><u of ` Po-#. Rt3gtiisitianed by; ,Creme; � gate}, Custody.;Recnrd Customer 5ampte.idlk Lab-I0:# me; p led [Grab` or J Grab oni) d Y see wa analysts / r { i tj/}� f } j1'arainetersYepuestedfor I i tit pig"`✓:! F: }�" ww ,rQOGsss l • '0 •i i t, • I S. Relinvished b Y i Tone l'' _ .. am, DateSampled Received';b Y Time - am date f t� I--/ Tian sported'by: l l Relinquished by,:. :. ' Time am, pm :Date._/_ — Holding; #imes •met: Received ,li Y= + i Time am, pm Date Composite Sampling #1- Compliance. work: Time -be in T g am, p rp Date _ " J_!, Non-compliance:.wark: Time •:end'" „ ° am,, pM :.DAta: Laa Comments: i.00reip6sit6;sambilina'*2. Time begin am, pni iDate;: Tirneend: ' am, pm. Date./—/_.:-.:.' IA&.. ronl )ivis171.- me: - - Web 'W'w— jr.gc _ .ono . ort.l - FY',,., ��018i gS�;tiL'A'Gkk,{ Client: Mark Doggett Advisor: EMA Resources, Inc. Predictive 2124 Scalesville Rd 755 Yadkinville Rd r Summerfield, NC 27358 Mocksville, NC 27028 w Soil Report Mehlich-3 Extraction Sampled County: Guilford Sampled: Received: 11/19/2014 Completed: 12/24/2014 Fame GU-13 Sample ID: 00003 Recommendations: Lime Crop (tons/acre) N P2O5 K2O Lime History: 1 -Small Grain (SG) 0.0 80-100 0 20 2- Test Results [units - WN in g/cO; CEC and Na in meq/100 cO; NO3-N in mg/dm3]: HM% WN CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I 0.32 1.16 7.7 88 0.9 6.3 88 68 55 28 47 723 orth Carolina rSAliwco T4jst f tmd Cgalwls5ka11 Links to Helpful Information Nutrients (lb/acre) More Mg S Mn Zn Cu B Information 0 0 0 0 0 0 Note:3 Soil Class: Mineral Mn-All Mn-AI2 Zn-I Zn-AI Cu-1 Na ESP SS-1 NO3-N 440 332 332 99 0.1 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 �1A& roni Aviscne: 175:) i We[ wwr, V.gl ; ono — — — — gr sort XIE;Q._i} Client: John D Davenport Advisor: EMA Resources, Inc. Predictive 1465 Scalesville Rd 755 Yadkinville Rd Summerfield, NC 27358 Mocksville, NC 27028 2 t ' Soil Report Mehlich-3 Extraction Sampled County: Guilford Sampled: Received: 11/19/2014 Completed: 12/24/2014 Farm: GU-22 Links to Helpful Information Sample ID: 00001 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O6 K2O Mg S Mn Zn Cu B Information Lime History: 1 - Fescue/OGrass/Tim, 1 0.0 120-200 30 70 0 0 0 0 0 0 Note: 12 2- Test Results [units - WN in g/cm3; CEC and Na in meq/100 cO; NO3-N in mg/drrP]: Soil Class: Mineral HM% WN CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-Al2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N 0.27 0.96 11.1 90 1.1 5.9 50 34 67 21 194 82 66 129 129 98 0.3 3 "North Carolina. Tobacco TWA Fwl Comilnissw 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 — - --- Report Number: 15-012-0527 Account Number:46245 RLA A. L Easton-liaboratories Aill itepine Road Richinond, Vir0nia 2323T (804) 743-9461 P",-(804),271:6 46 ' Send To: EMA RESOURCES INC WWI ale.astenlcom Grower: 755 YADKINVILLE RD J N PERKINS Farm ID: RC013 MOCKSVILLE NC 27028 SOIL ANALYSIS REPORT Analytical Method(s): We Received: 01/12/2015 Date Of Analysis: 01/13/2015 Date Of Report: 01/13/2015 Mehlich 3 Values on this report represent the plant available nutrients in the Explanation of symbols: % (percent), ppm (parts per million), Ibs/A This report applies to sample(s) tested. Samples are retained a soil. Rating after each value: VL (Very Low), L (Low), M (Medium), (pounds per acre), ms/cm (milli -mhos per centimeter), meq/100g maximum of thirty days after testing. b police W G�� H (High), VH (Very High). ENR - Estimated Nitrogen Release. (milli -equivalent per 100 grams). Conversions: ppm x 2 = Ibs/A, Soluble Analysis prepared by: A&L Eastern Laboratories, Inc. y v C.E.C. - Cation Exchange Capacity. Salts ms/cm x 640 = ppm. Pauric McGroary .;I_ y :„..-. r. ,... 7iAW rom Xvis me: 3 Neb, vw . -ono r . - - - Client: C 4�{ C. Alton Pearson ¢�� b� Advisor: EMA Resources, Inc. Predictive PO Box 1554 755 Yadkinville Rd . ., r x ■ Reidsville, NC 27320 Mocksville, NC 27028 Soil Report Mehlich-3 Extraction Sampled County: Rockingham Sampled: Received: 11/19/2014 Completed: 12/24/2014 Farm: RC-22 Links to Helpful Information Sample ID: 00007 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P205 K20 Mg S Mn Zn Cu B Information Lime History: 1- Fescue/OGrass/Tim, 1 0.0 120-200 0 90 0 0 0 0 0 0 Note: 12 2- Test Results [units - W/V in g/cm3; 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-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N 0.32 1.00 12.3 88 1.4 6.0 643 25 78 9 71 142 102 529 529 452 0.2 2 North, Carolina: TLAnau itust F'wW9 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 lvis )ner 1733 Web :wuw jr.g , _ onoi., K --- fort 1--• FY _098 1 ,¢tyt'LlC92f.iFb Client: Lofton Lovelace Advisor: EMA Resources, Inc. Predictive 5575 NC Hwy 150 755 Yadkinville Rd r Reidsville, NC 27320 Mocksville, NC 27028 Soil Report Mehlich-3 Extraction aAh Sampled County: Rockingham ��"A'Jir97 Yam' • . Sampled: Received: 11/19/2014 Completed: 12/24/2014 Farm: RC-41 Links to Helpful Information Sample ID: 00001 Recommendations: Lime Nutrients (lb/acre) More Crop (tonslacre) N P205 K20 Mg S Mn Zn Cu B Information Lime History: 1 - Fescue/OGrass/Tim, 1 0.0 120-200 0 30 0 0 pH$ 0 0 0 Note: 12 Note: 2- Test Results [units - WN in g/cnf; CEC and Na in meq/100 cnr3; NO3-N in mg/drn3]: 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-I Na ESP SS-1 NO3-N 0.22 1.01 14.2 99 0.2 7.0 342 56 88 9 93 196 120 414 414 267 0.3 2 Sample ID: 00002 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P205 K20 Mg S Mn Zn Cu B Information Lime History: 1 - Fescue/OGrassrrim, 1 0.0 120-200 0 70 0 0 pH$ 0 0 0 Note: 12 Note: 2- Test Results [units - WN in g/crrP; CEC and Na in meq/100 cO; NO3-N in mg/drrP]: Soil Class: Mineral HM% WN CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-Al2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N 0.41 0.85 18.0 96 0.8 6.7 432 35 83 11 107 207 131 600 600 388 0.4 2 Sample ID: 00003 Recommendations: Lime Nutrients (lb/acre) More Crop (tonslacre) N P205 K20 Mg S Mn Zn Cu B Information Lime History: 1 - Fescue/OGrass/Tim, 1 0.0 120-200 0 70 0 0 pH$ 0 0 0 Note: 12 Note: 2- Test Results [units - WN in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N 0.27 0.88 13.8 96 0.6 6.7 116 33 83 12 40 252 157 211 211 190 0.2 1 North Carolina, Tobacto Tr.Ust F un r3tsraiorlscicwa 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 - FY. a )Ater' NVron ,- :... Div1: '' one 73 f � �Wel ww Lofton Lovelace Page 2 of 3 Sample ID: 00004 Recommendations: Lime Nutrients (lb/acre) More Crop (tonslacre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1 - Fescue/OGrasslTim, 1 0.0 120-200 0 40 0 0 pH$ 0 0 0 Note: 12 Note: 2- Test Results [units - WIV in g/cd; CEC and Na in meq/100 cd; NO3-N in mg/drrP]: Soil Class: Mineral HM% WN CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-Al2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N 0.27 0.90 15.2 98 0.2 6.9 329 51 89 8 95 199 122 423 423 242 0.3 2 _ —_.IAM Sr- _-VYVVI,ono Sampled: Received: 11/19/2014 Completed: 12/24/2014 Farm: RC-118 Links to Helpful Information Sample ID: 00001 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P206 K20 Mg S Mn Zn Cu B Information Lime History: 1- Fescue/OGrass/Tim, 1 0.0 120-200 0 0 0 0 pH$ 0 0 0 Note: 12 Note: 2- Test Results [units - WIV in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]: Soil Class: Mineral HM% WIV CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-1 Mn-All Mn-AI2 Zn-I Zn-AI Cu-1 Na ESP SS-1 NO3-N 0.41 0.87 20.5 96 0.8 6.6 524 229 78 13 75 ill 74 989 989 290 0.4 2 Sample ID: 00002 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P205 K20 Mg S Mn Zn Cu B Information Lime History: 1- Fescue/OGrassfrim, 1 0.0 120-200 0 0 0 0 pH$ 0 0 0 Note: 12 Note: 2- Test Results [units - WIV in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/do]: Soil Class: Mineral HM% WIV CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-1 Mn-All Mn=AI2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N 0.66 0.92 16.1 95 0.9 6.5 382 117 78 12 65 108 73 567 567 314 0.3 2 forth Carolina ' Ty TAwco Trusl;k umd .Commissig a 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 )AW ironq` OWN me: )-71 Wet- mw.T_. jr.g! � � ono _ ,port. i -- -- 7 -- 4ti��rc�+.�,y Client: Thomas Carter Advisor: EMA Resources, Inc. � Predictive 381 Kin Carter Rd 9 755 Yadkinville Rd Reidsville, NC 27320 Mocksville, NC 27028 Soil Re o Mehlich-3 Extraction .,i N Sampled County: Rockingham Sampled: Received: 11/19/2014 Completed: 12/24/2014 Farm: RC-119 Links to Helpful Information Sample ID: 00001 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P205 K20 Mg S Mn Zn Cu B Information Lime History: 1- Fescue/OGrass/Tim, 1 0.0 120-200 0 80 0 0 0 0 0 0 Note: 12 2- Test Results [units - WN in g/crrr?; CEC and Na in meq/100 cnt3; NO3-N in mg/drn3]: 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 0.51 0.99 11.4 88 1.3 6.3 178 31 69 18 61 1140 696 248 248 299 0.3 3 Sample ID: 00002 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P205 K20 Mg S Mn Zn Cu B Information Lime History: 1- Fescue/OGrassrrim, 1 0.0 120-200 0 70 0 0 0 0 0 0 Note: 12 2- Test Results [units - WN in g/cO; CEC and Na in meq/100 cnr3; NO3-N in mg/dO]: Soil Class: Mineral HM% WN CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N 0.46 1.00 12.3 91 1.1 6.3 378 36 73 17 58 332 211 635 635 477 0.3 2 Sample ID: 00005 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P206 K20 Mg S Mn Zn Cu B Information Lime History: 1- Fescue/OGrass/Tim, 1 0.0 120-200 0 0 0 0 pH$ 0 0 0 Note: 12 Note: 2- Test Results [units - WN in g/cO; CEC and Na in meq/100 cO; NO3-N in mg/dnr3]: Soil Class: Mineral HM% WN CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-1 Mn-All Mn-Al2 Zn-I Zn-AI Cu-1 Na ESP SS-1 NO3-N 0.56 1.00 14.5 96 0.6 6.5 307 ill 73 19 68 144 95 661 661 264 0.3 2 Or,t • Carolina ToNot:+c► Trust .Riot) Coiniailssion 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 )A8 Iron, )tvi; one, 73;. i 'Wet :wHn._- gr.g -onc,. _ _ _ — — - - - - -- .,,fort ..,,. Thomas Carter Page 2 of 3 Sample ID: 00006 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1 - Fescue/OGrass/Tim, 1 0.0 120-200 20 10 0 0 0 0 0 0 Note: 12 2- Test Results [units - W/V in g/cni; CEC and Na in meq/100 cm3; NO3-N in mg/drrP]: Soil Class: Mineral HM% WN CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Win -I Mn-All Mn-Al2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N 0.18 0.96 16.1 91 1.4 6.1 53 76 54 35 57 177 122 109 109 123 0.2 1 Sample ID: 00009 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) . N P2O6 K2O Mg S Mn Zn Cu B Information Lime History: 1 - Fescue/OGrass/Tim, 1 0.0 120-200 20 20 0 0 pH$ 0 0 0 Note: 12 Note: 2- Test Results [units - WN in g/cO; CEC and Na in meq/100 cm3; NO3-N in mg/drrr3]: 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 1.08 7.4 94 0.5 6.7 53 62 64 25 31 371 229 175 175 55 0.1 1 )A&i Iron )ivi one: ) 73 We1;%V* Predictive r Soil Report -tayifl,l' Mehlich-3 Extraction -gr.g,', . _ ._,-one --wort.._,. n ... 020'—_ Jx :. Client: Thomas Carter Advisor: EMA Resources, Inc. 381 King Carter Rd 756 Yadkinville Rd Reidsville, NC 27320 Mocksville, NC 27028 Sampled County -. Rockingham Sampled: Received: 11/24/2014 Completed: 01/15/2015 Farm: RC119 Links to Helpful Information Sample ID: 00004 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1- Fescue/OGrassfrim, 1 0.0 120-200 0 0 0 0 0 0 0 0 Note: 12 2- Test Results [units - WN in glcm3; CEC and Na in meq/100 cm3; NO3-N in mg/drrf3]: 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-I Na ESP SS-1 NO3-N 0.32 1.11 10.6 89 1.2 6.3 459 79 71 14 41 251 164 341 341 274 0.1 1 North Carolina Toba&o Trust Fund misslon 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 rr►a% runt Avis e...., ... wvw._ �r•9 onoi._ -�ortl - FY:._.—_0.18L__. Client: Claude French Advisor- EMA Resources, Inc. Predictive 167 French Rd 755 Yadkinville Rd Reidsville, NC 27320 Mocksville, NC 27028 } Soil Report Mehlich-3 Extraction Sampled County: Rockingham Sampled: Received: 11/19/2014 Completed: 12/24/2014 Farm: RC-126 Links to Helpful Information Sample ID: 00002 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O6 K2O Mg S Mn Zn Cu B Information Lime History: 1 - Fescue/OGrass/Tim, 1 0.0 120-200 80 100 0 0 pH$ 0 0 0 Note: 12 Note: 2- Test Results [units -W/V in g/cO; CEC and Na in meq/100 cm3; NO3-N in mg/drrti3]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-1 Zn-AI Cu-1 Na ESP SS-1 NO3-N 0.27 1.06 8.9 100 0.0 7.5 25 22 94 5 32 420 245 137 137 51 0.1 1 .North Carolina `Tdbar°co Trust._ruw t:r ilaissloo 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 3M991 lrv111 uwi one f j3 . �. e � ww� gr.g ona ro �4&I<,"`fD"' Client: Dennis Williams Advisor: EMA Resources, Inc. -a Predictive 140 Andy"s Trl 755 Yadkinville Rd ` Reidsville, NC 27320 Mocksville, NC 27028 Soil Report Mehlich-3 Extraction a4 Sampled County: Rockingham Sampled: Received: 11/19/2014 Completed: 12/24/2014 Farm: RC-128 Links to Helpful Information Sample ID: 00001 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P205 K20 Mg S Mn Zn Cu B Information_ Lime History: 1 - Fescue/OGrass/Tim, 1 0.6 120-200 50 50 0 0 0 0 0 0 Note: 12 2- Test Results [units - WN in g/cO; CEC and Na in meq/100 cO; NO3-N in mg/dO]: Soil Class: Mineral HM% WN CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N 0.36 1.10 10.2 83 1.8 5.7 37 43 50 31 67 80 65 63 63 60 0.1 1 Sample ID: 00002 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P205 K20 Mg S Mn Zn Cu B Information Lime History: 1 - Fescue/OGrassfrim, 1 0.0 120-200 130 0 0 20 pH$ 0 0 0 Note: 12 Note: 2- Test Results [units - W/V in g/crril; CEC and Na in meq/100 cO; 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-AI2 Zn-I Zn-AI Cu-I Na ESP SS -I NO3-N 0.13 0.96 9.6 93 0.6 6.8 7 83 52 37 21 793 480 44 44 53 0.2 2 Sample ID: 00003 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P206 K20 Mg S Mn Zn Cu B Information Lime History: 1 - Fescue/OGrassfrim, 1 0.0 120-200 130 0 0 20 0 0 $ 0 Note: 12 Note: 2- Test Results [units - WN in g/cO; CEC and Na in meq/100 cO; NO3-N in mg/drrr3]: Soil Class: Mineral HM% WN CEC BS% Ac pH P-1 K-I Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-I Na ESP SS -I NO3-N 0.13 0.97 8.7 89 0.9 6.5 8 99 47 37 18 190 124 63 63 21 0.1 1 North Carolina Now" s F`urr 1.C.� rumisslo�r 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 )A&� 'ron, ),ivies : __ qne: ;1.73; - i Wet wwn _ �r:gi_ _ ono _— Mort l_Fl Dennis Williams Page 2 of 3 Sample ID: 00004 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1 - Fescue/OGrass/Tim, 1 0.3 120-200 110 90 0 0 0 0 $ 0 Note: 12 Note: 2- Test Results [units - WN in glcrif; CEC and Na in meq/100 cmR; NO3-N in mg/drrP]: Soil Class: Mineral HM% WN CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N 0.32 1.07 5.1 78 1.1 5.8 14 23 46 30 35 125 92 91 91 24 0.1 2 IA8d roni _ )ivi: ine: _j 73;.p INek vvvwr.g;_ ono — — , sort I FY 018 gt�n,�ru � Client: Ken Martin Advisor: EMA Resources, Inc. ?; Predictive 551 Bakers Cross Rd 755 Yadkinville Rd R RReidsville, NC 27320 Mocksville, NC 27028 Soil Re o ft Mehlich-3 Extraction N Sampled County :Rockingham Sampled: Received: 11/19/2014 Completed: 12/24/2014 Farm: RC-130 Links to Helpful Information Sample ID: 00001 Recommendations: Lime Nutrients (lb/acre) More Crop (tonslacre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1 - Fescue/OGrass/Tim, 1 0.0 120-200 0 90 0 0 pH$ 0 0 0 Note: 12 Note: 2- Test Results [units - WIV in g/cO; CEC and Na in meq/100 crrt3; NO3-N in mg/dO]: Soil Class: Mineral HM% WIV CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-1 Na ESP SS-1 NO3-N 0.27 1.18 7.7 93 0.5 6.6 157 23 82 10 34 291 182 71 71 66 0.1 1 North + arolina T'oi}.1 co Trusti used ..Commkswii 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 —)A8 "Iron Divi:one J)73i Wel �ww __,gr4 tuna_. Client: Kenneth Crowder Advisor: EMA Resources, Inc. `+r Predictive 351 Poppy Rd 755 Yadkinville Rd Madison, NC 27025 Mocksville, NC 27028 Soil i I ReporMehlich-3 Extraction Sampled County: Rockingham Sampled: Received: 11/19/2014 Completed: 12/24/2014 Farm: RC-131 Links to Helpful Information Sample ID: 00004 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P205 K20 Mg S Mn Zn Cu B Information Lime History: 1 - Fescue/OGrassfrim, 1 0.0 120-200 40 80 0 0 0 0 0 0 Note: 12 2- Test Results [units - W/V in glcrrti3; CEC and Na in meq/100 crrr3; NO3-N in mg/dd]: Soil Class: Mineral HM% WN CEC BS% Ac pH P-1 K-1 Ca% Mg% , S-1 Mn-I Mn-All Mn-AI2 Zn-1 Zn-AI Cu-I Na ESP SS-1 NO3-N 0.18 1.14 7.2 90 0.7 6.2 43 _ 31 77 11 39 109 79 53 53 62 0.1 1 .North Carolina Tobacco fruit ww CMD165s N1 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