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
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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�
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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
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STATFSVII�i,E,APIALYTICAL
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Address:
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Staiesvrlle
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EMA-Resources,.Jhc.
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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,
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141001-AZ07
Pbrcefit;Sblids
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SM254OB-1 997.
10102/2014
CL.
1.41.001-12-;08
W Day 136ftftca"46.
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%
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 �
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ANALYTI(A[;
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122Cc1urt.Street •.'P.p.Box ='
Siutesyille,
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(Jt?4) 872:.,"7
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i.00reip6sit6;sambilina'*2.
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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