WQ0002379_Residual Annual Report 2014_20150302

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February 26, 2015
NCDENR-Division of Water Quality
Aquifer Protection Section
Land Application Unit
1636 Mail Service Center
Raleigh, NC 27699-1636
RE: Annual Land Application of Residuals
Cliffside Sanitary District
Permit # WQ0002379
To Whom It May Concern:
Please find enclosed the original and (2) copies of all applicable forms for the Annual
Land Application Report for Cone Denim LLC Cliffside. No biosolids were land
applied in 2014.
Please give me a call if you have any questions or if additional information is needed at
[phone].
Sincerely,
Michael Gibert
ORC
cc: File
RECEIVEDIDENRIDINR
MAR -- 2 2015
Enclosures
Perini4#ing Section

ANNUAL LAND APPLICATION CERTIFICATION FORM
WQ Permit#: WQ0002379 County: Rutherford Year: 2014
Facility Name (as shown on permit):
Land Application Operator:
Cliffside Sanitary District NPDES NC0004405
Mike Gibert Phone: [phone]
Land application of residuals as allowed by the permit occurred during the past calendar year?
Yes 0 No - If No, skip Part A, and Part B and proceed to Part C. Also, If residuals were
generated but not land applied, please attach an explanation on how the residuals were handled.
Part A - Residuals Application Summary.
Total number of application fields in thepermit:
2
Total number of fields utilized for land application during the year:
0
Total amount of dry tons applied during the year for all application sites:
0
Total number of acres utilizes for land application during the year:
0
Part B - Annual Compiance Statement:
Facility was compliant during calendar year 2014 with all conditions of the land application permit
(including but not limited to items 1-13 below) issued by the Division of Water Quality. R1 Yes 0 No
If no please, provide a written description why the facility was not compliant, the dates, and explain corrective action
taken.
1) Only residuals approved for this permit were applied to the permitted sites.
2) Soil pH was adjusted as specified in the permit and lime was applied (if needed) to achieve a soil pH of at least 6.0 or
the limit specified in the permit.
3) Annual soils analysis were performed on each site receiving residuals during the past calendar year and three (3) copies
of laboratory results are attached.
4) Annual TCLP analysis (if required) was performed and three (3) copies of certified laboratory results are attached.
5) All other monitoring was performed in accordance with the permit and reported during the year as required and three (3)
copies of certified laboratory results are attached.
6) The facility did not exceed any of the Pollutant Concentration Limits in 15A NCAC 02T .l 105(a) or the Pollutant
Loading Rates in 15A NCAC 02T. I 105(b) (applicable to 40 CFR Part 503 regulated facilities).
7) All general requirements in as specified in the Land Application Permit were complied with (applicable to 40 CFR Part
503 regulated facilities).
8) All monitoring and reporting requirements in 15A NCAC 02T .1111 were complied with (applicable to 40 CFR Part
503 regulated facilities).
9) All operations and maintenance requirements in the permit were complied with or, in the case of a deviation, prior
authorization was received from the Division of Water Quality.
10) No contravention of Ground Water Quality Standards, occurred at a monitoring well or explanations of violations are
attached to include appropriate actions and remediations.
11) Vegetative cover was maintained and proper crop management was performed on each site receing residuals, as
specified in the permit.
12) No runoff of residuals from the application sites onto adjacent property or nearby surface waters has occurred.
13) All buffer requirements as specified on the permit were maintained during each application of residuals.
Part C - Certification:
"I certify, under penalty of law, that the above information is, to the best of my knowledge and belief, true, accurate,
and complete.. I am aware that there are significant penalties for submitting false information, including the
possibility of fines and imprisonment for knowing violations."
Barry Jones Chaiman of Board
Permittee Name and Title (type or print)
Signature of lyernWee Date
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) and 15A NCAC 02T .1102 (26) DENR FORM ACF (12/2006)

Residuals Handling in Calendar.Year 2014
Cliffside Sanitary District
Permit No. WQ0002379
No residuals from Cliffside Sanitary District WW plant permit (NC0004405)
in Cliffside, NC were land applied in 2014. No residuals were disposed of by
any other means. The facility has not retained any residuals within available
onsite storage tanks at the treatment facility location.
Michael Gibert
ORC Wastewater Treatment Plant