WQ0002672_Residual Annual Report 2014_20150213

ANNUAL LAND APPLICATION REPORT
2014
a
SUMMARY OF THE
LAND APPLICATION PROGRAM
FOR THE
TOWN OF MAYODAN
prepared by
United Water
Clemmons, North Carolina
[phone]

ANN UAL LAND APPLICATION (;ERFI1 ICA ION FORM
Permit#: WQ0002672 County: Rockingham Year: - 2014
Facility Name (as shown on permit): Town of Mayodan
Land Application Operator: Jamie Whitten Phone: [phone]
Land application of residual solids as allowed by the permit occurred during the past calendar year?
r p Yes, ® No If No, skip Part A, and Part B and proceed to the certification. Also, if residuals were
generated but not land applied, please attach an explanation on how the residuals were handled.
Part A:
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 Resources.0 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 and reported during the year as required
,md 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 Resources.
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."
fte_lnel Bre noV �wh
Permittee Name and Title (type or print)
Signature of Preparer* Date
(if different from Permittee)
* Preparer is defined in 40 CFR Part 503.9 (r)
Signature of Permittee Date
� I I- P- 15
S' nature of Land Applier
(if different from Permittee and Preparer)
Date
DENR FORM ACF (5/2003)

ANNUAL RESIDUAL SAl . ING 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:
WQ0002672
Laboratory., 1) Environment 1
Facility Name:
Town of Mayodan
2)
NPDES # or
NCO021873
3)
WQ#:
4)
WWTP Name:
Mayodan WWTP
5)
Residual Analysis Data
Sample or
Composite Date
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system
designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are
significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
Signature of Preparer
a ;s
Date
DENR FORM RSSF (5/2003)

ANNUAL RESIDUAL Si, LING 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: WQ000267.2
Facility Name: Town of Mayodan
NPDES # or NCO021873
WQ#c
,WWTP Name: Mayodan WWTP
Residual Analysis Data
Laboratory: 1) Environment 1
2)
3)
4)
5)
Sample- or
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system
designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are
significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
Signature of Preparer
///S
Date
DENR FORM RSSF-B (5/2003)

rnw,unf]Haw alp hcwpombel
a te�ater ID' L0
ffOx 7b_ , i4 'A'K_MONT DRIVE - - PHONE (252)"7566208 :
N.C. 2783s-70s F� 2� ass
�_. ti. _. t_5 )_
UNITED WATER (MAYODAN WWTP-SLUDGE)
NADINE BLACKWELL
P.O. BOX 1279
CLEMMONS ,NC 27012
PARAMETERS
PH, Units
Aluminum, (dry wt. basis), mg/kg
Arsenic (dry wt. basis), mg/kg
Calcium (dry wt. basis), mg/kg
Cadmium (dry wt. basis), mg/kg
Copper (dry wt. basis), mg/kg
�romium, T.(dry wt. basis),mg/kg
-�:id (dry weight basis), mg/kg
Magnesium (dry wt. basis), mg/kg
Mercury (dry wt. basis), mg/kg
Nickel (dry wt. basis), mg/kg
Potassium (dry wt. basis), mg/kg
Selenium (dry wt. basis), mg/kg
Sodium (dry wt. basis), mg/kg
Zinc (dry wt. basis), mg/kg
Sodium Adsorption Ratio
Total Solids, %
TKN (dry wt.), mg/kg
Ammonia Nitrogen (dry wt.),mg/kg
Phosphorus, T. (dry wt.), mg/kg
Nitrate -Nitrite (dry wt.), mg/kg
Plant Available Nitrogen, mg/kg
Molybdenum (dry wt. basis), mg/kg
Sludge Analysis Method
Sample Date Analyst Code
5.4
12/01/14
TRB
4500H13-00
11120
12/18/14
LFJ
EPA200.7
<2.5
12/11/14
MTM[
311313-04
12301
12/18/14
LFJ
EPA200.7
2
12/12/14
MTM
311313-04
582
12/18/14
LFJ
EPA200.7
22
12/18/14
LFJ
EPA200.7
50
12/10/14
MTM
311313-04
3094
12/18/14
LFJ
EPA200.7
1.6
12/19/14
MTM
245.1 R3-94
14
12/18/14
LFJ
EPA200.7
3574
12/18/14
LFJ
EPA200.7
< 5.0
12/08/14
MTM
311313-04
4941
12/10/14
MTM
3111B-99
931
12/11/14
MTM
3111B-99
0.33
12/22/14
LFJ
2.45
12/01/14
KKF
254OG-97
37714
12/04/14
AKS
351.2 R2-93
2692
12/02/14
KDB
350.1 R2-93
16047
12/04/14
KDB
365.4-74
484
12/03/14
BJC
353.2 R2-93
12337
12/04/14
SEJ
7
12/18/14
LFJ
EPA200.7
ID#: 990
DATE COLLECTED: 11/25/14
DATE REPORTED : 12/22/14
REVIEWED BY:
f�p

United Water
3364275733 p.1
CHAIN OF CUSTODY
Sample Location: 40� eS%E?e^0 , l
Sample Collection Date: I-.25-14
Sample Collection Time: �� 001.44<< ,
Person Collecting Sample Na
Temperature
Samples Sent to Laboratory for additional analyses? YfS NO
e-.,.Y,. --+,-
yraer
Attach copy of commercial laboratory Chain of Custody to this form

aceAnalytical
www..pacelabs.com
Laboratory Report
Jamie Whitten
United Water
PO Box 1279
Clemmons, NC 27012
Project: WWTesting 12/22/2014
Pace Project No.: 92230631
Pace Analytical Services, Inc.
205 East Meadow Road - Suite A
Eden, NC 27288
[phone]
Page 1 of 1
Report Date: 12/31/2014
Date Received: 12/22/2014
Sample: Effluent Lab ID: 92230631001 Collected: 12/22/14 08:00 Matrix: Water
Parameters Results Units Report Limit Analyzed Qualifiers
Fecal Coliforms 1.0 MPN/100mL 1.0 12/22/14 15:50 D6
Sample: Sludge sample Lab ID: 92230631002 Collected: 12/22/14 08:00 Matrix: Solid
Results reported on a "dry -weight" basis
Parameters Results Units Report Limit Analyzed Qualifiers
Total Solids 1.4 % 0.000010 12/24/14 12:26
Percent Moisture 98.6 % 0.10 12/24/14 17:14
ANALYTE QUALIFIERS
D6 The relative percent difference (RPD) between the sample and sample duplicate exceeded laboratory control limits.
Reviewed by: \—Aa �a
Terri Page
[e-mail]
Charlotte Certification IDs
9800 Kincey Ave. Ste 100, Huntersville, NC 28078
North Carolina Drinking Water Certification #: 37706
North Carolina Field Services Certification #: 5342
North Carolina Wastewater Certification #: 12
South Carolina Certification #: 99006001
Eden Certification IDS
205 East Meadow Road Suite A, Eden, NC 27288
North Carolina Drinking Water Certification #: 37738
Florida/NELAP Certification'#: E87627
Kentucky UST Certification #: 84
West Virginia Certification #: 357
virginia/VELAP Certification #: 460221
North Carolina Wastewater Certification #: 633
VirginiaNELAP Certification #: 460025
Page 1 of 3

r. Summit Environmental Technologies, Inc.
�. 3310 Win St.
ENVIRONMENTAL %EC'kiN rLQt,11=1S, l+atx Cuyahoga Falls, Ohio 44223
a�nlyteal Ln'"s3f�rdw TEL: [phone] FAX.- [phone]
Website: hgp.-1Avww.set1ek.com
December 12, 2014
Deedee Woolard
Environment 1, Inc.
114 Oakmont Dr
P.O. Box 7085
Greenville, NC 27858
TEL: [phone]
FAX: [phone]
RE: United Water
Dear Deedee Woolard:
Order No.: 14120087
Summit Environmental Technologies, Inc. received 1 sample(s) on 12/2/2014 for the analyses
presented in the following report.
There were no problems with the analytical events associated with this report unless noted in the
Case Narrative.
Quality control data is within laboratory defined or method specified acceptance limits except
where noted.
If you have any questions regarding these tests results, please feel free to call the laboratory.
Sincerely,
Dr. Mo Osman
Project Manager
3310 Win St.
Cuyahoga Falls, Ohio 44223
A21LA 0724.01, Alabama 41600, Arizona AZ0788, Arkansas 88-0735, California 07256CA, Colorado, Connecticut PH-0105, Delaware, Florida NELAC
E87688, Georgia E87688 and 943, Idaho OH00923, Illinois 200061 and Reg.5, Indiana C-OH-13, Kansas E-10347, Kentucky (Underground Storage Tank)
3, Kentucky 90146, Louisiana 04061 and LA12004, Maine 2012015, Maryland 339, Massachusetts M-OPH923, Minnesota 409711, Montana CERT0099,
New Hampshire 2996, New Jersey 011006, New York 11777, North Carolina 39705 and 631, Ohio Drinking Water 4170, Ohio VAP CL0052, Oklahoma
9940, Oregon OH2O0001, Pennsylvania 68-01335, Rhode Island LA000317, South Carolina 92016001, Tennessee TN04018, Texas T104704466-11-5,
Region 8 8TMS-L, USDA/APHIS P330-I I-00244, Utah OH009232011-1, Vermont VT-87688, Virginia 00440 and 1581, Washington C891, West
Virginia 248 and 9957C and E87688, Wisconsin 399013010
Page 1 of 6
Page 1 of 8

SuMMOT
Summit Environmental Technologies, Inc.
3310 Win St.
ENVl$$O #d?ARNTAL TAA,-PrjoLonjES, fNC Cuyahoga Falls, Ohio 44223
TEL: [phone] FAX: [phone]
Wehsite: httn✓/www.settek.com
Workorder
Sample Summary
WO#: 14120087
12 Dec-14
CLIENT: Environment 1, Inc.
Project: United Water
Lab SampleID Client Sample ID Tag No Date Collected Date Received Matrix
14120087-001 Sludge Sample 11/25/2014 8:00:00 AM 12/2/2014 9:45:00 AM Solid
Page 2 of 6
Page 2 of 8

w Summit Environmental Technologies, Inc. 3310 Win St. Case Narrative
UNV1R0tdPelCr TAL 5`ECH N0L0Cir$, ttvr,:. Cuyahoga Falls, Ohio 44223 WO#: 14120087
AnzltyUcal TEL: [phone] FAX- [phone]
Website: hap✓hvivw.settek.com Date: 12/12/2014
CLIENT: Environment 1, Inc.
Project: United Water
This report in its entirety consists of the documents listed below. All documents contain the Summit
Environmental Technologies, Inc. Work Order Number assigned to this report.
Paginated Report including: Cover Letter, Case Narrative, Analytical Results, Applicable Quality
Control Summary Reports and copies of the Chain of Custody Documents supplied with this sample
set.
Concentrations reported with a J-Flag in the Qualifier Field are values below the Limit of Quantitation
(LOQ) but greater than the established Method Detection Limit (MDL).
Method numbers, unless specified as SM (Standard Methods) or ASTM, are EPA methods.
Estimated uncertainty values are available upon request.
Any comments or problems with the analytical events associated with this report are noted below.
Original
Page 3 of 6
Page 3 of 8

r' 5
Summit Environmental Technologies, Inc.
3310
WO#:
14120087
Win St .
�etvt�tsrt#ai�7wy',tt1.3'c��AitiLO�iESt i{��o
Cuyahoga Falls, Ohio 49223
Date Reported:
p
12/12/2014
- AmgtyUral t .5or #a,,e TEL: [phone] FAX.- [phone]
Company:
Environment 1, Inc.
Website: hgp:/Avww.settek.com
Address:
114 Oakmont Dr
Greenville NC 27858
Received:
12/2/2014
Project#:
United Water
TCLP Metals Analysis (6010)
Client ID#
Lab ID# Collected Analyte
Rep Lint Result Units
Matrix
Method
DF
RegLvl
Run
Analyst
Sludge Sample
001
11/25/2014 TCLP Arsenic(As)
0.50
ND mg/L
Solid
EPA 6010 C_
1
5.0
12/4/2014
WK
Sludge Sample
001
11/25/2014 TCLP Barium(Ba)
5.0
ND mg/L
Solid
EPA 6010 C
1
100
12/4/2014
WK
Sludge Sample
001
11/25/2014 TCLP Cadmium(Cd)
0.10
ND mg/L
Solid
EPA 6010 C
1
1.0
12/4/2014
WK
Sludge Sample
001
11/25/2014 TCLP Chromium(Cr)
0.20
ND mg/L
Solid
EPA 6010 C
1
5.0
12/4/2014
WK
Sludge Sample
001
11/25/2014 TCLP Lead(Pb)
0.50
ND mg/L
Solid
EPA 6010 C
1
5.0
12/4/2014
WK
Sludge Sample
001
11/25/2014 TCLP Selenium(Se)
0.50
ND mg/L
Solid
EPA 6010 C
1
1.0
12/4/2014
WK
Sludge Sample
001
11/25/2014 TCLP Silver(Ag)
0.50
ND mg/L
Solid
EPA 6010 C
1
5.0
12/4/2014
WK
TCLP Mercury Analysis (1311/7470)
Client ID# Lab ID# Collected Analyte Rep Lmt Result Units Matrix Method DF RegLvl Run Analyst
Sludge Sample 001 11/25/2014 TCLP Mercury 0.0020 ND mg/L Solid EPA 7470 A 1 0.20 12/4/2014 AU
SVOC SW-846: 8081-TCLP Pesticides
Oient ID#
Lab ID# Collected Analyte
Rep Lint Result Units
Matrix
Method
DF
RegLvl
Run
Analyst
Sludge Sample
001
11/25/2014 Chlordane, total
0.010
ND mg/L
Solid
EPA 8081 B
1
0.030
12/9/2014
JBN
Sludge Sample
001
11/25/2014 Toxaphene
0.10
ND mg/L
Solid
EPA 8081 B
1
0.50
12/9/2014
JBN
Sludge Sample
001
11/25/2014 Endrin
0.0020
ND mg/L
Solid
EPA 8081 B
1
0.020
12/9/2014
JBN
Sludge Sample
001
11/25/2014 gamma-BHC
0.0020
ND mg/L
Solid
EPA 8081 B
1
0.40
12/9/2014
JBN
Sludge Sample
001
11/25/2014 Heptachlor
0.0020
ND mg/L
Solid
EPA 8081 B
1
0.0080
12/9/2014
JBN
Sludge Sample
001
11/25/2014 Heptachlor epoxide
0.0020
ND mg/L
Solid
EPA 8081 B
1
0.0080
12/9/2014
JBN
Sludge Sample
001
11/25/2014 Methoxychlor
0.0020
ND mg/L
Solid
EPA 8081 B
1
10
12/9/2014
JBN
SVOC SW-846: 8151 Herbicides-TCLP
Client ID#
Lab ID# Collected Analyte
Rep Lmt Result Units
Matrix
Method
DF
RegLvl
Run Analyst
Sludge Sample
001 11/25/2014 2,4-D
0.10 ND mg/L
Solid
EPA 8151 A
1
10
12/11/2014 JBN
Sludge Sample
001 11/25/2014 2,4,5-TP
0.10 ND mg/L
Solid
EPA 8151 A
1
1.0
12/11/2014 JBN

I
Summit Environmental Technologies, Inc.
», �` � � �r: `y - WO#: 14120087
°- 3310 Win St.
ENVI3#C>NMENTAL TFC1 NOLOa1,Ef ts�� Cuyahoga Falls, Ohio 44223 Date Reported: 12/12/2014
- imlyllt al Lar;cratorle , TEL: [phone] FAX.- [phone] Company: Environment 1, Inc.
Website: hUp://www.settek.com
Address: 114 Oalanont Dr
Greenville NC 27858
Received: 12/2/2014
Project#: United Water
VOC by GC/MS (8260)-TCLP
Client ID#
Lab ID# Collected Analyte
Rep Lmt Result Units
Matrix
Method
DF
RegLvl
Run
Analyst
Sludge Sample
001
11/25/2014 1,1-Dichloroethene
0.10
ND mg/L
Solid
EPA 8260 B
1
0.70
12/4/2014
MES
Sludge Sample
001
11/25/20141,2-Dichloroethane
0.10
ND mg/L
Solid
EPA 8260 B
1
0.50
12/4/2014
MES
Sludge Sample
001
11/25/2014 Benzene
0.10
ND mg/L
Solid
EPA 8260 B
1
0.50
12/4/2014
MES
Sludge Sample
001
11/25/2014 Carbon tetrachloride
0.10
ND mg/L
Solid
EPA 8260 B
1
0.50
12/4/2014
MES
Sludge Sample
001
11/25/2014 Chlorobenzene
0.10
ND mg/L
Solid
EPA 8260 B
1
100
12/4/2014
MES
Sludge Sample
001
11/25/2014 Chloroform
0.10
ND mg/L
Solid
EPA 8260 B
1
6.0
12/4/2014
MES
Sludge Sample
001
11/25/2014 Tetrachloroethene
0.10
ND mg/L
Solid
EPA 8260 B
1
0.70
12/4/2014
MES
Sludge Sample
001
11/25/2014 Trichloroethene
0.10
ND mg/L
Solid
EPA 8260 B
1
0.50
12/4/2014
MES
Sludge Sample
001
11/25/2014 Vinyl chloride
0.20
ND mg/L
Solid
EPA 8260 B
1
0.20
12/4/2014
MES
Sludge Sample
001
11/25/2014 MEK
2.0
ND mg/L
Solid
EPA 8260 B
1
200
12/4/2014
MES
SVOC 8270 TCLP BNA List
Client ID#
Lab ID# Collected Analyte
Rep Lmt Result Units
Matrix
Method
DF
RegLvl
Run
Analyst
lge Sample
001
11/25/20141,4-Dichlorobenzene
0.10
ND mg/L
Solid
EPA 8270 C
1
7.5
12/5/2014
AKE
�Sju ge Sample
001
11/25/2014 2,4,5-Trichlorophenol
0.25
ND mg/L
Solid
EPA 8270,C
1
400
12/5/2014
AKE
Sludge Sample
001
11/25/2614 2,4,6-Trichlorophenol
0.25
ND mg/L
Solid
EPA 8270 C
1
2.0
12/5/2014
AKE
Sludge Sample
001
11/25/2014 2,4-Dinitrotoluene
0.10
ND mg/L
Solid
EPA 8270 C
1
0.13
12/5/2014
AKE
Sludge Sample
001
11/25/2014 Cresols, Total
5.0
ND mg/L
Solid
EPA 8270 C
1
200
12/5/2014
AKE
Sludge Sample
001
11/25/2014 Hexachloro-1,3-
0.10
ND mg/L
Solid
EPA 8270 C
1
0.50
12/5/2014
AKE
butadiene
Sludge Sample
001
11/25/2014 Hexachlorobenzene
0.10
ND mg/L
Solid
EPA'8270 C
1
0.13
12/5/2014
AKE
Sludge Sample
001
' 11/25/2014 Hexachloroethane
0.10
ND mg/L
Solid
EPA 8270 C
1
3.0
12/5/2014
AKE
Sludge Sample
001
11/25/2014 Nitrobenzene
0.10
ND mg/L
Solid
EPA 8270 C
1
2.0
12/5/2014
AKE
Sludge Sample
001
11/25/2014 Pentachlorophenol
0.25
ND mg/L
Solid
EPA 8270 C
1
100
12/5/2014
AKE
Sludge Sample
001
11/25/2014 Pyridine
0.25
ND mg/L
Solid
EPA 8270 C
1
5.0
12/5/2014
AKE
P6ee5 d(B

'AllSummit
'
Environmental Technologies, Inc.
WO#:
14120087
3310 Win St.
d:(tAltaiE#Tx1Lt'¢LC?;=, t,
Cuyahoga Falls, Ohio 44223
Date Reported:
12/12/2014
Araly°Pfeil L�trrairles
TEL: [phone] FAX.• [phone]
Company:
Environment 1, Inc.
Websile: hgp://wivw.settek.com
Address:
114 Oakmont Dr
Greenville NC 27858
Received:
12/2/2014
Project#:
United Water
Client ID#
Lab ID# Collected Analyte
Result Units
Matrix
Method
DF
RL Run
Analyst
Sludge Sample
001
11/25/2014 Flashpoint (140°F)
>200 °F
Solid
EPA 1010
1
12/3/2014
TAH
Sludge Sample
001
11/25/2014 Cyanide, Reactive
ND ppm
Solid
EPA 9014
1
0.50 12/3/2014
TIR
Sludge Sample
001
11/25/2014 pH
5.3 s.u.
Solid
EPA 9045 D
1
12/3/2014
DHC
Sludge Sample
001
11/25/2014 Sulfide, Reactive
ND ppm
Solid
EPA 9034
1
25 12/3/2014
TIR
' �'t • - i O'i is

ANNUAL RESIDUAL S, iivfAING SUMMARY FORM
Please note that your permit may contain additional parameters to be analyzed. The parameters can be reported in FORM RSSF - B
WQ Permit Number: WQ00002672
Facility Name: Mayodan WTP
Residual Source WQ # or
NPDES #:
WQ00002672
WWTP Name: - Mayodan WTP
Residual Analysis Data
Laboratory: 1)
2)
3)
4)
5)
A&L Eastern Labs
Parameter
. I= =
GO -nC.
Sample or Composite Date
®---.---®
---
Molybdenum
Total Phosphorus
IIINitrate
and Nitrite
a For surface disposal facilities the ceiling concentration limits listed in this form are not applicable. Reference the individual permit for metals limits.
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed
to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant
penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
Signature of Preparer * Date
*Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26) DENR FORM RSSF (12/2006)

Analytical Results
Southern Soil Builders
958 Hoots Road
Roaring River NC 28669
Entered 7/23/2014
Reported: 7/29/2014
For: Mayodan WTP
Sample ID Parameter Cust ID Result Unit:
140723-27.1
% Solids 1
140723-27.1
Fecal Coliform MTF 1
!3-27.1
Geometric Mean 1
140723-27.2
% Solids 2
140723-27.2
Fecal Coliform MTF 2
140723-27.3
% Solids 3
140723-27.3
Fecal Coliform MTF 3
140723-27.4
% Solids 4
140723-27.4
Fecal Coliform MTF 4
140723-27.5
% Solids 5
140723-27.5
Fecal Coliform MTF 5
140723-27.6
% Solids 6
140723-27.6
Fecal Coliform MTF 6
140723-27.7
% Solids 7
140723-27.7
Fecal Coliform MTF 7
62.2
<3
<4
57.4
<3
60.5
<3
38A
<5
53.7
<4
58.5
<3
56.3
<4
MP
MP
MP
MP
Date
Method Analyzed Analyst
SM2540B-1997
SM9221 CE-2006
dry wt. basis
SM2540B-1997
SM9221 CE-2006
SM2540B-1997
SM9221 CE-2006
SM254OB-1997
SM9221 CE-2006
SM254013-1997
SM9221 CE-2006
:3M2540B-1997
SM9221 CE-2006
113M2540B-1997
�SM9221 CE-2006
07/24/14
HM
07/24/14
HM
7/29/14
CL
07/24/14
HM
07/24/14
HM
07/24/14
HM
07/24/14
HM
07/24/14
HM
07/24/14
HM
07/24/14
HM
07/24/14
HM
07/24/14
HM
07/24/14
HM
07/24/14
HM
07/24/14
HM
P.O. Box 228
Statesville, North Carolina 28687. 704/872/4697

Southern Soil Builders
$58 Hoots Road
Roaring River NC 28669
Entered 7/23/2014
>orted: 7/29/2014
For:
Sample ID Parameter Cust ID Result
Respectfully submitted,
Dena Myers
NC Cert #440,
NCDW Cert #37755,
EPA NCO0909
it Date
Un
Method Anal,
I
I
P.O. Box 228 •I Statesville, North Carolina 28687 • 704/8
Analyst

- .... aceAnalXical
www.pacelabs.com
t
ANALYTICAL RESULTS
Project: MAYODAN TCLP
Pace Project No.: 92208323
sample: A2 LAGOON
Lab ID: 9220832300
-Collected: 07/07/1
Results reported on a "dry -weight" basis
Parameters
Results Units
Report Limit
8081 GCS Pesticides, TCLP
Analytical Method: EPA 8081 Preparation Meti-
Leachate Method/Date: EPA 1311; 07/10/14 14
gamma-BHC (Lindane)
ND ug/L
0.50
Chlordane (Technical)
ND ug/L
3.0
Endrin
Heptachlor epoxide
NO ug/L
NO ug/L
0.50
Methoxychlor
NO ug/L
0.50
1000
Toxaphene
NO ug/L
3.0
Surrogates
Decachlorobiphenyl (S)
96 %
10-138
Tetrachloro-m-xylene (S)
72 %
10-110
6010 MET ICP, TCLP
Analytical Methods EPA 6
Arsenic
Barium
Cadmium
Chromium
Lead
Selenium
Silver
7470 Mercury, TCLP
Mercury
8270 MSSV TCLP Sep Funnel
1,4-Dichlorobenzene
2,4-Dinitrotoluene
Hexachloro-1,3-butadiene
Hexachlorobenzene
Hexachloroethane
2-Methylphenol(o-Cresol)
3&4-Methylphenol(m&p Cresol)
Nitrobenzene
Pentachlorophenol
Pyridine
2,4,5-Trichlorophenol
2,4,6-Trichlorophenol
Surrogates
Nitrobenzene-d5 (S)
2-Fluorobiphenyl (S)
Terphenyl-04 (S)
Phenol-d6 (S)
2-Fluorophenol(S)
2,4,6-Tribromophenol (S)
010 Preparation Mett
Leachate Method/Date: EPA 1311; 07/10/14 17
ND mg/L
0.050
0.40 rng/L
0.25
NO mg/L
0,0050
ND mg/L
0.025
NO mg/L
0.025
NO mg/L
0.10
ND mg/L
0.025
Analytical Method: EPA 7470 Preparation Meth
Leachate Method/Date: EPA 1311; 07/10/14 17:
ND ug/L
0.20
Analytical Method: EPA 8270
Preparation Meth
Leachate Method/Date: EPA 1311; 07/10/14 14:
NO ug/L
50.0
NO ug/L
50.0
ND ug/L
50.0
NO ug/L
50.0
NO ug/L
50.0
NO ug/L
50.0
ND ug/L
50.0
NO ug/L
50.0
NO ug/L
100
NO ug/L
50.0
ND ug/L
50.0
NO ug/L
50.0
Pace Analytical S rvlces, Inc,
205 East Meadow R ad • Suile A
Ede , NC 27288
(3 6)623.8921
15:30 Received: 07/08/14 14:55 Matrix: Solid
DF Prepared
EPA 3510
Analyzed CAS No, Qual
_i
1 07/16/14 08:26
07/16/14 17:21
58-89-9
1 07/16/14 08:26
07/16/14 17:21
57-74-9
1 07/16/14 08:26
07/16/14 17:21
72-20-8
1 07/16/14 08:26
07/16/14 17:21
1024-57-3
1 07/16/14 08:26
07/16/14 17:21
72-43-5
1 07/16/14 08:26
07/16/14 17:21
8001-35-2
1 07/16/14 08:26 07/16/14 17:21 2051-24-3
1 07/16/14 08:26 07/16/14 17:21 877-09-8
d: EPA 30-10
1 07/1111414:30
07/14/1414:05
7440-38-2
1 07111/1414:30
07/14/1414:05
7440-39-3
1 07/11/1414:30
07/14/1414:05
7440-43-9
1 07/11/1414:30
07/15/1413:18
7440-47-3
1 07/'11/1414:30
07/14/1414:05
7439-92-1
1 07/11/1414:30
07/14/1414:05
7782-49-2
1 07/11/1414:30
07/14/1414:05
7440-22-4
: EPA 7470
1 07/11/1415:10 07/14/1414:06 7439-97-6
: EPA 3510
1 07/11/14 08:49
07/11/14 16:04
106-46-7
1 07/11/14 08:49
07/11/14 16:04
121-14-2
1 07/11/14 08:49
07/11/14 16:04
87-68-3
1 07/1'1/14 08:49
07/11/14 16:04
118-74-1
1 07/1'1/14 08:49
07/11/14 16:04
67-72-1
1 07/11/14 08:49
07/11/14 16:04
95-48-7
1 07/11/14 08:49
07/11/14 16:04
1 07/11/14 08:49
07/11/14 16:04
98-95-3
1 07/11/14 08:49
07/11/14 16:04
87-86-5
1 07/11/14 08:49
07/11/14 16:04
110-86-1
1 07/11/14 08:49
07/11/14 16:04
95-95-4
1 07/11/14 08:49
07/11/14 16:04
88-06-2
67 %
12-102
n 07/11/14 08:49
07/11/14 16:04
4165-60-0
61 %
13-107
1 07/11/14 08:49
07/11/14 16:04
321-60-8
70 %
21-132
07/11/14 08:49
07/11/14 16:04
1718-51-0
21 %
10-110
07/11/14 08:49
07/11/14 16:04
13127-88-3
31 %
10-110
07/11/14 08:49
07/11/14 16:04
367-12-4
61 %
27-108
07/11/14 08:49
07/11/14 16:04
118-79-6
/ REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 07/17/2014 05:16 PM without the written consent of Pace Analytical Services, Inc..
Pagel
Iof16

/�Palce Analytical
I www.pacelabs.com
ANALYTICAL RESOLTS
Project: MAYODAN TCLP
Pace Project No.: 92208323
i
Pace Analytical Services, Inc.
205 East Meadow fjoad - Suite A
Eden, NC 27288
(1..36)623-8921
j
sample: ;;Z LAGOON
Lab ID: 92208323001
Collected: 07/07/
4 15:30
Received: 07/08/14 14:55 Matrix: Solid
Results reported on a "dryweight" basis
Parameters
Results Units
Report Limit
DF
_ Prepared Analyzed
CAS No. Qual
8260 MSV TCLP
Analytical Method: EPA 8260
Leachate MethoJ/Date:
EPA
1311; 07/10/14 10:22
Benzene
2-Butanone (MEK)
ND ug/L
ND u /L
9
192
38.5
07/11/14 05:09
71-43-2
Carbon tetrachloride
ND ug/L
385
38.5
07/11/14 05:09
78-93-3
Chlorobenzene
ND ug/L
192
38.5
07/11/14 05:09
56-23 5
Chloroform
ND ug/L
192
38.5
07/11/14 05:09
108-90-7
1,4-Dichlorobenzene
ND ug/L
192
38.5
07/11/14 05:09
67-66-3
1,2-Dichloroethane
ND ug/L
192
38.5
07/11/14 05:09
106-46-7
1,1-Dichloroethene
ND uglL
192
192!
38.5
07/11/14 05:09
107-06-2
Tetrachloroethene
ND ug/L
38.5
07/11/14 06:09
75-35-4
Trichloroethene
ND ug/L
192
38.5
07/11/14 05:09
127-18-4
Vinyl chloride
ND u /L
g
192
38.5
07/11/14 05:09
79-01-6
Surrogates
192
38.5
07/11/14 05:09
75-01-4
.1,2-Dichloroethane-d4 (S)
90 %
70-130
38.5
Toluene-d8 (S)
u
99 �0
67-135
38.5
07/11/14 05:09
17060-07-0 1g
4-Bromofluorobenzene (S)
93 %
07/11/14 05:09
2037-26-5
70-130
38.5
07/11/14 05:09
460-00-4
Date: 07/17/2014 05:16 PM
REPORT OF LABORATORY)A
This report shall not be reproduced, exc
without the written consent of Pace Analytical
VALYSIS
pt in full,
'ervices, Inc..
Page-5 of 16

Page: 1 of 2
Report Number: 14-205-0200
Account Number: 46381
Submitted By: ZACH KEY
Send To: SOUTHERN SOIL BUILDERS
DENNIS KEY
958 HOOTS ROAD
ROARING RIVER, NC 28669
Lab Number: 56663
Sample Id : MAYODAN WTP
Total Solids
Moisture *
Total Kjeldahl Nitrogen
Total Phosphorus
Total Potassium
Total Sulfur
-.. Total -Calcium--- ----
Total Magnesium
Total Sodium
Total Iron
Total Aluminum
Total Manganese
Total Copper
Total Zinc
Ammonia Nitrogen
Organic N
Nitrate+Nitrite-N
Total Cadmium
�L A&L Eastern Laboratories, Inc.
7621 Whitepine Road Richmond, Virginia 23237 [phone] Fax [phone]
www.aleastem.com
aleastem.com
Project: MAYODAN WTP
NC CERT#257
REPORT OF ANALYSIS
Date Sampled: 7/22/2014 11:00:00
Date Received: 07/24/2014 00:00
Date Reported: 07/31/2014
65.52
655200
100.0
JM
07124/201415:00
SM-2540G
34.48
100.0
JM
07/24/201415:00
SM-2540G
0.29
2900
10.0
JM
07/25/2014 09:24
SM-4500-NH3C-TKN
0.12
1190
100
KM.
07/25/2014 13:22
SW 601 OC
0.21
2090
100
KM
07/25/2014 13:22
SW 601 OC
0.20
2020
100
KM
07/25/2014 13:22
SW 601 OC
—0 6
--- 604
—-00-
KlFll--
07-)25/201-4-13:22—
SW-60-1-OC
- 0.30
2980
100
KM
07/25/2014 13:22
SW 601 OC
<0.01
<100
100
KM .
07/25/2014 13:22
SW 601 OC
48800
100
KM
07/25/2014 13:22
SW 601 OC
117000
100
KM
07/25/2014 13:22
SW 601 OC
602
5
KM
07/25/2014 13:22 '
SW 6010C
37
5
KM
07/25/2014 13:22
SW 601 OC
97
5,
KM
07/25/2014 13:22
SW 601 OC
0.01
137
10.0
JM
07/25/2014 09:24
SM-4500-NH3C
0.28
2763
10.0
07/25/2014 09:24
CALCULATION
35.0
2.00
JM
07/25/2014 09:25
SM-450ONO3F
<2.0
2.0
KM
07/25/2014 13:22
SW 601 OC
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 rpoorts a,7d terrors are for the exclusive and conriden ?ai :;sc of our clients. !'d may not be reproduced in whole or parr, nor i??ay any , ere; e.^ce �,e rude
to ehe wc, k' z'he resU/t S. Of the co,v?pary m any aJvertisa news &;ease, or other public a: u?ou;?ccmen<z: ,nthot+? obtar.?ing OUr Or?Or' v.ritreP au`hoazar.Or'.
Debbie Holt

Page: 2 of 2
Report Number: 14-205-0200
Account Number: 46381
Submitted By: ZACH KEY
Send To: SOUTHERN SOIL BUILDERS
DENNIS KEY
958 HOOTS ROAD
ROARING RIVER, NC 28669
AILA&L Eastern Laboratories, Inc.
7621 Whitepine Road Richmond, Virginia 23237 [phone] Fax [phone]
WWIN.aleastern.com
Project: MAYODAN WTP
NC CERT#257
REPORT OF ANALYSIS Date Sampled: 7/22/2014 11:00:00
Lab Number: 56663 Date Received: 07/24/2014 00:00
Sample Id: MAYODAN WTP Date Reported: 07/31/2014
i otai chromium
66
5
KM
07/25/2014 13:22
SW 6010C
Total Nickel
24
5
KM
07/25/2014 13:22
SW 6010C
Total Lead
18
5
KM
07/25/2014 13:22
SW 6010C
Total Arsenic
5.0
3.0
KM
07/25/2014 13:22
SW 6010C
Total Mercury
<0.4
0.4
KM
67/25/2014 09:00
SW-7471 B
Total Selenium
<5.0
5.0
KM
07/25/2014 13:22
SW 6010C
__._pH CStandard Units)
_ 5 97 - -- -- — -.... - - -
- — 200 - - ...
- - J M---- -....
---07/25/2014-09:24
SW--9045-D - -
Total Molybdenum
<5
5
KM
07/25/2014 13:22
SW 6010C
Comments:
SULFUR AND ORGANIC NITROGEN NOT FOR COMPLIANCE PURPOSES.
QUALIFIER: THE MATRIX SPIKE WAS OUT OF LIMITS FOR "Al", "Mo", AND "Se". THE MSD WAS OUT OF LIMITS FOR "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 let<er s are for the exclusive and confidential use of cur c?ienrs, and may no; be reproduced in vinole or pana , nor n-, any reference be n7ade
to -'he work. the results. or The company in any advertising, naves release. er vi er pubii anrouncernen;'s without obtaining eur prior rriiten author izabon.
Debbie Holt

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 #:
^---rator:
Used:
Town of Mayodan - Total Dry Tons Applied (Annual):
WQ0002672 Cation Exchange Capacity (non 503 only):
Jamie Whitten Owner: ' H Dumaine
24 Acres Permitted: 24 Site #:
158.6976
Field #: 32
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
posite
Date
Total
Phos-
phorus
•�.
•�
�� al Heavy Metal Field Loadings (Calculated in Ibs/acre):
1
2
L±j5
6
7
8
9
10
ftlj
12
__3j
'
y
r4
o
0.6364
5.976
Arsenic
0.0032
0.0598
0
0
0
0
0
0
0
0
0
0
0.0629
Cadmium
0.0025
.0.0239
0
0
0
0
0
0
0
0
0
0
0.0264
Chromium
0.028
0.4422
0
0
0
0
0
0
0
0
0
0
0.4702
Copper
0.7408
0.7888
0
0
0
0
0
0
0
0
0
0
1.5296
Lead
0.0636
0.2151
0
0
0
0
0
0
0
0
0
0
0.2788
Mercury
0.002
0.0048
0
0
0
0
0
0
0
0
0
0
0.0068
Molyb-
0.0089
0.0598
0
0
0
0
0
0
0
0
0
0
0.0687
denum
Nickel
0.0178
0.2868
0
0
0
0
0
0
0
0
0
0
0.3047
Selenium
0.0064
0.0598
0
0
0
0
0
0
0
0
0
0
0.0661
Zinc
1.185
1.1593
0
0
0
0
0
0
0
0
0
0
2.3443
Total
Phos-
20.425
14.223
0
0
0
0
0
0
0
0
0
0
34.648
horus
"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,
in' `.ng the possibility of fines and imprisonment for knowing violations"
Signature of Land Applier Date
x See bottom of FSF Form for helpful instructions for this MFLSF Form and the mathematically linked FSF Form
DENR FORM MFLSF (5/2003)

ANNUAL LAND APPLICATIOl'i jy1ELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH APPLICATION FIELD.
Facility Name:
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Town of Mayodan
Owner: H Dumaine
Site #: 008 Field #:
Permit #: WQ0002672
Operator: Jammie Whitten
32 Acres Utilized: 24
Annual Dry Tons Applied: 158.7133275
Cation Exchange Capacity (non 503):
Acres Permitted: 24
o �
0
� 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.
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.
TReport
Totals
in Gal.
Crop 1
Crop 2
4-2014
149500
6229.2
2.45
0.636402813
WWTP
dry
0
s
0.5
0.3
37714
2692
484
15.7021
#######
Corn
1
11-20141
52500
2187.5
65.52
5.9766525
WTP
dry
0
s
0.5
0.3
2900
137
35
11.1453
######4.
Corn
2
0
0
1 0
0• ..
3
0
0
0
0.
4
0
0
0
0
5
0
0
0
0
6
0
0
0
0
7
0
0
0
0
8
0
0
0
0
9
0
0
0
0
10
0
0
0
0
11
0
0
0
0
12
TOTALS:
84171:<.':'
As
Cd
Cr
Cu
Pb
H
Mo
Ni
Se
Zn
P
PAN 1
PAN 2
Lime A
lied
Annuallbs/acre
0.062942
0.02645
0.470231
1.5296
0.27878
0.00682
0.06867
0.30467
0.06612
2.34432
34.6475
26.8474
0
Date
lbs/ac
.:..:
Current Cumulative lbs/ac
0.133740938 10.16805 0.47023 4.20088 0.42038 0.01212 10.23839 10.44627 0.09444 5.89431 ;• ;>: `"'. °'-. .`.,: - : ; °
0.070798938 0.1416 0 2.67128 0.1416 0.0053 10.169721 0.1416 0.02832 3.54999�
36 34 NA 1338 267 15 NA 374 89 2498
" " ^:.'. 200
lra0iti
0000
Prior Years Cumulative lbs/ac
Permitted C. P. L. R.***
Permit PAN Limit lst/2nd Cro 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."
Signature of Land Applier
Date
*Application Method: S - Surface, IN - Injection, INC -Incorporation
**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)

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 #:
e-- ator:
Used:
Town of Mayodan Total Dry Tons Applied (Annual):
WQ0002672 . Cation Exchange Capacity (non 503 only):
Jamie Whitten Owner: H Dumame
15 Acres Permitted:
15 Site #:
110.235
Field #: 33
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
Total
Phos-
phorus
A; - 4 Vd Heavy Metal Field Loadings (Calculated in lbs/acre):
71
2
3
4
5
6
7
8
9
10
11
12
�y�
o
o H
o
0.974
6.375
Arsenic
0.0049
0.0638
0
0
0
0
0
0
0
0
0
0
0.0686
Cadmium
0.0039
0.0255
0
0
0
0
0
0
0
0
0
0
0.0294
Chromiurr.
0.0429
0.4718
0
0
0
0
0
0
0
0
0
0
0.5146
Copper
1.1337
0.8415
0
0
0
0.
0
0
0
0
0
0
1.9752
Lead
0.0974
0.2295
0
0
0
0
0
0
0
0
0
0
0.3269
Mercury
0.0031
0.0051
0
0
0
0
0
0
0
0
0
0
0.0082
Molyb-
0.0136
0.0638
0
0
0
0
0
0
0
0
0
0
0.0774
denum
Nickel
0.0273
0.306
0
0
0
0
0
0
0
0
0
0
0.3333
Selenium
0.0097
0.0638
0
0
0
0
0
0
0
0
0
0
0.0735
Zinc
1.8136
1.2368
0
0,
0
0
0
0
0
0
0
0
3.0503
Total
Phos-
31.26
15.173
0
0
0
0
0
'0
0
0
0
0
46.432
horus
"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,
inr' `ig the possibility of fines and imprisonment for knowing violations"
Signature of Land Applier Date
* See bottom of FSF Form for helpful instructions for this MFLSF Form and the mathematically linked FSF Form
DENR FORM MFLSF (5/2003)

ANNUAL LAND APPLICATIOk � ; GELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH APPLICATION FIELD.
Facility Name:
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Town of Mayodan
Owner: H Dumaine
Site #: 008 Field #:
Annual Dry Tons Applied: 110.236035
Operator: Jammie Whitten Cation Exchange Capacity (non 503):
33 Acres Utilized: 15
Permit #: WQ0002672
Acres Permitted: 15
o
o
A
Specify
Totals
Per
Acre
%
Solid
s
Dry Tons Per
Acre
Residual
Sources
(Summarize)
1 e
Cond.
Dry,
Wet,
Molqt.
Inches
Precip.
Past 24
Hrs.
A li
pp
cation
Meth-
od*
Vola-
tili-
nation
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
4 Totals
in Gal.
Crop 1
Crop 2
4-2014
143000
9533.3
2.45
0.973973
WWTP
dry
0
s
0.5
0.3
37714
2692
484
24.031
#######
Corn
1
11-2014
35000
2333.3
65.52
6.375096
WTP
dry
0
s
0.5
0.3
2900
137
35
11.8883
#######
Corn
2
0
0
0
0
3
0
0
0
0-
4
0
0
1 0
0
5
0
0
1 0
0
6
0
0
0
0
7
0
0
0
0
8
0
0
0
0
9
0
0
0
0
10
0
0
0
0
11
0
0
0 ..
0
12
TOTALS:
11867
`,::;:. `
As
- Cd
Cr
Cu
Pb
Hg
Mo
-Ni
Se
Zri
P
PAN 1
PAN 2
Lime A
lied
Annuallbs/acre
0.06862
0.0294
0.51461
1.97524
0.3269
10.00822
0.07739
0.33327
0.07349
3.05034
46.4321
35.9193
0
Date
lbs/ac
Current Cumulative lbs/ac
0.156130552 0.107 0.51461 4.77409 0.51291 0.01397 0.30922 0.50829 0.14097 8.3693
0.087510552 0.0776 0. 2.79885 0.18601 0.00575 0.23183 0.17502 0.06748 5:34896�;��°;:..;��
36 34 NA 1338 267 15 NA 374 89 2498
7--77777 r. .s .
200
Prior Years -Cumulative lbs/ac
Permitted C. P. L. R.
t
Perms 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."
,E 17Y4
Sigffature of Land Applier
i -a"-Is
Date
*Application Method: S - Surface,IN - Injection, INC - Incorporation
**Volatilization Rate:.Surface - 0.5. Iniection/Ificorporation - 1.0
* * * C.P.L.R.: Cumulative Pollutant Loadins 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: Town of Mayodan Total Dry Tons Applied (Annual):
Permit #: WQ0002672 Cation Exchange Capacity (non 503 only):
,7perator: Jamie Whitten Owner:
Acres Used: 46 Acres Permitted: 46 Site #: 001 Field #:
H. Dumaine
21.9143925
30
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
Phos-
phorusTotal
.��
annual Heavy Metal Field Loadings (Calculated in lbs/acre):
0
1
2
3
4
5
6
7
8
9
10
11
12
CD
0.4764
0
0
0
1 0
0
-Arsenic'
0.0024
0
0
0
0
0
0
0
0
0
0
0
0.0024
Cadmium
0.0019
0
0
0
0
0
0
0
0
0
0
0
0.0019
Chromiunj
0.021
0
0
0
0
0
0
0
0
0
0
0
0.021
Copper
0.5545
0
0
0
0
0
0
0
0
0
0
0
0.5545
Lead
0.0476
0
0
0
0
0
0
0
0
0
0
0
0.0476
Mercury
0.0015
0
0
0
0
0
0
0
0
0
0
0
0.0015
Molyb-
denum
0.0067
0
0
0
0
0
0
0
0
0
0
0
0.0067
Nickel
0.0133
0
0
0
0
0
0
0
0
0
0
0
0.0133
Selenium
0.0048
0
0
0
0
0
0
0
0
0
0
0
0.0048
Zinc
0.8871
0
0
0
0
0
0
0 1
0
0
0
0
0.8871
Total
Phos-
15.29
0
0
0
0
0
0
0
0
0
0
0
15.29
horus,
J. cerury, unaer penalty of iaw, 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,
Iuding the possibility of fines and imprisonment for knowing violations"
Signature of Lan Appher Date
* See bottom of FSF Form for helpful instructions for this MFLSF Form and the mathematically linked FSF Form
DENR FORM MFLSF (5/2003)

ANNUAL LAND APPLICATION,, -tLD 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: Town of Mayodan
Owner: Dumaine Trust Operator:
Site #: 001
Permit #: WQ0002672 Annual Dry Tons Applied: 21.9143925
Jamie Whitten Cation Exchange Capacity (non 503):
Field #: 30 Acres Utilized: 46
Acres Permitted: 46
c
N s�
� o
A
s eci
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*
Voli-
tila-
zation
Rate* *
Miner-
ala-
zation
Rate
TKN
Ammo
nia-
Ni-
trogen
Ni-
Irate
and
Nitrite
PAN 1
PAN 2
Must Select
Crop 1 or Crop
p p
2
G�
Cu.Yd.
TReport
Totals
Gal
Crop 1
Crop 2
4/20141
214500
4663
2.45
0.476399837
Mayodan WWTP
Dry
0
S
0.5
0.3
37714
2692
484
11.7543
#######
Corn
1
0
0
0
0
2
0
0
0
0
3
0
0
0
0
4
0
0
0
0
5
0
0
0
0
6
0
0
0
0
7
0
0
0
0
8
0
0
0
0
9
0
0
0
0
1
10
0
0
0
0
11
0
0
0
0
12
TOTALS:
4663
:,. °._
As
Cd
Cr
Cu
Pb
Hg
Mo
Ni
Se
Zn
P
PAN 1
PAN 2
Lime A
lied
Annuallbs/acre
0.002381999
0.00191
0.02096
0.55453
0.04764
0.00152
0.00667
0.01334
0.00476
0.88706
15.2896
11.7543
0
Date
lbs/ac
Current Cumulative lbs/ac
0.129894535 10.07141 0.02096 7.59263 2.4768 10.0041910.52939 0.44536 0.11884 11.7772
0.127512535 0.06951 0 7.0381 2.429 160.00267 0.52272 0.43203 0.11408 10.8902 =, _
36 34 1338 267 15 ----1 374 89 1 2498
200
Prior Years Cumulative lbs/ac
Permitted C. P. L. R.***
Limit 2n o
Permit PAN L t 1st/ d Cr
"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."
/ 7� ��-
Signatur of Land Applier
1- a-7- ►v
Date
*Application Method: S - Surface, IN - Injection, INC - Incorporation
**Volitilization Rate: Surface - 0.5, Iniection/Incorvoration - 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)

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 #:
7perator:
Acres Used:
Town of Mayodan Total Dry Tons Applied (Annual): 13.28145
WQ0002672 Cation Exchange Capacity (non 503 only):
Jamie Whitten Owner:
29 Acres Permitted: 29 Site #: 001
H. Dumaine
Field #: 29
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
©
[�.
Em
113
,,nnual Heavy Metal Field Loadings (Calculated in lbs/acre):
' K o
1
2
3
4
5
6
7
8
9
10
11
2
H
o
0.458
0
0
0
0
0
Arsenic
0.0023
0
0
0
0
0
0
0
0
0
0
0
0.0023
Cadmium
0.0018
0
0
0
0
0
0
0
0
0
0
0
0.0018
Chromiurr
0.0202
0
0
0
0
0
0
0
0
0
0
0
0.0202
Copper
0.5331
0
1 0
0
0
0
0
0
—0
0
0
0
0.5331
Lead
0.0458
0
0
0
0
0
0
0
0
0
0
0
0.0458
Mercury
0.0015
0
0
0
0
0
0
0
0
0
0
0
0.0015
Molyb-
0.0064
0
0
0
0
0
0
0
0
0
0
0
0.0064
denum
Nickel
0.0128
0
0
0
0
0
0
0
0
0
0
0
0.0128
Selenium
0.0046
0
0
0
0
0
0
0
0
0
0
0
0.0046
Zinc
0.8528
0
0
0
0
0
0
0
0
0
0
0
0.8528
Total
Phos-
14.698,
0
0
0
0
0
0
0
0
0
0
0
14.698
horus
"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,
"Juding the possibility of fines and imprisonment for knowing violations"
Signature of Land Applier Date
* See bottom of FSF Form for helpful instructions for this MFLSF Form and the mathematically linked FSF Form
DENR FORM MFLSF (5/2003)

ANNUAL LAND APPLICATIa'4, ELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH APPLICATION FIELD.
Facility Name:
Owner:
Site #: 001
H. Dumaine
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Town of Mayodan
Field #:
Permit #: WQ0002672
Operator: Jamie Whitten
29 Acres Utilized: 29
Annual Dry Tons Applied: 13.28145
Cation Exchange Capacity (non 503):
Acres Permitted: 29
o
oEReportPer
A
Specify
Totals
Acre
%
Solid
s
Dry Tons Per
Acre
Residual
Sources
(Summarize)
1 e
Cond.
Dry,
Wet,
Inches
Precip.
Past 24
Hrs.
A li
pp
cation
Meth-
od*
Voli-
tila-
zation-
Rate**
Miner-
ala-
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.
CuNd.
Crop 1
Crop 2
4/2
130000
4482.8
2.45
0.457981034
Mayodan WWTP
Dry
0
S
0.5
0.3
37714
2692
484
11.2999
#######
Corn
1
0
0
0
0
2
0
0
0
0
3
0
0
0
0
4
0
0
0
0
5
0
0
0
0
6
0
0
0
0
7
0
0
1 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:
4483
As
Cd
Cr
Cu
Pb
Hg
Mo
Ni
Se
Zn
P
PAN 1
PAN 2
Lime A
lied
r'
k
Annuallbs/acre
0.002289905
0.00183
0.02015
0.53309
0.0458
0.00147
0.00641
0.01282
0.00458
0.85276
14.6984
11.2999
0
Date
lbs/ac
,< V
Current Cumulative lbs/ac
0.137452626 0.12452 1.20915 8.88801 1.40146 0.0117 0.42657 0.56445 0.16224 16.0683
0.135162721 0.12269� 1.189 8.35492 1.35567 0.01024 0.42016 0.55163 0.15766 15.2155
36 34 1338 267 15 ---- 374 89 2498t
200
ll-aviq
auob
" -;
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."
i�A
Signature of Land Applier
Date
*Application Method: S - Surface, IN - Injection, INC - Incorporation
**Volitilization Rate: Surface - 0.5, Iniection/Incorvoration -1.0
***.C.P.L.R.: Cumulative Pollutant Loadina 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 #:
r,)perator:
Acres Used:
Town of Mayodan Total Dry Tons Applied (Annual): 9.9610875
WQ0002672 Cation Exchange Capacity (non 503 only):
Jamie Whitten Owner: H. Dumaine
16 Acres Permitted:
16
Site #: 001 Field #: 31
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
10
b
M
a
G
M
in
in
.
Phos-
orus
•Anual Heavy Metal Field Loadings (Calculated in lbs/acre):
0
1
2
3
4
5
6
7'
81
9
10
11
12
tri cs C
is
y
4
o
0.6226
0
0
0
1 0
0
Arsenic
0.0031
0
0
0
0
0
R
0
0
0
0
0
0.0031
Cadmium
0.0025
0
0
0
0
0
0
0
0
0
0
0
0.0025
Chromiurr
0.0274
0
0
0
0
0
0
0
0
0
0
0
0.0274
Copper
0.7247
0
0
0
0
0
0
0
0
0
0
0
0.7247
Lead
0.0623
0
0
0
0
0
0
0,
0
0
0
0
0.0623
Mercury
0.002
0
0
0
0
0
0
0
0
0
0
0
0.002
Molyb-
0.0087
0
0
0
0
0
0
0
0
0
0
0
0.0087
denum
Nickel
0.0174
0
0
0
0
0
0
0
0
0
1 0
0
0.0174
Selenium
0.0062
0
0
0
0
0
0
0
0
0
0
0
0.0062
Zinc
1.1592
0
0
0
0
0
0
0
0
0
0
0
1.1592
Lhs
19.981
0
0
0
0
0
0
0
0
0
0
0
19.981
"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,
?huding the possibility of fines and imprisonment for knowing violations"
���". ��/ V 7- t �
Signature of Land Applier Date
* See bottom of FSF Form for helpful instructions for this MFLSF Form and the mathematically linked FSF Form
DENR FORM MFLSF (5/2003)

ANNUAL LAND APPLICATI6.,_,tELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH APPLICATION FIELD.
Facility Name:
Owner:
Site #: 001
H. Dumaine
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Town of Mayodan
Field #:
Operator:
31
Permit #: WQ0002672
Jamie Whitten
Acres Utilized: 16
Annual Dry Tons Applied: 9.9610875
Cation Exchange Capacity (non 503):
Acres Permitted: - 16
�.
o
o
o
A
S eci
Totals
Per
Acre
%
Solid
s
Dry Tons Per
Acre
I
Residual
Sources
(Summarize) '
1 e
Cond.
Dry,
Wet,
Moist
Inches
Precip.
Past 24
Hrs.
Appli-
cation
Meth-
od*
Voli-
tila-
zation
Rate**
Miner-
ala-
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
Totals
in Gal.
Crop 1
Crop 2
4/2014
97500
6093.8
2.45
0.622567969
Mayodan WWTP
Dry
0
S
0.5
0.3
37714
2692
484
15.3607
#######
Corn
1
0
0
0
0
2
0
0
0
0
3
0
0
0
0
4
0
0
0
0
5
0
0
0
0
6
0
0
0
0
7
0
0
0
0
8
0
0
0
0
9
0
0
0
0
10
0
0
0
0
11
0
0
0
0
12
TOTALS:
6094
As
Cd
Cr
Cu
Pb
Hg
I Mo
Ni
Se I
Zn
P I
PAN 1
PAN 2
Lime A
lied
Annuallbs/acre
0.00311284
0.00249
0.02739
0.72467
0.06226
0.00199
0.00872
0.01743
0.00623
1.15922
19.98071
15.3607
0
Date
lbs/ac
Current Cumulative lbs/ac
0.018059919 0.0057 0.04639 1.72673 0.36152 0.00215 0.03996 0.06183 0.02087 3.22363
0.014947079 0.00321 0.019 1.00206 0.29926 0.00016 0.03125 0.04439 0.01465 2.06441
36 34 1338 267 15 ---- 374 89 2498
Prior Years Cumulative lbs/ac
Permitted C. P. L. R.***
Prmi 2Crop
e t PAN Limit 1st/ nd
"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."
5&< r //
Signature of Land Applier
I-J-1-(y-
Date
*Application Method: S - Surface, IN - Injection, INC - Incorporation
**Volitilization 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 PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM
Facility Name: Town of Mayodan Permit Number: WQ0002672
VVWTP Name: Town of Mayodan WWTP NPDES Number: NCO021873
Monitoring Period: From 1/1/2014 To 12/31/2014
"'athogen Reduction (40 CFR 503.32) - Please indicate level achieved and alternative performed:
Class A:
Alternative 1®
Alternative 2 ®
Alternative 3 ®,
Alternative 40
Alterative 5 ®
Alternative 6 0
-�
If applicable to alternative performed (Class A only) indicate "Process to Further Reduce Pathogens":
Compost 131
Heat Drying ®
Heat Treatment ®
Thermophilic E]
`ter
Beta e Ra Y ®
G Ray
aroma
ast 'z
P eun ation
Class B:
Alternative 121
Alterative 2 ®
Alterative 3 ®_'_''�
If applicable to alternative performed (Class B only) indicate "Process to Significantly Reduce Pathogens":
Lime Stabilization ®
Air Drying ®
CompostingCoMposting ®
jAerobic Digestion 21
Anaerobic
eo bic Di estion
If applicable to alternative performed (Class A or Class B) complete the follow, monitoring
data:
Pathogen Density
Number o
Frequency
Sample
Analytical
Parameter
Level in
Excee-
of
Tech-
Geo. Mean
Maximuir
Units
dcrices
Type
niaue
2 x 10 to the 6th
power NTN per
6725
9763
22333
#/gram
0
7
G
9221 E
gram of total
solids or 2 x 10 to
Fecal Coliform
the 6th power
CFU per gram, of
1000 mpn per
gram of total solid
(dry weight)
salmonella bacteria
3 NTN per 4
(in lieu of fecal
grams total solid
coliform)
(dry Weight)
Vector Attraction Reduction (40 CFR 503.33) - Please indicate option performed:
(Option 1 C3
Option 2 ®
Option 3 ®
Option 4
R1
Option 5
Option 6 ®
Option 7 ®
Option 8 ®
Option 9
®
Option 10
13
No vector attraction reduction options were performed
®
CERTIFICATION STATEMENT (please check the appropriate statement)
R1 "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."
® "1 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."
:;parer Name and Title (type or print) v Land Applier Wdme and Title (if applicable)(type or print)
Signature of Preparer Date Signature of rand Applier (if applicable) Date
DENR FORM RF (5/2003)

"=ACILITY NAME:
QUARTER SAMPLING
ANNUAL SAMPLING
Town of Mayodan
YES
WORKSHEET FOR SLUDGE SAMPLING
Total Gallons Hauled 734500
Total Dry Tons 75.03 68.0522
Total Acres Applied 130
SAMPLE
DATE
VS in
VS out
i
-------------
------------
-------------
-------------
-------------
-------------
-------------
-------------
-------------
M

Specific Oxygen Uptake Rate
SOUR
Time
(minutes)
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Facility Name: Town of Ma odan
Biosolids Permit Number: WO0002672
Date: 12/31/2014
Digester Temperature: 20
Sampling Date/Time: 12/31/14 / 1:45
Sampled By: Jamie Whitten
Analysis Date/Time: 12/31/14 / 1:57
Analyzed By: Jamie Whitten
Sample Volume: milliliters
Total Solids: 1.4 % Dry Solids
Beginning Temperature: 20 degrees Celsius
End Temperature: 20 degrees Celsius
Dissolved Oxygen Level
E:11�';
8.43
39YA
8.24
-]K
M
M
W
r&sL!
rM
W-1v
FAI-11
7.8
Slope:
Intercept:
Correlation Coefficient:
Oxygen Uptake Rate:
Ambient Specific Oxygen Uptake Rate:
Average Temperature:
Temperature Correction Factor:
0.1
8.8
0.8
5.15 mg Oxygen/L/Hr
0.368 mg Oxygen/hr/g
20 degrees Celsius
1
Temperature Corrected Specific Oxygen Uptake Rate:1 0.370 mg Oxygen/hr/g
Instructions: Enter Data in the Blue Boxes. The Calculation and the Spreadsheet execute automatically.

12
10
FA
Oxygen Uptake Rate Chart
Y;
-0a085
x + 8.92
3x
.
e4
•R
a
+
sx '
7�a
1 2 3 4 5 6 7 8 9 10 11 12 13
Time (minutes)
14 15 16
Sample Location: Mayodan Digester
Sample Date: 12/31/14
Sample Time: 1:45 PM
Analysis Date: 12/31/14
Analysis Time: 1:57 PM

ElMommiN Flo lumpombd
Wa8£ema ter
I. BOX 7085, 114 OAKMONT DRIVE - _ - - - - PHONE [phone]
_-- _EENVILLE, N.C., 27835-7085 FAX [phone]
ID#: 990 B
UNITED WATER (MAYODAN WWTP-SLUDGE)
NADINE BLACKWELL
P.O. BOX 1279 DATE COLLECTED: 12/10/14
CLEMMONS ,NC 27012 DATE REPORTED : 12/15/14
PARAMETERS
Total Residue, mg/l
Fecal Coliform (MPN), /gram Solids
REVIEWED BY:
Sample
Sample Sample
Sample Sample Analysis
Method
#1
#2 #3
#4 #5 Date Analyst
Code
24180
25280 25040
25080 20040 12/11/14 LW
2540B-97
22333
6725 13978
9569 6487 12/11/14 LW
9221E-06
4;6
®.r

Emwokamu(PIW % kwup umbd
t+ia§tawat'erSD 10`
BOX 7085, 114 OAKMONT DRIVE 4' - _- - PHONE [phone].
,,...EENVILLE,- N.C. 27835-7085 FAX [phone]
UNITED WATER (MAYODAN WWTP-SLUDGE)
NADINE BLACKWELL
P.O. BOX 1279
CLEMMONS ,NC 27012
ID#: 990 B
DATE COLLECTED: 12/10/14
DATE REPORTED : 12/15/14
REVIEWED BY:
Sample Sample Analysis Method
PARAMETERS #6 #7 Date Analyst Code
Total Residue, mg/l 21160 23440 12/11/14 LW 2540B-97
Fecal Coliform (MPN), /gram Solids 6616 9806 12/11/14 LW 9221E-06
.10

ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (02T Rules)
Facility Name: Town of Mayodan WQ Permit Number:
WWTP Name: Mayodan WTP NPDES Number:
WQ0002672
Monitoring Period:
From 1/1/2014 To 12/31/2014
-pathogen Reduction (15A NCAC 02T .1106) - Please indicate level achieved and alternative performed:
Class A:
Alt. A (time/temp) ® 7Alt
B (Alk Treatment) ®
Alt. C (Prior Testing)
A1t.D (No Prior Test) ®
Process to Further Reduce Pathogengs
If applicable to alternative
performed (Class A only) indicate "Process to Further Reduce Pathogens":
Compost ®
Heat Drying ®
Heat Treatment ®
Thermophilic
Beta Ray ®
Gamma Ray ®
Pasteurization
Class B:
Alt. (1) Fecal Density M1
Alt. (2) Process to Significantly Reduce Pathogens El
If applicable to alternative
performed (Class
B only) indicate "Process to Significantly Reduce Pathogens":
Lime Stabilization . ®
Air Drying ®
1 Composting EJ
Aerobic Digestion
Anaerobic bic Digestion
If applicable to alternative performed (Class A or Class B) complete the following
monitoring
data:
Parameter
Allowable Level
in Sludge
Pathogen Density
Number or
Excee-
dences
Frequency
of Analysis
, Sample
Type
a y ica
Tech -
ni ue
Minimum
Geo. Mean
Maximum,
Units
Fecal Coliform
2 x 10 to the
6th power
per gram of
total solids
MPN
cFu
1000 mpn per gram
of total solid (dry
weight)
3
4
5
MPN/g
0
7
grab
sm9221 c
Salmonella bacteria
(in lieu of fecal
coliform)
3 MPN per 4 grams
total solid (dry�,
wei t
:'xtor Attraction Reduction (15A NCAC 02T .1107) -Please indicate alternative performed:
Alt.l (VS reduction) ®
Alt. 2 (40-day bench) ®
Alt. 3 (30-daybench) ®
Alt. 4 (Spec. 02 uptake) 13
Alt. 5 (14-Day Aerobic) ®
Alt. 6 (Alk. Stabilization ®
Alt 7 (Drying - Stable) ® I
Alt. 8 (Drying - Unstable)
Alt. 9 (Injection) ®
Alt. 10 (Incorporation) ®.
No vector attraction reduction alternatives were performed
CERTIFICATION STATEMENT (please check the appropriate statement)
211" "I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the
vector attraction reduction requirement in 15A NCAC 02T .1107 have been met."
® "I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the
vector attraction reduction requirement in 15A NCAC 02T .1107 have not been met." (Please note
if you check this statement attach an explanation why you have not met one or both of the
requirements.)
"This determination has been made under my direction and supervision in accordance with, the system
designed to ensure that qualified personnel properly gather and evaluate the information used to determine
that the pathogen and vector attraction reduction requirements have been met. I am aware that there are
significant penalties for false certification including fine and imprisonment."
Preparer Name and Title (type or print) Land Applier Aame and Title (if applicable)(type or print)
( nature of Preparer* Date Signature of L d Applier (if applicable) Date
*Prepares is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26)
DENR FORM PVRF 02T (1212006)

r
NCDA&I ;ronomic Division Phone: [phone]
Website: w
agr.gov/agronomi/
Report No.
i-SL014691
Client:
Southern Soil Builders, Inc.
958 Hoots Rd
Advisor:
Predictive
Roaring River, NC 28669
Soil Report
�
Mehlich-3 Extraction
Sampled County :Rockingham
�N1FilU- f
Sampled: Received:
11/07/2014
Completed: 11/26/2014
Farm:
Links to Helpful Information
Sample ID: 00129
Recommendations:
Lime
Nutrients (lb/acre)
More
Crop
(tons/acre)
N P20S
K20
Mg S Mn
Zn
Cu B
Information
Lime History:
1 -Corn, silage
1.0
180-220 0
60
0 0 0
0
0 0
Note: 3
2-
Test Results [units - WN In g/cO; CEC and Na In meg1100 cO; NO3-N in mgldrr�]:
Soil Class: Mineral
HM% WN CEC BS% Ac pH
P-1 K-1
Ca% Mg%
S-I
Mn-I
Mn-All Mn-AI2 Zn-I
Zn-AI
Cu-I Na ESP SS-1 NO3-N
0.32 1.11 7.8 76 1.8 5.3
83 68
48 24
44
191
132 69
69
125 0.1
1
Sample ID: 00130
Recommendations:
Lime
Nutrients (lb/acre)
More
Crop
(tons/acre)
N P206
K20
Mg S Mn
Zn
Cu B
Information
Lime History:
1 -Corn, silage
0.0
180-220 40
70
0 0 0
0
0 0
Note: 3
2-
Test Results [units - W/V In glcO; CEC and Na In meq/100 cm3; NO3-N in mgldrrr ]:
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-Al
Cu-I Na ESP SS-1 NO3-N
0.22 1.08 9.7 88 1.1 6.3
52 66
56 29
35
247
161 77
77
200 0.1
1
Sample ID: 00131
Recommendations:
Lime
Nutrients (lb/acre)
More
Crop
(tonslacre)
N P206
K20
Mg S Mn
Zn
Cu B
Information
Lime History:
1 -Corn, silage
0.9
180-220 20
60
0 0 0
0
0 0
Note: 3
2-
Test Results [units - WN In glcmr ; CEC and Na In meq/100 cmP; NO3-N in mgidd]:
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-1 Na ESP SS-1 NO3-N
0.27 1.14 6.6 74 1.7 5.3
63 70
45 24
34
569
358 112
112
102 0.1
2
North Carohna
f�/ f 2
Al.
1f'4';1 ' hum ft-wdC Lq Et:5iw.".
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

NCDAB s •ironomic Division Phone: [phone]
Website: w
:agr.goviagronomil
Report No.
i a-SL014691
Page 2 of 3
Sample ID: 00832
Recommendations: Lime
Nutrients (lb/acre)
More
Crop (tons/acre)
N P205
K20
Mg
S
Mn
Zn
Cu B
Information
Lime History:
1- Corn, silage 0.7
180-220 0
50
0
0
0
0
0 0
Note: 3
2-
Test Results [units - WN In g/cm3; CEC and Na in meq/100 cnr3; 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
0.60 1.09 8.2 82 1.5 5.5 112 79
52 24
32 495
314
117
117
590 0.1
1
Sample ID: 00833
Recommendations: Lime
Nutrients (lb/acre)
More
Crop (tonslacre)
N P206
K20
Mg
S
Mn
Zn
Cu B
Information
Lime History:
1- Corn, silage 0.0
'180-220 0
80
0
0
0
0
0 0
Note: 3
2-
Test Results [units - W/V in g/cm3; CEC and Na In meq/100 cmP; NO3-N In mg/dm31:
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
0.56 1.08 8.4 86 1.2 6.2 178 56
58 25
31 277
181
147
147
752 0.1
1