HomeMy WebLinkAboutWQ0002897_2014 Residual Annual Report_201502236-e� ;2 1� 17
2014
TOWN OF ROBERSONVILLE
ANNUAL MONITORING AND REPORTING
LAND APPLICATION OF RESIDUALS
TOWN OF ROBERSONVILLE
2014 ANNUAL LAND APPLICATION OF
RESIDUAL REPORT
PERMIT NUMBER ...... WQ0002897
CONTENTS
1.......... ANNUAL LAND APPLICATION CERTIFICATION FORM
' 2.......... ANNUAL RESIDUAL SAMPLING SUMMARY FORM
3.......... ANNUAL RESIDUAL SAMPLING SUMMARY FORM - B
4........... ANNUAL METALS FIELD LOADING SUMMARY FORM-(TR-1)
5.......... ANNUAL LAND APPLICATION FIELD SUMMARY FORM - (TR-1)
6.......... ANNUAL METALS FIELD LOADING SUMMARY FORM - (TR-2)
7.......... ANNUAL LAND APPLICATION FIELD SUMMARY FORM - (TR-2)
8.......... ANNUAL METALS FIELD LOADING SUMMARY FORM - (TR-3)
9.......... ANNUAL LAND APPLICATION FIELD SUMMARY FORM - (TR-3)
10.......... LAB SHEETS
11.......... FIELD SOIL REPORT
ANNUAL LAND APPLICATION CERTIFICATION FORM
WQ PermM:
WQD002897 County:
MARTIN Year: 1 2014
Facility Name (as shown on permit):
TOWN OF ROBERSONVILLE W WTP
Land Application Operator:
ENVIROLINK
Phone:
(252) 235-4900
i
Land application of residuals as allowed by the permit occurred during the past calendar year?
[RfY. ®
No
- If No, slop Part A, and Part B and proceed to Part C. Also, If residuals were
LE
generated but not land applied, please attach an explanation on how the residuals were handled.
Part A- idjalsAoolication%Mmarv:
1
Total number of application fields in the it:
3
Total number of fields utilized for land application during the year.
3
Total amount of dry tons applied during the year for all application sites:
44
Total number of acres utilizes for land application during the year.
33
b2M R anmral Comoia_nce Statement•
Facility was compliant during calendaryear
2014 with all conditions of the land application permit
(including but not limited to items 143 below) issued by the Division of Water Resources.
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)1
'results
Annual soils analysis were performed on each site receiving residuals during the past ealendaryear and three (3) copies of laboratory
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) i
The facility did not exceed any of the Pollutant Concentration Limits in 15ANCAC 02T .1105(a) or the Pollutant Loading Rates in
15A NCAC 02T .1105(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 15ANCAC 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 Resources.
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)
i 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.
--J
---
Bark
C -Certification•
I =1
"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."
g
Permittee Name and Title (type or print)
Signature of Permitter
Date
i
ignature of Preparer* ! Date
Signature of L d Applier
Date
(if different from Pemmittee)
(if different from Permittee and Preparer)
. * P_rmarerir`rtriinrrt in t1,�1;�ort Sfl2 Q!_r]_an.
ANNUAL RESIDUAL SAMPLING SUMMARY FORM
Please note that your permit may contain addition parameters to be analyzed. The parameters can be reported in FORM RSSF - B
WO Permit Number:
W00002897
Laborato
:
1
ENVIROMENT 1 # 10
Facffi Name:
TOWN OF ROBERSONVILLE
2
Residual Source WQ # or NPDES
#:
NCO026042
4
WWTP Name:
ROBERSONVILLE WASTEWATER TREATMENT PLAN Ti
g)-
Ceiling
Cone. Limit
m °
Parameter (mg/
k
5/15/14
Percent Solids %
NA
Arsenic
75
<
Cadmium
85
9595
Copper
4,300
347
Chromium
NA
Lead
840
Al
Mercury
57
—
Molybdenum
75
Nickel
420
10
Selenium
100
<
Zinc
7,500
Total Phosphorus
NA
10111
TKN
NA
Ammonia -Nitrogen
NA
Nitrate and Nitrite
NA
4771
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 ossibility of fines and imprisonment for lmowin violations."
Signature of Preparer *
Date
��'(.
*Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26)
ANNUAL RESIDUAL SAMPLING SUMMARY FORM - B
Report all sampling analysis results for parameters not listed in FORM RSSF that are part of the WQ permit or were analyzed for over the past calendar year.
Use additional forms as needed.
WO Permit Number:
W 0002897
Laborato
11
ENVIROWNT 1 #10
Facg!y Name:
TOWN OF ROBERSONVILLE WWTP
Residual Source
NPDES # or WQ#:
NCO026042
3)
4�
ROBERSONVILLE WASTEWATER TREATMENT PLANT
_ )
_WWTPNa_me:
g
Residual Analysis Data
Parameter (mg/kg)
OS/15/14
ALUMINUM
11659
CALCIUM
9595
MAGNESIUM
2005
POTASSIUM
2883
SODIUM
4588
MOLYBDENUM
"I certify, under penalty of law, that this document was prepared under my direction or supervision
assure that qualified personnel properly gathered and evaluated the information submitted. I
submitting false information, including the possibility of fines and imprisonment for knowing violations."
Signature ofPreparer a Date
*Preparer is defined in 40 CFR Part503.9(r) and 15A NCAC 2T.1102(26)
in accordance with a system designed to
am aware that there are significant penalties for
NAvonPS # RnRFR-ROW"-LE WASTEWATER TREATMENT Total Dry Tons Applied (Annual):
Permit #: W000 )2897 Cation Exchange Capacity (non 503 only):
Operator: JAMES PITTMAN Owner:I ROBERSONVILLE Predominant Soil Series:
Aches Used: 11 jAcresPermitted: 1 59 Site#: 1 p Field #:
TR 1
s
o
10
Sample or
Corn-
posite
Date
1
5/16/18
2
4
5
6
7
e
9
71
2
%u Solids
3
Arsenic
<2.5
Cadmium
1
Copper
347
Chromium
Lead
41
Mercury
1
Molyb-
denum
Nickel
10
Selenium
<5.0
Zinc
408
Total
Phos- 10331
phorus
t
Total DT/
Ac./ App.
Event
1.36
2
3
4
5
6
7
8
9
10
11
12
Totals:
Arsenic
, 0:000
: 6. 66,
0:000
0:000
. -0.000
0:000 ,'.
0.000
L 0;0.00 ;
. 0.000.
0:000
:
t
Cadmium
r0002
0:0,00
0.000
i 0!000?
O':000,
0000
Oi006,
O':000'
0?000'"'
6. 06
6. I
_0:000
_Os000
10:061;,
Copper
S.' 0:944.
0:000 .;
O:000i
Oi000.
{ 0000
0l000
0:000'.
j 0:000;
i '0':OUO
0000'.
? 0':000 °'
'0.000'
Chromium
0 0.00
0.000
' :O1000. '
0' 000,-
; OA00
Oi000 '
_ Os`000
;0!000`
A:000' a
: O's000; .
� 0:000
'0.000
, '6;b
Lead00
;;
' '.Oi000,
'0:000
O:Q00
0:00,0+
0,000
0:000
i `0;000 f
.0.000'
.' "0:000
AA00
1 Q:•112-
Mercury
j' A:00,1_
0?000,
0:000.
0`000+ ',
0.000
'U:000:
: ;0:000._
0.00,0;
_`0:000 .
� 0:000
! 0':001
Molyb-
denum
0.000''
0000.'
0:000
0:000'
0.000
0:000
0:000 !'
0:000,'
0:000''
`^0;00,0:
'; 'O.000j'
! ;0.000+
' 6:000-
Nickel
i 0:027
.
0:000' µ
.. -
; '0:000
s.' . __.
O'.066
, _
0:000 '
Oe000,
�0.000,
'' 0:000
0:000+
0,000';
i '0:000 '
0:000
'6:027
Selenium
f'
;,0?000:
i 0:060 ,j
0:000)
;. 0:000
0;000
0.,000'
6?000',
0:000
V 0000_
` 0:000+
; 0__000,
Zinc
1-.110
O',0o0� _
' 0:066
-6.660
'0 000
0.000
0 000
0 060:
,0.0'00
0 000
0.000'
0 000
1:11`0
Phos-
phoms
' 28:100:
,0:000
0.600
0.0,00
t
.0.000 .
• 0.00,0
o;000•
• -
j o:000'
o.060
0:000
0:060
'0':600,.
zsrroo'.
- -
"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 Lan Applier
'
Date
i
ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name:
ROBERSONVILLE WASTEWATER
WQ Permit #:
W00002897 Field #:
TR_1
Acres Utilized:
11
Land Owner:
ROBERSONVILLE
_ Annual Dry Tons Applied: 5149527 ! Site #:
1
Acres Permitted:
59.35
Operator:
JAMES PITTMAN
Predominant So11 Series:
Cation Exchange Capacity (non 503):
N/A
Crop 1 Name:
bennudagrass
Crop 1 Max. PAN:
Crop 2 Name:
bermudagrass
Crop 2 Max. PAN:
Date of
Month
Volume applied (enter
one) Solids/Liquid
%
Solids
Volume
A lied
PP 1�
Acre
Residual Sources
ES # W #
Q
Fert., Animal Waste,
etc)
Soil
Cond
��
Wet
Moist)
Preeip•
Past 24
�•
A hcati
PP
on
Method*
Volatiliza
tion
Rate**
Mineraliz
ation
Rate***
TKN
Ammoni
a
Nitrogen
Nitrate
and
Nitrite
PANApplied
(lbs/acre)
Name of Crop Type
Receiving Residual
Application
Cu. Yds
Gallons
(DryTons/Aa)
Inches
_
mg/kg
mg/kg
mg/kg -
Crop 1
Crop 2
Crop 1
Crop 2
9/2014
44000
3
'd;515
WWTP
D
S
5
3
40252
759
4771
.131.039
_131i039
9/2014
46200
3
0.536
WWTP
M
S
5
3
40252
759
4771
tj6.229!
-136,229-'
9/2014
28600
3
i0,335
WWTP
M
S
5
3
40252
759
4771
85.175_+
!SS:1Z5,
QO
4.
0.000'
0.000
- 0.000•,
0:000
0:000,
0600A*
-OrQdo
tr:000_=
: 0.000_,
0;000-
A660 _
. A.000; i
--A.-000: - �
t0A00, I
- 0:000' J
:: • : • : • :
_- _- w
:•:•:•
; . • : ;
__ °... _.___., . _
Reslduats A
Ilcations totals on FORM FSF su (attach FORM FSFsu to this form :
_
TOTALS:
_ _Q
Y9_18800
t
3.52t443,j
.352.443t
_
36
0�002._'
1
0.576,
34
_ 0;94.4_ .
23
:23,695_
1338
0
-_
Oa4- -
2
2266 _'
267
_ !0:001' +,'
0
_'Oi026
15
0
0:027.
1
1.,4.13 _
374
_
89
1.110:
51
-
Sus 2.
2498
Current Cumulative Ibg/ac
****
Permit PAN Litnit lst/2nd Crop
-
"°I certify, under penalty of law, that this document was prepared tinder 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
possib' 'ty of fines and imprisonment for knowing violations."
/ �y
*Application Method: S - Surface, IN - Injection, INC - Incorporations_•
latilizs�tinn-Rate Sarlace.:.. Unaiectioulln-con tlr atlon--
Mineralization Rates: Compost -0.1, anaerobially digested -0.2, aerobically
digested -0.3, raw sludge -0.4
Signature of Land Applier
Date
_
****CJEsI. B� t�umrrlak�eJ'.sellutant_ �n�timn_]late.
_._...
Attach this form to the comes Field Lon"Form to be submitted in Annual Re�rt
Faeility Name: ROBERSONVILLE WASTEWATER TREATMENT Total Dry Tons Applied (Annual): 21:50 - I
Permit #: W00002897 Cation Exchange Capacity (non 503 only):
Operator: JAMES PITI'MAN I Owner:, ROBERSONVILLE Predominant Soil Series:
Acres Used: 11 AcresPermitted; 59 Site #: 1 Field #: !
TR-2
'
o
51
2
t;
a
s is
12
Sample or
Com-
posite
Date
5/16/18
% Solids
3
—�
Arsenic
<2.5
Cadmium
1
Copper
347
Chromium
Lead
41
Mercury
1
Molyb-
denum
Nickel
10
Selenium
<5.0
Zinc
408
Total
Phos-
10331
phorus
I
�
`
i 1
2
6Total
DT/Ac,/
App.TotalsEvent
ri.95
Arsenic
0 000'
Os0'00-'
0:000'
0.000
O'.000'
0:000'
Cadmium
0!0,03 ,
-. 0_t000'.
t 0:000
0000'
Oi000'
i 0:000
O_000
G 0:000 ,
; 0 000:
0:000,.
j O:000:
0;000'
'0003
Copper
x U353
0 000! ,
i 0 000`
i Ot000
6t000
6100�0
0:000.
0:000�
0 000'
0 00.0`_ r
i 0:000'
0:000 _
, T, 53 `
Chroa►inm
o:000.000
0:000
Oc000
0000
0.000;
_.__ ...
# 0:000,
o.QOo
o:oo0
0.000.
0:o00
." o:000 "
Lead
_
01'60
.Oc000 '.'
' ,0 0010
0:000
_
0 000}
0:000 '
, 0.000' '
OA00
0:0W
:0.00.0;,
',
' 0:000,
; 0;000
Mercury
t-Ot0,02:
.
o.0O0;
_
_ O':OOo)
- _
0:000
0.000 .
,0,000. ,
'. 0.':000
-" --
0:000'
0,000
•0.00,0
" 0:000 ;
. 0:000
i. 0:0o2
.
Molyb-
0.000
0:000
'0:000
' A 000 `
6.606
> 'O.00o
0`.0,00
0.0op
0.000•
O OOQ
� 0denum
0:000
M
0:000
; ,
Nickel
;_0:039%
0:000'.
[ Oi000,
j 0:000
0`.000'
r 0?000'
0:000
0;000'
0:000.
; 01000
0:000
0:000
0!039`_
Selenium
00 A
1,`0's000; ,:'O:000
! 0:000i";
Oc000�..1
0:000_
0.000
0060,
0?000
;-0:00o
i Oi066—
VT:591
Zinc
_..,,
1r591
± ` 0.000
"0,000
A 000
0 000
;0.000
0 000- ,
0:0,00'
_0.000
0 000
0 000
`0:000'+'
c`,
Total
Phos-
40.291
1 '0:OQ0
" 0; 00,0
0 000,
`0 000
0:000
O':000
0.000
0:000.
0:000`
0:000
0 000
40, 291
phorus
i
-
-
I
"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 ofand Applier71
Date
ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. _
Facility Name:
RO$ERSONVII LE WASTEWATER
WQ Permit #:
W000021;97
Field #:
TR-2
Acres Utilized:
11
Land Owner:
ROBERSONVILLE
Annual Dry Tons Applled:,,2-1:`52 `,50. - _ 1 Site #:
1
- _
Acres Permitt ed:
59.35
Operator:
JAMES PITTMAN
Soil Series:
Cation Exchange Capacity (non 503):
N/A
Crop 1 Name:
bermudagrass
y�Predominant
Crop 1 Max. PAN:
Crop 2 Name:
bermudagrass
Crop 2 Max. PAN:
FDateor
th
Volume applied enter
pp (
one)Solids/ Liquid
o
/c
Volume
Applied er
pP p
Acre
Residual Sources
(NPDES #, WQ#,
Fert., Animal Waste,
etc)
Soil
Cond.
Wet,
Wet,
Moist)
precip.
Past 24
Applicati
th
Method*
Volatiliza
Lion
Rate**
Mineraliz
anon
Rate***_.____-__—Cu.
IKN
Ammoni
a
Ntrogen
Nitrate
and
Ndtite
PANApplied
(lbs/acre)Solids
Name of Crop Type
Receiving Residual
Application
Yds
&llons
(Dry Tons/Ac)
inches
mg/kg
mg/kg
mg/kgCrop
1
Crop 2
Crop 1
Crop 2
14
6600
3
_0;077 _ _ ;
WWTP
D
S
5
3
40252
759
4771
'19:656
�19.656
13200
3
'Or'1S3 _
WWTP
M
S
5
3
40252
759
4771
38.922_,
_ 3'Slk2 `
14
39600
3
O.d64i
WWTP
M
S
5
3
40252
759
477114
41800
3
Q:485;+
WWTP
D
S
5
3
40252
759
4771
,123:254_
123.25,4'
r9/214
014
39600
3W
WTP
M
S
5
3
40252
759
4771
1i6,76T i
116 Z67014
22000
3
0;253
WWTP
M
S
5
3
40252
759
4771
'�64:87.1014
8800
3
_0AQZ:,
WWTP
M
S
5
3
40252
759
4771
2 -. 48 .
, 25 948_
OAOp
' !0;000
0;000 ,
0.000' .._
d.dw�f
_ 0:000
6:600
y
Residuals Applications
totals on FORM FSF su attach FORM
FSF su to thLs form :
-
TOTALS:
O
171"GOD
; ;
507;354:'
, 507.354a
- -
36
E34:591`;
23
24:104;
1338
0
2
2s314__
267
0
'0a**_ 15
0
1
374
89
.
51
2498
`_ 4U.291Prior
Years Ihslag,
CjimulativQ
P, I,-
EgElilitted Q.
Permit PAN Limit lst/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
possibil-W of fines and imprisonment for lmowing violations."-
_- *Application Method: S - Surface, IN - Injection, INC - Incorporation w
/-..�- ---�-"- *�.'nlakili�at�ion_Rate:_Sarfacl;.:..4.5..Inicctinnl.Incnrnni�titt�.L2
Si afore of Land A lien Date *A` Mineralization Rates: Compost -0.1, annerobially digested -0.2, aerobically
P� pP digested -0.3, raw sludge -0.4 _
- -•• -� ****C I,,Id,; � ulat 1iUtttottt.I.i►adi__.__.._.�..—.r..��-������ _�
Ta>«>�>}en>f.t>, DT RLIML'1AICYJ_O _
0
Attach
this form to the correspondin Field Loading Summary Form to be submitted in Annual ReDort
Facility Name:
ROBERSONVILLE WASTEWATER TREATMENT Total Dry Tons Applied (Annual): 7:23
Permit #:
NCO026042 Cation Exchange Capacity (non 503 only):
Operator:
JAWS PTTTMAN Owner ROBERSONVILLE I Predominant Soil Series:
Acres Used:
11 Acres Permitted: 59 Site #: 1 Field #: }
TR 3
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use
9 2 3 4 5 8 7 8 9 90
Sample or
Com-
posite
Date 5/16/18
Percent #):
99 92
% Solids
3
Arsenic
<2.5
1
347
N/A
b
41
1
}
NIA
Nickel
10
Selenium
<5.0
Zinc
408
Total
Phos-
phorus
10331
I
DT/
Ac./App.
Event
ro-66
2
3Poo
92Total
_
Totals:
Arsenic
0.000,
0.006
6406
0.000'
O.00Q
0:000'0:000
, 0.000Cadmium
; 0!O011
0.:000
0.000
i 0.000
Ot000•
Oi000
0:0000;000;
j ,0:000
Ot000
','0:000'
O'001'
Copper
, - 0.458
0.000
4 0!000'
0:000
......
0:000,
' 0.000
0.000 _
, 0:000'
! 0.000'
0:000
, 0:000: _
0`000
0:458
Chromium[
Lead
_
!.,Oi054'.
'. 0:000'
0000'.
6.000
. ,0:000
10!000;
0:000
I Or000'
(0:000;. ,
0!000
' '01000, _.:
` , 0000' "
0.000:
, 0:000
0!000
' 0:000'
i O.00Oi
a 0:000i
0000
0;000!
Ot000,..
- 0:000'
_
;'0.054'
Mercury
, .0:001'_
: 0:000,
0:000
0:00,
0:000
0!000
0:000
0!000
'0:000 '
'0:000'
. 0:000
0.000,
•0!001
Molyb-
0:000,
0:000'
Ot000
0:000
0:000
A0.0.0
�0,:000
0:000'
' '.'0.000!
` O.000r
0400, .
Nickel
,013
' 0000!
OS000'
0:000 J
0:000
07000
' '0;000
, O':000
'�.0:000
0:000.
` 0:000'
' 0:000;
; 0.013
Selenium
',r
0:000 µ
{ 0:000
} '0'.000
0.000'
; '0.000
L_0.000
0 000'`
(. 0 0o0'
ti 0:000
0.000:
Zinc
j 0:539`
i ~0:000:
1 0:000.
' ',0:000r
, j ,0:000
1 0:000
--- _
0:000`+
i 0.000;
,, 0:000
101000 ' �
; _0:000,
; '0.000'
A 00539'
Total
Phos-
phorus
�
-13:637;`,0,000.
0.000
'•A:000
°,0:000+.
i=0.0.00!
S.;O1000i''0:000',
J-�37,,,
"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".
f
Data
Signature of Lan pplier
I �
�
ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
~�
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Name:
ROAERSONVIILEWASTEWATER
W02897 Field #:
QPemit:IW00Facility
TR-3
Acres Utilized:
11
Land Owner:
ROBERSONVILLE
Annual Dry Tons Applied: �7:4.443 ; Site #:
1
Acres Permitted:
59.35
Operator:
JAMES PITfMAN
Predominant Soil Series:
Cation Exchange Capacity (non 503):
N/A
Crop 1 Name:
betmudagrass
Crop 1 May. PAN:
Crop 2 Name:
bermudagrasstNitrate
Crop 2 Max. PAN:
Date of
Month
Volume applied enter
(
one Solids/ Li uid
Cu. Yds Gallons
%
Solids
Volume
Applied per
Acre
(Dry Tons/Ac)
Residual Sources
ES # W #
( Q
Fed., Animal Waste
etc)
Soil
Cond.
�+
Wet,
Moist)
Precip.
Past 24
�•
--
inches
Applicati
on
Method*
Volatilize
lion
Rate**
Mmeraliz
anon
Rate***
TKN
Ammon
a
Nitrogen
PAN A lied
Pp
(lbs/acre)
Name of Crop Type
Receiving Residual
Application
mg/kg
mg/kg
mg/kg
Crop 1
Crop 2
Crop 1
Crop 2
10/14
8800 1
3
__-d;103;
WWTP
D
S
5
3
40252
759
4771
1&208 ;
, .Z&:'08,,
10/14
26400
3
Q_: 0
WWTP
M
S
5
3
40252
759
4771
'77_845 :
10/14
22000
3
0:25,$ _
WWTP
M
S
5
3
40252
759
4771
65519
65.519__
_0.000,
o.ti0o.
0.006 A
b.boo-_
Residuals ApI
ilications totals on FORM FSF su attach FORM FSF su to this form :
TOTALS:
_ _ ._0
, =._'S_72(m
169:5.72
1GQ.572.
{
__ _
Oi001:.'
Or944' ;
Prior Years Cjimulatave lbqla
1
23
0
2
0
0
1
51
_. __._..<_....
0:575 _'
_.- ..
•23:695
-_
_.. -.....
2t208-, _
_
, -0:026'
1.399 .,
_
, __ .
S_1'.241_
Nnnitted Q. P. L ****
36
34
1338
267
15
374
89
2498
Permit PAN Limit Ist/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 impriso ment for lmowing violations." _
1, -Application Method: S - Surface, IN - Injection, INC - Incorporation
�*Yulatilizntinn�.Rate;,.Suai'ace�.lE�S..lf�aect:inn/,lncatr_o9►�tion,:_1 Q .__._.__.___
Mineralization Rates: Compost -0.1, anaerobially digested -0.2, aerobically
digested -0.3, raw sludge -0.4
Signature of Land Applier
Date
****�'..Eib13,L � ulat3x�P lliitaa i.,9adinPJta—.t—��---.�•------�
n
f
r
L' �suMs
IM
TOWN OF ROBERSONVILLE (SLUDGE)
C/O ENVIROLINK
P.O. BOX 670
BAILEY ,NC 27807
Sludge Analysis Method
PARAMETERS Sample Date Analyst Code
PH (not to be used for reporting)
Aluminum, (dry wt. basis), mg/kg
Arsenic (dry wt. basis), mg/kg
Calclum (dry wt. basis), nig/kg
Cadmium (dry wt. basis), mg/kg
Copper (dry wt. basis), mg/kg
Lead (dry weight basis), mg/kg
Magnesium (dry wt. basis), mg/kg
Mercury (dry wt. basis), mg/kg
NIekeI (dry wt. basis), mg/kg
Potassium (dry act. 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.),mglkg
Phosphorus, T. (dry wt.), mg/kg
Nitrate-NItrite (dry wt.), mg/kg
Mixed Liquor Susp. Solids, mg/I
Mixed Liquor Vol Sus. Solids,mg/I
Plant Available Nitrogen, mg/kg
4.6
05/15/14 TRB
4500HB-00
11659
06/04/14 LFJ
EPA200.7
<2.5
07/02/14 MEL
3113B-04
9595
06/04/14 LFJ
EPA200.7
0.7
06/06/14 MEL
3113B-04
347
06/04/14 LFJ
EPA200.7
41
07/01/14 I/IEL
3113E-04
2005
06/04/14 LFJ
EPA200.7
0.50
05/21/14 AiTM
245.1 R3-94
10
06/04/14 LFJ
EPA200.7
2883
06/04/14 LFJ
EPA200.7
<5.0
06/04/14 MEL
311311-04
4588
06/10/14 AMI
3111B 99
408
06/09/14 MTM
3111B 99
0.35
06/12/14 LFJ
3.03
05/15/14 CASC
254OG-97
40252
05/22/14 ANO
351.2 R2-93
759
05/20/14 ALB
350.1 112-93
10331
05/22/14 ALB
365.4 74
4771
05/21/14 ANO
353.2 R2-93
29226
05/16/14 LW
2540D-97
18839
05/16/14 LW
2540EA7
17000
05/23/14 SEJ
ID#: 134
DATE COLLECTED: 05/15/14
DATE REPORTED : 07/02/3.4
RLVIEiWSD a 2 P-,
CE?i7lfi-VII0, @Viii{.fiJtsCpIm Lr,
N.C. -'-27835 =
TOWN OF ROBERSONVILLE (SLUDGE)
C/O ENVIROLINK
P.O.' Box 670
BAILEY ,NC 27807
:...:..:..... ....... : FAx 2�2
E t
ID#: 134 A
DATE COLLECTED: 05/15/14
DATE REPORTED : 05/20/14
REVIEWBD BY:
Sample Sample Analysis illetlnod
PARAMETERS #6 #7 Date Analyst Code
'Total Residue, mg/l 28800 30020 05/15114 CHIC 2540B-97
Fecal Coliform (IIPIN), /,gram Solids <63 <64 05/15/14 ClIC 9221E-06
,., T_aunvmmnvv rnpv .�.
G n ,. .,
TOWN OF ROBERSONVILLE (SLUDGE)
C/O ENVIROLINK
P.O. BOX 670
BAILEY ,NC 27807
ID##: 134 A
DATE COLLECTED: 05/15/14
DATE REPORTED : 05/20/14
Sample Sample Sample Sample Sample Analysis !Method
PARA MTERS #1 #2 #3 /14 N5 Date Analyst Code
Total Residue, nig/1 28660 28160 29800 29620 30200 05115114 C1IC 2540B-97
Fecal Coliforin (T Pam, /gram Solids 70 71 <60 <61 <60 05/15/14 Ci•IC 9221E-06
��� rnvnnrmnnv nnnv ��.
f �_-�' Sanunit ANWrautuental Teelutologies, Inc.
I, fall3310 3f'in Sl.
l
rt'vlROMAr-:ITAL -TECI `Q4LOGIUS, INC QowftogaFalls Oble44223
TEL; (330) 253-8211 FAX.- (330)253-4489
lVehate j1[fp:/�isxwseltek.cam
June 09, 2014
Deedee Woolard
Environment 1, Inc.
114 Oakmont Dr
P.O. Box 7085
Greenville, NC 27858
TEL: (252) 756-6208
FAX: (252) 756-0633
RE:
Order No.: 14051985
Dear Deedee Woolard:
Summit Environmental Technologies, Inc, received 1 sample(s) on 5/20/2014 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,
A-X-�
Dr. Mo Osman
V�
Project Manager
3310 Win St.
Cuyahoga Falls, Ohio 44223
A2LA 0724.01, Alabanm 4160% Ad-ansas 88.0735, Caliromia 07256CA, Colorado, Conneadcut PH 0105, Uelmvore, Florida NELAC E87688, OeorOa
E87689 and 943, Idaho OH00923, lllinols 200061 and Re&5, Indiana C-011-13, Kansas E 10347, Kwacby (undergonnd Storage Taal) 3, Kentucly
90146, Louisiana 04061 and LA12004, Maine 2012015, Maryland 339, r fassachusetts M-OPH923, Minnesota 40971I, Montana CERTOM, Now
Hampshira 2996, Nosvlersey OH006, New York:11777, North Cawlim39705 and 631, Ohio 4170, Ohio YAP CL0052, Oklahoma 9940. Oregon
OHMMI, Pennsldsania 6&01335, Rhoda Island LA000317, Sewh Cawlina 92016001, Tennessee TNO4018, Te)=T10170I466-11-5. Region a UMS-
1, USDAIAPHIS P330-11-00244, Utah 011009232011-1, Vemant YT-87689, Nrliginia 00440 and 1581. Washington C891, West Virginia 248 and 9957C
and E87688. Wisconsin 399013010
Page 1 of 6
Page 1 of 8
r r Sionniff Environmental Tecln alogles, Ine. yti orkorder
3310 Win St
MIMIRt?tlIMMIAL larWIOLOWUS: VIi; 00ahogaFalls, O1do44223 Sample Summary
Anaiy1k.iI Lah,.vam- a, TEL: (330) 253-82 11 FAX (330) 2SJ-4489 NVO#: 14051985
Webslie: 09-J in 14
CLIENT: Environment 1, Inc.
Project:
Lab SamplelD Client Sample ID 'Fag No Date Collected Date Received Matrix
14051985-001 Sludge Sample 5/15/2014 9:45:00 AM 5/20/2014 9:50.00 AM Sludge
Page 2 of G
Page 2 of 8
Srn�nuttEmiroumentalTer)mologies leis.• {v r 3310 Win St.
SUIN
Case Narrative
ruvifiol6WNTAIiECWiCd-bG12r-,;XC-
CreyrrhogaFalls, ohio44223
%VO#• 14051985
TEL. (330) 253-8211 FAX (330) 253-4489
Date: 6/9/2014
Websile. hff ://�►ha7vsellekown
C!
CLIENT: Environment 1, Inc.
Project:
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 d flag in the Qual field are values below the Limit of Quantitation
(LOQ) but greater than the established Limit of Detection (LOD). There is greater uncertainty
associated with these results and data should be considered as estimated.
Method numbers, unless specified as SM (Standard Methods) orASTM, 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
or> �a c_ ._ y Srmnnit Biirlronmerrlal Techerologies Lta
,_-
T71
lVt?8: 14051985
rra�gRDtutEtai�.! crr scl�Li�a�E!:,>XG CrrrakagaFalls, Ohlo44223 Date Reported: 6/9/1014
aa€€
Anelrllml Lak{ raiaara;= rEL: (330) 253-8211 PAX.- (330)253-4489
Company: Environment 1, Inc.
lfrebs(te: I mo://iv�nrsellekcont
Address: l 14 Oakmont
Dr
Greenville NC 27858
Received: 5/20/2014
Project#:
TCLP Metals Analysis (6010)
Client ID#
Lab IN Collected Analyse Rep Lint Result Unts
Matrix Method DF
RegLVI
Run Analyst
Sludge Sample
001 5115/2014 TCLP Arsenic(As) 0.60 NO mg/L
Sludge EPA 6010 C 1
S.0
5/28/2014 WK
Sludge Sample
001 5115/2014 TCLP Barlum(Ba) 5.0 NO mg/L
Sludge EPA 6010 C 1
100
5/28/2014 WK
Sludge Sample
001 5/15/2014 TCLP Cadmtum(Cd) 0.10 NO mg/L
Sludge EPA 6010 C 1
1.0
S2812014 WK
Sludge Sample
001 6/15/2014 TCLP Chromium(Cr) 0.20 NO mglL
Sludge EPA 6010 C 1
5.0
6/28/2014 WK
Sludge Sample
001 5/15/2014 TCLP Lead(Pb) 0.50 NO mg1L
Sludge EPA 6010 C 1
&0
5/28/2014 WK
Sludge Sample
001 5115120i4 TCLP Selenlum(Se) 0.50 NO mg/L
Sludge EPA 6010 C 1
1.0
512812014 WK
Sludge Sample
001 5/15/2014 TCLP Sllver(Ag) 0.50 NO MOIL
Sludge EPA 6010 C 1
5.0
542812014 WK
TCLP Mercury Analysis (1311/7470)
Client ID#
Lab ID# Collected Analyse Rep Lint Result Units
Matrix Method DF
RegLvl
Run Analyst
Sludge Sample
001 6/15/2014 TCLP Mercury 0.0020 NO mg1L
Sludge EPA 7470 A 1
0.20
512712D14 AU
SVOC SNV 846: 8081-TCLP Pesticides
Client ID#
Lab ID# Collected Analyte
Rep Lint Result Units
Matrix
Method
DF
RegLvl
Run
Analyst
Sludge Sample
001
5/15/2014 Chlordane, total
0.010
NO mg1L
Sludge
EPA 6081 B
1
0.030
6/412014
JBN
Sludge Sample
001
6/16/2014 Toxaphene
0.10
NO mg/L
Sludge
EPA 8081 B
1
0.50
6/4/2014
JBN
Sludge Sample
001
5/15/2014 Enddn
0.0020
NO mg1L
Sludge
EPA8081 B
1
0.020
6/4/20%
JBN
Sludge Sample
001
6/16/2014 gamma-BHC
0.0020
NO mg/L
Sludge
EPA 8081 B
1
0.40
6/4/2014
JBN
Sludge Sample
001
6/15/2014 Heptachlor
0.0020
NO mg1L
Sludge
EPA 8081 B
1
0.0080
6/4/2014
JBN
Sludge Sample
001
5/15/2014 Heptachlor epoxide
0.0020
NO mg/L
Sludge
EPA 8081 B
1
0.0080
614/2014
JBN
Sludge Sample
001
6115/2014 Methoxychlor
0.0020
NO mg/L
Sludge
EPA 8081 B
1
10
6/412014
JBN
VOC by GC/MS (8260)-TCLP
Client IN
Lab ID# Collected Analyte
Rep Lint Result Units
Matrix
Method
DF
RegLvl
Run
Analyst
Sludge Sample
001
5/15/2014 1,1-Dichloroethene
0.10
NO m91L
Sludge
EPA 8260 B
1
0.70
5/22/2014
MES
Sludge Sample
001
5/15/2014 1,2-Dichloroethane
0.10
NO mg/L
Sludge
EPA 8260 B
1
0.50
5/22/2014
MES
Sludge Sample
001
5/15/2014 Benzene
010
ND mg/L
Sludge
EPA 8260 B
1
a50
5122014
MES
Sludge Sample
001
5/15/2014 Carbon tetrachloride
0.10
NO mglL
Sludge
EPA 8260 B
1
0.50
5/22/2014
MES
Sludge Sample
001
SH612014 Chiorobenzene
0.10
NO mg1L
Sludge
EPA 8260 B
1
100
5/22/2014
MES
Sludge Sample
001
6/1 W014 Chloroform
0.10
NO mg/L
Sludge
EPA 8260 B
1
6.0
5/22/2014
MES
Sludge Sample
001
5116/2014 Tetrachloroelhene
0.10
NO mg1L
Sludge
EPA 8260 B
1
0.70
5/22/2014
MES
Sludge Sample
001
5/16/2014 Trichtoroethene
0.10
NO mglL
Sludge
EPA 8260 B
1
0.50
5MI2014
MES
Sludge Sample
001
6/16/2014 Vinyl chlorlde
0.20
NO mg/L
Sludge
EPA 8260 B
1
0.20
5/221204
MES
Sludge Sample
001
5/15/2014 MEK
2.0
NO mglL
Sludge
EPA 8260 B
1
200
6/22/2014
MES.
P99W4 (MB
1��"T ; fa
.ice__• '�§ �.?- cr �; Fa'" t: _-
- t:3 F y(yrjz)' � A
Srmmfi[ Enrlronmental Technologies, Lfc
3310Win St.
�VOfI.
1gOS1y115
'__-
's=. S4r
Date Reported:
61912014
GCi1�lAOJJ1.tE:dYJ4i"JeGHrJ+_��t7t;t-r :
QOwrzogarall,%Olito44223
;rit.!afrri •�
TEL.- (330)253-8211 PAX. (330) 253-4489
Company:
Environment 1, Inc.
il'ebstre: Jrttu:/lwrh►�r elrek.cam
Address:
114 Oakmont Dr
Greenville NC 27858
Received:
5/20/2014
Project#:
SVOC 8270 TCLP BNA List
Client ID# Lab 1D# Collected Analyte Rep Lmt Result Units Matrix Method DT RegLvl Run Analyst
Sludge Sample
001
Sludge Sample
001
Sludge Sample
001
Sludge Sample
001
Sludge Sample
001
Sludge Sample
001
Sludge Sample
001
Sludge Sample
001
Sludge Sample
001
Sludge Sample
001
Sludge Sample
001
5/16/2014 1,4-Dlchiorobenzene
5/15/2014 2,4,5-Trichtorophenol
5115/2014 2,4,6 Trichlorophenol
5115/2014 2,4-0lnitrotoluene
6/1512W Cresols, Total
5/16/2014 Hexachloro-1,3-
buladlene
GR6120i4 Hexachlorobenzene
5/15/204 HexachloroeMane
5115/2014 Nitrobenzene
6/16/2014 Pentachlorophenol
5/15/2014 Pyridine
0.10
ND mg1L
Sludge
EPA 8270 C
1
7.5
5/28/2014
AKE
0.26
ND mg/L
Sludge
EPA 8270 C
1
400
5/28/2014
AKE
0.25
ND mg1L
Sludge
EPA 8270 C
1
2.0
5/28/2014
AKE
0.10
ND mgJL
Sludge
EPA 8270 C
1
0.13
W812014
AKE
5.0
ND mg1L
Sludge
EPA 8270 C
1
200
5/2812014
AKE
0.10
ND mgli..
Sludge
EPA 8270 C
1
0.50
5/28/2014
AKE
0.10
ND mgJL
Sludge
EPA 8270 C
1
0.13
5128/2014
AKE
0.10
ND mg/L
Sludge
EPA 8270 C
1
3.0
5/28/2014
AKE
0.10
ND mg/L
Sludge
EPA 8270 G
1
2.0
5/28/2014
AKE
0.26
ND mg/L
Sludge
EPA 8270 C
1
100
5/28/2014
AKE
0.25
ND mg/L
Sludge
EPA 8270 C
1
5.0
W812014
AKE
SVOC SAY-846: 8321 Herbicides-TCLP
Client 1D# Lab 1D# Collected Annlyte Rep Lmt Result Units Matrix Method DF RegLvl r' Run Analyst
Sludge Sample 001 6/15/2014 2,4-D 5.0 ND mg/L Sludge EPA 8321 A 1 10 6/612014 AMZ
Sludge Sample 001 5/16/2014 2,4,5 TP 0.60 ND mglL Sludge EPA 8321 A 1 1.0 616/2014 AMZ
SW)Hlt%IIIV110t!!)fCHIaI Technologies, Inc.
33I0 Wits St.
NVQ#;
14051985
t`—a t
FttIrIRONt iFt: r:v, f cf,HUQLn„Q!S, INC
00ahoga Fails Ohlo 44223
Dale Reported:
6/9/2014
�,_.—a.—;_8 11raa�Frfirat �_:as rau�s,�
7RL, 1330j253.8211 FAX: (330) 253-4489
Company:
Environment 1, Inc.
1f'ebsite:l ://�r�rvseltek.cofu
Address:
114OakmontDr
Greenville NC 27858
Received:
5/20/2014
Project#;
Client ID# Lab ID# Collected Analyte Result Units Matrix Method DT RL Ran Analyst
Sludge Sample
001
5/1512014
Flashpolnt (14WF)
Sludge Sample
001
5/15/2014
Cyanide, Reactive
Sludge Sample
001
5/15/2014
pH
Sludge Sample
001
5/15/2014
Sulfide, Reactive
>200 "F
Sludge
EPA 1010
1 6/2/2014
TAH
ND mgXg
Sludge
EPA 9014
1 0.60 5/21/2014
TIR
3.9 sm.
Sludge
EPA 0045 D
1 5/21/2014
AYS
ND ppm
Sludge
EPA9034
1 25 5/21/2014
TIR
P ftges Ova
Environment I.Inc. C I-TA.IN OF CUSTODY RECORD
1�0 itnx 71*1fi5. J la (?Amocil U:
Crccovilk, NC :'°5i+
G roilmen( I hW.Ctifq
LiJy1�FL`c.�I'IU;: 1
I
Phowi252i756.62CIb C:ax(252)
756-00:3
CLIENT: 13S
VVec&:23
IN
TOW':` OFR01M.R.%ON-VILE (SLUDOG6NONE
P�
P
p i' k
.P P
C; fO L\- VMOLTNIJ
1.
1:0. )30% 670
a
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:4 A A
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_
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MIE TIME
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ANNUAL PATHOGEN AND VECTORATTRACTION REDUCTION FORM (02T Rules)
Facility Name:
i TOWN OF ROBERSONVILLE WASTEWATER TREATMENT
WQ Permit Number- WQ0002897
WWTPName:
ROBE"ONVIILEWASTEWATERTREATMENl'PLANTI
NPDESNumber: NC0026042
Monitoring Period: From 914114 To 10/24/14
Pathogen Reduction (15A NCAC 02T .1106) - Please indicate level achieved and alternative performed:
Class A:
Alt A (time/temp) ®
Alt B (Alk Treatment) ❑
Alt C (Prior Testing) ❑
Alt.D (No Prior Test) ❑
Process to Further Reduce Pathogengs ❑
If applicable to alterative performed (Class A only) indicate "Process to Further Reduce Pathogens":
Compost ❑
Heat Drying ❑
Heat Treatment ❑
Thermophilic ❑
BgJA Ray 131
Gam❑
1
i
Class B:
jAlt (1) Fecal Density
Alt (2) Process to Significantly Reduce Pathogens
If applicable to alternative performed (Class B only) indicate "Process to Significautly Reduce Pathogens": ❑
Lime Stabilization ❑
Air Drying ❑ Composting ❑
Aerobic Digestion
If applicable to alternative
performed (Class A or Class B) complete the following monitoring data:
Parameter
Allowable Level in
Sludge
Pathogen Density-
Number of
de„
Frequency
°f lD�y
Sample
Type
Analytical
Tech-mque
Minimum
Geo. Mean
Maximum
Units
Fecal Coliform
2 z lO to tho
6th power
Per gram of
total solids
WN
60
64
7I
0
7
G
(922IE-06)
CFU
1000 mpn per gram
oftotal solid (dry
weight)
Salmonella bacteria
(in lieu of fecal
COMM) f
3 MP1Q per 4 grams
total solid (dry
Weight)
Alt 3 (30-day bench) ❑
Alt 4 (Spec. OZ uptake) ❑
Alt. i (VS reduction) ®
Alt 2 (40 day bench) ®
Alt 5 (14-Day Aerobic)
Alt 6 (AUStabilization ❑
Alt 7 g - Stable) ®
Alt 8 (Drying - Unstable) ❑
Alt 9 ection ❑
Alt. 10 (Incorporation) ❑
No vector attraction reduction alternatives were performed ❑
CERTIFICATION STATEMENT (please check the appropriate statement) 1
i
"I certify, under penalty oflaw, that the pathogen requirements in 15A NCAC 02T .1106 and the vector
attraction reduction r uirement 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 im risonment"
Preparer Name and Title (type or print)
�LandApplier
Name and Title (if app icable)(type or print)
i _ 3
Signature of Preparer*
Date
Signature of d Applier (if applicable)
Date
i
*Preparer is defined in 40 CFR Part 503.9(r) and 15ANCAC 2T .1102 (26)
Predictive
Soil Report
Mehlich-3 Extraction
�r.gov/agronomil
Client: Town of Robersonville
PO Box 487
Robersonville, NC 27871
Sampled County: Martin
Sampled: 10/22/2014 Received: 10/28/2014 Completed: 11/10/2014 Farm: Permit# W00002897
Sample ID: 00001 Recommendations: Lime Nutrients (lb/acre)
Crop (tons/acre) N P206 K20 Mg S Mn Zn
Lime History: 1-Bermuda hay/past., M 0.0 180-220 0 30 0 0 0 0
2-
Test Results [units - WN in /crrr3• CEC
„Report No FY1'S=
Advisor: Envirolink Inc.
PO Box 678
12362 Oak Ave.
Bailey, NC 27807
��nks to Helpful I formation
More
Cu B Information
0 0 Note:12
toand Na in meq/100 cnt�; 1403-1mIn mg/dirrr):
Soil Class:
Mineral
HM% W/V CEC
BS% Ac pH
P-1 K4
Ca% Mg% S-1
Mn4
Mn-All Mn-AI2
Zn4 Zn-AI Cu-I Na
0.51 1.09 9.4
88 1.1 6.1
230 99
62 21 35
66
55
383 383 188 0.1
Sample ID: 00002
Recommendations:
Lime
Nutrients (Ib/acre)
Crop
(tons/acre)
N P206
K20
Mg S
Mn Zn Cu e
Lime History:
1-Bermuda hay/past., M
0.0
180-220 0
120
0 0
0 0 0 0
2-
Test Results [units - WN In g/crr?; CEC and Na in meq/100 carp; NO3-N in mg/dOp
Soil Class:
Mineral
HM% WN CEC BS% Ac pH P-1 K4 Ca% Mg%
S4
Mn4
Mn-All
Mn-AI2
Zn-I Zn-AI
Cu4 Na
1.08 1.18 9.8 91 0.9 6.4 117 45 64 25
43
34
32
125 125
89 0.1
Sample ID: 00003 Recommendations: Lime
Nutrients (lb/acre)
Crop (tons/acre) N P20e
K20
Mg
S
Mn Zn
Cu
Lime History: 1-Bermuda hay/past., M 0.0 180-220 0
220
0
0
0 0
0
2-
Test Results [units - W/V In g/crrP; CEC and Na In meq/100 cm3; NO3-N in mg/dnfl:
Soil Class:
Mineral
HM% WN CEC BS% Ac pH P-1 K4 Ca% Mg%
S-1
Mn4
Mn-All
Mn AI2
Zn-I Zn-AI
Cu4 Na
0.92 1.24 7.3 87 0.9 6.1 108 10 67 20
92
52
47
83 83
67 0.1
North Carolina
7�sGa�a:cs Tr4�cC F�r:rl �i'��srri8st�s;a
ESP SS4 NO3-N
1 More
Information
Note: 12
ESP SS -I NO3-N
1
More
B Information
0Note: 2
ESP SS -I NO3-N
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