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Home My WebLink AboutWQ0002897_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 A A :4 A A A A T -WXY NC :':°><0? _ 6, ` a 7 6 -� J,MECT04 S�kF:ELCJr17'O`J MIE TIME `. fill I b'tudgc S ample Jt_ 141 bq q i l..'W4 O- t , 1 I O- ORir:C• NEUTRWM-DATCUECtICIN frl0-IE�:(L;,2a GC!dTali•JEFiTS`r c.Pi� F F P C C, I (; G ` i yJ•�.Ehtl^,I:.PH"vc�: r:4TJa(3 vi A, NC1E >7 -NkA rl } =.HV ., E.HCL v E a a c I a - IMTHIOSULFATE CLASSFICIMN v:rsr-_ warR (res'r=s; ��^ I r � �rt;•u'rr � J H � soJ,FC.�tasfcsECr.Jxa ` I �>♦F,IN +JF wusTaL"r rf;asraTJ�}VEU ) trytiJr.lhri 5 �Ph7EhtTiCEtI`�E?Y i Y h SAPoUII.F.S M.CK.TEa SY: [r^le�3r. P"") SatrJr.'cSRE�i:�Da'J�LtiBAT i(S4ssPl.Ea! DAM IMIE CE E'JSY;�,u.l� { r>F. hJT3: 1 c 9 / �JDa*6TIML; L1ATE ,TI.,E 1 aATE'(E i ry-+ 57 /�4 ' �1 3� �T, , e_ —?r J i 'JAT-"Tl !E PE1'E [Y 3� w'G'• s 5amore: nus; place a "C" Ier co rfoslt? sanrl� cs `C" ror M 9 " i i9 � q 9" .sc F;Eth Ina:ruclid; s fir cU r� ,arm t ;, ns �a r� on fn,' rEva: st :.�o; :c IrYc * vcis obvi :or euc •• om ene:e: roaunio" S4n,.Mit cowmr%e v VIL I ar^ -0. r -W.: -,I:tjt 14,A CF—,C R-A r,04 r&-JO,r ciw.411v WAO bo-DN KIA P . e tick Will T6 MR 1 CD CC) R OD FAI :@tira�;e o,aaxi�a+��c 3.,11W.., �E'•l•). ti?.'ti' 71�\y„I,�.•I �.)Ftt:l'3'li?11'L r.)3•, NC 27�58 0.*fi'%'11'i'rJ]tY1c'.r)'I.lADc.-C-0111 ° .5:''i'71 <6-6,108 fax 17�6-t''33 ':' I rrt.l�t I .. W __ CFIU')RINC NEU RALIZEDAF COLLECTION N 134 Week: 23 �. ,_ L'� y I)1I C I tFC;K r1i;81 P P P P lP JP F yP P P G G G GY� CONTAINER PrPE, Prr TOWN OF ROBERSONWT.LE (SLUDGF,) i��,t:r�t:• C/O EN IROLMK ..,. . ...� ..._. �A ...._ .. P.O. BOX 670 BAILEY NC 27807 A A A A A A A A A` .... A ___. A _�- A - A A W.,....._....,a.�.._._ �,. - _ (;►'IEMiCAr,�flESCRVATI�Afd A • nJC1NE D � Nf\()w! (25Z) 2334900 r LL `' , I.YS? �' � y o � ,a 3,.l B - FlnilJ., E •FILL C z 'q Z :n w P a 4":s:dLLE TIO,d u _ � O r~ raZi G Ai IOSUIAT} ',;AMPLE l]lAlI)N DATE TIME T - Sludge Sample_ �• ISLr¢ 8� �� 9 z� ��v 1. WASTEWATER(NPIDES) ._..._..__.._..-•_-.��..�r.. ..... .-«..___ .— _._ ..� ... ...., ....., DRINK03-WATER 8CAJ D 4VAS TE-• SECTION e �.L.... CHAIN OF CUSTODY MAINTAINED CURING SrWIVIENT,'DELIVE-A SAMPLES COLLECTED nY: � SAiMPLES RECEIVED IN LAP AT ` _ r, r.irt()UI`31-ff=t�l3`v ;°•IG;� �Ar4�t�%E.r�; I AE�4" ".'15 :.D�S'.� a1 ..... �A'1,� Itfi� � DArE:IIr��F •� � , : • _.._ �,_....__ f.l� �; ,;.� • 5 DATEr IME %lY !E� ti..�.,y ,a..w..�.,.�..,........�..�....._,...,.�.._........�...��.._..' C,ar:�r�nr ITS: ;° A s� �- V t"�t� 1 7 rA REC IVEDEitSN., GATErTIhAF_ fi f '. l)AT> TIARE taCLiA1!. 1SHE(s IG.j flecrw ay (SIG; F�I_r A f Ft li%7 Ir)EIrU�rii,rlS fCll' CGity, !(? at T'? , [ t 1 )1l� U i tv aCF 7 �" L� C�rY1 fUfsi a Gr 1 " " foi' 0 (� ry n - 0 9 J � 2 Gr,)b funinple in the blu,^ks above for elCh par,rmeler r(?queste(i 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