WQ0003919_Renewal (Application)_20190826

State of North Carolina
Department of Environmental Quality
DWR Division of Water Resources
WATER QUALITY REGIONAL OPERATIONS SECTION
Division of Water Resources NON -DISCHARGE APPLICATION REVIEW REQUEST FORM
August 26, 2019
To: WaRO-WQROS: David May / Robert Tankard
Fr m• R n K 1 W t 1' 'tt' N S t' D' h h vB ��
o a eer atya , a er QP ua Ly ermi mg ec ion - on- isc arge ram, 1
YL`7f�P ty 2O
�asga9�rdQ�''R �.g
0
Permit Number: WQ0003919 Permit Type: Land Application of Res?41 �' * (503)
nai p�
Applicant: City of Kinston Project Type: kenewal
Owner Type: Municipal
Facility Name: City of Kinston RLAP
Signature Authority: Kenneth R. Stevens
Address: PO Box 339, Kinston, NC 28502
Fee Category: Non -Discharge Major
Comments/Other Information:
Owner in BIMS? Yes
Facility in BIMS? Yes
Title: Water Reclamation Superintendent
County: Lenoir
Fee Amount: $0 - Renewal
Attached, you will find all information submitted in support of the above -referenced application for your review,
comment, and/or action. Within 45 calendar days, please take the following actions:
® Return this form completed. ® Return a completed staff report.
❑ Attach an Attachment B for Certification. ❑ Issue an Attachment B Certification.
When you receive this request form, please write your name and dates in the spaces below, make a copy of this sheet, and
return it to the appropriate Central Office Water Quality Permitting Section contact person listed above.
RO-WQROS Reviewer:
Date:
FORM: WQROSNDARR 09-1 5 Page I of 1

ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
LINDA CULPEPPER
Director
NORTH CAROLINA
Environmental Quality
August 28, 2019
KENNETH R. STEVENS — WATER RECLAMATION SUPERINTENDENT
CITY OF KINSTON
PO Box 339
KINSTON, NORTH CAROLINA 28502
Subject: Acknowledgement of
Application No. WQ0003919
City of Kinston RLAP
Residuals Management System
Lenoir County
Dear Mr. Stevens:
The Water Quality Permitting Section acknowledges receipt of your permit application and
supporting documentation received on August 26, 2019. Your application package has been assigned the
number listed above, and the primary reviewer is Ranveer Katyal.
Central and Regional Office staff will perform a detailed review of the provided application, and
may contact you with a request for additional information. To ensure maximum efficiency in processing
permit applications, the Division of Water Resources requests your assistance in providing a timely and
complete response to any additional information requests.
Please note that processing standard review permit applications may take as long as 60 to 90 days
after receipt of a complete application. If you have any questions, please contact
Ranveer Katyal at [phone] or [e-mail].
Sincerely,
Nathaniel D. Thornburg, Supervisor
Division of Water Resources
cc: Washington Regional Office, Water Quality Regional Operations Section
Permit File WQ0003919
R EQ�� North Carolina Department of Environmental Quality I Division of Water Resources
512 North Salisbury Street 1 1617 Mail Service Center I Raleigh, North Carolina 27699-Ib17
NORTH CNiO, ,NA
areamEmiroemeotalOWft �� 919.707.9000

8/7/ 19
NCDENR-DWQ
Land Application Permitting and Compliance Unit
Aquifer Protection Section
1636 Mail Service Center
Raleigh, North Carolina 27699-1636
ATTENTION: Mr. Jon Risgaard
REFERENCE: Renewal OF PERMIT NO. W00003919
City of Kinston
Dear Mr. Risgaard:
NIP,
NU�,��201J
Non-DiSdn ar9e
DPrmitkin�
Synagro is submitting, on behalf of the City of Kinston, an application to renew the City's residuals land
application permit. Listed below are the changes to the existing permit as they pertain to land application
sites:
• Renewing 11 application sites: NC -CV -I,, NC-CV-4, NC-CV-5, NC-JO-1, NC-JO-2944, NC-
JO-2945, NC-JO-8790.
• Deleting 4 application sites: NC-CV-3, NC-GE-4, NC-GE-5, NC-GE-6
No other modification to the permit is requested at this time. This package should contain all of the
information that is necessary to complete the requested modification of the City's permit. However, if
you require additional information or have further questions about the included information, please
contact me immediately at 336-909-8627. I look forward to working with you to insure that this is an
efficient review process, and will be happy to provide any further assistance if necessary.
Sincerely,
Melinda Boyd
Technical Services Manager
Cc: Kenneth Stevens; City of Kinston
Enc: Application Package (4)

State of North Carolina
.� Department of Environment and Natural Resources
Division of Water Resources
Division of Water Resources 15A NCAC 02T .1100 — RESIDUALS LAND APPLICATION PROGRAM
INSTRUCTIONS FOR FORM: RLAP 08-13 & SUPPORTING DOCUMENTATION
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted, the Applicant shall submit one original and two copies of the application and
supporting documentation
For more information or for an electronic version of this form, visit the Land Application Unit (LAU) web site at:
�U/)curtul.nrclEatr.OI:gItCl),Ircl/(III
General — This application is for treatment, storage, transport, and/or land application of Class B residuals (may include residuals that
are generated from a water treatment plant or other type facilities) on the proposed or currently approved land application site(s) under
I 5 A NCAC 02T A 100.
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Residuals Land Application Program (FORM: RLAP 08-13) Application: (All Application Packages):
® Submit the completed and appropriately executed Residuals Land Application Program (FORM: RLAP 08-13) form. Please
do not make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments
to the application may be made, as long as the attachments are numbered to correspond to the section and item to which they
refer.
® The Applicant's Certification on Page 5 of this form shall be signed in accordance with 15n NCAC_ 02T_.0106(h). An
alternate person may be designated as the signing official if a delegation letter is provided from a person who meets the
criteria in 15A NCAC 02T .0106(b>.
® If this project is for a modification of an existing permit, submit one copy of the existing permit.
® Please submit this application form at least 180 days prior to the expiration date on the existing permit, or 90 days prior to
operation of proposed facility(ies) for application packages involving new or changes to treatment and storage units.
B. Application Fee (New and Major Modification Application Packages)
® Submit a check, money order or electronic funds transfer made payable to: North Carolina Department of Environment and
Natural Resources (NCDENR).
® STANDARD REVIEW — Submit the appropriate fee for all new and major modification applications as listed in the table
below.
STANDARD APPLICATION REVIEW FEES:
Facility Classification New Permit Major Modification'
Major ([and are permitted for > 300 acres) $1,310 $395
Minor (land are permitted for < 300 acres) $810 $245
- A major modification shall be defined as any permit modification that: increases the generating facility's residuals dry tonnage;
adds additional land application areas not previously approved; adds additional residuals sources; or includes the addition of new
treatment or storage units/processes not previously permitted. There is no fee for minor permit modifications.
C. Cover Letter (All Application Packages)
® List all items included in the application package, as well as a brief description of the requested permitting action.
D. Environmental Assessments (May be Required— See 15A NCAC IC .030n)
❑ Submit a copy of the Findings of No Significant Impact (FONSI) or Environmental Impact Statement (EIS). Also, include
information on any mitigating factor(s) from the Environmental Assessment (EA) that impact the construction of the
residuals treatment and storage facilities, An EA may also be required for private systems if any public funds and/or lands
are used for the construction of the subject facilities. r
INSTRUCTIONS FOR FORM: RLAP 08-13 A U U 20 6 2019 Pagel of 3
Non -Discharge
Perrnittirxj Unit

E. Operation and Maintenance Plan (New and Renewal Application Packages)
® For Modification Application, if there are any changes to the existing plan, submit an updated O&M plan.
® Submit the O&M Plan in accordance with 15,1 NCAC 021' .1 1 10 and include at a minimum:
® Operational functions; describe the operation of the program to show what operations are necessary for the program to
function and by whom the functions are to be conducted.
® Maintenance schedules; may include equipments calibration, maintenance of signs, etc.
® Safety measures; may include safety training program, manuals, signs, etc.
® Spill response plan; including control, containment, remediation, emergency contact information, etc.
® Inspection plan including the following information;
® Names and titles of personnel responsible for conducting the inspections.
® Frequency and location of inspections, including those to be conducted by the ORC, and procedures to assure that the
selected location(s) and inspection frequency are representative of the residuals management program.
® Detailed description of inspection procedures including record keeping and actions to be taken by the inspector in the
event that noncompliance is observed.
® Sampling and monitoring plan including the following information;
® Names and titles of personnel responsible for conducting the sampling and monitoring.
® Detailed description of monitoring procedures including parameters to be monitored.
® Sampling frequency and procedures to assure that representative samples are being collected. Fluctuation in temperature,
flow, and other operating conditions can affect the quality of the residuals gathered during a particular sampling event.
The sampling plan shall account for any foreseen fluctuations in residuals quality and indicate the most limiting times for
residuals to meet pathogen and vector attraction reduction requirements (e.g. facilities that land apply multiple times per
year but have an annual sampling frequency, may need to sample during winter months when pathogen reduction is most
likely to be negatively affected by cold temperatures.
THE FOLLOWING ADDITIONAL ITEMS (G to M) ARE REQUIRED FOR DEDICATED PROGRAM ONLY.
F. Program Determination
❑ Dedicated residuals land application programs are ones in which land application sites meet the criteria in 15A N(_ AC 02T
.110202). Specifically, a residuals land application program is designated as dedicated if any of the following are
applicable:
❑ Any land application site certified for the.residuals land application program that receives residuals at rates or frequencies
greater than agronomic rates.
❑ Any land application site certified for the residuals land application program that is used primarily for residuals disposal,
and agricultural crop production is of secondary importance.
❑ Any land application site certified for the residuals land application program that receives residuals through fixed
irrigation facilities or irrigation facilities fed through a fixed supply system.
❑ Please contact the Aquifer Protection Section if you need any assistance in determining whether your residuals program falls
under the dedicated program definitions.
G. Program Information
❑ Provide an explanation of why a dedicated system is required instead of a conventional non -dedicated system.
❑ Provide an explanation of the dedicated system and its operation.
H. Detailed Site Maps (All New or Modification Application Packages)
❑ Submit three (3) sets of standard size plans and two (2) sets of I I" by 17" plans (electronic format is acceptable - Adobe PDF
only). For Modifications, submit plans specific to the modification(s) only.
❑ Plans must include the following minimum items:
❑ A general location map, a vicinity map and a topographic map with contours not exceeding 10 feet or 25% of the total site
relief and showing all facility related structures and fences within the land application area.
❑ The location of all wells (including usage and construction details if available), streams (ephemeral, intermittent, and
perennial), springs, lakes, ponds, and other surface drainage features within 500 feet of the land application site(s).
❑ Delineation of the review and compliance boundaries
❑ Setbacks as required by 15A NCAC 02T .1108
❑ Site property boundaries within 500 feet of all waste treatment, storage, and disposal site(s).
❑ A map showing the entire irrigation area with an overlay of the suitable irrigation area depicted by the soil scientist's
evaluation. The irrigation plans shall show each nozzle/emitter and wetted area (when applicable). Clearly label spray
irrigation zones as they will be operated.
❑ Plans must depict a completed design and not be labeled with preliminary phrases (e.g., FOR REVIEW ONLY, NOT
FOR CONSTRUCTION, etc.) that indicate that they are anything other than final plans. However, the plans may be
labeled with the phrase: FINAL DESIGN - NOT RELEASED FOR CONSTRUCTION
INSTRUCTIONS FOR FORM: RLAP 08-13 Page 2 of 3

I. Project Evaluation and Receiver Site Management Plan (All New Application Packages or Modifications that include new
sites)
❑ Submit a project evaluation and a receiver site management plan (if applicable) with recommendations concerning cover
crops and their ability to accept the proposed application rates.
J. Hydrogeologic Report (All New Application Packages or Modifications involving increasing the total design capacity)
❑ Submit a detailed hydrogeologic evaluation in accordance with I �A NCAC 02T . 110-40)( t) and current Division Policy
available at: htq�:, portal.ncdenr.or!.iweb%wd;'aps/lauipolicies. The document shall be signed, sealed and dated by a qualified
professional.
K. Engineering Design Documents (All New or Modification Application Packages with fixed irrigation facilities or irrigation
facilities fed through fixed supply system)
❑ Submit engineering design documents that have been signed, sealed, and dated by a NC licensed Professional Engineer
and/or Professional Land Surveyor in accordance with 15A NCAC02T .l 104(d)(2). For Modifications, submit an updated
site map specific to the modification(s) only.
❑ The design documents must include the following minimum items:
❑ Engineering plans for the facility and equipment except those previously permitted unless they are directly tied into the
new units or are critical to the understanding of the complete process;
❑ Specifications describing materials to be used, method of construction, and means for ensuring quality and integrity of the
finished product including leaking testing; and
❑ Engineering calculations including hydraulic and pollutant loading, sizing criteria, hydraulic profile, total dynamic head
curve analysis for each pump, and irrigation design.
❑ Soil mapping units shown on all disposal sites.
L. Water Balance (All New Application Packages or Modifications that include new sites utilizing fixed irrigation facilities or
irrigation facilities fed through fixed supply systems)
❑ Submit a completed and accurate water balance in accordance with 15A NCAC 02T .1 104(d)(5) and current Division Policy
available at: http:, portaLncdenr.or,_,/Nveb;'Nvq/apsilau,'policies.
M. Property Ownership Documentation (All New or Modification Application Packages involving new and/or relocated treatment
or irrigation components)
❑ Property ownership documentation shall consist of one of the following:
❑ Legal documentation of ownership (i.e., GIS, deed or article of incorporation), or
❑ Written notarized intent to purchase agreement signed by both parties with a plat or survey map, or
❑ An easement running with the land specifically indicating the intended use of the property and meeting the requirements
of 15A NCAC 02L .0107(t), or
❑ A written notarized lease agreement signed by both parties, indicating the intended use of the property, as well as a plat or
survey map.
ONE ORIGINAL AND TWO COPIES OF THE COMPLETED APPLICATION PACKAGE, INCLUDING ALL
SUPPORTING INFORMATION AND MATERIALS, SHALL BE SENT TO THE FOLLOWING ADDRESS:
NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER RESOURCES
AQUIFER PROTECTION SECTION
LAND APPLICATION UNIT
By U.S. Postal Service:
1636 MAIL SERVICE CENTER
RALEIGH, NORTH CAROLINA 27699-1636
TELEPHONE NUMBER: [phone]
By Courier/Special Delivery:
512 N. SALISBURY STREET
RALEIGH, NORTH CAROLINA 27604
FAX NUMBER: [phone]
INSTRUCTIONS FOR FORM: RLAP 08-13 Page 3 of 3

State of North Carolina
` Department of Environment and Natural Resources
Division of Water Resources
Division of Water Resources 15A NCAC 02T .1100 — RESIDUALS LAND APPLICATION PROGRAM
FORM: RLAP 08-13
I. APPLICANT INFORMATION:
1. Applicant's name: City of Kinston
Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership ❑ Privately -Owned Public Utility
❑ Federal ❑ State ® Municipal ❑ County
Signature authority's name per 15A NCAC 02T .0106: Kenneth R. Stevens Title: Superintendent/ORC
Applicant's mailing address: P.O. Box 339
City: Kinston State: NC Zip: 28502-
Telephone number: [phone] Email Address: Kenneth. Stevens n,ci.kinston.nc.us
2. Consultant's name: License Number (for P.E.):
Affiliation: ❑ On Staff ❑ Retained (Firm: )
Consultant's mailing address:
City: State: Zip: -
Telephone number: (_) _- Email Address:
3. Agronomist's name: License Number: _
Affiliation: RECr`1��'��CDF�IDWR
A ❑ N/A ❑ On Staff ❑Retained (Firm: )
Agronomist's mailing address: AUG 2 6 2019
City: State: Zip: -
Non -Discharge
Telephone number: Email Address: PerMitbng Unit
4. Soil Scientist's name: License Number:
Affiliation: ❑ N/A ❑ On Staff ❑ Retained (Firm: )
Soil Scientist's mailing address: 284 Boger Rd
City: State: NC Zip: -
Telephone number: Email Address:
5. Fee submitted: $0 (See Instruction B)
II. PERMIT INFORMATION:
1. Application is for (check all that apply): ❑ new, ❑ modified, ® renewed permit
2. If this application is being submitted to renew or modify an existing permit, provide the following:
Permit number: W00003919
Date of most -recently issued permit: 3/19/15
Date of most -recently certified Attachment A (if different than the permit):
Date of most -recently certified Attachment B (if different than the permit):
FORM: RLAP 08-13 Page 1 of 5

III. RESIDUALS LAND APPLICATION PROGRAM INFORMATION:
1. Residuals Processing Facility's physical address: 2101 Becton Farm Rd
City: Kinston State: NC Zip: 28501-
Coordinates: Latitude: 35' 77' 17" Longitude: 77' 30 48"
Datum: Map Level of accuracy: Second
Method of measurement: Map
2. County where residuals land application program is headquartered: Lenior
3. List the Operator In Responsible Charge (ORC) and all Back -Up ORCs for the residuals land application program, their
certification numbers, and their affiliations in the following table:
Designation
Name
Affiliation
Certification Number
ORC
Drew Culp
Synagro
Back -Up ORC
Nate Roth
Synagro
1001672
Additional Back -Up
ORCs
(if applicable)
If an ORC and at least one Back -Up ORC are not currently designated for this residuals land application program, provide
the candidates' names, affiliations, and an estimated time schedule for each candidate's completion of the required training
school and certification test:
4. Complete the following tables regarding management of the residuals land application program:
a. Plant Available Nitroizen Summary: Determine the maximum plant available nitrogen (PAN) generated by all residuals
source -generating facilities as currently certified and proposed for certification with this application and list the results in
the following table:
Maximum amount of residuals to be certified: 1,500 dry tons per year.
PAN
Pounds of PAN per Dry Ton
Pounds of PAN per Year
(Weighted Average)
Surface
Incorporation
Surface
Incorporation
or Injection
or Injection
First -Year
43.25
57.25
40,961
54,219
Five -Year Maximum Adjusted
62.18
76.18
58,881
72,139
b. Land Application Site Use Summary: Summarize information regarding the land application sites as currently certified
and proposed for certification with this application:
Category
Use
Acres
Comments
Crops
Forest or Plantation
Row Crops
91.7
Hay
105.1
Pasture
243.5
Total:
413.3
Methods
Surface
413.3
Incorporation or Injection
Total:
413.3
FORM: RLAP 08-13 Page 2 of 5

c. Residuals Land Application Summary: Determine the minimum acreage required to land apply the residuals as currently
certified and proposed for certification assuming the scenarios listed in the following table:
Assumed
Acres Required Using
Acres Required Using
Application Rate
First -Year PAN Concentrations
Five -Year Maximum Adjusted PAN
(lbs PAN/ac-yr)
Concentrations
Surface
Incorporation or
Surface
Incorporation or
Injection
Injection
50
819.2
1084.4
1177.6
1442.8
100
409.6
542.2
588.8
721.4
150
273.1
361.5
392.5
480.9
200
204.8
271.1
294.4
1 360.7
6. If applicable, provide a plan and a schedule to resolve any known issues that would prevent land application of the proposed
residuals due to the violation of North Carolina Administrative Code (e.g. not enough storage, not enough land, vector
reduction practices not in place, etc.):
7. Specify type of residuals program (See Instruction F): ❑ Non -dedicated ❑ Dedicated
If Dedicated, specify the following (check all that apply):
❑ Residuals program contains any land application site(s) that receives residuals at rates or frequencies greater than
agronomic rates, explain;
❑ Residuals program contains any land application site(s) that is used primarily for residuals disposal, and agricultural crop
production is of secondary importance, explain;
❑ Residuals program contains any land application site(s) that receives residuals through fixed irrigation facilities or
irrigation facilities fed through a fixed supply system, explain;
IV. RESIDUALS SOURCE INFORMATION: (Not required if no new, renewed, or modified residuals source)
Complete and submit the following Residuals Source Certification and all associated documentation.
Residuals Source
Certification
V. LAND APPLICATION SITE INFORMATION: (Not required if no new, renewed, or modified land application site)
Complete and submit the following Land Applications Site Certification and all associated documentation.
Land Application Siite
Certification.doc
FORM: RLAP 08-13 Page 3 of 5

Note: Item Vl. Applicable to Dedicated Program with fixed irrigation system only.
VI. DESIGN INFORMATION FOR FIXED IRRIGATION SYSTEM
1. The irrigation system is: ❑ Spray ❑ Drip
2. Disposal system is: ❑ existing ❑ proposed.
3. Minimum depth to mean seasonal high water table (SHWT) within irrigation sites(s) per Soil Scientist's Evaluation:
feet below ground surface. Rules I '; 1 -C 1 t ' 0_2 I o 0 �(h) requires at least one -foot vertical separation between SHWT and
ground surface.
4. Are there any artificial drainage or water movement structures within 200 feet of any irrigation area?
❑ Yes or ❑ No If Yes, please explain if the soil scientist report addresses artificial structures and please indicate if
structures are to be maintained or modified:
5. Loading rates recommended by the Soil Scientist Evaluation:
Soil Series
Fields within Soil Area
Recommended
Loading Rate
in/hr)
Recommended
Loading Rate
in/ r
6. Design loading rates are equal or less than the loading rates recommended by Soil Scientist?
❑ Yes or ❑ No If No, explain why I '. A "1i ( A(' 0 '1f n is not met:
7. Non -dedicated System Design (fill in the appropriate information for either a spray or drip irrigation system):
Field / Zone
Design Area
ft2)
Number of
Nozzles
Maximum Application
Rate allons/hr
Design Annual Loading
Rate allons/ r
Total
Spray Irrigation Design Element
Plan Sheet
Number
Specification
Page Number
Wetted diameter of nozzles
ft
Wetted area of nozzles
ft2
Nozzle capacity
gpm
Nozzle manufacturer / model
/
Elevation of highest nozzle
ft
FORM: RLAP 08-13 Page 4 of 5

Applicant's Certification (signing authority must be in compliance with 15A NCAC 02T .0106):
The applicant or any affiliate has not been convicted of an environmental crime, has not abandoned a wastewater facility without
proper closure, does not have an outstanding civil penalty where all appeals have been exhausted or abandoned, are compliant with
any active compliance schedule, and do not have any overdue annual fees under Rule 15A NCAC 02T .0105.
® Yes ❑ No, Explain;
ML96o
R
(Signature Authority's Name — PLEASE PRINT)
WoLt V 6- 10 VN0.7 oy% Su)wri►'1Wrt&,,
attest that this application for Kinston Regional Water Reclamation Facility
(Facility Name)
(Title)
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that the Division of Water
Resources may not conduct a technical review of this program and approval does uQt constitute a variance to any rules or statutes
unless specifically granted in the permit. Further, any discharge of residuals to surface waters or the land will result in an immediate
enforcement action, which may include civil penalties, injunctive relief, and/or criminal prosecution. I will make no claim against the
Division of Water Resources should a condition of this permit be violated. I also understand that if all required parts of this
application are not completed and that if all required supporting information and attachments are not included, this application
package will be returned to me as incomplete.
Note: In accordance with North Carolina General Statutes § 143-215.6A and § 143-215.6I3, any person who knowingly makes any
false statement, representation, or certification in any application shall be guilty of a Class 2 misdemeanor, which may include a fine
not to exceed $10,000 as well as civil penalties up to $25,000 per violation.
Signature: Date: oc-1
w
FORM: RLAP 08-13 . Page 5 of 5

Quantitative Justification for Residuals Production
The City of Kinston's WWTP is currently permitted for 1500 dry tons per year of land
applied biosolids. There is no request at this time to change this amount. This is based
on the number of dry tons applied in the past 3 years.
2016; 1,066.90 Dry Tons
2017; 1,156.33 Dry Tons
2018; 95.51 Dry Tons

SPILL RESPONSE PLAN
PROJECT: Kinston WWTP Permit W00003919
IN THE UNLIKELY EVENT OF A SPILL THE FOLLOWING ACTIONS SHALL BE TAKEN
IMMEDIATELY:
1. MANAGEMENT OF SPILL CLEAN-UP ACTIVITIES:
The Operations Manager shall take immediate charge and initiate clean-up activities. Synagro labor and equipment is to
be utilized. In the event additional labor and equipment is required, assistance may be requested from the City of Kinston,
the NC Department of Transportation, and other private contractors as necessary.
2. HALT THE SOURCE OF THE SPILL:
Such as a ruptured container or damaged transport unit.
3. CONTAIN THE SPILL:
Form a barrier. Sufficient quantities of straw shall be used for such purposes. Earthen barriers may be constructed to
augment the straw bale containment area of the spill. The Operations Manager or the person in charge on the spill site
will advise the clean-up personnel where to get the straw, lime, and other items necessary to complete the clean-up
operation, i.e., local farmers, farm supply centers, nurseries, etc.
4. CLEAN-UP:
Employ front-end loaders, vacuum equipment, sludge application vehicles, and/or local septic tank service to remove as
much of the spilled material as possible. Straw and/or sand should be scattered in the spill area to soak up the remaining
material. The straw- and sand -soaked material will be collected and removed to a disposal area approved by
representatives of the state regulatory agency.
5. FINAL CLEAN-UP:
Employ rotary brush sweeper if needed, and apply lime to the spill area upon the approval of the clean-up efforts by the
state regulatory representative. If the event occurs on private property, the clean-up will be completed to the satisfaction
of the property owner and state regulatory representatives. The ultimate goal will be to restore the spill area to its original
condition if possible.-
6. NOTIFICATION:
As soon as possible after the spill occurs, the Synagro Operations Manager or assistant will notify the Synagro Central
office, and they will then be responsible for notifying other key Synagro personnel.
7. REPORTING:
Synagro Central personnel will notify the Washington Regional Office by Telephone at 252-946-6481 as soon as possible, but
not more than 24 hours after, or on the next working day following the occurrence. The Operations Manager shall
provide a written report within 48 hours of the spill to the Technical Services Manager. The report shall list all relative
information and actions taken. Synagro Central personnel will file a written report to the Washington Regional office of
the NCDENR within 5 days of the occurrence. For after hours reporting the Division's emergency number shall be called
to report all incidences (800-662-7956 or 800-858-0368 or 252-946-6481)

OPERATIONS AND MAINTENANCE PLAN
SYNAGRO RESIDUALS LAND APPLICATION FOR WQ0003919 (Kinston WWTP)
Operational Functions
The operation function of this project is going to involve dewatering biosolid material coming from the Kinston WWTP
which is then trucked to the storage pad at the facility. It is going to be spread at agronomic rates that are determined
by the nutrient and metal sample that is current for that monitoring period. It is going to be spread with a cake
applicator that will spread the material in such a way to achieve a consistent spread pattern. The material is going to be
land applied on fields that have grass growing on them that are going to either be grazed or cut for hay for animal feed
or row crops to be planted on them and used for animal feed.
SAFETY MEASURES
Synagro believes in operating in a safety conscious manner and is has all employees participate in quarterly online safety
course that are designed to help its employees recognize safety issues and take steps to prevent accidents from
occurring. In addition all Synagro employees have the authority to stop operations if they think any aspect of the
operation is going to cause environmental or personal harm.
Maintenance Schedule
Synagro will follow the maintenance schedule as recommended by the Synagro fleet manager for the equipment
necessary to complete the job.

OPERATIONS AND MAINTENANCE PLAN
SYNAGRO RESIDUALS LAND APPLICATION FOR WQ0003919 (Kinston WWTP)
Inspection Plan
Inspections for the land application of residuals will be conducted on a weekly basis at the land application site during the land
application activities of this project. The inspection frequency is based on the time frame that it is going to take to complete the
project and the amount of dry tons to be land applied from this facility. The inspections will consist of inspecting a current field
that is being applied as well as inspecting random fields that have been completed. These inspections will consist of:
1. Verifying that the Pre -Operations Check List has been completed and signed by both Operations and Technical staff.
2. Checking the calculated loads to insure the correct amount of residuals are being land applied.
3. Insure that all manned equipment has a copy of the spill control plan, the permit, and the operations and maintenance
plan.
4. Insure that the field has been flagged properly and that all buffers are being adhered to.
S. Insure that the Crop and Landowner Verification form has been filled out.
6. Verifying that the correct number samples of the residuals have been taken and that it meets the criteria for land
application.
7. The records will be kept in the project files in the respective office for the project.
8. The Permittee or Inspector shall report by telephone to the Raleigh Regional Office by Telephone at 919-791-4200 as
soon as possible but no later than 24 hours after or the next working day following the occurrence or the first knowledge
of the occurrence of the following.
• Any occurrence with the distribution program resulting in the land application of significant amounts of material
that is abnormal in quantity or characteristics.
• Any failure of the distribution system that results in the release to surface waters.
• Any time that self -monitoring indicates that the facility has gone out of compliance with the permit.
• Any process failure that results in the system not adequately treating the residuals.
• Any spill or discharge from a vehicle or piping system during residuals transportation.
• Any release that requires immediate reporting outside of normal business hours shall be called in to DENR at 1-
800-662-7956, 1-800-858-0368, or 252-946-6481. These numbers are to be called in the event of a release to
surface waters, imminent failure of a storage system when the event occurs outside of normal business hours.
• Within 5 days of the first notice of on occurrence a written response in the form of a letter shall be sent to DENR
outlining the actions taken or purposed actions taken to ensure that the problem does not recur. Persons
responsible for inspections on this project are as follows:
Nate Roth, 49nEy Dail Operations Manager or his designee
Nate Roth4enGy sail is the designated land application ORC for this project and his designees are the backup ORC's for this
project.

OPERATIONS AND MAINTENANCE PLAN
SYNAGRO RESIDUALS LAND APPLICATION FOR WQ0003919
Sampling Plan
Sampling for this project consists of sampling the residuals during the time that land application is occurring. This will
result in one round of sampling to occur before land application commences in order to insure that the residuals are
suitable for land application. Based on the dry tonnage of this plant this will be one sample for all parameters per
year.
The residuals shall be sampled annually for the following: (Regulatory level in milligrams per liter in parentheses.)
Arsenic (5.0)
1, 4-Dichlorobenzene (7.5)
Nitrobenzene (2.0)
Barium (100.0)
1, 2-Dichloroethane (0.5)
Pentachlorophenol (100.0)
Benzene (0.5)
1, 1-Dichloroethylene (0.7)
Pyridine (5.0)
Cadmium (1.0)
2, 4-Dinitrotoluene (0.13)
Selenium (1.0)
Carbon tetrachloride (0.5)
Endrin (0.02)
Silver (5.0)
Chlordane (0.03)
Hexachlorobenzene (0.13
Tetrachloroethylene (0.7)
Chlorobenzene (100.0)
Heptachlor (and its hydroxide) (0.008) Toxaphene (0.5)
Chloroform (6.0)
Hexachloro-1,3-butadiene (0.5)
Trichloroethylene (0.5)
Chromium (5.0)
Hexachlorethane (3.0)
2,4,5-Trichlorophenol (400.0)
M-Cresol (200.0)
Lead (5.0)
2,4,6-Trichlorophenol (2.0)
o-Cresol (200.0)
Lindane (0.4)
2,4,5 TP ( Silvex) (1.0)
p-Cresol (200.0)
Mercury (0.2)
Vinyl Chloride (0.2)
Cresol(200.0)
Methoxychlor(10.0)
2,4-D (10.0)
Methyl ethyl ketone (200.0)
The residuals will also be sampled based on the chart below for the fnllnwinc rnnctitiicntc
Dry Tons Generated
(short tons per year)
-o -
Monitoring Frequency
(Established in 40 CFR 503 and 15A NCAC 02T.1111)
<319
1 time per year
=>319-<1,650
1 per Quarter (4 times per year)
=>1,650-<16,500
1 every 60 days (6 times per year)
=>16,500
1 every month (12 times per year)
Aluminum Magnesium pH
Ammonia -Nitrogen Mercury Plant Available Nitrogen (calculation)
Arsenic Molybdenum Selenium
Cadmium Nickel Sodium
Calcium Nitrate -Nitrite Nitrogen % Total Solids
Copper Phosphorous Total Kjeldahl Nitrogen
Lead Potassium Zinc
Sodium Adsorption Ratio (SAR)
In order to meet pathogen and vector requirements the material will be sampled for fecals to prove that the residuals have met
the pathogen requirements of the permit. The material will be tested for vector attraction by using a sour test. The samples will
be pulled from the basins and/or cake pad that are currently holding the residuals. The samples that will be pulled are a TCLP,
nutrient and metals sample, a fecal sample and a sour test to prove that the material is suitable for land application. The nutrient
and metal and TCLP sample will be collected randomly and consist of at least 30 individual samples mixed together in order to get
the composite sample for these parameters. This material is very consistent based on the fact that the residuals will be mixed
thoroughly with aerators and mixers. This should take care of any seasonal fluctuations in the material.
The following people are responsible for sampling:
William Varner Technical Services Specialist or his designee.

State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
Division of Water Resources RESIDUALS SOURCE CERTIFICATION
INSTRUCTIONS FOR FORM: RSC 08-13
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted, the Applicant shall submit one original and two copies of the application and
supporting documentation
For more information or for an electronic version of this form, visit the Land Application Unit (LAU) web site at:
/1111):rlcclenr.org,ii eb wwcq s 1au
General — This certification provides detailed information of residuals source generating facility and its residuals quality for land
application, distribution, or disposal in accordance with 15A NCAC 02T .1100. Do not submit this certification for review without
a corresponding application form (FORM: RLAP 08-13, FORM: DCAR 08-13, or FORM: SDR 08-13).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Residuals Source Certification (FORM: RSC 08-13):
® Submit the completed and appropriately executed Residuals Source Certification (FORM: RSC 08-13) form. Please do not
make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to the
application may be made, as long as the attachments are numbered to correspond to the section and item to which they refer.
® For new or renewed permits, submit a separate certification for each source facility.
❑ For modified permits, submit a separate certification for only those facilities that are affected by the proposed modification.
® Complete the residuals source facility summary page. List all new, renewed, or modified facilities.
B. Residuals Source -Generating Facility Information:
® For each source facility, attach the following:
® Vicinity map - A vicinity map that shows the location of the facility and meets all of the criteria in the "Ma Guidance for
Residuals Land ApOication Permits".
® Process flow diagram and/or narrative - A detailed narrative and/or process flow diagram that describes how the residuals
are to be generated, treated, processed, and stored at the facility.
® Quantitative justification for residuals production rate - A quantitative justification for the value provided in Item I. 8.
Ensure that the amount of residuals listed is the maximum amount expected to be generated by the facility for the life of
the permit. In addition, ensure that this amount is equivalent to that which is actually to be land applied, distributed,
and/or disposed, including any chemicals, amendments, or other additives that are added to the residuals during
processing.
® Sampling plan - A detailed sampling plan for the residuals source -generating facility. Ensure that the plan identifies
sampling points, sampling frequency, sample type, as well as the Division -certified laboratory to be used. In addition,
ensure that the plan details how the facility and/or the residuals are monitored for any applicable pathogen reduction and
vector attraction reduction requirements. Note that all sampling and monitoring must be completed on the residuals as
they are to be land applied, distributed, and/or disposed.
C. Residuals Quality Information:
® For each source facility, attach the following:
® Laboratory analytical reports and operational data - reports for all laboratory analyses used to complete this certification.
® Documentation that the facility complies and/or the residuals comply with any applicable pathogen reduction and vector
attraction reduction requirements.
❑ For new facility that may have not yet been constructed and analytical results of residuals cannot be obtained, please
attach analytical results of residuals generated from a similar facility along with the description of similarities of the two
facilities.
INSTRUCTIONS FOR FORM: RSC 08-13 Page 1 of 1

RESIDUALS SOURCE FACILITY SUMMARY
Applicant's name: City of Kinston
Status
Code
Facility Permit Holder
Facility Name
County
Permit Number
Maximum Dry Tons Per Year
Current b
Proposed
R
City of Kinston
Kinston Regional Water
Reclamation Facility
Lenior
WQ0003919
1500
1500
Status Code for source facility are: ♦ N (New) ♦ R (Renewed) ♦ M (Modified) ♦ D (Deleted)
b The amount of residuals currently permitted for distribution, land application, or disposal (Le, not applicable to new facility).
SUMMARY FOR FORM: RSC 08-13 Page I

State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
Division of water Resources RESIDUALS SOURCE CERTIFICATION
FORM: RSC 08-13
I. RESIDUALS SOURCE -GENERATING FACILITY INFORMATION (See Instruction B.):
1. Facility Name: Kinston Regional Water Reclamation Facility
2. Facility permit holder is: ❑ Federal, ❑ State, ® Local Government, or ❑ Private.
Facility permit issued by: ® Div. of Water Resources, ❑ Div. of Environmental Health,
or ❑ Other (explain:
3. Facility contact person and title: Swindell Flowers, Land Application ORC
Complete mailing address: 2101 Becton Farm Road
City: Kinston State: NC Zip: 28501-
Telephone number: [phone] E-mail address: Swindell.flowersaa.ci.kinston.nc.us
4. Facility physical address: 2101 Becton Farm Rd
City: Kinston State: NC Zip: 28501-
Coordinates: Latitude: 35' 17' 17" Longitude: 770 30' 48"
Datum: Man Level of accuracy: Second
Method of measurement: Map
5. Purpose of the facility:
® treatment of municipal wastewater, ❑ treatment of 100% domestic wastewater,
❑ treatment of potable water, ❑ treatment of 100% industrial wastewater,
❑ treatment of industrial wastewater mixed with domestic wastewater,
(approximate percentages: % industrial and % domestic)
❑ other (explain: ).
6. Does the facility have an approved pretreatment program: ® Yes ❑ No
7. Facility permitted/design flow: 11.85 MGD and facility average daily flow: 5 MGD
8. Average amount of residuals being generated at this facility 753 dry tons per year. Based on past 3 years.
9. Specify the following regarding treatment and storage volumes available at the facility:
Type and volume of residuals treatment:
Type and volume of residuals storage (i.e., outside of residuals treatment units): 4 sheltered concreate pads
11. RESIDUALS QUALITY INFORMATION (See Instruction C.):
1. Specify if residuals are regulated under:
® 40 CFR Part 503 or ❑ 40 CFR Part 257.
Note: Only residuals that are generated during domestic/municipal wastewater treatment processes are regulated under 40
CFR Part 503, otherwise, the residuals are regulated under 40 CFR Part 257.
2. Specify if residuals are defined under I �,\ NCAC 02T.1 102(6) as:
® Biological ❑ Non -Biological
Note: Biological residuals are residuals that have been generated during the treatment of domestic wastewater, animal
processing wastewater, or the biological treatment of industrial wastewater (biological treatment is a system that utilizes
biological processes including lagoons, activated sludge systems, extended aeration systems, and fixed film systems).
FORM: RSC 08-13 Pagel of 5

3. Hazardous Waste Determination: Complete the following to demonstrate that the residuals are non -hazardous under
RCRA: (Note - this item does not have to be completed for facilities that are less than 0.5 MGD in design flow that treat
100% non -municipal, domestic wastewater only)
a. Are the residuals listed in 40 CFR §261.31-§26 L33: ❑ yes ® no.
If yes, list the number(s):
b. Specify whether or not the residuals exhibit any of the characteristics defined by 40 CFR §261.21-
261.24: ❑ yes ® no.
Fill in the following tables with the results of the latest toxicity characteristic leaching procedure (TCLP) analysis as
well as those for corrosivity, ignitability, and reactivity:
Laboratory: Summit Environmental and Date of analysis: 7/25/19
Passed corrosivity test: ® yes ❑ no. pH: s.u. (2 < pH < 12.5)
Passed ignitability test: ® yes ❑ no. Flashpoint: > 140 OF (> 140°F)
Passed reactivity test: Eyes ❑no. HCN: ND mg/kg (<250) & HAS: ND mg/kg (<500)
TCLP Parameter
Limit
(ing/l)
Result
(m9/1)
TCLP Parameter
Limit
(mg/l)
Result
(mg/1)
Arsenic
5.0
ND
Hexachlorobenzene
0.13
ND
Barium
100.0
ND
Hexachloro-1,3-Butadiene
0.5
ND
Benzene
0.5
ND
Hexachloroethane
3.0
ND
Cadmium
1.0
ND
Lead
5.0
ND
Carbon Tetrachloride
0.5
ND
Lindane
0.4
ND
Chlordane
0.03
ND
Mercury
0.2
ND
Chlorobenzene
100.0
ND
Methoxychlor
10.0
ND
Chloroform
6.0
ND
Methyl Ethyl Ketone
200.0
ND
Chromium
5.0
ND
Nitrobenzene
2.0
ND
m-Cresol
200.0
ND
Pentachlorophenol
100.0
ND
o-Cresol
200.0
ND
Pyridine
5.0
ND
p-Cresol
200.0
ND
Selenium
1.0
ND
Cresol
200.0
ND
Silver
5.0
ND
2,4-D
10.0
ND
Tetrachloroethylene
0.7
ND
1,4-Dichlorobenzene
7.5
ND
Toxaphene
0.5
ND
1,2-Dichloroethane
0.5
ND
Trichloroethylene
0.5
ND
1,1-Dichloroethylene
0.7
ND
2,4,5-Trichlorophenol
400.0
ND
2,4-Dinitrotoluene
0.13
ND
2,4,6-Trichlorophenol
2.0
ND
Endrin
0.02
ND
2,4,5-TP (Silvex)
1.0
ND
Heptachlor and its Hydroxide
0.008
ND
Vinyl Chloride
0.2
ND
FORM: RSC 08-13 Page 2 of 5

4. Metals Determination: Complete one of the following tables (i.e., as applicable) to demonstrate that the residuals do not
violate the ceiling concentrations for metals regulated under I SA NC_\C 02T .1105.
a. For Distribution/Land Application: Fill in the following table with the results of the latest analyses (i.e., on a dry weight
basis) for the following metal parameters:
Laboratory: WMMoint Analytical and Date of analysis: 3/29/19
Parameter
Ceiling
Concentration Limits
(C1assA & ClassB)
(mg/kg)
Monthly Average
Concentration Limits
(Class A Only)
(mg/kg)
Result
(mg/kg)
Arsenic
75
41
5.6
Cadmium
85
39
1.7
Copper
4,300
1.500
286
Lead
840
300
25.8
Mercury
57
17
.2
Molybdenum
75
n/a
6
Nickel
420
420
26.8
Selenium
100
100
5.4
Zinc
7,500
2,800
1050
b. For Surface Disposal Unit (landfill): Fill in the following table with the results of the latest analyses (i.e., on a dry weight
basis) for the following metal parameters:
Laboratory: and Date of analysis:.
Distance from Disposal
Unit to Boundary to
Closest Property Line
(meters, check one)
Arsenic
(mg/kg)
Chromium
(m9/k9)
Nickel
(mg/kg)
❑ > 0 but < 25
30
200
210
❑ > 25 but < 50
34
220
240
❑ > 50 but < 75
39
260
270
❑ > 75 but < 100
46
300
320
❑ > 100 but < 125
53
360
390
❑ >_ 125
62
450
420
Result (mg/kg)
FORM: RSC 08-13 Page 3 of 5

5. Nutrient/Micronutrient Determination: Complete the following:
a. Total solids: 12.4 %.
b. Fill in the following table with the results of the latest analyses (i.e., on a dry weight basis) for the following nutrient and
micronutrient parameters:
Laboratory: Waypoint Analytical and Date of analysis: 3/29/19
Parameter
Result
(mg/kg)
Aluminum
23300
Ammonia -Nitrogen
3 800
Calcium
17300
Magnesium
4440
Nitrate -Nitrite Nitrogen
<4.94
pH (Standard Unit)
7.3
Phosphorus
29000
Potassium
4290
Sodium
1510
Total Kjeldahl Nitrogen
52800
c. Using the results listed in Item II. 5b. above, calculate the sodium adsorption ration (SAR): .96
[Note: if residuals contain SAR of 10 or higher, the applicant shall obtain recommendations from the local Cooperative
Extension Office, the Department of Agriculture and Consumer Services, the Natural Resource Conservation Service, a
North Carolina Licensed Soil Scientist, or an agronomist, prior to land application of residuals. The recommendations shall
address the sodium application rate, soil amendments (e.g., gypsum, etc.), or a mechanism for maintaining site integrity
and conditions conducive to crop growth].
d. Specify the mineralization rate to be used in calculating the plant available nitrogen (PAN) of the residuals: 30 %. This
rate is a (check one): ® default value, or ❑ actually established.
If the residuals are not generated from the treatment of municipal or domestic wastewater, explain or provide technical
justification as to why the selected default value is appropriate to be applied to these residuals:
e. Calculate the PAN for the residuals (i.e., on a dry weight basis) and fill the results in the following table:
Application Method
First (111) Year PAN
Five -Year
Maximum Adjusted PAN
(mg1kg)
(mg/kg)
Surface
16,604
26,163
Injection/Incorporation
18,504
28,063
6. Other Pollutants Determination: Specify whether or not there are any other pollutants of concern in the residuals and provide
the results of the latest analyses:
FORM: RSC 08-13 Page 4 of 5

7. Pathogen Reduction: Per 15A NC;\.C' 0� 1, 1106, specify how residuals will meet the pathogen reduction requirements:
a. For Distribution/Land Application of Class A or Equivalent:
❑ A fecal coliform density that is demonstrated to be less than 1,000 MPN per gram of total dry solids,
or
❑ A salmonella sp. density that is demonstration to be less than 3 MPN per 4 grams of total dry solids.
AND one of the followings (except for non -biological residuals):
❑ Alternative 1 [15A NCAC 02T.I 106(bx3)(A)] - Time/Temperature Compliance.
❑ Alternative 2 [15A NCAC 02T.1106(b)(3)(B)] - Alkaline Treatment.
❑ Alternative 3 [15A NCAC 02T.I 106(bx3)(C)] - Prior Testing for Enteric Virus/Viable Helminth Ova.
❑ Alternative 4 [15A NCAC 02T. 1106(b)(3)(D)] - No Prior Testing for Enteric Virus/Viable Helminth Ova.
❑ Alternative 5 [15A NCAC 02T.1106(b)(3)(E)-(K)] - Process to Further Reduce Pathogens (PFRP).
Specify one: ❑ composting, ❑ heat drying, ❑ heat treatment,
❑ thermophilic aerobic digestion, ❑ beta ray irradiation,
❑ gamma ray irradiation, or ❑ pasteurization.
b. For Land Application of Class B:
® Alternative 1 [I 5A NCAC 02T. 1 106(c)(1)] - Fecal Coliform Density Demonstration.
❑ Alternative 2 [15A NCAC 02T.1106(c)(2)] - Process to Significantly Reduce Pathogens (PSRP).
Specify one: ❑ aerobic digestion, ❑ air drying, ❑ anaerobic digestion,
❑ composting, or ❑ lime stabilization.
c. For Surface Disposal:
❑ Select One of the Class A or Equivalent Pathogen Reduction Alternatives in Item II.7a. above.
❑ Select One of the Class B or Equivalent Pathogen Reduction Alternatives in Item II. 7b. above.
❑ Exempt - If Daily Cover Alternative is chosen in Item 11.8. below [15A NCAC 02T.1106(a)(2)].
❑ Not Applicable - Non -Biological Residuals with NO Domestic Wastewater Contribution.
8. Vector Attraction Reduction (VAR): Per 15A NCAC 02T.1107, specify how residuals will meet the VAR requirements:
® Alternative 1 [15A NCAC 02T.I 107(a)(1)] - 38% Volatile Solids Reduction (Aerobic/Anaerobic Digestion).
❑ Alternative 2 [15A NCAC 02T.I 107(a)(2)] - 40-Day Bench Scale Test (Anaerobic Digestion).
® Alternative 3 [15A NCAC 02T.I 107(a)(3)] - 30-Day Bench Scale Test (Aerobic Digestion).
® Alternative 4 [15A NCAC 02T.I 107(a)(4)] - Specific Oxygen Uptake Rate Test (Aerobic Digestion).
❑ Alternative 5 [15A NCAC 02T.I 107(a)(5)] - 14-Day Aerobic Processes.
® Alternative 6 [15A NCAC 02T.1107(a)(6)] - Alkaline Stabilization.
❑ Alternative 7 [15A NCAC 02T.1107(a)(7)] - Drying of Stabilized Residuals.
❑ Alternative 8 [15A NCAC 02T.1107(a)(8)] - Drying of Unstabilized Residuals.
® Alternative 9 [15A NCAC 02T.I 107(a)(9)] - Injection.
® Alternative 10 [ 15A NCAC 02T. 1107(a)(10)] - Incorporation.
❑ Alternative for Surface Disposal Units Only - Soil/Other Material Cover [I 5A NCAC 02T.I 107(b)(2)].
❑ Not Applicable - Non -Biological Residuals with NO Domestic Wastewater Contribution.
Note: For animal processing residuals, only alternatives 9 or 10 may be chosen due to the nuisance conditions that typically
occur when these residuals are applied and left on the land surface.
FORM: RSC 08-13 Page 5 of 5

ools Login Software Window
Peak Flo,
Storage
Briery Ru
Lift Statio
Headworks
Rq G
Forrest St
Lift Station
Preanoxi" Anae
Basin 2 Bas
Prean
Totals Trends Reports Alarms H
Flow Diagram
MG
t
MG
Secondary
Clarifier
Denite Denite Denite
Denite
1
Fitter Fitter Filter
Filter
>bi
Anozic
Aeration Basin 1
1 2 3
4
i 1
Basin 1
RAG
Clearwell
UV Disinfection
Secondary
)6i
i 2
Anoxic
Basin 2
Aeration Basin 2
Clarifier
F.qG
Post
2101
Aeration
UV Disinfecton
Discharge To
Meuse River
MG
Plant Water
Supply
>bi
Anoxic
Aeration Basin 3
Reclaimed
1 3
Basin 3
Secondary
Water Supply
® I I®
�Clarifier
I I
RA S-3
RA S-2
RA S-1
WAS-1 MO Basin
Storage
Basin
WAS-2 MG
WAS-3 MG MG
Digesters Biosolids
Land
Disposal
CURRENTUSER UNACK. ALARMS I i Pm Alive ,i 11551 Sec 8/2212019 1054:41AM

8/23/2019
Becton Farm Rd - Google Maps
Google Maps _ 9IyvSv--r w LjT?
Kinston Tick bite" + Yod, rs Julch Pont: y
O ail -
Regional nu n)) t� E
Jetport at , . �.�•"'-�' unu O..
Stallings Fld ` - -
,f)e
r -Woods Vlaw 1
-
l
West Fort aarnweil
,w Gossroada ,aa Q z->
ss
�r f
Lions Water Adventure
J
, O
Wintergreen "
I,)1 ,NI
o )o ,G6pgIe
PEI
' Map data 02019 2 ml r
w
httpsItwww.goog!e.com/maps/place/Becton+Farm+Rd,+Kinston,+NC+28501/@35.2803377,-77.4481038,12z/data=)4m5!3m4l1 sOx89aecaeO3fOc3489... 1 /1

Residuals Sampling Plan
City of Kinston Land Application Program
Wastewater Treatment Plant
Nutrients and Metals Analysis
Sampling Point: Pad
Sampling Frequency: Based on Dry Tons Land Applied
Sample Type: Grab
Lab: Waypoint Analytical, Inc.
Pathogen
Vector
TCLP
Sampling Point: Pad
Sampling Frequency: Based on Dry Tons Land Applied
Sample Type: Grab
Lab: Cameron Testing
Sampling Point: Basin
Sampling Frequency: Based on Dry Tons Land Applied
Sample Type: Grab
Lab: Kinston WWTP
Sampling Point: Pad
Sampling Frequency: Annually
Sample Type: Grab
Lab: Summit Environmental Technologies, Inc

Summit Environmental Technologies, Inc.
Analytical Report
3310 Win St.
Cuyahoga Falls, Ohio 44223
(base report)
TEL: [phone] FAA'- [phone]
WO#: 19070851
6Lehsite: hnp://www.setlek.cot11
Date Reported: 7/25/2019
CLIENT:
Synagro
Tag Number:
Matrix:
SOLID
Collection Date:
7/5/2019 11:00:00 AM
Lab ID:
19070851-OOIA
Project:
Kenston WWTP
Client Sample ID Kinston TCLP
Analyses Result RL Qual Units DF Date Analyzed
TCLP METALS, VOC, BNA, PEST, HERB -SOLID SW8270 SW3510C Analyst: BJH
TCLP SEMI-VOLATILES ANALYSIS (SW131118270)
NOTES:
LCS-38534(R101209) exhibited low recovery of Pyridine; associated samples maybe biased accordingly.
TCLP METALS, VOC, BNA, PEST, HERB -SOLID
TCLP PESTICIDES ANALYSIS (SW1311/8081)
Chlordane, total
ND
Toxaphene
ND
Endrin
ND
gamma-BHC
ND
Heptachlor
ND
Heptachlor epoxide
ND
Methoxychlor
ND
Surr: TCMX
37.8
Surr: DCB
37.3
TCLP METALS, VOC, BNA, PEST, HERB -SOLID
TCLP HERBICIDES ANALYSIS (SW1311/8151)-SOLID
2,4-D ND
2,4,5-TP ND
Surr: DCAA 61.9
SW8081 SW3510C Analyst: MES
0,250
mg/L
10
7/24/2019 3:49:00 PM
0.500
mg/L
10
7/24/2019 3:49:00 PM
0.0250
d
mg/L
10
7/24/2019 3:49:00 PM
0.0250
mg/L
10
7/24/2019 3:49:00 PM
0.0250
QC+
mg/L
10
7/24/2019 3:49:00 PM
0.0250
d
mg/L
10
7/24/2019 3:49:00 PM
0.0250
d
mg/L
10
7/24/2019 3:49:00 PM
10 - 119
%Rec
10
7/24/2019 3:49:00 PM
10 - 119
%Rec
10
7/24/2019 3:49:00 PM
SW8151A SW8151A Analyst: MES
0.100 QC+ mg/L 10 7/25/2019 1:52:00 AM
0,0500 mg/L 10 7/25/2019 1:52:00 AM
20 - 140 %Rec 10 7/25/2019 1:52:00 AM
TCLP METALS, VOC, BNA, PEST, HERB -SOLID
SW8260 SW1311M Analyst: CTB
TCLP VOLATILES
ANALYSIS
1,1-Dichloroethene
ND
0.500
mg/L 100 7/16/2019 5:25:00 PM
1,2-Dichloroethane
ND
0.500
mg/L 100 7/16/2019 5:25:00 PM
MEK
ND
10.0
mg/L 100 7/16/2019 5:25:00 PM
Benzene
ND
0.500
mg/L 100 7/16/2019 5:25:00 PM
Carbon tetrachloride ND
0.500
mg/L 100 7/16/2019 5:25:00 PM
Chlorobenzene
ND
5,00
mg/L 100 7/16/2019 5:25:00 PM
Chloroform
ND
0.500
mg/L 100 7/16/2019 5:25:00 PM
Tetrachloroethene
ND
0.500
mg/L 100 7/16/2019 5:25:00 PM
Trichloroethene
ND
0.500
QC+ mg/L 100 7/16/2019 5:25:00 PM
Qualifiers: B
Analyte detected in the associated Method Blank
E Value above quantitation range
H
Holding times for preparation or analysis exceeded
M Manual Integration used to determine area response
MC
Value is below Minimum Compound Limit.
N Tentatively identified compounds
ND
Not Detected
P Second column confirmation exceeds
PL
Permit Limit
R RPD outside accepted recovery limits Original
RL
Reporting Detection Limit
11 Samples with CalcVal < MDL
Page 8 of 35

Summit Environmental Technologies, Inc. Analytical Report
3310 Win St.
Cuyahoga Falls, Ohio 44223 (base report)
TEL: [phone] FAX.- [phone] WO#: 19070851
IVehsite: htto://www.settek.com Date Reported: 7/25/2019
CLIENT: Synagro
Tag Number:
Matrix: SOLID
Collection Date:
7,15/2019 11:00:00 AM
Lab ID: 19070851-OOIA
Project: Kenston WWTP
Client Sample ID Kinston TCLP
Analyses Result
RL
Qual
Units
DF Date Analyzed
TCLP METALS, VOC, BNA, PEST, HERB -SOLID
SW7470A
SW7470A Analyst: DNS
TCLP MERCURY ANALYSIS (SW131117470)
TCLP Mercury
ND
0.00500
mg/L
1 7/17/2019 4:49:00 PM
TCLP METALS, VOC, BNA, PEST, HERB -SOLID
SW6010D
SW3010A Analyst: EAM
TCLP METALS ANALYSIS (SW1311/6010)
TCLP Arsenic(As)
ND
1.25
mg/L
1 7/17/2019 6:14:37 PM
TCLP Barium(Ba)
ND
12.5
mg/L
1 7/17/2019 6:14:37 PM
TCLP Cadmium(Cd)
ND
0.250
mg/L
1 7/17/2019 6:14:37 PM
TCLP Chromium(Cr)
ND
0.500
mg/L
1 7/17/2019 6:14:37 PM
TCLP Lead(Pb)
ND
1.25
mg/L
1 7/17/2019 6:14:37 PM
TCLP Selenium(Se)
ND
0.125
mg/L
1 7/17/2019 6:14:37 PM
TCLP Silver(Ag)
ND
1.25
mg/L
1 7/17/2019 6:14:37 PM
TCLP METALS, VOC, BNA, PEST, HERB -SOLID
SW8270
SW3510C Analyst: BJH
TCLP SEMI-VOLATILES ANALYSIS (SW1311/8270)
1,4-Dichlorobenzene
ND
0.0800
mg/L
2 7/25/2019 2:48:00 PM
2,4,5-Trichlorophenol
ND
0.200
mg/L
2 7/25/2019 2:48:00 PM
2,4,6-Trichlorophenol
ND
0.200
mg/L
2 7/25/2019 2:48:00 PM
2,4-Dinitrotoluene
ND
0.0400
mg/L
2 7/25/2019 2:48:00 PM
Cresols, Total
ND
4.00
mg/L
2 7/25/2019 2:48:00 PM
Hexachloro-1,3-butadiene
ND
0.0160
mg/L
2 7/25/2019 2:48:00 PM
Hexachlorobenzene
ND
0.0400
mg/L
2 7/25/2019 2:48:00 PM
Hexachloroethane
ND
0.0800
mg/L
2 7/25/2019 2:48:00 PM
Nitrobenzene
ND
0.0800
mg/L
2 7/25/2019 2:48:00 PM
Pentachlorophenol
ND
0.200
mg/L
2 7/25/2019 2:48:00 PM
Pyridine
ND
0.200
QL-
mg/L
2 7/25/2019 2:48:00 PM
Surr: 2-Fluorophenol
12.5
10 - 109
%Rec
2 7/25/2019 2:48:00 PM
Surr: Phenol-d6
14.4
10 - 109
%Rec
2 7/25/2019 2:48:00 PM
Surr: Nitrobenzene-d5
12.8
19 - 120
S
%Rec
2 7/25/2019 2:48:00 PM
Surr: 2,4,6-Tribromophenol
17,7
10 - 120
%Rec
2 7/25/2019 2:48:00 PM
Surr: 2-Fluorobiphenyl
13.5
22 - 117
S
%Rec
2 7/25/2019 2:48:00 PM
Surr: p-Terphenyl-d14
20.1
34 - 116
S
%Rec
2 7/25/2019 2:48:00 PM
Qualifiers: B Analyte detected in the associated
Method Blank
E Value above quantization range
H Holding times for preparation or analysis
exceeded
M Manual Integration
used to determine area response
MC Value is below Minimum Compound Limit.
N Tentatively identified
compounds
ND Not Detected
P Second column confirmation exceeds
PL Permit Limit
R RPD outside accepted recovery limits Original
RL Reporting Detection Limit
U Samples with CalcVal < MDL
Page 7 of 35

Summit F_nrironmental Technologies, Inc. Analytical Report
3310 Win .St.
C'iryahoga Falls. Ohio 44223 (base report)
TFL: [phone] FAX: [phone] WO#: 19070851
Website: huU:11wivw.settek.cO71! Date Reported: 7/25/2019
CLIENT: Synagro
Matrix: SOLID
Lab ID: 19070851-OOIA
Project: Kenston W WTP
Client Sample ID Kinston TCLP
Tag Number:
Collection Date:
7/5/2019 11:00:00 AM
Analyses
Result
RL
Qual Units
DF
Date Analyzed
TCLP METALS, VOC, BNA, PEST, HERB -SOLID
SW8260
SW1311M Analyst: CTB
TCLP VOLATILES ANALYSIS
Vinyl chloride
ND
0.200
mg/L
100
7/16/2019 5:25:00 PM
Surr: 4-Bromofluorobenzene
94.0
70 - 130
%Rec
100
7/16/2019 5:25:00 PM
Surr: Dibromofluoromethane
93.0
70 - 130
%Rec
100
7/16/2019 5:25:00 PM
Surr: Toluene-d8
98.7
70 - 130
%Rec
100
7/16/2019 5:25:00 PM
RCI-SOLID-W/ IGNITABILITY1030
SW9014
Analyst: MS
REACTIVE CYANIDE (9014/7.3.3.2)-SOLID
Cyanide, Reactive
ND
0.485
mg/Kg
1
7/18/2019 11:22:00 AM
RCI-SOLID-W/ IGNITABILITY1030
SW1030
Analyst: CXS
IGNITABILITY OF SOLIDS (SW-846: 1030)
Ignitability nonflammable
1
7/19/2019 3:10:43 PM
RCI-SOLID-W/ IGNITABILITY1030
SW9045D
Analyst: VVK
PH (SW9045D)
pH
7.8
s.u.@21.1C
1
7/19/2019 2:24:03 PM
RCI-SOLID-W/ IGNITABILITY1030
SW9034
Analyst: MS
REACTIVE SULFIDE (9034)/7.3.4.2
Sulfide, Reactive
40.0
25.0
mg/Kg
1
7/18/2019 11:22:00 AM
Qualifiers: B Analyte detected in the associated Method Blank
H Holding times for preparation or analysis exceeded
MC Value is below Minimum Compound Limit.
ND Not Detected
PL Permit Limit
RL Reporting Detection Limit
E Value above quantitation range
M Manual Integration used to determine area response
N Tentatively identified compounds
P Second column confirmation exceeds
R RPD outside accepted recovery limits Original
II Samples with CalcVal < MDL
Page 9 of 35

Summit Environmental Technologies, Inc.
Accreditation Program
3310 Win St.
Analytes Report
Cuyahoga Falls, Ohio 44223
TEL: [phone] FAX [phone]
WO#: 19070851
Website: httn://www.setrek.com
25-Jul-19
Client:
Synagro
State: NW
Project:
Kenston WWTP
Program Name: NC_WW_SCM
Sample ID Matrix
Test Name
Analyte Status
19070851-001 A Solid
Ignitability of Solids (SW-846: 1030)
Ignitability
A
Solid
pH (SW9045D)
Hydrogen Ion (pH)
A
Solid
Reactive Cyanide (9014/7.3.3.2)-Solid
Cyanide, Reactive
U
Solid
Reactive Sulfide (9034y7.3.4.2
Sulfide, Reactive
U
Solid
TCLP Herbicides Analysis (SW 1311/8151 }solid
2,4,5-TP
A
Solid
TCLP Herbicides Analysis (SW1311/8151)-solid
2,4-D
A
Solid
TCLP Mercury Analysis (SW1311/7470)
Mercury
A
Solid
TCLP Metals Analysis (SW1311/6010)
Arsenic
A
Solid
TCLP Metals Analysis (SW1311/6010)
Barium
A
Solid
TCLP Metals Analysis (SW 1311/6010)
Cadmium
A
Solid
TCLP Metals Analysis (SW 1311/6010)
Chromium
A
Solid
TCLP Metals Analysis (SW1311/6010)
Lead
A
Solid
TCLP Metals Analysis (SW1311/6010)
Selenium
A
Solid
TCLP Metals Analysis (SW 1311/6010)
Silver
A
Solid
TCLP Pesticides Analysis (SW 1311/8081)
Chlordane, total
A
Solid
TCLP Pesticides Analysis (SW1311/8081)
Endrin
A
Solid
TCLP Pesticides Analysis (SWI 311/8081)
gamma-BHC
A
Solid
TCLP Pesticides Analysis (SW1311/8081)
Heptachlor
A
Solid
TCLP Pesticides Analysis (SW1311/8081)
Heptachlor epoxide
A
Solid
TCLP Pesticides Analysis (SW 1311/8081)
Methoxychlor
A
Solid
TCLP Pesticides Analysis (SW1311/8081)
Toxaphene
A
Solid
TCLP Semi-Volatiles Analysis (SW1311/8270)
IA-Dichlorobenzene
A
Solid
TCLP Semi-Volatiles Analysis (SW1311/8270)
2,4,5-Trichlorophenol
A
Solid
TCLP Semi-Volatiles Analysis (SW1311/8270)
2,4,6-Trichlorophenol
A
Solid
TCLP Semi-Volatiles Analysis (SW1311/8270)
2,4-Dinitrotoluene
A
Solid
TCLP Semi-Volatiles Analysis (SW1311/8270)
Cresols, Total
A
Solid
TCLP Semi-Volatiles Analysis (SW1311/8270)
Hexachlorobenzene
A
Solid
TCLP Semi-Volatiles Analysis (SW1311/8270)
Hexachlorobutadiene
A
Solid
TCLP Semi-Volatiles Analysis (SW1311/8270)
Hexachloroethane
A
Solid
TCLP Semi-Volatiles Analysis (SW1311/8270)
Nitrobenzene
A
Solid
TCLP Semi-Volatiles Analysis (SW1311/8270)
Pentachlorophenol
A
Solid
TCLP Semi-Volatiles Analysis (SW1311/8270)
Pyridine
A
NC WW SCM A Accredited NC WW SCM U Unavailable
Original #1
Page 10 of 35

" 1
Summit Environmental Technologies, Inc.
Accreditation Program
3310 Win St.
Anal tes Report
y p
Cuyahoga Falls, Ohio 44223
TEL: [phone] F.4X. [phone]
WO#: 19070851
Website: httn://lvww.seliek.com
25441-19
Client: Synagro
State: NW
Project: Kenston WWTP
Program Name: NC_WW_SCM
Sample ID
Matrix
Test Name
Analyte Status
19070851-001 A
Solid
TCLP Volatiles Analysis
1,1-Dichloroethene A
Solid
TCLP Volatiles Analysis
1,2-Dichloroethane A
Solid
TCLP Volatiles Analysis
2-Butanone A
Solid
TCLP Volatiles Analysis
Benzene A
Solid
TCLP Volatiles Analysis
Carbon tetrachloride A
Solid
TCLP Volatiles Analysis
Chlorobenzene A
Solid
TCLP Volatiles Analysis
Chloroform A
Solid
TCLP Volatiles Analysis
Tetrachloroethene A
Solid
TCLP Volatiles Analysis
Trichloroethene A
Solid
TCLP Volatiles Analysis
Vinyl chloride A
NC_WW_SCM A Accredited NC_WW SCM U Unavailable
Original # 1
Page 11 of 35

Summit Envn'ortmental Technologies, Inc. QC SUMMARY REPORT
3310 Win St.
Cuyahoga Falls, Ohio 44223
WO#: 19070851
TEL: [phone] FAX: [phone]
Website: httn.'Liwww.settek-com 25-Jul-19
Client: Synagro
Project: Kenston WWTP BatchID: 38387
Sample ID MB-38387
SampType: MBLK
TestCode: tclp-voc-mstr Units: mg1L
Prep Date: 7/15/2019
RunNo: 100817
client ID: PBS
Batch ID: 38387
TestNo: SW8260 SW1311M
Analysis Date: 7/16/2019
SegNo: 2217867
knalyte
Result
PQL SPK value SPK Ref Val
%REC LowLimit HighLimit RPD Ref Val
%RPD RPDLimit Qual
1,1-Dichloroethene
ND
0.0500
1,2-Dichloroethane
ND
0.0500
MEK
ND
1.00
Benzene
ND
0.0500
Carbon tetrachloride
ND
0.0500
Chlorobenzene
ND
0.500
Chloroform
ND
0.0500
Tetrachloroethene
ND
0.0500
Trichloroethene
ND
0.0500
Vinyl chloride
ND
0.0200
Surr: 4-Bromofluorobenzene
463
Surr: Dibromofluoromethane
475
Surr: Toluene-d8
493
500.0 92.6 70 130
500.0 95.0 70 130
500.0 98.6 70 130
QC+
Sample ID 19070765-004aMS
SampType: MS
TestCode: tclp-voc-mstr Units: mg/L
Prep Date:
RunNo: 100817
client ID: BatchQC
Batch ID: 38387
TestNo: SW8260 SW1311M
Analysis Date: 7116/2019
SegNo: 2217889
4nalyte
Result
PQL SPK value SPK Ref Val
%REC Lowl-imit HighLimit RPD Ref Val
%RPD RPDLimit Qual
1,1-Dichloroethene
0.885
0.250
1.00
0
88.4
39.9
160
1,2-Dichloroethane
1.01
0.250
1.00
0
101
42.5
157
MEK
5.03
5.00
5.00
0
101
16.6
227
Benzene
0.940
0.250
1.00
0
94.0
38.1
155
Qualifiers: B Analyte detected in the associated Method Blank E Value above quantitation range H Holding times For preparation or anal}
J Analyte detected below quantitation limits M Manual Integration used to determine area response MC Value is below Minimum Compound
Original
ND Not Detected P Second column confirmation exceeds PL Permit Limit
R RPD outside accepted recovery limits RL Reporting Detection Limit S Spike Recovery outside accepted reeo
Page 12 of 35

Summit Environmental Technologies, Inc. QC SUMMARY A RY REPORT
3310 Win St. �,[ 1. �7 U 1�il�li� 1 1�L
Ctryahoga Falls, Ohio 44223
WO#: 19070851
TEL: [phone] FAX. [phone]
Website: httn:.'ivwiv.settekeom 25-Jul-19
Client: Synagro
Project: Kenston WWTP BatchID: 38387
iample ID 19070765-004aMS
SampType: MS
TestCode: tclp-voc-mstr Units: mg/L
Prep Date:
RunNo: 100817
'tient ID: BatchQC
Batch ID: 38387
TestNo: SW8260 SW1311M
Analysis Date: 7/16/2019
SegNo: 2217889
knalyte
Result
PQL SPK value SPK Ref Val
%REC LowLimit HighLimit RPD Ref Val
%RPD RPDLimit Qual
Carbon tetrachloride
0.825
0.250
1.00
0
82.5
40.8
162
Chlorobenzene
ND
2.50
1.00
0
104
35.7
168
Chloroform
0.985
0.250
1.00
0
98.5
18.3
199
Tetrachloroethene
0.906
0.250
1.00
0
90.7
10
261
Trichloroethene
1.13
0.250
1.00
0
113
23.8
175 QC+
Vinyl chloride
0.660
0.100
1.00
0
66.0
10
165
Sum..4-Bromofluorobenzene
2560
2500
102
84.6
130
Surr: Dibromofluoromethane
2340
2500
93.5
71.4
127
Su.. Toluene-d8
2550
2500
102
74.6
127
Sample ID 19070765-004aMSD
SampType: MSD
TestCode: tclp-voc-mstr Units: mg/L
Prep Date:
RunNo: 100817
client ID: BatchQC
Batch ID: 38387
TestNo: SW8260 SW1311M
Analysis Date: 7/16/2019
SegNo: 2217890
4nalyte
Result
PQL SPK value SPK Ref Val
%REC Lowl-imit HighLimit RPD Ref Val
%RPD RPDLimit Qual
1,1-Dichloroethene
0.950
0.250
1.00
0
95.0
39.9
160
0.885
7.09
25
1,2-Dichloroethane
0.983
0.250
1.00
0
98.2
42.5
157
1.01
2.31
25
MEK
ND
5.00
5.00
0
98.5
16.6
227
5.03
200
25
Benzene
0.909
0.250
1.00
0
90.9
38.1
155
0.940
3.41
25
Carbon tetrachloride
0.878
0.250
1.00
0
87.8
40.8
162
0.825
6.17
25
Chlorobenzene
ND
2.50
1.00
0
102
35.7
168
0
0
25
Chloroform
0.966
0.250
1.00
0
96.6
18.3
199
0.985
1.90
25
Tetrachloroethene
0.966
0.250
1.00
0
96.6
10
261
0.906
6.30
25
Qualifiers: B Analyte detected in the associated Method Blank E Value above quantitation range H Holding times for preparation or anal
J Analyte detected below quantitation limits M Manual Integration used to determine area response MC Value is below Minimum Compound
Original
ND Not Detected P Second column confirmation exceeds PL Permit Limit
R RPD outside accepted recovery limits RL Reporting Detection Limit S Spike Recovery outside accepted reco
Page 13 of 35

Summit Environmental Technologies, Inc.
QC SUMMARY "PORT
3310 Win St.
Cuyahoga Falls, Ohio 44223
WO#: 19070851
TEL: (330)
253-8211 FAX: [phone]
Yfebsite: http:;%ivww.settek.com
25-Jul-19
Client: Synagro
Project: Kenston WWTP
BatchlD:
38387
Sample ID 19070765-004aMSD SampType:
MSD
TestCode: tclp-voc-mstr Units: mg/L
Prep Date:
RunNo: 100817
Client ID: BatchQC Batch ID:
38387
TestNo: SW8260 SW1311M
Analysis Date:
7/16/2019
SegNo: 2217890
Analyte
Result
PQL SPK value SPK Ref Val
%REC
Lowl-imit HighLimit RPD Ref Val
%RPD RPDLimit Qual
Trichloroethene
1.13
0.250 1.00 0
113
23.8
175 1.13
0.0442 25 QC+
Vinyl chloride
0.710
0.100 1.00 0
71.0
10
165 0.660
7.37 25
Surr:4-Bromofluorobenzene
2520
2500
101
84.6
130
0 25
Surr: Dibromofluoromethane
2340
2500
93.5
71.4
127
0 25
Surr: Toluene-d8
2490
2500
99.7
74.6
127
0 25
Sample ID LCS-100817
SampType: LCS
TestCode: tclp-voc-mstr Units: mg/L
Prep Date:
RunNo: 100817
Client ID: LCSS
Batch ID: 38387
TestNo: SW8260 SW1311M
Analysis Date: 7/16/2019
SegNo: 2217891
Analyte
Result
PQL SPK value SPK Ref Val
%REC Lowt-imit HighLimit RPD Ref Val
%RPD RPDLimit Qual
1.1-Dichloroethene
0.0182
0.00500
0.0200 0
90.9
70
131
1,2-Dichioroethane
0.0186
0.00500
0.0200 0
92.8
70
137
MEK
ND
0.100
0.100 0
93.1
55.1
163
Benzene
0.0187
0.00500
0.0200 0
93.4
70
132
Carbon tetrachloride
0.0211
0.00500
0.0200 0
105
63.7
139
Chlorobenzene
ND
0.0500
0.0200 0
100
70
139
Chloroform
0.0197
0.00500
0.0200 0
98.6
70
130
Tetrachloroethene
0.0212
0.00500
0.0200 0
106
56.2
187
Trichloroethene
0.0236
0.00500
0.0200 0
118
64.1
138
QC+
Vinyl chloride
0.0158
0.00200
0.0200 0
79.0
22.1
147
Surr. 4-Bromofluorobenzene 50.4
50.00
101
70
130
Surr: Dibromofluoromethane 47.8
50.00
95.6
70
130
Qualifiers: B
Analyte detected in the associated Method Blank
E Value above quantitation range
H
Holding times for preparation or anal;
J
Analyte detected below- quantitation limits
M Manual Integration used to determine area response
MC
Value is below Minimum Compound
Original
ND
Not Detected
P Second column confirmation exceeds
PL
Permit Limit
R
RPD outside accepted recover) limits
RL Reporting Detection Limit
S
Spike Recovery outside accepted reco
Page 14 of 35

Summit Environmental Technologies, Inc. QC SUMMARY
REPORT
3310 Win St. 1. �7 V 1�ilYlL 11� 1 i\L 1 1�
= Cuyahoga Falls, Ohio 44223
W'O#: 19070851
TEL: [phone] FAX: [phone]
Website: htJV7/ivwmv.settek.com 25-Jul-19
Client: Synagro
Project: Kenston WWTP BatchID: 38387
Sample ID LCS-100817
SampType: LCS
TestCode: tclp-voc-mstr Units: mg/L
Prep Date:
RunNo: 100817
client ID: LCSS
Batch ID: 38387
TestNo: SW8260 SW1311M
Analysis Date: 7/16/2019
SegNo: 2217891
Analyte
Result
PQL SPK value SPK Ref Val
%REC Lowl-imit Highl-imit RPD Ref Val
%RPD RPDLimit Qual
Surr: Toluene-d8 51.4 50.00 103 70 130
Qualifiers: B Analyte detected in the associated Method Blank E Value above quantitation range H Holding times for preparation or analA
J Analyte detected below quantitation limits M Manual Integration used to determine area response MC Value is below Minimum Compound
Original
ND Not Detected P Second column confirmation exceeds PL Permit Limit
R RPD outside accepted recovery limits RL Reporting Detection Limit S Spike Recovery outside accepted reco
Page 15 of 35

Summit Environmental Technologies, Inc. QC SUMMARY REPORT`
3310 Win St. �,[
Cuyahoga Falls. Ohio 44223
Vc'O#: 19070851
- TEL: [phone] F [phone] LY
Webstte: huy 45vww.settekconi 25-Jul-19
Client: Synagro
Project: Kenston VVWTP BatchID: 38387
Sample ID LCS-100817
Client ID: LCSS
Analyte
SampType: LCS
Batch ID: 38387
Result
TestCode:
TestNo:
PQL
tclp-voc-mstr Units: mg/L .
SW8260 SW1311M
SPK value SPK Ref Val
%REC
Prep Date: RunNo: 100817
Analysis Date: 7/1612019 SegNo: 2217894
Lowl-imit Highl-imit RPD Ref Val %RPD RPDLimit Qual
1,1-Dichloroethene
0.0182
0.00500
0.0200
0
90.9
79.4
131
1,2-Dichloroethane
0.0186
0.00500
0.0200
0
92.8
73.6
137
MEK
ND
0.100
0.100
0
93.1
55.1
163
Benzene
0.0187
0.00500
0.0200
0
93.4
73.1
132
Carbon tetrachloride
0.0211
0.00500
0.0200
0
105
63.7
139
Chlorobenzene
ND
0.0500
0.0200
0
100
72.3
139
Chloroform
0.0197
0.00500
0.0200
0
98.6
79.3
129
Tetrachloroethene
0.0212
0.00500
0.0200
0
106
56.2
187
Trichloroethene
0.0236
0.00500
0.0200
0
118
64.1
138 QC+
Vinyl chloride
0.0158
0.00200
0.0200
0
79.0
22.1
147
Surr: 4-Bromofluorobenzene
50.4
50.00
101
80.4
126
Surr: Dibromofluoromethane
47.8
50.00
95.6
70.3
125
Surr: Toluene-d8
51.4
50.00
103
82
117
Qualifiers: B Analyte detected in the associated Method Blank E Value above quantitation range H Holding times for preparation or anah
J Analyte detected below quantitation limits M Manual Integration used to determine area response MC Value is below Minimum Compound
Original
ND Not Detected P Second column confirmation exceeds PL Permit Limit
R RPD outside accepted recovery limits RL Reporting Detection Limit S Spike Recovery outside accepted reco
Page 16 of 35

Suntmit Environmental Technologies, Inc. Q C SUMMARY D j� PORT'
3310 Win St. �[ l REPORT
Cuyahoga Falls, Ohio 44223 WO#: 19070851
- TEL: (330) 2S3-8211 FAX: [phone]
Website: ht1P. %'wwiv.settekcorn 25-Jul-19
Client: Synagro
Project: henston WWTP BatchID: 38411
mple ID MB-38411
SampType: MBLK
TestCode: HG_TCLP(74 Units: PPM
Prep Date: 7/17/2019
RunNo: 100889
ant ID: PBS
Batch ID: 38411
TestNo: SW7470A SW7470A
Analysis Date: 7117/2019
SegNo: 2219743
alyte
Result
PQL SPK value SPK Ref Val
%REC LowLimit HighLimit RPD Ref Val
%RPD RPDLimit Qual
TCLP Mercury
ND 0.00200
mple ID LCS-38411
SampType: LCS
TestCode:
HG_TCLP(74 Units: PPM
Prep Date. 7/17/2019
RunNo: 100889
ant ID: LCSS
Batch ID: 38411
TestNo:
SW7470A SW7470A
Analysis Date: 7/17/2019
SegNo: 2219745
alyte
Result
PQL
SPK value SPK Ref Val
%REC LowLimit HighLimit RPD Ref Val
%RPD RPDLimit Qual
TCLP Mercury 0.00446 0.00200 0.00400 0 112 80 120
Sample ID 19070652-003AMS
SampType: MS
TestCode: HG_TCLP(74 Units: PPM
Prep Date: 7/17/2019
RunNo: 100889
Client ID: BatchQC
Batch ID: 38411
TestNo: SW7470A SW7470A
Analysis Date: 7/17/2019
SegNo: 2220834
Analyte
Result
PQL SPK value SPK Ref Val
%REC LowLimit HighLimit RPD Ref Val
%RPD RPDLimit Qua[
TCLP Mercury 0.00536 0.00200 0.00400 0.0000800 132 75 125 S
mple ID 19070652-003AMSD
SampType: MSD
TestCode: HG_TCLP(74 Units: PPM
Prep Date: 7/1712019
RunNo: 100889
ant ID: BatchOC
Batch ID: 38411
TestNo: SW7470A SW7470A
Analysis Date: 7/17/2019
SegNo: 2220835
alyte
Result
PQL SPK value SPK Ref Val
%REC LowLimit HighLimit RPD Ref Val
%RPD RPDLimit Qual
TCLP Mercury 0.00486 0.00200 0.00400 0.0000800 120 75 125 0.00536 9.78 20
Qualifiers: B Analyte detected in the associated Method Blank E Value above quantitation range H Holding times for preparation or anal}
J Analyte detected below quantitation limits M Manual Integration used to determine area response MC Value is below Minimum Compound
Original
ND Not Detected P Second column confirmation exceeds PL Permit Limit
R RPD outside accepted recovery limits RL Reporting Detection Limit S Spike Recovery outside accepted reco
Page 17 of 35

Summit Environmental Technologies, Inc. QC SUMMARY
ry TA/iM A 17 �T REPORT
) T PO T
3310 Win St. �[ �7 lJ lYll�lt 11\ 1 R �,1 l�
= Cuyahoga Falls, Ohio 44223
R O#: 19070851
TEL: [phone] FLY. [phone]
Website: ham://www.settek.com 25-Jul-19
Client: Synagro
Project: Kenston WWTP
Sample ID 19070652-003AMSD SampType: MSD TestCode: HG_TCLP(74 Units: PPM
Client ID: BatchQC Batch ID: 38411 TestNo: SW7470A SW7470A
Analyte
Result PQL SPK value SPK Ref Val
BatchID: 38411
Prep Date: 711712019 RunNo: 100889
Analysis Date: 7/17/2019 SegNo: 2220835
%REC Lowl-imit HighLimit RPD Ref Val %RPD RPDLimit Qual
Qualifiers: B Analyte detected in the associated Method Blank E Value above quantitation range H Holding times for preparation or anal,
J Analyte detected below quantitation limits M Manual Integration used to determine area response MC Value is below Minimum Compound
Original
ND Not Detected P Second column confirmation exceeds PL Permit Limit
R RPD outside accepted recovery limits RL Reporting Detection Limit S Spike Recovery outside accepted reco
Page 18 of 35

Sunman' Environmental Technologies, i Inc. QC SUMMARY REPORT
3310 Win St. �[ 1. lJ lal�'Ir-�i` I
Ciryahoga Falls, Ohio 44223
WO#: 19070851
TEL: [phone] FAX: [phone]
Wehsile: hup:!hvway.setlekcona 25-Jul-19
Client: Synagro
Project: Kenston WWTP BatchID: 38418
Sample ID MB-38418
SampType: MBLK
TestCode:
Mtl-TCLP-7(6 Units: mg/L
Prep Date: 7/17/2019
RunNo: 100867
client ID: PBS
Batch ID: 38418
TestNo:
SW6010D SW3010A
Analysis Date: 7/17/2019
SegNo: 2219099
4nalyte
Result
PQL
SPK value SPK Ref Val
%REC Lowl-imit HighLimit RPD Ref Val
%RPD RPDLimit Qual
TCLP Arsenic(As)
ND
0.500
TCLP Barium(Ba)
ND
5.00
TCLP Cadmium(Cd)
ND
0.100
TCLP Chromium(Cr)
ND
0.200
TCLP Lead(Pb)
ND
0.500
TCLP Selenium(Se)
ND
0.0500
TCLP Silver(Ag)
ND
0.500
iample ID LCS-38418
SampType: LCS
TestCode: Mtl-TCLP-7(6 Units: mg/L
Prep Date: 711712019
RunNo: 100867
;lient ID: LCSS
Batch ID: 38418
TestNo: SW6010D SW3010A
Analysis Date: 7117/2019
SegNo: 2219100
\nalyte
Result
PQL SPK value SPK Ref Val
%REC LowLimit HighLimit RPD Ref Val
%RPD RPDLimit Qual
TCLP Arsenic(As)
2.00
0.500
2.000
0
99.8
80
120
TCLP Barium(Ba)
ND
5.00
2.000
0
100
80
120
TCLP Cadmium(Cd)
1.83
0.100
2.000
0
91.7
80
120
TCLP Chromium(Cr)
2.04
0.200
2.000
0
102
80
120
TCLP Lead(Pb)
2.12
0.500
2.000
0
106
80
120
TCLP Selenium(Se)
2.03
0.0500
2.000
0
102
80
120
TCLP Silver(Ag)
2.10
0.500
2.000
0
105
80
120
Qualifiers: B Analyte detected in the associated Method Blank E Value above quantitation range H Holding times for preparation or anal
J Analyte detected below quantitation limits M Manual Integration used to determine area response MC Value is below Minimum Compound
Original
ND Not Detected P Second column confirmation exceeds PL Permit Limit
R RPD outside accepted recovery limits RL Reporting Detection Limit S Spike Recovery outside accepted reco
Page 19 of 35

Summit Environmental Technologies, Inc. 3310 Win St. QC SUMMARY REPORT
Cuyahoga Falls, Ohio 44223
TEL: [phone] FAX: [phone] V6'O#: 19070851
Websile: httos.wwiv.settekcont 25-Jul-19
Client: Synagro
Project: Kenston WWTP BatchID: 38418
Sample ID 19070652-003AMS
SampType: MS
TestCode:
Mtl-TCLP-7(6 Units: mg/L
Prep Date:
711712019 RunNo: 100867
Client ID: BatchQC
Batch ID: 38418
TestNo:
SW6010D
SW3010A
Analysis Date:
7/17/2019 SegNo: 2220624
Analyte
Result
PQL
SPK value
SPK Ref Val
%REC
Lowl-imit HighLimit RPD Ref Val %RPD RPDLimit Qua[
TCLP Arsenic(As)
2.24
0.500
2.000
0
112
70
130
TCLP Barium(Ba)
ND
5.00
2.000
0.5242
98.4
70
130
TCLP Cadmium(Cd)
1.92
0.100
2.000
0.0004980
96.0
70
130
TCLP Chromium(Cr)
2.05
0.200
2.000
0
102
70
130
TCLP Lead(Pb)
2.05
0.500
2.000
0
103
70
130
TCLP Selenium(Se)
2.34
0.0500
2.000
0
117
70
130
TCLP Silver(Ag)
2.22
0.500
2.000
0
111
70
130
Sample ID 19070652-003AMSD
SampType: MSD
TestCode: Mtl-TCLP-7(6 Units: mg/L
Prep Date: 7/17/2019
RunNo: 100867
Client ID: BatchQC
Batch ID: 38418
TestNo: SW6010D SW3010A
Analysis Date: 7/17/2019
SegNo: 2220625
Analyte
Result
PQL SPK value SPK Ref Val
%REC Lowl-imit HighLimit RPD Ref Val
%RPD RPDLimit Qual
TCLP Arsenic(As)
2.22
0.500
2.000
0
111
70
130
2.244
0.961 20
TCLP Barium(Ba)
ND
5.00
2.000
0.5242
97.5
70
130
0
0 20
TCLP Cadmium(Ccl)
1.88
0.100
2,000
0.0004980
94.1
70
130
1.921
1.98 20
TCLP Chromium(Cr)
2.04
0.200
2.000
0
102
70
130
2.050
0.501 20
TCLP Lead(Pb)
2.01
0.500
2.000
0
101
70
130
2.052
1.97 20
TCLP Selenium(Se)
2.32
0.0500
2.000
0
116
70
130
2.335
0.601 20
TCLP Silver(Ag)
2.20
0.500
2.000
0
110
70
130
2.218
0.608 20
Qualifiers: B Analyte detected in the associated Method Blank E Value above quantitation range H Holding times for preparation or anal,
J Analyte detected below quantitation limits M Manual Integration used to determine area response MC Value is below Minimum Compound
Original
ND Not Detected P Second column confirmation exceeds PL Permit Limit
R RPD outside accepted recovery limits RL Reporting Detection Limit S Spike Recovery outside accepted reco
Page 20 of 35

Summit Environmental Technologies, Inc. QC SUMMARY
l7 Y REPORT
33/0 Win St. 1. lJ 1alYlc'�lt 1
Cuyahoga Falls, Ohio 44223
WO#: 19070851
_ TEL: [phone] FAX: [phone]
Website: htm:"'www.settek.com 25-Jul-19
Client: Synagro
Project: henston W WTP BatchID: 38493
Sample ID MB-38493
SampType: MBLK
TestCode:
TCLP-svoc-h Units: mg/L
Prep Date: 7/22/2019
RunNo: 101222
Client ID: PBS
Batch ID: 38493
TestNo:
SW8151A SW8151A
Analysis Date: 7/25/2019
SegNo: 2235885
Analyte
Result
PQL
SPK value SPK Ref Val
%REC Lowl-imit HighLimit RPD Ref Val
%RPD RPDLimit Qual
2,4-D ND 0.0100 0 0 QC+
2,4,5-TP ND 0.00500 0 0
Surr: DCAA 440 500.0 87.9 20 140
Sample ID LCS-38493
SampType: LCS
TestCode: TCLP-svoc-h Units: mg/L
Prep Date: 712212019
RunNo: 101222
Client ID: LCSS
Batch ID: 38493
TestNo: SW8151A SW8151A
Analysis Date: 7/25/2019
SegNo: 2235905
Analyte
Result
PQL SPK value SPK Ref Val
%REC Lowl-imit HighLimit RPD Ref Val
%RPD RPDLimit Qual
2,4-D
0.547 0.0100
0.500
0 109
43.8
130 QC+
2,4,5-TP
0.486 0.00500
0.500
0 97.3
51.5
ill
Surr. DCAA
497
500.0
99.4
34.2
150
Sample ID LCSD-38493
SampType: LCSD
TestCode: TCLP-svoc-h Units: mg/L
Prep Date: 7/22/2019
RunNo: 101222
Client ID: LCSS02
Batch ID: 38493
TestNo: SW8151A SW8151A
Analysis Date: 7125/2019
SegNo: 2235919
Analyte
Result
PQL SPK value SPK Ref Val
%REC Lowl-imit HighLimit RPD Ref Val
%RPD RPDLimit Qual
2,4-D
0.564 0.0100
0.500 0 113 43.8
130
0.547 3.06 30 QC+
2,4,5-TP
0.500 0.00500
0.500 0 99.9 51.5
130
0.486 2.67 30
Surr: DCAA
504
500.0 101 34.2
150
0
Qualifiers:
B
Analyte detected in the associated Method Blank
E
Value above quantitation range
H
Holding times for preparation or anaIN
J
Analyte detected below quantitahon limits
M
Manual Integration used to determine area response
MC
Value is below Minimum Compound
Original
ND
Not Detected
P
Second column confirmation exceeds
PL
Penn it Limit
R
RPD outside accepted recovery limits
RL
Reporting Detection Limit
S
Spike Recovery outside accepted reco
Page 21 of 35

Summit Environmental Technologies. Inc. QC SUMMARY REPORT
3310 Win St.
Cuyahoga Falls, Ohio 44223 WO#: 19070851
TEL: [phone] FAX. [phone]
Wehsite: httD:%!ianvw.settek.com 25-Jul-19
Client: Synagro
Project: Kenston WWTP BatchID: 3853.1
Sample ID MB-38534
SampType: MBLK
TestCode: TCLPSVOC_ Units: mglL
Prep Date: 7123/2019
RunNo: 101209
client ID: PBS
Batch ID: 38534
TestNo: SW8270 SW3510C
Analysis Date: 7125/2019
SegNo: 2235192
4nalyte
Result
PQL SPK value SPK Ref Val
%REC LowLimit HighLimit RPD Ref Val
%RPD RPDLimit Qual
1,4-Dichlorobenzene
ND
0.0400
2,4,5-Tdchlorophenol
ND
0.100
2,4,6-Trichlorophenol
ND
0.100
2,4-Dinitrotoluene
ND
0.0200
o-Cresol
ND
0.100
Cresols, Total
ND
2.00
Hexachloro-1,3-butadiene
ND
0.00800
Hexachlorobenzene
ND
0.0200
Hexachloroethane
ND
0.0400
Nitrobenzene
ND
0.0400
Pentachlorophenol
ND
0.100
Pyridine
ND
0.100
Surr: 2-Fluorophenol
0.373
Surr: Phenol-d6
0.401
Surr: Nitrobenzene-d5
0.323
Surr. 2,4,6-Tribromophenol
0.405
Surr: 2-Fluorobiphenyl
0.266
Surr: p-Terphenyl-d14
0.465
1.000
37.3
10
109
1.000
40.1
10
109
1.000
32.3
19
120
1.000
40.5
10
120
1.000
26.6
22
117
1.000
46.5
34
116
Qualifiers: B Analyte detected in the associated Method Blank E Value above quantitation range H Holding times for preparation or anal}
J Analyte detected below quantitation limits M Manual Integration used to determine area response MC Value is below Minimum Compound
Original
ND Not Detected P Second column confirmation exceeds PL Permit Limit
R RPD outside accepted recovery limits RL Reporting Detection Limit S Spike Recovery outside accepted reco
Page 22 of 35

Summit Environmental Technologies, Inc. QC SUMMARY
T7���/ A Y REPORT
3310 Win St. �[ �7 U 11'11.1 A 1
Cuyahoga Falls. Ohio 44223
Vl'O#: 19070851
TEL: [phone] FAX: [phone]
Website: huo: 1u,ww.settek cony 25-Ju1--19
Client: Synagro
Project: Kenston VVWTP BatchID: 38534
Sample ID LCS-38534
SampType: LCS
TestCode: TCLPSVOC_ Units: mglL
Prep Date: 7/23/2019
RunNo: 101209
Client ID: LCSS
Batch ID: 38534
TestNo: SW8270 SW3510C
Analysis Date: 7/2512019
SegNo: 2235193
Analyte
Result
PQL SPK value SPK Ref Val
%REC LowLimit Highl-imit RPD Ref Val
%RPD RPDLimit Qual
1,4-Dichlorobenzene
0.376
0.0400
0.8000
0
47.0
19.1
126
2,4,5-Trichlorophenol
0.529
0.100
0.8000
0
66.2
11.7
151
2,4,6-Trichlorophenol
0.504
0.100
0.8000
0
63.0
12.4
150
2,4-Dinitrotoluene
0.526
0.0200
0.8000
0
65.8
20.6
140
o-Cresol
0.473
0.100
0.8000
0
59.1
13.8
137
Cresols, Total
ND
2.00
1.600
0
60.7
10
129
Hexachloro-1,3-butadiene
0.358
0.00800
0,8000
0
44.8
14.7
137
Hexachlorobenzene
0.423
0.0200
0.8000
0
52.9
12
139
Hexachloroethane
0.389
0.0400
0.8000
0
48.7
14.8
132
Nitrobenzene
0.477
0.0400
0.8000
0
59.7
15.6
138
Pentachlorophenol
0.531
0.100
0.8000
0
66.4
10
156
Pyridine
ND
0.100
0.8000
0
1.35
1
130
Surr: 2-Fluorophenol
0.650
1.000
65.0
10
147
Surr: Phenol-d6
0.592
1.000
59.2
10
140
Surr: Nitrobenzene-d5
0.543
1.000
54.3
10
169
Surr: 2,4,6-Tribromophenol
0.691
1.000
69.1
10
185
Surr: 2-Fluorobiphenyl
0.507
1.000
50.7
10
169
Surr: p-Terphenyl-d14
0.635
1.000
63.5
10
179
m
Qualifiers: B Analyte detected in the associated Method Blank E Value above quantitation range H Holding times for preparation or anal,
J Analyte detected below quantitation limits M Manual Integration used to determine area response MC Value is below Minimum Compound
Original
ND Not Detected P Second column confirmation exceeds PL Pen -nit Limit
R RPD outside accepted recovery limits RL Reporting Detection Limit S Spike Recovery outside accepted reco
Page 23 of 35

Summu Environmental Technologies, Inc. (1,{-'t SUMMARY
RY REPORT
3310 Win St. \[ l w7 lJ 1� 11r11 ill 1 1W 1 v
Cuyahoga Falls, Ohio 44223
WO#: 19070851
TEL: [phone] FAX: [phone]
Webstte: httn:%%mvw.settekcont 25-Jul-19
Client: Synagro
Project: Kenston WWTP BatchlD: 38534
Sample ID MB-38534
SampType: MBLK
TestCode: SVOC-BNA_T Units: mg/L
Prep Date: 7/23/2019
RunNo: 101209
client ID: PBS
Batch ID: 38534
TestNo: SW8270 SW3510C
Analysis Date: 7125/2019
SegNo: 2235180
4nalyte
Result
PQL SPK value SPK Ref Val
%REC Lowl-imit Highl-imit RPD Ref Val
%RPD RPDLimit Qua[
1,4-Dichlorobenzene
ND
0.0400
2,4,5-Trichlorophenol
ND
0.100
2,4,6-Trichlorophenol
ND
0.100
2,4-Dinitrotoluene
ND
0.0200
o-Cresol
ND
0.100
Cresols, Total
ND
2.00
Hexachloro-1,3-butadiene
ND
0.00800
Hexachlorobenzene
ND
0,0200
Hexachloroethane
ND
0.0400
Nitrobenzene
ND
0.0400
Pentachlorophenol
ND
0.100
Pyridine
ND
0.100
Surr: 2-Fluorophenol
0.373
Surr: Phenol-d6
0.401
Surr: Nitrobenzene-d5
0.323
Surr: 2,4,6-Tribromophenol
0.405
Surr: 2-Fluorobiphenyl
0.266
Surr: p-Terphenyl-d14
0.465
1.000
37.3
10
109
1.000
40.1
10
109
1.000
32.3
19
120
1.000
40.5
10
120
1.000
26.6
22
117
1.000
46.5
34
116
Qualifiers: B Analyte detected in the associated Method Blank E Value above quantitation range H Holding times for preparation or anal%
J Analyte detected below quantitation limits M Manual Integration used to determine area response MC Value is below Minimum Compound
Original
ND Not Detected P Second column confirmation exceeds PL Permit Limit
R RPD outside accepted recovery limits RL Reporting Detection Limit S Spike Recovery outside accepted reco
Page 24 of 35

Summit Environmental Technologies, St. Inc.
3310 Witt StQC SUMMARY REPORT
: Cuyahoga Falls, Ohio 44223
Wo#: 19070851
TEL: [phone] FAX.- [phone]
Websile: htto:Lhvwiv.settekcom 25-Jul-19
Client: Synagro
Project: Kenston WWTP BatchID: 38534
Sample ID LCS-38534
SampType: LCS
TestCode:
SVOC-BNA_T Units: mg/L
Prep Date: 7/23/2019
RunNo: 101209
Client ID: LCSS
Batch ID: 38534
TestNo:
SW8270 SW3510C
Analysis Date: 712512019
SegNo: 2235181
Analyte
Result
PQL
SPK value SPK Ref Val
%REC Lowl-imit Highl-imit RPD Ref Val
%RPD RPDLimit Qual
1,4-Dichlorobenzene
0.376
0.0400
0.8000
0
47.0
36.4
130
2,4,5-Trichlorophenol
0.529
0.100
0.8000
0
66.2
31.7
132
2,4,6-Trichlorophenol
0.504
0.100
0.8000
0
63.0
31.1
133
2,4-Dinitrotoluene
0.526
0.0200
0.8000
0
65.8
43.3
130
o-Cresol
0.473
0.100
0.8000
0
59.1
32.9
130
Cresols, Total
ND
2.00
1.600
0
60.7
31.7
130
Hexachloro-1,3-butadiene
0.358
0.00800
0.8000
0
44.8
31.4
130
Hexachlorobenzene
0.423
0.0200
0.8000
0
52.9
43.1
130
Hexachloroethane
0.389
0.0400
0.8000
0
48.7
36.5
130
Nitrobenzene
0.477
0.0400
0.8000
0
59.7
39.5
130
Pentachlorophenol
0.531
0.100
0.8000
0
66.4
34
130
Pyridine
ND
0.100
0.8000
0
1.35
10
130
Surr: 2-Fluorophenol
0.650
1.000
65.0
17.1
130
Surr: Phenol-d6
0.592
1.000
59.2
10
130
Surr: Nitrobenzene-d5
0.543
1.000
54.3
32.6
130
Surr. 2,4,6-Tribromophenol
0.691
1.000
69.1
4.43
130
Surr:2-Fluorobiphenyl
0.507
1.000
50.7
41.8
130
Surr: p-Terphenyl-d14
0.635
1.000
63.5
36.4
130
Sm
Qualifiers: B Analyte detected in the associated Method Blank E Value above quantitation range H Holding times for preparation or anal,
J Analyte detected below quantitation limits M Manual Integration used to determine area response MC Value is below Minimum Compound
Original
ND Not Detected P Second column confirmation exceeds PL Permit Limit
R RPD outside accepted recovery limits RL Reporting Detection Limit S Spike Recovery outside accepted reco
Page 25 of 35

Summit Environmental Technologies. Inc. 33/0 Win St. QC SUMMARY REPORT
- Cuyahoga Falls, Ohio 44223
%'O#: 19070851
TEL: [phone] FAX. [phone]
6febsite: httn:/4nvw.setlekcom 25-Jul-19
Client: Synagro
Project: Kenston WWTP Batchil): R100984
Sample ID CHECK 7
SampType: LCS
TestCode: pH_S(9045D) Units: s.u.@22.4C
Prep Date:
RunNo: 100984
;lient ID: LCSS
Batch ID: R100984
TestNo: SW9045D
Analysis Date: 7/19/2019
SegNo: 2225170
\nalyte
Result
PQL SPK value SPK Ref Val %REC
Lowl-imit HighLimit RPD Ref Val
%RPD RPDLimit Qual
pH 7.0 7.0 0 101 90 110
Qualifiers: B Analyte detected in the associated Method Blank E Value above quantitation range H Holding times for preparation or anal,
J Analyte detected below quantitation limits M Manual Integration used to determine area response MC Value is below Minimum Compound
Original
ND Not Detected P Second column confirmation exceeds PL Permit Limit
R RPD outside accepted recovery limits RL Reporting Detection Limit S Spike Recovery outside accepted reco
Page 26 of 35

Summit Environmental Technologies, Inc. QC
SUMMARY REPORT
3310 Win St. ll.. SUMMARY I 1
- - Cyahoga Falls, Ohio 44223
WO#: 19070851
TEL: [phone] FAX. [phone]
Website: http i'Iir,ivvv.settek.com 25-Jul-19
Client: Synagro
Project: henston Wlk'TP BatchID: R100984
Sample ID LCS-R100984
SampType: LCS
TestCode:
pH_Oil(9045 Units: s.u.@22.00
Prep Date:
RunNo: 100984
Client ID: LCSW
Batch ID: R100984
TestNo:
SW9045D
Analysis Date: 7/19/2019
SegNo: 2224246
Analyte
Result
PQL
SPK value SPK Ref Val %REC
Lowl-imit HighLimit RPD Ref Val
%RPD RPDLimit Qual
pH 7.0 7.0 0 100 90 110
Sample ID CHECK 7
SampType: LCS
TestCode: pH_Oil(9045 Units: s.u.@22.5C
Prep Date:
RunNo: 100984
Client ID: LCSW
Batch ID: R100984
TestNo: SW9045D
Analysis Date: 7/19/2019
SegNo: 2224657
Analyte
Result
PQL SPK value SPK Ref Val %REC
LowLimit HighLimit RPD Ref Val
%RPD RPDLimit Qual
pH 7.0 7.0 0 100 90 110
Qualifiers: B Analyte detected in the associated Method Blank E Value above quantnation range H Holding times for preparation or anah
J Analyte detected below quantitation limits M Manual Integration used to determine area response MC Value is below Minimum Compound
Original
ND Not Detected P Second column confirmation exceeds PL Permit Limit
R RPD outside accepted recovery limits RL Reporting Detection Limit S Spike Recovery outside accepted reco
Page 27 of 35

Summit Environmental Technologies, Inc.
3310 Win St. QC SUMMARY REPORT
Cuyahoga Falls, Ohio 44223
R"Oi#: 19070851
TEL: [phone] FAX. [phone]
Wehsite: hun:64vww.settekcom 25-Jul-19
Client: Synagro
Project: Kenston WWTP BatchID: R100984
Sample ID 19071168-003ADUP
SampType: DUP
TestCode:
pH_NPW(450 Units: s.u.@20.2C
Prep Date:
RunNo: 100984
-lient ID: BatchQC
Batch ID: R100984
TestNo:
SW9045D
Analysis Date: 7/19/2019
SegNo: 2224254
Analyte
Result
PQL
SPK value SPK Ref Val %REC
Lowl-imit Highl-imit RPD Ref Val
%RPD RPDLimit Qual
pH
7.4
7.4 1.1 5 H
Qualifiers: B Analyte detected in the associated Method Blank E Value above quantttation range H Holding times for preparation or anal)
J Analyte detected below quantitation limits M Manual Integration used to determine area response MC Value is below Minimum Compound
Original
ND Not Detected P Second column confirmation exceeds PL Permit Limit
R RPD outside accepted recovery limits RL Reporting Detection Limit S Spike Recovery outside accepted reco
Page 28 of 35

Summit Environmenial Technologies, Inc. QC C�YT7�/rMARY REPORT
3310 Win St. \[ 1. SUMMARY l�ilu
Cuyahoga Falls, Ohio 44223 WO#: 19070851
TEL: [phone] FAX- [phone]
Website: hitp:/,ivwrv.settekeom 25-Jul-19
Client: Synagro
Project: Kenston WWTP BatchID: R100988
Sample ID 19071103-006AMS
SampType: MS
TestCode: Sulfide,React Units: mg/Kg
Prep Date: RunNo: 100988
Client ID: Batch=
Batch ID: R100988
TestNo: SW9034
Analysis Date: 7118/2019 SegNo: 2224484
Analyte
Result
PQL SPK value SPK Ref Val
%REC Lowl-imit HighLimit RPD Ref Val %RPD RPDLimit Qual
Sulfide, Reactive
4870
25.0 4800 40.00
101 80 120
Sample ID 19071103-006AMSD
SampType: MSD
TestCode: Sulfide,React Units: mg/Kg
Prep Date:
RunNo: 100988
client ID: BatchQC
Batch ID: R100988
TestNo: SW9034
Analysis Date: 7/18/2019
SegNo: 2224485
4nalyte
Result
PQL SPK value SPK Ref Val
%REC Lowl-imit HighLimit RPD Ref Val
%RPD RPDLimit Qual
Sulfide, Reactive 4760 25.0 4800 40.00 98.3 80 120 4870 2.28 3u
Qualifiers: B Analyte detected in the associated Method Blank E Value above quantitation range H Holding times for preparation or anab
J Analyte detected below quantitation limits M Manual Integration used to determine area response MC Value is below Minimum Compound
Original
ND Not Detected P Second column confirmation exceeds PL Permit Limit
R RPD outside accepted recovery limits RL Reporting Detection Limit S Spike Recovery outside accepted reco
Page 29 of 35

Sununu EntiironrnentalTechnologies. Inc. QC SUMMARY A RY REPORT'
3310 Win St. �,[l �7 U 1Vll�il 111 1
: Cuyahoga Falls, Ohio 44223 Wo#: 19070851
TEL: [phone] FAX [phone]
Website: httn:%%wivw.settekcom 25-Jul-19
Client: Synagro
Project: Kenston WWTP Batchll): R100988
Sample ID MB-Rl00988 SampType: MBLK TestCode: Sulfide,React Units: mg/L Prep Date: RunNo: 100988
Client ID: PBW Batch ID: R100988 TestNo: SW9034 Analysis Date: 7/18/2019 SegNo: 2224466
Analyte Result PQL SPK value SPK Ref Val %REC Lowt-imit HighLimit RPD Ref Val %RPD RPDLimit Qual
Sulfide, Reactive ND 25.0
Sample ID LCS-R100988
SampType: LCS
TestCode:
Sulfide,React Units: mg/L
Prep Date:
RunNo: 100988
Client ID: LCSW
Batch ID: R100988
TestNo:
SW9034
Analysis Date: 7/18/2019
SegNo: 2224467
Analyte
Result
PQL
SPK value SPK Ref Val
%REC Lowl-imit HighLimit RPD Ref Val
%RPD RPDLimit Qual
Sulfide, Reactive 4640 25.0 4800 0 96.7 85 115
Qualifiers: B Analyte detected in the associated Method Blank
J Analyte detected below quantitation limits
ND Not Detected
R RPD outside accepted recovery limits
E Value above quantitation range
M Manual Integration used to determine area response
P Second column confirmation exceeds
RL Reporting Detection Limit
H Holding times for preparation or anal;
MC Value is below Minimum Compound
PL Permit Limit
S Spike Recovery outside accepted reco
Original
Page 30 of 35

Summit Environmental Technologies, Inc. QC SUMMARY REPORT
3310 Win St.
Cuyahoga Falls, Ohio 44223 WO#: 19070851
TEL: [phone] FAX: [phone]
Websiie: htta:Intitiviv.settek.coni 25-Jul-19
Client: Synagro
Project: Kenston WWTP BatchID: R100993
Sample ID LCS-Rl00993
SampType: LCS
TestCode: Ignitability_S Units: mmisec
Prep Date: RunNo: 100993
Client ID: LCSS
Batch ID: R100993
TestNo: SW1030
Analysis Date: V1912019 SegNo: 2224634
Analyte
Result
PQL SPK value SPK Ref Val %REC
Lowl-imit HighLimit RPD Ref Val %RPD RPDLimit Qua[
Ignitability,
8.00
7.240 0 110
70 130
Sample ID 19070855-001ADUP
SampType: DUP
TestCode:
Ignitability_S Units:
Prep Date:
RunNo: 100993
;lient ID: BatchQC
Batch ID: R100993
TestNo:
SW1030
Analysis Date: 7/19/2019
SegNo: 2224636
ana[yte
Result
PQL
SPK value SPK Ref Val
%REC Lowl-imit HighLimit RPD Ref Val
%RPD RPDLimit Qual
Ignitability nonflammable u u /u
Sample ID 19070851-001ADUP
SampType: DUP
TestCode: Ignitability_S Units:
Prep Date:
RunNo: 100993
3lient ID: Kinston TCLP
Batch ID: R100993
TestNo: SW1030
Analysis Date: 7/1912019
SegNo: 2224977
4nalyte
Result
PQL SPK value SPK Ref Val
%REC Lowl-imit HighLimit RPD Ref Val
%RPD RPDLimit Qua[
Ignitability nonflammable u u zu
Qualifiers: B Analyte detected in the associated Method Blank E Value above quantitation range H Holding times for preparation or anal}
J Analyte detected below quantitation limits M Manual Integration used to determine area response MC Value is below Minimum Compound
Original
ND Not Detected P Second column confirmation exceeds PL Permit Limit
R RPD outside accepted recovery limits RL Reporting Detection Limit S Spike Recovery outside accepted reco
Page 31 of 35

Sunroof Environmental Technologies, Inc. QC SUMMARY "PORT`
3310 Win St. �[ 1.
Ciwahoga Falls, Ohio 44223
R'Oi#: 19070851
TEL: [phone] FAX [phone]
Website: huP.-,,tvww.settek.cont 25-Ju/--19
Client: Synagro
Project: Kenston W WTP Batch[D: R100995
nple ID MBLK
SampType: MBLK
TestCode:
Cyanide,Rea Units: mg/Kg
Prep Date:
RunNo: 100995
:nt ID: PBS
Batch ID: R100995
TestNo:
SW9014
Analysis Date: 7/1812019
SegNo: 2224934
alyte
Result
PQL
SPK value SPK Ref Val
%REC Lowl-imit HighLimit RPD Ref Val
%RPD RPDLimit Qual
nide, Reactive
ND 0.490
nple ID LCS
SampType: LCS
TestCode:
Cyanide,Rea Units: mg/Kg
Prep Date:
RunNo: 100995
.nt ID: LCSS
Batch ID: R100995
TestNo:
SW9014
Analysis Date: 7/18/2019
SegNo: 2224935
ilyte
Result
PQL
SPK value SPK Ref Val
%REC Lowl-imit HighLimit RPD Ref Val
%RPD RPDLimit Qual
nide, Reactive
9.17 0.481 10.00 0 91.7 85 110
nple ID 19071103-006AMS
SampType: MS
TestCode: Cyanide,Rea Units: mg/Kg
Prep Date:
RunNo: 100995
;nt ID: BatchQC
Batch ID: R100995
TestNo: SW9014
Analysis Date: 7/18/2019
SegNo: 2224949
alyte
Result
PQL SPK value SPK Ref Val
%REC Lowl-imit HighLimit RPD Ref Val
%RPD RPDLimit Qua
nide, Reactive 9.07 0.490 10.00 0.1983 88.7 81.6 122
nple ID 19071103-006AMSD
SampType: MSD
TestCode: Cyanide,Rea Units: mg/Kg
Prep Date:
RunNo: 100995
ant ID: BatchQC
Batch ID: R100995
TestNo: SW9014
Analysis Date: 7/18/2019
SegNo: 2224950
0y1e
Result
PQL SPK value SPK Ref Val
%REC Lowl-imit HighLimit RPD Ref Val
%RPD RPDLimit Qua
Cyanide, Reactive 9.23 0.490 10.00 0.1983 90.3 81.6 122 9.071 1.72 5
Qualifiers: B Analyte detected in the associated Method Blank E Value above quantitation range H Holding times for preparation or anal,
J Analyte detected below quantitation limits M Manual Integration used to determine area response MC Value is below Minimum Compound
Original
ND Not Detected P Second column confirmation exceeds PL Permit Limit
R RPD outside accepted recovery limits RL Reporting Detection Limit S Spike Recovery outside accepted reco
Page 32 of 35

Report Number: 19-074-0206
Account Number: 46463
Send To: Synagro Central LLC/ Kinston
Marshall Puryear
284 Boger Road
Suite 204
Mocksville , NC 27028
Lab Number: 65325
Sample Id : Kinston WWTP
r
Pont.
ANALYTICAL
7621 Whitepine Road, Richmond, VA 23237
Main 804-743-9401 ° Fax [phone]
www.kvaypointa nalyVcal.com
Project: Kinston WWTP
REPORT OF ANALYSIS
Date Sampled: 3/13/2019 08:00:00
Date Received: 03/15/2019 00:00
Date Reported: 03/29/2019
Total Solids *
16.60
166000
100.0
CJR
03/20/2019 16:09
Moisture *
83.40
100.0
CJR
03/20/2019 16:09
Total Kjeldahl Nitrogen
5.28
52800
250
CLP
03/28/2019 13:40
Phosphorus
2.90
29000
50.0
BKN
03/20/2019 20:33
Potassium
0.43
4290
50.0
BKN
03/20/2019 20:33
Sulfur
0.82
8150
50.0
BKN
03/20/2019 20:33
Calcium
1.73
17300
250
BKN
03/20/2019 20:33
Magnesium
0.44
4440
50.0
BKN
03/20/2019 20:33
Sodium
0.15
1510
250
BKN
03/20/2019 20:33
Iron
13700
50.0
BKN
03/20/2019 20:33
Aluminum
23300
50.0
BKN
03/20/2019 20:33
Manganese
247
5.00
BKN
03/2012019 20:33
Copper
286
2.50
BKN
03/20/2019 20:33
Zinc
1050
12.5
BKN
03/20/2019 20:33
Ammonia Nitrogen
0.38
3800
100
ZBD
03/22/2019 15:50
Organic N
4.90
49000
250
03/22/2019 15:50
N't t +N;t 't N
<4 94
4 94
ZBD
03/22/2019 16:15
irae ine-
All values are on a dry weight basis except as noted by asterisk. Detection limit on all N series is on a wet basis.
B - Analyte detected in blank H - Beyond Holding Time
SM-2540G
SM-2540G
SM-4500-NH3C-TKN
6010D
601OD
6010D
6010D
6010D
6010D
6010D
6010D
6010D
6010D
601OD
SM-4500-NI3C
CALCULATION
4500NO3F-2011
?oti, m` vtrQopr
Pauric McGroary
Agronomist

Report Number: 19-074-0206 -
Account Number: 46463
Send To: Synagro Central LLC/ Kinston
Marshall Puryear
284 Boger Road
Suite 204
Mocksville , NC 27028
Lab Number: 65325
Sample Id : Kinston WWTP
Cadmium
Chromium
Nickel
Lead
Arsenic
Mercury
Selenium
pH "
Molybdenum
Comments:
p®r
ANALYTICAL
7621 Whitepine Road, Richmond, VA 23237
Main 804-743-9401 ° Fax [phone]
%,�rww.yraypointanalytical.com
Project: Kinston WWTP
REPORT OF ANALYSIS Date Sampled: 3/13/2019 08:00:00
Date Received: 03/15/2019 00:00
Date Reported: 03/29/2019
1.74
1.00
bKN
usr/-uitu I tu1313
vU ivv
52.9
2.50
BKN
03/20/2019 2033
6010D
26.8
2.50
BKN
03/21/201918:03
6010D
25.8
3.00
BKN
03/20/2019 20:33
6010D
5.62
5.00
BKN
03/20/2019 20:33
6010D
0.265
0.0139
TJS
03/20/2019 13:41
SW-7471 B
5.43
5.00
BKN
03/20/2019 20:33
6010D
7.3
JSL
03/21/2019 06:56
9045D
6.06
2.50
BKN
03/20/2019 20:33
6010D
All values are on a dry weight basis except as noted by asterisk. Detection limit on all N series is on a wet basis.
B - Analyte detected in blank H - Beyond Holding Time
?Wie. mC 10d`.
Pauric McGroary
Agronomist

Cameron Testing Services, Inc. Laboratory Report
NC DENR #654
NC PHHS #37799
US EPA 4NC01918
Client: Synagro CTS Proj. 190436
Project: Kinston WWTP Regulatory Yes
Sample Information
Sampled M. Boyd Date 03/07/19 Received J. Zubeck Date ' 03/07/19
Analyses and Results
Lab ID Sample It) E � gnalyte Result w Std. Methods
a' U 4CJ
c Reference
190436 -1 Sludge Gr Fec. Coliform-S <5560 CFu/g 5560 03/08/19 SIB/ 9222D - MF
ERP
-2 <5750 CFu/g 5750
-3 4292 CFu/g 4290
-4 <6100 CFu/g 6100
-5 <5560 CFU/g 5560
-6 <5290 CFu/g 5290
-7 <5560 CFU/g 5560
Geomean 5420
190436 -1 3ludge Gr TS (%) 18.0% 0.01 03/11/19 SB 2540 G -TS
-2 17.4% 0.01
-3 23.3% 0.01
-4 16.4% 0.01
-5 18.0% 0.01
-6 18.9% 0.01
-7 18.0% 0.01
Report C/v
Review n
Project Manager Dale -
219 S. Steele Str.
919-208-4240
Sanford NC 27330 chris(alcamerontesting.com

Time
(minutes)
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Specific Oxygen Uptake Rate
SOUR
Facility Name:
Biosolids Permit Number:
Date:
Digester Temperature:
Sampling Date/Time:
Sampled By:
Analysis Date/Time:
Analyzed By:
Sample Volume:
Total Solids:
Beginning Temperature:
End Temperature:
Dissolved Oxygen Level
181
6.781
MOM
5.171
4,911
KRWRF
WO0003919
6/28/2019
24
6/28/19 9:37am
SF
6/28/19 9:41am
SF
300 milliliters
2 % Dry Solids
22.83 degrees Celsius
23.39 degrees Celsius
v
Slope:
Intercept:
Correlation Coefficient:
Oxygen Uptake Rate: mg Oxygen/hr
Ambient Specific Oxygen Uptake Rate: mg Oxygen/glhr
Average Temperature: 23.11 degrees Celsius
Temperature Correction Factor: 0.82
Temperature Corrected Specific Oxygen Uptake Rate: 0.43 mg Oxygen/g/hr
Instructions: Enter Data in the Blue Boxes. The Calculation and the Spreadsheet execute automatically.
5

i State of North Carolina
Department of Environment and Natural Resources
,+ Division of Water Resources
Division of Water Resources LAND APPLICATION SITE CERTIFICATION
INSTRUCTIONS FOR FORM: LASC 08-13
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted, the Applicant shall submit one original and two copies of the application and
supporting documentation
For more information or for an electronic version of this form, visit the Land Application Unit (LAU) web site at:
i l,,,ivrl.rilcn;•.,� , ,�,�, ��., r lint
General — This certification provides detailed information of receiving sites for land application of Class B residuals (may include
water treatment plant or other type residuals) in accordance with I �;\_ ti'l_,1t _ u,'_ I_ _. I. Plo. Do not submit this certification for review
without a corresponding application form (FORM: RLAP 08-13 or FORM: SDR 08-13).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Land Application Site Certification (FORM: LASC 08-13):
® Submit the completed and appropriately executed Residuals Source Certification (FORM: LASC 08-13) form. Please do not
make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to the
application may be made, as long as the attachments are numbered to correspond to the section and item to which they refer.
® For new or renewed permits, submit the requested information for all land application sites.
® For modified permits, submit the requested information for only those sites that are new, transferred or affected by the
proposed modification.
B. Land Application Site Information:
® The status of the land application site with respect to this residuals land application program must be provided in table 1. The
status categories and their corresponding codes are as follows:
♦ New (N) ♦ Renewed (R) ♦ Modified (M) ♦ Transferred (T) ♦ Deleted (D)
® Attach the following in accordance with each status code:
Status Code
Required Item
N
R
T
M
County Board
Notification. doc
Land Owner
Agreement
(If applicable)
✓
✓
✓
✓
Setback Waiver
Agreement
An updated vicinity/setback map in accordance with the "
✓
✓
✓
A soils and agronomic evaluation in accordance with the "'
✓
An updated accounting of the land application site's cumulative
✓
✓
pollutant loading rates (CPLRs)
INSTRUCTIONS FOR FORM: LASC 08-11 Page I of 3

Required Item Status Code
N I R I T I M
For previously permitted sites without a soil series name indicated in the
Attachment B, submit County Soil Survey Map (or equivalent) clearly
indicate the location of the land application site and in accordance with
the soil map requirements in the ",miil I %.aluLiiion i,olic."
Acknowledgement of field transfer from Land Owner (Fields may not
be permitted to multiple Permittees over the same time period)
* This item may be required for land application site with a status code "M", please contact the Division if you need assistant in
determining attachment requirements.
® Crop Type should include the most likely crop types for the life of the permit (five years).
® Predominant Soils Series Name must be either the name of the soil indicated in Attachment "B" of the existing permit, or
name of the soil series as provided by the licensed soil scientist.
® Predominant Soil Mapping Unit or Representative Slope: Either the Soil Mapping Unit or the representative slope of each
site must be provided. The predominant soil -mapping unit must be consistent with the predominant soil series name. Please
note that the soil mapping units are variable between Counties, so care should be taken in properly identifying the correct
mapping unit. If a representative slope is provided, it must be determined accordingly:
❑ For sites previously permitted for use, but do not have an established soil mapping unit (the mapping unit provides
information on both the soil series name and the slope of the soil), the Applicant may determine the representative slope
by using the average slope provided in the County Soil Survey (or equivalent). A soil type with a slope range of 4 - 8%
would have a representative slope of 6%.
❑ New Sites to be permitted must have slopes determined as part of the soils report prepared by a licensed soil scientist.
® Acceptable methods for determining location coordinates (i.e., latitude and longitude) and their corresponding codes are as
follows:
• Address Matching (ADD) • Digital or Raw Photo Extraction (EXT)
• Aerial Photography with Ground Control (AER) • Geodetic Quality GPS Survey (GEO)
• Cadastral Survey (SUR) • LORAN-C Navigation Device (LOR)
• Conversion from Coordinate Plane (CP) • Navigation Quality GPS (GPS)
• Conversion from Township -Section -Range (TSR) a Remote Sensing (RS)
• Conversion from Universal Trans Merc (UTM) • Zip Code Centroid (ZIP)
• Map Interpretation by Digital or Manual Extraction (MAP)
C. Waterbody and Classifications Information: (new sites only)
® Use an 8.5 by I1-inch copy of the portion of a 7.5-minute USGS Topographic Map to identify the location where the
residuals program activities are planned to occur as well as the closest downslope surface waters as clearly as possible. Each
map portion must be labeled with the map name and number, the identified location, and be of clear and reproducible quality.
® Surface water body classifications information maybe found at: http://portal.ncdenr.or..; webiwq/psicsti
❑ Any questions concerning the waterbody and its classification, please contact the Division's regional offices.
❑ A list of the Division's regional offices, their county coverage, and their contact information may be downloaded at:
hap:,; portal.ncdenr.orW�veb/vvghomelro
❑ General Instructions: There are 17 river basins in North Carolina. Each basin has associated waterbodies with assigned
subbasins, location descriptions, stream index numbers and established classifications.
1. Identify the project area on a 7.5 minute USGS topographical map (an 8.5 x 11-inch sheet showing the project area
should be submitted with the permit application regardless of whether a Stream classification was completed).
2. Determine the names of all the closest down slope surface waters from the project site. For unnamed tributaries, see
Table l: Unnamed Tributaries Entering Other States or for Specific Basin Areas. Label any unnamed tributaries as
"UT to stream name" as the waterbody name.
3. Open the link http:;rlr2o.enr.state.nc.us/biros reports/re ortsWl3.h[ml. If this link does not work, open
ham:-iportal.ncderr.or+i%web%wq, psresii'classitications and download weekly -updated classification lists for named
waterbodies.
❑ Stream Classification Process: One of the options below may be used depending on the known initial project information.
❑ KNOWN BASIN WHERE CLOSEST DOWN SLOPE SURFACE WATER IS LOCATED
1. Select proper basin from the List all Waterbodies in I Neuse Basin sorted
Hydrologically _� report. Sort hydrologically as this will provide the proper location descriptions if multiple
runs.
INSTRUCTIONS FOR FORM: LASC 08-13 Page 2 of 3

2. Locate the name of the identified waterbody (from General Directions) on the list.
3. For multiple listings of the same waterbody name in the report, select and verify the location description. The term
"source" in the description means the beginning of the waterbody segment (most upstream point).
4. Record all Basins, Stream Index Numbers and Classifications applicable to the project.
❑ KNOWN COUNTY WHERE CLOSEST DOWN SLOPE SURFACE WATER IS LOCATED
1. Select the proper county from the List all Waterbodies in I Alamance county, hydrologically report.
2. Locate the name of the identified waterbody (from General Directions) on the list.
3. For multiple listings of the same waterbody name in the report, select and verify the location description. The term
"source" in the description means the beginning of the waterbody segment (most upstream point).
4. Record all Basins, Stream Index Numbers and Classifications applicable to the project.
❑ UNKNOWN BASIN WHERE CLOSEST DOWN SLOPE SURFACE WATER IS LOCATED
1. Use the Clickable basin map to hydrologically sorted list report.
2. Click on the approximate project location to bring up the hydrologically sorted list.
3. Locate the name of the identified waterbody (from General Directions) on the list.
4. For multiple listings of the same waterbody name in the report, select and verify the location description. The term
"source" in the description means the beginning of the waterbody segment (most upstream point).
5. Record all Basins, Stream Index Numbers and Classifications applicable to the project.
❑ Notes on index number and unnamed streams:
Unnamed Streams 15A NCAC 0313 .0301(i).
❑ Any stream which is not named in the schedule of stream classifications carries the same classification as that assigned
to the stream segment to which it is tributary (at the point of entry) except:
(A) unnamed streams specifically described in the schedule of classifications;
(B) unnamed freshwaters tributary to tidal saltwaters will be classified "C"; or
(C) after November 1, 1986, any newly created areas of tidal saltwater which are connected to Class SA waters by
approved dredging projects will be classified "SC" unless case -by -case reclassification proceedings are conducted.
❑ The following river basins have different policies for unnamed streams entering other states or for specific areas of the
basin:
Unnamed Tributaries Entering Other States or for Specific Basin Areas
Hiwassee River Basin
Streams entering Georgia or Tennessee shall be classified "C Tr."
Little Tennesse River
Basin And Savannah
River Drainage Area
Streams entering Georgia or Tennessee shall be classified "C Tr." Such streams in the Savannah
River drainage area entering South Carolina shall be classified "B Tr."
French Broad River
Basin
Streams entering Tennessee will be classified "B."
Watauga River Basin
Streams entering the State of Tennessee are classified "C."
Broad River Basin
Streams entering South Carolina are classified "C."
New River Basin
Streams entering the State of Tennessee are classified "C."
Catawba River Basin
Streams entering South Carolina are classified "C."
Yadkin -Pee Dee River
Basin
Streams entering Virginia are classified "C," and such streams entering South Carolina are
classified "C."
Lumber River Basin
Streams entering South Carolina are classified "C Sw."
Roanoke River Basin
Streams entering Virginia are classified "C." Except that all backwaters of John H. Kerr
Reservoir and the North Carolina portion of streams tributary thereto not otherwise named or
described shall carry the classification "B," and all backwaters of Lake Gaston and the North
Carolina portion of streams tributary thereto not otherwise named or described shall carry the
classification "C and B."
Chowan River Basin
Streams entering Virginia are classified "C."
Tar -Pamlico River
Basin
All drainage canals not noted in the schedule are classified "C Sw." except the main drainage
canals to Pamlico Sound and its bays which shall be classified "SC."
Pas uotank River Basin
All drainage canals not noted in the schedule are classified "C."
INSTRUCTIONS FOR FORM: LASC 08-13 Page 3 of 3

LAND APPLICATION SITE CERTIFICATION
Applicant's name: City of Kinston
Land application sites currently certified: 957.6 net acres and Total to be certified: 1,021.1 net acres.
I. LAND APPLICATION SITE INFORMATION (See Instruction B):
Status
Code'
Site/Field ID
Landowners
())
Less s or Operator(s)
Net Acres
CountyCrop(s)
s
pl)
Predominant Soil
Series Name
Mapping Unit
or Rep. Slope'
R
NC-CV-1-1
Campbell, Robert
McCoy, Charles
14.9
Craven
Fescue
Pantego
Pa
R
NC-CV-l-1C
Campbell, Robert
McCoy, Charles
9.2
Craven
Fescue
Pantego
Pa
R
NC-CV-1-113
Campbell, Robert
McCoy, Charles
28.6
Craven
Row Crop
Pantego
Pa
R
NC-CV-1-lE
Campbell, Robert
McCoy, Charles
22.9
Craven
Fescue
Pantego
Pa
R
NC-CV-I-IH
Campbell, Robert
McCoy, Charles
22.3
Craven
Fescue
Pantego
Pa
R
NC-CV-1-2
Campbell, Robert
McCoy, Charles
17.4
Craven
Fescue
Pantego
Pa
D
NC-CV-3-1
Rouse, Keith
Same
11.8
Craven
Fescue Pasture
Pantego
Pa
D
NC-CV-3-2
Rouse, Keith
Same
12.9
Craven
Fescue Pasture
Rains
Ra
R
NC-CV4-1
McCoy, Myron
Same
14.2
Craven
Row Crop
Rains
Ra
R
NC-CV-4-2
McCoy, Myron
Same
10.9
Craven
Row Crop
Pantego
Pa
R
NC-CV4-3
McCoy, Myron
Same
9.6
Craven
Row Crop
Pantego
Pa
R
NC-CV44
McCoy, Myron
Same
19.7
Craven
Row Crop
Rains
Ra
R
NC-CV4-5
McCoy, Myron
Same
20.0
Craven
Fescue
Pantego
Pa
R
NC-CV4-6
McCoy, Myron
Same
5.2
Craven
Pasture
Rains
Ra
R
NC-CV4-7
McCoy, Charles
Same
8.7
Craven
Row Crop
Goldsboro
GoA
FORM: LASC 08-13 Page 1

LAND APPLICATION SITE CERTIFICATION
R
NC-CV-5-1
McCoy, Jackie
McCoy, Charles
24.5
Craven
Row Crop
Pantego
Pa
R
NC-CV-5-2
McCoy, Jackie
McCoy, Charles
5.4
Craven
Pasture
Pantego
Pa
R
NC-CV-5-3
McCoy, Jackie
McCoy, Charles
3.1
Craven
Pasture
Rains
Ra
D
NC-GE-04-1
Worthington, Leslie
Shackelford, Jerry
32.7
Greene
Row Crop
Norfolk
NoA
D
NC-GE-04-2
Worthington, Leslie
Shackelford, Jerry
24.9
Greene
Row Crop
Norfolk
NoA
D
NC-GE-05-1
Shackelford, Jerry
Same
42.7
Greene
Row Crop
Wagram
WaB
D
NC-GE-05-2
Shackelford, Jerry
Same
24.2
Greene
Row Crop
Norfolk
NoA
D
NC-GE-05-3
Shackelford, Jerry
Same
50.9
Greene
Row Crop
Norfolk
NoA
D
NC-GE-054
Shackelford, Jerry
Same
8.3
Greene
Row Crop
Goldsboro
GoA
D
NC-GE-06-1
Exum, Robert
Shackelford, Jerry
55.7
Greene
Row Crop
Norfolk
NoA
D
NC-JO-1-1
Jones, Kenneth
Smith, Rodney
28.6
Jones
Row Crop
Goldsboro
GoA
D
NC-JO-1-2
Jones, Kenneth
Smith, Rodney
10.3
Jones
Row Crop
Goldsboro
GoA
D
NC-JO-1-3
Jones, Kenneth
Smith, Rodney
23.7
Jones
Row Crop
Goldsboro
GoA
D
NC-JO-14
Jones, Kenneth
Smith, Rodney
15.0
Jones
Row Crop
Goldsboro
GoA
D
NC40-1-10A
Jones, Kenneth
Smith, Rodney
26.3
Jones
Row Crop
Goldsboro
GoA
D
NC-JO-1-10B
Jones, Kenneth
Smith, Rodney
26.1
Jones
Row Crop
Goldsboro
GoA
D
NC-JO-1-13
Smith, Rodney
Same
86.3
Jones
Row Crop
Megget
Me
R
NC-JO-2944-1
Pritchett, Mary
Edwards, Dexter
7.7
Jones
Pasture
Leon
Ln
R
NC-JO-2944-2
Pritchett, Mary
Edwards, Dexter
8.6
Jones
Pasture
Leon
Ln
R
NC-JO-2944-3
Pritchett, Mary
Edwards, Dexter
5.3
Jones
Pasture
Leon
Ln
R
NC-JO-2945-1
Pritchett, Mary
Edwards, Dexter
4.8
Jones
Pasture
Lynchburg
Ly
R
NC-JO-2945-2
Pritchett, Mary
Edwards, Dexter
5.2
Jones
Pasture
Autryville
AuB
R
NC-JO-2945-3
Pritchett, Mary
Edwards, Dexter
14.8
Jones
Pasture
Blanton
Bn
FORM: LASC 08-13 Page 2

LAND APPLICATION SITE CERTIFICATION
R
NC-JO-2945-5
Pritchett, Mary
Edwards, Dexter
9.3
Jones
Pasture
Blanton
Bn
R
NC-JO-2945-6
Pritchett, Mary
Edwards, Dexter
18.2
Jones
Pasture
Kenansville
Ke
R
JO-8790-1
Hargett, Bryan
Edwards, Dexter
9.4
Jones
Pasture
Leon
Ln
R
JO-8790-2
Hargett, Bryan
Edwards, Dexter
34.4
Jones
Pasture
Stallings
St
R
JO-8790-3
Hargett, Bryan
Edwards, Dexter
8.5
Jones
Pasture
Pactolus
Pa
R
JO-87904A
Hargett, Bryan
Edwards, Dexter
28.8
Jones
Pasture
Leon
Ln
R
JO-8790-413
Hargett, Bryan
Edwards, Dexter
17.7
Jones
Pasture
Leon
Ln
R
JO-8790-4C
Hargett, Bryan
Edwards, Dexter
10.9
Jones
Pasture
Stallings
St
R
JO-8790-5
Hargett, Bryan
Edwards, Dexter
10.0
Jones
Pasture
Norfolk
NoA
R
JO-8790-6
Hargett, Bryan
Edwards, Dexter
9.5
Jones
Pasture
Autryville
AuB
R
JO-8790-7
Hargett, Bryan
Edwards, Dexter
9.1
Jones
Pasture
Autryville
AuB
R
JO-8790-8
Hargett, Bryan
Edwards, Dexter
19.0
Jones
Pasture
Stallings
St
R
JO-8790-9
Hargett, Bryan
Edwards, Dexter
14.5
Jones
Pasture
Stallings
St
R
JO-8790-10
Hargett, Bryan
Edwards, Dexter
8.5
Jones
Pasture
Leon
Ln
R
JO-8790-11
Hargett, Bryan
Edwards, Dexter
25.6
Jones
Pasture
Leon
Ln
R
JO-8790-12
Hargett, Bryan
Edwards, Dexter
24.4
Jones
Pasture
Leon
Ln
8 Status Code for land application sites are: ♦ N (New) ♦ R (Renewed) ♦ M (Modified) ♦ T (Transferred) ♦ D (Deleted)
b Soil Series Name (i.e. Appiing, Cecil, etc.)
Mapping Unit must be consistent with those used in the County Soil Survey (i.e. for a 2-8% slope Cecil in Anson Count} the mapping unit is CeB2)
II. WATERBODY AND CLASSIFICATIONS INFORMATION (See Instruction Q:
Site/Field ID
Latitude
Longitude
Location
Location Method Code
Location Accuracy
Waterbody Subbasin and
Current and Proposed
Datum
Stream Index No.
Class
CV-1-1
35012'38.47"N
77025'16.11"W
NAD 83
ADD
Nearest Second
CV-1-1C
35012'31.20"N
77025'8.81"W
NAD 83
ADD
Nearest Second
FORM: LASC 08-13 Page 3

LAND APPLICATION SITE CERTIFICATION
NC-CV-1-ID
35012'22.48"N
77025'1.32"W
NAD 83
ADD
Nearest Second
NC-CV-I-IE
35012'14.85"N
77025'7.86"W
NAD 83
ADD
Nearest Second
NC-CV-1-1 H
35012'3.81"N
77°25'2.12"W
NAD 83
ADD
Nearest Second
NC-CV-1-2
35°12'16.47"N
77°25'33.88"W
NAD 83
ADD
Nearest Second
NC-CV4-1
35011'46.93"N
7702l'O.76"W
NAD 83
ADD
Nearest Second
(HU: 030202020601) 27-90
C;Sw,NSW
NC-CV4-2
35012'0.48"N
77020'57.00"W
NAD 83
ADD
Nearest Second
(HU: 030202020601) 27-90
C;Sw,NSW
NC-CV-4-3
35011'58.60"N
77020'37.27"W
NAD 83
ADD
Nearest Second
(HU: 030202020601) 27-90
C;Sw,NSW
NC-CV-4-4
35011'45.21"N
77020'50.34"W
NAD 83
ADD
Nearest Second
(FfU= 030202020601) 27-90
C;Sw,NSW
NC-CV-4-5
35012'0.10"N
77020'47.58"W
NAD 83
ADD
Nearest Second
(HU: 030202020601) 27-90
C;Sw,NSW
NC-CV-4-6
35011'41.08"N
77"20'57.05"W
NAD 83
ADD
Nearest Second
(HU: 030202020601) 27-90
C;Sw,NSW
NC-CV-4-7
350 9'58.79"N
77018'39.02"W
NAD 83
ADD
Nearest Second
(HU: 030202020601) 27-90-1
C;Sw,NSW
NC-CV-5-1
35011'46.75"N
77019'43.90"W
NAD 83
ADD
Nearest Second
(HU:030202020601) 27-90
C;Sw,NSW
NC-CV-5-2
35011'48.90"N
77019'34.83"W
NAD 83
ADD
Nearest Second
(HU:030202020601) 27-90
C;Sw,NSW
NC-CV-5-3
35011'39.02"N
77019'36.67"W
NAD 83
ADD
Nearest Second
(HU:030202020601) 27-90
C;Sw,NSW
NC-JO-2944-1
350 2'4.94"N
77040'35.48"W
NAD 83
ADD
Nearest Second
NC-JO-2944-2
350 2'5.09"N
77040'26.62"W
NAD 83
ADD
Nearest Second
NC-JO-2944-3
350 1'57.73"N
77040'39.57"W
NAD 83
ADD
Nearest Second
NC-JO-2945-1
350 1'48.53"N
77°40'45.74"W
NAD 83
ADD
Nearest Second
NC-JO-2945-2
35" 1'54.02"N
77040'47.28"W
NAD 83
ADD
Nearest Second
NC-JO-2945-3
350 1'44.62"N
77041'3.41 "W
NAD 83
ADD
Nearest Second
NC-JO-2945-5
350 1'59.58"N
77041'7.76"W
NAD 83
ADD
Nearest Second
NC-JO-2945-6
350 1'54.10"N
77041'14.38"W
NAD 83
ADD
Nearest Second
NC-JO-8790-1
35° O'S9.36"N
7703841.21"W
NAD 83
ADD
Nearest Second
NC-JO-8790-2
350 O'59.24"N
77038'22.57"W
NAD 83
ADD
Nearest Second
NC-JO-8790-3
350 O'47.55"N
77038'22.71"W
NAD 83
ADD
Nearest Second
NC-JO-8790-4A
350 1'15.09"N
77038'51.10"W
NAD 83
ADD
Nearest Second
NC-JO-8790-4B
35° 1'l 1.90"N
77039'0.15"W
NAD 83
ADD
Nearest Second
FORM: LASC 08-13 Page 4

LAND APPLICATION SITE CERTIFICATION
NC-JO-8790-4C
350 1'27.44"N
770392.77"W
NAD 83
ADD
Nearest Second
NC-JO-8790-5
350 O'29.59"N
77038'18.25"W
NAD 83
ADD
Nearest Second
NC-JO-8790-6
35" O'25.52"N
77038'20.38"W
NAD 83
ADD
Nearest Second
NC-JO-8790-7
350 O'27.61 "N
77038'27.96"W
NAD 83
ADD
Nearest Second
NC-JO-8790-8
35" 1'14.52"N
77038'38.16"W
NAD 83
ADD
Nearest Second
NC-JO-8790-9
350 1'28.78"N
77°38'29.22"W
NAD 83
ADD
Nearest Second
NC-JO-8790-10
350 1'31.52"N
77038'48.85"W
NAD 83
ADD
Nearest Second
NC-JO-8790-11
350 O'43.53"N
77038'41.99"W
NAD 83
ADD
Nearest Second
NC-JO-8790-12
350 O'35.95"N
77°38'57.91 "W
NAD 83
ADD
Nearest Second
Note: Please keep the site information (I.) and waterbody information (11.) of the same field on the same page.
FORM: LASC 08-13 Page 5

State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
Division of Water Resources
LAND OWNER AGREEMENT
FORM: LOA 08-13
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted, the Applicant shall submit one original and two copies of the application and
supporting documentation
For more information or for an electronic version of this form, visit the Land Application Unit (LAU) web site at:
http: //portal. ncdenr. org/web/wq/ap s/lau
General — This document is an agreement between the Applicant and land owner(s) of residuals receiving sites for land application of
Class B residuals (may include water treatment plant or other type residuals) in accordance with 15A NCAC 02T .1100. Do not
submit this agreement for review without a corresponding application form (FORM: RLAP 08-13).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Land Owner Agreement (FORM: LOA 08-13):
® Submit the completed and appropriately executed Residuals Source Certific4tion (FORM: LASC 08-13) form. Please do not
make any unauthorized content changes to this form. if necessary for clarity or due to space restrictions, attachments to the
application may be made, as long as the attachments are numbered to correspond to the section and item to which they refer.
® Prepare a separate agreement for each set of land application sites that are owned or operated by an entity other than the
Applicant.
® A copy of the completed and appropriately executed agreement must be provided to the landowner and the lessee/operator.
AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND
The undersigned landowner or his representative hereby permits:
Applicant's name: Qjy Of Kinston
hereinafter referred to as the Permittee, to land apply residuals from the following facility(ies) onto the following land
application site(s) (i.e., see attached setback maps) in accordance with the stipulations and restrictions as given in this
Agreement:
Site/Field ID
Lease
(yes/no)
Land Use or
Crppping Patterns
Intended Use of Crops
Residuals Source
(optional)
Special note
(no-tilUover-seed/
pasture)
NC-CV-1-1
N
Pasture
Animal Feed
NC-CV-1-1C
N
Pasture
Animal Feed
NC-CV-1-ID
N
Row Crop
Animal Feed
NC-CV-1-lE
N
Pasture
Animal Feed
NC-CV-1-1H
N
Pasture
Animal Feed
NC-CV-1-2
N
Pasture
Animal Feed
The landowner or his representative receives, in consideration, full use of the nutrient value of the applied residuals while the
Permittee receives, in consideration, the use of the land application site(s) described above for the disposal of the residuals.
This Agreement shall remain in effect for the length of the Division's permit for the residuals land application program and
shall be renewed each time this permit is renewed.
The undersigned landowner or his representative and the Permittee agree to abide with the following restrictions and
stipulations until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement.
FORM: LOA 08-13 Page 1 of 3

This Agreement shall remain in effect for the length of the Division's permit for the residuals land application program and
shall be renewed each time this permit is renewed.
The undersigned landowner or his representative and the Permittee agree to abide with the following restrictions and
stipulations until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement.
I. STIPULATIONS:
1. The landowner or his representative shall not enter into any additional residuals application contracts or agreements with another permitted
entity for the site(s) specified by this Agreement.
2. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) to a third party, the landowner shall
be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement.
3. The landowner or his representative shall adhere to the provisions of this Agreement until all of the site restrictions (under Section II) are met.
4. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWQ, Land Application Unit, 1636 Mail Service
Center, Raleigh, NC 27699-1636,
5. The Permittee must request and obtain a permit modification from the Division prior to a transfer of the land application site(s) to a new
landowner. In addition, the current landowner shall give a notice to the new landowner that gives full details of the residuals applied at the
land application site(s).
6. The Permittee has provided the landowner or his representative with information and data concerning the residuals land application program,
including an analysis of constituents of the residuals, residuals application methods, schedules for typical cropping patterns, a description of
the equipment used by the Permittee.
7. The Permittee will provide the landowner or his representative with a copy of the residuals permit prior to commencement of any residuals
land application event and a copy of the results of each soil analysis.
8. If the soil pH of the land application site(s) is not maintained at 6.0 or greater, sufficient amounts of lime shall be applied to achieve a final
soil pH of at least 6.0, unless an agronomist provides information indicating that the pH of the soil, residuals and lime mixture is suitable for
the specified crop.
9. The landowner or his representative and the Permittee will agree on residuals application fates and schedules based on crop patterns, results of
soil samples, and the permitted application limits.
10. The landowner or his, representative will provide the Permittee with information regarding the amount and analysis of other sources of
nutrients (e.g., fertilizer, unregulated animal waste, etc.) that have been applied to the land application site(s).
11. The landowner or his representative will inform the Permittee of any revisions or modifications to the intended use and cropping patterns for
the land application site(s) prior to each planting season to enable the Permittee to amend this Agreement and schedule residuals land
application events at appropriate periods.
12. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee, the landowner, or
his representative prior to and during a residuals land application event.
13. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to; enter and
inspect any property, premises, or place on or related to the land application site(s) at any reasonable time for the purpose of determining
compliance with the permit; establish monitoring facilities on or near the land application site(s) as required by the permit; copy any records
that must be kept under the terms and conditions of the permit; take necessary leachate, surface water, groundwater, or soil samples during the
term of, and 12 months after termination of, this Agreement.
II. RESTRICTIONS:
1. Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control public access to the land
application site(s) during active use and for the 12-month period following a residuals land application event. Such controls may include the
posting of signs that indicate the activities being conducted at the land application site(s).
2. Animals shall not be grazed on the land application site(s) for a 30-day period following a residuals land application event. Land application
sites that are'to be used for grazing shall have fencing that will be used to prevent access during these periods after such residuals land
application events.
3. Food crops, feed crops, and fiber crops shall not be harvested for a 30-day period following a residuals land application event.
4. Food crops with harvested parts that touch the residuals/soil mixture and are totally above the land surface shall not be harvested for a 14-
month period following a residuals land application event.
5. Food crops with harvested parts below the surface of the land shall not be harvested for a 20-month period following a residuals land
application event when the residuals remain on the land surface for four months or longer prior to incorporation into the soil.
6. Food crops with harvested parts below the surface of the land shall not be harvested for a 38-month period following a residuals land
application event when the residuals remain on the land surface for less than four months prior to incorporation into the soil.
7. Turf grown on land where residuals are applied shall not be harvested for a 12-month period following a residuals land application event.
III. ALTERNATIVES FOR WATER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY: (please check one)
15A NCAC 02L .0107(d) prohibits water supply wells within the compliance boundary. However, 15A NCAC 02T .0105(h) allows the
compliance boundary to be placed closer to the waste disposal area, such that the water supply well is situated outside of the compliance
boundary provided the groundwater standards can be met at the newly -established compliance boundary. Please mark one of the following;
® A re -defined compliance boundary is needed for field(s) ID:_
(Please include the rationale for the requested re -location of the compliance boundary and attach a map showing the newly proposed
compliance boundary to the application package)
❑ A re -defined compliance boundary is not needed for this site.
IV. ACKNOWLEDGEMENT OF FIELD TRANSFER: (if needed)
FORM: LOA 08-13 Page 2 of 3

I
J
Landowner's Certification:
I certify that I am a deeded landowner of the above -referenced land application site(s) and am,authorized to make decisions
regarding the use of the land application site(s) on behalf of other deeded landowners OR that I am otherwise authorized, through
a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the
deeded landowners. I certify that the above -referenced land application site(s) are not included in any waste disposal contract or
agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement,
understand the stipulations, restrictions, alternatives for water supply wells inside the compliance boundary, acknowledgement of
field transfer, and do hereby grant permission to the Permittee to land apply residuals to the land application site(s) as specified
herein. �/� i
Landowner name: 1 r ` l MV-V ��ftie {"c
Address: In S w J
City: 6yc C, F-1 State: Zip:
Phone: E-mail address:
/J ' ll -col
Signature: ✓vim �✓� C Date:
NORTH CAROLINA, COUNTY
I, the undersigned Notary Public do hereby certify that Cka,,U,S Ii& (ON
personally appeared before me this day and acknowledged the due execution of the forgoing instrument.
,``�pumnrnrq�
WITNESS my hand and official seal this the ��.�rdaTay/o�'���,,�
day of {' _
l Signature and seal: y ��A� v�
My commission expires: _
Lessee's/Operator's Certification:
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Lessee/operator name: 1 °chl .
Address:
City:
Phone:
Signature:
Permittee's Certification:
State: Zip:
E-mail address:
Date:
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Signing official name: /t el y6Vi.-5 ,
Signature: Date:
FORM: LOA 08-13 .
Page 3 of 3

Figure I
APPLICATION MAP
r �
r� .I
J-'
LEGEND
JNSUITASLEAREA
---- Pk%ATEROAD -
WATER
GRAPHIC SCALE
— - 5TREA1!! `
ONSITE 7L8E
V = 660'
SG:' a EvP
- DRAIN
OFFEITEHO.SE
�;— — - FESCE
DLTBUILDING
PRO"Et �' LINE
Ut_LL
mdianx booda.y s asla:llsixid Uh.r 2FO It $Cn'nv -,.deals gpicalrn area or 5Z iaal V$--Ir l Y C-CV-01
h hu Frv_arti ir•r muary. w"lo nsy' Cs .. ar;Y6a the orvll-3fiarr area. Tn: c a�, taurvJLylu t;su t�lx 1 d
midway bcf., .a10 � .vo�liru V.urdsrf a-d dw Da:lnatar rtthe W,6aIs z( Ik',5gco WeI- A)
laca:arsir•»a{.ar xDrlbie. Fields 111C,2

Figure 2
APPLICATION MAP
s
`tip`?.a �. �? sj'_ *•'�JG� 1N Y��� ,�` �'
LEG;END
APF! ICkT'. N ARZ-A f
ROO
— — — STREAV
DRNN
FENCE
-jjC}F'EP , Y LI N=
JNSJITA3U AREA
i"r.T i=
01`js
XF31`C .ILJK
OU C9,.I LPING
l-X-L
a-ri„limu tnin.1wlis es'abl'shei Z331 trs^i ft? —c,,YJWap;Il.ajon avi ar `0 Fu_t•sittir
u ire proaet; toundar;. -,h. 0'cr Is doscatto the apo1nCvr area 'te re'•vs icuicoq h motllmd
r I�n�� Letrver iCG cu�F115n c towtary and-9- oclavaer a` 1tP reRin Inle snfatr tinnsra. �JI
!c!:aric4m " Rprucximata.
GRAPHO SCALE
66V
NC-RC-11
Fields 1D,1E,1H

State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
Division of Water Resources
LAND OWNER AGREEMENT
FORM: LOA 08-13
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted, the Applicant shall submit one original and two copies of the application and
supporting documentation
For more information or for an electronic version of this form, visit the Land Application Unit (LA U) web site at:
htW. //portal. nedenr. org/web/wq/aps/lay
General — This document is an agreement between the Applicant and land owner(s) of residuals receiving sites for land application of
Class B residuals (may include water treatment plant or other type residuals) in accordance with 15A NCAC 02T A 100. Do not
submit this agreement for review without a corresponding application form (FORM: RLAP 08-13).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Land Owner Agreement (FORM: LOA 08-13):
® Submit the completed and appropriately executed Residuals Source Certification (FORM: LASC 08-13) form. Please do not
make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to the
application may be made, as long as the attachments are numbered to correspond to the section and item to which they refer.
® Prepare a separate agreement for each set of land application sites that are owned or operated by an entity other than the
Applicant.
® A copy of the completed and appropriately executed agreement must be provided to the landowner and the lessee/operator.
AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND
The undersigned landowner or his representative hereby permits:
Applicant's name: City Of Kinston
hereinafter referred to as the Permittee, to land apply residuals from the following facility(ies) onto the following land
application site(s) (i.e., see attached setback maps) in accordance with the stipulations and restrictions as given in this
Agreement:
Lease
Land Use or
Residuals Source
Special note
Site/Field ID
(yes/no)
Cupping Patterns
Intended Use of Crops
(optional)
(no-till/over-seed/
pasture)
NC-JO-8790-1
Y
Pasture
Animal Feed
NC-JO-8790-2
Y
Pasture
Animal Feed
NC-JO-8790-3
Y
Pasture
Animal Feed
NC-JO-87904A
Y
Pasture
Animal Feed
NC-JO-8790-413
Y
Pasture
Animal Feed
NC-JO-8790-4C
Y
Pasture
Animal Feed
NC-JO-8790-5
Y
Pasture
Animal Feed
NC-JO-8790-6
Y
Pasture
Animal Feed
NC-JO-8790-7
Y
Pasture
Animal Feed
NC-JO-8790-8
Y
Pasture
Animal Feed
NC-JO-8790-9
Y
Pasture
Animal Feed
FORM: LOA 08-13 Pagel of 3

NC-JO-8790-10
y
Pasture
Animal Feed
NC-JO-8790-11
y
Pasture
Animal Feed
NC-JO-8790-12
y
Pasture
Animal Feed
NC-JO-8790-13
y
Pasture
Animal Feed
The landowner or his representative receives, in consideration, full use of the nutrient value of the applied residuals while the
Permittee receives, in consideration, the use of the land application site(s) described above for the disposal of the residuals.
This Agreement shall remain in effect for the length of the Division's permit for the residuals land application program and
shall be renewed each time this permit is renewed.
The undersigned landowner or his representative and the Permittee agree to abide with the following restrictions and
stipulations until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement.
I. STIPULATIONS:
1. The landowner or his representative shall not enter into any additional residuals application contracts or agreements with another permitted
entity for the site(s) specified by this Agreement.
2. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) to a third party, the landowner shall
be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement.
3. The landowner or his representative shall adhere to the provisions of this Agreement until all of the site restrictions (under Section I1) are met.
4. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWQ, Land Application Unit, 1636 Mail Service
Center, Raleigh, NC 27699-1636.
5. The Permittee must request and obtain a permit modification from the Division prior to a transfer of the land application site(s) to a new
landowner. In addition, the current landowner shall give a notice to the new landowner that gives full details of the residuals applied at the
land application site(s).
6. The Permittee has provided the landowner or his representative with information and data concerning the residuals land application program,
including an analysis of constituents of the residuals, residuals application methods, schedules for typical cropping patterns, a description of
the equipment used by the Permittee.
7. The Permittee will provide the landowner or his representative with a copy of the residuals permit prior to commencement of any residuals
land application event and a copy of the results of each soil analysis.
8. If the soil pH of the land application site(s) is not maintained at 6.0 or greater, sufficient amounts of lime shall be applied to achieve a final
soil pH of at least 6.0, unless an agronomist provides information indicating that the pH of the soil, residuals and lime mixture is suitable for
the specified crop.
9. The landowner or his representative and the Permittee will agree on residuals application rates and schedules based on crop patterns, results of
soil samples, and the permitted application limits.
10. The landowner or his representative will provide the Permittee with information regarding the amount and analysis of other sources of
nutrients (e.g., fertilizer, unregulated animal waste, etc.) that have been applied to the land application site(s).
11. The landowner or his representative will inform the Permittee of any revisions or modifications to the intended use and cropping patterns for
the land application site(s) prior to each planting season to enable the Permittee to amend this Agreement and schedule residuals land
application events at appropriate periods.
w
12. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee, the landowner, or
his representative prior to and during a residuals land application event.
13. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to; enter and
inspect any property, premises, or place on or related to the land application site(s) at any reasonable time for the purpose of determining
compliance with the permit; establish monitoring facilities on or near the land application site(s) as required by the permit; copy any records
that must be kept under the terms and conditions of the permit; take necessary leachate, surface water, groundwater, or soil samples during the
term of, and 12 months after termination of, this Agreement.
II. RESTRICTIONS:
1. Appropriate measures must be taken by the Perrnittee and/or the landowner or his representative to control public access to the land
application site(s) during active use and for the 12-month period following a residuals land application event. Such controls may include the
posting of signs that indicate the activities being conducted at the land application site(s).
2. Animals shall not be grazed on the land application site(s) for a 30-day period following a residuals land application event. Land application
sites that are to be used for grazing shall have fencing that will be used to prevent access during these periods after such residuals land
application events.
3. Food crops, feed crops, and fiber crops shall not be harvested for a 30-day period following a residuals land application event.
4. Food crops with harvested parts that touch the residuaWsoil mixture and are totally above the land surface shall not be harvested for a 14-
month period following a residuals land application event.
5. Food crops with harvested parts below the surface of the land shall not be harvested for a 20-month period following a residuals land
application event when the residuals remain on the land surface for four months or longer prior to incorporation into the soil.
6. Food crops with harvested parts below the surface of the land shall not be harvested for a 38-month period following a residuals land
application event when the residuals remain on the land surface for less than four months prior to incorporation into the soil.
7. Turf grown on land where residuals are applied shall not be harvested for a 12-month period following a residuals land application event.
FORM: LOA 08-13 Page 2 of 3

r
Landowner's Certification:
I certify that I am a deeded landowner of the above -referenced land application site(s) and am authorized to make decisions
regarding the use of the land application site(s) on behalf of other deeded landowners OR that I am otherwise authorized, through
a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the
deeded landowners. I certify that the above -referenced land application site(s) are not included in any waste disposal contract or
agreement with another municipality, contractor, or other permitted entity.' Furthermore, I certify that I have read this Agreement,
understand the stipulations, restrictions, alternatives for water supply wells inside the compliance boundary, acknowledgement of
field transfer, and do hereby grant permission to the Permittee to land apply residuals to the land application site(s) as specified
herein.
Landowner name: av 0� �T
Address:
City: A y ou X State: N L Zip:
Phone: E-mail address: c�
Signature: Date:
NORTH CAROLINA, �4 COUNTY w
I, the undersigned Notary Public do hereby certify that �� t AYv1. a✓ t'T
personally appeared before me this day and acknowledged the due execution of the forgoing instrument.
WITNESS ray hand and official seal this the lo p�^ ,,•"�""'"""
day of H Vt !y, ,sg ' , 20
Signature and seal: _ L ,`
My commission expires: j f j g L 23 tpm A&R , r
Lessee's/Operator's Certification:
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Lessee/operator name: P,- X
Address:
City:
Phone: CA !A 2
Signature:
Permittee's Certification:
_ Wa Ll
v
State:
I address:
Zip:
Date: (1 ,2—C
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Signing official name: ei,, v Pvl�it
Signature: Date: d— 69-1�7
FORM: LOA 08-13 Page 3 of 3
9

Figure 17
r APPLICATION MAP
_
� rn
_
`�'.ra 7•r� 1'T ti"'^5-� y� A 1 � 1 �� A, }..
'�
d.p
ty y.i yy -� i-..
o- •', a
a t
4 p
S 1
yam-, ti 4 tlr�f{ FrTr� + "
vB
`-y�y
L. i J•i i�
T.
LEGEND
AF-PLICAT 10NF.REA F, —77 IJN8UI'i.u3LLPWF-A
- — - 3RIYATSROAD _;~ NA -ER CRAPHIC SCALE
— - - — GTREAir" 4mm=
rw..•
UhTIN A(% 15F f • I !UUSL I4 �,,%°«a_•_��
�
FENCP OUT RUILDING
P-*P[:R•rY!IVE Eli, WELL
^:.rr�risnct6a,•�r:isr:�^abTrfisia.Mr�zvrltttromtricrosnualan.(xl���r�roa:r6��f5'�l�}717 J�,P�_���a�a�
1:1 *Iu FMF$'ri br: irdR•q, ah!".7a•.'ar is rlrmara Ih=Ar,}7!k-A4rA are= The. >:n +r ln.IrGErj Ip abnstfli
rnl::'r,aytetr,+senir:«anFllynrsErwnd4�avylt�psrirAm•�flai27JfiIFIAAFipiialiCn�r�..�l '- —
[�{/"�I
-.)c tS01'�d1Uk.ff(JrdUSl7}]!G. Field 1.3
t

Figure 13
APPLICATION MAP --
11 4 i� r
1 `f
t
>. r'
� ,t1 Cj•,�,� �� �,�` ran, ,� ? �"`�,�.-
i �y �,r � ,7 � • y
yl`fff+iy < y' 4 r 11
LEGEND
APPMA7ICM rk., f LNSU!-A&E.AWA
- - -- - PRIVA —c ROAD '_ �k' ,� IYATER
— - - — -ST1141 CNtiiT= IJOUt_E
— - — DRAB OFFSfTE FIOL'SE
-e- —x- f-M— M �� OUTBL DINe
PROPERTYUVE 15 L
wp;,reo bai•deryIs c,Nblkhed a -ber 20 P. fr7nihe reaidL*da sp:findos eaa or EG f ut Y,I: do
i •-e pro ha vr1E y,'.di^.bF.nr Ig el.eesl t9 tl1sEKgolfaCo' area Tl a ra fiwnbrundyry is eslsal'-hpd
m1mvey MIAeom f* .".5mol-me t:rordfr,,ned dr ieykraler iN 100 iti3idLUls ef,olr in ava Al
i0CE11n'8 Ire appmp..Irrnte.
GRAPHIC SCALE
i'=MY
Fields 4,8-10

figure 19
APPLICATION NEAP — — ---
f 4��
4
F, V, V
44
5 -
I ,
EGEXD -
1 '1-1
,rrs.Itrn3rFA+>�r.a
---- - - PRIVATE ROAD .�_il'—,. WATT. GRAPHIC SCALE
I,.; AV oMS1TE FQu3E
= 5'
WSJ, DIM3
PRGPERn J":= 'ELL
wriHllvrm: P/owgirj 6wiaoWicd eilflu 2!0 R lrcr We of 0 (ee'vit 1h N G-J O_8790
n Or. ,rwarry bcjidary, whiehror is dojee, oo the ippho:n seer. Ths mono+ 3ouidwy la 6atatusN4
mdon mmon W.s romoance houndary 2qu ita p_rhowr aP Its ratidual .93p,I -ran area. AN — -
IxaBolmarsa_pivxi-uel:,- Fields 5-7

Figure 20
APPLICATION MAP
i`An �S
r !
1V.f,•
r.
v7 d
0.
9.
��f
'�''� ,,'
1 yr •Lln
12
LEGEND
PPLICKI- ON MEA ® UNSI I -ANKE :TE+
FPI'V,ATE Rr' in
-5 REPM
DR41N
FRCP=R f LAVE
omre io.,s=
OFFSrs HIME
,
'AIR
wrruicnc munr:arp 6 rxab1*hcJ ciU-a•25C Ir+rn LIU %-LAUas jpAWOM Cw of SO Iml.-AiNn
b ✓nr r• gt14e avJerl-n„ ivh rhs7Rr s rJm.xgtir the 1prrllwan rarer:. T'-e regOm b mm is --mll; rsa
df via t ;fwe t the rnnitlmnr . awndav 3mi the -ecirr,ate I'm residt.at; ap;,lcety area. All
Udans 3reaprArn3to.
GRAPHIC 3GALE
bl'1 6�4
Fields 11-12

State of North Carolina
Department of Environment and Natural Resources
W!k Division of Water Resources
'Division of Water Rsesou
Resources
rces LAND OWNER AGREEMENT
FORM: LOA 08-13
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted, the Applicant shall submit one original and two copies of the application and
supporting documentation
For more information or for an electronic version of this form, visit the Land Application Unit (LAU) web site at:
htip: //portal. ncdenr, org/web/wg/aps/1 au
General — This document is an agreement between the Applicant and land owner(s) of residuals receiving sites for land application of
Class B residuals (may include water treatment plant or other type residuals) in accordance with 15A NCAC 021' .1100. Do not
submit this agreement for review without a corresponding application form (FORM: RLAP 08-13).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Land Owner Agreement (FORM: LOA 08-13):
® Submit the completed and appropriately executed Residuals Source Certification (FORM: LASC 08-13) form. Please do not
make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to the
application may be made, as long as the attachments are numbered to correspond to the section and item to which they refer.
® Prepare a separate agreement for each set of land application sites that are owned or operated by an entity other than the
Applicant.
® A copy of the completed and appropriately executed agreement must be provided to the landowner and the lessee/operator.
AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND
The undersigned landowner or his representative hereby permits:
Applicant's name: City Of Kinston
hereinafter referred to as the Permittee, to land apply residuals from the following facility(ies) onto the following land
application site(s) (i.e., see attached setback maps) in accordance with the stipulations and restrictions as given in this
Agreement:
Lease
Land Use or
Residuals Source
Special note
Site/Field ID
(yes/no)
CGopping Patterns
Intended Use of Crops
(optional)
(no-till/over-seed/
pasture)
NC-JO-2944-1
Y
Pasture
Animal Feed
NC-JO-2944-2
y
Pasture
Animal Feed
NC-JO-2944-3
y
Pasture
Animal Feed
NC-JO-2944-5
y
Pasture
Animal Feed
NC-JO-2944-6
y
Pasture
Animal Feed
NC-JO-2945-1
Y
Pasture
Animal Feed
NC-JO-2945-2
y
Pasture
Animal Feed
NC-JO-2945-3
y
Pasture
Animal Feed
NC-JO-2945-5
y
Pasture
Animal Feed
NC-JO-2945-6
y
Pasture
Animal Feed
The landowner or his representative receives, in consideration, full use of the nutrient value of the applied residuals while the
Permittee receives, in consideration, the use of the land application site(s) described above for the disposal of the residuals.
FORM: LOA 08-13 Page 1 of 3

This Agreement shall remain in effect for the length of the Division's permit for the residuals land application program and
shall be renewed each time this permit is renewed.
The undersigned landowner or his representative and the Permittee agree to abide with the following restrictions and
stipulations until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement.
I. STIPULATIONS:
1. The landowner or his representative shall not enter into any additional residuals application contracts or agreements with another permitted
entity for the site(s) specified by this Agreement.
2. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) to a third party, the landowner shall
be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement.
3. The landowner or his representative shall adhere to the provisions of this Agreement until all of the site restrictions (under Section II) are met.
4. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWQ, Land Application Unit, 1636 Mail Service
Center, Raleigh, NC 27699-1636.
5. The Permittee must request and obtain a permit modification from the Division prior to a transfer of the land application site(s) to a new
landowner. In addition, the current landowner shall give a notice to the new landowner that gives full details of the residuals applied at the
land application site(s).
6. The Permittee has provided the landowner or his representative with information and data concerning the residuals land application program,
including an analysis of constituents of the residuals, residuals application methods, schedules for typical cropping patterns, a description of
the equipment used by the Permittee.
7. The Permittee will provide the landowner or his representative with a copy of the residuals permit prior to commencement of any residuals
land application event and a copy of the results of each soil analysis.
8. If the soil pH of the land application site(s) is not maintained at 6.0 or greater, sufficient amounts of lime shall be applied to achieve a final
soil pH of at least 6.0, unless an agronomist provides information indicating that the pH of the soil, residuals and lime mixture is suitable for
the specified crop.
9. The landowner or his representative and the Permittee will agree on residuals application'cates and schedules based on crop patterns, results of
soil samples, and the permitted application limits.
10. The landowner or his, representative will provide the Permittee with information regarding the amount and analysis of other sources of
nutrients (e.g., fertilizer, unregulated animal waste, etc.) that have been applied to the land application site(s).
11. The landowner or his representative will inform the Permittee of any revisions or modifications to the intended use and cropping patterns for
the land application site(s) prior to each planting season to enable the Permittee to amend this Agreement and schedule residuals land
application events at appropriate periods.
12. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee, the landowner, or
his representative prior to and during a residuals land application event.
13. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to; enter and
inspect any property, premises, or place on or related to the land application site(s) at any reasonable time for the purpose of determining
compliance with the permit; establish monitoring facilities on or near the land application site(s) as required by the permit; copy any records
that must be kept under the terms and conditions of the permit; take necessary leachate, surface water, groundwater, or soil samples during the
term of, and 12 months after termination of, this Agreement.
II. RESTRICTIONS:
1. Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control public access to the land
application site(s) during active use and for the 12-month period following a residuals land application event. Such controls may include the
posting of signs that indicate the activities being conducted at the land application site(s).
2. Animals shall not be grazed on the land ayplication site(s) for a 30-day period following a residuals land application event. Land application
sites that are'to be used for grazing shall have fencing that will be used to prevent access during these periods after such residuals land
application events.
3. Food crops, feed crops, and fiber crops shall not be harvested for a 30-day period following a residuals land application event.
4. Food crops with harvested parts that touch the residuals/soil mixture and are totally above the land surface shall not be harvested for a 14-
month period following a residuals land application event.
5. Food crops with harvested parts below the surface of the land shall not be harvested for a 20-month period following a residuals land
application event when the residuals remain on the land surface for four months or longer prior to incorporation into the soil.
6. Food crops with harvested parts below the surface of the land shall not be harvested for a 38-month period following a residuals land
application event when the residuals remain on the land surface for less than four months prior to incorporation into the soil.
7. Turf grown on land where residuals are applied shall not be harvested for a 12-month period following a residuals land application event.
I11.ALTERNATIVES FOR WATER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY: (please check one)
15A NCAC 02L .0107(d) prohibits water supply wells within the compliance boundary. However, 15A NCAC 02T .0105(h) allows the
compliance boundary to be placed closer to the waste disposal area, such that the water supply well is situated outside of the compliance
boundary provided the groundwater standards can be met at the newly -established compliance boundary. Please mark one of the following;
® A re -defined compliance boundary is needed for field(s) ID:
(Please include the rationale for the requested re -location of the compliance boundary and attach a map showing the newly proposed
compliance boundary to the application package)
❑ A re -defined compliance boundary is not needed for this site.
IV. ACKNOWLEDGEMENT OF FIELD TRANSFER: (if needed)
FORM: LOA 08-13 Page 2 of 3

Landowner's Certification:
I certify that I am a deeded landowner of the above -referenced land application site(s) and am authorized to make decisions
regarding the use of the land application site(s) on behalf of other deeded landowners OR that I am otherwise authorized, through
a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the
deeded landowners. I certify that the above -referenced land application site(s) are not included in any waste disposal contract or
agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement,
understand the stipulations, restrictions, alternatives for water supply wells inside the compliance boundary, acknowledgement of
field transfer, and do hereby grant permission to the Permittee to land apply residuals to the land application site(s) as specified
herein. 1
Landowner name: c UIR,TT
Address: �ON C,/ LlS�-
City: State: Zip:
Phone: -mail address:
Signature: Date: _ �d
NORTH CAROLINA, � O VUS COUNTY
I, the undersigned Notary Public do hereby certify that to Dw
T
personally appeared before me this day and acknowledged the due execution of the forgoing instrument.
n0 4- L.,
WITNESS y hand and official seal this the AA Ta�VI n
day of
Signature and seal: = -
My commission expires: Na 3 fin` AUB LSD'
Lessee's/Operator's Certification:
t I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Lessee/operator name:
Address:
n
City: State: Zip:
Phone: 0 0 O- an o- 1 q8 E-mail address:
Signature: Date:
Permittee's Certification:
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Signing official name; �iPil�Jp-e✓Pn _ S
Signature: Date:
FORM: LOA 08713 Page 3 of 3

Figure 16
LEGEND
:VPLIGATION APR . ! UhSUIT,,% F AK:A
� _
,AT F?
GRAPHIC SCALE �
3TRi:xiJ. CPiS T: HOUSE
- 68G
— - — rJk°,Ua OFFSITE WX ;F
EG7 tt 4_ir
r— x FD4CE [ OLTaL LDIMG
P?O^FRTY IN=
COTPiiI'LD �[t1f�3lyls �iRISI6hF,tr ritft9r i.i� fl'Y1R 1Ffl r�Flf, wls �prllCainA 9`?d Cr �� In;r'h1�7;'1
`ih;
29 `(�U� I �-lE5
I � V �{'
II pot I:QIII ��w �i't4i1�: Yo.t3f 6-JLI s:iL i., U Fi j,g& i3x Y!i)d Ttr� rE-avtt 'Jl'UIi�Yr�� I'.'-E63tIIS1E�
T110.1m t?Ir,Ew he arilcll�Ireh:wlCv1'I grid l e U3rfimot Chu msiu j:dE ap1icaii:nar_a AM
IOCkils�9'E8':G�CUI!'1£I9.
! Fields 1-3,5,6

Figure 15
APPLICATION MAP
3
LEGEND
2
MFUC.AI IUN I-Rii i ' M&AT:iBLE I+SEA
C
-- FRIVA" 3 RG4D
v'T ic�Ll ONSrrM HORSE
7FFRITE 1400SE
-r�—t�- FaUc -)LT31;;1.JINR
— - ^ROPERTYL NE r I IbELL
a alpha^ce tounil►r,+a iaLltlls�'0 Ut it. 254It. or I'0 mdC mli rrpplImbnarm u!jl "-j
n •hb p n s .s Luon"aly wNdA:re• Is Bowl tO lh= aFptcvI m e-pa. W.. re0erj hourdey i, anbW-P.1
nliChay bo.yEar• i :e coirp ame Wudvy and Its paffmaW of ft mzicis. sappIoeltn area. hl
Ir.a:nlx are a;.p:eA TIH u
GRAPHIG SCALE
NC-JO-2944
Fields 1-3

State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
" Divlslon of Water Resources
LAND OWNER AGREEMENT
FORM: LOA 08-13
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted, the Applicant shall submit one original and two copies of the application and
supporting documentation
For more information or for an electronic version of this form, visit the Land Application Unit (LA U) web site at:
http: //portal. nedenr. org/web/wg/aps/7au
General — This document is an agreement between the Applicant and land owner(s) of residuals receiving sites for land application of
Class B residuals (may include water treatment plant or other type residuals) in accordance with 15A NCAC 02T .1100. Do not
submit this agreement for review without a corresponding application form (FORM: RLAP 08-13).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Land Owner Agreement (FORM: LOA 08-13):
® Submit the completed and appropriately executed Residuals Source Certification (FORM: LASC 08-13) form. Please do not
make any unauthorized content changes to this form. if necessary for clarity or due to space restrictions, attachments to the
application may be made, as long as the attachments are numbered to correspond to the section and item to which they refer.
® Prepare a separate agreement for each set of land application sites that are owned or operated by an entity other than the
Applicant.
® A copy of the completed and appropriately executed agreement must be provided to the landowner and the lessee/operator.
AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND
The undersigned landowner or his representative hereby permits:
Applicant's name: City Of Kinston
hereinafter referred to as the Permittee, to land apply residuals from the following facility(ies) onto the following land
application site(s) (i.e., see attached setback maps) in accordance with the stipulations and restrictions as given in this
Agreement:
Site/Field ID
Lease
(yes/no)
Land Use or
Cropping Patterns
pp' g
Intended Use of Crops
Residuals Source
(optional)
Special note
(no-till/over-seed/
pasture)
NC-CR-5-1
Y
Row Crop
Animal Feed
NC-CR-5-2
y
Row Crop
Animal Feed
NC-CR-5-3
y
Row Crop
Animal Feed
The landowner or his representative receives, in consideration, full use of the nutrient value of the applied residuals while the
Permittee receives, in consideration, the use of the land application site(s) described above for the disposal of the residuals.
This Agreement shall remain in effect for the length of the Division's permit for the residuals land application program and
shall be renewed each time this permit is renewed.
The undersigned landowner or his representative and the Permittee agree to abide with the following restrictions and
stipulations until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement.
FORM: LOA 08-13 Page 1 of 3

8/23/2019 Becton Farm Rd - Google Maps
Go gle Maps Ivis�;, w
r�w
Kinston T.Ck fide' c0.. s AA!) P+ ,.!' i Ei
Regional - in7 inr U
Jetport at / 1
Stallings Fld-
, 1 ©
Woods View
75e ml
Se
West Fort Barnwell
Crossroads tteo
roe S
r
Lions Water Ad+enture
ek O '�"-K1Csion
Wintergreen _
r—+
LG0 gle
Map data (02019 2 mi t r
V
(DO
M
https://www.goog!e.com/maps/place/Becton+Farm+Rd,+Kinston,+NC+28501/@35.2803377,-77.4481038,12zldata=14m5!3m4! 1 sOx89aecaeO3fOc3489... 1 /1

Landowner's Certification:
I certify that I am a deeded landowner of the above -referenced land application site(s) and am authorized to make decisions
regarding the use of the land application site(s) on behalf of other deeded landowners OR that I am otherwise authorized, through
a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the
deeded landowners. I certify that the above -referenced land application site(s) are not included in any waste disposal contract or
agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement,
understand the stipulations, restrictions, alternatives for water supply wells inside the compliance boundary, acknowledgement of
field transfer, and do hereby grant permission to the Permittee to land apply residuals to the land application site(s) as specified
herein.
Landowner name:
Address:
City:
Phone:
ck e. 1 e 0
State:
E-mail address:
Signature: -� Date:
NORTH CAROLINA, C V q "-i r COUNTY
Zip:
I, the undersigned Notary Public do hereby certify that 2 A c. (0
personally appeared before me this day and acknowledged the due execution of the forgoing instrument.
WITNESS my hand and official seal this the
day of 1-IvA i
Signature and seal:
My commission expires:
Lessee's/Operator's Certification:
li - q a3
II 'h
,20 ()
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Lessee/operator name: l rku r,,,n
UPAddress:
City: C u \rt C1,11 State: ►1`S C
Phone: CD.Y�) a-2) - q & 0),
Signature:
Permittee's Certification:
Zip: J �--a 3
E-mail address:
Date: 3-II-��
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Signing official name: f -2N vt.24\ Pvtr S r
Signature: Date:
FORM: LOA 08-13 Page 3 of 3

Figure 6
APPLICATION MAP
LEGEND
A=PXX710R AMA,
r/� "
JMS JITAKE NREA
- — — — — -
,)$p14 (E RWo
-- - - —
MEAV
D I'E HOUSE
DPO-1
O FSITE 4CUSE
FENCE
CU-BUILMIG
PRO RVY LIh:F
wEL
-:.nFllen.a b.Lnrerr s I�aEJisFed eater 2:-1 f h*m rh= v;iAuels arpirAtltn c�� p �'� fv!t',�11r11'
Ir 1"o G :�� rij Y,luntdrf, ttiiYchc'rnrls ca,astic t �o epFli.i&o� awe Thy �m'lau b"�Ilnrlfry la. A5fFhl:�haiS
11I ',rn; OO ALMI U' 0311Y'i0li WL d=r/ aw Ilu; 1oltrow; N 11, rvddudde1.411k jULvi lnji AN
loaethrs 9r° 3p1roulm1o.
GRAPHIC SCALE

State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
LAND OWNER AGREEMENT
'Division of Water Resources
FORM: LOA 08-13
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted, the Applicant shall submit one original and two copies of the application and
supporting documentation
For more information or for an electronic version of this form, visit the Land Application Unit (LAU) web site at:
htip.-Ilportal.ncdenr.org/rveb/w(t/ci,2.v/lciii
General — This document is an agreement between the Applicant and land owner(s) of residuals receiving sites for land application of
Class B residuals (may include water treatment plant or other type residuals) in accordance with 15A NCAC 02T .1100. Do not
submit this agreement for review without a corresponding application form (FORM: RLAP 08-13).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Land Owner Agreement (FORM: LOA 08-13):
® Submit the completed and appropriately executed Residuals Source Certification (FORM: LASC 08-13) form. Please do not
make any unauthorized content changes to this form. if necessary for clarity, or due to space restrictions, attachments to the
application may be made, as long as the attachments are numbered to correspond to the section and item to which they refer.
® Prepare a separate agreement for each set of land application sites that are owned or operated by an entity other than the
Applicant.
® A copy of the completed and appropriately executed agreement must be provided to the landowner and the lessee/operator.
AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND
The undersigned landowner or his representative hereby permits:
Applicant's name: City of Kinston
hereinafter referred to as the Permittee, to land apply residuals from the following facility(ies) onto the following land
application site(s) (i.e., see attached setback maps) in accordance with the stipulations and restrictions as given in this
Agreement:
Site/Field ID
Lease
Land Use or
Intended Use of Crops
Residuals Source
Special note
(no-tilUover-seed/
(yes/no)
Cupping Patterns
(optional)
pasture)
NC-CV-4-1
Y
Row Crop
Animal Feed
NC-CV-4-2
Y
Row Crop
Animal Feed
NC-CV-4-3
y
Row Crop
Animal Feed
NC-CV-4-4
y
Row Crop
Animal Feed
NC-CV-4-5
y
Pasture
Animal Feed
NC-CV-4-6
y
Pasture
Animal Feed
NC-CV-4-7
y
Row Crop
Animal Feed
The landowner or his representative receives, in consideration, full use of the nutrient value of the applied residuals while the
Permittee receives, in consideration, the use of the land application site(s) described above for the disposal of the residuals.
This Agreement shall remain in effect for the length of the Division's permit for the residuals land application program and
shall be renewed each time this permit is renewed.
The undersigned landowner or his representative and the Permittee agree to abide with the following restrictions and
stipulations until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement.
FORM: LOA 08-13 Pagel of 3

This Agreement shall remain in effect for the length of the Division's permit for the residuals land application program and
shall be renewed each time this permit is renewed.
The undersigned landowner or his representative and the Permittee agree to abide with the following restrictions and
stipulations until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement.
I. STIPULATIONS:
1. The landowner or his representative shall not enter into any additional residuals application contracts or agreements with another permitted
entity for the site(s) specified by this Agreement.
2. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) to a third party, the landowner shall
be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement.
3. The landowner or his representative shall adhere to the provisions of this Agreement until all of the site restrictions (under Section II) are met.
4. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWQ, Land Application Unit, 1636 Mail Service
Center, Raleigh, NC 27699-1636.
5. The Permittee must request and obtain a permit modification from the Division prior to a transfer of the land application site(s) to a new
landowner. In addition, the current landowner shall give a notice to the new landowner that gives full details of the residuals applied at the
land application site(s).
6. The Permittee has provided the landowner or his representative with information and data concerning the residuals land application program,
including an analysis of constituents of the residuals, residuals application methods, schedules for typical cropping patterns, a description of
the equipment used by the Permittee.
7. The Permittee will provide the landowner or his representative with a copy of the residuals permit prior to commencement of any residuals
land application event and a copy of the results of each soil analysis.
8. If the soil pH of the land application site(s) is not maintained at 6.0 or greater, sufficient amounts of lime shall be applied to achieve a final
soil pH of at least 6.0, unless an agronomist provides information indicating that the pH of the soil, residuals and lime mixture is suitable for
the specified crop.
9. The landowner or his representative and the Permittee will agree on residuals application rates and schedules based on crop patterns, results of
soil samples, and the permitted application limits.
10. The landowner or his representative will provide the Permittee with information regarding the amount and analysis of other sources of
nutrients (e.g., fertilizer, unregulated animal waste, etc.) that have been applied to the land application site(s).
11. The landowner or his representative will inform the Permittee of any revisions or modifications to the intended use and cropping patterns for
the land application site(s) prior to each planting season to enable the Permittee to amend this Agreement and schedule residuals land
application events at appropriate periods.
12. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee, the landowner, or
his representative prior to and during a residuals land application event.
13. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to; enter and
inspect any property, premises, or place on or related to the land application site(s) at any reasonable time for the purpose of determining
compliance with the permit; establish monitoring facilities on or near the land application site(s) as required by the permit; copy any records
that must be kept under the terms and conditions of the permit; take necessary leachate, surface water, groundwater, or soil samples during the
term of, and 12 months after termination of, this Agreement.
II. RESTRICTIONS:
1. Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control public access to the land
application site(s) during active use and for the 12-month period following a residuals land application event. Such controls may include the
posting of signs that indicate the activities being conducted at the land application site(s).
2. Animals shall not be grazed on the land application site(s) for a 30-day period following a residuals land application event. Land application
sites that are'to be used for grazing shall have fencing that will be used to prevent access during these periods after such residuals land
application events.
3. Food crops, feed crops, and fiber crops shall not be harvested for a 30-day period following a residuals land application event.
4. Food crops with harvested parts that touch the residuals/soil mixture and are totally above the land surface shall not be harvested for a 14-
month period following a residuals land application event.
5. Food crops with harvested parts below the surface of the land shall not be harvested for a 20-month period following a residuals land
application event when the residuals remain on the land surface for four months or longer prior to incorporation into the soil.
6. Food crops with harvested parts below the surface of the land shall not be harvested for a 38-month period following a residuals land
application event when the residuals remain on the land surface for less than four months prior to incorporation into the soil.
7. Turf grown on land where residuals are applied shall not be harvested for a 12-month period following a residuals land application event.
I1I.ALTERNATIVES FOR WATER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY: (please check one)
15A NCAC 02L .0107(d) prohibits water supply wells within the compliance boundary. However, 15A NCAC 02T .0105(h) allows the
compliance boundary to be placed closer to the waste disposal area, such that the water supply well is situated outside of the compliance
boundary provided the groundwater standards can be met at the newly -established compliance boundary. Please mark one of the following;
® A re -defined compliance boundary is needed for field(s) ID:,_
(Please include the rationale for the requested re -location of the
compliance boundary to the application package)
❑ A re -defined compliance boundary is not needed for this site,
IV. ACKNOWLEDGEMENT OF FIELD TRANSFER: (if needed)
compliance boundary and attach a map showing the newly proposed
FORM: LOA 08-13 Page 2 of 3

Landowner's Certification:
I certify that I am a.deeded landowner of the above -referenced land application site(s) and am authorized to make decisions
regarding the use of the land application site(s) on behalf of other deeded landowners OR that I am otherwise authorized, through
a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the
deeded landowners. I certify that the above -referenced land application site(s) are not included in any waste disposal contract or
agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement,
understand the stipulations, restrictions, alternatives for water supply wells inside the compliance boundary, acknowledgement of
field transfer, and do hereby grant permission to the Permittee to land apply residuals to the land application site(s) as specified
herein.
Landowner name: oh�l-�- Ca ►� Q �1I
Address: b f u 4%.
City: r r n u I State: Zip:
Phone: O��a:) 2 uy — loin _ E-mail address:
Signature: _ Date:
/1
I
NORTH CAROLINA, C' 0VV-C n OUNTY
I the undersigned No Public do hereby certify that
8 �'Y Y �'
personally appeared before me this day and acknowledged the due execution of the forgoing instrument.
WITNESS my hand and official seal this the
day of
Signature and seal:
My commission expires:
Lessee's/Operator's Certification:
I certify that I have read this Agreement and do+ ,hereby agree ttoabide by the stipulations and restrictions as specified herein.
Lessee/operator name: f kf royx 4 C V t a d' i 1' ►' /�tc (u q
Address: 01c4 u3 '.o V J
City: C o k-c C , `i-" State: N Zip: 4S� 3
Phone: C-b E-mail address:
C
Signature: Date:
Permittee's Certification:
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Signing official name: A« — /L.
Signature: `7 Date:
FORM: LOA 08-13 Page 3 of 3

Figure 5
� � M
F
4 r f
an
LEGEND
Uf iUiTIKF- ARM
I ; <
APP-icxr,ON ARFA ` .i ;riATER
- — —-•niljp.Tc RC44D J\SIFE ',Qp,,E
STREAM .
c7sir-_ IrxIs_
— DRri% I C.i fit II I: W)
-� FENM OCCE
-M OPEITY LINE 'IVEL_
r� npfia�cx tosndzy' s eal��lisl'ec �litlar 2 D Il "rUa' ;ICE r8�d9BJ3 t.F+�}rY+'!tnArm n- 5f• �F� v.(C+h
in tQ p-upr^.' I7Cvidw), Y''.IIlix-ver it,*!e,,- 4o IN? nplceibn ow. T •p mgi:h7 ft.mr3 j F estb IAW
IrioRay b: w •r• to mrr sfi np by, r'aq' Fir. lie WrmaWrrof Lie reW.at dplfr aGv, dud. A
a -knTIL dT �.pvr.inzL
GRAP- SIC SCA_E
1" = 660'
e� cec
NC-CV-04
Field 7

Figure 4
LEGEND
�-
APPLILA-IC•`; AREA
— - - — ; REAM
C'G41H
.
FENCE
P{1UP--P 1 Y I.INt
0/
LU SL9-AELE AFGA
WATER
CNSITc HrJUSE
CFF^_T E HOUSE
XMIL,'14C
iI1=? f
rmrp'a•ry hmindary n =slatllaheri emF-25G ft f am the msie jals applicsrian Amm -r �vC het efth
n tlta nmpmt tmiflar} • �ytlrt3le fs sf�sol m the �Fal c�tly►1 a C.). ih. ros hel boar iarg is os-�tlisho:
1. UO.ap bAV091 IN aJOV:Z W UCUI J6'y d1L Uo P.ftGll 0; U'r erei'..5.
loco:oa. 9fe aCp'mins-,+
GRAPHIC 'SCALE
1'' = 560'
fRY OEM
NC-CV-04
Fields 1-5