WQ0001048_Renewal (Application)_20190903

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
n
September 3, 2019
To: WaRO-WQROS: David May / Robert Tankard
From: Ranveer Katyal, Water Quality Permitting Section - Non -Discharge Branch a ,o p 0?
�sh'9r at;'ai,9 0I19
io �`ro"oar
Permit Number: WQ0001048 Permit Type: Land Application of Residual'§@ds (503)
gee
Applicant: Contentnea Metropolitan Sewerage District Project Type: Renewal
Owner Type: Organization
Facility Name: Contentnea MSD RLAP
Signature Authority: Charles Smithwick, Jr.
Address: PO Box 477, Grifton, NC 28530
Fee Category: Non -Discharge Minor
Comments/Other Information:
Owner in BIMS? Yes
Facility in BIMS? Yes
Title: District Manager
County: Pitt
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 09-15 Page 1 of 1

ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
LINDA CULPEPPER
Director
NORTH CAROLINA
Environmental Quality
September 3, 2019
CHARLES SMITHWICK, JR. — DISTRICT MANAGER
CONTENTNEA METROPOLITAN SEWERAGE DISTRICT
PO BOX 477
GRIFTON, NORTH CAROLINA 28530
Subject: Acknowledgement of
Application No. WQ0001048
Contentnea MSD RLAP
Residuals Management System
Pitt County
Dear Mr. Smithwick:
The Water Quality Permitting Section acknowledges receipt of your permit application and
supporting documentation received on August 29, 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,
aux�'
Nathaniel D. Thornburg, Supervisor
Division of Water Resources
cc: Washington Regional Office, Water Quality Regional Operations Section
Permit File WQ0001048
D E Q�Z i;ZA North Carolina Department of Environmental Quality I Division of Water Resources
512 North Salisbury Street 1 1617 Mail Service Center I Raleigh, North Carolina 27699-1617
919.707.9000

SF,o
!y pat'i�a�O
Application for Renewal of �70�,�d
Permit No. WQ0001048
Non -Dedicated Residuals Land
Application Program
Contentnea Metropolitan Sewerage District
Grifton, North Carolina
August 2019
TV
THE WOOTEN COMPANY
License No. F-01 15
TWC: 2301

9�c�44:�_
ZXti
August 27, 2019 `SF,o �Q14,9
41
�ash�aa� OGaiZOJ9
Mr. Nathaniel Thornburg, Branch Chief �9'o�9ass9�9,0
Division of Water Resources 9io�a�•o
THE
Non-Discharge Branch
WO OT E N 1617 Mail Service Center
LL!! V Raleigh, NC 27699-1617
Re: Residuals Land Application Program Permit Renewal
Permit No. WQ0001048 RECt.!`��'A'�'�F�''Ul'
Contentnea Metropolitan Sewerage District, Pitt County
TWC No. 2301 AUG 2019
Dear Mr. Thornburg: Non-D,"charge
Permitla'-1, Unil
On behalf of the Contentnea Metropolitan Sewerage District (CMSD), enclosed please
find one (1) original and two (2) copies of an application to request renewal of the above
referenced permit. CMSD is requesting renewal of Sites B, C, and D which totals 68.55
acres and is permitted for the application of 291 dry tons per year. Each application
section is divided into the following sections:
1. Form RLAP 06-16
a. Current Land Application Permit
b. Operation and Maintenance Plan
2. Form RSC 06-16 for WWTP Residuals
a. Vicinity map
b. CMSD Schematic Flow Diagram
c. Residuals Production Documentation
d. Sampling and Monitoring Plan
3. Form LASC 06-16 with attachments
a. Vicinity, Soils, and Setback Maps
b. Updated Cumulative Pollutant Loadings
4. Form LOA 06-16 for: Site D (Gaskins owned site); Sites B and C (CMSD
owned sites)
If you have any questions about the application contents or require any additional
information, please do not hesitate to contact our office at [phone] or Charles
Smithwick Jr. at [phone].
Sincerely,
THE WOOTEN COMPANY
120 North Boylan Avenue
Raleigh, NC 27603-1423 Casey Garland, PhD.
919.828.0531 Enclosures
Fax [phone] cc: Charles Smithwick Jr., Contentnea Metropolitan Sewerage District
www.thewcotencompany.com TWC files

State of North Carolina
DWR Department of Environmental Quality
k a �-� 0 2010 Division of Water Resources
Division of Water Resources 15A NCAC 42jb.1100 — RESIDUALS LAND APPLICATION PROGRAM
INSTRUCTIONS FOR FARM: RLAP 06-16 & 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 conies of the application and
supportinLy documentation
For more information, visit the Water Quality Permitting Section's Non -Discharge Permittintr Unit
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
15A NCAC 02T .1 100.
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 06-16) Application: (All Application Packages):
in Submit the completed and appropriately executed Residuals Land Application Program (FORM: RLAP 06-16) 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 15A NCAC 02T .0106(b). 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 Environmental
Quality (NCDEQ).
Facility Classification New Permit Major Modification
Major (land 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 for that particular program [including transferring of field(s) from
one program to another]; adds additional residuals sources; or includes the addition of new treatment or storage units/processes
not previously permitted. There is no fee for minor modifications to a permit.
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 (Maybe Required— See 15A NCAC 1C .0300)
in 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.
INSTRUCTIONS FOR FORM: RLAP 06-16 Pagel of 3

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 15A NCAC 02T .1110 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 equipment 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.
Z 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.
Z 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 NCAC 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 Non -Discharge Permitting Unit 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.
II. Detailed Site Maps (All New or Modification Application Packages)
❑ Submit three (3) sets of standard size plans and two (2) sets of 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 06-16 Page 2 of 3

1.
LM
L.
M.
Project Evaluation and Receiver Site Management Plan (All New Application Packages or Modifications that include new
sites)
IM 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.
Hydrogeologic Report (All New Application Packages or Modifications involving increasing the total design capacity)
Submit a detailed hydrogeologic evaluation in accordance with 15A NCAC 02T .1104(d)(4) and current Division Policy
available at: hn://www.ncwater.org,!&ules Policies and Regulations/. The document shall be signed, sealed and dated by a
qualified professional.
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 NCAC 02T .1104(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.
El Soil mapping units shown on all disposal sites.
Water Balance (All New Application Packages or Modifications that include new sites utilizing fixed irrigation facilities or
irrigation facilities fed through fixed supply systems)
IM Submit a completed and accurate water balance in accordance with 15A NCAC 02T .1104(d)(5) and current Division Policy
available at: bttp://www.ncwater:org/Rules Policies and Regulations/.
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(f) or
IN 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 ENVIRONMENTAL QUALITY
DIVISION OF WATER RESOURCES
WATER QUALITY PERMITTING SECTION
NON -DISCHARGE PERMITTING UNIT
By U.S. Postal Service:
1617 MAIL SERVICE CENTER
RALEIGH, NORTH CAROLINA 27699-1617
TELEPHONE NUMBER: [phone]
By Courier/Special Delivery:
512 N. SALISBURY STREET
RALEIGH, NORTH CAROLINA 27604
FAX NUMBER: [phone]
INSTRUCTIONS FOR FORM: RLAP 06-16 Page 3 of 3

State of North Carolina
Department of Environmental Quality
Division of Water Resources
Division of Water Resources 15A NCAC 02T .1100 — RESIDUALS LAND APPLICATION PROGRAM
FORM: RLAP 06-16
I. APPLICANT INFORMATION:
1. Applicant's name: Contentnea Metropolitan Sewerage District
Applicant type: ❑ Individual E Corporation ❑ General Partnership
Privately -Owned Public Utility
❑ Federal IS State Z Municipal
County
Signature authority's name per 15A NCAC 02T .0106: Charles Smithwick, Jr.
Title: District Manager
Applicant's mailing address: PO Box 477
City: Grifton State: NC Zip: 28530
Telephone number: [phone] Email Address: crosd100(a,embargmail.com
2. Consultant's name: Charles Davis License Number (for P.E.): 22531
Affiliation: JAOn Staff E Retained (Firm: The Wooten Company)
Consultant's mailing address: 120 N. Boylan Ave.
City: Ralei State: NC Zip: 27603
Telephone number: [phone] Email Address: [e-mail]
3. Agronomist's name: = License Number:
Affiliation: in N/A 0 On Staff ll Retained (Firm: En
RECENFrINICDFOJUNR
Agronomist's mailing address: =
A U G :; 9 2 019
City: an State: Zip:
Telephone number: (_)_- Email Address: _
Non-Di�Charge
Permitting Unit
4. Soil Scientist's name: License Number:
Affiliation: M N/A ❑ On Staff ❑ Retained (Firm: )
Soil Scientist's mailing address:
City: State: Zip: -
Telephone number:) _-A Email Address:
5. Fee submitted: $0 (See Instruction B)
II. PERMIT INFORMATION:
1. Application is for (check all that apply): 0 new, ❑ modified, N renewed permit
2. If this application is being submitted to renew or modify an existing permit, provide the following:
Permit number: WQ0001048
Date of most -recently issued permit: FebruM 1, 2015 to January 31, 2020
Date of most -recently certified Attachment A (if different than the permit): same as permit
Date of most -recently certified Attachment B (if different than the permit): same as permit
FORM: RLAP 06-16 Page 1 of

III. RESIDUALS LAND APPLICATION PROGRAM INFORMATION:
1. Residuals Processing Facility's physical address: 900 Wiley Gaskins Rd.
City: Grifton State: NC Zip: 28530
Coordinates: Latitude: 35' 21' 36.7" Longitude: 77' 24' 57.6"
Datum: NAD83 Level of accuracy: 1/100
Method of measurement: UTM
2. County where residuals land application program is headquartered: Pitt County
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
Renee B. Smith
CMSD
14790
Back -Up ORC
Charles Smithwick Jr.
CMSD
991850
Additional Back -Up
ORCs
(if applicable)
N/A
N/A
N/A
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 Nitro -yen 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: 291 dry tons per year.
PAN
Pounds of PAN per Dry Ton
(Weighted Average)
Pounds of PAN per Year
Surface
Incorporation
or Injection
Surface
Incorporation
or Injection
First -Year
52.46
53.25
15,266
15,496
Five -Year Maximum Adjusted
76.62
77.41
22,297
22,526
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
0
N/A
Row Crops
0
N/A
Hay
68.55
Coastal Bermuda Grass
Pasture
0
N/A
Total:
68.55
N/A
Methods
Surface
68.55
N/A
Incorporation or Injection
0
N/A
Total:
68.55
N/A
FORM: RLAP 06-16 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
Application Rate
qbs PAN/ac yr)
Acres Required Using
First -Year PAN Concentrations
Acres Required Using
Five -Year Maximum Adjusted PAN
Concentrations
Surface
Incorporation or
Injection
Surface
Incorporation or
Injection
50
305.3
309.9
445.9
450.5
100
152.7
155.0
223.0
225.3
150
101.8
103.3
148.6
150.2
200
76.3
77.5
111.5
112.6
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.): No
7. Specify type of residuals program (See Instruction F): M Non -dedicated IM 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: (Required for all new, renewed, or modified residuals source)
Complete and submit the following Residuals Source Certification and all associated documentation.
EM
Residuals Source
Certification
V. LAND APPLICATION SITE INFORMATION: (Required for all new, renewed, or modified land application site)
Complete and submit the following Land Applications Site Certification and all associated documentation.
El
Land Application Site
Certification.doc
FORM: RLAP 06-16 Page 3 of 5

Note: Item VI. Applicable to Dedicated Program with fixed irrigation system only.
1 DESIGN INFORMATION FOR FIXED IRRIGATION SYSTEM
1. The irrigation system is: IM Spray IM Drip
2. Disposal system is: In existing IM 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 15A NCAC 02T .050M 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?
ll Yes or IN 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:
Recommended
Recommended
Soil Series
Fields within Soil Area
Loading Rate
Loading Rate
inr
in/ r
ME
am
6. Design loading rates are equal or less than the loading rates recommended by Soil Scientist?
❑ Yes or 0 No If No, explain why 15A NCAC 02T .0505(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
(ft Z)
Number of
Nozzles
Maximum Application
Rate allons/hr
Design Annual Loading
Rate allons/ r
s
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 06-16 Page 4 of 5

pplicant'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 M No, Explain;
I, L-)y\c Cke,g M �1YtC� c:V �A'\o.t�.�
(Signature Authority's Name — PLEASE PRINT) (Title)
attest that this application for Co,n v�ku� __ Kkkkf 0 W`: A-V-
(Facility Name)
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 not 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 § 143-215.613, any person who knowingly makes any
Ise statement, representation, or certification in any application shall be guilty of a Class 2 misdemeanor, which may include a fine
>t to exceed $10,000 as well as civil penalties up to $25,000 per violation.
Signature: C wl CC Date: ' zZ - lq
FORM: RLAP 06-16 Page 5 of 5

Contentnea Metropolitan Sewerage District
2019 Residuals Land Application Permit Renewal
Supporting Information:
Existing (Non -Dedicated) Residuals Land
Application Permit
Existing Operation and Maintenance Plan

t
hr , wy
HCDENR
North Carolina Department of Environment and Natural Resources
Pat Ivl; :Crory
Governor
December 2, 2014
Charles Smithwick, District Manager
Contentnea Metropolitan Sewerage District
Post Office Box 477
Grifton, North Carolina 28530
Dear Mr. Smithwick:
John E, Skvatla, III
. Secretary/
Subject: Permit No. WQ0001048
Contentnea MSD WWTP
Land Application of Class B
Residuals (Non -Dedicated)
Pitt County
In accordance with your permit application minor modification and renewal request received
September 2, 2014, we are forwarding herewith Permit No. WQ0001048 dated December 2, 2014, to
Contentnea Metropolitan Sewerage District for the continued operation of the subject residuals
management program. Please note that this renewed permit shall become effective on February 1, 2015
(i.e. the day after the expiration date of the existing permit), which differs from the date of this letter.
Modifications to the subject permit are as follows:
© The maximum dry tons have been decreased from 320 to 291.
• Acreage changes to Sites B, C and D because of new homes around application sites
which resulted in redefined field boundaries or updated GIS mapping techniques for
fields.
© Deleted Site CMSD2 Fields 1,3,4,5, and 9, and Site CMSD3 Fields 5, 6, 7, 9 and 11
totaling 89.96 acres.
This permit shall be effective from February 1, 2015 until January 31, 2020, shall void Permit No.
WQ0001048 issued February 18, 2008 and shall be subject to the conditions and limitations as specified
therein. Please pay particular attention to the monitoring requirements listed in Attachments A and C for
they may differ from the previous permit issuance. Failure to establish -an adequate system for collecting
and maintaining the required operational information shall result in future compliance problems.
Please note the following permit conditions and attachments are new since the last permit
issuance dated February 18, 2009: -
9 Condition 1.2. — This condition requires that the Permittee to be in compliance with the
signage requirements established in Condition M.13. prior to land application.
Non -Discharge Pernvtting Unit
1617 Mail Service Center, Ralelgh, North Carolina 27699-1617
Phone: 919-807-M41 Internet: htlp:/1oortal.ncdenr.orglweb/t4o
An Equal Opporiuniy t Affirmative Action Employer - Made in part ivith recycled paper

(C) a description of the system used to monitor the air for methane gas in the air in any structures
within the surface disposal unit boundary and at the property line of the surface disposal
unit, if applicable;
(D) a discussion of how public access to the surface disposal unit will be restricted; and
(E) proof that the deed for the surface disposal unit property has been amended to provide
permanent written notification to subsequent owners of the property that the property was
used for the purposes of operating a surface disposal unit.
History Note: Authority G.S. 143-215.1; 143-215.3(a);
Eff. September 1, 2006,
15A NCAC 02T.1110 OPERATION AND MAINTENANCE PLAN
An Operation and Maintenance Plan shall be maintained for all residuals management programs. The plan shall:
(1) describe the operation of the program and any associated facilities and equipment in suflicientdetailto
show what operations are necessary for the program to function and by whom the functions aretobe
conducted;
(2) describe anticipated maintenance of facilities and equipment that are associated with the program.
(3) include provisions for safety measures including restriction of access to the site and equipment, as
appropriate;
(4) include spill control provisions including:
(a) response to upsets and bypasses including control, containment, and remediation; and
(b) contact information for program personnel, emergency responders, and regulatory agencies;
(5) detail procedures for sampling and monitoring to ensure that the program stays in compliancevviththis
Section and any issued permit; and
(6) for surface disposal units, detail procedures for post -closure care management.
History Note: Authority G.S. 143-215.1; 143-215.3(a);
Eff. September 1, 2006.
15A NCAC 02T .1 I I I MONITORING AND REPORTING
(a) Representative samples of residuals that are prepared for application to the land or placed in a surface disposalunit
shall be collected and analyzed.
(b) The analytical methods listed in 40 CFR 503.8(b) as stated on January 1,1996 shall be incorporated into this Section
by reference.
(c) Residuals applied to the land orplaced in a surface disposal unit shall be monitored fo r pollutants as listed in Rule
.1105(a) and Rule .1105(d) of this Section as well as Rule .1106 and Rule .1107 as applicable at the frequency as stipulated
in the following:
Metric Tons per 365 day period Monitoring Frequency
(Dry Weight Basis)
Greater than zero but less than 290 Once per year
Equal to or greater than 290 but less than 1,500 Once per quarter (four times per year)
Equal to or greater than 1,500 but less than 15,000 Once per 60 days (sixtimes per year)
Equal to or greater than 15,000 Once per month (12 times per year)
(d) A report of all monitoring and reporting requirements as specified in the permit shall be submitted to theDivisionby
the permittee annually on or before March 1st of each calendar year.
(e) All records shall be retained for a minimum o f five years.
HistolyNote: Authority G.S.143-215.1; 143-215.3(a);
Eff September 1, 2006.
SECTION .1200 — COAL COMBUSTION PRODUCTS MANAGOVMT

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
RALEIGH
LAND APPLICATION OF CLASS B RESIDUALS PERMIT (NON -DEDICATED)
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as
amended, and other applicable Laws, Rules, and Regulations
PERMISSION IS HEREBY GRANTED TO
C®ntentnea Metropolitan Sewerage District
Pitt County
FOR THE
continued operation of a residuals management program for Contentnea Metropolitan Sewerage District
and consisting of the land application of Class B residuals generated by the approved facilities listed in
Attachment A to the approved sites listed in Attachment B with no discharge of wastes to surface waters,
pursuant to the application received September 2, 2014, and in conformity with and other supporting data
subsequently filed and approved by the Department of Environment and Natural Resources and
considered a part of this permit. The use and disposal of residuals are regulated under Title 40 Code of
Federal Regulations Part 503. This permit does not exempt the Permittee from complying with the
federal regulations.
This permit shall be effective from February 1, 2015 until January 31, 2020 shall void Permit No.
WQ0001048 issued February 18, 2008 and shall be subject to the following specified conditions and
limitations:
I. SCHEDULES
No later than six months prior to the expiration of this permit, the Permittee shall request renewal of
this permit on official Division forms. Upon receipt of the request, the Division will review the
adequacy of the facilities described therein, and if warranted, will renew the permit for such period of
time and under such conditions and limitations as it may deem appropriate. Please note Rule 15A
NCAC 02T .0105(d) requires an updated site map to bqi suJ mitted with the permit renewal
application.
2. The perinittee shall be in full compliance with the regional office notification requhements
established in Condition 111.3. by March 1, 2015,
3. The permittee shall be in full compliance with the signage requirements established in Condition
1II.13. by June 1, 2015.
WQ0001048 Version 3.0 Shell Version 141027 Page I of 12

9. Setbacks for treatment and storage facilities shall be as follows:
Setback Description
Setback
feet
Habitable residence or place of public assembly under separate ownership or not
to be maintained as art of the project site
100
Property lines
50
Private or public water supply
100
Surface waters (streams — intermittent and perennial, perennial waterbodies, and
wetlands
50
Wells with exception to monitoring wells
100
10. Setbacks for Class B land application sites shall be as follows:
Setback by application type
(feet)
Setback Description
Vehicular
Irrigation
Surface
Surface
Injection /
Application
Application
Incorporation
Habitable residence or place of public assembly
under separate ownership or not to be maintained as
400
400
200
art of the project site
Habitable residence or places of public assembly
owned by the Permittee, the owner of the land, or the
lessee/operator of the land to be maintained as part
0
200
0
of the project site
Property lines
50
150
50
Public right of way
50
50
50
Private or public water supply
100
100
100
Surface waters (streams — intermittent and perennial,
perennial waterbodies, and wetlands
100
1 QO
50
Surface water diversions (ephemeral streams,
waterways, ditches)
25
100
25
Groundwater lowering ditches (where the bottom of
the ditch intersects the SHWT
25
100
25
Subsurface groundwater lowering system
0
100
0
Wells with exception to monitoring wells
10Q
100
100
Bedrock outcrops
25
25
25
Top of slope of embankments or cuts of two feet or
more in vertical height
15
15
15
Building foundations or basements
0
15
0
Water lines
0
10
0
Swimming pools
100
100
100
Nitrification fields
0
20
0
11. Land application areas shall be clearly marked on each site prior to and during any residuals
application event.
WQ0001048 Version 3.0 Shell Version 141027 Page 3 of 12

17. In accordance with 15A NCAC 02L .0108, the review boundary shall be established midway between
the compliance boundary and the residual land application area. Any exceedanee of groundwater
standards at the review boundary shall require action in accordance with I SA NCAC 02L .0106.
ffi. OPERATION AND MAINTENANCE REQUIREMENTS
1. The residuals management program shall be properly maintained and operated at all times. The
program shall be effectively maintained and operated as a non -discharge system to prevent any
contravention of surface water or groundwater standards.
2. The Washington Regional Office, telephone number [phone], and the appropriate local
government official (i.e., county manager, city manager, or health director) shall be notified at least
48 hours prior to the initial residuals Iand application to any new land application site. Notification to
the regional supervisor shall be made from 8:00 a.m. until 5:00 p.m. on Monday through Friday,
excluding State Holidays.
3. The Washington Regional Office shall be notified via email or telephone, [phone], at least 24
hours prior to conducting any land application activity. Such notification shall indicate, at a
minimum, the anticipated application times, field IDs, and location of land application activities. If it
becomes necessary to apply to additional fields due to unforeseen events, the Regional Office shall be
notified prior to commencing the application to those fields.
4. The Permittee shall maintain an approved Operation and Maintenance Plan (O&M Plan) pursuant to
15A NCAC 02T . i 110. Modifications to the O&M Plan shall be approved by the Division prior to
utilization of the new plan. The O&M Plan, at the minimum, shall include:
a) Operational functions;
b) Maintenance schedules;
c) Safety measures;
d) Spill response plan;
e) Inspection plan including the following information:
i. Names and/or titles of personnel responsible for conducting the inspections;
ii. 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;
iii. Detailed description of inspection procedures including record keeping and actions to be
taken by the inspector in the event that noncompliance is observed pursuant to the
noncompliance notification requirements under the monitoring and reporting section of the
permit;
f) Sampling and monitoring plan including the following information:
L Names and/or titles of personnel responsible for conduetingthe sampling and monitoring;
ii. Detailed description of monitoring procedures including: parameters to be monitored;
iii. 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 Iimiting 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).
WQ0001048 Version 3.0 Shell Version 141027 Paua 5 nf 12

k. If the vertical separation of bedrock and the depth of residuals application is less than one foot;
12. The following public access restrictions apply to residual land application sites:
a. Public access to public contact sites (e.g., golf courses, parks, ball fields, etc.) shall be restricted
for 365 days after a residuals land application event;
b. Public access to non-public contact sites shall be restricted for 30 days after a residuals land
application event.
13. Public access controls shall include the posting of signs with a minimum area of 3 square feet (e.g.,
1.5' x 2'). Each sign shall indicate the activities conducted at each site, permit number, and name and
contact information, including the Permittee or applicator's telephone number. Signs shall be posted
in a clearly visible and conspicuous manner at the entrance to each land application site during a land
application event, and for as long as the public access restrictions required under IU.12 apply.
14. The following harvesting and grazing restrictions apply to residual land application sites after each
land application event:
Harvesting and Grazing Description
Restricted
Duration
Animals shall not be allowed to graze during land application activities and
restricted period. Sites that are to be used for grazing shall have fencing to
30 days
prevent access after each land application event.
Food crops, feed crops and fiber crops shall not be harvested for:
30 days
Turf grown on land where residuals have been applied shall not be harvested for:
12 months
Food crops with harvested parts that touch the residual/soil mixture and are
totally above the land surface (e.g., tobacco, melons, cucumbers, squash, etc.)
14 months
shall not be harvested for:
When the residuals remain on the land surface for four months or longer prior to
incorporation into the soil, food crops with harvested parts below the land
20 months
surface (e.g., root crops such as potatoes, carrots, radishes, etc.) shall not be
harvested for:
When the residuals remain on the land surface for less than four months prior to
incorporation into the soil, food crops with harvested parts below the land
3 8 months
surface shall not be harvested for:
15. The Permittee shall acquire from each landowner or lessee/operator a statement detailing the volume
of other nutrient sources (i.e., manufactured fertilizers, manures,, or other animal waste products) that
have been applied to the site, and a copy of the most recent Ntrient Management Plan (NMP) for
those operations where a NMP is required by the US Department of Agriculture — National Resources
Conservation Service (MRCS) or other State Agencies. The Permittee shall calculate allowable
nutrient loading rates based on the provided information and use appropriate reductions.
For the purpose of this permit condition, a Crop Management Plan (CMP), Waste Utilization Plan
(WUP) or Certified Nutrient Management Plan (CNMP) shall also be considered a Nutrient
Management Plan.
16. No residuals shall be land applied unless the submitted Land Owner Agreement Attachment (LOAA)
between the Permittee and landowners or lessees/operators of the land application site is in full force
and effect. These agreements shall be considered expired concurrent with the permit expiration date,
and shall be renewed during the permit renewal process.
WQ0001048 Version 3.0 Shell Version 141027 Page 7 of 12

Residuals shall be monitored for compliance with pathogen and vector attraction reduction
requirements at the frequency specified in Attachment A, and at the time indicated in the sampling
and monitoring sections of the approved O&M plan. The required data shall be specific to the
stabilization process utilized, and sufficient to demonstrate compliance with the Class B pathogen
reduction requirements in 15A NCAC 02T .1106 (a) and (c) and one vector attraction reduction
requirement in 15A NCAC 02T .1107 (a) shall be met. Any exceptions from the requirements in this
condition shall be specified in Attachment A.
5. An annual representative soils analysis (ire., Standard Soil Fertility Analysis) shall be conducted on
each land application site listed in Attachment B on which a residuals land application event will
occur in the respective calendar year. This analysis shall be in accordance with the "Guidance on Soil
Sampling" located in the Sampling Instructions section of the NC Department of Agriculture &
Consumer Services' website(littp://www•ncagr.gov/agi-otioiiii/pubs•litm). The Permittee shall
maintain these results and a description of the sampling methodologies used to determine soil fertility
for a period of no less than five years, and shall be made available to the Division upon request. At a
minimum, the Standard Soil Fertility Analysis shall include the following parameters:
Acidity
Exchangeable Sodium Percentage
Phosphorus
Base Saturation (by calculation)
Magnesium
Potassium
Calcium
Manganese
Sodium
Cation Exchange Capacity
Percent Humic Matter
Zinc
Copper
pH
6. Laboratory parameter analyses shall be performed on the residuals as they are land applied, and shall
be in accordance with the monitoring requirements in 15A NCAC 02B .0505.
7. Monitor wells shall be sampled after construction and within three months prior to initiating residual
application operations. Monitoring wells shall be sampled thereafter at the frequencies and for the
parameters specified in Attachment C. All mapping;, well construction forms, well abandonment
forms and monitoring data shall refer to the permit number and the well nomenclature as provided in
Attachment C.
8. For initial sampling of monitoring wells, the Permittee shall submit a Compliance Monitoring Form
(GW-59) and a Well Construction Record Form (GW-1) listing this permit ,number and the
appropriate monitoring well identification number. Initial Compliance Monitoring Forms (GW-59)
without copies of the Well Construction Record Forms (GW-1) are deemed incomplete, and may be
returned to the Permittee without being processed.
9. Two copies of the monitoring well sampling and analysis results shall be submitted on a Compliance
Monitoring Form (GW-59), along with attached copies of labozatory analyses, on or before the last
working day of the month following the sampling month. The Compliance Monitoring Form (GW-
59) shall include this permit number, the appropriate well identification number, and one GW-59a
certification form shall be submitted with each set of sampling iregults. All information shall be
submitted to the following address:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
WQ0001048 Version 3.0 Shell Version 141027 Nee 9 .of 12

d. Any process unit failure, due to known or unknown reasons, rendering the facility incapable of
adequate residual treatment.
e. Any spill or discharge from a vehicle or piping system during residuals transportation.
Any emergency requiring immediate reporting (e.g., discharges to surface waters, imminent failure of
a storage structure, etc.) outside normal business hours shall be reported to the Division's Emergency
Response personnel at telephone number [phone], [phone], or [phone].Persons
reporting such occurrences by telephone shall also file a written report in letter form within five days
following first knowledge of the occurrence. This report shall outline the actions taken or proposed to
be taken to ensure that the problem does not recur.
V. INSPECTIONS
1. The Permittee shall provide adequate inspection and maintenance to ensure proper operation of the
subject facilities and shall be in accordance with the approved O&M Plan.
2. Prior to each bulk residuals land application event, the Permittee or his designee shall inspect the
residuals storage, transport and application facilities to prevent malfunctions, facility deterioration
and operator errors resulting in discharges, which may cause the release of wastes to the
environment, a threat to human health or a public nuisance. The Permittee shall maintain an
inspection log that includes, at a minimum, the date and time of inspection, observations made, and
any maintenance, repairs, or corrective actions taken. The Permittee shall maintain this inspection log
for a period of five years from the date of inspection, and this log shall be made available to the
Division upon request.
3. Any duly authorized Division representative may, upon presentation of credentials, enter and inspect
any property, premises or place on or related to the land application sites or facilities permitted herein
at any reasonable time for the purpose of determining compliance with this permit; may inspect or
copy any records required to be maintained under the terms and conditions of this permit; and may
collect groundwater, surface water or leachate samples.
VI. GENERAL CONDITIONS
1. Failure to comply with the conditions and limitations contained herein may subject the Permittee to
an enforcement action by the Division in accordance with North Carolina General Statutes 143-
215.6A to 143-215.6C.
2. This permit shall become voidable if the residuals land application events are not carried out in
accordance with the conditions of this permit.
3. This permit is effective only with respect to the nature and volume of residuals described in the
permit application and other supporting documentation.
4. The issuance of this permit does not exempt the Permittee from complying with any and all statutes,
rules, regulations, or ordinances, which may be imposed by other jurisdictional government agencies
(e.g., local, state, and federal). Of particular concern to the Division are applicable river buffer rules
in 15A NCAC 02B .0200; erosion and sedimentation control requirements in 15A NCAC Chapter 4
and under the Division's General Permit NCG010000; any requirements pertaining to wetlands under
15A NCAC 02B .0200 and 02H .0500; and documentation of compliance with Article 21 Part 6 of
Chapter 143 of the General Statutes.
WQ0001048 Version 3.0 Shell Version 141027 Pam i l of 12

ATTAC MI . f A - Approved Residual Sources
Contentnea Metropolitan Sewerage District
Certification Date: December 2, 2014
Permit Number! WOOODIO41 VP11C11111D 11)
Maximum
Monitoring
Monitoring
Monitoring
Frequency for
Approved
Owner
Facility Name
County
Permit
SioIogical
Dry Tons
(Frequency for
Frequency for
Pathogen &
Mineralization
Number
Residuals
Per Year r
Non-hazardous
Metals and
Vector Attraction
Rate
Characteristics
Nutrients
Reduchonsa,s
Co enmea Metropolitan
Contentnea Metropolitan
Sewera a District
Sewera a District WWTP
Pitt
NCO032077
Yes
291
Annually
Annually
Annually
0.30
Total
291
1. Maximum Dry Tons per Year is the amount of residuals approved for land application from each permitted facility.
2. Analyses to demonstrate that residuals are non -hazardous (i.e., TCLP, ignitability, reactivity, and corrosivity) as stipulated under permit Condition IV.2.
3. Testing of metals and nutrients as stipulated under permit Condition IV.3.
4. Analyses of pathogen and vector attraction reductions as stipulated under permit Condition IVA.
5. Monitoring frequencies are based on the actual dry tons applied per year using the table below, unless specified above.
Dry Tons Generated
short tons per ear(Established
Monitoring Frequency
in 40 CFR 503 and 15A NCAC 02T .1111
<319
I/Year
=>319 - <1,650
1/ Quarter 4 times per year
=>1 650 - <16,500
1160 Days 6 times per ear
>16,500
1/month (12 times per year
If no land application events occur during a required sampling period (e.g. no land application occur during an entire year when annual monitoring is required), then no
sampling data is required during the period of inactivity. The annual report shall include an explanation for missing sampling data. Those required to submit the annual
report to EPA may be required to make up the missed sampling, contact the EPA for additional information and clarification.
Page 1 of 1

ATTACM _ ,iT B - Approved Land Application Sites
Contentnea Metropolitan Sewerage District
Certification Date: December 2, 2014
Permit Number! WQ0001048 Version: 3.0
—field/
Site
Owner
Lessee
County
]Latitude
Y.ongitude
Net
Acreage_
Dominant Soil Series
Footnotes
B-1
Contentnea Metropolitan Sewerage District
Mills Creston
Pitt
350 21' 26"
7702415811
2.84
Portsmouth
B-2
Contentnea Metropolitan Sewerage District
Mills, Creston
Pitt
350 21' 26"
770 24' 58"
2.62
Pactolus
B-3
Contentnea Metropolitan Sewerage District
Mills, Creston
Pitt
350 21' 26"
770 24' 58"
2.72
Portsmouth
B-4
Contentnea Metropolitan Sewerage District
Mills, Creston
Pitt
350 21' 26"
770 24' 58"
3.34
Pactolus
B-5
Contentnea Metropolitan Sewerage District
Mills, Creston
Pitt
350 21' 26"
770 24' 58"
3.74
Pactolus
B-6
Contentnea Metropolitan Sewerage District
Mills, Creston
Pitt
35" 21' 26"
77" 24' 58"
2.48
Chipley
B-7
Contentnea Metropolitan Sewerage District
Mills, Creston
Pitt
350 21' 26"
770 24' 58"
1.32
Chipley
CI-10
Contentnea Metropolitan Sewerage District
Mills, Creston
Pitt
350 22' 00"
770 25' 03"
8.55
Alaga
CII-8
Contentnca Metropolitan Sewerage District
Mills, Creston
Pitt
350 22' 03"
770 25' 05"
7.73
Alaga
CH-9
Contentnea Metropolitan Sewerage District
Mills, Creston
Pitt
350 22' 03"
77' 25' 05"
5.15
Alaga
CH-13
Contentnea Metropolitan Sewerage District
Mills, Creston
Pitt
350 22' 03"
770 25' 05"
3.30
Ocilla
CIU-12
Contentnea Metropolitan Sewerage District
Mills, Creston
Pitt
350 21' 48"
770 24' 57"
5.23
Osier
CIV-11
Contentnea Metropolitan Sewerage District
Mills, Creston
Pitt
350 21' 50"
770 24' 52"
5.13
Osier
D-14
Gaskins, Michael
Mills, Creston
Pitt
350 21' 40"
770 24' 42"
3.00
Portsmouth
D-15
Gaskins, Michael
Mills, Creston
Pitt
350 21' 40"
770 24' 42"
2.38
Portsmouth
D-16
Gaskins, Michael
Mills, Creston
Pitt
350 21' 40"
770 24' 42"
2.98
Alaga
D-17
Gaskins, Michael
Mills, Creston
Pitt
350 21' 40"
770 24' 42"
3.62
Alaga
D-18
Gaskins, Michael
Mills, Creston
Pitt
350 21' 40"
770 24' 42"
2.42
Pactolus
Total
68.55
Page 1 of 1

ATTACffi.,,__ 4T C — Groundwater Monitoring and Limitations
Contentnea Metropolitan Sewerage District
Monitoring wells: MW-9, AM-10, MW-14, MW-15, MW-18
Permit Number: WQ0001048 Version: 3.0
GROUNDWATER CHARACTERISTICS
GROUNDWATER STANDARDS
MONITORING REQUIREMENTS
PCS Code
Parameter Description
Daily Maximum
Frequency Measurement
Sample Type
Footnotes
82546
Water level, distance from measuring point
feet
3 x year
Calculated
1,2,3,7
316*16
Coliform, Fecal MF, M-.FC Broth,44.5C
#/100mi
3 x year
Grab
1,7
70300
Solids, Total Dissolved- I80 Deg.0
500.00
mg/1
3 x year
Grab
1,7
00403
Ph, lab
s.u.
3 x year
Grab
1,7 .
00680
Carbon, Tot Organic (TOC)
mg/l
3 x year
Grab
1,6,7
00610
Nitrogen, Ammonia Total (as N)
1,500.00
µg/1
3 x year
Grab
1,7
00620
Nitrogen, Nitrate Total (as N)
10.00
mg/1
3 x year
Grab
1,7
01034
Chromium, Total (as Cr)
10.40
µg/l
3 x year
Grab
1,7
01042
Copper, Total (as Cu)
1.00
mg/1
3 x year
Grab
1,7
78732
Volatile Compounds, (GC/MS)
mg/l
Annually
Grab
1,4,5,7
. . m u.v,uu,'u.s Luau uc wuuuucu m rcoruwy June 6G Uctooer; AnnuaJ monitoring snau be conuuctea everyUetober.
2. The measurement of water levels shall be made prior to purging the wells. The depth to water in each weII shall be measured from the surveyed point on the top of the casing. The measurement
of pH shall be made after purging and prior to sampling for the remaining parameters.
3. The measuring points (top of well casing) of all monitoring wells shall be surveyed to provide the relative elevation of the measuring point for each monitoring well. The measuring points (top
of casing) of all monitoring wells shall be surveyed relative to a common datum.
4. Volatile Organic Compounds (VOC) --In November only, analyze by one of the following methods:
a Standard Method 6230D, PQL at 0.5 µg/L or less
b. Standard Method 6210D, PQL at 0.5 µg/L or less
c. EPA Method 8021, Low Concentration, PQL at 0.5 µg/L or less
d. EPA Method 8260, Low Concentration, PQL at 0.5 µgal, or less
e. Another method with prior approval by the Water Quality Permitting Section Chief
Any method used must meet the following qualifications:
a. A laboratory must be DWQ certified to run any method used.
b. The method used must, at a minimum, include all the constituents listed in Table VIII of Standard Method 6230D.
c. The method used must provide a PQL of 0.5 µg/L or less that must be supported by laboratory proficiency studies as required by the DWQ Laboratory Certification Unit. Any constituents
detected above the MDL but below the PQL of 0.5 µg/L must be qualified (estimated) and reported.
5. If any volatile organic compounds (VOC) are detected as a result of monitoring as provided in Attachment C, then the Washington Regional Office supervisor, telephone number [phone],
must be contacted immediately for further instructions regarding any additional follow-up analyses required.
6. If TOC concentrations greater than 10 mg/l are detected in any downgradient monitoring well, additional sampling and analysis must be conducted to identify the individual constituents
comprising this TOC concentration. If the TOC concentration as measured in the background monitor well exceeds 10 mg/l, this concentration will betaken to represent the naturally occurring
TOC concentration. Any exceedances of this naturally occurring TOC concentration in the downgradient wells shall be subject to the additional sampling and analysis as described above.
7. Monitoring wells shall be reported consistent with the nomenclature and location information provided in this attachment.
Page 1 of I

bf()N cONT __ T.—N A tiIEI RcrPpl
J1tr 1-ORD - Sh14AC.t3
0s st7.
y e *? Y �T�s i 9 87 Gr4ss`Ac
;� z PRMICINR r : r
(OIIB - e t
errs` GRAHMI FRANCINE r
cofm
12
Wiley Gasla'ns 1t �3- tt
t
3.17'Gross Ac.
Y NOR�C4TT d r
QN JR NHURS 3.03 Gross f�c.
°SKEIVDA•GAHD_NEN
3 32kGross VC. ~
U rHARRIS t..
ON A METROI'C3LIJ:
5 ► SEWAGE
Y 4
3
f 3.74 Net Ac.
t5 ltirv�{i0 1
TON SRUCE
ANIVOIV JR CONTENTNFA ETRDPOS l7'AIV
h'- AISEWAGE
3634 Net Ac.
2.62 Net Pic.
�' TOWN OF SITE S'' 2.72 Net AC.
W , �;: ► Legend w
GRIFFON -
� $4 Net Aet
=x 2�28 GrossrAc Y ��
NORCOTT { HOtlSe
jRH�E,IRSF �t� i�a+ 2.50 Gross Ac, r
+K _ s,.. Monitor Weil j
` rr
V Ditch
7� ��� 2.48 Net AA: --- .Stream
Building
Field Baundar�
.MW9 Machine Net Area
RGiNIN.h'
PAYTOIV CONTENTINEA +r4ETftOPC+LlT a q
r.
y7. A'4 k i-Si.�i AGI: X r�k. Machine Buffer
F �< Ak Pond
v
0 150 300 600
Property Boundary
sr b U
M Feet '
1Y /,
.ate: I inch = 300 feet SITE B BUFFER MAP - FIELDS 1, 7 FIGURE
I7ramm By: CSC r" - C\[SD CLASS B LAND APPLICATION
Reviewed By: '�` _ Chiss B Ilct»ut 1�'(){?Q010aS
Date: tlug'14 _ Soil Plus Project # 200710.A10

X ' .sU
3:30 Grass Ac7 � �T
6
13
P,
3.30 Net Ac.
'-
-. ra '.�--._J_..-.—Mrs. ''S -: � • . t `� • 1
DEMON ? CON7ENrIVGA�A{ETROPOLiTAN�
•i�CliD � � „� SEWAGE „_- °�' x� _ �� -
d
%„ ,:.� �� � 3} �' _ - ��i , _.:ter-+•ai�us�"r"•3'�'c
a 664 Gross Ac hIAR1AN NELSON
nlciriuHoRni
3.00
5'ITE C` 14
t n r,� ♦'
T
a;-. ; y at LSON r�
�ICLA O'RN
2.338 Net
1j
2
INE s r ` •' . 2.98 Net A
REAVES
d LAURA E3 GARI I-S
Net Ac.
TCE,�..�
GLOSS AC. y f Legead
r F )Y'EiGt1A O
H USE
=CONTENTl'JEA METROPOL-I-T g
�`i�t c Monitor Well
SEWAGE
ad' — Ditch
3. x -----� Stream
1� Building
a 4
Field Boundary
4 l K Machine Net Area
2:G2 NeAt Nc.
Machine Buffer
2.84 Net ,Pond
G��• *�� s r a 150 300 600 r property Bourd ary
2 30 GrossFeet
2le:1 inch = 300 feet SITE C III & IV BUFFER MAP FIGURE
Drawn By: CSC � �J � 1,S CMSD CL.-kSS B LAND APPLIC.ITION
Reviewed By: Class B Permit '4l Q0001048
Date: Aug `14 Soil Plus Project # 20071O.A10

A
.
:.v� � �, ': tt
' Machine Buffer
n
Pond
s
s
b
0
150 300 600
Q r our Property B xiary
x
Feet z
i
:ale: l iriC1} 300 feet
SITE D BUFFER MAP FIELD MELDS 14 -18 FIGURE
Drawn By: CSC
C\ISD CLASS B LANDAPPLICATION,
Reviewed By:'sw
Cliss B Pcrnut 1VQQOQIQ48 9
Date: Aug `l4
Soil Plus Pxoject # 200710,A10

SEWERAGE DISTRICT
.1, , APPLICATION
;.
BIOSOLIDS
Effi-
OPERATION
AND
MAINTENANCE
PLAN
January 2015

Land Application Notification Requirements
Notification must be made to the Washington Area Regional Office (WARO) 24 Hours prior to
any land application activity. Notification can be either email or by telephone. Contact
information is as follows:
Washington Area Regional Office 252-946-6481
Randy Sipe 252-948-3849 email: randy.sipe(@ncdenr.gov
Notification is to include:
1) Anticipated application times
2) Field Identification
3) Location of land application activities
If it becomes necessary to apply to additional fields due to unforeseen events, the Regional
Office shall be notified prior to commencing the application to those fields.
Before each land application event signage must be posted at public access areas. Signs shall
be posted in a clearly visible and conspicuous manner at the entrance to each land application
site during a land application event, and for as long as the public access restrictions required
under 111.12 of the permit apply. Each sign shall be a minimum of 3 square feet and shall
include:
1) Activities conducted at each site
2) Permit number
3) Name and contact information -including Permittee's telephone number
The CMSD has three (3) signs that meet this requirement and are stored in the Chemical Feed
Building. An example of this sign is depicted on the following page (Fig. 1).

Land Application of Biosolids in Progress
Contact® Chuck Smithwick
(Fig. 1)

Overview
The Contentnea Metropolitan Sewerage District (CMSD) is permitted to land apply biosolids to land 1)
owned and 2) leased by CMSD under permit # WQ0001048. The purpose of the land application
program is to dispose of the biosoloids generated by the operations of the Wastewater Treatment Plant
(WWTP) which operates under NPDES Permit # NC0032077.
Biosolids are land applied to our application sites via two (2) methods:
1) Spray Irrigation via "rain reel"
2) Land application via "terragator" (wheeled application vehicle)
Spray Irrigation Application
Biosolids are conveyed from aerobic digesters located on the WWTP site to the land application sites by
pumps located in the "Intermediate Pump Station". The pump configuration consists of a 60 Hp Gorman
Rupp centrifugal pump and a 25 Hp "grinder pump". There are two (2) of these pump configurations;
however, only one (1) pump can be used at a time. These pumps are capable of pumping approximately
250 gallons per minute depending on the field location and the amount of "debris" on the impeller.
Piping to the land application fields is via 6 inch PVC pipe that is buried underground in order to offer
protection to the pipe. At each field, a riser is stubbed up at ground level to allow for the attachment of
the "rain reef".
The "rain reel" gun cart is extended out into the application field and is retrieved at a slow rate in order
to evenly apply the biosolids to the desired location.
This means of application is performed by CMSD personnel.
Terragator Application
This method of land application uses a "terragator" which is a wheeled vehicle with large "floatation"
tires and a 4,000 gallon storage tank. Biosolids are pumped into the "terragator" by a pump located at
the Northwest corner of digester #1. The vehicle is then driven to the desired location and the biosolids
are applied to the site.
This method is used for applying biosolids to fields 6, 7,13 and Gaskins 5 due to their small size and
proximity to buffers, roads, power lines and ditches.
This means of application is performed by contracted personnel (i.e. Granville Farms, Inc.).

Maintenance
Grinder pump/Centrifugal Pump
Grease both pumps (grinder and centrifugal) daily before a land application event commences. Check
For visible leaks at pump and fittings after the pump is primed.
Centrifugal pump impeller may require cleaning after 20-30 hours of runtime. "Plastics/debris" tend to
accumulate on the vanes of the impeller and the volume of biosolids pumped will decrease. Follow
3roper lock out/tag out procedures while performing this task.
liser/Rain Reel
Jisually inspect the caps located on the top of each riser. If the cap shows signs of deterioration/leaks, it
Nill need to be replaced or tightened.
Grease the rain reel weekly. Check gas and oil daily. Check for any deteriorated hoses, parts, etc. and
replace accordingly.
During land application events, monitor the rain reel and associated piping at least twice (2) per hour to
assure that the system is operating properly.
Safety
-Working with heavy equipment and moving parts is inherently dangerous. Use extreme caution and
common sense. Hl BE SAFE !!!!
-Keep hands, feet and clothing clear of all moving parts associated with the pumps and/or rain reel.
-Use PPE (Personal Protective Equipment-i.e. gloves and glasses) when working around equipment and
biosolids
-Proper lock out/ tag out procedures must be observed during maintenance events.
-Access to land application sites is restricted to authorized personnel only. Gates are to be closed at all
times in which a land application event is not being actively performed.
-Property is registered with the Pitt County Sheriff's Department. In the event that trespassers are
observed, call 911 and report the violation.
is

Spill Response Plan
Contacts:
CMSD Main Office
900 Wiley Gaskins Road, Grifton
252-524-5584
Chuck Smithwick
District Manager/Backup ORC
252-413-8898
Renee Smith
ORC
252-531-0368
NCDENR
Washington Area Regional Office
252-946-6481
Randy Sipe
WARO-Contact/Inspector
252-948-3849
NCDENR
Division Emergency Response
800-662-7956
800-858-3068
919-733-3300
While land applying biosolids by means of spray irrigation, the operator shall monitor the entire system
twice (2 times) every hour to check for leaks associated with the rain reel and irrigation pipe. In the
event of a leak, the system should be shut down and the leak corrected.
The land application sites have raised berms around their perimeters to contain any runoff that may
occur if a spill does occur.
In the event that biosolids do reach surface waters (i.e. ditches), measures should be taken to contain
the spill. Topsoil is stockpiled on the Southeast side of the WWTP. This topsoil can be transported via
frontend loader and placed in the ditch in order to "dam" the ditch and contain the spill. Portable trash
pumps are available onsite at the WWTP to pump the water out of the ditch and onto the land
application field.
NCDENR (WARD) should be notified within 24 hours of a spill and a written report in letterform shall be
filed within five (5) days following first knowledge of the occurrence. This report shall outline the
actions taken or proposed to be taken to ensure that the problem does not reoccur.
3

Inspection Plan
Names and titles of persons authorized to operate, maintain and inspect land application
facilities/equipment:
Chuck Smithwick
District Manager/Backup ORC
252-413-8898
Renee Smith
Lab Manager/ORC
252-531-0368
James Woodard
Operator
252-413-8285
Ricky Barrow
Operator
252-413-8560
Stephen Berry
Operator
252-413-7594
Jimmy Edwards
Mechanic
252-531-9060
Frequency of Inspection
Equipment (grinder/centrifugal pumps, and rain reel) and associated piping/risers shall be inspected
daily before each land application event. Check the following:
1) Grinder/centrifugal pump -properly greased
2) Rain reel -properly greased, fuel, support arms in place, gun head properly adjusted for the field
that is being applied to, leaks (at riser, associate piping, flexible hoses, joints, etc.).
During a land application event the operator shall monitor the system twice (2 times) per hour to assure
that the system is operating properly and that there are no leaks present. If there is a problem, the land
application event shall be stopped and the problem corrected before land application of biosolids is to
resume.
An "Inspection Log" (Fig. 2) shall be kept for each day that a Land Application of Biosolids is performed.
The ORC or Backup ORC shall inspect the entire system before initial land application activities occur for
that calendar year. Land application normally commences in April of the calendar year.
In the event of a "noncompliance" situation, the ORC/Backup ORC shall refer to Section IV, No. 12
(Noncompliance Notification) of the permit (page 10) and follow the outlined procedures as set forth by
NCDENR.
4

INSPECTIONS LOG
Inspections Prior to/During Land Application Event
Date:
1) Grinder Pump greased
Yes
No
2) Centrifugal Pump greased
Yes
No
3) Rain Reel greased
Yes
No
4) Support arms down/locked
Yes
No
5) Gun Head extended and adjusted
Yes
No
6) Visual Inspection of risers/pipes/joints
Yes
No
7) Fuel
Yes
No
Location/Field of Application Event
Start Time of Application Event
End Time of Application Event
Approximate Gallons Applied
Monitoring of Land Application Event (2 times per Hour) -write time and initialize for each
inspection during event.
Comments:
(Fig. 2)

Land Application Checklist
1) 24 hour prior notification to NCDENR Regional Office (WARD)
2) Signage placed at public access entrances
3) Proper inspection of equipment
4) Maintenance (if required) performed
S) Startup and observation of land application event

SAMPLING AND MONITORING PLAN FOR CONTENTNEA MSD
Land Application of Class B Residuals
Permit No. WQ0001048
The Sampling and Monitoring Plan for Contentnea MSD Land Application of Class B Residuals is
developed pursuant to Permit No. WQ001048 Section III. Part f. The sampling techniques and
subsequent analyses are collected and analyzed in accordance with Federal and State of North Carolina
requirements. As a general rule, land application of sludge at the Contentnea MSD facility will occur only
during the months of March through October of each year during the growing season of the Coastal
Bermuda grass that is the cover crop for the CMSD designated land application fields. Any deviation
from this procedure will be addressed through NCDENR Division of Water Resources prior to application
and any additional sampling and/or monitoring will be done per their instructions.
The Land Application Operator in Responsible Charge/Backup Operator in Responsible Charge will be
responsible for the monitoring requirements set forth in the Sampling and Monitoring Plan, and the
WWTP sampling personnel will be collecting the samples as directed by the ORC/Backup ORC. All sludge
samples for meeting the ceiling concentrations for metals, nutrient loading, pathogen and vector
attraction reduction will be conducted during the months of March through October to insure the
sludge analyses are representative of the sludge being land applied. All sludge samples will be taken
from Digesters #1 and #2, and all sludge is land applied from Digesters #1 & #2.
Renee Smith Land Application Operator in Responsible Charge
Charles Smithwick, Jr. Backup Land Application Operator in Responsible Charge
Ricky Barrow Plant Operator/Sample Collector
Stephen Berry Plant Operator/Sample Collector
James Woodard Plant Operator/Sample Collector
I.TCLP and Corrosivity, Ignitability, Reactivity
The corrosivity, ignitability, reactivity and the toxicity characteristic leaching procedure (TCLP) shall be
performed annually as specified in Attachment A of Permit No. WQ001048. The samples will be a grab
taken from sufficiently stabilized sludge and will be representative of the sludge that is land applied. The
TCLP analysis shall include the following parameters (the regulatory level in milligrams per liter is 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)
Hexachloroethane (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)
1 Mercury (0.2)
Vinyl Chloride (0.2)

Cresol (200.0) Methoxychlor (10.0)
2,4-D (10.0) Methyl ethyl ketone (200.0)
II. Metals and Nutrients
The metals and nutrients analysis shall be performed annually as specified in Attachment A of Permit
No. WQ0001048. The samples will be a grab taken from sufficiently stabilized sludge and will be
representative of the sludge that is land applied. The metals and nutrients analysis shall include the
following parameters (the ceiling concentrations in mg/kg are in parentheses where applicable):
Aluminum
Mercury (57)
Potassium
Ammonia -Nitrogen
Molybdenum (75)
Selenium (100)
Arsenic (75)
Nickel (420)
Silver
Cadmium (85)
Nitrate -Nitrite Nitrogen
Sodium
Calcium
Percent Total Solids
Sodium Adsorption Ratio (SAR)
Copper (4,300)
pH
TKN
Lead (840)
Phosphorus
Zinc (7,500)
Magnesium
Plant Available Nitrogen (by calculation)
III. Pathogen Reduction
The Pathogen Reduction shall be performed annually as specified in Attachment A of Permit No.
WQ0001048. The samples will be grabs taken from sufficiently stabilized sludge and will be
representative of the sludge that is land applied. The analyses will be Fecal Coliform monitoring and will
meet the requirements in 15A NCAC 02T .1106 (c) Alternative (1). Seven samples will be collected over a
3 week period and analyzed using the MPN dilution method. The geometric mean fecal coliform density
of these samples will be less than 2 million MPN per gram of biosolids (dry weight basis) in order to be
land applied.
The Fecal Coliform monitoring procedures were taken from the EPA.gov website/ENVIRONMENTAL
REGULATIONS AND TECHNOLOGY/Control of Pathogens and Vector Attraction in Sewage Sludge (5.2) on
February 26, 2015.
IV. Vector Attraction Reduction
The Vector Attraction Reduction shall be performed annually as specified in Attachment A of Permit No.
WQ0001048. The samples will be grabs taken from sufficiently stabilized sludge and will be
representative of the sludge that is land applied. The analyses will be the Specific Oxygen Uptake Rate
(SOUR) and will meet the requirements in 15A NCAC 02T .1107 (a)(4). Seven samples will be collected
over a 3 week period and analyzed using the acceptable SOUR test requirements. The average of the
seven samples will be less than or equal to 1.5 mg of Oxygen per hour per gram of total sewage sludge
solids (dry weight basis) at 20°C in order to be land applied.
The Specific Oxygen Uptake Rate procedures were taken from the EPA.gov website/ENVIRONMENTAL
REGULATIONS AND TECHNOLOGY/Control of Pathogens and Vector Attraction in Sewage Sludge (8.5)
and the NCDENR.org website/Division of Water Resources/Non-Discharge Unit/Reporting
Forms/Specific Oxygen Uptake Rate (SOUR) Testing Compliance on February 26, 2015.

V. Soils Analysis
As per Section IV. (5) of Permit No. WQ0001048 an annual representative soils analysis (i.e., Standard
Soil Fertility Analysis) shall be conducted on each land application site listed in Attachment B on which a
residuals land application event will occur in the respective calendar year. This analysis shall be in
accordance with the "Guidance on Soil Sampling" located in the Sampling Instructions section of the NC
Department of Agriculture & Consumer Services' website (http://www.ncagr.gov/agronomi/pubs.htm).
At a minimum the Standard Soil Fertility Analysis shall include the following parameters:
Acidity
Exchangeable Sodium Percentage
Phosphorus
Base Saturation (by calculation)
Magnesium
Potassium
Calcium
Manganese
Sodium
Cation Exchange Capacity
Percent Humic Matter
Zinc
Copper
pH
VI. Groundwater Monitoring Wells
There are five Monitoring Wells located on the sludge land application property. They are MW-9, MW-
10, MW-14, MW-15, MW-18. The Monitoring Wells will be sampled three times per year in February,
June, and October for the following parameters (Groundwater Standards are in brackets where
applicable):
Water level, distance from measuring point
Nitrogen, Ammonia Total (as N) [1500.00 ug/L]
Coliform, Fecal MF, M-FC Broth, 44.5C
Nitrogen, Nitrate Total (as N) [10.00 mg/L]
Solids, Total Dissolved-180C [500.00 mg/L]
Chromium, Total (as Cr) [10.00 ug/L]
pH, lab
Copper, Total (as Cu) [1.00 mg/L]
Carbon, Total Organic (TOC)
Volatile Compounds, (GC/MS) (October only)
All Monitoring Well samples and analyses will be conducted according to the directions listed in
Attachment C of the Contentnea MSD WWTP Land Application of Class B Residuals ((Von -Dedicated)
Permit No. WQ0001048.

r , j
HCDENR
North Carolina Department of Environment and Natural Resources
Pat It/,.Crory
Governor
December 2, 2014
Charles Smithwick, District Manager
Contentnea Metropolitan Sewerage District
Post Office Box 477
Grifton, North Carolina 28530
Dear Mr. Smithwick:
John E. Skvarla, III
. Secretary,
Subject: Permit No. WQ0001048
Contentnea MSD WWTP
Land Application of Class B
Residuals (Non -Dedicated)
Pitt County
In accordance with your permit application minor modification and renewal request received
September 2, 2014, we are forwarding herewith Permit No. WQ0001048 dated December 2, 2014, to
Contentnea Metropolitan Sewerage District for the continued operation of the subject residuals
management program. Please note that this renewed permit shall become effective on February 1, 2015
(i.e. the day after the expiration date of the existing permit), which differs from the date of this letter.
Modifications to the subject permit are as follows:
The maximum dry tons have been decreased from 320 to 291.
Acreage changes to Sites B, C and D because of new homes around application sites
which resulted in redefined field boundaries or updated GIS mapping techniques for
fields.
Deleted Site CMSD2 Fields 1,3,4,5, and 9, and Site CMSD3 Fields 5, 6, 7, 9 and 11
totaling 89.96 acres.
This permit shall be effective from February 1, 2015 until January 31, 2020, shall void Permit No.
WQ0001048 issued February 18, 2008 and shall be subject to the conditions and limitations as specified
therein. Please pay particular attention to the monitoring requirements listed in Attachments A and C for
they may differ from the previous permit issuance. Failure to establish.an adequate system for collecting
and maintaining the required operational information shall result in future compliance problems.
Please note the following permit conditions and attachmei►ts' are new since the last permit
issuance dated February 18, 2008:
Condition 1.2. — This condition requires that the Permittee to be in compliance with the
signage requirements established in Condition 1H.13. prior to land application.
Non -Discharge PenTOing Unit
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Phone: 919-807-M41 Internet: htt01oortalmdenr.orghveb4o
An Equal Opporlunily 1 Affirmative Aclion Employer - Made in part with recycled paper

(C) a description of the system used to monitor the air for methane gas in the air in any structures
within the surface disposal unit boundary and at the property line of the surface disposal
unit, if applicable;
(D) a discussion of how public access to the surface disposal unit will be restricted; and
(E) proof that the deed for the surface disposal unit property has been amended to provide
permanent written notification to subsequent owners of the property that the property was
used for the purposes of operating a surface disposal unit.
History Note: Authority G.S. 143-115,1; 143-215.3(a);
E, ff. September 1, 2006.
15A NCAC 02T.1110 OPERATION AND MAINTENANCE PLAN
An Operation and Maintenance Plan shall be maintained for all residuals management programs. The plan shall:
(1) describe the operation of the program and any associated facilities and equipment in sufficientdetailto
show what operations are necessary for the program to function and by whom the functions areto be
conducted;
(2) describe anticipated maintenance of facilities and equipment that are associated with the program.
(3) include provisions for safety measures including restriction of access to the site and equipment, as
appropriate;
(4) include spill control provisions including:
(a) response to upsets and bypasses including control, containment, and remediation; and
(b) contact information for program personnel, emergency responders, and regulatory agencies;
(5) detail procedures forsampling and monitoring to ensure that the programstays in corrpliancewiththis
Section and any issued permit; and
(6) for surface disposal units, detail procedures for post -closure care management.
History Note: Authority G.S. 143-215.1; 143-215.3(a);
E,ff. September 1, 2006.
15A NCAC 02T .1111 MONITORING AND REPORTING
(a) Representative samples of residuals that are prepared for application to the land or placed in a surface disposalunit
shall be collected and analyzed.
(b) The analytical methods listed in 40 CFR 503.8(b) as stated on January 1,1996 shall be incorporated into this Section
by reference.
(c) Residuals applied to the land orplaced in a surface disposal unit shall be monitored forpollutants as listed in Rule
.l 105(a) and Rule .1105(d) of this Section as well as Rule .1106 and Rule .1107 as applicable at the Fequency as stipulated
in the following:
Metric Tons per 365 day period Monitoring Frequency
(Dry Weight Basis)
Greater than zero but less than 290 Once per year
Equal to or greater than 290 but less than 1,500 Once per quarter (four times per year)
Equal to or greater than 1,500 but less than 15,000 Once per 60 days (sixtimes per year)
Equal to or greater than 15,000 Once per month (12 times per year)
(d) A report of all monitoring and reporting requirements as specified in the permit shall be submitted to thebivision by
the permittee annually on or before March 1st of each calendar year.
(e) All records shall be retained for a minimum o f five years.
HistoiyNote: Authority G.S. 143-215.1; 143-215.3(a);
E
.ff September 1, 2006.
SECTION .1200 — COAL COMBUSTION PRODUCTS MANAGEMENT

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
RALEIGH
LAND APPLICATION OF CLASS B RESIDUALS PERMIT (NON -DEDICATED)
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as
amended, and other applicable Laws, Rules, and Regulations
PERMISSION IS HEREBY GRANTED TO
C®ntentnea Metropolitan Sewerage District
Pitt County
FOR THE
continued operation of a.residuals management program for Contentnea Metropolitan Sewerage District
and consisting of the land application of Class B residuals generated by the approved facilities listed in
Attachment A to the approved sites listed in Attachment B with no discharge of wastes to surface waters,
pursuant to the application received September 2, 2014, and in conformity with and other supporting data
subsequently filed and approved by the Department of Environment and Natural Resources and
considered a part of this permit. The use and disposal of residuals are regulated under Title 40 Code of
Federal Regulations Part 503. This permit does not exempt the Permittee from complying with the
federal regulations.
This permit shall be effective from February 1, 2015 until January 31, 2020 shall void Permit No.
WQ0001048 issued February 18, 2008 and shall be subject to the following specified conditions and
limitations:
L SCHEDULES
No later than six months prior to the expiration of this permit, the Permittee shall request renewal of
this permit on official Division forms. Upon receipt of the request, the Division will review the
adequacy of the facilities described therein, and if warranted, will renew the permit for such period of
time and under such conditions and limitations as it may deem; appropriate. Please note Rule 15A
NCAC 02T .0105(d) requires an updated site map to be,. suhmitted with the permit renewal
application.
2. The permittee shall be in full compliance with the regional office notification requirements
established in Condition 111.3. by March 1, 2015.
3. The permittee shall be in full compliance with the signage requirements established in Condition
1I1.13. by June 1, 2015.
WQ0001048 Version 3.0 Shell Version 141027 Page J of 12

9. Setbacks for treatment and storage facilities shall be as follows:
Setback Description
Setback
feet
Habitable residence or place of public assembly under separate ownership or not
to be maintained as art of the project site
100
Property lines
50
Private or public water supply
100
Surface waters (streams — intermittent and perennial, perennial waterbodies, and
wetlands
50
Wells with exception to monitoring wells
100
10. Setbacks for Class B land application sites shall be as follows:
Setback by application type
(feet)
Setback Description
Vehicular
Irrigation
Surface
Surface
Injection J
Application
Application
corporation
Habitable residence or place of public assembly
under separate ownership or not to be maintained as
400
400
200
art of the project site
Habitable residence or places of public assembly
owned by the Permittee, the owner of the land, or the
lessee/operator of the land to be maintained as part
0
200
0
of the project site
Property lines
50
150
50
Public right of way
50
50
50
Private or public water supply
100
100
100
Surface waters (streams — intermittent and perennial,
perennial waterbodies, and wetlands)
100
100
50
Surface water diversions (ephemeral streams,
waterways, ditches)
25
100
25
Groundwater lowering ditches (where the bottom of
the ditch intersects the SHWT)
25
100
25
Subsurface groundwater lowering system
0
100
0
Wells with exception to monitoring wells
.1010 u.
100
100
Bedrock outcrops
25
25
25
Top of slope of embankments or cuts of two feet or
"
more in vertical height
15
15
15
Building foundations or basements
0
15
0
Water lines
0
10
0
Swimming pools
100
100
100
Nitrification fields
0
20
0
11. Land application areas shall be clearly marked on each site prior to and during any residuals
application event.
WQ0001048 Version 3.0 Shell Version 141027 Page 3 of 12

17. In accordance with 15A NCAC 02L .0108, the review boundary shall be established midway between
the compliance boundary and the residual land application area. Any exceedance of groundwater
standards at the review boundary shall require action in accordance with 15A NCAC 02L .0106.
ffi. OPERATION AND MAINTENANCE REOUIREMENTS
L The residuals management program shall be properly maintained and operated at all times. The
program shall be effectively maintained and operated as a non -discharge system to prevent any
contravention of surface water or groundwater standards.
2. The Washington Regional Office, telephone number [phone], and the appropriate local
government official (i.e., county manager, city manager, or health director) shall be notified at least
48 hours prior to the initial residuals land application to any new land application site. Notification to
the regional supervisor shall be made from 8:00 a.m. until 5:00 p.m. on Monday through Friday,
excluding State Holidays.
3. The Washington Regional Office shall be notified via email or telephone, [phone], at least 24
hours prior to conducting any land application activity. Such notification shall indicate, at a
minimum, the anticipated application times, field IDs, and location of land application activities. If it
becomes necessary to apply to additional fields due to unforeseen events, the Regional Office shall be
notified prior to commencing the application to those fields.
4. The Permittee shall maintain an approved Operation and Maintenance Plan (O&M Plan) pursuant to
15A NCAC 02T .1 110. Modifications to the O&M Plan shall be approved by the Division prior to
utilization of the new plan. The O&M Plan, at the minimum, shall include:
a) Operational functions;
b) Maintenance schedules;
c) Safety measures;
d) Spill response plan;
e) Inspection plan including the following information:
L Names and/or titles of personnel responsible for conducting the inspections;
ii. 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;
iii. Detailed description of inspection procedures including record keeping and actions to be
taken by the inspector in the event that noncompliance is observed pursuant to the
noncompliance notification requirements under the monitoring and reporting section of the
permit;
f) Sampling and monitoring plan including the following information:
i. Names and/or titles of personnel responsible for conducting -the sampling and monitoring;
ii. Detailed description of monitoring procedures including: parameters to be monitored;
iii. 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).
WQ0001048 Version 3.0 Shell Version 141027 psva S of 1

k. If the vertical separation of bedrock and the depth of residuals application is less than one foot;
12. The following public access restrictions apply to residual land application sites:
a. Public access to public contact sites (e.g., golf courses, parks, ball fields, etc.) shall be restricted
for 365 days after a residuals land application event;
b. Public access to non-public contact sites shall be restricted for 30 days after a residuals land
application event.
13. Public access controls shall include the posting of signs with a minimum area of 3 square feet (e.g.,
1.5' x 2'). Each sign shall indicate the activities conducted at each site, permit number, and name and
contact information, including the Permittee or applicator's telephone number. Signs shall be posted
in a clearly visible and conspicuous manner at the entrance to each land application site during a land
application event, and for as long as the public access restrictions required under III.12 apply.
14. The following harvesting and grazing restrictions apply to residual land application sites after each
land application event:
Harvesting and Grazing Description
cted
iDuration
Duration
Animals shall not be allowed to graze during land application activities and
restricted period. Sites that are to be used for grazing shall have fencing to
30 days
prevent access after each land application event.
Food crops, feed crops and fiber crops shall not be harvested for:
30 days
Turf grown on land where residuals have been applied shall not be harvested for:
12 months
Food crops with harvested parts that touch the residual/soil mixture and are
totally above the land surface (e.g., tobacco, melons, cucumbers, squash, etc.)
14 months
shall not be harvested for:
When the residuals remain on the land surface for four months or longer prior to
incorporation into the soil, food crops with harvested parts below the land
20 months
surface (e.g., root crops such as potatoes, carrots, radishes, etc.) shall not be
harvested for:
When the residuals remain on the land surface for less than four months prior to
incorporation into the soil, food crops with harvested parts below the land
3 $ months
surface shall not be harvested for:
15. The Permittee shall acquire from each landowner or lessee/operator a statement detailing the volume
of other nutrient sources (i.e., manufactured fertilizers, manures,) or other animal waste products) that
have been applied to the site, and a copy of the most recent Ntrient Management Plan (NMP) for
those operations where a NMP is required by the US Department of Agriculture — National Resources
Conservation Service (MRCS) or other State Agencies. The' Permittee shall calculate allowable
nutrient loading rates based on the provided information and use appropriate reductions.
For the purpose of this permit condition, a Crop Management Plan (CMP), Waste Utilization Plan
(WUP) or Certified Nutrient Management Plan (CNMP) shall also be considered a Nutrient
Management Plan.
16. No residuals shall be land applied unless the submitted Land Owner Agreement Attachment (LOAA)
between the Permittee and landowners or lessees/operators of the land application site is in full force
and effect. These agreements shall be considered expired concurrent with the permit expiration date,
and shall be renewed during the permit renewal process.
WQ0001048 Version 3.0 Shell Version 141027 Page 7 of 12

4. Residuals shall be monitored for compliance with pathogen and vector attraction reduction
requirements at the frequency specified in Attachment A, and at the time indicated in the sampling
and monitoring sections of the approved O&M plan. The required data shall be specific to the
stabilization process utilized, and sufficient to demonstrate compliance with the Class B pathogen
reduction requirements in 15A NCAC 02T .1106 (a) and (c) and one vector attraction reduction
requirement in 15A NCAC 02T .1107 (a) shall be met. Any exceptions from the requirements in this
condition shall be specified in Attachment A.
5. An annual representative soils analysis (i.e., Standard Soil Fertility Analysis) shall be conducted on
each land application site listed in Attachment B on which a residuals land application event will
occur in the respective calendar year. This analysis shall be in accordance with the "Guidance on Soil
Sampling" located in the Sampling Instiuctions section of the NC Department of Agriculture &
Consumer Services' website(littp://w;vw.licagl'.gov/agrorionii/pubs.litm). The Permittee shall
maintain these results and a description of the sampling methodologies used to determine soil fertility
for a period of no less than five years, and shall be made available to the Division upon request. At a
minimum, the Standard Soil Fertility Analysis shall include the following parameters:
Acidity
Exchangeable Sodium Percentage
Phosphorus
Base Saturation (by calculation)
Magnesium
Potassium
Calcium
Manganese
Sodium
Cation Exchange Capacity
Percent Humic Matter
Zinc
Copper
pH
6. Laboratory parameter analyses shall be performed on the residuals as they are land applied, and shall
be in accordance with the monitoring requirements in 15A NCAC 02B .0505.
7. Monitor wells shall be sampled after construction and within three months prior to initiating residual
application operations. Monitoring wells shall be sampled thereafter at the frequencies and for the
parameters specified in Attachment C. All mapping, well construction forms, well abandonment
forms and monitoring data shall refer to the permit number and the well nomenclature as vrovided_in
Attachment C.
8. For initial sampling of monitoring wells, the Permittee shall submit a Compliance Monitoring Form
(GW-59) and a Well Construction Record Form (GW-1) listing this permit , number and the
appropriate monitoring well identification number. Initial Compliance Monitoring Forms (GW-59)
without copies of the Well Construction Record Forms (GW-1) are deemed incomplete, and may be
returned to the Permittee without being processed.
9. Two copies of the monitoring well sampling and analysis results shall be submitted on a Compliance
Monitoring Form (GW-59), along with attached copies of laboratory analyses, on or before the last
working day of the month following the sampling month. The Compliance Monitoring Form (GW-
59) shall include this permit number, the appropriate well identification number, and one GW-59a
certification form shall be submitted with each set of samplingiresults. All information shall be
submitted to the following address:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
WQ0001048 Version 3.0 Shell Version 141027 Paee 9 .of 12

d. Any process unit failure, due to known or unknown reasons, rendering the facility incapable of
adequate residual treatment.
e. Any spill or discharge from a vehicle or piping system during residuals transportation.
Any emergency requiring immediate reporting (e.g., discharges to surface waters, imminent failure of
a storage structure, etc.) outside normal business hours shall be reported to the Division's Emergency
Response personnel at telephone number [phone], [phone], or [phone].Persons
reporting such occurrences by telephone shall also file a written report in letter form within five days
following first knowledge of the occurrence. This report shall outline the actions taken or proposed to
be taken to ensure that the problem does not recur.
V. INSPECTIONS
1. The Permittee shall provide adequate inspection and maintenance to ensure proper operation of the
subject facilities and shall be in accordance with the approved O&M Plan.
2. Prior to each bulk residuals land application event, the Permittee or his designee shall inspect the
residuals storage, transport and application facilities to prevent malfunctions, facility deterioration
and operator errors resulting in discharges, which may cause the release of wastes to the
environment, a threat to human health or a public nuisance. The Permittee shall maintain an
inspection log that includes, at a minimum, the date and time of inspection, observations made, and
any maintenance, repairs, or corrective actions taken. The Permittee shall maintain this inspection log
for a period of five years from the date of inspection, and this log shall be made available to the
Division upon request.
3. Any duly authorized Division representative may, upon presentation of credentials, enter and inspect
any property, premises or place on or related to the land application sites or facilities permitted herein
at any reasonable time for the purpose of determining compliance with this permit; may inspect or
copy any records required to be maintained under the terms and conditions of this permit; and may
collect groundwater, surface water or leachate samples.
YI. GENERAL CONDITIONS
1. Failure to comply with the conditions and limitations contained herein may subject the Permittee to
an enforcement action by the Division in accordance with North Carolina General Statutes 143-
215.6A to 143-215.6C.
2. This permit shall become voidable if the residuals land application events are not carried out in
accordance with the conditions of this permit.
3. This permit is effective only with respect to the nature and volume of residuals described in the
permit application and other supporting documentation.
4. The issuance of this permit does not exempt the Permittee from complying with any and all statutes,
rules, regulations, or ordinances, which may be imposed by other jurisdictional government agencies
(e.g., local, state, and federal). Of particular concern to the Division are applicable river buffer rules
in 15A NCAC 02B .0200; erosion and sedimentation control requirements in 15A NCAC Chapter 4
and under the Division's General Permit NCG010000; any requirements pertaining to wetlands under
15A NCAC 02B .0200 and 02H .0500; and documentation of compliance with Article 21 Part 6 of
Chapter 143 of the General Statutes.
WQ0001048 Version 3.0 Shell Version 141027 Paae 11 of 12

ATTACEI , , f A -Approved Residual Sources
Contentnea Metropolitan Sewerage District
Certification Date: December 2, 2014
Permit Number! WQ0001041 Vevdaly 1-0
Maximum
Monitoring
Monitoring
Monitoring
Frequency for
Approved
Owner
Facility Name
County
Permit
Biological
Dry Tons
Frequency for
Frequency for
Pathogen &
Mineralization
Number
Residuals
Per Year r
Non-hazardous
Metals and
Vector Attraction
Rate
Characteristics
Nutrients
Reductions°'S
Co Metropolitan
Co tentnea
Sewer
Sewera a District
Sewerage
Sewera a District WWTP
Pitt
NC0032077
Yes
291
Annually
Annually
Annually
0.30
r-
Total
291
1. Maximum Dry Tons per Year is the amount of residuals approved for land application from each permitted facility.
2. Analyses to demonstrate that residuals are non -hazardous (i.e., TCLP, ignitability, reactivity, and corrosivity) as stipulated under permit Condition IV.2.
3. Testing of metals and nutrients as stipulated under permit Condition IV.3.
4. Analyses of pathogen and vector attraction reductions as stipulated under permit Condition IVA.
5. Monitoring frequencies are based on the actual dry tons applied per year using the table below, unless specified above.
Dry Tons Generated
short tons per ear(Established
Monitoring Frequency
in 40 CFR 503 and 15A NCAC 02T .1111
<319
1/Year
=>319 - <1,650
1/ Quarter 4 times per year
=>1 650 - <16,500
1/60 Days 6 times per ear
>16,500
1/month 12 times per year
If no land application events occur during a required sampling period (e.g. no land application occur during an entire year when annual monitoring is required), then no
sampling data is required during the period of inactivity. The annual report shall include an explanation for missing sampling data. Those required to submit the annual
report to EPA may be required to make up the missed sampling, contact the EPA for additional information and clarification.
Page 1 of 1

ATTACHN. iT B - Approved Land Application Sites
Contentnea Metropolitan Sewerage District
Certification Date: December 2, 2014
Permit Number: WQ0001048 Version: 3.0
Field/
Site
Owner
Lessee
County
Latitude
Longitude
Net
Acrea e
Dominant Soil Series
Footnotes
B-1
Contentnea Metropolitan Sewerage District
Mills Creston
Pitt
350 21' 26"
770 24' 58"
2.84
Portsmouth
B-2
Contentnea Metropolitan Sewerage District
Mills, Creston
Pitt
350 21' 26"
7702415811
2.62
Pactolus
B-3
Contentnea Metropolitan Sewerage District
Mills, Creston
Pitt
35' 21' 26"
770 24' 58"
2.72
Portsmouth
B-4
Contentnea Metropolitan Sewerage District
Mills, Creston
Pitt
350 21' 26"
7702415811
3.34
Pactolus
B-5
Cbntentnea Metropolitan Sewerage District
Mills, Creston
Pitt
350 21' 26"
770 24' 58"
3.74
Pactolus
B-6
Contentnea Metropolitan Sewerage District
Mills, Creston
Pitt
350 21' 26"
77" 24' 58"
2.48
Chipley
B-7
Contentnea Metropolitan Sewerage District
Mills, Creston
Pitt
350 21' 26"
77" 24' 58"
1.32
Chipley
CI-10
Contentnea Metropolitan Sewerage District
Mills, Creston
Pitt
3502210011
770 25' 03"
8.55
Alaga
CII-8
Contentnea Metropolitan Sewerage District
Mills, Creston
Pitt
350 22' 03"
770 25' 05"
7.73
Alaga
CII-9
Contentnea Metropolitan Sewerage District
Mills, Creston
Pitt
350 22' 03"
77" 25' 05"
5.15
Alaga
CII-13
Contentnea Metropolitan Sewerage District
Mills, Creston
Pitt
350 22' 03"
770 25' 05"
3.30
Ocilla
CIU-12
Contentnea Metropolitan Sewerage District
Mills, Creston
Pitt
350 21' 48"
770 24' 57"
5.23
Osier
CIV-I I
Contentnea Metropolitan Sewerage District
Mills, Creston
Pitt
35" 21' 50"
77' 24' 52"
5.13
Osier
D-14
Gaskins, Michael
Mills, Creston
Pitt
350 21' 40"
770 24' 42"
3.00
Portsmouth
D-15
Gasldns, Michael
Mills, Creston
Pitt
350 21' 40"
770 24' 42"
2.38
Portsmouth
D-16
Gaskins, Michael
Mills, Creston
Pitt
350 21' 40"
7702414211
2.98
Alaga
D-17
Gaskins, Michael
Mills, Creston
Pitt
350 21' 40"
770 24' 42"
3.62
Alaga
D-18
Gaskins, Michael
Mills, Creston
Pitt
350 21' 40"
770 24' 42"
2.42
Pactolus
7Cota1
68.55
Page 1 of I

ATTACMk -- T C — Groundwater Monitoring and Limitations
Contentnea Metropolitan Sewerage District
Monitoring wells: MW-9, MW-10, AM-14, MW-15, MW-18
Permit Number: WQ0001048 Version: 3.0
GROUNDWATER CHARACTERISTICS
GROUNDWATER STANDARDS
MONITORING REQUIREMENTS
PCS Code
Parameter Description
Daily Maximum
Frequency Measurement
Sample Type
Footnotes
82546
Water level, distance from measuring point
feet
3 x year
Calculated
1,2,3,7
31616
Coliform, Fecal MF, M-FC Broth,44.5C
41100m1
3 x year
Grab
1,7
70300
Solids, Total Dissolved- 180 Deg.0
500.00
mg/l
3 x year
Grab
1,7
00403
Ph, lab
S.U.
3 x year
Grab
1,7 .
00680
Carbon, Tot Organic (TOC)
mg/l
3 x year
Grab
1,6,7
00610
Nitrogen, Ammonia Total (as N)
1,500.00
µg/1
3 x year
Grab
1,7
00620
Nitrogen, Nitrate Total (as N)
10.00
mg/l
3 x year
Grab
1,7
01034
Chromium, Total (as Cr)
10.00
99/1
3 x year
Grab
1,7
01042
Copper, Total (as Cu)
1.00
mg/l
3 x year
Grab
1,7
78732
Volatile Compounds, (GC/MS)
mg/1
Annually
Grab
1,4,5,7
a,,.s auau uu wiauu%;Lcu uu rourutuy June ix ucwDcr; Annuai monitormg snail De connuctec eVeryUCtober.
2. The measurement of water levels shall be made prior to purging the wells. The depth to water in each weII shall be measured from the surveyed point on the top of the casing. The measurement
of pIi shall be made after purging and prior to sampling for the remaining parameters.
3. The measuring points (top of well casing) of all monitoring wells shall be surveyed to provide the relative elevation of the measuring point for each monitoring well. The measuring points (top
of casing) of all monitoring wells shall be surveyed relative to a common datum.
4. Volatile Organic Compounds (VOC) - In November only, analyze by one of the following methods:
a. Standard Method 62301), PQL at 0.5 µg/L or less
b. Standard Method 6210D, PQL at 0.5 µg/L or less
c. EPA Method 8021, Low Concentration, PQL at 0.5 µg/L or less
d. EPA Method 8260, Low Concentration, PQL at 0.5 µg/L or less
e. Another method with prior approval by the Water Quality Permitting Section Chief
Any method used must meet the following qualifications:
a. A laboratory must be DWQ certified to run any method used.
b. The method used must, at a minimum, include all the constituents listed in Table VHI of Standard Method 6230D.
c. The method used must provide a PQL of 0.5 µg/L or less that must be supported by laboratory proficiency studies as required by the DWQ Laboratory Certification Unit. Any constituents
detected above the MDL but below the PQL of 0.5 µg/L must be qualified (estimated) and reported.
5. If any volatile organic compounds (VOC) are detected as a result of monitoring as provided in Attachment C, then the Washington Regional Office supervisor, telephone number [phone],
must be contacted immediately for further instructions regarding any additional follow-up analyses required.
6. If TOC concentrations greater than 10 mg/1 are detected in any downgradient monitoring well, additional sampling and analysis must be conducted to identify the individual constituents
comprising this TOC concentration. If the TOC concentration as measured in the background monitor well exceeds 10 mg/l, this concentration will be taken to represent the naturally occurring
TOC concentration. Any exceedances of this naturally occurring TOC concentration in the downgradient wells shall be subject to the additional sampling and analysis as described above.
7. Monitoring wells shall be reported consistent with the nomenclature and location information provided in this attachment.
Page 1 of 1

V ,4
DE}.h1DN COfy7'ThTNL�IC'hiB1ROi'O
`V-*1
.. ��4 ...
' � � �w:: t - ��'�'� • � �> i,� �'� '� ' •sty , 19 8 Gress Ac"� ��-
�,.. PRANC_IN
COIBrb
( HrYYbTANe CRAIG
u. RAHAAI F
_AN CpINE? i
� 513 NWAC W'
CHt1•Rt,SRAI,''573 et, .c
;z.4
Road r
6: 0 Yros Ac. 3.17'Gross
ORCOT"r 8 rs
QN JR }fEhRS a 3. 3 Gross C. 4.
A 1tsNDA GABDNE
I 3:32�Gr�o's
HARRIS =.QNTENTNEA METRO
5 d SEWAGE
r 4 3
}. , ' ► 2
MW�10 3.74 Net Ac.
i0lV BRUCE
ANNON JR- CO N1 ENTNEA DIETROPO -1TAN
SEWAGE
3934 Net Ac.
2.62 NeAll
t l,c.
N '8
fTOs SI�T'Ej,Ba 2.72NetAc.
WNOF.:.. Legend
�GRIFPON
2.84 Net
_x 2S2$ G os _ c ® HOUSe
vtlRi.t31"r — i
250 Gross Ac. Monitor Well
d
r
,� r_•,. _..._ pitch
e3 7 '.
v
2.48 Net Arc.
Stream
v Building
Field Boundar
�'
`PAS'IONM "A'6"` MVV--9 Machine Net Area
C' NTENTrti►M§TROFOL�� ` Machine Buffer
SfiWAGf+ f
T� s 1
F
Pond
a
150
y300 600
L
s. Property Boundary
� - Feet
- �.�.�:�e t , - � ;n" :-<�"•; � i � ;. �•h ' ;, •"?`�i � � �` � - `�` is t ': ' " i ' �t
:ale: 1 inch = 300 feet SITE B BUFFER MAP. FIELDS 1. 7 FIGURE
Drawn By: CSC c Y . ^us CW10 CLASS B LAND APPLIC:1TION
Reviewed By: Cliss B Permit W rQ0001043 6
Date: Aug'14 Soil Plus Proiect # 200710.A 10

v �
4 �' .�d� T tij'• �.Vf � �� „ `�' .R" 3''�� �::�.� t�if �"kx. �' . 2 w ' 1 ^. '�F
Al
3c3D Gross C. ` `
r ib
y, Y
f:
�•% 4
k i I t
3.30 Net Ac.
ITEAA
�C II 1#
DEMON
3COfVTEN�r GAt1>\iETROPQLiTAN`',,'
:�, ,� 'P�, " . �_. q•� 6�`64,�G oss Ac },bIAR1AN NELSON,• ;t
-x 3SIT� 14
lit
a s r
`{'rGfLSON'
74
A3 C .1r
298 Net A
iin
CHRLES RAN_g 13 NetAc23rNet�Ac s. F
RFl►VES '�,� . � '" �
r �s.
A3,62 Net Ac.
z5r LAUFiA a GARIt.:
s ,
k vas tsuhi TRuS'CCE- : 17
AC.
Gros A i Legend
i.ALI�i
E,cup House
sCNTENTNEA METRQPOLIT'
rr I Wues G a Monitor Well
V y: SEWAGE
Ditch
Stream
Building
CIE
E, r
Field Boundary
t xS Mi,
r - 2#� Machine Net Area
72Ne Ac: %7 �r Machine Buffer
L84 Net c. :....�+, mot. Fond
T X
i t 0 150 300 600
a Properly Bourd ary
30 GrossTwFul
.;'.ale: 1 inch = 300 feet SITE C III & IV BUFFER MAP FIGURE
Drawn By: CSC _ ? k� CdISD C-A S B LAND APPLIC,k1`IO:
Reviewed By: SW ME.
/ Class B Permit WQ0001048
Date:.Aug'14 jSoil Plus Project # 200710.A10

w 1.
NT
�+ l
E
MARIAN NELSON h1ICHAFL E
AiC1,Al4IIORIV GASK .191 r
3 lr
�a -11
t sq
NIELS ON i.
WHORN
3.00 Nei C.
"
r
a
0-1 Alr 1q 4.21 cross C
u
TIANtNELSON
¢ A•ICwwFiORIV , � '
. "'� 2.38 Net Ac:
L 15 2.78 Gross C.
2.98 Net Ac,
I� 1G
3.37 Gross Ac,
4 MICH AFL E
3.62 Net Ac. GASKJN5
0
?` a 6.69 Gross Ac,
x
SUll. D 17 _..
LA 1JRA�BmGARRIS
,�'IG 1-RUSTIM
2?42Net c. MICHAELE
P G�ASK•INS -
GASKINS _
..m 18 "
BF AAJ1N bIIGHAEL
f' L
r
7:18'Gross Ac. i , Legend
i �'CLYDE L,.. INW-IS
i_ IArRBROUGH III 7 House
i� -
Jrt
*�- AI >~RB nY:G.rs
BMonitor Well
IJG5TON
Ditch I
i
BERTRAY
4 e ; LANGS7ON Stream
s° Building
,
1"t = r . , J9 id e Boundary
' Field
:a Machine Net Area I
Machine Buffer
Pond
+I �0 150 300 600 j
a Property Boundarymoml Fe
J
:ale: I melt T 300 feet SITE D BUFFER MAP FIELD FIELDS u -18 FIGURE
Drawn By: CSC SOTC:IISD CLASS B LAND APPLICATION
Reviewed By., U, S Class B Pernut NVQ0001048
Date:.Aug `1 4 Soil. Plus Project # 200710.A10 j

DWR
Division of %Vater Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
RESIDUALS SOURCE CERTIFICATION
INSTRUCTIONS FOR FORM: RSC 06-16
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, visit the Water Quality Permitting Section's Non -Discharge Permitting Unit
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 11-15, FORM: DCAR 11-15, or FORM: SDR 11-15).
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 11-15):
® Submit the completed and appropriately executed Residuals Source Certification (FORM: RSC 11-15) 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 "Map Guidance for
Residuals Land Application 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 06-16 Page 1 of 1

RESIDUALS SOURCE FACILITY SUMMARY
Applicant's name: Contentnea Metropolitan Sewerage District
Status
Code.Current
Facility Permit Holder
Facility Name
County
Permit Number
Maximum Dry Tons Per Year
n
Proposed
R
Contentnea Metropolitan
Sewerage District
Contentnea Metropolitan
Sewerage District
Wastewater Treatment Plant
Pitt
NCO032077
291
291
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 06-16 Page 1

[P I_jL , j
Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
RESIDUALS SOURCE CERTIFICATION
FORM: RSC 06-16
I. RESIDUALS SOURCE -GENERATING FACILITY INFORMATION (See Instruction B.):
1. Facility Name: Contentnea Metropolitan Sewerage District Wastewater Treatment Plant
2. Facility permit holder is: Federal, 13 State, Is Local Government, or 0 Private.
Facility permit issued by: Div. of Water Resources, 13 Div. of Environmental Health,
or Other (explain:
3. Facility contact person and title: Charles Smithwick, Jr., District Manager
Complete mailing address: PO Box 477
City: Grifton State: NC Zip: 28530
Telephone number: [phone] E-mail address: crosd100na,embaMmail.com
4. Facility physical address: 900 Wiley Gaskins Rd.
City: Grifton State: NC Zip: 28530
Coordinates: Latitude: 35' 21' 36.7" Longitude: 77° 24' 57.6"
Datum: NAD83 Level of accuracy: 1/100
Method of measurement: UTM
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: 1_1 % industrial and 98.9 % domestic)
❑ other (explain: ).
6. Does the facility have an approved pretreatment program: IS Yes IN No
7. Facility permitted/design flow: 3_5 MGD and facility average daily flow: 2.25 MGD
8. Average amount of residuals being generated at this facility 69.061 dry tons per year.
9. Specify the following regarding treatment and storage volumes available at the facility:
Type and volume of residuals treatment: Aerobic Stabilization/Storage Facilities (total volume: 2,655,600 gallons)
Type and volume of residuals storage (i.e., outside of residuals treatment units): Sludge Drying Beds
II. 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 15A NCAC 02T.1102(6) as:
ll 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 06-16 Page 1 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 tr
100% non -municipal, domestic wastewater only)
a. Are the residuals listed in 40 CFR §261.31-§261.33: ❑ 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: SGS North America Inc. and Date of analysis: 04/04/2019 - 04/11/2019
Passed corrosivity test: ® yes ❑ no. pH: s.u. (2 < pH < 12.5)
Passed ignitability test: ® yes ❑ no. Flashpoint: >200 °F (> 140°F)
Passed reactivity test: ® yes ❑ no. HCN: <87 mg/kg (<250) & HZS: <2900 mg/kg (MCL 2900 mg/ke)
(<500)
TCLP Parameter
Limit
(mg/1)
Result
(mg/1)
TCLP Parameter
Limit
(mg/1)
Result
(mg/1)
Arsenic
5.0
<0.10
Hexachlorobenzene
0.13
ND
Barium
100.0
<2.0
Hexachloro-1,3-Butadiene
0.5
ND
Benzene
0.5
ND
Hexachloroethane
3.0
ND
Cadmium
1.0
<0.050
Lead
5.0
<0.050
Carbon Tetrachloride
0.5
ND
Lindane
0.4
ND
Chlordane
0.03
ND
Mercury
0.2
<0.0050
Chlorobenzene
100.0
ND
Methoxychlor
10.0
ND
Chloroform
6.0
ND
Methyl Ethyl Ketone
200.0
ND
Chromium
5.0
<0.10
Nitrobenzene
2.0
ND
m-Cresol
200.0
Pentachlorophenol
100.0
ND
o-Cresol
200.0
Pyridine
5.0
ND
p-Cresol
200.0
Selenium
1.0
<0.10
Cresol
200.0
Silver
5.0
<0.10
2,4-D
10.0
ND
Tetrachloroethylene
0.7
0.0235
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 06-16 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 15A NCAC 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: Environment 1, Inc. and Date of analysis: 04/16/2018 — 04/23/2018
Parameter
Ceiling
Concentration Limits
(ClassA & ClassB)
(mg/kg)
Monthly Average
Concentration Limits
(Class A Only)
(mg/kg)
Result
(mg/kg)
Arsenic
75
41
<2.5
Cadmium
85
39
1.1
Copper
4,300
1,500
247
Lead
840
300
18
Mercury
57
17
0.49
Molybdenum
75
n/a
<5.0
Nickel
420
420
13
Selenium
100
100
<5.0
Zinc
7,500
2,800
651
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: IM and Date of analysis: ={.'fir
Distance from Disposal
Unit to Boundary to
Closest Property Line
(meters, check one)
Arsenic
(mg/kg)
Chromium
(mg/kg)
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 06-16 Page 3 of 5

5. Nutrient/Micronutrient Determination: Complete the following:
a. Total solids: 1.73 %.
b. Fill in the following table with the results of the latest analyses (i.e., on a dry weight basis) for the following nutrient ai,u
micronutrient parameters:
Laboratory: Environment 1, Inc. and Date of analysis: 4/10/2018 to 5/31/2019
Parameter
Result
(mg1w
Aluminum
17,916
Ammonia -Nitrogen
788
Calcium
16,099
Magnesium
4,632
Nitrate -Nitrite Nitrogen
12,950.98
pH (Standard Unit)
3.9
Phosphorus
27,260
Potassium
7,225
Sodium
3,163
Total Kjeldahl Nitrogen
39,930
c. Using the results listed in Item Il. 5b. above, calculate the sodium adsorption ration (SAR): 0.'
[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 (0) Year PAN
Five -Year
Maximum Adjusted PAN
(mglkg)
(mg/kg)
Surface
26,231
38,311
Injection/Incorporation
26,625
38,705
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 06-16 Page 4 of 5

7. Pathogen Reduction: Per 15A NCAC 02T.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(b)(3)(A)] - Time/Temperature Compliance.
❑ Alternative 2 [15A NCAC 02T.I 106(b)(3)(B)] - Alkaline Treatment.
❑ Alternative 3 [15A NCAC 02T.I 106(b)(3)(C)] - Prior Testing for Enteric Virus/Viable Helminth Ova.
❑ Alternative 4 [15A NCAC 02T.I 106(b)(3)(D)] - No Prior Testing for Enteric Virus/Viable Helminth Ova.
❑ Alternative 5 [15A NCAC 02T.I 106(b)(3)(E)-(K)] - Process to Further Reduce Pathogens (PFRP).
Specify one: ❑ composting, M heat drying, ❑ heat treatment,
❑ thermophilic aerobic digestion, ❑ beta ray irradiation,
❑ gamma ray irradiation, or ❑ pasteurization.
b. For Land Application of Class B:
® Alternative l [l5A NCAC 02T.I 106(c)(1)] - Fecal Coliform Density Demonstration.
® Alternative 2 [15A NCAC 02T.1106(c)(2)] - Process to Significantly Reduce Pathogens (PSRP).
Specify one: Z aerobic digestion, air drying, ❑ anaerobic digestion,
❑ composting, or N lime stabilization.
c. For Surface Disposal:
❑ Select One of the Class A or Equivalent Pathogen Reduction Alternatives in Item I1. 7a. above.
❑ Select One of the Class B or Equivalent Pathogen Reduction Alternatives in Item Il. 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.I 107(a)(6)] - Alkaline Stabilization.
❑ Alternative 7 [15A NCAC 02T.I 107(a)(7)] - Drying of Stabilized Residuals.
❑ Alternative 8 [15A NCAC 02T.I 107(a)(8)] - Drying of Unstabilized Residuals.
® Alternative 9 [15A NCAC 02T.I 107(a)(9)] - Injection.
® Alternative 10 [15A NCAC 02T.I 107(a)(10)] - Incorporation.
❑ Alternative for Surface Disposal Units Only - Soil/Other Material Cover [15A 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 06-16 Page 5 of

Contentnea Metropolitan Sewerage District
2019 Residuals Land Application Permit Renewal
Items for
B. Residuals S ource- GeneratingFacility
Information
Vicinity Map
CMSD WWTP Process Diagram
Residuals Production Documentation
Sampling and Monitoring Plan

Legend � ,
Vicinity Map Stream
CMSD Class B Land Application — NC Route _WOOTENCOMPANY
Permit WQ0001048 Renewal 0 Field Boundary
anc Qi1 UfBfi 9f VBrtd]ii'i-"ie:v�l11FJ PY..»i1C.'H.,.r.�AtlPY[iC L�TMy
Pitt County, NC
Municipal Boundary �:o�aJcc�v+mmaumeeaiac�ma�n`>rKfro�»mo,wwr.ao,eremm.�
n�,
�UV n agl�l un0 ,.rJ by Wu-__J Ni�M1s;W�ul Lyc JwwY - 'k.ffi: WR,tl Ve
County Boundary

Sodium
Hydroxide
Feed
DISTRIB
BOX
gg gg ttoo tas Mc01
Spray�ield
Chlo ne
caustic
LONTRO
NITS
9UILgNG
IARMERSYOLL BE
LEGEND
O —
STRUCTURE
EXIsxNG s1RUCiuRE
E`E=E PIPE
MOgFIED smUCTURE
OMOOKIED SmUCNRE
IRRIGRTpx uxE
U. MODI
AYERAOE I N', FLaysln
FLOW
SPILITER BOX
Decant Return �
NEW NEW
CLARR'IE= CLA-l'N
100 ��l D. F55
4
SLUDGE
OADON
N STA ON
I j AEROBIL SLUDGE
Anoxic Tanks Anoxic Tanks STABILIUTION/
HOLDING TANKS
Sludge Recirculatlon
v IN. SI►\ M.
ND I
�IA#STAG
10
FIRST
BTAGE
CLARIFIER
SDGE
NO.IRECIRC.
IPUMP
k��AE.RAnOl
Not¢
�
I w
S UDGE
r� RELIRCUlAT1ONI
WASTE PUMP
DRAIN STATNON
PUMP
STATION
O DENTIRIFICATION
FILTER SYSTEM ULTRAVIOLET
DISINFECTION
BELT FILTER
PRESS METHANOL
BUILDING STORAGE&
FEED FACILITY FILTER
LIFT STATI
Drain � SS
`"" 5L100E ft ulatlon
To Sprayfiald t
—7 Chlorine
1 — Drain
AEROBIC DIGESTER
1 Y Y L NO, tER
AECOND RATION ASI
AERATION BASIN NR t � F"
SECOND STAGE '.
AERATON BASIN No 2 1
slt-
o
SCHEMATIC FLOW DIAGRAM
CMSD WASTEWATER TREATMENT PLANT
SECOND STAGE
sLUDDE
IFLIRCUI ATION
PUMP STATION
4 LE BBDM
EFFLENT
OUTFALL
r
MWATER
4NNEL u
r
v
THE WOOTEN COMPANY
NY12/0 N'th fto1, Rv¢nReNRakigh NG 21953-A29 u R
9I9.R2P.9531 tR1919 MC3589

Contentnea Metropolitan Sewerage District
Estimated Waste Sludge Production
Estimate Average Influent and Effluent BOD for 2018 WWTP Recorded Values
Influent BOD Effluent BOD Flow
Month
(mg/L)
(mg/L)
(MGD)
January
123.57
3.54
2.36
February
101.79
2.41
2.41
March
87.95
2.17
2.28
April
86.41
2.03
2.27
May
86.88
2.00
2.01
June
85.45
2.05
1.62
July
85.12
2.07
1.64
August
58.50
2.29
2.36
September
79.68
2.09
3.39
October
86.55
2.23
1.68
November
90.14
2.15
2.00
December
67.07
2.20
3.04
Annual Averagel
86.59 1
2.27
1 2.26
Calculate Total Annual Solids Produced
2018 Values
Design
Flow (MGD)
2.26
3.5
Influent BOD (mg/L)
86.59
250
Effluent BOD (mg/L)
2.27
15
Net Sludge Yield 0.35 lb solids/lb BOD Removed
Waste Sludge Production = MWs = (BODin - BODEff)(8.34)(Q)(NetSludgeYield)
2018 Values Design
Waste Sludge Production = 555 2,401 lb/day
Aerobic Stabilization (assuming 40% volatile solids reduction in aerobic sludge digestion)
VSS/TSS Ratio 0.8 VSS/TSS
Reduction of Volatile Solid,, 0.4 VS
VSS
Aerobic Sludge Produced = MWs TSS (1 - VS) - Mws I 1 - TSS)
2018 Values Design
Aerobic Sludge Produced = 377 1,633 lb/day
69 298 dry ton/yr

Contentnea Metropolitan Sewerage District
2018 Actual Waste Sludge Applied
(data from Land Application Field Summary Reports in supporting information)
Total Dry
Dry Tons
Tons
Site
Field
Applied (gal)
% Solids
(tn/ac)
Acres
Applied
B
1
93,000
1.73
2.362
2.84
6.71
B
2
44,000
1.73
1.211
2.62
3.17
B
3
88,600
1.73
2.35
2.72
6.39
B
4
46,200
1.73
0.998
3.34
3.33
B
5
75,000
1.73
1.446
3.74
5.41
C 11
8
208,200
1.73
1.943
7.73
15.02
C 11
9
104,000
1.73
1.457
5.15
7.50
C 11
13
30,800
1.73
0.673
3.3
2.22
C H
15
90,000
1.73
2.728
2.38
6.49
D
16
48,000
1.73
1.162
2.98
3.46
D
17
72,000
1.73
1.435
3.62
5.19
D
19
57,500
1.73
0.353
11.75
4.15
Total Applied Total Dry
Volume (gal) Tons Applied
957,300 69.1

LAN® APPLICATION FIELD
SUMMARY FORMS

ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: Obn-Ve�ea, (f 6D WQ Permit #: Field #:
{,��;�ppjCl}� Acres Utilized: El,Q(I
Land Owner: jy�� _ Annual Dry Tons Applied: 6 7�j Site #: Acres Permitted: Z (�
Operator: ��e�),(yI Predominant Soil Series: Cation Exchange Capacity (non 503):
Crop 1 Name: CPaJta(5-JfPt&L- Crop 1 Max. PAN: n(p Crop 2 Name: Crop 2 Max. PAN:
_
°
v
c °
Ca
Volume applied
(enter one) Solids/
Liquid
Cu. Yds Gallons
%
Solids
Volume
Applied per
PP P
Acre
(DryTons/Ac)
Residual Sources
(NPDES #, WQ#,
Fen., Animal
Waste, etc)
Soil
Cond.
(Dry,
Wet,x
Moist
Precip.
Past 24
its.
inches
>
� b
E '
o
in
�;
*
°
o
°�
* N'
* K
TKN
mg/kg
z Y
-�
o 3
°;
w'
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
( Ibs/acre)
Name of Crop Type
Receiving Residual
Application
Crop I
Crop 2
Crop 1
Crop 2
QaU
.
.3-)Z
C3, 5
CD,36
7Sg
Z9
71:7(�
ber
000
1 1.739k
16. Qqb
320-n
0
a "'o
Z Z :
Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form):
TOTALS:
As
Cd
Cu
Cr
Pb
H
Mo
Ni
Se
Zn
P
Z3 �IIZ
Lime A Iied
Annual Ibs/acre
,pI
t.l(o7
O-U62
5
Z
p.{�Zu
D-Z
6�U
Z .77b ..
. , . ..:'
Date
lbs/ac
Prior Years Cumulative lbs/ac
, l4g3
,(4c
04-)q
c
'J,4
I
Current Cumulative lbs/ac
, 505
,'
l
.3b�
L.4�3
Z�
[a `3
21
Permitted C. P. L. R.****
(',
3U
i 3N—
037yI
Permit PAN Limit lst/2nd Crop
:.:: .. ..... . ......... .
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
Signature of Land Applier
Date
*Application Method: S - Surface, IN - Injection, INC - Incorporation
**Volatilization Rate: Surface - 0.5. Iniection/Incorvoration - 1.0
*** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: O pnieN-nen— 6D Total Dray Tons Applied (Annual): „
Permit #: i�:QCLOjOLAI 2 Cation Exchange Capacity (non 503 only): L/, 5
Operator: ' enet dyjqkl Owner: Crnif4noQ_mb_D Predominant Soil Series: {�-j6lTy L -)
Acres Used: Z. � c) Acres Permitted: Z Iq0 Site #: Field #:
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
Sample or
Com-
posite
Date
1
2
3
4
5
6
7
8
9
10
11
12
% Solids
Arsenic
<Z.
< Z. 5
Cadmium
j
1.1
Copper
Z Lo
ZL7
Chromium j 7j
13
Lead
j g
is
Mercury
44G%
p , LP
Molyb-
de.num
J. O
Crj. ()
Nickel
1
l3
Selenium
Zinc
J
(5I
Total
Phos-
phorus
&0
M,0
Annual Heavy Metal Field Loadings (Calculated in lbs/acre):
Event
MOW
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
imprisonment for knowing violations".
-2 <<
Signature of Land Applier Date
DENR FORM MFLSF (12/2006)

ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: �bntn�06D WQ Permit #: V\40D0lC)(4z, Field #: Acres Utilized: z , (02
Land Owner: CU)-Ff -)4n _ ff)67 Annual Dry Tons Applied: J I")C...( Site #: l� Acres Permitted: Z , & Z
Operator:'?)enet 6ry�o) Predominant Soil Series: ?acb1u5 Cation Exchange Capacity (non 503):
Crop 1 Name: Crop 1 Max. PAN: IBC O Crop 2 Name: Cron 2 Max. PAN:
o
0
Volume applied
(enter one) Solids/
Liquid
Cu. Yds Gallons
%
Solids
Volume
Applied per
PP P
Acre
(�ryTonslAc)
Residual Sources
(NPDES #, WQ#,
Fert,Animal
Waste, etc}
Soil
Cond.
(Dry,
Wet.n.
Moist)
Precip.
Past 24
Hrs.
inches
c� t,
o w
o
„
M c
N'
d -
N
M °,
TKN
mg/kg
z
o 3
°° °
g
mpg
Nitrate
and
Nitrite
mgJkg
PAN Applied
lbs/acre
( )
Name of Crop Type
Receiving Residual
Application
Crop I
Crop 2
Crop 1
Crop 2
• 214
� I(I
21 I ; :;
1�IC-CO370—P
drNO
S
0, 5
0:30
C6 X�b
-n 5z9xxt�
5�0
j.ZI I
Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form):
TOTALS:
y40D(�
::::.::::::::
As
Cd
Cu
I Cr
Pb
Hg
Mo
Ni
Se
Zn
P
53('�
Lime Applied
Annual lbs/acre
0, 00I-
6-003
6 I
0(44
O=CD)
0.01 Z'
U, l
-0 Z
1.
0211` .. ::
:::::::::::::::::::::
.....
...........................•.
:::::....::::::::::::::::::::::::::::.::.. .
Date
lbs/ac
Prior Years Cumulative lbs/ac
D • 3 (n
6.MZ
7G•
3u•Zl 3
7 •GDco
p. Z
ZG53
ZGS 5�1
Current Cumulative lbs/ac
O• (oWL
0.OloS
q4
., 1,Z_44
4G50
F353
Z.QL-,
.q ,
7
Permitted C. P. L. R.** **
i3
3tI
i3
—
"�
15
--
y
4�
Zy sr'.
Permit PAN Limit l st/2nd Crop
..........:.:.:...:.
1 a
--i ceruiy, unaer penalty of taw, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
Signature of Land Applier
*Application Method: S - Surface, IN - Injection, INC - Incorporation
�� ZZ **Volatilization Rate: Surface - 0.5. Iniection/Incornoration - 1.0
Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: CbM0-) -ncz.jYl� Total Dry Tons Applied (Annual): 31 FXJ
Permit #: Cation Exchange Capacity (non 503 only):
Operator: Owner: rlflif'f?it')e:i-rf)L PredominantSoil Series: "jbCjpj()S
Acres Used: Z; Z Acres Permitted: & z, Site it: "lField #: -Z
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/lcg, % Solids use Raw Percent #):
Sample or
Com-
posite
Date
I 1
Lf 1p 1$
2
3
4
5
6
7
8
9
10
i 1
12
% Solids
1.�3
Arsenic
(Z.
Cadmium
1.1
Copper
'jq-)
Clu•omium 1
Lead
is
Mercury
p.taG
MolyU-
demim
<5.v
Nickel
13
Selenium
5.0
Zuic
(,61
Total
Phos-
horus
IZ(c b
Annual Heavy Metal Field Loadings (Calculated in lbs/acre):
Mom
Total
Phos-
_phorusEEMENEEMENEEN
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
imprisonment for knowing violations".
Z—� N L1
Signature of Land Applier Date
DENR FORM MFLSF (1212006)

ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: C`rni•eNkl.cn. 0 CD
Land Owner: CZn+1a)-.n-ff0- rfl-J-D
Operator: 'h %6.Mlg41
Crop 1 Name: CO--L
WQ Permit #: 4�OCC610 4!g Field #: 3 Acres Utilized: Z.'7 Z
Annual Dry Tons Applied: l"-6 JZ ISite #: Acres Permitted: 7Z.'7 Z.
Predominant Soil Series: �a 1 Cation Exchange Capacity (non 503):
Crop i Max. PAN: I-Xo Crop 2 Name: Crop 2 Max. PAN:
o
Q
-II-�
- 5
Volume applied
(enter one) Solids/
Liquid
qu
Cu. Yds Gallons
5ZWO
txx�
%
Solids
I.137b
Volume
Applied per
Acre
(Dry Tons/Ac)
*Z 5
55'
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
NCcc&&U-7-)
NCOG3ZD7�
Soil
Cond.
(Dry,
Wet
Moist
Precip.
past 24
Hrs.
inches
ti
'
o w
a
*
$
C
o
z M'
w _
�
*
o
�
0 5
O.5
o
» y
* —
0
❑
G,3b
O<
TKN
mg/kg
,-)40
43lC:
D
3
o 8
_
5 �•
mglkg
. S'
"X6�3xJ48
Nitrate
and
Nitrite
mgncg
/1gtAJ
PAN Applied
(Ibs/acre)
Name of Crop Type
Receiving Residual
$
Application
Crop 1
•ICz?
I Crop 2
Crop 1
oer
Crop 2
.3'J0
Residuals Applications totals on FORM FSF supp ( attach FORM
FSF supp to this form):
TOTAL s:
Is . lo(�i3
::<?:;:.:::
As
Cd
Cu
Cr
Pb
H
Mo
Ni
Se
Zn
P
IZ3,N3
Lime A lied
Annual lbs/acre
p iZ3
D- W5
l . l b l
D,
0 - C84
'' , C 62
, - 4F
. 1
, - u
.05q
1 Z
Date
lbs/ac
Prior Years Cumulative Ibs/ac
...........................
p; `�j Z3Z �2.� 44. D .�T 0. 1 1"� 1G:357 , (u 13.f 1:::.:....:....:. ..:.:.:::.:.:.:;:::::::::
p.'> �) Z37 3,gck tic{. 51 3 ZG13 Z•RW1. rO� Ui`3 Gt1t� ....................... .
;..; .;....:.:.
z�14
Current Cumulative lbs/ac
Permitted C. P. L. R.****
Permit PAN Limit Ist/2nd Crop
1 certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the. information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
ft
Signature of Land Applier
*Application Method: S - Surface, IN - Injection, INC - Incorporation
**Volatilization Rate: Surface - 0.5. In i ection/Incorno ration -1.0
Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: Ccf)- O- .secL (`OD Total Dry Tons Applied (Annual): (,. ze Z
Permit #: CCOIC Cation Exchange Capacity (non 503 only): (4. 5
Operator: ') 0��f �,Y tl's Owner: CC --ff j- neCL jf)b_0 Predominant Soil Series:.]
Acres Used: z, iZ Acres Permitted: Z.-)Z Site #: ?) Field #:
Residual Analysis Data (Heavy Metals and Total Phosphorus use rug/kg, % Solids use Raw Percent #):
Sample or
Com-
posite
Date
I I
olcr 19
2
t i�lD 1
3
A
5
6
7
8
9
10
11 j
12
% Solids
Arsenic
<1.'J
Cadmium
1 1 . J
1 .
Copper
I 2q-)
vo
Chromium 13
13
Lead
jg
11
Mercury
D, LP
p. UST
Molyb-denurn
Nickel
3
13
Selenium
<5.D
<5 D
Zinc
1
(,, 51
Total
Phos-
phorus
7Jc0
Annual Heavy Metal Field Loadings (Calculated in lbs/acre):
®•
r
__________RIM
Total
Phos-
_jhorus_NNEEEEEEEEEE
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
imprisonment for knowing violations".
Q
Signature of Land Applier
- -Zwc
jl
Date
DENR FORM MFLSF (12/2006)

ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: C1Cl_)+el t ►n(_� rf)6D WQ Permit #: i()L6 Field #: y Acres Utilized:
3.5(4
Land Owner: M-1) Annual Dry Tons Applied: 3.333 Site #: j; Acres Permitted: 3.3y
Operator: ee j Predominant Soil Series: �QC }�}V g Cation Exchange Capacity (non 503):
Crop 1 Name: Crop 1 Max. PAN: 1 Qn Crop 2 Name: Cron 2 Max. PAN:
_
• �
°
y
Q
Volume applied
(enter one) Solids/
Liquid
Cu. Yds Gallons
%
Solids
Volume
Applied r
PP per
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
(Dry,
Wet,
Moist
Precip.
Past 24
Hrs.
inches
Y
c; a
o M
° o-r;'
a
C
o
� _
�; —
* N
°
5
3
x
d
ro
« N'
c
TKN0
mg/kg
z a
B
o
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
( ibs/acre)
Name of Crop Type
Receiving Residual
Application
PP
Crop 1
Crop 2
Crop 1
Crop 2
�7-►'�
u(o20v
I."73�
O,Clgs
NC.oL--ZCT-
&
S
o,5
0:38
-'5wo
"xsl
x5�>•,
(A
Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form):
TOTALS:
U'
As
Cd
Cu
Cr
Pb
Hg
Mo
Ni
I Se
Zn
I P
Z3
Lime Applied
Annual Ibs/acre
0,CX)5
0.CC0
.WP3
O OZ(v
0 03L,
I...
Date
lbs/ac
Prior Years Cumulative lbs/ac
p,-)3 U
u•Rt5Z
" •33)
aQ-32J
t43
C).t7(�
Z.7 x1
7O.qZO
Current Cumulative lbs/ac
q.qi
. 7Lt
'? '7
0.17�
Z'>rs�
.bZ3
p:
Permitted C. P. L. R.****
134
13
—
ZO
i rj
—
374
Zvi
Permit PAN Limit 1 st/2nd Crop
....................... .
. :::•: -.....
••1 certuy, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
Signature of Land Applier
*Application Method: S - Surface, IN - Injection, INC - Incorporation
a i **Volatilization Rate: Surface - 0.5. Iniection/Incorooration -1.0
Date
*** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: d-�v)e�L MO-D Total Dry Tons Applied (Annual): 3.333
Permit #: L�,r4 OWiDp $ Cation Exchange Capacity (non 503 only): 4. 5
Operator: 'J jena \_'311dh Owner: �cn� l£ - � Predominant Soil Series:
Acres Used: 3, Zu Acres Permitted: 3,3y Site #: 6 Field #: �!
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
Sample or
Com-
posite
Date
1 11
2
3
4
5
6
7
8
9
1d
11 J
12
% Solids
) `7
Arsenic
<-Z.5
Cadnlium
I. j
Copper
I zq-)
Chronliunl I
Lead
)
Mercury
O qCj
Molyb-
<5. o
Nickel
Selenium
Zinc
Total
Phos-
phorus
n7lpO
Annual Heavy Metal Field Loadings (Calculated in lbs/acre):
Minn
0
NEW
IIIIIIII
Iff RIM
Total
Phos-
phorusNEENEENEENEEN
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
imprisonment for knowing violations".
Signature of Land Applier Date
DENR FORM MFLSF (12/2006)

ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: rl n+ai )4 t. rn6D WQ Permit #: I,1�1645 Field #: 6 Acres Utilized:
Land Owner: Cf'17Ffi?1RP O�_ f�17 Annual Dry Tons Applied: 5, Q) l Site #: r l Acres Permitted: 7� j
Operator: Predominant Soil Series: C(C-b�US Cation Exchange Capacity (non 503): (4.-5
Crop 1 Name: CC0t,:5+ C.c. Crop 1 Max. PAN: i(2 `, CroD 2 Name: rrnn l Mr , PAN.
o
c
0
i-1�'
Z
Volume applied
(enter one) Solids/
Liquid
Cu. Yds I Gallons
32Cuc�
%
Solids
1')3
Volume
Applied per
Acre
(Dry Tons/Ac)
O I
Residual Sources
�rppES #, WQ#,
Pert., Animal
Waste, etc)
t�lC ZO"7`�
Soil
Cond.
(Dry,
Wei
Moist)
Precip.
past 24
Hrs.
inches
C)5
a
o m
a 5
5
<
o
m
cu
„ K'
°o
CD-5
m �
°
* Z-
0,30
TKN
mglkg
" Ql0
Z a
El
o °
� �
o �•
mg/kg
Nitrate
and
Nitrite
mg/kg
xXr
PAN Applied
lbs/acre
( )
Name of CropType
ReceivingResidual
Application
Crop 1
3 9
Crop 2
Crop 1
ccr
Crop 2
:7
) .t44(p
Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this for
''
TOTALS: q O .':.. _ ..
Annual lbs/acre
Years Cumulative lbs/ac
Current Cumulative lbs/ac
Permitted C. P. L. R.****
Permit PAN Limit Ist/2nd Crop
GCT _
Se Zn P 6.k
As Cd Cu I Cr Pb Hg MoJtGc�bm
O,(X 7i� D D 'Z 3(-
>:.. ...„Prior
- o ��5 +-F•Ig�i � 14 .1
I LI.1 �� 6+5G4 033 hiQ 1 •`G' : ;::•>:•>.
................: ...
(, 36
:.. ; .........•..._ ...;.. . .
I
Lime
Date
A lied
lbs/ac
•._„ ......�. t,.Maj my Vi Marv, Lua" Luis uucument was prepares unaer my curection or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
A
Signature of Land Applier
*Application Method: S - Surface, IN - Injection, INC - Incorporation
**Volatilization Rate: Surface - 0.5. Iniection/Incorporation - 1.0
Date
*** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: ni-0 -efx_MOD Total Dry Tons Applied (Annual): 5,U l j
Permit #: Cation Exchange Capacity, (non 503 only): Ll. 5
Operator: Owner: C 'I��rl c�(f .7 Predominant SoilSeries:-PC,_JC&(:S
Acres Used: 6.-)la Acres Permitted: 3,--)c4 Site #: 3 Field #: 5
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
Sample or
Co►n-
posite
Date
1 1
2
3
L4J
5j
6 j7
8
9
10
11
12
% Solids
Arsenic
<?.5
Z 5
Cadmium
Copper
1Zti�
Z U7
Clu•omium
Lead
{ �,
Mercury
p.LIc1
OU
Molyb
<5.p
<5.C)
Nickel
13
I
Selenium
S,5 n
<5.D
Zinc
01
('51
Total
Phos-
horus
Z)Z •
Z l t)
Annual Heavy Metal Field Loadings (Calculated in lbs/acre):
MR
a +.
__________
• _�
�'.
W-6,
Ci�ia�iil
i RI
• •
_________®
ti •
MT
Total
Phos-
NEEMENEEMEN
p
J
1
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
imprisonment for knowing violations".
ZZ6-(C
Signature of Land Applier Date
DENR FORM MFLSF (12/2006)

ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: 46-J/1�lib17 WQ Permit #: k_'QD0olC4q Field #: g Acres Utilized: �.73
Land Owner: ��� � Annual Dry Tons Applied: 15_ CjZ0 Site #: C J (QC+ JJ Acres Permitted: 73
Operator: �j � �yy1 Predominant Soil Series: Alckcl Cation Exchange Capacity (non 503): e4.5
Crop 1 Name: �t�eimlda Crop I Max. PAN: 177. Crop 2 Name: Cron 2 Max. PAN:
c _
a,
Q
Volume applied
(enter one) Solids/
Liquid
Cu. Yds Gallons
aka
Solids
Volume
Applied per
PP P
Awe
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert ,Animal
Waste, etc)
Soil
Cond.
(Dry,
Wet,
Moist
Precip.
Past 24
Hrs.
inches
K
o 9
0
C
o
� �
r
* �•
N
TKN
mg/kg
y
z
o
°' �
mg/kg
Nitrate
and
Nitrite
mglkg
A Applied
PP
(lbs/acre)
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
�i S
ZC7t�
1-7�'4�
.'7Zt�'
N•CO(.c��'Z6��
rr��+
C�
©•5
03.D
754
�;,�
.77Z
�,
NCCMV
drq
a 5
-)'�13
,.,
a
'
}3
Residuals Applications totals on FORM FSF supp ( attach FORM
FSF supp to this form):
E
.... I
........ .
TOTALS:As
Cd
I Cu
Cr
I Pb
Hg
Mo
Ni
Se
Zn
P
l
Lime Applied
Annual lbs/acre
O
0,L' A
p . (o l
3
O•GC�
i �lo�
1- 1 Z
3 U
G �ihd
.25 i
56 q. I
1 `�
r1.o5o
'�.604
Z5. �1
—
c>,ob
.364
.53-1
Z.b%
O. '2
D.1 Z
o o1 (A
f 5
` ,01
5
?-104
—
.2%
.3
Y)4
,01c
Z
lQ7 l
S �1
Z 3
� . 57
yQ7
Zt•Ir-!
I Z .... .. ..•:...:
:::'>::: »::'><:::;:::<
.............. .............
.........................
Date
lbs/ac
Prior Years Cumulative lbs/ac
Current Cumulative lbs/ac
Permitted C. P. L. R.****
Permit PAN Limit lst/2nd Crop
........ ...... . ....::::.:.:.•...... Z
:;:: :':`.: ....... •'
:.• ........ :.............::.•
r cernry, under penalty of taw, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
Signature of Land Applier
*Application Method: S - Surface, IN - Injection, INC - Incorporation
**Volatilization Rate: Surface - 0.5. Iniection/Incornoration - 1.0
Date
*** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: Ccni8"'} ntff _[Db Total Dry Tons Applied (Annual): t S.07_b
Permit #: L Q�jNL Cation Exchange Capacity (non 503 only): y.1-3
Operator: j tbT),44,) Owner: �Cil��t✓i� G - rp,0 Predominant Soil Series: A A,_Acres Used: 11. Acres Permitted: 223 Site #: CT gCj-ff Field #: 45
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
Sample or
Com-
posite
Date
1 1
L1-IU_IQ
2
LJ-f0-1g
3
C _4C,6
4
5
6
7
8
9
10
11
12
% Solids
.3`Jc,
.73`6
1 1.)3 b
Arsenic
<Z.�
<Z,
Cadmium
Copper
ZU-)
ZU7
Chromium 13
13
13
Lead
1,
Mercury
p.(49
C).LC1
O.Uq
Molyb-
<5.0
Nickel
I r 3
113
i 3
Selenium
<5,(>
S 5. b
<5. D
Zinc
Total
Phos-
phorus
-224PO
ZWkdO
Annual Heavy Metal Field Loadings (Calculated in Ibs/acre):
D
-
..
Event
Total
Phos-
phorus
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
imprisonment for knowing violations".
c
Signature of Land Applier Date
DENR FORM MFLSF (1212006)

ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: Cien�..ftD WQ permit #: u,�QOObioUg Field #: q AcresUtilized: 5.15
Land Owner: Annual Dry Tons Applied: 7 jp7 Site #: CTrnCf=B Acres Permitted:
Operator: j enec,-'w-) Predominant Soil Series: Wo— Cation Exchange Capacity (non 503):
Crop 1 Name: Cron 1 Max. PAN: i'» Cron 2 Name: r, 1 ivr— D A W.
`o
y
at
0
Volume applied
(enter one) Solids/
Liquid
9
Cu. Yds Gallons
��a
Solids
I �3`�0
Volume
Applied per
Acre
(Dry Tons/Ac)
0.3
Residual Sources
(NPDES #, W #,
Q
Fert., Animal
Waste, etc)
3 -,i
Soil
Cond.
We '
Moist)
i+
Precip.
Past 24
Hrs-
inches
O
a
a .eS
�•
c n
w o
5
C
E Y
O� 5
*
+
0.3v
TKN
mg/kg
143
z _
_
B o
0 w.
mg/kg
Nitrate
and
Nitrite
mg/kg
C4
PAN Applied
(lbs/acre)
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop I
Crop 2
. ' .
;1,LF'S7 ;
Residuals Applications totals on FORM FSF supp ( attach FORM
FSF supp
to this form):
»::: : .
.......
TOTALS: 1(31]OOO . ;; • ...'
Annual lbs/acre
Prior Years Cumulative lbs/ac
Current Cumulative lbs/ac
Permitted C. P. L. R.****
Permit PAN Limit lst/2nd Crop
AS Cd Cu Cr Pb H Mo Ni Se Zn I P
D.rDS O.(D3 0.7Z.b 0.03S C C6Z i7W) 0,01C4 0,o3S' 0.01 7 3tG ::
4U 1 .94 n1 5-46i O.l O .L- Z 5 Z ,
Z Z4 = 101 6 5Z1 p, tL1 Z. -)V ;5-bt�j p •G35 ::.::::. •:•:•:•:•:.:..
:•:•. :::•.::::.:.: »::: ;:: >: »:
3 i3. Z i — o
.::.....::..::..:.:., X
t�Z
Lime Applied
Date lbs/ac
_ _. _._„ —..— J—""A.y „x La„, GuaL U,,,, uVcu,ueui was prepareu unuer my airection or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
nel
Signature of Land Applier
*Application Method: S - Surface, IN - Injection, INC - Incorporation
=2�'�7 **Volatilization Rate: Surface - 0.5. In iection/Incornoration -1.0
Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: C'mitn�nf_ ( )6D Total Dry Tons Applied (Annual): 12561)Z
Permit #: _ (Goxi dLIq Cation Exchange Capacity (non 503 only): 4 5
Operator: }�j�n Yjl � Owner: irj) "IOCA.- ffib-D Predominant Soil Series: LC
Acres Used: S', I 'j Acres Permitted: 6,115 Site #: bT(aal Field #: qj
Residual Analysis Data (Heavy Metals and Total Phosphorus use mglkg, % Solids use Raw Percent #):
Sample or
Coin-
posite
Date
1
2
L3J
5
__6j
7j
L8J
L9J
10
11
12
% Solids
i,-)6`7o
Arsenic
<-Z.`j
Cadmium
1.1
1.1
Copper
I 7N7
Zy-)
Clv omium 13
13
Lead
i -'
1 q
Mercury
Q. Lci
3 , 1-1cl
Molyb-
Nickel
13
13
Selenium
<5.0
<5D
Zinc
$ 1
b5l
Total
phos-
phorus
I Z_ PO
Z^) o
Annual Heavy Metal Field Loadings (Calculated in lbs/acre):
-Total
p1los-
__pjiorusNNEEEEEEEEEEr
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
imprisonment for Icnowing violations".
Signature of Land Applier
Z 26 -1
Date
DENR FORM MFLSF (12/2006)

ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: •�- A N)6D WQ Permit #: U)qpC01M Field #: 13 Acres Utilized:
3.30
Land Owner: _ { � Annual Dry Tons Applied: 2.Z11 Site #: C j FQ�� Acres Permitted: 3,
Operator: �ne(-` AkN Predominant Soil Series: 32ACL Cation Exchange Capacity (non 503):
Crop 1 Name: QDQ. afBalft.1C>- Crop 1 Max. PAN: i (o ( Crop 2 Name: Crop 2 Max. PAN:
o
0c
Volume applied
(enter one) Solids/
Liquid
Cu. YdS Gallons
%
Solids
Volume
Applied per
PP P
Acre
(Dry 7onsrAc)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)o
Soil
Cond.
(Dry,
Wet,Hrs.
Moist
Precip,
Past 24
inches
a
� .a
°
° FS-
o
7Z
°' =
F N'
*
❑
„
,
° m
0
T
mg/kg
° B
oc °
"1 E.
° �•
mglkg
Nitrate
and
Nitrite
mg/kg
PAN Applied
lbs/acre )
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
51�
16mc)
5
0.
f4ca awls)
d
o
S
0. 5
o 5
0, ao
0 3v
4
- q
reM�
z95o
.5
Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form):
�
TOTALST
As
Cd
Cu
Cr
Pb
Hg
Mo
Ni
Se
Zn
P
Lime A lied
Annual lbs/acre
31
O �Z u
3
d.:' Z
©.-i)
(g ,'1
3 U
33Z
13 •145
j Ll77
►33�
O• �l
z�31y
--
Z. 3
,333
p.a-e-)
, c )3
' , 0�3
15
0
I.C1-l�i
•O
0-0�90.
Z.
�T
3
q
21�
"2
�... ...•.•.•..........•.
>: >:::: >:::: ?:_:: ; ::.»:;»:::::
.
Date
lbs/ac
Prior Years Cumulative lbs/ac
Current Cumulative lbs/ac
Permitted C. P. L. R.***
Permit PAN Limit Ist/2nd Crop
:::.::::. _:•::.:•:•.•.•:•>..:........ ...............:. ,:.. .:...:.....:.:.... :.. .: .
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for [snowing violations."
Signature of Land Applier
*Application Method: S - Surface, IN - Injection, INC - Incorporation
Z�� **Volatilization Rate: Surface - 0.5. Iniection/Incoruoration - 1.0
Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: epr)fe1)` r)ea-i `),--,,7 Total Dry Tons Applied (Annual): ZZZZ
Permit #: t6ocoOIC�4 Cation Exchange Capacity (non 503 only): L .Is
Operator: t )enee !-)mjk4h Owner: C-WI er4n(D_1`)bD Predominant Soil Series:
Acres Used: 3,60 Acres Permitted: 3,-3L) Site #: Field #: I
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/Icg, % Solids use Raw Percent #):
Sample or
Com-
posite
Date
1
4
2
p g
3
4
5
6
7
8
9
10
11
12
% Solids
Arsenic
CZ . 6
CZ , 6
Cadmium
J
1.1
Copper
ZU7
ZL1
Chromium
Lead
I
1
Mercury
p, 001
01$�
Molyb-
Nickel
Selenium
Zinc
Total
Phos-
hows
ZWIPO 1
O
Annual Heavy Metal Field Loadings (Calculated in Ibs/acre):
Totalo
a©
o©
o©
o
o
•
, ,
4
App.
Event
L
Y
MMIS
mom
InIuMMMMMMMMMM�
MINE
Total
Mmm
MENEEMENEEN.
phoms
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
imprisonment for Icnowing violations".
LAIM�
Signature of Land Applier
L`I
Date
DENR FORM MFLSF (12/2006)

ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: LCnien44-ta-mbD WQ Permit #: l C60JC)4g Field #:
1,5 Acres Utilized: Z.3�
Land Owner: �ryf 1 Annual Dry Tons Applied: le ( 3 Site #: I Acres Permitted:
Operator,2)ene-.&M,dJ-) Predominant Soil Series: Cation Exchange Capacity (non 503):
Crop 1 Name: BJam Crop 1 Max. PAN: ►—) Crop 2 Name: Cron 2 Max_ PAN:
o i
Y =
C)
Sig
Volume applied
(enter one) Solids/
Liquid
9
Cu. Yds GeIIOnS
%
Solids
i.
Volume
Applied per
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc )
o�
Soil
Cond.
D
(�'
We
Moist)
Precip.
Past 24
13rs.
inches
>
q •II
s
o T
" ^
* o
C
o
�
y
* h'
* w
z n
m
* N
* w
0
TK
mg/kg
D
z a
o
o
w
mg/kg
/719
Nitrate
and
Nitrite
mg/kg
PAN Applied
(Ibs/acre)
Name of Crop Type
Receiving Residual
Application
Crop 1
.D
Crop 2
Crop 1
Crop 2
l
.3
IKQC -F)
dr
5
qg
J
: `•
,'?�
Residuals Applications totals on FORM FSF supp ( attach FORM
FSF supp to this form):
TOTALS:
U°'
.:: .'::
As
Cd
Cu
I Cr
Pb
Hg
Mo
Ni
Se
Zn
P
13
Lime A lied
Annual lbs/acre
Prior Years Cumulative lbs/ac
l 1.340 odni o.bqg O9 CO3 ` , 2,) 1 ` 114$, :...:
Q. 1 i 2 p, 7 g I!1- Ici � <�:: � •
ZLIZ p , at 0 1-1.` 1 `` 2 Z, 161 p63 5 d . ua Z. Lag o3q ::..::....:.:...:.:.....::.: .:.:..
— Z 15 — z .:..
.............•........ ... . .• ...
::...? ::: < : < :: ,: .
:..:.......• ......... {?Cn
Date
Ibs/ac
Current Cumulative lbs/ac-0
Permitted C. P. L. R.****
Permit PAN Limit l st/2nd Crop
«T
—a �IA.r, uaaa+ra Pouarty Vr raw, rnat Luis uocument was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
infor anon, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
—� **Volatilization Rate: Surface - 0.5. Iniection/Incorporation - 1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: Lain-Anen- n(A2 Total Dry Tons Applied (Annual): (o,L/�/j
Permit #: oxoD1001 Cation Exchange Capacity (non 503 only): C,1.
Operator: '�)�eebj-nU-) Owner: Predominant Soil Series:�(��nt
Acres Used: Z, 3Q Acres Permitted: Z. Site #: T Field #: I' j
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
Sample or
Com-
posite
Date
1 11
dloag
L2J
-/ _19
L3J
4 J
5
6
7
8
9
10
11
12
% Solids
Arsenic
< 2. 5
<Z . 15
Cadmium
i • 1
1.1
Copper
2_4_�
2117
Chromium 13
13
Lead
1
)
Mercury
Molyb-
deninn
<5.
<5.v
Nickel
13
Selenium
<6. D
< 5• CU
Zinc
Total
Phos-
phorus
Z-)Z(,c
Z,-)ZLU
Annual Heavy Metal Field Loadings (Calculated in lbs/acre):
®
®
Total
P.
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
imprisonment for knowing violations".
Lr'r4w E_ 2 b_19
Signature of Land Applier Date
DENR FORM MFLSF (12/2006)

ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: �-Or+6•�e_a_ (f16. WQ Permit #: r)Q'(:�OOJC14 Field #: 1 (a Acres Utilized: Zc/2q
Land Owner: COfI}0. ff)67 Annual Dry Tons Applied: Site #:
�.U1�3 L7 Acres Permitted: ZCf�
Operator:`�0-wc b-,)id) Predominant Soil Series: — Maca, Cation Exchange Capacity (non 503): 415
Crop 1 Name: 04x�l Wlclb. Crop 1 Max. PAN: 1-)Z 1-1 Crop 2 Name: Crop 2 Max. PAN:
_
Q
Volume applied
(enter one) Solids/
Li uid
9
Cu. Yds Gallons
%
Solids
Volume
Applied per
PP P
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert.. Animal
Waste, etc)
Soil
Cond.
(Dry,
We
Moist
Precip.
Past 24
Hrs.
inches
a
K
F
o w
a o
°
o
p -
N"
*
ay �;
w
—
*
5'
°
TKN
m /k
9 9
Z Y
o B
2.
/k
m9 9
Nitrate
and
Nitrite
m /k
9 9
PAN Applied
( lbs/acre)
Name of Crop Type
Receiving Residual
Application
Crop 1
P
Crop 2
P
Crop 1
P
Crop 2
P
4�
1.73`7p
t . l Z ;
►aCcp3Z cn
f
8
.5
. W
—AD
Z9
112:
Lq—kQ
Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form):
TOTALS:
U _(
As
Cd
Cu
Cr
Pb
Hg
Mo
Ni
Se
Zn
P
Lime Applied
Annual lbs/acre
p.CO
0-C
O ':5Xk
oxsb
0,04Z
p. co I
p,OIZ
O.LZD
0.DIZ
35� ......... :..
:::::: >::: :=....
>::::: >:
............... .....
........ .....
.
:;::` ::::;>: ;>:: ^ :::::=::=:::=:
Date
Ibs/ac
Prior Years Cumulative lbs/ac
D.Z5Z
. 7�
.144
Qi
Z• 14 &
.03Z
O. 2
.C19 Z
0.3" 5
1 .1 (o
urrent Cumulative lbs/ac
U,'v
2
17
Z I`!S�
O.d33
` . lulu
;ZSIZ`
.L}D
]�S
Permitted C. P. L. R.****
(!
I ?
7
I
—
�U
q
-Z ,A5
Permit PAN Limit lst/2nd Crop
.:.:.:::: . . ;. ........ ..... ......:
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
Signature of Land Applier
Z
Date
*Application Method: S - Surface, IN - Injection, INC - Incorporation
**Volatilization Rate: Surface - 0.5. Iniection/Incornoration - 1.0
*** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge.-0.4
****C.P.L.R.: Cumulative Pollutant Loadine Rate
DENR FORM FSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: OCI) � ect-Wccl Total Dry Tons Applied (Annual): 6.063
Permit #: LaCCoIoA Cation Exchange Capacity (non 503 only):
Operator: ��l f� ljll h Owner: C(�nVeC �pA (S}` -D Predominant Soil Series: t
Acres Used: Z,Gjg Acres Permitted: �nC/Q Site #: _ID Field #: 1w
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
Sample or
Com-
posite
Date
1
L�jp-I`6
2
3
4
5
6
7
8
9
10
11
12
% Solids
Arsenic
Cadmium
Copper
• C�7
Chromium
Lead
1 g
Mercury
0,Le
Molyb-
demim
b
Nickel
13
Selenium
Cj• C�
Zinc
;j 1
Total
Phos-
phorus
2?Z1LQ
Annual Heavy Metal Field Loadings (Calculated in lbs/acre):
WOMI
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
imprisonment for knowing violations".
Signature of Land Applier Date
DENR FORM MFLSF (12/2006)

ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: ncrlf e rT& WQ Permit #: k)D0 ICJR Field #: 17 Acres Utilized:
3.�,2
Land Owner: Cbri- n},'Z> Annual Dry Tons Applied: $ IP14 Site #: j7 Acres Permitted: 3.6Z
Operator: `�� �pj Predominant Soil Series: Alh 00,.. Cation Exchange Capacity (non 503): 14.15
Crop 1 Name: C l (� Crop 1 Max. PAN: ! 7'` Crop 2 Name: Crop 2 Max. PAN:
_
s
o
Ll
Volume applied
(enter one) Solids/
Liquid
Cu_ Yds Gallons
o
/o
Solids
Volume
Applied per
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES 4, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
(Dry,
We >y
Moist
Precip.
Past 24
Hrs.
ruches
a
iK -o
�° ?
o m
CL
°
o
w
v'
°
+ N
TKN
mg/kg
z >
=
o B
g E
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN A
Applied
lbs/acre)
Name of Crop Type
Receiving Residual
Application
PP
Crop 1
Crop 2
Crop I
Crop 2
o
roo
6.5%
NCCCZ W --)
tnoi
5
10. 5
O.30
95.D•q%9
.2)3
l
QLAYOD
I-Vo
mO&
15
0.3043
YD
7
43
.�'
Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form):
... ............
TOTALS:.
0
As
Cd
Cu
Cr
Pb
I Hg
Mo
I Ni
Se
Zn
P
Lime A lied
Annuallbs/acre
1
3
. 1
.66)
0
. bOZ
O , 1
7
. 1,5
7310
Date
lbs/ac
Prior Years Cumulative lbs/ac
o 37,5
Elm3iat
ll.g g
Z. w
E-04Z
(o
.61
Current CumulativeIbs/ac
0. .33Z'
a,
11•'S5
1-S ri3
0.0Ll4
0.9 21
Z•7�{J
Permitted C. P. L. R. * * * *
3
3a
g
Permit PAN Limit 1 st/2nd Crop
--.t cert ty, untter penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
Signature of Land Applier
/� *Application Method: S - Surface, IN - Injection, INC - Incorporation
`� **Volatilization Rate: Surface - 0.5. Iniection/Incomoration - 1.0
Date
*** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name:
irlit 11 � �Li7� j�
Total Dry Tons Applied (Annual):
j, ITA
Permit #:
Cation Exchange Capacity (non 503 only):
Operator:
Owner:0Cf-y-n�4)ffjD Predominant Soil Series:
Acres Used:
3.(p2 Acres Permitted:
3,62 Site #: -D Field #:�
Residual
Analysis Data
(Heavy
Metals and Total Phosphorus use mg/lig, % Solids use
Raw Percent
#):
Sample or
Com-
posite
DateC�iB
1
2
y fag
3
4
5
6
/J
8 J
9
10
11
12
% Solids
., 36
Ov
Arsenic
< .,5
CZ, rj
Cadmium
1,1
Copper
Z 7
?
Chromium 13
i
Lead
1g
)�
Mercury
Molyb-
05.0
<5,6
Nickel
I '-j
Selenium
1 <5. C
<5
Zinc,
<j l
Total
Phos-
horus
Annual Heavy Metal Field Loadings (Calculated in lbs/acre):
••
©
E©
Nn
,
WIN MIM
�i
►i. r..
__________
r tt_
O r
MOM
0 �qlffimv.
go M
®a
♦
�•
RIM
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
imprisonment for knowing violations".
Lw.�nu,o�- 7-2L. 101
Signature of Land Applier Date
DENR FORM MFLSF (12/2006)

ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: 5__)4nP_Q rt" b WQ permit #: Field #: ltq Acres Utilized:
i 1.75
Land Owner: C � C'n C� � Annual Dry Tons Applied: Site #: C TfCL4-ff Acres Permitted:
Operator: `Aol p Predominant Soil Series: Mon Cation Exchange Capacity (non 503):
Crop 1 Name: Crop 1 Max. PAN: /'?2 Crop 2 Name: Crop 2 Max. PAN:
_ s
Q
0
Volume applied
(enter one) Solids/
Liquid
Cu. Yds Gallons
"�o
Solids
Volume
Applied per
P
Acre
(Dry TonslAc)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
(D�'
Wet
Moist
Precip.
Past 24
Hrs.
inches
a
4 U
o v
o
N'
* T,
o'
0
K
� M
d
_•
0
TKN
mglkg
Z >
T '
o E3
mglkg
Nitrate
and
Nitrite
mgfkg
PAN Applied
(lbs/acre)
Name of Crop Type
Receiving Residual
Application
Crop l
Frop 2
Crop 1
Crop 2
- g
b
1�3�:
0,353
lacoo3Zo�7
doCD5
0.
o. ,
-Ns
,7_'Z1719
t s.lcl
0,
Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form):
.....................
TOTALSI
111511500 j
.::
As
Cd
Cu
Cr
I Pb
Hg
Mo
Ni
Se
Zn
P
Lime Applied
Annuallbs/acre
fjZ
Z
D, 1
G' •C01
4
O,l7
0-IN
I g
0-'
©, 0CA
—
13
©-GI
ZJo7
'
zob
15
'0-
•Gdq
U
O, (l
0.w4
4l0
p.0
ZU�i,
>....:.
Date
lbs/ac
Prior Years Cumulative lbs/ac
Current Cumulative lbs/ac
Permitted C. P. L. R.****
Permit PAN Limit Ist/2nd Crop
.
..... ....... .
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
Signature of Land Applier
*Application Method: S - Surface, IN - Injection, INC - Incorporation
Zto- l **Volatilization Rate: Surface - 0.5. Iniection/Incornoration -1.0
Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R,: Cumulative Pollutant Loading Rate
DENR FORM FSF (1212006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: Ocnlef4"lecLm,�i) Total Dry Tons Applied (Annual): U.144�?
Permit #: 1,JQOC oO Cation Exchange Capacity (non 503 only): 45
Operator: 'Zenge6A-)l Owner: Ln+ r4)1L(Yl; D Predominant Soil Series: A }a
Acres Used: (1 •-),j Acres Permitted: Site #: -TraC� ZL Field #: ►
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
Sample or
Com-
posite
Date-1D-IQ
1 1
2
3
4
5
6
7
8
9
10
11 J
12
% Solids
Arsenic
Cadmium
1.
Copper
7
Chromium l 'j
Lead
I,?
Mercury
Qklp
Molyb-
<5.b
Nickel
I -j
Selenium
<: 1j.
zinc
I
Total
Phos-
horus
7_-@vQ
Annual Heavv Metal Field Loadings (Calculated in lbs/acre):
Total
Event
Total
Phos-
phorusIMENEEMENEEMEN
"I certify, under penalty of law, that this document was prepare unc er my irection or supervision rn actor ar►ce
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
imprisonment for knowing violations".
JET A 0 /Y ! Yt - -- -- 7 7 C!
Signature of Land Applier Date
DENR FORM MFLSF (12/2006)

SAMPLING AND MONITORING PLAN FOR CONTENTNEA MSD
Land Application of Class B Residuals
Permit No. WQ0001048
The Sampling and Monitoring Plan for Contentnea MSD Land Application of Class B Residuals is
developed pursuant to Permit No. WQ001048 Section III. Part f. The sampling techniques and
subsequent analyses are collected and analyzed in accordance with Federal and State of North Carolina
requirements. As a general rule, land application of sludge at the Contentnea MSD facility will occur only
during the months of March through October of each year during the growing season of the Coastal
Bermuda grass that is the cover crop for the CMSD designated land application fields. Any deviation
from this procedure will be addressed through NCDENR Division of Water Resources prior to application
and any additional sampling and/or monitoring will be done per their instructions.
The Land Application Operator in Responsible Charge/Backup Operator in Responsible Charge will be
responsible for the monitoring requirements set forth in the Sampling and Monitoring Plan, and the
WWTP sampling personnel will be collecting the samples as directed by the ORC/Backup ORC. All sludge
samples for meeting the ceiling concentrations for metals, nutrient loading, pathogen and vector
attraction reduction will be conducted during the months of March through October to insure the
sludge analyses are representative of the sludge being land applied. All sludge samples will be taken
from Digesters #1 and #2, and all sludge is land applied from Digesters #1 & #2.
Renee Smith Land Application Operator in Responsible Charge
Charles Smithwick, Jr. Backup Land Application Operator in Responsible Charge
Ricky Barrow Plant Operator/Sample Collector
Stephen Berry Plant Operator/Sample Collector
James Woodard Plant Operator/Sample Collector
I.TCLP and Corrosivity, Ignitability, Reactivity
The corrosivity, ignitability, reactivity and the toxicity characteristic leaching procedure (TCLP) shall be
performed annually as specified in Attachment A of Permit No. WQ001048. The samples will be a grab
taken from sufficiently stabilized sludge and will be representative of the sludge that is land applied. The
TCLP analysis shall include the following parameters (the regulatory level in milligrams per liter is 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)
Hexachloroethane (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)
It. Metals and Nutrients
The metals and nutrients analysis shall be performed annually as specified in Attachment A of Permit
No. WQ0001048. The samples will be a grab taken from sufficiently stabilized sludge and will be
representative of the sludge that is land applied. The metals and nutrients analysis shall include the
following parameters (the ceiling concentrations in mg/kg are in parentheses where applicable):
Aluminum
Mercury (57)
Potassium
Ammonia -Nitrogen
Molybdenum (75)
Selenium (100)
Arsenic (75)
Nickel (420)
Silver
Cadmium (85)
Nitrate -Nitrite Nitrogen
Sodium
Calcium
Percent Total Solids
Sodium Adsorption Ratio (SAR)
Copper (4,300)
pH
TKN
Lead (840)
Phosphorus
Zinc (7,500)
Magnesium
Plant Available Nitrogen (by calculation)
III. Pathogen Reduction
The Pathogen Reduction shall be performed annually as specified in Attachment A of Permit No.
WQ0001048. The samples will be grabs taken from sufficiently stabilized sludge and will be
representative of the sludge that is land applied. The analyses will be Fecal Coliform monitoring and will
meet the requirements in 15A NCAC 02T .1106 (c) Alternative (1). Seven samples will be collected over a
3 week period and analyzed using the MPN dilution method. The geometric mean fecal coliform density
of these samples will be less than 2 million MPN per gram of biosolids (dry weight basis) in order to be
land applied.
The Fecal Coliform monitoring procedures were taken from the EPA.gov website/ENVIRONMENTAL
REGULATIONS AND TECHNOLOGY/Control of Pathogens and Vector Attraction in Sewage Sludge (5.2) on
February 26, 2015.
IV. Vector Attraction Reduction
The Vector Attraction Reduction shall be performed annually as specified in Attachment A of Permit No.
WQ0001048. The samples will be grabs taken from sufficiently stabilized sludge and will be
representative of the sludge that is land applied. The analyses will be the Specific Oxygen Uptake Rate
(SOUR) and will meet the requirements in 15A NCAC 02T .1107 (a)(4). Seven samples will be collected
over a 3 week period and analyzed using the acceptable SOUR test requirements. The average of the
seven samples will be less than or equal to 1.5 mg of Oxygen per hour per gram of total sewage sludge
solids (dry weight basis) at 20°C in order to be land applied.
The Specific Oxygen Uptake Rate procedures were taken from the EPA.gov website/ENVIRONMENTAL
REGULATIONS AND TECHNOLOGY/Control of Pathogens and Vector Attraction in Sewage Sludge (8.5)
and the NCDENR.org website/Division of Water Resources/Non-Discharge Unit/Reporting
Forms/Specific Oxygen Uptake Rate (SOUR) Testing Compliance on February 26, 2015.

V. Soils Analysis
As per Section IV. (5) of Permit No. WQ0001048 an annual representative soils analysis (i.e., Standard
Soil Fertility Analysis) shall be conducted on each land application site listed in Attachment B on which a
residuals land application event will occur in the respective calendar year. This analysis shall be in
accordance with the "Guidance on Soil Sampling" located in the Sampling Instructions section of the NC
Department of Agriculture & Consumer Services' website(http://www.ncagr.gov/agronomi/pubs.htm).
At a minimum the Standard Soil Fertility Analysis shall include the following parameters:
Acidity
Exchangeable Sodium Percentage
Phosphorus
Base Saturation (by calculation)
Magnesium
Potassium
Calcium
Manganese
Sodium
Cation Exchange Capacity
Percent Humic Matter
Zinc
Copper
pH
VI. Groundwater Monitoring Wells
There are five Monitoring Wells located on the sludge land application property. They are MW-9, MW-
10, MW-14, MW-15, MW-18. The Monitoring Wells will be sampled three times per year in February,
June, and October for the following parameters (Groundwater Standards are in brackets where
applicable):
Water level, distance from measuring point
Nitrogen, Ammonia Total (as N) [1500.00 ug/L]
Coliform, Fecal MF, M-FC Broth, 44.5C
Nitrogen, Nitrate Total (as N) [10.00 mg/L]
Solids, Total Dissolved-180C [500.00 mg/L]
Chromium, Total (as Cr) [10.00 ug/L]
pH, lab
Copper, Total (as Cu) [1.00 mg/L]
Carbon, Total Organic (TOC)
Volatile Compounds, (GC/MS) (October only)
All Monitoring Well samples and analyses will be conducted according to the directions listed in
Attachment C of the Contentnea MSD WWTP Land Application of Class B Residuals (Non -Dedicated)
Permit No. WQ0001048.

Contentnea Metropolitan Sewerage District
2019 Residuals Land Application Permit Renewal
Items for
C. Residuals Quality Information
TCLP Results
Metals and Nutrients Results
SAR Calculation
PAN Calculation
Fecal Coliform Lab Results
SOUR Results
Soils Results
Groundwater Monitoring Well Results

TC L P LAB REPORTS

S-GS'
Orlando, FL:,:,.:.
The results set forth herein are provided by SGS North Aillerica Inc. e-Hardeopy 2.0
Atrtometted Report
Technical Report for
Environment 1, Inc
Contentnea Metro Sewage District; Grifton, NC
416
SGS Job Number: FA53172
Sampling Date: 04/04/18
Report to:
Environment 1, Inc
PO Box 7085
Greenville, NC 27835
dwoolard @ environment 1 inc, co m
TTN: Deedee Woolard
Total number of pages in report: 14
'a
._>GL v-
- qe Zd4in
Test results contained within this data package meet lice requirements Brice, M.S.
of the National Environmental Laboratory Accreditation Program General Manager
and/or state specific certification programs as applicable.
Client Service contact; Jean Dent -Smith 407-425-6700
Certifications: FL(E83510), LA(03051), KS(E-10327), IL(200063), NC(573), NJ(FL002), NY(12022), SC(96038001)
DoD ELAP(ANAB L2229), AZ(AZ0806), CA(2937), TX(T104704404), PA(68-03573), VA(460177),
AK, AR, IA, KY, MA, MS, ND, NH, NV, OK, OR, UT, WA, WV
This report sliall not be reproduced, except in its entirety, without the written approval of SGS.
Test results relate only to samples analyzed.
SGS North America Inc. • 4405 Vineland Road • Suite C-15 • Orlando, FL 32811 • lei: 407-425-6700 • fax: [phone]
SGS is the sole authority for authorizing edits or modifications to this document. Please share your ideas about
Unauthorized modification of this report is strictly prohibited. how we can serve you better at: _
Review standard terms at: EHS.US.CustomerCare�7sgs.com '
1 of 14
FA53i72

t
-I-
Section1: Sample Summary...................................................................................................
Section2: Summary of Hits....................................................................................................
Section3: SF inale Resailts........................................................................................................
3.1: FA53172-1: SLUDGE SAMPLE..................................................................................
Section4: Misc. Forms............................................................................................................
4.1: Chain of Custody...........................................................................................................
Sections: a
3
4
12
13
2 of 'IA
FA53172

SGS North America Inc.
Sample Summary
Environment 1, Inc
Job No: FA53172
Contentnea Metro Sewage District; Grifton, NC
Project No: 416
Sample
Collected
Matrix
Client
Number
Date Time By
Received Code Type
Sample ID
FA53172-1 04/04/18 09:15 KH 04/07/18 SO Sludge SLUDGE SAMPLE
Soil samples reported on a dry weight basis unless otherwise indicated on result page.
L
3ot14
FA53172

Summary of Hits
Job Number: FA53172
Account: Environment 1, Inc
Project: Contentnea Metro Sewage District; Grifton, NC
Collected: 04/04/18
Lab Sample ID Client Sample ID Result/
Analyte Qual RL MDL Units Method
FA53172-1 SLUDGE SAMPLE
Corrosivity as pH 4.9
su
SW846 CHAP?
Ignitability (Flashpoint) a > 200
Deg. F
SW846 1010
Benzene 0,0032J
0,010 0.0031 mg/1
SW846 8260E
Tetrachloroethylene 0.0235
0.010 0.0022 mg/1
SW846 8260E
(a) Not ignitable.
Page 1 of F
I 4of14
1 FA53172

............................ .....................
..................................
Orland F
. . ......... .. ..
.............. ....
Sam le, Results
Report of Analysis
Soction 3
5 of 14
FAS3172

SGS North America Inc.
Report of Analysis
;lient Sample ID: SLUDGE SAMPLE
,ab Sample ID: FA53172-1 Date Sampled: 04/04/18
Matrix: SO - Sludge Date Received: 04/07/18
Method: SW846 8260B SW846 1311 Percent Solids: 1.7
'roject: Contentnea Metro Sewage District; Grifton, NC
Page 1 of 1
File ID DR Analyzed By Prep Date Prep Batch Analytical Batch
Run 11 M0102391.D 10 04/11/18 17:40 MM 04/09/18 13:45 OP69516 VM4409
Run #2
Purge Volume
un #1 5.0 ml
un #2
VOA TCLP List
TCLP Leachate method SW846 1311
CAS No.
Compound
Result
HW#
MCL RL
MDL
Units Q
71-43-2
Benzene
0.0032 -
D018
0.50 0.010
0.0031
mg/I j
78-93-3
2-Butanone (MEK)
ND;
D035
200 0.050
0.020
mg/I
56-23-5
Carbon Tetrachloride
ND
D019
0.50 0.010
0.0036
mg/l
108-90-7
Chlorobenzene
ND
D021
100 0.010
0.0020
mg/1
67-66-3
Chloroform
ND
D022
6.0 0.010
0.0030
mg/i
106-46-7
1,4-Dichlorobenzene
ND
D027
7.5 0.010
0.0026
mg/1
107-06-2
1,2-Dichloroethane
ND
D028
0.50 0.010
0.0031
mg/I
75-35-4
1, 1 -Dichloroethylene
ND
D029
0.70 0.010
0.0032
mg/1
127-18-4
Tetrachloroethylene
0.0235
D039
0.70 0.010
0.0022
mg/1
79-01-6
Trichloroethylene
ND
D040
0.50 0,010
0.0035
mg/l
75-01-4
Vinyl Chloride
ND
D043
0.20 0.010
0.0041
mg/1
CAS No.
Surrogate Recoveries
Run# 1
Run# 2
Limits
1868-53-7
Dibromofluoromethane
102%
83-118%
17060-07-0
1,2-Dichloroethane-D4
104%
79-I25%
2037-26-5
Toluene-D8
101%
85-112%
460-00-4
4-Bromofluorobenzene
99%
83-118%
ND = Not detected MDL = Method Detection Limit j = Indicates an estimated value
MCL = Maximum Contamination Level (40 CFR 261 7/1/11) B = Indicates analyte found in associated method blank
E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound
6ot14
FA53172

SGS North America Inc.
Report of Analysis
Client Sample ID: SLUDGE SAMPLE
Lab Sample ID: FA53172-1 Date Sampled: 04/04/18
Matrix: SO - Sludge Date Received: 04/07/18
Method: SW846 8270D SW846 3510C Percent Solids: 1.7
Project: Contentnea Metro Sewage District; Grifton, NC
Page 1 of I
File ID DF Analyzed By Prep Date Prep Batch Analytical Batch
Run #1 91000906.1) 1 04/12/18 09:22 MV 04/11/18 13:00 OP69573 S9I34
Run #2
Initial Volume Final Volume
:un #1 100 ml 1.0 ml
:un #2
ABN TCLP List TCLP Leachate method SW846 1311
CAS No.
Compound
Result
HW#
MCL RL
MDL
Units Q
95-48-7
2-Metbylphenol
ND
D023
200 0.050
0.0056
mg/1
3&4-Methylphenol
ND
D024
200 0,050
0.0098
mg/1
87-86-5
Pentachlorophenol
ND
D037
100 0.25
0.050
mg/l
95-95-4
2,4,5-Trichlorophenol
ND
D041
400 0.050
0.0074
mg/1
88-06-2
2,4,6-Trichlorophenol
ND,
D042
2.0 0.050
0,0075
mg/l
106-46-7
1,4-Dichlorobenzene
ND :
D027
7.5 0.050
0.0050
mg/l
121-14-2
2,4-Dinitrotoluene
ND
D030
0.13 0.050
0.008I
mg/l
118-74-1
Hexachlorobenzene
ND
D032
0.13 0.050
0.0069
mg/1
87-68-3
Hexachlorobutadiene
ND
D033
0.50 0.050
0.0050
mg/1
67-72-1
Hexachloroethane
ND
D034
3.0 0.050
0.016
mg/1
98-95-3
Nitrobenzene
ND
D036
2.0 0.050
0.0093
mg/i
110-86-1
Pyridine
ND
D038
5.0 0.10
0,020
mg/I
CAS No.
Surrogate Recoveries
Run# 1
Run# 2
Limits
367-12-4
2-Fluorophenol
31%
14-67%
4165-62-2
Phenol-d5
19%
10-50%
118-79-6
2,4,6-Tribromophenol
78%
33-118%
4165-60-0
Nitrobenzene-d5
76%
42-108%
321-60-8
2-Fluorobiphenyl
76%
40-106%
1718-51-0
Terphenyl-d14
77%
39-121%
ND = Not detected MDL = Method Detection Limit J = Indicates an estimated value
MCL = Maximum Contamination Level (40 CFR 261 7/1/11) B = Indicates analyte found in associated method blank
E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound
7of14
FA63172

SGS North America Inc.
Report of Analysis
Client Sample ID: SLUDGE SAMPLE
Lab Sample ID: FA53172-1 Date Sampled: 04/04/18
Matrix: SO - Sludge Date Received: 04/07/18
Method: SW846 8151A SW846 3510C Percent Solids: 1.7
Project: Contentnea Metro Sewage District; Grifton, NC
Page 1 of 1
File ID DF Analyzed By Prep Date Prep Batch Analytical Batch
Run #1 CC057863.1) 1 04/12/18 22:06 NJ 04/11/18 12:15 OP69575 GCC1276
Run #2
Initial Volume Final Volume
Run #1 10.0 nil 5.0 nil
Run #2
Herbicide TCLP Leachate
CAS No.
Compound
94-75-7
2,4-D
93-72-1
2,4,5-TP (Silvex)
CAS No.
Surrogate Recoveries
19719-28-9
2,4-DCAA
TCLP Leachate method SW846 1311
Result
HW#
MCL RL
MDL Units Q
ND
D016
10 0.050
0.017 mg/1
ND
D017
1.0 0.0050
0,0013 mg/l
Run# 1
Run# 2
Limits
132%
39-135%
ND = Not detected MDL = Method Detection Limit J = Indicates an estimated value
MCL = Maximum Contamination Level (40 CFR 261 7/1/11) B = Indicates analyte found in associated method blank
E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound
1 8of14
FAS3172

SGS North America Inc.
Report of Analysis
Client Sample ID: SLUDGE SAMPLE
Lab Sample ID: FA53172-1 Date Sampled: 04/04/18
Matrix: SO - Sludge Date Received: 04/07/18
Method: SW846 8081B SW846 3510C Percent Solids: 1.7
Project: Contentnea Metro Sewage District; Grifton, NC
Page 1 of 1
File ID DF Analyzed By Prep Date Prep Batch Analytical Batch
:un #1 TT387928.D 1 04/12/18 15.16 KL 04/11/18 13:00 OP69574 GTT2128
:un #2
Initial Volume Final Volume
:un #1 100 ml 5.0 ml
:un #2
Pesticide TCLP Leachate
CAS No. Compound
58-89-9
gamma-BHC (Lindane)
12789-03-6
Chlordane
72-20-8
Endrin
76-44-8
Heptachlor
1024-57-3
Heptachlor epoxide
72-43-5
Methoxychlor
8001-35-2
Toxaphene
CAS No.
Surrogate Recoveries
877-09-8
Teirachloro-m-xylene
2051-24-3
Decachlorobiphenyl
TCLP Leachate method SW846 1311
Result
HW#
MCL RL
MDL
Units Q
ND
D013
0.40 0.00010
0.000022
mg/l
ND
D020
0.030 0.0010
0,00038
mg/I
ND
13012
0.020 0,00020
0,000021
mg/1
ND
D031
0.0080 0.00010
0.000026
mg/I
ND
D031
0.00800,00010
0.000020
mg/i
ND
D014
10 0.00020
0.000050
mg/1
ND
D015
0.50 0.0050
0.0021
mg/l
Run# 1
Run# 2
Limits
88%
42-127%
89%
27-127%
ND = Not detected MDL = Method Detection Limit j = Indicates an estimated value
MCL = Maximum Contamination Level (40 CFR 261 7/1/11) B = Indicates analyte found in associated method blank
E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound
9of14
FA53172

SGS North America Inc.
Report of Analysis
Mont Sample ID: SLUDGE SAMPLE
,ab Sample ID: FA53172-1 Date Sampled: 04/04/18
4atrix: SO - Sludge Date Received: 04/07/18
Percent Solids: 1.7
'roject: Contentnea Metro Sewage District; Grifton, NC
Page 1 of 1 c
Metals Analysis, TCLP Leachate SW846 1311
Analyte
Result
HW#
MCL
RL
Units
DF
Prep
Analyzed
By
Method
Prep Method
Arsenic
< 0.10
D004
5.0
0.10
mg/l
1
04/12/18
04/12/18
LM
SW846 6010C 2
SW846 3010A 3
Barium
< 2.0
D005
100
2.0
mg/I
1
04/12/18
04/12/18
LM
SW846 6010C 2
SW846 3010A 3
Cadmium
< 0.050
D006
1.0
0.050
mg/i
1
04/12/18
04/12/18
LM
SW846 6010C 2
SW846 3010A 3
Chromium
< 0.10
D007
5.0
0.10
mg/I
1
04/12/18
04/12/18
LM
SW846 6010C 2
SW846 3010A 3
Lead
< 0.050
D008
5.0
0.050
mg/I
1
04/12/18
04/12/18
LM
SW846 6010C 2
SW846 3010A 3
Mercury
< 0.0050
D009
0.20
0.0050
mg/I
1
04/12/18
04/12/18
LM
SW846 7470A 1
SW846 7470A 4
Selenium
< 0.10
D010
1.0
0.10
mg/l
1
04/12/18
04/12/18
LM
SW846 6010C 2
SW846 3010A 3
Silver
< 0.10
D011
5.0
0.10
mg/I
1
04/12/18
04/12/18
LM
SW846 6010C 2
SW846 3010A 3
(1) Instrument QC Batch: MA14817
(2) Instrument QC Batch: MA14818
(3) Prep QC Batch: MP33585
(4) Prep QC Batch: MP33587
RL = Reporting Limit
MCL = Maximum Contamination Level (40 CFR 261 7/1/11)
- I 10of1Q
ub
FA53112

SGS North America Inc.
Report of Analysis
Client Sample ID: SLUDGE SAMPLE
Lab Sample ID: FA53172-1 Date Sampled: 04/04/18
Matrix: SO - Sludge Date Received: 04/07/18
Percent Solids: 1.7
Project: Contentnea Metro Sewage District; Grifton, NC
General Chemistry
Analyte
Corrosivity as pH
Cyanide Reactivity
Ignitability (FIashpoint) a
Solids, Percent
Sulfide Reactivity
(a) Not ignitable.
RL = Reporting Limit
Page 1 of 1
Result
RL Units
DF
Analyzed
By
Method
4.9
so
1
04/09/18 12:15
BR
SW846 CHAP7
<87 '
87 mg/kg
1
04/19/18 18:36
1K
SW846 CHAP?
> 200
Deg. F
1
04/23/18 16:20
BW
SW846 1010
1.7
%
1
04/12/18 16:00
AG
SM19 2540G
< 2900
2900 mg/kg
1
04/14/18 10:55
BW
SW846 CHAP7
11 of 14
e
FA6a172

,r
Orlando, FL;
Misc. Forms
Custody Documents and Other Forms
Includes the following where applicable:
• Chain of Custody
Section 4
�a
I 12 of 14
FAS3172

N OF CUSTODY RECO
anvrronmenr i, inc.
CHAI
P,O. Box 7085, 114 Oakmont Dr.
!
Pnge of 1
Greenville, NC 27858
DISINFECTION
environment) ine.eom
CHLORINENEUTRALrZEDATCOLLECTION
Phone [phone] • Fax [phone]
❑ CHLORINE
pH CHECK (LAB}
CLIENT: 416 Week: 8
❑ uv
3M D, (SLUDGE & WELLS ACCF)
UPONE
P
P
P
G
G
G
G
G
CONIAINERTYPE,PIG
^ONL'ENTNEA MLTRO. SEWAGE DISC.
KS. RIME PRIDGBN
❑
CHEMECALPRESERYATION
P.O. BOX 477
A
A
A
AA
A
A
E
CRurTON NC 28530
�' A •NONE O • NAOH
;252)524-5584
a
,S
B-HNO, E•HCL
Cr
C- HrSO,
F - ZINC ACETATEMAOH
COLLECTIONi]
0
a
8
°
F
q
F.
p�
d
a� 0•NATHIOSULFA7E
SAMPLELOCATION
DATE
TIME
TIME
j
i cub
nq)3
1p
1 1,
rm
,�
rA
8
CLISSFICAT04:
udgaSnropt
❑ WASIMTER(NPDES)
❑ ORNKINGWATER
❑ Dwww
❑ SOLIDWASTESECIM
CHAIN OF CUSTODY (SEAL) MAINTAINED
DURING IPMENTIDELIVERY
Y N
SAMPLES COLLECTED BY.
(Plassa PAN)
I off.r��h1S''
SAMPLES RECEIVED IN LAB ATSL°C
RElI OBY(m)(SwuA}
DAIErnhl
IgG BY(
TFIIIME
y
��S:
z�
RR 8 }
MMME
SEC: ED
ATE/IME
REU14A
DATFfiME
CEIYED (SIG.) U cj
DAT IME
U OamP:er meSI plaee a U for COmposfce sample or a -G for
PLEASE READ Inslrucllons for completing41fi orm oAAhe reverse sire.
cnnu es �r--rr � /v %/ 9 (� Grab samoie In the blocks above for each narameier reouested. No d 7 A 1
PA53I72: Chain of Custody
Page A of G
__ ,11 13 of 14
�'FA63172

Job Number: FA53172
Date 1 Time Received: 4712018 9:15:00 AM
SGS Sample Receipt Summary
Client: ENVA Project: CMSD
Delivery Method: FED EX Alrbitl Vs: 771940436480
Therm ID: IR 1; Therm CF: 0.4; # of Coolers: 1 _
Cooler Temps (Raw Measured) °C: Cooler 1: (4.2);
Cooler Temps (Corrected) "C: Cooler 1: (4.6);
Cooler Information
Y or
N
Samole Information
Y or
N
NIA
1. Custody Seals Present
©
❑
1, Sample labels present on bottles
R)
❑
2. Custody Seats Intact
®
❑
2. Samples preserved properly
©
❑
3. Temp criteria achieved
©
❑
3. Sufficient volumetcontainers recvd for analysis:
®
❑
4. Cooler temp verification
IR Gun
4. Condition of sample
Intact
5. Cooler media
Ice a
5. Sample recvd within HT
©
❑
6. Dates/Tlmes/lDs on CDC match Sample Label
®
❑
Trip Blank Information
Y or N NIA_
7. VOCs have headspace
[j
❑
1. Trip Blank present i cooler
❑
❑ ©
8. Bottles received for unspecified tests
❑
2. Trip Blank listed on CDC
❑
❑ ®
9. Composifing instructions clear
❑
❑
W or S NIA
10. Voa Soll Kits/Jars received past 48hrs?
❑
❑
11. % Solids Jar received?
❑
❑
3. Type Of TB Received
©
❑ ©
12. Residual Chlorine Present?
❑
❑
12
111t1sc. Information
Number of Encores: 25-Gram 5-Gram Number of 5035 Field Kits: Number of Lab Filtered Metals:
Test Strip Lot its: pH 0-3 230315 pH 10-12 219813A Other: (Specify)
Residual Chlorine Test Strip Lot #:
Comments
RTechnician: SHAYLAP Date: 4RI2018 9:15:00 AM Reviewer: SP Date: 4/712018
Reev.v. Dale a524/;7 D
FA53172: Chain of Custody
Page 2 of 2
— 14 of 14
FA53172

k wdronment 1, Inc. CtLkIN OF CUSTODY RECORD
P.O. Box 7085, 114 Oakmont Dr. Page 1 of 1
Greenville, NC. 27858
environment line .cnm''
Phone [phone] • Fax [phone];
CLIENT: 416 Wes: 8
MSD (SLUDGE & WELLS ACCT)
ONTENTNEA METRO. SEWAGE DIST.
4S. RENEE PRIDGEN
).O. BOX 477
JRIFTON NC 28530
252) 524-5584
COLLECTION
DISINFECTION
CHL,ORT,`�TE
(—j tTv
t� ONE
CHLORINE NEUTRALIZED AT COLLECTION
pH CHECK (LAB)
p
p
p
G
G
G
G
G
CONTAINER TYPE,P/G
A
A
A
A
A
A
A
A
CHEMICAL PRESERVATION
"' A NONE D NAOH
w
8- HNO� E HCL
C- H,SO, F- ZINC ACETATE,/NAOH
LU
¢ G NATNIOSULFATE
a
p
¢
o
2 0
U z
°r �?
w
w
w O
t- Q
w
z
o
O
M
�
o
t3
o
>
U
H
W
:2
p"
U
E
v
U
F
U
F
x
W
U
F
SAMPLE LOCATION
DATE
TIME
Sludge S-wpleI�
5
4:'
<k�
C.
....CLASSIFICATION:
WASTEWATER (NPDES)
DRINKINGWATER
DWOlGW
JSOLID WASTE SECTION
CHAIN OF CUSTODY (SEAL) MAINTAINED
DURING,S 1PMENT/DELIVERY
l( YY N
SAMPLES COLLECTED BY:
(Please Print) ` t
SAMPLES RECEIVED IN LAB AT °C
RELINQUISHED BY (SIG.) (SAMPLER)
DATETIME
q:s3
REG BY (
ATE ME
COMMENTS:
RELI ED B )
DATERIME
�� r� 7;<r
RECEIVED B (
DATETIME
RELINQUISH B
DATEfnME
RECEIVED BY (SIG.)
DATE91ME
( 1E READ Instructions for completing this form on the reverse side. Sampler must place a "C for composite sample or a "G' forp p q N,_ .i 4 3 7 4 1
FORM #5 Grab sample in the blocks above for each parameter requested.

ANNUAL RESIDUAL SAX. ,,ING SUMMARY FORM
Please note that your permit may contain additional parameters to be analyzed. The parameters can be reported in FORM RSSF - B
WQ Permit Number: WQ0001048
Laboratory: 1)
Facility Name: Contentnea MSD
2)
Residual Source WQ # or
3)
NC0032077
NPDES #:
4)
WWTP Name: Contentnea MSD
5)
Residual Analysis Data
Environment I, Inc.
Parameter
(mg/kg)
Cone.
Limit
_(mg/kg) a
Sample or Composite Date
.-
Molybdenum
Total Phosphorus•
1
__-_-_----_
a For surface disposal facilities the ceiling concentration limits listed in this form are not applicable. Reference the individual permit for metals limits.
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed
to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant
penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
of Preparer *
ZZ6-cG
Date
*Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26) DENR FORM RSSF (12/2006)

Endw,onfi[FaM % hunuo @T&A
CMSD (SLUDGE & WELLS ACCT)
CONTENTNEA METRO. SEWAGE DIST.
MS. RENEE PRIDGEN
P.O. BOX 477
GRIFTON ,NC 28530
Sludge
Analysis
Method
PARAMETERS
Sample
Date Analyst
Code
PH (not to be used for reporting)
3.9
04/10/18
JTH
4500HB-11
Aluminum, (dry wt. basis), mg/kg
17916
04/16/18
LFJ
EPA200.7
Arsenic (dry wt. basis), mg/kg
<2.5
04/18/18
MTM
311313-04
Calcium (dry wt. basis), mg/kg
16099
04/16/18
LFJ
EPA200.7
Cadmium (dry wt. basis), mg/kg
1.1
04/23/1.8
MTM
3113B-04
Copper (dry wt. basis), mg/kg
247
04/16/18
LFJ
EPA200.7
Chromium, T.(dry wt. basis),mg/kg
13
04/16/18
LFJ
EPA200.7
Lead (dry weight basis), Ong/kg
18
04/20/18
MTM
3113B-04
Magnesium (dry wt. basis), mg/kg
4632
04/16/18
LFJ
EPA200.7
Mercury (dry wt, basis), mg/kg
0.49
04/17/18
MTM
EPA7471B
Nickel (dry wt, basis), mg/kg
13
04/16/18
LFJ
EPA200.7
Potassium (dry wt. basis), mg/kg
7225
04/16/18
LFJ
EPA200.7
Selenium (dry wt. basis), mg/kg
<5.0
04/19/18
MTM
3113B-04
Sodium (dry wt. basis), mg/kg
3163
04/17/18
ONS
3111B-11
Zinc (dry wt. basis), mg/kg
651
04/16/18
LFJ
EPA200.7
Total Nitrogen, mg/kg (talc)
Lab Error
Total Solids, %
1.73
04/10/18
KDS
2540G11
TKN (dry wt.), mg/kg
c 39930
04/13/18
DTL
351.2 R2-93
Ammonia Nitrogen (dry wt.),mg/kg
c 788.0
04/26/18
MF
350.1 R2-93
Nitrate Nitrogen(dry wt.), mg/kg
Lab Error
Nitrite Nitrogen(dry wt.), mg/kg
c 1.00
05/04/18
CLO
353.2 R2-93
Phosphorus, T. (dry wt.), mg/kg
c 27260
04/13/18
CLO
365.4-74
Molybdenum (dry wt. basis), mg/kg
<5.0
04/16/18
LFJ
EPA200.7
ID#: 416
DATE COLLECTED: 04/10/18
DATE REPORTED : 05/10/18
REVIEWED BY:
c Uncertified data. DWR does not offer non-aqueoue certification for this analytical procedure.

ti
Dow0
CMSD (SLUDGE & WELLS ACCT)
CONTENTNEA METRO. SEWAGE DIST.
MS. RENEE PRIDGEN
P.O. BOX 477
GRIFTON ,NC 28530
PARAMETERS
Total Nitrogen, mg/kg (calc)
TKN (dry wt.), mg/kg
Nitrate Nitrogen(dry wt.), mg/kg
Nitrite Nitrogen(dry wt.), mg/kg
Sludge
Analysis
Method
Sample
Date Analyst
Code
56691
06/04/18
SEJ
c 43740
05/15/18
TLH
351.2 112-93
c 12950
05/31/18
CLO
353.2 112-93
c 0.98
05/14/18
CLO
353.2 R2-93
ID#: 416 Y
DATE COLLECTED: 05/10/18
DATE REPORTED : 06/04/18
REVIEWED BY:
c Uncertified data. DWR does not offer non -aqueous certification for this analytical procedure.

CMSD WWTP SAR Determination
Lab data from aerobic sludge sampled 04/10/2018 by Environment 1, Inc.
(mg/kg)
% solids
(mg/L)
Equiv Weight
Milli Equiv
Sodium 3,163
1.57%
49.7
23
2.16
Calcium 16,099
1.57%
252.8
20
12.64
Magnesium 4,632
1.57%
72.7
12
6.06
SAR = Na Milli Equiv / [0.5'(Ca Milli Equiv + Mg Milli Equiv)]^0.5
SAR - 0.71

1. Design Considerations: Dates of Analysis: See Enclosed 2018 Data
Assume subsurface application:
Total dry tons per year = 291
TKN (mg/kg dry wt.) = 43,740
NH3-N (mg/kg dry wt.) = 788
NO2-NO3-N (mg/kg dry wt.) = 12,951
Rate, % of
Organic-N Mineralization Rate = Year Organic-N
(MR) (Aerobic Digestion) 0-1 30%
1-2
15%
2-3
7.50%
3-4
3.75%
4-5
1.88%
2. Plant Available Nitrogen (PAN):
1st Year PAN (mg/kg) _ ((MR) x (TKN - NH3)) + (NH3) + (NO2-NO3-N)
2-5 Year PAN (mg/kg) = Previous Year Pan + [(MR) x (TKN - NH3)]
PAN (Ibs PAN/dry ton) = PAN (mg/kg) x 0.002
PAN (Ibs PAN/year) = PAN (Ibs PAN/dry ton) x Total dry tons per year
Required Acres = PAN (Ibs/year) / Application Rate (Ibs PAN/ac yr)
1) For first year:
PAN = 26625 mg/kg
Loading
50
Rate
100
(Ibs PAN/ac
150
yr)
200
PAN = 53.25 Ibs/dry ton
PAN = 15496 Ibs/year
Required Acres
309.9
155.0
103.3
77.5
2) For second year:
PAN = 33067 mg/kg
PAN = 66.13 Ibs/dry ton
PAN = 19245 Ibs/year
Required Acres
384.9
192.5
128.3
96.2
3) For third year:
PAN = 36289 mg/kg
PAN = 72.58 Ibs/dry ton
PAN = 21120 Ibs/year
Required Acres
422.4
211.2
140.8
105.6
4) For fourth year:
PAN = 37900 mg/kg
PAN = 75.80 Ibs/dry ton
PAN = 22058 Ibs/year
Required Acres
441.2
220.6
147.1
110.3
5) For fifth year:
PAN = 38705 mg/kg
PAN = 77.41 Ibs/dry ton
PAN = 22526 Ibs/year
Required Acres
450.5
225.3
150.2
112.6

1. Design Considerations: Dates of Analysis: See Enclosed 2018 Data
Assume surface application:
Total dry tons per year = 291
TKN (mg/kg dry wt.) = 43,740
NH3-N (mg/kg dry wt.) = 788
NO2-NO3-N (mg/kg dry wt.) = 12,951
Rate, % of
Organic-N Mineralization Rate = Year Organic-N
(MR) (Aerobic Digestion) 0-1 30%
1-2
15%
2-3
7.50%
3-4
3.75%
4-5
1.88%
2. Plant Available Nitrogen (PAN):
1 st Year PAN (mg/kg) _ ((MR) x (TKN - NH3)) + (0.5 x NH3) + (NO2-NO3-N)
2-5 Year PAN (mg/kg) = Previous Year Pan + [(MR) x (TKN - NH3)]
PAN (Ibs PAN/dry ton) = PAN (mg/kg) x 0.002
PAN (Ibs PAN/year) = PAN (Ibs PAN/dry ton) x Total dry tons per year
Required Acres = PAN (Ibs/year) / Application Rate (Ibs PAN/ac yr)
1) For first year:
PAN = 26231 mg/kg
Loading
50
Rate (Ibs
100
PAN/ac
150
yr)
200
PAN = 52.46 Ibs/dry ton
PAN = 15266 Ibs/year
Required Acres
305.3
152.7
101.8
76.3
2) For second year:
PAN = 32673 mg/kg
PAN = 65.35 Ibs/dry ton
PAN = 19016 Ibs/year
Required Acres
380.3
190.2
126.8
95.1
3) For third year:
PAN = 35895 mg/kg
PAN = 71.79 Ibs/dry ton
PAN = 20891 Ibs/year
Required Acres
417.8
208.9
139.3
104.5
4) For fourth year:
PAN = 37506 mg/kg
PAN = 75.01 Ibs/dry ton
PAN = 21828 Ibs/year
Required Acres
436.6
218.3
145.5
109.1
5) For fifth year:
PAN = 38311 mg/kg
PAN = 76.62 Ibs/dry ton
PAN = 22297 Ibs/year
Required Acres
445.9
1 223.0
1 148.E
1 111.5

ANNUAL PATHOGEN AND VECTOR ATTRACTION RLDUUTION N'OKM (UT Kules)
Facility Name: Contentnea MSD
WWTP Name: Contentnea MSD
Monitoring Period: From 1/1/2018
WQ Permit Number:
NPDES Number:
To 12/31/2018
WQ0001048
NCO032077
athogen Reduction (15A NCAC 02T .1106) - Please indicate level achieved and alternative performed:
Class A:
Alt. A (time/temp) ❑
Alt B (Alk Treatment) ❑
Alt. C (Prior Testing)[]
...................
AIt.D (No Prior Test) ❑
Process to Further Reduce Pathogengs ❑
If applicable to alternative
performed (Class A only) indicate "Process to Further Reduce Pathogens":
Compost 01
Heat Drying ❑
Heat Treatment ❑
Thermophilic ❑
Beta Ray ❑
Gamma Ray ❑
Pasteurization ❑
Class B:
jAlt. (1) Fecal Density el
Alt. (2) Process to Significantly Reduce Pathogens ❑
If applicable to alternative
performed (Class B only) indicate "Process to Significantly Reduce Pathogens":
Lime Stabilization ❑
1 Air Drying ❑
1 Composting ❑
1 Aerobic Digestion
n
is Digestion
Anaerobic
..........................................................
If applicable to alternative performed (Class A or Class B) complete the following
monitorin data:
Parameter
Allowable Level
in Sludge
Pathogen Density
Number of
Excee-
Frequency
of Analysis
Sample
Type
Analytical
Tech-
Minimurr
Geo. Mean
Maximu
Units
Fecal Coliform
2 x 10 to the
6th power
per gram of
total solids
MPN
<11
117
1420
mVr t/
�75
0
7
Grab
CFU
1000 mpn per gram
of total solid (dry
weight)
"almonella bacteria
(in lieu of fecal
coliform
3 MPN per 4 grams
total solid (dry
weight)
Vector Attraction Reduction (15A NCAC 02T .1107) - Please indicate alternative performed:
Alt.I (VS reduction) ❑
Alt. 2 (40-day bench) ❑
Alt. 3 (30-day bench) ❑
Alt. 4 (Spec. 02 uptake) ❑�
Alt. 5 (14-Day Aerobic) ❑
Alt. 6 (Alk. Stabilization ❑
Alt 7 (Drying - Stable) ❑
Alt. 8 (Drying - Unstable) ❑
Alt. 9 (Injection) ❑
Alt. 10 (Incorporation) ❑
No vector attraction reduction alternatives were performed ❑
CERTIFICATION STATEMENT (please check the appropriate statement)
"I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the
vector attraction reduction requirement in 15A NCAC 02T .1107 have been met."
© "I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the
vector attraction reduction requirement in 15A NCAC 02T .1107 have not been met." (Please note
if you check this statement attach an explanation why you have not met one or both of the
requirements.)
"This determination has been made under my direction and supervision in accordance with the system
designed to ensure that qualified personnel properly gather and evaluate the information used to determine
that the pathogen and vector attraction reduction requirements have been met. I am aware that there are
significant penalties for false certification including fine and imprisonment."
Renee Smith/Land Application ORC Renee Srnith/Land Application ORC
Preparer Name and Title (type or print) Land Applier Name and Title (if applicable)(type or print)
Lm-�a
3ignatur•e of Preparer* Date Signature of Land Applier (if applicable) Date
*Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .l 102 (26)
DENR FORM PVRF 02T (12/2006)

Enviro �m # ,1 or
F,Mho
CMSD (SLUDGE & WELLS ACCT)
CONTENTNEA METRO. SEWAGE DIST.
MS. RENEE PRIDGEN
P.O. BOX 477
GRIFTON ,NC 28530
PARAMETERS
Total Residue, mg/l
Fecal Coliform (MPH /gram Solids
Sample Analysis Method
#1 Date Analyst Code
17520 04/02/18 KDS 2540B-11
451 04/02/18 KDS 9221E-06
ID#: 416 A
DATE COLLECTED: 04/02/18
DATE REPORTED : 04/03/18
REVIEWED BY:

1-3 ❑ n lE it , _. _n
CMSD (SLUDGE & WELLS ACCT)
CONTENTNEA METRO. SEWAGE DIST.
MS. RENEE PRIDGEN
P.O. BOX 477
GRIFTON ,NC 28530
PARAMETERS
Total Residue, mg/l
Fecal CoIiform (MPN), /gram Solids
Sample Analysis Method
N2 Date Analyst Cade
17680 04/03/18 3MT 2540B-11
130 04/05/18 3MT 9221E-06
ID#: 416 A
DATE COLLECTED: 04/03/18
DATE REPORTED : 04/06/18
REVIEWED BY: t

CMSD (SLUDGE & WELLS ACCT)
CONTENTNEA METRO. SEWAGE DIST.
MS. RENEE PRIDGEN
P.O. BOX 477
GRIFTON ,NC 28530
PARAMETERS
Total Residue, mg/l
Fecal Coliform (MPH /gram Solids
Sample Analysis Method
#3 Date Analyst Code
17220 04/04/18 AKS 2540B-11
64 04/04/18 AKS 9221E-06
ID#: 416 A
DATE COLLECTED: 04/04/18
DATE REPORTED : 04/09/18
REVIEWED BY: "/—�

ENW,nMR&RI % how
Mdo
CMSD (SLUDGE & WELLS ACCT)
CONTENTNEA METRO. SEWAGE DIST.
MS. RENEE PRIDGEN
P.O. BOX 477
GRIFTON ,NC 28530
PARAMETERS
Total Residue, mg/l
Fecal Coliform (MPH /gram Solids
Sample Analysis Method
#4 Date Analyst Code
16900 04/09/18 KDS 2540E-11
77 04/09/18 KDS 9221E-06
ID#: 416 A
DATE COLLECTED: 04/09/18
DATE REPORTED : 04/12/18
REVIEWED BY:

EIMUMMEMM % hCHR(was ud
5 114 UAKMUN I UHIVt rn
NIC. 27835-7085 F
CMSD (SLUDGE & WELLS ACCT)
CONTENTNEA METRO. SEWAGE DIST.
MS. RENEE PRIDGEN
P.O. BOX 477
GRIFTON ,NC 28530
Sample Analysis Method
PARAMETERS #5 Date Analyst Code
Total Residue, mg/l 16580 04/10/18 JMT 254OB-11
Fecal Coliform (MPH /gram Solids 66 04/12/18 JMT 9221E-06
ID#: 416 A
DATE COLLECTED: 04/10/18
DATE REPORTED : 04/12/18
REVIEWED BY:
756-0633

nv�ro meet 1, I �r
Mgl
CMSD (SLUDGE & WELLS ACCT)
CONTENTNEA METRO. SEWAGE DIST.
MS. RENEE PRIDGEN
P.O. BOX 477
GRIFTON ,NC 28530
PARAMETERS
Total Residue, mg/1
Fecal Coliform (MPN), /gram Solids
Sample Analysis Method
N6 Date Analyst Code
16880 04/11/18 KDS 2540E-11
1420 04/11/18 KDS 9221E-06
ID#: 416 A
DATE COLLECTED: 04/11/18
DATE REPORTED : 04/16/18
REVIEWED BY:

EmwknoW T, hcwpa ufflUd
CMSD (SLUDGE & WELLS ACCT)
CONTENTNEA METRO, SEWAGE DIST.
MS. RENEE PRIDGEN
P.O. BOX 477
GRIFTON ,NC 28530
PARAMETERS
Total Residue, mg/l
Fecal Coliform (MPN), /gram Solids
Sample Analysis Method
N7 Date Analyst Code
16780 04/16/18 KDS 254OB-11
<11 04/16/18 KDS 9221E-06
ID#: 416 A
DATE COLLECTED: 04/16/18
DATE REPORTED : 04/18/18
REVIEWED BY: /----

Specific Oxygen Uptake Rate
SOUR
Time
(minutes)
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Facility Name:
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
WQ0001048
4/2/2018
17
1#2
7
7
7.
7.
7.
Slope:
Intercept:
Correlation Coefficient:
Oxygen Uptake Rate:
Ambient Specific Oxygen Uptake Rate:
Average Temperature:
Temperature Correction Factor:
- I CJ7
Jrew
-1 All
1000 milliliters
1.88 % Dry Solids
19 degrees Celsius
21 degrees Celsius
0.1
8.5
1.0
4.49 mg Oxygen/hr
0.24 mg Oxygen/g/hr
20 degrees Celsius
1
Temperature Corrected Specific Oxygen Uptake Rate:1 0.24 mg Oxygen/g/hr
Instructions: Enter Data in the Blue Boxes. The Calculation and the Spreadsheet execute automatically

8.8
8.6
8.4
8.2
8
E
c
7.8
x
O
-a 7.6
d
0
N 7.4
0
7.2
7
6.8
6.6
y =-0.0749x + 8.621
Oxygen Uptake Rate Chart
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
Time (minutes)

Specific Oxygen Uptake Rate
SOUR
Time
(minutes)
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Facility Name:
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
1 4/3/20181
8.41
8.38
8.26
8.18
8.14
8.08
8.02
7.92
7.84
7.74
7.64
7.67
7.47
Slope:
Intercept:
Correlation Coefficient:
Oxygen Uptake Rate:
Ambient Specific Oxygen Uptake Rate:
Average Temperature:
Temperature Correction Factor:
1000 milliliters
1.82 % Dry Solids
19 degrees Celsius
20 dearees Celsius
0.1
8.6
1.0
4.64 mg Oxygen/hr
0.26 mg Oxygen/g/hr
20 degrees Celsius
1
Temperature Corrected Specific Oxygen Uptake Rate:1 0.26 mg Oxygen/g/hr
Instructions: Enter Data in the Blue Boxes, The Calculation and the Spreadsheet execute automatically.

8.8 -
8-6
8.4
8.2
8
7.8
T
X
O
a�
7.6
0
N 7.4
in
7.2
7
6-8
6.6
y =-0.0774x + 8.6615
Oxygen Uptake Rate Chart
I
j -
I
I
—
I
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
Time (minutes)

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:
Time Dissolved Oxygen Level
(minutes) (m /1)
0
8.13
1
8.05
2
7.98
3
7.92
4
7.84
5
7.76
6
7.68
7
7.58
8
7.5
9
7.4
10
7.29
11
7.21
12
7.11
13
7.05
14
6.97
15
6.86
Slope:
Intercept:
Correlation Coefficient:
Oxygen Uptake Rate:
Ambient Specific Oxygen Uptake Rate:
Average Temperature:
Temperature Correction Factor:
4/4/2018
18
Andrew Edwards
4-4-18/1319
00 milliliters
1.8 % Dry Solids
20 degrees Celsius
21 degrees Celsius
0.1
8.2
1.0
5.14 mg Oxygen/hr
0.29 mg Oxygen/g/hr
21 degrees Celsius
0.952380952
Temperature Corrected Specific Oxygen Uptake Rate:1 0.27 mg Oxygen/g/hr
Instructions: Enter Data in the Blue Boxes, The Calculation and the Spreadsheet execute automatically.

&5
E 7.5
m
X
0
Z
w 7
y
d
6.5
1.1
y =-0.0857x + 8.2493
Oxygen Uptake Rate Chart
El
I
3..�
{'��'S
I
)"Y 3�'"k
.[ �tt^'k��J #ffS'4
51w''?• �3'
Ft t) )"i+n;lv
'$"Y.{�{ it l;jk ItF 4,(
h'(`i�5
!
� i131P SY Y
t�
Al
...
�_ 1
i
i
I
i
I
i
I
i
i
I
1 2 3 4 5 6 7 8 9 10 11
Time (minutes)
12 13 14 15 16

Specific Oxygen Uptake Rate
SOUR
Time
(minutes)
0
1
3
4
5
6
7
8
0
11
12
13
14
15
Facility Name:
CMSD
Biosolids Permit Number:
WQ0001048
Date:
4/9/2018
Digester Temperature:
16
Sampling Date/Time:
4-9-18/1350
Sampled By:
Andrew Edwards
Analysis Date/Time:
4-9-18/1400
Analyzed By:
Renee Smith
Sample Volume:
1000
milliliters
Total Solids:
1.8
% Dry Solids
Beginning Temperature:
18
degrees Celsius
End Temperature:
18
degrees Celsius
Dissolved Oxygen Level
8.5
8.4
8.4
8.4
8,3
8.3
8.2
8.1
8.1
80
8.0
77
7.7
Slope:
Intercept:
Correlation Coefficient:
Oxygen Uptake Rate:
Ambient Specific Oxygen Uptake Rate:
Average Temperature:
Temperature Correction Factor:
0.1
8.6
1.0
3.28 mg Oxygen/hr
0.18 mg Oxygen/g/hr
18 degrees Celsius
1.1449
Temperature Corrected Specific Oxygen Uptake Rate:1 mg Oxygen/g/hr
Instructions: Enter Data in the Blue Boxes. The Calculation and the Spreadsheet execute automatically.

ARM
MI
ca 8.2
E
0
7.6
7.4
7.2
y =-0.0546x + 8.6653
Oxygen Uptake Rate Chart
1 2 3 4 5 6 7 8 9 10 11 12 13 14 1b �e
Time (minutes)

Specific Oxygen Uptake Rate
SOUR
Facility Name: CMSD
Biosolids Permit Number: WQ0001048
Date: 4/16/2018
Digester Temperature: 19
Sampling Date/Time: 4-16-18/1305
Sampled By: Andrew Edwards
Analysis Date/Time: 4-16-18/1310
Analyzed By: Renee Smith
Sample Volume: 1000 milliliters
Total Solids: 1.77 % Dry Solids
Beginning Temperature: 19 degrees Celsius
End Temperature: 19 degrees Celsius
Time Dissolved Oxygen Level
(minutes) (mg/1)
0
7.02
1
6.96
2
6.84'
3
6.76
4
6.67
5
6.62
6
6.54
7
6.49
8
6.44
9
6.3
10
6.23
11
6.17
12
6.08
13
5.97
14
5.92
15
5.83
Slope:
Intercept:
Correlation Coefficient:
Oxygen Uptake Rate:
Ambient Specific Oxygen Uptake Rate:
Average Temperature:
Temperature Correction Factor:
0.1
7.0
1.0
4.70 mg Oxygen/hr
0.27 mg Oxygenlg/hr
19 degrees Celsius
1.07
Temperature Corrected Specific Oxygen Uptake Rate:1 mg Oxygen/g/hr
Instructions: Enter Data in the Blue Boxes. The Calculation and the Spreadsheet execute automatically.

8
7
6
a> 5
E
90
2
1
0
y =-0.0784x + 7.0935
Oxygen Uptake Rate Chart
1 2 3 4 5 6 7 8 9 10 11 12 13 14 1� ie
Time (minutes)

Specific Oxygen Uptake Rate
SOUR
Time
(minutes)
0
1
2
3
4
6
7
8
9
10
11
12
13
14
15
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
7.8
7&
778
7.
776
7.5
775
774
774
73
772
72
7.1
7.1
70
Slope:
Intercept:
Correlation Coefficient:
Oxygen Uptake Rate:
Ambient Specific Oxygen Uptake Rate:
Average Temperature:
Temperature Correction Factor:
4/17
4-17-18/1020
Kyle Huggins
4-17-1811030
Renee Smith
)00 milliliters
1.8 % Dry Solids
17 degrees Celsius
19 dearees Celsius
0.1
7.9
1.0
3.48 mg Oxygen/hr
0.19 mg Oxygen/g/hr
18 degrees Celsius
1.1449
Temperature Corrected Specific Oxygen Uptake Rate: 0.22 mg Oxygen/g/hr
Instructions: Enter Data in the Blue Boxes. The Calculation and the Spreadsheet execute automatically.

8
7.8
a) 7.4
XI-
0
IM
y =-0.058x + 7.9402
Oxygen Uptake Rate Chart
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 in
Time (minutes)

Specific Oxygen Uptake Rate
SOUR
Time
(minutes)
0
1
2
3
4
5
6
7
9
10
11
12
13
14
15
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
7.6,
7.5
75.
7.4
73
72,
7.1
7.1
70
6.9
68
6.7
6.7
6.6
6.5
Slope:
Intercept:
Correlation Coefficient:
Oxygen Uptake Rate:
Ambient Specific Oxygen Uptake Rate:
Average Temperature:
Temperature Correction Factor:
CMSD
WQ0001048
4/1812018
17
4-18-18/1035
Andrew Edwards
4-18-18/1045
Renee Smith
1000
1.79
18
0.1
7.7
1.0
Ililiters
Dry Solids
grees Celsius
arees Celsius
4.48 mg Oxygen/hr
0.25 mg Oxygen/g/hr
19 degrees Celsius
1.07
Temperature Corrected Specific Oxygen Uptake Rater 0.27 mg Oxygen/g/hr
Instructions: Enter Data in the Blue Boxes. The Calculation. and the Spreadsheet execute automatically.

ME
7.6
7.4
7.2
6.6
6.4
6.2
6
y =-0.0747x + 7.7778
Oxygen Uptake Rate Chart
i
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 ie
Time (minutes)

�; � �: 1
_ `�.` ,

NCDA&CS Agronomic Division Phone: [phone] Website: www.ncagr.gov/agronomi/ Report No. FY19-SL009960
cuLr11{Y� Predictive Client: CMSD Advisor: Chris Whitehurst
PO Box477 Ayden Nitrogen
b Soil Report Mehlich-3 Extraction Grifton, NC 28530 P.O. Box 7
_ Ayden, NC 28513
Vy m Links to Helpful Information Sampled: 10/18/2018 Sampled County: Pitt
Received: 10/25/2018
Farm: Not Provided Completed: 11/06/2018 Client ID: 147385 Advisor ID: 490477
Agronomist's Comments:
ATTENTION: This report was flagged with a "C" and/or 2" to alert you that copper and/or zinc have accumulated in the soil and are approaching a level that could be detrimental to crop
production. The C and Z symbols are printed on your report for soil test Zn and Cu index levels of 2000 or more for agronomic crops; for peanuts with zinc, the level is 250. This note is
designed to be a "trigger" that allows enough time to either reduce the rate of application or find another field for application of biosolids and/or waste water. The CTL (critical toxic level) for
Cu and Zn is set at a 3000 index; for peanuts with zinc, the level is 500. Maintaining a pH of 6.0 or higher may reduce potential for toxicity, especially for Zn. These levels are used by
DENR as a benchmark to determine when application of waste products should be stopped. The CTL for copper and zinc was set to prevent levels from accumulating to the point where
they become toxic to crops grown on a field.
Sample ID: 1
Recommendations: Lime Nutrients (lb/acre)
More
Crop (tons/acre) N P205 K20 Mg S Mn Zn Cu B
Information
Lime History:
1 -Bermuda hay/past., E 0.0 60-80 0 30 0 0 pH$ Z 0 0
Note: 12 Note:
2 -Bermuda hay/past, M 0.0 180-220 0 100 0 0 pH$ Z 0 0
Note: 12 Note:
Test Results [units - WN in g/crrr3; CEC and Na in meg1100 crrr3; NO3-N in mg/dnfl: Soil Class: Mineral
HM% WN CEC BS% Ac pH P-I K-1 Ca% Mg%a S-1 Mn-I Mn-All Mn-AI2 Zn-1 Zn-Al Cu-I Na ESP SS-1 NO3-N
0.76 0.99 17.1 93 1.1 6.5 817 58 70 22 76 134 90 90 2884 2884 904 0.2 1
Sample ID: 2
Recommendations: Lime Nutrients (lb/acre)
More
Crop (tons/acre) N P205 K20 Mg S Mn Zn Cu B
Information
Lime History:
1 -Bermuda hay/past., E 0.0 60-80 0 20 0 0 0 Z 0 0
Note: 12 Note: $
2- Bermuda hay/past., M 0.0 180-220 0 80 0 0 0 Z 0 0
Note: 12 Note: $
Test Results [units - WN in glcd; CEC and Na in meg1100 crrP; NO3-N in mgld[Tr3]: Soil Class: Mineral
HM% WN CEC BS% Ac pH P-1 K-1 Ca%o Mg% S-1 Mn-I Mn-All Mn-Al2 Zn-I Zn-AI Cu-1 Na ESP SS-1 NO3-N
0.71 0.84 18.9 88 2.3 6.1 881 64 64 22 82 107 79 79 3202 3202 1296 0.2 1
North Carolina
x
i
Tobacco Trust Fund Commission
Reprogramming of the laboratory -information -management system that makes this report possible is
being funded through a grant from the North Carolina Tobacco Trust Fund Commission.
Thank you for using agronomic services to manage nutrients and safeguard environmental quality.
- Steve Troxler, Commissioner nf Agriculture

NCDA&CS
nomic Division Phone: [phone]
Website: www.nc,
)vlagronomi/
Report No. -SL009950
Page 2 of 3
Sample ID: 3
Recommendations:
Lime
Nutrients (lb/acre)
More
Crop
(tons/acre)
N P2O5
K2O
Mg
S
Mn
Zn
Cu
B
Information
Lime History:
1 -Bermuda hay/past., E
0.0
60-80 0
70
0
0
pH$
Z
0
0
Note: 12 Note: $
2 -Bermuda hay/past., M
0.0
180-220 0
160
0
0
pH$
Z
0
0
Note: 12 Note: $
Test Results [units
- WN in g/crrP; CEC and Na in meq/100 cm3; NO3-N
in mg/dmr ]:
Soil Class:
Mineral
HM% WN
CEC BS% Ac pH
P-1 K-1
Ca% Mg%
S-1
Mn-I
Mn-All
Mn-Al2
Zn-I
Zn-Al
Cu-I
Na ESP SS -I NO3-N
0.76 1.08
19.2 98 0.4 6.9
893 32
75 22
69
89
56
56
3069
3069
1045
0.2
1
Sample ID: 4
Recommendations:
Lime
Nutrients (lb/acre)
More
Crop
(tons/acre)
N P2O5
K2O
Mg
S
Mn
Zn
Cu
B
Information
Lime History:
1 -Bermuda hay/past., E
0.0
60-80 0
70
0
0
pH$
2
0
0
Note: 12 Note: $
2-Bermuda hay/past., M
0.0
180-220 0
160
0
0
pH$
Z
0
0
Note: 12 Note:
Test Results (units
- WN in glcn�; CEC and Na in meq/100 crrr3; NO3-N
in mg/dnft
Soil Class:
Mineral
HM% WN
CEC BS% Ac pH
P-1 K-1
Ca% Mg%
S-1
Mn-I
Mn-All
Mn-Al2
Zn-1
Zn-Al
Cu-I
Na ESP
SS -I NO3-N
0.66 0.90
20.7 93 1.5 6.5
1036 32
73 19
93
106
73
73
4403
4403
1295
0.2
1

NCDA&CS Agronomic Division Phone: [phone] Website: www.ncagr.govlagronomil
Report No. FY19-SL009960
Page 3 of 3
Understanding the Soil Report: explanation of measurements, abbreviations and units
Recommendations
Report Abbreviations
Lime
Ac
exchangeable acidity
If testing finds that soil pH is too low for the crop(s) indicated, a lime recommendation will be given in units of either
B
boron
ton/acre or Ib/1000 sq ft. For best results, mix the lime into the top 6 to 8 inches of soil several months before planting.
BS%
% CEC occupied by basic cations
For no -till or established plantings where this is not possible, apply no more than 1 to 1.5 ton/acre (50 Ib/1000 sq ft) at on
Ca
% CEC occupied by calcium
time, even if the report recommends more. You can apply the rest in similar increments every six months until the full rate
CEC
cation exchange capacity
is applied. If MG is recommended and lime is needed, use dolomitric lime.
Cu-I
copper index
ESP
exchangeable sodium percent
Fertilizer
HM%
percent humic matter
Recommendations for field crops or other large areas are listed separately for each nutrient to be added (in units of
K-I
potassium index
lb/acre unless otherwise specified). Recommendations for N (and sometimes for B) are based on research/field studies
K20
potash
for the crop being grown, not on soil test results. K-1 and P-1 values are based on test results and should be > 50. If they
Mg%
% CEC occupied by magnesium
are not, follow the fertilizer recommendations given. If Mg is needed and no lime is recommended, 0-0-22 (11.5% Mg) is
MIN
mineral soil class
an excellent source; 175 to 250 lb per acre alone or in a fertilizer blend will usually satisfy crop needs, SS-1 levels appear
Mn
manganese
only on reports for greenhouse soil or problem samples.
Mn-All
Mn-availability index for crop 1Mn-Al2
Mn-availability index for crop 2
Farmers and other commercial producers should pay special attention to micronutrient levels. If $, pH$, $pH, C or Z
Mn-1
M-O
manganese index
mineral -organic soil class
notations appear on the soil report, refer to $Note: Secondary Nutrients and Micronutrients_ In general, homeowners do not
N
nitrogen
need to be concerned about micronutrients. Various crop notes also address lime fertilizer needs; visit
Na
sodium
ncagr.gov/agronomi/pubs.htm,
NO3-N
nitrate nitrogen
ORG
organic soil class
Recommendations forsmall areas, such as home lawns/gardens, are listed in units of Ib/1000 sq ft. If you cannot find
pH
current soil pH
the exact fertilizer grade recommended on the report, visit www.ncaarpovlaaronornilobDart4.ht nd information that
P-1
phosphorus index
may help you choose a comparable alternate. For more information, read A Homeowner's Guide to Fertilizer.
P206
phosphate
S-1
sulfur index
Test Results
SS-1
soluble salt index
WN
weight per volume
The first seven values [soil class, HM%, W/V, CEC, BS%, Ac and pH] describe the soil and its degree of acidity. The
Zn-AI
zinc availability index
remaining 16 [P-I, K-1, Ca%, Mg%, Mn-I, Mn-All, Mn-AI2, Zn-I, Zn-AI, Cu-1, S-I, SS-1, Na, ESP, SS-1, NO3-N (not routine)
Zn-I
zinc index
available)] indicate levels of plant nutrients or other fertility measurement. Visit www.ncaarpoylapronomiluyrst.htm

NCDA&CS nomic Division Phone: [phone] Website: www.nc; >v/agronomi/ Report No. SL009902
avcror�m, Predictive Client: CMSD Advisor: Chris Whitehurst
PO Box 477 Ayden Nitrogen
A Soil Report Mehlich-3 Extraction Grifton, NC 28530 P.O. Box 7
G. Ayden, NC 28513
ED`�,-Links to Helpful Information Sampled: 10/18/2018 Sampled County: Pitt
Received: 10/25/2018
Farm: Not Provided Completed: 11/06/2018 Client ID: 147385 Advisor ID: 490477
Agronomist's Comments:
ATTENTION: This report was flagged with a "C" and/or "Z" to alert you that copper and/or zinc have accumulated in the soil and are approaching a level that could be detrimental to crop
production. The C and Z symbols are printed on your report for soil test Zn and Cu index levels of 2000 or more for agronomic crops; for peanuts with zinc, the level is 250. This note is
designed to be a "trigger" that allows enough time to either reduce the rate of application or find another field for application of biosolids and/or waste water. The CTL (critical toxic level) for
Cu and Zn is set at a 3000 index; for peanuts with zinc, the level is 500. Maintaining a pH of 6.0 or higher may reduce potential for toxicity, especially for Zn. These levels are used by
DENR as a benchmark to determine when application of waste products should be stopped. The CTL for copper and zinc was set to prevent levels from accumulating to the point where
they become toxic to crops rown on a field.
Sample ID: 5
Recommendations: Lime Nutrients (lb/acre)
More
Crop (tons/acre) N P205 K20 Mg S Mn Zn Cu B
Information
Lime History:
1-Bermuda hay/past., E 0.0 60-80 0 0 0 0 0 Z 0 0
Note: 12 Note:
2 - 0.0
Test Results [units - W1V in g/carp; CEC and Na in meq/100 cn3; NO3-N in mg/dnr ]: Soil Class: Mineral
HM% WN CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-Al2 Zn-I Zn-AI Cu-1 Na ESP SS-1 NO3-N
0.66 0.74 21.0 87 2.8 6.0 930 83 63 22 102 89 70 3974 3974 1314 0.3 1
Sample ID: 6
Recommendations: Lime Nutrients (lb/acre)
More
Crop (tonslacre) N P205 K20 Mg S Mn Zn Cu- B
Information
Lime History:
1-Bermuda hay/past., E 0.0 60-80 0 20 0 0 0 Z 0 0
Note: 12 Note:
2 - 0.0
Test Results [units - W/V in glcrO; CEC and Na in meg1100 cm3; NO3-N in mg/dO]: Soil Class: Mineral
HM% W1V CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-Al2 Zn-1 Zn-AI Cu-1 Na ESP SS-1 NO3-N
0.66 0.77 22.3 88 2.7 6.1 912 65 65 21 102 102 77 5253 5253 1490 0.4 2
North Carolina
Tobacco Trust Fund Commission
Reprogramming of the laboratory -information -management system that makes this report possible is
being funded through a grant from the North Carolina Tobacco Trust Fund Commission.
Thank you for using agronomic services to manage nutrients and safeguard environmental quality.
Steve Troxler, Commissioner of Agriculture

NCDA&CS Agronomic Division Phone: [phone]
Website: www.ncagr.gov/agronomi/
Report No. FY19-SL009902
Page 2 of 11
Sample ID: 7
Recommendations:
Lime
Nutrients (Ib/acre)
More
Crop
(tons/acre)
N P2O6
K2O
Mg
S
Mn
Zn
Cu
B
Information
Lime History:
1 -Bermuda hay/past., E
0.0
60-80 0
30
0
0
pH$
Z
0
0
Note: 12 Note:
2 -
0.0
Test Results [units - WN in
g/crn3; CEC and Na in meq/100 crrr3; NO3-N
in mg/dnn ]:
Soil Class:
Mineral
HM% WN CEC BS% Ac pH
P-1 K-1
Ca% Mg%
S-1
Mn-I
Mn-All
Mn-Al2
Zn-I
Zn-AI
Cu-I
Na ESP SS -I NO3-N
0.76 1.02 16.8
96 0.7 6.9
815 56
72 22
57
138
86
2403
2403
580
0.2 1
Sample ID: 8
Recommendations:
Lime
Nutrients (lb/acre)
More
Crop
(tons/acre)
N P2O5
K2O
Mg
S
Mn
Zn
Cu
B
Information
Lime History:
1 -Bermuda hay/past., E
0.0
60-80 0
50
0
0
pH$
Z
0
0
Note: 12 Note: $
2 -
0.0
Test Results [units - WN in
g/crn3; CEC and Na in meg110D crag; NO3-N in mg/drrt3]:
Soil Class:
Mineral
HM% WN CEC BS% Ac pH
P-1 K-1
Ca% Mg%
S-1
Mn-I
Mn-All
Mn-AI2
Zn-I
Zn-AI
Cu-I
Na ESP SS-1 NO3-N
0,76 0,98 17.4
95 0.9 6.8
885 43
71 22
65
118
76
2859
2859
749
02 1
Sample ID: 9
Recommendations:
Lime
Nutrients (lb/acre)
More
Crop
(tons/acre)
N P2O5
K2O
Mg
S
Mn
Zn
Cu
B
Information
Lime History:
1 -Bermuda hay/past., E
0.0
60-80 0
60
0
0
pH$
Z
0
0
Note: 12 Note:
2 -
0.0
Test Results [units - WN in
g/cnP; CEC and Na in meq/100 crrr3; NO3-N in mg/drrr3]:
Soil Class:
Mineral
HM% WN CEC BS% Ac pH
P-1 K-1
Ca% Mg%
S-1
Mn-I
Mn-All
Mn-Al2
Zn-I
Zn-AI
Cu-I
Na ESP SS-1 NO3-N
0.76 0.96 17.0
96 0.6 7.0
699 38
74 22
72
103
64
2087
2087
630
0.2 1
Sample ID: 10
Recommendations:
Lime
Nutrients (lb/acre)
More
Crop
(tons/acre)
N P2O5
K2O
Mg
S
Mn
Zn
Cu
B
Information
Lime History:
1 -Bermuda hay/past., E
0.0
60-80 0
30
0
0
pH$
Z
0
0
Note: 12 Note:
2 -
0.0
Test Results [units - WN in
g/crrr3; CEC and Na in meq/100 cnr3; NO3-N in mg/drr> ]:
Soil Class:
Mineral
HM% WN CEC BS% Ac pH
P-1 K-1
Ca% Mg%
S-1
Mn-I
Mn-All
Mn-AI2
Zn-I
Zn-AI
Cu-I
Na ESP SS-1 NO3-N
0.56 0.99 16.6
92 1.3 6.7
793 61
67 23
59
131
86
3259
3259
803
0.2 1

NCDA&CS
comic Division Phone: [phone]
Website: www.nca
vlagronomi/
Report No. I SL009902
Page 3 of 11
Sample ID: 11
Recommendations:
Lime
Nutrients (lb/acre)
More
Crop
(tons/acre)
N P2O5
K2O
Mg
S
Mn
Zn
Cu
B
Information
Lime History:
1 -Bermuda hay/past., E
0.0
60-80 0
0
0
0
pH$
Z
0
0
Note: 12 Note: $
2 -
0.0
Test Results [units - WN in glcmr ; CEC and Na in meq/100 cm3; NO3-N in mgfdm3]:
Soil Class:
Mineral
HM% WN
CEC BS% Ac pH
P-1 K-1
Ca% Mg%
S-1
Mn-I
Mn-All
Mn-Al2
Zn-I
Zn-AI
Cu-I
Na ESP SS -I NO3-N
0.46 0.83
23.4 94 1.4 6.7
829 81
69 24
74
124
80
5985
5985
1700
0.3 1
Sample ID: 12
Recommendations:
Lime
Nutrients (lb/acre)
More
Crop
(tonslacre)
N P2O5
K2O
Mg
S
Mn
Zn
Cu
B
Information
Lime History:
1 -Bermuda hay/past., E
0.0
60-80 0
50
0
0
pH$
Z
0
0
Note: 12 Note: $
2 -
0.0
Test Results [units - WN in g/crrr3; CEC and Na in meq/100 cm3; NO3-N in mgldrrt ]:
Soil Class:
Mineral
HM% WN
CEC BS% Ac pH
P-1 K-1
Ca% Mg%
S-1
Mn-I
Mn-All
Mn-AI2
Zn-I
Zn-AI
Cu-1
Na ESP SS-1 NO3-N
0.71 1.15
12.8 93 0.9 6.7
741 45
71 21
57
152
98
2401
2401
603
0.2 2
Sample ID: 13
Recommendations:
Lime
Nutrients (lb/acre)
More
Crop
(tons/acre)
N P2O5
K2O
Mg
S
Mn
Zn
Cu
B
Information
Lime History:
1 -Bermuda hay/past., E
0.0
60-80 0
10
0
0
pH$
Z
0
0
Note: 12 Note: $
2 -
0.0
Test Results [units - WN in g/crrr3; CEC and Na in meq/100 crrr ; NO3-N in mgldni]:
Soil Class:
Mineral
HM% WN
CEC BS% Ac pH
P-1 K-1
Ca% Mg%
S-1
Mn-I
Mn-All
Mn-AI2
Zn-I
Zn-AI
Cu-I
Na ESP SS-1 NO3-N
0.51 0.97
20.3 94 1.2 6.7
874 77
70 22
67
149
96
4883
4883
1197
0.2 1
Sample ID: 14
Recommendations:
Lime
Nutrients (lb/acre)
More
Crop
(tons/acre)
N P2O5
K2O
Mg
S
Mn
Zn
Cu
B
Information
Lime History:
1 -Bermuda hay/past., E
0.0
60-80 0
10
0
0
pH$
Z
0
0
Note: 12 Note:
2 -
0.0
Test Results [units
- WN in g/cm3; CEC and Na in meg1100 cO; NO3-N in mg/drr3]:
Soil Class:
Mineral
HM% WN
CEC BS% Ac pH
P-1 K-I
Ca% Mg%
S-1
Mn-I
Mn-All
Mn-Al2
Zn-I
Zn-AI
Cu-1
Na ESP SS -I NO3-N
0.60 0.93
19.9 93 1.4 6.7
817 78
70 21
67
144
93
4791
4791
1171
0.2 1

NCDA&CS Agronomic Division Phone: [phone]
Website: www.ncagr.gov/agronomi/
Report No. FY19-SL009902
Page 4 of 11
Sample ID: 15
Recommendations:
Lime
Nutrients (lb/acre)
More
Crop
(tons/acre)
N P205
K20
Mg
S
Mn
Zn
Cu
B
Information
Lime History:
1 -Bermuda hay/past., E
0.0
60-80 0
70
0
0
pH$
0
0
0
Note: 12 Note:
2-
0.0
Test Results [units - W[V in
g/cm3; CEC and Na in meg1100 crn3; NO3-N
in mg/dm3]:
Soil Class:
Mineral
HM% WN CEC BS% Ac pH
P-1 K-1
Ca% Mg%
S-1
Mn-1
Mn-All
Mn-AI2
Zn-I
Zn-AI
Cu-I
Na ESP SS-1 NO3-N
1.37 1.13 10.8
95 0.6 6.9
154 36
69 24
60
86
55
697
697
133
0.2 2
Sample ID: 16
Recommendations:
Lime
Nutrients (lb/acre)
More
Crop
(tonslacre)
N P205
K20
Mg
S
Mn
Zn
Cu
B
Information
Lime History:
1-Bermuda hay/past., E
0.0
60-80 0
70
0
0
0
0
0
0
Note: 12
2-
0.0
Test Results [units - WN in glca; CEC and Na in meq/100 crrr3; NO3-N in mg/dm3]:
Soil Class:
Mineral
HM% WN CEC BS% Ac pH
P-1 K-1
Ca% Mg%
S-1
Mn-I
Mn-All
Mn-Al2
Zn-I
Zn-AI
Cu-I
Na ESP SS-1 NO3-N
1.02 1.12 8.9
87 1.1 6.4
362 36
65 21
51
84
62
883
883
268
0.2 2
Sample ID: 17
Recommendations:
Lime
Nutrients (lb/acre)
More
Crop
(tons/acre)
N P205
K20
Mg
S
Mn
Zn
Cu
B
Information
Lime History:
1- Bermuda hay/past., E
0.0
60-80 0
80
0
0
0
0
0
0
Note: 12
2-
0.0
Test Results [units - WN in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]:
Soil Class:
Mineral
HM% WN CEC BS% Ac pH
P-1 K-1
Ca% Mg%
S-1
Mn-I
Mn-All
Mn-AI2
Zn-I
Zn-AI
Cu-1
Na ESP SS-1 NO3-N
1.25 1.16 8.0
86 1.1 6.2
176 31
65 19
51
73
58
487
487
112
0.2 3
Sample ID: 18
Recommendations:
Lime
Nutrients (lb/acre)
More
Crop
(tonslacre)
N P205
K20
Mg
S
Mn
Zn
Cu
B
Information
Lime History:
1 -Bermuda hay/past., E
0.0
60-80 0
70
0
0
pH$
0
0
0
Note: 12 Note: $
2-
0.0
Test Results [units - WN in glcm3; CEC and Na in meq/100 crrr3; NO3-N in mg/dr0]:
Soil Class:
Mineral
HM% WN CEC BS% Ac pH
P-1 K-1
Ca% Mg%
S-1
Mn-I
Mn-All
Mn-AI2
Zn-I
Zn-AI
Cu-I
Na ESP SS-1 NO3-N
0.81 1.09 10.0
92 0.8 6.7
442 33
66 25
60
83
57
969
969
237
0.2 2

NCDA&CS ,
iomic Division Phone: [phone]
Website: www.nca
v/agronomil
Report No. I SL009902
Page 5of11
Sample ID: 19
Recommendations:
Lime
Nutrients (lb/acre)
More
Crop
(tonslacre)
N P205
K20
Mg
S
Mn
Zn
Cu
B
Information
Lime History:
1 -Bermuda hay/past., E
1.1
60-80 0
70
0
0
0
Z
0
0
Note: 12 Note: $
2-
0.0
Test Results [units - WN in glcd; CEC and Na in meq/100 cm:3; NO3-N in mgldnt ]:
Soil Class:
Mineral
HM% WN
CEC BS% Ac pH
P-1 K-1
Ca% Mg%
S-1
Mn-1
Mn-All
Mn-Al2
Zn-1
Zn-AI
Cu-I
Na ESP SS-1 NO3-N
0.60 0.99
10.3 77 2.4 5.5
953 36
57 18
78
98
76
2053
2053
619
0.2 2
Sample ID: 20
Recommendations:
Lime
Nutrients (lb/acre)
More
Crop
(tons/acre)
N P205
K20
Mg
S
Mn
Zn
Cu
B
Information
Lime History:
i -Bermuda hay/past., E
0.0
60-80 0
80
0
0
pH$
0
0
0
Note: 12 Note:
2-
0.0
Test Results [units - WN in glcrrr3; CEC and Na in meq/100 crrr3; NO3-N in mg/dO]:
Soil Class:
Mineral
HM% WN
CEC BS% Ac pH
P-1 K-1
Ca% Mg%
S-I
Mn-I
Mn-All
Mn-AI2
Zn-1
Zn-AI
Cu-I
Na ESP SS-1 NO3-N
0.97 1.04
12.1 91 1.1 6.6
754 29
66 24
64
84
58
1687
1687
424
0.2 2
Sample ID: 21
Recommendations:
Lime
Nutrients (lb/acre)
More
Crop
(tonslacre)
N P205
K20
Mg
S
Mn
Zn
Cu
B
Information
Lime History:
1- Bermuda hay/past., E
1.1
60-80 0
60
0
0
0
0
0
0
Note: 12
2-
0.0
Test Results [units - WN in g/cr&; CEC and Na in meg]100 cn>3; NO3-N in mg/do]:
Soil Class:
Mineral
HM% WN
CEC BS% Ac pH
P-1 K-I
Ca% Mg%
S-1
Mn-I
Mn-All
Mn-Al2
Zn-I
Zn-AI
Cu-1
Na ESP SS-1 NO3-N
1.25 0.92
11.6 77 2.7 5.6
875 38
56 19
90
87
69
1667
1667
582
0.3 3
Sample ID: 22
Recommendations:
Lime
Nutrients (lb/acre)
More
Crop
(tonslacre)
N P205
K20
Mg
S
Mn
Zn
Cu
B
Information
Lime History:
1-Bermuda hay/past., E
1.0
60-80 0
60
0
0
0
0
0
0
Note: 12
2-
0.0
Test Results [units - WN in g/cm3; CEC and Na in meq/100 crrP; NO3-N
in mg/dnr ]:
Soil Class:
Mineral
HM% WN
CEC BS% Ac pH
P-1 K-1
Ca% Mg%
S-1
Mn-I
Mn-All
Mn-Al2
Zn-1
Zn-Al
Cu-1
Na ESP SS -I NO3-N
0.60 0.98
11.9 78 2.6 5.6
962 40
57 20
80
83
67
1567
1567
651
0.2 2

NCDA&CS Agronomic Division Phone: [phone]
Website: www.neagr.gov/agronomi/
Report No. FY19-SL0O9902
Page 6 of 11
Sample ID: 23
Recommendations:
Lime
Nutrients (lb/acre)
More
Crop
(tons/acre)
N P2O5
K2O
Mg
S
Mn
Zn
Cu
B
Information
Lime History:
1 -Bermuda hay/past., E
0.0
60-80 0
80
0
0
pH$
0
0
0
Note: 12 Note:
2-
0.0
Test Results [units - WN in
g/crrt3; CEC and Na in meq/100 cr13; NO3-N in mg/drrr3]:
Soil Class:
Mineral
HM% WN CEC BS% Ac pH
P-1 K-1
Ca% Mg%,
S-1
Mn-I
Mn-All
Mn-AI2
Zn-I
Zn-AI
Cu-I
Na ESP SS-1 NO3-N
0.81 1.08 11.0
98 0.2 7.2
344 29
71 26
64
111
65
715
715
236
02 2
Sample ID: 24
Recommendations:
Lime
Nutrients (lb/acre)
More
Crop
(tonslacre)
N P2O5
K2O
Mg
S
Mn
Zn
Cu
B
Information
Lime History:
1-Bermuda hay/past., E
0.0
60-80 0
50
0
0
0
0
0
0
Note: 12
2-
0.0
Test Results [units - WN in glcnr3; CEC and Na in meq/100 crrr3; NO3-N in mg/dnr3]:
Soil Class:
Mineral
HM% W1V CEC BS% Ac pH
P-1 K-1
Ca% Mg%
S-1
Mn-I
Mn-All
Mn-AI2
Zn-I
Zn-Al
Cu-1
Na ESP SS-1 NO3-N
0-66 1.05 10.1
89 1.1 6.5
562 43
68 19
55
100
70
1103
1103
386
0.2 2
Sample ID: 25
Recommendations:
Lime
Nutrients (lb/acre)
More
Crop
(tons/acre)
N P2O5
K2O
Mg
S
Mn
Zn
Cu
B
Information
Lime History:
1-Bermuda hay/past., E
1.1
60-80 0
50
0
0
0
0
0
0
Note: 12
2-
0.0
Test Results [units - WN in g1crrr3; CEC and Na in meq/100 cnr3; NO3-N in mg/drrr3]:
Soil Class:
Mineral
HM% WN CEC BS% Ac pH
P-1 K-1
Ca% Mg%
S-1
Mn-I
Mn-All
Mn-Al2
Zn-I
Zn-AI
Cu-I
Na ESP SS-1 NO3-N
1.25 0.99 9.9
76 2.4 5.5
716 45
59 15
71
110
83
1645
1645
596
0.2 2
Sample ID: 26
Recommendations:
Lime
Nutrients (lb/acre)
More
Crop
(tonslacre)
N P2O5
K2O
Mg
S
Mn
Zn
Cu
B
Information
Lime History:
1-Bermuda hay/past., E
0.5
60-80 0
50
0
0
0
0
0
0
Note: 12
2-
0.0
Test Results [units - WN in g1crrr3; CEC and Na in meq/100 cm3; NO3-N in mg/drrr3]:
Soil Class:
Mineral
HM% WN CEC BS% Ac pH
P-1 K-1
Ca% Mg%
S-1
Mn-1
Mn-All
Mn-AI2
Zn-I
Zn-AI
Cu-I
Na ESP SS-1 NO3-N
1.43 1.05 9.5
80 1.9 5.8
570 47
63 15
64
83
67
1336
1336
353
0.2 2

NCDA&CS A
:)mic Division Phone: [phone]
Website: www.ncao
dagronomil
Report No. F ;L009902
Page 7 of 11
Sample ID: 27
Recommendations:
Lime
Nutrients (lb/acre)
More
Crop
(tons/acre)
N P205
K20
Mg
S
Mn
Zn
Cu B
Information
Lime History:
1-Bermuda hay/past., E
0.0
60-80 0
60
0
0
0
0
0 0
Note: 12
2-
0.0
Test Results [units
- WN in g/cnt3; CEC and Na in meq/100 cm3; NO3-N in mgldr&]:
Soil Class:
Mineral
HM% WN
CEC BS% Ac pH
P-1 K-1
Ca% Mg%
S-1
Mn-I
Mn-All
Mn-AI2
Zn-I
Zn-AI
Cu-I Na ESP
SS -I NO3-N
2.84 1.00
11.6 85 1.7 6.1
456 41
66 18
58
80
64
1406
1406
382 0.2
2
Sample ID: 28
Recommendations:
Lime
Nutrients (lb/acre)
More
Crop
(tons/acre)
N P205
K20
Mg
S
Mn
Zn
Cu B
Information
Lime History:
1-Bermuda hay/past., E
0.3
60-80 0
50
0
0
0
0
0 0
Note: 12
2-
0.0
Test Results [units
- W/V in glcrrr3; CEC and Na in meq/100 crrr3; NO3-N in mg/dn'�]:
Soil Class:
Mineral
HM% WN
CEC BS% Ac pH
P-1 K-1
Ca% Mg%
S-I
Mn-I
Mn-All
Mn-AI2
Zn-I
Zn-AI
Cu-I Na ESP
SS -I NO3-N
3.19 0.96
12.4 81 2.4 5.9
708 47
61 18
60
81
66
1887
1887
542 0.2
2
Sample ID: 29
Recommendations:
Lime
Nutrients (lb/acre)
More
Crop
(tons/acre)
N P205
K20
Mg
S
Mn
Zn
Cu B
Information
Lime History:
1-Bermuda hay/past., E
0.0
60-80 0
40
0
0
0
0
0 0
Note: 12
2-
0.0
Test Results [units - WN in glcrrP; CEC and Na in meq/100 cm3; NO3-N in mg/drrr3]:
Soil Class.
Mineral
HM% W!V
CEC BS% Ac pH
P-I K-1
Ca% Mg%
S-1
Mn-I
Mn-All
Mn-AI2
Zn-I
Zn-AI
Cu-I Na ESP SS-1 NO3-N
1.87 0.98
11.8 85 1.7 6.1
670 53
65 18
57
83
65
1601
1601
416 0.2
2 .
Sample ID: 30
Recommendations:
Lime
Nutrients (lb/acre)
More
Crop
(tons/acre)
N P205
K20
Mg
S
Mn
Zn
Cu B
Information
Lime History:
1 -Bermuda hay/past., E
0.0
60-80 0
30
0
0
0
Z
0 0
Note: 12 Note:
2-
0.0
Test Results [units - W!V in g/crrr3; CEC and Na in meq/100 crrr3; NO3-N in mg/dm3]:
Soil Class:
Mineral
HM% WN
CEC BS% Ac pH
P-1 K-1
Ca% Mg%
S-1
Mn-I
Mn-AI1
Mn-AI2
Zn-I
Zn-AI
Cu-I Na ESP SS -I NO3-N
2.15 0.93
13.9 86 2.0 6.0
715 61
69 15
60
85
68
2654
2654
705 0.2
1

NCDA&CS Agronomic Division Phone: [phone]
Website: www.neagr.gov/agronomi/
Report No. FY19-SL009902
Page 8 of 11
Sample ID: 31
Recommendations:
Lime
Nutrients (lb/acre)
More
Crop
(tonslacre)
N P2O5
K2O
Mg
S
Mn
Zn
Cu
B
Information
Lime History:
1-Bermuda hay/past., E
0.3
60-80 0
40
0
0
0
Z
0
0
Note: 12 Note:
2 -
0.0
Test Results [units - WfV in
glcn4; CEC and Na in meq/100 cm3; NO3-N in mg/daft
Soil Class:
Mineral
HM% WN CEC BS% Ac pH
P-1 K-1
Ca% Mg%
S-1
Mn-I
Mn-All
Mn-AI2
Zn-I
Zn-AI
Cu-I
Na ESP SS-1 NO3-N
1.80 0.90 13.6
84 2.2 5.9
808 51
67 15
60
88
70
3555
3555
890
0.2 1
Sample ID: 32
Recommendations:
Lime
Nutrients (lb/acre)
More
Crop
(tons/acre)
N P2Os
K2O
Mg
S
Mn
Zn
Cu
B
Information
Lime History:
1 -Bermuda hay/past., E
0.0
60-80 0
40
0
0
pH$
Z
0
0
Note: 12 Note: $
2 -
0.0
Test Results [units - W!V in g1crrr3; CEC and Na in meq/100 crrP; NO3-N in mg/drrr3]:
Soil Class:
Mineral
HM% W!V CEC BS% Ac pH
P-1 K-1
Ca% Mg%
S-1
Mn-I
Mn-All
Mn-Al2
Zn-I
Zn-AI
Cu-I
Na ESP SS-1 NO3-N
1.25 1.06 13.5
91 1.2 6.5
846 49
70 19
47
63
47
3018
3018
749
0.2 1
Sample ID: 33
Recommendations:
Lime
Nutrients (lb/acre)
More
Crop
(tons/acre)
N P2O5
K2O
Mg
S
Mn
Zn
Cu
B
Information
Lime History:
1-Bermuda hay/past., E
0.0
60-80 0
70
0
0
0
0
0
0
Note: 12
2 -
0.0
Test Results [units - W/V in g1crrr3; CEC and Na in meq/100 cO; NO3-N in mg/dm3]:
Soil Class:
Mineral
HM% WN CEC BS% Ac pH
P-1 K-1
Ca% Mg%
3-1
Mn-I
Mn-All
Mn-AI2
Zn-I
Zn-AI
Cu-I
Na ESP SS -I NO3-N
0.51 1.08 10.4
89 1.1 6.4
558 36
64 23
46
80
59
1499
1499
368
0.1 1
Sample ID: 34
Recommendations:
Lime
Nutrients (lb/acre)
More
Crop
(tonslacre)
N P2O5
K2O
Mg
S
Mn
Zn
Cu
B
Information
Lime History:
1 -Bermuda hay/past., E
0.6
60-80 0
60
0
0
0
Z
0
0
Note: 12 Note: $
2 -
0.0
Test Results [units - WN in g/crrr3; CEC and Na in meq/100 crrr3; NO3-N in mgldd]:
Soil Class:
Mineral
HM% WN CEC BS% Ac pH
P-1 K-1
Ca% Mg%
S-1
Mn-I
Mn-All
Mn-AI2
Zn-I
Zn-AI
Cu-I
Na ESP SS -I NO3-N
0.46 0.96 13.0
81 2.5 5.8
951 39
59 21
72
85
68
2545
2545
774
0.2 2

NCDA&CS ,
omic Division Phone: [phone]
Website: www.nca
v/agronomi/
Report No. F 51_009902
Page 9 of 11
Sample ID: 35
Recommendations:
Lime
Nutrients (lb/acre)
More
Crop
(tons/acre)
N P2O5
K2O
Mg
S
Mn
Zn
Cu
B
Information
Lime History:
1 -Bermuda hay/past., E
0.0
60-80 0
20
0
0
0
Z
0
0
Note: 12 Note: $
2-
0.0
Test Results [units - WN in g1cm3; CEC and Na in meq/100 cnr3; NO3-N in mg/drr�]:
Soil Class:
Mineral
HM% WN
CEC BS% Ac pH
P-1 K-1
Ca% Mg%
S-1
Mn-I
Mn-All
Mn-AI2
Zn-1
Zn-Al
Cu-1
Na ESP SS-1 NO3-N
0.61 0.90
17.9 86 2.5 6.0
1056 62
62 22
93
76
63
4172
4172
1074
0.3 2
Sample ID: 36
Recommendations:
Lime
Nutrients (lb/acre)
More
Crop
(tons/acre)
N P2O5
K2O
Mg
S
Mn
Zn
Cu
B
Information
Lime History:
1 -Bermuda hay/past., E
0.0
60-80 0
40
0
0
pH$
Z
0
0
Note: 12 Note:
2-
0.0
Test Results [units - WN in g/crrr3; CEC and Na in meq/100 crnr ; NO3-N in mgldm3]:
Soil Class:
Mineral
HM% WN
CEC BS% Ac pH
P-1 K-1
Ca% Mg%
S-1
Mn-I
Mn-All
Mn-Al2
Zn-I
Zn-AI
Cu-I
Na ESP SS-1 NO3-N
1.02 0.93
182 92 1.4 6.6
888 48
67 24
75
94
65
2825
2825
686
0.3 2
Sample ID: 37
Recommendations:
Lime
Nutrients (Iblacre)
More
Crop
(tons/acre)
N P2O5
K2O
Mg
S
Mn
Zn
Cu
B
Information
Lime History:
1 -Bermuda hay/past., E
0.0
60-80 0
50
0
0
pH$
0
0
0
Note: 12 Note:
2-
0.0
Test Results [units - WN in g/cm3; CEC and Na in meg1100 crn3; NO3-N in mg/daft
Soil Class:
Mineral
HM% WN
CEC BS% Ac pH
P-1 K-1
Ca% Mg%
S-1
Mn-I
Mn-All
Mn-Al2
Zn-I
Zn-AI
Cu-1
Na ESP SS-1 NO3-N
0.51 1.21
7.4 94 0.4 6.9
302 42
68 23
30
100
64
711
711
157
0.1 1
Sample ID: 38
Recommendations:
Lime
Nutrients (Ib/acre)
More
Crop
(tonslacre)
N P2O5
K2O
Mg
S
Mn
Zn
Cu
B
Information
Lime History:
1-Bermuda hay/past., E
0.3
60-80 0
30
0
0
0
Z
0
0
Note: 12 Note:
2-
0.0
Test Results [units - WN in glcm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]:
Soil Class:
Mineral
HM% WN
CEC BS% Ac pH
P-1 K-1
Ca% Mg%
S-1
Mn-I
Mn-All
Mn-Al2
Zn-I
Zn-Al
Cu-I
Na ESP SS-1 NO3-N
0.60 1.02
13.1 82 2.4 5.9
865 57
59 21
74
75
62
2269
2269
718
0.2 2

NCDA&CS Agronomic Division Phone: [phone]
Website: www.ncagr.gov/agronomi/
Report No. FY19-SL009902
Page 10 of 11
Sample ID: 39
Recommendations:
Lime
Nutrients (lb/acre)
More
Crop
(tonslacre)
N P2O5
K2O
Mg
S
Mn
Zn
Cu B
Information
Lime History:
1-Bermuda hay/past., E
0.0
60-80 0
50
0
0
0
Z
0 0
Note: 12 Note:
2 -
0.0
Test Results [units - WN in g/crap; CEC and Na in meq/100 crn3; NO3-N in mgldrre ]:
Soil Class:
Mineral
HM% WN CEC BS% Ac pH
P-1 K-1
Ca% Mg%
S-1
Mn-I
Mn-All
Mn-AI2
Zn-1
Zn-AI
Cu-I Na ESP
SS-1 NO3-N
0.51 0.89 16.1
86 2.3 6.1
957 42
62 23
69
52
47
3745
3745
896 02 1
Sample ID: 40
Recommendations:
Lime
Nutrients (lb/acre)
More
Crop
(tonslacre)
N P2O5
K2O
Mg
S
Mn
Zn
Cu B
Information
Lime History:
1 -Bermuda haylpast., E
1.8
60-80 0
70
0
0
0
Z
0 0
Note: 12 Note: $
2 -
0.0
Test Results [units - WN in glcrrr3; CEC and Na in meq/100 cnr3; NO3-N in mg/drrr3]:
Soil Class:
Mineral
HM% WN CEC BS% Ac pH
P-1 K-1
Ca% Mg%
S-1
Mn-I
Mn-All
Mn-AI2
Zn-I
Zn-AI
Cu-I Na ESP
SS-1 NO3-N
0.51 0.90 11.7
71 3.4 5.3
950 36
54 16
72
72
60
3001
3001
920 0.1 1

NCDA8.CS iomic Division Phone: [phone] Website: www.ncz Wagronomil Report No. I SL009902
Page 11 of 11
Understanding the Soil Report: explanation of measurements, abbreviations and units
Recommendations
Lime
If testing finds that soil pH is too low for the crop(s) indicated, a lime recommendation will be given in units of either
ton/acre or Ib/1000 sq ft. For best results, mix the lime into the top 6 to 8 inches of soil several months before planting.
For no -till or established plantings where this is not possible, apply no more than 1 to 1.5 ton/acre (50 lb/1000 sq ft) at
time, even if the report recommends more. You can apply the rest in similar increments every six months until the full r
is applied. if MG is recommended and lime is needed, use dolomitric lime.
Fertilizer
Recommendations for field crops or other large areas are listed separately for each nutrient to be added (in units of
lb/acre unless otherwise specified). Recommendations for N (and sometimes for B) are based on research/field studies
for the crop being grown, not on soil test results. K-1 and P-1 values are based on test results and should be > 50. If they
are not, follow the fertilizer recommendations given. If Mg is needed and no lime is recommended, 0-0-22 (11.5% Mg) is
an excellent source-, 175 to 250 lb per acre alone or in a fertilizer blend will usually satisfy crop needs, SS-1 levels appear
only on reports for greenhouse soil or problem samples.
Farmers and other commercial producers should pay special attention to micronutrient levels. If $, pH$, $pH, C or Z
notations appear on the soil report, refer to $Note: Secondary Nutrients and Micronutrients- In general, homeowners do not
need to be concerned about micronutrients. Various crop notes also address lime fertilizer needs; visit
ncagr.gov/agronomi/pubs.htm.
Recommendations forsmall areas, such as home lawnslgardens, are listed in units of Ib/1000 sq ft . if you cannot find
the exact fertilizer grade recommended on the report, visit www.ncagraovlapronomilobpart4.htm1#sfind information that
may help you choose a comparable alternate. For more information, read A Homeowner's Guide to Fertilizer
Test Results
The first seven values [soil class, HM%, WN, CEC, BS%, Ac and pH] describe the soil and its degree of acidity. The
remaining 16 [P-I, K-I, Ca%, Mg%, Mn-I, Mn-All, Mn-Al2, Zn-I, Zn-Al, Cu-I, S-1, SS -I, Na, ESP, SS -I, NO3-N (not routinel
available)] indicate levels of plant nutrients or other fertility measurement Visit www.ncaoraoWaaronomiluyrst.htm
Report Abbreviations
Ac
exchangeable acidity
B
boron
BS%
WCEC occupied by basic cations
Ca%
% CEC occupied by calcium
CEC
cation exchange capacity
Cu-I
copper index
ESP
exchangeable sodium percent
HM%
percent humic matter
K-1
potassium index
K20
potash
Mg%
% CEC occupied by magnesium
MIN
mineral soil class
Mn
manganese
Mn-All
Mn-availability index for crop 1
Mn-Al2
Mn-availability index for crop 2
Mn-I
manganese index
M-O
mineral -organic soil class
N
nitrogen
Na
sodium
NO3-N
nitrate nitrogen
ORG
organic soil class
pH
current soil pH
P-1
phosphorus index
P205
phosphate
S-1
sulfur index
SS-1
soluble salt index
WN
weight per volume
Zn-Al
zinc availability index
Zn-I
zinc index

d�
Statement Page: 1
Ayden Nitrogen
Statement Date: 01/3112019
4728 Old NC 11 / P.O. Box 7 ID: 010202
Ayden, NC 28513
Total Balance: $1,858.96
Phone [phone]
Contentnea Metro Sewage Dist
s
Po Box 477
Amount Remitted:
Grifton, NC 28530
Terms:
Unless otherwise agreed in writing by Harvey Fertilizer &
Gas Co, interest will accrue at a periodic rate of 1.5% per
month. To avoid additional finance charges, payments must
be in office by last day of month.
------- ..
i---------Your Share
.........I
Date Number Description I Detail
Quantity
Price I Unit Extension / Prepaid
Regular
Balance Forward
0.00
8.00
Payments
01/22/2019 1004981 Regular Payment I Cash
Payment
8.00
-8.00
Payment Total 8.00 0.00
•8.00
01/29/2019 1014967 Charge Invoice - Due 02/28/2019
GPS Fees
73.620 Acre
8.000 /Acre 588.96
588.96
Dolomitic lime - Bulk
20.320 Tons
49.000 Irons 995.68
995.68
App Fees Materials
20.320 Each
13,500 ]Each 274.32
274.32
Invoice Total 1,868.96 0.00
1,858.96
Ending Total Balances 0.00
1,8.58.96
Current 1 - 30 31 - 60
61 - 90 Over 90
Unapplied Budget Billing Prepay
Overall
1,858.96 0.00 0.00
0.00 0.00
0.00 0.00 0.00
1,858.96
401
J{
Ayden Nitrogen Date: 01/31/2019 Contentnea Metro Sewage Dist

fry' * _lip
,
:

GPI-59A COMPLIANCE REPORT FORIiI Permit &0000C)01C�09
(Submil one each monitoring period with G1,V 59 forms.)
1
Enter date monitoring results were due. ( " -. -1 ) Will this monitoring report (GIN-59 and GW-59A)
YES
NO
be submitted after the established due date?
2
Was any required information missing on the GW-59 report forms?
YES
IF the answer to question 1 or 2 is "YES", list in the space provided below the well identification number(s) and
explain the problems encountered in obtaining the required information.
3
Are any of the monitor wells in need of repair or maintenance (damaged casing, unlocked or missing cap, missing
YES
NO
identification plate, area overgrown, etc.)? If the answer is "Yes", contact the Regional Office for guidance,
�(
4
Are any monitored constituents equal to or above the established standards?
YfS
NO
If the answer to question 4 is NO", skip to section 8.
If the answer to question 4 is "YES" list the affected wells individually with constituent(s) and concentrations)
exceeding standards in the space provided below:
t,Jell :F 10 CY)r0 YYIum 16 uq 1'L
5
For the constituents identified in question 4 above, have standards been exceeded previously for the
YES
NO
same constituent(s) in the same well(s) in the last two years?
If the answer to question 5 is "NO", skip to section 8.
If the answer to question 5 is "YES", list in the space provided below, each well with constituents) exceeding
standards, concentration(s) reported, and sample collection date for each occurrence (for the last two years).
I,Je11`#10 Chfo�ni Lry) i4LkgjL--
(p-Z7-11 lc?(?Il 10 ChrCY )iui'n 15L,91C�
i(1-11-1i t,�}�.II �10 G�iCt'ni{.U'n lr-tUl�1C.
6
Are the monitoring wells listed in section 5 located at or beyond the review boundary?
YES
NO
If the answer is "YES", a groundwater quality problem may be occurring. CONTACT THE REGIONAL
OFFICE IMMEDIATELY FOR GUIDANCE. if the answer is "NO", monitoring wells may be.improperly
located; contact the Regional Office.
7
Is the permittee implementing previously approved actions required by the Division involving this
YES
NO
groundwater quality problem?
If the answer to question 7 is "YES", describe those actions in the space provided below.
If the answer to question 7 is "NO", contact the Regional Office within 90 days; an evaluation may be
required to determine the impact the waste disposal system is having at the review and compliance
boundaries surrounding this facility. Failure to do so may subject the permittee to a Notice of Violation,
fines, and/or penalties,
�-hem+c ma�i+cf Qi�d�V alum � a I k '� �ue5
g
The person completing this portion (GW-59A) of the monitoring report should sign below and submit this
form with GW-59 forms for required wells to the address provided at the top of the current GW-59 form.
I hereby acknowledge.that the above information was evaluated,and the information submitted inthis
repoft (Compliance Report GW-590is true and complete fo the best of my knowledge.
�n f 43-/9
Signature of Permittee (or Authorized Agent) Date
GW-59A 12/8/2003

Ah
SUBMIT FORM ON &UW PAPER ONLY
r�
Nor
GROUNDWATER QUALITY MONITORING:
DEPARTMENT OF,.ENVIRONMENTAL QUALITyY DIV{ OF WATER iiE50URCES
iNFORMA'n�'N,PRocEssING UNIT`
COMPLIANCE REPORT FORM
F f-- YrN �'iti`l+�ZcBC+17-��.� �1[4
1617MAILSEWCECENTER RALEIGH„NC��Z75991617 Phone 919SB07G308� °,,.
FACILITY INFORMATION Please Print Clearly or Type
PERMIT Number: Expiration Date: -zp7Q
Facility Name: jen` nica_ m.Q
Non -Discharge LJ tCOJOL g UIC
Permit Name (if different): Y, .eT 4
NPDES i`ICC0-,Zb)__) Other
Facility Address:
TYPE OF PERMITTED OPERATION BEING MONITORED
Grl�tO� NC Z�530 County i —
❑ Lagoon ❑ Remediation: infiltration Gallery
„.Ay' �'«� _,�,
❑ Spray Field ❑ Remediation:
Contact Person:1?i1L°��(711� �1
Telephone#: �6z-6ZLP56qLI
❑ Rotary Distributor 1Y Land Application of Sludge
Well Location/Site Name:y5y. C g¢ C>� J)}On-F ,fit {
No. of wells to be sampled: -
❑ Water Source Heat Pump ❑ Other:
(from Pemuq
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): cl
Date sample collected: Z-2D-r'd
FIELD ANALYSES:
WAS
Well Depth: ig ft.
Well Diameter: 7_ in.
pH 00400:4W units Temp. 000io: JL0 °C
DRY at
Depth to Water Level 82546: (a ft. below measuring point Screened Interval: 3 ft. to
ft. Spec. Cond. 00094: µMhos
time of
Measuring Point is �. 5 ft. above land surface
Relative M.P. Elevation: ft.
Odor 000s5: rune-
sampling,
check
Volume of water pumped/bailed before sampling: �7
gallons
Appearance C)C)(_O q
here:❑
Samples for metals were collected unfiltered: EX YES
❑ NO and field acidified: (R] YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: = Z&-jg
_
Laboratory Name: EnNI fcnyr cn+1- j f1C Certification No. I
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD oo33s mg/L
Nitrite (NO2) as N oo6is
mg/L Pb - Lead oiosi ug/L
Coliform: MF Fecal 31616 < /100mL
Nitrate (NO3) as N 00620 D,cko
mg/L Zn - Zinc D1092 mg/L
Coliform: MF Total 31504 /100ml-
Phosphorus: Total as P oo665
mg/L
(Note_ use MPN method for highly turbid samples)
Orthophosphate 70507
P Q • OZ
mglL
Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 /)% mg/L
AI - Aluminum oilo5
mg/L
pH (Lab) 00403 4. (4q units
Ba - Barium 01C07
ug/L
TOC 00680 q.qz mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002 ug/L
Chromium: Total 01034 Cj
ug/L
Grease and Oils 00552 mg/L
Cu - Copper 01042
mg/L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730 ug/L
Fe - Iron 01045
ug/L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945 mg1L
Hg - Mercury 71goo
ug/L Lab Report Attached? ❑ Yes (1) ❑ No (0)
pecific Conductance 000gs gD,Fj µMhos
K - Potassium 00937
mg/L
VOC 7673 method #
Total Ammonia oo6lo a Y� mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen: NH3 as N: Ammonia Nitrogen, Total)
Mn - Manganese moss -
ug/L , method # _
TKN as N 00625 mg/L
Ni - Nickel olos7
ug1L method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg1L Effluent Total VOCs: mg/L VOC Removal%
Permittee (or Authorized Agent) Name and Title -
GW-59 Rev.3-1-2016

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
Print Cleady or Type
Facility Name:
Permit Name (if di
Facility Address:
GM
Contact Person: I �n>°e 6rf- l d-h Telephone#:
Well Location/Site Name: �_ p� Gi eid j: LQ No. of wells to be sampled
PERMIT Number: Expiration Date:-�l-Zp7O
Non -Discharge Q(� C)OOi 0 Q UIC
NPDESOther
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
❑ Rotary Distributor ® Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
SAMPLING INFORMATION
WELL ID NUMBER (from Permit): I Date sample collected: Z-Zl?-i (W
Well Depth: qft. Well Diameter: Z- in.
Depth to Water Level 82546: �j ft. below measuring point Screened Interval: 2 ft. to
�`• g p ft.
Measuring Point is 3 ft. above land surface Relative M.P. Elevation: ft.
Volume of water pumped/bailed before sampling: gallons
Samples for metals were collected unfiltered: (2 YES ❑ NO and field acidified: ® YES ❑ NO
FIELD ANALYSES:
pH 00400:5-C� units Temp. 000io: i �j °C
Spec. Cond. 000sa: �7. y µMhos
Odor 000as: r)ont
Appearance C-yea
If WELL
WAS
DRY at
time of
sampling,
check
here-.❑
LABORATORY INFORMATION
Date sample analyzed: 2 Zo !
Laboratory Name: f ai-ECrfyeni rj
)r�c_ Certification No. 1D
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
_
COD 00335
mg/L
Nitrite (NO2) as N omis
mg/L
Pb - Lead o1o51 ug/L
Coliform: MF FeC21 31616
/100mL
Nitrate (NO3) as N 00620
mg/L
Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
1100mL
Phosphorus: Total as P 00665
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507 C), (j3
mg/L
Other (Specify Compounds and Concentration Units):
issolved Solids:Total70300 S Ll
mg/L
AI - Aluminum oiios
mg/L
pH (Lab) 00403 15. DC4
units
Ba - Barium 01007
ug/L
TOC 00660 3.
mg/L
Ca - Calcium oogi6
mg/L
Chloride 00940
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total 01034 16
ug/L
Grease and Oils 00552
mg/L
Cu - Copper 01042 4p,p(p
mg/L
ORGANICS: (by GC, GC1MS, HPLC)
Phenol 32730
ug/L
Fe - Iron 01045
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg/L
Hg - Mercury 71goo
ug/L
Lab Report Attached? ❑ Yes (1) ❑ No (0)
pecific Conductance 00095 51 .0
/tMhos
K - Potassium OD937
mg/L
VOC 7873 method #
Total Ammonia o0610 <O• OQ
mg/L
Mg - Magnesium 00927
mg/L
method #
(Ammonia Nitrogen: NH3 as N: Ammonia Nitrogen, Total)
Mn - Manganese o1o55
ug/L
, method #
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
- G\A -- Rev.3-1-2016

SUBMIT FORM ONAdkOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
FAr'fl ITY IAIFr1PMAT1rINI Please Prfnt Clearly orTvAe
Facility Name:
Permit Name (if di
Facility Address:
'iw
Contact Person: i)Pn-a- 6`pj �_n Telephone#:
Well Location/Site Name: 6 c7-� }-ilr i IQ No. of wells to be sampled: S
WELL ID NUMBER (from Permit): j u Date sample collected: Z Zb- l9
Well Depth: �ft. Well Diameter: Z in.
Depth to Water Level B2546: "D ft. below measuring point Screened Interval: ft. to I _�) ft.
Measuring Point is Z ft. above land surface Relative M.P. Elevation: ft.
Volume of water pumped/bailed before sampling: 5 gallons
Samples for metals were collected unfiltered: ® YES ❑ NO and field acidified: ® YES ❑ NO
:RMIT Number: Expiration Date: I-�.��7C�
,n-Discharge ❑OC)tcL1q UIC
'DES iy1000'JZQ Other
'PE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
❑ Rotary Distributor 1Y Land Application of Sludge
❑ Water Source Heat Pump ❑ Other.
If WELL
FIELD ANALYSES: WAS
pH ooaoo: 4 25 units Temp. 000la: 1 °C DRY at
Spec. Cond_ 000ga: µMhos time of
sampling,
Odor 00085: (XY) check
Appearance ^i here:❑
Date sample analyzed: 2-zc�- I� Laboratory Name: fCf�f11eni � l �l�--
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L Nitrite (NO2) as N oo615 mg/L Pb - Lead olosi
Coliform: MF Fecal 31616 < /100ml- Nitrate (N%) as N 00620 0),LJrip mg/L Zn - Zinc 01092
Coliform: MF Total 31504 /100mL Phosphorus: Total as P 00665 mg/L
(Note: Use MPN method for highly turbid sampled Orthophosphate 70507
0, 0 (— mg/L Other (Specify Compounds and Concentration Units):
)issolved Solids:Total 70300
4_�
mg/L
Al -Aluminum 01105
mg/L
pH (Lab) 00403
L .q �j
units
Ba - Barium 01007
ug/L
TOC oo68o
. U L'19
mg/L
Ca - Calcium oog16
mg/L
Chloride 00940
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total 01034 7
ug/L
Certification No. l (j
ug/L
mg/L
Grease and Oils 00552
mg/L
Cu - Copper 01042
CQ, Qjp mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron 01045
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg/L
Hg - Mercury 71900
ug/L
Lab Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance ooc95 ('z'L4
µMhos
K - Potassium 00937
mg/L
VOC 7873 method #
Total Ammonia oo610 C)y
mg/L
Mg - Magnesium 00927
mg/L
method #
(Ammonia Nitrogen: NH3as N: Ammonia Nitrogen, Total)
Mn - Manganese o1o55
ug1L
, method #
TKN as N oos25
mg/L
Ni - Nickel 01067
uglL
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
-_� tnt&rniLl') (end )A URI tCfAw ©2L
Permittee (or Authorized Agent) Name and Title - Please print or type
- GW-59 Rev.3-1-2016
Permittee (or Authorized Agent)

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
Facility Name:
Permit Name (if di
Facility Address:
Please Print CJearty or
N l L6rD DU County
Em
IContactPerson: ►�t?s}ee�ml Telephone#: nz-�7L4-5
Well Location/Site Name:iSSQIGILI 4- Z1glD No. of wells to be sampled:
WELL ID NUMBER (from Permit):. 15 Date sample collected: z7c,-ig
Well Depth: q ft. Well Diameter: Z in.
Depth to Water Level 52546: ft. below measuring point Screened Interval: 3 ft. to '? ft.
Measuring Point is Z . S ft. above land surface Relative M.P. Elevation: ft.
Volume of water pumped/bailed before sampling: 5 gallons
Samples for metals were collected unfiltered: ® YES ❑ NO and field acidified: © YES ❑ NO
RMIT Number: Expiration Date:_ 1-31-ZUZ0
n-Discharge tx3QCWko4� UIC
,DES f-.-tCC C 7-6;F) Other
PE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
❑ Rotary Distributor ® Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
If WELL
FIELD ANALYSES: WAS
pH 00400: 4Irl units Temp. 000lo: )- ? °C DRY at
Spec. Cond. 000ea: �� µMhos time of
u� i sampling,
Odor omm ��r t7Q(�{ check
Appearance t ✓icar here:a
Date sample analyzed: r ZD-1'� Laboratory Name: !%1i �CY)m ent S/ arc
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L Nitrite (NO.) as N oo615 mg/L Pb - Lead o1o51
Coliform: MF Fecal 31616 < { /100ml- Nitrate (NO3) as N 00620 p, 5Z mg/L Zn - Zinc olo92
Coliform: MF Total 31504 /100ml- Phosphorus: Total as P oo665 mg/L
N PN h d f h' hl t b'd I
Certification No. {Q
ug/L
mg/L
( ote. Use M met o or ig y ur i samp es) Orthophosphate 70507
p D- OZ mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 Q15
mg/L
AI -Aluminum o1105 mg/L
pH (Lab) 00403 L+ �G
units
Ba - Barium 01007 ug/L
TOC oo68o Q .5�
mg/L
Ca - Calcium 00916 mg/L
Chloride 00940
mg/L
Cd - Cadmium 01027 ug/L
Arsenic 01002
ug/L
Chromium: Total 01034 ug/L
Grease and Oils 00552
mg/L
Cu - Copper 01042 Cp.QI (j
mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron 01045
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg/L
Hg - Mercury 71900
ug/L
Lab Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance a=5 � (�
µMhos
K - Potassium 00937
mg/L
VOC 7873 method #
Total Ammonia oosio �.Z�.
mg/L
Mg - Magnesium 00927
mg/L
method #
(Ammonia Nitrogen: NH3 as N: Ammonia Nitrogen, Total)
Mn - Manganese 01055
ug/L
, method #
TKN as N 00525
mg/L
Ni - Nickel 01067
ug1L
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
�r1�� Jmi4 Lgn6 r4PD{t C6-h&) 2C..
Permittee (or Authorized Agent) Name and Title - Please print or type
GV' -- Rev. 3-1-2016
(Date)

SUBMIT FORM ON
PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
FACILITY INFORMATION Please Print Clearly or Type
Facility Name: (na-D
Permit Name (if different): ff{ 6D
Facility Address: Cj Do ()_)y j-e f) j '-�C'bp,G Co-)
WC County
Contact Person: P11 f',� �yjm I Telephone#: 1r_5Z-rj ZQ_
Well Location/Site Name: b.) 0-G No, of wells to be sampled:
PERMIT Number: Expiration Date: f-3I_ 7()
Non -Discharge WQQCGIO(-i-�g UIC
NPDES .�iJJ�7LO-) Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
❑ Rotary Distributor ® Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
SAMPLING INFORMATION
)
If WELL
WELL ID NUMBER (from Permit):
Date sample collected:
FIELD ANALYSES:
WAS
Well Depth: ic) ft.
Well Diameter: Z in.
I Fj
pH ooaoo:� units Temp. 00010: °C
DRY at
Depth to Water Level 92546: ft. below measuring point Screened Interval: J ft.
to )D ft.
Spec. Cond. 00094: ) (P µMhos
time of
Measuring Point is eft. above land surface
Relative M.P. Elevation:
ft.
Odor 00085: noj)f
sampling,
check
Volume of water pumped/bailed before sampling: '5
gallons
Appearance C1eaf
here:❑
iSamples for metals were collected unfiltered: R YES
❑ NO and field acidified: ® YES
❑ NO
LABORATORY INFORMATION
(�
Date sample analyzed:
Laboratory Name: rN i (Qnma-)-i �T�
nc. Certification No. )Q
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L
Nitrite (NO2) as N 00615
mg/L
Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616 C /100mL
Nitrate (NO3) as N 00620 �,�t
mg/L
Zn - Zinc 01092 mg/L
Coliform: MF Total 31504 /100mL
Phosphorus: Total as P om6s
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507 0.()1
mg/L
Other (Specify Compounds and Concentration Units):
]issolved Solids:Total 70300 IZ�J mg/L
AI -Aluminum o11o5
mg/L
pH (Lab) C0403 units
Ba - Barium 01007
ug1L
TOC oo660 (p .71j mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002 ug/L
Chromium: Total 01034 (p ug/L
Grease and Oils 00552
mg/L
Cu - Copper 01042 <Q,UIb
mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug1L
Fe - Iron 01045
ug/L
(Specify test and method.#. ATTACH LAB REPORT.)
Sulfate 00945
mg/L
Hg - Mercury 71900
ug/L
Lab Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance 00095 (G
µMhos
K - Potassium o0937
mg/L
VOC 7673 method #
'Total Ammonia ooslo
mg/L
Mg - Magnesium 00927
mg/L
method #
(Ammonia Nitrogen; NH3 as N; Ammonia Nitrogen, Total)
Mn - Manganese oio55
ug/L
method #
TKN as N 00625
mg/L
Ni - Nickel o1067
ug/L
method #
Fnr Rpmprliatinn SVCtpmR nnh/ (Gttarh I nh PmnnrFcl- Infl ... nf TMl \Inf`— --/I mtn,...... T. l \ rnr -
Permittee (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev.3-1-2016

fflN"T@MbP � T, hmpumbCol
P.O. BOX 7085, 114 OAKMONT DRIVE PHONE [phone]
GREENVILLE, N.C.27835-7085 FAX (252) 7S6-0633
CMSD (SLUDGE & WELLS ACCT)
CONTENTNEA METRO. SEWAGE DIST.
MS. RENEE PRIDGEN
P.O. BOX 477
GRIFTON ,NC 28530
ID#: 416
DATE COLLECTED: 02/20/18
DATE REPORTED : 03/08/18
REVIEWED BY:
Well
Well
Well
Well
PARAMETERS
#9
#10
#14
#15
Fecal Coliform (MF), 1100 Ms
< 1
< 1
< 1
< 1
Ammonia Nitrogen as N, mg/l
0.37
<0.04
<0.04
0.25
Nitrate Nitrogen as N, mg/l
0.06
0.28
0.46
0.52
Total Organic Carbon, mg/l
8.82
3.59
1.46
9.58
Total Dissolved Residue, mg/l
76
54
47
95
Total Chromium, ug/1
9
15
7
8
Copper, ug/l
< 10
< 10
< 10
< 10
Conductivity (at 25c), uMhos/cm
80.5
57.4
62.4
78.0
Total Ortho-Phosphate as P, mg/l
0.02
0.03
0.02
0.02
Weil
Analysis
Method
#18
Date
Analyst
Code
< 1
02/20/18
KAC
9222D-97
0.06
03/06/18
ME[,'
350.1 R2-93
0.04
02/28/18
DTL
353.2 R2-93
6.75
02/21/18
SEJ
531OC-11
129
02/22/18
KAC
2540C-11
6
02/26/18
LFJ
EPA201
< 10
02/26/18
LFJ
EPA20
149
02/26/18
JTH
251OB-11
0.01
02/21/18
SEJ
450OPE-11

GW-59A COMPLIANCE REPORT FORM Permit # OCMIG(Pq
(Submit one each monitoring period with Gff,' 59 forms.)
1
Enter date monitoring results were due. ( ) Will this monitoring report (GW-59 and GW-59A)
YES
NO
be submitted after the established due date?
2
Was any required information missing on the GW-59 report forms?
YES
1Np
7�
IF the answer to question I or 2 is "YES", list in the space provided below the well identification number(s) and
explain the problems encountered in obtaining the required information.
3
Are any of the monitor welts in need of repair or maintenance (damaged casing, unlocked or missing cap, missing
YES
NO
identification plate, area overgrown, etc.)? If the answer is "Yes", contact the Regional Officefor guidance.
4
Are any monitored constituents equal to or above the established standards?
YfS
NO
If the answer to question 4 is "NO", skip to section 8.
If the answer to question 4 is "YES" list the affected wells individually with constituent(s) and concentration(s)
exceeding standards in ,the space provided below:
Wjj TCC 1C).2)1rq)L
oa1*15TCG Ii-aZrrqlL
Weil 4-10 Chforf1i upn iL g ICr
5
For the constituents identified in question 4 above, have standards been exceeded previously for the
YE$
NO
same constituent(s) in the same well(s) in the last two years?
\]/
!f the answer to question 5 is "NO", skip to section 8.
If the answer to question 5 is "YES"' list in the space provided below, each well with constituent(s) exceeding
standards, concentration(s) reported, and sample collection date for each occurrence (for the last two years).
sveit *i -FOG � ZG_, (I IkXIN 1'510C- to ,LPrnq'/c-14^1(> Ueii loC �a�,ticr� i5�q�'
'iDC PO.Somq/L 10-3' o klejI+1D Chromsum lLjuq)t. 1--7,2-1-) 2-ZoI
.-roC JZ.IC�rng/� ZZZ-n Drorrt Um 16lL vn-1 )
-rocl tFZ•1Zrtt�/L !e-Z! I"3 Chrcrni4m jail )L t0-'I!-n
6
Are the monitoring wells listed in section 5 located at or beyond the review boundary?
YES
NQ
�(
If the answer is "YES", a groundwater quality problem maybe occurring. CONTACT THE REGIONAL
OFFICE IMMEDIATELY FOR GUIDANCE. If the answer is "NO", monitoring wells maybe improperly
located; contact the Regional Office.
7
Is the permittee implementing previously approved actions required by the Division involving this
YES
NO
groundwater quality problem?
If the answer to question 7 is "YES", describe those actions in the space provided below.
If the answer to question 7 is `WO", contact the Regional Office within 90 days: an evaluation may be
required to determine the impact the waste disposal system is havinq at the review and compliance
boundaries surrounding this facility Failure to do so may subiect the permittee to a Notice of Violation,
fines, and/or penalties.
�]0plDU-kZ - i-)aeo l t) Otall viola-�Mt) aril k'ea(-e LOLO� r ,4�
+r n,k, tY`oni-k Y Of)d G(Ctt uLt4P, Q I) i 5.'1-tom .
S
The person completing this portion (GW-59A) of the monitoring report should sign below and submit this
form with GW-59 forms for required wells to the address provided at the top of the current GW-59 form.
I(hereby3acknowedge that titeliover)niorratEonfvv�s,evalGatetlFa tifefinformat�an submitted )�hs'�{
report;(Compli�ce�Report GW`59A) js true.e��com„plete?foytFie{tiesfof my�}knowledge -,._. ,,.;;�,F
,__._.,��
hmv jK,
Signature of Permittee (or Authorized Agent) Date
GW-59A 12/8/2003

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING: NFOI2M4'T10 N 15 ' - ;
COMPLIANCE REPORT FORM 1as1LsrIc�cEN�u> t��,;zss¢�tr� rtioe-s3o
FACILITY INFORMATION Please Print Cleady orType PERMIT Number: Expiration Date: _ I_;Zlj_ZDZC)
Facility Name: ec— Non -Discharge QQQCQIC4-9 UIC
Permit Name (if different): 'ea_n) D NPDES 1-400DZ2c ) Other
Facility Address: Q1 I` C' �'ll1 -) TYPE OF PERMITTED OPERATION BEING MONITORED
(j 4CI- (Street) CU 530 County_1+ ❑ Lagoon ❑ Remediation: Infiltration Gallery
(City) (Slate) (Zip)
❑ Spray Field El Remediation:
Contact Person: j)�enf_f_ 6IY)1gj1-) Telephone#: 42-5Z46594 ❑ Rotary Distributor 1% Land Application of Sludge
Well Location/Site Name:,UJ P-6 �e C>.V t) IQn-�oiff. No. of wells to be sampled:1 ❑ Water Source Heat Pump ❑ Other:
ffmm P.—M
WELL ID NUMBER (from Permit): Date sample q p le collected: �-2d"1q
Well Depth: gft. Well Diameter. Z. in.
Depth to Water Level 92646: U-5 ft. below measuring point Screened Interval: 3 ft. to ft.
Measuring Point is Z• 5 ft. above land surface Relative M.P. Elevation: ft.
Volume of'water pumped/bailed before sampling: 5 gallons
Samples for metals were collected unfiltered: ® YES ❑ NO and field acidified: YES ❑ NO
FIELD ANALYSES:
pH oosoo: 4.C1 I units Temp. OOD10: ZS eC
Spec. Cond. 00094: („5- D µMhos
Odor 000ss: fiCnl
Appearance etpudy
WAS
DRY at
time ofsampling,
check
here:❑
LABORATORY INFORMATION
Date sample analyzed: &-Zp-i
___
Laboratory Name: LfWI O ' t ( E()C . Certification No.
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615
mg/L
Pb - Lead olos1 ug/L
Coliform: MF Fecal 31616 < 1
/100mL
Nitrate (NO3) as N oosao d,c),5
mg/L
Zn - Zinc 01092 mg/L
Coliform: MF Total 31504 .
/100mL
Phosphorus: Total as P o0665
mg/L
(Note: Use MPN method for Nghly turbid samples)
Orthophosphate 70507 (2). 10
mg/L
Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 03
mg/L
AI - Aluminum o11os
mg/L
pH (Lab) 00403 4. [
units
Ba - Barium 01007
ug/L
TOC oosao 1o.2:)
mg/L
Ca - Calcium oo916
mg/L
Chloride oosao
mg/L
Cd - Cadmium of o27
ug/L
Arsenic oioo2
uglL.
Chromium: Total 01034 ug1L
Grease and Oils 00552
mg/L.
Cu - Copper 01042 <Q .Ol O mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron 01045
ug1L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg/L
Hg - Mercury 71900
ug/L
Lab Report Attached? ❑ Yes (1) ❑ No (0)
pecific Conductance 00095 jp�j • O
11Mhos
K - Potassium 00937
mg/L
VOC 7873 method #
Total Ammonia oosao o •1LA
mg/L
Mg - Magnesium 00927
mg/L
method #
(Ammonia Nitrogen; N1­13as N; Ammonia Nitrogen. Total)
Mn - Manganese o1o55
ug/L
method #
TKN as N 00625
L mg/L-
Ni - Nickel oios7
ug/L
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOc Removal h
1�• ec6m,Jan LQnd P,oaiC 4cr\cpc-(—
Permittee (or Authorized Agent) Name and Title - P ease print or type
Gt Rev.3-1-2016
Agent)
(Date)
N

.Z. Ubrvli 11-UMM UN
YHYttC VNL7
ATER QUALITY MONITORING:
CE REPORT FORM
Clearly or Type
Facility Name:
Permit Name (if different):
Facility Address:
County
(city) (Scale) (Zip)
Contact Person: Telephone#: aMZ(-jr6'%4
Well Location/Site Name: 686 ty-A No. of wells to be sampled: 15
PERMIT Number: Expiration Date:j_�Zn
Non -Discharge , 01C% 'q UIC
NPDES . Ncod-aw)) Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Feld ❑ Remediation:
❑ Rotary Distributor 56 Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): Q
Date sample collected:
FIELD ANALYSES:
WAS
Well Depth: ft.
Well Diameter. Z in.
pH 00400:5.fq units Temp. 000lo: Zlo °C
DRY at
Depth to Water Level 62546: 3, Fj ft. below measuring point
Screened Interval: Z fL to'q ft.
Spec. Cond. 00094: J`t. µMhos
time of
sampling,
Measuring Point is 3 ft above land surface
Relative M.P. Elevation: ft.
Odor 000e5: ncn-e-
check
_
Volume of water pumped/bailed before sampling: 5
gallons
Appearance (G�
here:❑
Samples for metals were collected unfiltered: [K] YES
❑ NO and field acidified: [)9 YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: -Z�-I�
Laboratory Name: 7-7hvIron men-}
Yr
I1^C Certification No. l�
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L
Nitrite (NO2) as N 00615
mg/L
Pb -Lead oiosi ug/L
Coliform: MF Fecal 31616 /100mL
Nitrate (NOs) as N 00620 ©;) Cp
mg/L.
Zn - Zinc 01092 mg/L
Coliform: MF Total 31504 /100mL
Phosphorus: Total as P 00665
mg/L
(Note: use MPN method for highly titrbidsamples)
Orthophosphate 7oso7 Q. I l.p
mg/L
Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 C q mg/L
Al - Aluminum o11os
mg/L
pH (Lab) 00403 5, iG units
Ba - Barium 01007
ug1L
TOC oosso mg/L
Ca - Calcium oo916
mg/L
Chloride 00940 mg/L
Cd - Cadmium 01627
ug/L
Arsenicoloo2 ug/L
Chromium: Total01034 j(o
ug/L
Grease and Oils 00552
mg/L
Cu - Copper 01042
<o.o to mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron 01045
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg/L
Hg - Mercury 7190D
ug/L
Lab Report Attached? ❑ Yes (1) ❑ No (0)
pecific Conductance 000gs 5 `.
µMhos
K - Potassium 00937
mg/L
VOC 7873 method #
Total Ammonia 00610 <Q. QW
mg/L
Mg - Magnesium 00927
mg/L
method #
(Ammonia Nitrogen; NH3 as N; Ammonia Nitrogen, Total)
Mn - Manganese oloss
ug/L
, method #
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
1 certify that, to the best of my knowledge and behcf, the information submitted in this report is true, accurater and complete. and that the laboratory analydical data was produced us ng approved methods of analysis by a
D1NR-certified laboratory. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations.
ft pi
� I
Permittee (or Authorized Agent) Name and T'itle - Pliase print or type Signature of PerinittLe (or Authorized Agent)
D_

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
Facility Name:
Permit Name (if different):
Facility Address: C
C FI r`� (Stree� Z 30_ County
Contact Person: 'P)'P (fee6 1 1IV') Telephone#:
Well Location/Site Name: i I W ` No. of wells to be sampled:
PERMIT Number: Expiration Date: I-a51-LOLU
Non -Discharge 0QO001Q4tS UIC
NPDES W_0()320_q Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
❑ Rotary Distributor M Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
SAMI'l-MU INrUKMAI IUN
WELL ID NUMBER (from Permit): I L4 Date sample collected: �1
Well Depth:ft. Well Diameter: _7L in.
Depth to Water Level 82546: ft. below measuring point Screened Interval: b_ft. to (3 ft.
Measuring Point is Z ft. above land surface Relative M.P. Elevation: ft.
Volume of water pumped/bailed before sampling: �j gallons
Samples for metals were collected unfiltered: [I YES ❑ NO and field acidified: �Z) YES ❑ NO
If WELL
FIELD ANALYSES: WAS
pH 004005•05 units Temp_ 000lo: - °C DRY at
time of
Spec. Cond. 000sa: %2.9 µMhos sampling,
Odor 00065: nant check
Appearance 0'6a( here: El
ate sample analyzed: r.., 10 b
Laboratory Name: �J1V I l (7(11 (lit
Certification No. lQ
ARAMEi'ERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L
Nitrite (NO2) as N 00615 mg/L
Pb - Lead oiosi ug/L
Coliform: MF Fecal 31616 1 /100mL
Nitrate (NO3) as N 00620 C) , Q mg/L
Zn -Zinc 01092 mg/L
Coliform: MF Total 31504 /100mL
Phosphorus: Total as P 00665 mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507 0 - 04 mg/L
Other (Specify Compounds and Concentration Units):
ssolved Solids:Total 70300 mg/L
Al - Aluminum 01105 mg/L
pH (Lab) 00403 . units
Ba - Barium 01007 ug/L
TOC 00680 2 3 mg/L
Ca - Calcium 00916 mg/L
Chloride 00940 mg/L
Cd - Cadmium olo27 ug/L
Arsenic 01002 ug/L
Chromium: Total 01034 4z ug/L
Grease and Oils 00552 mg/L
Cu - Copper 01042 CO, O10 mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730 ug/L
Fe - Iron 01045 ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945 mg/L
Hg - Mercury 71900 ug/L
Lab Report Attached? ❑ Yes (1) ❑ No (0)
peck Conductance 00095 µMhos
K - Potassium 00937 mg/L
VOC 7673 method #
Total Ammonia oo6io <� .� mg/L
Mg - Magnesium oo927 mg/L
method #
(Ammonia Nitrogen; NH3asN; Ammonia Nitrogen, Total)
Mn - Manganese otoss ug/L
, method #
TKN as N 00625 mg/L
Ni - Nickel 01067 ug1L
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L inTnuenr i oiat vut✓s: Iny,L V V%. nCnrvvar i°
GV Rev.3-1-2016

GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
...�,..,... Y...., Pfe:
Facility Name:
Permit Name (if different):
Facilitv Address: QC
or)ype
SUBMIT FORM ON OW PAPER ONLY
- Flll[s1IL•;It�ki�
County
{Cilyj �L [, �� (Stale) tz,p)
.
Contact Person: I){�-ee �)(t(h Telephone#: Z,�7-�JZ�(—J
Well Location/Site Name:1,RfC'Gffa4) 1L- S�z_I-q(0 No. of wells to be sampled:
PERMIT Number: Expiration Date: L-31 O ZO
Non -Discharge LL)('1o00)D410 UIC
NPDES EILLO �� Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
❑ Rotary Distributor Land Application of Sludge
❑ Water Source Heat Pump ❑ Other.
SAMPLING INFORMATION
WELL ID NUMBER (from Permit): 5
Date sample collected:
FIELD ANALYSES:
If WELL
WAS
Well Depth: g ft.
Well Diameter tin.
pH 00400:6.0 units Temp. 00010: Z5 °C
DRY at
5 ft. below measuring point
Depth to Water Level 62546: L g p
Screened Interval: 3 ft. to ft.
Sec. Cond. aoosa: �,,. t_} µMhos
p
time of
sampling,
Measuring Point is -Z. 15 ft. above land surface
Relative M.P. Elevation: ft.
Odor 000lls: nDn�:C
check
Volume of water pumped/bailed before sampling: 5 gallons
Appearance G1?Q(
here:
El
Samples for metals were collected unfiltered: ® YES ❑ NO
and field acidified: D5YES ❑ NO
Date sample analyzed: ZOJ'g
Laboratory Name:
&-yl W (Y)ef)+
S t
( Certification No. 6©
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N oo6i5
mg/L
Pb - Lead oio51 ug/L
Coliform: MF Fecal 31616 1 /100mL
-
Nitrate (NO3) as N 00620
mg/L
Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507'
©p-0
mg/L
Other (Specify Compounds and Concentration Units):
)issolved Solids:Total 70300 j co
mg/L
Al -Aluminum oilo5
mg/L
pH (Lab) 00403 5.13
units
Ba - Barium 01007
ug/L
TOC 00660 j j 4Z
mg/L
Ca - Calcium oosi 6
mg/L
Chloride 00940
mg/L
Cd - Cadmium olo27
ug/L
Arsenic olooz
ug/L
Chromium: Total 01034_ -_ uglL
Grease and Oils 00552
mg/L
Cu - Copper 01042
GO•p{ 0
mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron oio45
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate oo945
mg/L
Hg - Mercury 71900
ug/L
Lab Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance 00095 /)3-L A
µMhos
K - Potassium oo937
mg/L
VOC 7873 method #
Total Ammonia 00610 ©.Zg
mg/L
Mg - Magnesium 00927
mg/L
method #
(Ammonia Nitrogen; NHaas N: Ammonia Nitrogen. Total)
Mn - Manganese oio55
ug/L
method #
TKN as N oos25
mg/L
Ni - Nickel olo67
ug/L
method #
For Remediation Systems Only (Attach Lab Reports):
Influent Total VOCs:
mg/L
Effluent
Total VOCs: mg/L VOC Removal%
Land AmiiC'1 cf)pQ ,-
Permiftee (or Authorized Agent) Name and Tdle - Please print or type
GW-59 Rev.3-1-2016
of Permittee (or Authorized Agent)

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
(COMPLIANCE REPORT FORM
Please
Facility Name:
Permit Name (if different):
Facility Address: qQ(
tzp)
rri
act Person: �P� _e-&p 1G"1 Telephone# raj?-�JJ4 6. 4
Location/Site Name: No. of wells to be sampled:
PERMIT Number: Expiration Date:
Non -Discharge )Jc�cg UIC
NPDES �4MO3W`)-) Other
TYPE OF PERMITTED OPERATION BEING MONITORED"
❑ Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Feld ❑ Remediation:
❑ Rotary Distributor �d Land Application of Sludge
❑ Water Source Heat Pump ❑ Other.
SAMPLING INFORMATION
WELL. ID NUMBER (from Permit): 119
Date sample collected: ('-ZL7-I Q __
FIELD ANALYSES:
If WELL
WAS
Well Depth: in
Well Diameter: -7--in.
pH ooaoo: '61 units Temp. 00010: ZZ °c
DRY at
Depth to Water Level 82546:_ft. below measuring point
Screened Interval: __f;ft. to i © ft.
Spec. Cond. 000ga: ) µMhos
time of
sampling,
Measuring Point is Z_ft above land surface
Relative M.P. Elevation: ft.
Odor 00085: I"1C e,
check
Volume of water pumpedlbailed before sampling: 5 gallons
Appearance Gj'
here:a
Samples for metals were collected unfiltered: a] YES ❑ NO
and field acidified: YES ❑ NO
1t3UKAI UM 1l`lr-VrcwlA1!vim
ate sample analyzed: Laboratory Name: (WMCI)
1RAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L Nitrite (NO2) as N oo615 mg/L Pb - Lead o1o51
Coliform: MF Fecal 31616 I 1100mL Nitrate (NO3) as N 00620 0 , (j (� mg/L Zn - Zinc 01092
Certification No. 10
ug/L
mg/L
Coliform: MF Total 31504
/100ml-
Phosphorus: Total as P ooe65
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507 Q , QZ
mg/L
Other (Specify Compounds and Concentration Units):
,solved Solids:Total 703DO 1)
mg/L
Al - Aluminum o11 os
mg/L
pH (Lab) 00403 5. ;yl
units
Ba - Barium o1oo7
ug/L
TOC 00680
mg/L
Ca - Calcium oog16
mg/L
Chloride 00940
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug1L
Chromium: Total o1o34 <5.p
ug/L
Grease and Oils 00552
mg/L
Cu - Copper 01042 <C3. d 10
mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron 01045
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg/L
Hg - Mercury 71900
ug1L
Lab Report Attached? ❑ Yes (1) ❑ No (0)
lecific Conductance 00095 1 ip i
µMhos
K - Potassium 00937
mg/L
VOC 7673 method #
Total Ammonia 00610 8 . Cif
mg/L
Mg - Magnesium oog27
mg/L
method #
(Ammonia Nitrogen: NH3as N: Ammonia Nitrogen, Total)
Mn - Manganese oims
ug/L
, method #
TKN as N 00626
mg/L
Ni - Nickel 01067
ug/L
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOGs: mg/L vvc Kemovaa io
Gb Rev.3-1-2016

��wonumM Ta
~BOX 7085, 114 OAKMONT DRIVE P 252756-6208
GREENVILLE, N.C. 27835-7085 FAX [phone]
ID#: 416
CMSD (SLUDGE & WELLS ACCT)
CONTENTNEA METRO. SEWAGE DIST.
MS. RENEE PRIDGEN DATE COLLECTED: 06/20/18
P.O. BOX 477 DATE REPORTED : 07/11/18
GRIFTON ,NC 28530
PARAMETERS
Fecal Coliform (MY), /100 Mls
Ammonia Nitrogen as N, mg/l
Ammonia Nitrogen as N, mg/1
Nitrate Nitrogen as N, mg/l
Total Organic Carbon, mg/l
W Dissolved Residue, mg/1
tal Chromium, ug/l
Copper, ug/1
Conductivity (at 25c), uMhos/cm
Total Ortho-Phosphate as P, mg/I
REVIEWED BY:
Well
Well
Well
Well
N9
#10
1/14
#15
<1
<1
<1
1
0.74
<0.04
< 0.04
0.28
0.05
0.76
0.78
0.07
10.27
5.44
2.39
11.92
73
48
37
100
8
16
8
7
<10
<10
<10
<10
65.0
51.8
50.9
73.4
0.10
0.16
0.04
0.07
Well
Analysis
Method
#18
Date
Analyst
Code
< 1
06/20/18
JMH
9222D-06
06/26/18
TLH
350.1 112-93
0.09
06/28/18
DTL
350.1 R2-93
0.06
07/10/18
CLO
353.2 R2-93
6.81
06/28/18
SEJ
531OC-11
118
06/21/18
JMT
2540C-11
<5,0
06/27/18
LFJ
EPA200.7
<10
06/27/18
LFJ
EPA200.7
161
06/25/18
HMM
251OB-11
0.02
06/20/18
SEJ
450OPE-11

GW-59A COMPLIANCE REPORT FORM Permit #VI(
(Submit one each monitoring period with GW-59 forms.)
1
Enter date monitoring results were due. ( Ii- b--1 ) Will this monitoring report (GW-59 and GW-59A)
YES
NO
be submitted after the established due date? .
V
2
Was any required information missing on the GW-59 report forms?
YES
NJ
iF the answer to question 1 or 2 is "YES", list in the space provided below the well identification number(s) and
explain the problems encountered in obtaining the required information.
3
Are any of the monitor wells in need of repair or maintenance (damaged casing, unlocked or missing cap, missing
"Yes", Office
YES
NO
identification plate, area overgrown, etc.)? If the answer is contact the Regional for guidance.
4
Are any monitored constituents equal to or above the established standards?
Y,)L,S
NO
If the answer to question 4 is `NO", skip to section 8.
if the answer to question 4 is "YES" list the affected wells individually with constituent(s) and concentration(s)
exceeding standards in the space provided below:
tot? i 1 4' 7(YC I-7 •06 "/(-
i,�e►I +o C)fcm'mam I4UgfC-
U�ii G C-C-Wl Ckdarn 5) iCGrn i
5
For the constituents identified in question 4 above, have standards been exceeded previously for the
YES
NO
same constituent(s) in the same well(s) in the last two years?
� /
y
If the answer to question 5 is NO , skip to section 8.
if the answer to question 5 is "YES"' fist in the space provided below, each well with constituent(s) exceeding
standards, concentration(s) reported, and sample collection date for each occurrence (for the last two years).
ili2li G ��G l�''ul-ily i0.50t'rjiL iJEII�i©�t�'iUm Z72-0 Id
IL
>474,49Cn
`^
Z-22-17 12• I0 pri L 16-1 J-1 Vim,
l
<�%L_
u21r
6
Are the monitoring wells listed in section 5 located at or beyond the review boundary?
YES
�Ip
X
if the answer is "YES". a groundwater quality problem may be occurring. CONTACT THE REGIONAL
OFFICE IMMEDIATELY FOR GUIDANCE. if the answer is "NO") monitoring wells may be improperly
located; contact the Regional Office.
7
Is the permittee implementing previously approved actions required by the Division involving this
WS
NO
groundwater quality problem?
If the answer to question 7 is "YES", describe those actions in the space provided below.
If the answer to question 7 is "NO" contact the Regional Office within 90 days: an evaluation may b e
required to determine the impact the waste disposal system Is having at the review and compliance
boundaries surrounding this facility Failure to do so may subject the permittee to a Notice of Violation,
fines, and/or penalties.
HCDEAJZ'DtL)Q-0QfM 15 ai,��re o�ane�ia �'� and u- hWe-been
t�cl �l n$ ojak-) 44)?j-yiq0 rncn1iiCY Q0d E rCdLtOe c141 I - dUfS -
g
The person completing this portion (GW-59A) of the monitoring report should sign below and submit this
form with GW-59 forms for required wells to the address provided at the top of the current GW-59 form.
he.�eb►acknovietlgetha2�theialiove mfo�matior3 wa> valuated Xr therinlormatio t�btj�ltted+�jth9ss
epor(Complianee;Rep"ort GWr59A) fs true and cornpleteto the.;lest of ►iiykno`ivledg 5`LL ti x, �, ,
Signature of Permittee (or Authorized Agent) Date
GW-59A 12/8/2003

SUBMIT FORM ON YFLI.OW PAPER ONLY
GROU%___ _TER QUALITY MONITORING:
COMPLIANCE REPORT FORM
Please Print Clearly or
Facility Name: �_Or
Permit Name (if different):
Facility Address: GN)
County
(city) (Slate) tziD)
act Person: '1 Telephone#:�Z
Location/Site Nameisk) d:A(a,(op flNo. of wells to be sampled:
/YELL ID NUMBER (from Permit):
Nell Depth: ft.
Depth to Water Level 82546: L4 ft. below measuring point
Measuring Point is Z. ft. above land surface
Volume of water pumped bailed before sampling: 15
Samples for metals were collected unfiltered: N YES ❑
PERMIT Number: Expiration Date:
Non -Discharge {,t1049 UIC
NPDES 1pCC(��U7__ Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Feld ❑ Remediation:
❑ Rotary Distributor (� Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
Date sample collected: ((>24-I�
Well Diameter. Z in.
Screened Interval: ft. to 9 ft.
Relative M.P. Elevation: ft.
gallons
NO and field acidified: DYES ❑ NO
FIELD ANALYSES:
pH oo400: units Temp. 000lo: 2-1 °C
Spec. Cond. o0oe4: i 05 µMhos
Odor 00085: r-)on�
Appearance drew
,UL)KAIVKT IryrUM1Vtii11V1V
Ite sample analyzed: IC>- (kIQ Laboratory Name: &:,(.I roni'Yl_T) inc,
kRAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L Nitrite (NO2_) as N 00615 mg/L Pb -Lead o1os1
Coliform: MF Fecal 31616 < ! /100mL Nitrate (NO3) as N 00620 <C),C)4 mg/L Zn - Zinc 01092
MF T t 1 /100ml- Phosphorus: Total as P 00665 mg/L
Certification No. IO
ug/L
mg/L
Collform. o a 315oa
(Note: Use MPN method for higfily turbid samples) Orthophosphate 70507 a. (mg/L Other (Specify Compounds and Concentration Units):
solved Solids:Total 70300 qQ mg/L
A] - Aluminum 01105
mg/L
pH (Lab) 00403 U. Z units
Ba - Barium 01007
uglL
TOC 00680 mg1L
Ca - Calcium 00916
mg/L
Chloride 00940 mg/L
Cd - Cadmium 01027
ug1L
11
Chromium: Total 01034 Q
ug/L
DRY at
time of
here:❑
Arsenic 01002
Grease and Oils 00552
ug
mg/L
Cu - Copper 01042 <(3,�
mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug1L
Fe - Iron 01045
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg/L
Hg - Mercury 71900
ug/L
Lab Report Attached? n Yes (1) ❑ No (0) 1
method # (p )
Conductance 00095 ) QFj
µMhos
K - Potassium 00937
mg/L
VOC 7873
)ecific
Total Ammonia 00610 (� . �j
mg/L
Mg - Magnesium 00827
mg/L
method #
(Ammonia Nitrogen: 1,11•13as N; Ammonia Nitrogen. Total)
Mn - Manganese 01055
ug/L
method #
TKN as N 00625
mg/L
Ni - Nickel o1067
ug/L
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs:
LandAwlCoMpC
Permittee (or Authorized Agent) Name and Tdle - Please print or type
GW-59 Rev.3-1-2016
mg/L Effluent Total • •
plate and that the laboratory analytical data was produced using approved methods of analysis by a
possibility of fines and imprisonment for knowing violations117�,
1. 1 ►1i -
Wignirture of Permittee (or Authorized Agent) ..

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
Facility Name:
Permit Name (if different):
Facility Address: C((CC
(State) (zip)
Cleady or Type
County
IContact Person:-eneubm-I it--h Telephone# Z62-504
Well Location/Site Name:_ c P F e-16 # 4A No. of wells to be sampled:
RMIT Number: Expiration Date:
n-Discharge LJQGIoi(0Ug UIC
'DES V4CCC3z0-)`-? Other
PE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Feld ❑ Remediation:
❑ Rotary Distributor ® Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
SAMPLING INFORMATION
If WELL
WELL 1D NUMBER (from Permit): ) 0
Date sample collected:
FIELD ANALYSES:
WAS
Well Depth: qft.
Well Diameter. Z in.
pH oo400:-�L-6 units
Temp. 000lo: ZZ °C
DRY at
Depth to Water Level 82546ft. below measuring point
Screened Interval: Z ft. to
ft.
Spec. Cond. 000sa:
50 7 µMhos
time ofsampling,
Measuring Point is ft. above land surface
Relative M.P. Elevation: fL
Odor 00085:
('1CXo•e
check
Volume of water pumped bailed before sampling: 5
gallons
Appearance (-i
ru
here:❑
Samples for metals were collected unfiltered: m YES
❑ NO and field acidified: 9 YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: jQ-ZLt -I�
Laboratory Name: Erw'i fC()(�f'f 1rnf_
i1c_-
Certification No. 10
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L
Nitrite (NO2) as N 00615
mg/L
Pb - Lead o1o51
ug/L
Coliform: MF Fecal 31616 /100ml-
Nitrate (NO3) as N 00620 0, Iq
mg/L
Zn - Zinc 01092
mg/L
Coliform: MF Total 31504 /100mL
Phosphorus: Total as P 00665
mg/L
(Note: Use MPNmethod for highlyturbid samples)
Orthophosphate 70507 Q-oig
mg/L
Other (Specify Compounds
and Concentration Units):
issolved Solids:Total 70300 U 5 mg/L
Al - Aluminum 01105
mg/L
pH (Lab) 00403 Q. (.v units
Ba - Barium 01007
ug/L
TOC ooseo Cj.(45 mg/L
Ca - Calcium oosls
mg/L
Chloride oosao mg/L
Cd - Cadmium 01027
ug/L
Arsenic o1om ug/L
Chromium: Total o1o34 14
ug/L
Grease and Oils ooss2
mg/L
Cu - Copper 01042 <p. COIF
mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron 01045
ug/L
(Specify test and metho"d�(#. ATTACH LAB REPORT.)
Sulfate oosas
mg/L
Hg - Mercury 71900
ug/L
Lab Report Attached? pf� Yes (1) ❑ No (0)
ecific Conductance 00095
µMhos
K - Potassium oOs37
mg/L
VOC 7873 method # 6zooC-
Total Ammonia ooseo Q. 10
mg/L
Mg - Magnesium 00927
mg/L
method #
(Ammonia Nitrogen; NH3as N: Ammonia Nitrogen. Total
Mn - Manganese oloss
ug/L
method #
TKN as N oos25
mg/L
Ni - Nickel 01067
ug/L
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
Permittee (or Authorized Agent) Name and TiUe - Please print or type
GV Rev.3-1-2016

SUBMIT FORM ON OW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
or
Facility Name:
Permit Name (if di
Facility Address:
act Person: f.6mi4.h Telephone#: 7-5Z4�544
Location/Site Name: s6 ©- t44)j { jQ�_ No. of wells to be sampled: (p
RMIT Number: Expiration Date: 1- LWZD
n-Discharge kEC00(C'0'9 UIC
'DES t4�)M37o"7) Other
PE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
❑ Rotary Distributor SLand Application of Sludge
❑ Water Source Heat Pump ❑ Other:
SAMPLING INFORMATION
WELL ID NUMBER (from Permit): I U Date sample collected: !C Z449
Well Depth: � ft. Well Diameter: in.
P „-L_ �
Depth to Water Level 62646: j,5 ft below measuringMhos
point Screened Interval: _� ft to J3 ft
Measuring Point is Z ft above land surface Relative M.P. Elevation: ft.
Volume of water pumped/bailed before sampling: 5 gallons
Samples for metals were collected unfiltered: IN YES ❑ NO and field acidified: CA YES ❑ NO
FIELD ANALYSES:
H o0400: (o
p 4 units Temp. 000la: 7� °G
Spec. Cond. 000s4: ! • D µ
Odor 00085: nrn-e
Appearance CjQU
If WELL
WAS
DRY at
time of
sampling,
check
here -
LABORATORY INFORMATION
Date sample analyzed:
Laboratory Name: EM,1Qn>fl�7-} J
{()(-'. Certification No. ) D
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615
mg/L
Pb - Lead o1o5i ug/L
Coliform: MF Fecal 31616
/100mL
Nitrate (NO3) as N 00620 j,ZC�
mg/L
Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507 irj, �
mg/L
Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 5o
mg/L
Al -Aluminum o11os
mg/L
pH (Lab) 00403 (4- co
units
Ba - Barium 01007
ug/L
TOC oo66o 3, (a2
mg/L
Ca - Calcium oos16
mg/L
Chloride oos4o
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total 01034 <5 , Q
ug/L
Grease and Oils 00552
mg/L
Cu - Copper 01042 <0 , Ol ©
mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron of 045
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg/L
Hg - Mercury 71900
ug/L
Lab Report Attached? tZ Yes (1) ❑ No (0)
Specific Conductance 00095 ). ©
µMhos
K - Potassium 00937
mg/L
VOC 7873 method #
Total Ammonia 00610 i� •7�
mg/L
Mg - Magnesium 00927
mg/L
method #
(Ammonia Nitrogen Ni3as N; Ammonia Nitrogen, Total)
Mn - Manganese 01055
ug/L
method #
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
1 certify that. to the best of my kno,vlzdgz and befFef, the information submittzd in this report is true. accurate and camplete and that thz laboratory analytical data was produczd using approved methods of analysis by
DWP.-certified laboratory. I am aware that there arz signrficant penalties for submitting false mformallon including the pcssibdity of fines and impnsonment for knowing violation=_.
rA 4,g , li i cnck }�. i j�• It Permittee (or Authorized Agent) Name and Title - Please print or type SigrWure of Permittee (or Authorized Agent) r►
D_

SUBMIT FORM ON YFI I OW PAPER nNl V
GROUNDWATER QUALITY MONITORING:
REPORT FORMsR�ICEc
• • •IrNon-Discharge
tme tVl'Cn1fIKVNMt , lP - UIv U /fil1E ESOFIRG
1N�OR t lI0 ROClSSI a# 3COMPLIANCE
G ssg�D6 ,FACILITY
INFORMATION PleasePdnfCleadyorType
Number: Expiration Date:
Facility Name: Omf � -�_ rn `6D
Oawpicw UIC
Permit Name (if different): I
_&j0L' 7t01 Other
Facility Address: j�j
fsnreei)
�� tf7�
TYPE OF PERMITTED OPERATION BEING MONITORED
f(�- 1 +Z
County_ P(+-i'
❑Lagoon ❑ Remediation: Infiltration Gallery
fCiry'l (Slate) (Zip)
❑ Spray Field ❑ Remediation:
Contact Person:} ; t 1
Telephone#: ZZ_ J5A-� 9 (f
❑ Rotary Distributor CA Land Application of Sludge
Well Location/Site Name: j C} 6Cf,,40n dZ CC71(I w-6Z j Q I O
No. of wells to be sampled: Lip�
❑ Water Source Heat Pump ❑ Other.
WELL ID NUMBER (from Permit): [ 5 Date sample collected: I C)Z4-!(3
Well Depth: 9 ft. Well Diameter. _Z_ in.
Depth to Water Level 82546: a ft. below measuringpoint Screened Interval: 3 ft. to
P � ft.
Measuring Point is Z _ 5 ft. above land surface Relative M.P. Elevation: ft
Volume of water before sampling: pumped/bailed P g: gallons
Samples for metals were collected unfiltered: (N YES ❑ NO and field acidified: C9 YES ❑ NO
FIELD ANALYSES:
pH ooaoo:O-Z units Temp. aoolo: Zy C
Spec. Cond. 000sa: f ZCf µMhos
Odor 000m: nor)t
Appearance Ci�.f
WAS ~�
DRY at
time of
sampling,check
here:❑,
LABORATORY INFORMATION
Date sample analyzed: 1Q-ut-19
Laboratory Name: &)VllCYi CYion-t YI
Certification No. j (3
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L
Nitrite (NO2) as N 00615 mg/L
Pb - Lead olos1 ug/L
Coliform: MF Fecal 31616/100mL
Nitrate (NO3) as N o0620 d - C-L mg/L
Zn - Zinc oio92 mg/L
Coliform: MF Total 31504 /100mL
Phosphorus: Total as P ooms mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507 C) .03 mg/L
Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 iZ,5 mg/L
AI -Aluminum o1105 mg/L
pH (Lab) 00403 4.2- units
Ba - Barium 01007 ug/L
TOC 006BO mg/L
Ca- Calcium 00916 mg/L
Chloride 00940 mg/L
Cd - Cadmium 01027 ug/L
Arsenic olom ug/L
Chromium: Total 01034 '� ug/L
Grease and Oils 00552 mg/L
Cu - Copper 01042 <0, ©ip mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730 ug/L
Fe - Iron oloas ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945 mg/L
Hg - Mercury 71900 ug/L
Lab Report Attached? V Yes (1) ❑ No (0)
Specific Conductance coo95 jZ9 µMhos
K - Potassium 00937 mg/L
VOC 7873 method #
Total Ammonia 00610 Q _ gZ mg/L
Mg - Magnesium 00927 mg/L
method #
(Ammonia Nitrogen; NH, as N; Ammonia Nitrogen, Total)
Mn - Manganese 01055 ug/L
method #
TKN as N oo625 mg/L
Ni - Nickel o1o67 ug/L
method #
t-or memewatlon systems curly (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
Permnttee (or Authorized Agent) Name and Trtle - Please print or type
GV Rev.3-1-2016
Agent)

SUBMIT FORM ON
PAPER ONLY
ROUNDWATER QUALITY MONITORING:
OMPLIANCE REPORT FORM
or
Name:
Name (if different):
Address:
-Ni
County
Contact Person: 7?)ey—e- 6"-f),Iyjn Telephone#:
Well Location/Site Name: cani j No. of wells to be sampled:
RMIT Number: Expiration Date:
n-Discharge toQOCOICY4 UIC
'DES LCLC3.2GD Other
PE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
❑ Rotary Distributor rA Land Application of Sludge
❑ Water Source Heat Pump ❑ Other.
WELL ID NUMBER (from Permit): I Date sample collected:
Well Depth: 4? ft. Well Diameter. in.
Depth to Water Level 82546:yftbelow measuring point Screened Interval: Z ft to ft.
Measuring Point is 7---33 ft. above land surface Relative M.P. Elevation: ft.
Volume of water pumped/bailed before sampling: 'S gallons
Samples for metals were collected unfiltered: ® YES ❑ NO and field acidified: EX YES ❑ NO
FIELD ANALYSES:
pH o0400: 4. ) units Temp. 00010: 70 °C
Spec. Cond. oaoea: U% (o µMhos
Odor 00085: ncn'e.
Appearance GOB )Z ` 7
WAS
DRY at
time ofsampling,
check
here:❑
LABORATORY INFORMATION
Date sample analyzed: I
Laboratory Name: EiN1(c n-)a� -T
Certification No. 10
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L
Nitrite (NO2) as N 006515 mg/L
Pb - Lead oiosi ug/L
Coliform: MF Fecal 31616 G ` /100ML
Nitrate (NO3) as N 00620 O ZU mg/L
Zn - Zinc 01092 mg/L
Coliform: MF Total 315o4 /100mL
Phosphorus: Total as P oo665 mg/L
(Nate: Use MPN method for highly turbid samples)
Orthophosphate 70507 Q. Id mg/L
Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 69 mg/L
Al - Aluminum oilos mg/L
pH (Lab) 00403 4-1 units
Ba - Barium oioo7 ug/L
TOC oo6so (p•15 mg/L
Ca - Calcium oo916 mg/L
Chloride 00940 mg/L
Cd - Cadmium oi027 ug/L
Arsenic oloo2 ug/L
Chromium: Total olo34 r] ug/L
Grease and Oils 00552 mg/L
Cu - Copper 01042 <Q 010 mg/L
ORGANICS. (by GC, GC/MS, HPLC)
Phenol 32730 ug/L
Fe - Iron oioa5 ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945 mg/L
Hg - Mercury 71900 ug/L
Lab Report Attached? T� Yes (1) ❑ No (0)
Specific Conductance 000g5 L,G(o. Co uMhos
K - Potassium 00937 mg/L
VOC 7873 method #
Total Ammonia 00610 Q I� mg/L
Mg - Magnesium 00927 mg/L
method #
(Ammonia Nitrogen: NH3 as N; Anmonia Nitrogen, Total)
Mn - Manganese oio55 ug/L
method #
TKN as N 00625 mg/L
Ni - Nickel oio67 ug/L
method #
For Remediation Systems Only (Attach Lab Reports): Irifluent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
GW-59 Rev_ 3-1-2016

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
Print Clearly or
Facility Name: -i e-( D_ IYN (�
Permit Name (if different):
Facility Address: L760 VJ ! 1,04 CL,.%- nt
County
act Person: � �� 1t p �\I � Ill Telephone#- (4
Location/Site Name: 0 C)-� )✓=i 0 d *3 No. of wells to be sampled: Lp
WELL ID NUMBER (from Permit): 143 Date sample collected: } &-Z4-► 9
Well Depth: 10 ft. Well Diameter. in.
Depth to Water Level 82546: j,p ft. below measuring point Screened Interval: 5 ft. to _Loft.
Measuring Point is _7__ft. above land surface Relative M.P. Elevation: ft.
Volume of water pumped/bailed before sampling: 5 gallons
Samples for metals were collected unfiltered: ® YES ❑ NO and field acidified: CR YES ❑ NO
RMIT Number: Expiration Date:
n-Discharge (,t)QG1MC ? UIC
'DES W_) ) Other
PE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation.
❑ Rotary Distributor MI -and Application of Sludge
❑ Water Source Heat Pump ❑ Other.
WELL
FIELD ANALYSES:
WAS
pH 00400: 4.3 units
Temp. 000lo: zb °C
DRY at
Spec. Cond. 000e4:
1 Co µMhos
time of
sampling,
Odor00065:
i)C3n
check
Appearance 010a
here:❑
ate sample analyzed:
Laboratory Name:
(ill (�l`ll�i� Z)
�{� • Certification No. I CD
kRAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615
mg/L
Pb - Lead olo5l ug/L
Coliform: MF Fecal 31616 l
1100mL
Nitrate (NO3) as N 00620
0 -07 mg/L
Zn -Zinc 01o92 mg/L
Coliform: MF Total 31504
/100ml-
Phosphorus: Total as P 00665
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
0 .01 mg/L
Other (Specify Compounds and Concentration Units):
,solved Solids:Total 70300 1 w5
mg/L
Al -Aluminum oilos
mg/L
pH (Lab) o0403 4-_5
units
Ba - Barium 01007
ug1L
TOC 00660
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940
mg/L
Cd - Cadmium oto27
ug/L
Arsenic 01002
ug/L
Chromium: Total o1o34 5 ug1L
Grease and Oils 00552
mg/L
Cu - Copper 01042
40, QI © mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug1L
Fe - Iron o1o45
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg/L
Hg - Mercury 719DO
ug/L
Lab Report Attached? [�( Yes (1) ❑ No (0)
,ecific Conductance 000gs I
µMhos
K - Potassium oo937
mg/L
VOC 7673 method #
Total Ammonia 00610 0 ZA
mg/L
Mg - Magnesium 00e27
mg/L
method #
(Ammonia Nitrogen: NH3as N; Ammonia Nitrogen, Total)
Mn -Manganese o1055
ug/L
,method #
TKN as N 00625
mg1L
Ni - Nickel 01067
ug/L
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
ifflec mla () Lam A joa_�+m 0a,
Permittee (or Authorized Agent) Name and Title - Please print or type Signature of
GW Rev, 3-1-2016

EflW1H3c@[MffM@flq Tg D�c�oQpoQa�c�d
r-T J/-1f\]VIIJIY t v1 It v �.
GREENVILLE, N.C. 27858
CMSD (SLUDGE & WELLS ACCT)
CONTENTNEA METRO. SEWAGE DIST.
MS. RENEE PRIDGEN
P.O. BOX 477
GRIFTON ,NC 28530
FAX [phone]
ID#: 416
DATE COLLECTED: 10/24/18
DATE REPORTED : 11/15/18
REVIEWED BY:
Well
Well
Well
Weil
Well
PARAMETERS
#9
#10
#14
#15
#17
Fecal Coliform (MF), /100 Mls
< 1
< 1
< 1
5
< 1
Ammonia Nitrogen as N, mg/1
0.83
0.10
0.26
0.82
0.13
Nitrate Nitrogen as N, mg/1
<0.04
0.19
1.29
0.12
0.26
Total Organic Carbon, mg/1
17.06
4.45
3.42
9.74
6.15
'P-tal Dissolved Residue, mg/1
90
45
50
125,
59
tal Chromium, ug/1
8
14
<5.0
7
7
cropper, ug/1
< 10
< 10
< 10
< 10
< 10
Conductivity (at 25c), uMhos/cm
105
$0.7
71.0
129
46.6
Total Ortho-Phosphate as P, mg/l
0.09
0.08
0.03
0.03
0.10
Analysis
Method
Date
Analyst
Code
10/24/18
JMT
9222D-06
10/29/18
DTL
350.1 R2-93
10/26/18
DTL
353.2 R2-93
10/24/18
SEJ
531OC-11
10/25/18
JTH
2540C-11
10/26/18
LFJ
EPA200.7
10/26/18
LFJ
EPA200.7
10/29/18
JMS
251OB-11
10/24/18
SEJ
450OPE-11

EMw'0w@flH(W % hwomho
GREENVILLE, N.C. 27858
CMSD (SLUDGE & WELLS ACCT)
CONTENTNEA METRO. SEWAGE DIST.
MS. RENEE PRIPGEN
P.O. BOX 477
GRIFTON ,NC 28530
Well
Analysis
Method
PARAMETERS
#18
Date
Analyst
Code
Fecal Coliform (MF), /100 Mls
<1
10/24/18
JMT
9222D-06
Ammonia Nitrogen as N, mg/l
0.24
10/29/18
DTL
350.1 112-93
Nitrate Nitrogen as N, mg/l
0.07
10/26/18
DTL
353.2 R2-93
Total Organic Carbon, mg/l
7.05
10/24/18
SEJ
531OC-11
Total Dissolved Residue, mg/1
145
10/25/18
JTH
254OC-11
Total Chromium, ug/l
5
10/26/18
LFJ
EPA200.7
Copper, ug/l
<10
10/26/18
LFJ
EPA200.7
Conductivity (at 25c), uMhos/cm
107
10/29/18
JMS
2510E-11
Total Ortho-Phosphate as P, mg/l
0.01
10/24/18
SEJ
450OPE-11
1-AA kZ5?-) 100-U0,50
ID#: 416
DATE COLLECTED: 10/24/18
DATE REPORTED : 11/15/18
REVIEWED BY: /- -- ---

ENAmERM % hCupumbd
114 0ANVIVIV I L1r11 V C
GREENVILLE, N.C. 27858
FAX [phone]
CLIENT: CMSD (SLUDGE & WELLS ACCT) CLIENT ID: 416
CONTENTNEA METRO. SEWAGE DIST.
M5. RENEE PRIDGEN ANALYST: KPG
P.O. BOX 477 DATE COLLECTED: 10/24/18 Page: 1
GRIFTON, NC 28530 DATE REPORTED: 11/15/18
REVIEWED BY:
VOLATILE ORGANICS
ennnr+_i 9
Date Analyzed:
PARAMETERS, ug/l
10/26/18
Well
//9
10/26/18
Well
#10
10/27/18
Well
#14
10/27/18
Well
#15
/27/18
:::Well
7
<0.50
<0.50
<0.50
<OSO
<0.50
1. Benzene
< 0.50
<0.50
< 0.50
< 0.50
< 0.50
2. Bromobenzene
<0.50
<0.50
<0.50
<0.50
<0.50
3. Bromochloromethane
<0.50
<0.50
<0.50
<0.50
<0.50
4. Bromodichloromethane
<0.50
< 0.50
<0.50
<0.50
<0.50
5. Bromoform
<0.50
<0.50
<0.50
<0.50
<0.50
6. Bromomethane
<0.50
<0.50
<0.50
<0.50
<0.50
7. N-Butylbenzene
<0.50
<0.50
<0.50
<0.50
<0.50
8. Sec-Butylbenzene
<0.50
<0.50
<.0.50
<0.50
<0.50
9. Tert-Butylbenzene
<0.50
<0.50
<0.50
<0.50
<0.50
10. Carbon Tetrachloride
< 0.50
<0.50
< 0.50
< 0.50
<0.50
11. Chlorobenzene
<0.50
<0.50
<0.50
<0.50
<0.50
12. Chloroethane
<0.50
<0.50
<0.50
<0.50
<0.50
13. Chloroform
<0.50
<0.50
<0.50
<0.50
<0.50
n
1 4. Chloroa
<0.50
<0.50
<0.50
<0.50
<0.50
1. 2-Chlometh
e
< 0.50
< 0.50
< 0.50
<0.50
< 0.50
16. 4-Chlorotoluene
<0.50
<0.50
<0.50
<0.50
<0.50
17. Dibromochloromethane
<0.50
<0.50
<0.50
<0.50
<0.50
18. 1,2-Dibromo-3-Chloropropane
<0.50
<0.50
<0.50
<0.50
<0.50
19. 1,2-Dibromoethane
<0.50
<0.50
<0.50
<0.50
<0.50
20. Dibromomethane
<0.50
<0.50
<0,50
<0.50
<0.50
21. 1,2-Dichlorobenzene
<0.50
<0.50
<0.50
<0.50
<0.50
22. 1,3-Dichlorobenzene
<0.50
<0.50
<0.50
<0.50
<0.50
23. 1,4-Dichlorobenzene
<0.50
<0.50
<0.50
<0.50
<0.50
24. Dichlorodifluoromethane
<0.50
<0.50
<0.50
<0.50
<0.50
25. 1,1-Dichloroethane
<0.50
<0.50
<0.50
<0.50
<0.50
25. 1,2-Dichloroethane
<0.50
<0.50
<0.50
<0.50
<0.50
26. 1,1-Dichloroethane
<0.50
<0.50
<0.50
<0.50
<0.50
ethe
27. Cis-1,2-Diroeth ethane
<0.50
< 0.50
< 0.50
< 0.50
< 0.50
29. trans,2-Dic ichlo ene
<0.50
<0.50
<0.50
<0.50
<0.50
30. 1,2-Dichloropropane
<0.50
<0.50
<0.50
<0.50
<0.50
31, 1,3-Dichloropropane
<0.50
<0.50
<0.50
<0.50
<0.50
32 . 2,2-Dichloropropane
<0.50
<0.50
<0.50
<0.50
<0.50
33. 1,1-Dichloropropene
<0.50
<0.50
<0.50
<0.50
<0.50
34. Cis-1,3-Dichloropropene
<0.50
<0.50
<0.50
<0.50
<0.50
35. trans-1,3-Dichloropropene
<OSO
<0.50
<0.50
<0.50
<0.50
Ethylb nzene
36. Ethy}benzene
< 0.50
< 0.50
< 0.50
< 0.50
< 0.50
37. tadiene
Hexacpylben tadene
<0.50
<0.50
<0.50
<0.50
<0.50
38.
< 0.50
< 0.50
< 0.50
<0.50
< 0.50
39, 4-Isopropyltoluene
<0.50
<0.50
<0.50
<0.50
<0.50
40. Methylene Chloride
<0.50
<0.50
<0.50
<0.50
<0.50
Naphthalene
41 . Naphthalene
<0.50
<0.50
<0.50
<0,50
<0.50
42. Propyl
<0.50
<0.50
<0.50
<0.50
<0.50
43. Styrene
44. 1,1,1,2-Tetrachloroethane
<0.50
<0.50
<0.50
<0.50
.
<050
<0.50
<0.50
<0.50
45. 1,1,2,2-Tetrachloroethane
<0.50
<0.50
<0.50
<0.50
<0.50
<0.50
<0.50
46. Tetrachloroethane
<0.50
<0.50
<0.50
<0.50
<0.50
47. Toluene

Enw,umummIR alp hcupmOd
I 1`f V/1/\IVIV Iv I I- II v I
GREENVILLEI N.C. 27858
CLIENT: CMSD (SLUDGE & WELLS ACCT)
CONTENTNEA METRO. SEWAGE DIST.
MS. RENEE PRIDGEN
P.O. BOX 477
GRIFTON, NC 028530
REVIEWED BY: /f
VOLATILE ORGANICS
,vnr,n c�nnf'I_'t'I
I , /'
CLIENT ID: 416
ANALYST: KPG
DATE COLLECTED: 10/24/18
DATE REPORTED: 11/15/18
756-62
756-0633
Page: 2
Date Analyzed;
PARAMETERS, ug/I
10/26/18
Well
N9
10/26/18
Well
l/10
q#14
10/27/18
Well
#15
10l27/18
Well
#17
48. 1,2,3-Trichlorobenzene
<0.50
<0.50
<0.50
<0.50
<0.50
<0.50
49. 1,2,4-Triehlorobenzene
<0.50
<0.50
<0.50
.<0.50
<0.50
<0.50
<0.50
50. 1,1,1-Trichloroethane
<0.50
<0.50
<0.50
<0.50
<0.50
51. 1,1,2-Trichloroethane
<0.50
<0.50
<0.50
<0.50
<0.50
52. Trichloroethene
< 0.50
< 0.50
< 0.50
< 0.50
<0.50
53. Trichlorofluoromethane
<0.50
<0.50
<0.50
<0.50
<0.50
54. 1,2,3-Trichloropropane
<0.50
<0.50
<0.50
<0.50
<0.50
55. 1,2,4-Trimethylbenzene
<0.50
<0.50
<0.50
<0.50
<0.50
56. 1,3,5-Trimethylbenzene
<0.50
< 0.50
< 0.50
<0.50
< 0.50
C
57. Vinyl Chloride
orielenes
< 1.00
< 1.00
< 1.00
< 1.00
< 1.00
57. Total l
59, Methyl Tert Butyl Ether
< 1.00
< 1.00
< 1.00
< 1.00
< 1.00

EMAUTammW % hmpumho
, ,Y JAKMONT DRIVE
GREENVILLE, N.C. 27858
CLIENT: CMSD (SLUDGE & WELLS ACCT)
CONTENTNEA METRO. SEWAGE DIST.
MS. RENEE PRIDGEN
P.O. BOX 477
GRIFTON, NC 28530
REVIEWED 8Y:
VOLATILE ORGANICS
STD. METHODS 620OC-11
CLIENT ID:
PHONE [phone]
FAX [phone]
416
ANALYST: KPG
DATE COLLECTED: 10/24/18
DATE REPORTED: 11/15/18
Date Analyzed:
PARAMETERS, ug/l
10/27/18
Well
#18
1.
Benzene
<0.50
Z.
Bromobenzene
<0.50
3.
Bromochloromethane
<0.50
4.
Bromodichloromethane
<0.50
5.
Bromoform
<0.50
6.
Bromomethane
<0.50
7.
N-Butylbenzene
<0.50
S.
Sec-Butylbenzene
<0.50
9.
Tert-Butylbenzene
<0.50
10.
Carbon Tetrachloride
<0.50
11.
Chlorobenzene
<0.50
12.
Chloroethane
<0.50
13.
Chloroform
< 0.50
14.
Chloromethane
<0.50
15.
2-Chlorotoluene
< 0.50
16.
4-Chlorotoluene
< 0.50
17.
Dibromochloromethaue
<0.50
18.
1,2-Dibromo-3-Chloropropane
< 0.50
19.
1,2-Dibromoethane
< 0.50
20.
Dibromometbane
<0.50
21.
1,2-Dichlorobenzene
< 0.50
22.
1,3-Dichlorobenzene
< 0.50
23.
1,4-Dichlorobenzene
< 0.50
24.
Dichlorodifluoromethane
<0.50
25,
1,1-Dichloroethane
< 0.50
26.
1,2-Dichloroethane
< 0.50
27,
1,1-Dichloroethene
< 0.50
28.
Cis-1,2-Dichloroethene
<0.50
29.
trans-1,2-Dichloroethene
< 0.50
30.
1,2-Dichloropropane
<0.50
< 0.50
31.
1,3-Dichloropropane
<0.50
32.
2,2-Dichloropropane
<0.50
33.
1,1-Dichloropropene
<0.50
34.
Cis-1,3-Dichloropropene
35.
trans-1,3-Dichloropropene
< 0.50
36.
Ethylbenzene
<0.50
< 0.50
37.
Hexachlorobutadiene
38.
Isopropylbenzene
< 0.50
39.
4-Isopropyltoluene
<0.50
40.
Methylene Cbloride
<0.50
41.
Naphthalene
< 0.50
42.
Propylbenzene
< 0.50
< 0.50
43.
44.
Styrene
1,1,1,2-Tetrachloroeth ane
< 0.50
45.
1,1,2,2-Tetrachloro ethane
<0.50
46.
Tetrachloroethene
< 0.50
47.
Toluene
<0.50
Page: 3

ENW,ummW % hempTOW
114 OAKMONT DRIVE
GREENVILLE, N.C. 27858
CLIENT: CMSD (SLUDGE & WELLS ACCT)
CONTENTNEA METRO. SEWAGE DIST.
MS. RENEE PRIDGEN
P.O. BOX 477
GRIFTON, NC 28530
REVIEWED BY:
VOLATILE ORGANICS
STD. METHODS 620OC-11
IWAW11
CLIENT ID: 416
ANALYST: KPG
DATE COLLECTED: 10/24/18
DATE REPORTED: 11/15/18
Date Analyzed:
M PARAETERS, ug/1
10/27/18
Well
#18
48.
1,2,3-Trichlorobenzene
<0.50
49.
1,2,4-Trichlorobenzene
<0.50
50.
1,1,1-Trichloroethane
< 0.50
51.
1,1,2-Trichloroethane
<0.50
52.
Trichloroethene
<0.50
53,
Trichlorofluoromethane
<0.50
54.
1,2,3-Trichloropropane
<0.50
55.
1,2,4-Trimethylbenzene
< 0.50
56.
1,3,5-Trhnethylbenzene
< 0.50
57.
Vinyl Chloride
<0.50
58.
Total Xylenes
<1.00
59.
Methyl Tert Butyl Ether
<1.00
756-06;)o
Page: 4

State of North Carolina
DWR
Department of Environmental Quality
Division of Water Resources
-ivislon of \Hater Resources LAND APPLICATION SITE CERTIFICATION
INSTRUCTIONS FOR FORM: LASC 06-16
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, visit the Water Quality Permitting Section's Non -Discharge Permitting Unit
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 15A NCAC 02T .1100. Do not submit this certification for review
without a corresponding application form (FORM: RLAP 06-16 or FORM: SDR 06-16).
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 06-16):
® Submit the completed and appropriately executed Land Application Site Certification (FORM: LASC 06-16) 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.
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
It
V/
County Board
Notification. doc
Land Owner
Agreement
(If applicable)
L�
Setback Waiver
Agreement
An updated vicinity/setback map in accordance with the "Map Guidance
for Residuals Land Application Permits'
✓
✓
✓
A soils and agronomic evaluation in accordance with the "Soil Scientist
✓
Evaluation Policy"
INSTRUCTIONS FOR FORM: LASC 06-16 Page 1 of 3

An updated accounting of the land application site's cumulative
pollutant loading rates (CPLRs)
Status Code
Required Item
N
R
T
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 "Soil Scientist Evaluation Policy"
Acknowledgement of field transfer from Land Owner (Fields may not
be permitted to multiple Permittees over the same timeperiod)
* 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) • 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 11-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 may be found at: http:Hdeg.nc.gov/about/divisions/water-
resources/planning/c lassification-standards/classifications
❑ 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:
bi!p:Hdeq.nc.gov/contact/regional-offices
❑ 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 1: 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://deg.nc.p-ov/about/divisions/water-resources/planninp,/classification-standards/classifications.
❑ Stream Classification Process: One of the options below may be used depending on the known initial project informatioi
❑ KNOWN BASIN WHERE CLOSEST DOWN SLOPE SURFACE WATER IS LOCATED
1. Select proper basin from the List all Waterbodies in Basin sorted report. Sort hydrologically as this will provide
the proper location descriptions if multiple runs.
INSTRUCTIONS FOR FORM: LASC 06-16 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 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 02B .0301M.
❑ 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 06-16 Page 3 of 3

LAND APPLICATION SITE CERTIFICATION
Applicant's name: Contentnea Metropolitan Sewerage District
Land application sites currently certified: 68.55 net acres and Total to be certified: 68.55 net acres.
I. LAND APPLICATION SITE INFORMATION (See Instruction B):
Status
Code'
Site/Field
ID
Landowner(s)
Lessee(s) or
Operator(s)
p ()
Net Acres
County
Crop(s)
Predominant Soil
b
Series Name
Mapping Unit
or Rep. Slope'
R
B-1
Contentnea Metropolitan Sewerage District
Mills, Dickie Ray
2.84
Pitt
Coastal Bermuda Grass
Portsmouth loam
Po
R
B-2
Contentnea Metropolitan Sewerage District
Mills, Dickie Ray
2.62
Pitt
Coastal Bermuda Grass
Pactolus loamy sand
Pa
R
B-3
Contentnea Metropolitan Sewerage District
Mills, Dickie Ray
2.72
Pitt
Coastal Bermuda Grass
Portsmouth loam
Po
R
B-4
Contentnea Metropolitan Sewerage District
Mills, Dickie Ray
3.34
Pitt
Coastal Bermuda Grass
Pactolus loamy sand
Pa
R
B-5
Contentnea Metropolitan Sewerage District
Mills, Dickie Ray
3.74
Pitt
Coastal Bermuda Grass
Pactolus loamy sand
Pa
R
B-6
Contentnea Metropolitan Sewerage District
Mills, Dickie Ray
2.48
Pitt
Coastal Bermuda Grass
Chipley sand
Ch
R
B-7
Contentnea Metropolitan Sewerage District
Mills, Dickie Ray
1.32
Pitt
Coastal Bermuda Grass
Chipley sand
Ch
R
CI-10
Contentnea Metropolitan Sewerage District
Mills, Dickie Ray
8.55
Pitt
Coastal Bermuda Grass
Alaga loamy sand
AgB
R
CI1-8
Contentnea Metropolitan Sewerage District
Mills, Dickie Ray
7.73
Pitt
Coastal Bermuda Grass
Alaga loamy sand
AgB
R
CII-9
Contentnea Metropolitan Sewerage District
Mills, Dickie Ray
5.15
Pitt
Coastal Bermuda Grass
Alaga loamy sand
AgB
R
CII-13
Contentnea Metropolitan Sewerage District
Mills, Dickie Ray
3.30
Pitt
Coastal Bermuda Grass
Ocilla loamy fine
OcB
R
CIII-12
Contentnea Metropolitan Sewerage District
Mills, Dickie Ray
5.23
Pitt
Coastal Bermuda Grass
Osier loamy sand
Os
R
CIV-I I
Contentnea Metropolitan Sewerage District
Mills, Dickie Ray
5.13
Pitt
Coastal Bermuda Grass
Osier loamy sand
Os
R
D-14
Gaskins, Michael
Mills, Dickie Ray
3.00
Pitt
Coastal Bermuda Grass
Portsmouth loam
Po
R
D-15
Gaskins, Michael
Mills, Dickie Ray
2.38
Pitt
Coastal Bermuda Grass
Portsmouth loam
Po
R
D-16
Gaskins, Michael
Mills, Dickie Ray
2.98
Pitt
Coastal Bermuda Grass
Maga loamy sand
AgB
R
D-17
Gaskins, Michael
Mills, Dickie Ray
3.62
Pitt
Coastal Bermuda Grass
Alaga loamy sand
AgB
R
D-18
Gaskins, Michael
Mills, Dickie Ray
2.42
Pitt
Coastal Bermuda Grass
Pactolus loamy sand
Pa
a Status Code for land application sites are: ♦ N (New) ♦ R (Renewed) ♦ M (Modified) ♦ T (Transferred) ♦ D (Deleted)
b Soil Series Name (i.e. Appling, 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 County the mapping unit is CeB2)
FORM: LA i-16 Page 1

LAND A.. LICATION SITE CERTIFICATION
II. WATERBODY AND CLASSIFICATIONS INFORMATION (See Instruction Q:
Site/Field ID
Latitude
Longitude
Location
Datum
Location Method Code
Location Accuracy
Waterbody Subbasin and
Stream Index No.
Current and Proposed
P
Class
°0
NAD 83
ADD
Nearest Second
o r rr
o � � 'rr
NAD 83
ADD
Nearest Second
°0
NAD 83
ADD
Nearest Second
NAD 83
ADD
Nearest Second
°
° '11
NAD 83
ADD
Nearest Second
° 0, W,
° ' 11
NAD 83
ADD
Nearest Second
° V
j'
NAD 83
ADD
Nearest Second
° il, W,,
0
NAD 83
ADD
Nearest Second
Note: Please keep the site information (I.) and waterbody information (I1.) of the same field on the same page.
FORM: LASC 06-16 Page 2

Contentnea Metropolitan Sewerage District
2019 Residuals Land Application Permit Renewal
Supporting Information:
Vicinity Map
Setback Maps
Updated Cumulative Pollutant Loadings

Fields 1 through 7
Legend
T',
Site B
House
© Buffer
THE w00TENGOrr!FMry
CMSD Class B Land Application
Permit WQ0001048 Renewal"`"
0
—
Monitor Well Field Boundary
Ditch � _' NetArea
::III'YIC Kp.M nlmm,Mr pA,Ob. l'pMM' MWb. rISGMbrpa!/p3 G11WVa
""'" "'"°°" `�°'°�""�'""°""�""'"�"`
NIXTYtlp Mufi,Yx!!tl p, <oYUM] b' aMrJtpa C M '1011n1ta1 m bu map. 1 Y
Pitt County, NC
Y
Stream
Parcels
:iC f nup J I°IA)lI75:IR.1 :a !nit ��_'ewnWr'nit^�apy-xsr b :t4 ao.a nb+m:xm

Legend
TV
Fields 14 - 18 Site D
A
House ® Buffer
= NetArea
CMSD Class B Land Application
�
Monitor Well Field Boundary
Pond
rr�EwooTENco�.�P,krav
Permit WO0001048 Renewal
;«s PAC a[6a sn na w ,on eb.%sas Fen,pa as smwwc. n�p.posas
s+x nsa Pas arc w„Asaa P°mrm,tleC deea. oNn, «,c x« clePc a.+c aMr<srs.os
Ditch
Parcels
Pitt County. NC
Stream
.1G C .vyr a r alAl PlS li'� 1 n bR' «� swvt nnnac, f 7.vr tv WP w: v � 4a m x +

of Cumulative Pollutant Load for Each Site (updated to sludge applied in 2018)
PAN Applied
Site Acres
As
Cd
Cu
Cr
Pb
Hg
MO
Ni
Se
Zn
(lbs/ac)
B-1 2.84
Annual (lbs/acre)
0.012
0.005
1.167
0.062
0.085
0.002
0.024
0.062
0.024
3.075
183.912
Prior Years Cumul (lbs/ac)
0.493
4.499
67.879
22.586
6.886
0.366
2.459
7.466
0.639
259.112
Current Cumulative (lbs/ac)
0.505
4.504
69.046
22.648
6.971
0.368
2.483
7.528
0.663
262.187
B-2 2.62
Annual (Ibs/acre)
0.006
0.003
0.598
0.031
0.044
0.001
0.012
0.031
0.012
1.577
63.53
Prior Years Cumul (lbs/ac)
0.636
5.062
79.596
34.213
7.906
0.352
2.953
8.864
0.855
295.587
Current Cumulative (lbs/ac)
0.642
5.065
80.194
34.244
7.95
0.353
2.965
8.895
0.867
297.164
B-3 2.72
Annual (lbs/acre)
0.012
0.005
1.161
0.061
0.84
0.002
0.024
0.061
0.024
3.059
123.283
Prior Years Cumul (lbs/ac)
0.779
8.232
82.748
44.82
8.299
0.291
2.917
10.357
0.86
313.694
Current Cumulative (lbs/ac)
0.791
8.237
83.909
44.881
9.139
0.293
2.941
10.418
0.884
316.753
B-4 3.34
Annual (lbs/acre)
0.005
0.002
0.493
0.026
0.036
0.001
0.01
0.026
0.01
1.299
52.356
Prior Years Cumul (lbs/ac)
0.736
4.952
66.331
34.321
7.743
0.176
2.779
9.597
0.92
295.384
Current Cumulative (lbs/ac)
0.741
4.954
66.824
34.347
7.779
0.177
2.789
9.623
0.93
296.683
B-5 3.74
Annual (lbs/acre)
0.007
0.003
0.715
0.038
0.052
0.002
0.014
0.038
0.014
1.882
75.858
Prior Years Cumul (1bs/ac)
0.805
4.184
77.222
36.506
7.981
0.294
3.167
9.534
0.967
298.922
Current Cumulative (lbs/ac)
0.812
4.187
77.937
36.544
8.033
0.296
3.181
9.572
0.981
300.804
C11-8 7.73
Annual (lbs/acre)
0.01
0.005
0.96
0.05
0.07
0.002
0.019
0.05
0.019
2.53
101.931
Prior Years Cumul (lbs/ac)
0.604
1.767
53.251
25.604
5.304
0.132
2.085
5.258
0.652
197.957
Current Cumulative (lbs/ac)
0.614
1.772
54.211
25.654
5.374
0.134
2.104
5.308
0.671
200.487
CII-9 5.15
Annual (lbs/acre)
0.008
0.003
0.72
0.038
0.052
0.001
0.014
0.038
0.014
1.897
76.436
Prior Years Cumul (lbs/ac)
0.544
1.871
53.942
26.781
5.469
0.14
2.662
5.575
0.672
203.88
Current Cumulative (lbs/ac)
0.552
1.874
54.662
26.819
5.521
0.141
2.676
5.613
0.686
205.777
Cll-13 3.3
Annual (lbs/acre)
0.004
0.002
0.332
0.018
0.024
0
0.006
0.018
0.006
0.876
35.306
Prior Years Cumul (lbs/ac)
0.316
0.797
13.145
27.296
2.309
0.073
1.049
2.959
0.383
93.216
Current Cumulative (lbs/ac)
0.32
0.799
13.477
27.314
2.333
0.073
1.055
2.977
0.389
94.092
CII-15 2.38
Annual (lbs/acre)
0.013
0.006
1.347
0.071
0.098
0.003
0.027
0.071
0.027
3.551
143.113
Prior Years Cumul (lbs/ac)
0.229
0.404
26.163
9.031
2.064
0.032
0.609
2.357
0.368
111.619
Current Cumulative (lbs/ae)
0.242
0.41
27.51
9.102
2.162
0.035
0.636
2.428
0.395
115.17
D-16 2.98
Annual (lbs/acre)
0.006
0.003
0.574
0.03
0.042
0.001
0.012
0.03
0.012
1.513
60.96
Prior Years Cumul (lbs/ac)
0.252
0.379
27.468
8.787
2.146
0.032
0.602
2.482
0.388
117.176
Current Cumulative (lbs/ac)
0.258
0.382
28.042
8.817
2.188
0.033
0.614
2.512
0.4
118.689
D-17 3.62
Annual (lbs/acre)
0.007
0.003
0.709
0.037
0.052
0.002
0.015
0.037
0.015
1.869
75.281
Prior Years Cumul (lbs/ac)
0.325
0.471
36.118
11.819
2.841
0.042
0.806
3.208
0.515
158.47
Current Cumulative (lbs/ac)
0.332
0.474
36.827
11.856
2.893
0.044
0.821
3.245
0.53
160.339
D-19 I t.75
Annual (lbs/acre)
0.002
0.001
0.174
0.009
0.013
0
0.004
0.009
0.004
0.46
18.519
Prior Years Cumul (lbs/ac)
0
0
0
0
0
0
0
0
0
0
Current Cumulative (lbs/ac)
0.002
0.001
0.174
0.009
0.013
0
0.004
0.009
0.004
0.46

Contentnea Metropolitan Sewerage District
M19 Residuals Land Application Permit Renewal
Land Owner Agreement Form 06-16 for CMSD
owned sites
Land Owner Agreement Form 06-16 for
Gaskins owned sites

Division of Water Resources
State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
LAND OWNER AGREEMENT
FORM: LOA 06-16
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, visit the Water Quality Permitting Section's Non -Discharge Permitting Unit
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 06-16).
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 06-16):
® Submit the completed and appropriately executed Residuals Source Certification (FORM: LASC 06-16) 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
he undersigned landowner or his representative hereby permits:
Applicant's name: Contentnea Metropolitan Sewerage District
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/Fieid ID
Lease
(yes/no)
Land Use or
Cropping Patterns
Intended Use of Crops
Residuals Source
(optional)
Special note
(no-till/over-seed/
pasture)
B-1
Yes
Hay
Animal Feed
CMSD WWTP
B-2
Yes
Hay
Animal Feed
CMSD WWTP
B-3
Yes
Hay
Animal Feed
CMSD WWTP
B-4
Yes
Hay
Animal Feed
CMSD WWTP
B-5
Yes
Hay
Animal Feed
CMSD WWTP
B-6
Yes
Hay
Animal Feed
CMSD WWTP
B-7
Yes
Hay
Animal Feed
CMSD WWTP
0-10
Yes
Hay
Animal Feed
CMSD WWTP
CII-8
Yes
Hay
Animal Feed
CMSD WWTP
CII-9
Yes
Hay
Animal Feed
CMSD WWTP
CII-13
Yes
Hay
Animal Feed
CMSD WWTP
CIII-12
Yes
Hay
Animal Feed
CMSD WWTP
CIV-11
Yes
Hay
Animal Feed
CMSD WWTP
FORM: LOA 06-16 Pagel of 3

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
hall be renewed each time this permit is renewed.
'he 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-DWR, Non -Discharge Permitting 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.
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)
FORM: LOA 06-16 Page 2 of 3

® A re -defined compliance boundary is not needed for this site.
W. ACKNOWLEDGEMENT OF FIELD TRANSFER: (if needed)
❑ The land application field(s) ID: is currently permitted under another
residuals land application program; Permit Number WQ: The land owner hereby acknowledge that by signing this
agreement, he/she is requesting that the field(s) be removed from the previously permitted residuals land application program and transferred
into the new program:
(Name of the new program)
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: Contentnea Metropolitan Sewerage District
Address: PO Box 477
City: Grifton State: NC Zip:
Phone: [phone] E-mail address:crosd100(c�embargmail.com
Signature: Date:
NORTH CAROLINA, � h± COUNTY
I, the undersigned Notary Public do hereby certify that Caws\cs M. 5 eV\0A,,Z: ,k_ Sc_
personally appeared before me this day and acknowledged the due execution of the forgoing instrument.
WITNESS my hand and official seal this the 7-7-9-
dayof
Signature and seal:
My commission expires:
Lessee's/Operator's Certification:
2
,20 1
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: Dickie Ray Mills
Address: Lkc► 4o tksC%j *; n
City: State: !J
Phone: zu__- 7q(. r Z1 oo _ E-mail addr
Signature:
Zip: 7A 51 3
Date: $ - Zy -11:�
FORM: LOA 06-16
Page 3 of 3

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:. C--�,r_.A e_fj �\ .
Signature: 6��m Date: $ ' ZZ-ti
FORM: LOA 06-16 Page 4 of 3

DWR
Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
15A NCAC 02T .1100 — LAND OWNER AGREEMENT
FORM: LOA 06-16
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, visit the Water Quality Permitting Section's Non -Discharge Permitting Unit.
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 06-16).
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 06-16):
® Submit the completed and appropriately executed Land Application Site Certification (FORM: LASC 06-16) 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: Contentnea Metropolitan Sewerage District
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-till/over-seed/
(yes/no)
Cropping Patterns
(optional)
pasture)
D-14
Yes
Hay
Animal Feed
CMSD WWTP
D-15
Yes
Hay
Animal Feed
CMSD WWTP
D-16
Yes
Hay
Animal Feed
CMSD WWTP
D-17
Yes
Hay
Animal Feed
CMSD WWTP
D-18
Yes
Hay
Animal Feed
CMSD WWTP
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.
he undersigned landowner or his representative and the Permittee agree to abide with the following restrictions and
ipulations 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.
FORM: LOA 06-16 Page 1 of 3

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-DWR, Non -Discharge Permitting Unit, 1617
Mail Service Center, Raleigh, NC 27699-1617.
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.
Il. 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 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
❑ The land application field(s) ID: , is currently permitted under another
residuals land application program; Permit Number WQ: The land owner hereby acknowledge that by signing this
agreement, he/she is requesting that the field(s) be removed from the previously permitted residuals land application program and transferred
into the new program;
(Name of the new program)
FORM: LOA 06-16 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: Michael Gaskins
Address: k 0 & .. ',i6
City: Gc taco r State: Al?L Zip: 2 Y> S 3 l3
Phone: E-mail
Signature:
Date: $-ZZ_,�A
NORTH CAROLINA, - � k-t COUNTY
I, the undersigned Notary Public do hereby certify that
personally appeared before me this day and acknowledged the due execution of the forgoing instrument.
WITNESS my hand and official seal this the
day of
Signature and seal: `��
My commission expires: Z
Lessee's/Operator's Certification:
Z Z- '--'
120
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Lessee/operator name: Dickie Ray Mills
Address:
City: A rile .r. State: tO (— Zip: Z$ S 13
Phone: 7,5 Z, -I''f b 10O
Signature:
Permittee's Certification:
E-mail address:
Date: I - ZO - lcl
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Signing official n I4A4P1 E' S M SM ) T14G„!� j t<
Signature: Date: 8 - ,2•?'19
If
FORM: LOA 06-16 Page 3 of 3