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HomeMy WebLinkAboutWQ0012492_Residual Annual Report 2014_20150511I't/9 OD l�-)- etl- 7'-�?— Blake Farms 2014 Residuals Application Report RECEIVEDIDENRIDWR WQ0012492 MAY 112015 Watar Quality Owner: Aragona Brothers Inc. Permtin§ section 112 Scientific Lane Jacksonville, NC 28540 (910)455-9191 Ben Aragona (ORC) Form Preparer This Report contains data for (1) field and several WWTP's. For the year of 2014 all day to day operations went well without any problems. Adding 2 Y2 tons to the acre to bring PH up in soil. ANNUAL LAND APPLICATION CERTIFICATION FORM WQ Permit#: WQ0012492 Facility Name (as shown on permit) Land Application'Operator: County: Onslow Year: 2014 Blake Farms Residual Application Program Ben Aragona Phone: (910)-455-9191 Land application of residuals as allowed by the permit occurred during the past calendar year? ❑ Yes ❑ No - If No, skip Part A, and Part B and proceed to Part C. Also, If residuals were generated but not land applied, please attach an explanation on how the residuals were handled. Part A - Residuals Application Summarv: Total number of application fields in the permit: 1 Total number of fields utilized for land application during the year: 1 Total amount of dry tons ap lied during the year for all a lication sites: 27.45 Total number of acres utilizes for land application during the year: 10.24 Part B - Annual Compiance Statement: Facility was compliant during calendar year 2014 with all conditions of the land application permit (including but not limited to items 1-13 below) issued by the Division of Water Resources. <Yes ❑ No If no please, provide a written description why the facility was not compliant, the dates, and explain corrective action taken. 1) Only residuals approved for this permit were applied to the permitted sites. 2) Soil pH was adjusted as specified in the permit and lime was applied (if needed) to achieve a soil pH of at least 6.0 or the limit specified in the permit. 3) Annual soils analysis were performed on each site receiving residuals during the past calendar year and three (3) copies of laboratory results are attached. 4) Annual TCLP analysis (if required) was performed and three (3) copies of certified laboratory results are attached. 5) All other monitoring was performed in accordance with the permit and reported during the year as required and three (3) copies of certified laboratory results are attached. 6) The facility did not exceed any of the Pollutant Concentration Limits in 15A NCAC 02T .1105(a) or the Pollutant Loading Rates in 15A NCAC 02T. 1 105(b) (applicable to 40 CFR Part 503 regulated facilities). 7) All general requirements in as specified in the Land Application Permit were complied with (applicable to 40 CFR Part 503 regulated facilities). 8) All monitoring and reporting requirements in 15A NCAC 02T .1111 were complied with (applicable to 40 CFR Part 503 regulated facilities). 9) All operations and maintenance requirements in the permit were complied with or, in the case of a deviation, prior authorization was received from the Division of Water Resources. 10) No contravention of Ground Water Quality Standards occurred at a monitoring well or explanations of violations are attached to include appropriate actions and remediations. 11) Vegetative cover was maintained and proper crop management was performed on each site receing residuals, as specified in the permit. 12) No runoff of residuals from the application sites onto adjacent property or nearby surface waters has occurred. 13) All buffer requirements as specified on the permit were maintained during each application of residuals. Part C - Certification: "I certify, under penalty of law, that the above information is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false infgx,ation, including the possibility of fines and imprisonment for knowing violations." ARAGONA BROTHERS INC Permittee Name and Title (type or print) of Preparer* 5/4/15 X Date Signature of Land Applier 5/4/15 Date Date (if different from Permittee) (if different from Permittee and Preparer) * Preparer is defined in 40 CFR Part 503.9 (r) and 15A NCAC 02T .1102 (26) DENR FORM ACF (12/2006) ANNUAL RESIDUAL SAMPLING 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: WQ#0012492 Facility Name: Residual Source WQ # or NPDES NCO071706 WWTP Name: Hinson Arms Apartments RPaidnal AnAvcic Data Laboratory: 1) 2) 3) 4) 5) Envirochem Parameter (mg/kg) Conc. Limit (mg/kg)' Sample or Composite Date 2/4/2014 Percent Solids (% NA 0.41 Arsenic 75 <22.7 Cadmium 85 <22.7 Copper 4,300 194 Chromium NA <22.7 Lead 840 25.9 Mercury 57 <.976 Molybdenum 75 <22.7 Nickel 420 <22.7 Selenium 100 <226 Zinc 7,500 2,350 Total Phosphorus NA 11,500 TKN NA 51,800 Ammonia -Nitrogen NA 394 Nitrate and Nitrite NA 1,130 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 informaliaq, including the possibility of fines and imprisonment for knowing violations." 5/4/15 Date *Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26) nGnJo Fr)RRA Rcct: 11-�j---jF� ANNUAL RESIDUAL SAMPLING 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: WQ#0012492 Facility Name: Residual Source WQ # or NPDES NCO051853 WWTP Name: Southgate MHP Residual Analvsis Data Laboratory: 1) Envirochem 2) 3) 4) 5) Parameter (mg/kg) Conc. Limit (m /k )a Sample or Composite Date 12/31/14 Percent Solids (%) NA 0.8 Arsenic 75 <12 Cadmium 85 12 Copper 4,300 .1150 Chromium NA 23.8 Lead 840 30.5 Mercury 57 <2.50 Molybdenum 75 <12 Nickel 420 165 Selenium 100 <12 Zinc 7,500 4,410 Total Phosphorus NA 20,800 TKN NA 111,000 Ammonia -Nitrogen NA 20500 Nitrate and Nitrite NA 15 '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 informancluding the possibility of fines and imprisonment for knowing violations." 5/4/15 Date *Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26) ANNUAL RESIDUAL SAMPLING 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: WQ#0012492 Laboratory: 1) Envirochem Facility Name: 2) Residual Source WQ # or NPDES NCO056952 3) #: 4) WWTP Name: Blue Creek WWTP 5) Racirinal Analvaia data Parameter (mg/kg) Conc. Limit (mg/k )a Sample or Composite Date 12/31/14 Percent Solids %) NA 1.14 Arsenic 75 <8.60 Cadmium 85 <8.60 Copper 4,300 398 Chromium NA 25.1 Lead 840 20.4 Mercury 57 <1.67 Molybdenum 75 <8.60 Nickel 420 17 Selenium 100 11.8 Zinc 7,500 3,340 Total Phosphorus NA 35,200 TKN NA 106,000 Ammonia -Nitro en NA 21300 Nitrate and Nitrite NA 29 '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 info_rxrAEBn, including the possibility of fines and imprisonment for knowing violations." of Preparer * *Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26) 5/4/15 Date n0nio FnrZnn Recr f11/7(rn-N- ANNUAL RESIDUAL SAMPLING 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: WQ#0012492 Facility Name: Residual Source WQ # or NPDES WWTP Name: 1?naiA-1 A-n] mia ila*a NCO062359 Horse Creek WWTP Laboratory: 1) Envirochem 2) 3) 4) 5) Parameter (mg/kg) Cone. Limit (mg/kg)a Sample or Composite Date 12/31/14 Percent Solids %) NA 1.76 Arsenic 75 <5.57 Cadmium 85 <5.57 Copper 4,300 504 Chromium NA 13.4 Lead 840 9.94 Mercury 57 <1.08 Molybdenum 75 <5.57 Nickel 420 11.7 Selenium 100 6.02 Zinc 7,500 4,400 Total Phosphorus NA 18,300 TKN NA 55,900 Ammonia -Nitrogen NA 5320 Nitrate and Nitrite NA 13 '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 informatiW, including the possibility of fines and imprisonment for knowing violations." 5/4/15 Date *Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26) ANNUAL RESIDUAL SAMPLING 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: WQ#0012492 Laboratory: 1) Facility Name: 2) Residual Source WQ # or NPDES NCO036226 3) #: 4) WWTP Name: Lauradale WWTP 5) Rpcidnal Analvcic data Envirochem Parameter (mg/kg) Conc. Limit (mg/k)a Sample or Composite Date 12/31/14 Percent Solids %) NA 0.53 Arsenic 75 <18.5 Cadmium 85 <18.5 Copper 4,300 925 Chromium NA <18.5 Lead 840 <18.5 Mercury 57 <3.40 Molybdenum 75 <18.5 Nickel 420 <18.5 Selenium 100 <18.5 Zinc 7,500 1,480 Total Phosphorus NA 20,900 TKN NA 81,900 Ammonia -Nitrogen NA 5020 Nitrate and Nitrite NA 2,260 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 informati , ' cluding the possibility of fines and imprisonment for knowing violations." 5/4/15 Date *Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26) n7.w'o F`rn_mocF! ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report acility Name: ;'ermit #: -Jperator: Acres Used: Blake Farms Total Dry Tons Applied (Annual): 27A5 . . WQ0012492 Cation Exchange Capacity (non 503 only): _ Ben Aragona Owner: Aragona Brothers Inc Predominant Soil Series: Autryville 10.24 Acres Permitted: 10.24 Site #: 1 Field #: 1 --tesidual Analysis Data (Heavy Metals and 'Total Phosphorus use mg/kg, % Solids use Raw Percent #): Sample or L2j L3J4 5 6 7 8 9 10 11 12 ' . Com- posite Hinson Southgate orse Cree lue CreelLauradale ' , 0.41 0.8 1.76 1.14 0.53 . 22.7 12 5.57 8.6 18.5 MArsenic 22.7 12 5.57 8.6 18.5 194 1150 504 398 925 , 22.7 23.8 13.4 25.1 18.5 25.9 30.5 9.94 20.4 18.5 0.976 <2.50 1.08 1.67 3.4 .; Molyb- denum 22.7 12 5.57 8.6 18.5 ' Nickel 22.7 165 11.7 17 18.5 . Selenium 226 12 6.02 11.8 18.5 Zinc 2350 4410 4400 3340 1480 Cotal Phos ' phorus 11500 20800 18300 35200 20900 :knnual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 L2J L3J_4j 5j Lgj7j L8J9 10 11 12 F' DT/Ac./ o App. y % Event 0.31 1.20 10.57 3.57 11.80 i Arsenic 0 0?1'.4 _ ; ..0,`.029 ::0:118 -. 0 06.1 r� �,u 0:437_ , .-`:0.006 -0.Q00_ _: ,,0.000_0.659; � Cadmium 0.01:`4 „ 0:,029.. 0118 , ` , U:061�.�."';0:437, ", �"0 000";; -0:0.00 `�' ��0:000��_''.b 000�:`; -,0 000 .: , 0:`000 � � _�;0�000�.. '. Copper 01:19 -,;2752.- 000-0000 _- `• 0000 '°;0 000 : 3.8206� �hromium ,0.437 '; ::,Woo 0�, Lead`0.210` '�'0.145 `� '. 0:437. 0 000': 0:000'.'0000 >;�6:000=: . 0 0:00. O:000: �'0:000.:. '. Mercu 0.00-1 ####### `.':;0:023' 0.012 0 080 0 OOQ .: A. 006 . .0:000 ####### Molyb- denum �0 014 0 029 011�8 0 061,�t ' 0.437 0 000 ; . 0 OQO 0 000` -0 000 0 000 0:000 = •` Nickel '.O.O T4 Q 396 0 247,' ;0.121. 0.-437.. =.0.000.,- 4100 .; 0:000.. "'0.000. 0 "000 - .M 0.000 Q 00.0 1'.215 Selenium 0:139' :0.029 - "`.`0:1'27:~ ::0:084 : �0.437.-.'x'0000�.`.` 0:000;'"; '0":00,0" �` 0.000 O.OQO 0:000 ::`4:000. =0.816 Zinc1.446 1'0:593"`'93:002 : -;23.81T 34.934`'A:000 '0:000'�0:000 ,0:000 ° `.0:000 : '0:000'� ..0:000j �I63.79i Cotal Phos phorus 7.977, 49.962 386:$03' 251.004. 401,13191 0 000 ''.:0',000; , ", '0:0004-: 0:000 0000 i 0.000 -0-.000 ###### 'I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system lesigned to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are ~ igniiica enalties for submitting false information, including the possibility of fines and imprisonment for knowing violations". i 5/4/15 signature of Land Applier Date i r' 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: Blake Farms WQ Permit #: WQ0012492 Field #: 1 Acres Utilized: 10.24 Land Owner: Aragona Brothers Inc. Annual Dry Tons Applied: r03077 ' Site #: 1 Acres Permitted: 10.24 Operator: Ben Aragona Predominant Soil Series: Autryville Cation Exchange Capacity (non 503): Crop 1 Name: Bermuda Crop 1 Max. PAN: 220 Crop 2 Name: Rye Crop 2 Max. PAN: 50 C N A Volume applied enter PP ( one) Solids/ Liquid Cu. Yds Gallons ova Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES # WQ#, , Fert., Animal Waste, etc ) Soil Cond. D We , Moist) Precip. Past 24 � inches IIY ° = a o p o 7y w M a �, * o, p c� ° * �, * p° TKN mg/kg o �; ° w• mg/kg Nitrate and Nitrite mg/kg PANApplied lied PP lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 4/3/14 6000 0.41 "0 010.; NCO071706 Dry o S 0.5 0.3 51800 394 1130 �' Na. 0.336 w 50 8/27/14 6000 0.41 ; '�,".0.01.0' ,'.�' NCO071706 Moist 0 S 0.5 0.3 51800 394 1130 �0:336 � NA 220 11/22/14 6000 0.41 `"' A:010;''._: y' Y NCO071706 Dry 0 S 0.5 0.3 51800 394 1130 0:33.6"; .."NA ., - 220 , 0:000 r 0:000'• u00 ,0;000 0.000 0:000 '#.bb ` `, ` 0.000 , ; 0:000 �0" 00t,, 0:000 , � 0.000: Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): TOTALS: "o' "iis000 As Cd Cu Cr Pb H Mo Ni Se Zn P 0!671- " `0:336 Lime A lied Annual lbs/acre 0 ..... 0 000 0 000 ' 0 000 00.0`:` 0-boo 0 06 " "11### 0:0001" ' 0:000' 0:000'` 0 000 _ " 0:000 0.000 -0:000 0:000 0:000` Date lbs/ac Prior Years Cumulative lbs/ac Current Cumulative lbs/ac Permitted C. P. L. R.**** Permit PAN Limit 1 st/2nd Crop _ 226 50 "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 qualimea 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 _nudjimprisonment for knowing violations." of Land Applier *Application Method: S - Surface, IN - Injection, INC - Incorporation 5/4/14 **Volatilization Rate: Surface - 0.5, Injection/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 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: Blake Farms WQ Permit #: W00012492 Field #: 1 Acres Utilized: 10.24 Land Owner: Aragona Brothers Inc. Annual Dry Tons Applied: i.2010• "' Site #: 1 Acres Permitted: 10.24 Operator: Ben Aragona Predominant Soil Series: Autryville Cation Exchange Capacity (non 503): Crop 1 Name: Bermuda Crop 1 Max. PAN: 220 Crop 2 Name: Rye Crop 2 Max. PAN: 50 o a� � A ° Volume applied (enter one Solids/ Liquid ) 9 Cu. Yds Gallons o /o Solids Volume Applied per Pp P Acre (Dry Tons/Ac) Residual Sources (NPDES # WQ#, � Fert., Animal Waste, etc) Soil Cond. Wei' Moist) Precip. past 24 �• inches oa o �• � a * p o °' � * ` o * p TKN mg/kg • Z Gt o p w• mg/kg Nitrate and Nitrite mg/kg PANApplied lied pp 1bs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 1/21/14 6000 0.8 �10:020, = NCO051853 Dry o S 0.5 0.3 111000 20500 15 ;', -'Na ` 1'.463- ` 50 3/11/14 6000 0.8 - 0:020:. ,` , NCO051853 Moist 0 S 0.5 0.3 111000 20500 15 ,1.463: ". "- NA. 220 4/23/14 6000 0.8 OA20,' .'; NCO051853 Dry 0 S 0.5 0.3 111000 20500 15 L'463• ' ":NA ". 220 6/24/14 6000 0.8 " ' � 0 02Q , �.' N00051853 Dry 0 S 0.5 0.3 111000 20500 15 .463, NA 220 7/26/14 6000 0.8 .020 NCO051853 Dry 0 S 0.5 0.3 111000 20500 15 " 1'.463 '- NA 220 10/22/14 6000 0.8 - ; .„0'.020, NCO051853 Dry 0 S 0.5 0.3 111000 20500 15 1.463 'NA 220 °0.000_ . ' 0.000.: Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): _ TOTALS: o s6000 As Cd Cu Cr Pb Ha Mo Ni Se Zn P �,7.313 ". 1'363 Lime Applied Annual lbs/acre = r,"0.014 ; " 0.014 0:014• ' Ot01"4; m_... 0 1-_19„ : : 0.119' �° 0 014 :�_ :0.014 ¢'' _0 016., Oi016 ######## ##/##### - 0:014 0.014 '0 014: °0014 0139 , ' 0:139 1:446 1:446' Z,077,�" Date lbs/ac Prior Years Cumulative lbs/ac Current Cumulative lbs/ac Permitted C. P. L. R.**** Permit PAN Limit 1 st/2nd Crop 220 50' `°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 find imprisonment for knowing violations." Signature of Land Applier *Application Method: S - Surface, IN - Injection, INC - Incorporation 5/4/14 **Volatilization Rate: Surface - 0.5, Injection/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 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: Blake Farms WQ Permit #: WQ0012492 Field #: 1 Acres Utilized: 10.24 Land Owner: Aragona Brothers Inc. Annual Dry Tons Applied:'- 5654 _: _' Site #: 1 Acres Permitted: 10.24 Operator: Ben Aragona Predominant Soil Series: Autryville Cation Exchange Capacity (non 503): Crop 1 Name: Bermuda Crop 1 Max. PAN: 220 Crop 2 Name: Rye Crop 2 Max. PAN: 50 ° ° A Volume applied (enter ) Solids/ Li uid Cu. Yds Gallons o �o Solids Volume Applied per PP P Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (Dry, Wet, Moist) Precip. past 24 IRS• inches a b o sv p o_ w W B; # w' p :; , , * N p TIN mg/kg o I p �. mg/kg Nitrate and Nitrite mg/kg PANAppliedone lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 2/1/14 15,000 1.14 ` `;` '=0' 070 ;°° " NCO056952 Dry 0 S 0.5 0.3 106000 21300 29 , Na`, 5:026 , 50 3/18/14 21000 1.14 ' �`' ;0;0.97 ;� e ` NCO056952 Dry 0 S 0.5 0.3 106000 21300 29 ° Na �. 7.037 �, 50 8/6/14 15,000 1.14 `0:070.m, ;ri: NC0056952 Dry 0 S 0.5 0.3 106000 21300 29`5.026, 220 11/13/14 24,000 1.14 " ` 0 111`, ,'`' .' NCO056952 Dry 0 S 0.5 0.3 106000 21300 29 Na ' • �8:042 ``. 50 000 � ° ' `0.000 0:000 ., .. _ 4000 000 0 ,060, 000,:_ 0.000 " to 0:000 ` 0.000` . Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): TOTALs:_ ` ;.o 'zs000 As Cd Cu Cr Pb H Mo Ni Se Zn P 5:026';: ° 20105" Lime A lied Annual lbs/acre 0:01�4� `,g 0 014::. :0.01'4 0 014 ; .0 119 0 119, 0 014� ' 'r O Q`I6 � 0 016.. ######## _ •0:014- :0 014 0.014 _ ` 0 13. 9 1 44'6 1.446 7.'077 � . : : : : :: Date lbs/ac Prior Years Cumulative lbs/ac Current Cumulative lbs/ac Permitted C. P. L. R.**** Permit PAN Limit 1 st/2nd Crop 22.0 50 " "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 finest imprisonment for knowing violations." of Land Applier 5/4/14 Date *Application Method: S - Surface, IN - Injection, INC - Incorporation **Volatilization Rate: Surface - 0.5, Injection/Incorporation -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 J 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: Blake Farms WQ Permit #: WQ0012492 Field #: 1 Acres Utilized: 10.24 Land Owner: Aragona Brothers Inc. Annual Dry Tons Applied: j 10 5684,` --, "-`. ; y,. _ ' Site #: 1 Acres Permitted: 10.24 Operator: Ben Aragona Predominant Soil Series: Autryville Cation Exchange Capacity (non 503): Cron 1 Name: Bermuda Cron 1 Max. PAN: 220 Crop 2 Name: Rye Crop 2 Max. PAN: 50 C a� Volume applied (enter one) Solids/ Liquid Cu. Yds Gallons ° �° Solids Volume Applied per pp p Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc ) Soil Cond. (Dry, Wet, Moist) Precip. Past 24 ma's• inches �Y 0 �. o w a o' p w � m o' o F i �* P W a° TKN mg/kg o R o p w• mg/kg Nitrate and Nitrite mg/kg PAN Applied ( lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 1/22/14 24000 1.76 '' ; ,`_0172';' ';" NC0062359 Dry o S 0.5 0.3 55900 5320 13 Na ,.' " 6.,140` 50 3/27/14 24000 1.76 NCO062359 Dry 0 S 0.5 0.3 55900 5320 13 Na.'6.140> 50 5/27/14 24,000 1.76 "`,�`'.�;0172; :°°;'. NCO062359 Dry 0 S 0.5 0.3 55900 5320 13 6:140";" ='-NA'. 220 7/7/14 24,000 1.76 `:' ; 0:172_`%.;' , NCO062359 Dry 0 S 0.5 0.3 55900 5320 13 6140 .. NA 220 9/13/14 24,000 1.76 1;,, `-017 ," ', NCO062359 Dry 0 S 0.5 0.3 55900 5320 13 6:140 . `'; "NA 220 11/24/14 24,000 1.76 ,.';;' NCO062359 Dry 0 S 0.5 0.3 55900 5320 13 Na„ ' 6;140 50 0 000 0.000,� 0:0001, ' 0.000z- -0.000 0.000 " A000 ti 0:000, Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): TOTALS: q i44000 As Cd Cu Cr Pb H Mo Ni Se Zn P T8".419 184i9 Lime Applied Annual lbs/acre `0:014 ".` ° "0:014' "" •0bi 0 014 " ���0:�119:� 0.119: '`s 0 014 0. 014 =, 0 Ol'6� ':O:OT6`' ######## ########' 0 014 'Oi014 '' 0 014 ,0:014'V4 0 1'39 U:139;' 1446` 1.446 7:077' Date lbs/ac Prior Years Cumulative lbs/ac Current Cumulative lbs/ac Permitted C. P. L. R.**** Permit PAN Limit 1 st/2nd Crop 220" 50 "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 quaiinea personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fine n7imprisonment for knowing violations." Signature of Land Applier *Application Method: S - Surface, IN - Injection, INC Incorporation 5/4/14 **Volatilization Rate: Surface - 0.5, Injection/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 _ncKIo �nRgn G'�F 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: Blake Farms WQ Permit #: WQ0012492 Field #: 1 Acres Utilized: 10.24 Land Owner: Aragona Brothers Inc. Annual Dry Tons Applied: h[1= 801J9.,: v : =y `'`.. ` ',, } ''; Site #: 1 Acres Permitted: 10.24 Operator: Ben Aragona Crop 1 Name: Bermuda Predominant Soil Series: Autryville Crop 1 Max. PAN: 220 Crop 2 Name: Cation Exchange Capacity (non 503): Rye Crop 2 Max. PAN: 50 c a0 c A Volume applied (enter one) Solids/ Liquid Cu. Yds Gallons o /o Solids Volume Applied per pp p Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (Dry, Wet, Moist) Precip. past 24 Hrs inches a b �- o w' a c a o .: ; * �, °a .. `D * * p TKN mg/kg Z o " o a w mg/kg Nitrate and Nitrite mg/kg PAN Applied ( lbslacre) Name of Crop Type Receiving Residual Application pP Crop 1 Crop 2 Crop 1 Crop 2 Jan. 42,000 0.53 -^�''�di09.15'r`:_ NCO036226 Dry 0 S 1 0.5 0.3 1 81900 5020 2260 Na " ": , ';5:046 a 50 Feb. 42,000 0.53 0 091,� '�'1§ NCO036226 Dry 0 S 0.5 0.3 81900 5020 2260 `Na= ,." '-3.046, 50 Mar. 48,000 0.53 0:104'''" NCO036226 Dry 0 S 0.5 0.3 81900 5020 2260 5.T67 ^' ' NA . 220 April 54,000 0.53 t='``-::0:,1;1T s::`_ NC0036226 Dry 0 S 0.5 0.3 81900 5020 2260 6:488=". ; NA , 220 May 54,000 0.53 _1M0117,`~. ` NC0036226 Dry 0 S 0.5 0.3 81900 5020 2260 6.488; - r .NA . 220 June 48,000 0.53 "``• `f01.04_;`„ •;: NCO036226 Dry 0 S 0.5 0.3 81900 5020 2260 '3,6.77'" ,'`'NA'' 220 July 66,000 0.53 '.Oi14- 7 `A„ NCO036226 Dry 0 S 0.5 0.3 81900 5020 2260 7.939., ` ,% NA.,; ; 220 Aug. ' ;::0:000 : ` 0:000 °, �: - 0.000 Sept. -''_; `0000" ;' O'.000' `' `0:000 Oct. 66000 0.53 `,;''; ,;` O:kr42, ; ` , NCO036226 Dry 0 S 0.5 0.3 81900 5020 2260 7.930 `: ". " NA 50 Nov. 48000 0.53 = ;0;304',;'.'-- NCO036226 Dry 0 S 0.5 0.3 81900 5020 2260 5':767!• - .NA 50 Dec. 66000 0.53 '==-0442';''o�:'', NCO036226 Dry 0 S 0.5 1 0.3 81900 5020 2260 !-.930- "NA -' 50 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): TOTALS: - , 0 s3'adoo As Cd Cu Cr Pb H Mo Ni Se Zn P 5.4:06 �`. ;10-.on Lime A lied Annual lbs/acre 0 014 _` 0 014 0.01"4=: 0.014 ' { A, 0 119 ' " 0119 0,01'4 : < 0 014 0 016 ' " O:Oi6 ######## #####.### `' 0.014 0.014 "0 014 0 014 0139'L 0:139 `."1.446 1.446. 7 077 Date lbs/ac Prior Years Cumulative lbs/ac Current Cumulative lbs/ac Permitted C. R L. R. * * * Permit PAN Limit l st/2nd Crop 220; 50 "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 fin a d imprisonment for knowing violations." Signature of Land Applier *Application Method: S - Surface, IN - Injection, INC - Incorporation i/4/14 **Volatilization Rate: Surface - 0.5, Injection/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 i y Environmentai unemists,. Inc. em enviroch 6602 Windmill Way • Wilmington, NC 28403 v A i S� (910) 392-0223 (Lab) • (910) 392-4424 (Fax) 710 Bowsertown Road • Manteo, NC 27954 � ANALYTICAL & CONSULTING (252) 473-5702 " CHEMISTS NCDENR: DWQ CERTIFICATE #94. DLS CERTIFICATE #37729 Hinson Arms Apts. Date of Report: Mar 11, 2014 1 3340 Richlands Hwy Customer PO #: Jacksonville NC 28540 Report #: 2014-01404 Attention: Sonny Scozzad Report to: Sonny Scozzari r Project ID: Sludge Lab 1D Sample ID: Collect DatelTime Matrix Sampled by 0 14-03504 Site: Sludge 2/4/2014 6:30 PM Solid/Sludge Sonny Scozzari (� Test Method Results Date Analyzed Sludge Residuals Aluminum EPA2ao.7 12500mg/kg 02/2412014 Arsenic EPA200.7 <22.7 mg/kg 02/11/2014 Cadmium EPA200.7 <22.7mg/kg 02/11/2014 �) Calcium EPA2ao.7 16200mg/kg 02/10/2014 _N) Chromium EPA200.7 <22.7 mg/kg 02/11/2014 F <' Copper EPA200.7 194mg/kg 02/11/2014 _ Lead EPA2oo.7 25.9 mg/kg 02/19/2014 Magnesium EPA2o0.7 2430 mg/kg 02/18/2014 <<' Molybdenum EPPA200.7 <22.7 mg/kg 02/11/2014 ( Nickel EPA200.7 <22.7 mg/kg 02119/2014 a Potassium EPA200.7 5170 mg/kg 02/1012014 Selenium EPA200.7 <226 mg/kg 02/14/2014 ` Sodium EPA200.7 31000mg/kg 02/10/2014 Zinc EPA 200.7 2350 mg/kg 02/14/2014 _ l Ammonia Nitrogen EPA 350.1 394 mg/kg 02/21/2014 -� Total Kjeldahl Nitrogen (TKN) EPA 351.2 51800 mg/kg 03/07/2014 Nitrate+Nitrite-Nitrogen EPA353.2 1130 mg/kg 02/26/2014 -� Total Solids (%) SM 2540 a 0.41 % 02106I2014 pH SM 4500 H B 7.34 units 02/06/2014 Total Phosphorus SM 4500 P F 11500 mg/kg 03/10/2014 Mercury SWM7471B <0.976 mg/kg 02/28/2014 Comment: _ Reviewed by: s 7 .Gnvironmen-um unemiszs, ine. ienvirochem 6602 Windmill Way • Wilmington, NC 28405 (910) 392-0223 (Lab) • (910) 392-4424 (Fax) J 710 Bowsertown Road • Manteo, NC 27954 (252) 473-5702 ANALYTICAL iL CONSULTING CHEMISTS NCDENR: DWQ CERTIFICATE #94. DLS CERTIFICATE #37729 i - Aragona Brothers Inc. Date of Report: Jan 20, 2015 _ 112 Scientific Lane Customer PO #: r r Jacksonville NC 28640 Customer ID: 11020013 1. Attention: Ben Aragona Report #: 2015-00025 Project ID: Southgate Sludge { Lab ID Sample ID: Collect DateITime Matrix Sampled by 15-00038 Site: Sludge 12/31/2014 11:50 AM Solid/Sludge Ben Aragona } Test Method Results Date Analyzed ,r Sludge Residuals Aluminum EPA 200.7 4490 mg/kg 01/13/2015 Arsenic EPA200.7 <12.0mglkg 01/13/2015 Cadmium EPA 200.7 <12.0 mg/kg 01/13/2015 �._ Calcium EPA 200.7 48200 mg/kg 01/12/2015 _ Chromium EPA 200.7 23.8 mg/kg 01113I2015 Copper EPA 200.7 1150 mg/kg 01/13/2015 ' Lead EPA200.7 30.5 mg/kg 01/13/2015 Magnesium 9 EPA 4650 mg/kg 01/1212015 Molybdenum EPA 200.7 <12.0 mg/kg 01/13/2015 Nickel EPA 200.7 165 mg/kg 01/13/2015 ( f Potassium EPA 200.7 7440 mg/kg 01/12/2015 Selenium EPA200.7 <12.0 mg/kg 01/13/2015 Sodium EPA 200.7 12000mglkg 01/12/2015 Zinc EPA 200.7 4410mg/kg 01/13/2015 Ammonia Nitrogen EPA 350.1 20500 mg/kg 01/12/2015 -' Total Kjeldahi Nitrogen (TKN) EPA3512 111000 mg/kg 01/08/2015 Nitrate+Nitrite-Nitrogen EPA353.2 14.6 mg/kg 01/05/2015 y� Total Solids (%) SM 2540 s 0.80 % 01/05/2015 pH SM 4500 H B 6.68 units 01/16/2015 Total Phosphorus SM 4500 P F 20800 mg/kg 01/08/2015 Mercury SW84674718 <2.50 mg/kg 01/14/2015 Comment: Results, except pH, re orted on a dry weight basis. pH reported on an as received basis. Reviewed by: Environmentai vn.emists, tne, • 6602 Windmill Way • Wilmington, NC 28405 (910) 392 0223 (Lab) • (910) 392-4424 (Fax) © 710 Bowsertown Road • Manteo, NC 27954 (252) 473-5702 ANALYTICAL & CONSULTING ' r _ CHEMISTS NCDENR- DWQ CERTIFICATE #94. DIS CERTIFICATE #37729 Aragona Brothers Inc. Date of Report: Jan 20, 2015 1� 112 Scientific Lane Customer PO #: _1 Jacksonville NC 28540 Customer ID: 11020013 Attention: Ben Aragona Report #: 2015-00026 AJ Project ID: Blue Creek Utilities WWTP Lab ID Sample ID: Collect Date/Time Matrix Sampled by 15-00039 Site: Sludge 12/31/2014 11:15 AM Solid/Sludge Jeff Jarman �V Test Method Results Date Analyzed _ Sludge Residuals _ Aluminum EPA200.7 4700 mg/kg 01/13/2015 Arsenic SPA200.7 <8.60 mg/kg 01/13/2015 Cadmium EPA200.7 <8.60 mg/kg 01/13/2015 Calcium EPA 200a 45400 mg/kg 01/12/2015 y} Chromium EPA2009 25.1 mg/kg 01/13/2015 Copper EPAeon.7 398mg/kg 01/13/2015 Lead EPA 200.7 20.4 mg/kg 01/13/2015 Magnesium EPA200.7 3390mg/kg 01/12/2015 *� Molybdenum EPA200.7 <8.60mglkg 01/13/2015 Nickel EPA200.7 17.0mg/kg 01/13/2015 -LE Potassium EPA200.7 6310mg/kg 01/12/2015 Selenium EPA200.7 11.8mg/kg 01/13/2015 = Sodium EPA200.7 18000mg/kg 01/12/2015 =' Zinc EPA200.7 3340 mg/kg 01/13/2015 Ammonia Nitrogen EPA 350.1 21300 mg/kg 01/12/2015 -� Total Kieldahl Nitrogen (TKN) EPA351.2 106000 mg/kg 01/08/2015 Nitrate+Nitrite-Nitrogen EPA 28.8mg/kg 01/05/2015 -� Total Solids (%) SM 2540 B 1.14 % 01/05/2015 pH SM 4500 H B 6.90 units 01/16/2015 Total Phosphorus SM 4500 P F 35200 mg/kg 0110812015 r ' Mercury sw8467471B <1.67 mg/kg 01/14/2016 Comment: Results, except pH, reported on a dry weight basis. pH reported on an as received basis. Reviewed by: j, r� znvironmeniai k;nemiszs, ine. f) • 6602 Windmill Way - Wilmington, NC 28405' 8 (910) 392 0223 (Lab) - (910) 392-4424 (Fax) 710 Bowsertown Road - Manteo, NC 27954 ANALYTICAL & CONSULTING (252) 473-5702 �.. CHEMISTS NCDENR- DWQ CERTIFICATE #}94. US CERTIFICATE #37729 -' Aragona Brothers Inc.' Date of Report: Jan 20, 2015 112 Scientific Lane Customer PO #: Jacksonville NC 28540 Customer ID: 11020013 Attention: Ben Aragona Report #: 2015-00023 Project ID: Horse Creek Lab ID Sample ID: Collect Date/Time Matrix Sampled by i 15-00036 Site: Sludge 12/31/2014 9:30 AM Solid/Sludge Jeff Jarman Test Method Results Date Analyzed Sludge Residuals ,h Aluminum EPA200.7 3450 mg/kg 01/13/2015 Arsenic EPA 200.7 <5.57 mg/kg 01/13/2015 Cadmium EPA200.7 <5.57 mg/kg 01/13/2015 Calcium EPA200.7 31900 mg/kg 01/12/2015 �-_ Chromium EPA 200.7 13.4 mg/kg 01I13/2015 Copper EPa2o0.7 504 mglkg 01/13/2015 -) Lead EPAz0o.7 9.94 mg/kg 01/13/2015 Magnesium EPA200.7 1730 mg/kg 01/12/2015 r Molybdenum EPA200.7 <5.57 mg/kg 01/13/2015 Nickel EPA200.7 11.7 mg/kg 01113/2015 Potassium EPA200.7 2760 mglkg 01/12/2015 ' Selenium EPA2001 6.02 mg/kg 01/13/2015 Sodium EPA200.7 4250mg/kg 01/12/2015 [ Zinc EPA200.7 4400 mg/kg 01/13/2015 Ammonia Nitrogen EPA350.1 5320 mg/kg 01/07/2015 Total Kjeldahl Nitrogen (TKN) EPA351.2 55900 mg/kg 01108/2015 Nitrate+Nitrite-Nitrogen EPA363.2 13.1 mglkg 01/0512015 Total Solids ('/o) sM 2540 s 1.76 % 01 /0512015 pH SM4500 H B 6.74 units 01/16/2015 Total Phosphorus SM 4500 P F 18300 mg/kg 01/08/2015 Mercury SW8467471E <1.08 mg/kg 01/14/2015 Comment: Results, except pH, re orted on a dry weight basis. pH reported on an as received basis Reviewed by: �a 14 irinvironmenzai unemiszs, ine. \ 6602 Windmill Way • Wilmington, NC 28405 - . (910) 392-0223 (Lab) • (910) 392-4424 (Fax) 710 Bowsertown Road • Manteo, NC 27954 ` (252) 473-5702 ANALYTICAL & CONSULTING CHEMISTS NCDENR- DWQ CERTIFICATE #94. DLS CERTIFICATE #37729 `f Scientific Water & Sewer Date of Report: Jan 20, 2015 Yr 112 Scientific Lane Customer PO'#- ' Jacksonville NC 28540 Customer ID: 08100107 `-} Attention: Ben Aragona Report #: 2015-00024 Project ID: Lauradale VWIWTP Sludge Lab ID Sample ID: Collect Date/Time Matrix Sampled by 15-00037 Site: Sludge 12/31/2014 10:36 AM Solid/Sludge Ben Aragona ' Test Method Results Date Analyzed Sludge Residuals Aluminum EPA20o-7 5700 mg/kg 01/13/2015 Arsenic EPA200.7 <18.5 mg/kg 01/13/2015 Cadmium EPA200.7 <18.5 mg/kg 01/13/2015 Calcium EPa200.7 96400mg/kg 01/12/2015 Chromium EPA200.7 <18.5 mg/kg 01/13/2015 Copper EPA200.7 925 mg/kg 01/13/2015 Lead EPA 200.7 <18.5 mg/kg 01/1312015 Magnesium EPA200.7 3490 mglkg 01/12/2015 Molybdenum EPA200.7 <18.5 mg/kg 01/13/2015 Nickel EPA200.7 <18.5 mg/kg 01/13/2015 Potassium EPA200.7 7470 mglkg 01/12/2015 Selenium EPA200-7 <18.5 mg/kg 01/13/2015 .? Sodium EPA200.7 17700 mg/kg 01/12/2015 Zinc EPA200.7 1480 mg/kg 01/13/2015 Ammonia Nitrogen EPA350.1 5020 mglkg 01/07/2015 _.� Total Kjeldahl Nitrogen (TKN) EPA 361.2 81900 mg/kg 01/08/2015 Nitrate+Nitdte-Nitrogen EPA363.2 2260mg/kg 01/05/2015 Total Solids M SM 2540 B 0.53 % 01/05/2015 pH SM 4500 H B 7.06 units 01/16/2015 - Total Phosphorus SM 4500 P F 20900 mg/kg 01/08/2015 Mercury SW8467471S <3.40 mg/kg 01/14/2015 Comment: Results, except pH, reported on a dry weight basis. pH reported on an as received basis. Reviewed by: u� ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (02T Rules) Facility Name: BLAKE FARMS WQ Permit Number: WQ0012492 WWTPName: HINSONARMS WWTP NPDESNumber: NCO071706 Monitoring Period: From 1/1/14 To 12/31/14 Pathogen Reduction (15A NCAC 02T .11061- Please indicate level achieved and alternative nerfnrmede 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 ❑ Heat Drying ❑ Heat Treatment ❑ Thermo hilic ❑ Beta Ray ❑ Gamma Ray ❑ Pasteurization ❑ Class B: Alt. (1) Fecal Density ❑ Alt. (2) Process to Significantly Reduce Pathogens If applicable to alternative performed (Class B only) indicate "Process to Sig ificantly Reduce Pathogens": Lime Stabilization ❑ Air Drying ❑ Composting ❑ JAerobic Digestion Anaerobic Digestion ❑ If applicable to alternative performed Class A or Class B) complete the following moni ring data: Parameter Towable Level in Sludge Pathogen Density g tY Number of Bence- dences FrequencySam ofAnalysis p le yP Type Analytical Tech-nique MExceinimum Geo. Mean Maximum Units Fecal Coliform 2 x 10 to the 6th power per gram of total solids NTN CFU 1000 mpn per gram of total solid (dry weight) Salmonella bacteria (in lieu of fecal coliform) 3 NTN per 4 grams total solid (dry I weight) vccwr Attraction KenllCilntl 1 11A ING 'Al ' IIL 1' _ 1111"/1 - PlPaca inrlir•atP altarnativa narinrm a`I• Alt.I (VS reduction) ❑ Alt. 2 (40-day bench) ❑ Alt. 3 (30-day bench) ❑ JAlt. 4 (Spec. OZ uptake) ❑ Alt. 5 (14-Day Aerobic) ❑ Alt. 6 (Alk. Stabilization 4ZAlt 7 (Drying - Stable) ❑ JAIt. 8 (Drying - Unstable) ❑ Alt. 9 (Injection) ❑ Alt. 10 (Incorporation) ❑ INo vector attraction reduction alternatives were performed ❑ UEKJ1'U'JLUA1'1V1N STA'1'LMraNT (please check the appropriate statement) E0 "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." BENARAGONA Prepare am d Title (type or print) Land Applier Name and Title (if applicable)(type or print) 5/4/15 5/4/15 3i afore of Preparer* a ----S.ignature of Land Applier (if applicable) Date *Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26) DENR FORM PVRF 02T (12/2006) ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (02T Rules) s-� Facility Name: BLAKE FARMS WQ Permit Number: WQ0012492 WWTPName: SOUTHGATE WWTP NPDES Number: NCO051853 Monitoring Period: From 1/1/14 To 12/31/14 Pathogen Reduction (15A NCAC 02T -1106) - Please indicate level achieved and alternative nerfnrmede Class A: Alt. A (time/temp) ❑ Alt B (Alk Treatment) ❑ Alt. C (Prior Testing) ❑ A1t.D (No Prior Test) ❑ Process to Further Reduce Pathogengs ❑ If applicable to alternative performed (Class A only) indicate "Process to Further Reduce Pathogens": Coin post ❑ Heat Drying ❑ Heat Treatment ❑ Thermophilic ❑ Beta Ray ❑ Gamma Ray ❑ Pasteurization ❑ Class B: JAIt. (1) Fecal Density ❑ Alt. (2) Process to Significantly Reduce Pathogens If applicable to alternative performed (Class B only) indicate "Process to Significantly Reduce Pathogens": Lime Stabilization ❑ Air Drying ❑ Composting ❑ JAerobic Digestion Anaerobic Digestion ❑ If applicable to alternative performed Class A or Class B) complete the following monitoring data: Parameter Allowable Level in Sludge Pathogen Density Number of Excee- dences Frequency of Analysis Sample Type yP Analytical Tech- que Minimum Geo. Mean Maximum Units Fecal Coliform 2x10tothe 6th power per gram of total solids wN CFU 1000 mpn per gram of total solid (dry weight) Salmonella bacteria (in lieu of fecal colifonn) 3 MPN per 4 grams total solid (dry weight) vector Attractlnn meauctinn 175A N[ AU 117T-111171 - P1PaeP ind d-9+P 9I+PYT9+iVP nnrfnrmPrl• Alt.1 (VS reduction) ❑ Alt. 2 (40-day bench) ❑ jAlt. 3 (30-day bench) ❑Alt. 4 (Spec. OZ uptake) ❑ Alt. 5 (14-Day Aerobic) ❑ Alt. 6 (Alk. Stabilization 2ttAlt 7 (Drying - Stable) ❑ JAIt. 8 (Drying - Unstable) ❑ Alt. 9 (Injection) ❑ Alt. 10 (Incorporation) ❑ INo vector attraction reduction alternatives were performed ❑ UhK1'JL 1UAY1U1N S'1'AYEMENT (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." BENARAGONA Preparer a and Title (type or print) e of Preparer* 1�� -A�r� ;gna Ap ' am d Title (if applicable)(type or print) 5/4/15 5/4/15 Date of Land Applier (if applicable) Date *Preparer is defined in 40 CFR Part 503.9(r) and 15ANCAC 2T .1102 (26) DENR FORM PVRF 02T (12/2006) ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (02T Rules) Facility Name: BLAKE FARMS WQ Permit Number: WQ0012492 WWTPName: BLUECREEK WWTP NPDES Number: NCO056952 Monitoring Period: From l/1/14 To 12/31/14 Pathogen Reduction (15A NCAC 02T .1106)- Please indicate level achieved and alternative nerformed: Class A: Alt. A (time/temp) ❑ Alt B (Alk Treatment) ❑ Alt. C (Prior Testing) ❑ A1t.D (No Prior Test) ❑ Process to Further Reduce Pathogengs ❑ If applicable to alternative performed (Class A only) indicate "Process to Further Reduce Pathogens": Compost ❑ Heat Drying ❑ Heat Treatment ❑ Thermophilic ❑ Beta Ray 131 Gamma Ray ❑ Pasteurization ❑ Class B: JAIt. (1) Fecal Density 01 Alt. (2) Process to Significantly Reduce Pathogens If applicable to alternative performed Class B only) indicate "Process to Sig ificantly Reduce Pathogens": Lime Stabilization ❑ 1 Air Drying ❑ Composting ❑ jAerobic Digestion Anaerobic Digestion ❑ If applicable to alternative performed Class A or Class B) complete the following monitoring data: Parameter Allowable Level in Sludge Pathogen Density Number of Excee- deuces Frequency ofAnalysis Sample Type yP Analytical Tech-nique Minimum Geo. Mean Maximum Units Fecal Coliform 2 x 10 to the 6th power per gram of total solids WN CFU 1000 mpn per gram of total solid (dry weight) Salmonella bacteria (in lieu of fecal coliform) 3 MPN per 4 grams total solid (dry weight) vector Aitraetlon .Keauctton 11,A 1V UAU UZ 1 .1 l W/ 1 - rlease indicate alternative nertnrmed, Alt.I (VS reduction) ❑ Alt. 2 (40-day bench) [3Alt. 3 (30-day bench) ❑ Alt. 4 (Spec. OZ uptake) ❑ Alt. 5 (14-Day Aerobic) ❑ Alt. 6 (Alk. Stabilization Alt 7 (Drying - Stable) ❑ jAlt. 8 (Drying - Unstable) ❑ Alt. 9 (Injection) ❑ Alt. 10 (Incorporation) No vector attraction reduction alternatives were performed ❑ 1,1,dx11r11;A1R. rN A lAlr:ivmiN r tpiease cnecx 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." BENARAGONA Preparei�N" and Title (type or print) of *Preparer is defined in 40 CFR Part 503.9(r) -ge", - &9:20"* Land Ap an7ie&d Titl (if applicable)(type or print) 5/4/15 5/4/15 Date Signature of Land Applier (if applica 1e) Date 2T .1102 (26) DENR FORM PVRF 02T (12/2006) ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (02T Rules) Facility Name: BLAKE FARMS WQ Permit Number: WQ0012492 WWTPName: LAURADALE WWTP NPDES Number: NCO036226 Monitoring Period: From 1/1/14 To 12/31/14 Pathogen Reduction (15A NCAC 02T .1106) - Please indicate level achieved and alternative performed: Class A: Alt. A (time/tem) ❑ 1 Alt B (Alk Treatment) ❑ Alt. C (Prior Testing) ❑ A1t.D (No Prior Test) ❑ Process to Further Reduce Pathogengs ❑ If applicable to alternative performed (Class A only) indicate "Process to Further Reduce Pathogens": Compost ❑ Heat Drying ❑ V Heat Treatment ❑ Thermo hilic ❑ Beta Ray ❑ Gamma Ray ❑ Pasteurization ❑ Class B: JAIt. (1) Fecal Density ❑ Alt. (2) Process to Si cantly Reduce Pathogens If applicable to alternative performed Class B only) indicate "Process to Sig ificantly Reduce Pathogens": Lime Stabilization ❑ Air Drying ❑ Composting ❑ JAerobic Di estion Anaerobic Digestion ❑ If applicable to alternative performed (Class A or Class B) complete the following monitormi data: Parameter Allowable Level in Sludge Pathogen Density Number of dExcee- euces deuce, Frequency ofAnalysis Sample T e yp Analytical Tech-nique Minimum Geo. Mean Maximum Units Fecal Coliform 2 x 10 to the 6th power per gram of total solids wN CFU 1000 mpn per gram of total solid (dry weight) Salmonella bacteria (in lieu of fecal coliform) 3 NTN per 4 grams total solid (dry Iweight) vectorAliracIlon Kenuctlon 11>A NCAI: HIT _1]1171 - Please indicate alternative nerfnrmedr Alt.1 (VS reduction) ❑ Alt. 2 (40-day bench) JAIt. 3 (30-day bench) ❑ JAlt. 4 (Spec. OZ uptake) ❑ Alt. 5 (14-Day Aerobic) ❑ Alt. 6 (Alk. Stabilization JqJAIt7 (Drying- Stable) ❑ JAIt. 8 (Drying - Unstable) ❑ Alt. 9 (Injection) ❑ Alt. 10 (Incorporation) ❑ JNo vector attraction reduction alternatives were performed ❑ %-EKl lrl(:A11U1V a J1At'-EMEA'1' (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." 13 "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." r, BEN ARAGONA Preparer and Title (type or print) Land 4/15 Si of Preparer* Date Sid *Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26) �e andXitle (if applicable)(type or print) 514115 of Land Applier (if applicable) Date DENR FORM PVRF 02T (12/2006) WDU MRW NwdsHR--9L9.O_S�j NMDE S MMT NM eR Z C?F Pi GEC,' w � ., r �r%�t��' ..... - i b—o r 5 C��e� N19Das MOW NwdBi3R .�Vc00tiG goiloo IZ-1 L 677 r 7 z7 20iv Zri'000 J700. _ 7 SS ZI 773 12- 3S Z I z, z-7 ► oR . Zf ' _. 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Date of Report: Jan 23, 2015 112 Scientific Lane Customer PO #• Jacksonville NC 28640 Customer ID: 11020013 Attention: Ben Aragona Report M. 2015-00027 Project 1D: Blake Farms Lab ID Sample ID: Collect Date/Time Matrix Sampled by 15-00040 Site: Soil # 1 12/31/2014 8:00 AM Solid/Sludge Ben Aragona Test Method Results Date Analyzed Soil Fertility Calcium EPA200.7 2030 mg/kg 01/12/2015 Copper EPA 200.7 117 mg/kg 01/13/2015 Magnesium EPA200.7 120 mg/kg 01/12/2016 Manganese EPA200.7 49.7 mg/kg 01/13/2015 Potassium EPA200.7 139 mg/kg 01/12/2015 Sodium EPA200.7 52.2 mg/kg 01/12/2015 Zinc EPA2007 178 mg/kg 01/13/2015 Acidity (Soil Fertility) NCDA Agronomic Division 1.77 meq/100g 01122/2015 Base Saturation NCDA Agronomic Division 86.4 % 01 /23/2015 Cation Exchange Capacity NCDA-Agronomic Division 13.3 meq/100g 01/23/2015 Exchangeable Sodium Percentage NCDA-Agronomic Division 1.70 % 01/23/2015 Humic Matter NCDAAgronomic Division 5.78 % 01/23/2015 Total Solids (%) SM 2540 B 83.3 % 01/06/2015 Total Phosphorus SM 4500 P F 156 mg/kg 01/08/2015 pH SW 846 Method 9045D 4.92 units 01/22/2015