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HomeMy WebLinkAboutWQ0016966_Residual Annual Report 2014_20150129�9�'i69�G Is JAN 2 9, DVVR SECTION INFORMATION PROCESSING UNIT Town of Denton Town of Denton, NC 2014 Annual Report Land Application Program Permit No. WQ0016966 -- --- — --- � �-��-��.+vim • va.a�aaa avaiii Vl. 1' VL�111 WQ Permit#: WQ0016966 County: Facility Name (as shown on permit): Land Application Operator: Davidson Year: 2014 Town of Denton Southern Soil Builders, Inc. Phone: 336-957-8909 Land application of residuals as allowed by the permit occurred during the past calendar year? ® Yes El 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. Total number of application fields in the ermit: 12 Total number of fields utilized for land application during the year: 5 Total amount of dry tons applied during the year for all application sites: 60.41 Total number of acres utilizes for land application during the year: 40.25 T 1 al L - tiuuum winpinuce in Cement: 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. 0 Yes El 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 .1105(b) (applicable to 40 CFR Part 503 regulated facilities). 7) All general requirements in as specified in the Land Application Permit were complied with (applicable to 40 CFR Part 503 regulated facilities). 8) All monitoring and reporting requirements in 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 information, including the possibility of fines and imprisonment for knowing violations." 11 �N 0 pA �7,j �cn, ►'�r� NI ' !(v cJC, ``fir Permittee Name an Title �p9or print) U of Preparer* ature of PermittDate I FAM WA . MM of Ladd Applier 1-H-If 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: WQ0016966 Laboratory: 1) Facility Name: Town of Denton 2) Residual Source WQ # or WQ0016966 3) NPDES #: 4) WWTP Name: Town of Denton 5) Residual Analvcic Data Meritech, Inc. Parameter (mg/kg) Conc. Limit m a Sample or Composite Date 6-10-14 Percent Solids (%) NA 3.28 Arsenic 75 1.5 Cadmium 85 1.4 Copper 4,300 303.96 Chromium NA 39.3 Lead 840 24.93 Mercury 57 0.48 Molybdenum 75 1.55 Nickel 420 12.53 Selenium 100 2.28 Zinc 7,500 1009 Total Phosphorus NA 12195 TKN NA 71036 Ammonia -Nitrogen NA 3810 Nitrate and Nitrite a For surface disposal facilities NA the ceilinsr 304 nnncPntra+inn 1;m;+e r,�+oa ;,, +u. uic uiulvluuad permit Ior merals smuts. "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 theke are significant penalties for submitting information, including the possibility of fines and imprisonment for knowing violations." Preparer * ate *Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26) DENR FORM RSSF (12/2006) I Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: Town of Denton Total Dry Tons Applied (Annual): 3.56 Permit #: WQ0016966 Cation Exchange Capacity (non 503 only): Operator: Joel Sexton Owner: Joel Sexton Predominant Soil Series: BaB Acres Used: 5.6 Acres Permitted: 5.6 Site #: 0202 Field #: 02 02 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent ft Sample or Com- posite Date % Solids Arsenic Cadmium Lead Nickel Selenium Zinc Total Phos- Annual Total DT/Ac./ App. Event Arsenic Cadmium Lead Nickel Selenium Zinc Total Phos- 6/10/14 3.28 1.52 1.4 303.96 39.3 24.93 0.48 1.55 12.53 2.28 1009 12195 1 •E 0.002 0.002 0.386 0.050 0.032 0.001 0.002 0.016 0.003 1.281 ted in 1 111 1 111 1 1 11 1 111 1 11 1 1 111 1 1 11 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1111 1 1!1 1 111 1111 1 111 1 11! 1 111 1 111 1 111 1111 1 111 1 111 1 111 1 111 ®® 1 11 1 ;• 1 1 1 1 1 1 11 1 11 1111 1111 1111 1111 1111 1111 1111 1111 1 011 1 111 1 011 1 111 1 111 1 11! ! 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 Iwo 1 1 111 1 tll 1 111 1 111 1 111 1 Itl 1 111 1 111 1 Itl 1 111 1 111 1 111 1 111 1 111 1 111 1 tll 1 111 1 111 1 111 1 111 1 111 1 111 1 111 ®®®® 1 111 t 111 1 111 1 1 11 1 111 1 111 1 1!1 1 111 1 111 1 111 1 111 1 111 1 111 1 1 . 1 11 1 111 1 111 1 111 1 tll 1 111 1 111 1 111 1 111 1 tll 1 111 fill 1 11! 1 111 1 tll 1 111 1 111 15.488 10.000 10.000 10.000 10.000 10.000 10.000 10.000 10.000 10.000 10.000 10.000 115.488 "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. [ am aware that there are significant penalties for submitting false information, including the possibility of fines and mprisonment for knowing violations". >ignature of Land Applier i- 41-, y Date DENR FORM MFLSF (12/2006) y t . Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: Town of Denton . Total Dry Tons Applied (Annual): 12.44 Permit #: WQ0016966 Cation Exchange Capacity aci (non 503 only): Operator: Joel Sexton Owner: Herald Sexton Predominant Soil Series: HeB Acres Used: 10.6 Acres Permitted: 10.6 Site #: 0205 Field ii• m nc Residual Sample or Com- posite Date 6/10/14 % Solids 3.28 Arsenic_ ' 1.52 Cadmium 1.4 303.96 39.3 24.93 0.48 Lead 4 denum 1.55 Nickel 12.53 Selenium 2.28 Zinc 1009 Total Phos- 12195 Annual T--i DT/Ac./ App. Event Arsenic Cadmium Lead Mercury Nickel Selenium Zinc Total Phos- Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent ft lbs/acre): 1 11� 1 11 1 111 1 111 1 111 1 111 1 11! 1 1!1 1 111 1 !11 1 111 1 111 1 111 1 111 1 1i1 1 111 1 111 toff 1 111 1 11� 1 111 1 111 1 111 1 111 1 111 1 11 1 1 111 1 111 1 111 1 111 1 1!1 1 111 1 111 1 111 1 111 ! 111 1 111 1 1 1• 1 1 • 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 111 1 11! 1 111 1 111 ! Itl 1 111 1 111 1 111 1 111 1 1• 1 111 1 111 1 111 1 111 1 111 1 1 • 1 11 1 111 ! 111 1 111 1 111 1 111 1 I11 1 111 1 111 1 111 1 111 1 111 1 11 1 11� 1 111 1 111 1 111 1 111 1 111 1 Itl 1 111 1 111 ®®®®® 1 111 1 111 1 111 1 11� 1 1 • 1 111 1 111 1 111 ®®®� 1 111 1 11 1 111 1 111 1 111 1 111 1 111 1 111 1 1 • 1 11 •• 1 111 1 111 1 111 1 111 1 111 1 111 1 tll 1 111 1 111 t 111 1 111 1 111 1 111 1 111 ! 111 1 111 1 111 1 11 1 111 1 111 1 111 1 111 1 111 .• WWWWMMMM 1 111 1 111 1 111 1 t l l ;• I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance lith a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. am aware that there are significant penalties for submitting false information, including the possibility of fines and nprisonment for knowing violations". -t , 74 ign ture of Land Applier Date DENR FORM MFLSF (12/2006) - - ----•.�•++aa�a a va�111 Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: Town of Denton Total Dry Tons Applied (Annual): 11.55 Permit #: WQ0016966 Cation Exchange Capacity (non 503 only): Operator: p Daryl Wood Owner: Daryl Wood Predominant Soil Series: CmB Acres Used: 12.88 Acres Permitted: 12.88 Site #: DWI Field #: DWl Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Sample or 2 1 3 41 L_5j 16171 787 91 110 11 12 Com- posite Date 6/10/14 6/6 Solids 3.28 Arsenic 1.52 Cadmium 1.4 Copper 303. 66 Chromium 39.3 Lead 24.93 Mercury 0.48 Molyb- 1.55 Nickel 12.53 Selenium 2.28 Zinc 1009 Total Phos- 12195 Annual Total DT/Ac./ App. Event Heavy Metal Field Loadings (Calculated in lbs/acre): 17-__ 171 71 4 5 1 6 ET 1 9 10 11 12 0.90 0.003 0.000 0.000 0.000 0.000 0.000 0.000 0.0.00 0.000 0.000 0.000 0:000 0.003 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.545 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.071 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.045 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.001 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.003 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.022 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.004 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1.810 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 21.878 0.000 0.000 0:000 0.000 0.000 0.000.0.000 0.000 0.000 0.000 under penalty of law, that this document was prepared under my direction or supervision in accordance designed to assure that qualified personnel properly gathered and evaluated the information submitted. that there are significant penalties for submitting false information, including the possibility of fines for knowing violations". *i m Arsenic Cadmium Copper �hromium Lead 0.003 0.003 0.545 0.071 0.045 Mercury denumMolyb denum 0.001 0.003 Nickel 0.022 Selenium 0.004 Zinc Total Phos- horus0.000 'I certify, vith a system am aware mprisonment 1.810 21.878 and ig ature of Land`Applier Date DENR FORM MFLSF (12/2006) T I - - •� ...+•+a.0 a.a�i 1 V1�111 Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: Town of Denton Total Dry Tons Applied (Annual): 3.56 Permit #: WQ0016966 Cation Exchange Capacity (non 503 only): Operator: Daryl Wood Owner: Daryl Wood Predominant Soil Series: BaB Acres Used: 2.37 Acres Permitted: 2.37 Site #: DW3 Field #': DW; Residual Analysis Data Sample or L 1 1 2 Com- posite Date 6/10/14 % Solids 3.28 Arsenic 1.52 Cadmium 1.4 Copper 303.96 C. omiu 39.3 Lead 24.93 Mercury Molyb- denum 0.48 1.55 Nickel 12.53 Selenium 2.28 Zinc 1009 Total Phos- 12195 Metals and Total use mg/kg, % Solids use Raw Percent ft Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 2 31 5J 6 7 8 9 10 11 1121 ' 3 App. Event 1.50 Arsenic 0.005 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.005 Cadmium 0.004 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.004 Copper 0.912 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.912 Chromium0.118 0.000 0.000 0.000 0.000 0.000 0.000 0000 0.000 0.000 0.000 0.000 0.118 Lead 0.075 0.000 0.000 0.000 0.000 q.000 0.000 0.000 0.000 0.000 0.000 0.000 0.075 Mercury 0.001 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.001 denumMolyb0.005 0.000 0.000 0.000 0.000 0.000 enum 0.000 0.000 0.000 0.000 0.000 0.000 0.005 Nickel 0.038 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.038 Selenium 0.007 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.007 Zinc 3.027 0.000 0.000 0.000 0.000 0.000. 0.000 0.000 0.000 0.000 0..000 0.000 3.027 Total Phos- 36.585 0.000 0.000 0.000 0.000 horus 0.000 0.000 0.000 0.000 0.000 0.000 0.000 36.585 'I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance vith a system designed to assure that qualified personnel properly gathered and evaluated the information am aware that there are significant penalties for submitting false information, submitted. including the possibility of fines and mprisonment for knowing violations". Jn...J ligriature of Lan Applier Date DENR FORM MFLSF (12/2006) Attach this form to the corresponding Field Loading Summary'Form to be submitted in Annual Report Facility Name: Town of Denton Total Dry Tons Applied (Annual): 29.30 Permit #: WQ0016966 Cation Exchange Capacity (non 503 only): Operator: Daryl Wood Owner: Daryl Wood Predominant Soil Series: BaB Acres Used: 8.8 Acres Permitted: 8.8 Site #: DW5 Field #: DW5 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Sample or 17T 12113 41- LIF 8, -191 110111 12 Com- posite Date 6/10/14 % Solids 3.28 Arsenic 1.52 Cadmium 1.4 Copper 303.96 �hromium 39.3. Lead 24.93 Mercury 0.48 Molyb- 1.55 denum Nickel 12.53 Selenium 2.28 Zinc 1009 Total Phos- 1 12195 knnual Heavy Metal Field Loadings (Calculated in lbs/acre): Total DT/Ac./ App. Event 1 3.33 2 3 4 i5 =6- 1 7 j L_8J_9 10 11 12 y ° Arsenic ;admium 0.010 0.009 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 , 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.010 0.000 0.000 0.009 Copper hromium 2.024 0.262 0.000 0.000 0.000 0.000 0.000 1 0.000 0.000 0.000 0.000 0.000 0.000 0:000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 2.024 0.000 0.000 0.262 Lead 0.166 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.166 Mercury denum enum 0.003 0.010 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000Molyb 0.000 0,000 0.000 0.000 0.000 0.000 0.000 0.003 0.000 0.000 0.010 Nickel 0.083 0.000 0.000 0.000 0.000 0.000 1 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.083 0.015 6.720 selenium 0.015 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Zinc Total Phos- horus 6.720 81.219 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 81.219 I certify, under penalty of law, that this, document was prepared under my direction or supervision in accordance ,ith a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. am aware that there are significant penalties for submitting false information, including the possibility of fines and uprisonment for knowing violations". - 1, /_/`1-1r ignZure 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: Town of Denton WQ Permit #: WQ0016966 Field #: 02 02 Acres Utilized: 5.6 Land Owner: Joel Sexton Annual Dry Tons Applied: 3.5562 Site #: 02 02 Acres Permitted:. 5.6 Operator: Joel Sexton Predominant Soil Series: BaB Cation Exchange Capacity (non 503): Crop 1 Name: Fescue Crop 1 Max. PAN: 163 Crop 2 Name: Crop 2 Max. PAN: ° y N o a Volume applied PP enter one Solids/ ( ) Liquid Cu. Yds Gallons a /o Solids Volume A hed er PP P Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (Dn', Wet Moist) Precip. Past 24 Hrs. inches > cc b F' o� �, * °y o �; ^' �• C0 # o ] ;d � w - o Ra.. Z TKN mg/kg Z �� �T o as 0 w. mg/kg Nitrate and Nitrite mg/kg PAN Applied lbs/acre ( ) Name of CropType Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 1-2014 26000 3.28 0.635. WQ0016966 dry 0 s 0.5 1 0.3 71036 3810 304 28.420 NA Fescue 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000, 0.000 0.000 0.000 0.000 0.000 0.000, 0.000 0.000 0.000. 0.000 0.000 0.000, 0.000 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): )TALS:1 01 26000 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 28.420T 0.000 Lime Applied nnuallbs/acre 0.002 0.008 0.010 36 0.002 0.004 0.006 34 0.386 0.822 1.208 NA 0.050 0.11 0.160 1338 1 0.032 0.062 0.094 267 1 0.001 0.002 0.003 15 1 0.002 0.003 0.005 NA 1 0.016 0.045 0.061 374 1 0.003 0.008 0.011 89 1 1.281 3.171 4.452 2498 15.488 Date lbs/ac -ior Years Cumulative lbs/ac urrent Cumulative lbs/ac ;rmitted C. P. L. R.**** :rmrt PAN Limit is 2nd Crop 163 . certily, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that ialified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false formation, including the possibility of fines and imprisonment for knowing violations." Signature of Land Applier -/ -1-1 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 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: Town of Denton WQ Permit #: WQ0016966 Field #: 02 05 Acres Utilized: 10.6 Land Owner: Herald Sexton Annual Dry Tons Applied: 12.4466 Site #: 02 05 Acres Permitted: 10.6 Operator: Joel Sexton Predominant Soil Series: HeB Cation Exchange Capacity (non 503): Crop 1 Name: Fescue Crop 1 Max. PAN: 204 Crop 2 Name: Crop 2 Max. PAN: ° '., a Volume applied enter one Solids/ ( ) Liquid Cu. Yds Gallons o /o Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (Dry, Wet, MOist; 1-2014 91000 1.174 WQ0016966 dry f3.28 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Precip.. a Past 24 C b Hrs. o a inches 0 s o � z m , w =i TKN 'c 3 CDN• a �J mg/kg mg/kg 3810 0.5 0.3 71036 TAhs: 01 91600 muallbs/acre for Years Cumulative lbs/ac As 0.004 0.0656 Residuals Cd 0.003 0.03325 Applications Cu 0.714 3.9 totals Cr 0.092 0 on FORM Pb 0.059 0.476 FSF Hg 0.001 0.0276 supp ( attach Mo 0.004 0.0249 FORM Ni 0.029 0.285 FSF Se 0.005 0.074 irrent Cumulative Ibs/ac rmitted C. P. L. R.**** mit PAN Limit lst/2nd Crop 0.069 36 0.037 34 4.614 NA 1 0.092 1338 0.535 267 0.029 15 1 0.029 NA 1 0.314 374 1 0.079 89 Nitrate PAN Applied and Nitrite (Ibs/acre) mg/kg Crop 1 304 52.550 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 p to this form): Zn P 52 2.369 28.634 12.03 14.399 2498 Crop 2 NA 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Fescue Date I lbs/ac - ...... . 204 certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that alified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false brmation, including the possibility of fines and imprisonment for knowing violations." *Application Method: S - Surface, IN - Injection, INC - Incorporation **Volatilization Rate: Surface - 0.5, Injection/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 nFNR Fnphn FCF' /ioionnczN ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FO12M TO BE COMPLETED AND SUBMITTED FOR EACH FIELDPLIED O PLACE A "N/A" IN A BLANK OR BOX WHEN NOT A" N lity Name: Town of Denton WQ Permit #: WQ0016966 PI'ICABLE. id Owner: Daryl Wood Annual Dry Tons Applied: 11.5576 Field #: DW1 Acres Utilized: 12.88 Operator: Daryl Wood Predominant Soil Series: CmB Site #: DWI Acres Permitted: 12.88 Crop 1 Name: Fescue Crop I Max. PAN 161 Cation Exchange Capacity (non 503): Crop 2 Name: Volume applied Volume Residual Sources Soil Precip. y C �' Crop 2 Max. PAN: —� (enter one) Solids/ % Applied per (NPDES #, WQ#, Cond. past 24 c b 2 :d Z _ Nitrate Liquid q Solids. Acre Fert. Animal D ( ry' firs, o ... w TKN o � and PAN Applied Name of Crop P Type Cu. Yds Gallons (Dry Tons/Ac) Waste, etc) Wet' a o' * f"i' - * * w o0 o 2 Nitrite (lbs/acre) Receiving Residual 84,500 3.28 0.8 7WOOO 1696 Moist) inches o' mg/kg mg/kg Application 1 111 ®� _ 1 111 1 11I 1 off w__1111 1® fill ���•�..� """� 111 fill .■.� 1 111 01 845001 lbs/acre ,ars Cumulative lbs/ac Cumulative lbs/ac 0 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM0.000 FSF 0.000 As Cd Cu Cr Pb H Mo supp to this form): 0.003 0.003 0.545 0.071 0.045 0.001 Ni Se 0.003 0.022 0.004 R 40.159 0.000 Lime A 0 0 0 0 0 0 0 1810 21878 lied 0.003 0.003 0.545 0.071 0.045 0 001 0 0 0 Date 0 lbs/ac :d C. P. L. R.**** 36 34 NA 1338 267 03 0.022 0.004 AN Limit 1 st/2nd Crop 15 NA 374 1.810 - - 89 2498 161 fy, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed d personnel properly gathered and evaluated the information submitted. I am aware that there are significant e g to assure that Rion, including the possibility of fines and imprisonment for knowing violations." p nalties for submitting false _.z-- 7��� >_ �y-� *Application Method: S - Surface, IN- Injection, INC - Volatilization Rate: Surface - 0.5, Injection/IncorporaInco tion r 1.0ration Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested aerobically digested -0.3, raw sludge -0.4 -0.2, ****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: Town of Denton Land Owner: Daryl Wood Operator: Daryl Wood Crop 1 Name: Fescue WQ Permit #: WQ0016966 Field #: DW3 Annual Dry Tons Applied: 3.5562 Site #: DW3 Predominant Soil Series: BaB Crop 1 Max. PAN: 163 Crop 2 Name: Acres Utilized: 2.37 Acres Permitted: 2.37 Cation Exchange Capacity (non 503): Cron 2 Max. PAN - y a; o a G-2014 t Volume applied (enter one) Solids/ Liquid Cu. Yds Gallons 26,000 ova Solids 3.28 Volume Applied per PP P Acre (Dry Tons/Ac) 1.00 Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) WQ0016966 Soil Cond. (Dry, We t' Moist) dry Precip. Past 24 Hrs. inches 0 a a b E' o' o� w * s < o z � � * o 0.5 -_ P co `=L 0.3 TKN mg/kg 71036 z o El °4 o � mg/kg 3810 Nitrate and Nitrite mg/kg 304 PAN Applied lbs/acre ) Name of CropType ReceivingResidual Application Crop 1 Crop 2 Crop 1 Crop 2 67.153 NA Fescue 0.0000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.0001,0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1TALS:J 01 26000 _ .inuallbs/acre for Years Cumulative lbs/ac Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): As Cd Cu Cr Pb _ H Mo Ni Se Zn P 67.153 0.000 0.005 0.004 0.912 0.118 0.075 0.601 0.005 0.038 0.007 3.027 36.585 0 0 0 0 0 0 0 0 0 0 0.005 0.004 0.912 0.118 0.075 0.001 0.005 0.038 0.007 3.027 36 34 NA 1338 267 15 NA 374 89 2498 - - _." 163 Lime Applied Date lbs/ac uTent Cumulative lbs/ac -rmitted C. P. L. R.**** rmit PAN Limit lst/2nd Crop d ce r y, un er penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that !alified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false formation, including the possibility of fines and imprisonment for knowing violations." �J y *Application Method: S - Surface, IN - Injection, INC - Incorporation **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0 Signature of Land Applier Datex 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 (19/gnnF) 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: Town of Denton Land Owner: Daryl Wood Operator: Daryl Wood WQ Permit #: WQ0016966 Field #: DW5 Annual Dry Tons Applied: 29.3385 Site #: DW5 Predominant Soil Series: BaB Crop 1 Name: Fescue Crop 1 Max. PAN: 163 Crop 2 Name: Acres Utilized: 8.8 Acres Permitted: 8.8 Cation Exchange Capacity (non 503): Crop 2 Max. PAN: $-. Volume applied Volume Residual Sources Soil Precip. y C o - Nitrate Name of Crop Type p (enter one) Solids/ % Applied per (NpDES #, WQ# Cond. past 24 b w �C, TICN =t and PAN Applied Receiving Residual � a Liquid Solids Acre Fert., Animal (Dry, oR m - * ; a'_ �,° o Nitrite lbs/acre ) Application Cu. Yds Gallons (Dry Tons/Ac) Waste etc ) WetHrs. Moist) inches 0 mg/kg mg/kg mg/kg Crop 1 Crop 2 Crop 1 Crop 2 -2014 39,000 3.28 0.606 WQ0016966 dry 0 s 0.5 0.3 71036 3810 304 27.128 NA Fescue -2014 65,000 3.28 1.010 WQ0016966 dry 0 s 0.5 0.3 71036 3810 304 45.214 NA Fescue 1-2014 110,500 3.28 1.717 WQ0016966 dry 0 s 0.5 0.3 71036 3810 304 76.863 NA Fescue 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Residuals Applications totals on FORM FSF supp (attach FORM FSF supp to this form): 1TAI 0 214soo As Cd Cu Cr Pb H Mo Ni Se Zn P 149.2051 0.000 Lime A lied .inuallbs/acre 0.010 0.01 0.020 36 0.009 0.005 0.014 34 2.024 1.046 3.070 NA 0.262 0.14 0.402 1338 0.166 0.079 0.245 267 0.003 0.003 0.006 15 0.010 0.003 0.013 NA 0.083 0.057 0.140 374 0.015 0.011 0.026 89 6.720 4.037 10.757 2498 81.219 Date lbs/ac for Years Cumulative lbs/ac 10-2014 2000 irrent Cumulative lbs/ac emitted C. P. L. R.**** rmit PAN Limit 1st/2nd Crop - . cerLiiy, under penalty oY law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that ialified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false Formation, including the possibility of fines and imprisonment for knowing violations." Signature of Land Applier f-/-I- I 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 n i=ru7 cnorn COr idninnn- M-eritech, Inc. Environmental Lalboratory Laboratory Certification No.165 i Contact: Mr, Troy Branch Date: Page 1Report 6/27/2014 Client: Town of Denton NPDES#: NC0026689 P,O, Box 306 Denton, NC 27239 Project#: Jun 2014 Date Sample Rcvd: 6/10/2014 Meritech Work Order # 06101.437 Sample: Digester Grab 6/10/2014 Parameters Result Analysis Date Reporting Limit Method % Solids J Ammonia, Nitrogen 3.28 % 125 mg/L 6/11/14 6/13/14 0.2 % 0.1 SM 2540B TKN 2,330 mg/L 6/12/14 mg/L 20.0 mg/L EPA 350.1 EPA 351.1 Nitrate/Nitrite, Nitrogen Nitrogen, total < 10.0 mg/L 6/11/14 10.0 mg/L EPA 353.2 Aluminum, total 71,000 mg/L 211 mg/L 6/23/14 6/12/14 20.0 mg/L EPA 353.2 Arsenic, total < 0.050 mg/L 6/12/14 0.050 mg/L 0.050 mg/L EPA 200.7 EPA 200.7 Cadmium, total Chromium, total 0.046 mg/L 1.29 mg/L 6/12/14 6/12/14 0.004 mg/L EPA 200.7 Copper, total 9.97 mg/L 6/12/14 0.010 mg/L 0.002 mg/L EPA 200.7 EPA 200.7 Lead, total Magnesium, total 0.818 mg/L 110 mg/L 6/12/14 6/12/14 0.020 mg/L 0.005 EPA 200.7 Mercury, total 0.016 mg/L 6/14/14 mg/L 0.0002 mg/L EPA 200.7 EPA 245.1 Molybdenum, total Nickel, total 0.051 mg/L 6/12/14 0.005 mg/L EPA 200.7 Phosphorus, total 0.411 mg/L 400 mg/L 6/12/14 6/12/14 0.020 mg/L 0.020 EPA 200.7 Potassium, total Selenium, total 126 mg/L 6/12/14 mg/L 1.00 mg/L EPA 200.7 EPA 200.7 Sodium, total 0,075 mg/L 161 mg/L 6/12/14 6/12/14 0.010 mg/L 0.100 EPA 200.7 Zinc, total 33.1 mg/L 6/12/14 mg/L 0.010 mg/L EPA 200.7 EPA 200.7 642 Tamco Road, Reidsville, North Carolina 27320 tel.(336)342-4748 fax.(336)342-1522 Merxtech, Inc. Environmental Laboratory Laboratory Certification No.165 Contact: Ml•, 'Troy Branch `." Report. Date: ;; <1.0/31/201.4 Client: 'i6W6..o'f Dentoa' NPDES#r,:: _ 'NC0026G£3�) P.O.13ox 306. Project#:` `-1 Digste'r 2014 `. Dent6h, NC '27239 . Date Sample Rcvd::`. 10/21'j: 014 Meritech Work Order # 10211431 Sample: ,Digester Gi ab ' 10/21/14 Paz, meters'' Result ' Analysis Date Reuorting.Yinit ., Method Calcium, total. 1,700 nig/I, 10/29/14 0.100 mg/L EPA 200.7 I herebycertify that I have reviewed an ro e h -� fJ' d app v t ese data. Labo►•ato►y Representative 642 Tanico Road, Reidsville, North Carolina 27320 tel.(336)342=4748 fax.(336)342-1522 SAR Sodium Absorption Ratio Na., Sodium (Mg/L) Equivalent weight: 23 Ca: Calcium (Mg/L) Equivalent weight: 20 Mg : Magnesium (Mg/L) Equivalent weight: 12 Milli Equivalent = Mg/L / Equivalent weight Na(M /L) Ca M /L M M /L 161 1 1700 110 SAR= Na Milli Equivalent/[0.5 X (Ca Milli Equivalent + Mg Milli equivalent)]0.5 power eu 2DI . Na (ME) Ca (ME) Ma ME` 7 1 85 1 9.166 The amount of exchangeable sodium ions vei amount of exchangeable calcium & magnesiu Permitting guidance is if greater than 10 requi ON, Mineralization as decimal ITotal dry tons/year jAcres. Applied on 1 40.25 Rate 0.3 TIN 71036.5 NH3 3810.9 NO3 304.8 NO2 0 % Solids 0.0328 60.41 Dry Tons/1000 gal. -71 1st year PAN Surface lbs. 1st year PAN Injected lbs. lbs./acre Surface lbs./acre Injected MR(TKN-NH3)+ + .5(NH3)+NO3+NO2 =mg/kg mg/kg x .002 =1bs/dry ton MR(TKN-NH3) + 1(NH3)+NO3+NO2 =mg/kg mg/kg x .002 =1bs/dry ton 1000 X 8.34 X %solids X sp. gravity 2000 "=dry tons/1000gal." Project: 'Date:- 2 -2- C--r, - Time: 10 D � U_me_­St'a_b i I ization Denton Location: -Nc\_JJJr DatV D Timm- 1 2- 0 b Date: 2 -7 - - / V Timei. /0 OG Gallons pH &temp. at Correcited pH & temp after Corrected ph & temp. aftef Corrected start pH 2 hours pH 22 hours pH -2 631 10 .12 iG-J 1 2_1 2- 12-Minimum 12.10nimum 11.5 Minimum Notes - PH readings taken with an approved low sodium glass electrode probe. PH Meter was callibrated to. a PH of 10 q�sa Pj Prior 1. Ing. -Correct pH according to attached correction factor table. This table must be used even if the pH meter used to take the pH rae . asUremery - automacally per -forms. the correction. f U me Stab f I Iz'* -a t ib n" Pr ojoct: Denton Location: o., C 'Date:. n, - 1 -1 Date: Time- 3 Z9 Date: i;-_2_4—fLf Tunes Gallons pH &temp. at : Mart Corrected pH pH & temp after 2 hours Cbrracted pJ4 ph & temp. aftef I - 22 hours Corrected pH 12-Minimum 12.Minimum -11.5 Minimum Notes. pH readings taken with an approved low sodium glass electrode probe. pH Meter was callibrated toa pH of 10 prior 1jsb, 1- -Correct pH according to attached correction -factor table- This table must be used even if the pH meter used to -take thepHmeasurement, automacally performs,th6 correction. Operator, Project: 'Date:- &.- jq Time: // Z/ jI Denton Location: bi c,�cr Date: 3 AR fat .61111lq Time-, 135 Gallons pH &temp. at * Start Corrected PH pH & temp after 2 hours Corrected pH ph & temp. aftef 22 hours Corrected PH /2 " 13 2 5, _io. 3 S7 17-,Minimum 12.Minimum 11.5 Minimum Notes - pH readings taken with an approved low sodium glass electrode probe. pH Meter w2s callibrated to- a pH Of 10 prier t&esarll -correct pH according to attached correction -factor table. This table must -be used even if the pH meter used to take the pH meas . Uiement, automacally performs -the correction. Operator: xt Project: Date: C%- 3 .- \ Time: ag oS J U e Sta wI1 zaflon Denton Location:T a- iat�o: - -.) q Date: `rime / !o s Time, a p Gallons pH & temp. at Corrected pH & temp after Corrected ph & temp. after Corrected start 2 hours pH 22 hours pH l2,,tD 25�. 1 iZ lC� Ja:oq; /° 12.t-1 25 �r 12.I U.Minimum 11.5 Minimum Notes' + - pH readings taken with an approved low sodium glass electrode probe. pH deter was callibrated toaa pH of 10 prior to sarnplirg, _ _ -Correct pH according to attached correction factor table. This table must be used even if the pH meter used to take the pig rheas-Uiee rent automacally performs the correction. Operator. _. . Project: Client Sample ID: Sample Collection: Meritech Sample ID MERITECH, INC. Environmental Laboratories A Division of Water Technology and Controls, Inc. Denton June 2014 Digester 06/10/14 06101437 1311 - TCLP Organics Volatiles: SW-846 8260 Analysis: 06/12/14 Date Extracted: 06/12/14 Analyst: VWV Parameter Result Units Det. Limit Reg. Limit Dilution Factor Benzene < 0.0100 mg/L 0.0100 0.50 10 Carbon.Tetrachloride < 0.0100 mg/L 0.0100 0.50 10 Chlorobenzene < 0.0100 mg/L 0.0100 100 10 Chloroform < 0.0100 mg/L 0.0100 6.0 10 1,2-Dichloroethane < 0.0100 mg/L 0.0100 0.50 10 1,1-Dichloroethene < 0.0100 mg/L 0.0100 0.70 10 Methyl Ethyl Ketone < 0.100 mg/L 0.100 200 10 etrachloroethylene < 0.0100 mg/L 0.0100 0.70 10 i'richloroethene < 0.0100 mg/L 0,0100 0.50 10 Vinyl Chloride < 0.0200 mg/L 0.020 0.20 10 Semi-Volatiles: SW-846 8270 Extraction: 06/12/14 Analysis: 06/24/14 Analyst: PM Parameter Result Units Det. Limit Reg. Limit Dilution Factor 1,4-Dichlorobenzene <0.1.00 mg/L 0.100 7.5 10 Hexachlorobenzene <0.100 mg/L 0.100 0.13 10 Hexachloi•o-1,3-butadiene <0.100 mg/L 0.100 0.5 10 Hexachloroethane <0.100 mg/L 0.100 3.00 10 o-cresol <0.100 mg/L 0.100 200 10 m&p-cresol <0.200 mg/L 0.200 200 10 Total cresols <0.300 mg/L 0.300 200 10 Nitrobenzene <0.100 mg/L 0.100 2.00 10 Pentachlorophenol <0.500 mg/L 0.500 100 10 Pyridine <0.100 mg/L 0.100 5.0 10 2,4,5-Trichlorophenol <0.100 mg/L 0.100 400 10 2,4,6-Trichlorophenol <0.100 mg/L 0.100 2.00 10 2,4-Dinitrotoluene <0.100 mg/L 0.100 0.13 10 hereby certify that I have reviewed and approve these data. - Laboratory Representative 642 Tamco Road * Reidsville, NC 27320 (336) 342-4748 Ph * (336) 342-1522 Fax Meritech, Inc. Environmental Laboratory Laboratory Certification No.165 Page 2 Contact: Mr; Troy Branch Report Date: 6/27/2014 Client: Town of Denton P.O. Box 306 Denton, NC 27239 Date Sample Rcvd: 6/10/14 Meritech Work Order # 06101437 Sample: Digester Grab Collection Date: 6/10/14 1311- TCLP Metals Parameter Results Analysis Det. Limit Reg. Limit Method Arsenic < 0.100 mg/L 6/16/14 0.100 5.0 EPA 200.7 Barium 2.09 mg/L 6/16/14 0.050 100.0 EPA 200.7 Cadmium < 0.020 mg/L 6/16/14 0.020 1.0 EPA 200.7 Chromium < 0.050 mg/L 6/16/14 0.050 5.0 EPA 200.7 Lead < 0.100 mg/L 6/16/14 0.100 5.0 EPA 200.7 Mercury < 0.02 mg/L 6/14/14 0.02 0.2 EPA 245,1 Selenium < 0.100 mg/L 6/16/14 0.100 1.0 EPA 200.7 Silver < 0.050 mg/L 6/16/14 0.050 5.0 EPA 200.7 TCLP Organics Parameter Results Analysis Method Volatiles 8260 Semi Vol. 8270 Attached Attached 6/13/14 6/24/14 8260 8270 Other Tests Parameter Results Analysis Reporting Lg imit Method Ignitability > 140 6/11/14 - EPA 1030 pH 7.2 S.U. 6/18/14 1.0 - 14.0 S.U. SM 4500 HB Cyanide, total < 0.5 mg/L 6/16/14 .0.5 mg/L EPA 335.4 Sulfide, total 2.4 mg/L 6/13/14 1.0 mg/L SM 4500 SD 642 Tamco Road, Reidsville, North Carolina 27320 tel.(336)342-4748 fax.(336)342-1522 Meritech, Inc. Environmental Laboratory Laboratory Certification No.165 Contact: Mr. Troy Branch Client: Town of Denton P.O. Box 306 Denton, NC 2723.9 Meritech Work Order # 06101437 Sample: Digester Grab Report Date: Date Sample Rcvd: Collection Date: 3 6/Page Page 3 4 6/10/14 6/10/14 1311 - TCLP Pesticides & Herbicides Pesticide - SW-846 8081A Analyst: Summit Analysis Date: 6/18/14 Parameter Results Det. Limit Reg. Limit Dilution Factor Heptachlor Epoxide < 0.002 mg/L 0.002 0.008 1 Endrin < 0.002 mg/L 0.002 0.02 1 Chlordane < 0.01 mg/L 0.01 0.03 1 Gamma - BHC < 0.002 mg/L 0.002 0.4 1 Toxaphene < 0.1 mg/L 0.1 0.5 1 Methoxychlor < 0.002 mg/L 0.002 10.0 1 Heptachlor < 0.002 mg/L 0.002 0.008 1 Lindane < 0.002 mg/L 0.002 0.4 1 Herbicides - SW-846 8151A Analyst: Summit Analysis Date: 6/19./14 Parameter Results Det. Limit Reg. Limit Dilution Factor 2,4-D < 5.0 mg/L 5.0 10.0 1 2,4,5-TP (Silvex) < 0.5 mg/L 0.5 1.0 1 1 hereby certify that I have reviewed and approve these data. 6. kc Laboratory Representative . 642 Tamco Road, Reidsville, North Carolina 27320 tel.(336)342-4748 fax.(336)342-1522 _'------ -==uava.-I1W %11%.+ilVl\X.vl-,lVXkuy.l IXUIUS) Facility Name: Town of Denton WWTP Name: Town of Denton, WWTP Monitoring Period: From 1/l/2014 To WQ Permit Number: WQ0016966 NPDES Number: NC00226689 12/31/2014 Pathogen Reduction (15A NCAC 02T .1106) -Please indicate level aoh1PVPlj on.] �i*o,.,;.,o r- Class A: Alt. A (time/temp) El I Alt B (Alk Treatment) 11 va as sa Ava t/\.11V1111G11. Alt. C (Prior Testing) AIt.D (No Prior Test) El I Process to Further Reduce Pathogengs If applicable to alternative performed (Class A only) indicate "Process to Further Reduce Pathogens": Compost L Heat Drying ® Heat Treatment C] TheTiTlophilic Cl Beta Ray El Gamma Ray ® Pasteurization Class B: Alt. (1) Fecal Density ® Alt. (2) Process to Significantly Reduce Pathogens . g..... If applicable to alternative performed (Class B only) indicate "Process to Significantly Reduce Pathogens": Lime Stabilization Kr Air Drying El composting ® Aerobic Digestion El Anaerobic ' brc ' Digstre ' on E�.................................. If applicable to alternative performed (Class. A or Class B) complete the following monitoring data: Parameter Allowable Level Pathogen Density Number o Frequency Sample Analytical in Sludge Excee- of Analysis Type Tech - Minim Geo. Mean axim Units 2 x 10 to the MPN e c s ni ue 6th power per gram of Fecal Coliform total solids CFU 1000 mpn per gram of total solid (dry weight) Salmonella bacteria 3 NWN per 4 grams (in lieu of fecal total solid (dry coliform) wei ht T7n.,fr. A" .I: T) .7__ _i._ _ � /7 L 1 wTr ♦ � n .. a"I ZXLL1 na.uvu KNUUUCLivu k15A 1rl.AC 021 A10 /) - .Please indicate alternative erformed' Alt.1 (VS reduction) [] Alt. 2 (40-day bench) E] Alt. 3 (30-day bench) P p Alt. 4 (Spec.O2 uptake) E] Alt. 5 (14-Day Aerobic) ® Alt. 6 (Alk. Stabilization M Alt 7 (Drying - Stable) El I Alt. 8 (Drying - Unstable) El Alt. 9 (Injection) ® IrIIP"TTTT.r� ♦ rfnlr It T cr ♦ m Alt. 10 (Incorporation) Ej _ No vector attraction reduction alternatives were performed - .,,-n A 1P 11"A 31 a JL ElYmIN 1 (ptease check the appropriate statement) cool "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." MEi2t,l .13. E iL,Ati e-N- wW i P OR-C Dennis Key Southern Soil Builders, Inc. Pre arer Name and Title e or print) Land Applier Name and Title (if applicable)(type or print) i ature of Preparer* Date Signature of Lan 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) NCDA&CS Agronomic Division Phone: (919) 733-2655 Website: www.ncagr.gov/agronomi/ Report No. FY15-SL006144 Client: Southern Soil Builders, Inc. Advisor: Predictive 958 Hoots Rd II_ Roaring River, NC 28669 r JI $O1� Report Mehlich-3 Extraction Sampled County: Davidson Sampled: Received: 09/22/2014 Completed: 10/02/2014 Farm: Links to Helpful information Sample ID: DW1 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N Pi05 K20 Mg S Mn Zn Cu B Information Lime History: 1 - Fescue/OGrass/Tim, 1 0.0, 120-200 50 90 0 0 pH$ 0 0 0 Note: 12 Note: $ 2- Test Results [units - W/V in g/crrt3; CEC and Na in meq/100 cnr3; NO3-N in mg/dnt3]: 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-Al Cu-I Na ESP SS-1 NO3-N 0.27 0.91 14.8 100 0.0 7.4 38 25 73 26 35 697 414 431 431 128 0.1 1 Sample ID: DW3 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P205 K20 Mg S Mn Zn Cu B Information Lime History: 1- Fescue/OGrass/Tim, 1 0.0 120-200 0 30 0 0 0 0 0 0 2- Note. 12 Test Results [units - W/V in g/cm3;. CEC and Na in meq/100 cm3; NO3-N in mg/dm3]: 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-Al Cu-1 Na ESP SS-1 NO3-N 0.56 0.90 10.2 87 1.3 6.0 84 60 67 17 50 200 136 319 319 170 0.1 1 Sample ID: DW5 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P205 K20 Mg S Mn Zn Cu B Information Lime History: 1 - Fescue/OGrass/Tim, 1 1.7 120-200 110 100 0 0 0 0 0 2- 0 Note: 12 Test Results [units - WN in g1cm3; CEC and Na in meq/100 cm3; NO3-N in mg/do]: 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-1 Na ESP SS-1 NO3-N 0.81 0.80 9.2 68 2.9 5.2 13 18 53 15 4R 119 Rd 69 vNorth Carolina r' /�; � 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: (919) 733-2655 Website: www.ncagr.gov/agronomct Report No. FY15-SL006144 ~ Sample ID: JS2 Recommendations: Lime Nutrients (lb/acre) Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu Lime History: 1- Fescue/OGrass/Tim, 1 0.0 120-200 0 20 0 0 pH$ 0 0 2- Test Results [units - W/V in g/cO; CEC and Na in meq/100 cmR; 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-AI2 Zn-I Zn-AI Cu-I 0.32 0.94 18.1 96 0.6 7.0 146 64 78 16 42 480 290 668 668 209 Sample ID: JS5 Recommendations: Lime Nutrients (lb/acre) Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu Lime History: 1- Fescue/OGrass/Tim, 1 0.0 120-200 0 40 0 0 pH$ 0 0 2- Test Results [units - W/V in g/cnrl; CEC and Na in meq/100 cn73; NO3-N in mg/do]: 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 0.41 0.94 15.7 . 96 0.6 7.1 92 51 81 14 46 145 88 300 300 - 214 Page 2 of 3 More B Information 0 Note: 12 Note: $ Na ESP SS-1 NO3-N 0.1 1 More Br Information 0 Note: 12 Note: $ Na ESP SS-1 NO3-N 0.2 1