LAND APPLICATION OF BIOSOLIDS EVERETT HANEY, JR.

L09I (FIELDS 01 -04) LOUISA COUNTY, VIRGINIA

JULY 2011

©

Am* 5, 2012

Mr. Ed Stuart Dept of Environmental Quality Northern Virginia Regional Office 13001 down Court WoodMdge, VA 22193

DaarMr. Stuart

TianwiWUed haraln br your con*W*TaUon k land app#caOon «#a hr Everatt Hanay, Jr. (oWpnatad am LO 01, *alda 1-4), bcaWd In Louba County. ̂ rgWa. Thb *ubml*a#unconWna*Mo#y*A**pad#cWormatbn. Pbawra*wbtr*opara&Mia andmalnkmnancam&vmuW information.

Do not haoWa lo contact m* at (804) 443-2170 ohoukd you have any n̂ maMnna or require additional information.

Kelly M. Love W Technical Services Director

KML/cmw

WB*7nm#*m*#TkmtC**»#**\VAZMM * Phon*(B04)44M17D# F*K(*04)22M214

Appendix I VIRGINIA POLLUTION ABATEMENT APPLICATION FORM D: MUNICIPAL EFFLUENT AND BIOSOLIDS

PARTDWI LANDA*VU(aTTeWAGAfSm

A This biosotids/industnal residuals land application agreement is made on 3 | ' % I I — — H ^ r \ C v \ referred to here as "Landowner", and S d S a Z S referred to here m##w "Permittee" This agreement remains in effect until it is terminated in writing by either party o r u n W c m n w ^ o f W p m m t o l w n g m * . W o w # M h ^ o f l n o M W p m n m # W * n m ^ m o w p m m ^ l o f * ^ c * M f # l ^ h # m o h ^ ^ residuals under this agreement

Landowner: , I am the registered owner ol real property known as H tsrUC V . LO - ^ 1 located In L * L \ , ge . Virginia, which includes the agricultural sites identified below in Table VanO identified on the tax mapts) attached as Exhibit A

TmbWI :PmTDmW#^horbmd*)nmoMw WomoWok

ImfmmmlJD Tax Parcel ID I«PmK#im TmP*cm*|D

31-a'?

JAddHlon;* parcels contttnmp. Land Applet ion Srtoa are nionirfied on Supplement A (cher* it appbcaMe)

Check one ^ I am the sole owner ol the properties identified, herein • I am one of multiple owners of the properties identified herein

In the event that I, the landowner, sell or transfer all or part of the property to which biosollds have been applied within 38 months of Ihe latest date of biosolids application. I shall

1 Notify the purchaser of the applicable public access and crop management restrictions no later than the closing date; and

2 Notify the permit holder of the sale within two weeks following closing

I have no other agreements for land application on the fields identified herein I will notify the permittee immediately if conditions change such that the fields are no longer available to the permittee for application or any part of this agreement becomes invalid

I hereby grant permission to Ihe Permittee to land apply residuals as specified below, on the agricultural sites identified above and in Exhibit A I also grant permission for DEQ staff to conduct inspections on my land identified above, before, during or after land application of permitted residuals for the purpose of determining compliance Class B biospl|o> Wflter treatment residuals. Food processing waste Other industrial sludges B Yes U No B Yes O N o H Yes • No 8 Yes • No

J2%^ "" Permittee:

, m ^ p m n m ^ m g m M * apply M o * ^ a n d * M m * m m e m M f m # m H ^ h w A . i m A O — w , m ^ ^ . t tTHnr „ r | , k * a * a d , i

rvyrriT'^'""^™'""^"^ # 1 & 1 - 1 0 * J f * " C a * * \ * g M a P " " " ^ * P " ^ " ^ * * * N * * * * a m d o w land mm*i mwn ham nmmiaauad. * # * pmn mqwamm moamuaaun b mama Aa maud mppacmaon mam or (amano practices at the ale. a revised plan will be provided within 2 weeks of the modification r * j . . j ^ _ m « m # = m m a a , w , , ,„ i H i f r u 'muilmm*m#uuwmJ * m a * ^ p n o r * m n y p m * a a * a p p m c ^ No#waWlncm^#*aou%mofnmbkm#a,ba applied

. / 4 6 f 7 % , 6 j " ' d R ' W L f j . K g , ^ ^ ^ ^ p l K l ^ K * ) j j y ^ A

Permittee - A * e * W * * M * * * * " « SQnMure W a J , p g — u

Rev 10,03/2011 Pace 1 0(2

VIRGINIA POLLUTION ABATEMENT APPLICATION p l a o 2 o f 2 PART D-VI LAND APPLICATION AGREEMENT

Permittee: Z ) ^ r f \ g \ J Q Permit # or County: Loax^C^

Landowner: ( W L f ^ T H A gj jg Farm name o r address; ' ^ - 3 |

Landowner Site Management Requirements:

L W m k m d m M , i h — . . n c m r n , ^, c _ _ m , — M"n-mo* imrwi *W*ml l l l * i 0 « # i * W « * a ) n d m $ m m a # a i o # b l o m # d ^ biosollds.

l h m w # W b * m @ K p n * m r y m ^ i @ * d b y n ^ m @ M » M M W n m W b ^ o w n ^ l m a w # m d protect public health, and that I am responsible for the implementation of these practices.

' * * ™ * M * * a ; m i * # * # o * o * o ^ application of biosolids at the site:

1 N o * % » * o " a * o m m l W n o * , * n ^ * m * n m a # M I # a » 4 m m M a f a # M W w . » a — ^ ^ ^ h ^ # ^ n w _ , — r T ^ r ^ m f m f ^ m n n M r W i a i at that site was completed

2 Public Access

m. A a * K C M * l m n d * * * h j # following any application of biosolids.

b. A * * k m c o * * m b a m d * * * l o w p o * # ^ following any application of biosolids No biosollds amended soil shall be excavated or removed from Ihe site dunng this same period of time unless adequate provisions are made to prevent public exposure to soil, dusts or aerosols;

& T ^ m ^ m m k m d w A & ^ W — L ^ ^ ^ w ^ _ ^ _ _ . ^ . . _ _ ^_ ^ , „ „ „ * j , *

of bmmuM* * A * n # * hmmmaWJ mmf * pmcmd on adAmr *xnd a *h m h g h pommW #or pubmc *mnomm or a lawn, unless otherwise specified by the permitting authority

3 Crop Restrictions

m. F o q m o m p m * # h w i m m W U p m m m W m ^ m ^ surface shall not be harvested for 14 months after ihe application of biosollds.

& Fomd«mWAh,M „ , — ' —'-^T"nTlbmh*n**nijluilOiiiu]im_ *n^b^mpp*om*^iof bkmo***w*M four (4) or more months prior to incorporation into the soil.

0. Famd « = m md*% h ^ _ ' ' — ' ' r r "Hi h@ h * II MWl l | , „ % , „ u , * L

wnowWo@#d*mM#*nonm^mnd*m^^ incorporalion ^

d. 0#^#DWov#W*#cnMmmh#n^b*h *, F#Wcn^mMno«b*hm #mWillor30da^mW#^

lactating dairy) 4 Livestock Access Restrictions:

Following biosolids application to pasture or hayland sties a. Meat producing livestock shall not be grazed for 30 days. b. Lactating dairy animals shall not be grazed for a minimum of 60 days C. Other animals shall be restricted from grazing for 30 days;

& * W p W w n W c o n m n * n W # * n ^ r * * a u * * # * p k c m * o m * » ^ # w m * w * * * * * m*n*pj*i**xa o * n o * w i o * * d by * pmmon urn W W m a c c o m m w * * §10 .1"104 j of # # Cm** of Virginia;

# 2^™*b*o****hmb*mn*bo™ ^m#m*o*n**^*****mcm#onofb^ &45 noundmWm ((10 kmrip/*nmM*L***t ^

Landowner ^ ^ ^ ^ ^ ^ ^ 1 ^ ^

Oate

^ 1 0 ^ 2 0 ^

SYNAGR0 FIELD SUMMARY SHEET

Everett Haney, Jr. L091

SYNAGRO FIELD

§

GROSS ACRES

NET ACRES

FSA TRACT

#

K8A FIELD

#

TOPO QUAD OWNER

91-1 I4\4 n-2 3i.4 mm 913 26,4 2&4 91-4 34\0 22J

Boswcfls Tavern llancy, Mary Boswells Tavern llancy. Man,' Boswclls Tavern Hancy, Mary Boswells Tavern llaney. Man

TOTALS: | 962 93^

Tax ID Landowner Identification Sheet

Landow ner Field # Tax ID

HANBY.MARYR #|.| 37.37

HANEY.MARYE 91-2 37.27

HANEY.MARYE 9|-3 37.27

HANEY.MAKYE 37-27

Field # Latitude (north) Longitude (west)

9W 3#* OK 29.7T 7 f 00" 03JT 91-3 3&f 01' 7 f 07" 9W 3#f 01' 7&f Of OMT *M aPoraoar ?f or^ojo"

Haul Route: The location maps in conjunction with the above latitude and longitude coordinates are a mo* pbamda* tool memo* m be mgnWo io imdkmn; mgrn/mw; qagj mooa for vmhomm prrfntOLc*; ko bmdodc km mo* Kmbcd to mU godcW. m#d locol gonmcd STAA mccma routes.

Scmw:l:l*B&M4#a2 CM*: 03/09/2012 minWo^:C*row*Mm*j**»

•Louisa County assumes no liability for any errors, omissions, or Inaccuracies In the Information provided regardless of the cause of such or for any decision made, action taken, or action not taken by the user In reliance upon any maps or data provided herein. Please consult official County plats and records for official Information.

Environmental ly Sensit ive Areas F i e l d Reason for Sensitive Area

9 1 ' 1 Leaching Potential (Map Units SeB. SeC - 31%) 9 1 - 2 Leaching Potential (Map Units SeB. SeC -15%) 9 1 - 3 High Water Table (Map Unit iv - 16%)

Leaching Potential (Map Units SeB. SeC - 29%) 01-4 won*

Louisa County Soils that are Environmentally Sensitive

Soil Map Unit Series Name

AmR, Ami'. AmD A*C3.A*D3 AV Ch cm * * FN f » PrB MB IdU2. ldC2 IrA. IrB Iv L#m MnB. MnC. MnD MoC. Mol) NrnKSoCSoD SmO SP

Ts We WH

Time High Water

of year Flooded

Environmental

Ashlar

v#m* Ashlar Chcwaclu Col lax Elbert Fluvaquenis Foresldalc Form mskO Iredell Iredell Iredell ^ ^ ^ ^ ^ I .iunum Madison Madison sail Sokll ScM locca Tocca Wehadkee W ehadkee-Chewuela %'orsham

Nov April Nov June Nov kla\ Nov - April Jun April Ua Moy I )ec April Dec April I *X April Dec April Dec May

Nov - May No> May Nov - Muv

Nov - April

Nov April Jan - April Oct Mm*

Jan-Jan - Dec Nov - June Nov June

I caching Leaching I .caching

Shallow Shmfkw Leaching I ̂ caching Leaching

MAP LEGEND

House/Dwelling with a well

Rock Outcrop

Well

Lake/Pond

Slope which exceeds 15%

Intermittent Stream

Stream/River

Agricultural/Drainage Ditch

Field boundary

Property Line - (swdma i m Buffer, unless waiver issued)

SYNAGR©

Revised; Jan. 13, 14

SYNAGR© Everett Haney. Jr L091 Fields 1 - 4

SOIL MAP

888 Environmentally Sensitive Soil T N

SYNAGR® Everett Haney, Jr LOB1 Fields 1 - 4

TOPO MAP t N

SYNAGR© Everett Haney. Jr L001 F imkk l -4

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LOCATION MAP