M i d i I h i u l K I O S O U ' O S L A N D A P I ' t K . A I I O N

MAP LEGEND

Buffer Area

Property Line (100ft Buffer)

North Symbol

Surface Water

Field Boundary

Rock Outcrop (25ft Buffer)

Severe Slope/Erosion

Sink Hole (100ft Buffer)

Intermittent Stream (100ft Buffer)

Occupied Dwelling/Structures/Well (200ft Buffer)

Frequently Flooded Area/Drainage Way/Wet Spot

Public Roadway (10ft Buffer)

Road Map Hauling Route

OSR/Public Access Sites (400ft Buffer)

Public Water Supply/Additional Water Well (100ft Buffer)

VIRGINIA POLLUTION ABATEMENT PEROT^APPLICATION FORM Ch MUNICIPAL EFFLUENT AND BIOSOLIDS

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PARTM% L A N D A P P U ^ T » W A « « ^ . B K ) 6 0 U D 6 A ^

^ ^ ^ ^ ^ m S w b . * m o r l » d b m o * . W o ^ .

attached as Exhibit A.

T ^ l J F * c * * a * l ^ * n * ^ b l o m o # ^

Tax Parcel ID

OH A Tax Pond ID TMPasdlD Tax Parcel ID

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Permittee Printed Name

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I

VIRGINIA POLLUTION ABATEMENT PERMIT APPLICATION: PART DAM LAND APPLICATION AGREEMENT

6 ^ / 4 A T f f r * ^ / t « ^ c )

Permittee: f j u t & i - B /eAwf , Z w g • County or City: M A \ f l > C o . . - • ..•

i ^ o — r ^ f ^ ' j ^ ^ w r ^ A / j y < / :

Landowner Site Management Requirements: . .. ^ " » f " * % < ( ) f \ ^ . . 4 f M l . ' t ' g ^ ' - - . . . ' p . y . s . . . , ; .

I, the Landowner, I have received a DEQ Bioaolids Fact Sheet that includes information regarding regulations governing the land application of biosolids, the components of biosolids and proper handling and land application of biosolids.

I have also been expressly advised by the Permittee that the site management requirements and site access restrictions identified below must be complied with after biosolids have been applied on my property in order to protect public health, and that I am .responsible for the implementation of these practices.

lagreeblmplernentilrwlosowa^ application of biosolids at the site:

1. Not&aUoiiSigns: l*#rK*remxM*anyalgrmpoa*edb^W aaabbeoadalandappsDabDnas^ appsbmtbnat t rMsbbcompMai

2 P u b t Access s. PUbmc access to lend w#h a high posmnUej for pubsc exposure ana* be reautted for at least one year

following any application of biosolids. b. Ptmlisc access b land wXhs low posmlW for p ^ ^

fokwlngerryajqiaostlm NobkxwIkharnenoMeoashaB the site during this same period of time unless adequate provisions are made to prevent public exposure to soil, dusts or aerosols;

c Turf grown on land whemWososdssreapplW of Mosq#dswhenthehen*sW W b p * ^ or a lawn, unless otherwise specified by DEQ.

3. CropResalcbona: a. Food crops with harvested parts that touch the biosolids/soil mixture and are totally above the land

surface shall not be harvested for 14 months after the application of biosolids. b. Food crops with harvested parts below the surface of the land shall not be harvested for 20 months

sftertrwsppNcstbnof blosososwhen four (4) or more months prior to incorporation into the soil,

c cmmH T i—m^r&r* nrt ir hTrrrrr Urn mafmm rrffhn mnri shall nr# hn hnrmrrknrl ibr TO muillm when the biosolids remain on the land surface for a time period of less than four (4) months prior to incorporation.

d. Other food crops and fiber crops shall not be harvested for 30 days after the application of biosolids; e. Feedompaaha#rK*behanmas*d#x30da^

lactating dairy animals).

4. Us#dockAocaaaRealrlcoona: Following biosolids application to pasture or hayland sites: 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 aramala shall be read luted from grazing for 30 days;

5. Supplemental commercial ferazer or manure eppmosUona wM be coordinated w*h the Wososds and Industrial r—iHimh, oppHfWkm. Mrh MM mm frtsl rmp nrmrls fnr mrrrkrrrn are nnt oxcoeded am Uei ATled mi Uia raMnent marmosment plan davebped by a parson certified ki accordance wMh #10.1-104 j of *h* Code of Virginia;

0. Tobacco, because shas been shown to sccumuhaS cadmium, ahouM not be grown on the Landowners land for thrwyeers following (he appkabo^

^ ^ o s e d ^ f ^ g p o ^ d s ^ o ^ (0.5 Idbgrmrnnameclare). ^

. ^ L < _ y Landowner's Signature "

Rw 9/140012 V P«a*2of2

VIRGINIA POLLUTION ABATEMENT PERMIT APPLICATION: PART D-VI LAND APPLICATION AGREEMENT

"\ Landowner Coordination Form

This form is used by the PermltsBe to identify properties (tsx parcels) that are authorized to receive blososda end/or Industrial residuals, end each of the legal smndowners of thcee tax parcels. ALarxf App#cabbn A^reemenf - BbWd* w)d /rxWrW Wm w#h original signature must be attached hr each legal laridowner identified below prior to land application at the identified parcels.

PmrmMtM,- r V ^ * f k ) - p ^ j

County or City: /V.IM be.il/\\>cl

Tax Parcel IDfs) Landowner(s)

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a * an 4/2012 Page I of I

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or?6A. Tax Parcel IP Tax Parcel ID Tax Parcel IB.

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Printed Name

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MmNng Addwmi

RwOfMOOIZ P*g*1 ofZ

VIRGINIA POLLUTION ABATEMENT PERMIT APPLICATION: PART DAT! LAND APPLICATION AGREEMENT

P*»*M—= Rlaudf. c«««,o,abr Cawjaer k ^ o l ) I . . i i l n m i m w ^ , V , W W y L * * J l r * « y ^ - . . . . . .

Landowner Site Management Requirements:

kmeLwKjuwiMjrmwerucaw^ governing the land application of biosolids, the components of biosolids and proper handling and land application of biosolids. I have also been expressly advised by the Permittee that the site management requirements and site access restrictions Identified below must be complied with after biosolids have been applied on my property in order to protect public health, and that I am responsible for the implementation of these practices.

I agree to implement the following site management practices at each site under my ownership following the land application of biosolids at the site:

1. NuUmallon Signs: IwXnotrsmomsrwslgnsposWbytn^ as a bbeosds land appacabon see, ureses requested by the PermUme, until st best 30 days altar land imppscmtion atthstsse Is ujiiipmesd.

2. Public Access a. Public access to land with a high potential for public exposure shall be restricted for at least one year

following any application of biosolids. b. Public access to land with a low potential for public exposure shall be restricted for at least 30 days

Mowing srry sprdketiff nf NnmnBrt No biosoeds amsndsd soil shea" be exciwatsrl or removed from the site during this same period of time unless adequate provisions are made to prevent public exposure to soil, dusts or aerosols;

c Turf grown on land whemMosos* of bbsoBds when the harvested turf Is pieced on either lend with s high potential for pubac exposure or a lawn, unless otherwise specified by DEQ.

3. CmpResMcUons: a. Fuud uiNJu with Isrifostod pad" msttourh Ihn NnanfMsrsns rnhrhss and am fntesy ahmm inn land

surface shall not be harvested for 14 months after the application of biosolids. b. Food crops with harvested parts below the surface of the land shall not be harvested for 20 months

after the application of biosolids when the biosolids remain on the land surface for a time period of four (4) or more months prior to incorporation into the soil,

c. Food crops with harvested parts below the surface of the land shall not be harvested for 38 months when the biosolids remain on the land surface for a time period of less than four (4) months prior to incorporation.

d. Other food crops and fiber crops shall not be harvested for 30 days after the application of biosolids; e. Feed crops shall not be harvested for 30 days after the application of biosolids (60 days if fed to

lactating dairy animals).

4. Livestock Access ReaMceona: Following biosolids application to pasture or hayland sites: 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;

5. Supplemental commercial fertilizer or manure applications will be coordinated with the biosolids and industrial residuals applications such that the total crop needs for nutrients are not exceeded as identified in the nutrient management plan developed by a person certified in accordance with §10.1-104.2 of the Code of Virginia;

6. Tobacco, because it has been shown to accumulate cadmium, should not be grown on the Landowner's land for three years following the application of biosolids or industrial residuals which bear cadmium equal to or exceeding 0.46 pounds/acre (0.5 Mograrrsvhedare).

X*, Dsma

Page 2 of 2 andowner's Signature

14O012

VIRGINIA POLLUTION ABATEMENT PERMIT APPLICATION: PART D-VI LAND APPLICATION AGREEMENT

Landowner Coordination Form \

Thb form is used by the Permittee to identify properties (tex pafoeh) tha* are authorized to recahre WoaoWda aiid/ui InUuolilal rosirtuala. end narh nf Ihn larjal lenrlmrmnrn r i tfmrrr t r r r -^** ALandAppkaobnAgreemenf -BbsaWsa^WusfnaVAsaibl^eA*^ idenCfmdbekwpnorb

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r ^ m l y o r C l h r r u . M t 6 & l A A J / {

pif,o S f, print (Signatures not required on this page

Tax Parcel IDfa) Landowner(s)

am - A-.? J i l l ) lV. jLAA^A^^rV/-:

Rwan4/aoi2 Page j of i

N u l i i B I U S O I I D S I A N D A P P t l C

t > r \ i

Depth to Any Soil Restrictive L, umberland County, Virginia (Hmndmmo,. 1-2222)

*»4* : r*

751300 7M500 TSlaJO TBTOO Tmmm 711100 75100 -r 7SZ0 anoo

i a g O f p # w » i A W « v O : " x & D * w . Meters

N 0 50 100

A am 300

s

I to

* 0 250 500 1000 1500 Map projection: \ r*b Mercatcr Comer cocfdrates: WGS84 Edge Bcs: UTN Zcrie 17N ViGSS4

LSDv Natural Resources ^ ™ Conservation Service

Web Soil Survey NmOonml Coop#mlw« Sol Surwy

10QB/2015 Page 1 of 4

Depth to Any Soil Restrictive L Aimberiand County, Virginia (Hmndamo,, 1-2222)

MAP LEGEND

Area of Interest (AOI) Area of Interest (AOI)

Soils Soil Rating Polygons

• 0-20

• 2 5 * 0

• #0-100

• 100-150

• 150-200

_J 200

• Not rated or not available

• Not rated or not available

Water Features Streams and Canals

Transportation

+-*-* Rate

Interstate Highways

US Routes

Major Roads

Local Roads

Background Aerial Photography

Soil Rating Lines

^ 0 2 6

2»»0

00-100

4*4 100-150

190 - 200

200

« » Not rated or not available

Soil Rating Points

J 0-25

• 25-50

• 60-100

u 100-150

• 150-200

• 200

MAP INFORMATION

The soil surveys that comprise your AOI were mapped at 1:24,000.

Warning: Soil Map may not be valid at this scale.

Enlargement of maps beyond the scale of mapping can cause misunderstanding of the detail of mapping and accuracy of soil line placement. The maps do not show the small areas of contrasting soils that could have been shown at a more detailed scale.

Please rely on the bar scale on each map sheet for map measurements.

Source of Map: Natural Resources Conservation Service Web Soil Survey URL: http://websoilsurvey.nrcs.usda.gov CuudmmW QjuWrn W*b Mmnaor (EPSG:3857)

Maps from the Web Soil Survey are based on the Web Mercator projection, which preserves direction and shape but distorts distance and area. A projection that preserves area, such as the Ah«m*quW-«m«conkpiu|#t^un,mhoi*)b#u*«dlfmof*«L«,u«l« calculations of distance or area are required.

This product is generated from the USDA-NRCS certified data as of the version date(s) listed below.

Soil Survey Area: Cumberland County, Virginia Survey Area Data: Version 11, Dec 11, 2013

Sol mmpur#a mm WwW(M»p«ce«#cmw)n% map «c«W 1 ^ 0 0 0 or larger.

Date(s) aerial images were photographed: May 10, 2010—Jul 4. 2010

The orthophoto or other base map on which the soil lines were compiled and digitized probably differs from the background Im*g*yo1#pl«y*don#t*wm*pt A a « n i « * # o m # n * w of map unit boundaries may be evident

U in* Na*urmlR**04wc*# W*bSo*Sun*y 10/20/2015 Conservation Service National Coop i Soil Survey Page 2

N u l l I

T-2222

N u l l i I l o u t I B I O S O L I D S I A N D A P r I I C A I I ( ) N

HENDERSON FARM Tract 2222

Field Data Sheet

Field Total Field Coordinates Acres Latitude Longitude

1 22.00 37.67219 -78.14627 2 23.40 37.671569 -78.143191 3 18.70 37.671776 -78.148645

3 64.10

watershed code JM70 Site Type Agriculture Tax ID 17-A-3.3A Agricultural Practice: See Nutrient Management Plan for Yearly crop rotation USDA Soil info on depth to bedrock&water table when applicable in Nutrient Management PI owner LHENDERSON&J.SOBINSKI

JOHN VV. LAWHORNE

O ^ t o ^ ^ R ^ ^ ^ ^ ^ ^ ^ ^ H«n*nonT-an

Depth to Any Soil Restrictive Layer

Depth to Any Soil Restrictive Layer— Summary by Map Unit — Cumberland County, Virginia (VA049)

Map unit symbol Map unit name Rating (centimeters) Acres in AOi Percent of AOI

1B Appling sandy loam. 2 to 7 percent slopes

100 t 4 2 7 *

SA Chewada and Monacan soils. 0 to 2 percent mtopea, *equ*n#y mooded

200 M 1 * %

168 Enon-Helena complex, 2 to 7 percent slopes

>200 120 M M

218 Helena sandy loam, 2 to 7 percent slopes

200 5.3 *,o%

21C Helena sandy loam, 7 to 1#p*5«eimi»»m:

>200 U 4.4%

32C Poindexler-Wedowee complex, 7 to 15 panoent atopee

89 25.0%

mo Poindexter-Wedowee complex, 1Sto25 pamaMafopm*

99 *w 119%

47B Trenholm sandy loam, 2 m7pmn»m»lop#*

200 9.5 i n # %

4 * Wateree sandy loam 15 to 25 percent slopes

99 0.0 00%

458 Worsham loam. 0 to 4 percent slopes

>200 0.0 00%

Totals for Area of Interest N J 100.0%

Description

A 'restrictive layer" is a nearly continuous layer that has one or more physical, chemical, or thermal properties that significantly impede the movement of water and air through the soil or that restrict roots or otherwise provide an unfavorable root environment. Examples are bedrock, cemented layers, dense layers, and frozen layers.

This theme presents the depth to any type of restrictive layer that is described for each map unit. If more than one type of restrictive layer is described for an individual soil type, the depth to the shallowest one is presented. If no restrictive layer is described in a map unit, it is represented by the "> 200" depth class.

Tfmm * metu##y rmcordmd am thr** * * * * * * In # * uWmbmm. A low value and a high value indicate the range of this attribute for the soil component. A "representative' value indicates the expected value of this attribute for the component. For this soil property, only the representative value is used.

Natural Resources Conservation Service

Web Sou Survey National Cooperative Soil Survey

ioamooi@ P*g#3ol4

Natural Resources Conservation Service

Web So" Survey National Coop \ Soil Survey

H M a * y Pmom'

Depth to Water Table— land County, Virginia ( H a n d * * , . ,-2222)

MAP LEGEND

Area of Interest (AOI)

| | Area of Interest (AOI)

mc*.

Soil Rating Polygons

d 0-2S

[ ] 25-SO

| | 50 - 100

I | 100-150

| | 150-200

• > 200

Not rated or not available

Soil Rating Lines

0-25

20 80

50-100

100-150

150 - 200

^ 200

« « Not rated or not available

Soil Rating Points

• Not rated or not available

Water Features

Streams and Canals

Transportation

m Ra#*

« v Interstate Highways

- US Routes

Major Roads

Local Roads

Background

Aerial Photography

• 0-20

• 20-00

• 00-100

• 100-100

• 150-200

0 200

MAP INFORMATION

The soil surveys that comprise your AOI were mapped at 1 24,000.

Warning: Soil Map may not be valid at this scale.

Enlargement of maps beyond the scale of mapping can cause misunderstanding of the detail of mapping and accuracy of soil line placement. The maps do not show the small areas of contrasting soils that could have been shown at a more detailed scale.

Please rely on the bar scale on each map sheet for map measurements.

Source of Map: Natural Resources Conservation Service Web Soil Survey URL: http://websoilsurvey.nrcs.usda.gov CiiwikimW Oyalam. Wab M a r t a k * (EPSG 3857)

Maps from the Web Soil Survey are based on the Web Mercator projection, which preserves direction and shape but distorts distance and area. A projection that preserves area, such as the Albers equal-area conic projection, should be used if more accurate calculations of distance or area are required.

This product is generated from the USDA-NRCS certified data as of the version date(s) listed below.

Soil Survey Area: Cumberland County, Virginia Survey Area Data: Version 11, Dec 11, 2013

Soil map units are labeled (as space allows) for map scales 130.000 or larger.

Date(s) aerial images were photographed: 2010

May 10.2010—\M 4.

The orthophoto or other base map on which the soil lines were compiled and digitized probably differs from the background imagery displayed on these maps. As a result, some minor shifting of map unit boundaries may be evident.

I SUA Natural Resources Conservat ion Service

Web Soil Survey National Coor e Soil Survey

10/20/2015 Page 7

O ^ t o W ^ ^ ^ ^ c e n ^ lammmmT-nm

Depth to Water Table

Depth to Water Table— Summary by Map Unit — Cumberland County. Virginia (VA049)

Map unit symbol Map unit name Rating (centimeters) Acres in AOI Percent of AOI

B Appling sandy loam. 2 to 7 percent slopes

»zoo 2.4 1 7 *

6A Chewada and Monacan soils, 0 to 2 percent slopes, frequently flooded

31 2 8 3.0%

68 Enon-Helena complex, 2 to 7 percent slopes

203 320 36 21.

2IB Helena sandy loam, 2 to 7 percent slopes

45 W 60%

21C Helena sandy loam, 7 to 15 percent slopes

45 3.9 4.4%

nc Poindexter-Wedowee complex, 7 to 15 percent slopes

>200 22 1 26 0%

no Poindexter-Wedowee complex, 15 to 25 percent slopes

200 1W 11.9%

41B Trenhdm sandy loam, 2 to 7 percent slopes

61 u 10.8%

4 » Wateree sandy loam, 15 to 25 percent slopes

»aoo 0.0 00%

*5« Worsham loam, 0 to 4 percent slopes

is 0.0 00%

Totals for Area of Interest 8B.5 100.0%

Description

"Water table" refers to a saturated zone In the soil. It occurs during specified months. Estimates of the upper limit are based mainly on observations of the water table at selected sites and on evidence of a saturated zone, namely grayish colors QmdoahMprt l w k M ) h « ^ ^ is not considered a water table.

This attribute is actually recorded as three separate values in the database. A low value and a high value indicate the range of this attribute for the soil component. A "representative" value indicates the expected value of this attribute for the component. For this soil property, only the representative value is used.

Rating Options

Units of Measure: centimeters

Natural Resources Conservation Service

Web Soil Survey National Cooperative Son Survey

100*0015 P##»)of4