Section 391

Section 391.APPENDIX H Public Distribution Information Sheet

1.	Date:

2.	Name of User:

3.	Address of User:

4.	Phone Number of User:

5.	Location Where Sludge is to be Used:

6.	Size of Area Where Sludge is to be Used:

7.	Proximity of Site to closest:		(a) Stream or other body of water
		(b) Dwelling		(c) Well

8.	Amount of Sludge Obtained:
	(Specify units)

9.	Describe Use(s) of Sludge (e.g., Garden, Yard, Horticultural, Reclamation of Nutrient Deficient Land, Other):



10.	Manner in Which Sludge is to be Applied and Incorporated (e.g., Spread by Truck or dry applicator, by Hand, Worked into the Soil by Plowing, Rototilling, other):

Specific Requirements for Public Distribution Programs

The sludge that you are obtaining contains the following:

Plant Available Nitrogen (N)

% and/or

lbs. per dry ton

Phosphorus (P₂O₅)

% and/or

lbs. per dry ton

Cadmium (Cd)

lbs. per dry ton and/or

mg/kg (not to exceed 25 mg/kg)

Copper (Cu)

lbs. per dry ton

Lead (Pb)

lbs. per dry ton

Manganese (Mn)

lbs. per dry ton

Nickel (Ni)

lbs. per dry ton

Zinc (Zn)

lbs. per dry ton

1. Sludge shall not be applied to sites used for growing of commercial truck gardening vegetables grown and sold for direct human consumption. It is also not recommended that sludge be applied to sites for individual use that may grow leafy (lettuce, spinach, Swiss chard. etc.) or root vegetables (potatoes, carrots, radishes, etc.) unless the following conditions are met:

a. the sludge does not contain more than 10 mg Cd/kg (dry weight basis);

b. the sludge has been aged for approximately 3 years after digestion or stabilization;

c. all vegetables are thoroughly washed or cooked prior to consumption.

2. Sludge shall be uniformly spread on the land as soon as possible after transport to the application site.

3. Sludge shall not be applied on land:

(1) during precipitation;

(2) which is saturated or with ponded water.

4. Sludge should not be applied on land:

(1) when precipitation is imminent;

(2) which has received greater than ¼ inch rainfall within the 24 hour period preceding the intended application time.

5. Sludge shall be incorporated as soon as possible after application to prevent odor emission and runoff potential. Sludge shall be incorporated within 48 hours or prior to any rainfall after application whichever is most restrictive.

6. The application rate shall not exceed 10 dry tons/acre or _____inches in depth.

7. Sludge shall not be applied on land which lies within 150 feet from wells or other water supplies and 200 feet from surface waters or intermittent streams.

8. Wind direction and velocity, humidity and the day of the week shall also be considered prior to sludge transport and applications with respect to neighboring activities.

9. Sludge amended land shall not lie fallow, but shall be seeded and stabilized for plant growth as soon as possible after sludge application and incorporation.

_______________________________________

I hereby agree to adhere to the above conditions.