SSU 2018 Annual Generators Report Form DOC.pdf

MARYLAND DEPARTMENT OF THE ENVIRONMENT

Land and Materials Administration • Resource Management Program

1800 Washington Boulevard • Suite 610 • Baltimore, Maryland 21230-1719

410-537-3314 • 800-633-6101 (within Maryland) • www.mde.maryland.gov

Form Number: MDE/WAS/PER.018 Page 1 of 2 Date: June 1, 2021 TTY Users: 1-800-735-2258

Annual Sewage Sludge Generator’s Report For CY:

(Due to MDE no later than January 31st of the new year)

Billing name and address (if different than below):

County:

Facility:

Contact name and address:

Contact name and address (if incorrect):

Check sewage sludge stabilization process(es) used:

Unstabilized (raw) Aerobic digestion Anaerobic digestion Lime stabilization Composting

Other _____________________________________________________________________________________

Was any sewage sludge removed from the Facility during the reporting calendar year? YES NO (explain below)

Storage Lagoon Other ___________________________________________

• In the following chart, enter the amount of sewage sludge removed from your Facility during the reporting year.

• Values should be expressed as both wet tons and dry tons.

• Wet ton values should be written in tons (2000 lbs/ton), at the percent solids the sewage sludge left the Facility.

• To convert gallons to wet tons use the following formula: gal x 8.34 lbs/gal x 1ton/2000 lbs.

(Or multiply the number of gallons by .00417)

• Dry ton values are calculated by multiplying the total wet tons by the percent solids.

(i.e. for 18% solids, multiply the wet tons by .18 to calculate dry tons)

• If sewage sludge was utilized at more than one county/site, please attach a separate sheet with that information.

• If you are an out-of-State Facility, please write only the tonnage that came to Maryland.

Category Amount in wet tons Amount in dry tons MD Site Specific Destination

(Site name, County, SSU Permit #)

Destination

State

Applied to agricultural land in MD N/A

Applied to marginal land in MD N/A

Distributed / Marketed

Transported to another Facility in MD N/A

Transported out of MD N/A

Taken to off-site storage in MD N/A

Incinerated in MD N/A

Landfilled in MD N/A

Other

Total Removed From Facility

Frederick Fort Detrick Wastewater Treatment Plant

Jairus Slagle Directorate of Public Works 201 Beasley Drive Frederick, MD 21702

X

X Transported out of state by contractor for composting

458.90 82.14 VA

http://www.mde.maryland.gov/

Form Number: MDE/WAS/PER.018 Page 2 of 2 Date: June 1, 2021 TTY Users: 1-800-735-2258

Does your sewage sludge meet the Class A or Class B treatment standards? No Yes [See COMAR 26.04.06.03]

If the sewage sludge treatment process performed at your facility is not permitted as a Class A or Class B for beneficial use then answer NO.

Average percent total solids of sewage sludge: _____ %

Facility design capacity: _________ MGD Average daily flow to Facility: _________ MGD

Is there any sewage sludge currently stored at your Facility? No Yes Wet or Dry tons (circle one) How long this sewage sludge has been stored at your facility and what is the annual average in volume/tonnage if storage exceeds one year

Please list the sewage sludge contractor(s) and sub contractor(s) who manages the sewage sludge for you:

Check the method used to determine amount of sewage sludge reported:

Trucks weighed onsite before they left the Facility

The number of trucks, of a known capacity, was counted

Single truck load was weighed once offsite and used in the process

In-Facility metering

Reports solely based on contractor billing statements or records

Reports partially based on contractor billing statements or records

Other (please explain and describe or show calculations on a separate sheet of paper)

CERTIFICATION

As an authorized representative of the sewage sludge generator named on this form, I solemnly affirm under the penalties of perjury that the contents of this report are true to the best of my knowledge, information, and belief.

Failure to submit this report is a violation of Maryland laws and regulations and could result in penalties to the generator and facility operator. Information in this report is subject to audit by the Biosolids Division at the

Maryland Department of the Environment (MDE).

Name (print) Title

Signature Date

Phone Number Fax Number Email Address

MAIL COMPLETED FORM TO:

Maryland Department of the Environment

Land and Materials Administration

Biosolids Division

1800 Washington Boulevard, Suite 610

Baltimore, MD 21230-1719

For questions or additional information, please call at (410) 537-3314

X

Jairus Slagle Interdisciplinary, Environmental Engineer jairus.a.slagle.civ@army.mil301-619-0327

22 January 2026

X

17.9

2.0 247.355

O

Custom Transportation, LLC