WQ0002857_Monitoring - 03-2020_20200401

SUBMIT FORM ON YELLOW PAPER ONLY
Mail original
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
and 'l copy to-
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: W00002857 Expiration Date: March 31, 2021
Facility Name: Piedmont Custom Meats WWTF
Non -Discharge UIC
Permit Name (if different):
NPDES Other
Facility Address: 9683 Kerr's Chapel Road
TYPE OF PERMITTED OPERATION BEING MONITORED
Gibsonville NC
27249
County Caswell
© Lagoon ❑ Remediation: Infiltration Gallery
© Spray Field ❑ Remediation:
Contact Person: Larry Moore
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name:
No. of wells to be sampled:
3
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-1
Date sample collected:
3/12/2020 FIELD ANALYSES:
WAS
Well Depth: 36.88 ft.
Well Diameter:
in. pH 00400: 6.31 units Temp. 000lo: 15.9 °C
DRY at
Depth to Water Level 82546: 13.34 ft. below measuring point
Screened Interval:
ft. to ft. Spec. Cond. 00094: 513 µMhos
time of
sampling,
Measuring Point is ft. above land
surface
Relative M.P. Elevation:
ft. Odor 000m:
check
Volume of water pumped/bailed before sampling:
7.50-Dry
gallons
Appearance
here:❑
Samples for metals were collected unfiltered:
❑ YES ❑
NO and field acidified: ❑ YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed: 03/12-03/19/2020
Laboratory Name: Research
& Analytical Laboratories, Inc Certification No. 34
PARAMETERS NOTE: Values should reflect dissolved
and colloidal
concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615
mg/L Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 18.6 mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100ml- Phosphorus:
Total as P 00665
mg/L
(NoteUse MPN method for highly turbid samples)
Orthophosphate 70507 —ISLmg/L
Other (Specify Compounds and Concentration it ):
Dissolved Solids:Total 70300 432
mg/L
Al - Aluminup
— mg/LVVG
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 00680 1.86
mg/L
Ca - Calciuml`s ' U
mg/L
Chloride 00940 54.0
mg/L
Cd - Cadmium 01027 ,
N /L
Arsenic 01002
ug/L
Chromium: Total 01036rrn ROC�SS) ug/L
Grease and Oils 00552
m /L
g
Cu - Co e E PO
pli
mg/L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron 01045
ug/L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945 <10
mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance 00095 513
µMhos
K - Potassium 00937
mg/L VOC method # 8260
Total Ammonia 00610 <0.1
mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen; NH3as N; Ammonia Nitrogen, Total)
Mn - Manganese 01055
ug/L , method #
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs:
mg/L VOC Removal%
I certify that, to the best of my knowledge and belief, the information submitted in this report is true, accurate, and complete, and that the laboratory analytical data was produced using approved methods of analysis by a
DWQ-certified laboratory. I am aware that
/there are significant penalties for
tting false information, including the possibility of fines and imprisonment for knowing violations.
Permittee (or Authorized Aqent) Name and Title - Please print or type Siqnature of Permittee (or Authorized Agent)
(Date)
dd
GW-59 Rev.2/2010

SUBMIT FORM ON YELLOW PAPER ONLY
Mail original
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
and 1 copy to:
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: WQ0002857 Expiration Date: March 31, 2021
Facility Name: Piedmont Custom Meats WWTF
Non -Discharge UIC
Permit Name (if different):
NPDES Other
Facility Address: 9683 Kerr's Chapel Road
TYPE OF PERMITTED OPERATION BEING MONITORED
Gibsonville NC
27249 County Caswell
© Lagoon ❑ Remediation: Infiltration Gallery
(City) (Stale)
i=:ip
© Spray Field ❑Remediation:
Contact Person: Larry Moore
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name:
No. of wells to be sampled:
3
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-4
Date sample collected:
3/12/2020 FIELD ANALYSES:
WAS
Well Depth: 15.63 ft.
Well Diameter:
in. pH 00400: 6.08 units Temp. oo01o: 15.7 oC
DRY at
Depth to Water Level 62546: 2.91 ft. below measuring point Screened Interval:
ft. to ft. Spec. Cond. 00094: 1,060 µMhos
—
time of
sampling,
Measuring Point is ft. above land surface
Relative M.P. Elevation:
ft. Odor 00085:
check
Volume of water pumped/bailed before sampling:
6.25 gallons
Appearance
here:
❑
Samples for metals were collected unfiltered: ❑
YES
❑ NO and field acidified: ❑ YES
El NO
LABORATORY INFORMATION
Date sample analyzed: 03/12-03/19/2020
Laboratory Name: Research
& Analytical Laboratories, Inc Certification No. 34
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615
mg/L Pb - Lead o1o51 ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 2.03 mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
Dissolved Solids:Total 70300 883
mg/L
Al - Aluminum 01105
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 00680 <1 0
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 305
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total 01034
ug/L
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg/L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron 01045
ug/L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945 <10
mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance 00095 1,060
µMhos
K - Potassium 00937
mg/L VOC method # 8260
Total Ammonia 00610 <0 1
mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen, NH3as N: Ammonia Nitrogen, Total)
Mn - Manganese oloss
ug/L ,method #
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs:
mg/L VOC Removal%
I certify that, to the best of my knowledge and belief, the information submitted in this report is true, accurate, and complete, and that the laboratory analytical data was produced using approved methods of analysis by a
DWQ-certified laboratory. I am aware that there are significant penalties for suA nitting false information, including the possibility of fines and imprisonment for knowing violations.
Permittee (or Authorized
f c.. fJ a-4 t,� s0
Name and Title - Please print or type
Signature of Permittee (or Authorized Agent)
3 12 .1t ^.;-Q
(Date)
GW-59 Rev.2/2010

SUBMIT FORM ON YELLOW PAPER ONLY
Mail original
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
and 1 copy to:
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: WQ0002857 Expiration Date: March 31, 2021
Facility Name: Piedmont Custom Meats WWTF
Non -Discharge UIC
Permit Name (if different):
NPDES Other
Facility Address: 9683 Kerr's Chapel Road
TYPE OF PERMITTED OPERATION BEING MONITORED
Gibsonville INC
27249 County Caswell
© Lagoon ❑ Remediation: Infiltration Gallery
(•� °',j ;tape)
i,'ipi
© Spray Field ❑ Remediation:
Contact Person: Larry Moore
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name:
No. of wells to be sampled:
3
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-5
Date sample collected:
3/12/2020 FIELD ANALYSES:
WAS
Well Depth: 23.00 ft.
Well Diameter:
in. pH 0040o: 6.23 units Temp. 000lo: 16.1 °C
DRY at
Depth to Water Level 82546: 9.77 ft. below measuring point Screened Interval:
ft. to ft. Spec. Cond. 00094: 221 µMhos
time of
sampling,
Measuring Point is ft. above land surface
Relative M.P. Elevation:
ft. Odor 000m:
check
Volume of water pumped/bailed before sampling:
6.50 gallons
Appearance
here:
❑
Samples for metals were collected unfiltered: ❑
YES
El NO and field acidified: ❑ YES
El NO
LABORATORY INFORMATION
Date sample analyzed: 03/12-03/19/2020
Laboratory Name: Research
& Analytical Laboratories, Inc Certification No. 34
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615
mg/L Pb - Lead o1o51 ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 0.173 mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
Dissolved Solids:Total 70300 197
mg/L
Al -Aluminum o1105
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 00660 <1 0
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 75.0
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total 01034
ug/L
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg/L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron 01045
ug/L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945 <10
mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes(l) ❑ No (0)
Specific Conductance 000m 221
µMhos
K - Potassium 00937
mg/L VOC method # 8260
Total Ammonia 00610 <0.1
mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen, NH3as N, Ammonia Nitrogen, Total)
Mn - Manganese 01055
ug/L , method #
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs:
mg/L VOC Removal%
I certify that, to the best of my knowledge and belief, the information submitted in this report is true, accurate, and complete, and that the laboratory analytical data was produced using approved methods of analysis by a
DWQ-certified laboratory. I am aware that there are significant penalties for submitting fal i rmation, including the possibility of fines and imprisonment for knowing violations.
Permittee (or Authorized Agent) Name and Title - Please print or type Signature of Permittee (or Authorized Ag t)-- (Date)
- tee, - zC_"
GW-59 Rev.2/2010