WQ0002838_Monitoring - 03-2020_20200407

SUBMIT FORM ON YELLOW PAPER ONLY
o GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM "
0
o FACILITY INFORMATION Please Pnnt Clearly or Type
Facility Name:�tC
r` Permit Name (if different):
FacilityAddress
County�K e
v
v7
00
0
r�
0
CV
r__
0
00
0
act Person: Oa.\e r(1Q�RNe"�S Telephone#,gP—(CqI "I DS(p
Location/Site Name: m NAc No. of wells to be sampled: y
ERMIT( r Expiration Date: I) 3 I � ZOZ a
c r e UIC
PDES Other
(PE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
® Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
JI MVLIIVV 111rvr%mn1!Vlr
WELL ID NUMBER (from Permit): fV"�W '4
Date sample collected: 3l I O 1Z'D
FIELD ANALYSES:
If WELL
WAS
Well Depth: <Z� ft.
Well Diameter: in.
pH oo400Sj�z units Temp. 000lo°C
DRY at
Depth to Water Level e2546: 1 �0_ft. below measuring point
Screened Interval: fL to
Spec. Cond. 000ea 99 µMhos
time of
Measuring Point is 1_ft above land surface
_ft
Relative M.P. Elevation: ft.
Odor 000m Kj
sampling,
check
Volume of water pumped/bailed before sampling: Ia _ gallons
Appearance C \ter
here:
❑,Samples
for metals were collected unfiltered: YES El NO
and field acidified: El YES ® NO
Date sample analyzed: 31 tp 12* — __'5 11 to
I 2-(7
N
PARAMETERS NOTE: Values should reflect dissolvec
o
COD 00335
mg&
M
Coliform MF Fecal 31616 /, I C01
/100ml-
Coliform: MF Total 31504
/100mL
CY)
(Note: Use MPN method for Nq* turbid sanples)
??
issolved Solids:Total 70300 4L4q
g/L
pH (Lab) 00403 (p.1
6�Its
TOC cosao j .p rr�
Chloride oog4o Ilp3
mOL�
Arsenic 01002
ug/L; `r-t
Grease and Oils 00552
mg/L o
Phenol 32730
ug/L Z
Sulfate oo94s
mg/L
pecific Conductance 00095
µMhos z
Total Ammonia ooslo 0.1
mg/L
Wynorus Nitrogen, Mf{s as P7 Arrtnorde Nitrogen, Total)
TKN as N 00625
mg/L
_ Laboratory Name: Mer,+eC
h T(-c .
Certification No. 1(cS
and colloidal concentrations.
Nitrite (NO,) as N oosls
mg/L
Pb - Lead olo51 ug/L
Nitrate (NO3) as N 00620 Q Q S mg/L
Zn - Zinc 01092 mg/L
Phosphorus: Total as P oo665 ,( Q . "ba 0 mg/L
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
ZAI - Aluminum o11os
mg/L
'n Ba -Barium 01007
ug/L
p
'—)Ca - Calcium 00916
mg/L
o - Cadmium o1o27
ug/L
. i Cttv'nium: Total o1034
ug/L
o Cu - Copper 01042
ro
_ „/ng/L
ORGANICS: (by GC, GC/MS, HPLC)
Fe - Iron =45
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Hg - Mercury 71900
ug/L
Lab Report Attached? Z Yes (1) ❑ No (0)
K - Potassium 00937
mg/L
VOC 7873 method #
Mg - Magnesium 00927
mg/L
method #
Mn - Manganese oloss
ug/L
method #
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%
Perrnittee (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev 3-1-2016
Signature of Permittee (or Authorized Agenq (Date)

(.Suhnut nice each n10nirnrin� period with Gn'-S9 forms.)
1 Enter date monitoring results were due. " i5i Will this monitoring report (GW-59 and GW-59A) YES
be submitted after the established due date?
2 Was any required information missing on the GW-59 report forms?
IF the answer to question 1 or 2 is "YES list in the space provided below the well identification number(s) and YES
explain the problems encountered in obtaining the required information.
3 Are any of the monitor wells in need of repair or maintenance (damaged casing, unlocked or missing cap, missing YES NO
identification plate, area overgrown, etc.)? Ifthe answer is "Yes", contact the Regional Wce for guidance.
4 Are any monitored constituents equal to or above the established standards?
If the answer to question 4 is "NO", skip to section 8. YES ;;go—
lf the answer to question 4 is "YES" list the affected wells individually with constituents) and concentration(s)
exceeding standards in the space provided below:
5 For the constituents identified in question 4 above, have standards been exceeded previously for the YN
same constituent(s) in the same well(s) in th:last two years?
ES
O
If the answer to question 5 is "NO ;skip to section 8. If the answer to question 5 is "YES", list in the space provided below, each well with constituent(s) exceeding
standards, concentration(s) reported, and sample collection date for each occurrence (for the last two years).
6 Are the monitoring wells listed in section 5 located at or beyond the review boundary?
If the answer is "YES", a groundwater quality problem maybe occurring. CONTACT THE REGIONAL
OFFICE IMMEDIATELY FOR GUIDANCE. If the answer is "NO", monitoring wells maybe improperly
located; contact the Regional Office.
7 Is the permittee implementing previously approved actions required by the Division involving this
groundwater quality problem?
If the answer to question 7 is "YES", describe those actions in the space provided below.
If the answer to question 7 is "NO", contact the R Tonal Office within 90 da s • an evaluation ma be
re uiredoetermine the im act the waste dis osal s stem is Navin at the review and cam liance
boundurroundin this facili .Failure to do so ma sub ect the ermittee to a Ntirp .,r v:fines, vena/ties
---------------
$ The Person completing this portion (GW--59A) of the monitoring report should sign below —and
this
form with G W-59 forms for required wells to the address provided at the top of the current GW-59 form.
to that the above infotrnatian was evaluated and
_KQP0 t.�xW-§9A) is trove. And comple , iifott>7atipn subf»Ittod in
+
Signature of permittee (�; 1 (R 1 Zn
wnzea Agent)
Date
YES
YES
NO
M

Meritech, Inc.
Environmental Laboratory
Laboratory Certification No.165
Client: Apex Companies LLC
10610 Metromont Pwky, Suite 206
Charlotte, NC 28269
Report Date: 3/18/2020NPDES #: WQ00002838
Project: MW
Date Sample Rcvd: 3/10/2020
Meritech Work Order # 031020106 Sample: MW 1 Grab
Parameters Results Analysis Date
3/10/20
Total Dissolved Solids
449 mg/L
3/12/20
Reporting Limi
10.0 mg/L
Method
SM 2540C
Chloride, total
163 mg/L
3/16/20
0.2 mg/L
SM 4500 Cl B
Ammonia, Nitrogen
<0.1 mg/L
3/13/20
0.1 mg/L
EPA 350.1
Nitrate, Nitrogen
0.85 mg/L
3/11/20
0.10 mg/L
EPA 353.2
Phosphorus, total <0.020 mg/L
3/13/20
0.020 mg/L
EPA 200.7
Fecal Coliform
<1 col/100 ml
3/10/20
1 col/100 MI
SM 9222 D
TOC
<1.0 mg/L
3/13/20
1.0 mg/L
SM 5310C
PH
6.7 S.U.
3/12/20
1.0 -14.0 S.U.
SM 4500-HB
I hereby certify that I have reviewed and approve these data.
Laboratory Representative
642 Tamco Road, Reidsville, North Carolina 27320
tel.[phone] fax.[phone]

MERITECH, INC.
Environmental Laboratories
•
Laboratory Certification #165
Client:
Apex Companies
LLC Meritech ID#:
03102095
Project:
Deerhurst MHC
Analysis:
03/16/20
Client Sample ID:
Monitoring Well
1 Analyst:
VWV
Sample Collection:
03/10/20
Dilution Factor:
1
Report Date:
03/20/20
SW-846-8260D VOLATILE ORGANICS - Water
Acetone
< 5.00 ug/L
cis-1,3-Dichloropropene
< 0.500 ug/L
Benzene
< 0.500 ug/L
trans-1,3-Dichloropropene
< 0.500 ug/L
Bromobenzene
< 0.500 ug/L
Ethanol
< 50.0 ug/L
Bromodichloromethane
< 0.500 ug/L
Ethyl benzene
< 0.500 ug/L
Bromochloromethane
< 0.500 ug/L
Hexachlorobutadiene
< 0.500 ug/L
Bromoform
< 0.500 ug/L
2-Hexanone
< 1.00 ug/L
Bromomethane
< 0.500 ug/L
Isopropylbenzene
< 0.500 ug/L
2-Butanone (MEK)
< 5.00 ug/L
p4sopropyltoluene
< 0.500 ug/L
n-Butylbenzene
< 0.500 ug/L
Methylene chloride
< 0.500 ug/L
sec-Butylbenzene
< 0.500 ug/L
Methyy Isobutyl Ketone (NflBK)
< 0.500 ug/L
tert-Butylbenzene
< 0.500 ug/L
Naphthalene
< 0.500 ug/L
Carbon Tetrachloride
< 0.500 ug/L
n-Propylbenzene
< 0.500 ug/L
Chlorobenzene
< 0.500 ug/L
Styrene
< 0.500 ug/L
Chloroethane
<0.500 ug/L
1, 1, 1,2-Tetrachloroethane
<0.500 ug/L
Chloroform
< 0.500 ug/L
1,1,2,2-Tetrachloroethane
< 0.500 ug/L
Chloromethane
< 0.500 ug/L
Tetrachloroethene (PCE)
< 0.500 ug/L
2-Chlorotoluene
< 0.500 ug/L
Toluene
< 0.500 ug/L
4-Chlorotoluene
< 0.500 ug/L
1, 1, 1 -Trichloroethane
< 0.500 ug/L
Dibromochloromethane
< 0.500 ug/L
1, 1,2-Trichloroethane
< 0.500 ug/L
1,2-Dibromo-3-chloropropane
< 0.500 ug/L
Trichloroethene (TCE)
< 0.500 ug/L
1,2-Dibromoethane (EDB)
< 0.500 ug/L
1,2,3-Trichlorobenzene
< 0.500 ug/L
Dibromomethane
< 0.500 ug/L
1,2,4-Trichlorobenzene
< 0.500 ug/L
Dichlorodifluoromethane
< 0.500 ug/L
1,2,3-Trichloropropane
< 0.500 ug/L
1,1-Dichloroethane
< 0.500 ug/L
Trichlorofluoromethane
< 0.500 ug/L
1,2-Dichloroethane
< 0.500 ug/L
1,2,4-Trimethylbenzene
< 0.500 ug/L
1,4-Dichlorobenzene
< 0.500 ug/L
1,3,5-Trimethylbenzene
< 0.500 ug/L
1,2-Dichlorobenzene
< 0.500 ug/L
Vinyl acetate
< 1.00 ug/L
1,3-Dichlorobenzene
< 0.500 ug/L
Vinyl chloride
< 0.500 ug/L
1, 1 -Dichloroethene
<0.500 ug/L
m/p-Xylenes
< 1.00 ug/L
cis-1,2-Dichloroethene
< 0.500 ug/L
o-Xylene
< 0.500 ug/L
trans-1,2-Dichloroethene
<0.500 ug/L
1,2-Dichloropropane
< 0.500 ug/L
Additional Compounds
1,3-Dichloropropane
< 0.500 ug/L
Methyl-tert-butyl ether (MTBE)
< 0.500 ug/L
2,2-Dichloropropane
< 0.500 ug/L
Isopropyl ether (IPE)
< 0.500 ug/L
1, 1 -Dichloropropene
<0.500 ug/L
1,2-Dichloropropene
< 0.500 ug/L
I hereby certify that I have reviewed and approve these data.
Laborlitory Rbpreserhative
642 Tamco Road * Reidsville, NC 27320
[phone] Ph * [e-mail]

•
SUBMIT FORM ON YELLOW
PAPER ONLY
o
o
GROUNDWATER QUALITY MONITORING:
• r QUALM
o
'COMPLIANCE REPORT FORM
r
• � r
t+)�0�4 �AAL
FccYSatRDNMTION ROr
�jg7s7T
7
o
FACILITY INFORMATION Please PnAf CleaAy or Type
lR17., MAIL $ERVI E, rH, NC 27699 1s R(►pel �1��07 10 ���;
Expiration Date: t Z•D2t
P��EjjR��MIT((�
n-
Facility Name: 1�t'5"� Vn "C.
R
NS�'DfSch�r "_ UIC
Permit Name (H different):
NPDES Other
FacilityAddress (DISCO 1pr lw, _ }Q•. k?1066
TYPE OF PERMITTED OPERATION BEING MONITORED
I N)r— a1
County
❑ Lagoon ❑ Remediation: Infiltration Gallery
Spray Field ❑ Remediation:
Contact Person:S
Telephone#:
Rotary Distributor ❑ Land Application of Sludge
o
;Well Location/Sits Name P_efhu(St Yn H G
i
No. of wells to be sampled:
❑ Water Source Heat Pump ❑ Other:
r—
_�
from P
0
SAMPLING INFORMATION
If WELL
N
WELL ID NUMBER (from Permit): �ill`�'� Z
Date sample collected: , 11 O lol
FIELD ANALYSES: WAS
o
Well Depth: �� ft.
Well Diameter: a in,
pH oo400:(p,7�j units Temp. 000l0. �, °C DRY at
CO
Depth to Water Level 82546: ft. below measuring point Screened Interval: ft
to
ft Spec. Cond. 0009a: p�4 (p µMhos time of
o
Measuring Point is a, 3 ft above land surface
Relative M.P. Elevation:
ft.
sampling,
Odor 000ss N� check
Volume of water pumped/bailed before sampling:
gallons
Appearance C, Elar here:❑
Samples for metals were collected unfiltered: YES
❑ NO and field acidified: ❑ YES
NO
LABORATORY INFORMATION
Date sample analyzed: 1 O Za - t(o ZO
L
Laboratory Name: Met-,+-e
eh T-nc, - Certification No. I (as
N
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
�
COD 0o33s mg/L
Nitrite (NO2) as N oo61s a. mg/L
Pb - Lead o1o51 ug/L
Cl)
rn
Coliform MF Fecal 31616 , C �� /100ml-
Nitrate (NO3) as N 00620 a , (p a
mg/L
Zn - Zinc o1o92 mg/L
Coliform: MF Total 31504 /100ml-
Phosphorus: Total as P oo665 Q , UD0 mg/L
(Note : Us. MPN m•th«f for Mghy turbid senpNs)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
a?
issoived Solids:Totai 70300 44I mg/L
Al - Aluminum olios
mg/L
o
�
H
p (Lab) 00403 (p, 23 units
Ba -Barium 01007
ug/L
TOC oo6so f CPS) mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 3g 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 oto4s
ug/L
(Specify test and method S. ATTACH LAB REPORT.)
Sulfate oow mg/L
Hg - Mercury 71goo
ug/L
Lab Report Attached? (K Yes (1) ❑ No (0)
Specific Conductance 000gs µMhos
K - Potassium o0937
mg/L
VOC 7873 method #
Total Ammonia o0610 4 mg/L
Mg - Magnesium 00927
mg/L
method #
(Arman• Nitrogen; W, as N: Arrrran a Nitrogrn, Total)
Mn -Manganese oloss
ug/L
,method #
TKN as N 00625 mg/L
Ni - Nickel 01067
ug/L
method #
For ewa lation Systems Only (Attach Lab Reports):
Influent Total VOCs: mg/L
Effluent Total VOCs: mg/L VOC Removal%
Perm`—r Authorized Agent) Name and TAIe - Please print or type
GW-59 Rev.3-1-2016
1.81Z0
(Date)

(Subndi one each monilaring period with (n -59 forms.)
Enter date monitoring results were due. ED Will this monitoring report (GW-59 and GW-59A) YES
be submitted after the established due date?
2 Was any required information missing on the GW-59 report forms?
IF the answer to question 1 or I. is "YES° list in the space provided below the YES
explain the problems encountered in obtaining the required information. well identification number(s) and
3 Are any of the monitor wells in need of repair or maintenance (damaged casing, unlocked or missing cap, missing YES
identification plate, area overgrown, etc.)? If the answer is "Yes", contact the Regional Ofce foridance.
gu
4 Are any monitored constituents equal to or above the established standards?
If the answer to question 4 is "NO" skip to section 8. YES
K the answer to question 4 is "YES" list the aR'ected wells individually with constituents) and concentration s
exceeding standards in the space provided below.
()
5 For the constituents identified in question 4 aboveh , ave standexceeded
ards been expreviously for the
same constituent(s) in the same well(s) in the last two years?
If the answer to question 5 is "NO" skip to section 8.
t the answer to quesL'on 5 is "YES", list in the space provided below, each well with constituent(s) exceeding
standards, concentration(s) reported, and sample collection date for each occurrence (for the last two years).
G
7
Are the monitoring wells listed in
at or beyond the review .,-Ul luary r
If the answer is "YES", a groundwater quality problem may be occurring. CONTACT THE REGIONAI
OFFICE IMMEDIATELY FOR GUIDANCE. If the answer is "NO", monitong wells maybe improperly
located, contact the Regional Ofce. ri
YES I NO
YES I NO
this YES NO
If the answer to question 7 is "YES" describe those actions in the space provided below.
If the answer to question 7 is "NO'; contact the R tonal Office�ein�
re urred etermin a im act thean evaluation ma be
boundaries urro ndin is facili Failures o do so mae sureview an com liance roes. and/or Dena/ties ittee to a Nns:..e ,.z
Is the permittee implementing previously approved actions r
groundwater quality problem? squired by the
$ The person completing this portion 1'i - 9A) osign below and submit this
f the monitoring report should
form with GW-59 forms for required wells to the address provided at the top of the current GW-59 form.
r7 UTMMVK1WAVft----
-�:� 0-�,
Signature of Permlttee (or Authorized Agent
3 I ra ►z-0
Date

Meritech, Inc.
Environmental Laboratory
Laboratory Certification No.165
Client: Apex Companies LLC
10610 Metromont Pwky, Suite 206
Charlotte, NC 28269
Report Date: 3/18/2020NPDES #: WQ00002838
Project: MW
Date Sample Rcvd: 3/10/2020
Meritech Work Order # 031020107
Sample: MW 2 Grab
3/10/20
Parameters
Results
Analy-gs Date
Reporting Limit
Method
Total Dissolved Solids
441 mg/L
3/12/20
10.0 mg/L
SM 2540C
Chloride, total
138 mg/L
3/16/20
0.2 mg/L
SM 4500 Cl B
Ammonia, Nitrogen
<0.1 mg/L
3/13/20
0.1 mg/L
EPA 350.1
Nitrate, Nitrogen
2.62 mg/L
3/11/20
0.10 mg/L
EPA 353.2
Phosphorus, total
0.060 mg/L
3/13/20
0.020 mg/L
EPA 200.7
Fecal Coliform
<1 col/100 ml
3/10/20
1 col/100 ml
SM 9222 D
TOC
1.64 mg/L
3/13/20
1.0 mg/L
SM 5310C
PH
6.3 S.U.
3/12/20
1.0 - 14.0 S.U.
SM 4500-HB
E
I hereby certify that I have reviewed and approve these data.
Labo story Representative
642 Tamco Road, Reidsville, North Carolina 27320
tel.[phone] fax.[phone]

MERITECH, INC.
Environmental Laboratories
-A
Laboratory Certification #165
Client:
Apex Companies LLC Meritech ID#:
03102096
Project:
Deerhurst MHC Analysis:
03/16/20
Client Sample ID:
Monitoring Well 2 Analyst:
VWV
Sample Collection:
03/10/20 Dilution Factor:
1
Report Date:
03/20/20
SW-846-8260D VOLATILE ORGANICS - Water
Acetone
Benzene
Bromobenzene
Bromodichloromethane
Bromochloromethane
Bromoform
Bromomethane
2-Butanone (MEK)
n-Butylbenzene
sec-Butylbenzene
tert-Butylbenzene
Carbon Tetrachloride
Chlorobenzene
Chloroethane
Chloroform
Chloromethane
2-Chlorotoluene
4-Chlorotoluene
Dibromochloromethane
1,2-Dibromo-3-chloropropane
1,2-Dibromoethane (EDB)
Dibromomethane
Dichlorodifluoromethane
1, 1 -Dichloroethane
1,2-Dichloroethane
1,4-Dichlorobenzene
1,2-Dichlorobenzene
1,3-Dichlorobenzene
I,1-Dichloroethene
cis-1,2-Dichloroethene
trans-1,2-Dichloroethene
1,2-Dichloropropane
1,3-Dichloropropane
2,2-Dichloropropane
1, 1 -Dichloropropene
1,2-Dichloropropene
< 5.00 ug/L
< 0.500 ug/L
< 0.500 ug/L
< 0.500 ug/L
< 0.500 ug/L
< 0.500 ug/L
< 0.500 ug/L
< 5.00 ug/L
< 0.500 ug/L
< 0.500 ug/L
< 0.500 ug/L
< 0.500 ug/L
< 0.500 ug/L
< 0.500 ug/L
0.960 ug/L
< 0.500 ug/L
< 0.500 ug/L
< 0.500 ug/L
< 0.500 ug/L
< 0.500 ug/L
< 0.500 ug/L
< 0.500 ug/L
< 0.500 ug/L
< 0.500 ug/L
< 0.500 ug/L
< 0.500 ug/L
< 0.500 ug/L
< 0.500 ug/L
< 0.500 ug/L
< 0.500 ug/L
< 0.500 ug/L
< 0.500 ug/L
< 0.500 ug/L
< 0.500 ug/L
< 0.500 ug/L
< 0.500 ug/L
cis-1,3-Dichloropropene
trans-1,3-Dichloropropene
Ethanol
Ethyl benzene
Hexachlorobutadiene
2-Hexanone
Isopropylbenzene
p-Isopropyltoluene
Methylene chloride
Methly Isobutyl Ketone (MIBK)
Naphthalene
n-Propylbenzene
Styrene
1, 1, 1,2-Tetrachloroethane
1,1,2,2-Tetrachloroethane
Tetrachloroethene (PCE)
Toluene
1, 1, 1 -Trichloroethane
1,1,2-Trichloroethane
Trichloroethene (TCE)
1,2,3-Trichlorobenzene
1,2,4-Trichlorobenzene
1,2,3-Trichloropropane
Trichlorofluoromethane
1,2,4-Trimethylbenzene
1,3,5-Trimethylbenzene
Vinyl acetate
Vinyl chloride
m/p-Xylenes
o-Xylene
Additional Compounds
Methyl-tert-butyl ether (MTBE)
Isopropyl ether (IPE)
I hereby certify that I have reviewed and approve these data.
< 0.500 ug/L
< 0.500 ug/L
< 50.0 ug/L
< 0.500 ug/L
< 0.500 ug/L
< 1.00 ug/L
< 0.500 ug/L
< 0.500 ug/L
< 0.500 ug/L
< 0.500 ug/L
< 0.500 ug/L
< 0.500 ug/L
< 0.500 ug/L
< 0.500 ug/L
< 0.500 ug/L
< 0.500 ug/L
< 0.500 ug/L
< 0.500 ug/L
< 0.500 ug/L
< 0.500 ug/L
< 0.500 ug/L
< 0.500 ug/L
< 0.500 ug/L
< 0.500 ug/L
< 0.500 ug/L
< 0.500 ug/L
< 1.00 ug/L
< 0.500 ug/L
< 1.00 ug/L
< 0.500 ug/L
< 0.500 ug/L
642 Tamco Road * Reidsville, NC 27320
[phone] Ph * [e-mail]

SUBMIT FORM ON YELLOW PAPER ONLY
o
`
GROUNDWATER QUALITY MONITORING:
•
``'�M" R�.F�RotrwF�[Vi�gt(si''Drv''Y�TES'*q .
n �`~ r R r: ��; ''{NF �'f5','s `,
COMPLIANCE REPORT FORM
• •
�w?ts'' c
o
a
FACILITY INFORMATION Please Prnnt Cleary or Type
;Facility Name: + � r
PE I u E�IratiOn Date: 31 ZOZa
(-h M t
Permit Name (if different): f ,1��+ \gab. IC' �i
QGrk
ct UIC
NPDES Other
c
Facility Address 112 Pt�,.le'E R�
TYPE OF PERMITTED OPERATION BEING MONITORED
County i� A K
❑ Lagoon ❑ Remediation: Infiltration Gallery
v
® Spray Field ❑ Remediabon:
00
Contact Person:
Telephone#: 101-(�1�-1 �(O
El Rotary Distributor ❑Land Application of Sludge
o
Well LocaGon/Site Name:�et'rh�1r�4 C n }jC,
No. of wells to be sampled:_
❑ Water Source Heat Pump ❑ Other:
f�
/rom Permit)
o
AMPLING INFORMATION
if WELL
c=
ELL ID NUMBER (from Permit):MWA4_
Date sample collected: ` 1 O 12�
FIELD ANALYSES: WAS
r`
eil Dethe 3� ft
P
t
Well Diameter: o� in.
DRY at
pH o0400. 5 units Temp.000io: � 1- S°CIb
pth to Water Level s2srs _�C ft. below measuring point
Screened Interval: ft to fL
Spec. Cond. 000ga ) (p`� µMhos time of
asuring Point is l , ft above land surface
Relative M.P. Elevation: ft.
sampling,
Odor 000as check
Volume of water pumped bailed before sampling: _gallons
Sam les for metals ®
Appearancey'2r' � m L� here:
were collected unfiltered: YES ❑ NO
i 1 ARARATADV IAIFADUATInu
and field acidified: ❑ YES NO
Date sample analyzed: .31 t O IZO - I I1p I
Laboratory Name:
:��
Certification No.
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L
Nitrite (NO2) as N oo61s f7 ,g'� mg/L
Pb - Lead oiosl ug/L
Coliform MF Fecal31s1s �an CO l /100mL
Nitrate (NO3) as N o0i2o
mg/L
Zn -Zinc 01092 mg/L
n Coliform: MF Total 31504 /100mL
Phosphorus: Total as P oo66s 0. 1) L mg/L
(Not. Use MPN maMod ro hyt y e rota as rpt.a)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units).
issolved Solids:Total 70300 0 mg/L
At - Aluminum of im
mg/L
_ pH (lab) ooaos Cj , units
Ba -Barium 01007
ug/L
TOC oosao 4 ,y0 mg/L
Ca - Calcium 00916
mg/L
Chloride oog4o St,.S mg/L
Cd - Cadmium oioz7
ug/L
Arsenic 01002 ug/L
Chromium: Total olo34
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 =45
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate oog4s mg/L
Hg - Mercury 71900
ug/L
Lab Report Attached? (,Z Yes (1) ❑ No (0)
pecific Conductance 00095 µMhos
K - Potassium 00937
mg/L
VOC 7A73 method #
Total Ammonia omio Q . j mg/L
Mg - Magnesium 00927
mg/L
method #
(Artmorwo Nitrogen, NH, as N; Amrnortra Nitrogen, T°W)
Mn -Manganese oloss
ug/L
,method #
TKN as N 00e25 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%
GW-59
Rev. 3-1-2016

(.Submit —one each monitoring period with GN'-.59 furnrs.)
Enter date monitoring results were due.
be submitted after the established due date?1111
Will this monitoring report (GW-59 and GW-59A) YES
2 Was any required information missing on the GW-59 report forms?
IF the answer to questio 1 or 2 is 'YES", list in the YES
tathe space provided below the well identifica
explain the problems encountered in obinin numrs) and
9 required information. tion be
3 Are any of the monitor wells in need of repair or maintenance (damaged casing, unlocked or missing ca
identification plate, area overgrown, etc.)? If the answer is "Yes contact the Regional Office for guidance.
p, missing YES
4 Are any monitored constituents equal to or above the established standards?
If the answer to question 4 is •NO , skip to section 8. YES
If the answer to question 4 is "YES" list the affected wells individually with constituent(s) and con
exceeding standards in the space provided below.
centratio(s)
$ For the constituents identified in question 4 above, have standards
same constituent(s) in the same well(s) in the last two years? 3,een exceeded Previously for the YES
If the answer to question 5 is •If Nquestion 5 is O" skip to section 8.
"YES
stant arils, concentration(s)er repo reported, a'nd sample , list in the ale ce provided below, each well with constituen coon date ding
for each occurrence (for the last two years).
6 Are the monitoring wells listed in section 5 located at or beyond the review boundary?
If the answer is "YES", YES
OFFICE IMMEDIATELY OR GUIDANCEuff the answer is ality Problem ma
p occurrin g
located; contact the Regional Office, 9• CONTACT THE REGIONAL
monitoring wells maybe improperly
7
g
Is the Perrnittee implementing previously approved actions r
groundwater quality problem? squired by the Division involving this
If the answer to questio 7 is "YES" describe those actions in the space provided below.
If the answer to question 7 is "NO", contact the R ions) Office within 90 da
re ut de rmin a im act
boundaries surroundin.. rti w di 1 stem is havinc at thA ee evaluation ma be
s- is facility csn..� ._
otin If this
formm with
t/r G W- 9pforms for reeq� on ( ell 59lls o t °e �� monitoring report should sign below and Tess Provided at the b submit this
P p of the current G W-59 form.
me
NO
YES I NO

Meritech, Inc.
Environmental Laboratory
Laboratory Certification No.165
Report Date: 3/18/2020
Client: Apex Companies LLC NPDES #: WQ00002838
10610 Metromont Pwky, Suite 206 Project: MW
Charlotte, NC 28269 Date Sample Rcvd: 3/10/2020
Meritech Work Order # 031020108 Sample: MW 3 Grab
Parameters Besults Analysis Date
Reporting Limit
3/10/20
Total Dissolved Solids
200 mg/L
3/12/20
10.0 mg/L
Method
SM 2540C
Chloride, total
56.5 mg/L
3/16/20
0.2 mg/L
SM 4500 Cl B
Ammonia, Nitrogen
<0.1 mg/L
3/13/20
0.1 mg/L
EPA 350.1
Nitrate, Nitrogen
0.87 mg/L
3/11/20
0.10 mg/L
EPA 353.2
Phosphorus, total
0.112 mg/L
3/13/20
0.020 mg/L
EPA 200.7
Fecal Coliform
<2 col/100 ml
3/10/20
2 col/100 ml
SM 9222 D
TOC
4.40 mg/L
3/13/20
1.0 mg/L
SM 5310C
pH
5.8 S.U.
3/12/20
1.0 -14.0 S.U.
SM 4500-HB
I hereby certify that I have reviewed and approve these data.
La ratory Repr entative
642 Tamco Road, Reidsville, North Carolina 27320
tel.[phone] fax.[phone]

MERITECH, INC.
Environmental Laboratories
Laboratory Certification #165
Client:
Apex Companies
LLC Meritech ID#:
03102097
Project:
Deerhurst MHC
Analysis:
03/16/20
Client Sample ID:
Monitoring Well
3 Analyst:
VWV
Sample Collection:
03/10/20
Dilution Factor:
1
Report Date:
03/20/20
SW-846-8260D VOLATILE ORGANICS - Water
Acetone
< 5.00 ug/L
cis-1,3-Dichloropropene
< 0.500 ug/L
Benzene
< 0.500 ug/L
trans-1,3-Dichloropropene
< 0.500 ug/L
Bromobenzene
< 0.500 ug/L
Ethanol
< 50.0 ug/L
Bromodichloromethane
1.65 ug/L
Ethyl benzene
< 0.500 ug/L
Bromochloromethane
< 0.500 ug/L
Hexachlorobutadiene
< 0.500 ug/L
Bromoform
< 0.500 ug/L
2-Hexanone
< 1.00 ug/L
Bromomethane
< 0.500 ug/L
Isopropylbenzene
< 0.500 ug/L
2-Butanone (MEK)
< 5.00 ug/L
p-Isopropyltoluene
< 0.500 ug/L
n-Butylbenzene
< 0.500 ug/L
Methylene chloride
< 0.500 ug/L
sec-Butylbenzene
< 0.500 ug/L
Methyy Isobutyl Ketone (MIBK)
< 0.500 ug/L
tert-Butylbenzene
< 0.500 ug/L
Naphthalene
< 0.500 ug/L
Carbon Tetrachloride
< 0.500 ug/L
n-Propylbenzene
< 0.500 ug/L
Chlorobenzene
< 0.500 ug/L
Styrene
< 0.500 ug/L
Chloroethane
< 0.500 ug/L
1, 1, 1,2-Tetrachloroethane
< 0.500 ug/L
Chloroform
2.55 ug/L
1,1,2,2-Tetrachloroethane
<0.500 ug/L
Chloromethane
< 0.500 ug/L
Tetrachloroethene (PCE)
< 0.500 ug/L
2-Chlorotoluene
< 0.500 ug/L
Toluene
< 0.500 ug/L
4-Chlorotoluene
<0.500 ug/L
1,1,1-Trichloroethane
<0.500 ug/L
Dibromochloromethane
1.29 ug/L
1,1,2-Trichloroethane
<0.500 ug/L
1,2-Dibromo-3-chloropropane
< 0.500 ug/L
Trichloroethene (TCE)
< 0.500 ug/L
1,2-Dibromoethane (EDB)
< 0.500 ug/L
1,2,3-Trichlorobenzene
< 0.500 ug/L
Dibromomethane
< 0.500 ug/L
1,2,4-Trichlorobenzene
< 0.500 ug/L
Dichlorodifluoromethane
< 0.500 ug/L
1,2,3-Trichloropropane
< 0.500 ug/L
1, 1 -Dichloroethane
< 0.500 ug/L
Trichlorofluoromethane
< 0.500 ug/L
1,2-Dichloroethane
< 0.500 ug/L
1,2,4-Trimethylbenzene
< 0.500 ug/L
1,4-Dichlorobenzene
< 0.500 ug/L
1,3,5-Trimethylbenzene
< 0.500 ug/L
1,2-Dichlorobenzene
< 0.500 ug/L
Vinyl acetate
< 1.00 ug/L
1,3-Dichlorobenzene
< 0.500 ug/L
Vinyl chloride
< 0.500 ug/L
1, 1 -Dichloroethene
< 0.500 ug/L
m/p-Xylenes
< 1.00 ug/L
cis-1,2-Dichloroethene
< 0.500 ug/L
o-Xylene
< 0.500 ug/L
trans-1,2-Dichloroethene
< 0.500 ug/L
1,2-Dichloropropane
< 0.500 ug/L
Additional Compounds
1,3-Dichloropropane
< 0.500 ug/L
Methyl-tert-butyl ether (MTBE)
< 0.500 ug/L
2,2-Dichloropropane
< 0.500 ug/L
Isopropyl ether (IPE)
< 0.500 ug/L
1,1-Dichloropropene
< 0.500 ug/L
1,2-Dichloropropene
< 0.500 ug/L
I hereby certify that I have reviewed and approve these data.
Lab4atory Re ntative
642 Tamco Road " Reidsville, NC 27320
[phone] Ph * [e-mail]

SUBMIT FORM ON YELLOW PAPER ONLY
0
0
CZ)
0
a
UNDWATER QUALITY MONITORING:
PLIANCE REPORT FORM
or
Facility Name: er m r(-
Permit Name (if different): �k jr hur5t
Facility Address (0 t(D 13 r , Uft `� W
a County U_)GL 'Ke
i
Contact Person: ,rave— Telephone#:()
Well LocatioNSite Name: Deec� hur-nf m V G No. of wells to be sampled:_
i (from PWTW)
�SAMPLING INFORMATION
WELL ID NUMBER (from Permit): l"r 1 Date sample collected: �� 10120
Well Depth: 0�(0 ft. Well Diameter, in.
Depth to Water Level 82546:_ft. below measuring point Screened interval: ft to _ ft.
Measuring Point is a. 4 ft above land surface Relative M.P. Elevation: ft.
Volume of water pumped/bailed before sampling: �_ gallons
Sam les for metals were collected unfiftered: ❑ YES ❑ NO and field acidified: ❑ YES [I NO
r eannV gv Intcnguerrnu
Date sample analyzed: 31 \oIZO - 6 1 tb 120
PARAMETERS NOTE: Values should reflect dissolve
D COD 00335
mg/L
Coliform: MF Fecal 31616 ') d /100mL
n
Coliform: MF Total 315o4
/100ml-
(Note: use MPN method for h(g* turbid samples)
? issolved Solids:Total 70300 1Q
mg/L
pH (Lab) oo4o3
units
TOC oo6so 1 . Oa
mg/L
Chloride 00940�1 -CS
mg/L
Arsenic 01002
ug/L
Grease and Oils 00552
mg/L
Phenol 32730
ug/L
Sulfate oo94.5
mg/L
pecific Conductance o0095
µMhos
Total Ammonia o0610 L
mg/L
(Amnorue Nilrogen, NH, as N. Anrwrm Nitrogen, Total)
TKN as N 00625
mg/L
'�E�R�Itt11T umber: �g Expiration Date:
bn-Discal` UIC
PDES Other
'(PE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
® Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
If WELL
FIELD ANALYSES: WAS
pH oo4005.'73 units Temp. 000lo: 1-1• (o °C DRY at
Spec. Cord. 00094o`Zg0 µMhos time ofsampling,
Odor 000a5 T1pnr� check
Appearance Verb C \ecor here:
_ Laboratory Name: 1'Yl t'c-, iL Ch �nL.
and colloidal concentrations.
Nitrite (NO2) as N oo61s , I C) mg/L Pb - Lead o1o51
Nitrate (NO,) as N 00620 mg/L Zn -Zinc o1o92
Phosphorus: Total as P 00665 () -U mg/L
Certification No. I (.Pi6'
ug/L
mg/L
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
Al - Aluminum o11o5
mg/L
Ba - Barium 01007
ug/L
Ca - Calcium 00916
mg/L
Cd - Cadmium oiov
ug/L
Chromium: Total 01034
ug/L
Cu - Copper 01042
mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Fe - Iron oloas
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Hg - Mercury 71900
ug/L
Lab Report Attached? 9 Yes (1) ❑ No (0)
K - Potassium 00937
mg/L
VOC 7873 , method #
Mg - Magnesium 00927
mg/L
Mn - Manganese oloss
ug/L
Ni - Nickel 01067
ug/L
method #
method #
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
GW-59 Rev.3.1-2016

(Suhntil nuc enclr nionilaring period with G11'.Sy forms.)
j Enter date monitoring results were due. 1 2
be submitted after the established due date? W'll this monitoring report (GW-59 and GW-59A) YES
2 Was any required information missing on the GW-59 report forms?
IF the answer to question 1 or 2 is "YES" list in the space YES
explain the problems encountered in obtaining the required information91 OW the well identification number(s) and
3 Are any of the monitor wells in need of repair or maintenance (damaged casing, unlocked or
identification plate, area overgrown, etc.)? Ifthe answer is "l"es contact Missing cap, missing
q Are any monitored constituents equal tthe Regional Office for guidance.
o or above the established standards?
If the answer to question 4 is "NO" skip to section 8.
If the answer to question 4 is "YES" list the affected wells individually with constituent(s) and con
exceeding standards in the space provided below:
concentration(s)
5 For the constituents identified in question 4 above, have standards been exceeded rev'
same constituent(s) in the same well(s) in the last two years? P iously for the
If the answer to question 5 is "NO" skip to section 8.
t the answer to question 5 is "YES", lisf in the space provided below, each well with constituent(s)
standards, concentration(s) reported, and sample collection date for each occurrence (for the last
exceeding
two years).
6 Are the monitoring wells listed in section 5 located at or beyond the review boundary?
If the answer is "YES',
OFFICE IMMEDIATELY FOR GUIDANCEuIf the answer is maybe
located; contact the Regional UIDce. y be occurring. CONTACT THE REG/ONAI
monitoring wells may be improperly
7 Is the permitwee implementing previously approved actions required b q y the Division involving this
groundwater quality problem?
If the answer to question 7 is "YES" describe those actions in the space
K the answer to question 7 is "NO" contact the R ional Office within 90 da s an evaluation
re uired to determine the im act thew p pro
If below.
boundaries urroundin to dis osaI s stem is havin at the review and com / ancee
fines. and/or pe�eS ors facili Fatlure o do so ma sub'ect the ner�,;r►m .., _ .. _ ..
8 The person completing this portion (G W-59A) of the monitoring report should sign below
form with G W_59 forms for required wells to the address Provided at the top and submit this
' p of the current G W-59 form.
Sianatn .�.—
•- %-,-umonzed Agent)
�9)2->
Date
YES
YES
YES NO
YES I NO
YES I NO

Meritech, Inc.
Environmental Laboratory
Laboratory Certification No.165
Report Date: 3/18/2020
Client: Apex Companies LLC NPDES #: WQ00002838
10610 Metromont Pwky, Suite 206 Project: MW
Charlotte, NC 28269 Date Sample Rcvd: 3/10/2020
Meritech Work Order # 031020109 Sample: MW 4 Grab
3/10/20
Parameters
Results
Ana y-gs Date
Reporting Limit
Method
Total Dissolved Solids
191 mg/L
3/12/20
10.0 mg/L
SM 2540C
Chloride, total
27.5 mg/L
3/16/20
0.2 mg/L
SM 4500 Cl B
Ammonia, Nitrogen
<0.1 mg/L
3/13/20
0.1 mg/L
EPA 350.1
Nitrate, Nitrogen
<0.10 mg/L
3/11/20
0.10 mg/L
EPA 353.2
Phosphorus, total
0.069 mg/L
3/13/20
0.020 mg/L
EPA 200.7
Fecal Coliform
<1 col/100 ml
3/10/20
1 col/100 ml
SM 9222 D
TOC
1.02 mg/L
3/13/20
1.0 mg/L
SM 5310C
pH
5.9 S.U.
3/12/20
1.0 -14.0 S.U.
SM 4500-HB
I hereby certify that I have reviewed and approve these data. "�7)'
Laboratory Representative
642 Tamco Road, Reidsville, North Carolina 27320
tel.[phone] fax.[phone]

MERITECH, INC.
Environmental Laboratories
•
Laboratory Certification #165
Client:
Apex Companies LLC Meritech ID#:
03102098
Project:
Deerhurst MHC
Analysis:
03/17/20
Client Sample ID:
Monitoring Well
4 Analyst:
VAN
Sample Collection:
03/10/20
Dilution Factor:
1
Report Date:
03/20/20
SW-846-8260D VOLATILE ORGANICS - Water
Acetone
< 5.00 ug/L
cis-1,3-Dichloropropene
< 0.500 ug/L
Benzene
< 0.500 ug/L
trans-1,3-Dichloropropene
< 0.500 ug/L
Bromobenzene
< 0.500 ug/L
Ethanol
< 50.0 ug/L
Bromodichloromethane
< 0.500 ug/L
Ethyl benzene
< 0.500 ug/L
Bromochloromethane
< 0.500 ug/L
Hexachlorobutadiene
< 0.500 ug/L
Broinoform
< 0.500 ug/L
2-Hexanone
< 1.00 ug/L
Bromomethane
< 0.500 ug/L
Isopropylbenzene
< 0.500 ug/L
2-Butanone (MEK)
< 5.00 ug/L
p-Isopropyltoluene
< 0.500 ug/L
n-Butylbenzene
< 0.500 ug/L
Methylene chloride
< 0.500 ug/L
sec-Butylbenzene
< 0.500 ug/L
Methly Isobutyl Ketone (MIBK)
< 0.500 ug/L
tert-Butylbenzene
< 0.500 ug/L
Naphthalene
< 0.500 ug/L
Carbon Tetrachloride
< 0.500 ug/L
n-Propylbenzene
< 0.500 ug/L
Chlorobenzene
< 0.500 ug/L
Styrene
< 0.500 ug/L
Chloroethane
<0.500 ug/L
1, 1, 1,2-Tetrachloroethane
<0.500 ug/L
Chloroform
< 0.500 ug/L
1,1,2,2-Tetrachloroethane
< 0.500 ug/L
Chloromethane
< 0.500 ug/L
Tetrachloroethee (PCE)
< 0.500 ug/L
2-Chlorotoluene
< 0.500 ug/L
Toluene
< 0.500 ug/L
4-Chlorotoluene
< 0.500 ug/L
1, 1, 1 -Trichloroethane
< 0.500 ug/L
Dibromochloromethane
< 0.500 ug/L
1,1,2-Trichloroethane
< 0.500 ug/L
1,2-Dibromo-3-chloropropane
< 0.500 ug/L
Trichloroethene (TCE)
< 0.500 ug/L
1,2-Dibromoethane (EDB)
< 0.500 ug/L
1,2,3-Trichlorobenzene
< 0.500 ug/L
Dibromomethane
< 0.500 ug/L
1,2,4-Trichlorobenzene
< 0.500 ug/L
Dichlorodifluoromethane
< 0.500 ug/L
1,2,3-Trichloropropane
< 0.500 ug/L
1,1-Dichloroethane
< 0.500 ug/L
Trichlorofluoromethane
< 0.500 ug/L
1,2-Dichloroethane
< 0.500 ug/L
1,2,4-Trimethylbenzene
< 0.500 ug/L
1,4-Dichlorobenzene
< 0.500 ug/L
1,3,5-Trimethylbenzene
< 0.500 ug/L
1,2-Dichlorobenzene
< 0.500 ug/L
Vinyl acetate
< 1.00 ug/L
1,3-Dichlorobenzene
< 0.500 ug/L
Vinyl chloride
< 0.500 ug/L
1, 1 -Dichloroethene
< 0.500 ug/L
m/p-Xylenes
< 1.00 ug/L
cis-1,2-Dichloroethene
< 0.500 ug/L
o-Xylene
< 0.500 ug/L
trans-1,2-Dichloroethene
< 0.500 ug/L
1,2-Dichloropropane
< 0.500 ug/L
Additional Compounds
1,3-Dichloropropane
< 0.500 ug/L
Methyl-tert-butyl ether (MTBE)
< 0.500 ug/L
2,2-Dichloropropane
< 0.500 ug/L
Isopropyl ether (IPE)
< 0.500 ug/L
1, 1 -Dichloropropene
< 0.500 ug/L
1,2-Dichloropropene
< 0.500 ug/L
I hereby certify that I have reviewed and approve these data.
La rato Repres ntative
.642 Tamco Road * Reidsville, NC 27320
[phone] Ph * [e-mail]