WQ0009826_Monitoring - 08-2021_20210924 (2)

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DWR - NonDischarge Monitoring Report Submittal •4 ..
NORTH CAROLINA
Enrlranmenlel QHaffly
Monitoring Report Submittal
..............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
Permit Number#* WQ0009826
Name of Facility:* Wayne Farms LLC
Month:* August Year:* 2021
Report Information
Type* Upload Document*
GW-59 Elkin NC Hatchery-2021 08 1.47MB
MW.pdf
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1,NDAR-2,NDMLR,GW-59).
Confirmation Email Address:* [e-mail]
Name of Submitter:* Jeremy E Bowlin
Signature:
w 5 3a
Date of submittal: 9/24/2021
This will be filled in automatically
Initial Review
...................
Reviewer: Mokashi, Poorva

Is the project number correct?* WQ0009826
Is the monitoring report accepted?* Yes No
Regional Office* Winston-Salem
Accepted Date: 10/15/2021

SUBMIT FORM ON YELLOW PAPER ONLY
Mail original RESOURCESDEPARTMENTOF ENVIRONMENTAL QUALITY-DMV.O€WATER
GROUNDWATER QUALITY MONITORING: INFORMATION PROCESSING UNF
and 1,cofyto:
=
COMPLIANCE REPORT FORM 1617 MAIL SERVICE CENTER,RALEIGH,NC27699-1017
FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date: 43012024
Facility Name: Wayne Farms LLC Non-Discharge WQ0009826 UIC
Permit Name(if different): NPDES Other
Facility Address: 10901 Hwy 268 TYPE OF PERMITTED OPERATION BEING MONITORED
Elkin """' NC 28621 County
_ Surry ❑ Lagoon ❑Remediation:Infiltration Gallery
© Spray Field El Remediation:
Contact Person: Jeremy Bowlin Telephone#: [phone] ❑ Rotary Distributor ❑Land Application of Sludge
Well Location/Site Name:Spray field No.of wells to be sampled: 1 ❑ Water Source Heat Pump ❑Other:
(from PErrr t)
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): MWS Date sample collected:8/26/2021 FIELD ANALYSES: WAS
Well Depth: 66.8 ft. Well Diameter: 2 in. pH 00400:7.30 units Temp.min: 1 6 °C DRY at
Depth to Water Level 82546:13.2 ft.below measuring point Screened Interval: 35 ft. to 65 ft. Spec.Cond.00094. µMhos time of
sampling,
Measuring Point is 4 ft,above land surface Relative M.P.Elevation: ft. Odor oosss. none _ check
Volume of water pumped/bailed before sampling: 24 gallons Appearance clear here:Li
Samples for metals were collected unfiltered: 0 YES El NO and field acidified: ®YES ❑NO
LABORATORY INFORMATION
Date sample analyzed:8/2 612 0 2 1 Laboratory Name: Meritec Certification No. 165
PARAMETERS NOTE:Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/ Nitrite(NO2)as N oasts mg/L Pb-Lead most ug/L
Coliform:MF Fecal 31616 2 /100mL Nitrate(NO3)as N 00620 mg/L Zn-Zinc ota92 mgfL
Coliform:MF Total 31504 1100mL Phosphorus:Total as P 00665 mg/L
;No.e_ Use t-APN,method t°'r.i3r?rr turi3 samples) Orthophosphate 70507 mg/L Other(Specify Compounds and Concentration Units):
)issolved Solids:Total 70300 mg/L Al-Aluminum altos mg/L
pH(Lab)00403 units Ba-Barium 01007 ug/L
TOC oasao mg/L Ca-Calcium 00916 mg/L
Chloride oos40 mg/L Cd=Cadmium 01027 ug/L
Arsenic 01002 uglL Chromium:Total 01034 uglL
Grease and Oils 00552 mg/L Cu-Copper 01042 mg/L ORGANICS:(by GC,GC/MS,HPLC)
Phenol 32730 ug/L Fe-Iron 01045 uglL (Specify test and method#.ATTACH LAB REPORT.)
Sulfate 00945 mg/ Hg-Mercury 71900 ug/L Lab Report Attached? ❑ Yes(1) LI No(0)
Specific Conductance 00095 ttMhos K-Potassium 00937 mg/L VOC 7873 ,method#
Total Ammonia 00610 mg/L Mg-Magnesium 00927 mgfL ,method#
(Arrnu°nta N trogen;NH,es N:Am' n€a Nitrosgen,Total) --
Mn-Manganese o1055 ug/L ,method#
TKN as N 00625 mg/L Ni-Nickel 01057 ug/L ,method#
For Remediation Systems Only(Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg1L VOC Removal%
ce t,to the beowl f_ a -(-Certify f that twat knew/edge-edge-and hell .the information n st=thm Reih this-r ort laltue accurate.and complete._and d al.the-tahiorato anal lea de- wn=s produced uai o rpveo meittpds off analais h Y my = �' -� P �Y Yt t f±4d �9 PF � � Y a
-c rf edlaboratory._=r a warethat_ r ign r =
SA�Ft ceif[ �n aw !h a a�srgn�f c�rL penalties for;futtin _false_tnfonnatteln.tncindIng the possibility of finot-Und im nson-inord for knowing vrola�t rJis -_ -  --=
Matthew Wooten Complex Manager — 2f
Perrr=ittee(or Authorized Agent)Name and Tale-Please pnnt or type Signature of Permittee Car Authorized Anentl (Date)
GW-59 Rev.05-07-2018

SUBMIT FORM ON YELLOW PAPER ONLY
Mail original DEPARTMENT OF ENVIRONMENTAL QUALITY=DIV.OF WATER RESOURCES
GROUNDWATER QUALITY MONITORING: z . INFORMATION PROCEsSINGGUNIT
COMPLIANCE REPORT FORM and 1`coy Iv
1617 MAIL SERVICE CE tTER,RALEIGH,NC27699:iti7
FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date: 41302024
Facility Name: Wayne Farms LLC Non-Discharge W00009826 UIC
Permit Name(if different): NPDES Other
Facility Address: 10901 Hwy 268 TYPE OF PERMITTED OPERATION BEING MONITORED
Elkin '—' ' NC 28621 County Stuffy El Lagoon El Remediation:Infiltration Gallery
® Spray Field El Remediation:
Contact Person: Jeremy Bowlin Telephone#: [phone] El Rotary Distributor El Land Application of Sludge
Well Location/Site Name:Spray field No.of wells to be sampled: 1 ❑ Water Source Heat Pump El Other:
(tram Parr_rt _ _SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): MW5 Date sample collected:8/26/2021 FIELD ANALYSES: WAS
Well Depth: 44 ft. Well Diameter: 2 in. pH 00400:6.0 units Temp.coal): 14.8 cc DRY at
Depth to Water Level 82546:27 ft.below measuring44 ft. Spec.Cond.00094_ itMhos time of
p point Screened Interval: 29 ft. to sampling,
Measuring Point is 4 ft_above land surface Relative M.P.Elevation: ft. Odor 000e5: none check
Volume of water pumped/bailed before sampling: 32 gallons Appearance turbid here:
Samples for metals were collected unfiltered: iii YES ❑ NO and field acidified: ❑® YES El NO
LABORATORY INFORMATION
Date sample analyzed:8126/2021 Laboratory Name: Meritec Certification No, 165
PARAMETERS NOTE:Values should reflect dissolved and colloidal concentrations.
COD 0a3a5 mglL Nitrite(NO2)as N aa61s mg/L Pb-Lead a1ost ug/L
Coliform:MF Fecal 31616<5 f1001mL Nitrate(NO3)as N 00620 mg/L Zn-Zinc 01092 mgfL
Coliform:MF Total 31504 /100mL Phosphorus:Total as P 00665 mg/L
(t e: Use MPN.method for h.yt ly to—Lid stems Ins} Orthophosphate 70507 mg/L Other(Specify Compounds and Concentration Units):
Dissolved Solids:Total 70360 mg/L Al-Aluminum o1105 mglL
pH(Lab)00403 units Ba=Barium at007 ug/L
TOG aosea mgiL Ca-Calcium 00916 mg/L
Chloride 00940 mg/L Cd-Cadmium 0ta27 ug1L
Arsenic 010e2 ug/L Chromium:Total 01034 ug1L
Grease and Oils 00552 mg/L Cu-Copper 01042 mg/L ORGANICS:(by GC,GC/MS,HPLC)
Phenol 32730 ug/L Fe-Iron niu45 ug/L (Specify test and method#.ATTACH LAB REPORT.)
Sulfate 00945 mg/L Hg-Mercury 71900 ug!L Lab Report Attached? El Yes(1) El No(0)
Specific Conductance 00095 iLMhos K-Potassium 00937 mg/L VOC 7873 ,method#
Total Ammonia aa61a mg#L Mg-Magnesium 00927 mg/L ,method# -_
rActirtmie N;troger.NH.,as N.Ammonia N:t o eo Total) Mn-Manganese 01055 ug/L ,method#
TKN as N 00625 mg/L Ni=Nickel a1o67 ug/L .method#
—
For Remediation Systems Only(Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mglL VOC Removal%
r£efts ihaL t the bast of m knowle_ a atldhelteL_the mnfnrmlt nsehmttt.- to this re 1s a accurate.and com-lete end--that tie:la6rata -ana/Cat data�was -oducedustit a- rwved[methods-of aoa(-rs b a
iy Y I s-stt Y Pr 9 IFR
DW -ce ti edla ratory. lam aware tifal-there are-sign:tit>nl ppnafties for subncil ng'tat ,t tr ru81f0u_trorled' +tie".. .lily+ fin- a d-i '.ns.i for }wing-i all.t . =_
Matthew Wooten Complex Manager ,,. - 02,4
Perrnittee(or Authorized Agent)Name and Title-Please port or type Signature of Permittee(or Authorized Agent) (Date)
GW-59 Rev.06-07-2018

SUBMIT FORM ON YELLOW PAPER ONLY
Mail original DEPARTMENT OF ENVIRONMENTAL QUALITY-DtV OF WATER RESOURCES f
GROUNDWATER QUALITY MONITORING: = INFORMATION PROCESSIN UNIT
and 1 copy,t�_
COMPLIANCE REPORT FORM _ £ _ 1617 MAIL SERVICE CENTER,RALEIGH.,NO27699-1617
FACILITY INFORMATION Please Pont Clearly or Type PERMIT Number: Expiration Date: 4130.12024
Facility Name: Wayne Farms LLC Non-Discharge WQ0009826 UIC
Permit Name(if different): NPDES Other
Facility Address: 10901 Hwy 268 TYPE OF PERMITTED OPERATION BEING MONITORED
Elkin ' NC 28621 County Surry ❑ Lagoon ❑Remediation:Infiltration Gallery
.: II Spray Field ❑Remediation:
Contact Person: Jeremy Bowlin Telephone#: [phone]B7 ❑ Rotary Distributor ❑Land Application of Sludge
Well Location/Site Name:Spray field No.of wells to be sampled: 1 ❑ Water Source Heat Pump ❑Other:
t=rom Perrrt1
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): MW4 Date sample collected:8/2612021 FIELD ANALYSES: WAS
Well Depth: 70 ft. Well Diameter: 2 in, pH 00400:6,42 units Temp.00010: 14.5 °c DRY at
Depth to Water Level 82545:31.8 ft.below measuring point Screened Interval: 55 ft. to 70 ft. Spec.Cond.00094: jMhos time of
sampling,
Measuring Point is 4 ft.above land surface Relative M.P.Elevation: ft. Odor 00085: none check
Volume of water pumped/bailed before sampling: 30 gallons Appearance a little turbid here:11
Samples for metals were collected unfiltered: RYES ❑ NO and field acidified: I I YES ❑NO
LABORATORY INFORMATION
Date sample analyzed:8/26/2021 Laboratory Name: Meritec Certification No. 165
PARAMETERS NOTE:Values should reflect dissolved and colloidal concentrations.
COD 00335 mglL Nitrite(NO2)as N o0615 mg/L Pb-Lead most ug/L
Coliform:MF Fecal 316f8 2 /100mL Nitrate(NO3)as N ea620 mglL Zn-Zinc 01092 mg/L
Coliform:MF Total sisc4 /100mL Phosphorus:Total as P 00665 mg/L
lNo'.e: use t.9PN method for l.iat ty.Irsd sore test Orthophosphate 70507 mglL Other(Specify Compounds and Concentration Units):
Dissolved Solids:Total 70300 mg/ Al-Aluminum 01105 mg/L
pH(Lab)o040a units Be-Barium 01007 uglL
TOC 00680 mg/L Ca-Calcium 00916 mg/L
Chloride 00940 mglL Cd-Cadmium 01027 uglL
Arsenic 01002 uglL Chromium:Total 01a34 ug/L
Grease and Oils 00552 mglL Cu=Copper 01042 mg/L ORGANICS:(by GC,GC/MS,HPLC)
Phenol 32730 ug/L Fe-Iron 01045 uglL (Specify test and method#.ATTACH LAB REPORT.)
Sulfate 00945 mg/ fig-Mercury 71900 uglL Lab Report Attached? ❑ Yes(1) ❑ No(0)
Specific Conductance 00095 pMhos K-Potassium 00937 mg/L VOC 7673 ,method#
Total Ammonia 008t0 mg/L Mg-Magnesium 03927 mg/L ,method#
(Amnoote N then:NI',as N.Ast'n lnia Nih0Kjen,Total) Mn-Manganese ata55 ug/L method#
TKN as N 00625 rng/L Ni-Nickel 01067 uglL ,method#
For Remediation Systems Only(Attach Lab Reports): Influent Total VOCs: mglL Effluent Total VOCs: mg/L VOC Removal%
certify that=to the best of my-knowledge.addbelief,the information submitted rn this is_t a accurate,a d`mlete,and that Thelaboratory-analytical' a as produced using approved et f analysis lY t t purl e,and co p l aft - - cTa a v produce a g - methods n a i by a
R-c?iif1e•-1 .. tfi.-,`I Am aware that there are st rilicant penalties for-submitting,false inkgmalion_inclu in the nossibil t.-pf fines an `sbb rent r=_kn `n let ti r1
�_ tY-- �_? 9��-Jt=—�����— -_—'-g---= '---ed� lY_ --.,_- PO �b �sYl�Y �'~== = — = - '- - _ �
Matthew Wooten Complex Manager + .. = I
Perri-thee(or Authorized Agent)Name and Title-Please port or type Signature of Pe mltlee(or Aultio ized Agent) (Date)
GW-59 Rev.06-07-2018

SUBMIT FORM ON YELLOW PAPER ONLY
ail orjgin t DEPARTMENT OF ENVIRONMENTAL QUALITY-DIV OF WATER RESOURCES
GROUNDWATER QUALITY MONITORING: INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM _ 1 �el� t€:
_ __i 1617 MAIL SERVICE CENTER,RALEIGH,N ?7699-1 17
FACILITY INFORMATION Please Print Clearly or Type _ - PERMIT Number: Expiration Date: 430/2024
Facility Name: Wayne Farms LLC Non-Discharge W'00009826 UIC
Permit Name(if different): _ NPDES Other
Facility Address: 10901 Hwy 268 TYPE OF PERMITTED OPERATION BEING MONITORED
Elkin NC 28621 Count Sur
ry y ❑ Lagoon ❑Remediation:Infiltration Gallery
_."'' ,`"" IN Spray Field ❑Remediation:
Contact Person; Jeremy Bowfin Telephone#: [phone] ❑ Rotary Distributor El Land Application of Sludge
Well Location/Site Name:Spray field No.of wells to be sampled: 1 ❑ Water Source Heat Pump ❑Other:
(=ran Per,t) d —
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): MW3 Date sample collected:8/26/2021 FIELD ANALYSES: WAS
Well Depth: 65 ft. Well Diameter: 2 in. pH 00400:6.32 units Temp.0001o: 14.8 °C DRY at
Depth to Water Level 82548:67.6 ft.below measuringtime of
point Screened Interval: 65 ft. to 65 ft. Spec.Cond,00094: ftMhos sampling,
Measuring Point is 4 ft.above land surface Relative M.P.Elevation: ft. Odor 00085- none check
Volume of water pumped/bailed before sampling: 3.32 gallons Appearance turbid here:
Samples for metals were collected unfiltered: ®YES ❑ NO and field acidified: 0 YES ❑NO
LABORATORY INFORMATION
Date sample analyzed:812612021 Laboratory Name: Meritec Certification No. 165
PARAMETERS NOTE:Values should reflect dissolved and colloidal concentrations.
COD o0335 mg/L Nitrite(NO2)as N 00615 mg/L Pb-Lead 01051 ug/L
Coliform:MF Fecal 31616<1 /1O0mL Nitrate(NO3)as N 00620 mg/L Zn-Zinc 01092 mglL
Coliform:MF Total 31504 /100mL Phosphorus:Total as P 00665- mg/L
iNote: u a taP>v raetrrid for ,hiy;Void rr.les} Orthophosphate 70507 mg/L Other(Specify Compounds and Concentration Units):
Dissolved Solids:Total 7036o _ mg/L AI-Aluminum 01105 mg/L
pH(Lab)00403 units Ba-Barium 01007 ug/L
TOC 00680 _ mg/L Ca-Calcium 00916 mg/L
Chloride 00940 mglL Cd-Cadmium 01027 ug/L
Arsenic 01002 uglL Chromium:Total 01034 uglL
Grease and Oils 00552 mg/L Cu-Copper 01042 mglL ORGANICS:(by GC,GC/MS,HPLC)
Phenol 32730 uglL Fe-Iron 01045 uglL (Specify test and method#.ATTACH LAB REPORT.)
Sulfate 00945 mg/L Hg-Mercury 71900 ug/L Lab Report Attached? ❑ Yes(1) ❑ No(0)
Specific Conductance 00095 iiMhos K=Potassium 00937 mg/L VOC 7873 ,method
Total Ammonia 00610 mg/L Mg-Magnesium 00927 mglL ,method#
(Aninonta N,tr€gen.Nlt4ae N,Ammonia Nitrujen,Total) Mn Manganese 01055 uglL method
TKN as N 00625 mg/L NI-Nickel 01067 uglL ,method#
For Remediation Systems Only(Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
certify that. the-best vl Ply krawlecgeaedbeNef the infaGvn satiated'in i tsre=rartislrueaccurate:_anrjcom lete.andthatthelaborato -enalytial_dafaTVPs produced-Using approved methods or analytls by a
)1YR-certified latiorately,l am aware that there a e_itn€ficenl enai isf4r_Sib it`nt false.intor information, cluding_th+ ssi tt a_ finesand imprisonmentf�tkna»tg_vioi tiong _� __ == _-Matthew Wooten Complex Manager ,, _ .. idi
Permittee(or Auihoezed Agent}Name and Title-Please pent or type Signature of Permittee(or Aulho-ized Agent) (Date)
OW-59 Rev.06-07-2018