WQ0000461_Monitoring - 03-2022_20220426

Certified Mail—7017 0660 0001 0015 4684 I..P
Return Receipt Requested
BUILDING SOLUTIONS
April 19, 2022
Information Processing Unit
NCDEQ - DWR
1617 Mail Service Center
Raleigh, NC 27699-1617
Subject: Groundwater Sampling Results, March 2022
Permit No. WQ0000461
Louisiana-Pacific Corporation
To Whom It May Concern,
Please find attached two copies of Forms GW-59 and GW-59A and lab sample results for
sampling conducted during the month of March as required by Condition III.11 of Permit No.
WQ0000461.
Note that we detected nitrates equal to or above the established standard in well DS1-MW1,
DS1-MW5, and DS1-MW9.
If there are any questions regarding "t e �ct me at(336) 696-3448.
Sincerely, ZZOZ 9 ti ddV
£5LL Jl dJ*d
Chad Witherspoon,
Plant EQ Manager
Louisiana Pacific- Roaring River
[e-mail]
[phone] (o)
336-488-6779 (c)
cc: File
O ADDRESS 1068 ABTCO Road
North Wilkesboro,NC 28659
fV
TEL [phone]
FAX [phone]
WEB www.lpcorp.com
BUILD ‘V1TI1 US.'

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING: Mail original DEPARTMENT OF ENVIRONMENTAL QUALITY-DIV.OF WATER RESOURCES
and I Copy t0: INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM 1617 MAIL SERVICE CENTER,RALEIGH,NC 27699-1617 �; T.
FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date: 4/15/2022
Facility Name: Louisiana Pacific Corp. Non-Discharge WQ0000461 UIC
Permit Name(if different): NPDES NC0005266 Other
Facility Address: 1068 ABTCO Rd. TYPE OF PERMITTED OPERATION BEING MONITORED
North Wilkesboro ``be,t' NC 28659 County Wilkes 0 Lagoon ❑Remediation: Infiltration Gallery
is,iy; isi,,t-i (2,$)
❑ Spray Field 0 Remediation:
Contact Person: James Boles Telephone#:[phone] 0 Rotary Distributor ❑■ Land Application of Sludge
Well Location/Site Name:DSI-MW1 No.of wells to be sampled:6 0 Water Source Heat Pump ❑Other:
(from Permit)
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): MW1 Date sample collected:3/22/2022 FIELD ANALYSES: WAS
Well Depth: 19' ft, Well Diameter:4 in. pH 00400:4.78 units Temp.00010: 15.2 °C DRY at
time of
Depth to Water Level 82546:11'3" ft.below measuring point Screened Interval:9 ft. to 19 ft. Spec.Cond.00094:206 µMhos
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: gallons Appearance Clear here:❑
Samples for metals were collected unfiltered: ❑■ YES ❑ NO and field acidified: •YES ❑NO
LABORATORY INFORMATION
Date sample analyzed:3/23/2022 Laboratory Name: Meritech, INC Certification No. 165
PARAMETERS NOTE:Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L Nitrite(NO2)as N oos15 mg/L Pb-Lead 01051 ug/L
Coliform: MF Fecal 31616 /100mL Nitrate(NO3)as N 00620 30.8 mg/L Zn-Zinc o1092 mg/L
Coliform:MF Total 31504 /100mL Phosphorus:Total as P 00665<0.020 mg/L
(Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other(Specify Compounds and Concentration Units):
Dissolved Solids:Total 70300 118 mg/L Al-Aluminum o1105 mg/L
pH(Lab)00403 units Ba-Barium 01007 ug/L
TOC 00680 mg/L Ca-Calcium oos16 mg/L
Chloride woo 1.5 mg/L Cd-Cadmium 01027 ug/L
Arsenic o1002 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 mg/L Hg-Mercury 71900 ug/L Lab Report Attached? iNi Yes(1) 0 No(0)
Specific Conductance 00095 µMhos K-Potassium 00937 mg/L VOC 7873 , method#
Total Ammonia o0610 mg/L Mg-Magnesium 00927 mg/L ,method#
(Ammonia Nitrogen;NH3 as 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
DWR-certified laboratory. I am aware that there are significant penalties for submitting false information,including the possibility of fines and imprisonment for knowing violations.
Matt Holcombe Plant Manager ,Aiji.- 4/15/2022
Permittee(or Authorized Agent)Name and Title-Please print or type Signature of Permittee(or Authorized Agent) (Date)
GW-59 Rev.06-07-2018

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING: Mail original DEPARTMENT OF ENVIRONMENINFORMATIONAL QUALITY-DIV.PROCESSING OF WATER RESOURCES
PROCESSING UNIT
COMPLIANCE REPORT FORM and 1 co' "t0: 1617 MAIL SERVICE CENTER,RALEIGH,NC 27699-1617
FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date: 7/31/2027
Facility Name: Louisiana Pacific Corp. Non-Discharge WQ0000461 UIC
Permit Name(if different): NPDES NC0005266 Other
Facility Address: 1068 ABTCO Rd. TYPE OF PERMITTED OPERATION BEING MONITORED
North Wilkesboro ,str`"t' NC 28659 Count
y Wilkes ❑ Lagoon 0 Remediation: Infiltration Gallery
,coyl (Siete) op,
❑ Spray Field 0 Remediation:
Contact Person: James Boles Telephone#:[phone] ❑ Rotary Distributor ❑� Land Application of Sludge
Well Location/Site Name:DSI-MW3 No.of wells to be sampled:6 ❑ Water Source Heat Pump ❑Other:
(from Permit)
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): MW3 Date sample collected: 3/22/2022 FIELD ANALYSES: WAS
Well Depth: 89' ft. Well Diameter:4 in. pH 00400:6.21 units Temp.0o010: 18.3 °C DRY at
Depth to Water Level 82546:58'4" ft.below measuring point Screened Interval:79 ft. to 89 ft. Spec.Cond.00094:60.0 µMhos time of
sampling,
Measuring Point is .5 ft.above land surface Relative M.P.Elevation: ft. Odor 00085: None check
Volume of water pumped/bailed before sampling: 32 gallons Appearance Clear here:❑
Samples for metals were collected unfiltered: 0 YES ❑ NO and field acidified: 0 YES ❑NO
LABORATORY INFORMATION
Date sample analyzed:3/23/2022 Laboratory Name: Meritech, INC Certification No. 165
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 /100mL Nitrate(NO3)as N 00620 0.90 mg/L Zn-Zinc 01092 mg/L
Coliform:MF Total 31504 /100mL Phosphorus:Total as P 00665 0.059 mg/L
(Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other(Specify Compounds and Concentration Units):
Dissolved Solids:Total 70300 52 mg/L Al-Aluminum 01105 mg/L
pH(Lab)00403 units Ba-Barium 01007 ug/L Dom)
TOC 00680 mg/L Ca-Calcium owls mg/L
Chloride o0940<0.5 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 o1045 ug/L (Specify test and method#.ATTACH LAB REPORT.)
Sulfate 00945 mg/L Hg-Mercury 71900 ug/L Lab Report Attached? 0 Yes(1) ❑ No(0)
Specific Conductance 00095 µMhos K-Potassium 00937 mg/L VOC 7873 ,method#
Total Ammonia o0610<0.1 mg/L Mg-Magnesium 00927 mg/L ,method#
(Ammonia Nitrogen;NH3 as N;Ammonia Nitrogen,Total) Mn-Manganese o1055 ug/L ,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%
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
DWR-certified laboratory. I am aware that there are significant penalties for submitting false information,including the possibility of fines and imprisonment for knowing violations.
Matt Holcombe Plant Manager '4 /V / 4/15/2022
Permittee(or Authorized Agent)Name and Title-Please print or type ignature of Permittee(or Authorized Agent) (Date)
GW-59 Rev.06-07-2018

SUBMIT FORM ON YELLOW PAPER ONLY
Mail original DEPARTMENT OF ENVIRONMENTAL QUALITY-DIV.OF WATER RESOURCES
GROUNDWATER QUALITY MONITORING: and 7 copy to: INFORMATION PROCESSING UNIT ?'
COMPLIANCE REPORT FORM 1617 MAIL SERVICE CENTER,RALEIGH,NC 27699-1617
FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date: 7/31/2027
Facility Name: Louisiana Pacific Corp. Non-Discharge WQ0000461 UIC
Permit Name(if different): NPDES
NC0005266 Other
Facility Address: 1068 ABTCO Rd. TYPE OF PERMITTED OPERATION BEING MONITORED
North Wilkesboro (s°`F" NC 28659 County Wilkes CI Lagoon El Remediation: Infiltration Gallery
(CM (State) iziv)
El Spray Field III Remediation:
Contact Person: James Boles Telephone#:[phone] ❑ Rotary Distributor I] Land Application of Sludge
Well Location/Site Name:DSI-MW4 No.of wells to be sampled:6 ❑ Water Source Heat Pump ❑Other:
(from Permit)
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): MW4 Date sample collected:3/22/2022 FIELD ANALYSES: WAS
Well Depth: 16' ft. Well Diameter:4 in. pH 00400:5.61 units Temp.00010: 17 °C DRY at
Depth to Water Level 82546:14'8" ft.below measuring point Screened Interval:6 ft. to 6 ft. Spec.Cond.00094:54.4 ['Mhos time of
sampling,
Measuring Point is 3 ft.above land surface Relative M.P.Elevation: ft. Odor 00085: None check
Volume of water pumped/bailed before sampling: gallons Appearance Clear herein
Samples for metals were collected unfiltered: ©YES ❑ NO and field acidified: in YES 0 NO
LABORATORY INFORMATION
Date sample analyzed:3/23/2022 Laboratory Name: Meritech, INC Certification No. 165
PARAMETERS NOTE:Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L Nitrite(NO2)as N 00615 mg/L Pb-Lead o1051 ug/L
Coliform: MF Fecal 31616 /100mL Nitrate(NO3)as N o0620 4.57 mg/L Zn-Zinc o1092 mg/L
Coliform:MF Total 31504 /100mL Phosphorus:Total as P 00665<0.020 mg/L
(Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other(Specify Compounds and Concentration Units):
Dissolved Solids:Total 70300 121 mg/L Al-Aluminum o1105 mg/L
pH(Lab)00403 units Ba-Barium 01007 ug/L DJ
TOC 00680 mg/L Ca-Calcium 00916 mg/L
Chloride 00940<0.5 mg/L Cd-Cadmium 01027 ug/L APR 3 0 2022
Arsenic o1002 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 mg/L Hg-Mercury 71900 ug/L Lab Report Attached? IN Yes(1) 0 No(0)
Specific Conductance 00095 µMhos K-Potassium 00937 mg/L VOC 7873 ,method#
Total Ammonia o0610<0.1 mg/L Mg-Magnesium 00927 mg/L ,method#
(Ammonia Nitrogen;NH,as 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
DWR-certified laboratory. I am aware that there are significant penalties for submitting false information,including the possibility of fines and imprisonment' for knowing violations.
�� / / 4/15/2022
Matt Holcombe Plant Manager •Y
Permittee(or Authorized Agent)Name and Title-Please print or type ignature of Permittee(or Authorized Agent) (Date)
GW-59 Rev.06-07-2018

SUBMIT FORM ON YELLOW PAPER ONLY
Mail original DEPARTMENT OF ENVIRONMENTAL QUALITY-DIV.OF WATER RESOURCES
GROUNDWATER QUALITY MONITORING: and 1 copy to: INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM 1617 MAIL SERVICE CENTER,RALEIGH,NC 27699.1617
FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date: 7/31/2027
Facility Name: Louisiana Pacific Corp. Non-Discharge WQ0000461 UIC
Permit Name(if different): NPDES
NC0005266 Other
Facility Address: 1068 ABTCO Rd. TYPE OF PERMITTED OPERATION BEING MONITORED
North Wilkesboro (st.o, NC 28659 County Wilkes 0 Lagoon 0 Remediation: Infiltration Gallery
iCity) I:1,,,teI (Zip)
❑ Spray Field 0 Remediation:
Contact Person: James Boles Telephone#:[phone] ❑ Rotary Distributor ❑■ Land Application of Sludge
Well Location/Site Name:DSI-MW5 No.of wells to be sampled:6 ❑ Water Source Heat Pump 0 Other:
(from Permit)
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): MW5 Date sample collected:3/22/2022 FIELD ANALYSES: WAS
Well Depth: 17'17"ft. Well Diameter:4 in. pH 00400:5.51 units Temp.00010: 15.2 °C DRY at
Depth to Water Level 82546:9'3" ft.below measuring point Screened Interval:7.5 ft. to 17.5 ft. Spec.Cond.00094:172.1 µMhos time of
sampling,
Measuring Point is 1.5 ft.above land surface Relative M.P. Elevation: ft. Odor 00085: None check
Volume of water pumped/bailed before sampling: gallons Appearance Clear here:n
Samples for metals were collected unfiltered: ©YES ❑ NO and field acidified: ii YES ❑NO
LABORATORY INFORMATION
Date sample analyzed:3/23/2022 Laboratory Name: Meritech, INC Certification No. 165
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 /100mL Nitrate(NO3)as N 00620 19.0 mg/L Zn-Zinc 01092 mg/L
Coliform:MF Total 31504 /100mL Phosphorus:Total as P 00665<0.020 mg/L
(Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other(Specify Compounds and Concentration Units):
Dissolved Solids:Total 70300 174 mg/L Al-Aluminum 01105 mg/L
pH(Lab)00403 units Ba-Barium 01007 ug/L DJ-
TOC 00680 mg/L Ca-Calcium 00916 mg/L
Chloride 00940<0.5 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 mg/L Hg-Mercury 71900 ug/L Lab Report Attached? ❑■ Yes(1) ❑ No(0)
Specific Conductance 00095 µMhos K-Potassium 00937 mg/L VOC 7873 ,method#
Total Ammonia ooslo<0.1 mg/L Mg-Magnesium 00927 mg/L ,method#
(Ammonia Nitrogen;NH3 as 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
DWR-certified laboratory. I am aware that there are significant penalties for submitting false information,including the possibility of fines and imprisonment for knowing violations.
Matt Holcombe Plant Manager / 4/15/2022
Permittee(or Authorized Agent)Name and Title-Please print or type Signature of Perm ttee(or •uthorized Agent) (Date)
GW-59 Rev.06-07-2018

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING: Mail original DEPARTMENT OF ENVIRONMENTALINFORMATION PROCESSINGUALITY-DIV.OF WATER RESOURCES
UNIT
COMPLIANCE REPORT FORM and 1 copy to:
1617 MAIL SERVICE CENTER,RALEIGH,NC 27699-1617
FACILITY INFORMATION Please Pnnt Clearly orType PERMIT Number: Expiration Date: 7/31/2027
Facility Name: Louisiana Pacific Corp. Non-Discharge W00000461 UIC
Permit Name(if different): NPDES NC0005266 Other
Facility Address: 1068 ABTCO Rd. TYPE OF PERMITTED OPERATION BEING MONITORED
North Wilkesboro (Street) NC 28659 Count
y Wilkes CI Lagoon CI Remediation: Infiltration Gallery
(.City) (slate; 174))
❑ Spray Field El Remediation:
Contact Person: James Boles Telephone#:[phone] ❑ Rotary Distributor ❑■ Land Application of Sludge
Well Location/Site Name:DSI-MW6 No.of wells to be sampled:6 0 Water Source Heat Pump ❑Other:
(from Permit)
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): MW6 Date sample collected: 3/22/2022 FIELD ANALYSES: WAS
Well Depth: 21'4"ft. Well Diameter:4 in. pH 00400:6.25 units Temp.00010: 17.6 °C DRY at
Depth to Water Level 82546:15'3" ft.below measuring point Screened Interval: 11.25 ft. to 21.25 ft. Spec.Cond.00094:54.3 µMhos time of
sampling,
Measuring Point is 1.5 ft.above land surface Relative M.P.Elevation: ft. Odor 00085: None check
Volume of water pumped/bailed before sampling: gallons Appearance Dingy here:❑
Samples for metals were collected unfiltered: IN YES ❑ NO and field acidified: In YES ❑NO
LABORATORY INFORMATION
Date sample analyzed:3/23/2022 Laboratory Name: Meritech, INC Certification No. 165
PARAMETERS NOTE:Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L Nitrite(NO2)as N 00615 mg/L Pb-Lead o1051 ug/L
Coliform: MF Fecal 31616 /100mL Nitrate(NO3)as N 00620 19.0 mg/L Zn-Zinc 01092 mg/L
Coliform:MF Total 31504 /100mL Phosphorus:Total as P 00665<0.020 mg/L
(Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other(Specify Compounds and Concentration Units):
Dissolved Solids:Total 70300 174 mg/L Al-Aluminum o1105 mg/L DJ
pH(Lab)00403 units Ba-Barium 01007 ug/L
TOC 00680 mg/L Ca-Calcium oos16 mg/L
Chloride oo94o<0.5 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 o1045 ug/L (Specify test and method#.ATTACH LAB REPORT.)
Sulfate 00945 mg/L Hg-Mercury 71900 ug/L Lab Report Attached? lII Yes(1) ❑ No(0)
Specific Conductance 00095 1.tMhos K-Potassium 00937 mg/L VOC 7873 , method#
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
DWR-certified laboratory. I am aware that there are significant penalties for submitting false information,including the possibility of fines and imprisonment for knowing violations.
Matt Holcombe Plant Manager r7 4 / 4/15/2022
Permittee(or Authorized Agent)Name and Title-Please print 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-DIV.OF WATER RESOURCES
GROUNDWATER QUALITY MONITORING:
and 1 Copy t0: INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM 1617 MAIL SERVICE CENTER,RALEIGH,NC 27699-1617
FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date: 7/31/2027
Facility Name: Louisiana Pacific Corp. Non-Discharge W00000461 UIC
Permit Name(if different):
NPDES NC0005266 Other
Facility Address: 1068 ABTCO Rd. TYPE OF PERMITTED OPERATION BEING MONITORED
North Wilkesboro t`t e,to NC 28659 County Wilkes ❑ Lagoon ❑Remediation: Infiltration Gallery
(City) (State) IZ+tt)
❑ Spray Field CI Remediation:
Contact Person: James Boles Telephone#:[phone] ❑ Rotary Distributor ❑■ Land Application of Sludge
Well Location/Site Name:DSI-MW9 No.of wells to be sampled:6 ❑ Water Source Heat Pump ❑Other:
(from Permit)
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): MW9 Date sample collected:3/22/2022 FIELD ANALYSES: WAS
Well Depth: 16' ft. Well Diameter:4 in. pH moo:5.67 units Temp.00o10: 17.3 °C DRY at
time of
Depth to Water Level 82546:11.4" ft.below measuring point Screened Interval:6 ft. to 16 ft. Spec.Cond.00094:176.3 µMhos
sampling,
Measuring Point is 3 ft.above land surface Relative M.P. Elevation: ft. Odor 00085: None check
Volume of water pumped/bailed before sampling: gallons Appearance Clear here:❑
Samples for metals were collected unfiltered: ©YES ❑ NO and field acidified: IN YES ❑NO
LABORATORY INFORMATION
Date sample analyzed:3/23/2022 Laboratory Name: Meritech, INC Certification No. 165
PARAMETERS NOTE:Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L Nitrite(NO2)as N oos15 mg/L Pb-Lead 01051 ug/L
Coliform: MF Fecal 31616 /100mL Nitrate(NO3)as N 00620 15.6 mg/L Zn-Zinc 01092 mg/L
Coliform:MF Total 31504 /100mL Phosphorus:Total as P 00665<0.020 mg/L
(Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other(Specify Compounds and Concentration Units):
Dissolved Solids:Total 70300 155 mg/L Al-Aluminum o1105 mg/L
pH(Lab)00403 units Ba-Barium o1007 uglL
TOC 00680 mg/L Ca-Calcium o0916 mg/L
Chloride oosao 1.5 mg/L Cd-Cadmium 01027 ug/L
Arsenic o1002 ug/L 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/L Hg-Mercury 71900 ug/L Lab Report Attached? ❑■ Yes(1) 0 No(0)
Specific Conductance 00095 )tMhos K-Potassium o0937 mg/L VOC 7873 ,method#
Total Ammonia ooslo<0.1 mg/L Mg-Magnesium 00927 mg/L ,method#
(Ammonia Nitrogen;NH3 as N;Ammonia Nitrogen,Total) Mn-Manganese 01055 - ug/L ,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%
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
DWR-certified laboratory. I am aware that there are significant penalties for submitting false information,including the possibility of fines and imprisonment for knowing violations.
Matt Holcombe Plant Manager , f / — 4/15/2022
Permittee(or Authorized Agent)Name and Title-Please print or type Signature of Permittee(or Authorized Agent) (Date)
GW-59 Rev.06-07-2018

GW-59A COMPLIANCE REPORT FORM Permit#ti/tom q t
(,Stthtnil one each monitoring period with GW-59 forms.)
Enter date monitoring results were due. (ear y ) Will this monitoring report(GW-59 and GW-59A) YES (N`d
be submitted after the established due date.
2 Was and required information missing on the GW-59 report forms? YES
IF the answer to question 1 or 2 is "YES", list in the space provided below the well identification number(s)and
explain the problems encountered in obtaining the required information.
3 Are and of the monitor wells in need of repair or maintenance(damaged casing,unlocked or missing cap,missing YES
identification plate,area overgrown,etc.)?11 the answer is "Yes", contact the Regional Office for guidance.
4 Are any monitored constituents equal to or above the established standards? YE NO
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 concentration(s)
exceeding standards in the space provided below:
D5 I -, —( 3F�.3 mg/� S l Mk) R IS I� n�9 l
DsI- wtw- S 19,0 I"j(L
5 For the constituents identified in question 4 above, have standards been exceeded previously for the `ES` NO
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.
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).
DSI-,Y —I q/a8WAD 05 t-qqu)- t 3o,y *4aoal -psi-Anw-I .313a 9/42/aatl
DSI-vv,w-S I1.3 l49IL. °f1?. I oao DSI mw-S go,-7 31a31ao?I DSI-mtz-S 3R,t, 9/aB/aoa
C '51-m>a-9 t5,0 3/?L// OdJ 'p5l-rn IA)-c1 at,<o ?/a8/ n /
DSt-tn1,4)-9 13.7 ong(t 9/glaoao
6 Are the monitoring wells listed in section 5 located at or beyond the review boundary? NO
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 t-TS) NO
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 Regional Office within 90 days;an evaluation may be
required to determine the impact the waste disposal system is having at the review and compliance
boundaries surrounding this facility. Failure to do so may subject the permittee to a Notice of Violation,
fines, and/or penalties.
Alt lgv,cc c+pltco-ltovt S�oppoa �v�-In,S grow wa}u.,r rnent(-ortna atop �� aOo$, e i -ahnuc+l
5rpur,6644Qr tr,pr.d � c-u
rortn3 ur5 �er rrah-+ per't+nj• oOrrac4_0e oeti0V1 ?Ian was Su17Mi7TaJ
At) 4.ke ci t/iiSien
8 The person completing this portion(GW-59A)of the monitoring report should sign below and submit this
form with GW-59 forms for required wells to the address provided at the top of the current GW-59 form.
I hereby acknowledge that the above information was evaluated and the information submitted in this
report(Compliance Report GW-59A) is true and complete to the best of my knowledge.
2-t-4°) 4 I 1 ao�vz
;Signature of Permittee(or Authorized Agent) Date
GW-59A 12/8/2003

i.
Meritech, Inc.
Environmental Laboratory
flaiiii
Laboratory Certification No. 165
irur
Page 1
Contact: James Boles Report Date: 4/6/2022
Client: Louisiana-Pacific Corp. NPDES#: NC0005266
1068 ABTCO Rd Land App. Permit#: WQ0000461
North Wilkesboro, NC 28659 Date Sample Rcvd: 3/23/2022
Meritech Work Order# 03232242 Sample: DSI-MW1 Grab 3/22/22
Parameters Result Analysis Date Reporting Limit Method
Total Dissolved Solids 118 mg/L 3/24/22 10 mg/L SM 2540C
Chloride 1.5 mg/L 3/29/22 0.5 mg/L SM 4500 CI B
Ammonia, Nitrogen <0.1 mg/L 3/24/22 0.1 mg/L EPA 350.1
Nitrate, Nitrogen 30.8 mg/L 3/24/22 0.10 mg/L EPA 353.2
Phosphorus,total <0.020 mg/L 4/4/22 0.020 mg/L EPA 200.7
Meritech Work Order# 03232243 Sample: DSI-MW3 Grab 3/22/22
Parameters Result Analysis Date Reporting Limit Method
Total Dissolved Solids 52 mg/L 3/24/22 10 mg/L SM 2540C
Chloride <0.5 mg/L 3/29/22 0.5 mg/L SM 4500 Cl B
Ammonia, Nitrogen <0.1 mg/L 3/24/22 0.1 mg/L EPA 350.1
Nitrate, Nitrogen 0.90 mg/L 3/24/22 0.10 mg/L EPA 353.2
Phosphorus,total 0.059 mg/L 4/4/22 0.020 mg/L EPA 200.7
Meritech Work Order# 03232244 Sample: DSI-MW4 Grab 3/22/22
Parameters Result Analysis Date Reporting Limit Method
Total Dissolved Solids 121 mg/L 3/24/22 10 mg/L SM 2540C
Chloride <0.5 mg/L 3/29/22 0.5 mg/L SM 4500 Cl B
Ammonia, Nitrogen <0.1 mg/L 3/24/22 0.1 mg/L EPA 350.1
Nitrate, Nitrogen 4.57 mg/L 3/24/22 0.10 mg/L EPA 353.2
Phosphorus,total <0.020 mg/L 4/4/22 0.020 mg/L EPA 200.7
642 Tamco Road,Reidsville,North Carolina 27320
tel.[phone] fax.[phone]

Meritech, Inc.
Environmental Laboratory
4 -- Laboratory Certification No. 165
Page 2
Contact: James Boles Report Date: 4/4/2022
Client: Louisiana-Pacific Corp. NPDES#: NC0005266
1068 ABTCO Rd Land App. Permit#: WQ0000461
North Wilkesboro, NC 28659 Date Sample Rcvd: 3/23/2022
Meritech Work Order# 03232245 Sample: DSI-MW5 Grab 3/22/22
Parameters Result Analysis Date Reporting Limit Method
Total Dissolved Solids 174 mg/L 3/24/22 10 mg/L SM 2540C
Chloride <0.5 mg/L 3/29/22 0.5 mg/L SM 4500 Cl B
Ammonia, Nitrogen <0.1 mg/L 3/24/22 0.1 mg/L EPA 350.1
Nitrate, Nitrogen 19.0 mg/L 3/24/22 0.10 mg/L EPA 353.2
Phosphorus,total <0.020 mg/L 4/4/22 0.020 mg/L EPA 200.7
Meritech Work Order# 03232246 Sample: DS1-MW6 Grab 3/22/22
Parameters Result Analysis Date Reporting Limit Method
Total Dissolved Solids 138 mg/L 3/24/22 10 mg/L SM 2540C
Chloride 1.5 mg/L 3/29/22 0.5 mg/L SM 4500 Cl B
Ammonia, Nitrogen 0.6 mg/L 3/24/22 0.1 mg/L EPA 350.1
Nitrate, Nitrogen <0.10 mg/L 3/24/22 0.10 mg/L EPA 353.2
Phosphorus,total 0.536 mg/L 4/4/22 0.020 mg/L EPA 200.7
Meritech Work Order# 03232247 Sample: DSI-MW9 Grab 3/22/22
Parameters Result Analysis Date Reporting Limit Method
Total Dissolved Solids 155 mg/L 3/24/22 10 mg/L SM 2540C
Chloride 1.5 mg/L 3/29/22 0.5 mg/L SM 4500 Cl B
Ammonia,Nitrogen <0.1 mg/L 3/24/22 0.1 mg/L EPA 350.1
Nitrate, Nitrogen 15.6 mg/L 3/24/22 0.10 mg/L EPA 353.2
Phosphorus,total <0.020 mg/L 4/4/22 0.020 mg/L EPA 200.7
I hereby certify that I have reviewed and approve these data.
aboratory epresentative
642 Tamco Road,Reidsville,North Carolina 27320
tel.[phone] fax.[phone]

591016 Chain of Custody Record (COC) NPDES#: NC0005266
ME R(TECH INC. Client: Louisiana Pacific Corp. Phone:_336-696-3348
AAddress: 1068 ABTCO Rd. Fax:
ENVIRONMENTAL LABORATORIES North Wilkesboro, NC 28669 Email: james.boles(�Ipcorp.com
411i
642 TamcoRd. Phone: [phone] Project:_LA GWM
Reidsville NC 27320 Fax: [phone] P,O #;
Email: [e-mail] Attention:_James Boles Mike Jolly Turn Around Time*
How would you like your report sent? *RUSH work needs prior approval.
WWW.meritechlabs.com Circle all that a I : 5td coda s) �oals 24-48HIs
pp y )preferred), Fax, Mail
Sampling Dates &Times Person aking Sa le(Sign/Print): t
P g � /�' Lab Use Only
Sample Location and/or ID# Start End
Comp? Hof Test(s) Required ,Onlce7 pC1OOK?
Date Time Date Time Grab? Cont. tee/ No
DSI-MW-1 3/22/2022 11:10 3/22/2022 11:40 G 4 Chloride,TDS, NH3,Total NO3(as N), P
D51-MW-3 3/22/2022 13:50 3/22/2022 14:00 G 4 IAZ,
DSI-MW-4 3/22/2022 12:30 3/22/2022 12:39 G 4 I,
DSI-MW-5 3/22/2022 13:20 3/22/2022 13:30 G 4 yS
DSI-MW-6 3/22/2022 12:55 3/22/2022 13:05 G 4 l%
D5I-MW-9 3/22/2022 13:45 3/22/2022 13:50 G 4 y 1
Temperature Uppn
Receipt: f ci11
Method of ***Dechlorination(<0.5 ppm)of Ammonia,Cyanide,Phenol and TKN samples must be done in the field prior to preservation.***
Comments: Compositor#
Shipment:
❑ UPS
Jug#
❑ Fed Ex Ar these results for regulatory purposes? Yes i--.ilo ❑ Rte_par-t esults in: mg/L�.� g/kg ❑ ug/L Ill
�� Relinquished by D te: Time: Received Time: (J
Hand Delivery lepb-, v 4D�0�.Q /D, 3-� 0�/4Z /,6-"
❑ Other 19qu hed�by: l----'7 7�Da Time: I ,- Received by < <� Date. Time:
g//� '7 - ; 1 /;S
Re mquiShed by: Date: Time: Re ived by ab f 2 Date: Time: