NC0003042_NOD-2021-MV-0025_20150318

Date: JJ w�,. CG , -Lo Z I
Wastewater Branch
Water Quality Permitting Section
Division of Water Resources
1617 Mail Service Center
Raleigh, NC 27699-1617
Subject: Delegation of Signature Authority
Facility Name:
NC Dept of Environmental Quality
JUL 112022
Raleigh Regional Office
NPDES Permit Number: N I C le I o Id 131 cd 41 Z1
To Whom It May Concern:
By notice of this letter, I hereby delegate signatory authority to each of the following individuals for all
permit applications, discharge monitoring reports, and other information relating to the operations at
the subject facility as required by all applicable federal, state, and local environmental agencies
specifically with the requirements for signatory authority as specified in 15A NCAC 2B.0506.
Individual #1
inttian�i.ml }19 ia___c__v_�
les 1 a61, � S ¢r vie.
Mailing Ad P� 3ax I'ts(
Ro(l,a.e Mc, 7-15-73
Physical A 11 `I ON
different) R X6-1 0 Air —
ail A ao
Office Phone:
334 o 0
obile Phone:
If you have any questions regarding this letter, please feel free to contact me at either the phone
number or email address below.
Sincerely,
W L
Authorized Signing Official's Signature
\Ina r•'1ns S �JCl rr`Ln, - _A bfs-,t_ G�ka iYlan e.,r
Authorized Signing Official's Name (type or print) Title 14 D
)?*-. I3ox f Zq R Mc. '7-757 •a
Address
rrq, Q
Email Address %
33L 'Se3 .0.4v
Office Phone
Mobile
cc: Q aly-wN Regional Office, Water Quality Permitting Section
(Enter region name)

DocuSign Envelope ID: 32453CFD-99B2AF28-AB2_ _. _9ADF0FDBA
� I L7lZui
ROY COOPER
C'. emote
DIONNE DELLFGATTI
Secretary
S. DANIEL SMITH
Dire -rot
Thomas S Warren, Jr
City of Roxboro
PO Box 128
Roxboro, NC 27573-0128
NORTH CAROLINA
Environmental Quality
April 22, 2021
SUBJECT: NOTICE OF DEFICIENCY
Tracking Number: NOD-2021-MV-0025
Permit No. NC0003042
Roxboro WTP
Person County
Dear Permittee:
A review of the February 2021 Discharge Monitoring Report (DMR) for the subject facility revealed the
deficiency(s) indicated below:
Monitoring Deficiencv(s):
Sample
Monitoring
Location
Parameter
Date
Frequency
Type of Deficiency
001 Downstream
Salinity (00480)
2/28/2021
2 X month
Frequency Violation
001 Effluent
pH (00400)
2/27/2021
Weekly
Frequency Violation
001 Effluent
Salinity (00480)
2/28/2021
2 X month
Frequency Violation
001 Upstream
Salinity (00480)
2/28/2021
2 X month
Frequency Violation
Please be aware that non-compliance with your permit could result in enforcement action by the Division of
Water Resources for these and any additional violations of State law. The Raleigh Regional Office encourages
you to take all necessary actions to bring your facility into compliance.
n��,nn cajun.. o.panmrmarmo-enmmraan�n� ��w�"rw.,n-anm,r:r.
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DowSign Envelope ID. 32453CFD-99B2-4F25-AB2o-nru9ADFOFDBA
If you should need any assistance or would like to discuss this non-compliance situation, please contact
Stephanie Goss of the Raleigh Regional Office at 919-791-4200.
Sincerely,
EDocuSigned by:
6L f , Nt.a,.l, i
82916E6AB32144F...
Vanessa E. Manuel, Assistant Regional Supervisor
Water Quality Regional Operations Section
Raleigh Regional Office
Division of Water Resources, NCDEQ
Cc: WQS Raleigh Regional Office - Enforcement File
NPDES Compliance/Enforcement Unit - Enforcement File
I_aserfiche
\. NnnbCv .iDrp mrneolFmhonmeml(r.Dglp¢ppnn(Waer Pemurrn
L/� ��' Rol4hReg:or.offre i L1M19 V"Dme G.Wph \rrM Carallna ]LJ9

GW-59A COMPLIANCE REPORT FORM Permit # 'U coo 30 YI ,V0
(Snbinit one each mmnitoring period with GIV 59 jorms.)
date monitoring results were due. - Will this monitoring report (GW-59 and GW-59A) YES NO
bmitted after the established due date?'
ny required Information missing on the CW-59 report forms?
YES No
answer to question 1 or 2 is -YES ;list in the space provided below th we i n n ica ton num er s a d
the problems encountered in obtaining the required information.
l,.'J 0 .'
VAreany
y of the monitor wells in need of repair or maintenance (damaged casing, on n s n YES NO
cation plate, area overgrown, etc)? Ijthe answer is "Fes ", comae! the Regional Officefor guidance.
y monitored constituents equal to or above the establishedstandards?
YES
nswer to question 4 is "NO", skip to section 8.
If the answer to question 4 is 'YES" list the affected wells individually with consiltuerit(s) 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
YES
NO
same constituent(s) in the same well(s) In the last two years?
If the answer io question 5 is IVO , skip to section 8.
If the answer to question 51s "YES", list in the space provided below, each well with constituents) exceeding
standards, concentration(s) reported, and sample c�9dllepyd$a for each occurrence (for the last two years).
RFP�wED ►�1"l I
AUG 22 2017 AUG 22
Are the monitoring wells listed in section 5lbealedat or beyond the review boundary?
YES
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 may be improperly
located; contact the Regional Office.
7
Is the permittee implementing previously approved actions required by the Division involving this
YES
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 sublect the permiftee to a Notice of Violation
fines, andlor penalties,
g
The person completing this portion (G W--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 submltte this •s'
report
(Compliance Report GW-59A) Is true and complete to the best of my knowledge. s
71�
Signature7
of Permittee (or Authorized Agent) Date

GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
FACILITY INFORMATION Please Print Clearly or Type
Facility Name: Roxboro Water Treatment Plant
Permit Name (if different): Water Treatment Plant Facility
Facility Address: 1599 Chub Lake Road
Roxboro, NC 27574 CountyPerson
Contact Person :Arnold Oakley Telephone #[phone] - 4906
Well Location/ Site Name:WPT Facilitv No. of Wells to be Sampled: 3
For Gmundwater Treatment Systems
Well Depth: 65ft. Well Diameter 2 in. Check one:
Screened Interval:_ft.to ft. Influent (98)
Depth to Water Level : 19.5 ft. below measuring point. Efflunt (99)
Measuring Point is 2 ft.above land surface.
Gallons of water pumped/bailed before sampling : 20 gals. 120
Field analysis: pH 6.0. Specific Conductance uMhos
Temp. 18.0'C, Odor NONE Appearance Clear
ER QUALITY DIVISION, GROUNDWATER SECTION
MAIL SERVICE CENTER
IGH. NC 27626-0578 Phone: [phone]
At # NC 0003042 Expiration Date: 3131/17
- Discharge UIC
zD OPERATION BEING MONITORED
Remediation: Infiltration Gallery
ay Field Remediation
Distributor Land Application of Sludge
NOTE: Values should reflect dissolved and
colloidal concentrations.
Date sample collected07125117 Date sample analyzed 07/25/17-08/08117
Laboratory Name: ENCO
Certification No. NC 591
PARAMETERS (Samples for metals were collected untllterea YtJ NU ana vela aclalnea Yts_ NQ 1
COD mg/I Nitrite (NO2 ) as N 0.36 mq/I Ni - Nickel mgA
Coliform: MF Fecal /100ml Nitrate (NO3) as N 0.36 mg/I Pb - Lead mgA
Coliform: MF Total /100ml
(Note: Use MPN method for highly turbid samples)
Dissolved Solids: Total 64 mgA
pH (when analyzed) 6.0 units
TOC 1.6 mgA
Chloride 7.1 mg/I
Arsenic mgA
Grease and Oils mg/I
Sulfate
mgA
Specific Conductance
uMhos
Total Ammonia
mg/I
TKN as N
moll
Phosphorus: Total as P
mg/I
Orthohosphate <0.16
mg/I
Al - Aluminum
mgA
Be - Barium
mg/I
Ca - Calium
mgA
Cd - Cadmium
mgA
Chromium: Total
mg/l
Cu - Copper
mg/I
Fe - Iron
mgA
Hg - Mercury
mgA
K - Potassium
mgA
Mg - Magnesium
mgA
Mn - Manganese
mgA
Zn - Zinc mgA
Ammonia Nitrogen <0.045 mg/I
Other (Specify Compounds and Concen uion Unirs)
Total Suspended Solids 28 mq/I
ORGANICS: (GC,GC,/MS,HPLC)
(Specify test and method#. Attach lab report.)
Report Attached? Yes x No_(0)
VOC method # = _
method # = _
method # =
Thomas S. Warren Jr Assistant City Manager
Penn a AutAgent) Name and Title - Please print or type
Signture of Permittee (or Authorized Agent)

Atlantic Environmental Associates
Is Monitor Well Field Data
Client: 12u,t bov lWell ID:
Samplers:12.T- -
Measurement Time: (I:.
Stick Up: -1 F+
Measurement Date: -7.257-1 7
Depth To Water: ' 4-
Concrete Seal? I e s
Well Depth: ,9
Protective Casin ? s
Water Height In Well: 46.,5
Protective Casing Cap? V,,s
Well Diameter: T"
Locked? 4ec,
Well Volume:
Well Ca ? z,
Time Began Purging: 11,,lr
Visual Damage? 1,jo
Time Completed Purging:
Measurement Method: Sofinst
Turbidity -After Purging: c l r
Sampling Method: we
Volume Purged: Za
Odor Before Purging:
cne 113alled
D No
MTurbldity Before Purging: C leg f- I
Problems Purging: ,1t:
Volume Conversion Factors: 2" = 0.1631 3" = 0.367 4' 4" = 0.6524 5" = 1.0194
Date Of Sampling: 2 - I"7 -Conductivity:
Time Of Sampling: 12•.
Odor:
Recharge Depth: vi r4 1;„
Color: �l
H: .r
Turbidi : cl
Temperature: 12. 2 `
Sample Field Filtered? U
Comments:
0

E-NcO Laboratories
Accurate. Timely. Responsive. Innovative.
102-A Woodwinds Industrial Court
Cary NC, 27511
Phone: [phone] FAX: [phone]
Wednesday, August 9, 2017
Atlantic Environmental Associates (AT025)
Attn: Candice Moore
2483 Reliance Ave.
Apex, NC 27539
RE: Laboratory Results for
Project Number: [none], Project Name/Desc: City of Roxboro - March,3uly
ENCO Workorder(s): CA09968
Dear Candice Moore,
Enclosed is a copy of your laboratory report for test samples received by our laboratory on
Tuesday, July 25, 2017.
Unless otherwise noted in an attached project narrative, all samples were received in
acceptable condition and processed in accordance with the referenced methods/procedures.
Results for these procedures apply only to the samples as submitted.
The analytical results contained in this report are in compliance with NELAC standards, except
as noted in the project narrative. This report shall not be reproduced except in full, without
the written approval of the Laboratory.
This report contains only those analyses performed by Environmental Conservation
Laboratories. Unless otherwise noted, all analyses were performed at ENCO Cary. Data from
outside organizations will be reported under separate cover.
If you have any questions or require further information, please do not hesitate to contact me.
Sincerely,
Stephanie Franz
Project Manager
Enclosure(s)
RM Thk report relates orgy m fhe sample as reuiv by Ine laE tort', aM may only a reWod�r tl in run. I Page 1 of 12

�NC�
W W W.encolabs.com
SAMPLE SUMMARY/LABORATORY CHRONICLE
ClientlD: MW-1
Lab ID: CA09968-01
Sampled:
07/25/17 12:00 Received: 07/25/17 16:00
Parameter
Hold Date/Time(s)
Prep Date/Time(s)
Analysis Date Time(sl
EPA 350.1
08/22/17
08/07/17
18:04
08/07/17 18:04
EPA 353.2
07/27/17
12:00
07/25/17
16:48
07/25/17 16:48
EPA 353.2
08/22/17
08/04/17
12:16
08/04/17 12:16
EPA 353.2
D4/19/20
08/07/17
11:42
08/07/17 11:55
EPA 365.1
07/27/17
12:00
07/25/17
17:06
07/25/17 17:06
SM 2540C-1997
08/01/17
07/27/17
13:55
07/27/17 13:55
SM 2540D-1997
08/01/17
07/31/17
13:30
07/31/17 13:30
SM 45000 E-1997
08/22/17
08/08/17
10:50
08/08/17 10:50
SM 53106-20D0
08/22/17
08/01/17
13:28
08/01/17 14:05
ClientID: MW-2
Lab ID: CA09968-02
Sampled:
07/25/17 13:05 Received: 07/25/17 16:00
Parameter
Hold Date/Timefsl
Prep DateMme(s)
Analysis Date/Time(sl
EPA 350.1
08/22/17
08/07/17
18:06
08/07/17 18:06
EPA 353.2
07/27/17
13:05
07/25/17
16:49
07/25/17 16:49
EPA 353.2
08/22/17
08/04/17
12:18
08/04/17 12:18
EPA 353.2
04/19/20
08/07/17
11:42
O9/07/17 11:55
EPA 365.1
07/27/17
13:05
07/25/17
17:08
07/25/17 17:08
SM 2540C-1997
08/01/17
07/27/17
13:55
07/27/17 13:55
SM 2540D-1997
08/01/17
07/31/17
13:30
07/31/17 13:30
SM 4500a E-1997
08/22/17
08/08/17
10:50
08/08/17 10:50
SM 53103-2000
08/22/17
08/01/17
13:28
08/01/17 14:05
Client ID: MW-3
Lab ID: CA09969-03
Sampled: 07/25/17 14:30 Received: 07/25/17 16:00
Parameter
Hdd Date/Tlmefal
Prep Date/Time(s)
Analysis Date/Time(s)
EPA 350.1
08/22/17
08/07/17
18:08
08/07/17 18:08
EPA 353.2
07/27/17
14:30
07/25/17
16:50
07/25/17 16:50
EPA 353.2
08/22/17
08/04/17
12:20
08/04/17 12:20
EPA 353.2
04/19/20
OB/07/17
11:42
DS/07/17 11:55
EPA 365.1
07/27/17
14:30
07/25/17
17:09
07/25/17 17:09
SM 2540C-1997
08/01/17
07/27/17
13:55
07/27/17 13:55
SM 2540D-1997
08/01/17
07/31/17
13:30
07/31/17 13:30
SM 4500C1 E-1997
08/22/17
08/08/17
10:51
03/08/17 10:51
SM 5310B-2000
08/22/17
08/01/17
13:28
OB/01117 14:05
MW Ibis report relates only to the sample as received by the laborutoiy, and may only be repadoae in tun. Page 2 Of 12

www.encolabs.com
SAMPLE DETECTION SUMMARY
Client ID: MW-1
Lab ID:
CA09968-01
Anal
Resufts
Flag
E DL
E4L
MO&
Method Rd=
Chloride
7.1
1.9
5.0
mg/L
SM 45000 E-1997
Nitrate as N
0.36
0.025
0.10
mg/L
EPA 353.2
Nitrate/Nitnte as N
0.36
B
0.041
0.10
mg/L
EPA 353.2 }Ol
Total Dissolved Solids
64
50
50
mg/L
SM 2540C-1997
Total Organic Carbon
1.6
0.34
1.0
mg/L
SM 53108-200D
Total Suspended Solids
28
3.1
3.1
mg/L
SM 2540D-1997
Client ID: MW-2
Lab ID:
CA09968-02
Anal v[e
Resuks
Flan
MDL
ES26
YBRI
Method Notes
Chloride
3.5
3
1.9
5.0
mg/L
SM 4500CI E-1997
Total DissoNed Solids
130
50
50
mg/L
SM 2540C-1997
Total Organic Carbon
1.1
0.34
1.0
mg/L
SM 5310&2000
Client ID: MW-3
Lab ID:
CA09968-03
Anal v[e
L9191te
Flag
MOL
POL
UnAl
Method N9te6
Chlonde
2.6
3
1.9
5.0
mg/L
SM 4500CI E3997
Nitrate as N
0.050
J
0.025
0.10
mg/L
EPA 353.2
Nitrate/Name as N
0.050
JB
0.041
0.10
mg/L
EPA 353.2 }Ol
Total Dissolved Solids
88
50
50
mg/L
SM 2540C-1997
Total Organic Carbon
0.95
3
0.34
1.0
mg/L
SM 5310B-20DO
FINAL This report relate: oMy to the sample as mi:Nved by N laboratory. an0 may onty be reyroduced in roa. I Page 3 of 22

ENCO
w .encolabs.com
ANALYTICAL RESULTS
Description: MW-1 Lab Sample ID:CA09968-01 Received: 07/25/17 16:00
Matrix: Water Sampled: 07/25/17 12:00 Work Order: CA09968
Project: City of Roxboro - March,July Sampled By: Ryan Smith
Classical Chemistry Parameters
A - ENCO Cary [edified a/nlyfe [NC 591J
Anahrte fCAS Numberl
Re u Elag
Mnitl
PE MDL
POLL
Balch
Method
Analyzed
By Notes
Ammonia as N [76"1-7]A;:
< 0.045
mg/L
1 0.045
.10
7H07
A 350.1
08107: 17 18:04
JU
Chloride 116887-00-6]^
7.1:
1
9M 45000 E-1997
08/08;17 10-53
JLJ
Nitrate as N [14797-55-8]A
0.
A 3 .2
08/07/17 11.55
JU
Nitrate/Nitrite as NA
O.E1
2
08,/04/171 16
JU 1-01
Nitrite as N [34797-65-0]^
< 0.01
250
53.2
07125i/ '•:48
MKS
OrOiophosphate as P [1426-54-42 A
< 0.1
0.1
.50
G25036
EPA 365.1
07/25/17 17:06
MKS
Total Dissolved Solids-
64
50
50
7G27014
SM 254OC-1997
07/27/1713:55
OMR
Total Suspended SolidsA
28
m9/L
3.1
7G31025
SM 254OD-1997
07/31/1713:30
OMR
Classical Chemistry Parameters
A- ENCO Obnoh cedificd arw4fe INC 424]
Analvte [CAS Number l Results Flan Units DF HU MI, Batch Method Analwe BJt NAM
Total Organic CarbonA 1.6 mg/L J,,, 1 0.34 1.0 71531038 SM 5310&20DO 08/01/1714:05 SIR
Description: MW-2 Lab Sample ID:CAD9968-02 Received: 07/25/1716:00
Matrix: Water Sampled: 0725/17 13:05 Work Order. CA09968
Project: City of Roxboro - March,July Sampled By:Ryan Smith
Chemistry Parameters
Analvte FCASNumberl
Rest, Elm
Onus
PE
119L
EQL
B.atgh
Meth
Analyzed
@y N
Ammom as N [7664-41-7]A
< 0.045
mg/L
1
0.045
0.10
7HO7037
EPA 350.1
08/07/17 18:06
JU
Chloride[16887-00-6]A
35 J
mg/L
1
1.9
5.0
7HO8014
SM 4500CI E-1997
D8/08/1710:50
JU
Nitrate as N [34797-55-8]A
< 0.025
mg/L
1
0.025
0.10
7HO7023
EPA 353.2
08/07/17 11:55
JU
Ndate/Nitrite as N^
< 0.041
mg/L
1
0.041
0.10
7HO4015
EPA 353.2
08/04/17 12:18
JU
Nitd[e as N [34797-65-O]A
< 0.017
mg/L
1
0.017
0.10
7G25020
EPA 353.2
07/25/17 16:49
MKS
Orthophosphate as P [1426-5"2]^
< 0.16
mg/L
1
0.16
0.50
7G25036
EPA 365.1
07/25/1717:08
MKS
Total Dissolved Solids-
130
mg/L
1
50
50
7G27014
SM 2540C-1997
07/27/1713:55
OMR
Total Suspended SolidsA
< 2.5
mg/L
1
2.5
2.5
7G31025
SM 254OD-1997
07/31/17 13:30
OMR
Classical Chemistry Parameters
A -15 C0 (Marc* mblcr7arct44e[NC 424/
Analvte rCAS Number l
Rest, flag
Units
DP
MDL
POL
Batch
Method
Analyzed@y
t(Qg6
Total Organic Carbon^
1.1
mg/L
1
0.34
1.0
7G31038
SM 5310B-2D00
08/01/17 14:05
SIR
FINAL This re,od remotes Only to the sample as received by the laboratory, and may only be reproducm in full. I Page 4 Of 12

v .encolabs.com
ANALYTICAL RESULTS
Description: MW-3 Lab Sample ID:CAO9968-03
Matrix: Water Sampled: 07/25/1714:30
Project: City of Roxboro - March,luly Sampled By: Ryan Smith
Classical Chemistry Parameters
A- ENCO 6,, Rdl&d ai yte (NC 5911
Received: 07/25/17 16:00
Work Order: CA09968
Analvte rCAS Numberl
Results
Flao
Units
lJ_F
MOL
POL
Batch
Method
Analwed
ft Notes
Ammonia as N [766441-7]A
< 0.045
mg/L
1
0.045
0.10
7H07037
EPA 350.1
08/07/17 18:08
ILI
Chloride [16887-00-6]A
2.6
3
mg/L
1
1.9
5.0
7H0S014
SM 4500CI E-1997
08/08/1710:51
Ju
Nitrate as N [34797-55-8]A
0.050
3
mg/L
1
0.025
0.10
7H07023
EPA 353.2
D8/07/1711:55
JU
Nitrate/Nitrite as NA
0.050
JB
mg/L
1
0.041
0.10
7HG4015
EPA 353.2
06/04/1712:20
Ju J-01
Nitrite as N [34797-65-0]A
< 0.017
mg/L
1
0.017
0.10
7G25020
EPA 353.2
07/25/17 16:50
MKS
Orthophosphate as P [3426-5442]A
< 0.16
mg/L
1
0.16
0.50
7G2S036
EPA 365.1
07/25/17 17:09
MKS
Total Dissolved SolidsA
88
mg/L
1
50
50
7G27014
SM 2540C-1997
07/27/1713:55
OMR
Total Suspended SolidSA
< 2.5
mg/L
1
2.5
2.5
71331025
SM 254OD-1997
07/31/1713:30
OMR
Classical Chemistry Parameters
- ENro orw,& a
Anahrre rCAS Numberl
Total Organic CarbonA
Resu Eliag Unill PE Via EM Batch Method Anal ft Notes
0.95 3 mg/L 1 0.34 1.0 7G31038 SM 531GB-2000 08/01/17 14:05 SIR
FINAL TWs report relates only to the sample as received M the laboratory, and may only to repaeured in U. Page 5 Of 1 Z

E1VC0
x .encolabs.ccm
QUALITY CONTROL DATA
Classical Chemistry Parameters - Quality Control
Batch 7625020 - NO PREP
Blank (7G25020-BLKI) Prepared: 07/25/2017 14:00 Analyzed: 07/25/2017 14:00
Spike Source '/a REC RPD
Anal vte Re,u Elan E01 units Level Result %REC Limits RPD Limit Notes
Nitrite as N 0.017 U 0.10 mg/L
LCS (7G25020-BS1) Prepared: 07/25/2017 13:49 Analyzed: 07/25/2017 13:49
Spike Source ^/eREC
RPD
.Anallde Result
Elan
POL
Snits
Level Re u %REC Limlt4 RPD
Limit Notes
Nitrite as N 0.97
0.10
mg/L
1.00 97 90-110
Matrix Spike (7G25020-MS1)
Prepared: 07/25/201714:01 Analyzed: 07/25/2017 14:01
Source: CA10365-0I
Spike Source %REC
RPD
Anal vte Result
Elm
PQL
Units
Level Result %REC Limi RPD
Limit Notes
Nddte as N 0.95
0.10
mg/L
1.00 0.017 U 95 90410
Matra Spike Dup (7G25020-MSD1)
Prepared: 07/25/2017 14:07 Anotped: 07/25/2017 14:07
Source: CA1036S-01
Spike Source %REC
RPD
An,[ Result
Flan
291
Units
Level ResuR %REC Limilts RPD
limit Notes
Nitrite as N 0.96
0.10
mg/L
1.00 0.017 U 96 90-110 1
10
Batch 7G25036 - NO PREP
Blank (7G25036-BLKI) Prepared: 07/251201717:04 Analyzed: 070/2017 17:04
Spike Source %REC RPD
Aoali6e Result flag POL Units Level ggu(( %REC Lart jlf RPD U0111; Notes
Orthophosphate as P 0.16 U 0.50 mg/L
LCS (7G25036-BSI) Prepared B Analyzed: 07/25/2017 17:04
Spike Source %REC RPD
AnalResult Flag P91 Units Level Resale %REC Limits RPD uIDR Notes
Orthophosphate as P 4.8 0.50 mg/L 5.00 96 90-110
LCS (7G25036-BS2) Prepared: 07/25/201717:12 Analyzed: 07/25/2017 17:12
Spike Source %REC
RPD
.Analxle ResuR Elan
P"
units
Level ResuR %REC Limits RPD
Limit Notes
Orthophosphate as P 4.9
0.50
mg/L
5.D0 97 9D-110
Matra Spike (7G25036-MSI)
Prepared: 07/25/2017 17:05 Analyzed: 07/25/2017 17:05
Source: CA09968-01
Spike Source %REC
RPD
Anal Yte Result Flaa
Pat
Units
Level Result %REC Limits RPD
Limit Notes
Orthophosphate as P 1.9
0.50
mg/L
2.00 0.16 U 97 90-110
Matrix Spike Dup (7G25036-MSD3)
Prepared: 07/25/201717:07 Analyzed: 07/2.5/201717:07
Source: CA09968-01
Analvte
Orthophosphate as P
Batch 7627014 - NO PREP
Spike Source %REC
RcsuR Ela9 NIL Uni Level Resuit %REC Limits RPD
1.9 0.50 mg/L 2.00 0.16 ❑ 97 9D110 0.4
RPD
landt Notes
10
FINAL TNs report relates anN to the sample as receieed by the labaatcey, and may onty tit reproduced in null. I Page 6

wv✓w.encolahs.com
QUALITY CONTROL DATA
Classical Chemistry Parameters - Quality Control
Batch 7627014 - NO PREP - Continued
Blank (7G27014-BLKI) Prepared & Analyzed: 07/27/2017 13:55
Spike Source %REC RPD
Arid Result flag PQL units Level Resul[ a/a REC Limits RPD Limit Notes
Total Dissolved Solids 50 U so mg/L
LCS (7G27014-851) Prepared & Analyzed: 07/27/201713:55
Spike Source %REC
RPD
Anal wte
Result Jag EM
undu
Level Result %REC Limits RPD
i i Notes
Total Dissolved Solids
930 50
mg/L
1000 93 90-110
Duplicate (7G27014-DUPI)
Prepared & Analyzed: 07/27/2017 13:55
Source: CA09075-01
Spike Source %REC
RPD
AnAbde
Resuk Jag PD1
Malta
Level ResuR %REC Limits RPD
lillift Notes
Total Dissolved Solids
1800 100
mg/L
1800 0.2
20
Batch 7631025 - NO PREP
Blank (7631025-BLKI) Prepared & Analyzed: 07/31/2017 13:30
Spike Source %REC RPD
Analvte Result Jag Pot Units Level Result -AREC ILmits RPD Limit Notes
Total Suspended Solids 2.5 U 2.5 mg/L
LCS (7631025-BSI) Prepared & Analyzed: 07/31/2017 13:30
Spike Source a/aREC
RPD
Anal YLC
Result Dag
P-4L
units
Lewd Result %REC Limits
RPD
Limit Notes
Total Suspended Solids
100
2.5
mg/L
100 104 80-120
Duplicate (7G31025-DUPI)
Prepared & Analyzed: 07/31/2017 13:30
Source: CA01317-01
Spike Source %REC
RPD
Anal vte
Result Jag
COL
Units
Level Result ^/DREG Limits
RPD
Limit Notes
Total Suspended Solids
260
50
mg/L
270
5
20
Duplicate (7G31025-DUP2)
Prepared & Analyzed: 07/311201713:30
Source: CA08097-01
Spike Source %REC
RPD
Analvte
ResuS Jag
POL
units
Level Result %REC Limits
RPD
Limit Notes
Total Suspended Solids
760
100
mg/L
830
10
20
Batch 7HO4015 - NO PREP
Blank (71-104015-BLKI)
Prepared: 08/04/2017 11:46 Analyzed: 08/04/2017 11:46
Spike Source %REC RPD
Analyte Result Jag CQL units Level Result %REC Liml RPD Limit Note
Nitrate/Nitrite as N 0.075 I 0.10 mg/L
LCS (7H04015-13SI) Prepared: 08/04/201711:48 Analyzed: 08/04/201711:48
Spike Source %REC RPD
Anal yte Result Jag POL Urdu Level Result %REC Limits RPD Unit Notes
Nitrate/Nitrite as N 1.3 B 0.10 mg/L L25 103 90-110
FINAL This report relaM only to the sample as received by the laboratory, arb may only he reproducM in full. Page 7 of 12

lw
F==�ci�
www.encolahs.com
QUALITY CONTROL DATA
Classical Chemistry Parameters - Quality Control
Batch 7H04015 - NO PREP - Continued
Matrix Spike (7HO4015-MS3)
Prepared: 08/04/2017 11:50 Analyzed: 08/04/201711:50
Source: CA01317-02
Spike Source %REC
RPD
A..na1124
Result
Eld9
1101
units
Level Result %REC Limits RPD
Limit Notes
Nitrate/Nmite as N
26
B
2.0
mg/L
30.0 17 87 90-110
QM-07
Matra Spike (7H04015-MS2)
Prepared: 08/04/201711:59 Analyzed: 08/04/201711:59
Source: CA09062-01
Spike Source ^/.REC
RPD
Anal Y14
Result
Eiap
WL
units
Level Result ^/eREC Limits RPD
limit Notes
Nitrate/Nitrite as N
0.57
B
0.10
mg/L
0.521 0.060 97 90-110
Matrix Spike Dup (7H04015-MSDI)
Prepared: 08/04/2017 11:54 Analyzed: 08/04/2017 11:54
Source: CA01317-02
Spike Source %REC
RPD
Anal vte
Rest@
Fin
P"
units
Level Result %REC Limits RPD
Limit Notes
Nitrate/Nitrite as N
26
B
2.0
mg/L
10.0 17 89 90-110 0.8
10 QM-07
Batch 7H07037 - NO PREP
Blank (7H07037-BLKI)
Prepared: 08/07/2017 17:43 Analyzed: 08/07/2017 17:43
Spike Source %REC RPD
.Analvle R05ult Elam PSl1 uniLs Level Result %REC Limits RPD Limit Notes
Ammonia as N 0.045 U 0.10 mg/L
LCS (7H07037-BSI) Prepared: 08/07/2017 17:45 Analyzed: 08/07/2017 17:45
Spike Source %REC
RPD
Anal vte
Result
Elan
PQL
units
Level Result %REC Limits RPD
Limit Notes
Ammonia as N
1.1
0.10
mg/L
0.989 110 90-I10
Matrix Spike (7H07037-MSI)
Prepared: 08/07/2017 1747 Analyzed: 08/07/2017 17:47
Source: CA01317-02
Spike Source ^/.REC
RPD
Anal yte
Result
Flag
POLL
units
Level Result ^/.REC Limits RPD
Limit Notes
Ammonia as N
0.39
0.10
mg/L
0.385 0.045 U 101 90-110
Matrix Spike (71-107037-MS2)
Prepared: 08/07/2017 18:00 Analyzed: 08/07/2017 18:00
Source: CA09062-01
Spike Source %REC
RPD
Anal v[e
Result
Elan
PQL
units
Level Result ^/.REC Liml RPD
kimrt Notes
Ammonia as N
4.0
1.0
mg/L
3.96 0.45 U 101 90-110
Matrix Spike Dup (7H07037-MSDI)
Prepared: 08/07/2017 17:52 Analyzed: 08/07/2017 17:52
Source: CA01317-02
Spike Source %REC
RPD
Anal Yte
R4su
Flag
P91
units
Level Result °/.REC Limits RPD
Limit Notes
Ammonia as N
0.39
0.10
mg/L
0.385 0.045 U 102 90-110 1
..
Batch 7H0O014 - NO PREP
Blank (7H08014-BLK1) Prepared: 08/08/2017 10:46 Analyzed: 08/08/2017 30:46
Spike Source °/.REC RPD
Ana(v(S Resu)L Ela.O PQL Uni Level ResuR %REC Limits RPD Limit Notes
Chloride 1.9 U 5.0 mg/L
HNAL T N report relates mN to me sample as reomW 6y the weoramry, am may onN 6e reproduced in full. Page 8 Of 12

:s
EIVC(0)
www.encolabs.com
QUALITY CONTROL DATA
Classical Chemistry Parameters - Quality Control
Batch 7NO8014 - NO PREP - Continued
LCS (7108014-BSI) Prepared: 08/08/201710:47 Analyzed: 08/08/2017 10:47
Spike Source %REC
RPD
.An.]
Flew
Ela9
PUL
Units
Level Result ^7.REC Limits RPD
Limh Notes
Chloride
99
5.0
mg/L
100 99 80-120
Duplicate (71-108014-OUP1)
Prepared: 08/081201710:49 Analyzed: 08/081201710:49
Source: CA09968-01
Spike Source %REC
RPD
Anal lQe
Result
EJao
CQL
Units
Level Result %REC Limits RPD
Limit Notes
Chloride
6.7
5.0
mg/L
7.1 6
10
Matrix Spike (7H08014-MS1)
Prepared & Analyzed: 08/08/2017 10:48
Source: CA09964-01
Spike Source %REC
RPD
Anal vte
RCSUR
Elm
Q
UnAis
Level Result %REC Limits RPD
Limit Notes
Chloride
350
25
mg/L
200 160 96 80-120
Matrix Spike Dup (7H08014-MSDI)
Prepared: 08/08/2017 10:49 Analyzed: 08/08/201710:49
Source: CAU9964-02
Spike Source %REC
RPD
Analvte
Result
Flag
COL
units
Level Resul[ ^/eREC Limits RPD
Limit Notes
Chloride
340
25
mg/L
200 160 91 80-120 3
25
Classical Chemistry Parameters - Quality Control
Batch 7631038 - NO PREP
Blank (7G31038-BLKI)
Prepared: 08/01/2017 13:28 Analyzed: 08/01/2017 14:05
Spike Source %REC RPD
Analxte RCSRlt San POL units Level Result %REC Limits RPD Limit Notes
Total Organic Carbon 0.34 U 1.0 mg/L
LCS (7G31038-BSI) Prepared: 08/01/2017 13:28 Analyzed: 08/01/2017 14:05
Spike Source %REC
RPD
Anal vte
Result
Ela9
COL
Units
Level ResuR %REC Limits RPD
1.191ji Notes
Total Organic Carbon
42
1.0
mg/L
40.0 105 85-115
Matrix Spike (7G31038-MSI)
Prepared: 08/01/2017 13:28 Analyzed: 08/01/2017 14:05
Source: CA09968-01
Spike Source %REC
RPD
Anal Yte
Result
Elm
POL
Units
Level Ratio a7uREC Limits RPD
Limit; Notes
Total Organic Carbon
44
1.0
mg/L
40.0 1.6 107 85-115
Matrix Spike Dup (7G31038-MSD1)
Prepared: 08/01/2017 13:28 Analyzed: 08/01/2017 14:05
Source: CA09968-01
Spike Source %REC
RPD
Anal Yti
Result
Fta9
POI
Urns
Level Resuk %REC Limits RPD
Limit Notes
Total Organic Carbon
43
1.0
mg/L
40.0 1.6 103 85-115 4
21
nNAL This report relates only W the sample as received by the 1a6oratory, and may only 6e reproduce in full. I Page 9 Of Z

s
FLAGS/NOTES AND DEFINITIONS
CV
www.enawlabs.com
B The analyte was detected in the associated method blank.
D The sample was analyzed at dilution.
7 The reported value is between the laboratory method detection limit (MDQ and the laboratory method
reporting limit (MRL), adjusted for actual sample preparation data and moisture content, where applicable.
U The analyte was analyzed for but not detected to the level shown, adjusted for actual sample preparation
data and moisture content, where applicable.
E The concentration Indicated for this analyte is an estimated value above the calibration range of the
instrument. This value is considered an estimate.
MRL Method Reporting Limit. The MRL is roughly equivalent to the practical quantitation limit (PQL) and is
based on the low point of the calibration curve, when applicable, sample preparation factor, dilution
factor, and, in the case of soil samples, moisture content.
PQL PQL: Practical Quantitation Limit.
N The analysis indicates the presence of an analyte for which there is presumptive evidence (85% or greater
confidence) to make a "tentative identification".
P Greater than 25% concentration difference was observed between the primary and secondary GC column.
The lower concentration is reported.
3-01 Result may be biased high due to positive results in the associated method blank.
QM-07 The spike recovery was outside acceptance limits for the MS and/or MSD. The batch was
accepted based on acceptable LCS recovery.
nNAL rnis report relates mly to the sample as reoewed by the iaemamry, aM may mN be reproduced in full. Page 10 of 12

ENVIRONMENTAL CONSERVATION LABORATORIES CHAIN -OF -CUSTODY RECORD
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t4co'Cary
Work Order
CA09966
Project
Cdy of Roxboro - March July
Chent
Atiantic Environmental Assoctates (AT025)
Project #
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Logged In
25-Jul-17 1£ 03
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CA09966-01
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Page 12 of 12
ege o 1

Robertson, Laura R.
From: Robertson, Laura R.
Sent: Wednesday, November 30, 2016 9:42 AM
To: 'Arnold Oakley'
Subject: RE: Flow Meter
Hi Arnold,
The RRO recommends either recording the flow meter as is, or not recording the data at all, with a note of why the data
are incorrect. Do not guesstimate the flow, as that is falsifying the data (even if your estimate's accuracy is closer than
your current meter).
Thanks for keeping us posted.
Thanks,
Laura
Laura R. Robertson, L.G.
Hydrogeologist
Water Quality Regional Operations Section
Division of Water Resources
Department of Environmental Quality
919 791 4247 office
919 788 7159 fax
laura robertson(@ncdenr.gov
3800 Barrett Drive, Raleigh, NC 27609
1628 Mail Service Center, Raleigh, INC 27699-1628
-- Nothing Compares..,._
Email correspondence to and from this address is subject to the North Carolina Public Records Law and may be disclosed
to third parties.
From: Arnold Oakley[mailto:[e-mail]]
Sent: Tuesday, November 29, 2016 9:36 AM
To: Robertson, Laura R. <[e-mail]>
Subject: Flow Meter
Laura
Our NPDES permit # NC 0003042 is asking for a effluent flow recording. We are in the process of getting another flow
meter. We know the one we have now is giving us a incorrect reading. While the flow meter is out will we be in
noncompliant? We can give a guesstimated number that is closer than the meter and this number was accepted for a
long period of time before the effluent flow meter was installed.
Thanks Arnold

From: Robertson, Laura R.
Sent: Wednesday, November 09, 2016 3:37 PM
To: Wojcik, Meredith L <Meredith.Woicik(@ncdenr.eov>
Subject: Roxboro WWTP October data issues
Hi Meredith,
I received a call from Arnold Oakley last week and two this week concerning some data issues at the Roxboro WTP,
permit NC0003042. He said he left you a voicemail today as well.
On 11/4 he let me know that their flow meter to record effluent discharge was not recording the correct values. He
called the manufacturer and the installers to come out and fix the problem, because the equipment had been calibrated
properly.
On 11/7 he called me again and said the installers were supposed to come out and fix the flow meter on 11/8.
On 11/9, Arnold reported that he just realized TSS was over their limit on October 201", but was fine again on the 211.
He's not had this problem before or since, so he can't explain the spike.
If you'd like to reach him, his contact office phone is 336-599-2785.
I will include this info in their file.
Thanks,
Laura
Laura R. Robertson, L.G.
Hydrogeologist
Water Quality Regional Operations Section
Division of Water Resources
Department of Environmental Quality
919 791 4247 office
919 788 7159 fax
I a u ra. robertson Cu) ncdenr.gov
3800 Barrett Drive, Raleigh, NC 27609
1628 Mail Service Center, Raleigh, NC 27699-1628
�Nothtng Compares
Email correspondence to and from this address is subject to the North Carolina Public Records Law and may be disclosed
to third parties.

Robertson, Laura R.
From: Wojcik, Meredith L
Sent: Thursday, November 10, 2016 9:24 AM
To: Robertson, Laura R.
Subject: RE: Roxboro WTP October data issues
Hi Laura,
I looked into the permit a little more this morning, and it looks like it has not yet expired, but I will probably begin
working on the permit renewal shortly. Please let me know if Raleigh has any concerns about the permit renewal.
If Mr. Oakley is interested in getting remissions for those violations, the person he should contact in the Central Office is
Joe Corporon, the RRO contact. His phone number is 919-807-6394. It's possible that Mr. Oakley already contacted Joe
or someone else here though, as he did not leave any voicemail for me.
Hope that helps,
Meredith
From: Robertson, Laura R.
Sent: Wednesday, November 09, 2016 4:24 PM
To: Wojcik, Meredith L <[e-mail]>
Subject: RE: Roxboro WTP October data issues
Sorry, I really wasn't sure who to relay the information to and I found you in BIMS
It's the WTP, not the W WTP as I wrote in the subject.
I'm not sure who our RRO inspector is, but the info is now in the file!
Thanks,
Laura
From: Wojcik, Meredith L
Sent: Wednesday, November 09, 2016 3:48 PM
To: Robertson, Laura R. <laura robertson2ncdenr.gov>
Subject: RE: Roxboro WWTP October data issues
Hi Laura,
I have not received any calls from Arnold Oakley or voice mails. I was not aware of this permit, although I see in BIMS
that it has been assigned to me as a reviewer. I will inquire more about it.
Thank you for sending along this information.
Meredith

GW-59A COMPLIANCE REPORT FORM Permit #Z2L63Oy2
(Submit one each monitoring period with GW 59 forms.)
I IInter date monitoring results were due. ( Y- r--b1S) Will this monitoring report (GW-59 and GW-59A) YES NO
be submitted after the established due date?
Z
Was any required information missing on the GW-59 report forms?
YES
No
IF the answer to question f or 2 is "YES", list in the space provided below the well identification numbers) and
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.)? Ijthe answer is "}'er", contact doe Regional Ofcejorguidance.
4
Are any monitored constituents equal to or above the established standards?
YES
Wd
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 concentrations)
exceeding standards in the space provided below:
5
For the constituents identified in question 4 above, have standards been exceeded previously for the
YES
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).
6
Are the monitoring wells listed in section 5 located at or beyond the review boundary?
YES
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
YES
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.
-'
v
m
r�
g
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
r
�=
I hereby acknowledge that the above Information was evaluated and the information submiffed In this } ? o
report (Compliance Report GW-59A) is true and complete to the best of my knowledge
Signature of Permittee (or Authorized Agent) Date

Atlantic Environmental Associates
40 Monitor Well Field Data
Client: ' �XSary Well ID:
Volume Conversion Factors: 2" = 0.1631 3" = 0.367 4' 4" = 0.6524 5" = 1.0194
Comments:
0

ROUNDWATER QUALITY MONITORING:
PLIANCE REPORT FORM
FACILITY INFORMATION Please Print Clearly or Type
Facility Name: Roxboro Water Treatment Plant
Permit Name (if different): Water Treatment Plant Facility
Facility Address: 1699 Chub Lake Road
Roxboro, NC 27573 CountyPerson
Contact Person :Arnold Oakley Telephone #:[phone]
Well Location/ Site Name:)REj__FaciIIfj No. of Wells to be Sampled: 3
Well Identification Number (from Permit): 1 For Groundwater Treatment Systems
Well Depth: 65 ft. Well Diameter 2 in. check One:
Screened Interval: ft, to ff. a Influent (98)
Depth to Water Level : 15 ft. below measuring point. Efflunt (99)
Measuring Point is 2 ft.above land surface.
Gallons of water pumped/bailed before sampling : 24.6 gallons
Field analysis : pH 7.1 Specific Conductance uMhos
Temp. 15.6 "C, Odor NONE Appearance Clear
were
:R QUALITY DIVISION. GROUNDWATER SECTION
MAIL SERVICE CENTER
IGH, NC 27626.0578 Phone: [phone]
lit# NC 0003042 Expn
- Discharge
:D OPERATION BEING MONITORED
Remediation: Infiltration Gallery
ay Field Remediation
Distributor Land Application of Sludge
NOTE: Values should reflect dissolved and
colloidal concentrations.
Date sample collected 3/18115 Date sample analyzed:3/18 - 3/30/2016
Laboratory Name: ENCO
Certification No. NC Certified rNIC 5911
Nitrite (NO2) as N <0.017 mg/I Ni - Nickel mg/I
Coliform: MF Fecal /100ml Nitrate (NO3) as N 0.22 mgA Pb - Lead mgA
Coliform: MF
(Note: Use MPN method for highly turbid samples)
Dissolved Solids: Total 90
mg/I
pH (when analyzed) 7.1
units
TOC .69
mg/I
Chloride 6.1
mg/I
Arsenic
mg/
Grease and Oils
moA
Sulfate
mgA
Specific Conductance
uMhos
Total Ammonia
_mg/I
TKN as N — — _
_ mg/I
Phosphorus: Total as P
mgA
Orthohosphate <0.16
mg/I
Al - Aluminum
mg/I
Be - Barium
mgA
Ca - Calium
mg/I
Cd - Cadmium
mgA
Chromium: Total
mg/I
Cu - Copper
mg/I
Fe - Iron
mgA
Hg - Mercury
mg/I
K - Potassium
mgA
Mg - Magnesium
mg/I
Mn - Manganese
mgA
s' ' na §i<lii'ri'IJorth'Cnrnl na'P7Vl''h"(timne
kind in1 n:wnmrot for 1,nowin" 1iuhd
Zn - Zinc mgA
Ammonia Nitrogen <0.045 mg/l
Other (Specify Compounds and Concentration Units)
Total Suspended Solids 2.0 mall
ORGANICS: (GC,GC,/MS,HPLC)
(Specify test and method#. Attach lab report.)
Report Attached? Yes x No_(0)
VOC : method # =
method #
method # _
Thomas S. Warren Jr. Assistant City Manager
EEMillee titr Authyrize(I Agent) Name and Title - Please print or type
Signture of Permittee (or Authorized Agent)

su
Atlantic Environmental Associates
Ib Monitor Well Field Data
r:
Client: ' Yo X�'O✓13 Well ID:
Measurement Time: IStick Up: 12
Measurement Date: / Depth To Water: Zy
Concrete Seal? vo f Wen I I c
Method:
MI
�r Height In Well:
Diameter: 2 '
Volume:
Volume Conversion Factors: 2" = 0.1631 3" = 0.367 4' 4' = 0.6524 5" = 1.0194
Date OSamtin Condu
ctivity:
Tmem Odor:
RArh�rno hh• �., i ..
Temperature: /,j• 7 0 Z- Sample Field Filtered?
Comments:

R QUALITY MONITORING:
COMPLIANCE REPORT FORM
FACILITY INFORMATION Please Print Clearly or Type
Facility Name: Roxboro Water Treatment Plant
Permit Name (if different): Water Treatment Plant Facility
Facility Address: 1599 Chub Lake Road
Roxboro, NC 27573 County Person
Contact Person :Arnold Oakley Telephone #[phone] - 4906
Well Location/ Site Name:WPT Facility No. of Walls to be Samoled: 3
Well Depth: 85 ft. Well Diameter 2 in. check One:
Screened Interval: ft. to ft x Influent (98)
Depth to Water Level 14 ft. below measuring point 8 Efflunt (99)
Measuring Point is 2 ft above land surface.
Gallons of water pumped/bailed before sampling : 34.8 gallons
Field analysis: pH 7.3 Specific Conductance uMhos
Temp. 14.7'C, Odor NONE Appearance Clear
ER QUALITY DIVISION, GROUNDWATER SECTION
MAIL SERVICE CENTER
IIGH, NC 27626.0578 Phone: [phone]
Permit # NC 0003042 Expir
Non - Discharge
'ERMITTED OPERATION BEING MONITORED
agoon Remediation: Infiltration Gallery
ay Field Remediation
Distributor Land Application of Sludge
NOTE: Values should reflect dissolved and
colloidal concentrations.
Date sample collected 3/18/16 Date sample analyzed: 3/18 - 3/30/2015
Laboratory Name ENCO
Certification No. NC Certified rNC5911
VAKAIME I EK5 (samples for metals were collected untutered YE5 NO and field acidified YES_ NO_)
COD mg/I Nitrite (NO2 ) as N <0.017 mg/I Ni - Nickel mg/I
Coliform: MF Fecal
Coliform: MF Total /100ml
(Note: Use MPN method for highly turbid samples)
Dissolved Solids: Total 160 mg/I
pH (when analyzed) 7.1 units
TOC 0.70 mg/I
Chloride 3.3 mg/I
Arsenic mg/I
Grease and Oils m04
Sulfate
mg/I
Specific Conductance
uMhos
Total Ammonia
mg/I
TKN as N_
_ mq/I
Nitrate (NO3) as N 0.55
mg/I
Phosphorus: Total as P
mg/I
Orthohosphate <0.16
mg/I
Al - Aluminum
mgA
Be - Barium
mg/I
Ca - Calium
mg/I
Cd - Cadmium
mg/I
Chromium: Total
ri
Cu - Copper
mg/I
Fe - Iron_
Hg - Mercury
K - Potassium mg/I
Mg - Magnesium mg/I
Mn - Manganese mg/I
Pb - Lead mg/I
Zn - Zinc mg/I
Ammonia Nitrogen <0.045 ri
Other (Specify Compounds and Concentration Units)
Total Suspended Solids <1.0 mall
ORGANICS: (GC,GC,/MS,HPLC)
(Specify test and method#. Attach lab report.)
Report Attached? Yes x No_(0)
VOC method # =
method # =
method # =
Thomas S. Warren Jr. Assistant City Manager
Pe (or uthori d 4gent) Name and Title - Please print or type
,�. _L
Signture of Permittee (or Authorized Agent)

Atlantic Environmental Associates
0 Monitor Well Field Data
Volume Conversion Factors: 2" = 0.1631 3" = 0.367 4' 4' = 0.6524 5" = 1.0194
Comments:
0
L

TER QUALITY MONITORING:
E REPORT FORM
FACILITY INFORMATION Please Print Clearly or Type
Facility Name: Roxboro Water Treatment Plant
Permit Name (if different): Water Treatment Plant Facility
Facility Address: 1599 Chub Lake Road
Roxboro, NC 27573 County Person
Contact Person :Arnold Oakley Telephone #:(336)599 - 4906
Well Location/ Site Name:WPT Facilitv No. of Wells to be Samoled: 3
vven meminoaeOn rvumoer Irrom rermn): J For Groundwater Treatment Systems
Well Depth: 125 ft. Well Diameter 2 in. check One:
Screened Interval: ft. to ft. x Influent (98)
Depth to Water Level : 29.5 ftbelow measuring point B Efflunt (99)
Measuring Point is 2' above land surface.
Gallons of water pumped/bailed before sampling : 46.8 gallons
Field analysis : pH 7.1 Specific Conductance uMhos
Temp. 14.YC, Odor NONE Appearance Clear
were
Coliform: MF Fecal
Coliform: MF Total /100ml
(Note: Use MPN method for highly turbid samples)
Dissolved Solids: Total 120
mgA
pH (when analyzed) 7.1
units
TOC 1.3
mg/I
Chloride 2.4
mgA
Arsenic
mgA
Grease and Oils
mg/I
Sulfate
mg/I
Specific Conductance
uMhos
Total Ammonia
mg/I
TKN as N
mg/I
VATER QUALITY DIVISION, GROUNDWATER SECTION
636 MAIL SERVICE CENTER
ALEIGH, NC 27626.0578 Phone: [phone]
- Discharge UIC
'ERMITTED OPERATION BEING MONITORED
agoon Remediation: Infiltration Gallery
ay Field Remediation
Distributor Land Application of Sludge
NOTE: Values should reflect dissolved and
colloidal concentrations.
Date sample collected 3/18 Date sample analyzed:3/18-3130/2015
Laboratory Name: ENCO
Certification No. NC Certified rNC 591
Nitrite (NO2) as N
<0.017 mg/I
Nitrate (NO3) as N
<0.025 mgA
Phosphorus: Total as P
mgA
Orthohosphate
mg/I
Al - Aluminum
mgA
Be - Barium
mgA
Ca - Calium
mg/I
Cd - Cadmium
mg/I
Chromium: Total
mgA
Cu - Copper
mg/I
Fe - Iron
mgA
Hg - Mercury
mg/I
K - Potassium
mg/I
Mg - Magnesium
mg/I
Mn - Manganese
mg/I
Jr.
Ni - Nickel mg/I
Pb - Lead mgA
Zn - Zinc mg/I
Ammonia Nitrogen <0.045 mg/I
Other (Specify Compounds and Concentration Units)
Total Suspended Solids <1.0 mgl
ORGANICS: (GC,GC,/MS,HPLC)
(Specify test and method#. Attach lab report.)
Report Attached? Yes x No_(0)
vOC method # _
method # _
Signture of Permittee (or Authorized Agent)
method # = _
ortype

www.encolabs.cum
ANALYTICAL RESULTS
Description: MW-1 Lab Sample ID:C502395-01 Received: 03/18/15 16:08
Matrix: Water Sampled:03/18/1512:00 Work Order: C502395
Project: City of Roxboro - March,luly Sampled By: Ryan Smith
Chemistry Parameters
Analvte rCAS Numberl
Results Flag
units
pE
MOL
J!"
Batch
Method
A
-alrne
J3x Notes
Ammonia as N [766441-7]A
< 0.045
m9/1-
1
C.D45
0.10
SC25003
EPA 350.1
03/25/15 09:35
SHA
Chloride [16887-00-6]A
6.1
mg/L
1
1.9
5.0
SC20002
SM 45WO E-1997
03120/1510:04
SHA
Nitrate as N [14797-55-81^
0.22
mg/L
1
0.025
0.10
SC24023
EPA 353.2
03/2411513:34
SHA
Nitrate/Nitrite as NA
0.22
mg/L
1
0.041
0.10
SC19003
EPA 353.2
03/19/15 11:25
SHA
Nitrite as N [14797-65-O]A
< 0.017
mg/L
1
0.017
0.10
SC18023
EPA 353.2
03/18/15 16:43
AIB
Orthophosphate as P [1426-5442]^
< 0.16
mg/L
1
0.16
O.SO
SC18025
EPA 365.1
03/18/15 17:04
AIB
Total Dissolved Solids-
90
mill
1
10
10
5C23002
SM 254DC-1997
03/23/15 12:31
MMR
Total Suspended Solids-
2.0
mg/L
1
1.0
1.0
SC23004
SM 2SIOD-1997
03/23/15 D9:10
MMR
Classical Chemistry Parameters
^- ENCO OrlaMo cerdred amhte INC 424]
Analyte rCAS Numherl Results Flag 11pjy4 PE MID-L POL Batch Method Analyzed By NoMs
Total Organic Carbon- 0.59 ] mg/L 1 0.31 1.0 500009 SM 531OB-2000 03/30/1513:10 RSA
Description: MW-2 Lab Sample ID:C502395-02 Received: 03/18/1516:08
Matrix: Water Sampled: 03/18/15 13:30 Work Order. CSD2395
Project: City of Roxboro - March,3uly Sampled By: Ryan Smith
Chemistry Parameters
^ - ENCO Cary certified a -Me INC 5911
Analvte rCAS Numberl
Results Flao
Units
PF
MDL
P-Qj
Batch
Method e h od
nal
By Notes
Ammonia as N [7664-41-7]^
< 0.045
mg/L
1
0.D45
0.10
SC25003
EPA 350.1
03/25/15 D9:38
SHA
Chloride [16887-00-6]-
3.3 1
mg/L
1
1.9
5.0
5C20002
SM 45000 E-1997
03/20/15 10:05
SHA
Nitrate as N [14797-55-8]-
0.55
mg/L
1
0.025
0.10
SC24023
EPA 353.2
03/24/15 13:34
SHA
Nitrate/Nitrite as N^
0.55
mg/L
1
0.041
0.10
5C19003
EPA 353.2
03/19/1511:26
SHA
Nitrite as N [14797-65.0]A
< 0.017
mg/L
1
0.017
0.10
508023
EPA 353.2
03/18/15 16:47
AIS
Orthophosphate as P [1426-5442]^
-0.16
mill
1
0.16
0.50
SC18025
EPA 365.1
03/18/15 17:06
AIE
Total Dissolved Solids-
160
mg/L
1
10
10
SC23002
SM 254OC-1997
03f23/15 12:31
MMR
Total Suspended Solids^
< 1.0
mg/L
1
1.0
1.0
SC23004
SM 2540D-1997
03%23/15 09:10
MMR
Classical Chemistry Parameters
Analvte rCAS Numberl
Total Organic Carbon A
Results Had Units flE KPLL POL Batch Method Anannuad By Notes
0.70 1 mg/L 1 0.34 1.0 500009 SM 5330B-2000 03/30/1513:10 RSA
FINAL
This report relates only to the sample as received by the Wxmvory, aM may only be relooduced in lull.
Pape 4 of 1 i

ANALYTICAL RESULTS
Description: MW-3 Lab Sample ID:C502395-03
Matrix: Water Sampled:03/18/1515:00
Project: City of Roxboro - March,July Sampled By:Ryan Smith
Classical Chemistry Parameters
www.encolabs.com
Received: 03/18/1516:08
Work Order: C502395
Analvte 1CAS Numberl
Results flag
units
DF
HP4
POL
Batch
Method
Analyzed
py Notes
Ammonia as N [7664-41-7]^
< 0.045
mg/L
1
0.045
0.10
5C25003
EPA 350.1
03/25/15 09:40
SHA
Chloride [16887-00-6]A
2.4 3
mg/1-
1
1.9
5.0
SC20002
SM 45DDO E-1997
03/20/15 10:06
SHA
Nitrate as N [14797-55-8]A
< 0.025
mg/L
1
0.025
0.10
5C24023
EPA 3S3.2
03/24/15 13:34
SHA
Nitrate/Nitrite as N^
< 0.041
mg/L
1
0.041
0.10
SC19003
EPA 353.2
03/19/15 11:27
SHA
Nitrite as N [14797-65-O]^
< 0.017
mg/L
1
0.017
0.10
5C18023
EPA 353.2
03/18/15 16:49
AM
Orthophosphate as P [1426-5"2]^
< 0.16
mg/L
1
0.16
0.50
SCIS025
EPA 365.1
03/18/15 17:07
AM
Total Dissolved SolidsA
120
mg/1-
1
10
10
SC23002
SM 254OC-1997
03123/1512:31
MMR
Total Suspended Solids^
< 1.0
mg/1-
1
1.0
1.0
5C23004
SM 2540D-1997
03/23/15 09:10
MMR
Classical Chemistry Parameters
A - ENCO Orlando ce
Analyte ICAS Numberl
Total Organic Carbon^
Results flag Units DF KU Ef L Batch Method Analyzed By Notes
1.3 mg/L 1 0.34 1.0 500009 SM 531OB-2000 03/30/15 13:10 RSA
FINn This report relates only to mae sample as received by the laboratory, and may only be reprodua.E In full.
Page Sol 11