WQ0002857_Monitoring - 10-2016_20161020 (2)

SUBMIT FORM ON YELLOW PAPER ONLY
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L
I certify that, to the best of my knowledge and belief, the information submitted in this report is true, accurate, and complete, and t e I
DWQ-certified laboratory. I am aware that there are significant penalties for submitting false information, including the possibili of fines
James M. Cheshire
Permittee (or Authorized Agent) Name and Tdle - Please print or type
GW -59 Rev. 2/2010
Effluent Total VOCs: mg/L VOC Removal%
cry analytical data was produced using approved methods of analysis by a
3risonmentdopknowdiic violations.
Agent)
(C) —14--1
Mail original
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
and 'I Copy to:
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: W00002857 Expiration Date: March 31, 2021
Facility Name: Piedmont Custom Meats WWTF
l l r T 9,A 2019,
Non -Discharge UIC
Permit Name (if different):
NPDES Other
Facility Address: 9683 Kerr's Chapel Road
TYPE OF PERMITTED OPERATION BEING MONITORED
Gibsonville NC
27249
_ County Caswell
©Lagoon ❑ Remediation: Infiltration Gallery
c,c) (Srafel
i p)
© Spray Field ❑ Remediation:
Contact Person: Larry Moore
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name:
No. of wells to be sampled:
2
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MWA
Date sample collected:
10/6/2016 FIELD ANALYSES:
WAS
Well Depth: 36.88 ft.
Well Diameter:
in. pH 00400: 6.26 units Temp. 000lo: 16.9 °C
DRY at
Depth to Water Level 82546: 14.31 ft. below measuring point
Screened Interval:
ft. to ft. Spec. Cond. 00094: 610 µMhos
time of
sampling,
Measuring Point is ft. above land surface
Relative M.P. Elevation:
ft. Odor 000s5:
check
Volume of water pumped/bailed before sampling:
4.25 -Dry
gallons
Appearance
here: ❑
Samples for metals were collected unfiltered: ❑
YES ❑
NO and field acidified: ❑ YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed: 10/06-10/14-16
Laboratory Name: Research
& Analytical Laboratories, Inc Certification No. 34
PARAMETERS NOTE- Values should reflect dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 0o615
mg/L Pb - Lead oio5i ug/L
Coliform: MF Fecal 31616 1
/100mL
Nitrate (NO3) as N 00620 20.2 mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL Phosphorus: Total as P 00665
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
r -
mg/L Other (Specify Compou' a 'd Concentration
Dissolved Solids:Total 70300 438
mg/L
Al - Aluminum oil o5
_ _Units):
mg/L i `�--- i ' '
pH (Lab) 00403 6.26
units
Be - Barium 01007
ug/L OCT
TOC oo68o <1.0
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 72.4
mg/L
Cd - Cadmium 01027
ug/L 164400 s,; -:c not,
Arsenic 01002
ug/L
Chromium: Total 01034
ug/L r P 7GFSSIAIr I rn n?
TT
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg/L ORGANICS: (by GC; GC/MS, HPLC)
Phenol 32730
ug'L
Fe - Iron 01045
ug/L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945 <10
mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? Dd Yes (1) ❑ No (0)
Specific Conductance 00095 610
µk"hos
K - Potassium 00937
mg/L method # 8260
Total Ammonia 00610 0.708
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
I certify that, to the best of my knowledge and belief, the information submitted in this report is true, accurate, and complete, and t e I
DWQ-certified laboratory. I am aware that there are significant penalties for submitting false information, including the possibili of fines
James M. Cheshire
Permittee (or Authorized Agent) Name and Tdle - Please print or type
GW -59 Rev. 2/2010
Effluent Total VOCs: mg/L VOC Removal%
cry analytical data was produced using approved methods of analysis by a
3risonmentdopknowdiic violations.
Agent)
(C) —14--1

SUBMIT FORM ON YELLOW PAPER ONLY
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs:
I certify that, to the best of my knowledge and belief, the information submitted in this report is true, accurate, and complete,
DWQ-certified laboratory. I am aware that there are significant penalties for submitting false information, including the possi
James M. Cheshire
Permittee (or Authorized Agent) Name and Title - Please print or type
GW -59 Rev. 2/2010
Effluent Total VOCs: mg/L VOC Removal%
the1 boratory analytical data was produced using approved methods of analysis by a
fines Ond imprisonment
of Permittee (or^thorjXed Agent)
1d-14-1 e
Mail original
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
and l copy to:
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION
Please Print Cleady or Type
PERMIT Number: W00002857 Expiration Date: March 31, 2021
Facility Name: Piedmont Custom Meats WWTF
Non -Discharge UIC
Permit Name (if different):
NPDES Other
Facility Address: 9683 Kerr's Chapel Road
TYPE OF PERMITTED OPERATION BEING MONITORED
Gibsonville NC
27249
County Caswell
D Lagoon ❑ Remediation: Infiltration Gallery
(Cy1 (State)
(Zip)
D Spray Field El Remediation:
Contact Person: Larry Moore
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name:
No. of wells to be sampled: 2
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW -4
Date sample collected:
10/6/2016 FIELD ANALYSES:
WAS
Well Depth: 15.63 ft.
Well Diameter:
in. pH 00400: 6._35 units Temp. 0o010: 17.0 °C
DRY at
Depth to Water Level 82546: 4.43 ft. below measuring point
Screened Interval:
ft. to ft. Spec. Cond. 00094: 995 µMhos
time of
sampling,
Measuring Point is ft. above land surface
Relative M.P. Elevation:
% Odor 000e5:
check
Volume of water pumped/bailed before sampling:
2.75 -Dry
gallons
Appearance
here: ❑
Samples for metals were collected unfiltered_: ❑ YES ❑
NO and field acidified: ❑ YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 10/06-10/14/16
Laboratory Name: Research $ Analytical Laboratories, Inc Certification No. 34
PARAMETERS NOTE: Values should reflect dissolved and colloidal
concentrations.
COD 00335
mg/L
Nitrite (NO2) as N oo615
mg/L Pb - Lead o1o51 ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620
2.07 mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL Phosphorus: Total as P o0665
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
Dissolved Solids:Total 70300 625
mg/L
Al -Aluminum 01105
mg/L
pH (Lab) 00403 6.35
units
Ba - Barium 01007 —
ug/L
TOC 00680 <1.0
mg/L
Ca - Calcium 0091
mg/L
Chloride 00940 262
mg/L
Cd - Cadmium 01027
0% ug/L
Arsenic 01002
ug/L
Chromium: Total oiK 1 7,
0 1-u lu ug/L
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg/L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron 01045
ug/L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945 <10
mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? JR Yes (1) ❑ No (0)
Specific Conductance 00095 995
µMhos
K - Potassium 00937
mg/L method # 8260
Total Ammonia ooslo <0.1
mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen; NH3 as N; Ammonia Nitrogen, Total)
Mn - Manganese wo55
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:
I certify that, to the best of my knowledge and belief, the information submitted in this report is true, accurate, and complete,
DWQ-certified laboratory. I am aware that there are significant penalties for submitting false information, including the possi
James M. Cheshire
Permittee (or Authorized Agent) Name and Title - Please print or type
GW -59 Rev. 2/2010
Effluent Total VOCs: mg/L VOC Removal%
the1 boratory analytical data was produced using approved methods of analysis by a
fines Ond imprisonment
of Permittee (or^thorjXed Agent)
1d-14-1 e

SUBMIT FORM ON YELLOW PAPER ONLY
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs
I certify that, to the best of my knowledge and belief, the information submitted in this report is true, accurate, and complete, and
DWO-certified laboratory. I am aware that there are significant penalties for submitfing false information, including the possibility
James M. Cheshire
Permittee (or Authorized Agent) Name and Title - Please print or type
GW -59 Rev. 2/2010
mg/L uent Total VOCs: _ mg/L VOC Removal%
is a labora ry analytical data was produced using approved methods of analysis by a
and 10prisonment for
lo - p -(- Ie
Mail original
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
and 1 Copy to:
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: WQ0002857 Expiration Date: March 31, 2021
Facility Name: Piedmont Custom Meats WWTF
Non -Discharge UIC
Permit Name (if different):
NPDES Other
Facility Address: 9683 Kerr's Chapel Road
TYPE OF PERMITTED OPERATION BEING MONITORED
Gibsonville NC
27249
County Caswell
© Lagoon ❑ Remediation: Infiltration Gallery
(C ty) (State)
hip)
© Spray Field ❑ Remediation:
Contact Person: Larry Moore
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name:
No. of wells to be sampled:
2
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW -5
Date sample collected:
10/6/2016 FIELD ANALYSES:
WAS
Well Depth: 23.00 ft.
Well Diameter:
in. pH omoo: 6.24 units Temp. 000lo: 16.6 °C
DRY at
Depth to Water Level 82546: 14.48 ft. below measuring point
Screened Interval:
- fL to ft. Spec. Cond. 00094: 488 µMhos
time of
sampling,
Measuring Point is ft. above land surface
Relative M.P. Elevation:
ft. Odor 000m:
check
Volume of water pumped/bailed before sampling:
2.00 -Dry
gallons
Appearance
here: ❑
Samples for metals were collected unfiltered: ❑ YES ❑
NO and field acidified: ❑ YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed: 10/06-10/14/16
Laboratory Name: Research
& Analytical Laboratories, Inc Certification No. 34
PARAMETERS NOTE: Values should reflect dissolved and colloidal
concentrations.
COD 00335
mg/L
Nitrite (NO2) as N oo615
mg/L Pb - Lead o1o51 ug/L
Coliform: MF Fecal 31616 900
/100mL
Nitrate (NO3) as N 00620 0.888 mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL Phosphorus: Total as P corns
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
Dissolved Solids:Total 70300 333
mg/L
Al -Aluminum o11o5
mg/L
pH (Lab) 00403 6.24
units
Ba - Barium 01007
ug/L
TOC oosso <1.0
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 111
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total 01034
ug/L
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg/L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron 01045
ug/L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945 <10
mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? DR Yes (1) ❑ No (0)
Specific Conductance 00095 488
µMhos
K - Potassium 00937
mg/L method # 8260
Total Ammonia oosso <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
ug/L method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs
I certify that, to the best of my knowledge and belief, the information submitted in this report is true, accurate, and complete, and
DWO-certified laboratory. I am aware that there are significant penalties for submitfing false information, including the possibility
James M. Cheshire
Permittee (or Authorized Agent) Name and Title - Please print or type
GW -59 Rev. 2/2010
mg/L uent Total VOCs: _ mg/L VOC Removal%
is a labora ry analytical data was produced using approved methods of analysis by a
and 10prisonment for
lo - p -(- Ie