970036_ENFORCEMENT_20171231

■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery Is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to: / wZ q 10 63 &
30 ko�s ,
Mr. Jerry Harris
370 Anderson Street
' Wilkesboro, NC 28697
A. Signature
❑ Agent
❑ Addressee
sceiv (P nnted Name) I C. Date of Delivery
D. Is delivery address different from item 1? ❑ Yes
1t YES, enter delivery address below: ❑ No
3. Ice Type
Certified Mall ❑ Express Mall
❑ Registered ❑ Return Recelpt for Merchandise
❑ insured Mall ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2.
•7Q08 1300 0�01 1934 6809
� ;. i ,., t... .1 .1 tiL,ILt
PS Form 3811, February 2004 Domestic Return Receipt 4f 3 -- f t -e 102595 02'M•15ac

UNITED STAA6' KA f y'- "7 U*1'AT:
• Sender: Please print your name, address, and ZIP+4 in this box •
f h. 20Sebr0cj--
Aquifer Protection Section
Department 91'Environment and Natural RCWL±rces
585 Waughtown Street
Winston-Salem, NC 27107-2241
2 S 111If�lEll flif��lllllF111111III dill I]1111111111I11111113if1l

0 Division of Water Quality
❑ Division of Soil and Water Conservation
❑ Other Agency
Facility Number:
970036 ^ Facility Status: Permit: AWD97003g
❑ Denied Access
Inspection Type:
CoEnl2liance Insoection Inactive
or Closed Date:
Reason for Visit:
County: Wilkes
Region: Winston-Salem
Date of Visit:
1010512QU_ Entry Time: 09:30 AM Exit Time: 12:15 PM
Incident #:
Farm Name:
Jerry Harris Beef Cattle
Owner Email:
Owner
Phone:
Mailing Address:
370 Anderson5t Vilkesboro
NC 28697
Physical Address:
Parcel # 2201329
Facility Status:
❑ Compliant 0 Not Compliant Integrator:
Location of Farm:
Latitude: 36°08'57"
Longitude: 81'07'06"
Question Areas:
0 Discharges & Stream Impacts
Certified Operator: Operator Certification Number:
Secondary OIC(s):
On -Site Representative(s): Name Title Phone
24 hour contact name Jerry Harris Phone:
On -site representative Jerry Harris Phone:
Primary Inspector: Madisisa Rosebrock Phone:
Inspector Signature: Date: ��� A �,
Secondary Inspector(s):
Page: 1

rr
0
E
Permit: AWD970036 Owner - Facility: Jerry Harris FacilityNumber : 970036
Inspection Date: 1010512011 Inspection Type: Compliance Inspection Reason for Visit: Follow-up
Inspection Summary:
Today's inspection was to follow-up on initial complaint visit conducted in July 2011. Barry Greer and Bryan Colvard were present from
the Wilkes County Field Office. Mr. Harris' son, Jeff Harris, was also present.
Cattle numbers have been reduced and all cattle appear to be excluded from surface waters. Those pastures/paddocks where fencing
is not yet installed will not contain cattle until the fencing has been installed.
Fecal coliform samples taken and sent for analysis. Upstream result= 1200 col/1 00 mL. and Downstream result=280 col/1 00 mL. No
pH, DO or turbidity samples taken ---could still be violations of these parameters.
3. Buffers and vegetation need to be established in all paddocks/pastures to help control run-off of sediment and manure from surface
waters. In particular:
"Alley -way" - Keep cattle out. Owner plans to cut trees and establish vegetation. May need silt fencing at bottom of slope. Graze grass
down no shorter than 4". On the wooded side of drive (on left as you are coming in) owner has agreed to install fence to keep cattle
out of surface water branch. To be completed prior to allowing cattle in this area.
"Cut -through" - Need to establish AND maintain grass on hill. Seed with combination of fescue and small grain (rye). Need to also
move existing single strand wire back about 50-60 feet from the stream and about 25 feet from the draw. Mr. Harris stated that this
could be completed by October 31, 2011.
"Sewer line areas" - Areas below Damascus Ch. Rd., new dirt road, etc. Will need to have vegetation established AND maintained.
This is to be completed within 30 days of the sewer line completion and contractors out. DWO staff has been in contact with city and
county officials regarding deficiencies with sewer project.
Page: 2

0
Permit: AWD970036 Owner • Facility: Jerry Hams Facility Number. 970036
Inspection Date: 10/05/2011 Inspection Type. Compliance Inspection Reason for Visit: Follow-up
Regulated Operations Design Capacity Current Population
Cattle
O Cattle - Beef Stocker Calf 185 78
Total Design Capacity: 185
Total SSLW: 101,750
Discharges & Stream Impacts Yes No
NA
NE
1. Is any discharge observed from any part of the operation?
❑ ■
❑
❑
Discharge originated at:
Structure
❑
Application Field
❑
Other
❑
a. Was conveyance man-made?
❑ ❑
❑
❑
b. Did discharge reach Waters of the State? (if yes, notify DWQ)
❑ ❑
❑
❑
c. What is the estimated volume that reached waters of the Slate (gallons)?
d. Does discharge bypass the waste management system? (if yes, notify DWQ)
❑ ❑
❑
❑
2. Is there evidence of a past discharge from any part of the operation?
❑ ■
❑
❑
3. Were there any observable adverse impacts or potential adverse impacts to Waters of the State other than
■ ❑
❑
❑
from a discharge?
Page: 3

o . Page 1 of 1
G 'TEST
Laboratory Report
Lab iocGbbn R' Lab Location 'C' Lob 1=11on 'W'
NClWW Cert.#: 067 NCIDW Cert.#: 37731 NC/WW Cert,#: 103 NCIDW Cert.#: 37733 NCANW Cert.#: 075 NCIDW Cert.#: 37721
6701 Conference Dr, Raleigh, NC 27607 6300 Ramada Dr, Suite C2, Clemmons, NC 27012 6624 Gordon Rd, Unit G, Wilmington, NC 28411
Ph: [phone] Fax: [phone] Ph: [phone] Fax: [phone] Ph: [phone] Fax: [phone]
Project No.:
Project ID: HARRIS-CATTLE
--- Prepared for ---
MELISSA ROSEBROCK
DWQ
585 WAUGHTOWN ST.
WINSTON-SALEM, NC 27107
RE
N.C. t}ept of ENR
OCT 14 2011
Winston-Satiem
Regional 4rfi�
Report Date: 10/10/2011
Date Received: 10/6/2011
Work Order #: 1110-00332
Cust. Code: 800993
Cust. P.O.*
No. Sample ID Date Sampled Time Sampled Matrix Sample Type Condition
001 1: DOWNSTREAM 10/5/2011 11:06 SW Grab 4 +1- 2 deg C
Test Performed Method Results Lab Loc �paq�,ed- ime Qualifier
Fecal Collforms/MF SM 9222D 280 CFUl100mL C 10/5/11 13:30
No. Sample ID Date Sampled Time Sampled Matrix Sample Type Condition
002 2: UPSTREAM 101512011 11:20 SW Grab 4 +1- 2 deg C
Test Performed
Method
Results
Lab Loc- DaZedTime Qualifier
Fecal Coliforms/MF
SM 9222D
1200 CFU1100mL
C 1015111 13:30
Reviewed by:
for Tritest, Inc.

1=;.
TRITEST Chain
J 6701 Conterence Drive, Raleigh, NC 27607
ph: [phone], fax: [phone]
NCWW Cert#67, NCDW Cert#37731
J 8624 Gordon Road, knit G. Wilmington, NC 28411
ph: [phone]. tax: [phone]
N WW Cert#75, NCDW Cert#37721
8300 Ramada Dr., Suite C2, Clemmons. NC 27012
[phone], lax: [phone]
NCWW Cert#103, NCDW Cert#37733
of Custody
Report Results To: Bill To:
Company: NC'pENFL- �7WQ' Ncl be NiR- b 6,)Q
Address: .S Sk.
Fax:
Sampled by (signatu
Tritest W.O. # No- — OuL,
RECEIVED
N.C, c. Pt,of eNti
OCT 14 2011
Winston-Salem
Regional Cfflce
Project Reference: __ Hor r-r,. 5-
('at 1-e`
Project Number:
Purchase Order #:
Standard Report Delivery
Rush Report Delivery iwrsurcharge)
"Rush projects are subject to prior approval by
the laboratory
Requested Due Date:
Sample Description
Start Dale
End Date
Matrix
WIN. nw, sw
ow. Sick ft
Analyses Requested
Trasst
samples
Start Time
End Time
%Ou3h S fit"
I�a-66
Cot' f �n r m
A M
o,
uis a by Signature)
z
V�teA �
Recei by (signature)
I
Dale
to s' 1 I
Time
3Cah
sling ' y (signature
Received by (signature)
Date
Time
Relinquished by (signature)
Received by (signature)
Date
Time
Receipt Conditions (tabAe Only)
❑ 4:2°C ❑ Tamp: \ Z°C
Res. Chlorine:
0 Absent Q Present ❑ Na
Acid preserv. <2?
❑ Yes ❑ No ❑ Ma
Base preserv. >12?
❑ Yes 0 No Q nla

Please remit payment to:
Tritest, Inc.
P.O. Box 33190
Raleigh, NC 27636
r
Attn: Accounts Receivable
NCDENR/DWQ
585 WAUGHTOWN STREET
WINSTON-SALEM,NC 27107
Attn: MELISSA ROSEBROCK
rt �.
PROJECT INFO:
WARRIS-CATTLE
YOUR ORDER DATE:: 10/5/2011
PURCHASE ORDER REF
Quantity
RECEIVE()
M o. Dont. of ENR
OCT 1 4 2011
Wln6ton•&dlOrt�
Regional OMce
.Done Procedure Performed
2 MI-COLIF Fecal Coliforms/MF
..:br.
z
INVOICE NUMBER: 441419
INVOICE DATI 10/11/2011
WORK ORDEIR 1110-00332
phone:[phone]
fax:[phone]
Client Number 800993
INVOICE TERMS. NET 30 DAYS
Unit
Price
20.00
SDI �1 � ao 11
l
a
A FINANCE CHARGE of 1.5% (18% annually) will be assessed to Invoices over 30 days.
Extended
Price
Total
Paid
Balance
40.00
$40.00
0.00
40.00

' INVOIIE
Please remit payment to,
Tritest, Inc.
P.O. Box 33190
Raleigh. NC 27636
Attn: Accounts Receivable
NCDENR/DWQ
585 WAUGHTOWN STREET
WINSTON-SALEM. NC 27107
Attn: MELISSA ROSEBROCK
INVOICE NUMBER : 441419
INVOICE DATE : 10/11 /2011
WORK ORDER # : 1110-00332
phone:[phone]
tax:[phone]
Client Number: 800993

r_
o
a Page 1 of 1
7nOoTEST
Laboratory Report
Lab Location W, Lab Location 'C' Lab Location 'W'
NCfWW Cart.#: 067 NCIDW Cert.M 37731 NC14VW Cart.#: 103 NCIDW Cert.#: 37733 NCANW Cert.#: 075 NCIDW Cert.#: 37721
6701 Conference Dr, Raleigh, NC 27607 6300 Ramada Dr, Suite C2, Clemons, NC 27012 6624 Gordon Rd, Unit G, Wilmington, NC 28411
Ph: [phone] Fax: [phone] Ph: [phone] Fax: [phone] Ph: [phone] Fax: [phone]
Project No.:
Project ID: HARRIS-CATTLE
--- Prepared for ---
MELISSA ROSEBROCK
DWQ
586 WAUGHTOWN ST.
WINSTON-SALEM, NC 27107
Report Date: 10/10/2011
Date Received: 101512011
Work Order #: 1110-00332
Cust, Code: 800993
Cust. P.O.#:
No, Sample iD
001 1: DOWNSTREAM
Date Sampled
10/612011
Time Sampled Matrix
11:06 SW
Sample Type Condition
Grab 4 +1- 2 deg C
Test Performed
Method
Results
Lab Loc DatZed Time Qualifier
Fecal ColiformslMF
SM 0222D
280 CFU1100mL
C 1015/11 13:30
No. Sample ID
002 2: UPSTREAM
Date Sampled
10/5/2011
Time Sampled Matrix
11:20 SW
Sample Type Condition
Grab 4 +1- 2 deg C
Test Performed
Method
Results
Lab Loc DatZed Time Qualifier
Fecal ColiformslMF
SM 9222D
1200 CFU1100mL
C 10/5111 13:30
Reviewed by:
for Tritest, Inc.

•
TRITEST Chain of Custody
J 6701 Conference Drive, Raleigh, NC 27607
pk [phone], tax: [phone]
NCWW Cert#67, NCDW CerUr37731
6624 Gordon Road, Unit G, Wilmington, NC 28411
Ph: [phone]. fax: [phone]
iY WW CerW5. NCDW Cert#37721
X tt300 Ramada Dr., Suite C2, Clemmons, NC 27012
: [phone], fax: [phone]
NCWW Cert#103, NCOW Cert#37733
Report Results To: Bill To:
Company:_NCDEngR— aWQ'"a0 NC. DE N,63a
Address: S SS Lr)a .--hkeunS-k. _ R a -I Li a
a107
Attn: ice. i tssoL ry.-e-�C O LV==
Phone: 3& -3.1 I $_3
Sampled by
Tritest W.O. # t!t - OD33•Z.
Project Reference: r r t S -�
Project Number:
Purchase Order#:
6Standard Report Delivery
Rush Report Delivery (wlsurcharge)
—Flush proiects are subject to prior approval by
the laboratory
Requested Due Date;
Sample Description
P.P. c.
°
Start Date
End Date
Matrix
Analyses Requested
Tre°al
3ampt°r
start Time
End Time
WW. DW. sw
Gw, 5W. f.
Dower
C�
!O $
Oil
Ica Co �a m
1. o
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a Ps�r e am
s
I
SW
Fe c_a.1 C-o 04or nv\
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by signature)
A J VLI I ILOA.L.
Rwe by (signature)
Date
Time
(signature)
Received by (signature)
Date
Time
Relinquished by (signature)
Received by (signature)
Date
Time
Receipt Conditions (Lab jtge Only)
❑ 4s2°C ❑ Temp: �_°C
Res. Chlorine:
❑ Absent ❑ Present ❑ nla
Acid preserv. <2?
❑ Yes ❑ No ❑ rda
Base preserv. >12?
❑ Yes 0 No 0 nla

Rosebrock, Melissa
From: Mauney, Steve
Sent: Thursday, October 06, 2011 4:05 PM
To: Smith, George; Rosebrock, Melissa; Latham, Tim
Subject: Damascus Church Road, North Wilkesboro
I spoke to Kelly Hefner today about the white pipes along the right-of-way for this project. These are the stub -outs for
the existing homes that will be tied to the new sewer line. There are 71 possible hookups to this system and of that
total 34 homes had failing systems, 10 had no systems and about an additional 15 with gray water discharges. There are
brass caps on top of the PVC pipes to allow them to be located by metal detector when they were covered up. He also
noted that the intent is to move the cleanouts for those taps to the edge of the R-O-W. Kelly indicated that he planned
to meet you guys there tomorrow along with other staff. They have a 5% hold back of funds to encourage the contractor
to finish the site stabilization.
Steve Mauney
NC DENR Winston-Salem Regional Office
Division of Water Quality, Water Quality Section
585 Waughtown Street
Winston-Salem, NC 27107
Voice: [phone]
Main # [phone]
FAX: [phone]
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be
disclosed to third parties.
I

TRITEST
chain of Custod�
6701 Conference Drive, Raleigh, NC 27607
ph: [phone], fax: [phone]
NCWW Cert#67, NCDW Cert#37731
© 6624 Gordon Road, Unit G, Wilmington, NC 28411
ph: [phone], fax: [phone]
NCWW Cert#75, NCDW Cert#37721
00 Ramada Dr., Suite C2, Clemmons, NC 27012
N3h:
[phone], fax: [phone]
NCWW Cert#103, NCDW Cert#37733
Report Results To: Bill To:
Company: tiC'DIE [h+R— T)V}4 � SIzo Qc �� t}
Address: S ��� ,} . � h-k r l otn S4. R,ck
�� 3t1'15 toll- YV , &)C d_10-7
Attn: PA P I l_<61 RC6e h C 0C_
Phone:
Fax
Sampled by (signature)`
Tritest W.O. #
Project Reference: H CxIc r t
�, aAi 1,P_
Project Number:
Purchase Order #:
Standard Report Delivery
© Rush Report Delivery (wlsurcharge)
"Rush projects are subject to prior approval by
the laboratory
Requested Due Date:
Sampfe;Qescription
''Grabrat
_
C��sieo;
Stalt Date'"
EndDate
.:Matrix
ww ONsw,
sad"61
Analyses Requested
rtc �t a�
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Received by (signature)
Date
Time
A
LIANb
0--)
10S ! I
� ` --5
-'( t
t
:,
Relinquished by (signature) r w _
Received by (signature)
Date
Time
Relinquished by (signature)
Received by (signature)
Date
Time
Receipt Conditions (Lab Use Only)
❑ 4t2°C ❑ Temp:°C
Res. Chlorine:
❑ Absent ❑ Present ❑ nla
Acid preserv. <2?
❑ Yes ❑ No ❑ nla
Base preserv. >12?
Cj Yes .:r.0-No 0 nla „te

RECEIVEo
N.C. Dept. of ENR
Dear Mrs. Rosebrock, AUG 2 3 2011
Winston-Salem
Regional Office
I am currently working with the Wilkes SWCD to remove all cattle from the stream on my farm, in
regards to the fecal conform stream violation. I do not want to apply for a permit at this time, since I
have reduced my cattle numbers below the threshold of 100. 1 will exclude all cattle from the stream
and vegetate all bare and eroding areas by December 1, 2011. 1 am currently seeking NCACSP funds to
plan and install a pasture management system on my farm. Thank you for your help and patience.
Sincerely,
&�Pt'=IAAAMAto
Jerry Harris

0
wAT�go Incident Report
Report Number:
201101384
Incident Type: Complaint
On -Site Contact:
Category: APS -Animal
First/Mid/Last Name:
Incident Started: 06/02/2011
Company Name:
County: Wilkes
Phone:
City:
Pager/Mobile Phone: 1
Farm #: 97-0036
Responsible Party:
Reported By:
Owner: Jerry Harris
First/Mid/Last Name:
Permit: AWD970036
Company Name:
Facility: Jerry Harris Beef Cattle
Address:
First Name: Jerry
Middle Name:
City/State/zip:
Last Name: Harris
Phone:
Address 370 Anderson St
Pager/Mobile Phone: I
City/State/Zip: Wilkesboro NC 28697
Phone:
Material Category: Estimated Qty: UOM
Chemical Name Reportable Qty. lbs. Reportable Qty. kgs.
11
DD:MM:SS Decimal Position Method: Geodetic quality Global Posn Syst Survey
Latitude: +36°08'57" 36.149040 Position Accuracy' Nearest 10th OfA Second
Longitude: --81"
Location of Incident:
Address:
City/Statealp
7'06"-81.118300 Position Datum: NAD83
Harris Property on Anderson Street
370 Anderson St
Wilkesboro NC 28697
Report Created 07/21/11 02:48 PM Page 1

CauselObservation:
Caller alleges that excessive number of cattle in and around the
stream have polluted it.
Action Taken:
Visited site 6/1612011 and obtained upldownstream samples.
Received results July 5, 2011. NOD to be sent for operating
above the cattle threshold number, and turbidity and fecal
coliform above the State Standard.
Incident Questions:
Directions:
Comments:
At least 2,100 linear feet of stream impact due to at least 185 beef cattle
on denuded land. Up to 10 inches of sediment and waste in the unnamed
tributary to Little Cub Creek (class C). Wilkesboro was also installing a
sewer line at the time of our investigation. DWO observed the presence
of sludge, organic matter, manure, sludge worms, and odor in the stream.
Did the Material reach the Surface Water? Yes Conveyance: Unnamed tributary
Surface Water Name? Little Cub Creek
Did the Spill result in a Fish Kill? Unknown Estimated Number of fish?
If the Spill was from a storage tank indicate type. (Above Ground or Under Ground)
Containment? Unknown
Cleanup Complete? Unknown
Water Supply Wells within 1500ft : Unknown
Groundwater Impacted : Unknown
Event Type Event Date Due Date Comment
Incident closed
Requested Additional Information
Report Entered 2011-07-11 09:59:38
Incident Start 2011-06-02 11:30:00
Report Created 07/21/11 02:48 PM Page 2

•
•
Report Received 2011-06-02 11:30:00
Referred to Regional Office - Primary Contact 2011-06-02 11:30:00
Standard Agencies Notified:
Agency Name Phone First Name M.I. Last Name Contact Date
Other Agencies Notified:
Agency Name Phone First Name M.I. Last Name Contact Date
DWQ Information:
Report Taken By: Report Entered By: Regional Contact:
Melissa Rosebrock Melissa Rosebrock Melissa Rosebrock
Phone:
Date/Time: 2011-06-02 11:30:00 AM 2011-07-11 09:59:38 AM 2011-06-02 11:30:00 AM
Referred Via: Phone Phone
Did DWQ request an additional written report?
If yes, What additional Information is needed?
Report Created 07/21/11 02:48 PM Page 3

Division of Water Quality
❑ Division of Soil and Water Conservation
❑ Other Agency
Facility Number : 970036 Facility Status: Active Permit: AWD970036 ❑ Denied Access
Inspection Type: Inactive or Closed Date:
Reason for Visit: CoMplaint County: Wilkes Region: Winston-Salem
Date of Visit: 06/16/2011 Entry Time: 12:25 PM Exit Time: 03:00 PM
Farm Name: Jerry Harris Beef Cattle
Owner: Jerry Harris
Mailing Address: 370 Anderson St _
Physical Address: Parcel # 2201329 _
Facility Status: ❑ Compliant 0 Not Compliant Integrator:
Location of Farm:
Question Areas:
Discharges & Stream Impacts
Certified Operator:
Secondary OIC(s):
Incident #: 2Q11Q1384
Owner Email:
Phone:
Latitude:36"08'57" Longitude:81°07'06"^
Operator Certification Number:
On -Site Representative(s): Name Title Phone
24 hour contact name Jerry Harris Phone:
Primary Inspector: Melissa Rosebrock Phone:
Inspector Signature: Date:
Secondary Inspector(s):
Page: 1

Permit: AWD970036 Owner - Facility: Jerry Harris Facility Number : 970036
Inspection Date: 0611612011 Inspection Type: Compliance Inspection Reason for Visit: Complaint
Inspection Summary:
3. Excessive cattle activity in and uphill of the unnamed tributary to Little Cub Creek (Class C waters) has resulted in impact to over
2,100 feet of stream. Sludge worms, clumps of sludgelorganic matter and waste odor were observed in the surface water. The land
where the cattle are being maintained is completely denuded. Due to the slope and lack of vegetation, the stream contains up to 10
inches of eroded sediment. Stream banks are severely eroded.
Extensive construction was occuring around the stream as N. Wilkesboro is installing sewer lines. Sediment basins and silt fencing
was observed and appeared to be installed correctly in the areas where we sampled.
DWQ has been in contact by phone with the Wilkes Co. SWCDINRCS office and the violator regarding our observations and the need
to reduce the cattle population and establish vegetation. NOD (deficiency) for more than 100 confined cattle (due to lack of pasture
cover) without a permit.
Stream samples were taken and analyzed. Partial results received July 5, 2011. Upstream fecal coliform was 1,500 CFU1100 mL while
the downstream samples were >60,000 and 58,000. Limit is 200 CFU1100rnL--NOV
Upstream tubidity was 7.6 NTU and the downstream was up to 390 NTU. The limit is 50.--NOV
Page: 2

Permit: AWD970036 Owner- Facility: Jerry Harris Facility Number: 970036
Inspection Date: 06/16/2011 Inspection Type: Compliance Inspection Reason for Visit: Complaint
Regulated Operations Design Capacity Current Population
Cattle
Cattle - Beef Stocker Calf 185 185
Total Design Capacity: 185
Total SSLW: 101,750
Discharges & Stream Impacts res No NA N
1. Is any discharge observed from any part of the operation? ❑ ■ ❑ ❑
Discharge originated at
Structure ❑
Application Field ❑
Other ❑
a. Was conveyance man-made? ❑ ❑ ❑
b. Did discharge reach Waters of the State? (if yes, notify DWQ) ❑ ■ ❑ ❑
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does discharge bypass the waste management system? (if yes, notify DWQ) ❑ ■ ❑ ❑
2. Is there evidence of a past discharge from any part of the operation? ❑ ■ ❑ ❑
3. Were there any observable adverse impacts or potential adverse impacts to Waters of the State other than ■ ❑ ❑ ❑
from a discharge?
Page: 3

zipA
MCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
July 27, 2011
CERTIFIED MAIL 7008 1300 0001 1938 6809
RETURN RECEIPT REQUESTED
Mr, Jerry Harris
370 Anderson Street
Wilkesboro, NC 28697-
Subject: NOTICE OF VIOLATION
Permit and Stream Standard Violations: NOV-2011-PC-0436
Facility #97-36
Parcel ID #2201329
Wilkes County
Dear Mr. Harris:
As you recall, Melissa Rosebrock and Patrick Mitchell, of the State's Division of Water Quality
(Division) Winston-Salem Regional Office, conducted a site visit at the above parcel on June 16,
2011. This visit was the result of a complaint received by our office alleging the run-off of cattle
manure and sediment from your property into waters of the State. The surface water in question
is an unnamed tributary (UT) to Little Cub Creek, which is a Class C water located within the
Yadkin River Basin.
Our site investigation confirmed that approximately 185 beef cattle are/were being maintained on
the property resulting in severely denuded pastures and the run-off of sediment and animal waste
into the stream. Additionally, at least 2,100 linear feet of stream is impacted due to excessive
animal activity in and around the tributary.
As a consequence of the complaint investigation the following violations are documented:
Item I. Permit Violation
On June 16, 2011, staff observed at least 185 beef cattle being maintained on a feedlot located at
the above address. North Carolina General Statutes (NCGS) define a "feedlot" as:
"... a lot or building or combination of lots and buildings intended for the
confined feeding, breeding, raising, or holding of animals and either specifically
designed as a confinement area in which animal waste may accumulate, or
where the concentration of animals is such that an established vegetative
cover cannot be maintained."
iNorlh Carolina Division of Water Quality, Winston-Salem Regional Office
Location: 585 Waughtown St. Winston-Salem, North Carolina 27107
Phone: [phone] FAX: [phone] Customer Service:1-877-623-6748
Internet: www.ncwaterquality.org
An Equal Opportunity 1 Affirmative Action Employer
None hCarol
;aturml

L - .;
Harris - NOV .
July 27, 2011
Page 2 of 3
Per NCGS 143-215.1 OB and 143-215.10C, any agricultural farming activity involving 100 or
more confined cattle is considered an "animal operation" requiring application for coverage
under an Animal Waste Operation General Permit. Our records indicate that you have not yet
applied for the required permit.
Item 11. Stream Standard Violations
Stream samples were also obtained and analyzed for dissolved oxygen (DO), pH, specific
conductance, nutrient levels, biochemical oxygen demand (BOD), fecal coliform and turbidity.
While there is currently no state water quality standard for specific conductance, nutrients, or
BOD the attached results also indicate that there were no violations of the State's water quality
standard for DO or pH, While there were no DO and pH violations on the date of our complaint
investigation, there is certainly the potential for a violation if conditions further deteriorate.
Although the upstream fecal coliform result of 1500 colonies1100 ml is greater than the State's
water quality standard, the downstream findings of 58,000 and >60,000 clearly indicate that
excessive cattle activity in and around the stream is impacting surface waters. Given that the
fecal coliform levels are elevated at two locations downstream of the cattle, there is the possibilty
for future civil penalty assessments should staff obtain a required total of five samples within the
next 30 days that result in a geometric mean greater than 200 colonies/100 ml.
Requested Response and Corrective Actions
Upon receipt of this letter, you have sixty (60) days to submit the attached "State Application
for New or Expanding Animal Waste Operations" and all supporting documentation. Please
note that the application is to be completed using information from a Certified Animal Waste
Management Plan (CAWMP). Once the application has been completed and signed, the original
and two copies of the application must be returned (along with three copies of the entire
CAWMP) to the Division. The Wilkes County NRCSISWCD Field Office staff can assist you in
developing a CAWMP. Their office number is [phone]. Be aware that operation of your
facility (in its current condition) without coverage under a valid general permit could result in
assessments of civil penalties of up to $25,000 per day.
Since "true" pastures are not considered feedlots according to the statutes, you may, as an
alternative, install and maintain conservation practices that will re-establish the vegetation in the
current feedlot(s). if you wish to pursue this option, we urge your continued cooperation with
Mr. Barry Greer in the Wilkes County NRCSISWCD Field Office to implement the required
practices. At minimum, cattle should be excluded from the stream and vegetation established in
the buffer area along the stream to prevent further run-off of sediment and animal waste.
The Winston-Salem Regional Office requests that you respond in writing, within thirty (30)
days, regarding the permit violation described above, including whether you intend to apply for
a permit. Your response should also contain a plan and specific descriptions detailing how and
when the stream standard violations are to be addressed. Please direct your correspondence to
my attention at the address contained in this letterhead.

Harris - NOV , •
July 27, 2011
Page 3 of 3
Thank you for your prompt attention to these matters. Should you have questions regarding this
Notice, you may contact Melissa Rosebrock or me at [phone].
Sincerely,
� -L�-Y-' 4"?
Sherri V. Knight
Aquifer Protection Regional Supervisor
Winston Salem Regional Office
Attachments
cc: DWQ-APS-Confined Animal Feeding Operations Unit
Wilkes County SWCD/NRCS
WSRO - APS Files

Labiory and Field Sample Results Su40ry
Location ID #4
Upstream of Property
'Fecal coliform =1500 col/1 00 mi
2DO = 6.23 mg/L
3pH = 6.79
NH3= 0.08 mg/L
TKN = 0.51 mg/L
NO2+NO3 = 2.2 mgIL
Total phosphorus = 0.04 mg/L
Specific conductance =106 ps/cm
BOD = 2.5 mg/L
4Turbidity = 7.6 NTU
Harris Property
June 16, 2011
Location ID #3
Downstream -Main Tributa
Above Confluence with Side Trib
Fecal coliform = >60,000 co11100 mi
DO= 5.79 mg/L
pH = 6.86
NH3 =1.1 mg/L
TKN = 6.0 mg/L
NO2+NO3 = 0.93 mg/L
Total phosphorus = 0.86 mglL
Specific conductance = 134 pskm
BOD = 22 mg/L
Turbidity = 390 NTU
Location ID #1
Downstream -Main Tributary
Below Confluence -End of Property
Fecal coliform = 58,000 co11100 ml
DO = 6.62mg/L
pH = 6.88
NH3 = 0.30 mg/L
TKN = 1.7 mg/L
NO2+NO3 = 1.1 mg/L
Total phosphorus = 0.38 mg/L
Specific conductance = 105 pslcm
BOD = 7.2 mg/L
Turbidity =160 NTU
I The NC water quality standard for fecal coliform is 200 colonies 1100 ml (maximum, geometric mean of five consecutive
samples within 30 days),
2 The NC water quality standard for dissolved oxygen in this stream is 4.0 mg/L (minimum, instantaneous) and not less than a
daily average of 5.0 mg/L.
3 The NC water quality standard for pH is 6.0 - 9.0 units.
4 The NC water quality standard for this stream is 50 NTU maximum.

n.c dam+ If '-�o1
Rosebrock, Melissa i o� --f c;-` Q
From: Latham, Tim
Sent: Tuesday, May 31, 2011 2:29 PM 4 I i @ � 1 �
To: Rosebrock, Melissa Z [ - 30
Subject: Cattle in the stream -fir �T3
Hello Melissa, °
I know you are vacation, I wanted to send you a quick note about a site that George and I ran across last week in the
Great State.of Wilkes., I have a new sewer line project being installed in the Damscus Road neighborhood in North
Wilkesboro, The project cuts through a couple of pasture along the creek. The pastures are overgrazed, cattle are being
fed out dated milk and ice cream. This is something to see. It looked bad the day we were there and it was dry.
k4wy411N 419 Nw� tl5 imuDords N. WlI 5 6 t, r o C
1-u5i �r'cor�aflgSht��
Call me or stop by and we can discuss. 'D&MO-5 CA S C hu r O\ R-j 1-t(+ on f
Thanks for all you do. 31N r
��b �f'p �
Tim Latham b b 3 if Yv
\ r
NC DENR Land Quality Section
585 Waughtown Street UT +-o L4te QUID Gre-e- It-- 7 � Qa tub � i ver
Winston-Salem, NC 27107
[phone]
Fax [phone]
E-mail correspondence to and from this
address may be subject to the North Carolina
Public Records Law and may be disclosed to third parties
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Property Details:
START
32
JUNIQUEID
116171
PARCEL —ID
12201329
JACCOUNT 109945
OWNERi
FARRIS,JERRYALONZA&HELENAM IOVVN5k2
MAIL-ADDR1
1370 ANDERSON STREET
MAILJIDDR2
CITY
WI.KESBORO
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2M7
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jWUESBOR0
PROP-4DDR 1370
ANDERSON ST
ORTHO NUM
3877.06
I PIN I
wr-I"-m
TOTAL_XRE
19.2
LAND VAL 144170
AGLAND_VAL
0
11047W
TOTAL`VAL
JUMM
JCOSTTOTYA 114MM
BK_PG
s;m-r7
JBOOK
545
PAGE
1677
DEED_DATE loommm
OLD —NEIGH
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County:
WILKES
Sample 10:
AB72700
River Basin
YAd
pF `NAr�g
�6�
'II }�
1 I
PO Number #
11W4765
Report To
WSROSP
�O�
Date Received:
0611712011
C011eCtOr:
M ROSEBROC
RECEivEo
jj,^, 3O '
W
Time Received:
08:00
N.C. DOPL of ENR
I� Y
Labworks LoginlD
DLEAVITT
Region:
WSRO �;
I
I
Report Generated:
6130111
Sample Matrix:
SURFACEWA
JUL qqn
5 2011
Date Reported:
Loc. Type:
RIVERISTREA
Wies = Satem
06/30/2011
Emergency Yes/No
Reglonatofffee VisitlD
l
COC Yes/No
YES
Loc. Descr.: UPSTREAM HARRIS
Location ID: 4CO97UP-HARRIS Collect Date: 0611612011 Collect Time: 14:30 Sample Depth
CAS # Analyte Name PQl- Result/ Units Method An_ a_lvsis Validated by
Qualifier Reference Date
LAB
Sample temperature at receipt by lab
1.0 °C
6l1701 DLEAVITT
MIC
BOD, 5-Day in liquid
2
2.5
mglL
APHA5210B
6117l11
MOVERMAN
Turbidity
1
7.6
NTU
APHA2130B-20th
6/17/11
CGREEN'
NUT
NH3 as N in liquid
0.02
0.08
rng1L as N
Lac10-107-06-1-J
6122111
CGREEN
Total Kjeldahl N as N .in liquid
0.2
0.51
mglL as N
La chat 1 07-06-2-H
6/24111
CGREEN
NO2+NO3 as N in liquid
0.02
2.2
mg1L as N
Lacl 0-107-04-1 -c.
6122111
CGREEN
Phosphorus —total as P in liquid
0.02
0.04
mglL as P
LaC10-115-01-1EF
6/23111
CGREEN
a
Laboratory Section>> 1623 Mail Service Center, Raleigh, NC 27699-1623 [phone]
For a detailed description of the qualifier codes refer to NpIloartal.acdanrsl#Data Qualifier Codes 4wtp:112orial.noerrr orgtweblwcVfab/staffilfollechassist>
Page 1 of 1

County: WILKES
River Basin YAD
Report To WSROSP
Collector:
M ROSEBROCK
Region:
WSRO
Sample Matrix:
SURFACEWATER
Loc. Type:
RIVER/STREAM
Emergency Yes/No
COC Yes/No
YES
VisitlD
Loc. Descr.: HARRIS DOWNSTREAM MAIN
Sample ID:
AB72698
PO Number #
11 W4763
Date Received:
0611712011
Time Received:
08:00
Labworks LoginlD
DLEAVITT
Report Generated:
6130/11
Date Reported:
07/26/2011
Location ID: 4CO97DN-MAIN-HARRIS Collect Date: 06/1612011 Collect Time: 13:20 Sample Depth
CAS # Analyte Name PQL Result/ Units Method Analysis Validated by
Qualifier Reference Date
LAB
Sample temperature at receipt by lab
MIC
1.0 °C
6/17/11 DLEAVITT
BOD, 5-Day in liquid
2
7.2
mg/L
APHA521013
6117/11
MOVERMAN
Turbidity
1
160
NTU
APHA21308-20th
6117/11
CGREEN
NUT
NH3 as N in liquid
0.02
0.30
mg1L as N
Lac10-107-06-1-J
6122/11
CGREEN
Total Kjeldahl N as N in liquid
0.2
1.7
mg/L as N
Lachat107-06-2-H
6/21111
CGREEN
NO2+NO3 as N in liquid
0.02
1.1
mg/L as N
LaC10-107-04-1-c
6/22/11
CGREEN
Phosphorus —total -as P in liquid
0.02
0.38
mg/L as P
Lac10-115-01-1EF
6/22/11
CGREEN
Laboratory Section>> 1623 Mail Service Center, Raleigh, NC 27699-1623 [phone]
For a detailed description of the qualifier codes refer to http:lipertal.ncdenr.ocgMebAvoliBbtstalinfoitechissist#pota Qualifier Codes <htto llportal.ncdenr.orolweCU,/gllp[?rslg,rfnfoflechassist>
Page 1 of 1

•
•
I
DIN,
B-7 ✓2700
LZOVIE�UA
Cheter Quali[y
SAMPLE TYPE
Lab Number -
Date Received 7+
COUNTY
(�Li 15 t� S
PRL-O
:
Time Received
RIVER BASIN:
AMBIENT QA
�TRFA:M
❑ FFFLUENf
Received By
REPORT TO
7S �c i� _ RepanalOfce
El COS9'LIA_NCF M-CHAW OF CUSTODY
LAKE
E INFLUENT
-Other :
EMERGENCY VISIT 1D
ESTUARY
Data Released
COLLECTOR(S) :
n
RA D.. ','�C: C-�Z
Date
Date Reported
Estimated ROD Range;
�T
Staltan Location: UO-, -r'ed r S
y 1
V
Seed:
Chlorinated:
Remarks:
Station WLocation Co4c
D:dc Begin (yyfmmldd)
Date End (_vylmmldd)
Time Begin
Time End
Depth - DNt, DB, ABM
Value Type - A, H, L
Composite-T, S, B
Sample Type
z{ (� �q `i U i-
A ri
>
i 3
—� I
C5
HOD 310
COD High 340 melt
COD Low 335 mgq-
Coliform: MF Fecal 31616 11001r1
Coliform: MF Total 31504 1100rtd
Coliform: tube Fccal 31615 11001n1
Colifom: Fecal Strep 31673 I100m1
Residue. Total 500 mg,,L
Volatile 505 mgrL
Fixed 510 M&L
Residue: Suspended 530 mg/L.
Volntilc 535 mg+L
Fixed 540 mg/L
pH 4*3 units
Acidity to pH 4.5 436 mtfL
Acidity to pH 8.3 435 mg/L
Alkalinity to pH 9.3 415 mgrL
Alkalinity to pH4,5 410 mg/L
TOC 680 myrL
Turbidity 76 NTU
ColiformTmal Tube Mont]
COMMENTS:
Chloride 940 mg/L
Chlorophyll a EPA 445.0 modified option ugfL
Color: True 80 C.U.
Color: (pH) 83 pH. eu.
Color: pH 7.6 82 C.U.
C}anidc 720 m�43,
Fluoride 95l m9fL
Formaldehyde 71 S80 mglL.
Grease and Oils 556 myfL.
Hardness Total 900 mgfL
Specific Cond. 95 umhoslem
IvtHAS 38260 rng/L
Phenols 32730 ugfL
Sulfate 945 mWL
Sulfide 745 mgfL
Boron
Fannin & lignin ug/L
Heza%alcnt Chromium ug1l-
Bicarbonate mg(L.
Carbonate tngtL
Total Dissohcd Solids mWL-
NH3 as N 610 mg(L
TKN an N 625 ml+f L
NO2 plus NO3 as N 630 mF/L.
_
P: Tota] as P 66S mgri.
PO4 as P 70507 mg/L
P: Dissolwd as P 666 Mg/L.
}:-Potassium n*L
Cd- Cadmium 1021 uefl-
Cr-ChromiumTotal 1034 uvjL
Co- Copper 1042 ugrL
Ni-Nickel 1067 ugfL
Pb- Lead I051 ugfL
Zn- Zinc 1092 ug/L
V-Vanadium uj;�L
A!; Siher 1077 ugrL
Ak Alurninum 1105 ug/L
Be- Beryllium 1012 ug/L
Ca- Calcium 916 -WL
Co- Cobalt 1037 ug/L
Fe- Iron 1045 ugfL
Mo-Molybdenum ugJL
Sb-Antimony ugfl-
Sn-Tin ug/L
TT -Thallium uglL.
Ti-Titanium ug1L.
Hg-1631 nWL
Li -Lithium 1132 ugfl-
Mg Magnesium 927 M91L.
Mn-Mangpne 11055 ug/L
Na- Sodium 929 mr/L
Arsenic:Total E002 ug/L
So- Selenium 1147 ug%L
Hg-Mercury 71900 ug/L
Ba-Barium uSfL
Organochiorine Pesticides
Or3anophosphofus Pesticides
Organonitrogen Pesticides
Acid Herbicides
Base/Neutral&Acid Extractable Organics
TPH Diesel Range
Purgeable Organics (VOA bonle req'd)
TPH Gasoline Range
TP1318TFXGasolineFa Et
Phytoplankton
Temperature on arrival (eC)( a D

County: WILKES
River Basin YAD
Report To WSROSP
Collector:
M ROSEBROCH
Region:
WSRO
Sample Matrix:
-SURFACEWATE
Loc. Type:
RIVERISTREAN
Emergency YeslNo
COC Yes/No
YES
RSCEWED
N.C. Dept of ENR
R JUL 0 5 2011
Winston-Salem VlSIt I D
Regional Ot.rce
orato;r"V
Sect1on WArt.�
1(dAT�iQ
J{�17
...,,..
Sample ID;
PO Number#
AB72699
11W4764
Date Received:
06117/2011
y
Time Received:
08:00
Labworks LoginlD
DLEAVITT
°'
Report Generated:
6130111
Date Reported:
06/30/2011
Loc. Descr.: DOWNSTREAM 3 HARRIS ABOVE CONFLUENCE
Location ID: 4C097DOWN3-HARRIS Collect Date: 06/16/2011 Collect Time: 13:40 Sample Depth
CAS # Anal t_._ y e Name PQL Result/ Units Method Analysis Validated by
Qualifier Reference Date
LAB
Sample temperature at receipt by lab
1.0 °C
6117/11 DLEAVITT
MIC
BOD, 5-Day in liquid 2 22 mg/L APHA5210B 6117/11 MOVERMAN
Turbidity 1 390 NTU APHA2130B-20th 6/17111 CGREEN
NUT
NH3 as-N in liquid
0.02
1.1
mglL as N
LaC10-107-06-1-J
6/22111
CGREEN
Total K}eldahl N as N ,in liquid
0.2
6.0
mg1Las N
Lachat107-06-2-H
6/21/11
CGREEN
NO2+NO3 as N in liquid
0.02
0.93
mg/L as N
LaC10-107-04-1-c
6122111
CGREEN
Phosphorus total as P in liquid
0.02
0.86
mglL as P
Lac10-115-01-1EF
6123111
CGREEN
r,
Laboratory Section>> 1623 Mail Service Center, Raleigh, NC 27699-1623 [phone]
For a detailed desrriptien of the qualifier codes refer so hIlZIlp al. cdcdenr 4rglwephvgllahl tatfinfoltec;aSsisllfCeta Qualifier Codes <htlo,flportal; iWenrorafwebfwolla615laffinfollechassist>
Page 1 of 1

DIVIS N OF WAl' UAL
Chemistry Report I Water Quality
❑ S.AVPI-E TYPE
PPJQR
❑ A.MBIENT QA STREAM EFFLUENT
❑ COMPLIANCE 19CHALV OF CUSTODY ❑_ LAKE INFLUENT
El EMERGENCY 4'tS� � FSTUAAY
StationLocationT + y,(�{'j2Lz:eQ3co—r 11M
nn C,orZ.{ Lu �-VC6
Seed: Chlorinated: Remarks: �� U C�� I_
• Station #lLocation Code Date.aegin (5-),lmmfdd) Date End ()ylmmfdd) Timr Begin Time End Depth - DM, ➢B, DB]1 Value Type - A, H, L
•
COUNTY I,Lj 1 I(-P— lj
RR'ER BASIN: D
REPORT TO [,J j 2G Rcpanal OETicc
Other
COLLECTOR(S) yn + �_ {} 1'•, L-�
Estimated HOD Range:
HOD 310 mP/L
COD Hij, 340 ml/L
COD Low 335 mg/L
Coliform: h4F Fecal 31616 1100ml
Coliform: MF Tola1 31504 110Dm1
Coliform- tube Fecal 31615 1100"
Coliform, Fecal Strep 31673 11007111
Residue: Total 500 mgfL
Volatile 505 marl
Fired 510 -01-
Residue' Suspended 530 mil.
Volatile 535 mg/L
Fixed S40 mg/L
pH 403 units
Acidity to pH 4.5 436 mg/L
Acidity to pH 8.3 435 tnglL-
Alkalinity to pH 8.3 415 mgfL.
Alkalinity to pH 4.5 410 mgrL
TOC 680 mgrL.
Turbidity 76 NM
Coliform Total Tube R DO ml
COMMENTS;
Chloride 940 mg(L.
Chlorophyll a EPA 445.0 modified option ugll-
Color: True 80 c.u.
Color (pH) 83 pH- C.U.
Color: pH 7,6 82 C.U.
Cyanide 720 mpfL
Fluoride 951 rsdL
Formaldehyde 71 S80 m911-
Grease and Oils 556 mefL.
Hardness Total900 mg1L
Specific Cond. 95 umhos/cm
MBAS 39260 -D,L
Phenols 32730 ug/L.
Sulfate 945 mrf L
Sulfide 745 m_-f1.
Boron
Tannin & Lignin ugfL.
Hexatalent Chromium uc1L
Bicarhonale -AIL.
Carbonate mil.
Total Dissolved Solids m9rL,
NH3 as N 610 m8/L.
TKN an N 625 awL
NO2 Ius VO3 as N 630 mg1L
P: Total as P 665 mg(l.
PO4 as P 70507 ms-/L-
P: Dissol wd as P 666 -4(L
K-Potassium mg1L
Cd- Cadnuum 1027 ugrL
Cr-Chromium:Totai 1034 usn-
Cu- Copper 1042 ugrL
Ni-Nickel 1067 uWL
Ph- Lead 1051 ug1L
Zn-Zinc 1092 u811.
V-Vanadium ugfL.
Ag- Siler 1077 ug/L-
AI-Aluminum 1105 ugfL
He -Beryllium 1017 ugfL
Ca- Calcium 916 mg/L
Co- Cobalt t037 ugfL
Fe- iron 1045 ugil,
No -Molybdenum ug/L
Sb-Antimony ug1L
Sn-Tin ult/L
T.-Thallium ug/L
Ti-Titanium ugfL
Hg-tb31 ng1L
REPS
Lab Number
Date Reeei�cd Qi r j 7''rrryy��
Time Received i �, u U
Received By 'J,Y,If]/n -
Data Released :
Date Reported t
Composite-T, S, B Sample Type
Li -Lithium 1132 uq'L
Mg- Magnesium 927 n*(L
Mn-Manganese 1055 UDA-
Na- Sodium 929 mp/L
Arsemc,Total 1002 unfL
Se Selenium 1147 uZJL
Hg- Mercury 71900 ugfL,
Ba-Barium up/'L
Orpnochlorine Pesticides
Organophosphorus Pesticides
Organonitr*6mn Pesticides
Acid Herbicides
BwrJNcutral&Acid Extractable Organics
TPH Diesel Range
Purgeable Organics (VOA bottle req'd)
TPH Gasoline Ran
TPBMTEX Gasoline Range
Phytoplankton
Tcmperamre on arrival {°C}: • �l

,,= INVOICE
INVOICE NUMB E 434761
INVOICE DATE 6/20/2011
WORK ORDER : 1106-01180
Please remit payment to:
Tritest, lnc.
P.O. Box 33190
Raleigh, NC 27636
Attn: Accounts Receivable
NCDENR/DWQ
585 WAUGHTOWN STREET
WINSTON-SALEM, NC 27107
Attn: ISSA ROSE R CK
I - I �' 1,
_P,il,
PROJECT INFO: HARRIS
YOUR ORDER DATE:: 6/1612011
PURCHASE ORDER REF:
Quantity
Done Procedure Performed
3 MI-COLIF Fecal Coliforms/MF
RECEIVED
N.C. Dept. of FNR
ston'Splum
Regional Off]Ce
s. (r
phone: [phone]
fax: [phone]
Client Number: 800993
INVOICE TERMS: NET 30 DAYS
Unit
Price
A FINANCE•CHARGE of 1.5% (18% annually) wilt be assessed to invoices over 30 days.
0-2 4 ,
Extended
Price
20.00
� Tota1
Paid
Balance
60.00
$60.00
0.00
60.00

o
Page 1 of 1
M
NOTEST
Laboratory Report
Lob IocoGon W,
Lab Loco(ran 'C'
Lab J000f1017 'W'
NCNVW Cert.#: 067 NCIDW Cert.#: 37731
NClWW Cert.#: 103 NCIDW Cert.#: 37733 NCIWW Cert.#: 075 NCIDW Cert.#: 37721
6701 Conference Dr, Raleigh, NC 27607
6300 Ramada Dr, Suite C2, Clemmons, NC 27012 6624 Gordon Rd, Unit G, Wilmington, NC 28411
Ph: [phone] Fax: [phone]
Ph: [phone] Fax: [phone] Ph:
[phone] Fax: [phone]
Project No.:
Report Date:
612012011
Project ID: HARRIS
RECEIVED Date Received:
6/16/2011
N,C. Gept. of�EjNR
--- Prepared for ---
JUN _ 3 &oi4 l
MELISSA ROSEBROCK
? W}nstemSalem
pWQ
; Rvc iior,.a Office � Work Order #:
1106-01180
585 WAUGHTOWN ST.
Cust. Code:
800993
WINSTON-SALEM, NC 27107
Cust, P.047
No. Sample lb
Date Sampled Time Sampled Matrix
Sample Type Condition
001 HARRIS UPSTREAM; (4)
6/1612011 14:30 SW
Grab 4 +1- 2 deg C
Test Performed
Method Results
Lab Loc Dat Time Qualifier
Fecal ColiformslMF
SM 9222D 1500 CFU1100mL
C 6116/11 16:30
No. Sample ID
Dale Sampled Time Sampled Matrix
Sample Type Condition
002 HARRIS DOWNSTREAM; (3)
611612011 13:40 SW
Grab 4 +1- 2 deg C
Test Performed
Method Results
--- ----- qn I zed --------
Lat7 Loc Da� TIme Qualifier
Fecal ColiformslMF
SM 9222D >60,000 CFU1100mL C 6116/11 16:30
No. Sample ID
Date Sampled Time Sampled Matrix
Sample Type Condition
003 HARRIS DOWNSTREAM; (1)
6116/2011 13:20 SW
Grab 4 +1- 2 deg C
Performed
Method Results
Dat __e-
Lab-L_oc_ zed TTest Qualifier
Fecal ColiformslMF
SM 9222D 58,000 CFU1100mL
C 6/16111 16:30
Reviewed by:
for Tritest, Inc.

3
C
TRITEST Chain of Custody
U 6701 Conference Drive, Raleigh, NC 27607
ph:[phone],lax: [phone]
NCWW Cert#67, NCDW Cert,4'37731
J 6624 Gordon Road, Unit G. Wilmington, NC 28411
ph: [phone]. lax: [phone]
WW Cert#75, NCDW Cert#37721
6300 Ramada Dr., Sulle C2, Clemmons, NC 27012
h: [phone]. tax: [phone]
NCWW Cert#103, NCDW Gert#37733
Report Results To:
Company: ,_i] u3Q
Address: � � %ft4w �Jf
a (07
Aft c. y -•
Phone: _3 ,n , 77? _1 S 169
Fax: 3.3� -7`71• 4630
Sampled by (signature):
1'�4112 i q_ N C�
Tritest W.O. # It 0 L/
1 ~ � R�CE1Vl=u
Nv C. Qenc. of ENR
I
i Wirismn-Salem
j Reg'sanat ice __-
Project Reference:
Project Number:
Purchase Order #-
*andard Report delivery
D Rush Report Delivery twrsurcharp)
-Rush projects are subject to prior approval by
the laboratory
Requested Due Date:
Sample Description
g. „,,,
gob
Start Date
End Dale
Matrix
Analyses Requested
1ntest
same r
Start Time
End Time
ww, txv, sw
ow, sw, nc
l� Sdrecrv�
-c�rrL s
SjaP1G 16
5 W
Fe CQ ! e o f ;�� M
y o
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s
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elinq ' hed by (signature)
Received by (signature)
M�
Date
o'
Time
l
Relinquished by (signature)
Received by (signature)
Date
Time
Relinquished by (signature)
Received by (signature)
Date
Time
Receipt Conditions (Lab & Only)
❑ 4t2'C ❑ Temp: 'C
Res. Chlorine:
❑ Absent ❑ Present ❑ Na
Acid preserv. <2?
❑ Yes ❑ No ❑ nla
Base preserv. >12?
❑ Yes 11 No 0 n/a

w
Name of Stream
Description
Curr. Class
Date
Basin
Stream Index #
Sandy Creek
From source to South
WS-II;Tr,HQW
08/03/92
Yadkin
12-40-3-3
Fork Reddies River
North Fork
From source to Reddies
WS-II;Tr,HQW
08/03/92
Yadkin
12-40-4
ReddieB River
River
Osborn Creek
From source to North
WS-II;Tr,HQW
08/03/92
Yadkin
12-40-4-1
Fork ReddieB River
Buckwheat Branch
From source to North
WS-II;Tr,HQW
08/03/92
Yadkin
12-40-4-2
Fork ReddieB River
Darnell. Creek
From source to North
WS-II;Tr,HQW
OB/03/92
Yadkin
12-40-4-3
Fork ReddieB River
Wingler Creek
From soruce to Darnell
WS-II;Tr,HQW
OB/03/92
Yadkin
12-40-4-3-1
Creek
Mill Creek
From source to North
WS-II;Tr,HQW
08/03/92
Yadkin
12-40-4-4
Fork ReddieB River
Snider Branch
From source to North
WS-II;Tr,HQW
08/03/92
Yadkin
12-40-4-5
Fork Reddies River
Quarry Branch
From source to Reddies
WS-II;HQW
06/03/92
Yadkin
12-40-5
River
Tumbling Shoals
From source to Reddies
WS-II;HQW
08/03/92
Yadkin
12-40-6
Creek
River
Kilby Branch
From source to Reddies
WS-II;HQW
08/03/92
Yadkin
12-40-7
River
Lousy Creek
From source to Reddies
WS-II;HQW
08/03/92
Yadkin
12-40-8
River
Hoopers Branch
From source to Reddies
WS-II;HQW
08/05/92
Yadkin
12-40-9
River
Cub Creek
From source to Yadkin
C
03/01/77
Yadkin
12-41
River
Little Cub Creek
From source to
WS-I;HQW
08/03/92
Yadkin
12-41-1-(1)
Wilkesboro's Old Water
Supply Dam
itLie-Cub -Creek
C
03/01/77
Yadkin
12-41-1-(2)
,doF.romwWilkesboro.ws&Old
LWater_Supply am -to "
Cuh Creekk
Mulberry Creek
From source to Yadkin
C
04/06/55
Yadkin
12-42
River
Joshua Creek
From source to
C;Tr
07/01/73
Yadkin
12-42-1
Mulberry Creek
Dungeon Creek
From source to Joshua
C
04/06/55
Yadkin
12-42-1-1
Creek
Pine Mountain
From source to
C
04/06/55
Yadkin
12-42-2
Branch
Mulberry Creek
Halls Creek
From source to
C;Tr
07/01/73
Yadkin
12-42-3
(Harris)
Mulberry Creek
Church Barnch
From source to
C
04/06/55
Yadkin
12-42-4
Mulberry Creek
Wooten Creek
From source to
C
04/06/55
Yadkin
12-42-5
Mulberry Creek
See Tree Branch
From source to
C
04/06/55
Yadkin
12-42-6
Mulberry Creek
Page 6 of 10 2011-06-11 07:07:11

RECEfVEp
Report to: i�:54'�-6 WATER QUALITY SECTION N-C, 0e4-,t OFFNP Page 1 of-
` CHAIN OF CUSTODY (COC) RECOR JUN 2 0 2011
NC DENR/DWQ LABOR.4'rORY (check one): CENTRAL 1 1 ARO [I WaRO W ristar,.g.a,-
Region3­,
For Investigation of: W •) I Les t�bv t>
_
I_ a -V-
l
Sample collector (print name)
and DM-1 forms completed by: N1 Rose- hr-b
r_—lL , _ Sample collector's signatur A ­
Field storage conditions and location (when applicable):
Sit d Lock C100 (ex- ) 11 i ,!:- le l or- k-e-d
Lab Use Only
LAB NO.
STATION NO,
STATION LOCATION
DATL"
SAMPLED
TIME
SAMPLED
NUMBER
OF
CONTAINERS
2lvo
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3<3
2
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60u -ream3 NarrtS
269%
C
f•
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15 A 0
q-j LQLI V-'IS
I*
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/
Date
Db I
fii a
Received b (signature):
Date
�'1��
Tim
Relinquished by (signature):
Date
'Time
Received b (signature):
Date
Time
Relinquished by (signature):
Date
Time
Received by (signature):
Date
Time
Method of Shipment (circle one): State Cour' ?
Hand -delivered Federal Express UPS
Other:
Security'I'ype and Conditions:
Sealed by:
Bruken by:
/41i'l
INTRALABO 'fORY CHAIN OF I'O Y - Lab se Onl
LAB NUMBERS
FROM THROUGH '
NUMBER
BOTTLES
ANALYSES
REQUESTED
RELINQUISHED
BY:. s--.
RECEIVED
BY:
DATE
TIME
-13 0 �7
Q.
G-)74
dglr_55'
72
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617111
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1
QAIForms\Sample Receiving\COC form WQ 4/10/01dbs

i
9
.J
TRITEST
Chain of Custodr-
Tritest W.O. #
❑ 6701 Conference Drive, Raleigh, NC 27607
ph: [phone], tax: [phone]
NCWW Cert#67, NCDW Cert#37731
CI 6624 Gordon Road, Unit G, Wilmington, NC 28411
ph: [phone], tax: [phone]
NCWW Cert#75, NCDW Cert#3772T %
6300 Ramada Dr., Suite C2, Clemmons, NC 27012
ph: [phone]. tax7 [phone]
NCWW Cart#103, NCDW Cert#37733
w.
Report Results To:
Company:_ Ili_
Address: -5:S Sw Ire b Y4
�I jQ�-hxen�/jraM 7(17
Attn: , I c
Phone: '' `"}
Pax: 336o. -7-7I. q6 30,r-
Sampled by (signature):
S
Bill To:
MC ZIEW 2 - D IQ Project Reference:
rojact Ntambefrl! A
1 lief - t I Purchase; Orde?,#.
�andard Report Delivery
❑ Rush Report Delivery (wisurcharge)
{ "Rush projects are subject to prior approval by
the laboratory
Requested Due Date:
Sample Description
Comp0666or
Gres
Start,Date,,
End -Date +b
Matrix
ow,'Sou, B
Analyses Requested;
Tritest
sample#
Start Time
End Tim' °
uP
S+r'e.a M
d rTL
00
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t
Fe Ca /
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�jo tan 5-ir-�e a +m
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Relinq ' hed by (signature)
Received by (signature)
Date
Time
Relinquished by (signature)
Received by (signature)
Date
Time
Relinquished by (signature)
Received by (signature)
Date
Time
Receipt Conditions (Lab Only)
❑ 4t2°C ❑ Temp: °C
Res. Chlorine:
❑ Absent ❑ Present ❑ n/a
Acid preserv. <2?
CYes ❑No El n/a
Base preserv. >12?
❑ Yes ❑ No ❑ n/a
t.
t? ... t`-

Water Quality Monitoring Field Meter Calibration Sheet
c; 4I-e
1 b C (-ee !L
Date
!mmldd
Time
24hr hh:mm
Initials
Pre -Sampling Calibration
Il p
Post -Sampling Check
I to 10
Miscellaneous (Does not apply to YSI orAccumet Meters)
BattepL Level (V)
tir Working?
Pre -Sampling Calibration
Y
Post -Sampling Check
N
Battery Ranges = Surveyor: internal- 7.2-7.5V, external- 11-13V; Quanta: 4.0-4.5V
Dissolved Oxvaen (ma1L1
Barometer Calibration (mmHg)
'YSI Pro Plus Meters Only
Initial
Re ding
Calibrated
Value
J
Initial %
Barometric
Pressure
D.O. Table
Initial Meter
Calibrated Meter
Calibrated
Temp, °C
Saturation
mmH
AltAude (ft.)
Value
Reading img/L)
Reading (rrgry
Saturation
Pre -Sampling Calibration
3 S
c` 0 o
9-3
t
<7 3
9 -7
Post Sampling Check
a
S
p
9,0 7, r,.
l
1
.................................... ...........
Within t 0.5 ? Y /,
Conductance (NSlcm at 25eC)
Lot #: 41016 a3
Lot #: -Z6 l )
Dry Air"'
Zero (0)
Conductivity Standard 3
Value: 1600
Calibration Check
Value: 1 a 0
Initial Meter
Reading
Calibrated
Meter Reading
Initial Meter
Reading
Calibrated
Meter Reading
Initial Meter
Reading
�''�sranderd
ng Calibration
ling Check
within t 2? wit 10%? wit ±10% 7b 00U'
Y/N !N 58870:'
NOTE: Quanta reads in mSlcm; move decimal 3 places right for pSlcm.
I Dry Air CALIBRATIONS are conducted for 4a and MS5 Hydrolabs only.
2 Dry Air CHECKS (confirmation of zero in dry air) are conducted for YSI 85, YSI 6920, YSI Pro Plus S Quanta meters.
3 Conductivity standards are used to CHECK the YSI 85 meter and to CALIBRATE all Hydrolab meters and the YSI 5920 & YSI Pro Plus.
4 Does not apply to Dry Air CHECKS or Conductivity Standard CHECKS (leave blank).
off (SU) Lot#: in 0990 Lot#: &o �?`l Lkn
Buffer 01
B ffer #2
Confirmation
7.0 ,ff
4.0 10.0
Slope
Buffer
Buffer Temp: a • S
Buffer Temp:
Efficlency3
7.0
initial Meter
Calibrated Meter
Initial Meter
Calibrated Meter
Meter Reading
Reading
Reading
Reading
Reading
Pre -Sampling Calibration
—� d
—� 00
3
r 0
orq, /P
q
Post -Sampling Check
03
.................................
withn±0.t?
00�
r
1 t 0.2?
Wit 0.2?
Y' N
Y N
Slope efficiency applies to Accumlters only (does not apply to Hydlydfab or YSI meters).
Comments:
Keep original on file for 5 years _ Ver. 04/1812010