NCG020019_MONITORING INFO_20190212

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/v CC
DOC TYPE.
❑HISTORICAL FILE
i� MONITORING REPORTS
DOC DATE
❑ � O� � � / a
YYYYMMDD

L ANNUAL ,SUMMARY M- WASTEWATER
SEND TO CEIVTRAL OFFICE* RECEIVED
12
PROCESS MM/DEWATERING WASTEWATER $ 20d9
GENERAL PERMTT NO. NCG020000 CENTRAL FILES
MLA", ..��—
j * Report All Wastewater discharge monitoringdata on this form (including No Flow and No Discharge and Permit Limit Violations) by MARCH 1 of each y`eer: It
you have limit violations _you must also have turned in a Limit Violation DMR to your local Regional Office within 30 days of receiving sample results from a lab.
CERTIFICATE OF COVERAGE No NCG02 Q a 1 9
FACILITY NAME: COI
m I g P,
PERSON COLLECTING S AWLES- �r r c I�irres
CERTIFIED LABORATORY: FAc—= ,xLLT ca.l Lab # f�7
Lab #
L11 ITS VIOLATIONS? YES ❑ NO ❑
Part A: Wastewater Monitorhm Reauirements
SAMPLE COLLECTION YEAR:
COUNTY: rR4Mt; , A)
PHONE NO. 9( 1 q ) LP — 3-7
ADD TO LISTERVE? YES El NO EMAIL: USt, r Bkmon►-t.��
INDUSTRIAL SAND'? KI DISCHARGING TO SA WATERS'? ❑
Outfall No.
Date Sample
Collected,
50090
Total Flow
00530
Total Suspended
�.
Solids
00400'
Turbidlt3�
00545
Settleable Solids-,.
00400;
p'S
31616
Fecal. Coliforme
-
mm/dd/yr
MG
aig/3
NTU
ml/l
Standard
col/ml
63 0� �orF
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WD
'Ali mines must monitor WW discharges for TSS. Only industrial sand mine discharges are subject to TSS bits.
2 If an effluent limit is exceeded, the permittee is required to institute monthly monitoring for that parameter for the remaining permit term.
3 The discharge shall not cause an instantaneous measurement of the turbidity of the receiving water to exceed: 1 t3 NTU for freshwater streams, lakes, and reservoirs
designated as trout waters; 25 NTU for all lakes and reservoirs, and all salt wafters; 50 N'TU for all other streams and surface waters. Turbidity may be monitored at the
Stormwater Discharge Outfall. Alternatively, the permittee may choose to monitor turbidity in the receiving water, directly upstream and downstream of the discharge.
4 Only facilities discharging to SA waters are required to monitor for Fecal coliforms.
I MAIA-11111 MnIA /` Last Revised 01-05-10

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aceAnalytical e
www,p"Ahs.tom
Pace Analytical Services, LLC
6701 Conference Drive
Raleigh, NC 27607
(919)8344984
Laboratory Report
Wilbur Moore
Wade Moore Equipment Company
PO Box 546
Louisburg, NC 27549
Project: SITE 1 GP
Pace Project No.: 92376380
Page 1 of 1
Report Date: 03/15/2018
Date Received: 03/09/2018
Sample: SITE 1 GP
Lab ID: 92376380001 Collected: 03/07/18 15:00 Matrix:
Water
Method
Parameters
Results
Units
Report Limit
Analyzed
Qualifiers
EPA 180.1
Turbidity
42.1
NTU
1.0
03113I18 03:59
H3
SM 2540D
Total Suspended Solids
14.0
mg/L
2.0
03/13/18 19:45
D6
SM 254OF
Total Settleable Solids
ND
mIJUhr
0.10
03/11/18 13:54
H3
EPA 9040
pH
6.9
Std. Units
0.10
03/12/18 12:25
H6
ANALYTE QUALIFIERS
06 The precision between the sample and sample duplicate exceeded laboratory control limits.
H3 Sample was received or analysis requested beyond the recognized method holding time.
H6 \Anaallysistinitiated outside of the 15 minute EPA required holding time.
Reviewed by: - '
Terri Page
[phone]
[e-mail]
Asheville Certification IDs
2225 Riverside Drive, Asheville, NC 28804
Florida/NEL.AP Certification #: E87648
Massachusetts Certification #: M-NC030
North Carolina Drinking Water Certification #: 37712
North Carolina Wastewater Certification #: 40
South Carolina Certification #: 99030001
VrginiaNELAP Certification #: 460222
Page 1 of 4

document Name: Document Revised: February 7, 2018
Sampie Condltfan U an Reed t(SCUFt) Pa e i of 2
��! • Document No.: Issufng Authotity:
F-CAR-CS-033-Rev.06 Pace Carolinas Quality Office
Laboratory receiving samples:
Asheville ❑ Eden[] Greenwood ❑ Ht
Client Name:
-' adrG
Courler: Ljted Ex OUPS IJSPS
❑ Commercial ❑Pate []Other:^
Custody Seal Present? ❑Yes [ko Seats intact? ❑Yes P�Qo
WQ#9237s3—
9237
Datapnithls Person faumining ConUnts:��_ "
Packing Material: ❑Bubble Wrap ❑Bubble Bags None ❑ other Bfologlcal Thsue Froxen7
Thermometer: Oyes
ON"
A
VTIR Gun [D� Type of leer: Yet ❑glee []Nona
Cooler Temp ('C): Q. Correction Factor: Add/Subtract (Y) d ,
Temp should be above freelfng to 6'C
Confer Temp Corrected f'C): ❑Samples out of temp Criteria. Samples on lee, cadky proms
has begun
USDA Regulated Sall (kN/a watersamplef
Did samples o f to n a quarantine cone within the United States: CA, NY, or SC (check maps)? Did samplas Wiginale from a ferelgn source (lnlem tfanaCy,
f'Sv.� f : n t. ,Etta r,. .n, at n...,r., elmtr l- lv.. Wfun
Cammena Dbtrr ant%:
Chain of CusLadly present?
RKU
CINQ
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1 1.
Samples Arrived wlthfn Hold rime?
Ye
tso
I/A
2.
Short Hold Time Analysts 01 hr.?
Ne
N/A
3.
Rush Turn Around Time Re nested?
es
No
N/A
4.
Suf"clent Volume?
Te
Na
N A
$-
Correct Containers Used?
-Pica COAWhets Used?
es
❑Na
xo
(]N/A
r! A
6.
COmainera intact?
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EIND
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Dissolved ana Is: Samples Reid rlltered7
DY.1,No
A
8.
Sample Labels Match CDC?
includes Date/nme/rD/Ana Is Matrlx:
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❑,J/A
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Headspace In VOA Vlats {>S-6mm)7
Yu
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Trip Blank Present?
trip Blank Custody Seals Present?
❑Yes
UYes
❑No
No
N/A
NIA
11.
COMMENTS/SAMPLE DISCREPANCY 1 Field Data Requtrcd? ❑Yen ❑JJo
Lot ID of split containers:
CLIENT NOTIFICATION/RESOLUTION
Person contacted: �� Date/Tfine:
"Al
Project Manager SCURF Revfaw: Date: 1 ��
}_ r
Project Manager SAF Revlaw; Date: r 1
Page 2 of 4

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CHAIN -OF -CUSTODY I Analytical Request Document
The CMi .o&Cusmdy ka s LEGAL DOCUMENT. AO rdamt 9dds must De rn PWW ecmmtdy.
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Document
Document No.:
'Check mark top half of box if pH and/or dechlorination is
verified and within the acceptance range for preservation
samples.
Exceptions: VOA, Collform, TOC, Oil and Grease, ORO/8015 (water) DOC, LENS
"Bottom half of box Is to list number of bottle
Page 1 of 2
Issuing Aothorlty:
WOE 92376380,. , L- .
PM TWO
F Due Dare°
CLIENT: 91-Waday
son
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oil
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ML
SOMMOMMEN
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pH Adjustment Log for Preserved Samples
sample 10
1 Type of Presemdve
pN upon nnipt
Data preservation adjusted
Time preservation
adjusted
Amount of Preservative
added
Lot e
Note; Whenever there Is a dlsttepancy affecting North Carolina compliance samples, a copy of this form will be sent to the North Carolina MUIR CerCfkatlon ONt s (I.e.
Out of hold, Incorrect preservaave, out of temp, incorrect containers.
Page 4 of 4

/ro?
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amr-oacelahs-com
CHAIN -OF -CUSTODY 1 Analytical Request Document
The Chain -of -Custody is a LEGAL DOCUMENT. All relevant fields must be completed accurately.
Section A Section 8 Section C
Page: of
Required Client Information: Required Project Information: Invoice Information:
Company: r Report 70: Attention: � /
2056570
tiV� ffJU:LJIti'! J.iukC�t"t^ �ftf CY{
Address: -y r,r' I' Copy
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V.I)- i:i C 1 f (r„ _ko a, Af j7
N P D E S f— GROUND WATER r DRINKING WATER
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Order No.:
Pace Quote
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Pace Project
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Site Location
1 fA tl9L 7e �i ' L 1
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STATE:
Requested Due DaterrAT: Project
Number:
Pace Profile a:
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Filtered
{YIN)
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COLLECTED
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SAMPLER NAME AND SIGNATURE
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*Important Nola: By signing this form you are accepting Pace's NET 30 day payment terms and agreeing to late charges of 1.5% per month for any invoices not paid wthin 30 days. F-ALL-0-020rev.07, 15-May-2007

Instructions for completing Chain of Custody (COC)
I . Section A and B: Complete all Client information at top of shut: company name. address, phone, fax, contact (the person to contact if there are
questions, and who will receive the final report.), e-mail address (if available), 1'0#, Project Name andlor Project Number as ynu would like; to see it
appear on the report.
2. Section C: Invoice: Information: Billing information is included in this section. This infonnation should include the name and address of the person
rc;ceiviDa the invoice.
3. Quote Reference should be completed if quotation was provided by face Analytical. Thu Project Manager, and Profile No. will be completed by
Pace Analytical Services.
4. Site Location: A separate COC must be filled out for each day of sample collection. Record the two letter postal code: for the US state in which the
samples were collected.
5. Regulatory Aeency: List the; program that is guiding the work to ensure proper regulations arc followed.
6. Section D: Complete a Sample Description in the "SAMPLE ID' section as you would like it to appear on the laboratory report. The following
information should also be included: the sample matrix, sample type (G (grab) or C (composite). When collecting a composite, the start time and end
time should be documented in the respective boxes. The collection time for a grab (G) sample should be entcrcd in the boxes marked `Composite
End/Grab'), Sample temp at collection (if required by state), the total number of containers_ and preservative: used.
Mark if the sample; was filtered in the field by marking Y or N in 'Filtered' row by the Analysis requested.
S. Requested Analysis: List the required analysis and methods on the lines provided and place a check in the column for the: samples requiring the
analysis. Additional comments should be referenced in the bottom left hand comer or include; attachments for extended lists of parameters.
9. The sampler should print their name in the space provided and sign their name followed by the date of the sampling event at the bottom of the COC in
the spaces designated for `SAMPLE R NAME AND SIGNATURI '.
10. When relinquishing custody of the samples to a representative of the laboratory or other organization, indicate the Item Numbers of those samples
being transferred; sign relinquished by, date and time, and include your affiliation.
*Important Note:
Standard Turnaround Time is 2 Weeks110 business days. Results will be delivered by end of business on the date due unless other arrangements
have been made with )'our project manager.
Special Project Requirements such as Low Level Detection Limits or level of QC reported must be included on the chain of custody in the Additional
Comments section.

c`eAnalytical
www..pac9W&cam
Pace Analytical Services, LLC
6701 Conference Drive
Raleigh. NC 27607
[phone]
Laboratory Report
Wilbur Moore
Wade Moore Equipment Company
PO Box 546
Louisburg, NC 27549
Project: SITE 1 GP
Pace Project No.: 92376380
Page 1 of 1
Report Date: 03115/2018
Date Received: 03/09/2018
Sample: SITE 1 GP Lab ID: 92376380001 Collected: 03/07118 15:00 Matrix: Water
Method Parameters Results Units Report Limit Analyzed
Qualifiers
EPA 180.1
Turbidity 42.1 NTU
1.0
03/13/18 03:59
H3
SM 2540D
Total Suspended Solids 14.0 mg/L
2.0
03/13/18 19:45
D6
SM 2540F
Total Settleable Solids ND mL&ffir
0.10
03111/18 13:54
H3
EPA 9040
pH 6.9 Std. Units
0.10
03112/18 12:25
H6
ANALYTE QUALIFIERS
D6
The precision between the sample and sample duplicate exceeded laboratory control limits.
H3
Sample was received or analysis requested beyond the recognized method holding time.
H6
Analysis initiated outside of the 15 minute EPA required holding time.
\'�
Reviewed by:
y
Terri Page
[phone]
[e-mail]
Asheville Certification IDa
2225 Riverside Drive, Asheville, NC 28804 North Carolina Wastewater Certification #: 40
Florida/NELAP Certification # E87648 South Carolina Certification #: 99030001
Massachusetts Certification #: M-NC030 VirginialVELAP Certification #: 460222
North Carolina Drinking Water Certification M 37712
Page 1 of 4

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Laboratory receiving samples:
Ashev(jje0 Eden[] Greenwood ❑ Hunte�� • ,` Pit-n
Client Name. ` `,r:4923763
` proi j
Courier. Fed Ex ❑UPS LIUSPS ent.. � �,•�� f ; ��� F is ` I h
❑ Commercial ❑Pace ❑otheri° 9 376360 r 1 r
Cattm* Seal Present? []Yes (ko Seats fntad? []Yes
Date/Inittall Pawn Examining Caaunts:�`�_
Paddng Material: ❑Bubble Wrap ❑Butsble Sags None ❑ other Biological Tlsule Frozen?
Ther, bier, g 9 ,` ❑Yes ❑No A
AIR Gun ID: ier ` 9Z TYPe a} foe: tYet Oak. ©MOM
Confer Tamp ('C): O. D Carrecdon Fader, Add/Subtract ('Cj ,
� � Temp should be above freezing to WC
Cooler Temp Corrected (%I: ❑Samples out of tamp craeda. Samples on Ice, mown ptocess
has begun
USDA Regulated sail OZ N/A, water sample)
OW samples oagl�gte n a grarantlne zone within the UORed States: CA , NY, or SC (check maps)? old samptas adgtrute Irana }creign smote (Inter tionaCY,
DYes indWLna HawaR and Puetta Ricoll FITu No
Commence Discre ancY:
Chain of Present?
Ores
ONO
NA
I.
Samples Arrived whhln Hold Time?
Y
Io
OWA
1.
Short Hold Tine An <72. hr, ?
es
ON.,
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Rusk Turn Around the Requested?
rg to
nW.
4.
SufRcknr Vohanc?
Na
ONIA
S.
Correct Contalnan Used?
-Pace Conwnert Usedt
as
[]No
13HO
[JN/A
OHIA
6.
Containers tntact7
OW&
7.
Dissolved ana es field Flhsred?
Y
No
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Sample Labels Match COO
-indudes oate/nmeAP/j Matti=
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Headspace in VOA Vlah (A-6mm)T
Oyu
140
! A_
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Trip Blank Present?
Trip Blank Custody Seals Present?
❑Yes
Yes
❑tfa
No
N/A
N!A
fl.
COMMENR/SAMPLE DISCREPANCY ,e, r t'— I FWd Data Rayulred? ❑Yes ❑No
0s3 f/ r `pus a� �?';?L�j r
Lot 10 of spilt containers:
tLIENT NOTIFICATION/RESOLUTION
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Project Manager SCURF Revlaty Date. y I f
44
Project Manager SRF Review: Date: r 1
I
Page 2 of 4

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CHAIN -OF -CUSTODY 1 Analytical Request Document
�x a,.a+acc„:may b. you oocuu>:wr. n. fdcr„u fdtl. muu w mmq�ea .�.sco�,.
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Document Name:
Document Ne.:
'Check mark top half of box If pH and/or dechlorination Is
ved led and within the acceptance range for preservation
samples.
Smcepdanr. WDA, Colrfor% rOC, OII end Grease, ORQ/GGIS Iwatell OOC, L ft
'•Bottom half of box Is to list number of bottle
Document Revised: February 7.2018
Page 1 of 2
UNIUii0►130
soil
iE�
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MENii►
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EMOMMEMOVEM's
pom
pH Ad)ustment
Log for Preserved Samples
Samoa to
Two of Presatrathq
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Oath prewrvatlan adjusted
Thne preservatloe
adiusted
Amount of Prawmafivt
added
Lot e
Note: Vyhenemt there e a hlscrepaner aRnihsg North fStolrta compliance samplas, a ropy of thin form wi l be sent to the North Cetonna OEHNA Certlnrannn O9ke [La.
Out of hold, kwweel preaemtNe, out of temp, btcerren mn.alnars.
Page 4 of 4

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,./�face Analyfical-
wong.oacelabs.earn
CHAIN -OF -CUSTODY / Analytical Request Document
The Chain -of -Custody Is a LEGAL. DOCUMENT. All relevant folds must be compleied accurately,
Section A Section B Section C
Page: of
Required Client Information: Required Project Information: Invoice Information:
Company. Report TO: Attentiom,
2056570
r
Address;
Copy TO:
Company Name;
REGULATORY AGENCY
Address:
V NPIDES F GROUND WATER F- DRINKING WATER
r— UST F RCRA F- OTHER
Email To:
�urchdlse Order No.:
Pace Quale
Reference:
Phone.,
Fax: Project
Name:
Pace Project
Site Location
I
Manager
I
STATE:
Requested Due Date/TAT: Project
Number:
Pace ProMs
Requested
Analysis
Filtered
(YIN)
Section D Matrix Codes
V
0.
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Required Client Information MATRIX f CODE
Drinking Water DW
M
0
0
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COLLECTED
z
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Water WT
Wastewater Ww
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to
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aceAnalytica!
www.P8rC1Phs.cnm
I
Wilbur Moore
Wade Moore Equipment Company
PO Box 546
Louisburg, NO 27549
Project: WADE MOORE EQUIPMENT C0
Pace Project No.: 92389780
Sample: SITE 1 GP
Method Parameters
SM 2130B Turbidity
SM 2540D Total Suspended Solids
SM 2540F Total Settleable Solids
EPA 9040 P11
ANALYTE QUALIFIERS
Laboratory Report
Pace Analytical Services, LLC
6701 Conference Drive
Raleigh, NC 27607
(919)B34-49B4
Page 1 of 1
Report Date: 07/02/2018
Date Received: 06/26/2018
Lab ED, 92389780001 Collected: 06/26118 06:30 Matrix: Water
Results
units
Report Limit
Analyzed Qualifiers
5.7
NTU
0.50
06127/1813:30
6.2
mg1L
2.5
0612711816:53
ND
mill-!hr
0A0
0612711813A0
7.6
Sid_ Units
0.10
06/29/18 15:12 H1,H6
Hi Analysis conducted outside the EPA method holding time.
H6 Analysis initiated outside of the 15 minute EPA required holding time.
Reviewed by:�
pv—
Terri Page
[phone]
terri.page @pacelehs.c0m
Eden Certification 109
205 Fast Meadow Road Suite A, Eden, NC 27288 North Carolina Wastewater Certification #: 633
North Carolina Drinking Water Certification #: 37738 Virginia/VELAP Certification #: 460025
Page 1 of 4

�Y., acr�AflalL4rL:ir! ---
iaboratary recatuing samples:
AslievlRe U Eden❑
0ofurnem Mime..:
Dorument Fktviscdl Fei7tltary 7, 2019
SamplC C_^ ondftLosi ISpon Rarcl r 5Ct1R
Pa a 1 ai 1
pacument No.:
Issuing Aclftrity:
F-CAA-CSd139-Rev.06 _
Pace CamPrias quality Qltice _
Greenwood 0
' ClientN;snit•;
�Cnur)m: F d -a {,JUPS uSPS
CulranrlTial r e ,,,�,,(�� Valfwt-
rrurndy Scai Presnat? [{Y•s Kko Seal, hitact? nVI.,
Peckhlg Maleilalt nw.bblo Wfill _�B,rE1F.lr. Rngs t Anne © 4311rET (Waglol Tissue Fro2en?
Thcrrttnmc cr: ln; []Yes ©iVo �Sal>h
ip f un rvr=c ul lrr•: iYn: [;_f alv� ( Ilnnr
[dole, Ftmp f'Cj: Colloclirrn FartoL'.}d(f
,,"ttom� ( rensp slinuln �c above freP2ing to b'C
Cnoler temp Cut rea eo {'C11 .--tiJ--1--- 057mD�s Mil Or tlmy tri[eria, SArnples as Irr, rrnussp pr ace rs
��•!!! lys i;C81rn
WMA Regulates} Sail ,4jA, water samprtj
t1'd taruolat rsti0,We in a v+aranrina aan, ithin isle. 11+11led 5IMPS: CA- r2Y, m Sr irherk maaat? Old Lammas wipinare from a (areldn tatwa (intecnallnna&:.
Ye n (jp
wOudinr llawall and Pucao pStal?QYcs }!o
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dhainofCvslad
.Sanluies Arrivtd WOO rlold_rime?
_? rr1 l-f:ln QIA
2.
_ShurtHold Time ArWysh{1)2hr.1T
_ 's na (Tl/A
Rush Turn Around i )mt. Reques tq _
S%6,cicnl Volume?
,f�Ycr
re f-)ssn_ P/A-
O:irpctC01,10lertUsed?
-Poce Containers used?
dVj Qt>a ORIA
{ram-,�i'ef Qf1n (�Nfn
6.
comlincls lnrarl?
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7.
UILSDived iRalY515: Sarnpl Cs FiCI[t nitefe5f?
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Sample IAheistlslctt CUL?
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_ •Uldudes ilitt(IlmeflrlJAn;r]yns_ AIAEric:
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irr Nn lux
ri 1lN nitNrSJSMiprF L={SCRF PAT'CY Flaki Data Rnqulrnd? [_]Y[s [_}ISa
___ Ln1 It) a(S !IS [t'11131ACrs;
CLIP HT NO11F1CATIONlII[Snitl[tc:ls
Person tnmacted: ��•_______�,_•�___,___ Ualn/Tlmc: __�•-. _
Prrrlcrt 0.SAnipt+SCURF pevlew:
Prrrf ll
�n[t Mtanoprr Sl}F Retriasv: J nxte:
page 2 of 4

}', CHAIN -OF -CUSTODY I Anaiyticai Request Document
P2CEitJk?��ilC3C C� V Tn. is a `�Gn[ OOCt1V!N-r. M rk4"4MC-kj a ,9 w w e e4 A,4r.
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Ununnenr Name: oocumant novlted; Febma
Sample Candltlan [1 an Reecl I SCUft Pago 2 of 7
.PaCCNl31yl'Cc71 Uecutnent Nn.: lstuing Authorll y;
'Check mark top half of flax if pli nod/or dechlorination is
verified and within the acceptance range for preservation
samples.
fxceptlunr. VOA, Coflorns, TOC., Oil and Grease, FJROIR015 (waltej 11UC, Wig
#'got tom half of box Is to list number of battle
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aalnsred added
NutC•. VJnrnr�m ll.ere' dlsuepsnry srlrRing rlunh for nlir a cainpli,rc.. nrnpG s,a mr Vnrl hrrs f nrM M5 l he s, V to the rlprlh Carallno oEH N:t Grt:Rcatlan OEnce li r.
7w of held, inrerrer,. pr tier,]I ,e, anto f te..,np. I n m r rerr ,,nta4rrn.
Page 4 of 4

laceAnalyfical"
- � www.pecefahs.rnm
I
Laboratory Report
Wilbur Moore
Wade Moore Equipment Company
PO Box 546
Louisburg, NC 27549
Project: WADE MOORE EQUIPMENT CO
Pace Project No.: 92389780
Pace Analyttcal Services, LLC
6701 Conference Drive
Raleigh, NC 27607
[phone]
Page 1 of 1
Report Date: 07/02/2018
Date Received: 06/26/2018
Sample: SITE 1 GP
Lab lD: 92389780001 Collected: 06/26/18 06:30 Matrix: Water
Melhod
Parameters
Results
Units
Report Limit
Analyzed Qualifiers
SM 2130B
Turgidity
5.7
NTU
0.50
06127/18 13:30
SM 2540D
Total Suspended Solids
6.2
m9iL
2.5
06/27/18 16:53
SM 2540F
Total Settleable Solids
ND
mlJLlhr
0.10
06/27/18 13:10
EPA9040
pH
7.6
Std. Units
0,10
06/29118 15:12 H1,H6
ANALYTE QUALIFIERS
Hi Analysis conducted outside the EPA method holding time.
H6 \Analysis initiated outside of the 15 minute EPA required holding lime.
Reviewed by:
Terri Page
[phone]
[e-mail]
Eden Certification IDs
205 East Meadow Road Suite A. Eden, NO 27288 North Carolina Wastewater Certification #: 633
North Carolina Drinking Water Certifrration #: 37738 Virginia/VELAP Certification #: 460025
Page 1 of 4

Document rmamr.[ Document Revised: February 7, 2918
sansple Cond111on Upan Retelrrl 3CirR page 1 of 2
„• r G17�!lh3i}?;Lief Docbnteat Na.' Issuing Authority;
r-CAR•CS.t733-rtev.pG Pact Careffnal Ckoality Office
Labormory receiving samples:
Asheviile t7j EdenFj Greenwood (J lit
mom
tourlor. _ f d C Ups ovsps L.•l�r
© Cu,nnrrrripl f � ©Olher;_�
r+
CuftndySCaSprefonl7 �[Yr.s P1n Sppfrinlacl? {]Yas [�No
Parking Mata.daf: [11,10141c Ws -mu [_;Atttlhte Rags [Xane ❑ O[her C-r-DlMogfcjyes ©No DiN/Aat litfuo Frozen?
71rcr[name ar:
Tzpx of hx: �tVr: (�Itlur 1-JNonc
Cnnler Trnrp 1'Cl: r. >,�'? C/oirectlm Faclor_ Add uSNtPc 1•CI J Tenrp Should 6e att6vC Sretr]ng in 6'C
Cool qr l amp Corructed ('Cy:-_ ( { 5ampkf Nrt of mmp c,hma. Sdrnp18 on Ice, f.nssrtg Process
Ilat 4egun
1150A Aegsdmed 5 uif {( 4/A, wito tamplC{
OTd sanlptet odgiRalt ill a ltt+arintinr rrmc tvidtin the trrsissr33NIn: ('A, iiS'. It Si. lrirrCk mA(i417 Uid iampres orylrtote iroln a fDrtlgn saeum t;arxLAs[MnAFY,
incluC:ng f"Wjill and Puerto RICO)? 07es lte
Comments/olumpanccy:
0a101 Df CYflad
-[)'fa jw
1. •�__-
SanyNesArnvtdwllhin 110H riw?
_- - Duo r'L1^
2.
5hw(Hold TiMeAnalYtk <72ht.)2
�n
J. _
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_S0150enl Vnluurr.l _ J
f}arr tefa
�CJRJA
5.
I:Crrect CuMaine, 3 Umd7
7 { {m
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1st �Ho I
7.
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v
11. _
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_P.lal,+>,:
Ilutdtp3ce in Vtln Vlalt {>S-Gnsna)7
(� [n f ): 4
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i Trlq gfa[lk Cultady Scats Pre:srntt
Yse hn l7il
iUMMENISJU%11'7r U+srrtFFANCk
Fluldl!ta[a Requlmdl (-`}yes ❑Ira
lntlOollplirctlnlainers:
Ckit NT HQTI lIfgTl{SSif1lF plrllf4rJ j
Person
-�_�.� {lvf.✓- hate:\,j►Y- i Prnlart Rl:uragrtr SCt!{{f Revioe,; _ �_
project%tanager SHP Review:
Poo 2 of A

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CHAIN -OF -CUSTODY I Analytical Request Document
tna er mroY.r_
: a
Scctlon A Sce=San B Saetlan G
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nnrbMent Ndmr.; Oncurnent ROVISCO: Fabi
Sanlpfe Condlden Upon Recelpt SCUAl Page S of 7
Pf7t C/ilh4ljdlC7i Uactone.nt Nn,; Issuing Author
F-CAR-CS-Q33-Rev,06 (,.4 ; � 4�+t+w.E�Lm2
*Check mark tap halt of hnx if pH artll/ordechlorination is
verlfled and wlthln the acceptance range for preservation
sampfes,
ExcepLlont: VOA, Cnlilarm, TQC, nil and Grracr, nRnl8o15 fwalctj UUc, twg
"Ootturtt half of box is to Nst number of bottle
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page 4 of 4

e aceAnalytical.
wwwpeoel b&=n
Laboratory Report
Wilbur Moore
Wade Moore Equipment Company
PO Box 546
Louisburg, NC 27549
Project: Site 1 GP
Pace Project No.: 92401597
Pace Analytical Services, LLC
6701 Conference Drive
Raleigh, NC 27607
(919)8344984
Page 1 of 1
Report Date: 10109/2018
Date Received: 10/01 /2018
Sample: Site 1 GP
Lab ID: 92401597001 Collected: 09/29/18 11:30 Matrix:
Water
Method
Parameters
Results
Units
Report Limit
Analyzed Qualifiers
SM 2130B-2011
Turbidity
113
NTU
1.0
10/02/18 14:34 H3
SM 2540D-2011
Total Suspended Solids
31.9
mg1L
6.4
10/04/18 19:28
SM 2540E-2011
Total Settleable Solids
ND
mUUhr
0.10
10/02/18 13:30 H3
EPA 9040C
pH at 25 Degrees C
6.7
Std. Units
0.10
10/03/18 10:19 H3,H6
ANALYTE QUALIFIERS
H3 Sample was received or analysis requested beyond the recognized method holding time.
H6 \Analysis initiated outside of the 15 minute EPA required holding time.
Reviewed by: v�
Terri Page
[phone]
tern. page@pa celabs. com
Eden Certification IDS
205 East Meadow Road Suite A, Eden, NC 27288 North Carolina Wastewater Certification #: 633
North Carolina Drinking Water Certification #: 37738 VirginiaNELAP Certification #: 460025
Page 1 of 4

I
/�'-{ty� 1
l
Uboratory receiving samples:
j
Asheville ❑ Eden[:]
Greenwood ❑ HuntersvlilioF' o.r-r-.n— "'--'••-'- -"'•^- - - - - -
Wo# : 92401597
Client Name:
u • \ ikd �
Project
Courier: Fed,Fx/V UPS
USPS Cllent
1111111111111111111111
❑ Commercial ❑Pace
❑Other,
92402597
Custody SailPretant? Dyes ONO Sealsintact?
Dyes ©No
Datl/tnitbis Person Eeamkdrg eonterwt /
Packing Material: ❑Bubble Wrap [Bubble Bags ❑None © Other
Thi; Fro"
Thermanietar;
d� �
type of rce: Ower ❑aloe
t---et,,lotoaltat
LJr� ONO �ip/A I .-
❑None
Document Name:
Document Reldsed: February 7, 2018
�,,,r,,�
Sample Condition U on Retal t SCUR
Pa 1 of 2
r �11Q1r"�!'
OocumtntNo.:
IswfigAutharlty:
FUR-CS-033-R�v.06
PacaGrdinastluall C>liEta
pS Gun to:
Cooler Temp I'CI: 0. r/ Correction Facto k p?Subtrast ('Cj Q .
—[— Temp should be a bove freezing to 6'C
Cooler Temp Corrected ('Cj: Z' O Samples out of temp criteria, Samples on ice. ending proms
��� /// hat begun
USDA Regulated Solt (Fa MIA. waterumpie)
Did samptes atgl to In aI uarantlne tone within the United States: CA, NY, or SC (check maps)? Did Lamples a4lnsto from a lordan source (Intemnionany,
IlYes And rILna 14—an and Ruerru RJrnt7 F7Yes
ComnNnt DIc[re
Chain of CustodyPretend
No
N A
1.
Samples Arrived within Hold Time?
No
HA
2-
Short Hold Time Analysis <72 hr.)?
„
No
A
1.
Rush Turn Around Tims Requested?
as
o0,111A
a.
SuRldenlVolume7
Ne
NA
S.
Correct Containers Used?
-Pace Containers used?
es
Oft (]N/A
No NA
G.
Contatner7 Intact?
a'
Na
N A
?.
Dissohedana Is: Samples Field Filtered?
es
No
A
B.
Sample libels MatchCOC7
-inctudes Date/Time/ID/Ana s Matrix:
�
ONa ❑N/A
9.
Heads ale in VOA Vials a5-runm ?
Yes
No
N A
10,
trip Blank Present?
TripBunk CustodySeals Present?
Oyes
e.
ON.
No
N/A
N/A
11,
COMMENTS/SAMPiI DISCREPANCY
-1- f-/i
CLIENT NOTIFICATION/RESOLurnoN •—� W
Lot ID of split containers:
Person contacted:
Oate/Tlme:
Field Data Regsdred? Elves []No
Project Manager SCURF Review; �/ Dare: //��''�� V r[ V
Project Manager SRF Review: Dato: )0 1�
Page 2 of 4

O7
a
CHAIN -OF -CUSTODY 1 Analytical Request Document
The Chefnb -Curwdy Is a LEGAL DOCUMENT- AN rekw&M tx*b ma = be cwnp KW scaaccy.
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EMISSIONS
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In
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4
Document Name:
Document Revised: February 7,1018
�,,,�d
Sample Condition Up. A.te! t SCUR
Page 1 of 2
• ' areAnary kJ1'
Documanl No.:
Issuing Authority:
FCAR•CW33-Rev,06
Pace Carolinas Quality office
'Check mark top half of box If pH and/or dechlorfnation Is
verified and within the acceptance range for preservation
samples.
Exceptions: VOA, Caeform, Tor, OII and Grease, DRO/8015 iwaterl DOC, LLNg
"Bottom half of box Is to list number of bottle
Und : 9240159?
PM: THP Due Dale: 10/11/18
CLIENT: 91-Wado Moor
.r
iiiiiiii►Qiii
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on
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on
I
LIN
mol
pH Adjustment tog for Preserver! Samples
Sample to
Type al preservatNe
PH upon «ulpt
Data preeervaden adfatted
Time preservation
adjusted
Amount of prasernave
added
tat
nom: wnenaVR roue rs a uscrepan[y umnma noon urauna compiurce samp:ee, a [opym rnn roan used w rena w cue owed wrmma uennn cenmsauun vnece p.e.
out of hard, incorrect ofa$anative, out of temp, Incorrect contaEoees.
Page 4 of 4

I
aceAnalyficala
www'mceleblmn
Laboratory Report
Wilbur Moore
Wade Moore Equipment Company
PO Box 546
Louisburg, NC 27549
Project: Site 1 GP
Pace Project No.: 92401697
Pace Analytical Servlcea, LLC
6701 Conference Drive
Raleigh, NC 27607
[phone]
Page 1 of 1
Report Date: 101D912018
Date Received: 10/01/2018
Sample: Site 1 GP
lab ID: 92401597001 Collected: 09/29/18 11:30 Matrix:
Water
Method
Parameters
Results
Units
Report Limit
Analyzed Qualifiers
SM 2130E-2011
Turbidity
113
NFU
1.0
10/02/18 14:34 H3
SM 254OD-2011
Total Suspended Solids
31.9
mglL
6.4
10/04/18 19:28
SM 254OF-2011
Total Settleable Solids
ND
mUUhr
0.10
10/02/18 13:30 H3
EPA 9040C
pH at 25 Degrees C
6.7
Std. Units
0.10
10/03/18 10:19 H3,H6
ANALYTE QUALIFIERS
H3 Sample was received or analysis requested beyond the recognized method holding time.
H6 Analysis initiated outside of the 15 minute EPA required holding time.
Reviewed by: -AW
Terri Page
[phone]
[e-mail]
Eden Certification iDs
205 East Meadow Road Suite A, Eden, NC 27288 North Carolina Wastewater Certification #: 633
North Carolina Drinking Water Certification #: 37738 VirginiaNELAP Certification #: 460025
Page 1 of 4

i
I
Document Name:
Document Revised: February 7, 20t8
A,,,�wi '
Sample Condition Upon Renl SCVR
Page 1 of 2
Document No.:
IssulnQ Authority:
� • �"'4'r"�1
F•CAR-CS-033-Ray.t16
Pace Carolinas tludl Office
Eaboratory recelving samples:
Asheville ❑ EdenU Greenwood LJ HuntersvfllA
Client Name: WO# : 92401597
Wfkd � Project Ij
courier: Fed Ex UPS usps Client
❑ Commercial Pace Other.
92401597
Custody Sear Present? ❑Yes []No Seals Intact? []Yes QNo
['ate/W tl3th Person rxamktM Contsntsr�a- �'
PaddngMaterial: []Bubble Wrap ❑Bubble Bags ©Kane ❑ Other 9lologlalTlssa$ F-roson?
Thermometer: / Des []No
Jai/A i ..
�/`''f1` dfl S type of tor: Qwct ❑Blue ❑None '' 1
Lt Gun to:
Cooler Temp I•Cl: _ O . y Correction Fan�A�d?Subtract VC)
�t— Temp should be a bove freezing to WC
Cooler Temp Corrected ('C): 1.0 ❑Samples outer temp crimda. Samples on ice, cooling preeess
has begun
USDA Regulated Soll ( N/A, watertample)
Did samples orlglqato In a arantine zone within the United States: CA, NY, or SC (check mapsl? Did samples orlghsate hem a foreign source (sntsrnaslonally,
f1Y�c f� LW,MMs Na,uan aM RrrmQbnl7 f'TVes � 1
Comment Oiscre
Chafn of Custody Present?
CIN.
CJWA
1.
Samples Arrived within Mold firm?
No
N A
1.
Short NOW Time Ana h <72 hr.)?
n
Ne
A
Ruth Turn Around Time Requested?
Yes
GKQ
n A
_2-
A.
Suffidem Volume?
n<
n."
001A
5,
Correct Containers Used?
-Pace Containers used?
RfyONO
n171NO
❑N/A
N A
6.
Container! Intact?
No
M/A
7.
Olssohred am Is: Samples Field Filtered?
es
No
A
d.
Sample Labeh Match 0007
-Includes Date/Time/10 Ana Matrix:
Ores
CINa ❑N!A
9.
Head ate in VGA Viais sS-8mm ?
Dyes
EINO
MIA
10.
Trip Blank Present?
Trip Blank Custody Seals Present?
cYet
es
I]rre
No
N/A
N A
11.
COMMENTS/lI MPU! DISCREPANCY
Field Oats Required? ❑Yes ON*
m- - q-b f-17 IIJt1
_Lot ID of split containers: _
CLRNT NOTIFiCAl"IRESOLU ON
I�
Person contacted: Date/Tlme: [
Project Manager SCURF Review: v Dalc / if
Project Manager SRF Ravlevr. Date: lO ��
M
Page 2 of 4 ;;

IT
CHAIN -OF -CUSTODY / Analytical Request Document
The CIIAT440=bWy Is a L6GAL DOCUMENT. At rW@vud fielft MLW be MuWWW amanidy.
•
NEWIMMMENEINSIM
Emmons
0
nommosommism
go
sommoommonsm
Im
moommmmossommosso
sommommossom
0
mommmmosommosomm
MESONS
son
Is
nommmmommosommon
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assionsomons
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■onsisommosso
RE
sommmmassommosso
mansommansom
IN
NEI
z

*Check mark top Ralf of box If pH and/or dechlorination is
verified and wfthin the acceptance range for preservatlon
samples.
Fxceptlow VOA, CaAform, Tor, Off and Create, ORO/8015 Iwaterj OOC, LLHQ
•'Bottom half of box Is to list number of bottle
WOE# : 92401597
PM: THP Duo Dale: 10/11/18
CLIENT: 91-Wade Moor
Emu
on
a
No
0
son
was
0
on
MOMMM
Begone
jai
■aO���iia
�uiiiii�ROiii
C°
`►��°a�Ci�■�°�iiiiii��Ci�
PH Adjustment Log for Preserved Samples
Sample0
rpm of pretemthm
pH ppen receipt
Date prawmatlen adjusted
Tlme presemtlnn
adfast•d
Arnountefprawmtive
.dded
late
. rrnenerer snare n a oesenpaney errean� norm ssrorma compuarce samp:es, ■ [opy Vr sms rwmsns a sen: [o [ne nu[n urprne usnnn urmrouon once li,e,
Out of hold, 4rttrecl prnemt:ve, out of temp,lr,mrtecf connlnets.
Page 4 of 4

ceAnalyticale
www.peoekb&COM
1
i
Laboratory Report
Wilbur Moore
Wade Moore Equipment Company
PO Box 546
Louisburg, NC 27549
Project: TSS/SSITURBIDITYIPH
Pace Analytical Services, LLC
6701 Conferenoe Drive
Raleigh, NC 27607
(919)83"984
Page 1 of 1
Report Date: 12/31 /2018
Date Received: 12/28/2018
Pace Project No.: 92412355
Sample: GP SITE GP Lab ID: 92412355001 Collected: 12/28/18 08:30 Matrix: Water
Method Parameters
EPA 180.1 Rev 2.0 1993 Turbidity
SM 2540D-2011 Total Suspended Solids
SM 2540E-2011 Total Settleable Solids
EPA 9040C
ANALYTE QUAUFIERS
pH at 25 Degrees C .
Results Units
118 NTU
86.0 mg/L
ND muuhr
6.4 Std. Units
Report Limit
Analyzed Qualifiers
1.0
12/29/18 12:55
2.5
12/31/18 12:33
0.10
12/29/18 13:02
0.10
1213l/18 13:19 H3
H3 Sample was received or analysis requested beyond the recognized method holding time.
Reviewed by: \'�
Terri Page
[phone]
[e-mail]
Asheville, Certification IDs
2225 Riverside Drive, Asheville, NC 28804
Florida/NEL.AP Certification #: E87648
Massachusetts Certification # M-NC030
North Carolina Drinking Water Certification #: 37712
North Carolina Wastewater Certification #: 40
South Carolina Certification #: 99030001
VirginiaAfELAP Certification #: 460222
Page 1 of 4

r4

Document
No.:
Pace Carolinas
Laboratory receiving samples:
Asheville ❑ Eden0 Greenwood ❑ Huntersville ❑ Aaieighn Mechanircvlilnr)
CrlentName:
W0 "92412355 -
ProJ�
.
MLIUSPS
Courier: ©Fed Ea ©UPS
❑ Commerdaf CIPate QDther._�
1
924333
1
CustadySfal Present? QYes �t�o Sens intact? Des []No
.....rmsW., ream Eaermnifi. Contra-t�
Packing Material: CIRubbla Wrap []Rubble Rags 19<an a Other
Rrdalrcal Tissruee FFrraren?
Thermomater.
DaGuam: rMTC.Qt- TYPeef- ®hues ❑tuue
(]Yu ❑No !/A
©None
Cooler Temp (Cl- 3.15 Correction Factor: Add/Subtract {'CJ Ci
Coder Temp Corrected ('Cj: q
Temp should be above heezhtg to 6'C
QSamdesmnof team criteria. Samples an W, carom amen
has begwn
USDA Regulated Sall 1 `Q•F7/A. water sample)
Dld samples ornate In a quarantine zone within the United States: CA, NY. or SC(rhed maps)?
Odd simples originate horn a Foreign swuce (InwoltionsaY•
r"lv— r INn
r—lM
Commanu panty:
Chala W Cu1 fhesrot7
-
E3WA
1•
Samples,Anivtd wftMn Hold Timer
&W
DID
WA
L
Short Hold Ttma Ana 42 hr.)?
A
3. '
Rush Tum Around Time Requested?
-
QN9
OWA
�.
SuMentvodume7
ENM
QFOD
DWA
5
Carrots Carnainet Used?
-Put Containers Used?
En
R&
Qtte
QN6
(]N/A
QIYA
6.
Contalatn rota?
Mydir
D19
• WA
7.
OlssoMrd enn • Sam field Filtered?
eOffe
WA
9.
Sample ubels Match COC7
Andudes Dste/rlm Matrbr.
QfU
ti .
Qaa
OWA
9,
Heatispace In VGA Vials
Dyes
ONO
/A
10.
Trip Rink Present?
Trf Riak rotadySexls Present?
OYU
(11,
❑No
[]no
EXA
1124A
U.
COMMENt1/SAMPU MCREPANCY FheM Ran Regr N0 ❑Yet EINo
I
Lot ID or split conlalners:
WENT NOMCAT7 RIMOLUMN
Person contacted:
Project Manager SCURF Ravlew:
Project Meneger SRF Review:
Dammme:
Gate: I �- aI
Dow
i
Page 2 of 4

CHAJN-OF-CUSTODYDocument
I�o■rmmm■■■■■■■■■■
■■■■■■
■■S■■
�■�■■■■■��■■■■■■■■■■■■■■
■■■■■■■■■r■■
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Dtxument Natnc
Oocnment aevlsed: Fetuuary T, 2018
Sam a Condition U on Read t SCUa
Page t of ]
Document No.:
Issuing Authoftty:
F-CAH3•Rev.06
Pace Orofinas QualityOffice
*Check mark top half of box If pH and/or dechlorination is
verified and within the acceptance range for preservation
samples,
Eacepdow VOA, CoWmm, TM ail and fiteue, ago/001.5 (watru) DOC, Will;
"Bottom half of box Is to list number of bottle
::...wc 924123.55
PM. j14p Cue Cale: 01/07/19
CLIENT: 91-Weds Moor
pH Adjustment Log for Preserved Samples
Sampk ID
Type of Frunvadve
pH uponrenlpt
Date pres~Jim adjusted
I Time pmemdu
ad(usted
Amount of P asemathte
added
Lot
Nate: vfieneeer [hate It a disaepapcv affecdns Narth eatollru compllanco samples, a copy of Is form will be sentto the North Carolir-a UEHNg CtfVrkcaGon OlfK# p.e.
Out of hold, Lnmtt t pfewrvattx, out of temp. Inmrrees cer"Lmrs.
Page 4 of 4

ceAnalytical o
~ pwalebscom
Laboratory Report
Wilbur Moore
Wade Moore Equipment Company
PO Box 546
Louisburg, NC 27549
Project: TSS1SSffURBIDITYIPH
Pace Project No.: 92412355
Pace Analytical Services, LLC
6701 Conference Drive
Raleigh, NC 27607
[phone]
Page 1 of 1
Report Date., 12/3112018
Date Received: 12128/2018
Sample: GP SITE GP
Lab ID: 92412355001 Collected: 12/28/18 08:30 Matrix: Water
Method
Parameters
Results
Units
Report Limit
Analyzed Qualifiers
EPA 180.1 Rev 2.0 1993
Turbidity
118
NTU
1.0
12/29/18 12:55
SM 254OD-2011
Total Suspended Solids
86.0
mg1L
2.5
12/31/18 12:33
SM 254OF-2011
Total Settleable Solids
ND
mUL1hr
0.10
12/29/18 13:02
EPA 9040C
pH at 25 Degrees C
6.4
Std. Units
0.10
12131118 13:19 H3
ANALYTE QUALIFIERS
H3 Sample was received or analysis requested beyond the recognized method holding time.
Reviewed by: \-�
tk—
Terri Page
[phone]
[e-mail]
Asheville Certification IDs
2225 Riverside Drive, Asheville, NC 28804 North Carolina Wastewater Certification #: 40
Florida/NELAP Certification #: E87648 South Carolina Certification #: 99030001
Massachusetts Certification #: M-NC030 VirginiaNELAP Certification #: 460222
North Carolina Drinking Water Certification #: 37712
Page 1 of 4

Document Nam@: Document Revised; February 7, 2019
Sam I@ Condltlon Upon Flocelptl SCUR Pa e 1 of 2
Document No.: ttstdng Auihonty:
F-CAR-CS•033•Rev,06 PmeCardlriasQuality Office
Laboratory receiving sampler:
Asheville ❑ Eden[]
Greenwood ❑
Huntenvllle ❑ Ralelghn—Methanle-111-17-1.
Client Name:
l : 92412355
1i111o#
vro]I
hAtIJS
Courier: FedFx
UPC
S
Client �4
�
Cl Commercial []pace
other
I
Custody Seel Present? []Yes W
Sash Intact) QYes
924113151511111111111111
❑Na
'
....varuu renal eaeminlna ConteAnr \Z� t�1 tin —
Packing Material; ❑Bubbla Wrap
t-�✓
❑nubble Bass a
❑ Other Blofoglcat Thsue Frozen)
Therrnemotsr,
TYpeelleae j wat
❑Yes [:]No /A
[]Bluej]None
❑1RG,,M.. eht'[uU7
Cooler Temp ('C): "IS. 15 Correctlon
Factor: Add/Subtract ('C) ! O \
Cooler Temp Corrected ('Cl: A
Temp should be above freezing to b'C
❑SamNes out of temp aeala. Samples min. coding preen
has began
USDAReauhatadSon (DVA, water samplal
Did tampks originate in a quarantine zone within the Untied Sista: CA NY, or SC ([heck maps)? tad samples allnate from a foreign soum (Werestlandy,
f`4v.e T71Nn
s r r . u. u,, a a..n. es n r lv.. nx
COMMInrt
Chaln of Qltody Present)
No
DIVA
L
Sampiss Araed within Hold nme7
Ne
0JqA
L
Short Nold Ttme Anal k l72 hr.)?
E39W
Oniq
A
3, '
Rush Turn Around Time Re uasted7
u
EK.
A
4.
Sufficient Volume?
gfr
ON.
0N/A
S.
Correct Containm Used)
-Pare Containers Vied)
En
of
❑Na
Ne
[]WA
OnJA
6,
Containers intact)
No
A
7.
011SOW aN : Samples Field Filtered?
0Y.
ON.
SK4
a,
Sample libels Match COG
-Indvdes Dat meA Ana Matrbc
sa
4
[IN.
❑N/A
9.
Heads InVOANaJs >S-6mm)7
es
Na
/A
10.
trip Blank Present?
Tri Blank Curtseah Present?
❑Yes
OY.
ON*
ON.
A
04A
L7.
COMMENTSjSAMPtE ("CAEPANCY Fleld eats Pieaudred) ❑Yos {]No
}
lot ID of spilt mntalners: ,
CUFNT NOTLf1CA710N/RiSMUTtON
Person contacted:
Project Manager SCURF RIVI4
Project Manager SRF Review;
Date.
Page 2 of 4

f CHAIN -OF -CUSTODY / Analytical Request Documeni
The crsn•d-cuftdy Ia a LEGAL oocUMEW, As mdw m Roft mL= ba amnp wd mommm r.
�nri■n
- ........_ .... its
_.- .._
-_' m.
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Document Name: I DocumentAevlsad: February i, 7D1e
Sam fs Condition Upon Racal t SCUA Pa e l oil
Document No.. Issuing Authority:
FCAR{5O33•Rev.06 Pace CarolinasCluail Oftke
*Check mark top haB of box If pH and/or dechlorination Is"WON:99224123155
Ye rifled and within the acceptance range for preservation
samples.
Etcaptiotn: VOA, Collfotm, TOC, Oil
and Grease, ORDIGOIS(water) GOC, LLHa
te: 01/07/19
"Bottom half of box Is to list number of bottle
2? 7
Y 7
7
? F
�s
.S
A
3-1
pH Adjustment Log for Preserved Samples
Ample to
IW@ of pnsemativa
pH upon rec 1pt
Data preservation adiusttd
Tlmt prntmd"
rdlusted
Amount d hatenytive
added
tot t
r.�u: wrens.c.u.u•u.uuvcp.naY.i.v.u.�y nwu,�+.u...r uni,pu„aa.r..y,.,.. wrr ��.,....�,.��...w..,.a..,.F,...�...�.�.,.,.,. w,..,. �.���...,....,..�� ...
Qvt oT pold, 4KurrM prtrerniMe, ovt of ttmp, Inrarren sgnnA+tn.
Page 4 of 4

55'ceAna1Xib1*
' wwwpeceiabsobm
Laboratory Report
Wilbur Moore
Wade Moore Equipment Company
PO Box 546
Louisburg, NC 27549
Project: SITE 1 GP
Pace Project No.: 92412485
Pace Analytical Services, LLC
6701 Conference Drive
Raleigh, NC 27607
[phone]
Page 1 of 1
Report Date: 01/04/2019
Date Received: 01/02/2019
Sample: SIT 1 GP
Lab lD: 92412485001 Collected: 01/02/19 07:00 Matrix:
Water
Method
Parameters
Results
Units
Report Limit
Analyzed Qualifiers
SM 2130B-2011
Turbidity
31.7
NTU
0.50
01/03/19 09:46
SM 2540D-2011
Total Suspended Solids
23.6
mg/L
2.6
01/03/19 13:45
SM 254OF-2011
Total Settleable Solids
ND
mULlhr
0.10
01/03/19 08:16
EPA 9040C
pH at 25 Degrees C
7.6
Std. Units
0.10
01/03/19 09:22 H3
ANALYTE QUALIFIERS
H3 Sample was received or analysis requested beyond the recognized method holding time.
Reviewed by:
Kdsti Doss for
Terri Page
[phone]
ten i.page@paoelabs.00m
Eden Certification IDs
205 East Meadow Road Suite A, Eden, NC 27288 North Carolina Wastewater Certification #: 633
North Carolina Drinking Water Certification #: 37738 VrginiaNELAP Certification #: 460025
Page 1 of 4

D
Document Name:
Do cument Revised: February 7, 2018
Sample [unditlon Lip on Reu! t SCUR
page 1 of 2
Document No*,
Issuing Authority:
F-CARCS-033-Rw.GS
Pace Carolinas QWity OtRce
Laboratory receiving samples:
Asheville ❑ Eden❑ Greenwood ❑
ME Client Name:
Projectp:
Wpat
Courier, ❑Fed Ex UPS USP tent
❑Cemmuclal ❑Pace ❑Other:?,^
Custody Sul Present? Dyes �]+KQS�Sulslntaw Dyes ❑No
WO#:92412485
1111111111111111111111
92412485
Oata/Inldak Penon Eamin]y [nnerntc�•� p
Patddng Material: ❑Bubble Wrap ❑aubble Bags 43tMne ❑ Other Biologlal Tissue frozen? t Z J
Thermometer: .❑None ❑Yes ❑No [519
Type o!!u:r j]91ue
❑tR Gun ID:
CoolerTempl*Cl: r Correction Factor: Add/Subtract l'Cj Qr
Temp should be above heetln6 W 6'C
Cooler Temp Corrected I'el: r 3 ❑sampieseut of lemp crltetia. sample on tra, cooling process
has begun
USDA RqulatedSell (EMA,watersample)
Old semplesarl[fr In a quarantine acne within the United States: Ck NY, or Sc [check maps)? DId samples orfs3mte lrcm a foreign sown lintamartlomily,
".. ��ku, .—d.-4&--e6-.tsTIN— turd
Comments/D[stte ant .
Chain of Custody Resent?
es[]NO
MINJA
t.
Samples Arrived wtthln Reid Time? i
too
EINIA
2.
Short Hold Time AnalOf J<22hr,?
CIYU
N/A
3.
RushTumAround Time Requested?
es
A
4.
Sufficient Volume?
No
ONIA
S.
Correct Comalnea Used?
-Pace Containers Used?
-E Yru
Ono
ON.
•❑NJA
EIMM
6.
Cuntafnersintaer7
Yes
No
aw.
7.
Dissolved analysiss Sam Its Field Filtered?
Yes
e
H A
8.
Sampte labels Match COC?
4ndudes Oaie/rme OJAna sie Matrix:
❑Yea
ONO
❑NIA
9.
Kea df In VOA Vials >S-&nm 7
Yes
to
it/A
10,
Trip Blank Present?
Trip Blank Custody Seals Present?
OYU
o
ONJA
llnm
11.
i
COMMEMS/SAMPLE DISCREPANCY natal Data Repuhe6? ❑Yes ONO
Lot ID of Spilt containers: _
WENT M017FICATIOP41RESOLUTION
Person contacted:
Date/Time:
Project Manager SCURF Review: Data:
Protect Manager SRF Review: Date:
Page 2 of 4

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Page 3 of 4

Document Hama:
*Check mark top half of box If pH and/or dechlorination is
verified and within the acceptance range for preservation
samples.
raceptlan: VOA, Callrorm, TOC, Oil and Greate, DROIR015 iwaterl Doc, t1Hg
"Bottom half of box Is to list number of bottle
f: February T, 2018
102
rArnlinatqualltyOlV(e 1
W0# : 9241
2485
PM: THP
Due Date: 01/12/19
CLIENT: 91-Wade Moor
,,,,
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PH Adjustment Log for Preserved Samples
Sample lP
Type of Pwemtive
pH upon nnlpt
oate pretervatlnn adjusted
Timepretarwtlon
Idlusted
Amount or Ptuervaim
added
tote
a Pu P—V rP—M aamP'ai" ,.PPy m P.s.
out of hard, tnmuect uroservall.e, out of temP.lnmrycs canuban.
Page 4 of 4

laceAnalyficalo
www.Pecelehs.C=
Laboratory Report
Wilbur Moore
Wade Moore Equipment Company
PO Box 546
Louisburg, NC 27549
Project: SITE 1 GP
Pace Project No.: 92412485
Pace Analytical Services, LLC
6701 Conference Drive
Raleigh, NC 27607
t919fe34-4984
Page 1 of 1
Report Date: 01/04/2019
Date Received: 01 /02/2019
Sample: SIT 1 GP
Lab ID: 92412485001 Collected: 01/02119 07.00 Matrix:
Water
Method
Parameters
Results
Units
Report Limit
Analyzed Qualifiers
SM 213OB-2011
Turbidity
31.7
NTU
0.50
01/03/19 09:46
SM 2540D-2011
Total Suspended Solids
23.6
mg/L
2.6
01/03/19 13:45
SM 2540E-2011
Total Settleable Solids
ND
mUUhr
0.10
01103/19 08A6
EPA 9040C
pH at 25 Degrees C
7.6
Std, Units
0,10
01/03/19 09:22 H3
ANALYTE QUALIFIERS
H3 Sample was received or analysis requested beyond the recognized method holding time.
Reviewed by:
Kristi Doss for
Terri Page
[phone]
[e-mail]
Eden Certification IDs
205 East Meadow Road Suite A, Eden, NC 27288
North Carolina Drinking Water Certification C 37738
North Carolina Wastewater Certification #: 633
Virginia/VELAP Certification #: 460025
Page 1 of 4

Laboratory receiving samples:
Asheville ❑ Eden[] Greenwood ❑
Client Name:
MEMMUM vroject g:
Courier: Fed Ea CJUPS USP ent
❑Cammerdal ❑Pare QOther.
Custody SealPrasent7 ❑Yes 131�SealsIntact? []Yes QNO
WO#:92412485
9i241448iiimiiirnu
RaeeJlNtLb Perfon EasmNingCements:, -ki.�
Packing Material: QBubble Wrap _ ©Bubble Bags 131111fna Q Other Biological Tissua Frozen? 7
Thermometer: [Yes ONO 'W
QIRr.ID: 9005 Typeerlu: pafua []Mane
CoalerTemp('C): e),Cz Correction Factor: Add/SubtractIT) Qr 1
Temp should be gbWa freezing to 6'C
Cooler Temp Corrected ('C): QSam0as out of temp crlteda, Sampys an", enartng prords
has begun
USDARegulated Sol (e•TTfA,water sample)
Did samples;l l In a quarantine cane within the United Sut4s: CA. NY, or SC (check maps)? Did sampl a aVtlmta from a raregn source (Intsmatlonsltr,
I —)Yes INe Wfd dlne Ha—il aM Puertn Rirm17 My- Here
CommengJDlscra
Chain ofCustod Present?
e,
ao
A
I.
Sam let Arrived within Hold came? /
•io
l71rqA
2.
Shortstaid Time Anal sts c72 N. 7
es
Elft
QMYA
3.
Rush Turn Around Time Requested?
171Yes
efTro
CIWA
4,
Sufficient Volume?
No
N A
S.
Correct CantalnersUsed?
-Pace ContelnersUsed?
45IN
QLM
❑Na
ON-
❑rl/A
NIA
6,
Contalnars Intact?
Yes
Q11.
QN1.
7.
Dissolved analysis: Samples Field Filtered?
Yes
a
177NIA
S.
Sample tabelsMatch COC7
-Includes Date sm4 O Ana tis Matrix:
OYea
❑Ne
❑N/A
9.
Handspxe In VOA Mats sS-6mm)7
Yes
m
ONIA
10.
Trip Blank Present?
Trip Blank Custody Seals Present?
E]Yet
Dyes
Oro
❑ftJA
11A
11.
COMMENT5JSAMKE oLSCREPANCY
Meld Data Requhedl (]Yes CINo
Lot ID of Split containers:
CLUNT NOTIFICATIONfRESMUTItNI
Person contacted:
Project Manager SCURF Review: r =�
Project Manager SRF Review;
OateJFirne:
-- Date: 1 ',_+I-----�_.�---��—`----•
Date: I r�
Page 2 of 4

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Page 3 of 4

Document No.:
*Check mark top half of box if pH and/or dechlorination is
verified end within the acceptance range for preservation
samples.
Exceptions: VOA Coliform, TJC, 03 and Grease, MIMS (water) DOC, Wig
"Bottom half of box Is to list number of bottle
.--.—I IarollnAutuality j
^^•� t�ffrnllnat Quality Office
WO# : 9241
PM: Ti�P 2485
CLIENT: Due Dale: 01/12/19
91-WBdo Moor
:
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�����gr��r�er��le��A_�eee�e����ei�r�e�eeee►.��rrree�r�ee�
PH Adjustment
Log for Preserved Samples
Sample 10
Type of Pram ervative
pH upon recalpt
Oate p.eservadan edlusted
Time pmmstioa
edluned
Amount of Praservalive
added
iota
"Ole: who."* trove is a orr npa-cy al recuns "o fJrO— compn -- famptaf, a copy er .no.onn WJI rx fen[ of fm nurtn C.rw,ni ucnr,n fs,w�cauv, .„�av T ..
Ovt of had. In=ma ormeMdoe, out d temp, incorrect ConpNen.
Page 4 of 4

1QUALITY SAND, AT A QUALITY PRICE!
WADE MOORE EQUIPMENT COMPANY, INC.
P.O. Box 546
Louisburg, North Carolina 27549
Phone [phone] Fax [phone]
January 15, 2019
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Attached is the annual summary for 2018 with a copy of an early January test.
Brandon Seiffert
Sales Manager
Wade Moore Equipment co.
0-

ANNUAL.SUMMARY DAR - WASTEWATER
L :1
SEND TO CENTRAL OFFICE
PROCESS NU- E/DEWATERING WASTEWATER
GENERAL PERMIT NO. NCG020000
!VIFD .
MAR 0 8 2013
CCnl�;si
* Report All Wastewater discharge monitoring data on this form (including No Flow and No Discharge and Permit Limit Violations) by MARCH I of each year. If
you have limit_ violations, you must also have turned in a Limit Violation DMR to your local Regional Office wiihin 30 days of receiving sample results from a lab. _
CERTIFICATE OF COVERAGE NO. NCG02-D-Q-�- 9 SAIMYLE COLLECTION YEAR: Z O 1 '�
FACILITY ?4AME: _ E 1� P:} - COUNTY: F* offi Ll vt
PFRSO'_ti COLLECTLyG S-kM, PLES: rr; s PHONE NO. (9J qJ Uq {p - 3 -741,4
CERTIFIED LABORATORY: p&.« A,Ao�ky}ieo.1 Lab # ADD TO LISTERVE? YES ❑ NOR EMAIL: b ei G f o .Germ
Lab #
LMITS VIOLATIO?`S? YES ❑ NO ❑ MDUSTRIAL SAND"' Rr DLSCHARGING TO SA WATERS". ❑
Part A: Wastewater Monitoring Reuuirements
Outfall No.
I
Date Sample
Collected t
50050
Total Floe
00530
Total Suspended
Salidsr
00400
Turbidity3
00545
Settleable Solids:
00400;
pH
31616 j
Fecal.Coliforms
-
rnm/dd/yr
MG
mg/?
NTU
mlA
Standard
collml
f
5- 1-
N/F
-
.%I
►
I - ate- 1
k t`
�. Z
0`1- Z7-- I�
N F
9. 2
Iq.$
ND
. 3
I
i
All mines must monitor IM discharges for TSS. Only industrial sand mine -discharges are subject to TSS limits,
2 If an effluent limit is exceeded, the permittee is required to institute monthly monitoring for that parameter for the remaining permit terra.
3 The discharge shall not cause an instantaneous measurement of the turbidity of the receiving water to exceed: I D'NTU for freshwater streams, lakes,, and reservoirs
designated as trout waters; 25 NTU for all lakes and reservoirs, and all salt waters; 50 NTU for all other streams and surface waters. Turbidity maybe monitored at the
Stormwater Discharge Outfall. Alternatively, the permittee may choose to monitor turbidity in the receiving water, directly upstream and downstream of the discharge.
4 Only facilities discharging to SA waters are required to monitor for Fecal coliforms_
n_ :• r.. . , r, ;�n, n_, �;z r�n7d Last Revised 01-05-10
---- I _ram

Fart A Continued: Wastewater Monitoring Requirements
all No.
Date Sample
Collected`
50050
Total Flow .
00530
Total Suspended
Solids!
00400
Turbidity3
00545
Settleable Solids
00400
pH
31616
Fecal Coliforms
-
msuldd/yr
MG
In ol,2NTU
mJA2
Standard
collm]
R
NT AIL ORIGINAL AND. ONE COPY OF THIS AN-TNUAL SUMMARY MiCLUDING .ALL "NO FLOW", "NO DISCHARGE" & LEYM
VIOLATIONS) BY -MARCH ] OF EACH YEAR TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
LOU MUST SIG1Y THUS CERTIFICATION EOR_ANY EVFORAIATION REPOR TED:
"I certify, under penalty of law, that this document and all attacbtnents were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the systems, or
those persons directly responsible f6r gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of
(Date)
Permit Date: 1/ if201.0-12/31/2014 Last Revised 01-05-10
Page 2 of 2

I '
1-,_�;aOAnalyticale
www.nacefaf78,com
. f
Wilbur Moore
Wade Moore Equipment Company
PO Box 546
Louisburg, NC 27549
Project: Wade Moore Equipment
Pace Project No.: 92333284
Sample: SITE 1 GP
Method Parameters
SM 213QB 'Turbidity
SM 2540D Total Suspended Solids
SM 2540F Total Settleable Solids
EPA 9040 pH
Laboratory Report
Pace Analytical Services, LLC
6701 Conference Drive
Raleigh, NC 27607
[phone]
Page 1 of 1'
Report Date: 03/17/2017
Date Received: 03/14/2017
Lab ID: 92333284001 Collected: 03/14/17 07:00 Matrix: Water
Results
Units
Report Limit
Analyzed Qualifiers
0.81
TUTU
0.50
03/1511717:10
18.7
mg1L
2.5
03/1611713:00
ND
mL1L1hr
0.10
03115/1715:30
7.0
Sid. Units
0.10
03/15117 17:08 H6
ANALYTE QUALIFIERS
H6 Analysis initiated outside of the 15 minute EPA required holdinq time.
Reviewed by' v�
Tern Page
[phone]
[e-mail]
Eden Certification IDS
205 East Meadow Road Suite A, Eden, NC 27288 North Carolina Wastewater Certification #: 633
North Carolina Drinking Water Certification #: 37738 VirginiaNELAP Certification #: 460025
Page 1 of 4

/�( fJ_ - eeere spec rlaeufrienr aevisenl xpt. 11, 'IIEiF�-I
�� t"1GL'�i(lr?lyifCr?+_ SarnplC Cpnd{tion Uppn nCSeiplf SCUR _ Par[ 2 Uf 2 f11111
/ Ilac urnen1LNu,: Issuing Aulhanty:
—._?----•�--..-_�..-----_-�- .— V F,CAR'I�A-6O'JRr:v,e2 Pace Cluafily ort�cr. _,--
Laharatory reccivinp, samples; l�
Asheville ❑ Edon Greenwood ( p�{�IahiXl MC[hanitsviliC
CO,
L[ [ HuntersvNfe
t.
ii,+,srift�1}; 11 Ghent Name;
.Y::ll`' `ti:l• V 4•E: Preent
Cmrrler: (_}I'ed Ex SUPS �II51'S •l.' r+ Cllcnt
333264
(_�fnnntse trial �Slar:r- j_(Othcr.—_. �,t :. 4 4l i„I ..v F4y,. T•� 'j � i
Custedy Seal Present? IJYrs 'kilt) Seals In -I? __(yes % km
ealr/lOdah Petsnn F.Mprelnby Cantlntc_ [�7
P_acklueMaterial: � ffiubhlcWrap (_-]nubble Rags Aril! Outher:��•,
Thersnuniet c r
[ �I0 Gun ID, !• � �; 7 T 111Rlue ❑lion* Elsamples of, lee, soli tzwoc-lids begun
Corr m.liun Factor:/ pj.& C'outrr Tamp Catt4tttrd ('C): �— ,n flioroP.ical Tissue Frozen? ❑YeS (-(110 AN/A
TCmp should be Ot)ove Vetting I WC -.
U51)A Regulated Soi1([11'i N/A,watn "rnplPj l�f•� �,__
Did Sampl s ariglnale In a CRuaranhnr. rnn❑ vrtlfdn Site United Staws:6% NY, or Si: (check maps}? rnali nallf. —
ClYr+s Jp — _ includingnawalf and Pwono Rita;? es a
.. Commcntsiniscrcpanry: _.
Samples Arriv¢d rrNhin hold time? i l� 1-qq1 J ff _ _2• -
sltnrt itnld I Ime Anolysls 072 br.lt
Sufficient Volume? _..—_ --• f_� S.
Correct Contalnrls Used?
�F'a[e Cantaln¢rs sJsedt i� )a LI
5amples Field Filtered? _ L� I-1 T C' 8, Note 11sedimem Is visible to the dl� ssph•cd canUlner
Simple talents With RIC? ---• _ _-- _ - (-) ; � 7 --
-Includes hall•/l inl c/sU/An aiysis G 1
Reodsfrase: in VCTA Vials [>S rinu41 'rrs U. r! 1 10,
Irip Blank rmscnt7
LI C.l l]
--- llip Olank Cusls"dy Seals Prostrnl 7 _--.---. __._ - _yes
WENT NOUTICATI014/11ESOEVIM14
Per Stan Cpntat Ip,4!
CommentsJS�nrydr blstr epaner:
Field Otu INqu lred7
Project Manager SCURF
--- Revlrw; - -- - Date.:
Project Manager SRF
Dale:/
Ilusc: 4V7senr.:er lima is a dlsi r¢pancr ayec clog rlmsh Caro'Ina rnmpllln[c samples, a rope of this from w?s ba senl to the Norlh Carelloa DEIINA Lrsldkdlion nlflre (I,e.
1T,M1 ul Iwid, ine urrert OrC serratirr, nut of I¢mp, Inrnrserl ratiuiecrsY
Page 2 of 4

0
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J/ Sample Candllion Upun Racclpt! CURL
'r-CAA-QA,003-6__ev.0.2__ +a +
*Check mark top half of box if pit and/or dechlorination Prof llw!
is verified and withlo the acceptioce rat[ge for '
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Added
Page 4 of 4

ceAnalytical
www.P&CMabscom
Laboratory Report
Wilbur Moore
Wade Moore Equipment Company
PO Box 546
Louisburg, NC 27549
Pate Analytical Services, LLC
6701 Conference Drive
Raleigh, NC 27607
[phone]
Page 1 of 1,
Report Date: 06/09/2017
Date Received: 06/05/2017
Project: SITEL GP
Pace Project No.: 92342863
Sample: SITEL GP Lab ID: 92342863001 Collected: 06/05/17 06:45 Matrix: Water
Method
Parameters
Results
Units
Report Limit
Analyzed Qualifiers
SM 2130B
Turbidity
3.9
NTU
0.50
06/06/17 15:05
SM 2540D
Total Suspended Solids
6.2
mg1L
2.5
06/06/17 14A3
SM 2540F
Total Settleable Solids
ND
mUUhr
0.10
06/06117 13:47
EPA9040
pH
6.9
Std, Units
DAD
06/06/17 15:18 1-11,1-16
ANALYTE QUALIFIERS
H1 Analysis conducted outside the EPA method holding time.
H6 Analysis initiated outside of the 15 minute EPA required holding time.
Reviewed by: -'"""'
Terri Page
[phone]
[e-mail]
Eden Certification tDs
205 East Meadow Road Suite A, Eden, NC 27288
North Carolina Drinking Water Certification #: 37738
North Carolina Wastewater Certification #: 633
VirginiaNELAP Certification #: 460025
Page 1 of 4

Document Name: ESP Twit Spec Document Revised: Sept. 21, 2016
sam le eandltMn Upon Recet t SCUR page- i of 2
ceMaWa1 • Document No.: Issuing Authority:
F-CAR-QA-003•Rev.02 J Pace Quality office
Laboratory receiving samples:
Asheville Eden[] Greenwood Cj Huntersvilla ❑ Raleigh®�Mechanlre•atl f1 -----
� 9II 2342
13114I � I2
WO#
• Client Name:
C]�Iia Project
Courier: Ex UPS USPS At 1111111
commercial []Pace []other: bII
863
J
Custody Seal Present? Dyes [KIL seals Intact) Oyes du
wtellnlnals Peron Fyamining rnntents:
Packing Material: ❑Babble Wrap ❑Bubble Bags 9�ona ❑tither:
Thermometer: �.(
®IR Gun il), �15.3492 _ Type of kek Afwet ❑glue QNane QSamples an ica, coding process has begun
COrrectlan Factor:,-b Or Cooler TempCorrected ('Cl: 313 Biological Tissue Frozen? []Yes ❑No )KNJA
Temp should be above freezing to 6'C
USDA Regulated Solt [0 N/A, water sampfei
Did $amp]gs prigmate Quarantine tone within the United States: CA, NY, or SC (check mapsl? Did samdes ariginata from a foreign source (Ntgratkmally,
❑Yes a inctudlna Hawaii and Puerto Ricci? Dyes jW90
CommentsJOlsuepan
Chain of Custody present)
1.
Samples Arrived within Hold Time?
2.
Shan Hold Tlme Analysis 102 he.)?
3.
Rush Turn Around Time Requested? 11 Cl El 1
4.
volume?
5.
—sufficient
Correct Containers Used)
-Pace Containers USedi 0 Ej
6.
Containers Intact) U U
7.
Samples Field Filtered?
8. Note It sediment is vhible in the dissolved Container
Sample Labels Match 000
-includes Date/TimeAD/Analysis
9.
Headspace In VOAVials (a5.6rnm ? Yet No N
10,
Trip Olanit Present? Yes No N
TripBlank CustodySeals Present? Yes Na N
11.
CLIENT NOTIRCATION/RESOLU710N
Person Contacted: I
Comments/Sample Discrepancy:
Review:
Prefect Manager SRF
Review:
Field Data Required? UYts UNa
Date/Time:
Date: G
Date: i
Nate: Whenewr there is a discrepancy affecting North Carolina Compliance samples, a copy of th'nNem Will be sent to the Nonh Groans OEHNR Certification Office (i.e.
Out of hold, intern preservative, out of letup, incorrect containers)
Page 2 of 4

It
0
CHAIN -OF -CUSTODY 1 Ana"cal Request Document
Tn Gr.at.®T .. LK.N DOC+srtM. AN ".r F. — r m.p.e.n.0a.9*
ceAr>afytiu!'
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NEEMEN
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aceAnalytical®
wwwPetefatu.00m
i
Laboratory Report
Wilbur Moore
Wade Moore Equipment Company
PO Box 546
Louisburg, NC 27549
Project: SITE 1 GP
Pace Project No.: 92356255
Pace Analytical Services, LLC
6701 Conference Drive
Raleigh, NC 27607
[phone]
Page 1 of 1
Report Date: 09/26/2017
Date Received: 09/22/2017
Sample: SITE 1 GP
Lab ID: 92356255001 Collected: 09/22117 06:30 Matrix: Water
Method
Parameters
Results
Units
Report Limit
Analyzed Qualifiers
EPA 180.1
Turbidity
14.8
NTU
1.0
09/23/17 14:18
SM 2540D
Total Suspended Solids
9.2
mglL
1.0
09/26/17 00:25
SM 2540F
Total Settleable Solids
ND
mIJIJhr
0.10
09/23/17 14:53
EPA9040
pH
7.3
Std. Units
0.10
09/26/1711:00 H6
ANALYTE QUALIFIERS
H6 Analysis initiated outside of the 15 minute EPA required holding time.
Reviewed by: \�
Terri Page
[phone]
[e-mail]
Asheville Certification IDs
2225 Riverside Drive, Asheville, NC 28804
Florida/NELAP Certification #: E87648
Massachusetts Certification #: M-NC030
North Carolina Drinking Water Certification #: 37712
North Carolina Wastewater Certification #: 40
South Carolina Certification #: 99030001
UrginiaNELAP Certification #: 460222
Page 1 of 4

--tahorataryrcce9vtrrg•sarnales- --- — -- -�~ •-- .-- w _ =. __----=--_----- —_ --- ---..—
Asheville Eden GreenwoodHunters,�--`v_.._
❑ ❑ ❑ f -'O# : 92356255
CffentNsme:� 1 �(�/{.aiv w
/!/��� Projeri
Courier: Fed Ex LjLrps LJUSPS ant
❑ Corrtmerdal []Pace ❑Other._ 1 92355255
—C++3tS�7Pl�iemT--�Yef-- -—Seairtrttatti—•-01'es — �r^.�--.,.�.� � _
DateJtaklak Person Eaminkta Cernartta: �� LG-'ri
Packing Material: []nubble Wrap []Bubblegags ana J_] Other Biological TtssuaFrozen?
�QgIW QNane []Yes ©No Q**— ~
^-"•-eealer-Temp Com[Rcd ('C)r—
• � OSrnplp out of trmp emerta. Sarnplu On la, Caoerea txocm
her beaoe
i@( vraterpmple}
a quarantine lone wlthln the UnitW Statas: CA, NY, ar SC (check maps)? pW sanaler ortpeeate Irma a Porettn rOtrrte Pmenu
_ ........ -.. _.. -._. _ ... ,. .. .• -•-'� Indudu Ha+.'7q
Comma Ic
Chain of Cup
Present?
No
A
L
Samples
dv thlnHoldTime?
cr
No
kJA'
2.
Short Hold Ti
rm Ana 1i 107 hr.)?
M4.
A
3•
R-hTwn A
and Time uestad
er
o
N JA
�.
Suffft ant Vol
me?
n
He
NJA
5.
Correct Coma
-Pace Con
ners. Used?
InerSUsed?
Yes
L11e,
No ❑NJA
ONo 0111A
6
Containers Intact?
u
0
"'A
Dfssohed an Is: Samples Ffeld Flhered?
d
No
A
e.
Sample Labels 1ch COC?
.-Inchrdes 1e/T1m[flD s Mat&'
n
Q❑ Na HfA'
4.
Heads ace In
OA Vials >S-6mm 7
ny.
nuo
NIA
lA
Trip Blank Pr
Trip Wank Cus
nt?
d SCalf Present?
[]Yes
es
[]Ho
Nn
NJ4
N A
t1.
UIENT NOnR TIONJRFSOLUTl0N
PersContact on
Comments/Sa4e Plsaepancy:
I
Date/Time:
..M Wra wequ—or tJrG 6,1no
i
Project Manes r SWRF Review: Gate: !
Project Mini SRF Review. Data
liate: Whenever th Is a 69rnrpang aNecflrta North CAMIns campNance tampkf, a mPY Of this farm vAll he sent to the Honh CAMMU CUM CuuBoUM Office 11.0.
pot of hold, Inm pressmthe, net of temp, tnmrrett containers)
Page 2 of 4

CHAIN -OF -CUSTODY 1 Analytical Request Document
CEAnalytical TTw Ch&H%tftdT d a LEGAL oxueh+T. AM r9*M% S&M mud n. oaran.d .marey.
Baalan A ISCUM II Badwn C
A.qupe pan.aa"Mma R.WAbr-d ggea.mvmariri V—rctorwar P,p,: a
c "M'o
. r opRf.
4tpT�Lf +JT (� " pEGULATORY AGENCY
'aOEGAlC. �75 4 WWATER
Ens. io. . M1IGri ACtN't= . Cc7ri ° 'aW ddr ra.: «� S UST I RCRA OTHER
r
Pww 871a L=sdm
It.ar..r Ow o. MTAT: NW*W IN✓i.. srATE
—'j
R*gtwstW An0f k. FBUMd fYAf! _ _
n v.pd MMds C.. ad
nor., nlrr. r.emrr Fb1:�
nr..aerwT. e.t
f
COLLECTED
I
71 +i
rs. .m
9
r�r?+nt
�
�n
0
.auuuo �
8
SAMPLE 1D
a.vyM is vUTT ICE UNCLF to,w t/
U
F
i
6ATE
7I.IE
MTL
Td.F
Y 1
ADOMNAL C*UULVTe ri.Lowunkeb ST I AEE1 A OMTE TWE rtA►Ea... Mod I MATE LWE BAMpLa CONCITION4
mod" A-1
&AMPLER NAME AMD SMUTURE
ER7M N.m, r LkIPPLM $ p S
F•ALL-04MOMV,06. f 2-0CI-M7

_ - Document Name: - - Document Revhed:July25,2017
�• Sample Londitlon Upon Recel t SCURIL : • . �. , Page 2 of 2
Document No.:
�` ■■—■sss—��aa 3�ai311t
r-CnR{5-033•Rev.o3 WO# 92356255
_Checkmarktof2lta jj�f-box 7pF�>3n`71CoL dj-ch1,itn—A1Din _`_77
Is verfflsdjand wethln the acceptance range for PM: THP Dug Date: 10/02/ 17
preservatmn samples.
.BottomIIhalf of box is to list number of bottles CLIENT. 91—Wade Moor
11
ra
man
■
�ii
\
■
IN
BONDS
I
on
s
11
ON
DOE
0
USONk
my
I
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some
so
'a
ONE
one
no
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on
6169,
on
WN,
0
ONE
so
was
Ilk
Do-
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I
Sk
IN
MEN
on
p" Adjustment
Log for Preserved Samples
Semple lG
Type el MewvaUrt
PH W;an MMPt
Vmpraumtlnnedlwted
TIM Plutrvadon Artwlun alprcxrvetlre
edlwtel edded
lat 1�
Page 4 of 4

r
lacmnalytical'
wx P&Ce18fM "
Laboratory Report
Wilbur Moore
Wade Moore Equipment Company
PO Box 546
Louisburg, NC 27549
Project: SITE 1 GP
Pace Project No.: 92366931
Pace Analytical Services, LLC
6701 Conference Drive
Raleigh, NC 27607
[phone]
Page 1 of T
Report Date: 12/21/2017
Date Received: 12/13/2017
Samplo: SITE 1 GP Lab ID: 92366931001 Collected: 12113/17 13:00 Matrix: Water
Method
Parameters Results
Units
Report Limit
Analyzed Qualifiers
SM 2130B
Turbidity 20.8
NTU
0.50
12/14117 13:48
SM 2540D
Total Suspended Solids 14.8
mg1L
2.6
12/18/17 15:43
SM 2540F
Total Settleable Solids ND
mUUhr
0,10
12/14/17 12:39
EPA9040
pH 7.8
Std. Units
0.10
12/14/17 14:16 H1,H6
ANALYTE QUALIFIERS
H1
Analysis conducted outside the EPA method holding time.
H6
Analysis initiated outside of the 15 minute EPA required holding time.
Reviewed by:
Terri Page
[phone]
tern. pag a@pa celabs .com
Eden Certification IDs
205 East Meadow Road Suite A, Eden, NC 27288
North Carolina Drinking Water Certification #: 37738
North Carolina Wastewater Certification #: 633
VirginiaNELAP Certification #: 460025
Page 1 of 4

Document Name: Omment Revisad: July
• Sam le Condttlon U on Reoei SCUR) PaSe 1 of 2
Document No.: Issuing Authorlti
Ash )Ile 0 Eden❑ Greenwood ❑ HUntery WO# : 92366931
Client Name: 94
tfec
Courier: []Fed UPS ETUSPS� O Qn�I ��� �■ Ir �� �I� ���
❑ Commefdal ❑Pace ❑other:_ L92366931
Custody Seat Prese t? ❑Yes PAID Seals Intact? ❑Yes O r o
ii Oateftnfl4lrPerson rramtatnjCentents•
Paddry Matartal: ORubb)s Wrap []Bubble Bags [None ❑ Other Biological Tissue Frozen?
Thermometer: ' \\ []Yes❑No RN/A
❑IRGun e- S' ` �Gret ❑Blw {Mona
Typo of Ira: �7
�fasiedlnafer3or� LoolerlerppConected f_C}:_._.... .� � .. _--- -Terttp should he shove frcei4tgto 6'C--- .. _....._.. _..
. ❑Umples out of temp riReda. Sampler on ka, coding process
0%k* has "gun
USDA Regulated So I ( RN/A, water sample) '
Did samples original in a quarantine zone within the United Sitter: CA, NY, or SC {tha() maps)? Dad sarMleseNabiate hen a foreign source lrqumslunsW,
flu.. 1"9e.. s .d.,.w a.,..... qi.n»rlv.. MS 1..
ianmenu Phtre aY.
plain of Custo
Presents
ru
Nq
N A
1.
Sa esArdredwithin
Hold Time?
us
No
NA
2.
Short Hold Time
a sus 02 llr.t
ela,,
EINO
ONIA
3.
Rush,rum Aro
Ttme Requested?
nets
No
N A
�.
Sufflclentvolum
7
Na
nNIA
S.
Correct Contain
•Pace Cantaln
%Usad7
n Used?
311,
as
0Na
ONO
❑NIA
OWA
6.
Containers Intad
No
N A
7.
Dissolved ansirs
: Samples Field R1lered?
E5,1A
a.
Sample labels
-Includes Dat
tthCOCt
me V&a Is Matrix:
Yes
❑No
❑NIA
9.
Heads stain VD
Yals �5-6mm ?
rn
No
NIA
10.
TnP OIanl Prese
Tri DIanl Cust
I
Seals Presents
R.
Mytj
❑No
ONO
NIA
No,
11.
CLIENT
Pelson,
Discrepancy:
s
Datemme:
Field Date Requ:red7 IJs'as UNO
Project Manager SCURF Review;Oats: -A `.1_? /.ITT I
Pro)ect ManssaO SRFRevfaw: l A I.
NOW whenmw thtri is a dlsuepancy Aff ct3ng North Urdinaa compliance sampks, a s»pY of IN' farm net be sent to the north Cafolm DEHNR Camm ation 011101 p.e.
Out of hold, incanaa 1 WGIrvailve, out or temp, Intones conratneny
i
Page 2 of 4

Q
O
�S:cnon A S-1— a
A—b" C M Memreae a Y*we PR MWnrsp.t
CHAIN -OF -CUSTODY ! Analytical Requast Document
T m LE CAL DOCU EW. Al n bWds R" ev —0aocftWI.
8-9— C
M
D, � 54-Io MWoet ,,� TCw REGULATDRYAOEMCY
p 4 It N G. J I S41 K S L AJ � %� MPDES r cMOUfm W►TER r DMMKNG WATFM
L,w TO Mcx PvsM .w orJ�w: o,•. {- V3T t• RCi 07n ER
r dwttntua.
JOi 7119Z Z�I d �tn .__— alb �x+eo
Wind Or Y AT—T: —
r7
D Wt?a C`e =
Arwrbtis�Kw M�rPv
COLLECTED
P.Wq nMw
+ftw Yrwr
S
z
PM*Aur MIY
naw.i v
p
�
w
TesSae Sl
SAMPLE ID � L
[+4L 54.•.4 - M
s.,a.0.ULSTa°_MOLE T OT
a
M
c
�
�
oArr
t.A�
e.re
Turt
LD.
- - -- �_er :-r=e��s-:-rr*ram-`:-•��Q�l % �Q
f 1�fE.'♦ *.a' ;����►I�J®�ll�J'.:'ll WE MmsmE l i► lvi
RAYPUR MAMA AM a1LTlAiVRE V
PIMT Mr.r M i..M.suc _ 5 gyY L L L
10MATIRIt M a+rLH! OAR abase K i
_ peemWm n
�v.�+ � 4 vv r sp �� re•s n,.. KT!! r. nr++rr .r.w�w �r wr � uz �.w v w ..w... sr .r.n..n KJi[LDaiDwA7. 1S4h^xa.7

Document Name: Document Revised: Juty 25, 2017
ceArrarytira!' s,m le canditlon U cn ReceO"
E�-OocomentNo: W0#� ; 92366931
f-CAR CSA33•Rev.0 w
Ogheck m p hh@If of box ,if,PH and/or,dechlarinatlon PM: THP Due Date: 12/23/ 17
Is verified and ithln the acceptance range for
preservations triples. CLIENT: 91—Wade Moor
••Bottom half ofbox Is to list number of bottles
Rol
0
ONE
E
on
so
Nolen
I 110
monling
am
mono
somenom-
Engine
men
on
no
on
MM1G0MMM
on
SEEN
as
0
SEEN=
:1
Page 4 of 4

ANNUAL SUMMARY Dl -IR -WASTEWATER
SEND TO CENTRAL OFFICE*
PROCESS NIINE/DEWATERING WASTEWATER
GENERAL PERMIT NO. NcG020000
*Report All Wastewater discharge monitoring data on this form (including No Flow and No Discharge and Permit Limit Violations) by MARCH 1 of each year. If
you have limit violations, you must also have turned in a Limit Violation DM_ R to your local Regional Office_wiihin 30 dates of receiving sale results_ from a lab.
CERTIFICATE OF COVERAGE NO. NCG02 D D j C) SA,A11PLE COLLECTION YEAR: 1 4�
FACILITY NAME: Ekm ► t COUNTY: FRR niKLt r\1
PERSON COLLECTING SAMP S: ,_v r ax,rX s PHONE NO. iLi)
CERTIFIED LABORATORY: ace Lab # ADD TO LISTERVE? YES ❑ NO® EMAIL: bt re�►�rynyW sel� ntoo�r�_
Lab #
LUVHTS VIOLATIONS? YES /❑ NO ❑ INDUSTRIAL SAND'? E� DISCHARGING TO SA WATERS'? ❑
Part A: Wastewater Monitoring Requirements
Outfail No.
Date Sample
t
C9116cted
50050
Total Flow
00530
Total Suspended
1.
Solids
00400'
Turbidity
. .
00545
. Settleable Solids ,
-00400
p$
31616
Fecal. Colfforms
-
mm/dd/yr
MG
mg/I
NTUW,
mill
Standard
coVml '
3 /
(o. D
S,
N�
?
J,:. 5
111J
NO
S
r �
CENTRAL FILES
' All mines must monitor WW discharges for TSS. Only industrial sand mine discharges are subject to TSS limits.
2 If an effluent limit is exceeded, the permittee is required to institute monthly monitoring for that parameter for the remaining permit term.
3 The discharge shall not cause an instantaneous measurement of the turbidity of the receiving water to exceed: 10 NTU for freshwater streams, lakes, and reservoirs
designated as trout waters; 25 NTU for all lakes and reservoirs, and all salt waters; 50 NTU for all other streams and surface waters. 'Turbidity may be monitored at the
Stormwater Discharge Outfall. Alternatively, the permittee may choose to monitor turbidity in the receiving water, directly upstream and downstream of the discharge.
4 Only facilities discharging to SA waters are required to monitor for Fecal coliforms.
Permit Date: 1/1/2410-12/31/2014 Last Revised 01-05-10
Pave 1 of 2

Part A Continued: Wastewater Monitorine Requirements
Outfall No.
Date Sample
Collected'
50050
Total Flow
.00530
Total Suspended
Solidst
00400
Turbidity
00545
Settleable Solids
00400
pH
31616
Fecal Coliforms
-
mrn/dd/yr
MG
mg/11
NTU
[no
Standard
col/ml-44
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW", "NO DISCHARGE" & LOM
VIOLATIONS) BY MARGIN J OF EAR YEAR Tom:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CER TIFICATION FOR ANY FIYFORMATION REPORTED
"I certify, under penalty,of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that gii"ed.personnei properly gather and evaluate the information submitted. Based on 'my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
I am aw that there ar sign' can ;penal ' s for submitting false information, including the�ossibility of fines and imprisonment for !mowing violations."
erQJUJv201
(Signature d Permitted (Date) Ai
Permit Date: 1/1120I0=12/31/2014 Last Revised 01-05-10
Page 2 of 2

aceAnalyfical
wwwpK431obs.com
Laboratory Report
Wilbur Moore
Wade Moore Equipment Company
PO Box 546
Louisburg, NC 27549
Project: 934 FAST RIVER RD LOUISBURG NC
Pace Project No.: 92289869
Pace Analytical Services, Inc.
6701 Conference Drive
Raleigh, NC 27607
[phone]
Page 1 of 1
Report Date: 03/21 /2016
Date Received: 03/14/2016
Sample: SITE 1 GP GRAS
Lab ID: 92289869001 Collected: 03/14/16 06:00 Matrix:
Water
Method
Parameters
Results
Units
Report Limit
Analyzed
Qualifiers
SM 2130B
Turbidity
17.0
NTU
0.50
03/15/16 16:15
SM 2540D
Total Suspended Solids
17.6
mg1L
2.5
03/17/16 10:58
SM 2540F
Total Settleable Solids
ND
mL/Lfhr
0.10
03/15/16 13:30
EPA9040
pH
7.4 .
Sid. Units
0.10
03/16/16 08:15
1-11,1-16
Sample: SITE 2 RP
Lab ID: 92289869002 Collected: 03/14/16 06:20 Matrix: Water
Method
Parameters
Results
Units
Report Limit
Analyzed
Qualifiers
SM 2130B
Turbidity
5.4
NTU
0.50
03/15/16 16:15
SM 25400
Total Suspended Solids
6.0
mg1L
2.5
03/17116 10:59
SM 2540F
Total Settleable Solids
ND
mL/L/hr
0.10
03/15/16 13:30
EPA9040
pH
6.7
Sid. Units
0.10
03/1611608:15
H1,H6
ANALYTE QUALIFIERS
H1 Analysis conducted outside the EPA method holding time.
H6 Analysis initiated outside of the 15 minute EPA required holding time.
Reviewed by:
Terri Page
[e-mail]
Edon Certification IDs
205 East Meadow Road Suite A, Eden, NC 27288
North Carolina Drinking Water Certification M 37738
North Carolina Wastewater Certification #: 633
VirginiaNELAP Certification #: 460025
Page 1 of 5

aceAnaiytical
www.paceialm.com
r
j 6701 Conference Drive, Raleigh, NC 27607
ph: {919) 834-084, Imr. (919) a34-M7
NCWW CerL#67, NCDW CeO37731
Chain of Custody w.a. VZ
�J 1 ca-5 -f-- jet
QuI r �./ V r l , '.
Report Resu'V o;
Company: j u4a
�(}
co
Address: C) ao —s4j—
�shukA tJc� a�sg
Attn:
Phone:—�`-
Fax:—
Sampled by (signature);
all TO
Projsct Reference:
/VC a 7 5 Project !Number:
Puruhase Order #:
❑ Standard Report Delivery
❑ Rush Report Delivery (wlsurcharge)
"Rush projects ara subject to prior approval by
Me lahoratory
Requested Due Date:
/L---- —�
3
d_ 5' V
ftel ed by (sign
Receiver! 519nature)
3w
Tune
Rehnqui by (signature)
Received by (signature)
Time
Res. Chlorine:
❑ Absent ❑ Present Cl n/a
Acid preserv. c2?
(] Yes ❑ No ❑ nla
Base presarv. >12? ?
❑ Yes ❑ No j;1 n!a
Page 2 of 5

Document Name: Document Revised: 26FEB2 016
dC£ifiFlaiy�lC21• Sample Condition Upon Recelpt(SCURj Page I of 2
/ 'y+ Document No.: issuing Authority:
i F-RAL-CS-001-rev.93 Pace Raleigh quality Office _
Page 2 of 2 for Internal Use ONLY
Sample Condition Upon atent Name:
fAAI �PmJeCt�) v - ijCourier:Fed Ex UP5 LISPS
❑ Commercial ❑Pate ❑Other:
Custody Seal Present? [-]Yes �No seats intact? []Yes ONO
Date/InWals Person EramfnIns' Conten
Packing Material: ❑Bubble Wrap ❑Bubble Bags ANone, ( ❑other.
Thermometer: iR SN:122065387 QIR SN: 12206S371 Type of fa: fLiWet ❑Blue []None ❑Samples on ice, cooling process
rhas begun
Correctlon Factor: .o'C Cooler Tamp Corrected ('C): Z , fj 8ialogical Th we Frozen? (3Yes []NO.' LdN/A
Temp should be above fr sing to VCT
USDA Regulated Soil (;N/A, water sample)
Did sample; originate in a quarantine zone within the United States: CA, NY, or SC (check maps)? Did samples originate from a foreign source (internationally,
nVnc Nn Inrli,dinn Havrali and stuprtn Rirni? rlYnc Mi
COMMENTS:
Chain of Custody Present?
Yes
No
N/A
1.
Chain of Custody Filled Out?
Yes
0 No
N/A
2.
Chain of Custody Relinquished?
Yes
©No
N/A
3.
Sam pier Name and/or Si nature on COC?
Yes
ONO
CINJA
4.
Sam piesArrived within HoIdTime?
Yes
E31do
N/A
S.
Short H at d Tim e Ana lysis (472 hr)?
Yes
❑No
El N A
Rush Turn Around Time Requested?
yes
UNo
NIA
7.
Sufficient Volume?
Yes
ONo
QNJA
8.
Correct Contalners Used?
I/lYes
[]NO
QN/A
9.
-Pace Containers Used?
V tx
MN.
A
Containers Intact?
LJyes
ONO
[]N/A
10.
Filtered Votume Received for Dissolved Tests?
❑yes
[]No
N/A
11. Note if sediment is visible in the dissolved container,
Sample Labels Match COC?
YfYes
❑No
[]N/A
12.
-includes Date me !p Ana sls Matrix:
All containers needing acid/base preservation have been
13.
checked?
es
©No
[]N/A
All containers needing preservation are found to be in
compliance wit', EPA recommendation?
(HNO.0 HrSO4, HCk2; NaOH >9 Sulfide, NaOH>12 Cyanldej
]Yes
❑No
❑N/A
Exceptions: VOA, Collform, TM, Oil and Grease,
DR0/8015 {water} DX,LLHZ
Yes
❑No
[]N/A
Samples checked for dechlorinatinn
Yes
ONO
[]N/A
14.
-HeadsE2ce in VOA Vials (>5-6m2!?
Oyes
❑No
N/A
15.
Yrip Blank Present?
[[Yes
[]No
N/A
16.
Trip Blank Custody Seats Present?
eras
ONO
N/A
Pace Trip Lot S tIf purchased):
CUEWT NOTIFICATIDN/RESOLLMON Field Data Required? []Yes []No
Person Contacted: Date/Time:
Comments/Resolution:
Project Manager SCURF Review: Date:
Project Manager SRF Review: _ Date:
Nate: Whenever there Is a discrepancy affecting North Carolina compliance samples, a copy of this form will he sent to the North Carolina DEHNR Certification office (i.e.
Out of hold, Incorrect pre servative, out of temp, Incurrect containersl
Page 4 of 5

Document Name:
Condition Upon Reci
Document No.: .
Document Revised: 26FE82016
Page 2 of 2
Issuing Authority:
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Sample Discrepancy
pH Adjustment Log for Preserved samples
sampie 1D
Type of Preservative
pH upon receipt
Irate preservation
adjusted
Time preservation
adjusted
Amount of
Preservative added
Lot
125 ml Plastic Unp: BP4U
250 ml Plastic Unp: BP3U
500 ml Plastic Unp: BP2U
I Liter Plastic Unp: BPI U
250 ml Plastic H2SO4: BP3S
250 ml Plastic HNO3: BP3N
250 ml Plastic ZN Acetate: 0113Z
250 ml Plastic NaOH: BP3C
Wide mouthed glass Jar unp: WGFU
1 Liter Amber Unp: AG1U
1 Liter Amber NCI: AG1 H
250mi Amber Unp: AM
1 Liter Amber H2SO4: AGIS
250 ml Amber H2SO4: AMS
250 ml Amber NH4CL: AG3A
40 ml VOA HO: DG9H
40 ml VOA Na2S203: VG9T
40 ml VOA Unp: VG9U
40 mi VOA H3PO4: DG9P
5035 Kit: VOAK
VPH 1 Gas Kit., VJGK
125 ml Sterile Plastic: SPST
250 ml Sterile Plastic: SP2T
250 mL Plastic (NH2)2SO4: BP3A
20 ml Scintilla#ion vials: VSGU
Page 5 of 5

' � m
aneAnalytical
2
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i
Laboratory Report
Wilbur Moore
Wade Moore Equipment Company
PO Box 546
Louisburg, NC 27549
Project: SITE 1 GP
Pace Project No.: 92303562
Pace Analytical Services, Inc.
6701 Conference Drive
Raleigh, NC 27607
{919)834-4984
Page 1 of 1
Report Date: 07/13/2016
Date Received: 06/3012016
Sample: SITE 1 GP
Lab ID: 92303562001 Collected: 06/30116 10:50 Matrix:
Water
Method
Parameters
Results
Units
Report Limit
Analyzed Qualifiers
SM 2540D
Total Suspended Solids
23.9
mg1L
3.5
07/05/16 14:34
SM 254OF
Total Settleable Solids
ND
mLIL/hr
0.10
07/01/16 11:30
EPA9040
pH
6.4
Std. Units
0.10
07/01/1612:50 H1,H6
EPA 180A
Turbidity
26.5
NTU
1.0
07/01/16 22:30
ANALYTE QUALIFIERS
H1 Analysis conducted outside the EPA method holding time.
H6 Analysis initiated outside of the 15 minute EPA required holding time.
Reviewed by: 84 fJ
Brittany Gibson for
Terri Page
[e-mail]
Asheville Certification IDs
2225 Riverside Drive, Asheville, NC 28804
Ftorida/NELAP Certification #: E87648
Massachusetts Certification #: M-NC030
North Carolina Drinking Water Certification #: 37712
Eden Certification lDs
205 East Meadow Road Suite A, Eden, NC 27288
North Carolina Drinking Water Certification #: 37738
North Carolina Wastewater Certification #: 40
South Carolina Certification #: 99030001
VirginiaNELAP Certification #: 460222
North Carolina Wastewater Certification #: 633
VirginiaNELAP Certification #: 460025
Page 1 of 3

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/ aceAnalj cal
www.pacelabs.com
6701 Conference Drive, Raleigh, NC 27607
ph: [phone], fax: [phone]
NCWW Cert#67, NCDW Cert#37731
Chain of Custody W.O.*
Report Results To: Bill To: yyf S
Company: RQIDP_�--
Address: � � i L-k 7)�-5�
Attn: l.tl� lj u
Phone:�rj�1..1.��3
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Fax:
Sampled by (signature):
Project Reference:
Project [Number:
Purchase Order #:
❑ Standard Report Delivery
❑ Rush Report Delivery (w/surcharge)
"Rush projects are subject to prior approval by
the laboratory
Requested Due Date:
=
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Date %.
Time
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Received1N (signature)
Date i
Time
Relinquished by (signature)
Received by (signature)
Date
Time
Receipt Conditions (Lab Use Only)
❑ 4t2°C ❑ Temp: °C
Res. Chlorine:
❑ Absent ❑ Present ❑ n/a
Acid preserv. <2?
Yes ❑ No ❑ n/a
Base preserv. >12?
Yes 0 No ❑ n!a

1Y�IaceAnalytical
rnnr.paCEraCs.GGrn
i
Laboratory Report
Wilbur Moore
Wade Moore Equipment Company
PO Box 546
Louisburg, NC 27549
Project: SITE 1 GP
Pace Project No.: 92313959
Pace Analytical Services, LLC
6701 Conference [hive
Raleigh, NC 27607
[phone]
Page 1 of 1
Report Date: 10/04/2016
Date Received: 09/28/2016
Sample: SITE 1 GP Lab ID: 92313959001 Collected: 09/27/16 07:55 Matrix: Water
Method Parameters Results Units Report Limit Analyzed Qualifiers
SM 2130B Turbidity 107
NTU
0.50
09/28/16 14:35
SM 25401) Total Suspended Solids 65.1
mg1L
4.9
09/29/16 13:14
SM 2540F Total Settleable Solids NO
rnL/Llhr
0.10
09/28/16 15:30
EPA9040 pH 6.2
Std. Units
0.10
09/30/1611:45 1-13,1-16
ANALYTE QUALIFIERS
H3 Sample was received or analysis requested beyond the recognized method holding time.
H6 Analysis initiated outside of the 15 minute EPA required holding time.
\&`U
Reviewed by:
Terri Page
[e-mail]
Eden Certification IDs
205 East Meadow Road Suite A, Eden, NC 27288 North Carolina Wastewater Certification #: 633
North Carolina Drinking Water Certification #: 37738 Virginia[VELAP Certification #: 460025
Page 1 of 3

fl
U
Document Name: Document Revised: May 24, 2016
Sample Condition Upon Recef SCU Page I of 7_
r- ' �`"�• Document No.: Issuing Authority.
_._ F-RAC-(3.001-Rar.04 _ Pace Raleigh AualiryOffice
Client Name:
_ eject
Courier LjFedlEx UPS USPS 00lent
❑ Commercial JDpace ❑Orhtr_
ustody Seal Present7 []Yes ONO Seals Intact? ❑Yes ONO
D.e.lartitlak Person buminins -Waco f%
Picking Material: ❑Bubble Wrap ❑Bubble Bags None ❑other:
'herinomeUr: T1505 Type ofky; owet cimue [_mono❑sampsasnnRe, coding wocasshasbegun
:ormctlon Factor: 0.0'C Cooler Temp Corrected ('Cj: Z, Z Biological Tlssua Frozen? Oyes ❑No Q�/A
emp should be above fr eIn'
to 6'C
SDA Regulated Sol (J N/A watersamplej
Idsampte origlnateinaquaraminezone within the United States: CA, NY, orSC(checkmaps)? old mmpiespdgrnatefromafarelgnsource ftn�y ationaitg,
1Yes 7No IndudinattawaltandPuerto Alcol?MVes UNo
Commerrtslfllscre
lain of CrutadY Present?
e.
No
WWA
I.
trclos Arrived within Hold TIme7
Yn
NoE2111,
2,
tort Hold Time Ana s (a2 hr.)?
s
o
NIA
1
f
jib 7umAroundTime Requested? Dyes RfNo [3NJA_
4,
_
sffklentVolume7
�ftes
No
CJNJA
S,
10W CnWners used?
0.
[]NO
NIA
6.
PaceCantalnersUsed? _
9fYes
No
A
_
vste!nerslntact?
Uv.,
nft
❑N A
7.
Im FteldFgtered?
QYes[]NO
A
8. MotuIfWdlme(4isAsUetntho&sdYWconUiner
Imple Labers Match CW.
Oes
©No
❑NjA
9.
-IncludesDate TlmejilTlAnalysls Matrlr.���
-�
It containerspeeding add/base preservallon have been
10. r
ietked?
Yes
[:]NO
❑N/A
A contalners needing preservation are found to be in
MOjN
amptlance with EPA recommendation?
Z,
wroap.r
ANO„ HAC. HCK2; NaOH 4Sulfide, NaOH>12 ryanlde]
K
❑No
DIVA
eeepuons: VCSA Cohlorm, TOC, Oil and Grease,
A0/8015twaterlDOC,LLH
Z.
No
N A
a_mplest_heck_edfor dernoAnation7 _
es
No
A
11.
eadspace in VOA Vials p5.6mmj7
yes
No
A
12.
rtp Blank present?
Om❑Na
NIA
13.
rip Blank Custody Seals Present?
❑Yes
[]NO
NIA,
ace Trl Blank Lot fr IT urchasedj:
CLICK NWIFICATIONIRESOWTION
Person Contacted: DateflIrrm!
Comments/Sample
Distreps Rcy:
PlddfradRequMA? UytS ❑Na
Project Manager SCURF Review: Dam C�^I7
te: yr"
Project Manager SRF Review, _ LJ - Da - t� V
No:tr Whenever there Is a dlscrepauyaffecttngNorthCarollnacomplianresamples,acopYofthlsformwltbesent tothe North Carolina Di
Out o! hold, Incorrect preservative, auto( tamp, In=recr containers)
office Il.e.
Page 2 of 3

aceAnalytical'
rwr.y.alab�.
(11�
M1 Ctximmm vrke, ftva h, NC 27007
ph: (919) M 4W kX J919) W4-0497
NCWW OwW7, NCDW CertiOTni
Chain of Custody
PC,KP
W.O,0
Report Resupa To: ©III To:
cgrnq=y:11SIDE &Gq+ _I e:
�QUrP eb Project Raterenc
Address:- F a- I�JW Z44. _
�,u kt stnu,r a r, Pf*ct Nurrber:
� rr
Attn: uN Atwp-5, Purchase Order #:
Ph": ��4 — 4,4�- 374 0 Standard Report Delivery
Fsx: 3! - _r sa _ g��_ ❑ Rush RaW Delivery (wlsureharge)
••ALah wooer we wga+m car Wpmm W
IM 1AWAlny
Sampled by (Signature): Requested Due Date:
fir° `�55 t kr�lCrr r
R Shed ( s Date Tyne 11 41 x C r l TW (La� C
r ❑ 4l?'C ❑Temp: 'C
JJLXF` Rea ChWm:
{ a7e Tire ❑ Absent ❑ Presort ❑ nta
Add pwwrv, t2?
strjd by (s�nanee} Rene wed sign xe) NOy lkne ❑ Ws ❑ Na ❑ NO
Base pregm,. -127
❑ Ws ❑ No Q rda
Page 3 of 3

aceAnalytical
jwwwb&cam
Laboratory Report
Wilbur Moore
Wade Moore Equipment Company
PO Box 546
Louisburg, NC 27549
Project: GP Site 1
Pace Project No.: 92319224
Pace Analytical Services, LLC
6701 Conference Drive
Raleigh, NC 27607
[phone] .
Page 1 of 1
Report Date: 11/15/2016
Date Received: 11/10/2016
Sample: GP Site 1 Lab ID: 92319224001 Collected: 11/10/16 07:00 Matrix:
Method Parameters Results Units Report Limit
Water
Analyzed Qualifiers
SM 21306 Turbidity 17.6
NTU
0.50
11/11/16 12A0
SM 2540D Total Suspended Solids 24.2
mg1L
2.9
11/11116 10:00
SM 254OF Total Settleable Solids ND
mUUhr
0.10
11/11/16 08:30
EPA9040 pH 6.5
Std. Units
0,10
11/11/16 14:20 H1,H6
ANALYTE QUALIFIERS
H1 Analysis conducted outside the EPA method holding time.
H6 Analysis initiated outside of the 15 minute EPA required holding time.
\AA)�
Reviewed by:
Terri Page
[e-mail]
Eden Certification IDs
205 East Meadow Road Suite A, Eden, NC 27288 North Carolina Wastewater Certification #: 633
North Carolina Drinking Water Certification #: 37738 VirginiaA/EL.AP Certification #: 460025
Page 1 of 4

?Gonferenoe
eAnalXical
www.pacefabs.com
67Drive, Raleigh, NC 27607
ph: [phone], tax: [phone]
NCWW Certg67, NCDW Cert#37731
ChaIlIIl of Custody w.o.a_
WO#:92319224
92319224
Report Resul To:
Company: LOL h W w
Address: D, i3DX J
Lout 7sc -s
Attn: �i 1,1ba, iz'�Go2�
Phone: 1 1- �t" -- 71?
Fax:
Sampled by (signature):
Bill To:
A 140F_fkOD }(sfhFrJT c i1
P0. BeX 5V-k
LnL�tsl�u>�.. O C, a7s �g
Project Reference:
Project Number:
Purchase Order #;
❑ Standard Report Delivery
❑ Rush Report Delivery (wlsurcharge)
"Rush projects are subject to prior approval by
the laboratory
Requested Due Date:
Sarnple:Descriptlon` ` ,
ll
yy� k . 4t „ qy
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; ;End Date;`f
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P14riquished by (signature)
R�T;,aWb�1%lTaureT
Receipt Conditions (Leb Us Only)
❑ 4t2°C ❑ Temp: 'C
Res. Chlorine:
0 Absent ❑ Present ❑ rtla
Acid preserv. <2?
❑ Yes ❑ No ❑ n/a
Base preserv.>127
❑ Yes ❑ No ❑ Na
Page 2 of 4 i

UULUIIIC11t IVAllli••: VULUIIICtI• "V-Cu. 0Cr.. +, ... r..
Sample Condition Upon Recelpt{SCUR) Page 1 of 2
aceAnalyiica! Document No.: Issuing Authority:
I F-CAR-CS-033-Rev.01 Pace Quality Office
Laboratory receiving samples:
Asheville ❑ Eden[] Greenwood ❑ Huntersville ❑ Raleigh❑ Mechanicsville❑
?� Client Name:
r t Jett tf:
Courier: ]Fed Ex ❑UPS ❑LISPS
❑ Commercial ❑Pace []Other:
Custody Seal Present? []Yes �5eals Intact? ❑Yes 0
Date/initials Person Examining Conten '
Packing Material: ❑Bubble Wrap []Bubble Bags ,Offone ❑Other:
Thermometer: "//���
iR Gun ID: , (/ Type of Ice; et ❑Blue .❑None mples on ice, cooling process has be un
Correctia Factor: Cooler Temp Corrected ('C): Biological Tissue Frozen? []Yes []NO N/A
Temp should be above fire g to 6•C
USDA Regulated Soil QI N/A, water sample)
Did samples 90ginate in a quarantine zone within the United States: CA, NY, or SC (check maps)?
Did samples originate from a foreign source
Including Hawaii and Puerto Rico)? ❑Yes
liy,
Chain of Custody Present?
es
QNG
❑N/A
1.
Samples Arrived within Hold Time?
es
❑No
N/A
2.
Short Hold Time Analysis (02 hr.)?
[]NO
[]NIA
3.
Rush Turn Around Time Requested?
[]Yes
-CfNo
N/A
4.
Sufficient Volume?
es
--ONO
❑N/A
S.
Correct Containers Used?
-Pace Containers Used?
EKes
&fY,s
(:]No
[IN.
❑N/A
N/A
6.
Containers Intact?
es
[]No
N/A
7.
Samples Field Filtered?
(-]Yes
[]No
j3WA
8. Note If sediment is visible In the dissolved container
Sample Labels Match COO
Yes
[]No
❑N/A
9.
-Includes uate"imeilu nalysis Matrix.
Headspace in VOAVlals (>5.6mm)? []Yes []NO ONfA lU.
Trip Blank Present? ❑Yes []NO ONIA 11.
Trip Blank Custody Seals Present? ❑Yes ❑No if/A
CLIENT NOTIFICATION/RESOLUTION
Person Contacted:
Comments/Sample
Discrepancy:
Project Manager SCURF Review:
Project Manager SRF Review:
Date/Time:
Date:
Date:
Field Data Required? ❑Yes ❑No
Note: Whenever there Is a discrepancy affecting North Carolina compliance samples, a copy of this form will he sent to the North Carolina DEHNR Certification Office (i.e.
Out of hold, incorrect preservative, out of temp, incorrect containers)
Page 3 of 4

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SP3Z-250 mL Plastic ZN Acetate & NaOH (>9)
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DG9P-40 mL VOA H3PO4 (N/A)
VOAK (6 vials per kit)-5035 kit (N/A)
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w
PROCESS/MINE DEWATERING WASTEWATER DISCHARGE MONITORING REPORT (DMR)
Please Mail Original And One Copy To Mailing Address Below
GENERAL PERMIT NO. NCG0200(10
Part A: Facility Information D
4 (ail samples shall be reported within 3f0�ysfol owing monitoring period} Samples Collected In Quarter: 1 2 !3
Certificate Of Coverage No. NCG02 u( n�� unty of Facility
Facility Name Name lof#Laboratory gcF Qwoi t 4-icaj
Facility Contact t1 Ltl_ are5v CENT Sar-iC►cation #/01
Facility Contact Phone No. 3 79 p1j1R
Part B: Process Wastewater and Mine Dewatering Wastewater Monitoring Requirements
ou"l :
Number:
Receiving Stream Name
h ..
:Date = ;
S - to Col cctid
-� L.501D.
`00400 ..
'.00530._ _.�� ._
I1fl1336
�- 00545:s_ =
'Doi Flaws
H
TolI&Sus tided Solids
iifif
Settlrabls Solids
M1iGD.. _
=.funit..;::._.
1
u alo ee
l�9 a l I
go
19.7
j8.9
Nib
�R2 Ro a"
og d l i s
.7 9
s
AID
1 Measured continuously using a flow measuring device or estimated using manufacturer's pump curves and pump logs.
Part C: Certification
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person
or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best
of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations." n )
-L
gnatuee of PermiUce)
Part D: Mailing Address
Attn: Central Files, DENR, N.C. Division of Water Quality, 1617 Mail Service Center, Raleigh, NC 27699-1617
SWU-244-012005

PROCESSIMINE DEWATERING WASTEWATER DISCHARGE MONITORING REPORT (DMR)
Please Mail Original And One Copy To Mailing Address Below
GENERAL PERMIT NO. NCG020000 RECEIVED
Part A: Facility Information
FEB a;a ?ass
Samples Collected In Quarter: 1 2 .dro) a (all samples shall be reported within 30 days following monitoring period) Ci~NTR FILES
Certificate Of Coverage No. NCG02 County of Facility DWR — L.) N
Facility Name i Name of Laboratory ' 4CE 4NA4 4i � a
Facility Contact > . I1YZOtf2s`. Lab Certification #
Facility Contact )Phone No. (_ql9 > �t . �3"7q
Part B: Process Wastewater and Mine Dewatering Wastewater Monitoring Requirements
Number: :
Receiving Stream Name
Datr_
Sample Collected
,x Sii050 -
.,.00400
00530_
00S45�~;_.
Daily Flaw`
pH ..
Tolal Suspended Soltd4
FurbWity
Se}tleabie Solids -
-.-
� :'. .
_. • model �` r ,_
� h'[Gll.
=. uait.. ".
_ 1,TUs�__�
--=mi/l_.�_ .'
u aZo ree
dl� da l5
i
.5 8
A1D
06 as IS
ja.
AID
ND
t Measured continuously using a flow measuring device or estimated using manufacturer's pump curves and pump lags.
Part C: Certification
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person
or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best
of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations."
(Signature of e' mittee) (Date)
Part D: Mailing Address
Attn: Central Files, DENR, N.C. Division of Water Quality, 1617 Mail Service Center, Raleigh, NC 27699-1617
SWU-244-012005

ANNUAL SUMMARY DMR - WASTEWATER
` SEND TO CENTRAL OFFICE*
PROCESS MINEMEWATERING WASTEWATER
GENERAL PERMIT NO. NCG020000
7 EIVED
EB `8 2016
CENTRAL FILES
DWR SECTION
* Report All Wastewater discharge monitoring data on this form (including No Flow and No Discharge and Pennit Limit Violations) by MARCH I of each _year. If
you have limit violations, you must also have turned in a Limit Violation DVIR to your local Regional Office within 30 days of receiving sample results from a lab.
CERTIFICATE OF COVERAGE NO NCG02 0 0 SAMPLE COLLECTION YEAR: e,36 is
FACILITY NAME: Flerm 1-ne.�� t COUNTY: t)qN kL t fJ
PERSON COLLECTING SAMP .ES: � tVn a al^ r �s PHONE NO. (9! ) 4 - q I � 1 1 9
CERTIFIED LABORATORY:. Ac L�-�c�_ _ [gab # _ :7 ADD TO LiSTSERVE? YES ❑ NO ENTAIL: bI VI n-ton d)W.7 e rn4)orf--CoM
I.ab #
LINI[T VIOLATIONS? l'E5 ❑ NO INDUSTRIAL SAND".) ® DISCHARGING TO SA WATERS'? ❑
Part A: Wastewater Monitoring Re uirements
Outfall No.
Date Sample
Collected
Total Flow
Total Suspended
Solids]Settleable
Turbidity3
Solids
pH
Fecal Coliforms
-
mm/dd/yr
MG
mgA 1,2
NTU '
MIA2
1V a
Standard 2
-r.a
col/ml '
03Mt 5
17.7
'7.
NJ
7,0
O& e.� I 15
6, q
5.8
A10
? 1
O a 1,5
14.
. S
a1 15
Y. 4
is
a s
a
D
, 9
r
-oqla
a 1 s
s-
9.7
AI-D
-7 0
t s
All mines must monitor WW discharges for TSS. Only industrial sand mine discharges are subject to TSS limits.
z If an effluent iimit is exceeded. the permittee is required to institute monthly monitoring for that parameter for the remaining permit term,
s The discharge shall not cause an instantaneous measurement of the turbidity of the receiving water to exceed: 10 NTU for freshwater streams, lakes, and reservoirs
designated as trout waters; 25 NTU for all takes and reservoirs, and all salt waters; 50 NTU for all other streams and surface waters. Turbidity may be monitored at the
Stormwater Discharge Outfall. Alternatively, the permittee may choose to monitor turbidity in the receiving water, directly upstream and downstream of the discharge.
d Only facilities discharging to SA waters arc required to monitor for Fecal Coliforms.
Permit Date: l/l/2010-12/31/2014
Last Revised 01-21-1 1
Page 1 42

-J
Part A Continued: Wastewater Monitoring Requirements
Oulfall No.
Date Sample
Collected
Total Flow
'Total Suspended
Solids'
Turbidity
Settleable Solids
pH
Fecal Coliforms
-
mm/dd/vr
MG
mgfl
NTU
ml/l
Standard
col/ntl"
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW"'. "NO DISCHARGE" & LIMIT
VIOLATIONS) BY MARCH 1 OF EACH YEAR TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Rased on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
I a mare that there are si ifican enalfor submittin � ' se information, including the possibility of lTj
es and imprisonment for knowing violations."
IL �_Jz UU-64-4— �Te ua 1�3
(Sign re of 1 tittee) X (Dale
Permit Date: 1/1/2010-12/31/2014
Last Revised 0 1 -2 1 -1l
Page 2 of 2

PROCESS/MINE DEWATERING WASTEWATER DISCHARGE MONITORING REPORT (DMR)
Please Mail Original And One Copy To Mailing Address Below
GENERAL PERMIT NO. NCG020000
Part A. Facility Information
Samples Collected In Quarter: 10 20 3 1 4 (ail samples shalt be reported withi3li{days foFi-�owfng
cnrde 0")rnonitoring period)
a! .
Certificate Of Coverage No. NCGQ2 dd (�"y of Facility iz 14n1 k Li n1
Facility Name f F�� 4 Name of Laboratory RCYV4-L --f4c CAL,
Facility Contact hirlibut IAJL YuaaLi' L•ab Certification # (0 7
Facility Contact Phone No. (919 ) 7 CENTRAL � L
MAJR SEC-TION
Part B: Process Wastewater and Mine Dewatering Wastewater Monitoring Requirements
:Date '
:-50t150=i
`0098�
r
,x-.�_
iiDSdS` u ':
Ouilalt
_
4 ;
.
Number:
Receiving Stream Name
Sampie Collected
�Daf1y Ftaw�
" pH ..
Total Suspended Solids
Tuiiildity
>Sotleable Solids•;
:.
-
=:.unit.."::.
NTU
=s'_
w o reek
1� l rs
17. a
�s _
41 7
nIp
�� 12,VSA
fs
L.a
r
sa
N.a
1 Measured continuously using a flow measuring device or estimated using manufacturer's pump curves and pump lags.
Part C: Certification
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person
or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best
of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations."
a aolep
(Signature of a tte (Date)
Part D: Mailing Address
Attn: Central Files, DENR, N.C. Division of Water Quality, 1617 Mail Service Center, Raleigh, NC 27699-1617
SWU-244-012005

PROCESS/MINE DEWATERING WASTEWATER DISCHARGE MONITORING REPORT (DMR)
a Please Mail Original And One Copy To Mailing Address Below larl
GENERAL. PERMIT NO. NCG020000
Part A: Facility Information
Samples Collected In Quarter 1 30 4 (all samples shall be reported within 30 days following monitoring period)
(Orde Oaet
Certificate Of Coverage No. NCG02 DD) 9 County of Facility
Facility Name mY!t A i 1• Name of Laboratory
Facility Contact W : k10 xr UU Ki o C UR Lab Certification #
Facility Contact Phone No. Q
iT-
Part B: Process Wastewater and Mine Dewatering Wastewater Monitoring Requirements
rt� Q a 2p16
C-NTRP& FILES
�Nr ��CTION
iQ�IU K L i N
Face 14na -tFG
Lo'7
Date .
;. SOOSfl=.
L00400
00530__
7G'.
�i00S45`
x.
�Dally Flow��
pH .::
Tott3t 5uspettdetl SalEds
Ctaififctlty�
-
-
�l5ettteable Sotids.'
Outfall
Receiving Stream Naine
Sale Collected
Ntimbe�_
s _
_rl
Yit.-
<mold -.r
`_._ t4iG©
_.. Wilt..'
__.._.
a
r .�:NTI)s
u a ree K
U3 19 15
1 7 P
I Measured continuously using a flow measuring device or estimated using manufacturer's pump curves and pump logs.
Part C: Certification
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person
or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best
of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violation '
2 5
(Signature nd ertt e) (Date)
Part D: Mailing Address
Attn: Central Files, DENR, N.C. Division of Water Quality, 1617 Mail Service Center, Raleigh, NC 27699-1617
S W U-244-012005

1�a'neAnafytical'�
www.pece71h'9'WM
J
i
Wilbur Moore
Wade Moore Equipment Company
PO Box 546
Louisburg, NC 27549
Project: WADE MOORE SAMPLING 03119M5
Pace Project No.: 92241941
Sample: SITE 01 GP �^
Laboratory Report
Pace Analytical 3arvlcas, Inc.
6701 Conterenca Drlve
Ralefgh, NC 27607
[phone]
Page 1 of 1
Report Date: 03/3012015
Dale Received: 03/19/2015
tab ID: 92241941001 Collected: 03119115 10:50 Matrix: Water
Parameters
Results
Units
Report Limit
Analyzed Qualifiers
Turbidity
16.2
NTU
0.50
0312011512:53
Total Settleable Solids
ND
mI. Mr
0.10
03/20/15 12:50
Total Suspended Solids
24.7
mg1L
4.5
03/20/15 08:55
pl-I at 25 Degrees C
7.2
Sid. Units
1.0
03/27/15 10AD 11-16
Sample: SITE 02 RP Lab ID: 92241941002 Collected: 03/19/15 10:55 Matrix: Water
Parameters
Results
Units
Report Limit
Analyzed Qualifiers
Turbidity
7.8
NTU
0,50
0312011512:53
Total Settleable Solids
ND
mt.lLJhr
0.10
03120M5 12:50
Total Suspended`56Ik1s
7.a
mg1L
5.0
03/20115 08:57
pH at 25 Degrees C
7.0
Std, Units
1.0
03127/15 10:40 H6
ANALYTE QUALIFIERS
H6 Analysis initiated outside of the 15 minute EPA recommended holding time.
Reviewed oy:
Sheila M McGlown
shelia,[e-mail]
Raleigh Cartification IDa
6701 Conference Drive, Raleigh, NC 27607
North Carolina Wastewater Certification #: 67
Eden Certification iDs
205 East Meadow Road Suite A, Eden, NC 27288
North Carolina Drinking Water Ceftlficatton #: 37738
North Carolina Bioassay Certification 0: 16
North Carolina Drinking Water Certification #: 37731
North Carolina Uastewater Certification #: 633
VlrglnlalVFLAP Cerilficatlon #: 460025
Page 1 of 3

acmnalytical
www.pacelabs.com
6701 Conterenoe iJrlve, Reielgh, NC 276137
ph: [phone], tax; [phone]
NCWW Cent#67, NCOW Cert#37791
Report Result To: V
Campany: ( WWrc
Address: .p, & •s
Lou
ccs4b
Attn: L%::
Phone, �q_LNO• Xlg! �p-L
Fax: _ I -06 - 9 d
Sampled by (signature):
Chain of Custody
Bill
1 ! 1UG32�
.. D. boxLJ
5
Project Reference:
Project Number:
Purchase Order #:
❑ Standard Report Delivery
ED Rush Report Delivery (wlsurcharge)
"Rush prolecta are sutilect to prior approvat by
the laboratory
Requested Due Date:
Relinquished by (signature)
Eli
to
Oa a ff
Tame
Relinquished by (signature)
R d by (slgnatu)
Qa
Time
�V
12; Lr�
Relinquished by (signature)
Received signature)
Date
Time
Receipt Conditions (LabVsq Only)
Cl 4t2°C 0 Temp: °C
Res. Chlorine:
Cp Absent ❑ Preseni [] nla
Acid preserv, <27
G Yes ❑ No ❑ n/a
Base preserv. >127
0 Yes 0 No fMOR of 3

Document Name. Satnplp Condltfi n..11�bn Dacumant Revlsed: Aprtl•04, 2013
h acsAnaiCal ' Receipt SC U,R r ??a page 1 of 2
•""'�"°"'" " Document No.- .:s IssulrtgAuthorities:.
i-RAL-CS-' 1-rev: 2...'. `:...' Pace Asheville QU91fty Offlce
ClientNerve:
Whpre Recelv$d: HuntersAlle Ej Ashevilie p F-deh l�qlelg4
Caurfer (Circle): • Fed Ex UPS LISPS >;ile"I Commerclel Pecs .Other.
Custody goal on Cooler113ox Present: ­ [] yes na. Seals lntact: i� yes ❑ no
Packing Materiel: ElBubble Wrap Bub Ba a p NonkZ Pther
Circle. Thermometer Used: 1.R Gun :122088: 8 a of Ice: Wet Blue No " l] semplas on Im coa$ng proasas heabegun
iamp'Cortectiort factor'. Add 7 . extract C
Rate""TI foals of ; on bxemining
Corrected Cooler Tamp:: C .: Sio115gfcal Tlesua�.�s Fr6ien:' Yea'N NIA
ctrUala
Temp.`silauld be above freezing to. 4'4tr1t11et1ta:.
Chilln:otCttstati':Preaent: :..,: • :. Yes-,E]ND- l3WA
- �.... _
Chalnof Cusiaayi=Nled Oii4:...:..
alri�ot�uBtod Relln Ufshed:;... ea':�7No<..OWA'
3. •' .. .
Sato 06N A Signature an COC; . eo4 G]Na';..IONiA
•b.:,
Savri' es tiirivedwrltisln hold Time:.. Ysa.: N ` C WA
Sitor f Hold T rnO Anai Is' S.Tghr ;
FEueh,Turn;AT u . d TIOt Re tig ed; QYea_. ©NfA
Yee CiNd ©NIA
Q:
60.rrt C Contall.lors.use d . Yea
-PaCrr3 C'Dntal a ,ilet�d:... Y"'�r ©No ,ON1k.
Flit'ered voluma reoeived-.for:l)lsbc4veti te$is [ Yes .[" w IVfn
11: .
Sample Labels. m fch CQ ', ,; , . .. '.. Ya 'J 1146 QNIA
.
12.
-lnofudas:dateftlmelll)lArta! is IVlatrlx r
All oontaln®r5 ileedlriB; P^��etvstlorj stave bean citedted: ag L7tJa []NIA
13.' .
All e"v n,pro found to be. In vy�
coinolancew4fi EPArecommendetlon.
,
ears bna: A,.: 1lfonn TOC,t)SG,WI.ORo No
Saris' fes oho9k4§d for.dechlodnation, es ONo ©Wk
14,
Haade soe In VOA Vlais >8min : OYes ©No IA
16.
Trlp-1131brik Present: lOYas ONO
16.
1NrA
Trip Slank'.custady Seals'Present ..[,]No Wl+rrA
Pane 7rl :Blank Lot# If Grcltased :
CAenfootlfldatloni-Resolutlon: 9oldDeteRequired? Y 'I N
Person Contented; RtateMme:
CommehrW Resolution:
SCURF•lSRI= Place label here
LOA
-
Revir3w:.
Note: Whenever there a a dlnerepanoy affocting North Carolina compilanoe ' „t
samples, a copy of this form All be sent to the North Carolina DFt9Nfi
Cartlacatlan-QNEce (I.e out of bald, inoorreat pteaenrathre, out of tamp,�., .
lncorrt3at cnnta4nere) l;
S bf 3

ANNUAL SUMMARY DAR - WASTEWATER
SEND TO CENTRAL OFFICE
PROCESS NIINE/DEWATERING WASTEWATER
GENERAL PERMIT NO. NCG020000
* ReportAll Wastewater discharge monitoring.data on this form (including No Flow and No Discharge and Permit Limit [violations} by MARCH 1 of each year. If '
{ you have limit violations, you must also have turned in a Limit Violation DMR_ to your local Regional Office within 30 days of receiving sample results from a lab. T
CERTIFICATE OF COVERAGE N . NCG02 0 © 1 1 SANTLE COLLECTION YEAR:
FACILITY NAME: e i COUNTY: 1J LJ rU
PERSON COLLECTING SAMPL S: ea a arri,s PHONE NO. Q( tR } q-QCQ_ 3 -79 11
CERTM ED LABORATORY: � C, Lab # ADD TO LISTERVE? YES ❑ NO❑ EMAIL: b'1 r nw rye ®wV4c ftore . g�
Lab #
LEYMS VIOLATIONS? YES ❑ NO
Part A: Wastewater Monitoring Requirements
INDUSTRIAL SAND"? Qr DISCHARGING TO'SA WATERS'? ❑
z
Outfall No.
Date Sample
t
Collected
50050
Total Flow
00530
Total Suspended
Solids'
00400
Turbldity3
00545
Settleable So ltds .
00400;
pH
r' 31616
Fecal Coliforms
mm/dd/yr
MG
mg/l
NT1J
ml/!
Standard
coUmlZ'
Jc�.B
rJD 1hL L A,,'7
a
D A -o q-_ 1
nlp Fleo
.SAS}
14D
D M I e- 1hr
7,0
0'1- 4- 1 i./Io
Flaw
A6,r?
NDn, LJLJW
.S
D?--a9-r
a DOD
t. t hr
�
' All mines must monitor WW discharges for TSS. Only industrial sand mine discharges are subject to TSS limits.
2 If an effluent limit is exceeded, the permittee is required to institute monthly monitoring for that parameter for the remaining permit term.
3 The discharge shall not cause an instantaneous measurement of the turbidity of the receiving water to exceed: 10 NTU for freshwater streams, lakes, and reservoirs
designated as trout waters; 25 NTU for all lakes and reservoirs, and all salt waters; 50 NTU for all other streams and surface waters. Turbidity may be monitored at the
Stormwater Discharge Outfaii. Alternatively, the permittee may choose to monitor turbidity in the receiving water, directly upstream and downstream of the discharge.
Only facilities discharging to SA waters are required to monitor for Fecal coliforms.
"°ems
Permit Date: 1/1/2010-12131/2014 Last Revised 01-05-10
Pagel of 2

Part A Continued: Wastewater Monitoring Requirements
Outfal! No.
Date Sample
Collected'
50050
Total Flow
00530
Total Suspended
Solids'
00400
Turbidity3
00545
Settleable Solids
00400
pH
31616
Fecal Coliforms
-
mm/dd/yr
MG
mg/l1a
NTU
M1/12
Standard2
collm!'
MAI1?0'- IGfNAL AND ONE COPY OF THIS ANNUAL SL7TV IARY (INCLUDING ALL "NO FLOW", "NO DISCHARGE" & LD41T
VIOLATIONS) BY MARCH-1- OF EACH YEAR TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YO U MUST SIGN THIS CERTIECATIONFOR ANY INFORMATION REPORTED:
"i certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the lnformation, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
I am aware that t re ar ign' ant pe a! 'es fa ubmitting false information, includ7(Date)
ossibllity of ftges and imprisonment for !mowing violations."
(Signs ` of Perkaittee) i
Permit Date: 1/1!201042/31/2014 Last Revised 01-05-10
Page 2 of 2

wtiyw.pacafa65.com
Laboratory Report
Pace Analytical Services, Inc.
6701 Conference Drive
Raleigh. NC 27607
[phone]
Page 1 of 1
Wilbur Moore Report Date: 02118/2014
Wade Moore Equipment Company Date Received: 02/04/2014
PO sox 546
Louisburg, NC 27549
Project: WASTEWATER
Pace Project Na.: 92188382
Sample: SITE 1 GP Lab ID: 92188382001 Collected: 02/04/14 07:45 Matrix: Water
Parameters Results Units Report Limit Analyzed Qualifiers
Turbidity
12.8 NTU
1.0
02/04/14 10.49
Total Settleable Solids
ND mLlLlhr
0.10
02/05/14 10:00
pH at 25 Degrees C
7.2 Std. Units
1.0
02117/14 14:15 H6
Total Suspended Solids
12.8 ni
2.5
02106/14 20:54
Sample: SITE 2 RP
Lab ID: 92188382002 Collected:
02/04114 08:15 Matrix: Water
Parameters
Results Units
Report Limit
Analyzed Qualifiers
Turbidity
10 NTU
1.0
02/04/14 10:49
Total Settleable Solids
ND mLlilhr
0 10
02105/14 10:00
pH at 25 Degrees C
7.0 Std. Units
1.0
02/17/14 14:15 1
Total Suspended Solids
5.9 mg/L
2.5
02/06/14 20:55
ANALYTE QUALIFIERS
H6 Analysis initiated outside of the 15 minute EPA recommended holding time.
i
Reviewed by:
Nikitia Jones -Jackson
[e-mail]
Raleigh Certification IDs
6701 Conference Drive Raleigh, NC 27607
North Carolina Wastewater Certification #: 67
Asheville Certification IDs
2225 Riverside Dr., Asheville, NC 28804
FloridalNELAP Certification #: E87648
Massachusetts Certification #: M-NC030
North Carolina Drinking Water Certification #: 37712
North Carolina Bioassay Certification #;16
North Carolina Drinking Water Certification #: 37731
North Carolina Wastewater Certification #: 40
South Carolina Cerfification #: 99030001
West Virginia Certification #: 356
Virginia/VELAP Certification #: 460222
Page 1 of 3

Z7I ce Analytical
www.pafotabs.com
6701 Conference Drive, Raleigh, NC 27607
ph: [phone], fax: [phone]
NCWW Cert#67, NCDW Cert#37731
Chain of Custody
Report Resul To: �( fBill To:
Company:D 1 ODJ
,} J1�iYr l tl�i� �Q;/mot !1� ice✓
Address: f o, �[JOX 5 4-V q
>SbUrC AJC v�"7� �/
Attn: ` l l
Phone: - 4 �-/� ' —
Fax: 9 1 — 96 — -72 92
Sampled by (signature):
W.O. #
Project Reference:
Project Number:
Purchase Order #:
❑ Standard Report Delivery
❑ Rush Report Delivery (w/surcharge)
"Rush projects are subject to prior approval by
the laboratory
Requested Due Date:
Sample Description
composuoor
c'ab
Start Date
End Date
Matrix
W,Sal.®[W
Analyses Requested
Sam lea
p
Start Time
End Time
S,rf Svc Pry i ss 1uvb►�
7; 5' '
N.
Sol A4 -rss 7g rbid; tt,
Relinquished by (signature)
Received by (signature) I
Date
The
Relinquished by (signature)
Received by (signature —)
Date I
Time
°7I �W`�•G�l
?- �" �y
�� O
Relinquished by (signature)
Received by (signature)
Date
Time
Receipt Conditions (Lab Use Only)
❑ 4±20C ❑ Temp: oC
P.
Res. Chlorine:
❑ Absent ❑ Present ❑ n/a
Acid preserv. <2?
❑ Yes ❑ No ❑ n/a
Base preserv. >12?
❑ Yes ❑ No ❑ n/a

Analytical
www.pacelabs.com
ive, Raleigh, NC 27607
ph: [phone], fax: [phone]
NCWW Cert#67, NCDW Cert#37731
Chain of Custody Wa 4gZl��3-(2�4
Report Result o. }Bill To:
Company: DD �+ !z MLbaL Q Ito Project Reference:
Address: �`�-
_LQIL'o w C ,N - xi Z-at�`sb rtJC ass L/ Project Number:
- •_
AM, a Purchase Order#:
Phone: / — 3 1a ❑ Standard Report Delivery
`7❑ Rush Report Delivery (wlsufcharge)
Fax: — r "Rush projects are subject to prior approval by
the laboratory
Sampled by (signature): Requested Due Date:
;r,Sample" Descrrptlon ',
.'" .�.
.cymP06k9O
<�f
t Start Date;
jStart �Ti endcTme"$`
�EriclrData�
Matrix
- w soa _OWN
Arialjr&eslf t guested ;°• *
s, ti.
W
�n
f
� -
S,,f 50 P� �5-`' 7w-k c�
Ww
7 • ,�
_Itt., U
f
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e-+ SD I Pry `rss Turbrd, t
�
S: 15
V
i�
y4�li
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. w
{
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SRI
Vt
Relinquished by (signature)
Re eived by ( nat )
, X
Date
2
Time
.D
Relinquished by (signature)
Received by (signature)
D e
Time
X&��
y-ly
1130
Relinquished by (signature)
RTcepfby (signature)
Date
Time
Receipt Conditions (La?Only)
© 4t20C ❑ Temp: °C
Res. Chlorine:
❑ Absent ❑ Present ❑ n/a
Acid preserv. <2?
❑ Yes ❑ No ❑ n/a
Base preserv. >12?
❑ Yes 0 No 0 nla

aceAnalytical
www.pacelabs.com
6701 Conference Drive, Raleigh, NC 27607
ph: [phone],fax: [phone]
NCWW Cert#67, NCDW Cert#37731
Chain ®f Custody W.o.# 2
Report Result o:
Company: {� CO
) 00�
Address: R0 B13. Sao —
Uffiu 61011nc Nc- 1/154591
1:.R%%1il�lfFt�
•
gampled by (signature):
Bill To:
b. 3C).10
S
°sb arc, AI C 49'1 S_ ff--/
Project Reference:
Project Number:
rcnase Urcier #:
❑ Standard Report Delivery
❑ Rush Report Delivery (w/surcharge)
"Rush projects are subject to prior approval by
the laboratory
Requested Due Date:
,Sample Descn�pi ono 't
�s9�4
Qv ei�
H� Start Gated
�tCStartlime
19 50i9W6
;>EntluTiine
wwMpwlsw
,dw sai
Aiialy§es fde+�uestU11
,
.
�f so) '7
�.
1
z+ .50 Af Tss 7urbr4,t
8; 15
i
c.
}
.1 .
J'
M�1
Relinquished by (signature)
Re ived by ( nat ]
Date
2
Time
D
Relinquished by (signature)
Received by (signature)
D e
Time
Relinquished by (signature)
R cei by (signature)
Date
Time
Receipt Conditions (LabryJ�e _Only)
❑ 4t2°C ❑ Temp: L � L,Q °C
Res. Chlorjne:
❑ Absent ❑ Present © n/a
Acid preserv. <2?
❑ Yes ❑ No ❑ n/a
Base preserv. >12?
0 Yes 0 No ❑ n/a

I
17 ` ceAnalytical
www.parelabs.com
6701 Conference Drive, Raleigh, NC 27607
ph: [phone], fax: [phone]
NCWW Cert#67, NCDW Cert#37731
Report Result o:
Company:(_113JA-More, & ov, D
Address: E D DD j� '54P 11
i>o.0 ��un e- . N C- I'l 54-'1
Attn: JAL;Jlir~ VYk & !e�
Phone: - / - 321
Fax: q 19 _ q� - 7 g 4�
Sampled by (signature):
Chain of Custody . W.O.# :�
Bill To:
k�QL 1KC-0-a eQ Lk 119
t), j 30,< 5
t A'sb LLrq,A/ C ,9°75
Project Reference:
Project Number:
Purchase Order #:
❑ Standard Report Delivery
❑ Rush Report Delivery (w/surcharge)
"Rush projects are subject to prior approval by
the laboratory
Requested Due Date:
iS6implej'Descriptror� g$`,'
r ��.
Wom"poaie
- ,''
t
tpStartiDat6` t.
"Stait�Time
fndiNte��`'
- ......,
'" EndrTme i
nmatiik)),
Gw'suli;ew
icAnalySeslReguestetl
kt � ? At'� �`
m'pie t
i �,✓ P
a-
S�f s� PH r &5 Fai4 , �
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- � 5
7 •�
5ej SDI A4 TSS -7—u rbid i twa-
8, 15
�r
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Nil
n
�r
d +�
Relinquished by (signature)
Re ived by (shnat )
Date
2-1 d 14
Time
q
Relinquished by {signature}
D e
Time
�R�eceiived
Relinquished by (signature)
R cei by (signature)
Date
Time
Receipt Conditions (LatYjl�e Only)
El4t2°C ❑ %mp: ' tQ °C
Res. Chlorine:
❑ Absent ❑ Present ❑ n/a
Acid preserv, <2?
❑ Yes ❑ No ❑ n/a
Base preserv. >12?
0 Yes 0 No p n/a

laceAnalyficalle
fwwwpacareba.com
Laboratory Report
Wilbur Moore
Wade Moore Equipment Company
PO Box 546
Louisburg, NC 27549
Pace Analytical Services, Inc.
6701 Conference Drive
Raleigh, NC 27607
[phone]
Page 1 of 1
Report Date: 08/11/2014
Date Received: 07/29/2014
Project: 07/29/14 SITE 1 & SITE 2
Pace Project No.: 92210949
Sample: SITE 1 Lab ID: 92210949001 Collected: 07/29/14 09:30 Matrix: Water
Parameters
Results Units
Report Limit
Analyzed Qualifiers
Turbidity
20.7 NTU
1.0
07/30/14 18:05
Total Suspended Solids
22.2 m911-
6.1
07/30/14 16:26
Total Settleable Solids
ND mL/Uhr
0,10
07/30/14 15:29
pH at 25 Degrees C
6.8 Std. Units
1.0
07/30/14 14:22 H6
Sample: SITE 2
Lab ID: 92210949002 Collected:
07/29/14 09:40 Matrix: Water
Parameters
Results Units
Report Limit
Analyzed Qualifiers
Turbidity
14.3 NTU
1.0
07/30/14 18:05
Total Suspended Solids
10.8 mg/L
5.0
07/30/14 16:27
Total Settleable Solids
ND mIJIJhr
0.10
07/30/14 15:29
pH at 25 Degrees C
6.8 Std. Units
1.0
07/30/14 14:22 H6
ANALYTE; QUALIFIERS
H6 Analysis initiated outside of the 15 minute EPA recommended holding time.
Reviewed by:���z
Sheila M McGlown
[e-mail]
Raleigh Certification IDs
6701 Conference Drive Raleigh, NC 27607
North Carolina Wastewater Certification #: 67
North Carolina Bioassay Certification #: 16
North Carolina Drinking Water Certification #: 37731
Page 1 of 4

aceAnalyfical
www.pacelabs.com
6701 Conference Drive, Raleigh, NC 27607
ph: [phone], tax: [phone]
NCWW Cert#87, NCDW Cert#37731
Report Resui To: n
Company:
Address:
isgC.0?,075
Attn: t 6'r re.
Phone: � 41q- 3-79
Fax: 9j 9— to. ?8q�3
Sampled by (signature):
Chain of Custody Wo#�
f
•ill �i r � •
i
Project Reference:
Project Number:
Purchase Order #:
❑ Standard Report Delivery
❑ Rush Report Delivery (wlsurcharge)
—Rush projects are subject to prior approval by
the laboratory
Requested Due Date:
Relinq by (signature ,
Received by (signal
X
�'
Dais
Time
Relinquish y (signature)
Ived by ( nature)
Date
Time
Rellnquished by (signature)
Received by (signature)
Date
Time
Receipt Conditions (Lab Use Only)
© 4±TC ❑ Temp: 'C
Res. Chlorine:
❑ Absent ❑ Present 0 n/a
Acid preserv. ¢27
❑ Yes ❑ No ❑ nla
Base preserv. >127
0 Yes 0 NoPQerVwf 4

Doeumant Name: Sample -Condition Upon Document Revised: April 04, 2013
_ .f �7C� EAI7al 1Cal m Receipt SCUR Pa e 1 of 2
` Document No.: issuing Authorities:.
F-RAL-CS-001-rev.02 i Pace Asheville Quality Office
Client Name: L�OO (d YAOUY'�
Where Received: Huntersvllle [] Asheville Eden ( Raleigh
Courier (Circle): • Fed Ex UPS USPS Client Commercial Pace . Other
Custody Seal on Cooler/Box Present: yes no Seals Intact: yes F1 no,
Packing Material. 0 Bubble Wrap Bubble Bags fit None Other
Circle Thermometer Used: IR Gun Suo
22065387T pe of Ice: et Blue None Samples on Ice, cooling process has begun
IR Gun Back �1
Temp Correction Factor: Add! ubtract
.
Date and Initials of Person.examtning
Corrected Cooler Temp.: C
_C
Biological Tissue is Frgien: Yes No NIA
co a is !Pre ervat o
check
Temp, should be above freaOng to M
Comments:
Chain of CustodyPresent:
Yas' ' No
• ❑NIA.
'f.... _ _._ _...... _...... ... _ ... ....... .. . ._
Chain of Custody Fllled Out:
Yes []No
❑N1A
2.
Chain of Custody Relinquished:
Rry.. ONo
❑NIA
3.
Sam ler Name & Si neture on COC:
Yes .CINo.
©wn
4..
Samples Arrived within Hold Time:
OYes ❑No
❑wA
b.'.
Short Hold.Time Anal sis' <72hr :
Yes ONO
❑tiA
6.
Rush Turn Around Time Re uested:
❑Yes o
0WA
7.
Suff(Cient.Volume:
VYea DNo
❑WA
8.
Correct Containers Used:
Yes ©No
❑NIA
9. '
-Pace Contalners Upd;
Yas ©Na
❑wA
COnt1118rS Intact:
Yes ©No
❑NIA
10.
Filtered volume=received for Dissolved tests
❑Y09 ❑No
gWA
11,
Sample Labels match CDC:
Yes QNo
ONIA
12.
-includes date/time/ID/Analysis Matrix:
All containers needing•presorvatlon have been checked.as
©No
❑N!A
13.
All containers needing preservation are found to be in
rYes ONo
❑wA
compliance with EPA recommendation,
r"
excaptlone: VOA,. eoliforrn, TOC, 0&G, WI-DRO (water)
Xy., ONo
Sam les checked for dechlorination:
Yes ONo
©N/A
14.
Headsp ace in VOA Vials >6mm :
❑Yes ONo
wA
15.
Trip Blank Present:
❑Yee []No/Olt
16.
Trip Blank Custody Seals Present
❑Yes ONo
LCNIA
Pace Trip Blank Lot # if purchased):
Client Notification/ Resolution: Field Date Required? Y 1 N
Person Contacted: Date/Tlme:
Comments! Resolution:
SCURF ISRF Date: 'WO# + 9221®949
Review:,
Note: Whenever there is a discrepancy affecting North Carolina compliance fll��lll�tl �I �I III II�
samples, a copy of this form will be sent to the North Carolina DEHNR 92210949
Certification Off ce ( i.e out of hold, incorrect preservative, out of temp, (it no lanes avanaviv�
incorrect containers)
Page 3 of 4

Document Name: Sample Condition Upon.
Document Revised: April 04, 2013
NC16/inalytal"
Receipt (SCUR)
Pa e 2 of 2
Document No.:
issuing Authorities:
F-RAL-CS-001=rev.02
Pace Asheville Quality Office
a
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a
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se■■■■■■tee■■■■e■�■■�■■■■■®
®■®■tee■■■■■■■■■ee■■■■■■■■�■■�
Client Sample ID s
Sam le Discre aric .
H Adjustment Log for Preserved Samples
Sample ID
Type of
Preservative
pH upon
receipt
Date preservation
Adjusted
Time Preservation
Adjusted
AmRunt of
Preservative added
Lot# of
Preservative
Bottle Code Key
125 ml Plastic Unp: BP4U
250 ml Plastic Unp: BP31-1
500 mi Plastic Unp: BP21J
1 Liter.Plastic Unp: BP1 U
250 ml Plastic H2SO4: BP3S
250 i�il Plastic HNO3: BP3N
250 ml Plastic ZN Acetate. BP3Z
250 ml Plastic NaOH: BP3C
Wide mouthed glass }ar unp: WGFU
1 Liter Amber Unp: AG1U
40 ml VOA H2SO4: DG9S
1 Liter Amber HCI: AG1H
5035 Kit: VOAK
500 ml Amber Unp: AG2U
VPH 1 Gas Kit: V/GK
1 Liter Amber H2SO4: AG IS
125 ml Sterile Plastic: SPST
250 ml Amber H2804: AG3S
250 mi Sterile Plastic: SP2T
250 mi Amber NH4CL: AG3A
40 ml VOA HCl: DG9H
40 ml VOA Na2S2O3-. VG9T
40 ml VOA Unp: VG91J
Page 4 of 4

PROCESSIMINE DEWATERING WASTEWATER DISCHARGE MONITORING REPORT (DMR)
Please Mail Original And One Copy To Mailing Address Below
GENERAL PERMIT NO. NCG020000
Part A: Facility Information
Samples Collected In Quarter: 162Q-3Q 4Q (all samples shall be reported within 30 days following monitoring period)
—tort, Ore)
Certificate Of Coverage No. NCG02 a:p I ci County of Facility r AV t-'L I
Nt
Facility Name �l�rn�rcz ��' ;�- Name of Laboratory 1 'Rt-tsT
Facility Contact �L1� �Y W. mc;c,-e_ Lab Certification N t�icJal'u, 04� 7 6LLOW 3 7 T3 j
Facility Contact Phone No. `t 19 4-51, _ 3-79 4
Part B: Process Wastewater and Mire Dewatering Wastewater Monitoring Requirements
Outfall
Number
Receiv ing Stream Name
bate
Sstnple Callecfed
50050_ °. -:
100400
00530 ,
..00076,�:i .
a; `. u_ 00545
Daily Flaw"
pH
Total Suspended Solids ,`
Tuibldit y
SefEleatile Solids
molddl r
-6IGD
unit
m
NTUs
mill
}�;_,t-Qe
- l-
r
i
. D j
�Z)C
Sl. 7
G D. I
FF
1 &2
- i - U
S c>�� cite
7.�yo
, ID
33.
C D. r
1 Measured continuously using a now measuring device or estimated using manufacturer's pump curves and pump logs.
Part C: Certification
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person
or persons who manage the system, or those persons directly responsible for gathering the information, the ' ation submitted is, to the best
of my knowledge and belief, true, accurate, and complete. I am aware that there re significant penaltie for subim ing false information,
including the possibility of times and imprisonment for knowing violations." /
/A—
n
(Signature of Per ittee) (Date)
Part D: Mailing Address
Attn: Central Files, DFrNR, N.C. Division of Water Quality, 1617 Mail Service Center, Raleigh, NC 27699-1617
SWU-244-0121)05

Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Permit No.: or Certificate of Coverage No.: N/C/GI
FaciiityName: Wnj),c Mcu2f 6.Qk�nti�.�vT (t .. Ft-mtn ,
County: N u. i nl _ Phone No. � 19 - `i-Q lv _ 3 -7
Inspector: kdm�mtl ,_ L10 Mcc'L�2
Date of Inspection: Q,A.,,.Z t ,-2y'G' i
l l l l l
nil
[3y this signature,/l certify that this report is accurate and complete to the best of my knowledge:
U I y
(Signature of Permittee or Designee)
1. Outfall Description
Outfall No. i Structur (pipe itch, etc.)
Receiving Stream: u r ee}'�__
Describe the industrial activities that occur within the outfall drainage area:
2. Color
Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium,
dark) as descriptors: -�3 1 Lxc -- L-49 k+
3. Odor
Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor,
etc.) - - � C' NL - ---
4. Clarity
Choose the number which best describes the clarity of the discharge where 1 is clear and 10 is very
cloudy:
1 D2 3 4 5
S W U-242-020705
6 7 8 9 10
Page 1

5. Floating Solids
Choose the number which best describes the amount of floating solids in the stormwater discharge where
1 is no solids and 10 is the surface covered with floating solids:
f1� 2 3 4 5 6 7 8 9 10
6. Suspended Solids
Choose the number which best describes the amount of suspended solids in.the stormwater discharge
where 1 is no solids and 10 is extremely muddy-
1 ( 2/ 3 4 5 6 7 8 9 10
�/ r
7. Foam
Is there any foam in the stormwater discharge?
8. Oil Sheen
Is there an oil sheen in the stormwater discharge?
Yes No
Yes No \
9. Deposition at Outfall
Is there deposition of material (sediment, etc.) at or immediately below the outfall? Yes (No10. Erosion at Outfall----
Is there erosion at or immediately below the outfall? Yes Co
l 1. Other Obvious Indicators of Stormwater Pollution
List and describe l _l� Ie asn
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion may be
indicative of conditions that warrant further investigation and corrective action.
Page 2
S W U-242-020705

�OF W A rF9
0 G
O -r
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Permit No.: 1 bl U1_L111 or Certificate of Coverage No.: NIC/GI KIWI I�I I
Facility Name: LtfRno_ M-c,,P — tPr ti T-
County: EgaNKw N Phone No. 112 24g3r?`�
Inspector: 1' w
Date of Inspection:
By this signature, I,9ertify thtat this rypprt}s accurate and complete to the best of my knowledge:
(Signature of Perrnittee or Designee)
1. Outfall Description
Outfall No. Structur '(pipe ditch, etc.)
Receiving Stream: i F�i2 t U E-R
Describe the industrial activities that occur within the outfall drainage area:
Z. Color
Describe the color of the discharge usin basic colors (red, brown, blue, etc.) and tint (light, medium,
dark) as descriptors: 'Tk-e_ - L(C &
3. Odor
Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor,
etc.)
4. Clarity
Choose the number which best describes the clarity of the discharge where 1 is clear and 10 is very
cloudy:
1 2 3
4 5 6 7 8 9 10
S WU-242.020705
Page 1

5. Floating Solids
Choose the number which best describes the amount of floating solids in the stormwater discharge where
I is no solids and 10 is the surface covered with floating solids:
�1 ) 2 3 4 5 6 7 8 9 10
6. Suspended Solids
Choose the number which best describes the amount of suspended solids in the stormwater discharge
where 1 is no solids and 10 is extremely muddy:
1 { 2% 3 4 5 6 7 8 9 10
7. Foam
Is there any foam in the stormwater discharge? Yes LNo
8. Oil Sheen
Is there an oil sheen in the stormwater discharge? Yes Now`
9. Deposition at Outfall
Is there deposition of material (sediment, etc.) at or immediately below the outfall? Yes CNo,)
10. Erosion at Outfall
Is there erosion at or immediately below the outfall? Yes No
11. Other Obvious Indicators of Stormwater Pollution
List and describe ' , 5 y
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion maybe
indicative of conditions that warrant further investigation and corrective action.
L,
Page 2
S W U-242-020705

0
Page 1 of 1
" F<.oTEST
Laboratory Report
_._._ Ln6 Locofio,,?'R' __...__..._ . __.11 L.vh Locaiio 'L" Lah LoalLron'1Y'
NC/WW Cert.#: 067 NCIDW Cert.#: 37731 5 NCNM Cert.#: 103 NC1DW Cert.#: 37733 NCNVIN Cert.#: 075 NCIDW Cert.#: 37721
6701 Conference Dr, Raleigh, NC 27607 6300 Ramada or, Suite C2, Clemmons, NC 27012 6624 Gordon Rd, Unit G, Wilmiogton, NC 28411
Ph: [phone] Fax: [phone] Ph: [phone] Fax; [phone] Ph: [phone] Fax: [phone]
„[,• aye :.fie5s'•;.�"Y:a.::.91 `F 4.C:E3A ...
Project No.:
Project ID: STORMWATER
--- Prepared for ---
WILBUR MOORE
WADE MOORE EQUIPMENT COMPANY
P. O. BOX 546
SHIP:934 EAST RIVER ROAD
LOUISBURG, NC 27549
Report Date: 618/2009
Date Received: 6/112009
Work Order #: 0906-00012
Cust. Code: WA3794
CUSL P.O.#:
No. Sample ID Date Sampled Time Sampled Matrix Sample Type Condition
001 POND 1 6/112009 8:45 SW Grab 4 +1- 2 deg C
Test Performed
Method
Results
lab Loc Da�UZedTime Qualifier
pH
EPA 150.1
7.03 S.U.
R 615109 9:29
Total Suspended Solids
SM 2540D
20.0 mg1L
R 613109 13:44
Settleable Solids
EPA 160.5
<0.1 mUL
R 611109 15:15
PH disclaimer
Exceeds holding time.
R 615109 10:51
No. Sample ID
Date Sampled Time Sampled Matrix
Sample Type Condition
002 POND 2
61112009 8:50
SW
Grab 4 +1- 2 deg C
Test Performed
Method
Results
Lab Loc PU1atV Time Qualifier
pH
EPA 150.1
7.00 S.U.
R
615109
9:29
Total Suspended Solids
SM 2540D
11.0 mg/L
R
613109
13:44
Settleable Solids
EPA 160.5
<0.1 mUL
R
611109
.15.15
pH disclaimer
Exceeds holding time.
R
615109
10:51
Reviewed by:
Grirvrei
for Tritest, 1

PROCESS/MINE DEWATERING WASTEWATER DISCHARGE MONITORING REPORT (DMR)
IL Please Mail Original And One Copy To Mailing Address Below 777771
GENERAL PERMIT NO. NCG020000
Part A: Facility Information
Samples Collected In Quarter: 1 � 2 3 D (all samples shall be reported within 30 days following monitoring period)
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Certificate Of Coverage No. NCG02 CDC)i cl County of Facility _rRAn+KLf
Facility Name p- 'nA Name of Laboratory `1 R1TE.=sT—
Facility Contact Lj_ Obur W.T mc-cre- Lab Certification N 04-7 �61CLOW 3 7`13 j
Facility Contact Phone No. 4( I )_ 4-9L- 3`79 L�
Part B: Process Wastewater and Mine Dewatering Wastewater Monitoring Requirements
_s50050
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OD530 ..y,• _.`u.
D0076:''=�
OOS45`:;._•
Outfa-
ll
Receiving Stream Natfte
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Sample Collected
Daily Flowlk
p1i .
,Total Suspended Solids �
Turbidity '
Seixt,tleable Solids
Ntiinber
�4
_YFe%Y
iLft;H_
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molddl r
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unit
B
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I Measured continuously using a flow measuring device or estimated using manufacturer's pump curves and pump logs.
Part C: Certification
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person
or persons who manage the system, or those persons directly responsible for gathering the information, the ' ation submitted is, to the best
of my knowledge and belief, true, accurate, and complete. I am aware that there re significant penaltie for submt ing false information,
including the possibility of fines and imprisonment for knowing violations.". I , / , ,
Part D: Mailing Address
Attn: Central Files, DENR, N.C. Division of Water Quality, 1617 Mail Service Center, Raleigh, NC 27699-1617
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JUN 182009
L 1 l"
S WU-244-012005

Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Permit No.: NLc4k —O/A O 0111-1 or Certificate of Coverage No.: NICIGI,
FacilityName: blAyE Moab & uLj pmE-rjT 0-0.. F(Cm. rI 5ov
County: in_NK� i N Phone No.
Inspector: VW . rncon�
Date of Inspection: Qw, ' l , ' loc j
By this signatre,/I certify that this report is
�U Ag
(Signature of Permittee or Designee)
1. Outfall Description
and complete to the best of my knowledge:
Outfall No. i Structur ftill
itch, etc.)
Receiving Stream: �jLL a�
Describe the industrial activities that occur within the outfall drainage area:
2. Color
Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium,
dark) as descriptors: _ _ -131 tee. — L tqk±
3. Odor
Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor,
etc.) K o N L
4. Clarity
Choose the number which best describes the clarity of the discharge where I is clear and 10 is very
cloudy:
1 3 4 5 6 7 8 9 10
Page 1
S W U-242-020705

5. Floating Solids
Choose the number which best describes the amount of floating solids in the stormwater discharge where
1 is no solids and 10 is the surface covered with floating solids:
1 2 3 4 5 6 7 8 9 10
6. Suspended Solids
Choose the number which best describes the amount of suspended solids in the stormwater discharge
where I is no solids and 10 is extremely muddy:
3 4 5 6 7 8 9 10
7. Foam
Is there any foam in the stormwater discharge? Yes No
8. Oil Sheen
Is there an oil sheen in the stormwater discharge? Yes CNo
9. Deposition at Outfall
Is there deposition of material (sediment, etc.) at or immediately below the outfall? Yes DNo
10. Erosion at Outfall
Is there erosion at or immediately below the outfall? Yes No
it. Other Obvious Indicators of Stormwater Pollution
List and describe 1 it.e-
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion maybe
indicative of conditions that warrant further investigation and corrective action.
Page 2
SWU-242-020705

Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Permit No.: or Certificate of Coverage No.:
Facility Name: Ua p moogf_ a. — Amin S
County: _TgAN KL4 N _ Phone No. R 1 ..
Inspector: 1,J
Date of Inspection: uv"e UCs
By this signature, Igertify that this.rgpprt)s accurate and complete to the best of my knowledge:
(Signature of Perm�ee or Designee) _
1. Outfali Description
OutfalI No. cA Structur (pipe ditch, etc.)
Receiving Stream: ERR R►L'0
Describe the industrial activities that occur within the outfall drainage area:
2. Color
Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium,
dark) as descriptors: — Lt h
3. Odor
Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weals chlorine odor,
etc.) �GNt✓
4. Clarity
Choose the number which best describes the clarity of the discharge where 1 is clear and 10 is very
cloudy:
1 2 3 4 5 6 7 8 9 10
Page 1
5 WU-242-020705

5. Floating Solids
Choose the number which best describes the amount of floating solids in the stormwater discharge where
1 is no solids and 10 is the surface covered with floating solids:
O2 3 4 5 6 7 8 9 10
6. Suspended Solids
Choose the number which best describes the amount of suspended solids in the stormwater discharge
where 1 is no solids and 10 is extremely muddy:
1 0 3 4 5 6 7 8 9 10
7. Foam
Is there any foam in the stormwater discharge? Yes CNo
8. Oil Sheen
Is there an oil sheen in the stormwater discharge? Yes No
9. Deposition at Outfall
Is there deposition of material (sediment, etc.) at or immediately below the outfall? Yes No
10. Erosion at Outfall
Is there erosion at or immediately below the outfall? Yes No
11. Other Obvious Indicators of Stormwater Pollution
��.
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion maybe
indicative of conditions that warrant further investigation and corrective action.
Page 2
SWU-242-020705

o Page 1 of 1
7FcD)OTEST
Laboratory Report
Lob Locobba 'R' �t Lo6 IocaGoa 'C' Lo6 Location '1V'
NClWW Cert.#: 067 NClDW Cert.#: 37731 NC/WW Cert.#: 103 NCIDW Cert.#: 37733 NCNM Cert.#: 075 NCIDW Cert.#: 37721
I 6701 Conference Dr, Raleigh, NC 27607 6300 Ramada Or, Suite C2, Clemmons, NC 27 112 6624 Gordon Rd, Unit G, Wilmington, NC 28411
Ph: [phone] Fax: [phone] Ph: [phone] Fax: [phone] Ph: [phone] Fax: [phone]
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Project No.: Report Date: 6/812009
Project ID: STORMWATER Date Received: 611/2009
--- Prepared for ---
WILBUR MOORE
WADE MOORE EQUIPMENT COMPANY Work Order #: 0906-00012
P. 0. BOX 546 Gust. Code: WA3794
SHIP:934 EAST RIVER ROAD Cust. P.O.#:
LOUISBURG, NC 27549
No. Sample ID
Date Sampled Time Sampled Matrix
Sample Type Condition
001 POND 1
611/2009 8:45
SW
Grab 4 +1- 2 deg C
Test Performed
Method
Results
- - - I zed -:------
Lab Loc a� Time Qualifier
pH
EPA 150.1
7.03 S.U.
R 615109 9:29
Total Suspended Solids
SM 2540D
20.0 mg1L
R 613/09 13:44
Settleable Solids
EPA 160.5
<0.1 mUL
R 611109 15:15
pH disclaimer
Exceeds holding time.
R 615109 10:51
No. Sample ID
Date Sampled Time Sampled Matrix
Sample Type Condition
002 POND 2
6/1/2009 8:50
SW
Grab 4 +1- 2 deg C
Test Performed
Method
Results
-- --- ----- An ! zed --------
Lab Loc Dace Time Qualifier
pH
EPA 150.1
7.00 S.U.
R 615109 9:29
Total Suspended Solids
SM 2540D
11.0 mg/L
R 613109 13:44
Settleable Solids
EPA 160.5
<0.1 mLIL
R 611109 15.15
pH disclaimer
Exceeds holding time.
R 615109 10:51
Reviewed by:
v .
for Tritest, 1