WQ0005681_Monitoring - 11-2020_20210108 (2)

GXV-59A ('OMI'LIANCI,; ItEP012"I' FOR1N'1 Permit #_Wn tm0sw
(Suhinit one each monitoring, period frith GIi'-59 forms. j
I
Enter date monitoring results were due. ( 12-31- Leto ) Will this monitoring report (GW-59 and GW-59A)
YES
NO
be submitted after the established due date?
2
Was any required information missing on the GW-59 report forms?
YES
NO
IF the answer to question 1 or 2 is "YES", list in the space provided below the well identification number(s) and
explain the problems encountered in obtaining the required information.
L.ab erro %nS+eod of 003-'VJ-'( *%44A ;r M..+�.b3; tJo2't&M3 0-re Uri
—" 4rn, ;; -% Q fare- 0.wo-rQ. Ot' +t,--.f A l.► 4k Currec- 4er`Y ?orWC r4) be(' W (►twXc
3
Are any of the monitor wells in need of repair or maintenance (damaged casing, unlocked or missing cap, missing;
YES
N
identification plate, area overgrown, etc.)? If the answer is '•Yes ", contact the Regional Office for guidance.
4
Are any monitored constituents equal to or above the established standards?
YES
If the answer to question 4 is "NO", skip to section 8.
If the answer to question 4 is "YES" list the affected wells individually with constituent(s) and concentration(s)
exceeding standards in the space provided below:
5
For the constituents identified in question 4 above, have standards been exceeded previously for the
YES
NO
same constituent(s) in the same well(s) in the last two years?
If the answer to question 5 is "NO", skip to section 8.
If the answer to question 5 is "YES", list in the space provided below, each well with constituent(s) exceeding
standards, concentration(s) reported, and sample collection date for each occurrence (for the last two years).
6
Are the monitoring wells listed in section 5 located at or beyond the review boundary?
YES
NO
If the answer is "YES", a groundwater quality problem may be occurring. CONTACT THE REGIONAL
OFFICE IMMEDIATELY FOR GUIDANCE. If the answer is "NO", monitoring wells may be improperly
located; contact the Regional Office.
7
Is the permittee implementing previously approved actions required by the Division involving this
YES
NO
groundwater quality problem?
If the answer to question 7 is "YES", describe those actions in the space provided below.
If the answer to question 7 is "NO", contact the Regional Office within 90 days; an evaluation may be
required to determine the impact the waste disposal system is having at the review and compliance
boundaries surrounding this facility. Failure to do so may subject the permittee to a Notice of Violation,
fines, and/or penalties.
Z
_r- M
8
The person completing this portion (G ) 57 the monitoring report should sign below and submit this
form with G W-59 forms for required wells io the address provided at the top of the current G W-59 form.
I hereby acknowledge that the above Information was evaluated and the Information submitted in this
report (Compliance Report GW-59A) Is true and co p ete to the best of my knowledge.
i
Signature Permittee (or Authorize Date
(: %5 -59 % 12/8/2003

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
FACILITY INFORMATION ['lease Print Clearly or Type
Facility Name: Piigrim's Pride Corporation
Permit Name (if different):
Facility Address: 2607 Old Hwy 421
NC 27355
Contact Person: Itztc, PCd(r,,
Well Location/Site Name: Staley
County Randolph
clIgM53`V7
Telephone#:-g 6-612 fit
No. of wells to be sampled: 5
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
PERMIT Number: W00005681 Expiration Date: _f
Non -Discharge UIC
NPDES Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
© Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
WELL ID NUMBER (from Permit): MW-1 Date sample collected: 11/10/2020
Well Depth: 32.00 ft. Well Diameter: 2 in.
Depth to Water Level 92546: 25.61 ft. below measuring point Screened Interval: ft. to ft.
Measuring Point is ft. above land surface Relative M.P. Elevation: ft,
Volume of water pumped/bailed before sampling: 3.25 gallons
Samples for metals were collected unfiltered: ❑ YES ❑ NO and field acidified: ❑ YES ❑ NO
FIELD ANALYSES:
PH 00400: 6.62 units
Spec. Cond. 00094:
Odor 0orim:
Appearance
:e sample analyzed: 11/10-11/2412020 Laboratory Name: Pace Analytical Asheville & Eden
RAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L Nitrite (NO,) as N 00615 mg/L Pb - Lead o1o51
Coliform: MF Fecal 31616 <1,0 /100mL Nitrate (NO3) as N 00620 1.0 mg/L Zn - Zinc 01092'
Coliform: MF Total 31504 /100mL Phosphorus: Total as P oo665 0.16 mg/L
(Note. Use 61PN method for highly wroio sampled
ni I d S I'd Orthophosphate Ta507 mg/L Other (Specify Compounds and Concentration Units):
-T � I otI105
If WELL
WAS
Temp, 000lo 19.6 °C DRY at
uMhos time of
Isso ve o s.
a 7030o mg/L AI - Aluminum o11o5 mg/L
PH (Lab) 00403 units Ba - Barium 01007 ug/L
TOC o%8a 3.6 mg/L Ca - Calcium oo916 mg/L
Chloride oo94o 6.0 mg/L Cd - Cadmium 01027 ug/L
Arsenic 01002 ug/L Chromium: Total 01034 ug/L
Grease and Oils oo .2
Certification No. 40 & 633
ug/L
mg/L
7�
Certification No. 40 & 633
ug/L
mg/L
7�
mg/L
Cu - Copper 01042
mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron o1045
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg/L
Hg - Mercury -119oo
ug/L
Lab Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance 00095
pMhos
K - Potassium 00937
mg/L
Total Ammonia o0610 <0.10
rng/L
Mg - Magnesium 00927
mg/L
,method €/
method #
(Ammonia Nitrogen: NH, as N. Ammonia Nitrogen, Total)
Mn - Manganese 01055
u /L
9
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L
,method #
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
Permillee for Authorized Aoenti Name and Title - Please Drint or tune
rp, ee
of Permittee (or
- zs- 2ozo
check
here: ❑
GW-59 Rev.2/2010

SUBh11T FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM "
FACILITY INFORMATION Plvasc Prim Ctuarly or Type
Facility Name: Pilgrim's Pride Corporation
Permit Name (if different):
Facility Address: 2607 Old Hwy 421
Staley NC 27355 County Randolph
Contact Person: tr. ioef-Cy � Tele hone#: qf<.e-,- 8 ?
'p
Well Location/Site Name: Staley No. of wells to be sampled: 5
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
PERMIT Number: WQ0005681
Expiration Date: Z - O-
1 3 2t:
Non -Discharge
UiC
NPDES
Other
TYPE OF PERMITTED OPERATION
BEING MONITORED
❑ Lagoon
❑ Remediation: Infiltration Gallery
El Spray Field
❑ Remediation:
❑ Rotary Distributor
❑ Land Application of Sludge
❑ Water Source Heat Pump
❑ Other:
WELL ID NUMBER (from Permit): MW-2 Date sample collected: 11/10/2020
Well Depth: 44.00 ft. Well Diameter: 2 in.
Depth to Water Level 82546: 15.78 ft. below measuring point Screened Interval: ft, to ft.
Measuring Point is ft. above land surface Relative M.P. Elevation: ft,
Volume of water pumped/bailed before sarpling: 10.50-Dry gallons
Samples for metals were collected unfiltered: ❑ YES ❑ NO and field acidified: ❑ YES ❑ NO
FIELD ANALYSES:
pH 00400: 6.74 units
Spec. Cond. 000g4:
Odor000m:
Appearance
Date sample analyzed: 11/10-11/24,12020 Laboratory Name: Pace Analytical Asheville & Eden
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00.335 mg!L Nitrite (NO.,) as N oo)i15 rng/L Pb - Lead o1o51
Coliform: MF Fecal 3161t� <1.0 /100ml- Nitrate (NO;) as N 00620 1.4 mgll- Zn - Zinc 01092
Temp.00010 20.1 aC
ttMhos
Certification No. 40 & 633
ug/L
mg/L
Coliforrrr MF Total 31504 /100ml- Phosphorus: Total as P ooc, 5 0,30 rng/L
ust; MPN a*:ncar ror nogtlj tur." Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units):
Dissolved Solids:Total 70300
53.0 mg/L
At - Aluminum o11o5
rng/L _
pH (Lab) 00403
units
Ba - Barium 01007
ug/L —
TOC ooutso
1.4 mg/L
Ca - Calcium oog16
mgrL
Chloride 00940
3.0 mg/L
Cd - Cadmium 01027
uJ /L _
Arsenic 01002
ug/L
Chromium: Total 01034
ug/L
Grease and Otls 00552
mg/L.
Cu - Copper 01042
mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Phenol :12730
ug/L
Fe - Iron of
ug1L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate ooq.i:�
mg/L
Hg - Mercury 71 t„ c
ug/L
Lab Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance 000g5
ttMhos
K - Potassium 00937
mg/L
method #
Total Ammonia oo010 <0.10
mg/L
Mg - Magnesium 00997
mg/L
method #
!Arfi(Tmonl3 Nitrogc'.n. NH as 14, Ammonia Wrugen, Total)
Mn - Manganese o1o55
ug/L
method #
TKN as N oot,2s
rng/L
Ni - Nickel 01067
ug1L
method #
ror Remediation Systems Only (Attach Lab Reports)
Influent Total VOCs: r:g/L Effluent Total VOCs:
mg/L VOC Removal%
If WELL
WAS
DRY at
time of
sampling,
here: ❑
rmat!ce for Authorized Anent; Name and Title - Please orint or twe
G',X-59 Rev.212010
Sinnature of Permittee for Authorized AaetO

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
FACILITY INFORMATION Piease Print Clearly or Type
Facility Name: Pilgrim's Pride Corporation
Permit Name (if different): _
Facility Address: 2607 Old Hwy 421
Staley NC 27355 County Randolph
9t�8QS54S7
Contact Person: Telephone#:
Well Location/Site Name: Staley No. of wells to be sampled: 5
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
1317 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
PERMIT Number: W00005681 Expiration Date:
Nan -Discharge UIC
NPDES Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lanoon ❑ Remediation: Infiltration Gallery
Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
WELL ID NUMBER (from Permit): MW-4 Date sample collected: 11/10/2020
Well Depth: 30.00 ft. Well Diameter: 2 in.
Depth to Water Level 82546: 14.54 ft. below measuring point Screened Interval: ft, to ft.
Measuring Point is ft. above land surface Relative M.P. Elevation: ft.
Volume of water pumped/bailed before sampling: 6.25-Dry gallons
Samples for metals were collected unfiltered: ❑ YES ❑ NO and field acidified: ❑ YES ❑ NO
FIELD ANALYSES:
pH 00400: 6.80 units
Spec. Cond. 00094:
Odor doom:
Appearance
Dale sample analyzed: 11/10-11/24/2020 Laboratory Name: Pace Analytical Asheville & Eden
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L Nitrite (NO2) as N oo615 mg/L Pb - Lead o1o51
Coliform: MF Fecal 3wifs <1.0 /100mL Nitrate (NO.,) as N 00620 2.1 mg,L Zn - Zinc 01092
Coliform: MF Total 31504 /100mL Phosphorus: Total as P oo665 0.23 mg/L
(Note. Use MPN method for higwy tutr.d samples) OrihO hOS hale 705g7 i
P p mg;L Other (Specify Compounds and Concentration Units).
Dissolved SDlids�Total 7oso $0 0
if WELL
WAS
Temp. 000lo 19.9 °C DRY at
pmhos time of
0
mg/L
Al - Aluminum o1 io:,
mg/L
pH (Lab) 00403
units
Ba - Barium o1oo7
ug/L
TOC 006a0
<1.0 mg/L
Ca - Calcium 00916
mg/L
Chloride 00940
5.2 mgr'L
Cd - Cadmium 01027
ug/L
Arsenic oioo2
Grease and O I
ug/L
Chromium: Total roo3a
ug/L
Certification No. 34
ug/L
mg/L
t s 0055_
,
mgrL
Cu - Copper 010.12
nig/L
ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron 01045
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg1L
Hg - Mercury 71000
ug/L
Lab Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance 00095
µMhos
K - Potassium 00937
mg/L
Total Ammonia 00610 <0.10
mg/L
Mg - Magnesium 00927
method #
m
iAnxonia Nil( —en; Nrl as N Ammonia Nitro n T I I'
mg/L
method #
y i ge . o a i Mn - Manganese o1055 u9 /L
TKN as N 00625 mg/L Ni - Nickel 01067 ug/L
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs:
�,,Ic, P d(N a ClyWp(QX l: a Vii66mcg-.l Y✓IGiM Cer `` P�
Permitlee (or Authorwed Aeent) Nam ,and Title - Please erint or tvDe Sinilrrtu10 o(Pcmiltlee (c)r
GW-59 Rev.212010
iorized Aclent)
method #
method #
mg/L VOC Rerlloval%
l2-U, ?&X
(Daie)
check
here:0