WQ0003090_Monitoring - 03-2021_20210420 (2)

Monitoring Report Submittal
Permit Number #* wg0003090
Name of Facility:* town of liberty wastewater plant
Month:* March Year: 2021
Report Information
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR march spray 2021.pdf 1.44MB
FDF Only
GW-59 gw59 march 2021.pdf 1.06MB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
Confirmation Email Address:* [e-mail]
Name of Submitter:* tremaine fike
Signature:
Date of submittal: 4/20/2021
This will be filled in autocratically
Initial Review

Reviewer: Williams, Kendall
Is the project number correct?* WQ0003090
Is the monitoring report r Yes r No
accepted?*
Regional Office* Winston-Salem
Accepted Date: 4/20/2021

GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
Facility Name:
Permit Name (if different):
Facility Address:
liberty
Town of Liberty WWTP
P.O. Bx 1006
NC 27298
act Person: Tremaine Fike
Location/Site Name: MW 2
SAMPLING INFORMATION
SUBMIT FORM ON EY LL01ry PAPER ONLY
County Randolph
Telephone#: [phone]
No. of wells to be sampled: 5
DEPARTMENT OF ENVIRONMENTAL QUALITY - DIV. OF WATER RESOURCES
INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617
PERMIT Number: Expiration Date: 8/31/2024
Non -Discharge W00003090 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 2
Date sample collected: 3/16/2021
Well Depth: 30.40 ft.
Well Diameter: 2
in.
Depth to Water Level 82546:15.82 ft. below measuring point Screened Interval:
ft. to ft.
Measuring Point is 2 ft. above land surface
Relative M.P. Elevation:
ft.
Volume of water pumped/bailed before sampling:
8.00
gallons
Samples for metals were collected unfiltered: ❑ YES
R' NO and field acidified: ❑ YES
ENO
LABORATORY INFORMATION
)ate sample analyzed: 3/16/2021
Laboratory Name: PACE ANALYTICAL LABS, INC.
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N oo615
mg/L
Coliform: MF Fecal 31616 ND
/100mL
Nitrate (NO3) as N 00620 ND
mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 ND
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
m9 /L
issolved Solids:Total 70300 ND
mg/L
At - Aluminum 01105
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC m8o ND
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 2.2
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total 01034
ug/L
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg/L
Phenol 32730
ug/L
Fe - Iron o1o45
ug/L
Sulfate 00945
mg/L
Hg - Mercury 71900
ug/L
pecific Conductance 00095
µMhos
K - Potassium 00937
mg/L
Total Ammonia 00610 ND
mg/L
Mg - Magnesium 00927
mg/L
(Ammonia Nitrogen; NH3as N. Ammonia Nitrogen, Total)
Mn -Manganese 01o55
ug/L
TKN as N oos25
mg/L
Ni - Nickel 01067
ug/L
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs:
Scott Kidd Town Manager
Permittee (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev.06-07-2018
FIELD ANALYSES:
pH 00400: 6.28 units
Spec. Cond. 00094:
Odor 00085:
Appearance Cle-or
WAS
Temp.000lo: 15.1 oC DRY at
µMhos time of
Certification No. 12 40 633
Pb - Lead o1o51 ug/L
Zn - Zinc 01092 mg/L
Other (Specify Compounds and Concentration Units):
ORGANICS: (by GC, GC/MS, HPLC)
(Specify test and method #. ATTACH LAB REPORT.)
Lab Report Attached? _k Yes (1) ❑ No (0)
VOC 7873 method #
method #
method #
method #
mg/L Effluent Total VOCs: mg/L VOC Removal%
here: El

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
DEPARTMENT OF ENVIRONMENTAL QUALITY-DIV.OF WATER RESOURCES
COMPLIANCE REPORT FORM
INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617
FACILITY INFORMATION Please PrntClearlyorType
Facility Name: Town of Liberty WWTP
PERMIT Number: Expiration Date: 8/31/2024
Permit Name (if different):
Non -Discharge WQ0003090 UIC
Facility Address: P.O. Bx 1006
NPDES Other
liberty
TYPE OF PERMITTED OPERATION BEING MONITORED
NC 27298 County Randolph
❑ Lagoon ❑ Remediation: Infiltration Gallery
01 Spray Field ❑ Remediation:
Contact Person: Tremaine Fike
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: MW 4
No. of wells to be sampled: 5
❑ Water Source Heat Pump ❑ Other:
SAMPLING INFORMATION
from Permit:
WELL ID NUMBER (from Permit): MW 4
Date sample collected: 3/16/2021
If WELL
FIELD ANALYSES: WAS
Well Depth: 30.63 ft.
Well Diameter: 2 in,
pH 00400: 6.34 units Temp. 000lo: 15.6 oC DRY at
Depth to Water Level 82546: 18.92 ft. below measuring point Screened Interval: ft.
to
ft. Spec. Cond. 00094: µMhos time of
Measuring Point is 2 ft. above land surface
Relative M.P. Elevation:
ft.
Odor 00085: samplini
Volume of water pumped/bailed before sampling: 9.25
gallons
check
Samples for metals were collected unfiltered: ❑ YES
X NO and field acidified: ❑ YES N NO
Appearance Clear here:
LABORATORY INFORMATION
Date sample analyzed: 3/1612021 Laboratory Name: PACE ANALYTICAL LABS,
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
INC. Certification No. 12 40 633
COD 00335 mg/L
Nitrite (NO2) as N 00615
mg/L
Pb - Lead oimi ug/L
Coliform: MF Fecal 31616 ND /100mL
Nitrate (NO3) as N 00620 0.48
mg/L
Zn - Zinc 01092 m9 /L
Coliform: MF Total 31504 /100mL
Phosphorus: Total as P oo6ss ND
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
Dissolved Solids:Total 70300 61.0 mg/L
Al - Aluminum o11o5
mg/L
pH (Lab) 00403 units
Ba - Barium 01007
ug/L
TOC oomo ND mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 9.8 mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002 ug/L
Chromium: Total 01034
ug/L
Grease and Oils 00552 mg/L
Cu - Copper 01042
mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730 ug/L
Fe - Iron o1045
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945 mg/L
Hg - Mercury 71900
ug/L
Lab Report Attached? © Yes (1) ❑ No (0)
Specific Conductance 00095 µMhos
K - Potassium 00937
mg/L
VOC 7873 method #
Total Ammonia ooslo ND mg/L
(Ammonia Nitrogen; NH3as N; Ammonia Nitrogen, Total)
Mg - Magnesium 00927
mg/L
method #
Mn - Manganese o1o55
ug/L
method #
TKN as N 00625 mg/L
Ni - Nickel 01067
ug/L
method #
For Remediation Systems Only (Attach Lab Reports):
Influent Total VOCs: mg/L
Effluent Total VOCs: mg/L VOC Removal%
Scott Kidd Town Manager '
Perm ittee (or Authorized Agent) Name and Title - Please print or type Si_ of Permittee (or Authorized )tent) Pate
GW-59 Rev. 06-07-2018

GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
FACILITY INFORMATION Please Print Clearly or
Facility Name:
Permit Name (if different):
Facility Address:
Town of Liberty WWTP
P.O. Bx 1006
NC 27298
act Person: Tremaine Fike
Location/Site Name: MW 7
SUBMIT FORM ON YELLOW PAPER ONLY
County Randolph
Telephone#: [phone]
No. of wells to be sampled: 5
DEPARTMENT OF ENVIRONMENTAL QUALITY - DIV. OF WATER RESOURCES
INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617
PERMIT Number: Expiration Date: 8131/2024
Non -Discharge W00003090 UIC
NPDES Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
Af Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
SAMPLING INFORMATION
WELL ID NUMBER (from Permit): MW 7
Date sample collected:
/ -
FIELD ANALYSES:
Well Depth: 27.2 ft.
Well Diameter: 2
in.
pH ooaoo: 6.47 units Temp. 00010: 15.3 °C
Depth to Water Level 82546:18.36 ft. below measuring point Screened Interval:
ft. to ft.
Spec. Cond. 00094: µMhos
Measuring Point is 2 ft. above land surface
Relative M.P. Elevation:
ft.
Odor 00085:
Volume of water pumped/bailed before sampling: 9.00
gallons
Appearance CEN-:r
Samples for metals were collected unfiltered: ❑ YES
X NO and field acidified: ❑ YES
® NO
LABORATORY INFORMATION
Date sample analyzed: 3/16/2021
Laboratory Name: PACE ANALYTICAL LABS, INC.
Certification No. 12 40 633
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
—'
COD 00335 mg/L
Nitrite (NO2) as N 00615
mg/L
Pb - Lead o1o51 ug/L
Coliform: MF Fecal 3161s ND /100mL
Nitrate (NO3) as N 00620 0.98
rng/L
Zn - Zinc 01092 mg/L
Coliform: MF Total 31504 _/100mL
Phosphorus: Total as P ooes5 ND
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 79.0 mg/L
Al - Aluminum o1105
mg/L
pH (Lab) oo4o3 units
Ba - Barium 01007
ug/L
TOC oo6eo 1.2 mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 21.3 mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002 ug/L
Chromium: Total 01034
ug/L
Grease and Oils 00552 mg/L
Cu - Copper 01042
mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730 ug/L
Fe - Iron 01045
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945 mg/L
Hg - Mercury 71900
ug/L
Lab Report Attached? 1W Yes (1) ❑ No (0)
Specific Conductance 00095 µMhos
K - Potassium 00937
mg/L
VOC 7873 method #
Total Ammonia 00610 ND mg/L
Mg - Magnesium 00927
mg/L
method #
(Ammonia Nitrogen; NHaas N; Ammonia Nitrogen, Total)
Mn - Manganese 01055
ug/L
, method #
TKN as N 00625 mg/L
Ni - Nickel 01067
ug/L
method #
For Remediation Systems Only (Attach Lab Reports):
Influent Total VOCs:
mg/L Effluent Total VOCs: mg/L VOC Removal%
Scott Kidd Town Manager
Perm ittee (or Authorized Agent) Name and Title -Please print or type
Si
(or Authorized Agen ate
GW-59 Rev.06-07-2018
DRY at
time of

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING: DEPARTMENT OF ENVIRONMENTAL QUALITY - DIV. OF WATER RESOURCES
INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM 1617 MAIL SERVICE CENTER, RALEIGH, INC 27699.1617
FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date: 8/31/2024
Facility Name: Town of Liberty WWTP
Non -Discharge WQ0003090 UIC
Permit Name (if different): NPDES Other
Facility Address: P.O. Bx 1006 TYPE OF PERMITTED OPERATION BEING MONITORED
liberty NC 27298 County Randolph ❑ Lagoon ❑ Remediation: Infiltration Gallery
It Spray Field ❑ Remediation:
Contact Person: Tremaine Fike Telephone#: [phone] ❑ Rota Distributor Rotary El Land Application of Sludge
Well Location/Site Name: MW 5 No. of wells to be sampled: 5 ❑ Water Source Heat Pump ❑ Other:
SAMPLING INFORMATION
WELL ID NUMBER (from Permit): MW 5 Date sample collected: 3/16/2021
Well Depth: 27.15 ft. Well Diameter: 2 in.
Depth to Water Level 82546:23.83 ft. below measuring point Screened Interval: ft. to ft.
Measuring Point is 2 ft. above land surface Relative M.P. Elevation: ft.
Volume of water pumped/bailed before sampling: 6.50 gallons
Samples for metals were collected unfiltered: ❑ YES IN NO and field acidified: ❑ YES ® NO
FIELD ANALYSES:
pH 00400: 6.32 units Temp. 00010: 14.7 °C
Spec. Cond. 00094: µMhos
Odor 00085:
Appearance Clear
If WELL
WAS
DRY at
time of
sampling,
check
here:❑
LABORATORY INFORMATION
Date sample analyzed: 3/16/2021
LaboratoryName: PACE ANALYTICAL LABS, INC.
Certification No. 12 40 633
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615
mg/L
Pb - Lead 01051 u9 /L
Coliform: MF Fecal 31616 ND
/100ml-
Nitrate (NO3) as N 00620 0.42
mg/L
Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 ND
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
)issolved Solids:Total 70300 214
mg/L
Al - Aluminum 01105
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOG 00660 2.9
mg/L
Ca - Calcium oo916
mg/L
Chloride 00940 43.8
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total 01034
ug/L
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron 01045
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg/L
Hg - Mercury 71900
ug/L
Lab Report Attached? * Yes (1) ❑ No (0)
Specific Conductance 00095
µMhos
K - Potassium 00937
mg/L
VOC 7873 method #
Total Ammonia 00610 ND
mg/L
Mg - Magnesium 00927
mg/L
method #
(Ammonia Nitrogen; NH. as N; Ammonia Nitrogen, Total)
Mn - Manganese 01055
ug/L
, method #
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L
method #
For Remediation Systems Only (Attach Lab Reports):
Influent Total VOCs:
mg/L Effluent Total VOCs: mg/L VOC Removal%
Scott Kidd Town Manager 1 ;�
Perm ittee (or Authorized Agent) Name and Title - Please print or type Signat eri .tee (or Auti ,rued A
GW-59 Rev.06-07-2018

GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
Facility Name:
Permit Name (if different):
Facility Address:
Please Print Clearly or
Town of Liberty WWTP
P.O. Bx 1006
NC 27298
act Person: Tremaine Fike
Location/Site Name: MW 6
SUBMIT FORM ON YELLOW PAPER ONLY
County Randolph
Telephone#: [phone]
No. of wells to be sampled: 5
DEPARTMENT OF ENVIRONMENTAL QUALITY - DIV. OF WATER RESOURCES
INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617
PERMIT Number: Expiration Date: 8/3112024
Non -Discharge W00003090 UIC
NPDES Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
I -A Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
WELL ID NUMBER (from Permit): MW 6
Date sample collected:
FIELD ANALYSES:
If WELL
WAS
Well Depth: 30.0 ft.
Well Diameter:
2 in.
pH 0040o: 6.29 units Temp. 000lo: 14.9 °C
DRY at
Depth to Water Level e2546: 20.04 ft. below measuring
point Screened Interval:
ft. to ft.
Spec. Cond. 00094: µMhos
time of
Measuring Point is 2 ft. above land surface
Relative M.P. Elevation:
ft.
Odor 00085:
sampling,
Volume of water pumped/bailed before sampling: 6.50
Samples for metals were collected unfiltered: ❑ YES
gallons
*1 NO and field acidified: ❑
YES ®NO
Appearance Clear
check
here:❑
LABORATORY INFORMATION
Date sample analyzed: 3/1612021
LaboratoryName: PACE ANALYTICAL LABS, INC.
Certification No. 12 40 633
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N oo615
mg/L
Pb - Lead olo51 ug/L
Coliform: MF Fecal 31615 ND
1100mL
Nitrate (NO3) as N 00620
ND mg/L
Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665
ND mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
rissolved Solids:Total 70300 51.0
mg/L
Al - Aluminum w im
mg/L
pH (Lab) Oo4m
units
Ba - Barium 01007
ug/L
TOC omao ND
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 3.8
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total 01034
ug/L
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron 01045
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate oo945
mg/L
Hg - Mercury 71900
ug/L
Lab Report Attached? *_j Yes (1) ❑ No (0)
Specific Conductance 00095
µMhos
K - Potassium 00937
mg/L
VOC 7873 method #
Total Ammonia 00610 ND
mg/L
Mg - Magnesium 00927
mg/L
method #
(Ammonia Nitrogen; NH3 as N; Ammonia Nitrogen, Total)
Mn - Manganese 01055
ug/L
, method #
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L
method #
For Remedlation Systems Only (Attach Lab Reports):
Influent Total VOCs:
mg/L Effluent Total VOCs: mg/L VOC Removal%
Scott Kidd Town Manager
Perm ittee (or Authorized Agent) Name and Title - Please print or type Signature of miltee (or Authorized
GW-59 Rev.06-07-2018

GW-59A COMPLIANCE REPORT FORM Permit # wQ0003o90
(Submit one each monitoring period with GW-59 forms.)
Enter date monitoring results were due. ( V31/2021 ) Will this monitoring report
be submitted after the established due date?
was any required information missing on the GW-59 report forms?
!F the answer to question I or 2 is "YES", list in the space provided below the well
explain the problems encountered in obtaining the required information.
Are any monitored constituents equal to or above the established standards?
and GW-59A) j YES NO
number(s) and
If the answer to question 4 is 'NO; skip to section 8.
if the answer to question 4 is "YES" rist the affected wells individually with constituent(s) and concentration(s)
exceeding standards in the space provided below:
For the constituents identified in question 4 above, have standards been exceeded previously for the
same constituents) 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).
YES
YES I NO
Are the monitoring wells listed in section 5 located at or beyond the review boundary? YES NO
If the answer is "YES'; a groundwater quality problem maybe occurring. CONTACT THE REGIONAL
OFFICE IMMEDIATELY FOR GUIDANCE. If the answer is "NO". monitoring wells maybe Improperly
located; contact the Regional Office.
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 fhe space provided below.
If the answer to question 71s "NO ;contact the Regional Office within 90 days: an evaluation may hp
fines, and(or Penalties.
The person completing this portion (GW--59A) of the monitoring report should sign below and submit this
form with G W-59 forms for required wells to 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 complete to the best of my knowledge.
Sig of Pe (or Authorized gent)
GW-59A 12/8/2003

0 Pace Analytical Services, LLC
PaceAnalytical ® 1377 South Park Drive
www.pacelabs.cam
Kernersville, NC 27284
[phone]
Tremaine Fike
Town of Liberty
PO Box 1006
Liberty, NC 27298
Project: Town of Liberty
Pace Project No.:92527777
Sample: MW-2
Method
HACH 10206
SM 254OC-2011
SM 9222D-2006
EPA 300.0 Rev 2.1 1993
EPA 350.1 Rev 2.0 1993
EPA 365.1 Rev 2.0 1993
SM 531OB-2011
Sample: MW.4
Method
HACH 10206
SM 254OC-2011
SM 9222D-2006
EPA 300.0 Rev 2.1 1993
EPA 350.1 Rev 2.01993
EPA 365.1 Rev 2.0 1993
SM 531OB-2011
Sample: MW-5
Method
HACH 10206
SM 254OC-2011
SM 922213-2006
EPA 300.0 Rev 2.1 1993
EPA 350.1 Rev 2.0 1993
EPA 365.1 Rev 2.01993
SM 531OB-2011
Sample: MW-6
Method
HACH 10206
SM 254OC-2011
SM 9222D-2006
EPA 300.0 Rev 2.1 1993
EPA 350.1 Rev 2.0 1993
EPA 365.1 Rev 2.0 1993
SM 531OB-2011
Sample: MW-7
Parameters
Nitrogen, Nitrate
Total Dissolved Solids
Fecal Coliforms
Chloride
Nitrogen, Ammonia
Phosphorus
Total Organic Carbon
Parameters
Nitrogen, Nitrate
Total Dissolved Solids
Fecal Coliforms
Chloride
Nitrogen, Ammonia
Phosphorus
Total Organic Carbon
Parameters
Nitrogen, Nitrate
Total Dissolved Solids
Fecal Coliforms
Chloride
Nitrogen, Ammonia
Phosphorus
Total Organic Carbon
Laboratory Report
Pagel of 2
Report Date: 04/05/2021
Date Received: 03/16/2021
Lab ID: 92527777001 Collected: 03/16/21 09:47 Matrix: Water
Results
Units
Report Limit
Analyzed Qualifiers
ND
mg/L
0.30
03/16/2117:21
ND
mg/L
25.0
03/18/2113:49
ND
CFU/100 mL
1.0
03/17/21 14:40
2.2
mg/L
1.0
03/23/2111:38
ND
mg/L
0.10
03/25/2114:19
ND
mg/L
0.050
03/24/2113:04
ND
mg/L
1.0
04/0212122:04
Lab ID: 92527777002 Collected: 03/16/21
09:10 Matrix:
Water
Results
Units
Report Limit
Analyzed Qualifiers
0.48
mg/L
0.30
03/16/2117:20
61.0
mg/L
25.0
03/18/2113:49
ND
CFU/100 mL
1.0
03/17/21 14:40
9.8
mg/L
1.0
03/23/2111:54
ND
mg/L
0.10
03/25/2114:20
ND
mg/L
0.050
03/24/2113:07
ND
mg/L
1.0
04/03/2100:03
Lab ID: 92527777003 Collected: 03/16/21 08:30 Matrix: Water
Results
Units
Report Limit
Analyzed Qualifiers
0.42
mg/L
0.30
03/16/2117:20
214
mg/L
25.0
03/18/2113:49
ND
CFU/100 mL
1.0
03/17/21 14:40
43.8
mg/L
1.0
03/23/2112:09
ND
mg/L
0.10
03125/2114:22
ND
mg/L
0.050
03/24/2113:09
2.9
mg/L
1.0
04/03/2100:23
Lab ID: 92527777004 Collected: 03/16/21 11:41 Matrix: Water
Parameters
Results
Units
Report Limit
Analyzed Qualifiers
Nitrogen, Nitrate
ND
mg/L
0.30
03/16/21 17:21
Total Dissolved Solids
51.0
mg/L
25.0
03/18/21 13:49
Fecal Coliforms
ND
CFU/100 mL
1.0
03/17/21 14:40
Chloride
3.8
mg/L
1.0
0312312112:24
Nitrogen, Ammonia
ND
mg/L
0.10
03/26/21 11:16
Phosphorus
ND
mg/L
0.050
03/2412113:11
Total Organic Carbon
ND
mg/L
1.0
04/03/21 00:41
Lab ID: 92527777005
Collected: 03/16/2110:55 Matrix: Water

;a?ceAna1j&ca1
www.pacelalis cae
Sample: MW-7
Method Parameters
SM 254OC-2011
Total Dissolved Solids
SM 9222D-2006
Fecal Coliforms
EPA 300.0 Rev 2.1 1993
Chloride
EPA 350.1 Rev 2.0 1993
Nitrogen, Ammonia
EPA 365.1 Rev 2.01993
Phosphorus
SM 531 OB-2011
Total Organic Carbon
Reviewed by:
Stephanie Knott
704-977-0901
[e-mail]
Pace Analytical Services Asheville
2225 Riverside Drive, Asheville, NC 28804
Florida/NELAP Certification #: E87648
North Carolina Drinking Water Certification #: 37712
Pace Analytical Services Eden
205 East Meadow Road Suite A, Eden, NC 27288
North Carolina Drinking Water Certification #: 37738
Pace Analytical Services, LLC
1377 South Park Drive
Kernersville, NC 27284
[phone]
Page 2 of 2
Lab ID: 92527777005 Collected: 03/16/21 10:55 Matrix: Water
Results
Units
Report Limit
Analyzed Qualifiers
79.0
mg/L
25.0
0311812113:49
ND
CFU/100 mL
1.0
03/17/21 14:40
21.3
mg/L
1.0
03/20/2113:36
ND
mg/L
0.10
03/2612111:20
ND
mg/L
0.050
03/24/2113:13
1.2
mg/L
1.0
04/0312101:33
North Carolina Wastewater Certification #: 40
South Carolina Certification #: 99030001
VirginiaNELAP Certification #: 460222
North Carolina Wastewater Certification #: 633
VirginiaNELAP Certification #: 460025

CHAIN -OF -CUSTODY Analytical Request Document
ceAna"ca!"
Chain -of -Custody is a LEGAL DOCUMENT- Complete all relevant fields
Company; Town of [ lber[y 1 Btlling Information:
Report To: Email To:
Copy To: Site Collection
Customer Protect Name/Number•
State: County/crty: TlmeZoneColkcted:
/
1 ]PT[ ]MT[ ]Cf ] ]ET
Phone:
ne:
Site/Facility ID #:
Compllanoe Monitoring?
Ema
[ j% Yes [ ] No
Collected By n
iATumaround
Purchase Order m
DW PWS ID #:
Quote #:
DW Location Code:
Collected (signature):
Date Required:
Imme rare y as oil Ire:
Rush: - - -
[ ] Yes [ ] No
Field Filtered (If applicable):
Sample Disposal:
prt ( 1 Dispose as appraate I I Return
[ 1 Ardd
[ ] Same Day [ ] Next Day
[ ] Yes [) No
[ ]Hold.
112 Day [ ] 3 pay (] 4 Day (} 5 Day
Analysis:
(Expedite Charges Apply)
Matrix Codes (Insert in Matrix box
below): Drinking Water (DW), Ground Water (13M. Wastewater (W W),
Product (P), Soil/Solid (SL), Oil (OL),
Wipe (WP), Air (AR), Tissue ITS), Bioassay (8),
Vapor IV), Other(OTj
Customer Sample ID
Comp / 'Collected (or
Matrix" Grab Composite Start)
Res # of
Composite End
CI Ctns
MW-2
Time
Date Time
g / 04'�
NW-4
9w 9 Z1 D910
MW 5 9W 9 3/
MW-6 gW 9 L1
MW 7 gw 9 ! zf
Customer Remarks / Special Conditions / Possible Hazards:
Groundwater Monitoring
Relinquished by/Compat (signature) Dame Irn R
aa�r
Relinquished by/Company: (signatureDte/Time: p (vved
Relinquished by/Company: (Signature) DateRme. Received
i
!
Intl !GWO#:92527777
i! �8�527777
CormlnerPreservatltre
*• PrQSW%' irelypes: (1) nMC add,12) sulfuric ncid, (3) hvdnChloric add.14) Sodium hydrudde, (51 tirx: xetate,
(6) metfi-k Msodium bisulfatrn (a) sodium thiosulf1ft (s) hem*, p} asaubic add. (e) amnx nhmrr Sulfate,
10 ammonium hydmxlde, (D) TSP, (u) unpreserved (oi other --
O
u
Datefnme:
�Lqb
(rage. :t
of:

Facility
Weather
N6
Total Depth (FT.)
lurrace, Depth (FT.)
Nater Depth (FT.)
Nameter (IN.)
'onversion Factor
fell Volume (CAL.)
'plume (GAL-) X 3
Rails (I.)
urge Date
nrgeThue (hrs.)
irge Method
Autue Removed (GAL.)
Impling Date
rupling -rinle (hrs.)
t"plingMethod
I (Standard Units)
mperature (EC)
nductivity (pmho.s/cm)
isolved Oxygen (mg/I)
Town of Liberty
GROUNDWATER MONITORING FIELD LOG
Personnel Present
03/16/21 Glenn Price
P. Cloudy 480F Date
...........
............
... .........
M
30.40
30.63
27.15
30.(10
14.58
11.71
15.82
18.92
23.83
20.04
2"
2"
2"
2"
0,16
0.16
0.16
0.16
2.53
3.03
3.81
3.21
7.59
9.08
11.44
9.62
31
37
46
38
03/16/21
03/16/21
03/10/2)
03/16/21
0919
0850
0811
1120
Bailer
Bailer
Bailer
Bailer
8.00
9.25
6.50-Dry
6.50-Dry
03/16/21
03/16/21
03/16/21
0947
0910
0830
1141
Bailer
Bailer
Bailer
Bailer
6,28
6.34
6.32
62411
15.1
15.6
14.7
14.9
..... .......
..........
...
........
1 2 .20
8.84
18.36
0.16
2.942 (14
8.81
30
03/16/21
1041
Bailer
9.00
03/16/21
�03/ 1612 T
1055
1026
Bailer
Grab
6.47
15.3
Clear I Clear I Clear I Clear I Clear
Clear
COMMENTS:
..........