WQ0002005_Monitoring - 09-2021_20211027

Monitoring Report Submittal
Permit Number #*
Name of Facility:*
Month: * September
Report Information
Type *
GW-59
WQ0002005
House Of Raeford
Confirmation Email Address:*
Name of Submitter: *
Signature:
Date of submittal:
Initial Review
Year:* 2021
Upload Document*
GW-59 September 2021.pdf 4.93MB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
Mason. [e-mail]
Mason Drew
my45ow uF
Reviewer: Saunders, Erickson G
10/27/2021
This will be filled in automatically

Is the project number correct?* WQ0002005
Is the monitoring report accepted?* Yes No
Regional Office* Wilmington
Accepted Date:
11/1/2021

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
FACILITY INFORMATION Pfease Print Clearly orT
Facility Name: House of Raeford Farms, Inc.
Permit Name (if different):
Facility Address: 3333 U. S. Hwy 117 South
Rose Hill NC 28458
Contact Person: Joe Teachey
Well Location/Site Name: map on file
County Duplin
Telephone#: [phone]
No. of weds to be sampled: 17
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
DIVISION OF WATER QUALIFY -INFORMATION PROCESSING UNIT
1s17 MAIL SERVICE CENTER, RALEIGH. NC 27599.1617 Phone: [phone]
PERMIT Number: Expiration Date: 10/31/2023
Non -Discharge WQ0002005 UIC
NPDES Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
0 Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
VYELL ID NUMBER (from Permit): 1 Date sample collected: September 2, 2021
Well Depth: 15 ft, Well Diameter: 2 in.
Depth to Water Level 82546:4 60 ft, below measuring point Screened Interval: 2 ft. to 12 ft.
Measuring Point is 3 ft. above land surface Relative M.P. Elevation: 102.77 ft.
Volume of water pumped/bailed before sampling: 3 gallons
Samples for metals were collected unfiltered: 21 YES ❑ NO and field acidified: ® YES ❑ NO
Date sample analyzed: 912- 1512021 Laboratory Name: Environmental Chemists
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD oo335
mg/L
Nitrite (NO2) as N 00615 0.19
mg1L
Coliform: MF Fecal 31616 <1
1100mL
Nitrate (NO3) as N a0620 <0.02
mg/i_
Coliform: MF Total 31504 167
1100mL
Phosphorus: Total as P oo665 0.33
mg1L
(Note- use MPN method for highly turb.d samplesS
Orthophosphate 70507
mg/L
)issolved Solids:Total 703oo 252
mg/L
Al - Aluminum o1105
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
uglL
TOG 00680 51.1
mg/L
Ca - Calcium oo916
mg1L
Chloride 0os4o 27
mg&
Cd - Cadmium 01027
ug1L
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 01045
ug/L
Sulfate 00945 14
mg/L
Hg - Mercury 71900
ug/L
Specific Conductance 00095
µMhos
K - Potassium 00937
mg/L
Total Ammonia 00610 -0.2
mg1L
Mg - Magnesium 00927
m91L
(Amuvnia MlFogen, NH3asN: Ammonia Nitrogen, Total)
Mn - Manganese 01055
ug/L
TKN as N 00625 1.9
mg1L
Ni - Nickel 01067
ug/L
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs:
FIELD ANALYSES:
pH 00400. 7.50 units
Spec. Cond. 00094, 180
Odor 00085: none
Appearance clear
WAS
Temp. 00010 8.7 °C DRY at
µMhos time of
Certification No. 34
Pb - Lead 01os1 ug1L
Zn - Zinc 01092 mg1L
Other (Specify Compounds and Concentration Units):
sodium: 38.6
ORGANICS: (by GC, GC/MS, HPLC)
(Specify test and method #. ATTACH LAB REPORT.)
Lab Report Attached? ❑ Yes (1) 9 No (0)
VOC 78732: method #
bdl method # 6200C
method #
method #
mgfL Effluent Total VOCs:
mg1L VOC Removal%
Nicole Reynolds. Plant Manager IV l
Permittee (or Authorized Aqent) Name and Title - Please print or type Signal r of Permittoe (or Au horiz Agent) (date)
GW-59 Rey.212010
here: ❑

SUBMIT FORM ON YELLOW PAPER ONLY
DFPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
Elm
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1817 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION
Please Print ClearfyorType
PERMIT Number: Expiration Date: 1013112023
Facility Name: House of Raeford Farms, Inc.
Non -Discharge W00002005 UIC
Permit Name (if different):
NPDES Other
Facility Address: 3333 U. S. Hwy 117 South
TYPE OF PERMITTED OPERATION BEING MONITORED
Rose Hill NC
28458 County Duplin
❑ Lagoon ❑ Remediation: Infiltration Gallery
❑■ Spray Field ❑ Remediation:
Contact Person: Joe Teachey
TelephoneM 910-264-0148
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: map on file
No. of wells to be sampled: 17
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): 2a
Date sample collected: September 2. 2021
FIELD ANALYSES:
WAS
Well Depth: 15 ft.
Well Diameter: 2 in,
pH 00400: 6.35 units Temp. 000l0 10.2 °C
DRY at
Depth to Water Level 82546: 3,25 ft. below measuring point
Screened Interval: 2 ft.
to 12
—
ft. Spec. Cond. 00094 622 pMhos
time of
sampling,
Measuring Point is 3 ft. above land surface
Relative M.P. Elevation: 110.72
ft,
Odor 000m: none
check
Volume of water pumped/bailed before sampling:
3
gallons
Appearance clear
here: ❑
Samples for metals were collected unfiltered: ® YES
❑ NO and field acidified: ® YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed: 911 •1512021
Laboratory Name: Environmental Chemists
Certification No. 94
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
rng/L
Nitrite (NO2) as N 00815 0.29
mg/L Pb - Lead o1o51 uglL
Coliform: MF Fecal 31616 <t
/100mL
Nitrate (NO.) as N oo620 4.36
mglL Zn - Zinc 01092 mg1L
Coliform: MF Total 31504 }6000
1100mL
Phosphorus: Total as P 00665 1.97
mglL
(Note use MPN method for highly turbid samples)
Orthophosphate 70507
mglL Other (Specify Compounds and Concentration Units).
issolved Solids:Total 703oo 374
mg1L
Al - Aluminum 01105
mg/L Sodium: 81.6 mg/l
pH (Lab) 00403
units
Ba - Barium 01007
uglL
TOC 006e0 12.2
mg1L
Ca - Caloium 00916
mglL
Chloride 0094o 78
mglL
Cd - Cadmium 01027
uglL
Arsenic 01002
ug1L
Chromium: Total 01034
ug1L
Grease and Oils 00552
mg1L
Cu - Copper 01042
mg/t_ ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug1L
Fe - Iron 01045
uglL (Specify test and method #. ATTACH LAB REPORT.)
Sulfate oo945 36
mglL
Hg - Mercury 71900
uglL Lab Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance oo0ss
ItMhos
K - Potassium 00937
mg1L VOC 76732. , method #
Total Ammonia 00610 <0.2
mglL
Mg - Magnesium 00927
mglL bdl method # 6200C
(Ammnnie Nurogen, NH, as N. Ammonla Nitrogen. Total}
Mn - Manganese 01055
ug1L , method #
TKN as N 00625 2.0
mglL
Ni - Nickel o1067
uglL method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg1L Effluent Total VOC& mg1L VOC Removal%
Nicole Reynolds, Plant Manager
Permitteo (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev.2/2010
(or Authorized Agent)
10272021
(Date)

GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
Facility Name: House of Raeford Farms, Inc.
Permit Name (if different):
Facility Address: 3333 U. S.
Rose Hill
Person: Joe Teachey
117 South
Location/Site Name: map on file
NC
SUBMIT FORM ON YELLOW PAPER ONLY
'rint Clearty or Type
28458 County Duplin
Tel eph one#: 910- 264-0148
No. of wells to be sampled: 17
DEPARTMENT OF ENVIRONMENT $ NATURAL RESOURCES
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: (919) T33-3221
PERMIT Number: Expiration Date: 10-2023
Non -Discharge W00002005 UIC
NPDES Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: infiltration Gallery
0 Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
ary �n� v.�nn w•
WELL ID NUMBER (from Permit): 3 Date sample collected: September 2, 2021
Well Depth: 15 ft. Well Diameter: 2 in.
Depth to Water Level 82546: 5.50 ft. below measuring point Screened Interval: 2 ft. to 12 ft.
Measuring Point is 3 ft. above land surface Relative M.P. Elevation: 112.59 ft
Volume of water pumpedlbailed before sampling: dry gallons
Samples for metals were collected unfiltered: 27 YES ❑ NO and field acidified: ® YES ❑ NO
FIELD ANALYSES:
PH ooa00: 8.57 units Temp, 000la 9.1 °C
Spec. Cond. 00094. 114.5 µMhos
Odor oo085: none
Appearance clear
If WELL
WAS
DRY at
time of
sampling,.
check
here:❑
LABORATORY INFORMATION
Date sample analyzed: 911 - 1512021
Laboratory Name: Environmental
Chemists
Certification No. 94
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mglL
Nitrite (NO2) as N 00615 0.20
mg/L
Pb - Lead oso5i ug/L
Coliform: MF Fecal 316t6 <1
1100mL
Nitrate (NO.) as N 00620 <0,02
mg/L
Zn - Zinc 01092 m9 IL
Coliform: MF Total 31504 >6000
1100mL
Phosphorus: Total as P oo665 0.05
m9 !L
(Nate: use MPN method (Or highly turbid samples)
Orthophosphate 70507
mg1L
Other (Specify Compounds and Concentration Units):
issolved Solids:Total 703oo 480
mg1L
AI -Aluminum of 105
mglL
Sodium 63.4 mgll
pH (Lab) 00403
units
Be - Barium oloo7
uglL
TOC oa68o 134
mglL
Ca - Calcium oo916
mglL
Chloride 0ng40 61
mg/L
Cd - Cadmium 01027
uglL
Arsenic 01002
uglL
Chromium: Total 01034
ug/L
Grease and Oils 13055z
mg1L
Cu - Copper 01042
mglL
ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug1L
Fe - Iron 01045
uglL
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945 18
mglL
Hg - Mercury 71900
uglL
Lab Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance 00095
µMhos
K - Potassium 00937
mg1L
VOC 7a732: method #
Total Ammonia otaw 0.4
mgll_
Mg - Magnesium 00927
mglL
boll method #! 6200C
(Ammonia Nitrogen, NH,as N, Ammonia Nitrogen. Telal)
Mn Manganese o1055
uglL
method #
TKN as N 00625 3.5
mg1L
Ni - Nickel 01067
uglL
method #
For Remediation Systems Only :.. _ • s
I certify that. to the best of my knowledge and belief, the information submitted in this report is true, accurate, and complete, and that the laboratory analytical data was produced using approved methods of analysis by a
dWO-certified laboratory. I am aware that there are significant penal lies for submitting false information, including the possi Aity of lines and impnsonmenl for knowing violations.
Nicole • • I -Ferrnittee (or !
Authorized - �• ■ f
- 212010

SUBMIT FORM ON YELLOW PAPER ONLY
IM16117
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
UNOWATER QUALITY MONITORING: DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
PLIANCE REPORT FORM MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
Facility Name: House of Raeford Farms. Inc -
Permit Name (i€ different):
Facility Address: 3333 U. S. Hwy 117 South
Rose Hill NC
Please Print Cfearly or
28458 County Duplin
Contact Person: Joe Teachey Telephone#: [phone]
Well Location/Site Name: map on file No. of wells to be sampled: 17
ELL ID NUMBER (from Permit); 4
ell Depth: 15 ft,
:pth to Water Level 82546: 4.00 ft. below measuring point
=asuring Point is 3 ft. above land surface
ilume of water pumped/bailed before sampling: dry
im les for metals were collected unfiltered: ® YES ❑
1 M^n ATAI'fV
PERMIT Number: Expiration Date: 10-2023
Non -Discharge W00002005 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'.
Date sample collected: September 2, 2021
Well Diameter: 2 in.
Screened Interval: 2 ft. to 12 ft.
Relative M.P, Elevation: 108.46 ft,
gallons
NO and field acidified: 0 YES ❑ NO
Date sample analyzed: 9'2 - 1512021 Laboratory Name: Environmental Chemists
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335
mglL
Nitrite (NO2) as N oo615 <0.02
mg/L
Coliform: MF Fecal 31616 < i
1100ml-
Nitrate (NO3) as N 00620 0.04
mg/L
Coliform: MF Total 31504 28
1100ml-
Phosphorus: Total as P Doses 0.13
m9 IL
(Note use MPN method for htyhiy turbid samples)
Orthophosphate 70507
mglL
)issolved Solids:Total 7o3oo 596
mg/L
AI - Aluminum ol1os
mg1L
PH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 00660 12.7
mg1L
Ca - Calcium oo916
mg/L
Chloride oo94o 280
mg/L
Cd - Cadmium 01027
ug/L
Arsenic olow
ug/L
Chromium: Total 01034
ug/L
Grease and Oils 00552
mglL
Cu - Copper 01042
mglL
Phenol 32730
ug/L
Fe - Iron 01045
uglL
Sulfate 00945 10
mglL
Hg - Mercury 71900
ug1L
'pecific Conductance 00095
µMhos
K - Potassium 00937
mg1L
Total Ammonia 00610 3.6
mglL
Mg - Magnesium 00927
mg1L
cAnw„oms Nitrogen, NH, as N; Arrwmla Nitrogen, Tc&l
Mn - Manganese o1o55
uglL
TKN as N 00625 3.8
mg/L
Ni - Nickel 01067
ug/L
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs
FIELD ANALYSES:
PH 00400: 7.44 units
Spec. Cond. 00094: 172
Odor 000m: none
Appearance clear
Temp. 000lo 9.5 oC
uMhos
Certification No. 94
Pb - Lead 01051 uglL
Zn - Zinc 01092 mg/L
Other (Specify Compounds and Concentration Units):
Sodium: 160 mgil
ORGANICS: (by GC, GC/MS, HPLC)
(Specify test and method #. ATTACH LAB REPORT.)
Lab Report Attached? ❑ Yes (1) ® No (0)
VOC 78732 method #
bdl method # 6200C
method #
method #
mg1L Effluent Total VOCs:
mg/L VOC Removal%
Nicole Reynolds. Plant Manager 1 11"10212021
Penn4tee (or Authorized Agent) Name and Title - Please print or type Signal e of Perm ittee (or Auth zed Agent) (Date)
GW-59 Rev.212010
If WELL
DRY at
time of
sampling,
check
here ❑

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
FACILITY INFORMATION Please print
Facility Name: House of Raeford Farms, Inc.
Permit Name (if different):
Facility Address: 3333 U. S. Hwy l l7 South
Rose Hill NC
Contact Person: .toe Teachey
Well Location/Site Name: map on fite
28458
or Type
County Duplin
A Telephone#: [phone]
No. of wells to be sampled: 17
DEPARTMENT OF ENVIRONMENT a NATURAL RESOURCES
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699.1617 Phone: [phone]
PERMIT Number:
Expiration Hale: 10-2023
Non -Discharge WQ0002005
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:
v_Jvlm 11vvv
If WELL
WELL ID NUMBER (from Permit): 5
Date sample collected: September 2, 2021
FIELD ANALYSES:
WAS
Well Depth: 15 ft.
Well Diameter: 2 in.
pH 00400. 6.62 units Temp. 000lo: 9.1 °C
DRY at
Depth to Water Level 82546: 9.30 ft, below measuringtime
point
Screened Interval: 2 ft. to 12 ft.
Spec. Cond. ooesa: 175 µMhos
of
Measuring Point is 3 ft. above land surface
Relative M.P. Elevation: 101.26 ft.
Odor 00085: none
sampling,check
Volume of water pumped/bailed before sampling 3 gallons
Appearance clear
Samples for metals were collected unfiltered: YES NO
0 El
and field acidified: ® YES ❑ NO
Date sample analyzed: 9i2 1512021 Laboratory Name: Environmental Chemists
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD oo335
mg/L
Nitrite (NO2) as N U0615 <0.02
mg/L
Coliform: MF Fecal 31616 <t
1100mL
Nitrate (NO3) as N 00620 0.06
mg/L
Coliform: MF Total 31504 29
/100mL
Phosphorus: Total as P oo665 0.28
mg1L
{NoteUse MPN method for highly turbid samples)
Orthophosphate 70507
mg/L
)issolved Solids:TOtal 703oo 388
mg/L
Ai - Aluminum 01105
mg1L
PH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC oo6ao 2.2
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 177
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total 01034
uglL
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg/L
Phenol 32730
uglL
Fe - Iron 01045
ug1L
Sulfate 00945 <5
mg/L
Hg - Mercury 71900
ug/L
'pacific Conductance 00095
µMhos
K - Potassium 00937
mglL
Total Ammonia W610 0.2
mg/L
Mg - Magnesium 00927
mg/L
(Ammonia MVNan: NH:;es N. Ammonia Nitrogen. Total)
Mn - Manganese wo55
uglL
TKN as N 00625 0.5
mg/L
Ni - Nickel 01067
ug/L
Certification No. 94
Pb - Lead o1o51 ug1L
Zn - Zinc 01092 mg/L
Other (Specify Compounds and Concentration Units):
Sodium: 21.2 mg/l
ORGANICS: (by CC, GCIMS, HPLC)
(Specify test and method #. ATTACH LAB REPORT.)
Lab Report Attached? ❑ Yes (1) ❑ No (0)
VOC 78732: method #
bdl method # 6200C
method #
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs:
mg/L VOC Removal%
Nicole Reynolds. Plant Manager t co �y ('L' 10/02021
Permittee (or Authorized Agent) Name and Title - Please print or type Sig lure of Permitlee (or Au[ zed Agent) (Dale)
GVV-59 Rev.212010

SUBMIT FORM ON YELLOW PAPER ONLY
(GROUNDWATER {QUALITY MONITORING:
COMPLIANCE REPORT FORM
Facility Name: House of Raeford Farms, Inc.
Permit Name (if different):
Facility Address: 3333 U. S. Hwy 117 South
Rose W1 NC
Contact Person: Joe Teachey
Well Location ite Name: map on file
Please Print Clearly or
28458
County Duplin
Tel eph one#: 910-264-0148
No. of wells to be sampled: 17
{DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
DIVISION OF WATER QUALITY- INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699.1617 Phone: t919) 733-3221
PERMIT Number:
Expiration Date: 10-2023
Non -Discharge W00002005
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): 6 Date sample collected: September 2, 2021
Well Depth: 15 ft. Well Diameter: 2 in.
Depth to Water Level 82546: 6.48 ft. below measuring point Screened Interval: 2 ft. to 12 ft-
Measuring Point is 3 ft, above land surface Relative M.P. Elevation: 140,45 ft.
Volume of water pumped/bailed before sampling: 3 gailons
Sam les for metals were collected unfiltered: ® YES ❑ NO and field acidified: E YES ❑ NO
r wono wr.�nv
ate sample analyzed: 912 -15121 Laboratory Name: Environmental Chemists
1RAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335
ri
Nitrite (i as N oo615 <0.02
mg/L
Coliform: MF Fecal 31616 <1
1100mL
Nitrate (NO.) as N 00620 <0.02
mg/L
Coliform: MF Total 315o4 38
1100mL
Phosphorus: Total as P 00665 0.10
ni
(Note. Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L
solved Solids:Total 7031 39
ni
Ai - Aluminum 01105
ni
PH (Lab) 00403
units
Ba - Barium 01007
ug1L
TOC oo6ao 9.8
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 <5
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
ug1L
Fe - Iron o1045
ug1L
Sulfate 00945 <5
i
Hg - Mercury 71900
ug1L
ecific Conductance 00096
µMhos
K - Potassium 00937
mg/L
Total Ammonia 00610 0.3
mg/L
Mg - Magnesium 00927
mg/L
IArumonla Nitrogen; NH�as NI Ammonia Nitrogen. Totaf)
Mn - Manganese ot055
ug1L
TKN as N 00625 0.6
mg/L
Ni - Nickel 01067
1
FIELD ANALYSES:
PH 00400 7.10 units
Spec. Cond. 00094. 51
Odor 00085 none
Appearance clear
Temp.0o01c 8.5 °C
pMhos
Certification No. 94
Pb - Lead o1o51 i
Zn - Zinc 01092 mg/L
Other (Specify Compounds and Concentration Units) -
Sodium: 36.3 ni
ORGANICS: (by GC, GC/MS, HPLC)
(Specify test and method #. ATTACH LAB REPORT.)
Lab Report Attached? ❑ Yes (1) 9 No (0)
VOC 78732 method #
bdl method # 6200C
method #
method #
For Kemedtatfon Systems Only (Attach Lab Reports): Influent Total VOCs: ni Effluent Total VOCs: mg/L VOC Removal%
Nicole Reynolds. Pont Manager ,/VI (da 101Z12021
Permittee for Authorized Agent) Name and Title - Please pnnt or type Sign of PermiHee (or Auth d Agent) (Dale)
GW-59 Rev.2/2010 rt
If WELL
DRY at
time of
sampling,
check
here: ❑

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
Elloo.11617
0 PARTMENT OF ENVIRONMENT & NATURAL RESOURCES
IVISION OF WATER QUALITY4NFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
MAIL SERVICE CENTER, RALEIGH. NC 27699.1617 Phone: [phone]
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: Expiration Date: 10-2023
Facility Name: House of Raeford Farms, Inc.
Non -Discharge WQ0002005 UIC
Permit Name (if different):
NPDES Other
Facility Address: 3333 U. S. Hwy 117 South
TYPE OF PERMITTED OPERATION BEING MONITORED
Rose Hill INC
28458 County DupEn
❑ Lagoon ❑ Remediation: Infiltration Gallery
© Spray Field ❑ Remediation:
Contact Person: Joe Teachey
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: map on file
No. of wells to be sampled:
17
❑ Water Source Heat Pump ❑ Other:
fiom Permit
SAMPLING INFORMATION
if WELL
WELL ID NUMBER (from Permit); 7
Date sample collected: September
2, 2021
FIELD ANALYSES:
WAS
Well Depth: 15 ft.
Well Diameter: 2
in.
pH 00400: 7.15 units Temp. 00010: 10.2 °C
DRY at
Depth to Water Level 82546: 9.30 ft. below measuring point Screened Interval: 2
ft. to 12
ft. Spec. Cond, 00094. 581 µMhos
time of
sampling,
Measuring Point is 3 ft. above land surface
Relative M.P. Elevation: 88.01
ft.
Odor oo085: none
check
Volume of water pumped/bailed before sampling:
dry
gallons
Appearance clear
here:❑
Samples for metals were collected unfiltered: 0 YES
❑ NO and field acidified: 0 YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed: sit - 912021
Laboratory Name: Environmental Chemists
Certification No. 94
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N o0615 0.03
mg/L Pb - Lead 01051 ug1L
Coliform: MF Fecal 31616 <1
/100mi-
Nitrate (NO3) as N 00620 2.15
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504 >6000
1100mL
Phosphorus: Total as P D0665 0.46
mg/L
iNota" Use MPN method for highly Wr6id samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Totai 70300 474
mg1L
At - A€uminum oilo5
mg/L Sodium: 73.2 mg/1
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 006BO 32.6
mg/L
Ca - Calcium oosts
mg/L
Chloride 00940 64
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 oo94e 6
mg/L
Hg - Mercury 71900
ug/L
Lab Report Attached? ❑ Yes (1) 0 No (0)
Specific Conductance 00095
µMhos
K - Potassium 00937
mglL
VOC 78732 method #
Total Ammonia oo610 67.0
mg/L
Mg - Magnesium 00927
mg1L bdi method # 6200C
(Ammonla Nitrogen: NH, as N, Anxnonia Nitrogen, Total)
Mn - Manganese 01055
ugJL
method #
TKN as N oo625 57.9
mg/L
Ni - Nickel oIo67
ug/L
method #
For Remediation Systems Only (Attach Lab Reports): Inftuent Total VOCs: mg/L Effluent Total VOCs mg/L VOC Removal%
Nicote Reynolds, Plant Manager
Perm0tee (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev. 2/2010
r
uU
of Peee for uSh i ed Agent)

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
DIVISION OF WATER QUALJTY-INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH, NC 27889-1617 Phone: [phone]
FACILITY INFORMATION
Please Print Cfeedy or Type
PERMIT Number: Expiration Date: 10-2023
Facility Name: House of Raeford Farms, Inc.
Nan -Discharge W00002005 UIC
Permit Name (if different):
NPDES Other
Facility Address: 3333 U. S. Hwy 117 South
TYPE OF PERMITTED OPERATION BEING MONITORED
Rose Hill NC
28458 County Duplin
❑ Lagoon ❑ Remediation: Infiltration Gallery
■❑ Spray Field ❑ Remediation:
Contact Person: Joe Teachey
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Applscation of Sludge
Well Location/Site Name: map on file
No. of wells to be sampled:
17
❑ Water Source Heat Pump ❑ Other:
Iron Percnit
SAMPLING INFORMATION
if WELL
WELL ID NUMBER (from Permit): 8
Date sample collected: September 2, 2021
FIELD ANALYSES:
WAS
Well Depth: 15 ft.
Well Diameter: 2
in.
pH 00400 6.11 units Temp. 000lo: 9.9 °C
DRY at
Depth to Water Level 82546: 9.85 ft. below measuring point Screened Interval: 2
ft. to 12
ft. Spec. Cond. 00094. 190.7 µMhos
time of
Measuring Point is 3 ft. above land surface
Relative M.P. Elevation: 85.73
ft,
Odor 000e5 none
sampling,
check
Volume of water pumped/bailed before sampling:
3
gallons
Appearance clear
here:❑
Samples for metals were collected unfiltered: 0 YES
❑ NO and field acidified: ® YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed: 9rz - 1512021
Laboratory Name: Environmental Chemists
Certification No. 94
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N o0615 <0.02
mg/L
Pb - Lead o1o51 ugiL
Coliform: MF Fecal 31616 <1
1100mL
Nitrate (NO3) as N 00620 <0.02
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504 >6000
1100mL
Phosphorus: Total as P D0665 0.84
mg/L
(Note. Use MPNmethodfor highly turhidsamples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 498
mg1L
Al - Aluminum ol105
mg/L
Sodium: 4.18 mgll
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC o0680 11.0
mglL
Ca - Calcium 00916
mg/L
Chloride 0094o <5
mg1L
Cd - Cadmium 01027
ug1L
Arsenic 01002
ugfL
Chromium: Total o1034
ugiL
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg/L
ORGANICS: (by GC, GCIMS, HPLC)
Phenol 32730
ugiL
Fe - iron 01045
ugiL
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate oo945 <5
mg/L
Hg - Mercury 71900
ugiL
Lab Report Attached? ❑ Yes (1) ® No (0)
Specific Conductance doom
µMhos
K - Potassium oo937
mg/L
VOC 78732: method #
Total Ammonia ou610 8.7
mg/L
Mg - Magnesium 00927
mg/L
bdl method # 6200C
{Ammoma Nllrogen, NH, as N; Anronia Nitrogen, Total)
Mn - Manganese oloss
ugiL
,method #
TKN as N 00625 9.0
mg/L
Ni - Nickel om67
ugiL
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mglL VOC Removal%
Nicole Reynolds, Plant Manager
Permittee (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev.2/201C
--
(or Au rized AgenI
10412021

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
EM1617
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
MAIL SERVICE CENTER, RALEIGH, NC 27699.1617 Phone: [phone]
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: Expiration Date- 10-2023
Facility Name: House of Raeford Farms, Inc.
Non -Discharge WQ0002005 UIC
Permit Name (if different):
NPDES Other
Facility Address: 3333 U. S. Hwy 117 South
TYPE OF PERMITTED OPERATION BEING MONITORED
Rose Hill NC
28458 Count Duplin
y
Lagoon El Remediation: Infiltration Gallery
m Spray Field ❑ Remediation:
Contact Person: Joe Teachey
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: map on file
No. of wells to be sampled:
17
❑ Water Source Heat Pump ❑ Other:
from Pefmit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (From Permit): 9
Date sample collected: September 2, 2021
FIELD ANALYSES:
WAS
Well Depth: 15 ft.
Well Diameter: 2
in.
pH 00400: 6,29 Units Temp. 00010: 12.7 °C
DRY at
Depth to Water Level 82546: 7.12 ft. below measuring point Screened Interval 2
ft. to 12
ft. Spec. Cond. 00094: 150 µMhos
time of
sampling,
Measuring Point is 3 ft. above land surface
Relative M.P. Elevation: 98.65
ft.
Odor 000m: none
check
Volume of water pumped/bailed before sampling:
3
gallons
Appearance clear
here!
❑
Samples for metals were collected unfiltered: ® YES
El NO and field acidified: 0 YES
El NO
LABORATORY INFORMATION
Date sample analyzed: 9r2 - 1512021
Laboratory Name: Environmental Chemists
Certification No. 94
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mg1L
Nitrite (NO2) as N 00615 <0.02
mg/L Pb - Lead o1 o51 ugfL
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO.) as N 0062e 1.55
mg1L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504 9
1100mL
Phosphorus: Total as P 00665 <0.04
mg/L
(Note: Use MPNmethod for highly turbid Samplea)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 161
mg/L
Al - Aluminum 01105
mg1L Sodium: 1.47 mg1l
PH (Lab) 00403
units
Ba - Barium olo07
ug1L
TOC oo68o 3.9
mg/L
Ca - Calcium oo916
mg/L
Chloride orlmo <5
mg1L
Cd - Cadmium 01027
ug1L
Arsenic 01002
ug/L
Chromium: Total 01034
ug1L
Grease and Oils 00552
mg1L
Cu - Copper 01042
mg/L ORGANICS: (by GC. GC/MS, HPLC)
Phenol 32730
ug1L
Fe - Iron 01045
ug1L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate oo945 13
mg/L
Hg - Mercury 71900
ug1L
Lab Report Attached? ❑ Yes (1) © No (0)
Specific Conductance 00095
uMhos
K - Potassium oo937
mg/L VOC 76732 method #
Total Ammonia o0610 <0.2
mg/L
Mg - Magnesium 00927
mg/L bdl method # 6200C
iAminonls Nitrogen: NH, as N, Ammonia Nitrogen. Total)
Mn - Manganese o1055
ug1L
,method #
TKN as N 00625 <0.5
mg/L
Ni - Nickel 01067
ug/L
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs. mglL Effluent Total VOCs: mg/L VOC Removal%
Nicole Reynolds, Plant Manager
Permittee (or Authorized Aqent) Name and Title - Please print or type
of Permittee (or A 1 orized Agenl)
10102021
(Date)
GW-59 Rev.212010

UNDWATER QUALITY MONITORING:
PLIANCE REPORT FORM
ITY INFORMATION Please Print
Facility Name: House of Raeford Farms, Inc.
Permit Name (if different):
Facility Address: 3333 U. S.
Rose Hill
117 South
SUBMIT FORM ON YELLOW PAPER ONLY
or
NC 28458 County Duplin
Contact Person: Joe Teachey Telephone#: [phone]
Well Location/Site Name: map on file No. of wells to be sampled: 17
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
PERMIT Number: Expiration Date: 10-2023
Non -Discharge WQ0002005 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): 10
Date sample collected: September 2, 2021
Well Depth: 15 ft.
Well Diameter: 2
in.
Depth to Water Level 82546: 8.84 ft. below measuring point Screened Interval 2
ft. to 12 ft
Measuring Point is 3 ft. above land surface
Relative M.P. Elevation: 89.81
ft-
Volume of water pumped/bailed before sampling:
3
gallons
Samples for metals were collected unfiltered: ® YES
❑ NO and field acidified: 0 YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed: 912 - 1612021
Laboratory Name: Environmental
Chemists
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD oo335
mg/L
Nitrite (NO2) as N oo615 o_06
mg/L
Coliform: MF Fecal 31616 c1
1100mL
Nitrate (NO.) as N 00620 <0.02
mg/L
Coliform: MF Total 31504 >6000
1100mL
Phosphorus: Total as P oo6fi5 4.89
mg/L
(Note- Use MPN method for highly turbid samples}
Orthophosphate 70507
mg/L
)issolved Solids:Total ro3oo 788
mg1L
Al - Aluminum o1105
mg/L
PH (Lab) 00403
units
Ba - Barium 01007
uglL
TOC 00680 7.3
mg/L
Ca - Calcium 00916
mg/L
Chloride oo94o 184
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug1L
Chromium; Total 01034
uglL
Grease and Oiis 00552
mg/L
Cu - Copper 01042
mg/L
Phenol 32730
uglL
Fe - Iron 01045
ug/L
Sulfate 00945 55
mg/L
Hg - Mercury 7190o
u9 IL
specific Conductance uoom
pMhos
K - Potassium 00937
mg/L
Total Ammonia ooslo 92.7
mg/L
Mg - Magnesium 00927
mg/L
(Ammonia Nitrogen, NH-, as N, Ammonia Nitrogen. Total)
Mn -Manganese 01055
uglL
TKN as N 00625 87.2
mg/L
Ni - Nickel 01067
ug/L
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs;
Nicole Reynolds Plant Manager
Permitlee (or Authorized Agen) Name and Title - Please print or type
GW-59 Rev.212010
If WELL
FIELD ANALYSES: IDRY
WAS
pH 00400- 5.85 units Temp. 00010: 11.7 °C at
Spec. Cond. 00094: 771 pMhos time of
Odor 00085 none sampling,
check
Appearance dear here:❑
Certification No. 94
Pb - Lead o10s1 ug1L
Zn - Zinc 01092 mg1L
Other (Specify Compounds and Concentration Units):
Sodium: 156 mgll
ORGANICS: (by GC. GC/MS, HPLC)
(Specify test and method #. ATTACH LAB REPORT,)
Lab Report Attached? ❑ Yes (1) ❑ No (0)
VOC 78732: , method #
bdl method # 6200C
method #
method #
mg/L Effluent Total •
and that the laboratory analytical data
J611y of fines and imprisonment for knc
r! W�
mg/L VOC Removal%
101212021

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1511 Phone: [phone]
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: Expiration Date: 10-2023
Facility Name: House of Raeford Farms, Inc.
Non -Discharge VVQ0002005 UIC
Permit Name (if different):
NPDES Other
Facility Address: 3333 U. S. Hwy l l7 South
TYPE OF PERMITTED OPERATION BEING MONITORED
Rose Hill NC
28458 County Duplin
❑ Lagoon ❑ Remediation: Infiltration Gallery
M Spray Field ❑ Remediation:
Contact Person: Joe Teachey
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well LocationlSite Name: map on file
No. of wells to be sampled;
17
❑ Water Source Heat Pump ❑ Other:
Gorr PemM
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit); 11
Date sample collected: September 2, 2021
FIELD ANALYSES:
WAS
Well Depth: 15 ft,
Well Diameter: 2
in.
pH 00400: 6.17 units Temp. 000ia: 12.4 °C
DRY at
Depth to Water Level 82546: 9.47 ft. below measuring point
Screened Interval: 2
ft, to 12
ft. Spec. Cond. 000s4: 552 µMhos
time of
sampling,
Measuring Point is 3 ft. above land surface
Relative M.P. Elevation: 85.19
ft.
Odor oao85: none
check
Volume of water pumped/bailed before sampling
3
gallons
Appearance clear
here:❑
Samples for metals were collected unfiltered: R1 YES
❑ NO and field acidified: ® YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed: 912 - 1512021
Laboratory Name: Environmental Chemists
Certification No. 94
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mglL
Nitrite (NO2) as N 00615 0.03
mglL Pb - Lead rliw ug1L
Coliform: MF Fecal 31616 <1
1100mL
Nitrate (NO3) as N 00620 0.55
mglL Zn - Zinc 01a92 mglL
Coliform: MF Total 31504 >6000
1100mL
Phosphorus: Total as P 00665 3.51
mg/L
(Note: use MPN method for highly turbid samples)
Orthophosphate 70507
mg1L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 615
mglL
Al - Aluminum wim
mg/L Sodium: 76.3 mgA
pH (Lab) 00403
units
Ba - Barium D1007
uglL
TOG o068o 15.2
mg1L
Ca - Calcium oo916
mg/L
Chloride 00940 74
mglL
Cd - Cadmium D1027
uglL
Arsenic 01002
uglL
Chromium: Total 01034
uglL.
Grease and Oils a0552
mg1L
Cu - Copper 01042
mg1L ORGANICS: (by GC, GCIMS, HPLC)
Phenot 32730
uglL
Fe - Iron 01045
uglL (Specify test and method #. ATTACH LAB REPORT.)
Sulfate a0945 a5
mglL
Hg - Mercury 71900
uglL Lab Report Attached? ❑ Yes (1) !❑ No (0)
Specific Conductance 00095
µMhos
K - Potassium 00937
mglL VOC 78732: method #
Total Ammonia 00610 42.5
mg/L.
Mg - Magnesium 00927
mglL bdl method #
(Ammon;a Nitrogen; NH, as N;Anmonia Nitrogen, ToW
Mn - Manganese 01055
uglL , method #
TKN as N 00625 39.7
mg1L
Ni - Nickel 01067
uglL method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs:
Nicole Reynolds, Plant Manager
Permittee (or Authorized Aqent) Name and Title - Please print or type
ind that the laboratory analytical data
illty of fines and imprisonnmerti for Mic
Wma—,
mglL VOC Removal%
101Z12021
GW-59 Rev.212010

GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
Facility Name: House of Raeford Farms. Inc.
Permit Name (if different):
Facility Address: 3333 U. S.
Rose Hill
117 South
Contact Person: Joe Teachey
Well Location/Site Name: reap on file
NC
SUBMIT FORM ON
'rint Clearly or Type
28458 County Duplin
PAPER ONLY
Telephone#: [phone]
No. of wells to be sampled: 17
DEPARTMENT OF ENVIRONMENT 8 NATURAL RESOURCES
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
PERMIT Number: Expiration Date: 10-2023
Non -Discharge WQ0002005 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:
NELL ID NUMBER (from Permit): 12
Date sample collected: September 2. 2021
FIELD ANALYSES:
It WELL
WAS
Nell Depth: 20 ft,
Well Diameter: 2
in.
pH 00400 6.02 units Temp. 000lo 11.4 °C
DRY at
?epth to Water Level 82546: 6.88 ft. below measuring
point Screened Interval: 2
ft. to 17 ft.
Spec. Conti 00094. 111 µMhos
time of
Measuring Point is 3 ft. above land surface
Relative M,P. Elevation: 82.18
ft.
Odor 00085: none
sampling,
lolume of water pumpedlbailed before sampling
3
gallons
Appearance clear
check
here:
iamples for metals were collected unfiltered: ® YES
❑ NO and field acidified: ® YES
❑ NO
❑
-ABORATORY INFORMATION
)ate sample analyzed: 9I2 - 15r2021
Laboratory Name: Environmental Chemists
Certification No. 94
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 0nsis <0.02
mg/L
Pb - Lead oio51 ug1L
Coliform: MF Fecal 31616 3
M00mL
Nitrate (NO3) as N 00620 0.25
mg/L
Zn - Zinc 01a92 m9 /L
Coliform: MF Total 31504 480
1100mL
Phosphorus: Total as P 00665 0.18
mg/L
(Note: UW MPN "thud ror highly turbid samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 153
mg/L
Al - Aluminum of im
mg1L
Sodium: 6.90 mgll
pH (Lab) 00403
units
Ba - Barium 01007
ug1L
TOC 0061so 30.3
mg/L
Ca - Calcium oasis
mg/L
Chloride oomo a
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
uglL
Chromium: Total 01034
ug/L
Grease and Oils 00552
mg/L
Cu - Copper 01042
mglL
ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron 01045
a /L
g
(Specify test and method #. ATTACK LAB REPORT.)
Sulfate 00945 8
mg/L
Hg - Mercury 71900
ug/L
Lab Report Attached? ❑ Yes (1) ❑ No (0)
Decific Conductance doom
plMhos
K - Potassium 00937
mg/L
VOC 78732 method #
Total Ammonia 00610 <0.02
mg/L
Mg - Magnesium 00927
mg/L
bdl method # 6200C
(Ammonia Nlhogen_ NH, as N: Ammonia Nitrogen. Total(
Mn -Manganese 01055
uglL
TKN as N 00625 2.0
mg/L
Ni - Nickel 01067
ug/L
,method #
method #
For Remediation Systems Only (Attach Lab Reports):
Nicole Reynolds, Plant Manager
Permittee (or Aulhohzed Aqenl} Name and Tide - Please print or lype
GW-59 Rev.212010
Influent Total VOCs: mg/L
Effluent Total VOCs:
mg/L VOC Removal%

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
01617
DF.RARTMENT OF ENVIRONMENT 8 NATURAL RESOURCES
DIVISION OF WATER QUALITY4NFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
•
MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION
ReasePrint CrearfyorType
PERMIT Number: Expiration Date: 10-2023
Facility Name: House of Raeford Farms. Inc,
Non -Discharge W00002005 UIC
Permit Name (if different):
NPDES Other
Facility Address: 3333 U. S. Hwy l l7 South
TYPE OF PERMITTED OPERATION BEING MONITORED
Rose Bill NC
28458 County Duplin
❑ Lagoon ❑ Remediation: Infiltration Gallery
❑r Spray Field ❑ Remediation:
Contact Person: Joe Teachey
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Weill Location/Site Name: map on file
No. of wells to be sampled:
17
❑ Water Source Heat Pump ❑ Other;
from Perini!
SAMPLING INFORMATION
If WELL
WELL 1D NUMBER (from Permit): 13
Date sample collected: September
2, 2021
FIELD ANALYSES:
WAS
Well Depth: 15 ft.
Well Diameter: 2
in.
pH 00400 7.97 units Temp. 000lo 12.0 °C
DRY at
Depth to Water Level 82546- 5,95 ft. below measuring point Screened Interval 2
ft. to 12
ft. Spec. Cond. 00094: 367 µMhos
time of
sampling,check
Measuring Point is 3 ft. above land surface
Relative M.P. Elevation: 81.47
ft.
Odor 00085: none
Volume of water pumped/bailed befefe sampling:
3
gallons
Appearance clear
here -
Samples for metals were collected unflltered- ® YES
❑ NO and field acidified: EYES
❑ NO
LABORATORY INFORMATION
Date sample analyzed: 912 - 1512021
Laboratory Name: Environmental Chemists
Certification No. 94
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mglL
Nitrite (NO2) as N 00615 <0.02
mglL Pb - Lead ❑f t751 uglL
Coliform: MF Fecal 31616 t1
1101
Nitrate (NO3) as N 00620 0.11
mglL Zn - Zinc 01092 m9 /L
Coliform: MF Total 31504 3500
1101
Phosphorus: Total as P 00665 0.73
mglL
[Note Use MPN method for highly turbid sampies)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Lfnits)
issolved Solids:Total 70300 308
mglL
Al - Aluminum o1105
mg/L Sodium: 1.73 nri
pH (Lab) 00403
units
Be - Barium mo7
uglL
TOC 00680 12.8
mglL
Ca - Calcium o0916
ni
Chloride 00940 <5
mglL
Cd - Cadmium 01027
uglL
Arsenic 01002
11
Chromium: Total 01034
11
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg1L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
uglL
Fe - Iron 01045
uglL
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945 <5
mglL
Hg - Mercury 71966
ii
Lab Report Attached? ❑ Yes (1) 0 No (0)
Specific Conductance 00095
µMhos
K - Potassium oo937
mg/L
VOC 78732: , method #
Total Ammonia o0610 5.8
mglL
Mg - Magnesium 00927
mglL bdl method # 6200C
jArnTnnla Nitrogen NH, as N; Aemonla Nitrogen. Tote;)
Mn - Manganese 01055
ug1L
,method #
TKN as N 0015,25 5.7
mglL
Ni - Nickel 01067
11
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs- mglL Effluent Total VOCs: mg1L VOC Removal%
Nicole Reynolds, Plant Manager
Penmiltee (or Authohzed Agenl) Name and Title - Please print or type
GW-59 Rev, 212010
of Pern ittoe (or Autili Agent)
101L]2021

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
,
bEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
COMPLIANCE REPORT FORM
DIVfSOON OF WATER QUALITY-fN FORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION
Mass& Print Clearly or Type
PERMIT Number: Expiration Date: 10-2023
Facility Name: House of Raeford Farms, Inc.
Non -Discharge WQ0002G05 UIC
NPDES Other
Permit Name (if different):
Facility Address: 3333 U. S. Hwy 117 South
TYPE OF PERMITTED OPERATION BEING MONITORED
Rase Hill NC
28458 CountyDuphn
El Lagoon ❑Remediation: Infiltration Gallery
❑■ Spray Field ❑ Remediation:
Contact Person: Joe Teachey
Telephone#: [phone]
❑ Rotary Distributor ElLand Application of Sludge
Well Location/Site Name: map on file
No. of wells to be sampled:
17
❑ Water Source Heat Pump ❑ Other:
ham Perrmt
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): 14
pate sample collected: September 2, 2021
FIELD ANALYSES:
WAS
Well Depth: 15 ft.
Well Diameter: 2
in.
pH 00400: 6.50 units Temp. 00010 11.2 °C
DRY at
Depth to Water Level 82546: 6.80 ft. below measuring point Screened Interval 2
ft. to 12
ft. Spec. Cond. 00094: 393 µMhos
time of
Measuring Point is 3 ft. above land surface
Relative M.P. Elevation: 82.33
ft.
Odor 00085: none
check
Volume of water pumped/bailed before sampling:
dry
gallons
Appearance clear
here:❑
Samples for metals were collected unfiltered: EYES
❑ NO and field acidified: 0 YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed: 912 - 1512021
Laboratory Name: Environmental Chemists
Certification No. 94
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00815 <0.02
mg/L
Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616 <1
1100mL
Nitrate (NOa) as N omm 0.08
mg/L
Zn - Zinc 01092 mg/L
Coliform: MF Total 31504 >9000
/100mL
Phosphorus: Total as P 00665 5.23
mg/L
(NolauseMPNmethodfor highly turbid aamples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 939
mg/L
At -Aluminum o1105
mg/L
Sodium: 7.92 mg/I
pH (Lab) 00403
units
Ea - Barium 01007
ug/L
TOC 00680 61.7
mg/L
Ca - Calcium oo916
mg/L
Chloride 00940 15
MWL
Cd - Cadmium 01027
ug/L
Arsenic 01002
uglL
Chromium: Total 01034
ug1L
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
Ug/L
Fe - Iron 01045
ugfL
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate oo945 <5
mg/L
Hg - Mercury 71900
ug1L
Lab Report Attached? ❑ Yes (1) K No (0)
Specific Conductance 00095
µMhos
K - Potassium 00937
mglL
VOC 78732: , method #
Total Ammonia D0610 4.1
mg/L
Mg - Magnesium 00927
mg/L
bdl method # 6200C
(Ammonia Nitrogen; NH, asN; AnxnonleNitrogen, Total)
Mn -Manganese 01055
ug1L
method #
TKN as N 00625 6.4
mg/L
Ni - Nickel 01067
ug/L
method #
ror memeolation bystems vtmy (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: _ mg/L VOC Removal%
Nicoie Reynolds, Plant Manager
Permdtee for Authorized Agent) Name and TiUe - Please print or type
I Jt ct�
of Permlttee for
10a021
(Date)
GW-59 Rev.212010

GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
FACILITY INFORMATION Please
Facility Name: House of Raeford Farms, Inc.
Permit Name (if different);
Facility Address: 3333 U. S. Hwy 117 South
Rose Hill NC
Contact Person: Joe Teachey
Well LocationlSite Name; map on file
SUBMIT FORM ON YELLOW PAPER ONLY
Tint Clearly or Type
28458 County Duplin
Telephone#: [phone]
No. of wells to be sampled: 17
rEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
IIVISION OF WATER QUALITY•INFORMATION PROCESSING UNIT
617 MAIL SERVICE CENTER, RALEIGH. NC 27699-1617 Phone: [phone]
'ERMIT Number: Expiration Date: 10-2023
Jon -Discharge WQ0002005 UIC
IPDES Other
'YPE 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): 15
Date sample collected: September 2, 2021
FIELD ANALYSES:
Well Depth: 14 ft.
Well Diameter: 2
in.
pH 00400: 6.08 units Temp. 000lo 11.0 °C
Depth to Water Level 82546:6.80 ft. below measuring point Screened Interval: 2
ft, to 12 ft.
Spec. Cond. 00094. 176 µMhos
Measuring Point is 2 ft. above land surface
Relative M.P. Elevation: 82.33
ft.
Odor 00085: none
Volume of water pumped/bailed before sampling:
dry
gallons
Appearance clear
Samples for metals were collected unfiltered: QI YES
❑ NO and field acidified: 0 YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed: 912 - 1512021
Laboratory Name: Environmental
Chemists
Certification No. 94
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mglL
Nitrite (NO2) as N oo615 c0.o2
mg/L
Pb - Lead o1o5i ug1L
Coliform: MF Fecal 31616 210
1100mi-
Nitrate (NO3) as N 00620 0.30
mglL
Zn - Zinc oto82 mglL
Coliform: MF Total 31504 >6000
/100ml-
Phosphorus: Total as P 00865 0.33
mg/L
(Note, Use MPN method for highly turbid samplesl
Orthophosphate 70507
mglL
Other (Specify Compounds and Concentration Units):
issolved Solids:Total 703oo 401
mglL
Al - Aluminum 01105
mg/L
Sodium: 11.2 mgll
pH (Lab) 00403
units
Ba - Barium 01007
uglL
TOG oosao 9.0
mgJL
Ca - CalCium 00916
mg/L
Chloride oog4u 15
mglL
Cd - Cadmium 01027
ug1L
Arsenic 01002
uglL
Chromium: Total 01034
ug1L
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg/L
ORGANICS: (by GC, GClMS, HPLC)
Phenol 32730
uglL
Fe - iron 01045
uglL
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945 33
mglL
Hg - Mercury 71900
uglL
Lab Report Attached? ❑ Yes (1) ❑■ No (0)
Specific Conductance 00095
AMhos
K - Potassium 00937
mg/L
VOC 78732: method #
Total Ammonia 0o610 <0.2
mglL
Mg - Magnesium 00927
mgJL
bdl method + 6200C
(Ammonia Nitrogen. NH3 as N, Ammonia Nitrogen, Total)
Mn -Manganese 01055
ug1L
method #
TKN a$ N 00625 1.0
mglL
Ni - Nickel 01067
ug1L
method #
For Remediation Systems Only (Attach Lab Reports):
Influent Total VOCs:
mgJL Effluent Total VOCs: mglL VOC Removal%
N
Nicole Reynolds, Plant Manager
10J2021
iittee (or Authorized Agent) Name and Tide -Please print
or type
Siq t re of Permittn6 (or Authotked
Agerrl) (Dale)
GW-59 Rev.212010
If WELL
WAS
DRY at
time of
sampling,
check
here: ❑

GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
FOCI! iTY INIZ()RMATICIN Please Print Clearlv or
Facility Name: House of Raeford Farms, Inc.
Permit Name (if different):
Facility Address: 3333 U. S. Hwy 117 South
Rose Hill NC
SU8MIT FORM ON YELLOW PAPER ONLY
26458 County Duplin
act Person: Joe Teachey Telephone#: [phone]
Location/Site Name: map on file No. of wells to be sampled: 17
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
DtMION OF WATER QUALITY -INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
PERMIT Number: Expiration Date: 10-2023
Non -Discharge WQ0002005 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:
.ara,nr �„w rnrvmm�r rvr�
WELL ID Nt1MBER {from Permit): 16 Date sample collected: September 2, 2021
Well Depth: 15 ft. Well Diameter, 2 in.
Depth to Water Level 82546: 5.90 ft. below measuring point Screened Interval: 2 ft. to 12 ft.
Measuring Point is 3 ft, above land surface Relative M.P. Elevation: 106.00 ft. �
Volume of water pumpedlbailed before sampling: dry gallons
Sam les for metals were collected unfiltered: ® YES ❑ NO and field acidified: ® YES ❑ NO
FIELD ANALYSES:
pH 00400 6.63 units Temp. aoclo. 9.5 °C
Spec. Cond. 00094 38.6 laMhos
Odor o0085: none
Appearance clear
If WELL
WAS
DRY at
time of
sampling,check
here:❑
LABORATORY INFORMATION
Date sample analyzed: 912-1512021
Laboratory Name- Environmental
Chemists
Certification No. 94
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mglL
Nitrite (NO2) as N oo615 0.05
mg11-
Pb - Lead olo51 ug/L
Coliform: MF Fecal 31616 <1
1100mL
Nitrate (NO3) as N 00620 0,15
mglL
Zn - Zinc 01092 mg/L
Coliform: MF Total 315o4 110
/100mL
Phosphorus: Total as P 00665 0.84
mg /L
(Note- Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
Dissolved Solids:Total 70300 157
mglL
Ai - Aluminum o1105
mglL
Sodium 0.819 mg/1
pH (Lab) 00403
units
Ba - Barium D1007
ug1L
TOC oo68o 3-7
mg11_
Ca - Calcium oas16
mg/L
Chloride aos4o <5
mg1L
Cd - Cadmium 01027
ug1L
Arsenic 01002
uglL
Chromium: Total 01034
uglL
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg/L
ORGANICS: (by GC, GCIMS, HPLC)
Phenol 32730
ug1L
Fe - Iron 01045
uglL
(specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945 <5
mglL
Hg - Mercury 71900
ug1L
Lab Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance 00095
pMhos
K - Potassium 00937
mg/L
VOC 78732: method #
Total Ammonia ooeto <0.2
mg1L
Mg - Magnesium 00927
mglL
bdl method # 6200C
lAmrnonla Nitrogen: NH3 as N: Anmwnis Nitrogen, Total)
Mn - Manganese 01055
s
DgrL
,method #
TKN as N 06625 1.0
mglL
Ni- Nickel 01067
ug1L
method #
For Remediation Systems Only (Attach Lab Reports):
Influent Total VOCs:
mgrL Effluent Total VOCs: mgrL VOC Removal%
Nicole Reynolds, Plant Manager L Ivi (A-kt 10/02021
PerrnMee (or Authorized Agent) Name and Title - Please print or type Sig(Lure of Permittee for Aulhariza Agent) (Date)
GW-59 Rev.2/2010

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER EQUALITY MONITORING:
MM1617
DIVISION OF WATER RUALITYdNFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
MAIL SERVICE CENTER, RALEIGH, NC 27699.1617 Phone: [phone]
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: Expiration Date: 10-2023
Facility Name: House of Raeford Farms, Inc.
Non -Discharge W00002005 UIC
NPOES Other
Permit Name (if different):
Facility Address. 3333 U. S. Hwy 117 South
TYPE OF PERMITTED OPERATION BEING MONITORED
Rose Hill NC
28458 County Dupiin
❑ Lagoon ❑ Remediation: Infiltration Gallery
■❑ Spray Field ❑ Remediation-
Contact Person: Joe Teachey
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: map on file
No. of wells to be sampled: 17
❑ Water Source Heat Pump ❑ Other:
From Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): 17
Date sample collected. September 2, 2021
FIELD ANALYSES:
WAS
Well Depth: 14 ft.
Well Diameter: 2 in.
pH 00400 672 units Temp. 000lo 11.2 °C
DRY at
Depth to Water Level 82546: 6.00 ft, below measuring point Screened Interval: 2 ft.
to 12
ft. Spec. Cond, 00094 52.5 gMhos
time of
sampling.
Measuring Point is 2 ft above land surface
Relative M.P. Elevation: 105.82
ft.
Odor 000as none
check
Volume of water pumped/bailed before sampling:
dry
gallons
Appearance clear
here -
Samples for metals were collected unfiltered ® YES
❑ NO and field acidified: ® YES
❑ NO
LABORATORY INFORMATION
Dale sample analyzedT 912 - 15no21
Laboratory Name: Environmental Chemists
Certification No. 94
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 0o615 0.20
mg/L Pb - Lead alos1 ug/L
Coliform: MF Fecal 31616 1
1100mL
Nitrate (NO.) as N om2a <0.02
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504 >6000
/100mL
Phosphorus: Total as P 00665 0.22
mg/L
;Nola list WN method for hightyturbid samples)
Orthophosphate 70507
mg1L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 110
mglL
Al - Aluminum 01105
mg1L Sodium: 25.8 mgli
PH (Lab) ONO3
units
Ba - Barium woa7
ug1L
TOC oow 14.8
mg/L
Ca - Calcium oo916
mg/L
Chloride co94o 24
mg/L
Cd - Cadmium clo27
ug/L
Arsenic 01002
ug/L
Chromium: Total o1034
ug1L
Grease and Oils o0552
mg/L
Cu - Copper 01042
mg/L ORGANICS: (by GC, GCIMS, HPLC)
Phenol 32730
ug/L
Fe - Iron 01045
ug/L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945 10
mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes (1) OF No (0)
Specific Conductance 00095
pMhos
K - Potassium 00937
mg/L VOC 79732 , method #
Total Ammonia 00610 < 0.2
mg1L
Mg - Magnesium W927
mg/L bdl method # 6200C
(Ammonia Nitrogen: NH, as N, Ammonia Nitrogen, Total)
Mn - Manganese 01o55
uglL method #
TKN as N 00625 1.4
mg/L
Ni - Nickel 01067
ug1L method #
For Remediation Systems Onty (Attach Lab Reports): Influent Total VOCs: mg1 Effluent Total VOCs. mg/L VOC Removal%
Nicole Reynolds, Plant Manager
Permittee (or Authorized Apenl) Name and Title - Please print or type
r LAAA—
Aqent i
10A021
GW-59 Rev. 2/2010