WQ0002857_Monitoring - 03-2022_20220419

DWR - NonDischarge Monitoring Report Submittal ti rF
NORTH CAROLINA
EnvOranm@nlrtl Qua,ly
Monitoring Report Submittal
.....................................................................................................................................
Permit Number#* WQ0002857
Name of Facility:* Piedmont Custom Meats
Month:* March Year:* 2022
Report Information
Type* Upload Document*
GW-59 Piedmont Custom Meats.pdf 1.36MB
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:* Arnie Ferguson
Signature:
Date of submittal: 4/19/2022
This will be filled in automatically
Initial Review
Reviewer: Gerald,Wanda

Is the project number correct?* WQ0002857
Is the monitoring report accepted?* Yes No
Regional Office* Winston-Salem
Accepted Date: 4/25/2022

SUBMIT FORM ON YELLOW PAPER ONLY
e- _ Mail original DEPARTMENT OF ENVIRONMENTAL QUALITY-DIV.OF WATER RESOURCES
GROUNDWATER QUALITY MONITORING: M INFORATIONPROCESSINGUNIT
COMPLIANCE REPORT FORM � 1617 MAIL SERVICE CENTER,RALEIGH,NC 27690-1617
FACILITY INFORMATION ee Pant Ciserly or Type PERMIT Number: WQ0002857 Expiration Date:
Facility Name: Piedmont Custom Meats Vv WTF Non-Discharge UIC
Permit Name(if different): NPDES Other
Facility Address: 9683 Ken s Chapel Road TYPE OF PERMITTED OPERATION BEING MONITORED
C ibsonvillc NC 27249 County Caswell ❑ Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
Contact Person: Larry Moore Telephone#: [phone] ❑ Rotary Distributor ©Land Application of Sludge
Well Location/Site Name: No.of wells to be sampled: 3 El Water Source Heat Pump ❑Other:
(tram Perrot)
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): MW-1 Date sample collected: 03/30/2022 FIELD ANALYSES: WAS
Well Depth: 36.88 ft. Well Diameter: in. pH 00400: 6.32 units Temp.come: 16.8 5C DRY at
Depth to Water Level 82546: 12.26 ft. below measuring point Screened Interval: ft. to ft. Spec.Cond.00094: ttMhos time of
sampling,
Measuring Point is ft. above land surface Relative M.P. Elevation: ft. Odor 00085: check
Volume of water pumped/bailed before sampling: 5.50-Thy gallons Appearance here:
Samples for metals were collected unfiltered: El YES © NO and field acidified: El YES El NO
LABORATORY INFORMATION
Date sample analyzed: 03/30-04/05/2022 Laboratory Name: Pace Analytical Services Certification No. 40 r 633
PARAMETERS NOTE:Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L Nitrite(NO2)as N 00615 mg/L Pb-Lead 01051 ug/L
Conform: MF Fecal 31616 <1.0 /100mL Nitrate(NO3)as N 00620 21.1 mg/L Zn-Zinc 01092 mg/L
Coliform: ME Total 31504 /100mL Phosphorus:Total as P 00665 mg/L
(Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other(Specify Compounds and Concentration Units):
Dissolved Solids:Total 70300 323 mg/L Al-Aluminum 01105 mg/L
pH (Lab)00403 units Ba-Barium 01007 ug/L
TOC 00680 <1.0 mg/L Ca-Calcium 00916 mg/L
Chloride 00940 46.7 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 ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730 ug/L Fe-Iron 01045 ug/L (Specify test and method#.ATTACH LAB REPORT.)
Sulfate 00945 3,8 mg/L Hg-Mercury 71900 ug1L Lab Report Attached? ❑ Yes(1) ❑ No(0)
Specific Conductance 00095 504 ttMhos K-Potassium 00937 mg/L VOC 7873 , method#
Total Ammonia 00610 <0.10 mg/L Mg-Magnesium 00927 mg/L , method#
(Ammonia Nitrogen,NH,i 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%
l 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
DWR-certified laboratory. I am aware that there are significant pene!ties for submitting false information,including the possibility of fines and imprisonment for knowing violations.
m
99
Permittee(or Authorized Agent)Name and Title-Please print or type Signature of Permittee(or Authorized Agent (Date)
GW-59 Rev.06-07-2018

SUBMIT FORM ON YELLOW PAPER ONLY
mail original DEPARTMENT OF ENVIRONMENTAL QUALITY-Div.OF WATER RESOURCES
GROUNDWATER QUALITY MONITORING: =.v INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM rid 1,copy S _ �� 117 MAIL SERVICE CENTER,RALEIGH,NC27699-1€17
FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: WQ0002857 Expiration Date:
Facility Name: Piedmont Custom Meats WWTF Non-Discharge UIC
Permit Name(if different): NPDES Other
Facility Address: 9683 Kerr'ss Chapel Road TYPE OF PERMITTED OPERATION BEING MONITORED
Gibsonville ' r,"`- NC 27249 County Caswell ❑ Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Field ❑Remediation:
Contact Person: Larry Moore Telephone#: [phone] ❑ Rotary Distributor ❑Land Application of Sludge
Well Location/Site Name: No.of wells to be sampled: 3 ❑ Water Source Heat Pump ❑Other:
trr°r,Parma)
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): MW-4 Date sample collected: 03/30/2022 FIELD ANALYSES: WAS
Well Depth: 15.63 ft, Well Diameter: in. pH 004aa: 6.51 units Temp.0001o: 17.0 °C DRY at
Depth to Water Level 82546: 3.07 ft.below measuring point Screened Interval: ft. to ft. Spec.Cond. 00094: IiMhos time o
f
sampling,
Measuring Point is ft.above land surface Relative M.P. Elevation: ft. Odor 00085: check
Volume of water pumped/bailed before sampling: 1.75 Dry gallons Appearance here:
Samples for metals were collected unfiltered: ❑YES ❑■ NO and field acidified: ❑YES ❑NO
LABORATORY INFORMATION
Date sample analyzed: 03/30-04/04/2022 Laboratory Name: Pace Analytical Services Certification No, 40&633
PARAMETERS NOTE:Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L Nitrite(NO2)as N 00615 mg/L Pb-Lead most ugiL
Coliform: MF Fecal 31616 <1.0 /100mL Nitrate(NO3)as N 00620 1.6 mg/L Zn-Zinc nidez mg/L
Coliform: MF Total 31504 /100mL Phosphorus:Total as P 00665 mg/L
Note: Use�taN method for highly wreid samRiem Orthophosphate 70507 mg/L Other(Specify Compounds and Concentration Units):
Dissolved Solids:Total 70300 584 mg/L A[ Aluminum 01105 mg/L
pH(Lab)00403 units Ba Barium et007 ugiL
TOC ooesa <I.0 mg/L Ca-Calcium angle mg/L
Chloride 00040 246 mg/L Cd-Cadmium 01027 ug/L
Arsenic o1002 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 ugiL Fe-Iron et045 ug/L (Specify test and method#.ATTACH LAB REPORT.)
Sulfate 00945 5-5 mg/L Hg-Mercury 719ao ug/L Lab Report Attached? ❑ Yes(1) ❑ No(0)
Specific Conductance 0a095 1.140 tlMhos IC-Potassium aa937 mg/L VOC 7873 method#
Total Ammonia a061c <0.10 mg/L Mg-Magnesium 00927 mg/L ,method#
(Ammonia Nitrogen,NH as N.Ammonia Nitrogen,Tolsit Mn-Manganese 01055 ug/L , method#
TN 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%
I certify that,to the.best of mylrnowledge and belief,the information submitted ICI-this report is true'-accurate'-and complete,and that tile laboratory analyticaF data was produced tlakIg approved methods of analysis by a
DWR-certifiedlaboratorry. I am aware that there are significant penaltiesforsubmittingfalseinformation,includingth possibility of fines and imprisonment for knowing violations,...... .. e
Permittee(or Author[zed Agent)Name and Title-Please print or type Signature of Permittee€,or Authorized Agent) (Date)
GW-59 Rev.06-07-2018

SUBMIT FORM ON YELLOW PAPER ONLY
--Maill--Orighlai DEPARTMENT OF ENVIRONMENTAL QUALITY=DIV.OF WATER RESOURCES
GROUNDWATER QUALITY MONITORING: - nd o to INFO INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM _` 1617 MAIL SERVICE CENTER,RALEIGH,NC 27 699-1 61 7
FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: \VQ0002 57 Expiration Date:
Facility Name: Piedmont Custom Meats WWTF Non-Discharge UIC
Permit Name(if different): NPDES Other
Facility Address: 9683 Ke1T's Chapel Road TYPE OF PERMITTED OPERATION BEING MONITORED
Gibsonville NC 27249 County Caswell ❑ Lagoon ❑Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
Contact Person: Larry Moore Telephone#: 336-584-S247 ❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: No. of wells to be sampled: 3 ❑ Water Source Heat Pump ❑Other:
{from Permit} tt
SAMPLING INFORMATION if WELL
WELL ID NUMBER(from Permit): MW-5 Date sample collected: 03/30/2022 FIELD ANALYSES: WAS
Well Depth: 23.00 ft. Well Diameter: in. pH 00aa0 6.54 units Temp.node: 16.S °C DRY at
Depth to Water Level 82546: 8.33 ft. below measuring point Screened Interval: ft. to ft. Spec.Cond.00094: uMhos time of
sampling,
Measuring Point is ft.above land surface Volume Relative M.P. Elevation: ft. Odor 00085: check
of water pumped/bailed before sampling: 3.25-Dry gallons Appearance here:1 1
Samples for metals were collected unfiltered: ❑YES ❑® NO and field acidified: ❑YES ❑NO
LABORATORY INFORMATION
Date sample analyzed: 03/30-04/04/2022 Laboratory Name: Pace Analytical Services Certification No. 40&633
PARAMETERS NOTE:Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L Nitrite(NO2)as N coats mg/L Pb-Lead©1051 ug/L
Coliform: MF Fecal 31616 <1.0 /100mL Nitrate(NO3)as N 00620 025 mg/L Zn-Zinc o1092 mg/L
Coliform: MF Total 31504 /100mL Phosphorus:Total as P 0a665 mgiL
Note Use MPN method for highly ie,r5:a son p a ) Orthophosphate 70507 mg/L Other(Specify Compounds and Concentration Units).
Dissolved Solids:Total 703op 209 mg/L Al-Aluminum o1105 mgiL
pH (Lab)00403 units Ba-Barium 01007 ug/L
TOC 00680 <1.0 mg/L Ca-Calcium nog16 mg/L
Chloride 00940 52.8 mg/L Cd-Cadmium 01027 ug/L
Arsenic o1o02 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 <1.t) mg/L Hg-Mercury nano ug/L Lab Report Attached? ❑ Yes(1) ❑ No(0)
Specific Conductance 00095 394 1iMhos K-Potassium 00937 mg/L VOC 7873 , method#
Total Ammonia 00610 <0.10 mg/L Mg-Magnesium 00927 mg/L , method#
(Ammonia Nitrogen;NH,es N;Ammonia Nitrogen,Total) Mn-Manganese 01055 ug1L ,method#
TKN as N 00625 mg/L Ni-Nickel 01067 ug1L , method#
For Remediation Systems Only(Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
I certify that,to the best of my knowledge and belief,the information submitted to this report Is true accurate,and complete,and that the laboratory analytical data was produced using approved methods of analysis by a
DWR-certified laboratory.i am aware that there are,sugnificant penalties for sulmitting false information,including the ppssthility of fin and imprisonment forknowing violations- /c, _ 2—
Permittee(or Aut ized Agent)Name and Title Please print or type Signature of Perrrittee(or Authorized Agent) (Date)
GW-59 Rev.06-07-2018