WQ0018708_Signature Authority_20120821

Sincerely,
D. Stephen Jones
President
August 21, 2012
Heather Adams
Director of Operations
Envirolink, Inc.
PO Box 670
Bailey, NC 27807
Dear Ms. Adams:
Please accept this letter as notice that Lake Creek Corporation WQ008708 has granted
you signing authority as the Permittee on the Non -Discharge Monitoring Reports and
Groundwater Reports that are submitted to the North Carolina Division of Water Quality.
All other responsibilities of the Permittee, shall reside with D. Stephen Jones.
III
RECEIVED
SEP 5 7* 2012
Information Processing Unit
DWQ/BOG
IOENR Fnr
SEP 1 0 21:Q
I

GW-59A COMPLIANCE REPORT FORM Perinit #LIn ECCP%
(Submit one each monitoring period with GW-59 forms.)
1
Enter date monitoring results were due. (1'11 1 1) ) 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? 1
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. p
I,
ii
i
1
3
Are any of the monitor wells in need of repair or maintenance (damaged casing, unlocked or missing cap, missing
identification plate, area overgrown, etc.)? If the answer is "Yes ", contact the Regional Office for guidance.
YES
NO)
4
Are any monitored constituents equal to or above the established standards? i
LYE
NO
If the answer to question 4 is "NO", skip to section 8. II .
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: '1
i C;3G
5
For the constituents identified in question 4 above, have standards been exceeded previously for the
same constituent(s) in the same well(s) in the last two years? ;j
,1
YES
NO
If the answer to question 5 is "NO", skip to section 8. ' 1
If the answer to question 5 is "YES", list in the space provided below, each well with constituents) exceeding
standards, concentration(s) reported, and sample collection date for each occurrence (for the last two years).
II
'i
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. i
I'
it
7
Is the permittee implementing previously approved actions required by the Division involving this
groundwater quality problem? U
YES
NO
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
D
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 tola Notice of Violation
fines, and/or penalties. R CC C E 1\ /'
b
SEP 5 r 2012
1 j, Information Processing Unit
I .DWQ/BOG
8
The person completing this portion (GW-59A) of the monitoring report should signal below and submit this
form with GW-59 forms for required wells to the address provided at the top of the current GW-59 form.
I hereby acknowledge that the above information was evaluated and the information submitted in this
report (Compliance Repo GW-59A) is true and complete to the best of my knowledge.
r ii .
A 1---
gnature of Permittee or Authorized Agent) Date
I
GW-59A 12/8/2003

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
FACILITY INFORMATION Please Print Clearly or Type
Facility Name: Lt.ICt? C-('ceK.
Permit Name (if different):
Facility Address: 3 L'e.$.l- RO
1-fc•M4c nc,
Contact Person:
Well Location/Site Name: we tl "' I
SAMPLING INFORMATION
WELL ID NUMBER (from Permit): - 1
Well Depth: c25 ft.
Depth to Water Level 82546: , I I ft. below measuring point
Measuring Point is ft. above land surface
Volume of water pumped/bailed before sampling: Ef,`1
Samples for metals were collected unfiltered: ❑ YES
LABORATORY INFORMATION
Date sample analyzed: 7' 1� i t'D • ,t? t I i'7
PARAMETERS NOTE: Values should reflect dissolved
COD 00335 mg/L
Coliform: MF Fecal 31616 G /100mL
Coliform: MF Total 31504
(Note: Use MPN method for highly turbid samples)
)issolved Solids:Total 70300
pH (Lab) 00403
TOC 00680
Li
3.ci 3
Chloride 00940 71-,►
Arsenic 01002
-Grease and -Oils 00552
Phenol 32730
Sulfate 00945
Specific Conductance 00095
Total Ammonia 00610 0: i 3
(Ammonia Nitrogen; NH3as N; Ammonia Nitrogen; Total)
TKN as N 00625
/100mL
mg/L
units
mg/L
mg/L
ug/L
m9/L -
ug/L
mg/L
µMhos
mg/L
mg/L
County k )a. %c--.
Telephone#: PS7 .,
No. of wells to be sampled: Li
(from Permit)
Date sample collected: tic; i
Well Diameter: a in.
Screened Interval: ft.
Relative M.P. Elevation:
gallons
❑ NO and field acidified:
to
ft.
❑ YES ❑ NO
Laboratory Name:
""l
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:
Non-Discharge`.)Q ib`a,C: 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:
FIELD ANALYSES:
pH 00400: Uj. 3 units Temp. 00010: "( °C
ft. Spec. Cond. 00094:
Odor 00085:
Appearance
µMhos
and colloidal concentrations.
Nitrite (NO2) as N 00615
Nitrate (NO3) as N 00620
Phosphorus: Total as P 00665
Orthophosphate 70507
Al - Aluminum 01105
Ba - Barium 01007
Ca - Calcium 00916
Cd - Cadmium 01027
Chromium: Total 01034
Cu - Copper 01042
Fe - Iron 01045
Hg - Mercury 7190o
K - Potassium 00937
Mg - Magnesium 00927
Mn - Manganese 01055
Ni - Nickel 01067
mg/L
GC, CLI mg/L
L ,e3L-J mg/L
Pb - Lead 01051
Zn - Zinc 01092
Certification No. i C
ug/L
mg/L
mg/L Other (Specify Compounds and Concentration Units):
mg/L
ug/L
mg/L
RECEIVED
ug/L S m 2012
ug/L
mg/L IIO
ug/L
ug/L
mg/L
mg/L
ug/L
ug/L
` jitt
GC MS, HPLC)
(Specify test and method #. ATTACH LAB REPORT.)
Lab Report Attached? ❑ Yes (1) ❑ No (0)
VOC 78732:
, method #
, method #
, method #
, method #
If WELL
WAS
DRY at
time of
sampling,
check
here.
For Remediation Systems Only (Attach Lab Reports):
mg/L VOC Removal%
fsertify that:to, the -pest of triy knowledge and belief, the Information submitted in MIS ..reportis trye, accurate, and complete,�and that the laboratory anal ical:data wasproduced usin a roved. m thods.of anal s's•.7,..,
g11VQ?certified atiorato .:,,I.am ain are thatthere are si t ittih ; f Ply
. . �g e. XJ pY.a,
IY gniftcant,penalties forsubm g false mformation, Including the possibilitli,of fines and irriprisorimeht;forkno ^ ing •^'^•I^^^ " ' - I- t. 4 ,_ _ .. - ,r_ E. _•,. .,
de* Aer Mpo„s - 1 e oizna Cv,��
Permittee (or Authorized Agent) Name and Title - Please print ype Signa re of Permittee (or uthorized Agent)
GW-59 Rev. 2/2010
Influent Total VOCs:
v/tro.S
mg/L Effluent Total VOCs:
8
2/t2—
(Date)

SUBMIT FORM ON YELLOW PAPER ONL
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
Mail original
, co
•n pyto.
�'I�
#� ; �; ��`
DEPARTMENT OF ENVIRONMENT& NATURAL RESOURCES
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER, -RALEIGH,:NC27699.167P Phone:[phone]
FACILITY INFORMATION Please Print Clearly or Type
PERMIT Number: Expiration Date: S'(3olil
Facility Name: La LC.e (re Lc- . Gr,rttcr�-t>,
Non -Discharge L cr_4(:i}Uc. UIC
Permit Name (if different):
NPDES Other
Facility Address: 33 Lies. 04-,i Sr,,7c,, fc)
TYPE OF PERMITTED OPERATION BEING MONITORED
H cr,-tll 5 1 L ?Sc‘) c-i q County 6IC Qy—,
■ Lagoon ■ Remediation: Infiltration Gallery
•
Contact Person: E) c ti .c,('CC_un-. Telephone#: 2s7.93S-(-/,r:,0
fa'Spray Field • Remediation:
• Rotary Distributor • Land Application of Sludge
Well Location/Site Name: (,,-e I i 11`) No. of wells to be sampled: f•-•
• Water Source Heat Pump • Other:
(from Permit)
SAMPLING INFORMATION
j
�t ici I i',�
FIELD ANALYSES: '
pH 00400:4.3 units Temp. 00o10: `.PCU °C
If WELL
WAS
DRY at
time of
sampling,
check
WELL ID NUMBER (from Permit): Y'1 t. 3-� ,) Date sample collected:
Well Depth: O,C% ft. Well Diameter: ? in.
Depth to Water Level 82546: `n i1Lj ft. below measuring point Screened Interval: ft. to Spec. Cond. 00094: µMhos
_ft.
Measuring Point is 5 ft. above land surface Relative M.P. Elevation: ft. Odor 00085:
Volume of water pumped/bailed before sampling: CI , ( gallons
YES ■ NO
Appearance
here:
Samples for metals were collected unfiltered: ■ YES • NO and field acidified: ■
LABORATORY INFORMATION --
a- Certification No. 0�—
Date sample analyzed: ,' i Ig it? ._
gp kto Laboratory Name: vwt'amc,/
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
Coliform: MF Fecal 31616 L 1 /100mL Nitrate (NO3) as N oos2o CL„0,--1 mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504 /100mL Phosphorus: Total as P 00665 e-C.OLj mg/L
Other (Specify Compounds and Concentration Units):
(Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L
Dissolved Solids:Total 70300 9 D mg/L Al -Aluminum 01105 mg/L
pH (Lab) 00403' units Ba - Barium 01007 ug/L RECEIVED
TOC 00680 1, j 3 mg/L Ca - Calcium 00916 mg/L
Chloride 00940 1 mg/L __ Cd - Cadmium 01027 ug/L _SEP 5 - 2012
_ Arsenic 01002 ug/L Chromium: Total 01034 ug/L
Grease and Oils 00552 mg/L Cu - Copper 01042 mg/L
FA -ID
ORGANICS
(Specify test and method #. ATTACH LAB REPORT.)
Phenol 32730 ug/L Fe - Iron 01045 ug/L
Sulfate 00945 mg/L Hg - Mercury 71900 ug/L
Lab Report Attached? • Yes (1) • No (0)
VOC 78732: , method #
Specific Conductance 00095 µMhos K - Potassium 00937 mg/L
Total Ammonia 00610 (.)r 3-1 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 #
emedlation Systems Only (Attach Lab Reports):
nfiuent Total VOCs:
mg/L Effluent Total VOCs:
mg/L VOC Removal%
t certify'that'lothe'best`of m k,nowied e:andbelief 'thelnformationsulamit ed- s"e ; 's. -1'. ' +-'- d- c ti + • y,A r: sa u +-
,..,_ `.a.',, a-, , -- : 9 - , tt rhlltt yr porn_ tnfer;accdtate,and•'com letej.and.thattfte,iaborat6 a al ca dat2:i,. _roducedustn a ove :,methods ofa'al b r.--r g•
. � . -e+ ^?*`_ . -.'�,. ?!' � .. , �+..t �•, .ti, x�. �"1 x`�".,.:�"'.� f-! ;x,° -I. 1.' , t'`.'.:' n?ai.'fa:Qh4'1SSi*� ...'e�a.'��m,•�r . .. w«p s e '. "` r �. rq' PP ...,� • ,, n> .� IS. �a �
' n a�'' . . r ws'anda`�" en rtr'k 1. `• dt'' ..ta i3WQ:certltied�faboratory.. d.am:aware thaf #here are.stgrnficantpenaltt'e�. `,for�srabmlittrig fals�rnfocmahon;lttcludi)3g;the�pQss�il't � Vinesand"tr17 �Isgnment.fof knowing aiiolatiops, K , �
i
r
Permittee (or Authorized Agent) Name and Title - Please print or t
GW-59 Rev. 2/2010
Signat e of Permittee (or „'.thorized Agent)
(Date)

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
3" aJ��Orgiga-
-
and CeO y_to=
t � -
DEPARTMENT OF ENVIRONMENT:B.NATURAL RESOURCES -
DIVISION: OF WATER ,QUALITY -INFORMATION -PROCESSING' UNIT
1617 MAIL SERVICE CENTER,-RALEIGH,r NC27699-1617 -Phone: [phone]
FACILITY INFORMATION Please Print
Clearly orType
PERMIT Number: Expiration Date: /3a,1 ii/
Facility Name: L,ate (peek_ C:,ri., f,c-
Non -Discharge d G c c_N,) 5)O% UIC
Permit Name (if different):
NPDES Other
Facility Address: 33 LUKs7- 13r„., 3n,c)c,t. Rc)
TYPE OF PERMITTED OPERATION BEING MONITORED
14c r, -ti nc y -
County 13/ccji)
■ Lagoon • Remediation: Infiltration Gallery
Contact Person: T06 (Yrcr'c.--..- .,
Telephone#: ?Sa -P35 ciIjCO
El'Spray Field • Remediation:
• Rotary Distributor • Land Application of Sludge
Well Location/Site Name: Wei I-4-4
No. of wells to be sampled: (-1
• Water Source Heat Pump • Other:
(from Permit)
SAMPLING INFORMATION
Date sample collected: d 1',10
FIELD ANALYSES: I
pH 0o400: ` 0 units Temp. 00010: cox 1 °C
If WELL
WAS
DRY at
time of
sampling,
check
WELL ID NUMBER (from Permit): (-Y1(A) "
Well Depth: ,;?5 ft.
Well Diameter:
Screened Interval:
Relative M.P. Elevation:
gallons
a in. -
Depth to Water Level e2546: 5,S6 ft. below measuring point
ft. to
ft. Spec. Cond. 00094: Mhos
Measuring Point is . lif ft. above land surface
ft.
Odor 000as:
Volume of water pumped/bailed before.sampling: Icy. Q.
YES • NO
Appearance
here:
Samples for metals were collected unfiltered: ■ YES
■ NO and field acidified: ■
LABORATORY INFORMATION
Laboratory Name: CG,c APcfae1 '
— Certification No. 10
Date sample analyzed: 1 ietf 1)-'11)`-1) ')
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L Nitrite (NO2) as N 00615
mg/L
mg/L
mg/L
mg/L
mg/L
ug/L
mg/L
ug/L
ug/L
mg/L
ug/L
ug/L
mg/L
mg/L
ug/L
ug/L
Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616 4 I /100mL
Nitrate (NO3) as N 00620 0,7L1
Zn - Zinc 01092 mg/L
Coliform: MF Total 31504 /100mL
Phosphorus: Total as P 00665 3..rIS
Other (Specify Compounds and Concentration Units):
(Note: Use MPN method for highly turbid samples)
)issolved-Solids:Total 70300 ISC) mg/L
Orthophosphate 70507
Al -Aluminum 01105
pH (Lab) 00403 units `
Ba - Barium o1007
TOC 006E10 Iv, 3(mg/L
Ca - Calcium 00916
RECEIVED
_ _Chloride oo94o _ IZ_ - _ mg/L _ _
_ Cd - Cadmium 01027 -- . - _
_ .Arsenic 01002 _ ug/L__
Chromium: Total 01034
SEP 5 e afl7�
Grease and Oils 00552 mg/L
Cu - Copper 01042
iANI S: b GC, GC/MS, HPLC)
(Specifyp. •`:4• X' 0'. •: TTACH LAB REPORT.)
tr,Sulfate
Phenol 32730 ug/L
Fe - Iron 01045
00945 mg/L
Hg - Mercury 71900
Lab Report Attached? • Yes (1) ■ No (0)
VOC 76732: ,'method #
Specific Conductance 00095 µMhos
K - Potassium 00937
Total Ammonia 00610 Q;'?C) ' mg/L
Mg - Magnesium 00927
, method #
(Ammonia Nitrogen; NH3as N; Ammonia Nitrogen, Total)
TKN as N 00625 mg/L
Mn - Manganese 01065
, method #
Ni - Nickel 01067
, method #
Cation Systems Only (Attach Lab Reports):
nfluent Total VOCs:
mg/L Effluent Total VOCs:
mg/L VOC Removal%
I't a if �., .. ,
d Y Jhat to tt/e best of my:knowtedgeand beliefahe inform�atton submltted.t this re ia%1 .1 accGfate and comptete and.that t a'laboratory anatytieal:data wri. oduced.usirig approved `"ethdd
D?u.s: , �` :.�•+;? ..as - ,zc - ��,�.�. ,g ,.lrt:"'t -..., , , z't, ��s :,,'i4"�t.+.. ,a�^:�.�„. ::� E ��a-ta"�` ., a+�".`' . . <'�*'��'s`.':' :; .
WQ.cetttfiad.laboratory..I+am:awarethat-There,atestgn�i¢antrtenait forasttibmtttirig-fatseanforrr)attont'f't�iclirar the;possiblityofdines-agdtmpnsPrVnts #orknowing rf;:i ons:;
Permittee (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev.2/2010
Sig at're of ermittee
horized Agent)
(Date)

SUBMIT FORM ON YELLOW PAPER ON
GROUNDWATER QUALITY MONITORING: d,e ljzoggjnai
.
COMPLIANCE REPORT FORM r "
DEPARTMENT OF ENVIRONMENT&.NATURAL RESOURCES
DIVISION OF WATER QUALITY -INFORMATION: PROCESSING: UNIT
1617 MAIL SERVICE CENTER, RALEIGH, NC27699-1617 Phone: [phone]
FACILITY INFORMATION Please Print Clearly or Type
PERMIT Number: Expiration Date: 0/301 i
Facility Name: LGICf Creel Ce,r x.tu,-,
Non-DischargeU3Gi2(,:(cb1C2 UIC
Permit Name (if different):
NPDES Other
Facility Address: 33 I.J $4 ra., Dr. ` R J
TYPE OF PERMITTED OPERATION BEING MONITORED
1 cf^i(.(S r'C.- DtULti` County (3(cZ
■ Lagoon ■ Remediation: Infiltration Gallery
Contact Person: I (� c!. 1N-VN- Telephone#: PS.?-a35-49OJ
Er Spray Field • Remediation:
• Rotary Distributor • Land Application of Sludge
Well Location/Site Name: LL2,1 I No. of wells to be sampled: (.-{
• Water Source Heat Pump • Other:
(from Permit)
SAMPLING INFORMATION
FIELD ANALYSES:
pH imam•st units Temp. 00o1o: I -1 °C
If WELL
WAS
DRY at
time of
sampling,
check
WELL ID NUMBER (from Permit): (�h CO - 5 Date sample collected: (i (ct 117
Well Depth: d ft. Well Diameter: a in.
Depth to Water Level 82546: `R,st-i ft. below measuring point Screened Interval: ft. to ft. Spec. Cond. 00094: µMhos
MeasuringPoint is 3 ft. above land surface Relative M.P. Elevation: ft. Odor 00085:
Volume of water pumped/bailed before sampling: cj•( gallons Appearance
here:
Samples for metals were collected unfiltered: • YES ■ NO and field acidified: • YES ■ NO
LABORATORY INFORMATION
Certification No.
Date sample analyzed: -1 I Ici I I) - / -Ito Laboratory Name: ^ V+'I'c-rr v ( -
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. .
COD 00335 mg/L Nitrite (NO2) as N 00615 mg/L Pb - Lead o1051 ug/L
Coliform: MF Fecal 31616 L, 1 /100mL Nitrate (NO3) as N 00620 G t-fS mg/L Zn - Zinc olosz mg/L
Coliform: MF Total 31504 /100mL Phosphorus: Total as P 00665 G. (:), C)C- I mg/L
Other (Specify Compounds and Concentration Units):
(Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L
Dissolved Solids:Total 70300 CC mg/L Al -Aluminum o11os mg/L
pH (Lab) 00403 units Ba - Barium 01007 ug/L RFCE J1,
TOC 00680 ', sa mg/L Ca - Calcium oosls • mg/L Q �®
Chloride 00940 mg/L Cd - Cadmium 01027 ug/L SEP g — 9n1,5
_ __ Arsenic 01002 - -- - - -- ug/L - - -- - Chromium: Total 01034 -- . ug/L - 1Rfn
rmaGrease_and
Oils_oo5s2__ .-__-.__ __- _ --- ___
_ - - mg/L- - - -- Cu�- Copper01oa2=- -- ---- -- � °mg/L�
�- •' • ��.. • — —
ORGANICS -
(Specify test and method #. ATTACH LAB REPORT.)
Phenol 32730 ug/L Fe - Iron 01045 ug/L
Sulfate 00945 mg/L Hg - Mercury 71900 ug/L
Lab Report Attached? • Yes (1) • No (0)
VOC 78732: , method #
Specific Conductance 00095 µMhos K - Potassium 00937 mg/L
Total Ammonia 0os10 C. GS mg/L Mg - Magnesium 00927 mg/L , method #
(Ammonia Nitrogen; NH3as N; Ammonia Nitrogen, Total) - Mn -Manganese 01055 ug/L ,method #
TKN as N 00625 mg/L Ni - Nickel 01067 ug/L , method-#
edtation Systems Only (Attach Lab Reports):
mg/L VOC Removal%
1certifythae o the be -St- of my;kr)o dgear)dbelief 1pe t orrnation suh itfediath �. re o is true accurate and;com ete''and thatf'e.laborato ,a al ical:data:waslM -U '"' ov '" '
..;, Px p ro r ,-,� roduced"using ap roved methods of analysis"bya r
• r i l to y e: � # � � i ns... a.
f- 3z
<3�iVQ;certifiectlaboratory:� team,awarethat°ahere'are sigriificant'penaltiesyfor; submitting'fiafse;ipfor�nationonclirdingtFiepossibilif� of fines.andimpr(onmept"fon.knowingeviolaUons:
S 44'4'4102- C3ar,4
Permittee (or Authorized Agent) Name and Title - Please it or type
GW-59 Rev. 2/2010
nfluent Total VOCs:
mg/L Effluent Total VOCs:
Signature of Permittee or A horized Agent)