WQ0003090_Monitoring - 11-2021_20220527 (2)

DWR - NonDischarge Monitoring Report Submittal y. •4 ..
NORTH CAROLINA
Enrlranmenlel QHaflly
Monitoring Report Submittal
..............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
Permit Number#* WQ0003090
Name of Facility:* Town of Liberty WWTP
Month:* November Year:* 2021
Report Information
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR new nov spray report 4.1MB
2021.pdf
PDF Only
GW-59 new nov gw 59 2021.pdf 3.3MB
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:* Elix Fike
Signature:
Date of submittal: 5/27/2022
This will be filled in automatically

Initial Review
Reviewer: Gerald,Wanda
Is the project number correct?* WQ0003090
Is the monitoring report accepted?* Yes No
Regional Office* Winston-Salem
Accepted Date: 6/20/2022

SUBMIT FORM ON YELLOW PAPER ONLY
Mail original DEPARTMENT OF ENVIRONMENTAL(QUALITY--DIV_OF WATER RESOURCES
GROUNDWATER QUALITY MONITORING: INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM and 1 °py °' 1617 MAIL SERVICE CENTER,RALEIGH,NC 27699-1617
FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date: 8/31/2024
Facility Name: Town of Liberty WWTP Non-Discharge WO0003090 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
0 Spray Field ❑Remediation:
Contact Person: Tremaine Pike Telephone#: [phone] CI Rotary Distributor ❑Land Application of Sludge
Well Location/Site Name: MW 2 No.of wells to be sampled: 5 ❑ Water Source Heat Pump ❑Other:
(from Permit)
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): MW 2 Date sample collected: 11/15/2021 FIELD ANALYSES: WAS
Well Depth: 30.40 ft. Well Diameter: 2 in. pH 00400: 6.22 units Temp.00o10: 17.4 oC DRY at
Depth to Water Level 82546:6.48 ft.below measuring point Screened Interval: ft. to ft. Spec.Cond.00094: µMhos time of
sampling,
Measuring Point is 2 ft,above land surface Relative M.P.Elevation: ft. Odor 00085: check
Volume of water pumped/bailed before sampling: 2.00 gallons Appearance Clear here:
Samples for metals were collected unfiltered: ❑YES Ei NO and field acidified: ❑YES L NO
LABORATORY INFORMATION
Date sample analyzed:11/15/2021 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 oasis mg/L Pb-Lead oios1 ug/L
Coliform:MF Fecal 31616 ND /100mL Nitrate(NO3)as N 00620 0.21 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):
Dissolved Solids:Total 70300 ND mg/L Al-Aluminum o1105 mg/L
pH(Lab)00403 units Ba-Barium 01007 ugiL
TOC oosso ND mg/L Ca-Calcium 00s16 mg/L
Chloride 00940 2.6 mg/L Cd-Cadmium 01027 ug/L
Arsenic 01002 ug/L Chromium:Total 01034 ugiL
Grease and Oils 00552 mg/L Cu-Copper 01042 mg/L ORGANICS:(by GC,GC/MS,HPLC)
Phenol 32730 ug/L Fe-Iron 01045 ugiL (Specify test and method#.ATTACH LAB REPORT.)
Sulfate 00945 mg/L Hg-Mercury 71900 ugiL Lab Report Attached? Yes(1) El No(0)
Specific Conductance 00095 µMhos K-Potassium 00937 mg/L VOC 7873 method# EPA 8260D
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 ugiL ,method#
For Remediation Systems Only(Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
r o ,is.r; ,
�:cep[ �Mat�`tiie3��af.myktxledgc and.be6et,the mfo?matton�uGrrulteo�n'tl�ts�as2�+s�'t?ea�tac..add coRlF1_[e,aiid3hat the JaboraSoiyana[}fical data�.+-a�rodetced'us�rgappravecf methodstrfarralYs[sbya
a:_r; =_ .aware ; fi n l es or:submitting including the �offiinesandim risonmentforknowtngviolations
O�e,,�iftact laboratory (�rp �hatth8�aa,�ttt t�Lit Ra�h>f � l ,. __- ........ 9_.. possibility P _.. : '.: . . ;�
Scoff Kidd Town Manager '7
Perm ittee(or Authorized Agent)Name and Title-Please print or type Sig at a rmittee(or Authorized gent) ( -te)
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: INFORMATION PROCESSING UNIT
cCOMPLIANCE REPORT FORM py
and I ° 1617 MAIL SERVICE CENTER,RALEIGH,NC 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 0 Remediation:Infiltration Gallery
❑■ Spray Field ❑Remediation:
Contact Person: Tremaine Fike Telephone#: [phone] 0 Rotary Distributor 0 Land Application of Sludge
Well Location/Site Name: MW 4 No.of wells to be sampled: 5 ❑ Water Source Heat Pump 0 Other:
(from Perna)
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): MW 4 Date sample collected: 11/15/2021 FIELD ANALYSES: WAS
Well Depth: 30.63 ft. Well Diameter: 2 in. pH 00400: 6.39 units Temp.00010: 17.6 °C DRY at
Mhos time of
Depth to Water Level 32546:10.25 ft.below measuring point Screened Interval: ft. to _ft. Spec.Cond.00094: µ sampling,
Measuring Point is 2 ft.above land surface Relative M.P.Elevation: ft. Odor 00085: check
Volume of water pumped/bailed before sampling: 2.75 gallons Appearance Clear here:
Samples for metals were collected unfiltered: ❑YES ❑i NO and field acidified: 0 YES OO NO
LABORATORY INFORMATION
Date sample analyzed:11/15/2021 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 01051 ug/L
Conform:MF Fecal 31616 ND /100mL Nitrate{NO3}as N 00620 0.37 mg/L Zn-Zinc o1092 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):
Dissolved Solids:Total 70300 48.0 mg/L Al-Aluminum 01105 mg/L
pH(Lab)00403 units Ba-Barium 01007 ug/L
TOC 00680 ND mg/L Ca-Calcium 00916 mg/L
Chloride 00940 10.1 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) 0 No(0)
Specific Conductance 00095 µMhos K-Potassium 00937 mg/L VOC 7873 ,method# EPA 8260D
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%
that
, g _ this ztru and
complete
l t al .: p : f analysis.
1 cep ShaY.ao the best of my knowledge and belief,the:InFormauon submitted in this report is�.te,accurate.and_omplete.ano�ihat�e tabpra�ry'ana p'tiCa data was using approved methods o by a..
DWR-certifigd laboratory_.Iam aware that there are significant penaltiesforsubmittingfalseinfermation_includingtfepossibility'offines:andimpnsonmentforknowing:violations..
- Lila(
Scott Kidd Town Manager 2
Perm ittee(or Authorized Agent)Name and Title-Please print or type Si aiSe of ermittee(or Authorized Agent) (Date)
GW 59 Rev.06-07-2018

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING: tltlaii:or'rgi o' DEPARTMENT OFINENVIRONMENTAL
ORRMMA'TrION Ro ESSt G UNI oF WATER REst?UReES
T
id 1 copy to
COMPLIANCE REPORT FORM 1617 MAIL SERVICE CENTER,RALEIGH,NC 27699-1617
FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date: 8/31/2024
Facility Name: Town of Liberty WWTP Non-Discharge W00003090 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
❑■ Spray Field ❑Remediation:
Contact Person: Tremaine Fike Telephone#: [phone] ❑ Rotary Distributor ❑Land Application of Sludge
Well Location/Site Name: MW 5 No.of wells to be sampled: 5 ❑ Water Source Heat Pump E Other:
(from Permit)
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): MW 5 Date sample collected: 11/15/2021 FIELD ANALYSES: WAS
Well Depth: 27.15 ft. Well Diameter: 2 in. pH 00400: 6.27 units Temp.0001o: 17.8 °C DRY at
Mhos time of
Depth to Water Level 82546:15.99 ft.below measuring point Screened Interval: ft. to ft. Spec.Cond.00094: u sampling,
Measuring Point is 2 ft.above land surface Relative M.P.Elevation: ft. Odor 00085: check
Volume of water pumped/bailed before sampling: 4.5 gallons Appearance Clear here:!
Samples for metals were collected unfiltered: ❑YES It NO and field acidified: ❑YES ❑i• NO
LABORATORY INFORMATION
Date sample analyzed:11/15/2021 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 01051 ug/L
Coliform:MF Fecal 31616 ND /100mL Nitrate(NO3)as N 00620 0.83 mg/L Zn-Zinc 01092 mg/L
Coliform:MF Total 31504 /100mL Phosphorus:Total as P 00665 0.11 mg/L
(Note; Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other(Specify Compounds and Concentration Units):
Dissolved Solids:Total 70300 220 mg/L Al-Aluminum o1105 mg/L
pH(Lab)00403 units Ba-Barium 01007 ug1L
TOC 00680 2.3 mg/L Ca-Calcium 00916 mg/L
Chloride 00940 45.8 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? It Yes(1) ElNo(0)
Specific Conductance 00095 I.Mhos K-Potassium 00937 mg/L VOC 7873 ,method# EPA 8260D
Total Ammonia o0610 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%
t..eartif`�that:'totha best of niy kng�tr[edap and b�tief the infcirmatioa:submtt ed in ths�rePdrt;�truea accurate_�ricl cor?ipleTe,aiid Ehat the iatioratory attaiyj�cal data�vas,producediu5ing apP[�ued methods�f ariaiysis by a
OWP-certified`laboiato7y I am aware that there are significant penalties:for'submitting'false information including the possibility o€fines- `"
and imprisonment for)towing violations .. .;:
- fl�-Scott Kidd Town Manager ( �` �
Permittee(or Authorized Agent)Name and Title-Please print or type Signature of rmittee(or Authorized Agent) (date) I.
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: INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM and 1 COp�tO 1617 MAIL SERVICE CENTER,:RALEIGH,NC27599-1817
FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date: 8/31/2024
Facility Name: Town of Liberty WWTP Non-Discharge W00003090 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
0 Spray Field ❑Remediation:
Contact Person: Tremaine Fike Telephone#: [phone] ❑ Rotary Distributor ❑Land Application of Sludge
Well Location/Site Name: MW 6 No.of wells to be sampled: 5 ❑ Water Source Heat Pump ❑Other:
(from Permit)
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): MW 6 Date sample collected: 11/15/2021 FIELD ANALYSES: WAS
Well Depth: 30 ft. Well Diameter: 2 in. pH 00400: 6.41 units Temp.00o10: 17.8 °C DRY at
Mfios time of
Depth to Water Level 82546:15.13 ft.below measuring point Screened Interval: ft. to ft. Spec.Cond.00094: µ sampling,
Measuring Point is 2 ft.above land surface Relative M.P.Elevation: ft. Odor 00085: check
Volume of water pumped/bailed before sampling: 2.5 gallons Appearance Clear here:
Samples for metals were collected unfiltered: ❑YES NO and field acidified: ❑YES X NO
LABORATORY INFORMATION
Date sample analyzed:11/15/2o21 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 o1051 ug/L
Coliform:MF Fecal 31616 ND /100mL Nitrate(NO3)as N 00620 0.57 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 68 mg/L Al-Aluminum 01105 mg/L
pH(Lab)00403 units Ba-Barium 01007 uglL
TOC 00680 ND mg/L Ca-Calcium 00916 mg/L
Chloride 00940 5.2 mg/L Cd-Cadmium 01027 ug/L
Arsenic a10o2 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 uglL Fe-Iron 01045 ug/L (Specify test and method#.ATTACH LAB REPORT.)
Sulfate 00945 mg/L Hg-Mercury 71900 uglL Lab Report Attached? El Yes(1) ❑ No(0)
Specific Conductance 00095 µMhos K-Potassium 00937 mg/L VOC 7873 ,method# EPA 8260D
Total Ammonia 00610 ND mg/L Mg-Magnesium 00927 mg/L ,method#
(Ammonia Nitrogen;NH3as N;Ammonia Nitrogen,Total) Mn-Manganese 01055 uglL ,method#
TKN as N 00625 mg/L Ni-Nickel 01067 uglL ,method#
For Remediation Systems Only(Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
knowledge and belief the information submitted in this report is true,accurate,and complete and that the laboratory analytical data was produced.using approved methodsafanalysis bya
t certify that to the best of my p ... p
DWR-certified Laboratory;: I am aware that there are significant penalties for submitting false information including the possibility:of fines and imprisonment for knowing violations.:
Scoft Kidd Town Manager 7,1
, 9y� — t-iti 1!
Permittee(or Authorized Agent)Name and Title-Please print or type Sr n of Permatee(or Auth rized Agent) ( ate)
GW-59 Rev.06-07-2018

SUBMIT FORM ON YELLOW PAPER ONLY
Mail original DEPARTMENT OF ENVIRONMENTAL QUALITf-DIV.OF WATER RESOURCES
GROUNDWATER QUALITY MONITORING: INFORMATION PROCESSING UNIT
andCOMPLIANCE REPORT FORM �copy't 1617 MAIL SERVICE CENTER RALEIGH,NC 27699-1617
FACILITY INFORMATION P/ease 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 0 Lagoon ❑Remediation:Infiltration Gallery
0 Spray Field ❑Remediation:
Contact Person: Tremaine Fike Telephone#: [phone] ❑ Rotary Distributor 0 Land Application of Sludge
Well Location/Site Name: MW 7 No.of wells to be sampled: 5 0 Water Source Heat Pump 0 Other:
(from Permit)
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): MW 7 Date sample collected: 11/15/2021 FIELD ANALYSES: WAS
Well Depth: 27.20 ft. Well Diameter: 2 in. pH 00400: 6,33 units Temp.00010: 17,7 °C DRY at
Depth to Water Level 82546:16.86 ft.below measuring point Screened Interval: ft. to ft. Spec.Cond.00094: µMhos time of
sampling,
Measuring Point is 2 ft.above land surface Relative M.P.Elevation: ft. Odor 00085: check
Volume of water pumped/bailed before sampling: 3.25 gallons Appearance Clear here: 1
Samples for metals were collected unfiltered: 0 YES D NO and field acidified: 0 YES I NO
LABORATORY INFORMATION
Date sample analyzed:11/15/2021 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 01051 ugiL
Coliform:MF Fecal 31616 ND /100mL Nitrate(NO3)as N 00620 0.95 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):
Dissolved Solids:Total 70300 79 mg/L Al-Aluminum a11o5 mg/L
pH(Lab)00403 units Ba-Barium 01007 ugiL
TOC 00680 ND mg/L Ca-Calcium 00916 mg/L
Chloride 00940 18.9 mg/L Cd-Cadmium 01027 ug/L
Arsenic 01002 ugiL Chromium:Total 01034 ugiL
Grease and Oils 00552 mg/L Cu-Copper 01042 mg/L ORGANICS:(by GC,GC/MS,HPLC)
Phenol 32730 ug1L Fe-Iron 01045 ug/L (Specify test and method#.ATTACH LAB REPORT.)
Sulfate 00945 mg/L Hg-Mercury 71900 ugiL Lab Report Attached? 0 Yes(1) 0 No(0)
Specific Conductance 00095 }Mhos K-Potassium 00937 mg/L VOC 7873 ,method# EPA 8260D
Total Ammonia 00610 ND mg/L Mg-Magnesium 00927 mg/L ,method#
(Ammonia Nitrogen;NI- 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%
t certify that to the best ofmy knowledge and belief the information submitted in this reports true,accurate;and complete and that the laboratory analytical data was produced using approved methods of analysis by a
DW?i-certified`laboratory_,l am aware that there are significant penalties for submitting false information,including the possibility of ones and imprisonment for knowing:violations
Scott Kidd Town Manager J / t rr -2 i
Permittee(or Authorized Agent)Name and Title-Please print or type Signal re'bf fermittee(or Authorized Agent) C ate)
GW-59 Rev.06-07-2018

(WV-59A PLIANCE REPOR'1111" F()U Mi Permit if WQ0003090
(Submit Urn'each noon' i op period wide (r P1/-.5 fiirm,0
I Enter date monitoring results were due.(12/ 1/2021 ) Will this monitoring report(GW-59 and GW-59A) YES NO
be submitted after the established due date?
X
2 Was any required information missing on the GW-59 report forms? YES NO
X
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.
3 Are any of the monitor wells in need of repair or maintenance(damaged casing,unlocked or missing cap,missing YES NO
identification plate,area overgrown,etc.)?If the answer is "Yes",contact the Regional Office for guidance.
X
4 Are any monitored constituents equal to or above the established standards? YES Isi?
If the answer to question 4 is"NO", skip to section 8.
If the answer to question 4 is"YES"list the affected wells individually with constituent(s)and concentration(s)
exceeding standards in the space provided below:
5 For the constituents identified in question 4 above,have standards been exceeded previously for the YES NO
same constituent(s)in the same well(s)in the last two years?
If the answer to question 5 is"NO", skip to section 8.
If the answer to question 5 is"YES",list in the space provided below,each well with constituent(s)exceeding
standards, concentration(s)reported, and sample collection date for each occurrence(for the last two years).
6 Are the monitoring wells listed in section 5 located at or beyond the review boundary? YES NO
If the answer is"YES",a groundwater quality problem may be occurring. CONTACT THE REGIONAL
OFFICE IMMEDIATELY FOR GUIDANCE.If the answer is"NO",monitoring wells may be improperly
located;contact the Regional Office.
7 Is the permittee implementing previously approved actions required by the Division involving this YES NO
groundwater quality problem?
If the answer to question 7 is"YES", describe those actions in the space provided below.
If the answer to question 7 is"NO",contact the Regional Office within 90 days;an evaluation may he
required to determine the impact the waste disposal system is having at the review and compliance
boundaries surrounding this facility. Failure to do so may subject the permittee to a Notice of Violation,
tines,and/or penalties.
8 The person completing this portion(GW-59A)of the monitoring report should sign 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 Report GW-59A)is true and complete to the best of my knowledge.
/2( Z-
Signature o Permittee(or Authorized A ent) Da
(AV-59A 0 2/8/2093

GROUNDWATER MONITORING FIELD LOG
Personnel Present COMMENTS:
Facility Town of Liberty
11/15/21 Glenn Price
Weather Clear 42°F Date
Nion.itdrbig Well Xo... : .:. : :::IN I W.2•: - : iVINN;-4:: :: :: :-:NiNV:5.:::::: :: ::: MivNi.;.6,1 :: : .:. ::Ivi W-1::-:: ::::-:: :::: :: :.':Eft:*
'::: .':' :-:. : .: : . .: ' :.-: :: : '':' :.:: -:: ' '':'' :::- '-:' - .. '' '. ' '' '. '. :. -'.:*: : '••.:'• :::: :-: :.': :
Total Depth(FT.) 30.40 30.63 27.15 30.00 27.20
Surface Depth(FT.) 23.92 20.38 11.16 14.87 10.34
_ .
Water Depth(FT.) 6.48 10.25 15.99 15.13 16.86
. -
Diameter (IN.) -,,,
- - , 1., 1,, 2"
Conversion Factor 0.16 0.16 0.16 0.16 0.16
Well Volume(GAL..) 1.34 1.64 2.56 2.42 2.70
Volume(GM..) X 3 3.11 4.92 7.68 7.26 8.09
. .. ..#Bails(I..)
13 20 31 30 33
_
Purge Date 11/15/21 11/15/21 11/15/21 11/15/21 11/15/21
Purge Time(hrs.) 0852 0928 0947 0828 1029
Purge Method Bailer Bailer Bailer Bailer Bailer
Volume Removed(GM-) 2.00-Dry 2.75-Dry 4.50-Dry 2.50-Dry 3.25-Dry
Sampling Date 11/15/21 11/15/21 11/15/21 11/15/21 11/15/21
Sampling Time(hrs.) 0909 0940 0959 0844 1041
, ..
Sampling Method Bailer Bailer Bailer Bailer Bailer Grab
cal(Standard Units) 6.22 6.39 6.27 6.41 6.33
Temperature(EC) 17.4 17.6 17.8 17.8 17.7
Conductivity(pmhos/cm)
Dissolved Oxygen(ng/I.)
Observations/Sampling -
Clear Clear Clear Clear Clear

Pace Analytical Services,LLC
aceAnalytical q 1377 South Park Drive
Kernersville,NC 27284
www.pacelabs.com
� [phone]
Page 1 of 7
Laboratory Report
Tremaine Fike Report Date: 12/02/2021
Town of Liberty Date Received: 11/15/2021
PO Box 1006
Liberty, NC 27298
Project: Town of Liberty
Pace Project No.:92572425
Sample: MW-2 Lab ID: 92572425001 Collected: 11/15/21 09:09 Matrix: Water
Method Parameters Results Units Report Limit Analyzed Qualifiers
SM 2540C-2015 Total Dissolved Solids ND mg/L 25.0 11/16/21 12:03
EPA 350.1 Rev 2.0 1993 Nitrogen,Ammonia ND mg/L 0.10 11/18/21 14:07
EPA 353.2 Rev 2.0 1993 Nitrogen,Nitrate 0.21 mg/L 0.040 11/16/21 09:23
SM 9222D-2015 Fecal Coliforms ND CFU/100 mL 1.0 11/16/21 15:25
EPA 8260D Acetone ND ug/L 25.0 11/17/21 02:26
EPA 8260D Benzene ND ug/L 1.0 11/17/21 02:26
EPA 8260D Bromobenzene ND ug/L 1.0 11/17/21 02:26
EPA 8260D Bromochloromethane ND ug/L 1.0 11/17/21 02:26
EPA 8260D Bromodichloromethane ND ug/L 1.0 11/17/21 02:26
EPA 8260D Bromoform ND ug/L 1.0 11/17/21 02:26
EPA 8260D Bromomethane ND ug/L 2.0 11/17/21 02:26
EPA 8260D 2-Butanone(MEK) ND ug/L 5.0 11/17/21 02:26
EPA 8260D Carbon tetrachloride ND ug/L 1.0 11/17/21 02:26
EPA8260D Chlorobenzene ND ug/L 1.0 11/17/21 02:26
EPA 8260D Chloroethane ND ug/L 1.0 11/17/21 02:26
EPA 8260D Chloroform ND ug/L 1.0 11/17/21 02:26
EPA 8260D Chloromethane ND ug/L 1.0 11/17/21 02:26
EPA 8260D 2-Chlorotoluene ND ug/L 1.0 11/17/21 02:26
EPA 8260D 4-Chlorotoluene ND ug/L 1.0 11/17/21 02:26
EPA8260D 1,2-Dibromo-3-chloropropane ND ug/L 2.0 11/17/21 02:26
EPA8260D Dibromochloromethane ND ug/L 1.0 11/17/21 02:26
EPA 8260D 1,2-Dibromoethane(EDB) ND ug/L 1.0 11/17/21 02:26
EPA 8260D Dibromomethane ND ug/L 1.0 11/17/21 02:26
EPA8260D 1,2-Dichlorobenzene ND ug/L 1.0 11/17/21 02:26
EPA8260D 1,3-Dichlorobenzene ND ug/L 1.0 11/17/21 02:26
EPA8260D 1,4-Dichlorobenzene ND ug/L 1.0 11/17/21 02:26
EPA 8260D Dichlorodifluoromethane ND ug/L 1.0 11/17/21 02:26
EPA8260D 1,1-Dichloroethane ND ug/L 1.0 11/17/21 02:26
EPA8260D 1,2-Dichloroethane ND ug/L 1.0 11/17/21 02:26
EPA8260D 1,1-Dichloroethene ND ug/L 1.0 11/17/21 02:26
EPA 82600 cis-1,2-Dichloroethene ND ug/L 1.0 11/17/21 02:26
EPA 8260D trans-1,2-Dichloroethene ND ug/L 1.0 11/17/21 02:26
EPA8260D 1,2-Dichloropropane ND ug/L 1.0 11/17/21 02:26
EPA8260D 1,3-Dichloropropane ND ug/L 1.0 11/17/21 02:26
EPA 8260D 2,2-Dichloropropane ND ug/L 1.0 11/17/21 02:26
EPA8260D 1,1-Dichloropropene ND ug/L 1.0 11/17/21 02:26
EPA 8260D cis-1,3-Dichloropropene ND ug/L 1.0 11/17/21 02:26
EPA 8260D trans-1,3-Dichloropropene ND ug/L 1.0 11/17/21 02:26
EPA 8260D Diisopropyl ether ND ug/L 1.0 11/17/21 02:26
EPA 8260D Ethylbenzene ND ug/L 1.0 11/17/21 02:26
EPA 8260D Hexachloro-1,3-butadiene ND ug/L 2.0 11/17/21 02:26 v2
EPA 8260D 2-Hexanone ND ug/L 5.0 11/17/21 02:26 Page 1 of 9

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Sample: MW-2 Lab ID: 92572425001 Collected: 11/15/21 09:09 Matrix: Water
Method Parameters Results Units Report Limit Analyzed Qualifiers
EPA 8260D p-lsopropyltoluene ND ug/L 1.0 11/17/21 02:26
EPA 8260D Methylene Chloride ND ug/L 5.0 11/17/21 02:26
EPA 8260D 4-Methyl-2-pentanone(MIBK) ND ug/L 5.0 11/17/21 02:26
EPA 8260D Methyl-tert-butyl ether ND ug/L 1.0 11/17/21 02:26
EPA 8260D Naphthalene ND ug/L 1.0 11/17/21 02:26
EPA 8260D Styrene ND ug/L 1.0 11/17/21 02:26
EPA8260D 1,1,1,2-Tetrachloroethane ND ug/L 1.0 11/17/21 02:26
EPA8260D 1,1,2,2-Tetrachloroethane ND ug/L 1.0 11/17/21 02:26
EPA8260D Tetrachloroethene ND ug/L 1.0 11/17/21 02:26
EPA 8260D Toluene ND ug/L 1.0 11/17/21 02:26
EPA8260D 1,2,3-Trichlorobenzene ND ug/L 1.0 11/17/21 02:26
EPA 8260D 1,2,4-Trichlorobenzene ND ug/L 1.0 11/17/21 02:26
EPA 8260D 1,1,1-Trichloroethane ND ug/L 1.0 11/17/21 02:26
EPA8260D 1,1,2-Trichloroethane ND ug/L 1.0 11/17/21 02:26
EPA 8260D Trichloroethene ND ug/L 1.0 11/17/21 02:26
EPA 8260D Trichlorofluoromethane ND ug/L 1.0 11/17/21 02:26
EPA8260D 1,2,3-Trichloropropane ND ug/L 1.0 11/17/21 02:26
EPA 8260D Vinyl acetate ND ug/L 2.0 11/17/21 02:26
EPA 8260D Vinyl chloride ND ug/L 1.0 11/17/21 02:26
EPA 8260D Xylene(Total) ND ug/L 1.0 11/17/21 02:26
EPA 8260D m&p-Xylene ND ug/L 2.0 11/17/21 02:26
EPA8260D o-Xylene ND ug/L 1.0 11/17/21 02:26
EPA 300.0 Rev 2.1 1993 Chloride 2.6 mglL 1.0 11/18/21 02:58
EPA 365.1 Rev 2.0 1993 Phosphorus ND mg/L 0.050 12/01/21 18:40
SM 5310B-2014 Total Organic Carbon ND mg/L 1.0 11/17/21 23:36
Sample: MW-4 Lab ID: 92572425002 Collected: 11/15/21 09:40 Matrix: Water
Method Parameters Results Units Report Limit Analyzed Qualifiers
SM 2540C-2015 Total Dissolved Solids 48.0 mg/L 25.0 11/16/21 12:03
EPA 350.1 Rev 2.0 1993 Nitrogen,Ammonia ND mg/L 0.10 11/18/21 14:11
EPA 353.2 Rev 2.0 1993 Nitrogen,Nitrate 0.37 mg/L 0.040 11/16/21 09:24
SM 9222D-2015 Fecal Coliforms ND CFU/100 mL 1.0 11/16/21 15:25
EPA 8260D Acetone ND ug/L 25.0 11/17/21 02:45
EPA8260D Benzene ND ug/L 1.0 11/17/21 02:45
EPA8260D Bromobenzene ND ug/L 1.0 11/17/21 02:45
EPA8260D Bromochloromethane ND ug/L 1.0 11/17/21 02:45
EPA8260D Bromodichloromethane ND ug/L 1.0 11/17/21 02:45
EPA8260D Bromoform ND ug/L 1.0 11/17/21 02:45
EPA 8260D Bromomethane ND ug/L 2.0 11/17/21 02:45
EPA 8260D 2-Butanone(MEK) ND ug/L 5.0 11/17/21 02:45
EPA 8260D Carbon tetrachloride ND ug/L 1.0 11/17/21 02:45
EPA 8260D Chlorobenzene ND ug/L 1.0 11/17/21 02:45
EPA 8260D Chloroethane ND ug/L 1.0 11/17/21 02:45
EPA8260D Chloroform ND ug/L 1.0 11/17/21 02:45
EPA 8260D Chloromethane ND ug/L 1.0 11/17/21 02:45
EPA 8260D 2-Chlorotoluene ND ug/L 1.0 11/17/21 02:45
EPA 8260D 4-Chlorotoluene ND ug/L 1.0 11/17/21 02:45
EPA 8260D 1,2-Dibromo-3-chloropropane ND ug/L 2.0 11/17/21 02:45
EPA 8260D Dibromochloromethane ND ug/L 1.0 11/17/21 02:45
EPA 8260D 1,2-Dibromoethane(EDB) ND ug/L 1.0 11/17/21 02:45
EPA 8260D Dibromomethane ND ug/L 1.0 11/17/21 02:45
EPA8260D 1,2-Dichlorobenzene ND ug/L 1.0 11/17/21 02:45
EPA8260D 1,3-Dichlorobenzene ND ug/L 1.0 11/17/21 02:45
EPA8260D 1,4-Dichlorobenzene ND ug/L 1.0 11/17/21 02:45
EPA 8260D Dichlorodifluoromethane ND ug/L 1.0 11/17/21 02:45
EPA 8260D 1,1-Dichloroethane ND ug/L 1.0 11/17/21 02:45
EPA 8260D 1,2-Dichloroethane ND ug/L 1.0 11/17/21 02:45
EPA8260D 1,1-Dichloroethene ND ug/L 1.0 11/17/21 02:45 Page 2 of 9

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Sample: MW-4 Lab ID: 92572425002 Collected: 11/15/21 09:40 Matrix: Water
Method Parameters Results Units Report Limit Analyzed Qualifiers
EPA 8260D cis-1,2-Dichloroethene ND ug/L 1.0 11/17/21 02:45
EPA 8260D trans-1,2-Dichloroethene ND ug/L 1.0 11/17/21 02:45
EPA8260D 1,2-Dichloropropane ND ug/L 1.0 11/17/21 02:45
EPA 8260D 1,3-Dichloropropane ND ug/L 1.0 11/17/21 02:45
EPA 8260D 2,2-Dichloropropane ND ug/L 1.0 11/17/21 02:45
EPA8260D 1,1-Dichloropropene ND ug/L 1.0 11/17/21 02:45
EPA8260D cis-1,3-Dichloropropene ND ug/L 1.0 11/17/21 02:45
EPA 8260D trans-1,3-Dichloropropene ND ug/L 1.0 11/17/21 02:45
EPA 8260D Diisopropyl ether ND ug/L 1.0 11/17/21 02:45
EPA8260D Ethylbenzene ND ug/L 1.0 11/17/21 02:45
EPA 8260D Hexachloro-1,3-butadiene ND ug/L 2.0 11/17/21 02:45 v2
EPA 8260D 2-Hexanone ND ug/L 5.0 11/17/21 02:45
EPA 8260D p-lsopropyltoluene ND ug/L 1.0 11/17/21 02:45
EPA 8260D Methylene Chloride ND ug/L 5.0 11/17/21 02:45
EPA 8260D 4-Methyl-2-pentanone(MIBK) ND ug/L 5.0 11/17/21 02:45
EPA 8260D Methyl-tert-butyl ether ND ug/L 1.0 11/17/21 02:45
EPA8260D Naphthalene ND ug/L 1.0 11/17/21 02:45
EPA 8260D Styrene ND ug/L 1.0 11/17/21 02:45
EPA8260D 1,1,1,2-Tetrachloroethane ND ug/L 1.0 11/17/21 02:45
EPA 8260D 1,1,2,2-Tetrachloroethane ND ug/L 1.0 11/17/21 02:45
EPA 8260D Tetrachloroethene ND ug/L 1.0 11/17/21 02:45
EPA 8260D Toluene ND ug/L 1.0 11/17/21 02:45
EPA8260D 1,2,3-Trichlorobenzene ND ug/L 1.0 11/17/21 02:45
EPA8260D 1,2,4-Trichlorobenzene ND ug/L 1.0 11/17/21 02:45
EPA8260D 1,1,1-Trichloroethane ND ug/L 1.0 11/17/21 02:45
EPA8260D 1,1,2-Trichloroethane ND ug/L 1.0 11/17/21 02:45
EPA 8260D Trichloroethene ND ug/L 1.0 11/17/21 02:45
EPA8260D Trichlorofluoromethane ND ug/L 1.0 11/17/21 02:45
EPA8260D 1,2,3-Trichloropropane ND ug/L 1.0 11/17/21 02:45
EPA 8260D Vinyl acetate ND ug/L 2.0 11/17/21 02:45
EPA 8260D Vinyl chloride ND ug/L 1.0 11/17/21 02:45
EPA 8260D Xylene(Total) ND ug/L 1.0 11/17/21 02:45
EPA 8260D m&p-Xylene ND ug/L 2.0 11/17/21 02:45
EPA 8260D o-Xylene ND ug/L 1.0 11/17/21 02:45
EPA 300.0 Rev 2.1 1993 Chloride 10.1 mg/L 1.0 11/18/21 03:14
EPA 365.1 Rev 2.0 1993 Phosphorus ND mg/L 0.050 12/01/21 18:42
SM 5310B-2014 Total Organic Carbon ND mg/L 1.0 11/17/21 23:53
Sample: MW-5 Lab ID: 92572425003 Collected: 11/15/21 09:59 Matrix: Water
Method Parameters Results Units Report Limit Analyzed Qualifiers
SM 2540C-2015 Total Dissolved Solids 220 mg/L 25.0 11/16/21 12:04
EPA 350.1 Rev 2.0 1993 Nitrogen,Ammonia ND mg/L 0.10 11/18/21 14:12
EPA 353.2 Rev 2.0 1993 Nitrogen,Nitrate 0.83 mg/L 0.040 11/16/21 09:25
SM 9222D-2015 Fecal Coliforms ND CFU/100 mL 1.0 11/16/21 15:25
EPA 8260D Acetone ND ug/L 25.0 11/17/21 03:03
EPA 8260D Benzene ND ug/L 1.0 11/17/21 03:03
EPA8260D Bromobenzene ND ug/L 1.0 11/17/21 03:03
EPA8260D Bromochloromethane ND ug/L 1.0 11/17/21 03:03
EPA 8260D Bromodichloromethane ND ug/L 1.0 11/17/21 03:03
EPA8260D Bromoform ND ug/L 1.0 11/17/21 03:03
EPA 8260D Bromomethane ND ug/L 2.0 11/17/21 03:03
EPA 8260D 2-Butanone(MEK) ND ug/L 5.0 11/17/21 03:03
EPA 8260D Carbon tetrachloride ND ug/L 1.0 11/17/21 03:03
EPA 8260D Chlorobenzene ND ug/L 1.0 11/17/21 03:03
EPA 8260D Chloroethane ND ug/L 1.0 11/17/21 03:03
EPA 8260D Chloroform ND ug/L 1.0 11/17/21 03:03
EPA 8260D Chloromethane ND ug/L 1.0 11/17/21 03:03
EPA 8260D 2-Chlorotoluene ND ug/L 1.0 11/17/21 03:03 Page 3 of 9

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Sample: MW-5 Lab ID: 92572425003 Collected: 11/15/21 09:59 Matrix: Water
Method Parameters Results Units Report Limit Analyzed Qualifiers
EPA 8260D 4-Chlorotoluene ND ug/L 1.0 11/17/21 03:03
EPA8260D 1,2-Dibromo-3-chloropropane ND ug/L 2.0 11/17/21 03:03
EPA8260D Dibromochloromethane ND ug/L 1.0 11/17/21 03:03
EPA 8260D 1,2-Dibromoethane(EDB) ND ug/L 1.0 11/17/21 03:03
EPA 8260D Dibromomethane ND ug/L 1.0 11/17/21 03:03
EPA 8260D 1,2-Dichlorobenzene ND ug/L 1.0 11/17/21 03:03
EPA8260D 1,3-Dichlorobenzene ND ug/L 1.0 11/17/21 03:03
EPA 8260D 1,4-Dichlorobenzene ND ug/L 1.0 11/17/21 03:03
EPA 8260D Dichlorodifluoromethane ND ug/L 1.0 11/17/21 03:03
EPA 8260D 1,1-Dichloroethane ND ug/L 1.0 11/17/21 03:03
EPA8260D 1,2-Dichloroethane ND ug/L 1.0 11/17/21 03:03
EPA8260D 1,1-Dichloroethene ND ug/L 1.0 11/17/21 03:03
EPA 8260D cis-1,2-Dichloroethene ND ug/L 1.0 11/17/21 03:03
EPA 8260D trans-1,2-Dichloroethene ND ug/L 1.0 11/17/21 03:03
EPA8260D 1,2-Dichloropropane ND ug/L 1.0 11/17/21 03:03
EPA8260D 1,3-Dichloropropane ND ug/L 1.0 11/17/21 03:03
EPA 8260D 2,2-Dichloropropane ND ug/L 1.0 11/17/21 03:03
EPA8260D 1,1-Dichloropropene ND ug/L 1.0 11/17/21 03:03
EPA 8260D cis-1,3-Dichloropropene ND ug/L 1.0 11/17/21 03:03
EPA8260D trans-1,3-Dichloropropene ND ug/L 1.0 11/17/21 03:03
EPA 8260D Diisopropyl ether ND ug/L 1.0 11/17/21 03:03
EPA 8260D Ethylbenzene ND ug/L 1.0 11/17/21 03:03
EPA 8260D Hexachloro-1,3-butadiene ND ug/L 2.0 11/17/21 03:03 v2
EPA 8260D 2-Hexanone ND ug/L 5.0 11/17/21 03:03
EPA 8260D p-lsopropyltoluene ND ug/L 1.0 11/17/21 03:03
EPA 8260D Methylene Chloride ND ug/L 5.0 11/17/21 03:03
EPA 8260D 4-Methyl-2-pentanone(MIBK) ND ug/L 5.0 11/17/21 03:03
EPA 8260D Methyl-tert-butyl ether ND ug/L 1.0 11/17/21 03:03
EPA8260D Naphthalene ND ug/L 1.0 11/17/21 03:03
EPA 8260D Styrene ND ug/L 1.0 11/17/21 03:03
EPA8260D 1,1,1,2-Tetrachloroethane ND ug/L 1.0 11/17/21 03:03
EPA8260D 1,1,2,2-Tetrachloroethane ND ug/L 1.0 11/17/21 03:03
EPA8260D Tetrachloroethene ND ug/L 1.0 11/17/21 03:03
EPA 8260D Toluene ND ug/L 1.0 11/17/21 03:03
EPA 8260D 1,2,3-Trichlorobenzene ND ug/L 1.0 11/17/21 03:03
EPA 8260D 1,2,4-Trichlorobenzene ND ug/L 1.0 11/17/21 03:03
EPA8260D 1,1,1-Trichloroethane ND ug/L 1.0 11/17/21 03:03
EPA8260D 1,1,2-Trichloroethane ND ug/L 1.0 11/17/21 03:03
EPA 8260D Trichloroethene ND ug/L 1.0 11/17/21 03:03
EPA8260D Trichlorofluoromethane ND ug/L 1.0 11/17/21 03:03
EPA8260D 1,2,3-Trichloropropane ND ug/L 1.0 11/17/21 03:03
EPA 8260D Vinyl acetate ND ug/L 2.0 11/17/21 03:03
EPA 8260D Vinyl chloride ND ug/L 1.0 11/17/21 03:03
EPA 8260D Xylene(Total) ND ug/L 1.0 11/17/21 03:03
EPA 8260D m&p-Xylene ND ug/L 2.0 11/17/21 03:03
EPA 8260D o-Xylene ND ug/L 1.0 11/17/21 03:03
EPA 300.0 Rev 2.1 1993 Chloride 45.8 mg/L 1.0 11/18/21 03:30
EPA 365.1 Rev 2.0 1993 Phosphorus 0.11 mg/L 0.050 12/01/21 18:43
SM 5310B-2014 Total Organic Carbon 2.3 mg/L 1.0 11/18/21 00:10
Sample: MW-6 Lab ID: 92572425004 Collected: 11/15/21 08:44 Matrix: Water
Method Parameters Results Units Report Limit Analyzed Qualifiers
SM 2540C-2015 Total Dissolved Solids 68.0 mg/L 25.0 11/16/21 12:04
EPA 350.1 Rev 2.0 1993 Nitrogen,Ammonia ND mg/L 0.10 11/18/21 14:14
EPA 353.2 Rev 2.0 1993 Nitrogen,Nitrate 0.57 mg/L 0.040 11/16/21 09:22
SM 9222D-2015 Fecal Coliforms ND CFU/100 mL 1.0 11/16/21 15:25
EPA 8260D Acetone ND ug/L 25.0 11/17/21 03:21
EPA 8260D Benzene ND ug/L 1.0 11/17/21 03:21 Page 4 of 9

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Sample: MW-6 Lab ID: 92572425004 Collected: 11/15/21 08:44 Matrix: Water
Method Parameters Results Units Report Limit Analyzed Qualifiers
EPA 8260D Bromobenzene ND ug/L 1.0 11/17/21 03:21
EPA 8260D Bromochloromethane ND ug/L 1.0 11/17/21 03:21
EPA 8260D Bromodichloromethane ND ug/L 1.0 11/17/21 03:21
EPA 8260D Bromoform ND ug/L 1.0 11/17/21 03:21
EPA 8260D Bromomethane ND ug/L 2.0 11/17/21 03:21
EPA 8260D 2-Butanone(MEK) ND ug/L 5.0 11/17/21 03:21
EPA 8260D Carbon tetrachloride ND ug/L 1.0 11/17/21 03:21
EPA 8260D Chlorobenzene ND ug/L 1.0 11/17/21 03:21
EPA8260D Chloroethane ND ug/L 1.0 11/17/21 03:21
EPA 8260D Chloroform ND ug/L 1.0 11/17/21 03:21
EPA 8260D Chloromethane ND ug/L 1.0 11/17/21 03:21
EPA 8260D 2-Chlorotoluene ND ug/L 1.0 11/17/21 03:21
EPA 8260D 4-Chlorotoluene ND ug/L 1.0 11/17/21 03:21
EPA 8260D 1,2-Dibromo-3-chloropropane ND ug/L 2.0 11/17/21 03:21
EPA 8260D Dibromochloromethane ND ug/L 1.0 11/17/21 03:21
EPA 8260D 1,2-Dibromoethane(EDB) ND ug/L 1.0 11/17/21 03:21
EPA 8260D Dibromomethane ND ug/L 1.0 11/17/21 03:21
EPA8260D 1,2-Dichlorobenzene ND ug/L 1.0 11/17/21 03:21
EPA8260D 1,3-Dichlorobenzene ND ug/L 1.0 11/17/21 03:21
EPA8260D 1,4-Dichlorobenzene ND ug/L 1.0 11/17/21 03:21
EPA8260D Dichlorodifluoromethane ND ug/L 1.0 11/17/21 03:21
EPA8260D 1,1-Dichloroethane ND ug/L 1.0 11/17/21 03:21
EPA8260D 1,2-Dichloroethane ND ug/L 1.0 11/17/21 03:21
EPA8260D 1,1-Dichloroethene ND ug/L 1.0 11/17/21 03:21
EPA 8260D cis-1,2-Dichloroethene ND ug/L 1.0 11/17/21 03:21
EPA8260D trans-1,2-Dichloroethene ND ug/L 1.0 11/17/21 03:21
EPA8260D 1,2-Dichloropropane ND ug/L 1.0 11/17/21 03:21
EPA8260D 1,3-Dichloropropane ND ug/L 1.0 11/17/21 03:21
EPA 8260D 2,2-Dichloropropane ND ug/L 1.0 11/17/21 03:21
EPA 8260D 1,1-Dichloropropene ND ug/L 1.0 11/17/21 03:21
EPA8260D cis-1,3-Dichloropropene ND ug/L 1.0 11/17/21 03:21
EPA8260D trans-1,3-Dichloropropene ND ug/L 1.0 11/17/21 03:21
EPA 8260D Diisopropyl ether ND ug/L 1.0 11/17/21 03:21
EPA8260D Ethylbenzene ND ug/L 1.0 11/17/21 03:21
EPA 8260D Hexachloro-1,3-butadiene ND ug/L 2.0 11/17/21 03:21 v2
EPA 8260D 2-Hexanone ND ug/L 5.0 11/17/21 03:21
EPA82600 p-lsopropyltoluene ND ug/L 1.0 11/17/21 03:21
EPA 8260D Methylene Chloride ND ug/L 5.0 11/17/21 03:21
EPA 8260D 4-Methyl-2-pentanone(MIBK) ND ug/L 5.0 11/17/21 03:21
EPA 8260D Methyl-tert-butyl ether ND ug/L 1.0 11/17/21 03:21
EPA8260D Naphthalene ND ug/L 1.0 11/17/21 03:21
EPA 8260D Styrene ND ug/L 1.0 11/17/21 03:21
EPA8260D 1,1,1,2-Tetrachloroethane ND ug/L 1.0 11/17/21 03:21
EPA8260D 1,1,2,2-Tetrachloroethane ND ug/L 1.0 11/17/21 03:21
EPA8260D Tetrachloroethene ND ug/L 1,0 11/17/21 03:21
EPA 8260D Toluene ND ug/L 1.0 11/17/21 03:21
EPA 8260D 1,2,3-Trichlorobenzene ND ug/L 1.0 11/17/21 03:21
EPA 8260D 1,2,4-Trichlorobenzene ND ug/L 1.0 11/17/21 03:21
EPA8260D 1,1,1-Trichloroethane ND ug/L 1.0 11/17/21 03:21
EPA8260D 1,1,2-Trichloroethane ND ug/L 1.0 11/17/21 03:21
EPA 8260D Trichloroethene ND ug/L 1.0 11/17/21 03:21
EPA8260D Trichlorofluoromethane ND ug/L 1.0 11/17/21 03:21
EPA8260D 1,2,3-Trichloropropane ND ug/L 1.0 11/17/21 03:21
EPA 8260D Vinyl acetate ND ug/L 2.0 11/17/21 03:21
EPA 8260D Vinyl chloride ND ug/L 1.0 11/17/21 03:21
EPA 8260D Xylene(Total) ND ug/L 1.0 11/17/21 03:21
EPA 8260D m&p-Xylene ND ug/L 2.0 11/17/21 03:21
EPA 8260D o-Xylene ND ug/L 1.0 11/17/21 03:21 Page 5 of 9

Pace Analytical Services,LLC
aceAnalytical© 1377 South Park Drive
Kernersville,NC 27284
www.pacelabs.com
[phone]
Page 6 of 7
Sample: MW-6 Lab ID: 92572425004 Collected: 11/15/21 08:44 Matrix: Water
Method Parameters Results Units Report Limit Analyzed Qualifiers
EPA 300.0 Rev 2.1 1993 Chloride 5.2 mg/L 1.0 11/18/21 03:46
EPA 365.1 Rev 2.0 1993 Phosphorus ND mg/L 0.050 12/01/21 18:44
SM 5310B-2014 Total Organic Carbon ND mg/L 1.0 11/18/21 00:28
Sample: MW-7 Lab ID: 92572425005 Collected: 11/15/21 10:41 Matrix: Water
Method Parameters Results Units Report Limit Analyzed Qualifiers
SM 2540C-2015 Total Dissolved Solids 79.0 mg/L 25.0 11/16/21 12:04
EPA 350.1 Rev 2.0 1993 Nitrogen,Ammonia ND mg/L 0.10 11/18/21 14:15
EPA 353.2 Rev 2.0 1993 Nitrogen,Nitrate 0.95 mg/L 0.040 11/16/21 09:33
SM 9222D-2015 Fecal Coliforms ND CFU/100 mL 1.0 11/16/21 15:25
EPA 8260D Acetone ND ug/L 25.0 11/17/21 03:39
EPA 8260D Benzene ND ug/L 1.0 11/17/21 03:39
EPA 8260D Bromobenzene ND ug/L 1.0 11/17/21 03:39
EPA 8260D Bromochloromethane ND ug/L 1.0 11/17/21 03:39
EPA8260D Bromodichloromethane ND ug/L 1.0 11/17/21 03:39
EPA 8260D Bromoforrn ND ug/L 1.0 11/17/21 03:39
EPA 8260D Bromomethane ND ug/L 2.0 11/17/21 03:39
EPA 8260D 2-Butanone(MEK) ND ug/L 5.0 11/17/21 03:39
EPA 8260D Carbon tetrachloride ND ug/L 1.0 11/17/21 03:39
EPA8260D Chlorobenzene ND ug/L 1.0 11/17/21 03:39
EPA8260D Chloroethane ND ug/L 1.0 11/17/21 03:39
EPA 8260D Chloroform ND ug/L 1.0 11/17/21 03:39
EPA 8260D Chloromethane ND ug/L 1.0 11/17/21 03:39
EPA8260D 2-Chlorotoluene ND ug/L 1.0 11/17/21 03:39
EPA8260D 4-Chlorotoluene ND ug/L 1.0 11/17/21 03:39
EPA8260D 1,2-Dibromo-3-chloropropane ND ug/L 2.0 11/17/21 03:39
EPA 8260D Dibromochloromethane ND ug/L 1.0 11/17/21 03:39
EPA 8260D 1,2-Dibromoethane(EDB) ND ug/L 1.0 11/17/21 03:39
EPA 8260D Dibromomethane ND ug/L 1.0 11/17/21 03:39
EPA8260D 1,2-Dichlorobenzene ND ug/L 1.0 11/17/21 03:39
EPA8260D 1,3-Dichlorobenzene ND ug/L 1.0 11/17/21 03:39
EPA8260D 1,4-Dichlorobenzene ND ug/L 1.0 11/17/21 03:39
EPA 8260D Dichlorodifluoromethane ND ug/L 1.0 11/17/21 03:39
EPA 8260D 1,1-Dichloroethane ND ug/L 1.0 11/17/21 03:39
EPA8260D 1,2-Dichloroethane ND ug/L 1.0 11/17/21 03:39
EPA 8260D 1,1-Dichloroethene ND ug/L 1.0 11/17/21 03:39
EPA8260D cis-1,2-Dichloroethene ND ug/L 1.0 11/17/21 03:39
EPA8260D trans-1,2-Dichloroethene ND ug/L 1.0 11/17/21 03:39
EPA8260D 1,2-Dichloropropane ND ug/L 1.0 11/17/21 03:39
EPA8260D 1,3-Dichloropropane ND ug/L 1.0 11/17/21 03:39
EPA8260D 2,2-Dichloropropane ND ug/L 1.0 11/17/21 03:39
EPA8260D 1,1-Dichloropropene ND ug/L 1.0 11/17/21 03:39
EPA8260D cis-1,3-Dichloropropene ND ug/L 1.0 11/17/21 03:39
EPA8260D trans-1,3-Dichloropropene ND ug/L 1.0 11/17/21 03:39
EPA 8260D Diisopropyl ether ND ug/L 1.0 11/17/21 03:39
EPA8260D Ethylbenzene ND ug/L 1.0 11/17/21 03:39
EPA 8260D Hexachloro-1,3-butadiene ND ug/L 2.0 11/17/21 03:39 v2
EPA 8260D 2-Hexanone ND ug/L 5.0 11/17/21 03:39
EPA8260D p-Isopropyltoluene ND ug/L 1.0 11/17/21 03:39
EPA 8260D Methylene Chloride ND ug/L 5.0 11/17/21 03:39
EPA 8260D 4-Methyl-2-pentanone(MIRK) ND ug/L 5.0 11/17/21 03:39
EPA 8260D Methyl-tert-butyl ether ND ug/L 1.0 11/17/21 03:39
EPA8260D Naphthalene ND ug/L 1.0 11/17/21 03:39
EPA8260D Styrene ND ug/L 1.0 11/17/21 03:39
EPA8260D 1,1,1,2-Tetrachloroethane ND ug/L 1.0 11/17/21 03:39
EPA 8260D 1,1,2,2-Tetrachloroethane ND ug/L 1.0 11/17/21 03:39
EPA 8260D Tetrachloroethene ND ug/L 1.0 11/17/21 03:39
EPA 8260D Toluene ND ug/L 1.0 11/17/21 03:39 Page 6 of 9

Pace Analytical Services,LLC
0
aceAnalytical 1377 South Park pr ve
Kernersville,NC 27284
/ www.pacelabs.com
[phone]
Page 7 of 7
Sample: MW-7 Lab ID: 92572425005 Collected: 11/15/21 10:41 Matrix: Water
Method Parameters Results Units Report Limit Analyzed Qualifiers
EPA 8260D 1,2,3-Trichlorobenzene ND ug/L 1.0 11/17/21 03:39
EPA8260D 1,2,4-Trichlorobenzene ND ug/L 1.0 11/17/21 03:39
EPA8260D 1,1,1-Trichloroethane ND ug/L 1.0 11/17/21 03:39
EPA8260D 1,1,2-Trichloroethane ND ug/L 1.0 11/17/21 03:39
EPA 8260D Trichloroethene ND ug/L 1.0 11/17/21 03:39
EPA 8260D Trichlorofluoromethane ND ug/L 1.0 11/17/21 03:39
EPA 8260D 1,2,3-Trichloropropane ND ug/L 1.0 11/17/21 03:39
EPA 8260D Vinyl acetate ND ug/L 2.0 11/17/21 03:39
EPA 8260D Vinyl chloride ND ug/L 1.0 11/17/21 03:39
EPA 8260D Xylene(Total) ND ug/L 1.0 11/17/21 03:39
EPA 8260D m&p-Xylene ND ug/L 2.0 11/17/21 03:39
EPA8260D o-Xylene ND ug/L 1.0 11/17/21 03:39
EPA 300.0 Rev 2.1 1993 Chloride 18.9 mg/L 1.0 11/18/21 04:01
EPA 365.1 Rev 2.0 1993 Phosphorus ND mg/L 0.050 12/01/21 18:44
SM 5310B-2014 Total Organic Carbon ND mg/L 1.0 11/18/21 00:45
ANALYTE QUALIFIERS
v2 The continuing calibration verification was below the method acceptance limit.The analyte was not detected in the
associated samples and the sensitivity of the instrument was verified with a reporting limit check standard.
5
C
Reviewed by: h`"`�
Stephanie Knott
704-977-0981
[e-mail]
Pace Analytical Services Charlotte
South Carolina Laboratory ID:99006 South Carolina Certification#:99006001
9800 Kincey Ave.Ste 100,Huntersville,NC 28078 South Carolina Drinking Water Cert.#:99006003
North Carolina Drinking Water Certification#:37706 Florida/NELAP Certification#:E87627
North Carolina Field Services Certification#:5342 Kentucky UST Certification#:84
North Carolina Wastewater Certification#:12 Louisiana DoH Drinking Water It:LA029
South Carolina Laboratory ID:99006 VirginiaNELAP Certification#:460221
Pace Analytical Services Asheville
2225 Riverside Drive,Asheville,NC 28804 South Carolina Laboratory ID:99030
Florida/NELAP Certification#:E87648 South Carolina Certification#:99030001
North Carolina Drinking Water Certification#:37712 VirginiaNELAP Certification#:460222
North Carolina Wastewater Certification#:40
Pace Analytical Services Eden
205 East Meadow Road Suite A,Eden,NC 27288 North Carolina Wastewater Certification#:633
North Carolina Drinking Water Certification#:37738 VirginiaNELAP Certification#:460025
Page 7 of 9

CHAIN-OF-CUSTODY Analytical Request Document LAB USE ONLY-Affix Workorder/Logir i • •, Il
MTA Lol
-PaceAna y itcal
Chain-of-Custody is a LEGAL DOCUMENT-Complete all relevent fields Il1��
Company: Town of Liberty
Billing ALL SHADED AREA
Address: i Container Preservative Type**
92572425
3 u ; 2 j 8 i o i ;
Report To: Email To: I `"Preservative Types:(1)nitric acid,(2)sulfuric acid,(3)hydrochloric acid,(4)sodium hydroxide,(5)zinc acetate,
i (6)methanol,(7)sodium bisulfate,(8)sodium thiosulfate,(9)hexane,(A)ascorbic acid,(B)ammonium sulfate,
Copy To: 'Site Collection Info/Address: (C)ammonium hydroxide,(o)TSP,(U)Unpreserved,(0)Other
Analyses Lab Profile/Line:
Customer Project Name/Number: State: County/City: Time Zone Collected: Lab Sample Receipt Checklist:
/ [ ]PT) ]MT( ]CT [ ]ET
(('��
t Custody Seals Present/Intact ' OLA
11 Phone: Site FaciliIV ID#: Compliance Monitoring? Cuntody Signatures Present a NA
o,Email:
[1Yes [ ]No j ] Collector Signature Present gii+"i NA
Bottles Ica: Intact es N NA
Collected y rint): I Purchase Order#: 'DW PWS ID#: Correct Bottles CON NA
>ui kat a ant of nio �^ 3 NA
,Quote#: DW Location Code: Received(,—.. Pt'{�Q, [ 1Samplesud un Teo qi Q NA
k Collec ed By(si nature) Turnaround Date Required: Immediately Packed on Ice: vo. Head space Acc pr,ihi' a
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[ ]Yes [ ]No USDA ReguJ t .d Sor I c J tr
-... � Samples in Holding Tim,, it,Td IA
Rush: Field Filtered(if applicable): ec-1duoI Chlorine Present N
Sample Disposal: pP ):
[ ]Dispose as appropriate [ ]Return [ ]Same Day [ ]Next Day [ ]Yes [ j No ' j C7 Strips:
[1[ [Archive: i[ ]2 Day [ )3 Day [ 14 Day [ ]5 Day I. p Sample pH Acceptable v NO
[ [Hold: (Expedite Charges Apply) Analysis: i r-i r Z f I S i riper
� ; Su Sulr�d- Present Y Id
,� IUD j Lead Acetate Strips:Matrix Codes(Insert in Matrix box below):Drinking Water(DW),Ground Water(GW),Wastewater(WW), i i , I p ,
Product(P),Soil/Solid(SL),Oil(OL),Wipe(WP),Air(AR),Tissue(TS),Bioassay(B),Vapor(V),Other(OT) ,•; I' 1
LAB USE ONLY:
Lah Sample <i i Comm«nto:
Comp/ ( Collected(or E Res #of [ ". +o ' p
Composite End I I Z —
I' Matrix Grab ) Composite Start) j Cl Ctns[U `o co o U Customer Sample ID I Date I Time Date { Time f 0 '- I Z I0, ,O
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1 Customer Remarks/Special Conditions/Possible Hazards: `Type of Ice Used: Blue Dry None SHORT HOLDS PRESENT(<72 hours) N N/A Lab SampleaTemperature Info:
Packing Material Used: Lab Tracking N
T m k rived: Y NA
Therm 104: _
i Groundwater Monitoring Cooler 1 Temp Upon Receipt: b oC
_ . ..— _ _ _.
Samples received via: , Cooler 1 Therm Corr.Factor:6.6.0c
Rid hem sarnple(s)screened(<500 cpm) Y N NA FEDEX UPS Client Courier Pace Courier Cooler 1 Corrected Temp: `t>63 oC
�__.__ _- omments
Relinquished by/Compan Signature) s Date Tim : 1�'t1S Rece -d by/Company:(Signature) Date/Time: l�'01 3� i MTJL LAB USE ONLY C •
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