WQ0002638_Groundwater Report_20031211

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
FACILITY INFORMATION Please Print Clearly or Type
Facility Name* ol.J ! /M6.*1ir°0,1j e
Permit Name (if differ nt)
0.�1 ox 7�
Facilitym,c., Mesas. ("Be" G 2 ?501 Count �A'e�e
ttac .i�►a2 r4•is'Atvoo.5 (--P' y !9 (03 07/
Contact Person* �`� Telephone #•(� � 9'Z
Well Location/ Site Name: 1"i W "f/ 8 dC 634/ No. of Wells to be Sampled'
Well Identification Number (from Permit)• M
Well Depth: / 9 ` ft Well Diameter:. in
Screened Interval: ft to - ft
Depth to Water Level: s• & ft below measuring point.
Measuring Point (M.P.) is:/ SS ft. above Land surface.. Relative M.P. Elevation in ft:.
_ Gallons of water pumped/baitgld before sampling: /0' O Date sa p lected. //-2s203
Field analysis: pH _ee.t, Specific Conductance uMhos
Temp. °C, Odor ,c/D,t/e Appearance Che'2
For Groundwater Treatment Systems
Check One: ❑ Influent (98)
❑ Effluent (99)
Mail Original
• to:
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
WATER QUALITY DIVISION, GROUNDWATER SECTION
1636 MAIL SERVICE CENTER
RALEIGH, NC 27699-1636 Phone: [phone]
PERMIT #: EXPIRATION DATE/loll 2005
Non -Discharge 1.,-"Q 3iig UIC
NPDES
TYPE OF PERMITTED OPERATION BEING MONITORED
Lagoon Remediation: Infiltration Gallery
Spray Field Remediation• .
Rotary Distributor Land Application of Sludge w
w
Other. -
NOTE* Values should reflect dissolved and
colloidal concentrations.
Date sample analyzed: //-25-0.3 70 /2-6,-03
Laboratory Name• 72 X re57 .Z4C
Certification No oCo 7
PARAMETERS (Samples for metals were collected unfiltered YES
COD mg/1
Coliform: MF Fecal, Z. 1 cFu.
Coliform: MFTotal
(Note: Use MPN method for highly turbid samples)
Dissolved Solids: Total 37
pH. (when analyzed) (0•3. y
TOC - • 0 - SO.*
Chloride • '/• lito
NO. and field acidified
Nitrite (NO2) asN mg/
/100m1 Nitrate (NO3) as N o- O 41 mg/I
/100m1 Phosphorus: Total as P c• 04 mg/
Orthophosphate mg/1
mg/I Al - Aluminum • mg/
Arsenic
Grease and Oils
Phenol - mg/I
Sulfate mg/1
uMhos
Specific Conductance
Total. Ammonia
TKNasN
units Ba - Barium mg/
mg/1 Ca Calcium - mg/
mg/1 Cd - Cadmium
mg/I Chromium: To
mg/1 Cu - Copper
Fe - Iron
Hg - Mercury
K - Potasslu
mg/I Mg - Magnesiu •/
mg/I . Mn - Manganese
mg/
YES NO)
Ni - Nickel mg/I
Pb - Lead - mg/I
Zn - Zinc s- mg/I
Ammonia Nitrogen L C•az mg/I
Other (Specify Compounds antonclttration Units)
rr1 r
t L7—,
U
�J
yc�
ORGANICS: (GC,GC/MS,HP£C)
(Specify test and method #. Attach
Report Attached? Yes c(1)
VOC : method #
: method # =
: method # =
�z
F'_ab report.)
Rio (0)
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 North Carolina DWQ (formerly DEM) certified laboratory. I am aware that there are significant penalties for submitting false information,
including the possibility of fines andimprisonment for knowing violations. `•
GW-59
Rev. 03/2000
PermIttee (or uthoriygd Ant) Name and Title - Please print or type
C�yr�/.
Signature of POrmittee (or Authorized Agent)
iz-rr- 03
(Date)

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
FACILITY INFORMATION. Please Print Clearly or Type
Facility Name' 0) cf /Z,,,•t7A,rl/Yo2l y 4-9e l/.5
Permit Name (if different):
Facility Address. - PC Box ? 78
niedglet< cause° .A/C- 273Ct/ County 1/,42.r1c it
Contact Person. AP`'Cbny R. (Zre.ar is tvvt Telephone #a/r!I e039- Za?/
Well Location/ SIte Name: /S'f to ""Z i&-Akicl
No. of Wells to be Sampled. (from P. mu)
Well Identification Number (from Permit): N4SAZ"/
Well Depth: 2-0 ft Well Diameter: '`! in
Screened Interval: ft. to ft
Depth to Water Level: 4" / ft. below measuring point.
For Groundwater Treatment Systems
Check One: ❑ Influent (98)
0 Effluent (99)
Measuring•Point (MP.) is:_1' it. above land surface. Relative M.P. Elevation in ft.: -
Gallons of water pumped/balled before sampling: 6 Date sample collected://: Z-5-1
Field analysis: pH , Specific Conductance uMhos
Temp. °C, Odor A/oNe Appearance C Lea 2
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
WATER QUALITY DIVISION, GROUNDWATER SECTION
1836 MAIL SERVICE CENTER
RALEIGH, NC 27699.1636 Phone: [phone]
PERMIT #: EXPIRATION DATE:/(// v 2008
Non -Discharge GHQ OCC 21038 UIC
NPDES
TYPE OF PERMITTED OPERATION BEING MONITORED
X Lagoon Remedlatlon: Infiltration Gal$ 1
Spray Field Remediation: w
Rotary Distributor Land Application of Sludge-L"
Other.
c
NOTE- Values should reflect dissolved and
colloidal concentrations.
Date sample analyzed: //-2S-03 c /2 -6 03
Laboratory Name- 72/Te5T Z.�G•
•Certification No. 00, 7
CO
PARAMETERS (Samples for metals were collected unfiltered YES NO and field acidified
COD mg/I Nitrite (NO2) as-N mg/I
Coliform: MF Fecal • 4 1 C. FU:. /100m1 Nitrate (NO3) as N o-/0
Coliform: MF Total /100m1 Phosphorus: Total as P Z. o.oS
(Note: Use MPN method for highly turbid samples)
Dissolved Solids: Total -/GZ mg/I
pH (when analyzed) S.I Z units_
TOC !. 83 X ' mg/I
Chloride Z o. 7 mg/I
Arsenic -. mg/I.
Grease and Oils mg/I
Phenol - mg/I
Sulfate mg/I
Specific Conductance
Total Ammonia
TKN as N
uMhos
mg/I - Mg - Magnesium
mg/I Mn - Manganese
Orthophosphate
Al - Aluminum
Ba - Barium
Ca- - Calcium
Cd - Cadmium
Chromium: Total
Cu - Copper
Fe - Iron
Hg -_Mercury -
K - Potassium
mg/I
mg/I
mg/i
mg/I
mg/1
mg/1
mg/I
mg/I
mg/I
mg/1
mg/I
mg/I -
mg/I
YES - NO) -
Ni - Nickel - mg/I
Pb - Lead - mg/I
Zn - Zinc - - mg/I-
Ammonia Nitrogen �• CO _' mg/I
Other (Specify Compounds and doncefiftation Units)
" �c
ORGANICS: (GC,GC/MS,HP C) ( ..
(Specify test and method #. Attach tbz'report.)
Report Attached? Yes_21) glo (0)
VOC - method # =
: method # = -
method # =
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 approvedmethods of analysis'by a North Carolina DWQ (formerly DEM) certified laboratory. I am aware that there are significant penalties for submitting false; information,`:
c-includingthe possibility of fines and'imprisonment for knowing violations. Du.y y�/c�
GW-59
Rev. 03/2000
Permittee (or Authorized Ayent arpe and Title - Please print or type
Signature of Pegiiittee (or Authorized Agent)
/2-41--&3
(Date)

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER .QUALITY MONITORING:
COMPLIANCE REPORT FORM
FACILITY INFORMATION Please Print Clearly or Type
Facility Name* 7dWf-/oiC/74.`C ,772.,/`4 o.rdl7'o1LBnq 4Je//S .
Permit Name (if different)•
Facilihr Address* - i O. /3 27 8.
,vy %eat? (Street) .cIC. 0 7s i County /-/AA.Aie te
(City) State (ZIP)
Contact Person* •t M° /I.'AS�blCS Telephone #•C`/ j�G3?-207/
Welt Location/ Site Name: NJw'3 Gb4.� No. of Wells to be Sampled*
(r°t m P.rmlt)
Well Identification Number (from Permit)•-3_!)
Well Depth: .So ft Weil Diameter: 4' in
Screened Interval: ft. to ft
Depth to Water Level: 7.1/ ft below measuring point.
Measuring Point (M.P.) is: "• 7- ft. above land surface. Relative M.P. Elevation in ft.:
Gallons of water pumped/bailed before sampling: /5 Date sample collected: as10 3
Field analysis:. pH ea •3. • y t , Specific Conductance - uMhos
Temp °C, Odor Aloe Appearance d Z4,42
For Groundwater Treatment Systems
Check One: O Influent (98)
CI Effluent (99)
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
WATER QUALITY DIVISION, GROUNDWATER SECTION
1836 MAIL SERVICE CENTER
RALEIGH, NC 27699.1836 Phone, [phone]
PERMIT #: EXPIRATION DATEV/d I
Non -Discharge (1Q o0026738 UIC
NPDES
TYPE OF PERMITTED OPERATION BEING MONITORED
Lagoon Remedlatlon: Infiltration Gallery
Spray Field Remediation•
Rotary Distributor Land Application of Sludge a;
Other. C,)
NOTE: Values should reflect dissolved and
colloidal concentrations. O
Date sample analyzed: //-2S- 03 -ro 12 - 6 -a 3
Laboratory Name- eres7 �.vG•
Certificatlon No enG 7.
PARAMETERS (Samples for metals were collected unflltered YES NO
and field acidified YES NO)
COD mg/I Nitrite (NO2) as N mg/I Ni - Nickel mg/I
mg/I
mg/I_
mg/I
ncerttrtion Units)
. r-n
Conform: MF Fecal - l cF t,..
Coliform: MF Total
(Note: Use MPN method for highly turbid samples)
Dissolved Solids: Total G g mg/I
pH (when analyzed) 5-114 units
TOC ii.3/it mg/I
Chloride / 9.a mg/I
Arsenic - -mg/I
Grease and Oils mg/I
Phenol mg/I
Sulfate mg/I
Specific Conductance • uMhos
Total Ammonia mg/I..
TKN as .N mg/I
/100m1 Nitrate (NO3) as N "• 3 g
/1 00m1 Phosphorus: Total as P
Orthophosphate
Al - Aluminum
Ba - Barium
Ca - Calcium
Go.0S
Cd - Cadmium
Chromium: Total
Cu - Copper
Fe - Iron
Hg - Mercury
K• - Potassium
Mg - Magnesium
Mn - Manganese
mg/I Pb - Leacl
mg/I Zn - Zinc
mg/I Ammonia Nitrogen 4 61-
mg/ Other (Specify Compounds ant
mg/
mg/
mg/
mg/
mg/
mg/
mg/
mg/
mg/
mg/
c.n
G
-- pi f"7
ORGANICS: (GC,GC/MS,HR) m�.
•(Specify test and 'method #. A pch SO report.)
Report Attached? . Yes - c(31) Flo (0)
VOC : method #
: method # =
: method # =
('certify that, to the best of my,knowledge and belief„the intormationsubmitted'in this report is true, accurate, and complete, and that the laboratory analytical data.was produced:,
using approved: methods of analysis'by a North Carolina DWQ (formerly DEM) certified laboratory. I am aware thatthere are significant penalties for submitting fals': information„
including the possibility of fines andimprisonment for knowing violations.
. rOyJN G 7 ,Ale //e
GW-59 - - -
Rev. 03/2000
Permlttee (or Authorized1 en)ame and Title - Please print or type
Agent) -
• .y..tsti
Signature of Perm tee (or Authorized
/2 -// 03
(Date)

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT--FORM
FACILITY INFORMATION. Please Print Clearly or Type
LJiTP
Permit Name (if different).
Facility Address* le-4-, I /3 crsz 6.-4
/ (Puee' II County 4-kg o frk
Contact Person- .17,-7-41 '..Ttell-ate)i" l" (4P) Telephone #- -20H -gVeT-falih7
Well Location/ Site Name: (4--A-1-54-49,- ie<SaciPc No. of Wells to be Sampled*omeenni,
Facility Name- •
Well Identification Number (from Permit): 4P-gtEgb
Well Depth: G ft. Well Diameter: in.
Screened Interval: / ft. to 0-5 ft.
Depth to Water Level: • 4, V- ft. below measuring point.
Measuring Point is -2 0 ft. above land surface.
For Groundwater Treatment Systems
Check One:
O Influent (98)
0 Effluent (99)
Gallons of water pumped/bailed before sampling: ,
Field analysis: •pH • 5 , Specific Conductance uMhos
Temp / °C, Odor Appearance
Mail Original
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
WATER QUALITY DIVISION, GROUNDWATER SECTION -
0636.MAIL SERVICECENTER.,,:-:
4RALEIGIVNC:276991;1636.::-;cf:?:::'.' --.Phoiiet.(91917134221;i-:::
PERMIT #:
EXPIRATION DATE- ca -2ScON41
Non -Discharge . UIC • (0)
NPDES NCO )71/3/.0
TYPE OF PERMITTED OPERATION BEING MONITORED
//Lagoon Remediation: Infiltration Gallery
Spray Field Remediation:
Rotary Distributor Land Application of Sludge
Other
NOTE: Values should reflect dissolved and
colloidal concentrations.
Date sample collected: // 2 / 03
Laboratory Name. to .1( co rey
Certification No 7_5
Date sample analyzed: if-°5-63
PARAMETERS (Samples for metals were collected unfiltered
COD mg/1
Coliform: MF Fecal /100m1
Coliform: MF'Total /100m
(Note: Use MPN method for highly turbid samples)
Dissolved Solids: Total
pH (when analyzed)
TOC
Chloride
Arsenic
Grease and Oils
Phenol
Sulfate ci
Specific Conductance
Total Ammonia
TKN as N
YES NO and field acidified __YES NO)
Nitrite (NO2) as N mg/I Ni - Nickel
Nitrate (NO3) as N. mg/I- Pb - Lead
Phosphorus: Total as P mg/I Zn - Zinc
Orthophosphate
mg/ Al - Aluminum
units Ba-- Barium
mg/ Ca - Calcium
mg/ Cd - Cadmium
mg/ Chromium: Total
mg/ Cu - Copper
mg/ Fe - Iron
mg/ Hg - Mercury
uMhos K - Potassium
mg/I Mg.- Magnesium'
mg/I Mn - Manganese
mg/I
mg/I
C7
mg/1
OP
CAI •ca mg/i
rr cm .7
mg/1
Ammonia Nitrogen _ n..74r). sr?, mg/I
Other (Specify. C mpounds and Camtwentgli4n Units)
iN / q. 4
i -0
MC ;)rm
rn
LA=
10 Fe,
ORGANICS: (GC,GC/MS,I-IPLC)
(Specify test and method #. Attach lab report.)
mg/I -Report Attached? Yes (1) No (0)
mg/1 • VOC : method # =
mg/1 : method # =
: method # =
!certify that, to the, best of my knowledge and belief, the information submitted in this report is true, accurate, and complata, and that the laboratoryanalytical data was produced
1.1s... I rig approved mathOds-Of analysis by a North CarOjiila OW,. 0 (formerly tmj, cartifie4:labOratOry): .1,am, aware that therat'are *significant penalties for submitting false information,
.,,,,. . . ... ,... ,.. . .... ,..
iriblUding the possibility of fines and imprisonment for knowing violations. ----, _
---J e ii,i,_ . (c.A._( it-e-r- /..-) TP ell i. e* 0 Peralk-Or-
Permittee (or Aottized Agent) Na -a d Title - Please print or. type
.-..N- /r-L-L-N-----
SIgnalUro 01 Pormittc9 (or At iihorized Agontr
GW-59
Rev. 112000
/2- Qq-°3
(Date)

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER -QUALITY MONITORING:
COMPLI
R .FOR ... .. ....,:..
Facility Name. •
Permit Name (if different).
Facility Address- nn
L. 125r/ t 1 1-{. (SUeet) XU /l .
` County S o h
Contact Person- L-�. fr ' 1e✓ c, BY (ZP) �o
Telephone #�
Well Location/ Site Name: wh-,--57(y-r 1.4.5'Ok' No. of Welts to be Sampled: (from Period()
FACILITY INFORMATION. Please Print Clearly or Type
LTP
•
)2-k l /3 0-4 l a ‘-4
Well Identification Number (from Permit): '
Well Depth: 6.5 ft. Well Diameter: in.
Screened Interval:. - � 5" ft. to' %f 5 ft
Depth to Water Level: / si, SI3 ft. below measuring point.
Measuring Point is • . ft above land surface.
For Groundwater Treatment Systems
Check One:
❑ Influent (98) -
El Effluent (99)
Gallons of water pumped/bailed before sampling:
Field analysis: pH q. G/ , Specific Conductance uMhos
Temp / �1 °C, Odor • Appearance
Mail Original
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
WATER QUALITY DIVISION, GROUNDWATER SECTION
:1636.MAIL SERVICE CENTER ., . =
R'ALEIGHJ1c:27699-1636::>:`-=°< :-: :-;- phone: [phone]
PERMIT #: EXPIRATION DATE*? -a5 -OW
Non -Discharge UIC
NPDES NCO0 7Z/396
TYPE OF PERMITTED OPERATION BEING MONITORED
//Lagoon Remediation: Infiltration Gallery
Spray Field Remediatiori•
Rotary Distributor Land Application of Sludge
Other. " 03
w•
NOTE: - Values should reflect dissolved and
colloidal concentrations:
Date sample collected.
Laboratory Name.
Certification No. 7Y
Date sample .analyzed:10- G/ 4''3
PARAMETERS (Samples for metals were collected unfiltered YES
COD mg/
Coliform: MF Fecal /100m
Coliform: MF Total /100m
(Note: Use MPN method for.highly turbid samples)
Dissolved Solids: Total ci-7,0
pH (when analyzed) L,
TOC-
Chloride
Arsenic
Grease and Oils
Phenol
Sulfate
Specific Conductance
Total Ammonia
TKNasN
mg/
units
m/
mg/
g
mg/
mg/
mg/
mg/
uMhos
mg/
mg/
Phosphorus: Total as P
Orthophosphate
Al - Aluminum
NO and field acidified YES NO)
Nitrite (NO2) as N- mg/I Ni - Nickel
Nitrate (NO3) as N. mg/I Pb - Lead
mg/I. : Zn - Zinc
Ba -, Barium
Ca - Calcium ..
Cd - Cadmium
Chromium: Total
Cu - Copper
Fe - Iron - mg/1
Hg - Mercury mg/I
K - Potassium fo 70 mg/I
Mg.- Magnesium' mg/1 _
Mn -Manganese mg/1
RE I��Lein m 9/I Other (Speci D-
JAN Q 2 21i64 m9
ULM -MYEITEVILLUrialIONAI, l
m
za
mg/I . Ammonia Nitrogen o • ig ter,
Compounds and Concentra
q, 75 cl
mg/I
mg/I
mg/I
mg/I
n Units)
ORGANICS: (GC,GC/MS,HPLC)
(Specify, test and method #. Attach lab report.)
Report Attached? Yes (1) No (0)
VOC : method # _.
: method #
method # =
certify that, to the best of my knowledge and belief, tfp Information submitted In this report Is true, accurate, and complpe, and.that the laboratory analytical data was produced
• using approved methods of analysis by a North Caroliiia DWQ (formerly,DEM) certified laboratory. l am aware that them are significant penalties for submitting false information,
including the possibility of tines and imprisonment for knowing violations,
V () f4. (fir-/lrf/ C ` e OperCete)(
Permittee (or Authorized Agent Name a d Title - Please print or type
S1g1161ro of Pennine° (or At Agent)
GW-59
Rev. 1 /2000
. t-0.3
(Date)

•
SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE- REPORT .FORM:-..:;... <<`'`<
FACILITY INFORMATION. ' . Please Print Clearly or Type
Facility Name• b; cat�ow.. ` v tti l 7 iA
Permit Name (if different)•
Facility Address . ' 12-l- °I 13 ( ' a ‘-A-
L.; I -es , r 1 l-r• . (street) A --Q./,9J
(ac) . ,�l'I. r� ' 1e) c� e) (aP)
Contact Person:
County -So h
Telephone #• ?o,H - SVS- 8/9
Well Location/ Site Name: (A-A4-37 4 ,- Z-5a();;c No. of Wells to be Sampled' {fr° nnir)
Well Identification Number (from Permit):
Well Depth: 3C ft. Well Diameter: a 0_. in.
Screened Interval:. /5 ft. to £S ft.
Depth to Water. Level: "f ' / ft. below measuring point..
Measuring Point is • . O ft. above land surface.
Gallons of water pumped/bailed before sampling-
Field analysis:. pH ` , Specific Conductance
Temp. °C, Odor Appearance
-For Groundwater Treatment Systems
Check One:
❑ Influent (98)
❑ 0 Effluent (99)
Mail Original
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES_
WATER QUALITY DIVISION, GROUNDWATER SECTION
:;1636_IMAILSERVICE CENTER ::>•;-:• :.: ;.. °::.._;:••..
`R\L'E3GH;'NG27699=1636:::::ifs:•>;-':.-_'.�=°.Phone: (9191'733-3221>:
PERMIT #:
EXPIRATION DATE -a%'OW
Non -Discharge UIC
NPDES A/C 0O 74/3ft, •
TYPE OF PERMITTED OPERATION BEING MONITORED
j/Lagoon Remediation: infiltration Gallery ta a .
Spray Field " Remediation• N
Rotary Distributor Land Application of Sludge 0 a'
O
Other.
IV TE: Values should reflect dissolved and
colloidal concentrations.
Date sample collected: rear? lei Date sample analyzed -(.-a/. -3`
Laboratory Name. ' 'COo�r71
Certification No. `»
PARAMETERS. (Samples for metals were collected unfiltered YES.
COD . mg/I Nitrite (NO2) as.N
Coliform: MF Fecal /100mI Nitrate (NO3) as N.
Coliform: MF'Total /100m1 Phosphorus: Total as. P
(Note: Use MPN method for highly turbid samples) Orthophosphate •
Dissolved Solids: Total io mg/I Al -Aluminum
pH (when 'analyzed) (, units Ba - Barium
TOC mg/ ' Ca Calcium
Chloride mg/ Cd - Cadmium •
Arsenic mg/ Chromium: Total
Grease and Oils mg/ Cu = Copper
Phenol mg/ Fe - Iron "
Sulfate ' (7 mg/ Hg - Mercury
uMhos K - Potassium c9
Total Ammonia mg/I Mg - Magnesium
TKN as N mg/I .Mn -:Manganese
NO . and field acidified • YES NO)
mg/I Ni - Nickel
mg/I Pb - Lead •- • •
mg/1. Zn Zinc •
'Mg/1 Ammonia Nitrogen - 7 /
Specific Conductance
mg/I- ..
mg/I
mg/I
mg/I
32 v. mg/I • Other (s ecify. Comp ounds and Concentraft (n Units)
�
,4/
mg/I
mg/1
mg/I
mg/1
" mg/I
mg/I
mg/1.
mg/I
mg/1
ORGANICS: (GC,GC/MS,HPLC)
(Specify, test and method #.: Attach. lab rc�tbrt.)`c�
Report Attached? Yes (1) ' No (;
VOC: method # =..
: method .# =•
method # =
t certify that, to the best of my knowledge belief, tf s information submitted in this report is true, accurate, and comple
rising approved,methods of,.analysis by a.North Caroli(ig DWQ.(formerfy DEM) certified laboratory:) arYt aware that there resignificant penalties for submitting false information,
including the possibility. of fines and imprisonment for knowing violations..
w tiw.
Permittee (or Aut .. ri ed Agent) ame d Title - Please print or type
2 -O3
C;W-5S tth n ed A ent - (Date)
Slrnmluro of Ponntiloa (or At o g )
, and that the laboratory analytical data was produced
c.c./ az L 3 %P

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT: FORM
FACILITY INFORMATION: Please Print Clearly or Type
Facility Name. `a'� f:X7'- P
Permit Name (if different). Facility Address: ' �' l l3 ,�-/1'
Ies471Lc. lstreeq jy �� � .:4Soh
(car)srare) (ZP) County
Contact Person- -.I 6'7, (-� rVt. ' Telephone #- 70H-�`%S-��'19
Well Location/ Site Name: � -sou dy ��5e^' No: of Wells to be Sampled. (rr° nirt_
Well Identification Number (from Permit):
Well Depth: �S ff. Well Diameter: T0.in.
Screened Interval:: ' 3.5 ft to -4.-5 ft.
Depth to Water Level: • /7e- ft. below measuring point.
Measuring Point is ' :�`� , `l' ft. above land surface.
Gallons of water pumped/bailed before sampling: �-
Feld analysis: pH , Specific Conductance uMhos
Temp- °C, Odor .. Appearance
For Groundwater Treatment Systems
Check One:
Cl. Influent (98)
El Effluent (99)
Mail Original
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
WATER QUALITY DIVISION, GROUNDWATER"SECTION
1636_MAIL SERVICE CENTER; . : : ;: : ... ..: :;•:s ::...... .
RALEIGH NC:27699-1636 : °<>: •"..:`•.:::.Phone: 919 `713-3221
PERMIT #: • • EXPIRATION DATE -a%-Oba�
Non -Discharge UIC
NPDES NC U 6 7 413'b ti'
TYPE OF PERMITTED OPERATION BEING MONITORED
• jlLagoon
Spray Field
Rotary Distributor Land Application of Sludge —
Other ' r^�
Remediation: Infiltration Galler}a
Remediation. 143
co
NOTE: Values should reflect dissolved and
' colloidal concentrations. -
Date sample collected f Date sample analyzed: g"gam �a
Laboratory Name. ()X�-oret
Certification No. :75
PARAME TERS. (Samples for metals were collected unfiltered YES NO
mg/I Nitrite (NO2) as N
COD.
Coliform: MF Fecal
Coliform: MF'Total
(Note: Use MPN methodfor highly turbid samples)
Dissolved Solids: Total 4
pH (when .analyzed)
TOC
Chloride
Arsenic
Grease and Oils
Phenol
Sulfate GS
Specific Conductance'
Total Ammonia
TKNasN
TO:/100m1 Nitrate (NO3). as N: • mg/1
/100m1 . • Phosphorus: Total as P mg/I.
Orthophosphate ' mg/I
mg/I Al' - Aluminum 3./ / mg/I
� , 55, units • Ba- Barium mg/I :
mg/I Ca - Calcium • • mg/I
mg/I •Cd - Cadmium mg/I
mg/1 , Chromium: Total -mg/I
mg/I. Cu = Copper • mg/
mg/I ' Fe'- Iron mg/I
mg/1 Hg Mercury • •mg/I
uMhos K - Potassium . W,mg/l.
mg/I Mg.- Magnesium': • mg/1
mg/I Mn -Manganese mg/I
•
and field acidified • YES NO)
Ni - Nickelmg/I
Pb - Lead 'mg/I
Zn - Zinc
Ammonia Nitrogen
Other (S,pecify Compounds and Concen ratio tAlflits)
�$ m9/1
•
o (? rn$/1
ORGANICS: (GC,GC/MS,HPLC)
(Specify, test and method #. Attach
Report Attached? ' Yes' (1)
co
lab repot
No (0)
V.00 : method #
• : method #
: method # =
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 North Carolina DWQ'(formerly DEM) certified laboratory. I am aware that there are significant' penalties for submitting false information,
including the possibility of ,fines and Imprisonment for knowing violations.
,, 4, 7kL/-" GO r' 1,r_ , e O4-uAyent) a and Title - Please print or type
11
. SI il ire of Porinittee (or Authorized A on`t
GW-59
•
(Date)

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
FACILITY INFORMATION Please Print Clearly or Type
Facility Name• YoW� o ,�ylt�2 17-02/45 Lve/!s
Permit Name (if different):_
-Facility Address. A 0. Z7.8
'sir!'"
.WitYt ettt`.' -
�I,r1yTe2 . .tLG. 2�So/ county
(City) •�� • (,1)/00 l�P)
Contact Person. �� • �..� � Telephone #: 0/z,ld39�Zo7/
Well Location/ Site Name. �"�10 41 C L" Fi c41SE� No. of Wells to be Sampled: (��n I)
Well Identification Number (from Permit): / 'J:..
Well Depth: - / 1/. 3 - ft Well Diameter: y - in
Screened interval: - ft. to ft
Depth to Water Level: '1. - ft below measuring point.
Measuring Point (M.P.) is: Z • ft. above land surface: Relative M.P. Elevation in
Gallons of water pumped/bailed before sampling: Z5 Date sample collected: /./, 247=03
Field analysis: pH 10-Specific Conductance uMhos
Temp. °C, Odor /ewe- Appearance d Lca2
For Groundwater Treatment Systems
Check One: ❑ influent (98)
❑ Effluent (99)
•
DEPARTMENT OF .ENVIRONMENT & NATURAL RESOURCES
WATER QUALITY DIVISION, GROUNDWATER SECTION.
1636 MAIL SERVICE CENTER -
RALEIGH, NC 27699-1836 Phone: [phone]
PERMIT #: EXPIRATION DATE. ./10V 2e:*
Non -Discharge ifiCi9 Coo 26735 UIC
NPDES
TYPE OF PERMITTED OPERATION BEING MONITORED
_Sr_ Lagoon Remediation: Infiltration Gallery
Spray Field Remediation• (-I
Rotary Distributor Land Application of Sludge w
Other.
rp
NOTE: Values should reflect dissolved and
colloidal concentrations.
Date sample analyzed: elk ZS-03 0 /2-67-413
Laboratory Name• 72 ' resr -
Certification No oe, 7
PARAMETERS (Samples for metals were collected unfiltered YES _ NO and field acidified YES NO)
Nitrite (NO2) as N ' - mg/I Ni - Nickel - • • mg/1
Nitrate (NO3) as N 7.3 mg/1 Pb - Lead mg/I
Phosphorus: Total as P 4 o • a 5. mg/1 Zn - Zinc • mg/I
Orthophosphate mg/I Ammonia Nitrogen L 04V- C r mg/I
Al - Aluminum - mg/ . Other, (Specify Compounds andnnc§iation Units)
mg/
mg/
mg/
mg/
mg/
mg/
mg/
mg/
mg/
mg/
COD rng/I
Conform: MF Fecal L I C Fu- - /100m1
Coliform: MF Total /100m1
(Note: Use MPN method for highly turbid samples):
Dissolved Solids: Total q o mg/I
pH (when analyzed) 5.31
TOG a•!o7
Chloride 2 3. 2
Arsenic.
Grease and Oils
Phenol
Sulfate_
Specific Conductance
Total Ammonia
TKNasN
units Ba - Barium
mg/1 Ca - Calcium
mg/I Cd - Cadmium
mg/I - Chromium: Total.
mg/I Cu -• Copper
mg/I Fe - Iron
mg/I Hg - Mercury '
uMhos K - Potassium
mg/I Mg - Magnesium
mg/I •Mn -Manganese
r-1,
u1
{L
7.7
cn
ORGANICS: (GC,GC/MS,HPGD)
(Specify test and method #. Atch I> report.)
Report Attached? Yes (1) - No (0)
VOC : method #
: method # =
: method #
(;certify that,.to the best of my knowledge and belief,, the informationsubmitted in this report is true, accurate, and complete, and thatthe laboratory analytical, data, was produced.;,
-using approved methods of analysis by a North Carolina DWQ (formerly DEM) certified laboratory. I 'am aware that there are significant penalties for submitting false: information;;;
''including the possibility -of fines and' imprisonment for knowing violations."
GW-59
Rev. 03/2000,
Author zed Age N e and Tftla =Pleas
Permlttee (or g ) e print or type
$Ignature of Permitt 6 (or Authorized Agent)
/2 H- 03
(Date)

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
FACILITY INFORMATION Please Print Clearly or Type
Facility Name• -- ol-aa 0, - ur-e/L /l/I4j G 'e/Permit Name (if different): .
Facility Address: o: /3 oX Z 2 8
i9A-09/e2 (sdeeq ,c.sc- 2 750/ County L`/i92.Ue W ' - Contact Person. b"4cle ,4-_4"11eI 'kS tL°)
�f Telephone #: ��ICo3� Z6.7/
Well Location/ Site Name:M /0"S . %u �re1c -') No. of Wells to be Sampled• tIro„6.mt err
For Groundwater Treatment Systems
Check One: 0 influent (98)
0 Effluent (99)
Well Identification Numb r (from Permit): 'IYA:P5'
.
Well Depth: /e-o• ft Well Diameter: �/ in
Screened Interval- ft. to ft.
Depth to Water Level: eft below measuring point.
Measuring Point (M.P.) is:3SS ft. above land surface. Relative M.P. Elevation -in ft.:
Gallons of water pumped/bailed before sampling: 2.0 Date sample collected;/- S 3
Field analysis: pH 60- z- , Specific Conductance uMhos
Temp. °C, Odor ,votre Appearance CLe.92
DEPARTMENT OF 'ENVIRONMENT & NATURAL RESOURCES
WATER QUALITY DIVISION, GROUNDWATER SECTION
1636 MAIL SERVICE CENTER
RALEIGH, NC 27699-1636 Phone: [phone]
PERMIT#: EXPIRATION DATE. , • 2C0$
Non -Discharge 60490610&f UIC
NPDES
TYPE OF PERMITTED OPERATION BEING MONITORED
Lagoon Remedlatlon: Infiltration Gallery
Spray Field Remedlatlon•
Rotary Distributor Land Application of Sludge
Other ell
NOTE: Values should reflect dissolved and
colloidal concentrations.
Date sample analyzed: // ZS-03 ?a /2 -lo— 03N,
Laboratory Name: 77e %T667' Z CIC
Certification No C141.7
PARAMETERS (Samples for metals were collected unfiltered YES NO
COD mg/
/100m
Coliform: MF Total /100m
(Note: Use MPN method for highly turbid samples)
ples)
Dissolved Solids: Total /Zi
Coliform: MF Fecal C Ft.t.
pH (when analyzed) 5• 6o
TOC -o, 9 5 t
Chloride 3 I. o
Arsenic
Grease and Oils
Phenol
Sulfate
Specific Conductance
Total .Ammonia
TKNasN
Nitrite (NO2) as N
Nitrate (NO3) as N o. 34c
Phosphorus: Total as P - o.05
Orthophosphate
mg/ Al - Aluminum
units Ba - Barium
mg/ Ca - Calcium
mg/ Cd - Cadmium
mg/ Chromium: Total
mg/ Cu.- Copper
mg/ Fe -*Iron
mg/ Hg - Mercury
uMhos K - Potassium
- mg/ Mg - Magnesium
mg/ Mn - Manganese
and field acidif
mg/
mg/I
mg/
mg/I
mg/ mg/
mg/
mg/
mg/
mg/
mg/
mg/
mg/
mg/
mg/
ed ' YES NO)
Ni - Nickel mg/I
Pb -Lead w mg/I
Zn - Zinc � mg/I
Ammonia Nitrogen I-- cRo �; mg/I
Other (Specify Compounds and-Eonceen1ration Units)
"0 rn�
3
i l
CD.
ORGANICS: (GC,GC/MS,H C) -
(Specify test and method #. Attach lab report.)
Report Attached? Yes (1) No (0)
VOC - - : method #
: method # _ - -
: method # =
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 North Carolina DWQ(formerly DEM) certified laboratory.I am aware thatthere are significant penalties for submitting false' informatton? :
including the possibility"of fines and imprisonment for knowing violations.`.
GW-59
Rev. 03/2000
n. a '76 Pi) / c /Z
Permlttee (or Au riizzeed- A�9T[g�nt)»me god Title-- Please print or type _
Signature of Permittee (or Authorized Agent) -
/2.//03.
(Date)

-407
SUBMIT FORM ON YELLOW PAPER ONLY
COD mg/I
Coliform: MF Fecal l /100m1
Coliform: MF Total /1 00m1
(Note: Use MPN method for highly turbid samples)
Dissolved Solids: Total
pH (when analyzed) 6. 7/
TOC, , Z. d. 0
Chloride
Arsenic
Grease and Oils
Phenol
Sulfate
Specific Conductane uMhos
Total Ammonia�
TKN as N rr TO/h
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
FACILITY INFORMATION
Facility Name* 72(-oa c P r7g2% `T, 2 - /44041
Permit Name (if different)-
Fac•lity Add. /�o- /3ox 2 78
� �/ lsv�q NC 2750/
ttif-
Contact Person- iA010A: i86).245-&5 (ZIP).
Well Location/ Site Name: r:J' I &si'a ' O°(J
Please Print Clearly or Type
i o2; - 5 Gc?e/I5
County //aa.rrel(
Telephone #:�1`()G3.7- 8013
No: of Wells to be Sampled* (from'.rmrl
Well Identification Number (from Permit). 'aS6'l {"t?;/
Well Depth: / 9 ' ft Well Diameter: I in
Screened Interval: ft to ft.
Depth to Water Level: S. 3 ft below measuring point.
Measuring Point (M.P.) is: /•S5 ft above land surface. Relative M.P. Elevation in ft.:
Gallons of water pumped/bailed before sampling: /3 Date sample collected: F-7:=
Field analysis: pH '-6 , Specific Conductance uMhos
Temp. °C, Odor ./0 • Appearance CLe442
For Groundwater Treatment Systems
Check One: ❑ Influent (98)
❑ Effluent (99)
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
WATER QUAUTY DIVISION, GROUNDWATER SECTION
1836 MAIL. SERVICE CENTER
RALEIGH, NC 27699-1836 Phone: [phone]
PERMIT #: EXPIRATION DATE• "VQU. Za,3
Non -Discharge 4iQdO026,38 UIC
NPDES
TYPE OF PERMITTED OPERATION BEING. MONITORED
—.25k_ Lagoon Retnedlation: Infiltration GalleryS ;
Spray Field Remediation• N
Rotary Distributor Land Application of Sludge . '
Other. O
NOTE: Values should reflect dissolved and �J
colloidal concentrations. tV
Date.sampie analyzed: 7 2 2 - 03 To $- // 03
Laboratory Name• T,f~ /7,ersT crxxc .
Certification No 66,7
PARAMETERS (Samples for metals were collected unfiltered YES NO
Nitrite (NO2) as N
Nitrate (NO3) as N
Phosphorus: Total as P
Orthophosphate
mg/I . Al - Aluminum.`
units Ba -. Barium
mg/I Ca -Calcium
mg/I Cd Cadmium
mg/11 Chromium: Total
mg/I Cu - Copper
Fe:- Iron
Hg - Mercury
K Potassium
Mg - Magnesium
Mn - Manganese
SEP U 911I1q g
and field acidified YES NO)
mg/I
mg/I
mg/I
mg/I
mg/I
mg/I.
mg/1
mg/I
mg/I -
mg/I
mg/I
mg/I
mg/I
mg/I
mg/I
Ni Nickel mg/1
Pb - Lead mg/I
Zn - Zinc • mg/1
Ammonia Nitrogen L Ma Z mg/I
Other (Specify Compounds and Concentration Units)
o U
j3 cll.
G c =n
-3
c? `
ORGANICS:
ORGANICS: (GC,GC/MS,HPLC),G
(Specify test and method #. Attach !age_ potty
Report Attached? Yes ) (1 Niia_
: method #
VOC _
: method # = Sl �y
: method # =
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.,
9approved by (formerlyDEM) ry<`
.;.using methods o f analysis a North Carolina: DWQ' former) certified' laborato 1 am aware that there,are significant penalties for submitting false Infor`maUon;{
�'including the possibility'of finesand'imprisonmentfor knowing violations.; � � ,
c i %/e2
Permittee (or Authorized nt), Name and Title - Please print or type
Signature of rmittee (or Authorized Agent) .
GW-59
Rev. 03/2000
•
eF-zs—a3
• (Date)

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
FACILITY INFORMATION Please Print Clearly or Type
Facility Name• 7 Wd Off, /S?o,cli 2inj Gje//'S
Permit Name (if different •
FacijtyAddress• P-d der" 278
H ut. (Street) 27Sa/ County /y j�cle 71`
(City) lLP
Contact Person' •CM°1 `f f9• / roo�S )Telephone it. (2/ff U39- 804.3
Well Location/ Site Name: M6,9'Z &�t av 14/ No. of Wells to be Sampled'
(from Perm t)
Well Identification Number (from Permit): SWZ!
Well Depth: 20 ft Well Diameter: 4 in
Screened interval: ft to ft
Depth to Water Level:. '% •ft below measuring point.
Measuring Point (M.P.) ft above land surface. Relative M.P. Elevation in•ft.:
Gallons of water pumped/bailed before sampling: 7 Date sample collected:' 2
Field analysis: pH 5- 7 , Specific Conductance uMhos
For Groundwater Treatment Systems
Check One: ❑ Influent (98)
C7 Effluent (99)
Temp. °C, Odor No Appearance GLea2
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
WATER QUALITY DIVISION, GROUNDWATER SECTION-
1636 MAIL SERVICE CENTER
RALEIGH, NC 27699-1636 Phone: [phone]
PERMIT #: EXPIRATION DATE* /-107J•2003
Non -Discharge 6.4oa:263 8 UIC
NPDES
TYPE OF PERMITTED OPERATION BEING MONITORED
Lagoon Remediation: Infiltration GalreE r
t
Spray Field Remediation• to
Rotary Distributor Land Application of Sludge
Other.
NOTE: Values should reflect dissolved and
colloidal concentrations.
Date sample analyzed: 7-22-03 ?'o $'-/l-43
Laboratory Name' 7-4.z •reST enue_
Certification No. 04 7
PARAMETERS (Samples for metals were collected unfiltered YES NO
COD
mg/
Coliform: MF Fecal 4-1 /1 OOm
Coliform: MF Total /100m
(Note: Use MPN method for highly turbid samples)
Dissolved Solids: Total mg/
pH (when analyzed) (G.O67—) units
TOC 2,o0 mg/
Chloride
Arsenic
Grease and Oils
Phenol
Sulfate
Specific Conductance
Total Ammonia
TKNasN
mg/
mg/
mg/
and field acidified YES NO)
Nitrite (NO2) as N mg/I Ni - Nickel mg/I
Nitrate (NO3) as N
Phosphorus: Total as P
Orthophosphate
Al -.Aluminum
Ba - Barium
Ca.- Calcium
Cd - Cadmium mg/I
Chromium: Total mg/I
Cu - Copper mg/I
Fe - Ironmg/I
mg/ Hg - Mercury mg/I
uMhos K - Potassium mg/I
mg/ Mg - Magnesium mg/1
mg/ Mn - Manganese mg/I
mg/I Pb -Lead
mg/I Zn - Zinc
mg/I CAmmonia Nitrogen mg/I
mg/1
Other (Specify Compounds and Concentration Uni
mti
9/i
mg/I c n
mg/1mi
2./3
r9 •
- .-
ORGANICS: (GC,GC/MS,HPLC)co
Q
(Specify test and method #. Attach lab report)
Report Attached? Yes . (1) go--r 0)
VOC : method # _ t," •
: method # = G
: method # = c-rt
',I certify that, to the best of my knowledge and belief,,the informatign submitted•in•this report is true, accurate, andcomplete, and that•the•Iaboratory analytical data was producedy
using approvedmethods of analysis by a North Carolina DWQ_(for merly DEM) certified laboratory. I am' aware that.there are significant penalties for submitting: false`information
'`including the possibility of finesand"imprisonment for knowing violations."
`moo w,c/ CO r iQoc.cQia2
Permlttee (o thof ee 9eru) Name and Title - Please -print ortype
Pe
GW-59
Rev. 03/2000
•
�r
Signature ofrmittee (or Authorized Agent)
23"
(Date)

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
FACILITY INFORMATION I Please Print Clearly or Type
Facility Name* "%�OG��t1 dFl2.c. — JS'lau�a72%stq �GliiS
Permit Name (if differe ) 15
Facility Address• 0 Z 7 8
��� ts,re,t A1C
�g�e� 764'
Contact Person. 6'Ry A• 11710a es Rio.
Well Location/ Site Name: /64..7''.3lcor¢/.t Awe,
County hi9441e 114
Telephone #•0I )t. 1 • $-r513
No. of Wells to be Sampled: ttr°6"
Well Identification Number (from Permit)• - '-',3
Well Depth: •_50 ft Well Diameter: di in
Screened Interval• ft. to • ft
Depth to Water Level: G.!a ft below measuring point.
Measuring Point (M.P.) is:LJ.,5_ ft above land surface. Relative M.P: Elevation in ft
Gallons of water pumped/bailed before sampling: /5 Date sample collected:.? 0-
Field analysis: pH_%,, Specific Conductance uMhos
Temp. °C, Odor Aid. Appearance C< e.
For Groundwater treatment Systems
Check One: 0 Influent (98)
0 Effluent (99)
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
WATER QUALITY DIVISION, GROUNDWATER SECTION
1636 MAIL SERVICE CENTER
RALEIGH, NC 27699-1636 Phone: [phone]
PERMIT #: EXPIRATION DATE. r1ot!A Z63
Non -Discharge C...c../ePOcho?,6s3 $ UIC
NPDES
TYPE OF PERMITTED OPERATION BEING MONITORED
Lagoon Remedlation: Infiltration Galles ,
Spray Field Remediation• W t
Rotary Distributor Land Application of Sludge N
Other. Q_
NOTE: Values should reflect dissolved and
colloidal 'concentrations.
Date,sample analyzed: 7-2Z-03 70 8 1X43
Laboratory Name. Z /Te i ‘Z".e./C
Certification No QG 7
PARAMETERS (Samples for metals were'collected
COD
Coliform: MF Fecal G /
Coliform: MF Total
(Note: Use MPN method for highly turbid samples)
Dissolved Solids: Total
pH (when analyzed) " (G. 2� .
TOC _ • /< 3 S
Chloride
Arsenic
unfiltered YES NO
mg/ Nitrite (NO2) as N
/100m Nitrate (NO3) as N rng/1
/100m Phosphorus:Total as P mg/I
Orthophosphate mg/I
mg/ Al Aluminum mg/I
Grease and Oils
Phenol
Sulfate -
Specific Conductance
Total Ammonia
TKN as N
units Ba - Barium mg/I
mg/ Ca - Calcium mg/I
mg/ Cd - Cadmium mg/I
mg/ Chromium: Total mg/I
mg/ Cu - Copper mg/1
mg/ Fe - Iron mg/I
mg/ Hg - Mercury mg/1
uMhos K - Potassium_ mg/1
mg/ Mg Magnesium mg/I
mg/ Mn -,Manganese mg/I
and field acidified YES NO)
mg/1 Ni - Nickel
Pb - Lead
Zn - Zinc
Ammonia Nitrogen 0 OZ
Other (Specify Compounds and Conce
op
-.. (1)P
,�r
,c)
ORGANICS: (GC,GC/MS,HPLC) t ��
(Specify test and method #. Attach lab report.)
Report Attached? Yes (1) No (0)
VOC : method # =
: method # =
: method # =
certify that, tothe bestof myknowledge-and belief,; the, informationi submitted` in this report istrue; accurate; and complete, and thatthe.Iaboratory analytical datawas-produced
using approved' methods of analysis' by a North Carolina DWQ (formerly DEM) certified laboratory.'I am aware that, there are significant penalties for` submitting• false Information :;
including the possibility :of fines and' imprisonment for knowing violations.-
/ ml� /9fe2
•
GW-59
Rev. 03/2000
Pe rmlttee (or thoriz A t)Name and Title = Please print or type
Signature of ermittee (or Authorized Agent)
-2-5-03
(Date)

- rw
SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
FACILITY INFORMATION Please Print Clearly or Type
Facility Name. /oL4d o / — / 4/A13-'tly Cde//S
Permit Name (if different).
Facility Address: 0 SOX 2- 8.
9 ts`r«° A/C; 275O/
tcnv)
Contact Person. 044 62'C( A a 8 S lzpl
Well Location! Site Name:fr-W-4!6J'M F1GLc( 5g)
County /4e'
Telephone #. ,6,39.601B
No. of Wells to be Sampled:
(from -
Well Identification Number (from Permit): /y(GJ
Well Depth: lU.-3 ft Well Diameter: in
Screened interval: ft to ft
Depth to Water Level: S. 3 ft below measuring point.
Measuring Point (M.P.) is:2..62_ ft. above land surface. Relative M.P. Elevation in ft.:
Gallons of water pumped/bailed before sampling: 2S Date sample collected: ?.
Field analysis: pH . % ' , Specific Conductance " uMhos
Temp. °C, Odor itio Appearance eLe794
For Groundwater Treatment Systems
Check One: ❑ Influent (98)
❑ Effluent (99)
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
WATER QUALITY DIVISION, GROUNDWATER SECTION
1636 MAIL SERVICE CENTER
RALEIGH, NC 27699-1636 Phone: [phone]
PERMIT #: EXPIRATION DATE. "-kW 243
Non -Discharge 640602439 UIC
NPDES .
TYPE OF PERMITTED OPERATION BEING MONITORED
—�. Lagoon Remediation: Infiltration Gallery
Spray Field _ Remediation•
Rotary Distributor Land Application of Sludge
Other. t
NOTE: Values should reflect dissolved and
colloidal concentrations.
Date sample analyzed: 7 22-03 - $- H 0,3
Laboratory Name' 72 Z Tes> ZA'C
Certification No 0007
PARAMETERS (Samples for metals were collected unfiltered YES. NO
COD mg/ Nitrite (NO2) as N
Coliform: MF Fecal Z. l /100m .Nitrate (NO3) as-N -
Coliform: MF Total /1 OOm Phosphorus:Total as P
(Note: Use MPN method for highly turbid samples) Orthophosphate
Dissolved Solids: Total • mg/ Al - Aluminum
pH (when analyzed)4110.//'1units Ba - Barium
TOC O. f mg/ Ca - Calcium
Chloride
mg/ Cd - Cadmium
Arsenic mg/ Chromium: Total,
Grease and Oils mg/ Cu - Copper
Phenol mg/ Fe - Iron
Sulfate mg/ Hg.- Mercury
uMhos K = Potassium
mg/ Mg - Magnesium
and field acidified YES NO)
mg/I
mg/I
mg/1
m/
mg/
mg/
mg/
mg/
mg/
mg/
mg/
mg/
mg/
mg/
Specific Conductance
Total Ammonia
TKN as N mg/ Mn - Manganese
Ni - Nickel mg/I
Pb - Lean mg/I.
Zn -;Zinc mg/I
Ammonia Nitrogen- Z- o- oZ mg/I
Other (Specify Compounds and Concentration Units)
ORGANICS: (GC,GC/MS,HPLC
(Specify test and method#. Attact b .)
Report Attached? Yes (1) `cNo (0).
VOC - : method #
: method # =
method # =
.••J1
n•
I"certify that •to.the best of -my knowledge and belief, the information submitted'in this reportt is true,- accurate; and complete, and that the laboratory analytical- data was -produced,
using approved" methods of analysis by a North Carolina DWQ (formerly DEM) certified laboratory. I am aware that there are significant penalties for'submitting falselnforr..iation,
including the possibility'of fines and' imprisonment for knowing violations..
-7'O40i.1 O '/g ccil e/L
GW-59
Rev. 03/2000
Perrnhtee (or Authorized ,gent)flame and Title - Please print or type
/
Signature of osrmittee (or Authorized Agent)
F-2 $ c3
(Date)

SUBMIT FORM ON YELLOW PAPER ONLY
(Note: Use MPN method for highly turbid samples)
Dissolved Solids: Total mg/
pH (when analyzed) Z. Zb units
TOC !a,`8 ' mg/
Chloride m
Arsenic mg/
Grease and Oils mg/
Phenol mg/
Sulfate mg/
Specific Conductance uMhos
Total Ammonia mg/
TKN, as N mg/
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
FACILITY INFORMATION Please Print Clearly or Type
Facility Name• T WAI B- - / - /�/kj cG7�ova-/`rr5 CJe It'
Permit Name (if different—;� ✓
Faciil•jy Address.a. /3D� ?8
/ot tLgl i (Street) _ !� 7`Oi
tcur) 141( at County �i3t4A/C
Contact Person* . �f �� ✓'� Telephone #•6 lQ/ 639- &A
Well Location/ Site Name: M &"" e Aim dl . No. of Web to be Sampled• (from Perm Q
Well Identification Number (from Permit): "W'
Well Depth: /4-A/ • ft Well Diameter: .4/ in
Screened interval: ft to ft
Depth to Water Level: .y 2 ft below measuring point.
For Groundwater Treatment Systems
Check One: ❑ Influent (98)
❑ Effluent (99)
MeasuringPoint (M.P.) is:3_ ft above land surface. Relative M.P. Elevation in ft
Gallonsof water pumped/bailed before sampling: Date sample collected: 75
Field analysis: pH S , Specific Conductance uMhos
Temp. °C, Odor Alb Appearance Gl_caek L-
Mail Original
to:
DEPARTMENT OF ENVIRONMENT.& NATURAL RESOURCES
WATER QUALITY DIVISION, GROUNDWATER SECTION
1636 MAIL SERVICE CENTER
RALEIGH, NC 27699-1636 Phone: [phone]
PERMIT #: EXPIRATION DATE. ,/OU SQ,3
Non -Discharge - e ozc03S UIC
NPDES
TYPE OF -PERMITTED OPERATION BEING MONITORED
S( Lagoon Remedlation: Infiltration Gallery
Spray Field Remedialion•
Rotary Distributor Land Application of Sludge'
Other.
NOTE: Values should reflect dissolved and
colloidal concentrations.
Date sample analyzed: 7-Z2-o3- To $-// 23
Laboratory Name. T2 iresT
Certification No o4, 7
PARAMETERS (Samples for metals were collected unfiltered YES NO
COD mg/ Nitrite (NO2), as N
Coliform: MF Fecal L 1 /100m Nitrate (NO3) as N
Coliform: MF Total /100m Phosphorus: Total as P
Orthophosphate
Al - Aluminum
Ba - Barium
and field acidified
mg/
mg/I
mg/
mg/
mg/
mg/
m/
mg/
mg/
m/
mg/
9
mg/
mg/
mg/
Ca - Calcium
Cd - Cadmium
Chromium: Total
Cu - Copper
Fe - iron
Hg - Mercury
K Potassium
Mg - Magnesium.
Mn - Manganese
YES NO)
Ni - Nickel mg/1
Pb Lead mg/I
Zn -Zinc mg/I
Ammonia Nitrogen G 6.62 5 mg/I
Other (Specify Compounds and Cdipntratton;Units)
CP
ORGANICS: (GC,GC/MS,HPLC) - 2;
(Specify test and method #. Attach lab riiport.)
Report Attached? Yes (1) No d (0)
VOC . : method # =
: method # =
: method #
"I certify that, to.the bestof my knowledge and belief, the information submitted in• this report is true;- accurate, and'complete,, and.that the -laboratory, analyticaldata,was producedk
using approved'methods of analysis by a North Carolina DWQ (formerly DEM) certified laboratory.•I am aware that there are significant penalties'for:submitting faise'information,:
including•thepossibility of fines'and'imprisonmentfor knowing'violations:.r.
w': D� �%le/L
Permittee (orAuthprized�lgenUName and Tit)6 Please print or typo
•
GIN-59
Rev. 03/2000
Signature of P
�� f ✓Lccr
ittee (or Authorized Agent)
'g-Z S-o3
(Date)

SUBMIT FORM' ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
FACILITY INFORMATION Please Print Clearly or Type
Facility Name "rcLcZa eF"elAi le/L - /* liiaR. /a.lC-
Permit Name (if different):
Facility Address* . cx A ° " 2 7 S
tweeiVe. 27-01 County
//¢2uetA,Agre.e
tsOP) Contact Person•.e oy A. /3'vaeEs
Telephone #:(9/9J Gay- Flo/3
Well Location/ Site. Name: M l.O d/ ''de /Aye No. of .Wells to be Sampled S
t r°r mF.m,ti)
Well • Identification Number (from Permit): MLJ " l
Well Depth: / 9 ft. Well Diameter: 4' in
.Screened Interval: ft to ft
Depth to Water Level: 5.08 ft below measuring point.
Measuring Point (M.P.) is: l.38 ft above land surface. Relative M.P. Elevation in ft.:
Gallons of water pumped/balled before sampling:" $ Date sample collected: 3-25-03
Field analysis: pH'- 7"• 9 , Specific Conductance - - uMhos
Temp. °C, Odor Ne) Appearance. GLe42
"For. Groundwater Treatment Systems
Check One: ❑ Influent (98)
C] Effluent (99)
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
WATER QUALITY DIVISION, GROUNDWATER SECTION
1636 MAIL SERVICE CENTER
RALEIGH, NC 27699-1B36 Phone: [phone]
PERMIT #: EXPIRATION DATE/4- 2403
Non -Discharge 6..Voo07�038 UIC
NPDES - // 4/2 7
TYPE OF PERMITTED OPERATION BEING MONITORED
Lagoon Rem: dlation: Infiltration Gana,
Spray Field Remediation• �p
Rotary Distributor Land Application of Sludge O
Other. (7
NOTE:. Values should reflect dissolved and
colloidal concentrations.
Date sampleanalyzed: ,3 ZS-03 To _ 3 - 3 1-03.
Laboratory Name* 7.eiTcsT
Certification No. D eo 7
PARAMETERS (Samples for metals were collected unfiltered YES NO.
COD mg/ Nitrite (NO2) as N
Coliform: MF Fecal - 1 /100m Nitrate (NO3) asN
Coliform: MF Total /100m Phosphorus: Total as P
(Note: Use MPN method for highly turbid samples) Orthophosphate -
Dissolved Solids: Total Al - Aluminum
pH (when analyzed) S . 0 el Ba-- Barium -
TOC =C- v- 50
and field acidified YES NO)
mg/ Ni - Nickel mg/I
mg/ Pb - Lead - - mg/I
mg/ - Zn - Zinc o ' mg/I
mg/I Ammonia Nitrogen L. G- O '--• mg/I
rng/ Other (Specify Compounds and pnct ration. Units)
mg/ r - �
Ca - Calcium - - • mg/
Cd Cadmium mg/
Chromium: Total - mg/
Cu = Copper - mg/
Fe - Iron - mg/
Hg _ Mercury ' mg/
K Potassium mg/
Mg - Magnesium mg/
mg/
Chloride
Arsenic
Grease and Oils-
Phenol
Sulfate
Specific Conductance
Total Ammonia
TKN as N
mg/
units
mg/
mg/
mg/
mg/
mg/
mg/
uMhos
mg/I
mg/I Mn - Manganese
• ri
slJ
ORGANICS: (GC,GC/MS,HI°p) .:
(Specify test and method#. Attach lib,report.)
Report Attached? Yes (1) No (0)
VOC : method .#=,
: method # =
method #
I' certify that, tothe 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 approvedmethods of analysis by a North Carolina DWQ (formerly DEM) certified laboratory. I am aware that there are significant penalties.for submitting false, information;
including the possibility of fines and' imprisonment for knowing violations.
GW-59
Rev. 03/2000
RECE1VFD
APR 11 2003.
( O2NR FAYETIMLE REGIONAL OFFICE
7 WAJ a/C /IA//e2
" Permitte (r uthor ed Agent) Name and Title - Please print or type
Dp
Signs a of Pormittee (or Authorized Agent)
Y-8"-o3
(Date)

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER *QUALITY MONITORING:
COMPLIANCE REPORT FORM
FACILITY INFORMATION Please Print Clearly or Type
Facility Name•?°WW 4P41x19-4e--AldN%ro2.''ic We-16
:Permit Name (if different).
Facility Address. P. ` �o ( 27 S
Aceriea . (sueeq /t.lc- 2 7,St5/
(cuy Ste, l 1 County /r//4 tet •
Contact Person-44'1"y A- -'3'""Y 5-S Telephone # �39- Sd /3
Well Location/ Site Name: Al ''2 Bes/de 449.964/ No. of Wells to be Sampled' t-I 5Permrrl
For Groundwater Treatment Systems
Check One: ❑. Influent (98)
Screened Interval: ft. to ft ❑ Effluent (99)
Depth to Water Level: •?eft below measuring point.
Measuring Point (M.P.) is: 0ft above land surface. Relative M.P. Elevation in ft.: .
Gallons of water pumped/bailed before sampling: Date sample collected: 3 25-a3
Field analysis: pH 6•$ , Specific Conductance uMhos -
Temp °C, Odor Ne5 Appearance eteA2.
Well Identification Number (from Permit): t') GcJ a
Well. Depth: 2 o ft Well Diameter: y„ in
Mail Original
:to:
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
WATER QUALITY DIVISION, GROUNDWATER SECTION
1636 MAIL SERVICE CENTER
RALEIGH, NC 27699-1636 - Phone: [phone]
PERMIT #: EXPIRATION DATE.
Non -Discharge 44 000 21138 UIC
NPDES i/4'Z 7 o
TYPE OF PERMITTED OPERATION BEING MONITOREE
Lagoon _ Remediatlon: Infiltration Gall)
Spray Field Remediatiorr kp
Rotary Distributor Land Application of Sludge p
Other. .. (=i
NOTE: Values should reflect dissolved and
colloidal concentrations..
Date sample:analyzed: 3 •25--O3. To 3-3/-Q3
Laboratory Name• -Tie /rest. A/e-•
Certification No. - ' ' ' 7
a N)
•
PARAMETERS (Samples for metals were collected unfiltered
COD mg/
Coliform: MF Fecal z-1 /100rn
Coliform: MF Total /100m
(Note: Use MPN method for highly turbid samples)
Dissolved Solids: Total mg/
pH (when analyzed) 5• `i& units
TOC /. S mg/
Chloride mg/
Arsenic mg/
Grease and Oils mg/
Phenol - mg/
Sulfate mg/
Specific Conductance uMhos
Total Ammonia mg/
TKN as N mg/
Phosphorus: Total as P
Orthophosphate
Al - Aluminum
Ba - Barium mg/i
Ca - Calcium mg/I
Cd - Cadmium mg/I
Chromium: Total mg/I
Cu - Copper mg/I
Fe - Iron mg/1
Hg - Mercury mg/I
K - Potassium mg/I
Mg - Magnesium mg/1
Mn - Manganese mg/I
YES NO and field acidified • YES NO)
Nitrite (NO2) as N • mg/I • Ni - Nickel mg/1
Nitrate (NO3) as N - .. - mg/1 Pb - Lead mg/1
mg/1 •Zn - Zinc ` mg/I
mg/1 Ammonia Nitrogen /, "718 7 mg/I
mg/1 Other (Specify Compounds an onliration Units)
Lo , fir=
ORGANICS: (GC,GC/MS,14C) �r
,(Specify test and method'#.Ntactdab report.)
Report Attached? Yes (1) No (0)
VOC : method #
: method #
: method # =
Icertify that, to the best of my knowledge and belief„the, informationsubmitted•,in this report is true, accurate, and complete,: and that the laboratory analytical' data.was produced
casing approved' methods of analysis'by a North Carolina' DWQ• (formerly DEM)`certified laboratory. I •am• aware that there are significant penalties'for submitting'false:information;
'including the possibility of fines'and'imprisonment for knowing violations.
7'ot4c1 co' rq�yJa°/Z
Permlttee (or Authorized gent) Name and Title - Please print or type
r
vi vA•
Signature of ormittee (or Authorized Agent)
GW-59
Rev. 03/2000
RECEIVED
APR 11 2003
DENFI--FA EIIE ILLEREGIONALOFFICE
`71— 8- 0
(Date)

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
FACILITY INFORMATION Please Print Clearly or Type
Facility Name* -row Mo4b7D2/49 / )e //S
Permit Name (if different)*
Facility Address. P.a a oX 'Z 7
AA.44 Jet (s" 40 Ale. Z756/
tc" E, v A. .boo !45
Contact Person: y' f3 sue`°' tzP>
Well Location/ Site Name•J 3 tic o4atea Ciee"i) No. of Wells to be Sampled: t Penn
County E4241e h`
Telephone #• (PT) G39.- 86/3
Well Identification Number (from Permit): M Cv "3
WetlDepth: SO ft. Well Diameter: /' in
Screened Interval: ft to ft
Depth to Water Level: 6.08 ft below measuring point.
Measuring Point (M.P.) is: /.75 ft above land surface. Relative M.P. Elevation in ft.:
Gallons of water pumped/bailed before sampling:. Date sample.collected: 3 -25 03
Field analysis: pH. 7• Specific Conductance uMhos
Temp. °C, Odor NO Appearance G LeAt/2.
For Groundwater Treatment Systems
Check One: ❑ Influent '(98)
❑ Effluent (99)
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
WATER QUALITY DIVISION, GROUNDWATER SECTION
1636 MAIL SERVICE CENTER
RAL IGH NC 27699.1636
Phone: [phone]
PERMIT#:. EXPIRATION DATE• Ahog 2093
Non -Discharge LOC2 600263g UIC
NPDES // yL 7
TYPE OF PERMITTED OPERATION BEING MONITORE
Lagoon Remedlatlon: Infiltration Gallus
X Spray Field Remediation• . - uD
Rotary Distributor Land Application of Sludge Q
Other.
NOTE: Values should reflect dissolved and
colloidal concentrations.
Date sample analyzed: 3 -2S-63 -ID 3 -31-o3.
Laboratory Name• . 72 /TCST
Certification No. oG 7
PARAMETERS (Samples for metals were collected unfiltered YES NO
COD . mg/ Nitrite (NO2) as N
Coliform: MF Fecal .41 /100m Nitrate (NO3) as N
Coliform: MF Total /100m Phosphorus: Total as P
(Note: Use MPN method -for .highly turbid samples) Orthophosphate
Dissolved Solids: Total mg/ Al - Aluminum
pH (when analyzed) S, Z 5 units 'Ba - Barium
TOC - i. o/ mg/ . Ca - Calcium
Chloride mg/ Cd - Cadmium
Arsenic ' mg/ Chromium: Total
Grease and Oils mg/ . Cu - Copper
Phenol mg/ Fe - Iron
Sulfate = mg/ Hg - Mercury
Specific Conductance uMhos K - Potassium
Total Ammonia mg/ ' Mg Magnesium
TKN as N mg/ • . Mn - Manganese
and field acidified YES NO)
mg/I Ni -Nickel c--) m
mg/1 Pb -, Lead p, mg/I
mg/I Zn. - Zinc -n -' mg/I
mg/1 Ammonia Nitrogen L 20 = '; mg/I
mg/ , Other (Specify Compounds and Co ce`ntration Units)
.mg/ -
mg/
mg/
mg/
mg/
mg/
mg/
mg/
mg/
mg/
u
N
cn
h
ORGANICS: (GC,GC/MS,HPLC)
`(Specify test and method #. Attach lab. report.),
Report Attached? Yes (1) . No (0)
VOC method # _
method # =
: method # =
(: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 North Carolina DWQ (formerly DEM) certified laboratory.I am aware that there are significant penalties for submitting faise'information;•
including the possibility of fines andimprisonment for knowing violations.
GW-59
Rev. 03/2000
" RECEIVED
APR 9 1 2003
7-tuar✓ o P ,4 rY.c2
Permittee (or Au orized A nt) Name and Title - Please print or type
Signature of Pormittee (or Authorized Agent)
Y -c 3
(Date)
OENR 1-MC/i•Ti%tni i P rg:niniuni mm�r-

SUBMIT FORM ON YELLOW PAPER' ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
FACILITY INFORMATION Please Print Clearly or Type
Facility Name* 7o4-.9A/ �h - Rios//%,2i' £`/5
Permit Name (if different):
Facility Address.' - P o. /3o'X 2.7$
(Note: Use MPN method for highly turbid samples)
Dissolved Solids: Total
pH (when analyzed)
TOC o. 7 /o
Chloride
Arsenic
mg/
• c f units
mg/
mg/
mg/ Chromium: Total
Grease and Oils mg/ Cu'- Copper
mg/ .Fe - Iron
Sulfate mg/
Specific Conductance uMhos
Total Ammonia mg/
TKN as N mg/
Phenol
isveeq /C(C Z SSW
City) ts�iel OP)
County /�,Ak.-1 4
Contact Person: ,6i�ro/t% A. ,3roo iC S Telephone it. /9/9) G3 9- 6O/3
Well Location/ Site Name•Mtu1" (:.ui:cAef SF) No. of Wells to be Sampled* t.r.. S_j�l
For Groundwater Treatment Systems
Check One: 0 Influent (98)
CI Effluent (99)
Well Identification Number (from Permit)* M lcv dY
Well Depth: /LA 3 ft Well Diameter: y" in
Screened Interval: - ft to ft
Depth to Water Level: 3. 8 3 ft below measuring point.
Measuring Point (M.P.) is: ft above land surface. Relative M.P. Elevation in ft.:
Gallons of water pumped/bailed before sampling: Date sample collected: 3.25 03
Field analysis: pH 6. .8 , Specific Conductance uMhos
Temp °C, Odor N0 Appearance CLG4q2
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
WATER QUALITY DIVISION, GROUNDWATER SECTION
1636 MAIL SERVICE CENTER
RALEIGH NC 27699-1636 Phorle: [phone]
PERMIT #: EXPIRATION DATE'
Non -Discharge (tiQ DOD 26,3 S UIC
NPDES /R'I Z 7
NO[1, 2003
TYPE OF PERMITTED OPERATION BEING MONITO
Lagoon
X Spray Field
R6®
Remedlation: Infiltration Gaffey
Remediatiorr CD
_ Rotary Distributor Land Application of Sludge C7
Other.
NOTE; Values should reflect dissolved and.
colloidal concentrations.
Date sample analyzed: 3-2 5-o3 7 ° 3 -3 t- 03
Laboratory Name• _ 7 . / Tes•r
Certification No OG 7 . .
PARAMETERS (Samples for metals were collected unfiltered YES NO
COD mg/ Nitrite (NO2) as N
Coliform: MF Fecal L 1 /100m Nitrate (NO3) as N-
Coliform: MF Total /100m Phosphorus: Total as-P
Orthophosphate
Al - Aluminum - mg/
Ba - Barium mg/
Ca - Calcium mg/
Cd - Cadmium mg/
mg/
mg/
mg/
Hg Mercury mg/
'K - Potassium - mg/
Mg - Magnesium mg/
mg/
Mn - Manganese
and field acidified YES NO)
mg/I Ni - Nickel
mg/I Pb - Lead
mg/I Zn - Zinc
mg/1 Ammonia Nitrogen o• oa
Other (Specify Compounds andConcentration Units)
mg/I
mg/I
mg/I
mg/I
cal
C.
7
ORGANICS: (GC,GC/M8,H13LC*'
(Specify test and method€. Attire; lab report.)
Report Attached? Yep,1`)' No (0)
VOC - : l thod• t _
: rriatho4 # =
..method`# =
('.certify that;. to the best of my knowledge and belief, lie 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 North Caroina DWQ (formerly DEM) certified laboratory. I 'am. aware that there are significant penalties for submitting false; information,
'including the possibility of fines and' imprisonment for knowing violations. '
GW-59
Rev. 03/2000
RECOVED
1 1 2003
ix30 Fit i-T IEEE REGIONAL OFFICE
7 L.1.c/ a,r t4.teyle/2.
Perrnittee (or Authorized Agen) Name and Title - Please print or type.
Signature of P6rmittee (or Authorized Agent)
V -P-o 3
,(Date)

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
FACILITY INFORMATION • Please Print Clearly or Type
Facility Name* `T wiI O,& . /6e - mow foil" hxlis
Permit Name (if different):
Facility Address. / -a• 6016' 27i3
.4(Cityuy ) (Sweet) ✓t.�G- 1756/ ;7County fg/Q'2�1./•e i�
Contact Person. EAiofSlaab�S alp) 2 y A, Telephone #• (9/59639- 80 /3
Well Location/ Site Name: Ago as[ F/ eLc! SG No. of Wells to be Sampled' tTrom ter,)
For Groundwater Treatment Systems
Check One: ❑ Influent (98)
0 Effluent (99)
Well Identification Number (from Permit): M It) 415
Well Depth: /G. y ft Weil Diameter: '`/ in
Screened interval: ft. to ft
Depth to Water Level: 3.-SS ft below measuring point.
Measuring Point (M.P.) is: ft. above land surface. Relative M.P. Elevation in ft.: .
Gallons of water pumped/bailed before sampling: Date sample collected: 3.25--03
Field analysis: pH '7- / , Specific Conductance uMhos
Temp. °C, Odor NO Appearance C 4e4.2.
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
WATER QUALITY DIVISION, GROUNDWATER SECTION
1636 MAIL SERVICE CENTER
RALEIGH, NC 27699.1636 Phone: [phone]
PERMIT#: EXPIRATION DATE•, , V• 2 A 3
Non -Discharge /.. f COO2638 UIC Lo t
NPDES /II.!Z 7 ca
TYPE OF PERMITTED OPERATION BEING MONITORS
Lagoon Remediatlon: Infiltration Ga er
X Spray Field Remediation•
Rotary Distributor Land Application of Sludge j
Other. -
NOTE: Values should reflect dissolved and
• colloidal concentrations.
Date sample analyzed: 3 -2S-63 Ta 3 -3 f -03
Laboratory Name• 7 i'resr z 1c-
Certification No cni6 7
PARAMETERS (Samples for metals were collected unfiltered YES NO and field acidified YES NO)
mg/ • Ni - Nickel mg/I
/100m1 mg/I
mg/I
.OZ • mg/I'
antf:6oncgtration Units)
COD
mg/I Nitrite (NO2) as N
Coliform: MF Fecal Z. 1 /100ml Nitrate (NO3) as N
Coliform: MF Total
Phosphorus: Total as P
(Note: Use MPN method for highly turbid samples) Orthophosphate
Dissolved Solids: Total mg/I Al - Aluminum
pH (when analyzed) 5.55 units Ba - Barium
TOC- o. q y mg/ Ca - Calcium
Specific Conductance
Total ;Ammonia
TKN as N
mg/I Pb - Lead
mg/ Zn - Zinc
mg/I Ammonia Nitrogen
mg/
mg/
Chloride mg/
mg/
Arsenic mg/
Grease and Oils mg/
Phenol mg/
Sulfate Hg - Mercury mg/
uMhos K - Potassium
mg/ Mg - Magnesium mg/
mg/ Mn - Manganese mg/
mg/ Cd - Cadmium
mg/ Chromium: Total
mg/ Cu - Copper
mg/ Fe - Iron
mg/
Other- (Specify Compounds
co
-70
ORGANICS: (GC,GC/MS,HRL-C)
(Specify test and method #. Attach Cab';report.)
Report Attached? Yes al)to (0)
VOC : meth6d1# _
: method # =
method # =
', T 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 North Carolina DWQ (formerly DEM) certified laboratory. I am aware that there are significant penalties for submitting false.information,-.
including the possibility of fines and'imprisonment for knowing violations.-
GW-59
Rev. 03/2000
RECEIVED
APR 11 2003
DENR 7 FAYETIEVILEREGiONALOFFICE
`Yote.c! aIe2
Permittee (or Au orize Age t) Name and Title - Please print or type
Signature of Pd mittee,-(orAuthorized Agent)
11_F-62
(Date)