WQ0002428_Monitoring - 03-2022_20220505

GW-59A COMPLIANCE REPORT FORM Permit# Yta MO2_c'L.
(Submit one each monitoring period with Gil-59 forms.)
Enter date monitoring results were due.( Htf3o)ro9t) Will this monitoring report(GW-59 and GW-59A) YES NO
be submitted after the established due date? '
2 Was any required information missing on the GW-59 report forms? YES NO,�
IF the answer to question 1 or 2 is"YES", list in the space provided below the well identification number(s)and
explain the problems encountered in obtaining the required information.
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.)?lithe answer is "Yes-,contact the Regional Office for guidance.
4 Are any monitored constituents equal to or above the established standards? YES NO
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).
g
6 Are the monitoring wells listed in section 5 located at or beyond the rwyiew dary? 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 be
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,
fines, and/or penalties.
n T1
8 The person completing this portibn(4w--5944 of the monitoring report should sign below and submit this
form with GW-59 forms for required WIls,tFi he 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.
k VZ8/20 2-a_
S u`re of Permittee(or Authorized Agent) ate
G\\'-59A 12/8/2003

•
SUBMIT FORM ON YELLOW PAPER ONLY
Mail Original DEPARTMENT OF ENVIRONMENT&NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING: DIVISION OF WATER QUALITY-INFORMATION PROCESSING UNIT
and 1 copy to:
COMPLIANCE REPORT FORM 1617 MAIL SERVICE CENTER,RALEIGH,NC 27699-1617 Phone:[phone]
FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: WQ0002428 Expiration Date: /2/,i% Z.ca
Facility Name: Mountaire/Mt.Vernon Non-Discharge X UIC
Permit Name(if different): hiaL -r4f2 F F4eN.S /4C NPDES Other
Facility Address: 175 Foust Road TYPE OF PERMITTED OPERATION BEING MONITORED
Siler City (Street) NC 27344 County
Chatham ❑ Lagoon ❑ Remediation: Infiltration Gallery
(City) (State) (Zip)
❑■ Spray Field ❑ Remediation:
Contact Person: Doug Goodwin Telephone#: [phone] ❑ Rotary Distributor ❑Land Application of Sludge
Well Location/Site Name:Mountaire Mt.Vernon No. of wells to be sampled: 4 ❑ Water Source Heat Pump ❑Other:
(from Permit)
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): MW i.B Date sample collected: 03/22/2022 FIELD ANALYSES: WAS
Well Depth: 26.2 ft. Well Diameter: 2 in. pH ooaoo 7.31 units Temp.000l0 14.5 °C DRY at
time of
Depth to Water Level 82546: 6�8 ft. below measuring point Screened Interval: ft. to ft. Spec. Cond. 0ooa4- µMhos (sampling,
Measuring Point is 4 ft. above land surface Relative M.P. Elevation: ft. Odor 00085: check
Volume of water pumped/bailed before sampling: 6.0 gallons Appearance here:❑
Samples for metals were collected unfiltered: ❑YES ■❑ NO and field acidified: ❑YES ❑NO
LABORATORY INFORMATION
Date sample analyzed: 03/22-4/4/2022 Laboratory Name: Cameron Testing Services Certification No. #654
PARAMETERS NOTE:Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L Nitrite(NO2)as N Posts mg/L Pb-Lead 01051 ug/L
Coliform: MF Fecal 31616 <1 /100mL Nitrate(NO3)as N 00620 7.16 mg/L Zn-Zinc 01092 mg/L
Coliform: MF Total 31504 /100mL Phosphorus: Total as P 00665 mg/L
(Note. Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other(Specify Compounds and Concentration Units):
Dissolved Solids:Total 70300 370 mg/L Al-Aluminum altos mg/L
pH(Lab)00403 units Ba-Barium o1007 ug/L
TOC 00680 <1.00 mg/L Ca-Calcium owls mg/L
Chloride oosao 38.9 mg/L Cd-Cadmium 01027 ug/L
Arsenic a1oo2 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) ❑■ No(0)
Specific Conductance 0o0ss µMhos K-Potassium 00937 mg/L VOC 78732: ,method# 8260E
Total Ammonia oos10 <0.100 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%
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
DWQ-certified laboratory. I am aware that there are significant penalties for submitting false information,including the possibility of fines and imprisonment for knowing violations.
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Permittee(or Authorized Agent)Name and Title-Please print or type ig re of Permittee(or Authorized Agent) (Dal )
GW-59 Rev.2/2010

SUBMIT FORM ON YELLOW PAPER ONLY
Mail original DEPARTMENT OF ENVIRONMENT&NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING: ' DIVISION OF WATER QUALITY-INFORMATION PROCESSING UNIT
and 1 copy to:
COMPLIANCE REPORT FORM 1617 MAIL SERVICE CENTER,RALEIGH,NC 27699-1617 Phone:[phone]
FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: WQ0002428 Expiration Date: /1/3Va ,
Facility Name: Mountaire/Mt.Vernon Non-Discharge X UIC
Permit Name(if different): AMr1JA)Tq(re‘ itg2h.S /rJC NPDES Other
Facility Address: 175 Foust Road TYPE OF PERMITTED OPERATION BEING MONITORED
Siler City (street) NC 27344 County
Chatham ❑ Lagoon El Remediation: Infiltration Gallery
(City) ,State: (Zip) El Spray Field ❑Remediation:
Contact Person: Doug Goodwin Telephone#: [phone] ❑ Rotary Distributor ❑Land Application of Sludge
Well Location/Site Name:Mountaire Mt.Vernon No. of wells to be sampled: 4 ❑ Water Source Heat Pump ❑Other
(from Permit)
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): MW-2 Date sample collected: 03/22/2022 FIELD ANALYSES: WAS
Well Depth: 16 ft. Well Diameter: 4 in. pH ooaoo 7.39 units Temp.00010 13.7 °C DRY at
Mhos time of
Depth to Water Level 82546: 4.0 ft. below measuring point Screened Interval: ft. to ft. Spec. Cond.09o94: µ sampling,
Measuring Point is 1 ft. above land surface Relative M.P. Elevation: ft. Odor 00085 check
Volume of water pumped/bailed before sampling: 15.5 gallons Appearance here:❑
Samples for metals were collected unfiltered: i,YES ❑■ NO and field acidified: ❑YES CI NO
LABORATORY INFORMATION
Date sample analyzed: 03/22-4/4/2022 Laboratory Name: Cameron Testing Services Certification No #654
PARAMETERS NOTE:Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L Nitrite(NO2)as N o0615 mg/L Pb-Lead 01051 ug/L
Coliform: MF Fecal 31616 <1 /100mL Nitrate(NO3)as N oo62o 0.270 mg/L Zn-Zinc 01092 mg/L
Coliform: MF Total 31504 /100mL Phosphorus:Total as P 00665 mg/L
(Note. Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other(Specify Compounds and Concentration Units):
Dissolved Solids:Total 70300 174 mg/L Al-Aluminum oi 105 mg/L
pH(Lab)00403 units Ba-Barium 01007 ug/L
TOC 00680 <1.00 mg/L Ca-Calcium coals mg/L
Chloride 00940 13.6 mg/L Cd-Cadmium 01027 ug/L
Arsenic o1002 ug/L Chromium:Total 01034 ug/L
Grease and Oils 00552 mg/L Cu-Copper 01042 mg/L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730 ug/L Fe-Iron 01045 ug/L (Specify test and method#.ATTACH LAB REPORT.)
Sulfate oos45 mg/L Hg-Mercury 71900 ug/L Lab Report Attached? ❑ Yes(1) ❑■ No(0)
Specific Conductance cocas µMhos K-Potassium 00937 mg/L VOC 78732: ,method# 8260E
Total Ammonia own <0.100 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%
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
DWQ-certified laboratory. I am aware that there are significant penalties for submitting false information,including the possibility of fines and imprisonment for knowing violations.
3)0U 61-4S W. 60mW1/4 - AEG'/N(.14c. ifgrCNEzv Af4A).46 ,Z 1 C _A—� 4//Zcg/2Z
Permittee(or Authorized Agent)Name and Title-Please print or type Signal of Per 4 mittee(or Authorized Agent) (Date)
GW-59 Rev 2/2010

•
SUBMIT FORM ON YELLOW PAPER ONLY
Mail original DEPARTMENT OF ENVIRONMENT&NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING: and 1 copy to;.and
OF WATER QUALITY-INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM 1617 MAIL SERVICE CENTER,RALEIGH,NC 27699-1617 Phone:[phone]
FACILITY INFORMATION Please Print Clearly orType PERMIT Number: W00002428 Expiration Date: /2/3/1 24
Facility Name: Mountaire/Mt.Vernon Non-Discharge X UIC
Permit Name(if different): AO Un)74 r 2E PAZ Aet S /K NPDES Other
Facility Address: 175 Foust Road TYPE OF PERMITTED OPERATION BEING MONITORED
Siler City (Street) NC 27344 County Chatham ❑ Lagoon ❑Remediation: Infiltration Gallery
(city) (State) (Zip) W Spray Field ❑ Remediation:
Contact Person: Doug Goodwin Telephone#: [phone] ❑ Rotary Distributor ❑Land Application of Sludge
Well Location/Site Name:Mountaire Mt.Vernon No.of wells to be sampled: 4 ❑ Water Source Heat Pump ❑Other:
(from Permit)
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): MW-3 Date sample collected: 03/22/2022 FIELD ANALYSES: WAS
Well Depth: 15 ft. Well Diameter: 4 in. pH 00400 7.59 units Temp.000io: 13.4 °C DRY at
Mhos time of
Depth to Water Level 82546: 4.5 ft. below measuring point Screened Interval: ft. to ft. Spec. Cond.00094: µ sampling,
Measuring Point is 1 ft. above land surface Relative M.P. Elevation: ft. Odor 00085: check
Volume of water pumped/bailed before sampling: 13.0 gallons Appearance here:❑
Samples for metals were collected unfiltered: ❑YES ❑■ NO and field acidified: ❑YES ■❑NO
LABORATORY INFORMATION
Date sample analyzed: 03/22-4/4/2022 Laboratory Name: Cameron Testing Services Certification No. #654
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 1 /100mL Nitrate(NO3)as N ooszo 0.651 mg/L Zn-Zinc 01092 mg/L
Coliform: MF Total 31504 /100mL Phosphorus: Total as P ooss5 mg/L
(Note. Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other(Specify Compounds and Concentration Units):
Dissolved Solids:Total 70300 148 mg/L Al-Aluminum o1105 mg/L
pH(Lab)00403 units Ba-Barium 01007 ug/L
TOC 00680 <1.00 mg/L Ca-Calcium 0091s mg/L
Chloride o0940 17.6 mg/L Cd-Cadmium 01027 ug/L
Arsenic otoo2 ug/L Chromium:Total 01034 ug/L
Grease and Oils o0552 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) ❑■ No(0)
Specific Conductance 00095 µMhos K-Potassium 00937 mg/L VOC 78732: , method# 8260B
Total Ammonia 00610 <0.100 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%
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
DWQ-certified laboratory. I am aware that there are significant penalties for submitting false information,including the possibility of fines and imprisonment for knowing violations.
..6UL)GckS f/. Goonvsilr,j RE-6/0/1/4/4(.. H47CKEkif A44 Str< (2 'V y�23/22.
Permittee(or Authorized Agent)Name and Title-Please print or type Sign of Permittee(or Authorized Agent) (Date)
GW-59 Rev.2/2010

• SUBMIT FORM ON YELLOW PAPER ONLY
Mail original DEPARTMENT OF ENVIRONMENT&NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING: DIVISION OF WATER QUALITY-INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM and 1 copy to: 1617 MAIL SERVICE CENTER,RALEIGH,NC 27699-1617 Phone:[phone]
FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: WQ0002428 Expiration Date: /Z/3i/2 4
Facility Name: Mountaire/Mt.Vernon Non-Discharge X UIC
Permit Name(if different): A.f o u NIT xi licr" F.44m1 /aC NPDES Other
Facility Address: 175 Foust Road TYPE OF PERMITTED OPERATION BEING MONITORED
Siler City (Street) NC 27344 County
Chatham ❑ Lagoon ❑ Remediation: Infiltration Gallery
(City) (State) (Zip) 0 Spray Field ❑ Remediation:
Contact Person: Doug Goodwin Telephone#: [phone] ❑ Rotary Distributor ❑Land Application of Sludge
Well Location/Site Name:Mountaire Mt.Vernon No.of wells to be sampled: 4 ❑ Water Source Heat Pump ❑Other:
(from Permit)
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): MW-4 Date sample collected: 03/22/2022 FIELD ANALYSES: WAS
Well Depth: 17 ft. Well Diameter: 4 in. pH 00400 7.60 units Temp.00o10: 13.1 °C DRY at
Mhos time of
Depth to Water Level 82546: 6.0 ft. below measuring point Screened Interval: ft. to ft. Spec. Cond.00094 µ sampling,
Measuring Point is 1 ft. above land surface Relative M.P. Elevation: ft. Odor 00085. check
Volume of water pumped/bailed before sampling: 19.3 gallons Appearance here
Samples for metals were collected unfiltered: ❑YES 0 NO and field acidified: ❑YES . NO
NO
LABORATORY INFORMATION
Date sample analyzed 03/22-4/4/2022 Laboratory Name: Cameron Testing Services Certification No. #654
PARAMETERS NOTE:Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L Nitrite(NO2)as N oasts mg/L Pb-Lead 01051 ug/L
Coliform: MF Fecal 31616 <1 /100mL Nitrate(NO3)as N 00620 2.03 mg/L Zn-Zinc 01092 mg/L
Coliform: MF Total 31504 /100mL Phosphorus:Total as P(mess mg/L
(Note. Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other(Specify Compounds and Concentration Units):
Dissolved Solids:Total 70300 178 mg/L Al-Aluminum o1105 mg/L
pH(Lab)00403 units Ba-Barium 01007 ug/L
TOC 00680 <1.00 mg/L Ca-Calcium o0916 mg/L
Chloride 00940 4.70 mg/L Cd-Cadmium 01027 ug/L
Arsenic 01002 ug/L Chromium:Total 01034 ug/L
Grease and Oils o0552 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 o0945 mg/L Hg-Mercury 71900 ug/L Lab Report Attached? ❑ Yes(1) 0 No(0)
Specific Conductance o0095 µMhos K-Potassium 00937 mg/L VOC 78732: , method# 8260E
Total Ammonia o0610 <0.100 mg/L Mg-Magnesium 00927 mg/L ,method#
(Ammonia Nitrogen,NH,as N.Ammonia Nitrogen,Total) Mn-Manganese°loss 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%
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
DWQ-certified laboratory. I am aware that there are significant penalties for submitting false information,including the possibility of fines and imprisonment for knowing violations.
_boo4L45 W. 666+7w7rJ — RFGiDN4L lti¢rcilevr N 4,,,/46E4. 41, y/28AZ.
Permittee(or Authorized Agent)Name and Title-Please print or type Sign- e of Permittee(or Authorized Agent) (Date)
GW-59 Rev.2/2010