WQ0002857_Monitoring - 07-2022_20220817

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DWR - NonDischarge Monitoring Report Submittal •4 ..
NORTH CAROLINA
Enrlranmenlel QHaflly
Monitoring Report Submittal
..............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
Permit Number#* WQ0002857
Name of Facility:* Piedmont Custom Meats
Month:* July Year:* 2022
Report Information
Type* Upload Document*
GW-59 Piedmont Custom Meats 1.36MB
GW59 Forms.pdf
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2,NDMLR,GW-59).
Confirmation Email Address:* [e-mail]
Name of Submitter:* Arnie Ferguson
Signature:
Cam.9e4s7IGd400
Date of submittal: 8/17/2022
This will be filled in automatically
Initial Review
..............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
Reviewer: Gerald,Wanda

Is the project number correct?* WQ0002857
Is the monitoring report accepted?* Yes No
Regional Office* Winston-Salem
Reviewer: _anonymous
Review Date: 8/29/2022

SUBMIT FORM ON YELLOW PAPER ONLY
-,_-_--Mail of gin l DEPARTMENT OF ENVIRONMENTAL QUALITY-DIV.OF WATER RESOURCES
GROUNDWATER QUALITY MONITORING: INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM 1617 MAIL SERVICE CENTER,RALEIGH,NC 27669-1617
FACILITY INFORMATION Please Pnnt Clearly or Type PERMIT Number: WQ0002857 Expiration Date:
Facility Name: Piedmont Custom Meats WWTF Non-Discharge UIC
Permit Name(if different): NPDES Other
Facility Address: 9683 Kerr s Chapel Road TYPE OF PERMITTED OPERATION BEING MONITORED
Gibsonville NC 27249 County Caswell El Lagoon ❑Remediation: Infiltration Gallery
El Spray Field ❑Remediation:
Contact Person: Larry Moore Telephone#: [phone] El Rotary Distributor El Land Application of Sludge
Well Location/Site Name: No,of wells to be sampled: 3 El Water Source Heat Pump ❑Other:
i tram Farmil)
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): _ MW-1 Date sample collected: 07/26'2022 FIELD ANALYSES: WAS
Welt Depth: 36.88 ft. Well Diameter: in. pH c0400: 6.61 units Temp.ro010: 20.4 °c DRY at
time of
Depth to Water Level 82546: 1'163 ft. below measuring point Screened Interval: ft. to ft. Spec.Cond.00094: iMhos sampling,
Measuring Point is ft,above land surface Volume Relative M.P. Elevation ft. Odor o0085. check
of water pumped/bailed before sampling: 4.50-Dry Samples gallons Appearance here:
for metals were collected unfiltered: YES El El NO and field acidified: ❑YES ❑NO
LABORATORY INFORMATION
Date sample analyzed: 07/26-08/09/2022 Laboratory Name: Pace Analytical Services Certification No. 40&633
PARAMETERS NOTE:Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L Nitrite(NO2)as N C0615 mg/L Pb-Lead 01051 ug/L
Coliform: MF Fecal 31616 <1.0 /100mL Nitrate(NO3)as N 00620 21.0 mg/L Zn-Zinc 01092 mg/L
Coliform: MF Total 31so4 /100mL Phosphorus:Total as P 00865 mg/L
Note: Lam MPN method for only turbid samples) Orthophosphate 70507 mg/L Other(Specify Compounds and Concentration Units):
Dissolved Solids:Total 70300 352 mg/L Al-Aluminum 01105 mglL
pH (Lab)00403 units Ba-Barium o1007 ug/L
TOG 00680 <1.0 mg/L Ca-Calcium 00916 mg/L
Chloride 00940 58,5 mg/L Cd-Cadmium 01027 uglL
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 uglL Fe-Iron 01045 ug/L (Specify test and method#.ATTACH LAB REPORT.)
Sulfate 00945 3.6 mg/L Hg-Mercury 71900 ug/L Lab Report Attached? El Yes(1) ❑ No(0)
Specific Conductance 00095 523 [Mhos K-Potassium 00937 mg/L VOC 7873 , method#
Total Ammonia 00610 <0.10 mg/L Mg-Magnesium 00927 mg/L , method#
tAmmonia Nitrogen,NH_,as N Ammonia Nitrogen,Total) Mn-Manganese 01055 ug/L , method#
TKN as N 0t0625 mg/L Ni-Nickel 0Sn67 uglL , method#
For Remediation Systems Only(Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
andbelief,theinfo a on alibi-Owl.'ri rt istrue,:acc rate and: complete,and that the laboratory anal icaL was produced using.e. raved methods.of analysis bya _
t certify that,to the best of my knowledge rn1this Pp 4t xtitF t � Yt �� pp Yet
DyWR-certified laboratory.'I am aware that there are significant penalties for submitting false information,Including the possibility of fines and Imprisonment for knowing violations
Ste,, - -It WI s 7 t. --
Permitte€for Authorized Agent)Name and Title-Please print or type Signature of Permitree(or Authorize. E genii (©ate)
GW-59 Rev.06-07-2018

SUBMIT FORM ON YELLOW PAPER ONLY
rLginal DEPARTMENT OF ENVIRONMENTAL QUALITY-DIV,OF WATER RESOURCES
GROUNDWATER QUALITY MONITORING: � INFORMATION PROCESSING UNIT
�� �
COMPLIANCE REPORT FORM -y `- 1617 MAIL SERVICE CENTER,RALEIGH,NC 2769s-1617
FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: WQ0002ft57 Expiration Date:
Facility Name: Piedmont Custom Meats WWTF Non-Discharge UIC
Permit Name(if different): NPDES Other
Facility Address: 9683 Kerr s Chapel Road TYPE OF PERMITTED OPERATION BEING MONITORED
Gihsonvillc " NC 27249 County Caswell ❑ Lagoon ❑Remediation: Infiltration Gallery
Spray Field ❑Remediation:
Contact Person: Larry Moore Telephone#: [phone] ❑ Rotary Distributor ❑Land Application of Sludge
Well Location/Site Name: No.of wells to be sampled: 3 ❑ Water Source Heat Pump ❑Other:
(from Permit)
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): NNW-4 Date sample collected. 07/26/2022 FIELD ANALYSES: WAS
Well Depth: 15.63 ft. Well Diameter: in. pH 00400: 6.42 units Temp.00010: 20.8 °C DRY at
time of
Depth to Water Level 82545: 4.09 ft, below measuring point Screened Interval: ft. to ft. Spec.Cond.00094: ['Mhos
tieofsampling,
Measuring Point is ft.above land surface Volume Relative M.P. Elevation: ft. Odor 00085: check
of water pumped/bailed before sampling: 2,50-Dry Samples gallons Appearance here: 1
for metals were collected unfiltered: YES ❑ 0 NO and field acidified: 0 YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 07-26-08/09/2022 Laboratory Name: Pace Analytical Services Certification No. 40 Si:,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 42.0 /100mL Nitrate(NO3)as N 00620 1.9 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 k,rnid samples) Orthophosphate 70507 mg/L Other(Specify Compounds and Concentration Units):
Dissolved Solids:Total 70300 549 mg/L AI-Aluminum 01105 mg/L
pH(Lab)00403 units Ba-Barium 01007 ug/L
TOC 00680 <1.0 mg/L Ca-Calcium 00916 mg/L
Chloride 00940 212 mg/L Cd-Cadmium 01027 ug/L
Arsenic 01002 ugh.. 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 2.4 mg/L Hg-Mercury 71900 ugh._ Lab Report Attached? 0 Yes(1) 0 No(0)
Specific Conductance 00095 1,020 itMhos K-Potassium 00937 mg/L VOC 7873 , method#
Total Ammonia 00610 <0.10 mg/ Mg-Magnesium 00927 mg/L , method#
(Ammonia Nitrogen NH as N.Ammonia Nitrogen,Toted Mn-Manganese 01 055 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%
belief,the information submitted in this report _ttrs d to a d complete,le# a..`#hatlaboratoryvital I data wah_ ad ced using approved methods of analysis a F-
I certify that,to the best of my knowledge and t f� �to s rrt €r� ra 1 n rra �, n- � � � � AP �+
�.
L�tillR-eertlf6ed laboratory.�latrt:ewa�tEtatthere are'signi�ean�pmoalit�for submitting�aisa Inft[ attstn;lrT !arbng'�e'possibility-of fines and Imprisonment for:knowing violations _ ..,. ,:; ` . . .. :.. ._ ..
. 4-0 A 1 - ‘ v ___ /7--1
Permittee(or Authorized Agent)Name and Title-Please print or type Signature o Permittee(or Authorize.Agent) (Dale)
GVV-59 Rev,06-07-2018

SUBMIT FORM ON YELLOW PAPER ONLY
'i man-Dagi DEPARTMENT OF ENVIRONMENTAL QUALITY-DIV.OF WATER RESOURCES
GROUNDWATER QUALITY MONITORING: INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM end
- ���� _--- 161 MAIL SERrtICECENTER,RicH,Rcs - f
FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: WQ000-r857 Expiration Date:
Facility Name: Piedmont Custom Meats WWTF Non-Discharge UIC
Permit Name(if different): NPDES Other
Facility Address: 9683 Ket 's Chapel Read TYPE OF PERMITTED OPERATION BEING MONITORED
(jibsonville NC 27249 County Caswell ❑ Lagoon ❑Remediation: Infiltration Gallery
❑ Spray Field ❑Remediation:
Contact Person: Larry Moose Telephone#: [phone] ❑ Rotary Distributor ❑Land Application of Sludge
Well Location/Site Name. No.of wells to be sampled: 3 ❑ Water Source Heat Pump ❑Other:
(from earrri€t
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): 1l W-5 Date sample collected: 07/26.202 FIELD ANALYSES: WAS
Well Depth: 23.00 ft. Well Diameter: in. pH 00400: 6.50 units Temp.noalo: 19.9 °C DRY at
Depth to Water Level 82546: 7.38 ft.below measuring point Screened Interval: ft. to ft. Spec.Cond.00094: iiMhos time of
sampling,
Measuring Point is ft.above land surface Volume Relative M.P.Elevation: ft. Odor 000as: check
of water pumped/bailed before sampling: 2.25-Dry gallons Appearance here:
Samples for metals were collected unfiltered: DYES ❑ NO and field acidified: ❑YES ❑NO A
LABORATORY INFORMATION
Date sample analyzed: 07/26-08/09/2022 Laboratory Name: Pace Analytical Services Certification No. 40(633
PARAMETERS NOTE:Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L Nitrite(NO2)as N 00615 mg/L Pb-Lead uta51 ug/L
Coliform: MF Fecal 31616 <1.0 /100mL Nitrate(NO3)as N 00620 t).11 mg/L Zn-Zinc et092 mg/L
Coliform:ME Total 31504 /100mL Phosphorus:Total as P 00665 mg/L
Note Use MPN met ort far highly turbid samples) Orthophosphate 70507 mg/L Other(Specify Compounds and Concentration Units):
Dissolved Solids:Total 70300 154 mg/L Al-Aluminum 01105 mg/L
pH (Lab)00403 units Ba-Barium 01oa7 ug/L
TOC oo6ao <1.0 mg/L Ca-Calcium 00916 mg/L
Chloride 00940 36.2 mg/L Cd-Cadmium 01027 ugiL
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 oo045 <1.0 mg/L Hg-Mercury 7190a ug/L Lab Report Attached? ❑ Yes(1) ill No(0)
Specific Conductance 00095 249 oMhos K-Potassium 00937 mg/L VOC 7873 , method#
Total Ammonia 00610 <0.10 mg/L Mg-Magnesium 00927 mg/L , method#
(Ammonia Nitrogen,NH,as N.Ammonia Nitrogen,Total) Mn-Manganese 61055 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%
Icerti that'to the best of myknowledge and belief,the information.submit submitted in.thisre report is t s eaccurate,:and complete, nd,mat laborato y'analytical data was produced using approved methods of analysis by a
certify � g P r t p :�. � �'
DWR-certified laboratory, I am aware that there are significant penalties for lsubmitting'false information,inekid€ng'the possibility of fines and imprisonment forknowing violations a; . ......?
u P c • 17
Permitiee(or Authorized Agent)Name and Title-Please print or type Signature of Permittee(or Authorised Agent) (Date)
GW-59 Rev.06-07-2018