WQ0002623_Regional Office Physical File Scan Up To 10/17/2022

DIVISION OF ENVIRONMENTAL MANAGEMENT
GROUNDWATER SECTION
May 3, 1990
MEMORANDUM
TO: Don Safrit
THROUGH: Bob Cheek 0 b
FROM: Gale Johnson /160
SUBJECT: Town of Sylva
Sludge Composting Facility
Jackson County
WQ0002623/GW89440
(Babette Mckemie: DEM SERG Review Engineer)
The Groundwater Section has reviewed the subject permit
amendment request and has no objections to the use of five (5) layers
of six (6) mil polyethylene plastic liner in lieu of one layer of 20
mil liner.
GJ/ja
cc: 10 : ray
Central Files
Permit Issuance Files
MAY d` — 1990
Groundwater Section
Asheville Reprional Office

DIVISION OF ENVIRONMENTAL MANAGEMENT
GROUNDWATER SECTION
December 4, 1989
MEMORANDUM ='
TO: Don Safrit X
THROUGH: Bob Cheek �� ! i; I9FJ9
FROM: Bill Reid Groundwater Secfion
Asheville .Regional Office
SUBJECT: Town of S lva 0.
Sludge Composting
Jackson County
WQ0002623/GW89440
(Babette McKemie: DEM SERG Review Engineer)
The Groundwater Section has reviewed the subject permit
application and offers the following comments and recommendations..
is our understanding that during Phase I of the proposed project,
applicant proposes to conduct the sludge composting on a base of 6
polyethylene plastic. Phase I is expected to last for a period of
(6) to nine (9) months. At the end of this .period, the applic
proposes to construct permanent facilities which will consist of
concrete slab.
The Phase I project will require construction of a cure pile and
aerated static pile, both 30 feet by 65 feet, on a proposed 6 m
poly liner. The 6 mil., polyethylene material could be easily torn
movement of -heavy equipment or personnel over the liner. Therefore
recommend that the. Phase I portion of the project not. be "appro
unless ' at least a 20 mil. thick liner is utilized. Even the 20 m
material could be torn by movement. of heavy equipment (ie. front
loader). If use of heavy -equipment is necessary the liner should
constructed of compacted clay or concrete -(sloped and bermed
control runoff) .
The Groundwater Section recommends that the permit contain
following conditions:
1. Heavy equipment shall not be moved onto or over the 20 mi
liner. If .the liner is damaged (ie. ripped or torn)
shall be replaced or repaired immediately.
2. Any groundwater quality monitoring, as deemed necessary b
the Division, shall be provided.
JWR:ja
cc. Central Files
Permit -Issuance Files
M ink

y
GROUNDWATER SECTIO Gw C
DMSION OF ENVIRONMENTAL MA AGEMENT
RECORD OF WASTE DISPOSAL PERMIT APPLICATION REVIEW
REVIEW BY L ,N k d LLgs a DATE L t 120 1919 FIELD INVESTIGATION ? (Y/N )__.
FACILITY NAME W" a_pI L COUNTY J� ks A Q
LOCATION nr-)- 5 R, l A R l n t a eglhs C ri= e k
TYPE OF DISPOSAL SYSTEM ( LAGOON. ETC.) 4,1 IAA_ C'o DE9GN CAP (GPD) ' .y
DESCRIPTION OF FACILITY CC
SIZE OF IMPOUNDMENT (FT. sw x _% / OR SRE OF APPLJCATION AREA
WASTE SOURCE :1@ MUN. SI)1DGE MUN. W. WATER: PRIMARY []SIXX)NDARY TERTIARY
❑M. SLUDGE QIND.* W. WATER OTHERS
DISTANCE FROM WASTE -SOURCE TO NEAREST -STREAM Alry FT.. WELL FT.
FOR WELL- TYPE OF USE . OEPTH . . PUMP RATE ( EST. )
WHAT DESIGN CONDITIONS WILL REDUCE / INCREASE CHANCE OF GW CONTAMINATION: Th& t6 �a
fl_ _I n -if( I A I . .I•/ - nI If !f -L _rr, t 16,
ca Mcra�
WHAT NATURAL SITE CONDITIONS WILL REDUCE / INCREASE CHANCE OF GW CONTAMINATION:
n tl r , , r.
DEPTH TO: BEDROCK.FT.. SEASONAL HIGH W. T. Fr.. ANNUAL W. T. Fwx : FT.
SURFICIAL AQUIFER BEDROCK / ARTESIAN A6�UIFER
GEN. LTTHOLOGY
El
HYD. COND. FT./DAY MEASURED FT./DAY MEASURED
❑ ESTIMATED ESTIMATED
THICKNESS FT.
NO. OF MONITOR WELLS: PROPOSED: UP_-L")— DOWN 0 ; EXISTING : UP 0 DOWN
FROM WORKSHEET: SITE NUMERICAL DESCRIPTION = il� - 5-- -6- fl -5- L A .5
T 1 2 3 4 5 6 6A 6B
SITE GRADE (HYDROGEOI_) _ SITUATION GRADE _
PROPOSED SAMPLING SCHEDULE & PARAMETER(S) : ew aJ- drejt
.. � �...Lli►�.R:,l��- f C - of-�-�°, .,.

WASTE DISPOSAL PERMIT APPLICATION REVIEW WORKSHEET
iV 0:
:ftus
Awa
Detomrw tw dutance Pohl Value 0 1
tGrrrnallon and
DYlartoeh �+ Epp 2 3 4 a a 7 a 9 >LOv
�osurPPly(Molor melon 100 .mmi �1a0-299 76- W-74 �-19 20-31 10-19 0-9 ��
stream). Okk non h =)+ 1001-3100 251
Step 2
E*hK to the depth
to the wrtem table
below base of cam•
tamanatkrrh source
more than 5 %of
the year.
6trnale water
table prodbmt
mom oontcrnh.
Orion we
Stop 4
Whale of
l -Y-
Sorptkm for the
Wale d*osol slte.
f-ef
3100-6= a01-loon
-t100 101- I60
let - 2a0 at -100
31-60
0.30
hM&
M water table in pemwobfe bedrock pt. value a* In Poorb Porrwable
bedrock
Point
value 0 1 2
pl. volJe . 4
3
Meter 60+ 30-60 20.29 12-29
, s 6 7
3-11 5-7 3.4 15-25
a
5-1Feet
9
�+ 91-200 61-90 36.60
26-35 16-25 9.15 3 a
0-2
p
0
Aoirtwi m
Water table
gad sod and
Gow direction from ad
low lion
2 )newel
- w - —wary
wow" -
ow fhhan �at�
2 ps roeit
�wemh
greater
KrPplu that
toward
thm 2
t0wo-d
2=2
Ore closer
vow
peraert
vwe , toward
percent
thm 1000
alp* but
trurpply wafer
toward
water
melon
not the
and it the wPPtr
supply
anticipated ed btt not
and itthe
drection of
direction of the antF
ar*000ted
low
now Clpafed
direction
direction
of flow
0f flow
W A Row - Rock > 100
`
Joel below F--►
More the
and
J
s,sk�ce
9
-29
CJD I colum - bedrock
pay
20 -24
pertrheabb
t
0
la- 19
10-14
(4)p column -bedrock-
�
3-9
whiny
trrvery
O
Psereabis
Lest thk
21"
Dog" of confidence in accuracy of wires
Atop 1A
Point of oonwrn wrh regard to oortarnrhart source ht
Clay
1 I P.
OB 1C
OC 2C
CO 38
OE 48
1B 68
1B 88
no more
Sond with
Sand with
than 50 %
15 - 30 a
Iw than Clean fine
e0nd
cater
lax clay Band
2AAA
aA eA
lE
3D
4D
aE
bG
6F
7G
1F
4C
4E
6C
aH
7D
7H
2D
68
4F
6D
51
7E
71
2E
78
aC
7C
bJ
aD
7.1
3C
aC
aD
9B
aK
9C
7K
Bedrock at Ind-100,0: 1. W, I I . 92
II
SE
aF
aG
9D
Clean
grovel or
coarse
sand
9G 9M
9H 9N
91 90
9J 9P
9E I 9K 9C
9F 9L 9R
Note: If Bedrock al and surface. ue 10 OAX cpp(oprtote letter)
A • very, cordklW
B. fdlrty comdert
C .wkh low conf6ortoe
W - near by well
5. $Pat v / drearn
B - Peakrwtw of complarce
Addtlond GuolMler M-10 0Ny Ore)
D . Core of depression of rworby Ptmphg wee has.
or w/ eely. hl u conlamhahl lbw
E . Dktanoe in Step 1 based on separatlon Norm
Cm*- —* Plume rather than port source
F . Witte source in gou++dwatw dscharpe area.
thm minrny 6mrhdwhk*W 00rt-lie atbn at depth / didance
atop 1)
_t-5—
Depth PI. Value
W.T. (Step 2)
More than 95
75 - 94
60 -74
46-59 ,
2a-45
10-27
Ur than 1
M - Fluid nhourhdng under sMe hhlg* lkely
P . Sate has poor P-reolatlon p0101-41011 0001us at 3 or Iw in Step 4 )
G . Wade source In groundwater redwrge area
T. Wafer table in very to* aodumd of oave(MA tacit
n
Pt. Vinous
t9p 3)
Category
(Step 4)
-
Cor0dence
(Step 5)
I
Polrt of Concem
(Step 6A)
Oualkaer
(Step 68)

WASTE DISPOSAL PERMIT APPLICATION REVIEW WORKSHEET (CONY.)
2222
1ne Nm
Told Slop 1
awl
Slept Slept Slep, Slept
(AddStmp 1-4 (omit leftm) )
lfls Gads IlOied on Hydppedopii-, Po wmetin
Ilas+ord P0* vra Mafrk Id@ntlfler (l1PM )
(Chom0no) D G I
8 E H
A c F G
lPM
i�2lat
(I) Numsrbal Sfle Dsicrfptlon 00m Stop 7 )
W PAR VALUE MCGO 3)
S MATI N RATING: (1). (2)
(table beb4
SITUATION GRADE
iz mo on
(No table bokyw)
' Men 1SITUATION GRADE
(no table bebW)
Is F7
Sfsp 6A Slep 6B
Told! Pin/Sorp. f'fm
Za
x
©w 1- -
FT
r.--s
SRUI1TION RATING TABLE
To bo uisd for Stop 9 (Natud) and Stop 10 (ModlMed )
SITUATION RATING PROBMM
CROP 10)
(Combkred Value) COf l NATIO 1 DEGREE OF AccEPTA&UTY GRAD N
Ales Irpobable Pmbcbryaoogploble
A
abJ 9 Pmbcdb000spkbb« B
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uraacepfable
aa le of conbmamtwM ttom NMaMon ha* g VOW" b*twsm t 7 and - 7 it d9fto to categoroe
«N• 11>wM«s. ff11r ramps of WILLS wprowded by n -1 - 6 and C. Is dsibned a* by a Quufbn m«k.
Aocspt vm of M*Clbn of as i I* ftf the Mended purpose Y a nip«Nb ft of #0 Mf uk r mgulaf oow v
and may d8poKl on g -m nQuMnr•rrA of the agency «on Norb ft and e�n a fb
enpineerhp of a ifb (Slope 1 � apDrowd

State of North Carolina
Department of Environment, Health and Natur
Division of Environmental Manage
512 North Salisbury Street • Raleigh, North Cw
James G. Martin, Governor
William W. Cobey, Jr., Secretary
May 14, 1990
Mr. Tommy Thompson
Town of Sylva
11 Allen Street
Sylva, NC 28779
��ate 'J/
e /!S
r1 ��
�P�George T.���tQYh.D.
Director
Subject: Permit No. WQ0002623
Town of Sylva
Wastewater Treatment Plant Sludge
Composting Facility
Jackson County
Dear Mr. Thompson:
In accordance with your application received October 26, 1989, we are forwarding
herewith Permit No. WQ0002623, dated May 14, 1990, to the Town of Sylva for the construction
and operation of the subject sludge composting facility.
This permit shall be effective from the date of issuance until April 30, 1995, and shall be
subject to the conditions and lif it4tions as specified therein.
If any parts, requirements, or limitations contained in this permit are unacceptable to you,
you have the right to request an adjudicatory hearing upon written request within 30 days
following receipt of this permit. This request must be in the form of a written petition, conforming
to Chapter 150B of North Carolina General Statutes, and filed with the Office of Administrative
Hearings, P.O. Box 11666, Raleigh, NC 27604. Unless such demands are made this permit shall
be final and binding.
One set of approved plans and specifications is being forwarded to you. If you need
additional information concerning this matter, please contact Mr Jack Floyd at 919/ 733-5083.
Sincerely, i
George T. Everett,
V
cc: Jackson County Health Department
Asheville Regional Office
.Groundwater Section
McGill Associates
RECEIVED
Water Quality S000%1
MAY 2 3 1990
Pollution Prevention Pays ional .Office
P.O. Box 27687, Raleigh, North Carolina 27611-7687 Telephone [phone] ,Asheville Repo
An Equal Opportunity Affirmative Action Employer ,Asheville, North Carolina

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT, HEALTH AND NATURAL RESOURCES
RALEIGH
SLUDGE COMPOST FACILITY PERMIT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North
Carolina as amended, and other applicable Laws, Rules, and Regulations
PERMISSION IS HEREBY GRANTED TO
Town of Sylva
Jackson County
ICola 0"1_
construction and operation of a sludge composting/public distribution program consisting of a
pilot project using an area lined with 5 layers of 6-mil synthetic liner, and a permanent facility
using an aerated static pile system with an 8,000 square foot concrete pad and 200 scf blower
with no discharge of wastes to the surface waters, pursuant to the application received October
26, 1989 and in conformity with the project plan, specifications, and other supporting data
subsequently filed and approved by the Department of Environment, Health and Natural
Resources and considered a part -of this permit.
This permit shall be effective from the date of issuance until April 30, 1995, and shall be
subject to the following specified conditions and limitations:
I. PERFORMANCE STANDARDS
1. Upon completion of construction and prior to operation of this permitted facility, a
certification must be.received from a professional engineer certifying that the permitted
facility has been installed in accordance with this permit and the approved plans and
specifications. Mail the certification to the Permits and Engineering Unit, P.O. Box 27687,
Raleigh, NC 27611-7687.
2. This permit shall become voidable in the event of failure of the sludge composting facility
to adequately protect the assigned water quality standards of the surface waters and
groundwaters.
3. The sludge composting program shall be effectively maintained and operated as a
non -discharge system to prevent discharge of any wastes resulting from the operation of
this program.
4. The issuance of this permit shall not relieve the Permittee of the responsibility for
damages to surface or groundwaters resulting from the operation of this facility.

5. In the event that the sludge composting program is not operated satisfactorily, including
the creation of nuisance conditions, the Permittee shall take such immediate corrective
action as may be required by this Department, including the construction of additional or
replacement wastewater treatment or disposal facilities.
6. Diversion or bypassing of the untreated sludge or compost drainage wastewater from the
compost facilities is prohibited.
7. Compost sludge should not be used in areas of intense public use (schools, playgrounds,
etc.).
II. OPERATION AND MAINTENANCE REQUIREMENTS
The facilities and disposal sites shall be properly maintained and operated at all
times.
2. The sludge composting operation must be conducted under the supervision of the certified
wastewater treatment plant operator required by the Certification Commission for operation
of the Town of Sylva Wastewater Treatment Facility.
III. MONITORING AND REPORTING REQUIREMENTS
1. Any monitoring (including groundwater, surface water, sludge, soil, or plant
tissue analyses) deemed necessary by the Division of Environmental Management
to insure protection of the environment will be established and an acceptable
sampling and reporting schedule shall be followed.
2. The Town of Sylva shall maintain records including, but not limited to the following:
a. volume and
Analysis of sludge and compost
b. date, duratibn and temperature during composting
c. name of compost recipient, volume received, and intended use
These records shall be available at the wastewater treatment facility for inspection and
review by the Division.
3. The Town of Sylva shall present to each recipient of compost written information that
clearly states that compost sludge cannot be used on areas where root or leaf crops for
direct human consumption are to be grown within one (1) year of the last application of
compost to the site. The Town shall also include written recommendations to the compost
recipients for satisfactory uses of compost material such as horticulture, silvicultural, other
agricultural uses not specifically prohibited, etc.
An annual Summary report shall be submitted by the Town of Sylva to the Division's
Asheville Regional Office which summarizes the information required for recording.
4. Noncompliance Notification:
The Permittee shall report by telephone to the Asheville Regional Office, telephone no.
[phone], as soon as possible, but in no case more than 24 hours or on the next
working day following the occurrence or first knowledge of the occurrence of any of the
following:
2

Any occurrence with the composting program which results in the composting of
significant amounts of wastes which are abnormal in quantity or characteristic.
b. Any failure of the composting program resulting in a discharge of wastes to receiving
waters.
C. Any time that self -monitoring information indicates that the facility has gone out of
compliance with the conditions and limitations of this permit or the parameters on
which the system was designed.
d. Any process unit failure, due to known or unknown reasons, that render the facility
incapable of adequate sludge treatment.
e. Any leakage or spillage that occurs during the transfer or transport of the compost
material.
Persons reporting such occurrences by telephone shall also file a written report in letter
form within 15 days following first knowledge of the occurrence. This report must outline
the actions taken or proposed to be taken to ensure that the problem does not recur.
IV. GROUNDWATER REQUIREMENTS
1. Any groundwater quality monitoring as deemed necessary by the Division of
Environmental Management shall be provided.
V. INSPECTIONS
1. The Pennittee or his designee shall inspect the sludge storage, transport, and
composting facilities to prevent malfunctions and deterioration, operator errors and
discharges which may oftuse or lead to the release of wastes to the environment, a
threat to human health; or a nuisance. The Pei7nittee shall keep an inspection log
or summary including at least the date and time of inspection, observations made,
and any maintenance, repairs, or corrective actions taken by the Permittee. This
log of inspections shall be maintained by the Permittee for a period of three years
from the date of the inspection and shall be made available upon request by the
Division of Environmental Management or other permitting authority.
2. Any duly authorized officer, employee, or representative of the Division of
Environmental Management may, upon presentation of credentials, enter and
inspect any property, premises or place on or related to the composting facility and
facility at any reasonable time for the purpose of determining compliance with this
permit; may inspect or copy any records that must be kept under the terms and
conditions of this permit; or may obtain samples of groundwater, surface water,
or leachate.
VI. GENERAL CONDITION
1. This permit shall become voidable unless the land application activities are carried
out in accordance with the conditions of this permit and in the manner approved
by this Division.
3

2. This permit is effective only with respect to the nature and volume of wastes
described in the application and other supporting data.
This permit is not transferable. In the event there is a desire for the facilities to
change ownership or a name change of the Permittee, a formal permit request must
be submitted to the Division of Environmental Management accompanied by an
application fee, documentation from the parties involved, and other supporting
materials as may be appropriate. The approval of this request will be considered
on its merits and may or may not be approved.
4. Failure to abide by the conditions and limitations contained in this permit may
subject the Permittee to an enforcement action by the Division of Environmental
Management in accordance with North Carolina General Statute 143-215.6.
5. The annual administering and compliance fee must be paid by the Permittee within
thirty (30) days after being billed by the Division. Failure to pay the fee
accordingly may cause the Division to initiate action to revoke this permit as
specified by 15 NCAC 2H .0205 (c)(4).
6. The issuance of this permit does not preclude the Permittee from complying with
any and all statutes, rules, regulations, or ordinances which maybe imposed by
other government agencies (local, state, and federal) which have jurisdiction.
7. A set of approved documents for the subject project must be retained by the applicant
for the life of the project.
8. The Permittee, at least six (6) months prior to the expiration of this permit, shall
request its extension. Upon receipt of the request, the Commission will review
the adequacy of the facilities described therein, and if warranted, will extend the
permit for such period of time and under such conditions and limitations as it may
deem appropriate. -
9. This permit may be modified or reissued to incorporate any conditions, limitations
and monitoring requirergents the Division of Environmental Management deems
necessary in order to adequately protect the environment and public health.
Permit issued this the 14th day of May, 1990
NORTH CAROLINA ONMENTAL MANAGEMENT COMMISSION
_._..George T. Evere Di
or
6 Division of Environ anagement
By Authority of the Environmental Management Commission
Permit No. WQ0002623
10

Permit No. WQ0002623
May 14, 1990
Engineer's Certification
I, , as a duly registered Professional Engineer in the State of North
Carolina, having been authorized to observe (periodically, weekly, full time) the construction of the
project, , for the
Project Name Location
Permittee hereby state that, to the best of my abilities, due care and diligence was used in the
observation of the construction such that the construction was observed to be built within substantial
compliance and intent of the approved plans and specifications.
Signature
Date
Registration
5

11
ra
....,-. • • _...i o. STATE �
North Carolina Department of Human Resources
Division of Health Services
P.O. Box 2091 • Raleigh, North Carolina 27602-2091
James G. Martin, Governor
David T. Flaherty, Secretary
August 19, 1987
MEMORANDUM
TO: Perry Nelson, Chiet Ground -Water Section
Division of Environmental Management
Ronald H. Levine, M.D., M.P.H.
State Health Director
FRC)M: Paula Byrd, Solid Waste Unit
Solid & Hazardous Waste Management Branch
SUBJECT: Analytical results from i—a',�e o Co-myo- nd - l Solid Waste
Facility #50-02 . ra, 4 t s 6ao s't re
Per the MOA dated June 4, 1987 between NRCD and LER, enclosed are copies
of recent analytical results from the above referenced facility that may
indicate contravention or potential contravention of ground -water standards.
If any additional information is required please advise.
PDB/mj/6369pg5
cc: Wayne Hooper Jackson Co. Manager
Jim Patterson
Julian Foscue
Michael Babuin
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LOCATION ON QACK -

N. C. Department of Human Resources State Laboratory of Public Health
Division of Health Services SAMPLE ANALYSES REQUEST P. O. Box 28047
306 N. Wilmington Street
Raleigh, 27611
Site Number _5 0 0O O 0 00 00 Q Field Sample Number
Name of Site iI C k517 n C o . LF Site Location i I l 5 ho r o Rd .
Collected By B \I\I 1'cl GU ", (( ID# ! (' . S Date Collected q j a-- t 7 Time - s
Type of Sample:
Environmental
Groundwater (1)
Surface Water (2)
Soil (3)
Other (4)
Concentrate
Solid (5)
Liquid (6)
Sludge (7) SEP I BU(
Other (8) i'*igii'':i�:�`r,
INORGANTC.. C141PUT.RTR V wt wil . l' �
Extractables
Total
Parameter Results mg/1
Parameter Results mg/ 1
Parameter Results mg/ 1
Arsenic
Arsenic t�, ?�,
Silver
Barium
Sulfates
Cadmium
'Cadmium rt 'r
✓F
Zinc
Chromium
e: ,yti� �
Chlorid k
Ph
Lead
�^ Chromium
Conductivity q
Mercury
r «a
TDS
Selenium
''fluoride ._
_�
V It
Silver
Jr
r ��LO'5
Lea Manganese
!�
Mercury
Nitrate
RAanal [lffic�
_,...
Selenium
ORGANIC CHRMiRTR V
Parameter Results mg/1
Parameter Results mg/1
Parameter Results mg/1
PELT:GC/MS
EDB
Methoxychlor
Acid:B/N Ext.
PCB's
Toxaphene
TOX
Petroleum
2,4-D
Endrin
2A5-TP (silvex)
Lindane
MICR u e 1lTn! �u�� �Temn v
Parameter
v VLIL��IIV 11�1
Parameter Results PCi/ 1
(MF) Coliform Colonies/100mis
Gross Alpha
(MPN) Coliform Colonies/ 100mis
Gross Beta
Date Receivec
Date Extracto
Reported By
DHS 3191 (Revis
Solid and Hazardous Wasre (Revi— 7M71
Date Reported 7— 30 ,f 7
Date Analyzed 8T-/-2 -e 7,64Q �(9 -� _ 7 71JL,-
Lab Number
#70/22-2--•76/2-23

N. C. DEPARTMENT OF HUMAN RESOURCES'
DIVISION OF HEALTH SERVICES
SOLID AND HAZARDOUS WASTE MANAGEMENT BRANCH
Chain of Custody Record
Hazardous Waste Materials
Location of Sampling: Generator Transporter P Treatment Facility -
Storage Facility Disposal Facility V Landfill
Other:
Company's Name __ \r�.C�j��` ry��o (�. ��� Telephone ( )
Address CA CQ \�i���` •, . , r-,� \�-c�c-�y
f1}i
it
Collector's Name
Telephone
signature a
Date Sampled �/-c-�'S-7 y�
Tim 4)IyamS'31�
type of Process Gene -rating Waste 10F_�t10I1
. �rot1�E�� __„a al44iC�
-� .. Field Information ---"-"--- •---- -- •
t• M,�s ..i .iy � -.e:S. � .- - - - �` ter' �ts
i
'field Sample No. CID 11 (4
}��I."' .` , �`
(�ij'�1}
:pain of Possession:
signature title incl sive dates
,.-,�3 �7
si nature title inclusive dates
signature title inclusive dates
esults reported
signature title date
istructions: Complete all applicable information including signatures, and submit
with analysis request forms.

STATE LABORATORY OF PUBLIC HEALTH
DIVISION OF HEALTH SERVICES,•N.C. DEPARTMENT OF HUMAN RESOURCES
P.O. BOX 28047 - 306 N. WILMINGTON, ST., RALEIGH, N.C. 27611
nRr'.ANTr rprmyrei euei VCTC
BASE/NEUTRAL AND ACID
EXTRACTABLES
LAB NO
O A2
29Z.2
FIELD #
Z/
Z
COMPOUND
N-nitrosodimeth lamine
TYPE
/
( )
( )
)
UNITS
eqI1 /k
/ /k
/1 /k
/1 /k
/1 /k
/1 /k
bis 2-chloroeth 1 ether
2-chlo henol
phenol
1 3-dichlorobenzene
1 4-dichlorobenzene
1 2-dichlorobenzene
bis(2-chloroi 1)ether
hexachloroethane
N-nitroso-di-n lamine
nitrobenzene
isophorone
2-nit henol
2 4- dimeth 1 henol
bis 2-chloroethox methane
2 4-dichlo henol
1 2 4-trichlorobenzene
`:'
naphthaleneCc
hexachlorobutadiene
4-chloro-m-cresol
hexachlo 1 ntadiene
2 4 6-trichlo henol
2-chloronaphthalene
acenaphthylene
dimeth 1 phthalate
2 6-dinitrotoluene
acenaphthene
i
r
2 4-dinit henol
2 4-dinitrotoluene
4--nitrophenol
0
,
fluorene .
a
s
4-chlo hen 1 hen lether
a
e
diethyl Phthalate
lT�Otlft .ihf�t_
:ctrotl.
4 6-di ni tro-0-cresol
g�
t
di hen lamine
azobenzene
4-bmnwhenylphenyl ether.
! o
hexachlorobenzene
/ a
Pentachlorophenol
Phenanthrene
anthracene
dibut 1 Phthalate
fIuoranthene
m4L
J - Estimated value. �
K - Actual value is known to Wptl than value given.
L Actual value is known to be greater than value given.
U - Material was analyzed for but not detected. The number
NA - Not analyzed.
1/ - Tentative identification.
'2/ - On NRDC List of Priority Pollutants.
is the Minimum Detection Limit. —,,V /
N.C. Div i s.i.on o 6 . Neaf th Senv.i.ceb
DNS 3068-0 (4186 Labonatony)

STATE LABORATORY OF PUBLIC HEALTH
DIVISION OF HEALTH SERVICES, N.C. DEPARTMENT OF HUMAN RESOURCES
P.O. BOX 28047 - 306 N. WILMINGTON. ST., RALEIGH, N.C. 21611
ORGANIC CHEMICAL ANALYSIS
BASE/NEUTRAL AND ACID
EXTRACTABLES
LAB NO
Z
p/94
FIELD #
L_/(
Z L
COMPOUND
TYPE
Ll
(
(
)
UNITS
/1 )jg/kq
/1 /k
/1 /k
/1 /k
/1 /k
/1 pqlkq
py rene
p
benzidine
but 1 benz 1 hthalate
benz a)anthracene
p
chrysene
3 3-dichlorobenzidine
bis(2-eth lhex 1)phthalate
p
di-n-oct 1 phthalate
c
benzo b fluoranthene
benzo k fluoranthene
benzo(a)pyrene
indeno(1 2 3-cd)pyrene
dibenzo a h anthracene
benzo h i lene
aniline
-a
benzoic acid
5-71
i
ben ] alcohol
4-chloroaniline
dibenzofuran
2-mth 1 hthalene
2-mth 1 henol
4-meth 1 henol
2-nittoanlllne
;?
V. _ .
~Ill
3-nitroaniline
4-nitroaniline
2 4 5-trichl0 henol
�1"
p' V drVJ' S
y `sw
IOIC�AV iI�
'R41i II iflea
R
P'
Y
J - Estimated value. /W
K - Actual value is known to be less than value given.
L - Actual value is known to be greater than value given.
U - Material was analyzed for but not detected. The number
NA - Not analyzed.
1/ - Tentative identification.
2/ - On NRDC List of Priority Pollutants.
is the Minimum Detection Limit.=�j lj�
N.C. D.ivc.6.con o6 Heatth Senviee6
DNS 3068-0 (4186 Labonatony)

STATE LABORATORY OF PUBLIC HEALTH
DIVISION OF HEALTH SERVICES. N.C.' DEPARTMENT OF HUMAN RESOURCES
P.O. BOX 28047 - 306 N. WILMINGT,ON. ST.. RALEIGH, N.C. 27611
ORGANIC CHEMICAL ANALYSIS
PURGEABLE COMPOUNDS
LAB NO
% O / 2-3
FIELD q
COMPOUND
TYPE
1
1
UNITS
/1 /k
/1 /k
/1 /k
/1 /k
/1 /k
/1 /k
chloromethane
o
D
bromomethane
dichlorodifluoromethane
2d
vinyl chloride
v
chloroethane
/
trlchIorofluoromethane
alp
ethene 1 1-dichloro
S
ethane 1 1-dichloro-
1 2-trans-dichloroethene
chloroform
ethane 1 2-dichloro-
ethane 1 1 1-trichloro-
carbontetrachloride
browdichloromethane
Propane, 1.2-dichloro-
1.3-trans-dichloropropene
trichloroeth lene
chlorodibronnmethane
benzene
ethane 1 1 2-trichloro-
•�'r;'
1 3-cls-dich to
' 4 �!rt 4'�-�
i3
2-chloroeth 1 vinyl ether
l c
1'!"-�; -}
bramofonm
S'
ethane 1 1 2 2-tetrachloro-
ethene tetrachloro-
f.
toluene
chlorobenzene
eth lbenzene
-47
acetone
o
Lk-
2-butanone
carbondisulfide
2-hexanone
4-meth 1-2 ntanone
14
styrene
vinyl acetate
x l ene5 f iataf
S
�rauil4Y
Tw � 16,.,
- M •a1ye- 1
K - Actual value is known to be less than value given.
L - Actual value -is known to be greater than value given.
U - Material was analyzed for but not detected. The number is the Minimum Detection Limit.
NA - Not analyzed.
1/ - Tentative identification.
Z - �On+ NROC J st of Priority Pollutants.
N.C. Division of Health Services
DHS 3068-0 (4/86 Laboratory)

N. C. Department of Human Resources'
Division of Health Services
Site Number _J�o O O O o 0 0 0 0 'a ,'--
Name of Site a C K 5U h �n '�� r
Collected By
Type of Sample:
Environments!
:-Groundwater (1)
Y Surface''Water (2)
Soil (3)
Other (4)
Concentrate
Solid (5)
Liquid (6)
Sludge (7)
Other (8)
i»nuner.Tr� (�u�utc�rvv
State Laboratory of Public. Health
.ANALYSES REQUEST P. p, Box 28047
306 N. Wilmington Street
Raleigh, 27611
Field Sample Number o a `4
7 Site Location " l I S YY7 rn ��
4-dD - 8-7
� Date Collected 1 'Time '
Comments
�T�r
Eatractables
Total
Parameter Results mg/1
Parameter Results mg/1
Parameter Results mg/1
Arsenic
Arsenic O 0
� Silver o
Barium
Cadmium
Chromium
lla , is m
J : Cadiniuin �0-5`
Chloride
L/_ Sulfates 3
V Zinc O
Ph c Z
mod.
✓ -Chromium V` • O 1
Conductivity
. Mercury
Copper
T pS
:Selenium
✓ 4Fluoride �1b
TOC
.:
Lead �, o
G/soa
Se�enium Gr%r 605-
Parameter<:r<r? :. Results aig/1=
Parameter Results mg/. i
Parameter. Results mg/i.. -
P&T:GC/MS ..
`Acid:B/N
EDB
Methoxychlor
Ext.
PCB's
Tgxaphene
TOX
Petroleum
2,4-D
Endrin
2,4,5-TP (silvex)
Lindane
.m■l ea■ Na Ia no a A it .� .•.
Parameter.,F, .. ..
�a �aJavvaaLl�L1V 1 i\ 1
Parameter Results Pa/1
(MF) Coliforiri''Coloiiies/loomis
(MPN) Coliform Colonies/100mis
y Gross Alpha • .
�+-•Gross
Beta
AN
.�_b WdLae Ytl .V{ O.Lv�
Date Received Date
te Reported
Date Extracted Date Analyzed
Reported By Lab Number
DHS 3191 (Revised 7/85)
Solid and Hazardous Waste (Review 7/871

N. C. Department of Human Resources '�t' to
Division of Health Services SAMPLE ANALYSES RE MT Laboratory of Public Health
P. O. Box 28047
306 N. Wilmington Street
50 00000000 3_
Site Number Field Sample Number
Raleigh, 27611
Name of Site Jack5on
Co. LP� Site Location
Collected By (AJ) I
ID#,5 (P 1D Date Collected
Time.
Type of Sample:
Environmental
Concentrate
Groundwater (1)
Solid (5)
5e
Surface Water (2)
Liquid (6)
Soil (3)
Sludge (7)
Other (4)
Other (8)
V0,
TVCIRr_AWTfI
Extractable@
Total
Parameter
Results mg/1
Parameter
-Results mg/1
Parameter
Results mg/1
— Arsenic
-L/— Arsenic
& �0 I
fL Silver.
— Barium
Barium
< Ot
Sulfates
L.
Cadmium
Cadriiiurn
Zin--*c,.,.-
-Chromium
=!L Chloride
'Ph
— Lead -
✓ Chromium
Conductivity-
3 0 •X�:
Mercury
Copper
TDS
-77 Selenium
v7. F, uon
U.�
I
TOC
,177-
7 Sibreis-
T
iron
7—
-.47
7— 'Pri an 9
-7. r, _60L 7L
Nitrate
7; 7 - t,:
Selenium
--Results;
-Results.
Parame Results mg/I
_P&T.GC/ms
EDB
Methox c I hlor
y
Acid:B/N Ext.
PCB's
Toxaphene
—TOX
— Petroleum
Endrin
2 4-PW C
—
— Lindane
Z,_'4-3'-TP (gilvk
0,
Inal, am.& JS 'i y . ID A Y%Tr%f'NT_VV?Ik &V,-Vr
Parameter
Parameter
— (MO toliform Colonies/100m1s;
— (MPN) Coliform Colonies/ I 00mls
Gross Alp4, " a Fj' 3
—Gross Beta
Date Received
Date Extracted
Reported By
Date Reported /�
Date Analyzed —
Lab Number _0064 A C) A P.Q 9 .4
DHS 3191 (Revised 7/85)
Solid and Hazardous Waste (Review 7/87)

. -
` . .
GROUND WATER DIVISION '
.
OFFICE OF WATER AND AIR RESOURCES _
' DEPARTMENTOF NATURAL AND ECONOMIC RESOURCES
. .
��
~sp�|» w?v-
. `
RECORD OF'GROU-ND WATER POLLUTION SOURCE
'
`
..,RECORD
COUNTY: TOI NN�
-
'LOCATION (SKETCH ON 8ACQ:
OWNERCS) OF FACILITY OR INSTALLATION:
TYPE SOURCE: CLAND FI . LL, LAGOON, ETC)
CHARACTER AND QUANTITY OF POLLUTANTS
DESCRIPTION OF FACILITY (SKETCHONI8ACK):
LEI 0
'
'
MYDROGEOLOGIC CONDITIONS AT SITE:
'POLLUTION CONFIRMED BY ANALYSIS? DATE.ANALYST:
`
MONITORING FACILITIES INS-TALLED:
` SAMPLING SCHEDULE: '
,NEAREST STREAM: DISTANCE
NEAREST WATER SUPPLY WELL:DISTANCE
ANALYSES AND OTHER DATA AVAILABLE:
`� �
REMARKS: