780091_NOV-2021-DV-0459 Enforcement Packet w photos_20211115

NOTICE OF VIOLATION AND/OR
NOTICE OF INTENT

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ROY COOPER
Governor
ELIZABETH S. BISER.
Secretory
S. DANIEL SMITH
Director
NORTH CAROLINA
Environmental Quality
November 15, 2021
CERTIFIED MAIL:
RETURN RECEIPT REQUESTED 7020 0090 0001 7206 3021
Murphy -Brown LLC
PO Box 856
Warsaw, NC 28398
Subject: NOTICE OF VIOLATION/NOTICE OF INTENT
Administrative Code 15A NCAC 2T .1304
NOV-2021-DV-0459
Farm 5075 & 5076 Facility No. 78-091, Permit No. AWS780091
Robeson County
Dear Murphy -Brown, LLC.:
On October 12, 2021, staff of the NC Division of Water Resources (DWR), Water Quality Regional
Operations Section (WQROS), received a phone call with regard to a discharge at the farm listed above.
On October 12 and 13, 2021, DWR staff inspected the site. Mike Cudd of Murphy -Brown and other staff
were present. We wish to thank them for their cooperation and assistance.
As a result of these inspections, you are hereby notified that, having been permitted to have a non -
discharge permit for the subject animal waste disposal system pursuant to 15A NCAC 2T .1304, you have
been found to be in violation of your permit as follows:
Violation 1:
Failure to prevent discharge of waste to surface waters or wetlands by using a manmade conveyance.
N.C.G.S. 143-215.10C - (Permit No. AWG200000 Section Conditions I 1).
On October 12, 2021 around 4:00 pm, Mike Cudd reported a discharge of waste from a leak in the
irrigation line that crossed a ditch. DWR staff conducted a site visit around 6:30 pm and documented with
pictures that waste had bypassed the secondary containment area through an open slam gate. The slam
gate was left in the open position and allowed the release of rain water and waste that was spilled in the
ditch. Farm staff did not realize that an irrigation line was broken and caused the waste to flow into the
storm drainage system.
Mr. Cudd calculated that approximately 10,000-15,000 gallons of waste did leave the property.
North Carolina Department of Environmental Quality I Division of Water Resources
Fayetteville Regional Office !: 225 Green Street, Suite 714 i Fayetteville, North Carolina 28301
9l0.43:3,3300

Page 2
Murphy -Brown, LLC.
November 15, 2021
Required Corrective Action for Violation 1:
Mr. Cudd stated on October 18, 2021 that the irrigation line has been repaired. In a five-day response
letter, it was stated that the farm employees will be retrained to close slam gates in critical points while
performing irrigation events, and employees will also be inspecting other irrigation lines on the farm.
After the spill was discovered, it was stated that LNM staff closed the slam gate and called in a contractor
who used heavy equipment to block the ditch on the neighbor's land to contain the waste. LNM set up
multiple pumps and pumped the ditch out through the week.
The Division of Water Quality would like to thank Mr. Mike Cudd for providing the items listed below,
received at the Fayetteville Regional Office on October 18, 2021. No additional information is needed at
this time.
1. An explanation from the OIC for this farm regarding how this violation occurred.
2. A list from the OIC concerning the steps that will be taken to prevent these violations from
occurring in the future.
As a result of the violations in this Notice, this office is considering a recommendation for a civil penalty
assessment to the Director of the Division. If you wish to present an explanation for the violations cited,
or if you believe there are other factors, which should be considered please send such information to me
in writing within ten (10) days following receipt of this letter. Your response will be reviewed,.and, if an
enforcement action is still deemed appropriate, it will be forwarded to the Director and included for
consideration.
Failure to comply with conditions in a permit may result in a recommendation of enforcement action, to
the Director of the Division of Water Resources who may issue a civil penalty assessment of not more
that twenty-five thousand ($25,000) dollars against any "person" who violates or fails to act in accordance
with the terms, conditions, or requirements of a permit under authority of G.S. 143-215.6A.
If you have any questions concerning this Notice, please contact Katie Fontenot or me at [phone]
Sincerely,
DocuSigned by:
51IntigiAllen
Regional Supervisor
Water Quality Regional Operations Section
Division of Water Resources
cc: FRO Compliance Animal Files-Laserfiche
Smithfield Farms
@rpart .. of Envimntuet.. 01.11\
North Carolina Department of Environmental Quality I Division of water Resources
Fayetteville Regional Office 225 Green Street. Suite 714 Fayetteville. North Carolina 28301
910.433.33O0

INSPECTION REPORT / NOTES

Facility Number
?S Division of Water Resources
Division of Soil and Water Conservation
0 Other Agency
Type of Visit: 0 Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: 0 Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit:
Farm Name:
Arrival Time:
Departure Time:
Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact:
Phone:
County:
Region:
Onsite Representative:
Certified Operator:
Back-up Operator:
Location of Farm:
Title:
Latitude:
Integrator:
Phone:
Certification Number:
Certification Number:
Longitude:
Swine
Design Current
Capacity Pop.
Wean to Finish
Wean to Feeder
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
Other
Design Current
Wet Poultry Capacity Pop.
Layer
Non -Layer
Design Current
Dry Poultry Capacity Pop.
Layers
Non -Layers
Pullets
Turkeys
Turkey Poults
Other
Cattle
Design Current
Capacity Pop.
Dairy Cow
Dairy Calf
Dairy Heifer
Dry Cow
Non -Dairy
Beef Stocker
Beef Feeder
Beef Brood Cow
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
b. Did the discharge reach waters of the State? (If yes, notify DWR)
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does the discharge bypass the waste management system? (If yes, notify DWR)
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any observable adverse impacts or potential adverse impacts to the waters
of the State other than from a discharge?
Yes ❑ No 0 NA ❑ NE
❑ Yes'ici No 0 NA ❑ NE
❑ Yes lallo ❑ NA ❑ NE
'Yes ❑ No n NA ❑ NE
❑ Yes No ❑ NA ❑ NE
❑ Yes 'No [l NA ❑ NE
Page 1 of 3
5/12/2020 Continued

Facility Number:
Date of Inspection:
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
a. If yes, is waste level into the structural freeboard?
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
Structure 1 Structure 2
Structure 3 Structure 4
5. Are there any immediate threats to the integrity of any of the structures observed'?
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a
waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat, notify DWR
n Yes ❑ No ❑ NA NE
❑ Y• es ❑ No ❑ NA NE
Structure 5 Structure 6
7. Do any of the structures need maintenance or improvement?
8. Do any of the structures lack adequate markers as required by the permit?
(not applicable to roofed pits, dry stacks, and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require
maintenance or improvement'?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
maintenance or improvement?
11. Is there evidence of incorrect land application'? If yes, check the appropriate box below.
❑ Yes ❑ No ❑ NA `� NE
El Yes ❑No ❑NA iRNE
❑ Yes ❑ No ❑ NA ` INE
n Y• es ❑ No ❑ NA RNE
n Y• es ❑ No ❑ NA NE
n Y• es ❑ No ❑ NA NE
❑ Yes ❑ No ❑ NA \1\ NE
n Excessive Ponding n Hydraulic Overload n Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs. n Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift n Application Outside of Approved Area
12. Crop Type(s):
13. Soil Type(s):
i
14. Do the receiving crops differ from those designated in the CAWMP?
15. Does the receiving crop and/or land application site need improvement?
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
acres determination?
17. Does the facility lack adequate acreage for land application?
18. Is there a lack of properly operating waste application equipment?
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
the appropriate box.
nWUP nChecklists nDesign n Maps n Lease Agreements
21. Does record keeping need improvement? if yes, check the appropriate box below.
n Waste Application n Weekly Freeboard n Waste Analysis n Soil Analysis
n Yes ❑ No ❑ NA ENE
n Yes ❑ No ❑ NA NNE
n Yes No nNA nNE
❑ Yes ❑ No ❑ NA ( NE
n Yes ❑ No ❑ NA ❑`NE
❑ Yes ❑ No ❑ NA ` NE
n Yes ❑ No ❑ NA R
NE
n Other:
n Yes ❑ No ❑ NA - NE
n Waste Transfers ❑ Weather Code
❑ Rainfall n Stocking n Crop Yield 17120 Minute Inspections n Monthly and 1" Rainfall inspections
22. Did the facility fail to install and maintain a rain gauge?
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
Page 2 of 3
n Sludge Survey
fYes E No nNA ❑.ENE
n Y• es ❑ No pi NA K N E
5/12/2020 Continued

Facility Number: I ) - q I
Date of Inspection: j O ., I2.2 /
24. Did the facility fail to calibrate waste application equipment as required by the permit?
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check
the appropriate box(es) below.
❑ Failure to complete annual sludge survey ❑ Failure to develop a POA for sludge levels
❑ Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail to provide documentation of an actively certified operator in charge?
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification?
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
and report mortality rates that were higher than normal?
29. At the time of the inspection did the facility pose an odor or air quality concern?
If yes, contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below.
Application Field ❑ Lagoon/Storage Pond
❑ Other:
❑ Yes ❑ No ❑ NA NE
❑ Yes ❑No ❑NA NE
❑ Yes ❑ No ❑ NA ❑ NE
❑Yes ❑No ❑NA NINE
❑Yes No ❑NA [siNE
❑ Yes ❑No ❑NA tiNE
❑ YesN:1No ❑ NA ❑ NE
tiYes No ❑NA ❑NE
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
34. Does the facility require a follow-up visit by the same agency?
❑ Yes
❑ Yes
Yes
No
NI No
❑ No
❑ NA
❑ NA
❑ NA
❑ NE
❑ NE
❑ NE
Comments (refer to question #): Explain any YES answers and/or any additional recommendations or any other comments.
Use drawings of facility to better explain situations (use additional pages as necessary).
-T"hey w�l-e trancf-€V-Ong wgSfie h-orn one, iggoon to the other
to use (7-30(1sh rah, +he irngatiort it e does across (Nth
broK2. enfiorect The di1tfl 3 flowed own Gteam,
d,e\vnStrecA,m of 11,42, cirLh is a, panca. srn►�-nfr2iq bui t- a, dam
befolre thiz Pohd to Coni-oln ih,Qcuaste. �rnithfreic) drci r-eporb
t't�Q �aiSU'�G�Y�. Tf�ey bivugrit IN/ frgSn pU(17p rbvitlple reels
Pvr? wASr-e out* of bQ Oh -fhz 5FtcayEre4qcSteve
tiutU rc't-Ut-r1 on 10.13•21 to taKe SamPrec ghi r'io%2 phot-pc,
Reviewer/Inspector Name:
Phone:
Reviewer/Inspector Signature:
Page 3 of 3
Date:
5/12/2020

VIOLATORS RESPONSE AND NOTES

Notification of Wastewater Spill in Robeson County
On October 12, 2021, Farm 5075 & 5076, located at 7368 Fairley Rd, Maxton, NC,
experienced a discharge of swine wastewater. As soon as the discharge was discovered,
farm personnel took immediate steps to both stop the flow and contain and return the
wastewater to the farm's permitted system. NCDENR was also notified. The discharge
resulted from a break in a transfer line on the farm. The volume of the discharge was
estimated to be between 10,000 and 15,000 gallons. The wastewater entered a ditch that
leads to an unnamed tributary that leads to Shoe Heel Creek. Remediation efforts have
been successful in capturing and land applying the majority of the discharged material.
This notice was required by North Carolina General Statutes, Article 21, Chapter
143.215.10C(h)(1). For more information contact Kraig Westerbeek, Smithfield Hog
Production at [phone].

NCDA&CS Agronomic Division Phone: [phone] Website: www.ncagr.gov/agronomif
Report No. FY22-W001108
4"`'`�°x` Predictive Client Mike Cudd
.��'ar.� "'�;,.,. ._ Murphy Brown LLC Laurinburg
1 325 McKay St
E d �` A Waste Report
E ., Laurinburg,NC28353
Robeson County
Sampled: 08/16/2021
`�x�•M.,,,�• Links to Helpful Information
Advisor:
PALS #:
Received: 08/19/2021
Farm: 50753, 50763 Completed: 08/30/2021 PALS #: 402956
Sample Information
Nutrient Measurements are given in units of parts per million (ppm), unless otherwise specified.
Nitrogen (N) P K Ca Mg S Fe Mn Zn Cu
Other Results
B Mo C Al Na CI
0.83 - - 0.56 229 -
C:N DM
(Unitless) (%)
- -
ID: 50753A
Code: ALS
Description: Swine
Lagoon Liq.
Grower Comments:
Not Provided
JUL - i 2021
Total N: 44.5 807 57.0 26.4 29.5 1.97 0.32 0.55 0.42
Total Kjeldahl N: 370
Inorganic: SS EC pH BD CCE ALE
NH4-N (1Os Slav) (mS/cm) (Unitless) (Ib/ycP) (%) (1000 gal)
NO3-N
- - - -
7.63
Estimate of Nutrients Available for First Year (Ib/1000 gal)
Application Method: N P205 K20 Ca Mg S Fe Mn Zn Cu
Irrigation 1.55 0.85 8.08 0.48 0.22 0.25 0.02 0.00 0.01 0.00
Other Results (lb/1000 gal)
B Mo Al Na CI
0.01 - 0.01 1.91 -
North Carolina
Tobacco Trust Fund Commission
Reprogramming of the laboratory -information -management system that makes this report possible is being funded
through a grant from the North Carolina Tobacco Trust Fund Commission.
Thank you, for using agronomic services to manage nutrients and.safeguard environmental qualite.
- Steve Trozler, Commissioner of Agriculture.

NCDA&CS Agronomic Division Phone: [phone] Website: www.ncagr.govlagronomil
Report No. FY22-W001108
Mike Cudd
Sampled: 08/16/2021 (..Received: 08/19/2021 I Completed: 08/30/2021
- Page 2 of 5
r,Sample Information
Nutrient
Nitrogen (Ni '
Measurements are given in units of parts per million (ppm), unless otherwise specified.
P K Ca Mg S Fe Mn Zn Cu B Mo
39.9 760 54.3 27.7 31.0 1.83 0.28 0.65 0.40 0.79 -
SS EC pH BD CCE ALE C:N
(10 S/cm) (mS/cm) (Unitless) (lb/yd3) (%) (1000 gal) (Unitless)
- - 7.51 - - - -
Other Results
C Al Na CI
- 0.49 216 -
DM
(%)
-
ID: 50753B
Code: ALS
Description: Swine
Lagoon Liq.
Grower Comments:
Not Provided
JUL -12021
Total N:
Total Kjeldahl N: 338
Inorganic:
NH4-N
N0 N
Application Method:
Irrigation
N
1.41
Estimate of Nutrients Available for First Year (Ib/1000 gal)
P20s K20 Ca Mg 5 Fe Mn Zn Cu
0.76 7.60 0.45 0.23 0.26 0.02 0.00 0.01 0.00
B Mo
0.01 -
Other Results (Ib/1000 gal)
Al Na CI
0.00 1.80 -

NCDA&CS Agronomic Division Phone: [phone] Website: www.ncagr.gov/agronomi/
Report No. FY22-W001108
Mike Cudd
Sampled: 08/16/2021 I Received: 08/19/2021 I Completed: 08/30/2021
Page 3 of 5
Sample Information.
Nutrient Measurements are given in units of parts per million (ppm), unless otherwise specified.
Other Results
ID: 50763A
Nitrogen (N)
P K Ca Mg S Fe Mn Zn Cu
B
Mo
C Al Na CI
Code: ALS
Description: Swine
Total N:
Total Kjeldahl N: 348
37.3 746 47.1 26.3 29.5 1.25 0.19 0.31 0.24
i
0.76
-
- 0.33 209 -
Lagoon Liq.
Inorganic:
Grower Comments:
NH4-N
SSS EC pH BD CCE ALE
C:N
DM
Not Provided
NO3-N
(10 S/cm) (mS/cm) (Unitless) (Ib/yd3) (%) (1000 gal)
(Unitless)
(%)
- - 7.56 - - -
-
-
JUL - 1 2021
Estimate of Nutrients Available for First Year (Ib/1000 gal)
Other Results (lb/1000 gal)
Application Method:
N
P2Os K2O Ca Mg S Fe Mn Zn Cu
B
Mo
Al Na CI
Irrigation
1.45
0.71 7.46 0.39 0.22 0.25 0.01 0.00 0.00 0.00
0.01
-
0.00 1.74 -

NCDA&CS Agronomic Division Phone: [phone] Website: www.ncagr.govlagronomi/
Report No. FY22-W001108
Mike Cudd
Sampled: 08/16/20211Received: 08/19/2021 I Completed: 08/30/2021
Page 4 of 5
Vi. Sample Information
Nutrient Measurements are given in units of parts per million (ppm), unless otherwjse specified.
Other Results
ID: 50763E
Nitrogen (N)
[ P K Ca Mg S Fe Mn Zn Cu
B
Mo
C Al Na CI
Code: ALS
Total N:
i 37.7 735 50.2 26.7 28.5 1.38 0.21 0.35 0.24
0.75
-
- 0.35 208 -
Description: Swine
Total Kjeldahl N: 323
Lagoon Liq.
Inorganic:
Grower Comments:
NHa-N
SS EC pH BD CCE ALE
C:N
DM
Not Provided
NOyN
(10 S/cm) (mS/cm) (Unitless) (Ib/yd3) (%) (1000 gal)
(Unitless)
(%)
- - 7.53 - - -
-
-
JUL - 1 2021
Estimate of Nutrients Available for First Year pbt1000 gal)
Other Results (lb/1000 gal)
Application Method:
N
P2O5 K2O Ca Mg S Fe Mn Zn Cu
B
Mo
Al Na CI
Irrigation
1.35
0.72 7.35 0.42 0.22 0.24 0.01 0.00 0.00 0.00
0.01
-
0.00 1.74 -

SmithfieldM
600A took -Reapoitaibl,8!
October 18, 2021
Steve Guyton; Katie Fontenot
NCDENR — Division of Water Resources
225 Green Street- Suite 714
Fayetteville, NC 28301-5094
RE: Farm 50753, 50763 Tree Farm
Facility # 78-091
Accidental Discharge 10-12-21
PO Box 856
Warsaw, NC 28398
This letter is the follow up to the accidental discharge at Farm 50753, 50763 that was reported
to the Division on October 12, 2021.
Sequence of Events:
1) LNM staff were leaving the farm about 4:00 pm, Tuesday 10-12-21, as they turned out of
farm driveway, they saw wastewater in the ditch at the road. They immediately began
calling to get response team activated. When I was notified, I asked if the water had
crossed the road? They said yes, I then in turn notified DEQ.
a. Spill was later determined to have been caused by a leak in an irrigation line that
crossed the ditch.
2) LNM Staff closed the slam gate at the road. We also called in a Contractor, who used his
heavy equipment to block the ditch on the neighbor's property right before their pond.
3) We set up an irrigation pump in the ditch across the road and started land applying the
water in the ditch to the field with a reel. We also set up trash pumps at point of spill and
pumped this water on to our field. It is important to note that the water being applied was
primarily stormwater that was already in the ditch but was mixed with the spilled effluent.
The field across the road is in the farm's NUP as an amendment. Crop applied was cover
crop behind corn. These remediation efforts continued thru the night.
4) Wednesday 10-13-21, we continued land applying with the one reel and we also added a
second reel and pump at the slam gate. The DEQ representative returned, reviewed our
remediation efforts, and took several water samples at various stages. The 2nd pump at
slam gate ran out of water about 6 pm and we shut it off. The 1st pump and reel we
continued to run again all night. It ran out of water about 6:30 am the next morning.
5) Thursday 10-14-21, we continued the remediation efforts. We moved the 1st pump to the
dam at the pond and continued pumping with a splash pan on the field until about 3pm. To
ensure the cleanup was to the standards of our EMS program, we set up 2nd pump in the
freshwater pond, and laid flat hose to a point above where wastewater had entered the
ditch. This allowed us to flush the ditch with fresh water and to continue pumping back out.
These remediation efforts continued until about 9 pm, which we shut the slam gate.
6) Friday 10-15-21, we resumed flushing the ditch with fresh water and as it flowed to the
dam at the pond, we pumped this on the field. We continued the remediation efforts until 7
pm with the splash pan.
7) Saturday 10-16-21, we resumed pumping the water out of the ditch. We continued the
remediation efforts until all the water we could pump was out, which was about 1 pm.

• Page 2 October 20, 2021
8) We will continue to check the ditch and when we are satisfied, we will remove the dam to
the pond sometime this week.
Estimate of discharge:
A) With the run time of the transfer event, 12:30 pm to 4 pm, and the amount recovered
from the ditch on the property and across the road, we are estimating 10,000 gallons
to 15,000 gallons left the property.
Plan for corrective actions from this accidental discharge:
1) Retrain staff on closing slam gates that are put in critical points, while doing irrigation
events.
2) Inspect other irrigation lines on the farm that cross ditches.
3) Contractor to repair broken irrigation line and case line where crosses ditch.
Attachments:
A) Included with this letter is a copy of the most current waste analysis as required by the
permit along with a copy of the estimate of discharge press release as required by NC
Statutes, Article 21, Chapter 143.2215C.
I have outlined all currently available information about this incident. Smithfield staff has responded in
an appropriate and responsible manner in accordance with our Environmental Management System
emergency response plan and in keeping with our responsibilities under the state permit.
Our Environmental Management System (EMS) proved its' effectiveness by providing the structure and
protocol that all parties involved in the response and ensuring, that they did so in a timely and effective
manner.
If I can be of any further assistance, please feel free to contact me.
Sincerely,
Mike Cudd
Environmental Systems Manager
Murphy -Brown LLC
[phone]

SAMPLE RESULTS/DATA

ENVIRONMENTAL CHEMISTS, INC
P.O. BOX 1037
WRIGHTSVILLE BEACH, NC 28480
Voice: 910-392-0223
Fax: [phone]
E-Mail: [e-mail]
Bill To:
NCDENR - DWQ - FAYETTEVILLE
225 GREEN STREET
SUITE 714
FAYETTEVILLE, NC 28301
PLEASE USE THE P.O. BOX FOR
ALL REMITTANCES. THANK YOU.
INVOICE NUMBER
188244
Invoice Date:
Oct 19, 2021
Page:
1
Customer ID
Customer PO
Payment Terms
19020022
78-91 5075-5076
Net 30 Days
ENVIROCHEM'S FEDERAL ID #
Ship Date
Due Date
56-1894379
10/13/21
11/18/21
Quantity
Description
Unit Price
Amount
REPORT #2021-18167
WATER: 78-91-5075-5076
DATE SAMPLED: 10/13/2021
CONTACT - TRENT ALLEN, STEVE GUYTON, KATIE FONTENOT
4.00
FECAL COLIFORM
35.00
140.00
1.00
PICKUP FEE
EMAIL INVOICE
REPORT HAS BEEN EMAILED.
50.00
50.00
PLEASE REFERENCE INVOICE NUMBER ON ALL
REMITTANCES IN ORDER TO PROPERLY APPLY TO
YOUR ACCOUNT. CALL TERESA WOLFE OR FRAN
GODLEY @ 910-392-0223 FOR QUESTIONS.
Subtotal
Payment/Credit Applied
190.00
Total Amount Due $ 190.00

envirochem
ANALYTICAL & CONSULTING CHEMISTS
Environmental Chemists, Inc.
6602 Windmill Way, Wilmington, NC 28405 • 910.392.0223 Lab • 910.392.4424 Fax
710 Bowsertown Road, Manteo, NC 27954 • 252.473.5702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax
[e-mail]
NCDEQ/DWR-Fayetteville
225 Green Street
Fayetteville NC
Attention: Trent Allen
Date of Report: Oct 18, 2021
Customer PO #:
28301 Customer ID: 19020022
Report #: 2021-18167
Project ID: 78-91 5075-5076
Lab ID
21-45516
Test
Sample ID:
Site: Source
Method
Collect Date/Time Matrix Sampled by
10/13/2021 11:10 AM Water Steve Guyton
Results Date Analyzed
Fecal Coliform
SM 9222 D-2015 MF
26000 Colonies/100mL 10/13/2021
Lab ID
21-45517
Test
Sample ID:
Site: Containment Dam Site
Method
Collect Date/Time Matrix Sampled by
10/13/2021 11:20 AM Water Steve Guyton
Results Date Analyzed
Fecal Coliform
SM 9222 D-2015 MF
10 Colonies/100mL 10/13/2021
Lab ID
21-45518
Test
Sample ID:
Site: Downstream of Dam
Method
Collect Date/Time Matrix Sampled by
10/13/2021 11:35 AM Water Steve Guyton
Results Date Analyzed
Fecal Coliform
SM 9222 D-2015 MF
154 Colonies/100mL 10/13/2021
Lab ID
21-45519
Test
Sample ID:
Site: Pond Dam
Method
Collect Date/Time Matrix
10/13/2021 11:48 AM Water
Results
Sampled by
Steve Guyton
Date Analyzed
Fecal Coliform
SM 9222 D-2015 MF
<1 Colonies/100mL 10/13/2021
Comment:
Reviewed by: `
Report #:: 2021-18167 Page 1 of 1

Environmental Chemist, Inc., Wilmington, NC Lab #94
Client: NC DEQ
Sample Receipt Checklist
6602 Windmill Way
Wilmington, NC 28405
910.392.0223
Datet O /3 ou Report Number: 02 / — / o / C 7
Receipt of sample: ECHEM Pickup • Client Delivery]
UPS • FedEx ■ Other ■
• YES
• NO
XI N/A
1. Were custody seals present on the cooler?
• YES
• NO A N/A
2. If custody seals were present, were they intact/unbroken?
Original temperature upon receipt (1 °C Corrected temperature upon receipt °C
How temperature taken: • Temperature Blank k Against Bottles
IR Gun ID: Thomas Traceable S/N 192511657 IR Gun Correction Factor °C: 0.0
• YES
• NO
3. If temperature of cooler exceeded 6°C, was Project Mgr./QA notified?
R. YES
• NO
4. Were proper custody procedures (relinquished/received) followed?
YES
• NO
5. Were sample ID's listed on the COC?
4 YES
• NO
6. Were samples ID's listed on sample containers?
11 YES
• NO
7. Were collection date and time listed on the COC?
YES
• NO
8. Were tests to be performed listed on the COC?
YES
• NO
9. Did samples arrive in proper containers for each test?
YES
• NO
10. Did samples arrive in good condition for each test?
Ilif YES
• NO
11. Was adequate sample volume available?'
)I YES
• NO
12. Were samples received within proper holding time for requested tests?
• YES
• NO
13. Were acid preserved samples received at a pH of <2? *
• YES
• NO
14. Were cyanide samples received at a pH >12?
• YES
• NO
15. Were sulfide samples received at a pH >9?
• YES
• NO
16. Were NH3/TKN/Phenol received at a chlorine residual of <0.5 m/L? **
• YES
• NO
17. Were Sulfide/Cyanide received at a chlorine residual of <0.5 m/L?
• YES
• NO
18. Were orthophosphate samples filtered in the field within 15 miniitac?
* TOC/Volatiles are pH checked at time of analysis and recorded on the benchsheet.
** Bacteria samples are checked for Chlorine at time of analysis and recorded on the benchsheet.
Sample Preservation: (Must be completed for any sample(s) incorrectly preserved or with headspace)
Sample(s) were received incorrectly preserved and were adjusted accordingly
by adding (circle one): H2504
HNO3 HCI NaOH
Time of preservation: If more than one preservative is needed, notate in comments below
Note: Notify customer service immediately for incorrectly preserved samples. Obtain a new sample or
notify the state lab if directed to analyzed by the customer. Who was notified, date and time:
Volatiles Sample(s) were received with headspace
COMMENTS:
DOC. QA.002 Rev 1

Analytical & Consulting Chemists
ENVIRONMENTAL CHEMISTS, INC
NCDENR: DWQ CERTIFICATION # 94 NCDHHS: DLS CERTIFICATION # 37729
COLLECTION AND CHAIN OF CUSTODY
6602 Windmill Way Wilmington, NC 28405
OFFICE: 910-392-0223 FAX [phone]
[e-mail]
Client: ) C -0 F
PROJECT NAME: 78-9-/ 57,75 =�76.
REPORT NO: 1 /-- /p (P 7
ADDRESS: j— t �,577-
-17;c1`-1-- 7/
(
CONTACT NAME: /%'Z- d M-(i-v--
PO NO: 10-413-3 — 53310
,,,,
z% lerirrr 13 G.
REPORT TO: T/'7- )(-t -
PHONE/FAX'
Pr-,'i. I) Lys
_COPY TO:
email:
SAMPLE TYPE: I = Influent, E = Effluent, W = Well, ST = Stream, SO = Soil, SL = Sludge, Other:
Collection
CD
E>
coZ
Composite
or
Grab
Container
(P or G)
CD
r E
LAB ID
NUMBER
PRESERVATION
ANALYSIS REQUESTED
Sample Identification
Date
Time
Temp
Z
=
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Relinquished By:
Date/Time
R ived By:
1.
P-'---Date/Time
°. ► J� (0,12-0—
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