NC0037001_Remission (Request)_20230508

ROCKINGHAM RECEIVED
COUNTY SCHOOLS iv.aY 0 6 2023
NCDEQ/DWRINPDES
May 4, 2023
IN REGARDS: NOTICE OF VIOLATION & INTENT TO ASSESS/ASSESSMENT CIVIL PENALTY
BETHANY WASTEWATER PLANT-NC0037001
CASE NUMBER: LV-2023-0109 4/12/23
TRACKING NUMBER: NOV-2023-LV-0288 4/26/23
TO WHOM IT MAY CONCERN:
We received the attached notice for the civil penalty for December 2022 and the notice for February
2023 for review. We have been working diligently to diagnose our problems to find a solution. We
would greatly appreciate any technical assistance that can be provided through your agency.
Two problems that we have identified are, 2 of our 3 spray zones (zone 1 and 2)over the sand filter bed
has water ponding which causes it to grow algae on our bed. We have met with a representative from
Shamrock Environmental to discuss replacing the sand in our bed. I am new to being in the position of
Director for Rockingham County Schools, but all the information I have been able to gather on this sand
filter bed shows that the sand has not been changed in 25 plus years. It appears to be compacted and
will not provide proper filtration any longer. It also seems the other spray zone (zone 3) may have a
cracked pipe under the sand and will not properly pressurize and spray to spread out the waste evenly
over the zone bed.
The measures we have taken was to replace our circulating pumps and to check our program sequence
for the operation PLC of the plant. We are working towards the solution to replace the sand in the filter
bed and repair the cracked pipe at the same time to see if this will take care of the water ponding issues
on the bed. Our UV tube lights have been checked as well and are running at 100%.
Any assistance and advice that you can provide would be appreciated.
Sincerely,inf
James A. Rorrer Jordan "Lance" Doss
Director of Maintenance ORC Bethany Wastewater Plant
Rockingham County Schools Rockingham County Schools
James A.Rorrer,Director of Maintenance Rockingham County Schools
Office Phone Number 336-634-3270 Fax Number 336-634-3053

I
•
co:,„,..„.0,4‘ Ve5'•
ROY COOPER -
Governor r r w
ELIZABETH S.BISER �"`�n �`
Secretary ,.....
RICHARD E.ROGERS,JR. NORTH CAROLINA
Director Environmental Quality
Certified Mail#7020 3160 0002 0860 9970
Return Receipt Requested
April 12, 2023
Sonja Parks
Rockingham County Board of Education
511 Harrington Hwy
Eden,NC 27288
SUBJECT: Notice of Violation and Assessment of Civil Penalty
for Violations of North Carolina General Statute(G.S.) 143-215.1(a)(6)
and NPDES WW Permit No.NC0037001
Rockingham County Board of Education
Bethany Elementary School
Case No. LV-2023-0109
Rockingham County
Dear Ms. Parks:
This letter transmits a Notice of Violation and assessment of civil penalty in the amount of$822.53 ($700.00 civil penalty
+$122.53 enforcement costs)against Rockingham County Board of Education.
This assessment is based upon the following facts: a review has been conducted of the Discharge Monitoring Report
(DMR)submitted by Rockingham County Board of Education for the month of December 2022. This review has shown
the subject facility to be in violation of the discharge limitations and/or monitoring requirements found in NPDES WW
Permit No.NC0037001. The violations,which occurred in December 2022,are summarized in Attachment A to this
letter.
Based upon the above facts, I conclude as a matter of law that Rockingham County Board of Education violated the
terms,conditions or requirements of NPDES WW Permit No.NC0037001 and G.S. 143-215.1(a)(6)in the manner and
extent shown in Attachment A. In accordance with the maximums established by G.S. 143-215.6A(a)(2),a civil penalty
may be assessed against any person who violates the terms, conditions or requirements of a permit required by G.S.
143-215.1(a).
/Jll north raroflna Department of EnvircmtnerOal Quality Olvofon of Water Rndeces
L D WW ton-Salem Regfanal 0ffke 450 West Hanes MRI Road.Suite 300 Whtston-Salem.Huth Groins 2I105
/", t#„ngt,c
J

Based upon the above findings of fact and conclusions of law,and in accordance with authority provided by the
Secretary of the Department of Environmental Quality and the Director of the Division of Water Resources, I, Lon T.
Snider, Regional Supervisor, Winston-Salem Regional Office hereby make the following civil penalty assessment against
Rockingham County Board of Education:
$200.00 1 of 1 violations of G.S. 143-215.1(a)(6)and Permit No.NC0037001,by discharging waste water
into the waters of the State in violation of the Permit Daily Maximum for Coliform,Fecal MF,
MFC Broth,44.5 C
$500.00 1 of 1 violations of G.S. 143-215.1(a)(6)and Permit No.NC0037001,by discharging waste water
into the waters of the State in violation of the Permit Monthly Geometric Mean for Coliform,Fecal
MF, MFC Broth,44.5 C
$700.00 TOTAL CIVIL PENALTY
$122.53 Enforcement Costs
$822.53 TOTAL AMOUNT DUE
Pursuant to G.S. 143-215.6A(c),in determining the amount of the penalty I have taken into account the Findings of Fact and
Conclusions of Law and the factors set forth at G.S. 143B-282.1(b),which are:
(1) The degree and extent of harm to the natural resources of the State,to the public health, or to private property
resulting from the violation;
(2) The duration and gravity of the violation;
(3) The effect on ground or surface water quantity or quality or on air quality;
(4) The cost of rectifying the damage;
(5) The amount of money saved by noncompliance;
(6) Whether the violation was committed willfully or intentionally;
(7) The prior record of the violator in complying or failing to comply with programs over which the Environmental
Management Commission has regulatory authority; and
(8) The cost to the State of the enforcement procedures.
Within thirty(30)days of receipt of this notice,you must do one of the following:
(1) Submit payment of the penalty,OR
(2) Submit a written request for remission, OR
(3) Submit a written request for an administrative hearing
Option 1: Submit payment of the penalty:
Payment should be made directly to the order of the Department of Environmental Quality(do not include waiver
form). Payment of the penalty will not foreclose further enforcement action for any continuing or new violation(s).
Please submit payment to the attention of:
Wastewater Branch
Division of Water Resources
1617 Mail Service Center
Raleigh,North Carolina 27699-1617
Option 2: Submit a written request for remission or mitigation including a detailed justification for such
request:

•
JUSTIFICATION FOR REMISSION REQUEST
Case Number: LV-2023-0109 County: Rockingham
Assessed Party: Rockingham County Board of Education
Permit No.: NC0037001 Amount Assessed: $822.53
Please use this form when requesting remission of this civil penalty. You must also complete the "Request For Remission,
Waiver of Right to an Administrative Hearing, and Stipulation of Facts"form to request remission of this civil penalty.
You should attach any documents that you believe support your request and are necessary for the Director to consider in
evaluating your request for remission. Please be aware that a request for remission is limited to consideration of the five
factors listed below as they may relate to the reasonableness of the amount of the civil penalty assessed. Requesting
remission is not the proper procedure for contesting whether the violation(s)occurred or the accuracy of any of the factual
statements contained in the civil penalty assessment document. Pursuant to N.C.G.S. § 143B-282.1(c),remission of a civil
penalty may be granted only when one or more of the following five factors apply. Please check each factor that you
believe applies to your case and provide a detailed explanation,including copies of supporting documents,as to why the
factor applies(attach additional pages as needed).
(a) one or more of the civil penalty assessment factors in N.C.G.S. 143B-282.1(b)were wrongfully applied to the
detriment of the petitioner(the assessment factors are listed in the civil penalty assessment document);
(b) the violator promptly abated continuing environmental damage resulting from the violation(i.e., explain the
steps that you took to correct the violation and prevent future occurrences);
(c) the violation was inadvertent or a result of an accident(i.e., explain why the violation was unavoidable or
something you could not prevent or prepare for);
(d) the violator had not been assessed civil penalties for any previous violations;
(e) payment of the civil penalty will prevent payment for the remaining necessary remedial actions (i.e., explain
how payment of the civil penalty will prevent you from performing the activities necessary to achieve
compliance).
EXPLANATION:
.1

STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENTAL QUALITY
COUNTY OF ROCKINGHAM
IN THE MATTER OF ASSESSMENT ) WAIVER OF RIGHT TO AN
OF CIVIL PENALTIES AGAINST ) ADMINISTRATIVE HEARING AND
) STIPULATION OF FACTS
Rockingham County Board of Education )
Bethany Elementary School )
)
PERMIT NO.NC0037001 ) CASE NO. LV-2023-0109
Having been assessed civil penalties totaling$822.53 for violation(s)as set forth in the assessment document of the Division
of Water Resources dated April 12,2023,the undersigned,desiring to seek remission of the civil penalty, does hereby waive
the right to an administrative hearing in the above-stated matter and does stipulate that the facts are as alleged in the
assessment document. The undersigned further understands that all evidence presented in support of remission of this civil
penalty must be submitted to the Director of the Division of Water Resources within thirty(30)days of receipt of the notice
of assessment. No new evidence in support of a remission request will be allowed after(30)days from the receipt of the
notice of assessment. ,�{
This the 4+h t `day of ,20 a3_
R
'ECEIVED SIGNATURE
MAY 0 6 2023
ADDRESS
NCDEQIDWRINPDES 3q 1 Couanky -brne
TELEPHONE
5510 ' 11P34'' 3Z7�j
I

Please be aware that a request for remission is limited to consideration of the five factors listed below as they may
relate to the reasonableness of the amount of the civil penalty assessed. Requesting remission is not the proper
procedure for contesting whether the violation(s)occurred or the accuracy of any of the factual statements contained in
the civil penalty assessment document. Because a remission request forecloses the option of an administrative hearing,
such a request must be accompanied by a waiver of your right to an administrative hearing and a stipulation and
agreement that no factual or legal issues are in dispute. Please prepare a detailed statement that establishes why you
believe the civil penalty should be remitted,and submit it to the Division of Water Resources at the address listed below.
In determining whether a remission request will be approved,the following factors shall be considered:
(1) whether one or more of the civil penalty assessment factors in NCGS 143B-282.1(b)was wrongfully
applied to the detriment of the petitioner;
(2) whether the violator promptly abated continuing environmental damage resulting from the violation;
(3) whether the violation was inadvertent or a result of an accident;
(4) whether the violator had been assessed civil penalties for any previous violations;or
(5) whether payment of the civil penalty will prevent payment for the remaining necessary remedial actions.
Please note that all evidence presented in support of your request for remission must be submitted in writing. The
Director of the Division of Water Resources will review your evidence and inform you of his decision in the matter of
your remission request. The response will provide details regarding the case status,directions for payment,and
provision for further appeal of the penalty to the Environmental Management Commission's Committee on Civil Penalty
Remissions(Committee). Please be advised that the Committee cannot consider information that was not part of the
original remission request considered by the Director. Therefore, it is very important that you prepare a complete and
thorough statement in support of your request for remission.
In order to request remission,you must complete and submit the enclosed"Request for Remission of Civil Penalties,
Waiver of Right to an Administrative Hearing, and Stipulation of Facts"form within thirty(30)days of receipt of this
notice. The Division of Water Resources also requests that you complete and submit the enclosed"Justification for
Remission Request."
Both forms should be submitted to the following address:
Wastewater Branch
Division of Water Resources
1617 Mail Service Center
Raleigh,North Carolina 27699-1617
Option 3: File a petition for an administrative hearing with the Office of Administrative Hearings:
If you wish to contest any statement in the attached assessment document you must file a petition for an administrative
hearing. You may obtain the petition form from the Office of Administrative Hearings. You must file the petition with
the Office of Administrative Hearings within thirty(30)days of receipt of this notice. A petition is considered filed
when it is received in the Office of Administrative Hearings during normal office hours. The Office of Administrative
Hearings accepts filings Monday through Friday between the hours of 8:00 a.m.and 5:00 p.m.,except for official state
holidays. The petition may be filed by facsimile(fax)or electronic mail by an attached file(with restrictions)-provided
the signed original,one(1)copy and a filing fee(if a filing fee is required by NCGS §150B-23.2)is received in the
Office of Administrative Hearings within seven(7)business days following the faxed or electronic transmission. You
should contact the Office of Administrative Hearings with all questions regarding the filing fee and/or the details of the
filing process.
The mailing address and telephone and fax numbers for the Office of Administrative Hearings are as follows:
6714 Mail Service Center
Raleigh,NC 27699 6714
Tel: [phone]
Fax: [phone]

One(1)copy of the petition must also be served on DEQ as follows:
Mr. William F. Lane,General Counsel
Department of Environmental Quality
1601 Mail Service Center
Raleigh,North Carolina 27699-1601
Please indicate the case number(as found on page one of this letter)on the petition.
Failure to exercise one of the options above within thirty(30)days of receipt of this letter,as evidenced by an internal
date/time received stamp(not a postmark),will result in this matter being referred to the Attorney General's Office for
collection of the penalty through a civil action. Please be advised that additional penalties may be assessed for violations
that occur after the review period of this assessment.
If you have any questions,please contact Ron Boone with the Division of Water Resources staff of the Winston-Salem
Regional Office at(336)776-9690 or via email at ron.boone(aincdenr.gov.
Sincerely,
CDocuSlgned by:
LOx. T. SMjtr
145B49E225C94EA..
Lon T. Snider,Regional Supervisor
Water Quality Regional Operations Section
Winston-Salem Regional Office
Division of Water Resources,NCDEQ
Attachments:
1. Justification for Remission Request
2. Waiver of Right to an Administrative Hearing and Stipulation of Facts
3. Attachment A

ATTACHMENT A
Rockingham County Board of Education
CASE NUMBER: LV-2023-0109
PERMIT: NC0037001 REGION: Winston-Salem
FACILITY: Bethany Elementary School COUNTY: Rockingham
LIMIT VIOLATION(S)
SAMPLE LOCATION: Outfall 001 -Effluent
Violation Report Unit of Limit Calculated %Over Violation Penalty
Date Month/Yr Parameter Frequency Measure Value Value Limit Type Amount
12/7/2022 12-2022 Coliform, Fecal MF, 2 X month #/100m1 400 2,420 505.0 Daily $200.00
MFC Broth,44.5 C Maximum
Exceeded
12/31/2022 12-2022 Coliform, Fecal MF, 2 X month #/100m1 200 2,420 1,110.0 Monthly $500.00
MFC Broth, 44.5 C Geometric
Mean
Exceeded

NPDES PERMIT NO.:NC0037001 PERMIT VERSION:6.0 PERMIT STATUS:Active
FACILITY NAME:Bethany Elementary School CLASS:WW-1 COUNTY:Rockingham
OWNER NAME:Rockingham County Board of ORC:Jordan Lance Doss ORC CERT NUMBER:1009390
'aucation
.DE:WW-1 ORC HAS CHANGED:No
eDMR PERIOD:12-2022(December 2022) VERSION: 1.0 STATUS:Submitted
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO
50050 00010 00400 50060 C0310 C0610 C0530 31616 00300
1Z 3 e a e
2 O e
a > 2 u Weekly Weekly 2 X month 2 X week 2 X month Monthly 2 X month 2 X month Weekly
a B' ati f a°
o u' -°L, o Instantaneous Grab Grab Grab Grab Grab Grab Grab Grab
I t V K
O V F O O O Z FLOW TEMP-C pH CHLORINE BOO-Cone NH3-N-Conc TSS-Cone FCOLI BR DO
2400 clock Hrs 2400 clock Hrs YB/N mgd deg c su ug/1 mg/1 mg/1 mg/1 k/100m1 mg/1
1 0855 I 13 6.68
2 0930 1 0.00095 18 6.64
7
4
5 1055 1 12 6.8
6 0915 1 21 6.37
7 0825 2 13 6.93 6.4 4.3 <2.5 2420 9.92
8 0800 1 14 6.41
9 0935 1 0.00032 20 6.33
to
11
12 0935 1 18 6.75
1030 1 20 6.61
0950 I 12 6.4
15 0915 1 12 6.9 9.5
16 1305 1 0.00396 20 7.06
17
18
19 NOFLOW
20 NOFLOW
21 NOFLOW
22 NOFLOW
23 NOFLOW
24
25
26 HOLIDAY
27 HOLIDAY
28 HOLIDAY
29 NOFLOW
30 HOLIDAY
31
Monthly Average Limit: 0.01 30 28 30 200
Monthly Average: 0.001743 16.083333 6.4 4.3 0 2420 9.71
Daily Maaimam: 0.00396 21 7.06 6.4 4.3 0 2420 9.92
Daily Minimum: 0.00032 12 6.33 6.4 4.3 0 2420 9.5
****No Reporting Reason:ENFRUSE=No Flow-Reuse/Recycle; ENVWTHR=No Visitation-Adverse Weather; NOFLOW=No Flow; HOLIDAY=No Visitation-Holiday
Discharge Monitoring Report-Copy Of Record(COR_NC0037001_Ver_1.0_12_2022.pd0

NPDES PERMIT NO.:NC0037001 PERMIT VERSION:6.0 PERMIT STATUS:Active
FACILITY NAME:Bethany Elementary School CLASS:WW-1 COUNTY:Rockingham
OWNER NAME:Rockingham County Board of ORC:Jordan Lance Doss ORC CERT NUMBER:1009390
,'cal lion
I DE:WW-1 ORC HAS CHANGED:No
eDMR PERIOD:12-2022(December 2022) VERSION:1.0 STATUS:Submitted

NPDES PERMIT NO.:NC0037001 PERMIT VERSION:6.0 PERMIT STATUS:Active
FACILITY NAME:Bethany Elementary School CLASS:WW-1 COUNTY:Rockingham
OWNER NAME:Rockingham County Board of ORC:Jordan Lance Doss ORC CERT NUMBER:1009390
Education
.DE:WW-1 ORC HAS CHANGED:No
euMR PERIOD:12-2022(December 2022) VERSION:1.0 STATUS:Submitted
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
a
e a
aa
wU op o
e 3 11.
q u F o o' 0 z°
2400 clock Hrs 2400 clock lira Y/B/N
1 0855 1
2 0930 1
3
4
5 1055 1
6 0915 1
7 0825 2
0800 1
9 0935 1
10
D
12 0935 1
1030 I
0950 I
Is 0915 1
16 1305 1
17
18
19 NOFLOW
20 NOFLOW
21 NOFLOW
22 NOFLOW
23 NOFLOW
24
25
26 HOLIDAY
27 HOLIDAY
28 HOLIDAY
29 NOFLOW
30 HOLIDAY
31
Monthly Average Limit:
Monthly Average:
Daily Maximum:
Daily Minimum:
****No Reporting Reason:ENFRUSE=No Flow-Reuse/Recycle; ENVWTHR=No Visitation—Adverse Weather; NOFLOW=No Flow; HOLIDAY=No Visitation—Holiday
C0037001 Ver 1.0 12 2022. dt)
Discharge Monitoring Report-Copy Of Record(COR_N _ _ _ _ P

NPDES PERMIT NO.:NC0037001 PERMIT VERSION:6.0 PERMIT STATUS:Active
FACILITY NAME:Bethany Elementary School CLASS:WW-1 COUNTY:Rockingham
OWNER NAME:Rockingham County Board of ORC:Jordan Lance Doss ORC CERT NUMBER:1009390
Education
WW-1 ORC HAS CHANGED:No
cs)MR PERIOD:12-2022(December 2022) VERSION:1.0 STATUS:Submitted
COMPLIANCE STATUS:Compliant CONTACT PHONE#:[phone] SUBMISSION DATE:01/06/2023
Electronically Certified by Jordan Doss on 2023-01-06 13:06:18.908
ORC/Certifier Signature : Jordan Doss Phone # : 336 - 634 - 3270 Date
I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances.A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.The written submission shall be made as required by part II.E.6 of the
NPDES permit.
Electronically Signed by Jordan Doss on 2023-01-06 13:07:11.855
Permittee/Submitter Signature: * * *Jordan Doss Phone #:[phone] Date
Permittee Address:6371 NC Hwy 65 Reidsville NC 27320 Permit Expiration Date:05/31/2027
I certify,under penalty of law,that this document and all attachments were prepared under my direction or supervision in accordance with a system designed
to assure that qualified personnel properly gather and evaluate the information submitted.Based on my inquiry of the person or persons who managed the
tem,or those persons directly responsible for gathering the information,the information submitted is,to the best of my knowledge and belief,true,
,orate,and complete.I am aware that there are significant penalties for submitting false information,including the possibility of fines and imprisonment for
knowing violations.
CERTIFIED LABORATORIES
LAB NAME:Pace Analytical
CERTIFIED LAB#:633
PERSON(s)COLLECTING SAMPLES:Jordan Doss
PARAMETER CODES
Parameter Code assistance may be obtained by visiting https://deq.nc.gov/about/divisions/water-resources/edmr/user-documentation.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
*No Flow/Discharge From Site:YES indicates that No Flow/Discharge occurred and,as a result,no data is reported for any parameter on the DMR for the
entire monitoring pe
riod.
eriod.
**ORC on Site?:ORC must visit facility and document visitation of facility as required per 15A NCAC 8G.0204.
***Signature of Permittee:If signed by other than the permittee,then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).
Discharge Monitoring Report-Copy Of Record(COR_NC0037001_Ver_1.0_12_2022.pdt)

NPDES PERMIT NO.:NC0037001 PERMIT VERSION:6.0 PERMIT STATUS:Active
FACILITY NAME:Bethany Elementary School CLASS:WW-1 COUNTY:Rockingham
OWNER NAME:Rockingham County Board of ORC:Jordan Lance Doss ORC CERT NUMBER:1009390
Education
?DE:WW-1 ORC HAS CHANGED:No
o&MR PERIOD:12-2022(December 2022) VERSION:1.0 STATUS:Submitted

Pace Analytical Services,LLC
e 205 East Meadow Road-Suite A
aceAnalytica! Eden,NC 27288
www.pcNsbs.com [phone]
December 14, 2022
Lance Doss
Rockingham County Schools
511 Harrington Hwy
Eden, NC 27288
RE: Project: BETHANY SCHOOL VWV 12/07/22
Pace Project No.: 92640177
Dear Lance Doss:
Enclosed are the analytical results for sample(s)received by the laboratory on December 07,2022. The results relate only
to the samples included in this report. Results reported herein conform to the applicable TNI/NELAC Standards and the
laboratory's Quality Manual,where applicable, unless otherwise noted in the body of the report.
The test results provided in this final report were generated by each of the following laboratories within the Pace Network:
•Pace Analytical Services-Eden
If you have any questions concerning this report,please feel free to contact me.
Sincerely,
Terri Page
[e-mail]
[phone]
Project Manager
Enclosures
cc: Lance Doss,Rockingham County School
Karen P Evans,Rockingham County Schools
`.0i4,410 REPORT OF LABORATORY ANALYSIS
,,rsw This report shall not be reproduced,except in full,
without the written consent of Pace Analytical Services,LLC. Page 1 of 12

Pace Analytical Services,LLC
aceAnalytical 205 East Meadow Road-Suite A
Eden,NC 27288
www.pacslabs.com [phone]
CERTIFICATIONS
Project: BETHANY SCHOOL WW 12/07/22
Pace Project No.: 92640177
Pace Analytical Services Eden
205 East Meadow Road Suite A,Eden,NC 27288 North Carolina Wastewater Certification#:633
North Carolina Drinking Water Certification#:37738 VirginiaNELAP Certification#:460025
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced,except in full,
without the written consent of Pace Analytical Services,LLC. Page 2 of 12

Pace Analytical Services,LLC
• 205 East Meadow Road-Suite A
aceAnalytical Eden,NC 27288
www.pacelabs.cme [phone]
SAMPLE ANALYTE COUNT
t'roject: BETHANY SCHOOL WW 12/07/22
Pace Project No.: 92640177
Analytes
Lab ID Sample ID Method Analysts Reported Laboratory
92640177001 BETHANY SCHOOL SM 2540D-2015 VLG 1 PASI-E
EPA 350.1 Rev 2.0 1993 SRS 1 PASI-E
SM 5210B-2016 MWF 1 PASI-E
Colilert-18 LRB 1 PASI-E
PASI-E=Pace Analytical Services-Eden .._.,... ..,�r�„ - �_�_ �_. eM_..�.....,.._.�w,.......H...�_.m_. .�-..s..�m...,.. .... ,_
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced,except in full,
without the written consent of Pace Analytical Services,LLC. Page 3 of 12

Pace Analytical Services,LLC
•
aceAnalytical 205 East Meadow Road-Suite A
Eden,NC 27288
www.pacslabs.com [phone]
ANALYTICAL RESULTS
Project: BETHANY SCHOOL WW 12/07/22
Pace Project No.: 92640177
Sample: BETHANY SCHOOL Lab ID: 92640177001 Collected: 12/07/22 08:35 Received: 12/07/22 09:10 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
2540D Total Suspended Solids Analytical Method:SM 2540D-2015
Pace Analytical Services-Eden
Total Suspended Solids ND mg/L 2.5 1 12/07/22 13:08
350.1 Ammonia EDN Analytical Method:EPA 350.1 Rev 2.0 1993
Pace Analytical Services-Eden
Nitrogen,Ammonia 4.3 mg/L 0.10 1 12/12/22 14:28 7664-41-7
5210E BOD,5 day EDN Analytical Method:SM 5210B-2016 Preparation Method:SM 5210B-2016
Pace Analytical Services-Eden
BOD,5 day 6.4 mg/L 2.0 1 12/07/22 15:17 12/12/22 13:33 R6
Colilert-18 Fecal Coliform EDN Analytical Method:Colilert-18 Preparation Method:Colilert-18
Pace Analytical Services-Eden
Fecal Coliforms 2420 MPN/100mL 1.0 1 12/07/22 14:38 12/08/22 09:28 El
•
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced,except in full,
Date:12/14/2022 09:10 AM without the written consent of Pace Analytical Services,LLC. Page 4 of 12

aceAnalyticalPace Analytical Services,LLC
205 East Meadow Road-Suite A
Eden,NC 27288
rnrw.pl►cN�b�.ottm [phone]
QUALITY CONTROL DATA
r'roject: BETHANY SCHOOL WW 12/07/22
Pace Project No.: 92640177
QC Batch: 741662 Analysis Method: SM 2540D-2015
QC Batch Method: SM 2540D-2015 Analysis Description: 2540D Total Suspended Solids
Laboratory: Pace Analytical Services-Eden
Associated Lab Samples: 92640177001
METHOD BLANK: 3858074 Matrix: Water
Associated Lab Samples: 92640177001
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Total Suspended Solids mg/L ND 2.5 12/07/22 13:01
LABORATORY CONTROL SAMPLE: 3858075
Spike LCS LCS %Rec
Parameter Units Conc. Result %Rec Limits Qualifiers
Total Suspended Solids mg/L 250 238 95 90-110
SAMPLE DUPLICATE: 3858076
92640062001 Dup
Parameter Units Result Result RPD Qualifiers
Total Suspended Solids mg/L 1710 1750 3
SAMPLE DUPLICATE: 3858083
92639941002 Dup
Parameter Units Result Result RPD Qualifiers
Total Suspended Solids mg/L 277 236 16
Results presented on this page are In the units Indicated by the"Units"column except where an alternate unit Is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced,except in full,
Date:12/14/2022 09:10 AM without the written consent of Pace Analytical Services,LLC. Page 5 of 12

aceAnalytical
www.pacsIabs.com Pace Analytical Services,LLC
205 East Meadow Road-Suite A
Eden,NC 27288
[phone]
QUALITY CONTROL DATA
Project: BETHANY SCHOOL WW 12/07/22
Pace Project No.: 92640177
QC Batch: 742654 Analysis Method: EPA 350.1 Rev 2.0 1993
QC Batch Method: EPA 350.1 Rev 2.0 1993 Analysis Description: 350.1 Ammonia,EDN
Laboratory: Pace Analytical Services-Eden
Associated Lab Samples: 92640177001
METHOD BLANK: 3863580 Matrix: Water
Associated Lab Samples: 92640177001
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Nitrogen,Ammonia mg/L ND 0.10 12/12/22 14:22
LABORATORY CONTROL SAMPLE: 3863581
Spike LCS LCS %Rec
Parameter Units Conc. Result %Rec Limits Qualifiers
Nitrogen,Ammonia mg/L 5 4.9 99 90-110
MATRIX SPIKE&MATRIX SPIKE DUPLICATE: 3863582 3863583
MS MSD
92639857001 Spike Spike MS MSD MS MSD %Rec
Parameter Units Result Conc. Conc. Result Result %Rec %Rec Limits RPD . Qual
Nitrogen,Ammonia mg/L ND 5 5 5.1 5.1 102 102 90-110 0
MATRIX SPIKE&MATRIX SPIKE DUPLICATE: 3863584 3863585
MS MSD
92640608001 Spike Spike MS MSD MS MSD %Rec
Parameter Units Result Conc. Conc. Result Result %Rec %Rec Limits RPD Qual
Nitrogen,Ammonia mg/L 0.13 5 5 5.2 5.2 101 101 90-110 0
Results presented on this page are in the units indicated by the"Units"column except where an alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced,except in full,
Date:12/14/2022 09:10 AM without the written consent of Pace Analytical Services,LLC. Page 6 of 12

Pace Analytical Services,LLC
205 East Meadow Road-Suite A
aceAnalytical Eden,NC 27288
www.psacdabs.com [phone]
QUALITY CONTROL DATA
Project: BETHANY SCHOOL WW 12/07/22
Pace Project No.: 92640177
QC Batch: 741737 Analysis Method: SM 5210B-2016
QC Batch Method: SM 5210B-2016 Analysis Description: 5210B BOD,5 day Final EDN
Laboratory: Pace Analytical Services-Eden •
Associated Lab Samples: 92640177001
METHOD BLANK: 3858574 Matrix: Water
Associated Lab Samples: 92640177001
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
BOD,5 day mg/L ND 2.0 12/12/22 12:59
LABORATORY CONTROL SAMPLE: 3858575
Spike LCS LCS %Rec
Parameter Units Conc. Result %Rec Limits Qualifiers
BOD,5 day mg/L 198 210 106 84.6-115
SAMPLE DUPLICATE: 3858577
92640060001 Dup
Parameter Units Result Result RPD Qualifiers
ROD,5 day mg/L 201 204 2 R6
Results presented on this page are In the units Indicated by the"Units"column except where an alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced,except in full,
Date:12/14/2022 09:10 AM without the written consent of Pace Analytical Services,LLC. Page 7 of 12

Pace Analytical Services,LLC
aceAnalytical 205 East Meadow Road-Suite A
Eden,NC 27288
www.pscslabs.com
[phone]
QUALITY CONTROL DATA
Project: BETHANY SCHOOL WW 12/07/22
Pace Project No.: 92640177
QC Batch: 741856 Analysis Method: Colilert-18
QC Batch Method: Colilert-18 Analysis Description: Colilert-18 Fecal Coliform EDN
Laboratory: Pace Analytical Services-Eden
Associated Lab Samples: 92640177001
SAMPLE DUPLICATE: 3859279
92640205001 Dup
Parameter Units Result Result RPD Qualifiers
Fecal Coliforms MPN/100mL ND ND
Results presented on this page are in the units Indicated by the"Units"column except where an alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced,except in full,
Date:12/14/2022 09:10 AM without the written consent of Pace Analytical Services,LLC. Page 8 of 12

acBAnalytical0
Pace Analytical Services,LLC
205 East Meadow Road-Suite A
Eden,NC 27288
www.psc.labs.com [phone]
QUALIFIERS
Hroject: BETHANY SCHOOL WW 12/07/22
Pace Project No.: 92640177
•
DEFINITIONS
DF-Dilution Factor,if reported,represents the factor applied to the reported data due to dilution of the sample aliquot.
ND-Not Detected at or above adjusted reporting limit.
TNTC-Too Numerous To Count
J-Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit.
MDL-Adjusted Method Detection Limit.
PQL-Practical Quantitation Limit.
RL-Reporting Limit-The lowest concentration value that meets project requirements for quantitative data with known precision and
bias for a specific analyte in a specific matrix.
S-Surrogate
1,2-Diphenylhydrazine decomposes to and cannot be separated from Azobenzene using Method 8270.The result for each analyte is
a combined concentration. •
Consistent with EPA guidelines,unrounded data are displayed and have been used to calculate%recovery and RPD values.
LCS(D)-Laboratory Control Sample(Duplicate)
MS(D)-Matrix Spike(Duplicate)
DUP-Sample Duplicate
RPD-Relative Percent Difference
NC-Not Calculable.
SG-Silica Gel-Clean-Up
U-Indicates the compound was analyzed for,but not detected. '
Acid preservation may not be appropriate for 2 Chloroethylvinyl ether.
A separate vial preserved to a pH of 4-5 is recommended in SW846 Chapter 4 for the analysis of Acrolein and Acrylonitrile by EPA
Method 8260.
N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported for
each analyte is a combined concentration.
Reported results are not rounded until the final step prior to reporting.Therefore,calculated parameters that are typically reported as
"Total"may vary slightly from the sum of the reported component parameters.
Pace Analytical is TNI accredited.Contact your Pace PM for the current list of accredited analytes.
TNI-The NELAC Institute.
ANALYTE QUALIFIERS
El Reported value should be considered a minimum estimate since it is the maximum reportable number for this method
based on the sample volume used.The true value is likely greater than the value reported.
R6 The RPD between valid sample dilutions exceeded 30%.
•
REPORT OF LABORATORY ANALYSIS 1
This report shall not be reproduced,except in full,
Date:12/14/2022 09:10 AM without the written consent of Pace Analytical Services,LLC. Page 9 of 12

aceAnalytical®
Pace Analytical Services,LLC
205 East Meadow Road-Suite A
Eden,NC 27288
www.pseNabs.com
[phone]
QUALITY CONTROL DATA CROSS REFERENCE TABLE
Project: BETHANY SCHOOL WW 12/07/22
Pace Project No.: 92640177
Analytical
Lab ID Sample ID QC Batch Method QC Batch Analytical Method Batch
92640177001 BETHANY SCHOOL SM 2540D-2015 741662
92640177001 BETHANY SCHOOL EPA 350.1 Rev 2.0 1993 742654
92640177001 BETHANY SCHOOL SM 5210B-2016 741737 SM 5210B-2016 741987
92640177001 BETHANY SCHOOL Colilert-18 741856 Colilert-18 741858
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced,except in full,
Date: 12/14/2022 09:10 AM without the written consent of Pace Analytical Services,LLC. Page 10 of 12

I-- ' CHAIN-OF-CUSTODY Anal WO# . 92640177
'DaceAnalytical_ Analytical Request lent LAB USE ONLY-A
Chain-of-Custody is a LEGAL DOCUMENT-Complete all relevenc fields
Cc 111111 II liii 11111
926 40177
Address:
ContainerPreserv,...-_Report To: I rr-
Email To: I 1
`•Preservative Types:(1)nitric acid,(2)sulfuric acid,(3)hydrochloric acid,(4)sodium hydroxide,(5)zinc acetate,
Copy 70: Site Collection Info/Address; (6)methanol,(7)sodium bisulfate,(8)sodium thiosu)fate,(9)hexane,(A)ascorbic acid,(8)ammonium sulfate,
(C)ammonium hydroxide,(D)TSP,(U)Unpreserved,(0)Other
Customer Project Name/Number:
State: County/City: Time Zone Collected: Analyses Lab Profile/Line:
/ [ [PT[ ]MT[ ]CT ( ]ET Lab Sample Receipt Checklist:
Phone: Site/Facility ID It:
Email: Compliance Monitoring? Custody Seals Present/Intact Y N /
[ ] Yes [ ]No Custody Signatures Present y N WA-
Collected By(print): Purchase Order p: Collector Signature Present NA
DW PWS ID#: Bottles Intact
Quote It: DW Location Code: Correct Bottles / f NA
Collected By(signature): Sufficient Volume , V�NA
Turnaround Date Required: Immediate y Pat a on Ice: ./ NA
• Samples Received on IceN NA
r-->��_ VOA - Headspace Acceptable Y 11
[ (Yes
Sample Disposal Rush: [ ]No USDA Regulated Soils Dispose as appropriate I I Return Field Filtered(if applicable): Samples in Holding Time tl NA
[ i Archive: ( ]Same Day ( ]Next Day [ J Yes
[ ]No Residual Chlorine Pres yt
( ]2 Day [ )3 Day [ ]4 Day [ j 5 Day
Cl Strips: ' -��,' YoD✓NA
[ 1 Hold: Analysis:
ysis' sample pH AcceptablG�
`Matrix Codes(Insert in Matrix box below):Drinking Water(DW),Ground Water(GW),Wastewater(WW), pH Strips: 1111 /
Product(P),Soil/Solid(SL),Oil(OL),Wipe(WP),Air(AR),Tissue(TS),Bioassay(8),Vapor(V),Other(07) Sulfide Present Y tl ,,
M Lead Acetate Strips: ...JJJ""""'
Customer Sample ID Comp/ Collected(or Res It of 1 J LAB USE ONLY:
Matrix" Grab Composite Start) Composite End 7 Lab Sample # / Comments:
CI Ctns I)
Date Time Date Time r' L,.
'C.2Ye. '\'‘, � 50-NO7)\ O.l C> ia�7)4 JL" 5 Li x eX
Customer Remarks/Special Conditions/Possible Hazards: Type of Ice Used: .
Blue Dry None SHORT HOLDS PRESENT(<72 hours): N N A Packing Materla sed: / Lab Sample Temperature Info:
Lab Tracking tt: 2658752
6 5 Tema Receiv d:
C8��� ThermpBl IDtt:nk
Radchem sample(s)screened(<S00 cpmj: Y N Samples received via: Cooler 1 Temp Upon Receipt:I,C oC
Relinquished by/Company:(Signature) FEDEX UPS Clie Cooler 1 Therm Corr.Factor L—oC
Date/Time: Courier Pace Courier l.J Re/eived by/ y:(Signature) Date/Tirr Cooler 1 Corrected Temp: -(J oC
Yed.t.�r,. �. l /7/ MTJL LAB USE ONLY Comments:
_.r a/ is
Relinquished by/Company:(Signature) IZ ZZ Crlk(; Tabled:
Date/Time: Received by/Company:(Signature) Acctnum:
,✓ Date/Time:
Template: Trip Blank Received: Y N
linquished by/Company:(Signature)
D
Date/Time: Received by/Company:(Signature) Prelogin: HCL McOH TSP Other
Date/Time:
PM:
Non Conformance(s): Page:
PB: YES / NO of:
N

CHAIN-OF-CUSTODY Analytical Request Document LAB USE ONLY-Affix Workorder/Login Label Here or List Pace Workorder Number or
Pc?CE.gna�Analytical 'MTJL•Cog,In Number Here --
Chain-of-Custody is a LEGAL DOCUMENT-Complete all relevant fields } ' n L_i / ?t 3 ^,j
Company: Billing Information: a
(1-..\
'� ' ` "^`� "' ALL SHADED AREAS re forLAB SE ONLY
i.Address: ^' -
Container Pres I Irvative Type i" I Lab Project Manager:
Report To: I I I
Email To: I
"preservative Types:(1)nitric acid,(2)sulfuric acid,(3)hydrochloric acid,(4)sodium hydroxide,(5)zinc acetate,
Copy To: (6)methanol,(7)sodium bisulfate,(8)sodium thiosulfate,(9)hexane,(A)ascorbic acid,(B)ammonium sulfate,
Site Collection Info/Address: (C)ammonium hydroxide,(D)TSP,(U)Unpreserved,(0)Other
Customer Project Name/Number: State: County/City: Time Zone Collected: Analyses
Lab Profile/Line:
/ [ ]PT) ]MT[ ]CT [ ]ET Lab Sample Receipt Checklist:
Phone: Site/Facility ID If: Compliance Monitoring? A
Custody seals Present/Intact Y N NA
Custody Signatures Present Y N N
Email [ ] Yes [ ]No '
Collected ByCollector Signature Present ,.1P-R NA
(print): Purchase Order N: DW PWS ID II: Bottles Intact T.,I7,.NA
Quote N: correct Bottles -®,Y''td NA
DW Location Code: Sufficient volume
Collected By N NA
Turnaround Date Required: Immediately Packed on Ice: Samples Received on Ice tr N NA
VOA - Headspace Acceptable !Y N NA"_ [ ]vas ( ]No USDA Regulated Soils Y HATA"-
Sample Disposal: Rush: Field Filtered(if applicable): Samples in Holding Time YEN NA
I I Dispose as appropriate [ J Return [ I Same Day [ [No Residual Chlorine Present, Y 1;3•`FIA
I I Archive: ( ]Next Day [ ]Yes
]2Day [ ]3Day [ j4Day [ ]5Day
Cl Strips: 'i x _
I I Hold: Analysis: Sam le '(Expedite Charges Apply) P pH Acceptable ;,X'N NA
pH Strips:
`Matrix Codes(Insert in Matrix box below):Drinking Water(DW),Ground Water(GW),Wastewater(WW), Sulfide Present Y N NA,-
Product(P),Soil/Solid(SL),Oil(OL),Wipe(WP),Air(AR),Tissue(TS),Bioassay(B),Vapor(V),Other(0T) Lead Acetate Strips:
Comp/ Collected(or Lob USE ONLY:
Customer Sample ID Matrix• Grab Composite Start) Composite End Res it of Lab Sample # / comments:
Cl Ctns ,=9"- -
Date Time Date Time
Customer Remarks/Special Conditions/Possible Hazards: Type of Ice Used: Wet' Blue DryNone SHORT HOLDS PRESENT(<72 hours): ;Y' N N/A Lab Sample Temperature Info:
Packing Material Used: Lab Tracking N: Temp Blank Received: ,-Y. N NA
.
Therm ION:
Cooler 1 Temp Upon Receipt: oC
Radchem sample(s)screened(<500 cpm): Y N Nq,. Samples received via: Cooler 1 Therm Corr.Factor: oC
FEDEX ups Clle910- Courier Pace Courier
Relinquished by/Company:(Signature) Date/Time: Received by/Company:(Signature) Date/Time: Cooler 1 Corrected Temp: oC
MTJL LAB USE ONLY Comments:
- _
Table it:
Relinquished by/Company:(Signature) Date/Time: by/Company:Received b (Signature) Acctnum:
pDate/Time:
co Template: Trip Blank Received: Y N NA
1)Relinquished by/Company:(Signature) Prelogin: HCL McOH TSP Other
Date/Time: Received by/Company:(Signature) Date/
o
Time: PM:
--a____
Non Conform is): Page:
PB: YES / of:

..srnreb
d , �✓
ROY COOPER `
Coventor
EUZABETH S.BSER `.•n.ew+ "`...
Sarstary
RICHARD E.ROGERS,JR. NORTH CAROLINA
Orrtaror Environmental Quality
Certified Mail # 7020 3160 0002 0860 9994
Return Receipt Requested
April 26, 2023
Sonja Parks
Rockingham County Board of Education
511 Harrington Hwy
Eden, NC 27288
SUBJECT: NOTICE OF VIOLATION &INTENT TO ASSESS CIVIL PENALTY
Tracking Number: NOV-2023-LV-0288
Permit No. NC0037001
Bethany Elementary School
Rockingham County
Dear Ms. Parks:
A review of the February 2023 Discharge Monitoring Report (DMR) for the subject facility revealed the
violation(s) indicated below:
Limit Exceedance Violation(s):
Sample Limit Reported
Location Parameter Date Value Value Type of Violation
001 Effluent Coliform, Fecal MF, MFC Broth, 2/8/2023 400 2,420 Daily Maximum Exceeded
44.5 C(31616)
A Notice of Violation/Intent to Issue Civil Penalty is being issued for the noted violation of North Carolina General
Statute (G.S.) 143-215.1 and the facility's NPDES WW Permit. Pursuant to G.S. 143-215.6A, a civil penalty of
not more than twenty-five thousand dollars ($25,000.00) may be assessed against any person who violates or
fails to act in accordance with the terms, conditions, or requirements of any permit issued pursuant to G.S.
143-215.1.
If you wish to provide additional information regarding the noted violation, request technical assistance, or
discuss overall compliance please respond in writing within ten (10) business days after receipt of this Notice. A
review of your response will be considered along with any information provided on the submitted Monitoring
Report(s). You will then be notified of any civil penalties that may be assessed regarding the violations. If no
response is received in this Office within the 10-day period, a civil penalty assessment may be
prepared.
North Cater[w.. hn,.d.rcwni Mahlon.tv0ree cc.
HSrwon3+hM 44.4 COW I 4.50 West wka 300 i Yhatar9YnnMxthG-a+.Flits
316n690W

NPDES PERMIT NO.:NC0037001 PERMIT VERSION:6.0 PERMIT STATUS:Active
FACILITY NAME:Bethany Elementary School CLASS:WW-1 COUNTY:Rockingham
OWNER NAME:Rockingham County Board of ORC:Jordan Lance Doss ORC CERT NUMBER: 1009390
Education
')E:WW-1 ORC HAS CHANGED:No
.._.SIR PERIOD:02-2023(February 2023) VERSION: 1.0 STATUS:Certified
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO
g
i 50050 00010 00400 50060 C0310 C0610 C0530 31616 00300
F g Q w'
O
E 8 _ a. Weekly Weekly 2 X month 2 X week 2 X month Monthly 2 X month 2 X month Weekly
as < P f
° ua 2 C oa m Instantaneous Grab Grab Grab Grab Grab Grab Grab Grab
S. u a
O 3 l- O O o 2 FLOW TEMP-C pH CHLORINE BOD-Cane NH3-N-Cant TSS-Con, FCOLI RR DO
2400 clock Hrs 2400 clock Hr. Y/B/N mgd deg c su ug/I mg/I mg/I mg/I #/100m1 mg/I
1 1010 1 Y 11 6.54 9.85
2 0850 1 Y 21 6.29
3 0845 1 Y 0.002133 21 6.76
4 .
5
6 0935 1 ' Y 10 6.09
7 0825 . I Y - 10 6.59
e 0855 2 Y 10 6.59 <2 4.6 <2.5 2420 9.66
9 1400 1 Y 22 6.5
to 0855 1 Y 0.00006 22 6.35
u .
12
0920 I Y 14 7.04
1005 I Y 11 7.01
t5 0945 I Y 20 6.87 6.92
16 1315 I Y 23 6.75
17 0955 1 Y 0.00076 22 6.88
16
19
20 1005 1 Y 20 7.18
21 0935 I Y 20 7.05
22 0845 2 Y 13 6.2 <2 3.9 <2.5 <1 10.03
23 0835 1 Y 23 6.12
24 0850 I Y 0.00008 16 6.79
25
26
27 1005 1 Y 20 6.47
28 1030 I Y 15 6.62
Monthly Average Limit: 0.01 30 28 30 200
Monthly Average: 0.000758 17.2 0 4.25 0 49.193495 9.115
Daily M.almum. 0.002133 23 7.18 0 4.6 0 2420 10.03
Daily Minimum: 0.00006 10 6.09 0 3.9 0 0 6.92
ass«No Reporting Reason:ENFRIJSE=No Flow-Reuse/Recycle; ENVWTHR=No Visitation-Adverse Weather; NOFLOW=No Flow; HOLIDAY=No Visitation-Holiday

NPDES PERMIT NO.:NC0037001 PERMIT VERSION:6.0 PERMIT STATUS:Active
FACILITY NAME:Bethany Elementary School CLASS:WW-1 COUNTY:Rockingham
OWNER NAME:Rockingham County Board of ORC:Jordan Lance Doss ORC CERT NUMBER: 1009390
Education
JE:WW-1 ORC HAS CHANGED:No
._.AIR PERIOD:02-2023(February 2023) VERSION: 1.0 STATUS:Certified
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
e e a
F 1§ i- w ii
e z e
e < v.. = '2
11 a I, C c a
e y a n
O U F O O O 2
2400 clock Hrs 2400 clock Hrs YB/01
I 1010 I Y
2 0850 1 Y
3 0845 1 Y
4
5
6 0935 I Y
7 0825 1 Y
8 0855 2 Y
9 1400 1 Y
10 0855 1 Y
u
12
0920 1 Y
1005 1 Y
15 0945 1 Y
16 1315 I Y
17 0955 1 Y
18
19
20 1005 1 Y
21 0935 1 Y
22 0845 2 Y
23 0835 I Y
24 0850 I Y
25
26
27 1005 1 Y
28 1030 1 Y
Monthly Avenge Limit:
Monthly Avenge:
Daily Maximum:
Daily Minimum:
****No Reporting Reason:ENFRUSE=No Flow-Reuse/Recycle; ENVWTHR=No Visitation—Adverse Weather; NOFLOW=No Flow; HOLIDAY=No Visitation—Holiday

NPDES PERMIT NO.:NC0037001 PERMIT VERSION:6.0 PERMIT STATUS:Active
FACILITY NAME:Bethany Elementary School CLASS:WW-1 COUNTY:Rockingham
OWNER NAME:Rockingham County Board of ORC:Jordan Lance Doss ORC CERT NUMBER: 1009390
Education
)E:WW-1 ORC HAS CHANGED:No
_..1R PERIOD:02-2023(February 2023) VERSION:1.0 STATUS:Certified
COMPLIANCE STATUS:Compliant CONTACT PHONE#:[phone] SUBMISSION DATE:
03/08/2023
ORC/Certifier Signature: Jordan Doss E-Mail:[e-mail] Phone #:[phone] Date
I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances.A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.The written submission shall be made as required by part II.E.6 of the
NPDES permit.
/ /
Permittee/Submitter Signature: *** E-Mail: Phone #: Date
Permittee Address:6371 NC Hwy 65 Reidsville NC 27320 Permit Expiration Date:05/31/2027
I certify,under penalty of law,that this document and all attachments were prepared under my direction or supervision in accordance with a system designed
to assure that qualified personnel properly gather and evaluate the information submitted.Based on my inquiry of the person or persons who managed the
'ern,or those persons directly responsible for gathering the information,the information submitted is,to the best of my knowledge and belief,true,
irate,and complete.I am aware that there are significant penalties for submitting false information,including the possibility of fines and imprisonment for
knowing violations.
CERTIFIED LABORATORIES
LAB NAME:Pace Analytical
CERTIFIED LAB#:633
PERSON(s)COLLECTING SAMPLES:Jordan Doss
PARAMETER CODES
Parameter Code assistance may be obtained by visiting https://deq.nc.gov/about/divisions/water-resources/edmr/user-documentation.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
*No Flow/Discharge From Site:YES indicates that No Flow/Discharge occurred and,as a result,no data is reported for any parameter on the DMR for the
entire monitoring period.
**ORC on Site?:ORC must visit facility and document visitation of facility as required per 15A NCAC 8G.0204.
***Signature of Pennittee:If signed by other than the permittee,then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

aceAnalyticalPace Analytical Services,LLC
205 East Meadow Road-Suite A
Eden,NC 27288
rrrrr.pacel�bs.com [phone]
February 15, 2023
Lance Doss
Rockingham County Schools
511 Harrington Hwy
1 Eden, NC 27288
RE: Project: BETHANY SCHOOL 02/08/23
Pace Project No.: 92650918
Dear Lance Doss:
Enclosed are the analytical results for sample(s)received by the laboratory on February 08,2023. The results relate only
to the samples included in this report. Results reported herein conform to the applicable TNI/NELAC Standards and the
laboratory's Quality Manual,where applicable, unless otherwise noted in the body of the report.
The test results provided in this final report were generated by each of the following laboratories within the Pace Network:
•Pace Analytical Services-Eden
If you have any questions concerning this report, please feel free to contact me.
Sincerely,
Terri Page
[e-mail]
[phone]
Project Manager
Enclosures
cc: Lance Doss,Rockingham County School
Karen P Evans,Rockingham County Schools
ill
� , REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced,except in full,
without the written consent of Pace Analytical Services,LLC. Page 1 of 11
r

Pace Analytical Services,LLC
aceAClalytical 205 East Meadow Road-Suite A
Eden,NC 27288
www.pacsla►s.com [phone]
CERTIFICATIONS
Project: BETHANY SCHOOL 02/08/23
Pace Project No.: 92650918
Pace Analytical Services Eden
205 East Meadow Road Suite A,Eden,NC 27288 North Carolina Wastewater Certification#:633
North Carolina Drinking Water Certification#:37738 VirginiaNELAP Certification#:460025
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced,except in full,
without the written consent of Pace Analytical Services,LLC. Page 2 of 11

Pace Analytical Services,LLC
0 205 East Meadow Road-Suite A
aceAnalytical Eden,NC 27288
www.pacalabs.com [phone]
SAMPLE ANALYTE COUNT
Project: BETHANY SCHOOL 02/08/23
Pace Project No.: 92650918
Analytes
Lab ID Sample ID Method Analysts Reported Laboratory
92650918001 BETHANY SCHOOL SM 2540D-2015 LRB 1 PASI-E
EPA 350.1 Rev 2.0 1993 SRS 1 PASI-E
SM 5210B-2016 MWF 1 PASI-E
Colilert-18 SRS 1 PASI-E
PASI-E=Pace Analytical Services-Eden
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced,except in full,
without the written consent of Pace Analytical Services,LLC. Page 3 of 11

Pace Analytical Services,LLC
® 205 East Meadow Road-Suite A
aceAnalytical Eden,NC 27288
www.pscslsrs.com
[phone]
ANALYTICAL RESULTS
Project: BETHANY SCHOOL 02/08/23
Pace Project No.: 92650918
Sample: BETHANY SCHOOL Lab ID: 92650918001 Collected: 02/08/23 09:00 Received: 02/08/23 09:44 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
2540D Total Suspended Solids Analytical Method:SM 2540D-2015
Pace Analytical Services-Eden
Total Suspended Solids ND mg/L 2.5 1 02/09/23 08:48
350.1 Ammonia EDN Analytical Method:EPA 350.1 Rev 2.0 1993
Pace Analytical Services-Eden
Nitrogen,Ammonia 4.6 mg/L 0.10 1 02/09/23 16:16 7664-41-7
5210B BOD,5 day EDN Analytical Method:SM 5210B-2016 Preparation Method:SM 5210B-2016
Pace Analytical Services-Eden
BOD 5 day
ND mg/L 2.0 1 02/09/23 15:06 02/14/23 13:43
Colilert-18 Fecal Coliform EDN Analytical Method:Colilert-18 Preparation Method:Colilert-18
Pace Analytical Services-Eden
Fecal Coliforms 2420 MPN/100mL 1.0 1 02/08/23 15:02 02/09/23 09:40 D6,E1
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced,except in full,
Date:02/15/2023 01:22 PM without the written consent of Pace Analytical Services,LLC. Page 4 of 11

Pace Analytical Services,LLC
6 205 East Meadow Road-Suite A
aceAnalytical Eden,NC 27288
www.pacelabs.com [phone]
QUALITY CONTROL DATA
Project: BETHANY SCHOOL 02/08/23
Pace Project No.: 92650918
QC Batch: 754755 Analysis Method: SM 2540D-2015
QC Batch Method: SM 2540D-2015 Analysis Description: 2540D Total Suspended Solids
Laboratory: Pace Analytical Services-Eden
Associated Lab Samples: 92650918001
METHOD BLANK: 3921330 Matrix: Water
Associated Lab Samples: 92650918001
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Total Suspended Solids mg/L ND 2.5 02/09/23 08:45
LABORATORY CONTROL SAMPLE: 3921331
Spike LCS LCS %Rec
Parameter Units Conc. Result %Rec Limits Qualifiers
Total Suspended Solids mg/L 250 226 90 90-110
SAMPLE DUPLICATE: 3921332
92650826001 Dup
Parameter Units Result Result RPD Qualifiers
Total Suspended Solids mg/L 385 360 7
SAMPLE DUPLICATE: 3921333
92650796001 Dup
Parameter Units Result Result RPD Qualifiers
Total Suspended Solids mg/L 744 744 0
Results presented on this page are in the units indicated by the"Units"column except where an alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced,except in full,
Date:02/15/2023 01:22 PM without the written consent of Pace Analytical Services,LLC. Page 5 of 11

Pace Analytical Services,LLC
aceAnalytical 205 East Meadow Road-Suite A
Eden,NC 27288
www pecsl.hs.com
[phone]
QUALITY CONTROL DATA
Project: BETHANY SCHOOL 02/08/23
Pace Project No.: 92650918
QC Batch: 754984 Analysis Method: EPA 350.1 Rev 2.0 1993
QC Batch Method: EPA 350.1 Rev 2.0 1993 Analysis Description: 350.1 Ammonia,EDN
Laboratory: Pace Analytical Services-Eden
Associated Lab Samples: 92650918001
METHOD BLANK: 3922416 Matrix: Water
Associated Lab Samples: 92650918001
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Nitrogen,Ammonia mg/L ND 0.10 02/09/23 16:00
LABORATORY CONTROL SAMPLE: 3922417
Spike LCS LCS %Rec
Parameter Units Conc. Result %Rec Limits Qualifiers
Nitrogen,Ammonia mg/L 5 5.0 99 90-110
MATRIX SPIKE&MATRIX SPIKE DUPLICATE: 3922418 3922419
MS MSD
92650579001 Spike Spike MS MSD MS MSD %Rec
Parameter Units Result Conc. Conc. Result Result %Rec %Rec Limits RPD Qual
Nitrogen,Ammonia mg/L ND 5 5 5.2 5.2 103 103 90-110 0
MATRIX SPIKE&MATRIX SPIKE DUPLICATE: 3922420 3922421
MS MSD
92650581001 Spike Spike MS MSD MS MSD %Rec
Parameter Units Result Conc. Conc. Result Result %Rec %Rec Limits RPD Qua!
Nitrogen,Ammonia mg/L 0.21 5 5 5.3 5.4 103 103 90-110 0
Results presented on this page are in the units indicated by the"Units"column except where an alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced,except in full,
Date:02/15/2023 01:22 PM without the written consent of Pace Analytical Services,LLC. Page 6 of 11

Pace Analytical Services,LLC
205 East Meadow Road-Suite A
aceAnalytical Eden,NC 27288
www.pIcelObs.cors [phone]
QUALITY CONTROL DATA
Project: BETHANY SCHOOL 02/08/23
Pace Project No.: 92650918
QC Batch: 754961 Analysis Method: SM 5210B-2016
QC Batch Method: SM 5210B-2016 Analysis Description: 5210B BOD,5 day Final EDN
Laboratory: Pace Analytical Services-Eden
Associated Lab Samples: 92650918001
METHOD BLANK: 3922308 Matrix: Water
Associated Lab Samples: 92650918001
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
BOD,5 day mg/L ND 2.0 02/14/23 13:03
LABORATORY CONTROL SAMPLE: 3922309
Spike LCS LCS %Rec
Parameter Units Conc. Result %Rec Limits Qualifiers
BOD,5 day mg/L 198 216 109 84.6-115
SAMPLE DUPLICATE: 3922311
92651168001 Dup
Parameter Units Result Result RPD Qualifiers
BOD,5 day mg/L 259 267 3 R6
Results presented on this page are in the units indicated by the"Units"column except where an alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced,except in full,
Date:02/15/2023 01:22 PM without the written consent of Pace Analytical Services,LLC. Page 7 of 11

Pace Analytical Services,LLC
eti
aceAnalytical 205 East Meadow Road-Suite A
Eden,NC 27288
www.pacelabs.com
[phone]
QUALITY CONTROL DATA
Project: BETHANY SCHOOL 02/08/23
Pace Project No.: 92650918
QC Batch: 754692 Analysis Method: Colilert-18
QC Batch Method: Colilert-18 Analysis Description: Colilert-18 Fecal Coliform EDN
Laboratory: Pace Analytical Services-Eden
Associated Lab Samples: 92650918001
SAMPLE DUPLICATE: 3920926
92650909001 Dup
Parameter Units Result Result RPD Qualifiers
Fecal Coliforms MPN/100mL ND 2.0 D6
Results presented on this page are in the units indicated by the"Units"column except where an alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced,except in full,
Date:02/15/2023 01:22 PM without the written consent of Pace Analytical Services,LLC. Page 8 of 11

Pace Analytical Services,LLC
205 East Meadow Road-Suite A
aceAnalytical Eden,NC 27288
www.pacelobs.com [phone]
QUALIFIERS
Project: BETHANY SCHOOL 02/08/23
Pace Project No.: 92650918
DEFINITIONS
DF-Dilution Factor,if reported,represents the factor applied to the reported data due to dilution of the sample aliquot.
ND-Not Detected at or above adjusted reporting limit.
TNTC-Too Numerous To Count
J-Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit.
MDL-Adjusted Method Detection Limit.
PQL-Practical Quantitation Limit.
RL-Reporting Limit-The lowest concentration value that meets project requirements for quantitative data with known precision and
bias for a specific analyte in a specific matrix.
S-Surrogate
1,2-Diphenylhydrazine decomposes to and cannot be separated from Azobenzene using Method 8270.The result for each analyte is
a combined concentration.
Consistent with EPA guidelines,unrounded data are displayed and have been used to calculate%recovery and RPD values.
LCS(D)-Laboratory Control Sample(Duplicate)
MS(D)-Matrix Spike(Duplicate)
DUP-Sample Duplicate
RPD-Relative Percent Difference
NC-Not Calculable.
SG-Silica Gel-Clean-Up
U-Indicates the compound was analyzed for,but not detected.
Acid preservation may not be appropriate for 2 Chloroethylvinyl ether.
A separate vial preserved to a pH of 4-5 is recommended in SW846 Chapter 4 for the analysis of Acrolein and Acrylonitrile by EPA
Method 8260.
N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported for
each analyte is a combined concentration.
Reported results are not rounded until the final step prior to reporting.Therefore,calculated parameters that are typically reported as
"Total"may vary slightly from the sum of the reported component parameters.
Pace Analytical is TNI accredited.Contact your Pace PM for the current list of accredited analytes.
TNI-The NELAC Institute.
ANALYTE QUALIFIERS
D6 The precision between the sample and sample duplicate exceeded laboratory control limits.
El Reported value should be considered a minimum estimate since it is the maximum reportable number for this method
based on the sample volume used.The true value is likely greater than the value reported.
R6 The RPD between valid sample dilutions exceeded 30%.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced,except in full,
Date:02/15/2023 01:22 PM without the written consent of Pace Analytical Services,LLC. Page 9 of 11

Pace Analytical Services,LLC
205 East Meadow
w Road-Suite A
aceAnalytical Eden,NC 27288
►vww.pacslahs.cam [phone]
QUALITY CONTROL DATA CROSS REFERENCE TABLE
Project: BETHANY SCHOOL 02/08/23
Pace Project No.: 92650918
Analytical
Lab ID Sample ID QC Batch Method QC Batch Analytical Method Batch
92650918001 BETHANY SCHOOL SM 2540D-2015 754755
92650918001 BETHANY SCHOOL EPA 350.1 Rev 2.0 1993 754984
92650918001 BETHANY SCHOOL SM 5210B-2016 754961 SM 5210B-2016 755075
92650918001 BETHANY SCHOOL Colilert-18 754692 Colilert-18 754695
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced,except in full,
Date:02/15/2023 01:22 PM without the written consent of Pace Analytical Services,LLC. Page 10 of 11

CHAIN-OF-CUSTODY Analytical Request C ant LAB t. 92650918 mberor
f WO*
'aceAnalytical m
_ Chain-of-Custody is a LEGAL DOCUMENT-Complete all relevent fields iiiiii
III III 1111111
Company: Billing Information: 'II
'cux. r9h Dom, C LCX)1, SC4'1 t 92630918 if
Address:
Cont.
Report To: I I I I [ ] 1 1 1 1
Email To: ••Preservative Types:(1)nitric acid,(2)sulfuric acid,(3)hydrochloric acid,(4)sodium hydroxide,(5)zinc acetate,
(6)methanol,(7)sodium bisulfate,(8)sodium thiosulfate,(9)hexane,(A)ascorbic acid,(B)ammonium sulfate,
Copy To: Site Collection Info/Address:
(C)ammonium hydroxide,(D)TSP,(U)Unpreserved,(0)Other
Analyses Lab Profile/Line:
Customer Project Name/Number:
State: County/City: Time Zone Collected: Lab Sample Receipt Checklist:
/ [ (PT) (MT) J CT [ JET
Phone: Site/Facility ID It: Custody Seals Present/Intact Y N,rA// t Compliance Monitoring? Custody Signatures Present Y N NK
Email: [ ] Yes [ ]No Collector Signature Present�N NA
Collected By(print): Purchase Order It: Bottles Intact NA
,r� DW PWS ID U: Correct Bottles �vN NA
Lax)c.,. v o S Quote ft: DW Location Code: Sufficient Volume f NA
Collected By(signature): Turnaround Date Required: Immediately Packed on Ice: Samples Received on Ice ,r N NA
r� VOA - Headspace Acceptable Y N
r -�.�Gi [ (Yes [ ]No USDA Regulated Soils y
Sample Disposal: Rush: Samples in Holding Time N
I (Dispose as appropriate [ j Return Field Filtered(if applicable):
Residual Chlorine Present Y NA
[ J Same Day [ J Next Day [ ]Yes [ ]No Cl stri s:
I (Archive: I ]2 Day [ ]3 Day [ ]4 Day [ ]5 Da p ]ts132
I (Hold: y Analysis: Sample pH Acceptable nN NA
(Expedite Charges Apply) pH Strips: )'SOYI
Sulfide Present Y N Na/*Matrix Codes(Insert in Matrix box below):Drinking Water(DW),Ground Water(GW),Wastewater(WW), Lead Acetate Strips:
Product(P),Soil/Solid(SL),Oil(OL),Wipe(WP),Air(AR),Tissue(TS),Bioassay(B),Vapor(V),Other(OT)
ILd LAB USE ONLY:
Comp/ Collected(or Res It of `." Lab Sam le # / Comments:
Customer Sample ID Matrix a Grab Composite Start) Composite End Cl Ctns . p
Date Time Date Time t— LI_
Cart--l-v,.ct SC i ;,\ \...1 W C-r Acci J3 c ':cc, 1 ,X X x
Customer Remarks/Special Conditions/Possible Hazards: Type of Ice Used: Blue Dry None SHORT HOLDS PRESENT(<72 hours): N/A Lab Sample Temperature Info:
Packing Material eLK d: Lab Tracking M: Temp Blank Received: cYi itt((
2322228 ThermlDtt: C{�(�J(�'
J v Cooler 1 Temp Upon Receipt: 1 oC
Radchem sample(s)screened(<500 cpm): Y N Samples received via: Cooler 1 Therm Corr.Factory-i oC
T FEDEX UPS Cli Courier Pace Courier Cooler 1 Corrected Temp: Z.(. oC
Relinquished by/Company:(Signature) Date/Time: t•L 4 ceive b C
J J /1 f R� y pang:(Signature) Da a ime: ��� MTJL LAB USE ONLY Comments:
�.�c%?-t y�C_--- Cl/g1 a (} .. ((_/J)12c3 Table
ti:Acctnum:Relinquished by/Company:(Signature) Date/Time: 61Teidby/Company:(Signature) Date/Time:
nTemplate: Trip Blank Received: Y N Jj(A--
n+
Prelogin: HCL McOH TSP Other
Relinquished by/Company:(Signature) Date/Time: Received by/Company:(Signature) Date/Time:
o PM: Non Conformance(s): Page: 1
PB: YES / NO of: t//

Pace Analytical Services,LLC
205 East Meadow Road-Suite A
i aceAnalytcal Eden,NC 27288
rrww.o�eN�ht.�om [phone]
February 28, 2023
Lance Doss
Rockingham County Schools
511 Harrington Hwy
Eden, NC 27288
RE: Project: WW BETHANY SCHOOLS
Pace Project No.: 92653357
Dear Lance Doss:
Enclosed are the analytical results for sample(s)received by the laboratory on February 22,2023. The results relate only
to the samples included in this report. Results reported herein conform to the applicable TNI/NELAC Standards and the
laboratory's Quality Manual,where applicable, unless otherwise noted in the body of the report.
The test results provided in this final report were generated by each of the following laboratories within the Pace Network:
•Pace Analytical Services-Eden
If you have any questions concerning this report, please feel free to contact me.
Sincerely,
J a jily—
Terri Page
[e-mail]
[phone]
Project Manager
Enclosures
cc: Lance Doss,Rockingham County School
Karen P Evans,Rockingham County Schools
1 ' ai,,,,46.0 REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced,except in full,
without the written consent of Pace Analytical Services,LLC. Page 1 of 11

Pace Analytical Services,LLC
aceAnalytical® 205 East Meadow Road-Suite A
Eden,NC 27288
www.pacslabs.com
[phone]
CERTIFICATIONS
Project: WW BETHANY SCHOOLS
Pace Project No.: 92653357
Pace Analytical Services Eden
205 East Meadow Road Suite A,Eden,NC 27288 North Carolina Wastewater Certification#:633
North Carolina Drinking Water Certification#:37738 VirginiaNELAP Certification#:460025
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced,except in full,
without the written consent of Pace Analytical Services,LLC. Page 2 of 11

Pace Analytical Services,LLC
205 East Meadow Road-Suite A
aceAnalytical Eden,NC 27288
www.panlabs.com [phone]
SAMPLE ANALYTE COUNT
,ject: WW BETHANY SCHOOLS
Pace Project No.: 92653357
Analytes
Lab ID Sample ID Method Analysts Reported Laboratory
92653357001 BETHANY SCHOOL SM 2540D-2015 VLG 1 PASI-E
EPA 350.1 Rev 2.0 1993 SRS 1 PASI-E
SM 5210B-2016 MWF 1 PASI-E
Colilert-18 LRB 1 PASI-E
PASI-E=Pace Analytical Services-Eden
REPORT OF LABORATORY ANALYSIS
II
This report shall not be reproduced,except in full,
without the written consent of Pace Analytical Services,LLC. Page 3 of 11

Pace Analytical Services,LLC
aceAnalytical 205 East Meadow Road-Suite A
Eden,NC 27288
www.pacelabs.com
[phone]
ANALYTICAL RESULTS
Project: WW BETHANY SCHOOLS
Pace Project No.: 92653357
Sample: BETHANY SCHOOL Lab ID: 92653357001 Collected: 02/22/23 08:50 Received: 02/22/23 09:33 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
2540D Total Suspended Solids Analytical Method:SM 2540D-2015
Pace Analytical Services-Eden
Total Suspended Solids ND mg/L 2.5 1 02/23/23 16:37
350.1 Ammonia EDN Analytical Method:EPA 350.1 Rev 2.0 1993
Pace Analytical Services-Eden
Nitrogen,Ammonia 3.9 mg/L 0.10 1 02/23/23 13:53 7664-41-7
5210B BOD,5 day EDN Analytical Method:SM 5210B-2016 Preparation Method:SM 5210B-2016
Pace Analytical Services-Eden
BOD,5 day ND mg/L 2.0 1 02/23/23 10:26 02/28/23 13:04
Colilert-18 Fecal Coliform EDN Analytical Method:Colilert-18 Preparation Method:Colilert-18
Pace Analytical Services-Eden
Fecal Coliforms ND MPN/100mL 1.0 1 02/22/23 14:47 02/23/23 08:54 D6
•
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced,except in full,
Date:02/28/2023 03:28 PM without the written consent of Pace Analytical Services,LLC. Page 4 of 11

Pace Analytical Services,LLC
aceAnalytical• 205 East Meadow Road-Suite A
Eden,NC 27288
www.pacelsbs.eom [phone]
QUALITY CONTROL DATA
Jject: WW BETHANY SCHOOLS
Pace Project No.: 92653357
QC Batch: 757632 Analysis Method: SM 2540D-2015
QC Batch Method: SM 2540D-2015 Analysis Description: 2540D Total Suspended Solids
Laboratory: Pace Analytical Services-Eden
Associated Lab Samples: 92653357001
METHOD BLANK: 3935663 Matrix: Water
Associated Lab Samples: 92653357001
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Total Suspended Solids mg/L ND 2.5 02/23/23 16:35
LABORATORY CONTROL SAMPLE: 3935664
Spike LCS LCS %Rec
Parameter Units Conc. Result %Rec Limits Qualifiers
Total Suspended Solids mg/L 250 230 92 90-110
SAMPLE DUPLICATE: 3935665
92653253002 Dup
Parameter Units Result Result RPD Qualifiers
Total Suspended Solids mg/L 70.9 67.9 4
AMPLE DUPLICATE: 3935666
92653090002 Dup
Parameter Units Result Result RPD Qualifiers
Total Suspended Solids mg/L 39.6 41.0 3
Results presented on this page are in the units indicated by the"Units"column except where an alternate unit Is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced,except in full,
Date:02/28/2023 03:28 PM without the written consent of Pace Analytical Services,LLC. Page 5 of 11

Pace Analytical Services,LLC
aceAnalytical 205 East Meadow Road-Suite A
Eden,NC 27288
www.pacelabs.com [phone]
QUALITY CONTROL DATA
Project: \NW BETHANY SCHOOLS
Pace Project No.: 92653357
QC Batch: 757698 Analysis Method: EPA 350.1 Rev 2.0 1993
QC Batch Method: EPA 350.1 Rev 2.0 1993 Analysis Description: 350.1 Ammonia,EDN
Laboratory: Pace Analytical Services-Eden
Associated Lab Samples: 92653357001
METHOD BLANK: 3935919 Matrix: Water
Associated Lab Samples: 92653357001
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Nitrogen,Ammonia mg/L ND 0.10 02/23/23 13:18
LABORATORY CONTROL SAMPLE: 3935920
Spike LCS LCS %Rec
Parameter Units Conc. Result %Rec Limits Qualifiers
Nitrogen,Ammonia mg/L 5 5.0 99 90-110
MATRIX SPIKE&MATRIX SPIKE DUPLICATE: 3935921 3935922
MS MSD
92653609001 Spike Spike MS MSD MS MSD %Rec
Parameter Units Result Conc. Conc. Result Result %Rec %Rec Limits RPD Qual
Nitrogen,Ammonia mg/L ND 5 5 5.1 5.1 102 102 90-110 0
MATRIX SPIKE&MATRIX SPIKE DUPLICATE: 3935923 3935924
MS MSD
92653075001 Spike Spike MS MSD MS MSD %Rec
Parameter Units Result Conc. Conc. Result Result %Rec %Rec Limits RPD Qual
Nitrogen,Ammonia mg/L ND 5 5 5.1 5.1 102 102 90-110 0
Results presented on this page are In the units indicated by the"Units"column except where an alternate unit Is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced,except in full,
Date:02/28/2023 03:28 PM without the written consent of Pace Analytical Services,LLC. Page 6 of 11

Pace Analytical Services,LLC
• 205 East Meadow Road-Suite A
aceAnalytical Eden,NC 27288
www.psc&labs.cotn [phone]
QUALITY CONTROL DATA
,lect: WW BETHANY SCHOOLS
Pace Project No.: 92653357
QC Batch: 757659 Analysis Method: SM 5210B-2016
QC Batch Method: SM 5210B-2016 Analysis Description: 5210B BOD,5 day Final EDN
Laboratory: Pace Analytical Services-Eden
Associated Lab Samples: 92653357001
METHOD BLANK: 3935730 Matrix: Water
Associated Lab Samples: 92653357001
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
BOD,5 day mg/L ND 2.0 02/28/23 12:50
LABORATORY CONTROL SAMPLE: 3935731
Spike LCS LCS %Rec
Parameter Units Conc. Result %Rec Limits Qualifiers
BOD,5 day mg/L 198 205 104 84.6-115
SAMPLE DUPLICATE: 3935733
92653483001 Dup
Parameter Units Result Result RPD Qualifiers
BOD,5 day mg/L 194 213 10 R6
Results presented on this page are in the units Indicated by the"Units"column except where an alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced,except in full,
Date:02/28/2023 03:28 PM without the written consent of Pace Analytical Services,LLC. Page 7 of 11

Pace Analytical Services,LLC
205 East Meadow Road-Suite A
aceAnaVical Eden,NC 27288
www.pacelebs.com
[phone]
QUALITY CONTROL DATA
Project: WW BETHANY SCHOOLS
Pace Project No.: 92653357
QC Batch: 757515 Analysis Method: Colilert-18
QC Batch Method: Colilert-18 Analysis Description: Colilert-18 Fecal Coliform EDN
Laboratory: Pace Analytical Services-Eden
Associated Lab Samples: 92653357001
SAMPLE DUPLICATE: 3935175
92653349001 Dup
Parameter Units Result Result RPD Qualifiers
Fecal Coliforms MPN/100mL ND 3.1 D6
Results presented on this page are in the units Indicated by the"Units"column except where an alternate unit Is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced,except in full,
Date:02/28/2023 03:28 PM without the written consent of Pace Analytical Services,LLC. Page 8 of 11

Pace Analytical Services,LLC
• 205 East Meadow Road-Suite A
aceAnalytical Eden,NC 27288
ww w.pscdabs.cod [phone]
QUALIFIERS
Jject: WW BETHANY SCHOOLS
Pace Project No.: 92653357
DEFINITIONS
DF-Dilution Factor,if reported,represents the factor applied to the reported data due to dilution of the sample aliquot.
ND-Not Detected at or above adjusted reporting limit.
TNTC-Too Numerous To Count
J-Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit.
MDL-Adjusted Method Detection Limit.
PQL-Practical Quantitation Limit.
RL-Reporting Limit-The lowest concentration value that meets project requirements for quantitative data with known precision and
bias for a specific analyte in a specific matrix.
S-Surrogate
1,2-Diphenylhydrazine decomposes to and cannot be separated from Azobenzene using Method 8270.The result for each analyte is
a combined concentration.
Consistent with EPA guidelines,unrounded data are displayed and have been used to calculate%recovery and RPD values.
LCS(D)-Laboratory Control Sample(Duplicate)
MS(D)-Matrix Spike(Duplicate)
DUP-Sample Duplicate
RPD-Relative Percent Difference
NC-Not Calculable.
SG-Silica Gel-Clean-Up
U-Indicates the compound was analyzed for,but not detected.
Acid preservation may not be appropriate for 2 Chloroethylvinyl ether.
A separate vial preserved to a pH of 4-5 is recommended in SW846 Chapter 4 for the analysis of Acrolein and Acrylonitrile by EPA
Method 8260.
N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported for
each analyte is a combined concentration.
Reported results are not rounded until the final step prior to reporting.Therefore,calculated parameters that are typically reported as
"Total"may vary slightly from the sum of the reported component parameters.
Pace Analytical is TNI accredited.Contact your Pace PM for the current list of accredited analytes.
TNI-The NELAC Institute.
ANALYTE QUALIFIERS
D6 The precision between the sample and sample duplicate exceeded laboratory control limits.
R6 The RPD between valid sample dilutions exceeded 30%.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced,except in full,
Date:02/28/2023 03:28 PM without the written consent of Pace Analytical Services,LLC. Page 9 of 11

Pace Analytical Services,LLC
aceAnalytical 205 East Meadow Road-Suite A
Eden,NC 27288
www.pecelabs.com [phone]
QUALITY CONTROL DATA CROSS REFERENCE TABLE
Project: WW BETHANY SCHOOLS
Pace Project No.: 92653357
Analytical
Lab ID Sample ID QC Batch Method QC Batch Analytical Method Batch
92653357001 BETHANY SCHOOL SM 2540D-2015 757632
92653357001 BETHANY SCHOOL EPA 350.1 Rev 2.0 1993 757698
92653357001 BETHANY SCHOOL SM 5210B-2016 757659 SM 5210B-2016 757971
92653357001 BETHANY SCHOOL Colilert-18 757515 Colilert-18 757516
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced,except in full,
Date:02/28/2023 03:28 PM without the written consent of Pace Analytical Services,LLC. Page 10 of 11

74 CHAIN-OF-CUSTODY Analytical Request Doc( LAB USE ONLY-Affix Workorder/Logic W�# . 926� 157
MTAL Lo(
Analytical11101 III 111111 1111111
Chain-of-Custody is a LEGAL DOCUMENT-Complete all relevent fields
Company: Billing Information:
ta-OCCci-O Y cr(T\ C3 z,t_n-l-ti SC hots IS ALL SHADED AREA 92653357
Address: JJ Container Preservative Type"' o_..
I I
Report To: Email To: **Preservative Types:(1)nitric acid,(2)sulfuric acid,(3)hydrochloric acid,(a)sodium hydroxide,(5)zinc acetate,
(6)methanol,(7)sodium bisulfate,(8)sodium thiosulfate,(9)hexane,(A)ascorbic acid,(B)ammonium sulfate,
Copy To: Site Collection Info/Address: (C)ammonium hydroxide,(D)TSP,(U)Unpreserved,(0)Other
Analyses Lab Profile/Line:
Customer Project Name/Number: State: County/City: Time Zone Collected' Lab Sample Receipt Checklist:
/ [ (PT) )MT( )CT [ ]ET
Custody Seals Present/Intact Y N
Phone: Site/Facility ID II: Compliance Monitoring? Custody Signatures Present Y,,N
Email: [ ] Yes [ ]No Collector Signature Present _Alp NA
Bottles Intact X�21 NA
Collected By(print): Purchase Order#: DW PWS ID It: Correct Bottles A N NA
L-an e Quote It: DW Location Code: Sufficient volume NA
G ��J ) Samples Received on Ice N NA
Collected By(signature): Turnaround Date Required: Immediately Packed on Ice: VOA - neadspace Acceptable Y N.yr
Lf-4--t",. /��-_ [ 1 Yes [ ]NO USDA Regulated Soils Y N
Samples in Holding Time .-N NA
Sample Disposal: Rush: Field Filtered(if applicable): Residual Chlorine Present yjI'YFtA
[ j Dispose as appropriate I j Return I ]Same Day [ 1 Next Day [ ]Yes ( )No Cl Strips: I-I 1 l�
1 ]Archive: ( 1 2 Day [ ]3 Day ( )4 Day [ ]5 Day Sample pH Acceptable l S„7,( t NA
I I Hold: Analysis: pH Strips: ) .VI
(Expedite Charges Apply) Sulfide Present Y N
Matrix Codes(Insert in Matrix box below):Drinking Water(DW),Ground Water(GW),Wastewater(WW), Lead Acetate Strips:
Product(P),Soil/Solid(SL),Oil(OL),Wipe(WP),Air(AR),Tissue(TS),Bioassay(B),Vapor(V),Other(OT) 0 — LAB USE ONLY:
Comp/ Collected(or Res !I of ,.� .1-1 v Lab Sample # / Comments:
Customer Sample ID Matrix x Grab Composite Start) Composite End Cl Ctns `n Q,; ��
Date Time Date Time S:= t'�' L - Cr
2e kh(a n S(.hoc \ \--i w L* a 4..13 Dfi•. H x - lC x
Customer Remarks/Special Conditions/Possible Hazards: Type of Ice Used: et Blue Dry None SHORT HOLDS PRESENT(<72 hours);,-1---N N/A Lab Sample Temperature Info:
:
Packing Material Used: Lab Tracking It: t^ Therm IOW Temp Blank Recewed� � ,,14A
2680826
Cooler 1 Temp Upon Receipt: ;3•t(oC
Samples received via: Cooler 1 Therm Corr.Factor t oC
Radchem sample(s)screened(<500 cpm): Y N FEDEX UPS ent Courier Pace Courier Cooler 1 Corrected Temp: oC
Relinquished by/Company: Si nature Date/Time: -` '..2.," Recei b Company:(Signature) Dat'/Ti e: (5'i MTHL LAB USE ONLY Comments:
q (Signature)1 J � 3 P Y�( g )
�/ � )J) / 3 2� Z� Table It:
���� oo f ��II Acctnum:
R l�oFn,quished by/Company:(Signature) Date/Time: Recei by/Company:(Signature) Date/Time:�,. Template: Trip Blank Received: Y N
O HCL McOH TSP Other
Prelogin:
Reenquished by/Company:(Signature) Date/Time: Received by/Company:(Signature) Date/Time: PM: Non Conformance(s): Page: (
PB: YES / NO of: