WQ0002005_Monitoring - 07-2023_20230726

Monitoring Report Submittal
Permit Number#*
Name of Facility:*
Month:* July
Report Information
Type *
GW-59
Confirmation Email Address:
Name of Submitter: *
Signature:
Date of submittal:
Initial Review
Reviewer:
WQ0002005
House of Raeford Rosehill
Year:* 2023
Upload Document*
GW-59 July 2023.pdf 5.45MB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
Mason. [e-mail]
Mason Drew
44,460dP)LOW
Wanda.Gerald
7/26/2023
This will be filled in automatically

Is the project number correct?* W00002005
Is the monitoring report accepted?* Yes NO
Regional Office* Wilmington
Reviewer: _anonymous
Review Date: 7/26/2023

JUbMI I FUNM UN YtLLUW h'AI'tK UNLY
DEPARTMENT OF ENVIRONMENT 8 NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699.1617 Phone: [phone]
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: Expiration Date: 10/31/2023
Facility Name: House of Raeford Farms, Inc.
Non -Discharge WQ0002005 UIC
Permit Name (if different):
NPDES Other
Facility Address: 3333 U. S. Hwy 117 South
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
Rose Hill NC 28458 County Duplin
m Spray Field ❑ Remediation:
Contact Person: Joe Teachey
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: map on file
No. of wells to be sampled: 17
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): 1
Date sample collected: July 3, 2023
FIELD ANALYSES:
WAS
Well Depth: 15 ft.
Well Diameter: 2 in.
pH 00400: 6.11 units Temp. 000lo. 23 eC
DRY at
Depth to Water Level 82546: 3.91 ft. below measuring point Screened Interval: 2 ft. to
12 ft. Spec. Cond. 00094. A42 µMhos
time of
sampling.
Measuring Point is 3 ft. above land surface
Relative M.P. Elevation: 102.77 ft.
Odor 00085: none
check
Volume of water pumped/bailed before sampling:
3
gallons
Appearance clear
here:❑
Samples for metals were collected unfiltered: ® YES
❑ NO and field acidified: ® YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 7/3- 14/2023
Laboratory Name: Environmental Chemists Certification No. 94
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615 0.03
mg/L Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NOD as N 00620 5,87
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 315o4 172
/100mL
Phosphorus: Total as P oo665 <0.04
mg/L
(Note Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 330
mg/L
AI - Aluminum 01105
mg/L sodium: 66.5
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 00680 19.9
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 79
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total olo34
ug/L
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg/L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron 01045
ug/L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945 32
mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes (1) IM No (0)
pecific Conductance 00095
µMhos
K - Potassium 00937
mg/L VOC 78732: method #
Total Ammonia o0610 <0.2
mg/L
Mg - Magnesium 00927
mg/L method # 6200C
(Ammonia Nitrogen. NH, as N: Ammonia Nitrogen, Total)
Mn - Manganese olo55
ug/L , method #
TKN as N 00625 1.7
mg/L
Ni - Nickel 01067
ug/L method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
Nicole Reynolds, Plant Manager
Penn ttee (or Authorized Agent) Name and Title - Please print or type
of Permittee I
7/ ,'Y2023
(Date)
GW-59 Rev.212010

SUBMI I FUHM UN YtLLUW PAPtK UIVLY
DEPARTMENT OF ENVIRONMENT 8 NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: Expiration Date: 10/31/2023
Facility Name: House of Raeford Farms, Inc.
Non -Discharge W00002005 UIC
Permit Name (if different):
NPDES Other
Facility Address: 3333 U. S. Hwy 117 South
TYPE OF PERMITTED OPERATION BEING MONITORED
Rose Hill NC
28458 County Duplin
❑ Lagoon ❑ Remediation: Infiltration Gallery
® Spray Field ❑ Remediation:
Contact Person: Joe Teachey
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: map on file
No. of wells to be sampled: t7
❑ Water Source Heat Pump ❑ Other:
from Permt
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): 2a
Date sample collected: July 3, 2023
FIELD ANALYSES:
WAS
Well Depth: 15 ft.
Well Diameter: 2 in.
pH 00400 6.64 units Temp. 000lo 25 °C
DRY at
Depth to Water Level 82546: 3.55 ft. below measuring point Screened Interval: 2 ft. to
12 ft. Spec. Cond. 00094: 652 itMhos
time of
sampling.
Measuring Point is 3 ft. above land surface
Relative M.P. Elevation: 110.72 ft.
Odor oom) none
check
Volume of water pumped/bailed before sampling:
3
gallons
Appearance clear
here:❑
Samples for metals were collected unfiltered: ® YES
❑ NO and field acidified: ® YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 7/3-14!2023
Laboratory Name: Environmental Chemists Certification No. 94
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615 0.09
mg/L Pb - Lead o1o51 ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 19.3
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 315o4 290
/100mL
Phosphorus: Total as P 00665 1.45
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 460
mg/L
Al - Aluminum 01105
mg/L Sodium: 88.2 mg/l
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC oosso 13
mg/L
Ca - Calcium 00916
mg/L
Chloride 0094o 76
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total 01034
ug/L
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg/L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron olo45
ug/L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate oo945 32
mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes (1) ❑ No (0)
pecific Conductance 00o95
pMhos
K - Potassium 00937
mg/L VOC 78732. , method #
Total Ammonia o0610 <0.2
mg/L
Mg - Magnesium 00927
mg/L method # 6200C
(Ammonia Nitrogen. NH, as N. Ammonia Nitrogen, Total)
Mn - Manganese 01055
ug/L method #
TKN as N 00625 <0.5
mg/L
Ni - Nickel 01067
ug/L method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
Nicole Reynolds, Plant Manager
Permittee (or Authorized Aqent) Name and Title - Please print or type
(or
L
71)�2023
GW-59 Rev.212010

SUbMI I l-UKM UN YLLLUW HANLK UNLY
GROUNDWATER QUALITY MONITORING:
•
• .
DEPARTMENT OF ENVIRONMENT d NATURAL RESOURCES
• •
•1617
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: Expiration Date: 10-2023
Facility Name: House of Raeford Farms, Inc.
Non -Discharge W00002005 UIC
NPDES Other
Permit Name (if different):
Facility Address: 3333 U. S. Hwy l l7 South
TYPE OF PERMITTED OPERATION BEING MONITORED
Rose Hill NC
28458 County Duplin
❑ Lagoon ❑ Remediation: Infiltration Gallery
® Spray Field ❑ Remediation:
Contact Person: Joe Teachey
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: map on file
No. of wells to be 17 sampled:
p
❑Water Source Heat Pump ❑Other:
from Permit)
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): 3
Date sample collected: July 3, 2023
FIELD ANALYSES:
WAS
Well Depth: 15 ft.
Well Diameter: 2 in.
pH oo400. 5.77 units Temp. 000lo: 25 eC
DRY at
Depth to Water Level 82546: 5.10 ft. below measuring point Screened Interval: 2 ft. to
12 ft. Spec. Cond. 00os4: 476 µMhos
time of
Measuring Point is 3 ft. above land surface
Relative M.P. Elevation: 112.59 ft.
Odor 00085. none
sampling,check
Volume of water pumped/bailed before sampling:
dry
gallons
Appearance dear
here:❑
Samples for metals were collected unfiltered: 0 YES
❑ NO and field acidified: 0 YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: Tr2i - 1412023
Laboratory Name: Environmental Chemists Certification No. 94
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N o0615 0.05
mg/L Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 0.03
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504 >8000
/100mL
Phosphorus: Total as P 00665 0.06
mg/L
(Note Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Sohds:Total 70300 451
mg/L
AI - Aluminum 01105
mg/L Sodium: 7.69 mgll
pH (Lab) 00403
units
Be - Barium 01007
ug/L
TOC o06ao 97.8
mg/L
Ca - Calcium 00916
mg/L
Chloride oo940 93
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total o1o34
ug/L
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg/L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron 01045
ug/L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945 20
mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance 00095
pMhos
K - Potassium 00937
mg/L VOC 78732: method #
Total Ammonia 00610 0.4
mg/L
Mg - Magnesium 00927
mg/L method # 6200C
(Ammonia Nitrogen; NH, as N: Ammonia Nitrogen, Total)
Mn - Manganese 01055
ug/L method #
TKN as N 00625 2.4
mg/L
Ni - Nickel 01067
ug/L method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCsi mg/L Effluent Total VOCS: mg/L VOC Removal%
Nicole Reynolds, Plant Manager / i"\ j , ,I, ( -
Pemmttee (or Authorized Aqent) Name and Title - Please print or type Si 'nature of Permittee (or
GW-59 Rev.2/2010

JUBMI I I-UHM UN YLI-LOW NAHLH UNLY
GROUNDWATER QUALITY MONITORING:
•
•
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
• • •
•
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION
Please Print C1eady or Type
PERMIT Number: Expiration Date: 10-2023
Facility Name: House of Raeford Farms, Inc.
Non -Discharge W00002005 UIC
NPDES Other
Permit Name (if different):
Facility Address: 3333 U. S. Hwy 117 South
TYPE OF PERMITTED OPERATION BEING MONITORED
Rose Hill NC
28458 County Duplin
❑ Lagoon ❑ Remediation: Infiltration Gallery
® Spray Field ❑ Remediation:
Contact Person: Joe Teachey
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: map on file
No. of wells to be sampled: 17
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): 4
Date sample collected: July 3, 2023
FIELD ANALYSES:
WAS
Well Depth: 15 ft.
Well Diameter. 2 in.
H 00400: 5.57
p units Temp. 26 "C
DRY at
Depth to Water Level 82546: 3.70 ft. below measuring
point Screened Interval: 2 ft. to
12
ft. Spec. Cond. 00094: 1105 µMhos
time of
Measuring Point is 3 ft. above land surface
Relative M.P. Elevation: 108.46 ft.
Odor 00085: none
sampling,check
Volume of water pumped/bailed before sampling:
dry
gallons
Appearance clear
here:❑
Samples for metals were collected unfiltered: ® YES
❑ NO and field acidified: ® YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 7/3 - 14,2023
Laboratory Name: Environmental Chemists
Certification No. 94
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615 <0.02
mg/L
Pb - Lead o1o51 ug/L
Coliform: MF Fecal 31616 < 1
/100mL
Nitrate (NO3) as N 00620 3,10
mg/L
Zn - Zinc 01092 mg/L
Coliform: MF Total 31504 >8000
/100mL
Phosphorus: Total as P 00665 <0.04
m9 /L
(Note. Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
issolved Solids:Total 7030o 604
mg/L
Al - Aluminum o11os
mg/L
Sodium: 186 mg/I
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC oo68o 16.8
mg/L
Ca - Calcium 00916
mg/L
Chloride 0094o 382
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total o1o34
uglL
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron 01045
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945 23
mg/L
Hg - Mercury 71900
ug/L
Lab Report Attached? ❑ Yes (1) ® No (0)
pecific Conductance 00095
µMhos
K - Potassium 00937
mg/L
VOC 78732: method #
Total Ammonia ooslo 2.2
mg/L
Mg - Magnesium 00927
mg/L
method # 6200C
(Ammonia Nitrogen, NH, as N; Ammonia Nitrogen, Total)
Mn - Manganese 01055
ug/L
method #
TKN as N 00625 3.3
mg/L
Ni - Nickel 01067
ug/L
method #
For Remedlation Systems Only (Attach Lab Reports): Influent Total VOGs: mg/L Effluent Total VOCs: mg/L VOC Removall%
i certify that, to the best of my knowledge and belief, the information submitted in this report is true, accurate, and complete. and that the laboratory analytical data was produced using approved methods of analysis by a
DWO-certilied laboratory. I am aware that there are significant penalties for submitting false information. including the possibility of fines and imprisonment for knowing violations.
Nicole• •Manager• •. Please print or .-

51_ltiMl I t-UHM UN YLLLUW HAHLH UNLY
GROUNDWATER QUALITY MONITORING:
•
•
pEPARTMENT OF ENVIRONMENT 8, NATURAL RESOURCES
SION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: Expiration Date: 10-2023
Facility Name: House of Raeford Farms, Inc.
Non -Discharge W00002005 UIC
Permit Name (if different):
NPDES Other
Facility Address: 3333 U. S. Hwy l l7 South
TYPE OF PERMITTED OPERATION BEING MONITORED
Rose Hill NC
28458 County Duplin
❑ Lagoon ❑ Remediation Infiltration Gallery
K Spray Field ❑ Remediation:
Contact Person: Joe Teachey
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: map on file
No. of wells to be sampled: 17
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): 5
Date sample collected: July 3, 2023
FIELD ANALYSES:
WAS
Well Depth: 15 ft.
Well Diameter: 2 in.
H 00400. 5.94 °
p units Temp. 00010. 26 C
DRY at
Depth to Water Level 82546: 9.80 ft. below measuring
point Screened Interval: 2 ft. to
12 ft. Spec. Cond. 00094. 718 µMhos
time of
Measuring Point is 3 ft. above land surface
Relative M.P. Elevation: 101.26 ft.
Odor 000m: none
sampling,
check
Volume of water pumped/bailed before sampling:
3
gallons
Appearance clear
here:a
Samples for metals were collected unfiltered: ® YES
❑ NO and field acidified: 0 YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 7/3 - 14/2023
Laboratory Name: Environmental Chemists Certification No. 94
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615 <0.02
mg/L Pb - Lead o1o51 ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 0,24
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504 1600
/100mL
Phosphorus: Total as P 00665 <0.04
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 601
mg/L
Al - Aluminum o11o5
mg/L Sodium: 26.7 mg/I
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 0068o 2,2
mg/L
Ca - Calcium 00916
mg/L
Chloride 0094o 233
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total 01034
ug/L
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg/L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron 01045
ug/L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945 <5
mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance 00o95
µMhos
K - Potassium 00937
mg/L VOC 78732. method #
Total Ammonia 00610 <0.2
mg/L
Mg - Magnesium 00927
mg/L method # 6200C
(Ammonia Nitrogen; NH3 as N; Ammonia Nitrogen, Total)
Mn - Manganese D1055
ug/L method #
TKN as N 00625 <0.5
mg/L
Ni - Nickel 01067
ug/L method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
Nicole Reynolds. Plant Manager � Co u 74023
Permittee (or Authorized Aqent) Name and Title - Please print or type Slgja re of Permittee (or Au on d Agent) (Date)
GW-59 Rev.212010

JUbMI I t-UKM UN YLLLUW HAPLH UNLY
GROUNDWATER QUALITY MONITORING:
•
•
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
COMPLIANCE REPORT FORM
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: Expiration Date: 10-2023
Facility Name: House of Raeford Farms, Inc.
Non -Discharge W00002005 UIC
NPDES Other
Permit Name (if different):
Facility Address: 3333 U. S. Hwy 117 South
TYPE OF PERMITTED OPERATION BEING MONITORED
Rose Hill NC
28458 County Dupiin
❑ Lagoon ❑ Remediation: Infiltration Gallery
® Spray Field ❑ Remediation:
Contact Person: Joe Teachey
Telephone#: [phone]
El Rotary Distributor El Land Application of Sludge
Well Location/Site Name: map on file
No. of wells to be sampled: 17
❑ Water Source Heat Pump ❑ Other:
trom Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): 6
Date sample collected: July 3, 2023
FIELD ANALYSES:
WAS
Well Depth: 15 ft.
Well Diameter: 2 in.
pH 00400: 6.14 units Temp. 00010 24 °C
DRY at
Depth to Water Level 82546: 6.05 ft. below measuring point Screened Interval: 2 ft. to
12 ft. Spec. Cond. 00094: "A µMhos
time of
Measuring Point is 3 ft. above land surface
Relative M.P. Elevation: 140,45 ft.
Odor o0085: none
sampling.
check
Volume of water pumped/bailed before sampling:
3
gallons
Appearance clear
here: ❑
Samples for metals were collected unfiltered. ® YES
❑ NO and field acidified: ® YES El NO
LABORATORY INFORMATION
Date sample analyzed: 7/3-14/2023
Laboratory Name: Environmental Chemists Certification No. 94
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N oo615 <0.02
mg/L Pb - Lead o1o51 ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 <0.02
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504 1700
/100mL
Phosphorus: Total as P 00665 <0.04
mg/L
(Note Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
Dissolved Solids:Total 70300 50
mg/L
Al - Aluminum 01105
mg/L Sodium: 1.89 mg/I
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC oomo 8.8
mg/L
Ca - Calcium 00916
mg/L
Chloride oo940 6
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01G02
ug/L
Chromium: Total 01034
ug/L
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg/L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron 01045
ug/L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945 <5
mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes (1) IN No (0)
Specific Conductance oo095
µMhos
K - Potassium 00937
mg/L VOC 78732 , method #
Total Ammonia 00610 0.3
mg/L
Mg - Magnesium 00927
mg/L method # 6200C
(Ammonia Nitrogen. NH, as N: Ammonia Nitrogen, Total)
Mn - Manganese o1055
ug/L , method #
TKN as N 00625 0.6
mg/L
Ni - Nickel 01067
uglL method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
Nicole Reynolds, Plant Manager
Permitlee (or Authorized Aqent) Name and Title - Please print or type
"lcdV r 1
of Permittee (or Aut
7/)7¢023
GW-59 Rev.2/2010

JUtSMl1 rUKM UN YELLUVV PAPER UNLY
GROUNDWATER QUALITY MONITORING:
DEPARTMENT OF ENVIRONMENT 8 NATURAL RESOURCES
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1M7 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: Expiration Date: 10-2023
Facility Name. House of Raeford Farms, Inc.
Non -Discharge W00002005 UIC
Permit Name (if different):
NPDES Other_
Facility Address: 3333 U. S. Hwy 117 South
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
Rose Hill NC 28458 County Duplin
W Spray Field ❑ Remediation:
Contact Person: Joe Teachey
Telephone* 910-264-0148
p
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: map on file
No. of wells to be sampled:
17
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): 7
Date sample collected: July 3, 2023
FIELD ANALYSES:
WAS
Well Depth: 15 ft.
Well Diameter: 2
in.
H 00400: 7.27
p units Temp. 00010: 28 `C
DRY at
Depth to Water Level 82546: 11.30 ft. below measuring
point Screened Interval: 2
ft. to 12
ft. Spec. Cond. 00094: 1514 µMhos
time of
Measuring Point is 3 ft. above land surface
Relative M.P. Elevation: 88.01
ft.
Odor 00085: none
sampling.check
Volume of water pumped/bailed before sampling:
dry
gallons
Appearance clear
here:❑
Samples for metals were collected unfiltered: ® YES
❑ NO and field acidified: ® YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed: 7/3 - 1412023
Laboratory Name: Environmental Chemists
Certification No. 94
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615 0.02
mg/L
Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NOD as N 00620 0.28
mg/L
Zn - Zinc 01092 mg/L
Coliform: MF Total 31504 >8000
/100mL
Phosphorus: Total as P 00665 0.57
mg/L
iNote- Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
issolved Solids:Total 703oo 720
mg/L
Al - Aluminum o11o5
mg/L
Sodium: 123 mgfl
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 00680 40.9
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 114
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total 01034
ug/L
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron 01045
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945 <5
mg/L
Hg - Mercury 71900
ug/L
Lab Report Attached? ❑ Yes (1) ® No (0)
pecific Conductance 00095
NMhos
K - Potassium 00937
mg/L
VOC 78732. , method #
Total Ammonia 00610 74.1
mg/L
Mg - Magnesium 00927
mg/L
method # 6200C
(Ammonla Nitrogen. NH; as N; Ammonia Nitrogen. Total)
Mn - Manganese o1o55
ug/L
, method #
TKN as N 00625 792
mg/L
Ni - Nickel 01067
ug/L
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
Nicole Reynolds, Plant Manager
Permittee (or Authorized Aqent) Name and Title - Please print or type
of Permittee (or
7IZ %023
(Date)
GW-59 Rev.212010

6UBMI I rURM UN YtLLUW HAHLH UNLY
GROUNDWATER QUALITY MONITORING:
• •
DEPARTMENT OF ENVIRONMENT 8, NATURAL RESOURCES
(VISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
• • • •
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone],21
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: Expiration Date: 10-2023
Facility Name: House of Raeford Farms, Inc.
Non -Discharge W00002005 UIC
Permit Name (if different):
NPDES Other
Facility Address: 3333 U. S. Hwy 117 South
TYPE OF PERMITTED OPERATION BEING MONITORED
Rose Hill NC
28458 County Duplin
El Lagoon ❑ Remedlation: Infiltration Gallery
Spray Field ❑ Remediation:
Contact Person: Joe Teachey
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: map on file
No. of wells to be sampled:
17
❑ Water Source Heat Pump ❑ Other:
hom Perms
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): 8
Date sample collected: July 3, 2023
FIELD ANALYSES:
WAS
Well Depth: 15 ft.
Well Diameter: 2
in.
pH 00400: 7.13 units Temp. o0olo: 22 `C
DRY at
Depth to Water Level 82546: 9.70 ft. below measuring point Screened Interval: 2
ft. to 12
ft. Spec. Cond. 00094: 887 µMhos
time of
Measuring Point is 3 ft. above land surface
Relative M.P. Elevation: 85.73
ft.
Odor 00085. none
sampling.check
Volume of water pumped/bailed before sampling:
3
gallons
Appearance Gear
here:❑
Samples for metals were collected unfiltered: ® YES
❑ NO and field acidified: ® YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed: 7/3 - 14r2023
Laboratory Name: Environmental
Chemists
Certification No. 94
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615 <0.02
mg/L Pb - Lead o1051 ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 1.31
mg/L
Zn - Zinc 01092 mg/L
Coliform: MF Total 31504 >8000
/100mL
Phosphorus: Total as P 00665 0.55
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
issolved Solids:Totai 70300 562
mg/L
Al - Aluminum o11o5
mg/L
Sodium: 3.54 mg/I
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 00680 7.7
mg/L
Ca - Calcium oo916
mg/L
Chloride 0094o 5
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total 01034
ug/L
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron 01045
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945 13
mg/L
Hg - Mercury 71900
ug/L
Lab Report Attached? ❑ Yes (1) ❑ No (0)
pecific Conductance 00095
ltMhos
K - Potassium 00937
mg/L
VOC 78732: , method #
Total Ammonia o0610 3.1
mg/L
Mg - Magnesium 00927
mg/L
method # 6200C
(Ammonia Nitrogen, NH, as N: Ammonia Nitrogen, Total)
Mn - Manganese o1o55
ug/L
, method #
TKN as N 00625 6.2
mg/L
Ni - Nickel 01067
ug/L
method #
For Remedlation Systems Only Total•Total• •
1 certify that, to the best of my knowledge and belief, the information submitted in this report is true. accurate. and complete, and that the laboratory analytical data was produced using approved methods of analysis by a
DWO-cartified laboratory, I am aware that there are significant penalties for submitting false information, including the possil ility of fines and imprisonment for knowing violations.
Nicole•. •71'4023
Permittee (or Authorized Aclent) Name and Title - Please print or type re of Permittee (or Authtk�_* e.
GW-59 Rev.2/2010

JUtSMI I t-UHM UN YLLLUW F'AHLH UNLY
GROUNDWATER QUALITY MONITORING:
• .
EPARTMENT OF ENVIRONMENT 8 NATURAL RESOURCES
IVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIOH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: Expiration Date: 10-2023
Facility Name: House of Raeford Farms, Inc.
Non -Discharge W00002005 UIC
Permit Name (if different):
NPDES Other
Facility Address: 3333 U. S. Hwy l l7 South
TYPE OF PERMITTED OPERATION BEING MONITORED
Rose Hill NC
28458 County Duplin
❑ Lagoon ❑ Remediation: Infiltration Gallery
K Spray Field ❑ Remediation:
Contact Person: Joe Tear -hey
Telephone#: [phone]
❑ RotaryDistributor El Land Application of Sludge
Well Location/Site Name: map on file
No. of wells to be sampled:
17
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPUNG INFORMATION
If WELL
WELL ID NUMBER (from Permit): 9
Date sample collected: July 3, 2023
FIELD ANALYSES:
WAS
Well Depth: 15 ft.
Well Diameter: 2
in.
H 00400: 6 3s
p units Temp. 00010: 26 °C
DRY at
Depth to Water Level 82546: 8.25 ft. below measuring point Screened Interval: 2
ft. to 12
ft. Spec. Cond. 00094: 180.4 µMhos
time of
sampling,
Measuring Point is 3 ft. above land surface
Relative M.P. Elevation: 98.65
ft.
Odor 00085: none
check
Volume of water pumped/bailed before sampling:
3
gallons
Appearance clear
here: ❑
Samples for metals were collected unfiltered: ® YES
❑ NO and field acidified: ® YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed: 7/3 - 14/2023
Laboratory Name: Environmental Chemists
Certification No. 94
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615 <0.02
mg/L Pb - Lead oio5f ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 2.30
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504 19
/100mL
Phosphorus: Total as P 00665 <0.04
mg/L
(Note. Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
issolved Soiids:Total 70300 117
mg/L
Al - Aluminum of io5
mg/L Sodium: 1.33 mg/I
pH (Lab) 00403
units
Ba - Barium o1007
ug/L
TOC 00680 2.2
mg/L
Ca - Calcium oo916
mg/L
Chloride 00940 <5
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total 01034
ug/L
Grease and Oils 00552
mg/L
CU - Copper 01042
mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron 01045
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945 13
mg/L
Hg - Mercury 71900
ug/L
Lab Report Attached? ❑ Yes (1) ® No (0)
pecific Conductance 0o095
µMhos
K - Potassium 00937
mg/L
VOC 78732 , method #
Total Ammonia oosio <0.2
mg/L
Mg - Magnesium W927
mg/L
method # 6200C
(Ammonia Nitrogen: NH, as N; Ammonia Nitrogen, Total)
Mn - Manganese 01055
ug/L
. method #
TKN as N 00625 <0.5
mg/L
Ni - Nickel 01067
ug/L
method #
For Remediation Systems Only Total•Total• •
f certify that, to the best of my knowledge and belief, the information submitted in this report is true. accurate, and complete. and that the laboratory analytical data was produced using approved methods of analysis by a
OWO-certified laboratory I am aware that there are significant penalties for submitting false information. including the possit ildy of fines and imprisonment for knowing violations.
Nicole• •Manager
Permittee (or Authorized Aqent) Name and Tide - Please mint or type gent) (Date)
GW-59 Rev.2/2010

SUbMI I FUKM UN YtLLUW F'APLK UNLY
GROUNDWATER QUALITY MONITORING:
• •
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
•
IE17 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phorm: [phone]
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: Expiration Date: 10-2023
Facility Name: House of Raeford Farms, Inc.
Non -Discharge WQ0002005 UIC
Permit Name (if different):
NPDES Other
Facility Address: 3333 U. S. Hwy 117 South
TYPE OF PERMITTED OPERATION BEING MONITORED
Rose Hill NC
28458 County Duplin
❑ Lagoon ❑ Remediation: Infiltration Gallery
Spray Field ❑ Remediation:
Contact Person: Joe Teachey
Tele hone#: 910-264-0148
p
El Rotary Distributor ❑Land Application of Sludge
Well Location/Site Name: map on file
No. of wells to be sampled:
17
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): 10
Date sample collected: July 3, 2023 FIELD ANALYSES:
WAS
Well Depth: 15 ft.
Well Diameter: 2
in, pH 00400: 7.68 units Temp. 000lo. 23 °C
DRY at
Depth to Water Level 82546: 9.10 ft. below measuring point Screened Interval: 2
ft. to 12 ft. Spec. Cond. 00094: 1659 µMhos
time of
Measuring Point is 3 ft. above land surface
Relative M.P. Elevation: 89.81
ft. Odor 00085 none
sampling,
check
Volume of water pumped/bailed before sampling:
3
gallons
Appearance clear
here:
Samples for metals were collected unfiltered: ® YES
❑ NO and field acidified: ® YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed: 713 - 1212023
Laboratory Name: Environmental Chemists Certification No. 94
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N o0615 <0.02
mg/L Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 0.07
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504 310
/100mL
Phosphorus: Total as P 00665 10
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 978
mg/L
Al - Aluminum 01105
mg/L Sodium: 226 mg/I
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC oo680 6.5
mg/L
Ca - Calcium 00916
mg/L
Chloride 0094o 379
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total 01034
ug/L
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg/L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron 01045
ug/L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945 16
mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance 00095
µMhos
K - Potassium o0937
mg/L VOC 78732 method #
Total Ammonia oo610 84.3
mg/L
Mg - Magnesium 00927
mg/L method # 6200C
(Ammonia Nitrogen; NH, as N. Ammonia Nitrogen. Total)
Mn -Manganese 01055
ug/L ,method #
TKN as N 00625 92.2
mg/L
Ni - Nickel 01067
ug/L method #
For Remedlation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
Nicole Reynolds, Plant Manager
Permittee (or Authorized Aqent) Name and Title - Please print or type
Permillee (or
7/'7/ 023
(Date)
GW-59 Rev.2/2010

Z5UH1v1I I FUHM UN YLLLUW HAHLK UNLY
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: Expiration Date: 10-2023
Facility Name: House of Raeford Farms, Inc.
Non -Discharge WQ0002005 UIC
NPDES Other
Permit Name (if different):
Facility Address: 3333 U. S. Hwy 117 South
TYPE OF PERMITTED OPERATION BEING MONITORED
Rose Hill NC
28458 County Du lin
P
❑Lagoon ❑Remediation: Infiltration Gallery
® Spray Field ❑ Remediation:
Contact Person: Joe Teachey
Telephone#: [phone]
❑ Rota Distributor Rotary ❑Land Application of Sludge
Well Location/Site Name: map on file
No. of wells to be sampled:
17
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): 11
Date sample collected: July 3,
2023 FIELD ANALYSES:
WAS
Well Depth: 15 ft.
Well Diameter: 2
in. pH 00400: 7.32 units Temp. 000lo. 25 °C
DRY at
Depth to Water Level 82546: 9.30 ft. below measuring point Screened Interval: 2
ft. to 12 ft. Spec. Cond. 00094 1403 µMhos
time of
sampling,
Measuring Point is 3 ft. above land surface
Relative M.P. Elevation: 85.19
ft. Odor 00085. none
check
Volume of water pumped/bailed before sampling:
3
gallons
Appearance clear
here:
❑
Samples for metals were collected unfiltered: ® YES
❑ NO and field acidified: ® YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed: 7/3. 12/2023
Laboratory Name: Environmental Chemists Certification No. 94
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615 0.05
mg/L Pb - Lead oimi ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 <0.02
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31so4 2600
/100mL
Phosphorus: Total as P 00665 5.55
mg/L
(Note, Use MPN method for highly turbid samples)
Orthophosphate 70507
mglL Other (Specify Compounds and Concentration Units):
issolved Solids:Totai 70300 494
mg/L
Al - Aluminum o11o5
mg/L Sodium: 63.7 mgA
PH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC oo68o 17.2
mg/L
Ca - Calcium oo916
mg/L
Chloride oo94o 77
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total 01034
ug/L
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg/L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron 01045
ug/L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 0o945 <5
mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes (1) N No (0)
pecific Conductance 00095
µMhos
K - Potassium 00937
mg/L VOC 78732 method #
Total Ammonia oo610 35.2
mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen', NH, as N, Ammonia Nitrogen. Total)
Mn -Manganese 01055
ug/L ,method #
TKN as N 00625 39.9
mg/L
Ni - Nickel 01067
ug/L method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
Nicole Reynolds, Plant Manager
Permittee (or Authorized Agent) Name and Title - Please print or type
Aqent)
7,14023
(Date)
GW-59 Rev.2/2010

SUt3MI1 F L)HM UN YtLLUW FAHtH UNLY
DEPARTMENT OF ENVIRONMENT 8 NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
=1617
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
MAIL SERVICE CENTER, RALEIGH, NC 27699.1617 Phone: [phone]
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: Expiration Date: 10-2023
Facility Name: House of Raeford Farms, Inc.
Non -Discharge W00002005 UIC
Permit Name (if different):
NPDES Other
Facility Address: 3333 U. S. Hwy 117 South
TYPE OF PERMITTED OPERATION BEING MONITORED
Rose Hill NC
28458 County Duplin
❑ Lagoon ❑ Remediation: Infiltration Gallery
A Spray Field ❑ Remediation:
Contact Person: Joe Teachey
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: map on file
No. of wells to be sampled:
17
❑ Water Source Heat Pump ❑ Other:
from Pefmtl
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): 12
Date sample collected: July 3,
2023
FIELD ANALYSES:
WAS
Well Depth: 20 ft.
Well Diameter: 2
in.
pH 00400: 6.26 units Temp. 000lo: 25 °C
DRY at
Depth to Water Level 82546: 7.45 ft. below measuring point Screened Interval: 2
ft. to 17
ft. Spec. Cond. 00094. 112.2 µMhos
time of
sampling.
Measuring Point is 3 ft. above land surface
Relative M.P. Elevation: 82.18
ft.
Odor 00085: none
check
Volume of water pumped/bailed before sampling:
3
gallons
Appearance clear
here: ❑
Samples for metals were collected unfiltered: ® YES
❑ NO and field acidified: ® YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed: 7/3 - 12/2023
Laboratory Name: Environmental Chemists
Certification No. 94
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615 <0.02
mg/L Pb - Lead o1o51 ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 2.46
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504 200
/100mL
Phosphorus: Total as P 00665 0.20
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 154
mg/L
Al - Aluminum 01105
mg/L
Sodium: 14.5 mg/I
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 0068o 14.0
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 17
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total 01034
ug/L
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg/L
ORGANICS: (by GC. GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron 01045
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945 16
mg/L
Hg - Mercury 71900
ug/L
Lab Report Attached? ❑ Yes (1) ❑ No (0)
peciflc Conductance 00095
µMhos
K - Potassium 00937
mg/L VOC 78732: , method #
Total Ammonia oo6lo <0.2
mg/L
Mg - Magnesium 00927
mg/L method # 6200C
(Ammonia Nitrogen, NH, as N: Ammonia Nitrogen, Total)
Mn - Manganese 01055
ug/L
method #
TKN as N 00625 1.8
mg/L
Ni - Nickel 01067
ug/L
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
Nicole Reynolds, Plant Manager
Permittee (or Authorized Agent) Name and Title - Please print or type
of Pennittee (oYAuthptized Agent)
7!'2
(Date
GW-59 Rev.2/2010

SUCMI I t-UKM UN YtLLUVV NAVt_K UNLY
. • •
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OF WATER OUALrrY-INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
• • •
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699.1617 Phone: [phone]
FACILITY INFORMATION
Please Pdnf Cleedy or Type
PERMIT Number: Expiration Date: 10-2023
Facility Name: House of Raeford Farms, Inc.
Non -Discharge W00002005 UIC
Permit Name (if different):
NPDES Other
Facility Address: 3333 U. S. Hwy 117 South
TYPE OF PERMITTED OPERATION BEING MONITORED
Rose Hill NC
28458 County Duplin
❑ Lagoon ❑ Remediation: Infiltration Gallery
® Spray Field ❑ Remediation:
Contact Person: Joe Teachey
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: map on file
No. of wells to be sampled:
17
❑ Water Source Heat Pump ❑ Other:
,from Po"'t
SMPLiNG INFORMATION
If WELL
WELL ID NUMBER (from Perntit): 13
Date sample collected: July 3, 2023 FIELD ANALYSES:
WAS
Well Depth: 15 ft.
Well Diameter: 2
in. pH 00400: 7.74 units Temp. 0001o: 21 °C
DRY at
Depth to Water Level 82546: 5.75 ft. below measuring point Screened Interval: 2
ft. to 12 ft. Spec. Cond. 00094: 471 VMhos
time of
sampling,
Measuring Point is 3 ft. above land surface
Relative M.P. Elevation: 81.47
ft. Odor 00085: none
check
Volume of water pumped/bailed before sampling:
3
gallons
Appearance dear
here:❑
Samples for metals were collected unfiltered: ® YES
❑ NO and field acidified: ® YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed: 713 - 12/2023
Laboratory Name: Environmental Chemists Certification No. 94
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335
rng/L
Nitrite (NO2) as N oo615 <0.02
mg/L Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 <0.02
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504 3600
/100mL
Phosphorus: Total as P 00665 0.68
mg/L
(Note Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issoived Solids:Total 70300 294
mg/L
Al - Aluminum o1io5
mg/L Sodium: 2.82 mg/I
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC omao 11•1
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 <5
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total ota34
ug/L
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg/L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron oio45
ug/L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945 <5
mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes (1) ON No (0)
pecific Conductance 00095
µMhos
K - Potassium 00937
mg/L VOC 78732: , method #
Total Ammonia oo6lo 3.0
mg/L
Mg - Magnesium 00927
mg/L method # 6200C
(Ammonia Nitrogen, NH, as N: Ammonia Nitrogen, Total)
Mn - Manganese o1o55
ug/L , method #
TKN as N 00625 4.1
mg/L
Ni - Nickel 01067
ug/L method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
Nicole Reynolds, Plant Manager
Permittee (or Authorized Agent) Name and Title - Please print or type
(Wtt
7t2!Q023
GW-59 Rev.2/2010

JUtiMI I l-UKM UN YtLLVW PAF'tR ONLY
. • •
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
•
DIVISION OF WATER OUALITY4NFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
• •
•
1617 MAIL SERVICE CENTER. RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: Expiration Date: 10-2023
Facility Name: House of Raeford Farms, Inc.
Non -Discharge W00002005 UIC
NPDES Other
Permit Name (if different):
Facility Address: 3333 U. S. Hwy 117 South
TYPE OF PERMITTED OPERATION BEING MONITORED
Rose Hill NC
28458 County Dupiln
❑ Lagoon ❑ Remediation: Infiltration Gallery
© Spray Field ❑ Remediation:
Contact Person: Joe Teachey
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: map on file
No. of wells to be sampled: 17
❑ Water Source Heat Pump ❑ Other:
from Permai
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): 14
Date sample collected: July 3, 2023
FIELD ANALYSES:
WAS
Well Depth: 15 ft.
Well Diameter: 2 in.
pH 00400: 7.58 units Temp. oo010. 29 eC
DRY at
Depth to Water Level 82546: 6.30 ft. below measuring point Screened Interval: 2 ft. to
12
—
ft. Spec. Cond. 00094: 883 µMhos
time of
sampling,
Measuring Point is 3 ft. above land surface
Relative M.P. Elevation: 82.33 ft.
Odor 00085: none
check
Volume of water pumped/bailed before sampling:
dry
gallons
Appearance clear
here:
❑
Samples for metals were collected unfiltered: ® YES
❑ NO and field acidified: ® YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 7/3 - 12/2023
Laboratory Name: Environmental Chemists
Certification No. 94
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615 <0.02
mg/L Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616 800
/100mL
Nitrate (NO3) as N 00620 <0.02
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504 >8000
/100mL
Phosphorus: Total as P 00665 7.36
mg/L
(Note. Uso MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 703oo 780
mg/L
Al - Aluminum o1105
mg/L Sodium: 7.70 mg/I
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 00680 79.8
mg/L
Ca - Calcium oo916
mg/L
Chloride oo940 32
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total olo34
ug/L
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg/L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron 01045
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945 <5
mg/L
Hg - Mercury 71900
ug/L
Lab Report Attached? ❑ Yes (1) A No (0)
pecific Conductance oo095
µMhos
K - Potassium 00937
mg/L VOC 78732 . method #
Total Ammonia o0610 0.8
mg/L
Mg - Magnesium 00927
mg/L
method # 6200C
(Ammonia Nitrogen, NH3asN, Ammonia Nitrogen. Total)
Mn - Manganese 01055
ug/L method #
TKN as N 00625 2.2
mg/L
Ni - Nickel 01067
ug/L method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
Nicole Reynolds, Plant Manager
Permittee (or Authorized Apent) Name and Title - Please print or type
(or
71 ii2023
GW-59 Rev.212010 1

5UtlMl I FUKM UN Y LL IJAMtK ONLY
DEPARTMENT OF ENVIRONMENT 8 NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
ISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1817 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: Expiration Date: 10-2023
Facility Name: House of Raeford Farms, Inc.
Non -Discharge WQ0002005 UIC
Permit Name (if different):
NPDES Other
Facility Address: 3333 U. S. Hwy l l7 South
TYPE OF PERMITTED OPERATION BEING MONITORED
Rose Hill NC
28458 CountyDuplin
Lagoon El Remediation: Infiltration Gallery
© Spray Field ❑ Remediation:
Contact Person: Joe Teachey
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: map on file
No. of wells to be sampled: 17
❑ Water Source Heat Pump ❑ Other:
(from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): 15
Date sample collected: July 3, 2023
FIELD ANALYSES:
WAS
Well Depth: 14 ft.
Well Diameter: 2 in,
pH 00400: 6.76 units Temp. 00010: 27 °C
DRY at
Depth to Water Level 82546: 6.65 ft. below measuring point Screened Interval: 2 ft. to
12
—
ft. Spec. Cond. 00094, 840 µMhos
time of
sampling
Measuring Point is 2 ft. above land surface
Relative M.P. Elevation: 82.33 ft.
Odor 00085. none
check
Volume of water pumped/bailed before sampling:
dry
gallons
Appearance dear
here:❑
Samples for metals were collected unfiltered: ® YES
❑ NO and field acidified: ® YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 7l3 - 12/2023
Laboratory Name: Environmental Chemists
Certification No. 94
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615 <0.02
mg/L
Pb - Lead o1o5i ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 0.19
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504 2200
/100mL
Phosphorus: Total as P 00665 0.99
mg/L
(Note. Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 579
mg/L
Al - Aluminum ol1o5
mg/L Sodium: 16.7 mg/I
PH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC omm 9.2
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 34
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total 01034
ug/L
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg/L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron 01045
ug/L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945 104
mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes (1) ® No (0)
pecific Conductance 00095
µMhos
K - Potassium 00937
mg/L VOC 78732: , method #
Total Ammonia 00610 <0�2
mg/L
Mg - Magnesium 00927
mg/L
method # 6200C
(Ammonia Nitrogen; NH3a3 N: Ammonia Nitrogen, Total)
Mn - Manganese 01055
ug/L , method #
TKN as N 00625 0.6
mg/L
Ni - Nickel 01067
ug/L method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
Nicole Reynolds, Plant Manager
Permittee (or Authorized Agent) Name and Title - Please print or type
I JU��'`----
of Permittee (or At) orized Agent)
741,
(Date)
GW-59 Rev.2/2010

JUt7M11 rUNM UN Yt_LLUW YAHtM UNL';
• •
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OF WATER QUALITYaNFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
• •
161T MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: Expiration Date: 10-2023
Facility Name: House of Raeford Farms, Inc.
Non -Discharge W00002005 UIC
Permit Name (if different):
NPDES Other
Facility Address: 3333 U. S. Hwy l l7 South
TYPE OF PERMITTED OPERATION BEING MONITORED
Rose Hill NC
28458 Coup Duplin
County
Lagoon 0 Remediation: Infiltration Gallery
® Spray Field ❑ Remediation:
Contact Person: Joe Teachey
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: map on file
No. of wells to be sampled: 17
❑ Water Source Heat Pump ❑ Other:
from Perm,t
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): 16
Date sample collected: July 3, 2023
FIELD ANALYSES:
WAS
Well Depth: 15 ft.
Well Diameter: 2 in,
pH 00400: 6.11 units Temp. o0olo; 25 eC
DRY at
Depth to Water Level 82546: 6.37 ft. below measuring point Screened Interval: 2 ft. to
12
ft. Spec. Cond. 00094. 30.1 µMhos
time of
sampling,
Measuring Point is 3 ft. above land surface
Relative M.P. Elevation: 106.00 ft.
Odor 00085: none
check
Volume of water pumped/bailed before sampling:
dry
gallons
Appearance dear
here:❑
Samples for metals were collected unfiltered: 0 YES
❑ NO and field acidified: 0 YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 7l3-14/2023
Laboratory Name: Environmental Chemists
Certification No. 94
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N oo615 0.08
mg/L Pb - Lead o1051 ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 0.22
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504 2500
/100mL
Phosphorus: Total as P oo665 0.30
mg/L
(Note Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Totai 70300 121
mg/L
AI - Aluminum 01105
mg/L Sodium: 1,25 mg/I
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC oo68o 3.9
mg/L
Ca - Calcium oo916
mg/L
Chloride oog4o 6
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total 01034
ug/L
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg/L ORGANICS: (by GC. GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron 01045
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945 <5
mg/L
Hg - Mercury 71900
ug/L
Lab Report Attached? ❑ Yes (1) ❑ No (0)
pecific Conductance 00095
µMhos
K - Potassium 00937
mg/L
VOC 78732: method #
Total Ammonia oo610 <0.2
mg/L
Mg - Magnesium 00927
mg/L method # 6200C
(Ammonia Nitrogen; NH�as N, Ammonla Nitrogen, Total)
Mn - Manganese o1o55
ug/L
, method #
TKN as N 00625 0.7
mg/L
Ni - Nickel 01067
ug/L
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
Nicole Reynolds, Plant Manager
Permittee (or Authorized Aqent) Name and Title - Please print or type
of
% U (/ L
71)
GW-59 Rev.2/2010

SUtiMI I t-Ut<M UN YtLLUW NAt'thf UNLI
DEPARTMENT OF ENVIRONMENT & NATURAL. RESOURCES
GROUNDWATER QUALITY MONITORING:
VISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: Expiration Date: 10-2023
Facility Name: House of Raeford Farms, Inc.
Non -Discharge WQ0002005 UIC
Permit Name (if different):
NPDES Other
Facility Address: 3333 U. S. Hwy 117 South
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
Rose Hill NC 28458 County Duplin
X Spray Field ❑ Remediation:
Contact Person: Joe Teachey
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: map on file
No. of wells to be sampled: 17
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): 17
Date sample collected: July 3, 2023
FIELD ANALYSES:
WAS
Well Depth: 14 ft.
Well Diameter: 2 in.
pH 00400: 7•43 units Temp. 000lo: 25 eC
DRY at
Depth to Water Level 82546: 5.10 ft. below measuring point Screened Interval: 2 ft. to
12
ft. Spec. Cond. 00094: 549 µMhos
time of
sampling,
Measuring Point is 2 ft, above land surface
Relative M.P. Elevation: 105.82 ft.
Odor 000as: none
check
Volume of water pumped/bailed before sampling:
dry
gallons
Appearance dear
here:❑
Samples for metals were collected unfiltered: ® YES
❑ NO and field acidified: E YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 713 - 14/2023
Laboratory Name: Environmental Chemists
Certification No. 94
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615 <0.02
mg/L Pb - Lead o1o51 ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 0.05
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504 >8000
/100mL
Phosphorus: Total as P 00665 1.89
mg/L
(Note. Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Sollds:Total 70300 216
mg/L
Al - Aluminum o1105
mg/L Sodium: 63.2 mg/I
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC oo68o 7
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 103
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total 01034
ug/L
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg/L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron 01045
ug/L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945 8
mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes (1) ® No (0)
pecific Conductance 00095
µMhos
K - Potassium 00937
mg/L VOC 78732: , method #
Total Ammonia oo6lo <0.2
mg/L
Mg - Magnesium 00927
mg/L method # 6200C
(Ammonia Nitrogen: NH3asN, Ammonia Nitrogen, Total)
Mn - Manganese 01055
ug/L . method #
TKN as N 00625 0.8
mg/L
Ni - Nickel 01067
ug/L method #
For Remedlation Systems Only (Attach Lab Reports): Influent Total VOCs
Nicole Reynolds. Plant Manager
Permittee (or Authorized Agent) Name and Title - Please print or type
Totalmg/L Effluent
and that the laboratory analytical data
6lily of lines and imprisonment for knc
7N.11111127 AM.
mg/L VOC Removal%
7% 4023
(Date)
GW-59 Rev.2/2010