WQ0000948_Monitoring - 06-2023_20231117

SUBMIT FORM ON YELLOW PAPER ONLY
• •
DEPARTMENT OF ENVIRONMENTAL QUALITY - DIV. OF WATER RESOURCES
GROUNDWATER QUALITY MONITORING:
• •
INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617
FACILITY INFORMATION Please Print Clearly or Type
PERMIT Number: ,, ,`.; Z,, Expiration Date: 1 C7 - 3 t - Z L;G:
Facility Name: -TOU.)r j DF- SACI,ScY3
Non -Discharge UIC
Permit Name (if different):
NPDES Other
Facility Address: 100 C-)1 `j i
TO ?'0G (ol4
TYPE OF PERMITTED OPERATION BEING MONITORED
J streNt, r�iC� 'Z:'1 IR
Ll 15 County K�n-R LJA'A4QMN
❑ Lagoon ❑ Remediation: Infiltration Gallery
It
13 Spray Field ❑ Remediation:
Contact Person: �O��LLr.t't� `T OL).-.;&
Telephone#: Z'�, Z' y ;5 (- _�Sil
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: o (.�!�iZ`►�`Z'i� �+ � 1 �%I No. of wells to be sampled: (a,
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit):
Date sample collected: - ty - 2.3
FIELD ANALYSES:
WAS
Well Depth: ft.
Well Diameter: y in,
pH 00a00:� units Temp. 000lo: ZC oC
DRY at
Depth to Water Level 82546: g.5 ft. below measuring point
Screened Interval: ft. to
_ft.
Spec. Cond. 00094: µ Mhos
time of
sampling,
Measuring Point is 3 ft. above land surface
Relative M.P. Elevation: ft.
Odor 00085: 40AJ
check
Volume of water pumped/bailed before sampling: ',
gallons
Appearance L).E,9 �
here:
Samples for metals were collected unfiltered: ® YES ❑ NO and field acidified: ® YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: -it yt3f( 11012-1,�6115121 jZ'1123(,JigJ70
Laboratory Name: QOl Vv,Ni Ja.JALq-KiSAL_
Certification No. L`81
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
NOV
COD 00335 mg/L
Nitrite (NO2) as N 00615
mg/L Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616 ` /100mL
Nitrate (NO3) as N 00620 r . 2_ 1
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504 /100mL Phosphorus: Total as P 00665
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 mg/L
AI - Aluminum 01105
mg/L `t C
pH (Lab) 00403 units
Ba - Barium 01007
ug/L
TOC 00680 ? t^ `r mg/L
Ca - Calcium 00916
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 mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes (1) ❑ No (0)
pecific Conductance 00095 µMhos
K - Potassium 00937
mg/L VOC 7673 method #
Total Ammonia 00610 0r 0,3 mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen; NH, as N; Ammonia Nitrogen, Total)
Mn - Manganese 01o55
ug/L method #
TKN as N 00625 mg/L
Ni - Nickel 01067
ug/L method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
7� a� C. ou -J& ; oRC C.ZI '*-mzq
Permittee (or Authorized Aqent) Name and Tide - Please print or type
GW-59 Rev.06-07-2018

SUBMIT FORM ON YELLOW PAPER ONLY
. • •
DEPARTMENT OF ENVIRONMENTAL QUALITY - DIV. OF WATER RESOURCES
GROUNDWATER QUALITY MONITORING:
INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
• • •
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: (Wdy+tr, Expiration Date: to -;
Facility Name: To (z ,\,
Non -Discharge UIC
Permit Name (if different):
NPDES Other
Facility Address: (Cc C-A5r 5T- 1?0 SOx4o04
TYPE OF PERMITTED OPERATION BEING MONITORED
�'Nek" 0ti C
Bq County %10Rt'4AA.,,-{Jj)
❑ Lagoon ❑ Remediation: Infiltration Gallery
® Spray Field ❑ Remediation:
Contact Person: 3'044t'� q ( `T u O.N)6
Telephone#: Z 5Z - `J3 `{ ' 39 l i
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: (.JAS'I-(n)4TcR TiZt:Ai'M."
-P AAM-No. of wells to be sampled: (p
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): Z
Date sample collected: L i 4 'L 7
FIELD ANALYSES:
WAS
Well Depth: j ft.
Well Diameter: `-1 in.
pH 00400: 7. 5 units Temp. 0oolo: LQ °C
DRY at
�I
Depth to Water Level 82546: 1,r3 ft. below measuring point Screened Interval: ft. to
—
ft, Spec. Cond. 00094: µMhos
time of
sampling,
Measuring Point is 1.5 ft. above land surface
Relative M.P. Elevation: ft.
Odor 000as: fJbrJ L-
check
Volume of water pumped/bailed before sampling:
`)
gallons
Appearance 5u �� T-R u57—
here:❑
Samples for metals were collected unfiltered: YES
❑ NO and field acidified: © YES ❑ NO
LABORATORY INFORMATION
4j1��23
Date sample analyzed: (- jlg[Z3� 611(,l Zio/5123,
(•J27JZ3 Laboratory Name: t AA?ol JT
Aa1AL�CAL_
Certification No. L ht
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615
mg/L Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616 ,; (
/100mL
Nitrate (NO3) as N 00620 "L `(
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
m /L
g
Other (Specify Compounds
( p fy and Concentration Units):
issolved Solids:Total 70300
mg/L
AI - Aluminum of im
mg/L i�T►L fir �5 Lim D ttic5 ti�tJi N/4 ' ���
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 00680 1,40
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 2,1
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
mg/L
Hg - Mercury 71900
ug/L
Lab Report Attached? ❑ Yes (1) ❑ No (0)
pecific Conductance 00095
µMhos
K - Potassium 00937
mg/L VOC 7873 method #
Total Ammonia o0610 0, .3 3
mg/L
Mg - Magnesium 00927
mg/L
method #
(Ammonia Nitrogen; NH3as N; Ammonia Nitrogen, Total)
Mn - Manganese 01055
ug/L
method #
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
ehlu43
Permittee (or Authorized Aqent) Name and Title - Please print or type
GW-59 Rev.06-07-2018
Siqnature ofPerpdttee (or

SUBMIT FORM ON YELLOW PAPER ONLY
-
DEPARTMENT OF ENVIRONMENTAL QUALITY - DIV. OF WATER RESOURCES
GROUNDWATER QUALITY MONITORING:
�EaE>oa:
INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617
FACILITY INFORMATION Please Print CleariyorType
PERMIT Number:w4u>" j4R,Expiration Date: 1- I 20
Facility Name: �Gi� +,.� a�K
Non -Discharge UIC
Permit Name (if different):
NPDES Other
Facility Address: (OC EAST" ie 1=Fc.R5oA -!5T. Pc
Pao IL (.w
TYPE OF PERMITTED OPERATION BEING MONITORED
o.J C Z7`di}
County I�lazZ-iZ(�Ta;
❑ Lagoon ❑ Remediation: Infiltration Gallery
9 Spray Field El Remediation:
Contact Person: 3N � 01ti)a 6 • td VA3L7
Telephone#: ZS 2- 5 34' 3 S;l /
El Rotary Distributor Land Application of Sludge
Well Location/Site Name:QL &)r No. of wells to be sampled: 1/1
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): .1
Date sample collected: (o t 4-2 3
FIELD ANALYSES:
WAS
Well Depth: ft.
Well Diameter: 4 in.
pH 00400: 5•5 units Temp. 000lo: I`1 °C
DRY at
Depth to Water Level 82546: '7, 5 ft. below measuring point Screened Interval: ft. to
ft.
Spec. Cond. 00094: µMhos
time of
sampling,
Measuring Pant is 3 ft. above land surface
Relative M.P. Elevation: ft.
Odor 00085: X-ScA3`
check
Volume of water pumped/bailed before sampling: 3 9 gallons
Appearance 5-1(_-(4LY (_L•;,V'V�%
here:❑
Samples for metals were collected unfiltered: ItYES
ElNO and field acidified: ® YES ❑ NO
LABORATORY INFORMATION
'
f(1��
Date sample analyzed: i� W Zi (a tb 23 S Z 3.
14�z3 LaboratoryName: (�J4 `iTOt cj'( A�p.L>ZTtC14L
Certification No. Zfj
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L
Nitrite (NO2) as N 00615
mg/L
Pb - Lead o1o51 ug/L
Coliform: MF Fecal 31616 i /100mL
Nitrate (NO3) as N 00620 © , CL�
mg/L
Zn - Zinc 01092 mg/L
Coliform: MF Total 31504 /100mL
Phosphorus: Total as P 00665
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 mg/L
Al - Aluminum o1105
mg/L
_roT4 L lil'SScat th�'titA�lC�Jan �t — 1 2-0
pH (Lab) 00403 units
Ba - Barium 01007
ug/L
TOC 00680 2.b La mg/L
Ca - Calcium 00916
mg/L
Chloride oo94o 3$ 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 o0945 mg/L
Hg - Mercury 71900
ug/L
Lab Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance 00095 µMhos
K - Potassium 00937
mg/L
VOC 7873 method #
Total Ammonia 00610 u, 01 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 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%
�E �ln�iti `t �j • ��Jr l (. r d (' eA"Z.31 LQ
Permittee (or Authorized Agent) Name and Title - Please print or type
(Date)
ZCL
GW-59 Rev.06-07-2018

SUtiMI I FUKM UN YLLLUW F'AF'tK UNLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
FACILITY INFORMATION Please Print Clearly or Type
Facility Name: ► �,� �,I ���Uti•
Permit Name (if different):
Facility Address: - ST- S Ov SI -
�hcc 'Z'7 9,-LS Countyti
Contact Person: _9kkAJ,tiq 6. `TLj1_)G Telephone#: 2- 53 y- 3Fsl i
Well Location/Site Name: j,JA5Z,:Wk:L�,k Z-s�a ,�,(x,,,tT �2' .S,t�i No. of wells to be sampled:
DEPARTMENT OF ENVIRONMENTAL QUALITY - DIV. OF WATER RESOURCES
INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617
ERMIT Number: i jQ4xA'('t'(44,Expiration Date:
on -Discharge UIC
PDES Other
YPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
k❑ Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit):
Date sample collected: C. (`i ` Z3
FIELD ANALYSES:
WAS
Well Depth: Z3 ft.
Well Diameter: in.
pH ooaoo: 56 units
Temp. 00010: l`j °C
DRY at
Depth to Water Level 82546: 7•5 ft. below measuring point
Screened Interval: ft. to _ft.
Spec. Cond. 000sa:
µMhos
time ofsampling,
Measuring Point is 3 ft. above land surface
Relative M.P. Elevation: ft.
Odor 000m:
check
Volume of water pumped/bailed before sampling: gallons
Appearance CLEAR
here:■
Samples for metals were collected unfiltered: N YES ❑ NO
and field acidified: ® YES ❑ NO
Date sample analyzed: 4/ 16 i Z 3r Q 1 S
9 5, G, l z 7(z3. til i >Laboratory Name: �i j Qo��,ui
4(,�[�L
Certification No.
PARAMETERS NOTE: Values should re e� c
d solved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615
mg/L
Pb - Lead o1o51 ug/L
Coliform: MF Fecal 31616
/100mL
Nitrate (NO3) as N 00620 t �ti
mg/L
Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665
mg/L
(NoteUse MPN method for highly turbid samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300
mg/L
Al - Aluminum 01105
mg/L
_(6w L lAKi,:SC -,kt 1j- �77
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 00680 i. + Co b
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 t
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
mg/L
Hg - Mercury 71900
ug/L
Lab Report Attached? ❑ Yes (1) ❑ No (0)
pecific Conductance 00095
µMhos
K - Potassium 00937
mg/L
VOC 7873 method #
Total Ammonia 0o6lo C
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
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%
i-W'),. G.J v-ICs 07'a CLvI'�23iL`1 -
Permittee (or Authorized Aqent) Name and Title - Please print or type Signature of a 'ttee (o uthorized (Date)
GW-59 Rev.06-07-2018

SUBMIT FORM ON YELLOW PAPER ONLY
• .
DEPARTMENT OF ENVIRONMENTAL QUALITY - DIV. OF WATER RESOURCES
GROUNDWATER QUALITY MONITORING:
INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
• • •
•
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617
FACILITY INFORMATION Please Print Clearly or Type
PERMIT Number:µlracxcoriy,b Expiration Date:
Facility Name: tGLv,y D r 7ACA�e, 4. �►
Non -Discharge UIC
Permit Name (if different):
NPDES Other
Facility Address: k 6b C (} y r � rr-L� S
�T
TYPE OF PERMITTED OPERATION BEING MONITORED
County �n,q �j�tl+pjJ
❑ Lagoon ❑ Remediation: Infiltration Gallery
(State) (Zy,
91 Spray Field ❑Remediation:
��
Contact Person: _...11 tjA);i `Z . Yo uA3 Cs
Telephone#: _yZ -5 3 `t - '3 Ss11
ElRotary Distributor ❑ Land Application of Sludge
Well Location/Site Name:(j),5-p�; W`,V its O_tica— MC►1)I 1 �i No. of wells to be sampled: C
❑Water Source Heat Pump El Other:
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): `'�
Date sample collected: 6 -14 -Z3
FIELD ANALYSES:
WAS
Well Depth: 3(.-, ft.
Well Diameter: 4 in.
pH 00400: " � units Temp. 000lo: cL- - °C
DRY at
Depth to Water Level 82546: ft. below measuring point Screened Interval: 346, ft. to
11�
ft. Spec. Cond. 000sa: µMhos
time ofsampling,
Measuring Point is 3 ft. above land surface
Relative M.P. Elevation: ft.
Odor 00085: NwJe
check
Volume of water pumped/bailed before sampling:
gallons
Appearance C-L.C_41R
here:❑
Samples for metals were collected unfiltered: 2 YES
❑ NO and field acidified: YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: c tviz� z t s Z3 xi
t 12 % Laboratory Name: +� Aq sOZuj AA.
ALYZYC44 _ Certification No. -`, 1
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L
Nitrite (NO2) as N 00615
mg/L Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616 /100mL
Nitrate (NO3) as N 00620 ,p�
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504 /100mL
Phosphorus: Total as P 00665
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 mg/L
Al - Aluminum of im
mg/L
pH (Lab) 00403 units
Ba - Barium 01007
ug/L
TOC 00680 1, j j mg/L
Ca - Calcium oo916
mg/L
Chloride 00940 I 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 mg/L
Hg - Mercury 71900
ug/L
Lab Report Attached? ❑ Yes (1) ❑ No (0)
pecific Conductance 00095 µMhos
K - Potassium 00937
mg/L
VOC 7873 method #
Total Ammonia 00610y v `j mg/L
Mg - Magnesium 00927
mg/L
method #
(Ammonia Nitrogen; NH3asN; Ammonia Nitrogen, Total)
Mn - Manganese o1o55
ug/L
method #
TKN as N 00625 mg/L
Ni - Nickel 01067
ug/L
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
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
DWR-certified laboratory. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations.
Permittee (or Authorized Agent) Name and Title - Please print or type Siqnature of Pe iftap (or A rized Agent),' (Date)
GW-59 Rev.06-07-2018

aUdtvtt i UMNI UN YCLLUVV rU04i r
DEPARTMENT OF ENVIRONMENTAL QUALITY - DIV. OF WATER RESOURCES
GROUNDWATER QUALITY MONITORING:
INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT NumberLuci C4 4(S Expiration Date:
Facility Name: ITOC.j J 'n �
C Ksn�
Non -Discharge UIC_
NPDES Other
Permit Name (if different):
Facility Address: 10b t 4ST 3i✓ %
-J S /
TYPE
OF PERMITTED OPERATION BEING MONITORED
❑Lagoon ElRemediation: Infiltration Gallery
S L z_7 County A6F,-Ft+AAAj277>i
"
92/Spray Field ❑ Remediation:
Contact Person: 614,J.")q G• YQJ-R,
Telephone#:
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name:
jk4 No. of wells to be sampled:
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION
WELL ID NUMBER (from Permit): 1
Date sample collected: (,,1 t 4 2
FIELD ANALYSES:
If WELL
WAS
Well Depth: 3,4_ft. —
Well Diameter: 4 in.
pH oo400: 3-S units Temp. 000lo: Z C °C
DRY at
Depth to Water Level 82546: Q. Q ft. below measuring point Screened Interval: 31 ft. to
I f ft.
Spec. Cond. 00094: µMhos
time of sampling,
Measuring Point is 3 ft. above land surface
Relative M.P. Elevation: ft.
Odor 00085: A DA;z
check
Volume of water pumped/bailed before sampling:
''✓• CJ-
gallons
Appearance CLr__ t
here: El
Samples for metals were collected unfiltered: ®
YES
❑ NO and field acidified: ON YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed:6�ty 5 Lll�lz3. G/1��23 io�Z71L3. LIfH�23
It
Laboratory Name: t w/_gYC)tjj-A
J,4LYTkA-1_ Certification No. 2.0 I
PARAMETERS NOTE: Values should reflect dissolvedd colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615
mg/L
Pb - Lead o1o51 ug/L
Coliform: MF Fecal 31616 L i
/100mL
Nitrate (NO3) as N 00620 U ` 7-7
mg/L
Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300
mg/L
All - Aluminum 01105
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 00680 k dR
mg/L
Ca - Calcium 00916
mg/L
Chloride oo94o �0 0
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total o1034
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 o1o45
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg/L
Hg - Mercury 71900
ug/L
Lab Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance 00095
µMhos
K - Potassium 00937
mg/L
VOC 7873 method #
Total Ammonia 00610 c `i
mg/L
Mg - Magnesium 00927
mg/L
method #
(Ammonia Nitrogen; NH3asN; Ammonia Nitrogen, Total)
Mn - Manganese 01055
ug/L
, method #
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%

NAA:3ypoint
ANALYTICAL
114 OAKIAONT DRIVE
GREENVILLE, NC 27858
TOWN OF JACKSON
P.O. BOX 614
JACKSON, NC 27845
.li
Drinking Water ID: 37715
Wastewater ID: 10
PHONE [phone]
FAX [phone]
ID#: 281
DATE COLLECTED: 06/14/23
DATE REPORTED : 06/30/23
�+'r
REVIEWED BY:,/��
Effluent
Well #1
Well #2
Well #7
Well #8
Analysis
Method
PARAMETERS
Date
Analyst
Code
BOD, mg/I
9.0
06/15/23
BNC
521OB-16
Fecal Coliform (MF), /100 Mls
1600
<1
<1
<1
<1
06/14/23
ADR
9222D-15
Total Suspended Residue, mg/1
<2.5
06/15/23
BLV
2540D-15
Ammonia Nitrogen as N, mg/I
1.95
0.08
0.33
0.07
0.05
06/16/23
TRJ
350.1 R2-�
Total lgeldahl Nitrogen as N,mg/1
6.04
Nitrate +Nitrite as N, mg/l (calc)
0.07
06/20/23
BMD
351.2 R2-S
Nitrate Nitrogen as N, mg/1
0.07
0.27
5.69
0.18
0.41
06/15/23
BMD
353.2 112-!
353.2 R2-�
Nitrite Nitrogen as N, mg/l
<0.02
Total 'hosphorus as P, mg/I
1.58
06/14/23
TRJ
353.2 112-�
Total )rganic Carbon, mg/1
3.09
1.40
2.68
06/20/23
AMC
365.4-74
Chloride, mg/1
35
1.60
06/27/23
HMV
5310C-14
Total )issolved Residue, mg/l
170
5
40
22
100
38
29
06/19/23
BNC
4500CLB-1
Total :Nitrogen, mg/l (calc)
6.11
120
77
06/15/23
ADR
D5907-13

x F
W'EllypointT
ANALYTICAL
14 OAKMO NT DRIVE
aREENVIL..E, NC 27858
TOWN OF JACKSON
P.O. BOX 614
JACKSON, NC 27845
Drinking water ID: 37715
Wastewater ID: 10
PHONE [phone]
FAX [phone]
ID#: 281
DATE COLLECTED: 06/14/23
DATF REPORTED : 06/30/23
REVIEWED BY:
Well t/9
WWII N10
Analysis
Method
PARAMETERS
Date
Analyst
Code
Fecal C oliform (MF), /100 Mls
< 1
< 1
06/14/23
ADR
9222D-15
Ammonia Nitrogen as N, mg/I
<0.04
<0.04
06/16/23
TRJ
350.1 112-93
Nitrate Nitrogen as N, mg/I
4.03
0.27
06/15/23
BMD
353.2 R2-93
Total C rganic Carbon, mg/l
1.57
1.94
06/27/23
HMV
531OC-14
Chlorid 3, mg/I
47
22
06/19/23
BNC
4500CLB-11
Total Cissolved Residue, mg/l
130
100
06/15/23
ADR ^
D5907-13