WQ0000484_Monitoring - 12-2023_20240130

Monitoring Report Submittal
.....................................................
Permit Number#* WQ0000484
Name of Facility:*
Month: * December
Report Information
Type *
G W-59
Mountaire Farms Inc
Confirmation Email Address: *
Name of Submitter: *
Signature:
Date of submittal:
Initial Review
Year:* 2023
Upload Document*
GW 59' s.pdf 12.42MB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
[e-mail]
Robert Jackson
Reviewer: Wanda.Gerald
1 /30/2024
This will be filled in automatically

Is the project number correct?* WQ0000484
Is the monitoring report accepted?* Yes No
Regional Office* Fayetteville
Reviewer: _anonymous
Review Date: 3/8/2024

GW-59A COMPLIANCE REPORT FORM Permit #
(Submil one each monitoring period with Gii -59 forms.)
Enter date monitoring results were due. ( - ) - Will this monitoring report (GW-59 and GW-59A)
1 F:`
N*()
be submitted after the established due date?
N'as an)required information missing ion the C%%-59 mport Forms? - -- -- -- -- - -- ---
2
1 Fa
\U
IF the answer to question f c 1 s "YES ", list in the space provided below the well identification number(s) and
explain the problems encountewd in obtaining the required information.
3
Are any of the monitor %%ells in need of repair or maintenance (damaged casing, unlocked or mi%%ing cap, missing
1 F.ti
O
identification plate, area no ergrim n, etc.)*! (/ Ifh' aiwr'r- A ')(-.% ". ("milact the Il(',g a ffil Olth a for gui,latwe,
d
Are any monitored constituents equal to or above the established standards?
If the answer to question 4 is "NO", skip to section 8.
If the answer to question 41s "YES" list the affected wells individually with constiluent(s) and concentrations)
exceeding standards in the space provided below:
5
For the constituents identified In question 4 above, have standards been exceeded previously for the
same constituent(s) in the same well(s) in the last two years?
If 1ho answer to question 5 is -NO'. skip to soctron 8
It the answer to question 5 is "YES", list in the space provided below. each well with constituent(s) exceeding
standards. concentration(s) reported, and sample collection date for each occurrence (for the last two years)
b
Are the monitoring wells listed in section b located at or beyond the review boundary?
1 E.'
N,0
If the answer is "YES", a groundwater quality problem may be occurring. CONTACT THE REGIONAL
OFFICE IMMEDIATELY FOR GUIDANCE, If the answer Is "NO", monitoring wells may be Improperly
located; contact the Regional OKice.
7
Is the petmittee Implementing previously approved actions required by the Division Involving this
F..,
NO
groundwater quality problem?
---
-- e— -- ---- -- - 'a - -,- — — --- - ----- -—
!f the answer to question 7 is "YES". describe those actions in the space provided below
if the answer to question 7 is "NO", contact the Regional Office within 90 days; an evaluation may be
required to determine the Impact the waste disposal system is having at the review and compliance
boundaries surroundinq this facility. Failure to do so may subloct the permitteo to a Notice of Violation
fines, and/or penalties.
�l� s' �► n 5-� � �.lt�� rJ '
g
The person comptoting this portlon (G W--59A) of the monitoring report should sign below and submit this
form with G W-59 forms for required wells to the address provided at the top of the current G W-59 form.
1 hereby acknowledge that the above information was evaluated and the Information submitted In this
report (Compliance Report GW-59A) Is true and complete to the best of my knowledge.
Signature o Pormittoo or thorizod Agent) pate
(AN-59A 12/8/21103

SUBMIT FORM ON YELLOW PAPER ONLY
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 P:easePdntCleartyorType
PERMIT Number: N/00000484 Expiration Date: 09/30/2030
Facility Name: Mountaire Farms of North Carolina
Non -Discharge X UIC
NPDES Other
Permit Name (if different):
Facility Address: 17269 NC Hwy 71N
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon
g ❑Remediation: Infiltration Gallery
Lumber Bridge NC 28357-0339 County Robeson
L7 Spray Field ❑ Remediation:
Contact Person Robert Jackson
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Mountaire Inner and Outer Perimeter Spray Fields No. of wells to be sampled:
29
❑ Water Source Heat Pump ❑ Other:
(from P-1)
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-8
Date sample collected: 12115/2023
FIELD ANALYSES:
WAS
Well Depth: I Co ft.
Well Diameter 2
in
pH 00400 units Temp Ccoto °C
DRY at
Depth to Water Level e2546: ft. below measuring point Screened Interval-
ft to
ft. Spec Cond. 00094 )iMhos
time of
Measuring Point is ft. above land surface
Relative M.P. Elevation:
ft.
Odor 00085.
sampling,
check
Volume of water pumped/bailed before sampling:
gallons
Appearance
here:
Samples for metals were collected unfiltered: ❑ YES
NO and field acidified: ❑ YES
■❑ NO
LABORATORY INFORMATION
Date sample analyzed.
Laboratory Name Cameron Testing Services
Certification No. 654
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD OJ335 mg/L
Nitrite (NO..) as N oo615
mg/L
Pb - Lead o1o51 ug/L
Cohform: MF Fecal 31616 /100mL
Nitrate (NO,) as N 00520
mg/L
Zn - Zinc 01092 mg/L
Coliform: MF Total 31504 /100mL
Phosphorus: Total as P 00665
mg/L
(Note. Use N1PN method for highly turbid samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 mg/L
At - Aluminum 01105
mg/L
pH (Lab) 00403 units
Ba - Barium 01007
ug/L
TOC OC680 mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 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)
Specific Conductance o0o95 )1Mhos
K - Potassium 00937
mg/L
VOC 16732 method # EPA 8260D/5030B
Total Ammonia oo6lo rTlg/L
Mg - Magnesium 00927
mg/L
method #
(Anvnwna Nitrogen; NH,asN; Ammonia Nitrogen. Total)
Mn - Manganese 01055
ug/L
method #
TKN as N 00625 mg/L
Ni - Nickel 01067
ug/L
method #
I -or Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
Marcus Bell, Director of Processing
Perminee (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev 2/2010

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
WDE
PARTMENT OF ENVIRONMENT 8 NATURAL RESOURCES
VISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
17 MAIL SERVICE CENTER, RALEIGH, NC 27699.1617 Phone: [phone]
FACILITY INFORMATION Please Pnnl C/eadyorType
PERMIT Number: W00000484 Expiration Date: 09/30/2030
Facility Name: Mountaire Farms of North Carolina
Non -Discharge X UIC
Permit Name (if different):
NPDES Other
Facility Address: 17269 NC Hwy 71N
TYPE OF PERMITTED OPERATION BEING MONITORED
Lumber Bridge NC 28357-0339 County Robeson
❑ Lagoon ❑ Remediation: Infiltration Gallery
M Spray Field ❑ Remediation:
Contact Person: Robert Jackson
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Mountaire Inner and Outer Perimeter Spray Fields No. of wells to be sampled: 29
❑ Water Source Heat Pump ❑ Other:
(from Perrtnr)
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-14
Date sample collected: 12/15t2023
FIELD ANALYSES:
WAS
Well Depth: 20.0 ft.
Well Diameter: 2 in.
pH o0400: 4.29 units Temp. 000lo: 18.0 °C
DRY at
Depth to Water Level 82546: 14.0 ft. below measuring point Screened Interval: ft. to
ft. Spec. Cond. 00094: µMhos
time of
Measuring Point is 3.2 ft. above land surface
Relative M.P. Elevation: ft.
Odor 00085:
sampling,
check
Volume of water pumped/bailed before sampling: 3.00
gallons
Appearance clear
here:❑
Samples for metals were collected unfiltered: ❑ YES
NO and field acidified: ❑ YES M❑ NO
LABORATORY INFORMATION
Date sample analyzed: 12115.12/27/23
Laboratory Name: Cameron Testing Services
Certification No. 654
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 <1 /10omL
Nitrate (NO3) as N 00620 10.8
mg/L
Zn - Zinc 01092 mg/L
Coliform: MF Total 31504 /100mL
Phosphorus: Total as P Doss 0.078
mg/L
(Note Use MPN rredad fortvghty hrCrd samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 138 mg/L
At - Aluminum ollo5
mg/L
pH (Lab) 00403 units
Ba - Barium 01007
ug/L
TOC 00680 <1.00 mg/L
Ca - Calcium 00916
mg/L
Chloride oomo 30.1 mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002 ug/L
Chromium: Total oitim
ug/L
Grease and Oils 00552 mg/L
Cu - Copper 01042
mg/L
ORG1 N. S: (by GC, GC/MS, HPLC)
Phenol 32730 ug/L
Fe - Iron 01045
ug/L
(Specay lest and method #. ATTACH LAB REPORT.)
Sulfate 00945 mg/L
Hg - Mercury 71900
ug/L
Lab Report Attached? N Yes (1) ❑ No (0)
Specific Conductance 00095 µMhos
K - Potassium 00937
mg/L
VOC 78732: method # EPA 8260D/5030B
Total Ammonia oo6lo <1.00 mg/L
Mg - Magnesium oo927
mg/L
method # -
(knrnorva Nitrogen; NHjas N. Ammonia Nitrogen, Toth)
Mn - Manganese o1o55
ug/L
, method #
TKN as N 00625 mg/L
Ni - Nickel 01067
ug/L
method #
r-or Kemeatation systems only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
Marcus Bell, Director of Processing
Permittee (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev.2/2010

StIRMIT FORM nmyFl I r1W PGPGR rinn v
GROUNDWATER QUALITY MONITORING:
• •
DEPARTMENT OF ENVIRONMENT 8 NATURAL RESOURCES
COMPLIANCE REPORT FORM
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
1817 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION Aease Print Clearly or Type
PERMIT Number: W00000484 Expiration Date 0913012030
Facility Name: Mountaire Farms of North Carolina
Non -Discharge X UIC
NPDES Other
Permit Name (if different):
Facility Address: 17269 NC Hwy 71N
TYPE OF PERMITTED OPERATION BEING MONITORED
❑Lagoon ❑Remediation: Infiltration Gallery
Lumber Bridge NC 28357-0339 Count Robeson
y
0 Spray Field ❑ Remediation:
Contact Person: Robert Jackson
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Mountaire Inner and Outer Perimeter Spray Fields No. of wells to be sampled: 29
❑ Water Source Heat Pump ❑ Other:
(from Pcrmnl
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-15
Date sample collected. 12.r15/23
FIELD ANALYSES:
WAS
Well Depth: 12.0 ft.
Well Diameter: 2 in
pH m400 4.54 units Temp. oomo: 17.3 `'C
DRY at
Depth to Water Level 82546: 12.4 ft. below measuring
point Screened Interval: ft
to
Spec. Cond. 00094. µMhos
time of
Measuring Point is 4.0 ft. above land surface
Relative M.P. Elevation:
_ft.
ft.
Odor 00085:
sampling,
check
Volume of water pumped/bailed before sampling: 1.25 gallons
Appearance
here:
for metals were collected unfiltered. ❑ YES
X NO and field acidified: El YES 0 NO
El
LABORATORY INFORMATION
Date sample analyzed: 12r15-12/27!23
Laboratory Name: Cameron Testing Services
Certification No. #654
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L
Nitrite (NO2) as N 00615
mg/L
Pb - Lead olo51 ug/L
Coliform MF Fecal 31616 <1 /100mL
Nitrate (NO,) as N 00620 9,92
mg/L
Zn - Zinc 01092 mg/L
Coliform: MF Total 31504 /100mL
Phosphorus: Total as P o0665 0.378
mg/L
(Note Use MPN rr*Mod for h:gh,y turbid samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
)Issolved Solids:Total 70300 212 mg/L
At - Aluminum olto5
mg/L
pH (Lab) 00403 units
Ba - Barium 01007
ug/L
TOC omao 2.98 mg/L
Ca - Calcium oo916
mg/L
Chloride 00940 62.1 mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002 ug1L
Chromium: Total 01034
ug/L
Grease and Oils 00552 mg/L
Cu - Copper 01042
mg1L
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? IN Yes (1) ❑ No (0)
pecific Conductance 00095 IlMhos
K - Potassium 00937
m /L
g
VOC iW3r ,method # EPA 8260D/5030B
Total Ammonia o06io <1.00 mg/L
Mg - Magnesium 00927
mg/L
method #
(Ammonia Nitrogen. NHS as N: Ammonia Nitrogen. Total)
Mn -Manganese oloss
uglL
method #
TKN as N 00625 mg/L
Ni - Nickel 01067
ug/L
method #
V1 r.arrrcurauvrl oybiemb umy tHttacn Lai) rteports): Influent Total VOCs mg/L Effluent Total VOCs: mg/L VOC Removal%
Marcus Bell. Director of Processing
Permittee (or Authonted Agent) Name and Title - Please print or type
GW-59 Rev.212010

SI IRMIT FnRM r1N VFI I nw PGPP:P nm v
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
FACILITY INFORMATION phfase:
Facility Name: Mountaire Farms of North Carolina
Permit Name (if different).
Facility Address: 17269 NC Hwy 71 N
Lumber Bridge NC
or
28357-0339 County
Robeson
(Contact Person: Robert Jackson Telephone#: [phone]
Well Location/Site Name: Mcuntaire Inner and Outer Perimeter Spray Fields No. of wells to be sampled: 29
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
DIVISION OF WATER QUALITY -INFORMATION
PROCESSING UNIT
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
PERMIT Number: W00000484
Expiration Date: 09/30/2030
Non -Discharge X
UIC
NPDES
Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon
❑ Remediation: Infiltration Gallery
0 Spray Field
❑ Remediation:
❑ Rotary Distributor
❑ Land Application of Sludge
❑ Water Source Heat Pump
❑ Other:
WELL ID NUMBER (from Permit): MW-18 Date sample collected 12/15123
Well Depth10.0 ff. Well Diameter: 2 in.
Depth to Water Level 82546: ft below measuringtime
point Screened Interval: ft. to ft.
Measuring Point is 3.0 ft. above land surface Relative M.P. Elevation: ft.
Volume of water pumped/bailed before sampling: gallons
Samples for metals were collected unfiltered: ❑ YES n NO and field acidified: ❑ YES U NO
FIELD ANALYSES:
pH 00400 units Temp. 000lo °C
Spec. Cond. 000sa µMhos
Odor 00085
Appearance
If WELL
WAS
DRY at
of
sampling,
check
here
LABORATORY INFORMATION
Date sample analyzed
Laboratory Name: Cameron Testing
Services
Certification No. 654
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 (NOS) as N 00620
mg/L
Zn - Zinc 01092 mg;L
Coliform MF Total 315c4
/100mL
Phosphorus: Total as P oo665
mg/L
(Note Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
Dissolved Solids:Total 70300
mg/L
Al - Aluminum 01105
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 00680
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940
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
ug1L
Lab Report Attached? 107 Yes (1) ❑ No (0)
Specific Conductance 00095
fiMhos
K - Potassium 00937
mg/L
VOC 78732 method # EPA 8260D/5030B
Total Ammonia oo610
mg/L
Mg - Magnesium 00927
mg/L
method #
(AriTno'va Nnrogen. NH,as N. Ammonia Nitrogen Total)
Mn - Manganese otoss
tIgIL
,method #
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L
method #
— ..­rr..,rMrutt oyzster115 vnfy tHttacn Lao Keports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
Agent)
GW-59 Rev.2/2010

GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
FACILITY INFORMATION Please Print Clearly or
Facility Name: Mountaire Farms of North Carolina
Permit Name (if different):
Facility Address: 17269 NC Hwy 71N
Lumber Bridge NC 28357-0339
ovorvu i runlw UIN 7tL VV 'AI'tK UNLY
County Robeson
Contact Person: Robert Jackson Telephone#: [phone]
Well Location/Site Name: Mountaire Inner and Outer Perimeter Spray Fields No. of wells to be sampled 29
DEPARTM ENT OF ENVIRONMENT & NATURAL RESOURCES
DIVISION OF WATER QUALITY -INFORMATION
PROCESSING UNIT
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
PERMIT Number: W00000484
Expiration Date: 09/30/2030
Non -Discharge X
UIC
NPDES
Other
TYPE OF PERMITTED OPERATION
BEING MONITORED
U Lagoon
❑ Remediation Infiltration Gallery
Spray Field
❑ Remediation:
❑ Rotary Distributor
❑ Land Application of Sludge
❑ Water Source Heat Pump
❑ Other:
WELL ID NUMBER (from Permit): MW-19
Date sample collected 12/15/23
FIELD ANALYSES:
If WELL
WAS
Well Depth: 12.8 ft.
Well Diameter. 2 in
pH o0400 5.88 units Temp. 000io. 13.9 °C
DRY at
Depth to Water Level 82546: 10.5 ft, below measuring point
Screened Interval: ft to
ft. Spec. Cond 00094 IiMhos
time of
MeasuringPoint is 3.3 ft. above land surface
Relative M.P. Elevation: ft.
Odor 000as
sampling,
Volume of water pumped/balled before sampling: 1.0 gallons
Appearance clear
check
Samples for metals were collected unfiltered. ❑ YES [] NO
and field acidified: ❑ YES n NO
here ❑
Date sample analyzed: 1215-12J27723
Laboratory Name.
Cameron Testing Services Certification No. 654
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO,) as N oo615
mglL
Pb -Lead 01os1 uglL
Colifonn: MF Fecal 31616 -1
/100mL
Nitrate (NO,) as N 00620
448 mg/L
Zn - Zinc 01092 m9 /L
Coliform: MF Total 31504
/10omL
Phosphorus: Total as P 00665
<0.050 mg/L
(Note Use MPN n)ethod for nighly turbid samp!es)
Orthophosphate 705c7
mgiL
Other (Specify Compounds and Concentration Units):
solved Solids:Total 70300 61.0
mg/L
Al - Aluminum o1lo5
mg/L
pH (Lab) OD403
units
Ba - Barium 01007
ug/L
TOC 00680 2.32
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 <1 00
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
pMhos
K - Potassium 00937
mg/L
VOC 78732 method # EPA8260D/5030B
Total Ammonia 00610 <1.00
mg/L
Mg - Magnesium 00927
mg/L
method #
(Arrmonia Nitrogm en NH, N. Aeonia Nitrogen. Total)
Mn - Manganese 01055
ug/L
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L
, method #
method #
For Rpmprlintinn C­to...o ti-i- rAr.... r — n
-r �•-w• errow. 1ng1L tmuent Iota1 vOCs: mg/L VOC Removal%
Marcus Bell, Director of Processing
,u
Permittee (or Authorized Agent) Name and Title Please print or type Siq azure of
GW-59 Rev.2/2010
/-Lf-z
(Dale)

GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
Facility Name. Mountaire Farms of North Carolina
Permit Name (if different):
Facility Address: 17269 NC H
Lumber Bririne
71N
SUBMIT FORM ON YELLOW PAPER ONLY
or Type
NC 28357-0339 County
Robeson
Contact Person: Robert Jackson Telephone# [phone]
Well Location,'Site Name r Ioun:aire Inner and Outer Perimeter Spray Fields No. of wells to be sampled: 29
(DEPARTMENT OF ENVIRONMENT 8 NATURAL RESOURCES
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER, RALEIGH. NC 27699-1617 Phone: [phone]
PERMIT Number: WQ0000484 Expiration Date: 09'30/2023
Non -Discharge x UIC
NPDES Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
0 Spray Field ❑ Remediation:
J Rotary Distributor ❑ Land Application of Sludge
Water Source Heat Pump ❑ Other:
WELL ID NUMBER (from Permit): MW-20
Date sample collected: 12/15/23
FIELD ANALYSES:
If WELL
Well Depth: 11.0 ft.
Depth to Water Level 82546: 8.8
Well Diameter: 2 in.
PH 00400. 6.60 units Temp. 000lo: 16-0 °C
WAS
DRY at
ft. below measuring point
Measuring Point is 35
Screened Interval: ft to
ft Spec. Cond 00094 µMhos
time of
ftabove land surface
Relative M.P. Elevation. ft.
Odor 000s5
sampling,
Volume of water pumped/bailed before sampling: 1.0 gallons
check
Samples for metals were collected unfiltered: ❑YES [] NO
and field acidified. ❑YES Al
Appearance clear
here:
❑
LABORATORY INFORMnTInn1
NO
Uate sample analyzed: 12/15-12127123 Laboratory Name Cameron Testing Services
PARAMETERS NOTE: Values should reflect dissolved
Certification No. 654
COD 00335
and colloidal concentrations.
Coliform: MF Fecal 31616
mg/L
Nitrite (NO2) as N oo615
mg/L
Pb -lead o1o51 ug/L
<1
/100mL
Nitrate (NO,) as N 00620 <1.00
mg/L
Zn - Zinc 01092 m /L
9
Coliform: MF Total 31504
(No;e Use
/100mL
Phosphorus: Total as P ocs65 15.8
mg/L
MPN method for highly turbid samples)
issolved Solids:Total 70300 350
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
mg/L
At - Aluminum 01105
mg/L
PH (Lab) 00403
units
Ba -Barium 01007
ug/L
TOC oo68o 14.8
mg/L
Ca - Calcium 00916
mg!L
Chloride oo94o 62.1
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
Sulfate 00945
ug/L
Fe - Iron o1o45
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
0ecific Conductance 0009s
mg/L
µMhos
Hg - Mercury 71900
ug/L
Lab Report Attached? © Yes (1) ❑ No (0)
Total Ammonia ooslo <1.00
K - Potassium 00937
mg/L
VOC 78732 method # EPA 8260M5030B
(Anunon:a NMogen NH3as N. Ammonia Nitrogen, Total)
mg/L
Mg -Magnesium 00927
m /L
9
, method #
TKN as N 00625
Mn - Manganese oloss
ug/L
method #
mg!L
Ni - Nickel 01067
ug/L
,method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: m /L Fffl t T
9
Marcus Bell, Director of Processing
Permittee (or Aulh'r'zMJ Agent) Name and Tdle - Please print or type
GW-59 Rev.2/2010
uen otal VOCs. mg/L

GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
FACILITY INFORMATION PleasePnnt
Facility Name: Mountaire Farrns of North Carolina
Permit Name (if different): _
Facility Address 17269 NC
Lumber Bridge
fill
SUBMIT FORM ON YELLOW PAPER ONLY
or Type
NC 28357-0339 County Robeson
ntact Person. Robert Jackson
!II Location/Site Name: Mountaire Inner and Outer Perimeter Spray Fields
Telephone#. [phone]E
No. of wells to be sampled: 29
DEPARTMENT OF ENVIRONMENT& NATURAL RESOURCES
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
PERMIT Number: W00000484 Expiration Date: 09/30/2030
Non -Discharge X UIC
NPDES Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
aAMruNG INFORMATION
WELL ID NUMBER (from Permit): MW-24 Date sample collected: 12/15/23
Well Depth: 15.0 ft. Well Diameter: 2 in.
Depth to Water Level e2546 14.6 ft. below measuring point Screened Interval: ft. to ft.
Measuring Point is 3.1 ft. above land surface Relative M.P. Elevation: ft.
Volume of water pumped/bailed before sampling: 1.50 gallons
Samples for metals were collected unfiltered: ❑ YES
Al NO and field acidified: ❑ YES NO
LABORATORY INFnt7tulAnnr.,
uate sample analyzed 12115-IZ27rz3 Laboratory Name: Cameron Testing Services
PARAMETERS NOTE: Values should reflect dissolved
COO oo33s
and colloidal concentrations.
Coliform: MF Fecal 3161e
mg/L
Nitrite (NO;) as N oo615
mg/L
< 1
/100mL
Nitrate (NO3) as N 00620 2,06
mg/L
Coliform: MF Total 31504
INote Use MPN method for highly turbo
/100mL
Phosphorus: Total as P o0665 0.431
mg/L
samples)
Orthophosphate 70507
mg/L
)issolved Solids:Total 7030o 32.0
mg/L
At - Aluminum o11os
L
PH (Lab) 00403
units
Ba -Barium o1o07
ug/
ug/L
TOC 00680 1.46
mg/L
Ca - Calcium oo916
mg/L
Chloride 00940 <1 00
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
Phenol 32730
ug/L
Fe - Iron 01045
ug/L
Sulfate 00945
mg/L
Hg - Mercury 71900
u9 /L
pecific Conductance 00095
)IMhos
K - Potassium 00937
mg/L
Total Ammonia 00610 <1.00
(Ammonia Nitrogen. NH, as N. Ammon,s Mtmgon,
mg/L
Mg - Magnesium 00927
m /L
9
Totaq
Mn -Manganese gloss
uglL
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs:
Marcus Bell, Director of Processing
Permittee (o( Authorized Agent) Name and Tdle - Please print or type
GW-59 Rev.22010
FIELD ANALYSES:
PH 00400 4.69 units
Spec. Cond. 00094:
Odor 00085:
Appearance clear
Temp. 000lo 19.3 °C
"Mhos
Certification No. NC DENR #654
Pb - Lead 01051 ug/L
Zn - Zinc 01092 mgiL
Other (Specify Compounds and Concentration Units):
ORGANICS: (by GC, GC/MS, HPLC)
(Specify test and method #. ATTACH LAB REPORT.)
Lab Report Attached? 0 Yes (1) ❑ No (0)
VOC 78732 method # EPA 8260D150306
method #
method #
method #
mg/L Effluent Total VOCs:
(or Kuthonzed Agent)
mg/L VOC Removal%
If WELL
DRY at
time of
sampling,

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
FACILITY INFORMATION Pleas -7P-, tClearlyor
icility Name: tilountaire Farms of North Carolina
armit Name (if different).
cilityAddress: 17269 NC Hwy 71N —
Lumber Bridge NC 28357-0339 County Robeson
Contact Person: Robert Jackson Telephone#: [phone]
Well Location/Site Name: Mountaire Inner and Outer Perimeter Spray Fields No. of wells to be sampled:
29
thorn P_ .'
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699.1617 Phone: [phone]
PERMIT Number: W00000484 Expiration Date- 09/30/2030
Non -Discharge X UIC
NPDES Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
U Water Source Heat Pump ❑ Other:
WELL ID NUMBER (from Permit): MW-25 Date sample collected: 12/15/23
Well Depth. 18.0 ft
Well Diameter: 2 in.
Depth to Water Level 82546 13.4 ft, below measuring point Screened Interval: ft. to —ft,
Measuring Point is 2.9 ft. above land surface Relative M.P. Elevation: ft
Volume of water pumped/bailed before sampling: 1.87 gallons
Samples for metals were collected unfiltered: ❑ YES
NO and field acidified: ❑YES NO LABnPATr) a Im—m.—A.
Date sample analyzed: 12115-12127123 Laboratory Name: Cameron Testing Services
PARAMETERS NOTE: Values should reflect dissolved
COD oo335
and colloidal concentrations.
Coliform: MF Fecal 31616
mg/L
Nitrite (NO2) as N oc615
mg/L
<1
/100mL
Nitrate (NO3) as N 00620 5.22
mg/L
Coliform: MF Total 31504
pNcte Use MPN method for highly turbid
/1 OOmL
Phosphorus Total as P 00665 <0.050
mg/L
samples I
Orthophosphate 70507
m /L
g
ussolved Solids:Total 70300 151
mg/L
At -Aluminum o11D5
mg/L
pH (Lab) C0403
units
Ba - Barium 01007
ug/L
TOC oo68o 1.72
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 23.2
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium Total 01034
ug/L
Grease and Oils 00552
mg/L
Ctl - Copper 01042
rn /L
g
Phenol 32730
uglL
Fe -Iron oloas
uglL
Sulfate 00945
mg/L
Hg - Mercury 71900
u /L
g
Decific Conductance 00095
NMhos
K -Potassium 00937
mg/L
Total Ammonia oo6lo <1.00
(Anmwnm Nitrogen, NH,as N. Ammotna Nitrogen. Totary
mg/L
Mg -Magnesium 0o9z7
mg/L
Mn - Manganese o1o5s
ug/L
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L
For Remediation Systems Only (Attach Lab Reports):
Marcus Bell. Director of Processing
Permdtee (or Authorized Agent) Name and Title -Please pnnt or type
GW-59 Rev.212010
Influent Total VOCs:
FIELD ANALYSES:
pH 00400. 6.05 units
Spec. Cond. 00094
Odor 00085.
Appearance dear
If WELL
WAS
Temp. 000lo: 18.7 °C DRY at
uMhos time of
Certification No. 654
Pb - Lead o1o51 ug/L
Zn - Zinc 01092 mg/L
Other (Specify Compounds and Concentration Units):
ORGANICS: (by GC, GC/MS, HPLC)
(Specify test and method #. ATTACH LAB REPORT.)
Lab Report Attached? IN Yes (1) ❑ No (0)
VOC 73132. method # EPA 8260D/5030B
method #
method #
method #
mg/L Effluent Total VOCs: mg/L VOC Removal
of Permittee (or
check
here: ❑

(GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
FACILITY INFORMATION PloaseF
Facility Name: Mountaire Farms of North Carolina
Permit Name (if different):
Facility Address: 17269 NC Hw
Lumber Bridge
71N
SUBMIT FORM ON YELLOW PAPER ONLY
or
NC 28357-0339 County Robeson
Contact Person Robert Jackson Telephone#. [phone]
Well Location/Site Name: Mountaire Inner and Outer Perimeter Spray Fields
No. of wells to be sampled: 29
SAMPLING INFORMATION
WELL ID NUMBER (from Permit): MW-28
Well Depth: 15.0 ft.
Depth to Water Level 82546: 16.3 ft. below measuring point
Measuring Point is 3 ft. above land surface
Volume of water pumped/bailed before sampling: 0.5 gallon
Samples for metals were collected unfiltered: ElYES [NJ NO
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phono: [phone]
PERMIT Number: VV00000484 Expiration Date. G9'30/2030
Non -Discharge x UIC
NPDES Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
0 Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
Date sample collected: 12/15/23
Well Diameter: 2 in.
Screened Interval: ft. to ft.
Relative M.P. Elevation: ft.
and field acidified. ❑ YES ■❑ NO
Uate sample analyzed:
Laboratory Name Cameron Testing Services
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 03335
Coliform: MF Fecal 31616
mg/L
Nitrite (NO2) as N 00615
mg/L
1100n)L
Nitrate (NO,) as N 00620
mg/L
Coliform: MF Total 31504
(Note Use MPN memoo for hi hf turbid
9 r samples)
/100mL
Phosphorus: Total as P oo665
mg/L
lissolved Solids:Total 70300
Orthophosphate 70507
m /L
g
mg/L
At -Aluminum o11as
mglL
PH (Lab) 00403
units
Ba -Barium 01007
uglL
TOC 00680
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total 01034
unn
Grease and Oils oossz
mg/L
Cu - Copper 01042
Phenol 32730
ug/L
Fe - Iron 01045
n
uglL
Sulfate 00945
mg/L
Hg - Mercury 71900
u /L
g
pecific Conductance 00095
uhlhos
K -Potassium 00937
mg/L
Total Ammonia 000lo
(Ammonia mirogen. Nfl,as N: Amnonia Nitrogon, Iotap
mg/L
Mg - Magnesium 00927
mg/L
Mn -Manganese 01055
ug/L
TKN as N C0625
mg/L
Ni - Nickel 01067
ug1L
For Remediation Systems Only (Attach Lab Reports)
Marcus Bell, Director of Processing
Permittee (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev.2/2010
Influent Total VOCs.
If WELL
FIELD ANALYSES:
WAS
PH o0400. units Temp. 000lo: °C
DRY at
Spec. Cond. 00094 µMhos
time of
Odor 000ss
sampling,check
Appearance
here: z
Certification No. 654
Pb - Lead 01051 ug/L
Zn - Zinc 01092 mg/L
Other (Specify Compounds and Concentration Units):
ORGANICS: (by GC, GC/MS, HPLC)
(Specify test and method #. ATTACH LAB REPORT.)
Lab Report Attached? ❑ Yes (1) Al No (0)
VOC 78732 method # EPA 8260D15030B
method #
method #
method #
Pffl, ,� T—t 11nn,.. .-

(GROUNDWATER QUALITY MONITORING:
f COMPLIANCE REPORT FORM
FACILITY INFORMATION Please
Facility Name: Mountaire Farms of North Carolina
Permit Name (if different):
Facility Address. 17269 NC Hw
Lumber Bridae
71N
SUBMIT FORM ON YELLOW PAPER ONLY
or
NC 28357-0339 County Robeson
ltact Person: Robert Jackson Telephone#: [phone]
II Location/Site Name: hlountaire Inner and Outer Perimeter Spray Fields No. of wells to be sampled: 30
ULPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER, RALEIGH. NC 27699.1617 Phone: [phone]
PERMIT Number: W00000484 Expiration Date: 09/30/2030
Non -Discharge X UIC
NPDES Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
0 Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
WELL ID NUMBER (from Permit): PAVV-29 Date sample collected: 12/15/23
Well Depth. 19.8 ft.
Well Diameter: 2 in.
Depth to Water Level 82546 13.4 ft. below measuring point Screened Interval: ft- to ft.
Measuring Point is 2.3 ft. above land surface Relative M.P. Elevation: ft,
Volume of water pumped/bailed before sampling: 3.00 gallons
Samples for metals were collected unfiltered: ❑ YES
LARnRATrlav t�rcno■■.r�.... �] NO and field acidified: ❑YES W NO
Date sample analyzed: 1215-12.,2J;23 Laboratory Name: Cameron Testiny Services
PARAMETERS NOTE: Values should reflect dissolved
COD 00335
and colloidal concentrations.
Coliform: MF Fecal 31616
mg/L
Nitrite (NOZ) as N oo615
mg/L
<1
/100mL
Nitrate (NO3) as N 00620 26.4
m9 /L
Coliform: MF Total 31504
(Noce Use MPN method for highly turbid samples)
/100mL
Phosphorus: Total as P 00665 1,81
mg/L
Orthophosphate 70507
mg/L
issclved Solids:Total 70300 415
mg/L
At -Aluminum o11os
mg/L
PH (Lab) 00403
units
Ba -Barium 01007
ug/L
TOC 00680 1.69
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 U0552
mg/L
Cu - Copper 01042
_
m /L
g
Phenol 32730
u9/L
Fe -Iron oleos
ug/L
Sulfate 00945
mg/L
Hg - Mercury 71900
u IL
g
)eciffc Conductance 00095
uMhos
K -Potassium 00937
Total Ammonia oo6lo <1 00
mg/L
M- Magnesium oio55
mg/L
.ammonia Nitrogen. Nlt,as N; Amrrgnia Nitrogen, Total)
mg/L
Mn -Manganese oloss
ug/L
TKN as N G0625
mg/L
Ni - Nickel 01067
uglL
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs:
mg/L
Marcus Bell, Director of Processing
Permittee (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev.2/2010
FIELD ANALYSES:
PH ooaoo 4.31 units
Spec. Cond. 00094:
Odor 000a5
Appearance
Temp. oriole 18,1 `C
uMhos
Certification No. 654
Pb - Lead 01051 ug/L
Zn - Zinc 01092 mg/L
Other (Specify Compounds and Concentration Units):
ORGANICS: (by GC, GC/MS, HPLC)
(Specify test and method #. ATTACH LAB REPORT.)
Lab Report Attached? Al Yes (1) ❑ No (0)
VOC 76732 method # EPA 826OD15030B
method #
method #
method #
Effluent Total VOCs: mg/L
-Z f-L
(or Authorized Agent)
VOC Removal%
(Dale)
If WELL
DRY at
time of
sampling,
ere: ❑

GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
Facility Name: klountaire Fares of North Carolina
Permit Name (if different):
Facility Address: 17269 NC Hwy 71 N
Lumber Bridge
SUBMIT FORM ON YELLOW PAPER ONLY
Print Clearly or 7ype
NC 28357-0339 County Robeson
Contact Person: Robert Jackson Telephone#: [phone]
Well Location/Site Name: tilountaire Inner and Outer Perimeter Spray Fields No. of wells to be sampled:
30
, Pear:
DEPARTMENT OF ENVIRONMENTS NATURAL RESOURCES
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699.1617 Phone: [phone]
PERMIT Number: W00000484 Expiration Date: 09J30/2030
Non -Discharge X UIC
NPDES Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
0 Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other
WELL ID NUMBER (from Permit): MW-31 Date sample collected: 12/08/23
Well Depth: 25.0 ft. Well Diameter: 2 in.
Depth to Water Level 82546: 13.7 ft. below measuring point Screened Interval: ft. to ft.
Measuring Point is 3 ftabove land surface Relative M.P. Elevation: ft.
Volume of water pumped/bailed before sampling: 4.00 gallons
Samples for metals were collected unfiltered: ❑ YES LEI NO and field acidified: ❑ YES NO
LABORATORY INFORMATION
Date sample analyzed: 12,'08-12127/23 Laboratory Name: Cameron Testing Services
PARAMETERS NOTE
. Values should reflect dissolved
COD 00335
and colloidal concentrations.
Coliform: MF Fecal 31616
mg/L
Nitrite (NOZ) as N 00615
mg/L
1
/100mL
Nitrate (NO,) as N ooszo 8.11
mg/L
Coliform: MF Total 31504
(Note. Use MPN rnethoo for
highly t� 1
/100mL
Phosphorus: Total as P 00565 <0.050
mg/L
samples)
Orthophosphate 70507
mg/L
iissoived Solids -Total 70300
76.0
mg/L
AI -Aluminum oilas
mglL
PH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC oo68o
<1.00
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940
11.8
mg/L
Call - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total 01034
ug/L
Grease and Oils 00552
mg/L
Cu - Copper 01042
m /L
g
Phenol 32730
ug/L
Fe -Iron oloas
uglL
Sulfate 00945
mg/L
Hg - Mercury 71900
u /L
g
oecific Conductance 00095
pMhos
K -Potassium 00937
Total Ammonia ao6to
<1.00
mg/L
Mg - Magnesium 00927
mg/L
(Ammonm Nitrogen. NH, as N.
Amrnonia Nitrogen total)
mg/L
Mn - Manganese 01055
ug/L
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L
For Remediation Systems Only (Attach Lab Reports):
Marcus Bell, Director of Processing
Permittee (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev.212010
Influent Total VOCs:
FIELD ANALYSES:
PH 00400: 4.32 units
Spec. Cond. 00094
Odor 00085.
Appearance
Temp. ocolo 17.2 'C
pMhos
Certification No. #654
Pb - Lead 01051 ug/L
Zn - Zinc 01092 mg/L
Other (Specify Compounds and Concentration Units):
ORGANICS: (by GC, GC/MS, HPLC)
(Specify test and method #. ATTACH LAB REPORT.)
Lab Report Attached? FE] Yes (1) ❑ No (0)
VOC 78732. method # EPA 8260D/5030B
method #
method #
method #
mg/L Effluent Total VOCs:
If WELL
WAS
DRY at
time of
sampling,
check
here: ❑
VOC Removal%

GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
TION Please
Facility Name: hlountaire Farms of North Carolina
Permit Name (if different):
Facility Address: 17269 NC Hw
Lumber Bridge
71N
SUBMIT FORM ON YELLOW PAPER ONLY
or
NC 28357-0339 County Robeson
Contact Person: Robert Jackson Telephone#: [phone]
Well Location/Site Name: MOuntaire Inner and Outer Perimeter Spray Fields No. of wells to be sampled: 29
utPARTMENT OF ENVIRONMENTS NATURAL RESOURCES
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699.1617 Phone: [phone]
PERMIT Number: W00000484 Expiration Date 09!3012030
Non -Discharge X UIC
NPDES Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
WELL ID NUMBER (from Permit): MW-33 Date sample collected: 12/08/23
Well Depth: 26.0 ft. Well Diameter: 2 in.
Depth to Water Level 82546: 15.7 ft below measuring point Screened Interval ft. to _ ft.
Measuring Point is 2.5 ftabove land surface Relative M.P. Elevation: ff.
Volume of water pumped/bailed before sampling: 3.50 gallons
Samples for metals were collected unfiltered: ❑ YES
NO and field acidified L] YES 501 NO
LABORATORY INFORMATION
Date sample analyzed: 12/08 1-127123 Laboratory Name: Cameron Testing Services
PARAMETERS N
OTE. Values should reflect dissolved and colloidal concentrations.
COD 00335
Coliform MF Fecal 31616
mg/L
Nitrite (NO2) as N oo615
mg/L
<1
/100mL
Nitrate (NO,) as N 00620 <1.00
mg/L
Coliform: IMF Total 31504
(Note Use MPN method for 19111, turbid
/100mL
Phosphorus: Total as P OC665 <0.050
mg/L
—pies)
Orthophosphate 7C507
mg/L
issolved Solids:Total 70300 <25.0
rng/L
At -Aluminum ol1o5
mg/L
PH (Lab) 00403
units
ea - Barium 01007
ug/L
TOC 00680 <1.00
mg/L
Ca - Calcium oosls
mg/L
Chloride 00940 6.90
mg/L
Cd -Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total 01034
ug/L
Grease and Oil,, 52
mg/L
Cu - Copper 01042
m /L
9
Pheno, _-3o
uglL
Fe -Iron 01045
ug/L
Sulfate 00945
mg/L
Hg - Mercury 71900
u /L
g
lecific Conductance 00095
PMhos
-
K Potassium oos37
mg/L
Total Ammonia oo610 <1.00
(Amrrora Narogen. NH,as N. ArnronNrtrc a gen, Total)
rng/L
Mg - Magnesium 00927
m /L
g
Mn -Manganese o1055
ug/L
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L
For Remediation Systems Only (Attach Lab Reports)
Marcus Bell, Director of Processing
Pe mi for Authorized Agent) Name and I Itle -Please print or type
GW-59 Rev.212010
Influent Total VOCs.
FIELD ANALYSES:
pH co400 4.63 units
Spec. Cond, 00094:
Odor 00085:
Appearance
If WELL
WAS
Temp. 000le: 18.2 °C DRY at
µMhos time of
sampling,
Certification No. 654
Pb - Lead olos1 ug/L
Zn - Zinc 01092 mg/L
Other (Specify Compounds and Concentration Units):
ORGANICS: (by GC, GC/MS, HPLC)
(Specify test and method #. ATTACH LAB REPORT.)
Lab Report Attached? A Yes (1) ❑ No (0)
VOC 78732: method # EPA 8260D/503013
method #
method #
method #
mg/L Effluent Total VOCs:
Signature
mg/L VOC Removal%
here: ❑

GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
Please
f-acility Name Mounlaire Farms of North Carolina
Permit Name (if different):
Facility Address: 17269 NC Hwy 71 N
Lumber Bridge NC
SUBMIT FORM ON YELLOW PAPER ONLY
-nnr creasy or Type
28357-0339 County Robeson
Contact Person: Robert Jackson Telephone# [phone]
Well Location/Site Name: Mountaire Inner and Outer Perimeter Spray Fields No, of wells to be sampled: 29
WELL ID NUMBER (from Permit): 1i1W-34 Date sample collected.
Well Depth: 25.0 fl. Well Diameter:
Depth to Water Level 82546: 8-3 ft below measuring point Screened Interval:
Measuring Point is 3 ftabove land surface Relative M.P. Elevation:
Volume of water pumped/bailed before sampling: 6-0 gallons
Samples for metals were collected unfiltered: ❑ YES
I AClloAr �r ., ❑� NO and field acidified: n
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
PERMIT Number: VV00000484 Expiration Dale: 09/30/2030
Non -Discharge X UIC
NPDES Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
Z. in.
ft. to _ I'L
ft.
YES X NO
Date sample analyzed. 12/08 12/27/23 Laboratory Name:
PARAMETERS NOTE: Values should reflect dissolved
Cameron Testing Services
COD 00335
and colloidal concentrations.
Cohform: IMF F Fecal 31616
mg/L
Nitrite (NO_) as N 00615
<1
1100mL
Nitrate (NO,) as N 00620
14.2 mg/L
Coliform: MF Total 31504
(Note. Use MPN mett-.d for r gtny turtio samples)
/100mL
Phosphorus: Total as P o0665
<0.050 mg/L
Orthophosphate 70507
mg/L
issolved Solids:Total 70300 251
mg/L
AI - Aluminum oI1o5
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug1L
TOC oo68o <1.00
mg/L
Ca - Calcium oo916
mg/L
Chloride 00940 84.7
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
Phenol 32730
ug/L
Fe - Iron 01045
ug/L
Sulfate 00945
mg/L
Hg - Mercury 71900
u9 /L
pecific Conductance 00095
tiMhos
K - Potassium 00937
mgiL
Total Ammonia oo610 <0.100
tAn4 r.ia Nitrogen. Nil, as N. Arrmona 7irogen, Tcia)
mg/L
Mg - Magnesium 00927
ma/L
Mn - Manganese 01055
ug/L
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L
For Remediation Systems Only (Attach Lab Reports)
Marcus Bell, Director of Processing
Pcrmittee (or Aulhcrized Apent) Name and Title -Please print or type
GW-59 Rev.2./2010
Influent Total VOCs:
FIELD ANALYSES:
PH 0040o 4.96 units Temp. cooio 17.5 °C
Spec. Cond. 00094 µMhos
Odor 00085:
Appearance
Certification No. #654
Pb - Lead o1051 ug/L
Zn - Zinc 01092 mg/L
Other (Specify Compounds and Concentration Units):
ORGANICS: (by GC. GC/MS, HPLC)
(Specify test and method #. ATTACH LAB REPORT.)
Lab Report Attached? G Yes (1) ❑ No (0)
VOC 78732 method # EPA 8260D/5030B
method #
method #
method #
mg/L Effluent Total VOCs:
If WELL
DRY at
time of
sampling,
check
here: ❑

GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
A-ILII Y INF-URMATION Please Print Clearly or
cility Name: Mountaire Farms of North Carolina
rmit Name (If different).
cility Address: 17269 NC Hw
Lumber Bridge
71N
SOBMIT FORM ON YELLOW PAPER ONLY
NC 28357-0339 County Robeson
WWUIVOF ENVIRONMENT 8 NATURAL RESOURCES
::�VARTMENT
IISIN OF WATER QUALITY -INFORMATION PROCESSING UNIT
6" MAIL SERVICE CENTER, RALEIGH, NC 27699.1617 Phone: [phone]
PERMIT Number: W00000484 Expiration Date: 00/30/2030
Non -Discharge X UIC
act Person: Robert Jackson Telephone#: [phone]
Location/Site Name: Mountaire Inner and Outer Perimeter Spray Fields No. of wells to be sampled: 30
WELL ID NUMBER (from Permit): MW-35 Date sample collected: 12/08/23
Well Depth: 26.0 ft, Well Diameter: 2 in
Depth to Water Level 82546, 8.3 ftbelow measuring point Screened Interval: ft. to ft
Measuring Point is 3 ft. above land surface Relative M.P. Elevation: ft.
Volume of water pumped/bailed before sampling: 6.0 gallons
Samples for metals were collected unfiltered: L] YES F01 NO and field acidified: ❑ YES NO
LABORATORY INFORMATION
'DES Other
'PE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
Spray Field ❑ Remediation
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
FIELD ANALYSES:
PH 00400, 5.19 units
Spec. Cond 00004
Odor 00085:
Appearance
If WELL
WAS
Temp. 000lo: 19.2 °C DRY at
µMhos time of
sampling,
Date sample analyzed 12108-12/27123 Laboratory Name:
PARAMETERS NOTE: Values should reflect dissolved and
Cameron Testing Services
Certification No. #654
COD 00335
colloidal concentrations.
Coliform: MF Fecal 31616
mg/L Nitrite (NO_) as N oo615
mglL
Pb -Lead 01051 ug/L
<1
/100mL Nitrate (NO,) as N 00620
<1.00 mg/L
Zn - Zinc 01092 m /L
g
Coliform MF Total 31504
More Use h1PN method fcr highly toTt9tl ;ampies)
/100mL Phosphorus: Total as P o0sss
<0.050 mg/L
Dissolved Solids -Total 70300 101
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units)
mg/L
At - Aluminum 01105
mg/L
PH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 00680 <1.00
rng/L
Ca - Calcium 00916
mg/L
Chloride 00940 51.2
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total 0:034
ug/L
Grease and Oils 00552
m /L
Phenol 32730
9
Cu - Copper 01042
mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Sulfate 00945
ug/L
Fe - Iron 01045
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Specific Conductance 00095
mg/L
µMhos
Hg - Mercury 71900
u /L
9
Lab Report Attached?
p (] Yes (1) ❑ No (0)
Total Ammonia o0610 <1.00
K - Potassium o0937
m /L
g
VOC 78732 method # EPA 8260D/5030B
(Amnorna Ndiogen, NH,ae N; Anmoni i Nitrown, Totaq
mglL
Mg -Magnesium 00927
m IL
g
, method #
TKN as N o0525
Mn - Manganese o1o55
ug/L
method #
mg/L
Ni - Nickel 01067
ug/L
,method #
For Remediation Systems Only (Attach Lab Reports):
Marcus Bell, Director of Processing
Permittee (or Auth0r12ed Agent) Name and Title - Please print of type
GW-59 Rev 2/2010
Influent Total VOCs:
mg/L Effluent Total VOCs:
a

GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
Facility Name: Mountaire Farms of North Carolina
Permit Name (if different): _
�acility Address: 17269 NC
Lumber Bridge
FAIN
SUBMIT FORM ON YELLOW PAPER ONLY
or Type
NC 28357-0339 County Robeson
Contact Person. Robert Jackson Telephone#: [phone]
Well Location/Site Name: Mountaire Inner and Outer Perimeter Spray Fields No of wells to be sampled: 29
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER, RALEIGM, NC 27699.1617 Phone: [phone]
PERMIT Number: W00000484 Expiration Date: 09/30;2030
Non -Discharge X UIC
NPDES Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
WELL ID NUMBER (front Permit): MW-36 Date sample collected: 12/08/23
Weli Depth 26.0 ft
Well Diameter: 2 in.
Depth to Water Level 82546: 16.3 ft. below measuring point Screened Interval: ft. to ft,
Measuring Point is 3 ft above land surface Relative M.P Elevation: ft.
Volume of water pumped/bailed before sampling: 3.50 gallons
Samples for metals were collected unfiltered: ❑ YES 70 LA9nRATnav IArcno�eeTrr�. NO and field acidified: El M NO
Date sample analyzed: 12/08-12/27123 Laboratory Name: Cameron Testing Services
PARAMETERS NOTE: Values should reflect dissolved
COD 00335
and colloidal concentrations.
Coliform: MF Fecal 31516
mg/L
Nitrite (NO2) as N o0615
m /L
g
<1
/100mL
Nitrate (NO3) as N 00620 1.85
mg/L
Coliform: MF Total 31504
(note. Use IVDN method for higNy
/100mL
Phosphorus: Total as P 00665 0.547
mg/L
turbid Samples)
Orthophosphate 70507
mg/L
issolved Solids:Total 70300 34.0
mg/L
At - Aluminum 01105
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
uglL
TOC 00680 <1.00
mg/L
Ca - Calcium oo916
mg/L
Chloride 00940 1.97
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
m /L
g
Phenol 32730
ug/L
Fe -Iron 01045
ug/L
Sulfate 00945
mg/L
Hg - Mercury 71900
u9 /L
0ecific Conductance o0095
) 1Mhos
K -Potassium 00937
mglL
Total Ammonia 00610 <1.00
(Armona Nitrogen. NH, as N. Ammonia Ndrogon. Total)
mg/L
Mg - Magnesium 00927
m /L
g
Mn -Manganese 01055
uglL
TKN as N oo625
mg/L
Ni - Nickel 01067
ug/L
For Remediation Systems Only (Attach Lab Reports):
Marcus Bell, Director of Processing
PermRtee (or Authonzed Agent) Name and Title - Please print or type
GW-59 Rev.2/2010
Influent Total VOCs: mg/L
FIELD ANALYSES:
pH 00400 5.57 units
Spec, Cond. 00094,
Odor 00085.
Appearance
Pb - Lead o1o51
Zn - Zinc 01092
Temp. 000lo: 20.1 °C
µMhos
Certification No. #654
ug/L
mg/L
Other (Specify Compounds and Concentration Units)
ORGANICS: (by GC, GCIMS, HPLC)
(Specify test and method #. ATTACH LAB REPORT.)
Lab Report Attached? X Yes (1) ❑ No (0)
VOC 78732 method # EPA 8260D/50308
method #
method #
method #
Effluent Total VOCs
If WELL
WAS
DRY at
time of
sampling,
check
here: ❑

GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
Facility Name: Mounlaire Farms of North Carolina
Permit Name (if different): _
Facility Address: 17269 NC
Lumber Bridge
71N
SUBMIT FORM ON YELLOW PAPER ONLY
or Type
NC 28357-0339 County Robeson
act Person Robert Jackson Telephone#: [phone]
Location/Site NameMountmre Inner and Outer Perimeter Spray Fields No of wells to be sampled:
WELL ID NUMBER (front Permit): MW-37
Well Depth: 20.0 ft,
Depth to Water Level 62546- 10.9 ft below measuring point
Measuring Point is 2.8 ft above land surface
Volume of water pumped/bailed before sampling: 4-00 gallon
Samples for metals were collected unfiltered ❑ YES D NO
29
7M_m 1
DEPARTMENT OF ENVIRONMENT 8 NATURAL RESOURCES
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
PERMIT Number: W00000484 Expiration Date: 09/30/2030
Non -Discharge X UIC
NPDES Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
Spray Field ❑ Remediation
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
Date sample collected: 12/15/23
Well Diameter: 2 in.
Screened Interval: ft. to ft.
Relative M.P. Elevation: ft,
and field acidified: ❑ YES X NO
FIELD ANALYSES:
pH 00400 4.75 units
Spec. Cond. 00094
Odor 00085:
Appearance
Temp, 000to: 18.2 °C
uMhos
Date sample analyzed: 12115 12Y271r23 Laboratory Name: Cameron Testing Services
PARAMETERS NOTE: Values should reflect dissolved
Certification No. 654
COD 00335
and colloidal concentrations.
Coliform: MF Fecal 31616
mg/L
Nitrite (NO;) as N 00615
mg/L
Pb - Lead 01051 u /L
9
<t
i100mL
Nitrate (NO,) as N 00620 847
mglL
Zn - Zinc 01092 mg/L
g
Coliform: MF Total 31504
(Note Use MPN
/100mL
Phosphorus: Total as P 00665 1.21
mg/L
method for highly itxbid samples)
lissolved Solids Total 70300 120
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units)
mg/L
Al -Aluminum 01105
mg/L
pH (Lab)
) oo403
units
Ba -Barium 01007
ug/L
TOC om8o <1.00
mg/L
Ca - Calcium co916
mg/L
Chloride 00940 4.00
mg/L
Cd - Cadmium 01027
ug/L
Arsenic01002
ug/L
Chromium Total01034_
ug/L
Grease and Oils 00552
mg/L
Cu - Copper 0104:
mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
Sulfate 00945
ug/L
Fe - Iron 01045
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
pecific Conductance 0009s
mg/L
tiMhos
Hg - Mercury 71900
ug/L
Lab Report Attached? ON Yes (1) ❑ No (0)
Total Ammonia ao610 <1.00
K -Potassium 00937
mg/L
9
VOC 7a�32 method # EPA 8260D/ 030E
(.omronia Mtropen, NHt as N: Amrr nia Nitrogen. Totary
mg/L
Mg - Magnesium 00927
mg/L
g
method #
TKN as N 00625
Mn - Manganese o1o55
ug/L
method #
mg/L
Ni - Nickel 01067
ug/L
,method #
For Remediation Systems Only (Attach Lab Reports)
Marcus Bell, Director of Processing
Permittee (or Authorized Agent) Name and Title - Please print cr type
GW-59 Rev.212010
Influent Total VOCs
mg/L Effluent Total VOCs
If WELL
DRY at
time of
sampling,
check
here ❑

GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
t-AG11-1 I Y INFORMATION 'lease Pnnl Cready or
Facility Name. Mountaire Farms of North Carolina
Permit Name (if different)
Facility Address: 17269 NC H
Lumber Bridge
!1N
SUBMIT FORM ON YELLOW PAPER ONLY
NC 28357-0339 County Robeson
tact Person: Robert Jackson Telephone#: [phone]
1 Location/Site Name: Mountaire Inner and Outer Perimeter Spray Fields No. of wells to be sampled: 29
(DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699.1617 Phone: [phone]
PERMIT Number: 'NO0000484 Expiration Date: 09/30.12030
Non -Discharge X UIC
NPDES Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
❑� Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
WELL ID NUMBER (from Permit): MW-40 Date sample collected: 12108/23
Well Depth: 17.0 ft. Well Diameter: 2 in.
Depth to Water Level 82546: 6.4 ft. below measuring point Screened Interval: ft to _ ft.
Measuring Point is 2.5 ft. above land surface Relative M.P. Elevation: ft.
Volume of water pumped/bailed before sampling: 3.50 gallons
Samples for metals were collected unfiltered. ❑ YES NO and field acidified ❑ YES Al NO
LABORATORY INFORMATION
Date sample analyzed: 12108-12/27/23 Laboratory Name: Cameron Testing Services
PARAMETERS NOTE: Val
h
a Lies s ould reflect dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615
mg/L
Coliform: h4F Fecal 31616 <1
/100mL
Nitrate (NO3) as N oosze 1.30
n1g/L
Coliform, MF Total 31504
Use
/100mL
Phosphorus: Total as P o0665 0.266
mg/L
(Note: MPN method for highly turlNtl Sam^,tell
Orthophosphate 70507
mglL
lissolved Solids:Total 70300 112
mg/L
At -Aluminum o11os
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC oo68o 1.88
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 17.2
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
m /L
g
Phenol 32730
ug/L
Fe -Iran 01o45
ug/L
Sulfate 00945
mg/L
Hg - Mercury 71900
u9 /L
pecific Conductance 00095
µMhos
K - Potassium 00937
mg/L
Total Ammonia oo6lo <01.00
(Anynonm
mg/L
Mg - Magnesium 00927
mg/L
Nitrogen NH, as N, Anymr, , Nitrogen, Totap
Mn - Manganese o1o55
ug/L
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L
For Remediation Systems Only (Attach Lab Reports):
Influent Total VOCs: mg/L
FIELD ANALYSES:
PH oo4co. 5.44 units
Spec. Cond. 00094.
Odor 00085
Appearance
Temp, o0olo. 16.1 °C
iiMhos
Certification No #654
Pb - Lead olos1 ug/L
Zn - Zinc 01092 mg/L
Other (Specify Compounds and Concentration Units),
ORGANICS: (by GC, GC/MS. HPLC)
(Specify test and method #. ATTACH LAB REPORT.)
Lab Report Attached? A Yes (1) ❑ No (0)
VOC 78732 method # EPA 8260D/5030B
method #
method #
method #
Effluent Total VOCs: mg/L VOC Removal%
Marcus Bell, Director of Processing
Permtttee (or Authorized Agcnt) Name and Title- Please print or type
GW-59 Rev 212010 Signature of Permdlee (of Authorized Agent)
WELL
DRY at
time of
sampling,

GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
Facility Name. Mountaire Farms of North Carolina
Permit Name (if different):
Facility Address: 17269 NC Hwy 71N
Lumber Bridge NC
SUBMIT FORM ON YELLOW PAPER ONLY
Print Clearly or Type
28357-0339 County Robeson
Contact Person, Robert Jackson Telephone#: [phone]
Well Location/Site Name: Mountaire Inner and Outer Perimeter Spray Fields No. of wells to be sampled: 29
WELL ID NUMBER (from Permit): MW-41 Date sample collected: 12/08/23
Well Depth: 16.5 ft. Well Diameter: 2 in.
Depth to Water Level 82546: 8.7 ft. below measuring point Screened Interval: ft.
Measuring Point is 2 ftabove land surface Relative M.P Elevation:
Volume of water pumped/bailed before sampling: 3.00 gallons
Samples for metals were collected unfiltered ❑ YES NO and field acidified: F YES I
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER, RALEIGH. NC 27699-1617 Phone: [phone]
PERMIT Number: W00000484 Expirat,on Dale: 09/30/2030
Non -Discharge X UIC
NPDES Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other.
to _ ft.
ft.
11w' '
Date sample analyzed 12;08 12,127123 Laboratory Name: Cameron Testing Services
PARAMETERS NOTE V
alues should reflect dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N oo615
m /L
g
COIIfOrm: MF Fecal 31616 �t
/100mL
Nitrate (NO3) as N 00620 1 12
mg/L
Coliform: MF Total 31504
Use
/100mL
Phosphorus: Total as P 00665 <0.050
mg/L
(Note MPN method for h.ghly turgid samplesi
Orthophosphate 70507
mg/L
issolved Solids:Total 70300 27.0
mg/L
At -Aluminum o11os
mg/L-
pH (Lab) oo4m
units
Ba - Barium 01007
ug/L
TOC oo68o 1.36
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 3.45
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
ing/L
Phenol 32730
ug/L
Fe - Iron 01045
ug/L
Sulfate 00945
mg/L
Hg - Mercury 71900
uglL
pecific Conductance oo095
uMhos
K - Potassium 00937
mg/L
Total Ammonia oo610 <1.00
mg/L
Mg - Magnesium 00927
m /L
g
(Ammonia Naragen. NH3 as N; Ammonia Nitrogen, Total)
Mn - Manganese 01055
ug/L
TKN as N 00625
mg/L
Ni - Nickel o1o67
ug/L
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs:
FIELD ANALYSES:
pH o040o 5.16 units
Spec. Cond.00094
Odor owas:
Appearance
Temp. ocolo: 17.4 °C
uMhos
Certification No. #654
Pb - Lead 01051 ug/L
Zn - Zinc 01092 mg/L
Other (Specify Compounds and Concentration Units):
ORGANICS: (by GC, GC/MS, HPLC)
(Specify test and method #. ATTACH LAB REPORT.)
Lab Report Attached? [■1 Yes (1) ❑ No (0)
VOC 7E732 method # EPA 8260D/5030B
method #
method #
method #
mg/L Effluent Total VOCs
Marcus Bell, Director of Processing �
Permitted (or Authorized Agent) Name and Title -Please print or type
Signature of P
GW-59 ermdtee (or Authorized Agent)
Rev.212010
mg/L VOC Removal%
If WELL
DRY at
time of
sampling,

GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
FACILITY INFORMATION Pre:
Facility Name: Mountaire Farms of North Carolina
Permit Name (if different): _
Facility Address: 17269 NC
Lumber Bridge
71N
SUBMIT FORM ON YELLOW PAPER ONLY
or Type
NC 28357-0339 County Robeson
act Person Robert Jackson Telephone# [phone]
Location/Site Name: Mounmire Inner and Outer Perimeter Spray Fields No. of wells to be sampled:
29
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699.1617 Phone: [phone]
PERMIT Number: W00000484 Expiration Date: 09/30/2030
Non -Discharge x UIC
NPDES Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
Spray Field ❑ Remediation
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
SAMPLING INFORMATION
WELL ID NUMBER (from Permit): MW-42 Date sample collected: 12/08/23
Well Depth: 17.0 ft. Well Diameter: 2 in.
Depth to Water Level 82546: 7.3 ft. below measuring point Screened Interval: ft. to ft.
Measuring Point is 2.0 ft. above land surface Relative M.P Elevation: ft.
Volume of water pumped/bailed before sampling: 3.50 gallons
Samples for metals were collected unfiltered: ❑ YES NO and field acidified: ❑ YES L51111 NO
I ARnRATr)DV
Date sample analyzed: 121o3-12,2i' 23 Laboratory Name:
PARAMETERS NOTE: Values should reflect dissolved
Cameron Testing Services
COD 00335
and colloidal concentrations.
Coliform: MF Fecal 31616
mg/L
Nitrite (NO,) as N 00615
m /L
g
<1
/100mL
Nitrate (NO3) as N 00620
365 mg/L
Coliform: MF Total 31504
(Nate Use MPN meUiotl rer nighty turbitl samples)
/100mL
Phosphorus: Total as P 00665
<0.050 mglL
Orthophosphate 70507
mg/L
lissolved Solids:Total 70300 463
mg/L
Al - Aluminum 01105
mg/L
PH (Lab)
) 00403
units
Ba -Barium 01007
ug/L
TOC 00680 2.22
mg/L
Ca - Calcium oo916
mg/L
Chloride 00940 125
mg/L
Cd - Cadmium 0102.7
ug/L
Arsenic 01002
ug/L
Chromium: Total o1o34
ug/L
Grease and Oils 00552
mg/L
Cu - Copper 01042
m /L
9
Phenol 32730
uglL
Fe -Iron otoas
uglL
Sulfate 00945
mg/L
Hg - Mercury 71900
u9 /L
pecific Conductance 00095
pMhos
K - Potassium 00937
mg/L
Total Ammonia 00610 <1.00
(Armionia NiVogon,
mg/L
Mg - Magnesium 00927
m /L
g
NH, as N. Amrnorna Ndrogen, Total)
Mn - Manganese 01055
ug/L
TKN as N 00625
mg/I-
Ni - Nickel o1o67
ug/L
For Remediation Systems Only (Attach Lab Reports)
Marcus Bell, Director of Processing
Perminee (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev.2/2010
Influent Total VOCs:
mg/L
FIELD ANALYSES:
PH 00400 5.20 units
Spec. Cond 00094
Odor 000s5
Appearance
Temp. 000to: 17.8 °C
uMhos
Certification No. #654
Pb - Lead otosl ug/L
Zn - Zinc 01092 mg/L
Other (Specify Compounds and Concentration Units;•
ORGANICS: (by GC, GC/MS, HPLC)
(Specify test and method #. ATTACH LAB REPORT.)
Lab Report Attached? [1-41 Yes (1) ❑ No (0)
VOC 78732 method # EPA 8260D15030B
method #
method #
method #
Effluent Total VOCs: mg/L
If WELL
WAS
DRY at
time of
sampling.
check
here: ❑

GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
r-AUL.I I Y INFORMATION Piease Print Clearly or
Facility Name: Mountaire Farrns of North Carolina
Permit Name (if different)
Facility Address: 17269 NC Hwy 71 N
Lumber Bridge
SUBMIT FORM ON YELLOW PAPER ONLY
NC 28357-0339 County Robeson
tact Person: Robert Jackson Telephone#: [phone]
Location/Site Name. Mountaire Inner and Outer Perimeter Spray Fields Noof wells to be sampled. 29
SAMPLING INFORMATION
WELL ID NUMBER (from Permit): MW-43
Well Depth: 17.5 ft
Depth to Water Level 82546: 8.5 ft. below measuring point
Measuring Point is 2.5 ftabove land surface
Volume of water pumped/bailed before sampling: 3.00 gallon
Samples for metals were collected unfiltered: ❑ YES DO NO
Date sample collected: 12/08/23
Well Diameter: 2 in.
Screened Interval: ft. to
Relative M P. Elevation: ft.
and field acidified: ❑ YES (7 NO
(DEPARTMENT OF ENVIRONMENT 8, NATURAL RESOURCES
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699.1617 Phone: [phone]
PERMIT Number: W00000484 Expiration Date: 09/30/2030
Non -Discharge X UIC
NPDES Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation Infiltration Gallery
Spray Field ❑ Remediation-
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
Date sample analyzed: 12108-12/27123 Laboratory Name: Cameron Testing Services
PARAMETERS
NOT-
:
Values should reflect dissolved and colloidal concentrations.
COD 00335
mg;L
Nitrite (NO2) as N 00615
m /L
g
Colitorm: MF Fecal 31c16 <1
/100mL
Nitrate (NO3) as N 00620 3.21
mg/L
Coliform MF Total 31504
/100mL
Phosphorus. Total as P 00665 <0.050
m IL
g
(`:we Use MPN method for highly t�rCid samples)
Orthophosphate 70507
mg/L
i,ssolved Solids:Total 70300 63,0
mg/L
At - Aluminum 01105
mg/
pH (Lab)
) 00403
units
Ba -Barium 01007
ug/L
TOC co68o <1.00
mg/L
Ca - Calcium oo916
mg/L
Chloride 00940 5.91
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
m9 /L
Phenol 32730
ug/L
Fe - Iron 01045
ug/L
Sulfate 00945
mg/L
Hg - Mercury 71900
ug/L
pecific Conductance 00095
11Mhos
K - Potassium 00937
mg; L
Total Ammonia oo6lo <1.00
mg/L
Mg - Magnesium 00927
m /L
g
!Ammonia Nitrogen: NH, as N: Ammonia Nitrogen. Total)
Mn -Manganese o1o55
ug/L
TKN as N 00625
mg/L
Ni - Nickel 01067
uq/L
For Remediation Systems Only (Attach Lab Reports)
Influent Total VOCs: mg/L
FIELD ANALYSES:
pH 00400 4.75 units
Spec. Cond. 00094,
Odor 00085,
Appearance
Pb - Lead o1o51
Zn - Zinc 01092
If WELL
Temp. ocolo 17.5 =C DRY at
uMhos I time of
Certification No. 9654
ug/L
mg/L
Other (Specify Compounds and Concentration Units).
ORGANICS: (by GC, GC/MS, HI
(Specify test and method #. ATTACH LAB REPORT.)
Lab Report Attached? 0 Yes (1) ❑ No (0)
VOC 78732: method # EPA 8260D/5030B
method #
method #
method #
Effluent Total VOCs:
check
he re: ❑

GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
FACILITY INFORMATION Please Print
Facility Name: Mountaire Farms of North Carolina
Permit Name (if different): _
Facility Address: 17269 NC
Lumber Bridge
71N
SUBMIT FORM ON YELLOW PAPER ONLY
or Type
NC 28357-0339 County
Robeson
Contact Person: Robert Jackson Telephone#! 910-359-5275
l'Vell Location/Site Name: Aountaire Inner and Outer Perimeter Spray Fields No. of wells to be sampled:
29
Oro= P,P,
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699.1617 Phone: [phone]
PERMIT Number: W00000484 Expiration Date 09/30/2030
Non -Discharge x UIC
NPDES Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation Infiltration Gallery
0 Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
WELL ID NUMBER (from Permit): MW-47 Date sample collected: 12/08.f23
Well Depth: 17.5 It. Well Diameter: 2 in
Depth to Water Level 82546: 4.2 ft. below measuring point Screened Interval: ft to ft
Measuring Point is 2-5 ft. above land surface Relative M.P. Elevation: ft.
Volume of water pumped/bailed before sampling: 4.5 gallons
Samples for metals were collected unfiltered: ❑ YES NO and field acidified: ❑ YES 0 NO
I AOnoAr --... �i...... �._.. _
FIELD ANALYSES:
pH 00400 4.22 units
Spec Cond. 00094
Odor 00o65.
Appearance
Date sample analyzed. 12;08-12/27123 Laboratory Name:
PARAMETERS NOTE: Values should reflect dissolved and colloidal
Cameron Testing Services
COD 00335
concentrations.
Coliform: MF Fecal 31616
mg/L Nitrite (NO;) as N 00615
mg/L Pb -Lead o1o51
<1
/100mL Nitrate (NO3) as N 00620
39.8 mo/L Zn - Zinc 01092
Coliform: MF Total 31504
/100mL Phosphorus Total as P 00665
<0.050 mg/L
(Note: Use MPr4 M1110d for hghly hate J samp:es)
Temp. 000lo: 16.2 °C
µMhos
Certification No. #65•1
ug/L
mg/L
issolved Solids:Total 70300 416
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
mg/L
Al - Aluminum 01105
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 00680 2.07
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 101
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
ChromiumTotal 01034
ug/L
Grease and Oils 00552
m /L
C
Phenol 32730
9
u -Copper 01042
mglL
ORGANICS: (by GC, GC/MS, HPLC)
Sulfate 00945
ug/L
Fe - Iron 01045
ug/L
(Specify test and method M ATTACH LAB REPORT.)
pecifc Conductance 0009s
mg/L
ItMhos
Hg - Mercury 71900
ug/L
Lab Report Attached? 14 Yes (1) ❑ No (0)
Total Ammonia o0610 <1.00
K - Potassium 00937
m IL
9
VOC 78732 method # EPA 8260Di5O3OB
(Anvnonia Nitrogen, NH,as Nm N. Amonia Nitrogen, Total)
mg/L
Mg -Magnesium oosz7
m /L
g
, method #
TKN as N oo625
Mn - Manganese olo55
ug/L
method #
mg/L
Ni - Nickel 01067
ug/L
,method #
For Remediatiorl Systems Only (Attach Lab Reports):
Marcus Bell, Director of Processing
Permittee (cr Authorized Agent) Name and Title - Please print or type
GW-59 Rev.2/2010
Influent Total VOCs:
mg/L Effluent Total VOCs
mg/L VOC Removal%
If WELL
WAS
DRY at
tim-2 of
sampling,
check
here: ❑

GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
Facility Name. Mounlaire Farms of North Carolina
Permit Name (if different)
Facility Address: 17269 NC H
Lumber Bridge
71N
SUBMIT FORM ON YELLOW PAPER ONLY
or
NC 28357-0339 County Robeson
Contact Person: Robert Jackson Telephone#: [phone]
Well Location/Site Name: Mountaire Inner and Outer Perimeter Spray Fields No. of wells to be sampled: 29
SAMPLING INFORMATION
WELL ID NUMBER (from Permit): MW-48
Well Depth: 15.0 ft_
Depth to Water Level 82546: 9.5 ft below measuring point
Measuring Point is 2.7 ft. above land surface
Volume of water pumped/bailed before sampling: 3.00 gallon
Samples for metals were collected unfiltered: ❑ YES DO NO
(DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
DIVISION OF WATER QUALITY4NFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
PERMIT Number: WQ0000484 Expiration Date: 09/30/2030
Non -Discharge X UIC
NPDES Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
X Spray Field ❑ Remediation
El Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
Date sample collected 12/15/23
Well Diameter: 2 in.
Screened Interval: ft, to ft.
Relative M P. Elevation: ft.
and field acidified: ❑ YES (A] NO
Jate sample analyzed: 12,15-12,27i23 Laboratory Name:
'ARAMETERS NOTE: Values should reflect dissolved and colloidal
Cameron Testing Services
COD 00335
concentrations.
Coliform: MF Fecal 31616
mg/L
Nitrite (NO,) as N 00615
mg/L
<1
/100mL
Nitrate (NO;) as N o0620
13.4 mg/L
Coliform: MF Total 31504
Use
/100mL
Phosphorus Total as P 00665
0.372 mg/L
(NoteMPN method for highly Iurbid samples)
Orthophosphate 70507
mg/L
issolved Solids:Total 70300 476
mg/L
AI - Aluminum ol1o5
mg/L
PH (Lab) oo4o3
units
Ba - Barium 01007
uglL
TOC 00680 3.21
mg/L
Ca - Calcium 00916
mg/L
Chloride ca94o 135
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
m /L
g
Phenol 32730
ug/L
Fe -Iron 01045
ug/L
Sulfate 00945
mg/L
Hg - Mercury 71900
ug/L
)ecific Conductance 00095
)?Mhos
K - Potassium 00937
mg/L
Total Ammonia o0610 <1.00
(Ammonia
mg/L
Mg - Magnesium 00927
mg/L
Nitrogen; NH, as r An,,7,3Nmogen,
Mn -Manganese 01055
ug/L
TKN as N 00625
mg/L
Ni - Nickel 01o67
11Q/L
For Remediation Systems Only (Attach Lab Reports)
Marcus Bell, Director of Processing
Permitlee (or Authonzdd Agent) Name and Title - Please print or type
GW-59 Rev 2/2010
Influent Total VOCs:
FIELD ANALYSES:
WAS
pH 00400 5.60 units Temp. 000lo 16.0 °C
DRY at
Spec Cond. 00094: pMhos
time of
Odor 00085
sampling,
check
Appearance
here: ❑
Certification No. #654
Pb - Lead o1o51 ug/L
Zn - Zinc 01092 mg/L
Other (Specify Compounds and Concentration Units):
ORGANICS: (by GC, GC/MS, HPLC)
(Specify test and method #. ATTACH LAB REPORT.)
Lab Report Attached? X Yes (1) ❑ No (0)
VOC 78732 method # EPA 8260D/5030B
method #
method #
method #
Effluent Total VOCs: mg/L VOC Removal%

GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
Facility Name. Mountaire Farms of North Carolina
Permit Name (if different).
Facility Address: 17269 NC Hw
Lumber Bridge
71N
Print
or Type
SUBMIT FORM ON YELLOW PAPER ONLY
NC 28357-0339 County Robeson
ltact Person: Robert Jackson Telephone# [phone]
II Location/Site Name: Mountaire Inner and Outer Perimeter Spray Fields No. of wells to be sampled:
30
DEPARTMENT OF ENVIRONMENTS NATURAL RESOURCES
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
PERMIT Number: W00000484 Expiration Date: 09/30!2030
Non -Discharge x UIC
NPDES Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other.
WELL ID NUMBER (from Permit): MW-49 Date sample collected: 12/15/23
Well Depth 15.0 ft Well Diameter 2 in.
Depth to Water Level e2546: 7.3 ft. below measuring point Screened Interval ft. to _ ft.
Measuring Point is 2.5 ft- above land surface Relative M.P. Elevation ft.
Volume of water pumped/bailed before sampling: 3.5 gallons
Samples for metals were collected unfiltered ❑ YES NO and field acidified: ❑ YES NO
I GRrnRATnov t�rrnouwT...
Datp smminla o ol.,oe a
'-'--- "" 1. """ " Laboratory Name
PARAMETERS NOTE: Values should reflect dissolved and
Cameron Testing Services
COD G0335
colloidal concentrations.
Coliform: MF Fecal 31616
mg/L
Nitrite (NO2) as N ao615
m /L
g
t
/100mL
Nitrate (NO,) as N 00620
<1.00 mg/L
Coliform: MF Total 31504
(Note Use MPN method for h.gt;ly turUm samptesl
/100mL
Phosphorus: Total as P 00665
<0.050 mg/L
Orthophosphate 70507
mg/L
lssolved Solids:Total 70300 155
mg/L
AI -Aluminum oIlo5
mg/L
PH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 00680 <1 00
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 29.6
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total 01034
ug/L
Grease and OIIS 00552
mg/L
.;u - Copper 01042
m9 /L
Phenol 32730
ug/L
Fe - Iron 01045
ug/L
Sulfate 00945
mg/L
Hg - Mercury 71900
u /L
g
uecific Conductance 00095
pMhos
K - Potassium 00937
mg/L
Total Ammonia 00610 <1.00
(Ammonia Nitrogen.
mg/L
Mg - Magnesium 00927
mg/L
NHS as N. Ammonia Ndrogen, Total)
Mn - Manganese 01055
ug/L
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L
For Remediation Systems Only (Attach Lab Reports):
Marcus Bell, Director of Processing
Permittee (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev.2/2010
Influent Total VOCs:
FIELD ANALYSES:
PH oo4ao: 3.93 units
Spec. Cond. 00094,
Odor 00085:
Appearance
Temp. 000lo: 16.1 °C
uMhos
Certification No. k654
Pb - Lead olos1 ug/L
Zn - Zinc 01092 mg/L.
Other (Specify Compounds and Concentration Units):
ORGANICS: (by GC, GC/MS, HPLC)
(Specify test and method #. ATTACH LAB REPORT.)
Lab Report Attached? 0 Yes (1) ❑ No (0)
VOC 78732 method # EPA 8260Di5O3OB
method #
method #
method #
Effluent Total VOCs: mg/L
If WELL
DRY at
time of
sampling,
check
here: ❑

GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
Facility Name: Mounlairc Farms of North Carolina
Permit Name (if different): _
Facility Address: 17269 NC
Lumber Bridge
71N
SUBMIT FORM ON YELLOW PAPER ONLY
or Type
NC 28357-0339 County
Robeson
Contact Person: Robert Jackson Telephone#: [phone]
Well Location/Site Name: Mountaire Inner and Outer Perimeter Spray Fields No. of wells to be sampled 29
DEPARTMENT OF ENVIRONMENT 6 NATURAL RESOURCES
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699.1617 Phone: [phone]
PERMIT Number: V1100000484 Expiration Date 09/30!2030
Non -Discharge x UIC
NPDES Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
L� Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
WELL ID NUMBER (from Permit): MVV-50 Date sample collected: 12/15/23
Well Depth: 15.0 ft Well Diameter 2 in.
Depth to Water Level 82546: 4.0 ft. below measuring point Screened Interval: ft. to ft,
Measuring Point is 2.5 ft. above land surface Relative M.P. Elevation: ft.
Volume of water pumped/bailed before sampling: 4.50 gallons
Samples for metals were collected unfiltered: ❑ YES D NO and field acidified: ❑ YES *NO
LABORATORY INFORMATION
Date sample analyzed: 12115-12/27123 Laboratory Name:
PARAMETERS NOTE: Values should reflect dissolved and
Cameron Testing Services
COD 00335
colloidal concentrations.
mg/L
Nitrite (NO,) as N oo61s
mg/L
Coliform: MF Fecal 31616 <1
/100m
Nitrate (NOa) as N oo620
9L
11.5 m /L
Coliform MF Total
/100ml-
Phosphorus: Total as P oo665
<0.050 mg/L
hsoa
(Note Use MPt1 method for highly turbd sarrpfes)
Orthophosphate 70507
mg/L
hssolved Solids:Total 70300 552
mg/L
Al -Aluminum o11o5
mg/L
PH (Lab) o04o3
units
Ba -Barium 01007
ug/L
TOC oo68o 4.37
mg/L
Ca - Calcium oo916
mg/L
Chloride 00940 219
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
m /L
9
Phenol 32730
uglL
Fe -Iron olaas
ug/L
Sulfate 00945
mg/L
Hg - Mercury 71900
ug/L
pecific Conductance oco95
µMhos
K - Potassium 00937
mg/L
Total Ammonia o0610 <1,01)
mg/L
Mg - Magnesium 00927
mg/L
(Ammonia Naro;en, NIi as N. Amn—ia Nrtrcgen Total)
Mn -Manganese oloss
uglL
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L
For Remedlation Systems Only (Attach Lab Reports):
FIELD ANALYSES:
pH 00400 4.98 units
Spec. Cond. 0oo94
Odor 00085
Appearance
Pb - Lead o1o51
Zn - Zinc 01092
If WELL
WAS
Temp. 000lo: 13.8 °C DRY at
µMhos time of
sampling,
Certification No. #654
ug/L
mg/L
Other (Specify Compounds and Concentration Unitsy
ORGANICS: (by GC, GC/MS, HPLC)
(Specify test and method #. ATTACH LAB REPORT.)
Lab Report Attached? ON Yes (1) ❑ No (0)
VOC 78732 method # EPA 8260D15030B
method #
method #
method #
Influent Total VOCs: mg/L Effluent Total VOCs:
Marcus Bell, Director of Processing
iw[
Permittee (or Authonzed Agent) Name and Title - Please print or type
GW-59 Rev.2/2010 Signature of Permdtee (or Authorized Agent)
mg/L VOC Removal%
here: ❑

GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
FACILITY INFORMATION Please
Facility Name: Mounlaire Farms of North Carolina
Permit Name (if different):
Facility Address: 17269 NC H
Lumber Bridge
71N
SUBMIT FORM ON YELLOW PAPER ONLY
or
NC 28357-0339 CountyRobeson
tact Person: Robert Jackson Telephone#: [phone]
Location/Site Name: MOentaire Inner and Outer Perimeter Spray Fields No. of wells to be sampled: 29
Uh PARTM ENT OF ENVIRONMENT 8 NATURAL RESOURCES
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
PERMIT Number: 1,1/Q0000484 Expiration Date: 09/30/2030
Non -Discharge X UIC
NPDES Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
0 Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other.
WELL ID NUMBER (from Permit): MW-51 Date sample collected: 12/08/23
Well Depth: 18.5 ft. Well Diameter. 2 in.
Depth to Water Level 82546: 5.8 ft below measuring point Screened Interval: ft. to ft.
Measuring Point is 3 ft above land surface Relative M.P. Elevation: ft.
Volume of water pumped/bailed before sampling: 4.50 gallons
Samples for metals were collected unfiltered: ❑ YES
NO and field acidified: ❑YES NO
LABORATORY INFORMATION
Date sample analyzed: 12/09-12r27/23 Laboratory Name:
PARAMETERS NOTE: Values should reflect dissolved and colloidal
Cameron Testing Services
COD 00335
concentrations.
Coliform: MF Fecal 31616
mg/L
Nitrite (NO2) as N 00615
mg/L
<1
/100n1L
Nitrate (NO3) as N 00620
28.0 m9 /L
Coliform: MF Total 31504
(Note. Use MPN method for highly Iurt:id
/100mL
Phosphorus: Total as P 00665
<0.050 mg/L
sarrptes)
Orthophosphate 70507
mg/L
iissolved Solids:Total 70300 372
mg/L
At -Aluminum o11os
mg/L
PH (Lab) 00403
units
Ba - Barium 01007
uglL
TOC oo68o 2.70
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 90.0
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
Phenol 32730
ug/L
Fe - Iron 01045
ug/L
Sulfate 00945
mg/L
Hg - Mercury 71900
u /L
g
pecific Conductance 00095
uMhos
K - Pntaccirrm nnoav
Total Ammonia ooslo 1.04 mg/L Mg - Magnesium 00927
(ArmWnia Nitrogen. N111 as N. Ammrxaa Nit mg/L
rogen. Total) Mn - Manganese olo55 u lL
TKN as N 00625 9
mg/L Ni - Nickel 01067 ug/L
For Remediation Systems Only (Attach Lab Reports):
Marcus Bell, Director of Processing
Permittee (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev.2/2010
Influent Total VOCs
FIELD ANALYSES:
PH 00400. 4.05 units
Spec. Cond. 00094:
Odor 00085:
Appearance
Temp. 000lo. 15.8 °C
uMhos
Certification No. #654
Pb - Lead 01051 ug/L
Zn - Zinc 01092 mg/L
Other (Specify Compounds and Concentration Units):
ORGANICS: (by GC, GC/MS, HPLC)
(Specify test and method #. ATTACH LAB REPORT.)
Lab Report Attached? ❑fa Yes (1) ❑ No (0)
VOC 78732 method # EPA 8260D15030B
method #
method #
method #
mg/L Effluent Total VOCs:
If WELL
DRY at
time of
sampling,
ra

GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
Facility Name: Mountaire Farms of North Carolina
Permit Name (If different).
Facility Address: 17269 NC Hwy 71N
Lurnber Bridge
SUBMIT FORM ON YELLOW PAPER ONLY
or
NC 28357-0339 County Robeson
tact Person: Robert Jackson Telephone#: [phone]
1 Location/Site Name Mountaire Inner and Outer Perimeter Spray Fields No. of wells to be sampled:
SAMPLING INFORMATION
WELL ID NUMBER (from Permit): MW-52
Well Depth: 18.5 ft
Depth to Water Level 82546: 7.8 ftbelow measuring point
Measuring Point is 3 ft. above land surface
Volume of water pumped/bailed before sampling: 2.50 gallon
Sarnples for metals were collected unfiltered: ❑ YES C NO
11BORATORY INFORMATION
29
DEPARTMENT OF ENVIRONMENTS NATURAL RESOURCES
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
PERMIT Number: 'N00000484 Expiration Date: 0913012030
Non -Discharge x UIC
NPDES Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
❑� Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other
Date sample collected: 12/08/23
Well Diameter: 2 in.
Screened Interval: ft. to _ft.
Relative M.P Elevation: ft.
s
and field acidified: ❑ YES [] NO
Date sample analyzed 1­'ru8-12r723 Laboratory Name
PARAMETERS NOTE: Values should reflect dissolved
Cameron Testing Services
COD 00335
and colloidal concentrations.
Coliform: MF Fecal 31616
ma/L
Nitrite (NO,.) as N oo615
mg/L
<1
/100mL
Nitrate (N01) as N ooszo
15.6 m9 !L
Coliform: MF Total 31504
(Nate use MPN method for highly turbo
/100mL
Phosphorus. Total as P 00665
<0.050 mg/L
samples)
Orthophosphate 70507
mg/L
issolved Solids:Total 70300 588
mg/L
At - Aluminum oil o5
mg/L
PH (Lab) C0403
units
Ba - Barium 01007
ug/L
TOC co66o 14.4
rng/L
Ca - Calcium 00916
mg/L
Chloride 00940 151
mg/L
Cot - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium. Total o1o34
ug/L
Grease and Oils 00552
mg/L
Cu - Copper 01042
m /L
g
Phenol 32730
uglL
Fe - Iron 01045
ug/L
Sulfate 00945
mg/L
Hg - Mercury 71900
u /L
g
Decific Conductance 00095
µ Mhos
K - Potassium 00937
mg/L
Total Ammonia oo610 <1.00
(Armlonia Nitrogon: NH, as N. Ammonia Nitrogen, Totals
mg!L
Mg - Magnesium 00927
mg/L
Mn - Manganese 01055
ug/L
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L
For Remediation Systems Only (Attach Lab Reports):
Marcus Bell, Director of Processing
Permdlee (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev 2/2010
Influent Total VOCs:
If WELL
FIELD ANALYSES:
WAS
PH oo4co 5.55 units Temp. 000lo 15.2 `C
DRY at
Spec. Cond. 00094: µMhos
time of
Odor 0008s
sampling
check
Appearance
here: ❑
Certification No. #654
Pb - Lead o1o51 ug/L
Zn - Zinc 01092 mg/L
Other (Specify Compounds and Concentration Units):
ORGANICS: (by GC, GC/MS, HPLC)
(Specify test and method #. ATTACH LAB REPORT.)
Lab Report Attached? 0 Yes (1) ❑ No (0)
VOC 78732 method # EPA 8260D/5030B
method #
method #
method #
Effluent Total VOCs nig/L

GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
Facility Name: Mountaire Farms of North Carolina
Permit Name (if different): _
Facility Address: 17269 NC
Lumber Bridge
71N
Print
or Type
SUBMIT FORM ON YELLOW PAPER ONLY
NC 28357-0339 County
Robeson
tact Person: Robert Jackson Telephone#: [phone]
1 LocatiordSite Name: fAcuntaire Inner and Outer Perimeter Spray Fields No. of wells to be sampled.
WELL ID NUMBER (from Permit): MW-53
Well Depth: 18.0 ft
Depth to Water Level 82546. 4-1 ft. below measuring point
Measuring Point is 3 It above land surface
Volume of water pumped/bailed before sampling: 4.50 gallon
Samples for metals were collected unfiltered ❑ YESIN NO
29
i Perm tl
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
PERMIT Number: W00000484 Expiration Date 09130/2030
Nan -Discharge X UIC
NPDES Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
IN Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other.
Date sample collected. 12108/23
Well Diameter 2 in.
Screened Interval ft. to ft.
Relative M.P Elevation: ft.
s
and field acidified: ❑ YES FE] NO
Date sample analyzed 12108-12127123 Laboratory Name:
PARAMETERS NOTE: Values should reflect dissolved and colloidal
Cameron Testing Services
COD 00335
concentrations.
Coliform: MF Fecal 31616
mg/L
Nitrite (NO,) as N o0615
mgL
<1
/100mL
Nitrate (NO;) as N 00620
15.9 mglL
Coliform: MF Total 315114
(Note Use MPN nwthod for highly twbid
/100mL
Phosphorus: Total as P 00665
<0.050 mg/L
samp(es)
Orthophosphate 70507
mg/L
I!ssoived Solids:Total 70300 307
mg/L
Al -Aluminum of fos
mg
PH (Lab) 00403
units
Ba -Barium 01007
uglL
TOC 00680 1 35
mg/L
Ca - Calcium 00916
mg/L
Chloride OC940 86.7
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
m iL
g
Phenol 32730
uglL
Fe -Iron oloas
uglL
Sulfate 00945
mg/L
Hg - Mercury 71900
u9 /L
pecific Conductance 00095
pMhos
K - Potassium 00937
mg/L
Total Ammonia oo6io <1.00
(Ammorea W rogon NH, as N. Anttionia Mirogen,
mg/L
Mg - Magnesium 00927
mg/L
Total)
Mn - Manganese otoss
ug/L
TKN as N OC625
mg/L
Ni - Nickel 01067
ug/L
For Remediation Systems Only (Attach Lab Reports):
Marcus Bell, Director of Processing
Permitlee (or Authorized Agcnq Namo and Title -Please print or type
GW-59 Rev.2/2010
Influent Total VOCs:
FIELD ANALYSES:
PH 00400: 5.30 units
Spec. Cond. 00094:
Odor 00,085
Appearance
Temp. 000lo: 14.5 °C
uMhos
Certification No ft654
Pb - Lead 01051 ug/L
Zn - Zinc 01092 mg/L
Other (Specify Compounds and Concentration Units):
ORGANICS: (by Gt -/MS, HPLC)
(Specify test and method #. ATTACH LAB REPORT.)
Lab Report Attached? 19 Yes (1) ❑ No (0)
VOC 78132 method # EPA 8260D150308
method #
method #
method #
mg/L Effluent Total VOCs:
WELL
DRY at
time of
sampling.
here: ❑

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GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
FACILITY INFORMATION Please Print
Facility Name: Mountaire Farms of North Carolina
Permit Name (if different):
Facility Address: 17269 NC Hwy 71 N
Lumber Bridge
SUBMIT FORM ON YELLOW PAPER ONLY
or
NC 28357-0339 County Robeson
ontact Person: Robert Jackson Telephone#: [phone]
WI Location/Site Name: Mountaire Inner and Outer Perimeter Spray Fields No. of wells to be sampled: 29
SAMPLING INFORMATION
WELL ID NUMBER (from P btW
'DEPARTMENT OF ENVIRONMENT 8 NATURAL RESOURCES
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
PERMIT Number: I,v0]0000484 Expiration Date: 09/30/2030
Non -Discharge X UIC
NPDES Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
ermrt). 55
Well Depth: 17.5 (t_
Date sample collected: 121108/23
FIELD ANALYSES:
-
Depth to Water Level 82546. 10.2 ft below
Well Diameter. 2 in.
measuring Screened
pH 00400 4.57 units Temp. uoole. 18.1 "C
Measuring Point is 2.5 ft above land surface
point Interval: ft.
to ft.
Spec. Cond. ocos. µMhos
Volume of water pumped/bailed before sampling:
2.50
Relative M.P. Elevation:
ft,
Odor 00085
Samples for metals were collected unfiltered:
❑ YES
gallons
(] NO
Appearance
LABORATORY INFORMATION
and field acidified: ❑YES
NO
Date sample analyzed: 12108-12/27123 Laboratory Name: Cameron Testing Services
PARAMETERS NOTE: Values should reflect dissolved and colloidal
Certification No. #654
COD 00335
concentrations.
Coliform: MF Fecal 31616
mg/L
Nitrite (NO:) as N 00615
mg/L
Pb - Lead o1o51 ug/L
<1
/100mL
Nitrate(NO3)s N 00620 3.86
( 3)
mg/L
Zn - Zinc 01092
Coliform: MF Total 31504
(Note Use NPq method for nigNy turdd sampios)
/100mL
Phosphorus: Total as P oos65 <0.050
mg/L
mg/L
ssolved Solids Total 70300 128
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
mg/L
AI - Aluminum o11o5
mg/L
PH (Lab) 00403
units
ea -Barium 01007
ug/L
TOC 00680 3.31
mg/L
Ca - Calcium 00916
mg/L
Chloride oo940 45.3
mg!L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total 01034
ug/L
Grease and Oils 00552
Phenol
mg/L
Cu - Copper 01042
mg/L
ORGANICS: (by GC, GC/MS, HPLC)
32730
Sulfate 00945
ug/L
Fe - Iron 01045
t1gIL
(Specify test and method #. ATTACH LAB REPORT.)
pecific Conductance 00095
mg/L
pMhos
Hg - Mercury 71900
ug/L
Lab Report Attached? ❑W Yes (1) ❑ No (0)
Total Ammonia oo6lo <1.00
mg/L
K - Potassium 00937
Mg
rn /L
g
VOC 78rz method # EPA 8260D/50308
(Ammonia Nitrogen. NH, as Nmb ; Arnre Nitrogen. Total)
- Magnesium 00927
mg/L
method #
TKN as N oofizs
Mn - Manganese o1o55
ug/L
method #
mg,'L
Ni - Nickel 01067
ug/L
,method #
For Remediation Systems Only (Attach Lab Reports):
Influent Total VOCs.
N
mg1L
Effluent Total
VOCs: mglL VOC Removal%
MarcusBell, Director of Processing U7�
Perrnittee (or Authorized Agent) Name and Title •Please print or type
.gnature er Permdle
GW-59 Rev.2/2010 e (or Authorized Agent)
If WELL
WAS
DRY at
time of
sampling,
check
here ❑