WQ0000484_GW Monitoring_20130124

oV OIVIII rVRIVI Un
tER QUALITY MONITORING:
E REPORT FORM
(Facility Name: Mountaire Farms of North Carolina
Permit Name (if different):
Facility Address: 17269 NC Hwy 17N
NC 28357-0339 County Robeson
IContact Person: Robert Jackson Telephone#: [phone]
Well Location/Site Name: Mountaire Innerand Outer Perimeter.Spray Fields No. of wells to be sampled: 30
L ID NUMBER (from Permit): MW-8
Depth: 12.0 ft.
1 to Water Level 82546: 13.7 ft. below measuring point
luring Point is 3 ft. above land surface
ne of water pumped/bailed before sampling: 1-.54
Dies for metals were collected unfiltered: ❑✓ YES ❑
Date sample collected: 12/03/12
Well Diameter. 2 In.
Screened Interval: ft. to _ft.
Relative M.P. Elevation: ft.
gallons
YES LJ NO
:RMIT Number: W00000484
Expiration Date: 04/30/2017
n-Discharge X
UIC
'DES
Other
'PE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon
❑ Remediation: Infiltration Gallery
X Spray Field
❑ Remediation:
❑ Rotary Distributor
❑ Land Application of Sludge
❑ Water Source Heat Pump
❑ Other:
FIELD ANALYSES:
pH 00400: 3.64 units
Spec. Cond. 00094:
Odor 000a5:
Appearance clear
Temp. cooto: 19.4 eC DRY at
µMhos time of
ate sample analyzed: 12/04-12/12 Laboratory Name: Cameron Testing Services/Envirochem Certification No. NC DENR#e54
ARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L Nitrite (NO2) as N oo615 mg/L Pb - Lead o1o51 ugfL
Coliform: MF Fecal 31616 < 1 /100mL Nitrate (NOD) as N 00620 < 10 mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504 /100 L Ph h To' 1 P
(Note: Use MPN method for higNy turtsid samples)
inosp
orus. 0 a as 00ee5
Orthophosphate 70507
mg/L
mg/L
Other (Specif E U OV Lion Units):
>solved.,Solids:Total 70300 <500
mg/L
AI - Aluminum oilo5
mg/L
pH (Lab) 00403
units
Be - Barium 01007
ug/L
JAN 3 0 2013
TOC 00ss0 < 10
mg/L
Ca - Calcium ods16
mg/L
Chloride 00940
mg/L
Cd- Cadmium 01027
ug/L
WATE ;,,, r4r_ f Inur
Arsenic 01002
1.
ug/L
Chromium: Total o1o34
ug/L
Grease and Oils o0552
mg/L
Cu - Copper 01M
mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Phenol 3273o _
ugfL
Fe - Iron o1D45
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg/L
Hg - Mercury 71900
ug/L
Lab Report Attached? 5, ta� ❑
)ecific Conductance 000es
µMhos
K - Potassium oo937
mg/L
VOC 7e732: , meppftib88d #
Total Ammonia o051o<0.1
mg/L
Mg - Magnesium 00927
mg/L
(Ammonia Nitrogen; NH.as N; Ammonia Musser, Total)
Mn - Manganese 01055
ug/L
,method # L
— TKN as N 0062e.
mg/L
Ni - Nickel o1os7
ug/L
,. meth, A,ry
xmnr�
rui rvemeutanon ay5tems unly tAuacn LaD Keporis): Influent I otal VUCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
David Kirby, Dir. of Processing r 2Ir
Permittee (or Authorized Agent) Name and Title - Please print ortype Signature of Penoittee (or Authored Agent)
GW-59 Rev. 2120'IO

SUBMIT 1-UKM UN YtLLUW t'APCK UNL
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
LITY INFORMATION' Please Pant clearly or Type PERMIT Number: W00000484 Expiration Date: 04130/2017
ty Name: Mountaire Farms of North Carolina Non -Discharge x UIC
it Name (if different): NPDES Other
ty Address: 17269 NC Hwy 17N TYPE OF PERMITTED OPERATION BEING MONITORED
Lumber Bridge (SVB°') NC 28357-0339 County Robeson ❑ Lagoon ❑ Remedialion: Infiltration Gallery
(city) (slat.) (zip) X Spray Field ❑ Remediation:
act Person: Robert Jackson Telephone#: [phone] ❑ Rotary Distributor ❑ Land Application of Sludge
Location/Site Name: Mountaire Inner and Outer Perimeter Spray Fields No. of wells to be sampled: 30 ❑ Water Source Heat Pump ❑ Other:
WELL ID NUMBER (from Permit): MW-14 Date sample collected: 12/0412
Well Depth: 20 ft. Well Diameter. 2 in.
Depth to Water Level 82546: 14.5 fit. below measuring point Screened Interval: ft. to
Measuring Point is 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: 0 YES ❑ NO and field acidified: ✓❑ YES ❑ NO
_ft.
FIELD ANALYSES:
pH 00400: 4.03 units Temp. coolo: 19.8 °C
Spec. Cond. oo0sa: µ Mhos
Odor 000s5:
Appearance clear
WAS
DRY at
time of
sampling,
check
here:❑.
LABORATORY INFORMATION
Date sample analyzed: 12/04.11/12
Laboratory Name: Cameron Testing Services/Envirochem Certification No. NC DENR#654
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO3) as N 00e15
mg/L
Pb - Lead oio51 ug/L
Coliform: MF Fecal slats < 1
/100mL
Nitrate (NO3) as N oos2o < 10
mg/L
Zn - Zinc o1o92 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 <500
mg/L
AI - Aluminum oleos
mg/L
pH (Lab) 00403
units
Be - Barium o1007
ug/L
TOOoosso < 10
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940
mg/L
Cd - Cadmium oio27
ug/L
Arsenic o1oo2
ug1L
Chromium: Total olo34
uglL
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron 01045
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg/L
Hg - Mercury 71900
ug/L
Lab Report Attached? H Yes (1) ❑ No (0)
pecific Conductance 000s5
µMhos
K - Potassium 00937
mg/L
VOC 78732: , method # 8260B
Total Ammonia ooslo < 0.1
mg/L
Mg - Magnesium 00927
mg/L
, method #
(Ammonia Nitrogen; NH,asN; Ammonla Nitrogen, Total)
Mn - Manganese o1055 _
ug/L
, method #
TKN as N 00625
mg/L
Ni - Nickel. oio67
ug/L
, method #
c... oe—t— nniu lAt+—. I ftti oenn..d•
1nf... n+TMo1 vnr�- rnn/l
Effluent TntA VOCs• mall- VOC Removal%
David Kirby, Dir. of Processing �Iyuv ✓I t� T 1 /LPf✓/ It 13
Permiltee(or Authorized Agent)Name and Title- Please print or type Slgnatureof Permittee u or¢edA i 'Y• (Dale)
GW-59 Rev. 212010

SUBMIT FORM ON YFI I nW PAPER nMl V
QUALITY
Name: Mountaire Farms of North Carolina
Name (if different):
Address: 17269 NC Hwy 17N
NU Z6357-0339 County
act Person: Robert Jackson Telephone#; 910-359-5275
Location/Site Name: Mountaire Inner and Outer Perimeter Spray Fields No. of wells to be sampled: 30
PERMIT Number: WQ0000484 Expiration Date:
Non -Discharge X UIC
NPDES
ID NUMBER (from Permit): MW-15 Date sample collected: 12/04/12
epth: 15.0 ft. Well Diameter. 2 in.
to Water Level 82546: 12.6 ft. below measuring point Screened Interval:_fL to ft.
ring Point is , 3 ft. above land surface Relative M.P. Elevation: ft.
e of water pumped/bailed before sampling: 1.5 gallons as for metalswere collected unfiltered: 0 YES ❑ NO and field acidified: ICI YES r-1 Nn
Other
'PE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
X Spray Field ❑Remediation:
El Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump El Other:
FIELD ANALYSES:
pH 0040o: 4.16 units
Spec. Cond. 00094:
Odor oo095: _
Appearance clear
Temp. 0oolo: 18.4 °C DRY at
µMhos time of
Date sample analyzed: 12/04-11/12
Laboratory Name: Cameron Testing Services/Envirochem Certification No. NC DENR #654
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (N%) as N 00615
mg/L
Pb - Lead oio51 ug/L
Coliform: MF Fecal 31616 < 1
/10omL
Nitrate (N031 as N 00620
%2g.3`= mg/L
Zn - Zinc olo92 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665
mg/L
(Note: use MPNmeModforhi9hlylurbidsamples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 <500
mg/L
AI - Aluminum 01105
mg/L
'
pH (Lab) 00403
units
Ba- Barium 01007
ug/L
TOC 00680 <10
mg1L
Ca - Calcium 00916
mg/L
Chloride 00940
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 0,1002
ug/L
Chromium: Total oto34
ug/L
Grease and Oils
mg/L
Cu -Copper 01042
mg/L
ORGANICS: (by GC, GC/MS, HPLC)
32730
3z�ao Phenol
uglL
Fe - Iron 01045
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg/L
Hg - Mercury. 7190o
ug/L
Lab Report Attached? -[j Yes (1) ❑ No (0)
Specific Conductance o6095
µMhos
K - Potassium 00937
mg/L
VOC 79732: , method # 8260 B
Total Ammonia Dodo 1.34
mg/L
Mg - Magnesium 00927
mg/L
#
(Ammonla Nitrogen: NH, as N: Ammonia Nltrogen,Tolel)
Mn- Manganeseotoss
ug/L
,method
,method#
TKN as IN ocszs
mg/L
Ni - Nickel 01067
ug/L
, method #
For Remediation Systems Only (Attach Lab Reports):
Influent Total VOCs:
mg/L Effluent TotalVOCs: . mq/L VOC Removal%
David Kirby, Dir. of Processing
Pefmittee (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev. 212010

JUolvn I rVINIVI UIV 1 MLLV V_V rHrCR VIVL I
IGROUNDWATEP,QUALITY MONITORING:
COMPLIANCE REPORT FORM
cility Name: Mountaire Farms of North Carolina
:rmit Name (if different):
icility Address: 17269 NC Hwy 17N
Lumber Bridge (alraap NC 28357-0339 County Robeson
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-16 Dale sample collected: N/A
Well Depth: 10.0 ft. Well Diameter. 2 in.
Depth to Water Level 82546: ft. below measuring point Screened Interval: ft. to ft.
Measuring Point is 3 ft. above land surface Relative M.P.,Elevation: • ft.
Volumeofwater pumped/bailed before samplings gallons
Samples for metals were collected unfiltered: V✓ YES ❑ NO and field acidified: 0 YES rl NO
RMIT Number: WQ0000484 Expiration Date: 04/30/2017
n-Discharge X UIC
DES Other
'PE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
X Spray Field El Remediation:
El Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other
FIELD ANALYSES:
pH 00400: units
Spec. Cord. 00094:
Odor 00085: _
Appearance clear
Temp. ocoto: °C • DRY at
µMhos time of
Ite sample analyzed: N/a
Laboratory Name: Cameron Testing Services/Envirochem Certification No. ND D5NR #554
\RAMETERS - NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335.
mg/L
Nitrite (NO2) as N costs
mg/L
Pb - Lead olos1 ug/L
Coliform: MF Fecal 31615
/100mL
Nitrate (NO3) as N 00620
mg/L
Zn - Zinc o1o92 mg/L
Coliform: MF Total 31504
/100mL
-Phosphorus: Total as P.00ss5
mg/L
(Note: use MPN method for highly turbid samples)-
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
;solved Solids:Total 7000
mg/L
AI -Aluminum 01105
mg/L
pH (Lab) co403
units
Be - Barium 01007
ug/L
'
TOC ooseo
mg/I­
Ca - Calcium 00916
mg/L
Chloride 00940
mg/L
Cd - Cadmium D1027
ug/L
Arsenico1om
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 D0945
mg/L
Hg - Mercury 71900
ug/L
Lab Report Attached? ElYes (1) 9 No (0)
)ecific Conductance 00095
µMhos
K - Potassium 00937
mg/L
VOC 78732: , method #
Total Ammonia oosio
mg/L
Mg - Magnesium 00927
mg/L
, method #
(Almwnia Nitrogen: NH, as N: Ammonla Nitrogen, Total)
Mn - Manganese 01055
ug/L
, method #
TKN as N 00625
mg/L
Ni - Nickel 010e7
ug/L
, method #'
For Remediation Svstems.Only (Attach Lab ReDorts): Influent Total VOCs:- mo/L Effluent Total VOCs: mo/L. VOC Removal%
David Kirby, Dir. of Processing
Permitlee (or Authorized Agent) Name and Title- Please print or type
GW-59 Rev. 212010

II
I'
SUBMIT
FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:01
�..
{^= {"
v IiN F ^ unuT •NPo ma3 Na E iN I
COMPLIANCE REPORT FORM
�''
1617 MPolrseRVICE CENTER'-RNLEI27be9 `(63 LPh he', 9�1 J 3�j?j
FACILITY INFORMATION Please Print claany or Type
PERMIT Number:'W00000484 Expiration Date: 04/30/2017
Facility Name: Mountaire Farms of North Carolina
Non -Discharge x UIC
Permit Name (if different):
NPDES Other
Facility Address: 17269 NC Hwy 17N
TYPE OF PERMITTED OPERATION BEING MONITORED
Robeson
Lumber Bridge (slfB01) NC 28357-0339 Cdunty
El Lagoon ❑ Remediation: Infiltration Gallery
X Spray Field ❑Remediation:
(City) (sate) (zp)
-
Contact Person: ...'Robert Jackson _
Telephone#:
910-359-5275
❑ Rotary Distributor ❑ Land Application of Sludge
wells to be sampled: ., 30'
Well Location/Site Name: Mountaire Inner and Outer Perimeter Spray Fierds No. o
Source Heat Pump El Other.
prom Le
SAMPLING INFORMATION
-
WELL
WELL NUMBER (from Permit): MW-17
Date sample collected: 12/04/12
If WELL
FIELD ANALYSES: WAS
Well Depth:
th: 11.4 g.
ll Diameter. 2 in.
Weeened
pH 0040o: 4.16 units Temp. 000to: 19.0 aC DRY at
Depth to Water Level e2546: 9.00 ft. below measuring point Sc
n Interval:ft. to
ft. Spec. Cond. oo0s4: µMhos time of
Measuring Point is _3 ft. above land surface
_
Relative�v1.P. Elevation: ft.
sampling,
Odor 000ss:
Volume of water pumped/bailed before sampling: 1.25
gallons I
check -
Appearance clear - here:❑-
Samplesfor metalsw're collected unfiltered: ❑✓ YES
❑ NO and field. acidified: 0 YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 12/04-11/12 Laboratory Name: Cameron Testing Services/Envirochem Certification No. NC DENR#654
PARAMETERS NOTE: Values should reflect dissolved and colloidal conpentrations.
COD 00335 mg/L
Nitrite (NO2) s N posts
mg/L Pb - Lead. o105t ug/L
Coliform: MF Fecal 3t6ts < 1 /100mL
Nitrate (NOa) s N 00620 T49r4!!,�P
mglL Zn -Zinc 01092 mg/L
Coliform: MF Total 31504 /100mL
Phosphorus: Total P o0665
mg/L -
(Note: Use MPN method W7ht;Wy turbidaamplee)
tas
Ortho hos J1 ate 70507 P PI
mglL Other (Specify Compounds and Concentration Units):
issolvedSolids:Total7o3o0 <500 mg/L
AI-AIU7.um0lma
mg/L
PH. (Lab) 00403 units
Ba - Barium 01007
ug/L
TOC 0oseo < 10 mg/L
Ca - Calcium 00916
mg/L
Chloride 0o940 mglL
Cd - Cadrilium 01027
ug/L'
Arsenicoloo2 uglL
Chromium: otal o1o34
ug/L -
Grease and Oils 00552 mg/L
Cu - Co 3per 01D42
mg/L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 3v3o ug/L
.Fe - Iron om4s
uglL (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945 mg/L
Hg.- Met cury 71900 -
ug/L Lab Report Attached? Yes (1) ❑ No (0)
Specific Conductance 00095 µMhos
K - Pot as ium d0s37
mg7L VOC 7e732:' ,method # 82601 B
Total Ammoriia.00et0 < 0.1 mg/L
Mg - Magnetium 00927
mg/L method #
(Ammonia Nitrogen; N%as N: Ammonia Nitrogen, Total)
Mn - Manganese Dross
,
u /L
9 method #
TKN as N 00625 mg/L
Ni - Nickel 01067
ug/L , method #
For Remediation Systems Only (Attach Lab Reports):
Ifwvwlw�wlww�+•i� �
Influent Total VOCs:. mg/L
_
Effluent Total VOCs: mg/L" VOC Removal,
-
Dir.
.1/2Y/�3
GW-59 Rev. 2/2010

JVCIYII I rumivi UN TMLIVvv rAMM UNLr
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
acility Name: Mountaire Farms of North Carolina
armit Name (if different):
acility Address: 17269 NC Hwy 17N
Lumber Bridge 161f00g NC 28357-0339
County Robeson
act Person: Robert Jackson Telephone#: [phone]
Location/Site Name: Mountaire Inner and Outer Perimeter Spray Fields No. of wells to be sampled: 30
L ID NUMBER (from Permit): MW-18 Date sample collected: n/a
Depth: 10.0 ft. Well Diameter. 2 in.
h to Water Level 82546: �ft. below measuring point Screened Interval: ft. to ft.
luring Point is 3 ft. above land surface' Relative M.P. Elevation: ft.
Tie of water pumped/bailed before sampling: gallons
31es for metals were collected unfiltered: EYES ❑ NO and field acidified: EYES ❑ NO
sample
COD 00335 mg/L
Coliform: MF Fecal 31616-. /100mL
Coliform: MF Total 31604 /100mL
(Note: Use MPN method for 9Ny lure msamples)
solved Solids:Total 70300
_ mg/L
pH (Lab) 00403
units
TOC co6eo
mg/L
Chloride 00940
mg/L
Arsenic 01002
ug/L
Grease and Oils 00552
mg/L
Phenol 32730
ug/L
Sulfate 00945
mg/L
eciflc Conductance ocoss
µMhos
Total Ammonia 00610
mg/L
(Ammonia Nitrogen: NHses N; Ammonia Nitrogen, Total)
TKN as N 00625 mg/L
:RMIT Number: WQ0000484 Expiration Date: 04/30/2017
in -Discharge X UIC
'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: WAS
pH oo400:_ units Temp. cool o: °C DRY at
Spec. Cond. 00094: µMhos time of
samplin
Odor 000es: check
Appearance clear. here:r-
Laboratory Name: Cameron Testing Services/Envirochem Certification No. ND DENR#564
and colloidal concentrations.
Nitrite (NO2) as N oasts
mg/L
Pb - Lead oiosl ug/L
Nitrate (NO,) as N 00520
mg/L
Zn - Zinc 01092 mg/L
Phosphorus: Total as P 00565
mg/L
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
AI - Aluminum oilos
mg/L
Be - Barium 01007
ug/L
Ca - Calcium oogte
mg/L
Cd - Cadmium 01027
ug/L
Chromium: Total olo34
ug/L
Cu - Copper 01042
mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Fe - Iron 01045
ug)L
(Specify test and method #.. ATTACH LAB REPORT.)
Hg - Mercury 71900
ug/L
Lab Report Attached? ❑ Yes (1) X No (0)
K - Potassium 00937
mg/L
VOC 78732: , method #
Mg - Magnesium 00927
mg/L
, method #
Mn - Manganese oloss
ug/L
, method #
Ni - Nickel 01067
ug/L
, method #
rim
-------'-••-•­-••v r..o�„tee. =P`°r u). mnuem i ota) vuus: mg/L Effluent Total VOCs: mg/L VOC Removal%
David Kirby, Dir. of Processing I ) �r r) I�/L4/I
Pennittee (or Authorized Agent) Name and Tltle- Please print or type Signature of Permltte onzed Agent)
GW-59 Rev. 212010

SUBMIT FORM ON YELLOW PAPER ONLY
QUALITY MONITORING:
Facility Name: Mountaire Farms of North Carolina
Permit Name (if different):
Facility Address: 17269 NO Hwy 17N
Lumber Bridge tst100 NO 28357-0339 County Robeson
Person: Robert Jackson
Telephone#: [phone]
Location/Site Name: Mountaire Inner and Outer Perimeter Spray Fields No, of wells to be sampled:
TF
MW-19
Depth: 12.8 ft.
1 to Water Level 82546: 10.7 ft. below measuring point
curing Point is 3 ft. above land surface
ne of water pumped/bailed before sampling: 1.25
)les for metals were collected unfiltered: 0 YES C
Date sample collected: 12/04/12
Well Diameter: 2 in.
Screenedlnterval:_ft. to _ft.
RelativeM.P. Elevation: __... ft.
gallons
NO and field "acidified: 0 YES ❑ NO
X UIC
Other
OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon
❑ Remediation: Infiltration Gallery
0 Spray Field
❑ Remediation:
❑ Rotary Distributor J
❑ Land Application of Sludge
❑ water source Heat Pump
El Other:
If WELI
FIELD ANALYSES:
WAS
pH 00400: 4.37 units
Temp. 000lo: 18.7 eC
DRY at
Spec. Cond. 00094:
µMhos
time of
samDlir
Odor 00095:
Appearance clear
ale sample analyzed: 12/04111/12 Laboratory Name: Cameron Testing Services/Envirochem
\RAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L Nitrite (NO2) as N oasts mg/L Pb - Lead oio51
Coliform: MF Fecal 31'616 < 1 /100mL Nitrate (NO3) as N 00620 < 10 mg/L Zn - Zinc 01092
Coliform: MF Total 31504 /100ml- Phosphorus: Total as.P 00565
(Note: Use MPN method forNgNy turbid samples)
Orthophosphate 70507
Certification No. NC DENR #e54
ug/L
mg/L
mg/L
mg/L Other (Specify Compounds and Concentration Units):
)issolved Solids:Total 70300 _ < 500
mg/L
AI -Aluminum onos
mg/L
pH (Lab) 00403
units
Bat - Barium 01007
uglL
TOO oosso < 10
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940
Trig/L
Cd - Cadmium 01027
uglL
Arsenic olooz
uglL
Chromium: Total o1o34
ug/L
-
f
Grease and Oils 00552
mg/L
Cu -'Copper 01042.
mg/L
ORGANICS: (by GC, GC/MS; HPLC)
Phenol 3273e
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? IN Yes (1) ElNo (0)
Specific Conductance 000ss
µMhos
K - Potassium 0o937
mg/L
VOC 78732: , method # 82601 B
Total Ammonia ooslo 0.69
mg/L
Mg - Magnesium 00927
mg/L
, method #
(Ammonla Nitrogen; NHsas N; Pmmonia Nitrogen, Total)
Mn - Manganese otoee
ug/L
, method #
TKN as N 00025
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%
David Kirby, Dir. of Processing
Permlttee (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev. 212010

a�orvnl rtrnm vry r rcn vn�r
TER QUALITY MONITORING:
E REPORT FORM
FACILITY INFORMATION Please Pant clearly or Type
PERMIT Number: W00000484
Expiration Date: 04/30/2017
Facility Name: Mountaire Farms of North Carolina
Non -Discharge X
NPDES
UIC
Other
Permit Name (if different):
Facility Address: 17269 NC Hwy 17N
TYPE OF PERMITTED OPERATION
❑ Lagoon
BEING MONITORED
❑ Remediation: Infiltration Gallery
Lumber Bridge (sues') NC 28357-0339 County Robeson
(City) (slate) (Lip)
X Spray Field
EI Remediation:
Contact Person: Robert Jackson
Telephone#: [phone]
❑ Rotary Distributor
❑ Land Application of Sludge '
Well Location/Site Name: Mountains Inner and Outer Perimeter Spray Fields
No. of.wells to be sampled: 30
❑ Water Source Heat Pump
❑ Other.
from Pelmil
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-20
Date sample collected: 12/04/12
FIELD ANALYSES:
WAS
Well Depth: 11 ft.
Well Diameter. 2 in.
pH C0400: 6.39 units
Temp.-000lo: 19.3 aC
DRY at
Depth to Water Level 82546: 8.8 ft. below measuring point
Screened Interval: ft. to _ft.
Spec. Cord. 00094:
µ Mhos
time of
sampling,
Measuring Point is 3 ft. above land surface
Relative M.P. Elevation: ft.
Odor cooas:
check
Volume of water pumped/bailed before sampling: 1.25 gallons
Appearance clear
here:
❑
Samples for metals were collected unfiltered: 10 YES ❑ NO
and field acidified: M YES El NO
ite sample analyzed: 12/04-11/12 Laboratory Name: Cameron Testing Services/Envirechem
1RAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615
ri
Coliform: MF Fecal 31616 < 1
1100mL
Nitrate (NO3) as N 00620 < 10
mg/L
Coliform: MF Total 31604
/100mL
Phosphorus: Total as P 00665
mg/L
(Note: Use MPN method for highly tumid samples)
Orthophosphate 70507
mg/L
.solved Solids:Total70300<500
mg/L
AI -Aluminum ollo5
ri
pH (Lab) 00403
units
Be - Barium 01007
ug1L
TOC 00680C150_W/
mg/L
Ca - Calcium oo916
mglL
Chloride 00940
ri
Cd - Cadmium M27
ug/L
Arsenic olooz
ug1L
Chromium: Total 01034
uglL
Grease and Oils 00552
ni
Cu - Copper 01042
mg/L
Phenol 32730
ug1L
Fe - Iron 01045
ug/L
Sulfate 00945
mg/L
Hg - Mercury 71900
ug/L
)ecific Conductance cooas
µMhos
K - Potassium oo937
-mg/L
Total Ammonia 00610 �195
mg/L
Mg - Magnesium 00927
mg/L
(A niaNitrogen: Nt6asN;AmmonlaNitrogen.Total)
Mn- Manganese moss
uglL
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L
Pb - Lead most
Zn - Zinc 01092
Certification No. NC DENR 0654
ug/L
mg/L
Other (Specify Compounds and Concentration Units):
ORGANICS: (by GC, GUMS, HPLC)
(Specify test and method #. ATTACH LAB REPORT.)
Lab Report Attached? ❑M Yes (1) ❑ No (0)
VOC 78732: method # 82601 B
method #
method #
method #
for Kemeotatlon systems Only (Attacn Lao Reports): Ineuent I otal VULA: mgfL tmuent I Olaf VUGs: m91L via, mu'lluvana
David Kirby, Dlr. of Processing
Pennittee (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev. 212010

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
Motu FzwnreR OTT[ z�r fe s7P E s r uNi `y �
COMPLIANCE REPORT FORM
r733.3221p��,
6, ERVIGE�R'RACEI H, NC�78993647.�P.hong: 19A9
FACILITY INFORMATION Please Plant Clearly or Type
PERMIT. Number: W00000484 Expiration Date: 04/30/2017
Facility Name: Mountaire Farms of North Carolina
Non -Discharge X UIC
NPDES Other
Permit Name (if different):
Facility Address: 17269 NC Hwy 17N
TYPE OF PERMITTED OPERATION BEING MONITORED
[I Lagoon ❑Remediation: Infiltration Gallery
Lumber Bridge (Street) NC 28357-0339 Count Robeson
Y �
(City)(stale) (zip)
H 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: 30
❑ Water Source Heat Pump ❑ Other.
from Pem,il
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-24
Date sample collected: 12/04/12
FIELD ANALYSES:
WAS
Well Depth: 17.9 ft.
Well Diameter. 2 in.
pH 0040o: 4.14 units Temp. 000lo: 21.1 eC
DRY at.
Depth to Water Level 82546. 15.9 ft. below measuring point Screened Interval: to
ft. Spec. COnd. 00094: µMhos -
time
Measuring Point is 3 ft. above land surface
—ft.
Relative M.P. Elevation: ft.
Odor 000as:
sampling,
check
Volume of water pumped/bailed before sampling: 1.00
gallons
_
Appearance clear
here:❑
Samples for metals were collected unfiltered: ❑✓ YES _
❑ NO and field acidified:. ❑✓ YES ❑ NO
LABORATORY INFORMATION
Dale sample analyzed: 12/04-11/12
Laboratory Name: Cameron Testing Services/Envirochem
Certification No. NC DENR#654
PARAMETERS NOTE: Values should reflect dissolved
and colloidal concentrations.
COD 00335 mg/L
Nitrite (NO2) as N 00615
m /L Pb - Lead oioet
g uglL
Coliform: MF Fecal 31616 < 1 /100ml-
Nitrate (NO3) as N 00620 < 10
ni Zn - Zinc 01092 mg/L
Coliform: MF Total 31504 /100ml-
Phosphorus: Total as P oosss'
mg/L
(Note: Use MPN metnoa for Rg Wy ,d.itlsamples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 < 500 mg/L
AI - Aluminum of 105
mg/L
pH (Lab) 00403 units
Be - Barium 01007
ug/L
TOC oo6eo < 10 mg/L
Ca - Calcium o0916
mg/L
Chloride 00940 mg/L
Cd - Cadmium 01027
ug/L
Arsenic01002 ug/L
Chromium: Total01034
ug/L '
Grease and Oils D0552 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? 0 Yes (1) ❑ No (0)
Specific Conductance 0oo9s µMhos
K - Potassium 00937
mg/L
VOC 78732: , method # 82601 B
Total Ammonia oo6lo < 0.1 mg/L
Mg - Magnesium 00927
mg/L
, method #
(Aoononia NlVogen; NH3as N; Ammonia NiUogen, Total)
Mn - Manganese oloss
ug/L method #
TKN as N 00625 mg/L
Ni - Nickel 01067
ug/L , method #
GW-59 Rev. 212010

SUBMIT FORM ON YELLOW PAPER ONLY
TER QUALITY MONITORING:
E REPORT FORM
Facility Name:, Mountaire Farms of North Carolina
Permit Name (if different):
Facility Address: 17269 NC Hwy 17N
Lumber Bridge (atr`0) NC 28357-0339 County Robeson
act Person: Robert Jackson
Location/Site Name: Mountaire Inner and Outer Perimeter
Telephone#: [phone]
Fields No. of wells to be sampled: 30
RMIT Number: W00000484 Expiration Date: 04/30/2017
n-Discharge X
UIC
'DES
Other .
'PE OF PERMITTED OPERATION BEING MONITORED
❑ lagoon
❑ Remediation: Infiltration Gallery
❑9 Spray Field
❑ Remediation:
❑ Rotary Distributor
❑ Land Application of Sludge -
❑ Water Source Heat Pump ❑ Other
WELL ID NUMBER (from Permit): MW-25 Dale sample collected: 12/04/12
Well Depth: 18.0 ft. Well Diameter. 2 in.
Depth to Water Level e254s:15.3 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: 1.5 gallons
Samples for metals were collected unfiltered: 21 YES ❑ NO and field acidified: ❑✓ YES ❑ NO
FIELD ANALYSES: IWAS
pH 0040o: 4.38 units Temp. 000lo: 20.7 aC
Spec. Cord. 00094: µMhos
Odor 0008e:
Appearance clear
DRY at
time of
sampling,
check
here:❑
LABORATORY INFORMATION
Date sample analyzed:. 12/04-11112
Laboratory Name: Cameron Testing
Services/Envirochem Certification No. No DENR 0e54
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615
mg/L
Pb - Lead oios1 ug/L
Coliform: MF Fecal31616 <1
/100mL
Nitrate (NO3) as N ooszo < 10
mg/L
Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100ml-
Phosphorus: Total as P 00655
mg/L
'
(Note: Use MPN malt ad for higNy turbld samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 < 500
mg/L
At -Aluminum o1105
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC ooseo < 10
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total o1034
ug/L,
Grease and Oils 00552
mg/L
Cu - Copper01o4z
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? N Yes (1) ❑ No (0)
Specific Conductance 00095
µMhos
K - Potassium oo937
mg/L
VOC 78732: , method # 82601 B
Total Ammonia ooseo < 0.1
mg/L
Mg - Magnesium 00927
mglL
, method #
(Ammonia Nitrogen; NHras N; Ammonia Nitrogen, Total)
Mn- Manganese o1055
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 TotalVOCs: mg/L VOC Removal%
David Kirby, Dir. of Processing \. A�-n%3
Permiltee (or Authorized Agent) Name and Title - Please print or type Signature of Patmitlee (or Authprizetl Agenp - ff-T(Data)
GW-59 Rev. 212010

SUBMIT. FORM ON YELLOW PAPER ONLY
QUALITY MONITORING:
Name: Mountaire Farms of North Carolina
Name (if different): _
Address: 17269 NC Hwy 17N
IberBridge (street) NC 28357-0339 County_ Robeson
act Person: Robert Jackson Telephone#: 910-359_5275
Location/Site Name: Mountaire Inner and Outer Perimeter Spray Fields No. of wells to be sampled: 30
Number: W00000484 Expiration
Non -Discharge
_ -- (from Pend)
PILING INFORMATION
L ID NUMBER (from Permit): MW-26 Dale sample collected: 12/04/12
Depth: 19.0 ft. Well Diameter: 2 in.
h to Water Level 82546: 12.4 ft. below measuring point Screened Interval: —ft. to _ft.
curing Point is 3 ft. above land surface Relative M.P. Elevation: _ ft.
of water pumped/bailed before sampling:
and field
UIC
Other
PIE 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: 4.02 units Temp. 000lo: 19.3 eC
Spec. cond. 00094: ;-Mhos
Odor 00085: `
Appearance clear
Ite sample analyzed: 12/04-11/12 Laboratory Name: Cameron Testing Services/Enyirochem
1RAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD o0335 mg/L Nitrite (NO2) as-N oasts mg/L Pb - Lead olosl
Coliform: MF Fecal 31616 < 1 /100mL Nitrate (NO3) as N 00620 ':$ mg/L Zn -Zinc 01092
Coliform: MF Total 31504 /100mL Phosphorus: Total as P 00665 mg/L
(Note: Use MPN mathod for NgNy turbid samples) Orthophosphate 70507 mg/L
issolved Solids:Total 70300 < 500
mg/L
pH (Lab) 00403
units
TOG ooeso < 10
mg/L
Chloride 00940
mg/L
Arsenic 01002
ug/L
Grease and Oils 00552
mg/L
Phenol 32730
ug/L
Sulfate 00945
mg/L'
ipecific Conductance 00095
}Mhos
Total Ammonia ooslo < 0.1
mg/L
(Ammonle Nllmgen; NH�as N; Ammonia Nltrapen, Total)
TKN as N 00625
mg/L
AI - Aluminum 01105
mg/L
Be - Barium 01007
ug/L
Ca -Calcium 00916
mg/L
Cd - Cadmium 01027
ug/L
Chromium: Total 01034
ug/L
Cu - Copper o1o42
mg/L
Fe - Iron 01045
ug/L
Hg - Mercury 71900
ug/L.
K - Potassium oo937
mg/L
Mg - Magnesium 00927
mg/L
Mn - Manganese 01055
ug/L
Ni - Nickel 01067
ug/L
Certification No. _ NC oENn 0654
ug/L
mg/L
Other (Specify Compounds and Concentration Units):
ORGANICS: (by GC, GC/MS, HPLC)
(Specify test and method #. ATTACH LAB REPORT.)
Lab Report Attached? H Yes (1) ❑ No (0)
VOC 78732: , method # 82601B
method #
method #
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
David Kirby, Dir. of Processing
Permdtee (or Authorized Agent) Name and Title - Please. print or type
at
of
GW-59 Rev. 2/2010

SUBMIT FORM ON YELLOW PAPER ONLY
Tt
GROUNDWATER QUALITY MONITORING:,
r �r�
h DIY is N FwA7E L INF R.-NIPR
COMPLIANCE REPORT FORM
1s9ill�gl
ERvI��" RAG�n'Ncs7saeiw7'Po'tais73aazze.
FACILITY INFORMATION - Please Print clearly or Type-
PERMIT Number: W0000d484 Expiration Date: 04/30/2017
Facility Name: Mountaire Farms of North Carolina
Non -Discharge. X UIC
NPDES Other
Permit Name (if different):
Facility Address: 17269 NC Hwy 17N
TYPE
OF PERMITTED OPERATION BEING MONITORED
❑Lagoon 0 Remediation: Infiltration Gallery
Lumber Bridge (slraat) NC 28357-0339 County
� ty Robeson
(City) (Slate) (ZIP)
'
K Spray Field ❑.Remediation:
Contact Person: Robert Jackson
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Mountains Inner and Outer Perimeter Spray Fields NO, of wells to be sampled: 30
❑ Water Source Heat Pump ❑ Other.
(from P.—in
SAMPLING INFORMATION
-
If WELL
WELL ID NUMBER (from Permit): MW-27
Date sample collected: 12/04/12
FIELD ANALYSES:
WAS
Well Depth: 17.7 ft.
- Well Diameter. 2 in.
pH 0D400: 4.23 units Temp. 00010: 18.5 PC
DRY at
Depth to Water Level azsas: 7.7 ft. below measuring point Screened interval: _ft. to
_ft.
Spec. Cond. 0009a: µMhos
time of
sampling,
Measuring Point is 3 ft. above land surface
Relative M.P. Elevation: ft.
Odor 000se:
check
Volume of water pumped/bailed before sampling: 5.25
gallons
-
Appearance clear
here:❑
Samples for metals were collected unfiltered: ❑✓ YES
❑_ NO and field acidified: ❑✓ YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 12104-11112
Laboratory Name:. Cameron Testing Services/Envirochem 'Certification No. No DENR#654
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
`
COD'00335 mg/L
Nitrite (NO2) as N oosls
mg/L
Pb - Lead olo51 ug/L
Coliform: MF Fecal 31616 < 1 /100mL
Nitrate (NO,) as N 00620 41. +q
mg/L
Zn - Zinc 01092 mg/L
Coliform: MF Total 31504 - /100mL
Phosphorus: Total as P oOsss
mg/L
,
(Note: Use MPN melhotl for highly turbid samples)
Orthophosphate 7o5o7
mg/L
Other (Specify Compounds. and Concentration Units): "
issolved Solids:Total 70300 12 mg/L -
AI -Aluminum ottos
mg/L
- pH (Lab) 00403 . units
Be - Barium 01007
ug/L
TOC 00650 < 10 mg/L
Ca - Calcium 00916
mg/L ,
Chloride 00940 mg/L
Cd - Cadmium 01027
ug/L •
.
Arsenicoto02 uglL
Chromium: Total01034
ug/L
Grease and Oils oo552 - mg/L
Cu - Copper oio42
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
uglL
Lab Report Attached?❑ Yes (1) ❑ No (0)
Specific Conductance 000gs, µMhos
K - Potassium 00937
mg/L
VOC 78732: , method # 82601 B
Total Ammonia ooslo < 0.1 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 VOCRemoval
David Kirby, Dir. of Processing-
Permittee (or Authorized Agent) Name and Title- Please print or type
GW-59 Rev. 2/2010'

JVDIVIII rVR1Vl Vry KILNy 1T1C rvlr
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
acility Name: Mountaire Farms of North Carolina
armit Name (if different):
acility Address: 17269 NC Hwy 17N
Lumber Bridge ' rsteGD NC 28357-0339 County Robeson
act Person: Robert Jackson Telephone#: [phone]
Location/Site Name: Mountains Inner and Outer Perimeter spray Fields No. of wells to be sampled: 30
WELL ID NUMBER (from Permit): MW-28
Well Depth: 15.0 ft.
Depth to Water Level 82546: ft. below measuring point.
Measuring Point is 3 ft. above land surface
Volume of water pumped/bailed before sampling:
Samples for metals were collected unfiltered: ❑✓ YES ❑
Date sample collected:
Well Diameter. 2 in.
Screened Interval: ft. to ft.
Relative M.P. Elevation: ft.
RMIT Number: W00000484 Expiration Date: 04130/2017
n-Discharge X UIC
'DES Other
PE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: infiltration Gallery
❑O Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other
FIELD ANALYSES:
pH 00400:_ units
Spec. Cond. 00094:
Odor 00085: _
Appearance clear
Temp. 00010: °C DRY at
µMhos time of
Its sample analyzed:
Laboratory Name: Cameron Testing Services
Certification No. No DENR #554
1RAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N oosls
mg/L
Pb - Leadolos1 ug/L
Coliform: MF Fecal 31616
/100ml-
Nitrate (NO3) as N 00520
mg/L
Zn - Zinc oto92 - mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P ooms
mg/L
(Note: use MPN meMW for highly turbld samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
,solved Solids:Total 70300
mg/L
Al -Aluminum ol165
mg/L
pH. (Lab) 00403
units
Be - Barium 01007
ug/L
TOC oosso
mg/L
Ca- Calcium oo9ls
mg/L
Chloride 00940
mg/L
Cd - Cadmium 01027
uglL
Arsenic 01002
ug/L ,
Chromium: Total olo34
ug/L
Grease and Oils oo552
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) 0 No (0)
lecific Conductance eoo9s
µMhos
K - Potassium 00937
mg/L
VOC 79732: , method #
Total Ammonia oosto
mg/L
Mg - Magnesium oo927
mg/L
, method #
(Ammonia Nitrogen; NH3as fTAP moNa Nitrogen. Total)
Mn- Manganese o1os5
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%
David Kirby, Dir. of Processing I rJ�+11)
Permillee(or Authorized Agent)Name and Titlo- Please print or type aignalure of Permillee (or Autho' nt) T
GW-59 Rev. 2/2010

CORM ON YELLOW PAPER ONLY
:R QUALITY MONITORING:
REPORT FORM
acility Name: Mountaire Farms of North Carolina
armit Name (if different):
acility Address: 17269 NC Hwy 17N
Lumber Bridge (streeg NC 28357-0339 County Robeson
act Person: Robert Jackson Telephone#: [phone]
Location/Site Name: Mountaire Inner and Outer Perimeter Spray Fields No. of wells to be sampled: 30
W00000484 Expiration Date: 0413012017
x tf[C
'DES Other
PE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
IN Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
L ID NUMBER (from Permit): MW-29 Date sample collected: 12/03/12 FIELD ANALYSES:
Depth: 19.8 ft. Well Diameter: 2 in. pH 00400: 3.94 units Temp. oomo: 21.2 °C
hto Water Level82s4s: 13.9 ft. below measuring point Screened Interval: ft. to ft. Spec. Cond. 00094: µMhos
Luring Point is 3 ft. above land surface Relative M.P. Elevation: ft. Odor 00085:
ne of water pumped/bailed before sampling: 3.0 gallons Appearance Gear
Dies for metals were collected unfiltered: 0 YES ❑ NO and field acidified: V YES 1 -1 NO
tte sample analyzed: 12/04-11112
Laboratory Name: Cameron Testing Services/Envirochem Certification No. NC OENR #654
\RAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N ooels
mg/L
Pb - Lead otosi ug/L
Coliform: MF Fecal atels <1
/100mL
Nitrate (NO,) as N 00620 1,g,,.—�
rng/L
Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P oosss
mg/L
llsaMPN Mod rhigNyturtltlsamples)
(d
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
S:
solvedSolids:Total7o3o0 53;4*"=':
:Total 7030
mg/L
AI- Aluminum 011os
mg/L
pH (Lab) c0403
units
Be - Barium 01007
ug/L
TOC coseo < 10
mg/L
Ca - Calcium costs
mg/L
Chloride 00940
mg/L
Cd -Cadmium 01027
ug/L
Arsenic 01n02
ug/L
Chromium: Total oto34
ug/L
Grease and Oils cos52
mg/L
Cu.- Copper 01042
mg/L
ORGANICS: (by GC, GC/MS; HPLC)
Phenol 32730
uglL
Fe -. Iron 01045
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg/L
Hg - Mercury 71900
ug/L
Lab Report Attached? X Yes(l) ❑ No(b)
ecific Conductance 00095
µMhos
K- Potassium 00937
mg/L
VOC 78732: , method # 82601B
Total Ammonia coseo 21
mg/L
Mg - Magnesium 00927
mg/L
method #
(Ammonia Muogen; NH,.. N; Ammonia NlVogan, Total)
,
Mn - Manganese 01055
ug/L
, method #
TKN as N 00e25
mg/L
Ni - Nickel 01067
ug/L
, method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: _ mq/L Effluent Total VOCs: mo/L VOC Removal u
David Kirby, Dir. of Processing
Permittee (or Authorized' A9en0 Name end' Title - Please print or type
GW-59 ' Rev. 212010
DRY at
time of
here:0

SUBMIT FORM ON
ATER QUALITY MONITORING:
CE REPORT FORM
:ility Name: Mountaire Farms of North Carolina
mit Name (if different):
:ility Address: 17269 NO Hwy 17N
Lumber Bridge Isaeap - NC 28357-0339 County Robeson
act Person: Robert Jackson Telephone#: [phone]
Location/Site Name: Mountains Inner and Outer Perimeter Spray Fields No. of wells to be sampled:.. 30
!Mm Pemtie
LID NUMBER (from Permit): MW-31 Dale sample collected: 12/06/12
Depth: 22.0 ft. Well Diameter: 2 in.
h to Water Level e2e46: 14.9 ft. below measuring point Screened Interval: _ft. to _ft.
:wring Point is 3 ft. above land surface Relative M.P. Elevation: ft.
me of water pumpedlbailed before sampling: 3.75 gallons `
oles for metals were collected unfiltered: © YES ❑ NO and field acidified: 0 YES ❑ NO
RMIT Number: WQ0000484 Expiration Date: 04/3012017
n-Discharge .. X UIC
IDES* 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 0040o: 4.15 units Temp. 00010: 16.9 oC
Spec. Cond. 00094: µMhos
Odor 00085:
Appearance
its sample analyzed: 12/06-10112
Laboratory Name: Cameron Testing Services/Envirochem. Certification No. INC osN 0654
\RAMETERS . NOTE: Values should.reflect dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (Nor) as N oom5
mg/L
Pb - Lead oiosl ug/L
Coliform: MF Fecal 31616 41
/100ml-
Nitrate (NO,) as N 00620 < 10 -
mg/L
Zn - Zinc o1o92 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665
mg/L
(Note: use MPN method for bighiy turbid samples)
Orthophosphate T0507
mg/L
Other (Specify Compounds and Concentration Units):
;solved Solids:Total 70300 <500
mg/L
AI-Aluminumo11o5
mg/L
pH (Lab) 00403
units
Ba - Barium o1007
ug/L
TOC oo6e0 ' < 10
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940
mg/L
Cot - Cadmium 01027
ug1L
Arsenic 01002
ug/L
Chromium: Total 01034
ug1L
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg/L
ORGANICS: (by GC, HPLC)
Phenol 32736
uglu
Fe - Iron 01045
ugfL
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mglL
Hg - Mercury 719oo
ug/L
Lab Report Attached? IN Yes (1) ❑ No (0)
oecific Conductance 00095
µMhos
K - Potassium 00937
mg/L
VOC 78732: method # 8260B
Total Ammonia ooBio < 0.1
mg/L
Mg - Magnesium 00927
mg/L
, method #
(Ammonla Nitrogen; NHjas N; Ammonia Nitrogen. Total)
Mn- Manganese 010e5
ug/L
,method#
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L
_ , method#
at
of
For Remediatiom Systems Only.(Attach Lab Reports):, Influent Total VOCs: mg/L Effluent Total VOCS; mg/L VOC Removal
or_IIIIIIIIIIIIIIIIIIII�
David Kirby, Dir. of Processing 11 ) Q�„IrD 'ill y
Permiltee (or Authorized Agent) Name and Title - Please print or type signature of Pennines (orAuthodzed Agent)
G'V4--59 Rerv. V2010

SUBMIT FORM ON YELLOW PAPER ONLY
QUALITY MONITORING:
PORT FORM
tidy Name: Mountalre Farms of North Carolina
mit Name (if different):
:ility Address: 17269 NC Hwy 17N
Lumber Bridge (sve°) NC
28357-0339. County Robeson
act Person: Robert Jackson Telephone#: [phone]
Location/Site Name: Mountaire Inner and Outer Perimeter Spray Fields No. of wells to be sampled: 30
(iron P—
PERMIT Number: W00000484 Expiration Date: 04/313/21311
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
PLINK INP-VKmA P 1UN
L ID NUMBER (from Permit): MW-32
Date sample collected: 12/06112
FIELD ANALYSES:•
15s °C
•• •—
DRY at
22.0 ft.
Well Diameter: 2 in.
pH 00400: 4.04 units Temp. 00010:
time of
Depth: _
h to Water Level ers4e: 9.1 ft. below measuring point Screened Interval: _fL to —ft.
Spec. Cond. 00094, µMhos
sampling,
curing Point is 3 ft. above land surface
Relative M.P. Elevation: ft.
Odor 000as:
check
here:❑
me of water pumped/bailed before sampling: 6.75
gallons
Appearance
-
r,lpc for metals were collected unfiltered: 0 YES
❑ NO and field acidified: YES ❑ NO
,BORATORY INFORMATION -
Laboratory Name:
Cameron Testing Services/Envirochem Certification' No. NC OeNa ass4
to sample analyzed: 12106-10/12
J2AMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
mg/L
Flo- Lead otosl uglL
COD 00335
mg/L
Nitrite (NO2) as N costs
Zinc mglL
Coliform: MF Fecal 31516 <1
1100mL
Nitrate (No,) as N ooszo
\11235 2�1 mg/L
Zn: otosz
Coliform: MF Total 31504
/100ml-
Phosphorus: Total as P 00665�
mg/L
mglL
Other (Specify and Concentration Units):
(Note: Use MPN m°mod farlgNy bAold saaiPiesl
Orthophosphate 70507
:solved Solids:Total 70300 <500
mg/L
AI- Aluminum 01105
mg/L
pH (Lab) 00403
units
Be - Barium 01007
ug1L
TOC ooeso < 10
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
uglL
Chromium: Total 01034
uglL
mg/L
ORGANICS: (by GC, GCIMS, HPLC)
Grease and Oils 00552
mg/L
Cu - Copper 01042
uglL
(Specify test and.method #. ATTACH LAB REPORT.)
Phenol 32730
ug/L
Fe - Iron 01045
u911-
Lab Report Attached? X Yes (1) ❑. No (0)
Sulfate 00945
mg/L
Hg - Mercury 71900
mg/L
VOC.78732: , method # 8260B
p ecific Conductance o0095
µ Mhos
K - Potassium oo937
method #
Total Ammonia 00910 < 0.1
mg/L
Mg - Magnesium 00927
mg/L
,
method #
(Anwonla Nitrogen: NH3as N; M ,mia NIFNeN Tolel)
Mn - Manganese otoss
ug/L
,
TKN ac N 00625
mg/L
Ni - Nickel 01067
uglL
, method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs:
David Kirby, Dlr. of Processing
Permiiiee (or AuNorized Agent) Name and Title - Please print or type
CIA' 59 Rea. 212010 .
Total VOCs:
VOC Removal°/

FORM ON
ONLY
TER QUALITY MONITORING:
E REPORT FORM
Name: Mountains Farms of North Carolina
rmlt Name (if different):
cility Address: 17269 NC Hwy 17N
Lumber Bridge (slmep NO 28357-0339
County Robeson
(GM "(suite) (zIP)
ntact Person: Robert Jackson Telephone#: [phone]
A Location/Site Name: Mountaire Inner and Outer Perimeter Spray Fields No, of wells to be sampled: 30
ID NUMBER (from Permit): MW-33 Date sample collected: 12/06/12
epth: 23.0 ft. Well Diameter: 2 in.
to Water Level 8254e: 17.4 ft. below measuring point Screened Interval: _ft. to _ft.
.ring Point is: 3 ft. above land surface Relative M.P. Elevation: - ft.
e of water pumped/bailed before sampling: 3 gallon:
as for metals were collected unfiltered:, 21 YES,. ❑NO
-
and
IT Number: W00000484,. Expiration Date:_ 04130
ischarge x UIC
3 Other
OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon
N Spray Field
Rotary Distributor
❑ Water Source Heat Pump
FIELD ANALYSES:
pH 00400: 3.95 ' units
Spec. Cond. 000s4_
Odor 000m:
Appearance
de sample analyzed:12/06-10/12 Laboratory,Name: Cameron Testing Services/Envirochettf
(RAMETERS NOTE: Values should reflect dissolved and colloidal. concentrations.. _
COD 00335 mg/L Nitrite (NO2y as N costs mg/L Pb - Lead 01051
Coliform: MF Fecal 31616 < 1 /100ml- Nitrate (NO.) as N 00620 < 10 mg/L Zn - Zinc 01092
Coliform: MF Total 31504 /100ml- Phosphorus: Total as P ooa55 mg/L
(Note: Use MPNmemodforhlghlylumidsamples)
Orthophosphate 7o5o7 _ mg/L
70300 < 500
pH (Lab) 00403
units
TOC oosao
< 10 mg/L
Chloride 00940
mg/L
- Arsenic olooz
uglL
Grease and Oils 00552
mg/L
Phenol 327so
ug/L
Sulfate 00945
mg/L
c Conductance 000ss
µMhos
Total Ammonia oosto < 0.1
mg/L
(Ammonia NIIroBen; NHras N;mm Aonle Nitrogen, Tatel)
TKN as N 00525
mg/L
AI - Aluminumollos mg/L
Be - Barium 01007 ug/L
Ca - Calcium oa916 mg/L
❑ Remediatiori: Infiltration Gallery
❑ Remediation: .
❑ Land Application ofSludge "
El Other.
Temp. 000to: 19.1 pC DRY at
Mhos time of
µ ...,.... 1;—
Certification No. NC DENR 9654
ug/L
mg/L
Other (Specify Compounds and Concentration Units):
Cd - Cadmium o1o27
uglL
Chromium: Total 01034 -_
ug/L
Cu - Copper 01042
mg/L
ORGANICS: (by'GC, GC/MS, HPLC)
" Fe -Iron 01045
-ug/L
-(Specify test and method #. ATTACH LAB REPORT.)
Hg - Mercury 71900
ug)L
Lab Report Attached? IN Yes(f) ❑ No(0)
K - Potassium oo937
mglL
VOC 78732: , method # 8260B
Mg - Magnesium 00927
mg/L
, method #
Mn - Manganese 01055
ug/L
, method #
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%
David Kirby, Dir. of Processing I �(/JI 0
Permlttee(or Authorized Agent) Name and Ltle- Please print or type Sipnalurebt Pennittee(or Authorize n0
GW-59 Rev. ZQ010

SI'IRMIT FORM nhi YFI I r)W PAPFR nmi Y
TER QUALITY MONITORING:
E REPORT FORM
Name: Mouniaire Farms of North Carolina
Name (if different):
Address: 17269 NC Hwy 17N
Iber Bridge (3V00U NC
28357-0339
County Robeson
act Person: Robert Jackson Telephone#: [phone]
Location/Site Name: Mountaire Inner and Outer Perimeter Spray Fields No. of wells to be sampled: 30
RMIT Number: W00000484 Expiration Date: 04/30/2017
n-Discharge X UIC
IDES Other
'PE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remedlalion: Infiltration Gallery
IN Spray Field ❑ Remedlalion:
❑ Rotary Distributor ❑.Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
L ID NUMBER (from Permit): MW-34 Date sample collected: 12/06/12 FIELD ANALYSES:
Depth: 23.0 ft. Well Diameter: 2 in. ° _ pH 00400: 4.22 units Temp. o00to: 17.1 C
h to Water Level 82546: 10.9 ft. below measuring point Screened Interval:_ft. to _ft. Spec. Cond. 00094: µMhos
luring Point is . 3 ft. above land surface Relative M.P. Elevation: ft. Odor 000e5:
ne of water pumped/balled before sampling: 6.00 gallons
Appearance
oles for metals were collected unfiltered: 0 YES ff NO and field acidified- iP1 YES f-1 No
sample
COD 00335 mg/L
Coliform:'MF Fecal 3161E <1 /100ML
Coliform: MF Total 31504 /100ml-
(Note: Use MPN method for higNy W samsamples)
;solved Solids:Total 70300 <5oo
mg/L
pH (Lab) 00403
units
TOC oo6so <10
mg/L
Chloride 00940
mg/L
Arsenic 01002
ug/L
Grease and Oils 00552
mg/L
„ Phenol 327301
ug/L
Sulfate 00945
mg/L
�ecific Conductance 00095
µMhos
Total Ammonia 00610 < 0.1
mg/L
(An nia Nlaogen; NHsas N: Amnenla NI79ion, ToWI)
TKN as N ooe25
mg/L
Laboratory Name: Cameron Testing Services/Envirochem Certification No. NC DENR ae54
and colloidal concentrations.
Nitrite (NO2) as N costs
mg/L
Pb - Lead o1o51 uglL
Nitrate (NO3) as N 00520 410
mg/L
Zn -Zinc 01092 mg/L
Phosphorus: Total as P ooees
mg/L
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
AI -Aluminum onos
mg/L
Be - Barium 01007
ug/L
Ca - Calcium costs
mg/L
Cd - Cadmium 01027
ug/L
'
Chromium: Total olo34
ug/L
Cu - Copper olo42
mg/L
ORGANICS: (by GC, GC/MS, HPLC) .
Fe - Iron 01045
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Hg - Mercury 71900
ug/L
Lab Report Attached? IN Yes (1) ❑ No (0)
K - Potassium 00937
mg/L
VOC 7e732: , method # 8260B
Mg - Magnesium c0927
mg/L
, method #
Mn -Manganese oto5s
' ug/L
, method #
Ni - Nickel e1067
ug/L
, method #
• _• _,.,,y eau Mupurrsr: mnuent i otal vucs: mg/L Effluent Total VOCs: mq/L VOC Removal%
David Kirby, Dir. of Processing I rnArt
Permdlee (or Authorized Agent) Name and Title- Please print or type Signature of Families (or AU VI z Agent) I
GW-59 Rev. 212010
DRY at
time of .
1—,

1LL11!
QUALITY MONITORING:
PORT FORM.
Name: Mountaire Farms of North Carolina
Name (if different):
Address: . 17269 NC Hwy 17N
fiber Bridge ISV081i NC 28357-0339
County Robeson
act Person: Robert Jackson Telephone#: [phone] _
Location/Site Name: Mountaire Inner and Outer Perimeter Spray Fields No. of wells to be sampled: 30
LID NUMBER (from Permit): MW-35 Date sample collected: 12/06/12
Depth: 23.0 ft. Well Diameter. 2 in.
T to Water Level e254e:. 12.4 -ft. below measuring point Screened Interval: _fL to ft.
,wring Point is 3 ft. above land surface Relative M.P. Elevation: ft.
no of water pumped/bailed before sampling: 5.25 gallons
)[as for metals were collected unfiltered: R] YES ❑ NO and field acidified: PI YES I —I -No
GOD 00335 mg/L
Coliform: ME Fecal 31sis <1 /100mL
Coliform: ME Total 31504 /100mL
(Note: Use MPN methDd (or NglAy w10id samples)
Dissolved Solids:Total 70300 .<500
mg/L
pH (Lab) 00403
units
' TOC 00680 <10
mg/L
Chloride 00940
mg/L
Arsenic 01002
'ug1L
Grease and Oils 00552
mg/L
- Phenol 3273D -
ug/L
Sulfate 00945 -
mg/L
Specific Conductance 00095 . _
µMhos
Total Ammonia oosto <0.1
mg/L
(Ammonla Nitrogen: NH)as N; Ammonia N19o9en, Total)
TKN as N 00625 mg/L
For Remediation Systems Only (Attach Lab
UVV-59 Rev. 212010
Number:
Date:
in -Discharge X UIC
)DES Other _
'PE OF PERMITTED_ OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
X Spray Field ❑.Remediation:'
❑ Rotary Distributor ❑Land Application of Sludge -.-
❑ Water Source Heat Pump ❑ Other.
FIELD ANALYSES:
pH 00400: 4.16 units Temp. 000lo: 17.7 °C.
Spec. Cond. o0094: µMhos
Odor 00085:
Appearance _
Laboratory Name: Cameron Testing Services/Envirochem Certification No. No DENR#654
and colloidal concentrations.
'
Nitrite (NO,) as N costs
mg/L
Pb - Lead otost uglL
Nitrate (N%) as N 0osm < 10
mg/L
.Zn - Zinc 01092 mg1L
Phosphorus: Total as P 0050
mg/L
Orthophosphate 70507
mg/L
Other (Specify -Compounds and Concentration Units):
AI - Aluminum of ice -
mg/L
Be - Barium 01007
ug/L
Ca - Calcium costs
mg/L
Cd - Cadmium 01027
ug/L
Chromium: Total o1034
ug/L
Cu -. Copper o1o42
V
mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Fe - Iron oto4s
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
,. Hg - Mercury 7t9oo
ug/L
. Lab Report Attached? N Yes (1) ❑ No (0)
K - Potassium 00937 _
mg/L ..
VOC 78732: , method # 8260B
Mg - Magnesium oo927
fig/L
, method #
Mn - Manganese oto55
ug1L
, method #
Ni - Nickel o1o67
ug1L
, method .#
at
of

SUBMIT FORM ON
Name: Mountaire Farms of North Carolina
Name (if different):
Address: 17259 NC Hwy 17N
berBridge lsv°e9 NC 28357-0339
County Robeson
(Gb) (61a1e) (tip)
act Person: Robert Jackson Telephone* 910-359-5275
Location/Site.Name: Mountains Inner and Outer Perimeter Spray Fields No. of wells to be sampled: 30
iRMIT Number: W00000484 Expiration Date: 04/30/2017
m-Discharge X UIC
IDES. 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:
L ID NUMBER (from Permit): MW-36 Date sample collected: 12/06/12 FIELD ANALYSES:
Depth: 18.5 IL Well Diameter: 2 in. °
_ pH o0400: 4.27 units Temp. oaclo: 19.0 C
n to Water Level e2546: 23.0 ft. below measuring point Screened Interval: ft. to ft. Spec. Cond. 00094: µMhos
wring Point is 3 ft. above land surface Relative M.P. Elevation: ft. Odor 000m:
ne of wate.'pumped/bailed before sampling 2.25 gallons. Appearance
NO
' COD 00335
mg/L
Coliform: MF Fecal31a16 <1
/100mL
Coliform: MF Total 31504
/100mL
(Note: Use MPN method Mrhi9Ny Nraid samples)
solved Solids:Total 7030D <500
mg/L
pH (Lab) 00403
units
TOC ooseo < 10
. mg/L
Chloride 0094D
mg/L
Arsenicotoo2
ug/L
Grease and Oils 00552
mg/L
Phenol 3273D
ug/L
Sulfate00945
mg/L
ecific Conductance 00095
µMhos
Total Ammoniaooslo <0.1
mg/L
(Anumnla Nitrogen; NH, as N: Ammmia NU;j.n, Taw)
TKN as N OD625
mg/L
YES
Laboratory Name: Cameron Testing Services/Envirochem Certification No. No DENR 0654
and colloidal concentrations.
Nitrite (NO2) as N costs mg/L Pb - Lead most ug/L
Nitrate (NO3) as N 00620 < 10 mg/L Zn - Zinc 01092 mg/L
Phosphorus: Total as P oosss mg/L
Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units):
AI - Aluminumoltos. mg/L
Ba - Barium 61007 ug/L
Ca - Calcium 00916 mg/L
Cot - Cadmium 01027 ug/L
Chromium: Total o1n34 ug/L
Cu - Copper 01042
mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Fe— Iron 01045
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Hg - Mercury 71900
ug/L
Lab Report Attached? 0 Yes (1) ❑ No (0)
K - Potassium 00937
mg/L
VOC 7e732: , method # 8260B
Mg - Magnesium 00927
mg/L
, method #
Mn - Manganese 01055
ug/L
, method #
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%
David Kirby, Dir.of,Processing _ tD1 � Ili/ 1 3
Permittee (or Authorized A9en0 Name antl Title - Please print or type SlBnature or Partnilte)a (or Auth A ) (Date)
GW-59 Rev. 2/2010 ,
at
of

n.. 11 . v v "'.'v1 61
TER QUALITY MONITORING:
E REPORT FORM
cility Name: Mountains Farms of North Carolina
milt Name (if different):
cllityAddress: 17269 NC Hwy 17N
Lumber Bridge (strmo INC 28357.0339
County Robeson
act Person: Robert Jackson Telephone#: [phone]
Location/Site Name: Mountaire Inner and Outer Perimeter Spray Fields No. of wells to be sampled: 30
:RMIT Number: WQ0000484 Expiration Date: 04/30/2017
n-Discharge X UIC
'DES Other
'PE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
0 Spray Field ❑Remediation:
❑ Rotary Distributor El Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
WELL ID NUMBER (from Permit): MW-37
Date sample collected: 12/03/12
FIELD ANALYSES:
li V)IhLL
WAS
Well Depth: 20.0 ft.
Well Diameter. 2 In.
pH 0040o: 4.07 units Temp. 000lo: 22.4 °C
DRY at
Depth to Water Level e2545:11.4 _ ft. below measuring point
Screened Interval: ft. to
ft. Spec. Cond. 000sa: µMhos
time
Measuring Point is 3 ft. above land surface
Relative M.P. Elevation: ft.
Odor o0os5:
sampling,
check
Volume of water pumped/bailed before sampling: 4.5 gallons
Appearance clear
here:❑
Samples for metals were collected unfiltered: ❑✓ YES ❑ NO
and field acidified: 0 YES ❑ NO
Date sample analyzed: 12/04.11/12
Laboratory Name: Cameron Testing Services/Envirochem Certification No. NO DENR #654
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N.00615
mg/L
Pb - Lead of os1 uglL
Coliform: MF Fecal 31616<1
lt00mL
Nitrate (NOa) as N 00620 rjj(� Ol
mg/L
Zn -Zinc 01092 mg/L
Coliform: MF Total 31504
1100mL
Phosphorus: Total as P 0066e
mg/L
(Note: Use MPN method for Nghly MEid samples)
Orthophosphate 7o5o7
mg/L
Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 <500
mg/L
AI -Aluminum olto5
mg/L
pH (Lab) 00403
units
Be - Barium 01007
ug/L
TOC 00680 < 10
mg/L
Ca -Calcium 0091e
mg/L
Chloride 00940
mg/L
Cd - Cadmium 01027
ug/L
Arsenic otooz
uglL
Chromium: Total 01034
ug/L
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
uglL
_
Fe - Iron 01045
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg/L
Hg - Mercury 7190D
ug/L
Lab Report Attached? N Yes (1) ❑ No (0)
Specific Conductance 00095
µMhos
K - Potassium o0937
mg/L
VOC 78732; , method # 82601 B
Total Ammonia oo5fo <0.1
mg/L
Mg - Magnesium 00927
mg/L
method #
(Ammonia Nlaogen; NH, as N; Ammonia Nllmgen, Total)
Mn - Manganese 01055
ug/L
,
, method #
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L
, method #
I ....... uluueiR lutes VUU5; to IL tnlUent total VOCs' a
� mg emova
David Kirby, Dir. of Processing \(� t fl-fT f
Permillee (or Authored Agent) Name and Title - Please print or type Signature of Pa (pr AuNorized Agent)
GW-59 Rev. 212010

SUBMIT FORM ON YELLOW PAPER ONLY
TER QUAL
E REPORT
DILITY INFORMATION Please Print Clearly or Type PERMIT Number: W00000484 Expiration Date: 04/3012017
11ity Name: Mounlaire Farms of North Carolina Non -Discharge - X UIC
mit Name (if different): NPDES Other .
:Ility Address: 17269 NC Hwy 17N TYPE OF PERMITTED OPERATION BEING MONITORED
Lumber Bridge (srem) NC 28357-0339 County Robeson ❑ Lagoon ❑ Remediation: Infiltration Gallery
(Gy) - (stale) (Zip)
0 Spray Field Remediation:
ntact Person: Robert Jackson Telephone#: [phone] ❑ Rotary Distributor ❑ Land Application of. Sludge
al Location/Site Name: Mountaire Inner and Outer Perimeter spray Fields No. of wells to be sampled: 30 ❑ Water Source, Heat Pump ❑ Other:
WELL ID NUMBER (from Permit): MW-38
Date sample collected: 12/06/12
FIELD ANALYSES:
WAU
Nell Depth: 15.0 fL
Well Diameter.. 2 in,
pH 00400: 4.24 units Temp. 0oolo: 14.1 eC
DRY at
time of
Depth to Water Level 82546: 6.7 ft. below measuring point
Screened Interval: _ft. to
_fL Spec. Cond. 00094: µ Mhos
samplir
Measuring Point is 3 - ft. above land surface
Relative M.P: Elevation: ft.
Odor 000a5:
check
Volume of water pumped/bailed before sampling: 4.5
gallons
Appearance
here:F
Dale sample analyzed: 12/06-10112
Laboratory Name: Cameron Testing Services/Envirochem Certification No. No DENR #654
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N oosis
mg/L
Pb - Lead o1o51 ug/L
Coliform: MF Fecal 31616 < 1
1100mL
Nitrate (NO3) as N 00620
r4MF -mglL
Zn - Zinc olwz mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P ooe65
- mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
al
Other (Specify Compounds and Concentration Units):
Dissolved Solids:Total 7D300 <500
ni
AI -Aluminum o11o5
mg/L
pH (Lab) 00403
units
Be - Barium 01007.
ug/L
TOG ooeso <10
mg/L
Ca - Calcium owls
mg/L
Chloride D0940
mg/L
Cot - Cadmium 01027
ug/L
Arsenic 01002
uglL
Chromium: Total olo34
uglL
Grease and OilS 00552
mg/L
Cu - Copper 01042
'mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug1L
Fe - Iron 01045
uglL
(Specify test.and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg/L
-Hg - Mercury 71900
ug/L
Lab Report Attached? H Yes (1) ❑ No (0)
Specific Conductance 00095
µMhos
K- Potassium oo937
mg/L
VOC 79732: , method # 8260B
Total Ammonia.oa6m <0.1
mg/L
Mg - Magnesium 00927
mg/L
, method #
(Ammonia Nitrogen; NH�as N; Ammorta Nitrogen. Total)
Mn- Manganese 01055.
ug/L
,method#
TKN as N 00625
mg/L
Ni - Nickeln1o57
ug/L
, method #
.For Remedlation Systems Only (Attach Lab Reports):
Influent Total VOCs: _
mg1L Effluent Total:VOCs: mg/L VOC Removal% - -
David Kirby,. Dir. of Processing
Permittee (or Authorized Agent) Name and Title - Please print or type
r_u/.cn Rev. 212010
/.

FORM ON YELLOW PAPER ONLY
?R QUALITY MONITORING:
REPORT FORM
:ility Name: Mountaire Farms of North Carolina
snit Name (If different):
;Ility Address: 17269,NC Hwy 17N
Lumber Bridge (seeeq NC 28357.0339 County Robeson
(CIN1 icm-, n..•
act Persom. Robert Jackson Telephone#: [phone]
Location/Site Name: Mountaire inner and Outer Perimeter Spray Fields No. of wells to be sampled: 30
Date:
ischarge X UIC
5 Other
OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon
X Spray Field
❑ Rotary Distributor
❑ Water Source Heat Pump
❑ Remediation: Infiltration Gallery
❑ Remediation:
'❑ Land Application of Sludge
❑ Other. '
ELL ID NUMBER (from Permit): MW-39
Date sample collected: 12106/12
FIELD ANALYSES:
ell Depth: 15.0 ft.
Well Diameter. 2 In.
pH oodoo: 3.97 units
Temp. OD010: 16.2 eC
rpth to Water Level 82e46: 9.2 ft. below measuring point
Screened Interval: to
Spec. Cond. 00094:
µMhos
aasuring Point is 3 ft. above land surface
_ft. _ft.
Relative M.P. Elevation: ft.
Odor oocm:
Hume of water pumpedthalled before. sampling: 3.0
gallons
Appearance
'
amples for metals were collected unfiltered: EYES El
NO and field acidified: 0 YES ❑ NO
'
AT
1BORORY INFORMATION
ate sample analyzed: 12/06-10/12
Laboratory Name: Cameron Testing Services/Envirochem
Certification No. NC DENR 0654
kRAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD oo33s mg/L
Nitrite (NO2) as N oasis _ mg/L
Pb - Lead most
ug/L
Coliform: MF Fecal 31916 < 1 /100mL
Nitrate (NO,) as N. 00620 '�32?5-"i mgfL
Zn - Zinc o1092
- mg/L
wurorm: mr I oral 3160a
/100ml-
Phosphorus: Total as P arises
mg/L
(Note: Use MPNfeethddfor79Ny t sampjsamples)
Orthophosphate 70507
mg/L
solved Solids:Total70300 <500
mg/L
Al, -Aluminum o11os
mg/L
pH (Lab) 00403
units
Ba -Barium 01007
ug/L
TOCoaseo <10.
mg/L.
_ Ca-Calcium.o091e
mO/L
Other (Specify Compounds and Concentration Units):
at
of
Chloride 00940
mg/L
Cd - Cadmium 01027
ug/L,
Arsenic 01002
-
ug1L
Chromium: Total 01034
.uglL
'
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Phenol •32730 _ _
uglL
Fe - Iron 01045
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate o0945
Specific
mg/L
Hg.- Mercury 71900
ug/L
Lab Report Attached? X Yes (1) ❑ No (0)
Conductance 00095
µMhos,
K - Potassium bo937
mg/L
VOC 7e732: , method # 8260B
Total Ammonia ooalo < 0.1
mg/L
Mg - Magnesium 00927
mg/L
-, method #
(AmnoNa Namgen;'NP,as N; Pmmoela Nieoean.7oteq.
Mn - Manganese o1o55
ug/L
, method #
TKN as N ooszs
mg/L
NI - Nickel 01067
ug/L..
, method # '
For Remediation Systems Only (Attach Cab Reports):
Influent Total VOCs:
mg/L Effluent Total VOCs:. moll- VOC Removal%.
David Kirby, Din of Processingr
Permitlee (or Authorized Agent) Name and Title - Please print or type
&W-59 Re, ucv iv

JUtdMI I f URM UN ThLLUW PAPER ONLY
TY, MONITORING:
FORM
Name: Mountaire Farms of North Carolina
Tnit Name (if different):
:ility Address: 17269 NC Hwy 17N
Lumber Bridge (street) NC 28357-0339
ICN ^_ County Robeson
act Person: Robert Jackson Telephone#: [phone] . _
Location/Site Name: Mountaire-Inner and Outer Perimeter Spray Fields No. of wells to be sampled: 30
L ID NUMBER (from Permit): MW-40 Date sample collected: 12/06/12
Depth: 15.0 ft, Well Diameter: 2 in.
i to Water Level 82546: 7.24 ft. below measuring point Screened Interval: _f . to ft.
wring Point is 3 ft, above land surface Relative MP. Elevation: ft.
ne of water pumped/bailed before sampling: 3.75 gallons
Aes for metals were collected unfiltered• M VPQ n ran I--t .,..
Number: W00000484 Expiration Date:
.harge x UIC_
Other
'PE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
❑� Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑rOther:
FIELD ANALYSES:
pH 00400: 4.17 units Temp. 000lo: 14.9 eC
Spec. Cond. 00094: • µMhos
Odor0o0s5:
Appearance
de sample analyzed: 12/06-10112 Laboratory Name: 'CamermTesting Services/Envirochem
1RAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L Nitrite (NO2) as N ocsls mg/L Pb - Lead o1o51
Coliform: MF Fecal 31616<1 /100mL Nitrate (NO,,) as N 00620 26}7 mg/L Zn -Zinc 01092'
Coliform: MF Total 315D4 /100mL Phosphorus: Total as P oo665 mg/L
(Nate: Use MPN method Iar N9Ny turbid samples) Ortho h hat -
Solids:Total 70300 < 500
pH (Lab) 00403
units
TOC oo6ao < 10
mg/L
Chloride 00940
mg/L
Arsenicolooz
ug/L
Grease and Oils 00552
mg/L
Phenol 32730
ug/L
Sulfate 00945 -
mg/L
flc Conductance 000s5
µMhos
Total Ammonia ooslo < 0.1
mg/L
(Ammonia Nilmgen; NNeas N; Ammonia NlVogen, Total)
TKN as N 00625
p osp e 70507 mg/L
Al - Aluminum 01105 mg/L
Be - Barium 01007 ug/L
Ca - Calcium oc91e
mg/L
Cd - Cadmium 01027
ug/L
Chromium: Total olo34
ug/L
Cu - Copper 01042
mg/L
Fe - Iron 01045
ug/L
Hg - Mercury 71900
ug/L
K - Potassium 00937
mg/L
Mg - Magnesium 00927
mg/L
Mn - Manganese o1os5
ug/L
Ni - Nickel otos7
_ ug/L
Certification No. NC DENR N654
ug/L
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 # 8260B
method #
method #
method #
For Remedlation Systems Only (AttachLabReports): Influent Total VOCs: mg/L Effluent Total VOCs _ _ ma/L VOC Removal%
David Kirby, Dir. of Processing
Penmltee (or Authorized Agent) Name and Title -Please print or type
rNl-AG P. QnMD
at
Of

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
-
COMPLIANCE REPORT FORM
faTT NfA1L"SERVECE-CENTER'ZiACE1QBi'flC37693i83TPFione-ffri9173�2Y�t;.. ��
FACILITY INFORMATION Please Pdnt Cleady or Type
PERMIT Number: W00000484 Expiration Date: 04/3012017
Facility Name: Mounlaire Farms of North Carolina
Non -Discharge X UIC
Permit Name (if different):
NPDES Other..
Facility Address: 17269 NO Hwy 17N
TYPE OF PERMITTED OPERATION BEING MONITORED
Lumber Bridge (s"B1) NO 28357-0339 Robeson
❑Lagoon ❑Remediation: Infiltration Gallery
(City)County
tsmm) w°)
❑O Spray Field ❑ Remediation:
Contact Person: .Robert Jackson
-
Tele 910-359-5275
phone#:
El Rotary Distributor ❑Land Application of Sludge
Well Location/Site Name: Mountaire inner and Outer Perimeter Spray Fields No. of wells to be sampled: 30
❑ Water Source Heat Pump ❑ Other.
from Penmg
SAMPLING. INFORMATION
-
-
If WELL
WELL ID NUMBER (from Permit): MW-41
Date sample collected: 12/05/12
FIELD ANALYSES:
WAS
Well Depth: 16.0 ft,
Well Diameter: 2 in.
pH oo400: 4.28 units Temp. 000to: 17.8 eC
DRY at
Depth to Water Level 82546: 10.9 ft. below measuringMhos
point Screened Interval ft. to
ft.
Spec. Cond. 000sa: µ
time of
Measuring. Point is 3 ft. above land surface
Relative M:P. Elevation: ft.
Odor 000s5:
sampling,
check
Volume of water pumped/bailed. before sampling: 2.25
gallons ..
Appearance
here:❑
Samples for metals were collected unfiltered: EYES
❑. NO and field acidified: E YES ❑ NO
-'
LABORATORY INFORMATION
-
Date sample analyzed: 12/06-10/12
Laboratory Name: Cameron Testing Services/Envirochem Certification No. NC DENR 1554
PARAMETERS NOTE: Values should reflect dissolved
and colloidal concentrations.
COD oo335 mg/L
Nitrite (NO2) as N oosls _
mg/L
Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616 < 1 /100mL
Nitrate (NO.) as N 00620 %1:5!8L'V.Iq
mg/L
Zn -Zinc oto92 mg/L
Coliform: MF Total 31504 /100mL
Phosphorus: Total as P 00655
mg/L
(Nate: Use MPN method far Nghly turb Taaartles)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
issolvedSolids:Tetal70300 <500 mg/L
AI- Aluminum ollos
mg/L
pH (Lab) 00403 units
Be - Barium 01007
ug/L
TOO oo880 < 10 _ mg/L
Ca - Calcium oosls,
mg/L
Chloride 00940 mg/L
Cd - Cadmium 01027
ug/L
Arsenic ol002 uglL
Chromium: Total ot034
ug/L
Grease and Oils 00552 mg/L
Cu - Copper o1o42 .
mg/L
ORGANICS:.(by GC,.GC/MS,.. HPLC)
Phenol 32730 uglL
Fe - Iron 01045
ug/L
_ (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945mg/L
Hg - Mercury 71900
uglL
Lab Report Attached? X Yes (1) ❑ No (0)
pecific Conductance oo0gs µMhos
K - Potassium o0937
mglL
VOC 78732: , method # 8260B
Total Ammonia ooseo < 0.1 mg/L
Mg - Magnesium 00927
mg/L
, method #
(Ammonla Nitrogen; NH, as R. Ammonla Nitrogen. Total)
Mn.- Manganese 01055
ug/L
, method # -
TKN as N 00525 mg/L
Ni - Nickel 01067
ug/L
, method #
For Remediation Systems Only (Attach Lab. Reports):
` Influent Total VOCs: ma/C
Effluent Total Vnce• moll VOC Rrmnval96.
David Kirby, Dir. of Processing
Pennitlee, (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev. 2/2010

ON YELLOW PAPER ONLY
FORM
-- --"" ---' -- ""-
Facility Name: Mountalre Famis of North Carolina
PERMIT Number: W00000484
� Expiration Date: 0413012017
Permit Name (if different):
Non -Discharge X
UIC _
Facility Address: 17269 NC Hwy 17N
NPDES
Other
. Lumber Bridge t518a1) NO
TYPE OF PERMITTED OPERATION
BEING MONITORED
26357.0339
(city)
County Robeson
❑ Lagoon '
❑ Remediation: Infiltration Gallery
(State) (Zip)
-
K Spray Field
❑ Remediation:
Contact Person: Robert Jackson
Telephone#:. [phone].
❑ Rotary Distributor
❑ Land Application of Sludge
Well Location/Site Name: Mountaire Inner and Cuter Perimeter Spray Fields
No. of wells to be sampled: 30
❑ Water Source Heat Pump
❑ Other.
SAMPLING INFORMATION
(rnm Penrvq
WELL ID NUMBER (from Permit): _ MW-42
Dale sample collected: 12/06112
--
FIELD ANALYSES:
If WELL
WAS
Well Depth: 75.O,ft.
Well Diameter: 2 in.
pH 0040o: 3.95 units
Temp. 000lo: 18.6 °C
DRY at
Depth to Water Level e2546: 8.5 ft. below measuring point
Screened Interval ft. to
ft. Spec. Cond. 00094:
µMhos
time of
MeasuringPoint is 3 ft. above -land surface
Relative M.P. Elevation: ft.
Odor00oes:
-
sampling,
Volume of water Pumpedibailed before sampling: 3.25 gallons
check
Samples for metals were collecraA ttmfritm.oH nl Voc n °'_
__...._— _..._ . I..__
Appearance
herein
ate sample analyzed: 12106-10112
Laboratory Name: Cameron Testing Services/Enyirochem
4RAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00336
mg/L Nitrite (NO2) as N coots mg/L Pb - Lead otosl
Coliform: MF Fecat 31616
/100mL Nitrate (NO.) as N 00620V937LE,mg/L Zn- Zincotosz
Coliform: MF Total 31504
/100mL Phosphorus: Total as P.00s65 mg/L
(Note: Use MPN method for higNy Wr51d samples)
-
Ived Solids:Total 70300 < 500
mg/L '
PH (Lab) 00403
units
TOC coaso < 10
mg/L .
Chloride 00940
mg/L
Arsenicotoo2
ug/L
Grease and Oils 00552
mg/L
Phenol 32730.
ug/L
Sulfate 00945
mg/L
fic Conductance 0009s
µMhos
Total Ammonia oo610 0.373
mg/L
rmn (Aonla Nitrogen; NHsas P. Amonle NlVogen, Total)
TKN as N o0625 mg/L
Orthophosphate 70507
mg/L
AI - Aluminum of toe
mg/L
Be - Barium 01007
ug/L
'Ca- Calcium costs
mg/L
Cd - Cadmium 01027
ug1L
Chromium: Total olo34
ug/L
Cu - Copper 01042
- mg/L
Fe - Iron 01045
_-ug/L
Hg -.Mercury 71900
ug/L
K - Potassium 00937
mg/L
Mg - Magnesium 00927
mg/L
Mn - Manganese 01055
ug/L
Ni - Nickel 01D57 '
ug/L
Certification No. NC DENR#654
ug/L
mg/L
Other (Specify Compounds and Concentration Units):
ORGANICS: (by GC, GC/MS, HPLC)
(Specify test and method #. ATTACH LAB REPORT.)
Lab Report Attached? N Yes (1) ❑ No (0)
VOC 78732: , method # 8260B
method #
method #
method #
For Remediatlon Systems Only (Attach Lab Reports): Influent Total VOCs: mo/L Ffflupnt Total VnCc . . 11 " vnn
David Kirby, Dir. of Processing
Permtltee (or Authored Agent) Name and Title - Please print or type
GW-59 , Rev. 212010

r VRNI UN rCLLVVY I-Hr-1=11 VNL1
QUALITY MONITORING:
PORTFORM '
Name: Mountaire Farms of North Carolina
Name (if different):
Address: 17269 NO Hwy 17N
Lumber
NO 28357.0339
County Robeson
act Person: Robert Jackson Telephone#: [phone]
Location/Site Name: Mountains inner and Outer Perimeter Spray Fields No. of wells to be sampled: 30
:RMIT Number: W00000484 'Expiration Date: 04/30/2017
m-Discharge X
UIC
IDES
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.
ELL ID NUMBER (from Permit): MW-43
Date sample collected: 12/06/12
FIELD ANALYSES:
I VVCLL
WAS
ell Depth: - 15.0 ft.
Well Diameter. 2 in.
pH o040o: 3.96 units
Temp. o_oaio: 17.6 °C
DRY at
IPth to Water Level 82546: 11.4 ft. below measuring point Screened Interval: ft. to
fL
Spec. Cond. 00094:
µMhos
time of
6asurin Point is 3
9 ft. above land surface
Relative M.P. Elevation: ft.
Odor o008s:
sampling,
tlume of water pumped/bailed before sampling:2.25
gallons
check
k
. _
Im les for metals were collected unfiltered: 2 YES
❑ NO and field acidified: Z YES ❑ NO
Appearance
-
here
El
tBORATORY INFORMATION
1te sample analyzed: 12/06-10/12 Laboratory Name: Cameron Testing Services/Envirochem
\RAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
Certification No. No DENR #654
COD 00335 mg/L
Nitrite (NO2) as N odds
mg/L
Pb - Lead oto51
ugfL
Colifonn: MF Fecal3wis <1 /100ml-
Nitrate (NO3) as N 00620 1
mglL
Zn - Zinc alnez
mg/L
Coliform: MF Total 31504 /100ml-
Phosphorus: Total as P Doses
mglL
(Note: Use MPNngMM1wN9NyWroIdmrrples)
Orthophosphate7oso7
mg/L
Other (Specify Compounds and Concentration Units):
solved Solids:Total 7030D mg/L
AI- Aluminum ot-1os
mg/L
pH (Lab) 00403 units
Be - Barium 01007
ug/L
TOC ooeso < 10 mg/L
Ca - Calcium 00916
mo/L
Chloride 00940 -
mg/L
Cd - Cadmium oio27
ug/L
Arsenic olooz
ug/L
Chromium: Total oio34
ug/L
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg/L
ORGANICS:.(by GC; GC/MS, HPLC)
Phenol 32730
ug/L
_ Fe - Iron oio45
ug/L
(Specifytest and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg/L
Hg - Mercury 71900
ug/L
Lab Report Attached? N Yes (1) ❑ No (0)
pecific Conductance 0009s
µMhos
K - Potassium 00937
mg/L
VOC 78732: method #. 8260E
Total Ammonia 00610 < 0.1
mg/L
Mg - Magnesium 00927
mg/L
,
#
(Anvnonia NIVogen; NHses 17 onla NIF on, Tote1)
,method
Manganese o1055 Mn - Man
9
ug/L
#.
TKN as N 00625
mg/L
Ni - Nickel 01067
ugfL
,method
, method #
For Remediation Systems Only (Attach Lab Reports):
Influent Total VOCs:
ma/L Effluent Tntnl vnr.<- ,.,,.n vnr
David Kirby, Dir. of Processing
Permlttee (or Authorized A9enil Name and Title - Please,prinl or type
GW-59 Rev. 2/2010

SUBMIT FORM ON YELLOW PAPER ONLY
TER QUALITY MONITORING:
E REPORT FORM
Name: Mountaire Farms of North Carolina
'nit Name (if different);
:ilityAddress: 17269 NC Hwy 17N
Lumber Bridge (sveeg NC 28357-0339
Count Robeson
(city)
(Stale) t>,P1 y
ltact Person: .Robert Jackson Telephone#: [phone]
11 Location/Site Name: Mountains Inner and Outer Perimeter Spray Fields' No. of wells to be sampled: 30
L ID NUMBER (from Permit): MW-44 Date sample collected: 12/06/12
Depth: 15.0 ft. Well Diameter. 2 in.
h to Water Level e2546: 9.4 ft. below measuring point Screened Interval: ft. to ft.
luring Point is 3 ft. above land surface Relative M.P. Elevation: ft.
no of water pumped/bailed before sampling: 3.00 _ gallons..
W00000484 Expiration
x UIC_
Other
'PE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
IN Spray Field ❑ Remediation:
[],Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
FIELD ANALYSES:
PH 0040o: 3.89 units Temp. 00010: 18.2 eC
Spec. Cond: oco94: µMhos
Odor.00085:
Appearance
ate sample analyzed: 12t00-10/12 Laboratory Name: Cameron Testing Services/Envirochem NC DENR#e54
ARAMETERS NOTE: Values should reflect dissolved and colloidal. concentrations. Certification No.
COD oo33s mg1L Nitrite (NO2) as N oos15
•Coliform: MF Fecal 31616 mg/L Pb -Lead o1os1 ug/L
< 1 /100mL Nitrate (NO,) as N 00620 mg/L Zn - Zinc 01092 m /L
Coliform: MF Total 315o4 g
/100mL Phosphorus: Total as P oosss mg/L
(Nola: Use MPN melhatl for hi9Ny Wr51#samolesl
Ived Solids:Total 70309 <500
mg/L
PH (Lab) oo4o3
units
TOC ooseo <10
mg/L
Chloride 00940
mg/L
Arsenic 01002
ug/L
Grease and Oils oo552
mg/L
Phenol 32730
ug/L
Sulfate 00945
mg/L
ffc Conductance 00095
µMhos
Total Ammonia odslo <0.1
mg/L
(Am nla Nftgen; NH.as IT; Am oNa en Nitrog. Total),
TKN as N 00625 mg/L
For Remedlation Systems Only (Attach Lab Reports):
GW-59 ' Rev. 212010
Orthophosphate 70507
At -Aluminum oltos
Be - Barium oloar
mg/L Other (Specify Compounds and Concentration Units):
mg/L
ug/L.
Ca- Calcium oo9le
mg/L
Cd - Cadmium 01027
:ug/L
Chromium: Total oto34
ug/L
Cu - Copper 01042
mg/L
Fe - Iron 01045
ug/L
Hg -Mercury 71900`
K - Potassium.00937
Mg- Magnesium 00927
Mn - Manganese o1os5
Ni - Nickel 01067
Influent Total
ug/L
mg/L
mg/L
ug/L
ug/L
ORGANICS: (by GC, GC/MS, HPLC)
(specify test and method#. ATTACH LAB REPORT.)
Lab Report Attached? I] Yes (1) ❑ No (0)
VOC78732: , method # 826013
Effluent Total
method #
method #
at
of

FORM ON
.Y
TER QUALITY MONITORING:
E REPORT FORM
;ility Name: Mountaire Fam1s of North Carolina
'mit Name (If different):
:ility Address: 17269 NC Hwy 17N
Lumber Bridge (6treat) NC 28357-0339
County Robeson
act Person: Robert Jackson Telephone#: [phone]
Location/Site Name: Mountaire Inner and Outer Perimeter Spray Fields No. of wells to be sampled: 30
L ID NUMBER (from Permit): MW-45 Dale sample collected: 12/06112.
Depth: 15.0 {t. Well Diameter: 2 in.
1 to Water Level 82546: 9.5 ft. below measuring point Screened Interval: ft. to . it
luring Point is ' 3 ft. above land surface Relative M.P. Elevation: ft.
ne of water pumpedibailed before sampling: 3.00 ,.gallons
ales for metals were collected unfiltered: 0 YES ❑ NO and field acidified: V1 YES fl Mr)
RMIT Number: W00000484 Expiration Date: 0413012017
m-Discharge X
UIC
'DES
Other
'PE OF PERMITTED OPERATION BEING MONITORED
El Lagoon
❑ Remediation: Infiltration. Gallery
0 Spray Field
❑ Remediation:
❑ Rotary Distributor
❑ Land Application of Sludge
Water Source Heat Pump
❑ Other:
FIELD ANALYSES:
pH 00400: 4.46 units Temp. 00010: 17.4 eC
Spec. Cond. ocom: µMhos
Odor 000e5:
Appearance
ite sample analyzed: 12/06-10112
Laboratory Name: Cameron Testing Services/Envirochem Certifcation No. NC DENR#654
tRAMETERS NOTE: values should reflect dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 0oeu
mg/L , Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616 < 1
1100mL
Nitrate (NO3) as N 0062o w8 1
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
I100mL
Phosphorus: Total as P 00665
mg/L
(Nate: useMPN n�einod rormgnly turbidsampies)
Orthophosphate 705o7
mg/L Other (Specify, Compounds and Concentration Units):
solved Solids:Total70300 4500
mg/L
AI - Aluminum ofio5
mg/L
pH (Lab) 00403
units
Be --Barium o1007
ug/L
TOCoo66o <10
mg/L
Ca - Calciumooglo
mg/L
Chloride 00940
mg/L
Cot - Cadmium 01027
ug/L
Arsenic oloo2
ug/L
Chromium: Total 01034
ug/L
Grease and Oils oo55z
mg/L
Cu - Copper 01042
mg/L
' ORGANICS:•(by GC, GC/MS, HPLC)
Phenol 32730
uglL
` Fe - Iran 01045
ug1L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg/L
Hg - Mercury 71900
uglL
Lab Report Attached? X Yes (1) ❑ No (0)
eciflc Conductance 00095
µMhos
K - Potassium 00937
mg/L
VOC 78732: , method # 8260B
Total Ammonia 00610 < 0.1
mg/L
Mg - Magnesium 00927
mg/L
, method #
(Ammonia Nitrogen: NH,ee W.-A nle Nitrogen, Total)
Mn- Manganese omss
uglL
,method#
TKN as N 00625
mg/L
Ni - Nickel o1o67
ug/L
, method #
'For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs mglL VOC. Removal
David Kirby, Dir. of.Processing
Permlttee (or Authorized Agent) Name and Tide - Please print or type
_1M_49 Rev 21vn1n '
of

SUBMIT FORM ON YELLOW PAPER ONLY
tOUNDWATER QUALITY MONITORING:
)MPLIANCE REPORT FORM
'.ILITY INFORMATION Please. Print Clearly or Type
Aily.Name: Mountaire Farms of North Carolina
mit Name (if different):
:Ility Address: 17269 NC Hwy 17N
Lumber Bridge - (&tr80U NC 28357-0339 County Robeson
act Person: Robert Jackson Telephone#: 91D-359-5275
Location/SiteName: Mountaire Inner and Outer Perimeter Spray Fields No, of wells to be sampled:
LID NUMBER (from Permit): MW-46 Date sample collected: 12/06/12
Depth: 1 15.0 ft. Well Diameter: 2 in.
h to Water Level 82546: 9.0 ft. below measuring point Screened Interval: ft. to ft.
luring Point is 3 ft. above land surface Relative M.P. Elevation: ft.
ne of water pumped/bailed before sampling:. 3.00 .gallons
Dies for metals were collected unfiltered fO YES n NO and field acidified: 0 YES fl No
RMIT Number: W00000484 Expiration Date: 0413012017
n-Discharge X UIC
'DES Other
PE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
X Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
FIELD ANALYSES: WAt'
pH 00400: 3.96 units Temp. coolo: 16.9 aC DRY at
Spec. Cond. 00094: µMhos time of
samplir
Odor00085: check
Appearance here:r
its sample analyzed:• 12106-10112
Laboratory Name: Cameron Testing Services/Envirochem Certification No. No DENR 0654
\RAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N oosts
mg/L
Pb - Lead otosl uglL
Coliform: MF Fecal 31616 41
/100mL
Nitrate (NO3) as N oo6zo 66;9
mg/L
Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665
mg/L
(Note: Use MPN melhad for highly turbid samples)
• Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
solved Solids:Total 70300 _637,�±�`
mg/L
At -Aluminum 01105
mg/L
pH (Lab) 00403
units
Ba- Barium 01007
ug/L.
TOG oo66o < 10
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 0.1002 ,
ug/L
Chromium: Total olo34
ug/L
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug./L
Fe - Iron 01045'
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg/L
Fig - Mercury 71900
_ ug/L
Lab Report Attached? 0 , Yes (1) ❑ No (0).
lecific Conductance 00095
µMhos
K - Potassium 00937
mg/L
VOC 78732: , method # 8260B
Total Ammonia Como <0.1
mg/L
Mg - Magnesium 00927
mg/L
, method #
(Anni Mbogen: NHias N:Ammonla Nitrogen, Tote)
Mn- Manganese 01055
ug/L
,method#
TKN as N oo62s
mg/L
Ni - Nickel 01067
ug/L
, method #
For Remediation Systems Only (Attach LabReports): Influent Total.VOCS: mall- Effluent Total VOCs:. _ mq/L VOC Removal%
David Kirby, Dig. of Processing - QN191 ppy q
Penndtee(or Authorized Agent) Name and Title- Please print orlype Signature of Permittea(or Au Agent) (Date)
rnh1;59 Rey,?nndn