WQ0000484_GW Monitoring_20110911

SUBMIT FORM ON YELLOW PAPER ONLY
'R QUALITY MONITORING:
REPORT FORM
-- -- _" --'-'- - --- - 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
Lumber Bridge r °O°tr NC 28357-0339
County Robeson ❑ Lagoon tc.yt (.Ts Let Inn1 9 ❑Remediation: Infiltration Gallery
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:
IELL D NUMBER (from Permit): MW-8
p Nltl
Date sample collected: 08/02/11
FIELD ANALYSES:
1 WMIL
WAS
tell Depth: 12.0 ft.
Well Diameter: 2 in.
pH 0040o: 4.12 units
Temp. booto: 23.4 °C
DRY at
epth to Water Level 82546: 8.7 ft. below measuring point Screened Interval:_ft. to ft.
Spec. Cond. 00094:
µMhos
time of
easuring Point is 3 ft. above land surface
Relative M.P. Elevation: ft.
Odor 000es:
n
3lume of water purnpedlbailed before sampling: 2.00
P 9�
gallons
check
check
am ,le, for metals were collected unfiltered: m YES
❑ NO
Appearance clear
here: r
and field acidified: OYES ❑ NO
L
180RATORY INFORMATION
ate sample analyzed: 08102-08/11 Laboratory Name: Cameron Testing Services
1RAMETERS NOTE: Values should reflect dissolved and colloidal concentratlons.
Certification No. NC DENR #854I
E(;a R_
(®p �If�
COD 00335 mg/L
Nitrite (NO,) as N oo615 mg/L
Pb - Lead o10s1
u /L
g
Coliform: MF Fecal3161s < 1 /100mL
Nitrate (NOT) as N 00620 < 10 mglL
Zn - Zinc olosz
OCT 0 3
Coliform: MF Total 31504 /100ml-
(NDIe: Use MPN method forhl -,t
Phosphorus: Total as P 00665 mg/L
mg/L
- ^ —_
Y usample.) P
I
solved Solids:TotaUwop <500
mg/L
Orthophosphate 705o7
Al
mg/L
p�, q�p
.Other (Specify CorCwd'u __ no Ejnj- t jan lUnits): JI
v L 1/ I�.fa
-Aluminum olme
mg/L
G f�
PH (Lab) 00403
units
Be - Barium 01007
ug/L
2 2O"
TOC oo6ao <10
mg/L
Ca -Calcium 00916
mg/L
_
Chloride 00940
mg/L
Cd- Cadmium 01027
ug/L
r
I Idfi roosssirtg Unit
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 1
uglL
Fe - Iron 01045
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg/L
H Mercury 71900. 9 - ry
ug/L
Lab Report Attached? ❑ Yes (1) N No (D)
:cific Conductance 000es
µMhos
K _ Potassium 00937
mg/L
VOC 78732: #
Total Ammonia 00610 0.16
mg/L
Mg - Magnesium 00927
mg/L
,method
#
m
(Ammonia Nitrogen: NH,as N: Ammonia NiVgen, Telco
,method
Mn-Manganese 01055
u /L
9
method #
TKN as N 00625
mgfL
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%
tta�}If RIRllRIlA�ww101rA A��� l�� � �
Alan Asbury, Controller
Peondlee (or Authorized Agent) Name and Title -Please print or type
GW-59 Rev. 212010

c111vv rAVtK ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
or
Name: Mountaire Farms of North Carolina
Name (if different):
Address: 17269 NC Hwy 17N
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
ERMIT Number: W00000484
Expiration Date: 04/30/2017
on -Discharge X
UIC
PDES
Other
YPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon
❑ Remediation: Infiltration Gallery
X Spray Field
❑ Remediation:
❑ Rotary Distributor
❑ Land Application of Sludge
❑ Water Source Heat Pump
❑ Other.
WELL ID NUMBER (from Permit): MW-14
Date sample collected: 08/02111
P
FIELD ANALYSES:
If WELL
Well Depth: - 15.0 g,
Depth to Water Level 14.6
P
Well Diameter: 2 in.
P H 00400: 4.33 ^
Temp. 00010: 20.7 C
WAS
DRY at
82546: ft. below measuring
point Screened Interval:_ft.
to ft.
_units
Spec. Cond. 00094: µMhos
time of
Measuring. Point Is 3 ft. above land surface
Relative M:P. Elevation:
ft.
Odor cooas:
sampling,
Volume of water um ed/bailed before sampling: 0.75 gallons
P P P g'
check
Sam les for metals were collected unfiltered: O YES
'LABORATORY
❑ NO and field acidified: O YES
❑ NO
Appearance clear
here:❑
INFORMATION
Date sample analyzed: 08/02-08/11 LaboratoryName: Cameron Testing Services
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
Certification No. NC beNRaesa
COD 00335 mg/L
Nitrite (NO2) as N 00615
mg/L
Pb -Lead oiosl
Coliform: MF Fecal 31616 < 1 /t00mL
Nitrate (NO3) as N 00620 < 10
mg/L
ug/L
Zn - Zinc ologz
Coliform: MF Total 31504 /100mL
Phosphorus: Total as P 00665
mg/L
mg/L
(Note: Use MPN method for highly turbid samples)
)issolved Solids:Total 70300 <5oo
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
mg/L
AI -Aluminum o11os
mg/L
pH (Lab) 00403 units
Ba - Barium 01007
ug/L
' TOC o068o < 10 mg/L
Ca - Calcium ousts
mg/L
Chloride 00940 mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002 ug/L
Chromium: Total 01034
ug/L
Grease and Oils 00552 m /L
C
9 u - Copper 0104z mg/L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730 ug/L Fe - Iron o1045 ug/L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945 mg/L Hg - Mercury 7190o ug/L Lab ReportAttached? ❑ Yes (1) 0 No (0)
:cific Conductance o0095 µMhos K - Potassium 00937 mg/L VOC 78732: , method #
Total Ammonia ooslo 0.1 mg/L Mg - Magnesium 00927 mg/L , (Ammonia Nitrogen: NH,.. N: Ammonia Nitrogen, TOm1) method #
Mn - Manganese otoss ug/L , method #
TKN as N 00625 mg/L Ni - Nickel 01067
ug/L .method #
For Remediation Systems Only (Attach Lab Reports): Innncn/ T..r,el vnn­
mg/L VOL;
Alan Asbury, Controller
Perminee (or Authored Agent) Name and Title - Please print or type
OW-59 Rev. 2/2010

awvv rArMK UNLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE
• •9ZMpILRVcENTM
'fNr0FENvjR0h1M. r Krurtu4k 'p)U
REPORT FORM
!h!! �Rsitcuir�
R,i{ALe16Hp'�ICt7J89Q,1AY��P�hane,(919K7g23zzt_,
FACILITY INFORMATION Pease Print C/eady or Type
..
Facility Name: Mountains Farms of North Carolina
PERMIT Number: W000004(34 Expiration Date: 04/30/2017
Permit Name (if different):
Non -Discharge X UICNPDES
Facility Address: 172 NC Hwy 17N
Other
is
Lumber Bridge ' ° ^� NC
TYPE OF PERMITTED OPERATION BEING MONITORED
28357-0339 County Robeson
lay; ts,ale)
❑ Lagoon ❑Remediation: Infiltration Gallery
Pot
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:
SAMPLING INFORMATION
- mm Pe h
- -
WELL ID NUMBER from Permit): MW-15
( )
Date sample collected: 08/02/11
_
If WELL
FIELD ANALYSES: WAS
Well Depth: 16.5 ft.
Well Diameter: 2 in,
pH 00400: 4.38 units Temp, 000to: 19.6 °C DRY at
Depth to Water Level e2546: 11.9 ft. below measuring
point Screened Interval:—ft. to
ft. Spec. Cond. 00094: µMhos time of
Measuring Point is 3 ft. above land surface
Relative M.P. Elevation: ft.
Odor 000es: sampling,
Volume of waterpumped/bailed before sampling: 2.5
gallons
9
check
Sam lea for metals were collected unfiltered: m YES ❑ NO and field acidified: ®YES ❑ NO
Appearance clear here:❑
LABORATORY INFORMATION
Date sample analyzed: OBIR-06)11 Laboratory Name: Cameron Testing Services
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
Certification No. NC oENR x654
COD 00335 mg/L
Nitrite (NO2) as N 00615 mg/L
Pb - Lead 01os1 ug/L
Coliform: MF Fecal 31616 < /t
1 00mL
Nitrate (NO,) as N oos2o egg-3--3 mg/L
Zn -Zinc olosz
Coliform: MF Total31504 /100ml-
Phosphorus: Total as P 00a65 mg/L
mg/L
(Note: Use MPN method forhlghlyturbld samples)
<500
)issolved SolpH
Orthophosphate 7oso7 mg/L
Other (Specify Compounds and Concentration Units):
mg/L
At -Aluminum o1105 mg/L
(Lata170303
pH (Lab) ooao3 units
Be - Barium 01007 - ug/L
TOC aosao < 10 mg/L
Ca - Calcium 00916 mg/L
Chloride aoe4o mg/L
Cal - Cadmium 01027 ugfL
Arsenic 01002 uglL
Chromium: Total 01034 ug/L
Grease and Oils oa552 /L
mg
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
ugfL
Lab Report Attached? ❑ Yes (1) ❑® No (0)
Scific Conductance 000gs
.µMhos
K - Potassium 00937
mg/L
VOC 78732: #
Ammonia ooslo <0.1
mg/L
Mg - Magnesium 00927
mg/L
,method
Total'Total
(Ammonia Nitrogen; NHaas N;Ammonia Nitrogen,
, method #
Mn - Manganese 01055
p /L
9
method #
TKN as N 00525
mg/L
Ni - Nickel 01067
ug/L
,
, method #
For Remediation Svstems On[, fAttaeh I ah Panne l• "-, ......
I'll, - ",wrn. ,omi
Alan Asbury, Controller
Permutes (or AUNonZed Agent) Name and Title -Please print or type
GW-59 Rev. 212010
mg/L VOC

OUDIVIl I rUMM UN YtLLOw PAPER ONLY
:R QUALITY MONITORING:
REPORT FORM
:ility Name: Mountaire Farms of North Carolina
rmft Name (if different): _
:ility Address: 17269 NO
Lumber Bridge (s1f.0,
17N
NC
County Robeson
act Person: Robert Jackson Telephone#: [phone]
Location/Site Name: Mountalre Inner and Outer Perimeter Spray Fields No. of wells to be sampled: 30
L ID NUMBER (from Permit): MW-16 Date sample collected: 06/02111
Depth: 10.0 ft. Well Diameter: 2 -in.
1 to Water Level82546: 10.0 ft. below measuring point Screened Interval: ft. to ft.
wring Point is 3 ft. above land surface Relative M.P. Elevation: ft.
ne of water pumped/bailed before sampling: gallons
Iles for metals were collected unfiltered: ® YES ❑ NO and field acidified: ® YES Cl No
uate sample anelyzea:
-Laboratory Name: Cameron Testing Services
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615
mg/L
Coliform: MF Fecal 31616
/100mL
Nitrate (NO,t) as N 00620
mg/L
Coliform: MF Total 31504
/100ml-
Phosphorus: Total as P 00665
mg/L
(Note: Use MPN moNod for Nltht, turbid samples)
Orthophosphate 70507
m9 /L
issolved Solids:TOtal 70300
mg/L
AI - Aluminum 01105
mg/L
pH (Lab) 00403
units
Be - Barium 01007
ug/L
TOC ooseo
mg/L
Ca - Calcium 00e16
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
Phenol 32730
ug/L
Fe - Iron 01045
uglL
Sulfate 00945
mg/L
Hg - Mercury 71900
ug/L
Specific Conductance 0009s
µMhos
K - Potassium 00937
mg/L
Total Ammonia oo6lo
mg/L
Mg - Magnesium 00927
mg/L
(Ammonia Nitrogen; NH3as N;AmmeNa Nitrogen, Tolel)
Mn- Mangan Fee oloss
u9 /L
.: TKN as N 00525
mg/L
Ni - Nickel 01067
ug/L
For Remediation cneto...e n,.r,, raw.._I. I _�
I—. — r_. _...__
Alan Asbury, Controller
Peanittee (or Authoreed Agent) Name and Title - Please print or type
GW-59 Rev. 212olo
Number:
Date:
1n-Discharge X UIC _
DOES Other
!PE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
0 Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
FIELD ANALYSES: WAS
pH oo400:_ units Temp. 000io: eC DRY at
Spec. Cond. aao94: µMhos time of
Odor o00es: sampling,check
Appearance clear here:
Certification No. ND DENR z654
Pb - Lead oiast 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) ❑ No (0)
VOC 78732: , method #
method #
method #
method #
auiuem loyal vuUs:
VOC

:R QUALITY MONITORING:
REPORT FORM
Name: Mountaire Farms of North Carolina
Name (if different):
Address: 17269 NC Hwy 17N '
Lumber
oil Dlvn I runw, vN TCLLUW PAPER ONLY
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
m-Discharge X
UIC
aDES
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-17
Date sample collected: 08/02/11
FIELD ANALYSES:
u WMLL
WAS
Depth: 11.4 ft.
Well Diameter. 2 in.
pH 00400: 4.16 units Temp. 000to: 24.2 eC
DRY at
h to Water Level82546: 9.7 ft. below measuring point
Screened Interval: —ft. to
ft. Spec. Cond. 00094: µMhos
time of
During Point is 3 ft. above land surface
Relative M.P. Elevation: ft.
Odor 000as:
sampling,
ne of water pumped/bailed before sampling: 1.0 gallons
check
rles for metals were collected unfiltered: m YES ❑ NO and field acidified: ® YES ❑ NO
Appearance clear
here:❑
sample
COD 00335
mg/L
Coliform: MF Fecal 31616 _< 1
/100mL
Coliform: MF Total 31604
/100mL
(Nolo: Use MPN moUod forNphlyturbidsamples)
issolved Solids:Total 70300 <500
mg/L
pH (Lab) 00403
units
TOC ocrim <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
Specific Conductance 00095
µMhos
Total Ammonia oo6lo <0.1
mg/L
(A onla Nitrogen;NHsas N:Ammonia Nitrogen, Total)
TKN as N 00625 mg/L
For Remedlation Svntama nor., rew—r, I ter, o,......._t.
LaboratoryName: Cameron Testing Services
Certification No. NC DENRxes4 .
and colloidal concentrations.
Nitrite (NO,) as N 00615
rng/L
Pb - Lead mo51 ug/L
Nitrate (NO,) as N 00620 < 10
mg/L
Zn - Zinc 01o92mg/L
Phosphorus: Total as P ocs6s
mg/L
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
At -Aluminum ollos
mg/L
Be - Barium 01007 -
ug/L
Ca - Calcium 00916
mg/L
Cd - Cadmium 01027
ug/L
Chromium: Total o1o34
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) 9 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 #
¢umcm I Ural vu1s: mg/L VOC Removal%
Alan Asbury, Controller
Penniftee AuthorizedAgent)
GW-5959 Rev. 2/2010 Name and Title- Please pool or type Signature of Pennittea/(/or Authorized Agent) (Date)
Rev. l/

1 r1.1 urvu
NG:
REPORT
Name: Mountaire Farms of North Carolina -
Name (if different):
Address: 17269 NC Hwy 17N
Iber Bridge '"v°"'t 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: 08/02/11
Depth: 10.0 ft, Well Diameter: 2 in.
'i to Water Level B2546: 10 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/balled before sampling: 0.00 gallons
ties for metals were collected unfiltered: m YES ❑ NO and field acidified: 0 YES f-1 NO
sample
COD 00335 mg/L
Coliform: MF Fecal 31616 /100mL
Coliform: MF Total 31504 /100mL
(Nolo; Use MPN method forhlghly tureldsomplea)
Ived Solids:Total 70300
mg/L
pH (Lab) 00403
units
TOC aosao
mg/L
Chloride 00940
mg/L
Arsenic 01002
ug/L
Grease and Oils 00552
mg/L
Phenol 3273o
ug/L
Sulfate 00945
mg/L
fic Conductance 00095
µMhos
Total Ammonia ooslo
mg/L
(A nMda Nibagen; NHraa N; Ammonia Nitrogen, Total)
TKN as N 00625
Laboratory Name: Cameron Testing Services
and colloidal concentrations.
Nitrite (NO,) as N oasts
mg/L
Nitrate (NOD as N 00620
mg/L
Phosphorus: Total as P 00995
mg/L
Orthophosphate 70507
mg/L
AI - Aluminum 01105
mg/L
Ba - Barium 01007
ug/L
Ca - Calcium 00916
mg/L
Cd - Cadmium ote27
ug/L
Chromium: Total o1o34
ug/L
Cu- Copper 01042
mg/L
Fe - Iron oio4s
uglL
Hg - Mercury 71900
ug/L
K - Potassium 00937
mg/L
Mg - Magnesium 00927
mg/L
Mn - Manganese 010ss
ug/L
Ni- Nickel 01067
uglL
°RMIT Number: W00000484
Expiration Date: 04/30/2017
)n-Discharge X
UIC
DOES
Other
(PE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon
❑ Remediation: Infiltration Gallery
0 Spray Field
.
❑ Remediation:
❑ Rotary Distributor
❑ Land Application of Sludge
❑ Water Source Heat Pump
❑ Other:
FIELD ANALYSES: I WAS
pH 00400: units Temp. 000io: °C DRY at
Spec. Cond. 00094: µMhos time of
Odor 000e5: sampling,check
Appearance clear here:O
Certification No. NC DENR#b54
Pb - Lead olos1 uglL
Zn -Zinc oloez 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) 9 No (0)
VOC 78732: , method #
method #
method #
method #
For Remedfatlon Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal a
Alan Asbury, Controller
Permlttee (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev. V2010

GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
FACILITY INFORMATION Fle:
Facility Name: Mountaire Farms of North Carolina
3ermit Name (if different):
=acility Address: 17269 NC Hwy 17N
Lumber Bridge •r 113tre1r NC
V uu�n�� rVIVVI MY
28357-0339 County Robeson
act Person: • Robert Jackson Telephone#: [phone]
Location/Site Nafie: Mountaire Inner and Outer Perimeter Spray Fields No. of wells to be sampled: 30
ONLY
9RMIT Number: WQ000o484
Expiration Date: 04123012017
)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:
L ID NUMBER (from Permit):' MW-19 Date sample collected: 08/02/11 FIELD ANALYSES:
Depth: 12.8 ft, Well Diameter. 2 in, pH 0040D: 4.81 units Temp. obow: 22.6 eC
4 to Water Level 82546: 10.3 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/bailed before sampling: 1.25 gallons Appearance clear
)les for metals were collected unfiltered: m YES ❑ NO and field acidifieri- VI YFA 1 1 run
at
of
Date sample analyzed: 08102-08-11 Laboratory Name: Cameron Testing Services
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
Certification No. NC DENR 9,654
COD 0033s
mg/L
Nitrite (NO2) as N costs
mg/L
Pb - Lead oiosi ug/L
Coliform: MF Fecal 31616 < 1
/100ml-
Nitrate (NO3) as N 00620 Q'p;2
mg/L
Zn : Zinc 01092
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 0osss
Total00665
mg/L
mg/L
(Note: Use NPNmeteod(orhiBNyturbidsamples)
Orthophosphate
P P hate
mg/L
Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 <500
mg/L
AI - Aluminum ollos
mg/L
pH (Lab) 00403
units
Be - Barium 01007
ug/L
TOC ao68o < 10
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940
mg/L
Cd - Cadmium 01027
ug/L
. Arsenic 01002
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
ug/L
Fe -Iron 01045
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg/L
Hg - Mercury71900
ug/L
Lab Report Attached? ❑ Yes (1) ❑® No (0)
Specific Conductance 000ss
P Mhos
K -Potassium 00937
mg/L
VOC 7e732: #
Total Ammonia ooslo <0.1
mg/L
Mg - Magnesium 00927
/L
/
_ ,method
(Ammanla Nitogen: NH,as N; Ammonia Nitrogen, Toton
, method #
Mn-Manganese oloss
umg
9
method #
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L
, method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: ma/L Effluent 7ntai vnc,
Alan Asbury, Controller
Pannittee(or AuthoredAgenO Name and Title- Please print or type -
GW-59 Rev. 2/2olo

TER QUALITY MONITORING:
:ility Name: Mountalre Farms of North Carolina
'mit Name (if different): _
:ility Address: 17269 NC
Lumber Bridge r5(rw,
17N
womn 1 rvnmi vn r CLLUyy rArcm UNLI
NC 28357-0339 County
Robeson
act Person: Robert Jackson Telephone#: [phone]
Location/Site Name: Mountalre Inner and Outer Perimeter Spray Fields No. of wells to be sampled:
L ID NUMBER (from Permit): MW-20
Depth: 11 ft.
1 to Water Level 82546: 6.4 ft. below measuring point
,uring Point is 3 ft. above land surface
no of water pumped/balled before sampling: 2.0 gall
)les for metals were collected unfiltered: m YES ❑ NO
30
Date sample collected: 08/02111
Well Diameter: 2 in.
Screened Interval: ft. to _ft.
Relative M.P. Elevation: ft.
YES
°RMIT Number: W00000484
Expiration Date: 04/30/2017
)n-Discharge X
UIC
bDES
Other
'PE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon
❑ Remediation: Infiltration Gallery
C] Spray Field
❑ Remediation:
❑ Rotary Distributor
❑ Land Application of Sludge
❑ Water Source Heat Pump
❑ Other:
FIELD ANALYSES:
pH 00400: 6.46 units Temp. 000lo: 21.6
Spec. Cond. 00094: µMhos
Odor 00005:
Appearance clear
oc DRY at
time of
)te sample analyzed: . 09/02-0e/11
Laboratory Name: -Cameron Testing Services
Certification No. NC DEng #65d
IiRAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO,) as N oo515
mg/L
Pb - Lead oios1 ug/L
Coliform: MF Fecal gists < 1
/100mL
Nitrate (NO3) as N 00620 < 10
mg/L
Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100ml-
Phosphorus: Total as P 00565
mg/L
(Note: Use MPN met hod for highly turbid samples)
Orthophosphate 7e5e7
mg/L
Other (Specify Compounds and Concentration Units):
solved Solids:Total 70300 <500
mg/L
AI - Aluminum oleos
mg/L
pH.(Lab) 00403
units
Be- Barium 01007
ug/L
TOC oosBo 42.9
mg/L
Ca - Calcium 00916
m9 /L
Chloride oos4o
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
G
ug/L
Chromium: Total 01034
ug/L
'
rease 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) M No (0)
Specific Conductance 0009s
µMhos
K - Potassium 00937
mg/L
VOC 79732: , method #
Total Ammonia ooeto F25-prN
mg/L
Mg - Magnesium 00927
mg/L
#
(AmmoNa Nitrogen; NH,.. 17Ammonia NilmBen, Totdo
Mn- Manganese oleos
u /L
9
,method
method #
TKN as N ooszs
mg/L
Ni - Nickel 01067
uglL
, method #
-----•----- -.-, ,..---" _,. ....1.-1 ,,,,a, mgr� mmuent iolal vUCs: mg/L VOC Removal%
rlewir�i�ur��. _
Alan Asbury, Controller
Permittee (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev. 212010

owrvn i rurtrvi UN TCLLUVV YAVtK UNLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
:ility Name: Mountaire
'mit Name (if different): _
:ility Address: 17269 NC
Lumber Bridge rsaemr
of North Carolina
17N
NC 28357-0339 County Robteson
act Person: +Robert Jackson Telephone#: [phone]
Location/Site Name: Mountaire Inner and Outer Perimeter Spray Fields No. of wells t0 be sampled: 30
L ID NUMBER (from Permit): MW-24
Depth: 15.0 ft.
i to Water Level 82546: 12.2 ft. below measuring point
uring Point is 3 ft. above land surface
re of water Pumped/bailed before sampling: 1.50 gals
lies for metals were collected unfiltered: m YES ❑ NO
°RMIT Number: W00000484
Expiration Date: 04/30/2017
)n-Discharge X
UIC
'DES
Other
rPE 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: 08/02111 FIELD ANALYSES:
Well Diameter: 2 in. PH oo400: 4.47 units Temp. 000lo: 22.2 aC
Screened Interval: _ft. to _ft. Spec. Cond. 00094: µMhos
Relative M.P. Elevation: f.. Odor 000ss:
Is Appearance clear
and field acidified: ® YES FI NO
As sample analyzed: o810z-oer11 Laboratory Name: Cameron Testing Services
4RAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
Certification No. NC DaNR ttsu
COD 00335
mg/L
Nitrite (NO2) as N 00615
mg/L
Pb - Lead ot051 u /L
g
Coliform: MF Fecal 31616 < 1
/100mt.
Nitrate (NO3) as N 00620 < 10
mg/L
Zn - Zinc oio92
Coliform: MF Total 31504
/100ml-
Phosphorus: Total as P 00665
mg/L
mg/L
(Nola: Use MPNmethod(orhlBhiyturbidaemplea)
OrthO hDs hate 70507 P P
mg/L
Other (Specify Compounds and Concentration Units):
solved Solids:Total 70300 <500
mg/L
AI - Aluminum o1105
mg/L
pH (Lab) 00403
units
Be - Barium 01007
uglL
TOC 006eo < 10
mg/L
Ca - Calcium oosls
mg/L
Chloride 00940
mg/L
Cd - Cadmium 01027
uglL
Arsenic oloo2
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
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? X Yes (1) A No (0)
:cifte Conductance 00095
µMhos
K - Potassium 00937
mg/L
VOC 78732; , method #
Total Ammonia oost0 0.38
mg/L
Mg - Magnesium 00927
mg/L
(Ammonia NiVagen; NH,as fTAmmonia Niuoeen, Total(
Mn - Manganese 01055
u /L
9
method #
TKN as N 00625
mg/L
Ni - Nickel 01067
uglL
method #method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mo/L Effluent Total VOC• • T-n
Alan Asbury, Controller
Permiaee (Or Authorized Agent) Name and Title - Please print or type
GW-59 Rev. 2/2010
at
of
here: El

wunnl rvrtivi UN TCLLUVV rAYtlt ONLY
ROUNDWATER QUALITY MONITORING:
DMPLIANCE REPORT FORM
:ility Name: Mountaire Farms of Nortl
mit Name (if different):
;ility, Address: 17269 NC Hwy 17N
Lumber Bridge istrw,
NC 28357-0339 County Robeson
act Person: Robert Jackson Telephone#: [phone]
Lodatlon/Site Name: Mountalre Inner and Outer Perimeter Spray Fields No. of wells to be sampled: 30
:RMIT Number: W00000464
Expiration Date: 0413012017
m-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:
FELL ID NUMBER from Permit):
( )
MW-25
Date sample collected: 08/02/11
FIELD ANALYSES:
If trvtu
WAS
Iell Depth: 18.0 @,
Well Diameter. 2 in.
pH 0040o: 4.46 units Temp. 000lo: 22.7 eC
DRY at
eplh to Water Level 82546: 14.6 ft. below
measuring point Screened Interval: ft.
to ft.
Spec. Cond. 00094: µMhos
time of
assuring Point is 3 ft. above land
surface
Relative M.P. Elevation:
ft.
Odor 000as:
samplin
H
Hume of water pumped/balled before sampling:
1.75
gallons
check
1m lea for metals wale collected unfiltered:
m YES
❑ NO and field acidified: ®YES
❑ NO
Appearance clear
here:l-
L
180RATORY INFORMATION
As sample analyzed: 08102-08111 LaboratoryName: Cameron Testing Services
\RAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
Certification No. No DENR #654
COD 00335
mg/L
Nitrite (NO,) as N 00615
mg/L
Pb - Lead oiasi u IL
g
Coliform: MF Fecal 31616 c 1
/100mL
Nitrate (NOa) as N ooszo < 10
mg/L
Zn - Zinc olosz mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P ooss5
mg/L
(Note: Use MPN method forhlg mbidbidsamples)
Orthophosphate7o507
mg/L
Other (Specify Compounds and Concentration Units):
solved Solids:Total 70300 <500
mg/L
AI -Aluminum o11o5
mg/L
PH (Lab) 00403
units
Ba - Barium 01007
uglI_
TOC coseo < 10
mg/L
Ca - Calcium oasts
mg/L
Chloride 00940
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total oto34
ug/L
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron oio45
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00
mg/L
Hg -Mercury 7190o
ug/L
Lab Report Attached? ❑ Yes (1) N No (0)
:cific Conductance o0095 5
µMhos
. K - Potassium 00937
mg/L
VOC 78732: method #
Total Ammonia o0610 0.19
mg/L
Mg - Magnesium 00927
mg/L
,
method #
(Ammonia Nitrogen; NNsas N;Ammonia Nitrogen, Total)
Mn- Manganese alo55
u /L
9
TKN as N 00625
mg/L
Ni - Nickel 01067
method #
uglL
, method #
For Remediation Svstame niav tA"—h i �k oe....- %. ,_a..__. r_._,,.,..,
•,a.. uuucus I Vlai
Alan Asbury, Controller
Permittee (or Authorized Agent) Name antl Title -Please print or type
GW-59 Rev. 212010
76Zy

SUBMIT FORM 014 YELLOW PAPER ONLY
-R QUALITY MONITORING:
REPORTFORM
Facility Name: Mountalre Farms of North Carolina
PERMIT Number: WQOoOO484
Expiration Date: 04/30/2017
Permit Name (if different):
Non -Discharge X
UIC
Facility Address: 17269 NC Hwy 17N
NPDES
Other
Lumher Bridge r o NC
TYPE OF PERMITTED OPERATION
BEING MONITORED
28357-0339
County Robeson
❑ Lagoon
9 on
❑Remediation: Infiltration Gallery
fcni, t;;,,y)
jz,nl
Spray Field
❑ Remediation:
Contact Person: Robert Jackson
Telephone#. [phone]
El Rotary Distributor
❑ Land Application of Sludge
Well Location/Site Name: Mountalre Inner and Outer PerimeterSpray Fields
No, of wells to be sampled: 30
❑ Water Source Heat Pump
❑ Other: '
SAMPLING INFORMATION
mm Pe1mil
WELL ID NUMBER (from Permit): MW-26
Date sample
le collected: 08/02/11
FIELD ANALYSES:
If WELL
Well Depth: 15.0 ft.
_
Well Diameter: 2 in.
WAS
pH co4co: 4.26 units Temp. 0oolo: 20.6 eC DRY at
Depth to Water Level e2546: 12.4 ft. below measuring point
Screened Interval:_ft. to
ft. Spec. Cond. 00094:
µMhos time of
Measuring Point is 3 ft. above land surface
Relative M.P. Elevation: ft.
Odor eooss:
sampling,
Volume of water pumped/bailed before sampling: 1.5 gallons
9
check
Samples for metals were collected unfiltered: m YES ❑ NO and field acidified: ®YES ❑ NO
Appearance clear
here:
I 1
sample
COD 00335 mg/L
Coliform: MF Fecal 31616< 1 /100mL
Coliform: MF Total 31504 /100mL
(Nate: Use WIN method for highly tumid samples)
Ived Solids:Total 70300 <500
mg/L
PH (Lab) 00403
units
TOG oo66o < 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
fic Conductance oeo95
µMhos
Total Ammonia oo6to 0.15
mg/L
(Ammonte Nitrogen: NH,as N: Ammonia Nitrogen. Total)
TKN as N 00625 mg/L
For Remediation Systems Only (Attach Lab Reports):
Alan Asbury, Controller
Permidee (or Authorized Agent) Name antl Title -Please pnnt or type
GW-59 Rev. 2/2010
LaboratoryName: Cameron Testing Services
and colloidal concentrations.
Nitrite (NO2) as N costs
mg/L
Nitrate (NO,) as N 00620
4IF42_6:91Z:Z5 mg/L
Phosphorus: Total as P 00665
mg/L
Orthophosphate 70507
mg/L
Al -Aluminum 01105
mg/L
.. Be - Barium 01007
ug/L
Ca - Calcium oo916
mg/L
Cd - Cadmium 01027
ug/L
Chromium: Total 01034
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 o1o5s
ug/L
Ni - Nickel 01067
ug/L
Certification No. NC DENR P.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? ❑ Yes(l) A Neill)
VOC 79732: , method #
method #
method #
method #
Influent Total VOCsi mg/L Effluent Total
VOC Removal%

-m„ F VI 4VI W. TCLLQVV rXr MK VNLT
TER QUALITY MONITORING:
E REPORT FORM
Facility Name: Mountains Farms of
Permit Name (if different):
Facility Address: 17269 NC Hwy 17N
Lumber Brldee 4ieaoe
Carolina
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-27
Depth: 16.0 ft.
h to Water Level 82646: 8.3 ft. below measuring point
,wring Point is 3 ft. above land surface
ne of water pumped/bailed before sampling: 4.25
)les for metals were collected unfiltered: m YES ❑
Date sample collected: 08102/_11
Well Diameter: 2 in.
Screened Interval:_ft. to _
Relative M.P. Elevation: ft.
gallons
field
■ aE
ate sample analyzed: 08102-08/11 Laboratory Name: Cameron Testing Services
4RAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615
mg/L
Coliform: MF Fecal 31616 < 1
/100mt-
Nitrate (NO3) as N 00620 g, mg/L
Coliform: MF Total 31504
/100ml-
Phosphorus: Total as P 00655
mg/L
(Nola: Use MPN method for hlpMy turbid samplos)
Orthophosphate 70507
m /L
9
solved Solids:Total 70300 <500
mg/L
AI - Aluminum 01105
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC oo68o < 10
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
Phenol 32730
ug/L
Fe - Iron 01045
ug/L
Sulfate 00945
mg/L
Hg - Mercury 71900
ug/L
3cific Conductance 00095
µMhos
K - Potassium 00937
mg/L
Total Ammonia oo610 <0.1
mg/L
Mg - Magnesium 00927
mg/L
(Ammonia Nitrogen: NH,,as N: Ammonia Nitrogen. Total)
Mn- Manganese o1o55
u9 /L
TKN as N ooszs
mg/L
Ni - Nickel 01067
ug/L
For Remediation Svstpmc rimy renarh t 6 o---, -t.
Alan Asbury, Controller
Permittee (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev. 212010
?RMIT Number: WO0000484
Expiration Date: 04/3012017
m-Discharge X
UIC
'DES
Other
'PE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon
❑ Remediation: Infiltration Gallery
0 Spray Field
❑ Remediation:
❑ Rotary Distributor
❑ Land Application of Sludge
❑ Water Source Heat Pump
❑ Other:
FIELD ANALYSES: WAS
PH 00400: 4.26 units Temp. 000to: 22.9 eC DRY at
ft. Spec. Cond. 00094: µMhos time of
Odor 000ss: samplincheck
Appearance clear here:r
Certification No. NC DENR 9654
Pb - Lead oios1 ug/L
Zn - Zinc 01092mg/L
Other (Specify Compounds and Concentration Units):
ORGANICS: (by GC, GC/MS, HPLC)
(Specify test and method #. ATTACH LAB REPORT.)
Lab Report Attached? ❑ Yes(l) ❑ No(0)
VOC 78732: , method #
method #
method #
method #
"I I,YO, 11 , Vldt
VOC

SUBMIT FORM nN VFI I nW PAPFR nhll V
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
:ility Name: Mountains Farms of North Carolina
rmit Name (if different):
:ility Address: 17269 NC Hwy 17N
Lumber Bridge r'I"""' NC 28357-0339
cry County Robeson
l6ula) Rini
itact Person: Robert Jackson Telephone#: [phone]
II Location/Site Name: Mountalre Inner and Outer Perimeter Spray Fields No. of wells to be sampled: 30
L ID NUMBER (from Permit): MW-28 Date sample collected: 08/02/11
Depth: 15.0 ft. Well Diameter: 2 in.
1 to Water Level 82546: 14.2 ft, below measuring point Screened Interval: ft. to ft.
uring Point is 3 ft. above land surface . Relative M.P. Elevation: ft.
ne of water pumped/bailed before sampling: 0.75 gallons
Iles for metals were collected unfiltered- FA YFF M Nfn
Number: W00000484 Expiration Date:
harge 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:
PH 00400: 4.96 units Temp, ooala: 21.4
Spec. Cond. 00094: µMhos
Odor 000ss:
Appearance clear
aC DRY at
time of
1te sample analyzed: 08/02-06/11 LaboratoryName: Cameron Testing Services
\RAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
Certification No. NC oENR#654
COD 00335
mg/L
Nitrite (NO2) as N 00615
mg/L
Pb - Lead most ug/L
Coliform: MF Fecal 31616 c 1
/100ml-
Nitrate (NO,) as N 00620 effico
mg/L
Zn -Zinc oio92
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665
mg/L
mg/L .
(Note: Use MPN melhad forhlghly turbid samples)
Qd70507hO Orthophosphate P P
mg/L
Other (Specify Compounds and Concentration Units):
solved Solids:Total 7oaoo <500
mg/L
AI - Aluminum o11o5
mg/L
pH (Lab) 00493
units
Ba - Barium 01007
ug/L
TOC 00680 < 10
mg/L
Ca - Calcium oo916
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
uglL
Fe -Iron 01045
ug/L
(Specify test and method A ATTACH LAB REPORT.)
Sulfate 00945
mg/L
Hg - Mercury 71900
ug/L
Lab Report Attached? ❑ Yes (1) E❑ No (0)
acific Conductance 00095
µMhos
-K --Potassium 00937
mg/L
VOC 78732: , method #
Total Ammonia 00610 0.12
mg/L
Mg - Magnesium 00927
mg/L
#
(Ammonia Nitrogen; NH, as N; Ammonia Nitrogen, Total)
Mn - Man Manganese otoss
9
ug/L
,method
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L
,method #
. method #
Fnr c...s— nnh, rAw--. l -l.
-_. __ .....__... ....,.. ...,. ulyr� ailluenl Ivial vuus:
Alan Asbury, Controller
Permittee (or Authorized Agent) Name and Title -Please print orType
GW-59 Rev. 212010
VOC

rvmlvl vry rc4.uyy rArtt( UNLI
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM Im
;ility Name: Mountalre Farms of North Carolina
'mit Name (if different): _
;ility Address: 17269 NC
Lumber Bridge (Sir,wt
17N
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-29
Depth: _ 19.8 ft.
1 to Water Level 92546: 13.7 ft. below measuring point
uring Point is 3 ft. above land surface
ne of water pumped/bailed before sampling: 3.0
des for metals were collected rmfilternd- M vFA f
=RMIT Number: W00000484
Expiration Date: 04/30/2017
)n-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:
Date sample collected: 08/02/11 FIELD ANALYSES:
Well Diameter: 2 in. pH 00400: 4.14 units Temp, 0001o: 20.4 eC
Screened Interval:_ft. to ft. Spec. Cond. 00094: µMhos
Relative M.P. Elevation: ft. Odor 000es:
's Appearance clear
and field
ate sample analyzed: 08102-0e111 LaboratoryName: Cameron Testing Services
4RAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
Certification No. NC oENR aes4
COD 00335
mg/L
Nitrite (NOz) as N 00615
mg/L
Pb - Lead olosl ug/L
Coliform: MF Fecal 3161s < 1
/100mL
Nitrate (NO3) as N 00620 ,�5�8y'',
mglL
Zn - Zinc olosz mg/L
Coliform: MF Total 31604
/100mL
Phosphorus: Total as P 00665
mg/L
(Noce: Use MPN method rorhighly turold samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
solved Solids:Total 70300 5��04�
mg/L
AI- Aluminum 01105
mg/L
pH (Lab) 00403
units
Be - Barium 01007
ug/L
TOC oomo < 10
mg/L
Ca - Calcium 00916
m /L
9
Chloride 00940
mg/L
Cd - Cadmium 01027
ug/L
. Arsenic oio02
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 3273o
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(o)
:cific Conductance 00095
pMhos
K - Potassium 00937
mg/L
VOC 7e732: ,method #
Total Ammonia ooslo 0.23
mg/L
Mg -Magnesium 00927
mg/L
method #
(Ammonia Nitrogen; NH,�as N: Ammonia Nitrogen, Tow)
Mn - Manganese oloss
ug/L
,
TKN as N 00625
mg/L
Ni- Nickel 01067
,method #
ug/L
. method #
For Remndiatinn Avctamc nnl%r (AH—k I .J. o_.._-._,.
ougela 101a1 VUUS:
Alan Asbury, Controller
PenriNee (or Authorized Agent) Name antl Tdle-Please print or type
GW-59 Rev. 212010
mg/L VOC Removal%
at
of

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER,qUALITY MONITORING:
COMPLIANCE REPORT FORM
:ility Name: Mountaire Farms of North Carolina
'nit Name (if different):
:ility Address: 17269 NC
Lumber Bridge rsv""ri
17N
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
ERMIT Number: W00000484
Expiration Date: 04/30/2017
Dn-Discharge X
UIC '
DOES
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: -
WELL ID NUMBER (from Permit): MW-31
Date sample collected:
P
08/04/11
FIELD
If WELT
If
Well Depth: zz.o ft,
Depth to Water Level a2546: 13.7
P
Well Diameter.
2 in.
H o0400: 4.30 "
p _ units Temp. oco10: 20.5 C
WAS
DRY at
ft. below measuring point Screened Interval:
ft. to ft.
Spec. Cond. 00094: µMhos
time of
Measuring Point Is 3 ft. above land surface
Relative M.P. Elevation:
ft.
Odor 0ooes:
n
Volume of water pumped/bailed before sampling: 4.25
gallons
9
check
chec
Sam les for metals were collected unfiltered: m YES
❑ NO and field acidified: ®YES ❑ NOS
Appearance
here: r
L
LABORATORY INFORMATION
Date sample analyzed: 09/04-0e/11 Laboratory, Name: Cameron Testing Services
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
Certification No. NC DENR #654
r COD 00335 mg/L
Nitrite (NO2) as N 00615
mg/L
Pb - Lead o1051
Coliform: MF Fecal 31616 < 1 /100mL
Nitrate (NO3) as N 00620
410 mg/L
ug/L
Zn - Zinc olo92
Coliform: MF Total 31504 /100ml-
Phosphorus: Total as P co6s5
mg/L
mg/L
.0,10w:U,e MPN meN"d for N9hlytu2ld sample,)
lissolvedSolids:Total7os0o <500
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
mg/L
AI - Aluminum oleos
mg/L
pH (Lab) 00403 units
Ba - Barium 01007
ug/L
TOC 006e0< 10 mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 - mg/L
Coll - Cadmium 01027
ug/L
Arsenic 01002 ug/L
Chromium: Total 01034
ug/L
Grease and Oils 00552 m /L
Phenol 32730
9
Cu - Copper 01o4z
mg/L
ORGANICS: (by GC, GC/MS, HPLC)
•
uglL
Fe -Iron oleos
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
:cific Conductance oozes
mg/L
µMhos
Hg - Mercury 71900
ug/L
Lab Report Attached? ❑ Yes(l) ❑ No(o)
Total Ammonia ocstNH3as <vog
mg/L
K - Potassium 00937
Mg
mg/L
VOC 78732: ,method #
fAtnmonla Nitrogen; NH3as N; Ammonia Nievpen Total)
- Magnesium o0927
mg/L
, method # '
Mn - Manganese oios5
ug/L
method #
TKN as N ooszs
mg/L
Ni - Nickel 01057
ug/L
,
, method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
1wnulnrnrnl+a�■
Alan Asbury, Controller
-Permittee (or Authorited Agent) Name and Title - Please print or type
GW-59 Rev. 2/2010
I

--OMI, rUMM UN
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
FACILITY INFORMATION Please Pdnr Geady or type
_ Facility Name: Mountaire Fans of North Carolina
Permit Name (if different):
Facility Address: 17269 NC Hwy 17N
Lumber Bridge /'tr^"'r 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-32 Date sample collected: 08/04/11
Depth: 22.0 ft, Well Diameter: 2 in.
1 to Water Level82546: 9.2 ft, below measuring point Screened Interval: ft.
Turing Point is 3 ft. above land surface Relative M.P. Elevation:
ne of water pumped/bailed before sampling: 6.25 gallons
ties for metals were collected unfiltered: m YES ❑ NO and field acidified• C71 vr=c I-1
ONLY
?RMIT Number: W00000484 Expiration Date: 04/3012017
tn-Discharge X UIC
'DES Other
'PE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon _ ❑ Remediation: Infiltration Gallery
N Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
FIELD ANALYSES:
PH o040o: 4.20 units Temp. 000io: 22.4 eC
to _ft. Spec. Cord.00094: µMhos
ft. Odor 000ae:
Appearance
run
ate sample analyzed: 08/04-0e/11 LaboratoryName: Cameron Testing Services
1RAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
Certification No. NC oeNR ass4
COD 00335
mg/L
Nitrite (NO2) as N oo615
mg/L
Pb - Lead olosl ug/L
Coliform: MF Fecal 31616 < 1
/100mL
Nitrate (NO,) as N 00620 Q 34.71i
mg/L
Zn - Zinc 01092
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665
mg/L
mg/L
(Note: ' use MPN meNod/or hlphly wroldaempleq
Orthophosphate
Ortho hoS hate 70507
mglL
Other (Specify Compounds and Concentration Units):
solved Solids:Total 70300 <500
mg/L
AI -Aluminum o11o5
mg/L
'
PH (Lab) 00403
units..
Ba - Barium oioo7
ug/L
TOC oo6eo < 10
mg/L
Ca - Calcium 00916
mg/L
Chloride o094o
mg/L
Cd - Cadmium o1o27
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 A ATTACH LAB REPORT.)
Sulfate 00945
mg/L
Hg - Mercury 71900
ug/L
Lab Report Attached? ❑ Yes (1) ❑ No (0)
:cific Conductance 00095
µMhos
K-Potassium 00937
mg/L
VOC 78732: method #
Total Ammonia oo610 <0.1
m_ g/L
Mg - Magnesium 00927
mg/ L
,
method #
(Ammonia NlWgen: NH, es N: Ammonia Niwgon. Total)
Mn- Manganese O7o55
u 9
,
TKN asN ooszs
mg/L
Ni - Nickel 01067
ug/L
method. #
method #
For Remedlatlon Systems Only (Attach Lab Reports): Influent Total VOCs: ma/L Effluent Total vnc - __„
Alan Asbury, Controller
Permltlee (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev. 212010
at
Of

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
:ility Name: Mountains Farms of North Carolina
'mit Name (if different): _
:ility Address: 17269 NC
Lumber Bridge
Evil
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-33
Well Depth: 23.0 ft,
Depth to Water Level 62546: 16.1 ft. below•measuring point
Measuring Point is 3 ft. above land surface
Volume of water pumped/bailed before sampling: 3.5
Sameles for metals were mllectaN ur.ftuo.ow rA vice n
Dale sample collected: 08/04/11
Well Diameter. 2 in.
Screened Interval: _ft.
Relative M.P. Elevation:
gallons
=RMIT Number: W000004B4
Expiration Date: 04/30/2017
)n-Discharge X
UIC
)DES
Other
'PE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon
❑ Remediation: Infiltration Gallery
IR Spray Field
❑ Remediation:
❑ Rotary Distributor
❑ Land Application of Sludge
❑ Water Source Heat Pump
❑ Other:
FIELD ANALYSES:
pH 0040o: 4.39 units Temp, 0ooio: 21.8 eC
to _ft. Spec. Cond. 00094: µMhos
ft. Odor 000as:
Appearance
■ Me
ate sample analyzed: 08104-06/11
LaboratoryName: Cameron Testing Services
4RAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N oo61s
mg/L
Coliform: MF Fecal 31e16 < 1
/100ml-
Nitrate (NO,) as N 00620 < 10
mg/L
Coliform: MF Total M504
/100ml
Phosphorus: Total as P o0965
mg/L
(Note: Use MPN method brnlphly breMsamples)
Orthophosphate 70507
m /L
9
solved Solids:Tota170300 <500
mg/L
AI - Aluminum oleos
mg/L
pH (Lab) 00403
units
Be - Barium 01007
ug/L
TOC oo6eo < 10
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940
mg/L
Cd - Cadmium o1027
ug/L
Arsenic 01002
uglL
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
ug/L
:cific Conductance o0095
µMhos
K - Potassium 00937
mg/L
Total Ammonia oo6lo <0.1
mg/L
Mg - Magnesium 00927
mg/L
(AmmoNa Nitrogen; NHsas N;Ammonia N,U.gsn. Tuba
Mn- Manganese 01055
u9 /L
TKN as N e0625
mg/L
Ni - Nickel 01067
ug/L
Certification No. No DENR #654
Pb - Lead oio51 ug/L
Zn - Zinc o1o92 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) 0 No (0)
VOC 78732: , method #
method #
method #
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
rtw�ir�inr.r•tt�t�.�
Alan Asbury, Controller
Pemmnee (or Authorized Agent) Name antl T41e -Please print or Type
GW-59 Rev. 212010
117
at
of

.,wmr. , vnin vn r c�Lv 1-/4'CR ONLY
TER QUALITY MONITORING:
E REPORT FORM
-ility Name: Mountaire
rmit Name (if different): _
;ility Address: 17269 NC
Lumber Bridge Mifess,
s of North Carolina
17N
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-34
Depth: 23.0 ft,
1 to Water Level 82546: 9.9 ft. below measuring point
uring Point is 3 ft. above land surface
ne of water pumped/bailed before sampling: 6.5
=RMIT Number: WQODOD484 Expiration Date: 04/30/2017
m-Discharge X UIC
'DES . Other
'PE OF PERMITTED OPERATION BEING MONITORED
El Lagoon ❑ Remediation: Infiltration Gallery
Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other.
Date sample collected: 08/04/11 FIELD ANALYSES:
Well Diameter: 2 in. pH oo400: 4.50 units Temp. 000t0: 20.7 eC
Screened Interval:—ft. to _ft. Spec. Cond. 00094: µMhos
Relative M.P. Elevation: ft. Odor 000a5:
s Appearance
at
of
here:❑
Date sample analyzed: oeroa06111 Laboratory Name: Cameron Testing Services
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
Certification No. NC ❑ENR k654
COD 00335
mg/L
Nitrite (NO2) as N 00615
mg/L
Pb - Lead olos1 u /L
g
Coliform: MF Fecal31616 < 1
/100ml-
Nitrate (NO3) as N 00620
< 10 mg/L
Zn - Zinc 01092
Coliform: MF Total 31504
/100ml-
Phosphorus: Total as P oo665
mg/L
mg/L
(Note; UseMPNmethod torNghlytureldsamples)
Orthophosphate7aso7
mg/L
Other (Specify Compounds and Concentration Units):
issolvedSolids:Total7o3o0 <5D0
mg/L
AI- Aluminum o11o5
mg/L
PH (Lab) 00403
units
Be - Barium oioo7
ug/L
TOC oo6eo < 10
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
ugf-
Fe - Iron oio45
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mglL
Hg -Mercury 71900
ug/L
Lab Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance 00095
µMhos
K - Potassium oo937
mg/L
VOC 78732: method #
Total Ammonia oo610 <0.1
mg/L
Mg - Magnesium 00927
mg/L
,
(Ammonia Nitrogen; NH, as N;Ammonla Nitrogen, Total)
,method#
Mn- Manganese o1o55
u /L
9
#
TKN as N 00625
mg/L
Ni - Nickel 01087
ug/L
,method
, method #
For Remediation Systems Only (Attach Lab Reports):
Influent Total Vi1r,
..,,.n ..
-v , len .v41/o
Alan Asbury, Controller
Penndtee (or Authorized Agent) Name and Title - Please pnnt or type
GW-59 Rev. 212010

nl„ rvnm Vn Teuuyv YAVi KUNLY
TER QUALITY MONITORING:
E REPORT FORM
uu I T INFUKMA I ION rlease rnnrcreany or Type
Aity Name: Mountalra Farms of North Carolina
rmit Name (if different):
:ility Address: 17269 NC Hwy 17N .
Lumber Bridge Isveml NC 28357-0339
Irty County Robeson
,(sirte) 20
act Person: Robert Jackson Telephone#: [phone]
Location/Site Name: Mountalra Inner and Outer Perimeter Spray Fields No. of wells to be sampled: 30
L ID NUMBER (from Permit): MW-35
Depth: 23.0 ft,
i to Water Level 82546: 12 ft. below measuring point
uring Point is 3 ft. above land surface
ne of water Pumped/balled before sampling: 5.75
YES
08104-08/11
COD 00335 mg/L
Coliform: MF Fecal 31616 < 1 /100mL
Coliform:MFTotal315o4 /100mL
(Nate: Use MPN method ror Nghlyturtod.amploa)
issolved Solids:Total 70300 <500
mg/L
PH (Lab) 00403.
units
TOC 00680 < 10
mg/L
Chloride 00940
mg/L
Arsenic 01002
ug/L
Grease and Oils o0552
mg/L
Phenol 32730
ug/L
Sulfate o0945
mg/L
Pacific Conductance 00095
µMhos
Total Ammonia ooslo <0.1
mg/L
(Ammonia Nlbegen; NH�as N; Ammonia NIVogen, Total)
TKN as N 00625 mg/L
For Remediation Systems Only (Attach Lab Rnnnr ,ol-
Alan Asbury, Controller
Permntee (or Authonzed Agentj Name and Ttle - Please print or type
GW-59 Rev. 2/2010
Date sample collected: 08/04/11
Well Diameter: 2 In.
Screened Interval: —ft. to ft.
Relative M.P. Elevation: ft.
gallons
NO and field acidified: ® YES
=RMIT Number: W00000484
Expiration Date: 04/30/2017
)n-Discharge X
UIC
ODES
Other
'PE OF PERMITTED OPERATION BEING MONITORED
Lagoon
❑ Remediation: Infidration Gallery
Spray Field
❑ Remediation:
❑ Rotary Distributor
❑ Land Application of Sludge
❑ Water Source Heat Pump
❑ Other:
FIELD ANALYSES:
PH 0040o: 4.28 units
Spec. Cond. 00094:
Odor cools: _
Appearance
Temp. 0o01o: 20.8 eC DRY at
µMhos time of
Laboratory Name: Cameron Testing Services
Certification No. NC oENR ae54
and colloidal concentrations.
Nitrite (NO2) as N oo615
mg/L
Pb - Lead 01as1 ug/L
Nitrate (NO3) as N 00620 < 10
mg/L
Zn - Zinc o1 o92 mg/L
Phosphorus: Total as P 00e65
mg/L
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
Al -Aluminum o11os
mg/L
Ba - Barium 01007
ug/L
Ca - Calcium oo916
mg/L
Cd - Cadmium 01027
ug1L
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 A ATTACH LAB REPORT.)
Hg - Mercury 71900
ug/L
Lab Report Attached? ❑ Yes(j) ❑ No(0)
K - Potassium 00937
mg/L
VOC 78732: , method #
Mg - Magnesium 00927
mg/L
, method #
Mn - Manganese oloss
ug/L
,method #
Ni - Nickel 01057
ug/L
, method #
ri„u c,n 1 Vlal vVlil:
VOC Removal%

worm- IUMMI UN TtLLUW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
FACILITY INFORMATION Plee
Facility Name: Mountaire Farms of North Carolina
°ermit Name (if different):
=acility Address: 7,17269 NC Hwy 17N
". "' NC 28357-0339 County Robeson.
act Person:.,,!Robert Jackson Telephone#: 91045"275
Location/Site Name: Mountaire Inner and Outer Perimeter Spray Fields No. of wells to be samoled- 30
=RMIT Number: W000o0484
Expiration Date: 04/3012017
)n-Discharbe X
UIC
)DES
Other
'PE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon
❑ Remediation: Infiltration Gallery
(] Spray Field
❑ Remediation:
❑ Rotary Distributor
El Land Application of Sludge
❑ Water Source Heat Pump
❑ Other.
WELL ID NUMBER from Permit : MW3g
( )
Date sample collected: 08/04111
FIELD ANALYSES:
If WELL
Well Depth: 23:0 ft,
Well Diameter: 2 in.
P H oc4ao: 4.23 ^
units Temp. 000m: 21.1 C
WAS
DRY at
Depth to Water Level82646: 17 ft. below measuring point
Screened Interval:_ft. to
_
ft. Spec. Card. 00094: µMhos
time of
Measuring Point is 3 ft. above land surface
Relative M.P. Elevation: ft.
Odor 000a5:
sampling,
Volume of water pumped/bailed before sampling: 3.0 gallons
9
check
Samples for metals were collected unfiltered: ® YES ❑ NO and field acidified: ® YES ❑ NO
Appearance
here:P-7
I I
Date sample analyzed: 09/04-09/11 Laboratory Name:
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
Cameron Testing Services
Certification No. NC DENR #e54
COD 00335
mg/L
Nitrite (NO2) as N ooe15.
mg/L
Pb - Lead o1o51 ug/L
Ooliform: MF Fecal 31615 < 1
/100mL
Nitrate (NOg) as N ooszo
< 10 mg/L
Zn - Zinc 01092
Coliform: MF Total 31504
/100mL
Phosphorus: Totai as P 00665
mg/L
mg/L
-
(Nola: use MPN method for Ngbly iarbid samples)
issolved Solids:Total 7o3o0 <500
DrthO hDa hat870507 P P
mg/L
Other (Specify Compounds and Concentration Units):
mglL
AI -Aluminum ottos
mg/L
pH (Lab) 00403
units
.Ba - Barium o1DD7
ug/L
TOC 006e0 < 10.
mg/L
Ca - Calcium oc916
mg/L
Chloride 00940
mg/L
Cd - Cadmium 01027
ug/L
. Arsenic 01002
uglL
Chromium: Total 01034
ug/L
Grease and Oils OD552
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)
Pacific Conductance 00095
µMhos
K - Potassium 00937
mg/L
VOC 78732: #
Total Ammonia oo910 <0.1
mg/L
Mg - Magnesium 00927
mg/L
,method
mo
(Amnla Nitrogen; NHses N; Ammonia NiWgen, Total)
, method #
Mn- Manganese 01055
u 9/L
method #
TKN as N ooszs
mg/L
Ni - Nickel 01067
ug/L
,
, method #
For Remediation Svstems Only fAttar-h Iah Rs•nnAc1• hn„e,,. T...-.
VOC Removal%
Alan Asbury, Controller
Permitlee (or AUlhorized Agent) Name and Title - Please print or type
GW-59 Rev. 212olo

SUBMIT FORM ON YELLOW PAPER ONLY
?R QUALITY MONITORING:
REPORTFORM
:ility Name: Mountaire Farms of North Carolina
'mit Name (if different): _
:iliy Address: 17269 NC
Lumber Bridge rsu'w,
itl6
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
'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:
WELL ID NUMBER (from Permit): MW-37
Date sample collected: 08/02111
P
-
FIELD ANALYSES:
If WELI
Well Depth: 20.0 ft.
Depth to Water Level azsgs: 10.6
P ft. below measuring
Well Diameter: 2
-
in,
H o0go0: 3.78 a
P _ units Temp, 000lo: 25.4 C
WAS
DRY at
point
Measuring Point is 3 ft. above land
Screened Interval:
ft. to ft.
Spec. Cond. 00094: µMhos
time of
surface
Relative M.P. Elevation:
ft.
Odor 000as:
samplin
.
Volume of water pumped/bailed before sampling: 4.75—gallons
check
.,
Sam les for metals Were collected unfiltered: m YES
❑ NO and field acidified: ®YES
❑ NO
Appearance clear
here: ^
LL
LABORATORY INFORMATION
-
•
Date sample analyzed: 08/02-08111 Laboratory Name: Cameron Testing Services
PARAMETERS NOTE: Values should reflect dissolved and
Certification No. NC oeNn ttssa
COD 00335
colloidal concentrations.
mg/L
Coliform: MF Fecal 31616
Nitrite (NO2) as N oos15
mg/L
Pb -Lead 0105t ug/L
< 1 /100ml-
Nitrate (NO3) as N oo620 iD
mg/L
Zn-Zinc olo9z
•
Coliform: MF Total 31504 /100mL
(Nola: Uae
Phosphorus: Total as P 00665
mg/L
mg/L
MPN method Wi ghly Wrbid samples)
issolved Solids:Total 70300 <500
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
mglL
AI -Aluminum o11os
mg/L
PH (Lab) 00403 units
Be - Barium 01007
ug/L
TOC 00680 < 10 mg/L
Ca - Calcium 00916
mglL
Chloride 00940 mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002 ugfL
Chromium: Total 01034
ug/L
Grease and Oils 00552 mg/L
C C
Phenol 32730
• u - opper O1042
mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Sulfate 00945
ug/L
Fe - Iron 01045
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
�cific Conductance ao095
mg/L
µMhos
Hg - Mercury 71900
ug/L
Lab Report Attached? ❑ Yes (1) 0 No (0)
Total Ammonia ooslo 0.17
mg/L
K - Potassium 00937
Mg
mg/L
VOC 7a732: .. , method #
(Ammonia Nitrogen; NH,.. N; Ammonia NiV pen. Total)
- Magnesium 00927
mg/L
, method #
TKN as N 00625
Mn -Manganese otoss
uglL
,method #
mg/L
Ni - Nickel 01067
ug/L
. method #
For Remediation Systems Only (Attach Lab Reports): Influent Total
Alan Asbury, Controller
Pennittee (or Authorized Agent) Name and Title -Please print or type
GW-59 Rev. 212010
mg/L Effluent Total
VOC Removal%

SUBMIT FORM ON YELLOW PAPER ONLY
-R QUALITY MONITORING:
REPORT FORM
GILT I T INI'ORMATION pease rnnr weany or type
Ally Name: Mountaire Farms of North Carolina
'mit NameSif different):
:ilityAddress: 17269 NC Hwy 17N
Lumber.Br(d a i .11r
9 NC 28357-0339 County Robgson
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-38 Date sample collected: 08/04/11
Depth: . 15.0 ft. Well Diameter: 2 in.
i to Water Level 82546: 7.0 ft. below measuring point Screened Interval: ft. to ft.
;wring Point is 3 ft. above land surface Relative M.P. Elevation: ft.
the of water pumped/bailed before sampling: 4.0 gallons
)leg for metals were collected unfiltered: V YFS Fran
ate sample analyzed: oar04-08111 Laboratory Name: Cameron Testing Services
aRAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO,) as N 00615
mg/L
Coliform: MF Fecal 31616 < 1
/100mL
Nitrate (NO3) as N 00620
Q e2Z1 , mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 0o665
mg/L
(Nate; Use MPN method lorhlghlytorb1d..mples)
Orthophosphate 70507
m9/L
solved SolldS:TOtal 7o300 <500
mg/L
AI - Aluminum of tos
mg/L
PH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 006Bo < 10
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
Phenol 32730
ug/L _
• Fe - Iron 01045
ug/L
Sulfate 00945
mg/L
Hg - Mercury 71900
ug/L
3cific Conductance 00095
µMhos
K --Potassium 00937
mg/L
Total Ammonia ooelo <0.1
mg/L
Mg - Magnesium 00927
mg/L
(Ammonle Nitrogen; NH�as 17'. pia Nitrogen. Totall
Mn- Manganese 01055
u9 /L
TKN as N 00625
mg/L
Ni - Nickel 01ee7
ug/L
Number: W00000484 Expiration
harge X UIC
'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: WAS
PH 00400: 4.53 units Temp. 000lo: 24.9 eC DRY at
Spec. Cond. 00094: µMhos time of
Odor coons: sampling,check
Appearance here: El
Certification No. NC CENR #654
Pb -.Lead olost 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) ❑® No (0)
VOC 78732: , method #
method #
method #
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCS: mg/L VOC Removal%
fw>wIl ■Iw �wlwwrw�ww,ww�
Alan Asbury, Controller
Pennittee (or Authonzed Agent) Name and Tille - Please print or type
GW-59 Rev. 2/2010

oLwvv rr rtr<UNL7
DWATER QUALITY MONITORING:
ANCE REPORT FORM
acility Name: Mountaire Farms of North Carolina
3ermit Name (if different): _
_acility Address: 17269 NC
Lumber Bridoe IsPeetl
17N
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-39 Date sample collected: 08/04/11
Depth: 15.0 ft. Well Diameter: 2 In.
i to Water Level 82546: 9.4 ft. below measuring point Screened Interval: ft. to ft.
udng Point is 3 ft. above land surface Relative M.P. Elevation: ft.
ne of water pumped/bailed before sampling: 3 gallons
ales for metals were collected unfmnrnd r71 vcc n
ate sample analyzed: 08104-08/11
1RAMETERS NOTE: Values should reflect dissolved
COD oos3s
mg/L
Coliform: MF Fecal 3161s < 1
/100ml-'
Coliform: MF Total 31504
/100mL
(Note: use MPN method forhlghly turbid samples)
solved Solids:TOtal 70300 <500
mg/L
PH (Lab) 00403
units
TOG oo6eo < 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
:cific Conductance o0095
µMhos
Total Ammonia 00610 <0.1
mg/L
(A roonla Nitrogen; rihas N:Ammonia Nitrogen. Total)
TKN as N 00625
For Remediation Systems Only (Attach Lab Reports):
Alan Asbury, Controller
Pennittee (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev. 2/2010
-RMIT Number: WQ0000484
Expiration Date: 04/30/2017
Dn-Discharge X
UIC
DOES
Other
(PE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon
❑ Remediation: Infiltration Gallery
❑s Spray Field
❑ Remediation:
❑ Rotary Distributor
❑ Land Application of Sludge
❑ Water Source Heat Pump
❑ Other:
FIELD ANALYSES:
PH 0040o: 4.01 units Temp. 000lo: 24.3
Spec. Cond. 00094: µMhos
Odor 000as:
Appearance
eC DRY at
time of
Laboratory Name: Cameron Testing Services
Certification No. NC DENR #654
and colloidal concentrations.
Nitrite (NO,) as N oo615
mg/L
Pb - Lead 01051 ug/L
Nitrate (NO3) as N 00620
� mg/L
Zn - Zinc o1o9z mg/L
Phosphorus: Total as P oosss
mg/L
.Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
AI -Aluminum D1105
mg/L
Be - Barium 01007
ug/L
_
Ca - Calcium 00916
mg/L
Cd-Cadmiumytc27
ug/L
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? ❑ Yes (1) ❑ No (0)
K - Potassium 00937
mg/L
VOC 78732: , method #
Mg - Magnesium 00927
mg/L
, method #
Mn - Manganese oloss
ug/L
, method #
Ni - Nickel o1067
ug/L
, method #
Innnont TM.] Vnn—
mg/L VOO
here:❑

­wnn I rUMWI UN TMLLUVV YAVtft UNLN
TER QUALITY MONITORING:
E REPORT FORM
:ility Name: Mountaire Farms of North Carolina
mit Name (if different): _
:Ility Address: 17269 NC
Lumber Bridge rsi m,
17N
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 samoled:
L ID NUMBER (from Permit): MW-40
Depth: 15.0 ft.
1 to Water Level 82546: 7.7 ft. below measuring point
;wring Point is 3 ft. above land surface
ne of water pumped/bailed before sampling: 4.25
ties for metals were collected unfiltered: 171 YFS f-I
PERMIT Number: W00000484 Expiration Date:
Non-Discharae K nir.
30
Date sample collected: 08/04/11
Well Diameter: 2 in.
Screened Interval: _ft. to ft.
Relative M.P. Elevation: ft.
gallons
NO
YES
ate sample analyzed: oe/04-0e/11 Laboratory Name: Cameron Testing Services
%RAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N oos15
mg/L
Coliform: MF Fecal 31616 < 1
/100mL
Nitrate (NO3) as N 00620
�.12�J mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665
mg/L
(Note: Use MPN method for highly turbid.ample.)
Orthophosphate 70507
m9 /L
solved Solids:Total 70300 <500
mg/L
AI - Aluminum 01105
mg/L
pH (Lab) 00403
units
Be - Barium 01007
ug/L
TOC oo66o < 10
mg/L
Ca - Calcium 00916
m9 /L
Chloride 00940
my/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
uy/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
ug/L
:cific Conductance 00095
µMhos
K - Potassium 00937
mg/L
Total Ammonia oosto <0.1
mg/L
Mg - Magnesium 00927
mg/L
,(Ammonia Nitrogen: NHN;sas Ammonia Nu., Total)
Mn - Manganese 01055
u /L
9
TKN as N 00525
mg/L
Ni - Nickel 01067
ug/L
Fnr rin6. IA. -- I ..r, ------1.
'ut6 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: I WAS
pH oo400: 4.09 units Temp. 000to: 24.9 eC DRY at
Spec. Cord. 00094: µMhos time of
Odor o0oe5: sampling,check
Appearance here:n
Certification No. NC DENR#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? ❑ Yes (1) ❑® No (0)
VOC 7e732: , method #
method #
method #
method #
_. .....__... I ... . Iliy,� cuwcm I oaal vuus:
Alan Asbury, Controller
Permiftee (or Authorized Agen9 Name and Title- Please print or type
GW-59 Rev. 212010
mg/L VOC Removal%

SUBMIT FORM ON YELLOW PAPER ONLY
DWATER QUALITY MONITORING:
t-
,L UGROUN
RL76R99S,1O6�7jz
+2S2
REPORT FORM
}{J1
te�uT FOR ri pR t nCCOMPLIANCE
nErPARATNMp,E IFENuERMREING,,pbopei,ry
C33,.@
FACILITY INFORMATION Pease Print C/eady eriype
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
❑ Lagoon g ❑Remediation: Infiltration Gallery
Lumber Bridge NC 28357-0339 County Robeson
(CM (zutc) (zip)
❑v 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 Perms
SAMPLING INFORMATION
-
If WELL
WELL ID NUMBER (from Permit): MW-41
Date sample collected: 08/04/11
FIELD ANALYSES:
WAS
Well Depth: 15.0 ft.
Well Diameter: 2
in.
pH o040o: 4.23 units Temp. 000lo: 23.7 eC
DRY at
Depth to Water Level 82546: 10.7
P ft. below measuring point Screened Interval:
ft. to
ft. Spec. Cond. 00o9a: p Mhos
time of
Measuring Point is 3 ft. above land surface
Relative M.P. Elevation:
ft.
Odor 000es:
sampling,
check
Volume of water pumped/bailed before sampling: 2.25
gallons
Appearance
here:❑
Samples for metals were collected unfiltered: m YES
❑ NO and field acidified: ® YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed: 1 08104-08111
Laboratory Name: Cameron Testing Services
Certification No. NC DENR #654
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L
Nitrite (NO2) as N oc615
mg/L
Pb - Lead mo51 ug/L
Coliform: MF Fecal 31616 41 /100ml-
Nitrate (NOa) as N 00620 (W_ZM
3 mg/L
Zn -Zinc olo92 mg/L
Coliform: MF Total 31504 /100ml-
Phosphorus: Total as P 00665
mg/L
(Note: Use MPN method for highly tumid samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
Dissolved Solids:Total 70300 <500 mg/L
AI - Aluminum of lo5
mg/L
pH (Lab) 00403 units
Ba - Barium 01007
.ug/L
_
TOC 00680 < 10 mg/L -
Ca - Calcium costs
mg/L
Chloride o0940 mg/L
Cd - Cadmium 01027
ug/L
_
Arsenic 01002 ug/L
Chromium:'rotal 01D34
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 A ATTACH LAB REPORT.)
Sulfate 00945 mg/L
Hg - Mercury-71900
ug/L
Lab Report Attached? ❑ Yes(l) ❑ No (0)
Specific Conductance 00095 µMhos
K - Potassium 00937
mg/L
VOC 78732: , method #
Total Ammonia oo6lo <0.1 _ mg/L
Mg -Magnesium 00927
..mg/L
,method #
(Ammonia Nitrogen: NHras N; Ammonia Nitrogen, Total)
Mn -Manganese oto55
uglL
, method #
TKN as N 00625 mg1L
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%
Alan Asbury, Controller
Peundtee (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev. 212010

rvn v v rnrrn UNLT
-R QUALITY MONITORING:
REPORT FORM
:ility Name: Mountains,
rmit Name (if different): _
Ally Address: 17269 NC
Lumber Bridge uVeop
Farms of North Carolina
17N
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-42
Depth: 15.0 ft.
T to Water Level a2545: 9.3 ft. below measuring point
wring Point is 3 ft. above land surface
ne of water pumped/bailed before sampling: 2.75
ties for metals were enllprfpd rrrs£uforerl• 71 vice r—
Date sample collected: 08/04/11
Well Diameter: 2 in.
Screened Interval; ft. to _ft.
Relative M.P. Elevation: ft.
s
and field acidified- DI YPS r1 Ntn
Number: W00000484 Expiration Date:
haroe X 111C
DDES Other
rPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
Spray Field ❑ Remedlation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
FIELD ANALYSES:
PH 00400: 4.14 units Temp. ocolo: 25.1
Spec. Cond. 00094: µMhos
Odor 000a5:
Appearance
eC DRY at
time of
Its, sample analyzed: oe/04-08111
Laboratory Name: Cameron Testing Services
Certification No. NC DENR n654
,RAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00515
mg/L
Pb - Lead ofo51 ug/L
Coliform: MF Fecal 31616 c 1
/100ml-
Nitrate (NO3) as N 00620
Q:AT9 — mg/L
Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00565
mg/L
(Nola: Use MPN method forUghly turbid sasamples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
solved Solids:Total 70300 Q^1 �
mg/L
AI -Aluminum elms
mg/L
PH (Lab) 00403
units
Be - Barium 01007
ug/L
TOC 00550 <10
mg/L
Ca - Calcium 00gi5
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 3z73o
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(l) ®❑ No(0)
Specific Conductance 0009s
µMhos
K - Potassium 00937
mg/L
VOC 78732: , method #
Total Ammonia ocsio <0.1
mg/L
Mg - Magnesium 00927
mg/L
#
(Ammonia Nlbogen;NH,as N: Ammonia Nftgen,Tctal)
Mn- Manganese Gloss
u IL
,method
TKN as N ooazs
mg/L
Ni -Nickel 01067
9
ug/L
method #
, method #
-...- -- ----- ___ -,,,. ,,,•o, mg,L mmueni i otai VUCs: mg/L VOC Removal%
�'lRPltNrwwl�tww�owmm�a7e�w��t.r _
Alan Asbury, Controller
Permittee (or Authorized Agent) Name and Tnle -Please print or type Signature of
GW-59 Rev. 2/2010

u�1-nt"CR UNLT
ROUNDWATER QUALITY MONITORING:
DMPLIANCE REPORT FORM'-,
n non ........... ..... ... o,p� ryyc
Facility Name: Mountaire Farms of North Carolina
Permit Name (if different):
Facility Address: 17269 NC Hwy 17N"
Lumbar Bridge itrf01t NC 28357-0339 County Robeson tcllryi
1Gule7 lDrq
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-43 Date sample collected: 08/04111
Depth: 16.0 ft. Well Diameter: 2 in.
1 to Water Level 82546: 10.9 ft. below measuring point Screened Interval: ft. to ft.
wring Point is 3 ft. above land surface Relative M.P. Elevation: ft.
ne of water pumped/bailed before sampling: 2.0 gallons
des for metals were collected unfiltered: ® YES ❑ NO and field acidified: OYES ❑ NO
-RMIT Number: W00000484
Expiration Date: 04/30/2017
3n-Discharge X
UIC
ODES
Other
(PE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon
❑ Remediation: Infiltration Gallery
0 Spray Field
❑ Remediation:
❑ Rotary Distributor
El Land Application of Sludge
❑ Water Source Heal Pump
❑ Other:
FIELD ANALYSES:
PH 00400: 4.16 units Temp. 00o10: 24.3
Spec. Cond. 00094: µMhos
Odor 00085:
Appearance
eC DRY at
time of
its sample analyzed: 08104-08111 Laboratory Name: Cameron Testing Services
1RAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
Certification No. NC DENR #654
COD 00335
mg/L
Nitrite (NO2) as N oo61s
mg/L
Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO,) as N 00620 9214 �
mg/L
Zn-Zinc 01092 mg/L
Coliform: MF Total 31504
/100ml-
Phosphorus: Total as P 00665
mg/L
(Note: We MPN method ear lghlyturtid samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
solved Solids:Total 70300 <50o
mg/L
AI -Aluminum o11c5
mg/L
PH (Lab) 00403
units
Be - Barium 01007
ug/L
TOC ooseo < 10
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940
mg/L
Cd -Cadmium 01027
uglL
Arsenic01002
ug1L
Chromium: Total01o3a
ug/L
Grease and Oils o0552
mg/L
Cu - Copper 01042
mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron aloas Iug/L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg/L
Hg - Mercury 71900
ug/L
Lab Report Attached? ❑ Yes (1) ❑ No (0)
�cific Conductance 000gs
µMhos
K - Potassium oo937
mg/L
VOC 78732: method #
Total Ammonia 00610 < 0.1
mg/L
Mg - Magnesium 00927
mg/L
,
#
(Ammonia Nitrogen: NH,.as N: Ammonla Nitrogen, Total)
,method
Mn - Manganese oio55
ug/L
method #
TKN as N o0s26
mg/L
NI - Nickel 01057
ug/L
,
, method #
For Remediation Suct.r ,e n..r., rn w.,_r. I
...9n_ nnuent rotai vucs: mg/L VOC Removal%
Alan Asbury, Controller
Permhtee (or Authorized Agent) Name and Title- Please print or type
GW-59 Rev. 212010
here: El

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
:ility Name: Mountaire Farms of
'mit Name (if different):
Ility Address: 17269 NC Hwy 17N
Lumber Bridge tsue°e
Carolina
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
ERMIT Number: WQ0000484 Expiration Date: 04/30/2017
m-Discharge X UIC
'DES Other
(PE 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-44
Data sample collected: 08104/11
If WELL
Well Depth: - 15.0 ft.
FIELD ANALYSES:
WAS
Depth to Water Level e2546: 11.1 ft. below measuring
Well Diameter: 2 in.
pH 00400: 4.02 units Temp. coo 10: 25.2 °C
DRY at
point
Measuring Point is 3 ft. above land surface
Screened Interval: ft. to _ft.
Spec. Cond. 00094: µMhos
time of
Volume of water pumped/bailed before sampling: 2.0
Relative M.P. Elevation: ft.
Odor o0oes:
sampling,
check
gallons
Samples for metals were collected unfiltered: m YES ❑ NO
Appearance
here:
LABORATORY INFORMATION
and field acidified: ® YES ❑ NO
sample
COD 00335 mg/L
Coliform: MF Fecal 31616 <1 /100ml
Coliform: MF Total 31504 /100mL
(Note: tree MPN method for higmy turbid Samples)
Ilved Solids:Total 70300 <500
mg/L
pH (Lab) 00403
units
TOC ooeeo -< 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
fic Conductance =95
µMhos
Total Ammonia 00910 <0.1
mg/L
(Ammonia Nitrogen; NHses N; Ammonia Niropen, Total)
TKN as N ooeze mg/L
For Remediation Systems Only (Attach Lab Reports):
Alan Asbury, Controller
Perrnittee (or Authorized Agent) Name and Title- please print or type
GW-59 Rev. 2/2010
LaboratoryName: Cameron Testing Services
and colloidal concentrations.
Nitrite (NO2) as N oo615
mg/L
Nitrate (NO,) as N ooszo
mg/L
Phosphorus: Total as P 00665
mg/L
Orthophosphate 70507
mg/L
AI - Aluminum 01105
mg/L
Ba- Barium 01007
ug/L
Ca - Calcium oosls
mg/L
Cd - Cadmium 01027
ug/L
Chromium: Total 01034
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 oioss
ug/L
NI - Nickel 01067
uglL
Certification No. NC OENR 0654
Pb - Lead oio51 ugfL
Zn - Zinc 01092 mgA
Other (Specify Compounds and Concentration Units):
ORGANICS: (by GC, GC/MS, HPLC)
(Specify test and method #. ATTACH LAB REPORT.)
Lab Report Attached? ❑ Yes(9) ❑ No(0)
VOC 78732: , method #
method #
method #
method #
Influent Total VOCs: mg/L Effluent Total VOCs;
VOC

QUQIVII I rUMVI UN TLLLVVV VAYtR UNLY
:R QUALITY MONITORING:
REPORTFORM I —
:ility Name: Mountaire Farms of North Carolina
mit Name (if different):
;ility Address: 17269 NC Hwy 17N
Lumber Bridge '.o.e'1 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
DOES Other
'PE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
W Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
�WELL ID NUMBER (from Permit):
MW-45
Date sample collected: 08/04/11
FIELD ANALYSES:
it WCLL
WAS
Well Depth: 15.0 g,
Well Diameter: 2 in.
pH o04ao: 4.30 units Temp. aoolo: 25.2 eC
DRY at
Depth to Water Level 82546: 9.8 ft. below measuring point
Screened Interval:
to
Spec. Cond. 00094: µMhos
time of
Measuring Point is 3 ft. above land surface
_ft.
Relative M.P. Elevation:
_ft.
ft.
Odor 000ss:
sampling,
Volume of water um ed/bailed before sampling: 2.75
P P P 9:
gallons
check
Sam les for metals were collected unfiltered:
m YES
❑ NO and field acidified: ® YES
❑ NO
Appearance
here:
LABORATORY INFORMATION
1 Date sample analyzed: 08/04-08/11 Laboratory Name: Cameron Testing Services
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
Certification No. NC oENR 4851
COD 00335
mg/L
Nitrite (NO2) as N oosls
mg/L
Pb - Lead o1as1 /L
u g
Coliform: MF Fecal 31615 < 1
/100mL
Nitrate (NOD) as N 00620 < 10
mg(L
Zn -Zinc o1o92
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00655
mg/L
mg/L
(Note: Use MPN method for Nghlyt-ml samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
issolvedSolids:Total70300 <500
mg/L
AI - Aluminumollos
mg/L
pH (Lab) 00403
units
Be - Barium 01007
ug/L
TOC ooseo < 10
mg/L
Ca - Calcium oo916
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
uglL
(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 o0095
µMhos
K - Potassium 00937
mg/L
VOC 78732: method #
Total Ammonia coslo <0.1
(Ammonia Nitrogen: NHras N: Ammonia Nitrogen, Total)
mg/L
Mg - Magnesium 00927
mg/L
,
,method #
Mn - Manganese 01055
uglL
#
TKN as N 00625
mg/L
NI - Nickel 01057
ug/L
,method
, method #
Fnr Remndiatlnn n-i , rns__L r -
• - --- --- - —r• -� • �.a, rngrL Mlnueni loral VUCs: mg/L VOC Removal%
Alan Asbury, Controller .
Perminee (or Authorized Agent) Name and Tille - Please print or type
GW-59 Rev. 212010

SUBMIT FORM ON YELLO'✓J PAPER ONLY
ER QUALITY MONITORING:
REPORT FORM
Facility Name:_ Maumaire Farms of North Carolina
Permit Name (if different):
Facility Address: 17269 NC Hwy 17N
Lumber Bridge '51lol) NC
28357-0339 County Robeson
act Person: Robert Jackson Telephone#: 91Q-359-5275
Location/Site•Name: Mauntaire Inner and Outer Perimeter Spray Fields No. of wells to be sampled: 30
L ID NUMBER (from Permit): MW-46 Date sample collected: 08/04/11
Depth: 15.0 ft, Well Diameter: 2 in.
1 to Water Level 82546: 9.4 ft. below measuring point Screened Interval: ft. to ft.
uring Point is 3 ft. above land surface Relative M.P. Elevation: ft.
ne of water pumped/bailed before sampling: 2.75 gallons
Iles for metals were collected unfiltered' 0 YES ❑ NO and field acidified- DI vFg: n r.:r,
ate sample analyzed: 08104-0e111 Laboratory Name: Cameron Testing Services
%RAMETERS NOTE: Values should reflect dissolved and colloidal
COD 00335
concentrations.
mg/L
Nitrite (NO,) as N oos15
mg/L
Coliform: MF Fecal 31616 < 1
/100mL
Nitrate (NO3) as N 00620 �ay�
l:J�:B'�
mg/L
Coliform: MF Total 31504
(Nola: use MPN
/100mL
Phosphorus: Total as P oofies
mg/L
method t.,Ti lyt.mdsamples)
Orthophosphate 70507
mg/L
solved S011ds:TOtal 70300 <500
mg/L
AI - Aluminum ollos
mg/L
PH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOG oosao < 10
mg/L
Ca - Calcium ooet6
mg/L
Chloride 00940
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total 01034
uglL
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
ug/L
:cific Conductance 00095
µMhos
K -Potassium 00937
mg/L
Total Ammonia oo6lo <0.1
mg/L
Mg - Magnesium 00927
mg/L
(Ammonia Nitrogen; NH3 as N: Ammonia Nilropen, Total)
Mn -Manganese 01055
uglL
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L
For Remediation Systems Only (Attach Lab Reports): Influent Total
Alan Asbury, Controller
Permittee (or Authorized Agent) Name antl Title- Please print or lype
GW-59 Rev. 212010
ERMIT Number: W00000484
Expiration Date: 04/ 00/2017
on -Discharge X
UIC
aDES
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: 4.39 units Temp. 000lo: 24.1 eC
Spec. Cond. 00094: µMhos
Odor 00085:
Appearance
Certification No. NC OENR #654
Pb - Lead otosi ug/L
Zn - Zinc o1o92 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(l) M Nap)
VOC 78732: , method #
method #
method #
method #
Effluent Total VOCs:
VOC Removal%
at
of
■I

Deno1 luV ,I I Vry Ic11yy 1M1.n VwLI
:R QUALITY MONITORING:
REPORTFORM
:ilityName: Mountaire Farms of North Carolina
mit Name (if different):
:ility Address: 17269 NC Hwy 17N
Lumber Bridge 'Seta NC
28357-0339 County
act Person: Robert Jackson
Location/Site Name: Mountaire Inner and Outer Perimeter
Robeson
_ Telephone#: [phone]
Fields No. of wells to be sampled: 30
L ID NUMBER (from Permit): MW-8 Dale sample collected: 04/05/11
Depth: 12.0 ft. Well Diameter: 2 in.
1 to Water Level 82546: 6.6 ft. below measuring point Screened Interval: ft. to
wring Point is 3 ft. above land surface Relative M.P. Elevation: ft.
ne of water pumped/bailed before sampling: 2.75 gallons
ties for metals were collected unfiltered: R1 YES ❑ NO and field acidified: © YES ❑ NO
_
PERMIT Number: W00000484 Expiration Date: 04/20/2013
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:
FIELD ANALYSES: WAS
pH 00400: 4.26 units Temp. oaolo: 14.6 °C DRY at
ft. Spec. Conti. 00094: µMhos time of
sampling,
Odor 000s5: check
Appearance clear here:❑
ate sample, analyzed: 04105-12111 Laboratory Name: Cameron Testing Services
\RAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L Nitrite (NO2) as N 00615 mg/L Pb - Lead moss
Coliform: MF Feral 31616 < 1 /100mL Nitrate (NO3) as N oo62o < 10 mg/L Zn -Zinc 01092
Coliform: MF Total 31504 /100rhL Phosphorus: Total as P 0osss mg/L
(Note: Use MPN method for hiohly tumid samoles)
)issolved Solids:Total 70300 <500
mg/L
pH (Lab) 00403
units
TOC 00680 < 10
mg/L
Chloride oo94o
mg/L
Arsenic 01002
uglL
Grease and Oils 00552
mg/L
Phenol 32730
ug/L
Sulfate oD945.
mg/L
Specific Conductance 00095
µMhos.
Total Ammonia oosio <0.1
mg/L
(Ammonia Nitrogen; NH.as N: Ammonia Nitrogen. Total)
TKN as N 00625 mg/L
For Remediation Systems Only (Attach. Lab Reports):
Orthophosphate 70507
mg/L
Al 'Aluminum oleos
mg/L
Be - Barium 01007
ug/L
Ca - Calcium 00916
mg/L
Cd - Cadmium 01027
ug/L
Chromium: Total 01034
ug/L
Cu - Copper 01042 .
mg/L
Fe - Iron 01045
ug1L
Hg - Mercury 71900
ug/L
K- Potassium 00937
mg/L
Mg - Magnesium 00927
mg/L
Mn - Manganese otoss
uglL
Ni- Nickel 01067
ug/L
Certification No. NC DENRii654
ug/L
mg/L
Other (Specify Compounds and Concentration Units):
v
m
z
ORGANICS: (by GC, GC/M , PLC)
I
(Specify test and met�,o t1ATaAGMLMj;,RggnRTJ
Lab Report Attached7n Y6"rF'jJBLf- No (0)
9-2
VOC 78732: , method #
s
method #
or
method #"
T
method #
<p
M
Influent Total VOCs: mall. EfOuent Total VOCs:
rrio/L VOC
Scott Varner, Dir. of Processing
Permiltee(or Authorized Agent)Name and Title- Please print or type l t Signature of Peanntee(or Authorized Agent) ) (Date)
GW-59 Rev. 212010 1� Fg'�V �' ['C��Fi.d'n / qe SC�i /l/ie

.. ...„ , . Mrv, Un T eu.wv rAr1oK urvu
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
:ility Name: Mountaire Farms of North Carolina
'mit Name (if different):
:ility Address: 17269 NC Hwy 17N
Lumber Bodge fsvw! 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
L ID NUMBER (from Permit): MW-14 Date sample collected: 04/05/11
Depth: 19.0 ft. Well Diameter. 2 in.:.
h to Water Level 82546: 9.2 ft. below measuring point Screened Interval: ft. to ft.
,wring Point is 3 ft. above land surface Relative M.P. Elevation: ft.
ne of water pumped/bailed before sampling: 4.8 gallons
ales for metals were collected unfiltered: 21 YES ❑ NO and field acidified: 0 YES ❑ NO
1te sample analyzed: 04/05-12/11 Laboratory Name: Cameron Testing Services
tRAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00515
mg/L
Coliform: MF Fecal 31616 < 1
/100ml-
Nitrate (NO3) as N 00620
< 10 mg/L
Coliform: MF Total 31504
/100ml-
Phosphorus: Total,as P 00665
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mglL
solved Solids:Total 70300 <500
mg/L
AI -Aluminum of toy
mg/L
pH (Lab) 00403
units
Be - Barium 01007
ug/L
TOC oo6eo < 10
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940
mg/L
Cd - Cadmium o1027
ug/L
Arsenic 01002
ug/L
Chromium: Total 01034
ug/L
Grease and Oils 00552
mg/L
Cu - Copper o1042
mg/L
Phenol 32730
ug/L
Fe - Iron 01045
ug/L
Sulfate oog45
mg/L
Hg - Mercury 71900
ug/L
acific Conductance o0095
µMhos
K - Potassium 00937
mg/L
Total Ammonia oosio 0.1
mg/L
Mg - Magnesium 00927
mg/L
(Ammonla Nitrogen; NHses N;Ammonia Nhhgen,Tota1)
MO - Manganese gloss
uglL
,. TKN as N 00625
mg/L
Ni - Nickel 01067
.ug/L
:RMIT Number: W00000484 Expiration Date: 04/2012013
rn-Discharge X UIC
)DES Other
'PE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
0 Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
FIELD ANALYSES: WAS
pH 00400: 5.42 units Temp. 00010: 14.1 eC DRY at
Spec. Cond. 00094: µMhos time of
samplin
Odor 00085: check
Appearance clear here:F
Certification No. NC eENR #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) N No (0)
VOC 78732: , method #
method #
method #
method #
ror memeumuon systems umy (Attacn Lao tteports): influent Total VOCs: mg/1 Effluent Total
Scott Varner, Dir. of Processing
Penndtee (or Authorized Agent) Name and Tdle - Please print or type
GW-59 Rev. 212010
mg/L VOC Removal%,

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENTOFENVIRONMENT.&'NATURALRESOURCESI
GROUNDWATER QUALITY MONITORING:
DIVtsIONOFWATEROUAI,UIwFORMAT16NPli6 sINCuNlt Z„
COMPLIANCE REPORT FORM
a
lennuli"'sIERVICECENTEKRALElua3s3221, x
FACILITY INFORMATION Please Print Clearly or Type
PERMIT Number W00000484 Expiration Date: 04/20/2013
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
El Lagoon ❑Remediation: Infiltration Gallery
Lumber Bridge rsuOS" NC 28357-0339 County Robeson
tcnyl (:,um1 (gip?
❑o 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:
(tmm Pemtln
SAMPLING INFORMATION
-
-
If WELL
WELL ID NUMBER (from Permit): MW-15
Date sample collected: 04/05/11
FIELD ANALYSES:
WAS
Well Depth: 16.5 ft.
Well Diameter. 2 in.
pH 00400: 5.04 units Temp. o0olo: 14.3 oC
DRY at
Depth to Water Level e2546: 8.8 ft. below measuring point
Screened Interval: _ft. to
-
ft. Spec. Cond. 00094: µMhos
time of
sampling,
Measuring Point is 3 ft. .above land surface
Relative M.P. Elevation: ft.
Odor 00095:
check
Volume of water pumped/bailed before sampling: 3.75
gallons
Appearance clear
here:
❑
Samples for metals were collected unfiltered: 0 YES ❑
NO and field acidified: RI YES El NO
LABORATORY INFORMATION
Date sample analyzed: 04105-12111
Laboratory Name: Cameron Testing Services Certification No. NC DENR 9654
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD OD335 mg/L
Nitrite (NO2) as N oo615
mg/L Pb - Lead oiosi ug/L
Coliform: MF Fecal 31616 < 1 /100mL
Nitrate (NO3) as N 00620 < 10
mg/L Zn - Zinco1092 mg/L
Coliform: MF Total 31 so4 /100mL Phosphorus: Total as P 00665
mg/L
(Note: Use MPN method for highly tuiold samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units): -
issolvedSolids:Total7oa00 <500 mg/L
AI - Aluminum o11o5
mg/L
pH (Lab) 00403 units
Be - Barium 01007
uglL -
TOC Dosso < 10 mg/L
Ca - Calcium 00916
mg/L '
Chloride 00940 mg/L
Cd - Cadmium 01027
ug1L
Arsenic 01002 uglL.
Chromium: Total oio34
uglL '
Grease and Oils 00552 mg/L
Cu - Copper 01042
mg/L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730 uglL
Fe - Iron 01045
ug1L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945 mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes (1) 0 No (0)
Specific Conductance 00095 µMhos
K - Potassium oo937
mg/L VOC 78732: , method #
Total Ammonia oosio 0.1 mg/L
'Mg - Magnesium 00927
mg/L , method #
(Ammonia Nitrogen, NH,as N;nmmoma Nitrogen. Total)
Mn- Manganese Gloss
ug/L ,method#
TKN as N 00625 mg/L
Ni - Nickel oio67 -
ug/L , method #
:For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs:
Scott Varner, Dir. of Processing
Permhae (or Authorized Agent) Name and TKIe - Please print or type
GW-59 Rev. 212010
Effluent Total
mg/L ' VOC Removal%
LAB

eDDnn I ruRrvl UIv YtLLUVV YAYtK UNLY
QUALITY MONITORING:
!PORT FORM
Aity Name: Mountaire Farms of North Carolina _
mit Name (if different):
Aity Address: 17269 NC Hwy 17N
Lumber Bridge `s'eSI 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-16
Well Depth: 10.0 ft.
Depth to Water Level 82546: 5.9 ft. below measuring point
Measuring Point is 3 ft. above land surface
Volume of water pumpedibailed before sampling: 2.25
Samples for metals were collected unfiltered: 0 YES ❑
Date sample collected: 04/05/11
Well Diameter: 2 in.
Screened Interval: —ft.
Relative M.P. Elevation:
NO and field acidified: ® YES
to _ft.
ft.
:RIAIT Number: W00000484
Expiration Date: 04/20/2013
n-Discharge X
UIC -
DES
Other
'PE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon
❑ Remediation: Infiltration Gallery
M Spray Field
❑ Remediation:
❑ Rotary Distributor
❑ Land Application of Sludge
❑ Water Source Heat Pump
❑ Other:
FIELD ANALYSES:
PH oo400: 6.14 units Temp. 000lo: 14.6 eC
Spec. Cord. 00094: µMhos
Odor 000s5:
Appearance clear
1te sample analyzed: 04/05-12/11
Laboratory Name: Cameron Testing Services
Certification No. NC DENR 9654
tRAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N o0615
mg/L
Pb - Lead o1o51 ugfL
Coliform: MF Fecal 3161s < 1
/100mL
Nitrate (NO3) as N 00620 < 10
mg/L
Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P oo665
mg/L
(Note: Use MPN method for highly tulbld Samples)
Orthophosphate 705137
mg/L
Other (Specify Compounds and Concentration Units):
solved Solids:Total 7o3oo < 500
mg/L
AI - Aluminum o11o5
mg/L
pH (Lab) 00403 _
units
Ba.- Barium 0too7
ug1L
TOC o068o < 10
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940
mg/L
Cd - Cadmium o1o27
ugfL
Arsenic 01002
ug/L
Chromium: Total oto34
ug/L
Grease and Oils 00552
mg/L
Cu - Copper M042
mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ugfL
Fe - Iron d1o45
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate co945
mg/L
Hg - Mercury 71900
ug/L
Lab Report Attached? ❑ Yes (1) ❑ No (0)
ecific Conductance 00095
µMhos
K - Potassium 00937
mg/L
VOC 78732: , method #
Total Ammonia oo6lo < 0.1
mg/L
Mg -Magnesium 00927
mg/L
, method #
(Ammonia Nitrogen: NH3as N: Ammmtla Nitrogen, Total-
Mn - Manganese o1o55
uglL
, method #
TKN as N 00625
mg/L.
Ni - Nickel oios7*
ug/L
, method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs:
mg/L Effluent Total
VOC
at
of
Scott Varner, Dir. of Processing
Pe rnittee (or Authorized Agent) Name'and Title - Please print or type - Signature of Pennidee (or Autharized Agent) - (Date)
GW-59 Rev. 2/2010

Y 1 ELL V V V rryrCl( ONLY
DEPARTMENT OF ENVIRONMENT!& NATURAL RESOURCES
TER QUALITY MONITORING: , s Y DivisIONOF,WATERQUALITYINFORMATIONPROCESS INGUNIT ;
E REPORT FORM
1fi1]'MCIf SFCVIr:F!`FIITFC OII FIr:N'NR 9]NOOdfiY] OM /010Pi1'l '1991 �'J :.
CILITY INFOKMA I IVN 11.o°. -„'.
:ility Name: Mountaire Farms of North Carolina
PERMIT Number: W00000484
Non -Discharge X
NPDES
Expiration Date: 04120/2013
UIC
Other
mit Name (if different): _
:ility Address: 17269 NC Hwy 17N
TYPE OF PERMITTED OPERATION
❑Lagoon
BEING MONITORED
❑Remediation: Infiltration Gallery
Lumber Bridge 's"`*'I NC 28357-0339 Count Robeson
y
1c•uyr tmaou !-rot •
X Spray Field
❑ Remediation:
pact Person: Robert Jackson Telephone#: [phone]
❑ Rotary Distributor
❑ Land Application of Sludge
II Location/Site Name: Mountains Inner and Outer Perimeter Spray Fields No. of wells to be sampled: 30
❑ Water Source Heat Pump
❑ Other:
WELL ID NUMBER (from Permit): MW-17 Date sample collected: 04/05/11
Well Depth: 11.4 ft. Well Diameter. 2 in.
_
Depth to Water Level 82546: 7.6 ft. below measuring
P g 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: 2.25 gallons
Samples for metals were collected unfiltered: RI YES ❑ NO and field acidified: ® YES ❑ NO
FIELD ANALYSES:
pH o0400: 4_21 units Temp. 000la: 14.2 °C
Spec. Cond. oo09a: µMhos
Odor 000es:
Appearance clear
WAS
DRY at
time of
sampling,
check
here:❑
LABORATORY INFORMATION
Date sample analyzed: 04105-12111
Laboratory Name: Cameron Testing Services
Certification No. NC DENR 9654
PARAMETERS NOTE: Values should reflect
dissolved
and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N oo615
mg/L
Pb - Lead 01051 u9 l
Coliform: MF Fecal 31616 < 1
/100mL
Nitrate (NO3) as N 00620 1}ip mg/L
Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100ml-
Phosphorus: Total as P 00665
mg/L
(Nola: Use MPN method for highly turold samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 <500
mg/L
AI -Aluminum 011o5
mg/L
pH (Lab) 00403
units
Be - Barium 01007
ug/L
TOC 00680 < 10
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
uglL
Fe - Iron om is
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
•mg/L
Hg - Mercury 71900
ug/L
Lab Report Attached? ❑ Yes (1) X No (0)
Specific Conductance 00095
µMhos
K - Potassium 00937
mg/L
VOC 78732: , method #
Total Ammonia OD610 < 0.1
mg/L
Mg - Magnesium 00927
mg/L
, method #
(Ammonia Nitrogen; NH,as N; Ammonia Nitrogen, Total)
Mn - Man Manganese olos5
g
ug/L
, method #
TKN as N 00625
mg/L
Ni - Nickel 01067
uglL
, method #
ror memeonatlon aysiems Vnry (Attacn Lao KepDlu): mtluent Total VOCs: mg/L Effluent Total VOCs: _ mg/L VOC Removal%
Scott Varner, Dir. of Processing
Perminee (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev. 2/2010

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OFENVIRONMENT '& NATURAL' RESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OF VwATER r2UALiTV-INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617, MAIL SERVICE CENTER, RALEIGH,NC27699;1617':„Phone(918L733J221„ -
FACILITY INFORMATION Please Print Cleanyor Type
PERMIT Number: WQ0000484 Expiration Date: 04/20/2013
Facility Name: Mountains 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 ❑Remediation: Infiltration Gallery
Lumber Bridge r uw, NC 28357-0339 CountyRobeson
IGyi (Gnt) (.1h)
N 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:
fmm Pemil
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-18
Dale sample collected: 04/05/11
FIELD ANALYSES:
WAS
Well Depth: 10.0 ft.
Well Diameter: 2 in.
pH 0040o: 4.94 units Temp. 000to: 13.5 oC
DRY at
Depth to Water Level 62546: 8.7 ft, below measuring point Screened Interval: ft. to
ft. Spec. Cord. 00094: µMhos
time of
sampling,
Measuring Point is 3 ft. above land surface
Relative M.P. Elevation: ft.
Odor 00085:
check
Volume of water pumped/bailed before sampling: 0.75
gallons
Appearance clear
here:❑
Samples for metals were collected unfiltered: © YES
El NO and field acidified: RI YES El NO
LABORATORY INFORMATION
Date sample analyzed: 04105-12/11
Laboratory Name: Cameron Testing Services
Certification No. NC DENR#654
PARAMETERS NOTE: Values should reflect dissolved
and colloidal concentrations.
COD 00335 mg/L
Nitrite (NO2) as N 00615
mg/L Pb - Lead olos1 uglL
Coliform: MF Fecal 31616 < 1 /100ni
Nitrate (NO,) as N 00620 < 10
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504 /100mL
Phosphorus: Total as P oo6s5
mg/L
(Note:. Use MPN method for highly mrold samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 7030D <500 mg/L
AI - Aluminum oleos
mg/L
PH (Lab) 00403 units
- Ba - Barium oio07
uglL
TOC oo66o < 10 mg/L
Ca - Calcium oasis
mg/L
Chloride 00940 mg/L
Cd - Cadmium 01027
uglL
Arsenic 01002 ug/L
Chromium: Total 01o34
uglL '
Grease and Oils 00552 mg/L
Cu - Copper 01042
mg/L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730 ug/L
Fe - Iron oio45
ug/L (Specify test and method A ATTACH LAB REPORT.)
Sulfate 00945 mg/L
Hg - Mercury 71goo
uglL Lab Report Attached? ❑ Yes (1) X No (0)
pecific Conductance Do995 µMhos
K - Potassium C0937
mg/L VOID 78732: , method #
Total Ammonia Do610 <0.1 ni
Mg - Magnesium DD927
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):
Scott Varner, Dir. of Processing
Pennittee (or Authorized Agent) Name and TBIe - Please print or type
GW-59 Rev. 212010
Influent Total VOCs: mg/L Effluent Total VOCs:
mg/L VOC Removal%

ouurvni runrvl UN IeLLUW YHYCK UNL7
TER QUALITY MONITORING:
E REPORT FORM
:ilily Name: Mountaire Fam)s of North Carolina
mit Name (if different):
Ally, Address: 17269 NC Hwy 17N
Lumber Bridge 'sa"t' 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-19
Depth: 12.8 ft.
1 to Water Level 82546: 8.7 ft. below measuring point
wring Point is 3 ft. above land surface
ne of water pumped/bailed before sampling: 2.0 gall
)[as for metals were collected unfiltered: ❑ YES ❑ NO
Date sample collected: 04/05/11
Well Diameter: 2 in.
Screened Interval: ft. to _ft.
Relative M.P. Elevation: ft.
IRMIT.Number: W00000484
n-Discharge X
Expiration Date: 04/20/2013
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 oo40o: 6_33 units
Spec. Cond. 00094:
Odor 000a5: _
Appearance clear
Temp. 000lo: 13.6 °C DRY at
Mhos time of
ate sample analyzed: 04/05-12111
Laboratory Name: Cameron Testing Services
Certification No. NC DF-NR r654
4RAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615
mg/L
Pb - Lead oiosl u /L
g
Coliform: MF Fecal 31616 15
/100mL
Nitrate (NO3) as N ooszo < 10
mglL
Zn - Zinc 01092 mg/L
1
Coliform: MF Total 31504
/100ml-
Phosphorus: Total as P ooeas
mg/L
(Note: Use MPN method for highly tumid samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
;solved Solids:Total 70300 < 500
mg/L
Al - Aluminum 01105
mg/L
pH (Lab) 00403
units
Be - Barium o1007
ug/L
TOC ooseo < 10
mg/L
Ca - Calcium 00916
mg/L
Chloride oa94o
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
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
ug/L
Fe - Iron oiD45
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg/L
Hg - Mercury 71900
ug/L
Lab Report Attached? ❑ Yes (1) X No (0)
ecific Conductance 00095
Mhos
K - Potassium 00937
mg/L
VOC 78732: , method #
Total Ammonia ooseo < 0.1
mg/L
Mg - Magnesium 0D927
mg/L
, method #
(Ammonia Nitmgen: NH389 N; Ammonia Nitrogen. Total)
Mn- Manganese oloss
uglL
,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%
Scott Varner, Dir. of Processing iar�Lr..r�— , j Lf
Fanciers (or Authorized Agent) Name and TRIe - Please print or type Signature of Permlaee (or Authorized Agent) (Date)
GW-59 Rev. 212010
here:❑

SUBMIT FORM ON YELLOW PAPER ONLY
QEPART6tEN1 OP ENVIRONMENT & NATURALRESOURCESf n, l ry
GROUNDWATER QUALITY MONITORING:
DIVISION OFWATEROUALITY-INFORMATIONPROCESSINGUNITe,
COMPLIANCE REPORT FORM
.
1¢{7 MgIljSERV10E CENTER RALEIGH NC 27699161T,'`PhoneL 910,T994221
FACILITY INFORMATION Please Print Cleadyor Type
PERMIT Number: W00000484 Expiration Date: 04/20/2013
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
El Lagoon ❑Remediation: Infiltration Gallery
Lumber Bridge lsurmfl NC 28357-0339 Coun ty Robeson
(Goy' (volt) EDP)
O'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:
(fiam Pemtil
SAMPLING INFORMATION
- -
If WELL
WELL ID NUMBER (from Permit): MW-20
Date sample collected: 04/05/11
FIELD ANALYSES:
WAS
Well Depth: 11 ft.
Well Diameter: 2 in.
pH 0040D: 6.25 units Temp. 0o01o: 14.3 eC
DRY at
Depth to Water Level 82e46: 6.0 ft. below measuring point Screened Interval: ft. to
ft. Spec. Cord. 00094: µMhos
time of
sampling,
Measuring Point is 3 ft. above land surface
Relative M.P. Elevation: ft.
Odor 000es:
check
Volume of water pumped/bailed before sampling: 2.5
gallons
Appearance clear
here:❑
Samples for metals were collected unfiltered: 21 YES
❑ NO and field acidified: ® YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 04105-12/11
Laboratory Name: Cameron Testing Services
Certification No. NC DENR R654
PARAMETERS NOTE: Values should reflect dissolved
and colloidal concentrations.
COD 00335 mg/L
Nitrite (NO2) as N costs
mg/L Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616 < 1 /1OOmL
Nitrate (NO3) as N 00620 < 10
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504 /100mL
Phosphorus: Total as P oo665
mg/L
(Note: Use MPN method for highly to ed samples).
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 oosso <10 mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 mg/L
Cd - Cadmium 01027
uglL
Arsenic 01002 ug/L
Chromium: Total 01034
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 oog4s mg/L
Hg - Mercury 71900
uglL tab Report Attached? ❑ Yes (1) N No(0)
Specific Conductance 0oo95µMhos
K - Potassium o0937
mg/L VOC 78732: , method #
Total Ammonia ooslo �f—,MV, mg/L
Mg - Magnesium 00927
mg/L , method #
(Ammonia Nitrogen;NH3as N;Ammonia N�t i)
Mn -Manganese moss
ug1L ,method #
TKN as N 00625 mg/L
Ni -. Nickel o1os7
ug/L - , method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs:
mg/L VOC
Scott Varner, Dir. of Processing _ >/JW�,95;: ,__ 5-_ 9 _ (/
PennRtee(or Authorized Agent)Name and Title- Please print or type - Signature of Pennines (or Authorized Agent) (Date)
GW-59 Rev. 212010

oulo,vn I runm uN rtLLUW PAPLK UNLY
TER QUALITY MONITORING:
E REPORT FORM
Name: Mountaire Farms of North Carolina
Name (if different):
Address: 17269 NC Hwy 17N
NC 28357-0339 County Robeson
rsuna cam
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-24
Depth: 15.0 ft,
h to Water Level e2546: 11.7 ft. below measuring point
:wring Point is 3 ft. above land surface
ne of water pumped/bailed before sampling: 1.75
ales for metals were collected unfiltered: ❑ YES ❑
Date sample collected: 04/05/11
Well Diameter: 2 in.
Screened Interval: ft. to _ft.
Relative M.P. Elevation: ft.
gallons
IRMIT Number: W00000484 Expiration Date: 04/2012013
n-Discharge X UIC
IDES 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 co400: 4.65 units
Spec. Cond. 00094:
Odor 00085: _
Appearance clear
Temp. 000lo: 14.6 aC DRY at
Mhos time of
ate sample analyzed: 04105-12111
Laboratory Name: Cameron Testing Services
Certification No. NCDENR#654
\RAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615
mg/L
Pb - Lead oio51 ug/L
Coliform: MF Fecal 31616 < 1
/100ml-
Nitrate (NO3) as N 00620 < 10
mg/L
Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100ml-
Phosphorus: Total as P 00665
mg/L
(Note: Use MPN mated for highly Wreld samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
,solved Solids:Total 70300 <500
mg/L
AI - Aluminum 01105
mg/L
pH (Lab) 00403
units
Be - Barium 01007
ug/L
TOC oo6eo < 10
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940
mg/L
Cd - Cadmium 01027
uglL
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 o1045
uglL
(Specify test and method M ATTACH LAB REPORT.)
Sulfate 00945
mg/L
Hg - Mercury 71900
ug/L
Lab Report Attached? 0 Yes (1) N No (0)
ecific Conductance wow95
Mhos
K - Potassium 00937
mg/L
VOC 78732: , method #
Total Ammonia oo6io < 0.1
mg/L
Mg - Magnesium 00927
mg/L
, method #
(Ammonia Nitrogen; Wise N;Ammonia Niygen, Total)
Mn- Manganese 01055
ug/L
,method#
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L
, method #
For Remediation Svstems Only (Attach Lab Renortgl- Influant Tntnl
Scott Varner, Dir. of Processing
Pem,rtee (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev. 2/2010
mn/I Fffl,iantTntnlllrlr:e-
lrGSr

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
DEPARTMENT OKENVIRONMENTa NATURALRESOURCES
ii
DNISION OFyWATER QUALITY INFORMATION PROCESSING UNIT+y p.. yr @
COMPLIANCE REPORT FORM
r'
1817;MAIL'=_SERYICE RA11EI6y,_NC2789g;,te1 wPtione;
CENTER l919)7333221„,,
FACILITY INFORMATION Please Print Clearly or Type
PERMIT Number: W00000484 Expiration Date: 04/20/2013
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 ❑Remediation: Infiltration Gallery
Lumber Bridge 'sn t, NC 28357-0339 CountyRobeson
(Z"A"' ``i,;,
❑s Spray Field ❑ Remediation:
Contact Person: Robert Jackson
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Mounlaire Inner and Outer Perimeter Spray Fields No. of wells to be sampled: 30
❑ Water Source Heat Pump ❑ Other:
ham Penal
SAMPLING INFORMATION
-
If WELL
WELL ID NUMBER (from Permit): MW-25
Date sample collected: 04/05/11
FIELD ANALYSES:
WAS
Well Depth: 18.0 ft.
Well Diameter. 2 in.
pH oo400: 4.98 units Temp. o0o10: 14.8 eC
DRY at
Depth to Water Level 82548: 8.3 ft. below measuring point Screened Interval: ft. to
ft. Spec. Cord. 00094: Mhos
time
li
sampling,
Measuring Point is 3 ft. above land surface
Relative M.P. Elevation: ft.
Odor 000es:
check
Volume ofwater pumped/bailed before sampling: 5.0
gallons
Appearance clear
here:❑
Samples for metals were collected unfiltered: ❑ YES
❑ NO and field acidified: ❑ YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 04105-12/11
Laboratory Name: Cameron Testing Services Certification No. NC DENR#554
PARAMETERS NOTE: Values should reflect dissolved
and colloidal concentrations.
COD 00335 mg/L
Nitrite (NO2) as N oo615
mg/L Pb - Lead oio51 ug/L
Coliform: MF Fecal 31616 < 1 /100ml-
Nitrate (NO3) as N 00620 < 10
mg/L Zn - Zinc 01092 mg/L- .
Coliform: MF Total 31504 . /100mL
Phosphorus: Total as P 00665
mg/L
(Note: Use MPN melhod for highly tmsid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Tolal 70300 <500 mg/L
AI - Aluminum 01 105
mg/L
pH (Lab) 00403 units
Be - Barium 01007
ug/L
TOC 0o68o < 10 mg/L
Ca - Calcium 00916 _
mg/L
Chloride 00940 mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002 ug/L
Chromium: Total 01034
uglL
Grease and Oils 00552 mg1L
Cu - Copper 01042 _mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730 ug/L
Fe - Iron oto45
ug/L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate oo945 mg/L
Hg - Mercury 7190o
ug/L Lab Report Attached? ❑ Yes (1) ❑N No (0)
Specific Conductance 00095 Mhos
K - Potassium 00937
mg/L VOC 78732: , method #
Total Ammonia oo610 < 0.1 _ mg/L
Mg - Magnesium 00927
mg/L , method #
(Ammonla Nitrogen: NH.as N: Ammonia Nitrogen, Tatal)
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
Scott Vamer, Dir. of Processing
Pearl (or Autharized Agent) Name and Title - Please print ortype
GW-59 Rev. 212010
mg/L Effluent Total VOCs:
mg/L VOC Removal%

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
DEPARTMENT OF ENVIRONMENT B NATURAL RESOURCES .4.; c asVz"s
DlwsloNOF'lNATERouAcTYIriPORraatjoNPRocesslrtt;uwT + ?t"�
COMPLIANCE REPORT FORM
1617vm SERVJAE CENZERrRnL��ri Hc2iess t617 kPnone (919), — 221,yj,,,�e
FACILITY INFORMATION Please Print Clearly oriype
PERMIT Number: W00000484 Expiration Date: 04120/2013
Facility Name: Mountaire Fanns 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
El Lagoon ❑Remediation: Infiltration Gallery
Lumber Bridge 's1bsl' NC 28357-0339 CountyRobeson
t�&/' (sul':) rz¢n
X 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:
(fmm Pemvn
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-26
Date sample collected: 04/05/11
FIELD ANALYSES:
WAS
Well Depth: 15.0 ft.
Well Diameter: 2 in.
pH oo400: 4.08 units Temp. 0oolo: 14.6 aC
DRY at
Depth to Water Level 82546: 1 2 ft. below measuring
p Q g point Screened Interval: ft. to
ft. Spec. Cond. 00osa: Mhos
time of
sampling,
Measuring Point is 3 ft. above land surface
Relative M.P. Elevation: ft.
Odor 000e5:
check
Volume of water pumped/bailed before sampling: 3.25
gallons
Appearance clear
here:
❑
Samples for metals were collected unfiltered: El YES
❑ NO and field acidified: El YES El NO
LABORATORY INFORMATION
Date sample analyzed: - 04/05-12111
Laboratory Name: Cameron Testing Services Certification No. NC DENR N54
PARAMETERS NOTE: Values should reflect dissolved
and colloidal concentrations.
COD 00335 mg/L
Nitrite (NO2) as N oos15
mg/L Pb - Lead oio51 uglL
Coliform: MF Fecal 31616 < 1 /100ml-
Nitrate (NO3) as N 00620 T� .
mg/L Zn -Zinc 01092 mg/L
Coliform: MF Total 315o4 /100ml-
Phosphorus: Total as P 00665
mg/L
(Nola: Use MPN method rorhlghlylurtaid samples)
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
Be - Barium 01007
ug/L
- TOC 00660 < 10 mg/L
Ca - Calcium aogls
mg/L
Chloride 0o94o mg/L
Cd - Cadmium 01027
ug/L _
Arsenic 01002 ug/L
Chromium: Total 01034
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
uglL Lab Report Attached? ❑ Yes (1) No (0)
Specific Conductance 00095 Mhos
K - Potassium 00937
mg/L VOC 78732: , method #
Total Ammonia oo6lo <0.1 mg/L
Mg - Magnesium 00927
mg/L , method #
(AmmoNa Nitrogen: NHsas N; Ammonia Nitmgen, Total)
Mn -Manganese o1055
uglL ,method # .
TKN as N 00625 mg/L
Ni - Nickel 01067
ug/L , method #
For Remediation Systems Only (Attach Lab Reports): Influent Total
Scott Varner, Dir. of Processing
Pennittee (or Authorized Aqent) Name and Title- Please print or type
GW-59 Rev. 2/2010
mg/L Effluent Total VOCs:
mg/L VOC Removal%
tZG

ouomi i ruravt uN rCLLV W PAFER ONLY
TER QUALITY MONITORING:
E REPORT FORM
Name: Mountain Farms of North Carolina
Name (if different):
Address: 17269 NC Hwy 17N
Lumber Bridge "' NC 28357-0339 County Robeson
act Person: Robert Jackson Telephone#: [phone]
Location/Site Name: Mountain Inner and Outer Perimeter Spray Fields No. of wells to be sampled: 30
L ID NUMBER (from Permit): MW-27
Depth: 16.0 ft.
i to Water Level 82546: 6.6 ft. below measuring point
wring Point is 3 ft. above land surface
ne of water pumped/bailed before sampling: 5.0 gall
ales for metals were collected unfiltered: 0 YES ❑ NO
Date sample collected: 04/05/11
Well Diameter. 2 in.
Screened Interval: ft. to ft.
Relative M.P. Elevation: ft.
❑ NO
-RMIT Number: W00000484 Expiration Date: 04/20/2013
3n-Discharge X UIC
DDES - Other
(PE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
0 Spray.Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
FIELD ANALYSES:
pH oo400: 4.21 units Temp. OOD10: 14.2 eC
Spec. Cond. 00094: µMhos
Odor 0oo65:
Appearance clear
ate sample analyzed: 04/05-12111
Laboratory Name: Cameron Testing Services
Certification No. NC DENR 9654
4RAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N oo615
mg/L
Pb - Lead 01051 ug/L
Coliform: MF Feral 31616 < 1
/100ml-
Nitrate (NO3) as N 00620 2g?9
mg/L
Zn - Zinc 01092 mg/L
Coliform: MF Total 315D4
/100ml-
Phosphorus: Total as P oo665
mg/L
(Note: Use MPN method forhlghly Nrbidsamples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
;solved Solids:Total 70300 <500
'
mg/L
AI - Aluminum 01105
mg/L
pH (Lab) 00403 _
units
Be - Barium 01007
ug/L
_
TOD 00680 < 10
mg/L
Ca - Calcium 00916
mg/L
Chloride 0094a
mg/L
Cd - Cadmium D1027
ug/L
Arsenic 01002
ug/L
Chromium: Total 01034
ug/L
Grease and Oils oo552
ni
Cu - Copper o1042
mg/L
ORGANICS: (by GC, GC/MS; HPLC)
Phenol 32730
ug/L
Fe - Iron o1045
ug/L
(Specify test and method M ATTACH LAB REPORT.)
Sulfate 00945
mg/L
Hg - Mercury 71900
ug/L
Lab Report Attached? ❑ Yes.(1) ❑ No (0)
ecific Conductance 00095
µMhos
K- Potassium 00937
mg/L
VOC 78732: , method #
Total Ammonia oo6lo < 0.1
mg/L
Mg - Magnesium 00927
mg/L
, method #
(Ammonia Nitrogen; NHoas N; Ammonia Nitrogen. Total)
Mn - Man Manganese oio55
9
uglL
,method #
TKN as N 00525
mg/L
Ni - Nickel 01067
ug/L
, method #
GW-59 Rev. 2/2010
If WELL
at
of

otrorcn i ruraa UN TCLLUVV YAYCK UNLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
:ility Name: Mountaire Farms of North Carolina
mit Name (if different):
lility Address: 17269 NC Hwy 17N
Lumber Bridge 'S.m. 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
PERMIT Number: W00000484 Expiration Date: 0420/2013
Non -Discharge X UIC -
NPDES Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: InfiltrationGallery
H Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
L ID NUMBER (from Permit): MW-28 Date sample collected: 04/05/11
Depth: 15.0 ft. Well Diameter: 2 in.
It to Water Level 82546: 9.6 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: 2.75 gallons
31es for metals were collected unfiltered: ❑ YES ❑ NO and field acidified: ❑ YES ❑ NO
FIELD ANALYSES:
pH oo400: 5.08 units
Spec. Cord. 00094:
Odor 000a5: _
Appearance clear
Temp. 000lo: 14.8 eC DRY at
Mhos time of
ate sample analyzed: 04105-12/11
Laboratory Name: Cameron Testing Services
Certification No. NC DENR #654
tRAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335
mg/L
— Nitrite (NO2) as N oo615
mg/L
Pb - Lead oio51 ug/L
Coliform: MF Fecal 31616 < 1
/100mL
Nitrate (NO3) as N 00620 < 10
mg/L
Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
I100mL
Phosphorus: Total as P 00665
mg/L
(Note: Use MPN method for Nghly turbid samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
solved Solids:Total 70300 <500
mg/L
AI - Aluminum at 105
mg/L
pH (Lab) 00403
units
Be - Barium 01007
ug/L
TOC oo66o < 10
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 o1o45
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg/L
Hg - Mercury 71900
ug/L
Lab Report Attached? ❑ Yes (1) M No (0)
ecific Conductance 00095
Mhos
K - Potassium 00937
mg/L
VOC 78732: , method # _
Total Ammonia oo6m < 0.1
mg/L -
Mg - Magnesium 00927
mg/L
, method #
(Ammonia Nitrogen; NH3as N;Ammoma 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: . mg/L Effluent Total VOCs: mg/L VOC Removal%
Scott Verner, Dir. of Processing
Pemuttee (or Authorized Agent) Name and Title- Please print or type
GW-59 Rev. 212010

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
r
DEPARTMENTOF,ENVIRONMENTBNATURALRESOURCESIf :1T4
DIv1SIONOF WATER,QUALITY WFORMATION(PROCES$ NG UNIT '
COMPLIANCE REPORT FORM
1617 MAILSERVIC�CENTER RALEIGNNC27,5991617 917333221a
FACILITY INFORMATION Please Print clearly or Type
PERMIT Number: W00000484 Expiration Date: 04/20/2013
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
El Lagoon ❑Remediation: Infiltration Gallery
Lumber Bridge fs°w! NC 28357-0339 Count y Robeson
lat4 tstvm) IJf.
A 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 PemM
SAMPLING INFORMATION
- -
If WELL
WELL ID NUMBER (from Permit): MW-29
Date sample collected: 04/05/11
FIELD ANALYSES:
WAS
Well Depth: 19.8 ft.
Well Diameter. 2 in.
pH 00400:. 4.3 units Temp. 000lo: 15.3 eC
DRY at
Depth to Water Level 82546: 12.4 ft. below measuring point
Screened Interval:_ft. to
ft. Spec. Cord. 00094: Mhos
time of
Measuring Point is 3 ft. above land surface
Relative M.P. Elevation: ft.
Odor 00085:
sampling,
check
Volume of water pumped/bailed before sampling: 3.75
gallons
Appearance clear
here:
❑
Samples for metals were collected unfiltered: ❑ YES El
NO and field acidified: [I YES El NO
LABORATORY INFORMATION
Date sample analyzed: 04105-12111
Laboratory Name: Cameron Testing Services
- Certification No. NC DENR #654
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L
Nitrite (NO2) as N 00615
mg/L Pb - Lead olos1 ug/L
Coliform: MF Fecal 31616 < 1 /100ml-
Nitrate (NO3) as N 00620 ISM]*
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504 /100ml- Phosphorus: Total as P 00665
mg/L
(Note:Use, MPN method for highly turgid samples)
issolved Solids:Total 70300 522 mg/L
Orthophosphate 70507
AI -Aluminum o11o5
mg/L Other (Specify Compounds and Concentration Units):
mg/L '
PH (Lab) 00403 units
Be - Barium oioo7
ug/L
TOC oo6Bo < 10 mg/L
Ca - Calcium 00916
mg/L
Chloride oog4o mg/L
Cd - Cadmium a1027
ug/L
Arsenic oloo2 ug/L
Chromium: Total oio34
ug/L
Grease and Oils 00552 mg/L
Cu - Copper o1o42
mg/L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730 ug/L
Fe - Iron oio4s
ug/L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate oo94s mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes (1) 0 No (0)
Specific Conductance 000s5 Mhos
K- Potassium o0937
mg/L VOC 78732: , method #
Total Ammonia oo610 1.0 mg/L
Mg - Magnesium 00927
mg/L , method #
(Ammonia Nitrogen; NH.as N; Ammonia Nitrogen; Total)
Mn- Manganese Dt055
ug/L ,method#
TKN as N 00625 mg/L
Ni - Nickel 01067
uglL , method #
For Remediation Systems Only (Attach Lab Reports): Influent Total
Scott Varner, Dir. of Processing
Peumttee (or Authorized Agent) Name and Title - Please print ortype
GW-59 Rev. 2/2010
Effluent Total VOCs:
mg/L VOC Removal%

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 151,W! NC 28357-0339 County Robeson
t( to
Contact Person: Robert Jackson Telephone#: [phone]
Well Location/Site Name: Mountaire Inner and Outer Perimeter Spray Fields No. of wells to be sampled: 30
(fa. PemN
SAMPLING INFORMATION
WELL ID NUMBER (from Permit): MW-31 Date sample collected: 04/07/11
Well Depth: 22.0 ft. Well Diameter: 2 in.
Depth to Water Level82546: 11.3 ft. 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: 5.25 gallons
Samples for metals were collected unfiltered: 0 YES ❑ NO and field acidified: © YES ❑ NO
ft.
iRMIT Number: W00000484 Expiration Date: 0412012013
m-Discharge X UIC
'DES Other
'PE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
N Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
FIELD ANALYSES:
PH 0040o: 4.70 units
Spec. Cond. 00094:
Odor 000e5: _
Appearance
Date sample analyzed: 04107-13111 Laboratory Name: Cameron Testing Services
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335 mglL Nitrite (NO2) as N C0615 mg/L Pb - Lead o1o51
Coliform: MF Fecal 31616 < 1 /100ml- Nitrate (NO3) as N 00620 < 10 mg/L Zn'- Zinc 01092
Coliform: MF Total 31504 /100ml- Phosphorus: Total as P ocs65 mg/L
(Note: Use MPN meNpd for N9Ny W10id samples) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units):
Temp. 000lo: 15.3 oC DRY at
µMhos time of
)issolved Solids:Total 70300 <500
mg/L
AI - Aluminum 01105
mg/L
pH (Lab) 00403
units
Be 1 Barium otoo7
ug/L
TOC oomo < 10
mg/L
Ca - Calcium oo916
mg/L
Chloride oo94o
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01oo2
ug/L
Chromium: Total 01034
ug/L
Certification No. NC DENR #654
ug/L
mg/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
uglL
Lab Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance 00095
µMhos
K - Potassium 00937
mg/L
VOC 78732: , method #
Total Ammonia oo61n < 0.1
mg/L
Mg - Magnesium 00927
mg/L
, method #
(Ammonia Nitrogen: NH.as N: Ammonia Nitrogen, Total)
Mn -Manganese 01055
UgIL
,method # '
TKN as N 00825
mg/L
Ni - Nickel 01067
uglL
, method #
For Remediation Systems Only (Attach Lab Reports):
Influent Total VOCs:
ni Effluent Total VOCs: mg/L VOC Removal°/
ScottVamer, Dir. of Processing-
Peunittee (or Authorized Agent) Name and Title- Please print ortype Signature of Pennittea (or Authorized Agent) (Date)
GW-59 Rev. 212010

SUBMIT FORM
PAPER ONLY
NDWATER QUALITY MONITORING:
LIANCE REPORT FORM
Dility Name: Mountaire Farms of North Carolina
mit Name (if different):
Dility Address: 17269 NC Hwy 17N
Lumber Bridge Isee,'n 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-32
Depth: 22.0 ft.
h to Water Level 82546: 7.5 ft. below measuring point
)wring Point is 3 ft. above land surface
ne of water pumped/bailed before sampling: 7.5
Dies for metals were collected unfiltered: Fv1 YES n
PERMIT Number: W00000484 Expiration Date: 04/20/2013
Non -Discharge X UIC
NPDES Other -
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
X Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
Date sample collected: 04/07/11
Well Diameter: 2 in.
Screened Interval: ft. to ft.
Relative M.P. Elevation: ft.
gallons
NO and field acidified: 0 YES ❑ NO
As sample analyzed: 04/07-13/11 Laboratory Name: Cameron Testing Services
\RAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N costs
mg/L
Coliform: MF Fecal 31616 < 1
/100ml-
Nitrate (NOD) as N 00620 25j3
—�mg/L
mg/L
Coliform: MF Total 31504
/100ml-
Phosphorus: Total as Poems
(Nate: Use MPN method her highly turbid samples)
Orthophosphate 70507
mg/L
solved Solids:Total 70300 <500
mg/L
AI - Aluminum 01105
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC oo6so < 10
mg/L
Ca - Calcium oo916
mg/L
Chloride 0o94o
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total 01034
ug/L
Grease and Oils 0Des2
mg/L
Cu - Copper 01042
mg/L
Phenol 32730
ug/L
Fe - Iron 01p45
ug/L
Sulfate 00945
mg/L
Hg - Mercury 71900
ug/L
ecific Conductance oo695
µMhos
K - Potassium 00937
mg/L
Total Ammonia oo610 <0.1
mg/L
Mg - Magnesium 00927
mg/L
(Ammonia Nitrogen: NH�as N; Ammonia Nitrogen, Total)
Mn- Manganese 01055
ugfL
TKN as N 00626
mg/L
Ni - Nickel 01067
ug/L
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs:
Scott Varner, Dir. of Processing
Penndtee (or Authonzed Agent) Name and Title- Please print ortype
GW-59 Rev. 212010
FIELD ANALYSES:
pH oo400: 4.29 units Temp. 000lo: 15.1 eC
Spec. Cond. 00094: µMhos
Odor 000ss:
Appearance
Certification No. NC DENR 9654
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) ❑ No (0)
VOC 78732: , method #
method #
method #
method #
mg/L Effluent Total
mg/L.. VOC Removal%
at
of

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
DEPARTMENT OF ENVIRONMENT &NATURAL RESOURCES
Dlvl'EfibNoF WATER Quarrrr-INFORMATION-PRocE"ssiNG UNIT
COMPLIANCE REPORT FORM
a
1617kMAIL SERVICE CENTER, RALEIGH(NC 2T859A61T Phone '(818)'7JJJ221; [
FACILITY INFORMATION Please Print clearlyor Type
PERMIT Number: W00000484 Expiration Date: 04/20/2013
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 ❑Remediation: Infiltration Gallery
Lumber Bridge rsL65l NC 28357-0339 CountyRobeson
(Gryi tsw4) ' Poo
K 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: '
mom Permit)
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-33
Date sample collected: 04/07/11 FIELD ANALYSES:
WAS
Well Depth: 23.0 ft.
_
Well Diameter: 2 in.
pH ooaoo: 4.66 units Temp. 000to: 17.1 °C
DRY at
Depth to Water Level 82546: 13.3 ft. below measuring point Screened Interval: ft.
to ft. Spec. Cond. 00094: µMhos
time of
sampling,
Measuring Point is 3 ft. above land surface
Relative M.P. Elevation:
ft. Odor coo9s:
check
Volume of water pumped/bailed before sampling: 5.0
gallons
Appearance
here:❑
Samples for metals were collected unfiltered: © YES
ff NO and field acidified: ® YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed: 04/07-13111
Laboratory Name: Cameron Testing Services Certification No. NC DENR ae54
PARAMETERS NOTE: Values should reflect dissolved
and colloidal concentrations.
COD oo335 mg/L
Nitrite (NO2) as N 00515
mg/L Pb - Lead oics1 .. ug/L
Coliform: MF Fecal 31616 c 1 /1 OOmL
Nitrate (NO3) as N 00620 < 10
mg/L Zn - Zinc 01092 mg1L
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 oilos
mglL
PH (Lab) 00403 units
Be - Barium 01007
ug1L
TOC oo6Bo < 10 mg/L
Ca - Calcium'oo916
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, GCIMS, 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? ❑ Yes (1) 0 No (0)
Specific Conductance ooass µMhos
K - Potassium 00937
mg/L VOC 78732: , method #
Total Ammonia 00610 < 0.1 mg/L
Mg - Magnesium D0927
mg/L , method #
(Ammonia Nitrogen; NHses N;AmmoNa Nihogen,Totai)
Mn- Manganese 01055
ug/L ,method#
TKN as N 00625 mg/L
Ni - Nickel 01067
ug/L , method #
For Remediation Systems Only (Attach Lab
Scoff Varner, Dir. of Processing
GW-59 Rev. 212010
Influent Total VOCs: mg/L Effluent Total
VOC

SUBMIT FORM ON YELLOW PAPER ONLY
r. •
•
GROUNDWATER QUALITY MONITORING:
DEPARTMENT OF. ENVIRONMENT'& NATURAL RESOURCES =L
DIVtSION'OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617iMAILSERVICECENTER,RALEIGH,�NC27699-16171„Phone:(9191,733.3221
FACILITY INFORMATION Type Please Print Clearly or7 a
PERMIT Number: W00000484 Expiration Date: 04/2012013
_
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
Lumber Bridge fsQO=" NC 28357-0339 County Robeson
El Lagoon ❑ Remediation: Infiltration Gallery
(,.nl, tbim) r_"I
N 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
0 Water Source Heat Pump ❑ Other:
(tram Pent)
SAMPLING INFORMATION
If WELI
WELL ID NUMBER (from Permit): MW-34 Date sample collected: 04/07/11 FIELD ANALYSES:
WAS
Well Depth: 23.0 ft. Well Diameter. 2 in. pH oo400: 4.51 units Temp. 0oo1o: 13.7 aC
DRY at
Depth to Water Level 62546: 5.5 ft. below measuring point Screened Interval: —ft. to ft. Spec. Cord. 00094: Mhos
time of
Measuring Point is 3 ft. above land surface Relative M.P. Elevation: ft. Odor 00065:
samplin
check
Volume of water pumped/bailed before sampling: 9 gallons Appearance
here: r
Samples for metals were collected unfiltered: [I YES El NO and field acidified: ❑ YES ❑ NO
L
1te sample analyzed: 04107-13/11
Laboratory Name: Cameron Testing Services
Certification No. NC DENR 9654
\RAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD OD335
mg/L
Nitrite (NO2) as N 00615
mg/L
Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616 < 1
/100ml-
Nitrate (NO,) as N 00620 < 10
mg/L
Zn - Zinc 01092 mg/L
Coliform: MF Total 31604
/100ml-
Phosphorus: Total as P 00665
mg/L
(Note: Use MPN method for highly Wroid samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
solved Solids:Total 70300 <500
mg/L
AI -Aluminum oleos
nri
pH (Lab) 00403
units
Ba - Barium .D1o07
ug/L
TOC oos6o < 10
mg/L
Ca - Calcium a0916
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
mglL
ORGANICS: (by GC, GC/MS, HPLC)
Phenol 3273D
ug/L
Fe - Iron oio4s
ug/L
(Specify test and method A ATTACH LAB REPORT.)
Sulfate 00945
mg/L
Hg -.Mercury 71900
ug/L
Lab Report Attached? ❑ Yes (1) ❑ No (0)
acific Conductance 000gs
Mhos
K - Potassium 00937 _
mg/L
VOC 78732: , method #
Total Ammonia ao610 <0.1
mg/L
Mg - Magnesium oo927
mg/L
, method #
(Ammonia Nitrogen: NHses 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 • • •
1 certRy,thal;lo the best of liy knowletlge antl belie( thblln(go`r�nalylOii e'Opm �etll1n lftis a • tg tnle�acwmte?a`nd complete; ntl thel y/afion�'lo i �icaladata,was°produced Osingap�,yed methotlsol ena ls.ti ss.r ..s. +1 ''C.�%A.utR .7+.. "st".1k:13Y5. a iG1kd'+&'}MY" �=d`u +.Tt�Y . '+dii.^:: e� •f; r, t eF '4'YJ` v.
DVJO,cerlifed labonaloryplam awamthatthem am slgnRicapIX 4es or,"submming false,info{m,M, n;igeWdmgiheposs56JdyoTfkoes a,_nd npgr�og(nep_pr knoWin9�yloI ions. -_ ,",„a. ,,,..f„ r,'=, N`;•'
Scott Varner, Dir. of ProcessingPe—ndee (or AUthonzed Agent) Name and Title - Please print or tvpe Si
of Permittee (OrAuthorized Agent) (Date)
GW-59 Rev. . .

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENLOF ENVIRONMENT &:NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
IM
DIVISION OF WATER QUALITY INFORMATION PROCESSING UNITr „
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER; RALEIGH,;NC 276991617 �;Phon6:(919);733322t
FACILITY INFORMATION Please Pont Clearly or Type
PERMIT Number: W00000484 Expiration Dale: 04/20/2013
Facility Name: Mountaire Famts 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
El Lagoon ❑ Remediation: Infiltration Gallery
Lumber Bridge street? NC 28357-0339 CountyRobeson
tun' tW.) !=.r?
_ N 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:
emm Fem01
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-35
Date sample collected: 04/07/11
FIELD ANALYSES:
WAS
Well Depth: 23.0 ft.
Well Diameter: 2 in.
pH oo400: 4.20 units Temp. 000lo: 14.6 eC
DRY at
Depth to Water Level 82546: 5.2 ft. below measuring point Screened Interval: ft. to
ft. Spec. Cord. 00094: Mhos
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: 9
gallons
Appearance
here:
❑
Samples for metals were collected unfiltered: ❑ YES
❑ NO and field acidified: El YES I-]NO
LABORATORY INFORMATION
Date sample analyzed: 04/07-13111
Laboratory Name: Cameron Testing Services
Certification No. NC DENR #654
PARAMETERS NOTE: Values should reflect dissolved
and colloidal concentrations.
COD 00335 mg/L
Nitrite (NO2) as N 00515
mg/L Pb - Lead oios1 u9 /L
Coliform: MF Fecal 31616 < 1 /100mL
Nitrate (NO3) as N 00620 < 10
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504 /100ml-
Phosphorus: Totalas P 0066s
mg/L
(Note: Use MPN method for highly Carom sampias)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 <500 mg/L
At -Aluminum 01105
mg/L
pH (Lab) 00403 units
Be - Barium 01007
ug/L '
TOC oo6so < 10 mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002 uglL
Chromium: Total D1034
uglL
Grease and Oils 00552 mg/L
Cu - Copper o1042
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? ❑ Yes (1) ❑ No (0)
Specific Conductance o0o95 Mhos
K - Potassium 00937
mg/L VOC 76732: , method #
Total Ammonia 00610 0.1 mg/L
Mg - Magnesium 00927
mg/L , method #
(Ammonia Nitrogen: NH3as N; Ammonia Nitrogen, Total)
Mn- Manganese 01055
ug/L ,method#
TKN as N oo625 mg/L
Ni - Nickel 01067
uglL , method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs:
Scott Varner, Dir. of Processing
Fee ittee(or Authorized Agent)Name and Title - Please print or type
GW-59 Rev. 2/2010
mg/L Effluent Total
mg/L VOC

awi.u, rvnm �wvv rr�rcrt �rv�r
:R QUALITY MONITORING:
REPORT FORM
Name: Mountalre Farms of North Carolina
Name (if different):
Address: 17269 NC Hwy 17N
NC 28357-0339 County Robeson
act Person: Robed 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-36
Depth: 23.0 ft..
1 to Water Level 82546: 12.4 ft. below measuring point
uring Point is 3 ft. above land surface
ne of water pumped/bailed before sampling: 5.25
ties for metals were collected unfiltered: © YES ❑
:RMIT.Number: W00000484
Expiration Date: 04/20/2013
m-Discharge X
UIC
IDES
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:
Date sample collected: 04/07/11 FIELD ANALYSES:
Well Diameter: 2 in. pH o0400: 4.24 units Temp. 00010: 15.6 IC
Screened Interval:_ft. to _ft. Spec. Cord. 00094: µMhos
Relative M.P. Elevation: ft. Odor room:
Is Appearance
acidified: RI YES ❑ NO
ate sample analyzed: 04107-13111 Laboratory Name: Cameron Testing Services
1RAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
- COD 00335
mg/L
Nitrite (NO2) as N o0615
mg/L
Coliform: MF Fecal 31616 < 1
A 00ml-
Nitrate (NO3) as N 00620 < 10
mg/L
Coliform: MF Total 31504.
/100ml-
Phosphorus: Total as P o0665
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L
;solved Solids:Total 70300 <500
mg/L
AI - Aluminum of lo5
mg/L
- pH (Lab) 00403
units
Be - Barium 01007
ug/L
TOC o0660 < 10
mg/L
Ca - Calcium oasts
mg/L
Chloride C0940
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002 -
ug/L
Chromium: Total olo34
ug/L
Grease and Oils o0552
mg/L
Cu - Copper 01042
mg/L
Phenol 32730
ug/L
' Fe - Iron o1045
ug1L
Sulfate 00945
mg/L
Hg - Mercury 71900
ug/L
ecific Conductance 00095
µMhos
K- Potassium 00937
mg/L
Total Ammonia o0610 < 0.1
mg/L
Mg - Magnesium o0927
mg/L
(Ammonia Mixogen; NH3as N;Ammonia Nitrogen, Total)
.Mn- Manganese 01055
ug/L
TKN as N 00525
mg/L
Ni - Nickel 01067
ug/L
Cedlflcati0n No. NC DENR #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? ❑ Yes (1) ❑ No (0)
VOC 78732: , method #
method #
method #
method #
For Kemematlon Systems Only (Attach Lab Reports): Influent Total VOCs: . mg/L Effluent Total VOCs: mg/L VOC Removal%
Scott Varner, Dir. of Processing
Penninee (or Authorized Agent) Name and Tale - Please print or type
GW-59 Rev. 212010
at
Of

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
DEPARTMENT Of ENVIRONMENT & NATURAL RESOURCES--'
DIVISION OF wATEk 61JnLITY-INFoaMAno v;ariocesslNc UNIT,
COMPLIANCE REPORT FORM
1617'MAILSERVICECENTER,RALEIGH,NC27689;ifi17 Phone:[phone].'„
FACILITY INFORMATION Please Print Clearly or Type
PERMIT Number: W00000484 Expiration Date: 04/20/2013
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 ❑Remediation: Infiltration Gallery
Lumber Bridge istrrsl, NC 28357-0339 County Robeson
(oiryf (5)2e,1 )`lol
N 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 Peimip
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-37
Date sample collected: 04/05/11 FIELD ANALYSES:
WAS
Well Depth: 20.0 ft.
Well Diameter: 2 in.
pH oo400; 4.71 units Temp. 000lo: 15.8 eC
DRY at
De Depth to Level 62s4s: 8.4 ft. below measuring
P g point Screened Interval: ft.
to ft. Spec. Cord. 00094: µ Mhos
time of
Measuring Point is 3 ft. above land surface
Relative M.P. Elevation:
ft. Odor 0009s:
sampling,
check
Volume ofwater pumped/bailed before sampling: 5.75
gallons
Appearance clear
here:❑
Samples for metals were collected unfiltered: 2 YES
El NO and field acidified: R] YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed: 04105-12111
Laboratory Name: Cameron Testing
Services Certification No. NC DENR 4654
PARAMETERS NOTE: Values should reflect dissolved
and colloidal concentrations.
COD 00335 mg/L
Nitrite (NO2) as N oo615
mg/L Pb - Lead 01051 u9 /L
Coliform: MF Fecal 31616 < 1 /100mL
Nitrate (NOO as N 00520 < 10
mg/L Zn - Zinc 01092 m9 /L
Coliform: MF Total 31504 /100mL
Phosphorus: Total as P oosss
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 oiim
mg/L
pH (Lab) 00403 units
Be - Barium 01007
ug/L
TOC oosso < 10 mg/L
Ca - Calcium oo916
mg/L
Chloride 00940 mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002 ug/L
Chromium: Total 01034
ug/L
Grease and Oils ooss2 mg/L
Cu - Copper 01D42
mg/L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730 ug/L
Fe - Iron oio4s
uglL (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945 mg/L
Hg - Mercury 71900
ug/L Lab Report'Attached7 ❑ Yes (1) X No (0)
Specific Conductance 00095 µMhos
K - Potassium 00937
mg/L VOC 78732: , method #
Total Ammonia ooslo <0.1 mg/L
Mg - Magnesium 00927
mg/L , method #
(Ammoria Nitrogen,'NHsas N;Ammonia Nilmgen. Total)
Mn- Manganese olo5s
uglL ,method#
TKN as N 00625 mg/L
Ni - Nickel 01067
uglL , method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC
Scott Varner, Dir. of Processing
Pennihee (or Authorl ed Agent) Name and Title - Please print or type
GW-59 -Rev. 2/2010

JVO ,1 rvn1V1 vlv I CLLuyw rHrmm UNLI
(GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
:ilily Name: Mountaire Farms of North Carolina
mit Name (if different):
:ility Address: 17269 NC Hwy 17N
Lumber Bridge 'st'a') 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: 04/2012013
)n-Discharge X
UIC
'DES
Other
'PE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon
❑ Remediation: Infiltration Gallery
0 Spray Field
❑ Remediation:
❑ Rotary Distributor
❑ Land Application of Sludge
❑ Water Source Heat Pump
❑ Other:
'ELL ID NUMBER (from Permit): MW-38
Date sample collected: 04/07/11
FIELD ANALYSES:
WAS
'ell Depth: 15.0 ft.
Well Diameter: 2
in.
pH o0400: 4.58 units Temp. 000lo: 15.6 eC
DRY at
apth to Water Level 82546: 5.9 ft. below measuring point Screened Interval:_ft.
to ft.
Spec. Cord. 00094: µMhos
time of
assuring Point is 3 ft. above land surface
Relative M.P. Elevation:
ft.
Odor 000a5:
samplincheck
Hume of water pumped/bailed before sampling:
4.25
gallons
Appearance
here:t—
amples for metals were collected unfiltered: RI YES
❑ NO and field acidified: ❑✓ YES
❑ NO
L
1B0RAT0RY INFORMATION
ale sample analyzed: 04/07-13111
Laboratory Name: Cameron Testing Services
Certification No. NC DENR u854
4RAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N o0615
mg/L
Pb - Lead most ugfL
Coliform: MF Fecal 31616 < 1
/100ml-
Nitrate (NO3) as N 00620 —mg/L
Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100ml-
Phosphorus: Total as P 00665
mg/L -
(Note: Use MPN method for highly tutEld samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
,solved Sblids:Total 70300 <500
mg/L
AI - Aluminum 01105
mg/L
pH (Lab) 00403
units
Ba -Barium 01007
ug/L
TOC o0680 < 10
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940
mg/L
Cd - Cadmium 01027
ugfL
Arsenic 01002
ug/L
Chromium: Total 01034
ug/L
Grease and 0i1s-00582
mg/L
Cu - Copper 01042
mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730 —
ugfL
Fe - Iron o1045
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg/L
Hg - Mercury 71900
ugfL
Lab Report Attached? ❑ Yes (1) X . No (0)
ecific Conductance o0095
µMhos
K - Potassium 00937
mg/L
VOC 78732: , method #
Total Ammonia o0610 <0.1
mg/L
Mg - Magnesium 00927
mg/L
, method #
(Ammonia Nitrogen; NN3as N;Ammonia Nitrogen, Total)
Mn - Manganese 01055
ugfL
, method #
TKN as N 00625
mg/L
Ni - Nickel 01067 -
ugfL
, method #
r.a �C111VU101LIv11 Qymnrls Unry tNaacn Lao Keportsµ mnuent i otat vuus: mg/L Effluent Total VOCs: • mq/L VOC Removal%
Scott Varner, Dir. of Processing
Penniftee (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev. 212010

a.orvu r rvnrvr �N c rnr.re Irvl i
ROUNDWATER QUALITY MONITORING:
DMPLIANCE REPORT FORM
:ility Name: Mountaire Farms of North Carolina
mit Name (if different):
;ility Address: 17269 NC Hwy 17N
Lumber Bridge ' `°""' NC 28357-0339 County Robeson
act Person: Robert Jackson
Location/Site Name: Mcuntaire Inner and Outer Perimeter
_ Telephone#: [phone]
Fields No. of wells to be sampled:
30
PERMIT Number:
L ID NUMBER (from Permit): MW-39 Date sample collected: 04/07/11
Depth: 15.0 ft. Well Diameter: 2 in.
1 to Water Level 82546: 9.2 ft. below measuring point Screened Interval:_ft. to _ft.
;udng Point is 3 ft. above land surface Relative M.P. Elevation: ft.
ne of water pumped/bailed before sampling: 3 gallons
rite sample analyzed: 04107-13/11 Laboratory Name: Cameron Testing Services
tRAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N oo615
mg/L
Coliform: MF Fecal 31616 < 1
1100mL
� mg/L
Nitrate (NOs) as N ooszoAl
Coliform: MF Total 31504
/100ml-
Phosphorus: Total as P 00665
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L
solved Solids:Total 70300 <500
mg/L
AI - Aluminum 01105
mg/L
pH (Lab) 00403
units
Be - Barium 01007
uglL
TOC ooseo < 10
mg/L
Ca - Calcium 00916
mg/L ,
Chloride 00940
mg/L
Cd - Cadmium o1o27
ug/L
Arsenic oto02
ug/L
Chromium: Total olo34
uglL
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
ug/L
ecific Conductance 00095
Mhos
K - Potassium 00937
mg/L
Total Ammonia ooslo < 0.1
mg/L
Mg - Magnesium o0927
mg/L
(Ammonia Nitrogen; NHtas N; Ammonia Nibogen, ToWlI
Mn - Manganese olos5
ug/L
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L
1000484 Expiration Date:
X UIC
'PE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
❑s Spray Field ❑.Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
FIELD ANALYSES: WAS
pH 0040o: 4.42 units Temp. o001o: 15.6 eC DRY at
Spec. Cord. 00094: Mhos time of
samplin
Odor cooss: check
Appearance here:r
Certification No. NC DENR#654
Pb - Lead o1o51 uglL
Zn - Zinc 01092 mg/L
Other (Specify Compounds ani Concentration Units):
ORGANICS: (by GC, GC/MS, HPLC)
(Specify test and method #. ATTACH LAB REPORT.)
Lab Report Attached? ❑ Yes(1) ❑ No
VOC.78732: , method #
method #
method #
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal% '
Scott Varner, Dir. of Processing
Pennittee (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev. 212010

DUMMI I FUKM UN YtLLUW PAPER UNLY
:R QUALITY MONITORING:
REPORT FORM
Aity Name: Mountaire Farms of North Carolina
mit Name (if different):
;ility Address: 17269 NC Hwy 17N
Lumber Bridge 'strG'' ' NC
28357-0339 County Robeson
act Person: Robert Jackson Telephone#: [phone]
Location/Site Name: Mountaire Inner and Outer Perimeter Splay Fields No. of wells to be sampled: 30
ERMIT Number: W00000484 Expiration Date: 04/20/2013
Ion -Discharge X UIC
IPDES Other
'YPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
NSpray Field ElRemediation:
❑ Rotary Distributor ❑ Land. Application of Sludge
❑ Water Source Heat Pump ❑ Other:
WELL ID NUMBER (from Permit): MW-40 Date sample collected: 04/07/11
Well Depth: 15:0 ft. Well Diameter: 2 in.
Depth to Water Level 82546: 6.4 ft. below measuring point Screened Interval: ft. to ft.
Measuring Point is 3 ft. above land surfacesampling,
ace Relative M.P. Elevation: ft.
Volume of water pumpedibailed before sampling: 4.5 gallons
Samples for metals were collected unfiltered: ❑ YES ❑ NO and field acidified: ❑ YES ❑ NO
FIELD ANALYSES:
pH oo400: 6.71 units Temp. 000m: 15.8 eC
Spec. Cond'..o0094: Mhos
Odor Dooes:
Appearance
WAS
DRY at
time of
check
hem:❑
LABORATORY INFORMATION
Date sample analyzed: 04/07-13/11
Laboratory Name: Cameron Testing Services
Certification No. NC DENR #654
PARAMETERS NOTE: Values should reflect
dissolved
and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N o9s15
mg/L
Pb - Lead o1o51 ug/L
Coliform: MF Fecal 31616 < 1
/100mL
Nitrate (NO3) as N 00620 � j . rng/L
Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100ml-
Phosphorus: Total as P 00665
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 <500
mg/L
At - Aluminum 01105
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 00680 < 10
mg/L
Ca - Calcium 00916
mg/L
Chloride o094o
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total o1D34
ug/L
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Phenol 3273D
ug/L
Fe - Iron 01045
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate oos4s
mg/L
Hg - Mercury 71900
ug/L
Lab Report Attached? ❑ Yes (1) 0 No (0)
Specific Conductance 0009s
Mhos
K - Potassium 00937
mg/L
VOC 78732: , method #
Total Ammonia oo610 <0.1
mg/L
Mg - Magnesium 00927
mg/L
, method #
(Ammonia Nitrogen; 19113es N; Ammonia Nitrogen. Total)
Mn - Manganese 01055
g
ug/L
,method #
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L
, method # '
v, ,.cummauw .aymcum aeury leruaen'nu nupuris): mrlueni IUral vul:s:
Scott Varner, Dir. of Processing
Permidee, (or Authorized Agent) Name and Tdte - Please print or type '
GW-59 Rev. 212010
tttluent I otal vacs:
Y�
approved meNgtls'ofanafysls by a'"ra .,� +jG�5

ounimi l rVKM VN TtLLUVV YArtK VNLT
TER QUALITY MONITORING:
E REPORT FORM
;ility Name: Mountaire Farms of North Carolina
mit Name (if different):
:ility Address: 17269 NC Hwy 17N
Lumber Bridge fsawl 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): MW41 Date sample collected: 04/07/11
Depth: 15.0 ft. Well Diameter. 2 in.
h to Water Level 82546: 5.8 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: 4.5 gallons
)lea for metals were collected unfiltered: ❑ YES ❑ NO and field acidified: ❑ YES ❑ NO
ite sample analyzed: 04/07-13/11 Laboratory Name: Cameron Testing Services
1RAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD OD335
mg/L
Nitrite (NO2)as N oasts
mg/L
Coliform: MF Fecal 31616 < 1
/t00mL
Nitrate (NO,) as N 00620
mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 006e5
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 705o7
mg/L
solved Solids:Total 70300 <500
mg/L
AI -Aluminum 01105
mg/L
PH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC oossc < 10
mg/L
Ca - Calcium oo916
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
Phenol 32730
ug/L
Fe - Iron 01045
ug/L
Sulfate 00945
mg/L
Hg -Mercury 71900
ug/L
ecific Conductance Doo95
Mhos
K - Potassium 00937
mg/L
Total Ammonia oosto < 0.1
mg/L
Mg - Magnesium 00927
mg/L
(Ammonia Nitrogen: NH3as N; Ammonia Nitrogen, Total)
Mn - Manganese 01055
ug/L
TKN as N 00525
mg/L
Ni - Nickel Dios?
ug/L
:RMIT Number: W00000484
Expiration Date: 04/20/2013
in -Discharge X
UIC
'DES
Other
'PE OF PERMITTED OPERATION
BEING MONITORED
❑ Lagoon
❑ Remediatiom. Infiltration Gallery
❑® Spray Field
❑ Remediation:
❑. Rotary Distributor
❑ Land Application of Sludge
❑ Water Source Heat Pump
❑ Other:
FIELD ANALYSES:
PH oc4co: 5.33 units Temp. 000lo: 17.2 °C
Spec. Cond. 00094: Mhos
Odor 000e5:
Appearance
Certification No. NC DENR lt654
Pb - Lead most ug/L
Zn - Zinc 01092 mg/L
Other (Specify Compounds and Concentration Units):
ORGANICS: (by GC, GC/MS, HPLC)
(Specify test and method A ATTACH LAB REPORT.)
Lab Report Attached? ❑ Yes (1) ❑ No (0)
VOC 78732: , method #
method #
method #
method #
vor Kemeotauon systems Only (Attach Lab Reports): Intluent Total VOCs: mg/L Effluent Total
Scott Varner, Dir. of Processing
Pe rni tee (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev. 212010
mg/L VOC Removal%
at
of

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
DEPARTMENT OFENVIRONMENT&NATURAL RESOURCES "
DIVISION OF,WATER QUALITY INFFORMAf10N PROCESSING UNl7 � - g
COMPLIANCE REPORT FORM.
tsn MuaSERVicECENTER,RAI.EiGH; NC 27699-1617:' Phone.'(919)7333221 ',
FACILITY INFORMATION Please Pnnt Cleary or Type
PERMIT Number: W00000484 Expiration Date: 04/202013
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
El Lagoon ❑Remediation: Infiltration Gallery
Lumber Bridge 's"11r NC 28357-0339 County Robeson
t_Rrot (_,et.l ��"�
❑® Spray Field ❑ Remediation:
Contact Person: Robert Jackson
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well LocationtSite Name: Mountains Inner and Outer Perimeter Spray Fields No. of wells to be sampled:
.30
❑ Water Source Heat Pump ❑ Other:
ham Pema)
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-42
Date sample collected: 04/07/11
FIELD ANALYSES:
WAS
Well Depth: 15.0 ft,
_
Well Diameter: 2 in.
pH ooaoo: 5.03 units Temp. 000to: 16.8 °C
DRY at
Depth to Water Level 82546: 7.4 ft. below measuring point
Screened Interval:
to
_
ft. Spec. Cond. 00094: µMhos
time of
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: 3.75
gallons
Appearance
here:❑
Samples for metals were collected unfiltered: © YES ❑
NO and field' acidified: ® YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed: 04/07-13/11
Laboratory Name: Cameron Testing Services
Certification No. NC DENR 8654
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L
Nitrite (NO2) as N 00615
mg/L
Pb - Lead oio51 ug/L
Coliform: MF Fecal 31616 < 1 /100mL
Nitrate (NO3) as N 00620 < 10
mg/L
Zn -Zinc 01092 mg/L
Coliform: MF Total 31504 /100mL Phosphorus: Total as P 00665
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 <500 mg/L
AI - Aluminum 01105
mg/L
pH (Lab) 00403 units
Be - Barium 01007
ug/L
TOC 00660 < 10 mg/L
Ca - Calcium oo916
mg/L
Chloride 00940 mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002 ug/L
Chromium: Total o1o34
ug1L
Grease and Oils 00552 mg/L
Cu - Copper 01042
mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730 ug/L
Fe - Iron 01045
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate 0o945 mg/L
Hg - Mercury 71900
ug/L
Lab Report Attached? ❑ Yes (1) N No (0)
Specific Conductance odogs µMhos
K- Potassium 00937
mg/L
VOC 78732: , method #
Total Ammonia ooslo < 0.1 mg/L
-
Mg - Magnesium 00927
mg/L
, method #
.(Ammonia Nitrogen; NH,es N; Ammonia Nitrogen, Tolag
Mn- Manganese 01055
ug/L
,method#
TKN as N 00625 mg/L
Ni - Nickel 01067
ug/L
; method #
nor Remediation Systems Only (Attach Lab Reports): Influent Total
mg/L Effluent Total VOCs:
mg/L VOC
Scott Vanier, Dir. of Processing -
Pennittee (or Authorized Agent) Name and Title - Please print or type Signature of Permittee, (or Authorized Agent) (Date)
GW-59 Rev. 2/2010

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
--mmuffiff-M
DEPARTMENT OF ENVIRONMENTS NATURAL RESOURCES '
DIVISION;OF WATER QUALITY INFORMATION PROCESSING UNIT r '
COMPLIANCE REPORT FORM
161TMAILSERVI6E,CENTER,RALEIGH;NC27699.1617 Phone:(916j733321f_.
FACILITY INFORMATION Please pant cleady or Type
PERMIT Number: WQ0000484 Expiration Date: 0412012013
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 ❑Remediation: Infiltration Gallery
Lumber Bridge isa6f'" NC 28357-0339 CountyRobeson
t�dyi Alan,, (a;+
X Spray Field ❑Remediation:
Contact Person: Robert Jackson
Telephone#: [phone]
ElRotary Distributor ElLand Application of Sludge
Well Location/Site Name: Mountain Inner and Outer Perimeter Spray Fields No. of wells to be sampled: 30
❑ Water Source Heat Pump ❑ Other:
(flem Pert d
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW43
Date sample collected: 04/07/11
FIELD ANALYSES:
WAS
Well Depth: 15.0 ft.
_
Well Diameter: 2 in.
pH o0460: 4.76 units Temp. 00010: 15.9 °C
DRY at
Depth to Water Level 62546: 5.8 ft. below measuring
p g point Screened Interval: ft. to
ft. Spec. Cond. OoOsa: Mhos
time of
Measuring Point is 3 ft. above land surface
Relative M.P. Elevation: ft.
Odor 00085:
sampling,
check '
Volume of water pumped/bailed before sampling: 4.5
gallons
Appearance
here:❑
Samples for metals were collected unfiltered: ❑ YES
❑ NO and field acidified: ❑ YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 04/07-13111
Laboratory Name: Cameron Testing Services Certification No. NC DENR 9654
PARAMETERS NOTE: Values should reflect dissolved
and colloidal concentrations.
COD 00335 mg/L
Nitrite (NO2) as N 00615
mg/L Pb - Lead olos1 ug/L
Coliform: MF Fecal 31616 < 1 /100mL
Nitrate (NO3) as N 00820 < 10
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504 /100mL
Phosphorus: Total as P 00665
mg/L
(Note: Use MPN method for highly tumid Samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 <500 mg/L
AI -Aluminum oilo5
pH (Lab) 00403 units
Be - Barium 01007
uglL
TOC 00680 < 10 mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002 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 ug/L
Fe - Iron 01045
uglL (Specify test and method #. ATTACH LAB REPORT.)
Sulfate oo945 mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance o0o95 Mhos
K - Potassium OD937
mg/L VOC 78732: , method #
Total Ammonia ooslo <0.1 mg/L
Mg - Magnesium 00927
mg/L , method #
(Ammonia Nitrogen: NH3as N;Ammonia Nitrogen, Total)
Mn- Manganese 01055
ug/L ,method# '
TKN as N 00625 mg/L
Ni - Nickel 01067
ug/L , method #
I certdy ilial'rjofhe 6estnf.myknawledge a'd bel�eT"Neh'nfor�etiohsSubmitteAandhysTe orlIS frj6$BMra611a1Rd1Wmplele; dUiaA �Or _
o1)Z0hKe Iabloralo r lama�ware,Na1 Ig5` e-_R „>^ .>k r•:�,t+�''.as�ss.n3'�•` +ae t rwaf+'fn`.gtx",�y y y
ry' LhQreare c�ntMR1llesYw;submrlUR9ta13eiMopnatlon, mcludifLVAheropsstblfrt ,.o( mes:and mb s rrcae
Scott Vamer, Dir. of Processing
Permihee (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev. 2/2010
C
Signature of Pe"dee (or Authorized Agent) (Date)

SUBMIT FORM ON YELLOW. PAPER ONLY
GROUNDWATER QUALITY MONITORING:
DEPARTMENT OF ENVIRONMEENTB NATURAL RESOURCES a
DlvlstDNOFwnTER6uAf1nINiF&gMATroNP�ROCEsslycuNlT, as
COMPLIANCE REPORT FORM
WT,MAOiEkOCECENTgR ru1LElci�:yc27eee1e1z"-"Phon_e {s>sj as
FACILITY INFORMATION Please Print Clearly or Type
PERMIT Number: W00000484 Expiration Date: 04/20/2013
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 ❑ Remediation: Infiltration Gallery
Lumber Bridge """-- NC 28357-0339 County Robeson
t�nyr.,r.el (`i'l
A 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 PemRi
SAMPLING INFORMATION
-
If WELL
WELL ID NUMBER (from Permit): MW-44
Date sample collected: 04/07/11
FIELD ANALYSES:
WAS
Well Depth: 15.0 ft.
Well Diameter: 2 in.
pH oD400: 4.59 units Temp. 00010: 16.4 °C
DRY at
Depth to Water Level 82546: 8.6 ft. below measuring
P g point Screened Interval: ft. to
ft. Spec. Cond. 00094: µMhos
time of
Measuring Point is 3 ft. above land surface
Relative M.P. Elevation: ft.
Odor 00065:
sampling,
check
Volume of water pumped/bailed before sampling: 3.5
gallons
Appearance
here:❑
Samples for metals were collected unfiltered: RI YES
❑ NO and field acidified: R] YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 04/07-13111
Laboratory Name: Cameron Testing Services
Certification No. NC DENR #654
PARAMETERS NOTE: Values should reflect dissolved
and colloidal concentrations.
COD 00335 mg/L
Nitrite (NO2) as N oo615
mg/L Pb - Lead 01051 u9 IL
Coliform: MF Fecal 31616 < 1 /100mL
Nitrate (NO3) as N 00620 4U1 IT21a
mg/L Zn - Zinc 01092 m9 /L
Coliform: MF Total 31504 /100mL
Phosphorus: Total as P oos55
mg/L
(Note: Use UPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 7o3oo <500 mg/L
Al -Aluminum 01105
mg/L
pH (Lab) 00403 units
Be - Barium 01007 _
ugfL
TOC 00680 < 10 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 3273o ug/L
Fe - Iron o1o45
ug/L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945 mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance 00095 µMhos
K - Potassium oo937
mg/L VOC 78732: , method #
Total Ammonia D0610 <0.1 mg/L
Mg - Magnesium 00927
mg/L , method #
(Ammonia Nitrogen: NH.as N; Ammonia NilrNen,Total)
Mn- Manganese 01055
ug/L ,method#
TKN as N co625 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%
Scott Vamer, Dir. of Processing
Penmffee (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev. 2/2010

RI IRMIT 9r1RM r1N VFI I r11A1 PAPPP nhit V
GROUNDWATER QUALITY MONITORING:
DEPARTMENT OF ENVIRONMENT Ili NATURAL RESOURCES
•
DIVISION OF WATER QUALITYINFORMATION PROCESSING UNIT "
COMPLIANCE REPORT FORM
'
1617 MAIL'SERVICE CENTER; RALEIGH, NC 27699.1617' Phona [phone], 7-a
FACILITY INFORMATION Please Pnnt Clearly or Type
PERMIT Number: WQ0000484 Expiration Date: 04/20/2013
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
El Lagoon F-1 Remediation: Infiltration Gallery,
Lumber Bridge Iseerr NC 28357-0339 County Robeson
(ay' taut1f (ZIN
❑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:
30
❑ Water Source Heal Pump ❑ Other:
ffmm Pemdtl
SAMPLING INFORMATION
If WELL
WELL ID'NUMBER (from Permit): MW-45
Date sample collected: 04/07/11 FIELD ANALYSES:
WAS
Well Depth: 15.0 ft.
Well Diameter: 2 in.
_
pH o0400: 4.59 units Temp. oaolo: 16.1 °.0
DRY at
Depth to Water Level 82546: 8.6 ft. below measuring
P g point Screened Interval: ft.
to ft. Spec. Cond. o0osa: Mhos
time of
Measuring Point is 3 ft. above land surface
Relative M.P. Elevation:
ft. Odor 000e5:
sampling,check
Volume of water pumped/bailed before sampling: 3.5
gallons
Appearance
here:❑
Samples for metals were collected unfiltered: ❑ YES
❑ NO and field acidified: ❑ YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed: - 04107-13I11
Laboratory Name: Cameron Testing Services Certification No. NC DENR #654
PARAMETERS NOTE: Values should reflect dissolved
and colloidal concentrations.
COD 00335 mg/L
Nitrite (NO,) as N oo515
mg/L Pb - Lead oic51 uglL
Coliform: MF Fecal 31616 < 1 /100mL
- Nitrate (NO,) as N 00620 < 10
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504 /100mL
Phosphorus: Total as P 00665
mg/L
(Note: Use MPN method for highly turoid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 <500 mg/L
AI -Aluminum ol1o5
mg/L
pH (Lab) 00403 units
. Ba - Barium 01007
uglL
TOC 00660 < 10 mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 mg/L
Cd - Cadmium 01027
uglL
Arsenic 01CO2 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 7190o
ug/L Lab Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance OOD95 Mhos
K- Potassium C0937
mg/L VOC 78732: , method #
Total Ammonia oo610 <0.1 mg/L
Mg - Magnesium 00927
mg/L , method #
(Ammonla Nitrogen; NH.as N; Ammoma Nitrogen, Total)
Mn -Manganese o1055
uglL ,method #
TKN as N 00625 mg/L
Ni - Nickel 01057
ug/L , method #
i-or Kemeniatlon systems Unly (Attach Lab Reports):
GW-59 Rev. 212010
Influent Total VOCs:

' JUON11 I rUKIA UN TCLLUVV-AVLK UNL1
:R QUALITY MONITORING:
REPORT FORM
ility Name: Mountaire Farms of North Carolina
mit Name (if different):
oility Address: 17269 NC Hwy 17N
Lumber Bridge 'sP.1, NC 28357-0339 County Robeson
1GIyi t51ap4 rap)
I
(tact Person: Robert Jackson Telephone#: [phone]
II Location/Site Name: Mountaire Inner and Outer Perimeter Spray Fields No. of wells to be sampled: 30
L ID NUMBER (from Permit): MW-46 Date sample collected: 04/07/11
Depth: 15.0 ft. Well Diameter: 2 in.
1 to Water Level 82546: 8.6 ft. below measuring point Screened Interval: ft. to ft.
uring Point is 3 ft. above land surface Relative M.P. Elevation: ft.
ne of water pumped/bailed before sampling: 3.75 gallons
)[as for metals were collected unfiltered: ❑ YES ❑ NO and field acidified: ❑ YES ❑ NO
ate sample analyzed: 04/07-13111 Laboratory Name: Cameron Testing Services
%RAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N oo615
mg/L
Coliform: MF Fecal 31616
< 1
/100ml-
Nitrate (NO,) as N 0062a
7,5 mg/L
Coliform: MF Total 31504
/100ml-
Phosphorus: Total as P oo665
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 7oso7
mg/L
,solved Solids:Total 70300
< 500
mg/L
AI - Aluminum 01105
mg/L
pH (Lab) 00403
units
Be - Barium 010D7
ug/L
TOC 00680
< 10
mg/L
Ca - Calcium oo916
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
Phenol 32730
ug/L
Fe - Iron oio45
ug/L
Sulfate 00945
mg/L
Hg - Mercury 71900
uglL.
ecific Conductance 0oo95
Mhos
K - Potassium 00937-
mg/L
Total Ammonia 000lo
<0.1
mg/L
Mg - Magnesium 00927
mg/L
(Ammonia Nitrogen; NHsas N; Ammonia
Nitrogen. Total)
Mn - Manganese 01055
uglL
TKN as N 00625
mg/L
Ni - Nickel 01067
uglL
:RMIT Number: W00000484
Expiration Date: 04/20/2013
m-Discharge X
UIC
IDES
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: WAS
pH oo4lo: 4.24 units Temp. 000lo: 15.2 °C DRY at
time of
Spec. Cond. 000sa: Mhos samplin
Odor 000e5: check
Appearance here:r
Certification No. NC DENR#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? ❑ Yes (1) A No (0)
VOC 78732: , method #
method #
method #
method #
ror memealanon systems unry (Attach Lai) [reports): mtluent I otal VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal% .
Scott Varner, Dir. of Processing—
PennMee (or Authorized Agent) Name and Tile- Please print or type Signature of Pennittee (or Authorized Agent) (Date)
GW-59 Rev. 2/2010

GW-59A COMPLIANCE REPORT FORM Permit # � � 0c_ y8y
(Submir one each monitoring period with G;V-59 forms)
I
Enter date monitoring results were due.( 1- 1-C 1 Will this monitoring report (GW-59 and GW-59A)
YES
NO
be submitted after the established due date?
Z
Was any required Information missing on the GW-59 report forms?
YE
O
IF the answer to question 1 or 2 is 'YES", list in the space provided below the well identification number(s) and
explain the problems encountered in obtaining the required information.
3
Are any of the monitor wells in need of repair or maintenance (damaged "easing, unlocked or missing cap, missing
YES
707
identifcation plate, area overgrown, etc.)? Ijthe answer is " 1•es• ••, contact the Regional 0 Ice jorguidance.
4
Are any monitored constituents equal to or above the established standards?
YES
NO
If the answer to question 41s "NO", skip to section. B.
If the answer to question 4 Is "YES" list the affected wells individually with constituehits) end concentration(s)
exceeding standards in the space provided below:
15-No- 18.5 ;),-I, t.\ 3 j-9.r1 36. mba
ICI -(So? q(.1 a.9. Nca 4o.9- 3'1 Mo3 )r(.3
5
For the constituents Identified In question 4 above, have standards been exceeded previously for the
YES
NO
same constituent(s) In the same wells) In the last two years?
If the answer to question 5 is ONO" skip to'section 8. 1 ,
If the answer to question 51s "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).
Sec tt"e o,�6w C^v7reS�a���l et��e
5
Are the monitoring wells listed In section 5 located at or beyond the review boundary?
I�W o�
ES
NO
If the answer is "YES'; a groundwater quality problem maybe occurring. CONTACT THE REGIONAL ..
OFFICE IMMEDIATELY FOR GUIDANCE. If the answer is "NO'; monitoring wells maybe Improperly
located; contact the Regional Office.
Is the permittee Implementing previously approved actions required by the Division Involving this,
YES
NO
groundwater quality problem?
If the answer to question 7 is 'YES , describe those actions in the space provided below.
If Me 2.1S =ver fe queat'o;, 7 is " 9'^" cT"!a^! the Regional Omrre within 90 days: an evaluation may ba
to determine the impact the waste disposal system Is having at the review and compliance.
required
boundaries surrounding this facllitV Failure to do so may sublect the permittee to a Notice of Violation.
fines, andforoenal0es-
8
The person completing this portion (GW-59A) of the monitoring report should sign below and submit this
form.
form with GW-59 forms for required wells to the address provided at the top of the current GW-59
t hsretiyacknowledge thatthe abdye Inop-was afp�ated�nd the'in�ot_ -at. ub n fled nth�li
rep�oit,(^Compliant_e�Re�apoit�filly�58A�Istrueandcompletetofhe,besfojmyLtflswiedg@.ny ,.
Signature of Pe Itlee (or Authorized Agent) Date
�.
N'l-