WQ0002857_Monitoring - 03-2024_20240417

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENTAL OUALITY - DIV. OF WATER RESOURCES
GROUNDWATER QUALITY MONITORING:
INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH, INC 27699-1617
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: WQ0002857 Expiration Date:
Facility Name: Piedmont Custom Meats WWTF
Non -Discharge UIC
Permit Name (if different):
NPDES Other
Facility Address: 9683 Kerr's Chapel Road
TYPE OF PERMITTED OPERATION BEING MONITORED
Gibsonville NC
27249
County Caswell
❑ Lagoon ❑ Remediation: Infiltration Ga lery
❑ Spray Fie:d ❑ Remed ation:
Contact Person: Larry Moore
Telephone#: [phone]'
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name:
No, of wells to be sampled:
3
❑ Water Source Heal Pump ❑ Other:
from. Mem+.m
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-5
Date sample collected: 03 26,2024
FIELD ANALYSES:
WAS
Well Depth: 23.00 ft.
Well Diameter:
in.
pH 00400 6.51 units Temp. 00010 14 4 eC
DRY at
Depth to Water Level 82546: 15.07 ft. below measuring
p 9
Screened Interval:
ft. to
ft. Sea Cond. ��
p 94 µMhos
time of
sampling,
point Measuring Point is ft. above land surface
Relative M.P. Elevation:
ft.
Odor 000as
check
Volume of water pumped/bailed before sampling: O-0- Dry
gallons
Appearance
here,
Samples for metals were collected unfiltere❑
YES ®
NO and field acidified: ❑ YES
E NO
LABORATORY INFORMATION
Date sample analyzed: 03/26-04/03/2024
Laboratory Name: Pace Analytical Services Certification No. 40 & 633
PARAMETERS NOTE: Values should reflect dissolved and
colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615
mg/L Pb - Lead o1051 ug/L
Coliform: MF Fecal 31616 <1
/1OOmL
Nitrate (NO3) as N 00620 0.39
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL Phosphorus: Total as P oom
mg/L
(Note; use MPN method for highly tur)md Samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units)
issolved Solids:Total 70300 330
mg/L
Al - Aluminum o11o5
mg/L
pH {Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 00680 <1.0
mg/L
Ca - Calcium oo916
mg/L
Chloride 00940 111
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 <1.0
mg/L
Hg - Mercury 71900
ug/L
Lab Report Attached? ❑ Yes (1) © No (0)
Specific Conductance 00095 _ 486
µMhos
K - Potassium 00937
mg/L VOC 7873 method #
Total Ammonia 00610 <0.10
mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen. NH3as N• Ammonia Nitrogen Total),
Mn - Manganese 01055
ug/L
, method #
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs. mg/L Effluent Total VOCs: mg/L VOC Removal%
GW-59 Rev.05-07-2018

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENTAL QUALITY - DIV. OF WATER RESOURCES
GROUNDWATER QUALITY MONITORING:
INFORMATION PROCESSING UNTT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699.1617
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: WQ0002857 Expiration Date:
Facility Name: Piedmont Custom Meats WWTF
Non -Discharge UIC
Permit Name (if different):
NPDES Other
Facility Address: 9683 Kerr s Chapel Road
TYPE OF PERMITTED OPERATION BEING MONITORED
Gibsonville NC
27249 County Caswell
❑ Lagoon ❑ Remediation: Infiltration Gallery
"
❑ Spray Field ❑ Remediation:
Contact Person: Larry Moore
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name:
No. of wells to be sampled:
3
❑ Water Source Heat Pump ❑ Other:
IrOm Pemm
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-4
Date sample collected: 03/6/2024
FIELD ANALYSES:
WAS
Well Depth: 15.63 ft.
Well Diameter:
in.
pH 00400 6.58 units Temp. 000m 14.0 °C
DRY at
Depth to Water Level 82546: 4.92 ft. below measuring
p 9
Screened Interval:
ft. to _ft.
Spec. Cond. 0oo9a µ Mhos
time of
sampling,
point Measuring Point is ft, above land surface
Relative M.P. Elevation:
ft.
Odor o0085
check
Volume of water pumped/bailed before sampling: 5.?5
gallons
Appearance
here:❑
Samples for metals were collected unfiltere❑
YES
® NO and field acidified: ❑ YES
® NO
LABORATORY INFORMATION
Date sample analyzed: 03/26-04/03/2024
Laboratory Name: Pace Analytical Services Certification No. 40 & 633
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD oo33s
mg/L
Nitrite (NO2) as N 00615
mg/L Pb - Lead o1051 ug/L
Coliform: MF Fecal 31616 <1
/10omL
Nitrate (NO3) as N 00620 2.1
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P oosss
mg/L
(Note, Use MPN method for highly turbid samples)
Orthophosphate 70507
mg1L Other (Specify Compounds and Concentration Units)
issolved Solids:Total 703oo 595
mg/L
At - Aluminum a1105
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 00680 <1.0
mg1L
Ca - Calcium oo916
mg1L
Chloride 00940 270
mg1L
Cd - Cadmium 01027
ug1L
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
ug1L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945 9.1
mg/L
Hg - Mercury 71900
ug/L
Lab Report Attached? ❑ Yes (1) 9 No (0)
Specific Conductance 0009s 1,150
µMhos
K- Potassium o0937
mg/L VOC 7873 method #
Total Ammonia omio <0.10
mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen; NHS as N; Ammonia Nitrogen, Total)
Mn - Manganese o1 o55
ug/L
, method #
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg1L Effluent Total VOCs: mg/L VOC Removal%
Baron Neal McDuffie
Permittee (or Authorized Ayent) Name and Title - Please pnnt or type
(Date)
GW-59 Rev.06-07-2018

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENTAL QUALITY - DIV. OF WATER RESOURCES
GROUNDWATER QUALITY MONITORING:
INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: W00002857 Expiration Date:
Facility Name: Piedmont Custom Meats WWTF
Non -Discharge UIC
Permit Name (if different):
NPDES Other
Facility Address = 9683 Kerrs Chapel Road
TYPE OF PERMITTED OPERATION BEING MONITORED
Gibsonville NC
27249
County Caswell
❑ Lagoon ❑ Remediation: Infiltration Gallery
❑ spray Field 0 Remediation:
Contact Person: Larry Moore
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name:
No, of wells to be sampled:
3
❑ Water Source Heat Pump ❑ Other:
bom Perim
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW_ I
Date sample collected: 03, 26/2024
FIELD ANALYSES:
WAS
Well Depth 36 88 ft
We I Diameter:
in.
pH 00400. 6.44 units Temp. 000lo: 15.2 °C
DRY at
Depth to Water Level 82546- 15.86 ft, below measuring
Screened Interval:
ft, to _ft.
Spec. Cond. 00094. K Mhos
time of
sampling,
point Measuring Point is ft. above land surface
Relative M.P. Elevation:
ft.
Odor 000ss
check
Volume of water pumped/ba led before sampling
4 75-Dry
gallons
Appearance
here:a
Samples for metals were collected unfiltered: El YES K NO and field acidified: ❑ YES
®NO
LABORATORY INFORMATION
Date sample analyzed: 03 26-04/03/2024
Laboratory Name: Pace Analytical Services Certification No. 40 & 633
PARAMETERS NOTE: Values should reflect
dissolved and
colloidal concentrations.
COD ?3335
mg1L
Nitrite (NO2) as N 00615
mg/L Pb - Lead olos1 ug/L
Coliform: MF Fecal 31616 <1.0
/100mL
Nitrate (NO3) as IN 00620 18.2
nri Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL Phosphorus: Total as P 00665
mg/L
(Note Use MPN metnoil for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 285
mg/L
All -Aluminum 011o5
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 00680 <1.0
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 45.7
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total olo34
ug/L
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg/L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron olo45
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945 5•6
mg/L
Hg - Mercury 71900
ug/L
Lab Report Attached? ❑ Yes(l) ❑■ No(0)
Specific Conductance 0DD9s 441
µMhos
K - Potassium 00937
mg/L VOC 7873 method #
Total Ammonia 00610 <0.10
mg/L
Mg - Magnesium 00927
mg1L method #
(Ammonia Nitrogen: NH3 as N; Arnmonia Nitrogen, Total)
Mn - Manganese olo55
ug/L
, method #
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
Baron Neal McDuffie
Permittee (or Authorized Aqent) Name and Title - Please print or type
GW-59 Rev.06-07-2018

Monitoring Report Submittal
Permit Number#*
Name of Facility:*
Month: * March
Report Information
Type *
GW-59
WQ0002857
Piedmont Custom Meats
Confirmation Email Address: *
Name of Submitter: *
Signature:
Date of submittal:
Initial Review
Year:* 2024
Upload Document*
Piedmont Custom Meats Groundwater Forms.pdf 139.16KB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
[e-mail]
Arnie Ferguson
Reviewer: Wanda.Gerald
4/17/2024
This will be filled in automatically

Is the project number correct?* WQ0002857
Is the monitoring report accepted?* Yes No
Regional Office* Winston-Salem
Reviewer: _anonymous
Review Date: 7/1/2024