WQ0000484_Monitoring - 04-2024_20240530

Monitoring Report Submittal
.....................................................
Permit Number#* WQ0000484
Name of Facility:*
Month: * April
Report Information
Type *
G W-59
Mountaire Farms Inc.
Confirmation Email Address: *
Name of Submitter: *
Signature:
Date of submittal:
Initial Review
Year:* 2024
Upload Document*
GW-59' S.pdf 10.41 MB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
[e-mail]
Robert Jackson
Reviewer: Wanda.Gerald
5/30/2024
This will be filled in automatically

Is the project number correct?* WQ0000484
Is the monitoring report accepted?* Yes No
Regional Office* Fayetteville
Reviewer: _anonymous
Review Date: 7/30/2024

G W-59A COMPLIANCE REPORT FORM Permit
(Submit one each monitoring period with GW-59 jorna.)
1
Enter date monitoring results were due. Will this monitoring report (GW-69 and GW-59A)
YES
, 0
be submitted after the established due date?
2
Was any required information missing on the GW-59 report forms?
YES
NO
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 casing, unlocked or missing cap, missing
YES
identification plate, area overgrown, etc.)? If the answer is "Yes", contact the Regional Office for guidance.
4
Are any monitored constituents equal to or above the established standards?
1'E
NO
If the answer to question 4 is "NO", skip to section 8.
if the answer to question 4 is "YES" list the affected wells individually with constituents) and concentrations)
exceeding standards in the space provided below:
�.L t 7
5
For the constituents identified in question 4 above, have standards been exceeded previously for the
YES
O
same constituent(s) in the same well(s) in the last two years?
if the answer to question 5 is "NO", skip to section 8.
if the answer to question 5 is "YES", list in the space provided below, each well with constituent(s) exceeding
standards, concentrations) reported, and sample collection date for each occurrence (for the last two years).
G
Are the monitoring wells listed In section 6 located at or beyond the review boundary?
YES
O
If the answer is "YES", a groundwater quality problem may be occurring. CONTACT THE REGIONAL
OFFICE IMMEDIATELY FOR GUIDANCE. If the answer Is "NO", monitoring wells may be improperly
located, contact the Regional Office.
7
Is the permittee implementing previously approved actions required by the Division involving this
ES
I NO
groundwater quality problem?
If the answer to question 7 is 'YES", describe those actions in the space provided below.
If the answer to question 7 is "NO", contact the Regional Office within 90 days: an evaluation may be
required to determine the impact the waste disposal system is having at the review and compliance
boundaries surrounding this facility. Failure to do so may sublect the permittee to a Notice of Violation,
fines, andforpenaldes.
g
The person completing this portion (GW-59A) of the monitoring report should sign below and submit this
form with OW-59 forms for required wells to the address provided at the top of the current G W-59 form.
I hereby acknowledge that the�above lnfbrmatlon Vitas evaluated andithe:lnfogtlQ*g0 _ubrhittedAj thin , .:
report (Compllamae,Report"G�II(t68f1js frtrbo iliko le b r to ttie .bpst of my kna r7' Inge -., r '
�—
Signature of Permi (or uthorized Agent) Date
GW-59A 12/8/2003

SUBMIT FORM ON YELLOW PAPER ONLY
)• ; r .
DEPARTMENT OF ENVIRONMENT 6 NATURAL RESOURCES
:out�c. 1AL1TY MO.:; , _ :It:G:
• :f
DIVISION OF WATER DUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION Please Print Clearly or Type
PERMIT Number: WOODOG4b.: Expiration Date 09i301203C
Facility Name: Mountaire Farms of North Carolina
Non -Discharge X UIC
NPDES Other
Permit Name (if different)-
Fes. i:lv Address 17269 NC Hwy 71 N
TYPE OF PERMITTED OPERATION BEING MONITORED
Lumber Bridge NC 28357-0339 County Robeson
❑ Lagoon ❑ Remediation Infiltration Gallery
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:
ftm Perms
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-8
Date sample collen,, : 04/26/2024
FIELD ANALYSES:
WAS
Well Depth: 12.0 ft.
Well Diameter: 2 in.
pH 00400 4.54 units Temp. 000lo. 18.5 eC
DRY at
Depth to Water Level 62546: 10.2 ft. below measuring point Screened Interval: fL to
ft. Spec. Cond. oDo94. µMhos
time of
sampling,
Measuring Point is 2.2 ft. above land surface
Relative M.P. Elevation: ft.
Odor 0008s:
check
Volume of water pumped/bailed before sampling: 1.5
gallons
Appearance
here: ❑
Samples for metals were collected unfiltered: ❑ YES
® NO and field acidified: ❑ YES ® NO
LABORATORY INFORMATION
Date sample analyzed: 04r26-05106no24
Laboratory Name: Cameron Testing Services
Certification No. 654
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L
Nitrite (NO.) as N D0615
mg/L Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616 <1 /100ml-
Nitrate (NO,) as N 00620 <1.00
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504 /100ml-
Phosphorus: Total as P oo665 <0.05
mg/L
(Note Use MPN method for higNy turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 <25.0 mg/L
AI - Aluminum o11o5
mg/L
pH (Lab) oo4o3 units
Ba - Barium 01007
ug/L
TOC oo6eo <1.00 mg/L
Ca - Calcium D0916
mg/L
Chloride oo94o 7.18 mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002 ug/L
Chromium: Total 01034
ug/L
Grease and Oils D0552 mg/L
Cu - Copper 01042
mg/L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730 ug/L
Fe - Iron 01045
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945 mg/L
Hg - Mercury 71900
ug/L
Lab Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance DD095 µMhos
K - Potassium 00937
mg/L VOC 78732. method # EPA 8260E
Total Ammonia Dmio < 0.10 mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen. NH,as N; Ammonia Nitrogen, Totall
Mn - Manganese oio55
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%
Marcus Bell, Director of Processing
Permdtee (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev.212010

CI n KAIT Fr)PkA r)M VFI I OW PAPFR C)NI Y
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
,
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
DIVISION OF WATER OUALITY-INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION Please Print Clearly or lyuc
PERMIT Number: W00000484 Expiration Date C9/30/2030
Facility Name Mountaire Farms of North Carolina
Non -Discharge X UIC
Permit Name (if different):
NPDES Other
Facility Address 17269 NC Hwy 71 N
TYPE OF PERMITTED OPERATION BEING MONITORED
Lumber Bridge NC 28357-0339 County Robeson
❑ Lagoon ❑ Remediation: Infiltration Gallery
© 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:
Ilrom Perme)
If WELL
SAMPLING INFORMATION
lS
WELL ID NUMBER (from Permit): MW-14
Date sample collected: 04/26/2024
FIELD ANALYSES: •
°C at
Well Depth: 20.0 ft.
Well Diameter: 2 in.
pH 00400 4.64 units Temp. 000lo: 19.3 i �'Y
time of
Depth to Water Level 82546: 11.1 ft. below measuring point Screened Interval: ft. to
_
ft. Spec. Cond. o0o94: µMhos sampling,
Measuring Point is 3•2 ft. above land surface
Relative M.P. Elevation: ft.
Odor 00085. check
Volume of water pumped/bailed before sampling: 4.0
gallons
Appearance clear here:❑
Samples for metals were collected unfiltered: ❑ YES
® NO and field acidified: ❑ YES 0 NO
LABORATORY INFORMATION
Date sample analyzed: 04/26-051o6/2024
Laboratory Name: Cameron Testing Services Certification No. 654
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L
Nitrite (NO2) as N oo61s
mg/L
Pb - Lead o1051 ug/L
Coliform: MF Fecal 31616 <1 /100mL
Nitrate (NO3) as N 00620 5.33
mg/L
Zn - Zinc 01092 mg/L
Coliform: MF Total 31504 /100mL
Phosphorus: Total as P oo66s <0.05
mg/L
(Note Use NPN method for highly trWd samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 61.0 mg/L
AI - Aluminum o11o5
mg/L
pH (Lab) 00403 units
Ba - Barium 01007
ug/L
TOC oo66o <1.00 mglL
Ca - Calcium ODS16
mg/L
Chloride D0940 7.67 mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01D02 ug/L
Chromium: Total o1o34
ug/L
Grease and Oils 00552 mg/L
Cu - Copper 01042
mg/L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730 ug/L
Fe - Iron olo45
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 00095 µMhos
K - Potassium D0937
mg/L
VOC 78732: method # EPA 8260E
Total Ammonia o0610 < 0.10 mg/L
Mg - Magnesium D0927
mg/L
method #
(Am rnoma Nitrogen, NH3asN. Ammonia Nihogen, Total)
Mn - Manganese olo55
ug/L , method #
TKN as N 00625 mg/L
Ni - Nickel 01067
ug/L method #
..ro.
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent I oral vvw. ­V" — • �•••�-•-• •-
Marcus Bell, Director of Processing
Pemndtee (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev.2/2010
(or
dl"Z

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
cage row Gfeatly , ,
Facility Name Mountaire Farms of North Carolina
Permit Name (if different):
Facility Address: 17269 NC Hwy 71 N
Lumber Bridge 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
EPARTMENT OF ENVIRONMENT 6 NATURAL RESOURCES
VISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
,17 MAIL SERVICE CENTER, RALEIGH, NC 27699.1617 Phone: [phone]
ERMIT Number: 1N(.l000U4b4 Expiration Uate. u9/3U/2u3u
on -Discharge X UIC
PDES Other
YPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
❑■ Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other.
_- (hcm Pen e)
SAMPLING INFORMATION
WELL ID NUMBER (from Permit): MW-15 Date sample collected: 04/26/2024
Well Depth: 12.0 ft. Well Diameter: 2 in.
Depth to Water Level 82546. 11.0 ft. below measuring point Screened Interval: ft. to
Measuring Point is 4.0 ft. above land surface Relative M.P. Elevation: ft.
Volume of water pumped/bailed before sampling: 1.5 gallons
Samples for metals were collected unfiltered: ❑ YES © NO and field acidified: ❑ YES ® NO
_ft.
FIELD ANALYSES:
pH 00400 4.99 units Temp. 000lo: 20.5 °C
Spec. Cond. 00094: µMhos
Odor otfoss.
Appearance
If WELL
WAS
DRY at
time ofsampling,
check
here: ❑
LABORATORY INFORMATION
Date sample analyzed: 04126-05/06n024
Laboratory Name: Cameron Testing Services
Certification No. #654
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N oo61s
mg/L
Pb - Lead o1051 u9IL
Coliform: MF Fecal 31616 <1
/100ml-
Nitrate (NO3) as N 00620 5.04
mg/L
Zn - Zinc 01092 mg/L
Col'fform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 <0.05
mg/L
(Note Use MPN method for tugNy turbid samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 96.0
mg/L
At -Aluminum 01105
mg/L
pH (Lab) 00403
units
Ba - Barium o1007
ug/L
TOC oo68o 2.09
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 28.0
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total 01034
ug/L
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron o1o45
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate oo945
mg/L
Hg - Mercury 71900
ug/L
Lab Report Attached? ❑ Yes (1) ® No (0)
pecific Conductance 0009s
µMhos
K - Potassium 00937
mg/L
VOC 78732: method # EPA 8260B
Total Ammonia D0610 <0.10
mg/L
Mg - Magnesium o0927
mg/L
method #
(Am*oria Nitrogen, NHS as N: Amrona 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 VOGs mgfL tmuent 1 otal vvtrs: I119/1- vim, malijuval /o
GW-59 Rev.212010

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENT 3 NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
Im
DIVISION OF WATER OUALITY-INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION Please Print Clearly or Type
PERMIT Number: W00000484 Expiration Date: 09/30/2030
Facility Name Mountaire Farms of North Carolina
Non -Discharge x UIC
Permit Name (if different):
NPDES Other
Facility Address: 17269 NC Hwy 71 N
TYPE OF PERMITTED OPERATION BEING MONITORED
Lumber Bridge NC 28357-0339 County Robeson
❑ Lagoon ❑ Remediation Infiltration Gallery
❑� Spray Field ❑ Remediation:
Contact Person: Robert Jackson
Telephone#: [phone]
❑ Rotary Distributor ❑ Land 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:
from vermt
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-18
Date sample collected: 04/26/2024
FIELD ANALYSES:
WAS
Well Depth: 10.0 ft.
Well Diameter: 2 in.
pH oo400 units Temp..,joio. °C
DRY at
Depth to Water Level e2546: 12.5 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 000e5
check
Volume of water pumped/bailed before sampling: 0.00
gallons
Appearance dear
here:
Samples for metals were collected unfiltered: ❑ YES
® NO and field acidified: El YES ® NO
LABORATORY INFORMATION
Date sample analyzed:
Laboratory Name: Cameron Testing Services
Certification No. 654
PARAMETERS NOTE: Values should reflect dissolved and colloidal Concentrations.
COD 00335 mg/L
Nitrite (NO2) as N oo61s
mg/L
Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616 /100mL
Nitrate (NO3) as N 00620
mg/L
Zn -Zinc 01092 mg/L
Col'ifonn: MF Total 31504 /100mL
Phosphorus: Total as P oo6es
mg/L
(Note Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 mg/L
Al - Aluminum 01105
mg/L
pH (Lab) 00403 units
Ba - Barium 01007
ug/L
TOC oo6eo mg/L
Ca - Calcium 00916
mg/L
Chloride oo94o mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002 ug/L
Chromium: Total 01034
ug/L
Grease and Oils 00552 mg/L
Cu - Copper 01042
mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730 ug/L
Fe - Iron 01045
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945 mg/L
Hg - Mercury 71900
ug/L
Lab Report Attached? ❑ Yes (1) N No (0)
Specific Conductance o0095 µMhos
K - Potassium 00937
mg/L
VOC 78732. method # EPA 8260B
Total Ammonia ooslo mg/L
Mg - Magnesium 00927
mg/L
method #
(Amnon12 Nitrogen, NH, as N, Arttnorwa Nitrogen, ToW)
Mn - Manganese o1055
ug/L
method #
TKN as N 00625 mg/L
Ni - Nickel 01067
ug/L
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
GW-59 Rev.2/2010

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENT R NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION Please Print Clearly or Type
PERMIT Number: W00000484 Expiration Date: 09/30/2030
Facility Name Mountaire Farms of North Carolina
Non -Discharge X UIC
Permit Name (if different):
NPDES Other
Facility Address: 17269 NC Hwy 71 N
TYPE OF PERMITTED OPERATION BEING MONITORED
Lumber Bridge NC 28357-0339 County Robeson
❑ Lagoon ❑ Remediation: Infiltration Gallery
❑■ 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:
(r,— P—M
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-19
Date sample collected: 04/26/2024
FIELD ANALYSES:
WAS
Well Depth: 9.5 ft.
Well Diameter: 2 in.
pH oo400 5.54 units Temp. 000io: 19.0 °C
DRY at
Depth to Water Level 82546: 10.3 ft. below measuring point Screened Interval: ft. to
p g po
Spec. Cond. 0009a: µMhos
S
time of
—ft.
sampling,
Measuring Point is 3.3 ft. above land surface
Relafive M.P. Elevation: ft.
Odor 0008s:
check
Volume of water pumped/bailed before sampling: 0.25
gallons
Appearance clear
here: ❑
Samples for metals were collected unfiltered: ❑ YES
9 NO and field acidified: ❑ YES ® NO
LABORATORY INFORMATION
Date sample analyzed: 04/1N-05l0612024
Laboratory Name: Cameron Testing Services Certification No. 654
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L
Nitrite (NO2) as N 00615
mg/L Pb - Lead o1o51 ug/L
Coliform: MF Fecal 31616 <1 /100mL
Nitrate (NO3) as N 00620 3.52
mg/L Zn - Zinc 01092 mg/L.
Coliform: MF Total 31504 /100ml-
Phosphorus: Total as P oo665 ro•05
mg/L
(Note Use MPN method for highly turbid samples)
Orthophosphate 70507
m /L Other $ g (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 46.0 mg/L
At - Aluminum 01105
mg/L
pH (Lab) 00403 units
Ba - Barium 01007
ug/L
TOC 00680 2.02 mg/L
Ca - Calcium 00916
mg/L
Chloride oo94o 5.20 mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002 ug/L
Chromium: Total o1o34
ug/L
Grease and Oils 00552 mg/L
Cu - Copper 01042
mg/L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730 ug/L
Fe - Iron o1o45
ug/L (Specity test and method #. ATTACH LAB REPORT.)
Sulfate 00945 mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes (1) ❑■ No (0)
Specific Conductance 00095 µMhos
K - Potassium 00937
mg/L VOC 76732. method # 8260B
Total Ammonia 00610 <0.10 mg/L
Mg - Magnesium 00927
mg/L method #
(Amnonia Nitrogen. NH, as N. Ammona Ndmgen, Total)
Mn - Manganese 01055
ug/L , method #
TKN as N D0625 mg/L
Ni - Nickel 01067
ug/L method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: rng/L VOC Removal%
Marcus Bell, Director of Processing
Penniltee (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev.2/2010

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION Prease Print clearly or Tyre
PERMIT Number: W00000484 Expiration Date. 09/30/2023
Facility Name: Mountaire Farms of North Carolina
Non -Discharge X UIC
Permit Name (if different).
NPDES Other
Facility Address: 17269 NC Hwy 71N
TYPE OF PERMITTED OPERATION BEING MONITORED
Lumber Bridge NC 28357-0339 County Robeson
❑ Lagoon ❑ Remediation: Infiltration Gallery
© 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 P&mw)
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-20
Date sample collected. 04/26/2024
FIIt ANALYSES:
WAS
Well Depth: 11 ft.
Well Diameter: 2 in.
pH oo400. 6.75 units Temp. 000lo. 19.7 °C
DRY at
Depth to Water Level 82546: 8.3 ft. below measuring point Screened Interval: ft. to
Spec. Cond. 00094: µMhos
time of
_ft.
sampling,check
Measuring Point is 3.5 ft. above land surface
Relative M.P. Elevation: ft.
Odor 00085
Volume of water pumped/bailed before sampling: 1.25
gallons
Appearance clear
here. ❑
Samples for metals were collected unfiltered: ❑ YES
© NO and field acidified: El YES N NO
LABORATORY INFORMATION
Date sample analyzed: 04126-05/0612024
Laboratory Name: Cameron Testing Services Certification No. 654
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD o0335 mg/L
Nitrite (NO2) as N 00615
mg/L Pb - Lead moss ug/L
Colform: MF Fecal 31616 <1 /100mL
Nitrate (NO3) as N 00620 <1.00
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504 /100mL
Phosphorus: Total as P oo665 2.61
mg/L
(Note Use AAPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 302 mg/L
At - Aluminum of tos
mg/L
pH (Lab) 00403 units
Ba - Barium 01007
ug/L
TOC oo6eo 11.7 mg/L
Ca - Calcium 00916
mg/L
Chloride oo94o 61.1 mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002 ug/L
Chromium: Total 01034
ug/L
Grease and Oils 00552 mg/L
Cu - Copper 01042
mg/L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730 ug/L
Fe - Iron o1o4s
ug/L (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 00095 µMhos
K - Potassium 00937
mg/L VOC 78732: method # EPA 8260E
Total Ammonia 00610 28.9 mg/L
Mg - Magnesium 00927
mg/L method #
(Armwna Nitrogen, NH, as N. Ammonia Nitrogen, Total)
Mn - Manganese oto55
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%
Marcus Bell, Director of Processing
Permittee (or Authorized Agent) Name and Title - Please print or typo
GW-59 Rev.212010

SUBMIT FORM ON YELLOW PAPER ONLY
• .
DEPARTMENT OF ENVIRONMENT 6 NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OF WATER OUALITY-INFORMATION PROCESSING UNrr
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION Please Print Clearly or Type
PERMIT Number: W00000484 Expiration Date: 09/30/2030
Facility Name: Mountaire Farms of North Carolina
Non -Discharge X UIC
Permit Name (if different):
NPDES Other
Facility Address: 17269 NC Hwy 71 N
TYPE OF PERMITTED OPERATION BEING MONITORED
Lumber Bridge NC 28357-0339 County Robeson
❑ Lagoon ❑ Remediation: Infiltration Gallery
Spray Field ❑ Remediation:
Contact Person: Robert Jackson
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well LocatioNSite Name: Mountaire Inner and Outer Perimeter Spray Fields No. of wells to be sampled: 30
❑ Water Source Heat Pump ❑ Other:
(from Perrot)
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-24
Date sample collected: 04/26/2024
FIELD ANALYSES-
WAS
Well Depth: 15.0 ft.
Well Diameter: 2 in.
pH 00400: 4.89 units Temp. 000to: 18.9 °C
DRY at
Depth to Water Level 82546: 12.3 ft. below measuring point Screened Interval: ft. to
ft. Spec. Cond. 00094 µMhos
time of
sampling,
Measuring Point is 3.1 ft. above land surface
Relative M.P. Elevation: ft.
Odor DD085:
check
Volume of water pumpedibailed before sampling: 1.5
gallons
Appearance dear
here: ❑
Samples for metals were collected unfiltered: ❑ YES
® NO and field acidified: ❑ YES ® NO
LABORATORY INFORMATION
Date sample analyzed: 04/26-05/0612024
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 most ug/L
Coliform: MF Fecal 31616 <1 /100mL
Nitrate (NO3) as N 00620 3.92
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 315N /100mL
Phosphorus: Total as P oo66s <0.05
mg/L
(Note Use MPN n*dmf for highly Ittrbd swVfts)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 703DO 50.0 mg/L
At - Aluminum 01105
mg/L
pH (Lab) 00403 units
Ba - Barium 01007
ug/L
TOC 00680 0.00 mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 3.71 mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002 ug/L
Chromium: Total 01034
ug/L
Grease and Oils 00552 mg/L
Cu - Copper 01042
mg/L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730 ug/L
Fe - Iron 01045
ug/L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945 mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes (1) N No (0)
Specific Conductance 00095 µMhos
K - Potassium 00937
mg/L VOC 78732: method # EPA 8260E
Total Ammonia oo610 <0.10 mg/L
Mg - Magnesium 00927
mg/L method #
(Amronta Nitrogen. NH, as K Amrnna Ntrogen, Total)
Mn - Manganese 01055
ug/L , method #
TKN as N D0625 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%
Marcus Bell. Director of Processing
Permittee (or Authorized Agent) Name and Title . Please print or type
GW-59 Rev.2/2010

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENT &NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
•
DIVISION OF WATER QUALITY•INFORMATIONPROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION Please Pnnt Clearfy or Type
PERMIT Number: W00000484 Expiration Date 09/30/2030
Facility Name Mountaire Farms of North Carolina
Non -Discharge x UIC
NPDES Other
Permit Name (if different):
Facility Address 17269 NC Hwy 71 N
TYPE OF PERMITTED OPERATION BEING MONITORED
Lagoon ❑ Remediation Infiltration Gallery
Lumber Count Bridge NC 28357-0339
g y Robeson
1 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
Ifrom PC Im
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-25
Date sample collected. 04/26/2024
FIELD ANALY1,&
WAS
Well Depth 18.0 it.
Well Diameter: 2 in.
pH ooeoo 6.56 units Temp. 000io 19.3 �C
DRY at
Depth to Wafer Level 62546: 7.6 ft. below measuring point Screened Interval: ft. to
ft. Spec. Cond. 00094: pMhos
time ofsampling.
Measuring Point is 2.9 ft. above land surface
Relative M.P. Elevation ft.
Odor 000s5.
check
Volume of water pumped/bailed before sampling 3.5
gallons
Appearance clear
he•e ❑
Samples for metals were collected unfiltered: ❑ YES
❑■ NO and field acidified ❑ YES © NO
LABORATORY INFORMATION
Date sample analyzed 0412"5MI512024
Laboratory Name. Cameron Testing Services
Certification No. 654
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L
Nitrite (NO2) as N oo615
mg/L
Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616 <1 /100mL
Nitrate (NO,) as N 00620 <1.00
mg/L Zn - Zinc 01W2 mg/L
Coliform: MF Total 31504 /100mL
Phosphorus Total as P 00665 <0.05
mg/L
tf,lote Uso MPN method for hgNy tubed samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units)
issolved Solids:Total 70300 100 mg/L
At - Aluminum oil o5
mg/L
pH (Lab) 00403 units
Ba - Barium oloo7
ug/L
TOC 00680 1.20 mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 30.0 mgiL
Cd - Cadmium 01027
ug/L
Arsenic 01002 ug/L
Chromium: Total 01034
ug/L
Grease and Oils 00552 mg/L
Cu - Copper 01042
mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730 ug/L
Fe - Iron 01045
ug/L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945 mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes (1) X No (0)
Specific Conductance 00095 µMhos
K - Potassium 00937
mg/L VOC 78732 method # EPA 8260B
Total Ammonia 00610 <0.10 mg/L
Mg - Magnesium 00927
mg/L method #
jAmmona Nnrooen, NH,as N, Ammona Nitrogen, Tolah
Mn - Manganese oloss
ug/L method #
TKN as N 00625 mq/L
Ni - Nickel 01067
ug/L method #
For Renlediation Systems Only (Attach Lab Reports): Influent Total VOCs mg/L. Effluent Total VOCs. mg/L VOC Removal
GW-59 Rev.212010

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENT 6 NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
EM1617
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION pease Print Clearly or Type
PERMIT Number: W00000484 Expiration Date 09/30/2030
Facility Name: Mountaire Farms of North Carolina
Non -Discharge X UIC
Permit Name (if different):
NPDES Other
Facility Address: 17269 NC Hwy 71 N
TYPE OF PERMITTED OPERATION BEING MONITORED
Lumber Bridge NC 28357-0339 County Robeson
❑ Lagoon ❑ Remediation: Infiltration Gallery
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.
MW
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-28
Date sample collected: 04/26/2024
FIELD ANALYSES:
WAS
Well Depth: 15.0 ft.
Well Diameter: 2 in.
pH oo400: 5.13 units Temp. 000lo 18.9 °C
DRY at
Depth to Water Level e2546: 12.3 ft. below measuring point Screened Interval: ft. to
_ft. Spec. Cond. 00094: µMhos
time ofsampling,
Measuring Point is 3.0 ft. above land surface
Relative M.P. Elevation: ft.
Odor ooDe5
check
Volume of water pumped bailed before sampling: 1.5
gallons
Appearance dear
here:❑
Samples for metals were collected unfiltered: ❑ YES
❑■ NO and field acidified: ❑ YES 01 NO
LABORATORY INFORMATION
Date sample analyzed: 04n6-0510612024
Laboratory Name Cameron Testing Services Certification No. 654
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD oo335 mg/L
Nitrite (N01) as N 00615
mg/L Pb - Lead o1o51 ug/L
Conform: MF Fecal 31616 <1 /100mL
Nitrate (NO3) as N 00620 <1.00
mg/L Zn - Zinc 01092 mg/L
Coliform. MF Total 31504 /100mL
Phosphorus: Total as P oD665 <0.05
mg/L
(Note- Use MPN method W hig* turbid NKMtes)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 34.0 mg/L
At - Aluminum 01105
mg/L
pH (Lab) 00403 units
Ba - Barium 01007
ug/L
TOC DD6eo 1.42 mg/L
Ca - Calcium oo916
mg/L
Chloride oo94o 6.68 mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002 ug1L
Chromium: Total olo34
ug/L
Grease and Oils 00552 mg/L
Cu - Copper 01D42
mg/L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730 ugfL
Fe - Iron o1o45
ug/L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate DD945 mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes (1) K No (0)
Specific Conductance D0095 µMhos
K - Potassium 00937
mg/L VOC 78732: method # EPA 8260E
Total Ammonia 00610 < 0.10 mg/L
Mg - Magnesium 00927
mg/L method #
(AmnMxna Nitrogen: NHras N. Ammonia Nitrogen. Total)
Mn - Manganese oloss
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.2/2010

SUBMIT FORM ON YELLOW PAPER ONLY
s...
DEPARTMENT OF ENVIRONMENT 6 NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
..
;
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH, NC 276994617 Phone: [phone]
FACILITY INFORMATION Please Print Clearly or Type
PERMIT Number: WW00000484 Expiration Date, 09/30/2030
Facility Name: Mountaire Farms of North Carolina
Non -Discharge X UIC
NPDES Other
Permit Name (if different):
Facility Address: 17269 NC Hwy 71 N
TYPE OF PERMITTED OPERATION BEING MONITORED
Lumber Bridge NC 28357-0339 County Robeson
❑ Lagoon ❑ Remediation: Infiltration Gallery
M Spray Field ❑ Remediation
Contact Person: Robert Jackson
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Mountaire Inner and Outer Perimeter Spray Fields No. of wells to be sampled 30
❑ Water Source Heat Pump ❑ Other:
(Ir°m Pum1)
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-29
Date sample collected: 04/26/2024
FIELD ANALYSES:
WAS
Well Depth: 19.8 ft.
Well Diameter: 2 in.
pH oo4w: 4.43 units Temp. 000lo: 19.E °C
DRY at
Depth to Water Level 82546: 13.2 ft. below measuring point Screened Interval: ft. to
Spec. Cond. 0009e. µMhos
time of
Measuring Point is 2.3 ft. above land surface
Relative M.P. Elevation: ft.
_ft.
Odor 0008s.
sampling,
check
Volume of water pumped/bailed before sampling: 3.00
gallons
Appearance clear
here:
Samples for metals were collected unfiltered: ❑ YES
® NO and field acidified: ❑ YES 0 NO
❑
LABORATORY INFORMATION
Date sample analyzed: 04r26-05W512024
Laboratory Name: Cameron Testing Services Certification No. 654
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L
Nitrite (NO2) as N 00615
mg/L Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616 <1 /100mL
Nitrate (NO3) as N 00620 15.9
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504 /100mL
Phosphorus: Total as P 00665 0.155
mg/L
(Note. Use MPN method for highly turbid sanples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 443 mg/L
All -Aluminum o11o5
mg/L
pH (Lab) 00403 units
Ba - Barium 01007
ug/L
TOC oo68o 1.75 mg/L
Ca - Calcium oo916
mg/L
Chloride ooe4o 109 mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002 ug/L
Chromium: Total o1o34
ug/L
Grease and Oils 00552 mg/L
Cu - Copper 01042
mg/L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730 ug/L
Fe - Iron 01045
ug/L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945 mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes (1) 0 No (0)
Specific Conductance 00095 µMhos
K - Potassium 00937
mg/L VOC 78732: method # EPA 8260B
Total Ammonia 00610 <0.10 mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen: NH, as N; Ammonia Nitrogen, Total)
Mn - Manganese oio55
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%
Marcus Bell, Director of Processing
Permittee (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev.2/2010

SUBMIT FORM ON YELLOW PAPER ONLY
•.
DEPARTMENT OF ENVIRONMENT 3 NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
,.
:
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH, NC 276924617 Phone: [phone]
FACILITY INFORMATION Please Print Clearly or Type
PERMIT Number: W00000484 Expiration Date: 09/30/2030
Facility Name: Mountaire Farms of North Carolina
Non -Discharge X UIC
NPDES Other
Permit Name (if different):
Facility Address: 17269 NC Hwy 71 N
TYPE OF PERMITTED OPERATION BEING MONITORED
Lumber Bridge NC 28357-0339 CountyRobeson
Lagoon ❑Remediation: Infiltration Gallery
❑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:
thorn Permni
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-31
Date sample collected: 04/16/2024
FIELD ANALYSES:
WAS
Well Depth: 23.5 ft.
Well Diameter: 2 in.
pH oD400 6.68 units Temp. 000lo 19.2 °C
DRY at
Depth to Water Level 82546: 12.6 ft. below measuring point Screened Interval: ft. to
ft. Spec. Cond. 00094 µMhos
time of
sampling,
Measuring Point is 2.5 ft. above land surface
Relative M.P. Elevation: ft.
Odor 000as:
check
Volume of water pumped/bailed before sampling: 4.0
gallons
Appearance
here:
❑
Samples for metals were collected unfiltered: El YES
m NO and field acidified: El YES K NO
LABORATORY INFORMATION
Date sample analyzed: 04116-04/23/2024
Laboratory Name: Cameron Testing Services Certification No. #654
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L
Nitrite (NOZ) as N oo615
mg/L Pb - Lead olo51 ug/L
Coliform: MF Fecal 31616 <1 /100mL
Nitrate (NO3) as N 00620 9.31
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504 /100mL
Phosphorus: Total as P oo665<0.05
(Note Use li method for tughly turbid sarnptes)
_mg/L
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 93.0 mg/L
At - Aluminum o11o5
mg/L
pH (Lab) 00403 units
Ba - Barium 01007
ug/L
TOC oo68o <1.00 mg/L
Ca - Calcium oo916
mg/L
Chloride oo94o 8.75 mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002 ug/L
Chromium: Total o1o34
ug/L
Grease and Oils 00552 mg/L
Cu - Copper 01042
mg/L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730 ug/L
Fe - Iron o1o45
ug/L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945 mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes (1) N No (0)
Specific Conductance 00095 µMhos
K - Potassium 00937
mg/L VOC 78732: method # 8260
Total Ammonia 00610 <0.10 mg/L
Mg - Magnesium 00927
mg/L method #
lAnmonw Nitrogen. NH, as N. Amrnoma 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%
Marcus Bell, Director of Processing
Pennittee (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev.2/2010

GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
FACILITY INFORMATION Please Print Clearly or
Facility Name Mountaire Farms of North Carolina
Permit Name (if different):
Facility Address. 17269 NC Hwy 71N
Lumber Bridge NC 28357-0339
SUBMIT FORM ON YELLOW PAPER ONLY
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: 23.5 ft.
Depth to Water Level 62546: 12.6 ft. below measuring point
Measuring Point is 2.5 ft. above land surface
Volume of water pumped/bailed before sampling: 4.0
Samples for metals were collected unfiltered: ❑ YES BE
Date sample collected: 04/16/2024
Well Diameter: 2 in.
Screened Interval: ft.
Relative M.P. Elevation:
gallons
NO and field acidified: ❑ YES IN
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER, RALEIGH, NC 276994617 Phone: [phone]
PERMIT Number: W00000484 Expiration Date: 09/30/2030
Non -Discharge X UIC
NPDES Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
■❑ Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
FIELD ANAL N.:S:
pH 00400: 6.6b units Temp. 000lo: 19.2 °C
to ft. Spec. Cond. o0o94: µMhos
ft. Odor 00085:
Appearance
In
ite sample analyzed: 04/16.04/23/2024
Laboratory Name:
Cameron Testing Services
1RAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD D0335
mg/L
Nitrite (NO?) as N OD615
mg/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620
3.80 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665
0.08 mg/L
(Note Use MPN method for Ng* turbid Samples)
Orthophosphate 70507
mg/L
;solved Solids:Total 70300 34.0
mg/L
Al -Aluminum o11o5
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC oo68o <1.00
mg/L
Ca - Calcium oo916
mg/L
Chloride oo94o 4.25
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01D02
ug/L
Chromium: Total o1o34
ug/L
Grease and Oils D0552
mg/L
Cu - Copper 01042
mg/L
Phenol 32730
ug/L
Fe - Iron oio4s
ug/L
Sulfate 00945
mg/L
Hg - Mercury 71900
ug/L
>ecific Conductance 00095
µMhos
K - Potassium 00937
mg/L
Total Ammonia 00610 <0.10
mg/L
Mg - Magnesium 00927
mg/L
(Ammonia Nitrogen. NHS as N. Ammoria Nitrogen. Total)
Mn - Manganese 01055
ug/L
TKN as N 00625
mg/L
Ni - Nickel 01D67
ug/L
Certification No. 654
Pb - Lead o1o51 ug/L
Zn - Zinc 01092 mg/L
Other (Specify Compounds and Concentration Units):
ORGANICS: (by GC, GC/MS, HPLC)
(Specify test and method #. ATTACH LAB REPORT.)
Lab Report Attached? ❑ Yes (1) N No (0)
VOC 78732: method # 8260
method #
method #
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
GW-59 Rev.2/2010
DRY at
time of
here.0 I

SUBMIT FORM ON YELLOW PAPER ONLY
•
DEPARTMENT OF ENVIRONMENT R NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OF WATER QUALITY4NFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
161. MAIL SERVICE CENTER, RALEIGH, NC 27699.1617 Phone: [phone]
FACILITY INFORMATION Ptease Print Clearly or Type
PERMIT Number: W00000484 Expiration Date: 09t3O/2030
Facility NameMountaire Farms of North Carolina
Non -Discharge X UIC
Permit Name (if different):
NPDES Other
Facility Address: 17269 NC Hwy 71 N
TYPE OF PERMITTED OPERATION BEING MONITORED
Lumber Bridge NC 28357-0339 County Robeson
❑ Lagoon ❑ Remediation: Infiltration Gallery
■❑ 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:
lfrom Perm(
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-34
Date sample collected: 04/16/2024
FIELD ANALYSES:
WAS
Well Depth 22.5 ft.
Well Diameter. 2 in.
pH oo400. 5.10 units Temp. 000lo: 17.4 °C
DRY at
Depth to Water Level 82546: 6.5 ft. below measuring point Screened Interval: ft. to
_ft. Spec. Cond. 00094. µMhos
time of
sampling.
Measuring Point is 2.5 ft. above land surface
Relative M.P. Elevation: ft.
Odor 00055:
check
Volume of water pumped/bailed before sampling: 7•5
gallons
Appearance
here:❑
Samples for metals were collected unfiltered: ❑ YES
© NO and field acidified: ❑ YES ® NO
LABORATORY INFORMATION
Date sample analyzed: 04116.04/23/2024
Laboratory Name: Cameron Testing Services Certification No. #654
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L
Nitrite (NO2) as N 00615
mg/L Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616 <1 /100ml-
Nitrate (NO3) as N 00620 11.4
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504 /100mL
Phosphorus: Total as P 00665 <0.05
mg/L
(Note use MPN method for NgNy turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 265 mg/L
Al - Aluminum 01105
mg/L
pH (Lab) oo4o3 units
Ba - Barium 01007
ug/L
TOC o06so 0.00 mg/L
Ca - Calcium oo916
mg/L
Chloride ooe4o 92.8 mg/L
Cd - Cadmium 01027
ug/L
Arsenic o1002 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)
Specific Conductance 00095 µMhos
K - Potassium 00937
mg/L VOC 78732: method # 8260
Total Ammonia oo610 <0.10 mg/L
Mg - Magnesium 00927
mg/L method #
tAnnnnia Nitrogen. NH3 as N: Ammonia Nitrogen, Total)
Mn - Manganese 01055
ug/L , method #
TKN as N 00625 mg/L
Ni - Nickel 01067
ug/L method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
GW-59 Rev.2/2010

SUBMIT FORM ON YELLOW PAPER ONLY
Please Print C1eaAy or
:ility Name Mountaire Farms of North Carolina
Tnit Name (if different)'
ally Address 17264 NC; Hwy 71 N
Lumuor Bricqu NC 28357-0339 County R0oe502
Contact Person: Robert Jackson Telephone#: [phone]
Well Location/Site Name: Mountaire Inner and Outer Perimeter Spray Fields No. of wells to be sampled:
WELL ID NUMBER (from Permit): MW-35
Well Depth: 23.5 ft.
Depth to Water Level 82546: 6.6 ft. below measuring point
Measuring Point is 2.5 ft. above land surface
Volume of water pumped/bailed before sampling: 7.5
Samples for metals were collected unfiltered: ❑ YES
30
Dp'- - Imple collected: 04/1612024
Well Diameter: 2 in.
Screened Interval: ft. to
Relative M.P. Elevation: ft.
gallons
NO and field acidified: ❑ YES ® NO
:1'AENT d NATURAL RESu. RCES
_ WA' . LITY•ISFORMATION PROCESSING UNIT
1617 HAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone, [phone] "
PERMIT Number: WOOD00484
Expiration Date 09/30/2030
Non -Discharge X
UIC
NPDES
Other
TYPE OF PERMITTED OPERATION BEING MONITORED
Lagoon
G Remediation Infiltration Gallery
H Spray Field
❑ Remediation:
❑ Rotary Distributor
❑ Land Application of Sludge
❑ Water Source Heat Pump
❑ Other:
ft.
FIELD ANALYSES:
pH 00400: 6.24 units
Spec. Cond. 00094:
Odor 000e5
Appearance
Temp. 000lo. 18.2 eC
Whos
Ile sample analyzed:
04116-0412312024
Laboratory Name:
Cameron Testing Services
Certification No. #654
1RAMETERS NOTE: Values
should reflect
dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N oo615
mg/L
Pb - Lead otosl ug/L
Coliform: MF Fecal 31616
<1
/100mL
Nitrate (NO3) as N oo620
<1.00 mg/L
Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665
<0.05 mg/L
(Note Use MPN rretlwd for tugNy ft Md serrvies)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
;solved Solids:Total 70300
82.0
mg/L
At - Aluminum o11os
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 00660
<1.00
mg/L
Ca - Calcium oo916
mg/L
Chloride 00940
44.5
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 o1o45
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate oo945
mg/L
Hg - Mercury 71900
ug/L
Lab Report Attached? ❑ Yes (1) X No (0)
>ecific Conductance 00095
µMhos
K - Potassium 00937
mg/L
VOC 7e732: method # 8260
Total Ammonia 00610 <0.10
mg/L
Mg - Magnesium 00927
mg/L
method #
(Am nia NitrogenNH,as N. Attmona Mtrogen. 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.2/2010
If WELL
WAS
DRY at
time of
sampling,
u

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENT 6 NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION Please Pnnt Clearly or Type
PERMIT Number: W00000484 Expiration Date, 09/30/2030
Facility Name' Mountaire Farms of North Carolina
Non -Discharge X UIC
Permit Name (if different):
NPDES Other
Facility Address: 17269 NC Hwy 71 N
TYPE OF PERMITTED OPERATION BEING MONITORED
Lumber Bridge NC 28357-0339 County Robeson
❑ Lagoon ❑ Remediation: Infiltration Gallery
OO 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-36
Date sample collected: 04/16/2024
FIELD ANALYSES:
WAS
Well Depth: 23.5 ft.
Well Diameter: 2 in.
pH oo400: 6.70 units Temp. wwo 18.2 °C
DRY at
Depth to Water Level 82546: 12.0 ft. below measuring point Screened Interval. ft. to
-
ft. Spec. Cond. 00094: µMhos
time of
sampling,
Measuring Point is 2.5 ft. above land surface
Relative M.P. Elevation: ft.
Odor 00085
check
Volume of water pumped/bailed before sampling: 5.00
gallons
Appearance
here:❑
Samples for metals were collected unfiltered: ❑ YES
® NO and field acidified: ❑ YES K NO
LABORATORY INFORMATION
Date sample analyzed: 04/16-04/2312024
Laboratory Name: Cameron Testing Servicos
Certification No. #654
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD oo335 mg/L
Nitrite (NO2) as N 00615
mg/L Pb - Lead most ug/L
Coliform: MF Fecal 31616 <1 /100mi-
Nitrate (NO3) as N 00620 <1.00
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504 /100mL
Phosphorus: Total as P 00665 <0.05
mg/L
(Note Use MPN method for highly taNd sanV")
Orthophosphate 70607
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 34.0 mg/L
AI - Aluminum o11o5
mg/L
pH (Lab) 00403 units
Ba - Barium 01007
ug/L
TOC 00680 <1.00 mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 525 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 3273o ugfL
Fe - Iron oto4s
ug/L (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 00095 µMhos
K - Potassium 00937
mg/L
VOC 78732: method # 8260
Total Ammonia oo610 <0.10 mg/L
Mg - Magnesium 00927
mg/L method #
(Arravnia Ndropen, NH, as N. Arm+orva hJ cwr,n. Tntal)
Mn - Manganese u1u55
ug/L method #
TKN as N o0625 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.212010

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENT 3 NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
Im
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH, NC 276994617 Phone:[phone]
FACILITY INFORMATION PteasePnntCteadyorType
PERMIT Number: W00000484 Expiration Date 09/30/2030
Facility Name: Mountaire Farms of North Carolina
Non -Discharge X UIC
Permit Name (if different):
NPDES Other
Facility Address: 17269 NC Hwy 71 N
TYPE OF PERMITTED OPERATION BEING MONITORED
Lumber Bridge NC 28357-0339 County Robeson
❑ Lagoon ❑ Remediation: Infiltration Gallery
M Spray Field ❑ Remediation:
Contact Person: Robert Jackson
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Mountaire Inner and Outer Perimeter Spray Fields No. of wells to be sampled: 30
❑ Water Source Heat Pump ❑ Other:
rfru Pernrt
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): ' '�'� 37
Date sample collected: 04/26/2024
FIELD ANALYSES:
WAS
Well Depth: 20.0 ft.
Well Diameter: 2 in.
pH 00400 4.61 units Temp. 000lo: 19.3 °C
DRY at
Depth to Water Level 82546: 10.0 ft. below measuring point Screened Interval: ft. to
_ft.
Spec. Cond. 00094. µMhos
time of
sampling,
Measuring Point is 2.8 ft. above land surface
Relative M.P. Elevation: ft.
Odor 000as.
check
Volume of water pumped/bailed before sampling: 4.5
gallons
Appearance clear
here:
Samples for metals were collected unfiltered: ❑ YES
® NO and field acidified: ❑ YES IN NO
LABORATORY INFORMATION
Date sample analyzed: 04/26-05106/2024
Laboratory Name: Cameron Testing Services
Certification No. 654
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L
Nitrite (NO2) as N 00615
mg/L Pb - Lead o1051 ug/L
Coliform: MF Fecal 31616 <t /100ml-
Nitrate (NO3) as N 00620 3.17
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504 /100ml-
Phosphorus: Total as P oohs 0.752
mg/L
(Note Use MPN method for ftigNy turad samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 107 mg/L
At - Aluminum o11os
mg/L
pH (Lab) 00403 units
Ba - Barium 01007
ug/L
TOC oo66o <1.00 mg/L
Ca - Calcium 00916
mg/L
Chloride oa94o 103 mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002 ug/L
Chromium: Total o1o34
ug/L
Grease and Oils 00552 mg/L
Cu - Copper 01042
mg/L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730 ug/L
Fe - Iron 01045
ug/L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate oo945 mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes (1) 0 No (0)
Specific Conductance 00095 µMhos
K - Potassium 00937
mg/L VOC 78732. method # EPA 8260B
Total Ammonia oo610 <0.10 mg/L
Mg - Magnesium 00927
mg/L method #
(Anmcnta `Ltrogcn, NH,ds N. AnTrava Ndr wn, TOW)
Mn - Manganese o1o55
ug/L method #
TKN as N 00625 mg/L
Ni - Nickel 01067
ug/L method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal°
GW-59 Rev.2/2010

SUBMIT FORM ON YELLOW PAPER ONLY
�e •
DEPARTMENT OF ENVIRONMENT 6 NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699.1617 Phone: [phone]
FACILITY INFORMATION Please PnnlClearly orType
PERMIT Number: W00000484 Expiration Date: 09/30/2030
Facility Name: Mountaire Farms of North Carolina
Non -Discharge X UIC
Permit Name (if different):
NPDES Other
Facility Address: 17269 NC Hwy 71 N
TYPE OF PERMITTED OPERATION BEING MONITORED
Lumber Bridge NC 28357-0339 County Robeson
❑ Lagoon ❑ Remediation: infiltration Gallery
M Spray Field ❑ Remediation:
Contact Person: Robert Jackson
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Mountaire Inner and Outer Perimeter Spray Fields No. of wells to be sampled: 30
❑ Water Source Heat Pump ❑ Other:
(from Pe-t
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW40
Date sample collected: 04/16I2024
FIELD ANALYSES:
WAS
Well Depth: 15.5 ft.
Well Diameter: 2 in.
pH 00400 6.08 units Temp. 000lo: 18.9 eC
DRY at
Depth to Water Level 82546: 5•1 ft. below measuring point Screened Interval: ft. to
ft. Spec. Cond. 00094: µMhos
time of
sampling,
Measuring Point is 2.0 fL above land surface
Relative M.P. Elevation: ft.
Odor 00085:
check
Volume of water pumped/bailed before sampling: 4.0
gallons
Appearance
here:❑
Samples for metals were collected unfiltered: ❑ YES
® NO and field acidified: ❑ YES ® NO
LABORATORY INFORMATION
Date sample analyzed: 04/16-"2312024
Laboratory Name. Cameron Testing Services Certification No. #654
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L
Nitrite (NO2) as N 00615
mg/L Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616 <1 /100mL
Nitrate (NO3) as N 00620 <1.00
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504 /100mL
Phosphorus: Total as P 00665 0.13
mg/L
(NoteUse MPN method for higNy tur0ld samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 59.0 mg/L
Al - Aluminum 01105
mg/L
pH (Lab) 00403 units
Ba - Barium 01007
ug/L
TOC oo68o 2.01 mg/L
Ca - Calcium 00916
mg/L
Chloride o0s4o 15.8 mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002 ug/L
Chromium: Total 01034
ug/L
Grease and Oils 00552 mg/L
Cu - Copper 01042
mg/L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730 ug/L
Fe - Iron 01045
ug/L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945 mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes (1) 0 No (0)
Specific Conductance 00095 µMhos
K - Potassium 00937
mg/L VOC 78732. method # 8260
Total Ammonia 00610 <0.10 mg/L
Mg - Magnesium 00927
mg/L method #
(Anvnonva N11f09en; NH, as N. Ammonia Nitrogen. Total)
Mn - Manganese oto55
ug/L ,method #
TKN as N o0625 mg/L
Ni - Nickel 01067
ug1L method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
Marcus Bell, Director of Processing
PermMee (or Authortzed Agent) Name and Title - Please print or type
GW-59 Rev.212010

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENT3 NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
�16ll`
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION Please Pnnt Clearly or Type
PERMIT Number: W00000484 Expiration Date: 09/30/2030
Facility Name: Mountaire Farms of North Carolina
Non -Discharge X UIC
Permit Name (it different):
NPDES Other
Facility Address: 17269 NC Hwy 71 N
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
Lumber Bridge NC 28357-0339 County Robeson
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 Heat Pump ❑ Other:
(from Peanut
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit)- MW-41
Date sample collected: 04/16/2024
FIELD ANALYSES:
WAS
Well Depth: 15.0 ft,
Well Diameter: 2 in.
pH o0400: 5.70 units Temp. 00010 202 °C
DRY at
Depth to Water Level 82546: 6.8 ft. below measuring point Screened Interval: ft. to
_ft. Spec. Cond. 00094: µMhos
time of
sampling,
Measuring Point is 1.5 ft. above land surface
Relative M.P. Elevation: ft.
Odor 000as.
check
Volume of water pumped/bailed before sampling: 4.00
gallons
Appearance
here:
Samples for metals were collected unfiltered: ❑ YES
❑■ NO and field acidified: ❑ YES ® NO
LABORATORY INFORMATION
Date sample analyzed: 04n6-04123t2o24
Laboratory Name: Cameron Testing Services Certification No. #654
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L
Nitrite (NO.) as N 00615
mg/L Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616 <1 /100mL
Nitrate (1403) as N 00620 <1.00
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504 /100mL
Phosphorus: Total as P 00665 0.186
mg/L
(Note Use MPN method for hig* turbid envies)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 <25.0 mg/L
AI -Aluminum o11o5
mg/L
pH (Lab) 00403 units
Ba - Barium o1007
ug/L
TOC oo68o 1.05 mg/L
Ca - Calcium oo916
mg/L
Chloride oo94o 2.50 mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002 ug/L
Chromium: Total 01034
ug/L
Grease and Oils 00552 mg/L
Cu - Copper 01042
mg/L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730 ug/L
Fe - Iron 01045
ug/L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945 mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes (1) N No (0)
Specific Conductance 00095 µMhos
K - Potassium 00937
mg/L VOC 78732: method # 8260
Total Ammonia D0610 <0.10 mg/L
Mg - Magnesium 00927
mg/L method #
(Arnmorwa Nsrooen. NH, as N. Ammonia Nitrogen, Total)
Mn - Manganese oloss
ug/L , method #
TKN as N 00625 mg/L
Ni - Nickel DID67
ug/L method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
Marcus Bell, Director of Processing
Permittee (or Authorized Agent) Name and Title - Please pnnt or type
GW-59 Rev.2/2010
(or

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
,
•
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Ptfone: [phone]
FACILITY INFORMATION
Please Pnnr
Clearly orType
PERMIT Number: W000004B4 Expiration Date, 09130/2030
Facility Name Mountaire Farms of North Carolina
Non -Discharge X UIC
NPDES Other
Permit Name (if different):
Facility Address: 17269 NC Hwy 71 N
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation Infiltration Gallery
Lumber Bridge NC 28357-0339 County Robeson
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
ElWater Source Heat Pump El Other:
prom Prrnut)
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-42
Date sample collected: 04/16/2024
FIELD ANALYSES:
WAS
Well Depth: 15.0 ft.
Well Diameter: 2 in.
pH 00400 5.74 units Temp. 000lo 19.4 °C
DRY at
Depth to Water Level 82546 6.8 ft. below measuring point Screened Interval ft, to
ft. Spec. Cond. 00094 µMhos
time of
sampling,check
Measuring Point is 2.0 ft. above land surface
Relative M.P. Elevation ft.
Odor Doom
Volume of water pumped/bailed before sampling:
3.5
gallons
Appearance
here ❑
Samples for metals were collected unfiltered. ❑ YES
EN NO and field acidified: ❑ YES ® NO
LABORATORY INFORMATION
Date sample analyzed0406.04123QO24
Laboratory Name Cameron Testing
Services Certification No. #654
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615
mg/L Pb - Lead o1o51 ug/L
Coliform. MF Fecal 31616 <1
1100mL
Nitrate (NO3) as N 00620 8.21
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
1100mL
Phosphorus Total as P 00665 0.052
mg/L
(ante Use MPN method for h.gNy tu-Md s.,mlp+)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 255
mg/L
At - Aluminum 01105
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 00680 1.44
mg/L
Ca - Calcium oo916
mg/L
Chloride 00940 87.0
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
ug/L Lab Report Attached? ❑ Yes (1) A No (0)
Specific Conductance 00095
flMhos
K - Potassium 00937
mg/L VOC 78732 method # 8260
Total Ammonia oo610 <0.10
mg/L
Mg - Magnesium 00927
mg/L method #
(A.�nla Nitrogen. NH, as N. Ammonia Ndrogen. Told)
Mn - Manganese cicss
m
uylL ethcd #
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%
Marcus Bell, Director of Processing
Pennitlee (or Authorized Agenl) Name and Trite - Please print or type
GW-59 Rev.2/2010
of Permdtee (or
3d r,�L
(Dote) I

SUBMIT FORM ON YELLOW PAPER ONLY
IMMIMM
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699.1617 Phone: [phone]
FACILITY INFORMATION Please Print clearly or Type
PERMIT Number: W00000484 Expiration Date 09/30/2030
Facility Name: Mountaire Farms of North Carolina
Non -Discharge X UIC
Permit Name (if different):
NPDES Other
Facility Address: 17269 NC Hwy 71 N
TYPE OF PERMITTED OPERATION BEING MONITORED
Lumber Bridge NC 28357-0339 County Robeson
❑ Lagoon ❑ Remediation: Infiltration Gallery
0 Spray Field ❑ Remediation:
Contact Person: Robert Jackson
Telephone#: [phone]
ElRotary Distributor ElLand Application of Sludge
Well Location/Site Name: Mountave Inner and Outer Perimeter Spray Fields No. of wells to be sampled: 30
❑ Water Source Heat Pump ❑ Other:
Irrom Perth
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW43
Date sample collected: 04116/2024
FIELD ANALYSES:
WAS
Well Depth: 15.0 ft.
Well Diameter: 2 in.
pH oo400: 6.53 units Temp. oDolo: 18.8 °C
DRY at
Depth to Water Level 82546: 6.1 ft. below measuring point Screened Interval: ft. to
ft. Spec. Cond. Doo94: 11Mhos
time of
Measuring Point is 2.5 ft. above land surface
Relative M.P. Elevation: ft.
Odor 00085:
sampling,
check
Volume of water pumped/bailed before sampling: 4.00
gallons
Appearance
here:
❑
Samples for metals were collected unfiltered: ❑ YES
® NO and field acidified: ❑ YES ® NO
LABORATORY INFORMATION
Date sample analyzed: OQ16-04/2312024
Laboratory Name: Cameron Testing Services Certification No. #654
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L
Nitrite (NO2) as N oo615
mg/L Pb - Lead oto51 ug/L
Coliform: MF Fecal 31616 <1 /100mL
Nitrate (NO3) as N 00620 3.53
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504 /100mL
Phosphorus: Total as P oo665 < 0.05
mg/L
(Note Use MPN rnelhad for MgNy turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 69.0 mg/L
AI -Aluminum 01105
mg/L
pH (Lab) 00403 units
Ba - Barium 01007
ug/L
TOC 00600 <1.00 mg/L
Ca - Calcium 00916
mg/L
Chloride D0940 4.75 mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002 ug/L
Chromium: Total o1o34
ug/L
Grease and Oils D0552 mg/L
Cu - Copper 01042
mg/L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730 ug/L
Fe - Iron o1D45
ug/L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate Dow mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes (1) X No (0)
Specific Conductance ODD95 NMhos
K - Potassium 00937
mg/L VOC 78732: method # 8260
Total Ammonia DD610 <0.10 mg/L
Mg - Magnesium 00927
mg/L method #
(Arrimmia Nitrogen, NH," N. Amronia Nitrogen, Total)
Mn - Manganese o1Ds5
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%
Marcus Bell, Director of Processing
Permitlee (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev.2/2010

SUBMIT FORM ON YELLOW PAPER ONLY
UNDWATER QUALITY MONITORING:
PLIANCE REPORT FORM
Please Pant Gearty or Type
Facility Name: Mountaire Farms of North Carolina
Permit Name (if different).
Facility Address: 17269 NC Hwy 71 N
Lumber Bridge NC 28357-0339 County Robeson
IContact Person: Robert Jackson Telephone#: [phone]
Well Location/Site Name, Mountaire Inner and Outer Perimeter spray Fields No. of wells to be sampled: 30
L ID NUMBER (from Permit): MW-47
Depth: 15.0 ft.
h to Water Level 82546: 4.2 ft. below measuring point
wring Point is 2.5 ft. above land surface
ne of water pumped/bailed before sampling: 5.0
Dies for metals were collected unfiltered: ❑ YES E
Date sample collected:
Well Diameter:
Screened Interval.
Relative M.P. Elevation:
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
PERMIT Number: W00000484
Expiration Date: 09/30/2030
Non -Discharge X
UIC
NPDES
Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon
❑ Remediation: Infiltration Gallery
© Spray Field
❑ Remediation:
❑ Rotary Distributor
❑ Land Application of Sludge
04/16/2024
2 in.
ft. to _ ft.
ft.
gallons
NO and field acidified: ❑ YES ® NO
❑ Water Source Heat Pump ❑ Other:
FIELD ANALYSES:
pH 00400. 5.86 units Temp. 00o1o. 18.4
Spec. Cond. 00094: µMhos
Odor 0008s:
Appearance
oC DRY at
time of
sampling,
Date sample analyzed: 041116-04 23rzo24
Laboratory Name:
Cameron Testing Services
Certification No. #654
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615
mg/L
Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616 <1
/100ml-
Nitrate (NO3) as N 00620
24.4 mg/L
Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100ml-
Phosphorus: Total as P 00665
<0.05 mg/L
(Note. Use MPN method for highly turtHd samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 406
mg/L
AI - Aluminum 01105
mg/L
pH (Lab) D0403
units
Ba - Barium olow
ug/L
TOC 00680 1.92
mg/L
Ca - Calcium oo916
mg/L
Chloride o0940 103
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total o1034
ug/L
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron o1o45
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate oos4s
mg/L
Hg - Mercury 71900
ug/L
Lab Report Attached? ❑ Yes (1) K No (0)
Specific Conductance coo9s
µMhos
K - Potassium D0937
mg/L
VOC 78732. method # 8260
Total Ammonia OD610 <0.10
mg/L
Mg - Magnesium 00927
mg/L
method #
tAnmonia Nitrogen, Nil,as N, Ainronia Nitrogen, Total)
Mn - Manganese Dims
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.2/2010
here: ❑

SUBMIT FORM ON YELLOW PAPER ONLY
• .
DEPARTMENT OF ENVIRONMENT 6 NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION Please Print CreaffyorType
PERMIT Number: W00000484 Expiration Date: 09/30/2030
Facility Name: Mountaire Farms of North Carolina
Non -Discharge X UIC
Permit Name (if different):
NPDES Other
Facility Address: 17269 NC Hwy 71 N
TYPE OF PERMITTED OPERATION BEING MONITORED
Lumber Bridge NC 28357-0339 County Robeson
❑ Lagoon ❑ Remediation: Infiltration Gallery
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 Pm;;) -
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW48
Date sample collected: 04/26/2024
FIELD ANALYSES:
WAS
Well Depth: 15.0 ft.
Well Diameter: 2 in.
pH 00400 5.60 units Temp. 000lo 19.2 °C
DRY at
Depth to Water Level 82546: 9.0 ft. below measuring point Screened Interval: ft. to
_ft. Spec. Cond. 000sa: µMhos
time ofsampling,
Measuring Point is 2.7 ft. above land surface
Relative M.P. Elevation: ft.
Odor Dows
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 N NO
LABORATORY INFORMATION
Date sample analyzed. 04r25-05(06/24
Laboratory Name: Cameron Testing Services Certification No. #654
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L
Nitrite (NO?) as N oo6is
mg/L Pb - Lead oio51 ug/L
Coliform: MF Fecal 31616 <1 /100mL
Nitrate (NO3) as N 00620 4.90
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 315N /100mL
Phosphorus: Total as P oo665 <0.05
mg/L
(Note- Use MPN method forbigNy turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 291 mg/L
AI - Aluminum 01105
mg/L
pH (Lab) D0403 units
Ba - Barium 01007
ug/L
TOC 00680 3.35 mg/L
Ca - Calcium 00916
mg/L
Chloride oo94o 74.3 mg/L
Cd - Cadmium 01027
ug/L
Arsenic OID02 ug/L
Chromium: Total oio34
ug/L
Grease and Oils 00552 mg/L
Cu - Copper 01042
mgtL ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730 ug/L
Fe - Iron m4s
ug/L (Specify test and method M ATTACH LAB REPORT.)
Sulfate 00945 mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes (1) 0 No (0)
Specific Conductance ODD95 µMhos
K - Potassium 00937
mg/L VOC 78732: method # 8260
Total Ammonia oo610 < 0.10 mg/L
Mg - Magnesium 00927
mg/L method #
(Anrrgnin Ndr Pn: NH3asN, Ammonia Nitrogen. Tolall
Mn - Manganese oloss
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.2/2010

GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
FACILITY INFORMATION Please Print Clearly or Type
Facility Name. Mountaire Farms of North Carolina
Permit Name (if different):
Facility Address' 17269 NC Hwy 71 N
Lumber Bridge NC 28357-0339
SUBMIT FORM ON YELLOW PAPER ONLY
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
0M. Pe
L ID NUMBER (from Permit): MW49 Date sample collected:
Depth: 15.0 ft. Well Diameter:
h to Water Level 82546: 7•4 ft. below measuring point Screened Interval:
wring Point is 2.5 ft. above land surface Relative M.P. Elevation:
ne of water pumped/bailed before sampling: 3.5 gallons
Dies for metals were collected unfiltered: ❑ YES 01 NO and field acidified: [
04/26/2024
2 in.
ft. to _ ft.
ft.
YES K NO
Date sample analyzed: o4n6-0510612024
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 <1
/100ml-
Nitrate (NO3) as N 00620
<1.00 mg/L
ColiforTn: MF Total 31504
/100ml-
Phosphorus: Total as P oo665
0.460 mg/L
(Note: Use MPN method for highly 1wNd samples)
Orthophosphate 70507
mg/L
issolved Solids:Total 70300 131
mg/L
Al - Aluminum 01105
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 00680 <1.00
mg/L
Ca - Calcium oo916
mg/L
Chloride D0940 56.2
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total oto34
ug/L
Grease and Oils D0552
mg/L
Cu - Copper 01042
mg/L
Phenol 32730
ug/L
Fe - Iron oio45
ug/L
Sulfate 00945
mg/L
Hg - Mercury 71900
ug/L
Specific Conductance 00095
pMhos
K - Potassium 00937
mg/L
Total Ammonia 00610 < 0.10
mg/L
Mg - Magnesium 00927
mg/L
(Ammorsa Nitrogen NH, as N. Anrrorra Mnoven. Total)
Mn - Manganese o1o55
ug/L
TKN as N 00625
mg/L
Ni - Nickel 01D67
ug/L
?ARTMENT OF ENVIRONMENT 6 NATURAL RESOURCES
'ISION OF WATER QUALITY -INFORMATION
PROCESSING UNIT
7 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
RMIT Number: W00000484
Expiration Date 09/30/2030
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:
FIELD ANALYSES:
pH 00400: 4.01 units
Spec. Cond. 00094:
Odor 00085
Appearance
Temp. 000lo: 18.9 eC DRY at
pMhos time of
Certification No. #654
Pb - Lead 01051 ug/L
Zn - Zinc 01092 mg/L
Other (Specify Compounds and Concentration Units):
ORGANICS: (by GC, GC/MS, HPLC)
(Specify test and method #. ATTACH LAB REPORT.)
Lab Report Attached? ❑ Yes (1) 0 No (0)
VOC 7e732- method # 8260
method #
method #
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCS: mg/L Effluent Total VOCs: mg/L VOC Removal0/
GW-59 Rev.2/2010

SUBMIT FORM ON YELLOW PAPER ONLY
�'iF1Iff.rgL.j
MI.
DEPARTMENT OF ENVIRONMENT 3 NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION
Ptease Print Clearly or Type
PERMIT Number: W00000484 Expiration Date: 09/30/2030
Facility Name: Mountaire Farms of North Carolina
Non -Discharge X UIC
NPDES Other
Permit Name (if different):
Facility Address: 17269 NC Hwy 71 N
TYPE OF PERMITTED OPERATION BEING MONITORED
Lumber Bridge NC
28357-0339 County Robeson
❑ Lagoon ❑ Remediation: Infiltration Gallery
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.
prom Perm,
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (fry,, -Jermit): MW-50
Date sample collected: 04//26/2024
FIELD ANALYSES:
WAS
Well Depth: 15.0 ft.
Well Diameter: 2 in.
pH oo400 5.02 units Temp. 000lo: 19.1 °C
DRY at
. ftbelow measuring point Screened Interval: ft. to
Depth to Water Level 62546: 5.4 g p
Spec. Cond. 0009a: µMhos
ft. S
time of
sampling,
Measuring Point is 2.5 ft. above land surface
Relative M.P. Elevation: ft.
Odor 0006s:
check
Volume of water pumped/bailed before sampling:
4.0
gallons
Appearance
here:
❑
Samples for metals were collected unfiltered: El YES
® NO and field acidified: El YES ® NO
LABORATORY INFORMATION
Date sample analyzed: 04r26-0511062024
Laboratory Name: Cameron Testing
Services Certification No. #654
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N oo61s
mg/L Pb - Lead oio51 ug/L
Coliform: MF Fecal 31616 < 1
/100ml-
Nitrate (NO3) as N 00620 3.72
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100ml-
Phosphorus: Total as P oo665 0.487
mg/L
(Note Use MPN method for NgNy turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 566
mg/L
At - Aluminum o11o5
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC oo68o 4.98
mg/L
Ca - Calcium oo916
mg/L
Chloride oos4o 215
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total 01034
ug/L
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg/L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron 01045
ug/L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes (1) N No (0)
Specific Conductance 00095
µMhos
K - Potassium 00937
mg/L VOC 76732: method # 8260
Total Ammonia 00610 < 0.10
mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen, NH, as N: A.mmona Nitrogen, Total)
Mn - Manganese oio55
ug/L , mcthod #
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.2/2010

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENT 8 NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
•
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699.1617 Phone: [phone]
FACILITY INFORMATION
PleasePnnfClearly orType
PERMIT Number: W00000484 Expiration Date: 09-30!2030
Facility Name. Mountaire Farms of North Carolina
Non -Discharge X UIC
NPDES Other
Permit Name (if different):
Facility Address: 17269 NC Hwy 71 N
TYPE OF PERMITTED OPERATION BEING MONITORED
Lumber Bridge INC
28357-0339 County Robeson
❑ Lagoon ❑ Remediation: Infiltration Gallery
N Spray Field ❑ Remediation:
Contact Person Robert Jackson
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name. klountaire Inner and Outer Perimeter Spray Fields No. of wells to be sampled 30
❑ Water Source Heat Pump ❑ Other:
ftrom Perml)
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-51
Date sample collected: 04/16/2024
FIELD ANALYSES:
WAS
Well Depth 15.0 ft.
Well Diameter: 2 in.
pH 00400. 4.01 units Temp. 000lo 18.8 °C
DRY at
Depth to Water Level 62546: 5.8 ft. below measuring
point Screened Interval: ft. to
_ft. Spec. Cond. 00094 ) (Mhos
time of
sampling,
Measuring Point is 3.5 ft above land surface
Relative M.P. Elevation: ft.
Odor 00085
check
Volume of water pumped/bailed before sampling:
3.75
gallons
Appearance
here: ❑
Samples for metals were collected unfiltered ❑
YES
n NO and field acidified ❑ YES K NO
LABORATORY INFORMATION
Date sample analyzed 04!16-04r2312o23
Laboratory Name: Cameron Testing Services Certification No. #654
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615
mg/L Pb - Lead 01051 ug/L
Conform: MF Fecal 31616 <1
/100ml-
Nitrate (NO3) as N 00620 29.5
mg/L. Zn - Zinc 01092 ma/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 0.208
mg/L
(Mule Use VPNmethoafor higNyturbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 441
mg/L.
At - Aluminum o11o5
mg/L
pH (Lab) co4D3
units
Ba - Barium 01007
ug/L
TOC oo66o 1.94
mg/L
Ca - Calcium oo916
mg/L
Chloride 00940 85.6
mg/L
Cd - Cadmium 01027
ug/L
Arsenic D1002
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
ug/L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes (1) N No (0)
Specific Conductance 00095
NMhos
K - Potassium 00937
mg/L VOC 78732 method # 8260
Total Ammonia 00610 0.587
mg1L
Mg - Magnesium 00927
mg/L method #
(Arr n rna W10gen. NFL; Ps N A -A N trnnen Total
- Manganese oiu55
ug/L
mCttlCd 9fvin
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. n1g/L VOC Removal%
GW-59 Rev.212010

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
�1617
EPARTMENT OF ENVIRONMENT6 NATURAL RESOURCES
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: W0o000484 Expiration Date 09/30/2030
Facility Name Mountaire Farms of North Carolina
Non -Discharge X UIC
Permit Name (if different):
NPDES Other
Facility Address: 17269 NC Hwy 71 N
TYPE OF PERMITTED OPERATION BEING MONITORED
Lumber Bridge NC
28357-0339 County Robeson
❑ Lagoon ❑ Remediation: Infiltration Gallery
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.
Ifmm Pe M
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-52
Date s,r, le collected: 04/16/2024
FIELD ANALYSES:
WAS
Well Depth: 15.0 ft.
vvell Diameter: 2 in.
pH ooaoo: 5.47 units Temp. 000lo. 16.4 °C
DRY at
Depth to Water Level 82546: 7.8 ft. below measuring
p g point Screened Interval: ft. to
ft. Spec. Cond. 0009a. pMhos
time of
Measuring Point is 3.5 ft. above land surface
Relative M.P. Elevation: ft.
Odor oDoe5:
sampling,check
Volume of water pumped/bailed before sampling:
3.0
gallons
Appearance
here:
Samples for metals were collected unfiltered: ❑ YES
0 NO and field acidified: ❑ YES N NO
LABORATORY INFORMATION
Date sample analyzed: 04/16-04123/2024
Laboratory Name: Cameron Testing
Services Certification No. #654
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NOZ) as N 00615
mg/L Pb - Lead oio51 ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 13.6
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100ml-
Phosphorus: Total as P 00665 <0.05
mg/L
(Note- Use MPN method for NgNy turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 561
mg/L
At - Aluminum 01105
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 0owo 14.0
mg/L
Ca - Calcium 00916
mg/L
Chloride 0o94o 141
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 o1045
ug/L (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 00095
NMhos
K - Potassium 00937
mg/L VOC 7e732 method # 8260
Total Ammonia 00610 < 0.10
mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen: NH, as N. AmrnoNa Ndrogert, 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%
Marcus Bell, Director of Processing
Pennittee (or Authonzed Agent) Name and TAB - Please print or type
GW-59 Rev.2/2010

SUBMIT FORM ON YELLOW PAPER ONLY
OUNDWATER QUALITY MONITORING:
MPLIANCE REPORT FORM
,,, , 11 Please Print Clearly or
Facility Name. Mountalre Fame of North Carolina
Permit Name (if different):
Facility Address: 17269 NC Hwy 71 N
Lumber Bridge 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
DEPARTMENT OF ENVIRONMENT 6 NATURAL RESOURCES
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699.1617 Phone: [phone]
PERMIT Number: W00000484 Expiration Date: 09/30/2030
Non -Discharge X UIC
NPDES Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
SAMPUNG INFORMATION
WELL ID NUMBER (from Permit): MW-53 Date sample collected: 04/16/2024
Well Depth: 15.0 ft. Well Diameter: 2 in.
4.3 ft. below measuri
Depth to Water Level ez546: ng point Screened Interval: ft. to
Measuring Point is 3.0 ft. above land surface Relative M.P. Elevation: ft.
Volume of water pumped/bailed before sampling: 4.50 gallons
Samples for metals were collected unfiltered: ❑ YES © NO and field acidified: ❑ YES N NO
_it.
FIELD ANALYSES:
pH 00400. 5.76 units Temp. 000lo. 19.5 eC
Spec. Cond. 0009a: µ Mhos
Odor Dom
Appearance
If WELL
WAS
DRY at
time of
sampling,
check
here: ❑
LABORATORY INFORMATION
Date sample analyzed: 04l16-0412312024
Laboratory Name: Cameron Testing Services
Certification No. #654
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615
mg/L
Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616 <1
/100ml-
Nitrate (NO3) as N 00620 1.48
mg/L
Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P oo66s <0.05
mg/L
(Note Use MPN method for hiyNy turbid samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 69.0
mg/L
At - Aluminum o11os
mg/L
pH (Lab) oo4o3
units
Ba - Barium 01007
ug/L
TOC 00680 < 1.00
mg/L
Ca - Calcium W916
mg/L
Chloride 00940 8.50
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total oio34
ug/L
Grease and Oils W552
mg/L
Cu - Copper 01042
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 71900
ug/L
Lab Report Attached? ❑ Yes (1) ❑■ No (0)
specific Conductance 00095
µMhos
K - Potassium 00937
mg/L
VOC 78732: method # 8260
Total Ammonia D0610 < 0.10
mg/L
Mg - Magnesium 00927
mg/L
method #
(Ajiv u e N4rugen. NI t,as N; Amrarva Mrogen. Tctd!
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 vuu Kemoval7a
GW-59 Rev.2/2010

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
m
DIVISION OF WATER OUALITYdNFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: W00000484 Expiration Date. 09/30/2030
Facility Name: Mountaire Farms of North Carolina
Non -Discharge X UIC
NPDES Other
Permit Name (if different):
Facility Address: 17269 NC Hwy 71 N
TYPE OF PERMITTED OPERATION BEING MONITORED
Lumber Bridge NC
28357-0339 County Robeson
❑ Lagoon ❑ Remediation: Infiltration Gallery
0 Spray Field ❑Remediation:
Contact Person: Robert Jackson
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well LocatioNSile Name: Mountaire Inner and Outer Perimeter Spray Fields No. of wells to be sampled: 30
❑ Water Source Heat Pump ❑ Other.
(prom Pe,
SAMPLING INFC`^MATION
If WELL
WELL ID NUME-k ,from Permit): MW-54
Date sample collected: 04/16/2024
FIELD ANALYSES:
WAS
Well Depth: 15.0 ft.
Well Diameter: 2 in.
pH oo400 6.51 units Temp. 000lo 18.8 °C
DRY at
Depth to Water Level 82546: 10.2 ft. below measuring
point Screened Interval, ft. to
ft. Spec. Cond. 00094: µMhos
time of
sampling,
Measuring Point is 2.5 ft. above land surface
Relative M.P. Elevation: ft.
Odor 00085:
check
Volume of water pumped/bailed before sampling:
2.5
gallons
Appearance
here:
❑
Samples for metals were collected unfiltered: El
YES
NNO and field acidified: ❑ YES N NO
LABORATORY INFORMATION
Date sample analyzed: 04/16-0423/2024
Laboratory Name: Cameron Testing
Services Certification No. #654
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615
mg/L Pb - Lead o1051 ug/L
Coliform: MF Fecal 31616 <1
/100ml-
Nitrate (NO.) as N 00620 24.7
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 1.11
mg/L
(Note: use MPN method for hlgNy turbid samples)
Orthophosphate 70507
m L Other S g/ (pacify Compounds and Concentration Units):
issolved Solids:Total 70300 362
mg/L
AI - Aluminum 01105
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC Dom <1.00
mg/L
Ca - Calcium 00916
mg/L
Chloride oo94o 99.0
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total 01034
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 o1o4s
ug/L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg/L
Hg - Mercury 719oo
ug/L Lab Report Attached? ❑ Yes (1) K No (0)
Specific Conductance 00095
µMhos
K - Potassium 00937
mg/L VOC 78732: method # 8260
Total Ammonia 00610 <0.10
mg/L
Mg - Magnesium 00927
mg/L method #
IAmmoma Nitrogen, NM, as N. Artmona Nitrogen, Total)
Mn - Manganese moss
ug/L method #
TKN as N o0625
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%
Marcus Bell, Director of Processing
Permittee (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev.2/2010
(or
30

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENT 8 NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION
Please Print
Clearly or 7ype
PERMIT Number: W000004811 Expiration Date 09/30/2030
Facility Name Mountaire Farms of North Carolina
Non -Discharge X UIC
NPDES Other
Permit Name of different):
Facility Address: 17269 NC Hwy 71 N
TYPE OF PERMITTED OPERATION BEING MONITORED
El Lagoon ❑ Remediation. Infiltration Gallery
Lumber Bridge NC 28357-0339 Count Robeson
y
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 sampled30
❑ Water Source Heal Pump ❑ Other.
(ham Permq�
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-55
Date sample collected: 04/16/2024
FIELD ANALYSES:
WAS
Well Depth: 15.0 ft.
Well Diameter. 2 in.
pH o0400 6.56 units Temp. 0ooiu 19.1 °C
DRY at
Depth to Water Level 82546. 8.9 ft. below measuring
point Screened Interval. ft. to
Spec. Cond. 00094 pMhos
time of
Measuring Point is 2.5 ft. above land surface
Relative M.P. Elevation ft.
-ft.
Odor 00085
sampling,
check
Volume of water pumped/bailed before sampling.
3.00
gallons
Appearance
here -
Samples for metals were collected unfiltered: ❑ YES
[O] NO and field acidified ❑ YES NO
LABORATORY INFORMATION
Date sample analyzed: 04;16-04/2312024
Laboratory Name. Cameron Testing Services Certification No. #654
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335
mg!L
Nitrite (NO2) as N 00615
mg/L Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N oe620 3.76
mg,L Zn - Zinc 1.10s2 mglL
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P oo665 < 0.05
mg/L
(Note Use MPN methodiorhgNy turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 76.0
mg/L
AI - Aluminum 01105
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC oo68o 1.28
mg/L
Ca - Calcium o0916
mg/L
Chloride oo94o 14.3
mg/L
Cd - Cadmium 01027
ug/L
Arsenic o1002
ug/L
Chromium Total 01034
ug/L
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg%L ORGANICS: (by GC. GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron 01045
ug/L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes (1) 0 No (0)
pecific Conductance 00095
µMhos
K - Potassium 00937
mg/L VOC 78732 method # 8260
Total Ammonia 00610 <0.10
mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen, NH, as N. Ammonia Nitrogen, Total)
Mn - Manggnese C1055
ug/L #
Method
ITKN as N 00625
mg/L
Ni - Nickel 01067
uglL method # I
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs mg/L Effluent Total VOCs mg/L VOC Removal
Marcus Bell, Director of Processing
Permittec (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev 212010