WQ0000601_GW Monitoring_20151218

GIV-59A COMPLIANCE REPORT FORM Permit # WO000061
(Submit one each maallortmg polod wtth C0=59 fermc)
1
Enter date monitoring results were due. (12=013) Will this monitoring report (GW-59 and GW-59A) be submitted after the established
YES
O
due date?
2
Was any required information missing on the GW59 report forms?
YES
O
117-the answer to question I or 2 is "YES'( list in the spaceprovided below the well identification namher(s) and
explain the problems encountered in obtaining the required information.
3
Are any of the monitor wells in need or repair or maintenance (damaged cuing, unlocked or missing cap, missing
YES
PO
identification plate, area overgrown, etc.)? irthe answer is "Vex+,, contact the Regional Office for guidance.
4
Are any monitored constituents equal to or above the established standards?
VES
to
Ifthe answer to question 4 is 'NO", skip to section 8.
Ifthe answer to question 4 is "YES" list the affected wells individually with consliruenl(s) andconcentmtion(s)
exceeding standards in the space provided below:
5
For the constituents identified in question 4 above, have standards hem=ended previously for the
YES
O
same constiment(s) in the same well(s) in the last two years?
Ifthe answer to question 5 is "NO", skip to section 8.
Ifthe answer to question S is "YES", list in the spaceprovided below, each well with constiment(s) exceeding standards, concentration(s)
reported, and sample collection date for each occurrence (for the last two years).
6
Are the monitoring wells listed in section 5located at or beyond the review boundary?
YES
NO
Ifthe answer is "YES-, agroundwater qualityproblem may be occurring. CONTACT THE REGIONAL '
OFFICE IMMEDIATELYFOR GUIDANCE. Ifthe 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
YES
NO
groundwater quality problem?
Ifthe answer to question 7 is "YES", describe these auto= in the space provided below.
tflhe answer to question 7 is "NO", Contact OreRe¢fonal Offlm within 90 days: an evaluation may be
renuired to determine the Impact Use waste dtposal wstem is having at the review, andeo a#ance
boundaries surroundinethis TcilityFailure to do so mov subled the itermittee to a Notim ofKaltin Uses andlorpenalties.
8
The person completing this portion(GW-59A) of the monitoring report should sign below and submit this form with GW-59 forms for
required wells to the address provided at the top of the current GW-59 farm.
I hereby acknowledge that the a ov formation was evaluated and the information submitted in this report (Compliance Report GW-
59A) is true d ple of my knowledge.
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GROUNDWATER QUALITY MONITORING:,
.
.
DEPARTMENT OF ENVIRONMENT& NATURAL RESOURCES
COMPLIANCE REPORT FORM
.
D1017 MADIVISIONRV SERVICE CENTER. RSION OF WATER RESOURCES -INFORMATION PROCESSING UNIT
ALEIG C 276fi9:16O Pliono .919F07-6306'
FACILITY INFORMATION Please Print c/eedyor Type
PERMITNumber: Expiration Date: 7/31/2017
Facility Name: CSX Transportation - Hamlet Wastewater Treatment Facility
Non -Discharge W0000061 UIC
NPDES Other
Permit Name (f different):
Facility Address: Box 191A Highway 177N
TYPE OF PERMITTED OPERATION BEING MONITORED
ElLagoon ElRemediation: Infiltration Gallery
Hamlet NC 28345 County Richmond
(s„y) (sm,°) a�n)
❑ Spray Field ❑ Remediation:
Contact Person: Mike Gregory
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: See location map
No. of wells to be sampled:
7
❑ Water Source Heat Pump Other: Monitoring Wells
(from Pont)
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-2
Date sample collected:
11/9/2015
FIELD ANALYSES:
WAS
Well Depth: 50 ft.
Well Diameter.
2 in.
pH co4o0: 5.42 units Temp. 000lo: °C
DRY at
Depth to Water Level e2546: 38.7 ft. below measuring point
Screened Interval:
ft.
to
ft. Spec. Cond. 00094: 110 µMhos
lime of
Measuring Point Is 422.29 ft. above land surface
Relative M.P. Elevation:
ft.
Odor 000a5:
sampling,
Volume of water pumped/bailed before sampling:
gallons
Appearance
check
❑
Samples for metals were collected unfiltered: � y No
and field acidified: ❑' YES
❑ NO
here:
LABORATORY INFORMATION
Date sample analyzed:
Laboratory Name:
TestAmerica Certification No. 269
PARAMETERS NOTE: Values should reflect dissolved and
colloidal concentrations.
COD oo33s mg/L
Nitrite (NO2) as N ooets
mg/L
Pb - Lead olost <0.98 uglL
Colifonn: MF Fecal 31616 /100mL
Nitrate (NO3) as N 00620
1.2
mg/L
Zn -Zinc 01o92 mg/L
Coliform: MF Total 31504 /100ml- Phosphorus: Total as P ooees
mg/L
(Note: Use MPN method for highly wm&mplee)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
Dissolved Solids: Total 70300 87 mglL
AI -Aluminum otlos
mg/L
pH (Lab) co4D3 units
Be- Barium 01007
4.3
ug/L
TOC oo6so 1.6 mg/L
Ca - Calcium costs
mg/L
Chloride oo94o mg/L
Cd - Cadmium 01027
<0.2
ug/L
Arsenic 01002 <1.5 uglL
Chromium: Total oio34
<1.6
ug/L
Grease and Oils oo552 - mg/L
Cu - Copper 01042
mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730 uglL
Fe - Iron 01o45
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945 mg/L
Hg - Mercury 71900
uglL
Lab Report Attached? Yes (1) No (0)
Specific Conductance 00095 µMhos
K - Potassium 00937
mglL
VOC 79732: , method #
Total Ammonia ooelo mglL
Mg - Magnesium 00927
mg/L
, method #
(Ammonia Mtrogon: N%es N; A .d. Nilrooen, Total)
Mn- Manganese oiom
uglL
,method#
TKN as N oo82s mglL
Ni - Nickel 010e7
uglL
, method 4
For Remediation Systems Only (Attach Lab Reports): Influent Total Vocs: mg/L tmuent 10181 VUcs: ,i,yfL vv. rcerrnavn 1.
_Carl A Gerhardstein AVP Public Safety, Health & Environment
Penn nee (orAUthorized Agent) Narita and mUe- Please print or type

REPORT
Name:
Name (if
Address:
Treatment
County Richmond
act Person: Mike Gregory Telephone#: [phone]
Location/Site Name: See location map No. of wells to be sampled: 7
(ram Permu)
Ion -Discharge W0000061 UIC
IPDES Other
YPE OF PERMITTED OPERATION BEING MONITORED
❑❑ Lagoon ❑ Remedlation: Infiltration Gallery
Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump [D Other. Monitoring Wells
-L ID NUMBER (from Permit): MW-3
Date sample collected:
11/1112015
FIELD ANALYSES:
WAS
Depth: 50 ft.
Well Diameter.
2 In.
pH o040o: 5.52
units Temp. cooio: oC
DRY at
lh to Water Level e2646: 40.06 ft. below measuring point
Screened Interval:
ft.
to ft.
Spec. Cond. 00094:
24 µMhos
time of
suring Point is 415.8 ft. above land surface
Relative M.P. Elevation:
ft.
Odor 000s5:
sampling
ime of water pumpediballed before sampling:
gallons
Appearance
check
l Ies for metals were collected unfiltered: + vEs No
and field acidified: F±1 Yes
❑ No
here: ❑
'ORATORY INFORMATION
l sample analyzed:
Laboratory Name:
TestAmedca
Certification No. 269
AMETERS NOTE: Values should reflect dissolved and
colloidal concentrations.
COD 00335 mg/L
Nitrite (NO2) as N oasts
mg/L
Pb - Lead olo5i
<0.98 ug/L
Coliform: MF Feral 31616 /100mL
Nitrate (NO3) as N oa62o
0.61
mg/L
Zn - Zinc 01092
mg/L
Collier: MF Total 31504 /100mL Phosphorus: Total as P a0665
mg/L
(Note: Use MPNmeftdfaf Nghlylweldsamples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
Dissolved Solids: Total 70300
l
11 mg/L
AI -Aluminum clips
mg/L
pH (Lab) co4o3
units
Be - Barium 01007
7.7 uglL
TOC come
<0.5 mg/L
Ca - Calcium olele
mg/L
Chloride coll4o
mglL
Cd - Cadmium 01027
<0.15 ug/L
A
<1 5 L
Chromium: Total01034
51 u R
rsencotooz
ugl
g
Grease and Oils 00552
mg/L
Cu - Copper D1042
mg/L
ORGANICS: (by GC, GCIMS, 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) No (0)
Specific Conductance 00095
µMhos
K- Potassium 00937
mg/L
VOC 78732: , method #
Total Ammonia costa
mg/L
Mg - Magnesium 00927
mg/L
, method #
(Ammonia Nssogen; NHees N; Ammonla Nlaagen, Total)
Mn - Manganese otoss
ug/L
, method #
TKN as N 00625
mg/L
NI - Nickel o1087
ug/L
, method #
Cad A. Gemardsteln AVP Public Safety, Health & Environment
Permlttee (orAulhodzed Agent) Name aM Tille- Please print or type

UNIT
FORM
ty Name: CSX Transportation - Hamlet Wastewater Treatment Facility
Non -Discharge WQO00061
UIC
A Name (if different):
NPDES
Other
tyAddress: Box lg1A Highway
177N
TYPE OF PERMITTED OPERATION BEING MONITORED
Hamlet
- NC 28345 County Richmond
ElLagoon
ElRemediation:
Infiltration Gallery
lcar)
(�=O Pp)
❑ Spray Field
❑
Remediation:
act Person:
Mike Gregory Telephone#: [phone]
❑ Rotary Distributor
❑
Land Application of Sludge
Location/Site Name:
See location map No. of wells to be sampled: 7
❑ Water Source Heat Pump
0
Other: Monitoring Wells
(fmm Nnerm
L ID NUMBER (from Permit): MW-4
Date sample collected:
11/11/2015
FIELD ANALYSES:
Depth: 55 ft.
Well Diameter.
2 In.
pH omco: 6.03 units Temp. 000lo: eC
i to Water Level e2546: 37.31 ft. below measuring point
Screened Interval:
ft. to ft.
Spec. Cond. 00094: 119 pMhos
luring Point is 413.2 ft. above land surface
Relative M.P. Elevation:
ft.
Odor owas:
no of water purr ped/bailed before sampling:
gallons
Appearance -
Aes for metals were collected unfiltered: + vES NO
and field acidified: p_YES
❑ NO
sample analyzed: Laboratory Name: TestAmedca
JIMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD oo33s mg/L Nitrite (NO2) as N costs mg/L Pb - Lead 01051
Colifonn: MF Fecal 31616
/100ml-
Nitrate (NO,) as N 60620
0.77
mg/L
Colifonn: MF Total 315M
/100mL
Phosphorus: Total as P o0965
mg/L
(Note: Use MPN method for highry turgid samples)
Orthophosphate 70507
mg1L
Dissolved Solids: Total 70300 64
mg/L
AI -Aluminum o11os
mg1L
pH (Lab) oo4o3
units
Be - Barium oiooT
1.6
ug/L
TOG coeao 1.5
mg/L
Ca - Calcium 00916
mg/L
Chloride oos4o
mg/L
Cd - Cadmium 01027
<0.15
ug/L
Arsenic oiom <1.5
uglL
Chromium: Total 01034
41.6
ug/L
Grease and Oils Oe552
mg/L
Cu - Copper 01042
mg/L
Phenol 32730
ug/L
Fe - Iron olo4s
ug/L
Sulfate oo94s
mg/L
Hg - Mercury 71900
ug/L
Specific Conductance 00095
pMhos
K - Potassium 00937
mg/L
Total Ammonia ooalo
mg/L
Mg - Magnesium o0927
mg/L
(Ammonia NlWgen; NHsas N; Airmen. Niingen• Tow)
Mn- Manganese 01055
ug/L
TKN as N 00625
mglL
Ni - Nickel 01067
ug1L
Cad A Gerhardstein AVP Public Safety Health & Environment
Pefmldes (orAuthodzed Agent) Name and Tige. Please pdnl or type
Zn -Zinc 01092
Certification No. 269
<0.98 ug/L
mg/L
Other (Specify Compounds and Concentration Units):
ORGANICS: (by GC, GC/MS, HPLC)
(Specify test and method #. ATTACH LAB REPORT.)
Lab Report Attached? Yes (1) No (0)
VOC 7e732: , method #
method #
method #
method #
at
of
u

REPORT FORM O17 MAIL
S WATER RESOURCE S-INFORMATION PROCESSING UNIT
� � � 161] MALL SERVICE CENTER. RALEIGH NC 278941617 Phone! 9194167-6306' -
Facility Name: CSX Transportation - Hamlet Wastewater Treatment Facility
Non -Discharge WO000061
UIC
Permit Name (if different):
NPDES
Other
Facility Address: Box 191A Highway 177N
TYPE OF PERMITTED OPERATION BEING MONITORED
Hamlet NC 28345
County Richmond
❑ - Lagoon
❑
Remedlation: Infiltration
Gallery
(city) (stem) ap)
❑ Spray Field
❑
Remedlation:
Contact Person: Mike Gregory
Telephone#: [phone]
❑ Rotary Distributor
❑
Land Application of Sludge
Well Locatlon/Site Name: See location map -
No. of wells to be sampled: 7
❑ Water Source Heat Pump
❑'
Other. Monitodn
Wells
(tram PwmM)
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-5
Date sample collected: 11/11/2015
FIELD ANALYSES:
WAS
Well Depth: 60 ft.
Well Diameter. 2 In.
pH 0040o: 5.95 units
Temp. 000io: oc
DRY at
Depth to Water Level 82546: 44.02 ft. below measuring point
Screened Interval: ft. to
ft. Spec. Cond. 00094:
233
µMhos
time of
Measuring Point is 411.39 ft. above land surface
Relative M.P. Elevation: ft.
Odor 000ss:
sampling.
Volume of water pumpedibailed before sampling:
gallons
Appearance
check
Ramnles fnr metals wpm rnllpcted unfiltered: FIT YES NO
and field acidified: n YES M NO
here: ❑
Dale sample analyzed:
Laboratory Name:
TestAmedca Certification No. 269
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335
mg/L Nitrite (NO2) as N costs
mg/L Pb - Lead otosl <0.98 ug/L
ColHorm: MF Fecal 31616
1100ml- Nitrate (NO3) as N 00620
2.8 mg/L Zn -Zinc 01092 mg/L
Colifonn: MF Total 31504
/100mL Phosphorus: Total as P oosss
mg/L
(Note: Use MPN method for highly Wreld samples)
Orthophosphate 70507
mglL Other (Specify Compounds and Concentration Units):
Dissolved Solids: Total 70300
150 mg/L
AI - Aluminum of im
mg/L
PH (Lab) cD4o3
units
Be - Barium oioo7
50 ug/L
TOC oc6so
1.2 mg/L
Ca - Calcium costa
mg1L
Chloride ocg4o
mg/L
Cd- Cadmium 01027
40.15 ug/L
Arsenic oiom
<1 5 ug/L
Chromium: Total oto34
3.3 uglL
Grease and Oils 00552
mg/L
Cu - Copper 01042 -
mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron =45
ugll.
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate oms
mg/L
Hg- Mercury 71900
ug/L
Lab Report Attached? Yes(1) No
Specific Conductance o0095
µMhos
K - Potassium oo937
mg/L
VOC 78732: , method #
Total Ammonia oasto
mg/L
Mg - Magnesium 00927
mg/L
, method #
(Ammon. Nihegen: NHsae N; Ammonle Mustier, Total)
Mn- Manganese ci055
ug/L
,method#
TKN as N o0625
Ill
NI - Nickel D1os7
ug/L
, method #
Cad A. Gerhardstein AVP Public Safety, Health & Environment
Pem i9ee (or Authorized Agent) Name and Ti6e - Please print ortype

FORM
Name (if different):
Address: Box 191A Highway 177N
Hamlet NO 28345 County Richmond
act Person: Mike Gregory Telephone#: 910-20M379 I C
Location/Site Name: See location map No. of wells to be sampled: 7 C
(from Permit)
PLING INFORMATION
L ID NUMBER (from Permit): MW-7 Date sample collected: 11/g/2015
Depth: 50 ft. Well Diameter: 2 in.
t to Water Level 82545: 34.74 ft. below measuring point Screened Interval: _ft. to ft.
uring Point is 385.14 ft. above land surface Relative M.P. Elevation: ft.
ne of water pumpedlbailed before sampling: gallons
Apa fnr mntala ware rnllected unfiltered- YES NO and field acidified: n YES t1 NO
lischarge W0000061 UIC
S Other
OF PERMITTED OPERATION BEING MONITORED
Lagoon ❑ Remedlation: Infiltration Gallery
Spray Field ❑ Remedlation:
Rotary Distributor ❑ Land Application Df Sludge
Water Source Heal Pump 2) Other. Monitoring Wells
FIELD ANALYSES: -
pH oo400: 5.15 units
Spec. Cond. 000s4: _
Oder 08085:
Appearance
Temp. 000io: eC IDRY at
112 amhos time of
Dale sample analyzed: Laboratory Name: TestAmedca Certification No. 269
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD oo335
mg/L Nitrite (NO2) as N 00615
mg/L
Pb - Lead gloat <0.98 ug/L
Colifonn: MF Fecal 31616
/100mL Nitrate (NOG) as N oos20
6.6 mg/L
Zn - Zinc 9103E mg/L
Coliform: MF Total 315G4
/100ml- Phosphorus: Total as P ocass
mg/L
(Note: Use MPN metho4 for trgbry turbid semides)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units)
Dissolved Solids: Total 70300
130 mg/L
AI -Aluminum 01105
mg/L
pH (Lab) 00403
units
Be - Badum 01007
39 ug/L
TOO cosso
2 mglL
Ca - Calcium Goats
mg/L
Chloride oog4o
mg/L
Cd - Cadmium oio27
<0.15 ug/L
Arsenic oioo2
<1.5 ug/L
Chromium:'Totat oio34
2.3 ug/L
Grease and Oils oo552
mg/L
Cu - Copper 01042
mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron clods
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate oo945
mg1L
Hg - Mercury 71e00
ugfL
Lab Report Attached? Yes (1) No tO)
Specific Conductance o0og5
µMhos
K- Potassium o0977
mg/L
. VOC 78732: , method #
Total Ammonia oo610
mg/L
Mg - Magnesium coon
mg/L
, method #
(Ammonia Namie-s NHo- N: Ammonia Nitrogen, TOW)
Mn- Manganese D1055
ug/L
,method#
TKN as N OD625
mg/L
NI - Nickel DIM
uglL
, method #
Cad A. Gerhardslein AVID Public Safety Health & Environment
Permitted, (orAulhori:ed Agent) Name and Title- Please print or type
n

FORM
ity Name: CSX Transportation - Hamlet Wastewater Treatment Facility
Non -Discharge W0000061
UIC
(it Name (if different):
NPDES
Other
ityAddress: Box 191A Highway
177N
TYPE OF PERMITTED OPERATION 13EING MONITORED
Hamlet
NO 28345 County Richmond
❑ Lagoon
❑
Remediation: Infiltration Gallery
(city)
(Slme) (zip)
❑ Spray Field
❑
Remediation:
act Person:
Mike Gregory Telephone#: [phone]
❑ Rotary Distributor
❑
Land Application of Sludge
Location/Site Name:
See location map No, of wells to be sampled: 7
❑ Water Source Heat Pump
Other: Monitoring Wells
(flpm peimX)
WELL ID NUMBER (from Permit): MW-8
Well Depth: 57 ft.
Depth to Water Level e2549: 44.35 ft, below measuring point
Measuring Point is 405.69 ft. above land surface
Volume of water pumped/bailed before sampling:
Samples for metals were collected unfiltered: � YEs NO
Date sample collected:
Well Diameter:
Screened Interval:
Relative M.P. Elevation:
gallons
and field acidified: ❑ YES
11/11/2015
2 in.
ft. to ft.
ft.
❑ No
FIELD ANALYSES:
pH oo400: 5.53
Spec. Cond. 00094:
Odor 000ss:
Appearance
units Temp. 000io; eC
228 µMhos
WAS
DRY at
time of
sampling
check
here: ❑
LABORATORY INFORMATION
Date sample analyzed:
Laboratory Name:
TestAmerica
Certification No. 269
PARAMETERS NOTE: Values should reflect dissolved and
colloidal concentrations.
COD oo335
mg/L
Nitrite (NO2) as N oo6is
mg/L
Pb - Lead o1o51
<0.98 ug/L
Colifonn: MF Fecal 31616
/100mL
Nitrate (NO3) as N a0620
7.2
mglL
Zn - Zinc 01092
mg/L
Colifonn: MF Total 315o4
/100mL Phosphorus: Total as P oases
mg/L
(Nob: Use MPN meNed for hlghy W,bld eemples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
Dissolved Solids: Total 7o3oo 140
mg/L
AI -Aluminum 01105
mg/L
pH (Lab) oo4o3
units
Be - Badum 01007
43
uglL
TOO oosao 1.2
mg/L
Ca - Calcium costs
mg/L
Chloride oo94o
mg1L
Cd - Cadmium 01027
<0.15
ug/L
Ars ; <7 5.
IL
Chromium: Total oto34
27
uglL
en(cotooz
Grease and Oils aoee2
ug
mg/L
Cu - Copper oio42
mg/L
ORGANICS: (by GC, GC/MS, HPLC) "
Phenol 3z73o
ug/L
Fe - Iron oto45
uglL
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate oog4s
mg/L
Hg - Mercury 71900
ug/L
Lab Report Attached? Yes (1) No (0)
Specific Conductance 00095
pMhos
K - Potassium 00937
mg/L
VOC 78732: , method #
Total Ammonia ooslo
mg/L
Mg - Magnesium oo9z7
mg/L
, method #
(AmmoNe Mtrogen; Miss N; Overtired. Nitrogen. Tolel)
Mn- Manganese olos5
ug/L
,method#
TKN as N o0625.
mg/L
Ni - Nickel o1o67
ug/L
, method #

Howtom�4es J
•• •0-
Karen A. Adams
Manager Environmental Programs
NC Dept. of Natural Resources
Attu: Information Processing Unit
Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
Re: Non -Discharge Monitoring Report Submittal
CSX Transportation, Inc. Hamlet
Permit Number WQ000061
Dear Sir/Madam,
500 Water Street J-275
Jacksonville, FL 322024422
[phone]
Fax[phone]
karen [e-mail]
August 17, 2015
Attached is the completed self -monitoring report for the period ending in July 2015 for our CSX Transportation
facility at the above referenced permitted location.
If you have any comments or questions, please do not hesitate to contact me at [phone].
Attachments
Sincerely,
jo, kYII �d4
Karen A. Adams �
OCT 0 6 2015
FgETTEVILLE REGIONAL OFFICE

j,
GW-59A COMPLIANCE REPORT FORM Permit # W0000061 .1
(Submit one each omainning period with GIV-59 forms)
1
Enter dale monitoring results were due. (12282013) Will this monitoring report (GW-59 and GW-59A) be submitted after the established
YES
NO
due date? 6 Z23 I
2
Was any required information missing on the GW-59 report forms?
YES
NO
K
IFdse answer io question I or 2 is "YES", list in the space provided below the well Identification numbers) 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
NO
identification plate, area overgrown, eta)? If the answer is "Yes^, contact the Regional Office for guidance.
Y.
4
Are any monitored constituents equal to or above the established standards?
YES
NO
Ifthe answer to question 4 is "NO ", skip to section 8.
Ifthe answer to question 4 is "YES" list the affected wells individually with constituents) and roncemration(s)
exceeding standards in the space provided below:
5
For the constituents identified in question 4 above, have standards been exceeded previously for the
YFS
NO
same constituent(s) in the same well(s) in the last two years?
�[
r
lf1he answer to question 51s "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 Our the last two years).
6 .
Are the monitoring wells listed in section 5located at or beyond the review boundary?
YES
NO
X
Ifibe answer is "YES", a groundwater quality problem may be occurring. CONTACT THE REGIONAL
OFFICE Il?L EDIATELYFOR GUIDANCE. Iffhe 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
YES
NO
groundwater quality problem?
Ifihe answer to question 7 is "YES", describe those actions in the space providedbelow.
If the answer to question 7 is "NO'( contact Ore Regional Office within 90 days an evaluation maybe
required to determine the impact the waste disposal system Ishaving at the review and compliance
boundaries surrounding this facility. Failure to do so may subject the permlRee to a Nodce of Violation lines, and/or nenaldes.
8
The person completing this portion (GW-59A) of the monitoring report should sign below and submit this form with GW-59 forms for
required wells to the address provided at the top of the current GW-59 form.
I hereby acknpwled ethat thea v inf nttan was evaluated and the information submitted inthis report (Compliance Report GW-
59A) is true and pie to b y knowledge
S' lure m' ee o prized Agent) Date
GIV-59A 12/82o03

FORM
Name: CSX Transportation - Hamlet Wastewater Treatment Facility
Name (if different):
Address: Box 191A Highway 177N
County Richmond -
act Person: Mike Gregory Telephone#: [phone]
Location/Site Name: See location map No. of wells to be sampled: _ 7
(firs. Peres)
Non -Discharge W0000061
UIC _
NPDES
Other. _
rYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑
Remediatfon: Infiltration Gallery
❑ Spray Field ❑
Remediation: _
❑ Rotary Distributor ❑
Land ApplicationXSludge
❑ Water Source Heat Pump ❑+. Other: Monilddng We [is
L ID NUMBER (from Permit): MW-1 Date sample collected: 711/2015
Depth: 65 ft. Well Diameter: 2 In.
n to Water Level82546: 50.83 ft. below measuring point Screened Interval: ft. to ft.
luring Point is 414.95 ft. above land surface Relative M.P. Elevation: ft.
ne of water pumpediballed before sampling: gallons
Dies for metals were collected unfiltered: . YEs No _ and field acidified: 0 YES ❑ NO
FIELD ANALYSES:
PH 0040D: 5.35
Spec. Cond. Doog4:
Odor 00085:
Appearance
)ate sample analyzed: 'Laboratory Name: TestAmedca
1ARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD oo33s mg/L Nitrite (NO,) as N costs mg/L Pb - Lead most
Coliform: MF Fecal 31616 1100ml. Nitrate (NO3) as N oo52o 0.84 mg/L Zn - Zinc oio92
Cofifonn: MF Total 31504 /100mL Phosphorus: Total as P o0es5 mglL
units Temp.
.Certification No. 269
<0.5
ug1L
mg/L
(Nate: Use MPN me0,0 (or highly hhhW samples)
Orthophosphate 70507
mg1L
Other (Specify Compounds and Concentration Units):
Dissolved Solids: Total 70300 24
mg1L
AI -Aluminum 01105
mg/L
PH (Lab) 00403
units
Be - Barium 01007
3.8 ugIL
TOG oosso - 0.78
mg1L
Ca - Calcium oasis
mg1L
'
Chloride oos4o - -
mg/L
Cd - Cadmium 01027
<0.13 uglL
Arsenic 01002 <0
ug/L
Chromium: Total mo34
2.7 ug/L
-
Grease and Oils oo552
mg1L
Cu - Copper 01042
mg/L
ORGANICS: (by GC, GCIMS, HPLC)
Phenol 3273o
uglL
Fe - Iron 01045
uglL
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate oos45
mg/L
Hg - Mercury 71e00
ug/L
Lab Report Attached? Yes (1) No (0)
Specific Conductance 00095,
❑Mhos
K- Potassium oDe37
mg/L
VOC 78732: , method #
Total Ammonia ooalc
mg/L
Mg,- Magnesium ooez7
mg/L
, method #
(kmmam. Nitma.; NHaee N; Ammonia Nihoges, Total)
Mn- Manganese o1055
uglL
,method#
- TKN as N ao625
mg/L
NI - Nickel ovis7
" uglL
- , method #
chleck
here: ❑

REPORT FORM
UNn'
ity Name: CSX Transportation - Hamlet Wastewater Treatment Facility
Non -Discharge WQOOD061
UIC
lit Name (if different):
NPDES
Other
ityAddress: Box 191A Highway 177N
TYPE OF PERMITTED OPERATION BEING MONITORED
Hamlet NO 28345
County Richmond
❑ Lagoon
❑
Remedlation: Infiltration Gallery
(city) (Sims) (ZIP)
❑ Spray Field
❑
Remedlation:
act Person: Mike Gregory
Telephone#: [phone]
❑ Rotary Distributor
❑
Land Application of Sludge
Location/Site Name: . See location map
No. of wells to be sampled: 7
❑ Water Source Heat Pump
ID
Other. Monitoring Wells
-
gmm Perna
PLING INFORMATION
If WF
LID NUMBER (from Permit): MW-2
Date sample collected: 7/1/2D15
FIELD ANALYSES:
WAE
Depth: 50 ft.
Well Diameter: 2 In.
pH 00400: 5.35 units
Temp. 000io: eC
D
h to Water Level s254s: 37.15 ft. below measuring point
Screened Interval: ft. to
ft. Spec, Cond. 00094:
82
uMhos
time
;wring Point is 422.29 ft. above land surface
Relative M.P. Elevation: ft.
Odor oocas:
ag
Tie of water pumped/bailed before sampling:
gallons
Appearance
nies for matals were milected unfiltarad- YES NO
and field acidified: 11 YES n NO
here
late sample analyzed:
Laboratory Name:
TestAmerica Certification No. 269
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD oo335
mg/L
Nitrite (NO2) as N costs
ni
Pb - Lead 01051 <0.5 ug/L
Coliform: MF Fecal 31616
/100mL
Nitrate (NO3) as N 00620
1.1
mg/L
Zn -Zinc olow mg/L
Coliform: MF Total 31soa
11ODmL
Phosphorus: Total as P 006e5
mg/L
(Noto: Use MPNmethodrorblghyturbdisawles)
Orthophosphate 70507
mglL
Other (Specify Compounds and Concentration Units):
Dissolved Solids: Total 70300 63
mg/L
AI -Aluminum oilo5
mg/L
PH (Lab) oo4o3
units
Be - Barium oiom
0.0037
ug/L
-
TOC aoseo 1.9
mg/L
Ca - Calcium oosts
mg/L
Chloride cog4o
mg/L
Cd - Cadmium od0z7
<0.13
uglL
Arsenicotooz <1.3
ug/L
Chromium: Total wom
<0
ug/L
Grease and Oils oaee2
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) No (0)
Specific Conductance 00095
µMhos
K -Potassium ooa37
mg/L
VOC 78732: , method #
Total Ammonia costa
ni
Mg - Magnesium oo927
mg/L
, method #
(Ammanla Nitrogen; NHoae N: Ammonia Nitrogen, Total)
Mn-Manganese o1o55
ug/L
,method#
TKN as N 0o625
mg/L
Ni - Nickel oio67
uglL
method #
Cad A. Gerhardslein, AVP Public Safety, Health & Environment
Perot (or Authorized Agent) Name and Title- Please print ortype

GROUNDWATER QUAL
COMPLIANCE REPORT
FACILITY INFORMATION
Facility Name: CSX Trans
Permit Name (if different):
Facility Address: Box 191A I
County
act Person: Mike Gregory Telephone#: [phone]
Location/Site Name: See location map No. of wells to be sampled: 7
(from Pemla
on -Discharge W0000061 UIC
FOES Other
YPE OF PERMITTED OPERATION BEING MONITORED
OLagoon ❑ Remedlation: Infiltration Gallery
Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump B Other. Monitoring Wells
L ID NUMBER (from Permit): MW-3 Date sample collected: 7/2/2015
Depth: 50 ft. Well Diameter: 2 In.
h to Water Level 8254e: 38.88 ft. below measuring point Screened Interval: ft. to _ft.
;wring Point is 415.8 ft. above land surface Relative M.P. Elevation: ft.
me of water pumpediballed before sampling: gallons
nlPA fnr mnlale wpm entlprIed unfiltamd- FT—YEs77 NO and field acidified, I1 YES ❑ NO
Dale sample analyzed:
Laboratory Name:
TestAl
PARAMETERS NOTE: Values should reflect
dissolved
and colloidal concentrations.
COD cocas
mg1L
Nitrite (NO2) as N costs
mg/L
Coliform: MF Fecal 31616
I100mL
Nitrate (NO3) as N G0620
0.9
mg1L
Colifonn: MF Total 31504
MOOmL
Phosphorus: Total as P 00665
mg/L
(Not°: Uss MPN memod for highly habld samples)
Orthophosphate 70507
mg/L
Dissolved Solids: Total 70300 21
mg/L
Al - Aluminum of los
mg/L
pH (Lab) 00403
units
Be - Barium oiaw
16
ug/L
TOC Do6eo 0.7
mgiL
Ca - Calcium Gaels
mg/L
Chloride o094o
mg/L
Cd - Cadmium oio27
<0.13
ug/L
Arsenic 01002 <1.3
ug/L
Chromium: Total oIG34
<2.5
ug/L
Grease and Oils 00552
mg/L
Cu- Copper 01042
mg/L
Phenol 3273o
ug/L
Fe - Iron 01045
ugiL
Sulfate DG94s
mg/L
Hg - Mercury 719D0
ug1L
Specific Conductance 00095
µMhos
K - Potassium GG937
mg/L
Total Ammonia o06lo
mg/L
Mg - Magnesium 00927
mg/L
(Ammonia Nilrogan; NHses N; Ammonia NiWgen, TMaG
Mn- Manganese 01055
ugiL
TKN as N 00625
mg/L
Ni - Nickel 01067
ugiL
Carl A. Gemardstein„AVP Public Safety, Health & Environment
Permiftee (or Authorized Agent) Name and Title- Please print ortype
FIELD ANALYSES:
pH ouoo: 4.79 units
Spec. Cond. coo94:
Odor cocas:
Appearance _
S 5 20 As
Temp. 00010: - ° 4 p PRY at
26 uMhoh, h . t!\ me of
Certification No. 269
Pb - Lead oiosl <0.5 ugiL
Zn - Zinc ota92 mglL
Other (Specify Compounds and Concentration Units):
ORGANICS: (by GC, GCIMS, HPLC)
(Specify test and method M ATTACH LAB REPORT.)
Lab Report Attached? Yes (1) No (0)
VOC 78732: , method #
method #
method #
method #

REPORT FORM
Facility Name: CSX Transportation - Hamlet Wastewater Treatment Facility
Non -Discharge W0000061
UIC
Permit Name (d different):
NPDES
Other
Facility Address: Box 191A Highway 177N
TYPE OF PERMITTED OPERATION BEING MONITORED
Hamlet NO 28345
_
County Richmond
❑ Lagoon
❑
Remediation: Infiltration
Gallery
(ate) - (Siete) (ZIP)
❑ Spray Field
❑
Remediaticn:
Contact Person: Mike Gregory
Telephone#: [phone]
❑ Rotary Distributor
❑
Land Application of Sludge
Well Location/Site Name: See location map
No. of wells to be sampled: 7
❑ Water Source Heat Pump
El
Other: Monitoring
Wells
-
.. (6om Pertnd)
-
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-4
Date sample collected: 7/212015
FIELD ANALYSES:
_
WAS
Well Depth: 55 ft.
Well Diameter: 2 In.
pH oo400: 5.86 units
Temp. 00010: PC
DRY at
Depth to Water Level 82646: 35.58 ft. below measuring point
Screened Interval: ft. to
ft. Spec. Cond. 000ea:
116
µMhos
time of
Measuring Point is 413.2
ft. above land surface
Relative M.P. Elevation: ft.
Odor 000es:
sampling.
Volume of water pumpediballed
before sampling:
gallons -
Appearance
check
Ramnle-e fnr matals were nnllertad unfiltered Yl�r N-o
and field addified: I+l YES rl No
here: ❑
Date sample analyzed: Laboratory Name: TestAmedca Certification No. 269
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD cows mg/L Nitrite (NO2) as N 00615 mg/L Pb - Lead oto51 <0.5 ug/L
Coliform: MF Fecal slits /100mL Nitrate (NO3) as N ao62o 0.75 mg/L Zn -Zinc mo92 mg/L
Coliform: MF Total 31504 /100mL Phosphorus: Total as P cases mg/L
(Note: Use MPNmeNodldr MgMytwD wimples) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units):
Dissolved Solids: Total 7o3oo
68 mg/L
AI - Aluminum ol105
mg/L
pH (Lab) 0=3
units
Be - Barium olow
<1.4 uglL
TOC owto
1.6 mg/L
Ca -Calcium costs
_. mg/L
Chloride oog4o
mg/L
Cd - Cadmium o1o27
40.13 - ug/L
Arsenic olooz <1.3
ug/L
Chromium. Total 01034
<2.5 ug,L
-
Grease and Oils 00552
mgfL
Cu - Copper oio42
mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron 0lo45
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate 0ag45
mg/L
Hg -Mercury 71900
ug/L
Lab Report Attached? Yes (1) No (0)
Specific Conductance 00095
µMhos
K - Potassium oo937
mg/L
VOC 78732: , method #
Total Ammonia ooslo
mg/L
Mg - Magnesium oogz7
mg/L
, method #
(Pmmonia Nieogen;Nlbas N;F monWNNogen,Tolel)
Mn- Manganese olos5
ug/L
,method#
TKN as N oo62s
mg/L
Ni - Nickel oma7
ug/L
, method #
Carl A. Gerhardsteln, AVP Public Safety, Health & Environment
Penns tee(orAuthodzed Agent) Name and Title- Please Print ertype

Facility Name: CSX Transportation - Hamlet Wastewater Treatment Facility
Non -Discharge WQ000061
UIC
Permit Name (If different):
-
NPDES
Other
Facility Address: Box 191A Highway 177N
_ _
TYPE OF PERMITTED OPERATION BEING MONITORED
Hamlet NC 28345
County Richmond
❑ Lagoon
❑
Remediabon: Infiltration
Gallery
(city) (sere) (LP)
❑ Spray field
❑
Remediation:
Contact Person: Mike Gregory
Telephone#: [phone]
❑ Rotary Distributor
❑
Land Application of Sludge
Well LocaboMSite Name: .See location map
No. of wells to be sampled: 7
❑ Water Source Heat Pump
0
Other. .Monitoring
Wells
Pmmn)
SAMPLING INFORMATION -
If WELL
WELL ID NUMBER (from Permit): MW-5
Date sample collected: 7/1/2015
FIELD ANALYSES:
WAS
Well Depth: 60 ft.
Well Diameter: 2 In.
pH oo400: 5.87 units
Temp. oomo: eC
DRY at
Depth to Water Level 92546: 42.98 ft. below measuring point
Screened Interval: ft. to
ft. Spec. Cond. 00094:
172
µMhos
time of
Measuring Point is 411.39 ft. above land surface
Relative M.P. Elevation: fL
Odor 000m:
sampling,
Volume of water pumpedlbailed before sampling:
gallons
Appearance
check
Comnlue fnr roufnrc w>ro maarfod vnalfnrod• ./ y1�6�N0—
and fiWd arddifwd- 11 YES M No
hem: ❑
Date sample analyzed:
Laboratory Name:
TestAmerica - Certification No. 269
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD om35
mg/L Nitdte (NO,) as N aom5
mg/L Pb- Lead oic51 <0.5 ug/L
Coldonn: MF Fecal 31e16
/100mL Nitrate (NO,) as N 00620
0.73 mg/L Zn -Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL Phosphorus: Total as P ooess
mg/L
(Nob: l MPN method for highly prd8d aomples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
Dissolved Solids: Total 7o3o5 1$0
mg/L
Al -Aluminum 01105
mg/L
pH (Lab) oa4m
units
Be - Barium 01007
42 ug/L
TOC oosso _ 1.7
mg/L
Ca - Calcium 0016
mg/L
-
Chloride oog4o
mg/L
Cd - Cadmium 01027
<0.13 uglL
-
Arsenic 01002 <1.3
uglL
Chromium: Total o1o34
<2.5 ug/L
Grease and Oils oossz
mg/L
Cu - Copper olo4z
mglL
ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug/L
Fe- Iron oio45
uglL
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg/L
Hg - Mercury 7igco
ug/L
Lab Report Attached? Yes (1) No (0)
Specific Conductance 00095
µMhos
K - Potassium oo937
mg/L
VOC 79732: , method #
Total Ammonia ooslo
mg/L
Mg - Magnesium o0927
mg/L
- , method #
(Ammonia Nitrogen; Nn�es N; AmmoNa Nivcgen, Tobo
Mn- Manganese olos5
ug/L
,method#
TKN as N oo625
mg/L
Nt - Nickel oio67
ug/L .
, method #
Carl A. Gerhardstein, AVID Public Safety,. Health & Environment
Permitteo (orAulhadzed Agent) Name and Tdle- Please prinlor type

GROUNDWATER QUALITY MONITORING: uernnnanni Ur tnwr Nv4PN1 Al,
Na+u w 'ntawn�ra ,x . r ,
DIVISIONOF WATER RESOURCES -INFORMATION PROCCESSINOUNT
COMPLIANCE REPORT FORM 1817 SrWaCE CENTER,111ALRiGH,± 3' o ' '
FACILITY INFORMATION Please Fdnr C/eadyor Type PERMIT Number. Explratiom Date: 7/31/2U77
Facility Name: CSX Transportation - Hamlet Wastewater Treatment Facility Non -Discharge WQO00061 UIC
Permit Name (if different): NPDES Other
FacilityAddress: Box 191A Highway 177N TYPE OF PERMITTED OPERATION BEING MONITORED
Hamlet NC 28345 County Richmond ❑ Lagoon ❑ Remedlation: InfilYation Gallery
(cry) (slerei (ZIP) ❑ Spray Field ❑ Remediation:
Contact Person: Mike Gregory Telephone#: [phone] ❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: See location map No. of wells to be sampled: 7 ❑ Water Source Heal Pump ❑ Other: Monitoring Wells
. (Rom NMI)
WELL ID NUMBER (from Permit): MW4
Date sample collected:
7/2/2015
FIELD ANALYSES:
Well Depth: 50 ft.
Well Diameter.
2 in.
pH omoo; 5.12
units Temp. 000to: 9C
Depth to Water Level e2546: 34.33 ft. below measuring point
Screened Interval:
ft. to ft.
Spec. Cond. 00094:
224 pMhos
Measuring Point Is 385.14 ft. above land surface
Relative M.P. Elevation:
ft.
Odor ocoes:
Volume of water pumped/bailed before sampling:
gallons
Appearance
Samples for metals were collected unfiltered: + YEs No
and field acidified: El YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed:
Laboratory Name:
TestAmerica
Certification No. 269
PARAMETERS NOTE: Values should reflect dissolved and
colloidal concentratlons.
COD o0335 mg/L
Nitrite (NO2) as N oo6i5
mg/L
Pb - Lead mosi
<0.5 ug/L
Coliform: MF Fecal stela /100mL
Nitrate (NO3) as N 0062o
6.4 mg/L
Zn - Zinc 01092
mg/L
Colifonn: MF Total 31504 /100mL Phosphorus: Total as P o0665
_ mglL
(Note: Use NPN n+eihad for highly ludoW samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units)
Dissolved Solids: Total 7o3oo
140 mg/L
AI -Aluminum 01105
mg/L
pH (Lab) oo4o3
units
Ba - Barium omo7
35 ug/L
TOG oceso
2.6 mg/L
Ca - Calcium 00916
mg/l.
Chloride oo94o
mg/L
Cd - Cadmium 01027
40.13 ug/L
Arsenic o10o2
413 ug/L
Chromium: Total oio34
<2 5 ugiL
Grease and Oils ooss2.
mg/L
Cu - Copper oio42
mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Phenol 3273o
ug/L
Fe - Iron o1o4s
ug/L
(Specify test and method #. ATTACH LIB REPORr.)
Sulfate ooe4s
mg/L
Hg - Mercury 71900
ug/L
Lab Report Attached? Yes (1;) No P)
Specific Conductance cocoa
Whos
K- Potassium 00937
mg/L
VOC 78732; , method #
Total Ammonia costa
mg/L
Mg - Magnesium 00927
mg/L
, method #
(Bmmmtla Nitmgee; Mites N;Anumnk Nihogen, Tolag
Mn- Manganese cross
ug/L
,method#
TKN as N rial .
mg/L
NI - Nickel o1o67
ug/L
, method #
Cad A..Gerhardstein, AVID Public Safely, Health & Environment
Pemliftee (orAuthofizad Agent) Name and Tile- Please printortype
DRY at
time of

REPORT FORM
Feciliry Name:vCSX Transportation -Hamlet Wastewater Treatment Facility
Non -Discharge W0000061
NPDES
UIC
Other
Permit Name (if different):
Facility Address: Box 191A Highway 177N
TYPE OF PERMITTED OPERATION
❑ Lagoon
BEING
❑
MONITORED
Remedialion: Infiltration Gallery
Hamlet NC 28345 County Richmond
(Or') (slot.) (zip)
❑ Spray Field
❑
Remedialion:
Contact Person: Mike Gregory
Telephone#: [phone]
❑ Rotary Distributor
❑
Land Application of Sludge
Well Location/Sfle Name: _ See location map
No. of wells to be sampled: 7
❑ Water Source Heat Pump
21
Other. Monitoring Wells
(hamre"d)
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-8
Date sample collected: 7/2I2015
FIELD ANALYSES:
WAS
Well Depth: 57 ft.
Well Diameter. 2 in.
pH oo400: 5.26 units
Temp.
000io: or
DRY at
Depth to Water Level 82W: 42.9 ft. below measuring point
Screened interval:to
ft. Spec. Cond. 00094;
228
µMhos
time of
Measuring Point is 405.69 ft. above land surface
_ft.
Relative M.P. Elevation: ft.
Odor 000s5:
sampling,
Volume of water pumped/bailed before sampling:
gallons
Appearance
check
❑
SamDles for metals were collected unfiltered: + YE9 No
and field acidified: ❑ YES ❑ NO
here:
ie sample analyzed:
Laboratory Name:
TestAmerica Certification No. 269
RAMETERS NOTE: Values should reflect
dissolved
and colloidal concentrations.
COD 00335
mg1L
Nitrite (NO2) as N ooe15
mg/L
Pb - Lead oimi 1.6 ugfL
Coliform: MF Feral 31616
/100ml-
Nitrate (NO3) as N 00e20
7A
mg/L
Zn -Zinc 01002 mgfL
COliform: MF Total 31504
1100ml-
Phosphorus: Total as P ooees
mg/L
(Note: Use WN method for hIghN terbld semplos)
Orthophosphate 7o507
mg/L
Other (Specify Compounds and Concentration Units):
solved Solids: Total 70300 140
mg/L
AI -Aluminum of ms
mg/L
PH (Lab) oo4o3
units
Be - Barium oioD7
41
ug/L
TOC oo6eo 1.8
mg1L
Ca - Calcium oosle
mg/L
Chloride oo94o
mg/L
Cd - Cadmium 01027
<0.13
ug/L
Arsenic o1oo2 <1.3
ug/L
Chromium: Total e1o34
2.6
ug/L
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg1L
ORGANICS: (by GC, GCIMS, HPLC)
• Phenol 3273o
ug/L
Fe - Iron woes
uglL
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg/L
Hg - Mercury 71900
ug/L
Lab Report Attached? Yes (1) No (0)
ecific Conductance 00005
µMhos
K - Potassium 00937
mg/L
VOC 7e732: , method #
Total Ammonia 00e10
mg/L
Mg - Magnesium ooDz7
mg/L
, method #
(Ammdnle Nitrogen; Moss N;Ammonla Nitrogen, ToteQ
Mn- Manganese 01055
ug/L
,method#
TKN as N o0625
mg/L
Ni - Nickel oloa7
ug/L
, method #

GW-59A COMPLIANCE REPORT FORM Permit hW0000061
(Sabmit one. each widtoring perlml M GW59 formr.)'
t
Eater date monitoring -results were due. .(12/2812013) Will this monitoring report(GW-59 and GW-59A) be submitted after the established
YES
NO
due
date? 12(0120I4-031312015
X
2'
Was any required information missing on the GW-59 report forens?
YES
NO.
X
IF
the answer to question 7 or 2 is: "YES", list in the space provided below the well identification number(s) and
explain lhe. problems encountered in obtaining the required information.,
3.
Are any;ofthe monitor wells in need of repair or maintenance (damaged casing, unlocked or missing cap, missing
YES
NO
identification plate, area overgrown, etc.)? If the answer is "Yes", contact the Regional. Office for guidance.
X
4
Are any.monitored constituents equal to or, above the established standards?
YES
NO
X
oh. answer to question 4 is 'NO", skip to section &
Ifthe answerto question 4 is 'YES"list the affected wells individually with andconcentration(s)
exceeding standards- in the spaceprovided below:
5
Eor the constituents identified in question 4 above, have standards been exceeded previously forthe.
YES
NO
same coostituent(a) in the same well(s) in the last two, years?r
Ifthe 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 constimengs) exceeding standards, concentration(s)
reported, and sample collection date for each occurrence (for the lot two years).
n -
6'
Are the monitoring wells listed In section 5located at or beyond the review boundary? - n _�
YES
NO
X
Ifthe answer is,a groundwater qualityproblem may be occurring. CONTACT THE REGIONAL A
OFFICEIMMEDIATELYFOR GUIDANCE. If(he answer u"NO",.monitoring wells may be improperly located enntact gwegionalOfce.
7
Is the permittee implementing previously approved actions required by the. Division involving this -',� a`?
YES
NO
groundwater quality problem? r+`
X�
X
Ifthe:answer to question 7 is "YES". describe those actions in thegpace provided below. '
Ifthe answer to question 7 is "NO", contact the Regional gjy ce whina 90 dos; an evaluation mar be
required to determf the impact the waste di-po al syst m's having at the review and compliance_
boundaries surrounding this facility, Failure to do so may sabfect the perodains to a Notice of ( tofaton rjnes. andlorpenaltes.
8
The ,person .completing this portion (GW-59A)ofthe monitoring report should sign below andsubmit this form with GW-59.forms .for
required wells to the address provided at the top of the current GW-59 form.
I hereby acknowledge that the ovi r it as evaluated and ,the information submitted in this report (Compliance .ReportGW-
-
59A) is true 7o le th 0 edge.
7 D
Sign tur of P ' ee (orAut orirwd Agent) Date
GW-59A 1210003
RECEIVEDIDENRIDWR
WaterQaalihr Regional
MAY' 0 5 2045
Fayettev! a Refglon l offla s

Address:
County Richmond.
act Person: .Mike Gregory Telephone#: [phone]
Location/Site Name:. See location map No. of wells to be. sampled: 7 .
(from PemUt),
MWA
Depth: 65 fL
li to Water Level 82546: 49.15 ft. below
sudng Point is 414.95 ft..above land
ne of waterpumped/bailed before sampling:
point
Von -Discharge W0000061 UfC
VPDES Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
❑. Spray Field ❑ Remedlation:
Rotary Distributor ❑ Land. Application of Sludge.
❑ Water. Source Heat. Pump ❑+ Other. Monitoring Wells
Date sample collected: _
3/1612015
Well Diameter.,
in.
Screened Interval:
ft. to ft.
Relative M.P. Elevation:
ft.:
is
and field acidified: MYES
M NO
COD 00335
mg/L
Nitrite.(N61) as N oosis
mg/L
Coliform: MF Feral 31916
1100mL
Nitrate,(NOa) as N ooazo
0,86 mg/L
Coliform:: MFTotal 31504
/100mL
.Phosphorus: Totalas P00665
mg/L
(Note: Use MPN mettna forbighlyterbal samples)
Orthophosphate7o5o7
mg/L
Dissolved Solids: Total 70300_ 35
mg/L
At - Aluminum 01185
_ mglL.
pH (Lab) oo4o3
units
Be - Barium oloo7
3.6 ug/L
TOG ooaao 1.2
mg/L
Ca - Calcium coals
mg1L
Chloride oos4o
mg/L
.aAmitoi27
<0.13 u91L
Arsenicoiow <1.3
ug/L
hromium. Total of
tRole
Grease and Oils oo552
mg/L
-
mg/L
Phenol 32730
uglL
Fe - Iron olo4s_
C
Sulfate ooe45
mg/L
Hg- Mercury Moo_
uglL
Specific Conductance 000ss -
µMhos
K-'Potassium 8o937
mg1L
Total Ammonia oosio
mg/L
Mg - Magnesium o=7
mg/L
(Ammonia Nitrogen; N"s N; Ammonia Nitrogen, Total)
Mn-Manganese olo55
ug/L
TKN as N ooses
mg/L
Ni - Nickel o1o67
_ uglL
Cart A..Gerhardstein,.AVP Public Safety,Health& Environment
inembittee (or:AiAhor¢eo Agent) Name and Title -Please print or type
FIELD ANALYSES
pH co400: 5 19 units Temp. 000io: oC,
Spec. Cond. 00094. 33 uMhos.
Odor 000s5:
Appearance
Certification No. 269
Pb - Leadntosl 0.7 ug/L
Zn-Zincoioaz mg/L
Other (Specify. Compounds and Concentration Units):.
Lab. Report Attached?
VOC 7873Z
4TTACH.LAB REPORT.)
Yes.(1) No
method #
method #. _
method #
method #
at
U

act. Person: Mike Gregory Telephone#:. [phone]
Location/Site.Name: See location map No. of wells to be sampled: 7
(from Pemut)
Nscharge W0000061 UIC
S - - - _ Other
OF PERMITTED OPERATION BEING MONITORED
Lagoon ❑ Remediation: Infiltration Gallery
Spray Field'_ ❑ Remediation:
Rotary Distributor ❑ Land Application of Sludge
Water Source Heat Pump ❑ Other: Monitoring Wells
_C IDNUMBER .(from Permit): MW-2
Date sample collected:,
3/4/2015
FIELD ANALYSES_:
.WAS
Depth: 50l ft.
Well Diameter:
2 in. -
pH oo400: 5.92
units Temp. oomo: eC
DRY at
th to Water Level 82546: 37.1 ft. below measuring. point
Screened Interval:—
ft. to
_ft.
Spec: Cond. 00094
107 µMhos
time of
suring Paint is 422.29 ft. above land surface
Relative M.P. Elevation:_
ft.
Odor00095:
sampling
lme of water pumped/bailedbefore sampling:
gallons
Appearance
check
i les for metals were collected unfiltered: 0 YES UNO
and field acidified: ❑ YES
❑ N0
here: ❑
IORATORY INFORMATION
e. sample. analyzed:
Laboratory Name:
TestAmerice
Certification No.. 269
tAMETERS NOTE: Values should reflect dissolved and
colloidal concentrations.
COD 00335 _ mg/L
Nitrite (1,102) as N oasts
mg/L
Pb - Leadotosi
<0.5 ug/L
Coliform: MF Fecal:3iefs /100mL
Nitrate (NO3) as N 00620
0.85
mgfL
-Zn-Zincoloez
mg/L
Colifonn: MF Total 31504 - /100mL Phosphorus: Total as P o0665
-
mg/L
(Note: Use MPNmethodforhlghly Wmldsamples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
Dissolved Solids: Total 70300
80 mg/L
AI - Aluminum otios
mg/L
pH (Lab) 00403
units
Be - Barium otoo7
2.8 ug/L
TOC oo6eo
1.5 mg/L
Ca -.Calcium 00916
mg/L
Chloride 00940
mg/L
CB - Cadmium 01027
<0.13 uglL
Arsenic 01002
<1' 3 _ uglL
Chromium- Total oio34
3 ug/L
Grease and Oils 00552 - -
mg/L
Cu -.Copper 01042
- mg(L.
ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730 - -
ug1L
'Fe - Ironcio45
uglL.
(Specify test and method #.-ATTACH,, LAB REPORT.)
Sulfate oog4s -
mg/L
Hg—Mercury 71900
- ug/L
Lab. Report Attached? Yes(1) No
Specific Conductance 00095
- uMhos
K - Potassium oo937
mg/L
VOC 7e732: method #
Total Ammonia ao6io
mg/L,
Mg - Magnesium oo927
mg/L
, method #
(Ammonia Neogen NHas N: Ammonia Nitrogen, Total)
-
Mn—Manganese 01o55
ug/L
,method#
TKN as N. 00625
_mg/L
Ni - Nickel oto67
ug/L
, method #
Carl: A. Gerhardstein, AVP Public Safety, Health & Environment _
Pemuttee (or Authorized Agent) Name and Title - Please piing or type

WQO00061. _
Facility Address: Box 191A Highway 177N -
-
TYPE.
❑
OF PERMITTED OPERATION
lagoon
BEING
❑
MONITORED
Remediation: Infiltration Gallery
Hamlet _ _ �NC 28345' County Richmond _ -
- -
(city) (staa) (4).
❑.
Spray Field
❑
Remediation:
Contact Persona _ Mike. Gregory
Telephone#: [phone] _
❑
Rotary Distributor
❑
Land. Application of Sludge.
Well Location ite Name: See location map
No. of wells to be sampled: 7
❑
Water Source Heat Pump
El
Other. Monitoring Wells
prom Permit)
SAMPLING INFORMATION
- -
If WELL
WELL ID NUMBER (_from Permit): MW-3
Date sample collected: 3/16/2015_.. _
FIELD ANALYSES::
WAS
Well Depth; 50 fL - - -
Well Diameter. 2 in.
pH oo4ao:; 5.31 units
Temp.
000io: _ eCG.
DRY at
Depth to Water Level 825as: 38.25.. ft. below measuring point
Screened Interval: ft. to
ft.
Spec. Cord. 00094
27
;Mhos,
time of
Measuring Point is 415.8. ft. above land surface
Relative'M.P. Elevation: _ ft;
Odor000ss;
sampling,.
Volume of water;pumped/bailed before sampling*
gallons -
Appearance
check
Samples for metals were collected unfiltered: �YEs No
and field acidified: M YES ❑ NO
-
here: ❑
Date sample, analyzed:,
Laboratory Name:
TestAmerica _ Certification No. 269
PARAMETERS NOTE: Values should'. reflect dissolved andcolloidal concentrations.
-
-
COD.0033.5'
mg/L
Nitrite (NO2) as N:origm
mg/L
Pb- Lead olo5i 0.64 _ug/L
Coliform: MF'Fecal 31616
/100mL
'Nitrate (NO3) as N ooe2o 1..1
- mg/L,
Zn -. Zinc mo92 mg/L
Coliform:.MF Total 31504
/10OmL
Phosphorus: Total as P.00sss
mg/L
Not. Use n+PN method rormghlytureia samples)
Orthophosphate 7a5m _
mg/L
Otheh.(Specify Compounds. and Concentration Units):
Dissolved Solids:' Total 70300 42
mg/L
Al -.Aluminum 01105
mg/L
pH (Lab) co4o3
units
Ba - Barium maxi 20
ug/L
-
TOC'oceso 1.2
mg/L
Ca - Calcium oome
mg/L
Chloride oom
mg/L
,Cadrglu 0o27.---,--- 0A3uu
Arsenicotoo2. - <1.3
ug/L
^`C-d
mi�rTotai 01034. 100—
1+-
Grease and Oilsoo552
mg/L
Cu- o� pper ofo42_
OANICS (by GC, OC/MS,.HPLC)
Phenol 32730
ug/L.
Fe Iron oto45
ug/L
(Specify test and method #. ATTACH LAB'. REPORT.)
Sulfate o0945'
mg/L
Hg- Mercury 719oo--- - --
ug/L
Lab Report Attached? Yes(1) No
Specific Conductance 00095
;Mhos
K - Potassium oo937
mg/L
VOC 78732;: , method #
Total Ammonia oo610
mg/L
Mg - Magnesium oo927
mg/L
; method #
(Ammonle Nitrogen; Nljes N; Ammonia Nitrogen, Total)
Mn- Manganese mo55.
ug/L
,method #'
TKN as N oos25
mg/L.
Ni- Nickel01067
ug/L
,'.method #
Carl A. Gerhardstein, AVP Public Safety, Health & Environment
Perrtlittee, (or Authorized Agent) Name and Title - Please print or type

Name: CSX'
Vame (if different)
Address: Box I
Hamlet
County
act Person: Mike Gregory ,Telephone#:. [phone]
Location/Site Name: See location map No. of wells to be sampled: 7
Imam Permit)
) NUMBER (from Permit): MW
ilh: 55 ft.
Water Level s2e46i 35.29 ft. below measuring point
tg Point is 413.2 ft: above land surface
3f water pumped/bailed before sampling:
Non -Discharge W0000061 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 El Other: Monitoring Wells
Date sample collected: 3/1612015
Well Diameter: 2.in.
Screened Interval: ft. to _ft.
Relative M.P. Elevation:, ft.
113_1•IIa
FIELD ANALYSES: WAS
pH 000io: 6.1_ units Temp. 000io: oC DRY at
Spec. Cond. 00094:119 uMho_ s time of
Odor000esi sampling
Appearance check
hem: ❑
Date sample analyzed: LaboratoryName: TestAmerica
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD oo33s mg/L Nitrite(NO2)es N oosis mg/L Pis -Lead oio5f
Coliform: MF Fecal 3111% 1100mL Nitrate (NO3) as N ooe2o 0.49 mg1L Zn -Zinc olog2:
Coliform: MF Total zim,: /100mL Phosphorus: Total as P ooses - - mg/L
Certification No. 269
<0.5
ug/L
mg/L
(Note:. Use MPN method for his* tumid samples) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units):
Dissolved Solids: Total 70300
83 mglL
AI - Aluminum of im
_ mg/L
PH (Lab) oo4o3
units
Ba - Barium oioo7
<1.4 ug/L
TOC oosso
4.8 mg/L
Ca -Calcium oogte
mg/L -
Chloride 00e40
mglL
Cd -Cadmium 01027
<0.13 - ug/L -
Arsenic01002
<1.3 uglL
Chromium: Total mo34
2.9 ug/L
Grease and Oils 00552
mg/L
Cu- Copper oto42.
mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron oio45
uglL,
(Specify test and method #. ATTACH LAB REPORT.).
Sulfate oos4s -
mg/L
Hg-Memury7leco. -
ug/L
Lab. Report Attached? Yes(1) No
Specific Conductance 00095
µMhos
K- Potassium 00937
mg/L
VOC 78732; ,,method#
Total Ammonia oo6io
mg/L
Mg - Magnesium oog27
mg/L
_ , method #
(Ammonia Nitrogen; Nljes N:AmmoNa Nitrogen, Total)
Mn- Manganese oioss.
ug/L
,method#
TKNasN00625
mg/L
Ni- Nickel o1o67
uglL
,method#
Carl A. Gerhardstein, AVP'Public Safety; Health & Environment
Penalties (or Authorized Agent) Name and Tire - Please print or type

W0000061
Hamlet NC 28345
County Richmond
❑
Lagoon
❑
Remediationanfiltration Gallery
(City) (sleta)- (Zip)
❑
Spray Field
❑
Remedlatiom
Contact Person: Mike Gregory.
Telephone#: [phone]
❑
Rotary Distributor
❑
Land Application of Sludge
Well. Location/Site,Name: .See location map
No. of wells to be sampled: 7
E
Water Source Heat Pump
0
Other: Monitoring Wells
(from Permmit)
SAMPLING INFORMATION..
- -
If WELL
WELL ID NUMBER (from Permit): _ MW-5
Date sample collected 3/4120/5
FIELD ANALYSES:
WAS
Well _Depth: 60 ft'. -
Well Diameter: 2 im
pH oo400. 6.25 units
Temp. 000m oC
DRY at
Depth to Water Level e254e: 42.64 ft., below measuring point
Screened Interval:—ft. to _ft..
Spea Cond.00094:
240
'vMhos
time of
Measuring Point is. 411..39 ft. above land surface
Relative M.P. Elevation: ft.
Odor owes:
sampling,
Volume ofwater pumped/bailed before sampling:
gallons
Appearance
check
❑.
Samples for metals were collected unfiltered + Yes NO
and field. acidified:. ❑� YES ❑ NO
_
here:
Date sample analyzed: Laboratory Name: TestAmerice Certification No. 269
PARAMETERS NOTE:• Values should reflect dissolved and colloidal concentrations.
.COD oo335
mg/L. Nitrite .(NO2) as N cost
mg1L
Pb-. Lead.om5i <0.5 ug/L
Coliform:: MF Feral 31e16 _
/100ml- Nitrate(NQ3) as N co52o - 4.8.
mg/L
Zn-Zinc oro92 mg/L
Coliform: MF Total 31504 - -
/100mL .Phosphorus: Total as P ooss5 _
mg/L
(Note:_ use N1PN method for highly world samples)
Orthophosphate. 7o5o7
mg/L
Other (Specify Compounds and Concentration Units):
Dissolved Solids: Total 703g0'
170 mg/L
AI' -Aluminum at1o5
mg/L
pH (Lab) o0403
units
Be - Barium oioo7
39 uglL
TOC ooeeo
1.5 mglL
Ca -Calcium 00916
mg1L
Chloride oo04o
- mg/L
Cd - Cadmium 01027
<0.13 uglL
Arsenicomo2
<13 ug/L
Chromium: Total 01034
3.2 ug/L
Grease and Oils oose2 -
mg/L.
Cu- Copper oio42
mg/L
- ORGANICS: (by GC, GCIMS, HPLC) -
Phenol 3273o' -
ug/L
Fe.- Iron oio4s
- . ug/L
(Specify test and method #. ATTACH' LAB REPORT.)
Sulfate p0945
mg/L•
Hg- Mercury 7isoo
ug/L
LablReport Attached? Yes(1) INo(0)
Specific Conductance 00095
pMhos
K:- Potassium 00937
mg/L.
VOC:78732: , method .#
Total. Ammonia 00e10
mg/L
Mg. -Magnesium 00927
-mg1L
, method #
(Ammonia Nihogen;Nttas N, A mosm N,Fgen,Tom9
Mn- Manganese 01055
uglL
,method#
TKN as N oos25
mg/L
Ni - Nickel 01057
_ ug/L
_, method .#'
Carl A. Gerhardstein AVP' Public Safety Health & Environment _
Permittee (or Authorized Agent) Name and Title = Please print or type

UNIT
W0000061
Hamlet NC 28345
County Richmond
❑
Lagoon
❑
Remediationa lnfltrallomGallery
(cny) (state) (ZP)
-
❑
Spray Field
Cl
Remediation:
act Person: Mike Gregory
Telephone#: [phone]
❑
Rotary Distributor
❑
Land Application of Sludge
Location/Site Name: See location map
_ _
No. of wells to be sampled: 7
❑
Water Source _Heat Pump
91
Other: Monitoring Wells
(hem Fermi)
IPLING. INFORMATION-
-
If WELT
.L'ID NUMBER (from Permit):. MW-7
Date sample collected: 311612015
FIELD ANALYSES:
WAS
Depth:' 50 ft.:
Well Diameter 2.in.
:—
pH ao4co: 5.62 units
P
Temp, oomo. C
p
DRY at
h to Water Level 8254s: 33.53 ft. below measuring, point
Screened. Interval: ft. to
ft.
Sec. Cond. 00004_
p
212:
_ riMnos
time of
sudng Point is 385.14 ft. above land surface
Relative M.P. Elevation: ft. -
Odor00085:
samplin
meofwater pumpedlbailedbefore sampling: _
.gallons
Appearance
checks
ate�sampleanalyzed`.' Laboratory Name:. TestAmerica Certification No.. 269:
ARAMETERSNOTE: Values should reflect dissolved colloidal concentrations. --
COD oo33s mg/L Nitrite (NOS as N.00s+5 mg/L. Pb - Lead 01051 <0.5 pug/L
Coliform:: MF' FeM131616 - _ /100ml- Nitrate (NO3) as N ooe2o $ mg/L Zn- Zincorosz _mg/L
Coliform: MF Total stsm 1100mL Phosphorus: Total as Poo665 -- _ mg/L
(Note: Use MPNmethodtor NgNy"dsomplee), Orthophosphate' 70507 mg/L Other (Specify and Concentration Units):
Xssolved Solids: Total 70300 200
mg/L
At - Aluminum 01105'
mg/L.
pH (Lab) 00403
units
Be - Barium 01007
31 ug/L.
TOC oo6so 2.8
mg/L,
Ca. -Calcium 00916
mg/L
Chloride oog4o
mg[L
Cd - Cadmium oIO27
<0.13 ug1L
Ch - Tot I,
<25- - u /L
m Arsecoioo2 <1.3
ug/L
rommm. o a mo34
_ g
Grease and Oils oo552 - _
mg/L
Cu-Copperoio4z
mg/L.
ORGANICS: (by GC, .GC/MS,.HPLC)
Phenol. 3273o
ug/L.
Fe Iron =45' -
- ug/L:
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945 - -
_
mg1L,
Hg = Mercury 71900 -
ug/L,
Lab ReportAttached? Yes(1) No:(0)
Specific Conductance 000gs - -
µMhos'
K- Potassium 00537
-.mg/L
VOC 78732: ,method '# _
Total Ammonia 00610
mg/L
Mg -Magnesium 00927
mg/L.
_ , method #
(Ammonia Nitrogen. Nttas N. Ammopla Nitrogen, TOWMn-
Manganese otoss
uglL
,method #'
TKN as N 00625
_ mg/L
Ni -. Nickel o1os7
uglL
- , method #
Cad A Gerhardstein AVID Public Safety Health & Environment -
"Pemiittee (or Authorized Agent) Name and Title - Please print or type.

W0000061 UIC
Other
Hamlet NC, 28345
County Richmond
❑
Lagoon
❑
Remedlation: Infiltration Gallery
(City) (siatp) - (zip)
❑
Spray Field
❑
Remediation:
Contact Person:. Mike Gregory
Telephone#: [phone]
❑
Rotary Distributor
❑
Land Application of Sludge
Well Location/Site Name: See location map
No, of wells to be sampled: 7
❑
Water Source HeatlPump
❑+
Other. Monitoring Wells
Permil)
SAMPLING INFORMATION -
If WELL
WELL ID NUMBER (from Permit): MW-8
Date sample collected: 3/1612015
FIELD ANALYSES:
WAS .
Well Depth: 57 ft..
r. 2
Well Diameter.
pH oo400: 5.68 units
Temp. ooi °C
DRY at
Depth to Water Level 82548: 42:38 ft. below measuring point
Screened Interval: ft. to
ft.
Spec. Cond. 00094:
211
.µMhos
time of
Measuring Points 405.69 ft. above land surface
Relative M.P. Elevation: ft.
Odor000e5:, -
sampling,
Volumeof water pumped/bailed before sampling: ' gallons
Appearance
check
c....,.ae� r..r Te{are .sore rencrtcrl „nfilrorad 4 YEI— T NO
and field acidified: n YES ❑ NO
here:
Date sample analyzed:
Laboratory Name:
TestAmerica Certification No. 269
PARAMETERS NOTE: Values should reflect
dissolved
and colloidal concentrations..
COD 00335
mg/L
Nitrite (NO,) as N 00615
mg/L
Pb - Lead olosl 1.4 ug/L
Colifonn: MF Fecal 31616
1100ml-
.Nitrate (Nb,) as N oo6zo
7.4
mg/L,
Zn - Zinc moan mg/L
Colifonn: MF Total 31604
_ /100ml-
Phosphorus: Total as P.0o665
-
mg/L
(Note: Use MPN momod forhlghlyturbid samples)
Orthophosphate 70507
mglL
Other (Specify Compounds and Concentration Units):
)issolved Solids: Total 70300 160
mg/L
AI - Aluminum of los
mg/L.
pH (Lab) oo4o3
units
Ba - Barium 01007
44
ug/L
TOC cosao 2
mg/L
Ca -Calcium 00916
mg/L.
Chloride 00940
mg/L
Cd - Cadmium 01027
<0.13
ug/L
Arsenic o1oo2 <1.3.
ug/L
Chromium: Total 01034
5.6
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 olm
-
uglL
(Specify test and method #:.ATTACH LAB REPORT.)'
Sulfate 6a945
mg/L.
Hg - Mercury 71900
ug1L
Lab Report Attached? Yes (1) No (0)
Specific Conductance 00095
µMhos
K- Potassium oo937
mg/L
_ VOC 78732: , method #
Total Ammonia 00010
mg/L
Mg - Magnesium'00927
mg/L
, method #
(Ammonia Nitrogen; Nlja N; Ammonia Meager, Total)
Mn-Manganese 01055
uglL
,method #
'TKN as N 00625
mg/L,
Ni - Nickel.01o67
ug/L
, method .#
Cad A. Gerhardstein AVP Public Safety Health & Environment
Pemillee (ar AuNonzed Agent) Namo end Title- Ple9se pant or type

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page 1 of 2
•.....

M
FORM: NDMR 03-12
Sampling Person(s)
Name: Glenn Ross (CSX Transportation, Inc.)
Name: Mike Gregory (CSX Transportation, Inc.)
NON -DISCHARGE MONITORING REPORT (NDMR)
Certified Laboratories
Name: TestAmerica Laboratories
Name:
Page 2 of 2
uoes all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? U Compliant [J Non -Compliant
If the facility is non -compliant, please explain in the space below reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance
di unsulue uro cUaectlVId actionts) caKen. mill aaamonal sneers IT necessary.
Operator in Responsible Charge (ORC) Certification
Pennittee Certification
ORC: Michael Gregory
Permittee: CSX Transportation, Inc.
Certification No.: 965463
Signing Official: Carl A. Gerhardstein
Grade: 2 Phone Number: 910-205-6379
Signing Officials Title: AVP Public Safety, Health & Environment
Has the ORC changed since the previous NDMR?[] Yes 0 No
Phone%7pZbeAL64303 Permit Expiration: 7/31/2017
9/ � &%
Signature Date
Signature Date
By this signature, I modify that this report is accurate and complete to the best of my knowledge
I certiry, under penally of law, that this document and all attachments were prepared under my direction or supervision in
accordance with a system designed to assure that all qualified personnel property gathered and evaluated the information
submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for
gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am
aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for
Mowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Caroline 27699-1617