DEQp00022089

Division of Environmental Management
COMPLIANCE MONITORING ! Groundwater Section
REPORT FORM P,O. sox 27687
lease write or call: Ra mhj19) N.C. $7611
For additional forms
P (91$)733-3221
Facility Name f'µ01)uAA// Ve
Address
Well Location
Well Identification Number (0 Well Depth g%,%7 Ft.
Well. Diameter : /1Vd1*.S Sample (Screened) Interval Ft. To Ft.
Depth to Water Level
ft. below measuring point. (before sampling)
Measuring point is , / feet above land surface
Gallons of water pumped/bailed before sampling
rminty Z714�E Il)
Permit Number:l X, D003613
Non -Discharge
N.PDES
mg/I
Ni - Nickel mg/I
Water Use
/tea
Injection Well
lud
Well Construction tS A 1111N)M
Other
Al - Aluminum
mg/I
Field Analysis: pH Specific Conductance uMhos Temp. ° C Odor Appearance
Date Sample Collected 3- a5 -rel Date Lab[1S m�j le_. Analyzed L.�'2�`zs'-
Laboratory Name UAAM �I It (`i oiv� i—'D ry 'q 011;mCk' Certification No.
COD mg/I
Coliform: MF Fecal /100ml
Coliform: MF Total, /100ml
Dissolved Solids: Total mg/I
pH (when analyzed) units
TOC • mg/I
Chloride mg/I
Arsenic mg/I
Grease and Oils
NO2 as N
mg/I
Ni - Nickel mg/I
NO3 as N O' CS
mg/I
Pb - Lead mg/I
Phosphorus: Total as P
mg/I
Zn - Zinc mg/1
Al - Aluminum
mg/I
Pesticides/Herbicides (Specify Compounds)
Ba - Barium
mg/I
ug/I
Ca - Calcium
mg/I
ug/I
Cd - Cadmium
mg/I
ug/1
Chromium: Total
mg/I Cu - Copper
Hardness: Total mg/I
Phenol mg/I
Sulfate mg/I
Specific Conductance uMhos
Total Ammonia(NH3 t NH 4) mg/I
Fe Iron
.mg/I
mg/I
mg/I
Hg - Mercury mg/I
K - Potassium L a mg/I
Mg Magnesium mg/I
Mn - Manganese � / mg/I
TKN as N . mg/I Na - Sodium '%'I 5 mg/I
IQL'01
CE THAT THIS REPORT IS TRUE AND ACCURATE.
SIGNATURE OF PERMITTEE (OR AUTHORIZED AGENT't)
GW -59 Revised 6/88
Other (Specify) ug/I
I-I(10r"i�A45 L
ug/I
.« —ug/I.
�'tfY, .ug/I
�l
Note: [rte
Values shoul e`'�flect tncen ons
U%Z7�d�9 ;See back, for instructions.
DATE ** Submit blue and green copies
to address above.

Coliform: MF Total
/100ml Phosphorus: Total as P
Dissolved Solids: Total g2pQ`I mg/I
pH (when analyzed) '�� T units
TOC 1,5 mg/I
Chloride mg/I
Arsenic
Grease and Oils
Hardness: Total
mg/I
mg/I
mg/I
Phenol mg/I
Sulfate %ea mg/I
Specific Conductance
uMhos
Total Ammonia(NH3 t NH 4) mg/I
TKN as N . mg/I
Al - Aluminum
mg/I Zn - Zinc mg/I
mg/I Pesticides/Herbicides (Specify Compounds)
Ba - Barium
4Division
ug/I
COMPLIANCE MONITORING.
'`-'
of Environmental Management
Groundwater Section
REPORT FORMPA.
mg/I
sox 27687
RalIe���g�h, N.C. 27611
For additional forms please write or call:
[phone]
/
Facility Name E1^� Dupa&) ` Z>eN-ernDur+S-4-e0 C.4�.i�-VIII e. W4 -,L
County J514de-
mg/I
Address
Permit Number: /V e- 010035 73
Non -Discharge
Well Location _S1u62$'e LA5a,pPJ - --
NPDES
Well Identification Number I—,D Well Depth 75 Ft.
Water Use
AAD
WellDiameter CRIAXA Sample (Screened) Interval Ft. To Ft.
Injection Well
AM
Depth to Water Level 37. ft. below measuring point. (before sampling)
Well Construction
Pae.
Measuring point is feet above land surface
Other
Gallons of water pumped/bailed before sampling
Field Analysis: pH Specific Conductance uMhos Temp.
o C Odor
Appearance
Date Sample Collected 3 '-Q9 - S 5 Date Lab Sample Analyzed
�/
_"/ —aq " 69
Laboratory Name C Ra M kill /ln O k4gy m V f Jq, 4 hG rM k..Certification No.
COD mg/I NO2 as N
mg/I Ni - Nickel
mg/I
Coliform: MF Fecal /100ml NO3 as N.
mg/I Pb - Lewd
rng'/j
Coliform: MF Total
/100ml Phosphorus: Total as P
Dissolved Solids: Total g2pQ`I mg/I
pH (when analyzed) '�� T units
TOC 1,5 mg/I
Chloride mg/I
Arsenic
Grease and Oils
Hardness: Total
mg/I
mg/I
mg/I
Phenol mg/I
Sulfate %ea mg/I
Specific Conductance
uMhos
Total Ammonia(NH3 t NH 4) mg/I
TKN as N . mg/I
Al - Aluminum
mg/I Zn - Zinc mg/I
mg/I Pesticides/Herbicides (Specify Compounds)
Ba - Barium
mg/I
ug/I
Ca - Calcium
mg/I
ug/I
Cd - Cadmium
mg/I
ug/1
Chromium: Total
mg/I
Cu - Copper �°
mg/I
Fe - Iron
mg/I
Hg - Mercury
mg/I
K - Potassium
vZ.'S mg/I
Mg - Magnesium
mg/I
Mn - Manganese
mg/I
Na - Sodium
/9 mg/I
Other (Specify) ug/I
F/u Or•;J -4. 0.�5 gpI��,,
Note:
Values should re t '
I CERTIFY THAT THIS REPORT IS TRUE AND ACCURATE.
9�i 4A jti/' �IZ7 ESiubmk
ck for Instructions.
4 —
SIGNATURE OF PERMITTEE COR AUTHORIZED AGENT*) DATE blue and green copies
GW -59 Revised 6/88
sratio
ug/I
ug/I
ug/I

�.,iY:.�"*"�A.'�y'.•,M'�F��.�o+�ar':Y'.
Division of Environmental Management
COMPLIANCE MONITOR'IN:G Groundwater Seotion
P.O. Box 277687
REPORT -FORM RaN.C. 27611
For additional forms please write or cau: (9733-3221
Facility Name iC, T� ,41L�� l� S �/ lr��` County �4PA.%
Address
Well Location
Permit Number-,A,./C_.- o003.513
.G
Non -Discharge
NPDES
Well Identification Number /SWell Depth ,2_Ft. Water Use /L1G�ll
Well Diameter L Sample (Screened) Interval Ft. To Ft. Injection Well
Depth to Water Level ft. ft. below measuring point. (before sampling) Well Construction d/l04
-
Measuring point is feet above land surface Other
Gallons of water pumped/bailed before sampling %E)
Field Analysis: pH Specific Conductance uMhos Temp. o C Odor Appearance
Date Sample Collected A—a!) gCt Date Lab Sample Analyzed
Laboratory Name �A�rY. jA j j nA44X M pnU Certification No.
COD mg/I NO as N mg/I Ni - Nickel mgjl
Coliform: MF Fecal /100ml NO3 as N. 16 mg/I Pb - Lead m.g/1
Coliform: MF Total /100ml 'Phosphorus: Total as P mg/I Zn - Zinc mg/I
Dissolved Solids: Total mg/I Al - Aluminum mg/I Pesticides/Herbicides (Specify Compounds)
s
PH (when analyzed) _, �_ units Ba - Barium mg/I ugjt
TOC /3 mg/I Ca - Calcium mg/1 ug/I
Chloride .3t0 mg/I Cd - Cadmium mg/I ug/1
Arsenic mg/I Chromium: Total mg/I Other (Specify) ug./I
Grease and Oils mg/I Cu -Copper mg/I UnP.A ,Q �—� _.606Mj`t,.,
Hardness: Total mg/I Fe Iron mg/I ug/I
Phenol -mg/I Hg - Mercury mg/I ug/I
Sulfatemg/I K -Potassium i CQ mg/I ug/I
Specific Conductance uMhos Mg - Magnesium mg/I�" `E4ug/I
Total Ammonia(NH3 t NH 4) mg/l Mn Manganese mg/I
Note:
TKN as N mg/I Na - Sodium / $,__ mg/I,'�' e=
Values should r � ct t d",g� �trati
CERTIFY THAT THIS REPORT IS TRUE AND ACCURATE.44
�~''� xsi
/ Sea, back for.instructions.. p
SIGNATURE OF PERMITTEEfiOR AUTHORIZED AGENT) DATE green. copies only �' ove
Submit blue and
GW -59 Revised 6/88

r� Division of Environmental Management
COMPLIANCE MONITORING t ` U Groundwater Section
R.O. Box 27687
REPORT FORM Raleigh N.C. 27611
For additional forms please write or call: [phone]
Facility Name EX. _71140211d V ey'eeh a u^S -1-C o 5!5YeAU1/)Q l(/ t' County __8 �4E o
Address R-7 N t lLLJ SD cIf._ Permit Number:JV C_ 4!D00 3r7
3
Well Location
O A)
Well Identification Number_ oZ-n Well Depth, _Ft.
Well Diameter a2/AJCA S Sample (Screened) Interval Ft. To Ft.
Depth to Water Level 37r75 ft. below measuring point. (before sampling)
Measuring point is at feet above land surface
Gallons of- water pumped/bailed before sampling
Non -Discharge
NPDES
Water Use / JD
Injection Well AJ6
Well Construction U -
Other
Field Analysis: pH Specific Conductance uMhos Temp. o C Odor Appearance
Date Sample Collected _-3-a9-1k 5 Date Lab Sample Analyzed 4--a4-9-9
Laboratory Name C. "at'1n "% It M12 k36MePy A/4 is M C, ) Certification No.
COD mg/I
Coliform: MF Fecal /100ml
Coliform: MF Total /100ml
Dissolved Solids: Total mg/I
PH (when analyzed) units
TOC mg/I
Chloride �� mg/I
Arsenic mg/I
Grease and Oils mg/I
Hardness: Total mg/I
Phenol mg/I
Sulfate l5/ mg/I
Specific Conductance uMhos
Total Ammonia(NH3 t NH 4)_mg/1
TKN as N mg/I
I4
nCERTIFY THAT THIS REPORT IS TRUE AND ACCURATE. c�
ID - S -L Azz,
SIGNATURE OF PERMITTEE (OR AUTHORIZED AGENT*) DATE
GW -59 Revised 6/88
NO2 as N
N mg/I
NO3 as N
mg/I
Phosphorus: Total as P
mg/I
Al - Aluminum
mg/I
Ba - Barium
mg/1
Ca - Calcium
mg/I
Cd - Cadmium
mg/I
Chromium: Total
mg/I
Cu - Copper mg/I
Fe - Iron mg/I
Hg - Mercury
mg/I
K - Potassium
..SYi rng/I
Mg - Magnesium
mg/I
Mn - Manganese
mg/I
Na - Sodium
3%J`0 mg/I
Ni - Nickel mg/1
Pb - Lead mg/1
Zn - Zinc mg/I
Pesticides/Herbicides (Specify Compounds)
ug/I
ug/I
ug/l
Other (Specify) ug/I
Note:
Values should
t t o QA1A6AoTrc e n
ug/I
ug/I
ug/I
/I
* See back for Instructions.
* * Submit blue and green copies only to address above.

Coliform: MF Total
/100ml
Dissolved Solids: Total
mg/I
pH (when analyzed)
10s5 units
TOC
Division of Environmental Management
COMPLIANCE MONITORING
X mg/I
Groundwater Section
e tion
REPORT FORM
For forms lease
Hg -Mercury
P.O. Sox 27687
7611
Raleigh, N.C. 2 2:1
additional p write or call:
i91$)T33-32
Facility Name 46,T aa4eOAd Me A1ln04rs4C0 FVre�clJi//p &J6pk.S
County-Big4e►J
Address f hLA-y­L4 %-S6ZXJ4
Permit Number: fti0.. 00493573
F144e
Non -Discharge
Well Location Sit-l�� rjOd
NPDES
/
y
Well Identification Number Well Depth Ft.
Water Use
100
411VCkS
Well Diameter Sample (Screened) Interval Ft. To Ft.
Injection Well
Depth Water Level 359
G�luti✓/ Z ed
to ft. below measuring point. (before sampling)
Well Construction
-
Measuring point is 7 feet above land surface
Other
Gallons of water pumped/bailed before sampling
Field Analysis; pH Specific Conductance uMhos Temp.
° C Odor
Appearance
Date Sample Collected..3' O`; _ �y Date Lab Sample Analyzed
Laboratory Name C49Lm 4.11 MOnykD/ne_ry 4)Q6me Certification No.
COD mg/I NO2 as N
mg/I Ni - Nickel
mg/I
Coliform: MF Fecal /100ml NO3 as N. ���07 mg/1 Pb - Lead
mg/1
Coliform: MF Total
/100ml
Dissolved Solids: Total
mg/I
pH (when analyzed)
10s5 units
TOC
A mg/I
Chloride
X mg/I
Arsenic
mg/I
Grease and Oils
mg/I
Hardness: Total mg/I
Phenol mg/I
Sulfate LQ A-4 mg/I
Specific Conductance uMhos
Total Ammonia(NH3 t NH 4)_mg/I
TKN as N mg/I
Phosphorus: Total as P mg/I Zn Zinc mg/l.
Al - Aluminum mg/I Pesticides/Herbicides (Specify Compounds)
Ba - Barium
mg/I
Ca - Calcium
mg/I
Cd - Cadmium
mg/I
Chromium: Total
mg/I
Cu - Copper
mg/I
Fe - Iron
mg/I
Hg -Mercury
mg/I
K - Potassium
�` mg/I
Mg - Magnesium
mg/I
Mn - Manganese mg/I
Na - Sodium I'5 mg/I
I CERTIFY THAT THIS REPORT IS TRUE AND ACCURATE.
See back for instructions.
SIGNATURE OF PERMITTEE (OR AUTHORIZED AGENT*) DATE ** �Subrnit blue and green copies only to add
GW -59 Revised 6/88
ug/I
ug/I
ug/1
Other (Specify)%UDr�ci�' '�O�j �gfl�L
ug/I
ug/I
--+- ug/I
N fu
Note
Values should refl",ttotal er ationZ-3
above=

rd"
COMPLIANCE MONITORING l' 1' Division of Environmental Management
Groundwater Section
PQ. Box 27687
REPORT FORM Raleigh, N.C. 27611
For additional forms please write or call: [phone]
Facility Name 4:#J.JDW,&r Jt)em�urs`fcy ✓¢i Ui//� ltJOrKs
Address 787 VL r_)% L4JcLA,4 ,SO L44 --k
County "a IQ4 e X
Permit Number:A)e— 0003573
Non -Discharge
Well Location Zi ugh e Lt°►S J NPDES
Well Identification Number_ C�S - Well Depth 21
,51 Ft. Water Use 41L)
Well Diameter 4.iAJCA
c Sample (Screened) Interval Ft. To Ft. Injection Well A,//)
Depth to Water Level _ /4 ft. below measuring point. (before sampling) Well Construction GaIVIVJZed
Measuring point is 7 feet above land surface Other
Gallons of water pumped/bailed before sampling
Field Analysis: pH Specific Conductance uMhos Temp. o C �1Odor Appearance
Date Sample Collected .:3-a� - S 5 Date Lab Sample Analyzed ___ # — a T g�
Laboratory Name C lAa r ai I I. Mt Ai4rn rnerf/ Certification. No.
COD mg/I NO2 as N mg/I Ni Nickel mg/I
Coliform: MF Fecal /100ml NO3 as N. hs % mg/I Pb - Lead mg/'I
Coliform: MF Total /100ml Phosphorus: Total as,P mg/I Zn - Zinc mg/I
Dissolved Solids: Total 396 mg/I Al - Aluminum mg/I Pesticides/Herhicides (Snecifv (',nrnnc)undsl
pH (when analyzed) ., t9 units
TOC 11.1
mg/I
Chloride a5
mg/I
Arsenic
mg/I
Grease and Oils
mg/I
Hardness: Total
mg/I
Phenol
mg/I
Sulfates
mg/I
Specific Conductance
uMhos
Total Ammonia(NH3 t NH 4)
mg/I
Ba - Barium
mg/I
Ca - Calcium
mg/I
Cd - Cadmium
mg/I
Chromium: Total
mg/I
Cu - Copper
mg/I
Fe - Iron mg/I
Hg - Mercury mg/I
K,- Potassium , —mg/I
Mg - Magnesium mg/I
Mn - Manganese mg/I
TKN as N . mg/I Na Sodium J©9 mg/I
CERTIFY THAT THIS REPORT IS TRUE AND ACCURATE. I,
SIGNATURE OF PERMITTEE (OR AUTHORIZED AGENT*) DATE
GW -59 Revised 6/88
ug/I
ug/I
ug /l
Other (Specify) ug/I
ug/I
ug/I
-Note:MA
Values should refl total ,?itratiQ'M�6�
* See back for instructions.
* * Submit blue and green copies only to address above.

w
mg/I
Hg - 'Mercury
mg/I
Sulfate -
mg/1
K - Potassium
.La+ mg/I
COMPLIANCE MONITORING
�., Division of Environmental Management
Groundwater Section'
REPORT FORM;
P4. Sox 276$.7
Raley, M.C. 2'7611
Total Ammonia(NH3 t NH 4)_mg/I
Foradditional forms please write or call:: [phone]
Mn - Manganese
Facility Name S�,'WIAIIA 4 ,ne A/E/YI�[l�.S a e//j/% ZZJA"/S.S
s
County-]LPAQ.N
mg/I
Address 1 Ukskw!a: J
Permit Number: IVC ood3S'73
,411',4& . �I, C 3n�
Non -Discharge
Well Location "Q!�oo "C)
NPDES
Well Identification Number Well Depth Ft.
Water Use A10
Well Diameter CQ)JVLk Sample (Screened) Interval Ft. To Ft.
Injection Well
Depth to Water Level _ /�J���25 -ft. below measuring point. (before sampling)
Well Construction Pl/
Measuring point is a,rl feet above land surface
Other
Gallons of" water pumped/bailed before sampling.
Field Analysis: pH Specific Conductance uMhos Temp.
° C Odor Appearance
Date Sample Collected _3 -a -1—T5 Date Lab Sample Analyzed
C,
Laboratory Name C 4a m VAI 1 1 Q'kgla nn Cu Certification No.
COD mg/l NO2 as N
mg/I Ni - Nickel
mg/I'
Coliform: MF Fecal /100ml NO3 as N. 0,46
mg/I Pb - Lead
mg/1
Coliform: MF Total /100ml Phosphorus: Total as P
mg/I Zn - Zinc
mg/I
Dissolved Solids: Total mg/I. Al - Aluminum
mg/I Pesticides/Herbicides (Specify Compounds)
PH (when analyzed) 6•6 units Ba - Barium
mg/I
ug/I
TOC mg/I Ca - Calcium
mg/I
ug/I
Chloride mg/I Cd - Cadmium
mg/I
ug/1
Arsenic mg/I Chromium: Total
mg/I Other (Specify)
ug/I
Grease and Oils mg/I Cu - Copper
mg/I Ald& t
W51L.
Hardness: Total mg/I Fe - Iron
mg/I
ug/I
Phenol
mg/I
Hg - 'Mercury
mg/I
Sulfate -
mg/1
K - Potassium
.La+ mg/I
Specific Conductance
uMhos
Mg - Magnesium
mg/I
Total Ammonia(NH3 t NH 4)_mg/I
Mn - Manganese
m.g/I
TKN as N
mg/I
Na - Sodium
rir/ mg/I
CERTIFY THAT THIS REPORT IS TRUE AND ACCURATE.
SIGNATURE OF PERMITTEE (OR AUTHORIZED AGENT*) DATE
GW -59 Revised 6/88
Note:
Values should refl
* See back for instructions.
* Submit blue and green coplea
ug/I
ug/I
et$�oXtFtions
f
ODA
My dress aboe

- .. ... :.. .... .. ,.....:.. -. ,.:.. .. -:Ni.: •a, :.�.FISS. .-. 1 .:; ..1. �'�,+ .r.'"'%.A^twr'..'-..li lM i..,... 5...lT`. qT
/ Division of Environmental Management
COMPLIANCE MONITORING
` '
Groundwater Section <'
REPORT :FORMP4.
For additional forms
ox 276.87
Raleigh,915)33-32211
please
write or call:
Facility Name E_Z. 0ji ooX ) X�e Yip �.cicd_ t//k,_--11-64kS
County 2144
Address
Permit Number:
Non -Discharge
Well Location LQ!�,n n A I
NPDES
Well Identification Number 7 Well Depth /2, D Ft.
Water Use
-40
Well Diameter Sample (Screened) Interval Ft. To Ft.
Injection Well
U
Depth to Water Level /�,_� ft. below measuring point. (before sampling)
Well Construction
Measuring point isfeet above land surface
Other
Gallons of water pumped/bailed before sampling of
,Field Analysis: pH Specific Conductance uMhos Temp.
o C Odor
'Appearance
Date Sample Collected ;2-05-- Date Lab Sample Analyzed
Laboratory Name 0, &YA A-4ba Certification No.
COD mg/I NO as N
mg/I Ni - Nickel
tpg/I
Coliform: MF Fecal /100ml NO3 as N
%ng/I Pb - Lead
mg/1
Coliform: MF Total /100ml Phosphorus: Total as P
mg/I Zn - ZincmgA
Dissolved Solids: Total mg/I Al - Aluminum
mg/I Pesticides/Herbicides
(Specify Compounds)
pH (when analyzed) units Ba - Barium
mg/I
ug/I
TOC 3 e 1 mg/I Ca - Calcium
mg/I
ug/I
Chloride g mg/I Cd - Cadmium
mg/I
ug/1
Arsenic mg/1 Chromium: Total
mg/I Other (Specify)
ug/I
Grease and Oils mg/l Cu - Copper
mg/I T/yar��e-L
Hardness: Total mg/I Fe - Iron
mg/I
ug/l
Phenol mg/I Hg - Mercury
mg/I
1 %U>�,
Sulfate mg/I K -Potassium
mg/I
Specific Conductance Mhos Mg =Magnesium
mg/I
Total Ammonia(NH3 t NH mg%l Mn Manganese
mg/I
4)
Note:
,
,►
TKN as N mg/I Na - Sodium
—mg/I
1 CERTIFYTHAT THIS REPORT IS TRUE AND ACCURATE.a
Values should
reflect to conc
c
See back for instructions.
SIGNATURE OF PERMITTEE (OR AUTHORIZED AGENT*) DATE
**Submit
blue and green copies
only to address a 'ove.
GW -59 Revised 6/88

• ,.,.., ... . ..._:. - .. ,..., ..-r;; �:. .,-._..-w.+.. x„+•...r..:S"' _ a$�lp�@FfmwR-r.•.�.�y:Vl' �.`,�^ «a rm - �s.
COMPLIANCE MONITORING Division of Environmental Management
x Groundwater Section
REPORT FORMP4 sox 27687
aleighFor additional forms ,please write or cah: (91$)733-32.2111
Facility Name ;2(44 Avt FAcfe{y1111Je county
Address g7 j h LA� SA Permit Number:A)e. 0003673
$3 a 'Ll
Non -Discharge
Well Location z 1;144 e LQiC00iU
mg/I
K - Potassium
NPDES
Well Identification Number A—
uMhos
Well Depth ,57.33 Ft.
Water Use
'
Well Diameter "5� 1AAC iS Sample. (Screened)
Interval Ft. To Ft.
Injection Well
mg/I
Depth to Water Level
ft. below measuring point. (before sampling)
Well Construction
Na - Sodium
Measuring point is #7 feet above land surface
Other
Gallons of water pumped/bailed
before sampling I
Field Analysis: pH
Specific Conductance uMhos Temp.
o C Odor Appearance
Date Sample Collected 3 -a5
-k5
Date Lab Sample Analyzed
Laboratory Name Cµa m \-fit
i 1 n1DnJ�t-,S,Q�t
AIC&MCL Certification
No.
COD
mg/I
NO as N
mg/I Ni - Nickel
mg/I
Coliform: MF Fecal
/;100ml
NO3 as N _ 19,t L
mg/I Pb - Lead
mg/1
Coliform: MF Total
/100ml
Phosphorus: Total as P
mg/I Zn - Zinc
mg/I
Dissolved Solids: Total o2 70
mg/I
Al - Aluminum
mg/I Pesticides/Herbicides (Specify Compounds)
PH (when analyzed) �� ~ units
Ba - Barium
mg/I
ug/I
TOC
mg/I
Ca - Calcium
mg/I
ug/I
Chloride
mg/I
Cd - Cadmium
mg/I
ug/1
Arsenic
mg/I
Chromium: Total
mg/I Other (Specify)
ug/I
Grease and Oils
mg/I
Cu -Coppermg/I
/�I1/Di^tc�
M511—
Hardness: Total
mg/I
Fe - Iron
mg/I
ug/I
Phenol
mg/I
Hg - Mercury
mg/I
_ug/I
Sulfate Vd
mg/I
K - Potassium
A mg/I
Specific Conductance
uMhos
Mg - Magnesium
mg/I
Total Ammonia(NH3 t NH 4)
mg/I
Mn - Manganese
mg/I
�+
Note:
TKN' as N.
. mg/I
Na - Sodium
971 mg/I
�; e
CERTIFY THAT THIS REPORT IS TRUE AND ACCURATE.
%A -
SIGNATURE
SIGNATURE OF PERMITTEE COR AUTHORIZED AGENT*)
GW -59 Revised 6/88
Values should refl; tota
Be*
ck for instfuctions.
DATE blue and .green cop
l
R rati
to address above..

.71X:.Y �T ix;,�., T,�. +TiJ.f,W�' yr :'.'S'Rl�. .'7, .�G'.W ..`l.M il11C..� ^r.. .i.
WA"WRo
Division of Environmental Management
COMPLIANCE MONITORING t Groundwater Section
P4. Box 27687
REPORT FORM Raleigh, N.C. 27611
For additional forms please write or caN: (81$)733-3221
Facility Name Ei i onl� �2N+��+dUrS 'y �l f�%�y/�1�, &! o,^ks County I` ' A)
Address Wa►.J cSoGt`�-i�� Permit Number: /l) C, b0�35�73
Well Location
Non -Discharge
NPDES
Well Identification Number Well Depth "Ft. Water Use AJ0
Well Diameter c�2iAA_- 1S Sample (Screened) Interval Ft. To Ft. Injection Well A,) Z)
Depth to Water Level J-46 ' ft. below measuring point. (before sampling) Well Construction pwl
'11-�
Measuring point is7 feet above land surface Other
Gallons of water pumped/bailed before sampling `-j—
Field Analysis: pH Specific Conductance uMhos Temp. o C Odor Appearance
Date Sample Collected, c�' o�c/—g'c7 Date Lab Sample Analyzed r�`ay-FI
Laboratory. Name C±d m1 -ti I Q
COD mg/I
Coliform: MF Fecal /100ml
Coliform: MF Total
I T10 5D17%@ny R.04k"'U Certification No.
/100ml
Dissolved Solids: Total .39 mg/I
PH (when analyzed) �� units
TOC
G �,,�//© mg/I
Chloride
T mg/I
Arsenic
mg/I
Grease and Oils
mg/I
Hardness: Total
mg/I
Phenol
mg/I
Sulfate
t'
7 3 mg/I
Specific Conductance
uMhos
Total Ammonia(NH3 t NH 4) mg./I
TKN as N mg/I
CERTIFY THAT THIS REPORT IS TRUE AND ACCURATE.
SIGNATURE OF PERMITTEE (OR AUTHORIZED AGENT*)
GW -59 Revised 6/88
NO2 as N
mg/I
NO3 as N D+DS
mg/I
Phosphorus: Total as P
mg/I
Al - Aluminum
mg/I
Ba - Barium
mg/I
Ca - Calcium
mg/I
Cd - Cadmium
mg/l
Chromium: Total
mg/I
Cu - Copper
mg/I
Fe - Iron
mg/I
Hg
- Mercury
mg/I
K -
Potassium
,
4 ori mg/I
Mg
- Magnesium
mg/I
Mn
- Manganese
mg/I
Na
- Sodium+g
mg/I
Ni - Nickel mg/I
Pb - Lead mg/'I
Zn Zinc mg/I
Pesticides/Herbicides (Specify Compounds)
ug/I
ug/I
ug/1
Other (Specify) ug/I
Flu Dr 14e-
ug/I
yl Z7/ e * See back for Instructions.
DATE 1*.* Submit blue and green copies
-*tow
y to address above.
Note:
Values should reef
tot cent
yl Z7/ e * See back for Instructions.
DATE 1*.* Submit blue and green copies
-*tow
y to address above.

COMPLIANCE MONITORING Division of Environmental Management;
Groundwater Section
P4. Box 27687
REPORT FORM Ralelo, N.C. 27611
For additional forms please write or call: [phone]
Facility Name E.T,:Dt AaA14M:e 4JPAiaaeNs 4=11-a _&lwAli j Ik 4 JXkS County __A1Q4 e
Address1�
Well Locations Int 8e ��nIX
Well Identification Number /1 Well Depth. 4.3,,12 Ft.
Well Diameter _n?/n/eX Sample (Screened) Interval Ft. To Ft.
Depth to Water Level /oL_ ft. below measuring point. (before sampling)
Measuring point is CQ -7 feet above land surface
Gallons of water pumped/bailed before sampling 13
Permit Number:AJC, eDoa3573
Non -Discharge
NPDES �.
Water Use AZQ .
Injection Well 420
Well Construbtion
Other
Field Analysis: pH Specific Conductance uMhos Temp. ° C Odor Appearance
Date Sample Collected �a`�— iL�f Date Lab Sample Analyzed
Laboratory Name 01 twvh 4, 1A AA r"A�—,��0.6n'► Ou Certification No.
COD mg/I NO2 as N mg/I Ni - Nickel mgjl
Coliform: MF Fecal /100ml NO3 as N. 06 mg/I Pb - Lead mg/I
Coliform: MF Total,
1100ml Phosphorus: Total as P
Dissolved Solids: Total j93 mg/I
PH (when analyzed) units
TOC -', 3 mg/I
Chloride mg/I.
Arsenic
Grease and Oils
Hardness: Total .
Phenol
Al - Aluminum
mg/I Zn - Zinc mg/I
mg/I Pesticides/Herbicides (Specify Compounds)
Ba - Barium mg/I
Ca —Calcium.
Cd - Cadmium
mg/I Chromium: Total_
mg/I Cu - Copper
mg/I
mg/I
Sulfate "T__ mg/I
Fe - Iron
mg/I
mg/I
mg/I
ma/I
mg/I
Hg - Mercury mg/I
K - Potassium �y, !p mg/I
Specific Conductance uMhos Mg - Magnesium
mg/I
ug/I
ug/I
ug/1
Other (Specify) ug/I
Flyor.d e. .e 0, L M@&/ J1 t
ug/I
Total Ammonia(NH3 t NH 4) mg/I Mn - Manganese mg/I
Note:
�7
TKN as N mg/I Na - Sodium ;7,� mg/I
Values should reflec
CERTIFY THAT THIS REPORT IS TRUE AND ACCURATE.
t4l?,7 6 See back for instructions.
SIGNATURE OF PERMITTEE (OR AUTHORIZED AGENT*) DATE ** Submit blue and green copies only
GW -59 Revised 6/88
e a/I
oI
N t;*!
cns
to address above.

COMPLIANCE MONITORING
REPORT FORM
...m: ^i. !.r •f:.: '=k . §'. ). •r.:, k "..3'• a :..', .+. � ,r .
^F
-' Division of Environmental Management.
Groundwater Section
12,0- Sox 27687
RaWah N.C. 27611
For additional forms please write or call: (910733=3221
Facility Name 4!6..Z J_JUlJo,d Z7e Angg,(/v— &W)-kCounty-BhcfeA
Address R7 14 ht-32t..d -Sa L4 Permit Number:A/C 0c63573
FA�112 //i1/{, iU.0 a$3d a.. Non -Discharge
Well Location -slad4E' LGSQC2.- J NPDES
Well Identification Number 9_ -_Is Well Depth a Ft. Water Use
Well Diameter 4 /, n)CI S Sample (Screened) Interval Ft. To Ft. Injection Well A%
Depth to Water Level ���?�_ ft. below measuring point. (before sampling) Well Construction
Measuring point is ;2 , f7 feet above land surface Other
Gallons of water pumped/bailed before sampting
Field Analysis: pH Specific Conductance uMhos Temp. ° C Odor Appearance
Date Sample Collected Date Lab Sample; Analyzed Al' a 8�
Laboratory Name c ka rmmx�4, 11 1h,0_AJk41ne/t./ A/a.l�amG. Certification No.
COD mg/I NO2 as N mg/I Ni - Nickel mg/l
Coliform: MF Fecal /100ml NO3 as N. ©, Di mg/I Pb - Lead mg/l
Coliform: MF Total p /100ml Phosphorus: Total as P
Dissolved Solids: Total — gyp mg/I
pH (when analyzed)rn-! units
TOC mg/I
Chloride g mg/I
Arsenic mg/I
Grease and Oils
Hardness: Total
mg/I
Al - Aluminum mg/I
Ba - Barium mg/I
Ca - Calcium _
Cd - Cadmium_
Chromium: Total
mg/I Cu - Copper
mg/I Fe - Iron
mg/I
mg/I
mg/I
mg/I
mg/I
Phenol mg/1 Hg - Mercury mg/I
Sulfate X3.9 mg/I K - Potassium a ,q mg/I
Specific Conductance uMhos Mg - Magnesium
mg/I
Zn - Zinc mg/I
Pesticides/Herbicides (Specify Compounds)
ug/I
ug/I
ug/1
Other (Specify) ug/I
ay/r r d .< p� 1 jjo �",`j� i
ug/I
ug/I
Total Ammonia(NH3 t NH 4)_mg/1 Mn - Manganese mg/I
Note:
TKN as N mg/1 Na - Sodium AZ mg/I �
Values should IectF$�
CERTIFY THAT THIS REPORT IS TRUE AND ACCURATE.
See back for Instructions. �,
ti
SIGNATURE OF PERMITTEE (OR AUTHORIZED AGENT*) DATE ** Submit blue and green copies on^
GW -59 Revised 6/88
9
il
cqkntra
ug/I
.ug/I

Chloride f
mg/I
Cd - Cadmium
t' Division.:of. Environmental Management
COMPLIANCE MONITORING
/
Groundwater Section
mg/I
REPORT , FO.RM
For forms call:
P4. Box'27687
RaJe4gh , tv.C. 27611
Cu - Copper
additional please
write or
[phone]
Fe -. Iron
Facility Name &r. DUAOA.1� X7e jJ.0 earls! Cy 6¢c_c1Vc111//e llJWks
County IRA e_n-)
mg/I
Hg - Mercury
Address $_ 14 is)) So" -)Lk
Permit Number/✓C. 0003573
mg/I
K - Potassium
a mg/I
Non-Discharge
uMhos
Mg - Magnesium
Well LocationU Se �SOO
NPDES
mg/I
Mn - Manganese
Well Identification .Number _ q—Z)Well Depth 63, 83 Ft.
Water Use
mg/I
Na - Sodium
Well Diameter of iivc-k_/ Sample (Screened) Interval Ft. To Ft.
Injection Well
U
Depth to Water Level._ 7Z•.3 ft..'below measuring. point. (before sampling)
Well Construction
Measuring point is ai feet above land surface
Other
o�
Gallons of water pumped/'bailed' before sampling o
Field Analysis: pH Specific Conductance uMhos Temp.
o C Odor
Appearance
Date Sample Collected- .3--9 —� �7 Date Lab Sample Analyzed
,, II
5
Laboratory Name C. %ia m "A 1 MDI24n01'nel't QiCtbdtvl0... Certification
No.
COD mg/I NO as N
mg/I Ni - Nickel
mg/I
Coliform: MF Fecal / 100rn1 NO 3 as N. D• D5 mg/I Pb - Lead
mg/,l
Coliform: MF Total /100ml Phosphorus: Total as P
mg/I Zn - Zinc
mg/I
Dissolved Solids: Total mg/I Al - Aluminum
mg/I Pesticides/Herbicides (Specify Compounds)
PH (when analyzed) '3 units Ba - Barium'
mg/I
ug/I
TOC 'c A40 mg/I Ca - Calcium
mg/I
ug/l
Chloride f
mg/I
Cd - Cadmium
mg/I
Arsenic
mg/I
Chromium: Total
mg/I
Grease and Oils
mg/I
Cu - Copper
mg/I
Hardness: Total
mg/I
Fe -. Iron
mg/I
Phenol
mg/I
Hg - Mercury
mg/I
Sulfate
mg/I
K - Potassium
a mg/I
Specific Conductance
uMhos
Mg - Magnesium
mg/I
Total Ammonia(NH3 t NH 4)
mg/I
Mn - Manganese
mg/I
TKN as N
mg/I
Na - Sodium
0 mg/I
CERTIFY THAT THIS REPORT IS TRUE AND ACCURATE.
SIGNATURE OF PERMITTEE COR AUTHORIZED AGENT*)
GW -59 Revised 6/88
ug/1
Other (Specify) ug/I
El 1101- td e.. a. t =,p "^,51�-
ug/I
ug /I
Note:
Values should reflec
See back for instructions.
DATE * Submit blue and green copies
tali
�'� ,
to a

COMPLIANCE MONITORING
REPORT FORM
Facility Name Ei�� ��l�D/l7><'.,AeJu
Address $ % y ►5h w"
Division of Environmental Management 0,«';
Groundwater Section
P,O. Sox 2768.7
11
For additional forms ease write or cat: Ram N.C. 27 1
P (91$)733-3221
County e
Permit Number: N L' ©ek�35 73
Non -Discharge
Well Location Slu�lgt'_l,cor��!
NPDES �-
Well rIdentification Number
wZ"J)
Well Depth .55+-4V
Ft.
Water Use O
Well Diameter ��
Sample (Screened) Interval Ft. To
Ft.`
Injection Well �y
Depth to Water Level 71 115 ft. below measuring point. (before sampling)
Well Construction
ria
Measuring point is
feet above land surface
Other
Gallons of water pumped/bailed before sampling
Field Analysis:, pH
Specific Conductance uMhos Temp.
07
o C Odor Appearance
4/!
Date Sample Collected
`'1C7 -sk
Date Lab Sample Analyzed
Laboratory Name Q 141 H IYiOOSI�50M
e, - y 14-14 bA M a-/
Certification No.
COQ
mg/I
NO as N
mg/I Ni - Nickel
mg, /I
Coliform: MF Fecal
/i00m1
NO3 as N
mg/I Pb - Lead
mg/'1
Coliform: MF Total
/100mi
Phosphorus: Total as P
mg/I Zn - Zinc
mg/I
Dissolved Solids: Total
SA mg/I
Al - Aluminum
mg/I Pesticides/Herbicides (Specify Compounds)
PH (when analyzed)
y+3 units
Ba - Barium
mg/I
ug/I
TOC
�'Q mg/I
Ca - Calcium
mg/I
ug/I
oZ
Chloride
mg/I
Cd - Cadmium
mg/I
ug/1
Arsenic
mg/I
Chromium: Total
mg/I Other (Specify)
ug/I
Grease and Oils
mg/I
Cu - Copper
mg/I F1uor'd�e-
-�D� 9t�1M11 L
Hardness: Total
mg/I
Fe - Iron
mg/I
ug/I
Phenol
mg/I
Hg - 'Mercury
mg/I
ug/I
Sulfate
�� mg/I
K - Potassium
a•a
mg/I
A
Specific Conductance
uMhos
Mg - Magnesium
mg/I
Total Ammonia(NH3 t NH 4)
mg/I
Mn - Manganese,
mg/I
Note:
TKN as N
mg/I
Na - Sodium
°� 8
mg/I
Values should refl
total C ratio
CERTIFY THAT THIS REPORT IS TRUE AND ACCURATE.
D.
-
11127! ip�E*�Submlt
back for instructions.
a,
'�I�ij�.c��,.
SIGNATURE OF PERMITTEE (OR AUTHORIZED AGENT*) DATE
blue and green copies only to, addros.s above:
GW -59 Revised 6/88

., .,... -u, .. 9>t.+•. ,,. q.. .:,�;. T'"7,:`i...,. P^:•�'' - rp,. k �j,,a-r
COMPLIANCE MONITORING Division of Environmental Management ,I
f , Groundwater Section
P,O.. Box 27687'
REPORT FORM Raleigh. N.C. 27611
For additional forms please write or call: [phone]
Facility Name F_r►.taa oo_4 7De AJemourSWWCp %;ge_4eV,11c A-AdAk.S County
Address Si 4 %!Sh w 26&4 �S o t `II- Permit Number: N 0- 060 35'73
Well Location
Well Identification Number /02-S Well Depth a?yQ3 Ft.
Well Digmeter a 1AX-AS Sample (Screened) Interval Ft. To Ft.
Depth to Water Level ' ft. below measuring point. (before sampling)
Measuring point is ail feet above land surface
Gallons of water pumped/bailed before sampling
Non -Discharge
NPDES
Water Use
Injection Well Nc�
Well Construction
Other
Field Analysis: pH Specific Conductance uMhos Temp. ° C`' Odor Appearance
Date Sample Collected 3_oZ�1- 8 cf Date Lab Sample Analyzed
Laboratory Name U_ H SL nN H 1 I if
COQ mg/I
Coliform: MF Fecal /100ml
Coliform: MF Total /100ml
Dissolved Solids: Total f//5 mg/I
pH (when analyzed) 'R #3 units
TOC c6Q,�i!
mg/I.
Chloride
mg/I
Arsenic
mg/I
Grease and Oils
mg/I
Hardness: Total
mg/I
Phenol
mg/I
Sulfate
mg/I
Specific Conductance
uMhos
Total Ammonia(NH3 t NH_4)
mg/I
TKN as N
ma/I
e�ca A Q,64 rAOU Certification No.
NO2 as N
mg✓I
NO3 as N
mg/I
Phosphorus: Total as P
mg/I
Al - Aluminum
mg/I
Ba - Barium
mg/I
Ca - Calcium
mg/I
Cd - Cadmium—_
mg/I
Chromium: Total
mg/I
Cu - Copper
mg/I
Fe - Iron
mg/I
Hg -Mercury
mg/I
K - Potassium
PHcl mg/I
Mg - Magnesium
mg/I
Mn - Manganese
mg/I
Na - Sodium
CQL2 mg/I
rItC�ERTIFY THAT THIS REPORT IS TRUE AND ACCURATE.
b�.au:� iJ: • ' w.r� •
SIGNATURE OF PERMITTEE (OR AUTHORIZED AGENT*)
GW -59 Revised 6/88
Ni Nickel mg/I
Pb - Lead mg/1
Zn - Zinc mg/I
Pesticides/Herbicides (Specify Compounds)
ug /I
ug A
ug/1
Other (Specify) ug/I
F1 a oh U -ei- 1a.7 mod mS JL
Note:
Values should i
eq * See back for instructions..
DATE ** Submit blue and green copies
ug/I
ug/I
ug/I
cog
ct tot�ratip��
#� • s above:

.. .. .: e?,�lg�M'ti: '.vz..a :r'�''r'. �� Y - ''.��''.'W`.,' tel_ — .:: `:..4_ -, �iC:..:7.•:t,•.T' �ER
A
COMPLIANCE MONIT.ORIN'G
,� ::11 Division of Environmental Management
�j GroundWater Section
REPORT FORM
P4. Sox 276$7
Raley , N.C. 276.11
For additional forms please write or call: (910733-3221
Facility Name , i08a/-L
DEh&y kS
County'791adle Il)
Address
Permit Number: AX, 0003573
d
Non -Discharge
Well Location nnm P, 1, C
NPDES
Well Identification Number MA
es4%IC 14'4 ti Well Depth Ft.
Water Use A -✓�
Well Diameter --' Sample
(Screened) Interval Ft. To Ft.
Injection Well ,4Z(2
Depth to Water Level
ft. belowmeasuring point. (before sampling)
Well Construction
Measuring. point is feet above land surface
Other
Gallons of water pumped/bailed
before sampting —"
Field Analysis: pH
Specific Conductance uMhos Temp.
° C Appearance
Date Sample Collected _3
$ Date Lab Sample Analyzed
`Odor
Laboratory Name 0_ 1+Zlnc� 1.4,
1 1 ft) 0N jaQM er121AMOc,L Certification No.
COD
mg/I NO2 as N
mg/I Ni - Nickel
mg/I
Coliform: MF Fecal
/100ml NO3 as N.. ��
mg/I Pb -.Lead
mg/'I
Coliform: MF Total
/100ml Phosphorus::.Total as P
mg/I Zn - Zinc
mg/I
Dissolved Solids: Total � r1 mg/I Al - Aluminum
mg/I Pesticides/Herbicides (Specify Compounds)
pH (when analyzed) 1 units Ba - Barium
mg/I
ug/I
TOC !
mg/I Ca - Calcium
mg/I
ug/I
Chloride
mg/I Cd - Cadmium ___
mg/I
ug/1
Arsenic
mg/I Chromium: Total
mg/I Other (Specify)
ug/I
Grease and Oils
mg/I Cu- Copper
mg/I jN ae Id Q•
hl -twj A)
Hardness: Total
mg/I Fe - Iron
mg/I
ug/I
Phenol
mg/I Hg -'Mercury
mg/I
A
Sulfate ,. `!•�
mg/I K - Potassium__ 1(
-mg/I
Specific Conductance'
uMhos Mg - Magnesium
mg/I Pg
,
Total Ammonia{NH r NH )
3 4
mg/1 Mn,- Manganese
mg/I
Note:
.T as N
mg/I Na -Sodium ��
mg/I
THIS REPORT IS TRUE AND ACCURATE. r
Values should reflect to one
i
CERTIFY THAT
it k _�,,�
✓ ��
*
S4e back for Instn tions.
SIGNATURE OF PERMITTEE (OR AUTHORIZED ,,AGENT*) _
**
Submit blue and green.copies only to add ros
�a 7
GW -59 Revised 6/88

Env n
ironme tat Management Division
COMPLIANCE MON Q,R.tNG Grourrdwater"Section
.
7 ...
REPORT FORM , P.O. Box -27`687
Raleigh,N..G 9761,1
�/ �g9 • 9
���� 733-50 3
Facility Name �1',y-PONT P-Ao@mou�o-z> 1#'ee!/�/�¢ 1 �
Gounty � e�
Address 1 (ONUJc-44 SO tox�
Permit Number: /VC1 042e,3-5 7
-e--A It ill 114 / c- c9L83 a-
Non -Discharge
Well Location �� 2 �.-©11
NPDES
Well Identification 'Nur+riber c9 _D Well De th � '�
p Ft.
Water Use
F�BJg
C51 n�ch
Well Diameter Sample (Screened) Interval Ft. ; To ` Ft..
Injection Well
t
Depth to Water Level �g�75 f, below measuring poi°lit. (before sampling)
Well Construction v
V
t
Measuring point is a �� feet above land surface
Other .
Gallons of water pumped bailed .before sampling
Field Analysis: :pH Specific Conductance uMhos' Temp.
° C Odor Ap.peara.nce
Date Sample CollectedDate Lab_Sampfp AndFlyzed
1/ �`�''�``
/a'
am LL��
Laboratory Name C a' m" t-# t fr IGIborm 4L) x°11 fiD Certification No.,
COQ ...mg/I NO2 as N
mg/I Ni - Nic`kel
mgll
Coliform: MF Fecal /t00m1 NO 3, as N '1'
mg/I. Pb - Lead
mg/t
Coliform: MFF Total /100ml Phosphorus: Total as P
rig/i' Zn - Zinc
.'mg/'l-
mg/lDissolved
DissolvedSolids: Total �_ mg/.I AI - Aluminum
-m-git Pesticides/Herbicides. (Specify. Compounds)
pH (when analyzed) .� units B.a - Barium
mgLl
d.
ug/I .
TOC mg/I. Ca - Calcium'
mg/I
ug/I
^�ir�ti
Chloride T / mg/.I Cd - C,admium
mg/1
ug/1
Arsenic mg/l Chromium: Total
mg/I Other Spec
ug/I
Grease and Oils mg/I Cu - Copper
mg/I'��-
Hatdness:'Total m.g/1 Fe - Iron
mg/I
ug/I ,
Phenol, •. _ mg/I Hg Mercury
g/I
ug/.l
Sulfate y� mg/I K - Potassium
mg/I
ug/I
Specific Conductance' uMhos Mg - Magnesium
mg/I
ug/I
Total Ammonia(NH3 t NH 4) mg/I Mn - Manganese mg/I (vote:
TKN as N mg/I Na - Sodium
values should reflect total
concentrations
CERTIFY THAT THIS REPORT IS TRUE AND ACCURATE.
*See back for. instructions
fJ t
v�
Submit blue and green copies to address above.
SIGNATURE OF PERMITTEE COR. AUTHORIZED AGENT*) DATE
GW 69 Rervised 7/$5

F
00 PLAII A I
A
�M 'I W
E hv if'664*4h rn,ent -:D
a v- on
�EAOiT MOW,
81 AT OR
'174
R4160 A �'c 77611
_7
`3 OS
Fa
Address ,
-in
Per. it,"Numbvro
• 4 C
Aw,
;:;ZeA 40D NO, Discharge
w i. -t�
I AAA'! 6.6 Pkf
NPOE�
N.1
Well Identrfication�' ar
Well 5ePth c Ft. Water' -06e, r*s
r
wt
Well J arrietcit Interval To, Ft. 'l.n.j e'd ti,6n W. eCI
tb
D ev th, to Wat.er:,L-&,ve I.. �tejo* tneasurin*g pofn1.:(be.f.o sampling:`) Wel] Construction
Mea"su qwpoin,Js f 66t, ab. v6,1and,,-s,Ur
On face Other
:Gallons - of. w- ate' r-:_pqmp.e0.bailed,:, before P
7
i,d' Ai f*
�na onductance
-Y"�SjSr' PH H
T. A ;p-qaranGe -
umlaps", TqTP7. C O,d or P
d Ddtez,��-.$a, Oje, Collected.V q­_�T
Ito
S dFi e
Lab appfe An y2.6d
•Date
a r me,
1 b&atory�Nam
3 40,1111
Aba C r.tific
le -,on'No..
COD rimgll
NO Ni �--Ni.q e
2 'as N. rn
inig/I
Coliform _., W."Fecal' .0.,Orn.1
3: as N, g11 Pb, - Lead
M,
C affform: MF -Total
Phosp orus� -as P 'Zinc
h Totat _mg/r: Zn..
M, 9
Dissolved Solid' :,T tal:
sso Solids: 'o rhg,/.l
c pe peq Compounds)
Al. -,Aluminum m Pesti ides[Heirbicid Hy Co
'd 3
units- n
PH: (,Y.vhen analyzed) ?its
fp
Ba _-Barium
TOC mg/I:
Ca'- Calb,ium, g
ug/1
Chipride, 14 . ..mgtl
-
Cd -Cadmium_/I
ug/1
Arsenic". �m g- I
Chromium: T6,,ial: -g/I Other` ($pecif y).:
�,,Yg
Grease: -and 011s. mg/I
Cu - Copper
Hardness: Total-/I
Fe -Iron mg
Pheneif'. mg/l_
Hg, - Mercury mg/I
ug/I
Sulfate;. 'M9 y 1,
K Pota- sium g/I
A
Specific Conaucta� e
P 7AQ
Mg Magnesium mg/1'.
-,Pg/
Total Arrimp.jila.CNIM -t NR I mg/1
3
Mn Man.gane, _�_rhgtl
.4-
TKN"as ;.N. '...mg/I
Note:
Sodium
Na rh
VaLues should reflect total. concentrations
� I �REPORT IS TRUE
TH
1 CERTIFY THATVq.
AND ACCURATE.
See ba for r i nstuc ti -ons
Submit blue arid. green copies to'.:addre;ss. above.
SIGNATURE SIGNA RMJTTFf'0OR UT,HOR,IZED
k-OPPt
AGENT,*) ATE,
W s,
G -59'Plev! e d

�rri
wvfr o npiq; al 4,
_e gemov, -sion, -
_Z ­"D VV
4 f6ld
y{
6R
R.2121ft,
0
`
R�sietgti,�VuC 2T61-1
Facility Z) e &Oki
it 41! 9'r
A,cidTOo
Permit "Number
Al
Dhscp -gp
Y
WerttLocatlan C,
NWDE�S
Well, Id.'ahtif"[d �on.. .N
Well' b �Ft.
Wate.r.,'UOO
t. _T
Well SgpV (Scr,6Enedl'Irterval F To F,tiInfection
'I 1'16L
Woll vw-
UVI-f.
De .th :0 sar
to a Ito. 'I qf%q I
M11 as-*u'rin:g p in't.1 rb ,npl'
q J,on
Me.ng1L, f e,e.t'Aboyt.'Lrap
s r.
..i:
a�,
G61166sofaWrapimped` bA11'd aefresamp+ip9
, l
Field Xn lysis - Conductance`
cu to P
e
t)aaL, n
,
C 0dad art e
r',p
Date 's apte ,Coleoted
Date mE
Laboratory'Name aANA
Ve
l -"
Oertifi afiion.No.
C mg
N2as N
,
Ni Nick,el
Cb1fbrrmZ-MFFe al fl:
NO3as N
mg/l Pb -ad
M
:urfac
C61H1GOn�11
'hOtphorus: TdtaF.as P
Zn, -Zinc`
_/I
M�
sjota1
r.
AIAluninum
.ah
rA
-
PestdeWHerbj6id&.S.SDPCiifV Goinpojnd T
P1,(whpp -analyzed)unv
j
a B.jriUm
M
fQC
Ca Calcium
mg/L:
ug /l r
Chi0-idem
Cd Cadmium
m
ug/1
Arsenicn
C.hromlum:, TQfalL
'
0t66Y
ug/I
Grpand,ORs
Copper
mgIf
d I
HardneSt:,Total mg -/l
Fe Iron
mg/I'Ug/
enol -m 11
Hg Mercur
Sulfate mg/.L`
K Potassium
Specific Conductance �UM#oMg
Magbesium
mgjl
�L
TotAf.Ammo6ioNH8 t NH A mg
Mn
mg/l
TN &N
'Na7Sodium"
.
Note
I CERTTY.THAT TH M REPORT: IS TRUE AND ACCURAfE.
,
vaIu6s should ie,concentration]bptt6taI
sA
S60,,, back or instructions.
Submi t. blue tie and gree_bL'Copi-e� odb
:ad' :ress above.
RIZE Nt �E
IATF E F. COR ALUTRO - Pr
SIGN AGE
OWr-' 6,9 Rtevr6 04.,l 105.

y.:E,nv'iro
-JiMICE
M
=441411&6-riag.g t My fe, ap,'
3 t0linj d*,-81qr.� b
C. av 6-
REPORT ObR
�:BVk::� 27687
RaFe
Facility, Name E AAM eqt4
t4 C_p
County
Addres&'I' -44,
b
Perin Num -er:
C
e-3>
Well` 47, ilo
NPD�ES ft,
Weill Werittf i.cati on Number
Nel F
Wat Use,
Well ,,D,iAM e" l, bk4/ : I
;�a b:,S die �ne d)I nterval Ft T o Ft..
rr.
Injection We a
D eoffi-19, Water Level '3ft.' below - measuring poirit,tbef0re Sampling_,)
Wel I, Co stru t
7
.Lrpq1n1 is abov.6-1and
Measuring feet
Other.
Ga-ficinss-6f! water. pe d, b afled - b6foresa. mlpiing
Field "Anal sis:p-H cific Conductance Whos ',Temp.'-
.0
C Odor Appa ara n c e'
Date Sample C o 11 n
DateLab Sample Aridlyzed
L ab:oT ry a Me
N
Labor.
ratory
0 erfffi bati,on- 0.
N
GOD M-g/I
-NO2- as Nr
m1g/I .NiNick e I
.'rng/l
Coliform . -0 W.' F 6 0 a:I .10 0 m I
NO as N
mg/I Pb .ea _ ., A
1d Mg
Coliform " : M.F'T'o!tajLI 11.00 '1
m
Pho -apborus! Total: as P
Mg;/ Zn -.7 Zih
-Mg
DisseW d::,Sol4ds.- Total Mgi
Al
n
ou .0s)
M0.1 Pestibides/H . erbi*cJdeS..L($P,6djfy Compounds)
.p H CwhenL aflalyzed) units
Ba - Barium
mg/I,
TOC mg/l,
Ca - Calcium
mg/1
ug /I
Chfori.de, MLg/I
Cd Ca d m i uM'
M qjI
ug/I
Arsenic mgjI
Chromium'Total
-Mg /I Other (Specify)::
ug/l
Grease and, Oils mgjl.
Qu - Copper
rng/l�'
Hardness: Total Mg:/;I
Fe - Aron.
M. A ,
ug/I
Phenol mg/I.
H-9 -Mercury
g/I
ug/I
Sultate mg -11
Kr - Potassium
rr� A
r Specific Conducta=nce UMrh os
Mg - Mragnosiui�
n g/I
ug1l
L NH 4
Totalo, Arnim oriCa (N H 3 t m g
Mn - Mang-anp-se
Mg/I
Note:
W, N,: as. N . /I
a Sodium
-mg/I
VaAues, s, h,601 ql� pa f.1 e 6 t total c o n c e n tra 40n s,
I CERTIFY; THAT THIS REPORT IS TRUE AND ACCURATE.
Seib back for instructions
0�* $
**Submit 'blue and Lgreen cods Jo;add.re�ss
above
SI& ATLfRL OF' PERMITTEE COL8AUTHORIZED .: DAT
v e d.,. :7 8
GW -S$ RO'

Envir�on�nre�aka1 ki[a�aageen Dlvlson "
CO�WiPLtAWCE Iu Of l i� G`roundviiat r S:ec,ti p
�` P O f3`ox 27687
TO K",",
.
R4161ghy C 2:7611-
82
(9 9)>733 5'q 88 '
" F.acta.ify Name. 4 c7t t Bd!'f" �� p °E'aD A �! �l�e. tcJQi�
+
GQurtty
Address V% :f. h "S'd -. :;
Pexxnit Number.
1
03 d w
on- +\
N DischargeBf
v�
Weil Locathon...
NPDES:
Well Identlficatlon :Number` i We.Id Depth �� F't:
Water ,Use
Well Diam"efer �%/ 5 Sampl(Screee°d)'Interval Ft. To Ft.
Injection Weaa
�4
Qepth to 1Alater".Le el int. (before sampain
Well Constructionngpo
land
A!teasuring point f$ feet -ab -vend su
Other .
A
Galjphs of. water, pumped baited be- bre sampling:
Fleld.Analsis.
y pH Spe�lti;c.-Conductance uWhos 'Tom.p.:
o
C ` Odor peara:nce
Date,Sample :Collected ' t11 -•. DateL;ab SavnpI Analyzed
Laboratory Name: Certiflcatior• No. '
,..rng/r:: N 2, as N
-.mg/l: Ni = NicRei
rtag/I .
Callforrn. MF- Fecal f 100ml NO 3. as `N �''`3
rng Pb `- Le -ad
mg/1
Coli orm. NFF'.Total /1a0nn1 Phosphorus: Total as P
mg/.I " Zn,= Ziac
ni9/1
Dlsso"Ivied So.ilds: Total �9• mg/i, AI - Mumin.um..
mg/I. Pesticldes/Herbicides.($peclfy. ompounds)
pH (when analyzed); �� units Ba -Barium
mg/F
ug/C
TL m JI C:a - Calcium
mg/.I
ug -/I
Chloride ' . mg/I Cd - Gadm'rum.
Arsenic and/l. Chromium: Total
mg/I, Other (.Specify3,
ug/I
Grease.and, Oils mg/1 Cu - C.opper
mg/L/IAOI'!a�{?: �0�t
" Hardness: Total mg /l Fe: - Iron
g./.
ug/1
Phenol mg/t Hg -Mercury.
ud/1
S°ulfaiE mg/I K _Potassium ..0 of , n?.9�I;
ugA
Spec.;Ifi:C Conductance uMh.os Mg.- Magnesium
mg/I' ,
,ug
Total Ammonia -(NH t NH.) Mg/j. M'n - Manganese
3 4
rng%I
r
Note:
TKN as N mg/l Na - Sodium 4.,r%
mg/I°.
Values :should . ref lect tonal. concentrations
" I C'ERTIF'Y THAT THIS:RE,PORT IS TRUE AND ACCURATE.
?
i nstr uc
>« See back for tions
*Submit blue and green copies to address above. '
SIGNATUREOF:PERMITTEE-CO,R'AUT.HO:RIZED'AGENT*)_:_ 'DATE
GW -5'9 R 16ed 7/8.5

Environmentat Manage ri n
COMPLIANCE MONITORING Gro.und%v'ater Sectio
REPORT "FORM P:0. Box 21.687
Rafeigh,N:G. 2761
1 733-5063
Facility Name &J_V 1e Q0
Address O
a1-3
Well Location n 0 AJ
Well Identification Nu;nber Well`. Depth Q,g3
Well Diameter o?.rJU iiJ Sample (Screened) Interval Ft. To
Depth to Water Level 41. 3 3 ft. below measuring point. (before sampIir.,
Measuring point is cQ7 feet above Land surface.
Gallons of water ,pumped bailed
before'sampl-ing
Field Analysis: pH
Specific Co0ductance
uMhos .Temp:
0 C
Odor Appearance
Date' Sample Collected (j "
�'7`-gg
Date Lab Sample Analyzed
Laboratory Name aga m
t
bq!% QL4 Certification No.
COD
mg -/I
NO2 as N
mg/I
Ni -Nickel
mgt[
Coliform: MF Fecal'
/t00m1
NOg as N dlmg/I
Pb -Lead
mg/1
Coliform: MF Total
/100ml
Phosphorus: Total as P
mg/I
Zn` -.Zinc
mg/l.
Dissolved. Salids: Total
mg/I
AI - Aluminum
mg/I
..Pesticides/Herbicides. (Specify Compounds)
PH (when analyzed) V•r% units
Ba - Barium -
m.g/I
ug/I
TOC L/
mg/I
Ca - Calcium,
mg/L
ug/I
Chloride is
mg%I
Cd - Cadmium _
mg/I
ugA
Arsenic
mg/I
Chromium: Total
mg/I
Other (Specify).
ug/I
Grease and Oils
mg/l
Cu - Copper
mg!I
Ai,31
`)
Hardness: Total
mg/i
Fe - Iron
mg/I
ug/l
Phenol
mg/l
Hg - Mercury
mg/I
ug/1
Sulfate
Mg/l.
K-- Potassium
g/l
ug/I
Specific Conductance
uMhos
Mg - Magnesium -
mg/I
ug/I
Total Ammonia(NH3 t NH 4)
mg/i
Mn -Manganese
mg/I
Note:
TKN as N
mg/I:
Na - Sodium
mg/I
Values should reflect total concentrations
I CERTIFY THAT THIS .REPORT
IS TRUE AND ACCURATE.
# See back for instructions
`'** Submit blue<a-nd green copies to address
above.
SIGNATURE OF:PERK41TTEE COR. AUTHORIZED AGENT*-) DATE
GW -59 Revised 7/85:

Environmental Management: Division
COMP`ONITOR°�1�tG i3roundwate r., Section 7
R FORT FORM P.O. Bo -,.x21687
Rale.igh N.C. 97631
(91 )733-5083
Facility Name Ej, D PogW ZeAl2r MPT"10-o 695/
County e,�ll)
Address o� I h lx--XXA( Sac t 44N,
Permit Number: A02- 0CQ 35'7
5
�e_ �AffUJI " AJ f 1193 a-a_�
Non -Discharge
Well Location iUc� LDS nl
NPDES
B1gg 9 Xho
4;1 -
c�
Well Identifi.cati.on NWmber 0 Well Depth 111 Ft'.
Water Use
Well Diameter c��i iA.1h1S Sample. (Screened) Interval Ft. To Ft.,
Injection Well. Ald IrILIFr
Depth to Water Level It. below measuring point. (before sampling)
Well Construction
Measuring point is 7 feet .above land surface,
Other .
Z
Gallons of water pumped bai,Ied before samp}ing
FieldAnalysis: pH. Specific Conductance uMhos Temp.
C Odor Appearance
Sample Collected 1 j-- (1--g8'. -
Date Date Lab Sample Analyzed_-
%off' a a
Laboratory Name � al aw/m01 -34 21 (3 Certif.icationNo.
COD mg/I NO2 as N
mg/I Ni - Nickel
mg/I
Coliform: .MF Fecal /100ml NO 3. as N ���
mg/I Pb - Lead
mg/1
Coliform: MF Total` /-loom[ Phosphorus: Total -as 'P
mgA Zn - Zinc
rn'g/I
Dissolved Solids: Totaly5 -mg/I Al - Aluminum
mg/I Pesticides/Herbicides, (Specify Compounds)
PH (when analyzed) G.Q units Ba - Barium
mg/L
ug/1
TOC ',1 mg/I Ca - Calcium
mg. /I
ug/I
Chloride-.mg'/I Cd - Cadmium _
mg/I
ug/1
Arsenic mg/I Chromium: Total
rng/I Other (Specify)
ug/I
Grease and Oils mg/I Cu - Copper
mg/I 'F41orrde-
.G D•1 '"5
Hardness:: Total mg/1 Fe - Iron
mg/l.
ug/I
Phenol mg/I Hg - Mercury
.g/1
ug/I
,.
Sulfate 'i� mg/I K - Potassium c.
mg/I
ug/I
-Specific Conductance uMhos Mg - Magnesium
mg/I-
ug/I
Total Ammonia(NH3 t NH 4) mg/l Mn - Manganese
mg/i Note:
TKN as N mg/I Na - Sodium
mg/I
Values should reflect total concentrations
CERTIFY THAT. THIS REPORT IS TRUE AND ACCURATE.
See back for instructions
Submit blue and green copies
,to address above.
SIGNATURE OF PERMITTEE COR..AUTHORIZED AGENT*) DATE...
GW -59 Revised 7/85
-

.... . .^'.'..--•.•F.`.�F.w...r- a---_
' - .. .. • dye ' .
....�,o-..,.v—.w•s _ _ '- _
'•
.. -
- -..• - .lc .T.1rvC.if:y
willow Environmental, Management Division
CO AQLIANCE MOWi7T'O Nf Oroundw" ater 'Section r10
R•E�'ORT �FOR,M
_ P O. Box 2768T
..,
R.:aleghN:.G. 276.11:
Facility Name' G!
n (91 73.3-.5..0 3
V/E; . d h i/�`K$
Cpunty, Q/y
Address, frh
W 66
Permit Numb-er: /t%
i9V
eZi ./ .riJ C ag3
Non -Discharge '
Well ,LocationLia_sC)cD
ill
NPDES '✓�
Well Identification Number
Well Depth`'TfSCJFt.
Water Use
Well DiameterQ 1 NChs
Sample. (Screened) Interval Ft. To - Ft..Injection
Well..w
Depth to Water Level %gr.%S ft..below measuring point. (before sampling)
Well. Construction
Measuring point is CA
feet above wand surface
Other
Ga"ons of, water pumped bailed before samp++ng
Field Analysis: p.H
Specific Conductance uMhos Temp:
o C odor A.p.pearance
Date Sample Collected
� �- i7"ggDate Lab Sample Anarlyzed :
/off - as - R.?
Laboratory Name
l
MCL 31011'3 Certification No.
COD
mg/I UO2 as N
mg/I Ni - Nicked
mg/(
Coliform. MF Fecal
/100ml NO 3, as N.
-mg/I Pb - •Leadrr,.g/1
Coliform: MFF Total -
/100ml Phosphorus: Total as P
mg/l Zn - Zinc
mg/I
Dissolved Solids: -Total
mg/.1 Al -Aluminum
mg/I Pesticides/Herbicides. (Specify Compounds)
PH (when ana yzed)
lc•� units Ba - Barium
mg/4
ug/I
TOC
G I mg/I Ca - Calcium
mg/I
ug/.I
Chloride
admium
mg/I Cd - Cadmium—
Arsenic.
Arsenic
mg/I Chromium: Total
mg/I Other (Specify).
ug/I
Grease and Oils
mg/I Cu - Copper
mg/I_zmfALM�
�L
Hardness: Total
mg/I Fe .- Iron
mg/I
ug/1
Phenol ...
rng/I Hg - Mercury
mg/I
ug/I
Sulfate
mg/I K -.Potassium
ug/I
Specific Conductance
WAhos Mg - Magnesium. _
mg/I
ug/l.
Total Ammonia(N.H t NH 4)
mg/I Mn - Manganese
mg;/I
N t:e:
TKN as N
rng/I Na. - Sodium %3
mg/I
Values should reflect total concentrations
CERTIFY THAT.THIS REPORT IS TRUE AND ACCURATE.
2,1 �9
* See back for instructions
**:Submit blue and green copies to address above.
SIGNATURE OF PERMITTEE (OR. AUTHORIZED AGENT*J DATE
GW -59 Revised 7/85

Env.i-ronme:htal:=A an gement Division
C© y ` , AMI kAON1�"O�G GroundvVatzeF"3ecti:op
,� /?
✓
.. f w
ilPfl�iT P.0. 13 2,7687
.FORMox
- R�alei9.hN C: 27611
. `..
. , ;
`91y9}733-5:0 3
Facf.l.ity: Name` r � of . �A1e,4"A#, . 'd !!�//e Jor
county` l etiJ
Address !',{�
Permit Number: >/ll
/1�'f�,ly of 0100.
Non Discharge
8
Well. Location ��o£S'� �. ..
NPD ES
Well Identticatlon,,Numer �D "',� . Well Depth:7.Ft.
Water lJse it./4
FFB�
WeIF D;iameterC %l --I Sample; (S"reened)`Interval Ft.-: To F.t..
Injection Wei 11
Depth -to Water Level ft .below measuring point .(before sampling.)
Well Construction
Measuring point i feet above ,land surface
Other`.
Gallons of water P. mped' bailed .before sampPing
Field Analysis pH' Spe'c`ific Conductance uMhos Temp.
o C.° Odor Appearance
. Oats .Sa.m.ple Collected ., --— Date Cab Sample Analyzed
: l�
1
Laboratory, dame - :Ctc�jQlrl �i �!o ! Certification No.
C4c� m !
COD. _ .mg/,a, NO.� as N
mg/l Ni - Nicke-I
rrrg/I
Coliform MF::.FeGal /100mI N0.3 as 1V ►
rng/l Pb -:Lead
mg/1
Calhiorrrr. MF :Total /100ml Rhosphorus: Total as:P '`
rng/I Zn° -Zine :
rri:g/1:
Dlgsolved 'Sol'ids: Total a mg/l. A;I - Aluminum -
rng11 Pesticides/Herbicides; ($pecify
Compounds)
pH (when. analyzed) % urifts Ba - Barium
mg/I
u A
TOC mg/I Ca -Calcium ..n
rng/I
ug/l.
Chloride mgI Cd - Cadmium:
mg/I
ugll
Arsenic mg./[ Chromi.um: total .
mg/I Other, (S,pecify):
ug/I
Grease and Oiis mgt Cu - Copper
rng/II ud/`tat'
�Z
' . Hardness: Total mg./l Fe - Iron
mg/I
ug/l
Phenol rng/I Hg -Mercury - -
_mgJl _
g/1
Sulfate 60�- m•g./L K -Potassium; ��
m g1l
ug/l
Specific Conductance uMhos Mg - .Magnesium
mg/I-
Total Amrnenia(NH3, t NH-4) mg/I. Mn - Manganese
mg/l ryote:.
TKN as N - m /i Na- Sodium
g
mg/I
Values should" reffe:ct total `conc.ehfratio.ns
1 CERTIFY THAT THIS REPORT IS TRUE AND ACCURATE,. ;
`•
* See back for instructions
Submit blue and green copies, to address above..
SIGNATURE OFPERMITTEE (O.R. AUTROR:IZ.ED ,AGENT*) DAT,E ., .
GW-59 Revised 7185

• ,.. � . �. � .. ,. �;y s � �..; � ,:,. : Eflv'i�r o n rn�qn�,al
:C = P4L1►CE 1T�OiG Gro claiva sir"Sect
ons`lon�
R�4RT FR^M� p O fox 2768r
,
W
T Raley N 7 611
l
eSlkwC.ouiaty�t .
i
Address:`
P:eranat Number
.Non Drtchar
WeJI Locetron LA ^�- �a
NPDES' X1'98
s
W11eil.rlderrtrficattorl,Nutrtber Well Depth ,' 3Ft
Wet. 'U.eA.1 {
.,.(]� "'.. .. "� : T • .:. ... . , • :. \{
Well D;,ame'tr Sarnpl�e {SGreened):IrltervalFt: To Ft.
i�lectlOn'Wefl
n •
_,.
D.e= th to Water Level.Cl. fj
p f1. bekow measurrrag p.oirtt.. (before sampling)
'weli..Coms�ruclion
MeastJring.poi,rt is a,:, feertMabove 'Iarrd s:urface: `
Other.:
•
Gallons of water pimped : bailed before samQ+Jn'g o�
Feld Analysi PH Specific; C'ondiactance uMhos .Temp.`
o C !Odor ,' Appeara.noe
Date Sample. Collee.ted t 1 1=gi Dae Lab Sample Analyzed 1
Lab.ora:tory Name a 3' Certification
No,
a
COD mg/I°' NO2 as N
mg/I Ni -Nickel
rng/I
Coliform MF'_FeGal: /fODma, NO 3. as N /�
` nig%I t Pb- - Lead;
C;al�forrn,. MF~.Total. ; !!fi0oml Phasph'orus: TWal:,as P
m.glb' Zn ,- Zinc.
r olved 5oa:'i.ds. Total'' .Sg A'I - Alumin.um.-
ss.-, mgZl
rxi` /l. PesticideslIerbi:cedes: (S ecif Corrrpound )-
9 P y
q
p'H,{when arra(.yze.d)' ° � units Ba Bara;um
.
TOC r m a-1eiu
g /l
mg/I ,
ug
Chlor%de Cd - Cadmium;
mg1;l
:ug/t
Arsenic. rng%'I Chtorhfum Total,
mglJ' Qth•er, (Specify,):.
�g/I
Grease: .and ,C)ils mg/I Cu Copper
Ia'U!X`J =�
,. .
Hardness: Total rng/I Fe - iron
9
Rhenol" mg/L Hg :Mercury ..
ug%I
Sulfate` mg,/1' K - .Potassium' 1.:;:
�,
r1►g/I
ug/I
Specifiic. C-onductance- uMhos Mg - Magn•es.ium
m:g/I
g./I
Total; Arrrrnona(NH3 t NH' 4) rng%I Mn -Manganese
Kng/I. Note,
TfCN .as N rrtg/T Na - Sodium�3
m /I:; >:
g
Values should fetlect<total corace� tratrons
CERTIfY THAT. THIS REPORT IS TRUE AND ACCURATE.'
wSee'backfior instructions,
**.Subrnit 'b,We-and green copies to address strove
SIGNATURE OF PERI\AITEE (q Fl AUTHOR�Z;ED AGENT) ` DATE
GWW-59 Revised . 7/$5 ;
" :.....
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1

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00MV.L ��ICE Ih�r11 ORM Gr`o.undrMc�ater acta.an`:
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R�ORT FO�RIwI.
R.aleigh;rN,G 11"
Facrlhty,,Name �� e li�Dllr O , . i i'„
Gpunty, c�3�4�&1 '
I
--r
Address.. R.7 / iC' [.�. �1 c�'d c:l`
Permit• Number: /1% L' 000357
A)'. oZ 3 C� �.
.Non -Discharge
:,
Well •Location .� i.t� e,E'_,F�=Cda: --- : -
NPDES
1N 01 Identrficatton Number ]a: 1) Well Depth ��� r� Ft.
Water'Use �
We -1 Diem'eter.. c 7/1�C t Sample; (Screened) Interval F$. To Ft.
Injection Wel'I
1989
Depth. to Water,L.evel 3',2. ft. below measuring point (fore sampling).
Well Cortstruction
Measuring poin# is fleet above and islrrfiace,
Other
V
Gallons of• water pumped` bailetl before sarnpl+ng-
Field Analysis: pH S -ed [0 Conductance: uMhos Temp.
C Odor Ap:pe
T
Date Sample .Cottec,ted /�- /7_Date Lab Sample. Analyzed
Laboratory Name' j� of Mi ia, aI&bAma '51al� Certification No'.
` 2
COD mg/I NO a�s 'N
mg/I' Ni - Nlo,ke I
: Coliform: Mf FeCa.l� - l.t00-ml N0 3 as N _ �e
mg/l, Pb -. Lead
urngA .
Colif�rrm: f�+Il= Tota /1OOrnl Phosphorus: Total'as P
rng/l: ,Zn.- Zinc
rng/l
Dissolved S0.w ds. Total' rngarh Al - Aluminum, _
rng/I Pesticides/Herbicides. (Specify
Cornpounds) .
pH.(rovhen analyzed) y� units Ba -Barium -
mg/I,
ug/I
TOC �%. mg/I Ca.- 0atcium
mg/I:
ug/I
Chloride ', 3. mg/1 Cd - Ca:dmiurrt
mg/I;
ug/l
Arsenic _ mg/I: Chromium: Total
mg/r Other. (Specify).:g/I_
. .
Oils mg/I Cu - Copper -
Grease`and O ..
1CfllD/'�
mg/I -
.�D
Hardness: Total mg/I`' Re - Iron
mg/11
ug/I
Phenol mg/( Hg -,Mercury
- ;
mg./I
Ug/I
Sulfate,.. mg/I I< - Potassium +-rrig/fi
og/I. ,
Specific Conductar ce uM'h.os : Mg - Magn.esium ,r .
mg/I .
ug/I
` 4) mg/1 Mn - Mangane a
Total, Ammonia (N H3 t NH
mg/I Note:
TKN as N mg/I Na - Sodium:
D rng/I
Values should reflect total con.cen#rations
CERTIFY: THAT. THIS REP0.RT IS TRUE AND ACCURATE.
# See -back for instructions
#•# Submit blue and 'green copies
to,address,a"bove.
SIGNATURE OF PERMITTEE (OR AUTHORIZED AGENT*:) DATE
-
GW -59 Reyllsed 7/85