HomeMy WebLinkAbout050028_ENFORCEMENT_20171231Sender: Please print you r name, address, `66d "ZP+4. ftWIS bokZ*�-.
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| Aquifer Protection Section
N.C. Dept. of Environment and Natural Resources
585 Waughtown Street
Winston-Salem,NC2?}07-224l
■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
Article Addressed to:
Mr. James Dennis Pennington
420 Walters Way
Crumpier, NC 28617
"1►
❑ Agent
D. Is delivery address different kiln item 17 ❑ Yes
If YES, enter delivery address below: ❑ No
3. Xice Type
H Certified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
_ --- --- - - -I
7008 1300 0001 1938 6830
PS Form 3811, August 2001 Domestic Return Receipt a 7 _ f 2ACPRI-03-P-4081
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Ashe County, North Carolina
34 Aerial Photography
Buildings
Flood Way
■ Flood zone
/V Parcels
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JEFFERSON/NEW RIVER FD
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Owner: PENNINGTON, JAMES DENNIS & DEBORAH N Address: 420 WALTERS WAY City:
CRUMPLER State: NC Zip: 28617 Parcel ID: 09298.154 Size: 31.805 acres Bid9 Value:
142200 Total Value: 468300 Deed Book: 411 Deed Page: 2261 Plat Book: <blank> Plat
Page: <blank> Gpin: 298889798556 Xfer Dane: 2010
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Datum: NAD27 Copyright (C) 2009 MyTopo
19
Sherri V Knight
Aquifer Protection Regional Supervisor
585 Waughtown Street
Winston-Salem, NC 27107
Dear Ms Knight:
RECEIVED
N.C. Dept. of ENR
NOV 0 9 2011
Winston-Salem
Regional Office
Please accept my apology for the problems caused due to my weaning yearling cattle
adjacent to a stream. Please know that this was done on a very limited basis (3-4 weeks
per year) and that it will not be done in the future. Also be aware that the cattle were
removed shortly after 1 became aware of the problem and grass has been sewn in the lot.
At the recommendation of Melissa Rosebrock I contacted Mr. David Tucker at the Soil
and Water Conservation Service in Jefferson. Mr. Tucker has been extremely helpful by
visiting the property and agreeing to develop a plan to meet all of the current standards of
your agency. I have visited the Jefferson Office and filed application to get assistance on
this project. Mr. Tucker is developing a plan and budget to get this started.
I do not know the length of time for all this to occur, but assume it will be 8 to 12
months. However long it takes the lot will not be used in its current configuration.
I am enclosing a photo of the grass coming up as well as a copy of the application I have
made to the USDA. I hope these steps when completed will resolve the situation and that
you or your staff will visit when all items have been completed.
Sincerely,
Dennis
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US DEPARTMENT OF AGRICULTURE NRCS-CPA-1200
NATURAL RESOURCES CONSERVATION SERVICE OMB 0578-0013 expiration 5/31/2012
CONSERVATION PROGRAM APPLICATION
Name:
Application Number:
Address:
Application Date: f1 �
County and State:
Telephone:
Watershed
Subaccount:
Location (Legal Description or Farm and T�rac mber):
r-N 05� � �q57 �r�clN16 /a74� 1s io as
(Please note that not all questions apply to all Programs)
1. This is an application to participate in the:
❑ Agricultural Management Assistance (AMA)
Environmental Quality Incentives Program (EQIP)
❑ Conservation Stewardship Program (CSP)
❑ Wildlife Habitat Incentives Program (WHIP)
❑ Agricultural Water Enhancement Program
(AWEP) .
❑ Chesapeake Bay Watershed Initiative (CBWI)
2. ICJ(Yes ❑ No Do you have farm records established with the appropriate USDA
Service Center Agency?
If no, you must, establish them with the appropriate USDA Service Center Agency prior to
submitting this application.
3. Are you applying to participate in, a conservation program as an (check one of the
following):
Individual
a) Please enter your legal name and tax identification number:
Name:
Tax Number:
❑ Entity (Corporation, Limited Partnership, Trust, Estate, etc.)
a) Please enter entity legal name and tax identification number:
Name: Tax Number:
b) ❑ Yes ❑ No Do you have appropriate documents including proof to sign for the
entity?
❑ Joint Operation (General Partnership, Joint Venture)
a) Please enter joint operation legal name and tax identification number:
Name: Tax Number:
b) ❑ Yes ❑ No Do you have appropriate documents including proof to sign for the joint
operation?
4. A Dun & Bradstreet Data Universal Numbering System (DUNS) number and current
registrations in the Central Contractor Registration (CCR) database are required for
receiving payment under an EIN. If you do not have a number, information is available at
hftp;//fed(iov.dnb.com/web.fQrm/displayHorePa e: o
DUNS Number: .
Page 1 of 3
US DEPARTMENT OF AGRICULTURE
NATURAL RESOURCES CONSERVATION SERVICE
N RCS-CPA-1200
OMB 0578-0013 expiration 5/31/2012
5. Is the land being offered for enrollment used for crop or livestock production?
❑ Crop Production '� Crop Type:
i (Livestock Production ✓ Livestock Type:
6. The land offered under this application is (check all that apply):
ePrivate Land
❑ Public Land (Federal, State, or Local Government)
❑ Tribal, Alloted, Ceded or Indian Land
7. Cf ification of control of the land offered under the application.
Li Deed or other evidence of land ownership
❑ Written lease agreement
Years of control are through
dOther agreement or legal conveyance (describe):
'Years of control are through
8. ❑ Yes d No Is the land offered under this application enrolled in any other
conservation program?
9. Are you applying for program benefits as one of the following participant types?
❑ Limited Resource Farmer or Rancher
❑ Beginning Farmer or Rancher
❑ Socially Disadvantaged Farmer or Rancher
If you wish to apply in any of these categories, you must meet the self certification requirements.
For more information please go to this website: htfpJ/www.lrftool.sc.egoy.usda., oc o
10. ❑ Yes O/No If applying for the EQIP and if the application includes irrigation
practices, has the land been irrigated at least 2 of the last 5 years?
11. 0 Yes Cl No If applying for the EQIP, are you engaged in livestock or agricultural
production, and have you produced at least $1000 of agricultural products in a year?
(Forest agricultural producers may select yes as they are exempt from the $1, 000 requirement)
On the farm(s) identified above, the Applicant agrees to participate in the identified program if the
offer is accepted by the NRCS. The undersigned person shall hereafter be referred to as the
"Participant." The participant understands that starting a practice prior to contract approval causes
the practice to be ineligible for program financial assistance. The participant will obtain the
landowner's signature on the contract or provide written authorization to install structural practices.
The Participant agrees not to start any financially assisted practice or activity or engage the
reimbursable services of a certified Technical Service Provider before a Contract is executed by
Commodity Credit Corporation (CCC). The Participant may request, in writing, a waiver of this
requirement for financially assisted practices by the NRCS State Conservationist.
All participants that certify eligibility as a Farmer or Rancher under the limited- Resource, Beginning,
or Socially Disadvantaged groups will provide all records necessary to justify their claim as requested
by a NRCS representative. It is the responsibility of the participant to provide accurate data to support
all items addressed in this application at the request of NRCS. False certifications are subject to
criminal and civil fraud statutes.
The Participant acknowledges that highly erodible land conservation/wetland conservation, adjusted
gross income certifications, and member information for entities and joint operations are on file with
the appropriate USDA Service Center Agency.
Page 2 of 3
US DEPARTMENT OF AGRICULTURE NRCS-CPA-1200
NATURAL RESOURCES CONSERVATION SERVICE OMB 0578-0013 expiration 5/31/2012
12. ❑ Yes 10/No I have received a copy of the program appendix where an appendix is
onniie-nh o
Applicant 5i ure Date
PUBLIC BURDEN STATEMENT
In accordance with the Privacy Act of 1974 (5 USC 552a) and the Paperwork Reduction Act of 1995, an agency may not
conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a valid OMB
control number. The valid OMB control number for this information collection is 0578-0013. The time required to complete
this information collection is estimated to average 45 minutes per response, including the time for reviewing instructions,
searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection
of information.
NONDISCRIMINATION STATEMENT
The U.S. Department of Agriculture (USDA) prohibits discrimination in all its program and activities on the basis of race,
color, national origin, age, disability, and where applicable, sex, marital status, familial status, parental status, religion,
sexual orientation, genetic information, political beliefs, reprisal, or because all or part of an individual's income is derived
from any public assistance program. (Not all prohibited bases apply to all programs.)Persons with disabilities who require
alternative means for communication of program information (Braille, large print, audiotape, etc.) should contact USDA's
TARGET Center at'(202) 720-2600 (voice and TDD). To file a complaint of Discrimination, write to USDA, Director, Office
of Civil Rights, 14001ndependence Avenue, SW., Washington, DC 20250-9410, or call (800) 795-3272 (voice) or (202)
720-6382 (TDD). USDA is an equal opportunity provider and employer.
PRIVACY ACT STATEMENT
The following statement is made in accordance with the Privacy Act of 1974 (5 USC 552a). This information is used to
track contract or agreement progress. The authority for requesting the following information is 7 CFR 630 (Long Term
Contracting); 7 CFR 1410 (CRP); 7 CFR 631 and 702 (IEQIP); 7 CFR 636 (WHIP); 7 CFR 622 (WPFPP); 7 CFR 1465
(AMA); 7 CFR 1469 (CSP); 7 CFR 625 (HFR); 7 CFR 1494 (FRPP); and 7 CFR 1467 (WRP). Furnishing information is
voluntary and will be confidential; however, it is necessary in order to receive assistance.
Page 3 of 3
0
0 Page 1 of 1
VNMOTEST
Laboratory Report
Lob Location'R' Lab Location'C' Lab Location'W'
NC/WW Cart.#: 067 NCIDW Cart,#: 37731 NCIWW Curt M 103 NCIDW Cart.#: 37733 NCNtW Cart.#: 075 NCIDW Cert.tt: 37721
6701 Conference Dr, Raleigh, NC 27607 6300 Ramada Dr, Suite C2, Clammons, NC 27012 6624 Gordon Rd, Unit G, Wilmington, NC 28411
Ph: (919) 834-4984 Fax: (919) 834-6497 Ph: (336) 766-7846 Fax: (336) 766-2514 Ph: (910) 763-9793 Fax: (910) 343-9668
Project No.:
Report Date:
10/24/2011
Project ID: DOG CREEK
Date Received:
10/5/2011
--- Prepared for ---
MELISSA ROSEBROCK
DWQ
Work Order #:
1110-00333
585 WAUGMTOWN ST.
Cust. Code:
800993
WINSTON-SALEM, NC 27107
Gust. P.O.#:
No. Sample ID
001 UPSTREAM 16
Date Sampled
10/6/2011
Time Sampled
10:00
Matrix
SW
Sample Type Condition
Grab 4 +/- 2 deg C
Test Performed
Method
Results
Leb Loc _Date ed Time Qualifier
Fecal ColiformslMF
SM 9222D
10 CFU1100mL
C 1015111 14:30
No. Sample ID
002 DOWNSTREAM 21
Date Sampled
10/5/2011
Time Sampled
11:26
Matrix
SW
Sample Type Condition
Grab 4 +1- 2 deg C
Test Performed
Method
Results
Lab Loc Dalzed Time Qualifier
Fecal Coliforms/MF
SM 9222D
>6000 CFU1100mL
C 1015/11 14:35
Reviewed by:
for Tritest, Inc.
TRITEST
(3 6701 Conference Drive, Raleigh, NC 27607
ph: (919) 834-4984, fax: (919) 834.6497
NCWW CerI#67, NCDW Cert#37731
❑ 6624 Gordon Road, Unit G, Wilmington, NC 28411
ph: (910) 783-9793, fax: (910) 343-9688
NCWW Cert#75, NCDW Cert#37721
❑ 6300 Ramada Dr.- Suite C2, Clemmons. NC 2701
Report Results To: , -
'Y`
Company: _.6 06N R
Address: "S� 6Ld%jtytA S c
w-N t '17107 .._
Attr1: tildtL
�7
Phone: L- 7Tf S1D 00
Fax:
Sampled by (signature):
2
0
Tritest W.O. # 33
Project Reference:. (V12e;,
Project Humber:
Purchase Order #:
❑ Standard Report Delivery
❑ Rush Report Delivery (wrsumharge)
"Rush projects are autyect to prior approvat by
Hie laboratory
Requested Due Dale:
Reg ished by (signature)
Received by (signature)•
Date
Time
Relinquished by (signature)
Received by (signatu )
Date
Time
Relinquished by (signature)
Received by (signature)
Date
Tima
Receipt Conditions (Lob Only)
❑ 4s2°C ❑ Temp: °C
Rea Chlo":
❑ Absent ❑ Present ❑ nfa
Acid preserv. Q?
❑Yes 0No ❑Na
Base preserv, >127
0 Yes 13 No 13 nla
INVOICE
Please remit payment to:
Tritest, Inc,
P.O. Box 33190
Raleigh, NC 27636
Attn: Accounts Receivable
NCDENR/DWQ
585 WAUGHTOWN STREET
WINSTON-SALEM, NC 27107
Attn: MELISSA ROSEBROCK
INVOICE NUMBER:
442309
INVOICE DATE:
1012512011
WORK ORDER # :
1110-00333
phone: (919)834-4984
fax:(919)834-6497
Client Number, 800993
o y Page 1 of 1
`7aDTET �.
Laboratory Report
Lab Location R' Lab Location 'C' Lab Location 'W'
NCMlW Cert.#: 067 NCIDW Cert.#: 37731 NCNVW Cert.#: 103 , NCIDW Cert.#: 37733 NCl4NVW Cert.#: 075 NC/DW Cert.#: 37721
6701 Conference Dr, Raleigh, NC 27607 6300 Ramada Dr, Suite C2, Clemmons, NC 27012 6624 Gordon Rd, Unit G, Wilmington, NC 28411
Ph: (919) 834-4984 Fax: (919) 834-6497 Ph: (336) 766-7846 Fax: (336) 766-2514 Ph: (910) 763-9793 Fax: (910) 343-9688
Project No.:
Project ID: DOG CREEK
--- Prepared for ---
MELISSA ROSEBROCK
DWQ
585 WAUGHTOWN ST.
WINSTON-SALEM, NC 27107
RECEIVED
N.C. Dept. of ENR
OCT 2 7 2011
Winston-Salem
Regional Office
Report Date: 10/24/2011
Date Received: 10/5/2011
Work Order* 1110-00333
Cust. Code: 800993
Cust. P.O.#:
No. Sample ID Date Sampled Time Sampled Matrix Sample Type Condition
001 UPSTREAM 16 10/5/2011 10:00 SW Grab 4 +1- 2 deg C
Test Performed Method Results Lab I_oc Da1ZedTime Qualifier
Fecal Coliforms/MF SM 9222D 10 CFU1100mL C 10/5/11 14:30
No. Sample ID Date Sampled Time Sampled Matrix Sample Type Condition
002 DOWNSTREAM 21 1015I2011 11:26 SW Grab 4 +1- 2 deg C
Test Performed Method Results L-ab Loc Da�ZedTtme Qualifier
Fecal Coliforms/MF SM 9222D >6000 CFU/100m1 C 1015111 14.35
Reviewed by:
r
for Tritest, Inc.
•
•
TRITEST
Chain of Custody
i
0 6701 Conference Drive, Raleigh, NC 27607
ph: (919) 834-4984, fax: (919) 834.6497
NCWW Cert#67, NCDW Cert#37731
❑ 6624 Gordon Road, Unit G. Wilmington, NC 28411
PC (910) 783 9793, lax: (9t0) 348.9688 I
NCWW Certw75, NCDW Cert#37721
6300 Ramada Dr., Suite C2, Clemmons, NC 27012
ph: (336) 766.7848, fax: (336) 766-2514
NCWW Cert#103, NCDW Cert#37733
Report Results To:.
Address: SM a. titiA a*
w-5,�t_C a"7r�
Attn: I'r�{.� i"3t �}
,.,. vic tde-(-
Phone: 334- -771- ID 00
Fax:
Sampled by (signature):
i
Bill To: I
Tritest W.O. # I I Ib =JQI9 33
Project Reference: � � c w e ;tic,
Project Number:
Purchase Order#:
❑ Standard Report Delivery
* Rush Report Delivery Iw►surcnarge)
"Rush proiects are subject to prior approval by
the laboratory
Requested Due Date:
Relin unshed by (signature)
<<VIAL
Received by (signature).
LTD
Date
b S11
Time
0
Relinquished by (signature)
Received by (signature)
Date
Time
Relinquished by (signature)
Received by (signature)
Date
Time
Receipt Conditions (Lob Yw Only)
4±2°C ❑ Temp °C
Res Chlorine:
❑ Absent 0 Present 0 Na
Acid preserv. <2?
❑ Yes 13 No C3 Na
Base preserv. :,12?
❑Yes 0No 13Na
INVOICE
INVOICE NUMB : 442309
INVOICE DAT 10/25/2011
WORK ORDER . 1110-00333
Please remit payment to:
Tritest, Inc.
P.O. Box 33190
Raleigh, NC 27636
Attn: Accounts Receivable
NCDENRIDWQ
585 WAUGHTOWN STREET
WINSTON-SALEM, INC 27107
Attn: MELISSA ROSEBROCK
RECEIVED ENR
N.C. Dept.
OCT 2 T 2011
Winston-Salem
Reg}onsl Office
phone: (919)8344984
fax:(919)834-6497
Client Number: 800993
PROJECT INFO: DOG CREEK
YOUR ORDER DATE:: 10/5/2011 INVOICE TERMS: NET 30 DAYS
PURCHASE ORDER REF:
Quantity
Done
2 MI-COLIF
Procedure Performed
Fecal Coliforms/MF
Unit
Price
Im
Extended
Price
40.00
A FINANCE CHARGE of 1.5% (18% annually) will be assessed to invoices over 30 days. Total $40.00Paid 0.00 .
Balance 40.00
County:
Asha
ample iD:
AB77096
River Basin
WArq
OT-
PO Number #
11WB320
Report To
WSROSP
�Oa
Date Received:
10/06/2011
�_
Time Received:
08:00
Collector:
G SMITH
-1
Labworks LoginlD
HMORGAN
Region:
WSRO
Report Generated:
10/17/ 1
Sample Matrix:
SURFACEWATER
Date Reported:
10/17/2011
Loc. Type:
RIVER/STREAM
Emergency Yes/No
VisitlD
COC Yes/No
Yes
71 t� J 1
1C / 1 i
Loc. Descr.: UPSTREAM P
l
Location ID:
WSROSPNLC
Collect Date: 1010512011
Collect Time: 10:56
Sample Depth
CAS # Analyte Name p-Q—L
Result/
Units Method
Anal
Validated
ualifier
Reference
Date
LAB
Sample temperature at receipt by lab
1.6
°C
10/6111
DLEAVITT
MIC
BOO, 5-Day in liquid 2
2 U
mg/L APHA5210B
10/6111
MOVERMAN
Turbidity 1
3.3
NTU APHA213413-20th
1016111
MOVERMAN
NUT
NH3 as N in liquid
0.02
0.02 U
mg/L as N
Lac10-107-06-1-J
1016111
CGREEN
Total Kjeldahl N as N in liquid
0.2
0.20
mg/L as N
Lachat107-06-2-H
10/11/1,
CGREEN
NO2+NO3 as N in liquid
0.02
0.60
mg1L as N
LaclO-107-04-1-c
1016111
CGREEN
Phosphorus_total as P in liquid
0.02
0.02 U
mg/Las P
Lac10-115-01-lEF
10/6111
CGREEN
Laboratory Section» 1623 Mail Service Center, Raleigh, NC 27699-1623 (919) 733-3908
For a detailed description of the qualifier codes refer to I n en or llabl le infWtachassis[ODeta Qualifier Codes �htlp:ftcr
Ial.nrdenr.g[gLlgbtstaffirfallechassisb
Page 1 of 1
14
COUNTY ?� 5
RIVER BASIN.
REPORT TO : L&-.) S RegiuoalOffica
Other :
COLLECTOR(S) : ms
Estimated BOD Rangy
• Seed: Chlorinated:
Station 0n acation Code Date Begin (I
JA
BOD 310 MWL
COD High 140 mwL
COD Law 335 m9/1-
Colifmm: MF Fecal 31616 /tooml
Coliform: MF Total 31504 1100ml
Coliform: tube Feral 31615 /IODm1
Coliform: Feral Strep 31673 11001111
Residue: Total 500 mg/L
Volatile 505 m
Fixed 510 mwL
Residue: Suspended 530 m
Volatile 535 mg(L
Fixed $40 fnfvL
H403 units
Acidi to 2114.5 436 m
Acidity to pH 83 435 MFVL
Alkalinity to pH 8.3 415 TJLL
Alkalinity to pH 4.5 410
OC 680 m
Turbidity 76 NTU
Coliform Total Tube 1100 nil
COMMENTS,
OF
! ��
DiVISCON
WATER QU TY
1 V
Cbemistry Laboratory Report I Water Quality
.
SAW LE TYPE
PRIORITY
AMBIENT
QQA
,�, I
-X STRFAM
EFFLUENT
COMPLIANCE
��(
I �(1 CHAIN OF CUSTODY
���
[:] LAKE
INFLUENT
EMERGENCY
El ESTUARY
Station Location: l y r 0-0-PA
l�
Remarks-
Date End (yylmmldd)
Time Begin Time End
Depth - DM, Do, DBM
Value - A, H, L
Chloride 940 mg/L
ChlorophZll a EPA 445.0 modified option vWL
Color: True So c.u.
Color..(H) 83 H-
-cu.
Color: pH 7,6 82 C.U.
C ide 720 mg/L
Fluoride 951
Formaldehyde 71980 mglL
Grease and Oils 556 mg/L
Hardness Total900 mgfL
Specific Cond. 95 umhaslcrn
MBAS38260 - m
Phenals32730 u
Sulfate 945 m
Sulfide 745 m
Baron
Tannin a Le in ua/l-
Hmsa alert Chromium a
Bicarbonate mg/i-
Carbonate m
Total Dissolved Solids MWL
NH3as N610 mgfL
an N 625
02 plus NO3 as N 630 mg/L
Total n P 665 mglL
PO4 as P 70507 mwL
P: Dissolved as P 666 mg/L
K-Patassium mg/L
Cd- Cadmium 1027 USIL
Cr-Chromium?otal 1034 u
Cu-Copper_ 1042 u
Ni-Nickei 1067 ug/L
Pb- Lead 1051 UrJL
Zn- Zinc 1092 ug/L
IV -Vanadium urt
Silver1077 ug/L
Al -Aluminum 1103 uglL
Be -Beryllium 1012 u
Ca- Calcium 916 mg/L
Co- Cobalt 103T ugfL
Fe -Iran I045 u
Mo-Ma bdenum ug/L
Sb-Antimonyuwl
Sn-Tin us/L
TI-Thallium ug/L
Ti-Titanium uWL
It-] 631 n
73�ogb
Lab Number
Date Received :p .
Time Received ;
Received By
Dwa Released :
Date Reported:
Composlte-T, S, B
Li -Lithium 1132 uglL
Mg- Magnesium 927 mg/L
Mn-Manganese 1055 ug/L
No- Sodium 929 MWL
Arsenic:Tatal1002 uglL
Se -Selenium 1147 ug/L
!!a -Mere 71900 u
Ba-Barium ug/L
2rjmochlcfine Pesticides
2qEophaspboms Pesticides
OrgananitroVn Pesticides
Acid Herbicides
Base/NeutralaAcid Extractable Qrjuics
TPH Diesel Range
Purgeable Orgamics (VOA battle req'd)
TPH Gasoline Range
TPWBTEX Gasoline Range
Phyloplanklon
Temperature on arrival (aC): 0 _j
County:
Ashe
mple ID:
AB77097
River Basin
OF VJArFiQ
PO Number#
11W8321
Report To
WSROSP
„0 QG9
Date Received:
1010612011
� r~
>
Time Received:
08:00
Collector.
G SMITH
Labworks LoginlD
HMORGAN
Region:
WSRO
Sample Matrix:
SURFACEWATER
Report Generated:
10117/11
Date Reported:
10117l2011
Loc. Type:
RIVER/STREAM
Emergency Yes/No
VisitlD
COC Yes/No
Yes
Loc. Descr.: DOWNSTREAM PENNINGTON BEEF CATTLE
p f011 �+
fffSample
Location ID:
WSROSPNLC
Collect Date: 1010512011
1 Collect Time: 11:26
Depth
Result/ Method Analysis Validated bar
CAS # Analyte Name PQL Qualifier Units Reference Date
LAB
Sample temperature at receipt by lab 1,6 °C 10/6/11 DLEAV17T
MIC
BOD, 5-Day in liquid
2
2.5
mg/L
APHA5210B
10/6/11
MOVERMAN
Turbidity
1
35
NTU
APHA2130B-20th
10/6/11
MOVERMAN
NUT
NH3 as N in liquid
0.02
0.07
mg/L as N
Lac10-107-06-1-J
10/6/11
CGREEN
Total Kjeldahl N as N In liquid
0.2
1.4
mg/L as N
Lachat107-06-2-H
10/11/1,
CGREEN
NO2+NO3 as N in liquid
0.02
0.96
mg/L as N
LaC10-107-D4-1-c
10/6111
CGREEN
Phosphorus —total as P in liquid
0.02
0.28
mg/L as P
LaC10-115-01-1EF
10/6111
CGREEN
Laboratory Section>> 1623 Mail Service Center, Raleigh, NC 27699-1623 (919)733-3908
For a detailed description of the qualifier codes refer to hltp'Q2rtal,rtcdenr,orgUebWaW[aKnfo/techassist#Data Qualifier Codes <htln lla9 al.ttcd nr,o hvebbaab/staffinfoflechassiaty
Page 1 of 1
1
0
•
COUNTY
Y L L
RIVER BASIN
REPORT TO
,.3 Or— u Ret,onel Office
Other :
COLLECTORS)
(fn I 1
Estimated ROD Ranee:
Seed:
Chlorinated:—
NlLocation Cade
BOD 310 -WfL
COD High 340 M L
COD Low 335 M91L
Coliform: MF Fetal 31616 1100all
Coliform: MY Total 31504 /loom!
Coliform: tube Fecal 31615 1I00m1
Coliform: Fecal Seep 31673 /loon,]
Residue: Total 500 FTWIL
Volatile 505 mg/L
fixed 510 mgfL
Residue: Suspended 530 -47-
Volatile 535 M91L
Piked 540 -FIL.
pH 403 units
Acidity to pH 4.5 436 rnyl-
Acidity to pH 9.3 435 mg/L
Alkalinity to pH 8.3 415 m8'L
Alkalinity to pH 4.5 410 mgjl.
TW 680 mg1L
Turbidity 76 NTU
Coliform Total Tube A oo utl
COMMENTS:
b C)
DIVISION OF WATER QUALITY
Chemistry Laboratory Report! Water Quality
❑ SAMPLE TYPE
PRI
AMBIENT ,1 QAREAM EFFLUENT
COMPLIANCE ,l)C I CHAIN OF CUSIUDY ❑"\LAKE INFLUENT
EMERGENCY VISIT
T ESTUARY
Station Location: p S ea, n NA � 1 Pq I �-Q t,
Remarks- �1�lv c����1 1
Date End (yylmmldd) I Time Begin Time Ead I Depth - DM, DB, DBM I Value Type- A, H, L
Chloride 94o mwL
Chlorophyll a EPA 445.0 modified option ug/L
Color: True 80 c.u-
Ca10r: (pH) 83 pH- C.U.
Color: pH7.6 82 C.U.
Cyanide 720 nilL
Fluoride 951 M91L.
Formaldehyde 71980 mg1L
Grcase and Oils 556 m9fl.
Hardness Total 900 mg/L
Specific Cond. 95 umhos/cm
MBAS 38260 mFJL
Phenals 32730 ulVL
Sulfate 945 tngrL
Sulfide 745 mg/L
Baran
Tannin & Lafin Hi
Hexavaleni Chromium uWL
Bicarbonate mg(L
Carbonate mWL.
Total Dissolved Solids nWL,
*13 as N 6 t0 MdL.
T1UV an N 625 mdL
plus NO3 as N 630 MWL
rots] as P 665 mg1L
PO4 as P 70507 mgrL
P: Dism]ved as P 666 mg1L
K-Potassium mg1L
Cd- Cadmium 1027 uVIL
Cr-Chromium:Total 1034 ug1L
Cu- Copper 1047. ug/L
Ni-Nickel 1067 uel,
Pb- Lead 1051 ug�L
Zn-Zinc 1092 ug'L
V-Vanadium uWL.
Ag-Silver 1077 uWL
Al. Aluminum 1105 uSIL
Be- Beryllium 1012 u?)L
Ca- Calcium 916 DOWL.
Co- Cobalt 1037 uTJL.
Fe- Iron 1045 uEVL
Mo-Molybdenutn ug/L
Sb-Antimony ugrL
Is.
-Tin ugji.
TI-Thallium ugrL
Ti-Titanium ug/L
Hg-1631 ng/L
Lab Number +T-09
Date Received-4'�' l
Time Received:
Received By
Data Released
Date Reported
Composile-T, 5, B i Sample
U-Lithium 1132 ug?L
Mg- Magltesium 927 meL
Mn-Mangmese 1055 ug/L
No- Sodium 929 mWL
Arsenic1ot211002 uyJL
Se -Selenium 1147 ug/L
Hg- Mercury 71900 ug/l.
Ba-Barium uSIL
Organochlortne Pesticides
Organophosphoma Pesticides
Organonitrogen Pesticides
Acid Herbicides
BasdNeutral&Acid Extractable Organics
TPH Diesel Range
Purgeable Organics (VOA bottle req'd)
TPH Gasoline Range
TPHIBTEX Gasoline Range
Phyt op lankton
Tamperature on arrival (°C):
•
NCURik
North Carolina Department of Environment and
Division of Water Quality
Beverly Eaves Perdue Coleen H, Sullins
Governor Director
October 21, 2011
CERTIFIED MAIL 7008 1300 0001 1938 6830
RETURN RECEIPT REQUESTED
Mr. James Dennis Pennington
420 Walters Way
Crumpler, NC 28617
Subject: NOTICE OF VIOLATION
Stream Standard Violations: NOV-2011-SS-0038
Parcel ID #09298-154
Facility No. 05-28, Permit No. AWD050028
Ashe County
Dear Mr. Pennington:
Natural Resources
Dee Freeman
Secretary
As you are aware, staff from the State's Division of Water Quality (Division) Winston-Salem
Regional Office conducted a complaint investigation at the above referenced property on Shatley
Road on October 5, 201.1. This investigation was the result of a complaint received by our office
alleging that cattle activity in and around the stream flowing through the above parcel was
causing a water quality problem.
At the time of our investigation, there were reportedly 40 beef cattle that had access to an
unnamed tributary (UT) to Dog Creek. This particular section of surface water is a Class C-trout
stream located within the New River Basin. Class C-trout waters are protected for uses such as
secondary recreation, fishing, wildlife, fish consumption, aquatic life including propagation,
survival and maintenance of biological integrity, and agriculture. The supplemental classification
is intended to protect freshwaters which have conditions which are to sustain and allow for trout
propagation and survival of stocked trout on a year-round basis. Supplemental classifications are
sometimes added by DWQ to the primary classifications to provide additional protection to
waters with special uses or values.
The pasture surrounding the paddock/holding pen is well vegetated. However, excessive cattle
activity in the paddock through which the tributary flows has resulted in surface water impacts
due to erosion and the accumulation of sediment and animal waste. Photographs and surface
water samples were obtained, the results of which are attached for your review.
North Carolina Division of Water Quality, Winston-Salem Regional Office
Location: 585 Waughtown St. Winston-Salem, North Carolina 27107
Phone: 336-771-50001 FAX•, 336-771 A6301 Customer Service:1-877.623-6748
Internet: www,ncwaterquality.org
An Equal Opportunity 4 Affirmative Action Employer
One
NCarolina
�1 �atura!!u
Pennington .
October 21, 2011
Page 2 of 3
As a result of the complaint investigation the following stream standard violations are
documented:
Item I. Turbidity Stream Standard Violation
The attached laboratory results document a violation of the State's water quality standard for
turbidity. Specifically, the upstream turbidity was 3 �3 NTU while the downstream turbidity was
35 NTU. NC water quality standards specify that the turbidity in this stream be Ino greater
than 10 NTU.
Turbidity is a measure of water clarity and how much the material suspended in water decreases
the passage of light through the water. Suspended materials include soil particles (clay, silt, and
sand), algae, plankton, microbes, and other substances. Turbidity can affect the color of the
water.
Higher turbidity increases water temperatures because suspended particles absorb more heat.
This, in turn, reduces the concentration of dissolved oxygen (DO) because warm water holds less
DO than cold. Higher turbidity also reduces the amount of light penetrating the water, which
reduces photosynthesis and the production of DO. Suspended materials can clog fish gills,
reducing resistance to disease in fish, lowering growth rates, and affecting egg and larval
development. As the particles settle, they can blanket the stream bottom, especially in slower
waters, and smother fish eggs and benthic macroinvertebrates. Sources of turbidity can include:
soil erosion; waste discharges; eroding stream banks; and excessive algal growth.
Item II. Potential Fecal Coliform Violations
The upstream fecal coliform result of 10 colonies/100 mL and a downstream finding of >6,000
colonies1100 mL clearly indicates that excessive cattle activity in and around the stream is
impacting surface water. The State's water quality standard for fecal coliform is only 200
colonies1100 mL (maximum). There is the probability for future civil penalty assessment should
the Division obtain a total of five samples within 30 days (required for enforcement) that result
in a geometric mean greater than 200 colonies/100 mL.
Stream samples were also obtained and analyzed for DO, pH, specific conductance, nutrient
levels, and biochemical oxygen demand (BOD). There is currently no State water quality
standard for specific conductance, nutrients, or BOD. As the attached results indicate, there were
no violations of the State's water quality standard for DO or pH on the date of our initial
investigation. There is the possibility for future violations of the DO standard if current
conditions are allowed to deteriorate.
Requested Response
Our office requests that you respond in writing within thirty (30) days of receipt of this Notice.
Your response should detail a timeframe, plan, and specific descriptions for addressing the water
quality concerns described in items 1 and 11. At minimum, adequate vegetation should be
established in the buffer area along the stream to prevent further run-off of sediment and animal
waste. We also recommend that the cattle be relocated or excluded from the tributary until an
alternate drinking water source can be installed.
Pennington .
October 21, 2011
Page 3 of 3
•
Please direct your correspondence to my attention at the address contained in this letterhead.
Additionally, we strongly urge your continued cooperation with the Ashe County SWCD/NRCS
office regarding any technical and/or financial assistance you may need.
Thank you for your prompt attention to these matters. The Division requires that the violation
and concerns, as described above, be abated immediately. Be reminded that this and any future
violations are subject to a civil penalty assessment of up to $25,000 per day for each violation.
Should you have questions regarding this Notice, you may contact Melissa Rosebrock or me at
(336) 771-5000. ,
Sincerely,.
Sherri V. Knight
Aquifer Protection Regional Supervisor
Winston Salem Regional Office
Attachment
cc: DWQ-APS-Confined Animal Feeding Operations Unit
Ashe County SWCD/NRCS
NWSRO`APS:Files0
Laboratory and Field Sample Results Summary
Dennis Pennington Farm
October 5, 2011
Upstream of Cattle
IFecal coliform = 10 c01/100 mL
2DO = 9.19 mg/L
3pH = 6.43
NH3 = .02 mg/L
TKN = 0.20 mg/L
NO2+NO3= 0.60 mg/L
Total P = 0.02 mg/L
Specific conductance = 80 Ns/cm
BOO = 2 mg/L
4Turbidity = 3.3 NTU
Downstream of Cattle
Fecal coliform = >6,000 c011100 mL
DO = 8.56 mg/L
pH = 6.49
NH3 = 0.07 mg/L
TKN = 1.4 mg/L
NO2+NO3 = 0.96 mg/L
Total P = 0.28 mg/L
Specific conductance = 85.7 pskm
BOO = 2.5 mg/L
Turbidity = 35 NTU
1 The NC water quality standard for fecal coliform is 200 colonies 1100 mL (maximum, geometric mean of five
consecutive samples within 30 days). }
2 The NC water quality standard for dissolved oxygen in this stream is not to be less than a daily average of 5.0
mg/L or an instantaneous measurement of 4.0 mg/L.
3 The NC water quality standard for pH is 6.0 - 9.0 units.
4 The NC water quality standard for this stream is 10 NTU (maximum).
} �.pl1'55�60h
Rosebrock, Melissa
From:
Rosebrock, Melissa
Sent:
Wednesday, October 12, 2011 12:22 PM
To:
'Tucker, David - NRCS, Jefferson, NC'
Cc:
Mitchell, Patrick
Subject:
RE: Pennington Fecal Coliform Results
That works for me. If the feeders have been moved and cattle sold or moved that will suffice for now. If you
think about it, just send me a copy of the contract once it's signed. I'd rather Mr. Pennington spend his time
and money on a permanent solution. Please keep me updated.
I'm copying Patrick so he will know how we/I handle various situations. Patrick joined the staff over a year ago
and works with animal waste and sludge/residuals.
As always, thanks for working with us.
Melissa
Melissa Rosebrock
E-mail Address: melissa.rosebrock@ncdenr.eov
NCDENR Division of Water Quality
Winston-Salem Regional Office
585 Waughtown Street, Winston-Salem, NC 27107
(336) 771-5289; fax (336) 771-4630
www. ncwaterquality.or
E-mail correspondence to and from this address may be subject to the
North Carolina Public Records Law and may be disclosed to third parties.
From: Tucker, David - NRCS, Jefferson, NC mailto:David.Tucker nc.usda. ov
Sent: Wednesday, October 12, 2011 11:31 AM
To: Rosebrock, Melissa
Subject: RE: Pennington Fecal Coliform Results
There is no special money. We will probably have a contract in a couple months. I told him to move the feeders away
from the stream. The cows are probably gone at this time. He was going to sell them. I will talk to him some more and
see if they are gone.
David
From: Rosebrock, MelissaI'm aiIto.,melissa.rosebrock ncdenr. ov
Sent: Wednesday, October 12, 2011 11:15 AM
To: Tucker, David - NRCS, Jefferson, NC
Subject: RE: Pennington Fecal Coliform Results
Thanks David. We have not yet sent the NOV letter (I'm way behind on paperwork) but we will ask him to
start mitigating his problem now.
I've/George had two follow-up calls from the complainant already so we will not be able to afford Mr.
Pennington 6 months of non-compliance before he does anything. I need him to show some kind of progress.
Could he move cattle, sell or reduce numbers, or temporarily put up an inexpensive single strand of hot wire?
I don't want him to spend a lot ofmoney since it sounds as if he will be speOng some in the Spring to do a
first-rate exclusion. 1 just need him to show some progress. Could he sign a contract now? (I'm guessing no,
however).
Since the fecal coliform results are so high (standard is only 250) 1 can give him a couple moths, but after that I
need to see something ---anything. If the fecal numbers weren't so high I could hold off for the six months.
Any other funds available now? I know that Surry Co. got some special money to address a situation 1-2 years
ago. Greg Goins might remember? I'm open to suggestions and discussing. Please feel free to call or discuss.
Thanks for your assistance.
Melissa
Melissa Rosebrock
E-mail Address: melissa.rosebrock ncdenr. ov
NCDENR Division of Water Quality
Winston-Salem Regional Office
585 Waughtown Street, Winston-Salem, NC 27107
(336) 771-5289; fax (336) 771-4630
www.ncwatercivality.org
E-mail correspondence to and from this address may be subject to the
North Carolina Public Records Law and may be disclosed to third parties.
From: Tucker, David - NRCS, Jefferson, NC rmailto:David -Tucker&nc.usda.aovl
Sent: Wednesday, October 12, 2011 10:57 AM
To: Rosebrock, Melissa; Smith, George
Cc: Brenda Garland; Cox, Andrew - NRCS-CD, Jefferson, NC
Subject: RE: Pennington Fecal Coliform Results
Mr Pennington called us and we met with him last week. He has signed up for assistance and is willing to fence his
creeks out and put water tanks in to address his problems. We are developing the plan at this time. Our funding should
come in sometime in November and we expect this project to start in the Spring of 2012 to fix the problem that Mr
Pennington showed us.
Any questions let me know.
Thanks David Tucker
From: Rosebrock, Melissa [ma iIto: meIissa.rose brock@ncdenr.navl
Sent: Wednesday, October 12, 2011 10:26 AM
To: Smith, George
Cc: Brenda Garland; Tucker, David - NRCS, Jefferson, NC
Subject: Pennington Fecal Coliform Results
George,
Just got the results from the Oct. 5th sample you pulled. Still awaiting other results. I don't have David Clay's
email, could you forward? He's in Ashe, correct? Thanks.
Upstream=10
Downstream=>6,000
Melissa Rosebrock
E-mail Address: meiissa.rosebrock@ncdenr.eov
NCDENR Division of Water Quality
Winston-Salem Regional Office
585 Waughtown Street, Winston-Salem,.NC 27107
(336) 771-5289; fax (336) 771-4630
www.ncwatercivality..org
E-mail correspondence to and from this address may be subject to the
North Carolina Public Records Law and may be disclosed to third parties.
Report to: WATER QUALITY SECTION RECEIVED 0 N,C.0ePt,01ENRPage of
CHAIN OF CUSTODY (COC) RECORD OCT 10 2611
NC DENRfDWQ LABORATORY (check one): XCENTRAL ARO I I WaRO' V41noton-5alem
0-1-1 emm—
For Investigation of;
Sample collector (print name)
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and DMA forms completed by: _&_,-0rj4
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Field storage conditions and location (when applicable):
w,th Ice I'M 1044� V4h1c1---
Gaolef
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NUMBER
DATE
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LAB NO
STATION NO.
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SAMPLED
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Date
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Rcc&V'C'd by (signature .'
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Method of Shipment (circle one).
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cur yUd Condit ions:
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INTRALABORATORY CHAIN OF CUSTODY - Lab Use Only
-LAB-NUMBERS.4:'-.'�
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•
Chain of Custod?TRITESTTritest W.O. #
❑ 6701 Conference Drive, Raleigh, NC 27667
ph: (919) 834-4984, fax: (919) 834-6497
NCWW Cert#67, NCDW Cert#37731
❑ 6624 Gordon Road, Unit G, Wilmington, NC 28411
ph: (910) 763.9793, fax: (910) 343-9688
NCWW Cert#75, !NCDW Cert#37721
❑ 6300 Ramada Dr., Suite C2, Clemmons, NC 27012
ph: (336) 766-7846, tax: (336) 766-2514
NCWW Cert#103, NCDW Cert#37733
Report Results To:
Company:
Address: S JVA U41t St
w,s N c a-�ro-7
Attn: O'cl I('sA k0e
Phone: 336— —771- So 00
Fax:
Sampled by (signature):
Bill To:
Project Reference: oL)t j C w e k'
Project Number:
Purchase Order #:
❑ Standard Report Delivery
❑ Rush Report Delivery (W/surcharge)
"Rush projects are subject to prior approval by
the laboratory
Requested Due Date:
Sarttple Description,
-
_Q=p ,
Start Date �_�
End Date
jT
wM isw
cw, say, am
Analyses Requested ,. �_
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Start Time
End Time
ID_��
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Relinquished by (signature)
Received by (signature)
Date
Time
Relinquished by (signature)
Received by (signature)
Date
Time
Relinquished by (signature)
Received by (signature)
Date
JTime
Receipt Conditions (Lab Wse Only)
❑ 4t2°C ❑ Temp: °C
Res. Chlorine:
❑ Absent ❑ Present ❑ n/a
Acid preserv. <2?
❑ Yes ❑ No ❑ n/a
Base preserv. >12?
❑ Yes 11 No ❑ n/a
DIVISION OF WATER QUALITY
Chemistry Laboratory Report I Water Quality
Lab Number
p
COUNTY GZ
❑ SAMYLE TYPE
Date Received
`
RIVER BASIN :
PRIORTCY
AMBIENT
[71QA
iREAM
bk
0 EFFLUENT
Tints Received:
Received By
REPORT TO lil_J PC— V
Regional Office
❑ COMPLiANCE
o CHAIN OFCUSFODY
LAKE
INFI.UENr
Other :
EMERGENCY
YISCI'ID
ESTUARY
Data Released '
COLLECTOR(S) {� �
1
T
� �
❑
Date Reported
Estimated ROD Range:
Station Location. 5 ,5e{} Yt,.A
to V , n ce —t-d
�` \ Vl �i
Seed: I
I
Chlorinated:
Remarlu:
Station N/Lacxtion Code -
to a u lmmrdd)
Date End (yylmmldd)
TiBegin T e Ead
Depth - DM, DB, DBM
V.I.. Type - A, 3T, L
CompmitkT, S, B
Sample Type
BOD 310 mg/L
COD High 340 mgiL
COD Low 335 mg/L
Coliform: MF Fecal 31616 /1 DDrrI
Colifoan MF Total 31504 11 DOrd
Coliform tube Fecal 31615 /1000d
Coliform: Fecal 51rep 3) 673 !I D0mI
Residue: Total 50D 6 rwiL
Volatile 505 mrjL
Fixed 510 mo-/L.
Residue: Suspended 530 mr/L
Volatile 535 rng/L
Fitted 540 111&
pH 403 units
Acidity to pH 4.5 436. mg/L
Acidity to pH 8 3 435mz(L
Alkalinity to pH E.3 415 mg'L
Alkalinity to pH4.5 410 rr4jL
680 mg/L
Turbidity 76 N U
Colifomt Total Tube 1100 m].
i
COMMENTS:
Chloride 940 m9fL
Chlorophyll a EPA 445.0 modified option ug/L
Color: True 80 c-u.
Color: (pH) 83 PH- cu.
Color: pH 7.6 82 c.u.
Cyanide 720 mg(L
Fluoride 951 mp/L
Formaldehyde71880 _9fL
Grease and Oils 556 mE/L
Hardness Total 900 mprL
Specific Cond. 95 umhosrcm
MBAS 39260 nwL
Phenols 32730 uWL
Sulfate 945 m@rL
Sulfide 745 TAWL
Baraa
Tannin & Lignsn up/L.
Hexavalent Chromium ugiL.
Bicarbonate m8'L
Carbonate mP/L
Total Dissolved Solids mg(L
NH3 as N 610 rwL
TKN an N 625 M91L
iqM plus NO3 as N 630 mg/L
oral as P 665 M91L
PO4 as P 70507 m@'L
P: Dissolved as P 666 m8/L
K-Potassium mg/L
Cd- Cadrrtium 1027 uDfL
Cr-Chrornium.Tolal 1034 ug9.
Cu- Copper 1042 ug/L
Ni-Nickcl 1067 u8'L
Plc Lead 1051 ustL
Zn- Zinc ) 092 ug L
V-Vanadium uglL
A8-Silver 1077 ug(L
Al- Aluminum 1105 ug7.
Be- Beryllium 1012 ug(L
Ca- Calcium 916 rng(L
Co- Cobalt 1037 UwL
Fe- Iron 1045 ugrL '
Ma -Molybdenum u8(1.-
Sb-Antimony ur)L
SA -Tin ug<L
TI-Thallium ur/L
Ti-Vtanium ug(L
14E-1631 nglL
Li -Lithium 1132 ug/L,
Mg- Magnesium 977
Ara-Mangimtae 1055 upfL
Na- Sodium 929 RwL
Arsenk Total 1002 UVIL
Sa Selenium 1147 uDrL
Hg- Mercury 71900 ug(L.
Ba-Borium u
Orpnochlorine Pesticides
Organophosphorus Pesticides
Orgartanitrolan Pesticides
Arid Herbicides
BaselNeutnd&Acid Extractable Organics
TPH Diesel Range
Purseable Organics (VOA bottle req'd)
TPH Gasoline Range
TPH/BTEX Gasoline Range
Phytoplanlion
Temperature on arrival Me
4b
is
COUNTY S h
RIVER BASIN;
REPORT TO : (.,�i �. RegionalOffice
Other ;
COLLECTOR(S) 9
Estimated DOD Range:
Seed: Chlorinated:
itation 911-ocatioa Code Dale De&la (yylmm/dd)
$OD31O mglL
COD I'ligh 340 -4&
COD Law 335 mglL
Coliform: MF Fecal31616 /1041131
Coliform: MF Total 31504 11007711
Coliform: tube Fecal 31615 1100m1
Coliform: Feral Strep 31673 1100ml
Residue: Total 500 mWL
Volatile 505
Fixed 510 m
Residue' Su 530 m311-
Volatile 535 m
Fixed 540 m
H 403 units
Acidity to pH 4.5 436 mg/L
Acidity to pH 9.3 435 m
Alkalinity to pH 83 415 to ELL
Alkalinity to pH 4.5 410 et1 &
OC 680 mjLL
><—IT.rbidity
76 NTD
Coliform Total Tube I100 ml
COMMENTS:
DIVISION OF WATER QUALITY
Chemistry Laboratory Report 1 Water Quality
❑ SAMPLE JYPE
f D1trrY
AMBIENT QA APRE,AM EFFLUENT
❑ COMPLIANCE 1.J1T CHAEN OF CUSTODY �""��❑"�"1��} LAKE INFLUENT
EMERGENCY VISIT ID ESTUARY
Station Locatica: U ps�f
Re msrks;
➢ate End (yylmmldd) I Time Begin I Time End I Depth - DM, DO, DBM ! Value Type - A. H. L
Chloride 940 mg1L
Chlorophyll a EPA 445.0 modified option u
Color. True 80 C.U.
Color. H 83 Ha C.U.
Color: PH 7.6 82 C.U.
Cyanide 720 mgn-
Fluoride 951 mg/L
Formntdeh de71880 m
Greesc and Oils 556 mg/L
Hardness Total900 T84-
spwifaCond.05 urnhos/cm
MBAS 311260 mgfL
Phenols 32730 ugfL,
Sulfate 945 m
Sulfide 745 mgfL
Boron
Tannin & Li in uWL
Hexavalenr Chromium ug/L
Bicarbonate m
Carbonate m
Total Dissolved Solids ertg%L
NH3 as N 610 m
KN an N 625 mg1L
"NO2 plus NO3 as N 630 mg/L
Total as P 665 m
Pt74 as P 70507 mglL
P: Dissolved as P 666 m
K•Poiassium m
Cd- Cadmium 1027 u
Cr-Chrnmieun-Total 1034 ug1L
Cu- Copper 1042 ug/L
Ni-Nickel 1067 u
Pb- Lead 1051 u
Za- Zinc 1092 u,.{r&
V-Vanadiµm vg/L:
AS. Silver 1077 uglL
AI- Aluminum 1 105 v91L
Bo -Beryllium 1012 ug/L
Ca- Calcium 916
Co -Cobalt 1037 ugfL
Fe- Iron 1045 ug/L
Mo,Molybdenum
Sb-Anti u{efL.
Sn-Tin ug/L
TI-Thaltium upjL
Ti-Titanium ug/L
-1 63l ng11-
lab Numbu :
Date Received :
Time Received:
Received By :
Data Released :
Date Reported:
Composite-T, S, H
Li -lithium 1132 uWL
Mg- Ma e:sium 927 mg/L
Mn,Mnnganese ID55 110,
No- Sodium 929 -FIL
Arsenic:Total 1002 u911,
Se- Selenium 1147 ug1L
tig- Mercury 71900 u
Ba-Batium ug/L
ftanochlorine Pesticides
Orpriophoqdharus Pesticides
Organonitrogen Pesticides
Acid Herbicides
Base/NcurraJ&Acid Extractable Or ics
TPH Diesel Range
Pv ble Organics (YOA bonl
TPH Gasoline l4wige ft
TPHIBTEX Gasoline Ran
Ph to lankton
Ternperature on arrival (°C):
�Wate ality Monitoring Field Meter Calibratio eet
Collector(s): r'"of.e-
Sampling Location: f'c.ni%inI ron S'irc
Meter Model: YS I is -
Meter 1 Sonde Serial No: V s1S0 FT ! �_ ( 9
Date
yylmmldd
Time
24hr hh:mm
Initials
Pre -Sampling Calibration
►o A
o7 ; ►S
�
Post -Sampling Check
f l p p
; s
Miscellaneous (Does not apply to YSI 85 or Accumet Meters)
Battery Level (V)
er Working?
Pre -Sampling Calibration
Y I N
Post -Sampling Check
Y / N
Battery Ranges = Surveyor, im.2.7,5V, extemal- 11-13V; quanta: 4.o-4.5V
Dissolved Oxvaen (ma1L]
Temp. eC
Initial %
Saturation
Barometric
pressure {mmHg)
Altitude (ft.)
D.O. Table
Value
Initial Meter
Reading (mg1L)
Calibrated Meter
Reading (mgL)
Calibrated %
Saturation
Pre -Sampling Calibration
r
S
I () o
I
q
f
Post -Sampling Check
�S 3
................................................................
Within t 0.5 ? Y 1 N
Specific Conductance (pSlcm at 250C)
Lot#: Oa, yy
Lot#:
Dry All t' 2
Conductivity Standard'
Calibration Check
Zero(0)
Value:'TOO
Value:
Initial Meter
Calibrated 4
Initial Meter
Calibrated 4
Initial Meter
Reading
Meter Reading
Reading
Meter Reading
Reading
Pre Sampling Calibration
0 • D
—7 3 S
f�'"':''{'?'
S30
SV C)
Post -Sampling Check
VUt ' ,� 2.,,.
..�.•Wkthlrl
YIN
V�i�thyi�a�0d%.
i A+ �„
Y N
� �
YIN
.._,.:.•t:;'{:
4e:nnn.:::•:'``.'i;
NOTE: Quanta reads in mSlcm; move decimal 3 places right for pSlcm.
I Dry Air CALIBRATIONS are conducted for 4a and MS5 Hydrolabs only.
z Dry Air CHECKS (confirmation of zero in dry air) are conducted for YSI 85, YSI 6920. & Quanta meters.
s Conductivity standards are used to CHECK the YSI 85 meter and to CALIBRATE all Hydrolab meters and the YSI 6920.
4 Does not apply to Dry Air CHECKS or Conductivity Standard CHECKS (leave blank),
DH (SU) I Lot#: i06 /b7 Lot#: O 9(31tfO
Buffer #1
fifer #2
Confirmation
7.0
Bu ffer7emp: �-,__„_�_
4, 10.0
Buffer Tam p: r��•
Slope
Efficiency'
Buffer
7.0
Initial Meter
Reading
Calibrated Meter
Reading
Initial Meter
Reading
Calibrated Meter
Reading
Meter Reading
Pre -Sampling Calibration-7-1
7
3, 9 "7
3, y,s
77• i
4, cr 7
Post -Sampling Check
(� rf s
3+ g�
VWhin z 0.17
YIN
w, t0.27
Wi f0.2.
Y N
1N
5 Slope efficiency applies to Accumet meters only (does not apply to Hydrolab or YSI meters),
Comments:
Keep original on Tile for 6 years Ver. 08/15/2007
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-
COMPLAINT REPORT
Division of Water Quality
Winston-Salem Regional Office
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(If YES, skip to directions section)
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DIRECTIONS: z'oNoeki_,,&_P-'n2Ar o P ),0 &z 1.
4rt W� corms v n� ,� c rr c 3C 7,3 gl 1y.9"
>OURCEOFPOLLUTION: _�62W� ��D --tn G✓'�c ��� -- - --
VATURE OF COMPLAINT: c 0e4 T
r a c
2EFERRED TO: _ isli �OQtrack--
kCTION TAKEN:
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r tiL
ALx.)D 0 500 zg