951001_INSPECTIONS_20171231

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Mr. Richard Hayes
524 Jack Haves Road

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RECEIVED
AV N.C. Dept. of ENR .•

, , .
NCDE R
North Carolina Department of Environment and
Division of Water Quality
Beverly Eaves Perdue Charles Wakild, P.E.
Governor Director
Natural Resources
July 3, 2012 RECEivED
N-C, Dept, of ENR
Mr. Richard Hayes JUL 0 5 2012
Richard Hayes Cattle Farm Winatars5alem
524 Jack Hayes Road Reglonal Office
Boone, NC 28607
Re: Return of permit application (Facility No, 95-1001)
Dear Mr. Richard Hayes:
We are in receipt of the enclosed follow-up inspection report from our Winston-Salem Regional Office.
As indicated in the report, significant corrective actions have taken place at your facility and a permit
required for a confined animal feeding operation is not necessary at this point. Hence, we are returning
your permit application with this letter.
Dee Freeman
Secretary
Should the conditions at your facility in the future require a permit from this Division, please complete
this application again and attach all the required items given in Section 3 of this application. Two copies
of the complete package should then be submitted to this Division at the address below.
Please let me know if you have any questions.
Sincerely,
J.R. J shi
NC-DENR Division of Water Quality
Animal Feeding Operations Unit
1636 Mail Service Center
Raleigh, NC 27699-1636
Phone: [phone], Fax: [phone]
New email address: 'Ua.ioshi a,ncdenr.w
Enclosures.
Cc: Winston-Salem Regional Office- Aquifer Protection Section
1636 Mail Service Center, Raleigh, North Carolina 27699-1636
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604
Phone: 919$07-64641 FAX: 919$07-6492
Intemet www.ncwatemua6ty.ora
No lh Carolina
: at, r'r
An Equal Opportunity I Affirmative Action Employer

r
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Charles Wakild, P.E,
Governor Director
June 22, 2012
Mr. Richard Hayes
524 Jack Hayes Road
Boone, NC 28607
Subject: Follow-up Inspection
Richard Hayes Cattle Farm
Facility No. 95-1001
Watauga County
Dear Mr. Hayes,
Dee Freeman
Secretary
On June 19, 2012 staff of the North Carolina Division of Water Quality's Winston-Salem Regional
Office (DWQ) conducted a follow-up inspection of the above referenced property. The purpose of this
letter is to summarize our findings.
DWQ made the following observations:
• Fencing was installed 25 feet or greater from the creek excluding cattle.
• All denuded areas had vegetation growing.
• Two new graveled creek crossings/access points were installed.
• One new graveled creek access point was installed.
• Cattle were removed from the small lot next to road with creek flowing through it.
DWQ would like to thank you for your quick response and efforts, and for the corrective actions
that have taken place. Based on the observed site modifications it is our determination that no further
action is necessary. If you have any questions concerning this letter, you may contact Mr. Patrick
Mitchell or me at [phone].
Sincerely,
X-, )r-. 1�
_3_ej
Sherri V. Knight, P.E.
Regional Supervisor, Aquifer Protection Section
enc.: Photos
cc: Watauga County Environmental Health
Mr, Brian Chatham, Watauga County SWCD/NRCS
DWQ-APS Confined Animal Feeding Operations Unit
WSRO - APS Files
Winston-Salem Regional Office One
585 Waugtown Street, Winston-Salem, North Caroffria 27107 NorthCarolina
Phone: [phone] FAX: [phone] Customer Service: 1-877-623.6748
Internet: http:11portal.ncdenr.org1veb1wq Naturally
An Equal Opportunity 1 Affirmative Action Employer

Division of Water Quality
❑ Division of Soil and Water Conservation
❑ Other Agency
Facility Number: 951001 Facility Status: Active Permit: AW095=1 ❑ Denied Access
Inspection Type: C01`021j00ce Insnection _ Inactive or Closed Date:
Reason for Visit: Follow-up _ County: Region: Winston-Salem
Date of Visit: 06/19/2012 Entry Time: 10:45 AM Exit Time: 11 A 5 AM
Farm Name: Richard Haves Cattle Farm
Owner: Richard Haves
Incident #:
Owner Email:
Mailing Address: 524 Jack Haves Rd Boone NC 28607
Physical Address: Ray Brown -Rd Boone NC 28607
Facility Status: ❑ Compliant ❑ Not Compliant Integrator:
Location of Farm:
Phone: 820-Q64-0287
Latitude: Longitude:
Hwy 194N, L onto Ray Brown Road, farm on right before the KOA campground.
Question Areas:
0 Dischrge & Stream Impacts Other Issues
Certified Operator: Operator Certification Number:
Secondary OIC(s):
On -Site Representative(s): Name
24 hour contact name Richard Hayes
Title Phone
Phone: [phone]
On -site representative Richard Hayes Phone: [phone]
Primary Inspector: Patrick Mitchell Phone:
Inspector Signature:
Secondary Inspector(s):
Date:
Inspection Summary:
On June 19, 2012 staff from the WSRO made a site visit to Mr. R. Hayes Cattle Farm located on Ray Brown Rd. to follow-up on
NOV-2012-SS-0004 issued April 3, 2012. Staff discovered that Mr. Hayes had completed the following:
• Fencing installed > 25 feet from creeks, excluding cattle from creeks
• All denuded areas were re -vegetated
• Cattle removed from the small lot with surface water flowing through it
• Two new graveled creek crossings/access points installed
• One new graveled water access point installed
• Observed -25 cattle at time of visit
Water samples were not taken, only site photos to document site modifications. No further action is warranted at this time based on
observations.
Page: 1

Permit: AWD951001 Owner - Facility: Richard Hayes Facility Number: 951001
Inspection Date: 06/19/2012 Inspection Type: Compliance Inspection Reason for Visit: Follow-up
Discharges & Stream Impadts Yes No NA NE
1. Is any discharge observed from any part of the operation? ❑ ■ ❑ ❑
Discharge originated at:
Structure ❑
Application Field ❑
Other ❑
a. Was conveyance man-made? ❑ ❑ ■ ❑
b. Did discharge reach Waters of the State? (if yes, notify DWQ) ❑ ❑ ■ ❑
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does discharge bypass the waste management system? (if yes, notify DWQ) ❑ ❑ ■ ❑
2. Is there evidence of a past discharge from any part of the operation? ❑ ■ ❑ ❑
3. Were there any observable adverse impacts or potential adverse impacts to Waters of the State other than ❑ ■ ❑ ❑
from a discharge?
Other Issues Yes No NA NE
28. Did the facility fail to properly dispose of dead animals within 24 hours and/or document and report ❑ ❑ ❑ ■
mortality rates that exceed normal rates?
29. At the time of the inspection did the facility pose an odor or air quality concern? If yes, contact a regional ❑ ■ ❑ ❑
Air Quality representative immediately.
30. Did the facility fail to notify regional DWQ of emergency situations as required by Permit? (i.e., discharge, ❑ ❑ ■ ❑
freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility? ❑ ❑ ■ ❑
If yes, check the appropriate box below.
Application Field ❑
Lagoon 1 Storage Pond ❑
Other ❑
If Other, please specify
32. Were any additional problems noted which cause non-compliance of the Permit or CAWMP? ❑ ❑ ■ ❑
33. Did the Reviewer/Inspector fail to discuss review/inspection with on -site representative? ❑ ❑ ■ ❑
34. Does the facility require a follow-up visit by same agency? ❑ ■ ❑ ❑
Page: 2

Richard Hayes Cattle Farm —Watauga County
March 12, 2012 June 19, 2012

►:
Rosebrock, Melissa
From: Mitchell, Patrick
Sent: Tuesday, June 19, 2012 4.39 PM
To: Knight, Sherri; Carick, Keith
Cc: Rosebrock, Melissa
Subject: Richard Hayes Cattle Farm - Watauga County
Take a look at these before and after photos (below) of Mr. Richard Hayes cattle farm in Watauga County. These photos do not
do justice to the changes and hard work that Mr. Hayes implemented at this site.
Changes include: fencing installed >25 feet from the creeks excluding cattle, everything re -vegetated (even the upslope
pastures), two new graveled creek crossings/access points, and one new graveled water access. It should be noted that Mr.
Hayes paid out of his pocket to make these changes, but did seek technical assistance from Watauga Soil & Water. Thanks go to
Mr. Brian Chatham with Watauga Soil & Water for his technical assistance.

Richard Haves Wattle Farin -- Watauga C'orulty.
Abrdt 12, 2012 J11ne 19, 2012
Patrick L. Mitchell, LSS
NC DENR - DWQ
Aquifer Protection Section
Winston-Salem Regional Office

585 Waughtown Street
Winston-Salem, NC 27107
Phone: [phone]
FAX: [phone].
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.
91

Rosebrock, Melissa
From: Brian Chatham [Brian.Chatham [e-mail]]
Sent: Tuesday, April 24, 2012 4:50 PM
To: Rosebrock, Melissa
Subject: Richard Hayes
Melissa, I have spoken to Richard, and he is seeking Us for technical assistance. I will inform you when he completes his
work. He doesnt want to use our funding, rather do it out of his pocket.
Brian Chatham
Conservation Technician
Watauga SWCD
971 West king Street, Boone NC
[phone]
"We've got to quit treating Agriculture as some relic from the past and
realize it still has a real economic upside."
Mitch Daniels
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

County: WATAUGA Sample ID: AB81556
River Basin NEW OF 14A7q PO Number # 12WIS22
Report To WSROSP ; / a� 'Gy Date Received: 0311312012
Time Received: 08:00
Collector: M ROSEBROCK p -r Labworks LoginlD DLEAVITT
Region: WSRO RECEIVED Report Generated: 4/9/12
Sample Matrix: SURFACEWATER .4,C. Deot. or ENR
Date Reported: 04/09/2012
Loc. Type: RIVER/STREAM APR i 1 . Z(H2
Emergency Yes/No j F�1 u1 Visiti
COC Yes/No YES Winston-Salem
Regiona:La6�Descr.:—ISTREAM COZY NOOK
Location ID: 4CO95UPCOZY Collect Date: 03/1212012 Collect Tirne: 13:10 Sample Depth
CAS #
Analvte Name
PQL
Result/
Units
Method
Analysis
Validated by
Qualifier
Reference
Date
LAB
Sample temperature at receipt by lab
1.2
°C
3/13/12
DLEAVITT
MIC
BOD, 5-Day in liquid
2.0
2 U
mg/L
APHA5210B
3/14/12
CGREEN
Turbidity
1.0
3.4
NTU
APHA213013-20th
3/13/12
CGREEN
NUT
NH3 as N in liquid
0.02
0.02 U
mg/L as N
Lacl 0-107-06-1 -J
3/14/12
CGREEN
Total Kjeldahl N as N in liquid
0.2
0.2 U
mg/L as N
Lachat107-06-2-H
3/20/12
CGREEN
NO2+NO3 as N in liquid
0.02
0.87'
mg/L as N
LaC10-107-04-1-c
3114/12
CGREEN
Phosphorus total as P in liquid
0.02
0.02
mg/Las P
LaclO-115-01-1EF
3M6112
CGREEN
Laboratory Section?> 1623 Mall Service Center, Raleigh, NC 27699-1623 [phone]
Fora detailed description of the qualifier codes refer to httn'llmrtal ncdenr nra/we.b/wollablsiarfinfo/techatsistN6ata QuafifiPr Codes chttn'/ portal n[dPnr nralweblwn/lab/staffinTolterhasslst>
Page 1 of 1

Y
.� COUNTY
RIVER BASIN:
REPORT TO W. �RegionalOffice
Other
COLLECTOR(S)
Estimated BOD Range:
DIVISION OF WA R QUALITY
Chemistry Laboratory Report I Water Quality
SAMPLE TYPE
PRIORITY tom,.
AMBIENT gCHAIN
QA 3T4.STREAM EFFLUENT
COMPLIANCE . OF CUSTODY �❑ `LAKE INFLUENT
EMERGENCY V1Srrjq El ESTUARY
/' �{.I
Station Location: /1/, 6, Z� J`r 4P z, ik
Lab Nub
Date Received
r
Time d d : • 17
ReceivedBy
ey
FR.p.=
ea.
Seed: Chlorinated: Remarks:
SssGea #!Location Code Date Begin (yy/mmldd) Date End (yy/mm/dd) - Time Begin Time End Depth- DM, DB, DBM Value Type - A, H, L Composite-T, S, B Sample Type
am G FC6� 21 03 7- `!D rn
BOD 310 mwL
COD High 340 mV(L
COD Lmtr335 mg/L
Coliform: MF Fecal 31616 /100ml
Coliforrm MF Total 31504 11 o0ml
Coliform: tube Fecal 31615 /100ml
Colifnrm: Fecal Strop 3 i673 /100ml
Residue: Total 500 M91L.
Volatile 505 MOIL
Fixed 510 -VL
Residue: Suspended 530 mm'L
Volatile 535 m8'L
Fixed 540 -wL.
pH 403 units
Acidity to pH 4,5 436 mglL.
Acidity to pH 9.3 435 nrg(L.
Alkalinity to pH 8.3 415 mp/I.
Alkalinity to pH 4.5 410 met,
TOC 680 mgfL
Turbidity 76 NM
Coliform Total Tube /100 m!
COM1V*7 S
Chloride 940 mg/L
Chlorophyll a EPA 445.0 modified option u81
Color. Tux 80 c.u,
Color.(pH) 83 pH- C.U.
Color: pH 7.6 82 C.u,
Cyanide 720 mglL
Fluoride 95l m8/l.
Formaldehyde 71990 mglL
Grease and Oils $56 m81
Hardness Total 900 _WL
Specific Cond. 95 um}roalcm
MBAS 38260 rng/L
Phenols 32730 ug/L
Sulfate 945 mg+L
Sulfide 745 MWL
Boron
Tannin & Lignin upfl.
Hexavalent Chromium ug(L
Bicarbonate _WL
Carbonate rnifl.
Total Dissolved Solids MWL
NH3 as N 610 mg(L.
TKN an N 625 n1wL
NO2 plus NO3 as N 630 mg'L
P: Total as P 665 ­WL
PO4 as P 70507 mwL
P: Dissolved as P 666 mil.
K-Potassium F*L
Cd- Cadmium I M7 ug/L
Cr-Chromium:Total 1034 U911,
Cu. Copper I D42 u91L
Ni-Nickcl 1067 U91L
Pb- L.cad 1051 ugIL.
Zn- Zinc 1092 ug/L
IV -Vanadium uglL
Ag Silver 1077 ug/L
Al- Aluminum 1105 uwL
Be- Beryllium 1012 ug/L
Ca- Calcium 916 trrg/L
Co- Cobalt I037 uy/L
Fe- Iron 1045 u9fL
Mo-Molybdenum u9,L
Sb-Antimony UWL
Sn-Ten UWL
TI-Thallium ug/L
Ti-Titanium ug/L.
FIrI631 nClL
Li -Lithium 1132 ug(L.
Mg- Magnesium 927 mg/L
Mn-Manganese 1055 ugrL.
Na- Sodium 929 nrg/L
Arsenic -Total 1002 uglL.
So- Selenium 1147 - ug✓L
Hg- Mercury 71900 - ug/L.
as -Barium uWL.
Organoehlorme Pesticides
Organophosphorus Pesticides
Organonitrogan Pesticides
Acid Herbicides
Base/NcuraIRAcid Extractable Organics
TPH Diesel Range
Purgeable Organics (VOA bottle rc'd)
TPH Gasoline Range
TPH/67EX Gasoline Range
Phytoplankion
Ternperature on arrival (aC): 1 °

.A t
County: WATAUGA Sample ID: ABB1554
River Basin NEW O�WAR PONumber #1 12W1520
Report To WSROSP RECEIVED O� QG Date Received: 03/1312012
I !V C. Dept. of ENR C y
Collector. M ROSEBRQCK Time Received: 08:00
Region: WSRO
APR g Zd12 Labworks LoginlD DLEAVITT
i Report Generated: 4012
Sample Matrix: SURFACEWATER Winston-Salem pate Re
Loc. Type: RIVERISTREAM.-.._ Regional orrice ported: 04102/2012
Emergency Yes/No VisitlD
COC Yes/No YES Jr� )ZI
Lac. Descr.: UPSTREAM KOA
Location ID: 4CO95UPKOA I Collect Date: 03/12/2012 Collect Time: 12:27 Sample Depth
CAS # Analyte Name PQL Result/ Units Method Analysis Validated by
— Qualifier Reference Date
LAB
Sample temperature at receipt by lab 1.2 °c 3/13/12 DLEAVITT
M1C
SOD, 5-Day in liquid 2.0 2 U mg/t_ APHA5210B 3114112 CGREEN
Turbidity 1.0 20 NTU APHA21308-20th 3113112 CGREEN
NUT
NH3 as N in liquid
0.02
0.02 U
mg1L as N
LaC10-107-06-1-J 3/14112
CGREEN
Total Kjeldahl N as N in liquid
0.2
1.0
mg1L as N
Lachat107-06-2-H 3/20112
CGREEN
NO2+NO3 as N in liquid
0.02 .
1.5
mglLas N
Lac10-107-04-1-c 3/14112
CGREEN
Phosphorus total as P in liquid
0.02
0.17
mg/L as P
Lac10-115-01-1EF 3/16112
CGREEN
Laboratory Section» 1623 Mail Service Center, Raleigh, NC 27699-1623 [phone]
For a detailed descfiption of the qualifier codes refer to httpVportal ncdenr orrslweblwallablslalfinfo/techassisti$Oata Qualifier Codes <bttp:Unortal.nedenr.orpJweblwc lab/staffinraHrchassist>
Page 1 of 1

r. DIVISION OF WATER QUALITY
ChcTniatry Laboratory Repnrf t Water Quality
COUNTY 'J� A 1 qIA q ❑ SAMPTYPE
RIVER BASIN : ❑ � AMBIENT ❑ QA J(� STREAM ❑ EFFLUENT
REPORT TO �}'0S }j J�J 1 0 Regional Office ❑ COMPL1ANCE x CHAIN OF CUSTODY �❑LAKE ❑ INFLUENT
Other : • - ""'� M T"., ❑ EMERGENCY VISIT ❑ ESTUARY
COLLECTOR(S) 4y[ r6Lk ❑
Estimated BOD Range:
Station Location: S i�
Seed:
Chlorinated:
Remarks:
St tion N(Location Code
S KO
Date Begin (yyfmmldd)
1 3 ,►z
Date End (yyfmmldd)
I
Time Begin Time End
I Depth - DM, DB, DBM
Value Type- A, H, L
Composite-T, S, B
SamplgT'ype-
L-
HOD 310 -3(L.
COD High 340 _WL-
COD Low 335 mgfL
Colifotrm MY Fecal 31616 1100ml
Coliferm: MF Total 31504 1100ml
Coliform: tube Fecal 31615 1100m1
Coliform: Fecal Strep 31673 11 OOm1
Residue: Total 500 mg(L
Volatile 505 mlyrL
Fixed 510 mp/L
Residue: Suspended 530 m81L
Volatile 535 m9rL
Fixed 540 M fL
pH 403 units
Acidity to pH 4.5 436 mg/L
Acidity to pH 8.3 435 mgfL.
Alkalinity to pH 8.3 415 mgfL
Alkalinity to pH 4.5 410 mg/L.
TOC 680 mg/L
Turbidity 76 NTU
Colifotm Total Tube / 100 ml
COMMENTS
Chloride 940 malL. -
Chlorophyll a EPA 445.0 modified option udL.
Color: True 80 c,u,
Color: (pH) 83 - pH- cu.
Color: pH7.6 92' c.u.
Cyanide 720 m9rl-
Fluoride 951 maL.
Formaldehyde 71380 n wL.
Grease and Oils 556 MWL
Hardness Total900 mgfL..
Specific Cond. 95 umhost m
MBAS 38260 m8/L
Phenols 32730 up/L.
Sulfate 945 -811-
Sulfide 745 mwL.
Boron
Tannin & Lignin ug(L.
Hexavalent Chromium ug/L
Bicarbonate mwL
Carbonate
Total Dissolved Solids mg+L
NH3 as N 610 MRIL
TKN an N 625 mg'L
NO2 plus NO3 as N 630 mg/L
P: Total as P 665 MA
PO4 as P 70507 m94.
'
P: Dissaly d as P 666 nVIL
K-Potassium MBJL
Cd- Cadmium 1027 idyl.
Cr-Chromium:Total 1034 ug/L
Cu-Copper 1042 ug1L
Ni-Nickel 1067 ug/L
Pb- Lead 1051 uWL
Zn- Zinc 1092 ugll.
V-Vanadium ugll-
Ar SilvcT 1077 ugfL.
Al- AJurninum 1105 ug(L.
Be -Beryllium 1012 oglL
Ca- Calcium 916 -9fL
Co - Cobalt 1037 ujVL
Fe- Iron 1045 uglL
Mo-Molybdenum ug/L
Sb-Antimony ug/L
Sn-Tin uWL
TI-Thallium uA
Ti-Titanium uglt.
Hg-1631 nWL
Li-Ljthium 1132 ug/L
Mg- Magnesium 927 trt8l1-
Mn-Manancse 1055 ug/L
Na- Sodium 929 -#L
ArsenicTotal I O02 uglL.
Se- Selenium 1147 ug/L.
Hg- Mercury 71900 uglL
Ba-Barium uv`L,
Organochlorine Pesticides
Orpnophosphams Pesticides
Orpprtonitrogm Pesticides
Acid Herbicides
BaxJNeatral&Acid Extractable Organiq
TPH Diesel Range
L'urgeable Organics (VOA bottle req'd)
TPH Gasoline Range
TPHlBTEX Gasoline Range
Phytoplanktan
Temperature on arrival (°C): j (/

y^
County:
WATAUGA
RECEWEO
N.C. Dept. of ENR
Sample ID:
AB81555
River Basin
Report To
NEW
WROSP
OF wAr�R
APR 1 I ° ZM = QG
PO Number #
Date Received:
12W1521
0311312012
Collector:
f
M ROSEBROCK;
F
C
Wln4ton-5alem -�
Time Received:
08:00
Reglanal Office
Labworks LoginlD
DLEAVITT
Region:
WSRO —
Report Generated:
4/2112
Sample Matrix:
SURFACEWATER
Date Reported:
04/02/2012
Loc. Type:
RIVERISTREAM
Emergency Yes/No
VisitlD
CDC Yes/No
YES
Loc. Descr.: DOWNSTREAM HAYtwS
yv�'`j✓✓
Location ID:
4CO95DOWNHAY Collect Date: 03/12/2012
Collect Time: 12:50
Sample Depth
CAS # Analyte Name PQL
Result/
Units Method
Analysis
Validated by
Qualifier
Reference
Date
LAB
Sample temperature at receipt by lab
1.2
°C
3113/12
DLEAVITT
MIC
BOD, 5-Day in liquid 2.0
5.0
mg/L APHA5210B
3114112
CGREEN
Turbidity 1.0
120
NTU APHA2130B-20th
3/13/12
CGREEN
NUT
NH3 as N in liquid
0.02
0.11
mg/Las N
LaC10-107-06-1-J
3114112
CGREEN
Total Kjeldahl N as N in liquid
0.2
2.4
mg/L as N
Lachat107-06-2-H
3120112
CGREEN
NO2+1403 as N in liquid
0.02
2.6
mg/L as N
LacIO-107-04-1-c
3115112
CGREEN
Phosphorus total as P in liquid
0.02
0.76
mg/L as P
Lac10-115-01-1EF
3116112
CGREEN
Laboratory Section» 1623 Mail Service Center, Raleigh, NC 27699-1623 [phone]
For a detailed description of the qualifier codes refer to httpJ/gorsal.mdenr ortt/web/wallahfstalrinfohe.chassistOCaca Qualifier Codes<hun:l/PartaLncdenf.nrRlwehlwgAyk staffinfoRrchassista
Page 1 of 1

COUNTY
RIVER BASIN:
•Neves..`—....
REPORT TO
04,0 Regional Office
Other :
F`"�YlK W04tt
COLLECTOR(S)
: tK ..
Estimated ROD Range:
0
DIVISION OF WATER QUALITY
Chemistry Laboratary Report I Water Quality
SAMPLE TYPE
PRIORITY .��{•
AMBIENT ���....�QA Dt1 STREAM 0 EFFLUENT
COMPLIANCE lyi CHAN OF CUSTODY �❑3 LAKE El INFLUENT'
EMERGENCY VISIT 13) E] ESTUARY
Station Location: 6 Tr"I 04� A-0. yes
Seed: Chlorinated: Remarks:
Lab Nurh6�_ t�
Date Received: 3 • 17
Time Receiwd : �
Received By :�
I Data Released :
iDate Reported r
Station A(Loextion Code Date Begin (yylmmldd) Date End ( lmmldd) Timc Begin Time End Depth - DM, DB, DBM `Value Type - A, H, L Composite-T, S, B Sample Type
C 5��� A ti �� 3 2 1a So
HOD 310 mg?L
COD High 340 mgrL.
COD Low 335 _wL
Coliform: MF Fecal 31616 1100011
Coliform: MF Total 3 t 504 110oml
Coiifortn: tube Fecal 31615 tio0ml
Conform: Feral Strep 31673 11001,111
Residue: Total 500 mgrL
Volatile 505 mgJL
Fixed 510 nIfL
Residue: Suspended 530 Mel,
Volatile 535 M90L,
Fixed $40 m¢JL
pH 403 units
Acidity to pH 4.5 436 MS(L
Acidity to pH 9.3 435 mg/L
Alkal inity to pH 8.3 415 m8fl-
Alkalinity to pH 4.5 410 Inel,
TOC 680 mil.
Turbidity 76,_ NTU
Coliform Total Tube !1100 mi
Chloride 940 mWL
Chlorophyll a EPA 445.0 modified option ug(L
Color. True 80 c u_
Color: (pH) 83 ' pH- cv_
Color: pH T6 82 c.u_
Cyanide 72o mg/L,
Fluoride 951 mgfL
Formaldehyde 71880 rnwL
Grease and Oils 556 mg`L.
Hardness Total900 M fL.
Specific Cond. 95 umhoslem
MBAS 38260 mgfl.
Phenols 32730 ug/L
Sulfate 945 mgfL.
Sulfide 745 -ZfL.
Boron
Tannin & Lignin ug/L
Hexavalent Chromium ugJT.
Hicar4attate mil,
Carbonate mg/L
Total Dissolved Solids _#L
NH3 as N 610 mgfL.
TKN an N 625 mg/L.
NO2 plus NO3 as N 630 mg(L
P: Total as P 665 m8(1,
PO4 as P 70507 mwL
P: Dissolwd as P 666 m9(L
K-Potassium mg`L
Cd- Cadmium [027 ugfL
Cr-Chromivm:Total 1934 ugfL.
Cu- Copper 1042 ug/L
Ni-Nickel 1067 ug/L
Pb• Lead 1051 UPL
Za- Zinc 1092 uglL.
IV -Vanadium u8(L
Ag-Silwr 1077 .&rL
A1- Aluminum 1105 ug(L
Be- Beryllium 1012 uWL
Ca- Calcium 916 n*(L
Co -Cobalt 1037 ugfL
Fe- Iron 1045 uTJL.
Ma -Molybdenum uWL,
Sb-Antimony u
Sn-Tin u9(L.
Tl-Thallium ug/L
Ti-Titanium u8lL
Hg1631 ng/l,
Li -Lithium 1132 ugfL
Mg -Magnesium 927 mg/L,
Mn-Manganese 1055 uglL
Na- Sodium 929 m8/I..
Arsenic:ToW 1002 u8lL,
Sr Selenium 1147 uFJL
Hg- Mercury 7 1900 uwL
Ha -Barium uwL.
Orsannchlorine Pesticides
Organaphosphows Pesticides
Orgarsonitrogen Pesticides
Acid Herbicides
Base NcuLral&Acid Extractable Orgniw
TPH Diesel Ran Be
Purr -able Organics (VOA bottled)
TPH Gasoline Range
TPHMTEX Gasoline Range
Phytoplankton
Temperature on vrival ("C): � a

A*W,j
KNEW
R
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Charles Wakild, P.E. Dee Freeman
Governor Director Secretary
April 3, 2012
CERTIFIED MAIL 7010 2780 00014221 7402
RETURN RECEIPT REQUESTED
Mr. Richard Hayes
524 Jack Hayes Road
Boone, NC 28607
SUBJECT: NOTICE OF VIOLATION
Permit and Stream Standard Violations: NOV-2012-SS-0004
Facility No. 95-1001
Parcel ID No. 2912524716000
Watauga County
Dear Mr. Hayes:
On March 12, 2012 Mr. Patrick Mitchell and Ms. Melissa Rosebrock, of the State's Division of
Water Quality Winston-Salem Regional Office (DWQ), conducted a site visit at the above
referenced parcel. This visit was the result of an anonymous complaint received by our office
alleging the run-off of cattle manure and sediment from your property into waters of the State.
The surface waters in question are unnamed tributaries (UT) flowing into Howard Creek, which
are C1ass'C waters also rated as Trout Waters and High Quality Waters, located within the New
River Basin.
Our site investigation confirmed that at least 150 beef cattle are/were being maintained on the
property resulting in severely denuded pastures and the run-off of sediment and animal waste
into the streams. Additionally, at least 1,000 linear feet of stream is impacted due to excessive
animal activity in and around the tributaries.
As a consequence of the complaint investigation the following violations are documented:
Item I. Permit Violation
On March 12, 2012, staff observed at least 150 beef cattle being maintained on a denuded lot or
"feedlot" at the above referenced parcel. North Carolina General Statutes (NCGS) define a
feedlot as:
"... a lot or building or combination of lots and buildings intended for the
confined feeding, breeding, raising, or holding of animals and either specifically
North Carolina Division of Water Quality, Winston-Salem Regional Office
Location: 585 Waughtown St. Winston-Salem, North Carolina 27107 One
Phone: [phone] FAX, 336-771-46301 Customer Service; 1-877-623-6748 NO hCarolina
Internet; www.nrwaterquality.org �����yi�
An Equal Opportunity 1 Affirmative Action Employer

Mr. Richard Hayes
Notice of Violation (NOV-2012-SS-0004)
April 3, 2012
designed as a confinement area in which animal waste may accumulate, or
where the concentration of animals is such that an established vegetative
cover cannot be maintained."
Per NCGS 143-215.1013 and 143-215.1 OC, any agricultural farming activity involving 100 or
more confined cattle is considered an "animal operation" requiring application for coverage
under an Animal Waste Operation General Permit. Our records indicate that you have not yet
applied for the required permit.
Item II. Stream Standard Violations
Stream samples were also obtained and analyzed for dissolved oxygen (DO), pH, specific
conductance, nutrient levels, five day biochemical oxygen demand (BODS), fecal coliform and
turbidity. While there is currently no state water quality standard for specific conductance,
nutrients, or BODS the attached results indicate that there is evidence of a significant impact
occurring on the subject parcel. There were no violations of the State's water quality standard for
DO or pH at the time of the site visit. However, there is certainly the potential for a violation if
conditions deteriorate further.
The downstream Fecal Coliform result of greater than 6,000 colony forming units (CFU)/l00
milliliter (mL) is greater than the State's water quality standard of 200 CFU/l OOmL. This is a
clear indication that excessive cattle activity in and around the streams is impacting surface
waters. Given that the fecal coliform levels are elevated downstream of the cattle, there is the
possibilty for future civil penalty assessments should staff obtain a required total of five samples
within the next 30 days that result in a geometric mean greater than 200 colonies/l00 ml.
The downstream turbidity result of 120 NTU is greater than the State's water quality standard of
10 NTU for Trout Waters. This again is a clear indication that excessive cattle activity in and
around the streams is impacting surface waters.
In addition to the above mentioned violations, a wastewater discharge pipe was observed to be
discharging into the unnamed tributary behind the onsite rental residence. This information has
been relayed to the Watauga County Environmental Health office as well as a copy of this letter.
Corrective Action Options and Re nested Response
Option 1:
Upon receipt of this letter, you have sixty (60) days to submit the attached "State Application
for New or Expanding Animal Waste Operations" and all supporting documentation. Please
note that the application is to be completed using information from a Certified Animal Waste
Management Plan (CAWMP). Once the application has been completed and signed, the original
and two copies of the application must be returned (along with three copies of the entire
CAWMP) to the Division. The Watauga County NRCS/SWCD Field Office staff can assist you
in developing a CAWMP. Their office number is [phone]. Be aware that operation of
your facility (in its current condition) without coverage under a valid general permit could result
in civil penalty assessments of up to $25,000 per day.
Page 2 of 3

Mr. Richard Hayes April 3, 2012
Notice of Violation (NOV-2012-SS-0004)
Option 2:
Since "true" pastures are not considered feedlots according to the statutes, you may, as an
alternative, install and maintain conservation practices that will re-establish the vegetation in the
current feedlot(s). If you wish to pursue this option, we urge you to contact the Watauga County
NRCS/SWCD Field Office to discuss proposed implementation practices. At minimum, cattle
should be excluded from the stream and vegetation established in the buffer area along the
stream'to prevent further run-off of sediment and animal waste.
The Winston-Salem Regional Office requests that you respond in writing, within thirty (30)
days, regarding the permit violation described above, including whether you intend to apply for
a permit. Your response should also contain a plan and specific descriptions detailing how and
when the stream standard violations are to be addressed. Please direct your correspondence to
my attention at the address contained in this letterhead.
Thank you for your prompt attention to these matters. Should you have questions regarding this
Notice, you may contact Mr. Patrick Mitchell or me at [phone].
Sincerely,
Sherri V. Knight
Aquifer Protection Section, Regional Supervisor
Winston Salem Regional Office
enc.: Laboratory & Field Stream Sample Results Summary
Photos
cc: Mr. Andy Blethen, Watauga County Environmental Health
Mr. Brian Chatham, Watauga County SWCD/NRCS
DWQ-APS-Confined Animal Feeding Operations Unit
Wes= APS:Files—:)
Page 3 of 3

Laboratory and Field Sample Results Summary
Location ID #1
Upstream KOA
'Fecal coliform = 31 CFUI100 mL
2DO = 9.14 mg/L
3pH = 6.30
N H3 = 0.02 mg/L
TKN =1.0 mgIL
NO2+NO3=1.5 mg/L
Total phosphorus = 0.17 mg L
Specific conductance = 31.9 ps/cm
BOD = 2.0 mg/L
4Turbidity = 20.0 NTU
R. Hayes Cattle Farm
April 2, 2012
Location ID #2
Downstream Hayes
Fecal coliform = >6,000 CFU1100 mL
DO= 8.77 mg/L
PH = 6.09
NH3 = 0.11 mg/L
TKN = 2A mg/L
NO2+NO3 = 2.6 mg/L
Total phosphorus = 0.76 mg/L
Specific conductance = 69.8 us/cm
BOD = 5.0 mg/L
Turbidity =120.0 NTU
Location ID #3
Upstream Cozy_ Nook
Fecal coliform = 26 CFU1100 mL
DO =10.05 mg/L
PH = 5.63
NH3 = 0.02 mg/L
TKN = 0.2 mg/L
NO2+NO3 = 0.87 mg/L
Total phosphorus = 0.02 mg/L
Specific conductance = 24.5 psicm
BOD = 2.0 mg/L
Turbidity = 3.4 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 4,0 mg/L (minimum, instantaneous) and not less than a
daily average of 5.0 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.

Richard Hayes Farm Page 1 of 2
Site Photos
Denuded pasture with Unnamed Tributary 1
flowing through it. KOA campground is in
the background inside the wood line.
Close-up view of the denuded pasture
with Unnamed Tributary 1 flowing through it.
Different view of the denuded pasture with
Unnamed Tributary 1 flowing through it.

Unnamed Tributary 1
Richard Hayes Farm
Site Photos
a
r;.
Unnamed Tributary 2 a t,� "
NOTE: Red arrow indicates flow direction
Page 2 of 2
Denuded pasture with Unnamed Tributary 2
flowing through it. Note: this is prior to the
confluence of Unnamed Tributary 1 &
Unnamed Tributary 2.
Downstream of the confluence of Unnamed
Tributary 1 & Unnamed Tributary 2, flowing
through a denuded pasture.
Discharge pipe from the onsite rental
residence. Note: the pipe did not have
any outflow at the time of arrival, but did
discharge periodically while onsite.
.,

M Division of Water Quality
❑ Division of Soil and Water Conservation
❑ Other Agency
Facility Number: 951001 Fsdltly Status: Active Permit AWD951001 ❑ Denied Aunts
Irnpactlon Type_ Corndg-x* )rsneslion _ Inactive or Closed eons:
Reason for Visit Count r. watauva Region: Winston-Salem
Date of Visit D&JV2012 Entry Time: 11,50 AM Emdt Time: 01-15 PM lnddenl O:
Farm Nanne: Richard Ham Cattle Farm Owner Emall:
Owner: Richard Haves Phone: AZd304-0287
VANI ng Address: 2]„4 Jack Haves Rd Bopro MC 28607,
Physical Address: Ray Brown Rd
Facility Staha: ❑ Compliant M Hot Compfat tahwafor
Location of Farm: LaMude Lonthmde:
Hwy 194N, L orto Ray Groan Road, farm on rigid helora the KOA campground.
Question Areas:
M 0iscrow a Stream Impacts
Cartisad Operator.
Secondary OIClak
On -Site Reprea« allive(s): Marne TWO Phone
24 hoc contact name Richard Hayes Phone: [phone]
Or"lerepresentative Rkard Hayes Phone:
Primary lnrspector: Patrick MtchM Phone:
ft-pactor Sfg-b-: - - Data:
Secondary hapeUols):
Melissa Raxbroek Phone:
Permit AW095ID01 Owner -Faculty: Richard Hayes Facility Number: 9510M
hupeetisn psb: CM120012 Inspoetim Type: Conoae— inpectke Ron n fw vfsr: Comptai t
tnspoctlon Summary.
On March 12, 2012 0= aorducted a site visit to conduct a mmmplai t Yrvegigalion received by our atixr alleging the rvnoft of cads
marnne and sedimErt uro wafers of the Starts. The surface haters in question are unnamed t'iNdades (l7T) Sowing ito Howard
Creek, which is a Class C water also rated as Trout waters and High Quality Waters boated wTdm Ere New River Satin.
Our site Investigation confirmed tort a:prrnonmtey 150 or greater beef cattle arehvem being mastaied on to property resrllang m
severely denuded pasasrs and the nn-of of sedhnent andarunul waste into the streets. Additionally. at greater than 1.000 hnear
tee! of Stream Is impacted due to excessive animal activsy in and around to Mxdwws
The fokmig violations are docurnerded:
1. On March 12, 2012, staff observed at least 150 beef cattle being mantained on a decoded kt or ^feedlot at the above referenced
parcel.
2. The totlowing Stream Standard Violations:
Stream samples were also obtained and analyzed for dissolved oxygen (DO). pH, specific conductance. anhfem levels, five day
biodw of oxygen demand (BOD ), kcal cdifami and babidtty. Mile Eheve is currently no stake water quality standard for specific
conductance, nutrients, or DOD the results indicate Enat there is evidence or a sigmficem irpact occ rnng on the subject parcel.
Thee were no violations of the State's water quality sandard for DO or pH at the time of the site visit. While there were no DO and pH
violations on the date of our cornpkaut hmesbi;abon. thereat cdbiNy the potential for a violation it oonMors futtw deteriorate.
The dowrshemn Fecal Co4fmm msndt of wester than 6,000 colony fomvng units (CFUy100 r hatter (mi) is greater than the Stair's
water quality standard. This is a dear Indication that exrrsive calk activity, in and around the Streams is unpad6g surface waters.
Given tut the kcal mofitonn levels are elevated downstream of the cattle, tore is the poalhisy for future CPA penety assemnenM
should staff obtain a required total of five samples within the neA 30 days that result in a geometric mean greater tun 200
cotoniesl100 cat.
The downstream Turbidity results of 120 NTU is greater than the Stale's water quality standard at 10 NTU for Trout Waters, this is
also a dew ihdlratlon ttnd excessive cattle adMty In and around the streams is impasmg surface wafers.
It should oho be noted that a straight pipe leading from an croft rental resfdenca to the UT was obsereved b to hfsdharguhg into Ere
UT at the tiro of site visit
lW O to send NUV and notify the Watauga County Hill. of the d®dwge pipe.
Page: 1 - Page: 2

I

wAr1* Incident Report CawatQbaemation: Directions:
r
� y Cartrp4at cad nee ale
P
Report Monber 201200636
Incident Type: Carr~
Category. APS-Animal
Incident Stated: 03=2072
Canty: Watauga
Ctty:
FarmC 95100t
Responsible Party:
Owner.
Permit
Facility
Fast Nave_ Rk ord
MkkBe Nana:
Lost (Name. Hayes
Addmss 524 Jack Hayes Rd
&wstotmzip: B. NC 2007
Phone:
Material Caleprtry: Eat(rtra6ed W. u0M
DDAWSS Dedmal
On-5ft Caltact
RrsMrl3dA.as! thane.
C Imparty Marne:
Phone:
PageAMotAa Phone: !
Reported By:
FestlMkVLast Name:
Company flame:
Address:
ChylStawzip:
Phone:
Pagm AkAxle Phone: !
Ch mical Name Reportable ply. tbs. Reportame ay, kg&
l.arvftmbr Position Datum:
Location of Incident: UT offkay Bnoakl Road
Address: Ray Brown Rd
CRylStobbmp Elopes NC 23607
Report Created 04W12 01:10 pM
Page 1
Action Taken: Comer ta:
W12=12 Drt0 made Wee visa In w—stiptle our 5" = mrdirmad that apprmemaMht 15D or greater bast
retitle arahrarialmartod on the Prop" raau" In seroray
denuded pnbreS and the r lad of seftr and W&.W waste ado tl>•
atr a Addbm . as greater than 1.0W trava %M of moan e
arpaaed due to exrAaeha arimM ad" In am around on bltwurtea.
A ■ cor ..grwtoe of 0. mrgYka krra llpatml the lalowatg rlolStirs
are doksaraaed'
Ilem 1. PemW Violation
On lurch 12. 2012. AMI dmwwd A lean 150 bad -Me b5M"rtg
mW[Wrretl an a demmlod lot a leedd as tie shore rdera—d
p=. North Camks GeneW SUALAI S (1VCO5 do a f edlat as:
a ka or twiding r earrbina4en of Ids IN artertOad for tee
conrarted feedaq, tireadlrq, aWnp, a hdtdkg or and elther
deWigr:d tl a oonAatanrtera area h whkh anYrW waste -my
awartAaam, or where the mrmtramn or rwrtah is afrh eat an
estabIlOwd repetabm m amd be mirmhed.
Par NCGS 14341SA00 mid 143-215.1DC. arty agriatitrrai farmiry
swamp Ion r more corked trite a ..dered an amal
ra4umrp > I A r Mr ooverage a der m hdrnai YYaste
operation General P1ermLL Our reotads eidicate pia[ ym have not yat
appeal for the mqutad pwn*
Incident 4tumboen:
Report Created 04A2112 01:10 PM
Rem It. Stream Standard Ydaborrt
Steam samples were ale obtained are a mWW tot tlltwlred �y9sr
(0% PH. spotlit aort�turl�, nlAiaa kvaie, are day 6letlrattad r
o:ygen ean+arte fBOD8.1'8109:1 [scat cnliam and 4+r6Ya4. wan.
�nraa,
.
rssmMate vAdar �for
BODUS309, aLexm
aidlLlte gIM arem is
eviden[ca of a algruliwm knpert at=ab0 de the ere sutiort parreL Thera
rre m cabman dare Sbde a w W q mRy staetdrd for DO or pN M
to tare of the arle rasa. While lane woo m DO are pH violations on era
date d our owrptamr hreatigatiarr.1hera 4 cartatty the porantial for a
Nolstlon tl rnrltlltlars tudhr delWrlrrdfe.
The do anSeeam Fecal Cddrm rGUM of greel8r that 6.000 Q
ferrmg [xSta IC%11.1 nailer (rtA} ro graatu tun ate Slate s wider
quaY[y etaneard. Tads h a dear rrdicahm that wa;*W- rat0e aahey in
drd amurtl One a6e8rR a: 6YrpaQatp 61YhG wafers. GKW that eta ImCal
mlQarm lekwh ae elevabd dowrsaeem d tie vale. acre Is the
ptsablty for hrtirre dAl party an6 should afar dbt—a
mq-km d Ioml of hue —pi- want the red 30 Wye ant mull h ■
geomelix ntean greater men 200 ooler i00 enL
The dnreseeam Tubl dry rearASW of 120 Kilt it greater than the Sbde a
wMr qua t Standard of 10 NiU for Tmut Waters. ads a ago a der
htlkl5ak mat eaasha Cal" acw* h rid Novo the wwm a
lirpadalg aufhte Malefa.
Pape 2

Eje! i f IN bd OxW bib lu If tTvsod X bda@ Zf 1 Dpod mod 1; Voobn If elycvtbsr
Tv!dxd X bd dabn f ® I px bme Dd f I
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.rpi f rragaft bl Igpn Ib%tprihf hbol !peW hzgl I )BWW lis>— Waefsalmra '
Dpwbjon f owC Vol opx o
D tovgDpn *d C Vol opxo
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$f a s f altplSf tgpobdPSW f!Oljrt bmIDpaibds
Sf r of l d eB@ej'gxbrbbgm bgpo 3123.16.13r23;11;11
Sf gparFod d e 3123.15.13112;17;67
.beW odTibv 3123.1I.23311: ;11;11
TrboabselBhfodjft!Opgdfe;
Bhf adzlObn if 17 pof (lit dObn f NU AM dobn f DpodxhfEbd
Pu f dBhf odjf t K)Mdf e;
Bhf ocWObn f Q pot qd dObn f N71 KU dobn f DpoLbddEbd
EX RLb♦pa7 txjpo;
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Sf gpsdFad sf e1C:: Sf hjpobf W"clu
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312 3.15. 13l i2;17; 67ICN
Eje!EX Rld rvf ldbo!beejgpatxtx quf Wd gpsa 3123.1S.13tZ3;11;111BN
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15U3Q3 12: IKN QW 4 Sf gpatDd bda 15d 3M3 12,2lfCN ibhf 5

f-
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Incident/Complaint Investigation Sheet
r L p
Project Description/Name: c �- �' [`t
Time of Arrival: i % St) 11� Date: 3h) Z/wl'2
On -site Person(s) and contact info:
Weather Conditions/Air Temperature: ` , LIOL11t, -- tJo.
Details (conve Batton ,.descriptions, surface waters, etc,): L.•1I �t 1'''t %� ` 3 ' 1 z ZsIZ4. 1J
x-e" te ri ",&- G * 72,6 +� �
4� ^' i i V 'i w4" ^' 5b' yfa ,,„ t ctice ., 4 Coos : �: "' `0 n
❑ Check if — Additional information Is recorded on reverse of page.
Sample Information
Sample Site Description/Name & #
DO
m /L
% DO
Saturation
Conductivity
S/m
Temperature
pH
Other(s)
G,�o
GPS:
Collection
Time
1� n �}M
4(O
Additional Comments
i
(streambottom, odors, clarity,
organisms, algae, fungal,
sediment depth, etc...}
Nd 04" o j�,,.,, w� r �,.. C.A-F' .5c, •t .
�� S� +Tie n c� bow
f y 2— �� p L [�p r
Collector Names : elo rack, 119771--k
Sample Site Description/Name #
DO
m /l
% DO
Saturation
Conductivity
S/m
Temperature
pH
Other(s)
F,77
'79.1
01 8
la,9
4,oq
GPS:
Collection
Time
Additional Comments
(stream bottom, odors, clarity,
organisms, algae, fungal,
sediment depth, etc...}
G e n ate+ j •j- a r a,tz, Mer
I ii 4
► �r G b!S E� '" G' hkr d�It�
.�� I-
Collector Names :tA .
Sample Site Description/Name & #
DO
m /L
% DO
Saturation
Conductivity
S/m
Temperature
a
pH
Other(s)
eortl tJcdk
Q r 0
Q
GPS:
Collection
Time
/
r
Additional Comments
(stream bottom, odors, clarity,
organisms, algae, fungal,
sediment depth, etc...)
e`f r&(, [ rJr �'� 1 r
1- of ab
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Collector ame s : t r/
Time of Departure:
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Additional Details: �~ '
Additional Samnles Information
Sample Site Description/Name & #
DO
m /L
% DO
Saturation
Conductivity
S/m
Temperature
pH
Other(s)
1
GPS:
Collection
Time
Additional Comments
(stream bottom, odors, clarity,
organisms, algae, fungal,
sediment depth, etc...)
Collector Names :
Sample Site Description/Name & #
DO
m /L
% DO
Saturation
Conductivity
S/m
Temperature
PH
Other(s)
GPS: "
Collection
Time
Additional Comments
(stream bottom, odors, clarity,
organisms, algae, fungal,
sediment depth, etc...)
Collector Names :
Sample Site Description/Name & #
DO
m /L
% DO
Saturation
Conductivity
,g/M
Temperature
pH
Other(s)
GPS:
Collection
Time
Additional Comments
(stream bottom, odors, clarity,
organisms, algae, fungal,
sediment depth, etc...)
Collector Names
Time of Departure:

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PHONE LOG
❑ Call Received ❑ Message Received
❑ CalI Returned ❑ Cali Made ❑ Left Message
Call Purpose
❑ Complaint ❑ Inspection ❑ Non-compliance Reporting ❑ Info Request
Caller Information
pp ++ I
��
Name of Caller/Facility:
I
Telephone Number(s):
gZ - _ D 2 Q
Remain Anonymous?
❑ Yes ❑ No
Mailing Address:
Date
3 ZtD 2
NA
-7 M .
ZJ-iO-Ozxz
Subiect Information 1/
County: % 1
Facility &/or Responsible Person(s): 2 /
Telephone Number(s): 5-2
Mailing Address:_ _ Z� vk '�� `7rj don e� _
pescription (directions, address/location, source'of pollution, nature of incident, surface water body &/or wells
,pacted, a/jrnool�u�y9ntt}�}spilled, when did it start/finish, jh,,, etc.): _Pe l vP,,(- 4-IV41� �vay1/1�� �•, �
1 1/-O'D� li[X7l '�l / �*J1 L/ � `/� R l�ti� �II�HG� 7 1/ J _ ! oa—cc�
v
0k-
g.:1 `, �G r-y-t ~�'�-(l { 9 b`i f""r !` C' 1_ 'qs M�✓l� .s1 W_ [ .� ✓/e 4 I—er-,e.
(Additional information can be recorded on reverse if ne ded)
Referred by:
DWO Information
Action Taken or Referred to:
Received by: P. Mitchell

PHONE LOG
❑ Call Received ❑ Message Received
❑ Call Returned ❑ Call Made ❑ Left Message
Call Purpose
❑ Complaint ❑ Inspection ❑ Non-compliance Reporting ❑ Info Request
Caller information
Name of Caller/Facility:
Telephone Number(s):
Remain Anonymous? ❑ Yes ❑ No ❑ NA
Mailing Address:
Date & Time Received:
Subject Information
County:
Facility &/or Responsible Person(s);
Telephone Number(s):
Mailing Address:
Description (directions, address/location, source of pollution, nature of incident, surface water body Wor wells
impacted, amount spilled, when did it start/finish, etc.):
(Additional information can be recorded on reverse if needed)
Referred by:
DWO Information
Action Taken or Referred to:
i
Received by: P. Mitchell

County:
WATAUGA
Sample ID:
AB81555
River Basin
NEW
OF WArF.q
¢�
PO Number #
12W1521
Report To
WAT
Date Received:
0311312012
r
Time Received:
08:00
CoActor:
M ROSEHROCK
p ~c
Labworks LoginlD
DLEAVITT
Region:
WSRO
Report Generated:
12/30/99
Sample Matrix:
SURFACEWATER
Dale Reported:
03123/2012
Loc. Type:
RIVERISTREAM
Emergency Yes/No
VisitlD
COC Yes/No
YES
Loc. Descr.: DOWNSTREAM HAYES
Location ID:
WSROSPNLC
Collect Date: 0311212012
Collect Time: 12:60
Sample Depth
Result)
Method
Analysis
CAS #
Analyte Name
PAC L
ualifier
Units
Reference
Date
Validated by
LAB
Sample temperature at receipt by lab
1.2
°C
3113112
DLEAVITT
MIC
BOD, 5-Day in liquid
2.0
5.0
mg/L
APHA5210B
3/14112
CGREEN
Turbidity
1.0
120
NTU
APHA21308-20th
3/13/12
CGREEN
NUT
NH3 as N in liquid
0.02
0.11
mg/L as N
LaclO-107-06-1-J
3/14/12
Total Kjeldahl N as N in liquid
0.2
2.4
mg1L as N
Lachat107-06-2-H
3120112
NO2+NO3 as N in liquid
0.02
2.6
mg/L as N
Lacl O-107-04-1-c
3/15112
Phosphorus —total as P in liquid
0.02
0.76
mg/L as P
LaclO-115-01-lEF
3M6112
CGREEN
Laboratory Sectlon?> 1623 Mail Service Center, Raleigh, NC 27699-1623 [phone]
For S detailed description of the qualifier Codes refer to htt, ortal.ncdenr.o web w lab staffinfo [echassistpDate Qualifier Codes <htt o al,ncd nno web wc
,V4biltaffinftechassist>
Page 1 of 1

C
County:
WATAUGA
Sample ID:
ABS1554
River Basin
NEW
OF ware'9
QG
PO Number#
12W1520
Report To
WAT
Date Received:
0311312012
`1,
� r
5
Time Received:
OB:DO
Collector:
M ROSEBROCK
p Y
Labworks LoginlD
DLEAVITT
Region:
WSRO
Report Generated:
12/30l99
Sample Matrix:
SURFACEWATER
Date Reported:
03/23/2012
Lk Type:
RIVERISTREAM
Emergency Yes/No
VisitlD
COC Yes/No
YES
Loc. Descr.: UPSTREAM KOA
Location ID:
WSROSPNLC
Collect Date: 0311212012
Collect Time: 12:27
Sample Depth
CAS #
Analvte Name
P g.L
Result/
Units
Method
Analysis
Validated by
ualifier
Reference
Date
LAB
Sample temperature at receipt by lab
1.2
°C
3113/12
DLEAVITT
MIC
BOD, 5-Day in liquid
2.0
2 U
mglL
APHA5210B
3/14/12
CGREEN
Turbidity
1.0
20
NTU
APHA2130B-20th
3/13/12
CGREEN
NUT
NH3 as N in liquid
0.02
0.02 U
mglLas N
LacIG-107-06-1-J
3/14/12
Total Kjeldahl N as N in liquid -
0.2
1.0
mg/Las N
Lachal107-06-2-1-1
3120/12
NO2+NO3 as N in liquid
0.02
1.5
mg/Las N
LacIO-107-04-1-c
3114112
Phosphorus —total as P in liquid
0.02
0.17
mg/L as P
Lac10-115-01-1EF
3116/12
CGREEN
Laboratory Section>> 1623 Mail Service Center, Raleigh, NC 27699-1623 [phone]
For a detailed description of the qualifier codes refer to htto:!/portal.ncdenr.orst/web/wq/laWstafhnfo/techaisistxDsta_Quslifier_Codes chttp/J22rtal.ncdonr.ori/web/wo/lab/staffin(ohechassiso
Page 1 of 1

County:
WATAUGA
Sample ID:
AB81556
River Basin
NEW
WArFRQ
PO Number #
12W1622
Report To
WAT
Date Received:
0311312012
C
Time Received:
08:00
Collector:
M ROSEBROCK
¢
Labworks LoginlD
DLEAVM
Region:
WSRO
Report Generated:
12/30/99
Sample Matrix:
SURFACEWATER
Date Reported:
0312312012
Loc. Type:
RIVER/STREAM
Emergency Yes/No
VisitlD
COC Yes/No
YES
Loc. Descr.: UPSTREAM COZY NOOK
Location ID:
WSROSPNLC
I Collect Date: 03/1212012
Collect Time: 13:10
Sample Depth
CAS # Analvte Name PQL
ResulV
Units Method
Analysis
Validated by
ualifier
Reference
Date
LAB
Sample temperature at receipt by lab
1.2
cc
3/13/12
DLEAVITf
MIC
BOD, 5-Day in liquid 2.0
2 U
mg/L APHA5210B
3/14112
CGREEN
Turbidity 1.0
3.4
NTU APHA2130B-20th
3113l12
CGREEN
NUT
NH3 as N in liquid
0.02
0.02 U
mg/L as N
Lac10-107-06-1-J 3114112
Total Kjeldahl N as N in liquid
0.2
0.2 U
mg/Las N
Lachat107-06-2-1-1 3/20112
NO2+NO3 as N in liquid
0.02
0.87
mg/Las N
LaC10-107-04-1-c 3/14112
Phosphorus —total as P in liquid
0.02
0.02
mg/L as P
LaC10-115-01-1EF 3/16112 CGREEN
Laboratory Section>> 1623 Mail Service Center, Raleigh, NC 27699-1623 [phone]
For a detailed description of the qualifier codes refer to htt oFtal.nc enr.o web w lab staffnf t chassist#D a Qualifier Codes thttp:llportal.ncdenr.orKZweVmqllR§Zstaffinftechassist>
Page 1 of 1

o Page 1 of 1
VROOTEST
Laboratory Report
Lob Location IR' Lob Locafron 'C'
NCIWW Cert.#: 067 NCIDW CertA 37731 NC/WW Cert.#: 103 NC1DW Cert.#: 37733
6701 Conference Dr, Raleigh, NC 27607 6300 Ramada Dr, Suite C2, Clemmons, NC 27012
Ph: [phone] Fax: [phone] Ph: [phone] Fax: [phone]
Project No.:
Project ID: HAYES FARM
--- Prepared for ---
MELISSA ROSEBROCK
DWQ
585 WAUGHTOWN ST.
WINSTON-SALEM, NC 27107
RE0F<< n
NC
MICR 2 2 2012
Wln�ton•3iiunt
Region., clgr'-
Report Date: 311612012
Date Received: 3/12/2012
Work Order* 1203-00620
Cust. Code: 800993
Cust. P.O.#:
No. Sample ID Date Sampled Time Sampled Matrix Sample Type Condition
001 UPSTREAM KOA 3/12/2012 12:27 SW Grab 4 +1- 2 deg C
Test Performed Method Results Lab Loc DlV
azedTime-- Qualifier
Fecal Coliforms/MF SM 9222D 31 CFU1100mL C 3112/12 15:45
No. Sample ID Date Sampled Time Sampled Matrix Sample Type Condition
002 DOWNSTREAM HAYES 311212012 12:50 SW Grab 4 +/- 2 deg C
------------ l zed
--------
Test Performed
Method
Results Lab Loc a�c
Time Qualifier
Fecal Coliforms/MF
SM 9222D
>6000 CFU1100mL C 3/12/12
15:45
No. Sample ID
Date Sampled
Time Sampled Matrix Sample Type
Condition
003 UPSTREAM COZY NOOK
311212012
13:10 SW Grab
4 +1- 2 deg C
----------- I zed --------
Test Performed Method Results Lab Loc a�' Time Qualifier
Fecal Coliforms/MF SM 9222D 26 CFU1100mL C 3/12/12 15:45
Reviewed by:
r , -
� Z 6:4
diva
for Tritest, Inc. ��

0
TRITEST Chain of Custody
6701 Conference Drive, Ralelgh, NC 27607
ph: [phone], tax: [phone]
NCWW Certp67, NCDW Cert#37731
6624 Gordon Road, Unit G, Wilmington, NC 28411
ph: [phone], fax: [phone]
NCWW CerW75. NCENN CorW37721
❑ 6300 Ramada Dr.. Suite C2. Clemmons, NC 27012
ph: [phone], tax: [phone]
NCWW Certp103. NCDW Cert#37733
Report Resufts To:
Company: N G D W I�t�RDL
Address: $ S S l
W i Al c -2-7 LD
AM:Pafeck tAlut'4'11 ->
Phone: 0734 - Sz S ,S'
Fax: 3L) 771- 9&31
Sampled by (signature):
BIII To:
)Ic- Dpl�' c�f►�
Rk M% I1 ®nc r,!adV
Tritest W.O. # 1 1�03 -O&M
nECEIVrn
k'!' ckR
MAR 2017
WinixOn•$�7rnp
Rsglen�l �!;y
h
Project Reference: NAW 5m
Project Dumber:
Purchase Order P
andard Report Delivery )t
❑ Rush Report Delivery (wisurcharpel
**Rush projects are subject to prior approval by
the laboratory
Requested Due bate:
Sample Descrtption
"D
5tart Date
End bate
Matrix
Analyses Requested •
TMM
Start Time
Eyed Thee
aw anal. an
Ka ALx,'=
CA
2 2ai
�cwr►s t++�
G
Sol
F"/ 41I'f�".
a Z
n4�k
!�
t
5 of�,,�
l�'n-•
Relinquished by (signature)
Received by (signature)
fyyb
Date
-3/j12l
Time�
-0n
Relinquished by (signature)
Received by (sign lure)
Date
Time
Relinquished by (signature)
Received by (signature)
Date
Time
Receipt Conditiorts (Lab t1se�)nly}
❑ 4t2°C ❑Temp: °C
Res. Chlorine:
❑ Absent ❑ Present ❑ rVa
Acid preserv. <2?
❑ Yes ❑ No ❑ nla
Base preserv. >12?
11 Yea 0 No 0 Na

INVOICE
Please remit payment tc:
Tritest, Inc.
P.O. Box 33190
Raleigh, NC 27636
Attn: Accounts Receivable
NCDENRIDWQ
585 WAUGHTOWN STREET
WINSTON-SALEM, NC 27107
Attn: MELISSA ROSEBROCK
PROJECT INFO: HAYES FARM
YOUR ORDER DATE:: 3/12/2012
PURCHASE ORDER REF:
Quantity
Done Procedure Performed
3 MI-COLIF Fecal Coliforms/MF
INVOICE NUMBER: 449958
INVOICE DATE: 3/19/2012
WORK ORDER # : 1203-001120
1, ^- _ I
phone:(9i9)834-4984
MAC fax: [phone]
j�
Client Number: 800993
INVOICE TERMS: NET 30 DAYS
Unit
Price
20.00
Extended
Price
60.00
A FINANCE CHARGE of 1.5% (18% annually) will be assessed to Invoices over 30 days. Total $60.00
Paid 0.00
Balance 60.00

TRITEST , Chain of Custody
❑ 6701 Conference Drive; Raleigh, NC 276W
ph: [phone], fax: [phone]
NCWW Cert#67, NCDW Cert#37731
6624 Gordon Road, Unit G, Wilmington, NC 28411
ph: [phone], fax: [phone]
NCWW Cert#75, NCDW Cert#37.721
LI 6300 Ramada Dr., Suite C2, Clemmohs, NC 27012
ph: [phone], fax: [phone] .f
NCWW Cert#103, NCDW Cert#37733
Report Results To:
Company: ,N G D W Q II W�j
Address: _'�� S W C, (A � h'kw ri S i,
PJle A- Met--71o?
Attn: I 0 C k �P 1 c l[ _
Phone: 33G 5 19
Fax: 010 r% r%I L10
Sampled by (signature):
Bill To:
dart r��t � N C
Tritest W.O. #
Project Reference: PSa M
Project Number:
Purchase Order #:
>6*1andard Report Delivery
❑ Rush Report Delivery (W/surcharge)
"Rush projects are subject to prior approval by
the laboratory
Requested Due Date:
Sample Description
Co, plff.or
C��n-
Start;Date
End Date .:
Matrix>j
ww om sw
Analyses Requested ? `:. "� �� w
t r
Truest
5amplelfi
Start>Time
End Ti me
tJ
Dd
G
S L�
j Co�I�f-�rry
Ups"`
Col Nook
v�i
f 1 ��r►�`
- MI
t
Relinquished by (signature)
.-rni)
Received by (signature) f
Date
Time
1
Relinquished by (signature) .,
Received by {sign lure}
Date t
Time
A
Relinquished by (signature), ;
Received by (signature)
Date
Time
Receipt Conditions (Lab Us Only)
❑ 4±2°C Cl Temp: °C
Res. Chlorine:
❑ Absent O Present ❑ nla
Acid present. <2?
❑ Yes ❑ No ❑ nla
Base preserv, >12?
11 Yes 0 No ❑ nla

Report to: w 5 KO WATER QUALITY SECTION Page of
CHAIN OF CUSTODY (COC) RECORD
NC DENRIDWQ LABORATORY (check one): CENTRAL [ [ ARO [ I WaRO
For Investigation of: ("MI
Sample collector (print name)
and DM-1 forms completed by: AAAJJ F%W- -6Ib
Sample collector's signature: {)
Field storage conditions �any location (when applicable): To*-d e oa keQ of k OCji-e-Cj 54o, +,p- V•ckic 12
Lab Use Only
LAB NO.
STATION NO,
STATION LOCATION
DATE
SAMPLED
TIME
SAMPLED
NUMBER
OF
CONTAINERS
..
U
M Kopt
Z7 �"
3
242.2"
1 X
0!,1Z 2,01 Z.:1D
A
�
Relin uish d b (sign a
7n=
Date
wlao I
Time
A�
Received by (signature):
16-
Date
Time
Relinquished by (signature):
Date
Time
R eeived by (signature):
Date
Time
Relinquished by (signature):
Date
Time
Received by (signature):
Date
Time
Method of Shipment (circle one); State Courier d-delivered Federal Express UPS Other:
Security Type and Co ditions;
Sealed by:
Broken by:
voj } C cv-:00 C© u I 1er 10
a
INTRALABORATORY CHAIN OF CUST DY - Lab Use Only
LAB NUMBERS
FROM THROUGH
NUMBER
BOTTLES
ANALYSES
REQUESTED
RELINQUISHED
BY:
RECEIVED
BY:
DATE
THE
QMForms\Sample Receiving\COC form WQ 4110101dbs

DMSION OF WATER QUALITY
Chemistry Laboratory Report I Water Quality
f j
SAMPLE TYPE
COUNTY y" ��hk '�
RIVER BASIN;
PRIORITY
AMBIENT 0 QA
STREAM
❑ EFFLUENT
REPORT TO : W590 _ Regional Office
COMPLIANCE X CHAIN OF CUSTODY
LAKE
11,4FLUENF
}y * Mi ��
Other : la"-
COLLECTOR(S)
EMERGENCY VISr�m
ESTUARY
AL
Lab Number
Date Received
Time Received
Received By
Estimated BOD Range:
Station Locatioa: k0" `` U
Seed:
Cbleriaated:
Remarks:
S lion #(Location Code
,Date Begin (yylmm/dd)
31, 1 Z.
Date End (yy/mm/dd)
Time Begin Time Fad
( `..%
I Depth - DM, DB, DBM
Value Type -A, H. L Composite-T. S. B I SamplyType
Cow C-71E
A.BOD
310 -OIL
COD High 340 m9(L.
COD L. 335 marl.
Coliform: MF Fecal 31616 1100m1
Coliform MF Total 31504 1100m1
Coliforar tube Fecal 31615 1I00nd
Colifonn: Fecal Strep 31673 /100m1
Residue: Total 500 mWL
Volatile 505 mg/L.
Fixed 510 marl,
Residue: Su ded $30 -WL
Volatile 535 mg/L
Fixed 540 m8rL
H 403 units
Acidity to pH 4.5 436 mglL.
Acidity to pH 9,3 435 marl
Alkalinity to pH B.3 415 mgrL
Alkalinity to pH 4.5 410 me/L
TOC 680 VL
Turbidity 76 NTU
Coliform Total Tube lItRF m1
COMMENTS:
Chloride 940 -,(L
Chlorophyl I a EPA 445.0 modified option ug/L
Color. True 80 a u.
Color.(PH) 83 pH- c.u.
Color. pH 7.6 82 C.U.
Cyanide 720 mg✓L.
Fluoride 951 mg/L
Formaldehyde 71880 -#L
Grease and Oils 556 marl_
Hardness Total90D marl.
Specific Cond. 95 umhos/cm
MBAS 38260 marl -
Phenols 32730 uglL
Sulfate 945 mg/L.
Sulfide 745 -OIL.
Boron
Tannin B Ligni
Hcaavalent Chromium ug/L
Bicarbonate mgrL
Carbonate marl
Total Diwol.ed Solids - -WL.
NH3 as N 610 MI(L.
TKN an N 625 mg/L
NO2 plus NO3 as N 630 mg/L
P: Total n P 665 m9+1.,
PO4 as P 70507 mg/L
P: Dissolved as P 666 m.,
K-Potassium mwL.
Cd-Cadmium 1027 uwL,
Cr-Chromium:Tctal 1034 ug/L
Cu- Copper 1042 ug/L.
Ni-Nickel1067 - ug/L
Ph- head 1051 ug/L,
Zn-Zinc 1092 ug/L
V-Vanadium ugll,
Ag• Silver 1077 u#L.
Al -Aluminum 1105 ug/L
Be- Beryllium 1012 uglL
Ca- Calcium 916 m6/1,
Co- Cobalt 1037 ug/L
Fe- Iron 1045 ugJL
Mo-Molybdenum ug1L
Sb-Antirnony owL
Sn-Tin uvt
Tl-Thallium up/L
Ti-Taanium ug/L.
Hg-1631 ng/L
Li -Lithium 1132 up/L
Mg- Magnesium 927 mg/L
Mn-Manganese 1055 ug/L
No- Sodium 929 mpJL
Arsenic:ToW 1002 uWL
Se- Selenium 1147 ug/L
Hg- Mercury 71900 - uWL.
B.-Barium up/L.
Organaehlorme Pesticides
Orgauophosphoms Pesticides
Organonitrogem Pesticides
Acid Herbicides
BaselNeutrai&Acid Extractable OrPnics
TP14 Diesel Range -
Purgeable Organics (VGA bottle 'd)
TPH Gasoline Range
TPH/BTEX Gasoline Range
Phytoplankron
Temperature on arrival (IC):

DM SION OF WATER QUALITY
'
Chemistry Laboratary,Repart / Water Quality
Lab Number
A
❑MP $ALE TYPE
Date Received,
COUNTY A!t'
PRIORHY
Time Received:
RIVER HAM; a
� AMHFENT QA
`� STREAM
� EFFLVENT
Received By
pW
REPORT TO go R40nal Office
�E]
COMPLIANCE li/ I CHAIN OF CUSTODY
/�'4 L.AKE ;NF7.,UENT
]W, ' }, �,
��`t ''
'1t\JrVIIS
Other `� t�""r—��
EMERGENCY
IDS
ESTUARY
Data Memed
COLLECTOR(S): t7}f _ -- --
IT
Date Reported
Estimated BOD Riate:
Station
C(
((�� A-,-.l
Locatioe: 'D-01.e) Aj �
L
Y
I
Seed: Chlorinated:
- Remarks:
Station iNILocation Code
Date Begin (yylmmldd)
Date End !mmldd)
Time Begin
Time End
Depth - DM, DB, DBM
Value Type- A. M L
Composite-T, S, B S.mpte Type
c s Uau� A
i 7 3 2
!a = So
BOD 310 nwL
COD High 340 mg/L
CODL.aw335 mall,
Coliform MP Fecal 31616 11 OOml
Cohfonra MF Total 31504 1100m1
Coliform tube Fecal 31615 Morn]
Coliform Fecal Sirep 31673 11DOm1
Residue Total 500 mg'L,
Volatile 5D5 mall,
FL d 510 mall,
Residue: Suspended 530 nwl-
Volatile 535 Mori.
Fixed S40 mglL
PH 403 units
Acidity to pH 4.5 436 morL
Acidity to pH 8.3 435 mgrL
Alkalinity to pH 8.3 415 MgrL
Alkalinity to pH C5 410 molL
TOC 690 mEfL.
Turbidity 76 NTU
Colifa m Total Tube 1100 ml
COMMENTS:
Chlaridc 940 MwL
Chlorophyll a EPA 445.0 modified option uglL
Color. Tare 80 C.U.
Color(pH) 83 pH= c.u.
Color: pH 7-6 82 c.u.
Cyanide 720 rr*tL,
Flunridc 951 mgR.
FornWdehyde 719ED mg(L.
Grease and Oils 556 rsfl,
Hardness Total 90D -#L
Specific Cond. 95 umhostem
WAS 38260
Phenols 32730 ugrL
Sulfate 945 -QfL
Sulfide 745 marl,
Baron
Tannin is I.ignin ug'L
Hexavatmi Chromium uglL
Bicarbonate nwL
Carbonate marl.
total L3 mlved Solids rryy'L
NM as N 610 ntwL
TKN an N 625 nwL
-
NO2 plus NO3 as N 630 MWL
P: Total as P 665 m*L
PO4 as P 70507 mglL
P: Dissolved as P 666 mpJL
K-Potassium - M&L
Cd- Cadmium 1027 uglL.
Cr-Chmnnum:Toud 1034 ug/i.
Cu- Copper 1042 ualL
Ni-Nickcl I D67 ug/L
Pb- Lead 1051 up/L.
Zn-Zinc1092 udL,
V-Vanadium uglL
Ag. Silver 1077 uWL
AI- Aluminum 1105 u91L
Be- Beryllium 1012 ug/L,
Ca- Calcium 916 rrsp/L.
Co- Cobalt I D37 ug/L
Fe- Iron 1045 uldL.
Ma -Molybdenum uS1L
Sb-Antimony ug/L
Sn-Tin u91L
Tl-Thallium ug&
Ti-Titanium ug/L.
Hr1631 no,
ti
Li -Lithium 1132 ug/L.
Mg-Magnesium927 -91L
Mn-Manganese 1055 ug/L
Na- Sodium929 -94,
Arxnic:Tolal IOD2 ugll-
Se-Selenium1147 ugtL
Hg Mercury 71900 ugrL,
Ba-Barium uglL,
Orgpnochlarine Pesticides
Organophoapbatus Pmicides
OrSmonitrogen Pesticides
Acid Herbicides
BasclNeutra[&Acid Extractabl a Organics
TPH Lhesel Range
Purgeable Organics (VOA bottle req'd)
TPH Gasoline Range
TPHIBTEX Gasoline Range
Phytoplankton
temperature on arrival (aC):

COUNTY 0
RLVER BASIN: 5
REPORT TO �j ^� Regional Office
Otbee
COLLECTOR(S)
Estimated DOD Range:
Sced: Chlorinaltd:
Station NlLacatiou Code Date Begin (yylmmldi
�1+ 14 eq5-4ce'll 1 12_�� 2--
DOD 310 -wL
COD High 340 -8fL
COD Low 335 n8(L
Colifarm: MF Fecal 31616 1100rn1
Colifono: MF Total 31504 11 OOmI
Califon tube Fecal 31615 110pnd
Cohfhr Fecal Strep 31673 f 100m1
Residue: Total 500 mwL
Volatile 505 mgrL
Fixed 510 nrglL
Residue: Suspended 530 MwL,
Volatile 535 M9fL
Fixed 540 m9fL
pH 403 units
Acidity to pH 4.5 436 nwL
Acidity to pH 8.3 435 ntglL
Alkalinity to pH 8.3 415 -wL
Alkalinity to pH 4.5 4I0 rnwL
TOC 680 -SVL
Turbidity76 NTU
Colifotm Total Tube 1100 ml
CONUKENTS :
D"ION OF WATER QUALITY
Chemistry Laboratory Report I Water Quality
El SAMPLE. TYPE
PRIOR]TY
Ej AMBMNC
SttAM tFEl £FFLU£Nf
��./'QA
COMPLIANCE � X Ci IAN OF CUSTODY
%SLAKE El DTLUENT
EMERGENCY ' VIS
ESTUARY
Station Location:
/
Rucks:
Date End (yylmmldd) I Time Begin I Time End I Depth - DM, M DBM I Value Type - A, H, L
} r . A -
Chloride 940 TnwL
Chlorophyll a EPA 445.0 modified option ugIL
Color: True 80 C.U.
Color. (pH) 83 pit• C.U.
Color: pH 7.6 82 c.tt.
Cyanide 720 -wL
Fluoride 951 -8(L
Formaldehyde 71990 rnWL.
Grease and Oils 5 56 nVL.
Hardness Total 900 m*L
Specific Cond. 95 umhosfcm
MBAS 39260 nwL
Phenols 32730 ug/L
Sulfate 94$ OWL
Sulfide 745 -8(L
Boron
Tannin A Ugnin ug/L
Hexavaleni Chromium ug`L
Bicarbonate m�I.
Carbonate rwL
Total Dissolved Solids -wL
NM as N 610 ' -wL
TKN an N 625 mPIL.
NO2 plus NO3 as N 630 M91L
P: Total as P 665 MWL
PO4 as P 70507 m@2
P: Dissolved as P 666 rng9.
K-Potassium MV(L.
Cd- Cadmium 1027 uWL.
Cr-Chmmium:Total 1034 uA
Cu- Copper 1042 U91L
Ni-Nickel 1067 ttglL
Pb- Lend 1051 u f/L
Zn- Zinc 1092 ug/L
IV -Vanadium ug1L
AS. Silver 1077 USIL
Al- Aluminum 1 105 ugfL
Be- Beryllium I012 ugfL.
Ca- Calcium 916 rrtp/L
Co- Cobalt 1037 ug/L
Fe- Iron 1045 ug1L
Mo-Molybdenum uglL
Sb-Antimony u&1L
Sn-Tin ug/L.
11-111tallium ugfL
Ti-Titanium u9/1..
tip 1631 nglL
Lab Number
Date Received :
Time Received
Received By :
Data Released :
Daft Reported
Composite-T, S. B I Sample Type
T.i-Lithium 1132 ug/L
Mg- Magnesium 927 rnWL
Mn-Manganese 1055 ug/L,
Na- Sodium 929 -wL
Arsenic:Total 1002 uglL
Se- Selenium 1147 uglL.
Hg Mmmy 71900 ug/L
Ha -Barium uWL
Orgutochlorine Pesticides
OTSMnophosphorus Pesticides
OrHmonitm@en Pesticides
Acid Herbicides
Base/NeuvM&Acid Extractable Organics
TPH Diesel Range
Purgeable Organics (VOA bottle mq'd)
TPH Gasoline Range
TP"TEX Gasoline Range
Phytoplankton
T mre on arrival M:

C
Water Quality Monitoring Field Meter Calibration Sheet
Collectors : ko M1+'[ e l 14Z0 , r iL
.Study: -rA(/t n
Sam tin Location: ea iM ! W- tav+�
Meter Model: $ j 1 If
Meter / Sonde Serial No: 071�1 ol714Z / q 6 91 2-0
Date
yytmm/dd
Time
24hr hi
Initials
Pre -Sampling Calibration
12 3
�-(e--
Post -Sampling Check
/
li
15,.,,5 3
Miscellaneous (Does not apply to YSI 85 or Accumet Meters)
attery Level (V)
Stir g?
Pre -Sampling Calibration
Y
Post -Sampling Check
Y N
Battery Ranges = Surveyor: internal- 72-7.5V, external- 11-13V; Quanta: 4.0-4.7
Dissolved Oxvaen (nni
Temp. 00
Initial %
Saturation
Barometric
Pressure (mmHg)
Altitude (ft.)
D.O. Table
Value
Initial Meter
Reading (mg/L)
Calibrated Meter
Reading (mgti
Calibrated %
Saturations
Pre -Sampling Calibration
+
a j
5 (- 2
— 3 �
U c)
g 5
7 , 5?
g•
1
14 o+
Post Sampling Checkefi
3,5—
9 O �
F
t Q.5 ? N
NowWlthln
Mob- l-iiilillim
t
�
v
Specific Conductance (pSlcm at250C)
Lot#: if' j 307
Lot#:
Dry Air 1,2
Conductive Standard 3
Calibration Check
Zero (0)
Value: 0 d 0
value:
Initial Meter
Calibrated
Initial Meter
Calibrated
Initial MeteryC;'t}{}�%,
Ra
rReadingg
Meter Reading
Reading
Meter Reading
Reading
;C
n a ?:E
Pre -Sampling Calibration
1
!
Post -Sampling Check
!kA7
Within ± 2?
It ` 10a/o
Withi t' Ob�.,.:10,0OO:f
4?
YIN
Y N
N
'
NOTE: Quanta reads In mS1cm; move decimal 3 places right for Ia51cm,
1 pry Air CALIBRATIONS are conducted for 49 and M55 Hydrolabs only.
2 Dry Air CHECKS (confirrnaVon of zero in dry air) are conducted for YSI 85. YSI 6920, & Quanta meters.
3 Conductivity standards are used to CHECK the YSI 05 meter and to CALIBRATE all Hydrolab meters and the YSI 5920.
4 Does not apply to Dry Air CHECKS or Conductivity Standard CHECKS (leave blank).
DH (SUI
Lot #: 10 L 1 h !
Lot #: 0 / p3 7V 17
Buffer #1
er #2
Confirmation
7.D
4.0 / 0.0
Slope
Buffer
Buffer Tem �. a
P
Buffer Tern a 3 . 3_
p
Efficiency°
7.0
Initial Meter
Calibrated Meter
Initial Meter
Calibrated Meter
Meter Reading
Reading
Reading
Reading
Reading
Pre -Sampling Calibration
6.9(7
. o0l
3. S,3
_
q S • 1
"7 . O
Post -Sampling Check
17,07
..............................
within t o.1?
Wit � t o.z?
YIN
Y N
Slope efficiency applies to Accuffinet meters only (does not api to Hyldrko or YSI meters). l r
Comments: ��'JQ` —Sf, CI+ Fc ; `� 61 �S 8S w �• �-- �dr%u��- (�
C��4kit7ns— �� t) f ,,,,, r - e,.^I AV-,-V4o•u moo 4c. 4rH of
Keep ortglnal on file for 6 years
Ver, 041IS12007

Report tu: 0 5F10 WATER QUALITY SECTI N 14,C :o:,.. of -r!t Page ,Lof
• CHAIN OF CUSTODY (COC) RE ORDMAR 15 7(n2
NC DEN"WQ LABORATORY (check one): XC:ENTRAL [I AKU l I WaKO winston•8a4m
Reglonal Ofgca
For investigation of: L}
4ail t l
Sample collector (print name) ■R p
and DM -I forms completed by: ff-fbtsi _ [1[kf-� r _ _ Sample collector's signature:
Field storage conditions aq location (when applicable):
�c-oA too1e r 4 k oc-ILe-(-A s4a+%-0-.. ve-h1 C f Q
L>t6 Use Only
LAB NO.
STATION NO.
STATION LOCATION i:. '
r,
DATE
' SAMPLED
TINE
SAMPLED
NUMBER
4'OF
CONTAINERS
4- �5
M�
U
031, VZArt
t2 27
559
_ 2
Relin visit d b (sigh ue);
Datel,201
Time Received by ignature): �
--
D C
Time
r by f.tiignatule):
bate
Time R eeived b signature):
OaI6
Tinle
--------� -
Method ofShipmCm (circle uric): titn;c l;uuriLl i"MlLe;,0 E.A}uc.:r !"
Scaled by:
Security Type and Co B cn 6y: ditions: a� 1 C�L, �� L h.e ,
4
■%JrD AT AUnDA rrkDV "Alw it V VTIC-r' \IW _ lI. ti-it„Iv
- LAB NUMBERS
FROM THROUGH
NUMBER
BOT-I'LES
ANALYSES
REQUESTED
REUNQUISHEll
BY:
12BCElV1 D --�
BY:
—DATL
IMF
L I55
F 155(e
3
C,1
s
3- ►3 l z
(�
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J�r/}r.!�'1.� ���: _
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J 4�v
QMFormst5ample Receivingll form WQ
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