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HomeMy WebLinkAboutWQ0007144_Monitoring - 03-2020_20200428GW-59A COMPLIANCE REPORT FORM Permit # lti oco 7/ 4q� (Suhntit one each monitoring period with GIV-59 forms.) I Enter date monitoring results were due. ( U) Will this monitoring report (GW-59 and GW-59A) YES NO be submitted after the established due date? 2 Was any required information missing on the GW-59 report forms? YES N IF the answer to question I or 2 is "YES', list in the space provided below the well identification number(s) and explain the problems encountered in obtaining the required information. 3 Are any of the monitor wells in need of repair or maintenance (damaged casing, unlocked or missing cap, missing YES NO identification plate, area overgrown, etc.)? lfthe an.nver is "Yes", contact the Regional Ofce for guidance. 4 Are any monitored constituents equal to or above the established standards? YYW NO If the answer to question 4 is "NO" skip to section 8. If the answer to question 4 is "YES" list the affected wells individually with constituents) and concentration(s) exceeding standards in the space provided below: 4akv fH wEcC # 5 So7 �o � PN w 4 o Ptl wc-zc G -1-, a z[c . g S'S'G 1.oF PH "v&x 17 6,ol 5 For the constituents identified in question 4 above, have standards been exceeded previously for the YES NO same constituent(s) in the same well(s) in the last two years? If the answer to question 5 is "NO', skip to section 8. If the answer to question 5 is "YES" list in the space provided below, each well with constituent(s) exceeding standards, concentration reported, � sam ple collection date for each occurrence (for the last two years). # h�) Woe z.a �.. 7//// 9 / wit N 7 Aow PR Sr i l//'7/ / i wtu k (ow m Sio /I/`l /9 6 Are the monitoring wells listed in section 5 located at or beyond the review boundary? YES N If the answer is "YES", a groundwater quality problem may be occurring. CONTACT THE REGIONAL OFFICE IMMEDIATELY FOR GUIDANCE. If the answer is "NO" monitoring wells may be improperly located; contact the Regional Office, 7 Is the permittee implementing previously approved actions required by the Division involving this YES NO groundwater quality problem? If the answer to question 7 is "YES', describe those actions in the space provided below. If the answer to question 7 is. "NO". contact the Regional Office within 90 days: an evaluation may be required to determine the impact the waste disposal system is having at the review and compliance boundaries surrounding this facility. Failure to do so may subject the permittee to a Notice of Violation, fines, and/or penalties. (0/NM C%E1) sn?/9 %�/ G'd" t^"/t// j%/& i�FU7lfly tol✓ offIce 61-0 KtPPoPftj) Lot.✓ M orV&A4 AI t 0-&l L r 1-/`7/� o 8 The person completing this portion (GW-59A) of the monitoring report should sign below and submit this form with GW-59 forms for required wells to the address provided at the top of the current G W-59 form. I hereby acknowledge that the above information was evaluated and the information submitted in this ' report (Compliance Report G//''W-59A)is true and .complete to the best of my knowledge. qcz arc,/ A( -g7-,;2v Signature of Permittee (or Authorized Agent) Date II GW-59A 12/8/2003 SUBMIT FORM ON YR LOW PAPER ONLY TER QUALITY MONITORING: E REPORT FORM Name: Camp Seafarer Name (if different): YMCA of the Triangle Area, INC. Address: 2744 Seafarer Rd shoe NC 28510 County Pamlico act Person: Mike Askew _Telephone#:252-249-1111 Location/Site Name: Spray Field 3 No. of wells to be sampled: 5 P INFORMATION �) L ID NUMBER (from Permit): ID N WEII 5 Date sample collected: Zco f�I sample analyzed ` 'AMETERS NOTE: Values should reflect dissoly COD mg/I Coliform: MF Fecal f /100mi Coliform: MF Total /100ml (Note: Use MPN method for highly Nrbld samples) Dissolved Solids: Total mg/I pH (when analyzed) �•'7 units TOC mg/I Chloride mg/I Arsenic mg/I Grease and Oils mg/I Phenol mg/I Sulfate mg/I Specific Conductance µMhos Total Ammonia tl, mg/I (Ammonia Nitrogen; NHsas N; Ammonia Nitrogen, Total) TKN as N mg/I Laboratory Name: Environment 1, Inc. colloidal concentrations. Nitrite (NO,) as N mg/I Nitrate (NO3) as N < 0 . O mg/I Phosphorus: Total as P C°, D �f-, mg/I Orthophosphate mg/I AI - Aluminum mg/I Ba- Barium_ mg/I Ca - Calcium mg/I Cd- Cadmium mg/I Chromium: Total mg/I Cu - Copper mg/I Fe - Iron rill - Mercury mg/I K- Potassium mg/I Mg - Magnesium mg/I Min - Manganese mg/I Ni- Nickel mg/I For Remediation Systems Only (Attach Lab Reports): InFluent Total VOCs: Mike Askew, Director of Facilities and Boating Operations Permittee (or AuNonzed Agent) Name antl Title -Please pant or type GW-59 Rev. 112007 \RTMENT OF ENVIRONMENT 6 NATURAL RESOURCES .ION OF WATER QUALITY -INFORMATION PROCESSING UNIT MAIL SERVICE CENTER, RALEIGH, NC 27699A6'17'-Phone: I 1: Date: n-Discharge UIC DES Other PE OF PERMITTED OPERATION BEING MONITORED ❑ Lagoon ❑ Remediation: Infiltration Gallery ® Spray Field ❑ Remediation: ❑ Rotary Distributor ❑ Land Application of Sludge ❑ Water Source Heat Pump ❑ Other: FIEL tD-'ANALYSES: pH I, O r% units qq Temp. 13e I °C Spec. Cond. 1�}-. 3 % µMhos odor Appearance ReniJ`�f _ Certification No. Pb -Lead mg/I Zn-Zinc mg/I Other (Speciiy Compounds and Concentration Units): ORGANICS: (by GC, GC/INS, HPLC) (Specify test and method #, ATTACH LP,B REPORT.) Report Attached? ❑ Yes (1) ❑ No (0) VOC method# method # method # method # mg/L Effluent Total CS: mg/L vOC Removal/a StIRMIT FORM ON YELLOW PAPER ONLY ROUNDWATER QUALITY MONITORING: OMPLIANCE REPORT FORM Name: Camp Seafarer Name (if different): YMCA of the Address: 2744 Seafarer Rd 28510 county Pamlico act Person: Mike Askew _ Telephone#:252-249-1111 Location/Site Name: Spray Field 3 No. of wells to be sampled: 5 P INFORMATION � L D NUMBER (from Permit): Well 6 Date sample collected: Il b / Depth: 20 ft. Well Diameter: 2 in. h,to Water Levels C ft. below measuring point Screened Interval: 10 ft. to 20 ft. surfing Point is 2.75 ft. above land surface Relative M.P. Elevation: 20.2 ft. me of water pumped/bailed before sampling: %U gallons ples for metals were collected unfiltered: EYES El NO and field acidified: ❑ YES ❑ NO IO ORATORY INFORMATN sample analyzed: 3//��aG Laboratory Name: Environment 1, Inc. AMETERS NOTE: Values should reflect dissolved and colloidal concentrations. COD moll Nitrite (NO2) as N moll Coliform: ME Fecal 36 /100ml Nitrate (NO3) as N < r0, c moll Coliform: MF Total /100ml Phosphorus: Total as P r mg/I (Nola: Use MPN method for highly turbid samples) Orthophosphate mg/I Dissolved Solids: Total ZOO mg/I AI -Aluminum mg/I pH (when analyzed) S d units Be - Barium mg/I TOC mg/I Ca - Calcium mg/I Chloride .1T mg/I Cd - Cadmium mg/I Arsenic moll Chromium: Total mg/I Grease and Oils mg/I Cu - Copper mg/I Phenol mg/I Fe - Iron mg/I Sulfate moll Hg-Mercury mg/I Specific Conductance µMhos K- Potassium mg/1 Total Ammonia ©° O f mg/I Mg - Magnesium mg/I (Ammonia Nitrogen; NH3aa N; Ammonia Nitrogen, Total) Mn - Manganese mg/I TKN as N moll Ni - Nickel mg/I ID N Far Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: W 'ARTMENT OF. ENVIRONM ENT & NATURAL RESOURCES ISION.OFWATER QUAUTY•INFORMATION PROCESSING UNIT 7 MAIL SERVICE CENTER; RALEIGH; NC27699-1617' Phone: (919) 7333221 RMIT Numbetl�o'o 7%�T'Expiration Date: OG-30- n-Discharge UIC DES Other 'PE OF PERMITTED OPERATION BEING MONITORED ❑ Lagoon ElRemediation: Infiltration Gallery ® Spray Field ❑ Remediation: ❑ Rotary Distributor ❑ Land Application of Sludge ❑ star Source Heat Pump ElOther: FIELD FlN/ALYSES: B vvt�a pH units Temp. !T' r< °C DRY at G µMhos time of Spec. Cond. samplin Odor check Appearance CLti✓p Ihere:r- Certification No. Pb -Lead mg/I Zlt-Zinc moll Other (Specify Compounds and Concentration Units): ORGANICS: (by GC, GC/Iv7S, HPLC) (Specify test and method #. ATTACH LAB REPORT.) Report Attached? ❑ Yes (1) ❑ No (0) VOC method # method # method # method # tmuen[ local vlris: Mike Askew, Director of Facilities and Boating Operations � �//g � v � (�.�� � � �- Pertnittee (or Authorized Agent) Name and Title -Please pfint or type Signature d�P'ermittee (or Au tl Agent) (Date) GW-59 Rev. 112007 SUBMIT FORM ON YEI I OW PAPER ONLY :R QUALITY MONITORING: REPORTFORM Name: Camp Seafarer Name (if different): YMCA of the Triangle Area, INC. Address: 2744 Seafarer Rd 28510 County Pamlico act Person: Mike Askew _ Telephone#:252-249-1111 Location/Site Name: Spray Field 2 No. of wells to be sampled: OF ENVIRONM ENT S, NATURAL ',RMIT Number" I I4 rr Expiration Date: n-Discharge UIC DES Other 'PE OF PERMITTED OPERATION BEING MONITORED ❑ Lagoon ❑ Remediation: Infiltration Gallery © Spray Field ❑ Remediation: ❑ Rotary Distributor ❑ Land Application of Sludge ❑ Water Source Heat Pump ❑ Other: PLING INFORMATION L ID NUMBER (from Permit): Well 7 Date sample collected: 3/iaLz11W FIELD ANALYSES: 15.7 Depth: 12 g Well Diameter: 2 in. pH Ce o l( units Temp. °C h h to Water Level: 7:� 6 ft. below measuring point Screened Interval: 2 ft. to 12 ft. Spec. Cond. � 76 µMhos Turing Point is 1 ft. above land surface Relative M.P. Elevation: 25.8 ft, Odor F"GNL I me of water pumped/bailed before sampling: /o gallons Appearance CL[y�.Jt ples for metals were collected unfiltered: ❑YES ❑ NO and field acidified: OYES ❑ NO ORATORY INFORMATION sample analyzed: 3/«/sio Laboratory Name: Environment 1, Inc. Certification No. AMETERS NOTE: Values should reflect dissolved and colloidal concentrations. COD mg/I Nitrite (NO2) as N mg/I Pb - Lead mg/I Coliform: MF Fecal � r /100ml Nitrate (NO3) as N G G. U mg/I Zn -Zinc mg/I Coliform: MF Total /100ml Phosphorus: Total as P < o4 g' mg/I (Note: Use MPN method for highly turbid samples) Orthophosphate mg/l Other (Specify Compounds and Concentration Units): Dissolved Solids: Total 6 f mg/I AI -Aluminum mg/I PH (when analyzed) so � units Be - Barium mg/I TOO mg/I Ca - Calcium mg/l Chloride 3 i mg/I Cd - Cadmium mg/I Arsenic mg/I Chromium: Total mg/I Grease and Oils mg/I Cu - Copper mg/I ORGANICS: (by GC, GC/MS, HPLC) Phenol mg/I Fe - Iron mg/I (Specify test and method #. ATTACH LAB REPORT.) Sulfate mg/I Hg - Mercury mg/I Report Attached? ❑ Yes (1) ❑ No (0) Specific Conductance µMhos K- Potassium mg/I VOC method # Total Ammonia G 00 'Of- mg/I Mg - Magnesium mg/I , method # (Ammonia Nitrogen; NHaas N; Ammonia Nitrogen, Total) Mn - Manganese mg/I method # _ TKN as N mg/I Ni - Nickel mg/I method # For Remediation Systems Only (Attach Lab GW-59 Rev. f12007 at of VOC Removal CI IRMIT PnRM ON YR I OW PAPER ONLY OUNDWATER QUALITY MONITORING: MPLIANCE REPORT FORM Name: Camp Seafarer Name (if different): YMCA of the Triangle Area, INC. Address: 2744 Seafarer Rd County Plico am act Person: Mike Askew _ Telephone#:252-249-1111 Location/Site Name: Spray Field 2 No. of wells to be sampled: P ID N INFORMATION ,v L ID NUMBER (from Permit): Well S Date sample collected: 3/'0/a Depth: 12 ft, Well Diameter. 2 in. h to Water Level-ft. below measuring point Screened Interval: 2 ft. to 12 ft. curing Point is 1 ft. above land surface Relative M.P. Elevation: 15.3 ft. ne of water pumped/bailed before sampling: O1yy _gallons OF ENVIRONMENT 6 NATURAL RESOURCES ATER QUALITY•INFORMATION PROCESSING: U141T VICE.CENTER;AALEIGH,NC27699A617' Phone:. Number�DD`] %JT Expiration Date: harge UIC Other PROF PERMITTED OPERATION BEING MONITORED ❑ Lagoon ❑ Remediation: Infiltration Gallery © Spray Field ❑ Remediation: ❑ Rotary Distributor El Land Application of Sludge ❑ Water Source Heat Pump ❑ Other: FIELD ANALYSES: f � ) o pH ,r,S-units�f Temp. J C Spec. Cord. T9-� L µMhos odor No�� Appearance CLt ?RATORY INFORMATION �%� �,/ZG sample analyzed: Laboratory Name: Environment 1, Inc. Cedification No. 4METERS NOTE: Values should reflect dissolved and colloidal concentrations. COD mg/I Nitrite (NO2) as N mg/I Pb - Lead Coliform: MF Fecal /100m1 Coliform: MF Total /1 ooml (Note: Use MPN method for highly turbid samples) Dissolved Solids: Total f b mg/I pH (when analyzed) �� �] units TOC-- mg/I Chloride lJ mg/l Arsenic mg/I Grease and Oils mg/I " Phenol mg/I Sulfate mg/I Specific Conductance µMhos Total Ammonia CO. U Q' mg/l (Ammonia Nirogen; NHoas N; Ammonia Nitrogen, Total) TKN as N mg/I Nitrate (NOP) as N m9/1 Zn - Zinc Phosphorus: Total as P Qr 0 mgf Orthophosphate AI -Aluminum Ba -Barium mg/1 Ca - Calcium mg/I Cd -Cadmium mg/l Chromium: Total mg/1 Cu -Copper Fe - iron mgll Hg -Mercury mg/I K-Potassium mgll Mg - Magnesium mg/I Mn - Manganese• mg/I Ni - Nickel mg/I For Remediation Systems Only (Attach Lab Reports): InFluent Total VOCs: mg/I mg/I Other (Specify Compounds and Concentration Units) ORGANICS: (by GC, GC/MS, HPLC) (Specify test and method #. ATTACH LA8 REPORT.) Report Attached? El Yes (1) ❑ No (0) VOC ,method# method # method # method # ttrwen[ I o[a1 vacs: ttty« Mike Askew, Director of Facilities and Boating Operations � �/�> (jtO�f-u� � `��'O20 Permitted (or Authorized Agent) Name an Title- Please print or IVPe Signature�o a mittee or Aulhorzed Agent) (Date) GW-59 Rev. 112007 I■' FIELD ANALYSES: f � ) o pH ,r,S-units�f Temp. J C Spec. Cord. T9-� L µMhos odor No�� Appearance CLt ?RATORY INFORMATION �%� �,/ZG sample analyzed: Laboratory Name: Environment 1, Inc. Cedification No. 4METERS NOTE: Values should reflect dissolved and colloidal concentrations. COD mg/I Nitrite (NO2) as N mg/I Pb - Lead Coliform: MF Fecal /100m1 Coliform: MF Total /1 ooml (Note: Use MPN method for highly turbid samples) Dissolved Solids: Total f b mg/I pH (when analyzed) �� �] units TOC-- mg/I Chloride lJ mg/l Arsenic mg/I Grease and Oils mg/I " Phenol mg/I Sulfate mg/I Specific Conductance µMhos Total Ammonia CO. U Q' mg/l (Ammonia Nirogen; NHoas N; Ammonia Nitrogen, Total) TKN as N mg/I Nitrate (NOP) as N m9/1 Zn - Zinc Phosphorus: Total as P Qr 0 mgf Orthophosphate AI -Aluminum Ba -Barium mg/1 Ca - Calcium mg/I Cd -Cadmium mg/l Chromium: Total mg/1 Cu -Copper Fe - iron mgll Hg -Mercury mg/I K-Potassium mgll Mg - Magnesium mg/I Mn - Manganese• mg/I Ni - Nickel mg/I For Remediation Systems Only (Attach Lab Reports): InFluent Total VOCs: mg/I mg/I Other (Specify Compounds and Concentration Units) ORGANICS: (by GC, GC/MS, HPLC) (Specify test and method #. ATTACH LA8 REPORT.) Report Attached? El Yes (1) ❑ No (0) VOC ,method# method # method # method # ttrwen[ I o[a1 vacs: ttty« Mike Askew, Director of Facilities and Boating Operations � �/�> (jtO�f-u� � `��'O20 Permitted (or Authorized Agent) Name an Title- Please print or IVPe Signature�o a mittee or Aulhorzed Agent) (Date) GW-59 Rev. 112007 I■' TKN as N mg/I Nitrate (NOP) as N m9/1 Zn - Zinc Phosphorus: Total as P Qr 0 mgf Orthophosphate AI -Aluminum Ba -Barium mg/1 Ca - Calcium mg/I Cd -Cadmium mg/l Chromium: Total mg/1 Cu -Copper Fe - iron mgll Hg -Mercury mg/I K-Potassium mgll Mg - Magnesium mg/I Mn - Manganese• mg/I Ni - Nickel mg/I For Remediation Systems Only (Attach Lab Reports): InFluent Total VOCs: mg/I mg/I Other (Specify Compounds and Concentration Units) ORGANICS: (by GC, GC/MS, HPLC) (Specify test and method #. ATTACH LA8 REPORT.) Report Attached? El Yes (1) ❑ No (0) VOC ,method# method # method # method # ttrwen[ I o[a1 vacs: ttty« Mike Askew, Director of Facilities and Boating Operations � �/�> (jtO�f-u� � `��'O20 Permitted (or Authorized Agent) Name an Title- Please print or IVPe Signature�o a mittee or Aulhorzed Agent) (Date) GW-59 Rev. 112007 I■' Orthophosphate AI -Aluminum Ba -Barium mg/1 Ca - Calcium mg/I Cd -Cadmium mg/l Chromium: Total mg/1 Cu -Copper Fe - iron mgll Hg -Mercury mg/I K-Potassium mgll Mg - Magnesium mg/I Mn - Manganese• mg/I Ni - Nickel mg/I For Remediation Systems Only (Attach Lab Reports): InFluent Total VOCs: mg/I mg/I Other (Specify Compounds and Concentration Units) ORGANICS: (by GC, GC/MS, HPLC) (Specify test and method #. ATTACH LA8 REPORT.) Report Attached? El Yes (1) ❑ No (0) VOC ,method# method # method # method # ttrwen[ I o[a1 vacs: ttty« Mike Askew, Director of Facilities and Boating Operations � �/�> (jtO�f-u� � `��'O20 Permitted (or Authorized Agent) Name an Title- Please print or IVPe Signature�o a mittee or Aulhorzed Agent) (Date) GW-59 Rev. 112007 I■' For Remediation Systems Only (Attach Lab Reports): InFluent Total VOCs: mg/I mg/I Other (Specify Compounds and Concentration Units) ORGANICS: (by GC, GC/MS, HPLC) (Specify test and method #. ATTACH LA8 REPORT.) Report Attached? El Yes (1) ❑ No (0) VOC ,method# method # method # method # ttrwen[ I o[a1 vacs: ttty« Mike Askew, Director of Facilities and Boating Operations � �/�> (jtO�f-u� � `��'O20 Permitted (or Authorized Agent) Name an Title- Please print or IVPe Signature�o a mittee or Aulhorzed Agent) (Date) GW-59 Rev. 112007 I■' SUBMIT FORM ON YELLOW PAPER ONLY NDWATER QUALITY MONITORING: LIANCE REPORT FORM Name: Camp Seafarer Name (if different): YMCA of the Triangle Area, INC Address: 2744 Seafarer Rd NC 28510 County Pamlico nct Person: Mike Askew _Telephone#: 252-249-1212 Location/Site Name: Lagoon No. of wells to be sampled: 5 L ID NUMBER (from Permit): Well2 Depth: 20 ft. h to Water Level e254e: .*). ft. below measuring point curing Point is 1.9 ft. above land surface ne of water pumped/bailed before sampling:'7—bkr gall oles for metals were collected unfiltered: ❑ YES El NO Date sample collected: 3 �g7 a-o Well Diameter. 2 in. Screened Interval: 10 ft to 20 ft. Relative M.P. Elevation: 242 ft. IdN] LH[SVtWIVI<T uvrvr<mv.twn Date sample analyzed: / Laboratory Name: Environment 1, iNC PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. COD 00335 mg/L Nitrite (NO2) as N oosls mg/L Coliform: MF Fecal 3161s C, /100mL Nitrate (NO3) as N 00620 /� G, p mg/L Coliform: MF Total 31504 /10omL Phosphorus: Total as P 00665 0.0 g mg/L (Note: Use MPN method for highly turdid samples) Orthophosphate 70507 mg/L Dissolved Solids:Total 70300 o^�(- mg/L Al -Aluminum 01105 nri pH (Lab) 00403 C+ ( units Be - Barium 01007 ug/L TOC ooeeo ri Ca - Calcium oogls mg/L Chloride 00940 a i mg/L Cd - Cadmium 01027 uglL Arsenic 01002 ug/L Chromium: Total 01054 ug/L Grease and Oils oo5s2 mg/L Cu - Copper 01042 mg/L Phenol 32730 ug/L Fe - Iron 01045 ug/L Sulfate 00945 ni Fig - Mercury 71900 ug/L Pacific Conductance 00095 µMhos K - Potassium 00937 mg/L Total Ammonia ooslo 0404 mg/L Mg - Magnesium 00927 mg/L (Ammonia Nitrogen; Woes N: Ammonia Nitrogen, Total) Mn- Manganese 01055 ug/L TKN as N 00625 mg/L Ni - Nickel 01067 ug/L For Remediation Systems Only (Attach Lab Reports): Mike Askew, Director of Facilities and Boating Operations Permittee (or Authorized Agent) Name and Title- Please print or type GW-59 Rev. 212010 Influent Total VOCs: RMIT Number: WQ0007144 Expiration Date: 06-30-20' n-Discharge UIC DES Other 'PE OF PERMITTED OPERATION BEING MONITORED Lagoon ElRemediation: Infiltration Gallery ❑ Spray Field ❑ Remediation: ❑ Rotary Distributor ❑ Land Application of Sludge ❑ ❑ Water Source Heat Pump Other. FIELD ANALYSES: vv.va pH o0400: `7 a1-3 units Temp. o0o10 . Jt-� °C DRY at Mhos time of Spec. Cond. 00094: z,Z,j� µ samplin Odor Appe 00085: check arance here:r Certification No. Pb -Lead o1o51 ug/L Zn-Zinc01092 mg/L Other (Specify Compounds and Concentration Units): ORGANICS: (by GC, GC/MS, HPLC) - (Specify test and method #. ATTACH LAB REPORT.) Lab Report Attached? ElYes (1) ElNo (0) VOC 73732: , method # method # method # method # tmuent I oral wus: mgfL \L l�lS4LT[�t-lYA