WQ0004122_Monitoring - 03-2020_20200511

f
GW-59A COMPLIANCE REPORT FORM Permit #A"-=412Z
(Submit one each monitoring period with GW-59 forrns.)
1
Enter date monitoring results were due. ( ) Will this monitoring report (GW-59 and GW-59A)
YES
be submitted after the established due date?
2
Was any required information missing on the GW-59 report forms?
YES
IF the answer to question 1 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
identification plate, area overgrown, etc.)? If the answer is "Yes", contact the Regional Office for guidance.
4
Are any monitored constituents equal to or above the established standards?
YES
If the answer to question 4 is "NO", skip to sec ((��..yy
"YES" list the dd�Cvells individually with constitus) cotaption(s)
If the answer to question 4 is
exceeding standards in the space provided below-
9 202� o
Mp, 12 �a
5
For the constituents identified in question 4 above, have standards been exceededAr.eviously for4he
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, concentrations) reported, and sample collection date for each occurrence (for the last two years).
6
Are the monitoring wells listed in section 5 located at or beyond the review boundary?
YES
NO
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.
8
The person completing this portion (GW-59A) of the monitoring report should sign below and submit this
form with GW-59 forms for required wells to the address provided at the top of the current GW-59 form.
I hereby acknowledge that the above information was evaluated and the information submitted in this
report (Compliance Report GW-59A) is true and complete to the best of my knowledge.
/� �-- tl�1-4, c 4aq /40
Signature of Permittee (or Authorized Agent) Date
GW-59A 12/8/2003

SUBMIT FORM ON YELLOW PAPER ONLY
• •
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OFWATER OUALITYdNFORMATION'PROCESSING UNIT
COMPLIANCE REPORT FORM
•
1617
MAIL SERVICE CENTER, RALEIGH, NC27699-1617 ;Phone:[phone] '
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: WQ0004122 Expiration Date: June 2020
Facility Name: Jordan Lake State Recreational Area
Non -Discharge UIC June 2020
Permit Name (if different):
NPDES Other
Facility Address: 280 State Parks Road
TYPE OF PERMITTED OPERATION BEING MONITORED
Apex NC
27523
County Chatham
❑ Lagoon ❑ Remediation: Infiltration Gallery
Spray Field ❑ Remediation:
Contact Person: William Baker
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Poplar Point
No. of wells to be sampled: 7
❑ Water Source Heat Pump ❑ Other:
(from Permit)
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-1
Date sample collected: 03/18/2020
FIELD ANALYSES:
WAS
Well Depth: 22.8 ft.
Well Diameter: 2 in.
pH 0040o: 4.63 units Temp. 000lo: 15.2 °C
DRY at
Depth to Water Level 82546: 187.2 ft. below measuring point
Screened Interval: ft. to
ft.
Spec. Cond. 96484= µMhos
time of
sampling,
Measuring Point is 2•5 ft. above land surface
Relative M.P. Elevation: ft.
Odor 00085:
check
Volume of water pumped/bailed before sampling:
3.0
gallons
Appearance
here:❑
Samples for metals were collected unfiltered: ❑ YES (]
NO and field acidified: ❑ YES ■❑ NO
LABORATORY INFORMATION
Date sample analyzed: 03118-04/08/2020
Laboratory Name: Cameron Testing Services
Certification No. #654/591
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N oo615
rmg/L
Pb - Lead o1o51 ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 <0.050
mg/L
Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL Phosphorus: Total as P 00665
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 90.0
mg/L
Al -Aluminum o11o5
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 00680 1.71
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 3.45
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total o1o34
ug/L
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron 01045
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg/L
Hg - Mercury 71900
ug/L
Lab Report Attached? ❑■ Yes (1) ❑ No (0)
pecific Conductance 00095
µMhos
K - Potassium 00937
mg/L
VOC 78732: method # 8260D
Total Ammonia 00610 <0.100
mg/L
Mg - Magnesium 00927
mg/L
method #
(Ammonia Nitrogen. NH3as N. Ammonia Nitrogen, Total)
Mn - Manganese 01055
ug/L
, method #
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
William Baker, Authorized Agent 09,c
Perrnittee (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev.2/2010

SUBMIT FORM ON YELLOW PAPER ONLY
e •
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OF WATER QUAU7Y4NFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
e e e
e 1617 MAIL SERVICE CENTER, RALEIGH, NC 27699 1 -1617 'Phone. [phone],
FACILITY INFORMATION
Please Print Clearty or Type
PERMIT Number: W00004122 Expiration Dater June 2020
Facility Name: Jordan Lake State Recreational Area
Non -Discharge UIC June 2020
Permit Name (if different):
NPDES Other
Facility Address: 280 State Parks Road
TYPE OF PERMITTED OPERATION BEING MONITORED
Apex NC
27523
County Chatham
❑ Lagoon ❑ Remediation: Infiltration Gallery
❑■ Spray Field ❑ Remediation:
Contact Person: William Baker
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Poplar Point
No. of wells to be sampled: 7
❑ Water Source Heat Pump ❑ Other:
(from Permit)
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-2
Date sample collected: 03/17/2020
FIELD ANALYSES:
WAS
Well Depth: 22.1 ft.
Well Diameter: 2 in.
pH 00400: 6.01 units Temp. 000lo: 14.1 °C
DRY at
Depth to Water Level 82546: 4.3 ft. below measuring point
Screened Interval: ft. to
_ft.
Spec. Cond. 809e4µMhos
time ofsampling,
Measuring Point is 2-5 ft. above land surface
Relative M.P. Elevation: ft.
Odor 000m:
check
Volume of water pumped/bailed before sampling:
9.0
gallons
Appearance
here: ❑
Samples for metals were collected unfiltered: ❑ YES ❑■
NO and field acidified: ❑ YES ■❑ NO
LABORATORY INFORMATION
Date sample analyzed: 03117-04/08/2020
Laboratory Name: Cameron Testing Services
Certification No. #654/591
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N oo615
mg/L
Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 <0.050
mg/L
Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL Phosphorus: Total as P 00665
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 468
mg/L
Al -Aluminum o11o5
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 00680 9.90
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 60.1
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total 01034
ug/L
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron 01045
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg/L
Hg - Mercury 71900
ug/L
Lab Report Attached? K Yes (1) ❑ No (0)
Specific Conductance 00095
µMhos
K - Potassium 00937
mg/L
VOC 78732: method # 8260D
Total Ammonia oo610 <0.100
mg/L
Mg - Magnesium 00927
mg/L
method #
(Ammonia Nitrogen. NH3as N. Ammonia Nitrogen, Total)
Mn - Manganese 01055
ug/L
, method #
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
William Baker, Authorized Agent ORL
Permittee (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev.2/2010

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
FACILITY INFORMATION Please Print Clearly or Type
Facility Name: Jordan Lake State Recreational Area
Permit Name (if different):
Facility Address: 280 State Parks Road
(Apex NC 27523
act Person: William Baker
Location/Site Name:
Poplar Point
County Chatham
Telephone#: [phone]
No. of wells to be sampled: 7
:)N C
tCES
SING UNITr
PERMIT Number: WQ0004122 Expiration Date: June 2020
Non -Discharge UIC June 2020
NPDES Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
K Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
WELL ID NUMBER (from Permit): MW-3 Date sample collected: 03/17/2020
Well Depth: 36 ft. Well Diameter: 2 in.
Depth to Water Level 82546: 14.7 ft. below measuring point Screened Interval: ft. to ft.
Measuring Point is 3.0 ft. above land surface Relative M.P. Elevation: ft.
Volume of water pumped/bailed before sampling: 9.50 gallons
Samples for metals were collected unfiltered: ❑ YES 0 NO and field acidified: ❑ YES ■❑ NO
LABORATORY INFORMATION
Date sample analyzed: 03117-04/08/2020 Laboratory Name: Cameron Testing Services
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
FIELD ANALYSES:
pH 0040o: 5.57 units
Spec. Cond. 00e94a
Odor 00085:
Appearance
Temp. 000lo: 15.1 °C
uMhos
Certification No. #654/591
If WELL
DRY at
time of
sampling,
here: ❑
COD 00335
mg/L
Nitrite (NO2) as N 00615
mg/L
Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616
<1
/100mL
Nitrate (NO3) as N 00620
<0.050 mg/L
Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
Dissolved Solids:Total 70300
791
mg/L
Al -Aluminum 01105
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 00680
2.77
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940
4.93
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total 01034
ug/L
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron 01045
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg/L
Hg - Mercury 71900
ug/L
Lab Report Attached? ❑■ Yes (1) ❑ No (0)
Specific Conductance 00095
µMhos
K - Potassium 00937
mg/L
VOC 78732: method # 8260D
Total Ammonia 00610
<0.100
mg/L
Mg - Magnesium 00927
mg/L
method #
(Ammonia Nitrogen, NH3as N. Ammonia Nitrogen, Total)
Mn - Manganese 01055
ug/L
, method #
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
William Baker, Authorized Agent OP-C.
Permittee (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev.2/2010

SUBMIT FORM ON YELLOW PAPER ONLY
• .
. DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OF WATER QUALITY-iNFORMATiONPROCESSING UNIT,
COMPLIANCE REPORT FORM
1>i17MAIL SERVICE CENTER, RALEIGH,NC27699-1617 Phone* [phone]
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: WQ0004122 Expiration Date: June 2020
Facility Name: Jordan Lake State Recreational Area
Non -Discharge UIC June 2020
Permit Name (if different):
NPDES Other
Facility Address: 280 State Parks Road
TYPE
OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
Apex NC 27523 County Chatham
0 Spray Field ❑ Remediation:
Contact Person: William Baker
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Poplar Point
No. of wells to be sampled: 7
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-4
Date sample collected: 03/17/2020
FIELD ANALYSES:
WAS
Well Depth: 53 ft.
Well Diameter: 2 in.
pH 00400: 6.76 units Temp. 000lo: 15.7 °C
DRY at
Depth to Water Level 82546: 28.2 ft. below measuring
point
Screened Interval: ft. to
_ft.
Spec. Cond. aooa¢ µMhos
time ofsampling,
Measuring Point is 3.0 ft. above land surface
Relative M.P. Elevation: ft.
Odor 00085:
check
Volume of water pumped/bailed before sampling:
4.0
gallons
Appearance
here: ❑
Samples for metals were collected unfiltered: ❑
YES ❑■
NO and field acidified: ❑ YES NO
LABORATORY INFORMATION
Date sample analyzed: 03/17-04108/2020
Laboratory Name: Cameron Testing Services
Certification No. #654/591
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NOZ) as N 00615
mg/L
Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 <0.050
mg/L
Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL Phosphorus: Total as P 00665
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 423
mg/L
Al -Aluminum 01105
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC oo68o 2.59
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 101
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total 01034
ug/L
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron 01045
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg/L
Hg - Mercury 71900
ug/L
Lab Report Attached? ❑■ Yes (1) ❑ No (0)
pecific Conductance 00095
µMhos
K - Potassium 00937
mg/L
VOC 78732: method # 8260D
Total Ammonia 00610 <0.100
mg/L
Mg - Magnesium 00927
mg/L
method #
(Ammonia Nitrogen. NH,as N: Ammonia Nitrogen, Total)
Mn - Manganese 01055
ug/L
, method #
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
William Baker, Authorized Agent ORC.
Permittee (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev.2/2010

SUBMIT FORM ON YELLOW PAPER ONLY
ROUNDWATER QUALITY MONITORING:
OMPLIANCE REPORT FORM
FACILITY INFORMATION Please Print Clearly or Type
Facility Name: Jordan Lake State Recreational Area
Permit Name (if different):
Facility Address: 280 State Parks Road
(Apex NC 27523
.. ?St�lei ......
IContact Person: William Baker
Well Location/Site Name: Poplar Point
L ID NUMBER (from Permit): MW-5
Depth: 50 ft.
1 to Water Level 82546: 38.9 ft. below measuring point
Turing Point is 3.0 ft. above land surface
ne of water pumped/bailed before sampling: 2.0
)les for metals were collected unfiltered: ❑ YES FE
County Chatham
Telephone#: [phone]
No. of wells to be sampled: 7
Date sample collected: 03/181202C
Well Diameter: 2 in.
Screened Interval: ft.
Relative M.P. Elevation:
gallons
NO and field acidified: ❑ YES
NIT
no• (pi01 7:243997
ERMIT Number: W00004122 Expiration Date: June 2020
on -Discharge UIC June 2020
PDES Other
YPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
* Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
to _ ft.
ft.
NO
FIELD ANALYSES:
pH 00400: 6.08 units
Spec. Cond. eooa¢
Odor 00085:
Appearance
Temp. 00010: 15.1 °C
uMhos
If WELL
DRY at I
time of
sampling,
Date sample analyzed: 03/18-04/08/2020
Laboratory Name:
Cameron Testing Services
Certification No. #654/591
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615
mg/L
Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620
<0.050 mg/L
Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 201
mg/L
Al -Aluminum 01105
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 00680 <1.00
mg/L
Ca - Calcium o0916
mg/L
Chloride 00940 17.7
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total 01034
ug/L
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron 01045
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg/L
Hg - Mercury 71900
ug/L
Lab Report Attached? ❑S Yes (1) ❑ No (0)
Specific Conductance 00095
µMhos
K - Potassium 00937
mg/L
VOC 78732: method # 8260D
Total Ammonia 00610 <0.100
mg/L
Mg - Magnesium 00927
mg/L
method #
(Ammonia Nitrogen, NH3asN. Ammonia Nitrogen, Total)
Mn - Manganese 01055
ug/L
, method #
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
(Date)
Of
GW-59 Rev.2/2010

SUBMIT FORM ON YELLOW PAPER ONLY
. 0 .
. DEPARTMENT OF:ENVIRONMENT& NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DMSIONOFWATER QUAL1TY-tNFORMATIONPROCESSINGUNIT
COMPLIANCE REPORT FORM
1617MAILSERVICECENTEF4RAt�c3t4,NC27i" 61T.".Phone: Pill) 7s3-s221':;"_
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: W00004122 Expiration Date: June 2020
Facility Name: Jordan Lake State Recreational Area
Non -Discharge UIC June 2020
Permit Name (if different):
NPDES Other
Facility Address: 280 State Parks Road
TYPE OF PERMITTED OPERATION BEING MONITORED
Apex " NC
27523
County Chatham
❑ Lagoon ❑ Remediation: Infiltration Gallery
❑■ Spray Field ❑ Remediation:
Contact Person: William Baker
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Poplar Point
No. of wells to be sampled: 7
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-6
Date sample collected: 03/18/2020
FIELD ANALYSES:
WAS
Well Depth: 38 ft.
p
Well Diameter: 2 in.
pH ooaoo: 5.20 units Temp. 00010: 15.3 �C
DRY at
Depth to Water Level 82546: 26.6 ft. below measuring
point
Screened Interval: ft. to
ft.
Spec. Cond. ea984; µMhos
time of
sampling,
Measuring Point is 2•5 ft. above land surface
Relative M.P. Elevation: ft.
Odor 000a5:
check
Volume of water pumped/bailed before sampling:
6.0
gallons
Appearance
here: ❑
Samples for metals were collected unfiltered: El
YES ❑■
NO and field acidified: El YES ■❑ NO
LABORATORY INFORMATION
Date sample analyzed: 03118-04/0812020
Laboratory Name: Cameron Testing Services
Certification No. #654 / 591
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615
rng/L
Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NOD as N 00620 <0.050
mg/L
Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL Phosphorus: Total as P 00665
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 141
mg/L
All - Aluminum 01105
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 00680 2.37
mg/L
Ca - Calcium oo916
mg/L
Chloride 00940 15.3
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total 01034
ug/L
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron 01045
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg/L
Hg - Mercury 71900
ug/L
Lab Report Attached? ❑■ Yes (1) ❑ No (0)
Specific Conductance 00095
µMhos
K - Potassium 00937
mg/L
VOC 78732: method # 8260D
Total Ammonia 00610 <0.100
mg/L
Mg - Magnesium 00927
mg/L
method #
(Ammonia Nitrogen; NH3 as N, Ammonia Nitrogen, Total)
Mn - Manganese oloss
ug/L
,method #
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
William Baker, Authorized Agent
Permittee (or Authorized Agent) Name and title - Please print or type
GW-59 Rev.2/2010

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
-ility Name: Jordan Lake State Recreational Area
rmit Name (if different):
-ility Address: 280 State Parks Road
ex NC
act Person: William Baker
Location/Site Name: Poplar Point
27523
WELL ID NUMBER (from Permit): MW-7
Well Depth: 25 ft.
Depth to Water Level 82546: 20.8 ft. below measuring point
Measuring Point is 3.0 ft. above land surface
Volume of water pumped/bailed before sampling: 3.25
Samples for metals were collected unfiltered: ❑ YES C■
or Type
County Chatham
Tele phone#: [phone]
No. of wells to be sampled: 7
Date sample collected: 03/18/2020
Well Diameter: 3 in.
Screened Interval: ft.
Relative M.P. Elevation:
gallons
PERMIT Number: WQ0004122 Expiration Date: June 2020
Non -Discharge UIC June 2020
NPDES Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
❑■ Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
to _ ft.
ft.
NO and field acidified: ❑ YES ■❑ NO
Date sample analyzed: 03/18-04/0812020
Laboratory Name:
Cameron Testing Services
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615
mg/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620
<0.050 mg/L
Coliform: IMF Total 31504
/100mL
Phosphorus: Total as P 00665
mg/L
(Note. Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L
issolved Solids:Total 70300 176
mg/L
Al -Aluminum 01105
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC oo68o 1.17
mg/L
Ca - Calcium oo916
mg/L
Chloride 00940 6.90
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total 01034
ug/L
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg/L
Phenol 32730
ug/L
Fe - Iron 01045
ug/L
Sulfate 00945
mg/L
Hg - Mercury 71900
ug/L
pecific Conductance 00095
µMhos
K - Potassium 00937
mg/L
Total Ammonia oo610 <0.100
mg/L
Mg - Magnesium 00927
mg/L
(Ammonia Nitrogen, NH3asN. Ammonia Nitrogen, Total)
Mn - Manganese o1o55
ug/L
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L
FIELD ANALYSES:
pH 00400: 5.94 units
Spec. Cond. 00094;
Odor 00085:
Appearance
Temp. 000lo: 15.2 °C
uMhos
Certification No. #654 / 591
Pb - Lead o1o51 ug/L
Zn - Zinc 01092 mg/L
Other (Specify Compounds and Concentration Units):
ORGANICS: (by GC, GC/MS, HPLC)
(Specify test and method #. ATTACH LAB REPORT.)
Lab Report Attached? ❑■ Yes (1) ❑ No (0)
VOC 78732: method # 8260D
method #
method #
method #
If WELL
WAS
DRY at
time of
sampling,
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
Agent)
(Date)
here: ❑ I
GW-59 Rev.212010

Cameron Testing Services, Inc. Laboratory Report
Client: Jordan Lake SRA CTS Proj. 2003-125
Project: March 2020 Poplar Point MWs Regulatory Yes
Sample Information
Sampled C. Cameron Date 03/17-18/20 Received M. Sims
Analyses and Results
Mn
x a s r y m
Lab ID Sample ID U Analyte Result -EJ a o
2003-125 01 MW-2 GW Gr Chloride 60.1 mg/L 0.01 03/23/20
TDS 468 mg/L 25 03/18/20
N-NH3 <0.100 mg/L o.1 03/20/20
N-NO3 <0.050 mg/L o.05 03/23/20
Fec. Coliform-W <1 CFU 1 03/17/20
/100mL
TOC 9.90 mg/L 1 04/08/20
02 MW-3 GW Gr Chloride
4.93
mg/L
0.01
03/23/20
TDS
791
mg/L
25
03/18/20
N-NH3
<0.100
mg/L
o.1
03/20/20
N-NO3
<0.050
mg/L
0.05
03/23/20
Fec. Coliform-W
<1
CFU
1
03/17/20
/100mL
TOC
2.77
mg/L
1
04/08/20
03 MW-4 GW Gr Chloride
101
mg/L
0.01
03/23/20
TDS
423
mg/L
25
03/18/20
N-NH3
<0.100
mg/L
0.1
03/20/20
N-NO3
<0.050
mg/L
0.05
03/23/20
Fec. Coliform-W
<1
CFU
1
03/17/20
/1 OOmL
TOC
2.59
mg/L
1
04/08/20
219 S. Steele Str.
Sanford NC 27330
NC DENR #654
NC PHHS #37799
US EPA#NC01918
Page 1 of 3
Date 03/17-18/20
L
Std. Methods
Reference
CY
4500 Cl- D
2540 C - TDS
4500 NH3 - D
4500 NO3 - E
9222 D - MF
5310 B2000
4500 Cl- D
2540 C - TDS
4500 NH3 - D
4500 NO3 - E
9222 D - MF
5310 B2000
4500 Cl- D
2540 C - TDS
4500 NH3 - D
4500 NO3 - E
9222 D - MF
5310 B2000
919-721-4067
919-208-4240
[e-mail]

Cameron Testing Services, Inc. Laboratory Report
NC DENR #654
NC PHHS #37799
US EPA #NC01918
Client:
Jordan Lake SRA CTS Proj.
2003-125
Page 1 of 3
Project:
March 2020 Poplar Point MWs Regulatory
Yes
Sample Information
Sampled
C. Cameron Date 03/17-18/20 Received
M. Sims
Date03/17-18/20
Analyses and Results
Lab ID
x a s
Sample ID v Analyte Result
y
?
CL = T}
o
w-' Std. Methods
Reference
a
C7
2003-125 04
MW-6 GW Gr Chloride 15.3
mg/L
0.01 03/23/20
4500 Cl- D
TDS 141
mg/L
25 03/18/20
2540 C - TDS
N-NH3 <0.100
mg/L
0.1 03/20/20
4500 NH3 - D
N-NO3 <0.050
mg/L
0.05 03/23/20
4500 NO3 - E
Fec. Coliform-W <1
CFU
1 03/18/20
9222 D - MF
/100m L
TOC 2.37
mg/L
1 04/08/20
5310 62000
05 MW-5 GW Gr Chloride
17.7
mg/L
0.01
03/23/20
4500 Cl- D
TDS
201
mg/L
25
03/18/20
2540 C - TDS
N-NH3
<0.100
mg/L
0.1
03/20/20
4500 NH3 - D
N-NO3
<0.050
mg/L
0.05
03/23/20
4500 NO3 - E
Fec. Coliform-W
<1
CFU
1
03/18/20
9222 D - MF
/100m L
TOC
<1.00
mg/L
1
04/08/20
5310 B2000
06 MW-7 GW Gr Chloride
6.90
mg/L
0.01
03/23/20
4500 Cl- D
TDS
176
mg/L
25
03/18/20
2540 C - TDS
N-NH3
<0.100
mg/L
01
03/20/20
4500 NH3 - D
N-NO3
<0.050
mg/L
0.05
03/23/20
4500 NO3 - E
Fec. Coliform-W
<1
CFU
1
03/18/20
9222 D - MF
/100mL
TOC
1.17
mg/L
1
04/08/20
5310 B2000
919-721-4067
219 S. Steele Str. 919-208-4240
Sanford NC 27330 chrisocamerontesting.com

Cameron Testing Services, Inc. Laboratory Report
Client:
Jordan Lake SRA CTS Proj.
2003-125
Project:
March 2020 Poplar Point MWs Regulatory
Yes
Sample Information
Sampled
C. Cameron Date 03/17-18/20 Received
M. Sims
Analyses and Results
Mn
Lab ID
x a n
Sample ID U Analyte Result
j
CL = H m
o
Q
2003-125 07
MW-1 Gam' Gr Chloride 3.45
mg/L
0.01 03/23/20
TDS 90
mg/L
25 03/18/20
N-NH3 <0.100
mg/L
0.1 03/20/20
N-NO3 <0.050
mg/L
0.05 03/23/20
Fec. Coliform-W <1
CFU
1 03/18/20
/100m L
TOC 1.71
mg/L
1 04/08/20
Report �.�
Review
Project Manager
NC DENR #654
NC PHHS #37799
US EPA #NC01918
Page 1 of 3
Date 03/17-18/20
w Std. Methods
Reference
4500 Cl- D
2540 C - TDS
4500 NH3 - D
4500 NO3 - E
9222 D - MF
5310 B2000
© {l / 5---
Date
919-721-4067
219 S. Steele Str. 919-208-4240
Sanford NC 27330 [e-mail]