WQ0000265_Monitoring - 11-2021_20211229

Monitoring Report Submittal
Permit Number #*
Name of Facility:*
Month: * November
Report Information
WQ0000265
Washington Correctional Center WWTF
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
G W-59
Confirmation Email Address:*
Name of Submitter: *
Signature:
Date of submittal:
Initial Review
Year:* 2021
Upload Document*
Nov 21 NDMR, NDAR-1.pdf 2.72MB
PDF Only
Nov 21 GW-59s.pdf 3.54MB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-7, NDAR-2, NDMLR, GW-59).
[e-mail]
Brian Doliber
oe�el
12/29/2021
This will be filled in automatically

Reviewer: Zhong, Vivien
Is the project number correct?* WQ0000265
Is the monitoring report accepted?* Yes No
Regional Office* Washington
Accepted Date:
1 /31 /2022

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page ( of i�'
Permit Nn.: WQ0000265
Facility Name: Washington Correctional Center WIN7F
County: Washington
Month: November Year: 2021
PPI:
Flow Measuring Point: Influent ❑ Effluent ❑ No now generated
Parameter Monitoring Point: ❑ Inffuent [] Effluent ❑ Groundwater Lowering ❑ Surface Water
Parameter Cade 1W
50060
00310
00610
00940
00665
00400
00530
31616
00615
00626
00600
70300
50060
00630
m
i�
a`E
o
E
p
O
1°
E
a
a
v
a
a
m
m
a a
to
4)
U
_ e
o z
c
z
oo ro_a5
w`c
_nm
It cs
L+
z
24-hr
hrs
GPD
mg/L
mg/L
mg/L
mg/L
su
mg[L
91100 mL
mg/L
mg/L
mg/L
mg/L
mg/L
mg/L
1
2
2,405
7.1
0.1
2
2,406
3
2,405
4
2,405
5
2,406
6
2,405
7
2,405
8
2,405
9
2,405
10
2
6,756
7.1
0.01
11
6,756
12
6,766
13
6,756
14
5,756
is
2
6,756
7
0.1
16
2
1,657
7.1
0,1
17
1,657
18
1,657
19
1,657
20
1,657
21
1,657
22
1,657
23
1,657
24
1,667
25
5,530
26
5,530
27
5,530
28
5,530
29
5,530
30
8
5,530
8
0.8
19
0.24
6.9
23
10
5.2
5.3
149
0.1
0.06
31
Average:
3,676
8.00
0.80
19.00
0,24
23.00
10.00
5.20
5.30
149.00
0.08
0.06
Daily Maximum:
6,756
8.00
0.80
19,00
0,24
7.10
23.00
10.00
5.20
5,30
149.00
0.10
0.06
Daily Minimum:
1,657
6.00
0.80
19.00
0.24
6.90
23.00
10.00
5,20
5.30
149.00
0.01
0.06
Sampling Type:
Monthly Avg. Limit:
25,000
Daily Limit:
r
Sample Frequency:

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page o7— of
7� /� ,,,,4 Sampling Person(s) J Certified Laboratories
Labor�atoories
D �a15
Name: "1
11 Name:
Name: 11 Name;
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? ;d compliant ❑ Non-com pant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification Permittee Certification
ORC: Z)ALV t fj j�¢ Permittee: /Vd.
/ y
Certification No.: Wuj,�4 �P� S.l 0716I Signing Official:
Grade: Phone Number: ���,' 7� Signing Official's Title: pro, fain 6 v9 erV:SQir
Has the ORC changed since the previous NDMR? ❑ yes 00 Phone Number: a. � �' � 3 � Y �� a � Permit Expiration: 10/3 )'ao a 2
/4-
Signature
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
Signature Date
i certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in
accordance with a system designed to assure that all qualified personnel property gathered and evaluated the information
submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for
gathering the information, the information submitted is, to the best of rry knowledge and belief, true, accurate, and complete. I am
aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for
knowing violations,
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page _/_ of-3—
Permit No.: W00000265
Facility Name: Washington Correctional Center WWTF
County: Washington
Manth: November
Year: 2021
Did irrigation occur
Field Name:
1
Field Name:
2
Field Name:
3
Field Name:
4
facility?
Area (acres):
4,8
Area (acres):
4.8
Area (acres):
4.8
Area (acres):
4.8
ati11SaCl
Cover Crop:Cover
Cro p:
Cover Crop:
p:
Cover Crop:
p:
❑ YES , C�N0
Hourly Rate (in):
0.25
Hourly Rate (in):
0.25
Hourly Rate (in):
0.25
Hourly Rate (in):
0.25
Annual Rate (in):
15.6
Annual Rate (in):
15.6
Annual Rate (in):
15.6
Annual Rate (in):
Weather
Freeboard
Field Irrigated?
[ YES 7,N0
Field Irrigated?
[ Y€5 6ZNo
Field Irrigated?
❑ YES gf,o
Field Irrigated?
❑ YES NO
Ll2
y
A
m
eh
a� °'
m
©
eft
.?�
@
a
i
1=
�•_
rn
a z
®
�J
E rn
a �' c
E�
6x 0
a� a
E y
as
0 CL Q
a
(D
E ea
H
a E
, ;
0
J
E
a ?+cE
E�
�z 0
r� J
m a
.�
3
O c1
�O Q
'a
m®
Ea
H'
M
> 1
psi
d Q
J
E a,
a> c
E�.�
M2 00
J
0 a
E m
as
2
Q
�
m
E�
f`
_
rn
a s
,�a
O
J
E arE
a'
E�
iX0= O
J
°F
in
ft
I gal
min
in
in
gal
min
in
in
gal
min
in
in
gal
min
in
in
1
C
67
0
2
C
72
0
3
C
73
0
4
C
74
0
5
C
67
0
6
C
77
0
7
CL
93
0
8
CL
47
0
9
R
47
1.3
10
CL
71
0
11
CL
77
0
12
C
67
0
13
CL
62
0
14
C
63
0
15
CL
68
0
16
CL
74
0
17
CL
73
D
18
CL
77
0
19
R
67
0
20
R
47
0.77
21
C
53
0
22
R
55
0.44
23
C
49
0
241
C 1
65
0
25
C
73
0
26
CL
74
0
27
CL
75
0
28
C
77
0
29
C
80
0
301
C 1
76
0
311
R 1
0
D
Monthly Loading:0
0.00
0
0.00
,.. ' ,
a ?:;
D
0.00
0
0.00
`
12 Month Floating Total (in):

FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-'I) Page of
Permit No.: WQ0000265 Facility Name: Washington Correctional Center WWTF County: Washington Month: November Year: 2021
Field Name: 5 Field Name: Field Name: Field Name:
Did irrigation occur
Area (acres): 4,8 Area (acres): Area (acres): Area (acres):
at this facility? Cover Crop: Cover Crop: Cover Crop: Cover Crop:
❑ YES Hourly Rate (in): 0.25 Hourly Rate (in): Hourly Rate (in): Hourly Rate (in):
Annual Rate (in): 15.6 Annual Rate (in): Annual Rate (in): Annual Rate (in):
Weather Freeboard Field Irrigated? ❑ YES XNO Field Irrigated? ❑ YES ❑ NC Field Irrigated? ❑ YES ❑ ado Field Irrigated? ;❑ YES ❑ No
w 2 r
a o' uQ1i� a c E �rn 4)� a rn E rn ws� a E rn
m U L �o a +4 E .2 °+�' 3� c E m y. c c E m m �? s, c ?+ E m m m m �. c '~ c
p m` 0 3cs 3e E� �� Ea aQ E� -a -0 E='v :ry Ew Eau �Q E� Ewa
m N i0 `✓0 C O T A O Q 1- •` G p = p O CL F O X 6 o O CL F- p O
Ln
°F in ft ft gal min in in gal min in in gal min in in gal min in in
1 C 67 0
2 C 72 0
3 C 73 0
4 C 74 0
5 C 67 0
6 C 77 D
7 CL 93 0
]12
CL 47 0
R 47 1.3
CL 71 0
CL 77 0
C 67 0
13 CL 1 62 0
14 C 63 0
15 CL 68 0
16 CL 74 0
17 CL 73 0
18 CL 77 0
19 R 67 0
20 R 1 47 0.77
21 C 53 0
22 R 55 0.44
23 C 49 0
24 C 65 0
25 C 73 0
26 CL 74 0
27 CL 75 0
28 C 77 0
29 C 80 0
30 C 76 0
31 R 0 0
Monthly Loading: 0 0.00 0 0.00 0 0.00 0 0.00
12 Month Floating Total (in):

FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 3 of-3—
Did the application rates exceed the limits in Attachment B of your permit?
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
Was a suitable vegetative cover maintained on all sites as specified in your permit?
Were all setbacks listed in your permit maintained for every application to each permitted site?
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
Compliant
❑ Non -Compliant
�!<mpliant
❑ Non -Compliant
,Compliant
❑ Non -Compliant
-floc,ompliant
❑ NoirCornpliant
el�mpliant ❑ Nan -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional choxpte if narpcaary
Operator in Responsible Charge (ORC) Certification Permittee Certification
ORC: �j¢ci/ i7 M*Ieilf Permittee: AJ [, 'Do T
Certification No.: P216DI `uw!
Signing Official: Qj r;pty) op},)oQ r
Grade: TV Phone Number:
-2�2-- 7a9"- 3 $-7 / Signing Official's Title: � n u , iron fn & r}-}q P {o3 roiM S u 96r,,, ,5(> r
Has the ORC changed since the previous NDAR-1? ❑ Yes �<Na Phone Number: a �J �, ~ a3 a, - So a� Permit Exp.: I0%3 l poi v�
a o
Signature Date Signature Date
By this signatum, f certify that this report is accurrate and complete to the best of my knowledge. I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance
with a system designed to assure that aft qualified personnel property gathered and evaluated the information submitted. Base,{ on my
inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the
information submiNed is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant
penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations.
Mail Original and Two Copies to;
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
1CILITY INFORMATION Please Print Clearly or Type
icility Name: Tyr-rell Prison Work Farm
irmit Name (if different): Washington County Sprayfiekl
cility Address: Creswell NC 27928
Creswell NC 27928 County Washington
act Person: David Pharr
Location/Site Name: Washington Correctional
Telephone#:[phone]
No. of wells to be sampled: 5
OEPARTMr=NT OF ENVIRONMENTAL QUA61TY - DIV. OF 6VATER RESOURC
INFORMATION PROCESSINQ UNIT
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699.1617 Phone: [phone]
PERMIT Number: Expiration Date:
Non Discharge [rt/� 0060z 63 UIC
NPDES Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
N'Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
WELL ID NUMBER (trom Permit): MW - 1
Date !T /
If WELL
sample collected:
FIELD ANALYSES:
WAS
Well Depth: 24 ft,
eft.
Well Diameter: 2
in,
pH oo400: 7,� units Temp. 00010: 16. IT°C
DRY at
Depth to Water Level 82546: I) ,2 below measuring point Screened Interval
ft. to ft.
Spec_ Cond. OD094: µMhos
time of
Measuring Point is �ft. above land surface
Relative M,P, Elevation:
ft,
Odor 000m:
sampling,
Volume of water pumped/bailed before sampling: /O
gallons
Appearance
check
here:❑
Samples for metals were collected unfiltered: ❑ YES
❑ NO and field acidified: ❑ YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed:
Laboratory Name: Environmental Chemists, Inc
Certification No. 94
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 0a335 mg/L
Nitrite (NO2) as N oo6t6
mg/L
Pb - Lead oto5t ug/L
Coliform: MF Fecal 31616 /100ml-
Nitrate (NO3) as N o062o
mg1L
Zn - Zinc o1o92 mg/L
Coliform: MF Total 31504 < f /100ml-
Phosphorus: Total as P 00665 '68 mg/L
(Note: Use MPN method for highly turbld samples)
lissolved Solids:Total ��mg/L
Orthophosphate 74b07
Other (Specify Compounds and Concentration Units);
70300 mg/L
All - Aluminum 01105
mg/L
-I-IV.' /tt'a,Q . pro j
l�
pH (Lab) 00403 units
Be - Barium olo07
ug/L.
TOC oo6ao_ /,Q9 mg/L
Ca - Calcium oo916
mg/L
70{ /f!. f
Chlorideaos4o_ 222=3 mglL
Cd- Cadmium oto27
ug/L
Arsenic otoo2 ug/L
Chromium: Total oto34
ug/L
Grease and Oils 04552 mg/L
Cu - Copper 01042
mg/L
ORGANICS: (by GC, GCIMS, HPLC)
Phenol 32730 ug1L
Fe - Iron o1o45
uglL
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945 mg/L
Hg - Mercury 71900
ug/L
Lab Report Attached? ❑ Yes(l) ❑ No (0)
ipecific Conductance cooe5 - µMhos
K - Potassium 00937
mg/L
VOC 7873 method #
Total Ammonia oosio mg/L
Mg - Magnesium 00e27
mg/L
method #
(Ammonia Nitrogen; NHos N; Ammonia Nil mgen, Total)
Mn -Manganese oto55
uglL
method #
TKN as N 00825 /. mg/L
Ni - Nickel 01067
ug/L
,
method #
For Remediation Systems Only (Attach Lab Reports):
G W-59 Rev. 3-1-2016
'>s9�vi
Influent Total VOCs: mg/L
Effluent Total VOCs_
mg/L VOC Removal%

SUBMIT FORM ON YELLOW PAPER DAILY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
;FACILITY INFORMATION Please Pdnt Ctearty or
Facility Name: Tyrrrell Prison Work Farm
Permit Name (if different): Washington County Sprayfield
Facility Address: Creswell NC 27928
Creswell NC 27928
County Washington
Contact Person: David Pharr
Well Location/Site Name: Washington Correctional
Telephone#: [phone]
No. of wells to be sampled: 5
05PARTMENT OF ENVIRONMENTAL QUALITY - DIV. OF WATER RESOURG
INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phones 9194074306
PERMIT Number: Expiration Date:
Non -Discharge ( qp2gg tes UIC
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:
WELL ID NUMBER (from Permit): MW -2
Date sample collected: It 36 .2—(
FIELD ANALYSES:
If WELL
WAS
Well Depth: 27 ft.
��
Well Diameter: 2 in.
pH 00400: -7 r? units Temp. 0001o: /6.14,C
DRY at
Depth to Water Level 82546: /1 / ft, below measuring point Screened Interval: ft.
to ft.
Spec. Cond. 00094: jiMhos
time of
Measuring Point is above Land surface
Relative M.P. Elevation:
ft.
Odor oo0s5: G.� '(� S �.
sampling,
Volume of water pumped/bailed before sampling:
gallons
w�
Appearance G.'
check
here:
Samples for metals were collected unfiltered: ❑ YES
❑ NO and field acidified: ❑ YES
❑ NO
,�
❑
LABORATORY INFORMATION
Date sample analyzed:
Laboratory ]Name: Environmental
Chemists, Inc
Certification No. 94
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L
Nitrite (NO2) as N oo615
mg/L
Pb - Lead o1 o51 Ug1L
Coliform; MF Fecal 31616 /100mL
Nitrate (NO3) as N 00620
mg/L
Zn - Zinc D1092 mg/L
Coliform; MF Total 31504 < / 110omL
Phosphorus: Total as P oo66s , Q
mglL
{Note: Use MPN methcd for nighty turbid samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
)issolved Solids:Total 70300 eQ� mg/L
All - Aluminum olim
mg/L
f-jklo .1�114el _y Ie.
_
f�
pH (Lab) 00403 units
Ba - Barium 01007
ug/L
�1
"
TOG om6o / 74 mg/L
Ca - Calcium 0091s
mg/L
rO,W t dv
Chloride oo940 �f mg/L
Cd - Cadmium 01027
uglL
-
Arsenic 1)1002 u91L
Chromium: Total oios4
ug1L
Grease and Oils 00562 mg/L
Cu -Copper 01042
mg/L
ORGANICS: (by GC, GCIMS, HPLC)
Phenol 32730 ug/L
Fe - Iron 01045
ug1L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945 mg/L
Hg - Mercury 71900
ug1L
Lab Report Attached? ❑ Yes (1) ❑ No (0)
;:pacific Conductance 00095 µMhos
Total Ammonia oo6i0 mg/L
K - Potassium o0937
Mg Magnesium
mg/L
VOC 7873 method #
(Ammonia Nitrogen; NHsas N; Ammonia Nitrogen, Total)
- 00927
mg1L
method #
TKN N /1
Mn -Manganese oioss
uglL
,method #
as oo625 .3 mg/L
Ni - Nickel oio57
ugiL
method #
For Romedlation Systems Only (Attach Lab (Reports): Influent Total VOCs:
GVV-58 Rev.3-1-2016
mg/L Effluent Total VOCs:
mg/L
VOC Removal%

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
FACILITY INFORMATION Please Print Clearly or Type
Facility Name: Tyrrrell Prison Work Farm
Permit Name (if different): Washington County Sprayfield
Facility Address: Creswell NC 27928
Creswelf NC 27928 County Washington
act Person: David Pharr Telephone#: [phone]
Location/Site Name: Washington Ccrrectional No. of wells to be sampled: 5
DEPARTMENT OF ENVIRONMENTAL QUALITY - DIV -OF WATER RESDURCES
INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: 91 *B07-6306
PERMIT Number. Expiration Date:
Non -Discharge UIC
NPDES W ado 2 !p Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: infiltration Gallery
54. pray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
WELL ID NUMBER (from Permit): MW - 3
Date sample collected:
/ 1-30-.-202-
FIELD ANALYSES:
if WELLf
WAS
Well Depth: 25.5 ft. Well Diameter: 2
Depth to Water Level azsas: fU —V Eft, below measuring
in.
pH o0400: (9 units Temp. 000lo: /�9 aC
DRY at
time
point Screened Interval:
ft. to
Spec. Cond. 0094: µMhos
of
Measuring Point is ft_ above land surface
.,_�
Relative M.P. Elevation:
_ft.
ft.
Odor cocas: �
sampling,
Volume of water pumped/bailed before sampling:
gallons
Appearance �,y-�
check
here:❑
Samples for metals were collected unfiltered: ❑ YES
❑ NO and field acidified: ❑ YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed: Laboratory Name: Environmental Chemists, Inc
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
Certification No. 94
COD 00335 mg/L
Nitrite (NO2) as N coal a
mg1L
Pb - Lead o10s1 ugfL
Conform: MF Fuca] 311315 11 OOmL
Nitrate (NO3) as N 00620
mg/L
Zn -Zinc o1os2 mg /L
Coliform: MF ;fatal 31504 < ( 110omL
Phosphorus: Total as P oosss
mglL
(Note: Use MPN method for highly hirbid samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 �f �- mg/L
Al -Aluminum 01105
mg/L
p,
A,
pH (Lab) 00403 units
Ba- Barium 01007
ug/L
TOC oosao 1/4 mg/L
Ca - Calcium oo9113
mg/L
70`11W ,v,y� /•
Chloride oosao / 412. mg1L
Cd - Cadmium 01027
ug/L
4
Arsenic 01002 ug1L
Chromium: Total 01034
ug1L
Grease and Oils 00552 mg/L
Cu - Copper o1 o42
mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730 ug/L
Fe - Iron 01045
ug/L
(Specify test and method ff. ATTACH LAB REPORT.)
Sulfate 00945 mg/L
Hg - Mercury 7100o
ug/L
Lab Report Attached? ❑ Yes (1) ❑ No (0)
pecific Conductance =95 jtMhos
K - Potassium 00937
mg1L
VOC 7870 method #
Total Ammonia ooslo e S mg/L
Mg - Magnesium 00927
mg1L
method #
(Ammonia Nitrogen; NH3 as N: Ammonia Nitrogen, total)
Mn - Manganese o1o55
ug/L
TKN as N G0625 t� mg/L
N+- Nickel 01067
ug/L
method #
For Remediation Systems Only (Attach Lab Reports):
Influent Total VOCs:
mg/L Effluent Total VOCs: mg/L VOG Removal%
a
permiHee (or At3thorized Agent) ttiame and Title - Please print or type
SignattTre of permittee 05r Authorized Agent) (Date)
GW-59 Rev.3-1-2016

SUBMIT FORM ON YELLOW PAPER ONLY
NDWATER QUALITY MONITORING.
LIANCE REPORT FORM
FACILITY INFORMATION Please Pont Clearly or Type
Facility Name: Tyrrrell Prison Work Farm
Permit Name (if different): Washington County Sprayfield
Facility Address: Creswell NC 27928
Creswell 4 NC 27928 County Washington
Contact Person: David Pharr Telephone4: 2527253871
Well Location/Site Name: Washington Correctional No. of wells to be sampled: 5
DEPARTMENT Or ENVIRDNIMENIAL QUALITY t DIV. DF WATER RES156146
INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTEP RALEIGH; NC 27699.1617 Phone: 919•13074206
PERMIT Number: Expiration Date:
Non -Discharge UIC
NPDES Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
Spray Field ❑ Remediation:
WELL ID NUMBER (from Permit): MW - 4
Date sample collected: !i qO 202,/
Well Depth: 24 ft,
Well Diameter: 2 in.
Depth to Water Level 82546:1 ig IF ft. below measuring point
Screened Interval: ft.
to ft.
Measuring Point is .7— ft. above land surface
Relative M.P. Elevation:
ft.
Volume of water pumped/bailed before sampling:
/0
gallons
Samples for metals were collected unfiltered: ❑YES
❑ NO and field acidified: ❑ YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed:
Laboratory Name: Environmental
Chemists, Inc
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD om$5
mg/L
Nitrite (NO2) as N 00615
mg/L
Coliform: MF Fecal 3161s
/100mL
Nitrate (NO3) as N oo62o
mg/L
Collform: MF Total 31504
1100ml-
Phosphorus: Total as P oo665 , /4
mg/L
(Note: use MI-N method for highly turbid samples)
Orthophosphate 70507
mg/L
ra
lissolved Solids:Total 70300 7c3.at
mg1L
Al - Aluminum oilo5
mg/L
PH (Lab) oo4o3
units
Ba - Barium 01007
ug1L
TOC ooaao V76)
mg/L
Ca - Calcium o0916
mg/L
Chloride 00940
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total 01034
ug/L
Grease and Oils D0552
mg/L
Cu - Copper 01042
mg/L
Phenol 32730
u91L
Fe - Iron o1045
ug/L
Sulfate 00945
mg/L
Hg - Mercury 71goo
ug/L
�pecifie Conductance 000ss
AMhos
K- Potassium 00937
mg/L
Total Ammonia ooelo
mg/L
Mg - Magnesium 00927
mg/L
(Ammonia Nitrogen; NH�as N; Ammonia Nitrogen, Total)
Kiln - Manganese o1o55
ug/L
TKN as N 00625 �+ 3
mg/L
Ni - Nickel 01067
ug/L
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
FIELD ANALYSES:
pH 00440:� Units
Spec. Cond. 00094:
If
Temp. 000la: 16, 0- °C DRY at
µMhos I time of
Odor 00085: uu.. W. a
-� .� - _ check
Appearance G. ¢ ," a here: ❑
Certification No. 94
Pb - Lead 01051 uglL
Zn - Zinc 01092 mg/L
Other (Specify Compounds and Concentration Units):
Al
ORGANICS: (by GC, GC/MS, HPLC)
(Specify test and method#. ATTACH LAB REPORT,)
Lab Report Attached? ❑ Yes (1) ❑ No (0)
VOC 7873 method #
method #
method #
method #
mg1L Effluent Total VOCs:
mg/L
VOC Removal%
G W-59
Rev. 3-1-2016

SUBMIT FORM ON YELLOW PAPER ONLY
T . . DEPARTMENT OF ENVIRONMENTAL QUALITY - DIV. Of WATER {tESOUAC
GROUNDWATER QUALITY MONITORING: INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM 1697 MAIL SERVICE CENTER, RALENA NC 27699-i617 Phone_ 998.607.6305
FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date:
Facility Name: Tyrrrell Prison Work Farm Nan -Discharge LLQ�200,940y' UIC
Permit Name (if different): Washington County SprayFefd NPDES Other
Facility Address: Creswell NC 27928
TYPE OF PERMITTED OPERATION BEING MONITORED
Creswell NC 27928 County Washington ❑ Lagoon ❑ Remediation: Infiltration Gallery
i. ,Spray Field ❑ Remediation:
contact Person: David Pharr Telephone#: [phone] ❑ Rotary Distributor ❑ Land Application of Sludge
Nell LocationlSite Name: Washington Correctional No. of wells to be sampled: 5 ❑ Water Source Heat Pump ❑ Other:
WELL ID NUMBER (from Permit): MW - 5 Date sample collected: to
Well Depth: 23.5 fL Well Diameter: 2
Depth to Water Level 8254e: 1'gyp ft. below measuring point Screened Interval:
Measuring Paint is ft. above land surface Relative M.P. Elevation:
Volume of water pumped/bailed before sampling: gallons
Samples for metals were collected unfiltered: ❑ YES ❑ NO and field acidified: ❑ YES
d21
in.
ft. to ft.
ft,
❑ NO
FIELD ANALYSES:
pH 00400: &.1 units Temp. 00010: 17 °C
Spec. Cond. 0009a: µMhcs
Odor 000as:
Appearance
Ir VY>=LL
WAS
DRY at
time of
sampling,
check
here:❑
LABORATORY INFORMATION
Date sample analyzed:
Laboratory Name: Environmental Chemists, Inc
Certification No. 94
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD oo335 mg/L
Nitrite (NO2) as N oa615
mg/L
Pb - Lead o1051 u91L
Colifonm: MF Fecal 31616 /100mL
Nitrate (NO3) as N 00620
mg/L
Zn - Zinc 01092 mg/L
Coliform: MF Total m5o4 "'r /100mL
Phosphorus: Total as P oo6m , mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L
Other (Specify Compoundsand Concentration Units):
Nssolved Solids:Total 70300 4j,3, �mg/L
— - .
Al -Aluminum o1105
mg/L
_*fx5 uaft
pH (Lab) 0003 units
Ba - Barium 01ow
ug/L
TOC omao ��, mg/L
Ca - Calcium OC916
mg/L
Chloride 00940 — mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002 ug/L
Chromium: Total 01034
ug1L
Grease and Oils 00552 mglL
Cu -Copper 01042
mg/L
ORGANICS: (by GC, GCIDAS, HPLC)
Phenol 32730 ug1L
Fe - Iron o1o45
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945 rng/L
Hg - Mercury 71900
ug1L
Lab Report Attached? ❑ Yes (1) ❑ No (0)
ipecific Conductance 00095 µMhos
K - Potassium 00937
mg/L
VOC 7873 method #
Total Ammonia 00610 r mg/L
�
M Magnesium 00927
g - �
mg/L
,method #
(AmmoNa Nitrogen; NHgas M; Ammonia Nitrogen, Tolal)
Mn - Manganese aloes
ug1L
method #
r
TKN as N 00625 67 mg/L
Ni - Nickel o1067
ug1L
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs:
Permidee (or
G W-59
Rev. 3-1-2016
mg/L
Effluent Total VOCs:
mglL VOC Removallk

GW-59A COMPLIANCE REPORT FORM Permit #_W p000.2 (-15"
(Sithntit 011e c+ach monitoring period with GW-59 forms.)
]
Enter date monitoring results were due. ( } Will this monitoring report (GW-59 and GW-59A)
be
YES NO,
submitted after the established due date?
2
Was any required information missing on the GW-59 report forms?
YES Ng
t/
IF the answer to question I or 2 is "YES'; list in the space provided below the well identiffcation 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.)? If the answer is "Yes", contact the Regional Office for guidance.
4
Are any monitored constituents equal to or above the established standards?
YES 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 constituent(s) and concentration(s)
exceeding standards in the space provided below.
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, concentrations) reported, and sample collection date for each occurrence (for the last two years),
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 maybe occurring. CONTACT THE REGIONAL
OFFICE IMMEDiATELYFOR GUIDANCE. If the answer is NO". monitoring wells maybe improperly
located, contact the Regional Office.
`i
Is the perrnittee 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 Re ional Office within 90 day s an evaluation may be
re uired to determine the jn act the waste dds osal system is having at the review and compliance
,boundaries surroundinct this facility. Failure to do so may subject the Permittee to a Notice of Violation
fines, and/or penalties.
S
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.
1 hereby acknowledge that the above information was evaluated and the information submitted in this
report (Compliance Report OW-59A) Is true and complete to the best of my knowledge.
/.2
Sign re of P trti (or A horize gent) Date
W aoa
Gbh'-59A 12/8I2003