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Home My WebLink AboutWQ0035784_Monitoring - 12-2021_20211230Monitoring Report Submittal Permit Number #* Name of Facility:* Month: * December Report Information Type * GW-59 WQ0035784 Cottages of Boone Confirmation Email Address: * Name of Submitter: * Signature: Date of submittal: Initial Review Year:* 2021 Upload Document* Cottages of Boone GW59 12- 763.2KB 2021.pdf PDF Only Please upload one PDF containing all applicable monitoring reports (i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59). mmills@envirolinkinc.com Madelyn Mills �rr�� clot Reviewer: Zhong, Vivien 12/30/2021 This will be filled in automatically Is the project number correct?* WQ0035784 Is the monitoring report accepted?* Yes No Regional Office* Winston-Salem Accepted Date: 1 /31 /2022 DEMONSTRATION DOCUMENT ONLY DocuSign Envelope ID: 3760B52A-42DF-4298-BC67-2360562076A7 PROVIDED BY DOCUSIGN ONLINE SIGNING SERVICE 999 3rd Ave, Suite 1700 - Seattle - Washington 98104 - (206) 219-0200 www.docusign.com GW-59A COMPLIANCE REPORT FORM Permit #Nk�o105�- "2 1 (Submit one each monitoring period with GlP-59,fornns.) 1 Enter date monitoring results were due. Will this monitoring report (GW-59 and GW-59A) YES O 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 O identification plate, area overgrown, etc.)? /f 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 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, concentration(s) 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 G W-59 form. l hereby ;acknowledge that the above tnfr�rmation was evaluated and the tnforttmatton submftteti tit this report {Cornpltance Reprt GW=59A} �s tue;aridcomp(ete to the best €�f my':knciwlecige. , 30-Dec-2021 7:08 AM SGT Sean DWYER Signature of Permittee (or Authorized Agent) Date GW-59A 1218?2003 SUBMIT FORM ON YELLOW PAPER ONLY DEMONSTRATION DOCUMENT ONLY E N�FAplylteD4tR4�FdtilERff$IDIQitQ F�ffi104 (206) 219-C • • DEPARTMENT OF ENVIRONME GROUNDWATER QUALITY MONITORING: • • • • INFO RMATIOYG�"i� 8Sffl"r0NIT COMPLIANCE REPORT FORM 1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date: 4/30/2022 Facility Name: The Cottages of Boone Non -Discharge W00035784 UIC Permit Name (if different): NPDES Other Facility Address: 615 Fallview Ln TYPE OF PERMITTED OPERATION BEING MONITORED Boone NC 28607 County Watauga El Lagoon ❑ Remediation: Infiltration Gallery El Spray Field ❑ Remediation: Contact Person: Eric Youngs Telephone#: 910-465-1219 ❑ Rotary Distributor ❑ Land Application of Sludge Well Location/Site Name: Cottages of Boone Irrigation Facility No. of wells to be sampled: 3 ❑ Water Source Heat Pump ❑■ Other: Drip Irrigation from Permit SAMPLING INFORMATION If WELL WELL ID NUMBER (from Permit): MW-1 Date sample collected: 11/24/2021 FIELD ANALYSES: WAS Well Depth: 20 ft. Well Diameter: 2 in. pH 00400: 6.74 units Temp. 000lo: °C DRY at Depth to Water Level 82546:22.75 ft. below measuring point Screened Interval: 10 ft. to 20 ft. Spec. Cond. CICIC194: µMhos time of sampling, Measuring Point is 2 ft. above land surface Relative M.P. Elevation: ft. Odor 00085: None check Volume of water pumped/bailed before sampling: 1 gallons Appearance Clear here:❑ Samples for metals were collected unfiltered: AYES ❑ NO and field acidified: AYES ElNO LABORATORY INFORMATION Date sample analyzed: 11/24/2021 Laboratory Name: Statesville Analytical Certification No. NCO0909 PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. COD 00335 mg/L Nitrite (NO2) as N 00615 mg/L Pb - Lead o1o51 ug/L Coliform: MF Fecal 31616 /100mL Nitrate (NO3) as N 00620 2.26 mg/L Zn - Zinc 01092 mg/L Coliform: MF Total 31504 /100mL Phosphorus: Total as P 00665 0.22 mg/L (Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units): issolved Solids:Total 703oo 73 mg/L Al -Aluminum 01105 mg/L pH (Lab) 00403 6.32 units Ba - Barium 01007 ug/L TOC 00680 <1 .0 mg/L Ca - Calcium 00916 mg/L Chloride 00940 15.1 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? ❑■ Yes (1) ❑ No (0) Specific Conductance 00095 µMhos K- Potassium 00937 mg/L VOC 7873 method # SM6230D Total Ammonia 00610 <0.1 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% 30-Dec-2021 1 7:08 AM SGT Permittee (or Authorized Agent) Name and Title - Please print or type GW-59 Rev.06-07-2018 Signature of Permittee (or Authorized Agent) (Date) SUBMIT FORM ON YELLOW PAPER ONLY DEMONSTRATION DOCUMENT ONLY E NLFAplylteD4tR4�FdtilERff$IDIQitQ F�ffi104 (206) 219-C • • DEPARTMENT OF ENVIRONME GROUNDWATER QUALITY MONITORING: • • • • INFO RMATIOYG�"i� 8Sffl"r0NIT COMPLIANCE REPORT FORM 1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date: 4/30/2022 Facility Name: The Cottages of Boone Non -Discharge W00035784 UIC Permit Name (if different): NPDES Other Facility Address: 615 Fallview Ln TYPE OF PERMITTED OPERATION BEING MONITORED Boone NC 28607 County Watauga El Lagoon ❑ Remediation: Infiltration Gallery El Spray Field ❑ Remediation: Contact Person: Eric Youngs Telephone#: 910-465-1219 ❑ Rotary Distributor ❑ Land Application of Sludge Well Location/Site Name: Cottages of Boone Irrigation Facility No. of wells to be sampled: 3 ❑ Water Source Heat Pump ❑■ Other: Drip Irrigation from Permit SAMPLING INFORMATION If WELL WELL ID NUMBER (from Permit): MW-2 Date sample collected: 11/24/2021 FIELD ANALYSES: WAS Well Depth: 19 ft. Well Diameter: 2 in. pH 00400: 7.38 units Temp. 000lo: °C DRY at Depth to Water Level 82546:14.5 ft. below measuring point Screened Interval: 5 ft. to 19 ft. Spec. Cond. CICIC194: µMhos time of sampling, Measuring Point is 2 ft. above land surface Relative M.P. Elevation: ft. Odor 00085: None check Volume of water pumped/bailed before sampling: 3 gallons Appearance Light brown/milky here:❑ Samples for metals were collected unfiltered: AYES ❑ NO and field acidified: AYES El NO LABORATORY INFORMATION Date sample analyzed: 11/24/2021 Laboratory Name: Statesville Analytical Certification No. NCO0909 PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. COD 00335 mg/L Nitrite (NO2) as N 00615 mg/L Pb - Lead o1o51 ug/L Coliform: MF Fecal 31616 /100mL Nitrate (NO3) as N 00620 1.9 mg/L Zn - Zinc 01092 mg/L Coliform: MF Total 31504 /100mL Phosphorus: Total as P 00665 0.35 mg/L (Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units): issolved Solids:Total 703oo 247 mg/L Al -Aluminum 01105 mg/L pH (Lab) 00403 6.40 units Ba - Barium 01007 ug/L TOC 0068o 2.00 mg/L Ca - Calcium 00916 mg/L Chloride 0094o 62 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 7873 method # SM6230D Total Ammonia 00610 <0.1 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% 30-Dec-2021 1 7:08 AM SGT Permittee (or Authorized Agent) Name and Title - Please print or type GW-59 Rev.06-07-2018 Signature of Permittee (or Authorized Agent) (Date) SUBMIT FORM ON YELLOW PAPER ONLY • • DEPARTMENT OF ENVIRONMENTAL QUALI':'Y,. DIV. Or Z-R'r?ESOi.ff CE'� GROUNDWATER QUALITY MONITORING: • • • • INFORMATION PROCESSING UNIT COMPLIANCE REPORT FORM 1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date: 4/30/2022 Facility Name: The Cottages of Boone Non -Discharge W00035784 UIC Permit Name (if different): NPDES Other Facility Address: 615 Fallview Ln TYPE OF PERMITTED OPERATION BEING MONITORED Boone NC 28607 County Watauga ❑ Lagoon ❑ Remediation: Infiltration Gallery ❑ Spray Field ❑ Remediation: Contact Person: Eric Youngs Telephone#: 910-465-1219 ❑ Rotary Distributor ❑ Land Application of Sludge Well Location/Site Name: Cottages of Boone Irrigation Facility No. of wells to be sampled: 3 ❑ Water Source Heat Pump ❑■ Other: Drip Irrigation from Permit SAMPLING INFORMATION If WELL WELL ID NUMBER (from Permit): MW-3 Date sample collected: 11/24/2021 FIELD ANALYSES: WAS Well Depth: 26 ft. Well Diameter: 2 in. pH 00400: 6.53 units Temp. 000lo: °C DRY at Depth to Water Level 82546:17.75 ft. below measuring point Screened Interval: 16 ft. to 26 ft. Spec. Cond. 00094: µMhos time ofsampling, Measuring Point is 2 ft. above land surface Relative M.P. Elevation: ft. Odor 00085: None check Volume of water pumped/bailed before sampling: 2 gallons Appearance Clear here:❑ Samples for metals were collected unfiltered: ❑■ YES ❑ NO and field acidified: ❑■ YES ❑ NO LABORATORY INFORMATION Date sample analyzed: 11/24/2021 Laboratory Name: Statesville Analytical Certification No. NCO0909 PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. COD 00335 mg/L Nitrite (NO2) as N 00615 mg/L Pb - Lead o1o51 ug/L Coliform: MF Fecal 31616 /100mL Nitrate (NO3) as N 00620 3.3 mg/L Zn - Zinc 01092 mg/L Coliform: MF Total 31504 /100mL Phosphorus: Total as P 00665 <0.1 mg/L (Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units): issolved Solids:Total 70300 93 mg/L Al -Aluminum 01105 mg/L pH (Lab) 00403 6.51 units Ba - Barium 01007 ug/L TOC 00680 <1 .0 mg/L Ca - Calcium 00916 mg/L Chloride 0094o 31 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 7873 method # SM6230D Total Ammonia 00610 <0.1 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% 30-Dec-2021 1 7:08 AM SGT Permittee (or Authorized Agent) Name and Title - Please print or type GW-59 Rev.06-07-2018 Signature of Permittee (or Authorized Agent) (Date)