WQ0035784_Monitoring - 03-2021_20210422 (2)

CW-59A COMPLIANCE REPORT FORM Permit #�_
(Submit acre each ntarritvrimq period with GIV-54 forurs.)
I
Enter date monitoring results were due. ( , ) Will this monitoring report (GW-59 and GW-59A)
1'ES
NO
be submitted after the established due date?
,.
2
Was any required information missing on the (AV-59 report forms?
1'ES
NO
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.
v
Cn
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, e(c.)? If the ansiver is "}'es ", contact the Regional O fce. for tridarrce.
4
Are any monitored constituents equal to or above the established standards?
V1"
NO
V'
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.,
lA ff -3-G I
5
For the constituents identified in question 4 above, have standards been exceeded prey usly 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 constit6lbnt(s) exceeding
standards, concentrations) reported, and sample collection date for each occurrence (for the last two ye'prs).
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
)'ES
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 Reqional 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.
g
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.
q-2j-z I
Signature of Permittee (or Authorized Agent) Date
GNV-59A 12/8/2003

SUBMIT FORM ON YELLOW PAPER ONLY
•
DEPARTMENT OF ENVIRONMENTAL QUALITY - DIV. OF WATER RESOURCES
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: Cottages of Boone
Non -Discharge WQ0035784 UIC
Permit Name (if different): Capstone Collegiate Communities, LLC
NPDES Other
Facility Address: 615 Fallview Lane
TYPE OF PERMITTED OPERATION BEING MONITORED
Boone NC
28607 County Watauga
❑ Lagoon ❑ Remediation: Infiltration Gallery
Spray Field ❑ Remediation:
Contact Person: Bob Barr
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: MW-1
No. of wells to be sampled: 3
❑ Water Source Heat Pump ❑ Other:
(from Permit)
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-1
Date sample collected: 3/17/2021
FIELD ANALYSES:
WAS
Well Depth: 20 ft.
Well Diameter: 2 in.
pH oo400: units Temp. 000lo: °C
DRY at
Depth to Water Level 82546: ft. below measuring point Screened Interval: 10 ft. to
20
ft. Spec. Cond. 00094: µMhos
time of
sampling,
Measuring Point is 3 ft. above land surface
Relative M.P. Elevation: 3438 ft.
Odor 00085:
check
Volume of water pumped/bailed before sampling:
gallons
Appearance
here:
Samples for metals were collected unfiltered: © YES
❑ NO and field acidified: ❑■ YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed:
Laboratory Name:
Certification No.
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
/100mL
Nitrate (NO3) as N 00620
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P oo665
mg/L
(Note- use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify. Compounds and Concentration Units):
issolved Solids:Total 70300
mg/L
Al - Aluminum ollo5
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC omm
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940
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) ❑N No (0)
Specific Conductance 00095
µMhos
K - Potassium 00937
mg/L VOC 7873 method #
Total Ammonia 00610
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%
Robert P. Barr / Authorized Agent
Permittee (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev.06-07-2018
nature of Permittee (or Authorized Agent)
o-u
(Date)

SUBMIT FORM ON YELLOW PAPER ONLY
• •
DEPARTMENT OF ENVIRONMENTAL QUALITY - DIV. OF WATER RESOURCES
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: Cottages of Boone
Non -Discharge WQ0035784 UIC
Permit Name (if different): Capstone Collegiate Communities, LLC
NPDES Other
Facility Address: 615 Fallview Lane
TYPE OF PERMITTED OPERATION BEING MONITORED
Boone NC
28607 County Watauga
❑ Lagoon ❑ Remediation: Infiltration Gallery
❑■ Spray Field ❑ Remediation:
Contact Person: Bob Barr
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: MW-2
No. of wells to be sampled: 3
❑ Water Source Heat Pump ❑ Other:
(from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-2
Date sample collected: 3/17/2021
FIELD ANALYSES:
WAS
Well Depth: 19 ft.
Well Diameter: 2 in.
pH 0040o: 6.2 units Temp. 000lo: 10.5 oC
DRY at
Depth to Water Level 82546: 13.8 ft. below measuring point Screened interval: 5 ft. to
19
ft. Spec. Cond. 00094: µMhos
time of
Measuring Point is 3 ft. above land surface
Relative M.P. Elevation: 3380 ft.
Odor 00085:
sampling,
check
Volume of water pumped/bailed before sampling:
gallons
Appearance
here: El
Samples for metals were collected unfiltered: 51 YES
❑ NO and field acidified: A YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed:4/8/2021
Laboratory Name: Watertech Labs
Certification No. 50
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 <1
/100mL
Nitrate (NO3) as N 00620 <0.1
mg/L
Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 0.29
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 51
mg/L
At - Aluminum oil o5
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 00680 3.8
mg/L
Ca - Calcium oo916
mg/L
Chloride 00940 11.0
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) 0 No (0)
Specific Conductance 00095
µMhos
K - Potassium 00937
mg/L
VOC 7873 method #
Total Ammonia oo610 3.61
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 #
t-or ekemecliation Systems Only (Aftach Lab Reports): Influent Total
I certify that, to the best of my knowledge and belief, the information submitted in this report is true, accurate, and complete, and that the laboratory analytical data was produced using approved methods of analysis by
DWR-certified laboratory. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations.
Robert P. Barr / Authorized Agent
Permittee (or Authorized Agent) Name and Title - Please print or type Signature of
GW-59 Rev.06-07-2018
Agent)
I/—?.a'Z (

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENTAL QUALITY - DIV. OF WATER RESOURCES
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: Cottages of Boone
Non -Discharge WQ0035784 UIC
Permit Name (if different): Capstone Collegiate Communities, LLC
NPDES Other
Facility Address: 615 Fallview Lane
TYPE OF PERMITTED OPERATION BEING MONITORED
Boone NC
28607 County Watauga
❑ Lagoon ❑ Remediation: Infiltration Gallery
Spray Field ❑ Remediation:
Contact Person: Bob Barr
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: MW-3
No. of wells to be sampled:
3
❑ Water Source Heat Pump ❑ Other:
(from Permit)
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-3
Date sample collected: 3/17/2021
FIELD ANALYSES:
WAS
Well Depth: 26 ft.
Well Diameter: 2
in.
pH 00400. units Temp. 000lo: °C
DRY at
Depth to Water Level 82546: ft. below measuring point Screened Interval: 16
ft. to 26
ft. Spec. Cond. 00094: µMhos
time of
Measuring Point is 3 ft. above land surface
Relative M.P. Elevation: 3520
ft.
Odor 00085:
sampling,
check
Volume of water pumped/bailed before sampling:
gallons
Appearance
here:
Samples for metals were collected unfiltered: K YES
❑ NO and field acidified: ❑■ YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed:
Laboratory Name:
Certification No.
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
/100mL
Nitrate (NO3) as N 00620
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
mg/L
Al - Aluminum o11os
mg/L
pH (Lab) oo4o3
units
Ba - Barium 01007
ug/L
TOC 00680
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total olo34
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 71-900
ug/L
Lab Report Attached? ❑ Yes (1) X No (0)
Specific Conductance 00095
ILMhos
K - Potassium 00937
mg/L
VOC 7873 method #
Total Ammonia 00610
mg/L
Mg - Magnesium 00927
mg/L
method #
(Ammonia Nitrogen, NH3as 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%
GW-59 Rev.06-07-2018

k
14firEffi TECH LanSfic.
POST OFFICE BOX 1056 • #5 PINEWOOD PLAZA OR.
GRANITE FALLS, NORTH CAROLINA 28630
[phone]
SAMPLE: Boone Cottages MW#2 COLLECTION DATE: 3/17/2021
PERMIT #.- COLLECTION TIME: 08:30
ADDRESS: RPB Engineers RECEIVED DATE: 3/17/2021
RECEIVED TIME. 13:28
REPORTED: 4/8/2021
ANALYSIS
ANALYSIS
RESULTS
UNITS
DATE
ANALYST
TDS
51
mg/L
3118/21
lag
Chloride
11.0
mg/L
3/24/21
lag
NH3
3.61
mg/L
3118/21
jrg
Fecal Coliforin
<1
/100mL
3/17/21
jrg
T. Phosphorus
0.29
mg/L
4/5/21
jdg
NO3
<0. 1
mg/L
4/1/21
jdg
TOC
3.8
mg1L
3/28/21
LOG ID: 2103-287 REPORTED BY: NC CERTIFIED LAB # 50
• fo� 6or
Tony Gragg, Lab Supervisor

ace Analytical
www.pacelabs.com
t =
I
ANALYTICAL RESULTS
Pace Analytical Services, LLC
1377 South Park Drive
Kernersvilie, NC 27284
[phone]
Project: TOC-Blue Ridge Mtns/Boone Cott
Pace Project No.: 92528594
Sample: BOONE COTTAGES MW2 Lab ID: 92528594002 Collected: 03/17/21 08:30 Received: 03/18/21 11:15 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
5310B TOC Analytical Method: SM 531 OB-2011
Pace Analytical Services -Asheville
Total Organic Carbon 3.8 mg/L 1.0 1 03/28/21 17:35 744044-0
Date: 03/29/2021 10:50 AM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
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