HomeMy WebLinkAboutWQ0000267_Monitoring - 12-2021_20220131SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
DIVISION OF WATER RESOURCES -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: 919-807-6306
FACILITY INFORMATION
Please Print Clearly orType
PERMIT Number: Expiration Date: Jun-21
Facility Name:
Gates County
Non -Discharge WQ0000267 UIC
NPDES Other
Permit Name (if different):
Facility Address:
Honey Pot Road
TYPE OF PERMITTED OPERATION BEING MONITORED
County Gates
X ❑ Lagoon ❑ Remediation: Infiltration Gallery
X ❑ Spray Field ❑ Remediation:
Contact Person: Timothy Hedgepeth
Telephone#: 252-287-5957
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Honey Pot Spray Field
No. of wells to be sampled: 4
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): Well #1
Date sample collected: 12/1/2021
FIELD ANALYSES:
WAS
Well Depth: 31 ft
Well Diameter. 2 in.
pH 00400: 6.2 units Temp. 000lc 18 °C
DRY at
Depth to Water Level 82546: 22
Screened Interval: ft to
ft. Spec. Cond. 00094: µMhos
time of
Measuring Point is 2.5 ft. above land surface
Relative M.P. Elevation: ft.
Odor 000es:
sampling,check
Volume of water pumped/bailed before sampling:
3
gallons
Appearance
here:❑
Samples for metals were collected unfiltered: ❑ YES
❑ NO and field acidified: ❑ YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 12/1/2021
Laboratory Name: Environment 1 Certification No. 10
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 <0.04
mg/L
Zn -Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 0.26
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
issolved Solids -.Total 70300 140
mg/L
AI - Aluminum oil o5
mg/L
pH (Lab) 00403 6.2
units
Ba - Barium 01007
ug/L
TOC 00680 1.19
mg/L
Ca - Calcium 00916 KH
mg/L
Chloride 00940 12
mg/L
Cd - Cadmium 01027 n
ug/L
`
Arsenic 01002
ug/L
Chromium: Total 01034�' ���`
ug/L
t,00
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg/L
ORGANICS: (bo~-� T
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 7873 method #
Total Ammonia 00610 0.41
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%
Timothy Hed epeth / ORC
Permittee (or Authorized Apent) Name and Title - Please print or type
GW-59 Rev.8/2013
SUBMIT FORM ON YELLOW PAPER ONLY
• •
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OF WATER RESOURCES - INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
,
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: 919"807-6306
FACILITY INFORMATION
Please Print
Clearly or Type
PERMIT Number: Expiration Date: Jun-21
Facility Name:
Gates County
Non -Discharge WQ0000267 UIC
Permit Name (if different):
NPDES Other
Facility Address:
Honey Pot Road
TYPE OF PERMITTED OPERATION BEING MONITORED
County Gates
X ❑ Lagoon ❑ Remediation: Infiltration Gallery
X ❑ Spray Field ❑ Remediation:
Contact Person: Timothy Hedgepeth
Telephone#: 252-287-5957
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name Honey Pot Spray Field
No. of wells to be sampled: 4
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): Well # 2
Date sample collected: 12/1/2021
FIELD ANALYSES:
WAS
Well Depth: 27 ft
Well Diameter. 2 in.
pH 00400: 6 units Temp. 000lc 17 °C
DRY at
Depth to Water Level 82546: 15
Screened Interval: ft to
ft Spec. Cond. 00094: 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:
2
gallons
Appearance
here:
❑
Samples for metals were collected unfiltered: El
YES
❑ NO and field acidified: ❑ YES El NO
LABORATORY INFORMATION
Date sample analyzed: 12/1/2021
Laboratory Name: Environment 1 Certification No. 10
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N oo615
mg/L Pb - Lead olo51 ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 0.06
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 <0.04
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 140
mg/L
AI - Aluminum oil o5
mg/L
pH (Lab) 00403 6
units
Ba - Barium 01007
ug/L
TOC oo6so <1.0
mg/L
Ca - Calcium oo916
mg/L
Chloride oog4o 20
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 7873 method #
Total Ammonia 00610 0.1
mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen; NH3 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%
Timothy Hedgepeth / ORC
Permittee (or Authorized Assent) Name and Title - Please print or type
GW-59 Rev.8/2013
of Permittee (or
(Date)
SUBMIT FORM ON YELLOW PAPER ONLY
all orligina
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:"DIVISION
OF WATER RESOURCES -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1,1617
MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: 919-807-6306
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: Expiration Date: 1-Jun
Facility Name:
Gates County
Non -Discharge WQ0000267 UIC
NPDES Other
Permit Name (if different):
Facility Address:
Honey
Pot Road
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
C21?Svq'2. '!i. i7c
County Gates
❑ Spray Field ❑ Remediation:
Contact Person: Timothy Hedgepeth
Telephone#: 252-287-5957
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name Honey Pot Spray Field
No. of wells to be sampled: 4
❑ Water Source Heat Pump ❑ Other:
from Perrnit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): Well # 3
Date sample collected: 12/1/2021
FIELD ANALYSES:
WAS
Well Depth: 29 ft.
Well Diameter. 2 in.
pH 00400: 6.3 units Temp. 000lc 17 eC
DRY at
Depth to Water Level 82546: 14
Screened Interval: ft. to
ft. Spec. Cond. 00094: µMhos
time of
sampling,
Measuring Point is 2.5 ft. above land surface
Relative M.P. Elevation: ft.
Odor 00086:
check
Volume of water pumped/bailed before sampling:
2.4
gallons
Appearance
here. -
Samples for metals were collected unfiltered: ❑
YES
❑ NO and field acidified: ❑ YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 12/1/2021
Laboratory Name: Environment 1 Certification No. 10
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N oo615
mg/L Pb - Lead o1o51 ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 0.61
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 1.11
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 150
mg/L
Al - Aluminum o11os
mg/L
pH (Lab) 00403 6.3
units
Ba - Barium 01007
ug/L
TOC 00680 1.42
mg/L
Ca - Calcium oo916
mg/L
Chloride 00940 10
mg/L
Cd - Cadmium o1o27
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 7870 method #
Total Ammonia 00610 0.34
mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen; NH, as N; Ammonia Nitrogen, Total)
Mn - Manganese o1 o55
ug/L , method #
TKN as N 00626
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%
Timothy Hedgepeth / ORC
Permittee (or Authorized Aqent) Name and Title - Please print or type
Signature of
(Date)
GW-59 Rev.8/2013
SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENT & NATURAL'RESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION of WATERRESOURCES--INFORMATION O PRCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH, NC 276,99-1617 Phone: 919-807-6306
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: Expiration Date: Jun-21
Facility Name:
Gates County
Non -Discharge WQ0000267 UIC
NPDES Other
Permit Name (if different):
Facility Address:
Honey Pot Road
TYPE OF PERMITTED OPERATION BEING MONITORED
X ❑ Lagoon ❑ Remediation: Infiltration Gallery
County Gates
X ❑Spray Field El Remediation:
Contact Person: Timothy Hedgepeth
Telephone#: 252-287-5957
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Honey Pot Spray Field
No. of wells to be sampled: 4
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): Well # 4
Date sample collected: 12/1/2021
FIELD ANALYSES:
WAS
Well Depth: 30 ft.
Well Diameter: 2 in.
pH 0040o: 6.6 units Temp. 000lc 17 °C
DRY at
Depth to Water Level 82546: 19
Screened Interval: ft. to
ft. Spec. Cond. 00094: µMhos
time of
sampling,
Measuring Point is 2.5 ft. above land surface
Relative M.P. Elevation: ft.
Odor 0008s:
check
Volume of water pumped/bailed before sampling:
2
gallons
Appearance
here:❑
Samples for metals were collected unfiltered: ❑
YES
❑ NO and field acidified: ❑ YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 12/1/2021
Laboratory Name: Environment 1 Certification No. 10
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N oo615
mg/L Pb - Lead o1o51 ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 0.08
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P oo665 0.99
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 170
mg/L
Al -Aluminum 01105
mg/L
pH (Lab) 00403 6.6
units
Ba - Barium 01007
ug/L
TOC oo68o 1.01
mg/L
Ca - Calcium oo916
mg/L
Chloride 00940 13
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug1L
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 7873 method #
Total Ammonia oo6lo 0.29
mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen; NH3as N; Ammonia Nitrogen, Total)
Mn - Manganese oio55
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.8/2013