HomeMy WebLinkAboutWQ0004972_Monitoring - 07-2023_20230830 (4)DocuSign Envelope ID: 90A1EB8F-DB1E-4E10-BA1E-CE057359RA3E
taw-'.`i!?A t.V1vllrL1AiNk lr, xtr_rVIRT FORN7 Permit # WQ0004972
(Saabanit one each monitoring period with Gil'-59 forms.)
1
Enter date monitoring results were due. (7/31123 ) Will this monitoring report (GW-59 and GW-59A)
YES
NO
be submitted after the established due date?
x
2
Was any required information missing on the GNV-59 report forms.'
YES
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.
X
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.)! Ifthe answer is "Yes", contaetthe Regional Ofceforguidance.
X
q
Are any monitored constituents equal to or above the established standards?
YES
NO
If the answer to question 4 is 'NO`; strip to section 8
If the answer to question 4 is "YES" list the affected wells individually vt th constituent(s) and concentration(s)
exceeding standards in the space provided below:
MW #1 - pH was 5.8, lab pH was 6.3. MW #2 - pH was 5.5 consistent with background.
MW #3 - pH was 4.5, Nitrate was 13.6 mg/l.
X
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 "iVO" 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).
SF,o
x
�?104j
�O?
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 IMMEDIATELY FOR GUIDANCE. If the answer is "NO , monitoring wells maybe improperly
located; contact the Regional Office.
,
I
I
I
7
Is the permittee implementing previously approved actions required by the Division involving this
YES
NO i
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 maw
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 subiect the permittee to a Notice of Violation
fines, andfor penalties. 1,
>AU
..,v�q
:p 4F j �
g
The person completing this portion (GW-59A) of the monitoring report should sign below and submit this
form with GW--59 forms forrequired 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 Ittfowtedge.
.. _. ..
r—Docusluned by.
8/30/2023
Ii C bV'�t, � 8 ty,
Signature o Rer€AW,14jMAuttaorized Agent) Date
GN-59A 12/8/2003
DocuSign Envelope ID: 90A1 EB8F-DB1 E-4E 10-BA1E-CE057359BA3E
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. 10t31/2027
Facility Name: Forest Lake RV WWTP
Non -Discharge W00004972 UIC_
NPDES Other_
_
Permit Name (if different):
Facility Address: 192 Thousand Trails Dr.
TYPE OF PERMITTED OPERATION BEING MONITORED
Advance NC
27006
County Davie —
❑ Lagoon ❑ Remediation Infiltration Gallery
X Spray Field ❑ Remediation: _
Contact Person: Amanda Grenier
Telephone#: 919-356-6509
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Forest Lake RV Spray Irrigation Field
No. of wells to be sampled: 4
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): 1
Date sample collected: 7/11/2023
FIELD ANALYSES:
WAS
Well Depth: 72 ft
Well Diameter: 2 in.
pH 00400: 5.8 units Temp. 000lo 16.7 oC
DRY at
Depth to Water Level 82546: 69.2 ft. below measuring point
—
Screened Interval ft. to
----
ft. Spec. Cond. 00094 70.7 µMhos
—
time of
sampling,
Measuring Point is 3 ft. above land surface
Relative M.P Elevation: ----ft,
Odor 00085 None
check
Volume of water pumped/bailed before sampling:
4 5
gallons
Appearance Clear
here:
Samples for metals were collected unfiltered: ❑YES A
NO and field acidified: ❑ YES X NO
LABORATORY INFORMATION
_
Date sample analyzed: 7)12/2023
Laboratory Narne: Pace Analytical
Certification No. 12
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 23
/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 0.18
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
AI Aluminum o1105
mg/L
pH (Lab) 00403 6.3
units
Ba - Barium 01007
ug/L
TOC 0068o &9
mg/L
Ca - Calcium oo916
mg/L
Chloride 00940 1.9
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 7e73 method #
Total Ammonia oo610 011
mg/L
Mg - Magnesium 00927
mg/L
method #
(Ammonia Nitrogen, NH,as N; Ammonia Nitrogen, Total)
Mn - Manganese o1o55
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
uocualgn tnvelope lu: 9t1A1td9F-U61E-4E10-BA1E-CE067359BA3E
CI I0M1AIT Lr'%MRA r1Af VGI I r11A1 MMl l n .. v
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
FACILITY INFORMATION Please Pnnt clearly or Type
Facility Name: Forest Lake RV WWTP
Permit Name (if different):
Facility Address: 192 Thousand Trails Dr.
NC 27006 County Davie
Contact Person: Amanda Grainier Telephone#: 919-356-6509
Well Location/Site Name: Forest Lake RV Spray Irrigation Field No. of wells to be sampled: 4
WELL ID NUMBER (from Permit): 2
Well Depth: 46 ft.
Depth to Water Level 92546: 38.3 ft. below measuring point
Measuring Point is 3 ft. above land surface
Volume of water pumped/bailed before sampling: 3.75
Samples for metals were collected unfiltered: ❑ YES 1101
Date sample collected: 7/11/2023
Well Diameter: 2 in.
Screened Interval: ft.
Relative M.P. Elevation:
DEPARTMENT OF ENVIRONMENTAL OUALM - Div. OF WATER RESOURCES
INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699.1617
PERMIT Number: Expiration Date: 10131/2027
Non -Discharge WQ0004972 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:
to ft.
ft.
gallons
NO and field acidified: ❑ YES 0 NO
FIELD ANALYSES:
WAS
pH 00400: 5.5 units Temp. 000lo: 16.3 oC
DRY at
Spec. Cond. 00094: 51.6 µMhos
time of
sampling,
Odor 00085: None
check
Appearance Clear
here:
F1
Date sample analyzed: 7/12/2023 Laboratory Name: Pace Analytical Certification No. 12
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations,
COD 00335 mg/L Nitrite (NO2) as N oos15 mg/L Pb - Lead o1o51 ug/L
Coliform: MF Fecal 31616 86 /100mL Nitrate (NO3) as N 00620 0.45 mg1L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504 /100mL Phosphorus: Total as P 00665 0.18 mg/L
(Note, Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Totai 70300 mg/L Al - Aluminum o11a5 mg/L
pH (Lab) 00403 5.8
units
Ba - Barium o1oo7
ug/L
TOG oo66o 9.5
mg/L
Ca - Calcium 00916
mg/L
Chloride 0094o 3.4
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total 01034
ug/L
Grease and Oils oo552
mg/L
Cu - Copper 01042
mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron oio45
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 00096
µMhos
K - Potassium 00937
mg/L
VOC 7673 method #
Total Ammonia ooelo <0.10
mg/L
Mg - Magnesium 00927
mg/L
method #
(Ammonia Nitrogen, NH3 as N; Anmonla Nitrogen, Total)
Mn -Manganese o1055
ug/L
,method #
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L
method #
Tor Kemettiation systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
omusipmd by: 8/30/2023
George Gudgeon, Sr. Vice President �� 01W 4A�' t1tn.
Permittee (or Authorized Agent) Name and Title - Please print or type Si na re jg uthorized Agent)
G W-59 Rev. 08-07-2018
-- ow,e vvivpw iu. nvm icoor-Lim ie-4Clu-vAIt-t:tuojjt)UbA:lh
SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
�. • ±
AL QUALITY - DIV. OF WATER RESOURCES
DEPARTMENT OFINFORMATION T
COMPLIANCE REPORT FORM
,
PROCESSING UNIT
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699.1617
FACILITY INFORMATION
Please Print C/eady or Type
PERMIT Number: Expiration Date: 10/3112027
Facility Name: Forest Lake RV WWTP
Non -Discharge W00004972 UIC
Permit Name (if different):
NPDES Other
Facility Address: 192 Thousand Trails Dr.
TYPE OF PERMITTED OPERATION BEING MONITORED
Advance NC
27006
County Davie
❑ Lagoon ❑ Remediation: Infiltration Gallery
® Spray Field ❑ Remediation:
Contact Person: Amanda Grenier
Telephone#: 919-356-6509
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Forest Lake RV Spray Irrigation Field
No. of wells to be sampled: 4
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): 3
Date sample collected: 7/11/2023
FIELD ANALYSES:
WAS
Well Depth: 20.4 ft.
Well Diameter: 2 in.
H 00400: 4.5 17.4 °
p units Temp. 00010: C
DRY at
Depth to Water Level e2546: 9.3 ft. below measuring
point
Screened Interval:ft.
to
ft, Spec. Cond. 00094: 207 µMhos
time of
Measuring Point is 3 ft. above land surface
Relative M.P. Elevation: �ft.
Odor 000e5: None
sampling,check
Volume of water pumped/bailed before sampling:
5
gallons
Appearance Clear
here:❑
Samples for metals were collected unfiltered ❑ YES ®
NO and field acidified: ❑ YES ® NO
LABORATORY INFORMATION
Date sample analyzed: 7/12/2023
Laboratory Name: Pace Analytical
Certification No. 12
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 6
/100mL
Nitrate (NO3) as N 00620 13.6
mg/L
Zn - Zinc 01092 m9 /L
Coliform: MF Total 31504
/100mL Phosphorus:
Total as P 00665 <0.05
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
AI - Aluminum o11os
mg/L
pH (Lab) 00403 4.9
units
Ba - Barium 01007
ug/L
TOC ooe8o 1.1
mg/L
Ca - Calcium oo916
mg/L
Chloride 0094o 26
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 #
Total Ammonia o0610 <0.10
mg/L
Mg - Magnesium 00927
mg/L
method #
(Ammonia Nitrogen, NH3 as N; Ammonia Nitrogen, Total)
Mn - Manganese o1055
ug/L
method #
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L
method #
ror memealatlon systems only (Attacn Lab Reports):
George Gudgeon, Sr. Vice President
Permittee (or Authorized Agent) Name and Title - Please print or type
Influent Total VOCs:
mg/L Effluent Total VOCs:
mg/L
VOC Removal%
GW-59 Rev, 06-07-2018
ww01Wrl CAV010pe iU: WA rttsar-UOlt:-4tty-t3A1td;E057359BA3E
SUBMIT FnRM nN YFI i r1W PAPPP 0KJl V
GROUNDWATER QUALITY MONITORING:
DEPARTMENT OF ENVIRONMENTAL QUALITY . DIV. OF WATER RESOURCES
COMPLIANCE REPORT FORM
•
• • •
INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617
FACILITY INFORMATION
Please Print Clearly orType
PERMIT Number: Expiration Date: 10131/2027
Facility Name: Forest Lake RV WWTP
Nan -Discharge VWQ0004972 UIC
Permit Name (if different):
NPDES Other
Facility Address: 192 Thousand Trails Dr.
TYPE OF PERMITTED OPERATION BEING MONITORED
Advance NC
27006
County Davie
❑ Lagoon ❑ Remediation: Infiltration Gallery
® Spray Field ❑ Remediation:
Contact Person: Amanda Grenier
Tele hone#: 919-356-6509
p
❑Rotary Distributor ❑Land Application of Sludge
Well Location/Site Name: Forest Lake RV Spray Irrigation Field
No. of wells to be sampled: 4
❑ Water Source Heat Pump ❑ Other:
hom Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): 4
Date sample collected: 7/24/2023
FIELD ANALYSES:
WAS
Well Depth: 39 ft,
Well Diameter: 2 in.
H 00400: 8.4 16.3 °
p units Temp. oo01a: C
DRY at
Depth to Water Level 8254e: 9.7 ft. below measuting point
Screened interval: ft.
to
ft. Spec. Cond. 00094: 87.9 µMhos
time of
MeasuringPoint is 3 ft, above land surface
Relative M.P. Elevation:
ft. �
Odor 000s5: None
sampling,
check
Volume of water pumped/bailed before sampling:
5
gallons
Appearance Clear
here:a
Sam les for metals were collected unfiltered: ❑ YES ®
NO and field acidified: ❑ YES ® NO
LABORATORY INFORMATION
Date sample analyzed: 7/25/2023
Laboratory Name: Pace Analytical
Certification No. 12
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 4.2
mg/L
Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL Phosphorus: Total as P 00665 0.14
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
issoived Solids:Total 70300
mg/L
Al - Aluminum 01105
mg/L
pH (Lab) 00403
units
Be - Barium 01007
ug/L
TOC oo68o 2.5
mg/L
Ca - Calcium 00916
mg/L
Chloride oos4o 7.4
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 o1o45
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 #
Total Ammonia oo610 <0.10
mg/L
Mg - Magnesium 00927
mg/L
method #
(Ammonia Nitrogen; NH3 as N; Ammons Nitrogen, Total)
Mn - Manganese o1o55
ug/L
method #
TKN as N oo625
mg/L
Ni - Nickel 01067
ug/L
method #
"' r' illivurauun aysiems vmy tseracn Lab Reports): intluent Total VoCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
George Gudgeon, Sr. Vice President
Permittee (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev.06-07-2018
Pace Analytical Services, LLC•
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
(704)875-9092 %
August 08, 2023
Amanda D. Grenier
Greener EHS Solutions
21 Selby Ct.
Holly Springs, NC 27540
RE: Project: Forest Lake MW- July
Pace Project No.: 92679133
Dear Amanda Grenier:
Enclosed are the analytical results for sample(s) received by the laboratory on July 25, 2023. The results relate only to the
samples included in this report. Results reported herein conform to the applicable TNI/NELAC Standards and the
laboratory's Quality Manual, where applicable, unless otherwise noted in the body of the report.
The test results provided in this final report were generated by each of the following laboratories within the Pace Network:
• Pace Analytical Services - Asheville
• Pace Analytical Services - Charlotte
If you have any questions concerning this report, please feel free to contact me.
Sincerely,
Matthew Brainard
matthew.brainard@pacelabs.com
(704)875-9092
Project Manager
Enclosures
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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