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Home My WebLink AboutWQ0002571_Monitoring - 11-2022_20230417SUBMIT 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 t ,PlleeasePrintClearlyorlTy/pee �J PERMIT Number: Expiration Date:��p Facility Name: V i 1 ]tt , (J ai11—t? �L !/ / Non -Discharge ), Q_ a� / UIC Permit Name (if different); � U NPDES Other Facility Address: L Rare-;" e-;" TYPE OF PERMITTED OPERATION BEING MONITORED r 1 County %pu7 19 Lagoon ❑ Remediation: Infiltration Gallery (� Spray Field ❑ Remediation: Contact Person:r T� Telephone#: ❑ Rotary Distributor ❑ Land Application of Sludge Well Location/Site Name: NI — l No. of wells to be sampled: ❑ Water Source Heat Pump ❑ Other: [from Per""! SAMPLING INFORMATION lit WELL L ID NUMBER (from Permit): il�? Depth: 2&ft. i to Water Level 82548: ft. below measuring point uring Point is ft. above land surface ne of water pumped/bailed before sampling: Nes for metals were collected unfiltered: L�1 YES ❑ Date sample collected: Well Diameter: _min. Screened Interval: ft. to _ft. Relative M,P, Elevation: ft. gallons FIELD ANALYSES: WAS pH ooaco: ` units Temp. Coolo °C DRY at Spec. Cond. 00094: Ft Mhos time of samplir Odor 000a5: check Appearance herei— Date sample analyzed: // /A Z— Laboratory Name: L�yt V; r'OnM/.'A4 L ytLn , %nG Certification No. PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations, COD 00335 mg/L Nitrite (NO2) as N Cows el, a 4 mg1L Pb - Lead o1os1 ug/L Col'f MF F I 131 1e Z . 71 1 , arm. eca a /100mL Nitrate (NO3) as N 00820_ �Ci, � mg/L n nc o 09 M11", ^� i _�1 Coliform: MF Total 31504 /100mL Phosphorus; Total as P Cows mg/L K Ll,, R INme: use MPN method for 11ioNy tumid eampies) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units "PR 17 )issolved Sohds:Total 70300 g't7) mg/L At - Aluminum oilas mglL pH (Lab) 00403 units Ba - Barium 01007 uglL TOC ooseo , li mg/L Ce - Calcium Cagle mg/L mc 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) Phenof 32730 ug/L Fe - Iron olo45 ug/L (Specify test and method #. ATTACH LAB REPORT,) SUlfate o0945 mg/L Hg - Mercury 719oo ug/L Lab Report Attached? ❑ Yes (1) ❑ No (0) 'Pacific Conductance 00095 ftMhos K - Potassium 00937 mg/L VOC 7873 method # Total Ammonia oo610mg/L Mg - Magnesium 00927 mg/L method # (Amrwnfa Nitrogen NH;,as N. Armlonie Nitrogen, Total) Mn Manganese o1055 ug/L method # TKN as N a0625 mg/L Ni - Nickel o1o67 ug/L method # For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: rw-Fa a> nA.manla APR 17 2023 mg/L Effluent Total VOCs: mg/L VOC Removal% 1 urvn, rvrlrvl V,V rcLLvrr 1nt-t:KU'9LY GROUNDWATER QUALITY MONITORING: DEPARTMENTOFENVIRONMENTALQUALITY-DIV,OFWATERRESOURCES rMI INFORMATION PROCESSING UNIT COMPLIANCE REPORT FORM 1617 MAIL SERVICE CENTER, RALEIGH, NC 27699.1617 FACILITY INFORMATION Please PrInI Clearly of Type PERMIT Number. Expiration Date: . " j j ,Z Facility Name: /v%h' l' Non -Discharge �y�7�'%i / UIC Permit Name (it different): INPD[S Other Facility Address: Ir Lj l4q fr; ,r,,, 1— TYPE OF PERMITTED OPERATION BEING MONITORED 1 r _ County t')•2JZ7y,a �—S Lagoon ❑ Remediation: Infiltration Gallery I /, y� Spray Field ❑ Remediation: Contact Person: { [ �} ll ✓( JC— G4� Telephones✓: ,2-L 2 �50j -53. 0 `% i=1 Rotary Distributer ❑Land Application of Sludge Well Location/Site Name: hrf �. - 3 No, of wells to be sampled: j ❑ Water Source Heat Pump ❑ Other. WELL ID NUMBER (from Permit); M pate sample collected / /,?n f AX �� Well Depth: ft Well Diameter: �" in. Depth to Water Level a2546: h, below measuring point Screened Interval: ft. to ft, Measuring Point is ft, above land surface Relative M.P. Elevatlon: ft. Volume of water pumped/bailed before sampling: gallons Samples for metals were collected unfiltered: Lk YES ❑ NO and field acidified: X YES ❑ NO FIELD ANALYSES: pH 0040o units Temp. ocolo k' °C Spec. Cond. 00094: flMhos Odor oocm: _ Appearance n rrc�L WAS DRY at time of sampling, check here:D LABORATORY INFORMATION Date sample analyzed: c Laboratory Name f Certification No PARAMETERS NOTE: values should reflect dissolved and colloidal concentrations. COD 00335 mg1L Nitrite (NC2) as N oo615 < (' mo/L Pb - Lead mo5+, ug/L Coliform: MF Fecal 31616 /100mL Nitrate (NO.) as N 00620 <L-512 mg/L Zn - Zinc 01092 mg/L Coliform: MF Total 31504 /100mL Phosphorus: Total as P oc665 mg/L (Nose: Use MPN melhod Tor highly airhid sanples) Orthophosphate 70507 mg/L Cther (Specify Compounds and Concentration Units): ssolved Solids:Total 7o:roomg/L At - Aluminum 01105 mg/L PH (Lab) 00403 units Ba - Barium 01007 ug/L TOC oo6so _ 7 mg/L Ca - Calcium oo916 mg/L Chloride oog4o mg/L Cd - Cadmium 01027 ug/L Arsenic 01UO2 ug/L Chromium: Total01034 ug/L Grease and OII o s 0s5z mg/L Cu - Capper 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 71000 ug/L Lab Report Attached? ❑ Yes (1) ❑ No (0) pecific Conductance 00095 IIMhos K - Potassium 00937 mg/L VOC 7B73 method # Total Ammonia a,Lj. 5— mg/L Mg - Magnesium 00927 mg/L method # as ((Ammonia Nitrogen. NH, as N. Amnwnla Nitrogen. Tclap Mn - Manganese oioss ug/L method # TKN as N 00626 mg/L Ni - Nickel o1o67 ug/L method # GW-59 Rev.06.07-2018 RURMIT FORM ON YELLOW PAPER ONLY DEPARTMENT OF ENVIRONMENTAL QUALITY - DIV. OF WATER RESOURCES GROUNDWATER QUALITY MONITORING: e ME INFORMATION PROCESSING UNIT COMPLIANCE REPORT FORM 1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 FACILITY INFORMATION Plsnso Clearly orType PERMIT Number: Expiration Date: +Print j Facility Name: J) 1 i�/ �%i7�dZ', �7 L�1 / Non -Discharge t?,�J UIC NPDES Other Permit Name (it different): Facility Address: jrd [(s 5 ir^tiGl!� - TYPE OF PERMITTED OPERATION BEING MONITORED Lagoon [IRemediation: Infiltration Gallery 1,.J ✓!`J �r County /`%2 Spray Field ❑ Remediation: Contact Person: S- n It ✓1 �C �._JG — Telephone#: �s iQj ;� 3jI `� ❑ Rotary D;stributo7 Land Application of Sludge Well Location/Site Name: ti ty,,/ No. of wells to be sampled: 3 Water Source Heat Pump ❑ Other. dram Pemwkti If WELL SAMPLING INFORMATION WELL ID NUMBER (from Permit): �� Date sample collected' n 2 FIELD ANALYSES: WAS Well Depth �it. Well Diameter: vein. G pH oonoo:_ units Tamp, °C /p DRY at time of Depth to Water Level 92546: ft, below measuring point Screened Interval:—ft, to _L' Spec, Cond. =94: I tMhos sampling, Measuring Paint is ft. above land surface Relative M.P. Elevation: ft. Odor 000a5. check Volume of water pumped/bailed before sampling: gallons Appearance here:[:] Samples for metals were collected unfiltered: *1 YES ❑ NO and field acidified: F YES ❑ NO LABORATORY INFORMATION J �oZ� GC 9 1'G7+d'1GC-2L�n 7 / Certification No. Date sample analyzed 1J ro Laboratory Name: nV, rt G-41 . 1 PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. COD 00336 mg1L Nitrite (NO2) as N oos15 -� Ortj� mg/L Pb - Lead otn51 ug/L Coliform: MF Fecal 31616 W <1 /100mL Nitrate (NO.{) as N 00620 <mg/L Zn - Zinc 01092 _ mg/L Coliform: MF Total 31504 /100mL Phosphorus: Total as P Doses mg/L (Note Uao MPN method for hNghly tutbld samples) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units): issoived Solids:Total 7o3oo f$�/v� mg/L Al - Aluminum of 105 mg/L pH (Lab) 00403 units Be - Barium 01007 11 TOC oosao rj mg/L Ca - Calcium oo916 mg/L Chloride oosao 1{41 mg/L Cd - Cadmium 01027 ug/L Arsenic 01002 uglL Chromium: Total olo34 ug1L Grease and Oils 00562 mg/L Cu - Copper 01042 mg/L ORGANICS: (by GC, GCIIVS, HPLC) Phenol 32730 uglL Fe - Iron 01o4s 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) oecific Conductance 000gs I,Mhos K - Potassium 00937 mg/L VOC 7673 method # Total Ammonia 0o610 ( mg/L Mg - Magnesium 00927 mg/L method # (Ammonia Miro(Jer. NH,, as N: Arnroama Nitrepen, Totai) Mn - Manganese o1055 ug/L , method # TKN as N oo625 moll- NI- Nickel 01067 ug/L method # For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs. Iris k4111jamG 1 Dtyner Permitlee (or Authorizod Apart) Name and Title - Wlais8 p(irt or type GW-59 Rev.06.07.2018 mg/L Effluent Total VOCs: (or ng(L VOc Removal%