WQ0007144_Monitoring - 11-2016_20161222 (3)

SUBMIT FORM ON YELLOW PAPER ONLY
For Remediation Systems Only (Attach Lab Reports):
Influent Total VOCs:
mg/L Effluent Total VOCs:
Ing/L VOC Removal%
Mike Askew, Director of Facilities and Boating Operations
Perri llee (or Authorized Agent) Name and Title- Please print or type
GW -59 Rev. 212010
.
DEPARTMENT OF ENVIRONMENT'& NATURAL RESOURCES -
GROUNDWATER QUALITY MONITORING:
DIVISION OF WATER QUALITY4NFORMATION PROCESSING UNIT '
COMPLIANCE REPORT FORM
16..17" MAIL SERVICE CENTER„RALEIGH,NC27699-1617 Phono:{919)7333221 -
FACILITY INFORMATION Please Print Clearly or Type
PERMIT Number: W00007144 Expiration Date: 06-30-2016
Facility Name: Camp Seafarer
Non -Discharge UIC
NPDES Other
Permit Name (if different): YMCA of the Triangle Area, INC
Facility Address: 2744 Seafarer Rd
TYPE OF PERMITTED OPERATION BEING MONITORED
K Lagoon ❑ Remediation: Infiltration Gallery
Arapahoe "1000 NC 28510 County Pamlico
(ialy) lomat 190
El Spray Field El Remediation:
Contact Person: Mike Askew
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Lagoon
_
No. of wells to be sampled: 5
❑ Water Source Heat Pump ❑ Other:
_
ram Pormil
SAMPLING INFORMATION
/
�6
If WELL
WELL ID NUMBER (from Permit): We112
Date sample collected: ��
FIELD ANALYSES:
WAS
Well Depth: 20 ft.
Well Diameter: 2 In.
pH 0104011 03 units Temp. otiolo: (y aC
DRY at
Depth to Water Level 82546:
P 7•�f � ft. below measuring point
Screened Interval: 10 fL to
20 ft. Spec. Cond. 00064: 1+� µMhos
time
li
sampling,
Measuring Point is 1.9 ft. above land surface
Relative M.P. Elevation: 242 ft.
Odor doom: N0 N(-
check
Volume of water pumped/balled before sampling: S— bit K
gallons
-1
Appearance CLL -n l
here:❑
Samples for metals were collected unfiltered: El YES ElNO
and field acidified: El NO
LABORATORY INFORMATION
1 q
Date sample analyzed: l� / / I /6
Laboratory Name: Environment 1, INC
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 ,� /1OOmL
Nitrate (Nos) as N o062o l., f7, 04-
mg/L Zn -.Zinc 01092 ming/L
Coliform: MF Total 31504 /10OmL Phosphorus: Total as P 0os6sQ ,�
ri
(Note; Use MM method for hlghly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentra Ctdn nits);
P?
issolved Solids:Total70300 mglL
AI - Aluminum ollas
mg/L
pH (Lab) 00403 , / units
Be - Barium o1oo7
ug/L
TOC 00680 ni
Ca - Calcium oasts ��IEq/ ITEC
Chloride 00940 3 mg/L
Cd - Cadmium o1027 _
I T
Arsenic 01002 uglL
Chromium: Total 01034 „rrL20�6 -'
Grease and Oils 03552 mg/L
Cu - Copper 01042 ��mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Phenol 3273o uglL
Fe - Iron 01045�^R Qb�tvON fy test and method #. ATTACH LAB REPORT.)
Sulfate 00945 mg/L
Fig - Mercury 719ao rnnwiON
ager�rESS1 � Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance 00095 µMhos
K- Potassium ooga7—mg/L
VOC 78732: method #
Total Ammonia 00610'< a y 0 mg/L
Mg - Magnesium 00927
mg/L , method #
(Ammonia, Mitogen; NHs as N; Ammonia Nitrogen, Total)
Mn - Manganese o1055
ug/L ,method#
TKN as N ooe25 mg/L
Ni - Nickel 01067
uglL method #
For Remediation Systems Only (Attach Lab Reports):
Influent Total VOCs:
mg/L Effluent Total VOCs:
Ing/L VOC Removal%
Mike Askew, Director of Facilities and Boating Operations
Perri llee (or Authorized Agent) Name and Title- Please print or type
GW -59 Rev. 212010

GW -59A COMPLIANCE REPORT FORM Permit #_
(Submit one each monitoring period with GW -59 forms.)
I
Enter date monitoring results were due. Will this monitoring report (GW -59 and GW -59A)
YES
be submitted after the established due date? `
2
Was any required information missing on the GW -59 report forms?
YES
jW
IF the answer to question 1 or 2 is "YES", listin 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
identification plate, area overgrown, etc.)? If the answer is "Yes", contact the .Regional Office for guidance.
4
Are any monitored constituents equal to or above the established standards?
S
NO
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 constituents) and concentrations)
exceeding standards in the space provided below. fly,
1416 /4 In 1i
r/7
M `7 M/" Nl q p9 9
5
For the constituents identified in question 4 above, have standards been exceeded previously for the
Y,
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 constituents) exceeding
standards, concentration(s) reported, and sample collection date for each occurrence (for the last two years).
�. # /� /S'
1 416 PH►�I 7%/t
1-4
Are the monitoring wells listed in section 5 located at or beyond the review boundary?
YES
N
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 maybe improperly, -
located; contact the Regional Office:
7
Is the permittee implementing previously approved actions required by the Division involving this
YES
N
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 sub"ect the perinittee to a Notice of Violation
fines, and/or penalties. C� � ¢� � jJ/N/ 1,,, y✓ /2•L_ c I o A - 0-C
�Lr-��..f�/�a ►� or�—
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;.
Signature of Permitte (or Authorized Agent) Date
GW -59A 12/8/2003
I