WQ0004972_Monitoring - 03-2020_20200406

SUBMIT FORM ON YELLOW PAPER ONLY
Mail original
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
and 1 copy to:
DIVISION OF WATER OUALITYdNFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617MAIL SERVICE CENTER, RALEIGH,NC27699-1917 Phone:l919I733-3221
FACILITY INFORMATION
Please Print Cleary or Type
PERMIT Number: W00004972 Expiration Date:
Facility Name: Forest Lake ELS
Non -Discharge UIC
NPDES Other
Permit Name (if different):
Facility Address: 192 Thousand Trails Drive
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
Advance I51eO1I NC 27006 County Davie
(CilYl (SIM.)
(2IP1
© Spray Field ❑ Remediation:
Contact Person: Barbara Stanza
Telephone#:
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name:
No. of wells to be sampled: 4
❑ Water Source Heat Pump ❑ Other:
from Parrott
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-1
Date sample collected:
3/26/2020 FIELD ANALYSES:
WAS
Well Depth: 90.00 ft.
Well Diameter:
2 in. pH o0400: 6.33 units Temp. 000lo: 16.9 °C
DRY at
Dept to Water Level 55.88 ft. below measuring point
Screened Interval:
ft. to ft. Spec. Cond. 000sc µMhos
time of
sampling,
Measuring Point is ft. above land surface
Relative M.P. Elevation:
ft. Odor ooaes:
check
Volume of water pumped/bailed before sampling:
6.50-Dry
gallons
Appearance
here:
❑
Samples for metals were collected unfiltered: ❑ YES ❑
NO and field acidified: ❑ YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 03/26-03/31/2020
Laboratory Name: Research & Analytical Laboratories, Inc Certification No. 34
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (1402) as N o0615
mg/L Pb - Lead alos1 uglL
Coliform: MF Fecal 31816 <t
/100mL
Nitrate (NO3) as N 00e20
0.064 mg/L Zn - Zinc 01092 mg/L
Colifonn: MF Total 31504
/100ml- Phosphorus: Total as P oos65
mg/L
(Note: Use Ii method for highly tumid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
Dissolved S01ids:Total70300
mg/L
Al -Aluminum o11os
mg/L
pH (Lab) 00403
units
Be - Barium 01007
ug/L
TOC oasso 2.84
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 3.50
ni
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 ooa95
µMhos
K - Potassium 00937
mglL VOC 79732, , method # 8260
Total Ammonia 00910
mg/L
Mg - Magnesium 00927
mg/L , method #
(Ammonia Nitrogen; NHrea N; Ammonia Nitrogen, Total)
Mn - Manganese Dross
ug/L , method #
TKN as N 00925
mg/L
Ni - Nickel 01067
ug/L , method #
For Remedlation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal
I certify that, to the best of my knowledge and belief, the Information submitted in this report is two, accurate, and complete, and that the laboratory analytical data "a produced using approved methods of analysis by a
DWO-certified laboratory. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations.
yG-tea
GW-59 Rev. 2/2010

SUBMIT FORM ON YELLOW PAPER ONLY
Mail original
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
and t copy to:
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH, No 27699-1617 Phone: [phone]
FACILITY INFORMATION
Please Pont Clearly or Type
PERMIT Number: W00004972 Expiration Date:
Facility Name: Forest Lake ELS
Nan -Discharge UIC
NPDES Other
Permit Name (if different):
Facility Address: 192 Thousand Trails Drive
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
Advance Ia"°°tt NC 27006 County Davie
(cib) (stet.)
(zip)
© Spray Field ❑Remediation:
Contact Person: Barbara Stanza
Telephone#:
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name:
No. of wells to be sampled: 4
❑ Water Source Heat Pump ❑ Other:
(from Peima
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-2
Date sample collected:
3/26/2020 FIELD ANALYSES:
WAS
Well Depth: 39.00 ft.
Well Diameter:
2 in. pH co4a0: 6.19 units Temp. cool a: 17.1 °C
DRY at
Dept to Water Level 28_77 ft. below measuring point Screened Interval:
ft. to ft. Spec. Cord. 000g4: µMhos
time of
sampling,
Measuring Point is ft. above land surface
Relative M.P. Elevation:
ft. Odor 00065:
check
Volume of water pumped/bailed before sampling:
5.00 gallons
Appearance
here:
❑
Samples for metals were collected unfiltered: [-I
YESEl
NO and field acidified: El YES El NO
LABORATORY INFORMATION
Date sample analyzed: 03/26-03/31/2020
Laboratory Name: Research & Analytical Laboratories, Inc Certification No. 34
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N oo615
mg/L Pb - Lead most uglL.
Colifonn: MF Fecal 31616 <t
11o0mL
Nitrate (NO3) as N 00620
2.13 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):
Dissolved Solids:Total 70300
mg/L
AI - Aluminum of ias
ri
pH (Lab) 00403
units
Be - Barium 01007
ug/L
TOC o066o 1.44
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 11.0
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total 01034
ug/L
Grease and Oils 00552
mg/L
Cu - Capper 01042
mg/L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron 0104e
ug/L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes (1) F� No (0)
Specific Conductance 00095
µMhos
K - Potassium 00937
mg/L VOC 7e732: , method # 8260
Total Ammonia 00610
mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia NiUagen: NH3 as IN: Ammonia Nitrogen, Total)
Mn- Manganese of 055
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%
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 date was produced using approved methods of analysis by a
DWQ-cert&ed laboratory. I am aware that there are significant penalfies for submitting false information, including the possibility of fines and imprisonment for knowing violations.
/Vt. ( A. -I cju//"t 1-1�
Permittee (or Authorized Anent) Name and Title - Please print or type
Sipnature of Permittes (or Authorized Anent)
GW-59 Rev. 2/2010

SUBMIT FORM ON YELLOW PAPER ONLY
Mall original
DEPARTMENT OF ENVIRONMENT B NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
and 1 copy to:
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1817 Phone: [phone]
FACILITY INFORMATION
Pease Print Clearly or Type
PERMIT Number: W00004972 Expiration Date:
Facility Name: Forest Lake ELS
Non -Discharge UIC
NPDES Other
Permit Name (if different):
Facility Address: 192 Thousand Trails Drive
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
Advance (st.) NO 27006 County Davie
(C'rM (Sim)
Inpl
© Spray Field ❑ Remediaflon:
Contact Person: Barbara Stanze
Telephone#:
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name:
No. of wells to be sampled: 4
❑ Water Source Heat Pump ❑ Other.
hom permit)
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): Ill
Date sample collected:
3/26/2020 FIELD ANALYSES:
WAS
Well Depth: 19.10 ft.
Well Diameter:
2 in. pH o0400: 6.42 units Temp. 000lo: 17.0 eC
DRY at
Dept to Water Level 10_31 ft. below measuring point
Screened Interval:
ft. to ft. Spec. Cord. 00094: µMhos
time of
sampling,
Measuring Point is ft. above land surface
Relative M.P. Elevation:
ft. Odor ocoes:
check
Volume of water pumped/bailed before sampling:
1.00-Dry
gallons
Appearance
here: ❑
Samples for metals were collected unfiltered: ❑ YES ❑
NO and field acidified: ❑ YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 03/26-03/3112020
Laboratory Name: Research & Analytical Laboratories, Inc Certification No. 34
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615
mg/L Pb - Lead olo51 ug/L
Coliform: ME Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620
5.22 mg/L Zn - Zinc 01092 mg/L
Colifonn: MF Total 31504
/100ml- Phosphorus: Total as P 00665
mg/L
(Note Use MPN method for highly surged samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
Dissolved S0lids:Total70300
mg/L
AI - Aluminum atlas
mg/L
pH (Lab) 0o4o3
units
Be - Barium 01007
ug/L
TOC 0os80 1.70
mg/L
Ca - Calcium 00916
mg/L
Chloride offal 25.0
mg/L
Cd - Cadmium 01027
ug/L
Arsenic01002
ug/L
Chromium: Total01034
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 #.,�TACH LAB REPORT.)
Sulfate 00945
mg/L
Hg - Mercury 71gog
ug/L Lab Report Attached? Yes (1) =No (0)
Specific Conductance 00095
µMhos
K - Potassium 00937
mg/L VOC 78732: , method # 8260
Total Ammonia co610
mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen; Wise 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
I certify that. to the best of my knowledge and belief, the information submitted in this report is two, accurate, and complete, and that the laboratory analytical data "a produced using approved methods of analysis by a
DWQ-certified laboratory. I am aware that there are significant penalties for submitting false information, induding the possibility of fines and imprisonment for knowing violations.
Agent) Name and T41e- Please print or type
GW-59 Rev. 22010

SUBMIT FORM ON YELLOW PAPER ONLY
Mall original
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
and 1 copy to:
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION
Pease Print Cleady or Type
PERMIT Number: WO0004972 Expiration Date:
Facility Name: Forest Lake ELS
Non -Discharge UIC
NPDES Other
Permit Name (if different):
Facility Address: 192 Thousand Trails Drive
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
Advance (Stna ) NC 27006 County Davie
(city) (Sim.)
(Z.p)
© Spray Field ❑ Remediation:
Contact Person: Barbara Stanza
Telephone#:
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name:
No. of wells to be sampled:
4
❑ Water Source Heat Pump ❑ Other:
from permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MWA
Date sample collected:
3/26/2020 FIELD ANALYSES:
WAS
Well Depth: 46.00 ft.
Well Diameter:
2 in. pH 004a0: 6.41 units Temp. 000to: 17.4 aC
DRY at
Dept to Water Level 32_13 ft. below measuring point
Screened Interval:
ft. to ft. Spec. Cord. 000e4: µMhos
time of
sampling,
Measuring Point is ft. above land surface
Relative M.P. Elevation:
ft. Odor aooa5:
check
Volume of water pumped/bailed before sampling:
4.25-Dry
gallons
Appearance
here: ❑
Samples for metals were collected unfiltered: ❑ YES ❑
NO and field acidified: ❑ YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 03/26-03/3112020
Laboratory Name: Research & Analytical Laboratories, Inc Certification No. 34
PARAMETERS NOTE: Values should reflect dissolved and
colloidal concentrations.
COD 00335
mg/L
Nitrite (NOz) as N 00615
mg/L Pb - Lead alos1 ug/L
Colifonn: MF Fecal 31616 <1
/100mL
Nitrate (NOa) as N 00620
0.205 mg/L Zn - Zinc 01092 mg/L
Colifonn: MF Total 31504
11GOmL Phosphorus: Total as P 00665
mg/L
(Notes Use MPN metnoe far highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
Dissolved Solids:Total 70300
mg/L
AI -Aluminum o11os
mg/L
pH (Lab) 00403
units
Be - Barium o1ao7
ug/L
TOC aoaso <1.0
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 8.00
mg/L
Cd - Cadmium o1o27
ug/L
Arsenic01002
ug/L
Chromium: Total01034
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 ooi
µMhos
K - Potassium 00937
mg/L VOC 78732: , method # 8260
Total Ammonia ooslo
mg/L
Mg - Magnesium 00927
mg/L , method #
(Ammonia Nitrogen; NHsas N; Ammania Nitrogen, Total)
Mn - Manganese o1055
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
I cadlty that, to the best of my knovAedge and belief, the information submitted in this report is true, accurate, and complete, and that the laboratory analytical date was produced using approved methods of analysis by a
DWQ-certified laboratory. I am aware that there are significant penalties for submits false information, including the possibility of fines and imprisonment for knowing violations.
&M
GW-59 Rev. 22010