HomeMy WebLinkAboutWQ0037555_Monitoring - 03-2020_20200430 (2)GW-59A COMPLIANCE REPORT FORM Permit # WR0037SS',�
(Submit one each monitoring period with GW-59 forms.)
t
1
Enter date monitoring results were due. ( ) Will this monitoring report (GIN-59 and GW-59A)
YES
El
be submitted after the established due date?
2
Was any required information missing on the GW-59 report forms?
YES
O
IF the answer to question 1 or 2is "YES" list in 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
O
identification plate, area overgrown, etc.)? If the answer is "Yes", contact the Regional Officefor guidance.
4
Are any monitored constituents equal to or above the established standards?
YES
O
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 constituent(s) and concentration(s)
exceeding standards in the space provided below.
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 "NO" 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).
6
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.
7
Is the permittee implementing previously approved actions required by the Division involving this
YES
NO
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 maysubiect the permittee to a Notice of Violation,
fines. and(orpenalties.
8
The person completing this portion (G W-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.
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Signature of permute,, for Authorized Agm, Date
GW-59A 121812003
SUBMIT FORM ON YELLOW PAPER ONLY
:R QUALITY MONITORING:
REPORTFORM
Name: Trillium Links & Village, LLC
Name (if different):
Address: 1 Trillium Center Cashiers NC 28717
act Person: Freddie Bean
Location/Site Name:
:awn
MW-1 (Upgradent)
Depth: 20 ft.
h to Water Level 82546: ft. below measuring point
:wring Point is ft. above land surface
ne of water pumped/bailed before sampling:
County Jackson
Telephone#: 828-743-6161
No. of wells to be sampled:
Date sample collected: 3-17-20
Well Diameter: P in.
Screened Interval: —ft. to _ft.
Relative M.P. Elevation: ft.
ate sample analyzed:
Laboratory Name:
\RAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO3) as N 00615
mg/L
Coliform: MF Fecal 31616
/100mL
Nitrate (NO3) as N oo62o
mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P o0665
mg/L
(Note: Use MM matron fir highly turbid samples)
Orthophosphate 70507
mg/L
Dissolved Solids:Total 70300
mg/L
AI -Aluminum o11o5
mg/L
pH (Lab) 00403
units
Be - Barium 01007
ug/L
TOC 00680
mg/L
Ca - Calcium 00916
mg/L
Chloride ooeiu
mg/L
Cd - Cadmium o1o27
ug/L
Arsenic 01002
ug/L
Chromium: Total olom
ug/L
Grease and Oils oo552
mg/L
Cu - Copper oiN2
mg/L
Phenol 32730
ug/L
Fe - Iron u1N5
ug/L
Sulfate ooet5
mg/L
Hg - Mercury 71900
ug/L
Specific Conductance 00095
µMhos
K - Potassium 00937
mg/L
Total Ammonia Uo610
mg/L
Mg - Magnesium 00927
mg/L
(Ammonia Nitmgen; NH.as N;Ammonia Nitrogen, Total)
Mn- Manganese olos5
ug/L
TKN as N oo625
mg/L
Ni- Nickel otoe7
ug/L
Number: Expiration Date:
'DES Other W00037555
'PE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon m Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump Other: High -Rate Infiltration
FIELD ANALYSES:
pH 00400: _ units
Spec. Cond. 00094:
Odor 000m
Appearance
Ek
AS DRY
time of
Temp. pump: °C mpling,
µMhos
Certification No.
Pb - Lead o1051 ug/L
Zn - Zinc 01092 mg/L
Other (Specify Compounds and Concentration Units):
ORGANICS: (by GC, GC/MS, HPLC)
(Specify test and method #. ATTACH LAB REPORT.)
Lab Report Attached? ❑ Yes (1) ❑ No (0)
VOC 78732 method #
method #
method #
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs:
Robert Bart/Authorized Agent
Permitter, (or Authonzetl Agent) Name and Title - Please print or type
GW-59 Rev. 812013
VOC Removal
q 30-Z�D
a
SUBMIT FORM ON YELLOW PAPER ONLY
:R QUALITY MONITORING:
REPORT FORM
Name: Trillium Links & Village, LLC
Name (if different):
Address: 1 Trillium Center Cashiers NC 28717
act Person: Freddie Boan
Location/Site Name:
County Jackson
Telephone#: 828-743-6161
No. of wells to be sampled:
:RMIT Number:
Expiration Date: 531-21
m-Discharge
UIC
IDES
Other W00037555
'PE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon
❑ Remediation: Infiltration Gallery
❑ Spray Field
® Remediation:
❑ Rotary Distributor
❑ Land Application of Sludge
❑ Water Source Heat Pump
Other: High -Rate Infiltration
.L ID NUMBER (from Permit): MW-2 (Downgradent#2) Date sample collected: 3-17-20 FIELD ANALYSES:
Depth: 22 ft. Well Diameter: 2 in. pH 00400: _ units Temp. 00010: °C
In to Water Level 82546: ft. below measuring point Screened Interval: _ft. to _ft. Spec. Cond. 00094: µMhos
curing Point is ft. above land surface Relative M.P. Elevation: ft. Odor 000ss:
me of water pumped/bailed before sampling: gallons Appearance
ate sample analyzed:
Laboratory Name:
1RAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N o0615
mg/L
Coliform: MF Feral 31616
/100mL
Nitrate (NO,) as N 00620
mg/L
Coliform MF Total 31504
/100ni
Phosphorus: Total as P 00665
mg/L
(Ni Use MPN methad for highly WNid samples)
Orthophosphate 70507
mg/L
Dissolved Solids:Total 70300
mg/L
At -Aluminum olloe
mg/L
pH (Lab) 00403
units
Be - Barium olo07
ug/L
TOC 00680
mg/L
Ca - Calcium oog16
mg/L
Chloride oog4o
mg/L
Cd - Cadmium 01027
1
Arsenic o1o02
ug/L
Chromium: Total 01om
ug/L
Grease and Oils oo5s2
mg/L
Cu - Copper 01042
mg/L
Phenol 32730
ug/L
- Fe - Iron riots
ug/L
Sulfate 00945
mg/L
Hg - Mercury 71900
ug/L
Specific Conductance 00095
µMhos
K - Potassium oo937
mg/L
Total Ammonia 00610
mg/L
Mg -. Magnesium 00927
mg/L
(Ammonia Nitrogen; NH,as N;Ammome Nitrogen, Total)
Mn- Manganese o1o56
ug/L
TKN as N 00625
mg/L
Ni - Nickel o1oe7
ug/L
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs:
Robert Barr/Authorized Agent
Permitted (or Authonzed Agent) Name and Title - Please print or type
GW59 Rev. 8/2013
Certification No.
Pb - Lead olo51 ug/L
Zn -Zinc 01092 mg/L
Other (Specify Compounds and Concentration Units):
ORGANICS: (by GC, GC/MS, HPLC)
(Specify test and method #. ATTACH LAB REPORT.)
Lab Report Attached? ❑ Yes (1) ❑ No (0)
VOC 76732 , method #
method #
method #
method #
Effluent Total VOCs:
mg/L VOC
AS DRY
time of
a
7_0
SUBMIT FORM ON YELLOW PAPER ONLY
:R QUALITY MONITORING:
REPORT FORM
Name: Trillium Links 8 Village, LLC
Name (if different):
Address: 1 Trillium Center Cashiers NC 28717
act Person: Freddie Boan
Location/Site Name:
County Jackson
Telephone#: 828-743-6161
No. of wells to be sampled:
.L ID NUMBER (from Permit): MW-4 (Downgradent#1) Date sample collected: 3-17-20
Depth: 19 ft. Well Diameter: 2 in.
In to Water Level 82546: ft. below measuring point Screened Interval: _ft. to _ft.
suring Point is ft. above land surface Relative M.P. Elevation: ft.
me of water pumped/bailed before sampling: gallons
ate sample analyzed: Laboratory Name
4RAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615
mg/L
Coliform: MF Fecal 31616
/100mL
Nitrate (NO3) as N 00620
mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665
mg/L
(Note: use MPN memod for highly Wria samples)
Orthophosphate 7o5o7
mg/L
Dissolved Solids:Total 70300
mg/L
At -Aluminum 01105
mg/L
pH (Lab) 00403
units
Be - Barium 01007
ug/L
TOC 006M
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940
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
Phenol 32730
ug/L
Fe -Iron o1o4
ug/L
Sulfate 00945
mg/L
Hg - Mercury71g00
ug/L
Specific Conductance 00095
µMhos
K - Potassium 00937
mg/L
Total Ammonia 00610
ni
Mg - Magnesium oo927
mg/L
(Ammonia Nitrogen; 19113as N: Ammonia Nkmgen, Total)
Mn- Manganese olo55
ug/L
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L
IRMIT Number:
Expiration Date: 5a1-21
n-Discharge
UIC
'DES
Other W00037555
PE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon
m Remediation: Infiltration Gallery
❑ Spray Field
Q Remediation:
❑ Rotary Distributor
❑ Land Application of Sludge
❑ Water Source Heat Pump
'0 Other: High -Rate Infiltration
FIELD ANALYSES:
pH oo400: _ units
Spec. Cond. ooaw:
Odor 000m
Appearance
WAS DRY
Temp. 000lo: oC at time of
µMhos sampling,
check
Certification No.
Pb - Lead o1o51 ug/L
Zn - Zinc oloaz mg/L
Other (Specify Compounds and Concentration Units):
ORGANICS: (by GC, GC/MS, HPLC)
(Specify test and method #. ATTACH LAB REPORT.)
Lab Report Attached? ❑ Yes (1) ❑ No (0)
VOC 787a2 , method #
method #
method #
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs:
Robert Barr/Authorized Agent
Permittee (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev. 8/2013
VOC
n