WQ0004797_Monitoring - 05-2020_20200622

GW-59A COMI.'a,1. 1NCF: EZh;POf ft`i' FO'IZNt Permit#( WQ0004797
(2Vuhndt nrte each monitoring period frith GlV-59 farms.)
1 Enter data monitoring results were due. (h 3o(202D_) 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 GIV-59 report forms?
YES
NO
iF the answer to question for 2 is "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 welts in need of repair or maintenance (damaged casing, unlocked or missing cap, missing
YES
NO
identification plate, area overgrown, etc.)? Ifthe answer is "Yes", contact the Regional qffice frguidance.
X
4 Are any monitored constituents equal to or above the established standards?
YES
NO
If the answer to question 4 is "NO", skip to section 8,
if the answer to question 41s "YES" list the affected wells individually with conslituent(s) and concentration(s)
exceeding standards in the space provided below:
Nitrate (21, = 10 mg/L): MW-7R@ 21.5 mg/L
(Fecal Coliform (Total Coliform 21, standard = 1.0 CFU/100mL): MW-5@8.0 CFU/100mL and MW-6@3.0 CFU/100mL
5 For the constituents identified in question 4 above, have standards been exceeded previously for the
YES
NO
some constituent(s) In the same well(s) In the last two years?
X
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).
Nitrate Fecal Coliform Fecal Coliform
MW-7R (mg/L) MW-5 (CFU/100mL) MW-6 (CFU/100mL)
11/02/18; 69.0 11/02/18: ND 11102118: 69.0
05/21/19: 20.2 05/21/19: 7.0 05/21/19: 23.0
11/14/19: 17.1 11/14/19: 7.0 11/14/19: 44.0
05/06/20: 21.5 05/06/20: 8.0 05/06/20; 3.0
G Are the monitoring wells listed In section 5 located at or beyond the review boundary?
YES
NO
MW-5 and MW-7R are at or beyond the review boundary.
X
If the answer is "YES' a groundwater quality problem may be occurring. CONTACT THE REGIONAL
OFFICE IMMEDIATELY FOR GUIDANCE. if the answeris "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?
X
If the answer to question 7 is "YES", describe those actions in the space provided below.
If the answer to question 7 is "NO' j contact the Regional Office within 90 days; an evacuation may he
re ulred to deterarine the ina ac[ € e aste des osal system Is having at th-e review and com llan e
laoundarles surrognding this facile, Failure to do so may subiect the pgr{r�{tee„to a Notice of Violation,
fines, andlorpenalfles.
Fecal coliform should not be attributable to site operations. Historical monitoring of an on -site tributary of Mud
Creek has found high levels of fecal coliform.
Nitrate concentrations exceeded the groundwater standard in MW-7R and MW-8 for the first time in May 2016..
The high concentrations of nitrate are likely attributable to the frequent flooding of Mud Creek.
8 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.
5ignxturo of ormiltos (or Authorized Agent) Date
(AV-59A 12/812003

Attachment 4
DEQ GW-59 — Groundwater Quality
Monitoring: Compliance Report Forms

SUBMIT FORM ON EELLLLOY1/t PAPER ONLY
nEPARTM ENT OF ENVIRONMENT R NATURAL MSOt1RCES
NDWATEl7 QUALITY MONITORING: n iISIONOF WATERRE$OtlRCES • INroRlunngN PROCESSM UNIT
LIANCE REPORT FORM M 1E17 MAl1 SERNCE CENTER, RAtEIGH, Nc 27E9s•t517 plranv: 919397 6396
FACILITY INFORMATION Hasse Print Coady or Type
Facility Name: Clement Pappas
Permit Name (if different):
FacBityAddress: 125 Industrial Park
Hendersonville NC 28792 County Henderson
act Person: Mrs. Tracy Wolfe Telephone#:[phone]
Location/Site Name: Irrigation Area No. of wells to be sampled: 6
PERMIT Number: Expiration Date: 7 / 31 / 2 02 6
Non -Discharge WQ0004797 UIC
NPOES 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:
- - -
WELL IDNUMBER (from Permlt):-4 Date sample collected: 05/06/2020
Well Depth: 18— 20ft• Well Diameter: 2 in.
Depth to Water Level 62546: 7 ft. below measuring
. 98 g point Screened IntervaL�-ft. [o ft.
MdasurinPoint is 2 . 43 ft. above land surface Relative M.P. Elevation: 2063.77 ft.
Volume of water pumped/bailed before sampling: 0.40 gallons screened interval is ,eaat ve t„ land sucaceAppearance
Samples for metals were collected unfiltered: [AYES ❑ NO and field acidified: El YES ElNO
FIELD ANALYSES:
pH 00400: 5. 70 units Temp, doom 15.1 "C
Spec. Coed- 000sa: 231.7 µMhos
Odor00085: none
It weu-
WAS
DRY at
time of
sampling,g
check
check
here{
LJ
LABORATORY INFORMATION
Date sample analyzed: varies; see analytical report LaboratoryName: Pace Analytical
Services Certification No. 37712
PARAMETERS NOTE: Values should reflect dissolved
and colloidal concentrations.
COD 00335 mg/L
Nitrite (NO2) as N 00615
mg/L
Pb - Lead oio51 ug/L
Coliform: MF Fecal 31616 <1 . 0 /100ml-
Nitrate (NO3) as N 00620 3.7
mg/L
Zn - Zinc 01092 mg/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
mq/L
Other (Specify Compounds and Concentration Units):
lssolved Solids:Total 70300 1,72 mgk
Al - Aluminum o11o5
mg/L
pH (Lab) 00403 units
Be - Barium 01007
ug/L
TOC 00600 2.3 mg/L
Ca - Calcium o0916
mg/L
Chloride otig o 7.6 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 ItMhos
K - Potassium 00937
mg/L
method #
Total Ammonia no6lo <0 . 10 mg/L
Mg - Magnesium 00927
mg/L
method #
(Ammonia Nitrogen; NH,, as N. Am —Fill IFIt en, ioW}
Mn -Manganese o1055
uglL
,method #
TKN as N 00625 mg/L
Ni - Nickel 01067
ug/L
method #
For Remediation Systems Only (Attach Lab Reports):
Influent Total VOCs: 11191L
Effluent Total VOCs: n1gIL VO-C Removals/,
Pcrmll lire tar Authorized Agetd) Name and Title - please print or lype
Signature of Pemtitluc for Authorized All rail) lnatti)
GW-59 Rev. B/2013

SUBMIT FORM ON YELLOW. PAPER ONLY
GROUNDWATER QUALITY MONITORING:
DEPARTMENT OF ENVIRONMENT S NATURAL RESOURCES
DMINOH OF NMTER RESOD ROES -INFORM AT16N PROCESSING UN7
COMPLIANCE REPORT FORM
1017MAIL SERVICE CENTER. RALETGH, INC VCSS-1517 Wham: @19407.6306
FACILITY INFORMATION Pfaa�a Prod creasy or I ype
PERMIT Number: Expiration Date: 7 31 2 0 2 6
Facility Name: Clement Pappas
Man-Discharga WQ0004797 UIC
NPOI=S Other
Permit Name (if different):
Facility Address: 125 In ustrial Park
TYPE OF PERMITTED OPERATION BEING MONITORED
Hendersonville '' " NC 28792 County Henderson
❑ Lagoon ❑ Remediation: Infiltration Gallery
K,A F; rT.
® Spray Field ❑ Remedlallon:
Contact Person: Mrs . Tracy Wolfe
Telephone#: 82 8 - 32
9 - 6 647
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Irrigation Area
No. of wells to be sampled: 6
hcJn PemM
❑ Water Source Heat Pump ❑ Other: _
SAMPLIN- INFORMATION
MW-5
K WELL
WELL ID NUMBER (from Permit):
Date sample collected:
0 5 / 0 6 / 2 0 FIELD ANALYSES:
WAS
Well Depth: 18 .5D ft.
Well Diameter:
2 in. pH 00400: 5. 90 units Temp. of o10. 13 • el It
DRY at
Depth to Water Level 82546: 8 . 2 8 ft. below measuring point Screened Interval:
9* ft. to 19 * ft. Spec. Cond. 000s4: 61.9 µMhos
time of g
Measuring Point is 3. 0 0 ft. above land surface
Relative M.P. Elevation:
2065. 60 ft. Odor 0ooa5: none
chock
Volume of water pumped/bailed before sampling: 0.36
gallons screened interval is
catacree co land surfa� Appearance
here;
for metals were collected unfiltered: n YES
❑ NO and field addiffed: ❑
YES ❑ NO
❑Samples
LABORATORY INFORMATION
Date sample analyzed:variee; see analytical report LaboratoryName: Pace Analytical Services Certification No. 37712
PARAMETERS NOTE: Values should reflect dissolved
and colloidal concentrations.
COD 00335 mg/L
Nitrite (NO2) as N o0615
rng/L Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616 8.0 /100mL
Nitrate (NO3) as N 00620
<0 . 0 4 0mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504 /100mL
Phosphorus: Total as P oo665
0 . 0 8 3 mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
ssolved Solids:Total70300 116 mg/L
AI- Aluminum o11o5
n1g(L
pH (Lab) 00403 units
Be - Barium 01D07
ug/L
TOC o06tio 6.9 mg/L
Ca - Calcium 00916
mg/L
Chloride oo94o 7 . 3�mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002 ug/L
Chromium: Total 01034
ug/L
Grease and Oils 00552 ITIA
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 00946 mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ® Yes (1) ❑ No (0)
pedffc Conductance 00095 µMhos
K - Potassium 00937
mg/L method #
Total Ammonia 00610 <0 . 10 mg/L
Mg - Magnesium 00927
mg/L , method #
(Ammunla Nitrogen; NH3 as N: Ammonia Nitrogen, Total)
Mn - Manganese olo55
_ ug/L _ _ , method #
TKN as N 00625 mg/L
Ni - Nickel 01067
ug/L method #
For Remedlation Systems Only (Attach Lab Reports): Influent Total VOCs: mg& Effluent Total VOCs: mg/L VOC Removal%
Permillee (or Authorized Agent) Name and Title - Please print orty 10
ibe
GW-59 Rev.8/20'13

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
DEPARTMENT OF ENVIRONMENT it NATURAL AMUPICr5
txvfmds ofWATE14ItESOURCES•INFORM AncNPRMF88[NGukrr
COMPLIANCE REPORT FORM
r
i6S7A A L SERVCCE GEkTER RALEI[iH, kC 2T 99-S6f7 rtrd> a: asaaer•ssas.
FACILFTY INFORMATION BeawPfuriClowfyorTypo
PERMIT Number: Expiration Date: 7 31 202
FoellltyName: Clement Pappas
Nun -Discharge WQ0004797 UIC
NPOES Other
Permit Name (if different):
Fadilly Address: 125 Industrial Park
TYPE OF PERMITTED OPERATION BEING MONITORED
Hendersonville NC 28792 County Henderson
❑ Lagoon ❑ Remediation: Infiltration Gallery
® Spray Field ❑ Remediation:
Contact Person: Mrs. Tracy Wolfe
Telephone#: 828 - 3 2 9 - 6 64 7
❑ Rotary Distributor ❑ Land Application of Sludge
Well Locallonl5ite Name_ Irrigation Area
No. of wells to be sampled: 6
frmn Prn:r
❑ Water Source Heat Pump ❑ Other:
SAMPLING INFORMATION MW_ 6
If WELL
WELL ID NUMBER (from Permit):
Dale sample collected: 0 5 / 0 6 / 2 02 0 FIELD ANALYSES:
'WAS
Well Depth: 11 58 ft.
Well Diameter: 2 in.
pH 00400: 5 • 36 units Temp. Goole; 14. 9 °C
DRY at
Depth to Water Level e2546: 5 . 41 ft. below measuring point
Screened Interval: 5* ft. to 10* ft. Spec. Cond. doom: 173. 0 µMhos
time of
Measuring Point is 3 . 00 ft. above land surface
-
Relative M.P. Elevation: 2061. 17 ft.
Odor 000n: none
sampling,
-check
'Volume of water um ed/bailed before sampling: 0 . 70
P P p 9�
gallonss`reened interval is .araiwE co land
surfac'A ppearance
here:r ,
Samples for metals were collected unfiltered: ❑ YES ❑
NO and field acidified: ❑ YES ❑ NO
u
LABORATORY INFORMATION
Date sample analyzed: varies; ace analytical report LaboratoryName: Pace Analytical
Services Certification No. 37712
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L
Nitrite (NO2) as N 00515
mg/L Pb - Lead o1o51 ug1L
Coliform: MF Fecal 31515 3.0 /100mL
Nitrate (NO3) as N 00620 1 , 1
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504 /100mL Phosphorus: Total as P 00665 <0 . 05
mg/L
(Nola: Use MPN method for highly lurbld samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
)issolved Solids:Tolal 70300 9 6. 0 mg/L
At - Aluminum 01105
mg/L
pH (Lab) 00403 units
Ba - Barium 01007
ug/L
TOC coseo 2.0 mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 9.7 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 oo945 mg/L
Hg - Mercury 71900 _
ug/L Lab Report Attached? ® Yes (1) ❑ No (0)
ipecific Conductance 000m µMhos
K - Potassium 00937
mg/L _ _ method #
Total Ammonia omio <0 . 10 mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nilmgen; NHjas N; Ammonia Nitrogen, Tolal)
Mn - Manganese 01055
ug/L , method #
TKN as N 00525 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%
wAo6,4- -r-Ai4-r_4412I i
Pennillee {orAuthor¢ed Agani) Name and Tick - Please print or lype r Srgna]ure d Per Teee (orAu[hmind Agent' Onto)
GW-59 Rev.8/2013

GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
or
SUBMIT FORM ON YELLOW PAPER ONLY
Facility Name: Clement Pappas
Permit Name (if different):
Facility Address: 125 Industrial Park
Hendersonville NC 28792 County Henderson
Contact Person: Mrs. Tracy Wolfe Telephone#:[phone]
Well Location/Site Name: Irrigation Area No. of wells to be sampled: 6
fhw,P.,,Hn
PART1NEW Or ENVIRONMENT d NATURAL RESOURCES
1SION OF WATER RESOURCES - INFORMATION PROCESSING UNIT
7 MAIL SERVICE CENTER. RALEtGH, INC 27MA617 Plfofla: 918.867.636E
RMIT Number: Expiration Date: 7 31 2 0 26
n-Discharge WQ0004797 UIC
'DES Other
'PE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
❑X Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
..�.�r, MW-7R
WELL ID NUMBER (from Permit):
Date sample collected: 0 5 / 0 6 / 2 0
FIELD ANALYSES:
WAS
Well Depth: 17- '37ft.
Well Diameter: 2 in.
pH 00400: 5. 20 units Temp. otiolo. 14 • 9 °C
DRY at
Depth to Water Level 82546: 10 . 11ft. below measuring point
Screened Interval: 5 fL* to 15 rL*
Spec. Cond. 00094: 324.8 µMhos
time of
sampling,
Measuring Point is 3. 00 ft. above land surface
Relative M.P. Elevation: 2062.86 ft.
Odor000e5: none
Check
Volume of water um ed/bailed before sampling: 0 . 47 eened interval is relative to land surface
p p p g: jaallbns... Appearance
here:l—I
Sam des for metals were collected unfiltered: ❑YES El NO
and field acidified: YES ❑ NO
L�
LABORATORY INFORMATION
Date sample analyzed: var Lem r see anal.yt:ical report
LaboratoryName: Pace Analytical
Services Certification No. 37712
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations
COD 00335
mg/L
Nitrite (NO2) as N 00615
mg/L
Coliform: MF Fecal 31616
<1 . 0
/100mL
Nitrate (NO3) as N 00620
21.5 mg/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
Assolved Solids:Total 70300
219
mg/L
Al - Aluminum 01105
mg/L
pH (Lab) 00403.
units
Be - Barium 01007
ug/L
TOC oosao
1.2
mg/L
Ca - Calcium oo916
mg1L
Chloride oosao
20.9
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
Phenol 32730
ug/L
Fe - Iron 01045
ug/L
Sulfate 00945
mg/L
Hg - Mercury 71900
ug/L
Specific Conductance 00095
µMhos
K - Potassium 00937
mg/L
Total Ammonia oo510
<0 . 10
mg/L
Mg - Magnesium 00927
mg/L
(Ammonia Nitrogen; NH3 as N; Ammonia
Nitrogen, Total)
Mn - Manganese 01055
ug/L
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L
Pb - Lead 01051 ug/L
Zn -Zinc 01092 mg/L
Other (Specify Compounds and Concentration Units):
ORGANICS: (by GC, GC/MS, HPLC)
(Specify test and method M ATTACH LAB REPORT.)
Lab Report Attached? ® Yes (1) ❑ No (0)
method #
method #
method #
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal
Pormltten jar Alillm,Md ARunt) No"and Title - Please prat or lypc 8lpnathre tit Pmihmlttea(or Atift0zad Agenlj IOato)
GW-59 Rev.8/2013

SUBMIT FORM ON YELLOW PAPER ONLY
DE PART µE HT OF El OR M ENT $ 14AWPAL REsOURCFS
GROUNDWATER QUALITY MONITORING:
DIVIVON OF WATER RESOURCES - INFoRMATION PROCEssINa UNIT
COMPLIANCE REPORT FORM
1617rNAIL5ERVICECENTER. RALEIGH,NOV09.1617 Phvnv:949.97.639G
FACILITY INFORMATION Room Print Clnfulyw ryyn
PERMIT Number: Expiration Date: 7 31 2 2
Facility Name: Clement Pappas
Non -Discharge WQ0004797 UIC
NPDES Other
Permit Name (if different):
Facility Address: 125 Industrial Park
TYPE OF PERMITTED OPERATION BEING MONITORED
Hendersonville NC 28792 County Henderson
El Lagoon ❑Remediation:Infiltration Gallery
,, ,
® Spray Field L] Remedlollon:
Contact Person: Mrs. Tracy Wolfe
Telephone#: 82 B - 329 - 6 64 7
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name:_ Irrigation area
-- -- -
No. of wells to be sampled: 6
❑ Water Source Heat Pump ❑ Other:
Amm p_aI
SAMPLING_ INFORMATION
MW-8
If WELL
WELL ID NUMBER (from Permit):
Date sample collected: 0 5/ 0 6/20 FIELD ANALYSES:
WAS
Well Depth: 13 - 93ft.
Well Diameter: 2 in.
pH 00400: 6. 91 units Temp. 000to: 14. 4 °C
DRY at
Depth to Water Level e2546: 8 - 54 ft. below measuring point Screened Interval: 3 ft* to
13 ft' Spec. Cond. 00094: 214.1 IlMhos
time of
sampling,
Measuring Point Is 3. 00 ft. above land surface
Relative M.P. Elevation: 2060.80 ft.
Od❑r000e5: none
check
Volume of water um ed/bailed before sampling: 0 . 60
p p p g:
s°=eened interval is — ax re eo land surface
gallons Appearance
hero:��
Samples for metals were collected unflltored: n YES
❑ NO and field acidified: ❑ YES ❑ NO
LABORATORY INFORMATION
DaWsample analyzed: varies; see analytical report LaboratoryName: Pace Analytical Services Certification No. 37712
PARAMETERS NOTE: Values should reflect dissolved
and colloidal concentrations.
COD 00335 mg/L
Nitrite (NO.) as N oo615
mg/L Pb - Lead o1o51 ug/L
Coliform: MF Fecal 31616 <1 , 0 /100mL
Nitrate (NO3) as N 00620 3.6
mg/L Zn -Zinc 01092 mg/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 139 mg/L
At - Aluminum 01105
mg/L
pH (Lab) 00403 units
Be - Barium 01007
ug/L
TOC 00630 2-7 mg/L
Ca - Calcium 0091E
mg/L
Chloride oo94o 2.8 mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002 ug/L
Chromium: Total 01034
ug/L
Grease and Oils 00552mg/L
Cu - Copper 01042.
mg/L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730 ug/L
Fe- Iron 010a5
ug/L (Specify test and method M 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 method #
Total Ammonia ooslo <0 . 10 mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen; NH, as N; A -la Nitrogen, Total)
Mn - Manganese 01055
uglL ,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
Pennlltiw (pr Aulhv",NI Aged Name avd Til le - Pioaoe pnnT pr: hype slgnalvm d Pe rnittea (or Aulhnrized Agent) Pan)
GW-59 Rev 812013

SUBMIT FORM ON YELLOW PAPER ONLY
-
DEPARTMENT or ENInRORM ENT d NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DIVIVON OF WATER RESOURCE5 • INFORfllanoH PROCESSING UNIT
COMPLIANCE REPORT FORM
r
1617ONL SCRVICE CENTER. RALEIGH. HC 2769-34617 Pnohe: 913•g97 6396
FACILITY INFORMATION Pfonae PAnr Cluwfy or Typo
PERMIT Number: Expiration Date: 7 31 2 0 2 6
Facility Name: Clement Pappas
Non -Discharge WQ0004797 UIC _
NPDES Other
Permit Name (if different):
Facility Address: 125 Industrial Park
TYPE OF PERMITTED OPERATION BEING MONITORED
Hendersonville "" NC 28792 County Henderson
❑Lagoon ❑Remediation:Infiltration Gallery
' l,'
IN Spray Field ❑ Remediation:
Contact Person: Mrs. Tracy Wolfe
Telephone#: 828 - 3 2 9 - 6 64 7
❑ Rotary Distributor ❑ Land Application of Sludge
Weil Location/Site Name: Irrigation area
No. of wells to be sampled: 6
ben pemA
❑ Water Source Heat Pump ❑ Other:
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-9
Date sample collected: 05 / 0 6 /20
FIELD ANALYSES:
WAS
'Well Depth: 18�71 ft.
Well Diameter: 2 in.
pH 00400: 5. 52 units Temp. 000lo .i _' . •7 "C
DRY at
Depth to Water Level e2546: 4 . 30 ft. below measuring point Screened Interval: 3 ft* to
13 ft* Spec. Cond. 00094: 55.6 µMhos
time of
sampling,
(Measuring Point is 3 . 0 0 ft. above land surface
Relative M.P. Elevation: 2060.23 ft.
Odor 000e5: none
check
'Volume of water pumped/bailed before sampling: 0.30
+
gsllnns eCr ee°ed interval is to aattiva to land
surface Appearance
here:❑
Samples for metals were collected unfiltered: ❑ YES
❑ NO and field acidified: ❑ YES ❑ NO
LABORATORY INFORMATION
Mile sample arlalyzed:varies, aea analytical report LaboratoryName; Pace Analytical
Services Certification No. 37712
PARAMETERS NOTE: Values should reflect dissolved
and co1[oldal concentrations.
COD 00335 mglL
Nitrite (N%) as N o6645
mg/L Pb - Lead o1 o51 ug/L
Coliform: MF Fetal 31510 <l , 0 1100mi-
Nitrate (1403) as N uwo <0 . 0 4 mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504 /100mL
Phosphorus: Total as P 00665 0.099
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
Dissolved Solids:Total 70300 68.0r lL
AI- Aluminum olio5
mg/L
pH (Lab) 00403 units
Be - Barium 01007.
ug/L
TOC 00680 5.9 mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 1.8 mg/L
Cd - Cadmium 01027
uglL
Arsenic 01002 ug/L
Chromium: Total 01034
uglL
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 oo945 mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ® Yes (1) ❑ No (0)
Specific Conductance 00095 µMhos
K - Potassium 00937
mg/L method #
Total Ammonia oo6lo <0 . 10 mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen: NH,as N: Ammonia Nitrogen, Total)
Mn -Manganese 01055
uglL ,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
/) � � T
Permittee (or Aulhorized Agent) Name and Title -Please print or type Signature of Palmlike, WAullrnelzed Apenr}
GW-59 Rev.8/2013