WQ0021934_Monitoring - 04-2020_20200511

Cl IRMIT Fr1RM ON YFt I r1W PAPFR ONl Y
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING;
•
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
a
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION Please Print pearly or Type
PERMIT Number: Expiration Date: 09/30/2023
Facility Name: Hasentree
Non -Discharge W00021934 UIC
NPDES Other
Permit Name (if different):
Facility Address:
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
Wake Forest NC County Wake
® Spray Field ❑ Remediation:
Contact Person: Roger Tupps
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name:
No. of wells to be sampled: 5
hom Permit
❑ Water Source Heat Pump ❑ Other:
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-5
Date sample collected: 04/01/2020
FIELD ANALYSES:
WAS
Well Depth: 36.65 ft.
Well Diameter: 2 in.
pH 5.6 units Temp. 15 eC
DRY at
Depth to Water Level: 26.75 ft. below measuring point
Screened Interval: _ft to
_ft.
Spec. Cond. µMhos
time sampling,
Measuring Point is ft. above land surface
Relative M.P. Elevation: ft.
Odor
check
Volume of water pumped/bailed before sampling:
2.0 gallons
Appearance
here: ❑
Samples for metals were collected unfiltered: El YES
❑ NO and field acidified: [--]YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 04/01/2020
Laboratory Name: Enviroment 1
Certification No. 10
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD mg/I
Nitrite (NO2) as N
mg/I
Pb - Lead mg/I
Coliform: MF Fecal /t00ml
Nitrate (NO3) as N 38
mg/1
Zn - Zinc mg/I
Coliform: MF Total <1 /100ml
Phosphorus: Total as P 3.32
mg/I
(Note: Use MPN method for highly turbid samples)
Orthophosphate
mg/I
Other (Specify Compounds and Concentration Units)
Dissolved Solids: Total 15 mg/I
AI - Aluminum
mg/1
Total Suspended Residual 83 _
pH (when analyzed) 5.6 units
Ba - Barium
mg/1
TOC 1 45 mg/I
Ca - Calcium
mg/1
Chloride 7 mg/1
Cd - Cadmium
mg/I
Arsenic mg/1
Chromium: Total
mg/I
Grease and Oils mg/1
Cu - Copper
mg/I
ORGANICS: (by GC, GC/MS, HPLC)
Phenol mg/1
Fe - Iron
mg/I
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate mg/I
Hg - Mercury
mg/I
Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance µMhos
K - Potassium
mg/I
VOC method #
Total Ammonia <.04 mg/1
Mg - Magnesium
mg/I
method #
(Ammonia Nitrogen, NH, as N, Ammonia Nitrogen, Total)
Mn - Manganese
mg/1
, method #
TKN as N mg/I
Ni - Nickel
mg/I
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal
Roger Tupps- Field Supervisor
Permittee (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev. 1/2007
C
ice+
r Z
O
N

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENT d NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH. NC 27699-1617 Phone:[phone]
FACILITY INFORMATION Please Print
Clearly or Type
PERMIT Number: Expiration Date: 09/30/2023
Facility Name: Hasentree
Non -Discharge W00021934 UIC
NPDES Other
Permit Name (if different):
Facility Address:
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
Wake Forest NC County Wake
© Spray Field ❑ Remediation:
Contact Person. Roger Tupps
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name:
No. of wells to be sampled: 5
eom aermn
❑ Water Source Heat Pump ❑ Other:
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-4
Date sample collected: 04/01/2020
FIELD ANALYSES:
WAS
Well Depth: 29.91 ft.
Well Diameter 2 in.
pH 5.9 units Temp. 14 °C
DRY at
Depth to Water Level: 24.64 ft. below measuring point
Screened Interval: ft. to
-
ft. Spec. Cond. pMhos
time of
sampling,
Measuring Point is ft. above land surface
Relative M.P. Elevation: ft.
Odor
check
Volume of water pumped/bailed before sampling:
1 0 gallons
Appearance
here
Samples for metals were collected unfiltered: El YES
❑ NO and field acidified: ❑ YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 04/01/2020
Laboratory Name: EnViroment 1
Certification No. 10
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD mg/I
Nitrite (NO2) as N
mg/I
Pb - Lead mg/I
Coliform: MF Fecal /100ml
Nitrate (1403) as N <,04
mg/I
Zn - Zinc mg/I
Coliform: MF Total <1 /100ml
Phosphorus: Total as P <.04
mg/I
(Note use MpN method for Highly wrbld samples)
Orthophosphate
mg/I
Other (Specify Compounds and Concentration Units):
Dissolved Solids: Total 104 mg/I
Al - Aluminum
mg/I
Total Suspended Residual <2.7
pH (when analyzed) 59 units
Ba - Barium
mg/I
TOC <1.0 mg/I
Ca - Calcium
mg/I
Chloride 12 mg/I
CA - Cadmium
mg/I
Arsenic mg/I
Chromium: Total
mg/I
Grease and Oils mg/I
Cu - Copper
mg/I
ORGANICS: (by GC, GC/MS, HPLC)
Phenol mg/I
Fe - Iron
mg/I
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate mg/I
Hg - Mercury
mg/I
Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance )Mhos
K - Potassium
mg/I
VOC method #
Total Ammonia <.04 mg/1
Mg - Magnesium
mg/I
method #
Ammonia Nitrogen. NH, as N, Ammonia Nitrogen. Total)
Mn -Manganese
mg/I
,method #
TKN as N mg/I
Ni - Nickel
mg/I
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal
ger Tupps- Field Supervisor
iitee (or Authorized Apart) Name and Title - Please print of type
GW-59 Rev. 1/2007

SIIRMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
@
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699.1617 Phone:[phone]
FACILITY INFORMATION Please Print Clearly or Type
PERMIT Number: Expiration Dale: 09/30/2023
Facility Name: Hasentree
Non -Discharge W00021934 UIC
NPDES Other
Permit Name (if different):
Facility Address:
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
Wake Forest NC County Wake
® Spray Field ❑ Remediation:
Contact Person: Roger Tupps
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name:
No. of wells to be sampled: 5
from Permit
❑ Water Source Heat Pump ❑ Other:
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-3
Date sample collected: 04/01/2020
FIELD ANALYSES:
WAS
Well Depth: 45.44 ft.
Well Diameter: 2 in.
pH 6.2 units Temp. 14 oC
DRY at
Depth to Water Level: 36.42 ft. below measuring point
Screened Interval: _ft.
to _ft.
Spec. Cond. pMhos
time of
sampling,
Measuring Point is ft, above land surface
Relative M.P. Elevation:
ft.
Odor
check
Volume of water pumped/bailed before sampling:
1.5 gallons
Appearance
here: ❑
Samples for metals were collected unfiltered: DYES
❑ NO and field acidified: ❑ YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed: 04/01/2020
Laboratory Name: Environment 1
Certification No. 10
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD mg/I
Nitrite (NO2) as N
mg/I
Pb - Lead mg/I
Coliform: MF Fecal /100ml
Nitrate (1,103) as N
<.04 mg/I
Zn - Zinc mg/I
Coliform: MF Total <1 /100ml
Phosphorus: Total as P
1.00 mg/I
(Note use MPN method for highly forbid samples)
Orthophosphate
mg/I
Other (Specify Compounds and Concentration Units):
Dissolved Solids: Total 1 08mg/I
At - Aluminum
mg/I
Total Suspended Residual 8.2
pH (when analyzed) 6.2 units
Ba - Barium
mg/I
_
TOC <1.0 mg/I
Ca - Calcium
mg/I
Chloride 7 mg/I
Cd - Cadmium
mg/I
Arsenic all
Chromium: Total
mg/I
Grease and Oils mg/I
Cu - Copper
mg/I
ORGANICS: (by GC, GC/MS, HPLC)
Phenol mg/I
Fe - Iron
mg/I
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate mg/I
Hg - Mercury
mg/I
Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance ItMhos
K - Potassium
mg/I
VOC method #
Total Ammonia <.04 mg/I
Mg - Magnesium
mg/I
, method #
(Ammonia Nitrogen, NH,as N. Ammonia Nitrogen, Total)
Mn -Manganese
mg/I
,method #
TKN as N mg/I
Ni - Nickel
mg/I
, method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal
ger Tupps- Field Supervisor
iittee (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev. 1/2007

SI IRMIT FnRM nN YFI I nW PAPFR ONLY
DEPARTMENT OF ENVIRONMENTS NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION PleasePrint clearly or Type
PERMIT Number: Expiration Date: 09/30/2023
Facility Name: Hasentree
Non -Discharge W00021934 UIC
NPDES Other
Permit Name (if different):
Facility Address:
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
Wake Forest NC County Wake
® Spray Field ❑ Remediation:
Contact Person: Roger TuppS
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name:
No. of wells to be sampled: 5
from Permit
❑ Water Source Heat Pump ❑ Other:
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-2
Date sample collected: 04/01/2020
FIELD ANALYSES:
WAS
Well Depth: 45.88 ft.
Well Diameter: 2 in.
pH 6.1 units Temp. 14 oC
DRY at
Depth to Water Level: 27.38 ft. below measuring point
Screened Interval: ft. to
-
ft. Spec. Cond. pMhos
time of
sampling.
Measuring Point is ft. above land surface
Relative M.P. Elevation: ft.
Odor
check
Volume of water pumped/bailed before sampling:
3.5 gallons
Appearance
here: ❑
Samples for metals were collected unfiltered: DYES
❑ NO and field acidified: ❑ YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 04/01/2020
Laboratory Name: Enviroment 1
Certification No. 10
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD mg/I
Nitrite (NO2) as N
mg/I
Pb - Lead mg/I
Coliform: MF Fecal /100ml
Nitrate (NO3) as N .24
mg/I
Zn - Zinc mg/I
Coliform: MF Total <1 /100ml
Phosphorus: Total as P 15
Trip
(Note Use MPN method for highly turbid samples)
Orthophosphate
mg/I
Other (Specify Compounds and Conc Units):
Dissolved Solids: Total 118 mg/I
At - Aluminum
mg/I
Total Suspended Residual ��
pH (when analyzed) 6.1 units
Ba - Barium
mg/I
TOC <1.0 mg/I
Ca - Calcium
mg/I
Chloride 7 mg/I
Cd - Cadmium
mg/I
Arsenic mg/I
Chromium: Total
mg/I
Grease and Oils mg/I
Cu - Copper
mg/I
ORGANICS: (by GC, GC/MS, HPLC)
Phenol mg/I
Fe - Iron
mg/I
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate mg/I
Hg - Mercury
mg/I
Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance IiMhos
K - Potassium
mg/I
VOC method #
Total Ammonia <.04 mg/I
Mg - Magnesium
mg/I
method #
(Ammonia Nitrogen, NN,as N; Ammoma Nmogen. Total)
Mn - Manganese
mg/I
, method #
TKN as N mg/I
Ni - Nickel
mg/I
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
Roger Tupps- Field Supervisor
Permittee (or Authorized Aqent) Name and Title - Please print or type SihInatiFol Permittee
GW-59 Rev. 1/2007

CI IRAAIT PnPK,A nN YFI I r1W PAPFR nNl Y
EPARTM ENT OF ENVIRONMENT 3 NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
r
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
617 MAIL SERVICE CENTER, RALEIGH, NC 27699.1617 Phone:[phone]
FACILITY INFORMATION Please Print Clearly or Type
PERMIT Number: Expiration Date: 09/30/2023
Facility Name: Hasentree
Non -Discharge WQ0021934 UIC
NPDES Other
Permit Name (if different):
Facility Address:
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
Wake Forest NC County Wake
© Spray Field ❑ Remediation:
Contact Person: Roger TuppS
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name:
No. of wells to be sampled: 5
rrom Pe..»A
❑ Water Source Heat Pump ❑ Other:
If WELL
SAMPLING INFORMATION
WELL ID NUMBER (from Permit): MW-1
Date sample collected: 04/01/2020
FIELD ANALYSES:
WAS
Well Depth: 40.38 ft.
Well Diameter: 2 in.
pH 5.5 units Temp. 14 °C
DRY at
time of
Depth to Water Level: 33.20 ft. below measuring point
to
Screened Interval: — ft. to
—
Spec. Cond. pMhos
sampling.
Measuring Point is ft. above land surface
Relative M.P. Elevation: ft.
Odor
check
Volume of water pumped/bailed before sampling:
1 5 gallons
Appearance
here: ❑
Samples for metals were collected unfiltered: DYES
❑ NO and field acidified: ❑ YES ❑ NO
LABORATORY INFORMATION
Dale sample analyzed: 04/01/2020
Laboratory Name: Enviroment 1
Certification No. 10
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD mg/I
Nitrite (NO2) as N
mg/I
Pb - Lead mg/I
Coliform: MF Fecal /100ml
Nitrate (NO3) as N .11
mg/I
Zn - Zinc _ mg/I
Coliform: MF Total <1 /100ml
Phosphorus: Total as P .10
mg/I
(Noce Use MPN method for highly turbid samples)
Orthophosphate
mg/I
Other (Specify Compounds and Concentration Units):
Dissolved Solids: Total 20 mg/I
All - Aluminum
mg/I
Total Suspended Residual 49
pH (when analyzed) 5.5 units
Be - Barium
mg/I
TOC <1.0 rrg/I
Ca - Calcium
mg/I
Chloride 6 mg/I
Cd - Cadmium
mg/I
Arsenic mg/I
Chromium: Total
mg/I
Grease and Oils mg/I
Cu - Copper
mg/I
ORGANICS: (by GC, GC/MS, HPLC)
Phenol mg/I
Fe - Iron
mg/I
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate mg/I
Hg - Mercury
mg/I
Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance IiMhos
K - Potassium
mg/I
VOC method #
Total Ammonia .05 mg/I
Mg - Magnesium
mg/1
method #
(Ammoma Nitrogen, N"'as NI Ammonia Nitroge, Total)
Mn - Manganese
mg/I
_, method #
TKN as N mg/I
Ni - Nickel
mg/I
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Ettluent I otal VUL s: mg/L vu� memwalvo
Roger Tupps- Field Supervisor
Permittee (or Authorized Agent) Name and Title - Please print or type Signature mittee (or Authori ent)
GW-59 Rev. 1/2007