HomeMy WebLinkAboutWQ0015052_Monitoring - 03-2020 (GW-59)_20200511..•
GW-59A COMPLIANCE REPORT FORM Permit # t+ �15P5Z
(Submit one each monitoring period with GIV-59 forms.)
1
Enter date monitoring results were due. ( 34'`2 Will this monitoring report (GW-59 and GW-59A)
NO
be submitted after the established due date?
2
Was any required information missing on the GW-59 report forms?
YES
IF the answer to question 1 or 2 is "YES", list in the space provided below the well identification nYmber(s) and
explain the problems encountered in obtaining the required information.
N
� n
3
Are any of the monitor wells in need of repair or maintenance (damaged casing, unlocked or missing cap,-mislntg r:'ES
identification plate, area overgrown, etc.)? If the answer is "Yes", contact the Regional Office for guidance: ` a
4
Are any monitored constituents equal to or above the established standards?
YES
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, ell with, anstituent(s) exceeding
standards, concentration(s) reported, and sample collection date for each rrence -ZPb`r the last two years).
N�
�P
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 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
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 may subject the permittee to a Notice of Violation,
fines, and/or penalties.
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.
Signature of Per ittee or uthorized Agent) Date
GW-59A 12/8/2003
SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
�1617
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: (919) 733-3221
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: Expiration Date: 8-31-18
Facility Name: Village at Ocean Hill
Non -Discharge WQ0015052 UIC
NPDES Other
Permit Name (if different):
Facility Address: Rt. 12
TYPE OF PERMITTED OPERATION BEING MONITORED
Corolla (street) NC
27927 County Currituck
❑ Lagoon El Remediation: Infiltration Gallery
(city) (state)
(zip)
❑■ Spray Field ❑ Remediation:
Contact Person: Tina Gee
Telephone#: 252-491-5277
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: LAT 36-22-954 LON 75-49-952 East of fld No. of wells to be sampled: 2
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-9
Date sample collected: 3-10-2020
FIELD ANALYSES:
WAS
Well Depth: 12.9 ft.
Well Diameter: 2 in.
pH 00400: 6.29 units Temp. 000lo: 18.5 °C
DRY at
Depth to Water Level 82546:4 ft. below measuring point Screened Interval: 5 ft. to
_ft. Spec. Cond. 000sa: µMhos
time ofsampling,
Measuring Point is 2.75 ft. above land surface
Relative M.P. Elevation: ft.
Odor 00085: Slight
check
Volume of water pumped/bailed before sampling:
5
gallons
Appearance Tan
here: ❑
Samples for metals were collected unfiltered: ❑ YES
❑ NO and field acidified: ❑ YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed:
Laboratory Name: Universal Labs
Certification No. NCWW543
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations:
COD 00335
mg/L
Nitrite (NO2) as N 00615
mg/L Pb - Lead o1o51 ug/L
Coliform: MF Fecal 31616 7
/100mL
Nitrate (NO3) as N 00620 <0.1
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):
issolved Solids:Total 70300 187
mg/L
Al - Aluminum 01105
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 0068o 7.26
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 <10
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
µMhos
K - Potassium 00937
mg/L VOC 78732: method #
Total Ammonia 00610 0.21
mg/L
Mg - Magnesium 00927
mg/L on file in office method #
(Ammonia Nitrogen. NH3as 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%
JirnlQ E-f-'ve'l l(�_
Permittee (or Authorize Agent) Name and Title - Please print or type
GW-59 Rev.2/2010
SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
EM1617
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: (919) 733-3221
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: Expiration Date: 8-31-18
Facility Name: Village at Ocean Hill
Non -Discharge WQ0015052 UIC
NPDES Other
Permit Name (if different):
Facility Address: Rt. 12
TYPE OF PERMITTED OPERATION BEING MONITORED
Corolla (StfePt) NC
27927
County Currituck
❑ Lagoon El Remediation: Infiltration Gallery
(City) (State)
(Zip)
K Spray Field El Remediation:
Contact Person: Tina Gee
Telephone#: 252-491-5277
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: LAT 36-22-955 LON 75-50-037 West of fld No. of wells to be sampled: 2
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-10
Date sample collected: 11-12-2019
FIELD ANALYSES:
WAS
Well Depth: 10.4 ft.
Well Diameter: 2 in.
pH 00400: 6.39 units Temp. 000lo: 20.7 °C
DRY at
Depth to Water Level azsas: 9 ft. below measuring point Screened Interval: 5 ft. to
ft. Spec. Cond. 000sa: µMhos
time ofsampling,
Measuring Point is 2.25 ft. above land surface
Relative M.P. Elevation: ft.
Odor 00085: Slight
check
Volume of water pumped/bailed before sampling:
5
gallons
Appearance Clear
here: ❑
Samples for metals were collected unfiltered: ❑ YES
❑ NO and field acidified: ❑ YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed:
Laboratory Name: Universal Labs
Certification No. NCWW543
PARAMETERS NOTE: Values should reflect
dissolved
and colloidal concentrations:
COD 00335
mg/L
Nitrite (NOZ) as N 00615
mg/L Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616 <1
/100ml-
Nitrate (NO3) as N 00620 0.26
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):
issolved Solids:Total 70300 160
mg/L
Al -Aluminum 01105
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 0068o 4.15
mg/L
Ca - Calcium 00916
mg/L
Chloride 0094o 34.62
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
µMhos
K - Potassium 00937
mg/L VOC 78732: method #
Total Ammonia 00610 <0.2
mg/L
Mg - Magnesium 00927
mg/L on file in office method #
(Ammonia Nitrogen, NH3as 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%
J linmu OR C
Permittee (or Authorized gent) Name and Title - Please print or type
GW-59 Rev.2/2010