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HomeMy WebLinkAboutWQ0000088_Monitoring - 03-2018_20200505SUBMIT FORM ON YELLOW PAPER ONLY EPAktMENT.oF ENVIR0NMEN1 &NATURAL Rlc$OURCES o-x 4) za fii2 GROUNDWATER QUALITY MONITORING: vlsib�bF WIATEIt 6I6/(uTY IN0'0RMATIQN PRC1G�&SING UNIT' COMPLIANCE REPORT FORM 817MAIL SERVICE GENIER,.RALIGH NG;27$991817 Phbrie: (979113221 FACILITY INFORMATION Please Pnnt Clearly or Type PERMIT Number: Expiration Date: 3-31-2017 Facility Name: Govemor's Club Non -Discharge WQ0000088 UIC NPDES Other Permit Name (if different): Facility Address: TYPE OF PERMITTED OPERATION BEING MONITORED ❑ Lagoon ❑ Remediation: Infiltration Gallery NC County Chatham Yip) ❑K Spray Field ❑ Remediation: Contact Person: Jackie Jackson Telephone#: 919-653-5773 ❑ 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): MW-1A Date sample collected: 3/8/18 FIELD ANALYSES: WAS Well Depth: 45.03 ft. Well Diameter: 2 in. pH 6.7 units Temp. 16 °C DRY at Depth to Water Level: 21.95 ft. below measuring point Screened Interval: ft. to ft. Spec. Cond.µMhos time of — 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: EYES ❑ NO and field acidified: ❑YES ❑ NO LABORATORY INFORMATION Date sample analyzed: 3/8/18 Laboratory Name: Environment 1 Certification No. 10 PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. !! .H COD mg/l Nitrite (NO2) as N mg/I Pb - Lead mg/I MAY 21 2020 Coliform: MF Fecal /100ml Nitrate (NO3) as N 0.13 mg/I Zn - Zinc mg/I Coliform: MF Total <1.0 /100ml Phosphorus: Total as P 0.16 mg/I (Note: Use MPN method for highly turbid samples) Orthophosphate mg/I Other (Specify Compounds and Concentration Units): Dissolved Solids: Total 1810 mg/I Al - Aluminum mg/I Total Suspended Solids 22 pH (when analyzed) 7.0 f:rf:j\j Ba Barium mg/1 TOC 1.30 mg/I Ca - Calcium mg/I Chloride 735 mg/I Mkv U 5 2020 Cd - Cadmium mg/1 Arsenic mg/I p&R, SECTION Chromium: Total mg/1 Grease and Oils m�q/Ip'14TIGN PROCESSING 141dIT Copper mg/I ORGANICS: (by GC, GC/MS, HPLC) Phenol hi�Y'Y Fe - Iron mg/1 (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/1 VOC method # Total Ammonia 0.09 mg/I Mg - Magnesium mg/I method # (Ammonia Nitrogen; N113as 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% Jackie Jackson - Regional Supervisor Permittee (or Authorized Aqent) Name and Title - Please print or type (or Authorized Agent) (Date) GW-59 Rev.1/2007 SUBMIT FORM ON YELLOW PAPER ONLY GROUNDWATER QUALITY MONITORING: EP ARTtAgNT O0ENYIRC)NMENT A NA717Rd4 RE90URCES lEve oNdf; %TER QUAL)TYI4tQRMpT10NPROCES5IN(3UNI7 ° COMPLIANCE REPORT FORM z 817MAtL'SESRUtCECENTER,LIEGHINC,, sss1817 ,phone (91.... FACILITY INFORMATION Please Print Clearly orType PERMIT Number: Expiration Date: 3-31-2017 Facility Name: Governor's Club Non -Discharge WQ0000088 UIC NPDES Other Permit Name (if different): Facility Address: TYPE OF PERMITTED OPERATION BEING MONITORED El Lagoon ❑Remediation: Infiltration Gallery NC County Chatham Ist�r,) i6r', © Spray Field ❑ Remediation: Contact Person: Jackie Jackson Telephone#: 919-653-5773 ❑ 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): MW-3A Date sample collected: 3/8/18 FIELD ANALYSES: WAS Well Depth: 44.56 ft. Well Diameter: 2 in. pH 6.5 units Temp. 17 °C DRY at Depth to Water Level: 2 5.2 3 ft. below measuring point Screened Interval: ft, to ft. Spec. Cond. µMhos time of — sampling, Measuring Point is ft. above land surface Relative M.P. Elevation: ft. Odor Volume of water pumped/bailed before sampling: 2•0 gallons Appearance here: ❑ Samples for metals were collected unfiltered: DYES ❑ NO and field acidified: ❑ YES ❑ NO LABORATORY INFORMATION Date sample analyzed: 3/8/18 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 (NO3) as N <0.04 mg/1 Zn - Zinc mg/I Coliform: MF Total <1.0 /100ml Phosphorus: Total as P 0.15 mg/I (Note: Use MPN method for highly turbid samples) Orthophosphate mg/I Other (Specify Compounds and Concentration Units): Dissolved Solids: Total 177 mg/I Al - Aluminum mg/I Total Suspended Solids 20 pH (when analyzed) 7.0 units Ba - Barium mg/I TOC 1.32 mg/I Ca - Calcium mg/I Chloride 5 mg/I Cd - Cadmium mg/1 Arsenic mg/I Chromium: Total mg/1 Grease and Oils mg/1 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/1 Hg - Mercury mg/I Report Attached? ❑ Yes (1) ❑ No (0) Specific Conductance FtMhos K - Potassium mg/I VOC method # Total Ammonia 0.04 mg/1 Mg - Magnesium mg/I method # (Ammonia Nitrogen; NH3as N; Ammonia Nitrogen, Total) Mn -Manganese mg/I ,method # TKN as N mg/1 Ni - Nickel mg/I method # For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal% Jackie Jackson - Regional Supervisor Permittee (or Authorized Aqent) Name and Title - Please print or type (or Authorized Agent) CI GW-59 Rev.1/2007 SUBMIT FORM ON YELLOW PAPER ONLY GROUNDWATER MONITORING: EPARTMENT OF ENVI�tO MENT � NA'jUiiAt. F�E$C�URCE$ , of ' �'`� t� "5 QUALITY show`OFWATERQ(JALiTY�'4NFO MA71gN��p�.`ES INGUNII p `prrone:(919�ta3� COMPLIANCE REPORT FORM ai►ilfd►SERV►c�cNrtR,RAt�►�x,Ncss9�'�g1r + _,' FACILITY INFORMATION Please Print Clearly orType PERMIT Number: Expiration Date: 3-31-2017 Facility Name: Governor's Club Non -Discharge WQ0000088 UIC NPDES Other Permit Name (if different): Facility Address: TYPE OF PERMITTED OPERATION BEING MONITORED ❑ Lagoon ❑ Remediation: Infiltration Gallery NC County Chatham 91 Spray Field ❑ Remediation: Contact Person: Jackie Jackson Telephone#: 919-653-5773 ❑ 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): MW-7 Date sample collected: 3/8/18 FIELD ANALYSES: WAS Well Depth: 32.09 ft. Well Diameter: 2 in. pH 6.7 units Temp. 17 °C DRY at Depth to Water Level: 22.0 ft. below measuring point Screened Interval: ft. to ft. Spec. Cond. µMhos 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: 3/8/18 Laboratory Name: Environment I 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 0.06 mg/I Zn - Zinc mg/1 Coliform: MF Total <1.0 /100ml Phosphorus: Total as P 1.63 mg/I (Note: Use MPN method for highly turbid samples) Orthophosphate mg/I Other (Specify Compounds and Concentration Units): Dissolved Solids: Total 852 mg/I Al - Aluminum mg/I Total Suspended Solids 16 pH (when analyzed) 7.0 units Ba - Barium mg/I TOC 4.91 mg/I Ca - Calcium mg/I Chloride 48 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/1 Hg - Mercury mg/I Report Attached? ❑ Yes (1) ❑ No (0) Specific Conductance µMhos K - Potassium mg/I VOC method # Total Ammonia 0.06 mg/1 Mg - Magnesium mg/I method # (Ammonia Nitrogen, NH3as 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% Jackie Jackson - Regional Supervisor Permittee (or Authorized Agent) Name and Title - Please print or type (orAuthorized Agent) GW-59 Rev.1/2007 SUBMIT FORM ON YELLOW PAPER ONLY • • EPARTME IT OF E14NVIRONMENT NATURAL RESOURCES GROUNDWATER QUALITY MONITORING: Ivlsf�JN{)F�WATERQunL1T7r�NFORMgrtOloCeuslNc�uNir:r,�r COMPLIANCE REPORT FORM 617 MAIL SERVICE CENTER. RA66GH; N6i? 69.1617 Phone"ll' Aifffiai FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date: 3-31-2017 Facility Name: Governor's Club Non -Discharge WQ0000088 UIC NPDES Other Permit Name (if different): Facility Address: TYPE OF PERMITTED OPERATION BEING MONITORED El Lagoon ❑ Remediation: Infiltration Gallery NC County Chatham 'q;; X Spray Field ❑ Remediation: Contact Person: Jackie Jackson Telephone#: 919-653-5773 ❑ 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): MW-9 Date sample collected: 3/8/18 FIELD ANALYSES: WAS Well Depth: 30.21 ft. Well Diameter: 2 in. pH 7.1 units Temp. 15 °C DRY at Depth to Water Level: 1.67 ft. below measuring point Screened Interval: ft. to _ft. Spec. Cond. µMhos time of sampling, Measuring Point is ft. above land surface Relative M.P. Elevation: ft. Odor check Volume of water pumped/bailed before sampling: 5 gallons Appearance here: ❑ Samples for metals were collected unfiltered: DYES ❑ NO and field acidified: ❑ YES ❑ NO LABORATORY INFORMATION Date sample analyzed: 3/8/18 Laboratory Name: Environment I 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 /loom[ Nitrate (NO3) as N <0.04 mg/I Zn - Zinc mg/I Coliform: MF Total <1.0 /100ml Phosphorus: Total as P <0.04 mg/I (Note: Use MPN method for highly turbid samples) Orthophosphate mg/I Other (Specify Compounds and Concentration Units): Dissolved Solids: Total 776 mg/I Al - Aluminum mg/I Total Suspended Solids 46 pH (when analyzed) 7.0 units Ba - Barium mg/I TOC 2.24 mg/I Ca - Calcium mg/I Chloride 222 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 µMhos K - Potassium mg/I VOC method # Total Ammonia 0.04 mg/I Mg - Magnesium mg/I method # (Ammonia Nitrogen, NH3as 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% Jackie Jackson - Regional Supervisor Permittee (or Authorized Aqent) Name and Title - Please print or type Signature (ft Pfi.Knitteekor Authorrzed Agent) /q GW-59 Rev.1/2007 ElMom[MR&M Flo hcwpw n- Nd 114 OAKMONT DRIVE GREENVILLE, N.C. 27858 GOVERNOR'S CLUB (AQUA NC) MR. R.B. TUPPS AQUA NORTH CAROLINA 202 MACKENAN CT. CARY ,NC 27511 Drinking water ID: 37715 Wastewater ID: 10 PHONE (252) 756-6208 FAX (252) 756-0633 ID#: 296 DATE COLLECTED: 03/14/19 DATE REPORTED : 03/22/19 REVIEWED BY: MW-1A MW-3A MW-7 MW-9 Analysis Method PARAMETERS Date Analyst Code PH (field measurement), Units 6.7 6.5 6.7 7.1 03/14/19 PJC 4500HB-11 Fecal Coliform (MF), /100 Mls < 1 < 1 < 1 < 1 03/14/19 JTH 9222D-06 Total Suspended Residue, mg/1 22 20 16 46 03/15/19 JMH 2540D-11 Ammonia Nitrogen as N, mg/1 0.09 0.04 0.06 0.04 03/18/19 CLO 350.1 R2-93 Nitrate Nitrogen as N, mg/l 0.13 <0.04 0.06 <0.04 03/15/19 DTL 353.2 112-93 Total Phosphorus as P, mg/I 0.16 0.15 1.63 <0.04 03/21/19 TLH 365.4-74 Total Organic Carbon, mg/1 1.30 1.32 4.91 2.24 03/18/19 SEJ 531OC-11 Chloride, mg/l 735 5 48 222 03/18/19 KDS 4500CLB-11 Total Dissolved Residue, mg/1 1810 177 852 776 03/19/19 JMS 2540C-11 Temperature, °C 16 17 17 15 03/14/19 PJC 2550B-10 Time 11:23 AM 11:47 AM 12:30 PM 12:50 PM 03/14/19 PJC Static Water Level, feet 21.95 25.26 22.00 1.67 03/14/19 PJC Well Depth, feet 45.03 44.56 32.09 30.21 03/14/19 PJC Water Bailed, Gals. 2.0 2.0 1.0 5.0 03/14/19 PJC Environment 1, Inc. CHAIN OF CUSTODY RECORD P.O. Box, 7085, 114 Oakmont Dr. Page 1 of 1 g Greenville, NC 27858 environment 1 inc.com DISINFECTION CHLORINE NEUTRALIZEDATCOLLECTION Phone (252) 756-6208 •Fax (252) 756-0633 Ij CHLORINE CLIENT: 296 Week: 14 Ij UV pH CHECK (LAB) GOVERNOR'S CLUB (AQUA NC) ❑ NONE P P P P P P P P P P CONTAINER TYPE, P/G MR. R.B. TUPPS AQUA NORTH CAROLINA CHEMICAL PRESERVATION 202 MACKENAN CT. A G A C A C C A A A CARY NC 27511 o A -NONE D-NAOH (877) 987-2782 �� ui U z C) U) rr S U:) t B- HNO3 E- HCL?o0 _ 0 w LU ° z o w C - H,SO, F -ZINC ACETATE/NAOH COLLECTION a LU as o z x ° U o b a G- NATHIOSULFATE SAMPLE LOCATION DATE TIME �2 o 0 `�" a w w F Z E~ F F Cr MW-IA �`% ' J q ) l .? 3 ) 7 .... ''' _... ...... :: ...... ....... ....... ...... ....... '''''> ...__ >` ...._ CLASSIFICATION: MW-3A 3 ly A7 I) :'i' 7 ! 7 7 ❑ WASTEWATER (NPDES) :::.:.. ❑ DRINKINGWATER :::.: ::::::_ MW -9 -H) 1 d 1`—� 7 Ij DWR/GW SOLID WASTE SECTION CHAIN OF CUSTODY (SEAL) MAINTAINED DURINGAiIPMENT/DELIVERY UY N SAMPLES COLLECTED BY: (Please Print) Seon F. t3v11V r pd Pa}rie-A 7.. Chc ka SAMPLES RECEIVED IN LAB AT °C RE NQUISHED BY (SIG.) (SAMPLER) DATEITIME RE BY (SI ATErfIME COMMENTS: LINQUISHED BY (SIG.) DATE/TIME RECEIV BY ( G.) DA IME BY (SIG.) RECEIVED BY (SIG.) PLEASE READ Instructions for completing this form on the reverse side. Sampler must place a "C" for composite sample or a "G" for FORM #5 Grab sample in the blocks above for each parameter requested. N U 3 6 4 2 0 5 ' SAMPLING INSTRUCTIONS AND FORM COMPLETION FAILURE TO PROPERLY CHILL, CHEMICALLY PRESERVE, COLLECT IN PROPER BOTTLE TYPES, MEET REQUIRED HOLDING TIMES, NEUTRALIZE CHLORINE IN CHLORINE SENSITIVE SAMPLES, AND SEAL COOLERS WITH TAPE WILL RESULT IN SAMPLES BEING REJECTED BY THIS LABORATORY AS PER NORTH CAROLINA REGULATORY CODE. 1) Samples not falling within the required guidelines will need to be re -collected. The client will be contacted and informed of any deviation and asked to collect another set of samples. The client may request the laboratory to proceed with the analyses of the current samples. Any samples analyzed outside of the required guidelines will be "qualified". This means that a note will be included on the sample result and "Chain of Custody" specifying the deviation. The laboratory is also required to send a letter to the State noting the deviations. 2) Sample Temperature. Samples for compliance monitoring must be chilled with wet ice to a temperature of 6C or less. Freezing is not permitted. Samples delivered to the lab shortly after collection may not have had enough time to be chilled below 6C. In this case the temperature at time of collection must be noted in the space provided. The samples will meet the requirements of the regulation if there is a temperature drop from the time of collection until received in the lab. Regardless, all samples should be packed in wet ice using as much ice as will fit in the cooler. 3) Sample Chemical Preservation. Many samples require a chemical preservation such as Sulfuric Acid or Sodium Hydroxide. The laboratory will either provide the preservative in the sample bottle, or in the case of 40 ml. Volatiles Vials, provide a bottle of Acid with detailed descriptions on how to collect the sample. Never rinse sample bottles before collecting samples. Any residue or liquid in the bottle is required for proper chemical preservation. The lab must verify proper chemical preservation upon arrival in the lab and will note this information in the spaces provided on the front of this form. 4) Chlorine Neutralization. Some samples require that any Total Chlorine Residual be removed at the time of collection. The lab will provide the proper neutralizing agent in the sample bottle when technically possible. There are some samples (Total Kjeldahl Nitrogen and Ammonia Nitrogen) where this is not possible due to interferences between the required chemical preservation (Acid) and the dechlorinating agent. Therefore, these samples must be de -chlorinated at the time of collection before being placed in our sample bottles. Sodium Thiosulfate is the chemical of choice to neutralize chlorine. It must be added to your sample and then the sample checked for Total Chlorine before the sample is poured in our bottle. Facilities using chlorine for disinfection should have a means of measuring Total Chlorine. Non -chlorinated sample sources will not need to be checked. The person neutralizing the chlorine must put his initials in the "Chlorine Neutralized at Collection" row on the front of this form above the proper parameter. Samples such as Coliforms (which have Thiosulfate in the bottles shipped from the lab) will be checked for proper neutralization upon arrival in the lab. It is also required that you note the "Total Chlorine at Collection' on the front of this form for any sample locations applicable. This value would be before any neutralization is performed. 5) A "C" for Composite Sample or a "G" for Grab Sample should be placed in the box for all requested parameters. Grab temperatures as well as Composite start dates and times can be recorded in the "comments" section. 6) Other information required to be completed by the client are: Collection Date and Collection Time for each sample location Temperature at Time of Collection Printed name of person or persons collecting samples Signature, Date, and Time samples are relinquished Other added sample locations and analyses required Type Of Disinfection Deletion on the form for any samples which are not needed (example: dry upstream location) Any other information felt to be pertinent should be included in the "Comments" section CONSIDERATIONS: Coliform and Enterococci samples have a holding time of 6 hours from time of collection to time of analysis. Therefore, samples should be collected as late in the day as possible to allow enough time for transportation, checking in at the lab and analysis. BOD, Nitrate, Ortho Phosphorus, Settleable Matter, Turbidity, Color, and MBAS samples have a 48 hour holding time. The lab reserves the right to establish required sample collection and delivery dates in order to meet the required holding times. CAUTION Sample bottles may contain acids or other corrosive and potentially harmful chemicals. Laboratories are required to add these chemicals for certain analyses in order to comply with EPA preservation requirements. Use extreme care when opening and handling the shipping container and bottles. If any chemical should get into your eyes, on your skin or on your clothes, flush liberally with water and seek medical attention. Material Safety Data Sheets (MSDS) are available upon request which specify proper handling and personal protection.