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Home My WebLink AboutWQ0008489_Monitoring - 04-2020_20200429GW-59A COMPLIANCE REPORT FORM Permit 4 00 :94TQ (2Tubmit one each monitoring period with GW 59 formm) 1 Enter date monitoring results were due. 2D) Will this monitoring report (GW-59 and GW-59A) YES NO be submitted after the established due date. 2 Was any required information missing on the GW-59 report forms? YES NO 1F the answer to question 1 or 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 wells in need of repair or maintenance (damaged casing, unlocked or missing cap, missing YES NO identification plate, area overgrown, etc.)? If the mower is "Yes", contact the Regional Office for guidance. 4 Are any monitored constituents equal to or above the established standards? YES PLW 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 0,r,6vided below, h well with constituent(s) exceeding standards, concentration(s) reported, and sample col/ectioidate fo' chcurrence (for the last two years). -13 � tf N Are the monitoring wells listed in section 5 located at or yond tVe r boundary? YES NO c,, If the answer is "YES", a groundwater quality problem may*e occurring. CONTACT THE REGIONAL OFFICE IMMEDIATELY FOR GUIDANCE. If the answer is "Nb", monitoring wells may be 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 ittee to a Notice of Violation, Fines, and/or penalties. SAY 2 9 ?020 g 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 aboye.info'mation was evaivated and:th'e+information-submitted in this report (Compliance Report GW-59A) is true and complete to the, est of my knowledge: JaJ& Signature o erm' ee (or Authorized Agent) Dat W-59A 12/8/200 SUBMIT FORM Well. Depth: i ft. Well Diameter: min. Screened Interval: ft. to is- ft, Depth to Water Level .0 1 ft. below measuring point. PARAMETERS (Samples for metals were collected unfiltered YES NO and field acidified YES NOTE: Values should reflect dissolved and colloidal concentrations. COD mg/I Nitrite (NO2) as N mgll Coliform: MF Fecal ( /100ml Nitrate (NO3) as N L ,(', tk mg/I Coliform`. MF Total /10C)MI Phosphorus: Total as P mg/I (Nc(e: Use MPN method for highly lurbldrsemples) Orthophosphate mg/I Dissolved Solids: Total Q 7 mg/I A I- Aluminum mg/I PH (when analyzed) units Ba - Barium mg/I TOC r4pit Ca - Calcium mg/I Chloride (a3 mg/I Cd - Cadmium mg/I Arsenic _ mg/l Chromium: Total mg/l Grease and Oils mg/I Cu - Copper mg/I Phenol mg/1 Fe - Iron mg/1 Sulfate mg/I Hg - Mercury mg/1 Specific Conductance uMhos K - Potassium-, mg/I Total Ammonia 0$Z mg/l Mg - Magnesium mg/l (Ammonia Nitrogen; NH, as N; Ammonia Nitrogen, Total) Mn - Manganese mgll TKN as N mg/I fTuv. I I lzuuo _NO.) Ni - Nickel Pb - Lead Zn - Zinc Other (Specify Compounds and Concentration Units) ORGANICS: (by GC, GC/MS, HPLC) (Specify test and method #. ATTACH LAB REPORT.) Report Attached? Yes (1) No (0) VOC method #= method #= method #= mgli mgh mg/I FACILITY INFORMATION Please Print Clearly or Type PERMIT No. W gpQgt(ggEXPIRATION DATE: Z— Facility Name: o Non -Discharge UIC —�f NPDES Permit Name (if different): rip 08= Facility Address: TYPE OF PERMITTED OPERATION BEING MONITORED ✓Lagoon Remediatlon: Infiltration Gallery tv °°0 Z SS County !D L 1 9 e p Contact Person: SC=�(< ��14Ctt{2 Telephone#: l�_S�1 q - 2ZZ-� _ t/ Spray Field Well Location/Site Name: /Uc� I j)0p L)JIw'Fe No. of wells to be sampled: "j _Remedlatlon: Rotary Distributor Land Application of Sludge m " Water Source Heat Pump Other: Well identification Number (from Permit); DRY Well Depth: lS ft. Well Diameter: in. sampling,Checkhera Screened Interval' 3 ft. to f5- ft. EWELLWAS is frprn'system: For Remediation System Influent/Effluent Only (Attach Lab Reports.) Depth to Water Level:SgO ft. below measuring point. nfluent , (fluent Influent mgli. (Total VOC concentration) MeasuringPoint Is 3 ft. above land surface, Gallons of water pumped/balled before sam` : lln 10 - , ,,, Relative M , E��atton In ft, Date sample;rAeotSl O LD Effluent mWL (Total VOC Concentration) voc Ren,ovaf FIELD ANALYSIS; ' pH - Specific Conductance =uMhos Date sample analyzed: Q Q ZO Temp. °C Odor Appearance Laboratory Name: lJ! U G,t� f Certification No: a PARAMETERS (Samples for metals were collected unfiltered YES NO and field acidified YES NO.) NOTEi Values should reflect dissolved and colloidal concentrations. COD mg/l Nitrite (NO2) as N mg/I N1 - Nickel Mg/I Collform: MF Fecal ( /100ml Nitrate (NO3) as N L mg/I Pb - Lead mg/I Coliform: MF Total /looms Phosphorus: Total as PL d, O mg/l Zn - Zinc mg/I (Ncta: Use MPN method for highly turbid samples) - - Dissolved Solids: Total Q%a mg/I Orthophosphate mg/I A I- Aluminum mg/i Other (Specify Compounds and Concentration Units) PH (when, analyzed) _ S'. I units Ba - Barium mg/f TOC $ mg/l:, Ca - Calcium mg/l Chloride mg/l Cd - Cadmium mg/I Arsenic mg/i Chromium: Total mg/I Grease and Oils mgll Cu - Copper, mg/i Phenol` mg/l Fe - Iron mg/i ORGANICS: (by GC, GC/MS, HPLC) Sulfate mg/I Hg - Mercury mg/I (Specify test and method #. ATTACH LAB REPORT.) Specific Conductance uMhos K - Potassium mg/l Report Attached? Yes t(1) No (0) Total Ammonia Q,p mg/l Mg - Magnesium mgll VOC ; method #= (Ammon(a Nitrogen; NH as N; Ammonia Nitrogen, Total) Mn - Manganese mg/I method #= TKN as N mg/i : method #= i method #= Please print or type SUBMIT FORM ON YELLOW PAPER ONLY GROUNDWATER QUALITY MONITORING. COMPLIANCE REPORT FORM FACILITY INFORMATION - ' Please Print Clearly or Type PEI Facility Name: VE V)DODS UJ P Nor Permit Name (if diff rent): OF 1410C NPI Facility Address: FeClk a't C.. Y County H I D IE TYI ("late) ip Contact Person: —JsC-PR 94f)LZn Telephone#:Q�Q�-ZZZ'4 Well Location/Site Name: )VC_y 1.tJOyn4 W cJ MR . No, of wells to be sampled: VIVIENT;&NATURAL RESOURCES ' tTY-INEORMATION PROCESSING UNIT 5R' Phone.1919)733-3221 , ! EXP UIC OF PERMITTED OPERATION BEING MONITORED —Lagoon Remedlation: Infiltration Gallery _Spray Field _ Remediation: —Rotary Distributor _ Land Application of Sludge —Water Source Heat Pump Other .. ,uc„u„a.ua,v„ - r-c„.„a1• CJL/J Well Depth: IS ft. Well Diameter: 72- in. " r • - at time of sampling, Check here Screened Interval: ft. to JS ft. Sample is from system: For Remediation System InfluentiEffluent Only (Attach Lab Reports.) Depth to Water Level: , ft. below measuring point. ❑ Influent [(effluent Influent rrrglL (TotalvoC Concentration) Measuring Point is t�.64 ft, above land surface. Relative M.P. Elevation in ft. Effluent m�L (Total voc concentration) voc Removal io Gallons of water pumped/bailed before sampling: rS a Date sample collected: FIELD ANALYSIS: pH Specific Conductance uMhos Date sample analyzed: Temp. °C Odor Appearance Laboratory Name: NV1 M&: T 11n, Certification No. PARAMETERS (Samples for metals were collected unfiltered YES NO and field acidified YES NO.) NOTE: Values should reflect dissolved and colloidal concentrations. COD mg/I Nitrite (NO2) as N mg/I Ni - Nicker Coliform: MF Fecal 5' /100m1 Nitrate (NO3) as N L,�j,Qt� mg/I Pb - Lead Coliform: MF Total /100ml Phosphorus: Total as P ,O mg/l Zn - Zinc (Note: Use MPN method for highly turbid samples) Orthophosphate - mg/1 Dissolved Solids: Total 101 mg/I A I- Aluminum mg/I Other (Specify Compounds and Concentration Units) pH (when analyzed) units Ba - Barium mg/I TOC 11, LI-O mg/I Ca - Calcium mg/I Chloride mg/I Cd - Cadmium mg/I Arsenic mg/I Chromium: Total mg/i mg/I mg/I mg/I Grease and Oils mg/I Cu- Copper mg/I Phenol mg/I Fe - Iron mg/I ORGANICS: (by GC, GC/MS, HPLC) Sulfate mgll Hg - Mercury mg/I (Specify test and method #. ATTACH LAB REPORT.) Specific Conductance uMhos K - Potassium mg/l Report Attached? Yes (1) No (0) Total Ammonia mg/I Mg - Magnesium mg/I VOC : method #= (Ammonia Nitrogen; NH, as N; Ammonia Nitrogen, Total) Mn - Manganese mg/I : method #= TKN as N mg/l : method #= method #= Rev. 1112005 SUBMIT FORM ON YELLOW PAPER ONLY p. • . . DEPARTMENT OF ENVIRONMENT(& NATURAL RESOURCE$ GFtOUNDWATERQUALII'YMONITORINC� •• 01113)ONVFWATEftQUgLITY1NFORMA�iO(�PR CES�uINGLtNIT AI�. 1110E9E l COMPLIANCE REPORT FORM �a3hz,M l2AL'EIGH; NC 27699.1B17 „ ` P"hone.'(91E) y333221 RMATION - Please Print Clearly or Type PERMIT No. EXPIRATION DATE: FACILITY INFO , . ? Name: P►N�wa t -�^ t &) P Non -Discharge UIC Facility Wy Permit Name (if differ nt : O(;ltU NPOES Facility Address: •�. O ��tpt tslrem> � County (-IY� C TYPE OF PERMITTED OPERATION BEING MONITORED p � e p Lagoon Remediation: Infiltration Gallery Contact Person: J asaw P. SADc.t2 Telephone#: Cf ^ T Spray Field, _Remediation: _Land Application of sludge Well Location/Site Name-- L"TP No. of wells to be sampled: Rotary Distributor ^^ Water Source Heat Pump Well Identification Number (from Permit): (00 4 if WELL WAS DRY other: Well Depth: %5 ft. Well Diameter:_ in. at time of sampling, Check here For Remediation System Influent/Effluent Only (Attach tab Reports.) Screened Interval: 3 It. to CS ft. Sample is from system: El Wffluent trrtlueM rrglL(Total VOC Depth to Water Level: 5.(o3 ft. below measuring point. Concentreson) Effluent nrglL (Total VOC Concentration) Measuring Point is 3 ft. above land surface 1,6 Relative M.P. Elevation in ft. o voc Removal Gallons of water pumped/bailed before sampling: Date sample collected: Grl FIELD ANALYSIS pH specific Conductance OC ui Date sample analyzed: Laboratory Name: lti o Temp. Odor Appearance Certification No. PARAMETERS (Samples for metals were collected unfiltered YES NO and field acidified _ YES NO.) NOTE: Values should reflect dissolved and colloidal concentrations. mg/l COD mg/I Nitrite (NO2) as N - mg/l Ni -Nickel Coliform: MF Fecal /100ml Nitrate (li as N ,[� Q�QLj mg/I Pb - Lead mg/i mg/i Coliform: MF Total L,) /100ml Phosphorus: Total as P p,04{- mg/f Zn - Zinc (Note: Use MPN method for highly turbid samples) Orthophosphate mg/I Other (Specify Compounds and Concentration Units) Dissolved Solids: Total log mg/l A I- Aluminum mg/i pH (when analyzed) rj', 3 units Ba - Barium mgli TOC ` l 4 mg/I Ca - Calcium Chloride b mg/I Cd - Cadmium 'mgli Arsenic mg/I Chromium: Total mg/I Grease and Oils mg/I Cu - Copper mg/I mgll ORGANICS: (by GC, GC/MS, HPLC) Phenol mg/l Fe -Iron mgll (Specify test and method #. ATTACH LAB REPORT.) Sulfate mg/I uMhos Hg Mercury K - Potassium mg/I Report Attached? Yes (1) No (0) Specific Conductance Ammonia d, O mg/I Mg - Magnesium ' mg/I VOC : method #= Total (Ammonia Nitrogen; NH, as N; Ammonia Nitrogen, Total) Mn - Manganese mg/I method #= : method #= TKN as N mg/I method #= Rev. 1112005 SUBMIT FORM ON YELLOW PAPER ONLY GROUNDWATER QUALITY MONITORING: COMPLIANCE REPORT FORM FACILITY INFORMATION Please Print Clearly or Type PERMIT No. fj)Q onjo_2W_Zy _ EXPIRATION DATE: ^ Facility Name: <P I NLki LA) Q7()s W U) T{O Non -Discharge l�� Opp gu 0? UIC Permit Name (if different): COUA) (OF bfy[U_L7 NPDES is Facility Address: S( slner> -] County. TYPE OF PERMITTED OPERATION BEING MONITORED �JR� tbl. e ` �"CL p b/ Lagoon Remediation: Inflitration Gallery Contact Person; [ 5 = Telephone#:✓Spray Field _Remediation:` Well Location/Site Name: JgOOW wtxrp No. of wells to be sampled: 'j Rotary Distributor _Land Application of Sludge e'm11f— Water Source Heat Pump Well Identification Number (from Permit): 003 if WELL WAS DRY other. W n l /-% ft W II M t Z, ' at time of sampling, Check here e Depth.. �r e lame er._ ln. Screened Interval: , S ft. to Z ft. Sample is from system: For Remediation System Influent/Effluent Only (Attach Lab Reports.) Depth to Water Level , Sft. below measuring point. ❑ Influent [affluent Influent mg/L (Total voc Concentration) Etnuent mglL(Total vocconcentration) MeasuringPoint Is ,`1 ft. above land surface. K ,. Relative M.P. Elevation In ft. voc Removal Gallons of water um ed/bailed before sampling: ! r tr Date sample collected; �� FIELD ANALYSIS: pH _, i _ Specific Conductance uMhos Date sample analyzed: C Temp. 'C Odor Appearance Laboratory Name: l Certifloation No. cD PARAMETERS (Samples for metals were collected unfiltered - YES NO and field acidified ' YES NO.) NOTE: Values should reflect dissolved and colloidal concentrations. mg/I COD mg/I Nitrite (NO2) as N mg/I Ni - Nickel Collform: MF Fecal L /100ml Nitrate (NO3) as N O . 6 $- mg/1 Pb - Lead mg/tmg/I Collform: MF Total /100ml Phosphorus: Total as P - , .04- mg/1 Zn -Zinc (Note: Use MPN method for highly lurbld samples) loc. mg/1 Orthophosphate A 1- Aluminum mg/I - - mg/I Other (Specify Compounds and Concentration Units) Dissolved Solids`. Total PH (when analyzed) units Be - Barium mg/1 m5 11 Ca - Calcium mg/1 TOC Chloride I I mg/l Cd- Cadmium mg/1 Arsenic mg/I Chromium: Total m9/l Grease and Oils Phenol mg/I mg/I Cu - Copper Fe - Iron mgll mg/I ORGANICS: (by GC, GC/MS, HPLC) mg/I Hg - Mercury mg/I (Specify test and method #. ATTACH LAB REPORT.) Sulfate Speolfic Conductance uMhos K- Potassium mg/I Report Attached? Yes (1)'No (0) Total Ammonia 410.dt./t.. _ mg/I Mg - Magnesium mg/1 VOC : method #= : #= (Ammonia Nitrogen; NH3 as N; Ammonia Nitrbgen, Total) Mn - Manganese mgll method :method #= TKN as N mg/1 _ method #= Nev. 1112UUb SUBMIT FORM ON YELLOW PAPER ONLY GROUNDWATER QUALITY MONITORING: COMPLIANCE REPORT FORM Please Print Clearly or Facility Name: FINF� Permit Name (if diffejrR n,t,): Facility Address: P.v . Contact Person: Tn-SEpff F. SAbL11FE Telephone#: (2S2AZ(--7.22-4 Well Location/Site Name:�j/I/�jf i,{ppDS jLk)70 No. ofwellsto be sampled: Well Identification Number (from Permit): OOZ Well Depth: 1f . CJIF ft. Well Diameter:_2 in. Screened Interval: 12.o ft. to ?,p ft. Depth to Water Level: ft. below measuring point. Measuring Point is_J_ ft. above land surface. Gallons of waterpumped/balled before sampling: 1*0 FIELD ANALYSIS: pH Specific Conductance Temp. eC Odor 3t time of sampling, Check here Sample is from system: ❑ Influent [ Relative M.P. Elevation in I Date sample collected:_ uMhos Appearance WQ nnn!sq g EXPIRATION DATE: IJ)C; 060'R4V? UIC PE OF PERMITTED OPERATION BEING MONITORED Lagoon Remedlation: Inflitration Gallery I/ Spray Rel0 _Remediation: _Rotary Distributor Land Application of Sludge _ Water Source Heat Pump Other. nt Influent mg/L (Total VOC Concentration) Effluent nWL (Total VOC Concentration) ..i_ n OC Removal °/o sample anal) ratory Name: loation No. PARAMETERS (Samples for metals were collected unfiltered YES NO and field acidified YES NO.) C1 On NOTE: Values should reflect dissolved and colloidal concentrations. COD mg/I Nitrite (NO2) as N mg/1 Ni - Nickel mg/1 Coliform: MF Fecal G /100ml Nitrate (NO3) as N Q, 30 mg/I Pb - Lead mg/I Coliform: MF Total /100ml Phosphorus: Total as P ! Q.(p — mg/1 Zn - Zinc mg/I (Nde: Use MPN method for highly turbid samples) Dissolved Solids: Total S Z-. mg/I Orthophosphate �mg/I A I- Aluminum mg/I - Other (Specify Compounds and Concentration Units) pH (when analyzed) units Ba - Barium mg/i TOC A Ca - Calcium mg/I Chloride rrg/l Cd - Cadmium mg/I Arsenic mg/I Chromium: Total mg/I Grease and Oils mg/I mg/I Cu - Copper Fe - Iron mg/1 mg/1 ORGANICS: (by GC, GC/MS, HPLC) Phenol Sulfate mg/I Hg - Mercury mg/1 (Specify test and method #. ATTACH LAB REPORT.) Specific Conductance uMhos• K - Potassium mg/I Report Attached? Yes 0) No (0) Total Ammonia Or Off- mg/I Mg - Magnesium mg/I VOC : method #= (Ammonia Nitrogen: NH3 as N; Ammonia Nitrogen, Total) Mn - Manganese mg/I : method #= TKN as N mg/I : method #= method #= GW-59 Rev. 11 /2005 r SUBMIT FORM ON YELLOW PAPER ONL GROUNDWATER QUALITY MONITORING: COMPLIANCE REPORT FORM FACILITY INFORMATION Please Print Clearly or Facility Name: P/A)&`.� LQtooQS U1u)TP Permit Name (if different): �'�fiN�T plcun� Facility Address: _Pe), Anx wt� o0o EXPIRATION DATE: u)6opo-a g ? uic — tr"") 2 County 10 TYPE OF PERMITTED OPERATION BEING MONITORED e p Lagoon Remediatlon: Infiltration Gallery Contact Person: JOS-L=pff F S,yiDU-- e' Telephone#: (X52) ri 26 • 2-22-'1_ Spray Flelg _Remed(aflon: Well Location/Site Name: P1 � Lt1 oU d !1)f,)TP No. of wells to be sampled: 9 Rotary Distributor _Land Application of Sludge Water Source Heat Pump Well Identification Number (from Permit): Qa / if WELL WAS DRY. - Other. _ Well Depth:_ 14,2-1 ft. Well Diameter::-. in. at time of sampling, Check here Screened Interval: ft. to l q .2- ft. Sample is from system: For Remediation System Influent/Effluent Only (Attach Lab Reports.) Depth to Water Level:5,49 ft. below measuring point. ❑ Influent Offluent Influent mglL (Total VOC concentration) Measuring Point is i,o ft. above land surface. Relative M.P. Elevation In ft. Effluent` " mg/L ('total voc concentration) Gallons of water pumped/bailed before sampling: /, s Date sample collected: voc Removal /e FIELD ANALYSIS: pH Specific Conductance uMhos Date sample analyzed: Temp. aC Odor Appearance Laboratory Name: /)C Certification No: ,p PARAMETERS (Samples for metals were collected unfiltered YES NO and field acidified YES NO.) NOTE: Values should reflect dissolved and colloidal concentrations. COD mg/i Nitrite (NO2) as N mg/I Ni - Nickel mg/1 Coliform: MF Fecal /100ml Nitrate (NO3) as N 40-04 mg/I Pb - Lead mg/I Coliform: MF Total /100ml Phosphorus: Total as P 1.O !4: mg/l Zn - Zinc mg/i (Nate: Use MPN method for highly turbid samples) Orthophosphate - mg/i Dissolved Solids: Total 3,11 mg/I A I- Aluminum mg/1 Other (Specify Compounds and Concentration Units) pH (when analyzed) units Ba - Barium mg/I TOC , (o4 mg/I Ca - Calcium mg/I Chloride mg/I Cd - Cadmium mg/I Arsenic mg/I Chromium: Total mg/I G d O'1 /l Cu Co e m /I rease an I s Phenol mg mg/l pp r Fe - Iron g mg/1 ORGANICS: (by GC, GC/MS, HPLC) Sulfate mg/I Hg - Mercury mg/1 (Specify test and method #. ATTACH LAB REPORT.) Specific Conductance uMhos K - Potassium mg/I Report Attached? Yes (1) No (0) Total Ammonia 01 39 mg/1 Mg - Magnesium mgll VOC : method #= (Ammonia Nitrogen; NH3 as N; Ammonia Nitrogen, Total) Mn - Manganese mg/I : method #= TKN as N mg/i : method #= method #= GW-59 Rev. 11 /2005 l UUA1 1L1 UV Cr7NL Sig na a of P nnittee (or Authorized Agent) Q L311 zv w (Date)