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HomeMy WebLinkAboutWQ0003299_Monitoring - 02-2020_20200331 (2)GV47-59A COMPLIANCE REPORT FORM Permit # (Subinh one each monitoring period with GIV--59 jornts.) 1 Enter date monitoring results were due. ( - — ) Will this monitoring report (GW-59 and GW-59A) YES NO be submitted after the established due date? Was any required information missing on the GW-59 report forms? YES 1\T0 IF 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 answer is "Yes". contact the Regional Ofce for guidance. 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 B. 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: S 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, each well with constituent(s) exceeding standards, concentration(s) reported, and sample collection date for each occurrence (for the last two years). 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 maybe 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 dftosal s ste havinc i at the review and compliance boundaries surrounding this facility. Failure V2 do so ajaect the permiffee to a Notice of Violation fines, andior penalties. y M i ) 8 The person completing this portion (GW--59A) o e monito ng report should sign below and submit this form with GW-59 forms for required wells to the Jwdress provided at the top of the current GW-59 form. ignature of Permittee (or Authorized Agent) Date GW-59A 12/8/2003 ROUNDWATER QUALITY MONITORING: OMPLIANCE REPORT FORM Facility Name: TOWN OF SEABOARD Permit Name (if different): Facility Address: P.O. BOX 327 SEABOARD i ity; Clearly or Type NC 27876 (State) ;:ip SUBMI I FUKM UN r'At'CK VNLT County NORTHAMPTON act Person: JOEY BARNES Telephone#:252-589-5061 Location/Site Name: fgu fG No. of wells to be sampled: 5 (o- ytrtrutvv nvrvrctnr��rvty r/ -� 'ELL ID NUMBER (from Permit): lCl Date sample collected: a-ay-34> PERMIT Number: Expiration Date: ol3ulcucc Non -Discharge WQ0003299 UIC _ NPDES _ 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: If WELL 'ell Depth: ay ft. Well Diameter: Q_in. -pth to Water Level: ft. below measuring point Screened Interval: Qft. to ft. easuring Point is ft. above land surface Relative M.P. Elevation: ft. Dlume of water pumped/bailed before sampling: 10 gallons amoles for metals were collected unfiltered: ®YES ❑ NO and field acidified: ® YES ❑ NO Date sample analyzed: Laboratory Name: ENVIRONMENT 1 PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. COD mg/I Nitrite (NO2) as N < , 64 mg/I Coliform: MF Fecal 41 /100m1 Nitrate (NO3) as N •60 mg/I Coliform: MF Total /100ml Phosphorus: Total as P t O.Oy% mg/I (Note: Use MPN method for highly turbid samples) Orthophosphate mg/I Dissolved Solids: Total i 1 % mg/I Al - Aluminum mg/I pH (when analyzed) units Ba - Barium mg/I TOC 0 mg/I Ca - Calcium mg/I Chloride :2L mg/I Cd - Cadmium mg/I Arsenic mg/I Chromium: Total mg/I Grease and Oils mg/I Cu - Copper mg/I Phenol mg/l Fe - Iron mg/I Sulfate mg/I Hg - Mercury mg/I Specific Conductance µMhos K - Potassium mg/I Total Ammonia mg/I Mg - Magnesium mg/I (Ammonia Nitrogen, NH,as N, Ammonia Nitrogen, Total) Mn -Manganese mg/I TKN as N mg/I Ni - Nickel mg/I For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: JOSEPH BARNES ORC Permittee (or Authorized Apent) Name and Title - Please print or type GW-59 Rev.1/2007 FIELD ANALYSES: vvraa pH 19units Temp. W.o °C DRY at Mhos time of Spec. Cond. µ sampling, Odor _ /11 o rl C- check Appearance (✓ here: ❑ Certification No. 244 Pb - Lead mg/I Zn -Zinc mg/I 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 # method # • tplete, and that the laboratory analytical data was produced using approved methods of analysis by a possibility of fines and imprisonment for knowing violations. .. SUBMIT FORM ON YELLOW PAPER ONLY GROUNDWATER QUALITY MONITORING: z COMPLIANCE REPORT FORM`��' FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date: 6/30/2022 Facility Name: TOWN OF SEABOARD _ Non -Discharge W00003299 UIC Permit Name (if different): NPDES Other Facility Address: P.O. BOX 327 TYPE OF PERMITTED OPERATION BEING MONITORED SEABOARD '""'`'' NC 27876 County NORTHAMPTON ElLagoon ❑Remediation: Infiltration Gallery n) 6tace) ;<ir; © Spray Field ❑ Remediation: Contact Person: JOEY BARNES Telephone#: 252-589-5061 ❑ Rotary Distributor ❑ Land Application of Sludge Well Location/Site Name: A%W ey�n�r r_., `f No. of wells to be sampled: 5 ❑ Water Source Heat Pump ❑ Other: from Permit If WELL SAMPLING INFORMATION WELL ID NUMBER (from Permit): Date sample collected: a4 2a FIELD ANALYSES: WAS e20 ft. Well Diameter: ;� in. pH [[1 9 units Temp. 4Xh °C lr— p� �'—' DRY at Well Depth: Depth to Water Level: ft. below measuring point Screened Interval: eft. to DO ft. Spec. Cond. µMhos time of sampling, Measuring Point is ft. above land surface Relative M.P. Elevation: ft. Odor _., n check Volume of water pumped/bailed before sampling: _ 10 gallons Appearance here: ❑ Samples for metals were collected unfiltered: ®YES ❑ NO and field acidified: ® YES ❑ NO LABORATORY INFORMATION Date sample analyzed: a%- 2H - _ Laboratory Name: ENVIRONMENT 1 Certification No. 244 PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations, COD mg/I Nitrite (NO2) as N e,p,Cq mg/I Pb - Laad mg/I Coliform: MF Fecal J /100m1 Nitrate (NO3) as N q. 574 mg/I Zn - Zinc mg/I Coliform: MF Total /100ml Phosphorus: Total as P 6-c '+ mg/I (Note: Use MPN method for highly turbid samples) Orthophosphate mgll Other (Specify Compounds and Concentration Units): Dissolved Solids: Total mg/I AI - Aluminum mg/I pH (when analyzed) units Ba - Barium mg/I TOC < / mg/I Ca - Calcium mg/I Chloride Is— 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 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 /° JOSEPH BARNES ORC Permittee (or Authorized Agent) Name and Title - Please print or type Si. ture o ermittee (or Authorized Agent) (Date) GW-59 Rev.1/2007 ROUNDWATER QUALITY MONITORING: OMPLIANCE REPORT FORM 1^11 ITV 1\IB/1 RA-1-1 Please Facility Name: TOWN OF SEABOARD Permit Name (if different): Facility Address: P.O. BOX 327 SEABOARD ity) is NC 27876 !te) ,Zip) act Person: JOEY BARNES Location/Site Name: t J ��•.F� Spraa({ or SUBMIT FORM ON YELLOW PAPER ONLY County NORTHAMPTON Telephone#: 252-589-5061 No. of wells to be sampled: 5 PERMIT Number: Expiration Date: of3w/_U" Non -Discharge W00003299 UIC NPDES 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: INFORMATION If WELL SAMPLING WELL ID NUMBER (from Permit): �{ Date sample collected: o�—a ��b FIELD ANALYSES: WAS Well Depth: ft. Well Diameter: a in. pH S.O units Temp. 14) °C DRY at time ofsampling, Depth to Water Level: _ft. below measuring point Screened Interval: _eft. to Spec. Cond. µMhos Measuring Point is o eft. above land surface Relative M.P. Elevation: ft. Odor _na, check Volume of water pumped/bailed before sampling: 10 gallons Appearance: Cif" here: ❑ Samnles for metals were collected unfiltered: ®YES ❑ NO and field acidified: ® YES ❑ NO _ ate sample analyzed: Laboratory Name: ENVIRONMENT 1 ARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. COD mg/I Nitrite (NO2) as N !, mg/I Coliform: MF Fecal /100ml Nitrate (NO3) as N f,(p mg/I Coliform: MF Total /100ml Phosphorus: Total as P G .o'f mg/I (Note: Use MPN method for highly turbid samples) Orthophosphate mg/I Dissolved Solids: Total le, a mg/I Al - Aluminum mg/I pH (when analyzed) units Ba - Barium mg/I TOC (mg/I Ca - Calcium mg/I Chloride mg/I Cd - Cadmium mg/I Arsenic mg/I Chromium: Total mg/I Grease and Oils mg/1 Cu - Copper mg/I Phenol mg/I Fe - Iron mg/I Sulfate mg/I Hg - Mercury mg/I Specific Conductance µMhos K - Potassium mg/I Total Ammonia mg/I Mg - Magnesium mg/I (Ammonia Nitrogen; NH3 as N, Ammonia Nitrogen, Total) Mn -Manganese mg/I TKN as N mg/I Ni - Nickel mg/I Certification No. 244 Pb - Lead mg/I Zn - Zinc mg/I 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 # method # For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: _. mg/L VOC Removal% JOSEPH BARNES ORC 1/W Lt� Permittee (or Authorized Aqent) Name and Title - Please print or type SipSip—n rmitt e of Peree (or Authorized Agent) (Date) GW-59 Rev.1/2007 C/ SUBMIT FORM ON YELLOW PAPER ONLY NDWATER QUALITY MONITORING: LIANCE REPORT FORM Please Pfint Clearly or Facility Name: TOWN OF SEABOARD Permit Name (if different): Facility Address: P.O. BOX 327 SEABOARD '""`'' NC 27876 County NORTHAMPTON (City) (State) (Zip) Contact Person: JOEY BARNES Telephone#:252-589-5061 Well Location/Site Name:15r7'_ ra..pc" No. of wells to be sampled: 5 !from Permit! PERMIT Number: Expiration Date: U/Ju/LuLL Non -Discharge W00003299 UIC _ NPDES 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: If WELL JMIYIr L_lN%3 1NrVRIYIM I IVIY WELL ID NUMBER (from Permit): Well Depth: O�_ft. Depth to Water Level: ft. below measuring point Measuring Point is 3 ft. above land surface Volume of water pumped/bailed before sampling: Samples for metals were collected unfiltered: ®YES ^ Date sample collected: o[-ay - Well Diameter: �_in. Screened Interval: Ib ft. to ob ft. Relative M.P. Elevation: ft. 10 gallons ❑ NO and field acidified: ® YES ❑ NO FIELD ANALYSES: pH �'v units Spec. Cond. Odor ✓11d.rtE Appearance p. V Z> eC Temp. µMhos WAS DRY at time ofsampling, check here: ❑ LABORATORY INFORMATION Date sample analyzed: a-a4 -ao Laboratory Name: ENVIRONMENT 1 Certification No. 244 PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. COD mg/I Nitrite (NO2) as N Q,[o mg/I Pb - Lead mg/I Coliform: MF Fecal < 1 /100ml Nitrate (NO3) as N , 6,q mg/I Zn - Zinc mg/I Coliform: MF Total /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 29 mg/I Al - Aluminum mg/I PH (when analyzed) units Ba - Barium mg/1 TOC f,/ $ mg/I Ca - Calcium mg/1 Chloride % 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 mg/I Mg - Magnesium mg/I method # (Ammonia Nitrogen; NH3 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% JOSEPH BARNES ORC Permittee (or Authorized Apent) Name and Title - Please print or type GW-59 Rev.1/2007 (or Authorized ROUNDWATER QUALITY MONITORING: OMPLIANCE REPORT FORM or Type Facility Name: TOWN OF SEABOARD SUBMIT FORM ON YELLOW PAPER ONLY Permit Name (if different): Facility Address: P.O. BOX 327 SEABOARD '`"` NC 27876 County NORTHAMPTON (City'' (state) (ZIP) Contact Person: JOEY BARNES Telephone#:252-589-5061 Well Location/Site Name:AjS f" �nC,� 4 /44 , No. of wells to be sampled: 5 from Permit PERMIT Number: Expiration Date: U/auizuZZ Non -Discharge WQ0003299 UIC _ NPDES r 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: If WELL ILL ID NUMBER (from Permit): Date sample collected: a-a4-aa II Depth: -Z6 _ft. Well Diameter: a in. )th to Water Level: I_ft. below measuring point Screened Interval: ft. to a0 ft. asuring Point is 3-5— ft. above land surface Relative M.P. Elevation: ft. ume of water pumped/bailed before sampling: 10 gallons noles for metals were collected unfiltered: ®YES ❑ NO and field acidified: ® YES ❑ NO sample analyzed: a'ay - Laboratory Name: ENVIRONMENT 1 tAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. COD mg/I Nitrite (NO2) as N , e>7 mg/I Coliform: MF Fecal < l /100m1 Nitrate (NO3) as N „/S mg/I Coliform: MF Total /100ml Phosphorus: Total as P mg/I (Note: Use MPN method for highly turbid samples) Orthophosphate mg/I Dissolved Solids: Total 117 mg/I Al - Aluminum mg/I pH (when analyzed) units Ba - Barium mg/i TOC mg/I Ca - Calcium mg/I Chloride Q mg/I Cd -Cadmium mg/I Arsenic mg/I Chromium: Total mg/I Grease and Oils mg/I Cu - Copper mg/I Phenol mg/I Fe - Iron mg/I Sulfate mg/I Hg - Mercury mg/I Specific Conductance µMhos K - Potassium mg/I Total Ammonia mg/l Mg - Magnesium mg/I (Ammonia Nitrogen; NH3as N; Ammonia Nitrogen, Total) Mn - Manganese mg/I TKN as N mg/I Ni - Nickel mg/I FIELD ANALYSES: NVA, pH units Temp. 14• b eC DRY at Spec. Cond. µMhos time ofsampling, Odor Y1glt& check Appearance C_1C9-,r here: ❑ Certification No. 244 Pb - Lead mg/I Zn - Zinc mg/I 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 # method # For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal% JOSEPH BARNES ORC��— Permittee (or Authorized Agent) Name and Title - Please print or type ?nature of Permittee (or Authorized Agent) (Date) GW-59 Rev.1/2007