WQ0014046_Monitoring - 03-2020_20200407

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SUBMIT FORM ON YELLOW PAPER ONLY
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GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
or
Name: —TtO(il t) Ol�- nAo�11
Name (if different):
IN
County
act Person: die ►AJ4`"�,� o s Telephone#: 4 - et I. 1-OG (o
Location/Site Name..-G.2., ,F .Sbyat (Jw Tp No. of wells to be sampled:
,WELL ID NUMBER (from Permit): �_ l ) Date sample collected: 3 1-Z-Z'p
Well Depth: 3 ft. Well Dlameter. in.
Depth to Water Level e2546: oil{ ft below measuring point Screened Interval: ft to _ ft
Measuring Point is ft above land surface Relative M.P. Elevation: ft.
Volume of water pumped/bailed before sampling: _gallons
$j
Samples for metals were collected unfiltered: YES ❑ NO and field acidified: ❑ YES ® NO
Date sample anayzed: 12 ZO - ,31Q3 u
PARAMETERS NOTE: Values should reflect dissolve
COD oo335 mg/L
Coliform: MF Fecal 31616 I Gn I /100ml-
Coliform: MF Total 31504 /100ml-
(NOW Use MPN maRwd for heNd sanpW)
issolved Solids: Total 70300 133 mg/L
pH (Lab) 00403 units
TOC oosso G I • p mg/L
Chloride oog4o t 40.S mg/L
Arsenic 01002 ug/L
Grease and Oils 00552 mg/L
Phenol 32730 ug/L
Sulfate oo94a mg/L
ecific Conductance 000gs µMhos
Total Ammonia ooeio mg&
Wworria Nitrogen; NH, as N: Anwwda Wrogort Tdal)
TKN as N 00625 mg/L
5311C�Numlir: E)irabon Date: � I a % 12 O
on -Discharge UIC
PDES Other
(PE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
® Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
FIELD ANALYSES:
WAS
pH oo400t--?--� units Temp. 000lo: I'1 • C) °C
DRY at
Spec. Cond. 0009a: (OU µMhos
time ofsampling,
Odor 000ss:
check
Appearance fier!A
here:
_ Laboratory Name: ("( ! " fi�eo) 7{-,c— Certification No. J
and colloidal concentrations.
Nitrite (NO2) as N oosts mg/L Pb - Lead o1o51 ug/L
Nitrate (NO3) as N 00620 d 1 mg/L Zn -Zinc mog2 mg/L
Phosphorus: Total as P 00W5 O.t74q mg/L
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
Al - Aluminum o11os
mg/L
Ba - Barium mon ug/L
VV .y
Ca - Calcium 00910'
mg/L
Cd - Cadmium oto
ug/L
UP
Chromium: Total 01034 }. -
ug/L
Cu - Copper 01042 C
mg n
ORGANICS: (by GC, GC/MS, HPLC)
Fe - Iron 01046 � c7 / ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Hg - Mercury 71900 a i✓
o ug/L
Lab Report Attached? ® Yes (1) ❑ No (0)
K - Potassium 00937
}mg/L
VOC 7873 method #
Mg - Magnesium 00927
mg/L
method #
Mn - Manganese moss -
ug/L
method #
Ni - Nickel 01047
ug/L
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
GW-59 Rev.3-1-2016

(.Submit out, each nrnnitnring period with GN'-S9 forms,)
2
3
4
64,
Enter date monitoring results were due. Will this monitoring report (GW-59 and GW-59A) YES
be submitted after the established due date?
i
Was any required information missing on the GW-59 report forms?
IF the answer to question 1 or 2 is "YES", list iYES
n the space provided below the well identification numbers) and
explain the problems encountered in obtaining the required information.
Are any of the monitor wells in need of repair or maintenance (damaged casing, unlocked or missing cap, missing
identification plate, area overgrown, etc.)? If the answer is "Yes", contact the Regional Officefor guidance.
A
re any monitored constituents equal to or above the established standards?
If the answer to question 4 is "NO", skip to section 8. YES
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:
NO
ror 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?
If the answer is "YES", a groundwater quality pro em
YES NO
occurring. CON
OFFICE IMMEDIATELY FOR GUIDANCE. If a answer is aNOe, mom "tor g we IsA may eCT E REGIONAL
E I improperly
located, contact the Regional Office.
7 Is the permittee implementing previously approved actions required by the Division involving this
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 R ional Office within 90 da s an evaluation ma be
re wired to determine the im act the waste dis osal s stem is�an at the review and com liance
boundaries surroundin this facility- .Failure o do so ma sue ermittee to a Notice of vinr�*;
fines, and/or ena/ties
8 The person completing this portion (G W-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.
t►ere �e that the'above informative was 0vijiiate i ttiarrrtatian submitted in
W-59A) is bVe and Complete to the " p best #,my C� OM p�:�� ��.
Sin'e1nnittee 3� 2o
—
lor Authorized Agent)
Date
YES I NO

SUBMIT FORM ON YELLOW PAPER ONLY
EPARTMENT OF ENVIRONMENT L NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING: VISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM 817 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: t919) 733-3221
Please Print Clearly or Type
Facility Name: -ToW rN of sinx iii
Permit Name (if different): :::acility Address: `1 I bc3- OLOU -AS
NC Q-1 County ( mn6,1
act Person: _Date 2- t ew.S Telephone#: qP- Wq I' I OSb
Location/Site Name7pkon� F`E 131 gZ ► (kTT p No. of wells to be sampled: �i.
PJERAdJT('�nn ber: Expiration Date:
Non scTi�FF eye 4 UIC
NPDES Other
(PE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
WELL ID NUMBER (from Permit): n)U3-0Z Date sample collected: �� FIELD ANALYSES:
Well Depth: -:� 1 ft. Well Diameter: a in. pH S X01 units Temp. 15 q °C
Depth to Water Level: 14 Sq ft. below measuring point Screened Interval: ft. to _ft. Spec. Cond, q4 µMhos
Measuring Point is _ft. above land surface Relative M.P. Elevation: ft. Odor 14OfY-
olume of water pumped/bailed before sampling: 10 gallons Appearance '--Jer.j G\e­'-
amples for metals were collected unfiltered: DuYES
❑ Nb and field acidified
❑YES Vb
ate sample analyzed: 121Z-0- 3 0
Laboratory Name:
Mer, Certification No. k LvFS
ARAMETERS NOTE: Values should reflect dissolved
and colloidal concentrations.
COD mg/I
Nitrite (NO2) as N
mg/I
Pb - Lead mg/I
Coliform: MF Fecal fl CO /100ml
Nitrate (NO3) as N 0, (CR mg/I
Zn -Zinc mg/I
Coliform: MF Total /100ml
Phosphorus: Total as P
mg/1
(Note: Use MPN method for highly turbid samples)
Orthophosphate
mg/I
Other (Specify Compounds and Concentration Units):
Dissolved Solids: Total 9ti mg/l
Al -Aluminum
mg/I
PH (when analyzed) 5,�1 units
Ba - Barium
mg/I
TOC (• mg/I
Ca - Calcium
mg/I
Chloride QS. 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/1
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate mg/I
Hg - Mercury
mg/I
Report Attached? 9 Yes (1) ❑ No (0)
Specific Conductance µMhos
K - Potassium
mg/I
VOC , method #
Total Ammonia /, O. 1 mg/I Mg - Magnesium mg/I
(Ammonia Nitrogen; NH3as N, Ammonia Nitrogen, Total)
Mn -Manganese mg/l
TKN as N mg/I Ni - Nickel mg/I
method #
method #
method #
For Remediation Systems Only (Attach Lab Reports):- Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
dale roaq--,n s ngc,
Permittee (or Authorized Aqent) Name and Title - Please print or type
GW-59 Rev.1/2007
Signature of Permittee (or Authorized Agent) ;Date)
If WELL
WAS
DRY at
time of
sampling,
check
here:
_E

GNw-59A CONtPHt NNE, REPORT P'ORAI
Permit A t InQntLioL 0
i fiuGnrir uirr crc•h n umflirrin,y i?"11011 wit/1 G16'- i9 furnn•.)
]
Enter date monitoring results were due. _ Will this monitoring report (GW-59 and GW-59A)
YES
0
be submitted after the established due date?
2 Was any required information missing on the GW-59 report forms?
YES
1F the answer to question 1 or 2 is °YES", ist in the spat s provided below the well identification number(s) and
explain the problems encountered in obtaining the regtiirod information.
3 .arc any of the monitor wells in need of repair or maintenance (damaged easing, unlocked or missing cap, missing
identification plate, area overgrown, etc.)? if the answer is "Yes",
Yt
:NO�
contact the Regional Q icc for puidunce.
� 4 i Are any monitored constituents equal to or above the estahiished standards?
�
N
Ir the answer to question 4 is 'NO', skip tc section 8. - — - ---
If the answer to question 4 is "YES" list the affected wells individuallywith constituent(s) ent(s) and concentration(s)
exceeding standards In Gne space provided below:
I
S For the constituents identified in question 4 above, have standards been exceeded previously for the
same constituent(s) in the
YES
NO
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).
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 is "NO",
answer monitoring wells may be improperly
located; contact the Regional Office.
Is the permittee implementing previously approved actions
required by the Division involving this
groundwater quality problem?
YES
NO
-
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 maybe
required to determine the impact the waste disposal system is having at the review and compliance
boundaries
surrounding this facilit . Failure to do so niaV 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 here b nowledge that the above information was evaluated and the information submitted in this
repo (Co pliance Report
tGGW-59A) is true and complete to the best of my knowledge.
3131
Signature of Permittee (or Authorized Agent) Date
CW-5 A 12/8/2003

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENT 3 NATURAL RESOURCES
ROUNDWATER QUALITY MONITORING: �' VISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
OMPLIANCE REPORT FORM 617 MAIL SERVICE CENTER, RALEIGH, NC �7699-1617 Phone: [phone]
Please Prinl Clearly or Type
Facility Name: —7cwr)
Permit Name (if different):
=acility Address: 9 15CJ "W lS
NC
County
ontact Person: Dade (Dw_t-,ewS Telephone#: Q1G- (Oq I - \Q&D
fell Location/Site Nam'T IP No. of wells to be sampled: Li
Li
PERMIT j ,58bI y O4�
Non -Di c ar e
Expiration Date:
UIC
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:
vr%r1LM t tvry If WELL
WELL ID NUMBER (from Permit): Date sample collected: 31 t -zlzo FIELD ANALYSES: WAS
Well Depth: _ SS ft. Well Diameter: a in. pH j. k5 units Temp. °C DRY at
Depth to Water Level: q ft. below measuring point Screened Interval: ft. to _ft. Spec. Cond. (n3 µ
Mhos time of
sampling,
Measuring Point is _ft. above land surface Relative M.P. Elevation: ft. Odor NOING check
Volume of water pumped/bailed before sampling: _gallons Appearance V er� j ClEGr here:
-
Sam les for metals were collected unfilteted- ES _ - NO - -end field acidified: -- ❑YES NO
late sample analyzed: Iz12a 3 �L,� 1 ZQ Laboratory Name: m r ,:�CCh Y
ARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD mg/I Nitrite (NO2) as N mg/I Pb - Lead
Coliform: MF Fecal 4 1 C.D I /100ml Nitrate (NO3) as N C) $ mg/I Zn - Zinc
Coliform: MF Total /100ml Phosphorus: Total as P n .Q3a mg/I
(Note: Use MPN method for highly turbid samples)
Certification No. I VS
mg/I
mg/I
Orthophosphate
mg/1
Other (Specify Compounds and Concentration Units):
Dissolved Solids: Total ��o^i mg/I
Al -Aluminum
mg/I
pH (when analyzed) Cj') units
Ba - Barium
mg/I
TOC , Q mg/I
Ca - Calcium
mg/I
Chloride (o (p -6 mg/I
Cd - Cadmium
mg/I
Arsenic mg/I
Chromium: Total
mg/I
Grease and Oils mg/I
Cu - Copper
mg/l
ORGANICS: (by GC, GC/MS, HPLC)
Phenol mg/I
Fe - Iron
mg/l
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate mg/I
Hg - Mercury
mg/I
Report Attached? CA Yes (1) ❑ No (0)
Specific Conductance µMhos
K - Potassium
mg/I
VOC , method #
Total Ammonia < 0 .l 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
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs:
L�1e MoLk�s fl
Permittee (or Authorized Aqent) Name and Title - Please print or type
GW-59 Rev.1/2007
Effluent Total VOCs:
Signature of Permittee (or Authorized Aqent)
method #
method #
method #
mg/L VOC Removal%
313( 2a
'Date)

G�V-59A CONIPL1ANC E' RiTowr i'()!t;►j
!'cr11111ii tf.JQt_)0k4o(4(P
t:fiuh►rrir oLr a et-11 r►ar•,itr,rirr• nrr-d :14th G16'-19 lin ws.)
j r Enter date monitoring results were due. Will this monitoring report (GIN-59 and GW-59A)
be submitted after the established due date?
YES , U
1 Was any required information missing on the GW-59 report forms?
YES
NO
IF the answer to question f or 2 is "YES", Itst in the spas:: �.rovi,jev helow the welt identification number(s) and
explain the problems encountered in obtaining the required information.
3 \re any of the monitor wells in need of repair or maintenance (damaged casing, unlocked or missing cap, missing
identification plate, area overgrown, etc.)? Ijthe answer is "Yes",
YES
NO
contact the .Regional O,!rireJnrr?eridunce.
-------- — ---
4 Are any monitored constituents equal to or above the estaNished standards?
YES
NO
Ir the answer to question 4 is `NO', skip to section 8. ---- --- — - -- — - — ---
If the answer to question 4 is "YES" list the affected wells individuallywith constituent(s)
t(s) and concentration(s)
exceeding standards to the space provided below:
i
5 For the constituents Identified in question 4 above, have standards been exceeded previously for the
same constituent(s) in
YES
NO '
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).
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.
Is the permittee implementing previously approved actions required by the Division involving this
1 groundwater quality problem?
N'FS
NO
—
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 G W-59 forms for required wells to the
address provided at the top of the current GW-59 form.
I he cknowledge that the above information was evaluated and the information submitted in this
re ort ( mplie Re ort GW- 9A) is true and complete to the best of my knowledge.
3�3i1�
Signature of Permittee (or Authorized Agent) Date
1; �1"-59,a 12/8/2003

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
FACILITY INFORMATION Please Print Clearly or Type
Facility Name: LOn
Permit Name (if different):
Facility Address:
�1Lffll'[� NC 1565 County !�1^Qcvs',1•P
ntactPerson:Telephone#: �Q' t'IV—ask ell Location/Site Name: IOWr> 0f !:—� '. C,I I (�ll� T1� No. of wells to be sampled:
DEPARTMENT OF ENVIRONMENT 3 NATURAL RESOURCES
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
PER
�MIIT{N�u ber: Expiration Date: Z 31 ZL�
Non- DI'sctl�r��y�1"�� UIC
NPDES Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
X Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
ELL ID NUMBER (from Permit): MW*k 1A Date sample collected 1 IZ zo
ell Depth: o%ri ft. Well Diameter: a in.
Depth to Water Level: _ -ft. below measuring point Screened Interval: ft. to ft.
Measuring Point is _ft. above land surface Relative M.P. Elevation: ft.
Volume of water pumped/bailed before sampling: 15 gallons
Samples for metals were collected unfiltered: 9YES NO and field acidified: ❑ YES NO
FIELD ANALYSES:
pH 5i'r-units Temp. ��� °C
Spec. Cond. y 4 µMhos
Odor NIDNe
Appearance
If WELL
WAS
DRY at
time of
samplinc
check
here -
LABORATORY INFORMAT19N
Date sample analyzed: 12 Zfl - 3120,1a
Laboratory Name: Mer.-k'ee_l)
�,ne • Certification No. 1(OG
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 1 COI /100ml
Nitrate (NO3) as IN Q,a'j
mg/I
Zn - Zinc mg/I
Coliform: MF Total /100ml
Phosphorus: Total as P d . Q .J(J
mg/I
- (Note: Use MPN method for highly turbid samples)
Orthophosphate
mg/1
Other (Specify Compounds and Concentration Units):
Dissolved Solids: Total 3S' mg/I
Al -Aluminum
mg/I
pH (when analyzed) 5 $ 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
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 4� ©. ! mg/I
Mg - Magnesium
mg/I
method #
(Ammonia Nitrogen, NH3 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%
GW-59 Rev.1/2007
uthonzed Apent)
;Date)

GW-59IA COiPYIPLIANCE, REPORT P'01ti i
Permit t/ CODF)m yIDL1p
ioiuhnnt oeer-h mimiip ptlt Gtp'-in9 iq;,;„ J
j
Enter date monitoring results were due. (J - l Vyill this monitoring report (GW-59 and GW-59A)
yEg
Nti
be submitted after the established due date?
2
Was any required information missing on the GW-59 report forms?
YES
NO
IF the answer to question f or 2 is 'YES", list in the spat: l.rovidea below the well identificntion number(s) and
explain the problems encountered in obmining the required information.
.\re any of the monitor wells in need of repair or maintenance (damaged easing, unlocked or missing cap, missing
identification plate, area overgrown, etc.)? if the is "Yes",
YES
[
O
3
answer ceninct the Regional 0 ice for puirlei nce.
Are any monitored constituents equal to or above the established standards?
YES
N
---I
r
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:
YES
NO
5
For the constituents identified in question 4 above, have standards been exceeded previously for the
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).
Are the monitoring wells listed in section 5 located at or beyond the review boundary7
If the ansL
wer is "YES ", rdw a gounater quality problem maybe occurring. CONTACT THE REGIONA
YES
NO
i OFFICE IMMEDIATELY FOR GUIDANCE. If the answer is "NO", monitoring wells may be improperly
located; contact the Regional Office.
�Is the implementing previously approved actions required
by the Division involving this
groundwaterquality problem?
i q
yes
NO
!f 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 (G W-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
re ( mpliance Report GW-59A) is true and complete to the best of my knowledge.
;P M0VVA,0 3 181 IZo
Signature of Permittee (or Authorized Agent) Date
(;1N-S).a 12/8/2003

Contact: Janet Parrott
Client: Town of Stovall
P.O. Box 100
Stovall, NC 27582
Meritech, Inc.
Environmental Laboratory
Laboratory Certification No.165
Page 1
Report Date: 3/26/2020
Project: March Eff/MW Samples
Date Sample Rcvd: 3/12/2020
Meritech Work Order #
031220122 Sample: Effluent Grab
3/12/20
Parameters
Result
Analysis Date
Reporting Limit
Meth
BOD, 5 day
19.5 mg/L
3/13/20
2.0 mg/L
SM 5210 B
Total Suspended Solids
8 mg/L
3/16/20
2.5 mg/L
SM 2540 D
Total Dissolved Solids
225 mg/L
3/17/20
10.0 mg/L
SM 2540C
Ammonia, Nitrogen
6.6 mg/L
3/20/20
0.1 mg/L
EPA 350.1
Chloride
47.0 mg/L
3/16/20
0.1 mg/L
SM 4500 Cl B
TKN
9.70 mg/L
3/19/20
0.20 mg/L
EPA 351.1
Nitrite/Nitrate, Nitrogen
0.14 mg/L
3/13/20
0.10 mg/L
EPA 353.2
Nitrogen, total
9.84 mg/L
3/19/20
0.20 mg/L
EPA 353.2
Phosphorus, total
4.48 mg/L
3/23/20
0.020 mg/L
EPA 200.7
Fecal Coliform
<2 col/100 ml
3/12/20
2 col/100 ml
SM 9222 D
Meritech Work Order # 031220123 Sample: MW #1 Grab 3/12/20
Parameters Result Analysis Date Reporting Limit Method
Total Dissolved Solids
133 mg/L
3/17/20
10.0 mg/L
SM 2540C
Ammonia, Nitrogen
<0.1 mg/L
3/20/20
0.1 mg/L
EPA 350.1
Chloride
40.5 mg/L
3/16/20
0.50 mg/L
SM 4500 Cl B
Nitrate, Nitrogen
<0.10 mg/L
3/13/20
0.10 mg/L
EPA 353.2
Phosphorus, total
0.049 mg/L
3/23/20
0.020 mg/L
EPA 200.7
Fecal Coliform
<1 col/100 ml
3/12/20
1 col/100 ml
SM 9222 D
TOC
<1.0 mg/L
3/20/20
1.0 mg/L
SM 5310C
642 Tamco Road, Reidsville, North Carolina 27320
tel.[phone] fax.[phone]

arrott
Client: Town of Stovall
P.O. Box 100
Stovall, NC 27582
Meritech, Inc.
Environmental Laboratory
Laboratory Certification No.165
Page 2
Report Date: 3/26/2020
Project: March Eff/MW Samples
Date Sample Rcvd: 3/12/2020
Meritech Work Order #
031220124 Sample: MW #2 Grab
3/12/20
Parameters
Result
Analysis Date
Reg i.imit
Method
Total Dissolved Solids
264 mg/L
3/17/20
10.0 mg/L
SM 2540C
Ammonia, Nitrogen
<0.1 mg/L
3/20/20
0.1 mg/L
EPA 350.1
Chloride
95.0 mg/L
3/16/20
0.50 mg/L
SM 4500 CI B
Nitrate, Nitrogen
0.69 mg/L
3/13/20
0.10 mg/L
EPA 353.2
Phosphorus, total
0.057 mg/L
3/23/20
0.020 mg/L
EPA 200.7
Fecal Coliform
<1 col/100 ml
3/12/20
1 col/100 ml
SM 9222 D
TOC
<1.0 mg/L
3/20/20
1.0 mg/L
SM 5310C
Meritech Work Order #
031220125 Sample: MW #3 Grab
3/12/20
Parameters
Result
Analysis Date
Reporting Limit
Method
Total Dissolved Solids
192 mg/L
3/17/20
10.0 mg/L
SM 2540C
Ammonia, Nitrogen
<0.1 mg/L
3/20/20
0.1 mg/L
EPA 350.1
Chloride
66.5 mg/L
3/16/20
0.50 mg/L
SM 4500 CI B
Nitrate, Nitrogen
0.81 mg/L
3/13/20
0.10 mg/L
EPA 353.2
Phosphorus, total
0.032 mg/L
3/23/20
0.020 mg/L
EPA 200.7
Fecal Coliform
<1 col/100 ml
3/12/20
1 col/100 ml
SM 9222 D
TOC
<1.0 mg/L
3/20/20
1.0 mg/L
SM 5310C
Meritech Work Order # 031220126 Sample: MW #4 Grab 3/12/20
Parameters Result Analysis Date Reporting Urnit Method
Total Dissolved Solids
138 mg/L
3/17/20
10.0 mg/L
SM 2540C
Ammonia, Nitrogen
<0.1 mg/L
3/20/20
0.1 mg/L
EPA 350.1
Chloride
40.0 mg/L
3/16/20
0.50 mg/L
SM 4500 CI B
Nitrate, Nitrogen
0.27 mg/L
3/13/20
0.10 mg/L
EPA 353.2
Phosphorus, total
0.030 mg/L
3/23/20
0.020 mg/L
EPA 200.7
Fecal Coliform
<1 col/100 ml
3/12/20
1 col/100 ml
SM 9222 D
TOC
<1.0 mg/L
3/20/20
1.0 mg/L
SM 5310C
I hereby certify that I have reviewed and approve these data.
642 Tamco Road, Reidsville, North Carolina 27320
tel.[phone] fax.[phone]