No preview available
HomeMy WebLinkAboutWQ0023934_Monitoring - 03-2020_20200413 (2)GW-59A COMPLIANCE REPORT FORM Permit # 3y (Submit one each monitoring period with GW-59 forms.) 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 e-5 2 Was any required information missing on the GW-5Y report forms? YES NO 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 Office for guidance. 4 Are any monitored constituents equal to or above the established standards? YES N 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, 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. 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 Rea"venal Office within 90 days; an evaluation may be required to determine the impact the waste dis osa stem is having at the review and com liance boundaries surrounding this facility. Failure to do ay subiecte permittee to a Notice of Violation, fines, and/or penalties. n �p � kl �J a ho+ 11' p m _ _ l7 L. 9�C?0 O M N Z O N LTI g The person completing this portion (GW-59A) of th onitoring "rt should sign below and submit this form with G W-59 forms for required wells to the adc§� ss provided�bt the top of the current G W-59 form. -P 1 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. 2V ture of Permitte&jor Authorized Agent) Date GW-59A 12/8/211113 SUBMIT FORM ON YELLOW PAPFR ONI Y GROUNDWATER QUALITY MONITORING: DEPARTMENT OF ENVIRONMENTAL QUALITY - DIV. OF WATER RESOURCES COMPLIANCE REPORT FORM INFORMATION PROCESSING UNIT 1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date: 4/30/2023 Facility Name: Town of Pikeville Non -Discharge W00023934 UIC NPDES Other Permit Name (if different): Facility Address: 126 Leigh Dr TYPE OF PERMITTED OPERATION BEING MONITORED El Lagoon ❑Remediation: Infiltration Gallery Pikeville `stfeQt) NC 27863 County Wayne (city) (state) (zip) I Spray Field ❑ Remediation: Contact Person: Jennifer Bray Telephone#: 919-242-5126 ❑ Rotary Distributor ElLand Application of Sludge Well Location/Site Name: Sprayfield (CP#1) No. of wells to be sampled: 4 ❑ Water Source Heat Pump ❑ Other: (from Permit) SAMPLING INFORMATION If WELL WELL ID NUMBER (from Permit): MW-6 Date sample collected: 3/19/2020 FIELD ANALYSES: WAS Well Depth: 22 ft. Well Diameter: 2 in. pH 00400: 5.0 units Temp. 000lo: 20 oC DRY at Depth to Water Level 82546: 6.80 ft. below measuring point Screened Interval: ft. to ft. Spec. Cond. 00094: µMhos time of Measuring Point is 2 ft. above land surface Relative M.P. Elevation: ft. Odor 00085: sampling, check Volume of water pumped/bailed before sampling: 3.0 gallons Appearance here:❑ Samples for metals were collected unfiltered: X YES ❑ NO and field acidified: X YES ❑ NO LABORATORY INFORMATION Date sample analyzed: Laboratory Name: Certification No. PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. COD 00335 mg/L Nitrite (NO2) as N 00615 mg/L Pb - Lead 01051 ug/L Coliform: MF Fecal 31616 56 /100mL Nitrate (NO3) as N 00620 5.72 mg/L Zn - Zinc 01092 m9 /L Coliform: MF Total 31504 /100mL Phosphorus: Total as P 00665 <0.04 mg/L (Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units): ssolved Solids:Total 703oo 82 mg/L Al - Aluminum 01105 mg/L pH (Lab) 00403 units Ba - Barium 01007 ug/L TOC 00680 1.93 mg/L Ca - Calcium 00916 mg/L Chloride 0094o 24 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 7873 method # Total Ammonia 00610 <0.04 mg/L Mg - Magnesium 00927 mg/L method # (Ammonia Nitrogen, NH3asN; Ammonia Nitrogen, Total) Mn -Manganese 01055 ug/L ,method # TKN as N 00625 mg/L Ni - Nickel 01067 ug/L method # t-or Kemeoiation systems Unly (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mq/L VOC Removal% SUBMIT FORM ON YELLOW PAPER ONLY GROUNDWATER QUALITY MONITORING: COMPLIANCE REPORT FORM Facility Name: Town of Pikeville Permit Name (if different): Facility Address: 126 Leigh Dr Pikeville (St Please Print Clearly or NC 27863 (State) (Zip) ntact Person: Jennifer Bray fl] Location/Site Name: Sprayfield (CP#1) County Wayne Telephone #: 919-242-512 6 No. of wells to be sampled: 4 DEPARTMENT OF ENVIRONMENTAL QUALITY- DIV. OF WATER RESOURCES INFORMATION PROCESSING UNIT 1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 ERMIT Number: Expiration Date: 4/30/2023 on -Discharge WQ0023934 UIC PDES Other YPE OF PERMITTED OPERATION BEING MONITORED ❑ Lagoon ❑ Remediation: Infiltration Gallery X Spray Field ❑ Remediation: ❑ Rotary Distributor ❑ Land Application of Sludge ❑ Water Source Heat Pump ❑ Other: JAIVIYLINU INFUKIVIA I IUN If WELL WELL ID NUMBER (from Permit): MW-7 Date sample collected: 3/19/2020 FIELD ANALYSES: WAS Well Depth: 24 ft. Well Diameter: 2 in. H 00400: 4.7 p. 19 0— p units Temp. o0010: C DRY at Depth to Water Level 82546: 6.63 ft. below measuring point Screened Interval: ft. to ft. Spec. Cond. 00094: µMhos time of Measuring Point is 2 ft. above land surface Relative M.P. Elevation: ft. Odor 00085: sampling, check Volume of water pumped/bailed before sampling: 3.0 gallons Appearance here: ❑ Samples for metals were collected unfiltered: ❑■ YES ❑ NO and field acidified: ❑■ YES ❑ NO Date sample analyzed: Laboratory Name: Certification No. PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. COD 00335 mg/L Nitrite (NO2) as N 00615 mg/L Pb - Lead 01051 u9 /L Coliform: MF Fecal 31616 <1 /100mL Nitrate (NO3) as N 00620 8.34 mg/L Zn - Zinc 01092 mg/L Coliform: MF Total 31504 /100mL Phosphorus: Total as P 00665 <0.04 mg/L (Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units): )issolved Solids:Total 70300 106 mg/L Al - Aluminum 01105 mg/L pH (Lab) 00403 units Ba - Barium 01007 ug/L TOC 00680 1.44 mg/L Ca - Calcium 00916 mg/L Chloride 0094o 20 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 7873 method # Total Ammonia 00610 <0.04 mg/L Mg - Magnesium 00927 mg/L method # (Ammonia Nitrogen; NHjas N; Ammonia Nitrogen, Total) Mn - Manganese 01055 ug/L method # TKN as N 00625 mg/L Ni - Nickel 01067 uglL method # ror Kemealatlon systems Unly (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal% SUBMIT FORM ON YFI I nvv PAPER nNl Y GROUNDWATER QUALITY MONITORING: COMPLIANCE REPORT FORM FACILITY INFORMATION Please Print Cleany or Type Facility Name: Town of Pikeville Permit Name (if different): _ Facility Address: 126 Leigh Dr Pikeville (Street) NC 27863 (State) (Zip) Contact Person: Jennifer Bray Well Location/Site Name: Sprayfield (CP#1) County Wayne Telephone#: 919-242-5126 No. of wells to be sampled: 4 DEPARTMENT OF ENVIRONMENTAL QUALITY- DIV. OF WATER RESOURCES INFORMATION PROCESSING UNIT 1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 HERMIT Number: Expiration Date: 4/30/2023 Von -Discharge WQ0023934 UIC VPDES 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: SAMPLING INFORMATION WELL ID NUMBER (from Permit): MW-8 Date sample collected: 3/19/2020 Well Depth: 30 ft. Well Diameter: 2 in. Depth to Water Level 82546: 13.20 ft. below measuring point Screened Interval: ft. to Measuring Point is 2 ft. above land surface Relative M.P. Elevation: ft. Volume of water pumped/bailed before sampling: 3.0 gallons Samples for metals were collected unfiltered: X YES ❑ NO and field acidified: ❑■ YES ❑ NO ft. FIELD ANALYSES: pH 00400: 4.8 units Temp. 00010: 21 °C Spec. Cond. 00094: µMhos Odor 00085: Appearance If WELL WAS DRY at time of sampling, check here:❑ LABORATORY INFORMATION Date sample analyzed: Laboratory Name: Certification No. PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. COD 00335 mg/L Nitrite (NO2) as N 00615 mg/L Pb - Lead 01051 ug/L Coliform: MF Fecal 31616 <1 /100mL Nitrate (NO3) as N 00620 4.84 mg/L Zn - Zinc 01092 mg/L Coliform: MF Total 31504 /100ml- Phosphorus: Total as P 00665 <0.04 mg/L (Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units): Dissolved Solids:Total 703oo 76 mg/L Al - Aluminum oilo5 mg/L pH (Lab) 00403 units Ba - Barium 01007 ug/L TOC 00680 1.04 mg/L Ca - Calcium 00916 mg/L Chloride 00940 15 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 7873 method # Total Ammonia 00610 <0.04 mg/L Mg - Magnesium 00927 mg/L method # (Ammonia Nitrogen; NH3asN, Ammonia Nitrogen, Total) Mn - Manganese 01055 ug/L , method # TKN as N 00625 mg/L Ni - Nickel 01067 ug/L method # — — — OLIU11 oyaVCrita Uruy (r,uacn Lap MeportS/: Influent I otal vuus: mg/L Effluent Total VOCs: mg/L VOC Removal% SUBMIT FORM ON YELLOW PAPER ONLY GROUNDWATER QUALITY MONITORING: � . DEPARTMENT OF ENVIRONMENTAL QUALITY - DIV. OF WATER RESOURCES COMPLIANCE REPORT FORM low INFORMATION PROCESSING UNIT 1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date: 413012023 Facility Name: Town of Pikeville Non -Discharge WQ0023934 UIC NPDES Other Permit Name (if different): Facility Address: 126 Leigh Dr TYPE OF PERMITTED OPERATION BEING MONITORED El Lagoon ❑Remediation: Infiltration Gallery Pikeville (stfeQt) NC 27863 County Wayne (City) (state) (zip) X Spray Field ❑ Remediation: Contact Person: Jennifer Bray Telephone#: 919-242-5126 ❑ Rotary Distributor ❑ Land Application of Sludge Well Location/Site Name: Sprayfield (CP#1) 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: 3/19/2020 FIELD ANALYSES: WAS Well Depth: 40 ft. Well Diameter: 2 in. pH 00400: 4.5 units Temp. 000lo: 22 °C DRY at Depth to Water Level 82546: 22.30 ft. below measuring point Screened Interval: ft. to ft. Spec. Cond. 0009a: µMhos time of Measuring Point is 2 ft. above land surface Relative M.P. Elevation: ft. Odor 00085: sampling, check Volume of water pumped/bailed before sampling: 3.0 gallons Appearance here:❑ Samples for metals were collected unfiltered: ❑■ YES ❑ NO and field acidified: X YES ❑ NO LABORATORY INFORMATION Date sample analyzed: Laboratory Name: Certification No. 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 <1 /100mL Nitrate (NO3) as N 00620 5.62 mg/L Zn - Zinc 01092 mg/L Coliform: MF Total 31504 /100mL Phosphorus: Total as P 00665 <0.04 mg/L (Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units): Dissolved Solids:Total 70300 101 mg/L Al - Aluminum o11o5 mg/L pH (Lab) 00403 units Ba - Barium 01007 ug/L TOC 00680 <1.0 mg/L Ca - Calcium 00916 mg/L Chloride 00940 28 mg/L Cd - Cadmium 01027 ug/L Arsenic 01002 ug/L Chromium: Total 01034 ug/L Grease and Oils 00562 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 7873 method # Total Ammonia 00610 <0.04 mg/L Mg - Magnesium 00927 mg/L 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 # 1-or Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal% ittee (or Authorized Agent) Name and Title - f lease print or type GW-59 Rev.06-07-2018 Signatife-cT jZalWittee (or