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Home My WebLink AboutWQ0023310_Monitoring - 03-2020_20200429GW-59A CONIPLIAN CE REPOR7 FORIvi Permit, a T (Submit one each monitoring period with ti 9� 59 forms ) ja j Enter date monitoring results were due. Ffllill 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 tNO 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.)? Ifthe answer is "Yes", contact the .Regional Officefor 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 8. If the answer to question 4 Is "YES" list the affe d well, i vi jually with cpnstityent(s� and concentration(s) exceedin standards fi the space provided belowG+l f'f (� Cnv�- �,3R- fDT1471 (Ac��TJ �t + C N+S_ C S For the constitueiK& identified in question 4 above, have standards been exc previously for the S NO same constituent(s) in the same well(s) in the last two years? If the answer to question 5 is WO', skip to section B. If the answer to question 5 is "YES", fist in the space provided below, each well with constifuent(s) exceeding / standards, concentrations) reported, and sample collection date for each occurrenc (for the last two years). `+< G ( 3 - t s- V 8 3 a a z q, t3 19 Are the monitoring wells listed in section 5 located at or beyond the review boundary? Yts.S O If the answer Is "YES'; a groundwater quality problem may be occurring. CONTACT THE REGIONAL OFFICE IMMEDIATELY FOR GUIDANCE- If the answer is "NO", monitoring wells may be improperly located; contact the Regional Office. 7 Is the permitfee 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 wired to determine the Impact the waste ffsgasal.system is having at the review and cam Hance boundaries surrounding this facility. Failure to do so may subject the permittee to a ' . MViolation fines and/or enalties. - ll r' b'AY PZVZ� N / Cp The person completing this portion (GW.59A) of th& mohrtoring report should sign below and submit this form with GW-59 forms for required wells to the addr provided at the top of the current GW-59 form. Signature of (o A Agont) Date 3z. GW-59A I202003 �l� 1. �-- _________ � vc\ IQ 3 -- 5- � S 5U- 0, — I s� E� o .S- s-- _ __ _ S� �' o ';1)- 1 �_ =fig QCQ o _- -__ ____- -- - I -- a --1 LL cx SUBMIT FORM ON YELLOW PAPER ONLY • • DEPARTMENT OF ENVIRONMENTAL QUALITY • DIV, OF WATER RESOURCES GROUNDWATER QUALITY MONITORING: INFORMATION PROCESSING UNIT COMPLIANCE REPORT FORM 1817 MAIL. SERVICE CENTER, RALEIGH, NO 27899.1617Phone: 919.807.6306 77 FACILITY INFORMATION Please Print Clearly or Type c I- � /' 1 PERMIT Number. / ? x iration Date: ' 00a331( p Facility Name: �lCS`` W Vc,n \ 4 t oy-\ 11��'Q f" �Jvr�� Non -Discharge UIC Permit Name (if different): NPDES Other Facil(ty Address: W I, TYPE OF PERMITTED OPERATION BEING MONITORED 1 �R('�r' Lk�_t (Street) C �� County Lxp\t, El Lagoon ❑Remediation: Infiltration Gallery (C;ty) (Slate) (zip) A P Spray Field ElRemediation: ` Contact Person: ckC lylzr \` z Telephone#:910- a13 - SJ�S- ❑ Rotary Distributor ❑ Land Application of Sludge Well Location/Site Name: o:c\ c � Cr y No. of wells to be sampled: 3 ❑ Water Source Heat Pump ❑ Other: (from Perrnil SAMPLING INFORMATION �, l WELL ID NUMBER (from Permit): �W Date sample collected: 3 - - 20 FIELD ANALYSES: If WELL WAS Well Depth: I ft. Well Diameter: ',), in. pH 00400: units Temp. 000lo:) St, °C DRY at Depth to Water Level 82546� t ft. below measuring point Screened Interval: ft. to _ft. Spec. Cond. 00094: µ Mhos time of sampling, Measuring Point is ft. above land surf Relative M.P. Elevation: ft. ' Odor 00085: '\ check Volume of water pumped/bailed before sampling: T c gallons Appearance C.I eck- (- tin t\ here: ❑ Sam les for metals were collected unfiltered: El p NO and field acidified: ❑YES El NO LABORATORY INFORMATION - - O t N, 3-( -( 3'a% L{-�1 q-)Laboratory Name: U 1 (-p('%cam ✓� Certification No. Date sample analyzed:3- PARAMETERS NOTE: Valdes should re ect diss Ived and colloidal concentrations. COD 00335 mg/L Nitrite (NO2) as N 00615 mg/L Pb - Lead 01051 ug/L Coliform: MF Fecal 31616 G G'O /100mL Nitrate (NO3) as N 00620 1 ` �' mg/L Zn - Zinc 01092 mg/L Coliform: IMF Total 31504 /100mL Phosphorus: Total as P 00665 L+ Q mg/L (Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units): Dissolved Solids:Total 70300 mg/L Al - Aluminum o1108 mg/L pH (Lab) 00403 units Ba - Barium 01007 ug/L TOC 00680 mg/L Ca - Calcium 00916 mg/L Chloride 00940 �:� 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 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 # GW-59 Rev, 05-02-2017 SUBMIT FORM ON YELLOW PAPER ONLY (DEPARTMENT OF,ENVIRQNMENTAL QUALITY- OIV; QF WATER RESOURCES GROUNDWATER QUALITY MONITORING: INFORMATION PROCESSiNO UNIT , COMPLIANCE REPORT FORM 1617 MAIL, SERVICE CENTER, RaL�ir3tl, NC'27Ii99t1817 Phone: 919•e07.630s FACILITY INFORMATION Please Print tCClearly orType 1 � � PERMIT Number:W. Q (� �2J' Expiration Date: _ U �� ^.W C kc\ Facility Name: c � � l'G�1y f� �G� Q� S Y� � Non -Discharge UIC Permit Name (if different): I NPDES Other Facif y Address: TYPE OF PERMITTED OPERATION BEING MONITORED z9::t (street) County. �' El Lagoon ❑ Remediation: Infiltration Gallery (city) (State) (zip) 'Spray Field ❑ Remediation: Contact Person: ��k. G`. Telephone#: ll6 _a"k3 ,S3 ❑ Rotary Distributor ❑ Land Application of Sludge Well Location/Site Name: C': 1 CG i` E No. of wells to be sampled:_ ElWater Source Heat Pump El Other: (from Permit) SAMPLING INFORMATION ``�� WELL ID NUMBER (from Permit): \ ' �w — Date sample collected: U - oCV FIELD ANALYSES: If WELL WAS Well Depth: I ft. Well Diameter: c in. pH ooaoo: units Temp. 00010 Sef °C DRY at Depth to Water Level e25as: S ft. below measuring point Screened Interval: ft. to �� g p p Mhos ft. Sec. Cond. 0009a: µ time of sampling, Measuring Point is ft. above land surface Relative M.P. Elevation: ft. Odor 000e5: -11 sjff'\Q.— check Volume of water pumped/bailed before sampling: _S gallons Appearance here:❑ Samples for metals were collected unfiltered: ❑ YES ❑ NO and field acidified: ❑ YES ❑ NO LABORATORY INFORMATION —fl— C!> I �(-0c eo-\' C' Certification No. Date sample analyzed: - - 3 -� -a —S Laboratory Name: It PARAMETERS NOTE: Values should reflect dissolve and Colloidal concentrations. COD 00335 mg/L Nitrite (NO2) as N 00615 mg/L Pb - Lead o1o51 ug/L Coliform: MF Fecal 31616 �Co /100mL Nitrate (NO3) as N 00620 mg/L Zn Zinc 01092 mg/L Coliform: IMF Total 31504 /100mL Phosphorus: Total as P 00665 d mg/L (Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units): issolved Solids:Total 70300 94 mg/L Al - Aluminum o11o5 mg/L pH (Lab) 00403 units Ba - Barium 01007 ug/L TOC 00680 mg/L Ca - Calcium 00916 mg/L Chloride 00940 mg/L Cd - Cadmium 01027 ug/L Arsenic 01002 ug/L Chromium: Total 0104 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 FtMhos K - Potassium 00937 mg/L VOC 7873 method # Total Ammonia 00610 i - mg/L Mg - Magnesium 00927 mg/L method # (Ammonia Nitrogen; NH3as N; Ammonia Nitrogen, Total) Mn - Manganese 01055 ug/L , method # TKN as N 00525 mg/L Ni - Nickel 01057 ug/L method # For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal% ccI K Name and Title - Please print or type GW-59 Rev.05-02-2017 Signature of Permittee (or Q (Date) SUBMIT FORM ON YELLOW PAPER ONLY DEPARTMENT OF ENVIRONMENTAL QUALITY - DIV, OF WATER RESOURCES GROUNDWATER QUALITY MONITORING: INFORMATION PROCESSING UNIT COMPLIANCE REPORT FORM 1617 MAIL SERVICE CENTER, RALEIGH, NC;27699.1617 Phone: 919.807.8306 FACILITY INFORMPlease Print Clearly or Type _ ATIO ' � ��1�� \U� ��J PERMIT Number:(,�j' � � � xpiration Date: I� Facility Name: ,k,'GL(SciCk \�c��Q,` S� Non -Discharge UIC_ Permit Name (if different): NPDES Other Faci'ty Address: v W TYPE OF PERMITTED OPERATION BEING MONITORED C'1rS---U) (street) G County El Lagoon ❑Remediation: Infiltration Gallery (City) (State) (zip) Day Field ❑ Remediation: Contact Person: Gck� \ Telephone#:C�t� -a�3- S ❑Rotary Distributor El Application of Sludge Well Location/Site Name: G Gn� of wells to be sampled: ❑ Water Source Heat Pump ❑ Other: (from Permit) SAMPLING INFORMATION 1 `\ WELL ID NUMBER (from Permit): W �� Date sample collected: <3 - (8 - &0 FIELD ANALYSES: If WELL WAS Well Depth: LIS—ft. Well Diameter: r in. pH 00400:1-3 units Temp. 000io: DRY at Depth to Water Level 82546:(Z t cl ft. below measuring point Screened Interval: ft. to _ft. Spec. Cond. 000sa: µMhos time ofsampling, Measuring Point is ft. above land surface Relative M.P. Elevation: ft. Odor 00085: n check Volume of water pumped/bailed before sampling: gallons Appearance \ \ here: ❑ Samples for metals were collected unfiltered: ❑ YES NO and field acidified: ❑ YES ❑ NO LABORATORY INFORMATION Date sample analyzed:_T 13'-QT3)4—I Laboratory Name: \ C�e \ Certification No. PARAMETERS NOTE: Values should refs lec�olved and colloidal concentrations. COD 00335 mg/L Nitrite (NO2) as N 00615 mg/L Pb - Lead o1o51 ug/L Coliform: MF Fecal 31616 Cij)/100mL Nitrate (NO3) as N 00620 mg/L Zn - Zinc 01092 mg/L Coliform: MF Total 31504 /100mL Phosphorus: Total as P 00665 0 t mg/L (Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units): issolved Solids:Total 70300 mg/L Al - Aluminum 01105 mg/L pH (Lab) 00403 units Ba - Barium 01007 ug/L TOC 00680 mg/L Ca - Calcium 00916 mg/L Chloride 00940 E' 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 at J mg/L Mg - Magnesium 00927 mg/L method # (Ammonia Nitrogen; NH3as N; Ammonia Nitrogen, Total) Mn - Manganese o1o55 ug/L , method # TKN as N 00625 mg/L Ni - Nickel 01067 ug/L method # GW-59 Rev.05-02-2017