HomeMy WebLinkAboutWQ0000224_Monitoring - 07-2020_20200724SUBMi T FORM ON YELLOW PAPER ONLY
GROUNDWATEP QUALITY MONITORING:
COiiji.p s.i�iiivE a�ii�vi 3 T F%J Vi
FACILITY INFORMATION Please Prinf Clearly or Type
Facility Name: PDf 4T
Permit Name (if different):
Facility •"-ddir_ess:— i � I R tr7
IGtYJ r-� ( 7-7t✓ounty �.
Contact Person: DA&I Eu67PM (zip)Telephone #:
Well Identification Number (from Permit): -1 to For Groundwater Treatment Systems
Well Depth: ft. Well Diameter in. Check One: ❑ fuent (98)
Screened Interval: J�C / —,ft. to ft.
"� %_ 1 f#!� font (Gq)
(Depth to Water Levei:A W / ?/ ft. below measuring point.
Measuring Point (M.P.) is:cft. above land st. Relative M.P. Elevation i
Gallons of water purrs cL ailed before sampling: 0 Date sampie collected:
Reld arallysis: pH. Speci-5C C id,,uc�rice u -
Temp. °C. Odor `-,' Appearance
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
WATER QUALITY DIVISION , GROUNDWATER SECT -ION
1636 MAIL SERVICE CEt! T ER
PERMIT #: EXPIRATION DATE: Mam
Non -Discharge i.i: % cat 05 2.2y uiC
TYPE OF PERMITFEE? OPERATON BEING. MONITORED
Lagoon Remediation. Infiltration Gallery
—V.—, .—
Rotary Distributor
Other
Land Application of Sludge
MOTE: Values should reflect dissolved and -
C.^.il3iaaaal crqr1ceJItrCj!or
IS.
Mate sample analyzed: GtLrl
Laboratory Marne: CNL41— x
Certifica-L'on No. 1 L3
PARAME'TERa-(Samples for metalswere collected unfiltered AYES - NO a :d fiald acodifoed
COD mg/f Nitrite (NO2) as N mg/l
Coliform: MF Fecal &L-11 00ml Nitrate (NOB) as N o mg/!
Coliform: MF Total A0um1 Phnsnhonrs- Thtil ac a I)A ., _n
rK1_* . �I aaOV ••`.v-• iv •ii—''•
,..,. S.^. :..2. y . ynjt iidrii•siriC
Dissolved Solids: Total
rig/(
r --
H when analyze.;)
units
TOG ` j2jCq
Moll
Chloride
mg/I
Arsenic
rir/I
Grease and Oils
rn.g/I
Phenol
mg/i
Sulfate
mc/i
Specific Conductance
uMhQs
Total Ammonia
rigs
TKN as N
mg/i
Orthophosphate
mg/1
Al --Aluminum-_
mg/1- _
-
Ba Barium
mg/1-
Ca - Calcium
mgA
Cd - Cadmium
mgA
Chromium: Total
mg/l
Cu _ Copper
Fe - iron
mg/l
Hg -.Mercury
mg/I
K- Potassium
mg/f
Mg - Magnesium
�gI
Mn - Manganese
mall
YES NO)
Ni - Nickel rig/(
Pb - Lead rig„
Zn - Zinc mall
Ammonia Nitrogen n mg/I
Other (Specify-Car??poundI `,' centiatior. Units) -
ORGANICS: (V,GC/MS,HPLC)
(Specify test and .nethod #. Attach lab report.)
ReportAttached? Yes (1) No (0)
191euiod It =
method # =
�42 zo
-v�;v;' 3 UHM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
f E"OMPiI%uN'CE REPORT FORM
Facility Name:__.E0f N% L�'j
Permit Name (if different):
FaCllity Arfrfracc- C-ir) .4 4
Welt Locat,orJ Site Name -
Please Print Clearly or Type
PA? 0 i,I1,(A C
U,
Telephone 4:
- _� .r.__. rro I Well ldentiilcation Nurber (�orr>E Permit): tit/
Well Depth 4 ! ft. Well Diameter For.GroundwaterTreatmentsystems
Screened Interval: in.
Check One: Q fluent (98)
- i% ft. to
Depth to WaterLeve fL 6eioyv ii:easur;n nt fftuetzt (99)
Measurin Point M_P_ i �r 9
9 (` ) s:_ fL above Lanai su Relative M.P_ Elevation in
Gallons of, -water pum before sampling. Date sample
Field ara''�lscollected:
PN Specific
Tem . . - • da.
- - - . - �
PARAIUrE�RS (Samptes for lneiafc uvn.d ....n„..._� _ _ _ __ __
Coliform: MF Total ` 11 Wm1
1400MI
(R1o2e Ls2 M?N met?wd for highly torbi
DissoiYed Solids: Total SS�`••11(( mg
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
S:A:ER QUAuTY DIVISION, GROUNDWATER SECTION
_636 MAIL SERVICE CENTER
PERMrr #: EXPIRATION DATE l
Non-t�ischargeua GG� tvUIC
PDES-
TYPE OF PFRiulrx'rsn OPERATION -BE
ING -
MONITORED
NG-MONITORED
Re'ation Infiltration Gattery
r„'y r+ew Remediation:_
RotaryDistributor Land Application of Sludge
Other
Q Values should ;efleci dissolved and .
colloidal concenhm 'ons.
Date sa.'rtpla ar'yzed� - _� 7x_
ry tiame: 1./Z o Ile,
Cerhfi�uoa 1Vo_ �D
snfltered -- YES NO anti i#elri ae%ciifi
-Nitslte (tV42-as N - -- - .
Nitrate. (NO.) as N mg/t
m
Phosphorus. Total as P_ d gA
....-..,vfrr ov?t:r PacZ
_ ... _
Al - Aluminum mg/i
arrum
- = Mgt
Ni = Nickel
Pb - Lea d 17119/1
rno
ZLt - Zif1C.;
Ammnr»:� kt.=__._._ s"1 s� M67
m ..
Ca --
_
ITIO
Cd - Cadrrmwm
tar
c,rlromium: Total _
,,
_ . ..
Sulfate mg/I
Specific Conductance 0
Totat'Ammonia UM46S
TKN as -N m'qA
GW-59
Rev. 03/20o0
Gu-0-opp
m
Fe - iron.
Hg - Mercury .fII ORGANICS: (GC,GC/MS HPLC.)
K- Potassium rng!! (Specify test and method #_ Attach. lab report)
Mg - Magnesium - Report Attached? rn cYes (1) No ( )
mn/I i�i
Mn - Manganese �" Y `J`' method
mgR = method # =
e - method #
►A
Agent)
�, L.uryrvKtVi l.hV YtI OW PAPER ONLY
SPORT FORM
t-A(;ILITY INFORMATION
Facility Narne: Po-- (Iy
Permit Name fit different►-
- -•-.•-
Well Lop
Please Print Clearly or Type
County.
Telephone #: -
-- vv_ eF-welts-to-be-Sample
Well ldentificatton-'NUmbei from Permit):
Well Depth: _ q� 5` ft. Well Diameter FbrGmunwterTr6A
Screened Interval_ —�- in_
tt to _____ Check Qne. U fI
Depth to Water Level.
Me tis:(ow r;teasuring point EfflU
asunng Pc rt (M P_) is_�_ fL above JaM.guV Relative M_P_ Elevation ir�
Gallons of seater PPP) a before sa li
mP r►9 Dafe sample i
colFected: =i2it analXs<s_ H _- Speeifac C�CI�r - -
Temp. y�tlniros
�C. Cvor_jldL�K. An /:
(99)
GROUNDWATER QUALITY MONITORING:
L.V �IIYL.iAN(
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
WATER GUAZj Y DIVISION, GROUNDWATER SECTION
. = MAIL SERVjCE CENTER
RALEIGH, NC27699-1536
PERMIT #: EXPIRATION DATE
Non -Discharge UIC
NPDES
TYPF_OF P
l7 OPERATION BEING -MONITORED
-- _ Lagoon Re nediar*rl infiltration Galipm
.
Rotar-Distribt4cr
Othec _ Land Appr>cation of Sludge
NOTE. Values should;;efTect dissolved and -
Colloidal concenntratIons.
Date sarr.Fe
Ceshfca Ina No _lam.
PARAMETERS ( Samples for metalsnrere. cotlecled unfettered Y
Cab NO arid. geld acldlfir d :_1fES
-- -- -- : - --momfitriie IVO -- - -- --
NO} . _ --
Colif orm MF Fecal. � 2jas N - —
Califor:T�_ MF Tot I„ /3Of)rrli Nitrate (NO3). as N
mg/l Ni Nit -
I1OOmf Phos horns: Total as P
Pb - Lea, c1 mglt .
(Alote: Uss AiJ'N metho�j for highly turbi Jest i1.4h ng/l
•••°u+v rw� at DlssdVed Soflds- Total
� N . _ Zn - nc I-nts/E
ogle Al - Afurrtrnum mgll Ammonia Nitrogen: tt Ulf
- p1-L(wheaaFt}rzed}-— :. -
- -ulir - 8afttifi7 1 1g -- �?t 1er-(Spedfy ; � Cor•.ceritrat►on Units -
TOC d rn
M0 Ca - Calciticn . _E,�'tF _ .
LJtJI�ride
m9 i Cd - Cadmlism
A rsent^, - ^1;
rrlgr'i Chromium: Total
Grease and Oils fru�lf
Phenol ------�T.gl1- Cer-- Copper----- _ - -__
- - --- -- -- _ -
Sulfate mg/! Fe -Iron �"
- - :m9fi Hg-1Rercti ..., m ORGANICS: (GC;GC/MS I PLC) Spe ific Condractance� rY mgR
ifltilhaS K - Potassium (Specify test and method#. Attach.lab report:}.
Total Ammgnia M9A Report Attached? Yes 1 .
rrtg/! Mg - l lagnesitim M- , rrv�. 0I No
T Kiif �S t�� (4`
m9/► Mn - Niariganese zr.vv m:method # -
9A -
method #
MR
�imeftd # _
.� • c Ki 1 ir4itn11r.)".�■r'T%i^444� _ .. --- - _ .
�i�