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Home My WebLink AboutWQ0023693_Monitoring - 03-2020_20200501 (2)GW-59A COMPLIANCE REPORT FORM Permit (Submit one each monitoring period with GW-59 forms.) I Enter date monitoring results were due. - Will 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 N¢ v 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 Officefor guidance. 4 Are any monitored constituents equal to or above the established standards? : YES NO CV If the answer to question 4 is "NO", skip to section 8. o If the answer to question 4 is "YES" list the affected wells individu,,�ly wkrh' constituent(s) and AWriceaftation(s) exceeding standards in the space provided below: >-- c 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 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 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 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 G W-59 forms for required wells to the address provided at the top of the current G W-59 form. I 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. el Z2 1,2L> Signature of Pe ittee (or Authorized Agent) Dat GW-59A 12/8/2003 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: 919.807-6306 FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date: Facility Name: West Brunswick WRF Non -Discharge WQ0023693 UIC Permit Name (if different): NPDES Other Facility Address: 235 Grey Water Road Supply NC 28462 TYPE OF PERMITTED OPERATION BEING MONITORED 235 Grey Water Road SUPd4 469462 County Brunswick ❑ Lagoon ❑ Remediation: Infiltration Gallery ""t' ❑ Spray Field ❑ Remediation: Contact Person: Michael Garrity Telephone#: 910-253-2889 ❑ Rotary Distributor ❑ Land Application of Sludge Well Location/Site Name: West Brunswick Clemmons Tract No. of wells to be sampled: 1 ❑ Water Source Heat Pump ❑■ Other: Infiltration Pond from Permit SAMPLING INFORMATION If WELL WELL ID NUMBER (from Permit): MW # 7 Date sample collected: 3/19/2020 FIELD ANALYSES: WAS Well Depth: 27 ft. Well Diameter: 6 in. pH 00000: 4.9 units Temp. 000lo: 19.2 °C DRY at Depth to Water Level 825a6: 8.1 p ft. below measuring point Screened Interval: 27 ft. to 17 ft. Spec. Cond. 000sa: µ Mhos time of sampling, Measuring Point is 2.8 ft. above land surface Relative M.P. Elevation: ft. Odor 00085: None check Volume of water pumped/bailed before sampling: 5.0 gallons Appearance Clear here: ❑ Samples for metals were collected unfiltered: ❑ YES ❑ NO and field acidified: ❑ YES ❑ NO LABORATORY INFORMATION Date sample analyzed: 1l8l2020 through 1/26/2020 Laboratory Name: Environmental Chemists Inc. Certification No. #94 PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. COD 00335 mg/L Nitrite (NO2) as N 00615 0.14 mg/L Pb - Lead 01051 ug/L Coliform: MF Fecal 31616 <1 /100mL Nitrate (NO3) as N 00620 0.14 mg/L Zn - Zinc 01092 mg/L Coliform: MF Total 31504 /100mL Phosphorus: Total as P 00665 0.14 mg/L (Note. Use MPN method for highly turbid samples) Orthophosphate 70507 0.02 mg/L Other (Specify Compounds and Concentration Units): issolved Solids:Total 70300 27 mg/L Al -Aluminum 01105 mg/L pH (Lab) 00403 4.7 units Ba - Barium 01007 ug/L TOC 00680 1 mg/L Ca - Calcium 00916 mg/L Chloride 00940 <5 mg/L Cd - Cadmium 01027 ug/L Arsenic 01002 ug/L Chromium: Total o1o34 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 <0.2 mg/L Mg - Magnesium 00927 mg/L method # (Ammonia Nitrogen, NH3 as N. Ammonia Nitrogen, Total) Mn - Manganese 01055 ug/L , method # TKN as N 00625 <0.02 mg/L Ni - Nickel 01067 ug/L method # For a • Only a a •rts): Influent Total• •/L Eff I uent Total VOCs:• • I certify that. to the best of my knowledge and belief. the information submitted in this report is true, accurate. and complete, and that the laboratory analytical data was produced using approved methods of analysis by a DWR-certified laboratory. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. Donald Dixon, Deputy Director Permittee (or Authorized Agent) Name and Title - Please print or type GW-59 Rev.05-02-2017 Signature of Permittee (or Authorized