WQ0023693_Monitoring - 07-2020_20200902 (2)

GW-59A COMPLIANCE REPORT FORM Permit #WQ06 -3 Vi 3
(Submit one each monitoring period with GW-S9 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
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
NO
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:
N
LU m
Q
f
5
For the constituents identified in question 4 above, have standards been exc6t!ded 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 weFlfd ceeding
standards, concentration(s) reported, and sample collection date for each occurrence (for the I s 'Wars).
S E F 0 2 2020
DWR SECTION
INFORMATION PROCESSING UNIT
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 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.
g
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
report (Compliance Report GW-59A) is true and complete to the best of my knowledge.
H 1z4/0C>
Signature of Per ttee (or Authorized Agent) I Datof
GW-59A 12/8/2003

ouorvu i rumm ury TcLLuvv rrtrCM VINLT
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
Facility Name:
Permit Name (if different):
Facility Address:
or
West Brunswick
235 Gray Water Road
NC 28482 County
Brunswick
act Person: Michael Garrity Telephone#: [phone]
Location/Site Name: MW 7/ Clemmons Tract No. of wells to be sampled: 9
L ID NUMBER (from Permit): MW 7 Date sample collected: 7/20/2020
Depth: 27 ft. Well Diameter: 6 in.
1 to Water Level 62546: 4.7 ft. below measuring point Screened Interval: 27 ft. to 17 ft.
wring Point is 2.8 ft. above land surface Relative M.P. Elevation: ft.
ne of water pumped/bailed before sampling: 5 gallons
ales for metals were collected unfiltered: ❑ YES ® NO and field acidified: ❑ YES ® NO
Number: oA 36.?4xpiration Date: 12/31/2024
n-Discharge vvuuuue�u UIC
'DES Other
PE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
7 Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
Its sample analyzed: 7/20- 7/31/2020
Laboratory Name:
Environmental Chemists
MAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N ooe15
<0.02 mg/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620
0.10 mg/L
Coliform: MF Total mliw
/100mL
Phosphorus: Total as P 00665
0.10 mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L
solved Solids:Total70300 31
mg/L
At -Aluminum olim
mg/L
PH (Lab) 00403
units
Be - Barium mo07
ug/L
TOC oosso 1.1
mg/L
Ca - Calcium oo91e
mg/L
Chloride 00940 21
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
uglL
Chromium: Total olo34
ug/L
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg/L
Phenol 32730
ug/L
Fe - Iron oio4s
ug/L
Sulfate 00945
mg/L
Hg - Mercury 71900
ug/L
eciffc Conductance 000ss
pMhos
K - Potassium oo937
mg/L
Total Ammonia o0610 <0.2
mg/L
Mg - Magnesium oo927
mg/L
(Ammonia Nitrogen: NHTas N; Ammonia Nitrogen. Total)
Mn -Manganese 000ss
uglL
TKN as N 00625
mg/L
Ni - Nickel o1o67
uglL
FIELD ANALYSES:
PH o0400: 4.5 units
Spec. Cond. 00094:
Odor 000ss:
Appearance
WELL
Temp. o0010: 24.5 oC DRY at
ItMhos time of
None
Clear
Certification No. 94
Pb - Lead o1o51 ug/L
Zn - Zinc 01092 mg/L
Other (Specify Compounds and Concentration Units):
ORGANICS: (by GC, GC/MS, HPLC)
(Specify test and method C ATTACH LAB REPORT.)
Lab Report Attached? ❑ Yes (1) ❑ No (0)
VOC 7873 method If
method #
method #
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
Donald Dixon; Deputy Director 8/25/2020
Families (or Authorized Agent) Name and Title - Please print or type Signature of Permittee (or Authorized Agent) (Date)
GW-59 Rev. 06-07-2018