HomeMy WebLinkAboutWQ0002428_Monitoring - 07-2020_20200908GW-59A COMPLIANCE REPORT FORM
Permit # WQooOZq Z $
(Submit one each monitoring period wills GW-59 forms.)
I
Enter date monitoring results were due. ( id 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
0
IF the answer to question 1 or 2 is "YES", list in the space provided below the well idenfication number(s) and
explain the problems encountered in obtaining the required information. -
k
_t
3
Are any of the monitor wells in need of repair or maintenance (damaged casin& unlocked or #sing cap, missing
YES
NO
identification plate, area overgrown, etc.)? /f the anstirer is -)es-, contact the R al Ofce fo&uidance.
o z
4
Are any monitored constituents equal to or above the established sta . rd w
YES
NO
If the answer to question 4 is "NO", skip to section 8. —3
If the answer to question 4 is "YES" list the affected wells individually w on%.er nd concentration(s)
exceeding standards in the space provided below: n �9: o
Al k/ z r 4# 6• L LL w o�
Cycn
ce
u_
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).
► V4 3%tSl1" 6•Do
nnw 4 3/1r/1S - 6-y3
to - 6.44 -7/1y /lq . 4.Yy
10/101i s.Mb
to - 6.1/0
6
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.
g
The person completing this portion (GW-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.
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.
W25 Zozo
S!rwture of Permittee (or Authorized Agent) Date(
GW-59A 12/8/2003
SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
Please Print Clearly or Type
Facility Name: Mountaire/Mt. Vernon
Permit Name (if different): ADOPjT^ryE cA2NIS 1AIC
Facility Address: 175 Foust Road
Siler City NC 27344 County Chatham
act Person: Doug Goodwin
Location/Site Name: Mountaire Mt. Vernon
L ID NUMBER (from Permit): MW-jXg
Depth: 26.2 ft.
i to Water Level 82546: 11.2 ft. below measuring point
-uring Point is 3 ft. above land surface
ne of water pumped/bailed before sampling: 7.50 gallon
ties for metals were collected unfiltered: ❑ YES 0 NO
Telephone#: 919-548-5024
No. of wells to be sampled: 4
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: (919) 733-3221
PERMIT Number: W00002428 Expiration Date: _ 1L)1? Z a v
Non -Discharge X UIC
NPDES Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
0 Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
Date sample collected: 07/21/20
Well Diameter: 2 in.
Screened Interval: ft. to ft.
Relative M.P. Elevation: ft.
and field acidified: ❑ YES ■❑ NO
Uate sample analyzed: 07/21-28/20
Laboratory Name:
Cameron Testing Services
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N oo615
mg/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620
6.02 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665
mg/L
(Note: Use MPN method for higtdy turbid samples)
Orthophosphate 70507
m /L
9
)issolved Solids:Total 70300 364
mg/L
All -Aluminum ol1o5
mg/L
PH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 00680 <1.00
mg/L
Ca - Calcium oo916
mg/L
Chloride 00940 35.6
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
Phenol 32730
ug/L
Fe - Iron 01045
ug/L
Sulfate 00945
mg/L
Hg - Mercury 71900
uglL
peck Conductance 00095
µMhos
K - Potassium 00937
mg/L
Total Ammonia 00610 <0.100
mg/L
Mg - Magnesium 00927
mg/L
(Ammonia Nitrogen: NH3as N: Ammonia Nitrogen, Total)
Mn - Manganese 01055
U /L
9
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L
For Remediation Systems Only (Attach Lab Reports):
Influent Total VOCs
D0U6LAS W GOOaW tj N4^,c„E02Y lie, .4A_A46E�
Pennittee (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev.2/2010
FIELD ANALYSES:
PH o0400: 6.58 units
Spec. Cond. 00094:
Odor 00085:
Appearance
Pb - Lead 01051
Zn - Zinc 01092
WAS
Temp. 000lo: 22.6 °C DRY at
uMhos time of
Certification No. #654
ug/L
mg/L
Other (Specify Compounds and Concentration Units):
ORGANICS: (by GC, GC/MS, HPLC)
(Specify test and method #. ATTACH LAB REPORT.)
Lab Report Attached? ❑ Yes (1) X No (0)
VOC 78732: method # 8260B
method #
method #
method #
mg/L Effluent Total VOCs:
mg/L VOC Removal%
check
here:
SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
Please Print Clearly or
Facility Name: Mountaire/Mt. Vernon
Permit Name (if different): AA oUPT A% , a F ra a, s /. J(
Facility Address: 175 Foust Road
Siler City NC 27344 County Chatham
act Person: Doug Goodwin Telephone#: 919-548-5024
Location/Site Name: Mountaire Mt. Vernon No. of wells to be sampled: 4
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: (919) 733-3221
PERMIT Number: W00002428 Expiration Date: /o ?/ 02
Non -Discharge X UIC
NPDES Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
9 Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
WELL ID NUMBER (from Permit): MW-2 Date sample collected: 07/21/20
Well Depth: 16 ft. Well Diameter: 4 in.
Depth to Water Level 82546: 4.2 ft. below measuring point Screened Interval: ft. to ft.
Measuring Point is 1 ft. above land surface Relative M.P. Elevation: ft.
Volume of water pumped/bailed before sampling: 12.5 gallons
Samples for metals were collected unfiltered: ❑ YES ❑■ NO and field acidified: ❑ YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 07/21-28/20 Laboratory Name: Cameron Testing Services
PARAMETERS
NOTE- Values should reflect dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NOZ) as N 00615
mg/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 0.267
mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L
Dissolved Solids:Total 70300 173
mg/L
Al - Aluminum 01105
mg/L
PH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC omilo <1.00
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 10.9
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
Phenol 32730
ug/L
Fe - Iron 01045
ug/L
Sulfate 00945
Specific
mg/L
Hg - Mercury 71900
ug/L
Conductance 00095
µMhos
K - Potassium 00937
mg/L
Total Ammonia oo610 < 0.100
mg/L
Mg - Magnesium 00927
mg/L
(Ammonia Nitrogen; NH. as N; Amrnonia Nitrogen, Total)
Mn -Manganese oloss
ug/L
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L
For Remediation Systems Onl (Attach L b R
FIELD ANALYSES:
PH oo400: 6.20 units
Spec. Cond. 00094:
Odor 00085:
Appearance
If WELL
Temp. 000lo: 22.5 °C DRY at
µMhos time of
sampling,
Certification No. #654
Pb - Lead 01051 ug/L
Zn - Zinc 01092 mg/L
Other (Specify Compounds and Concentration Units):
ORGANICS: (by GC, GC/MS, HPLC)
(Specify test and method #. ATTACH LAB REPORT.)
Lab Report Attached? ❑ Yes (1) 0 No (0)
VOC 78732: method # 8260B
method #
method #
method #
y a eports,: Influent Total VOCs: mg/L Effluent Total VOCs:
mg/L VOC Removal%
DoU6L4L W ;r e K)ld NATO►E(li MQA/4 GE? d/L9/20
Perm ittee (or Authorized Agent) Name and Title -Please print or type Signpture of t'ermittee (or Authorized Agent) (ate)
GW-59 Rev.2/2010
SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
Please Print Clearly or
Facility Name: Mountaire/Mt. Vernon
Permit Name (if different): f,(o (1 Nr,4, a F
Facility Address: 175 Foust Road
Siler City NC 27344 County Chatham
act Person: Doug Goodwin Telephone#: 919-548-5024
Location/Site Name: Mountaire Mt. Vernon No. of wells to be sampled: 4
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: (919) 733-3221
PERMIT Number: WQ0002428 Expiration Date:
Non -Discharge X UIC
NPDES Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
X Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
WELL ID NUMBER from Permit : MW-3
( )
Date sample collected:
07/21/20
FIELD ANALYSES:
If WELL
WAS
Well Depth: 15 ft.
Well Diameter:
4 in.
pH oo400: 6.51 units Temp. 000lo: 20.6 °C
DRY at
Depth to Water Level 82546: 7.8 ft. below measuring
point Screened Interval:
ft. to ft.
Spec. Cond. 00094: µMhos
time of
lherefj
Measuring Point is 1 ft. above land surface
Relative M.P. Elevation:
ft.
Odor 000as:
sampling,
Volume of water pumped/bailed before sampling:
8.0
gallons
check
Samples for metals were collected unfiltered: ❑YES
XNO and field acidified: El
YES NJ NO
APPearance
LABORATORY INFORMATION
Date sample analyzed: 07/21-28120 Laboratory Name:
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
Cameron Testing Services Certification No. #654
COD 00335
mg/L
Nitrite (NOZ) as N 00615
mg/L
Pb - Lead o1o51 u /L
g
Coliform: MF Fecal 31616 38
/100mL
Nitrate (NO3) as N ooszo
0.351 mg/L
Zn -Zinc olosz mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 143
mg/L
AI - Aluminum 01105
mg/L
PH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 00680 1.20
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 25.0
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) X No (0)
pecific Conductance 00095
µMhos
K - Potassium 00937
mg/L
VOC 78732: method # 8260B
Total Ammonia oo610 < 0.100
mg/L
Mg - Magnesium 00927
mg/L
method #
(Ammonia Nitrogen; NHS as N; Ammonia Nitrogen, Total)
Mn - Manganese olos5
ug/L
method #
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L
method #
For Remediation Systems Only (Attach Lab Reports):
Influent Total VOCs:
mg/L Effluent Total VOCs: mg/L VOC Removal%
b0U4,L4S i�/ GOOD"' ✓ N47cN er �Ati�6E�2 fZ2q/2�Ld
Permdtee (or Authorized Agent) Name and Title -Please pent or type Signore or rermtttee (or Authorized Agent) Date)
GW-59 Rev.2/2010 C'
SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
r' 1 L-I t r mrummA 1 IUN rtease rnnt aearry or Type
Facility Name: Mountaire/Mt. Vernon
Permit Name (if different): oyF rArQF F q'eA_S /A./
Facility Address: 175 Foust Road
Siler City NC 27344 County Chatham
tact Person: Doug Goodwin Telephone#: 919-548-5024
1 Location/Site Name: Mountaire Mt. Vernon No. of wells to be sampled: 4
WILING INFORMATION
_L ID NUMBER (from Permit): MW-4 Date sample collected: 07/21/20
Depth: 17 ft. Well Diameter: 4 in.
:h to Water Level 82546: 6.8 ft. below measuring point Screened Interval: ft.
suring Point is 1 ft. above land surface Relative M.P. Elevation:
me of water pumped/bailed before sampling: 16 gallons
ples for metals were collected unfiltered: ❑ YES 0 NO and field acidified: ❑ YES
FM —
(DEPARTMENT OF ENVIRONMENT 3 NATURAL RESOURCES
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: (919) 733-3221
PERMIT Number: W00002428 Expiration Date: /o�3r� LoZd
Non -Discharge X UIC
NPDES 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:
to _ ft.
ft.
NO
FIELD ANALYSES:
pH 00000: 6.40 units
Spec. Cond. 00094:
Odor 00085:
Appearance
Date sample analyzed: 07/21-28/20 Laboratory Name: Cameron Testing Services
PARAMETERS
NOTE. Values should reflect dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NOZ) as N 00615
mg/L
Coliform: MF Fecal 31616 1
/100mL
Nitrate (NO3) as N 00620
4.32 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
m /L
9
lissolved Solids:Total 70300 254
mg/L
All -Aluminum 01105
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC oo68o <1.00
mg/L
Ca - Calcium 00916
mg/L
Chloride oo94o 11.9
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
Phenol 32730
ug/L
Fe - Iron 01045
ug/L
Sulfate 00945
mg/L
Hg - Mercury 71900
ug/L
pecific Conductance 00095
µMhos
K - Potassium 00937
mg/L
Total Ammonia oo610 < 0.100
mg/L
Mg - Magnesium 00927
mg/L
(Ammonia Nitrogen; NH3 as N; Ammonia Nitrogen, Total)
Mn -Manganese oloss
ug/L
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs:
If WELL
Temp. 000lo: 22.3 °C DRY at
µMhos I time of
Certification No. #654
Pb - Lead 01051 ug/L
Zn -Zinc 01092 mg/L
Other (Specify Compounds and Concentration Units):
ORGANICS: (by GC, GC/MS, HPLC)
(Specify test and method #. ATTACH LAB REPORT.)
Lab Report Attached? ❑ Yes (1) 0 No (0)
VOC 78732: method # 8260B
method #
method #
method #
mg/L Effluent Total VOCs:
mg/L VOC Removal%
DOU6CA5 W. Coo9v,t.j lt47att'2y /H4N4(�f C/�/y �/�7�—' �jZ9/Zp
Permittee (or Authorized Agent) Name and Title - Please print or type SignaWre or rermtttee (or authorized Agent) (Date)
GW-59 Rev.2/2010 V
here:0