WQ0011360_Monitoring - 07-2020_20200908

GW-59A COMPLIANCE REPORT FORM Permit #&0 O 1
(Submit one each monitoring period with GW-59 forms.)
13 co
^f, nA
1
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
11NO
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
identification plate, area overgrown, etc.)? If the answer is "Yes", contact the Regional ice for guidance.
ZSNO
4
Are any monitored constituents equal to or above the established standards?
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)
exceedi stand rds in the space provided below: (`RW
100
�eCA
Q-\:��m �1
I Md <ow `s s- caw ��_`7-
,
5
For the constituents identifiedih question 4 above, h ve stands ds been excLmeded preiriously 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
standa s, con entration(s) reported, and sample collect' date for each occurrence (for the last two years).
-�
S; C ► -f1Zt_m 3
3-I+-
3_ l6_ ao S s � 1 _� _ 1� s a
I
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
O
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 surroynding this facili . Failure to do so may subject the permittee to a Notice of Violation
Ernes, and/or penalties.
T3 G? C
T `
M 9 20
rn o o
g
The person complet0#71his 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.
I hereby acknowledge that the above information was evaluated and the information submitted in this
report (Compliance Report GW B9A) is e a complete to the best of my knowledge.
Signature of Pe ittee (or Authorized Agent) Date
G'V1-59A 12/S!20103

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SUBMIT FORM ON YELLOW PAPER ONLY
M T 0M !i VIKO INIENT4, QUALITY • DIV, OF WATER RESOURCES
GROUNDWATER QUALITY MONITORING:
UNIT
COMPLIANCE REPORT FORM
'1� well L$111tMWICIIIICI NTIR, RALEIGH, NC 27099,1617
Please Print Clearly or Type
FACILITY INFORMATION
1 lib 1 1 �2 �*p
PERMIT Number: Jb (ration Date: Oct
\\
Facility Name: �q��Q�` ��i��'C16�
Non -Discharge UIC_
Permit Name (if different):
NPDES Other
Facilit Address: t?CC 0.
TYPE OF PERMITTED OPERATION BEING MONITORED
C—
County = C10 �r�
�agoon ❑ Remediation: Infiltration Gallery
spray Field El Remediation:
``"`"'`''
Contact Person: h� e L ec
z U t
Telephone#1���13 J 1�'(
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: E t
No. of wells to be sampled: ��
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION j�
WELL ID NUMBER (from Permit): �� ' `
Date sample collected:
FIELD ANALYSES:
If WELL
WAS
Well Depth: k'Lft.
Well Diameter. c�in.
pH o0a0o^SAS units Temp. 000lo: �, °C
DRY at
Depth to Water Level 82546: ft. below measuring point
Screened Interval: ft. to _ft.
Spec. Cond. 000sa: µMhos
time of
sampling,
Measuring Point is Qj 5" ft, above land surface
Relative M.P. Elevation: ft.
Odor 000e5:
check
Volume of water pumped/balled before sampling:
gallons
Appearance
here:❑
Samples for metals were collected unfiltered: 0 YES ❑
NO and field acidified: 0 YES ❑ NO
LABORATORY INFORMATION
`'
Date sample analyzed:—<-9JJ - Ia�O
1- ���_ `) DLaboratory Name: �\y\`(aC�Q,�(\
Certification No. 1 1
PARAMETERS NOTE: Vaassh(ould reflect dissolved and
colloidal concentrations.
COD 00335 mg/L
Nitrite (NO2) as N 00e15 mg/L Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616 �� ` /100mL
Nitrate (NO3) as N 00620 a o mg/L Zn - Zinc 01092 mg/L
Coliform: IMF 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 mg/L
Al -Aluminum 01105 mg/L
pH (Lab) 00403 units
Ba - Barium 01007 ug/L
TOC ooseo mg/L
Ca - Calcium oogle mg/L
Chloride 00940 C _� 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 000e5 µMhos
K - Potassium 00937 mg/L VOC 7e73 method #
Total Ammonia ooseo lt::L O i 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 mg/L
NI - Nickel 010e7 ug/L method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%

SUBMIT FORM ON YELLOW PAPER ONLY
CfIMMARTMMNT OF ENVIRONMENTAL QUALITY • DIVA OF WATER RISOURCEIR
GROUNDWATER QUALITY MONITORING:
INFORMATION PROORSSINO UNIT
COMPLIANCE REPORT FORM
104YMAIL111II1111,110 09 0lINTRR;RALMuoH,NC.27e0e•1617
Pri
FACILITY INFORMATION nt int Clearly or Type
PERMIT Number: W0QJ Expiration Date: 0 '_3 (' �
\
U
Facility Name: Q�j�C�� �n�����
Non -Discharge UIC
Permit Name (if different):
NPDES Other
Facility Address: �,. X, ca
TYPE OF PERMITTED OPERATION BEING MONITORED
County \0. C1
16�0on ❑Remediation: Infiltration Gallery
,:AW") ,,t,,
(�-'3prey Field ❑Remediation:
Contact Person: ( \ �D
q
Telephone#: g IQ � l3- 3� 3
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: VCS ` No. of wells to be sampled: S
❑ Water Source Heat Pump ❑ Other:
from Permit)
SAMPLING INFORMATION
WELL ID NUMBER P rmit): �W —
Date sample collected: - -
FIELD ANALYSES:
If WELL
WAS
(from
Vft.
°C
DRY at
Well Depth:
Well Diameter: in.
pH 00400:-S") units Temp. 000lo:asr
Depth to Water Level 82546: o f ft. below measuring point
Screened Interval: ft. to _ft.
Spec. Cond. 00094: µMhos
time of
sampling,
Measuring Point is 6_ft. above land surface
Relative M.P. Elevation: ft.
Odor 00085: tJ"c� 2�
check
Volume of water pumped/balled before sampling:
gallons
Appearance
here:❑
Samples for metals were collected unfiltered: ® YES ❑
NO and field acidified: ❑■ YES ❑ NO
LABORATORY INFORMATION !1
Date sample analyzed:- (,� �'),-� ��- 6 " I S� I' / a O Laboratory Name: �U 1 (� C��Y�
Certification No. C
PARAMETERS NOTE: Vallues should reflect dissolved and
colloidal concentrations.
COD 00335 mg/L
Nitrite (NO2) as N 00615 mg/L Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616 �U Co \ /100mL
Nitrate (NO3) as N 00620 �, 1 mg/L Zn -Zinc 01092 mg/L
Coliform: MF Total 31504 /100mL Phosphorus: Total as P 00665 Q., 3� mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units):
Dissolved Solids:Total 70300J mg/L
Al - Aluminum o1105 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 oo6lo 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 #
For Remedlation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
Signature of PerrvAtjefM"7Mthorized Agent)
GW-59 Rev.06-07-2018

SUBMIT FORM ON YELLOW PAPER ONLY
tthA�l II M rHi/l q MbN1Al. QUALITY .;olv, OF WATNR RKSOURONS
GROUNDWATER QUALITY MONITORING:NNCNIIINit►tIDH`0ItOCtllAilNdUNIT
COMPLIANCE REPORT FORM
�tMkiLsoiltviclt CUNyoll RAL11111110H, HC 27000.1617
FACILITY INFORMATION t Please Print Clearly or Type
\ ` L
•- �'
PERMIT Number Q0I13 �E�iration Date: Q - Q
Facility Name: �Ct� `(�e�\i�(�\"��\OY
Non -Discharge UIC
Permit Name (if different):
NPDES Other
Facilit ddrass: /0 c IBC-
`j2)"
TYPE OF PERMITTED OPERATION BEING MONITORED
G
County G
�5agclon ❑ Remediation: Infiltration Gallery
Contact Person:A��C�\011'( f�"11
r� l',?
(� Telephone#: izi­ 49 3 3
Spray Field El Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: a t
p , No. of wells to be sampled:
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION /�
WELL ID NUMBER Pe It): (�� ' Date 6 " ��
FIELD
If WELL
WAS
(from
sample collected:
ANALYSES:
Well Depth: I7ft.
Well Diameter: in.
pH 00400:1 units Temp. 000lo: SeC
DRY at
Depth to Water Level 82546: -7!S7' t ft. below measuring point Screened Interval: ft. to
Spec. Cond. 000sa: µMhos
time ofsam
_ft.
Measuring Point is t S ft. above land surface Relative M.P. Elevation: ft.
Volume "�
Odor 00085:
sampling,
g,
check
of water pumped/bailed before sampling:
gallons
Appearance
here:
Samples for metals were collected unfiltered: K YES
❑ NO and field acidified: ❑■ YES ❑ NO
LABORATORY INFORMATION n \\
Date sample analyzed: -9 ���� S ����"�c-kULaboratory Name: E\y\ CO Q\\P" Certification No.
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
_
COD 00335 mg/L
Nitrite (NO2) as N 00615 mg/L Pb - Lead o1o51 ug/L
Coliform: MF Fecal 31516 L �� /100mL
Nitrate (NO3) as N ooseo t '' a mg/L Zn - Zinc 01092 mg/L
Coliform: IMF 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):
Dissolved Solids:Total 70300 4' mg/L
Al -Aluminum 01105 mg/L
pH (Lab) 00403 units
Ba - Barium 01007 ug/L
TOC ooseo 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 ooseo o mg/L
Mg - Magnesium 00927 mg/L
method #
(Ammonia Nitrogen; NH, as N; Ammonia Nitrogen, Total)
Mn -Manganese 01055 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%

SUBMIT FORM ON YELLOW PAPER ONLY
'IPARTM# OP I�NVIIlONMlINTAll. QUALITY • DIV. OF WATER RESOURCES
GROUNDWATER QUALITY MONITORING:
11VNdItMA'MONM'R00ISSINOUNIT
COMPLIANCE REPORT FORM
Nlii"t MAID llilVrctdl CINTRY4, RALKION, NO 27000,1617
FACILITY INFORMATIONT Please Print orType
PERMIT Number: (� 3ro iration Date: —` f 0
\ j
Facility Name: ,q( `\Qe \ �Gn� i
_Clearly
�1\
Non -Discharge UIC
Permit Name (if different):
NPDES Other
Facility Address:
TYPE OF PERMITTED OPERATION BEING MONITORED
he-e
County
,,.��, "C�
L'�agoon ❑Remediation: Infiltration Gallery
'u'
pray Field ❑ Remediation:
Contact Person: C \ AQ
Telephone#: (W ���j— J�
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: \ 9, 0 C
No. of wells to be sampled: J
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION '� \\ ZlJ
WELL ID NUMBER (from Permit): \ ��J�1 Date sample collected: 1 — � ' .�
FIELD ANALYSES:
If WELL
WAS
Well Depth: \I—ft.
Well Diameter:—cA,,In.
pH 00400:i_121 units Temp. 000lo:� t c °C
DRY at
Depth to Water Level e2546:ft. below measuring point Screened Interval: ft. to
ft. Spec. Cond. 000sa: µMhos
time of
sampling,
t-1
Measuring Point is of l ft. above land surface
Relative M.P. Elevation: ft.
Odor 000s5:
check
Volume of water pumped/bailed before sampling: — gallons
Appearance Mo
here:
❑
Samples for metals were collected unfiltered: © YES
El NO and field acidified: NYES El NO
LABORATORY INFORMATION
C�j
�1
Date sample analyzed:
I��(9aboratory Name: \V\\ CY��.(1(\
Certification No.
PARAMETERS NOTE: Valu shou d reflect dissolved
and colloidal concentrations.
COD 00335 mg/L
Nitrite (NO2) as N oo615 mg/L Pb - Lead o1o51 ug/L
Coliform: MF Fecal 31616 G CA /100mL
Nitrate (NO3) as N 00620 mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504 /100mL
Phosphorus: Total as P 00665 mglL
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 Ss mg/L
Al -Aluminum 01105 mg/L
pH (Lab) 00403 units
Ba - Barium 01007 ug/L
TOC 006e0 mg/L
Ca - Calcium oosls 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 7e73 method #
Total Ammonia 00610 -�__ mg/L
Mg - Magnesium 00927 mg/L method #
(Ammonia Nitrogen; NH3asN; Ammonia Nitrogen, Total)
Mn - Manganese o1o55 ug/L method #
TKN as N 00625 mg/L
Ni - Nickel 01067 ug/L method #
For Remedlation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
14

SUBMIT FORM ON YELLOW PAPER ONLY
AN NNMNT QM ENVIAC MENTAL QUALITY, DIV, OF WATER RESOURCRIS
GROUNDWATER QUALITY MONITORING:
INMATIONUNIT
COMPLIANCE REPORT FORM
Oily MAIL q!RVIC I oalNTtt1Y, RALRIOH, NO 27000.1617
Please Print Clearly or Type
FACILITY INFORMATION
PERMIT Number Q71-36Eac0piration Date: 7�
Facility Name: �G( (��' �i(��T
G�C'i�6`(�
Non -Discharge UU UIC
Permit Name (if different):
C-
NPDES Other
TYPE OF PERMITTED OPERATION BEING MONITORED
Facility Adcl(ess: C.
County
[Magoon ❑Remediation: Infiltration Gallery
AdI,' ) `-""
9-Spray Field ❑ Remediation:
Contact Person: �Gk0A ee i(I
C q
Telephone#: 1 0 '"a�3� 3 3
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name:
No. of wells to be sampled:_
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION
M
WELL ID NUMBER (from Permit): b ` �W Date sample collected: —
FIELD ANALYSES:
If WELL
WAS
Well Depth: aft.
Well Diameter: in.
pH ooaoo;� units Temp. 000io' *3 °C
DRY at
Depth to Water Level 82548: 3 ; $ ft. below measuring point
Screened Interval: ft. to
_ft.
Spec. Cond. 000sa: µMhos
time of
sampling,
Measuring Point is a l'S ft. above land surface �-
Relative M.P. Elevation: ft.
Odor 00085: LAr
check
Volume of water pumped/bailed before sampling: _gallons
Appearance o (� n
here:❑
Samples for metals were collected unfiltered: ® YES ❑ NO and field acidified: ■❑ YES ❑ NO
LABORATORY INFORMATION
�
4,C[Laboratory
Certification No.
Date sample analyzed. -
Name:
PARAMETERS NOTE: Valdes'shoijid refl ct dissolved and
colloidal concentrations.
COD 00335 mg/L
Nitrite (NO2) as N 00615
mg/L Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616 G CO /100ml-
Nitrate (NO3) as N 00620 3 b
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504 /100ml- Phosphorus:
Total as P 00885 <�)
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 0 mg/L
Al -Aluminum oilm
mg/L
pH (Lab) 00403 units
Ba - Barium 01007
ug/L
TOC ooseo mg/L
Ca - Calcium oogis
mg/L
Chloride oogao 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)
pecific Conductance 00095 µMhos
K - Potassium 00937
mg/L VOC 7873 method #
Total Ammonia ooseo ef" C7 I mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen; NH, as N; Ammonia Nitrogen, Total)
Mn - Manganese 01055
ug/L , method #
TKN as N 00625 mg/L
Ni - Nickel 01067
ug/L method #
For Remedlatlon Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%