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Home My WebLink AboutWQ0003067_Monitoring - 11-2020_20201123rn�v l SUSMfT FORM ON YELLOW PAP-R ONLY GROUNDWATER QUALITY MONITORING: COMPLIANCE REPORT FORM Name: Name ('if i Address: . DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES DIVISION OF WATER RESOURCES - INFORMATION PROCESSING UNIT 1617 MAIL SERVICE CENTER, RAL.EIGH, NC Z7699-1617 Phone= 91 Type PERMIT Number) _ „^ Expiration Date: Non -Discharge L(/ �f UIC NPOES Other County l�� g"Z&Lew(- Oct Person . /✓ & Telephonefg >✓!—�� ` Lopiion/Site Name No. of wells to be sampled: YELL ID NUMBER (Vmirmi$ L LA--,'Vell Depth: 7 /� )epth to Water Level 82546:' Vl ' ft below measuring pant teasuring Point is ft above land surface olume of water pumpedlbailed before sampling: am ies for metals were collected unfiltered: YES [ ABORATORY INFORMATION / / /� late sample analyzed: 10 (N ARAMETERS NOTE: Values s ould reflect dissolved and COD oo33s mg/L Conform: MF Fecal 3i61s /100mL Coliform: MF Total 31so4 /100mL (Note_ use MPN meth d for N" babid sxnpks) DissoiVed Solids. -Total 7o3oo .59 0 mg/L pH (Lab) oo= units TOC oww 0.100 mg/L Chloride oosao mg/L Arsenic mom ug/L Grease and Oils oo552 mg/L Phenol3273o _ ug/L Sulfate oo945 mg/L Specific Conductance 0009s µMhos Total Ammonia o0610 mg/L (Ammoria'Nbogem NH,asN. Ammmia Nitrogen, ToU) . TKN as N oo625 mg/L For Remediation.Systems Only (Attach Lab Reports): gallons NO Date sample collected: / Well Diameter_'' Screened Interval: Relative M.P. Elevation: PE OF PERMITTED OPERATION BEING MONITORED ❑ Lagoon ❑ Remediation: infiltration Gallery _Spray Feld ❑ Remediatlon: ❑ - Rotary Distributor ❑ Land Application of Sludge ❑ Water Source Heatpump ❑ Other_ G CAI-, FIELD A IS: n040 - pH oo: _ • units Temp. 00010: `C i ft to _ft Spec. Cond. 00094: Imp ft. Odor 000a5: Appearance ape?s ❑ YES ❑ NO _ Laboratory Name: :olloWal concentrations_ Nitrite (NO2) as N oo615 mg/L 00 Nitrate (NO,) as N oo620 mg/L Phosphorus: Total as P oo665 Q mg/L Orthophosphate 70507 mg/L AI -Aluminum mios mg/L Ba - Barium oioo7 ug2 Ca - Calcium W916 mg& Cd - Cadmium oio27 ug1L Chromium: Total oloaa_ _ r -rotes Cu - Copper oto42. m91L Fe - Iron oloas_ y '" t~ qg/L Hg - Mercury 71goo - ug/L K - Potassium oo937 vi 1f! Mg - Magnesium oogTFpel lON PROLE, * Mn - Manganesemoss ug/L Ni - Nickel o1067 ug/L Influent Total VO(;s: rng/L Certification No. to Pb - Lead most ug/L Zn - Zinc =92 mg/L AS DRY time of here: ❑- MIA mac. ORGANICS: (by GC, GC/MS, HPLC) ZoZU (Specify test and method #. ATTACH LAB REPORT) U Lab Report Attached? ❑ Yes (1) ❑ No (0) VOC 78M , method # method # method # method # Cfrfueni imai vvw rrnyL MIR GW-59 Rev.812013 SUBMIT FORM ON YELLOW PAPER ONLY • DEPARTMENT OF ENVIRONMENT 8 NATURAL RESOURCES GROUNDWATER QUALITY MONITORING: DMSIONOFWATER RESOURCES - INFORMATION PROCESSING UNrr COMPLIANCE REPORT FORM '1617 MAIL SERVICE C RALEIGH, NC 27 1617 Phone= 919-80 FACILfYY INFORMATION pie asePrnralryorType PERMIT Number_ iration Date: Facility Name: C �A/ %. SI odw ad Non -Discharge UIC NPDES Other Permit Name Cifdifferent): [ Facility Address: TYPE OF PERMfrTED OPERATION BEING MONITORED ❑ Lagoon ❑ Remediation: Infittration Gallery County Spray Field ❑ Remediation: ContactPerson: 1L�.� • f'p� 11� C.�V�� Telephone ja _ 9�0 lw ❑ Rotary Distributor❑LandApp6cation of Sludge Well Location/Site Name: 4(%�/1J r� No. of wells to be sampled: ❑ Water Source Heat Pump 0 Other_ SAMPLING INFORMATION WELL ID NUMBER (from Perm-t): Date sample collected: FIELD ANALYSES: If WELL WAS DRY at time of /,// if Well Depth: 7 Well Diameter in pH ounits Temp. 000la C oao0: �Pr� Depth to Water Level 82s46below measuring point Screened Interval: ft.to ft. Spec- 000 Cond. ga:hOS le check Measuring Point is ft. above land surface Measuring Relative M.P. Elevation: fL Odor 000as: here - of water pumped/bailed before sampling: gallons Appearanceko Samples for metals were collected unfilte d: YES ❑ NO and field acidified: ❑ YES 0 NO LABORATORY i4T10N //IQ,,n !(� j,��}- ` ` 1O analyzed: Date sample analyzed: Laboratory Name: �-J � f )U r �, cc" "« •• Certification No. PARAMETERS NOTE Values sho d refle4,.�Ivedand colloidal concentrations - COD oo335 mg/L Nitrite (NOz) as N owls Pb - ea toll ug/L Coliform: MF Fecal 31616 /100mL as N ow2o mg/L Zn nc 1o92 mg/L Coliform:MFTotal 31soa /100ml- Phosphonls: otal (� use MPN me" for UNW samples) Orttw phate Compounds and Concentration Units). e Dissolved Solids:Total 7o3oo mg/L Al pH (Lab) omw units - Barium moo? ug/L TOC ow8o mg/L Ca - Calcium mg/L Chloride oo94o mg/L Cd - Cadmium- 1027 Arsenic o1ow ug/L Ch ug/L Grease and Oils ooss2 mg/L Cu - Copper moat mg/L ORGANICS: (by GC, GC/MS, HPLC) Phenol 3z73o ug/L Fe - Iron moan ug/L (Specify test and method #. ATTACH LAB REPORT_) Sutfate oogas mg/L Hg - Mercury 71900 u911- Lab Report Attached? ❑ Yes (1) ❑ No (0) Specific Conductance 00095 IlMhos K - Potassium o0937 mg/L VOC 78M . method# Total Ammonia o0610 mg/L Mg - Magnesium oo927 mg/L , method # (AmmonG Naogerc w+,as RAPanogua Nmo-gm Tom Mn - Manganese oloss ug/L , method # TKN as N om2s mg1L Ni - Nickel o1os7 ug/L method # , AGW-59 Rev.820':3 W.t,) 4 SUBMIT FORM ON YELLOW PAPER ONLY GROUNDWATER QUALITY MONITORING: , • DEPARTMENT OF.ENVIRONMENT BNATURALRESOURCES DrASIONOFWATERRESOURCES-INFORMATO,NPF .ESSiNGUNIT COMPLIANCE REPORT FORM s»ot MniLSER�rtcecENrBi RALEI�r+ Nczrssslsn Pn.9� FACILITY INFOR. a 'nr r- PERMFC Number, iratio Date: Name: Q Non-Discharge UIC Permit Name (if differentCAA— _ NPDES Other FaciGtyAddress: M�h G " E OF PERMlfTED OPERATI= BEING MONITORED County Q agoon ❑ Remediat on: Infiltration Gallery ;`"' Spray Field 0 Remed-cation: ontact Person:; t Tel hone#-+G�'i�� eP ❑ Rota Disfibutor ry El Application of Sludge Ne11 Location/Site Name: :. No. of wells to t>e sampled- "> ❑ Water Source H mp C1 Other_ SAMPLING MFORMATiON NELL":!D NUMBER(f 4i � 1f WELL ; WAS rrrrit)_ `t 1' Date sample:collected: FIELD Y DRY: at time of Nell+Depth: ! ..fL t Well Diameter. - in. pH ooa 10. / nits Temp_ oo0'Io: °C . )epth to Water Level,8254�' L, itmeasuring point Screened interval: fL to fL Spec- per Conti. 0009a: sampling. check Measuring Point is k above land -surface Relative M_P_ Elevation: _.. _ ft. Odor-=E5: here. /olume ofwaterpumped/bailed tiefore sampling gallons -lied: Appearance D- tamples. for.metais were.coiiected:!!gTte r4: 21 YES [} NO - and field acid ©:YES "No , COD oo33s mg/L Colifornr_ MF FecaFatsis 7 /100mL Coliform: MFTotal 3,soa.. /100ml- (Noo uxM "'rettiw,;o; igli *.Wrbid—q)Ie3) 13 Dissolved Solids -Total 7030o lY / mg/L pH (Lab).o=3 , units TOC ooseo mg/L Chloride.00sao mg2 Arsenic,oloo2 ug/L Grease and Oils-oo5s2 mg/L Phenol 3z73o u9/L Sulfate oosas. —mg/L Specific Conduct6nce;00095 Ictvlhos Totaf-Amrnonia o 4o mg/L (ArtxnoruaN�ogerpNH,astkArrirtioniaPfmogei[`7otdl) - TKN as N oos2s mg/L 7777-77777777 :olloidal Concentrations. Nitrite•(NO. as N omis mg/L Nitrate :(NO3) as N 0062D ♦ mg/L Phosphorus: Total -as P oosss ao tol mg/L Orthophosphate low mg/L At -Aluminum mos mg/L Ba -Barium oiw ug/L Ca - Calcium oom mg& Cd - Cadmium otort ug/L Chromium: Totalmo34 ug/L Cu - COpper 01042 mg/L Fe - Iron otoas ug/L Hg - Mercury 71900 ug/L K -Potassium oo937 q►g1L Mg - Magnesium oosv mg/L Mn- Manganese (toss ug/L Ni - Nickel most ug/L Pb - Lead wosi u9/1- Zn - Zinc 01w2 mg/L GW-59 Rev_ 8/2013