Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
NC00031836_Complete File - Historical_20171231
INN"T, OF 4Vg g A��d .Te 1 i Y� KA T'rt T .' t Sg 4 1996 Li tftt tnt ill . rt (faralina 28687 June 12, 1996 Barbara. Christian Regional Groundwater Supervisor DEM 919 North Main Street Mooresville, C, 28115 Well Abandonment Records Fourth Creek P - Digestor Wells fredell County Dear Ms, Christian: Enclosed are the Well Abandonment Records,for the three Digestor Wells located t the Fourth Creek VWVrP. Yadkin Well Co., Inc. completed the abandonment on May 23,1996. If further information is required, please call at I Sincerely, r Carol Rogers, Pr atrn nt Coordinator Water/Wastewater Department of Environment, Health, & NaturalResOurcec�... Division n i n a. Management Groundwater Section 1. WELL LOCATION: (Show a sketch f the location on back of form.) Nearest e County ar _ a , NY- S 3v a1on Lit. Qua No. 4. R.hilltop, S. TJSZ OF WELL4 : • M 6. TOTAL DEPTH: 09 1 DIAMETER: it f DIAGRAM: Draw a detailed' :b of the well snowing total i depth and diameter f screens .ding in the well, gravel °gal, intervals casing w ations, and depths and types of materials used. 7. CASING feet + l meter SLN mvmrx L: Neat cement Send ce ent bags of cement � bags of cement coals f water yds. of sand gals of water t%er Type material Amount 9. IN METHOD EMPLACEMENT OF MATERIAL d 7�- o3 Department of Environment, Health, & Natural Resources Division of Environmental Management Groundwater Section n. P.O. Box 28687 - Raleigh, N.C. 27611 WELL ABANDO _RECORD CONTRACTOR /1-J e-11 z REG. NO. C 1 WELL LOCATION: (Show a sketch of the location on back of form.) Nearest Town: County —7R-oa , omknl ? SU1vislon, Lot.--N—o-- —Q—ua- yang — Ito. 2. : WELL DIAGRAM: Draw a detailed 3. ADDRESS: sketch of the well showing total 4. TOPOGRAPHY: draw, '! 50p, hilltop, valley, flat depth, depth and diameter of screens remaining in the well, gravel 5. USE OF WELL: �Iov DATE: interval, intervals of casing perforations, and depths and types of 6. TOTAL DEPTH: 3ci' DIAMETER. fill materials used. 7. CASING REMOVED: feet �j�lamete�r 8. SEALING MATERIAL: feat cement Sand cement nagsof cement bags of cement gals. of water 6 yds. of sand gals. of water Other Type material Amount 9. �XPLAIN METHOD EMPLACEMENT OF MATERIAL I do hereby certify that this well abandonment record is true and exact. Signature of Contractor or Agent Date J�- WELL LOCATION: Draw a location sketch on the reverse of this sheet, showing the direction and distance of the well to at least two (2) nearby reference points such as roads, intersections and streams. Identify roads with State Highway road identification numbers. Submit original to the Division of Environmental Management, one copy to the Driller, and one copy to the owner. Gib-30 Department of Environment,, Health, & Natural Resoes Division of Environmental Management Groundwater Section P.O. Box 28687 - Raleigh, N.c. 27611 WELL N CONTRACTOR ` _ '. NO. 1. WELL LOCATION: (Show a sketch of the location on hack,of form.) Nearest Town: t f C I tto County- � f` t- 0 Roa o Jty, S' av�sa.on Lot... Roo - rang No. OWNER:0� 3. ADDRESS: 4. TOPOGRAPHY: draw, slope, hillto vane flat 6. TOTAL DEPTH: qq DIAMETER: 7. CASING :; eet diameter . SEALINGMATERIAL: Neat _cement % Sand cement hacks of cement - hags of cement gals. of water 10 yds. of sand gals of water then Type material Amount • . EXPLAIN THOD EMPtACSMB9T O; MATERIAL r > "''led 6JI14 do hereby certify that this well abandonment record is true enact. Signature of Contractor of Agent ..Date WELL LOCATION: Draw a location sketch on e reverse of this sheet, showing the direction and distance of the well to at least two ( nearby reference points such as, roads, intersections and streams. Identify roads with State Highway road identification numbers. Submit original to the Division of Environmental Management, one copy to the Driller, and one copy to the owner. W-3 of r?N t' _r , MAY 0 6 " 9. HT,..., May 1, 1996 Barbara S, Christian 919 North Main Street Mooresville; NC 28115 e; l i e for Wells Abandonment Fourth Creek WVVTP, City of Statesville Dear Ms. Christian: This is to update you on our progress toward abandonment of the three dietor' monitoring wells located atthe Fourth Creek WWTP, Bids for the job were taken; a contractor was;elected and notified in March. However, due to weather conditions, the contractor has been unable to access the areas to abandon the wells. As we were in the process of abandoning these ll , no monitoring was done in March when the landfill wells were sampled. e believe the contractor should be able to perform the job this week. We will e sending the Well Abandonment records when they are completed. If you have any questions, please call me at . Sincerely, r Carol Rogers, retreatment Coordinator Water/Wastewater Treatment +1r DIVISION OF ENVIRONMENTAL MANAGEMENT February 27, City of Statesville Fourth Creek Waste Water Treatment Plant Post Office Pox 1111 Statesville North Carolina 28687 Attention: Ms. Carol. Rogers Well a.ndo ment Requirements for Drilled Wells Fourth Creek WWTP - D geator Wells lredll County, N.C. Dear Ms. lagers s a follow-up to our telephone conversation on February 23, 1 am sending you information concerning well abandonment. it appears that the digestor monitor wells are not required by your permits and as such can be abandoned. 15A N .0114(b)(1) requires that any person abandoning any well shall submit a record of the abandonment to this Department on forms provided by the Department within a period of thirty 0) days after completion of the abandonment. 15A NCAC 2C .0113(a)(2) requires that drilled wells be abandoned in accordance with the followingprocedures: (1) The entire depth of the well shall be sounded before it is sealed to insure freedom from obstructions that may interfere with sealing operation. ( ) The well shall be thoroughly disinfected prior to sealing. () The well may be filled with cement, sand or gravel opposite the ones of consolidated rock. The tap of the sand or gravel fall: shall be at least five feet below the top of the consolidated rock. The remainder of the well shall be filled with cement grout only. () The outer well casing must be grouted or removed prior to abandonment. 919 North Main Street, Mooresville, North Carolina 28115 An Equal Opportunity/Affirmotive Action Employer FAX 704-663- ll RogersM Ms. Carol rFebruar Fa Tw I have enclosed., a well abandonment record form and chlorination table for your use in the abandonment of the well. Should you have further questions tin re4arding well abandonment, please do not hesitate to call me at (704) 663-1699, 8xt. 202. Sincerely, Barbara S. Christian, F.C. Regional Groundwater Supervisor BSC/cf Enclosures Chlorine Table Well Abandonment Form 1 A NCA .0113 Environmental..Management Division n Groundwater Section 0. Box 27687 Raleigh, NC 27611-7687 Subject: Fourth Creek WVTP Digester Permit #NCO031836 Lear Sirs: y: Please find enclosed the results of our three digester wells,- sampled March 18,1994 .t'our Fourth Creed; WNVTP, NCO031.836. All parameters were contracted out tea -Hydro, analytical Lab in Clemmons.; If 1 can be of`assistance, please call at 878-3 -38. Sincerely, L. F. "Joe" Hudson, Jr., Director Water/ Wastewater Treatment L'HsB Enclosures w 3 E Y 4 i I a C € E (t Facility Name Address Well Location _.. Type or Use a ball-point pef and press Fourth Creek MCP Digester 693 Bel1 Farm Rd. (PO Sox 1111) Statesvzlt.e, NC 28687-1111 County. U raden. Well Identification Number Well Depth 4 Well Diameter __ 2_ Sam Ie (Screened) Interval Ft. To Depth to Water Level 35 • _ ft. below measuring point (before sampling) Measuring point is .,,, �,�5 ft. above land surface Gallons of water pumped/bailed before sampling _17$ Y. Field Analysis: pH Date Sample Collected w,,,. Laboratory Name Specific Conductance uMhos Temp. 1 /95 . Date Lab Sample Analyzed o Analytical Ft. Ft. oc SAMPLES FOR METALS WERE COLLECTED UNFILTERED AND FIELD ACIDIFIED PER TYP (RE Odor lT NUMBER: (REQUIRED) Non -Discharge _. NPDES NCO() 16 OF D1SPQSAL OPERATION BEING MONITORED UIRED} Certification No. Lagoon Spray Field Land .Application of ud Other Rotary Distributor Appearance X YES NO Septic Tank/Drain Field Subsurface Low-Prossure Piping (LPP) Aerobic Digester COD _ ,_. _ mg/ Coliform: MF Feca _. _ . ._ / 00m Coliform: MF Total w /1 O0m (Note: Use MPN method for highly turbid samples) Dissolved Solids: Total 101.3 mg/ pH (when analyzed) 5.81 units TOG __.. . _. .. c'p 5o mg/ Chloride - 0.10 mg/ Arsenic mg/ Grease and Oils mg/ Hardness: Total mg/ Phenol w mg/ Sulfate „. _ mg/ Specific Conductance. ___.w_... uMhos Total Ammonia mgl1 TKN as Nmg/I Nitrite (NO2) as N mgll Nitrate (NO3) as N * 1.09 mg/I Phosphorus: Total as P mg/I Al - Aluminum mg/I Ba - Barium Ca - Calcium 0 026 mg/1 mglt Cd - Cadmium?. 1 - mg/I Chromium: Total _ mg/I Cu - Copper m, ._.IT..,_ 0.003.,., mg/I Fe - Iron mg/I Hg - Mercury _ mg/I K - Potassium mg/I Mg - Magnesium mg/I Mn - Manganese ..m mg/1 Na - Sodium M__.._... _ mg/I I CERTIFY THAT THIS REPORT IS TRUE AND ACCURATE. Signature of Pere (or Authorized Agent*) GWn59 REV. 6/93 Date Ni - Nickel—._._: Pb - Leach._ Zn - Zinc Pesticides/Herbicides (Specify Compounds) Other (Specify Compounds and Concentration units) 0.037 gll g/l gil Note: Values should reflect dissolved and colloidal concentrations. (see #3 on back) See back for Instt uctions. *' Submit blue, groan, and yellow cooler only to address above. TION AND A. NA.,.".YStS_..�� GROUNDWATER SAMPLES Samples should ftsr t st fyzed as soon as rxm, 9 e ft r c et on. SAMPLES WHICH ARE NO F ANALYSED WITHIN THE HOLM TIML SPECI- FIED FOR THE ETHOD ► SE D (SEE #4. BELOW) MUST BE DISCARDED AND NEW S MPLES COLLECTED. Metals Analyses:, t.fse StandardttMethed 3030C for sampreepir Ora 'nr rt" "a,rtr cxMrarfrtrf Unfilteredstrla ttst he.eollected for malaise "tr;fror r oT LT EINEAL A 'told per liter of sample, trr labswlthrf n 24 f fur ti Sample, preparation Mn tb Itborat ry. 7 , hours .of ANALYSES ARE TO MADE OF THE MOBILE CONSTITUENTS (DISSOLVED AS WELL AS COLLOIDAL) IN TH GROUNDWATER, WIT THQS THAI ,A .: EJ3I QE: M t !(ENT A,, 'MO AID 4IaTN WELL QtJ T FisKTIQR CHECK WITH YOUR LABORATORY ON PROPER PROCEDURES FOR SAMPLE COLLECTION A" D P ESE VATION. 4, As per 'Title 15, North Carolina Admlrr;ltttrativbdre Subchr p the following arc„lbflc:atton t, Or by Other° r eth:ees :approved before Management: Standard Methods for ttt E. arttina American Public Heath Assoc!, thods for Chemical Analysis of A-600/4.,79 0 0, as revised March et r d,s for Evaluating Solid VVt s nUtl1t'Vr SW-846; daces for the Analysis of 3uttuants, ;6, 1984; Octtobes ant rrl urd rrrt Amer eddre shall be In accordance .tnci Divi:alon rof Environmental l s Assr ditlrr„ tt3t ttsrrt elation and Water Pc nvironmental Pr tectk fhods, 3r" PL a t, a,ibrr ittec N PR.Q :strn f, rrntrol F dcrati n Art,fed`trsr,N .2 9,40 rr pi Nw he well. t' r~tr ref r trtr°°' fr""r M r ! t f r t1 e,p i" r t rr t rC prior' r €tMr r ��f r srrrt3 r rt rrt�f `� �Nf �� r=rtfl fr f f a r 9r a ft°r "rate r e C' rs Pri f ere, r3dor darrrti apparam rpm rrt me et be e ff r tt 4 rrt rtty<wordor'ti e with moan s r"ttft4t$l rrsl f r tf°t r' .rr rrl tatr, rr3r,, rt)rr t hrt tf tst ed tftrougl rrt'u.44 rnt alysis f oontafrtn sfr�lsf t3� Mrtfc*fttc ftt tfrs tfrtrs �f ftg�ftrtlrrrff!' pt,# is trr1 r srr .t > fftt. or prsl,Lfl "ff€ertt tr;ttfrr 7- ntr. end tiny, C0 3 r" r,fl Sr, tr" r snrrtrlRental h .rd rt f"R. Moint y by °fber Protrt:,`. M" r1 Aq nr y C f 4 Par t 1 3>, your: sample, f t3V collected'. 30M : Type or Use a Facility Name F91.1r Address .._ .. lrf, Statesville., 28687-11 l County Well Location Dowwngradient Well identification Number . D"`.. Well Depth 28 Ft, Ft, Well Diameter 2.___ Sample (Screened) Interval Ft. To G Depth to Water Level 18 ft. below measuring point (before sampling) Measuring point is _ _.2.25 ft. above land surface Gallons of water pumped bailed before sampling 12.27 Field Analysis' pH _ Specific Conductance uMhos Temp. Date Sample Collected 11/15/95 Date Lab Sample Analyzed Laboratory Name , HydroAnalytical SAMPLES FOR METALS WERE COLLECTED UNFILTERED AND FIELD _... A oc / PERMIT NUMBER: (REQtwfJRED) N©n-Discharge NPDES 4`t3.1,83 ._ .__ QF DISPQSAL OPERATION BEING MONflORF.t) uIRED) Lagoon Septic.. Tank/Drain Field Spray Field _._ Subsurface Low -Pressure Piping (LPP) xt Application of Slu ry Distrib other Aerobic Dgeste' Appearance__ ert on No, 1°3 ED YES NO COD mg/I Coliform: MP Fecal __a__ _ 1. _.a.11OOmi Conform: MF Total /l OOml (Note, Use MPN method tor highly turbid samples) Dissolved Solids: Total 82.5 mg/I 5.Q7_ units pH (when analyzed). TCC... .µ.,. ..... Chloride. ..u..,v Arsenic__„�_e._m.. Grease and Oils Hardness: Total Phenol Sulfate Specific Conductance Total Ammonia TKNasN.._ 1,„,as_ mg/I .124...a mg/I ..__.._. mg/1 _mg/I mg/1 mgll mg/1 uMhos mg/l rng/l I CERTIFY THAT THIS REPORT Nitrite (NO2) as N Nitrate (NO3) as N Phosphorus: Total as P Al - Aluminum Ba Barium ._._.._._ Ca - Calcium Cd - Cadmium -. . Chromium: Total Cu - Copper Fe Iron...e,ro..._ Hg - Mercury,. K - Potassium Mg - Magnesium Mn - Manganese Na _. Sodium ._ TRUE AND ACCURATE, Signal' re of Per or Authorized Agent") GW-59 REV. 6193 mg/ g/ g/ mg/ 0q7 mg/ mg/ 0.002_ mgl mg/ 0.005 mgl _.e mg/ mg/ mg/ _.._. mgl m / _,.. mg/ Ni Pb - Lead Zn - Zinc _ m_ Pesticides/Herbicides (Specify Compounds) Other (Specify Compo rn Concentration units) mg/1 mg/1 mg/I ug/I u g/I ug/I Values should reflect dissolved and colloidal concentrations. (see #3 on back) See back for instructions. Submit blue, green, and yellow copies only to address above, SA MP ST BE 1 ES W 1°3 R ;,« v ARE NOT ANAL AND F'W SAMPLES C S r UFN'm (DISSOLVED WELL t �� u;"k< JA .. �°is B W A U C T C N ,AND ��'R and sample for e ys po.int where enough water be made c 9n the field or" r Our — a dissolved N THE' ,_WIN V ON NTAL f AP4AG I E P O OX'2 Type or U Facility Name F9urth Address _ 693_ e1 Farm, R ._ State, NC 2$687-111, NVel1 Location _Downgradier�t Well Identification Number ._ Depth .._. 37 . Ft. WDepth to Water Level * p (Screened) Interval _ _ FL To ___. Ft, Well Diameter..._2 ample le tt, below measuring point (before sampling) surface Gallonsl ( of water pumped,/bailed before sampling 14 Field Analysis: pH . _ Specific Conductance uMhos Temp, Date Sample Collected 11/15/95. „Date Lab Sample Analyzed'. __. Laboratory Name Hydra Analytical SAMPLES FOR METALS WERE COLLECTED UNFILTERED AND FIELD ACID FLED _Jr YES ._ _,— NO ball -poin =n and press IlrrrtIy. ounty rr PER NUMBER: (REQUIRED) Non ischar NPDES C 4! riSPSL OPF QU Odor RATION F3EING MONITORED Lagoon Septic TankfDrain Field Spray Field Subsurface Low -Pressure Piping (LPP) nd Application or Sludge X r ter Aerobii Rotary distributor r, , r. str3_ Appearance _ �. w�,A _m_ Certification Now 103 COD . Conform: MF Fecal Coliform: MF Total M,m (Note: Use MPN method for highly turbid samples) Dissolved Solids: Total 95 pH (when analyzed)______ TOC Chloride Arsenic.m. ,. Grease and ails -__ Hardness: Total Phenol.. Sulfate Specific Conductance Total Ammonia TKN as N 5. 74 20.4_. mg/I /100ml /100ml Nitrite (NO2) as N Nitrate (NO3) as N Phosphorus: Total as P Al - Aluminum mg/I Ba - Barium _units Ca - Calciu mg/I Cd - Cadmium mgll Chromium: Total mg/I Cu - Copper ._M. . _ mg/l Fe - Iron mg/I Hg - Mercury.._. mg/I K - Potassium mg/I Mg - Magnesium uMhos Mn - Manganese mg/I Na - Sodium mg/i I CERTIFY THAT THIS REPORT IS TRUE AND ACCURATE. Slgnatl~rre of Permttee (o Authorized Agent) 0.10 mg/l 0.024 mg/I mg/I mg/I mg/I mg/I mg/I mg/I mg/I mg/I mg/I mg/I 0.007 mg/1 Ni Pb - Lead Zn - Zinc Pesticides/Herbicides (Specify Compounds) Other (Specify Compounds and Concentration units) _w..e mg/I mg/I mg/I ug/I ug/I ug/I Note: Values should reflect dissolved and colloidal concentrations. (see #3 on back) * See back for instructions, ** Submit blue, green, and yellow copies only to address above, GW 59 REV 6/93 ) N ? X 9 ( N k S' veil recovers tthe .,.")sMt'. y T AN V.3 ED WIT, t4 H PLE'` CO .. . ;.TED UTS Of AS COLLOCAL) ECTION AND ER VAT1ON. OL(NN( 114E pumpedt vies Well Location Type or Use a batpoint Facility Name .N Fourth Creek WWTP Address 693 Bell Farm. Rd Downgrada.en Well Identification Number __ D2 %II Depth _._..... 2t Well Diameter _ 2 Sample (Screened) Interval _____ ,.. Ft. To Depth to Water Level _ft below measuring point (before sampling) Measuring point is 2.25 ft. above land surface Gallons of water pumped/bailed before sampling _._. 1,2.27 Field Analysis. pH ______ ...___ .Specific Conductance uMhos Temp. Date Sample Collected - _ i/7 /95 Date Lab Sample Analyzed Laboratory Name __.__Eia. Ft.. Ft, All PERMIT NUMBER: (REQUIRED) Non -Discharge NPDES _..._.... TYPE S¢ DISPOSAL OPERATION BEING MONITORED (REQUIRED) Lagoon Spray Field Septic Tank/Drain Field Subsurface Love Pressure Piping (4.RP) Land Application of Sludge X Other Rotary Distributor Odor Appearance Certification No, SAMPLES FOR METALS WERE COLLE TED UNFILTERED AND FIELD ACIDIFIED x _YES NO COD _.___ _.... mg/I Colitorm: MF Fecal .. " _ u ._. .A /1 OOmI Coliform: MF Total /1 t1OmI (Note: Use MPN method for highly turbid samples) Dissolved Solids: Total ,72.0 mg/I pH (when analyzed).._...._.. units TOG mg/I Chloride _8.a mg/1 Arsenic _m_mg/I Grease and Oils ��� . ., mg/l Hardness: Total _ _ ._ mg/1 Phenol Sulfate Specific Conductance ._ Total Ammonia TKN as N _._...._ . _._.. mg/I mg/I b u uMhos .n Amg/1 Nitrite (NO2) as N Nitrate (NO3) as N Phosphorus: Total as P Al - Aluminu l _ Ba - Barium Ca - Calcium Cd Cadmium_ _w Chromium: Total Cu - Copper ._ . Fe - Iron Hg - Mercury_ K - Potassium Mg - Magnesium Mn - Manganese .. Na - Sodium I CERTIFY THAT THIS REPORT IS TRUE AND ACCURATE. Signature of Permitte or Authorized Agent*) Date ,0 g/I g/IN g/I mg/l mg/I mg/I mg/I mg/ mg/ mg/ mg/ mg/ mg/ mg/ . mg/ Ni - Nickel.... v.w Pb- Lead __.._ -. Zn - Zinc Pesticides/Herbicides (Specify Compounds) Other (Specify Compounds and Concentration units) mg/I ..T_ mg/J mg/I ug/I ug/I ug/l N,C. DEM% 0, _ ENT, HEALTH, 'S Note: Values should reflect dissolved and colloidal concentrations, (see #3 on back) * See back tor'trttrttctlons. '* Submit blue, green, end yellow copies only to address above.. GW-59 REV. 6/93 for AMPL PST RE DISCARDED UNDW',A .ES CH ARE NOT ANALYSED WITH NEW SAMPLES COt,_te, .i.n ED. T TUE TS (DISSOLVED AS E.. AS COLL- T ASSOCIATED ELL DECURES FOR SAMPLE DO N AND tl @ A 1 rr c s`e,,,t.; with recommendations y g ,' y 4 rr er t6' Act, Federal s E OLD1N,P "a l .THE ON OR 9 ,l N ., iw , 40 CID pie for analysis„ If the .vt' t is eurripeirt' ll d dry before 3 offe \vdtc r is available to collect your L arx`pre, be the field on unfit! r'ec samples when the , a n hon a dissd Type or Us e a bat -point pen Facility Name Fourth Creek_ WWTP Address 693 Sell Farm Rd. ,P Box 11 Statesville, NC 28687-1111 Well Location Well Identification Number Well Diameter 2 Sample Cr(Seened) interval -_ Depth to Water Level 26.25 below measuring poin County Well Depth .. 39_ Ft. Ta.... t (before sampling) Ft, Ft, Measuring point is 2. ft. above land surface Gallons of water pumped/bailed before sampling 2 d._ .. .. . Field Analysis: pH -___.. Specific Conductance uMhos Temp, Date Sample Collected ________7/2/95 Date Lab Sample Analyzed Laboratory Name - Hydro Anal is .. . SAMPLES FOR METALS WERE COLLECTED UNFILTERED AND FIELD ACIDIFIED COD �. Coliform: MF Fecal Conform: MF Total (Note: Use AWN method 1or htghiy turbid samples) 118.0 mg/I units �.-.-3 - mg/I .4.r mg/I A.. , mg/I ... _ o mg/l mg/I mg/I K - Potassium mg/I Mg - Magnesium Mhos Mn - Manganese mg/I Na - Sodium mg/I Dissolved Solids: Total. pH (when analyzed) TCC.w__ k._ ._ . Chloride Arsenic Grease and Oils Hardness: Total ._. Phenol Sulfate_ Specific Conductance _ ... ..�. Total Ammonia.. w _ w "� •©... TKN as Nu_-,aM.�._.._ mg/I /1 00ml /100m1 Nitrite (NO2) as N Nitrate NO3) as N Phosphorus: Total as Al Aluminum Ba - Barium Ca - Calcium Cd - Cadmium.._. Chromium: Total Cu - Copper . _ .. Fe - Iron Hg - Mercury_ _W I CERTIFY THAT THIS REPORT IS TRUE AND ACCURATE. Signature of Permittee or Authorized Agen PE NUMBErt: (REGtt1IRED) Non- t ischarge NPDES .P. E..QF DISPOSAL (REQUIRED) Odor Ap BEING MONITORED to on Spray Field Land Applicati 0 Rotary Distributor arance . ._ Certificatron No. _.__ F___.1.03_. �. YES �,—. NO mg/ mg/ mg/ mg/ mg/ mg/ mg/ mg/ mg/I mg/I Septic Tank/Drain Field ,, Subsurface Low -Pressure Piping (LPP'I +iudgo X , Other Digester Ni -Nickel,.. Pb Lead _ . �.u..._.._,__ _.__ mg Zn - Zinc mg/I Pesticides/Herbicides (Specify Compounds) Other (Specify CL�rnp'o�ds raf P uConcenration units) N Ert+ gs.._ ug/1 ug/l ug/1 Note: Values should reflect dissolved and colloidal concentrations. (see #3 on back) See back for instructions. Submit blue, green, and yellow copies only to address above. GW-59 REV, '6/93 WHIG1 AHD.NOT . AE , W HNTH AND NEW AMPLES COLLECTED„ 4STI ' ENTS D SS VED A g WELL AS C ,LTaa+�.�+k, `r ht�"w+�:wSJ tt"yt3tr 1, /sryC....e p. "^E k O +" iAMP�i.,E.. COL. ELFsni iON ' any water r rbaited pri o L saint:51os can be ceite as the we!! ten p$e for atr"airy ;s. x,.iT p?e at iur °, }dor' and appearance must be mace u . dissolved ana ,1, THE F1 ATKON,. y baler() 3 well your S nnple, Msa,p'i'aeie3 It `+al.° and J me Seca l 1 t':'d:: Type or Use a bft-point pen and p Fourth Creek w 'rp 693 Bell Farm Rd. (PO Box Statesville, NC 28687-1111 County rred Well Location Upgradient Well Identification Number _ U4 eI) f epth Facility Name __. Address y- _Ft. Well Diameter 2 Sample (Screened) Interval „ Ft. To Ft. Depth to Water Level _35-0_ft. below measuring point (before sampling) Measuring point is 2.25 #t, above land surface Gallons of water pumped/bailed before sampling Field Analysis: pH . Specific Conductance uMhos Temp. Date Sample Collected 7/2Z_9___5_..-..,.* Date Lab Sample Analyzed. Laboratory Name _ Hydro Analyi ical 49 oC SAMPLES FOR METALS WERE COLLECTED UNFILTERED AND FIELD ACtDIFfED AGX 2 PERMIT NUMBER: (REQUIRED) Non -Discharge NPDES ,.. TYPE_QF_DJSPQSA(,OP AiT I PEING MONIT (REQUIRED) Lagoon Spray Field Land Application of „..„. Rotary Distributor Septic Tank/Drain Field udge Subsurface Law -Pressure Piping (LPP) Other Digester Odor Appearance Certification No. YES NO COD _� Coliform: MF Fecal Coliform: MF Total mg/I Nitrite (NO2) as N / 00mG Nitrate (NO3) as N /100ml Phosphorus: Total as P AI - Aluminum (Note: Use MPN method for highly turbid samples) Dissolved Solids: Total 88 pH (when analyzed). TOC Chloride ___ Arsenic �wm Grease and Oils Hardness: Total Phenol Sulfate_ Specific Conductance _. Total Ammonia_. mg/I Ba - Barium Ca -- Calcium •7_units mg/1 9? mg/I mg/1 ._. mg/I mg/I mg/I mg/I . _ uMhos mg/1 TKN as N .,N _ .. e .,.. _ y ,..._._..._ mg/I Cd - Cadmium Chromium: Total Cu - Copper .._ Fe - Ironµ, Fig - Mefcury... K Potassium Mg - Magnesium Mn - Manganese Na - Sodium __.._.. l CERTIFY THAT THIS REPORT IS TRUE AND ACCURATE Signature of Permittee (or Authorized Agent") GW-59 REV, 6/93 Date .0036 mg/1 g/l g/l mg/ mg/ mg/ mg/ mg/ mg/ mg/ mg/I mg/I mg/I mg/1 .a_.. mg/I Ni Nickel , Pb - Lead. Zn - Zinc . . Pesticides/Herbicides (Specify Compounds) Other (Specie orndsnd Conce mg/I mg/I mg/I ug/l ug/1 ugll Note: Values should reflect dissolved and colloidal concentrations. (see #3 on back) * See back for * * Submit blue, tfons, and yellow copy only to address above. p LES SAMPLES WHICH ARE NOT ANALYSED 'WITHIN T ST BE IriCARDED AND NEW SAMPLES COLLECTED.. ioI L; TIME SPECI- Q.7 ,S SAMPLES JN,THE_ Taira rrra.lib:rubi TITUENTS t5S L ED AS WELL AS COLLOI AL IN THE .r SEPAME, ATEWITH WELL CONS1RUCT1 N OR SAMPLING PPOCE PROPER R I EL fRE , FOR SAMPLE COLLECTION AND PRESERVATION. n be collected Arrtr € e-an V Der Si °tear, 16th Ar, oc atl'n and Via 1, . Environmental i'onment: t ds Edr, " P; liutien rlL-V p iY it , at° rn number Env "r ,n l Pre r Act. t der<ai Regis r Vet 49, No. 209, 40 ; FR Part t aping o balling any water from the well.. d pn r t a, ll ding a sample 'Tar analysis n as the wee pc' t where enough wit h.e ^r ll to p pK da`balled dry before C r 1 avai ble to collect your sample. icIar ci , temperature, odor and app.' rranee must be mare in the 0 1 unfiltered samples when the sample is xdatt y foul et Ions by the manufacturer, a dissolved analysis la G ar C lred., r e #4m above) the facility name, well identif ica'tior r i.ari bet and date and time cclleL c cl t, to I Division Environmental rent Groundwater e do P.O. Box 29535 Raleigh, NC 27626-0535, Monitoring ell Report W- � Fourth Creep WWTp NCO031836 Aerobic Digester "fia u. Dear Sirs. The monitoring well results for the subject facility are, attached. We are pleased to report that the test results indicate compliance. Should you require further information, contact Mr. Steven Lambert by telephone at -,, Sincerely, L.F. "Joe" Hudson, Jr., Director, Water/Waste�water Treatment, `/sl Type or use pen firmly, PERMIT NUMBER. ( 1 ) " cllity s t ..__ t � Non -Discharge ..,.� _ NC County I� }L ..L ggggggR 2 E3T5. ,x"' . , OPERATION .�IWSCe�.JC Well tccctr D �air$� _ µ. � Well identification umb r _ �g Well Death _,__.. t. p P Spray i��4� Cx�J�«�iric�i �.�t>'4"i"6-��w:E,YP't�a Well Diameter Sample(Screened) d r (rxr�r3ri�� lr�t .. _ t, e fit. ........�.,,..... ..�.�»,.....� P tLPP) . . re �� _ Depth t Water Level �. � measuring point (before sampling) � and AppficationofSludge Measuring ft. above leaf surface Rotary or tear Digester �l rt t .terpumped/bailed Gallons before lire _3.�trbr � eJ 1 i v -,---Semitic C sect nce . uMhos Temp. _C � m- Odor _m��� Appearance---- Date Sample Collected Date Lab SampleAnalyzed_ ��.�..� Laboratory Name Ely An —al Certification No. SAMPLES FOR METALS WERE COLLECTEDl "° E CIIFIED „ YES eNO .d4k} '&9k a MF Fecal t C lifrr . FTotal . , 100ml Nitrate140as .m....�.. r s. »«._�-..,.. Phosphorus: Total I — /& �o_ g l Pb " Lead,--------- g/1 n - Zinc. _ .032 � € Er g (hots: Use MPN methedfor highly turbid l) Al - Aluminum o._ MgA Pesticides/herbicides Dissolved Solids. Total MgA Ba - Bariummg/1 (Specify rra ) pH wham analyzed) unit Ca - Calcium-----. mgA _ �� �� � _. /l Chloride� � Mg/1 Chromium. "Dotal mg/l tag l Arsenic mg/1 Cu- Copper _-03 _ .___ Mg/l Other (Specify Compounds and Grease and Oils mg/1 Fe - Iron _ ..___mgA Concentrabon Ufl t) .F Hardness: Total rig/l °Ig m Mercury � mg1l r Phenol � ... _ a �v.w_. _ _ ..._.. gA K m Potassium _ � � mg,/l Sulfate mgA Mg Magnesium _ mgA Specific n t n ._.___________ 1 Mn - Manganese ....�. a rat Total Ammonia gNa Sodium W �w .... ,.. _.. . mg ! b�pd TKN s mg/1 I CERTIFY THAT THIS REPORT" IS TRUE ANDACCURATE. NValues should reflect dissolved and colloidal concentrations. (see #3 on back) See back for instructions. Signature of Per itt e r Authorized Agent*) Submit blue, green„ and yellow copies only is address bar n ENTS (DISSOLVED D AS WELL AS COL LM `':...':f WFLIS a EC;T tO A pea 1ngor` n he Einserortmentat Pr ernicalf:r :safes ;, r ERN( ATIC 1. onchictance, temperatures odor and appearance must be made in the field on unt OAS ratio a a so+v Teti of the time of collection S is the fa y naarnes, well 4 date a'1.ff . cry before 3 we; your sampsse. above) Facility Name __K9u,_rth P�. Address Bell Farm Road.....��..,, �. Statesville, _C County Iredell Well Location Well identification Number _ . - Well Depot _ _ t. Well Diameter Sample (Screened) Interval--------,-- t. To .—Ft. Depth to Water Level below measuring pint (before r sampling) Measuring point Is �, � ft. above land surface Gallons of water pumped/bailed before sampling ielr n l s s: pH. —Specific Conductance uMhos Temp. Date Sample Collected 7-14-94 Date Lab Sample An l �.ri� _ � .._. Laboratory NameSAMPLES FOR METALS WERE COLLECTED UNFILTERED AND FIELD ACIDIFIED Nona-NPDsc_ s _317 836_ iOPERATION BEING MONITORED (REQUIRED) �. Lagoon SeepticTankl[trairi Fie€d` Spray F iOd Subsurface Low-Pressurr, Piping (LPP) Land Application of Sludge "I K.. _ Other Digester �. Rotary Distributor Odor — Appearance , Certification No. 103 YES _ __ NO COD mgA Nitrites ..M mgA Ni _ ickeL—.- ,— mg/1 C llt rrrr4 M F Fecal _ _/100ml Nitrate a .� l AA a �� g/I C li r i ; F Total 1 00ml Phosphorus: Total as P_ ,__ Z - Zino 1 et : Use MPN method for highly turbid samples) Al m Aluminum � � gA Pesticides/Herbicides Dissolved l Solids: Vital , A Ba - Barium _ �.. ail (Specify ompounds) r r pH (when analyzed) units - �Idotrrt rtl.._ L_ dl TOC mg11 CId... tl ug/l Chloride mg/l Chromium: Total mg/l Arsenic �-vA�... v . � m�� � �.�..-.. � mg/l Cu- Copper _..._� ��. �.. �- _ Mg/1 Offer(Specify Compounds and a: w Grease and Oily ..�.-�. g - Iron _ � mg/1 Concentration units Hardness, Total ._. _w r .g/l !fig - Mercury � � ..� .. _ mgA Sulfate Mg/1 Mg - Magnesium mg/l Specific Conductance--__—, uMh s Mn - Manganese m A Total 1 Na - Sodium .e_ _ _.- �.. � a g/1 ..,.. .. ..�. �.._ .,_ ,.._ _..,�.a l CERTIFY THAT THIS REPORT IS "RUE AND ACCURATE. Signature of Permittee (or Authorized Agent") GW-59 REV. 6f NDLe_. Values should reflect dissolved are colloidalconcentrations. (see #3 on back) See back for Instructions, p. submit bias, green., and yellow copies only to address atbovej,, HE t AT A mica! Ana .020, as rem Evaluatingc.. STF " (DISSOLVED AS a gE t` A 4 AND P^PEa E- .ply is of Potiiivants Under the (Dean VJa et Act, Federal Register' te-r' in the well prEar to pumping or be rKs ,r.}e d or bad olt clad a from ti LE. HOD mped/bailed dry l „fore 3 np e.. when the sample is Type Or USO 0 ball-point pen and press firmly. Facility Name e our Creek WWTP ,address Bell Farm Road --- ----- Statesville, NC ountyIredell Well Location _ ,_P9W"i Well Identification Number — Well Depth .`.. � _.. Well € iamet r .___� Sample (Screened) ed) Interval °t, To —Ft. Depth to Water Level . 2L.5.fi. below measuring point (before sampling Measuring point is . —.ffk above land surface Gallons of water pumped/bailed before sampling FieldAnalysis: lysis: p —Specific Conductance __...._ _. uli hus Temp. Date Sample Collected 7-14-94 gate Lab Sample Analyzed --- PERMIT I UMSER1 (REQUIRED) Nun- ischr e ,.______..__. EF iLl, OPERATION BEING MONITORED (REOUill) Lagoon Super Tank./Drain Find Spray Fiuid Subsudace Low -Pressure Piping (LPP) .. Land Apprisallon of Sludge OtherDigester Rotary Distributor Odor - Appearance .. Laboratory Name tiYr i L� � Certification No. 103 SAMPLES FOR METALSCOLLECTED UNFILTERED FIELD l IFI ..YES NO CODo rngll Nitrite (NO2) as N mgA Ni., Nickel-- Phosphorus: Total as 4/1 Z - Zinc mg (Note: Use m h for highly turbid samples) At- Aluminum mgA Pesticides/Herbicides Dissolved Solids: Total _ 59 I' g/l Ba KK Barium _ � � gA (S mf Compounds) cmunds� pH (when analyzed) w r _ nit Ca Calcium______ rig/1 Ug/1 � �_. Cd Cadmium _ .�._� .W a � ._ rig/1 1 Chloride r.. ��,g/1 ..� Mg/1 Total #1 � ��,..��� g/1 � ��.��...�.�_�.��..�� � u/I ... Arsenic w. � .�� _ /l 01 Cu- Copper �� ._ _ _ mg/1 Other (specify compounds and Grease andOils----_,mg/1 Iron .._�a trig// Concentration units) Hardness: `dotal �.�� � rig/l Hg - r �. �.. ... ._ r ail � 1 � Phenol g/l K Potassium g/I Sulfate mg/1 Mg - Magnesium _ _ _.��. mg/1 �.. Specific Conductance—____.— s Mn - Manganese� � ��� mgA Total Ammonia rg/i Na - Sodium mgA TKN a m g/l l CERTIFY "IA THIS REPORT IS TRUE AND ACCURATE.&Ia, Values shouldsst and colloidal concentrations. (sea #3 on back) Signature tLlr f r (or ALtttlrlri�d gent' ..._ _ ._,. =Seebackr IratruutiommW Date ` e, green, and yellowcopies only to address above. IN111 a' a C � t... ,�"", w,. ^ i , � a 7 r �, ``s e "s P $r; °' �"aa , �r a � � ,e � �," h. �,.:, , a '� � � � a � � ,�# � �,2� .� _�. § 3� � ., r �'.,e o ��;! d. "" �'":.�. of August 9, 14 Environmental rnent Division Groundwater Section P.O. Box 27687 Raleigh, NC, 27611-7687 Subject: Fourth Creek WWTP Digester Permit No. NCO031836 Dear ,Sirs; Please find enclosed the results of our three ) digester wells, sampled July 14, 14 at our Fourth k WWTP, NCO031836. All parameters were contracted out to Hydra Analytical Lab in Clemmons. Resample for noncompliant parameters will be scheduled. If 1 can be of assistance, please call at 7 78- 4 8* Sincerely, L. F. "Hudson, Jr., Director Water/Wastewater "r tmEent LF Is ATEFt OUALITY M NrrORI DANCE REPORT FOR� Facility Name Address . R p! t a r m..Ra a Location nQwne rr d fication Number D 2 ter 2 " ater Level Measuring pant is ._ Gallons of water pum 2 2.2 to Fuld Analysis: pH . , _ Specific Condu Date Se Collected .,. 3/ 1, 8 Z 9 4 Laboratory Name Hydro Analytical: m County_ Wei Depth 2 S Ft. Ft. To . Ft. int (before sampling) "7 .. 5 2 Coliform: MF Fecal _�,... Califomi: MF Total w, Use MPN method for highly turbid sawn Iced Solids: Total pH (when analyzed).. TOC Chloride _ _.�..._�a-.�. Arsenic �. Grease and Oils Hardness: Total Phenol �. Sulfate Specific Condu Total Ammonia _ _ TKN as N I CERTIFY THAT THIS RE Signature of Permittee GW-59 REV, 9/92 mg/I units .. mg/I �., mg/I mg/t mgll mg/I mg/I mg/t uMhos mg/I mg/I T uMhOS Temp. Nitrite (NO 2) as N Nitrate (NO 3) as N Phosphorus: Total as P__ mg/I Al - Aluminum _ mgll Barium mg/I Ca - Calcium mg/I Cd - Cadmium a o 6 mg/I Chromium: Total mg/I Cu - Copper . .._.o. mg/I Fe - Iron , mg/I Hg - Mercury mg/I K - Potassium mg/I .BOX PER fI'T NUMBER: (REQUIRED) Non -Discharge NPDES facia L REQUIRED Lagoon SprayField Field ��... Land AP* Rotary D Odor _. Appearance.. Mg - Magnesium Mn - Manganese ,. Na - Sodium TRUE AND ACCURATE, zed Agent) mgll mg/I mg/I Ni - Nickel. Pb - Lead__ Zn -Znc Pesticides/Herbicides (Specify Compounds) Subsurface Low -Pressure Pifiig 0-PP) Digester mg/I dig/I ug/l tag/l Other (Spec' Concentration units) Note;. Values should reflect dissolved and colloidal concentrations. (see #2 on back) 8. Samples must be filtered thiough a 0.45 micnon Miter immedicxte�y after colledion when a diSsofv(-,,d iandayfsis is r(Nmired. (Sef,,) #3. zibove) namole container ShOUld hp latx-*)d "i't tl-ie time of colleclion vvith the har"'Wtv mafne. Wf"'A i&)nfification nurrit*ir and clate and fimp cd-, 10,"ALithorized agent" is auny rate oflfict,,�r or pUblic official, aut", # 1b COL ECT N A L) ANALYSIS OF !G�..... UNDWATE A._P ....M e; mpl a should be anay aiy .r soon a,.Y TIME SPECIFIED FOR THE ETtD USE ,D CEt AMES ARE TO BE MADE OF "It„MOEIH t L f NDAAT ATE , N� , f�� 1 '1 1,,, ARE: A PALSI PROCEDURES FOR SA P F COLLECTION AND 3 .?'L perms Title '";; NorK; ..s Car *curve Abair described in one of the fcl ysis of ly EPAr60(t ` xr f. fi t, rr ,°cif to re l °t 98 (c) Test Methods fart , lr tt9tg. Solid Va stes: 0 Protection Agency publit. cla nu€°rFber. SW .46; () Test 3 €°artedious for tnr rr.iiy rs of Poke -its nde Part 136, C to�.rr 1, SAMPLES ICH ARE NCO. T ANALYSED WITHIN iTHE HOLDING MUST BE D CARDED D AND NEW &L,.ES COLLECTED, Ti (DISSOLVED ED S EI `'l CHECK It. tH VOU. R LABORATORY L, PR(, ATIONi : r-t. S tree ri or tt.,rrr`ocrt'rrr Measure and r°record the depth 5.. At least 3 vo E mes of water in before 3 well volumes are removed, collect your sample. f')c terrntndlion to pHr rrrafirr Condurtonca. sample is co lected. rt rrvnrisat k he filtered 1a) nce emical Nilethc AS COLLOIDAL) IN THE shall ll be rn ac r, t r. by the D r ;tor, f iron r rs Protract the method vironmenta l er Pollution Con Agency publiciaton rR.ifl ber°. U.S Envlrorr`nental Water Act, Federal Regis Vol. 49, No.. 3rl r 40 CFR prior to pumping or tring any water from the well, J or bail ad prior ;cting a ;sample 'for analysis, tt th well is pun sited as soon as the well recovers to the point vhrr rrrtough water t ttrr rtta rruf r tut er. dbaiti dry available to tide on unfiltered 'samples Lvi„rnr' the an ysis on nu - above) and ( date an ter 'rr Cool.., Facility Name _ Address Location. Identification Number C4 Well Diameter 2 Sample «tb to Water Level 3 0 7 5 ft, below Measuring point is Gallons of water put Field Analysis: pH Dal' Co L o is Name Well Depth 49 Ft, tntea Ft To measuring point (before sampling) COD mg/I Coorri: MF F /1 Ogml Coliform: MF Total m_/1 Qgml (Note: Use MPN method for highly turbid samples) Dis, wed Solids: Total ?.., mg/1 pH (when analyzed) 7 units TOC 8.6 _. mg/1 Chloride_ .� - 4 . �.e� . . mg/I Arsenic _ _ mg/I Crease and Oils _ mg/1 Hardness: Total „ mg/I Phenol mg/I Sulfate _ . mg/I Specific Conductance __ uMhos Total Ammonia -. mg/1 TK1 as N _ mg/I Ft, (RE QUtt E0) Certification No. Nitrite (NO 2) as N .. mg/I Nitrate (NO 3) as N • _ mg/1 Phosphorus: Total as P_ _ mg/1 Al - Aluminum mg/I Barium mg/I - Calcium mg/1 Cd - Cadmium ,. 0i9 2 mg/1 Chromium: Total _ mg/I Cu - Copper .�� r1. mg/I Fe Iron mg/I Hg - Mercury _ mg/I K - Potassium _ mg/I Mg - Magnesium Mn - Mangan e Na. Sodium �.. _ mg/I mg/I mg/1 LING Spray Feld Land Application of Rotary Ap Ni - Nib Pb - Lead. Zn Zinc Pesticides/Herbicides (Specify Compounds) Concentration units) Septic TanWDrain Feld Subsurface Law -Pressure Fng (LPF) Other 11 I CERTIFY THAT THIS REPORT IS TRUE AND ACCURATE. Note: Values should reflect dissolved and colloidal concentrations. (see #2 on back) for instructions. green, and ye ow copies arey is address above. GW 59 REV. 9 sf r awrtd be r rrr ly; E SPLCI D FOR T TON AND ANA . OF GROUNDWATER SAMPLES on rits OD USE (SEE n n, SAMPLES OW) MUST BE ARE NOT ANALYSED WITHIN THE HOLDING ME;MED AND EW SAMPLES COLLECTEDW Cf. ANALYSES ARE TO 13E MADE OF THE MOBIL CONS„ff OENTS ( SSSOL:VEF) AS Vto AS COLS,..t,L,.) III CROUNDWAT: A,. ,Nt 1" THO °TH,A AT ARE A Pf" OF SEDIMENT. CH CK WITH YOUR LABORATO,Ry fi '. EDURES FOR SA C 5LLLC ..D 3 AND fESERVA'T O 3, As per 1tt North Carolina na : on de c. c b one of the l'ollowin Management: the Exam EP .-60014-, 9.Cf20, (e) Test Methods for EyaluatErrg Sots Wastes: Physical/Chemical Methorcr., 3rd Edition, Protection on Agency publication number SW-846 (0) Test l rowdurer; for the Analysis ref Polluarµrt Part t 36, c tidal r rl7 ;oditi os shall till r. 'ec bet rrrerrrrd by ,t VIa f er and WaIEWIt 1 rt S Arrteri :::n VAiTh r 'Aor}tc:, Assoc x1 WaM 1979, Utifi3,, nvirrl'"`ir rirtal Prated 4, Measure and record the depth c 'water t984; of t': `i ro 'I rT e t'.+}i x 1.` r..it"1FsIr4.;,"C,f ntr6 fed ?r . td rtl fir) !'ip mfit r Environmental Clean Water Act, Federal l Register r l 49.. N 209, 40 or 'bailing n the vvell. At least 3 volumes es of vate;tr° lr the rrii shrsold be pumped or r.rl>e rt prier to coller„rt r";t a sample fr ° analysis, If well volume area removed k sarindi can be ()c ler;tod s on as the well recovers a to the point 'ell re enough water your sample, ple, 6, Deter ',illation ferr pH, Sp title C``orzcfurc to n si r lr is o d eat urprnent must be calibrated u 1 accordance with recommendations ndations ft tr mi,tde in th F field or Unfiltered samples rtronr .iv"'stA r ahem Depth to Walor LeM below measuring in (before sampling) asur° point is _ 5ftR above IarKJ surfa Gallons of water pumM, before wmpjlng ___ a ReU n t sus: pHSpecific Conductance - uMhos Temp. Date Sample Cal _ j --Date nay . rat Hvd ro Ana"I.vticat COD i rm: MF Fecal_ Colitoffn: MF ToW t Dissolvedi W, If IV/1 I i8NUI mgA Chromium: T MgA u r r - Iron ---------------------- Rotary Disbibutor OdorAppearance- . &les should e, realy�d zis soon ass pkossible after colleclion, SAMPLES WHICH ARE NOIF 0may. d . 8F W 44B PER Fi" M Facility Name `�T Non -Discharge . Address _aa N * __ +u e �. I TyeE I L OPERAMON BEING" MONITORED (OUI) Well L __Yc L�� �. Weil Identficagon Number 23 Wel Deo 3 err Weil Diameter LSam (Screened) I t To f. Depth to Water L 2m measuring irk rsampling) Wasuring point land surface GWIoris f water pumpeftailed before sampling m may Field Tw*Ofain RM Subsurface-P POV t Land Applicako of r Digester Field lysi : pH -Specific Conductance uMhos Temp, War ..— Appearance---_. . 3 — Date Lab, Swriple Analyzed Laboratory Nam � c�` n � .i ;i Certification No. _ 103 COD " g f 2) as N mg/lNi - NickeL., /i F F J g Ml ..._ . �. mg - Lead---- Mg Col ". : F Tc 1: T g 03 g f Al - AJurninurn mgA Pesticides/Herbicides Dissohted Solids: Total mgA Ba - Barium r(Specify Compounds) u g unify Ca - Calcium mgA o _ TOE mgA Cd - i mgA ugA Chian ,. � g Chromium: Tom __ _ °tg/ Ars 1 , . mgA 01her (Spec Canpouncis Greas6 and Oils - mgA F - Irk mgA Concentration,, units r ; Total — mgA Hg- Mercury mgA _ Phenol i mgA K - Potassium . Sulfate y Magnesiunn__m9A Specifig "A P a,. Sampies 2 tucurrld be e nra TIME SPECIFIED FOR N D ,N ,L" S1� F GRO. WATER SA fSTC ANALYSES ARE TO BE. MADE OF T10 GROUN ATER, NOT THOSE THAT ARE A PART Aloft S,AMPL:ES ,ICH ARE NOT lYSEIIL) THIN E TOLD .01W) MUST BE -CARDED AND NEW SAMPLES COLL ENS (DISSOLVED AS WELL AS COLLC DAL) IN a E S DIM N1. CHECK WITH YOUR LABORATORY ON PROPER PROCEDURES FOR SA PLE COLLECTION CTION AND PHESERVATt N. 11. AS pear Title .I North Cat' r Administrative;'.ode, described in one of the following publications„ or by Management: ,.ED apt'r 1i, an yt ro d r ejlatt be in acco d«.=nc will the rut11od'v method approved beforehand by the Director, [aas„a+.tion of Er viror mental (a) Standard Methods for the Examinaation of Water and V /astewrater 4r 6th Edition, 1985 r3,rsVt 1 'th Edition, t 8 , pubri hod rairrtly by American Public, Health aaalth Aai0CiTtion, Ar`t'aeri - Water Worlara Association and yh?aater Pollution COT Federation; (ta) Methods for Chemical Analysis of Water and Waste, 1979, U.S, Environmental Protedion Agency pa.ubl cation number EPA-600 4-79: 0? „ as revised March 1483 (c) Test Methods for Evaluating Sold Wastes: Physicu~al'Chemicat Methods, 3rd Editors, L.86, U.S.. Environmental Protection Agency publidation nu .her SW-846, (d) Test Procedures for the Analysis of Polluants tUnctor the Clean Water Act, Federal Flop ster Vet 49, No, 219, Ott CFR Part 136, October 26, ,t 98 4. Measure and record the depth of water era tfle we.fir prlrar to pun or° bailing any at r orra . At least ,3 volumes of water in the well should be pumped or bailed prior to collecting a sari - before 3 well volumes are removed, samples can be collected as soon, ras the well recovers tc collecit your sample. Determination for pH, Speclfko Conductance, temperature. odor and appe<aranoe ratrrst sample ,is collect. Field equipment must be gas Samples must be tittered The sample container should be labeled :at the time o1 iectn`;d ua r by the manufa solve analysis. If tlao wall is Rim bailed c hailed d point where enough water is availaahlr„ :`t. ion nurnber E. d, sample w is rr the above) Depth to Water Levd �_ ft. befow measuring point (before sarnpring) Wasuring point is _-1, 2 5_ ft. above Wnd surfwe Galbns of water purnpedbailed before sarroing Fieki Analysis: pH — Specific Conductance — Mios Temp. Date SaMeL- CollecW-11-9-93 —Date Lab Smoe AnaWed— J,nhnr,%Wwv Mimo Ilvdro Anal"_vt.'�cal 0 valtii� d CO_AND �.,.�L ee wLL OF GROUNDWATER SA PL. -pas should be analyzer. 3Oon as, pOss TIME SPECIFIED FOR collection, SA PLES ICH ARE NOT ANALYSED NHN THE HOLDING HOD USED (SEE #3 BELO MUST BE DISCARDED AND NEW SAMPLES COLLECTED. FJ. ANALYSES ARE TO BE MADE OF THE MOBILE CuNSTITUEf R UNDWATERt NOT THOSE THAT ,ARE A PART r SEDIMEfCHECK H YOUR LABORATORY ON PROPER PROCEDURES FOR SAMPLE COLLECTION AND tREERVATH (DISSOLVED AS WELL AS COLLOIDAL) IN THE it a 15, North rth Carol a Adrriinistra r r Cod' Sub"ytical lures shall a r : alai with the methods e of the following being pub icr t or by other oved eft rsi r r rd by the f refor, of Environmental (a) Standard Methods for tf`sr Examin;i- °F r f t t r and Waist Pr 1 it Edition, 1985 and 17th Edition, 1989, publishe d jointly by American Public i iealth Association, rrrerir r Water Works Asaecrraticrr and li/V titer.. Pollution Control t"ederatirank (b) Methods for Chemical a analysis of Water and Waste, 1979, U.S, Environmental Protection Agency pnblk. snorts number EPA- t t 4/9-020, r s rMarch 1983, (c) Test Methods for Evaluating Solid Wastes; Physical/Chemical Methods 3rd Ed tf n fyf=S. Environmental Protection Agency publication number SW- 46; (d) Test Procedures for the Analysis of Poiluants ,Under the Clean Water Act, Federal Re€`lister Vol, 49. Noµ L 09. 40 CFR Part 130, COctober 26, a198 ; 4. Measure and record the depth of water in the well prior to pumping or bailing any water from the well 5n At least 3 volumes of water in the well shrr d be punrp before 3 well volumes are removed, A pies can be co collect your sample.. 6 Determination for pH, Specific ific ndrnctar°rcr sample is collected.. 7, Field equipment must be 8. Samples must be filtered through a 0,4on The sample container lecture. t 0, °.Aut'h anz `„t r: di1r:3,„rya ent5,. r der .,sr salt:.` d rat or ai4ed prior to collecting a sample for anal ysis.. if tt rr well is pun- d bailed dry r"led as aoon as the well recovers to the point where enough water is available to odor and ,appearance must made in the field on tintiltered samples with recommendations by Ilse ranulacture n when a dissolve d rr r r rll identrfir dratury+ after ht 'np4 iy equlred. „aee 3. above) and date and time ci or qr. ve t i enfa, body Facility 0 u Creek WWI _ nw r ._ Address -. 2" D ES -Farm . w v " C n # BAG Sri � Wi t � — _ Lagoon — T� r� F Well Identification Numb i Spray Seld a � tre Well Diameter Salle(Screened) Inter' _.___ _,_ To -Ft. ( )1 DeW to War Level . _ wft, bdow measuring point sampling) Land Appl ri point i �� ? IRotaryMs"xitw m, _ Gallons of water pars � sampling "l ,.m... r I T� O Appearance Fieki rr : p -- - S if Conk �a n , r . � a Date &wple l l n*zed LaboratoryName Certification No. 9 COD gl Nitrite____ m9A vqo Ni I *Wi Coliform: —., s "t�,�'mgA Ill : MF Total ./I 00ml Phi Total as P--.--Mg - Zinc r g l (Now. Use WN nurttod for • * rbW ) minute mg Pesticides/Herbicides Disscilved Solids: Tom g 'u mgA (Specify Compounds) pH (when __ ..—units - Calcium rng/l u9A r 1Cr C .„ Mg l a/1 Chloride r ig Chromium: �` � _ �.,_ g u�. „� � �_ � �,. a I Arsenic .... r .013 _ mglCompDunds and Iron MgA Concentration units) Hardness: Total rr A _ g l Phenol mgll K - Potassium mgA . , Sulfate Mgt rum __m gl Specific a Dios MR - Manganese m � AmmoniaTotal ._�_..�.. �_ rng - urrl �.��. �o�� r�rg � 5° TKN AsN .<s�w.�..».e+.+e„ — _ - __. w ,..cw.w. ww+� $ M @g -rn....,......._,,....R $. .ss,""� n� .....«...w..u...a I CERTIFY THIS REPORT IS _TRUE AND ACCURA II I Signature r Authorized Age � GW REV. SW OLDING F SP (, " N.L," TO hen MADE VAT I Ei H w;. UND CAM ICH Ak O1ANAL R E AND NEW SAMPLES COL :.s AT ow County Jrede.l r Location Dow SprayWell Fed r 'd - uare l ter Interval d 7 . ' p ' Depth to Wad` Level 1It ow Measuring point r li ) @Ord Apt of Other `l g s r rlr r �. ., Rotary Distributor G 1 ns water rr � before i Field Analysis: pH Specific Conductance __ Whos Temp. Odor Appearance Data Sample C Lab Swoe An Cr�v��7.� Laboratory . r � _ Certification No. 99 ... a�'.^,,..�.t.,...»«w....,.w ^i�^ $# o MF .,..,.,,.„......#„,,,,« ...............awe...-....,.. 3 A,A R k @ + MgA w,ww.«...w«.�.„•„w�ww..�w, t,gd 9 A 00ml nis: Tom as P___ , g/l Zn - Zinc _ mgA ( rmdvd for b ) Al - Aluminum Pesticides/Herbicides Dissolved Solids: Total 16 16 mg/1 Ba - Barium mg/l (Specify Compounds) r C 3.43 mg/l Cd - Cadmium .0057 .�. rngA � w».� ug C Chloride ,,: ., �, .T,_m r Chromium: Toth � .,e" . m _�. .� 1 Arsenic rngA Cu - Oopper __ ___ m (Soo* Cwpounds and Grease and Us mg/1 Fe - Ire mgA Concentration units) r� H r ss I - Mercury mg/1err T Phenol mg/l K - P /l ti r Sulfate mgA Mg- Magnesium mg/1 Specific Conductance uMhos Manganese ww MgA Y � Tom Ammonia 5 mgA N , - SodurnmgA TKN as - I CERTFY THAT THS REPORT IS TRUE AND ACCURATE. Note- Values should reffect dissolved colloidal, concentrations. (see #2 on back) NOT A ntal Well Identification Number ----UA-_ we# Depth --A,9—Ft, Spmy Foid Wdl Diameter _2�:_ Sample (Screened) Intwvaj _ Ft To —Ft. Depth to Water Levd -1 —1..LQ_ 4 below measurM poul (before saff piing) w Land Aprkaiori Wasuring point is ___k_t2_5 ft. above Wd surface %tary Disbibubt GWIons of water purnpmftiled before sampling ____2_0L_ Field AnotySis.' PSpeeft' Conductance __. umos Ternp, _OC Odor .-- Appearance Date &w* comew __IZI _3/1-��__Date Lab swroe Anapzed_________,_ Laboratory Name 3- C, 1 Cerfikation No. issoh/ed Soli&-,: ToU 9/11 pH (whm analyzec� nits TOC Chloride SM bw* for im-Aruelom rift We, grom, and y ME 0 Sar TIME $P ( E F sarnr,o3 cant FOR North C, A A Y DWA A .AND N AS PER Water/Wastewater Treatment Plants its Tt-tv of 704-878-3438 #tatt Vi I Ile RESOURCES AND VIVISION OFt�tk xt VOORENUE RES19MLOFFICE August 20, 1993 Environmental Management Division Groundwater Section . Box 27687 Raleigh, No 27611-7687 Subject: Fourth Creed WWTP Landwell Wells Permit #WQ0001759 Deer Sirs Please find enclosed the results of our three landfill wells, sampled July 13, 1993 at our Fourth Creek TPA NCO031836. Our Fourth Creed WWTP Lab, 1 rare the -site measurements. All gather parameters were contracted out to HydroAnalytical Lab in Clemmons. 'resampling for non -compliant parameters is scheduled. If I can be of further assistance, please call at(704) 7-. Sincerely,- L. F. "Joe" Hudson, Jr.,Director Water/Wastewater Treatment LPH/ s Enclosures JA water pumpedbWled before, Ana)ysis, Specific Coif — C . ME 10 ottterAvaottwairr Ortatment 'Plants Oft Of J� 7- 0 ,*.,w t y Nax t t t 1* #tatestult * North (Carolina 20677 April 27, 1993 Environmental Management Division Groundwater Section P. Raleigh, NC 27611-7687 Subject: Fourth Creek WWTP Digester Monitoring Well analyses Permit,No. o. NC0031836 Dear Sirs: Enclosed are the results of three of our Digester wells, sampled Match 23, 1993, at Fourthr Tp, NCO031836. The Fourth Creek WWTP Lab, 1 1, ran theon-site measurements. Our Water Plant b, -, ran the Total Coliform.All other parameters were contracted out to Hydro Analytical Lab in + lemrmns. VDUs were analyzed and chloroform levels remain high;. The laboratory believes this is due to using chlorox solution as a disinfectant for the bailer; they sent a copy of an alternate rinsing method, which we will incorporate, Results of the VOC analyses are attached. f I can be of further assistance, please call at Sincerely, L. F. "Joe" Hudson, r., Director for Water/Wastewater Treatment LF is ; Enclosure ConsultingWolrd7lLaboraton*es, Inc. Analytical and 1316 South Fifth t ATE RECEIVED 3 5-P3 it , . . 2840 DATE REPORTED -14- 94 PAGE 1 OF 5 HYDRO ANALYTICAL LABORATORIES INC P.O. # 1.933 3 30A DRIVE BOX C, NC 27012� , a.r 9 3] ATTENTION: TERESA PERRY Po SAMPLE SCRIP lc : 6 SAMPLES3 ------------ I. 4TH CREEK WELL 2. 4 H CREED WELL 3. 4TH CREEK WELL . 4TH CREEK 5. 4TH CREEK D3 .. ... CREEK RESULTS 1 2 3 4 5 16 6230D COMPOUNDS DATE ANALYZED 3 35 3 5 3-35 3-35 3 5 3-25 Dichlorodifluoromethane, PP .5.5, ,.5 0.5 .5 Chloromethane, PPB <0-5 .5 0.5 .5 .5 < .5 Vinyl Chloride, PP5 . 5 <0g5` . 5 . 5 . 5 . 5' Bromomethane, PPS .5 .5 0,.5 .5 0.5 .5 Chlthh, PP3 . 5 .5 .5 .5 Plutlhmthn PPH .5 .5 .5 .5' ;5 l hl ro meth ne. PPP . 5 . 5' . 5 . 5 . 5 5 trans-1. - l hl thyl n , PP5 . 5 . 5 , 5 . 5 <0. 5 .5 .l- l hl th n PPP .5 .5 0.5 ,5 .5 0.5 3, i hl r P P n, PPP .5 .5 0.5 .5 .5 0..5 FFxford Laboratonies, Inc. Analytical and Iting C hem Consulting Che 1316 South, Fifth St South, - th St DATE RECEIVED 03-25-93 Wilmington,, N.C. 1840 DATE REPORTED 04-14-93 (9 9 3 9� 193 (919) 763-9793 93W6244 PAGE 2 OF 5 HYDRO ANALYTICAL LABORATORIES INC P.O. # L93323 6300 RAMADA DRIVE BOX C-2 CLEMMONS, NC 27012 ATTENTION: TERESA PERRY SAMPLE DESCRIPTION: 6 SAMPLES (6230D) 1. 4TH CREEK WELL 1 2. 4TH CREEK WELL 2 3. 4TH CREEK WELL 3 4. 4TH CREEK D2 S. 4TH CREEX D3 6. 4TH CREEK U4 RESULTS 1 2 3 4 5 6 cis-1,2-Dichloroethylene, PPB <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 Chloroform, PPB 16.9 1.59 3.61 0.87 7.59 (0.41) Bromochloromethane. PPB <0.5 <0.5 <0,5 <0.5 <0.5 <0.5 1,1.1-Trichloroethane, PPB <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 1.1-Dichloropi` opene, PPB <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 Carbon Tetrachloride, PPS <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 Benzene, Total ug <0.5 <0.5 <0.5 <0,5 <0.5 <0.5 1.2-Dichloroethane, PP B <0.5 <0.5 <0.5 <0.5 <0,5 <0.5 Trichloroethylene, PPB <0,5 <0.5 <0.5 '<0.5 <0.5 <0.5 PPS <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 Bromodichlorometha,ne, PPB <0.5 <0.5 <0.5 <0,5 <0.5 <0.5 Dibromomethane, PPS <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 1.3-Dichloropropene, PPE <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 P.Ford iAboraton'es Inc. Analytical and Consulting 1316 uth Fifth St DATE RECEIVED 03-25-93 Wilmington, N.C. DATE REPORTED 4-14-5 (1 763-9793 5`544 ;AGE 5 OF 5 x HYDRO ANALYTICAL LABORATORIES INC P.O. 6300 RAMADA DRIVE BOX C-2 CLEMMONS, '° T N TERESA PERRY SAMPLE ES i P SAMPLES 15 1. 4TH CREEK WELL 1 . 4TH CREEKWELL . 4TH CREEK WELL 4. 4TH CREEK D2 S. 4TH CREEK E 4TH CREEK4 SETS 1 2 3 4 5 5 Toluene, PPE .5 .5 *5 .5 .5 .5 1.1, 'ri hl e h e, PPB <0.5 .5 .5 .5 .5 .5 Tetrachloroethene. PPn . 5 . 5 . 5 . 5 . 5 * 5 1, - 1 hl op p , PPE .5= .5 .5 .5 .5 iohl cue thane , PPB <0.5 . 5 . 5 . 5 . 5 . 5 Chlorobenzene, PPE . 5 a 5 t _. 5 . 5 . 5 . 5 Ethylbenzene. Total a .5 .5 ,.5 .5 0.5 1.1.1, -Te achl e hane, PPB .5 .5 .5 .5 .5 .5 Total Xylenes, PP 0.5 .5 .5 .5 .5 Styrene, PP5 .5 .5 «5 .5 .5 m5 Isopropylbenzene, PP5 F5 .5 .5 .5 .5 .5 1, 1.P. -Te chl r e hare, PPB <0.5 .5 .5 .5 .5_ , 5 Analytical and u 1316 South T 3-253 Wilmington, ton, DATE REPORTED 04-14-93 3244 AGE 4 Off" HYDRO ANALYTICAL LABORATORIES INC P.O. # L93323 6300 RAMADA DRIVE2 CLEMMONS, NC 272 ATTENTION: TERESA 1. 4TH CREEK WELL 2. 4TH CREEKWELL 3. 4TH CREEK WELL 3 4. 4TH CREEK2 5. 4TH CREEK D3- 5. 4TH CREEK U4 . 2.,3-T r l r pr pan . PP5 n-Propylbenzene, PPS Bromobenzene, PP3 1.3,.5Trtlsx. PPS -- hlur t PP5 ..: p-Chlorotoluene. PP5 .a. t r -5u 1 n , PPS 1.2.4-Trimethylbenzene, PPP sec-Butylbenzene, PPS p-lsopropyltoluene, PP 1®3-D11r. PPS -P'ut lben PPP 1 2 3 ,5 .5 »5 ..5 .5, ,5 .5 .5 5 .5 Q,5' ,5 .5 .5 5.5 d5 b.5 .5 .5 ,5 5.5 .5 .5 .5 .5 5.5 .5 .5 .5 .5 .5 .5 .5 5 . 5 5-.. 5 5 5.5 .5 .5 .5 <5 5.5 < 0 .5 . 5 < 0 ,5 .5 <0 .5 0.5 < 0 .5 .5 .5 0.5 <0 .5 .5 <0.5 .5 5 ,5 <0a5 .5 .5 Inc. P'o Analyticalr7dLaTboraton'es and Consultingle 6 South Fifth St ATE RECEIVED 03-25-93 Wilmington, N.C. 2840 DATE REPORTED -- t 66 - i' 36244 PAGE 5 OF 'HYDRO ANALYTICAL LABORATORIES INC P.O. # L53323 6300 RAMADADRIVE 2 LPN, NC 251 ATTENTION: TERTERESA PERRY SAMPLE ES IPT N 6 SAMPLES (6230D) 1 CREEK WELL 1 2. 4TH CREEK WELL 3. 4TH CREEK WELL 4. 4TH CREEK D2 5 4TH CREEK L3 6. 4TH CREEK U4 RESULTS 1 2 3 4 5 6 -Lih . h n, PPP . 5 . 5 0. 5 . 5 1. 2, 4-Tri l. n PP 0.5 5 5 . 5 . 5 . 5 Hexachlorobutadiene,PP .5 .5 .5 6.5 .5 5 Naphthalene, PP5 .5 5.5 .5 .5 .5 5 . ,3-T i hl cs z n PPS .5 .5 5 6.5 .5 .5 METHOD 504 COMPOUNDS DATE L Z 3-36 3-3 3-3 3 3 3-3 3-30 Ethylenedibrom d ( EDP ), PP 6 . 2 . 2 . 2 . "2 . 2 6. 5 1, 2-Di -3-a1 rP .nPPS . 0 . 2 2' . 2 .6 PRUCE A. R P3 A , CHEMIST Em w PERMIT NUMBER: (REQUIRED) NPDES j)TE_QE_Q1_SPQ2L OPERATION BEING Lagoon Septic T n Field Spray Feb Sttsurface Low -Pressure Nov( ) Land Ap*zion of Sb* Other i.g?" WMEM r; HS REPORT IS TRUE AND ACCURA Sighftke of u GW-59 REV. N -- ,_ mo r Z /I Pestidides/Herbicides (SpecifyCompounds) Ug/1 ugA 11MA COLLECTIONYS F GROUNDWATER SAMPLES point i tt, land s Galt � pumpalbaled before samfAing Field Analysis, pH-6.—.,ISpedfjc Conduc Dam / t afmv t 01. COLL should be an ed as soon SPEC ED FOi THE METHOD USED (SEA: BFL.O , MU ANAI RO ND ATE 3 SA PLES A YSES ACE: TO BE MADE, IF 'THE WATER„ aOi TI-ME 'MAT A„ PR E,fRES FOR AMPLE Cat")t.,,L.ECTI e lb, North Carolina Adrnrr one of the collection. SAMP BILE EC° A PARTS u l PfESERV A t�4 airs pf'rti„€xd CH ARE NOT. - - - 'USE H THE HOt DI 'DE'RDED AND NEW SAMPLES COt-LE'C TED, L VEE PLS WELL A) COLLOIDAL) IN THE wrni VO R )RATOM' Of - and Wastewater, / Works ry ssocift tly 1S of Water and Waste, (c) Test Methods to E „€r sting Solid Protection Agency put ; taraa number ; (4) ..0 t Procedures for titif, Analysis of Pr Part `9 6, October 26, 4, Measure and record the if water in At least 3 volumes s of � t r ira tts� rtlf f r.r€s. purr before " 3 well s? me s''Ned, sc ii 'us3R"° be collects collect your &le, purr 6. Deterrt saris for pH ecYted". 7, Fk kJ equ prnet'it rnust ire ' rt r tt n ra r., r n :a fff ter'°part a :€si'? s irG.r t at ti [feral' t€..irc ` ta 0,45 `on fitter if -media, fi„ thr , rsi" i%ls Pssrsts ; ii"ir l :f fats ;ifls t ff w time of ,u.Cµ lls:fly; PhySR J U. Ch U S l "".! Meth can, t U Sh En- Jrrltirn, Liner the Clean Water ,Act„ Federal Reg tr r" Val. 40, No, 209, 40 C F R an 'any air sti,ai 'Iron' le a` r n lyd i tt the a pur °'r :r'Larl d dry o the point enough silr t sr r av Mderntl' y+' the. rr ..rr°arEtr otur, tr, a dlit.ti o f .s:, r94t t' i r'as°i. ii 8d.pi °qured. 'tT Environment l Natural Resources 9 Nbfth Main Street Dear [`fir. ndy; As agreed in a conversation and inspection of the monitoring well site between Steven Lambert and yourself this morning, the City of Statesville will continue to sample and test the well located rear of the Dewatering Building, until disturbed by scheduled construction of our Sludge Stabilization Facilities. The City will then properly close the well and Pilo the necessary report. Should the , next scheduled sampling event be interrupted by the closure of the monitoring well, all other monitoring wells monitoring the Aerobic Digester will be sampled as usual. Once the e path of construction and: construction traffic is determined, the City will have the replacement monitoring well installed, and the fall monitoring schedule resumed,The estimated amount of time required before a new well is constructed is six months from closure of the present well. If YOU have any further questions contact Mr. Jerry Oliver or Steven Lambert at i0_8'8-p Sincerely, L.F. "Joe" 'Hudson, Jr., Director, Water/Waste eater Treatment CC. Jerry Oliver Carol edgers 72, DATE:` M SUBJECT: k g p w P2�hxzt w e r r � M From: Ado TER OUALITY MONITORING: COMPLIANCE REPORT FORM _ a�� k NATVR&Vor additional forms write rite r call: Facility Name _.fit-C�, P�� �,.. Address Well Locationf r :a rt ICI''° tf `ra C �� r.f �titll W Well Identification Number WWI 1pt _ __ t,. Well Diameter 2ff Sample (Screened) Interval to To_Ft. Depth to Water Level ft. below measuring p' oint. (before sampling) Measuring point is feet above land surface Gallons of water pumped/balled before sampling age Groundwator Section P.OBox 27687 Raleigh, NC 27611-7687 County PERMIT NUMBER: (REOUIRED) Non -Discharge scharg — t Application of Slud TION BEING MONITORED septic Tar kMrafn Field Subsurface e Low- resaure Piping (LPP Other Digester FieldAnalysis: PH Specific Conductance fps T mp. 0 Odor _ _ _ Appearance Cate Sample Collected _ _ _ Date tab Sample Analyzed Laboratory Name Certification No. COD Frig/I NO2asN rng/I C lifnrm-, MF Fecal f f rnl NO 3 as N rng/I Colif rm: MF Total / joomI Phosphorus: Total as P rng/I Dissolved Solids: Total 56 mg l At - Aluminum mg l p when analyzed) units Ba - Barium m /I TOC rrt /I Ca - Calcium Frig/1 Chloride Flag/I Cull _ Cadmium m /I Arsenic rig/I Chromium: Total rng/l Grease and Oils mg/I Cu - Copper rig/ Hardness: Total rng/I Fe - Iron rng/I Phenol rng/I fig - Mercury g1 Sulfate rng/I K . potassium mg/1 Specific Conductances a ttos Mg - Magnesium mg/I Total Art monia(NH3 + NH ) D mg/l Pin - Manganese _ mg/I TIN as - mg/I Na - Sodium - Frig/I': I CERTIFY THAT THIS REPORT IS TRUE AND ACCURATE. �S 'o ^AT Ni Nickel mQ/I Pla Lead mg/I n Zinc mg/I Pesticides/Herbicides (Specify Compounds ug/I ug/I e s ,ti a� •� ug/I Other (Specify) ug/I ugA ug/I kw u9/1 r u/I Values ,shoui'd reflect dissolved concentrations dsee . on reverse) jin Submit blue, green, and yellow copies =Ly. to address above. G-59 REV. /90 F SPEtt'E ,FOR SON ANt) NAL Y LPL GROUND . I SAMPLES WHIC ARE rvw„S OT ANALYSED WITHIN THE HOLDIN iOD SE (SEE EEO UST BE D SCA DED AND NEWSAMPLES COLLECTED. 2, A ALYSES ARE To E MADE OF THE CONSITI°1 UENTS DISSOLVED IN THE GROUNDWATER, NOT THOSE THAT ARE A PART OR ADS C RBF UNTO, OfL/SEDIMENT PARTICLES, ICLES,, CHECK I1 H YOUR LABORATORY ON PROPER PROCEDURES FOR IPLL COLLECTION AND PRESERVATION„ wrm rnt r rolinr Ar following pui, ciode, Subchapter 2t_ ! t rtrrr dares slntall be Ire a:ccordarroe with the; met ds or by other ,methods raper e beforeha d by the Director, Divs to of Envir n}ment l ,ds rd rtrc$tirrarJ'r for ttte F ° rrrlr tlr n Water and Waste 6tf Edition, 1985, u t fwshed joirrrtly by American :Ad Health Assodati r , Amen rtarn t trtr° Works Association and ratsrr Pollution control Federation; €eti" rids for Chemical Analysis of Water and e, 1979, U S, Environmental Protection Agency publication n utrt„Z.be r '4 i 9 020a as revised March 198$ ods for Evaluating, Solid Waste, : P ysicl/Che nit al Methods, 3rd Edition, '1 t, S Environmentrrl n Agency put,xfrrration nurrh r r°oc edures for the Analysis of Poilr)rtrtts t ►nder the Clean Water Act, Federal Register Vol„ 49, No„ 209, 40 CFR October 26, 1 84; sure and record thedrrpth,ot watrr` Ira the ,cell pr.lrn to p ,ra ping 0r tailing any water frrrrr"r'the weal f v ttos' The S r i! sir trld be punts rt dr trail d Peet art collecting s .rr pl for r na.tlysis, If erovoo rrrrtrls are be 'oolloofrrrt as coon as the, weir; tut, tar ce, t r"per t i r o r" , d a p a tr: a t.rer t r s't be calif r 't = irr acr«or'ds. COn"l' °I l d ?`(eeda°`tl"1 nddti e ' rs to the where enough r°`hlldrJ drys available to Address Ifl t I tlr�t, t rATAL It lit Well Location n Well Identification Number D-2 Well Depth . t. Well Diameter " Sample (Screened) Interval - t. To —Ft. Depth to Water level ft, below measuring point, (before sampling Measuring point is feet shove lead surface Gallons n of grater pumped/balled before sampling 20.39 Field Analysis: p . Specific Conductance To p. I — q —' Fj Lagoon LAW Application of Sludge -- Santo Tank/Drain Field Subsurface Lo re Snrn Piping (LPP) Leer . Odor Appearance Date Sample Collected Date Late Sample Analyzed Laboratory Name 4th Creek WWTP/Water Plant Certification No. COD I Cnllfcrmn Fecal ,--____Ilooml Coltf rrn. MF "dotal41 1 00ml Dissolved Solids: Total 40 _ m l PH (when analyzed) units NO2asN mq/I NO 3 as N rnl Phosphorus: Total as P_ mg/f At - Aluminum mg/l Barium rl C mg/I Ca - Calcium mg/f Chloride mg/f Cd - Cadmium rn Arsenic l Chromium: Total MQ11 Grease and Oils rrrl Cu - Copper 1 Hardness; Total rrr l Fe - Iron l Phenol MOM Hg - Meroury mg/l Sulfate /1 K - Potassium mg/I Specific Conductance uMhos Total , mmorgaCNH * NH4 560 mg/I Tl N as N Mg/1 Magnosturn I n - Manganese ri Na - indium mg/1 I CERTIFY'THAT THISREPORT IS TRUE AND ACCURATE, SIGNATURE URE EP I E AUTHORIZED AGENT-) "A P GW-59 REV, 2/9 l - Mickel rrtl Pb - lead rrtl 2n - Zinc real Pesticides/Herbicides (Specify y Compounds) Ug/I ug/I Im Otter Cape ft ,. m.e.s. ug /I 4; Values should reflect dissolved concentrations (See #2. on reverse) above.Is L Submit blue, green, and yellow copies gnjy to address m or THE c EDI Ager� ph yeti, e ra ' 'an -be o ROU VA E RAT RV ON Wat qty " 't or batitedtprigrto,coll asp ,; r f :ade En 'HOSE THAT AR' A P RT ROPER PROCEDU ance with of 'Er FederLi Agency: 'p Enviroorn E OR TER OUALITY MONITORING: COMPLIANCE REPORT FORM For additional forms please write or call - Facility Name 4th Creek WWTP Address Well Location gar grads rtt J�q P 4# � 39t. Well Identitication Number, Well Diameter 2 " Sample (Screened) Interval Ft. Ft. Depth to Water Level - If. below measuring point. (before sampling) Measuring point 6s � feet _above lard surface Gallons of water Pumped/balled before sampling Groundwater Section P.O. Box 27687 Raleigh, NO 27611-7687 (919)733-3221 County Iredell PERMIT NUMBER: E IRE ) Non -Discharge Monce NCO031836 Lagoon Shy PjoM - - Leaf Application of Sludge LAKERMIMMM - Seplic Tank/Drain Field — Subsudace Low Pressure Piping (L ) Other Digester Field Analysis: pal _ Specific Conductance hays °To p. Odor . Appearance Date Sample Collected fate Lab Sample Analyzed Laboratory dame Certification No, COD, rrrg l NO2 as I%i mg/1 Ni - Mickel rrtgAl lif arm. CIF Fecal tf 0ml Calif rm: MF Total /100ml Dissolved ved Solids: Total 1 rrtg l PH (when analyzed) units gVI Chloride mg/I Arsenic gI Grease- and Oils r g/i NO 3 as N r' g/t, Phosphorus: Total as P rngll At - Aluminum rng/I a - Barium I Ca - Calcium rrtg I d ., Cadmium 0 3 mgJl Chromium: Total AI Copper rtt8 HardnessTotal . rrtg/I Fe - Iron rng/l Phenol rng l leg - Mercury _ mg l Sulfate mg I K m Potassium mg/1 Specific Conductance uMhns Mg - Magnesium rrtg l Total ArrAmonia(NH = NH &mg/I Mn - Manganese rrtg l T N as N mg I Na- Sodium rngdl I CERTIFY THAN THIS REPORT IS TRUE AND ACCURATE, \ ' S1G A F ERMI TEE R AUTH I l AGENT- tA�T b M Lead gl n _ Zinc 5 Mg l esticides/Herb icides {Specify pounds ug/l ug I trg/I Other ( pectf�) ug/l .. krA /I ug/1 gg Wroe' ug/I uo/I Values should reflect dissolved concentrations (See , on reverse) Submit blue, green, and yellow copies on.1y to address above. -5g REV. /9g T. IFIED FOR USED (EE 3 WATEH SAMPL ARENOT ANALYSED WITHIN THE HOLD DED AND NEW SAMPLES COLLECTED. ANAL Y ,S ARE TO BE MADE OF THETHE-CONSITITUENTS DISSOLVED IN THE GRO NUWATER, NOT THOSE THAT ARE A PART or, OR ADSORBED ONTO, SOIL/SEDIMENT PARTICLES, CHECK WITH YOUR LABORATORY ON PROPER PROCEDURES FOR SAMPLE COLLECTION ,AND, PRESERVATION. r Title 15, North C zr'r iirra Administrative Code, , ubch ;ptet` ytic: ed in one of the to,rlowing publications, or by other methods approved procedure .sf°rali too it r ccord,ar rrtrand Diviis lard methods fr r the Fx rr ination,of Water and Wastewa l6th Edition, Health Association, American Water Works AsSociation and ,Water Pollut rr hods for» Chemical Analysis of Water and Waste, 1979, U,S, Environinentaf A 600/4-79-020, as revised March 1983, (c) lest Methods for Evaluating Solid W a t ; Ptrys at'Chem i l Methods J d Edition, 1'8 Protection Agency publication number S4 ~ (d) Test Procedures for the Analysis of PoUnder the Oleen Water Act, Fod ral Hegist: Part 136, October 26, 1984; , z and record the depth 0t,r tvvr lu Welty in the w ryes of water in thewefisi"r )turner are removed, m�r't° e, d prior to , car' trailing be co duotrnce trrrsrtur d ir«acdance 0.1t'rrr�r Lifts.. ahrv'ied ot: tl;� tirr'is r bailed 'prior .to cu ted as seen as the der and r pearant t t rat be made rrrttrtir r"r by the r °ranutact e with the r rrrthod s n of Environmental bubliw hed joint y by Ar erca,n ederatlon µ Agency p.,biiction raurrber J S Environm ntr Vof. 49, No.. 219 40 CPR s ff the wet t is pumped'l aileddry 'here enough water is available' d On Ur trysr rr roc rrrR (1 f err Sri number rtn f dsto rtrrd l ATER QUALITY MONITORING: COMPLIANCE REPORT FOAM pTr additional forms r ffu Facility Name nth Creek WWTP . Address Upgradient Well Location FIfltf Well Identification Number U4° Well Depth 49 Ft, Well Diameter 211. Sample (Screened) Interval -Ft, To Ft, Depth to meter Level ft. below measuring point, (before r mpling EPERMIT NUMBER., Non-Discharge rs 0 31 Groundwater Sootion P.O. Box 27687 Raleigh, NC 27611-7687 (919)733-5221 Lagoon Septic Tank/Drain Field Spray F - Subsurface Low -Pressure Piping IL ) Measuring point is feet above land surfaceLand Applicabonof Sludqe Gallons of water pumped/bailed before sampling :f Other riet r t�i trt�ut r Field Analysis'. H Specific C6nductancO _uMhos Tamp; pC Odor Appearance Date Sample Collected - 1 Da :te Lab Sample Analyzed Laboratory hose ' ° Certification t 1 NO 2 as N rrig/I Ni- Nickel mg/1 t llf rm: MF Fecal f gml NO3asN 388 _mg/l Pb - Lead ring l Calif rrt. MF Total /100ml Phosphorus: Total as P rrtg l Zn - Zinc .0 g Dissolved Solids: Total 1 mg l At - Aluminum trig Pestle ides/Herb iside (Specify C pound ) pal (when analyzed) units Be _ Barium m l ug/l T C 7.8 mg,/l Ca - Calcium_ mg/1f Chloride ri e mg/1 d - Cadmium g l Ug/i Arsenic mg I Chromium: Total mg/1 Other C p ify z Grease and Oils it Cu - Capper .. g/l Hardness: Total -- _ - Phenol reg/l g' - Mercury � � - l Sulfate mg/l K Potassium mg/1 . ;; USA Specific Conductance - - -- a has fig - lsla Cne ium rrigtl ug/1 Total Ammonia (NH3 + tf ) g 1 • Mn - Manganese rng l T el as N rrtgll Na- Sodium trig/l HPIL Wuas sholAd refleui dissolved ooncentrations (See . on reverse) I CERTIFY TH T T I'S REPORT IS TRUE AND ACCURATE, -7- 1 A` kT9 _ TL SIG TI U�t AGENT") T t N AND ANALYSIS OF GROU4 WATER SAMPLES lad be analyzed koon ors possible atter collection. SA ° PLES WHICH ARE NOT ANALYSED tTHIN THE HOLDING TIME SPECIFIED FOR THE METHOD USED (SEE #3. BELOW) MUST BE DISCARDED AND NEW SAMPLES COLLECTED, t". ANALYSES ARE TO BE MADE OF THE CONSITITUENTS DISSOLVED IN THE GROUNDWATER, NOT THOSE THAT ARE A PART OF, OR ADSORBED ONTO, SOILSEDIMENT PARTICLES, CHECK WITH YOUR LABORATORY ON PROPER PROCEDURES FOR SAMPLE CtLLEC—ION AND PRESERVATI"N. 3 As per "f'itie 15, North Carolina Administrative Code, Subchapter 2L, analytical procedures shall be in accordance with the methods described in one of the following publications, or by other methods approved beforehand by the Director, Division of Environmental Mfana emewat �a Strrndrrrd methods for the Examination of Water and Wastewater, 16th Edition, 1985, published jointly by American Public. Health Association, American Water Works Association and Water Pollution Control Federation: (h) Methods for Chemical Analysis of Water and Waste, 1979, U.S, Environ ` ental Protection Agency publication number EPA-600/--79-020, as revised March 1983, (c' Test Methods for Evaluating Solid Wastes: Physical/Chemical Methods, 3rd Edition, 1986, U.S. Environmental Protection Agency publication number SW- 46 (d) Test Procedures for the Analysis of Polivants Under the Clean Water Act, Federal Register Vol.. 49, No 209, 40 CFR Part 136, October 26. 19 4; 4. Leasure and record the depth of wat the well prior to pumping or bailing 5..:At least 3 volumes of wager in the well should be pumped or bailed prior to collecting a sample for analysis, If the well is pumped/bailed dry. before 3 well volumes are removed. samples Can be Collected as soon as the recovers to the point where enough water is available to collect your sample �. �oror`snrsrarar os roe p ariaple. rs collect r Field e uiprrre st must be allbrat ii acc rda a� with raoolat r e atiorra by the: rnarrutacturor° riF hk r �l s rrust Lrr t Etered tlarPugh' ra 0.45. rrncr rr fii or Ir ire ediately alter collar fl r°i wl° .a dissolved analys is required. See . above) h- . r lrlr corsttai sir ,,.ohs. ki t e ira%aterl t. ifse time at r iir ctson wsait flap fas allay nan`ae wol dr,.rttafl rrtiot number and date andtsars o .,� nd actan ,e, tr:n°tperaturr , oder and appearance it ust be r and ir' the fi ld on unfiltered arnpies when the ."Auth siz N.ri r rst"g 4'> a ny con or` t�' fl r`�r r „4 :blic ifir i c rr l �rlr rl b':"' ° i y r o yorar cprpar�t rir go vorrsrrrontal bony tn *offscaal. For additional forms please write or call: Facility Name AddressC t d Sta'tesville, NCI28677 Well Location L3 Well Identification Number _Q-4 Well Depth -. t,. Well Diameter meter 2" -- .,..�.....�..,� Sample (Screened) Interval - `t. Tt. Depth to Water Level ft, below measuring point. (before sampling) point Measuring samplingGallons of water pumped/bailed before County PERMIT t, MBER: Non -Discharge — Lagoon Shy Division*If Environmental Management Groundwater a O. Box 27687 Raleigh,. 6 (919)733-3221 Land Application of Sludge Septic Tank/Drain Field Subsurface Low -Pressure Fttrtr tLPP) Other Field Analysis: pf-I Specific Conductance . uMhos Temp. C Odor Appearance Date Sample Collected Date Lab Sample Analyzed Laboratory Name Certification No, _ COCA mg/1 NO,2 as N - mg/I Ni - Nickel rrtg/I Coliforrn; ME Fecal 100ml l gyl Fed - Lead g l Coliform: MF Total __-!��-../100rnl Phosphorus. Total as P mg l Zn - Zinc WA7 mg/I Dissolved Solids: Total mg I I - Aluminum i g,/1 I esticides/Herttidides (Specify Compounds) unds p (when analyzed) units Ba - Barium rrtg l ug/l TOC mg/1 Ca - Calcium rrtg/l ugll Chloride 6.4- mgfl Cd - Cadmium rngr'i ug/I Arsenic rag l Chromium: Total mg l Other (Specify) ug/I Grease and Oils rag u �- (rapper Mg/1 �� ��� �" A u /I Hardnes Total t ig1l -iron , rig l � � � f u /I Phenol rng l i g - Mercury �.r.,ti, 1` � �� � ug/I Sulfate . g/I K - Potassium g/1 At 19 j�49 � ug/I Specific Conductance u hos Magnesium /1 ug/l Total ,nron (4-l� tel 4nganese---- Mn - Ma3 TKN is N ag/I Na - Sodium rtt /f Valuosreflect dissolved conc rrtr t n ( reverse) I CERTIFY THAT THIS REPORT IS TRUE AND ACCURATE, SIGNAT 117E OF PERMrT-TEE(OR AUTHORIZEDAGENT" ) rr ** Submit blue, green, and yellow copies oft to address above. SPECIFIED F ANALY ES ARE "TO OF, OR ADSORBS SA PLE COLLEC°"ftr r� a pr ssi NTHt L USE COIL' FFL ttt AND Ptt ` E RVAT 3 s psr " i'tte 15e Norm Carol la dmit des :r'ftrecf in one of the following pub-tc,uatfor Man r°'aerr. card r wt `hods' for the. sca la turn, Amen o odsfor k EP-600/4-7O O2U a vise SA,,t LEN°.WH t MUST T DISSOLVED 3 Htn.CK WITH try r th r` r a ARE NOT ANALy, ED WIT E DSAMPEES C GI1OIJNt LAB 'TORY N PI PER "PR CEDURES FOR EHOL.. f 1 E TD. tares a Wastewater, s lkr* Association and W'at :.¢ Test Methods for Evaluating r ff t ' rr tr r t Lrysicv ,t ,a rr rrr csa Protection Agency publication r r rr° be, ',; (d) Test Procedrrrras for the Analysis of Pollutants Under Part t 39, October d( 9$4 4.. Measurerd °tbe depth of water to to parrtp°srat bailing arty THOSE THAT ARE A PART Prelatica ttf rr°rstbads vision of ytr r mer°t a a,rt ttretr rt carrtty by Arrr Est Fedier atfoft, rl y pubtasartton rrrrrrat er Environmental Ar;t, Federal Register rrl. '9, No° tart, t C F 5, At least 3 volumes of water idthe w°el shoukk'e pump r d or ailed pater to coUt ctin j pte for analysts, if t before 3 well volumes are removed, r,rxaples can be cal as soon as the well recover" Ira the per it where e ccoltect your sample. 6. Determfrrrrtton for pH, Specsradrrct: rase, tmperatore, rrppeararararar ra'°ar st be rtr rtsr trr °tta ftOtd on urafflterrad s as vies when tt, sample is c, ffecte $ Field equtpr be c:aliL ranted fra a a£a)rrdarace wttf re rrrr°ner aulatton by th ma nufrctrur°u° 8.. Samples mps be ff er'ed throw h r 0 4 t rnr.., 9, lho sample container should be labeled at thettrT e lected, =r A uth ort'er t documents, when,a din otved rr d'b ailed drys avaflate to r"aaalysis ter rogered. (wee 3 bowel °orn w tat the feNlity name, melt tdent ttcaruon member r nd date and time nol- ny corporate off r,rar` sr prrtatfc of iral r.r.rtLror'i road by tide ,company, corporation, ar" governmental trody to sµ MONITORING:ER OUALITY iManagement SectionGroundwater P.O. BOX, 27697 Raleigh, NC 27611-7687 For additional forms pleass wrie, or call: (9191733-3221 Facility Hams Address Statesville, .�EM119= Well Identification Number D-3 Well Depth . ,. .,�,�Ft, Well Diameter Sample (Screened) Interval —Ft. T —Ft. Ft, Depth to Water Level f ,, below measuring point. (before r sampling) Measuring point is - - 3 feet above land surface County EF 1T_NUMBER. Non-llsuharg —. Land Application of Sludge septic Tank/Drain Helot Subsurface Low -Pressure Piping (LP ) Gallons of water pumped/bailed before sampling Rotary Distributor Field Analysis: pH Specific Conductance — Whos Temp, 0 C Odor Appearance Cults Sample Collected mats Lab Sample Analyzed . Laboratory Name Certification No. COD mg/I NO2 as N m q/1 Ni - Mickel mg/I C lit rm., CIF Fecal /100ml NO 3 as N - trip l Pb - l..aad mg/1 olit i°m, MF Total ti r l Phosphorus: Total as P mg/I Zn - Zinc mg/I Dissolved Solids: Total 112, mg/I Al - Aluminum Trig/l l m sticid s/Herbicides (SpecifyCompounds) PH Then analyzed) units Ba - Barium mg/I �. pug/I TC _�-` _ /1 Ca - Calcium rigA u ug/1 Chloride ____1ZA_4_ mg/I Cd - Cadmium � � g/ ug/1 Arsenic rig/l Chromium: Total mg/I of uig/1 Crease and ails m g/l Cu - Copper mg/1 ug/l Hardness: Total n"ifl Fe - Iron _ rgl1 uug/1 l Phenol mg/1 Hg - Mercury g/l 991, ug 1 Sulfate g/1 K _ Potassium mg/1 _ ugll Specific Conductance u1R has Mg Magnesium mg/1 j1Cuug/1 Total AmmoniaCNH ,, NH4)mg/1 Mn - Manganese rt QA TKN as N mg/I Na Sodium mg`/1 Values should reflect diolvedconcentrations 1 CERTIFYTHAT THIS OFF IS TRUEACCURATE. Jig, (See �: on reverse) SlI T�1 HF OF PERMITTEE AUTHORIZED AGENT* VMOK Submit blue, oreen, and yellow copies oft to address as REV. 2/90 rapies shol be arez E SPECtFt FOR ` ti ANALYSES ARE TO E MA E OF THE C OF, OR ADSORBED t)N1-0Y� SOU. ISED ML° SA °.; PEE OLLEC" ICN AND PRESERVAT As per Title 15, North Carolina Adr let described in one of the following publi a ti Management: ndard t tthnd , Heaitl A (b) MrIthods tor LPA 60r0., 4 ,79 ,02 D A ALY t G POND, SAMPLES H CH ARE NOT A ALYED TON `NE.,HOLD NG MAST BE *ARDED AND NEW SAMPLES P:L OL.LECTED. TtwtE T PA 'LES. CH SOchapter r L NED IN "I GROt, WATER, NOT THOSE THAT ARE A PART YOUR LA, TORY ON PROP R PRC E URES F oc dur yk l°a l tt n a rht rineth ds a pp, r`s'w vod rehand by the D t` I Methods for Lv rra , r rt 1 tVa,,tr s° Physic In Protection Ageney ublrc rtior r r nber W 4r, (d) Test Procedures forte Any l of Polluents Under the Clean Wet r Act f rr r l tees Ater Vol, 49 No, 209, 40 CFR Part 136, October26, '19,84L Tat ry let r &it o ',Water Pothitio r rrt�l P,rrtnotrr Agc thodaa. Jofratly by r'rt; on; rr mbr 4.. Measure and to rd the depth -of titer irr tl°rr well ph r t.o punpun At least 3 'volumes of before 3 well volumes ar collect your sample. 6. D terr is saMple is In The well should pur ped or 'baited p for t0 e- 1 wed sarn,ples ftbe collected as s,00rt as th • perature, ,odor rt r ppearann 7. Field equipment must t"r All n accordance itt r°ecomrnendatir9r s by tl 8,. 9. The srunp1 L lected4 "Authorizedagent" doc.L m.3r,Jt . abrkd Ir y corporate ediattiy rtt liar' wi d Ethtion, 19 tt U.S„ Environ,me srripla f r rr iy istt It tt rll i r i ed L filed dry /rs to th 'pr it t whereenough ter r available to In the ti ld on unfiltr rod samples when actirr'or, a dissolved. ulred. See above n with l ter ility name. identttie rrtion rrr. r tbar and data n author tlx: y t e co mp rnyY, 1p.w3 rwr io 's`y :n of iOk411 � �" a � ... #b � ss ..: • as Facility game 4th Creek WWTP Address Off Bela, Farm Road Stateavillet NC 28677 Well Location Dow Well Identification Number, - ell Depth _ t. Well Diameter Sample (Screamed) Interval Et. T t, Depth to Water Level ft. below measuring point, (before sampling) Measuring point is _�2_ �25 feet above land surface Gallons of water pumped/bat'led before sampling ,; Division of Environmental Management Groundwater P.D. :x 27681 Ralaigh, (919)733-32,21 County 3 E'EN NUNUMBER. Non -Discharge nNCO031836 Land Application or Sludge Septic Tank/Drain Field Subsurface Low -Pressure Other _Dj_qgAtgX Field Analysis. pH Specific Conductance -Wgiros Temp. p. Odor Appearance Date Sample Collected tod Date Lab Samole Analyzed Laboratory Ns n I, rt Certification No. co /I NO2asN mQ/1 Otrliforrrr. MF Fecal /100 I NO3 as N - rmg/l C lat rmr Total /t+ Clml Phosphorus: Total as P mg/I Dissolved Solids-, Total g/I Al - Aluminum mg/1 ply (when analyzed) units Be - Barium - mg/1 TOC - mg/1 O - Calcium m rig/I Chloride g/I d - Cadmium �g/I Arsenic g/1 Chromium: Total rng/I Grease and Oils mg/1 C u - Copper r�tg/I Hardness., Total mg/1 F0 - Iron g<, Phenol nol g/1 Hg - Mercury Sulfate mg/1 IC - Potassium mpg/I Specific Conductance u h s Mg- Magnesium g/[ Total Armrronia(N * NH g/I Mn - Manganese mpg/l TIT as N mg/I { Na - Sodiumi1 I .CERTIFY THAT THIS REPORT 1S TRUE AND ACCURATE. SIGNATURE F EE ITTEE AUTHORIZED AGENT-) DATE Ni Nickel g/I Pb Lead g/1 Zn - Zinc rrg/I Pesticides/Herbicides (Specify Compounds) -5g REV. g CT ON ,A ND ANALYS S OF G t . Sa r ,aples st oulr bc:aarraalyzed w3as scan a faar ca rt trr after C TIME SPECIFIED OR HE MF HO Ul'S E #3. ANALYSES ARE TO BE MADE OF `°UWCONSITITUENTS OF, OR ADSORBED D ONTO, SOIL/SEDIMENT PARTICLES, C"F AM LE COLLECTION AND PREt ER ATION# 3" As per Tate 15 North Carolinas .Administr desuibed in one of the t'olicwinp pr.,. Managementi„. 4_ Moaasrrr drat AMPLES MUST BE ENS LVED IN TH P'PTHYOUR aND S?LE CH ARE NOT AND NALY SE[ Pi HtN "C P°°P 'E SAMPLES COLL 'CTE DIG NOWATER, NOT THOSE THAT ARE A PART tRATO Y Nl PROPER PEP PROCEDURES FOR Cons, ,artar taraptaaa° Pl,. aanal~ytrr,ea4 pr'ocedurss shall or by other meths as proved. beforehand by the dad"mtiic ta; for the Ex eaU h ssoraiatich,,, ,, rn r i't` ,talaathods for Ca rnico1 Analysis EPA GOO 4 79 O2ft. as revised l tarcl (c) Test Methods for Evaluating Solid; Protection Agency publication roar ber d) Test Procedure ~ for the Analysis of Park 136, October 26, a 11 8. i of Water and Works ,Aaaso& ;at tion and rated Waste, ' to7 9, , .S. . sr Physic t 6tt Erttiaa atear l° ollutla rr t or ear rr.rat<ai !rote in asa corda Divi`-"s!orr of EnvI:ronme Methods d Edition, 1 olluants Under than Clean Wafer ecord the depth of vv a.trar in the well prior to puma At lea st 3 volumes' aft aster ire the welt should be pumped or bailed before 3 well volumes afire rem ov ed, samples can he collect collect your sample_ o r era i n`aai o ra tr arnple is colloc e tram per°<ature, canoe• d equ.p ent mu t he caahibrat d in accordance with r�crarrrrrt raa npl s roust be tilts* 0-throughar0.45 rraaa r era fiit'rr,r irnrrrr diarately a' a ar°aaplr'r containr r sl'°rr r rlc .be labeled at the tims of collection tion r t cad. Gray curpft.1ta officer or public offic'ia„` any water trom"t tl ubli ;ha 0 Asir, 7e derstior ri n Agency publi ation narn'tbr r An Environmental florin Federal Re. :ter Vol_ 49, No, 2097 40 OFF°R gar tea collecting a` a.. sample for a-anotysis, If the well is pa rr pad/bails t rfry rt as tta r well rocovem to the point r here enough water is available to appearance aance must be errs ire o tiair:*i on ns by the manufacturer. hen the a tiorr kern a dissolved rsn alysis s required. (See #3, aa,Fto e) he fah liity rr r3aara auaa a1horiced by the company, corporation, number rarrd date a ar government, rnmentr Facility Name Address Off Bell Farm Road Statesville, 77 Well Location Well Identification Number Well Depth Ft.. Well Diameter _ Sample(Screened) Interval Ft. To Ft. Depth to Water Level ft. below measuring print. (before sampling) County F 'lT F. Non -Discharge Division of a s Groundwater pt P.O. Box 27687 f, ftleigh, NC d F W — Sootic Tank/Drain Field Subsurface Low -Pressure Measuring point is 3 feet above land surface 8 Landppli ation of Sludge Other -Ziu-Q� Gallons of water ttm d/balled t o e sampling Rot r Distrii��tor Field Analysis: Specific Conductance Taos Tanis. o Odor Appearance Date Sample Collected 7- Date Lad Sample Analyzed Laboratory Name Certification No. C _ - rng/I NO2 as l rrig/l Coliform, l F Fowl / t00ml NO3asN 2.8tog/! oliforrrt. MF Total /100rnl Phosphorus: Total as P mg/I Dissolved ed Solids: Total 100 . mg/l At - Aluminum rng/l Fl (shin anal/zed) units Be - Barium g/I T C mg/1 Ca - Calcium ng/l Chloride g/l Cd - Cadmium mg/l Arsenic mg/I Chromium: Total rng/l Grease and Coils mg/l Cu - Capper _• rn /l Hardness: Total - mg/l F - Iron �; A .,g/f Phenol rng/l Hg - Mercury � _ �` gn Sulfate mg/1 K - Potassium��' rng/I Specific Conductance uMhos Mg -Magnesium rng/I Total e mmonia(NH * NH 4) a mg/9 Mn - Manganese g l TKN as N roc/! Na - Sodium,: �,, l 1 GE TIFY THAT T" THIS REPORT IS TRUE AND ACCURATE. .,.. SIGNATURE OF PER ITTE AUTHORIZED AGENT-) T i -Ein l mgl Pb - Lead mg/l Zn - Zino rrig/l Pesticides/Herbicides (Specify Compounds) Values should rofient dissolved concentralions fee . on reverse) Submit blue, green, and yellow copies oft to address above. Samples ples st rarrlcl ar'w,alyz TIME SPECIFIED L OR THE METH ANALYSES ARE "° BE MADE OF THE CONS Tt UE TS DISSOLVED IN THE GR OF, OR A SOR ED ONTO, SOIL/SEDIMENT RARTICLES, CHECK WITH V"Oil; SAMPLE COLLECTION AND PRESERVATION. 3. As per, Title 15, North Carolina Ad narr,r;,,4tr°au ra Cade, Sritacha rarraiyt°ia al prccadr r described in one of the following p rtiir tirtit. ra F tar by other. lanagement (a) Standard mothor for tr° and Public i°t alth Aral natation riCarl yatar tt orks Ass() atior (h) Mrathods for Chen of tictarand Waste, t979 U. E PA-600 4-79- 20 as re , is ct tatao°a 1983 (c) Test Methods for Evaluating Solid Wastes: Physical/ ° i° hr' icai Protection Agency publication number SW 45i (d) Test Procedures for the Analysis of Polluants U der Clear Part 136, October 26, 'i 84; „ Measure ar d r,.ecard the depth of wote approved beforehand der n::"TIQN AN ANAL..Y S OF G OUN A ER SAMPLES ttr*r collection. SAMPLE WHICH E NOT ANALYSED WlTl tit THE HOLD NG 'E 3 BELOW') MUST BE DISCARE, AND NEW SAMPLES COLLECTED. trVATER, NOT THOSE THAT ARE A PA T AT 'RV ON PE OPER PROCEDURES E Tt in a cc:crdance wit ctor Division of Environ .'ptibliShed jointly by Ar a had Wa1rar Pollution r` ot`ttroi Federation, rrt�r tak Protrtctien Agency publicratioi°r nrrt d Edition Federal Re, e we pnor to pumping or bailing any water from tho 6 a U.S. Envi roar tar V 49, No, 209, 40 CFR 5, At least 3 volumes of water in the well should be puraaped or bailed prior to collect irap iy ample for analysis, it the well i pine paa `ballot dry before 3 well volumes are removed, samples can be collected as soon as the we rrrcc vra to the point where enough ,q ater is available to collect your sample. he Deterticf for p ample s collected. iaaOtafce, terr.,.r 7. Field equipment must b calibrated in 8. Samples must be filtered through iTn r rat st.;' Iented. ' Aut ratrisa,+ai coca t' tt rat yaw uld be ordancrr,4 wwit odor and appearance must be made in tune held ova uratiltered sarrrples when the ecommenctatioras by the nuf ediately attar rrlira 'iron when a c f collection with tha ittaci%ity r13rtara we c enact analysis' is rare, ire do (' Sao tt . above) auut:hotr `arfi tay the company corpora rr uraaber aa'ad date and overnmcntaal ;hody, tr *, 11tattr/Wastmater XrmePlants a 704-870-3430 X ts �ge, A 9(gtt of 131� V ) 1, e August 14, 1991 AGR, G' Environmental Management 't.n Groundwater Section P. 0. Box 27687 Raleigh, 7177 Subject: Fourth Creek WWTP Digester Monitoring 'Wells Analyse DearSirs: Please find enclosed the results of our four � Digester Wells, sampled July 2, 1991, at our rourth Creek WWTP, NCO031836. Our Fourth Creek WWTP Lab, 1 1 n the -site measurements. Our Water Plant Lab, #37-620, raga the Total Coliform. All other parameters were contracted out to Hydro Analytical Lab in Clemmons. Results are recorded on the enclosed -59 forms,; hi show we are in compliance. If I can be of further assistance, please call at(704) 878-3438. Sincerely, x, L. F. "Joe" Hudson, Jr., Director Water/Wastewater Treatment LFH/sg Enclosures s GROUNDWAT CONIPUAN Facie Name_ Creek WWTP Address Be t Fa r t Road Statesv Location Identification Nurr Diameter 2 S Ft. Ft, Depth to Water Level uring point (t efore sempting) Measuring pant is m � at ove land surface Gallons of water pump ttaaIed before sampling Field Analysis: pH ? Specific Conductance Date Sample Collected , /} 0 / 9 2.... Et. Laboratory Name, 4th creek WWTP/6 COD __...� Coliform: MF Fecal Coliform: MF Total (Nate; Use NIPN method for Dissolved Solids: To 4-1. uMhos Temp. pie Analyzed Plant A PERMIT NUMBER: (REQUIRED) Non -Discharge NPDES _ NCQO3183 TYPE. CF DISPOSAL CPERATICN BEING (REQUIRED) Spray Feld Septic Tank/Drain Field Subsurface Low -Pressure Plping ( Land Application of __X, OtherD am p e t e r Rotary Distributer Odor Appearance ion No. mg/I Nitrite (NO 2) as N � mg/I ,/100m1 Nitrate (NO 3) as N____ .. .,.. mg/I /100ml Phosphorus: Total as P _ _ mg/I mg/I pH (when analyzed) .. units TQC..2.0, ,_ mg/1 Chloride ,. _ . . _, ,L1.. _ mg/I Arsenic . �. mg/I Grease and G' mg/I Hardness: Total mg/I Phenol mg/I Sulfate mm. mg/I Specific Conductance Total Ammonia TKN as N y turbid 276 1.2 I CERTIFY THAT THIS Signature of Perm uMhos mg/I mg/I Ba - Barium Ca - Calcium Cd - Cadmium Chromium: Total Cu - Copper , ©2 5 Fe - Iron Hg - Mercury K - Potassium Mg - Magnesium Mn - I+llragartese Na - Sodium Al Aluminum mg/I mg/I mg/I 001 mg/1 gi. mg/I. mg/I Concentration unilts) Ig/I IT IS TRUE AND ACCURATE. or Autforized Agent*) Date 1/37-620 g/ g/ mg/1 Ni - Nickels... Pb Lea& Zn -Zinc ._._.. Pesticides/Herb (Specify Compoun N Vafues should reflect dis colloidal concentrations. (see g ug/I ug/I ug/I artcr on back) GW-59 REV, 091 L. UND AT PR EARE FOR „ P,mE per -Fite 15, North Card A u A PAR A musr s (MSOL, 'NI CHF 'ECH .A"( ofv IN HOU WAL, MANAGEMENT GROUNDWATEK SECTION, ONRORINO. GROUNDWATER, Q an .4 a a < LEIGH, NC 06 a... • '3 PERMIT a R. IR R�tl! u .m..Non,.Discharge Address =Bell Farm Road NPDES Statesv1 lR. oN.C. � .. C" Vie..___ _. County Well Lrr ��' �� _�- Lary �.�.�.._..:�.Septic %"[3rain Asia Well Idenfificaton Number e4 pt. Well i rat r Sample (Screened) Interval Ft: T to Spray F" � Subsurface Low -Pressure Deptha Water � . below Measuring point (belbre sarr#ing) � of u rn t i "Z 5- . above land surface __ oar Digester GlIons of water pumped/bailpumped/bailed beRm sampling_ .�� � � r Nstributor FieldAnalysis: pal Specific C u t - uru `emp. __2C Odor — Appearance—_ Date Samplo,', c U QL9_2,__ Date Lab Sampie Laboratory ty, Creek P/grater Plant �Certfibston 1 1/t COD rng/I N .k :.. k .M # fthlyturWd Solids -Dissolved pH (When *: ai. Arsenic mgA Hardness: Phenol _WA Sulfate Mg/I Specific Conductance _,___.__uMhos Total m -o.mgA TM as N REPORTI CERTIFY THAT THIS S Signature of Fuse r Authorized Agent*) GW-59 REV. 4/91 Ni - i _s __ _a _ mgA Zn - Zinc . Pesticides/Herbicides (Specify Compounds) p y yp UgA Oher (smoy, compounds and Concentration units) +A s 41, ALA ANA.M NI VAT EDU E S FOR Title .f peg North Carolnr° ' 3r.3 for, 3 ' collect our $rTlt: A PART OF PRESERV ,fit ar by, ',the Ditedo , PROPER PERMIT NUMBER., i alit Name Non -Discharge Statesville-c—N.C. � . Count _d loll BEING MONITORED ell n - ter! r f Well Identfication Number _ ell __ t. ell Diameter �r Sample, ( Interval Ft. T t. Depth to water Leyd —ff below measuringpoint inefore sampling) Wasuring point i .-5 —ft. above land surface Gallons of water purripodkoled beforesampling . FiW Analysis: pit Specific C unt T p_, C Odor Date Sam* Collected ,1 ✓` 10 ZAnalyzed Laboratory Fourthi Creek P/W ter Plant Certf ti n (Note- Use WN n*ftd for Noy Wftd sanVW) Uissolved (when analyzed) --_—units 82.9 Arsenic M Grease and NS Mg"/l Hardness; Total r Phenol mg/i Sulfate rn9A ConductancepH Specific o. 1 § Nitrite (NO 2) as N Phosphorus: Total as P____ mgA Al - Aluminum mgA B B Ca - Calcium mg/I Fe - Iron g g Mg - Magnesium mgA Mn - Manganese vv�� "R � p, Se* TanWrain Spray Field Subsurface Presoure RPM Pic) Land Apikmien of Other Digestex Pb - Lead MgA .. Zn Zing mgA Pesticides/Herbicides (Spelify ` and ugA UgA .... Other ds and Concentration units) CERTIFYT T T Tues ". dgW; colloidal concentIrations. (see #2 on back) Seo beck for =4 froomcdom. �� re r t (or Authorized _fi . GW 59 f. 4/91 mADE 2, ANALYSES AHD. GR NEe ATE DUKES FOR M . n .;; t, At Ida N)UrrieS, t yoe 'HE C: AR L A P ECTION ADD PRES It Code, Sube or by Public ,114 IF AND SAMPLES, C` E DAL) I 1... V I„J A 0HA " ati)RY ON PROPER by' the Oxford Laboraton"es Inc. Analytical and I Consulting Chemists DATE RECEIVED 11-12-92 1316 South Fifth Street DA`E REPORTED 11-25-92 N.C. Wilmington, N.C. 28401 92W2565 9 93 (919) 763-9793 PAGE 1 OF 10 HYDRO ANALYTICAL LABORATORIES INC P.O. # L92143 6300 RAMADA DRIVE BOX C-2 CLEMMONS, NC 27012 ATTENTION: TERESA PERRY SAMPLE DESCRIPTION: 10 SAMPLES (6230D) 1. 33465 2. 33462 3. 33460 4. 33461 5. 33464 6. 33463 RESULTS 1 2 3 4 5 6 6230D COMPOUNDS DATE ANALYZED 11-12 11-12 11-12 11-12 11-12 11-12 Dichlorodifluoromethane, PPS <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 Chloromethane, PPS <0.5 <0.5 <0.5 <0.5 <0,5 <0.5 Vinyl Chloride, PPE <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 Bromom ethane, PPB <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 Chloroethane, PPE <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 Flucrotrichloromethane, PPE <0,5 <0.5 <0,5 <0.5 <0.5 <0.5 1,1-Dichloroethylene, PAR <0.5 <0.5 <O.CZ.CZ 1 <O 1 <0.5 <0.5 Dichloromethane, PP B <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 trans- 1,2-Dich'Coro ethylerie, P?-B <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 i,I-Dichloroethane, PPE <0.5 <0.5 <0.5 <0.5 <0,5 <0.5 2,2--Dichloropropane, PPS <0.5 <0,5 <0.5 <0.5 <0.5 <0.5 t Oxford LaboratoConsultingd'es Inc. Analytical'fists DATE RECEIVED -1 - 2 1 South fifth tt t DATE REPORTED 11-25- i1 t t n, N.C.? 1 39 PAGE 2 QP 1 HYDRO 1 L BBP ' PIIEINC P.O. L9214 3' 6300 RAMADA DRIVE BOX -2 CLEMMONS. NC 27618 ATTENTION: PB PERRY 1. 5846 ere 33462 3. ;3:346 4. 3346 5. 33464 cis-1,2-Dichloroethylene, PPP Chloroform, PPB" Bromachloromethane, PPB 1, 1, 1- ri hl r han , PPB 1,1-Dichloropropene, PPP Carbon Tetrachloride, PPB Benzene, PPP 1-Diclq:i{ . t , PPP Trichloroethylene, PPB 1,2-04�.chloropropane, PPB Bromodichloromethane, PPB Dibromomethane. PPB 1,3-Dichloropropene, PPB PBU per. 1 2 3 4 5 6 .5 6d5 <05 6.5 �.5 6.5 .11 7.18 19.7 13.9 5.6 8.81 .5 6.5 6t5 6.5 .5 <6. 0.5 .a 6.5 5»5 5.5 6,5 <6.5 .5 6.5 6.5 <.5 0.5 6.5 <0.5 < .5 6.5 .5 ,5 .5 .5 €1s55 1.317 (5'»4 ) 0.5 <0 . 5 <0. 5 <6 : 5 6 . 5 <6 . 5' 6 ; 5 <06 5 . 5 <6 5 6. 5 . 2 7) 6. 5 6.5 6.5 6:5 0.5 5.5 6.5 1.38 1®00 2,8`3 3.60 1.61 1.65 5.5 0.5 0.5 0.5 .5 <6.5 . 5 <6 . 5 6 5 5. '5 5. 5- 6. 5 Oxford Laboratod'es hic. Analytical and Consulting Chemist I is DATE RECEIVED 11-12-92 1316 South Fifth Street t , 1'� DATE REPORTED 11-25-92 Wilmington, N.C. 28401 921,12565 (919) 763-9793 PAGE 3 Or 10 H7DRO ANALYTICAL LABORATORIES INC P.O. # L92143 6300 RAMADA DRIVE BOX C-2 CLEMMONS. NO 27012 ATTENTION: TERESA PERRY SAMPLE DESCRTPTION: 10 SAMPLES (6230D) I . 33465 2. 33462 3. 3346,0 4. 33461 5. 33464 6. 33463 Toluene, PPS 1.1.2-Trichloroethane, PPB Tetrachloroethene, PPS 1,3-Dichlorop--opane, PP;B Dibromochloromethane, PPB Chloroben.zene, PPE Ethylbenzene, PPS 1,1,1,2-Tetrachloroethane. PPB m-Ilene, PPB p-Xylee. PPS o-Xylene. PPS Styrene, PPB isopropylbenzene, PPB RESULTS 1 2 3 4 5 6 <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 (0.24) (0.40) 1.22 0.50 0.80 (0.43) (0.32) 0.80 <0.5 1.46 0.50 <0.5 <0.5 <0.5 <0.5 <0.5 <05 <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 <0<5 <0.5 <0.5 Oxford Laboraton*es Inc. Analytical and Consulting Chemists M DATE RECEIVED 11-12-92 1316 South Fifth Street 't ' DATE REPORTED 11-25-92 Wilmington, N.C. 28401 921,12565 'q (919) 763-9793 PAGE 4 OF 10 HYDRO ANALYTICAL LABORATORIES INC 6300 RAMADA DRIVE BOX C-2 CLEMMONS, NC 27012 ATTENTION: TERESA PERRY SAMPLE DESCRIPTION: 10 SAMPLES (6230D) 1. 33465 2. 33462 3. 33460 4. 33461 5. 33464 6. 33463 RESULTS 1 Bromoform, PPB <0.5 1,1,2,2-Tetrachloroethass e, PP B <0.5 1.2.3-Trichloropropane, PPB <0.5 n-propylbenzene, PPB <0.5 Bromobenzeae, PP B <0.5 1.3.5-Trimethylbenzene, PPP <0.5 0-chlorotoluene, PP B <0.5 p-Chlcrotoluene, PPP <0.5 tert-Butylbenzene, PPB <0,5 1.2,4-TrimethylbenZene, PP B <0.5 sec-Butylbenzene. PPB <0.5 p-lsopropyltoluene, PPB <0.5 1,3-Dichlorobenzene, PPB <0.5 P.O. # L92143 2 3 4 5 6 <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 <0-5 <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 <O.r 1 <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 <05 <0.5 0.5 <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 Oxford r" torte's, .TDA'E RECEIVED 11-1- Analyticaland DCt1tiTChemists DATE REPORTED _92 1316 South fifth Street 92W2565 Wilmington, N.C. 284�01 766-97793 PAGE 5 OF 1 HYDRO ANALYTICAL LABORATORIES INC P.O. # L92143 6300 RAMADA. DRIVE B0 C-3 `L MMONS, NC II013 ATTENTION: TERESA PERRY SAMPLE DESCRIPTION: 10 SAMPLES (6E30ID) 1,. 3346 2. 33462 3.. 33460 4.. 33461 3. 33464 6. 33463 ,4- Dichl rob n n , PPB n-Butylbenzene, PPB o-Dichlorobenzene, PPB ,,4-110rDrn PP Hexachlorobutadiene, PPP Naphthalene, PPB 1,2,3-Trichlorobenzene, PRE METHOD 504 COMPOUNDS DATE ANALYZED Ethylene dibromide (ETDB j, PPB 1,2-Dibromo-3-Clliioropropane, PP RESULTS 1 2 3 4 5 6 0.5 (0.47) 0..3 0..5 (0.43) <0.5 0.5 0.5 0.5 0.5 0. 0.5, 0.5 0 5 0.5 0. 0. 0. 0.5 <0a5 0. 0.5 0.5 0.5 0. 4. 0.5 0.5 0. 0.5 0.5 0.5 0.5 0.5 0.5 0. 0.5 0,5 0.5 0.5 0.5 0.5 I1-12 11-13 11-i2l 1-1E 11-13 1 -12 0.0" 0.02 0.02 0.03 0.0 0.1* 0.0I 0.0I 0.. 3 0.01 < .0 0.1 Vater/Wafitewater Xrratment flair t f A k 704-078-3430 t December 3, 192 Environmental Management Division ision Groundwater Section P.O. Box 27687 Raleigh, N.C. 27611-7687 Subject: Fourth, Creep WWTP Digester Monitoring Wells Analyses Dear Sirs; Please fiord enclosed the results of three of our Digester ster ells, sampled November 111, 1992, at our Fourth Creek WWFP, NC0031836. Our Fourth Creek WWTP Lab, `1 1, rare the on -site measurements. surements. Our Water Plant Lab, - 20, rare the Total Coliform. All other parameters were contracted ut to Hydro Analytical. lab in Clernmons, Results are recorded on the enclosed - 9 forms. These results show we are in compliance, VOC results are attached. 1f'1 can be of farther assistance, Please gall at 7 -3 3 . , Sincerely; L. '. "J " Hudon, Jr., Director Water/Wastewater Treatment LFH/rs Enclosures r w T411tV 1;V kul ,a t t ljfit. VWX It tit 1d v, Alt Y a r& July 24, 1990 Environmental Management Division Groundwater Section P.O. Box 27687 Raleigh, N.C. 27611-77 Subject: Fourth: Creek WWTP Digester Monitoring fella Analyse Dear Sias Enclosed are the results of our four (4) Digestor Cella, sampled July 3, 1990, at our Fourth Creeds WWTP, NCO031836. Our Fourth Creek WWTP Lab, 11, rah the onsite measurements, as well as the "Total Dissolved Solids and nitrates. Our eater Plant Lab, --a te, pan the 'Total Coliform. All other parameters were contracted out.. to Bold Research Lab in Charlotte. If I can be of further assistance, please- call at L.F. "Joe" Hudson, Jr., Director; Water/Wastewater Treatment LFH l s Enc. GROUNDWATER OUALITY MONITORING: COMPLIANCE REPORT FORM Facility Name Address SLJ.�re Well Location Ltociradient Well Identification Number U-4 Well Depth i tr Well Diameter 0 sample (Screened) Interval —Ft. To_Ft, Depth to Water Level 32 t, below treasuring point. (before sampling Groundwateretion P.O. BOX Raleigh, s # J ),733-3221 County Iredell PERMIT NUMBER., (REQUIRED) Non -Discharge N1011PQ N Septic Tank/Drain Field . subsurface Low -Pressure Piping IL ) Measuring pint is foot above land surface Land Application of Slum tr Gallons of water pumped/balled before sampling arr Distributor Field analysis: pH Specific Conductance his Tamp, 0 0 Odor Appearance Date Sample Collected 7Date Lab Sample Analyzed Laboratory tame to � t �' � rtL IG Certification 181/# "/ Ll COD mg/1 NO2 as N rrlg/1. Cr liforrrl; MF Fecal /100ml NO3asN. 1.75 mg/I Colif arn°l: MF Total /100ml Phosphorus, Total as P rn 'rl Dissolved ed Solids: Total I mg/1 Al - Aluminum mg/I pH (when analyzed) units Ba - Barium mg/1 T C 4 mg/l Ca " Calcium ' mg/I 'chloride mg/I d m Cad .0 �� a° mg/I Arsenic mg/1Chromium: Tgt rrtg/1 Grease and lis mg/I Cu - (capper, mg/I JU—r r Hardness: Total mg/I Fe - Iron - �� rng/I Phenol nag/1 Hg a Mercury T r g/1 Sulfate .mg/I K - Potassiu mg/1 Specific Conductance Mhos Mg - Magnesium mg/I Total Ammonia(NH & NH trig/I Mn - Manganese mg/I TKN as N mg/I Na - Sodium --rng/i I CERTIFY THAT THIS REPORT IS TRUE AND ACCURATE.. 91,GNXT LIE OF P RMITTEE (OR AUTHORIZED AGENT- i Mickel mg/I PbLead Mg/1 n - Zinc mg/1 Pesticides/Herbicides (Sleecify Compounds r �� - ug/1 /I Zi ug/taw�t 4.R y ug/1 410 ' L IA e t :� k /I yy$ rye.ug PiAL .1 N NQM Values could r ll c t. dissolved concentrations (S . on reverse) CQL_VirrIQN ARO ANA VS OF GROUNDWATER SAMPLES 1 Samples sh*uld be analyzed as soon as possible after collection, SAMPLES WHICH ARE NOT ANALYSED WITHIN THE HOLDING TIME SPECIFIED FOR THE METHOD USED (SEE #3. BELOW) u.%°a' UST BE DISCARDED A D NEW SAMPLES COLLECTED. 3m ANALYSES ARE TO BE MADE OF THE CONSI IT ENTS DISSOLVED IN THa„ GR UN WATER, NOT THOSE THAT AREA PART OF, OR ADSOR:;ED ONTO, SOIL SEI I aENT ,PARTICLES. CHECK WtTH YOUR LABORATORY ON PROl E PROCEDURES FOR SAMPLE COLLECTION AND PRESERVATION. 3, As per Title 15, North Carolina Admir lstrative Code, Subchapter 2t.n, analytical procedures shall be in accordance with the methods described in one of the following publications, or by other methods at)proved beforehand by the Director, Division of Environmental anagementm (a) Standard methods for the Examinatio cf „ ter and Wastewater, 1 th Edition, 1985. published jointly' by Arne can Public Health Asociatiorr„ Anienoan Water Work Association and Water Pollution Control Federation; (b) Methods for Chemical Analysis of Water and Waste, 1979, I„f*S. Environmental Protection Agency publication number EPA-6O /4-7f -02g, as revised March 1983; (c) Test Methods for Evaluating Solid Wastes: Phys caWChernical Methods, 3rd Edition, 1986, U.S, Environmental Protection Agency publication number SW446 (d) Test Procedures for the A al sis of Polluants Under the Clean Water Act, Federal Register Vol. 49, No. 209, 4 Cl' Part 136, October 26, 1984; 4.Measure and record the depth of water in the well prior to pumping or bailing an rem tfre well. 5. Atleast "3 volumes of °fator in the well should be pumped or bailed prior to colldotirrq d sarirple for analysis. It the wall is pumped/beil d dry before Swell volumes are removed„ samples can be collected as soon as the well teeors to the point where enough water is available to collect your sample, 6w Determination torpH, S sample is collected, Conducta o, Field equipment must be -calibrated in accordance with 8, Samples must be filtered through a 0.45 micron bite 9 The sample container should be labeled at the time of colle lected. "Authorized documents, :any corporate officer and appearance rnust be made in t) e field on r rrtiltered samples wl or the nu acturer. ely after orllectior when a dissolved analy n with th authorized by the hired. (See #3, above) identific Liar r urr bee" and date and time col- n or governmerr rtl body to sign official GROUNDWATER OUALITY MONITORING: COMPLIANCE REPORT FORM Facility' Name l"t ' Address US r Well Location I ra Well Identification Number D-3 Well Depth fit. Well Diameter Sample- (Screened) Interval t, fit. Depth to Water Level 11. below measuring point. (before ping County Non -Discharge Oroundwater Section P.O. Box 27687 ,: rr norm Septic Tank/Drain field ace Low -Pressure 0ain ri Measuring point is feet above land surface Application Studge Gallons ns of water purrtped #! b f r s rrrpling . tttsr otary Di tributor Field Analysis: p Specific Conductance — uMhos Temp. p C Oder Appearance Date Sample Collected 7-3-90 Date Lab Sample Analyzed Laboratory Name FourthCreek WWTP .xa a water Pleat LAB certification No. t. COD - mg/1 llfarrri, MF Fecal /1gt1! oliform: MF Total /1 i0ml Dissolved lved olds-. Total 96 mg/I p (when analy e units T C 3 mg/I Chloride is g/I Arsenic mg/I Grease and Oils rang/I Hardness, Total mg/I Phenol rag/I Sulfate trig /I Specific Conductance - u hos Total rnmonsaii'ti H , NH 4 tag/I BESEEMM as mg/I NO3asN 1.64 rig/I Phosphorus: Tatar as P mg/I At W Aluminum mg/ e - Barium wig/ Ca - Calcium tag/I i a Cd " CadrNeA. r [ I hr mium f s mg 'I u - Copper mg/I "e - Iron it I mg/I Fig - Mercuro ' as g/1 - Pota I s s u mv!!IT-111� rig/i Mg _ Magnesium mg/I Mn Manganese mg/I Na Sodium mg/I I CERTIFY THAT THIS REPORT 1S 'TRUE AND ACCURATE, SIGNAT°I RE 0 M "IITTE AUTHORIZED AGENT"-fATW i - Nickel mQ/I Pb -, lead mg l rt - Zinc mg/I Pesticides Herbicides (Specify Compounds) s ug/i y ug/I 0 u'g/I ug /l 'l f'`t 31 1 S. 1 ., a m 111 11' nY �I 2 u i I kitl U tag/I Values should reflect dissolved concentrations (See , on reverse) • 0 -T Ills Submit blue, green, a yellow copies oft to address above. COLLECTION AND ANALYSIS OF GROWN WATESAMPLES Samples shouuld be an zed as soon asp Aion_SAIVIREES,WHICH ARE NOT ANALYSED W THIN THE HOLDING. TIME'SPECIFIED FOR THE METHOD USED (SEE OE OW MUST 'E'OISCAPDED AND NEW SAMPt„..ES COLLEC:TEC". ANALYSES ARE TO,BE MADE OF THE CCNSIT'ITUEN"TS DISSOLVED IN THE RCUN ^WATER, NOT THOSE THAT ARE A PART OF, 0"" ADSORBED ONTO, SOILISEI IMENT PARTICLES,, CHECK WITH YOUR LA ORATORY 014 PRt PER PROCEDURES EI URES F rR ,SAMPLE COLLECTK)N AND PRESERVATION,.. As per',Title 15, North Carolina AdrrnirnistnThvea Code, f uuhchapter 2Lh analytical procedures f aff be ,in accorde with the rnentlnrnrfs described in one of the following publications, or by other methods beforehand by the Director, Div; Management:w (a) Standard methods for the Examination of Water and Wastewater, 16th Edition, 1985, por lfstned jointly by Arrner c Public HoallhAssociation, American Water Works Association and Water Pollution Control ation; (b). Methods for Chemical Analysis of Water and Waste, 1 ^979, 1).S, Environmental Protection Agency publication number EPA-60014-79 O20, as revised March 1983; (c) Test Methods for Evaluating Solid Waste o4 Phy icalUChemi al ett ods, 3rd Edition, 1986, U"S. Envfronmentai Protection Agency publication number SW- 846n (d) Test Procedures for the Analysis of Polluants Under the Clean f<rter Act, Federal tegister Vol, 49.,, No, 209, 40 CFR Part 136, October 26, 1984: 4. Measure and record the depth of water in the well prior to pumping or balling my ron At least 3 volumes of water in the well should be pumped or balled prior to col in a sample for analysis, If Wore 3 well volumes are removed, samples can be collected as soon as the oil r ov rs to tin point ,: taro enouugh ater is available to collect your sample. un of Environmental 6. Determination for pH, Specif sar pie Is collected: a well !s pun-Ted/bailed dry onductdnoe tern r"ature, odor and appearance rrnust be rrnade in the hold on err flttered samples he the 7. Field equipment must be calibrated in accordance with recommendations y the manufacturer. 8, Samples must be filtered through u O.45 micron filter Irnrm udiately after oolloctuon when a dissolved analys s is reguired„ 9. The sr mploa cootalner should be labeled at the time of collection with the facility€ name,, well identification r°nr rr ber and date lected, ftl.' Auti"nori:cd agent auov d t rbl c officionl authorized by The onon npa.oy„ conrporation, or governmental body to sign offidual 'GROUNDWATER OA R OUALITY MONITORING. -COMPLIANCE REPORT FORM w ro w- Facility Name � Address .Statesvill,e, N.C. 28677 Well Location rrto: d f Well Identification Number 2 all Depth _ t,. Well Diameter 1 * 5 oo —Sample (Screened) Interval t. To —Ft. Depth to Water Level , ft. below measuring point. (beforesampling) Measuring !tint is font above land surface Gallons of water pumped/bailed before sampling t SectionGroundwater Box 68 Raleigh, (919)733-3221 County PERMIT NUMBER. (REOUIRED) Land Application of Sludge septic Tank/Drain Held Subsuriace Low -Pressure Piping (LPP) Oftr Field Analysis: p -Ct Specific Conductance umhos To mp. - - C Odor r Appearance Date Sample Collected T - Date Lab Sample Analyzed Laboratory Mama i _ n i b Certification No. f, 1Ct COS /I Cliforrrt. MF Fecal /100ml C< lif rrrt: MF Total /100ml Dissolved Solids: : Total 48- mg/I p fan analyzed) unfits TOG A mg/l Chloride MQA Arsenic entn mg/1 Grease and Oily m /l Hardness: Total /l Pheno�rw l �„,„„„,„„ �rr�+ / F 1 I 'r1 I Sulfate mg/l Specific Conductance uMhos Total Am nia(N ' NH ) m /l TIFF! as IS rn /I N as /I lei as N 0.75 mg/f Phosphorus: Total as P mg/I At - Aluminum /I Be - Barium /1 Ca - Calcium rig/f 1 d - Cadmium xr ��� . /l vy mg/1 Chromium: TCW Cu - Copper � rn /I Fe - frown /1 l - Mercury Sp/I - Potassium mg/I p - Magnesium Mod/l n ® Manganese rn1 Na - Sodium rnp/I i CERTIFY THAT THIS REPORT IS TRUE AND ACCURATE. 4SIGNATURE OF E'RMITTEE (OR AUTHORIZED AGENTr ATE i Minkel mg/1 Pb tad rig/ n - Zing /f Pesticides/Herbicides (Specify Compounds) and ) a/l NQM- Values should reflect dissWvd concentrations (Soo #2, on reverse) Sea b49A ro "Submitblue,green,do yellow copies► address b ow TI E PErit :', AWLY OF„. OR A SAOL.I COL As per r described' Manag ate ID F y THE saen,as pas, Tt ftftE. E TO BE MADE THE 1'afwl,nt.,tt L O C)NTO, SOIL SLf lM y� CT N AND Pfil LR ATf arolin ;a A.dri1tr tstr lowing p d 'method) r �.a t ms ee tl rr,_t 0.3l Methods for �S+p, .,a$c•„r o Analysis f W t1 .r A��"�� �s E 000/4 7f-070,assrevised I a'.1" cxf r st: Methods for 1 tt rg! Protector( ,Agency nuhhc„ (driest 'Prooediares for the Anlyrst of P . Part 136, Octob r :Ai; 84 ANALYSIS A S,A.MPL:y„ `f 1t1'li- AFIL NOS ANAL, MUST r AND NEW 1t i,vfyo kN THE (fl( 11 Oct:t i analytical n tinctures se er methods ;3ods . orov 'd rt' tfa 4 Measure or . the depth of in the well prt At le before 3 well vela collect your sanpl.. the Ott srr1°rid be l ,°roved, rsraAnptr can th4 6; P at ti r rraductarcn, tart sample is coffee d equiprrlarlt r' pies rrmust be 10,."Autl r n oocurrr ed in ccordunce i d throula yry't� rrrtr°r ftlttrr pie contair°Fa, r should be lrihalcia at the to as r d a�rr s1" ust be c :ar.ry, corporate Water titer .r d Wa, Orks ,i'issocifition, and and, Via, 3 P dB; Pollution, Cot rare r teal Prot.. cds, rd Edition, 19 0 r the ftedn r Act, d ederr; 10 pun ping or baiting array ?hater from the, d or b filed p tfected as soctras the w odor and app rrr r°ra iatety tda is by th tt ell c'en with the slay name, wel red veru anufac.turr-0 . 14-'1171EHQ t.11 f. OLI"Ea.. SE y"f HAT APE. A P 1.ftt in the field orr will PROCE11ES oriental ointly by A `re ic'y p rblacfal' n nur ab vircnmental No. 40 CfR dry 0 ed s ar plthe a dissolved alysis is ra aired. err *,t, hove) if 'on number and date and time 4b4c rrfficlal rruthort rd fey the camp rny, corpora tirrrr, r gav b rental body 1e sign cftietal GROUNDWATER QUALITY MONITORING: COMPLIANCE REPORT FORM Facility Name Fourth Creek WWTP Address € Statesville, N.C. 28677 Well Location rt Well Identification Number D-1 Well Depth Ft, 'Well Diameter meter - Sample (Screened) Interval Ft.. t. Depth to Water Level 20. 7 tt. below measuring point. (before milling Measuring point is feet above land surface Gallons of water pumped/balled before sampling SectionGroundwater P.O. mac: a' Raleigh,0 (,919)733-3221 County iredell PERMIT NUMBER- s Lagoon Spray Field �..,.� .. Lard AprAication of Sind" — Septic Tank/Drain Field Subsurface Low -Pressure Piping (LPPJ Other _Ir' Field Analysis: PH k pe lfie Conductance -Who—Whos Tamp. Odor Appearance Date Sample Collected Date Lab Sample Analyzed Laboratory Name 1� �1 �t ' t i rM 1� Certification No. 1 — 1 COD rrtgl lif rm. MF Fecal /100ml Coliform- ME Total 1 /looml Dissolved Solids: `total ____9_2_ mg/1 PH (when analyzed) units TO C mg/I Chloride mg/I Arsenic rng,/I Grease and Oils m /I Hardness: Total mg/t Phenol rng 1 Sulfate mg/I Specific Conductance rM has Total Arnrr onia lh - NH 1 rngll TKN as rrtg/I a mg/I ' ae - 1..49 rng/l Phosphorus: Total as mg/I t - Aluminum--rrtg/l a - Barium rng I Ca - cilciv,rrrg/I Cd - Cadmium rng l MV,; Chromium: Total � � rng/I � �.a Copper fig/I Fe - Iron i l .' rng/I hg - Mercur gl Potassium rng/I Mg - tea-gnesium argil n - Manganese mg/I Na - Sodium g/I I CERTIFY THAT THIS REPORT ISTRUE AND ACCURATE. SIGNATURE OF PERMITTEE (OR AUTHORIZED AGENT;) iAV Ni Nickel rng/I Fb Lead mg/i n - Zinc rng/I Pesticides/Herbicides (Specify Compounds) tag/I Wutw.a�r?'. �� EC � ag/I RALER"li NC ug/l Values should reflect dissolved concentrations (. on mere) See back fOr Instructions. Sam atwtas sr ouid be anaiy eci as soon po TIME SPECIFIED FOR THE METHOD 118ED RCIUN„ WATER�.�a AMPlf collection, M LES WHICH ARE NOT ANALYSED WITHIN THE ( NG BELOW) UST BE DISCARDED AND NEW SAMPLES COLLECTED. A ALYSES ARE TO E MADE OF THE C0NSITI'T U t>TS DISSOLVE IN THE GROUNDWATER, NOT THOSE THAT ARE A PART OF; OR ADSORBED ONTO, SOILS ORIENT P, RTICLES CHECK wt"TH YOUR L:AB RATORV ON PROPER PROCEDURES FOR SA . PLE COLLECTION AND PRESERVATION, 3. As per'Title t5, Nord` Carolina. A minftt ° I Cede, Pt anarytical pro described in one 'of oilowing publications r r` by r, tt'w r methods ppr ed before Mlanag rnerit; lard methods for the F,x rni ,aton of Water and P rbh e .ith.Associa'ti n ,,,Ar' e„rics" n Water Works Assoc (b) Methods tor Chemical Analysis of Water and a,t EPA-69 /4 : 9-O2O, ,s revised March 1983' (c1 Test Methods for Evaluating Solid Wastes: Phy si et emica Protection Ag noy publication number SW-8 6n. (d) Test Procedures for the Analysis of Polluants Under t Part 136, October 26, 19 4 Clean Wa 4. Measure and record the depth of wv ter in tl r vweli ;prior to cum )g or bailirr t cr y wwr ter . At least 3 vcl rues of water in the vrrrit stlould be pumped or bailed prior to c before 3 well volumes are removed, , ,samples can be collected as soon as the well recovers collect your sampl Edition, Pollute '*0r mental 3rd Edition Act, Federal al x ;C eterminati pl 7. Field equip rrlet 't duct s,, terrperatcrre odor and appear n accordance the ust be mad ra n th corrrr'rrerrtatirra Lew the mar ufact err 8, tar pipes 'tu t b °tilt tern tl°tro',Ugh a,1,45 micron filter ire°ter°r that aft rn aril tt.. The sample container shoutd be labeled at the time of collection with tested, tttu"Alit prize(' d acu ruen ts: defy cotp atc y name; w l co rd antes Division thods Environn rntal ublishedjointly by Ar e Federation; cten Agency publication 1986, US, Envlronmentai 0 atysis. If th re e umber Vol. 49, No, ttC9 4t0'CFR s prrr~rpedibailed dry wator s available to d on unfiltered samplers when the ved analysis fit corCft ratiorr or. quired, (Soo #3 nurrrher and date and ti vernnrental body to sip �.. _ � �' Water/Wastewater Greatment ptants T41,tVof a '04-a33 [ilia 2OC177 w � 0 February 21, , 1990 Environmental danage ent Division Groundwater Section P.O. Hoax 27687 Raleigh, N.C. 37 II-77 e: Fourth Creak WWTP Digestor Monitoring Wells Analyses Dear Sirs Enclosed are the results of our ,four'( ) Digester Wells sampled January 30, 1990, at our 4th Creek WWTP, NCO031836. Our Furth Green WWTP Lana, 1. 1 , ran the pans ite measurements, including ding pH. Our Water Plant Lake, 37-62 , analyzed the T. raliform. All other- parameters were contracted out to Bold Research Lab in Charlotte. Please find these results attached to the GW-59 forms. Sincerely, L.F. "Joe" Hudson, Jr., Director Water/Wastewater Treatment LFH/I a Enc. cc Carol Waugh COMPLIANCE MONITORING REPORT FORM Facility Name Address Well Location Down radient Well Identification Number Well Diameter 1 . 5' Sample (Screen For additiona Well Depth dJ interval Ft. To please write or call: Division of Environnvental Mane salient Groundwater Section P.Q. Box 27687 Ra N.G. 27611 (911 33-3221 County Permit Number: Non-Discha NPDES Ft, Water Use Ft, Depth to Water Level . 25... tt, below measuring point, (before sampling;) Measuring point is 3 feet above land surface Gallons of water pumped/bailed before sampling 14 gals Field Analysis: pH 7 Date Sample Collected Laboratory Name COD mg/I Conform: MF Fecal /lagml Conform: MF Total "c 1. /tOQmI Dissolved Solids: Total 64 mg/I pH (when analyzed) units TOC , . 3.. mg/I 15 Chloride, mg/I Arsenic mg/I Grease and Oils mg/I Hardness: Total mg/I Phenol mg/I Sulfato-.-� r mg/I Specific Conductance uMhos Total Ammonia(NH3 t NH,4)r _' 1 mg/I TKN as N mg/I 0 Specific Conductance _ uMhos 1-30-90 Date Lab Sample NO2 as N mg/l NO3 as N �... mg/I Phosphorus: Total as P .. mg/I Al - Aluminum mg/I Ba - Barium mg/I Ca - Calcium mg/I Cd °- Cadmium mg/I Chromium: Total mg/I Cu - Copper mg/I Fe - Iron mg/i Injection Well Well Construction Other Temp, o C Odor Analyzed Nation Now Hg - Mercury a.. K. - Potassium _.. . Mg Magnesium Mn - Manganese Na - Sodium CERTIFY THAT THIS REPORT IS TRUE AND ACCURATE, NATURE OF PER GW-59 Revised 6/88 TTEE (OR AUTHORIZED AGENT*) DA"i'E �rng/I g/I mg/I mg/I mg/I Ape ranee Ni - Nickel 9/1 Pb - Lead mg/I Zn Zinc mg/I Pesticides/Herbicides (Specify Compounds) ug/I. ug/I ug/I Other (Specify) _ug/I ug/I ug/I ug/i ug/I ug/l Note: Valutt , should reflect 'total oonc copies only to eddre Bold Rese arch Labs Incorporated ANAL YTICAL TESTING & CONSULTING SERVICES RO� BOX 31486 - CHARLOTTE, NC 2823$ - TELEPHONE (704) 527-4183. FAX: 17041525-0409 LAB SAMPLE NO.(�: DATE OF REPORT: 02/13/90 P.0, NO.: CRATE RECEIVED; 01/30/9() RECEIVED FROM: CUSTOMER NO.: 6084 NAME: CAROL WAUGH TELEPHONENOr-704-878-3438 ORGCITY OF STATESVILLE/FOURTH ERA, ADD: ATTN: CAROL WAUGH N.C. CERTIFICATION NO.- 254 W.W P.O. BOX 1111 N.C. CERTIFICATION NO.: 37735 D.W. STATESVILLE NC 28677 S,C, CERTIFICATION NO,: 99028 W.W SAMPLE(s) tit WATER CUSTOMER ORDER NUMBER 27S6 MARKED: A: D 1 B: D2 C: D3 C. U4 SAMPLE/TEST NO, I A: C-1 B: C-2 C: C-3 D: C-4 ANALYSIS UNITS PH TOTAL RESIDUE TOTAL NONFILT, RESIDUE TOTAL DISSOLVED RESIDUIE--- IOC Cow AMMONIA AS N TOTAL KJELDAHL NITROGEN NITRITE NITRATE AS N TOTAL NITROGEN 77TOTAL PHOSPHATE ASP CHLORIDE AS CI - OIL & GREASE CYANIDE, TOTAL (mg/L) PHENOL fug!L) 8-i 1.6 2.3 2.4 METALS UNITS ARSENIC (mg,L) I SELENIUM (mg,'L) CAOMIUM (mgL) CHROMIUM --COPPER —(mg I L) LEAD NICKEL ZINC MERCURY (mg L) SILVER (mg/L) BARIUM (mg/1-1 PROVED BY: --ITndy Burgin, Lab Manager 449 SPRINGBROOK RIB, CHARLOTTE, NC 28217 W,!Pgpop'l Bold Rese arch Labs Incorporated ANALYTICAL TESTING & CONSULTING SEAVICES RO, BOX 31486 - CHARLOTTE, NC 28231 - TELEPHONE (704) 527-4183 . FAX: (704) 525-0409 LAB SAMPLE NO,(s)- CCU DATE DATE OF REPORT: 02/13/90 P,O. NO.: DATE RECEIVED: 01/30/90 RECEIVED FROM: CUSTOMER NO.: 6084 NAME: CAROL WAUGH TELEPHONE NO,: 704-878-3438 ORG- CITY OF STAT ESVILLE/FOURTH CRK ADD;' ATTIC : CAROL WAUGH N.C. CERTIFICATION NO.: 254 WW P.O. BOX i i i i N.C. CERTIFICATION NO.: 37735 DW STATESVILLE NC 28677 S.C. CERTIFICATION NO.; 99028 W.W, 'SAMPLE( slSafi WATER CUSTOMER ORDER NUMBER 2756 MARKED- A: 01 B: D2 QD3 D: U4 SAMPLEJEST NO. I A, C—I B: C—: C-4 ANALYSIS UNITS pH TOTAL RESIDUE TOTAL NONFILT. RESIDUE __[Tg TOTAL DISSOLVED RESIDUE —29q- BOD COD AMMONIA AS N < TOTAL KJELDAHL NITROGEN NITRITE NITRATE AS N 4. 1 TOTAL NITROGEN TOTAL PHOSPHATE ASP CHLORIDE AS Cl- OIL & GREASE CYANOE, TOTAL PHENOL (ug/L) METALS UNITS AT (M911-1 SELENIUM _fmg"Ll CADMIUM (TT g/L) CHROMIUM _LOPPER (m91L)-- LEAD (mgil-) NICKEL ZINC (mg,L) MERCURY BARIUM 1mq1Lj COMPLIANCE MONITORING REPORT FORM Faclltty Name Address Well Location Downg adient Well Identification Number k. D-1 Well Depth Well Diameter Sample (Screened)'Interval, Ft. Depth to Water Level Measuring point is Gallons of water pumpe Field Analysis: pH Date Sample Collected Laboratory Name ._.4.t COD Conform: MF Fecal ** Conform; MF Total Dissolved Solids: Total pH (when analyzed) TOC 0.8 Chloride Arsenic Grease artd Oils Hardness: Total �. 28 a _Ft. To _ Ft. °. it. below measuring point. (before sampling) feet above land surface /bailed before sampling 9 cc 6,0 Specific Conductance 1-30-90 D h Cr'ee)[ WWTP tab LT . Cal mg/I Phenol Sulfate Specific Conductance Total Ammonia(NH3 t N TKN as N I CERTIFY T NO2 as N /lOOml NO, as N_..._, 4.1 ✓100ml Phosphorus: Total as P or calk 4 .4 1 Division of Environmental Iar Groundwater Section P.O. Box 27687 Ralei , i.G.27811 (91 7 33-32 21 11 ni County _3..Cg.Sie.w �.r.. Permit Number Non -Discharge . _. NPDES NC0031 6 Water Use Infection Well Well Construction Other .�w uMhos Temp, e Lab Sample Analyzed form —Water Plantoertifi Lab) mg/I Al - Aluminum units Ba Barium._ mg/I Ca - Calcium mg/I Cd - Cadmium mg/I Chromium: Total mg/I Cu Copper mg/I Fe - Iron mg/I mg/I _uMhos mg/I mg/I Hg - Mercury K - Potassium Mg - Magnesium Mn - Manganese. Na - Sodium. THIS REPORT IS 'TRUE AND ACCURATE. SIGNATURE OF PERMITTCE GW-59 Revised 6/88 mg/I mg/I mg/I mg/I mg/I ,mg/I mg/I .mg/1 mg/I �.� mg/I �... . mg/I mg/I mg/I mg/I OR AUTHORIZE I AGENT*) DATE Odor Appearance ation No, > 18.E (Water Plant :17-620 ) Ni Nickel mg/l Pb - Lead mg/1 Zn - Zinc mg/I Pesticides/Herbicides (Specify Compounds) ug/I ug /1 ug/I Other (Specify) ug/I . .. ug/I ug/I ug/I ug/I ug/I I Bold ol Resve arch Labs L Incorporated 'i ANALYTICAL TESTING & CONSULTING SERVICES PO. BOX 314 - CHARLOTTE, NC 25231 . TELEPHONE I7 1527-4 t + FAK (70,4) 525-04013 LAB SAMPLE N D44 C C 1-_4 DATE OF REPORT: P.O: NO,: DATE RECEIVED: 0/0' RECEIVED FROM: CUSTOMER NO.: 6084 NAME.CAROL WAUGH TELEPHONE o.: 04- B78-3438 RCS. CITY OF f TESV LLE F OURTH CR ADD ATTN-. CAROL. WAUGH N,C. CERTIFICATION NO.: 254 W,W, P.O. BOX 1111 N.C. CERTIFICATION NO.: 37735 LI.W STATESVILLE NC; 28677 S.C. CERTIFICATION NO,- 99028 W.; SAMPLE( f WATER CUSTOMER ORDER NUMBER 2756 MARKED: A: ill B: C : D3 D: U4 SAMPLEJEST NO, 1 A. C 1 R -C- D: --•4 ANALYSIS NITS TOTAL RESIDUE TOTAL NONFILT, RESIDUE TOTAL DISSOLVED RESCLI BOO w _.1 ,AMMONIA AS N � �._ e i �..� �._._ _._ _ . _ . TOTAL I JELDANL NITROGEN NITRITE NITRATE AS N TOTAL NITROGEN TOTAL PHOSPHATE AS P CHLORIDE AS I OIL & GREASE L CYANIDE, IC E„ TOTAL PHENOL'S I6c1✓L 1,+ .4 METALS UNITS ARSENIC Imglj SELENIUM L CHROMIUM 1mgl) COPPER jmgl)_,_ LEAD I e Ll NICKEL I g,L! ' ZINC drnLI Its CIp I Lq I `DER Imp LI Alit rnN'L VAP�ROVED1Bergin, Lab Manager 449 P INGBROOK RIB. * �t1ARLOTiE, N 28I117 COMPLIANCE MONITORING REPORT FORM Facility Name Address 4th Creek US 70E, O Statesvill Well Location Qparadient Well Identification Number t1-4 Welt Diameter 1-5�r Sample (Screened nterrra l For add on Well Depth Ft. or Depth to Water Level 25 ft. below measuring point. (before sa Measuring point is 3 feet above land surface Gallons ©f water pumped/bailed before sampling 14 gals Field Analysis: pH .7.,2 Specific Conductance Date Sample Collected _ u 1-30-90 Laboratory Name 4th Creek WWTP Lab COD mg/l Conform: MF Fecal / 146ml Conform„ MF Total Dissolved Solids: Total pH (when analyzed) TOC 2.4. Chloride 82 Arsenic Grease and Oils Hardness: Total Phenol Sulfate Specific Conductance _ Total Ammonia(NH3 t NH4 TKN as N mg/I NO2 as N - . tt mg/I NO3 as N " mg/I Phosphorus: Total as P _ mg/I AI - Aluminum mg/I Ba , Barium mg/l mg/I mg/I Chromium; Total mg/I Cu - Copper mg/I Fe - Iron mg/I Hg - Mercury mg/I K - Potassium please write or c Ft. To Ft piing ) uMhos Temp. Division of Environmental Management Groundwater Section P.O. Sox 2768 Ralei , M.C. 2T11 1. (91 T 33-3221 County J,redP1 i Permit Number; Non-Discharzge NPDES NCQO31 A 3 Water Use Injection Well Well Construction Other Odor ation No. #18 Date Lab Sample Analyzed T,Colifarttt— Water Certifi b) Ca - Calcium Cd - Cadmium / 1 Qaml mg/I units m g /I mg/I mg/I mg/I mg/I mg/I mg/I uMhos mg/I Mg - Magnesium mg/I mg/I Mn - Manganese _ mg/I Na - Sodium mg/I CERTIFY THAT THIS REPORT IS TRUE AND ACCURATE,. SIGNATURE 0 GW-59 Revised 6/88 TTEE (OR AUTHORIZED AGENT* DATE Appearance ater Plant 37-620 Ni - Nickel m mg/1 Pb - Lead _ _ rrtg/1 Zn - Zinc rng/I Pesticides/Herbicides (Specify Compounds) ug/I ug/I ug/I Other (Specify) ug/I ug/I ug/I g/I ug/I ug/I Values shoo„ild reflect total con cPritrations back for ins ijons. blue and green cooling' only to address above. ,. Irld�r�3C�Cf T?!d ANALYMAL TESTING $ CONSULTING SERVICE RO: BOX 31486. CHARLOTTE, NC 28231 # TELEPHONE I70415 7-4183 - FAX: (7 )525.0 40 LAB SAMPLE NO.( ja 670CI-4 DATEREPORT: 02/ 1 3✓ 0 P, . NO: LATE RECEI ECG: 0 /30/` U RECEIVED FROM CUSTOMER NO.: 6084 NAME.; CAROL. UAUGH TELEPHONE NO.. 70- 7 -. 438 RC, CITY OF TATE V I L.L.E /F URTH GRID ADD: ATTN: CAROL. WAUGH N.C. CERTIFICATION NO,: 254 W.W. P.O. BOX 1111 N,C. CERTIFICATION NO.: 7 5 DI W. TATESVIL.LE NC 26677 C.C. CERTIFICATION NO.: 99028 W.W. SAMPLE(s) of: WATER CUSTOMER ORDER NUMBER MARKED., A: Dl R: LI Q U: U SAMPLEJE T NO, 1 A; C-1 B' C—C C— D. C- ANAI Y I UNITS �T TOTAL RESIDUE TOTAL NONFILT RESIDUE TOTAL DISSOLVED RESIDUE BOD cot) AMMONIA AS N TOTAL KJELDAHL NITROGEN NITRITE NITRATE AS N t « 1 —.3 <. 1 I TOTAL NITROGEN TOTAL PHOSPHATE ASP CHLORIDE AS Cl' m ^L 13 1 1 E 1 OIL & GREASE m `L;_ CYANIDE, TOTAL I ts,"�I �. PHENOL _ lll'8 TX . METALS UNIT ARSENIC (m 3 LL SELENIUM (mg/L) C �41LIE4 (M91 CHROMIUM ( g, L) COPPER (mg IQ LEAD (m L)._. — MCKEL ( L) ZINC ( L) MERCURY ¢rn L( SILVER m/C' BARIUM (mg/L) RRRC ED BY! Burgin, Lab Manager 449 SPRINGIBROOK R . CHARLOTTE, IBC 28217 CIT 16, April 1, 11 P Environmental Hanagement Division x Groundwater Section P. 0. Box 27687 a Raleigh, No 27611-7687 Subject: Fourth Creak WWTP DigesterMonitoring Wells Analyse Dear Siva: Please find enclosed the results of three () of our four' Digester Wells, sampled March 15, 1991 at our Fourth Creek well was damaged in an accident and we are unable t sample it at this time Our Fourth Creek WWTP Lab, 11 , rays theon-site measurements, as well as the Total Dissolved Solids, nitrates, ammonia and metals.. Out Water Plant Lab, 3 ran the Total Coliform., All other parameters were contracted out to bold Research Lab in Charlotte.. Results are recorded on the enclosed GW-59 forms, which show, we are in compliance. EPA Methods 604 and 611 results are attached.. If I can be of further assistance, please call at 3. Sincea L. F. "does" Hudson, Jr., Director Water/Wastewater Treatment Enclosures We Diameter Sille (Screened) Interval Ft. _ Ft. Lagoon septic Tank/Drain r in Rid Depth Water' Level ,. measuring sm rmm g mmrta Cts fm i" *"? " "� ,.. fA sUrr r�' r.C` w_pr�s sUY"e Measuring point is ° feet above lamed surface Land Application of Studps Piping (LPP) tl. Gallons mil' water rrrr�mg d bail d before sampling � m� rmrr Distrim utor ether Field Analysis: P - Specific conductance — uMhos' Temp. Odor Appearance Date Sample Collected Date Lab SampteAnalyzed Laboratory Name 4th CreqK_yWTPLL tr. to Lai � rtrtr tm met lira. ,� 7 COS Mg/1 NO2 as N mg/1 Colmtorrrr: MF Fecal 1 met mm l NO3asN mg/l Colmtr rr r: MF Total /100 mt Dissotved Solids: Total _ mrmg 'f pH (when analyzed) units TOO mrg/l Chloride < 5.0r q/1 Arsenic mrmg1 Grease s and Oils mrtg1 Hardness: Total mg/1 Phenol — Mg `l Sulfate mg/l Specific Conductance ---uMhos Total r m rri FI + Nei —mil — mg/1 TKN as N mg/1 Phosphorus: Total — rang/1 Nk Nickel . Mg/1 Pb - Lead —Mg/1 mr - Zinc ------�—,024mg1l Pesticides/Herbicides (Specify Compounds) Barium mg/1 mmg l Ca - Calcium - Mg/1 d - Cadmium mom g l Chromium: Total mrr l CopperOu �Y `. w gl F - Iron mg/1 g - Mercury ��mmmg Potassium_ �. Mg -� Magnesium �.� /l n- angs.mm s —mg/1 Na - Sodium I CERTIFY THAT THIS REPORT IS TRUE AND ACCURATE, F PEPIMITTEE AUTHORIZED ,AGENT - a Other (Specify) ug/I ugA g l k` m11 Values should r "hioncentrsruon* (See 2. on reverse) t .r t l Submit blue, green, and yellow copies 2ft to address above. " ON At)ANALYSI0 ROL t WATER SAMPLES dEfi.1 be •4,:i analyze . possible a .) ,c T M E' EECi EL) FOR THE METHOD USED (SEE #3. REDO MUST E DISCARDED AND NEW SAMPLES COLLECTED. SAMPLES WHICH ARE NOT ANALYSED WITHIN THE HOLCf G ANALYSES ARE 'TO "" E MADE OF THE C NSiT TUENTS DISSOLVED IN THE G OUNDWA` "Ei , NOT THOSE THAT ARE A PART OF, OR ADSORBED ONTO, SO LSEDEMENT PARTICLES. CHECK wiTH YOUR LABORATORY ON PROPER PROCEDURi... S FOR. SAMPLE COLLECTION AND PRESE VATION, per Title t 6 North Carc iirra .Administrative Code, Subchapter 2: an ,lyticcli procedures sl l it fps €n ac:cordanco with the rriett`aods rib d ire ne Of he folio ainq publications, or by other methods approved deter eh nd by the Director;, Division of Enviro ra entai men° tand .rd methods for the Examination of Water and Wzstewatcr l6th Edition, 1985, published jointly by America Health Association, American V ate.r Works Association and Water Pollution Control Federation; (b) Methods tor Chemical Analysis of Water and Waste, 1979, U.S. Environmental Protection Agency ncy publication number t PA-600/4-79 020, as revised March 1983i (c) restMethods for Evaluating Solid Wastes; Physical/Chernical Methods, 3rd Edition, 1 6, U.S. Environmental Protection Agency publication number SW- 46, (d) Test Procedures for the Analysis of Poiivants Under the Clean act,, Federal Reg, ter Vol. 49, No. 209, 40 CFR Part 136. October 26, t 84 and rraCor°d the depth of we tr:r irr tttc wall prior to pumping or baiiia°9 any water frr r ° ttrs allre volt of water in the welt should be pumped or bailed prior tea collecting a san pie fora arialysir w ff tiara well Is pumped/tiled dry aes as°e removed, d, samples can be collected as soon as the dll recovers to the point where en ugt oaf r irr available to act yrorr srple,. f l:; cat ara air'rstion for pH, Sp wcifie Condue� bilr ofec n be c a lib t ra ray accor. c; r`d`through a C).45 rG it r'ora f)lfrar'.irar aar~ dia teiy after cpii':e tior when.a dissolve r n tt = beled atitcol w hi r ti�r f oilit :earn wall idrar t uro, odor and ap tborr1k deinthefieldonran ndations by the manufacturer. analysis is re tf'°sorirpanyt corporr. bore, cif n ti. ed.. .ther ,Ind date o vern me nt.i I he P.O.GROUNDWATER QUALITY MONITORING: COMPLIANCE REPORT FORM Divislon of Environmental Wriagement Groundwater $#lotion Box 27687 additionalFor Raleigh, NO 27611-7687 )733-3221 County Tretiell lE—ERMIT —NUMBER: (REQUIRED) WQ0001759 iwNPOES a ae MF OPERATION X All ED EQU Lagoon Septic Tank/Drain Field Piping (LPP) — Land Application of Sludge Other Landfill — Rotary Distributor T m r » ax COD l C Itf+ rm: MF Fecal 1100ml Itf rrn: MF Total /100 l Dissolved Aids: Intl _ rng/I pH (when analyzed) units TOC_ rrr/I Chloride 15.0 g/I Arsenic g/I Grease and Oilsmg/1 Hardness: tal tng/I Phenol rng/I Sulfate rrtg/I Specific Conductance hs Total Amm nia(NH + Nth � rng/I MR s rng/I s mg/1 Phosphorus-, Ttsl as P mg/1 At - Aluminum g/I Be - Barium g/1 Ca - Calcium _ rng/I d - Cadmium .001.57 tng/I Chromium: Total mg/l Cu - Copper t ``` rng/I Fe - Iron rng/I H a"Mro ry �y - S"o&M skiIu i( + fi b ^"$ 1" � d'RI g agne turn mg/1 Mn - Manganese g/I Na - Sodium � � � rng/I I CERTIFY THAT THIS REPORT IS TRUE AND ACCURATE Ni - Nickel _ mg/I Jab Lead rng/I n - Zane . rng/I Pesticides/Herbicides (SpecifyCompounds) ug/I rag/I . ug 1pI Ug/I 14 NQM Values should reflect dissolved concentrations )See . on reverse) OF PER I E AUTHORIZED AGENT*) 2/90 A` Submit blue, green, and yeltov� copies COLLr 1 O AND ANAINS S OF ,pic a bowie) b . l .nr ly c d as be „,ME SPECIFIED'FOR THE METH' D ND AWL, HCH, HL NOT ANALYSED WITHIN THEHOLDING, ° t NSCAr E) AN. NEW SAMPLES COLLECTED, $, ANALYSES ARE TO DE MADE O 1 H CONSITITUENTS DISSOLVED OFg OR AD ORE D ONTO„,SOUS I. 'ENT ,r R CLES 'CHEC: SAMPLE COL EC" '"R N,„AND,,PRESERVATTOtiE As per" Title 15, 1,, Admi brrh d in On of the tollo rlrrg pribh ger re:ntp. 4, Measurc r nd 5,'Atleast 3r ,before 3 well r flu r allect.yruur sample. 4 ,, Deter ;y. ndard rncthodt tor th Association, et. or Chemical iccr l EP) 6 0/ l 9- 2t as r ekfrr,. (cr) lest Methods for Evaivan "Protection Agency 0)Test Procedures for tln Part I , r toner 16, 19 4; rcrrrt tlrc depth.cf 'water in the es of wat E CR U YOUR L. 'ATER, NOT THo rE THAT ARE A PART t � ON PROPER PROCEDURES FOR Code, e, € bchapt r ., crr"r ly'tic l procedures rt"raii be 1= r" by other method approved bet 'ehdnd by the Director Fx rininat d March 1 iriu flbe r1 W .r teW t r" h Ed: orkr, As rr.,a t and Water llut c n °ct Waste, 910,, l.TS, Envir r` anent l Prot rsr' Phy;ica 46; Pullue.nts Ur c.lvr th Clean t xr Act Federal Register Vol. 49, No. "Shed rsia tly+ by American ration;, Agency nr:y publication number d Edition, 986, ., U,,„ F �Ir�rrrrtr r. prior to pumping or bailie firm the well, e well should be pumped or bailed prior to c r r� rerloved, samples can be collected as soon as th rt on for pH, Spooltrc Cr nductarrco, ter sample Is sheeted. Field equip' ent rriusebe oalibr °l Ire acn r'dan e rt be future t 'khrough a . ,45 MIr°e rr tll crrrtr irrc r cl r c Id he labelrt r'rt tl r i rr for analyrsis. if the well ic; punpedr"°ba d dry point where enough wate altarlahle trs r°ature, odor and rind appeararice Br u t I rr ' ride in the t'i )l e r unfilterrrc sample hnn the h recurrrrnurrr rrtlr rrs by the rndnuf immediately after t rllcctlon with tl a dissolved analysis is required, (5rr ;r€f. above) ly err rn r well identiticnti rer and date and tittle c Of'li: ru author r.ed by the company, r orpera` ioi- a or governmental b 3 Dale! GROUNDWATER QUALITY MONITORING: COMPLIANCE REPORT FORM �w a Facility Name Address US 70E Well Identification Number 1 Well Depth 'dell Diameter - j . " Sample (Screened) Interval _Ft. To Ft, [depth to Water Level 28.75 ft. below measuring point, (before mpling) Measuring paint is ���� feet above land surface Gallons of water pumped/balled before sampling ng Groundwater P.O. Box Raleigh, NC a sa k County Ired,ell EERMIT -NUMBER. O D w "' — Lagoon n y Field — Lard ApPlioation of Sludge Septic Tank/l rain Field Subsurface Low -Pressure Piping LLw P) - Caber Landfill Field Analysis: p pe Ifie Conductance hips Trap. C Odor r ppearance Date Sample Collected 3115/91 late Lab Sample Analyzed Laboratory Marne 4th Creek WWT,P/Water Platt Lab Certification No. 1 1/6 0 COS - - g/1 NO2asN mg/t Ni - Nickel mg/I lif rni ME Fecal /100ml NOSasN mg/l Pb - Lead mg/1 oli# ; ME Total <1 /100ml Phosphorus., Total as P hill Zn - Zinc .026 f g/I Dissolved Solids: Total mg/l Al - Aluminum ni Pesticides/Herbicides, (SpecifyCompounds) pH (when analyzed) units i s - Barium mg/1 _ gig/l TOC n rrtg/I Ca- Calcium ni gag/l Chloride rrl /I Cad - Cadmiumg/I g/I Arsenic Flag/lChromium: Total mg/I Other (Specify) ug/I Grease and mils mg/l Cu - Copper -:0061 g/l r i g/!. Hardness: Taal g /I Fe - Iron g/l Iit , $ �t 4 fs �� � g/I Phenol Frig/I n• Hg M r ur g/1 ug/I Sulfate rrag/I - Potassium Specific Conductance uMhes Mg - t agnes rn it � r� ug/l Taal ta[ J # #�H 4 _ crtg/I t� - (angartese r g/t GROUNDIAAltll IlV P TKN as C ring/I Na - Sodium Frig/1 NPM L 'aluesshould re ectdissolvedconcentrations •aR m L I CERTIFY TIFY THAT THIS REPORT IS TRUE AND ACCURATE, (see . on reverse) Pill ill! r� ' DATE �k ,Submit blue, green, and yellow copies Dft to address above. ,ANA L Y{. �x. .North1 as t ttraw r' tr1 '',' the follow ¢ng M arr "nrent: d'rn Cher EPA-600ll�Vm�rir,,ear 1le z (c ds„foEaCua{n ` . Prate t1Orahoy' p hlicator z� (d t Brat Proce urerr forth() Arab,, Paa,rk `l 6,,, October 4, Measu6 9 d record the epib el lA' 5 At least 3 volumes before 3 well velumt collect your sarnple,, 8 Determination for pH sample is boll 7 Field equiprt Sample.rr'r t 964 ANALY SAMPLE `t.t tA� t,�etf,f try ttt FI t .t' { and NE � t Physical/On �. `_,., at t r iltaa is Under th tr :t lr w atl prior °to pumping ater 1r1'the f; shored ben t or baffe:t re rYr rraoved, samples .art"he rtatl „clad as saner as the Wn ad: cord rlee' a rr. gft r s. 5, 01$crcra f¢itc .ta The sample rl€t be labeled at the tiro a looted,: the union!, ny 'corps r1,t odor hrr a. p . a.nce rni Trd .atioons A SAMPLES CO LEC �trvtlC PR Pollution Controtf43dera .la, lW A "tC.' atly by #$ ,Protection Agency pudtic:.n ,, U. r 'Environmental Act, Federal Re trrrVol. 49, No, rnora o p e taar arnaty i m i thrr eh t r „pod/ r tt e dry s to th point where enough water is awrrattrt �l an`trf oaf turr4 in the 1 d on unfiltered Barr pies when the bat' lt r` coltect"s`on when a dissolved,analysis, t3 required, (Sea r. st ove) ion witl tl as facility name, will identificatitarr nu, rad r ar1d date and tyre cot at.hlic. official autlrortzed by the co r any, corporation, or goverrrraaar tal body tr: DIMS )N OF ENVIRONMENTAL MANAGE,�IFNT GROUNDWATER SECTION DryFOF NATURAL MEMO i DIMSI"N o �R RR I i t AR R E„ DATE: 31oggoaREWHAI offict FROM.- Jack.Floyo.� r' BJECT*- Application for ....' Renewal/Amendment of Permit NolA1 4° 59 �r hermit Facility dame , I County Te At Type of Project ; _� s Applicable Permit Numbers ' . Q C,))01'+ gOO2 EPA e have received a copy of the above referenced application, which was sent to your regional office for comment on r about 1'i You ho+u.ld review the application package for complete- ess and adequacy of relevant information and submit your request for additional information to me (via telephone r memo) by ,. 100 so that all required information can b red e ted from the applicant at one time. A copy of our formal request to the applicant for additional information will be provided teayou. f you de not require additional information from the applicant to complete your evaluation of the project, you should review the application package and submit your comments to rye by f a copy of the application package has not been Made available to your `office, PLEASE LET ME KNOW IMMEDIATELY so that a copy can: be forwarded to you as sawn as possible MDC/APPMEMO Welt LocaOon Well Identificaton Number We# Depth _2 8— -- Ft. Well Drrt t r _° "Sample S r tr t t r FJ.--, _._. t. ' - _. t. Depth to WaterLem _, " ft. below m, `trim point (beibm sampling) asuhrg point is tt, gyre, land surface Gallons, of water pug �. ng __— Spray Fwki. Land ° *40n of rrrrtaary DKtr burr Field lvsi h eH ---- 6,.A,__SpeCfflC Conductance—_ uMhos Ternp-__ VCOdor _ Appearance -- Date sample col Z92__ Date Lab Sample Andiyzed� COS _ ,. w.. _.w....._mgA �MF tlfrry � ______/ I dram; F Tom '— 1 w . ___/1 1 m for iri s t r est DissoNed Solids: Total 1 pH (sera ana d) —____—units OC.,,.. _-- .. .. �_ � . �.. �, . .� .v.w,�.� mgA Chloridero mg/1 ,rarat ..w�ro.� � � _...�__ .w� .������w mgA Grease and h`1911 Hardness: Total mg/l Phenol mgA Sulfate mg/l Specific, Gond oe_. _ Total Ammonia __m. w _ 1 119/1 Nitrate ) as N___._j,,._3-- .-.-..-_ r g/l Phosphorus, Total mg/l Al - Aluminum l 1m rig! Chromium: Total mgll Cu. Copper w u.uw__ ._.... m gA F - Iron .w_ .��� /I Mercury /I 1 rl Mg - Magnesium U of. , ` Mg/I I CERTIFY THAT THIS REPORT 1S TRUE ACCURATE. �i6nature of Perryiittee (r Authorized Agent* Sobsurface Low -Pressure RfxV tL i - mgA Zinc _ 'bids/herbicides (SpecifyCompounds) /I e ..dti g/l Other Compounds and Concentration units) dissolved a '".° '" ' colloidal concentrations. x #2 onback) back for Insbuctions. Submit blue, 1poon,w)d yollow copies orgy to ad*en above. GW-59 RED. 4 1 NOT ND NEW 'EBB ARE TO 'ATER NOT' swRoNmENTAL mANAGrzmENT w GROUNDWATER ,GROUNDWATER QUALITY MONITORING.-, ,. BOX RALEIGH, NC 276XOMS COMPUANCE ,REPORT FORM, 1call.fl f PERMIT NUMBER., (REQUIRED) Facility Name Non -Discharge Address --Of f BeI I Farm Road NPDESAC-Q0-3,j_ Wen LoG Well Identification Number __ � . Wc4l eta Well pia ter ...u. L Sample (Screened) Interval m. .v. ��n�- Ft. To ---Ft, Depth to Water Level --!, --85ft. below measuring int (before sampling) asurirg ant i - 9 "tt, above lard surface beforeGallons ot water purnpedbailed sampling i Aria f : - m.. S i�Conductance.�._ . � M d Temp. ,� r Date Sample rfl _ aJe Lab Sample An* _ ....r � Laboratory Name � n L Certification COD mg/l Iff rm: MF Fecal M. _ _. _ / 1 ad 0 i Coliforrm MF Total r (NoW. Use WN n*b>d for leghly turbid same) Dissolved Solids: Total r I pH erg alb TOC mgA Chloride mg/1 Arsenic , __ /I Grease and mI Hardness: Total _..,_ M911 artai mg/1 Sulfate mgA Specific Garr to — _ M s "Total Ammonia --- . ,— m TM as mg I Lagoon -- Sepbe Tar*/Drain Feld Srafr FKAd Subsurface Low -Pressure Pipiry ( P) Land ", or _ -- offer Digester Rotary OLWbutor IMMIM Nitrite ) m9/1 Nitrate 3 w m.� m MgA Phosphorus: Total rig/1 ar inum __ — - M9A um . mg/l €?w__ .�..... g Chromium: Total Iron /l r mg/1 - Potassium mI Mg M - a aimMgA aaa __._ SodiumI$ i _ i i _ mg/ Pb - m/ Zrt Zinc rrt/l Pesticides/Herbicides (Spedfy Compounds) ....a.,_...__ fig/i _..b��..... .. _ /1 91 Other(Specify pounds and Concentration units) 1 CERTIFY THAT THIS REPORT IS TRUE AND ACCURATE.g1 ; Values shou�e il ved and colloidal concentrations. on back) See bwk for Insiructions. Signature fry f f l rrrtilta (or � Authorized ri arty r m only to r above. W E; , /91 1O A m documeW any corporate Examination Q 1: 7 y mpc t , i ddr _� a�_� ....�� .°_ .... RR OPERAT ITORED Well µU. _ Mµ... ... wLagoon BEING 4. °% D+ i Fla Sep be Idenblicalion Number r Well Ft. Well Diameter..___"Sample (&reeved) Interval-- Ft, i ...--- $. Spray Fieki �,. o.. ubsurface Low-Piessure Depthto Water lMR v64 3 _ tt, be4ow m erurr ) . ur n point i tt. lar � � . Other :.. �W gester Gallons of water pumfx bijW before sampling 24. Field Analysis: pH Srific Conductance uMhos T ___. Odor - Appearance Date Sampk, Colbe� 17 1 Date Lab Sample Analyzed Laboratory Name CODmm .o. ,_.. mgl ffrrt : MF F f .._w°.__ _ . _tg 1 ,Colifonn: MF Toth q Uso WN �nw#vd for * UnUd wncttes) Dissolved Solids: Total _ __. g/1 pH (Wien analyzed).,______,_ units g/l Chloride.... �._ _ . .m ag1 Arsenic g Grease and Ole rNgi Hardness: Total .:., r gA Phenol _-_ mgA Sulfate mgl Specific Conductance uMhos Total Ammonia mgA TM as N rgl Nitrite (NO 2) as N mg/1 Nitrate (NO 31) as N Phosphorus' Totd, as tngA,,,, Al - Aluminum MgA Chrorrlf= Total Fe - Iron 1vor gaa� �.��.._.� � rig/l Na ° Sodium Ni -. °.. _ .M._°w .0 rig b � � m .. M__.� �.. m mg/1 Pesticides/Herbicides (Specify Compounds) colloidalI CERTIFY THAT THIS REPORT ISTRUE AND ACCURATE, NQt&, Values ld back) a ___� far i _ � t re of r ittee r , thr ri � gan't'-"'---— ateSubmit blue, woon, and yetlow copies only t r W 59 REV. 4/91 At to et before a thoizaF docurr Tidy,.; fcampiere can be c PERMIT NUMBER: (REQUIRED) �Facility Name 4th Crook WWTP Nort-Discharge NPOES DTL_Q�� OPERAMON BEING MONITORED Well L on �� � � � tl Number w_ .. _ _. _ .v._ _ ,u. _ld o n _ : T r. 11 lr . U it �m t, Well Diameter � Sam rt InWval Ft To Ft Spray Fieldurur e Low -Pressure r (s) Depth to Water Levd It, below wring point (belmgLand Apokabon of Wes uric point i - tt, above I u �Other Digester Rotary Distributor Gallons of waW pumpedbaiW before sampling l l ' Analysl . 6,__ a if - Conducts m. a i "re--r --Appearance---.. l to Laboratory Name t �� Certktir . COD Mg/ Witte , 2 s .._.. m A r pry., .w. erg w_.rs Nitrate ... 1.,.7 mg/4 _ ,_ ,._ m/ Total Phosphorus: Total as Zrt - Znc _ w_ _ . ,. g (Notw Use WN ffwftd Rw highly turUd mt t- Aluminum______ mgA Pesticides/Herbicides Dissolved Solids: Total Badurn m(specify Compounds) H anal ---------units .�- units C - Caldum mg/1 MgA Cd - Cadmium Chloride mg/l Chromium: m �� _, _..�.w.. �� _ tj1 Arsenic .. � ..Mg/1 omits) Grease � tai �. �. m� � .� e�� rrt �"l 'e Iron�°r t��r�rttrtir� Hardness: Phenol li K m Potassium SpecificSulfate Mg/l Mg - Magnesium � Total Ammonia M, i Na - Sodium _.. I CERTIFY 'THAT THIS REPORT IS TRUE AND ACCURATE. wd Nmte_ Values should refted dissolved and colloidal concentrations. (seeback)See back for InMiructiorm �t Signature 'f i` r titt r Authorized..y �Da � Su GW-59 REV, 1 A PA er is y rpor� / y t �.Ti t 1. Nox --fttrouillt. Nartil C arohna 20677 Ulater/Wastewater 01 reatintnt Plant 704-078-3430 ASri i 14, lgg ftovo Environmental Management Division � �����,� W �. Groundwater Section P.O. Box 27687 Raleigh, N.C. ` 61 - 7 ubje t: Fourth Creek TP Digester Mons terx��t °d Wells Anal � aea � Offer DearSirs:" Please tints enclosed the results of our four () Digester Wells, sampled lareh 17, 1992, at our Fourth Creek WWTP, NCO031836. Our Fourth Creek WWTP Lad, 1. 1., can theon-site measurements. Our Water Piant Lab, 37-6 ran the Total Coliform. All other parameters were contracted out to Hydro Analytical Late in Clemmons. Results are recorded on the enclosed -59 forms. These results slates we are ;in compliance. if I can be of further assistance, please call at ) 7-333 Sincere L.F. "Joe" Hudson, Jr., Director Water/Wastewater Treatment tPP-/rs, Enclosures Wate te water 01 reatment Ptants ti* t IV, of 7114-1170-3438 Environmental Management Division Groundwater Section P.O. Box 27687 Raleigh, N.C.;27611-7687 Subject; Fourth Creek W19TP Digester Monitoring wells Analyses Dear Sirs. Enclosed are the results of our tour 4) Digester Wells sampled November 2, 1 90, at our Fourth Creek ;�#,IWT , NCO031836. Our th Creek WWTP Lab, 181 , ran the onsi to measurements as well as the Total Dissolved Solids, nitrates, ammonia and metals. Our eater Plant Lab, #37-620, ran the Total Coliform. All other parameters were contracted out to Bald research Gab in Charlotte. Results are recorded on the enclosed GW-59 forms. VOC results are attached. These results show we are in compliance. If I can be of further assistance, please call at (704) 878-3438.. Sincerely, L.F. "Joe" Hudson, jr., Director Water/Wastewater Treatment FH/l sr Enc. CC. Carol Roger d , R, es a r c i L .b Incorp ra lc4r ANALY'nC3AL T S nNG & C0N`SULVNG SCr .ES '. , DOX 3 d . CHAVOTTE, Fib: M.'31 . TELEPHONE '� x p 527--4 t S�i . FAX (+° °- i gi a-k4C0City of S�UtosvjljF� Attn: Caro! Waun Dear MS. WAIGH: Below are recolLs of nnalysly nf to �„ i ..:.� :r . rµ'a. �' �,. �,* �'��� " 3 .. . ° `a 4 on November r.. ...0 . Customer Code: Y d: U i Yi 4 P Phone Number: d r.J8e"1 33 �.LAB .^J S .%a E .f_ 5 M Bold . D t r $ , . A ( i' , . t ,,. ,-7 Bold Customer . i u i."i t Collection Date; ..,� 'i ,mot k d .. , "Y i _ d k 0 t . , PARAMETER Multi. cTI'ti p o.. .*n�t analysis: GP '4 3 DC a '1.P t. #.A r }y., E ORGANICS BENZENE S Not u. R t BRONDIETHANE,. wNot , Dot CARBON . TETRACHLORIDE C,';�� „imp a—$"�. tYr-, ?.'. g t y��'yr r}.y p ot De� C. 2-CHLOROETHYLVINYL ETHER q OR ,may FORN, .: t� �P m. �-+ '..-+ .€"xi 4qq.^^.? 4 A � , i , i 1�*i 2 d "„� n .. Not t. S" p r'• i L . w.. -+�i pO y� q�y y� �e g �w g k D „S. RROk iOCkS L.. O "`wig+M I d3A i'YE ra " - H 0 0 , ^. a. d v<'i ry^' D I C G 1 S, lam. O � lR Z E N S ys a d € e. Not A 4� 1.4-01CHLOROPEMZEME zn _ m DICHLOR 1 N 1 - It *HL zhDE'*'HAH j yq pp et ., 1 w NotDet t1-DI HcO_TEmr.,. +: d D C." �.. TRANS-1,2—DICHLOROETwENE Not Do, X. p^ I C y "n -• . s y. t.`q.,"t - 1 a „C.'} - D _, t t L O�. O C . ._. N I R��-y ?m o *- Not 4 0 d} e L ,O fiq'-'o-f gn^^� g^g N d ! ANS "` 1 5 7.; Y'e-. G..a ('� Xt R 7a{'4 t._"k u"s .,. ,* ROAD 11 ,R OA l~".} °0. „-� t C 0 K„rl"7ARLO a ANALYTCAL TESTING f. CONSULTUNG SERVICES P,O, BOX 3105 a CHAP."OTTC, NO M31 d TELEPHONE (7041527-41R3 FAA �70-11525,CM03, G, i t y a S t, � a t, L 11 e Pa q 1-2 i I I'A GCMS FOR 11rUL,%'1'Tj,j7 Cqn [7Wk r- ET' I i'..,N y sEl!E' 0 t t 'r"E-MYtAF'NF TETRACITT n R"D1.7 T! L L I E' L. I C C!—,"— -N A H 1 1, R I C L 0 [:1 E1- - 7 7 J_ Ct 1 E 11-11 AN -F, 7) VIN'T'll, rill ME, XYLENE" V A :ate K CIP C u L-, t o Tn rz� r C o asa C ITYT-;TAT h "n urn h 7 LAD I.D- AA02051 E"CALd �X, b 2, 0, 1 7 o -1 CA C "Ic t o nc,:', r. C c I I e c n u -,n t-a 1 0, �a t e nc,". cl -Me am D 2 - - - - - - - - - - - T T I A 'AINLETER IT T 0 Tj A L 0 R'G A -,7 C', A r-L,, 11 0 , 7 t c orm p rj n f i i f—t V", %I C, A 1 tx C) 0 I n R 0 0 r. D 4 CON TE I L C1 ER I D E L 0 Rl 0 D FI-1 I I Z, 1, C i I L 0 E I C 11 L 0, R 0 7 0 F� IN Cl H 11 0 P, 0 IVE-1, It i E T 44� n OJIMILOTTIP, NC, 28217 AtdJ1€."r°TR AL TESTNG & MNISULTNGSERV1 S City of Statesville Page: 2 GC@:a..= FOR VOLATILE OM}tN `�= i" _nf`e t,&..'.,.ee.6 >t .,..... . e>: y _.W .., 4:,.• H i.x k„, n m O „„. .„a $'r Z .u.'w Y 11" U " e / L n o 4 :.:I e t.. w 1,3— I�,. H OdaODE4i....;. NE' l Y ry, qq C�^ Hp���} t' t' yy^� qq 1.-. i.t .�C Y...a 3 3 4 � R8'd"� ,.1:� d v .., S,a Yid 5�.. r: i 3 � _. .. £ 1I i^trL OD i i ._.u°C`uA.M TH. t up!!- Hot t„yo t 11 G "[' �" F y' p �. .. , e >� ��. € , _ L p i•_J. •p, �d i Y F � � _w i� a €'�.a 1"i V.:.` —� f � .: w� Not t_x rt� p�. g b'� A i =-.;° r_ �� ,.t .� a � �. $....E t t i u i .� k f .°',. `_ .: ,�. �..3 z"� {.� �» t��;s" �a ggkt }M1,.�.yi p.,.� ^�` {6,-, uq/L Not Dot ETHYLBENZENE 10, Not ✓ _ t METHYLENE CHLORIDE U Ft � ..al.s?dhCHLOR $° iwH NE UnII, Not Dot pp „ q F ,.- r t Det R.maq tDF r t P 4v:m... ' {F ot Dot TR1GHL0R0FLU0Tn1ETHAN`.'.' ug/L, Not Do VINYL CHLORIDE ug/L Hot D&, Vasp a` `} 6.. A" L >r' Bold D e .:i , `. e r ., 1 7 D f"4 l i . a E u t '$' N r 1 9 / 0 ¢ �. � � r l .a. t .., �. t=" ., '_� �" a l as _,: mp1 w ° '`. „wx x ' , TEST x , I M PARANEmay* s t RESULT LWT ----------------------------- TOTAL ORGANIC CARBON, _ ,.. CHLORIDE P ANALNTCAL TESTING & CONSULTING SEWCES P 0. BOX 3148,6 CHARLOITE, INC 20231 TELF-M fGN(Ti 4p527-41W FkK �704,1525-0409 C t y (:).f S, t i I I Pzl tlaverllbcr VD, C)CMS FOR. 1rC11-Al"I4_aE 2'. E tA E o D R'0 Pl 0 D I C 111 C) R 0 M C:.T H A 14 F" 5 rl IR, 0 M 0 F f-I R IN N o t 1) L DR 0 N 0 N E, "N' 'N E, I I o t Dc--� .:t R P, C, I IN T 17 7 T C!, 1- R� T o, D �E't C H L 0 it Cl B E'�ZE- E-, o C 1- 0 R 0 E T 14 C 1 0 R, Cl Z, 7 1 71V J_ N C, D c, Cl-I L Cl R 0 F 0 R"' Qli 0 f, I C) t 1) c� t BRIONDC11, LOR'01ME"I'll IPI 2 1) 1 Q 11 L OR' 0 D E N 2 E1,117 D t 1 2 I C I I' O'E", E, ilt t De,t I III N a I- D x t ti D I C H 12D R C T'll 1�1' 11 - N . ci t D A N 127- I D i 1- 0 r 0 1- ',7 :cr J, H ot t 2 - D I LC ".a, L 1% f i I 1, 1 ", D 7,111 �, t" C, 'F 1" r, F� Fl 'T E it T ' I I jl I T, to h„x T I o'z C ", TO L t J E N I ] j 1 d 1: D t ��T�—]Jl C, OET!!.,%�1'E 1, , 2- T T- o t D L I c L 0l C J, j T R I C 1-1 L Cj, R C-7 L'Ut 0 RC) 11 T:,' I"! A o V I'll y L C I I L i'` N - -1 Y LEN, C C:,--f rn ra e ri A, s, V A 1 K"(M R V A 1111 449 �WRINGMIOCK' r,.;lHAni-o-n'll---, ICI 20,217 -�r, c. o r p 0 C 0 (,'.' AN/mrrICAL WSTING & CONSULTING SERVICES Ra BN 3"M - DAMOVE, NC 2823- TELEPHONE (704) 15?7-41 M * FAK (704) 525-04,00 City of Statesville Page: 5 November 199 19, 0 Customer Code: CITYSTAT Phone Number: (704)878-3438 LAB I.D. AA02053 Bold ID Number 250FI-7 Bold Customer N"Mber 5384 Collection Date; 11/02/9", Submittal Dote: 11/06!90 DubmiUal Time: 10:44 Customer Sample I.DR: 4TH W''I ----------------------------------------------------------------------- - TEST N 1 K-.� TEST DETECTIO:N PARAMETER RESULT LIWIF TOT AL ORGANIC CAR901,i L. D. 6 1 , Multicomponent anaiyois: WNS FOR VOLATILE ORGANIC':3 DENZENE U q / L Not DeL DRDMGDICHLORDMETHANT--� U g / L -,1 DRONOPORM U g /1- Not Dot BROMOMETHAW ug/l. Not Let 1 CARBON TETRACHLORIDE ug/1'. Not Det .1 CHLORODENZEN2 CALDROETHAME g /1, Not DeL 2-CHLORDETHYLVINYL ETHER Not D e t. CHLOROPORN u o 1 (D 2 CHUROMETnANice. ug/L Not Det DTBROMOCHWRONETHANE ogy!'' Hot DeL 1,2-DICHL0R0PEMZENF,' U q &-, Hot DeL a g Not Det DICHLUROUENZENE U g DICHLDRDDIFLUDROHETHAWI,�', Mot DoL 1,1-DICHLOROETHANE Ug/L Not Det 1,2-DICHLORDETHANTE U P / 1-, Not Det 1,I-D1CHL0R0ETHEH gL o N et- TRANS-1,2-DICHLOROETWME Not Det 1,2-DICHLOROPROPAW Not Det CIS-1,3-DIOHLOROPROPEHE Not Det i TRANS-1,341CHnOROPROVESE ug/- Not Dot RTHYLSENZENE 0 1/ 1, 1, NETHYLENE 141 / ,, 1,1,2,2-TETRACHLOTRORTHAVE wq/i. Hot Do', TETRACHLOROETNEW:7 two Not V w,-,, 1.1,1-TRICHLOROETHAW-. N 0 L Dal, !,1,2-TR1CHL0R0RTVAW- a Not Dot TRICHLORDETHENE ug/L Not Dot TRICHLOROFLUORONETHAN,°: g VINYL CHLORIDE U g Not V-t, XYLENE ------------------------------------------ 0 g Not W,- 449 CHARLOTTE-, MC 28217 0 GROUNDWATER OUALITY MONITORING: COMPLIANCE REPORT FORM For additional forms please write or call: Facility Name Fourth Cre Address 0E Seu Well Location rt d rt Well Identification dumber Well Depth 13 . Well Diameter Sample (Screened) Interval Ft. To —Ft. Depth to Water Level 17 --- ft. below measurinq point. (before sampling Measuring paint i feet shove land surface Gallons of water pumped/balled before sampling Groundwator Section P.O. Box 27687 rt aleigh, NC 27611-1687 (919)733-3221 County PERMIT NUMBER: (REOUIRED) Mort -Discharge Land Application ; of Sludge a Subsurlace Low -Pressure Piping (LPP) 'her3e Field Analysis: PH Specific Conductance hey Temp.Odor Appearance Date Sample Collected . Date Lab Sample Analyzed Laboratory Marne Certification (o. DD mall olif rrrrt: I" F Fecal /100ml Coliforrrt: tlF Total -,� � 100ml Dissolved Solids: Total 102 mg/1 PH (when analyzed) units TOC rag/I Chloride a - D mcl Arsenic rrr l Grease and Orly Mg I Hardness: Total D as N mg/I D 3 as N /I Phosphorus: 'Total as P mg/1 Al - Aluminum mg/I a - Barium I Ca - Calcium l Cd - Cadmium l Chromium: Total —mg/I u - Copper .015 r°npl mg/1 Fe - Iran - mg/l sm Sulfate ..- rrt,rl Specific Conductance u lhos Total Ammo rria(NH * HH )—*I- m9/1 Mg - Magnesium mg/t Na - Sodium Mg/I I CERTIFY THAT THIS REPORT IS THUS AND ACCURATE. 'Y" oJ SIGNATURE FI iF PERMITTEE (OR T AUTHORIZED AG T fAT — Ni Nickel mg/I Pd Lead rrtl n - Zinc .0004 to l Pestic ides/Herb ioide peolT �c w, pounds) CBI 'I t Other (Speol u,ll ul u11 ug/I NQIL Values should reflect dissoRved concentrations (See . an reverse). ug/I ug/l GW-59 REV, 2/9 NQIL Values should reflect dissoRved concentrations (See . an reverse). ug/I ug/l GW-59 REV, 2/9 GRO CQ;DQN rf;NEIreM4AteYSIS ANDUNM.w. ARS .�. t µ Samples sh rind be analyze(t s croon as possible after rrolfectirr°L SAMPLES wfopo E: NOT ALL E U HtN THEHOL>i)ff G E SPECIFIED FOR THE METHOD USE (SEE #3. tE UST . EDISCARDED AND E : SAMPLE S LLECTED. 2., NALYSES ARE TOBE MADE OF THE ON ITUTUENTS DISSOLVED IN THE GROUNDWATER, Nall` THOSE THAT ARE A PART OF, P ADSt R'E3E* ONTO, SOIL M SED N°T PARTICLES. CHECK WITH YOUR LABORATORY ON PROPER PROCEDURES FOR SAMPLE C LLECTION.AND:PRESERVATION. R As per Title 15, North t reline Adrrrirr, described in one of the tr llowing public Management: Subr:hptr `t,., ar'lrl rrs, cr,, pry }other rrretiacds apprrred (: Standard meth, rrt" fr r ti e £ xa i arc Health Asscdi, American (b) Methods for Chemical Analysis . of EPAm60 ,"4-7 :020 as revised March (c) Test Methods for Evaluating Solid Wastes: l by rc l/Che ni al Met Protection Agency publication number S' 846 (d) e<,t Procedures for the .Analysis of PoUuant$ Under the Oenr Fart 136, October 26, 19 4 rf,prar„edrres efrn beforehand by 'ttr rte'r ar d \A e;Ne° t+ kiseciation,and ,:rand Waste, 1 79, ALS. Measure acid record the depth of water in the welt prior frr purnpin g or tra Ting any w , At least3 v before 3 well volu collect your sample,. the wsii andr,lct be pumpedd car t called prior trr coli cting a sr rypies can be belle i,r,d as rocn gas the well recovers overs tv l' be Fri r cerr"d.`,r'ieitt'r rrnct.rrr, Div sscr"r of Er viron ii'Edition, 1985 published jointly by American Outran Control Federation nvtronr 'rental Protection Agency publication number trrd Edition, 19 6 U.S. Environmental `Art. Federal Register Vol. 49, No. 209, 40 CFR the well is pumped `bailed dry here enough water is available to )etermin ,tion for pH, Specific C+rnductance„ temperat`.rre, coed appearance must be rrrade in the field on unfiltered sampies when the dmpie is collected. Field equipment roust be calibrated it arrce rr a.nce 'with arnples mint be filtered through a 0,45 rrrir rcr f The scruple container should be i *oho' lectern. "Auti rr'rri r ri Grpor rtr:;r rendtietrs by the manufacturer, edir tely after„ collection when a coved analysis is required. See413, above) ublic nflicirri rrutirr ri rid by the rber and date anal tirne ccl- verrr Facility Name Fourth Cream WWTP Address its 70 Well Location �ac�tats a�r� For additional forms please write or calla County Iredell Groundwater Section P.O. Box 27687 Raleigh, NC 27611-7687 M )733-3221 PERMIT NUMBER. (REOUIRED) oV Well Identification Number - Wel] Dept 2 _ _ t. � �, �, � �ceA Well Diameter 1 a aarripld (Screened) Interval t, Try Ft, Lagoon Depth to Water Laval . s f.t below easurin point (before sampling) id Measuring point is feat above land surface Gallons of water pumped/bailed before sampling Land Application of Sludge Septic 'rank/Drain Field ubsurta e Low -Pressure Piping (LPP), Other Field Analysis: phi Specific Conductan e h s Tamp. p r Appearance Gate Sample Collected ted Data Lab Sample Analyzed Laboratory dame 4th Creek WWIP /Water Plant Lana Certification No. iZM§2 COD m /I NO2asN m /I Ni m Nickel rtrl /t rliform: ME Fecal -,_/100rn1 NO3asN 4. ). m /l Pb -Lead mg/1 Ci lif rm: ME Total f /looml Phosphorus: orus: Total as P rn / n - Zinc .0004 m /I Dissolved Salida: Totaltrip/l p (when analyzed) units TOC _ 1 /I Chloride - m /i. Arsenic pl Grease and Coils m /I Hardness: Total m /l Phenol ml Sulfate mp/I Specific Conductance uMhos Total mm nia(NH a NH ) - — m /I TKNasN mg/1 Ba - Barium m I Ca - tulip /i Id - Cadmium Chromium: Total m /t Cu - C)rrpar 5 /I Iron rT ,*� V rn Ffp - Mercury �**Oowgtl n Potassium-761194—m /I M -'Magnesium � m /I n - Manganese-,,.m /I Na - Sodium /I I CERTIFY THAT THIS REPORT IS TRUE AND ACCURATE. SIGNATURE OF PERMITTEE (OR AUTHORIZED AGENT-) IATP GW-59 REV. 2/90 Values shoWd reflect dissolved concentrations (See # .can reverse) Submit blue, green, and yellow copies gft to address albove. COLLECTION AND ANALYSIS OF GROUNDWATfaSAMP�....� S 1, .tmpfr s should be nalyzed as soon as possible after cr li ctiort. SAMPLES WHICH ARE NOT ANALYSED 'WITHIN THE HOLDING TIME SPECIFIED FOR THE METHOD USED (SEE #3. BELO MUST BE DISCARDED AND NEW SAMPLES COLLECTED. ti ANALYSES ARE 'TO E MADE OF THE CONSfTITUENTS DISSOLVED IN THE GROUNDWATER, NOT THOSE THAT ARE A PART OF, OR AD ORBED ONTSOIL/SEDIMENT PARTICLES. CHECK WITH YOUR LABORATORY ON PROPER PROCEDURES FOR SAMPLE COLLECTION AND PRESQ ,RVATION , As per Title 15, North Carolina .Adrninsstrat ve Code, Subchapter 2L, analytical prr oerfrrr s shall be in ocorrtarrce Frith the method described in one of the following pubficati ens, or by other methods approved befor( i an d by the Director,. Division of Environmental Iliana.gtrnier t <) Standard methods for the Examination of Water and Waste , titer, 1 th Edition, 1985, published jointly by Ai erican Public Health Association,; American Water Works Association and Water Pollution Control Federation: (h) Methods for Chemical Analysis of Water and Waste, 1979, U.S. Environmental Protection Agency publication "u ber EPA- 00/4-79 020, as revised March 1 8,3; c) Test Methods for Evluating Solid Wastes'' Physical/Chemical Methods, 3rd Edition, 1986, U.S, Environ ° entjal rctection Agency publication number SW-84 (d) Test Procedures for the Analysis of pollutants Under the Olean W ter Act, Fed' al Register Vol. 49, No, 209, 40 CPI Part 136, October, 26, 1984; and record the depth o prior to pumping or limes of ater in the wfl should be pumped or bailed prio volumes are removed, samples can be collected as soon a t your sample, 'at,ion for pH, S pecff ted. du:tarrc. st be calibrated in accord d, through a „45 micro 1pie contain 1d be label at in rature, odor and ap' witty i ooryrr end ` hon ter iely after ra of : i ff ti 'with the v ng any water fror'rr the w cofleeting a sarr`pli f the ufi recovers to the lity n °E d by th corn P ysis. int 'de in the l iden e Weil is pun enough wate bed/bailed dry is available to eld on unfiltered sa:rples n the eruiredk (See 3 nu r berandrf lsandfirer body to sl n oftc€ GROUNDWATER ij REPORT Groundwater Section P.O. Box 21687 ., .ie • , n. �i :Ss ,.., For additional forms please write or call Raleigh, NC 27611-7687 f q )733-3221 Facility Name . o P Address US 7 Statesville, N.C. 28677 Well Location Dowingradient Well Identification Number_D-3 Well Depth Ft, Well, Diameter eter 1. 5 "" Sample (Screened) Interval Ft., T - Ft. Depth to ester Level 25 - -- fit. below measuring point, (before sampling) Measuring point is feet above land surface Gallons of water pumped/bailed before sampling 14 Field Analysis; pR Specific Conductance hs Tamp, County I PERMIT NUMBER: I Non -Discharge Na ry O031836 L ist Application ol sludge Septic Tank/Drain Field ,. sukrsurrce Less -Pressure Piping (LPP) Other Digester Oder Appearance Date Sample Collected Date Lab Sample Analyzed V.rterPlant a Lab C+� i37-620 D D mg/l dl N ss l rrt li Coliform: ME Fecal 1 i rrtl NO3 as N 1.51 —mg/l c liforrrt: ME Total . , 1 ml Phosphorus. Total as P mg/l Dissolved Solift Total mg/l Al - Aluminum mg/l pH (whom analyzed) units Be - Barium mg/l TOC 6.4 _ I Ca - Calcium mg/l Chloride 5.0 mg/I Cd _ Cadmium _,!9, .0 5 rrt i Grease sse and Oils mg/l Hardness* Total rrrpll Phenol rttpl Sulfate rrt/l Specific Conductance _ u lhos Total nt onia(NH , NH mg/l Tl N as N I mg/l Chromium.- Total _ rrl ,fl Cu - Copper - 015 mg/I F - Iron i Mercury 1's T r 2!WW Myi - Potassium mg/l Mg - Magnesium mg/I n - Manganese mg/1 V0,131M OWN— s - Sodium rr g/I l I CERTIFY THAT THIS REPORT IS TRUE AND CUR, TE. ---------- SIGNATURE OF PFR iI E (OR AUTHORIZED AGENT"eAT7& Ni Nickel mg/I Ph Lead MgtI ors _ in .000 mg/l Pestic ides/Herb ioides, (Specify Compounds) /1 ut /t Other Specify, tall ,blues shsoWd reflect dissolved concentrations (see 2. on reverse) Submit blue, green, and yellow copies 2W to address above. GW-59 REV. 2/90 - fl^til �" aa.ly°r as po`>s TIME SPECIFIED FOR 'tE ET USED OF GRI D ATER SAMPLES ctiou. SAMPLES WHICH RE NOT ANALYSED WITHIN THE HOLDING ELOW) MUST BE DISCAFIDED AND NEW SAMPLES COLLECTED. ANALYSES ARE TO BE MADE OF THE COm SIIITUENTf,3 DISSOLVED IN THE GROUNDWATER, ER„ t'CT THOSE SE THAT ARE : PART OF, OR ADSORBED ONTO, SOIUSEDIMENT PARTICLES. C ECK WITH YOUR LABORATORY ON PROPER PROCEDURES URES FOR SA tLE COLLECTION AND PRESERVATION. As per Title 15 Nortill, Carol Adnir istCode, SubrhapLer 2L, analytical procedures shall o i ccordance r rihed in one of the following publicatl r or° by other rid naernent: ods ,approved beforehand by the Direc Division of Envlro dard methods for the E .r rt` in ation of Water and Wastewater, 16th Editiopublished jointly by Arrtrtricrtrt c Health Association, American Water Works Association and Water PellutiControl Federation, vlethods for Chernical Analysis of Water and Waste, 1979, U.S. Environmental Protection Agency publication number A 6O0 4 /9 0` 0, as revised March 1983, (c ") Test Methods for Evaluating Solid Wastes: PhysicaitChemicc,I Methods, 3rd Edition, 1986 U.S. Environmental Protection Agency publication number SW-846 (d) `Test Procedures tor the Analysis of Polluants Under the Clean Wain Act, Federal Register Vol. 49, o. 209, 40 CFI art 136, October 26, 1 84; tt�a s re and record the depth of water it the we'it prior to pumping or bailing any water fror It. At lcra ft l olr.urnes of water -In the well Should he p ,rr pod or haled prior to collect before 3 r:?l-1 volumes are remov d, s ar rrpies can be collected as soon as the Well rPccvers to the point where encr cgh water is available to collect your ample for analysis. If tt e well is pumpedr'ba led dry 6. Deterrn nation tor pH, Spec!. Cou uctanee, tern porature, odor and appearance must be made sample is corlecte .. '.. Rein t et uipr sent rnust be calibrated in accordance €u st databy the Toni tar turer lye c;id en unfiltered sar~npies wf en the Icrrredx (o #%.., above) and d:t and. time col.,, GROUNDWATER QUALITY MONITORING: COMPLIANCE REPORT FORM For additional forms please writs or call; Facility Name Address StatesKLiljej N.C. 28677 Well Location Well Identification Number a Well Depth. 9 -- - Ft, Well Diameter Sample (Screened) ) Interval _. -_ Ft. TL Depth to Water Level t . below measuring point.(before sampling County PERMIT Cif. Non -Discharge (919)733-3221 lo Groundwater Soctio P.O. Box 27687 27611 RM Septc Tank/Drain Field Subsurface Low -Pressure Pl ire ri Dal Measuring point is feet above land surfaceLand � Application r Sludge Gallons f water pupa /balled before sampling Other ° l cal rDistributor Field Analysis: PH Speolfl ondu tan - h s Temp., 0 C Odor r l pr a anc Date Sample Collected ed Date Lab Sample Analyzed Laboratory Name 4th Cr Certification No. - 62 COCA' Mg A NO2 as N rrtg/I : Ni Nickel mg/I Coliforrrt; MF Fecal i t rttl NOas N ...02 leg/I Pb Lead rng/l C oliforrn: MF Total, /100ml Phosphorus: Total as P rag/I Zn - Zinc Dissolved Solids: Total - rrlg/t Al - Aluminum rrlg/I Posti id s/H rpicides (Specify Compounds) pH (when analyzed) units Be - Barium mg/I /l TO - - m/i C _ Calcium rrt /IPoll Chloride 5 -0 rrtg/I C:d - Cadmium mg JI a g/I .Arsenio rog/I Chromium: m: Total g/I Other (Specify),, g/I Grease and Oils mad/1 Cu - Copper '_� tlg/I Hardness: Total Phenol nol . - rig/I Hsi - Mercury . �� g/I ug/1 Sulfate leg/I K - Potassium5 g/I ,ea d /I Specific Conductance - u hos Mg - iagrt sr g/t Total Ammo la(NH * NH A) : 7 Mg/1 TKN as IN mg/l SIGNATURE OF PEPNAITTEE (OR AUTHORIZED AGENT-) ADA NAM Values should reflect di snlvad concentrations (See ; on revref yellowSubmit blue, oreen, and copies oft to address above. GW- gREV.2./90 7` =il r`i 1 l'r TI E "PF, ':, ANALYSES S ARE TO'BE m Abt OF THE CCNSITtT TENTS DISSOLVED IN THE GROUNDWATER; NOT THOSE THAT AREA PART OF, OR A SCfBED ONTO, SOIL`SEDIME, PARTICLES. CHECK WtTH YOUR LABORATORY ON PROPER PROCEDURES FOR SAMPLE COLLECTION AND PRESER`°ATfO err. Title 1 1, North Carolina Administrative Code 5(„rbctrs tart 3t nr, rcat procedures shall ho irr accordan. p a � �` �r oc�,dr r bed in one of the tollowlng pu ticatlor , or by other roved beforehand by the lractor, Div). ,gprttents l wm 4'IONANt ANALY fS OF GR UNL) A" AAkM L,E$ possible atter coll SAMPLES WHICH ARE NOT ANALYSED WITHIN T rE HOLDING USE; (b EE 3. BELOW)MUST BE ISCARDED AND NE SAMPLES COLLECTED. th the mettrrds Envirurrrr rectal a Star°rdard methods for the Examinatlort of Water and Wastewater, 16th Edition, 1985, published jointly y Amenr Pr blfc -lealth Association,. American Water Works Association and Water Pollution Control Federation* (o) Methods hods for Chemical Analysis of Water and Waste, 1979, U.S„ Environmental Protection Agency publication number. E 'A-600 4-79-020, as revised March 1983; (0) Test Methods for Evaluating Solid Wastes: Physical/Chemical Methods, 3rd Edition, 1986, U.S. Envrorrrr r r`rtal Protection Agency publication number SW 46 (d) Test Pw°wcedures to the Analysis of Polluants Under the Clean Water Act, Federal Register Vol, 49, No, ?09, 49 CFR Part 136, October 26, 1984; re rtrid record the depth of water in the weU prior trr pumping or balllrtg any At lest 3 volumes of water in the well should be puttered or baited prior to colle orr 3 well volumes are removed, samples can be coltectrd as soon as the your _same „ 13otatlrraticn for pH, Spec r~rt l is ouHectedu 'foie con nductance, for peratur'a, odor and ap too in accordance with g h r 0 rple for analysis. If overxs to the point where enough r trtr rrtf ti ns by the man trtottrreru n urrfiit red sat pod/°haiicd dry rsvallable to r rr riftr irrrrt'rrtdi tely r ttr l collection when tlssolvrtrt arra(ysis is regwred. (See #3. o. r ii trb rr �` ilr c illt ✓ namewall id ;.r tifr r 'ion nun l`tax rcal author when the date r'td time, COl nen till boo f ter trwater Orratment Plants Ttt I of 704-878-3438 -. &Av . ox. I It t tt ril r Lar f ENVIRONMENTAL MAWEUno January 22, 190 EYilk B�urN, i77E " ; Fir. Tease Wells N.C. Division of EnvironlTiental Management 919 N. Main Street Mooresville, - 811 Dear Mr. Wells: You are hereby informed that. er.-Q-�1. ,Monitoring Wells have been completed at the Fourth Creed G Please fend the Well Completion records (Form -I) for each well attached. Yadkin Well Company was the generalcontractor on this project. They subcontracted the work to Geologic Exploration who filed the W-1 for Yadkin Well Company. Should further information be- required, feel free to contact me at 704-878-3438. Sincerely, _w L. " "Joe" Hudson, Jr., Direct -gar Water/Wastewater 'Treatment F1 Attach. e r AROLIA NA DF-PAATWNI OF NATURAL RESOURCES AND COMMUNITY DEVELOPMIENT O1VISION OF ENVIRONMEWrAL MANAGEWCENT - GROUNDWATIM SECTION FOR OFFICE USE ONLY RO, BOX 27687 - BALFIGH,N C 2781 I. PW)NE (919) 133-6083 # Quad, No, Serial No, Let. --- Long-_ PC WELL CONSTRUCTION RECORD Minor Sasin Basin Code Header Ent. GW- I Ent.,... DRILL CONTRACTOR --fen-j.Qgj_C _On DRILLER REGISTRATION NUMBER STATE WELL CONSTRUCTION PERMIT NUMBER: I '0eELL LOCATION [Show sketch of the IOCation beiow) Nearesi Town ---S-t-atE'S3L-U1i-e-,--V County: I red ell t oaa, C-orrmunRty, or Subdsvision and Lot Noj Dopth DRILLiNG LOG OWNER _jGjtX_..Of b _:tateSML 2 e From To Formation Description ADDRESS 0 10, an cl —��f-y Si —It Street Of io, 4o, Yellow Brown Clay — City or Town Slate �71P Code C47E I-P"'iLLED 1---171---K— USE Or WELL.Monitor TO�TAL DEPTH CUTTINGS COLLECTED 0 Yes 91 No 5, DOES WELL REPLACE EXISTING WELL? Yes [0 No TATIC WATER LEVEL, SFT- F attOve TOP OF CASlNG. below TOP OF CASaNG t w F T ABOVE LAND SURFACE, iqipm) --RLAL-- METHOD OF TFST VVATER ZONES (deolh) 9 CHLORINATION Type, Amount 10 CAStNG Wall Thickness Depth Diarrieler or Weight/Fl. Material r 0 M allrfU Et o -2-6 --0 Ft. 2" Sch.4o PVC From To F rO'n To F l, GROUT Deoth Fromaurf a-c e o 2-6, 0. From -- To - Ft. 12 SCREEN method kAapcd_ Depm Diamriter Stoll Size Material FrOm 32' -0 To�o �' F, -2 in, 0-01 in. Sch. 40 F To_ F I - in. in F r o rr T 0 F t in, 13PAVEL PACK Depth Else Material If additional space is needed use back of form �NK T�,H (Show direction and distance from at least two State Roads, or other map reference points) From.0TOAO-O FL 0.017-0.43 Sand F ro rri T o r i 14 REMARKS l DO HEREBY CERTIFY THAT THIS WELL ii� 0 ORDANCE WITH 15 NCAC 2C, WELL STANDARDS, AND THAT A COPY OF THIS R co f AT WELL CONSTRUCTION RECORD DRILLING CONTRACTOR Qaajagj_Q_ &_Ulqra-�j_qr�_ STAI DRILLER REGISTRATION NUMBER---11215-, PERt Goad. No, Serial No, Lat, Long, pc Minor Basin Basin Code Header Ent, GW-1 Ent.— E WELL CONSTRUCTION IIT NUMBER: I WELL LOCATION (Show SkOlCh Of the localjon beIow) Nearest Town Stat(,sville, IN.C. 1-yaste water County Tredell 111reatmen-� Plai�t on W-ell kF.-- cRCa,0, 'COMMunfly, of SubdwISwn and Lot No Depth DRILLING LOG 2 OWNE From To Formation Descrjoton ,ADDRESS PDX 1111 0-5-0- ill 1,4 Pj- al -P-0- Street .-,�tu, L� State 1 e '�02�867 7��� City or Town State Zip Code Silt 3 ATE DRLLED USE OF WELL _,4qn! to r 4 TOTAL DEPTH —3,9 - —0' .— CUTTINGS COLLECTED 0 Yes 0 No 5 DOES WELL REPLACE EXISTING 'ELL' Yes � No 6 STATIC WATER LEVEL FT ab-Ove TOP OF CASING, below TOP OF CASING lS-3�. —0— FT A So VE LAND SURFACE 7, Y!ELD (gpm) -NZA---- METHOD OF TEST 8 WATER ZONES tCealh) 9 ICHLORATtOoi Type N/A Amount 11�1 CAS�NG Watt Thickness it additional space is needed use back of lorm Dep1h Damefer or weaght/Ft Material' r 0 M q�u—r 0 2 sch. 4o Pvc LOCATION SKET� H —fa�c-� 1 ---- (Show difectton and distance from at least two State Roacs, From To ---FI---- or other map reference posrits) From To i GROi-;T Detim Maiertai Method F ro rn JU _rfaC STo-16 _-O F It S and C em ent Pumped From To FT 12 SCREEN Depth DiameIer S101 Size, MateriaI From ?-,�. _0 To---�,2---O F, -2" kn, 0 .01 in, Pvc P r zrn — To Ft in, in, GRAVEL PACK Depth Size Malenai From _13 Q To'30,0 Ft:_Q. 017-0 .4 _3 Sand From _To— — Fi 14 REMARKS I DO HEREBY CERTIFY THAI' THIS WELL WAS CON CT STANDARDS, AND THAT A COPY OF THIS RECO AS 1 TU . F CC S v ANCE WITH 15 NCAC 2C, WELL CONSTRLJCTtON 4H t=LL OWNER, 4 OR AGENT DATE INA O P RTWN`T OF NATURAL RESOURCES AND Ct3MMUINI'LY Qe4 f tii i tt_ EN t A MfiikNFCd MT - wA Tt FOR OFFICE USE ONLY t'.O, BOX 27687--RALEIGH,N.0 77et1, NE t9110 733- 5083 Quad: No. Tk v Serial No,Ym_ La#, Long, pc WELL ONSTRU TION RECORD Bash Bas Basin code Header Ent. Gail-1 art, DRILLING CONTRACTOR fzEn_jDgj_L-__EXp a� DRILLER REGISTRATION NUMBER STATE WELLCONSTRUCTION _� a PERMIT NUMBER: T WELL LOCATIONS (Stow sketch of the location o iow) Nearest Town Statesville, N.C. ,Masts W ter ._ C oontg �. y Treatment en 1 o � �';4 aJ � 0? Tlrnundy, or Subd�vasion and Lot No) C7epktt" [)Rta.L£NC"z LOG 'ple From To Formation Description ADDRES .O. Box 1111 lY tam F ti^r �Yt r' err 11 (Street or Rory o ht tt a.1,1 N #6. 28677 ==tom. - Yellow Brow fire silt C41Y or town state Zip Cede CATFDRLLELi _ USE OF WELL N" onit t r a TOTAL DEPTH . Qj � __ CUTTINGS COLLECTED Dyes 93Nci L DOES WELL REPLACE E ISTiN G WELL? 0 Yes 9 No E. STATIC WATER LEVEL — _r FT 0 above TOP OF CASING, _ TOP OF CASING IS r FT ABOVEbelow LAND SURFACE, 7 YIE. L 1',9DMi: __.:m._ METHOD OF TES _. E W cR Z 0NES ;del th} �C'H,LJRINATi0U Type N Amount CASiNG Wall Ttttckness It adisdional space is needed use back of lorm Depth Diameter or Weuqlhl/Ft Material From l CEro Ft �r �ach.4 PVC QATI }t� SKETCH � (Show direction and distance from at Qeast two State goads. From - To --F s Or other map reference paints) From To -Ft, CIFOUT Depth Material Method Corn °. c 6 FjSand,Cement PUrlped From To Ft; T2 SCREEN" Depth D ameter Slot Size Material uo vc Frc�eri '�l'l Ti3„ _ F1- —in' 0.01 in.. y I-r,3 m T o F t. it'r , In, Prom To Ft. � _ rn, in. 13 GRAVEL PACK: Depth Size Material Ffor TFt.,p. 017 6101 Fron't,x` Trt_ Ft. 14 REMARKS i DO HEREBY CERTIFY THAT THIS WELL WAS CON Lt IN ACCORDANCE WITH 15 N AC 2C. WELL CONSTRUCTION STANDARDS, AND THAT A COPY OF THIS REaCi A I ED TO T�E WELL OWNER, N E i TR CTOR CAR AGENT ELATE INA DEPART NT NATURAL RESOURCES ANo COM t t _.a rI' ISION OF ENVtRNTAL NA NT - GR A -SECTIONFOR OFFICE USE ONLY E .o BOX27687 - RALMOH,N.C. 2761 r, ptioNF (6 tt)) 733 S3 )road.. No eriaf No. WELL CONSTRUCTION RECORD Minor Basin _ L,J;"..., Basin Code Header Ent. GW'i+-1 Ent, DRILLING CONTRACTOR DRILLERREGISTRATIONLl STATE WELLCONSTRUCTION PERMIT NUMBER: t °ELL LCy bATdON (Show sketoh of the lrjr-,atson beIow ) "nearest iowr r' + � � r _ ��� � � rt� ' County, Ired ell (R030 CommL,r,lty.. or SUDdavaSion and L01 No DepthDRILLING LOG is pa �„ ^� `� u��t° Eht u�`. t� ......W..... e 1' ! �" L �7 �.� �t & From To Formation Descrioi,on ADDRESS � - Surface o 0, Yellow�.t�°Wvn C 1� o-s tf e "t- ' 6`@ _.. va N c ' �silt Coy or Town State Zip Code Brown Clay 1 jpj jo 10 dis Silt 0 W 1-1-9 tLLFt USE OF WELL ti a TOTAL DEPTH �._ � � UTTiNG S COLLECTED TED El yes 9 No S DOES WELL REPLACE EXISTING WELL? 0 Yes, U N E. STATIC WATER LEVEL: 2, 1 FT EJ above TOP OF CASING, TOP CIF CrASING IS « FT. A6 VEf LAND SURFACE. T YELC) t" orn zs' _ -. METHC)0 CF' TEST _ �m E, WATER ZONES (deplh) .; CHLORrNATfON, Type z Amount 10 CASING Nzalf Thickness If additional space is needed use back ai form Depth D. arnerer or Weighi/Ft Material __. (Show direction and distance from at least hyo State Roads, From or other map reference points) Ftorn To FI:�_ r '. GROUT Depth Material Method From u ' To - Ft.Sand cement ' From -To Ft ____- � ,2 SCREEN' Dem Diameter Slot Size' Material FromC 0 01 in. PVC ' F rim_ To_ Ft, in, In. w r � From To_ Ft. _ in irn. , 13 GRAVEL PACK Depth Stze Material � r From 1,7 T Ft. . 1 - .043 Sand F r o r _ T o __ Pt 14 REMARK I DO HEREBY EERTtlFY THAI THE S WELL WAS CONST IN A ORDANICE WITH iS NCACf WlvELL STR TI ht , STANDARDS, ,AND THAT A COPY OF THIS RE C3F� � .. +�'I�JED its i WELL OWM1t+dER s y A t E i F N A Td R OR AGENT DATE