WQ0004972_Monitoring - 11-2020_20210215

Monitoring Report Submittal
............................................................................................................................................
Permit Number #* WQ0004972
Name of Facility:* Forest Lake ELS
Month:* November
Report Information
Type *
GW-59
Confirmation Email Address:*
Name of Submitter:*
Signature:
Date of submittal:
Initial Review
Year:* 2020
Upload Document*
Forest Lakes.pdf 2.02MB
PE)F only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-t, NDAR-2, NDMLR, GW-59).
[e-mail]
Amie Ferguson
Reviewer: Williams, Kendall
2/15/2021
This will be filled in &Aormticaly

Is the project number correct? * WQ0004972
Is the monitoring report r Yes r No
accepted?*
Regional Office * Winston-Salem
Accepted Date: 2/15/2021

SUBMIT FORM ON YELLOW PAPER ONLY
Mail original
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
and 1 copy to:
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: W00004972 Expiration Date:
Facility Name: Forest Lake ELS
Non -Discharge UIC
NPDES Other
Permit Name (if different):
Facility Address: 192 Thousand Trails Drive
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
Advance NC 27006 County Davie
© Spray Field ❑ Remediation:
Contact Person: Tracy Overdurf
Telephone#:
ElRotary Distributor ❑ Land Application of Sludge
Well Location/Site Name:
No. of wells to be sampled:
4
❑ Water Source Heat Pump ❑ Other:
(tram l iq
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-4
Date sample collected:
11/19/2020 FIELD ANALYSES:
WAS
Well Depth: 46.00 ft.
Well Diameter:
2 in. pH 00400: 6.59 units Temp. 0o01o: 17A °C
DRY at
Dept to Water Level 41.99 ft. below measuring
point
Screened Interval:
ft. to ft. Spec. Cond. 00094: )IMhos
time of
W
sampling,check
Measuring Point is ft. above land surface
Relative M.P. Elevation:
ft. Odor 00085:
Volume of water pumped/bailed before sampling:
1.25-Dry
gallons
Appearance
here:❑
Samples for metals were collected unfiltered: ❑ YES ❑
NO and field acidified: ❑ YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 11/20-12/0512020
Laboratory Name: Pace Analytical Certification No. 40,12 & 633
PARAMETERS NOTE: Values should reflect
dissolved and
colloidal concentrations.
COD 00335
ni
Nitrite (NO2) as N 0o615
mg1L Pb - Lead o1o51 ug/L
Coliform: MF Fecal 31616 <1.0
1100mL
Nitrate (i as N ooe20
<0.30 mg1L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/1001 Phosphorus: Total as P oo665
mg/L
{Note, Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
Dissolved Solids:Total 70300
mg/L
Af - Aluminum o11os
ni
pH (Lab) 00403
units
Ba - Barium 01007
11
TOC 00680 <1.0
mg1L
Ca - Calcium 00916
ni
Chloride 00940 3.7
mg/L
Cd - Cadmium 01027
1
Arsenic 01002
1
Chromium: Total 01034
ug/L
Grease and Oils D0552
mg/L
Cu - Copper 01042
1 ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug1L
Fe - Iron 01045
ug/L (Specify test and method #�ACH LAB REPORT.)
Sulfate 00945
mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? Yes (1) ❑ No (D)
Specific Conductance 00095
pMhos
K - Potassium 00937
mg/L VOC 78732: method # 8260
Total Ammonia 00610
mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen, NH, as M, Ammonia Nitrogen, Total)
Mn - Manganese o1o55
ug/L , method #
TKN as N 00625
mg/L
Ni - Nickel 01067
ug1L method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs:
mg/L VOC Removal%
I certify that, to the best of my knowledge and belief, the information submitted in this report is true, accurate, and complete, and that the laboratory analytical data was produced using approved methods of analysis by a
DWO-certified laboratory. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations.
Permittee (or Authorized Anent) Name and Title -Please Drint or tvoe
Signature of Perm ittee for Authorized
(Date!
GW-59 Rev.212010

SUBMIT FORM ON YELLOW PAPER ONLY
Mall original
DEPARTMENT OF ENVIRONMENT 8 NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
and 1 Copy to:
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: (919} 733-3221
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: W00004972 Expiration Date:
Facility Name: Forest Lake FLS
Non -Discharge UIC
NPDES Other
Permit Name (if different):
Facility Address: 192 Thousand Trails Drive
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
Advance " NC 27006 County Davie
© Spray Field ❑ Remediation:
Contact Person: Tracy Overdurf
Telephone#:
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name:
No. of wells to be sampled: 4
❑ Water Source Heat Pump ❑ Other:
(from Permit)
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-3
Date sample collected:
11/19/2020 FIELD ANALYSES:
WAS
Well Depth: 19.10 ft.
Well Diameter:
2 in. pH 00400: 6.55 units Temp. noolo: 16.8 °C
DRY at
Dept to Water Level 8.60 ft. below measuring
point
Screened Interval:
ft. to ft. Spec. Cond. 00094: }tMhos
time of
sampling,check
Measuring Point is ft. above land surface
Relative M.P. Elevation:
ft. Odor 00085:
Volume of water pumped/bailed before sampling:
2.75-Dry
gallons
Appearance
here:❑
Samples for metals were collected unfiltered: ❑ YES ❑
NO and field acidified: ❑ YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 11/20-12/0512020
Laboratory Name: Pace Analytical Certification No. 40,12 & 633
PARAMETERS NOTE: Values should reflect
dissolved and
colloidal concentrations.
COD 00335
mg/L
Nitrite (NO.) as N 00615
mg/L Pb - Lead 01051 ug1L
Coliform: ME Fecal 31616 c1.0
1100mL
Nitrate (i as N 00620
7.4 mg/L. Zn - Zinc 01092 mglL
Collform: ME Total 31504
1100ni Phosphorus: Total as P 00665
mglL
(Note: Use MPN melhod For highly turhid samples)
Orthophosphate 70507
mg1L Other (Specify Compounds and Concentration Units):
Dissolved Solids:Total 70300
mglL
Al - Aluminum 011c5
mglL
pH (Lab) 00403
units
Ba - Barium 01007
ug1L
TOC 00680 c1.0
ri
Ca - Calcium 00916
mglL
Chloride 00940 27-7
mg1L
Cd - Cadmium 01027
ug/L
Arsenic 01002
uglL
Chromium: Total 01034
ug/L
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg/L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
uglL
Fe - Iron 01045
ug1L (Specify test and method # ACH LAB REPORT.)
Sulfate 00945
ni
Hg - Mercury 71900
INT
ug/L Lab Report Attached? Yes (1) =No (0)
Specific Conductance 00095
µMhos
K - Potassium 00937
mg/L VOC 78732: method # 8260
Total Ammonia 00610
mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen: NH as N; Ammonia Nitrogen, Total)
Mn - Manganese 01055
ug1L method #
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mglL VOC Removal%
I certify that, to the best of my knowledge and belief, the information submitted in this report is true, accurate, and complete, and that the laboratory analytical data was produced using approved methods of analysis by a
DWO-certified laboratory. i am aware that there are significant pona-lties for submitting false information, including the possibility of fines and imprisonment for knowing violations.
4 fir• I1 '(3- / ; -'7- s-
Permittee (or Authorized Acent) Name and Title - Please print or tvoe Signature of Pemiittee (or Authorized Agent) (Date)
GW-59 Rev.212010

SUBMIT FORM ON YELLOW PAPER ONLY
Mall original
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING.
and 1 copy to:
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEl NC 27699-1617 Phone: [phone]
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: VVQ0004972 Expiration Date:
Facility Name: Forest Lake ELS
Non -Discharge UIC
NPDES Other
Permit Name (if different):
Facility Address: 192 Thousand Trails Drive
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
Advance NC 27006 County Davie
© Spray Field ❑ Remediation:
Contact Person: Tracy Overdurf
Telephone#:
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name:
No. of wells to be sampled: 4
❑ Water Source Heat Pump ❑ Other:
{from Permiil
SAMPLING INFORMATION
If WELL.
WELL ID NUMBER (from Permit): MW-2
Date sample collected:
11/19/2020 FIELD ANALYSES:
WAS
Well Depth: 39.00 ft.
Well Diameter:
2 in. pH 40400: 6.82 units Temp. oo010: 16.5 °C
DRY at
Dept to Water Level 34.44 ft. below measuring point
Screened Interval:
ft. to ft. Spec. Cond. 00094: (,Mhos
time of
—
sampling,
Measuring Point is ft. above land surface
Relative M.P. Elevation:
ft. Odor 000m:
Volume of water pumped/balled before sampling:
1.50-Dry
gallons
Appearance
here:❑
Samples for metals were collected unfiltered:
❑ YES ❑
NO and field acidified: ❑ YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 11120-12/05/2020
Laboratory Name: Pace Analytical Certification No. 40,12 & 633
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (i as N o0615
mg1L Pb - Lead o1o51 ug/L
Coliform: MF Fecal 31616 1.0
1100mL
Nitrate (NO3) as N 00620
1.0 mg/L Zn - Zinc n1092 ni
Coliform: MF Total 31504
1100mL Phosphorus:
Total as P 00665
mg/L
(Noter use MPN method furl lghly turbid 5ampies)
Orthophosphate 70507
mg1L Other (Specify Compounds and Concentration Units):
Dissolved Solids:Total 70300
ni
Al - Aluminum o11o5
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug1L
TOC 00650 a1.0
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 5.1
mg/L
Cd -Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total 01034
ug/L
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg/L ORGANICS: (by GC, GCIMS, HPLC)
Phenol 32730
ug1L
Fe - Iron 01045
ug/L (Specify test and method #. ,ATTACH LAB REPORT.)
Sulfate 00945
mg[L
Hg - Mercury 71900
ug/L Lab Report Attached? Yes (1) [::] No (0)
Specific Conductance 00095
flMhos
K - Potassium 00937
mg/L VOC 78732: method # 8260
Total Ammonia 00610
mglL
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen; NHjas N; Ammonia Nitrogen, Total)
Mn - Manganese 01055
ug1L , method #
TKN as N 00625
mglL
Ni - Nickel 01067
ugIL method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs:
mglL VOC Removal%
I certify that, to the best of my knowledge and belief, the information submitted in this report is true, accurate, and complete, and that the laboratory analytical data was produced using approved methods of analysis by a
DWO-certified laboratory. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations.
V1 i t
Permittee {or Authorized Aaent) Name and Title - Please print or tvoe
Signature of Permittee (or Authorized
(Date)
GW-59 Rev.2/2010

SUBMIT FORM ON YELLOW PAPER ONLY
Mail original
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
and 1 copy to:
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: W00004972 Expiration Date:
Facility Name: Forest Lake ELS
Non -Discharge UIC
NPDES Other
Permit Name (if different):
Facility Address: 192 Thousand Trails Drive
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
Advance NC 27006 County Davie
© Spray Field ❑ Remediation:
Contact Person: Tracy Overdurf
Telephone#:
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name:
No. of wells to be sampled:
4
❑ Water Source Heat Pump ❑ Other:
(from Permin
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-1
Date sample collected:
11/19/2020 FIELD ANALYSES:
WAS
Well Depth: 90.00 ft.
Well Diameter:
2 in, pH 00400: 6.54 units Temp. o0010: 17.0 °C
DRY at
Dept to Water Level 64.61 ft. below
measuring point
Screened Interval:
ft. to ft. Spec. Cond. 00094: }(Mhos
time of
Measuring Point is ft. above land
surface
Relative M.P. Elevation:
ft. Odor 00os5:
sampling,check
Volume of water pumped/bailed before sampling:
5.00-Dry
gallons
Appearance
here:❑
Samples for metals were collected unfiltered:
❑ YES ❑ NO and field acidified: ❑ YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 11120-12105/2020
Laboratory Name: Pace Analytical Certification No. 40,12 & 633
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD OD335
mg1L
Nitrite (NO2) as N 00615
ni Pb - Lead o1051 uglL
Coliform: MF Fecal 31616 1.0
1100mL
Nitrate (NO3) as N 00620
<0.30 ni Zn - Zinc 01092 mglL
Coliform: MF Total 31504
1101 Phosphorus: Total as P 00665
ni
(Note: use MPN method for highly turbid samples)
Orthophosphate 70507
mglL Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300
mg1L
Al -Aluminum olim
mglL
pH (Lab) 00403
units
Ba - Barium 01007
1
TOC co6w 3•3
ni
Ca - Calcium 00916
mglL
Chloride 00940 1-5
i
Cd - Cadmium 01027
uglL
Arsenic 01002
ug1L
Chromium: Total 01034
uglL
Grease and Oils 00552
mglL
Cu - Capper 01042
rill ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
uglL
Fe - Iron 01045
uglL (Specify test and method LAB REPORT.)
Sulfate 00945
mglL
Hg - Mercury 71900
I#ATTACH
uglL Lab Report Attached? L�J Yes (1) ❑ No (0)
Specific Conductance 00095
pMhos
K - Potassium 00937
mglL VOC 78732: method # 8260
Total Ammonia 00610
nr lL
Mg - Magnesium 00927
1 method #
(Ammonia Nitrogen; Nli N; Ammonia Nitrogen, Total)
Mn - Manganese 01055
uglL , method #
TKN as N 00625
mglL
Ni - Nickel 01067
uglL method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mglL Effluent Total VOCs:
mg/L VOC Removal%
I certify that, to the best of my knowledge and belief, the Information submitted in this report is true, accurate, and complete, and that the laboratory analytical data was produced using approved methods of analysis by a
DWQ-certified laboratory. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations.
Permittee for Authorized Aaentl Name and Title - Please print or Noe Signature of Permittee Authorized Aoentl
,2S-a. f
(Date}
GW-59 Rev.212010