The URL can be used to link to this page

Home My WebLink AboutWQ0024577_Monitoring - 11-2020_20210105SUBMIT FORM ON Y_Y_ ELLOW PAPER ONLY GROUNDWATER QUALITY MONITORING: • OEPARTMENTOF ENVIRONMENT& NATURAL RESOURCES COMPLIANCE REPORT FORM • • DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT 1617 MAIL SERVICE CENTER, RALEIGH, NC 27699.1617 Phone: (919) 733�3221 FACILITY INFORMATION Please Pdnt clearly or Type PERMIT Facility Name: Number>!�/ �, � /� `y � f �_ N 1 C, Non -Discharge UIC l A 77Expiration Date: ��, Permit Name (if different): NPDES Fad Address: ti Other TYPE OF PERMITTED OPERATION BEING MONITORED County �'/� Lao ❑ pon ❑ Remediatlon: Infiltration Gallery `� Spray Field Remediation: Contact Person: 4!/ 1-e/j/ Telephone#: ❑ Rotary Distributor ❑Land Application of Slud a Well Location/Site Name: �`e No. of wells to be sampled: ❑ Water Source Heat Pump ❑ Other: g L ID NUMBER (from Permit): — % Date sample collected: Depth: C;'k' ft. Well Diameter: in. i to Water Level 82546: , 6; ft. below measuring point Screened Interval: ft. to ft. wring Point Is - 3 ft. above land surface Relative M.P, Elevation: ft. ne of water pumped/bailed before sampling: gallons des for metals were collected unfiltered: ❑ YES ❑ NO and field acidified: ❑ YES ❑ No .�.T.,,.., _._.. FIELD ANALYSES: WAS pH oomo: -ILI units Temp. 000io: C� 3 °C DRY at Spec. Cond. 000ea: µMhos time of Odor000ss: ,� sampling, Appearance check here:l--I Date sample analyzed: — ,-fie'+ Laboratory Name: ",[�IJf,Pf?�/ "/G1T -( Certification No. PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. COD 00336_ mg/L Nitrite (NO,) as N oosls „ MA Ph - I marl n4n 4 uourorm: IVII- hecal 31616 /100mL Nitrate (11403) as N 00620 mgy/L Zn - Zinc 01092 uyn. Coidorm: MF Total 31604 /100mL Phosph , v ,. T tal,as, P.gps - mg/ i e fAAN i,;elhnd"for highly flirt,"'rid S`rnptest) Orthophosphate 70507 mg/L Other (Specify Compounds an�Concentration Units): issolvedSolids:Total70300 6 mg/L AI-Aluminumollos mg/L _ - pH (Lab):pwo3 reL^sc�unit5. [3a•- 6ariUm 01007 ug/L _ rVC 006e0 mg/L '__ - Ca .CalciUM-0oa- ,I —. ---MIL g Chiodde.goa40 �` mg/L Cd - Cadmium 01027� _ , ug/L ..... -- -Arsenic 01002 _ ........ ___ . ug/L —-- Chromium: Total 66o y, Grease and Oils 00562 mg/L Phenol 32730 u /L g ug/L Cu - Copper 01042 /L Fe -Iron oloas � j ORGANICS: (by GC, GC/MS, HPLC) ,- ` ' `' Y Sulfate oos45 _ s IL (Specify test and method #. ATTACH LAB REPORT.) mg/L pecli ..,.,..,,� H9 A I� " .. r•„NVOC Rett�nch dfi fl .ca mm 7 , ❑ h12i ii ghoS _ dainAmmonia ooseo .fit ing/L g Ma Potassium g os3r . 77873 method # -_ ..�: (Ammonia Nllrogen; NHoes N; Armnonla Nitrogen, Total) mg/L Mn - Manganese of oss method # -- TiEN-asiV ,m9�'NI - ckei o1os7 ugJL !,.method "For Remediatinn Systems Oniy (Attach Lab Reports)c In luertt Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Remnval96 G W'd- 1� Y '4 c �� ! '-D-4e GROUNDWATER QUALITY MONITORING; SUBMIT FORM ON Y LLOW PAPER ONLY COMPLIANCE REPORT FORM i Name: Name (if different): Address: &4_1 act Person: I Location/Site or County Telephone#: No, Of wells to be sampled: °f D NUMBER (from Permlt): ` Depth: ft Date sample collected: Ir 1 to Water Level 82646:.7 ____� -ft. below MeasuringWeil Diameter; In µring Point is point Screened Interval -..; 2 _ ft. above land surface Relative M.P. ft. to =-ft 1e of water pumped/bailed before sampling: les for metals were cetlp�rea ... �,..__ p. g evation: - ---.._..gallons El ---- ft' UVISION OF WATER��uN�eNT & NATURAL RESOURCES QUALITY -INFORMATION PROCESSING UNIT 917 MAIL SERVICE CENTER, RALEIGH, NC 27999-1e17 Phone; (919) 733.3221 HERMIT Number;,"�Itt? Expiration Date; on -Discharge. PbES UIC Other (PE OF PERMITTED OPERATION goon BEING MONITORED ' ❑'9pray Field ❑ Remediation: Infiltration Gallery ❑ Remedietion: ❑ Rotary Distributor ❑ JNAfpr s. ri O Land Application of Sludaa FIELD ANALYSES: (f WELD PH 00400: units Temp. 00010: WAS Spec. Cond. ogo94: °C DRY at Odor 000e5; µMhos time of N samplin ��"""aO: LJ YES Appearance check Date sample analyze- d: %� ._ !� jy ❑ NO here - El PARAMETERS NOTE values should reflect dissoNed and colloidal concentrations. ' Laboratory Name: COD Ot1335 Coliform: MF Fecal 31618 mg/L Nitrite (NO.) as N 0061s """--- Certification /100ML Nitrate (NO mg/L Pb - Lead oto51 r:niifnr , ner r-,—, a) as N o�rpn ..»n /100mL Phos ` _ __"'yr' cn - einc 01092 aN°to:- Uso MPN metirod rort9 ii (tpbttl tttf ttf — ># . _ phorus; Total as P ooess /` p /L mg/L m issolved SOlids:Total 7030o G'� Orthophosphate 70507 g mg/LpH (Lab) 00403AtB- aAluminum ti ooi1o1oo�s_ mg/L Other (Specify TOC ooeo��units Compounds and Concentration Un its): mg/L _ ....- ug/L—Coe`oo94o —C_-Caclum ooets Arsenic o1002 mg/L - . _Cd -Cadmium o1027--UWL Grease and Oils 00552 Chromium: Total 01634 - mg/L ug/Lenol 3273o Cu - Copper o1042 Sulfate 00945 ug/L _... - _ _... _. . - Fe - Iron 01045 mg/L ORGANICS: (by GCS GC/MS HPLC) Pacific Conductance 00095 mg/L Hg - Mercury 71soo ug/L (Specify test and method #. ATTACH LAB REPORT.) Total Ammonia oos1Q ~ µMhos K - potassium 00937 ug/L -Lab Report Attached? ❑ `� m /L VOC 79732: (Am ranLz Nitrogen, Ni t� u M Anllrron 7 fall = m�L --__ .. _. _ M N g Magne�ium.0os27 - meth d (1) Mn - Man - - --[J�N as_N oosa5 ganese O1o55 _ , method # _ For ROMedlation Systems Only (Attach Lab Repo ; _ =`Ni - fVtc a o1os7 e o"__�__`� ug/L P ) Influent Total VOCs: method # .. ^-------� _ mg/L. Effluent Tatat VOGs: .. mg/L VOC Removal% _ Ir>�G�dL7 g F� , /,7-f- g,�,l SUBMIT FORM ON YELLOW PAPER ONLY DWATER QUALITY MONITORING: IANCE REPORT FORM ILITY INFORMATION Please Print Clearly or Type ity Name: tit Name (if different): itty Address: S County act Person: L ,— Telephone#: Location/Site Name: No. of wells to be sampled: DEPARTMENT OF ENVIRONMENT 8, NATURAL RESOURCES DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT 1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: (919) 733-3221 PERMIT Number:& t> Expiration Date: - / Non -Discharge UIC NPDES Other TYPE OFERMITTED OPERATION BEING MONITORED Laa5oon ❑ Remediation: Infiltration Gallery � B'Spray Field ❑ Remediation: ❑ Rotary Distributor ❑ Land Application of Sludge ❑ Water Source Heat Pump ❑ Other: WELL ID NUMBER (from Permit): 1-7 Date sample collected: �! / �''".j�t's FIELD ANALYSES: H YYCLL WAS Well Depth: ft. Well Diameter: J,. in. / °C pH 00400:. , f units Temp. 000,io: ? ! DRY at Depth to Water Level 82546: i ft. below measuring point Screened Interval: ft. to ft. Spec. Cond. 00094: µMhos time of Measuring Point is ft. above land surface Relative M.P. Elevation: ft. Odor 000as: /`/-'N sampling,check Volume of water pumped/bailed before sampling: gallons Appearance here: ❑ Samples for metals were collected unfiltered: El YES ❑ NO and field acidified: ❑ YES El NO Date sample analyzed: // — .'�' j -- Laboratory Name: r�iG {/C. il�itil� Certification No.,&'��/%,Z p /Cn- PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. COD M335 mg/L Nitrite (NO2) as N 00615 mg/L Pb - Lead 01051 ug/L Coliform: MF Fecal 31616 /100mL Nitrate (NO3) as N 00620 ��, (� mg/L Zn -Zinc 01092 mg/L Coliform: MF Total 31504 /100mL 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): issolved Solids:Total 70300 > mg/L Al -Aluminum o1105 mg/L pH (Lab) 00403 ��. units Ba - Barium 01007 ug/L TOC 00680 mg/L Ca - Calcium oo916 mg/L Chloride 00940 r! ? mg/L Cd - Cadmium 01027 ug/L Arsenic 01002 ug/L Chromium: Total 01034 ug/L Grease and Oils 00552 mg/L Cu - Copper 01042 mg/L ORGANICS: (by GC, GC/MS, HPLC) Phenol 32730 ug/L Fe - Iron 01045 ug/L (Specify test and method #. ATTACH LAB REPORT.) Sulfate 00945 mg/L Hg - Mercury 71900 ug/L Lab Report Attached? ❑ Yes (1) ❑ No (0) Specific Conductance 00095 µMhos K - Potassium 00937 mg/L VOC 78732: method # TotalAmmonia oo610 mg/L Mg - Magnesium 00927 mg/L method # (Amrronia Nitrogen, NH3asN; Ammonia Nitrogen, Total) Mn - Manganese oloss ug/L ,method # TKN as N 00625 mg/L Ni - Nickel 01067 ug/L method # ror fcemecuanon ays>:ems uniy tAuacn LaD rteportsl: Intment I otal VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%