WQ0013502_Monitoring - 11-2020_20210112

SUBMIT FORM ON YELLOW PAPER ONLY
EPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
5.17
IVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION
Please Print
Clearly or Type
PERMIT Number: Expiration Date:
Facility Name: Towers Apartments
Non -Discharge WQ0013502 UIC
NPDES Other
Permit Name (if different): WQ0013502
Facility Address: 3107 Jones Ferry Road
TYPE OF PERMITTED OPERATION BEING MONITORED
Chapel Hill
NC 27516 County Chatham
❑ Lagoon © Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
Contact Person: Randall Jarrell
Telephone#:[phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: MW-2
No. of wells to be sampled: 1
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-2
Date sample collected: 1 1-10-20
FIELD ANALYSES:
WAS
Well Depth: 25 ft.
Well Diameter:2 in.
pH units Temp. °C
DRY at
Depth to Water Level: ft. below measuring point
Screened Interval: ft. to
_ft.
Spec. Cond. µMhos
time of sampling,
Measuring Point is ft. above land surface
Relative M.P. Elevation: ft.
Odor
check
Volume of water pumped/bailed before sampling:
gallons
Appearance
here:
Samples for metals were collected unfiltered:
❑ YES
❑ NO and field acidified: ❑ YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed:
Laboratory Name: ENCO
Certification No. 5038
PARAMETERS NOTE: Values should reflect dissolved
and colloidal concentrations.
COD
mg/I
Nitrite (NO2) as N
mg/I
Pb - Lead mg/I
Coliform: MF Fecal
/100ml
Nitrate (NO3) as N
mg/I
Zn - Zinc mg/I
Coliform: MF Total
/100ml
Phosphorus: Total as P
mg/I
l �r
(Note: Use MPN method for highly turbid samples)
Orthophosphate
mg/I
Other (SOImpounds an Concentration Units):
Dissolved Solids: Total
mg/I
Al - Aluminum
mg/I
, w t 51421
pH (when analyzed)
units
Ba - Barium
mg/I
TOC
mg/I
Ca - Calcium
mg/I
Chloride
mg/I
Cd - Cadmium
mg/I
Arsenic
mg/I
Chromium: Total
mg/I
Grease and Oils
mg/I
Cu - Copper
mg/I
ORGANICS: (by GC, GC/MS, HPLC)
Phenol
mg/I
Fe - Iron
mg/I
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate
mg/I
Hg - Mercury
mg/I
Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance
µMhos
K - Potassium
mg/I
VOC method #
Total Ammonia
mg/I
Mg - Magnesium
mg/I
method #
(Ammonia Nitrogen. NH,as N: Ammonia Nitrogen, Total)
Mn -Manganese
mg/I
.IQiV 2 fl method #
TKN as N
mg/I
Ni - Nickel
mg/I
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
Permittee (or Authorized Agent) Name and 1 itle - Please print or tvge
GW-59 Rev.112007
Siqnature of Permittee (or