HomeMy WebLinkAboutWQ0002648_Monitoring - 11-2020_20210108GW-59A COMPLIANCE REPORT FORM Permit # WQ0006
(Submit one each monitoring period with GW-59 forms.)
I
Enter date monitoring results were due. (11- U;Lz ) Will this monitoring report (GW-59 and GW-59A)
YES
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be submitted after the established due date?
2
Was an% required information missing on the GNV-59 report forms?
YES
IF the answer to question 1 or 2 is "YES", list in the space provided below the well identification number(s) and
explain the problems encountered in obtaining the required information.
3
Are and of the monitor wells in need of repair or maintenance (damaged casing, unlocked or missing cap, missing
YES
identification plate, area overgrown, etc.)? If the an.nrer is -)'es ", cowact the Regional O/lice_fin- guidance.
4
Are any monitored constituents equal to or above the established standards?
YES
If the answer to question 4 is "NO", skip to section 8. l� cv
If the answer to question 4 is "YES" list the affected wells individually vtwY�conRuent(s) and concentration(s)
exceeding standards in the space provided below. � -4-
5
For the constituents identified in question 4 above, have standards been exceeded previously for the
YES
NO
same constituent(s) in the same well(s) in the last two years?
If the answer to question 5 is "NO", skip to section 8.
If the answer to question 5 is "YES", list in the space provided below, each well with constituent(s) exceeding
standards, concentration(s) reported, and sample collection date for each occurrence (for the last two years).
Are the monitoring wells listed in section 5 located at or beyond the review boundary?
YES
NO
If the answer is "YES", a groundwater quality problem maybe occurring. CONTACT THE REGIONAL
OFFICE IMMEDIATELY FOR GUIDANCE. If the answer is "NO", monitoring wells may be improperly
located, contact the Regional Office.
7
Is the permittee implementing previously approved actions required by the Division involving this
YES
NO
groundwater quality problem?
If the answer to question 7 is "YES", describe those actions in the space provided below.
If the answer to question 7 is "NO", contact the Regional Office within 90 days; an evaluation may be
required to determine the impact the waste disposal system is having at the review and compliance
boundaries surrounding this facility. Failure to do so may subject the permittee to a Notice of Violation
fines, and/or penalties.
g
The person completing this portion (GW-59A) of the monitoring report should sign below and submit this
form with GW-59 forms for required wells to the address provided at the top of the current GW-59 form.
I hereby acknowledge that the above information was evaluated and the information submitted in this
report (Compliance Report GW-59A) is true and complete to the best of my knowledge.
- aoa.a
Signature of Permittee (or Authorized Agent) Date
GW-59A 12/8/2003
SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
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: WQ0002648 Expiration Date: 09/30/2020
Facility Name: Seagrove -Utah Metropolitan Water District
Non -Discharge UIC
Permit Name (if different):
NPDES Other
Facility Address: P. 0. Box 370
TYPE
OF PERMITTED OPERATION BEING MONITORED
El Lagoon ❑Remediation: Infiltration Gallery
Seagrove s"e�" NC 27341 CountyRandolph p
L st°``'
"'P'
❑■ Spray Field ❑ Remediation:
Contact Person: Larry Chilton
Telephone#:
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name:
No. of wells to be sampled:
3
❑ Water Source Heat Pump ❑ Other:
(from Permit)
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-1
Date sample collected: 11/17/20
FIELD ANALYSES:
WAS
Well Depth: 90.8 ft.
Well Diameter: 4 in.
pH 00400: 6.00 units Temp. 000lo: 16.5 °C
DRY at
Depth to Water Level 82546: 37.6 ft. below measuring point
Screened Interval: ft.
to _ft.
Spec. Cond. 00094: pMhos
time ofsampling,
Measuring Point is 2.0 ft. above land surface
Relative M.P. Elevation:
ft.
Odor 00085:
check
Volume of water pumped/bailed before sampling:
105
gallons
Appearance
here:❑
Samples for metals were collected unfiltered: ❑ YES ❑■
NO and field acidified: ❑ YES
K NO
LABORATORY INFORMATION
Date sample analyzed: 11/17-24/20
Laboratory Name: Cameron Testing Services
Certification No. #654
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615
mg/L
Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 0.112
mg/L
Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL Phosphorus: Total as P 00665 0.053
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 89.0
mg/L
Al - Aluminum 01105
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 00680
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 10.3
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
pMhos
K - Potassium 00937
mg/L
VOC 78732: method # 8260B
Total Ammonia 00610 <0.100
mg/L
Mg - Magnesium 00927
mg/L
method #
(Ammonia Nitrogen: NH, as N; Ammonia Nitrogen, Total)
Mn - Manganese 01055
ug/L
, 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: 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 (or Authorized Aqent) Name and Title - Please print or type
Signature of Permittee (or Authorized Agent) (Date)
GW-59 Rev.2/2010
SUBMIT FORM ON YELLOW PAPER ONLY
• •
DEPARTMENT OF ENVIRONMENT 8r NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
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: WQ0002648 Expiration Date: 09/30/2020
Facility Name: Seagrove -Utah Metropolitan Water District
Non -Discharge UIC
NPDES Other
Permit Name (if different):
Facility Address: P. 0. Box 370
TYPE OF PERMITTED OPERATION BEING MONITORED
Seagrove (Stic t) NC
27341
CountyRandolph P
El Lagoon El Remediation: Infiltration Gallery
late, (St,t')
(Zip)
❑■ Spray Field ❑ Remediation:
Contact Person: Larry Chilton
Telephone#:
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name:
No. of wells to be sampled:
3
❑ Water Source Heat Pump ❑ Other:
(from Permit)
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-2
Date sample collected: 11/17/20
FIELD ANALYSES:
WAS
Well Depth: 29.6 ft.
Well Diameter: 4 in.
pH 00400: 6.23 units Temp. 000lo: 16.6 °C
DRY at
Depth to Water Level 82546: 11.5 ft. below measuring point
Screened Interval: ft.
to ft.
—
Spec. Cond. 00094: µMhos
time of
sampling,
Measuring Point is 1.0 ft. above land surface
Relative M.P. Elevation:
ft.
Odor 00085:
check
Volume of water pumped/bailed before sampling:
36
gallons
Appearance
here:
❑
Samples for metals were collected unfiltered: ❑ YES ❑■
NO and field acidified: El YES
■❑ NO
LABORATORY INFORMATION
Date sample analyzed: 11/17-24/20
Laboratory Name: Cameron Testing
Services
Certification No. #654
PARAMETERS NOTE: Values should reflect dissolved and
colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615
mg/L
Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 6.43
mg/L
Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL Phosphorus: Total as P 00665 0.060
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 443
mg/L
Al - Aluminum 01105
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 00680
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 117
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
)tMhos
K - Potassium 00937
mg/L
VOC 78732: method # 8260B
Total Ammonia 00610 <0.100
mg/L
Mg - Magnesium 00927
mg/L
method #
(Ammonia Nitrogen: NH, as N; Ammonia Nitrogen, Total)
Mn - Manganese 01055
ug/L
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: mg/L VOC Removal%
Permittee (or Authorized Aqent) Name and Title - Please print or type
Signature of Permittee (or Authorized Agent)
(Date)
GW-59 Rev.2/2010
SUBMIT FORM ON YELLOW PAPER ONLY
• •
DEPARTMENT OF ENVIRONMENT`& NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
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: W00002648 Expiration Date: 09/30/2020
Facility Name: Seagrove -Utah Metropolitan Water District
Non Discharge UIC
Permit Name (if different):
NPDES Other
Facility Address: P. O. Box 370
TYPE OF PERMITTED OPERATION BEING MONITORED
Seagrove °` " NC
27341
CountyRandolph p
❑Lagoon El Remediation: Infiltration Gallery
C:IyI (Stmte
(ZIP)
❑■ Spray Field EJ Remediation:
Contact Person: Larry Chilton
Telephone#:
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name:
No. of wells to be sampled: 3
❑ Water Source Heat Pump ❑ Other:
from Permit)
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-3
Date sample collected: 11/17/20
FIELD ANALYSES:
WAS
Well Depth: 16.6 ft.
Well Diameter: 4 in.
pH 00400: 6.25 units Temp. 000lo: 15.6 °C
DRY at
Depth to Water Level 82546: 9.0 ft. below measuring point
Screened Interval: ft. to
_ft.
Spec. Cond. 00094: µMhos
time ofsampling,
Measuring Point is 2.0 ft. above land surface
Relative M.P. Elevation: ft.
Odor 00085:
check
Volume of water pumped/bailed before sampling:
18
gallons
Appearance
here:❑
Samples for metals were collected unfiltered: ❑ YES ❑■
NO and field acidified: ❑ YES ■❑ NO
LABORATORY INFORMATION
Date sample analyzed: 11/17-24/20
Laboratory Name: Cameron Testing Services
Certification No. #654
PARAMETERS NOTE: Values should reflect dissolved and
colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615
mg/L
Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 8.90
mg/L
Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL Phosphorus: Total as P 00665 0.107
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 408
mg/L
Al - Aluminum 01105
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 00680
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 58.0
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 # 8260B
Total Ammonia 00610 <0.100
mg/L
Mg - Magnesium 00927
mg/L
method #
(Ammonia Nitrogen: NH, as N: Ammonia Nitrogen, Total)
Mn - Manganese 01055
ug/L
, 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: mg/L VOC Removal%
Permittee (or Authorized Agent) Name and Title - Please print or type
Siqnature of Permittee (or Authorized Aqent)
(Date)
GW-59 Rev.2/2010