WQ0004972_Monitoring - 03-2021_20210414

Monitoring Report Submittal
............................................................................................................................................
Permit Number #* WQ0004972
Name of Facility:* Forest Lake ELS
Month:* March
Report Information
Type *
GW-59
Confirmation Email Address:*
Name of Submitter:*
Signature:
Date of submittal:
Initial Review
Year:* 2021
Upload Document*
Forest Lakes GW59 2.17MB
Forms.pdf
FDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
[e-mail]
Arnie Ferguson
Reviewer: Williams, Kendall
4/14/2021
This will be filled in automatically

Is the project number correct?* WQ0004972
Is the monitoring report t: Yes r No
accepted?*
Regional Office* Winston-Salem
Accepted Date: 4/14/2021

SUBMIT FORM ON YELLOW PAPER ONLY
• .
DEPARTMENT OF ENVIRONMENTAL QUALITY - DIV. OF WATER RESOURCES
GROUNDWATER QUALITY MONITORING:
INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1817 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: WQ0004972 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 (street) NC 27006 County Davie
(City) {Sate)
(Zip)
❑■ Spray Field El Remediation:
Contact Person: Til Overdurf
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
_
Well Location/Site Name:
No. of wells to be sampled:
4
❑ Water Source Heat Pump ❑ Other:
(from Perrnit(
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-1
Date sample collected: 03/17/2021
FIELD ANALYSES:
WAS
Well Depth: 90.00 ft.
Well Diameter:
in.
pH 00400: f.49 units Temp. 000lo: 15.5 °C
DRY at
Depth to Water Level 82546: 48.22 ft. below measuring point
Screened Interval:
ft. to
ft. Spec. Cond. 00e94: µMhos
time ofsampling,
Measuring Point is ft. above land surface
Relative M.P. Elevation:
ft.
Odor o0085:
check
Volume of water pumpedlbailed before sampling:
10.50-Dry
gallons
Appearance
here:❑
Samples for metals were collected unfiltered: ❑ YES ❑■
NO and field acidified. ❑ YES
❑■ NO
LABORATORY INFORMATION
Date sample analyzed: 03/17-04/03/2021
Laboratory Name: Pace Analytical Services Certification No, 40, 633_& 12
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NOZ) as N 00615
mg/L Pb - Lead 01051 ug1L
Coliform: MF Fecal 31616 <1 0
/100mL
Nitrate (NO3) as N 00620 <0 ;0
mg/L Zn - Zinc 01092 mglL
Coliform: MF Total 31504
/100ni Phosphorus: Total as P 00665
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
Al -Aluminum 011os
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug1L
TOC 006BO 2.5
mg/L
Ca - Calcium oog16
mg/L
Chloride 00940 1.1
mg1L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug1L
Chromium: Total 01034
ug/L
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg/L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug1L
Fe - Iron 01045
11
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg/L
Hg - Mercury 71900
uglL
Lab Report Attached? ❑ Yes (1) ❑ No (0)
pecific Conductance oaogs
µMhos
K - Potassium 00937
ni VOC 7873 method #
Total Ammonia 0oalo
mg1L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen; NH, as N; Ammonia Nitrogen. Total)
Mn - Manganese o1055
ug1L
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%
GW-59 Rev.06-07-2018

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OP ENVIRONMENTAL QUALITY - DIV. OF WATER RESOURCES
GROUNDWATER QUALITY MONITORING:
INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1517 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: WQ0004972 Expiration Date:
Facility Name: l=OreSt bake 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 (street) NC 27006 County Davie
(City} (State)
(zip)
0 Spray Field ❑Remediation:
Contact Person: Tracy Overdurf
Telephone#: [phone]
❑ 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-2
Date sample collected: 03/17/2021
FIELD ANALYSES:
WAS
Well Depth: 39.00 ft.
Well Diameter:
in.
pH 004006.72 units Temp oocio 14.9 °C
DRY at
Depth to Water Level 82546: 35.77 ft. below measuring point
Screened Interval:
ft, to
ft. Spec. Cond. ooasa: µMhos
time ofsampling,
Measuring Point is ft. above land surface
Relative M.P. Elevation:
ft.
Odor 00085:
check
Volume of water pumped/bailed before sampling:
0.25-Dry
gallons
Appearance
here:❑
Samples for metals were collected unfiltered: ❑ YES ❑■
NO and field acidified: ❑ YES
❑■ NO
LABORATORY INFORMATION
Date sample analyzed: 03/17-04/03/202I
Laboratory Name: Pace Analytical Services Certification No. 40, 633 & I2
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N oo615
mg/L Pb - Lead o1o51 ug1L
Coliform: MF Fecal 31616 `I 0
1100mL
Nitrate (NO3) as N 00620 0,96
mg/L Zn - Zinc 01092 mglL
Coliform: MF Total 31504
/100ml- Phosphorus: Total as P oo665
mg/L
(Note' use MPN method far highly (urbid samples)
Orthophosphate 70507
mglL
Other (Specify Compounds and Concentration Units):
issolved Solids:Total 703oa
mg/L
AI -Aluminum of los
mglL
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 00680 <1.0
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 5.I
mg/L
Cd - Cadmium 01027
ug/L
Arsenic oiao2
ug1L
Chromium: Total 01034
ug/L
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg1L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug1L
Fe - Iron 01045
ug/L
(Specify test and method #. ATTACK LAB REPORT.)
Sulfate 00945
mglL
Hg - Mercury 71900
ug/L
Lab Report Attached? ❑ Yes (1) ❑ No (0)
peciflc Conductance 00095
LLMhos
K - Potassium 00937
mg1L VOC 7673 method #
Total Ammonia omio
mglL
Mg - Magnesium 00927
mg/L method #
(Ammonia Nilrogen, NH, as N, Ammonia Wrogen, Tolal)
Mn - Manganese olom
ug/L
, method #
TKN as N 00626
mglL
Ni - Nickel olo67
ug1L
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
GW-59 Rev.06-07-2018

SUBMIT FORM ON YELLOW PAPER ONLY
• .
DEPARTMENT OF ENVIRONMENTAL QUALITY - DIV. OF WATER RESOURCES
GROUNDWATER QUALITY MONITORING:
INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: W00004972 Expiration Date:
Facility Name: Forest Lake ILS
Non -Discharge U1C
NPDES Other
Permit Name (if different):
Facility Address: 192 Thousand Trails Drive
TYPE OF PERMITTED OPERATION BEING MONITORED
Advance (Street) NC
27006
County Davie
❑ Lagoon ❑ Remediation: Infiltration Gallery
fCdy) (Stale)
(zip)
© Spray Field Remediation:
Contact Person, Tracy Overdurf
Telephone#: [phone]
❑ 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: 03/17/2021
FIELD ANALYSES:
WAS
Well Depth: 19,10 ft.
Well Diameter:
in.
pH 00400: 6.38 units Temp. 000lo: 15.6 °C
DRY at
Depth to Water Level 82546: 4.08 ft. below measuring point
Screened Interval:
ft. to
ft. Spec. Cond. 00094: pMhos
time of
sampling,
Measuring Point is ft. above land surface Volume
Relative M.P. Elevation:
ft.
Odor 000as:
check
of water pumped/bailed before sampling: 7.25 gallons
Appearance
here:❑
Samples for metals were collected unfiltered: ❑ YES 0
NO and field acidified: ❑ YES
❑■ NO
LABORATORY INFORMATION
Date sample analyzed: 03/17-04/03/2021
Laboratory Name: Pace Analytical Services Certification No. 40, 633 & 12
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00336
mg/L
Nitrite (NO2) as N oasis
mg/L Pb - Lead oiosi uglL
Coliform: MF Fecal 31616 13.0
1100mL
Nitrate (NO.) as N 00620 8.5
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL Phosphorus:
Total as P U0665
mg/L
(Note: Use MPN method forhighiy turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
Dissolved Solids:Total 70300
mg/L
Al -Aluminum oilo5
mg1L
pH (Lab) 00403
units
Ba - Barium 01007
uglL
TOC 00660 <1.0
mglL
Ca - Calcium oo916
mglL
Chloride 00940 26.8
mglL
Cd - Cadmium 01027
uglL
Arsenic 01002
uglL
Chromium: Total 01034
ug/L
Grease and Oils 00552
mglL
Cu - Copper 01042
mglL ORGANICS: (by GC, GCIMS, HPLC)
Phenol 32730
uglL
Fe - Iron 01045
uglL
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mglL
Hg - Mercury 71900
ug1L
Lab Report Attached? ❑ Yes (1) ❑ No (0)
pecifc Conductance 00095
)iMhos
K - Potassium 00937
mglL VOC 7873 method #
Total Ammonia m6lo
mglL
Mg - Magnesium 00927
mglL
method #
(Ammonia Nitrogen, NH, as N, Ammonia Nitrogen. Total)
Mn - Manganese oi055
ug1L
, method #
TKN as N 00625
mg1L
Ni - Nickel 01067
ug1L
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg1L VOC Removal%
y Lg
Permittee (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev .06-07-2018
Signature of Permittee (or Authorized Agent)
(Date)

SUBMIT FORM ON YELLOW PAPER ONLY
r r
DEPARTMENT OF ENVIRONMENTAL DUALITY - DIV. OF WATER RESOURCES
GROUNDWATER QUALITY MONITORING:
INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
r r r r
1s17 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: WQ0004972 Expiration Date:
Facility Name: Forest Lake LLS
Non -Discharge UIC
NPDES Other
Permit Name (if different):
Facility Address: 192 Thousand Trails Drive
TYPE OF PERMITTED OPERATION BEING MONITORED
Advance (Street) NC
27006
County Davie
❑ Lagoon ❑ Remediation: Infiltration Gallery
(State)
(Zip)
❑■ Spray Field El Remediation:
Contact Person: Tracy Overdurf
Telephone#: [phone]
❑ 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-4
Date sample collected: 03/17/2021
FIELD ANALYSES:
WAS
Well Depth: 46.00 ft.
Well Diameter:
in.
pH 00400: 6.47 units Temp. 000lo: 16.0 eC
DRY at
Depth to Water Level 82546: 35.15 ft. below measuring point
Screened Interval:
ft. to
ft. Spec. Cond. 000947 µMhos
time of
sampling,
Measuring Point is ft. above land surface Volume
Relative M.P. Elevation:
ft.
Odor 000m
check
of water pumped/bailed before sampling:2.0-Dry gallons
Appearance
here:❑
Samples for metals were collected unfiltered: ❑ YES 0
NO and field acidified: ❑ YES
NO
LABORATORY INFORMATION
Date sample analyzed: 03/17-04/03/2021
Laboratory Name: Pace Analytical Services Certification No. 40, 633 & 12
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
ni
Nitrite (NO2) as N oo615
mg/L Pb - Lead o1051 ug1L
Coliform: MF Fecal 31616 �1 0
1100mL
Nitrate (NO3) as N 00620 <0 30
rng/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
1100mL Phosphorus: Total as P 006a5
mg/L
(Note: use MPN method for highly turbid samples)
Orthophosphate 70507
mg1L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300
ni
Al -Aluminum o1105
mglL
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC omao <1.0
ri
Ca - Calcium oo916
mg/L
Chloride 00940 3.4
mgi
Cd - Cadmium 01027
ug1L
Arsenic 01002
11
Chromium: Total 01034
uglL
Grease and Oils 00552
mg/L
Cu - Copper 01042
mglL
ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron 01045
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mgi
Hg Mercury 71900
uglL
Lab Report Attached? ❑ Yes (1) ❑ No (0)
pecific Conductance 00095
pMhos
K - Potassium 00937
mg/L VOC 7873 method #
Total Ammonia ooslo
mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen, NH3as N, Ammonia Nitrogen, Total)
Mn - Manganese 01055
ug1L
, method #
TKN as N 001625
mglL
Ni - Nickel 01067
ug1L
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
A1/14 ri-1-ci
Permittee (or Authorized Agent) Name and Title - Please print or type
gnature of Perrnitfoe (or
.(/ Y )
D
GW-59 Rev.06-07-2018