The URL can be used to link to this page

Home My WebLink AboutWQ0005849_Monitoring - 03-2021_20210429Monitoring Report Submittal ............................................................................................................................................ Permit Number #* WQ0005849 Name of Facility:* Pluris LLC Month:* March Report Information Type * GW-59 Confirmation Email Address:* Name of Submitter:* Signature: Date of submittal: Initial Review Year:* 2021 Upload Document* Pluris LLC MWs March 21.pdf 11.78MB FDF Only Please upload one PDF containing all applicable monitoring reports (i.e., NDMR, NDAR-t, NDAR-2, NDMLR, GW-59). rhoffer@plurisusa.com Randy Hoffer Reviewer: Williams, Kendall N 4/29/2021 This will be filled in automatically Is the project number correct? * WQ0005849 Is the monitoring report r Yes r No accepted?* Regional Office * Wilmington Accepted Date: 4/29/2021 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 Phone: 919-807-6306 FACILITY INFORMATION Please Print Clearly or Type PERMIT Number; GJC:-r rt'Expiration Date: Facility Name: 1� i S L.LC= Non -Discharge / UIC Permit Name (if different): NPDES Other Facility Address: Hto 10 TYPE OF PERMITTED OPERATION BEING MONITORED 'sde-ri,45 Lea &6 County 0i11S lQ c._� ❑ LLgoon ❑ Remediation: Infiltration Gallery Spray Field ❑ Remediation: Contact Person: 'Kw-c)� 116•AL12 Telephone#:C'71 D) 32-7%-v�:*( ❑ Rotary Distributor ❑ Land Application of Sludge Well Location/Site Name:��[ ) No. of wells to be sampled: I— ❑ Water Source Heat Pump ❑ Other: from Permit SAMPLING INFORMATION j If WELL WELL ID NUMBER (from Permit): I Date sample collected: - f f -a, j FIELD ANALYSES: WAS Well Depth: ft. Well Diameter:_in. pH 00400: r!ounits Temp. 00010: 0,Z °C DRY at Depth to Water Level 82546: ft. below measuring point Screened Interval: ft. to _ft. Spec. Cond. 00094: µ Mhos time of sampling, Measuring Point is CZ ft. above land surface Relative M.P. Elevation: ft. Odor 000s5: /�% check Volume of water pumped/bailed before sampling: 5 gallons Appearance ifePnz here:❑ Samples for metals were collected unfiltered: ❑ YES ❑ NO and field acidified: ❑ YES ❑ NO LABORATORY INFORMATION Date sample analyzed: Laboratory Name: Certification No. PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. COD 00335 mg/L Nitrite (NO2) as N 00615y mg/L Pb -Lead o1051 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 00665 mg/L (Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units): issolved Solids:Total 70300 s ! 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 y 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 7873 method # Total Ammonia 00610 < mg/L Mg - Magnesium 00927 mg/L method # (Ammonia Nitrogen; NH3 as N; Ammonia Nitrogen, Total) Mn - Manganese o1o55 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% 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 Phone: 919.807-6306 FACILITY INFORMATION Please Print Clearly or Type PERMIT Number:Expiration Date: Z- 3/ . a01Z (. Facility Name: L,L C_ Non -Discharge i UIC Permit Name (if different): NPDES Other Facility Address: /Da: l�w 1 p2 i! (� TYPE OF PERMITTED OPERATION BEING MONITORED County 6/ ,S jor-0 (21�goon ❑ Remediation: Infiltration Gallery ❑ Spray Field ❑ Remediation: Contact Person: �} (l� (� Q(Z Telephone#:C�10�) ❑ Rotary Distributor ❑ Land Application of Sludge Well Location/Site Name: rj/� p /� ��N.3 No. of wells to be sampled: �— ❑ Water Source Heat Pump ❑ Other: from Permit SAMPLING INFORMATION WELL ID NUMBER (from Permit): Date sample collected: 3 - 0 - a , FIELD ANALYSES: If WELL WAS Well Depth: 1ft. Well Diameter: q in. pH 00400:&.,A units Temp. 000lo: / ],$� °C DRY at Depth to Water Level 82546: fp, y,, ft. below measuring point Screened Interval: ft. to — ft. Spec. Cond. 00094: µMhos time of sampling, Measuring Point is eft. above land surface Relative M.P. Elevation: ft. Odor 00085: /,1 %f check Volume of water pumped/bailed before sampling: S" gallons Appearance j$H'EP,Li-5 r/ here:❑ Samples for metals were collected unfiltered: ❑ YES ❑ NO and field acidified: ❑ YES ❑ NO LABORATORY INFORMATION Date sample analyzed: Laboratory Name: Certification No. PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. COD 00335 mg/L Nitrite (NO2) as N 00615 J, t{ 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 G /100mL 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): issolved Solids:Total 70300 9-7tl mg/L Al - Aluminum 01105 mg/L pH (Lab) 00403 units Ba - Barium 01007 ug/L TOC 00680 `3�/f , mg/L Ca - Calcium 00916 mg/L Chloride 00940 l 3`,)_ mg/L Cd - Cadmium 01027 ug/L Arsenic 01002 ug/L Chromium: Total o1o34 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 oo945 mg/L Hg - Mercury 71900ug/L Lab Report Attached? ❑ Yes (1) ❑ No (0) Specific Conductance 00095 µMhos K - Potassium 00937 mg/L VOC 7873 method # Total Ammonia 00610(� mg/L Mg - Magnesium 00927 mg/L method # (Ammonia Nitrogen; NH3 as N; Ammonia Nitrogen, Total) Mn - Manganese o1o55 ug/L , method # TKN as N 00625 mg/L Ni - Nickel 01067 ug/L method # For Remediation Svstems Only (Attach Lab Reports): Influent Total VOCs: mq/L Effluent Total VOCs: mg/L VOC Removal% 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 Phone: 919-807-6306 FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: �V W Expiration Date: Z - 3/ • Zc;' Facility Name:/iya� S LL(i Non -Discharge ✓ UIC Permit Name (if different): NPDES Other Facility Address: /l�� ICJ✓/� TYPE OF PERMITTED OPERATION BEING MONITORED County>,�/S"/�w ❑ Lacn ❑Remediation: Infiltration Gallery pray Field ElRemediation: Contact Person: ��( d4/ Telephone#: (? 16) �?Q ❑ Rotary Distributor ❑ Land Application of Sludge Well Location/Site Name:$ ,5_;,jP O ,0 Al 5��"i'.isf / No. of wells to be sampled: �_ El Water Source Heat Pump El Other: from Permit SAMPLING INFORMATION If WELL WELL ID NUMBER (from Permit): Date sample collected: FIELD ANALYSES: WAS Well Depth: eft. Well Diameter: ;_in. pH o040o:L� units Temp. 000lo: 6? y °C DRY at Depth to Water Level e2546: 5%, 3 . ft. below measuring point Screened Interval: ft. to _ft. Spec. Cond. 000sa: µMhos time ofsampling, Measuring Point is oZ ft. above land surface Relative M.P. Elevation: ft. Odor 00085: check Volume of water pumped/bailed before sampling: gallons Appearance Lf2141Z here:❑ Samples for metals were collected unfiltered: ❑ YES ❑ NO and field acidified: ❑ YES ❑ NO LABORATORY INFORMATION Date sample analyzed: Laboratory Name: Certification No. 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 /100mL Nitrate (NO3) as N 00620 mg/L Zn - Zinc 01092 mg/L Coliform: MF Total 31504 L l /100mL 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): lissolved Solids:Total 70300 IR&IO mg/L AI -Aluminum 01105 mg/L pH (Lab) 00403 units Ba - Barium 01007 ug/L TOC 00680 �, mg/L Ca - Calcium 00916 mg/L Chloride 00940 9q 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 7873 method # Total Ammonia 00610 (�, mg/L Mg - Magnesium 00927 mg/L method # (Ammonia Nitrogen; NH3 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% 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 Phone: 919-807-6306 FACILITY INFORMATION Please Print Clearly or Type PERMIT Number:W4 �' '�,ilk`!i Expiration Date: 1 Z 31 ' "ZQ,Z C.- Facility Name: &2 :�j X L Non -Discharge UIC Permit Name (if different): NPDES Other Facility Address: /0 L� /�{WL� TYPE OF PERMITTED OPERATION BEING MONITORED '5'442l+C�5 % County O.A% inw 9-t goon ❑ Remediation: Infiltration Gallery ❑ Spray Field El Remediation: n 11 11 /1� Contact Person: pwf-to"e� C Telephone#: ��%d� 3027 oCi El Rotary Distributor El Land Application of Sludge Well Location/Site Name Ei�� '1ri L Rc lthl No. of wells to be sampled: 1 ❑ Water Source Heat Pump ❑ Other: from Permit SAMPLING INFORMATION WELL ID NUMBER (from Permit): Date sample collected: 3-1 FIELD ANALYSES: If WELL WAS Well Depth: I? ft. Well Diameter:;4in. pH 00400:&,"7 units Temp. 000lo: $ °C DRY at Depth to Water Level 82546: �,� r ft. below measuring point Screened Interval: ft. to _ft. Spec. Cond. 00094: µMhos time of sampling, Measuring Point is _111L ft. above land surface Relative M.P. Elevation: ft. Odor 00085: 14.5 check Volume of water pumped/bailed before sampling: -5 gallons Appearance /,� j j here: Samples for metals were collected unfiltered: ❑ YES ❑ NO and field acidified: ❑ YES ❑ NO LABORATORY INFORMATION Date sample analyzed: Laboratory Name: Certification No. PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. COD 00335 mg/L Nitrite (NO2) as N 00615 C) 1'I mg/L Pb - Lead oimi 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 00665 mg/L (Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units): [lissolved Solids:Total 70300 35 a mg/L Al - Aluminum o11o5 mg/L pH (Lab) oo4m units Ba - Barium 01007 ug/L TOC 00680 mg/L Ca - Calcium 00916 mg/L Chloride oo94o ( DV 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 7873 method # Total Ammonia 00610 01 LP mg/L Mg - Magnesium 00927 mg/L method # (Ammonia Nitrogen; NH3asN; Ammonia Nitrogen, Total) Mn - Manganese 01055 ug/L , method # TKN as N 00625 mg/L Ni - Nickel 01067 ug/L method # For Remediation Svstems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal% GW-59 Rev.05-02-2017 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 Phone: 919-807.6306 FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: �'x_�;yylt? Expiration Date: Z2 - 3i - G Facility Name: iq,2;5 LLB Non -Discharge UIC Permit Name (if different): NPDES Other Facility Address: TYPE OF PERMITTED OPERATION BEING MONITORED J 5 U County ��Slac� Lagoon ❑Remediation: Infiltration Gallery ❑ Spray Field El Remediation: /' n�j Contact Person: 224)4d6, L•-tQ}�- q_ Telephone#-.(2/,C) 3_2 7,5�>W ❑ Rotary Distributor ❑ Land Application of Sludge Well Location/Site Name: 13c?Ah;,JC_L No. of wells to be sampled: I— ❑ Water Source Heat Pump ❑ Other: from Permit) SAMPLING INFORMATION / - WELL ID NUMBER (from Permit): CX Date sample collected: 3 - l% -,� ( FIELD ANALYSES: If WELL WAS Well Depth: Lft. Well Diameter:�t, in. pH 00400:1E,(p units Temp. o0010: j °C DRY at Depth to Water Level 82546: t_e" ft. below measuring point Screened Interval: ft. to _ft. Spec. Cond. 00094: µMhos time of sampling, Measuring Point is ft. above land surface Relative M.P. Elevation: ft. Odor 00085: RM4 check Volume of water pumped/bailed before sampling: gallons Appearance l _'L5• !✓ here:❑ Samples for metals were collected unfiltered: ❑ YES ❑ NO and field acidified: ❑ YES ❑ NO LABORATORY INFORMATION Date sample analyzed: Laboratory Name: Certification No. PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. COD 00335 mg/L Nitrite (NO2) as N 00615 / L� mg/L Pb - Lead o1o51 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 00665 mg/L (Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units): issolved Solids:Total 70300 3qO mg/L AI - Aluminum o11o5 mg/L pH (Lab) 00403 units Ba - Barium 01007 ug/L TOC 00680 % �, J mg/L Ca - Calcium 00916 mg/L Chloride 00940 LO Ci 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 7873 method # Total Ammonia 00610 /• 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 Agen'f) Name and Title - Please print oytype ' Signature of Permittee (or Authorized GW-59 Rev.05-02-2017 SUBMIT FORM ON YELLOW PAPER ONLY DEPARTMENT OF ENVIRONMENTAL QUALITY - DIV. OF WATER RESOURCES GROUNDWATER QUALITY MONITORING: INFORMATION PROCESSING UNIT COMPLIANCE REPORT FORM 1617 MALL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: 919-807-6306 FACILITY INFORMATION Please Print Clearly or Type PERMIT Number:&_,'q,": g—'k?Txpiration Date: jZ-31-2c2 Facility Name: E L7Z S Non -Discharge UIC Permit Name (if different): NPDES Other Facility Address: / 0 TYPE OF PERMITTED OPERATION BEING MONITORED County 2'15agoon ❑ Remediation: Infiltration Gallery ❑ Spray Field ❑ Remediation: Contact Person: Telephone#: /(>) ❑ Rotary Distributor ❑ Land Application of Sludge Well Location/Site Name: i+Q-r-� No. of wells to be sampled: _� El water Source Heat Pump El Other: —T—�— from Permit SAMPLING INFORMATION WELL ID NUMBER (from Permit): d 7 Date sample collected: - j/- f FIELD ANALYSES: If WELL WAS Well Depth: Lft. Well Diameter:_in. pH 00400: &.3 units Temp. 000lo: 1, °C DRY at Depth to Water Level 82546: a , 3,, ft. below measuring point Screened Interval: ft. to _ft. Spec. Cond. 00094: µMhos time of sampling, Measuring Point is y2. 5 ft. above land surface Relative M.P. Elevation: ft. Odor 000s5: 14 check Volume of water pumped/bailed before sampling: gallons Appearance A here:❑ Samples for metals were collected unfiltered: ❑ YES ❑ NO and field acidified: ❑ YES ❑ NO LABORATORY INFORMATION Date sample analyzed: Laboratory Name: Certification No. PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. COD 00335 mg/L Nitrite (NO2) as N 00615 �� 9 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 00665 mg/L (Note: Use MPN method for highly turbid sampl s) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units): issolved Solids:Total 70300 yL) 0 mg/L AI - Aluminum 01105 mg/L pH (Lab) 00403 units Ba - Barium 01007 ug/L TOC 00680 mg/L Ca - Calcium 00916 mg/L Chloride 00940 TV 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 7873 method # Total Ammonia 00610 mg/L Mg - Magnesium 00927 mg/L method # (Ammonia Nitrogen; NH3 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% 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 Phone: 919-807-6306 FACILITY INFORMATION Please Print Clearly or Type PERMIT Number:1e_V-1 ,:,_arttExpirationDate: Facility Name: %i 1%Z, } L C L Non -Discharge UIC Permit Name (if different): NPDES Other Facility Address: 0 TYPE OF PERMITTED OPERATION BEING MONITORED -eAd-5 �I'Z County e S Oc.c✓ l —, Lagoon ❑ Remediation: Infiltration Gallery ❑ Spray Field ❑ Remediation: Contact Person: /-?4 , Telephone#: 010 3,27-,R?b'6 ❑ Rotary Distributor ❑ Land Application of Sludge Well Location/Site Name: ,/ /e'L / d, / r"`T No. of wells to be sampled: I rr�e�it ❑ Water Source Heat Pump ❑ Other: SAMPLING INFORMATION �y WELL ID NUMBER (from Permit): O Date sample collected: j �!/' �� FIELD ANALYSES: If WELL WAS Well Depth: 30 ft. Well Diameter: ;Z in. pH 00400:&3 units Temp. 000lo: 0.? °C DRY at Depth to Water Level szsas: %j"/ ft. below measuring point Screened Interval: ft. to _ft. Spec. Cond. 000sa: µMhos time ofsampling, Measuring Point is �j ft. above land surfacer Relative M.P. Elevation: ft. Odor 00085: check Volume of water pumped/bailed before sampling: 7 gallons Appearance C leAl2 here:❑ Samples for metals were collected unfiltered: ❑ YES ❑ NO and field acidified: ❑ YES ❑ NO LABORATORY INFORMATION Date sample analyzed: Laboratory Name: Certification No. PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. COD 00335 mg/L Nitrite (NO2) as N o0515 �V.�.� 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 41 /100mL 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): issolved Solids:Total 70300 ?j 3 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 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 7873 method # Total Ammonia 00610 0 .7 mg/L Mg - Magnesium 00927 mg/L method # (Ammonia Nitrogen; NH3 as N; Ammonia Nitrogen, Total) Mn - Manganese o1o55 ug/L , method # TKN as N 00625 mg/L Ni - Nickel 01067 ug/L method # For Remediation Svstems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal% uvv-oa mev. UO-VL-LV 1 r 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 Phone: 919-807-6306 FACILITY INFORMATION. Please Print Clearly or Type PERMITNumber:uJot h_SY?ExpirationDate: - 57 Facility Name: —f)?"S L C Non -Discharge ✓ UIC Permit Name (if different): NPDES Other Facility Address: f(} GC/2 TYPEOFPERMITTED OPERATION BEING MONITORED L County 6c,_) Lf,Lagoon ❑ Remediation: Infiltration Gallery �1 r - Contact Person: ��i �� Telephone#:(7/0) 4 �0 El Spray Field El Remediation: ❑ Rotary Distributor ❑ Land Application of Sludge Well Location/Site Name: rJp rrar,/'= 3 R l J+IrrYJ No. of wells to be sampled:_ ❑ Water Source Heat Pump El Other: from Permit SAMPLING INFORMATION WELL ID NUMBER (from Permit): Date sample collected: 3-!�'� J FIELD ANALYSES: If WELL WAS Well Depth: Well Diameter:in. pH 00400:units Temp. 000lo: l %°C DRY at �ft. Depth to Water Level 82546: ft. below measuring point Screened Interval: ft. to _ft. Spec. Cond. 00094: µ Mhos time of sampling, Measuring Point is Ll ft. above land surface Relative M.P. Elevation: ft. Odor 00085: check Volume of water pumped/bailed before sampling: gallons Appearance J:S R"5 c_/ here:❑ Samples for metals were collected unfiltered: ❑ YES ❑ NO and field acidified: ❑ YES ❑ NO c� LABORATORY INFORMATION Date sample analyzed: Laboratory Name: Certification No. PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. COD 00335 mg/L Nitrite (NO2) as N 00615 < U J; 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 00665 mg/L (Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units): issolved Solids:Total 70300 ��3 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 [p 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 oo945 mg/L Hg - Mercury 71900 ug/L Lab Report Attached? ❑ Yes (1) ❑ No (0) Specific Conductance 00095 µMhos K - Potassium 00937 mg/L VOC 7873 method # Total Ammonia 00610 mg/L Mg - Magnesium 00927 mg/L method # (Ammonia Nitrogen; NH3 as N; Ammonia Nitrogen, Total) Mn - Manganese olo55 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% k_1w-oa KBv. UD-UZ-ZU I r 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 Phone: 919-807-6306 FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: 4�"�� Y `� Expiration Date: J - 3 j - c9z Facility Name: 2&; S L / c, Non -Discharge UIC Permit Name (if different): NPDES Other Facility Address: 169 5— TY,,P��E, OF PERMITTED OPERATION BEING MONITORED _ County %ifV-yL) ') LTLagoon ❑ Remediation: Infiltration Gallery ❑ Spray Field ❑ Remediation: Contact Person: �.1(� / Telephone#(a h:5) ❑ Rotary Distributor ❑ Land Application of Sludge Well Location/Site Name: —al,yp No. of wells to be sampled: from ermit ElWater Source Heat Pump ❑ Other: SAMPLING INFORMATION WELL ID NUMBER (from Permit): /U Date sample collected: 3-//- 9 % FIELD ANALYSES: If WELL WAS Well Depth: aft. Well Diameter: in. pH 00400:5._ ")_ units Temp. 000lo: 4" I °C DRY at _;�, Depth to Water Level 82546: �'R • ft. below measuring point Screened Interval: ft. to _ft. Spec. Cond. 00094: µMhos time of sampling, Measuring Point is 3 ft. above land surface Relative M.P. Elevation: ft. Odor 00085: r11h check Volume of water pumped/bailed before sampling: S_ gallons Appearance /Z here:❑ Samples for metals were collected unfiltered: ❑ YES ❑ NO and field acidified: ❑ YES ❑ NO LABORATORY INFORMATION Date sample analyzed: Laboratory Name: Certification No. 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 /100mL Nitrate (NO3) as N 00520 mg/L Zn - Zinc 01092 mg/L Coliform: MF Total 31504 /100mL Phosphorus: Total as P 00ss5 mg/L (Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units): issolved Solids:Total 70300 7 7 mg/L Al -Aluminum 01105 mg/L pH (Lab) 00403 _ units Ba - Barium 01007 ug1L TOC 00890 , S' mg/L Ca - Calcium 00916 mg/L Chloride 00940 5 "] mg/L Cd - Cadmium 01027 ug/L Arsenic 01002 ug/L Chromium: Total o1o34 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 oo945 mg/L Hg - Mercury 71900 ug/L Lab Report Attached? ❑ Yes (1) ❑ No (0) Specific Conductance 00095 µMhos K - Potassium 00937 mg/L VOC 7873 method # Total Ammonia 00610 <mg/L Mg - Magnesium 00927 mg/L method # (Ammonia Nitrogen; NH3asN; 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% GW-59A COMPLIANCE REPORT FORM Permit (Sithmit one each monitoring period with GIV--59 forms.) 1 Enter date monitoring results were due. Z I ) Will this monitoring report (GW-59 and GW-59A) YES NO be submitted after the established due date? 2 Was any required information missing on the GW-59 report forms? YES O 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 any of the monitor wells in need of repair or maintenance (damaged casing, unlocked or missing cap, missing YES NO identification plate, area overgrown, etc.)? If the answer is "Yes", contact the Regional Office for guidance. 4 Are any monitored constituents equal to or above the established standards? ES NO If the answer to question 4 is "NO", skip to section 8. If the answer to question 4 is "YES" list the affected wells individually with constituent(s) and concentration(s) exceeding standards in the space provided below: �O•"3 -uej! Ph- �w�r Ph —to. a NH.3 '��// �lc�_— ;)— P tte// 7— P -s'3 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). Sew 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 may be 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 havinq 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 Gl/y-59A,irue and complete to the best of my knowledg . r_ L- Signat re permittee (or rized Agent) Date GAV-59A 12/8/2003 2018 2019 2020 2021 MARCH JULY NOV. MARCH JULY NOV. MARCH JULY NOV. MARCH JULY NOV. WELL 1 TDS 512 525 501 501 PH 6.1 6 6.5 6.1 5.6 5.5 6.1 5.5 5.9 6.08 NH3 WELL 3 TDS PH 6.1 6.1 6.2 6.4 5.6 6.4 6.2 6.1 6.2 NH3 5.1 5 WELL 4 TDS PH 1 5.4 5.2 5.3 5.3 5.2 5 5.4 5.3 5.2 5.3 NH3 WELL S TDS DRY DRY PH DRY DRY 6.5 NH3 WELL 6 TDS PH 6.5 6.3 NH3 WELL 7 TDS PH 6.3 6.3 6.3 6 6.3 6.3 6.3 NH3 2.4 2.6 WELL 8 TDS PH NEW WELL DRY 6.3 NH3 WELL 9 TDS PH NEW WELL NH3 WELL 10 TDS PH NEW WELL 5.9 5.5 NH3