HomeMy WebLinkAboutWQ0033770_Monitoring - 01-2021_20210308SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
•r+ 1 wiv -i ae r'nnr utearty or Type
mility Name: Carolina Plantation WWTP
Drmit Name (if different):
9CilityAddress: 100 Carolina Plantation Road
Jacksonville NC 28540 County onslow
------------
act Person: Jeff Jarman
Location/Site Name:
Telephone#: 910-330-8167
No. of wells to be sampled. 6
DEPARTMENT OF ENVIRONMENTAL QUALITY • DIV. OF WATER RESOURCI
INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617
PERMIT Number: W00033770 Expiration Date: 12/31/2021
Non -Discharge UIC
NPDES Other Infiltration System
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump n Other: underdrains
WELL ID NUMBER (from Pe: �Z
rmit)--j Date sample collected: _ /6 Z
Well Depth: /0111--ft. Well Diameter: Asrin.
Depth to Water Level 02546ft. below measuring point Screened Interval: /S ft. to ft.
MeasuringPoint is ft. above land surface Relative M.P. Elevation: ft.
Volume of water pumped/bailed before sampling: • gallons
Samples for metals were collected unfiltered: ® YES ❑ NO and field acidified: ® YES ❑ NO
FIELD ANALYSES:
pH 00400: units Temp. 000lo. °C
Spec. Cond. 00094: µMhos
Odor 000ss:
Appearance
If WELL
WAS
DRY at
time of
sampling,
check
here:❑
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 oasis
mg/L
Pb - Lead olo51
Coliform: MF Fecal 31616
1100mL
Nitrate (NO3) as N OD620
mg/L
Zn - Zinc 01092 mgtL
Coliform: MF Total 31504
/100ml-
Phosphorus: Total as P oo665
mg/L
(Note. Use MPN method for t®gtay turbid samples)
Orthophosphate 70507
mg/L
Other (Specify
( Compounds and Concentration Units):
issolved Solids:Total 7030o
mg/L
AI - Aluminum o1105
mg/L
Lu
PH (Lab) 00403
units
Ba - Barium oloo7
ug/L
TOC 00680
mg/L
Ca - Calcium 00916
mg/L
Chloride oo94o
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 olo4s
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 #
(Anmoma Nitrogen, NH, as N. Ammonia Nitrogen. Total)
Mn - Manganese 01055
ug/L
, method #
TKN as N t)o625
mg/L
Ni - Nickel 01067
ug/L
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: ma/L VOC Removal%
SUBMIT FORM ON YELLOW PAPER ONLY
UNDWATER QUALITY MONITORING:
PLIANCE REPORT FORM
....... r daivr-nnrWeatlyorType
FacilityName: Carolina plantation WWTp
Permit Name (if different):
Facility Address: 100 Carolina Plantation Road
Jacksonville NC 28540 onslow
County
Contact Person: Jeff Jarman
Well Location/Site Name:
Telephone#: 910-330-8167
No, of wells to be sampled: 6
DEPARTMENT OF ENVIRONMENTAL DUALITY - DIV, OF WATER RESOURCES
INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617
PERMIT Number: w00033770 Expiration Date: 1213112021
Non -Discharge UIC
NPDES Other Infiltration System
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump n Other: Underdrai ns
ELL ID NUMBER (from Permit): —2 Date sample collected:
ell Depth: Well Diameter:/ xj�in.
)pth to Water Level azsas:_ft. below measuring point Well
Interval: -15—ft. to ft.
easuring Point is 2 ft. above land surface Relative M.P. Elevation. ft.
)lume of water pumped/bailed before sampling: gallons
Imples for metals were collected unfiltered: ® YES ❑ NO and field acidified: ® YES ❑ NO
kBORATORY INFORMATION
Re sample analyzed:
Laboratory Name:
kRAMETERS NOTE: Values should reflect dissolved and
colloidal concentrations.
COD 00335 mg/L
Nitrite (NOZ) as N 00615
mg/L
Coliform: MF Feral 31616 110omL
Nitrate (NO3) as N 00620
mg/L
Coliform: MF Total 31504 /100mL Phosphorus: Total as P 00665
mg/L
(Note, Use MPN method for NgNy turdd samples)
Orthophosphate 70507
mg/L
solved Solids:Total 70300 mg/L
Al -Aluminum 01105
mg/L
PH (Lab) 00403 units
Ba - Barium 01007
ug/L
TOC oo68o mg/L
Ca - Calcium oo916
mg/L
Chloride oogao 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
Phenol 32730 ug/L
Fe - Iron 01045
ug/L
Sulfate oo945 mg/L
Hg - Mercury 71900
ug/L
,cific Conductance 0009s µMhos
K - Potassium 00937
mg/L
Total Ammonia oo610 mg/L.
Mg - Magnesium 00927
mg/L
(Ammonia Nitrogen: NH, as N: Amrronia Nitrogen. Total)
Mn - Manganese 01055
ug/L
TKN as N 00625 mg/L
Ni - Nickel 01067
ug/L
FIELD ANALYSES:
pH ooaoo: units
Spec. Cond. 00094:
Odor 00085
Appearance
Temp. 000lo: °C
uMhos
Certification No.
Pb - Lead o1o51 ug/L
Zn - Zinc 01092 mg/L
Other (Specify Compounds and Concentration Units):
ORGANICS: (by GC, GC/MS, HPLC)
(Specify test and method #. ATTACH LAB REPORT.)
Lab Report Attached? ❑ Yes (1) ❑ No (0)
VOC 7873 method #
method #
method #
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mnA WWI o
DRY at
time of
sampling,
check
here: ❑
SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
'
DEPARTMENT OF ENVIRONMENTAL QUALITY - DIV. OF WATER RESOURCES
COMPLIANCE REPORT FORM
•
• • •
INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617
FACILITY INFORMATION Please Print Clearly or Type
PERMIT Number:w00033770 Expiration Date: 1213112021
Facility Name: Carolina Plantation wwTP
Non -Discharge UIC
Permit Name (if different),
NPDES Other Infiltration system
Facility Address: 100 Carolina Plantation rtoad
Jacksonville
TYPE OF PERMITTED OPERATION BEING MONITORED
NC 28540 Count onslow
Y
El Lagoon El Remediation: Infiltration Gallery
❑ Spray Field El Remediation:
Contact Person: Jeff Jarman
910-330-8167
Telephone* P
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name:
No. of wells to be sampled: 6
❑ Water Source Heat Pump Other: underdrains
SAMPLING INFORMATION
(from -
from Pe—o
WELL ID NUMBER (from Permit): I� `—Tj
Date sample collected: -(� 2 f
If WELL
Well Depth: _ft.
_
Well
FIELD ANALYSES:
WAS
Diameter:7,2fin.
Depth to Water Level 82s46:1 below measuring Screened
a
pH ooaoo: units Temp. oaoto: C
DRY at
time
_ft.
point Interval: S_ft.
to
Spec. Cond. 000sa: µMhos
of
Measuring Point is Z ft. above land surface
Relative M.P. Elevation:
_ft.
ft.
Odor 000ss:
sampling,
Volume of water pumped/bailed before sampling:
gallons
g
check
Samples for metals were collected unfiltered: ®YES
❑ NO and field acidified: ®YES
El NO
Appearance
here:
❑
LABORATORY INFORMATION
Date sample analyzed:
Laboratory Name.
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
Certification No.
COD 00335 mg/L
Coliform: MF Fecal 31616
Nitrite (NOZ) as N oo615
mg/L
Pb -lead otosl ug/L
/100mL
Nitrate (NO3) as N 00620
mg/L
Zn - Zinc 01092
Coliform: MF Total 31604 /100mL
(Note: Use MPN
Phosphorus: Total as P 00665
mg/L
mg/L
method for tughly turbid samples)
issolved Sotids:Total 70300
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
mg/L
AI - Aluminum 01105
mg/L
pH (Lab) 00403 units
Ba - Barium 01007
ug/L
TOC oo68o mg/L
Ca - Calcium 00916
mg/L
Chloride oos4o mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002 ug/L
Chromium: Total 01034
ug/L
y
Grease and Oils 00552 mg/L
Phenol 3273o
Cu - Copper 01042
mg/L
ORGANICS: (by GC, GC/MS, HPLC)
ug/L
Sulfate 00945
Fe -Iron otoas
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
mg/L
Specific Conductance 00095 µMhos
Hg - Mercury 71900
K
ug/L
Lab Report Attached? ❑ Yess(1) ❑ No (0)
Total Ammonia ooslo mg/L
- Potassium 00937
Mg -Magnesium 00927
mg/L
VOC 7873 method #
(Arttronia Nitrogen. NH,as N. Ammonia Nitrogen, Total)
mg/L
method #
Mn - Manganese oloss
ug/L
,
TKN as N 00625 mg/L
Ni - Nickel 01067
method #
For Remediation Systems Only (Attach Lab Reports):
Influent Total VOCs:
ug/L
,method #
r
— mg/L Effluent Total VOCs: __,. ..__ —
SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
�...,..�.. ,..�...,... r,.,.r Please Print Clearly or
Facility Name: Carolina Plantation waTP
Permit Name (if different):
Facility Address: 100 Carolina Plantation Road
Jacksonville NC 28540 County onslow
dct Person: Jeff Jarman
Location/Site Name:
910-330-8167
Telephone#:
No. of wells to be sampled: 6
SAMPLING INFORMATION WELL ID NUMBER (from Permit): /" ,s� Z-^ Date sample collected:
Well Depth: 18- ft. Well Diameter: Lf in.
Depth to Water Level 82546:L_ft. below measuring point Screened Interval: /�_ ft. to
Measuring Point is Z— ft, above land surface Relative M.P_ Elevation: ft.
Volume of water pumped/bailed before sampling: gallons
SamDles for metals were collected unfiltered: ® YES ❑ NO and field acidified: ® YES ❑ NO
Ite sample analyzed: Laboratory Name:
kRAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L Nitrite (NO2) as N 00615 mg/L
Coliform: MF Fecal 31616 /100mL Nitrate (NO3) as N OD620 mg/L
Coliform: MF Total 31504
/100ml-
(Note Use MPN method for Nghly turbid samples)
solved Solids:Total 70300
mg/L
PH (Lab) 00403
units
TOC oo68o
mg/L
Chloride 00940
mg/L
Arsenic 01002
ug/L
Grease and Oils 00552
mg/L
Phenol 32730
ug/L
Sulfate oosas
mg/L
µMhos
!cific Conductance 000ss
Total Ammonia 00610
mg/L
(Ananorna Nitrogen: NH, as N: Artxnonia Nitrogen, Total)
TKN as N 00625
mg/L
_ _ .._,.. rws.,..L. I n►� RPnArtSl:
Phosphorus: Total as P 00665
mg/L
Orthophosphate 70507
mg/L
All - Aluminum 01105
mg/L
Ba - Barium 01007
ug/L
Ca - Calcium 00916
mg/L
Cd - Cadmium 01027
ug/L
Chromium: Total 01034
_ ug/L
Cu - Copper 01042
mg/L
Fe - Iron 01045
ug/L
Hg - Mercury 71900
ug/L
K - Potassium 00937
mg/L
Mg - Magnesium 00927
mg/L
Mn - Manganese 01055
ug/L
Ni - Nickel 01067
ug/L
DEPARTMENT OF ENVIRONMENTAL QUAUTY - DIV. OF WATER RESOURCES
INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER, RALEIGH, NC 276994617
!RMIT Number: w00033770 Expiration Date: 12/31/2021
n-Discharge UIC
'DES Other Infiltration system
PE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump Il Other: underdrains
FIELD ANALYSES: WAS
DRY at
PH 00400: units Temp. 00010 oC time of
Spec. Cond. 000sa: µMhos sampling,
P 9•
Odor 00085: check
Appearance here:❑
Certification No.
Pb - Lead o1051 ug/L
Zn - Zinc 01092 mg/L
Other (Specify Compounds and Concentration Units):
ORGANICS: (by GC, GC/MS, HPLC)
(Specify test and method #. ATTACH LAB REPORT.)
Lab Report Attached? ❑ Yes (1) ❑ No (0)
VOC 7873 method #
method #
method #
method #
Influent Total VOCs:
m9/ L Effluent Total VOCs: mg/L VOC Removal%
_ �a....��.t
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, INC 276"-1617
FACILITY INFORMATION Please Pnnt Clearly or Type PERMIT Number: W00033770 Expiration Date: 12/31/2021
Facility Name: Carolina Plantation wwTP Non -Discharge UIC
Permit Name (if different): NPDES Other Infiltration system
Facility Address: 100 Carolina Plantation Road TYPE OF PERMITTED OPERATION BEING MONITORED
Jacksonville NC 28540 County onslow ❑ Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
Contact Person: Jeff Jarman Telephone#: 910-330-8167 ❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: No. of wells to be sampled: 6 ❑ Water Source Heat Pump n Other: underdrai ns
WELL ID NUMBER (from P�errmit): /- �' Date sample collected.
Well Depth: ZO ft. Well Diameter: /r Z 17n.
Depth to Water Level 825a6:7'F. 5ft. below measuring point Screened Interval: / j - ft. to _ft.
Measuring Point is 2_ft. above land surface Relative M.P Elevation: ft.
Volume of water pumped/bailed before sampling: gallons
Samples for metals were collected unfiltered: ® YES ❑ NO and field acidified: ® YES ❑ NO
Date sample analyzed: Laboratory Name: _
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations
COD 00335
mg/L
Nitrite (NO2) as N 00615
mg/L
Coliform: MF Fecal 31616
/100mL
Nitrate (NO3) as N 00620
mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665
mg/L
(Note Use MPN meNod for Nghly turbid samples)
Orthophosphate 70507
mg/L
issolved Solids:Total 70300
mg/L
AI - Aluminum o11os
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC oo68o
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total 01036
ug/L
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg/L
Phenol 32730
ug/L
Fe - Iron 01045
ug/L
Sulfate oogas
mg/L
Hg - Mercury 71900
ug/L
Specific Conductance 00095
µMhos
K - Potassium 00937
mg/L
Total Ammonia oo610
mg/L
Mg - Magnesium 00927
mg/L
(Artvnona Nitrogen. NH. as N, Amttorea Nitrogen, Total)
Mn -Manganese oloss
ug/L
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L
FIELD ANALYSES:
pH ooaoo units
Spec. Cond. 000ea
Odor 00085
Appearance
WAS
Temp. 000lo. °C DRY at
"Mhos time of
Certification No.
Pb - Lead o1o51 ug/L
Zn - Zinc 01092 mg/L
Other (Specify Compounds and Concentration Units):
ORGANICS: (by GC, GC/MS, HPLC)
(Specify test and method #. ATTACH LAB REPORT.)
Lab Report Attached? ❑ Yes (1) ❑ No (0)
VOC 7873 method #
method #
method #
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs. mn/l cfsf,. 6 T.....r
here: El
SUBMIT FORM ON YELLOW PAPER ONLY
3ROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
'
°ACILITY INFORMATION Please Print Clearly or Type
PI
:acilityName Carolina Plantation wwTP
Ni
'errnit Name (if different):
N1
:acilityAddress. 100 Carolina Plantation Road
T,
Jacksonville NC 28540
County onslow
Z;ontactPerson Jeff Jarman
Telephone#: 910-330-8167
6Nell Location/Site Name:
No. of wells to be sampled. 6
. from Perms;
SAMPLING INFORMATION
WELL ID NUMBER (from Permit): �% Z , — (P
Date sample collected:
Well Depth: �ft.
Well Diameter:/.Zc- in.
Depth to Water Level 82546: g, r ft. below measuring point
Screened Interval:/eft,
to
Measuring Point is 2. ft. above land surface
Relative M.P. Elevation:
_ft.
ft.
Volume of water pumpedibailed before sampling:
gallons
Samples for metals were collected unfiltered: ® YES ❑
NO and field acidified: ® YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed:
Laboratory Name:
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L
Nitrite (NO2) as N 00615
mg/L
Coliform: MF Fecal 31616 /100mL
Nitrate (NO3) as N 00620
mg/L
Coliform: MF Total 31504 /100ml- Phosphorus: Total as P 00665
mg/L
(Note Use MPN method for lughly tumid samples)
Orthophosphate 70507
mglL
issolved Solids.Total 70300 mg/L
All -Aluminum ollo5
mg/L
pH (Lab) 00403 units
Ba - Barium 01007
ug/L
TOC oosso mg/L
Ca - Calcium 00916
mg/L
Chloride oo94o mg/L
Cd - Cadmium 01027
ug/L
Arsenic oioo2 ug/L
Chromium: Total 01034
ug/L
Grease and Oils 00552 mg/L
Cu - Copper 01042
mg/L
Phenol 32730 ug/L
Fe - Iron o1o45
ug/L
Sulfate 00945 mg/L
Hg - Mercury 71900
ug/L
pecific Conductance 00095 uMhos
K - Potassium 00937
mg/L
Total Ammonia 00610 mg/L
Mg - Magnesium 00927
mg/L
(Ammonia Ntrogen. NH3asN. Ammonia Nitrogen Total)
Mn - Manganese oloss
ug/L
TKN as N 00625 mg/L
Ni - Nickel 01067
ug/L
DEPARTMENT OF ENVIRONMENTAL QUALITY - DIV. OF WATER RESOURCES
INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699.1617
RMIT Number: W00033770 Expiration Date 12/31/2021
n-Discharge UIC
IDES Other Infiltration system
PE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump r-1 Other underdrai ns
FIELD ANALYSES:
WAS
pH oo400 units Temp. 000lo °C
DRY at
Spec. Cond. 00094 NMhos
time of
sampling,
Odor 00065
check
Appearance
here:❑
Certification No.
Pb - Lead olosi ug/L
Zn - Zinc 01092 mg/L
Other (Specify Compounds and Concentration Units)
ORGANICS: (by GC, GC/MS, HPLC)
(Specify test and method #. ATTACH LAB REPORT.)
Lab Report Attached? ❑ Yes (1) ❑ No (0)
VOC 7873 method #
method #
method #
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%