HomeMy WebLinkAboutWQ0004910_Monitoring - 02-2021_20210311GW-59A COMPLIANCE REPORT FORM Permit #-Q 4 d 0 6
(Submit one each monitoring period with GW-59 forms.)
j
Enter date monitoring results were due. ( ) Will this monitoring report (GW-59 and GW-59A)
YES
N
be submitted after the established due date?
2
Was any required information missing on the GW-59 report forms?
YES
NO
IF the answer to question 1 or 2 is "YES", list in the space provided below the well identification numbe &) and
explain the problems encountered in obtaining the required information.
x
.z
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 Ofrce.for guidance.
4
Are any monitored constituents equal to or above the established standards?
YES
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:
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 maybe 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 (G W-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 port GW-59A) is true and complete to the best of my knowledge.
Signaturelof Permittee (or Authorized Agent) Date
GW-59A 12/8/2003
SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
ffo*
DEPARTMENT OF ENVIRONMENTAL QUALITY - DIV. OF WATER RESOURCES
INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
17MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: 919.807.6306
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: Expiration Date: 03/08/2021
Facility Name: Town of Woodland
Non -Discharge WQ0004910 UIC
NPDES Other
Permit Name (if different):
Facility Address: 414 Jameson Avenue Woodland NC 27897
TYPE OF PERMITTED OPERATION BEING MONITORED
Lagoon ❑ Remediation: Infiltration Gallery
414 Jameson Avenue Woodland NC 27897 County Northampton
Spray Field ❑ Remediation:
Contact Person: Raymond S. Eaton
Telephone#: 252-209-1759
❑ Rotary Distributor ElLand Application of Sludge
Well Location/Site Name: WWTP irrigation fields
No. of wells to be sampled: 5
❑ Water Source Heat Pump ❑ Other:
(from Permit)
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW1
Date sample collected: 02/11/2021
FIELD ANALYSES:
WAS
Well Depth: 35 ft.
Well Diameter: 2 in.
pH 00400: 7.8 units Temp. 00010. 11.3 °C
DRY at
Depth to Water Level 82546:5.6 ft. below measuring
p g point
Screened Interval: 30 ft. to
35
ft. Spec. Cond. 0009a: µ Mhos
time of
sampling,
Measuring Point is 4 ft. above land surface
Relative M.P. Elevation: ft.
Odor 00085: none
check
Volume of water pumped/bailed before sampling:
4
gallons
Appearance clear
here:❑
Samples for metals were collected unfiltered: ❑ YES
❑ NO and field acidified: ❑ YES ■❑ NO
LABORATORY INFORMATION
Date sample analyzed:03/03/2021
Laboratory Name: Environment 1 Inc
Certification No.
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615
mg/L Pb - Lead o1o51 ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 0.10
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):
Dissolved Solids:Total 7030o 77
mg/L
Al - Aluminum 01105
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC oo68o <1.00
mg/L
Ca - Calcium 00916
mg/L
Chloride 0094o 28
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 <0.04
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 VOIDS: mg/L VOC Removal%
GW-59 Rev.05-02-2017
SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
• •
DEPARTMENT OF ENVIRONMENTAL QUALITY - DIV. OF WATER RESOURCES
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: 03/08/2021
Facility Name: Town of Woodland
Non -Discharge W00004910 UIC
NPDES Other
Permit Name (if different):
Facility Address: 414 Jameson Avenue Woodland NC 27897
TYPE OF PERMITTED OPERATION BEING MONITORED
414 Jameson Avenue Woodland NC 27897
County Northampton
❑■ Lagoon ❑ Remediation: Infiltration Gallery
A Spray Field ❑ Remediation:
Contact Person: Raymond S. Eaton
Telephone#: 252-209-1759
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: WWTP irrigation fields
No. of wells to be sampled:
5
❑ Water Source Heat Pump ❑ Other:
from Permit)
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW3
Date sample collected: 02/11/2021
FIELD ANALYSES:
WAS
Well Depth. 35 ft.
Well Diameter: 2
in.
pH 00400: 7.6 units Temp. 0oolo. 12.1 nC
DRY at
Depth to Water Level 82546:5.8 ft. below measuring point Screened Interval: 30
ft. to 35
ft. Spec. Cond. 00094: ttMhos
time of
sampling,
Measuring Point is 4 ft. above land surface
Relative M.P. Elevation:
ft.
Odor 00085: none
check
Volume of water pumped/bailed before sampling:
4
gallons
Appearance clear
here:❑
Samples for metals were collected unfiltered: ❑ YES
❑ NO and field acidified: ❑ YES
■❑ NO
LABORATORY INFORMATION
Date sample analyzed:03/03/2021
Laboratory Name. Environment 1 Inc
Certification No.
PARAMETERS NOTE: Values should reflect
dissolved
and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615
mg/L
Pb - Lead o1o51 ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 0.06
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 97
mg/L
Al - Aluminum 01105
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 00680 <1.00
mg/L
Ca - Calcium 00916
mg/L
Chloride 0094o 38
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 o0610 <0.04
mg/L
Mg - Magnesium 00927
mg/L
method #
(Ammonia Nitrogen, NH,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%
Raymond S. Eaton/ ORC
Permittee (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev.05-02-2017
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 Phone: 919-807-6306
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: Expiration Date: 03/08/2021
Facility Name: Town of Woodland
Non -Discharge WQ0004910 UIC
Permit Name (if different):
NPDES Other
Facility Address: 414 Jameson Avenue Woodland NC 27897
TYPE OF PERMITTED OPERATION BEING MONITORED
IN Lagoon ❑Remediation: Infiltration Gallery
414 Jameson Avenue Woodland NC 27897 County Northampton P
A Spray Field ❑ Remediation:
Contact Person: Raymond S. Eaton
Telephone#: 252-209-1759
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: WWTP irrigation fields
No. of wells to be sampled:
5
❑ Water Source Heat Pump ❑ Other:
(from Permi()
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW6
Date sample collected: 02/11/2021
FIELD ANALYSES:
WAS
Well Depth: 35 ft.
Well Diameter: 2
in.
pH 00400: 7.4 units Temp. 000lo 14.7 °C
DRY at
Depth to Water Level 82546:6 ft. below measuring
point Screened Interval: 30
ft. to 35
ft. Spec. Cond. 00094: µMhos
time of
Measuring Point is 4 ft. above land surface
Relative M.P. Elevation:
ft.
Odor 00085: none
sampling,check
Volume of water pumped/bailed before sampling:
4
gallons
Appearance clear
here:❑
Samples for metals were collected unfiltered: ❑ YES
❑ NO and field acidified: ❑ YES
A NO
LABORATORY INFORMATION
Date sample analyzed:03/03/2021
Laboratory Name: Environment
1 Inc
Certification No.
PARAMETERS NOTE: Values should reflect
dissolved
and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615
mg/L
Pb - Lead o1o51 ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 0.13
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 170
mg/L
Al - Aluminum 01105
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 00680 <1.00
mg/L
Ca - Calcium 00916
mg/L
Chloride 0094o 70
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 <0.04
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%
Raymond S. Eaton/ ORC
Permittee (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev.05-02-2017
SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
FACILITY INFORMATION Please Prir
Facility Name: Town of Woodland
Permit Name (if different):
Facility Address: 414 Jameson Avenue Woodland NC 27897
414 Jameson Avenue Woodland NC 27897
(Contact Person: Raymond S. Eaton
Well Location/Site Name: WWTP irrigation fields
or
County Northampton
Telephone#: 252-209-1759
No. of wells to be sampled: 5
DEPARTMENT OF ENVIRONMENTAL QUALITY - DIV. OF WATER RESOURCES
INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER, RALEIGH,
NC 27699-1617 Phone: 919.807.6306
PERMIT Number:
Expiration Date: 03/08/2021
Non -Discharge W00004910
UIC
NPDES
Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑■ Lagoon
❑ Remediation: Infiltration Gallery
■❑ Spray Field
❑ Remediation:
❑ Rotary Distributor
❑ Land Application of Sludge
❑ Water Source Heat Pump
❑ Other:
SAMPLING INFORMATION
WELL ID NUMBER (from Permit): MW8 Date sample collected: 02/11/2021
Well Depth: 35 ft. Well Diameter: 2 in.
Depth to Water Level 82546:6 ft. below measuring
p g point Screened Interval: 30 ft. to 35 ft.
Measuring Point is 4 ft. above land surface Relative M.P. Elevation: ft.
Volume of water pumped/bailed before sampling: 4 gallons
Samples for metals were collected unfiltered: ❑ YES ❑ NO and field acidified: ❑ YES 0 NO
FIELD ANALYSES:
pH 00400: 7.8 units Temp. 000lo 13.5 °C
Spec. Cond. 0009a: µ Mhos
Odor 00085: none
Appearance clear
If WELL
WAS
DRY at
time of
sampling,
check
here:❑
LABORATORY INFORMATION
Date sample analyzed:03/03/2021
Laboratory Name: Environment 1 Inc
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 <1
/100mL
Nitrate (NO,) as N 00620 <0.04
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):
ssolved Solids:Total 70300 110
mg/L
Al - Aluminum oil o5
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 00680 <1.00
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 14
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 <0.04
mg/L
Mg - Magnesium 00927
mg/L
method #
(Ammonia Nitrogen; NH, as N; Ammonia Nitrogen, Total)
Mn - Manganese oloss
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%
Raymond S. Eaton/ ORC Y 03/08/2021
Permitlee (or Authorized Agent) Name and Title - Please print or type Signature QPPermittee (or Authorized Kciert) (Date)
GW-59 Rev.05-02-2017
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 Phone: 919-807-6306
FACILITY INFORMATION
Please Print
Clearly or Type
PERMIT Number: Expiration Date: 03/08/2021
Facility Name: Town of Woodland
Non -Discharge WQ0004910 UIC
NPDES Other
Permit Name (if different):
Facility Address: 414 Jameson Avenue Woodland NC 27897
TYPE OF PERMITTED OPERATION BEING MONITORED
X Lagoon ❑Remediation: Infiltration Gallery
414 Jameson Avenue Woodland NC 27897 County Northampton P
❑■ Spray Field ❑ Remediation:
Contact Person: Raymond S. Eaton
Telephone#: 252-209-1759
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: WWTP irrigation fields
No. of wells to be sampled:
5
❑ Water Source Heat Pump ❑ Other:
(from Permit)
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW9
Date sample collected: 02/11/2021
FIELD ANALYSES:
WAS
Well Depth: 35 ft.
Well Diameter: 2
in.
pH 00400: 7.9 units Temp. 000lo: 11.5 °C
DRY at
Depth to Water Level 82546:6.5 ft. below measuring point Screened Interval: 30
ft. to 35
ft. Spec. Cond. 00094: µMhos
time of
Measuring Point is 4 ft. above land surface
Relative M.P. Elevation:
ft.
Odor 00085: none
sampling,
Check
Volume of water pumped/bailed before sampling:
4
gallons
Appearance clear
here:
Samples for metals were collected unfiltered: ❑ YES
❑ NO and field acidified: ❑ YES
A NO
❑
LABORATORY INFORMATION
Date sample analyzed:03/03/2021
Laboratory Name: Environment 1 Inc
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 <1
/100mL
Nitrate (NO3) as N 00620 0.16
mg/L
Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/1 011
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 703oo 780
mg/L
Al - Aluminum 01105
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 00680 <1.00
mg/L
Ca - Calcium 00916
mg/L
Chloride 0094o 427
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 <0.04
mg/L
Mg - Magnesium 00927
mg/L
method #
(Ammonia Nitrogen, NH„as N: Ammonia Nitrogen, Total)
Mn - Manganese o1o5s
g
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%
Raymond S. Eaton/ ORC
Permittee (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev.05-02-2017