WI0700012_Monitoring (Report)_20171115 (2)

FACILITY INFORMATION
Facilty Name: PCS PHOSPHATE CO., INC. - Aurora Division
Permit Name (if different):
Facility Addresss: 1530 NC Hwy 306 South
Aurora, NC 27806 County: Beaufort
Contact Person: Danny Winstead Telephone: [phone]
Well Locations/Site Name: Tank Farm No. of Wells to be Sampled
18
PERMIT #:
Non -Discharge
..........TF .O...........................................
PARTMENENVIRONMENT & NATURAf RESOURCE$:::: _
DIVISION OF WATER RESOUE: CES-INFORMATION PROCESSIING
I6t7 MAlt SEHVICE CENTER
RALEIGH. NC 27626-1617 Phone (s19j s07•6306
WI0700012 EXPIRATION DATE:
UIC X
01/31/18
NPDES
TYPE OF PERMITTED OPERATION BEING MONITORED
Well Identification Number (from Permit):
Well Depth: 53.00 ft. Well Diamter:
Screened Interval: 41.67 ft. to 50.92 ft.
Depth to Water Level: N/A ft. below measuring point.
Measuring Point is 2.75 ft above land surface.
GALLONS of water pumped/bailed before sampling:
Field Analysis: pH 6.4 , Specific Conductance
Temp. 26.4 oC, Odor NONE
CWW-4
4 inch
For Groundwater Treatment
Systems Check One:
Influent (98)
Effluent (99)
Lagoon
Spray Field
Rotary Distributor
Other
Remediation: Infiltration Gallery
Remediation :
Land Application of Sludge
Water Source Heat Pump
CONTINUOUS
5260 uMhos
Appearance: CLEAR
Note: Values should reflect dissolved and
colloidal concentrations
Date sample collected:
Date sample analyzed:
Laboratory Name:
Certification No(s)
10/12/2017
10/12/2017 to 10/19/2017
PCS PHOSPHATE
330 10
If WELL WAS
DRY at time
of sampling,
check
here:
PARAMETERS: (Samples for metals were collected unfiltered
COD
Coliform: MF Fecal
Coliform: MF Total
N/A
N/A
N/A
(Note Use MPN method for highly turbid samples)
Dissolved Solids: Total
pH (when analyzed)
TOC
Chloride
Arsenic
Grease and Oils
Phenol
Sulfate
Specific Conductance
Total Ammonia
TKN as N
mg/L
/100mL
/100mL
3170 mg/L
6.3 units
2.2 mg/L
860.0 mg/L
N/A ug/L
N/A mg/L
N/A mg/L
1090.0 mg/L
N/A uMhos
N/A mg/L
N/A mg/L
nYes
Nitrite (NO2 as N)
Nitrate (NO3 as N)
Phosphorus: Total as P
Orthophosphate
Al - Aluminum
Ba - Barium
Ca - Calcium
nla
No and field acidified nYes
N/A mg/L
N/A mg/L
17.580 mg/L
NIA
N/A
N/A
N/A
Cd- Cadmium N/A
Chromium: Total N/A
Cu - Copper N/A
Fe - Iron N/A
Hg - Mercury N/A
K- Potassium
Mg - Magnesium N/A
Mn - Manganese
mg/L
mg/L
ug/L
mg/L
ug/L
ug/L
mg/L
ug/L
ug/L
N/A mg/L
mg/L
N/A ug/L
Ni - Nickel
Pb - Lead
Zn - Zinc
n/a
No )
N/A ug/L
N/A ug/L
N/A ug/L
Ammonia Nitrogen mg/L
Other (Specify Compounds and Concentration Units)
Fluoride
MIBK
Ag - Silver
Se- Selenium
Sodium
Organics: (GC, GC/MS, HPLC)
(Specify test method #. Attach lab report.)
Report attached? Yes (1) No X (2)
VOC method#
method#
method#
<0.3 mg/L
N/A ug/L
N/A ug/L
N/A ug/L
N/A ug/L
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 DWR-certified laboratory. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations.
NOTE:
GW-59 Rev 4/98
Mark D. Johnson General Manager
Permittee (of thorized Agent) Name and Title - Please type or print
Signature of ermittee'(or Authorized Agent) (Da )

?lutrien-
Feeding the Future -
February 12, 2018
Inactive Hazardous Sites Branch
Attn: Sue Murphy
UIC Program Staff
1636 Mail Service Center
Raleigh, NC 27699-1636
CERTIFIED MAIL
Subject: Underground Injection Control Program
Quarterly Groundwater Monitoring Report
November 2017 — January 2018
Injection Well Permit #WI0700012
PCS Phosphate Company, Inc.'
Tank Farm Remedial Action System
Beaufort Co.
Please find the subject groundwater monitoring report attached. This includes the sampling and reporting
requirements of the above referenced permit as well as the reporting requirements of the overall Tank Farm
Remedial Action Plan. Enclosed are: a) piezometer level monitoring field sheet and b) the summary
operational and maintenance report.
Please do not hesitate to contact me at [phone] if you have any questions regarding this information.
Sincerely,
D. Daniel Winstead III
Senior Environmental Engineer
Nutrien
Attachments
1 Effective January 1, 2018, PCS Phosphate Company, Inc. is an indirect subsidiary of Nutrien
Ltd. PCS Phosphate Company, Inc. remains the legal operating entity and permittee.
1530 NC Hwy 306 South, Aurora, NC USA 27806 nutrien.com

pc: Will Hart — Aquifer Protection DWQ, WaRO (w/ attachments)
12-07-02 (w/ attachments)
Alex Hunt (w/ attachments)
R. B. Lee (w/ attachments)
Electronically submitted: Inactive Hazardous Sites Branch
Attn: Sue Murphy
2

PCS PHOSPHATE - TANK FARM REMEDIAL ACTION PLAN
QUARTERLY OPERATIONAL AND MAINTENANCE REPORT FOR
THE INJECTION AND WITHDRAWAL WATER WELLS
November 2017 — January 2018
The Tank Farm Remediation System consists of a series of seven- (7) injection water wells located on the
south side of the Tank Farm Area and a series of fourteen (14) withdrawal water wells located on the north
side of the Tank Farm Area.
Injection Water Well System
Daily operational data are collected by the Shipping Department and reported to the Environmental Affairs
Department. The total monthly and quarterly volumes of water injected as well as the month end water level
in the Water Level Control Tank are:
The Injection Water System was shut down on January 15, 2018. This was necessary to allow for repairs
which occurred during the unusual period of subfreezing temperatures experienced in January. The system
remained down on January 31, 2018.
DPW WATER
GALLONS
TOTAL
GALLONS
AVERAGE
GPM
TANK
LEVEL
FEET, MSL
November
207,895
207,895
4.8
15.0
December
262,584
262,584
5.9
15.0
January
79,592
79,592
3.9
15.0
TOTALS
550,071
550,071
3

Withdrawal Well System
The withdrawal water well pumps are monitored daily by the area Maintenance Department and preventative
maintenance work is performed as needed. The total monthly and quarterly withdrawal water volumes for
the period are:
� �S A.
F_i J�{.'.i .. '.� • 4 +iA.. +.�• 3 aY •.i S 'iY f y 4h
SAND
FORMATION
GALLONS
CROATAN
FORMATION
GALLONS
TOTAL
GALLONS
AVERAGE
GPM
November
1,072,639
1,498,474
2,571,113
59.5
December
1,062,334
1,245,792
2,308,126
61.6
January
1,119,749
1,012,313
2,132,062
47.8
TOTALS
3,254,722
3,756,579
7,011,300
Some additional short periods of planned downtime for preventative maintenance, pipe header cleaning, and
troubleshooting on individual pumps in the system were experienced. Details of these activities are:
Confined Sand Formation Withdrawal Well (SWW) Pumps
SWW-1:
SWW-2:
SWW-3:
SWW-4: On 11/1 replaced pump.
SWW-5:
SWW-6:
SWW-7:
4

Tech: ' ,t3 Gee -
System Gaut Pressures
SWW-1 WA
SWW-7 N/A
•CWW-1 N/A
CWW-7 N/A
1
PCS Phosphate Co., Inc. Tank Farm Remediation System Quarterly Monitoring
Date: /-/S ^/8
Time: Pjj7
File: 12-07-02
pc: TLB
Referents velRel
Point MIL _ aeL
1 Ditch 12.91
Barge Slip 10.59
Water Level ei5/
Control Tank 4°7
°% = MSL
707
/39
/3.9?
TOC
Elevation
Well ID MSL'
Spz-1
Spz-2
Spz-3
Spz-4
Spz-5
Spz-6
Spz-7
Spz-8
Spz-9
Spz-10
SPW •
10.47
11.21
11.87
11.45
11.45
11.23
11.59
11.57
11.01
12.16
9.95
Sand Layer Peizometers Level Indicator;
TOC Level
Stc Wtr Relative To
Level' MSL Ft
WeII ID
r7 t.tC Cpz-1
/'
a41y 7/ Cpz-2
Cpz-3
6,95 CPW
7` 0/� 95MWTF-1A•
d-0, MWrF-1B•
B. 48 GP 9'/
�• oa LJ 6 S MWTF-2A
MWTF-IC •
MWTF-2B
C5744 I Age? I MWiF-2C
MWTF-3A
MWTF-39
MWrF-3C
TOC TOC Level
Elevation Ste Wtr Relative To
MSL' Level' MSL Ft.
10.51 //QV -QY
10.25 /%,j 7 . / A7
11.12 _
9.65 - -
14.35 a.9B . /0.37
14.36 4!9/0 9'B
L9/,
14.44 /t 9th, /T
14.05 .. 6 809'
14.02 B��.9/ c5•0/
/V
14.08 / �r6y0 - S.
sa
12.21 ti'l,/o?.. P9.4,9
12.18 7So? 4450
12.19 //,/p1 -/L/5
Well ID
•
SW W-1
TOC
. Elevation
MSL'
10.70
WA
Sand Layer And Croatan Formation Withdrawal Wells
Max Stc Pump Max Level
Wtr Activation Depth Relative To
Level Ft Ref MSL MSL Ft
6' WA
Control
Point
MSL'
+1 'to+2'
Is Well
Pumping?
fY)es/(N)o
Comments
CWW-1
10.60
N/A
9' N/A
-2' to -1'
SW W-2
CWW-2
9.99
10.23
NIA
WA
6' WA
9' N/A
+1 'to+2'
• -2'to-1'
SWW-3
9.97
WA
6' N/A
+1 'to+2'
CWW-3
9.95
WA
9' WA
-2'to-1'
SW W-4
10.73
WA
6' WA
+1 'to+2
CWW-4
10.73
N/A
9' N/A
-2' to -1'
SW W-5
CW W-5
10.80
10.74
N/A
WA
6' WA
9' N/A
+1' to+2'
-2'to-1'
SWW-6
10.66
NIA
6' WA
+1 'to+2'
CWW-6
SW W-7
CW W-7
9.92
10.70
9.95
NIA
N/A
N/A
9' N/A
6' N/A
9' N/A
-2'to-1'
+1 to +2
-2'to-1'
Revised 7/29/02
• Riser length added to TOC elevation 124/97 DADataaFonnslWell FomlATank Fenn Remed Wens. s

SPL.t
CPLV
OFFICE
CUT—OFF" WALL
072_2 ASPHALT ROAD
WRNORAVILL WELL —
• AIVTOT COMMSAE
N
APO MVALVES
005
PIPER ONTAINMENT PAD
SP.A �O r
j PLANT o
I
Q PLANT
!
WAVER mama.
— ' I
miTil CoxrRaLTAxx
_ta
LEGEND
SYMBOL DESCRIPTION
rIWWWEEE
G MONROR WELL
• CONNED BAND LAVER WNMORAWAL WW1
• CROATAN rORWwON wNEWRAWAL WELL
• EROATAN FOR'MEION WECIDN WILL
r> MIECIDN WELL NEAOFR EWE GE.NEM
• WitC11011 WELL CONTROL TAU
MIEN WATER LEVEL
LOCATION PL'AN'FOR TANk

PotashCorp
Helping Nature Provide
November 17, 2017
Inactive Hazardous Sites Branch
Attn: Sue Murphy
UIC Program Staff
1636 Mail Service Center
Raleigh, NC 27699-1636
Subject: Underground Injection Control Program
Quarterly Groundwater Monitoring Report
August 2017 — October 2017
Injection Well Permit #WI0700012
Tank Farm Remedial Action System
Beaufort Co.
RECEIVED/NCDEQ/DWR
NOV 222017
Water Qaali4
Regional Operations Section
PotashCorp -Aurora
Please find the subject groundwater monitoring report attached. This includes the sampling and reporting
requirements of the above referenced permit, Part V, Section B 1 as well as the reporting requirements of
the overall Tank Farm Remedial Action Plan. Enclosed is the summary operational and maintenance
report.
Please do not hesitate to contact me at [phone] if you have any questions regarding this information.
Sincerely,
D. Daniel Winstead III
Senior Environmental Engineer
PCS Phosphate
Attachments
1530 NC Hwy 306 South, Aurora, NC USA 27806 T [phone]
Pntash[een I wuknv mtacMnm rnm

pc: Will Hart — Aquifer Protection DWQ, WaRO (w/ attachments)
12-07-02 (w/ attachments)
Alex Hunt (w/ attachments)
R. B. Lee (w/ attachments)
Electronically submitted: Inactive Hazardous Sites Branch
Attn: Sue Murphy
H:\Reports\2017\Quarterly\TFRAS Report Third Quarter 2017.docx
2

PCS PHOSPHATE - TANK FARM REMEDIAL ACTION PLAN
QUARTERLY OPERATIONAL AND MAINTENANCE REPORT FOR
THE INJECTION AND WITHDRAWAL WATER WELLS
August 2017 — October 2017
The Tank Fann Remediation System consists of a series of seven- (7) injection water wells located on the
south side of the Tank Farm Area and a series of fourteen (14) withdrawal water wells located on the north
side of the Tank Farm Area.
Injection Water Well System
The injection water well system operated with the DPW Water - Ultraviolet Light Disinfection system
during the period.
Daily operational data are collected by the Shipping Department and reported to the Environmental Affairs
Department. The total monthly and quarterly volumes of water injected as well as the month end water
level in the Water Level Control Tank are:
DPW WATER
GALLONS
TOTAL
GALLONS
AVERAGE
GPM
TANK
LEVEL
FEET, MSL
August
229,538
0
229,538
5.1
15.0
September
186,123
0
186,123
4.3
15.0
October
192,439
0
192,439
4.3
15.0
TOTALS
608,100
0
608,100
H:\Reports\2017\Quarterly\TFRAS Report Third Quarter 2017.docx
3

Withdrawal Well System
The withdrawal water well pumps are monitored daily by the area Maintenance Department and
preventative maintenance work is performed as needed. The total monthly and quarterly withdrawal water
volumes for the period are:
5 Yt r 4 } '} Y �r * i�.i �4l
w ry
SAND
FORMATION
GALLONS
CROATAN
FORMATION
GALLONS
TOTAL
GALLONS
AVERAGE
GPM
August
1,481,740
1,146,201
2,627,941
58.9
September
1,530,833
1,147,774
2,678,607
64.1
October
1,050,611
1,644,376
2,694,987
60.4
TOTALS
4,063,184
3,938,351
8,001,535
Some additional short periods of planned downtime for preventative maintenance, pipe header cleaning,
and troubleshooting on individual pumps in the system were. experienced. Details of these activities are:
Confined Sand Formation Withdrawal Well (SWW) Pumps
SWW-1: On 9/6 pulled and cleaned pump.
SWW-2:
SWW-3:
SWW-4: On 10/31 pulled for cleaning.
SWW-5:
SWW-6:
SWW-7: On 10/18 replaced counter.
H:\Reports\2017\Quarterly\TFRAS Report Third Quarter 2017.docx
4

Croatan Formation Withdrawal Well (CWW) Pumps
CWW-1:
CWW-2:
CWW-3:
CWW-4:
CWW-5:
CWW-6:
CWW-7:
H:\Reports\2017\Quarterly\TFRAS Report Third Quarter 2017.docx
5

FACILITY INFORMATION
Facilty Name: PCS PHOSPHATE CO., INC. - Aurora Division
Permit Name (if different):
Facility Addresss: 1530 NC Hwy 306 South
Aurora, NC 27806 County: Beaufort
Contact Person: Danny Winstead Telephone: [phone]
Well Locations/Site Name: Tank Farm No. -of Wells to be Sampled
Well Identification Number (from Permit): CWW-1
Well Depth: 55.00 ft. Well Diamter: .; 4 inch--"
Screened Interval: 33.27 ft. to 52.68 ft.
Depth to Water Level: NIA ft. below measuring point.
Measuring Point is 2.25 ft above land surface.
GALLONS of water pumped/bailed before sampling:
18
„Nm
For Groundwater Treatment
Systems Check One:
Influent (98)
Effluent (99)
PERMIT #:
Non -Discharge
NPDES
TYPE OF PERMITTED OPERATION BEING MONITORED
Pi4R:rm NT€ F EAlylfip orr;$ NEk' .r*. Rpspu.00
't8ION p,r — ER RESOURCES INFQRMA71QN PRgcE8611G
................
2400
7
:
W10700012
EXPIRATION DATE:
UIC X
01/31/18
Lagoon
Spray Field
Rotary Distributor
Other
Remediation: Infiltration Gallery
Remediation :
Land Application of Sludge
Water Source Heat Pump
CONTINUOUS
Field Analysis: pH 6.3 , Specific Conductance 5560 uMhos
Temp. 20.4 oC, Odor NONE Appearance:
CLEAR
Note: Values should reflect dissolved and
colloidal concentrations
Date sample collected:
Date sample analyzed:
Laboratory Name:
Certification No(s)
10/12/2017
10/12/2017 to 10/17/2017
PCS PHOSPHATE
330 10
If WELL WAS
DRY at time
of sampling,
check
here:
PARAMETERS: (Samples for metals were collected unfiltered
COD
Coliform: MF Fecal
Coliform: MF Total
N/A
N/A
N/A
(Note. Use MPN method for highly turbid samples)
Dissolved Solids: Total 3400
pH (when analyzed) 6.2
TOC 2.4
Chloride
Arsenic
Grease and Oils
Phenol
Sulfate
Specific Conductance
Total Ammonia
TKN as N
mg/L
/100mL
/100mL
mg/L
units
mg/L
Nitrite (NO2 as N)
Nitrate (NO3 as N)
Yes
Phosphorus: Total as P
Orthophosphate
Al - Aluminum
Ba - Barium
Ca - Calcium
810.0 mg/L Cd- Cadmium
N/A ug/L Chromium: Total
N/A mg/L Cu - Copper
N/A mg/L Fe - Iron
1240.0 mg/L Hg - Mercury
N/A uMhos K- Potassium
N/A mg/L Mg - Magnesium
N/A mg/L Mn - Manganese
n/a
No and field acidified Yes
N/A mg/L
N/A mg/L
14.100 mg/L
N/A mg/L
N/A mg/L
N/A ug/L
N/A mg/L
N/A ug/L
N/A ug/L
N/A mg/L
N/A ug/L
N/A ug/L
N/A mg/L
N/A mg/L
N/A ug/L
Ni - Nickel
Pb - Lead
Zn - Zinc
n/a
No)
N/A ug/L
N/A ug/L
N/A ug/L
Ammonia Nitrogen mg/L
Other (Specify Compounds and Concentration Units)
Fluoride
MIBK
Ag - Silver
Se- Selenium
Sodium
Organics: (GC, GC/MS,
(Specify test method #.
Report attached? Yes
VOC
HPLC)
Attach lab report.)
(1) No
method#
method#
method#
<0.3 mg/L
N/A ug/L
N/A ug/L
N/A ug/L
N/A ug/L
X (2)
1 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 DWR-certified laboratory. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations
NOTE:
GW-59 Rev 4/98
Mark D. Johnson, General Manager
Permittee (ef uthorized Agent) Name and Title - Please type or print
�15�Z�rd�
Signature o Permittee (or Authorized Agent) (Dat )

GRQUNbWATER QUAUt
COMPLIANCE REPORT E
•
NG.
FACILITY INFORMATION
Facilty Name: PCS PHOSPHATE CO., INC. - Aurora Division
Permit Name (if different):
Facility Addresss: 1530 NC Hwy 306 South
Aurora, NC 27806 County: Beaufort
Contact Person: Danny Winstead Telephone: [phone]
Well Locations/Site Name: Tank Farm No. of Wells to be Sampled 18
PERMIT #:
Non -Discharge
NPDES
ARTME �i QF F« iV HO NT NIA"s`s. RSSOuRC
ISia N !*),#s ER i l ii ilNIFPRAI . N PROOF -MONO
WI0700012
TYPE OF PERMITTED OPERATION
Lagoon
Spray Field X
Rotary Distributor
Well Identification Number (from Permit): CWW-2
Well Depth: 52.15 ft. Well Diamter: 4 Inc
Screened Interval: 30.57 ft. to 49.82 ft.
Depth to Water Level: N/A ft. below measuring point.
Measuring Point is 3.00 ft above land surface.
GALLONS of water pumped/bailed before sampling:
For Groundwater Treatment
Systems Check One:
Influent (98)
Effluent (99)
Other
EXPIRATION DATE:
UIC X
01/31/18
BEING MONITORED
Remediation: Infiltration Gallery
Remediation :
Land Application of Sludge
Water Source Heat Pump
N/A
Field Analysis: pH N/A , Specific Conductance N/A uMhos
Temp. N/A oC, Odor NONE Appearance: CLEAR
Note: Values should reflect dissolved and
colloidal concentrations
Date sample collected: 10112/2017
Date sample analyzed: 10/12/2017 to 10/12/2017
Laboratory Name:
Certification No(s)
PCS PHOSPHATE
330 10
If WELL WAS
DRY at time
of sampling,
check
here:
PARAMETERS: (Samples for metals were collected unfiltered
COD
Coliform: MF Fecal
Coliform: MF Total
N/A
N/A
(Note. Use MPN method for highly turb
Dissolved Solids. Total
pH (when analyzed)
TOC
Chloride
Arsenic
Grease and Oils
Phenol
Sulfate
Specific Conductance
Total Ammonia
TKN as N
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
mg/L
/100mL
/100m
Nitrite (NO2 as N)
Nitrate (NO3 as N)
Phosphorus: Total a
units Ba - Barium
mg/L Ca - Calcium
mglL Cd- Cadmium
ug/L Chromium: Total
mg/L Cu - Copper
mg/L Fe - Iron
mg/L Hg - Mercury
uMhos K- Potassium
mg/L Mg - Magnesium
mg/L Mn - Manganese
Yes
n/a
No
N/A
N/A
N/A
NL
NIA
N/A ug/L
and field acidified Yes
mg/L Ni - Nickel
mg/L Pb - Lead
N/A mg/L
N/A ug/L
N/A ug/L
N/A mg/L
N/A ug/L
N/A ug/L
N/A mg/L
N/A mg/L
N/A ug/L
n/a
No )
ug/L
ug/L
ug/L
mg/L
Fluoride N/A mg/L
MIBK N/A ug/L
Ag - Silver N/A ug/L
Se- Selenium N/A ug/L
Sodium N/A ug/L
Organics: (GC, GC/MS,
(Specify test method #.
Report attached? Yes
VOC
HPLC)
Attach lab report.)
(1) No X (2)
method#
method#
method#
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 DWR-certified laboratory. I am aware that there are significant penalties for submitting false information. including the possibility of fines and imprisonment for knowing violations.
NOTE
GW-59 Rev 4/98
Signature f Permittee (or Authorized Agent)
Mark D. Johnson, General Manager
Permittee (of/4uthorized Agent) Name and Title - Please type or print 1
tliii5
1.4011
Date)

IRf IfATER QUALITY. MONIT
QMPLIANCE REPORT FORM
Mail Original
and 1 copy to:
FACILITY INFORMATION
Facilty Name: PCS PHOSPHATE CO., INC. - Aurora Division
Permit Name (if different):
Facility Addresss: 1530 NC Hwy 306 South
Aurora, NC 27806 County: Beaufort
Contact Person: Danny Winstead Telephone: [phone]
Well Locations/Site Name: Tank Farm No. of Wells to be Sampled
PERMIT #:
Non -Discharge
NPDES
TYPE OF PERMITTED OPERATION BEING MONITORED
...................................................
ARTMEN3' OF ENVIRO 4.00. & NAT R $QI;IiFtCES
DA!18IONO WATER RESOURCES4NFQRMAT1ON0W¢CESSJN$
1617 MAIL SERVICE CENTER
RALEIGH, NC 27626-1617 Phone: (919)•
8O7 63p6 ...
WI0700012
EXPIRATION DATE:
UIC X
01131 /18
18
Well Identification Number (from Permit): CWW-3
Well Depth: 53.00 ft. Well Diamter: 4 inch
Screened Interval: 36.42 ft. to 50.67 ft.
Depth to Water Level: N/A ft. below measuring point.
Measuring Point is 3.08 ft above land surface.
GALLONS of water pumped/bailed before sampling:
For Groundwater Treatment
Systems Check One:
Influent (98)
Effluent (99)
Lagoon
Spray Field
Rotary Distributor
Remediation: Infiltration Gallery
X Remediation :
Land Application of Sludge
Other Water Source Heat Pump
CONTINUOUS
Field Analysis: pH 6.4 , Specific Conductance 7500 uMhos
Temp. 22.8 oC, Odor NONE Appearance:
CLEAR
Note: Values should reflect dissolved and
colloidal concentrations
Date sample collected: 10/12/2017
Date sample analyzed: 10/12/2017 to 10/19/2017
Laboratory Name:
Certification No(s)
PCS PHOSPHATE
330 10
If WELL WAS
DRY at time
of sampling,
check
here:
PARAMETERS: (Samples for metals were collected unfiltered
COD N/A mg/L Nitrite (NO2 as N)
Yes
Coliform: MF Fecal N/A /100mL Nitrate (NO3 as N)
Coliform: MF Total N/A /100mL Phosphorus: Total as P
(Note: Use MPN method for highly turbid samples) Orthophosphate
Dissolved Solids: Total 4590 mg/L Al - Aluminum
pH (when analyzed) 6.2 units Ba - Barium
TOC 1.7 mglL Ca - Calcium
Chloride 1740.0 mg/L Cd- Cadmium
Arsenic N/A ug/L Chromium: Total
Grease and Oils N/A mg/L Cu - Copper
Phenol N/A mg/L Fe - Iron
Sulfate 1030.0 mg/L Hg - Mercury
Specific Conductance N/A uMhos K- Potassium
Total Ammonia
TKN as N
N/A mg/L Mg - Magnesium
N/A mg/L Mn - Manganese
n/a
No and field acidified
N/A mg/L
N/A mg/L
30.750 mg/L
N/A mg/L
N/A mg/L
N/A ug/L
N/A mg/L
N/A ug/L
N/A ug/L
N/A mg/L
N/A ug/L
N/A ug/L
N/A mg/L
N/A mg/L
N/A ug/L
Yes n/a No )
Ni - Nickel
Pb - Lead
Zn - Zinc
Ammonia Nitrogen
N/A ug/L
N/A ug/L
N/A ug/L
mg/L
Other (Specify Compounds and Concentration Units)
Fluoride
MIBK
Ag - Silver
Se- Selenium
Sodium
Organics: (GC, GC/MS, HPLC)
(Specify test method #. Attach lab report.)
Report attached? Yes (1) No
VOC • method#
method#
method#
<0 3 mg/L
N/A ug/L
N/A ug/L
N/A ug/L
N/A ug/L
X (2)
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 or
analysis by a DWR-certified laboratory. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations.
NOTE
GW-59 Rev 4/98
Mark D. Johnson, General Manager
Permittee ( f
Signature o
Permittee (or Authorized Agent)
uthorized Agent) Name and Title - Please type or print
TC 11
(Da )