HomeMy WebLinkAboutWQ0034102_Monitoring - 07-2021_20211116Monitoring Report Submittal
Permit Number #*
Name of Facility:*
Month: * July
Report Information
Type *
GW-59
WQ0034102
Town of Fremont
Confirmation Email Address:*
Name of Submitter: *
Signature:
Date of submittal:
Initial Review
Year:* 2021
Upload Document*
GW-59A -July 2021 -.pdf 4.82MB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
kstanley@fremontnc.gov
Kenneth Stanley
Reviewer: Saunders, Erickson G
11 /16/2021
This will be filled in automatically
Is the project number correct?* WQ0034102
Is the monitoring report accepted?* Yes No
Regional Office* Washington
Accepted Date:
12/2/2021
6'ifbmit one cacti dF ovitoring jRf'rhid wilk (xf -Si1 fimns.}
1
Enter date monitoring results were due. ( ) Will this monitoring report (GW-59 and GW-59A)
YES
O
be submitted after the established due date?
2
Was any required information missing on the GW-59 report forms`'
YES
O
lF 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
O
identification plate, area overgrown, etc.)? If the answer is "3'es ", contact t7:e Regional Officefor ;uidance.
4
Are any monitored constituents equal to or above the established standards? W
YES
O
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.
S
For the constituents identified in question 4 above, have standards been exceeded previously for the
YES
N0
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 facllitV. Failure to do so may subject the permittee to a Notice of Violation,
fines,_and/or penalties.
8
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.
1. hereby acknowledge that the above i t for Iatiort was evaluated and the information submitted in this
roport ra pl .. ce t epdrt GW 59A rtie and ot?tptete to the best of my k#towledge
VP /�Jzl
S" gat re of Permittee r A Gpecr Agent) Date
GtY-519A 12iK2003
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
Facility Nettie_ �
hermit Name (if dl
Well Location/ Site Name:
Please Print clearly ar Type
County t.iuylu�,
Telephone 0:
No. of Wells to be Sampled:
Well Identification Number (from Permit): f For GroundwelerTrefflMent Sytterrts
Well Depth: r..2,0 —ft. lhleil DIamster: Ina Check One: Cj Influent (98)
Screened interval: ft. to ft. Ll Effluent (99)
Depth to dater Revel: 2 - ft. below measuring point
Measuring Point (M.P.) Is: ft, above land surface. Relative M.P. Elevation In tL,
Gallons of water purnpedtbailed before sampling: Date sample t ollected:
Field anatysls. pH a- k , Specific Conductance uMhos
Temp. 4L..-_°C, Odor Appearance
EAReAMETERS (Samples. for metals were collected
COD
mg/1
Coliform: MF Fecal __- - 4-1 j00
/100mi
Coliforrn: MF Total
/100mi
(Note: Use MPH method for highly turbld samples)
Dissolved Solids: Total 15 .-O . mg/l
pH (when analyzed)
units
TOC .92-
mg/1
Chloride. 1 i • h ---.
mg/l
Arsenic ,
mg/1
Grease and Oils
mg/1
Phenol
mg/l
Sulfate
mg/1
Specific Conductance
uMhos
Total Ammonia
mg/I
TKN as N
-- mg/1
DEPARTMENT OF ENVIKUNrra:Nr 3NAIUWALrfrDuuMi ra
WATER QUALITY DIVISION, GROUNDWATER SPOTION
1035 MAIL SERVICE CENTER
PERMIT #: EXPIRATION DATE:
Mon-DlschargaNp "itU2 ..tllC
NPDES
_yeF OF PE BMInED OPERATION BEING, MONITORED
Lagoon Remediation: lnilltratlDn Gallery
Spray Field Remedlation:
w - Hotary Distributor -Land Applicatlon of Sludge
Other.
NOTE: Values should reflect dissolved and
colloidal conmrrtraitlons.
Dale sample analyzed:
Laboratory Name:
Certification No.
unfiltered YES NO and field acidified
Nitrite (NO2) as N
mgA
Nitrate-(NO3) as N t .-Ok mg/i
Phosphorus: Total as P 4n.- mg/i
Orthophosphate _
mg/l
Al - Aluminum _ - - -
- -- mg/j
Ba - Barlurn
mg/I
Ca - Calcium
mg/I
Cd - Cadmium
mg/l
Chromium: Total ._ ,
mg/l
Cu - Copper _--
mg/1
Fe - Iron_
mg/l
Hg - Mercury
mg/I
K - Potassium
— mg/l
Mg - Magnesium
mg/1
Mn - Manganese
mg/l
YES NO)
N1- Nickel_
rng/I
Pb - Leary _ _ _- .. -,
M911
Zn - Zinc
mg/l
Ammonia Nitrogen
mg/1
Other (Specity Compounds and Concentration Units)
ORGANICS: (GC,GC/MS,HPLC)
(Specify teat and method #. Attach lab report.)
Report Acted? Yes (I) No ,_,...._. (0)
VOC method # =
method # =
method #
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
FACILrFY INE0151MAIJON Please Pr1nt Clearly or Fype
Faciiity Name: O
Perrnft Name (it different) -
Facility Address:,._.
Wets Location! Site Nam:
Courtly - --
Telephone #. r
No. of Walls to be Sampled:
Well Identification Number (from Permit): 2- For Groundwater Treatment Systems
Well Depth: __ __7-0 ft. Well Diameter: In. Check One: [] Influent (98)
Screened Interval: fL to — ft. El Effluent (99)
Depth to Water Lsvel:--E2 t. laelow [measuring point.
Measuring Point (M.P.) In: it. above land surface. Relative M,P. trleavatlon In tt-:
Gallons of water pumpedlbalfed before sampling: Date sample collected:
Field analysis: pH.1P9i -. , Specific Conductance uMhos
Temp. ..QC, Odor Appearance
DEPARTMENT DF f-WYIKVNW[ N1 d NAWMAL ntawrcWca
WATER QUALITY DIVISION, GROUNDWATER SECTION
1635 MAIL SEFIME CENTER
PERMIT fit: EXPIRATION DATE:
Non -Discharge ----- UIC
NPDES
ral OF PERMITTED OPERATION 158NG MONITORED
— Lagoon Remadiallon: Inflitrallon Gallery,
— Spray Field
Rotary Dlstrlbulor
Other.
,_ �,,,,_ i emedlation:
Land Appiicatlon of Sludge
NQTi= Values should refloat dissolved and
coitoldal concentrations.
Date sample analyzed,
Laboratory Name:
CorliEication No.
(Samples for metals were colleotad unfiltered. YES -NO and field acidified
COD
mg/l
Nitrite (NO2) as N
mgfi
Coliform: MF Fecal. t . 6 -�/1
QQml
Nitrate (NO2) as N _ G i •�� _ -- _ - --mgfi
Coliform= MF Total
1100ml
Phosphorus: Total as P O
mg/l
(NoW Use MPN method for highly turbid samples)
Orthophosphate
rng/I
Dissolved Solids: Total----
mg(I
Al r Aluminum _ ---
mg/l
pH (when analyzed)
units
Ba - Barium
argil
TOC A •°1Ln
mg/I
Ca - Calcium
mg/I
Chloride 2a. 2.
mg/[
Cd - Cadmium
mgfi
Arsenic
mgfl
Chromium: Total
mgh
h
YES NO)
Nl - Nickel
mgll
Pb - read
mgf[
Zn - Zinc
rny[
Ammonia Nitrogen
mg/I
Other (Specify Compounds and Concentration Units)
Grease and Olis
Phenol
mg/l
mgfl
Cu - Copper_.
Fe - Iron -- - - -
mg
rmg/I
ORGANICS: (GC,GCIMS,HPLC)
Sulfate
mgll
Hg - Mercury
1719/1
(specify test and method C Attach lab report.)
Specific Conductance
uMhos
K - Potasslum
mgfi
Report Attached? Yes —(I) No _(0)
Total Ammonia
mg/[
Mg - Magnesium
mg/!
VOC : method #
TKN as N
mg/I
Mn - Manganese
Mg/I
method * =
method #i
GROUNDWATER QUALITY MONITORING.,
COMPLIANCE REPORT FORM
_NFORMATION Please Print Clearly or Type
Facility Name:
Perrril Name SIP different):
v i- County .l,N�'A.0 4 ,
Contact Person: I Telephone #:
Well Locations Site Name: No. of Wells to be Sampled:
Weli Identification Number (from Parmit): For Gmundwateriteatrnent Systams
Well Depth: _ - _ i _- ft. Well Diameter: In. check one: ❑ Influent (98)
Screened Interval: —� fL to It. 0 Effluent (99)
Depth to Water Laval: �-$_fit, below measuring point
Measuring Point (M.P.) is: it. above land surface. Relative M.P. Elevation In It.:
Gallons of water pumped/bailed before sampling: __-_ Date sample collected: --
Field analysis: pH _ _ _. q , Specific Conductance uMhos
Temp. -- !� _°C, Odor Appearance _.
DEPARTMENT OF 1ENV1FLUM1VtF41 A NA 1 u nAL. ncauun%,U*
WATEFI DUALITY DIVISION, GROUNDWATER SECTION
10331MiL SERVICE CENTER
PERMIT # EXPIRATION DATE:
Eton -Discharge UIC
NPOES
jXpF.0FpERjAljjED OPERATION BEING MONITORED
-_ Lagoon Ramedlation: Inllilration Gallery
Spray Field — Flemedlailon:
Rotary Disiributar Land Rppilcallon of Sludge
Other:
Nglr=- 'Values should reflect dissolved and
colloidal concentrations.
Date sample analyzed: _
Laboratory Nance:
CerlIncatlon No.
P-ARAMF;IEBS (Samples for metals were collected unfiltered YES NO
and field acidified
COD
mg/l
Nitrite (NO2) as N
mgA
Coliform: MF Fecal _ L no
/100ml
Nitrate (NO3) as N 4 L. Q'
Q mg/t
Coliform: NIF Total
/100MI
Pholaphorus: Total as P
Mg/1
(Note; Use WINmethod for highly turbid saimpias)
Orthophosphate
mg/l
Dissolved Solids: Total .4107 mg/l
Al - Aluminum - --
_ _ mgA
pH (—hen analy d}
Knits
Ba - Barium
mgll
TOG ,_z$�s3
mg/I
Ca - Calcium
mg/I
Chloride.
mg/1
Cd - Cadmium
mg/i
Arsenic . , __ ___ _ _
_ mgli
Chromium: Total
mgA
Grease and Oils
mg/I
Cu - Copper
mg/I
Phenol
rng/I
Fe - Iron
mg/I
Sulfate
mg/i
Fig - Mercury
mg/l
Specific Conductance
uMflos
K - PDtasslum
mgA
Total Ammonia
mg/1
Mg - Magnesium
mgA
TKN as N
mg/1
Mn - Manganese
mg/1
YES NO)
Ni - Nicks mg(i
Pb - Lead mgA
Zn - Zinc 1719/1
Ammonia Nitrogen rng/I
Other (Specify Compounds and Concent(atlon Units)
ORGANICS: (GC,GCIMS,HPLC)
(Specify test and method #. Attach lab rsport,)
Repart Attached? Yes —(I) No —(A)
VOG method # = _
method # _
method #
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
FAOII_lTY- INFOR MATI ON Please Print Weedy or Type
Facllily Name: !Qs�) Y 1
Permit Names (if dlffkrent):,,,c_,
COurlty v
Contact Person: S-Whlpkj Telephone l
Well Locationl Site Name: No. of Wells to be Sampled:
Well IdentificaUon Number (from Permit): For Grounftater Treetm$iit systems
Well Depth: Lb. tt. Well Diameter:..., In. Check One: ❑ Influent (98)
Screened Interval: fL to ---- - - it. 0 Effluent (99)
Depth to Water Level. ft. below measuring paint.
Measuring Point (M.P,) Is:— It. above land surface. Relailve M.P. iElavatton In It.:
Gallons of water purnpeclballecl before sampling: _ Date sample collected:
Field analysis: pH 2 , Specific Conductance uMhos
Temp.9C, Odor Appearance
DEPARTME,NTOF ENVtKUf4MhNj fYRtuttRL rt4avv n��
WATER OUALITY DIVISION, GROUNDWATER SEGrnON
1536 MAIL SERVICE CENTER
PERMIT #: -- - EXPIRATION DATE:
Non -Discharge _ -_. UIC
NPDES - - - -
JXpE OF PERtdrr ED OPERATION BEING MONITORED
Lagoon Remediallon: Inllltrstlon Gallery
Spray Flold
notary Dlsirfbutor
Other,-�.�
Remmilaikorr:
Land Application of Sludge
MOTE: Valuers should reflect dissolved and
colloidal concentrations.
Date sample analyzed:
Laboratory Name:. -
Cerillication No.
PARAfUIETEf:I a (Samples for metals were collected unflitered.---_ YES —NO and field acidified
COD
mg/I
Nitrite (NO2) as N
mgll
Coliforrn: MF Fecal t � .
_/100ml
Nitrate (NO3) as N. r,").Soo _—
mgA
Coliform: MF Total
/100ml
Phosphorus: Total as PL-0 • 2Z ---
mg/I
(Nola: Uso MPN method for highly turbid sampirs)
Orthophosphate
mull
Dissolved Solids: Total f tad
mg/1
Al - Aluminum
m9A
pH (when analyzed)
units
Ba - Barium.
mg/1
TOC `4
mg/I
Ca - Calcium
mg/I
Chloride. 2 Q
mg/i
Cif - Cadmium
mg/I
Arsenic r
-- mg/I
Chromium: Total . _ _
mgfl
—YES NO)
NI - Nickel _
rrtg/1
Pb - Lead
rng/l
Zn - Zinc
rn9A
Ammonia Nitrogen
mg1l
Other (Specify Compounds and concentration units)
Crease and Oils
Phenol
rngll
mg/I
Cu - COpper— --
Fe - Iran ----
mg/I
mg/l
ORGANICS. (GC,GC/MS,HPLC)
Sulfate
mg/1
Hq - Mercury
m9/1
(specify teat and method #. Attach lab report.)
Specific Conductance
uMhos
K - Potassium
mg/l
Report Attached? Yes —(I) No (0)
Total Ammonia 4- M.
2 QQ mg/1
Mg - Magnesium
mull
VOC method # =
TKN as N
mull
Mn - Manganese
mg/I
method # =
method # =
Fayetteville Division 2592 Hope Mills Road F'ayetteviife, NO 28306 (910) 864�-19201864-8774 fax
S irl�ll��lll�ill1���111��illl
CHAIN OF CUSTODY RECORD
PAGE _ 1 OF 1
CUENTAA eaADDREss:
//' +,'r ^�p�K
0WI !
PPP
PO# C.
1
PROJECT I LOCATION:
1? 7'tLi
Ty
p F ANALYSIS
PRESERVATION (CODE) --
V
C�
d
9
—Z
1
'�
Come: A=None
<2 •F <S°{;
B = HNO3 (PH y
C = H2SO4 (pH<2) + <6°C
D = NaOH + <6`C
E = zN Acetate + <5°C
l" = HCi
G = Sodium Thio
CtrNTAC7 PER QN: �
�
0
- 1 a� O
SAMPLED ar:
44",,��JJ }-
n l €'n 5 �� �+
DATEIMETHODOFSHIPMEN7! 0
LABID#
SAMPLE TYPE
DATE
TIME COMP
q-�
GRAB
PH
F40W
TBIdP'C
Rom'
CHLORINE
SULFIDE
rt,llul IASuJ
-�� 1
g 30
C (
C
1�5 t�
0151
. reM4'14—Lt}it%
y�
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3
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C
s�5
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1 3
30
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Lary ll1111a15--1_
Tumaround time
Relln ulsh�z)
Data
7'Ime
Racejved by: lSlgna )
Date
THne
,,"
Relinqulshe b
k
Date
7
Time
(
Rec ived by:(Slg..twc
'
Date
Tlma
J
G a
7- 2a2f
4
Relinquished by: U
Time
RQuyied by; (SignatamyD
e
3}me
5
6
ph Field: ph Field: Water Level #t
Temp Fleld 1: Temp Field 2: Water Level #2
REGULAR RUSH
Comments or Specie[ Hazards: -3 �
IS DATA FOR REG. COMPLIANCE PURPOSE?
NO YES WHICH:
Page 10 of 10
*K1 G0151
Faya #ev[[[e D[vision aw- t-iope
Mills Road — i~ay$ttev[fle, NG 28308
(910) 864.1920 1 884-87T4
CHAIN OF CUSTODY RECORD
�
PAGE CIF 1
1 iNTi�p &npnlxEss: F❑#
Fr' monk"
PRl710;C'fILO10TI❑N:
f
TYPE OF ANALYSISPUSS,
VATION (C0E]-12)
(
�3a JJRUI.S Yip tf s4� . C❑NTAC7 PARsoN:
InA
�.oDriis
A = None l
rmarr�f AG O EMAIL,
U �
B W HNG9 (pHe2)+<6°G
C c H28d4 (pH<2)+<T
AMa��n er:
pHons BEn
l
D v N90d + <0°C
stern rM�rftnn oFssti�M�t�'r:
�,4lZk P� �r�3
b
V .1
ZN A atate + <6°C
�Ct`Dj Jib
Ire Rol
1-A13 ID3AlVIP) )= iYA
DATH Tar; C❑MP
GRAB
,C l
1
G = Sod[ n1 TWO
i
7 264
FH
_ FLOW EMT GHN�SIN SIJUME
JL'
i
C z
1C
I
G
-7-ZDZI (b:,Za
iC
I
I
Temp Meld 9: Tem
p Meld 2: Mier Level 92
Turnaround time; R>~+. U lAi RUSH
I
0
Comments or Special Haz-ard
f
I
-IS DATA FOP, REG. COMP[_IANCE PURPOSE-?
ND YESIHICH: '�. _-�,
Page 13of15
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P'ayettev113a Aivislon 2592 Hope Nils Road -- Payettavllle, NC 2KI06 (910) 864-19201864-8Ti
. =K1 G0151
CHAIN OF CUSTODY RECORD
PACE u
Q
R'Md�f AJ, - TYPJH OF ANALYSIS P9r--8 ~ VAT10N (CDL7f~)
CoFSTAGTP�!?S[1Fla 1 C'nQ1i)~, A=None I
1;3VlfilL. .
13= HN08 (pH<) + <s"G
O M C - H2SQ4 (pW2) + <s°C
PHONE NIUJM Hl�: fC a. 3 m 17 = Mac)] + <ti°C
BATf?liYik'rHEIF] oFS}IlpNf�N'r; ',Z C 'lj E ^ ZN AOetate + CB"C
>r - fe1
SAMPLE! TYPEt � � 1 � G = Sar�fgm Thlo
FOATE TINT Coup GRAB F�QsvUHfte5 SULMoE
#3: 3 .9
42
1 n,Up NGIEt I' Tamp Meld 2: -.M......�Yo„° •-------_.��
WaforLevel #2
Turnaround time: REGIJf AR RUSH
I
Cnmment5 or Spacial Hazardl:
I
.IS DATA FOR REO. COMPLIANCE PURPOSE?
NO— YES WHICK
Page 14 of 15
1 n,Up NGIEt I' Tamp Meld 2: -.M......�Yo„° •-------_.��
WaforLevel #2
Turnaround time: REGIJf AR RUSH
I
Cnmment5 or Spacial Hazardl:
I
.IS DATA FOR REO. COMPLIANCE PURPOSE?
NO— YES WHICK
Page 14 of 15