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Home My WebLink AboutWQ0002096_Monitoring - 02-2021_20210331 (3)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: 9 9-607-6306 FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date: C C f ,/y� �Q Facility Name: ► A.EW6 Y_1 11 Ia r)()r !1 t' N(� m -,tl Non -Discharge Q UIC Permit Name (if different): NPDES Other Facili Address: pS 5^1,k4.�) koj'W :S�i!16o OnA TYPE OF PERMITTED OPERATION BEING MONITORED % It County — ❑ Lagoon ❑ Remediation: Infiltration Gallery "' EZSpray Field ❑ Remediation: Contact Person: VU I !► Q Telephone#: �l ' S! 3 —�5 Ij ❑ Rotary Distributor ❑ Land Application of Sludge Well Location/Site Name: Vi No. of wells to be sampled: ❑ Water Source Heat Pump ❑ Other: Rom Permit SAMPLING INFORMATION If WELL WAS WELL ID NUMBER (from Permit): ++ Date sample collected: FIELD ANAL SES: Well Depth: �ft. Well Diameter: in. pH ooaoo: units Temp. 000lo: °C DRY at Depth to Water Level 82546: ft. below measuring point Screened Interval: �ft. to Lift. Spec. Cond. 000sa: µ Mhos time of sampling, Measuring Point is , 1 5 ft. above land surface Relative M.P. Elevation: ft. Odor 00085: check Volume of water pumped/bailed before sampling: _gallons Appearance 7L 6l( here:❑ Samples for metals were collected unfiltered: ❑ YES ❑ NO and field acidified: ❑ YES ❑ NO LABORATORY INFORMATION Date sample analyzed: " , /� �, 1L Laboratory Name: `� n� (�✓\C►U y�/� ! Q , �! It J, Certification No. PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. COD 00335 mg/L Nitrite (NO2) as N 00615 mg/L Pb - Lead ofoei ug/L Coliform: MF Fecal 31616 �' /100mL Nitrate (NO3) as N 00620 dl mg/L Zn -Zinc ofos2 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 �b mg/L Al - Aluminum 01105 mg/L PH (Lab) 00403 units Ba - Barium 01007 ug/L TOC oosso mg/L Ca - Calcium 00916 mg/L )�?1 Chloride 00940 mg/L Cd - Cadmium 01027 ug/L Arsenic 01002 ug/L Chromium: Total o 1 03t=j M ug/L Grease and Oils 00552 mg/L Cu - Copper o104TV I X7F&L ORGANICS: (by GC, GC/MS, HPLC) Phenol 32730 ug/L ug/L (Specify test and method #. ATTACH LAB REPORT.) Fe - Iron 01045 MAP Sulfate 00945 mg/L 3 Hg - Mercury 71900 ug/L Lab Report Attached? ❑ Yes (1) ❑ No (0) Specific Conductance 00095 µMhos K - Potassium 00937 I1" c cr.Tr _ mg/L VOC 7e73 method # Total Ammonia oosso �mg/L Mg - Magnesium 4NRMAD0N PRE CESsAftWp method # (Ammonia Nitrogen; NH3as N; Ammonia Nitrogen, T tal) 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 GROUNDWATER QUALITY MONITORING: am 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: j Expiration Date: o5 Facility Name: l 1 �\ Vtl�� f'k, jOor K ff t Nom -� Non -Discharge )uu vd UIC W Permit Name (if different): NPDES Other Facility Address: TYPE OF PERMITTED OPERATION BEING MONITORED ,c, (Street) I — A-79 10 County RK trti' (,► ❑ Lagoon ❑ Remediation: Infiltration Gallery (City) (State) (zip) C�Spray Field ElRemediation: Contact Person: �Qmq Pcvkcp Telephone#: A 5� — 7i 3—y5q I ❑ Rotary Distributor ❑ Land Application of Sludge Well Location/Site Name: t l� No. of wells to be sampled: � ❑ Water Source Heat Pump ❑ Other: from Permit SAMPLING INFORMATION Date I I FIELD ANALYSES: If WELL WAS WELL ID NUMBER (from Permit): sample collected: Well Depth:ft. Well Diameter: in. pH ooao0:5.11?units Temp. 000lo: °C DRY at Depth to Water Level 82546:� ft. below measuring point Screened Interval:ft. toff. Spec. Cond. 0009a: N Mhos time of sampling, Measuring Point is . �j ft. above land surface Relative M.P. Elevation: ft. Odor 000a5: check Volume of water pumped/bailed before sampling: gallons Appearance here: ❑ Samples for metals were collected unfiltered: ❑ YES ❑ NO and field acidified: ❑ YES ❑ NO LABORATORY INFORMATIO 3 I n i t�i i) �i) C.' 1 Date sample analyzed: I ,� LaboratoryName: G I ��l�i I� I Certification No. V PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. COD00335 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 /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 i i 0 mg/L Al - Aluminum 01105 mg/L pH (Lab) 00403 units Ba - Barium 01007 ug/L TOC 60680 j� t mg/L Ca - Calcium 00916 mg/L Chloride 00940 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 00945 mg/L Hg - Mercury 71900 ug/L Lab Report Attached? ❑ Yes (1) ❑ No (0) pecific 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-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 Please Print Clearlye or Type FACILITY INFORMATION) PERMIT Number: Expiration Date:7756773 (�/� Facility Name: I newmd 1 / IQj r �e'�h Nook. Non -Discharge bu 0' UIC Permit Name (if different): NPDES Other Fa ility Addre L TYPE OF PERMITTED OPERATION BEING MONITORED (Street) 0 q I Q County -,r-f ❑ Lagoon ❑ Remediation: Infiltration Gallery (City) (State) (zip) Spray Field ❑ Remediation: Contact Person: r ) Telephone#: �.3 +�7 / ❑ Rotary Distributor ❑ Land Application of Sludge Well Location/Site Name:piku`czd No. of wells to be sampled: ❑ Water Source Heat Pump ❑ Other: from Permit SAMPLING INFORMATION �}- -FF 7 Date ) -7 I a i FIELD ANAL If WELL WAS WELL ID NUMBER (from Permit): sample collected: Well Depth: �ft. Well Diameter: in. iSES: pH'00400: 6 r U units Temp. 000lo: °C DRY at Depth to Water Level 82546: ft. below measuring point Screened Interval: ft. to ft. Spec. Cond. 00094: µMhos time of sampling, Measuring Point is ftbove land surface Relative M.P. Elevation: ft. Odor 00085: check Volume of water pumped/bailed before sampling: _gallons Appearance C e(1r here:❑ Samples for metals were collected unfiltered: ❑ YES ❑ NO and field acidified: ❑ YES ❑ NO LABORATORY INFORMATION Date sample analyzed: 19' I 11 — )� A 3 I Laboratory Name: n y, 66 in mzyi ) , -LnCj , Certification No. I C 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 L /100ml- Nitrate (NO3) as N 00620 Q r Zi 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 % �(� mg/L Al - Aluminum 01105 mg/L pH (Lab) 00403 units Ba - Barium 01007 ug/L TOC 00680 1, 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 mg/L Mg - Magnesium 00927 mg/L method # (Ammonia Nitrogen; NH3asN; 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 VOL; Removal% Em4mmm(pM alp hCupumbd 114 OAKMONT DRIVE GREENVILLE, N.C. 27858 PINEWOOD MANOR INC. 240 SOUTH EARLY STATION RD. AHOSKIE ,NC 27910 .d. PHONE (252) 756-6208 FAX (252) 756-0633 ID#: 377 DATE COLLECTED: 02/17/21 DATE REPORTED : 02/24/21 REVIEWED BY: L/ , Effluent Well #4 Well #5 Well #7 Analysis Method PARAMETERS Date Analyst Code BOD, mg/1 23 02/17/21 TMR 521OB-11 Fecal Coliform (MF), /100 MIS 2400 < 1 2 < 1 02/17/21 KDS 9222D-06 Total Suspended Residue, mg/1 34 02/18/21 DNS 254OD-11 Ammonia Nitrogen as N, mg/l 3.99 <0.04 <0.04 <0.04 02/18/21 KES 350.1 112-93 Total Igeldahl Nitrogen as N,mg/1 11.38 02/23/21 ICES 351.2 112-93 Nitrate+Nitrite as N, mg/1 0.09 02/18/21 DTL 353.2 R2-93 Nitrate Nitrogen as N, mg/1 <0.04 0.07 <0.04 02/18/21 DTL 353.2 112-93 Total Phosphorus as P, mg/1 1.62 02/23/21 TLH 365.4-74 Total Organic Carbon, mg/1 5.32 10.32 1.29 02/18/21 KDS 531OC-11 Total Dissolved Residue, mg/1 120 110 180 02/19/21 KDS D5907-13 Ao GW-59A COMPLIANCE .REPORT FORM Permit #V)�U—Mkvv (.Submit one each monitoring period with GW-59 forms.) m j Enter date monitoring results were due. Will this monitoring report (GW-59 and GW-59A) YES be submitted after the established due date? 2 Was any required information missing on the GW-59 report forms? YES 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 N identification plate, area overgrown, etc.)? If the answer is "Yes", contact the Regional Officefor guidance. 4 Are any monitored constituents equal to or above the established standards? nENO 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 standqards in the space provided below. -W6 PC. 2,1 J60911, #S -1bc 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, concen ration(s) reported, and sample collection datf for each occurrence (for the last two years). CIO/ fd�*hl.;� 'i�1� SFC� )A0ji60YKL) S rliry -Wr-, t--c 19 qt' zU C� W5 T(Y Are the monitoring wells listed in section 5 located at or beyond the review boundary? YES 440 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 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. 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. I hereby acknowledge that the above information was evaluated and the information submitted in this report ompliance Report GW-59A) is true and complete to the best of my knowledge. , A (1 61 Qwnl�� 5".$b 5 )r:) ) nature of ennittee Cuthorized Agent) Da e GW-59A 12/8/2003