WQ0032016_Monitoring - 03-2021_20210422 (2)

GW-59A COMPLIANCE REPORT FORM Permit # A t~\ (0) 3 2.0()1 ('
(Submit one each monitoring period with Glf! S9 forms.)
1
Enter date monitoring results were due. Will this monitoring report (GW-59 and GW-59A)
YES
NO
be submitted after the established due date?
V
2
Was any required information missing on the GAY-59 report forms?
YES
NO
V"
IF the answer to question I or 2 is "YES" list in the space provided below the well identification number(s) and
explain the problems encountered in obtaining the required informations 7
a'
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 ansiver is "Yes", contact the4egional Q(lice.(or guidance.
4
Are any monitored constituents equal to or above the established standards?
YES
N_(Y
V
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 conrantration(s)
exceeding standards in the space provided below., c� r
c
all
5
For the constituents identified in question 4 above, have standards been exceeded previous 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).
6
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 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 (Compliance Report GW-59A) is ru and complete to the best of my knowledge.
L(-Za1�
Signature of Permittee (or Authorized Agent) Date
GW-59A 12/8/2003

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
FACILITY INFORMATION Please Print Clearly or Type
PERMIT Number: Expiration Date: 2/28/2022
Facility Name: Rose Hill Plantation Development, LLC
Non -Discharge UIC
Permit Name (if different):
NPDES Other W00032016
Facility Address: 3041 New Leicester Highway
TYPE OF PERMITTED OPERATION BEING MONITORED
Leicester NC 28748 County Buncombe
❑ Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
Contact Person: Bob Barr
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Well # 1(MW A on GW-1b)
No. of wells to be sampled: 3
❑ Water Source Heat Pump © Other: Surface Irrigation
(from
Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): Well # 1 Upgradient
Date sample collected: 3/8/2021
FIELD ANALYSES:
WAS
Well Depth: 69 ft.
Well Diameter: 2 in.
pH 00000: 6.6 units Temp. 000lo: 16.0 oC
DRY at
Depth to Water Level 82546: 32.64
p ft. below measuring point Screened Interval: 49 ft.
to 69
ft. Spec. Cond. 000sa: 50 µMhos
time of
Measuring Point is 2.5 ft. above land surface
Relative M.P. Elevation:
ft.
Odor 000m: No Odor
sampling,check
Volume of water pumped/bailed before sampling:
gallons
Appearance Clear
here:❑
Samples for metals were collected unfiltered: OR YES
❑ NO and field acidified: ❑A YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 3/25/2021
Laboratory Name: Pace Analytical
Certification No. 40
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD oo335 mg/L
Nitrite (NO2) as N 00615
mg/L Pb - Lead olo51 ug /L
Coliform: MF Fecal 31616 <1 /100mL
Nitrate (NO3) as N 00620 <0.040
mg/L
Zn - Zinc 01092 mg/L
Coliform: MF Total 31504 /100mL
Phosphorus: Total as P 00665 0.11
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 73.0 mg/L
Al -Aluminum 01105
mg/L
pH (Lab) 00403 units
Ba - Barium 01007
ug/L
TOC oo68o <1.0 mg/L
Ca - Calcium oo916
mg/L
Chloride 00940 1.2 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) N No (0)
Specific Conductance 00095 µMhos
K - Potassium 00937
mg/L
VOC 7873 method #
Total Ammonia ooslo <0.10 mg/L
Mg - Magnesium 00927
mg/L
method #
(Ammonia Nitrogen. NH3as N, Ammonia Nitrogen, Total)
Mn -Manganese 01055
ug/L
, method #
TKN as N 00625 mg/L
Ni - Nickel 01067
ug/L
method #
I -or &ernewation .5ystems Only (Aftach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
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 anafytical 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.
'•. • •
Permittee (or Authorized Agent) Name and Title - Please print or type Signature of Permittee for Authorized Agent)
•_
GW-59 Rev. 06-07-2018

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
FACILITY INFORMATION Please Print Clearly or Type
PERMIT Number: Expiration Date: 2/28/2022
Facility Name: Rose Hill Plantation Development, LLC
Non -Discharge UIC
Permit Name (if different):
NPDES Other W00032016
Facility Address: 3041 New Leicester Highway
TYPE OF PERMITTED OPERATION BEING MONITORED
Leicester NC 28748 County Buncombe
❑ Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
Contact Person: Bob Barr
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Well # 2(MW B on GW-1 b)
No. of wells to be sampled: 3
❑ Water Source Heat Pump ❑■ Other: Surface Irrigation
(from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): Well # 2 downgradient
Date sample collected: 3/8/2021
FIELD ANALYSES:
WAS
Well Depth: 30 ft.
Well Diameter: 2 in.
pH 00400: 6.0 units Temp. 000lo: 13.6 oC
DRY at
Depth to Water Level 82546: 8.60 ft. below measuring point Screened Interval: 10 ft.
to 30
ft. Spec. Cond. 00094: 33 µMhos
time of
sampling,check
Measuring Point is 2.5 ft. above land surface
Relative M.P. Elevation:
ft.
Odor oo065: No Odor
Volume of water pumped/bailed before sampling:
gallons
Appearance Clear
here:❑
Samples for metals were collected unfiltered: ® YES
❑ NO and field acidified: N YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 3/25/2021
Laboratory Name: Pace Analytical
Certification No. 40
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 1.1
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504 /100mL
Phosphorus: Total as P 00665 0.065
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
Dissolved Solids:Total 70300 42 mg/L
Al - Aluminum 01105
mg/L
pH (Lab) 00403 units
Ba - Barium 01007
ug1L
TOC oo68o <1.0 mg/L
Ca - Calcium oo916
mg/L
Chloride 0094o 3.6 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 o1o45
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945 mg/L
Hg - Mercury 71900
ug/L
Lab Report Attached? ❑ Yes (1) 0 No (0)
Specific Conductance 00095 µMhos
K - Potassium 00937
mg/L VOC 7873 method #
Total Ammonia 00610 <0.10 mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen. N1­13as 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%
GW-59 Rev.06-07-2018

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
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: Expiration Date: 2/28/2022
Facility Name: Rose Hill Plantation Development, LLC
Non -Discharge UIC
NPDES Other W00032016
Permit Name (if different):
Facility Address: 3041 New Leicester Highway
TYPE OF PERMITTED OPERATION BEING MONITORED
Leicester NC
28748 County Buncombe
❑ Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
Contact Person: Bob Barr
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Well # 3
No. of wells to be sampled: 3
❑ Water Source Heat Pump X Other: Surface Irrigation
(from Pemiin
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): Well # 3
Date sample collected: 3/8/2021
FIELD ANALYSES:
WAS
Well Depth: 14 ft.
Well Diameter: 2 in.
pH 00400: 7.2 units Temp. 000lo: 10.4 oC
DRY at
Depth to Water Level 82546: 4.07 ft. below measuring point Screened Interval: 4 ft. to
14
ft. Spec. Cond. 00094: 33 µMhos
time of
Measuring Point is 0 ft. above land surface
Relative M.P. Elevation: ft.
Odor 000m: No Odor
sampling,check
Volume of water pumped/bailed before sampling:
gallons
Appearance Clear
here: El
Samples for metals were collected unfiltered: K YES
❑ NO and field acidified: K YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 3/25/2021
Laboratory Name: Pace Analytical
Certification No. 40
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N oo615
mg/L Pb - Lead olo51 ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 <0.040
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 0.61
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
Dissolved Solids:Total 70300 107
mg/L
Al - Aluminum o11os
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC oo68o <1.0
mg/L
Ca - Calcium oo916
mg/L
Chloride 00940 4.4
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) A■ No (0)
Specific Conductance 00095
µMhos
K - Potassium 00937
mg/L
VOC 7873 method #
Total Ammonia 00610 <0.10
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%
Robert P. Barr / Authorized Agent
Permittee (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev.06-07-2018
V vU211\ q-Za Z4
Signature of Permittee (or Authorized Agent) (Date)

aceAnalyiical
w�w.pocolaDa.eom
ANALYTICAL RESULTS
Project: Rose Hill MWs 3/8121
Pace Project No.: 92526220
Pace Analytical Services, LLC
2225 Riverside Dr.
Asheville, NC 28804
[phone]
Sample: MW-1
Parameters
Lab ID: 92526220001 Collected: 03/08/21 13:40
Results Units Report Limit OF
Received: 03/08/21 14:50 Matrix: Water
Prepared Analyzed CAS No. Qual
Monitoring Well Data
Analytical Method:
Pace Analytical Services -Charlotte
Performed by
Pace
1
03/08/21 13:40
Collected By
Mark
1
03/08/21 13:40
Swann
Collected Date
318121
1
03/08/21 13:40
Collected Time
13:40
1
03/08/21 13:40
pH
6.6 Sid. Units
1
03/08/21 13:40
Temperature
16.0 deg C
1
03/08/21 13:40
Static Water Level
32.64 feet
1
03/08121 13:40
Specific Conductance
50 umhos/cm
1
03/08/21 13:40
Turbidity
5.5 NTU
1
03/08/21 13:40
Odor
No Odor
1
03/08/21 13:40
Appearance
Clear
1
03108/2113:40
2540C Total Dissolved Solids
Analytical Method: SM 254OC-2011
Pace Analytical Services -Asheville
Total Dissolved Solids
73.0 mg/L 25.0
1
03/09/21 18:53
MBIO 9222D Fecal Coiiform AVL
Analytical Method: SM 9222D-2006 Preparation
Method:
SM 9222D-2006
Pace Analytical Services -Asheville
Fecal Coliforms
NO CFU/100 mL 1.0
1
03/08/21 17:24 03/09/21 15:52
350.1 Ammonia
Analytical Method: EPA 350.1 Rev 2.0 1993
Pace Analytical Services - Asheville
Nitrogen, Ammonia
NO mg/L 0.10
1
03/11/21 13:05
7664-41-7
353.2 Nitrogen, NO2/NO3 unpres
Analytical Method: EPA 353.2 Rev 2.0 1993
Pace Analytical Services - Asheville
Nitrogen, Nitrate
NO mg/L 0.040
1
03/10/21 00:27
14797-55-8
365.1 Phosphorus, Total
Analytical Method: EPA 365.1 Rev 2.0 1993 Preparation
Method: EPA 365.1 Rev 2.0 1993
Pace Analytical Services -Asheville
Phosphorus
0.11 mg/L 0.050
1
03/10/2122:00 03/1112101:27
7723-14-0
4500 Chloride
Analytical Method: SM 4500-CI-E-2011
Pace Analytical Services - Asheville
Chloride
1.2 mg/L 1.0
1
03/10/2100:05
16887-00-6
5310E TOC
Analytical Method: SM 531OB-2011
Pace Analytical Services -Asheville
Total Organic Carbon
NO mg/L 1.0
1
03/24/21 12:42
7440-44-0
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 03/25/2021 11:14 PM without the written consent of Pace Analytical Services. LLC. Page 4 of 18

a ceAnalytical"
wwww.pacelabs.com
ANALYTICAL RESULTS
Pace Analytical Services, LLC
2225 Riverside Dr.
Asheville, NC 28804
[phone]
Project: Rose Hill MWs 3/8121
Pace Project No.: 92526220
Sample: MW2
Lab ID: 92526220002 Collected: 03/08/21 14:00
Received: 03/08/21 14:50 Matrix: Water
Parameters
Results Units Report Limit
DF
Prepared Analyzed CAS No. Qual
Monitoring Well Data
Analytical Method:
Pace Analytical Services - Charlotte
Performed by
Pace
1
03/08/21 14:00
Collected By
Mark
1
03/08/21 14:00
Swann
Collected Date
318121
1
03/08/21 14:00
Collected Time
14:00
1
03/08/21 14:00
pH
6.0 Std. Units
1
03/08/21 14:00
Temperature
13.6 deg C
1
03/08/21 14:00
Static Water Level
8.60 feet
1
03/08/21 14:00
Specific Conductance
33 umhos/cm
1
03/08/21 14:00
Turbidity
25.0 NTU
1
03/0812114:00
Odor
No Odor
1
03/08121 14:00
Appearance
Clear
1
03/08/21 14:00
2540C Total Dissolved Solids
Analytical Method: SM 254OC-2011
Pace Analytical Services -Asheville
Total Dissolved Solids
42.0 mg/L 25.0
1
03/09121 18:53
MBIO 9222D Fecal Coliform AVL
Analytical Method: SM 92220-2006 Preparation
Method: SM 922213-2006
Pace Analytical Services -Asheville
Fecal Coliforms
ND CFU/100 mL 1.0
1
03/08/21 17:24 03/09/21 15:52
350.1 Ammonia
Analytical Method: EPA 350.1 Rev 2.0 1993
Pace Analytical Services - Asheville
Nitrogen, Ammonia
ND mg/L 0.10
1
03/11/21 13:06 7664-41-7
353.2 Nitrogen, NO2/NO3 unpres
Analytical Method: EPA 353.2 Rev 2.0 1993
Pace Analytical Services -Asheville
Nitrogen, Nitrate
1.1 mg/L 0.040
1
03/10/21 00:28 14797-55-8
365.1 Phosphorus, Total
Analytical Method: EPA 365.1 Rev 2.0 1993 Preparation
Method: EPA 365.1 Rev 2.0 1993
Pace Analytical Services -Asheville
Phosphorus
0.065 mg/L 0.050
1
03/10/2122:00 03/11/2101:28 7723-14-0
4500 Chloride
Analytical Method: SM 4500-CI-E-20,11
Pace Analytical Services - Asheville
Chloride
3.6 mg/L 1.0
1
03/10/2100:05 16887-00-6
5310E TOC
Analytical Method: SM 531OB-2011
Pace Analytical Services -Asheville
Total Organic Carbon
ND mg/L 1.0
1
03/24/21 13:35 7440-44-0 M1
Date: 03/25/2021 11:14 PM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Page 5 of 18

aceAnalytical Q
www.pecalabs.com
i
ANALYTICAL RESULTS
Pace Analytical Services, LLC
2225 Riverside Dr.
Asheville, NC 28804
[phone]
Project: Rose Hill MWs 3/8/21
Pace Project No.: 92526220
Sample: MW-313 Lab ID: 92526220003 Collected: 03/08/21 13:00 Received: 03/08/21 14:50 Matrix: Water
Parameters
Monitoring Well Data
Performed by
Collected By
Collected Date
Collected Time
pH
Temperature
Static Water Level
Specific Conductance
Turbidity
Odor
Appearance
2540C Total Dissolved Solids
Total Dissolved Solids
MBIO 9222D Fecal Coliform AVL
Fecal Coliforms
350.1 Ammonia
Nitrogen, Ammonia
353.2 Nitrogen, NO2/NO3 unpres
Nitrogen, Nitrate
365.1 Phosphorus, Total
Phosphorus
4500 Chloride
Chloride
5310B TOC
Total Organic Carbon
Date: 03/25/2021 11:14 PM
Results Units Report Limit DF Prepared Analyzed CAS No. Qual
Analytical Method:
Pace Analytical Services - Charlotte
Pace
1
03/08/21 13:00
Mark
1
03/08121 13:00
Swann
3/8/21
1
03/08/21 13:00
13:00
1
03/08/21 13:00
7.2 Std. Units
1
03/08/21 13:00
10.4 deg C
1
03/08/21 13:00
4.07 feet
1
03/08/21 13:00
113 umhos/cm
1
03/08/21 13:00
27.85 NTU
1
03/08/21 13:00
No Odor
1
03/08/21 13:00
Clear
1
03/08/21 13:00
Analytical Method: SM 2540C-2011
Pace Analytical Services -Asheville
107 mg/L 25.0
1
03109/2118:53
Analytical Method: SM 9222D-2006 Preparation Method: SM 9222D-2006
Pace Analytical Services - Asheville
ND CFU/100 mL 1.0
1
03/08/21 17:24 03/09/21 15:52
Analytical Method: EPA 350.1 Rev 2.0 1993
Pace Analytical Services -Asheville
ND mg/L 0.10
1
03/11/2113:08 7664-41-7
Analytical Method: EPA 353.2 Rev 2.0 1993
Pace Analytical Services - Asheville
ND mg/L 0.040
1
03/1012100:20 14797-55-8
Analytical Method: EPA 365.1 Rev 2.0 1993 Preparation
Method: EPA 365.1 Rev 2.0 1993
Pace Analytical Services -Asheville
0.61 mg/L 0.050
1
03/10/2122:00 03111/2101:28 7723-14-0
Analytical Method: SM 4500-CI-E-2011
Pace Analytical Services - Asheville
4.4 mg/L 1.0
1
03/10/2100:06 16887-00-6
Analytical Method: SM 531OB-2011
Pace Analytical Services -Asheville
ND mg/L 1.0
1
03/24/21 15:03 7440-44-0
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Page 6 of 18