WQ0004059_Monitoring - 03-2021_20210426

41 •
esa woos i.0 f-21rv�s: - - - ".rOang M�`i, OF ENVIRONMENT&NATURAL RESOURCES
COMPLIANCE REPORT FORM o; HATER ILSERDUALITY DIVISION,CENTER
GROUNDWATER SECTION
16:36 MAIL SERVICE CENT
FACILITY INFORMATION -- - RALEIGH NC 27699-1636 Phone: 919
Please Print Clearly or Type _ _:_ 3221
Facility Name: f TLA-N j G S7-r;!-'i n-,-) i I PERMrr#:
~r'ermit Name(if different): l l Pi o r4 f' EXPIRATION DATE f'�'�'O y�g 1 LP Tf TV
I Non-Discharge VirJn,4/t.,c-c,
VIC:
�; r f t i
^w,fty Address: 6 mil!i/ t( NPDES
rtld-iftWI'C� i3 �'�M j"ktC � g^�S(r2-
f I - County0. RTC 6-. 7— TYPE OF P RN 4IIT=r,
Contact Person:_ C ll A u/ '°uGtC ► OPERATION BEING MONITORED
Telephone#:�3,�-393- - '7.,2 0 Lagoon_ ._
Well Location/Site Name: tiCl v(.I T'P - -_ � _
Remedition.Infiltration Gallery
No.._of—Wr4s-to be-Sampled_ r SpraY-Fieicr Fl
t+ro,.+ , emedat+on
Weil Iriantifirer:M Number(froth Permit): NI l/C J °` 'Rotary Distributor _.
° ) For Groundwater Treatment Systems E Other. _Land Application of Sludge
Well Depth. d- ft_ Well Diameter-. `? in
Screened Interval:_ !Check Crte:❑ enf t98) �.
ft. to '� C� ;;-
I
Ge Depth to 1 rater Level: ; L ffluent (991. ; NOTE; Values should re*l t dissolved ana .
P ft. below measuring .; ,
colloidal
MPacuring Point(.Mt p)is= ft above land our,•„• ----_.__ - - concentrations_
Gallons of water oarnced:/ha:t�before s_-;_ �•,-.,. -�4ts�'
Hefei e_M_P_Elevation In .-
Field ana -
r •• i cr_ ,�; e sample collect : Date sam 2 2- Z/
^
Temp_ . .h � A-
i Laboratory Name: io u) 0 v .6> T �'
p• C,Odor Appearance 0 f'
Certification No
7rU
°A4At�9ETERS(Samples for metals were collected unfiltered YES
I NO__ and field acidified_ YES-
_ ---NO
— COD __. mg/I Nitrate (1VO as N mg/I MF Feeal /100ml NitrateN � rer-Nickel
.. .._ .�.� (NO3)..., as I8� 3r mg„
�.oiiiomZ: ivlF Total _. � / mg/I Pb- Lead
/1GOml Phosphorus:Total as P 1 • l 9 mg/I
(Note:Use MPN method for highly turbid:apples) m 7f1-Zinc ar,„�' .:
(Note:
. 9 y P Orthophosphate / _.__.. _. ru
D,sso eu-Saiids i otal 0 mg/I Al-Aluminum mgii Ammonia Nitrogen C�• O mg/I
pH (when analyzed) aa mg/I Other S
rn:� 3t units 8a-Barium —mg/I- — (Specify Cr � : 5r D.„ )—
H , . - it —m �-
Chloride __ 1 _ mg/l- _Ca-Calcium - fir.
e o J; mg/I Cd-Cadmium
mg/I Chromium:Total m 20;1
Grease and Oils ..
Phenol mg/I Cu Copper moil
mg/I Fe-iron
mg/IORGANICS: (GC,GC/MS,HPLC)
Sulfate mg/I Hg-Mercury
mg/I (Specify test and method#.Attach.lab report)
Specific Conductance uMhos K- Potassium
Total Ammonia -mg/I Report Attached? Yes 1 No mg/I Mg -Magnesium mg/I VOC � � (0)
TKN as N mg/I Mn -Manganese mg/I method#_
: method#=
I certify that,to the best of m knowtedge_a td bPliPt metho
d
=
•Sfrf•ap•fOVe mein: -._ - ; �. .-_,._ ,.. � . . strue,accrrrate.an�com•le - _1: ._ .- .,- - _-. - -- • • - •-... .. .o•uce•
s ce ie.• a•oratory.I am aware that there 2f2 significant penalties for submitting false information,
including the possibility of fines and imprisonment far knowing violations.
'd 6 w e_ AJ c_ ©jj'C__
Permfttee(or Aug-let-2- Name and Title- print or type
GW-59 ` -L y//Y/zr`
Rev.03/2000 Signature of Pe ' e thorized ent)
(Date)

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aiiiiiaaijoizajai„a ,-,-z:_:r.:_: v.- znvir,"upia,u:i a 1 A.RAL RESOURCES
nJ vtUI''iii i iiA I Li-i UUAL.i T
1 COMPLIANCE REPORT FORM 1636 MAIL SERVICE CENTER
RALEIGIi,NC 27699-1636 Phone:(919 . 3221
FACILITY INFORMATION Please PrintClearly or Type
i'acility Name: l 1-A-1� 1 t G ��TP T t Q'N) I PERMIT#: EXPIRATION DATE: Y71�7r <
Pe rn Name(if diferer�t)- S tit S A te I o Q P UT; 1 1 r 1 Non-Discharge\AJOt i[]r, ......-
Facility
Address: t~ \.N ! t NPDES
ATE A r J 19 e'� T ' ` , - !a-County ('-y RTs a-6 T ' TYPE OF PERMITTED OPERA-DON BEING MONITORED
tta» p_C. . L A u-//Fe o e E go Lagoorr� - `` Telephone 4:,�,2-. `13-`a7 2 a =a9°�"- - -- Rerrieifiation:Infiltration Gallery
No-oi Weiis tome Sampled: _i SPmYt reid �I -y
%------, ✓ Application of Sludge
r� ` I Rotary Distributor Land
Well identification Number(from Permit): �t al rt. � �s✓.,r�... .... ,-��__- ! !
f" s....ssrvu.w. cues Itcaw=si. (sterns g } Other
Well Depth: -� Y� Well Diameters - in_ Check One fIt!ent (agl 1 1
Scr neq.Interval: ft.to 'd O ;� (Q ,
Sep to•vllater Eevei: Si S TL below meaSurino point. i Effluent (gg) I NOTE: Values should reflect dissolved and .
coiioioai concentrations.
Measuring -_)-is;�0 fit.-above land surfacg_-Relative M_P. Elevation in :-
Gallons of water pumped/baifed before sarn lin :cr c?K€s Date sam le coil Date Z /
Field analysis pH ,Specific C ndu fiance )sryihos Laboratory Name: v" 0• t 6.k•'�,
Temp - °C.,Odor- Appearance CA I Certification No - IL)
PARA"�f 4S(S ples for me.a!s were a collected unfiltered YES . NO and field acidified__ YES No)mg/I Nitrite (NO2) as N
C^,t6for^: Mi="Fecal ,� � � m� Ni- Nickel mg/l
r 1 00mi Nitrate (NO3) as N 14 D0 mg/I Pb-Lead
Colifofm -ME"Total /100m1 Phosphorus:Total as P b* k� mg/ImgI
(Note:�_.. nev��:d,ti.,r_�,.r_,.:,.>,:.�o_._._.��__ •• .,_L _ _ _ _ 7f1 Zinc ---- mg/I__ ----
Note:Use _ .........e,,,;a,3 Oruro nos date___ -
. y..., �, �, mg/�-- Ammonia Nitrogen �d.�`7 r,fall_ _
Dissolved
'Solids Total ma/I Al-Aluminum n;
pH(when anatvz • units--- Ba-Barium-- - OtherCcXnpour
(Specify :ds and Concentration Units)
TOG 2 �
m --
mg/I Ca--Calcit�rr, . _ mg/I
Chloride -- mg/I- Cd-Cadmium ,mot .
Arsenic mg/I Chromium:Total
mg/I
Grease and Oils mg/I Cu-Copper mg/I
Phenol mg/I Fe-Iron mg/I ORGANICS: (GC,GC/MS,HPLC)
Sulfate mg/I Fig-Mercury mg/I (specify test and method#.Attach lab report.)
Specific Conductance uMhos K- Potassium mg/I Report Attached? Yes (1) No (0)
Total Ammonia
mg/I Mg -Magnesium mg/I VOC : method#_
TKN as N mg/i Mn -Manganese mg/I : method#_
. : method#
o-the Lestof-my=knowtedggen re-1- _ orma.orrsu•mitte• in-this report is true;ac ijf to and com•le-t• ; - I- -•• - •• -.- .• - ,_ -_ - _,- -
I • -p•rove• me o•s o ana ysis la 'orth arolina DWQ(formerly DEM)certified laboratory.tam aware that there ere significant penalties for submitting false information,
. including the possibility of fines and imprisonment for knowing violations. 3-0 ©iii:) _
Permisee(or nz Agent)Name and T -Please print or type
G W-59
Rev.03/2000 Srgnature of e " (or Autho" Agent) Date

I
0
i i'ir-ii i:,A' iii l..ii i%t?Arii WE OF EivviRONMENTdo NATURAL RESOURCES
t `. ROUDWA E9 QUALITY M o.
ONITORING: • WATER QUALITY DIVISION,GROUNDWATER SECTION
1 r 1V COMPLIANCE REPORT FORM 1636 MAIL SERVICE CENTER
-- - RALEIGH,NC 27699-1636 Phone:[phone]
FACILITY INFORMATION Please Print Clearly or Type
Facility Name: t TLA i T ii C �STR i-t 0 w PERMIT 0: EXPIRATION DATE..
i iNen_rliccct l.Clr3Mr.►i,<o
Permit N.,^.c. (if different). ..Ida n iv I .. �P 1 iT: •h-. % ,..t1,.i,r-tv�
�. r 2..�. `. �re .n J .,t tit ..• o�.1 y t I .,...y2 v l V lt:
Facility Address: v(L/ .St. ( 1 NPDES
A.Td-.A 01 •c i9 �t ' 1C , g-gS!2-county ( -RT66e- -
6 1---- TYPE OF PERMITTED OPERATION BEING MONITORED
tcxrr ) tvvl
Contact Person: Wit?E 1-A v-I �s e Telephone#: i"a. 393'C 7,2 a Lagoon Remediation:Infiltration Gallery
WelFEocaSaZf bite-Name—bU`*-:I- FP - Spray held Rert>edatbn No.oi'Wetts to be Sampled:_, �-(— �
Well Identification Number(from Permit): lam`iti 1.:L A I— ( �Ro��'Distributor Land Application of Sludge
A r Tor Grotntawaier l reaunent Systems l Other_
Well Depth: ft_ Well Diameter in. I Metes?"0ne f-i Mfr..IMAe..t mop
Seraened interval: ft.to / ft.
Pffri.p►,+ 1 J NOTE: Values should reflect dissolved ant? .
Depth to Water Level: fL below measuring point w�'.\
MeasuringPoint .P. .is:�'_- ft.above land surfI colloidal'concentrations
(M ) �. Relative M.P. Elevation i, - 3 2
Gallons of water pu led before semolina:- i' sonte carry-Act r„tta.-► - Data enmr.lo o., ,.:-+::.+-
Field analysis- pH--__ ,Specific ductance u hos Laboratory Name:. " a M
0 'J 6
Temp, °C,Odor "(n ' Appearance ! Certification No. 10
P AIAME;ERS(Samples for metals were collected unfiltered YES NO and field acidified YES NO)
COD : Z /I Ni- Nickel mg/1
Coliform:MF Fecal /i0om1 Nitrate (NO3)as N • mg/I Pb- Lead mg/1
Coliiorm MF Total- _. /100m1 Phosphorus:Total as P mg/1 Zn-Zinc ng2
L :AM mettotsorh;ghiy era p Orinophospnate mg/I Ammonia Nitrogen .�C,• mg/i_
Dissolved Solids: Total mg/IAl-Aluminum m Other Dissolved
c, -- ( ty - and-Concentrator!or!IIfnrfcl
r� (...\.e.-�.ana[ ed _ _ _ g Spec Gomoounds and
r--- t��� - units Ba--Barium- m - J—
iOG LO . - g
mg/t Ca-Cale-him— __ _ _ _ mg/I _
—— Chloride rl. - „�gll Cam=Cady im rno/I
Arsenic ��. Chromium-Total moll
Grease and Oils mg/1 Cu-Copper mg/I
Phenol mg/I Fe -Iron mg/1 ORGANICS: (GC,GC/MS,HPLC)
Sulfate mg/I Hg- Mercury mg/I (Specify test and method#.Attach lab report.)
Specific Conductance uMhos K- Potassium mg/i Report Attached? Yes (1) No (0)
Total Ammonia mg/1 Mg -Magnesium mg/i vOC : method#=
TKN as N mg/I Mn -Manganese mg/I : method#.
: method#
:enifytttat,fotie'kest of my knowledge and belief,the information.submitted ire this r-.•rt i - .+ - - - 1 , ,
using approved methods of analysis by a North Carolina DWD(formerly DEM)certified laboratory.I am aware that there are significant penalties for submitting false information.
including the possibility of fines and imprisonment-for knowing.violations..
Permit:ea(or , -• )Name and -.Please print or type
GW-59 7�2
Rev.03/2000 signature of •= y'Auth ntjt' (pate)

r
. vi;•.;iii-i i i iliivivi i Virlil+l:a', - •_ -- -'.. .•.
WATER QUALITY
I COMPLIANCE REPORT FORM 1636 MAIL SERVI E'VISION CENTER GROUNDWATER SECTION
FACILITY INFORMATION RALEIGH,NC 27699-1636 Phone:[phone]
Please Print Clearly or Type _
Facility Name: f4T�v4 N 1 l� G �STr9- , o PERMIT#: EXPIRATION DATE: %7: �'
'err^t Name(if different): u A 1 o A-P (j Ti k i 1 r Now Disc:Sarge�n t nr r�
Facility Address: N �/-L lam/'` G:''a'' 1 I t"PDES _.� t
At),Mil►`)-, f9 6,,qte h 1 e , 'r� / r P G i A
t- i County �` RTC T'-- 'TYPE OF P,RM,TTED OPERATION BEING MONITORED
Contact Person- -St)e- 1-A►�/_vivo Telephone#: -3.73=g7 D I Lagoon
Remedafion Infiltration Gallery
Well Location/Site Name- kC.t-FP , r,,, „ t - rY
---- -- — ILO-- to Sa,�lpled. —Sy' T-• lcn�------ ��_-
I - ---�_
Well.tdentifica"on Number(from Permit): /`'f list - - o l
notary Distributor ( I
Application of sludge
Weil Depth: - r(,I qFor GroundwaterTr'eztme*>t�st� Other:
ft WellOiameter: in_ Check One Influent (98)
Cnrno^.."-• tiit2i. ii. l0 j j-.
De to, vyater of s. r Effluent (99). I NOES Values should reflect dissolved and
Level. t below measuring point r I colloidal
Measunn Point M P is" co...,�..a.concentrations.
9 ( ) __ ft_above land surf�e_ Relative M_P_ Elevation in A:
" o J `water r;or paolbaHeo before sam nn C
P► 9 1-tzcrtES Date sample collect ei(: // / :I- Date sample analyzed- � 2/
Field analysis: pH ,SpecificConiductance uMh•- PJ V OW h6)J\
Laboratory Name: �
Temp. °C,Odor_ EX€ Appearance .' , I Certification No. I,O
PARAME r ERS(Samples for metals were collected unfiltered v
� NO and field acidified YES NO)
COD ma/I Nitrite (NO2)as N mc/t N
C l t MF r- I /100ml Nitrate (NO3) s N • � Pb- .Rrtcad! mg/i
�..GtttGt t rt: MP-Fecal ( 3) mg/t P -Lead Co!iform MF Totals-- /10Oml Phosphorus:Total as P mg/I -. mg I
(Note:Use INPN method for hlgt)lX turbid I rah_ _ -��nt Zn-zlf1C m .
0rthOphOS- — g
��--off Dissolved Solids Total Q mg/1 Al -Aluminum ��'�' 1�mmonla-Nitrogen mg/I
Dissolved
e ., ,. g _ m Other
p,. . C. a <a:gatyzed j units Ba-Barium `y � Concentration- tJni,$)
' (Specify dS and
Ts.. -..t. i L.� �T� Ca- mg/ICalcium
..:t_aonut: me/{---Cd---Cadmium--
AI mg/I - :rug,� -
/'I Chromium:Total r:ig/t
Grease and Oils _n g
/► Cu-Copper mg/I
Phenol mg/I Fe-Iron mg/I ORGANICS: (GC,G^C/MS,UPLC)
Sulfate mg/I Ng- Mercury m t ,
Specific Conductance uMhos KFI-- g (Specify test and method#.Attach-lab report)
Total m MgMagnesiumm� Report Attached? Yes (1) No (0)
Tura Ammonia N mg/1 - mg/I VOC : method#-
mg/i Mn -Manganese mg/I : method#
met
I #,
t :BTA pttle:bgS�o ►trem�rrrrir,;.;r.r+t -- ----
. _-�_� - ._..- _._ _.._.-._ : . . . . _. orris e.accurate.•an•.compiete:.and:thatthe-Iaborato -2- ,• - •_ . - _-,:
.�•-' - --- --: • •- - ' • - •• •',• • er y . V ce to. a•oratory.tam aware that there are significant penalties for submitting false information.
including the possibility of fines and imprisonment for knowing_violations.
Pemvttee •th g-•..
..zed A,,...,)Na.tea '?.::ra-?lease print type
G W-59 G
Rev.03/2000 Signature ermittee(or prized Agent)4Y4,57/21
(Dale)

i
;0,VC:
GROUNDWATER QUALITY MONITORING: -f 'Ago . I DEPARTMENT OF ENViPOP!uE"fT'�N"�T1 NATURAL RESOURCES t
COMPLIANCE REPORT FORM to: WATER QUALITYSERVI II I ISEON, ROUNDWATER SECTION
1636 MAFACILITY-INFORMATION RALEIGH,NC 27699-1636 Phone:.[phone]
Please Print Clearly or Tyne - -
11-PERMI T#: - --- DATE:E: .a4 jP!
'1Eaeilrty Name: ATI.A-N 1 fi C -ST- l-I Q" EXPIRATION T
Permit Name(if different): •S iw3 t-i iK j o"4-f= U f ; jet r\- t iwn-L ischarge vv( -y xj 40SLf UIC !
Facility Address: j W3,-�l,,L/ SI r NPDES
P4T�etN� .c_ gto4 1-1C , PsgS!
rry) ,�� tzo- county �' RTC 6LF�- TYPE OF PERMiTTED OPERATION BEING MONITORED --
Contact Person_' O f 1-_A vcl uCt� Telephone#:,75�-,�93-g7 O _ Lagoon p �- Rernedation:Infiltration Gallery _
----Well LocatiorjrSite t�e- ".t'�'F> — —
Na of Wells to be Sampled: � i Spray Field Rem-ate• �. _
Well Identification Number(from Permit): �N fr t JRotary Distributor
Fa. Land Application of Sludge
I
C:rot;rstfwaler Treatment Systems Other.Well Depth: /to b�3 ft. Well Diameter 2-- in 'Check One u giuen�t "y$
Screened Interval: _t.. l ft. to 1 Ca ft. (� )
Depth I7? ne. _.e.,ol: .Sl�j bzlo:...... .., Effluent (99). I
NOTE: Values should reflect dissolved and measuring Win` ' colloidal concentrations.
Measuring Point(M P.)is:Z g- ft above land surfaco oelativa►.,p cc -
Gallons of water urrt1
tp .ped'baiied before.c r-'.p". C Data
T••=••g r w� saci rAe collecte / ,
Field analysts pH SpecificDate-Sarrlple anaiyz�d: Z�'L�
C ductance um
1 Laboratory Name. .E N '�0.rcd i-6'JX 1
_; oor�b
Temp; °C,Odor i`q5/t— Appearance - 1 Certification No,
P.. At�r, �E
33S--Samples_#or_metals were collected-unfiltered YES -- NO and-Bela=acidified YES NO)
--
COD - mg/I Nitrite (NO2)as N
mgfi Ni- Nickel mg/I
Coliromi__ME Fecal i /100m1 Nitrate(NO3)as N ©O&�
.r• mg/IPbC<,afiorrn IVIF••-Total b- Lead
/)00m1 Phosphorus:Total as P .4 O. O'i moil mg/I
(Note:Use MPN method for highly turbid sample* Orthophosphate Ar;.- oni r i r nr -
Ammonia NitrogenO d4 yr
Dissolved Solids:-Total d mg./1 Al-Aluminum n 4 + m.
R �1Iv`tle[Fanal e4 — _ —_-- er( ..:DrS_2„"'fj,_w.:c cuiiauvtl V+tics}
TOC 1--- --- ---- . _units Ba-B-arium_ mg
: : i /•C- r /1 Ca-Calcium
=m .
—Cede � mg/i Ca-Cadmium _ m�
I
Arsenic - --- mg/I Chromium.Total9
Grease and Oils mg/I Cu-Copper mg/I
g/I
Phenol mg/I Fe-Iron
Sulfate mg/I Hg- Mercury m� ORGANICS: (GC,GCIMS,HPLC)
Spealfie Conductance uMhos K--Mercury9n (Specify test and method#_Attach.lab report)
Total Ammonia mg/I Report Attached? Yes (1) No (0)
mg/I Mg-Magnesium mg
TKN as N - ••• Y 0C : method#=
mg/I Mn -Manganese mg/I
: method#
: method#-_
I caltititbat,to the best of m na_v�ledge_aradt�eiiel,..thelnformatios.submitted-ia_thls-repott is-trueraccurate-
- - �— ,and-comp�ete;artdthatthe-tat7aratdrsranatyts`caTdata was proacitt
using approved methods of analysis by a North Carolina DWQ(formerly DEM)certified laboratory.I am aware that there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations. -
Poem tee(or , . - ed ..- : .. . -:Please print or type
GW-59 '/n
Rev.03/2000 Signature of Pe /!or Authonz t) (Date)