WQ0021934_Monitoring - 12-2021_20220204

SUBMIT FORM ON YELLOW PAPER ONLY
Mail original DEPARTMENT(1F ENVIRONMENT&NATURAL,RESOURCES
GROUNDWATER QUALITY MONITORING: and 1 copy to: °!VISION OF WATER OUALITY•INFORMA11ON PROCESSING UNIT
,
COMPLIANCE REPORT FORM 617 MAIL SERVICE CENTER,RALEIGH,NC 27699.1617 Phone:[phone]
FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date: 09/30/2023
Facility Name: Hasentree Non Discharge W00021934 UIC
Permit Name(if different): NPDES Other
Facility Address: TYPE OF PERMITTED OPERATION BEING MONITORED
Wake Forest """"" NC County Wake ❑ Lagoon ❑Remediation: Infiltration Gallery
0.,t;, s�tEi kz,,,; 1:1 Spray Field ❑Remediation:
Contact Person: Roger Tupps Telephone#: [phone] ❑ Rotary Distributor ElLand Application of Sludge
Well Location/Site Name: No. of wells to be sampled: 1 ❑ Water Source Heat Pump ❑Other:
(from Permit)
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): MW-1 Date sample collected: 12/06/2021 FIELD ANALYSES: WAS
Well Depth: 40.38 ft. Well Diameter: 2 in. pH 5.5 units Temp. 18 °C DRY at
Depth to Water Level: 33.75 ft. below measuring point Screened Interval: ft. to ft. Spec.Cond. ftMhos time of
sampling,
Measuring Point is ft.above land surface Relative M.P. Elevation: ft. Odor check
olume of water pumped/bailed before sampling: 1.5 gallons Appearance here:
Samples for metals were c,'acted unfiltered: DYES ❑NO aI r leld acidified: El ❑NO
LABORATORY INFORMA-,INI
Date sample analyzed: 1. `i _'021 L=t;oratory Name: Enviroment 1 Certification No. 10
PARAP)7TERS NOTE `Jaw s should reflect dissolved and colic;vial concentrations.
COD mg/I Nitrite(NO2)as N mg/I Pb-Lead mg/I
t r'.,rm: MF F`-,-ai <1 /100m1 Nitrate NO3)( as N .08 mg/I Zn-Zinc mg/I
"oliform: MF Total /100m1 Phosphorus:Total as P .72 mg/I
(Ni I Use MPN method for highly turbid samples) O osphate mg/I Other(Specify Compounds and Concentration Units):
Disscived Solids:Total 50 mg/I rec. Al-Aluminum mg/I Total Suspended Residual 377
pi-; ;when analyzed) 5.5 units . ,, '1 a-Barium mg/I
TOC 2.50 mg/I r�ik
Q Ca-Calcium mg/I
Chloride 17 mg/I Cd-Cadmium mg/1
Arsenic mg/I bhromium:Total mg/1 1
Grease and Oils mg/I .,; ;i Cu-Copper itallORGANICS:(by GC,GC/MS, HPLC)
,-„�t.a
Phenol mg/I t. Fe-Iron mg41 lca(Specify test and method#.ATTACH LAB REPORT.)
Sulfate mg/I Hg-Mercury F B Report Attached? ❑ Yes(1) ❑ No(0)
Specific Conductance µMhos K-Potassium mg/I VOC , method#
Total Ammonia <.04 mg/I Mg-Magnesium mg/I , method#
(Ammonia Nitrogen;NH3 as N;Ammonia Nitrogen,Total) Mn-Manganese mg/I ,method#
TKN as N mg/I Ni-Nickel mg/I ,method#
For Remediation Systems Only(Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
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
DWQ-certified laborator . I am aware that there are si.nificant.enalties for submitting false information,including the possibility of fines and im.risonment for know.violations.
Roger Tupps-Field Supervisor ���/ f `''v ��?
�— Gi G
Permittee(or Authorized Agent)Name and Title-Please print or type Sign e of Permittee(or Authorize /(Date)
GW-59 Rev 1/2007

SUBMIT FORM ON YELLOW PAPER ONLY
Mail original DEPARTMENT OF ENVIRONMENT&NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING: and 1 copy to: 'IVISIONOF WATER OUALITY-INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM 617 MAIL SERVICE CENTER,RALEIGH,NC27699.1617 Phone:[phone]
FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date: 09/30/2023
Facility Name: Hasentree Non-Discharge W00021934 UIC
Permit Name(if different): NPDES Other
Facility Address: TYPE OF PERMITTED OPERATION BEING MONITORED I
Wake Forest ,si, ``, NC County Wake ❑ Lagoon ❑Remediation: Infiltration Gallery
(kAto i;Staiei IZI:,I
0 Spray Field 0 Remediation:
Contact Person: Roger ups Telephone#: [phone] III Rotary Distributor ❑Land Application of Sludge
Well Location/Site Name: No. of wells to be sampled: 5 ❑ Water Source Heat Pump ❑Other:
(from Permit)
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): MW-2
Date sample collected: 12/06/2021 FIELD ANALYSES: WAS
Well Depth: 45.88ft. Well Diameter: 2 in. pH 6.2 units Temp. 18 °C DRY at
tMhos time of
Depth to Water Level: 29.10 ft. below measuring point Screened Interval: ft. to ft. Spec.Cond. I sampling,
Measuring Point is ft. above land surface Relative M.P. Elevation: ft. Odor check
Volume of water pumped/bailed before sampling: 3.0 gallons Appearance here:
Samples for metals were collected unfiltered: ❑YES E NO and field acidified: ❑YES ❑NO i
LABORATORY INFORMATION
Date sample analyzed: 12/06/2021 Laboratory Name: Enviroment 1 Certification No. 10
PARAMETERS NOTE:Values should reflect dissolved and colloidal concentrations.
COD mg/I Nitrite(NO2)as N mg/I Pb-Lead mg/I
Coliform: MF Fecal <1 /100m1 Nitrate(NO3)as N .11 mg/I Zn-Zinc mg/I
Coliform: MF Total /100m1 Phosphorus:Total as P .20 mg/I
(Note Use MPN method for highly turbid samples) Orthophosphate mg/I Other(Specify Compounds and Concentration Units):
Dissolved Solids:Total 130 mg/I Al-Aluminum mg/I Total Suspended Residual 10
pH(when analyzed) 6.2 units Ba-Barium mg/I
TOC 5.6 mg/I Ca-Calcium mg/I
Chloride 6 mg/I Co-Cadmium mg/I
Arsenic mg/I Chromium:Total mg/I
Grease and Oils mg/I Cu-Copper mg/1 ORGANICS:(by GC,GC/MS, HPLC)
Phenol mg/I Fe-Iron mg/1 (Specify test and method#.ATTACH LAB REPORT.)
Sulfate mg/I Hg-Mercury mg/I Report Attached? ❑ Yes(1) ❑ No(0)
Specific Conductance µMhos K-Potassium mg/I VOC , method#
Total Ammonia .09 mg/I Mg-Magnesium mg/I , method#
(Ammonia Nitrogen;NH,as N;Ammonia Nitrogen,Total) Mn-Manganese mg/I ,method#
TKN as N mg/I Ni-Nickel mg/I ,method#
For Remediation Systems Only(Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
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
DWQ-cei.led laboratory. I am aware that there are i•nificant.enalties for submittn.false information,includin•the•ossibility of fines and im.risonment for knowin.violations.
y r
R 7it: Tupps- Field Supervisor /1 �/ �—�/ 07
Permittee(or Authorized Agent)Name and Title-Please print or type Sign a of Permittee(or Authorize• %ate)
GW-5U Rev. 1/2007

SUBMIT FORM ON YELLOW PAPER ONLY
Mail original DEPARTMENT OF ENVIRONMENTS NATURAL RESOURCES
GROUNDWATER QUow_ITV MONITORING: 'IVISIONOF WATER QUALITY-INFORMATION PROCESSING UNIT
COMPLIANCE REPOT.,': i ORM and 1 Copy t0: 617 MAIL SERVICE CENTER,RALEIGH,NC 27699.1617 Phone:[phone]
FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date: 09/30/2023
Facility Name: Hasentree Non-Discharge W00021934 UIC
F.-mit Name(if different): ! NPDES Other
Facility Address: TYPE OF PERMITTED OPERATION BEING MONITORED
Wake Forest NC County Wake ❑ Lagoon ❑Remediation: Infiltration Gallery
s�,, ¢., © Spray Field ❑Remediation:
Contact Person: Roger Tupps Telephone#: [phone] ❑ Rotary Distributor ElLand Application of Sludge
Well Location/Site Name: No. of wells to be sampled: 5 ❑ Water Source Heat Pump ❑Other:
(from Permit)
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): MW-3 Date sample collected: 12/06/2021 FIELD ANALYSES: WAS
Well Depth: 45.44 ft. Well Diameter: 2 in. pH 6.3 units Temp. 19 °C DRY at
Depth to Water Level: 31.72 ft. h"i Mhos time of
ow measuring point Screened Interval: ft. to ft. Spec. Cond. µ sampling,
Measuring Point is ft. above land surface Relative M.P. Elevation: ft. Odor check
Volume of water pumped/bailed before sampling: 2.5 gallons Appearance here:
Samples for metals were collected unfiltered: OYES ❑NO and field acidified: ❑YES ❑NO
LABORATORY INFORMATION
Date sample analyzed: 12/06/2021 Laboratory Name: Enviroment 1 Certification No. 10
PARAMETERS NOTE:Values should reflect dissolved and colloidal concentrations.
i COD mg/I Nitrite(NO2)as N mg/I Pb-Lead mg/I
Coliform: MF Fecal <1 /100m1 Nitrate(NO3)as N <.04 mg/I Zn-Zinc mg/I
Coliform: MF Total /100m1 Phosphorus:Total as P 1.18 mg/I
(Note Use MPN method for highly turbid samples) Orthophosphate mg/I Other(Specify Compounds and Concentration Units):
Dissolved Solids:Total 67 mg/I Al-Aluminum mg/I Total Suspended Residual 182
pH (when analyzed) 6.3 units Ba-Barium mg/I
TOC 1.06 mg/I Ca-Calcium mg/I
Chloride,_- 5 mg/I Cd-Cadmium mg/I
Arsenic—�_ mg/I 1 hromium:Total mg/I
Grease and Oils_ mg/I Cu-Copper mg/I ORGANICS:(by GC,GC/MS, HPLC)
Phenol mg/I Fe-Iron mg/I (Specify test and method#.ATTACH LAB REPORT.)
Sulfate mg/I Hg-Mercury mg/I Report Attached? ❑ Yes(1) ❑ No(0)
Specific Conductance µMhos K-Potassium mg/I VOC ,method#
Total Ammonia <.04 mg/I Mg-Magnesium mg/I ,method#
(Ammonia Nitrogen,NH3 as N.Ammonia Nitrogen,Total) Mn-Manganese mg/I ,method#
TKN as N mg/I Ni-Nickel mg/I , method#
For Remediation Systems Only(Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%_
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
DWQ-certified laborator . I am aware that there are si•nificant•enalties for submittn.false information,includin.the•ossibilit of fines and im•risonment for knowin•violations.
d
Roger Tupps-Field Supervisor ,/
Permittee(or Authorized Agent)Name and Title-Please print or type Signa of ermittee(or Auth gent) -= ;pate)
GW-59 Rev. 1/2007

1l
SUBMIT FORM ON YELLOW PAPER ONLY
Mail original DEPARTMENT OF ENVIRONMENT&NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING: and 1 copy to IVISION OF WATER QUALITY-INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM 617 MAIL SERVICE CENTER,RALEIGH,NC 27699-1617 Phone:[phone]
FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date: 09/30/2023
Facility Name: Hasentree Non Discharge WQ0021934 UIC
Permit Name(if different): NPDES Other
Facility Address: TYPE OF PERMITTED OPERATION BEING MONITORED
Wake Forest "'' °" NC County Wake ❑ Lagoon ❑Remediation: Infiltration Gallery
..1. s:a,,, z..
© Spray Field ril Remediation:
Contact Person: Roger Tupps Telephone#: [phone] ElRotary Distributor ElLand Application of Sludge
Well Location/Site Name: No. of wells to be sampled: 5 LI Water Source Heat Pump ❑Other:
(from Permit)
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): MW-4 Date sample collected: 12/06/2021 FIELD ANALYSES: WAS
Well Depth: 29.91 ft. Well Diameter: 2 in. pH 5.7 units Temp. 19 °C DRY at
Mhos time of
Depth to Water Level: 27.10 ft. below measuring point Screened Interval: ft. to _ft. Spec. Cond. µ sampling,
Measuring Point is ft. above land surface Relative M.P. Elevation: ft. Odor check
Volume of water pumped/bailed before sampling: .5 gallons Appearance here:
Samples for metals were collected unfiltered: DYES ❑NO and field acidified: ❑YES ❑NO
LABORATORY INFORMATION
Date sample analyzed: 12/06/2021 Laboratory Name: Enviroment 1 Certification No. 10
PARAMETERS NOTE:Values should reflect dissolved and colloidal concentrations.
COD mg/I ik!: to(NO2)as N mg/I Pb-Lead mg/I
Coliform: MF Feca. <1 /100m1 N ate(NO3)as N .13 mg/I Zn-Zinc mg/I
Coliform: MF Total /100m1 Pho=: Torus:Total as P <.04 mg/I
(Note: Use MPN•.-ethod for highly turbid samples) Orthophosphate mg/I Other(Specify Compounds and Concentration Units):
Dissolved Solids:Total— 81 mg/1 Al-Aluminum mg/I Total Suspended Residual 41
H(when analyzed) 5.7 units Ba-Barium mg/I
TOC 1.21 mg/I Ca-Calcium mg/I
Chloride 15 mg/I Cd-Cadmium mg/I
Arsenic mg/1 Chromium:Total mg/I
Grease and Oils mg/1 Cu-Copper mg/I ORGANICS:(by GC,GC/MS, HPLC)
Phenol mg/I Fe-Iron mg/I (Specify test and method#.ATTACH LAB REPORT.)
Sulfate mg/1 Hg-Mercury mg/1 Report Attached? ❑ Yes(1) ❑ No(0)
Specific Conductance µMhos K-Potassium mg/1 VOC ,method#
Total Ammonia .53 mg/I Mg-Magnesium mg/1 ,method#
(Ammonia Nitrogen,NH3 as N;Ammonia Nitrogen,Total) Mn-Manganese mg/I , method#
TKN as N mg/I Ni-Nickel mg/1 , method#
For Remediation Systems Only(Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
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
DWQ-certified laborator . I am aware that there are si•nificant•enalties for submittin.false information.includin.the•ossibilit of fines and im•risonment for knowin•violations.
Roger Tupps- Field Supervisor „71� v 3-2
Permittee(or Authorized Agent)Name and Title-Please print or type Signatu Permittee7or Aut or gent) ( ate)
GW-59 Rev. 1/2007

SUBMIT FORM ON YELLOW PAPER ONLY
Mail original DEPARTMENT OF ENVIRONMENT&NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING: and 1 copy 10: `IVISIONOF WATER OUALITY-INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM 817 MAIL SERVICE CENTER,RALEIGH,NC27899.1617' Phone:[phone]
FACILITY INFORMATION Please Pnnt C/early or Type PERMIT Number: Expiration Date: 09/30/2023
Facility Name: Hasentree Non-Discharge W00021934 UIC
Permit Name(if different): NPDES Other
Facility Address: TYPE OF PERMITTED OPERATION BEING MONITORED
Wake Forest 1i1ieb NC County Wake ❑ Lagoon ❑Remediation: Infiltration Gallery
"'' ''°' ❑7C Spray Field ❑Remediation:
Contact Person: RogerTuppsTelephone#: Rotary ❑Land Application of Sludge
Ro er 919-653-6966 ❑ Distributor
Well Location/Site Name: No. of wells to be sampled: 5 ❑ Water Source Heat Pump ❑Other:
(from Permit)
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): MW-5 Date sample collected: 12/06/2021 FIELD ANALYSES: WAS
Well Depth: 36.65 ft. Well Diameter: 2 in. pH 5.6 units Temp. 18 °C DRY at
00 ft. below measuringpoint Screened Interval: ft. to ft. Spec. Cond. µMhos time of
Depth to Water Level: '.
sampling,
Measuring Point is ft. above land surface R;;lative M.P. Elevation: ft. Odor check
Volume of water pumped/bailed before sampling: 2.0 gallons Appearance here:
Samples for metals were collecied unfiltered: OYES ❑NO and field acidified: ❑YES ❑NO
Lk FI.00iA 1ORY INFORMATION
Date -,ple analyzed: 12/06 2021 Laboratory Name: Enviroment 1 Certification No. 10
PARAMETERS NOTE:Values should reflect dissolved and colloidal concentrations.
COD mg/I Nitrite(NO2)as N mg/I Pb-Lead mg/I
Coliform: MF Fecal <1 /100m1 Nitrate(NO3)as N .32 mg/I Zn-Zinc mg/I
Coliform: MF Total /100m1 Phosphorus:Total as P 1.27 mg/I
(Note Use MPN method for highly turbid samples) Orthophosphate mg/I Other(Specify Compounds and Concentration Units):
Dissolved Solids:Total 22 mg/1 Al-Aluminum mg/I Total Suspended Residual 22
pH (when analyzed) 5.6 units Ba-Barium mg/I
TOC 1.11 mg/I Ca-Calcium mg/1
Chloride 4 mg/I Cd-Cadmium mg/1
Arsenic mg/I Chromium:Total mg/I
Grease and Oils mg/I Cu-Copper mg/I ORGANICS:(by GC,GC/MS, HPLC)
Phenol mg/I Fe-Iron mg/I (Specify test and method#.ATTACH LAB REPORT.)
Sulfate mg/I Hg-Mercury mg/I Report Attached? ❑ Yes(1) ❑ No(0) '
Specific Conductance µMhos K-Potassium mg/1 VOC , method#
Total Ammonia .05 mg/I Mg-Magnesium mg/I , method#
(Ammonia Nitrogen,NH3as N,Ammonia Nitrogen,Total) Mn-Manganese mg/I ,method#
TKN as N mg/I Ni-Nickel mg/I ,method#
For Remediation Systems Only(Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
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
DWQ-certified laborator . I am aware that there are si•nificant•enalties for submittn•false information,includin•the•ossibility of fines and im•risonment for knowing violations.
Roger Tupps-Field Supervisor ,' /ice o -2
Permittee(or Authorized Agent)Name and Title-Please print or type Signet of Permittee(or Auth riz` ent) ;Date) ,.
GW-59 Rev. 1/2007