WQ0005849_Monitoring - 03-2022_20220429

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DWR - NonDischarge Monitoring Report Submittal
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NORTH CAROLINA
Enrlranmenlel QHaflly
Monitoring Report Submittal
..............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
Permit Number#* WQ0005849
Name of Facility:* Pluris LLC
Month:* March Year:* 2022
Report Information
Type* Upload Document*
GW-59 Pluris NT GW59 March 22.pdf 12.22MB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2,NDMLR,GW-59).
Confirmation Email Address:* [e-mail]
Name of Submitter:* Randy R Hoffer
Signature:
Date of submittal: 4/29/2022
This will be filled in automatically
Initial Review
.............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
Reviewer: Gerald,Wanda

Is the project number correct?* WQ0005849
Is the monitoring report accepted?* Yes No
Regional Office* Wilmington
Accepted Date: 5/24/2022

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
MaII original DEPARTMENT OF ENVIRONMENTAL FORMATION PROCESSING UNIT
wATER RESOURCES
COMPLIANCE REPORT FORM and i copy to: 1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION Please Print Clearly or Type PERMIT Number:&ci'uj;; Expiration Date: AR-3r -;74421v
Facility Name: Phi. 1 L._�Q Non-Discharge U1C
Permit Name (if different): NPDES Other
Facility Address: it)C1 S— 1 4 J 0 TYPE OF PERMITTED OPERATION BEING MONITORED
5 left . Ptg IJL of County Q^,51r—, ❑ L�a oon 0 Remediation: Infiltration Gallery
R
!I pray Field ❑ Remediation:
Contact Person: 2A 4" f )•4eZ. Telephone#: 9A--; - ) ❑ RotaryDistributor ❑ Land Application of Sludge
7-:� PP 9
Well Location/Site Name: Re jl,,4:T ,14- •s% r .7 No. of wells to be sampled: t ❑ Water Source Heat Pump ❑ Other:
(from Permit)
SAMPLING INFORMATION -ZZ-i, If WELL
WELL ID NUMBER (from Permit): Date sample collected: :? -- 3 - FIELD ANALYSES: WAS
Well Depth: / -/ ft. Well Diameter: �-- in. pH 00400: 5, Yunits Temp. 000wo: ,(!.� °C DRY at
Depth to Water Level 82546: 7 "V"1 ft. below measuring point Screened Interval: ft. to ft. Spec. Cond. 00094: ,µMhos time of
d sampling,
Measuring Point is ,
1 ft. above !and surface Relative M.P. Elevation: ft. Odor 00085: # check
Volume of water pumped/bailed before sampling: gallons Appearance ('.1 eAL here:
Samples for metals were collected unfiltered: 0 YES 0 NO and field acidified: ❑ YES 0 NO -
LABORATORY INFORMATION
Date sample analyzed: Laboratory Name: Certification No.
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L Nitrite (NO2) as N 00615 mg/L Pb - Lead o1051 ug/L
Coliform: MF Fecal 31616 /100mL Nitrate (NO3) as N 00620 D mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504 4. I /100mL Phosphorus: Total as P 00665 mg/L
Mote: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units):
dissolved Solids:Total 70300 5-7_ ,"j mg/L Al - Aluminum o1105 mg/L
pH (Lab) 00403 units Ba - Barium 01007 ug/L
TOC 00680 3-3_ mg/L Ca - Calcium 00916 mg/L
Chloride 00940 i I 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 uglL Fe - Iron 01045 ug/L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945 mg/L Hg - Mercury 71900 uglL Lab Report Attached? ❑ Yes (1) 0 No (0)
Specific Conductance 00095 µMhos K - Potassium 00937 mg/L VOC 7873 , method #
Total Ammonia oo610 I, '1 mg/L Mg - Magnesium 00927 mg/L , method #
(Ammonia Nitrogen; NH3 as N;Ammonia Nitrogen,Total) Mn - Manganese 01055 UgIL , 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%
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
MR-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) Na a and Tit e- lease print or type Signature of Permittee (.r , :thoriz-d Age sate)
,_/7--.7.-i
GW-59 Rev. 05-02-2017

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING: Mail original DEPARTMENT OF ENVIRONMENTAL QUALITY-DIV. OF WATER RESOURCES
INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM and 1 copy to: 1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION Please Print Clearly or Type PERMIT Number:LL'QQ)Oir xpiration Date: [ Z- 3 /-, (Q(
Facility Name: p1'_47 in LL C._ Non-Discharge UIC
Permit Name (if different): NPDES Other
Facility Address: //)9 J- e/4, / Cy TYPE�— OF PERMITTED OPERATION BEING MONITORED
34/f/ ,5 .- -'41 Ap 0 County t/4) MagAoon ❑ Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
Contact Person: is f2-x( Dr' / 614—r . Telephone#: C O - 7- -Ci ❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name:gez5,cj L zt,,../ 4* 3 No. of wells to be sampled: i ❑ Water Source Heat Pump 0 Other:
(from Permit)
SAMPLING INFORMATION If WELL
WELL ID NUMBER (from Permit): :3 Date sample collected: 3-3 - FIELD ANALYSES: WAS
Well Depth: /k i ft. Well Diameter: L in. pH 00400:$, / units Temp. 0001o: 1 I °C DRY at
Depth to Water Level 82546: ep fa' ft. below measuring point Screened Interval: ft. to ft. Spec. Cond. 00094: µMhos time of
sampling,
Measuring Point is , ft. above land surface Relative M.P. Elevation: ft. Odor 00085: WA check
Volume of water pumped/bailed before sampling: gallons Appearance 2e-,f,[,'s I, here:
Samples for metals were collected unfiltered: ❑YES ❑ NO and field acidified: ❑ YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: Laboratory Name: Certification No.
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 /100mL Nitrate (NO3) as N 00620 fa.
) / G mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504 < I /100mL Phosphorus: Total as P 00665 mg/L
(dote: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units):
Dissolved Solids:Total 70300 - 7 f mg/L Al - Aluminum 01105 mg/L
pH (Lab) 00403 units Ba - Barium 01007 ug/L
TOC 00660 ,' mg/L Ca - Calcium 00916 mg/L
Chloride 00940 / I mg/L Cd - Cadmium 01027 ug/L
Arsenic o1002 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) 0 No (0)
,Specific Conductance 00095 µMhos K - Potassium 00937 mg/L VOC 7873 , method #
Total Ammonia o0610 <6, ;_ mg/L Mg - Magnesium 00927 mg/L , method #
(Ammonia Nitrogen; NI-f 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%
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
DWR-certfied laboratory. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations.
/. de-dt .0....." Mb ' AiljeirigiellEr"-1.'.. -.
Permittee(or Aut orized Agent ame a • Ti e- Please print or type Signature of Per - -z (or Aut oriz-d A.-. t ' - (Date)
GW-59 Rev. 05-.2-2017
i

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING: Mail original DEPARTMENT o� E NFONMENTAL QUALITY-DIV.OF RMATION PROCESSING UNIT
wATER RESOURCES
COMPLIANCE REPORT FORM and 1 copy to: 1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
Please Print Clearly or Type r -�
FACILITY INFORMATION yp PERMIT Number/MI-kV:: ?i/ 7 Expiration Date: j„ _ ? /'- (.;; 6
Facility Name: fi/ Z,y ‘.....4. (. ' Non-Discharge UIC
Permit Name (if different): NPDES Other
Facility Address: /0 9, ' //Lay ::.9. /0 TYPE OF PERMITTED OPERATION BEING MONITORED
.SAIL jPS rpz ij r\/ ,g /�(J County (, / /() J 0 Lagoon� ❑ Remediation: Infiltration Gallery
J _ LSpray Field ❑ Remediation:
Contact Person: kJ1it../i)f' /`/o ,& Telephone#: 9/L -. 7 v? . ❑ Rotary Distributor 0 Land Application of Sludge
Well Location/Site Name:Bei/4.,,,d gem :5C3�1�, No. of wells to be sampled: i ❑ Water Source Heat Pump 0 Other:
(from ermit)
SAMPLING INFORMATION - if WELL
WELL ID NUMBER (from Permit): 5/ Date sample collected: 3 -3 "4; FIELD ANALYSES: WAS
Well Depth: / r ft. Well Diameter: 2 in. pH 00400: ,9 units Temp. Nolo: /'1, 7 °C DRY at
Depth to Water Level 82546: 5occi " ft. below measuring point Screened Interval: ft. to ft. Spec. Cond. 00094: µMhos time of
sampling,
Measuring Point is t.2 ' ft. above !and surface Relative M.P. Elevation: ft. Odor 00085: )
Jif
check
Volume of water pumped/bailed before sampling: gallons Appearance de/412_ here:-
Samples for metals were collected unfiltered: ❑YES El NO and field acidified: ❑ YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: Laboratory Name: Certification No.
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L Nitrite (NO2) as N 00615 mg/L Pb - Lead 01051 uglL
Coliform: MF Fecal 31616 /100mL Nitrate (NO3) as N 00620 0, ,3 mg/L Zn - Zinc 01092 mg/L
Coliform: ME Total 31504 < I /100mL Phosphorus: Total as P 00665 mg/L
(mote: Use MPN method for highly turbid samples Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 .e 7 / mg/L Al - Aluminum o1105 mg/L
pH (Lab) 00403 units Ba - Barium 01007 ug/L
TOC 00660 a, 7f mg/L Ca - Calcium 00916 mg/L
Chloride 00940 f I mg/L Cd - Cadmium 01027 ug/L
Arsenic o1002 ug/L Chromium: Total 01034 uglL
Grease and Oils 00552 mg/L Cu - Copper 01042 mg/L ORGANICS: (by GC, GC/MS, HPLC)
2. Phenol 32730 ug/L Fe - Iron 01045 ug!L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945 mglL Hg - Mercury 71900 ug/L Lab Report Attached? 0 Yes (1) ❑ No (0)
I .pecific Conductance 00095 µMhos K - Potassium 00937 mg/L VOC 7873 , method #
Total Ammonia oo610 s$ j mg/L Mg - Magnesium 00927 mg/L , method #
0 (ammonia Nitrogen; NH3 as N;Ammonia Nitrogen, Total) Mn - Manganese 01055 uglL , method #
TKN as N 00625 mg/L Ni - Nickel 01067 uglL 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
DWR-certfied laboratory. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations.
it ir
471 AW-2_
Permittee(or Authorized Agent),Klame and Title- Please print or type Signature of PermittO. X-4/11—,7 /11147 -4 ---- --
z
Au horize' • •: (Date)
GW-59 Rev. 05-02-2017
1

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING: Mail original, DEPARTMENT OF ENVIRONMENTAL QUALITY-DIV. OF WATER RESOURCES
and 1 CO to INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM PY 1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION Please Print Clearly or Type PERMIT Number:Vett -- c Expiration Date: /2. - 7 f -
Facility Name: )Yqj j 115. Lk C, Non-Discharge UIC
Permit Name (if different): NPDES Other
Facility Address: /6 99 /4L415-' .,g& TYPE OF PERMITTED OPERATION BEING MONITORED
€I3 P' i c— cWia;0 County akty kic..() O[goon ❑ Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
Contact Person: 24NDC/ //ô4hz Telephone#://L)-;3j, 7- \ ` 6 ❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: ) e!1;jc G—t, L. %;\(;0 No. of wells to be sampled: 1 0 Water Source Heat Pump ❑ Other:
(from Permit}
SAMPLING INFORMATION If WELL
WELL ID NUMBER (from Permit): Date sample collected: 3 -3 ' .. FIELD ANALYSES: WAS
Well Depth: / ' ft. Well Diameter: in. pH 00400: 42. Y units Temp. 00o1o: / 7. / °C DRY at
Depth to Water Level 82546: 51[" ft. below measuring point Screened Interval: ft. to ft. Spec. Cond. 00094: µMhos time of
sampling,
Measuring Point is ,.2 ' ft. above !and surface Relative M.P. Elevation: ft. Odor 00085: /4 ,4 check
Volume of water pumped/bailed before sampling: 3 gallons Appearance C E?n-i2. here:
Samples for metals were collected unfiltered: ❑YES ❑ NO and field acidified: 0 YES 0 NO -
LABORATORY INFORMATION
Date sample analyzed: Laboratory Name: Certification No.
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 /100mL Nitrate (NO3) as N 00620 e-.1.3 LI) mg/L Zn - Zinc 01092 mg/L
Coliform: ME 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):
3issolved Solids:Total 70300 33 mg/L Al - Aluminum o1105 mg/L
pH (Lab) 00403 units Ba - Barium 01007 uglL
TOC 006803- mg/L Ca - Calcium 00916 mg/L
Chloride 00940 9 9 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 uglL (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 u, mglL Mg - Magnesium 00927 mg/L , method #
(Ammonia Nitrogen; NH3 asN;Ammonia Nitrogen,Total) Mn - Manganese 01055 uglL , method #
TKN as N 00625 mg/L Ni - Nickel 01067 ug/L , method #
i
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
DWR-certified laboratory. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowi.Hg violations.
a 9 �� e---7 AgAr---,.-7
Permittee(or Authorized •gent)Name an. itle- Please print or type Signature of Permian•r Aufhori,•f'gent) *ate)
■,
GW-59 Rev. 05-02-2017
L

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING: Mail original DEPARTMENT OF ENV111FORMATIQN PROCESSING UNIT QUALITY-DIV. OF wATER RESOURCES
ICOMPLIANCE REPORT FORM and 1 copy to: 1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION Please Print Clearly or Type PERMIT Number:L/44es,17546 Expiration Date: 12-3! - ; 6.- (-,
Facility Name: )JGfp ;5 LL ( Non-Discharge UIC
Permit Name (if different): NPDES Other
Facility Address: /C J ay , l^) TYPE OF PERMITTED OPERATION BEING MONITORED
5 1€&17S P2g(j � - r4,fep4) County / /�} [an-goon D Remediation: Infiltration Gallery
/ AILO, 0 Spray Field ❑ Remediation:
Contact Person: /?4 j -/ /-D Telephone#: 91C - .3,R]_,Qa. 0) 0 Rotary Distributor 0 Land Application of Sludge
Well Location/Site Name: /3/j;,.Jd i-iR_T- ��} No. of wells to be sampled: l 0 Water Source Heat Pump ❑ Other:
t`l from Permit)
SAMPLING INFORMATION If WELL
_
WELL ID NUMBER (from Permit): 1P CC Date sample collected: 3- -- ,2vZ FIELD ANALYSES: WAS
Well Depth: /'ft. Well Diameter: in. pH 00400:/0: 3 units Temp. mow: / 7, .3 °C DRY at
Depth to Water Level 82546: 9 ,3 -. ft. below measuring point Screened Interval: ft. to ft. Spec. Cond. 00094: µMhos time of
Measuring Point is ,�r ft. above !and surface Relative M.P. Elevation: ft. Odor 00085: sampling,
, check
Volume of water pumped/bailed before sampling: 3 gallons Appearance ' jt -4iZ. here:
Samples for metals were collected unfiltered: ❑YES 0 NO and field acidified: ❑ YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: Laboratory Name: Certification No.
IPARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L Nitrite (NO2) as N 00615 mg/L Pb - Lead 01os1 ug/L
Coliform: MF Fecal 31616 1100mL Nitrate (NO3) as N 00620 L) OS/ mg/L Zn - Zinc 01092 mg/L
1 Coliform: MF Total 31504 4 I /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):
IDissolved Solids:Total 70300 35 mg/L Ai - Aluminum o1105 mg/L
pH (Lab) 00403 units Ba - Barium 01007 ug/L
TOC 00680 1 L. I mg/L Ca - Calcium 00916 mg/L
Chloride 00940 5# - 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 uglL Fe - Iron 01045 ug/L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945 mg/L Hg - Mercury 71900 ug/L Lab Report Attached? 0 Yes (1) ❑ No (0)
Specific Conductance 00095 µMhos K - Potassium o0937 mg/L VOC 7873 , method #
Total Ammonia 00610 /,3 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%
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
DWR-certified laboratory. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for kno��..ng violations.
7
Irl 76:4e-04 7 '' Air "--- 0 2
.:.
e- ---),,y-2 --,.
Perrnittee(or Authorized Agent) Name ag}, Title- Please print or type Signature of Pe ittee (or Authori- .d •gent) / (Date)
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: [phone]
FACILITY INFORMATION Please Print Clearly or Type t:
PERMIT Number:ft.�k�'�P�f t Expiration Date: 42-_?/"_. 0,;e(c.
Facility Name: P/f , 3 LL C._ Non-Discharge UIC
Permit Name (if different): NPDES Other
FacilityAddress: /09$' l/t Jr' .) TYPE OF PERMITTED OPERATION BEING MONITORED
(s i e'� y , tc.,. ,.-Q?-glj}[J County OrliS/Cu.,4i agoon El Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
Contact Person: /ary•4 D ,14.7 I(---
� Telephone#: Q/ )-L,a2„%Z- ❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Reh../y4.3 i 2,,.,,v��, No. of wells to be sampled: / ❑ Water Source Heat Pump ❑ Other:
fro m ermU)�
SAMPLING INFORMATION If WELL
WELL ID NUMBER (from Permit): 7 Date sample collected: 3--3 •,,7 , FIELD ANALYSES: WAS
Well Depth: / ft. Well Diameter: in. pH 00400:LP.,A units Temp. 00o1o: / ' °C DRY at
Depth to Water Level 82546: ' 7 " ft. below measuring point Screened Interval: ft. to ft. Spec. Cond. 00094: µMhos time of
�� sampling,
Measuring Point is cI�' J ft. above !and surface Relative M.P. Elevation: ft. Odor 00085: e4/4 check
Volume of water pumped/bailed before sampling: 5 gallons Appearance Cie_14.j.. here:
Samples for metals were collected unfiltered: ❑YES ❑ NO and field acidified: 0 YES ❑ NO •
LABORATORY INFORMATION
Date sample analyzed: Laboratory Name: Certification No.
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L Nitrite (NO2) as N 00615 mg/L Pb - Lead o1051 ug/L
Coliform: MF Fecal 31616 /100mL Nitrate (NO3) as N 00620 a 1-) .7 mg/L Zn - Zinc o1092 mg/L
Coliform: MF Total 31504 K i /100mL Phosphorus: Total as P 00665 mg/L
Mote: Use MPN method for highly turbid samples)
Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units):
dissolved Sofids:Total 70300 mg/L AI - Aluminum o1105 mg/L
pH (Lab) 00403 units Ba - Barium 01007 _ ugiL
TOC 00680 j 57 4-1 mg/L Ca - Calcium 00916 mg/L
I Chloride 00940 7(p mg/L Cd - Cadmium 01027 ug/L
Arsenic 01002 ug/L Chromium: Total 01034 uglL
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 o0610 3, < mg/L Mg - Magnesium 00927 mg/L , method #
(Ammonia Nltrogen; 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%
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
DWR-certified laboratory. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for kno': ing violations.
' e ' -- Allf 1"--- A 7 / , ,...._
Permittee(or Authorized Agent) Name and itle- Please print or type Signature of PeCi ii4'ee (or Autho e► gent) (Date)
GW-59 Rev. 05-02-2017
I

SUBMIT FORM ON YELLOW PAPER ONLY
Mail original DEPARTMENT OF ENVIRONMENTAL QUALITY-DIV.OF WATER RESOURCES
GROUNDWATER QUALITY MONITORING: and 1 copy to: INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM 1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: eeks Expiration Date: if - 3 g--2 C'Z C
Facility Name: ,PA1i7 i. LL (1-, Non-Discharge UIC
Permit Name (if different): NPDES Other
Facility Address: ii)9 j &1 -' /0 TYPE OF PERMITTED OPERATION BEING MONITORED
i'1lQi' s1 2 /c, ;V� CCU/) County 0, _s/6(.<1 9goon ❑ Remediation: Infiltration Gallery
❑
Spray Field ❑ Remediation:
Contact Person: J ' .D U /46 eZ Telephone#: 9/6 ..3?7 ) ❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: 8c'`p,;1/41,D /4/2 — poi,/ S No. of wells to be sampled:I ❑ Water Source Heat Pump El Other:
cfrom emit) .
SAMPLING INFORMATION If WELL
WELL ID NUMBER (from Permit): - Date sample collected: 2 -3 - FIELD ANALYSES: WAS
Well Depth: ?Oft. Well Diameter: .in. pH 00400: 6 units Temp. 00o10: I?; ( °C DRY at
Depth to Water Level 82546: /7 ft. below measuring point Screened Interval: ft. to ft. Spec. Cond. 00094: µMhos time of
sampling,
Measuring Point is 3 ft. above !and surface Relative M.P. Elevation: ft. Odor 00085: /1/41€f9- check
Volume of water pumped/bailed before sampling: gallons Appearance C ll-17... here:
Samples for metals were collected unfiltered: ❑YES 0 NO and field acidified: ❑ YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: Laboratory Name: Certification No.
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 /100mL Nitrate (NO3) as N 00620 .O. mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504 < 1 /100mL Phosphorus: Total as P 00665 mg/L
(tote: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units):
)issolved Solids:Total 70300 ,9 /5� mg/L Al - Aluminum 01105 mg/L
pH (Lab) 00403 units Ba - Barium 01007 ug/L
TOC 00680 L . Li mg/L Ca - Calcium 00916 mg/L
Chloride 00940 mg/L Cd - Cadmium 01027 ug/L
Arsenic o1002 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 ug1L Fe - Iron 01045 ug1L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945 mg/L Hg - Mercury 71900 ug/L Lab Report Attached? 0 Yes (1) El No (0)
Specific Conductance 00095 µMhos K - Potassium 00937 mg/L VOC 7873 , method #
Total Ammonia 00610 co � 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 #
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
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.
? 2PL
Permittee(or Auth ze Age ) Name and Title- Please print or type Signature of Permi , or Authoriz:.. ''ent) (Date) r
GW-59 Rev. 05-02-2017

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING: Mail original DEPARTMENT OF ENVIRONMENTAL INFORMATION ON PROCESSING UNITd'lf#Tc� RESOURCES
COMPLIANCE REPORT FORMand 1 COpy to: 1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION Please Print Clearly or Type PERMIT Number:t a'ci j/7 Expiration Date: j G- 3 j-�ca,
Facility Name: P44024.5 LI—C.,„ Non-Discharge UIC
Permit Name (if different): NPDES Other
Facility Address: /D9< /41et /t) TYPE OF PERMITTED OPERATION BEING MONITORED
-SA/PADS J��� 7 f L_ c.- .) County C9h7�/,O4,...c ) 1 -Con ❑ Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
���, _ P Y
Contact Person: 1 E L.LJ�c,). , Telephone#: 9'/ 2.. 7� '� 0 Rotary Distributor 0 Land Application of Sludge
Well Location/Site Name:Rph,: fit)G `e 4:t3 No. of wells to be sampled: j 0 Water Source Heat Pump 0 Other:
�— from Permit}
SAMPLING INFORMATION "If WELL
WELL ID NUMBER (from Permit): Date sample collected: 3 -3 - FIELD ANALYSES: WAS
Well Depth: 3) ft. Well Diameter: ' L in. pH 00400: 73 units Temp. mown: /Ca. ( °C DRY at
Depth to Water Level 82546: L `ft)" ft. below measuring point Screened Interval: it. to ft. Spec. Cond. 00094: µMhos time of
Measuring Point is y ft. above !and surface Relative M.P. Elevation: ft. Odor 00085: }L/i' checking
Volume of water pumped/bailed before sampling: gallons Appearance ij: / i S ) here:
Samples for metals were collected unfiltered: ❑YES 0 NO and field acidified: ❑ YES 0 NO
LABORATORY INFORMATION
Date sample analyzed: Laboratory Name: Certification No.
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 /100mL Nitrate (NO3) as N 00620 ) (7 mg/L Zn - Zinc 01092 mg/L
Colifomm: ME Total 31504 1 /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):
Dissolved Solids:Total 70300 7 mg/L Al - Aluminum o1105 mg/L
pH (Lab) 00403 units Ba - Barium o1007 ug1L
TOC 00680 j, 5- mg/L Ca - Calcium 00916 mg/L
Chloride 00940 13 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 ug1L Lab Report Attached? 0 Yes (1) 0 No (0)
Specific Conductance 00095 µMhos K - Potassium 00937 mg/L VOC 7873 , method #
Total Ammonia 00610 < O, a 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 #
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
DWR-certiied laboratory. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knrNina violations.
Permittee(or 6..tbdrized Agent) :me and Title- Please print or type Signature of Pe oil -e (o i uthg -- '•gent) Pate)
GW-59 Rev. 05-02-2017
/ r

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING: Mail original DEPARTMENT OF ENVIRONMENTAL QUALITY-DN. OF WATER RESOURCES
and 1 Co py t0: INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM 1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION Please Print Clearly or Type PERMIT Number:to"?0"7f5',I Expiration Date: /2 - 3 /- 26 2<.,
Facility Name: pit.",,5 / 4 Non-Discharge UIC
Permit Name (if different): NPDES Other
Facility Address: `C.)C)- H L(.-"k" ,-2 /0 TYPE OF PERMITTED OPERATION BEING MONITORED
Si/4 DS E 2 i/ Al c �//r() County ( s/6(i ) Rgoon 0 Remediation: Infiltration Gallery
J ❑ Spray Field ❑ Remediation:
Contact Person: 04-/ j_ -, k)cfe,ic Telephone#: 9/O.37'_ -ec5 ❑ Rotary Distributor 0 Land Application of Sludge
Well Location/Site Name: j;,/,i) f -p1,,,f No. of wells to be sampled: ) ❑ Water Source Heat Pump ❑ Other:
(from Permit)
SAMPLING INFORMATION If WELL
WELL ID NUMBER (from Permit): /0 Date sample collected: -3 '.3 -,,9 FIELD ANALYSES: WAS
Well Depth: , Q ft. Well Diameter: in. pH 00400: 5 units Temp. 000io: / !, °C DRY at
Depth to Water Level 82546: /31`` ft. below measuringMhos time of
p ' point Screened Interval: ft. to ft. Spec. Cond. 00094: f �` sampling,
Measuring Point is _3 ft. above land surface Relative M.P. Elevation: ft. Odor 00085: check
Volume of water pumped/bailed before sampling: gallons Appearance C_'/QA-k,. here:
Samples for metals were collected unfiltered: ❑YES ❑ NO and field acidified: ❑ YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: Laboratory Name: Certification No.
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 /100mL Nitrate (NO3) as N 00620 O. mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504 . / /100mL Phosphorus: Total as P o0665 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 44, S mg/L Ca - Calcium 00916 mg/L
Chloride 00940 /0 9 - 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 uglL 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; 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%
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
DWR-certified laboratory. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonmen'for knrv.ping violations.
'ham �� / -/ / 1 1111r---
Pe a or Authorized/gent) Name and Title- Please print or type Sictnature f P 'rmittee .r • 'rT= .ent) (Date)
GW-59 Rev. 05-02-2017

GW-59A COMPLIANCE REPORT FORM Permit #t47e) W7
(Submit one each monitoring period with GW.59 forms.)
Enter date monitoring results were due. (1 !) , Will this monitoring report (GW-59 and GW-59A) YES NO
be submitted after the established due date?
2 Was any required information missing on the CW-59 report forms? YES NO
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 information.
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.)? tithe answer is "Yes", contact the Regional Office for guidance.
4 Are any monitored constituents equal to or above the established standards? YES NO
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 concentrations)
exceeding standards in the space provided below: Wei/ Zs �,J' -A1E13 , •g s
war i - -rs7s,5;7 7 - /•4/ i �- ri�- - -3 v. -
`yeti et 3 - pig-5:
well �Jei c•y 113 .5"-- k'ei/ te/4)— 17N S
6' 4. 3 4113 1,3
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, concentration(s) reported, and sample collection date for each occurrence (for the last two years).
5eZ- f ,(-34-Ape
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 surroundin.q this facility Failure to do so may subject the permittee to a Notice of Violation,
fines, and/or penalties.
g 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 true nd complete to the best of my knowledge.
/
7 f
Signature of Permittee (or Authorized Agent) ate
12/8/2003
. r •_fla

2019 2020 2021 2022
MARCH JULY NOV. MARCH JULY NOV. MARCH JULY NOV. MARCH JULY NOV.
WELL 1
TDS 501 537 527
PH 6.1 5.6 5.5 6.1 5.5 5.9 6.08 5.6 5 5.8
NH3 1.4
WELL 3
TDS 51
PH 6.2 6.4 5.6 6.4 6.2 6.1 6.2 6.06 5.53 5.8
NH3 5.1 5 4.4 4.8
WELL 4
TDS
PH 5.3 5.2 5 5.4 5.3 5.2 5.3 5.18 4.56 4.9
NH3 5.3
WELL 5
TDS
PH 6.5 6.36
NH3 0.8
WELL 6
TDS
PH 6.3 6.4 5.81 6.3
NH3 1.5 1.3
WELL 7
TDS
PH 6.3 6 6.3 6.3 6.3 6.1 5.71 6.2
NH3 2.4 2.6 2.4 2.8 2.5
WELL 8
TDS 200
PH NEW WELL DRY 6.3 6.49 6
NH3 0.5
WELL 9
TDS
PH NEW WELL 6.45
NH3 0.3
WELL 10
TDS
PH NEW WELL 5.9 5.5 5.3 4.55 5
NH3