WQ0033677_Monitoring - 03-2022_20220420

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• '- 1GROUNDWATER QUALITY MONITORING: -nd 1 ',... ;-:l.'
iCOMPUANCE REPORT FORM a OPY , ;.'-r-1:%,• C -.-.'•,".-I,''',--C•iTi,.'T,-F._,Z-r.',?i--,.4-'r:...- -::,”.:,;'',,",iN',I-,... .. -' ,-:- ,1, ;: - •,'-,'--- - :', „ -•. •:- : ,- „--,-;;,,:T.P.-E1,-7,1Vi. 4-i
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EAcILITY INFQRMATION Please Print Clearly or Type PERMIT gurnbertiNO,/7 Expiration Date: 0Q.—3) - , 1
Facility Name: Ceii Eftiv4AttiAtcl i L C-
-w.- Non-Discharge : UIC
iPermit Name(if different): • NPDES
, Other
Facility Address: 51 4 7 a (0 or PI eg i 93 144 TYPE OF PERMITTED OPERATION BEING MONITORED
. lt egcs jilt n'iirci) NC X56;c5- County p u r P..c., 0 Loon [:=I Remediation:Infiltration Gallery
hy, flziel ,Di, '
IVray Field , El Remecliation:
Contact Person: C. ' .G ; ),,/I )i _ep(. Telephone#: 5W"9 35ce 9 Od El Rotary Distributor. El Land Application of Sludge
Well Location/Site Name: e fi,0 0,5) g )) No.of wells to be sampled: 3 El Water Source Pump El Other:
(from Pennid
If WELL
SAMPLING INFORMATION !
I WAS.
WELL ID NUMBER(from Permit): 1$ 3 Date sample collected: 3-AO--9a. FIELD ANALXSES:
Well Depth: 54ft. Well Diameter: in. pH 6,1.5 units Temp.. 19• cc DRY at
Depth to Water Level: 6 ft.below measuring point Screened Interval: _fl_ N
to gclt. Spec.Cond. o µMhoi time of
sampling,
Measuring Point is ft.above land surface Relative M.P.Elevation: ly i ft. Odor : n OP f_.,• check
Volume of water pumped/bailed before sampling, 71,3 gallons Appearance : C les4 r here:
Sam•les for metals were co..... ed Unfiltered VAIES n NO and field acidified: DYES 0 NO . . •I ,:,...;.1 4: , •;,:...girli _iro.4, ,
IDate sample analyzed: lir g . Laboratory Name:Wafer Tell I.-cc b 4 /4 C• Certification No.L4b 4.co
!PARAMETERS NOTE V ,ue "should reflect dissolved and colloicll concentrations.
COD ' mg/I Nitrite(NO2)as N mg/I Pb-Lead mg/I
Coliform: MF Fecal ' 1100m1 Nitrate(NO3)as N 160 mg/I. Zn-Zinc 0,0314 mg/I
Coliform:MF Total 1100m1 Phosphorus:Total as P t),3) mg/I :
(Note; Use MPN method for highly turbid samples) Orthophbsphate .mg/I Other(Specify Compounds and Concentration Units):
Dissolved Solids:Total i 5 mg/I Al-Alliiminum mg/I •.
pH(when analyzed) ' 3
.2
units Ba 2Barium . mg/I ,,a1,4,1„. g, A Ply it 1
TOC I,7 mg/I Ca-Calcium mgil 0419ftsi 4 C),()0
Chloride .. i 2,9 mg/I Cd-Cadmium mg/I ale. ti Ai— / ....
Arsenic : C:6 mg/L _ .--s.., --- • Chromium:Total mg/I --Fpi, . ai 47to 1,1 , A /
Grease and Oils mg/I • Cu-Copper Q b c g) .mg II ORGANICS:1 GC,GC/MS,HPLC)
, . . . .
. . . .
Phenol mg/I APR 2 0 2029 Fe.-Iron mg/I (Speolfy.testiand method#.ATTACH LAB REPORT.)
Sulfate mg/I Hg-Mercury mg/I Report Attached? El Yes(1) 0 No(0)
Specific Conductance RID iiMhos K-Potassium 0 mg1/1 VOC 1 ' ,method#
Total Ammonia 4-I ito rf19/1- ' Mg-Magniesum mg/I ,method#
(Ammonia Nitrogen;NH,as N;Arrtmonia Nitrogen,TaEaRr + ' ' '
Mn-Manganese mg/I ,method# Apio Ni1-Nickel TKN as N 4 /0 mg/I
1 mg/I . • ,method# n Z 1- 2022
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For Remediation Systems Only(Attach Leh Reports); Influent Total VOCs: . . mg/L. Eflitient Total.VOCs: •, .: . mg/L VOC Removal%
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anillMnialre t . y e' e vi_sac iffi- . - .
Pennittee .r Authorized Agent)Name:and Title-Please•int or type/ . Signature.f P- . Mee(or Authorized Agent) (Date)
GW- 9 Rev.1/2007
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• ' - GROUNDWATER QUALITY MOW()RING: -7 tl 1 , Y ,,- ,I r tr 4.° 1 ;w a 3,t'.
COMPLIANCE REPORT FORM and 1 copy to .:;
Please Print Clearly or Type
„FACILITY INFORMATION �/ / / PERMIT Number:lit�'C[�jb/'�Expiration Date: i�-31 - � )
IFacility Name: (.,(J fr /f�/S /7(� (h. L!�- Non-Discharge UIC
Permit Name(if different): 7 NPDES Other
,Facility Address: co4 TYPE OF PERMITTED OPERATION BEING MONITORED
fl //]Q�' n�Oh = NC �?/ 57 County �ytt^ A_ El Lagoon ❑Remediation:Infiltration Gallery
ll f //// //� // cc�� pray Field ❑Remediation:
iContact Person: _C_ ( = 61 n n/1 S Telephone#:gi4 -7351--(r 9eL� ❑ Rotary Distributor ❑Land Application of Sludge
,Well Location/Site Name:_ jt _ J IT No. of wells to be sampled: 3 ❑ Water Source Heat Pump ❑Other:
(from Permit)
,SAMPLING INFORMATION If WELL
WELL ID NUMBER(fromPermit): Lt
Date sample collected: 3' J' FIELD ANALYSES: WAS.
Well Depth: ft. Well Diameter: a in. pH 6 units Temp. / °C DRY at
time of
Depth to Water Level: ,3;?.g ft.below measuring point Screened Interval: aS ft. to y 5 ft. Spec.Cond. I3� µMhos
i sampling,
.
Measuring Point is - 3 _ft.above land surface Relative M.P.Elevation: itS' ft. Odor ' n in n e, check
Volume of water pumped/balled before sampling. , 1/ gallons Appearance , ('• i ec r here:
,Sam.les for metals were collected unfiltered: `'E ; ❑NO and field acidified: ❑YES ❑NO �" /
PARAMETERS sampl anal NOTE:Values should reflect dissolved d and colloidal
Name: 1A4 ( 7 n. Let b S h c i Certification No. !� #-j a
y , '�
I concentrations.
COD mg/I Nitrite(NO2)as N mg/I Pb-Leaf( mg/I
Coliform: MF Fecal /100m1 Nitrate(NO3)as N ,. 1,76, mg/I Zn-Zinc 0.0;46— mg/I
Coliform:MF Total /100m1 Phosphorus:Total as P C). ,(P mg/I
(Note: Use MPN method for highly turbid samples) Orthophosphate mg/I Other(Specify Compounds and Concentration Units):
Dissolved Solids:Total /O 7 mg/I Al-Aluminum mg/I
pH(when analyzed) (D units Ba-Barium mg/I t4,1 t1yi, g /4
TOC dL/ mg/I Ca-Calcium mg/I ) /93 )e /L 4 1 L
Chloride • it 3,jZ mg/I Cd-Cadmium mg/I t"0111!t hl/()e I l .—
Arsenic Q mg/I Chromium:Total mg/I 7-1"�L f4/e!'1 gi 76 mC /
Grease and Oils ' mg/I Cu-Copper 0,0C1 Of q mg/I ORGANICS:( y GC,GC/MS,HPLC) •
Phenol mg/I Fe-Iron mg/I (Specify testand.method#.ATTACH LAB REPORT.)
Sulfate mg/I Hg-Mercury mg/I Report Attached? ❑ Yes(1) ❑ No(0)
Specific Conductance /35 µMhos K Potassium Q mg/I VOC , method#
Total Ammonia G. 1,L) mg/I Mg-Magnesium mg/I - I , method#
(Ammonia Nitrogen;NH,as N;Ammonia Nitrogen,Tow,
Mn-Manganese mg/I ,method#
TKN as BV �/1 D mg/I Ni-Nickel mg/I ,method#
For Remediatton Systems Only(Atta& °:Report°)' 1 influent Total VOCs: img/L Effluent Total VOCs: mg/L ..VOC.Removal°/a
IlriggelehE Ulse/ l� '1I1 � I/ �,,
Permittee(or•uthorized Agent)Name and Tale-Please print or typ Sig ature of Pe it(ee(or Authorize• •gent) (Date)
GW-5' Rev.1/2007

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- GROUNDWATER QUALITY MONITORING: ;,� _fit i .,Y t ttr r�._�K ' �r�ia
and 1 copy to ' :.
COMPLIANCE REPORT FORM (I cat f:�4., .;:
Please Print Clearly or Type /� .
AGILITY INFORMATION ( ` r /� PERMIT NLmber�� �C jd�. Expiration Date: J�-3) -�j
Facility Name: Q� tq ems qt hie L Le Non-Discharge V UIC
Permit Name(if different): - NPDES Other
'Facility Address: 5-0k,7 rut y tel f TYPE OF PERMITTED OPERATION BEING MONITORED
NC ejv County t.t r e ❑ L on ❑Remediation: Infiltration Gallery
J� / E'Spray Field ❑Remediation:
Contact Person: C t✓1 (� ill( 't er t S Telephone#: 5�-7 30't 96 0 ❑ Rotary Distributor ❑Land Application of Sludge
Well Location/Site Name: Ct. _ 01 ham. No.of wells to be sampled:- -7 ❑ Water Source Heat Pump ❑Other:
(from Permit)
SAMPLING INFORMATION ! If WELL
WELL ID NUMBER(from Permit): 5 __ Date sample collected: -3'�Q2v-)? FIELD ANALYSES: / WAS
Well Depth: ft. Well Diameter: ;I in. pH I�t '. units Temp. ! °C DRY at
Mhos time of
Depth to Water Level: o�/q,3 ft.below measuring point Screened Interval: jC, ft. to 145 ft. Spec.Cond. i345 µ sampling,
'Measuring Point is 3 ft. above land surface Relative M.P.Elevation: .„,?)j(o ft. Odor nC it1 check
Volume of water pumped/bailed before sampling: /,5'I gallons Appearance (2,1.e a r here:
Sam les for metals were collected unfiltered. S ❑NO and field acidified: ❑YES ❑NO
LABORATORY INFOR / /
Date sample analyzed: tO.! S?C Lei ye p rj. Laboratory Name: (JJp'7'f r 7e-A L4..i Certification No. j�j#s4)
PARAMETERS NOT Values should reflect dlssoly d and colloidal concentrations.
COD mg/I Nitrite(NO2)as N mg/I Pb-Lead mg/I
Coliform: MF Fecal /1001111 Nitrate(NO3)as N ado La mg/I Zn-Zinc D mg/I
Coliform: MF Total /100m1. Phosphorus:Total as P L • 16 mg/I
(Note: Use MPN method for highly turbid sump en) Orthophosphate mg/I Other(Specify Compounds and Concentration Units):
l Dissolved Solids:Total if I t. mg/I Al-Aluminum mg/I
pH(when analyzed) ' 6,3 units Ba-Barium mg/I Ste 1 Ll O i �, I 1 I-.TOG © mg/I Ca-Calcium mg/I 9s GQ. (0 r) L
Chloride : I2,9 mg/1 Cd-Cadmium mg/I Ft f�Qtci��°t'h le B i<� t4/ Z.
Arsenic 0 mg/I Chromium:Total mg/1 l- )J j e , er a,tcY / 1,,,Grease and Oils ' mg/I Cu-Copper 0 mg/I ORG�A"NICS:;(b GC,GC/MS,HPLC)
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Phenol mg/I Fe-Iron mg/I (Specify testand.method#.ATTACH LAB REPORT.)
Sulfate mg/I Hg Mercury mg/I Report Attached? ❑ Yes(1) ❑ No(0)
Specific Conductance )Y0 µMhos K-Potassium ill, 0 mg/I VOC ,method#
Total Ammonia L-(t D mg/I Mg-Magnesium mg/I ,method#
(Ammonia Nitrogen;NH,as N;Arrcnonia Nitrogen.Tota),. Mn-Manganese mg/I - - ,method#
TKN as N L I►b mg/I Ni-Nickel mg/I • ,method#
For Remediation Systems only(Attach Lab R ports); Influent Total VOCs: mg/L Effluent Total VOCs: mg/L .VOC.Removal%
-C
Perm(o Autho' ed Agent)l9ame and Title-Pleas:.print or type y l Signature of P. ittee(or Auth ed Agent) i (Date)
GW- 9 Rev.1/2007

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G '-59t COMPLIANCE, REPORT FORM Peetitii . W(2110 3 36 7 7
(Submit one each monitoring period with 6 11 i si forms.) `
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1 Enter date monitoring results were due.( 11_-3L`-�9).Will this monitoring report(GW-59 and GW-59A) YES NOj
be submitted after the established due date?
2 Was any required information missing on the GW-59 report forms? YES N„O/
IF the answer to question 1 or 2 is"YES", list in the space provided below the well identification number(s)and VV
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.)?If the answer is "Yes",contact the Regional Office for guidance. ,/'
4 Are any monitored constituents equal to or above the established standards? YES 1
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 standards in the space provided below:
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).
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(Compli nee Report.G 59A)is true and complete to the best of my knowledge.
/9)1 `���
Signature of P nmttee(or Au Lori ed Agent) Date
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