WQ0002001_Monitoring - 11-2021_20220124

• SUBMIT FORM ON YELLOW PAPER ONLY
Mail original DEPARTMENT OF ENVIRONMENT&NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING: and 1 copy to DIVISION OF WATER QUALITY-INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM 1617 MAIL SERVICE CENTER,RALEIGH,NC 27699-1617 Phone:[phone]
FACILITY INFORMATION Ptease Print Clearly or Type PERMIT Number: Expiration Date: 5-31-2021
Facility Name: Waters Edge Non-Discharge W00002001 UIC
Permit Name(if different): NPDES Other
Facility Address: 470Deer Lake Run TYPE OF PERMITTED OPERATION BEING MONITORED
Salisbury NC 28146 County Rowan El Lagoon ❑ Remediation: Infiltration Gallery
A Spray Field ❑ Remediation:
Contact Person: Cameron Spencer Telephone#: [phone] ❑ Rotary Distributor El Land Application of Sludge
Well Location/Site Name:Spray Field No. of wells to be sampled: 3 ❑ Water Source Heat Pump Cl Other:
(from Permit)
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): MW1 Date sample collected: na /l—if--D24 FIELD ANALYSES: WAS
Well Depth: 34 ft. Well Diameter: 2 in. pH 00400: units Temp. 00o10: °C DRY at
Depth to Water Level 82546:na ft. below measuring point Screened Interval: ft. to ft. Spec.Cond. 00094. µMhos time of
sampling.
Measuring Point is 0 ft. above land surface Relative M.P. Elevation: ft. Odor 00085: none check
Volume of water pumped/bailed before sampling: 1 gallons Appearance clear here:a
Samples for metals were collected unfiltered: ❑YES ® NO and field acidified: El YES © NO
LABORATORY INFORMATION
Date sample analyzed' Laboratory Name: Statesville Analytical Certification No. 440
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 mg/L Zn-Zinc 01092 mg/L
Coliform: MF 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):
Dissolved Solids:Total 70300 mg/L Al-Aluminum o11o5 mg/L JAN 2 4 2027
pH(Lab)00403 units Ba-Barium 01007 ug/L
TOC 00680 mg/L Ca-Calcium Posts mg/L
Chloride oos4o mg/L Cd-Cadmium 01027 ug/L
Arsenic o1002 ug/L Chromium:Total 01034 mEz/L
Grease and Oils 00552 mg/L Cu-Copper o1042 /L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730 ug/L Fe-Iron o1045 r ug/L (Specify test and method#.ATTACH LAB REPORT.)
AY 0 3
Sulfate o0945 mg/L Hg-Mercury 71900 I4 Lug/L Lab Report Attached? ❑ Yes(1) Cl No(0)
Specific Conductance moss µMhos K-Potassium 0937 mg/L VOC 78732: , method#
Total Ammonia 00610 mg/L Mg-Magnesium 00927 mg/L , method#
(Ammonia Nitrogen,NH3as N,Ammonia Nitrogen,Total) Mn-Manganese 01055 ug/L , method#
TKN as N o0625 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%
ft- iyth- . -it '-.-5 .f-- . ,r --..- _ ..- e, om- on u.mt _.1 -.. I u-,- u - -.--. o-. -e,- . a..r- . -n. a .a_ - p.. . -.pr. e. -- .. . . . . . -
DWQ-certified laboratory. I am aware that there are significant penalties for submitting false information.including the possibility of fines and imprisonment for knowing violations.
Lynn Aldridge Z 12-12-21
Permittee(or Authorized Agent)Name and Title-Please print or type Sig re of ermittee(or Authorized Agent) (Date)
GW-59 Rev.2/2010

SUBMIT FORM ON YELLOW PAPER ONLY
Mail original DEPARTMENT OF ENVIRONMENT&NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING: and copy t0: DIVISION OF WATER QUALITY-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: Expiration Date: 5-31-2021
Facility Name: Waters Edge Non-Discharge W00002001 UIC
Permit Name(if different): NPDES Other
Facility Address: 470Deer Lake Run TYPE OF PERMITTED OPERATION BEING MONITORED
Salisbury NC 28146 County Rowan ❑ Lagoon ❑ Remediation: Infiltration Gallery
N Spray Field ❑ Remediation:
Contact Person: Cameron Spencer Telephone#: [phone] ❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name:Spray Field No.of wells to be sampled: 3 ❑ Water Source Heat Pump ❑Other:
(from Permit)
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): MW2 Date sample collected: na /I—j - W 24 FIELD ANALYSES: WAS
Well Depth: 34 ft. Well Diameter: 2 in. pH ooaoo: 6.38 units Temp. 00010: °C DRY at
Mhos time of
Depth to Water Level 82646:na ft. below measuring point Screened Interval: ft. to ft. Spec.Cond. 00094: µ sampling,
Measuring Point is 10 ft. above land surface Relative M.P. Elevation: ft. Odor 00085: none check
Volume of water pumped/bailed before sampling: 1 gallons Appearance clear here:Q
Samples for metals were collected unfiltered: 0 YES ❑ NO and field acidified: ❑YES ® NO
LABORATORY INFORMATION
Date sample analyzed:na Laboratory Name: Statesville Analytical Certification No. 440
PARAMETERS NOTE:Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L Nitrite(NO2)as N 00615 mg/L Pb-Lead o1os1 ug/L
Coliform: MF Fecal 31616 /100mL Nitrate(NO3)as N 00620 mg/L Zn-Zinc 01092 mg/L
Coliform: MF 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 Concentr�o� IS
Dissolved Solids:Total 70300 mg/L Al-Aluminum o11os mg/L MG
pH(Lab)00403 units Ba-Barium 01007 ug/L �7} fl 3 2022
TOC 00680 mg/L Ca-Calcium 00916 mg/L l'
Chloride 00940 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) ❑ No(0)
Specific Conductance 00095 µMhos K-Potassium 00937 mg/L VOC 78732: , 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%
certify hat.to thebesto-mykno --..- . .-ie, - - . -.. . -p.- .-,- .r. - p . • ... . . y- -',i - •- - . . ... -. r-. -..ro'e. -- .. . -•- ' .
DWQ-certified laboratory. I am aware that there are significant penalties for submitting false information,including the possibility of fines and imprisonment for knowing violations.
Lynn Aldridge � 12-12-21
Permitteetee(or Authorized Agent)Name and Title-Please print or type atur f Permi a(or Authorized Agent) (Date)
GW-59 Rev.2/2010

SUBMIT FORM ON YELLOW PAPER ONLY
Mail original DEPARTMENT OF ENVIRONMENT 8,NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING: and copy t0; DIVISION OF WATER QUALITY-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: Expiration Date: 5-31-2021
Facility Name: Waters Edge Non-Discharge W00002001 UIC
Permit Name(if different): NPDES Other
Facility Address: 470 Deer Lake Run TYPE OF PERMITTED OPERATION BEING MONITORED
Salisbury NC 28146 County Rowan • Lagoon ❑ Remediation: Infiltration Gallery
0 Spray Field ❑ Remediation:
Contact Person: Cameron Spencer Telephone#: [phone] ❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name:Spray Field No.of wells to be sampled: 3 ❑ Water Source Heat Pump ❑Other:
(from Permit)
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): MW3 Date sample collected: 11-19-21 FIELD ANALYSES: WAS
17.5 ft. Well Diameter: 2 in. pH o0400: 6.49 units Temp. DRY at
Well Depth: 000to °C
Depth to Water Level 82546:9 ft. below measuring point Screened Interval: ft. to ft. Spec. Cond. 00094: µMhos time of
sampling:
Measuring Point is 5 ft. above land surface Relative M.P. Elevation: 800 ft. Odor 00085: na check
Volume of water pumped/bailed before sampling: 1 gallons Appearance na here:❑
Samples for metals were collected unfiltered: OYES ❑ NO and field acidified: ❑YES ❑NO
LABORATORY INFORMATION
Date sample analyzed:11-21 Laboratory Name: Statesville Analytical Certification No. 440
PARAMETERS NOTE:Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L Nitrite(NO2)as N 00615 mg/L Pb-Lead 01ost ug/L
Coliform: MF Fecal 31616 <1 /100mL Nitrate(NO3)as N 00620 <0.1 mg/L Zn-Zinc 01092 mg/L
Coliform: MF Total 31504 /100mL Phosphorus: Total as P 00665 0.18 mg/L
(Note. Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other(Specify Compounds and Concentration Units):
Dissolved Solids:Total 70300 299 mg/L Al-Aluminum o11os mg/L
pH(Lab)00403 units Ba-Barium 01007 ug/L
TOC cow) 2.83 mg/L Ca-Calcium 00916 mg/L
Chloride 00940 69.1 mg/L Cd-Cadmium 01027 ug/L
Arsenic olooz 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 oos45 mg/L Hg-Mercury 71900 ug/L Lab Report Attached? ❑ Yes(1) ❑ No(0)
Specific Conductance 000s5 µMhos K-Potassium 00937 mg/L VOC 78732 , method#
Total Ammonia costa <0.1 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%
- iythat.To-Owbestot yyknowledgeaniy-befief,theifsfomationsubmine• i r-.o- -s u.,- - • -e,-n: a ea.•r- . - -,i - •-aw- • •• -• Sit •a•pr.ve. •• • - - Irmi....-
DWQ-certified laboratory. I am aware that there are significant penalties for submitting false information,including the possibility of tines rid imprisonment for knowing violations.
Lynn Aldridge 12-12-21
Permittee(or Authorized Agent)Name and Title-Please print or type Signatu of P ittee( uthorized Agent) (Date)
GW-59 Rev.2/2010