WQ0003067_Monitoring - 03-2022_20220425

. riit,) 1
•„1VFairoflg{tiaf.ani)DEPARTMENT OF EVIRONMENT&NATURAL RESOURCES
IGROUNDVVATER QUALITY MONITORING: s r.; rcopito DMSEONOFWATERRESOURCES-[NFORMATloNPROCES,SINGUNrr
COMPLIANCE REPORT FORM : ' £ r?r,,:t r.,`.�•iM?, _CENTER.RAI FIG C 27i 699 1617 pinx•�9^. 06 161t MARSuW:be H,N
c7
FACILITY INPORMATi a -..se Pri Type u E piration Date_ ��PERMIT N mbe�
Facility Naive: .'. /T.,' ./ V(�G • Non-Discharge Y UEC n
f�
Permit Name if afferent' 1 $ G NPDES Other
FaciGtyAddress: ; '. ,Bj Jf) � P OPERATION
TYPE OF ERMrCT1=D BEING MONITORED
County . . . ....
... ,f Q .Lagoon Remediation::!IcfGadtion Gaffery
Spray'Fiekt D Remediation:
Contact Perso - 11A i ez. : Te!eptwn . .
ei�(i?S �� Q`Rotary Disttributor Q.LandAppfication of Sludge
�IVell<Locahon/Site dame . :. . . No..of welts to besampied' 0 Water Source F.,/eat:Pump D Other_
,•:
SAMP)=JNG INFORMATION • 4
;• L
�j
•WELL iD Notgl E fiaiii it- Date ie:cottecied:.f FIELD.AN 1F ES;
WASDR1l
Welt:Depth. J; _ft_ Well Diameter. in- PH•o0coo- 5 units Temp_oomo- -`E
a l b O pring.".
Depiti�.to•Wate%L.evek'a2sas: fi below measutin3 pDint Screened intenrat ft. to 1L Spec_Coed_ooasa: �h •check
Measuring Polnt-is ft above land surface Relative MS Elevation: f_ Odor 000s5_ /v)n ems,/ /, h
lrolurrie;of water':purnpedtbal7ed•tiefore sampling `, gallons Appearance �C fT I v (—j
Samples.for•metpumpeecolledtbetce:unfiltered: YES Q NO and:field;acidified: El YES :0 NO
LJ
LABORATORY INE:ORMATION
. .311 r)?z l-RmUme, - &le t?ate sarnDie a � Labocafoty tVame: � ,", Certification No__ DJ
•
,....0*._,_
A.4A.'S�lEc+�KS. *iG3TE�lafes� s stt BEd-�e" atsso:��e3•a.�sd colloidal cbnce^:saL�ors. �
COD oohs mg/L Nfitc-te(NO�asN:oosts mglL Pb-Lead aosi ug/L Cotihxm:MFFecaIsists ti c,.L f<iittate'(NO3•}. N 00620 00 0 7
2 m ale'Zn- 01002 MAY 0 2 2022
Griffon*.MFTotal:3tst4 . �. 1100mL PhosplwRtx Total as•P Oos6.5 04r 3 mg/L
049tc Use7i PI.t.meCi OXhigtit7' i ) '
Orthophosphate so7 mg/L Other:(Specify":Eompotmdsand Concentration units):
Dissolved SolidTitat7a000 ��77 290 tng/L Al Atuminum.anos mg/1_ l
7.i units Ba-"Bariurri:o1arr ug/L, ,'% in.44 .'/yR I 40140. ,�/
pFi(Lab}`oaRa; �.f.�
' TOE 0068Q. i(PIlnv M..J/L C3 CalEiUi 00316 rli9/i_ ,`
W
C2tlondeoosso •
mg/L Cd,�Cadrricurtroto2r ug2 APR 2 5 202.7 .
Arseico ntoo2 - ug/L Chromium Total otoaa pglL
• Grease and Oils'00552 rrig/L Cu-Copper of 042 mg/L ORGANICS (by GC,GCCMty L i i'�s's
Phenol 32730 tigit Fe-;,Iron oioas -• ug2 (Specify'tstaii i E,4f l+[ . ')
. Sulfate go9gs mg/L Hg Mercury�71900 -., ug!!_. Lab-RepcctAttact ed?. Q: Yes:(t) [ No°(0)
i" Sc Conductance 000ss.,, l hos K:-rPotassu rsi..00s37 mg/L VOC"list ... ,method
Total Animxorttaeoosaa_ . . esium•oo rrigl6 ,method#
e
(w:> rva �w axrkn iior trs T Il _ Mn-Mangaie'Seo3055 ug'. ,method:#
Tlf14 as N oo - mg/L. Ni Nic3iet m0 ug/L: ,method#
For Resiied�atioq Systeirts Only(Attach&ab Reports)= Ertituent Total VOCs_, rng/L Effluent TotalVOC.& mg/L VOC Removal"/
>•ceFttCYA>ab'.otpebe5tafmyfCioudeCg�arr¢:tseSel'tftt:'ttifoaslaLai�•SubmategyYt�sStepoa+s.tt�-sec�ra2eraaC;wrrp►e�. si6islasEneEatxraioty�ar+afytagtdatawas•P�++reO•us++s�apD�g+!ed�es)oas'atanarYs+sbYa ,..;;.• r•�.
.. ,
OYi�ced•fabbatcsY.taafa+Hare•�Iatgse1ofesiSABxantpe�alliesYer�m;ttin•fatseurfe�rlsla$oii metaGlrgute'Oo"s4EbtGili6flisesa�� %mU.ef;aia�os>s.• ?� '+;�. .>:+
,L � si, sue= '_ Y� 2-2.••'.
7.-ee-lorAzAtioiaeC: ..
AgerlL)'Nartie::".Titre-P1e--^•epcuitortype SigzaCu7-otPcittsee-(or AuetzorceifAgent •(.J�e)
GW 59 Rev.8/2013

StIBMUT FORM ON YELLOW PAPER ONLY
,:44VOirOil6iriatiiiid DEPARTMENT OF ENVIRONMENT&NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING: : .,". 't...::,i*iiiitifik DIVIS2ON OF WATER RESOURCES-INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM 1,.S!?„1".4,1!..igizi'ill:;..!..1:::'•? :17 ly... GEIRVI GE C RALEIGH NC;:2;• „.1q-rfr 1-11p11,...919-83776306
N d
FAcn.siY INFORMATION ‘z-41
If Pfease Print Cieady or Type
.PER Number: (133- • iratiaa Date: g oi a.c
Facility Name: ikEl •
Ve67gAi 40P y 1 i I.',5 , Ocei9 leitt a5
. -, A-
on-Discharge UIC .
Permit Name(if different)- . - . : - ::61 sif:jb,./1,r!. C . -7.?4.4i. , N pcpEs _
Other
FacifityAddress: lltal 5e - ,'44 iii -AU ' •A: : .•i. )..6.1, TYPE OF PERMITTED OPERATION BEING: MONITORED
'''-',.-• b01#1iii'':•..':fg7Z- 7".. El Lagoon II-Remediation:Is atiatiOn Gallery .
. ., ...
--,•"••••, s'-'''''.-
CiRernediation:
•Contact Person -1AckoieL e,5.A4,7g QCTeleiohone .:..99,g. 349 '1.)°'-''1=1-4'i Rotary Fieldbutor 11 Land Application of Sludge
.....
Wel/Location/Site Nan*: Ifv.vdtf? No.:of ivells46'be sampled: 7 ':. 171 Water Source i-leatPurtip El ott*c.-... . . . . . . . . _.. .
§A3iiiiGliikiitigiAtibli .., ''• ''•:': .. . .
" 'givt-lik-L.-':- ..:-
.WELL'ifrkifijitlYtkiii:::Penii): ... , .. ..
Date 4irripleqillected: 9' 5 2.0-- Flal)ANALYSFS:
.0Well,DeptIt. /41/___::, tie-7 ' VVelf,p'kigieterr. in_ atfirne, of '•
pH owe:.i.5 unit Temp.'oocnct 'C - '••••••''''''"'.'• :
InIPTreig: ''',•.•
Depth-to Water Level. h( ' y ft below rneacuipg;point Screened:Interval: tilinios It to It Spec_Gond_coes4: ...„,... ..
blieCk .,
Measuring Pcsint'... _ ft.above land surface . Relative MIR'Eterati-on: IL Odor 00085: Nov& iiie.._. .•
. . . ..
ki.-C*Inle of mia;ef"PurnPedir3a164•.'beifore sampling: IVP 9al1ons . Appearance 1?-leigte
Li-' . .
."Sartipas,for metal.s.wee..e.tOilectedurrhltered: ,10.1-.•IT-ES. 0 NO and field acidified: El YES CI NO . - -..:•-, .
tABCIRATicifeKNFtifziitc.iTlicifif "'
. •.iV\I 13e)nirt\-' '• 514
.a- • ceitryl.No. i(;)
PARAMETERS OrlteVafties•Stieiti 'reflect i'. 61 .e:if arid,colloidal conceritratiOns.;
•
cO17_1'.0coras rrigiL Nitrite(NO2):as•Ns:Ooels rng/L Pb-Lead:olosi ughL ..
Coliformt WIF.FecaV31s.16 /100mL Nitrate(N0a):asN op* Ai • , ..iii zri-z ...--02 MAY 0 2 202,2gn-
Col-dorm ME TOtatal.so4 4 I t/00inL Phoshonjs TotafasPoo€es /• / ' ing/L'
• (Noic ris•.,e-biPtst.rOiettiortfortighlktiirtict'sara306s)
•Orthopticqiliate.10567. rogiL Other(Specify•Cornpourid and:COnCentration tinit ).
Dissolvect•Soficfx.1-citat..70360 ri /140 nig/L ,.,:•
Al-.Altrniretarro'no .
.• .
PH•(Lati):064CP .i e° ,_,.. L . tutit f3a-Balioni:Olo0 tig(L
.. •41P/Ini it)idiVed. • a*
. .
TO0•0606, 41010c• . 1 oicjIL Ca-CalCiiiisivab9i'6. rrigl,L . . .. . . .
. ,
: . . . .
Chloride•.•coto / 5 n:icy.i, .... ,•:,. .,
Cd-Cadriffunrcitozr.•,, •• ' r.
.,
Ars•ani ..002 • 4tik • . : • • • -
Chrorriiunr Total iii*: .,.., „ .
114/.. ..- • - . ,
Grease and QiESPA,40 M94... Cu-COP16. 62.64.27 -- '
itigIL P.RPAN/cS:113t;GP.PWi"lif;'4%
. . - ..
;. ' ' - • ,
Phenol7ao ugh - - Fe 7-'ff*Olct5.• .i
4 ,•,,, ...,
' 1:4i1•- •0....0.-*fift0san0.044:040••,ATT*.IPIt.!A13.••13E .ORT.4
SI461445 . . 04 Ng•':ME*1*q1•:4100•• " #4/14 •E'40''ket'AtbciE'd4. 0 ' 6 •(t) Et i44,(6)•
•
•••,-. Specific Conductance 560*,.:. • ttMhos K-•Potat$Titiii;00;3i:.: . . . ".i1VL. .• 6.6atiz..: : . .;:iiiits-i64.,.#
.. . . .:
Tcoltrtgijoi-46660..,. .: iT.jk mg-M09.nO*406*. 110.';A ' . .•'••••:•• •'. - - ' 04q,*#
', . '.1 • , ''''''''(q..c..iatzhi.3t... 4t.../ ...ii*ka•-•t•setit--46,t,rotar) . , ......... . .
1 Mn-Mani-J0n4•0•0;0 .,•" • 1!4/1t. - •• tii07.t.*# • .,-,..-.
,TICIV .I4tiosS rnglk. Ni'tOc:St000tH: . ugh ' ',•'• :,•'- --- • ----• r0etk0:4'#F ''. • '.''•''.:':.
' "?,..F / 9t k( Y,„.q!.1414;Report);' ...; •' 16P-106t17qt4i'vC : •-]--.-.- - - ,til -. f°1-0—, '. ., §,--s::;.•-. :--:::•-•:i..::::11:iii*:• tr:#7e744:t 4t.;,.,'-::: :;;.'::'_
riter4*01,trte.b ;#illy latw.iecit.d.AtVieliftv,Vbm.14461,Agaltidi.60.113 rePPrt.Olnle,P.rale;AVIztriPkte44.sfts?It:Giabostap.aly.t.ic41.4**4•PM.56.4104i6.4,4MOdirate0s.04110is104Y af- •:•••'"' •;•'::.":::.:•:•.'.:.•:',I.:I.!:.:::".i.::'..1, ....
DI.Vit:iertiVetitabifaibi9.1.taiiiiarithaitliifid7tesIihrid.ieifii '-'...litingfitie.'ilifeirtratfieirdifii:prii.taitt --''''gli•*-.Ittibiliartiir'iiiiiia'iiici4-:•""':-:7-A-V.:7:e.?y:::ffe,fil.3;':A..F.,••,,i.11.-1.:';:z....%.•,:"•••11-•:...*•,'•.-,:•"::;'•,":":•;*.;,:f.:.;.:::.:?..,::.,',..;,....
..4,..,-., , ..•--....,'-':.'"•.,7.7,77:7- ..•.?•;.:7;:• '-. •::--,-------- -• ,-' -- -• -41111110114 4 z 1 4_.WIL,tikralritii , f -
',0,, :::: :. ;.iii`I7'iii-: -.. 0 t•;.e.„. ....,.... T
.i (...c...-•
, .ipL+++:iiiieeetc4-Xi.itherii.ed-WejeTtit)!..b;0';Fia:Siid17,tri L-:PfL...+ piiiit Oi"tijiie Signa +_e of Perrnittee(oi"• . ....-.',,:•'•Exit) Pate)
' ....r. 4Gw-59 Rev.8/2013
...- ..,-

'1_ SUBMIT FORM,ON YEL C';';r:`,?^...
•.410froitidinatandDEPARTMENTOFENVIRONMENT&NATURALRESOURCES
GROUNDWATER QUALITY MONITORING. 1 copy to:DIVISION OF WATER RESOURCES-INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM ,f. 1617 MAIL SERVICE CENTER,RALEIGH,NC 27699-1617 Phone:91
T-
FACtLfYY FNFORMA a vac Numb th /
ee PERMFT er`� Ex ira6on Date: (F@cility Name: e Non Discharge/L/l�(a� � UJC
- "z7
Permit Name(if different): NPDES Other
Facility Address: ... G ••E OF PERMITTED OPERATION BEING MONITORED
County goon ® Remediation:Infiltration Gallery
eld
:' ep QZ 0 Rotar PDisfnbutor ❑ Land Ia -
Contact Person: 1��`r� U. � as) Tel hone#� �,: U
ry Application of Sludge
Well Location/Site Name: No.of wells to be sampled: " 0 Water Source Heat Pump 0 Other:
SAMPLING INFORMATION fi) 4V--- 1 If WELL
WELL:ID NUMBER(from grmit):),t Date sample collected: .- ✓IO FIELD . S : WAS DRY
WelI.Depth: 1 j )0 fL Well Diameter: in. at time of
PH ooaoo / .units Temp.ooata °C sampung,
Depth to Water Level,82546: /17-7 fL below measuring point Screened Interval: ft_ to R Spec.Cond.0009a: pMhos
check
M/Par sing Point is tL above land surface Relative MP.Elevation: fL Odor00085: here:
Volume of water pumped/bailed before sampling: Cli gallons Appearance C._/ i
Samples for:metals:were collected:unfifte YES ID NO and field acidified: 0 YES E t NO D
LABORATORY INFORmATION
Date sample analyzed: LaboratoryName: �L/
^1\11 +1/) Certification No. •'O
PARAMETERS NOTE:Values s ouldreflect dissolved and colloidal concentrations. D�
COD oasas mglL Nitrite(NO2)as N 00615 mg/L Pb-Lead most ug/L
Coliform:MF Fecal 31616 4 /100mL Nitrate(NO3)as N 00620 ♦ • mg/L Zn-Zinc 01092 mg/L
Coliform:MF Total 31504 / /100mL Phosphorus:Total as Poo or mg n/L MAY !; 2 2022
(Notc Use MPN method for hiciMy.turbid samples)
- Orthophosphate 70507 mg/L Other(Specify Compou and Cancer&Alan Units):
Dissolved Solids:Total 70300 mg/L Al-Aluminum arms mg/L
pH(Lab)oo4o3 . units Ba-Barium 01007 ug/L A707. /A CI O
TOC oosao • mg/i_ Ca-Calcium 00916 mg/L ��
Chloride 00340 mg/L Cd-Cadmium 01027 ug/L
Arsenic 01002 ug/L Chromium:Totalolosa ug/L
Grpac and Oils 00552 mg/L Cu-Copper 01042 mg/L ORGANICS:
Phenol 32730 ug/L Fe-Iron en 045 ug/L (Specify test and method#.ATTACH LAB REPORT)
Sulfate 00945 mg/L lig-Mercury 71900 ug/L Lab Report Attached? ❑ Yes(1) 0 No(0)
Specific Conductance.00095 µMhos K-Potassium 00937
mg/L VOC 1632 ,method`#
Total Ammonia oosio mg/L Mg-Magnesium<oo927 mg/L ,method#
(Ammonia r tNri as tt Ammonia y 2Toral) Mn-Manganese moss Ugh. ,method#
ITKN as N ooszs m Ni-Nickel 01os7 rig& method#
For Rernediation SXstems Only(Attach lab Reports): . Influent Total VOCs mg/L Effluent Total VOCs: mg/L VOC Removal..6
I certif/itlatlO.thebest oLmy knbwledgeand be1e4-the:Info:nation submuted'm Ibis report is true-accurate oral•comiplete and.tiatthe-taboratoryanalyaeal data was produced using appravedinetheds of anafysisby a
flWR-certi`ied labor on t am aware that there penalties'or submitting false•ioformaiion;inch rg the pessibilityy of Sties and•iniarisooment for kribwirg viclatons
AI I t �i a' / FIX /� �
- ' •
i :•.
G
Permiree(or Authorized-Agent)Name and T.:--•tea<e print or • Signaette of Penn, a(or Authonzed Agent) Date)
GW-59 Rev.8/2013