WQ0004059_Monitoring - 03-2022_20220502

..? .•
MINIMILifilildre. — ii7A7.1 R"EiltANLETY :VNISV11013NGMRENOUTNI'DNWAAruiERAR s'ERcTirso°NIIRcEs
O.
I C-OMPLiANCE REPORT FORM /636 ilia SERVICE CENTER
il,,LctGH NC 27699-1636 Phone: 919 3-322
-
FActury INFORMATION Please Print Clearly or Type
1---------
IRATION
I PERMIT-if:
\ \Facility Name: --. .1
Ai I-A-i\iTi-c T,,', i i o-\--
Permit Name(if different): -,-S V.3 A fr f o il P u-r-1 ki TN"
1 I NNPonD-EDSischaro_,e__ on_,________________. - 1
Facifin AddieSS: 'CI w q ,..1 .:
( t'\
i•J-1.,c_ di'sbc1`21- I
ile ' gsZs'7L -county 0-0-3-RT6 62_6-7------- PcEF.__oawn--
_ ___
F P --a OPERATION BEING MONITORED
ccarf
zio
Contact Person: TO€7- -1-A Ix/ -te.,(-__ _ ' Telephone#:,74:2-3-%-3-.g 7 o Lagoon - __:___Rerriediaii-Oh:Infiltration Gallery
,___-
Well Location/Site Name: \Ai`-'<-1 -T-F' _No_of_Wc.!!s-te-be-Sampled_ i ----:------_ °Piari:jekl— —Rernefflaji011:---___________,_____________- I--
. ...----
_ ._
_ Rotary Distributor Lancf'Application of Sludge
Well Ic.i.e_ntifc---,ton,N,..,.,.=r tirom rermIty NI 1,ci L___ 1For Grcnindwater T Lrnent Systems. I I r _
Well 15,ep—th:- P-C) -
ft- Well Dimc'ter- ri— in- Check One:t...irl fluent
(98)
_
Scyenecl Interval: s_ ft. to q-CI, ft_
ffluent (991 NOTE Values should reflect dIssoiveci and .
Depth to Water Level: ft_ below measi..aing point_ I ' ' colloidal.concentratio s.
MeasuhngPomt(M.:P,..)i :.Z12_ ft_above iand ce. Belative_Ka.Eloration ira-,,,,,i - --- ---- -- - zi g
Gallons of-water ourn, .__1Ied b•-efore sarnc.--..ig: _______)."Date sample conected, Date sample anstyrect:
Field ana -- - '- "'
uMh Laboratory Name: 1-0%-' ON
Temp. °C Odor Appearance -- - --. Cenincation No, • 1,-0 --
5
PARAM'TER (Saritplesfor metals were Collected unfiltered - vES NO ...and-field.ackiftled_ - YE6- _ ------No)7,- .-7-------------- --
COD ::---- ---- - -- - rngfi-- - -Nitrite (NO2) as N -- ---- mg/I Ni -NiCkei mgfi
--- C:oTiftirif:20IF'-':;-Pece.1 - -- , .
/ 1 /100mI f\-1itrate(NO3)as N _
mg/I Pio -Lead
MO.
.
Coliforrri: iiiiF-Total . L. / /100m1 Pfie3kihOrUs: Total as P mg/I Zn-Zinc - - ---- -mg/t----
(Note:Use MPN method for highly turbid sarrip%i _ OrthophosphatE.? -- --- - - - —in-an Ammonia Nitrogen • MO.,
E.:- So-Scilkis: Total r/ Ov mg/I Al-Aluminum - mga Other(specify compounds arid
,
1,----
pH (when ana ' - units Ba- -Barium __- -------- mg/1--
,-,-/k.,---- LI- , - - - mgn Ca-Calcium _mg/I 4, „r7eir,,,...., ,
chbrid. - -_-_=-_-",_ =-- 1 mg/I Cd Cadmium DJ mg/IL
Are:nIC". - .-- mg/I Chromium:Total mg/I . MAY 0 2 2021
-,,
Grease and Oils nigl Cu Corifier
mon ___
_
Phenol - - - mg/l Fe-iron mg/i ORGANICS: (GCGQIMS,HPLC)
Sulfate
mg/I Hg-Merce!y mg/I .(Spaclfy test and method#.Attach lab teport.)
Specific Conductance uMhos K- Potassium - mg/I Report Attached? Yes (1) No (0)
Total Ammonia mg/I Mg-Magnesium mg/I V( : method#=--
TKN as N mg/I Mn Manganese mg/I -
- method S=_-
: method#
- ,
&certify that,to the best of knovvIed•e_-.• •-"-- .- - .-,--:.---.....:--,2,-7,*--- -•-- -s-true7-at purarera•COM•19- -.. ._ .- ..... _ -. _ _ • , ...t.-. _ c.tice.
- i':-,. .WI"irOvetj metE .,(ImEnnzimir_irmirAiii. - T., • - . i, , cc ,ie. a'oratory.lam aware that there are--,T.ificant penalties for submitting false information,
including the possibility of fines and imprisonment for lc*ving violations.
Z-cf)6 ,LAI--i,c/g6- Aj c 6- - .!5>ff _
permitee(or Au/hertz_ )Narrie and Tate-Please . or type
_------- Dilf. /22
GW-59
S __ignature ot Penni e Itrorized Agent)
Rev.03/2000

- - '=---. Zr 2v:x:;Na.c ; Cs. iRALRESO CES jy :7r1UL ifYYrR3 CfI L,2iJf�t_t t 3 tU{ J \Y Oif \ orATER 3uAulY oEvLON GROUNQNATEA SECTION
-s 1636 MAIL SERVICE CENTERf COMPLIANCE REPORT FORM
;. -' • .RALEiGH NC 27699-1636 Phone: 91• 733-3 1
FACILITY!N FORMATION P.lPase Print Clearly or Type "
Facility Marne_ ^ ! =�1- N f C -STA,r"r n`J PERWIrT#_. — _ ..E^ Wt PAT;ON DATE:
,-1 r(P
Permit Name(it tjifferenrl_ C I S A P ! 4 Q ? T i : 1� T�i: t t Non-Discharge\lii9 till,- < Inc
__ %J..,
Facility Address: v,` --1f i t Ni--DES [
•
- �- (
00 county , �' R Tom — T'#'E OF? Rtytj OPERAi iON BEING MONITORED
lieV Contact Person :-jD G- .. .L. 1_u1.ic:6. se,(<_ . ._.-_
Te{eptaone# 2 3`I3'`d72 p _. .Lagoon--- - - _t
WotF c`�` fS .i S.:`c�-^:ar:rc�._ 1'�:-1..�.1 T-Q.— -
-rZio=of wieiis to be Sampled: SPY7 re;d —
R medaUoct r>ftfrratiort Gallery
H
Wea"tden'afication Number(from Permit)_ N1 i i s�� i . J Rotary Laid App cation of Sludge Drstnbut
vVett c7epih: wS,n a iCan,ritu ems flt er:
ft. Well Diameter QC- in_
jj
¢ t
Scrieeneaauterval_ :/ t
ft_ .o d c Cneek one:0 #�t_ts�nt ,�.gg f ( :
D Effluent fsa) 3 NOTE Values sho►tjd rof[o.�r rf:ss.!!ed and
Depirt to vliatef Level= it below msasurir point 1
fio cottotaai=concentrations.
Nteasunng Pont(!u!P_)=is -r ft above land .ac¢. Relative MP_Ejev2tion in -
canons of water usn " Y_ '
P ed before sampling:_t ' Date-sample cottgcte to samjzte anaiyTi
ejdl aflcrj j'SiS 'i. � ._ -9/*PiZZ--
-, _ ...._.:. - _p . ,.Speaf C Conducta -,.,._r�� U►1,I#�/o�s� _ � t_ab°`afory'Siam = �. . �G�3 ?-•t.6>v'���
FG-aka -- °C;-Oder- _
-- ---- .�--_ --_ � Appearance-. . _ I Certif:catiotri�ta_: _. �;p _
P *i�•�tQS pros�r rael�were coi�c.;e ur; cvzred
0.0k)_ _ —vim. ►d -�
wer mg/[,_ Nftf rtes N -- _. . --- - z=5..
NO and. a , �%`
u)
C;^,!Efc-^^ �cam; (NO2)2� . . 'L t:: Ni-Nickel
.. 11 vvrni Nitrate NO as N O T 4
ColfoFrrz'MF�otaf ;�� :_ � � ( s? mg/l Pb� -Lead
/1Oornl Phosphorus:Total as P T �/`
..y!12 .....,...-.. -_.. v u vPr vTr,r �e-__ ._ .-.._ .._ - ,i - _
0 � ��' 7r2 ale
Df lvecf Sol►c t - mgfI a
..sTo� OV.mg/ AlAI-Aluminum c:..� . _. S�y.s.
r) EWt7en ana /7 i f -Ober(specify Nitrogen • 0 ri�tgj:
----6-rF— ,?-- ...... ..__owes-- 17a--roggur .- Coft -'•
T
TIC ,'� �0 -._ _ _ - : -
ds-and Coricenttation i3ruts)'
mgZ1 Ca- crlf n —
Chlonde- S m rsf - -
�[�;� -. .. - 0 Cd-ej�y!'�rl'iu r�- rn�/! - .....
Arsenic mg Chromium DJ
i�it
rtum t:o(al
Grease aria Oils rng/l Cu Coppr-
Phenol ... ! 4 707.' mgfl
mg/1 Fe-/ton �!Y Q .
S:<rfate mg/i ORGANICS: (GC,GC/MS,HPLC)
mg/i l-ig-Mercury rng/ (SpecF_ test a.^ t lab report)
Speatitc Conductance � - d m�.itca���ac.�-uMhos K-Potasssurl -(1)
To€a�-Arnrriorita - . ._ Yes _ (1� No (0)
mg/I Mg-Magnesirurn m
TKNas N �- VOC = method#=
mg/1 Mn-Manganese mg/l : method
: method#•_
BS~'fhe mforrna o sut�matecritrthisTe•'ott'is free:accurate an�carr•e—. ►_ •- _.. .
r I • p•rove me+ s a ana ysts y a Forth arolina DWO(formerly DEM)certified laboratory:tam aware that there are significant penalties for submitting false information,
trtcfuding the possfbrity of fines arid:rmprisonment for knowing violations._
Pernruea is )Fibrils e,ui Tale ease print or we
GW-5g 2/
Rev-03/2000 Signal ne of Pe.sir orA:Lhonzed ert) �t/ �/'/
(Bate;

f l�till:if�I3�tJ'� t i QUA.; i i V r��,r1ni�ii n jn.�: �i-it irs.]x .iiirzii ;;;tP,iiiiWiEN OF Eii iii0iiiitENT8,NATURALR`ESOURCES i
to: WATER OUAL'TY DIVISION,GROUNDWATER SECTION
COMPLIANCE REPORT CORM _ 1636 MAIL SERVICE CENTER
--- "' RALEIGH,NC27639-1636
FACILITY INFORMATION Please Print Clearly or Type Phone: • • 733-3221
Facility Name:� t�F�L6?N 1 i �'i T - I -- - -- --- -.�_..-_. ._... ..._
�� r c Q`� 'PERMrr ff_ J iG'�Tro
oo.,,:r ti �:s d:fco ...�- Q c c n v r t3ATION DAT; a
t. �..y , .+ R-C cn o`r n� i 1 Akv!s .s,M;-.2 k_A ir3 v.,i 1 co
1 1. Y VTt_ ivy_ J�—
\V_Yl Facility Address: jl N � F iii�;
r�IPDES
•
cs(LAr ccarr_ I _ 2. county
0_05_ _ 6L6 r _ i=P M OPERATION BEING MONITORED
awl-
itact-Person 40-E- =--L A La) '°ice C..6 .. -.
•
Teieptione#_ � g7 .a Lagoon- - -
••, •• _�r .. Ta - _ — Reniedavort_Irirltrratson 6—ail-eq.-ocatiorv-Site-rbame_ �.rr�.- -, o ofWe is to b• e Sampled:_ sPraY t-ieid iY
v�
Well`IdentificationNumber(from Permit): 1‘,Ny , .A i_ Rotary Disiriblrtor
tion of S
Well-Depth.:.- } i' unowaierl seazraeni Systems { Olt r Land
ft Welt Diameter o`
APP� tuctge
Scram ned interval: t f
ipoint tfue d i_ 1 .NOTE: Va&ues sf.Cuki ref�iect'dIssolved and
Depth to Water Level: / ft below measuring .
Me cUringPolnt(M-P)it -_ ft above-land su i slalve M.P.E? uat on,n ft...-
Gallons colloidal'concentrations
of::water ed before:sarnefina: '° /- .$11n:a came ,,,,Iv.,-to-a, .. to camrila so 7:.-r.:�!_ I
Field an = . _'
alysis pk n _ --.Spee3ilic ueiance /!i
u Laboratory Name •
Appearance _- __ Certification Na. - _i.O. •
!Q,'R9n"r`�S1° �',7 2C.:o."� 1�'S'Fve =zaE'-_:Se 4_ ".° . ... _ _ ..-
fiectea unrntereat
COD _:_ NO and field acidified. yam:
mg/I Nitrite NQ )as �. n NO}
Coliform_11/tF Fecat 2' mgr Ni-Nickel
a,
l f i00n� Nitrate(NO3)as N •��. D y
Coliform- MF Total" ` `O [lOOml Pho 'horus Total as P <0, O, ,I g Pb-Lead
- r ,. SP T _mglf _.-._ Zn-Ztric
ur2tigAry iarnry -F. .. .- O.r>x-o-0R^Sli+ate =.-- -.. .- - ------- - y/r
Dissolved'Solids:Total r G '7 - Ammonia Nitrogen d.�_- mg/i _- - n-► ai==r,-ti- _
--- Y F= .e.. ?. a - -- units t -BanurTF �%Ort>aOtrn
TO-C. �J T CostoeRL2tion F.1 ;
�'t Oster fspec�
/i/
� �" "ds and
_. i ._ .-m�. Ca-Cateitm _ -- - -- - -_.----- —
Chloride t�,g(lCUT--mod, « - .. -
kr�efllc
ti .
rn
CIII".Otiliuni:Total
D reMOase and Oils. rng 1 Cu-Copper mg/I
Phenol � � Fe -II=O l .
Sulfatem ORGANICS:: (.GC,GC/M.S;HPLG)
rrtg/f Hg-IVT=ercuy
Specific Conductance tiN!ItQS K-Po:ass;urnSpecFfy ts:and method#_Attach-lab report)
�� rye rt Attached? Yes' (1) No (0)
Total Ammonia -
mg/I Mg-Magnesium
TKIV as N mg/I- vCC : rttCLt�lt
mg/I Mn -Manganese mg/I
method#_
method#---,--_
. otrgmelest.o myt mnowtedge and ballet.the infomtation:submitted in tt r-..it i t
us, a roved methoFis of paws b a Narttt.Carat!'na Di�tQ�(iofinerl .. . lr - -' _ • -
� tap ys y -. .- ..� - ...
y DEM)certified laboratory;l am aware that there are significant parnalties_for submitting false information,
+nolu0i 111 ze possiblGik of fries aad_,Li grssonmei farknOwi "g-tiolations:.'."
Per:iseee for Alilhorized 1)Name and Tile a print or type --
/ 2id
Gw�s //L�
L _ .
Rev. 03/2000 Stgna ure o'Pe..." + rz o A9ert)

} -.-___.-____„ — _ ivy_ __r_ __ _ ____ _
OE REPORT FORM ., WATER ocA�;�Dit;;so.;,c�cuN1w=-S'Eonr
COMPLIAN
FAciLfTY INFORMATION 16 MAI
L SERVICE CENTER
Please Print Clearly or Type . RAt�.0 u
Facility i�'ame=
.:::. rr Fi C 2764g7S3S
-1" PERMIT _
Phone- 919 733-322
Permit Name�i!d.t:e;z�t�. r o ,
MA) T ;�; EXPiai t-'E}ON DATE_ tr,-1 Irak'
6 Facigty AddrPtS_ r �30n oisaharge
c I !NPDES n�i r irr. i
i�r) r����d'L.^.7:i') i t pr t;onfact Person_ 9 3 4F _ � £?OPERA;phi BE G MONITORED
t
O.Telephone
Well Location/Site Name vTelephone � =g 7-2 1 ag ,n.
ernecisaUon_Irifittsatioi�Gatfery
YVeI} ident:fica on iVumberFfrorrr Permff) t}I�t n>a..,ea„�n
nett ileal� ! r! tttKfwater } noiaiY'uistritrutor
r t N f Fother
.. tion of Shad
„oa o�i f.,r f .-
eck 0
Depth to Vlfa►nf 3woynf �A vclO',N:,+Eajti7lt�Point [tt '
I tfluent 93 [ m. Values should reflect dissolved and -
Measunn Posn2 M P r
9. (_ ) �. ft_above--land _ R ca:::,da:`eoi;eerierauocis.
7$/7 --2..
...c.; a -,- _ w• a ative.R,l:P_-Eleiration in
. ��� .-.- +'r�GrOYe:Salltl7:iti• G74e �� ate sarripls(ollL'LCed:
field analysis i? -Spedfc
e
sample
Temp °G,Oder._ L.abora2ory fltam : � v � 1-1-
� :
APPear a,-ic, .
�icatton tiro 7�3
** i RkSampCes 4or.sneiais were c>tlected �{Ism od „ _
CAD .
:�O and�'selo_acidified
C :: - mafi - Nttrtte(NO )a-sl\I TES. ., NO)
..Tti[Gf c ri.._ivtr- r eCat m Ni-RC..kel
gil
CairfomT 'ivilF7F tat - / UOml Nitrate(NO3)as N •
C�/I
/1Orrii Phosp p er- Total as P__Q O g Pb-dead
_ _ (Note Use MPN method kw hic*ty toltad_satno
m� Zrt-Ztr;c
O�h3r� akntb nl�.
(No le Use
d.Soltds-Total - P :eS
D �-- -� hds Tot: . , m a t_Rtrrn;:::-- rr ----- — - _ - --
i+ ,,xt►, r:r acr rrZr LG'U -.
7i-ig/t -rnmo^!a stta0 et;
r`s.z 1 .mg,_ va-c.,,cu�Uitt __
� '. r�":S8.'X��Oii, rfli utiOli Wits)
Chto:de ... dfTT1UIF1 n
. ,
Crease and Olfs Mgr! Ghro( lclrn �ota4
Phenol
MO Cit �;oPPeC...__
Sulfate
mg/( Fe-Iron
shaft ORGANICS: GC Sulfat c Conductance r g/I Hg-Marctrry - �metho A.S;NPLO)
Tow Ammonia -
ui lnos K-Potass Alin m Rep(Spe 3f)i.test and method#_Attach.lab report.)
mg/! Mg-Ma ne f Repo Attached? Yes 1:) NO. ��,
., 2S . -
mgti With -Manganese : mehod#
rngil : method#
tt'!dltatfStlbr7MtEtl u iktibleRottlawcaccurate,an.. or
method
> .I. ,, • �oa1�pleie�.Vtd:t{laEtf.?e�fat?OraiC :.- 1 .r _tncludsng:the.p•assibiCttyr c�>ti�ies and imprisonment for krro�vF gvrclats'ct>s, c ' a•oratory i am aware that there are signifrcant penafities for subm;ttmg'false,ttforrrtaGort
w Pipet 0 E �r ti _-....
Q
CyV 59 (of A�- --Agent)!� . .a :r..a-a- �i/E C1
a type
Rev_ 03/2000 Sbnature of Pem,iitee(or — _- ?���
(Da.e)

•a
GROUNDWATER��t ATER 'QUALITY I rIT [ I *lei t . DEPARTMENT OF EhfVtRpuucr{T Nn ORAL RESv^:RCES
.. i . r E r 7VItOi�t E lOJ[R' 1I`rla: t
to. WATER QUALITY DIVISION,GROUNDWATER SECTION
COMPLIANCE REPORT FORM 1636 MAIL SERVICE CENTER
FACILITY-INFORMATION Please Print Clearly or Tyne RALEtGN,NC 27649 f63& Phorte:-(9f9 733 3 1-
Facif Name_ A -- INNIPIIPr-
-
EXP(RATIOi�rJATE-
r'eimil Name(if QjRerenT t\A ri tK p •' - t rr.
j e! !y 1= u I. �[►y I rev[ Discharge- C {t2� VIC t
Facility Address: �-I L NPDES
l.( t � �` County, �' £ZT Tr-i _ TYPE OF PERMITTED OPERATION BEING MONITORED ._
Contact Person:- c?-G 1-A►.c/F `uc _____.__.:_
Telephone : 39 g 7 a Lagoon
Remedatiort:Infiltration Gad►ery
-Welt LocaLorrrSi-te J e ` T-P
No_of Wells to be Sampled: -_r` SPAY Feld Reme �M�_
Well Identification Number(from Permit): ( { tr _ t `�R�ry Distributor Land}F'Grotialwater Treatment Sv+stems Application of Sludge
Well Depth: / o a`�3 tt Well Diameter in. p'check r, Otter.
Scr Softened Interval ft. to 1 vrte u fluent (y8} _.__._.
Depth e u�t2ip�Level: u below Efifluent (9s). I NOTE: Values should reflect dissolved and .
...caSur.ny Pint ,
•n - i colto idaGconc entratio rs.Measurin .PointtM P_S is: _ 1 tt above!and Qos90 is►f PCr �'�_ a . i1Gaons oaterpum _pried►of.,re ,.l,• - Data sample cooeCied: --,,,STf Qanaty �d:w
Field analyss pH • specific ductance
utvih ^^n Laboratory Name: ` n:i u)
Temp_ QC,Odor Of Appearance i C2IS Certification No1-0
.
,a Rck€ �S�Ssrnpees for reels�trQre [ c;ed t n.e �5-..
a acidified:,
COQ __ __ _ = e c e _YES N
_-"- ----- n0 and-fi Jda i d
mgiI Nitrite(NO2)as N
off_
gil
Cotirorrn_:ME 1=ecal /1 OOrnl Nitrate(NO3) as N ps Pb-Melee! m
• � P -Lead Colifo[r.,MF Total /100ml Phosphorus:horu Total as P .4. 0• omm
--- P - -- --. , tom, �.-Zf+r- - �. ._
(elate:Use AiPN method for highly turbid sere Orthophosphate mY r r ryr -
Dissolved-SolidsTotal I 1 Almonia Nitrogen f-Aluminum
rrtR Q .I .. y 9 _ .Ca.O mg/l
- �Yt►_(vvhert nafy2ed) — ----- — - r r' '�:I. .�...:^ ��+v .:., r�uQuv,l i;inu
} . — units �trl � ._.. _
< L co - m - Ca-Calcium Dj _alga_
1 2r mgr Cd-Cadmium
Arselnie - _ mg Chromium Total v7 i i 0 21J22 m :
Grease and Oils mg/I ragnm
Cu-Copper
Phenol mg/1 Fe-Iran
mg./). ORGANICS: (GC,GC/MS,i-iPLC)
Sulfate Jng/[ it Mercury mg/I
Specific Conductance uMhos K Potassium (Specify test and method#_Attach lab report.)
Toi'ai Ammonia m _m. Report attached? Yes (1} No (0)
TKN as N rng/I Mg-Magnesium ^ gll 'JOC
: method#=
mg/1 MnMrs-Manganese mg11
metFtoi#
• 1 certify that,to the best of m r Iv-
method
tmoyde a a>3Sf..bsli-e lbainformattorzsubmitte tln-thisrepat-rs-trUe,accurate,and-coat fete-an`
—�-�- �- P d'�oratdryana7yticaCdata was prctiuce
using approved methods of analysis by a North Carolina OWO(formerly DEM)certified Laboratory.I am aware that there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations.
PemuKee(or Authorized/wit) ari ie and T print or type -
GW g - V/Z7 4
Rev. 03/2000 Signatote of Permittee t nz t)
(Date)