HomeMy WebLinkAboutWQ0004972_Monitoring - 07-2022_20220809 of..
ti
DWR - NonDischarge Monitoring Report Submittal •4 ..
NORTH CAROLINA
E Mranmenlcl Quaffly
Monitoring Report Submittal
..............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
Permit Number#* WQ0004972
Name of Facility:* Forest Lake ELS
Month:* July Year:* 2022
Report Information
Type* Upload Document*
GW-59 Forest Lake Groundwater.pdf 1.81MB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2,NDMLR,GW-59).
Confirmation Email Address:* amie.ferguson@pacelabs.corn
Name of Submitter:* Arnie Ferguson
Signature:
Date of submittal: 8/9/2022
This will be filled in automatically
Initial Review
.............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
Reviewer: Gerald,Wanda
Is the project number correct?* WQ0004972
Is the monitoring report accepted?* Yes No
Regional Office* Winston-Salem
Reviewer: _anonymous
Review Date: 8/23/2022
SUBMIT FORM ON YELLOW PAPER ONLY
Mail original DEPARTMENT OF ENVIRONMENTAL QUALITY-DIV.OF WATER RESOURCES
GROUNDWATER QUALITY MONITORING: and 7 copy to: INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM 1617 MAIL SERVICE CENTER,RALEIGH,NC 27699-1617
FACILITY INFORMATION Please Pont Clearly or Type PERMIT Number:
WQ0004972 Expiration Date:
Facility Name: Forest Lake ELS Non-Discharge UIC
Permit Name(if different): NPDES Other
Facility Address: 192 Thousand Trails Drive TYPE OF PERMITTED OPERATION BEING MONITORED
Advance NC 27006 County Davie ❑ Lagoon ❑Remediation: Infiltration Gallery
N Spray Field ❑Remediation:
Contact Person: Tracy Ovcrdurf Telephone#: 336-998-4135 ❑ Rotary Distributor ❑Land Application of Sludge
Well Location/Site Name: No.of wells to be sampled: 4 ❑ Water Source Heat Pump ❑ Other:
(From Permit)
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): MW-4 Date sample collected: 07/21/2022 FIELD ANALYSES: WAS
Well Depth: 46.00ft. Well Diameter: 2 in. pH moo: 6,58 units Temp.00o1o: 20.3 cC DRY at
Depth to Water Level 82546: 33.97 ft.below measuring point Screened interval ft. to ft. Spec.Cond. 00094: .iMhos time of
sampling,
Measuring Point is ft.above land surface Relative M.P. Elevation: ft. Odor 00085: check
Volume of water pumped/bailed before sampling: 3.75-Dry gallons Appearance here:❑
Samples for metals were collected unfiltered: ❑■ YES ❑ NO and field acidified: •YES ❑NO
LABORATORY INFORMATION
Date sample analyzed: 07/22-08/03/2022 Laboratory Name: Pace Analytical Services Certification No. 40&633
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 2.0 /100mL Nitrate(NO3)as N 00620 0.058 mg/L Zn-Zinc 01092 mg/L
Coliform: MF Total 31504 /100mL Phosphorus:Total as P 00665 <0.050 mg/L
(Notes use MPN method for highly turbid samples) Orthophosphate 70507 mglL Other(Specify Compounds and Concentration Units):
Dissolved Solids:Total 70300 mg/L Al-Aluminum o11os mg!L
pH (Lab)00403 units Ba-Barium 01007 ug/L
TOC 00680 <1.0 mg/L Ca-Calcium 00916 mg/L
Chloride Pow 3.4 mg!L Cd-Cadmium 01027 uglL
Arsenic 01002 uglL 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? ❑ Yes(1) ❑ No(0)
Specific Conductance 00095 µMhos K-Potassium 00937 mg/L VOC 7673 , method#
Total Ammonia 00610 <0.10 mg/L Mg-Magnesium 00927 mg/L , method#
(Ammonia Nitrogen;NH,as N.Ammonia Nitrogen,Total) Mn-Manganese 01055 uglL , 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 far submitting false information,including the possibility of fines and Imprisonment for knowing violations.
/�.,fe) !"`"4'` ( �v. 'r (�`]�'�`)—
Permlttee for Authorized Agent)Name and Title-Please print or type Signature of Permitlee(or uthorized A. (Date)
GW-59 Rev.06-07-2018
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 27690-1017
FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: WQ0004972 Expiration Date:
Facility Name: Forest Lake ELS _ Non-Discharge UIC
Permit Name(if different): NPDES Other
Facility Address: 192 Thousand Trails Drive TYPE OF PERMITTED OPERATION BEING MONITORED
Advance "`'"`' NC 27006 County Davie ❑ Lagoon ❑ Remediation: Infiltration Gallery
folly) Ihlara) (?,rq
Spray Field ❑ Remediation:
Contact Person: Tracy Overdurf Telephone#: 336-998-4135 ❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: No.of wells to be sampled: 4 ❑ Water Source Heat Pump ❑Other:
(from Permit)
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): MW-3 Date sample collected: 07/21/2022 FIELD ANALYSES: WAS
Well Depth: 19.10 ft. Well Diameter: 2 in. pH 00400: 6.42 units Temp.0001o: 20.2 °C DRY at
Depth to Water Level 82546: 10.48 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; check
Volume of water pumped/bailed before sampling: 3,75-Dry gallons Appearance here:❑
Samples for metals were collected unfiltered: ❑■ YES ❑ NO and field acidified: ❑i YES ❑NO
LABORATORY INFORMATION
Date sample analyzed:07/222-08/03/2022 Laboratory Name: Pace Analytical Services Certification No.
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 1.0 1100mL Nitrate(NO3)as N 00620 8.5 mg/L Zn-Zinc 01092 mg/L
Coliform: MF Total 31504 1100mL Phosphorus:Total as P 00665 <0.050 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 01105 mg/L
pH (Lab)00403 units Ba-Barium 01007 ug/L
TOC oaet30 <1.0 mg/L Ca-Calcium 00916 mg/L
Chloride 00940 26.0 mg/L Cd-Cadmium 01027 ug!L
Arsenic o1oo2 ug/L Chromium:Total 01034 uglL
Grease and Oils 00552 mg/L Cu-Copper 01042 mgfL ORGANICS: (by GC,GC/MS, HPLC)
Phenol 32730 ug/L Fe-Iron o1045 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 i.tMhos K-Potassium 00937 mg/L VOC 7873 , method#
Total Ammonia 00610 <0.10 mg/L Mg-Magnesium 00927 mg/L , method#
(Ammonia Nitrogen;NH,as N;Ammonia Nitrogen,Total) Mn-Manganese 01055 uglL , method#
TKN as N 00625 mg/I_ 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. l�aml aware that there are
significant penalties for submitting false Information,including the possibility of lines and imprisonment for knowing violations.
� 7
Permittee(or Authorized Agent)Name and Title-Please print or type Signature. - ittee{or Authorized Agent) (Dale)
GW-59 Rev.06-07-2018
SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING: Mail original DEPARTMENT OF ENVIRONMENTAL
OF WATER RESOURCES
INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM and 7 copy to: 1617 MAIL SERVICE CENTER,RALEIGH,NC 27699-1617
FACILITY INFORMATION Please Print Clearly or Type PERMIT Number:WQ0004972 Expiration Date:
Facility Name: Forest Lake ELS Non-Discharge UIC
Permit Name(if different): NPDES Other _
Facility Address: 192 Thousand Trails Drive TYPE OF PERMITTED OPERATION BEING MONITORED
Advance NC 27006 County Davie ❑ Lagoon ❑Remediation: Infiltration Gallery
``''' ® Spray Field ❑Remediation:
Contact Person: Tracy Overduf Telephone#: 336-998-4135 ❑ Rotary Distributor ❑Land Application of Sludge
Well Location/Site Name: No.of wells to be sampled: 4 ❑ Water Source Heat Pump ❑Other:
(from Permit)
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): MW-2 Date sample collected: 07/21/2022 FIELD ANALYSES: WAS
Well Depth: 39 00 ft, Well Diameter: 2 in. pH 00400: 6.46 units Temp.00010: 20.6 °C DRY at
Depth to Water Level 82546: 31.53 ft.below measuring point Screened Interval: ft. to ft. Spec.Cond. 00094: [Mhos time of
sampling,
Measuring Point is ft.above land surface Relative M.P. Elevation: ft. Odor 000e5: check
Volume of water pumped/bailed before sampling: 1.00-Dry gallons Appearance here:n
Samples for metals were collected unfiltered: 111 YES ❑ NO and field acidified: ❑r YES ❑NO
LABORATORY INFORMATION
Date sample analyzed: 07/22-08/03/2022 Laboratory Name: Pace Analytical Services Certification No. 40&633
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L Nitrite(NO2)as N ousts mg/L Pb-Lead 01051 uglL
Coliform: MF Fecal 31616 5.0 1100mL Nitrate(NO3)as N 00620 0.95 mg/L Zn-Zinc 01osz mg/L
Coliform: MF Total 31504 /100mL Phosphorus:Total as P 00665 0.077 mg/L
tNote. 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 o11os mg/L
pH (Lab)00403 units Ba-Barium 01007 ug/L
TOC 00680 <1.0 mgfL Ca-Calcium 00916 mgfL
Chloride 00940 6.6 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)
Phenol 3273o 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 la Mhos K-Potassium o0937 mg/L VOC 7873 , method#
Total Ammonia 00610 <0.10 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 ugIL , 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.y. II am aware that there are significant penalties for submitting false information,including the possibility of fines and Imprisonment for knowing violations.
/3�fay\ �l e.,.( Wic-A)F,f-� �� 7 �—
Permittee(or Authorized Agent)Name and Title-Please print or typo Signature of Permittee{or Authorized t) {Date)
GW-59 Rev.06-07-2018
SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING: Mail original DEPARTMENT OFINFORMATIONTAL QUALITY-DIV.PROCESSING UNITOF WATER RESOV♦2CE5
COMPLIANCE REPORT FORM and 7 Copy to: 1617 MAIL SERVICE CENTER,RALEIGH,NC 27699-1617
FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: WQ0004972 Expiration Date:
Facility Name: Forest Lake ELS Non-Discharge UIC
Permit Name(if different): 192 Thousand Trails Drive NPDES Other
Facility Address: TYPE OF PERMITTED OPERATION BEING MONITORED
Advance ``'`feet' NC 27006
County Davie ❑ Lagoon ❑ Remediation: Infiltration Gallery
Cit) 1StatO (zip, [3] Spray Field ❑Remediation:
Contact Person: Tracy Overdurf Telephone#: 336-998-4135 ❑ Rotary Distributor ❑Land Application of Sludge
Well Location/Site Name: No.of wells to be sampled: 4 ❑ Water Source Heat Pump ❑Other:
(from PermitL
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): MW-1 Date sample collected: 07/21/2022 FIELD ANALYSES: WAS
Well Depth: 90,00 ft. Well Diameter: 2 in. pH coon: 6.39 units Temp.00o1o: 19.4 °C DRY at
Depth to Water Level 82546: 65.68 ft.below measuring point Screened Interval: ft. to ft. Spec.Cond. 00094: Mhos time of
sampling,
Measuring Point is ft,above land surface Relative M.P. Elevation: ft. Odor moss: check
Volume of water pumped/bailed before sampling: 4.50-Dry gallons Appearance here:❑
Samples for metals were collected unfiltered: •YES ❑ NO and field acidified: NI YES ❑NO
LABORATORY INFORMATION
Date sample analyzed:07/22-08/03/2022 Laboratory Name: Pace Analytical Services Certification No. 40&633
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 1 0 /100mL Nitrate(NO3)as N 00620 035 mg/L Zn-Zinc 01os2 mg/L
Coliform: MF Total 31504 /100mL Phosphorus:Total as P 0066s 0.10 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 01105 mg/L
pH(Lab)00403 units Ba-Barium o1007 uglL
TOC 00680 2.1 mg/L Ca-Calcium 00916 mg/L
Chloride 00940 I.1 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 o10a5 uglL (Specify test and method#.ATTACH LAB REPORT.)
Sulfate 00945 mg/L Hg-Mercury 71900 ug/L Lab Report Attached? ❑ Yes(1) Cl No(0)
Specific Conductance 00095 µMhos K-Potassium 00937 mg/L VOC 7873 ,method#
Total Ammonia 00610 0.26 mg/L Mg-Magnesium 00927 mg/L ,method#
(Ammonia Nitrogen;NH,asN;Ammonia Nitrogen,Total) Mn-Manganese°loss 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.
Q ilk.-( Gam I
, .1.--4- ..40"._ ' 9-1-�--
Permittee(or Authorized Agent)Name and Title-Please print or type Signature of Permittee(or Authorize ntl (Date)
GW-59 Rev.06-07-2018