WQ0005426_Monitoring - 07-2022_20220818

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DWR - NonDischarge Monitoring Report Submittal y. •4 ..
NORTH CAROLINA
Emlranmenlcl QHaflly
Monitoring Report Submittal
..............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
Permit Number#* WQ0005426
Name of Facility:* Falls Lake-Holly Point WWTF
Month:* July Year:* 2022
Report Information
Type* Upload Document*
GW-59 Holly Point MW Signed July 1.83MB
2022.pdf
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2,NDMLR,GW-59).
Confirmation Email Address:* [e-mail]
Name of Submitter:* David Mumford
Signature:
Date of submittal: 8/18/2022
This will be filled in automatically
Initial Review
..............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
Reviewer: Gerald,Wanda

Is the project number correct?* WQ0005426
Is the monitoring report accepted?* Yes No
Regional Office* Raleigh
Reviewer: _anonymous
Review Date: 8/30/2022

SUBMIT FORM ON YELLOW PAPER ONLY
r-- Mail original ' .01141tNt OF Etirv1RONMENTALWAUTT:4AV.OF WATER Resources
GROUNDWATER QUALITY MONITORING:
,Iii-a-fidittotolilte: .:.: ' ' .' ' ' '" 'IN°14zktATI°14"°c!"it -Nrr'
COMPLIANCE REPORT FORM ''. leir.-MAILstkvicEtetiTtititiitlaftilicints;isii,,' ,,
FACILITY INFORMATION Please Print Clarly or Type PERMIT Number: Expiration Date: 11130/202e
Facility Name: Falls Lake-Holly Point WWTF Non-Discharge W00005426 UIC
Permit Name(if different): NPDES Other
Facility Address: 13304 Creedmoor Rd. TYPE OF PERMITTED OPERATION BEING MONITORED
Wake Forest '-'-- NC 27587 County Wake 0 Lagoon 0 Remediation: Infiltration Gallery
..., .z.
0 Spray Field 0 Remediationi
Contact Person: David Mumford Telephone#: [phone] 0 Rotary Distributor 0 Land Application of Sludge
Well Location/Site Name Holly Point No.of wells to be sampled: 4 0 Water Source Heat Pump 0 Other.
(from Peornie
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): MW-1 Date sample collected: 7/2812022 FIELD ANALYSES: WAS
Well Depth: 52 ft. Well Diameter: 2 in. pH 00400: 7.2 units Temp.wow: .c DRY at
Depth to Water Level 82546:447 ft. below measuring point Screened Interval- ft. to ft. Spec.Cond. 00094: tiMhos time of
sampling,
Measuring Point is 2 ft.above land surface Relative M.P.Elevation: ft. Odor 00085: check
Volume of water pumped/bailed before sampling: gallons Appearance here:
Samples for metals were collected unfiltered: 0 YES 0 NO and field acidified: Li YES 0 NO
LABORATORY INFORMATION
Date sample analyzed:712572022
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 01051 ugild
Coliform: MF Fecal 31616 <1 /100mL Nitrate(NO3)as N 00620 0.2 mg/L Zn-Zinc 01092 mg/L
Coliform: ME Total 31504 /100mL Phosphorus:Total as P 00665 0.31 mg/L
(Note Use MPN method for teghly turbg sarnetes)
Orthophosphate 7n5o7 mg/L Other(Specify Compounds and Concentration Units):
Dissolved Solids:Total 7030o 490 mg/L Al-Aluminum o1105 mg/L Total Nitrogen-2.74 mg/L
pH (Lab)00403 units Ba-Barium 01007 ugfL
TOG 00680 mg/L Ca-Calcium 00916 mg/L
Chloride 00940 16.2 mg/L Cd-Cadmium 01027 ugild
Arsenic 01002 ugfL Chromium:Total 01034 ugit
Grease and Oils 00552 mg/L Cu-Copper 01042 mg/L ORGANICS: (by GC.GC/MS, HPLC)
Phenol 32730 ug/L Fe-Iron owils ug/L (Specify test and method#.ATTACH LAB REPORT.)
Sulfate 00945 mg/L Hg-Mercury 71900 ug/L Lab Report Attached? 11.1 Yes(1) 0 No(0)
Specific Conductance 00095 uMhos K-Potassium o0s37 mg/L VOC 7873 method#
Total Ammonia 00610 <0,1 mg/L Mg-Magnesium ocian mg/L , method#
iAmmoria Ndrogen,ell=f2 as N Ammonia Nitrogen,Total)
Mn-Manganese 01055 ug/L , method# i
TKN as N 00625 2.58 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%
tertWy that,tothebestotmy knowIedgeand be11eflhelnforma8on submitted in this raped is ttue,accurate,ändOomple5e,and that the Laboratory analytical datawas produced using approved methods oranalysis bys
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David Mumford.Park Supenntendent 1 _ --, AIN/ 8/18/2022
Permittee(or Authorized Agent)Name and Title-Please print or type Signature of Perrnitiee .i'4i.ithotized Agii t) (Date)
GW-59 Rev.06-07-2018'

SUBMIT FORM ON YELLOW PAPER ONLY
Mail-original
ra AR ENT l IRO1* t��
WA SUR
GROUNDWATER QUALITY MONITORING: di t �iR � �
en ropy c .COMPLIANCE REPORT FORM = t� � �FACILITY INFORMATION Glewfy or Type PERMIT Number: Expiration Date 1113012025
Facility Name: Falls Lake-Holly Point WWTF Non-Discharge WQ0005426 UIC
Permit Name(if different): NPDES Other
Facility Address: 13304 Creedmoor Rd. TYPE OF PERMITTED OPERATION BEING MONITORED
Wake Forest NC 27587 County Wake ❑ Lagoon ❑Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation.
Contact Person: David Murnford Telephone#: [phone] ❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name:Holly Point No.of wells to be sampled: 4 ❑ Water Source Heat Pump ❑Other:
—_ (from Permit)
.SAMPLING INFORMATION Ill WELL
WELL ID NUMBER(from Permit): MW-2 Date sample collected: 7/28/2022 FIELD ANALYSES; WAS
Well Depth: 47 ft. Well Diameter: 2 in, pH 00400: 6.7 units Temp. 00o10 'C DRY at
Depth to Water Level 62546:30` ft. below measuring point Screened Interval: ft. to ft. Spec. Cond.000094: pMhos time of
sampling,
Measuring Point is 2 ft.above land surface Relative M.P.Elevation: ft, Odor 00085: check
Volume of water pumped/bailed before sampling: gallons Appearance here:
Samples for metals were collected unfiltered: ❑YES © NO and field acidified: ❑YES NI NO
LABORATORY INFORMATION
Date sample analyzed:7/28 2022 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 01051 ug/L
Coliform: MF Fecal 31616 ri /100mL Nitrate(NO3)as N 00620 1.5 mg/L Zn-Zinc 01092 mg/L
Coliform: MF Total 31504 /100mL Phosphorus:Total as P cows 0.17 mg/L
tNcr=_ Us '<nPN method for highly turbid EaPtes Orthophosphate 70507 mg/L Other(Specify Compounds and Concentration Units):
Dissolved Solids:Total 70300 52 mg/L Al-Aluminum 01105 mg{L Total Nitrogen-2.87 mg/L
pH(Lab)00403 units Ba-Barium 01007 ug/L
TOC 00680 mg/L Ca-Calcium 00916 mg/L
Chloride 00940 11.1 mg/L Cd-Cadmium 91©27 uglL
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 uglL Fe-Iron 01045 ug/L (Specify test and method#.ATTACH LAB REPORT.)
Sulfate 00945 mg/L Hg-Mercury 71900 uglL Lab Report Attached? 't] Yes(1) ❑ No(0)
Specific Conductance 00095 fiMhos K-Potassium 00937 mg/L VOC 7873 , method#
Total Ammonia 00610 0.11 mg/L Mg-Magnesium 00927 mg/L , method#
Am o.a Nitrogen:NH-,as N:,P'mm n!a Nitrogen,Torah Mn-Manganese 41055 ug/L method#
I TKN as N 00625 1.34 mg/L Ni-Nickel 01067 uglL , method#
For Remediation Systems Only(Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
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DWR r ifie lab tory _t am a reih here-are signifi nt taffies for a btr lting false-infomletron includin the possibilityof_fines-and impnscnmenl forknow ng violations __ -
i
`David Mumford.Park Superintendent ,—...1 f P "- ` 8{1 g{202
Permitiee for Authorized Agent)Name and Idle-Please print or type gne ofPerm tee •r 'horized 4gentl (Date)
GW-59 Rev.06-07-2018

SUBMIT FORM ON YELLOW PAPER ONLY
_ Mail original , PEPARNENT co'etwiRst I;aTENTAQUALOY-Ohk Of VAtAttR RESOURCES
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM -E iE lEl---=-=.o---- .-' ' ''' ' la/MAIL SERVICEOENTER RALEIGH410278,9-1617 - ,
FACILITY INFORMATION Please Pont Cieady or Type PERMIT Number: Expiration Date: 11/30/2026
Facility Name: Falls Lake-Holly Point WWTF Non-Discharge WC/0005426 UIC
Permit Name(if different): NPOES Other
Facility Address: 13304 Oreedmoor Rd. TYPE OF PERMITTED OPERATION BEING MONITORED
Wake Forest NC 27587 County Wake .0 Lagoon 0 Remediation. Infiltration Gallery
1 Spray Field 0 Remediation:
Contact Person: David Mumford Telephone#: [phone] El Rotary Distributor 0 Land Application of Sludge
Well Location/Site Name:Holly Point No,of wells to be sampled: 4 0 Water Source Heat Pump 0 Other
,from Permit)
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): MW-3 Date sample collected- 7/28/2022 FIELD ANALYSES: WAS
Well Depth 38 ft. Well Diameter 2 in. pH 00400: 7.2 units Temp. emir): °C DRY at
Depth to Water Level 82546:292" ft.below measuring point Screened Interval: ft, to ft, Spec.Cond, 00094 )(Mhos time of
sampling,
Measuring Point is 2 ft.above land surface Relative M.P. Elevation: ft. Odor 00085. check
Volume of water pumped/bailed before sampling: gallons Appearance here:
Samples for metals were collected unfiltered: 0 YES 0 NO and field acidified: 0 YES 0 NO
LABORATORY INFORMATION
Date sample analyzed.712512022 Laboratory Name: Statesville Analytical Certification No. 440
PARAMETERS NOTE:Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L Nitrite(NO2)as N 00515 mg/L Pb-Lead most ugIL
Coliform: MF Fecal 31616 <1 /100mL Nitrate(NO3)as N 00620 0.2 mg/L Zn-Zinc ot 092 mg/L
Coliform- MF Total 31504 /100mL Phosphorus: Total as P 00665 0.12 _ mg/L
iNuts Use MPN method For highly turbd sonic/es;
Orthophosphate 70507 mg/L Other(Specify Compounds and Concentration Units):
Dissolved Solids:Total 70300 25 mg/L Al-Aluminum et tos mg/L Total Nitrogen-1.16 mg/L
pH(Lab)0040.3 units Ba-Barium 01007 ugiL
TOC 0068a mg/L Ca-Calcium 00916 mg/L
Chloride 00940 <10 mg/L Cd-Cadmium 01027 ugiL
Arsenic 01002 ugh_ Chromium:Total 01034 ugiL
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?taco ugiL Lab Report Attached? 0 Yes(1) 0 No(0)
Specific Conductance 00095 uMhos K-Potassium 00937 mg/L VOC 7a73 ,method#
Total Ammonia cosio <0.1 mg/L Mg-Magnesium 00927 mg/L , method#
Ammon,a Narogen.NH,as Is Ammonia Nitrogen Total;
Mn-Manganese oioss 110._ . method#
TKN as N 00625 1.01 mg/L Ni-Nickel 010e7 ug/L , method#
For Remediation Systems Only(Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
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David Murnford,Park Superintendent y......,, -77 i"---) 4.--i/ , -,, 8/18/2022
Perrnittee(or Authorized Agent)Name and Title-Please print or type Signature g ermittee(tir Au gr_ =8 Agent) 4-' (Date)
GVV-59 Rev.06-97-2018

SUBMIT FORM ON YELLOW PAPER ONLY
Matt origins 'DE#PAR rMENTOPEN�M 14TA£.QU =O tA7 R ESOU ES
GROUNDWATER QUALITY MONITORING: = . .t ��1 �
COMPLIANCE REPORT FORM - 1s �i A4L 4d € ), tit
FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date: 11130/2025
Facility Name: Falls Lake-Holly Point WWTF Non-Discharge WQ0005426 UIC
Permit Name(if different): NPDES Other
Facility Address: 13304 Creedmoor Rd. TYPE OF PERMITTED OPERATION BEING MONITORED
Wake Forest P''''"' NC 27587 County Wake ❑ Lagoon ❑ Remediation: Infiltration Gallery
El Spray Field ❑ Remediation:
Contact Berson: David Mumford Telephone#: [phone] ❑ Notary Distributor ❑Land Application of Sludge
Well Location/Site Name:Holly Point No.of wells to be sampled: 4 ❑ Water Source Heat Pump ❑Other:
(from permit)
SAMPLING INFORMATION If WELL i
WELL ID NUMBER(from Permit): MW-4 Date sample collected: 7/28/2022 FIELD ANALYSES: WAS
Well Depth: 45 ft_ Well Diameter: 2 in. pH 00400: 6.8 units Temp. 000to: °C DRY at
Depth to Water Level 82546:32'4" ft. below measuring time of
g point Screened Interval; ft. to ft. Spec.Cond.000s4: FtMh°s sampling,
Measuring Point is 2 ft. above land surface Relative M.P. Elevation: ft. Odor 00085: check
Volume of water pumped/balled before sampling: gallons Appearance here:—
-
Samples for metals were collected unfiltered: ❑YES El NO and field acidified: ❑YES IA NO
LABORATORY INFORMATION
Date sample analyzed:7/28/2022 Laboratory Name: Statesville Analytical Certification No. 440
PARAMETERS NOTE:Values should reflect dissolved and colloidal concentrations.
COD moos mg/L Nitrite(NO2)as N 00615 mg/L Pb-Lead 01051 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 0,12 mg/L
(Note_
ct@ Use PN methoo for h,Q"`tur`fd samples) Orthophosphate 70507 mg/L Other(Specify Compounds and Concentration Units):
Dissolved Solids:Total 70300 76 mg/L Al-Aluminum o1105 mg/L Total Nitrogen-3,28 mglL
pH(Lab)00403 units Ba-Barium 01007 ug/L
TOC 00680 mg/L Ca-Calcium 00916 mg/L
Chloride 00940 11.1 mg/L Cd-Cadmium o1o27 ug/L
Arsenic o1002 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 1tMhos K-Potassium 00937 mg/L VOC 7873 , method#
Total Ammonia Po610 <0.1 mg/L Mg-Magnesium 00927 mg/L , method#
Ammonia Nitrogen:Net,as N;Ammonia Nitrogen Totals Mn-Manganese 01055 ug/L --- method#
TKN as N 00625 3.25 mg/L Ni-Nickel 01067 ug/L , method#
For Remediation Systems Only(Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/ VOC Removal%
€tif that to# best_of m kno ed wand ief the_informatton submi ed in thi re t I Y °_ tie Y v�]- � t tt s rt s trutaccurate,_and compete and ithatilhailaWatoryianalytiomidatviptodiiittd using-_approved methods isf analysis=ice a _
DWR-certifie laboratory_I am ativareihat there arestgnificant penes for submitting false€nformatiors,including tt'e possibilitvof fines and mpnsonm rt for kncrnng violations_ _` _ -
David Mumfard.Park Superintendent ��;: 1 8/18/2022
Permitlee(or Authorized Agent)Name and Title-Please print or type Signature of Permittee(or A, • zed Agrn t (Date)
GW-59 Rev.06-07-2018