HomeMy WebLinkAboutWQ0004797_Monitoring - 05-2021_20210629Attachment 3
DEQ GW-59A —
•tt!�li� `"�• '• it
GW-59A ('0MPLIANCE REPORT FORM Permit # WQ0004797
(Submit one each naaiiroring period with G!V-59 jizrna.)
1
Enter date monitoring results were due. (a.2/3i/2o2o) Will this monitoring report (GW-59 and GW-59A)
YES
NO
be submitted after the established due date?
X
Was any required information missing on li)e GW-59 report forms?
YES
NO
IF the answer to question i or 2 is "YES", list in the space provided below the well identification number(s) and
explain the problems encountered in obtaining the required informalion.
3
Are any of the monitor wells in need of repair or maintenance (damaged casing, unlocked or missing cap, missing
YES
NO
identification plate, area overgrown, etc.)? if the ansiver is "Yes", contact the Regional Ofce for guidance.
X
4
Are any monitored constituents equal to or above the established standards?
YES
NO
if the answer to question 4 is "NO") skip to section 8.
If the answer to question 4 is "YES" list the affected wells individually with constituent(s) and concentration(s)
exceeding standards in the space provided below. -
Nitrate (2L = 10 mg/L): MW-7R0 40.A rtg/L
Fecal Coliform (Total Coliform 21, standard . 1.0 CPU/100mL): MW-60 5.0 CFU/100ML
5
a� —
For the constituents identified In question 4 above, have standards been exceeded previously for the
YES
NO
same constituent(s) In the same well(s) In the last two years?
X
If the answer to question 5 is "NO", skip to section 8,
if the answer to question 5 is "YES", list In the space provided below, each well with consfituent(s) exceeding
standards, concentration(s) reported, and sample collection date for each occurrence (for the last two years).
Nitrate Fecal Coliform
MW-7R (mg/L) MW-6 (CFU/100mL)
11114/19: 17.1 11/14/19: 7.0
05/06/20: 21..5 05/06/20: 8.0
11/06/20; 13.0 21/06/20: 6.0
5/11/21: 40.4 5/11/21: 5.0
6
Are the monitoring wells listed in section 5 located at or beyond the review boundary?
YES
NO
MW-7R is at or beyond the review boundary.
X
If the answer Is "YES", a groundwater qualityproblem may be occurring. CONTACT THE REGIONAL
OFFICE IMMEDIATELY FOR GUIDANCE. if the answer Is "NO", monitoring wells may be Improperly
located, contact the Regional Office.
7
is the permittee Implementing previously approved actions required by the Division involving this
YES
NO
groundwater quality problem?
X
If the answer to question 7 is "YES" describe those actions in the space provided below.
If the answer to question 7 Is "NO", contact the Regional Office within 90 days; an evaluation may be
required to determine the impact the waste disnosal system is hgving at the review and comoiiance
boundaries surrounding this facile Failure to do so may subject the permittee to a Notice of Violation
fines. Mndfor nenaltfes.
Fecal Coliform should not be attributable to site operations. Historical monitoring of an on -site tributary of Mud
Creek has found high levels of fecal Coliform.
Nitrate concentrations exceeded the groundwater standard in MW-7R for the firer time in May 2016.
The high concentrations of nitrate are likely attributable to the frequent flooding of Mud Creek.
g
The person completing this portion (G W-59A) of the monitoring report should sign below and submit this
form with GW-59 forms for required wells to the address provided at the top of the current G W-59 form.
11 hereby acknowledge that the above information was evaluated and the Information submitted In this
report (Compliance Report GW-59A) Is true and complete to the best of my knowledge.
f
•��s�-"j� C� � � 6� t
Signature of Pormittes (or Authorized Agent) 'Date
(AV-59A 12/8/2003
Attachment 4
DEQ GW-59 — Groundwater Quality
Monitoring: Compliance Report Forms
SUBMIT FORM ON YELLOW PAPER ONLY
•
MPAR1UF_Nr4FiENv1RONMENTALOUAUTY - Vy', OF WATER RESOURCES
GROUNDWATER QUALITY MONITORING:
INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
116117 MAIL SEMCE CEWMR. RALEI", NC 27699-I617
FACILITY INFORMATION
-feasa Pnn,, Clearty or Type
PERMIT Number: Expiration Date: 7/31/2026
Facility Name: Clement Pappas
Non -Discharge WQ0004797 UIC
NPIDES Other
Permit Name (if different)
Facility Address- 485 Brookside Camp Road
TYPE OF PERMITTED OPERATION BEING MONITORED
0 Lagoon F] Remediation: Infiltration Gallery
Hendersonville NC 28792 County Henderson
X Spray Field El Remediation:
Contact Person Billy Watson
Telephone#: 828-388-8682
0 Rotary Distributor F-I Land Application of Sludge
Well Location/Site Name: Irrigation Area
No. of wells to be sampled: 6
F-1 Water Source Heat Pump Ej Other:
"Prom pwrtl
J
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MWA
Date sample collected: 5/1112021
FIELD ANALYSES:
WAS
Well Depth: 18 20 ft.
Well Diameter: 2 in.
pH 00400 5.8 units Temp. 000lo: 13.9 -C
DRY at
-.
Depth to Water Level 826468-52 ft. below measuring point
Screened Interval: 5 ft- to
15
ft. Cond. 00094 258.3 IiMhos
time of
sampling,
Measuring Point is 2.43 ft, above land surface
Relative M.P. Elevation: 2063,77 ft.
Odor 00085 none
check
Volume of water pumped/bailed before sampling:
0.83
gallons
Appearance
here. El
Samples for metals were collected unfiltered: 7 YES
El NO and field acidified! 7—IR YES 0 NO
LABORATORY INFORMATION
Date sample analyzed: 15/1112021
Laboratory Name: Pace Analytical Services
Certification No. 37712
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NOS) as N 0o615
mg/L
Pb - Lead olo51 ug/L
Coliform: MF Fecal 31616 <1 .0
/100mL
Nitrate (NO3) as N 00620 1A
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
1100mL
Phosphorus: Total as P 00665 <0,05
fill
(Note Use MPN mettn-,d for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
)issolved Solids:Total 7o3oo 169
rnq/L
Al - Aluminum oil o5
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
Ij
TOC oo6so 2.8
mg/L
Ca - Calcium 00916
mg/L
Chloride 0094o 6.9
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total olo34
uglL
Grease and Oft 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 oog45
mg/L
Hg - Mercury 719oo
ug/L
Lab Report Attached? [197 Yes (1) El No (0)
Specific Conductance 00095
pMhos
K - Potassium 00937
mg/L
VOC 7873 method #
Total Ammonia oo6lo 0.14
mg/L
Mg - Magnesium 00927
mg/L
method #
(Arrynonia Nitrogen: NHeas N; Artymnla 1,11trogen, Total)
Mn - Manganese 01055
ug/L
method 4
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%
Billy Watson, Maintenance Manager
Permtee (or Authorized Agent) Name and Title - Please print or type
ialure of Permittee (or Authorized
GW-59 Rev 06-07-2018
C'IJRMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
!COMPLIANCE REPORT FORM
- . - - 1-- . -1-1 Please Print Clearly or
Facility Name Clement Pappas
Permit Name (if different).
Facility Address. 485 Brookside Camp Road
Hendersonville NC
28792 County Henderson
Contact Person, Billy Watson Telephonek 828-388-8682
Well Location/Site Name: Irrigation Area No of wells to be sampled: 6
OF_PARA*KT OF EWROMME14TAL QUALITY . OIVOF WATER
I INFORMA'1`1014 M-OCESSING UNIT
1,517 "AWL SZ:RVICE CENTER., RA LEIGH. MC 27699.1$17
PERMIT Number: Expiration Date, 7111/2026
Non -Discharge W00004797 UIC
NPDES Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon [j Remediation, Infiltration Gall"
Spray Field 0 Remediation-
❑ Rotary Distributor [I Land Application of Sludge
El Water Source Heat Pump F-1 Other:
If
WELL ID NUMBER (from Permit): MW-5 Date sample collected: 5/11/2021
Well Depth: 18.50 ft. Well Diameter: 2 in.
Depth to Water Level 82546: 8.77 ft. below measuring point Screened Interval: 9 ft. to
Measuring Point is 3.00 ft. above land surface Relative M.P. Elevation: 2085.60 ft.
Volume of water pumped/bailed before sampling, 1.24 gallons
Sample$ for metals were collected unfiltered: LEE YES ❑ NO and field acidified: jol YES 0 NO
t9 ft,
FIELD ANALYSES:
pH 00400 5.5 units Temp. 00010: 13.1 oC
Spec. Cond. 00094 73.3 pMhos
Odor 0008s none
Appearance
VVA5
DRY at
time of
sampling,
check
here:
LABORATORY INFORMATION
Date sample analyzed: 5/1112021
Laboratory Name: Pace Analytical Services
Certification No. 37712
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD oo33s
mg1L
Nitrite (NO2) as N omiti
mg/L
Pb - Lead o1o51 ug/L
Coliform, MF Fecal 31616 <Z0
/100ml-
Nitrate (NO3) as N 00620 <0.040
mg/L
Zn - Zinc o i o92 mg/L
Coliform, MF Total 315o4
/100ml-
Phosphorus: Total as P oo665 0.090
mg/L
(Note U.19 MPN method for highly turbid samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units),
)issolved Solids:Total 70300 110
mg/L
Al - Aluminum o11o5
mg/L
Dj
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 00680 5.5
mg/L
Cal - Calcium 00916
mg/L
Chloride 00940 11.8
mq1I_
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 olo4.5
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg/L
Hg - Mercury 71900
ug/L
Lab Report Attached? [1111 Yes (1) 0 No (0)
Specific Conductance orlo95
pMhos;
K - Potassium 00937
mg1L
VOC 7873 method #
Total Ammonia 00610 <0.10
mg/L
Mg - Magnesium 00927
mg/L
method #
(Ammonia Nitrogen: NH3 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 VUU KeMovai-/o
--jo<
Billy Watson, Maintenance Manager k7
Permittee (or Authorized Agent) Name and Tolle - Please on nj or tyine Signature of Permittee (or Authorized Agent) (Dale)
GW-59 Rev 06-07-2018
111.ORAJr CnOAA nhl Vt:l I t1W 0AM:P nWl Y
e 10 OF ENV)PONMCNTAL QUALITY'- 01V01: WATER ReSoLiRCEs
GROUNDWATER QUALITY MONITORING:
INFOR&WnON PROCESSING U041T
COMPLIANCE REPORT FORM
1817 MAIL SERVICE CENTER, RALEIGH, NC 27690-1617
FACILITY INFORMATION
Pfease Rrirr Clean or'ry0e
PERMIT Number: Expiration Date: 7/3112026
Facility Name: Clement Pappas
Non -Discharge W00004797 UIC
Permit Name (if different)
NPDES Other
Facility Address: 485 Brookside Camp Road
TYPE OF PERMITTED OPERATION BEING MONITORED
EJ Lagoon El Remediation: Infiltration Gallery
Hendersonville NC 28792 County Henderson
Z r'
ON Spray Field ❑ Remediation:
Contact Person: Billy Watson
Telephone#: 828-388-8682
El Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name. irrigation Area
No. of wells to be sampled: 6
El Water Source Heat Pump El Other:
(from Perdu
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-6
Date sample collected: 5111/2021
FIELD ANALYSES:
WAS
Well Depth: 11,58 ft,
Well Diameter: 2 in.
pH oo400: 5.5 units Temp. 00010 143 °c
DRY at
time of
Depth to Water Level 82fA6: 5.68 ft. below measuring point Screened Interval: 5 ft.
to 10
ft. Spec. Cond. 00094� 189.3 laMhos
sampling,
Measuring Point is 3.00 ft. above land surface
Relative M.P. Elevation: 2061.17
ft,
Odor 00085- none
check
Volume of water pumped/bailed before sampling.
' 0.97
gallons
Appearance
here:❑
Samples for metals were collected unfiltered: [W YES
El NO and field acidified: X YES El NO
LA130RATORY INFORMATION
Date sample analyzed: 5111/2021
Laboratory Name: Pace Analytical Services
Certification No. 37712
PARAMETERS NOTE: Values should reflect
dissolved
and colloidal concentrations.
COD omm
mg/L
Nitrite (NO,) as N ou615
mg/L
Pb - Lead o1o51 ug/L
Coliform: MF Fecal 31616 5,0
/100mL
Nitrate (NO3) as N 00620 1A
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 315o4
/100ml-
Phosphorus: Total as P oo665 <0.05
mg/L
(Nato use MPN method for highly turbid samples)
Orthophosphate 70507
_mg1L Other (Specify Compounds and Concentration Units)
issolved Solids:Total 70300 99.0
mg/L
Al - Aluminum 01105
mg/L
pH (Lab) 00403
—units
Ba - Barium 01007
ug/L D-1
TOC oo68o 2.2
mg/L
Ca - Calcium oo916
mg/L
Chloride 00940 10.9
mg/L
Cd - Cadmium 01027
uq1L
Arsenic 01002
ug/L
Chromium: Total olo34
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 oo94s
mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? FAW Yes (1) El No (0)
pecific Conductance 000gs
pMhos
K - Potassium 00937
mg/L
VOC 7873 method #
Total Ammonia oo610 <010
mg/L
Mg - Magnesium 00927
mg/L method#
(Ammonia Nitrogen; NH, as N: Ammonia Nitrogen, Total)
Mn - Manganese oims
ug/L method #
TKN as N 00625
mg/L
Ni - Nickel 01067
u91L method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L effluent I otal VL)US: Mg/L VUV1 Ke"loval7o
Billy Watson, Maintenance Manager
Permitter., (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev. 06-07-2018
(or Authorized Agent)
63/12- �/'z
ID;Irel
6UL$Ml 1 FUKrvl UN YtLLUVV VAt't:K VNLI
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
Facility Name: Clement Pappas
Permit Name (if different):
FacilityAddress: 485 Brookside Camp Road
Hendersonville INC
Contact Person- Billy Watson
Well Location/Site Name: Irrigation Area
I
or Type
28792 County Henderson
Telephone#: 828-388-8682
No. of wells to be sampled: 6
WELL ID NUMBER (from Permit): MW-7R Date sample collected: 511112021
Well Depth: 17.37 ft, Well Diameter: 2 in.
Depthto Water Level 82546: 10.85 ft, below measuring point Screened Interval: 5 ft
Measuring Point is 3.00 ft. above land surface Relative M.P. Elevation: 2062.86
Volume of water pumped/bailed before sampling: 1.19 gallons
Samvies for metals were collected unfiltered: ®R YES El NO and field acidified: WEI YES
DEaARTMENTOP FWRONMEWAL QUAUTY - NV� OF WATER RESOURCES
INPORMATION PROCESSIN5 UNIT
1617 MAIL SERVICE CENTVt, RALF16H. ll:C 27609.1617
.RMIT Number. Expiration Date: n31/2o76
n-Discharge WQ0004797 UIC
IDES y Other
PE OF PERMITTED OPERATION BEING MONITORED
* Lagoon 0 Remediation: Infiltration Gallery
* Spray Field El Remediation:
0 Rotary Distributor D Land Application of Sludge
F1 Water Source Heat Pump El Other:
FIELD ANALYSES:
pH 00400: 5,2 units Temp. 000lo: 14.1 °c
to 15 ft. Spec. Cond. 00094: 382,2 liMhos
Odor 0oo6s none
Appearance
NO
Date sample analyzed 5111/2021 Laboratory Name: Pace Analytical Services
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO3) as N oo615
mg/L
Coliform: MF Fecal 31616 <1.0
/100mL
Nitrate (NO3) as N 00620 40A
mg/L
Coliform MF Total 31504
/100mL
Phosphorus: Total as P 00665 0,051
mg/L
(Note Use MPN method for Nghly turbid samples)
Orthophosphate 70507
mg/L
Nssolved Solids:Total 703oo 296
mg/L
Al - Aluminum oil os
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC oo66o 11
mg/L
Ca - Calcium 00916
mg/L
Chloride oo94o 34.2
mg/L
Cd - Cadmium olo27
ug/L
Arsenic 01002
ug/L
Chromium: Total 01034
ug/L
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg/L
Phenol 32730
ug/L
Fe - Iron 01045
ug/L
Sulfate 00945
mg/L
Hg - Mercury 71900
ug/L
Specific Conductance oorigs
[iMhos
K - Potassium 00937
mg/L
Total Ammonia oo610 <0.1 0
mg/L
Mg - Magnesium 00927
mg/L
(Ammonia Nitrogen: NH, as N Arnmunia Nitrogen. Total)
Mn - Manganese oio55
ug/L
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L
Certification No. 37712
Pb - Lead o1o51 ug/L
Zn - Zinc 01092 mg/L
Other (Specify Compounds and Concentration Units):
ORGANICS: (by GC, GC/MS, HPLC)
(Specify test and method #. ATTACH LAB REPORT.)
Lab Report Attached? Al Yes (1) El No (0)
VOC 7873 method #
method #
method #
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
Billy Watson. Maintenance Manager
Permittee (or Authorized Aqent) Name and Title - Please print or type
GW-59 Rev 06-07-2018
Authorized Agent)
'i:.Tej
at
of
01
SUBMIT FORM ON YELLOW PAPER ONLY
DEPARtMENrOPEWRONMEJ4TALOUALM-tgV.OFWATF-R'RESOUftct$�--"
GROUNDWATER QUALITY MONITORING:
INFORMATION PPOCESSMO UNIT
COMPLIANCE REPORT FORM
1017 MAIL SERVICE CENTER, RALOGH. NC 27629-1617
FACILITY INFORMATION
Pfease Pnn: Clearty or Type
PERMIT Number: Expiration Date: 7/3112026
Facility Name: Clement Pappas
Non -Discharge WQ0004797 UIC_
NPOES Other
Permit Name (if different)
Facility Address: 485 Brookside Camp Road
TYPE OF PERMITTED OPERATION BEING MONITORED
Hendersonville NC
28792
County Henderson
❑ Lagoon ❑ Remediation: Infiltration Gallery
101 Spray Field UJ Remediation:
Contact Person Billy Watson
Telephone* 828-388-8682
0 Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Irrigation Area
No. of wells to be sampled: 6
El water source Heat Pump ❑ Other:
prom aer,�n
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-8
Date sample collected: 5/1112021
FIELD ANALYSES:
WAS
Well Depth 13.93 ft.
Well Diameter: 2 in.
pH 00400, 6.6 units Temp. 00010. 13-0 -c
DRY at
time of
Depth to Water Level E12546 9,24 ft, below measuring point Screened Interval: 3 ft to
13
ft. Spec. Cond. 00094: 187.3 IAMhos
sampling,
Measuring Point is 3.00 ft above land surface
Relative M.P. Elevation: 2060.80 ft.
Odor 00085: none
check
Volume of water pumped/bailed before sampling:
1.08
gallons
Appearance
here:
Samples for metals were collected unfiltered: RR YES
0 NO and field acidified. r-17R YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: S/ 111/2021
Laboratory Name, Pace Analytical Services
Certification No, 37712
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N oo615
mg/L
Pb - Lead o1o51 ug/L
ColiforTm MF Fecal 31616
/100mL
Nitrate (NO3) as N 00620 13
mg/L Zn - Zinc o1o92 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P oo665 <0.05
mg/L
(Note, Use MPN method for highly tubi(j samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
)issolved Solids:Total 70300 144
mg/L
Al -Aluminurn ol 1o5
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
Uj
TOC oo68o 3,8
mg/L
Ca - Calcium 00916
mg/L
Chloride 0094o 2.0
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total 01034
ug/L
Grease and Oils 00552
mq/L
Cu - Copper 01042
mg1L
ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron 01045
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate oo945
mg/L
Hq - Mercury 71900
ug/L
Lab Report Attached? INK Yes (1) 0 No (0)
Specific Conductance 000gs
IiMhos
K - Potassium 00937
mg/L VOC 7873 method #
Total Ammonia owo <0 10
mg/L
Mg - Magnesium 00927
mg/L method#
(Ammonia Nilm9en, NH, as N. Ammonia Nitrogen, Total)
Mn - Manganese 01o55
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%
Billy Watson, Maintenance Manager
Permittee (or Authorized Agent) Name and Title - Ploasse print or type
Agent)
GW-59 Rev. 06-07-2018
0.
5UBMII tOKM UN TLLLVVY, VAI-LK Vr'lLT
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
FACILITY INFORMATION Please Print utea(ty or Type
Facility Name: Clement Pappas
Permit Name (if different),
Facility Address 485 Brookside Camp Road
Hendersonville NC 28792 County Henderson
Contact Person Billy Watson
Well Location/Site Name. Irrigation Area
WELL ID NUMBER (from Permit): MW-9
Well Depth: 18'1 ft.
Depth to Water Level 82546: 4.75 ft, below measuring point
Measuring Point is 3.00 -ft, above land surface
Volume of water pumped/bailed before sampling: 0.83
Samples for metals were collected unfiltered, A YES
Telephone# 828-388-8682
No. of wells to be sampled: 6
Date sample collected: 5111/2021
Well Diameter: 2 in.
Screened Interval: 3 ft.
Relative M.P. Elevation: 206013
gallons
NO and field acidified: PIR YES
OF-PARTMEN T CF EIMRONMENTAL OUAUTY -DIV. OF WATER RESOURCES
fNFORMATION PROCESSING UNIT
1017 MokfL SERVICE CENTER, RALMGH, NC 27f49.1617
PERMIT Number: Expiration Date: 7111/202r,
Non -Discharge WQ0()04797 UIC
NPDES Other
TYPE OF PERMITTED OPERATION BEING MONITORED
El Lagoon E] Remediation: Infiltration Gallery
101 Spray Field F1 Remediation:
El Rotary Distributor El Land Application of Sludge
❑ Water Source Heat Pump Ll Other:
IUt-�
FIELD ANALYSES: was
pH 00400 5A units Temp. 00010, 14.0 Ic DRY at
to 13 ft. Spec. Cond. 00094 104.6 jiMhos time of
sampling,
Odor 000fis none check
Appearance dear here: Ej
NO
Date sample analyzed 5/11/2021
Laboratory Name: Pace Analytical Services
Certification No. 37712
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
GOD 00335
mg/L
Nitrite (NO2) as N o0615
mg/L
Pb - Lead ol o5 i ug/L
Coliform: MF Fecal 31616 <2,0
/100mL
Nitrate (NO3) as N 00620 1,9
mg1L
Zn - Zinc 01092 mglL
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P oo665 0.089
mg/L
(Note, Use MPNnmWX4 for Nghly turt)-d
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
Dissolved Solids:Total 70300 <25.0
mg/L
Al - Aluminum oi i o5
mg1L
EL )
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
ul
TOC oo68o 3.6
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 9.8
mg/L
Cd - Cadmium 01027
ug1L
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 o1o45
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg/L
Hq - Mercury 71900
ug/L
Lab Report Attached? N Yes (1) El No (0)
Specific Conductance 000gs
pMhos
K - Potassium 00937
mg/L
VOC 7873 method #
Total Ammonia oo6lo <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
ug/L
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mglL VOC Removal%
Billy Watson, Maintenance Manager
Permittee for Authorized Agent) Name and Title - Please print or type
GW-59 Rev, 06-07-2018
Signature of Permittee for Authorized Agent) Gatet