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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