HomeMy WebLinkAboutWQ0033770_Monitoring - 06-2022_20220808SUBMIT FORM ON Yt-LLUW t-ArtK UNL1
• DEPARTMENT OF E:WIR0NM8ffAL QUAUTY - D111. OF WATER RESOURCES
GROUNDWATER QUALITY MONITORING: INFORMATION PROCESSING UNIT
• • 1617 MAIL SERVICE CENTER, RAUGH, NC 27698-1617
COMPLIANCE REPORT FORM
FACILITY INFORMATION P+eeseP,intcreanyorrype PERMIT Number: W00033770 Expiration Date: 12/31/2026
Facility Name: Carolina Plantation Non -Discharge UIC
Permit Name (if different): NPDES Other Infiltration system
Facility Address: Carolina Plantation Road TYPE OF PERMITTED OPERATION BEING MONITORED
Jacksonville. NC'28540 County onslow ❑ Lagoon ❑ Remediation: Infiltration Gallery
-- ❑ Spray Field ❑ Remediation:
Contact Person: Jeff Jarman Telephone#: 910-330-8167 ❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Carol i na P1 antati on wWTP No. of wells to be sampled: 6 ❑ Water Source Heat Pump Other underdrai ns
1-UNU INrUKAW1ILM
L ID NUMBER (from Permit):
Depth: 18 ft.
h to Water Level 5254e: %, 11. below measuring point
luring Point is 2 ft. above land surface
'oe of water pumped/bailed before sampling:
Dies for metals were collected unfiltered: M YES ❑
Date sample collected:
Well Diameter:1.25 in.
Screened Interval: 15 ft. to _ft.
Relative M.P. Elevation: ft.
gallons
NO i
its sample analyzed: Laboratory Name: _
11AMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
YES L3 NO
COD oo335
mg/L
Nitrite (NO2) as N oo616
mg/L
Coliform: MF Fecal 3161e
/100mL
Nitrate (NO3) as N ooe2o
mg/L
Collform: MF Total 31504
/100mL
Phosphorus: Total as P ooses
mg/L
(Now. Uas MPN nmtlwd for holy axWd samples)
Orthophosphate 7oso7
mg/L
molved Solids:Total 70300
mg/L
Al - Aluminum o1105
mg/L
pH (Lab) oo4o3
units
Be - Barium 01007
ug/L
TOC oceso
mg/L
Ca - Calcium 0091e
mg/L
Chloride oDw
mg/L
Cd - Cadmium 01027
ug/L
Arsenic oloo2
ug/L
Chromium: Total 01034
ug/L
Grease and Oils oos62
mg/L
Cu - Copper 01042
mg/L
Phenol 3273o
ug/L
Fe - Iron o1045
ug/L
Sulfate 00945
mg/L
Hg - Mercury 71900
ug/L
peafic Conductance 00095
I.IMhos
K - Potassium DD937
mg/L
Total Ammonia ooslo
mg/L
Mg - Magnesium 00927
mg/L
(Ammonia Nitrogen; NH3 se N; Ammonia Nitrogen, TMaQ
Mn - Manganese oI O55
ug/L
TKN as N o0625
mg/L
Ni - Nickel 01067
ug/L
FIELD ANALYSES: "''"
pH oo400: units Temp. 00010: aC DRY at
me of
Spec. Cond. ooa94: t+M sampling,
Odor 000s5: check
Appearance here: El
Certification No.
Pb - Lead olos1 ug/L
Zn - Zinc olo92 mg/L
Other (Specify Compounds and Concentration Units):
A► r, 0 8 202_
ORGANICS: (by GC, GC/MS, HPLC)
(Specify test and method #. ATTACH LAB REPORT.)
Lab Report Attached? ❑ Yes (1) ❑ No (0)
VOC 7873 method #
method #
method # n4 G 09
method #
For Remedlatlon Systems Only (Attach Lab Reports): influent Total vacs: mg/L tmuani l otai vvls; �� •� ••�--•
�i
@tee (or Authorized Agent) Name and Title - Please printer type
GW-59 Rev.06-07-2018
m MAIT cnoes nnl Vrl 1 r)W PAPFR (MII Y
• •
DEPARTMENT OF ENVIROMENTAL GUM -ON. OF WATER RESOURCE13
GROUNDWATER QUALITY MONITORING:
tO""�T10N°UWr
COMPLIANCE REPORT FORM
ie17MAIL SOWICECEfNWLRALOGN,NC2MI-1617
FACILITY INFORMATION
Pleam Print OwdyorType
PERMIT Number: WW33770 Expiration Date: 12/31/2026
Facility Name: Carolina Plantation
Non -Discharge UIC
Permit Name pfdifferent):
NPDES Other infiltration System
Facility Address: Carolina Plantation Road
TYPE OF PERMITTED OPERATION BEING MONITORED
7acksonville. NC
28540
County onslow
❑ Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
Contact Person: Jeff 7arman
Telephone#: 910-330-8167
❑ Rotary Distributor ❑ Lard Appfication of Sludge
Well Location/Site Name: Carol i na Pl antati on wwrP
No. of wells to be sampled:
6
❑ Water Source Heat Pump fl Otlter urderdrai ns
tram P«mt
If WELL
SAMPLING INFORMATION
WELL ID NUMBER (irom Permit): �-
�-
/
Date sample collected:1.25
Z Z�
FIELD ANALYSES:
WAS
Well Depth: 18 ft.
Well Diameter:
in.
pH oo400: units Temp. 000ta
DRY at
time of
Depth to Water Level a2546: )S f fP ft. below measuring point Screened Interval: 15
ft. to _ft.
Spec. Cord. 00004: pMhos
sampling,
Measuring Point is 2 ft. above land surface
Relative M.P. Elevation:
ft.
Odor omm:
check
Volume of water pumped/bailed before sampling:
gallons
Appearance
here:
Samples for metals were collected unfiltered: E YES
❑ NO and field acidified: ® YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed:
Laboratory Name:
Certification No.
PARAMETERS NOTE: Values should reflect
dissolved
and colloidal concentrations.
COD oo335
mg/L
Nitrite (NO2) as N o0e15
mg/L Pb - Lead olo51 ug/L
Coliform: MF Fecal 31e10
/10DmL
Nitrate (NO3) as N 00020
mg/L Zn - Zinc olo92 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P ooses
mg/L
(Note: Use MPN m0iod for highly tr•tid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300
mg/L
AI -Aluminum o11o5
mg/L
pH (Lab) omm
units
Be - Barium oloo7
ug/L
TOC ooseo
mg/L
Ca - Calcium cools
mg/L
Chloride oos4o
mg/L
Cd - Cadmium 01027
ug/L
Arsenic o1002
ug/L
Chromium: Total 01034
ug/L
Grease and Oils oo552
mg/L
Cu - Copper moat
mg/L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 3273o
ug/L
Fe - Iron o1o45
ug/L (Specify test and method M ATTACH LAB REPORT.)
Sulfate ooe45
mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance 000a5
NMhos
K - Potassium 00937
mg/L
VOC 7873 method #
Total Ammonia 00010
mg/L
Mg - Magnesium oo927
mg/L
method #
(Ammonia Nftgsn; NH3 as N; Ammonia Nitrogen, Total)
Mn - Manganese o1055
ug/L , method #
TKN as N 0oe25
mg/L
Ni - Nickel 01067
ug/L method #
For Remedlation Systems Only (Attach Lab Reports):
Influent Total Voss:
mg/L emuent luwl vv%.s; MWL VW nm —sa�n
SI IRMIT FARM ANI VCI 1 AW DIIOCR ANI V
GROUNDWATER QUALITY MONITORING:
DWAltfMtBrTOFBtiWAWI MQtL4UTY-°N.OFwAMPESOUWES
COMPLIANCE REPORT FORM
.
111490It1A0N � AlILIMT
ift?MAIL SERVO=COMM It11L113OH,NCrflOMei?
FACIL
"Pri^tCreeryorrwe
PERMlT Number: wp003377o Expiration Date: 12/31/2026
Facility Name: Carol i na Plantation
Non -Discharge UIC
Permit Name (if different):
NPDES Other Infiltration system
Facility Address: Carolina Plantation Road
TYPE OF PERMITTED OPERATION BEING MONITORED
Jacksonville. Nt'"'`'
28S40
County onslow
0 Lagoon [3Remadiation:Infiltration Gallery
'Swel
1
❑ Spray Field ❑ Remecistion:
Contact Person: Jeff Jarman
Telephone#: 910-330-8167
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/She Name: carol i na PI antati on wwTP
No. of wells to be sampled:
6
❑ Water Source Heat Pump fl OBier: underdrai ns
ran wane
SAMPUNG I
WELL ID NUMBER (from Permit): � 3 Date sample collected:
L T-L
FIELD ANALYSES:
If WELL
WAS
Well Depth: 18 ft.
Well Diameter:1.2S
in.
pH o0400: units Temp. 000io: °C
DRY at
Depth to Water Level e254e:_ 11. 9 ft. below measuring point Screened Interval: 15
ft, to
Spec. Cond. 00004: pMtos
tlme of
Measuring Point is 2 ft. above land surface
Relative M.P. Elevation:
_ft.
ft.
Odor 000ea:
sampling,
check
Volume of water pumped/boiled before sampling:
gallons
Appearance
here:
Samples for metals were collected unllltered: ® YES
❑ NO and field acidified: B YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed;
Laboratory Name:
Certification No.
PARAMETERS NOTE: Values should reflect
dissolved
and colloidal concentrations.
COD oo33e
mg/L
Nitrite (NO2) as N ooeis
mg/L Pb - Lead moss ug/L
Coliform: MF Fecal 31610
/100mL
Nitrate (NOO as N ooes0
mg/L Zn - Zinc o1oe2 mgfL
Colifonn: MF Total 31504
1100ml-
Phosphorus: Total as P ooess
mg/L
(Noes: Un MPN metod ror high V Wrbid eompbe)
OrthO phosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issotved Solids:Total 7o3oo
mg/L
AI - Aluminum of im
mg/L
pH (Lob) 00403
units
Be - Barium 01007
ug11L
TOC ooee0
mg/L
Ce - Caidum 0021a
mg/L
Chloride oom
mg/L
Cd - Cadmium 01027
ug/L
Arsenic oioo2
ugfL
Chromium: Total 01034
uglL
Grease and 011e O0ee2
mg/L
Cu - Copper 01042
mgfL ORGANICS: (by GC, GUMS, HPLC)
Phenol 3273o
uglL
Fe - Iron o1o45
uglL (Specify test and method IL ATTACH LAB REPORT.)
Sulfate ooe45
mg/L
Hg - Mercury 7i9oo
ug/L Lab Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance 0ooee
pMhos
K - Potassium 00037
mg/L VOC ?e?3 method tf
Total Ammonia oosio
mg/L
Mg - Magnesium 00027
mg/L method 0
(Ammons Naogen; NH,ae N: Ammonia Nitrogen, Tobq
Mn - Manganese oioee
ug1L method A
TIW as N ooese
mg/L
Ni - Nickel oioe7
ug/L method 0
For Reneedlsdon Systems Only IAttach Lab Rsoorts): Influent Total VOCs: mo/L Effluent Total VOC*: mofL VOC RemoveM
SUBMIT FORM ON YELLOW PAPER ONLY
. •
DWARTMENT OF ENV ROOWENTAL fEJMJTY - INV. OF WATER I1ES0URCE8
GROUNDWATER QUALITY MONITORING:
II�AA7MPi YI UW
COMPLIANCE REPORT FORM
+ai7MAIL SERVICE cetnllw.wlL9an.Ncrr+af9
FACILITY INFORMATION
PleesePrint Clearly or Type
PERMIT Number: wg0033770 Expiration Date: 12/31/2026
Facility Name: Carolina Plantation
Non -Discharge UIC
Permit Name (if different):
NPDES Other Infiltration System
Facility Address: Carolina Plantation Road
TYPE OF PERNIITTED OPERATION BEING MONITORED
Jacksonville. NC
28S40
County 0nslow
❑ Lagoon ❑ Remediation: Infiltration Gallery
4slate,
❑ Spray Field ❑ Remediation:
Contact Person: Jeff Jarman
Telephone#: 910-330-8167
❑ Rotary Distributor ❑ Land AppliCation of Sludge
Well Location/Site Name: carol i na PI antati on wwTP
No. of wells to be sampled:
6
❑ Water Source Heat Pump fl Other: underdrai ns
Ran wrrta
SAMPLINGINFO
j
ANALYSES:
If WELL
WAS
WELL ID NUMBER (from PennR): )n
?
Date sample collected:
FIELD
Well Depth: 18 ft.
_�
Well Diameter:1.25
in.
pH 011400: units Term. 00010: °C
DRY at
time of
Depth to Water Level e254e: 6 ft. below measuring point Screened Interval: 15
ft. to _ft.
Spec. Cond. 00094: pMhas
sampling,
Measuring Point is 2 ft. above land surface
Relative M.P. Elevation:
ft.
Odor 000es:
check
Volume of water pumped/balled before sampling:
gallons
Appearance
here:❑
Samples for metais were collected unfi tared: 0 YES
❑ NO and field acidified: EYES
❑ NO
LABORATORY INFORMATION
Date sample analyzed:
Laboratory Name:
Certification No.
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD oo33s
mg/L
Nitrite (NO2) as N ooe15
mg/L
Pb - Lead o1o51 ug/L
Coliforrn: MF Fecal 31610
/100ml.
Nitrate (NO3) as N ooe2o
mg/L Zn - Zinc olo92 mg/L
CoAform: MF Total 31604
/100mL
Phosphorus: Total as P 0oes5
mg/L
(Note: Use MPN mettwd for highly UM Ompiee)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300
mg/L
Al -Aluminum o1105
mg/L
pH (Lab) oo403
units
Be - Barium 01007
ugfL
TOC mew
mg/L
Ca - Calcium oovie
mg/L
Chloride o0wo
mg/L
Cd - Cadmium 01027
ug/L
Arsenic oloo2
ug/L
Chromium: Total 01034
ug/L
Grease and Oils ooss2
mg/L
Cu - Copper 01042
mg/L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ugfL
Fe - iron oio45
ug/L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate oom
mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance 00095
µMhos
K - Potassium 00937
mg/L VOC 7873 method #
Total Ammonia 00610
mg/L
Mg - Magnesium 00027
mg/L method #
(Ammonia Nitrogen: NH,ss N: Ammonia Nltrog•n. Toleq
Mn - Manganese 01055
ug/L method #
TKN as N ooe25
mg/L
Ni - Nickel 01067
ug/L method #
_ _
.-.,rl UnC Rarnnval%
For Remediation Systems Only (Attach Lab Reports?:mnuem l omi VONGs: I 15Iwo 6 1.w,
Mae (or Authorized Agent) Name and Title - Please r(nt or two Skirtaturo (or Authorized AAent) (del
GW59 Rev.06-07-2018
RI IRMIT FORM ON YELLOW PAPER ONLY
• . DEPARTMENT OF ENVIRON IIAEKTAL QUALITY -ON. OF WATER RESOURCES
GROUNDWATER QUALITY MONITORING: • • • INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM 1617 MAIL SERVICE CENTER, RALEIGH, Nc VUs--1617
FACILITY INFORMATION Please Print Clearly of Type PERMIT Number. wpp/p 337 0 Expiration Date: 12/31/2026
Facility Name: Carolina Plantation Non -Discharge /2 / ZZ_ UIC
Permit Name (if different): NPDES Other Infiltration System
Facility Address: Carolina Plantation Road TYPE OF PERMITTED OPERATION BEING MONITORED
Jacksonville. Nc 28540 County onslow ❑ Lagoon ❑ Remediation: Infiltration Gallery
Six.. ❑ Spray Field ❑ Remediation:
Contact Person: Jeff Jarman Telephone#: 910-330-8167 ❑ Rotary Distributor ❑ Land Application of Sludge
Well LoatioNSite Name: Carolina Plantation ww'TP No. of wells to be sampled: 6 ❑ Water Source Heat Pump fl Other underdrains
from Psnri
5AMYL1 n I lkm//77
WELL tD NUMBER (from Permit): 'f'-L
Date sample collected:
1 e
FIELD ANALYSES:
--
WAS
Well Depth: 18 ft.
Well Diameter:1.25
in.
pH oo400: units Temp. 000lo: °C
DRY at
Depth to Water Level 82546: '1 J (a ft. below measuring point
Screened Interval: 15
ft. to _ft.
Spec. Cond. 00094: �tlos
time of
sampling,
Rl
Measuring Point is 2 ft. above land surface
Relative M.P. Elevation:
ft.
Odor 000a5:
check
Volume of water pumped/bailed before sampling: gallons
Appearance
here:❑
Samples for metals were collected unfiltered: ® YES ❑ NO
and field acidified: 0 YES
_ONO
Date sample analyzed: Laboratory Name:
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD oo335
mg/L
Nitrite (NO2) as N OW15
mg/L
Colfform: MF Fecal 3161e
/1 OOmL
Nitrate (NO3) as N ooe2o
mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P ooses
mg/L
(Note: Use MPN method for holy hxbid samples)
Orthophosphate 70507
mg/L
Dissolved Solids:Total 7o3oo
mg/L
Al - Aluminum 01105
mg/L
pH (Lab) oo4a3
units
Ba - Barium 01007
ug/L
TOC oo68o
mg/L
Ca - Calcium ooats
mg/L
Chloride oos4o
mg/L
Cd - Cadmium 01027
ug/L
Arsenic oloo2
ug/L
Chromium: Total 01034
ug/L
Grease and Oils oo552
mg/L
Cu - Copper o1042
mg/L
Phenol 32730
ug/L
Fe - Iron 01045
ug/L
Sulfate ooa45
mg/L
Hg - Mercury 71900
ug/L
Specific Conductance oom
NMhos
K - Potassium 00937
mg/L
Total Ammonia oo610
mg/L
Mg - Magnesium 00927
mg/L
(Amvnonla Nftrogerr, NH389 N; Ammonia Nitrogen, Tdap
Mn - Manganese o1065
ug/L
TKN as N ooess
mg/L
Ni - Nickel o1oe7
ug/L
Certification No_
Pb - Lead o1o51 ugA-
Zn - Zinc o1a92 mg/L
Other (Specify Compounds and Concentration Units):
ORGANICS: (by GC, GC/MS, HPLC)
(Specify test and method #. ATTACH LAB REPORT.)
Lab Report Attached? ❑ Yes (1) ❑ No (0)
VOC 7873 method #
method #
method #
method #
For Remedlation Svstems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
SUBMIT FORM ON YELLOW PAPER ONLY
• DEPARTMENT OF ENVIRONMENTAL CAMUJTY - DIV. OF WATER RESOURCES
GROUNDWATER QUALITY MONITORING: INFOWMTlONPROCESSINGUNrT
COMPLIANCE REPORT FORM 1617MAtLSERVICE C frER'w+LEIGH.NC2701119-11617
FACILITY INFORMATION Please Print 0wilyorType PERMIT Number. w00033770 Expiration Date: 12/31/2026
Facility Name: Carolina Plantation Non -Discharge UIC
Permit Name (if different): NPDES Other infiltration System
Facility Address: Carolina Plantation Road TYPE OF PERMITTED OPERATION BEING MONITORED
3acksonville. NC 28540 County onslow ❑ Lagoon ❑ Remedietion: Infiltration Gallery
„" ❑ Spray Field ❑ Remediation:
3eff 3arman Telephone#: 910-330-8167 ❑ Rotary Distributor ❑ Land Application of Sludge
Contact Person: underdrai ns
Well Location/Site Name: Carolina Plantation wwTP No. of wells to be sampled: 6 ❑Water Source Heat Pump Other
tram P•m7t1 _ ...... .
PLING INFORMATION f% / �ZI Z
L ID NUMBER (from Permit): 1� 7 rP Date sample collected: (PZ
Depth: 18 ft. Well Diameter:1.25 in.
to Water Level s2546: 7. 9 ft, below measuring point Screened Interval: 15 ft. to _ft•
wring Point is 2 ft. above land surface Relative M.P. Elevation: ft•
ne of water pumped/bailed before sampling: gallons
ales for metals were collected unfiltered: M YES ❑ NO and field acidified: ® YES ❑ NO
,a�,..,,....e.....
tte sample analyzed: Laboratory Name:
i,RA�IETER3 NOTE: Values should reflect dissolved and colloidal concentrations.
COD oom mg/L Nitrite (NO2) as N 00615 mg/L
Coidorm: MF Fecal 31618 /100mL Nitrate (NO3) as N 00e2o mg/L
Coliform: MF Total 31504 /100mL Phosphorus: Total as P 00665 mg/L
(Note: Use MPN method for hig* Urbid samples) Orthophosphate 70507 mg/L
ved Solids:Total 70300
mg/L
pH (Lab) 00403
units
TOC 006e0
mg/L
Chloride 00940
mg/L
Arsenic 01002
ug/L
Grease and Oils 00552
mg/L
Phenol 32730
ug/L
Sulfate 00845
mg/L
fic Conductance 00096
NMhos
Total Ammonia 00610
mg/L
(Ammonia Nitrogen; NH3 ae N; Ammonia Nitrogen, TG%U
TKN as N oo625
mg/L
All -Aluminum 01105
mg/L
Be - Barium 01007
ug/L
Ca - Calcium 0091E
mg1L
Cd - Cadmium 01027
ug/L
Chromium: Total 01034
ug/L
Cu - Copper 01042
mg/L
Fe - Iron 01045
uglL
Hg - Mercury 71900
ug/L
K - Potassium 00937
mg/L
Mg - Magnesium 00927
mg/L
Mn - Manganese 01055
ug/L
Ni - Nickel 01067
ug/L
FIELD ANALYSES:
pH 00400: units Temp. 000lo: aC
Spec. Cond. ooce4: NMhos
Odor 000e5:
Appearance
Certification No.
Pb - Lead 01051 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? ❑ Yes (1) ❑ No (0)
VOC 7873 method #
method #
method #
method #
-, /l Fffluent Total VOCs:
mg/L
VOC Removal%
at
of
i