WQ0000948_Monitoring - 06-2022_20220801

(Subinir one each monitoring period with GW=59 forms.) -
1
Enter date monitoring results were due. (, 0'1 . i-Zti:�4till this monitoring report (GW-59 and GW-59A)
be submitted after the established due date? -
YES
NO
Z
Was any required information missing on the GW-59 report forms?
I
IF the answer to question 9 or 2 is "YES", fist in the space provided below the well identification number(s) and
YES
Np
explain the problems encountered in obtaining the required information.
I
3
Are any of the monitor wells in need of repair or maintenance (damaged casing, unlocked or missing cap, missing
identification plate, area overgrown, etc.)? f the answer is "Yes", contact the Regional Office for guidance_
YES
NO
'
✓
4
Are any monitored constituents equal to or above the established standards?
YES
NO
If the answer to question 9 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:
4i�ll
I
i
5
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?
j
1
!
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 constituents) exceeding
standards, concentration(s) reported, and sample collection date for each occurrence (for the last two years).
Di
AUG 0 2 202j"
6
Are the monitoring wells listed in section 5 located at or beyond the review boundary?
YES
NO
I
�I
if the answer is "YES", a groundwater quality problem may be occurring. CONTACT THE REGIONAL
j
OFFICE IMMEDIATELY FOR GUIDANCE. if the answer is "NO", monitoring wells may be improperly
located; contact the Regional Office.
1
!
7
Is the permittee implementing previously approved actions required by the Division involving this
YES
NO
j
groundwater quality problem?
1' i
If the answer to question 7 is "YES", describe those actions in the space provided below.
i
If the answer to question 7 is "NO'; contact the Rig ylona/ Office within 90 days; an evaluation may be
required to determine the impact the waste disposal s stem is having at the review and compliance
boundaries surroundrn this facility. Failure to do so may subject the oermittee to a Notice of Violation
7r-
fines, and/or penalties.
99
O
N
`
N
g
The person completing this portion (GW--59A) of the monitoring report should sign below and submit thi
form with GW-59 forms for required wells to the address provided at the top of the current GW-59 form.
i herebyacknowledge thattfe above Information was evaluated -and the Informatlon�subtnjtted. ri this ;" 'a
repo. C Ifance Re ort GW 59A is true and late= a w` '- ' "r - �' '�� t+
( ) of
P P com pfte 15ast my_knowled9®,.
t - z 0 L�
!
Signature f Pe ee {o Authorized ant) Date(
GW-59A 12/8/2003

SUBM1 I I-OtM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
FACILITY INFORMATION Please Print Clearly or Type
Facility Name:Sbw� -SaCA42A —
Permit Name (if different):_
Facility Address: 100 O /
(�e✓V��A (street) 1PL ajgg6 County M
(State) (ZIP)
Contact Person:���� Telephone #:
Well Location/ Site Name: W66bIJ'.12�7UCt No. of Wells to be Sampled: -
(from ln
Well Identification Number (from Permit): 1
Well Depth: I g ft. Well Diameter: —4—
Screened Interval: ft. to ft.
Depth to Water Level: I e 0 ft. below measuring point.
Measuring Point (M.P.) is: 3.D ft. above land surface.
Gallons of water pumped/bailed before sampling: 3--
Field analysis: pH 5 `; , Specific Conductance
Temp. _ I L, OC, Odor r-1e -1 A
For Groundwater Treatment Systems
in. Check One: ❑ Influent (98)
❑ Effluent (99)
Relative M.P. Elevation in ft.:
Date sample collected: 0z
uMhos
ppearance C_L---V`­-9
PARAMETERS (Samples for metals were collected unfiltered
COD mg/I Nitri
Coliform: MF Fecal L / /100ml Nitr
Coliform: MF Total /100ml Pho
(Note: Use MPN method for highly turbid samples)
Dissolved Solids: Total
mg/I
pH (when analyzed)
units
TOC d 40
mg/I
Chloride I f
mg/I
Arsenic
mg/I
Grease and Oils
mg/I
Phenol
mg/I
Sulfate
mg/I
Specific Conductance
uMhos
Total Ammonia
mg/I
TKN as N
mg/I
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
WATER QUALITY DIVISION, GROUNDWATER SECTION
1636 MAIL SERVICE CENTER
RALEIGH, NC 27699-1636 Phone: [phone]:
PERMIT #:U)Q0000949 EXPIRATION DATE:
Non -Discharge UIC
NPDES
TYPE OF PERMITTED OPERATION BEING MONITORED
Lagoon Remediation: Infiltration Gallery
Spray Field
Rotary Distributor
Other:
Remediation:
Land Application of Sludge
NOTE: Values should reflect dissolved and
colloidal concentrations.
Date sample analyzed:
Laboratory Name: FNViRonitrlM Ma N4-
Certification No. a8/
YES NO and field acidified
to (NO2) as N mg/I
ate (NO3) as N J./7 mg/I
sphorus: Total as P mg/I
Orthophosphate mg/I
Al - Aluminum mg/I
Ba - Barium mg/I
Ca - Calcium mg/I
Cd - Cadmium l 1 mg/I
Chromium: Total mg/I
Cu - Copper AUG n 2 2022 mg/I
Fe - Iron ��— mg/I
Hg - Mercury mg/I
K - Potassium mg/I
Mg - Magnesium mg/I
Mn - Manganese mg/I
YES NO)
Ni - Nickel mg/I
Pb - Lead mg/I
Zn - Zinc mg/I
Ammonia Nitrogen mg/I
Other (Specify Compounds and Concentrati n Units)
Tote.l 1i6so111,94 � �/
ORGANICS: (GC,GC/MS,HPLC)
(Specify test and method #. Attach lab report.)
Report Attached? Yes (1) No (0)
VOC method # =
method # =
method # =

SUBMI I I -OHM ON YELLOW PAPER ONLY
(Note: Use MPN method for highly turbid samples)
Dissolved Solids: Total
pH (when analyzed)
TOC
Chloride ec l
Arsenic
Grease and Oils
Phenol
Sulfate
Specific Conductance
Total Ammonia
TKN as N
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
FACILITY INFORMATION Please Print Clearly or Type
Facility Name: Tou),q k
Permit Name (if different):
Facility Address:
Contact Person: 161INNi
Well Location/ Site Name:
County ^+LJK.� rr�PIQri
Telephone #:;A51" 53*- 3911
of Wells to be Sampled:
Well Identification Number (from Permit): For Groundwater Treatment Systems
Well Depth: / / ft. Well Diameter: _ - in. Check One: ❑ Influent (98)
Screened Interval: ft. to ft. ❑ Effluent (99)
Depth to Water Level: 1, 0 _ ft. below measuring point.
Measuring Point (M.P.) is: t 05 ft. above land surface. Relative M.P. Elevation in ft.:
Gallons of water pumped/bailed before sampling: 3 — Date sample collected: C,�-vx •?`i
Field analysis: pH57 . Specific Conductance 1C2 uMhos
Temp. i L. °C, Odor Appearance s X
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
WATER QUALITY DIVISION, GROUNDWATER SECTION
1636 MAIL SERVICE CENTER
PERMIT #: W Q00C0q" EXPIRATION DATE: f6 -3 e`l G
Non -Discharge x UIC
NPDES
TYPE OF PERMITTED OPERATION BEING MONITORED
Lagoon Remediation: Infiltration Gallery
X Spray Field Remediation:
Rotary Distributor Land Application of Sludge
Other:
NOTE: Values should reflect dissolved and
colloidal concentrations.
Date sample analyzed:
Laboratory Name: �bC�LLRMt
Certification No. 8/
PARAMETERS (Samples for metals were collected unfiltered YES NO and field acidified
COD mg/I Nitrite (NO2) as N mg/I
Coliform: MF Fecal I /100ml Nitrate (NO3) as N J,u mg/I
Coliform: MF Total /100ml Phosphorus: Total as P mg/I
Orthophosphate mg/I
Al - Aluminum mg/I
Ba - Barium mg/I
Ca - Calcium Lij mg/I
Cd - Cadmium mg/I
Chromium: Total AUK 02 702 mg/I
Cu - Copper mg/I
Fe - Iron mg/I
Hg - Mercury mg/I
K - Potassium mg/I
Mg - Magnesium mg/I
Mn - Manganese mg/I
_ mg/I
_units
_ mg/I
_ mg/I
_ mg/I
_ mg/I
_ mg/I
mg/I
uMhos
_ mg/I
mg/I
YES NO)
Ni - Nickel
mg/I
Pb - Lead_
mg/I
Zn - Zinc
mg/I
Ammonia Nitrogen
1 4-L mg/I
Other (Specify Compo"i
ds and Concentration Units)
Fofal -Dts5olya�f
•�4 ,hj,,) N'L4 / t
%8
ORGANICS: (GC,GC/MS,HPLC)
(Specify test and method #. Attach lab report.)
Report Attached? Yes (1) No (0)
VOC method # =
method # =
method # =

SUBMI I I -OHM ON YLLL W PAPER ONLY
GROUNDWATER QUALITY MONITORING:
CCMPLIANCE REPORT FORM
FACILITY INFORMATION Please Print Clearly or Type
Facility Name:QUA O ' SQCK&A
Permit Name (if different:
Facility Address: 100 l,45# wn rr .a �� %ejwsytsi 'S� o -box la l �
rSvw
Contact Person: s 01INN
Well Location/ Site Name:
County c%in Am"
Telephone #: [phone]!/
No. of Wells to be Sampled:
Well Identification Number (from Permit): % For Groundwater Treatment Systems
Well Depth: -35 ft. Well Diameter: L4- in. Check One: ❑ Influent (98)
Screened Interval: ft. to ft. ❑ Effluent (99)
Depth to Water Level: -I"o ft. below measuring point.
Measuring Point (M.P.) is: 3. o ft. above land surface. Relative M.P. Elevation in ft.:
Gallons of water pumped/bailed before sampling: Sj Date sample collected: I g -Z:
Field analysis: pH 13- `� . Specific C nductance uMhos
Temp. _ i °C, Odor a Appearance 7Z sls,
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
WATER QUALITY DIVISION, GROUNDWATER SECTION
1636 MAIL SERVICE CENTER
PERMIT #: M0000?*9 EXPIRATION DATE: 4-30-12.6
Non -Discharge X UIC
NPDES
TYPE OF PERMITTED OPERATION BEING MONITORED
Lagoon Remediation: Infiltration Gallery
t Spray Field Remediation:
Rotary Distributor Land Application of Sludge
Other:
NOTE: Values should reflect dissolved and
colloidal concentrations.
L Date sample analyzed:
Laboratory Name: E1AyiR0NL ,pN� t 2 i T-N
Certification No. _ a Si
PARAMETERS (Samples for metals were collected unfiltered YES NO and field acidified
COD mg/I Nitrite (NO2) as N mg/I
Coliform: MF Fecal 1 /100ml Nitrate (NO3) as N 0 • &6 mg/I
Coliform: MF Total /100ml Phosphorus: Total as P mg/I
(Note: Use MPN method for highly turbid samples)
Dissolved Solids: Total
mg/I
pH (when analyzed)
units
TOC A • 7 q
mg/I
Chloride
mg/I
Arsenic
mg/I
Grease and Oils
mg/I
Phenol
mg/I
Sulfate
mg/I
Specific Conductance
uMhos
Total Ammonia
mg/I
TKN as N
mg/I
GW-59
Rev. 03/2000
vrtnopnospnaie
Al - Aluminum
Illy l
mg/I
Ba - Barium
mg/I
Ca - Calcium
mg/I
Cd - Cadmium__
mg/I
Chromium: Total
�Z mg/I
Cu - Copper
mg/I
Fe - Iron
mg/I
Hg - Mercury
mg/I
K - Potassium
mg/I
Mg - Magnesium
mg/I
Mn - Manganese
mg/I
YES NO)
Ni - Nickel mg/I
Pb - Lead mg/I
Zn - Zinc mg/I
Ammonia Nitrogen gyp• o4- mg/I
Other (Specify Compounds and Concentration Units)
Trhfo/ -Di 55olud je.�fdup . rrta / l
130
ORGANICS: (GC,GC/MS,HPLC)
(Specify test and method #. Attach lab report.)
Report Attached? Yes (1) No (0)
VOC : method # =
method # =
method If =
J60,j,j,� G=u. — O(_C — L44-TIC,) Z tZ`i
Permittee (or Authorized Agent) Name and Title - Please print or type
ZZ

SUBMI I f-ORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
WATER QUALITY DIVISION, GROUNDWATER SECTION
1636 MAIL SERVICE CENTER
RALEIGH. NC 27699-1636 Phone: [phone],
PERMIT #: V JQ 0000g49 EXPIRATION DATE:
Non -Discharge X UIC
NPDES
TYPE OF PERMITTED OPERATION BEING MONITORED
Lagoon Remediation: Infiltration Gallery
Spray Field Remediation:
Rotary Distributor Land Application of Sludge
Other:
NOTE: Values should reflect dissolved and
colloidal concentrations.
Date sample analyzed:
Laboratory Name: tNYirRQ/JbZ t I . 2>✓G
Certification No. ag/
NO and field acidified
Nitrite (NO2) as N mg/I
Nitrate (NO3) as N l- g/ mg/I
Phosphorus: Total as P mg/I
Orthophosphate mg/I
Al - Aluminum mg/I
Ba - Barium mg/I
Ca - Calcium mg/I
Cd - Cadmium mg/I
Chromium: Total mg/I ��
Cu - Copper 2mg/I
Fe - Iron mg/I
Hg - Mercury mg/I
K - Potassium mg/I
Mg - Magnesium mg/I
Mn -Manganese mg/I
YES NO)
Ni - Nickel mg/I
Pb - Lead mg/I
Zn - Zinc mg/I
Ammonia Nitrogen o • / to mg/I
Other (Specify Compounds and Concentration Units)
TQt� l b i ssol wed �¢s.'d um Yna ( /
�7
ORGANICS: (GC,GC/MS,HPLC)
(Specify test and method #. Attach lab report.)
Report Attached? Yes (1) No (0)
VOC : method # = .
GROUNDWATER QUALITY MONITORING:
CCMPLIANCE REPORT FORM
FACILITY INFORMATION Please Print Clearly or Type
Facility Name T "`—____N o:� � T ae_KsolJ
Permit Name (if different): p�"
Facility Address: /� �S� TrrD WsoN 5t o �/ oX11�o I r
(Sweep .N t✓ oZ7d -S cKQ_R iQh1PthfV
IV ` County �T
(Cap(Sum) (AP)
Contact Person: ��fdllnlA Telephone It: 05a-53��38t/
Well Location/ Site Name:la)QS Qb0at T Nf No. of Wells to be Sampled: �—
_. _. (from Permll
Well Identification Number (from Permit): S'
Well Depth: V it. Well Diameter: _
Screened Interval: ft. to ft.
Depth to Water Level: 'l. !� ft. below measuring point.
Measuring Point (M.P.) is:5t ft. above land surface.
Gallons of water pumped/bailed before sampling: —�—
Field analysis: pH '�_5 — , Specific Conductance
Temp. _ I ka 1C, Odor � �i� A
For Groundwater Treatment Systems
in. Check one: ❑ Influent (98)
❑ Effluent (99)
Relative M.P. Elevation in ft.:
Date sample collected:B(a -C); u
uMhos
ppearance 29 �s 1
PARAMETERS (Samples for metals were collected unfiltered YES
COD mg/I
Coliform: MF Fecal 5 /100ml
Coliform: MF Total /100ml
(Note: Use MPN method for highly turbid samples)
Dissolved Solids: Total mg/I
pH (when analyzed) units
TOC /• d9' mg/I
Chloride 79 mg/I
Arsenic mg/I
Grease and Oils mg/I
Phenol mg/1
Sulfate mg/I
Specific Conductance uMhos
Total Ammonia mg/I
TKN as N mg/I : method # =
method # _

SUBMI I FORM ON YELLW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
CCMPLIANCE REPORT FORM
FACILITY INFORMATION Please Print Clearly or Type
Facility Name: TOLDN C4 TctA 5oN
Permit Name (if different):
Facility Address: 6 /
Ad) c�r4 �7�l.IS County 0 ;It8M
SU (ZCI
Contact Person: 1 Telephone #:
Well Location/ Site Name: No. of Wells to be Sampled: (ram Permit)
Well Identification Number (from Permit): 9 For Groundwater Treatment Systems
Well Depth: 34 ft. Well Diameter: _-4_ in. Check One: ❑ Influent (98)
Screened Interval: !La ft. to 36 ft. ❑ Effluent (99)
Depth to Water Level: I`f • D ft. below measuring point.
Measuring Point (M.P.) is: ft. above land surface. Relative M.P. Elevation in ft.:
Gallons of water pumped/bailed before sampling:_ Date sample collected:-Ex+1-Tuh
Field analysis: pH ')- , Specific Conductance uMhos
Temp. 1 1 °C, Odor �r Appearance C LZZ _
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
WATER QUALITY DIVISION, GROUNDWATER SECTION
1636 MAIL SERVICE CENTER
RALEIGH, NC 27699-1636 Phone: [phone]:
PERMIT #: "0000"f4B
Non -Discharge X
NPDES
EXPIRATION DATE:
U
TYPE OF PERMITTED OPERATION BEING MONITORED
Lagoon Remediation: Infiltration Gallery
X Spray Field
Rotary Distributor
Other:
Remediation:
Land Application of Sludge
NOTE: Values should reflect dissolved and
colloidal concentrations.
Date sample analyzed:
Laboratory Name: ZX RQN.P�t,9u� =ut✓
Certification No. a?91
PARAMETERS (Samples for metals were collected unfiltered YES NO and field acidified
COD mg/1
Coliform: MF Fecal ! /100ml
Coliform: MF Total /100ml
(Note: Use MPN method for highly turbid samples)
Dissolved Solids: Total
mg/I
pH (when analyzed)
units
TOC I • I `l
mg/I
Chloride 40
mg/I
Arsenic
mg/I
Grease and Oils
mg/I
Phenol
mg/I
Sulfate
mg/I
Specific Conductance
uMhos
Total Ammonia
mg/I
TKN as N
mg/I
Nitrite (NO2) as N
mg/I
Nitrate (NO3) as N �—
mg/I
Phosphorus: Total as P
mg/I
Orthophosphate
mg/I
Al - Aluminum
mg/I
Ba - Barium
mg/I
Ca - Calcium
mg/I
Cd - Cadmium
mg/1
Chromium: Total Uj
mg/1
Cu - Copper
mg/I
Fe - Iron �112�
mg/I
Hg - Mercury
mg/I
K - Potassium
mg/1
Mg - Magnesium
mg/I
Mn - Manganese
mg/I
YES NO)
Ni - Nickel mg/I
Pb - Lead. mg/I
Zn - Zinc mg/I
Ammonia Nitrogen < b• o 4 mg/I
Other (Specify Compounds and Concentration Units)
�mfcl �iSoIVMq/ I
l 020
ORGANICS: (GC,GC/MS,HPLC)
(Specify test and method #. Attach lab report.)
Report Attached? Yes (1) No (0)
VOC : method # = .
Permittee (or A/nthprized Agent) Name and Title - Please print or type
method # _
method # _
GW-59 Signature o r Ie or Auth fed ge (Date)
Rev.03/2000

SUBMI I l:ORM ON YELL W PAPER ONLY
GROUNDWATER QUALITY MONITORING:
CCMPLIANCE REPORT FORM
FACILITY INFORMATION Please Print Clearly or Type
Facility Name: J ow N 0�- LLCK"Dbi
Permit Name (if different):
Facility Address: JW > g
Contact Person: a alL nHN
Well Location/ Site Name:
County, AuK >R wI lJEDN
Telephone #:.;.25-2-534- 3 VI
No. of Wells to be Sampled: firm emil
Well Identification Number (from Permit): /0 For Groundwater Treatment Systems
Well Depth: 3 / ft. Well Diameter: _=� in. Check one: ❑ Influent (98)
Screened Interval: /r ft. to--3l—ft. ❑ Effluent (99)
Depth to Water Level: _ ft. below measuring point.
Measuring Point (M.P.) is: �� ft. above land surface. Relative M.P. Elevation in ft.:
Gallons of water pumped/bailed before sampling: �f 0— Date sample collected: o%i� ZcZ
Field analysis: pH. 5. '2 , Specific Conductance uMhos
Temp. / & °C, Odor n� �� Appearance
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
WATER QUALITY DIVISION, GROUNDWATER SECTION
1636 MAIL SERVICE CENTER
RALEIGH, NC 27699-1636 Phone: [phone]Z
PERMIT #:W Q_00009144
Non -Discharge X
NPDES
EXPIRATION DATE:
UIC
TYPE OF PERMITTED OPERATION BEING MONITORED
Lagoon Remediation: Infiltration Gallery
Spray Field Remediation:
Rotary Distributor Land Application of Sludge
Other:
NOTE: Values should reflect dissolved and
colloidal concentrations.
Date sample analyzed:
Laboratory Name: EN V RoN PNt - 2NC,
Certification No. aSl
PARAMETERS (Samples for metals were collected unfiltered YES NO and field acidified
COD mg/I Nitrite (NO2) as N mg/I
Coliform: MF Fecal C 1 /100ml Nitrate (NO3) as N 0 a5 mg/I
Coliform: MF Total /100ml Phosphorus: Total as P mg/I
(Note: Use MPN method for highly turbid samples)
Dissolved Solids: Total
mg/I
pH (when analyzed)
units
TOC I • i4-
mg/I
Chloride d20
mg/I
Arsenic
mg/l
Grease and Oils
mg/I
Phenol
mg/I
Sulfate
mg/I
Specific Conductance
uMhos
Total Ammonia
mg/I
TKN as N
mg/I
Orthophosphate
mg/I
Al - Aluminum
mg/I
Ba - Barium
mg/I
Ca - Calcium
mg/I
Cd - Cadmium
mg/I
Chromium: Total
mg/I
Cu - Copper
mg/I
Fe - Iron __
A i0i' mg/I
Hg - Mercury
mg/l
K - Potassium
mg/I
Mg - Magnesium
mg/I
Mn - Manganese
mg/I
YES NO)
Ni - Nickel
mg/I
Pb - Lead
mg/I
Zn - Zinc
mg/I
Ammonia Nitrogen 0• 0*
mg/I
Other (Specify Compounds and Concentratiorl
Units)
ORGANICS: (GC,GC/MS,HPLC)
(Specify test and method #. Attach lab report.)
Report Attached? Yes (1) No (0)
VOC method # _ .
method # =
method # =
CC ZT , Gr L4Tt r:.i *1