HomeMy WebLinkAboutWQ0001284_Monitoring - 02-2021_20220907SI tRMIT FORM t7N YFI I nvv PAPER (-)Ni Y
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
FACILITY INFORMATION Please Print Clearly or
Facility Name: Town of Conway
Permit Name (if different):
Facility Address: PO Box 365 Conway NC 27820
PO Box 365 Conway NC 27820 (street)
(^fate) (ZIP)
Contact Person: Jeffrey Long
Well Location/Site Name:South End
County Northampton
Telephone#: 252-58 5-0488
No. of wells to be sampled: 3
DEPARTMENT OF ENVIRONMENTAL QUALITY - DIV. OF WATER RESOURCES
INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: 919-807-6306
PERMIT Number: Expiration Date:
Non -Discharge WQ0001284 UIC
NPDES Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
❑■ Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): 1
Date sample collected: 02-17-2021
FIELD ANALYSES:
WAS
Well Depth: 30 ft.
Well Diameter: 4 in.
pH 00400: 7.0 units Temp. 000lo: °C
DRY at
Depth to Water Level 82546:13 ft. below measuring point
Screened Interval: ft. to
ft. Spec. Cond. 00094: µMhos
time ofsampling,
Measuring Point is 2 ft. above land surface
Relative M.P. Elevation: ft.
Odor 00085: None
check
Volume of water pumped/bailed before sampling: 10 gallons
Appearance Clear
here:
❑
Samples for metals were collected unfiltered: 0 YES ❑ NO
and field acidified: El YES ❑ NO
Date sample analyzed:02-17-2021
Laboratory Name: Enviorment One
Certification No. 993135
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N oo615
mg/L
Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616 600
/100mL
Nitrate (NO3) as N 00620 <0.04
mg/L
Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 1.20
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
issolved Solids:Total 7030o 230
mg/L
Al - Aluminum ollo5
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 00680 12.44
mg/L
Ca - Calcium oog16
mg/L
Chloride 0094o 46
mg/L
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 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
µMhos
K - Potassium 00937
mg/L
VOC 7873 method #
Total Ammonia 00610 6.78
mg/L
Mg - Magnesium 00927
mg/L
method #
(Ammonia Nitrogen; NH3as 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 VOC Removal%
I certify that, to the best of my knowledge and belief, the information submitted in this report is true, accurate, and complete. and that the laboratory analytical data was produced using approved methods of analysis by a
DWR-certified laboratory. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations.
Jeffrey Long
Permittee (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev.3-1-2016
(or Authorizes Aqent)
�i=
SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
• .
DEPARTMENT OF ENVIRONMENTAL QUALITY - DIV. OF WATER RESOURCES
COMPLIANCE REPORT FORM
INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: 919-807-6306
FACILITY INFORMATION
Please Print
Clearly or Type
PERMIT Number: Expiration Date: - 2C Z
Facility Name: Town of Conway
Non -Discharge W00001284 UIC
NPDES Other
Permit Name (if different):
Facility Address: PO Box 365 Conway NC 27820
TYPE
OF PERMITTED OPERATION BEING MONITORED
El Lagoon El Remediation: Infiltration Gallery
PO Box 365 Conway NC 27820 (street) County Northampton p
(city) (state)
(Z'p)
0 Spray Field ❑ Remediation:
Contact Person: Jeffrey Long
Telephone#: 252-585-0488
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name:South East
No. of wells to be sampled: 3
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): 3
Date sample collected: 02-17-2021
FIELD ANALYSES:
WAS
Well Depth: 30 ft.
Well Diameter: 4 in.
pH 00400: 7.0 units Temp. 000lo: °C
DRY at
Depth to Water Level 82546:13 ft. below measuring
point Screened Interval: ft. to
ft.
Spec. Cond. 00094: µMhos
time of
Measuring Point is 2 ft. above land surface
Relative M.P. Elevation: ft.
Odor 00085: None
sampling,
check
Volume of water pumped/bailed before sampling:
10
gallons
Appearance Clear
here: ❑
Samples for metals were collected unfiltered: X YES
❑ NO and field acidified: ❑ YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed:02-17-2021
Laboratory Name: Enviorment One
Certification No. 993135
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 600
/100mL
Nitrate (NO3) as N 00620 <0.04
mg/L
Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 1.26
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
issolved Solids:Total 703oo 220
mg/L
Al - Aluminum 01105
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
Di
TOC 00680 13.56
mg/L
Ca - Calcium 00916
mg/L
Chloride 0094o 46
mg/L
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 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
µMhos
K - Potassium 00937
mg/L
VOC 7873 method #
Total Ammonia 00610 6.78
mg/L
Mg - Magnesium 00927
mg/L
method #
(Ammonia Nitrogen; NH3asN; 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 VOC Removal%
Jeffrey Long
Permittee (or Authorized Aqent) Name and Title - Please print or type
Gy__31 -
GW-59 Rev.3-1-2016
SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
DEPARTMENT OFENVIRONMENTAL QUALITY - DIV. OF WATER RESOURCES
COMPLIANCE REPORT FORM
INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: 919-807.6306
FACILITY INFORMATION
Please Print
Clearly or Type
PERMIT Number: Expiration Date: 0 <3 -3 ,1, ZC 2k
Facility Name: Town of Conway
Non -Discharge W00001284 UIC
NPDES Other
Permit Name (if different):
Facility Address: PO Box 365 Conway NC 27820
TYPE OF PERMITTED OPERATION BEING MONITORED
El Lagoon El Remediation: Infiltration Gallery
PO Box 365 Conway NC 27820 (street) Count Northampton y P
(City) 'State)
(zip)
Spray Field ❑ Remediation:
Contact Person: Jeffrey Long
Telephone#: 252-585-0488
❑Rotary Distributor El Land Application of Sludge
Well Location/Site Name:North
No. of wells to be sampled: 3
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): 4
Date sample collected: 02-17-2021
FIELD ANALYSES:
WAS
Well Depth: 30 ft,
Well Diameter: 4 in.
H 00400: 7.0
p units Temp. 00010: C
DRY at
Depth to Water Level 82546:13 ft. below measuring
point Screened Interval: ft. to
ft. Spec. Cond. 00094: µMhos
time of
Measuring Point is 2 ft. above land surface
Relative M.P. Elevation: ft.
Odor 00085: None
sampling,check
Volume of water pumped/bailed before sampling:
10
gallons
Appearance Clear
here:
Samples for metals were collected unfiltered: 0 YES
❑ NO and field acidified: ❑ YES ❑ NO
❑
LABORATORY INFORMATION
Date sample analyzed:02-17-2021
Laboratory Name: Enviorment One
Certification No. 993135
PARAMETERS NOTE: Values should reflect dissolved
and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615
rng/L Pb - Lead 01051 u9 /L
Coliform: MF Fecal 31616 600
/100mL
Nitrate (NO3) as N 00620 <0.04
mg/L Zn - Zinc 01092 m9 /L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 1.28
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 703oo 220
mg/L
Al - Aluminum 01105
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 00680 13.96
mg/L
Ca - Calcium 00916
mg/L
Chloride 0094o 45
mg/L
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 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
µMhos
K - Potassium 00937
mg/L VOC 7873 method #
Total Ammonia oo610 6.43
mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen; NH, as N; Ammonia Nitrogen, Total)
Mn - Manganese o1055
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%
Jeffrey Long ly`;T _ OK _3 i
Permittee (or Authorized Aqent) Name and Title - Please print or type Siqna re Permittee or Authorized gent) (Date)
GW-59 Rev.3-1-2016