WQ0004797_Monitoring - 05-2023_20230622

Monitoring Report Submittal
Permit Number#*
Name of Facility:*
Month: * May
Report Information
Type *
GW-59
Confirmation Email Address:
Name of Submitter: *
Signature:
Date of submittal:
Initial Review
WQ0004797
Clement Pappas NC LLC
Year:* 2023
Upload Document*
Signed GW 59's 5-2023.pdf 856.63KB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
[e-mail]
Dale I Wolfe
Reviewer: Wanda.Gerald
6/22/2023
This will be filled in automatically

Is the project number correct?* W00004797
Is the monitoring report accepted?* Yes NO
Regional Office* Asheville
Reviewer: _anonymous
Review Date: 6/23/2023

i.:�,�'-.'it);� i';'r:'�i9'%•('F .. f??'.. i (;'%... i o)illli 11 WQ0004797
4ul�ruirrut�'rtr�iltra��,tilrnoi:'/?a�ln;iis•.rrhG)1-'�9jur'i1t1,1 �--
1
Enter date monitoring results were due. ( 06/30/2023 ) Will this monitoring report (GW-59 and GW-59A)
YTS
NO
be submitted after the established due date?
Y1sS
X
NO
2
Nas any required information missing on the GW-59 report forms?
X
IF the answer to question 9 or 2 is "YES", list in the space provided below the well identification number(s) and
explain the problems encountered in obtaining the required information.
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 answer is "Yes". cowoci the Regional Office for guida)ice,
X
4
Are any monitored constituents equal to or above the established standards?
yp
1S
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 concentrations)
exceeding standards in the space provided below:
Nitrate (2L = 10mg/L): MW-7R2O 18.4 mg/L
Fecal coliform (2L = 1 CFU/100 mL): MW-69 15.0 CFU/100 mL
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 constituent(s) exceeding
standards, concentration(s) reported, and sample collection date for each occurrence (for the last two years).
Fecal Coliform Nitrate
MW-6 (CFU/100mL) MW-7R (mg/L)
05/11/21: 5.0 05/11/21: 40.4
10/28/21: ND 10/27/21: 26.0
05/10/22: ND 05/10/22: 31.0
11/08/22: -164.0 RESAMPLE 12/05/22: 12.0 11/08/22: 24.2
• ossible lab error
Are the monitoring wells listed in section 5 located at or beyond the review boundary?
YES
NO
X
ff the answer is "YES", a groundwater quality problem maybe occurring. CONTACT THE REGIONAL
OFFICE IMMEDIATELY FOR GUIDANCE. If the answer is "NO", monitoring wells maybe improperly
located; contact the Regional Office.
7
Is the permittee implementing previously approved actions required by the Division involving this
YP•.S
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; all evaluation rnay be
required to determine the impact the waste disposal system is having at the review and compliance
boundaries surrounding this facility. Failure to do so may subiect the permittee to a Notice of Violation.
fines, and/or penalties.
Monitoring well MW-7R was replaced by MW-7R2 prior to the Spring 2023 monitoring event due to root penetration of the well screen and
concerns regarding impacts to water quality measurements
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 GW-59 form.
I hereby a nowledge that the above information was evaluated and the information submitted in this
report ( om I nc port GW-59A) is true and complete to the best of my knowledge.
u I ZZ 23
Signature tf Pe Ittee (or Authorized Agent) Date
G \\ -59A 1 _1,18111103

SIIRMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENTAL QUALITY - DIV. OF WATER RESOURCES
GROUNDWATER QUALITY MONITORING:
INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: Expiration Date: 7/31/2026
Facility Name: Clement Pappas
Non -Discharge W00004797 UIC
NPDES 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
1 Spray Field ❑ Remediation
Contact Person: James Frazier
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Irrigation Area
No. of wells to be sampled 6
❑ Water Source Heat Pump ❑ Other:
dram
PemrP
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-4
Date sample collected: 5/3/2023
FIELD ANALYSES:
WAS
Well Depth: 18.24 ft.
Well Diameter: 2 in
pH 00400: 5.6 units Temp 000lo: 14.0 °C
DRY at
time ofsampling,
Depth to Water Level 82546: 8.79 ft below measuring point Screened Interval: 5 ft.
to 15
ft Spec. Cond. 00094: 202.2 ItMhos
Measuring Point is 2.43 ft. above land surface
Relative M P. Elevation: 2063.77
ft.
Odor 000a5: none
check
Volume of water pumped/bailed before sampling:
0.83
gallons
Appearance
here:
Samples for metals were collected unfiltered: FE] YES
❑ NO and field acidified: (K YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed: 5/3/2023
Laboratory Name: Pace Analytical Services
Certification No 37712
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO,) as N 00615
mg/L
Pb - Lead o1o51 ug/L
Coliform: MF Fecal 31616 <1.0
/100mL
Nitrate (NO3) as N 00620 0 660
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 <0 050
mg/L
(Note use MPN method For highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
ssolved Solids:Total 70300 126
mg/L
Al - Aluminum 01105
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 0068o 33
mg/L
Ca - Calcium 00916
mg/L
Chloride o0940 103
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? M Yes (1) ❑ No (0)
Specific Conductance 00095
µMhos
K - Potassium 00937
mg/L
method #
Total Ammonia 00610 <0 10
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 vuc; Kemoval io
James Frazier. Plant Manager
Permittee (or Authorized Agent) Name and Title - Please print or type
(or Authorized Agent)
23
GW-59 Rev 06-07-2018

SUBMIT FORM ON YELLOW PAPER ONLY
• IF
DEPARTMENT OF ENVIRONMENTAL QUALITY - DIV. OF WATER RESOURCES
GROUNDWATER QUALITY MONITORING:
•
• • •
INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617
FACILITY INFORMATION
Please Parit Clearly or Type
PERMIT Number: Expiration Date: 7/31/2026
Facility Name: Clement Pappas
Non -Discharge WQ0004797 UIC
NPDES 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 ❑ Remediation:
Contact Person: James Frazier
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Irrigation Area
No. of wells to be sampled: 6
❑ Water Source Heat Pump ❑ Other:
Urom Perrin
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-5
Date sample collected: 5/3/2023
FIELD ANALYSES:
WAS
Well Depth 18 59 ft
Well Diameter: 2 in
pH 0040o: 5.3 units Temp. 000lo: 13.2 °C
DRY at
time of
Depth to Water Level 82546: 8.85 ft below measuring point Screened Interval: 9 ft
_
to 19
ft Spec. Cond 00094: 49.3 j.lMhos
sampling,
Measuring Point is 3.00 ft above land surface
Relative M P. Elevation: 2085 60
ft,
Odor 00065 none
check
Volume of water pumped/bailed before sampling:
0.89
gallons
Appearance
here.,
Samples for metals were collected unfiltered: ■❑ YES
❑ NO and field acidified: 0 YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed: 5/3/2023
Laboratory Name: Pace Analytical Services
Certification No 37712
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO,) as N 00615
mg/L
Pb - Lead olo51 ug/L
Coliform: MF Fecal 31616 <1.0
/100mL
Nitrate (NO3) as N 00620 0.049
mg/L Zn -Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 0.075
mg/L
(Note Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
)lssolved Solids:Total 7030o 750
mg/L
Al - Aluminum oil o5
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 00680 6.3
mg/L
Ca - Calcium oo916
mg/L
Chloride 0094o 42
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
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 VOC Removal%
James Frazier, Plant Manager
Permittee (or Authorized Agent) Name and Title - Please print or type
(or Atithorizea Agent)
W
GW-59 Rev 06-07-2018

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENTAL QUALITY - DIV. OF WATER RESOURCES
GROUNDWATER QUALITY MONITORING:
INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: Expiration Date: 7/3112026
Facility Name: Clement Pappas
Non -Discharge VVQ0004797 UIC
Permit Name (if different):
NPDES Other
Facility Address: 485 Brookside Camp Road
TYPE OF PERMITTED OPERATION BEING MONITORED
Hendersonville NC
28792 County Henderson
❑ Lagoon ❑ Remediation: Infiltration Gallery
,1111111 Spray Field ❑ Remediation:
Contact Person: James Frazier
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
VVell Location/Site Name: Irrigation Area
No. of wells to be sampled: 6
❑ Water Source Heat Pump ❑ Other:
071 Permnt
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-6
Date sample collected: 5/3/2023
FIELD ANALYSES:
WAS
Well Depth: 11.59 ft.
Well Diameter: 2 in.
pH 00400: 5.2 units Temp 000lo: 14.5 °C
DRY at
time of
Depth to Water Level 82546: 5.74 _ft. below measuring point Screened Interval: 5 ft to
10
ft. Spec. Cond. 00094: 138.1 µMhos
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:
1.19
gallons
Appearance
here
Samples for metals were collected unfiltered: 0 YES
❑ NO and field acidified: © YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed 5/3/2023
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 00615
mg/L Pb - Lead o1o51 ug/L
Coliform: MF Fecal 31616 15_0
/100mL
Nitrate (NO3) as N 00620 015
mg/L
Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 <0 050
mg/L
(Note: Use MPN method for highly turbid samplesi
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units),
Assolved Solids:Total 70300 86.0
mg/L
Al - Aluminum 01105
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 00680 1.5
mg/L
Ca - Calcium 00916
mg/L
Chloride 0094o 8.8
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug1L
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? K Yes (1) ❑ No (0)
Specific Conductance 00095
µMhos
K - Potassium 00937
mg/L 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 VOC Removal%
James Frazier. Plant Manager
Permittee (or Authorized Agent) Name and Title - Please print or type
of geml(ttee (or Authorized Agent)
717
GW-59 Rev 06-07-2018

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENTAL QUALITY - DIV. OF WATER RESOURCES
GROUNDWATER QUALITY MONITORING:
INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617
FACILITY INFORMATION
Please Print Clearly or type
PERMIT Number: Expiration Date: 7/31/2026
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
Hendersonville NC
28792
County Henderson
❑ Lagoon ❑ Remediation: Infiltration Gallery
A Spray Field ❑ Remediation:
Contact Person: James Frazier
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Irrigation Area
No- of wells to be sampled: 6
❑ Water Source Heat Pump ❑ Other:
from Permfl)
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-7R2
Date sample collected: 5/3/2023
FIELD ANALYSES:
WAS
Well Depth: 17 39 ft.
Well Diameter: 2 in.
pH 00400: 5.2 units Temp. 000lo: 14.8 °C
DRY at
Depth to Water Level 82546: 10.57 ft. below measuring point Screened Interval: 5 ft
to 15
ft. Spec_ Cond. 00094: 337.1 (Mhos
time of
sampling,
Measuring Point is N/A ft. above land surface
Relative M.P. Elevation: 2062-86'
ft.
Odor 00085: none
check
Volume of water pumped/bailed before sampling:
0.83
gallons
Appearance 'Elevation assumed based on MW-7R
here:
Samples for metals were collected unfiltered: (] YES
❑ NO and field acidified: N YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed: 5/3/2023
Laboratory Name: Pace Analytical Services
Certification No. 37712
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations -
COD 00335
mg/L
Nitrite (NO,) as N o0615
mg/L Pb - Lead o1o51 ug/L
Coliform: MF Fecal 31616 <1 0
/100mL
Nitrate (NO3) as N 00620 18.4
mg/L
Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 <0.050
mg/L
(Note Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 703oo 232
mg/L
Al - Aluminum o11o5
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 00680 1.8
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 26.6
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug1L
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? IN-] Yes (1) ❑ No (0)
Specific Conductance 00095
ttMhos
K - Potassium 00937
mg/L
method #
Total Ammonia 00610 <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 mg/L VOC Removal%
James Frazier, Plant Manager
Permittee (or Authorized Agent) Name and Title - Please print or type
(orAulhoriaed Agent)
GW-59 Rev 06-07-2018

al RMIT FnRnA ON YFI I nW PAPFR ONLY
9
DEPARTMENT OF ENVIRONMENTAL QUALITY - DIV. OF WATER RESOURCES
GROUNDWATER QUALITY MONITORING:
,
• '
INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: Expiration Date: 7/31/2026
Facility Name: Clement Pappas
Non -Discharge W00004797 UIC
NPDES Other
Permit Name (if different)
Facility Address: 485 Brookside Camp Road
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
Hendersonville NC 28792 County Henderson
11 Spray Field ElRemediation
Contact Person: James Frazier
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Irrigation Area
No. of wells to be sampled: 6
❑ Water Source Heat Pump ❑ Other:
trrom Permio
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-8
Date sample collected: 5/3/2023
FIELD ANALYSES:
WAS
Well Depth 13 99 ft
Well Diameter: 2 in
pH 00400: 6.6 units Temp 00010: 13.1 oC
DRY at
time of
Depth to Water Level 82546: 9 41 ft, below measuring point Screened Interval: 3 ft
to 13
ft. Spec. Cond. 00094: 410.3 ttMhos
sampling,
P 9,
Measuring Point is 300 ft above land surface
Relative M P Elevation: 2060.80
ft.
Odor 00085: none
check
Volume of water pumped/bailed before sampling:
0.48
gallons
Appearance
here D
Samples for metals were collected unfiltered: © YES
❑ NO and field acidified: ❑■ YES
NO
LABORATORY INFORMATION
Date sample analyzed 5/3/2023
Laboratory Name: Pace Analytical Services
Certification No 37712
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO,) as N 00615
mg/L
Pb - Lead o1o51 ug/L
Coliform: MF Fecal 31616 <1.0
/100mL
Nitrate (NO3) as N 00620 22
mg/L Zn -Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 <0 050
mg/L
(Note Use MPN inethod for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
lssolved Solids:Total 70300 242
mg/L
Al -Aluminum 01105
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 00680 4.9
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 10.9
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? M Yes (1) ❑ No (0)
Specific Conductance 00095
µMhos
K - Potassium 00937
mg/L
method #
Total Ammonia 0o6lo <0.10
mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen, NH, as R 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 VUCs: mg/L VuC, Kemovai-ro
James Frazier. Plant Manager
Permittee (or Authorized Agent) Name and Title - Please print or type
G W-59 Rev 06-07-2018

Sl IRMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENTAL QUALITY - DIV. OF WATER RESOURCES
GROUNDWATER QUALITY MONITORING:
INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617
FACILITY INFORMATION
PnntClearly orType
PERMIT Number Expiration Date: 7/31/2026
Facility Name: Clement Pappas
Non -Discharge W00004797 UIC
!`JPDES Other
Permit Name (if different):
Facility Address: 485 Brookside Camp Road
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
Hendersonville NC 28792 County Henderson
® Spray Field ❑ Remediation:
Contact Person: James Frazier
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Irrigation Area
No of wells to be sampled 6
❑ Water Source Heat Pump ❑ Other:
trram PermiU
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-9
Date sample collected: 5/3/2023
FIELD ANALYSES:
WAS
Well Depth 18 06 ft.
Well Diameter: 2 in
pH 00400: 5.1 units Temp 000lo: 13.9 oC
DRY at
time of
Depth to Water Level 82546: 5_02 ft below measuring point Screened Interval 6 ft
to 16
ft Spec. Cond. 00094: 144.4 µMhos
sampling
Measuring Point is 1.44 _ft. above land surface
Relative M P Elevation: 2060,23
ft
Odor 00085: none
check
Volume of water pumped/bailed before sampling:
0.55
gallons
Appearance
here:❑
Samples for metals were collected unfiltered: ®YES
❑ NO and field acidified- A YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed 5/3/2023
Laboratory Name: Pace Analytical Services
Certification No 37712
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO,) as N 00615
mg/L Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616 <1 0
/100mL
Nitrate (NO3) as N 00620 3.8
mg/L
Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 0.080
mg/L
(Note Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
3iissolved Solids:Total 70300 83.0
mg/L
Al - Aluminum 01105
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 00680 4.7
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 134
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
uglL
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? OM Yes (1) ❑ No (0)
peclfic Conductance 00095
µMhos
K - Potassium 00937
mg/L VOC 7873 method #
Total Ammonia 00610 <0 10
mg/L
Mg - Magnesium 00927
mg/L
method #
(Ammonia Nitrogen, NH; as N: knmonia 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:
James Frazier, Plant Manager
Permlttee (or Authorized Agent) Name and Title - Please print or type
mg/L Effluent Total VOCs:
(or
mg/L VOG Removal%
GW-59 Rev 06-07-2018