WQ0035809_Monitoring - 06-2023_20230818

Monitoring Report Submittal
Permit Number#*
Name of Facility:*
Month:* June
Report Information
Type *
Revised - GW-59
WQ0035809
Stateside WWtp
Confirmation Email Address: *
Name of Submitter: *
Signature:
Date of submittal:
Initial Review
Year:* 2023
Upload Document*
Stateside June 2023 GW59 Revised.pdf 224.92KB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
[e-mail]
Dominic Whicher
Reviewer: Wanda.Gerald
8/18/2023
This will be filled in automatically

Is the project number correct?* W00035809
Is the monitoring report accepted?* Yes NO
Regional Office* Wilmington
Reviewer: _anonymous
Review Date: 8/31/2023

SUG$MT FORM ON YELLOW PAPER ONLY
GROUNDWATER [QUALITY MONITORING:
COMPLIANCE REPORT FORM
Name: S4, 41Ls.�2r- 1 jW_
Name (if dibfe,enp:
Address: A) ; ,t.. C•t�z-A-
County fit ,3 /"w -
Contact Person: �ar rc-zi/dk-,V l^j -------- Tetephonw:_j�0-330
Well LocadorVSila Nenle, _S {• ,, jA,s _ No. of Weft to be sampled: -2J
057AleT1 ENT OP MXMMOPNNE rTAL GUAUTV -OV.OF *VATFA I
1101,00" r ok PROC 110100 { WKI,
les'1 mAli. sawArA cEwTvw, nALib7Rt4 NC 27"9-ta+T w�e�•= �*.�
MIT
Expiration Date: %CJf3f rS
UIC
NPOES O@tar lA! ra fTima f-1•e p�
TYPE OF P£RMfTTEO OPERATION BUNG MONITORED
❑ i ppn ❑ RarnWdi Wrr: Irdiltration Gallery
❑ spray Faw O Rarnrediatian' _ __
❑ Rotary Dau"tor ❑ Larw floe+ of Sludge
❑ Water Source Beal Prxnp ❑ C +or A c
SAMPLING INFORMATION
WELL ID NUMBER (from permit): / l.t� Date sample cosacted' & Z` 2 3 F7Et� AN�`A��La�YSES=
Well Depth: )0- IL We® Olan+eGer: in. PH oosoa� z/ ra unts 'Temp 000ro��^C
Depth to Water Level ezyis:_4 _ft- below measuring point Screened Interval: �ft. to W ft. spec- Cam. 000" P�'�
measumng Point is -.2- IL above land surface Retstom M P. Elevation: M. Odor000es
volume of water purnpedlbaited before sampling. -;, galions __,., // Appearance
Samples lot nsetsta were collected unuttered. [] YES ❑ NO and field acidified: M' ES O NO
u►eoRAJga IN�►WN J , J-- — -- r j
Dale sample analyzed: t .Z.3 — /,/} 7; Z Laboratory Name: L- /'Pr a 4 - Catiftcatio^ Na, f
PARAMETERS NOTE: Values should reflect dissolved and colloidal corrcentrattom
COD Dome m9& N trite (Nor) as N Weis M91L Pb - Lead otosr 40101
Coadorm: MF Fecal Buie i 110omL Nitrale (NOS as N ooe20 , rng/L Zn - Zinc 01"2 -9&
Coliform: MF Total sty d /100ml- Phosphors: Total as P oozes.
1++r+. ua. arn+mr.mdrlsyiq "°'a Y..agi Ortlloprwsphate ?owl rtg►L Other (Specify Compounds and Concent abon Vruts).
issotved Sorrds'Total •roim ntglL Al - Aluminum oito3 rrrgrL
pH (tab) oo.m units Be - Barium 01007 ug1L
TOC owso (a • 7-5 - nV& Ca - Calcium owls mg1L
Chloride oasso �Co mgff. Cd - Cadmium olon UgIL
Arsenic Or Ow
u9rL
Grease and Oils 00s42
mgn
Phenol 32 ]0
u9rL
Sulfate Doses
mg&
peafrC ConcluClanca DOM
PA4hos
�
Total Arrwrionia oeeia
ffiwt
V,� .r.Ma MI M-
TXNa-sNnam
m,g&
Chlo nlum: Total aiou
091L
CU - Copper 01042
rrglL
Fe - kon ores
uWL
Hg - Mercuryriwo
u(IIL
K - Potassium ON37
MIA
Mg - Magnesium o"27
m9k
Mn - Manganese Dross
UW
NI - fddtal oto6T
ugfL
ORGANICS: (by GC- GCJMlS, HALC)
(spactfy wax and rneu o0 *. ATTACH LAB REPORT.)
Lab Report Attached? Wr Yes (1) D Na (0)
vac 7673 awthod 9
method i
method A _
method 9 -
For Remedation Systems Only (Attach Lab Reports): Influent Total VOCs. mptL Effluent Total VOCs: mill. VOC Remaysd%
PonrAWO (or ArMcofteO rgwui Wenw and" rdW - Pkm. rev* s+"Un or Pvtvrr (Dazes
GW-S9 Rev 3-1-2016
at
of
170

GROUNDWATER QUALITY MONITORING;
COMPLIANCE REPORT FORM
Name IN dWwent)! _
Address- Nglw C ,' .s A krA
atlq- r r VMM vN Y7� PAYER DNLY
PwrrduigraTMe _._ ..�
AL
'4?...._. CoanlY Y S(o W
act Parson' Q S: 3pti»�sa.. � Tabphorwit; `�! 3 `gl6T
_-— _..... --
t anuorvStte Ntuns: T7° No. of WOOS to be sampled
Dale sample an, ww:
PARAMETERS NOl
C— 4L. f# ..a t1.ru 1ANvh I &k Qa.w..ff%,
�I 117 � �Gsl'7 Gi �Ka+64:� '�
PpRraw fa AAhowoM Ao" NUM &*4 Ttb - yrvt OF tp►s 7%
GW-59 Rav- 3.1-2016
QVM7N6fT OF E�99d1oMMOAL OW►LM • DIV. OF WATER R119MCK Kaati -
1+/ ow"TIM PrtocIEsswo uwT
IT YAII.IEAME ClXt A, K04LF7 K NC V600-1617 RhW InIAW4309
:RWT Numthx: d c•3s!� aq Explraticrtt DrLe: / 0
�n-t?�aharQa uIc _
'DES ovw:r"r �x� _ it ,sue ar!�
'PE OF PERM[TTED OPERATH3K BEING WOMITORED
0 Lspooa 0 RwnwMblon ktaitraoon Gaawy
0 Spray FIM 0 Rarnetsftw
0 Rotary 04tnWo► ❑ Land Appacaionof sw " - - -
0 Water Source Meat Pump 0 0hw-jWtC, dtA i ;413
if WELL
FIELD ANALYSES. }WAS
PH ooaoo A 2— units Tom owto 'C DRY at
Spec. Cond. *am yM tune d
Odor ovwsAppes'
sarpow here,''
Pb - Lead was, UWL
Zn - Zmo,ta c o,aloft.
06,er (SP" o-4y and CvncerNr*Wn Vn ts)
ORttMMS:
(by GC. GMS, FKC)
ft" test artd rpathod S. ATTACH LAS REPORT.)
Lab R+Porf AftKh*d7 0 Yee 11) 0 No (0)
NOc Tna maewl *
. tfwttlw)d !
Milled 0
r�
method it
voc Ra1e107om

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
ti tee. S44jE�W fti) 7
it N"jil dNferortl):
Contact Person: ^ Jt3J� M 4eJ
wen Loca4onlSMe Na,,,e: v TeNtphoneM: A/o— 3J0 p/L %
No. of well to be lwr4 d: , .�_.
SAAA G IMFORMATI 1"fflow""
WELL ID Nli#1BER (from Pwmti): Data sample collected. _ �. C' X,
Well Depth: Itg- It �---
Wel own4w.
Deptt! to Water Level a2ue:� -1 r1 r R 0!low latex_
Measuring point Seemed IrA ervai: /� h tMeasuring Paint a ft above and � ---
Volume Of w8ter - R04t vm M,P. Eievabon: M
Domed before arunW�►p: 2 ._WOns
Samples for NNtats w!ro c0l"efed unfiltered: 0 YES
t ABORAT Y 1Nfi ❑ NO and field sewiUed: WYES ©AIO
.. r rrs 3 men i K -WVV vP=9XTAL QW4ti • t71t1. OF VgA MR RE;OUIOCFl
gr'GtIYATloff rwoom q MT
1a1T tWIIL "W= CU1nK AuAV0tt, lac Ih! 4&17 Fnoo.: na aa, oa
PERMIT Nwnber: W 4 co7Ssofbo-Wan Dale: iO 3l 2
N00-0I8aharge uIC
NPOES __ OtlrrT,rf: ;o 5 stir.*+
TYPE OF PEFtUMED OPERATION BEING MONITORED
❑ LARW ❑ Rwnefttlon. IrdlMratlon Gallery
13 spr>.y FWW E3 Ramedbtbon.
13 notary Dwribufa ❑ Land Appikabpn of Mudip
❑ Wakw Swu heat Pump ®0ow..
FIELD ANALYMS-
PH ON
Spec- Cond. coax
Odor ockee9
Temp. mono •C DRY at
wwm Ume of
I 1W
rtesample anailrted:__tL.C� — CL7-_M«!'N
_
01AWTERS NOTE: VS ues should rdlect dissalvad and cottotdal eoncontfoers.
nttHs
COB o0cie MWL
Coilforrn' idF Fecal s,,a L 1 IloornL
Nitrite (N%) as N o0
rtplL
Pb - L.asd was,
UWL
Nitrate (NQ,) ss N ooaao
l �
� L
Zn - � wW2
Total a,sw liftni.
Phosph
Phosphorus: Total lees
as P g
+nQ2
nfglL
,. U
i*a. us+h..e,w � ryny ..ew,.Ad..l
"
Orthophosphate rosor
.solved SoOds:ToW 7mw 115 mWL
AI - Ahffnk"An 01105
mgrL
Other (Specityr Ccrnporinft and C*f%Ce� Un is )
_
M911-
pH (Lab) W40 _ unfti
Ba - Bad= moo?
LWL
TOG ooaao 43 mg/L
CO - Cakkm oos,a
Chloride oowa MWL
Cd - Cadmlum o,ozr
.._rngrL
UWL
Arsenic o,oaz U91L
Chromium: Total woe•
UWL
Grease and Oda oom myL
Cu - Copper e1042
m9k
ORtiMMS: (by GC. GCIMS. HPLC)
Phenol 3Z77o UWL
Fe - Mon aws
uWL
(Soaetty test "rr edlod if. ATTACH LAB REPORT.)
SUN*" owes myL
Hp •mwcwy fr000
U91
Lab Repot AtAdIod? ❑ yaw (1) ❑ No (0)
,ee t: Conductance 00M OAW
�
K • Potaasiun eoi37
L
VOC >---
Total fVnrtlarda Oaa,o � l � ms+E,
Mg- Magnesium ooa2
method M
tM�neris NeoOri r h: Ae�aai nru0�^ TOW
fy�� . clam
mslieod N
TKN b N OWU MWI
NI - Nickel osw
—UWL
UWL
.,*a 0
well a
For Rarn"&Uon Systoms Or4y (Attach Lab Reports): Infhwl Total VOCs:
mptL ERkeent Tow VOCa;
ffWL VOC Remowd%
011

Waypoi to
ANALYTICAL
14 OAKMONT DRIVE
31REENVit.I.E, NC 27858
STATESIDE WWTP (ONSWC)
OLD NORTH STATE WATER
3212 6T1i AVBN" S
STE 200
BIRMINGH M, AL 35222
PARAMETERS
PH (field measurement), Units
Fecal Colirorm (MF), /100 Mls
Ammonia Nitrogen as N. mg/1
Ammonia Nitrogen as N. mgll
Nitrate Nitrogen as N, mg/l
Total Phosphorus as P, mall
Total Organic Carbon, mall
Chloride, mg11
Total Dissolved Residue, mg/l
Static Water Level, Peet
Water Bailed, Gals.
Drinking water IV! 37715
Wastewater ID- 10
PHONE [phone]
FAX [phone]
IV#: 359 w
DATE COLLECTED: D6/20/23
DATE REPORTED : 06/30/23
REVIEWIM BY: _._._..
MW4
MW-5
MW-6
Analysis
Method
Date
Analyst
Code
4.8
7.2
5.7
06/20123
NNK
4500148-11
< 1
< 1
< 1
06/20/23
JMS
9222D-15
0.14
1.74
06/22/23
TRJ
350.1 R2-93
0,16
06127/23
TRJ
350.1 112-93
<0.04
<0.04
<0.04
06/21123
TRJ
353.2 R2-93
0,20
0.27
0.15
06/27/23
TRJ
365.4-74
6.7s
23.28
3.23
06/27123
HMV
531OC-14
6
54
26
06/26/23
HMV
4500CLO-11
99
660
115
06122/23
HMV
D5907-13
10.00
11.46
5.21
06120123
NNX
210
2.0
1,5
06120/23
NNK