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Home My WebLink AboutWQ0004972_Monitoring - 07-2023_20230830 (4)DocuSign Envelope ID: 90A1EB8F-DB1E-4E10-BA1E-CE057359RA3E taw-'.`i!?A t.V1vllrL1AiNk lr, xtr_rVIRT FORN7 Permit # WQ0004972 (Saabanit one each monitoring period with Gil'-59 forms.) 1 Enter date monitoring results were due. (7/31123 ) Will this monitoring report (GW-59 and GW-59A) YES NO be submitted after the established due date? x 2 Was any required information missing on the GNV-59 report forms.' YES NO IF the answer to question 1 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. X 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.)! Ifthe answer is "Yes", contaetthe Regional Ofceforguidance. X q Are any monitored constituents equal to or above the established standards? YES NO If the answer to question 4 is 'NO`; strip to section 8 If the answer to question 4 is "YES" list the affected wells individually vt th constituent(s) and concentration(s) exceeding standards in the space provided below: MW #1 - pH was 5.8, lab pH was 6.3. MW #2 - pH was 5.5 consistent with background. MW #3 - pH was 4.5, Nitrate was 13.6 mg/l. X 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? If the answer to question 5 is "iVO" 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). SF,o x �?104j �O? Are the monitoring wells listed in section 5 located at or beyond the review boundary? YES NO if 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. , I I I 7 Is the permittee implementing previously approved actions required by the Division involving this YES NO i groundwater quality problem? 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,- an evaluation maw 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, andfor penalties. 1, >AU ..,v�q :p 4F j � g The person completing this portion (GW-59A) of the monitoring report should sign below and submit this form with GW--59 forms forrequired wells to the address provided at the top of the current GW-59 form. I hereby acknowledge that the above information was evaluated and the information submitted in this report (Compliance Report GW-59A) is true and complete to the best of'my Ittfowtedge. .. _. .. r—Docusluned by. 8/30/2023 Ii C bV'�t, � 8 ty, Signature o Rer€AW,14jMAuttaorized Agent) Date GN-59A 12/8/2003 DocuSign Envelope ID: 90A1 EB8F-DB1 E-4E 10-BA1E-CE057359BA3E 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. 10t31/2027 Facility Name: Forest Lake RV WWTP Non -Discharge W00004972 UIC_ NPDES Other_ _ Permit Name (if different): Facility Address: 192 Thousand Trails Dr. TYPE OF PERMITTED OPERATION BEING MONITORED Advance NC 27006 County Davie — ❑ Lagoon ❑ Remediation Infiltration Gallery X Spray Field ❑ Remediation: _ Contact Person: Amanda Grenier Telephone#: 919-356-6509 ❑ Rotary Distributor ❑ Land Application of Sludge Well Location/Site Name: Forest Lake RV Spray Irrigation Field No. of wells to be sampled: 4 ❑ Water Source Heat Pump ❑ Other: from Permit SAMPLING INFORMATION If WELL WELL ID NUMBER (from Permit): 1 Date sample collected: 7/11/2023 FIELD ANALYSES: WAS Well Depth: 72 ft Well Diameter: 2 in. pH 00400: 5.8 units Temp. 000lo 16.7 oC DRY at Depth to Water Level 82546: 69.2 ft. below measuring point — Screened Interval ft. to ---- ft. Spec. Cond. 00094 70.7 µMhos — time of sampling, Measuring Point is 3 ft. above land surface Relative M.P Elevation: ----ft, Odor 00085 None check Volume of water pumped/bailed before sampling: 4 5 gallons Appearance Clear here: Samples for metals were collected unfiltered: ❑YES A NO and field acidified: ❑ YES X NO LABORATORY INFORMATION _ Date sample analyzed: 7)12/2023 Laboratory Narne: Pace Analytical Certification No. 12 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 23 /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 0.18 mg/L (Note Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units): issolved Solids:Total 70300 mg/L AI Aluminum o1105 mg/L pH (Lab) 00403 6.3 units Ba - Barium 01007 ug/L TOC 0068o &9 mg/L Ca - Calcium oo916 mg/L Chloride 00940 1.9 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? ❑ Yes (1) ❑ No (0) pecific Conductance 00095 µMhos K - Potassium 00937 mg/L VOC 7e73 method # Total Ammonia oo610 011 mg/L Mg - Magnesium 00927 mg/L method # (Ammonia Nitrogen, NH,as N; Ammonia Nitrogen, Total) Mn - Manganese o1o55 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% GW-59 Rev.06-07-2018 uocualgn tnvelope lu: 9t1A1td9F-U61E-4E10-BA1E-CE067359BA3E CI I0M1AIT Lr'%MRA r1Af VGI I r11A1 MMl l n .. v GROUNDWATER QUALITY MONITORING: COMPLIANCE REPORT FORM FACILITY INFORMATION Please Pnnt clearly or Type Facility Name: Forest Lake RV WWTP Permit Name (if different): Facility Address: 192 Thousand Trails Dr. NC 27006 County Davie Contact Person: Amanda Grainier Telephone#: 919-356-6509 Well Location/Site Name: Forest Lake RV Spray Irrigation Field No. of wells to be sampled: 4 WELL ID NUMBER (from Permit): 2 Well Depth: 46 ft. Depth to Water Level 92546: 38.3 ft. below measuring point Measuring Point is 3 ft. above land surface Volume of water pumped/bailed before sampling: 3.75 Samples for metals were collected unfiltered: ❑ YES 1101 Date sample collected: 7/11/2023 Well Diameter: 2 in. Screened Interval: ft. Relative M.P. Elevation: DEPARTMENT OF ENVIRONMENTAL OUALM - Div. OF WATER RESOURCES INFORMATION PROCESSING UNIT 1617 MAIL SERVICE CENTER, RALEIGH, NC 27699.1617 PERMIT Number: Expiration Date: 10131/2027 Non -Discharge WQ0004972 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: to ft. ft. gallons NO and field acidified: ❑ YES 0 NO FIELD ANALYSES: WAS pH 00400: 5.5 units Temp. 000lo: 16.3 oC DRY at Spec. Cond. 00094: 51.6 µMhos time of sampling, Odor 00085: None check Appearance Clear here: F1 Date sample analyzed: 7/12/2023 Laboratory Name: Pace Analytical Certification No. 12 PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations, COD 00335 mg/L Nitrite (NO2) as N oos15 mg/L Pb - Lead o1o51 ug/L Coliform: MF Fecal 31616 86 /100mL Nitrate (NO3) as N 00620 0.45 mg1L Zn - Zinc 01092 mg/L Coliform: MF Total 31504 /100mL Phosphorus: Total as P 00665 0.18 mg/L (Note, Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units): issolved Solids:Totai 70300 mg/L Al - Aluminum o11a5 mg/L pH (Lab) 00403 5.8 units Ba - Barium o1oo7 ug/L TOG oo66o 9.5 mg/L Ca - Calcium 00916 mg/L Chloride 0094o 3.4 mg/L Cd - Cadmium 01027 ug/L Arsenic 01002 ug/L Chromium: Total 01034 ug/L Grease and Oils oo552 mg/L Cu - Copper 01042 mg/L ORGANICS: (by GC, GC/MS, HPLC) Phenol 32730 ug/L Fe - Iron oio45 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 00096 µMhos K - Potassium 00937 mg/L VOC 7673 method # Total Ammonia ooelo <0.10 mg/L Mg - Magnesium 00927 mg/L method # (Ammonia Nitrogen, NH3 as N; Anmonla Nitrogen, Total) Mn -Manganese o1055 ug/L ,method # TKN as N 00625 mg/L Ni - Nickel 01067 ug/L method # Tor Kemettiation systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal% omusipmd by: 8/30/2023 George Gudgeon, Sr. Vice President �� 01W 4A�' t1tn. Permittee (or Authorized Agent) Name and Title - Please print or type Si na re jg uthorized Agent) G W-59 Rev. 08-07-2018 -- ow,e vvivpw iu. nvm icoor-Lim ie-4Clu-vAIt-t:tuojjt)UbA:lh SUBMIT FORM ON YELLOW PAPER ONLY GROUNDWATER QUALITY MONITORING: �. • ± AL QUALITY - DIV. OF WATER RESOURCES DEPARTMENT OFINFORMATION T COMPLIANCE REPORT FORM , PROCESSING UNIT 1617 MAIL SERVICE CENTER, RALEIGH, NC 27699.1617 FACILITY INFORMATION Please Print C/eady or Type PERMIT Number: Expiration Date: 10/3112027 Facility Name: Forest Lake RV WWTP Non -Discharge W00004972 UIC Permit Name (if different): NPDES Other Facility Address: 192 Thousand Trails Dr. TYPE OF PERMITTED OPERATION BEING MONITORED Advance NC 27006 County Davie ❑ Lagoon ❑ Remediation: Infiltration Gallery ® Spray Field ❑ Remediation: Contact Person: Amanda Grenier Telephone#: 919-356-6509 ❑ Rotary Distributor ❑ Land Application of Sludge Well Location/Site Name: Forest Lake RV Spray Irrigation Field No. of wells to be sampled: 4 ❑ Water Source Heat Pump ❑ Other: from Permit SAMPLING INFORMATION If WELL WELL ID NUMBER (from Permit): 3 Date sample collected: 7/11/2023 FIELD ANALYSES: WAS Well Depth: 20.4 ft. Well Diameter: 2 in. H 00400: 4.5 17.4 ° p units Temp. 00010: C DRY at Depth to Water Level e2546: 9.3 ft. below measuring point Screened Interval:ft. to ft, Spec. Cond. 00094: 207 µMhos time of Measuring Point is 3 ft. above land surface Relative M.P. Elevation: �ft. Odor 000e5: None sampling,check Volume of water pumped/bailed before sampling: 5 gallons Appearance Clear here:❑ Samples for metals were collected unfiltered ❑ YES ® NO and field acidified: ❑ YES ® NO LABORATORY INFORMATION Date sample analyzed: 7/12/2023 Laboratory Name: Pace Analytical Certification No. 12 PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. COD 00335 mg/L Nitrite (NO2) as N oo615 mg/L Pb - Lead o1o51 ug/L Coliform: MF Fecal 31616 6 /100mL Nitrate (NO3) as N 00620 13.6 mg/L Zn - Zinc 01092 m9 /L Coliform: MF Total 31504 /100mL Phosphorus: Total as P 00665 <0.05 mg/L (Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units): issolved Solids:Total 70300 mg/L AI - Aluminum o11os mg/L pH (Lab) 00403 4.9 units Ba - Barium 01007 ug/L TOC ooe8o 1.1 mg/L Ca - Calcium oo916 mg/L Chloride 0094o 26 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 o0610 <0.10 mg/L Mg - Magnesium 00927 mg/L method # (Ammonia Nitrogen, NH3 as N; Ammonia Nitrogen, Total) Mn - Manganese o1055 ug/L method # TKN as N 00625 mg/L Ni - Nickel 01067 ug/L method # ror memealatlon systems only (Attacn Lab Reports): George Gudgeon, Sr. Vice President Permittee (or Authorized Agent) Name and Title - Please print or type Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal% GW-59 Rev, 06-07-2018 ww01Wrl CAV010pe iU: WA rttsar-UOlt:-4tty-t3A1td;E057359BA3E SUBMIT FnRM nN YFI i r1W PAPPP 0KJl V 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 FACILITY INFORMATION Please Print Clearly orType PERMIT Number: Expiration Date: 10131/2027 Facility Name: Forest Lake RV WWTP Nan -Discharge VWQ0004972 UIC Permit Name (if different): NPDES Other Facility Address: 192 Thousand Trails Dr. TYPE OF PERMITTED OPERATION BEING MONITORED Advance NC 27006 County Davie ❑ Lagoon ❑ Remediation: Infiltration Gallery ® Spray Field ❑ Remediation: Contact Person: Amanda Grenier Tele hone#: 919-356-6509 p ❑Rotary Distributor ❑Land Application of Sludge Well Location/Site Name: Forest Lake RV Spray Irrigation Field No. of wells to be sampled: 4 ❑ Water Source Heat Pump ❑ Other: hom Permit SAMPLING INFORMATION If WELL WELL ID NUMBER (from Permit): 4 Date sample collected: 7/24/2023 FIELD ANALYSES: WAS Well Depth: 39 ft, Well Diameter: 2 in. H 00400: 8.4 16.3 ° p units Temp. oo01a: C DRY at Depth to Water Level 8254e: 9.7 ft. below measuting point Screened interval: ft. to ft. Spec. Cond. 00094: 87.9 µMhos time of MeasuringPoint is 3 ft, above land surface Relative M.P. Elevation: ft. � Odor 000s5: None sampling, check Volume of water pumped/bailed before sampling: 5 gallons Appearance Clear here:a Sam les for metals were collected unfiltered: ❑ YES ® NO and field acidified: ❑ YES ® NO LABORATORY INFORMATION Date sample analyzed: 7/25/2023 Laboratory Name: Pace Analytical Certification No. 12 PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. COD 00335 mg/L Nitrite (NO2) as N oo615 mg/L Pb - Lead o1o51 ug/L Coliform: MF Fecal 31616 1 /100mL Nitrate (NO3) as N 00620 4.2 mg/L Zn - Zinc 01092 mg/L Coliform: MF Total 31504 /100mL Phosphorus: Total as P 00665 0.14 mg/L (Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units): issoived Solids:Total 70300 mg/L Al - Aluminum 01105 mg/L pH (Lab) 00403 units Be - Barium 01007 ug/L TOC oo68o 2.5 mg/L Ca - Calcium 00916 mg/L Chloride oos4o 7.4 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 o1o45 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 <0.10 mg/L Mg - Magnesium 00927 mg/L method # (Ammonia Nitrogen; NH3 as N; Ammons Nitrogen, Total) Mn - Manganese o1o55 ug/L method # TKN as N oo625 mg/L Ni - Nickel 01067 ug/L method # "' r' illivurauun aysiems vmy tseracn Lab Reports): intluent Total VoCs: mg/L Effluent Total VOCs: mg/L VOC Removal% George Gudgeon, Sr. Vice President Permittee (or Authorized Agent) Name and Title - Please print or type GW-59 Rev.06-07-2018 Pace Analytical Services, LLC• 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 % August 08, 2023 Amanda D. Grenier Greener EHS Solutions 21 Selby Ct. Holly Springs, NC 27540 RE: Project: Forest Lake MW- July Pace Project No.: 92679133 Dear Amanda Grenier: Enclosed are the analytical results for sample(s) received by the laboratory on July 25, 2023. The results relate only to the samples included in this report. Results reported herein conform to the applicable TNI/NELAC Standards and the laboratory's Quality Manual, where applicable, unless otherwise noted in the body of the report. The test results provided in this final report were generated by each of the following laboratories within the Pace Network: • Pace Analytical Services - Asheville • Pace Analytical Services - Charlotte If you have any questions concerning this report, please feel free to contact me. Sincerely, Matthew Brainard matthew.brainard@pacelabs.com (704)875-9092 Project Manager Enclosures REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC. Page 1 of 16