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Home My WebLink AboutWQ0024577_Monitoring - 07-2023_20230905SUBMIT FORM ON YELLOW PAPER ONLY GROUNDWATER QUALITY MONITORING: a � OEPARTMENTOF ENVIRONMENT &NATURAL RESOURCES COMPLIANCE REPORT FORM . DNISION OF WATER QUALITY -INFORMATION PROCESSING UNIT FACILITY INFORMATION Please Prinf Clearly or Type 1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: (919) 733.3229 Facility Name: �'' �� , . ti7L'!' �u 1 C" �i2f ',i`Yti� % l • C ✓c' PERMIT Number�'�/ �'kY.�ijiF'7i Expiration Date �� Permit Name (if different): _ Non -Discharge UIC Fagi Address: NPDES _ Other i7TYPE 'g'" , County OF PERMITTED OPERATIONBEING MONITORED [La oon .� ❑Remediation: Infiltration Gallery Contact Person: rel 41 j��I/ Well Location/Site Telephone#: 0` p y Field ❑ Remediation: Rotary ❑Rota Distributor Name: �`� C No. of wells to be sampled: ❑ Land Application of Sludge ❑ Water Source Heat Pump ❑ SAMPLING INFORMATION (from Pe Other: WELL ID NUMBER (from Permit): / Date sample collected: �7 - �/ - L 7 If WELL Well Depth: ft. Depth Well Well Diameter: in. J FIELD ANALYSES: WAS to Water Level 82546: ft. below measuringpoint p Interval: ft. to pH 00400: units Temp. 000lo: °C DRY at Measuring Point is ft. above land surface Relative M.P. Elevation: ft. Spec. Cond, 0009a: µMhos tune of Volume of water pumped/bailed before sampling: ft. gallons g Odor 000es: /� sampling, Am � , r, Sales for metals were collected unfiltered: ❑YES INFORMATION ❑ NO and field acidified: ❑YES ❑ NO check AppearaAppearancem here:LABORATORY Date sample analyzed: % " G 3 LaboratoryName: PARAMETERS NOTE: Values should reflect dissolved and colloidal con entratior»f Certification No. 6Cilu' �f i) COD 00335 mg/L uo9rorm: Iva- I-ecal 31616 Nitrite (NO,) as N o0615 mn/l Ph /100mL Coliform: MF Total 315oa Nitrate (NO3) as N o0620 mg/L UUIL- Zn - Zinc o1o9z rng/L ,..,.�...... /100mL (Note: Lisa MPN mathod for highly lurbld samplos) Phosphorus: Total e5 P onss5 m^r) --:.. �.. g - issolved Solids:Total 70300 mg/L Orthophosphate 70507 �� mg/L At - Aluminum 01105 mg/L Other (Specify Compounds and Coneprpfb pH (Lab) 00403 - units Be - Barium 01007 �_. id TOC 00660 m /g Lg— Ca - Calcium 009- m g/C- For Remedletid Systems Only"(Attach Lab Reports): s7 ug/L - method # _ Total VOCs:�mg/L Ef�uent Total VOCs: mgtL VOC Rsmoval96 - � 7=--7�f�•1-e �'�3a� ZUZ� uKUUNDVVATER QUALITY MONITORING: COMPLIANCE REPORT FORM Name: Name (if different): Address: I! 9 act Person: ( Location/Site LID NUMBER (from Permit): S r,on vreanp or SUBMIT FORM ON County Telephone#: . V - No. of wells to be sampled: PAPER ONLY Depth: 0 Date sample collected: ft. -I-- /y 1 to Water Level 82sas:_7Well Diameter: ft. below measuring point In. wring Paint Is .� ft. above land surface Screened Interval: - ft. to �.. ft. ie of water pumped/bailed before sampling: Relative M.P, Elevation; les for metals were cnIjor,ao,a . _----------_gallons - -ff sample - ;;p" �'•Mnfjr_ t ter« NOTE: Values should reflect dissolved and rolfoidat concentrations, Laboratory Name: ,��„ `fir COD oO335 — h'' Coiiform: MF Fecal 31616 mg/L Nitrite (NO2) as N oasts "rHK rMENT OF ENVIRONMENT 8 NATURAL RESOURC$S )IVISION OF WATER QUALITY•INFORMATION PROCESSING UNIT 617 MAIL SERVICE CENTER, RA_LEIGH, NC 27699-1617 Phone: (919) 733-3221 'ERMIT Number)'?Ieo �xptration Date; Ion -Discharge 'Al"! PDES UIC Y Other'E OF PERMITTED OPERATION BEING MONITORED 01agoon ❑ Remediation: Infiltration Gallery +❑'Spray Field ❑ Remediation: ❑ Rotary Distributor ❑Land Application of Sludge n _tllt'ater Scarce Heat Pump ❑.Other: FIELD ANALYSES: If WEL pH oogoo; q units Temp. 000to: WAS Spec. Cond. 00094: °C DRY at Odor 000as: NMh s time of samplin Appearance check Certificatlon I rn11f^rm- eer -r,,._, _ . -.. (Note: Uco /100mL /100mL Nitrate (NO,) as N onrwn mg/L �- � 1191L Pb - Lead 01081 en C�L MPN mathod for M1011y ttnbid a aves) Phosphorus: Total as P oosss - zinc 01092 issolvedSolids:Total7030o Orthophosphate 70S07 25L &- � mg/L mg/L pH (Lab) 00403 mg/L �__ units Al - Aluminum o1 tos - mg/L mg/L Other (Specify Compounds and Concentration Units): TOC ooseo Ba Barium 01007- ----- --"-.----mg/L Ca Calcium oasis_ ug/L _ Arsenic otooz mgIL Cd - Cadmium 01027 — ----- - ---------_.__. Grease and Oils 00552 ug/L Chromium: Total 01034 Phenol 3z73o mg/L Cu - Co Copper otoa2 ug/L Sulfate oosgs ug/L Fe - Iron 01045 IrI /L g ORGANICS: (by GC, GC/MS , HPLC) 3ecific Conductance ottoes mg/L µMhos Hg - Mercury 71soo ug/L ug/L (Specify test and Inethod #. ATTACH LA13 REPORT.) _ Total Ammonia ooslq __ d , IC _potassium oos37 Lab Report Attached? ❑ Yes (1) ❑ --_ - (.'.mr�ni� fJgrayun; M h aj 1J i111I'Mua Nltrogon, I alai) -mg/L Mg - Magnesillnr oogzr mg/L No (0) VOC 78732: _ . method # For Remediation Mn - Manganese oloss n1g/L method # ng/L----- ug/L .. - -IVI - 11Y ,IMLOUn -ao Deports): �Influent Total TotaI mg/L ug/L method // Effluent Total VO �,,, LL.'Mmg/L VOC Removal% r�3u:1'13tu1.� �$ Ii'JT.'imtw?i;:ice,2re^nvr;e.x..•- jj ce r� ;� SUBMIT FORM ON YELLOW PAPER ONLY DWATER QUALITY MONITORING: IANCE REPORT FORM ILI IT IFMrUKMA 1 IUN/ .l P-mase ennt clearly or Type -- ity Name: ikri 'eyye,,I, ej-.,rQ lit Name (if different):: styjAdress: ----�—rSi County act Person: Telephone#: ZY F -JA Location/Site Name: No. of wells to be sampled: _T L ID NUMBER (from Permit): 1 Depth: J&ft. i to Water Level 82546: ft. below measuring point wring Point is_ ft. above land surface ne of water pumped/bailed before sampling: gallon Iles for metals were collected unfiltered: El YES ❑ NO sample analyzed: f�- %- ---- ••-•-- -^-- wuca ouuulu ICIICGt UI5SVIVf COD 00335 mg/L Coliform: MF Fecal 31616 i/ /100mL Coliform: MF Total 31504 /100mL (Note: Use MPN method for highly turbid samples) lissolved Solids:Total 70300 %� mg/L pH (Lab) 00403 62� units TOC 00680 mg/L Chloride 00940 mg/L Arsenic 01002 ug/L Grease and Oils 00552 mg/L Phenol 32730 ug/L Sulfate 00945 mg/L Specific Conductance 00095 µMhos TotalAmmonia 00610 Q� [tC mg/L (Amnnonia Nitrogen, NH,as N; Ammonia Nitrogen, Total) TKN as N 00625 mg/L For Remediation Systems Only (Attach Lab Reports): DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT 1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: (919) 733-3221 PERMIT Number: �l'I /:xpiration Date: ,3(i�L Non -Discharge UIC Date sample collected: -7 Well Diameter: in. Screened Interval: ft. to _ft. Relative M.P. Elevation: ft. and field acidified: ❑ YES 'DES Other 'PE OF PERMITTED OPERATION BEING MONITORED ❑ Lagoon ❑ Remediation: Infiltration Gallery ❑ Spray Field ❑ Remediation: ❑ Rotary Distributor ❑ Land Application of Sludge ❑ Water Source Heat Pump ❑ Other: FIELD ANALYSES: pH 00400:yr_1� units Spec. Cond. 00094: Odor 00085: Appearance _ Laboratory Name: � __ and colloidal concentrations. Nitrite (NO2) as N 00615 mg/L Pb - Lead 01051 Nitrate (NO3) as N 00620 d, Y(, mg/L Zn - Zinc 01092 • Phosphorus: Total as P 00665 O.f mg/L Temp. oo010: 5 °C µMhos DRY at time of sampling, here:❑ Certification No. ug/L mg/L Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units): Al -Aluminum oilos mg/L Ba - Barium oloo7 ug/L Ca - Calcium 00916 mg/L Cd - Cadmium 01027 ug/L Chromium: Total 01034 ug/L Cu - Copper 01042 mg/L ORGANICS: (by GC, GC/MS, HPLC) Fe - Iron 01045 ug/L (Specify test and method #, ATTACH LAB REPORT.) Hg - Mercury 71900 ug/L Lab Report Attached? ❑ Yes (1) ❑ No (0) K - Potassium 00937 mg/L VOC 78732: method # Mg - Magnesium 00927 mg/L method # Mn - Manganese oloss ug/L method # Ni - Nickel 01067 ug/L method # Influent Total •Effluent Total • • .. n this report is true, accurate. and complete, and that the laboratory analytical data was produced using approved methods of analysis by a lonitting false Information; Including the possibility of fines and imprisonment for knowing violations, i