WQ0002571_Monitoring - 03-2023_20230510

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
a y
DEPARTMENT OF ENVIRONMENTAL QUALITY • DIV. OF WATER RESOURCES
INFORMATION PROCESSING UNIT
COMPLIANCE REPORT" FORM
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617
FACILITY INFORMATION, Abase Print Clearly or Type
PERMIT Number: " ' '` xpiration Date: 327
Facility Name:; fg tr . A
Non-Discharge UIC
Permit Name (if different):
NPDES Other
Facility Address: "�y ,��y -j
�� it-pf�
TYPE OF PERMITTED OPERATION BEING MONITORED
02s; G7
County, trLS/1G+r 7
❑ Lagoon ❑ Remediation: Infiltration Gallery
y� Spray Field ❑ Remedial(on:
I
Contact Person �� H < �tat,7+t5
Telephone#.
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: /
No, of wells to be sampled:
❑ Water Source Heat Pump ❑ Other:
itrem Pmmn
SAMPLING INFORMATION
WELL ID NUMBER (from Permit): ).ti i Date sample collected:J14,2Z?
FIELD ANALYSES:
If WELL
WAS
Well Depth: Re ft.
Well Diameter: �In.
H 00400:
p � units Temp. 000la: %� oC
DRY at
�'
Depth to Water Level E2546; _ft. below measuring point Screened Interval: �ft, to �ft.
Spec. Cond. aooat: f°Mhos
time ofsampling,
Measuring Point Is ft. above land surface
Relative M.P. Elevation: ft.
Odor 000es
check
Volume of water pumped/bailed before sampling: /
gallons
Appearance
here:❑
Sam les for metals were collected unfiltered: ( YES
L7 NO and field acidified: Of YES ill NO
LABORATORY INFORMATION
J /
Date sample analyzed: ; 3L�Z`%L
Laboratory Name. EnV)rprldn&
J
, f_,Mt Certification No.
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L
Nitrite (NO2) as N oosis � t��+ mg/L
Pb - Lead 01051 ug/L
Coliform; MF Fecal 31616 <1 /100mL
Nitrate (NO3) as N oo620 ©, G7,7, mg/L
Zn - Zinc oloe2 mg/L
Coliform: MF Total 31604 /100mL
Phosphorus: Total as P ooa65 ©, U mg/L
(Nola: Uav MPN ma,hodfor I,lgt,Iy (Urbd samples)
Orthophosphate 70607 mg/L
Other (Specify Compounds and Concentration Units):
issolvedsoilds,Total70300 V74- mg/L
AI- Aluminum o11o5 mg/L
F
pH (Lab) 00403 units
Be - Barium 01007 ug/L
TOO ooeeo J . mg/L
Ca - Calcium 00016 mg/L
MAY 1
Chloride oosao mg/L
Cd - Cadmium =27 ug/L
—
Arsenic oa002 ug/L
Chromium: Total01034 ug/L
ow t
Grease and Oils 00552 mg/L
Cu - Copper 01042 mg/L
ORGANICS: (by GO, GC/MS, HPLC)
Phenol 32730 ug/L
Fe - iron 01045 ug1L
(Specify test and method #, ATTACH LAB REPORT.)
Sulfate 00945 mglL
Hg - Mercury 71900 ug/L
Lab Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance o0oss µMhos
K - Potassium 00937 mg(L
VOC 7e73 method #
Total Ammonia ooelo mg/L
Mg - Magnesium 00927 mg/L
method #
(Amrnonln Nitrogen NH,as N: Amntoha Nitrogen, Total)
Mn - Manganese o1o5s ug/L
, method
M
TftN as N o0s2s mg/L
NI - Nickel 01067 ug/L
, method # MAY
Tris Wliflin ms
GW-59 Rev. 06-07-2018
CnMD
10 2023
�i
rpoc""W
KH
17 2023

ATER QUALITY MONITORING:
CE REPORT FORM
oil
Facility Name:
Permit Name (if d
Facility Address:
ouai- i rvrtm vN _T CLLUYV Y'HYtY( UNLY
act Person0bb'� f% �fc1 /� Telephone#:
Location/Site Name: M LIJ) ^— No. of wells to be sampled:
DEPARTMENT OF ENVIRONMENTAL QUALITY - DIV. OF WATER RESOURC
INFORMATION PROCESSING UNIT
1817 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617
.RMIT Number:Wa xpiratlon Date:
m•Discharge UIC
DOES Other
rPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: infiltration Gallery
Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
WELL ID NUMBER (from Permit):
Date sample coliected:�1-ol., 3
FIELD ANALYSES:
It vvtLL
WAS
Well Depth: g'�-'>ft.
Well Diameter: - in,
pH 00400:r./ units Temp. omio: / °C
DRY at
Depth to Water Level 82546: ft. below measuring point
Screened Interval: ft, to ft.
Spec, Cond. 000sa: ItMhos
time of
Measuring Point Is ft, above land surface
Relative M.P. Elevation: ft
Odor 00085:
sampling,
Volume of water pumped/bailed before sampling: gallons
Appearance
chock
here:D
Samples for metals were collected unfiltered: 9 YES ❑ NO
and field acidified: X YES ❑ NO
BORATORY INFORMATION
)ate sample analyzed:_ � f� �, fa3
'ARAMETER5
Laboratory Name: Z, �-C, rk �.,��
d �' 2�_
C� r ,�,r. Certification No.
NOTE: Values should reflect dissolved and colloidal concentrations.
coo
00336 mg/L
Nitrite (NO2) as N ooem VA. mg/L
Pb - Lead o1ow ug/L
Coliform:. MF Fecal 31616 X/ /100ml-
Nitrate (NO3) as N oosso
f E ,.T- mg/L
Zn - Zinc 01092 mg/L
Coli (NW : Me /100mL
Phosphorus: Total as P 006s5
, -2Q' mg/L
M Ntraa31604 highly turbid Bern{71es)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
solved SolidS:Total 7o3oo _ mg/L
Al - Aluminum 01105
mg/L
pH (Lab) 00403 units
Ba - Barium 01007
ug/L
TOC oosso , J mg/L
Ca - Calcium 00e16
mg/L
Chloride 00940,5''d mg/L
Cd - Cadmium 01027
ug/L
Arsenic oloo2 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 oiDa5
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)
m1fic Conductance 000g5 ItMhos
K - potassium Do937
mg/L
VOC 7673 method #
Total Ammonia oosso f i 2 mg/L
Mg - Magnesium 00927
mg/L
method #
(Ainmoni•'t' Nitrogam NH, as N: Ammonia Mirogen, 7071)
Mn - Manganese o1 o55
ug/L g
,method #
TKN as N ooe2s mg/L
NI - Nickel oio67
ugIL
method #
--.. __- ..-r •ter• „i a�i i, i w,a, mgn. ❑muent, i mat vvus: mg/L VOC Removal%
i/Iiam5 6/11.123
-- — nu,,,ui,aau a— I file - Yieaae pnm Or
GW-59 Rev.06-07-2018

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENTAL QUALITY • DIV. OF WATER RESOURCES
GROUNDWATER QUALITY MONITORING:
M
INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
t
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617
FACILITY INFORMATION Memo Print ClearyorType
PERMIT Number: W4' 7 xpiration Date:_ 7
Facility Name: ✓; `�e, A k 5
Non -Discharge UIC
Permit Name (if different):
NPDES Other
Facility Address: &yaZrri G fr
rr_,�
TYPE OF PERMITTED OPERATION BEING MONITORED
02 �i
�s'js,�G
County
❑ Lagoon ❑ Remediation Infiltration Gallery
;ff Spray Field ❑ Remediatlon,
Contact Person ��� 1'. tr+Jll?td1��CS
Telephone#:
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name; }�.t,) �^ .41
No. of wells to be sampled:
❑ Water Source Heat Pump ❑ Other:
i frail Pgnni'
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): ( ` >� Date sample collected: 31If
FIELD ANALYSES:
WAS
Well Depth: eft.
Well Diameter:
pH 00400:7, 1 units Temp. 000ic: oC
DRY at
�in,
Depth to Water Level 82546: ft. below measuring point Screened Interval: ft, to .__ _
ft. Spec. Cond, 000K ItMhos
time of
sampling,
Measuring Point is ft. above land surface
Relative M.P. Elevation: ft,
Odor 000ss:
check
Volume of water pumped/bailed before sampling: �gallons
Appearance
here:❑
Samples for metals were collected unfiltered: A YES
❑ NO and field acidlf)ed: YES ❑ NO
L6§gRATORY INFORMATION /
17
Date sample analyzed: ,3�0?,��
Laboratory Name: � �; �y�,.L-tt-mk/
[, kz-rl Certification No,
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations,
COD oo336 mg/L
Nitrite (NO2) as N costs <Z2, dA mg/L
Pb - Lead oicsi ug/L
Coliform: MF Fecal 31we {/ /100mL
Nitrate (NO3) as N oo62o d � d� mg/L
Zn - Zinc 01092 mg/L
Coliform: MF Total 31504 /100ml-
Phosphorus: Total as P ooe6s , 1�1r mg/L
(Note: Use MPN meltmd for 75hly ttnbid samples)
Orthophosphate 70607 mg/L
Other (Specify Compounds and Concentration Units):
Issolved Solids:Total 70300 yg� mg/L
_
AI - Aluminum of ios mg/L
pH (Lab) oogoa units
Ba - Barium alas% ug/L
TOC ooeso ��. mg/L
Ca - Calcium 0091e mg/L
Chloride oogda e��? mg/L
Cd - Cadmium clan ug/L
Arsenic oioo2 tlg/L
Chromium: Total oiosa ug/L
Grease and Oils oms2 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 7igoo ug/L
Lab Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance ocogs µMhos
K - Potassium oo937 mg/L
VOC 7e73 method #
Total Ammonia oasio ©� "j mg/L
Mg - Magnesium ooe27 mg/L
method #
(Ammanla Nitrogen, NFI,as N: Alrfrnnma Nitragan, Twei)
Mn - Manganese of oss ug/L
method #
TKN as N oo625 mglL
Ni - Nickel 01067 ug/L
method #
For Remedtatfon Systems Only (Attach Lab Reports): influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
3
GW-69 Rev.06.07-2018