WQ0000088_Monitoring - 03-2023_20230626

SUBMIT FORM ON YELLOW PAPER ONLY
PARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
0 9 1
VISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION Please Print Clearly or Type
PERMIT Number: Expiration Date: 7-31-2023
Facility Name: Governors Club
Non -Discharge WQ0000088 UIC
Permit Name (if different):
NPDES Other
Facility Address:
TYPE OF PERMITTED OPERATION BEING MONITORED
Chapel Hill NC
County Chatham
❑ Lagoon ❑ Remediation: Infiltration Gallery
❑?C Spray Field ❑ Remediation:
Contact Person: Katie Dickens
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name:
No. of wells to be sampled: 4
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-1A
Date sample collected: 3/20/23
FIELD ANALYSES:
WAS
Well Depth: 45.03 ft.
Well Diameter: 2 in.
pH 9.8 units Temp. 15 °C
DRY at
Depth to Water Level: 23.68 ft. below measuring point
Screened Interval: ft.
to _ft.
Spec. Cond. ttMhos
time of sampling,
Measuring Point is 0 ft. above land surface
Relative M.P. Elevation:
ft.
Odor
check
Volume of water pumped/bailed before sampling:
1.8 gallons
Appearance
here: ❑
Samples for metals were collected unfiltered: El YES
❑ NO and field acidified: ❑ YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 4/19/23
Laboratory Name: Waypoint Analytical
Certification No. 10 , �■
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD mg/I
Nitrite (NO2) as N
mg/I
Pb - Lead mglIN 2 i 2023
Coliform: MF Fecal <1 /100ml
Nitrate (NO3) as N
.17 mg/I
Zn - Zinc mg I
Coliform: MF Total /100ml
Phosphorus: Total as P
.14 mg/I
(Note. Use MPN method for highly turbid samples)
Orthophosphate
mg/I
Other (Specify Compounds and Concentration Units):
Dissolved Solids: Total 1900 mg/I
Al - Aluminum
mg/I
Total Suspended Residue: 24 mg/I
pH (when analyzed) 9.8 units
Ba - Barium
mg/I
TOC 2.62 mg/I
Ca - Calcium
mg/I
R'Er C 1VE D
Chloride 835 mg/I
Cd - Cadmium
mg/I
Arsenic mg/I
Chromium: Total
mg/I
y UN 2 A 202"
Grease and Oils mg/I
Cu - Copper
mg/I
ORGANICS: (by GC, GC/MS, HPLC)
Phenol mg/I
Fe - Iron
mg/I
(Specify test and method #. ATTAYhU MPBwgSSing Unit
Sulfate mg/I
Hg - Mercury
mg/I
Report Attached? ElYes (1) ®'Nd (0)SBCtIOn
Specific Conductance µMhos
K - Potassium
mg/I
VOC method #
Total Ammonia •33 mg/I
Mg - Magnesium
mg/I
method #
(Ammonia Nitrogen, NH3as N, Ammonia Nitrogen, Total)
Mn - Manganese
mg/I
, method #
TKN as N mg/I
Ni - Nickel
mg/I
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
Katie Dickens - Field Supervisor
Permittee (or Authorized Agent) Name and Title - Please print or type

SUBMIT FORM ON YELLOW PAPER ONLY
EPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
(VISION OF WATER QUALITY -INFORMATION PROCESSING
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs:
Katie Dickens - Field Supervisor
Permittee (or Authorized Aqent) Name and Title - Please print or type
.- •
tplete, and that the laboratory analytical data
possibility of fines and imprisonment for knc
UNIT
mg/L VOC Removal%.
GW-59 Rev.1/2007

SUBMIT FORM ON YELLOW PAPER ONLY
EPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
VISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION Please Print Clearly or Type
PERMIT Number: Expiration Date: 7-31-2023
Facility Name: Governors Club
Non -Discharge WQ0000088 UIC
Permit Name (if different):
NPDES Other
Facility Address:
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
Chapel Hill NC County Chatham
© Spray Field ❑ Remediation:
Contact Person: Katie Dickens
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name:
No. of wells to be sampled: 4
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-9
Date sample collected: 3/20/23
FIELD ANALYSES:
WAS
Well Depth: 32.09 ft.
Well Diameter: 2 in.
pH 8.1 units Temp. 13 °C
DRY at
Depth to Water Level: 2.95 ft. below measuring point
Screened Interval: ft.
to
ft. Spec. Cond. µMhos
time of
sampling,
Measuring Point is 0 ft, above land surface
Relative M.P. Elevation:
ft.
Odor
check
Volume of water pumped/bailed before sampling:
5.0 gallons
Appearance
here: ❑
Samples for metals were collected unfiltered: EYES
❑ NO and field acidified: ❑ YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 4/19/23
Laboratory Name: Waypoint Analytical
Certification No. 10
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD mg/I
Nitrite (NO2) as N
mg/I
Pb - Lead mg/I
Coliform: MF Fecal <1.0 /100ml
Nitrate (NO3) as N <0.04 mg/I
Zn - Zinc mg/I
Coliform: MF Total /100ml
Phosphorus: Total as P
.23 mg/I
(Note. Use MPN method for highly turbid samples)
Orthophosphate
mg/I
Other (Specify Compounds and Concentration Units):
Dissolved Solids: Total 690 mg/I
AI - Aluminum
mg/I
Total Suspended Residue: 33 mg/I
pH (when analyzed) 8.1 units
Ba - Barium
mg/I
TOC 2.58 mg/I
Ca - Calcium
mg/I
Chloride 220 mg/I
Cd - Cadmium
mg/I
Arsenic mg/I
Chromium: Total
mg/I
Grease and Oils mg/I
Cu - Copper
mg/I
ORGANICS: (by GC, GC/MS, HPLC)
Phenol mg/I
Fe - Iron
mg/I
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate mg/I
Hg - Mercury
mg/I
ReportAttached? ❑ Yes (1) ® No (0)
Specific Conductance µMhos
K - Potassium
mg/I
VOC method #
Total Ammonia .20 mg/I
Mg - Magnesium
mg/I
method #
(Ammonia Nitrogen, NH3as N, Ammonia Nitrogen, Total)
Mn - Manganese
mg/I
, method #
TKN as N mg/I
Ni - Nickel
mg/I
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
Katie Dickens - Field Supervisor
Permittee (or Authorized Aqent) Name and Title - Please print or type
Signature of Permittee (or A
23
GW-59 Rev.1/2007