WQ0001861_Monitoring - 06-2023_20230710

GW-59A COMPLIANCE REPORT FORM Permit # W Q Doo 11741
(Submit one each monitoring period with Gfi=59 forms.)
1
Enter date monitoring results were due. C - 23 ) Will this monitoring report (GW-59 and GW-59A)
YES
NO
be submitted after the established due date?
2
Was any required information missing on the GW-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.
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.)? If the answer is -}'es ", contact the Regional Office for guidance.
4
Are any monitored constituents equal to or above the established standards?
YES
NO
If the answer to question 4 is 'NO", skip to section 8.
if the answer to question 4 is "YES" list the affected wells individually with constituent(s) and concentration(s)
exceeding standards in the space provided below:
l )
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 "NO", skip to section 8.
If the answer to question 5 is "YES", list in the space provided below, each well with constituents) exceeding
standards, concentration(s) reported, and sample collection date for4e last two years).
E
ii.!1 VO ?.023
n
6
Are the monitoring wells listed in section 5 located at or beyo j*" b'uh ?
YES
NO
If the answer is "YES", a groundwater quality problem may be occurring. CONTACT THE REGIONAL
OFFICE IMMEDIATELY FOR GUIDANCE. If the answer is "NO", monitoring wells maybe improperly
located; contact the Regional Office.
7
Is the permittee implementing previously approved actions required by the Division involving this
YES
NO
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 maV be
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, and/or penalties.
L
C
r—
8
The person completing this portion (GW-59A) of the monitoring report sl�rrld sign below and submit this
form with GW-59 forms for required wells to the address provided at the tap of the current GW-59 form.
I hereby acknowledge that the above Information was evaluated and the information submittedri this .
report (Compliance Report GW-59A) Is true and complete to the best of my knowledge
pi, WI& -7- 7_� 3
Signature of Permittee (or Authorized Agent) Date
GNV-59A 12/8/2003

SUBMIT FORM ON YELLOW_ PAPER ONLY
GROUNDWATER QUALITY MONITORING:
,
bEi'�11�1JG1�NT'OFpEt UIRONMENT�B NATURAL•RESOURCES
dXty o pFWRt, Rrl41UAUt."Ii' Fr ORMATIO[(PF>OCESSINGUNIT, s .'
COMPLIANCE REPORT FORM
�
16A�IAIL'jS�f�.�/ICE'rCENT.i=R;4FtALE1GH, NC'27.699 1617% Phorte,;(919) Z33r3221
FACILITY INFORM1ATON Please Print
Clearly or Type
PERMIT Number: Expiration Date:
Facility Name: Cr"Inty Pod- 4L+•riwrA't
GOra.Qr.��
Non-DischargeWat OOv /J94/ UIC
Permit Name (if different):
NPDES Other
Facility Address: _[Sl sec'K'A.ae toalA'1
TYPEOF PERMITTED OPERATION BEING MONITORED
Ip Lagoon ❑ Remediation: Infiltration Gallery
all (Slrnnli NC; County Rrcigyr '�X
1l.eYi (5191f 1 (Zip)
❑ Spray Field ❑ Remediation:
Contact Person: A t- Qlif-w,L Ud qjj
Telephone#: 200 - 0/- wis
❑ Rotary Distributor ❑ Land Application of Sludge
Well Locatlon/Site Name:
No, of wells to be sampled: 7_
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION
WELL ID NUMBER (from Permit): M �/✓` �-
Date sample collected: 6' 21- Z
FIELD ANALYSES:
If WELL
WAS
Well Depth: 11'4 ft.
Well Diameter: I in.
pH 5.41 units Temp. eC
DRY at
Depth to Water Level: 7• 5 ft. below measuring point
Screened Interval: to
ft. Spec. Cond. µMhos
time of
Measuring Point is 1.9 ft. above land surface
_&—ft,
Relative M.P. Elevation: ft.
Odor
sampling,
check
Volume of water pumped/balled before sampling:
gallons
Appearance
here: ❑
Samples for metals were collected unfiltered: DYES
❑ NO and field acidified: ❑ YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 2Z - A-16-23
Laboratory Name: tyro P6S
Certification No. Sq
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD mg/I
Nitrite (NO,) as N
mg/I
Pb - Lead mg/I
Coliform: MF Fecal /100ml
Nitrate (NO3) as N
mg/I
Zn -Zinc mg/I
Coliform: MF Total /100ml
Phosphorus: Total as P
mg/I
(Note: Use MPN method for highly turbid samples)
Orthophosphate (V n
mg/I
Other (Specify Compounds and Concentration Units):
Dissolved Solids: Total 60 mg/I
Al -Aluminum
mg/l
pH (when analyzed) units
Ba - Barium
mg/I
iR/Qs = 9 R L
TOC mg/I
Ca - Calcium
mg/I
Chloride moll
Cd - Cadmium
mg/i
Arsenic mg/l
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
Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance µMhos
K - Potassium
mg/I
VOC = rJ Q L. method # 6200 g
Total Ammonia mg/I
Mg - Magnesium
mg/I
method #
(Ammonia Nitrogen; NH�as 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%

SUBMIT FORM ON YELLOW PAPER ONLY
ROUNDWATER QUALITY MONITORING:
OMPLIANCE REPORT FORM
FACILITY INFORMMIQU / meaasse Print cieany or Type
Facility Name: yty Potpie G k ''V�
Permit Name (if different):
Facility Address: /V ROC�C%rse eaA�
1.40a _ (street) NC County Rrtys-Lne-K
(City) (51e(e) (zip)
'�t
Contact Person: t• QaM►+:e (%tKIAt• Telephone#: 'bp -• `q/- 7Z-1J*
Well Location/Site Name: No. of wells to be sampled: 7_
PERMIT Number: Expiration Date:
Non -Discharge k/Ot Coco /86/ UIC
NPDES Other
TYPE OF PERMITTED OPERATION BEING MONITORED
XLagoon ❑ Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
SAMPLING INFORMATION
WELL ID NUMBER (from Permit): JAW'
Date sample collected: G'2�` 2�
FIELD ANALYSES:
If WELL
WAS
Well Depth: 1 ft.
Well Diameter: Z In.
pH units
Temp. eC
DRY at
Depth to Water Level: ft. below measuring point
Screened Interval: —)ft. to
Spec. Cond.
µMhos
time of
Measuring Point is 2. 1 ft. above land surface
_ft,
Relative M.P. Elevation: ft.
Odor
sampling,check
Volume of water pumped/balled before sampling:
gallons
Appearance
here: ❑
Samples for metals were collected unfiltered: DYES
❑ NO and field acidified: ❑ YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed:-6 -7-Z. (� -24-T 3
Laboratory Name: Ewo�FewS
Certification No. 59/
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 /100ml
Nitrate (NO3) as N mg/I
Zn -Zinc
mg/I
Coliform: MF Total /100ml
(Note: Use MPN method for hi hl turbid sam les)
Phosphorus: Total as P mg/I
g Y P
Orthophosphate
mg/I
Other (Specify Compounds and Concentration Units):
Dissolved Solids: Total
mg/I
Al - Aluminum
mg/I
pH (when analyzed)
units
Ba - Barium
mg/I
A4 R `s -- 99L
TOO
mgn
Ca - Calclum
mg/I
Chloride
mull
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
Report Attached? W Yes (1) ❑ No (0)
Specific Conductance
µMhos
K - Potassium
moll
—
VOC All Xf. L method # 47AM
Total Ammonia
mg/I
Mg - Magnesium
mg/I
, method #
(Ammonia Nitrogen; NH3 as 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%
tS
ittee (or Aulhodzed A I
GW-59 Rev.1/2007
Ajc L5<
and Title - Please print or

SUBMIT FORM ON YELLOW PAPER ONLY
ROUNDWATER QUALITY MONITORING:
OMPLIANCE REPORT FORM
%rrn Iry rnucnonn ATrnur Please Print Clearly or
Facility Name: 1-7" tX rooe t 77w/Ow•tF- GOrs,dr•�y
Permit Name (if different);
Facility Address: /V Soct i. ie e am ,1
NC 704V57/ County 8ru"IF- &K
(GAY) ,�1 n (51e1°) (zip)
Contact Person: %vl t• QV?-W - UA9#Ar Telephone#: 2bV -• 0/- 7Z78
Well Location/Site Name: No. of wells to be sampled: 7
t.a
PERMIT Number: Expiration Date:
Non -Discharge Wa 000 /196/ 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:
SAMPLING INFORMATION
WELL ID NUMBER (from Permit): IMW—(4
Date sample collected:
FIELD ANALYSES:
If WELL
WAS
Well Depth: 27• ft.
Well Diameter: Z In.
pH ��units
Temp. °C
DRY at
Depth to Water Level: 44 5 ft. below measuring point
Screened Interval: 11_ft. to
Spec. Cond.
µMhos
time of
Measuring
Measuring Point is Z• 1 ft. above land surface
Relative M.P. Elevation: ft.
Odor
sampling,
check
Volume of water pumped/balled before sampling:
gallons
Appearance
here: ❑
Samples for metals were collected unfiltered: DYES
❑ NO and field acidified: ❑ YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: . 2'L f 4-76-i?
Laboratory Name: 4-"I0.V'-. i
Certification No. Sq/
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 /100ml
Nitrate (NO3) as N mg/I
Zn - Zinc
mg/I
Coliform: MF Total
/100ml
Phosphorus: Total as P
mg/I
(Note; Use MPN method for highly turbid samples)
Orthophosphate 1
mg/I
Other (Specify Compounds and Concentration Units):
Dissolved Solids: Total
mg/I
Al - Aluminum
mg/I
pH (when analyzed)
units
Da - Barium
mg/I
/V1 RAs = 9 9L-
TOO
mg/l
Ca - Calcium
mg/I
Chlorido
m0/1
Cd - Cadmium
mg/I
Arsenic
mg/1
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/1
Report A//��ttache ? X Yes (1) ❑ No (0)
Specific Conductance
µMhos
K - Potassium
mg/I
VOC = J911 , method # 000 R
Total Ammonia
mg/I
Mg - Magnesium
mg/I
method #
(Ammonia Ni(rogen: N%as 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%_
Permitlee (or
GW-59
1/2007
Nc 1-S5
and Title - Please print or
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This report may not be reproduced except in full, and with written approval from the laboratory. The results relate only to the
samples tested. For questions please contact the Project Manager at the e-mail address or telephone number listed on this
page.
The test results in this report relate only to the samples as received by the laboratory and will meet all requirements of the
methodology, with any exceptions noted. This report shall not be reproduced except in full, without the express written
approval of the laboratory. All questions should be directed to the Eurofins Environment Testing Southeast, LLC Project
Manager.
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John.And rosO et.e urofi nsus.com
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Eurofins Savannah is a laboratory within Eurofins Environment Testing Southeast, LLC, a company within Eurofins Environment Testing Group of Companies
Page 2 of 34 6/28/2023

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Client Information Sub Contract Lab
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752-923.1
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Company Accreditation
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Job #-
Eurofins Environment Testing Southeast, State
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752-8618-1
Address
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Preservation Codes:
3355Mcl-emoreDrive,
6/26/2023
Analysis
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FL, 32514
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status should be nought to Eurofins Environment Testing Southeast, LLC attention immediately it all requested accreditations are current to date. return the signed Chain of Custody attesting to said compliance to Eurofins Environment Testing Southeast, LLC
Possible Hazard Identification
Sa�/e Disposal (A fee may he assessed if samples are longer than 1 month)
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Return To Client Disposal By Lab Archive For Months
Deliverable Requested I, If, III, IV, Other (specify) Primary Deliverable Rank: 2
Spectral Instructions/QC Requirements.
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