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HomeMy WebLinkAboutWQ0001861_Monitoring - 02-2023_20230315SUBMIT FORM ON FELLOW PAPER ONLY GROUNDWATER QUALITY MONITORING:�,vbaWti��itQt�AL1,Tx bE (g12 M�N&TAO( lit giROMMENT 14NATURAL.RESOURCES ? INFORMATION FPR�C�SSING�UNJ COMPLIANCE REPORT FORM 1t171gMAI` S�bIC�}CENti4.�RALEIGH„NC2y.699161.7 Phone.,(919)733.3221 Please Print Clearly or FACILITY INFORMAT Type PERMIT Number: Expiration Date: -/ Facility Name: Imy Pori ��+•�'ht'►Oh.f- —v—r Co.,,Q..� Non -Discharge W ct o0c2 /96 / UIC Permit Name (if different); F NPDES Other Facility Address: IV 140c rA -E too,/ TYPE OF PERMITTED OPERATION BEING MONITORED Leif" I t'tf1nO NC 70,Vff County 8jrw,sa.;eX (Lagoon ❑ Remediatlon: Infiltration Gallery (cNr) (31.1") r,) ❑ Spray Field ❑ Remediatlon: Contact Person: A r• Awt-w:L Um Telephone#: 200 ^ 19/- 7Z78 ❑ Rotary Distributor ❑ Land Application of Sludge Well Location/Site Name: No, of wells to be sampled: 3_ ❑ Water Source Heat Pump ❑ Other: from Permll SAMPLING INFORMATION /� WELL ID NUMBER (from Permit): 1 1 Vj Z— Date sample collected: Z-` Z '�3 FIELD ANALYSES: If WELL WAS Well Depth: 7,%.4 _ft. Well Diameter: 2 In. pH s, 01 units Temp. 17• 3 °C DRY at Depth to Water Level: '7. 6 ft. below measuring point Screened Interval; R_ft. to ZL.y ft. Spec. Cond, µMhos time of sampling,check Measuring Point is 1.8 ft. above land surface Relative M.P. Elevation: ft. Odor Volume of water pumped/balled before sampling: _gallons Appearance here: ❑ Samples for metals were collected unfiltered: DYES ❑ NO and field acidified: El YES ❑I NO LABORATORY INFORMATION Date sample analyzed: 4 Z-ZS 2-27-7- Laboratory Name: 'Pais Certification No. -0 37738 ; �s 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 /looml Nitrate (NO3) as N mg/I Zn - Zinc mg/I Coliform: MF Total /loom] Phosphorus: Total as P mg/I (Note: Use MPN method for highly turbid samples) Orthophosphate N �] mg/I Other (Specify Compounds and Concentration Units): Dissolved Solids: Total 68 mg/I Al - Aluminum mg/I pH (when analyzed) units Ba - Barium mg/I A g S = f p TOC mg/I Ca - Calcium mg/I Chloride mg/l 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 rr o^ mg/I (Specify test and method #. ATTACH LAB REPORT.) Sulfate mg/I Hg - Mercury mg/1 Report Attached? X Yes (1) ❑ Nop(0) Specific Conductance µ K - Potassium mg/1 VOC : D method # 6 Zb0 D AID Total Ammonia mg/I Mg - Ma ne_sjum mg/I method # (Ammonia Nitrogen; NH3as N; Ammonia Nitrogen, Total) Mn - Ma n se mg/I , method # TKN as N mgll i mg/I method # For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs; mg/L VOC Removal% MAR 16 ZUB SUBMIT FORM ON YFI_I.OW PAPFR ONI Y ROUNDWATER QUALITY MONITORING: OMPLIANCE REPORT FORM FACILITY INFORMATIQN. Please Print uieariy or Type Facility Name: Meaty PSG Permit Name (if different): Facility Address: IV Swc.& Ao er f oa l •N j (Slr000 NC �p ic;iw rsia�ri) (z;p) County /SftMt�n'�K Contact Person: A r_ • 9vlll�:<_ UAVL0-1 Telephone#: 200 Well Location/Site Name: No, of wells to be sampled: r 1e:.(6jV.733=3221 ` PERMIT Number: Expiration Date: Non -Discharge k/& 000 /86/ 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: .LL ID NUMBER (from Permit): / V1 W— 3 Date sample collected: II Depth: ft. Well Diameter: 2 in. )th to Water Level: ft. below measuring point Screened Interval: _ 7 ft. to 17 ft. asuring Point is Z• ft. above land surface Relative M.P. Elevation: ft. ume of water pumped/bailed before sampling: _gallons nples for metals were collected unfiltered: DYES ❑ NO and field acidified: El YES ❑ NO FIELD ANALYSES: pH units Spec. Cond. Odor Appearance sample analyzed: Z.-LK� L`Z S� T -21-23 Laboratory Name: pA(� %ayS tAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. COD mg/I Nitrite (NO2) as N mg/I Pb - Lead Coliform: MF Fecal /100ml Nitrate (NO3) as N mg/I Zn - Zinc Coliform: MF Total /100ml Phosphorus: Total as P mg/I (Note: Use MPN method for highly turbid samples) If WELL WAS Temp. l7. Z eC DRY at µMhos time of Certification No. y7 tl'•• 3 iS mg/I mg/I Orthophosphate nJ n mg/I Other (Specify Compounds and Concentration Units): Dissolved Solids: Total -70 mg/I Al - Aluminum mg/I pH (when analyzed) units Ba - Barium mg/I m r; A 5 7 Nb TOO mg/I Ca - Calcium mg/I Chloride 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 Report Attached? M Yes (1) ❑ No (0) Specific Conductance µMhos K - Potassium mg/I VOCVOC Z f\] D method # 6tm9 Total Ammonia mg/I Mg - Magnesium mg/I method # (Ammonia Nitrogen; 1,11-13as N; Ammonia Nitrogen, Total) Mn -Manganese mg/I ,method # ' TKN as N mg/I Ni - Nickel mg/I method # t-or Kememauon systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs; mg/L VOC Removal%_ (3vv-bu Rev.1/2007 0 JUIJMI 11-UKM UN Yt-1 I UW PAPtK ONLY (GROUNDWATER QUALITY MONITORING: COMPLIANCE REPORT FORM IGAr,n ITv imcr) nnA-rinnl Please Print Clearlvor ity Name: kx"J X ! d7 E0i�wl0w.i- GOrsdru+� iit Name (if different): 7 ity Address: _ IV &OC'KA."t p as d -%Ihj (drool) NC 789'S/ County Xrr wirAoxiK IGty) (31e1") ON act Person: A r- UA Kr1LP- Telephone#: Location/Site Name: No. of wells to be sampled: l Phone .(919) 733-3221 PERMIT Number: Expiration Date: Non -Discharge WGt Doo /g41 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: SNMPLINU INLUKMAIIUN If WELL WELL ID NUMBER (from Permit): Mw 5 Date sample collected: 7-'t3 FIELD ANALYSES: WAS Well Depth: Z2. (2 ft. Well Diameter: 2 in. pH S15-units Temp. 174 °C DRY at Depth to Water Level: 696 ft, below measuring point Screened Interval: ft. tou+�. ft. Spec. Cond. µMhos time of Measuring Point is 2 * 1 ft. above land surface _4 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 sample analyzed: Z'Z`{r Z'ZSj Z'V);2; Laboratory Name: T Q.[L tAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. COD mg/I Nitrite (NO2) as N mg/I Pb - Lead Coliform: MF Fecal /100ml Nitrate (NO3) as N mg/I Zn - Zinc Coliform: MF Total /100ml Phosphorus: Total as P mg/I (Note: Use MPN method for highly turbid sam les) Certification No. 3 7738 0- 3 75 mg/I mg/I p Orthophosphate N D 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 TOO mg/I Ca - Calcium 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? % Yes (1) ❑ No (0) Specific Conductance µMhos K - Potassium mg/I VOC = M/D method # pZbV 8 Total Ammonia mg/I Mg - Magnesium mg/I method It (Ammonia Nitrogen; NH�as N; Ammonla 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% '\o,r� W.c((5 j NC L-55 Permlttee (or Authorized Agent) Name and Title - Please print or type GW-59 Rev. /2007 Authorized Agent) EW M GW-59A COMPLIANCE REPORT FORM Permit # W ,Q boo (61 1 (Submit one each monitoring period with GF =59 forms.) I Enter date monitoring results were due. ('J:j ) 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. K 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 forguidance. 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 constituents) and concentrations) exceeding standards in, the space provided below: 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 constituent(s) exceeding standards, concentration(s) reported, and sample collection date for each occurrence (for the last two years). 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 may be occurring. CONTACT THE REGIONAL OFFICE IMMEDIATELY FOR GUIDANCE. If the answer is "NO". monitoring wells may be 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 may 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. 8 The person completing this portion (GW-59A) of the monitoring report should sign below and submit this form with GW-59 forms for required wells to the address provided at the top of the current GW-59 form. I hereby acknowledge that the above Informail on was evaluated and the infomnation submjtted�n #his " report (Compliance Report GW-59A) ls.true and complete to the best of myknowledge Signature of Permittee (or Author` i Date GNV-59A 12/8/2003 A 11ce Analytical www.pacelabs.com February 27, 2023 Don Wells Soil & Environmental Consultants 8412 Falls of Neuse Rd. Suite 104 Raleigh, NC 27615 RE: Project: MWs 1061.50 Pace Project No.: 92653825 Dear Don Wells: Pace Analytical Services, LLC 6701 Conference Drive Raleigh, NC 27607 (919)834-4984 Enclosed are the analytical results for sample(s) received by the laboratory on February 23, 2023. The results relate only to the samples included in this report. Analyses were performed at the Pace Analytical Services location indicated on the sample analyte page for analysis unless otherwise footnoted. The test results provided in this final report were generated by each of the following laboratories within the Pace Network: • Pace Analytical Services - Eden If you have any questions concerning this report, please feel free to contact me. Sincerely, Z'�'� Sarah Graham sarah.graham@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. 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CL Q ! 0 ' - sc- - '*ESC Report to: Don Wells Finall To: I (lvlC_ � (it1� (( ,y�1 �C• Goy. u t.r.nn fta M— Q+ +i Mounr lulhr, TN ?712) - I Plwnr 63s•758•sas9 � + Phont: 800-'767-5959 i raa 61Si59-SC59 PfClcct Description: City/�tdte � Collectedl: LIt Phone: 919-256A514 Fax: 'ey Client Project u �+ 106 �• S� Lab Projea q Tableq Collected (print): WGI�S Site/Facility ID N P.O. # Acctnum:' - Template: Preloein: TSR' Cooler. Coll�ered Cy (signature : Immediately Packed on Ice N Y V ` RuSh? (Lab MU5T Be Notified) _Same Da _ Next Day .._....... .............. _..700% _Two Day .........._........_._....509>` Day— _--Three D _25% Date Results Needed Email? _No �/ Yes FAY? No Yes — No' of Sample lD Comp/Grab Matrix' Depth Date Time trs Shipped Vla: ftemJ:a+tamina nt S+mpk A (IaL Dili) mow- Z G Gw z •z ! �:� - �`�, w- w- 1131.1 01W I - r j - ' Matrix: SS - Soil GW - Groundwater WW - Wastewater DW - Drinking Water Remarks: ' I r pH _ Temp Flow Other Holdk - OT Ot Relinq ' by (5!gnaTure) Date: Z' 'z Time: Re ived by: (Signature) Samples retumed via: ❑ UPS ❑ FedFx ❑ Courser 13r Condltlon:� '(lab ujanlyj �•; . 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