WQ0006863_Monitoring - 11-2023_20231228 (5)

Monitoring Report Submittal
Permit Number#*
Name of Facility:*
Month: * November
Report Information
Type *
GW-59
Confirmation Email Address:
Name of Submitter: *
Signature:
Date of submittal:
Initial Review
WQ0006863
Genesis
Year:* 2023
Upload Document*
SEQU 1371423122818222.pdf 747.39KB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
[e-mail]
Grady Fulcher
C -.'&y,/&lit
Reviewer: Wanda.Gerald
12/28/2023
This will be filled in automatically

Is the project number correct?* W00006863
Is the monitoring report accepted?* Yes NO
Regional Office* Wilmington
Reviewer: _anonymous
Review Date: 1/21/2024

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
Facility Name: —
Permit Name (if
Well Location/ Site Name:
Please Print Clearly or Type
Telephone M � ;r2 2 212 S
No. of Wefts to be Sampled: ,_�
Well Identification Number (from Permit): l For Grocer Ttrralowt Sys
Well Depth: � Y ft. Well Diameter, = in. Check One: ❑ influent (98)
Screened Interval: ft. to IL © Effluent (99)
Depth to Water Level:X V)S (fL below measuring point
Measuring Point (M.P.) Is: ft. above fund surface. Relative M.P. Elevation in fL:
Gallons of water pum Ied before sampling. 1. S Date sample collected: V \
Field analysis: pH I *, % . Specific Conductance uMhos
Temp. A-J —*C, Odor _ Appearance
dEPARTUIENT OF ENVIRONMENT & HATURAL RESOURCES
WATER GUAIM DIVISION, GROUNDWATER SEcnoN
IBM MAIL SERVICE CENTER
PERMIT #: EXPIRATION DATE:
Non -Disc harge �-.N t0 o QW0 3 UIC
NPDES
TYPE OF PERMITTED OPERATION BEING MONITORED
Spray FMW
�- Rotary Distributor
Other.
Ranediaiiax Infiltration Gallery
Land Application of Sludge
1+1oTE: Values should reflect dissolved and
colloidal concentrations.
Daft sampie s Laboratory me:\IJ A �\
Certification No. L
,PARAMETERS (Samples for metals were collected unfiltered YES NO and field acidified
COD mgn Nlftrite (NO2) as N mg/l
Coliform: MF Fecal 1 /100ml Nitrate (NO3) as N Li mgn
Coliform: MF Total /IX0ml Phosphorus: Total as P i - U `i mg/t
(Noce: Use MPH method for highly to id samplaa)
Dissolved Solids: Total 3L, mgn
pH (when analyzed) units
TOC - 1 " mgn
Chloride i` mgn
Arsenic mgn
Grease and Oils
Phenol
Sulfate
Specific Conductance
Total Ammonia
TKN as N
GW-59
Rev. 0312000
mg/I
_mom
uMhos
mg/l
_ mgn
Orthophosphate
mg/l
AI - Aluminum
mgn
Ba - Barium
mgh
Ca - Calcium
mgll
Cd - Cadmium
mg/l
Chromium: Total
mg/l
Cu - Copper
mg/I
Fe - Iron
Hg - Mercury
m
K - Potassium
mg/I
Mg - Magnesium
mg/I
Mn - Manganese
mg/I
YES NO)
Ni - Nickel
mg/I
Pb - Lead
mg/I
Zn - Zinc
mgn
Ammonia NitrogenI —A _ mgll
Other (specify
compounds and concemration units)
ORGANICS: (GC,Gcw,HPLC)
(Specify test and method #. Attach lab report.)
Report Attached? Yes_(1) No
VOC . method # =
method # =
method #
Penrr"ee (or cizea Agenp Name and Trite - Pbaselpm or r pe
Signature of Pej0n# ee (" AuMObul }IVQ ip�g)

GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
Facility Name: —
Permit Name (if
r
SUBMIT FORM ON YELLOW PAPER ONLY
Please Pd at Clearly or Type
�1r►T�CT�315 1 0 U == OWWW.x&r.qW
Well idemiiication Number (from Permity Well Depth: ft. Well Diameter, in.
Screened Interval: ft. to ft.
Depth to Water Level: 9+ ' fL below measuring point.
Measuring Point (M.P.) Is: fL above land surface.
Gallons of water pumpedroWled before sampling.
Field analysis: . , Specific Conductance
Temp. 11--C, Odor _
Fbr &MOdwater Tm9merd Systems
Molt One: ❑ influent (98)
CI Effluent (99)
Relative M.P. Elevation in
Date sample collWed:
uMhos
Appearance
OEPAMWENT OF ENVIRMUENT b, NATURAL RESOURCES
WATER QUALITY DIVISION, GROUNDWATER SEcn6N
1636 MAIL SERVICE CENTER
PERMIT#: EXPIRATION DATE: _
Non -Discharge QX(03UIC
NPDES
TYPE EXERMITTED OPERATION BEING MONITORED
Lagoon Reirmlialkin: Infiltration Gallery
Spmy Feld Rmearar
Rotary Doftutor hand Application of Sludge
Other.
ice. Values should reflect dissolved and .
colloidal concentrations.
Date sample analyzed:
Laboratory Name:
Certification No.
PARAMETERS (Samples for metals were collected unfiltered YES NO and field acidified YES No)
COD _ mgA
Collform: MF Fecal _—/100ml
Coliform: MF Total .1100m1
(Note: Use MPH method for hlghlx turbid samples)
Dissolved Solids: Total a, mgA
pH (when analyzed) —units
TOC • Cp 9 mgA
Chloride j In 5 mgA
Arsenic
mgA
Grease and Oils
mg/I
Phenol
mgA
Sulfate
1110
Specific Conductance
uMhos
Total Ammonia
mg/l
TKN as N
mgA
Nitrite (NO2) as N
mgA
Nitrate (NO3) as N s:.) • 20
mgA
Phosphorus: Toted as P 1r'�. T S
mg/l
Orthophosphate
mg/I
Al - Aluminum
mg/l
Ba - Barium
mg/l,
Ca - Calcium _.
mg/l
Cd - Cadmium
m9A
Chromium: Total
mg/l
Cu - Copper
mgA
Fe - iron
mg/I
Hg - Mercury
K - Potassium
Mg - Magnesium
Mn - Manganese
mg/l
mg/l
mg/I
mgtl
Ni - Nickel mgA
Pb - Lear mgA
Zn - Zinc mgA
Ammonia Nitrogen 0, (P mgA
Other (Spe* Compounds and Concentration Units)
ORGANICS: (GC,CaCIMS,HPLC)
(Specify test and method #. Attach lab report)
Report Aihwhed? YesL_(1) No -L,-;(0)
VOC method # =
method # _
method #
--Cn e. �- c, ..
Peraftee (or Ruftxfted Aged Name eed ree - Plume p" or Mw —
GW53 tuirza C �
Rev. 03)2000

GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
Facility Name: —
Permit Name (if
Well Location/ Site Name:
SUBMIT FORM ON YELLQW PAPER ONLY
Please Print Clearly of Type
tounty C_ (_i
Telephone #: ;L '7 L5-
No. of Wells to be Sampled:
WON Identification N mber (from Permit):
Well Depth: ft. Well Diameter -1-._ in. CheGk pne: 0 influent (98)j
Screened Interval: ft. to ft. E3 Effluent (99)
Depth to Water i.:evel:'T - (, c! fl, below measuring point
Measuring Point (M,P.) Is: fL above land surface. Relative M.P. Elevation in fL: T
Gallons of water pumpedlbailed before sampling:1,C) Date sample collected:u l 1 l 1,3
Field analysis: pH �_ . Specific Conductance uMhos
Temp. l Q *C. Odor _.. Appparancae
PARAMETERS (Samples for metals were collected unfittered YES
COD mg/l Nitrite (NO2)
Coliform: MF Fecal /100ml Nitrate (NO3)
Coliform: MF Total /100m1 Phosphorus:
(Note: Use MPH method for highly turbid samples)
Dissolved Solids: Total q (, c-;
mgA
pH (when analyzed)
units
TOC 1 7 `/
mgA
Chloride i CIS
mgA
Arsenic
mgA
Grease and Oils _
mgA
Phenol
mg/l
Sulfate
M0
Specific Conductance
uMhos
Total Ammonia mgA
TKN as N mgfl
GW-59
Rev. U3raw
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
WATER QUALITY DIVNS K GROUNDWATER SECTION
ISM MAIL SERVICE CENTER
PERMIT C EXPIRATION DATE:
Nan -Discharge � UIC
NPDES
YPF OF PERMETTEg OPERATION BEING MONITORED
—Lagoon Remediaiion: Infiltration Go"
�„_ Spray Field Rerttedialioct.
Rotary D'utor land Application of Sludge
Other. --
NOTE: Values should reflect dissolved and .
colloidal concentrations.
Date sample analyzed:
Laboratory Name:\ c_h ir, - T
Cron No. i
NO and field acidified YES NO)
z N mgA
as N Ir, mg/l
Total as P C) . 5 mg/I
Orthophosphate mgA
AI - Aluminum mgA
Ba - Barium mg/l
Ca - Calcium m9A
Cd - Cadmium mg/l
Chromium: Total mgA
Cu - Copper mgfl
Fe - iron mgA
Hg - Mercury mgA
K - Potassium mgA
Mg - Magnesium mgA
Mn - Manganese _ mgA
Ni - Nickel_ mg/l
Pb - Lead m9A
Zn - Zinc mgA
Ammonia Nitrogen i:�) - c-� 5 1719/1
Other (Speaty Canlpotmds and Concentration Units)
ORGAMCS: (GC.GCrMS.HPLQ
(RSeppecryt A?eYedB . Attach iN report y0)
VOC method # =_� iz
method #
method #
Pemr'gee (or au prized AgenQ Ntame and'rift - Please print or type
59raature of PwmAtee(or AtiIhorized Agent) - (Dak)

SUBMIT FORM ON YF.LLM PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
FACILITY INFORMATION Please Print Clearly or Type
Faci ity Name: GXP S - S ! a nc4 cam, PLS c
Permit Name (it different): r
Eacility Add
1 minty, 0, q-A tp-�a
Contact Person: Telephone #: LS 1ILa.
Well Location/ Site Name: 41 No. of Wells to be Sampled:
Well Identification Number (from Permit): � H Far GTivatimit SY
stim
Well Depth: _5 ft. Well Diameter _� Check Ow ❑ Influent (98)
Screened Interval: ft. to — ft. EJ Effluent (99)
Depth to Water Level: I�ft. below measuring point.
Measuring Point (M.P.) Is: It. above land surface. Relative M.P. Elevation In fu
Gallons of water pw1t before sampling: �� Date sample collected:
Field analysis: pH--],--.?. Specific Conductance - _ _ -umhos
Temp. _ .) 2 OC, Odor ._ Applarance
PARAMETERS (Samples for metals were collected unfiltered YES
COD mall Nitritte (NO )
Collform: MF Fecal /1001T1
Conform: MF Total MQOm!
(Note: Uss MPH Tnedwd for highly turbid samples)
Dissolved Solids: Total (o L n mgA
pH (when analyzed) units
TOC mgA
Chloride i10 mgA
Arsenic
Grease and Oils
Phenol
Sulfate
Specific Conductance u
Total Ammonia
TKN as N
GW-59
Rev. Q3MM
mgA
MgA
MgA
mo
Mhos
mgA
mgA
DEPARTMENT OF ENVIRONMENT A NATURAL RESOURCES
WATER QUALITY DIVISION, GROUNDWATER SECTION
16W MALL SERVICE CENTER
PERMIT #: EXPIRATION DATE:
Non-Dischame .00 © Cc„ , UIC
NPDES
TYPE QF REHMITfED OPERATION BEING MONITORED
RemeMill : Infiltration Gallery
Spray Field Rerr►tallon: _ __ _ _
Rotary Distributor Land Appilcaiion of Sludge
HM Values should reflect dissolved and ,
colloidal concentrations.
Date sample analyzed: \
Laboratory Name: L- c
Certification No.
NO and field acidified YES
2 as N mgA
Nitrate (NO3) as N ` mgA
Phosphorus: Total as P •fig mall
Orthophosphate mgA
AI - Aluminum mgA
Ba - Barium
Ca - Calcium -- mgA
Cd - Cadmium mgA
Chromium: Total m9A
Cu - Copper mgA
Fe - Iron m9A
Hg - Mercury mgAA K - Potassium mg
Mg - Magnesium mgA
Mn - Manganese. _ mgA
NO)
Ni - Nickel MgA
Pb - Lead m9A
Zn - Zinc M94
Ammonia Nitrogen 0 , QV mgA
Other (Spe* Compounds and concerdratiort units))
ORGANICS: (GC,GCJMS,HPLC)
(Specify test and method #. Attach lab rgepo y
Report Attached? Yes —(I) No (0)
VOC . method # =
. method # =
: method # =
W
Pemifte (or Adtodmd AGer►11 Name and Too - Please print or type
S_._ ur- o1 P*mtiUee (m AL*Uizrd AqW4 (patg)

Waypoint.0
ANALYTICAL
114 OAKMONT DRIVE
GREENVILLE, NC 27858
GENESIS CONDO ASSOC. (HYDROTECH)
EMAIL DATA & COC
NO MAILED COPY
Drinking Water ID! 37715
Wastewater ID: 10
PHONE [phone]
FAX [phone]
ID#: 68 A
DATE COLLECTED: 11/01/23
DATE REPORTED : 11/17/23
REVIEWED BY:
MW-1
MW-2
MW-3
MW-4
Analysis
Method
PARAMETERS
Date Analyst
Code
PH (field measurement), Units
7.0
6.5
7.7
7.7
11/01/23
PJC
4500HB-11
Fecal Coliform (MF), 1100 Mis
< 1
< 1
< 1
< 1
11/01/23
BNC
9222D-15
Ammonia Nitrogen as N, mg/i
0.13
0.06
0.05
0.04
11/02/23
BMD
350.1 112-93
Nitrate Nitrogen as N, mg/l
6.66
0.37
0.55
6.12
11/02/23
AMC
353.2 112-93
Total Phosphorus as P, mg/I
1.69
0.79
0.30
0.79
11/07/23
BMD
365.4-74
Total Organic Carbon, mg/l
20.13
8.69
8.74
7.31
11/04/23
BLV
531OC-14
Chloride, mg/l
310
105
195
170
11/06/23
BNC
4500CLB-11
Total Dissolved Residue, mg/l
M 830
M 200
M 460
M 610
11/02/23
BNC
D5907-13
Static Water Level, feet
11.36
9.65
8.69
14.14
11/01/23
PJC
Water Bailed, Gals.
1.5
2.0
2.0
4.8
11/01/23
PJC
All QC requirements were not wets M Blank result exceeded method constant weight criteria,