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HomeMy WebLinkAboutWQ0000601_GW Monitoring_20131213Karen A. Adams Manager Environmental Programs NC Dept. of Natural Resources Attn: Information Processing Unit Division of Water Quality 1617 Mail Service Center Raleigh, NC 276991617 Dear Sir or Madam: Discharge Permit W00000601 HAMLET NC Public Safety, Health and the Environment 500 Water Street J-275 Jacksonville, Fl- 32202 Monday, December 09, 2013 RECEIVED DEC 2 3 2013 DENR-FAYETTENLLEREGIONAL OFncE File. 9613703 Attached is the completed self -monitoring report for the period ending in November 2013, for our CSX Transportation facility at the above reference permitted location. If you have any questions or comments, please do not hesitate to contact me at (904) 359-3457. Sincerely. n Oj O M DC C7 �\ L J U �.+ M DS n Dn n nC O DG � Z 0 SUBMIT FORM ON YELLCW PAPFR nNt Y GROUNDWATER QUALITY MONITORING: MILE= DEPARTMENT OFENVIR ATENTANATURALRrSOUrCes DIVISION OF WATER QUAUTfdNFORIMATICN PROCESSING. UNIT COMPLIANCE REPORT FORM 1617MAIL SERVICE CENTER,11ALLICH,UC27655-1617 nrane:19017t4221 FACILITY INFORMATION mouse firimt Cretrfp 0, Typo PERMIT Number: Erpirahan Date. 0713112017 FaWily Name CSX 7ranspertoeon- Hamiat Wastewater Treatment f a><riy Nan -Discharge VAU0011C61 UIC NPDES Other Permit Name (if different): -ncil•ty Redress 173 CSX Dr+ve _ TYPE OF PERMITTED OPERATION BEING MONITORED ❑ Lagoon ❑ Remediationinfiltration Gallery Hamlet NC 28345 County Richmond ___ _ _.__...__._.a.__�..n �.===..._ =._ --❑-SprayFTeldRomedoafw Contact Person Mike Gregory Telephoned: gin-205-G379 ❑ Rotary Distributor ❑ Land Application of Sludge Well LocatioNSito Name: See location. map No, of welts to be sampled: 7 ❑ Water Source Heal. Pump ® Other: Monitoring welfs SAMPLING INFORMATION If WELL WELL ID NUMBER (from Permit): MWW-I Date sample collected; 111•:1?A13 FIELD. ANALYSES: WAS Well Depth, 65 it Well Diameter: 2 fn. pH opaua; 5.19 units Temp, caoio: °C DRY at Depth to Water Level e2346: 51.26 ft, below measuring point Screened Interval: to ft. Spec. Corns Coosa PMhos time of Measur, Pont is 414,95 I n9 1 above land surfaw _ft. Relative M.P. Elevation: ft. ` Odor 000s5. sampling, Volume of water pumpediballed befmoe mpling; gallons Appearance Cheer here:❑ Samples for metals were coilec.ed unf&Ilored ❑ YES ❑ NO and Feld acidified: OYES ❑ NO LABORATO YINFORMATION Date sample analyzed- IIX&2013 :Laboratory Name: Te V merica Certification No. 264 PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. COD D0335 mglL Nsdie (NO,) as N awls moll. Pb -Lead mio6i is aglL Coliform MF Focal 3hais 1100mL Nibata (NO,) as N 006200.70 mg!L Zn -Zinc ohms, mg1L Coliform- MF Total 3ita4 1100mL Phosphorus: Total as P e0665 mg1L mi�'o u�iva; �: m: rvamy ectsa s,apa,I Orthophosphate -,all- mgfL Other(Specffy Compounds and Concentration Units). issolveo Soilds.Total 70smo 29 mg!L At - Aluminum ciius m9 /L PH(Lab)sm4os units Be-. Sanum anao. 14 uglL TCC;?Aso tf mg'L Ca - Calcium seats mglL Chloride ca*sae mg'L Cd- Cadmium 01027 <1 8 ug!L Arsenio oioe2 <50 ugfL Chromium• Total 0JO34 <50 ugiL Grasso and Oils 00552 mg/L Cu - Copper oln42 mgfL ORGANICS: (by GC. GC[mS, HPLC) Phenol 32?ao uglL Fe - Iron oic45 ugfL. (Specify test and method 0. ATTACH LAB REPORT.) Sulfate M45 mall fig- Mercury *ivoo uglL Lab Report Attached? ❑ Yes(l) ❑. No (0) p2:atit: Conductance 00095 37 µMhos K • POLSSitun OM37 mC t. VOC 7R732. , method 0 Total Ammoa�s coe to mg1L Mg - Magnesium oos27 mglL method d "A�n'!'d3 hJY.'ti ii.:H{5 i'"+ NYP'tY.d iJjIXjpn T.�N} Mr - Manganese oto55 ugfL , ,method 8 TKN as N cGe26 mglL Ni - Nickel oho67 uglL method d For Remaatavon Systems Only (Attach Lab Reports): Influent Total Carl A f-' mardstean, AVP Health. Emrirenmen: and Snstainability i'1-10 e(w Atrr0dzM AW,,i Ka:tt 8,—: 1�yg-V>a.3a FaR'.: arir➢P GW-69 Rca.22010 Effluent Total VOGs: mg/L VOC SUBMIT FORM. ON =M,, PAPER ONLY • r d NATURU- RESGUROE$ tlEPAlYt"dlLrN7`bFENYtPLShMAr�.NT .. _ GROUNDWATER QUALIT W MONITORING:' 01111MONOFWATER011A TY41''fir" fATICAPROCSS14NOUMT COMPLIANCE REPORT FORM MUM atrraaasEavac cryT ;tuLeaat,rc'sfaeaasfr �ns:(afs)tss2si FACP tTY INFO!39j6l CN. P3'aasa nn ek a,?rar ryae PERMIT Number: Expiration Data: 0713IP2017 FaCiNy Name: CSX TrimsiV'Wim Hantict Aaeiewaho Treatment Faclity Non-Discbargo `'AT- 061 ;SIC .. NPDES Other Permit Name 0diHeranW - _ Fac.'bty Rr:dress: i73CSX DnVn - _ _ _ TYPE OF PERMITTED -OPERATION BEING MONITORED ❑ Lagoon - 0 Remediation. Infiltration Gallery, tlam!et .. NC 28346County Richmand Spray nail U Rem non! contact. person: Mike Gregory T'elephone#: 910-205-6379 L.1. Rotary' Distributor 0 Land Application of Sludge +hell LocaticnfSite Name: Sc-e location map No, dwells to be sampled: 7 C3 Water Source Heat Pump En] O6kar. Monitoring wells S P-iNf3 tix t3Rtslis€3f}T! if WELL WELL IDNUMBER (from :Permt)s t3"Yaf-2 Dal isamp'z scloQtad: I VC4,12013 FIELD ANALYSES: WAS Well De th- 50 (t p 4trell Diameter. 2 in. pRaa;;oc.5.13 units Temp..crmo "C ORY at _. T Depth to Wartar Level 35,ta }t_ below measuring point. Screened Interval: ft, to _ ft. Spec.. Cond, ocosa. pMIt05 time of f sampling, Measuring Po€rltIs 422.29 fl., above land surface Relafive M.P. Elevation: it. Odor caper: check Volume of valet pumpedtbaiied before sampling. gallons Appearance here❑ Sam tes for metals were collected unfiltered; D YES ONO and field acid Pied! OYES' LINO L BORATORY INFORMATION Data sample ana. ze:d:: I iru�rtti" `y L2rbomt Name: Tesikkumrica _ �y Cartfwahon Na. 269 PARAMETERS NOTE: Valises should. reflect dissolved and coliaidai concentrations. GOD 00136 mgrL Nitrite (NO,) as N cadis rro1 Pb - Lead clot; e15 ugfL Coliform: MF Fecal aids 1100ml. Nitrate (NO,) as N awo: 0 og mg/L. Zn - Zinc o1092 mg/L Coliourn: MF Total:atano 1100mL Phosphom- Total as P ooea5 mglL 4r°u,'umrmv ama,a+z rsg�ayumra mr�l. Orthophosphate 70507 rng1L Omer (Specify Compounds and Concentration Units)'. isso(vad Solyds:Totsl 7inaa 62_ mgiL Al -Aluminum cr ioti mglL pH (Lab) ugtr, UwlS no- Sedum 01007 5-1 UglL,. TOO 2oGso Q.89 MO. Ca - Cs[cium 00915 Mg%L. Chloride muD mrffL Cd>-Cadmium 01027 it -a - ugiL --ugIL - ,Arsenia Di0oz 450 ug(L. Chromium: Total atom <0 Grease and Oils 30552. mgft Cu - Coppercesaa rngtL ORGANICS: (by GO, GCOS, HPLC) Phenol 3272D uglL Fe - Iron aloes ug1L (Specify test and method #, ATTACH LAB REPORT-) SulfateOT45 - mglt Hg- Mercury 7ttm0 _ uWL LaNRoportAfa:hod7 ❑ Yes(i) ❑ No(0) pecificcorrdtclonce 4&05nK - µtkhos K-Potassium00917 mg;t VOCJal32 ,.method# Total Alvrmorua9cvty rrmp- Mg-eMagnesium m-37r - mgit- _ .. methec!#.. ;Asmsva k," van.; Ni,' SN Mn - fstanganese OfaaS tfgil , ma4hao # TKN as N'rosaa mg1L Ni - Nickelmica7- Egli- .method # For Romediation Systems Only (Attach Lab Reports): Influent. Total VOCs Mott, Effluent Total VOCw., MgtL VOC Removal% Cori A- Gerhardsle M AVP Health. rnviranmem. Ind Srst emab?tty >een lien der AirU,rn Agllfs Na ,"0 F=,r _, flie:a=e girtw upe Gr4- 0 R Vv V20111 FORM ON YELLOWPAPER ONLY QUALITY MONITORING: PORT FORM Name CSX Trinsportatioh-. Hamlet Wastewater Treatment Facility Name (if different): Address: 173 CSX Dnve.. act Person: Mike Gregory Telephdnaa: 919-205-6379 LocafiordSite Name. SeolocsfianMap _ No. of wells to be sampled: 7 Number: Expiration liar WOGOW6011 Uic.. PE OF PERMITTED OPERATION BEING MONITORED ❑ Landon 10 Remediation: Infiltration Gallery ❑ Rotary Distributor ❑ Land Application of Sludge Water Source Heat pump ® Other. Monitoring WeIIS ELL ID NUMBER (from Pdmnit): MW-3 Date sample collected 110617013 FIELD ANALYSES: ell Depth, 59 IL Neil Diameter. 2 in pH ocaao: 4 16 units Temp: dooio• °C ipth to Water Level 025d): 36.92 ft. below measuring point Screened Interval.—ft to _ft.. Spec Cond 000su phthos msunng Point is 415'AD ft, above land surface. Relative M.P. Elevation: ft. Odor am$: flume of water pumpedibaaed before sampling gallons Appearance imples for metals were collected unfiltered: FO YES L3 NO. and field :acidified: ® YES ❑ NO U30RMQRY INFORMATION its sample analyzed: "It212013 Laboratory Name: Tesi4muka Ceri fc<-tion No: � - kRWE.TERS NOTE: Values should. reflect dissolved and colloidal concentrations. COD ooaas mgfL Nitrite (NO,) as N oasis mgR Pit- Lead 01051 c15 ug/L Cofdorm: MF Facal oimti 1100ML Nitrate (NO,) as N 01 120 mgfL Zn - Ztne a1002 - mgfL at Coliform: NIF Total 31sa4 1100,nL Phosphorus: Total as P ON65 mg/L tue. im UPW mem+c ra Onhophosphate7007 m9lL Othei(Specify Compounds and Concentration Units)' issolved Solids,rbtal 7oaoo 26 matt. Al- Aluminum alias mgfL pH flab) read units Bat - Barium 01007 a uSIL TOC cceso <i mgtl. Ca - Calcium o"Is m91L ChlOfidC 00944 mglL Cd • Cadmium oto27 <1 6 ugfL Arsenic ala02<50 ug/L Chromium, Total 0io342.6 ugfL Greasn and Oils 0052 mgfL Cu • Copper oio42 mgfL ORGANICS: (by GC. GC1MS, HPLC) Phenol 32730 ug16 Fe - Iron 01045 ug/L (Specify test and mothod P. ATTACH LAB REPORT.) Sulfate 00545 n1g.'L Hg - Mercury 71tpe .. uglL Lab Report Attached? ❑ Yes (1) 0 No (0) pedfiic Conductance cocas 43 pMhos K - Potassium W937 mg;L. VOC 76732: , method # Total Ammonia ewa u mg1L hfg,- Magnesium otov mgfL , method # ,A-wzraa Nit i. `":a<N: �'a:t5 ,. `W*i Mn, Manganese moss ugtt. ,.methodic TKN as N ows mgfL Ni - Nickel 01067 ugfL , method # For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mrd1L Effluent Total VOCs: mg/L VOC Removal%u Cart A Gerhardwfch AVP Health Environment. and SusWriabiity r>QRrvCes i Au'Jra�iii+d Aqent) Memo S� d 1t3e - Recso Nmt ar'. ae GW-59 Rev. 712ill0 MONITORING: None - Address: 173 LtD,NUMBER,(ifoin Parrnitj: &JN-4 Depth; 55 ft h to Water Levela2w: 34:67 ft below measuring point jerm0 Point is 413,20 ft above land surface meof seater pumpedroaftel before sarnplang: COD owns Cotrorm MF Fecal:31616 FORM ON Telephoned' 910�205-6370 No.. of wells to be sampled: 7 Date sampia ootleeted 1 "'06P2013 Wei Diameter: 2 in. Screened Interval:-ft. to ft. Reiativa. M.P. Eievabom 'ft. ,n-Disuharge _th'O00064l UIC: IDES Other 'PE OF PERMITTED OPERATION BEING MONITORED ❑ Lagoon. 0 Remediation in63tration Gaitery Rotary Distributor ❑ Land Application Cl WtaterSource. Hoot Pump W oh,,. kJoniton FiaLl ANALYSES: PH 004co: 590 units Temp, 00010: Spec. CSnd, 00094: pMhos Oder 000as: _ Appearance Laboratc;yName' Test.4tner{es. Cord cation No. ZPS colloidal concuatrations, m6VL Nitrite, (NO,) as N 00615 mg1L Pb - Lesd otom <is ug1L A06mL Nitrate (NO,) as%N ON20 060 mg& Zn - Zinc 01092 mglL Coli£orm MF Total 31504 1100rnt. Phosphorus:. Total as tw'WT .Una Rr?N+�..4'1�dRUR'9r Y!W':hf ss.'^na:} vad $0tidslTotal 7otee 82 mgiL PH (Lab) CW*5o3 .units Too ctiom 0-74 mgiL Chlorides - mgiL Arseracotoca<�D uglL Grease and Oils 00%z mgiL Phanof 22740 uglL `SSUifate C0846 mg;L Ile Condu:tance owls 144 "Mote iillfands Am mania omit mW1_ TKN as N o=s_ mg?l_ For Remediation Systems Only (Attach Lab Reports): Cad A. Cutrtordsteir. AVP and Susta!n8b0ity f=5�t(�Aet" yr s.�t9i i ea i9cRtj 3dasn! ru iiEly F*isax CtlntvY twv OW.50 ReV. 2r2010 mWL Orthophosphate '7oso7 __mg1L AI-Atw4mumo1ios mgiL Se -Barium 0=7 < DN ug1L Cz-Galciumo0s§s mg;L Cd- Cadmium o)c27<t.a ug1L Chromium: Tatai;01024 1511 agjL Cu -Capper 01042 mgIL Fe - Iratt'o1045 uglL Hg.- Mercury '719o0 ugrL K-P=ssium'00937 mgL mil . Magnesium E, z7 - mg1L Ma-Mangoneso otoss ug1L N ! -: Nickel oios7 u971- Influent Total VOCS: Other (Spaaty Compounds and Concentration Units): ORGANICS: (by GO, GCIMS, HPLC) (Specify test and method #.ATTACH LAB REPORT.) Lab Roport Attachod7 _C1 Yes(l) ❑ No (rJ) VOG 73732 , methpd# method's met7led a method 11 Fftluen(Total VOCs.. mg1L VOC of SUBMIT FORM ON YELLOW PAPER ONLY QUALITY MONITORING: PORTFORM Name: CSX Transponaiton- Hsrelel Wasdewater Tmn;n-tt. Fa61ity Name (if different): Address: I73 CSX Dn've NC ZE345 Ricfnnand act Person: Mike Gregory Telephone#: 910-205-0379 LozzLoNSlle Name' See 100ati011 map No. of wells to be sampled. 7 LID NUMBER (from Permit). MIN:5 Date sample collected: I il.',a-re193 Depth 60 1 Well Diameter: 2 in- i to Water Level 82546:43.II5 it bolow measuring point Screened Imereal•_ft to ft Turing Point is 411.39 _it atici land surface Relabve M P. Elevation: B no of water pumpedfbailed before sampling: gallons Tres for metals were collected unfiitarod: FA YES ED NO and field acidified 0 YES i I NO 1ta sampfa anatyzedr 11M6,2013 Laboratory Name: TeslAmr=rim= 1RAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. COD om3s mgiL Nitrite (NO,) as N cou15 mg/L Coldorm MF Fecal 31e la It00mL Nitrate (NO3) as N DiRzo O.89 mgiL Coldcrm. I'Ar Total 315ad 1100m1. Phosphorus. Total as P aasss mgiL F.+ra Orthophosphate 70507 mgiL ;solved Solids'Toial 703c0 80 mgiL AI -Aluminum 011o5 mgiL pH (Lob) wz3� ,units Sa-Barium 01007 f9 ugfl 7OC 0o o9=a mg1L Ca - Calcium Male mg?L Chloride.. 4a mgiL Cd- Cadmium 0102711-8 uglL Arsemcci 150 ug/L Chromium Total moan Z7 uglL Grease and Oils 00552 mgiL Cu - Copper 01D42 mi Phenol 3¢ro ugfL Fe - Iron 11045 uglL Sulfate oc+us mgiL fig - Mercury 7:go0 uglL Feline Conauctance owJ5132 flMho3 K- Potassium 00937 mg/L Total Ammonia ac51e mall Mg - A!agnesium 00927 mgiL (}If„Yyktl NtJlxvn.tirt,iitj. Sibi.�i:. N..}.: 1fi1. TVV, km - Manganeso 01a55 ug7L 'TKN as N cm—s­ mgiL Ni • Nickel wosir ugh - For Romodiatlon Systems Only (Attach Lab Reports); Influent Total Can A. Gemardstem AL'P Heath. _nvmmneanl and Susta.raNlily ?mri3EF. (11 AWIr ea Agen; Nalse snc rNW , Flea"- ABM ar type G'+'1459 Rav 7.12010 OF WATER QUALMY414fORMATiON PROCESSWO UNIT . SERWOEGENTER,.RAl:L•#QN, NC27699r1017 PhanB;( 'Number: Expiration Date 07lall charge OJUOCOrol UIC_ PE OF PERMITTED OPERATION BEING MONITORED 0 Lagoon 0 Remediaton Infiltration Gallery L1 Rotary Distributor ❑ Land Applicaflon of Sludge 0 water Source Heat Pump © Other Monitoring wells FIELD ANALYSES: pH xa00. 5fi units Spec. Cond 0OW4. Odor o0ow _ Appearance Pb. Lead clo-1 Si=. Zn -Zinc c1052__ Temp. uooio, `C DRYat PItime of Genificatkon %o.. 259 ug/L mg7L Other (Spec4 Compounds and Concentration Units).. ORGANICS: (by GC, GC/MS, HPLC) (Specify test and method 0. ATTACH LAB REPORT.) Lab Report Attached? CJ Yes(7) Cl No(01 VOC 78732: , method method # method d method Effluent Total mgiL VOC rare.❑ FORM ON YELLO1.y PAPER ONLY °R QUALITY REPORT FO 'aatlyName. CST Transportation - HamtotWastwaterTraatmontFaoahty �emllt Name (indifferent): _ -actily Address: 173 CSS Ddva Hamer NC - W145 Cottnty Richmond adt.Person- Mikc>mgory Telephone#: 910-205.6379 LocabonlSite Name: Sec lota^:en map No. of wells to be sampfed 7 Number: Expiratln barge WOOCOU61 UIC :DES Other 'PE OF PERMITTED OPERATION BEING MONITORED ❑ Lagoon ❑ Remocilabon: infiltration Gallery El Rotary Distributor ❑ Land Application of Sludge ❑ Water Source Heat Pump nother,, Monitoring wells ELL ID NUMBER (from Parmit): MAIj Date sample collected 111050.010 FIELD ANALYSES: WAS = ell Depth 50 it,. Well Diameter: 2 in. pH oo iw: 5.11 units Temp. wour °C DRY at rplh to Wafer Level ozs45:33.91 fl below measuring point Screened Interval, ft. to ft. Spec. Cond. ool pMhos fima of aasunng Point is 385,54 it. above land shdace Rela0va M P. Efevahon. ft..� Odor DUOS: sampltn check flume of water pumperllbailed before sampling: gallons Appearance here r mains for metals wom collected unfiltefed.'0 YES ❑ NO and field acidified: 0 YES ❑ NO i- 4BORATORY INFORMATION ilesample analyzed; i lmr2oia LaboratoryName: TMVVnedx Certification No 269 tR METERS NOTE: Values should reflect dissolved and colloidal concentrations. GOD caa35 mg1L White (NOy as N Wats ma?L Pb- Lead oitim <t5 ug/L Conform: MF Fecal 31ete 1100ml- Nitrate (NO,) as N OC620 5-4 all Zn -Zinc 01092 mg)L Coliform: MFTotal 31sc- JiOOmt- Phosphorus, Total as P oceas mg1L (Mica, UarZPN Mamn4ru htl"' v4sv w) Orthophosphate 70507 mg)L Other (Specify Compounds and Conrsmradon Units): solved Solids.Total 70?00 110 mg/L Ai - Aluminum 01105 mgiL pit (Lab)caaca units Ba- Barium. a loan 32 ugn, TOC Corso 1.8 mgtt- Ca -Calcium cl mgt Chtande ocs4o mgtL Cd - Cadmium 01027 418 ugfL _. . Arsenicnlcm <50 ug1L Chromium: Total wo3e. <60 ugr- Grease and Oils oose2 mg/L Cu - Capper 01042 mgiL ORGANICS: (by GC, GC11.1S, HPLC) Phenol s273o ugJL Fe - Iron olns ugfl- (Specify test and method #. ATTACH LAB REPORT.) Sulfate 00245 ,mg1L Hg- Mercury 71901) ugfL Lab Report Attached? ❑ Yes(1) ❑ No(0) ecift Canductanco m95 208 pMhos K- PotessfurnW937 mg7L VOC 78732, , method 1; Total Ammonfa massy n.g/L 114-Magnesium ea527 mgiL ,method#. tA�, . KtV91., *S:s 4 a .'a:.rvoc= . ru:tl Mn - Manganese alas ug7L , method A TK.N as ooem _mg/L Ni - Nickel oiew _T ug7L , method # For Remedfation Systems Only (Attach Lab Reports): Influent Total VOClc mgiL Effluent Total VOCs. mgiL VOC Removal% Carl A Gerh rdslein..AVP Health Fnvironmard and Susuilnab fP yy / fi��/ Fermi,,"Ce W AtchMrzed Arw4) K9 &1ii Td'e P:esss prv3.`or 1,[ _ nd.a 1t Pe 41 ,cr FNho-zea..9 nir iQ_iel QW-59 Rev. 212010 SUBMIT FORM ON YELLOW PAPER ONI Y GROUNDWATER QUALITY MONITORING:ONIs10NGFwATER4uxurraficoRMAnoNPROC15SSINOUNIT CEPAFrFfAF rOFENVIRONMENT% NATURAr-RE901/RCrG COMPLIANCE REPORT FORM 1617MAIL SERVICE CENTER, RALFJGH,NC27292-1614 Ptgrimlls 1733w2i AC LITY INFORMATION Pfesze tCreaM v Type PERMIT Number: ExptMhOn Date: 0713112D17 Facility Namn: CSX Transportation - Hamlet Wastewater Treatment Facility Non -Discharge WCOODC61 DIC NPDFS Other Permit Name (if different): Facility Address, 173 CSX Drive TYPE OF PERMITTED OPERATION BEING MONITORED ❑ Lagoon 0 Remed ration Infiltration Gallery -=❑=Spicy+Fla tl.------.__❑RemedmlJcn_-_—= — _ Hamlet=_ _ — NC 78345 County Richmond ---- — —.—.� - ContOol Parson: M1ko Gregory TelephonaM D10 205-6370 ❑ Rotary Distributor ❑ land Application of Studge� Well Locahon)Sila Name: Sae laatior map No, ofwclls to ba sampled: 7 ❑ Water Source Heat Pump ® Other; Monitoring wells rmxn vcma W&IFILING INFORMATION If WELL WELL ID NOrSBER (from Permit); 4rry3 Oate sample collected: 11Yv'o12F;13 FIELD ANALYSES: WAS Wet! Depthsa-82 ft. h l Diameter in pH o9 ptr 6.22 units Temp. ccoto. "C DRY DRY at Depth to Water Level a2sac: 1,03 ft. below measuring point Screened interval: ft to ft Spec Cond 000s4 Idlhos lime of MeasuringPoint is d05.69 ft etruva lend surface 1 Relative MR Elevation- fi. Odor Gaoas. sampling ��,� check Vo Fume of water pumpedfbaiied before sampling gallons .Appearan :e Sail les for metals were collected unfiltered: (rZj YES El NO and field acidified: 0 YES ❑ NO LABORA7pRY INFORMATION Date sample analyzed: l rf';ro'3 Laboratory Name: TestAmarico Certification No. 26S PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. COD 130535 mgfL Nitrite (NO,) as N oo6is mg1L. Ph - Lead oiost 15 ug1L. Coldomi. MF Fecal ,tars 1100ML Nitrato (NO,} as N oo6zo 7-7 mail Zn - Zinc Mca2 mail. Cohform ME Total 3iso4 ; IODmL Phosphorus: Total as P ec5a5 mglL n�4 u.�twwmetneam.ru2-:yarmecrex:asi Crthophosphate7oso7 rnglL. Ottioc(SptwifyCompounds and ConcentranonUnits). issolv5d Solids'Joldi rrv0Q 130 mart- At -Aluminum at -.as mgfL pH (Lab) oases units Ba'- Barium 011107 08 TOC oc*sn O 79 mg!L Ca.- Calcium oasts _ugil- mgfL _ Chloride oitw mgfL Cd - Cadmium aiel7 c1.a ug/L Arsenic oion2 <50 uglL Chromium: Total 01r34 -50 ug1L Grease and Oils oe552 mg!L Cu- Copper afoaz mg(L ORGANICS: iby GC, GC/MS, HPLC) Phenol a21ao uglL Fc - Iron moss uglL (Specify test and method 4. ATTACH' LAB REPORT.) Sulfate 00845 mgfL Hg - Mercury *aOD uglL. Lab Report Attached? ❑ Yes(]) ❑ No (0) Specific Conductance caws 261 pMhos K . Potassium OM7 mglL VOC 7aT32' , method 1e Trial Ammor is cnefe mg!L Mg - Marindslumi WP27 mg"L . method d Mn - Manganese ososs _ugyl , method tt TKN as N ocean mg'L Ni - Nickel otoaa ug1L method u For Romedfatirn Systems Only (Attach lab Reports): Influent Total VOC s, mg1l. Effluent Total VOCs: mg,'L VOC Removaf% Car! A GernerdMeln, A.VP Health, r_wiromnenl and 9uS:dinabihly +amnke^ rcr,s�dRemed Asen!1.NWn nTd TfLo.-Plcace r W ce tyn^_ GW- � Qev V2010 GW-59A COMPLIANCE REPORT FORM Permit # W0000061 (Submit o1.ne each monitoring period with GW-S9 forms) 1 Enter date monitoring results were due.'(0812812013) Will this monitoring report (GW-59 and GW-59A) YES NO be submitted after the established due date? X 2 Was any required information missing on the GW-59 report forms? YES NO X IF the answer to question t or 2 is�I — —`-'"^- r—;� nrovlded below the well identification number(s) and explain the problems encounters 1 V a 000060/ ,, CSX y� qq QCC. jvo3 w2��1 1� Are any of the monitor wells in nl i�� / missing cap, missing identification plate ` area overgr /�I� j�{ ��45 �l�J forgridance. 3 YES NO X Jd�j'j Are any monitored constitue� *10 i�� 0/ 1 ./ } If the answer to question 4 is 7 lithe answer to i it(s) 4 YES NO X questton.4 and concentrations) :exceeding standards idthe ;sp,'' For the constituents identif Zj7x—ceeded previously for the same constituerit(s) in the 5 YES NO z If the answer to question $is \ g. If the answer toquestlon5'is"YES" list in the sparep-, ,c.i" =—\,each. well with. constit8ent(s)exceeding standards, concentration(s) reported, and sample collection date for each occurrence (for the last two years). .6 Are the monitoring wells listed in section 5 located,at or beyond the review, boundary? YES.NO Ifthe lanswer is"YES",a groundwater quality problem may, be occurring. CONTACT THE REGIONAL X 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? X If the answer to question 7 is °YES; describe those actions in the space provided below. If the answer to question 7Is "NO", contact thii Reafonal Office within 90 days, an evaluation"iiiay be lihnact the waste he review and cornnil boundaries suriouiidina this facility: Failure to do somaysribiect the permitted to a Notice of i e F lines, andloroenalties. l� CC o g 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 tha top of the current GW 59 form. tl hereby acknowledge thafthe above informabon;was evaluated and the'in�orrnation submitted In this reporf (Compliance Report GW-39A) is•true and complete to the best o_. f(my knowledge CARc A. 6Fg4oj465-7Y1N Signature of Permittee (or Authorized Agent) Date GVV 59A 121112603 Name NC County No. of wells to be sampled: 5 .LID:NUMBER (from Permit): MIN-1 . _ Datesamplecollected: 07/05/2013, Depth: 55 ft, Well Diameter. 2. in. h to Water Level 82546:'5325 ft. below .measuring point Screened Interval: _ft. to ff. .wring Point is 414.95 ft. above: land. surface Relative M.P. Elev_ ation: ft; Tie of water pumped/bailed before sampling: gallons for COD ao33s -- mg[L Coliform:'MF Fecal 31e16/100mL Coliform:.MFTotal 31504 AOOmL (Note: Um MPN method forWohly turbid samples) For Ived'Solids:Total7o3bo 40 mg/L PH (Lab) 00403 units TOC.00sao <1.0 _ mg/L Chlordeoos4o mg/L Arsenic olooz <50 ug/L Grease and Oils 00552 mg/L Phenol 32730 'ug/L Sulfateoos4s mg/L fc-Conductance coon _ µMhos Total Ammonia coslo mg/L '(Ammonia Nitrogen; NHias N: Ammonia Nitrogen, T°tal) TKN as N 00625 mg/L Only (Attach Lab Reports): 'Carl A Gerhardsteib; AVP'Health, Environment„&Sustainability Permlftee (or Authonzed Agent) N..and litre -'Please print or type GW-59 Rev. 2/2010 and Number: Expiration. Date: ;harge W0000061 UIC._ Other ❑ Lagoon Remediation: Infiltration Gallery 11 Rotary Distributor 0 Land Application of Sludge El Water Source Heat Pump X Other: Monitoring wells FIELD ANALYSES: PH oo400r 5.31 units Temp. 000lo: °C Spec. Cond. 00094: 57 µMhos Odor doom: Appearance .Laboratory Name: TestAmerica colloidal concentrations. Nitrite (NO2),as N owis mg/L Pb-.Lead otosl <15 Nitrate (NO,) as N 00e20: 1.2 mg/L Phosphorus: Total as P'oo6e5 mg/L. Orthophosphate 70507 mg/L AI - Aluminumoilos mg/L Be - Barium o1oo7 1_.7 ug/L. Ca -Calcium ooss mg/L Cd- Cadmium 'oio27 <1'.8 ug/L Chromium:Total 01034 2.5. ug/L Cu- Copper 01042 mg/L Fe - Iron o1o4s ug/L Hg -,Mercury 71900 ug/L K; Potassium.00937 mg/L Mg - Magnesium 60927 mg/L Mn - Manganese oio55_ ug1L Ni - Nickel 01067 ug/L Influent. Total VOCs mo/L -Efnue Certification No. 269 ug/L Zn -Zinc 01092 mg/L Other (Specify' Compounds and Concentration Units); ORGANICS: (by GC, GC/MS; HPLC) (Specify test and method #: ,ATTACH LAB REPORT.) Lab Report Attached? ❑: Yes(l) ❑ No(0) VOC 78732:. , method # method # method# method # Total VOCs: ma/L. vnclxa.aa.,�wi at of 'Name: CSX Transportation- Hamlet Wastewater Treatment Facility Name (if different):. Address: Box191A Highway 177N 10" County Expiration 'DES Other rPE OF PERMITTED OPERATION BEING MONITORED ❑ Lagoon ❑ Remediation: Infiltration Gallery Contact Person: MiKe Gregory Well Location/Site Name: See location map Telephone#: 910-205-6379 No:. of wellsdo be sampled: 8 hom PertNt - ❑ Rotary Distributor ❑ Water Source Heat Pump ❑ Land Application of Sludge X Other: Monitoring wells _ SAMPLING INFORMATION - - _ - - If WELL WELL ID NUMBER (from Permit): MW 2 Date sample collected' 0710512013. _ FIELD ANALYSES: WAS Well Depth: 50 ft. Well Diameter: 2 in. pH 00400: 5.01 units Temp. 000to: bC DRY at Depth to Water Level 82546:38.50 R. below measuring P g point Screened ft: to k. Spec. Cone. 000sa: 60 ,µMhos time of Measuring Point is 422.29 ft. above, surface Relative M.P. Elevation: ft. Odor sampling, . check Volume of waterpumped/bailed before sampling: ,gallons Appearance _ here:❑. Samples for metals were collected unfiltered: m YES ❑ NO and field acidified: 0 YES f1 NO wu a0335 mg/L Coliform MF Fecal 31616 1100mL Coliform:: MF Total 31504 /100ml- (Note: use MPN toothed for highly Marble samplee) tivedSolids;Totai:7oaoo 47 mg/L. pH (Lab) co403 _ units TOCoomo <1.0 mg/L Chloride 00940 mg/L. Arsenic'01002 <50 ug/L Grease and Oils 00552 mg/L. Phenol 3273o ug/L Sulfate 00945 mg/L. ificConductance ;ooa9s. _ µMhos. Total Ammomia 00610 mg/L. (AallaOrla Nitrogen;: NHsas N; Ammonla Nitrogen, Total) TKN as N 00625 mg/L Laboratory Name: TestAmedca :Certification No. 269 1 colloidal concentrations. Nitrite (NO2) as Nooels mg/L Nitrate (NO,,) as'N 00620 2.3 mg/L Phosphorus: Total as P 00665 mg/L Orthophosphate 70507 mg/L. Al -Aluminum olim mg/L Be - Barium 01007 8.5 ug/L Ca. -Calcium 00e16 mg/L Cd - Cadmium oio27 0.17 ug/L Chromium: Total 01034 <50 ug/L Cu - Copper 01042 mg/L ,Fe - Iron 01045. - ug/L Hg.- Mercury 71900 ug/L K'-'Potassium 00937 mg/L Mg - Magnesium 00927 mg/L Mn- Manganese oloss ug/L Ni - Nickel 01007 ug/L Pb -Lead oios1 <15' ug/L Zn - Zinc 01092 mg/L :Other (Specify Compounds and Concentration Units): ORGANICS: (by'GC,, GCIMS„HPLC) (Specify test and method M ATTACH LAB. REPORT.) Lab Report Attached? ❑ Yes(l) ❑ No(0) VOC 78732: , method # method #. _ method # method,# For Remedlation Systems Only (Attal Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs:' ni VOC Removaro/ Cad A.. Gerhardstein, AVP Health, Environment, & Sustainability _ Permlttee (orAulhonzed Agent) Name and .TKle = Please print or type GW-59 Rev..22010 FORM ON FORM Name County Telephone#: 910-205-6379 No. of wellsto be sampled: 8' L ID NUMBER (from.. Permit): MW-3 - .Date sample collected:07/0512013 Depth: 50 ft, Well Diameter: 2 in. h to Water Level 02546:41.38 ft. below measuring point Screened Interval: _ft. to ft. luring Point Is 415.8o ft. .above .land surface Relative M.P. Elevation: ft ne of water pumped/bailed before sampling: gallons files for metals were collected unfiltered: m YES ❑'NO and.field acidified- V[Yes f-I Kin COD 00335 mg/L Coliform: MF'Fecal 31616 /100mL Coliform::MF Total 31504 1100mL (Note: Use MPN method for Nghly tumid samples) solved Solids:Total 7030U 56 mg/L pH (Lab) 00403 units TOC o96so-0.54 mg/L Chloride 00940 - mg/L Arsenic 01002 <50 ug/L Grease and oils o0552 mg/L Phenol 32739 ug/L Sulfate 00945 mg/L 3cific Conductance 00095 µMhos Total Ammona_oo610 mg/L (Anthems Nitrogen;. NH as N; Ammons Nitrogen; Total) TKN as N 00625 mg/L Lab Reports): W0000061 '.UIC S Other OF PERMITTED OPERATION, BEING MONITORED Lagoon❑:Remediation:Infiltration Gallery ❑ Rotary Distributor ❑ Land: Application of Sludge ❑' Waler Source Heat Pump 9 Other: Monitoring wells If WELI FIELD ANALYSES: WAS PH 00400: 5.38 ,units Temp. 000lo: eC DRY at Spec. Cond. 00094; 85 µMhos time of Odor 000s5t check n check Appearance _ here:r Laboratory Name:. TestAmedca colloidal concentrations. - - - - Nitrite (NO2) as ooals mg/L Pb -Lead o1os1 <15 Nitrate (NO3) as N 00620 0.78 mglL. Zn - Zino01092 Phosphorus: Total as P oose5 mg/L Orthophosphate 70507 mg/L AI --:Aluminum o11o5 mg/L Be - Barium 01007 15 _ ug/L Ca - Calcium 00916 mg/L Cd- Cadmium 01027<1.8_ ug/L Chromium: Total 01034 <50 ug/L Cu - Copper 01042 mg/L Fe - Iron 01045 ug/L Hg- Mercury 719oo. ug/L K- Potassium00937 mg/L. Mg-- Magnesium .00927: mg/L Mn - Manganese 01055 ug/L A - Nickel 01067 ug/L Influent Total Carl A. Gerhardstein,.AVP'Health, Environment, & Sustainabllity Permitlee (or Authorized Agent) Name and Tiitle-Please print or type - GW-59 Rev. 212010 Certification No:.269 ug/L mg/L Other (Specify Compounds and Concentration Units): ORGANICS: (by GC, GC/MS, HPLC) (Specify test and method A ATTACH: LAB. REPORT.) Lab. Report Attached? ❑ Yes(l) ❑ No(0) VOC 78732: ,..method # , method# method # method #' .Y Address: County Richmond. Person: Mike Gregory Telephone#:910-205-6379 ation/Site Name: See location,map No. of wells to be sampled: 8 MW-4 ft:. Point is 413:2 'ft. above landsurface Date sample.. collected: 07/0512013': Well Diameter 2 in. Screened Interval:_ft. to _ft. Relative M.P. Elevation: ft before samplings. .gallons: led unfiltered`. m YES ❑ NO a COD 00335 'mg/L Coliform MF Fecal 3te15 /100mL Coliform: MF'Total 31504 1100ml- (Note: Use MPN method for highlytumld samples) ' lids:Total 70300 82 mg/L. pH (Lab) 00403. - units' TOC odsao 0.8 mg/L. Chloride ods4o _ mg/L Arsenic 01002r<50 ug/L. Grease and Oils'00652 mg/L. 'Phenol 32730 ug/L Sulfate 00945 mg/L fic Conductance catim µMhos Total, Ammonia oosio mg/L. (Ammonia Nimgeh; Nlyas fZAmmonia Nitrogen, Total)' TKN as N 00625 W0000061 UIC rPE OF PERMITTED OPERATION BEING MONITORED .❑ Lagoon ❑Remediation: Infiltration Gallery ❑ Rotary Distributor ❑ Land E ❑. Water Source: Heat Pump HOther. FIELD ANALYSES: WAS pH oa400: 578 units Temp. oaoto: °C DRY at Spec.. Cond. 00094: 125 µMhos time of 's - - sampling, Odor000e check Appearance _ - here:❑ Laboratory. Name: TestAmerim - :Certification No..'269 I colloidal concentrations. - - - Nitrite (NO2)'as.Ncosts mg/L Pb-Lead oto51 <16 ug/L Nitrate (NO3) as N oo62o 0.64 mg/L Zn =:Zinc 01092 mg/L Phosphorus: Total as P 00665. mg/L Orthophosphate 70607 mg/L AI-Aluminumotlos. _ mg/L • Be - Barium 01007 1.8 ug/L Ca - Calcium oosta. Cd - Cadmium 01027'<1.8 _ug/L Chromium: Totalo1o344.1- ug/L Cu - Copper 01042 - mg/L Fe - Iron o1o45 ug/L Hg - Mercury 7100e ug/L. K - Potassium 00937 mg/L. Mg -.Magnesium 00927. _ _ mg/L Mn- Manganeseoiom ug/L. Ni - Nickel 01067 ug/L. Total VOCs: Carl A, Gerhardstein, AVP Health, Environment; &:Sustainability Perminee(orAathomzed Agent) Name and Title- Please print or type -- - GW-59 .Rev. 212010 Other (Specify Compounds and ConcentrationUnits): ORGANICS: (by GC, GC/MS;. HPLC) (Specify test and method A ATTACH LAB REPORT.) Lab Report Attached? ❑. Yes(l) ' ❑ No(0) VOC 78732:, , method # -,:method # _ ,method# method # SUBMIT _FORM ON YELLOW PAPER ONLY For.RemediationSystems Only (Attach Lab Reports); Influent Total VOCs: mg/L. Effluent Total VOCs: 'mglL VOCRemoval% Carl A, Gemardstein, AVP Health, Environment, & Sustainability �� lrf b �— g� ✓. _ Penmttee.(or Authorized A9.1uName and Title-- Please print. or type - Signature of Pennitlee.(or Authorized: Agent) "-' - (Date) GW-59 'Rev. 212010 GROUNOViIATERQUALITY MONITORING: EQARTNENTQF ENVIRONMENT8MA7VRAL BE90UROE6, � OM&CNpk WATERr QiIiWTY•INRORMATOiVR•RQCESiIN6UNIT COMPLIANCE REPORT FORM 1617`M)ULEERIIICE°CENTER; RALEIQN.^NG 17899att117 nPhwu�l9fv)T-�a721 ,,. --- PERMIT'Numbee Expiration Date: 07131/2017 - - Please Print Clearly or Type FACILITY INFORMATION Facility Name[ GSX Transportation - HamletWaslewaler Treatment ._Facility' Non -Discharge WQ0170061. _ U)C NPDES.'Other Permit Name (if different): Facility Address, Box191A;HIghway777N TYPE OF- PERMITTED OPERATION BEING -MONITORED ❑ Lagoon ❑'Ftemediation: Hamlet t'"C"'" NO 28345 County Richmond _ Y ER QUALITY MONITORING: REPORT FORM Name: CSX Transportation, -Hamlet Wastewater Treatment Facility Address: Box Number: Expiratior harge W0000061 UIC County Richmond I '❑ Lagoon. act Person: Mike Gregory Telephone#:-910-205.6379 Locaflon/Site Name: See location map No. of wells to be sampled: 8 ID NUMBER (from Permit)q MW-7 epth: 5o ft, to Water Levels254e:34:51 ft. below measuring point firing Point is 365.14 ft. above land surface e of waterpumped/bailed before sampling: .Date, sample collected:. 07/02/2013 Well Diameter,2 in. Screened Interval: ft to Relative M.P. Elevation: ft. Other AITTED OPERATION BEING MONITORED ❑ Remediation:.Infiltration Gallery El Rotary Distributor ❑ Land Application of Sludge ❑ Water Source Heat Pump ❑O Other: Monitoring wells FIELD ANALYSES: pH 00400: 515 units Temp. 000io: cc ft: Spec. Cond. 00094r 144 µMhos Odor000ss: Appearance at of Date sample analyzed:71912013 _ _ Laboratory Name: TestAmedca _ Certification. No. 269 PARAMETERS NOTE: Values should reflect dissolved,and colloidal concentrations. COD,00335 mg/L Nitrite (NO2) as N oasts mg/L. Pb.-Lead 01051 <15 uglL Conform:. MF Fecal 316is. /100mL Nitrate (NO3) as,N 00620 2.6 .mg/L. Zn - Zinc o1o92 mg/L Coliform: MF Total 31504 /100mL Phosphorus: Total as P oosss .... mg/L tNora; use MPNmethod for nl9myturomsamples) Orthophosphate 7o5o7 mg/L Other (Specify Compounds and Concentration Units): issolvedSolids:Total70300'99 mg/L At - Aluminumwitts mg/L pH (Lab) oo4o3 - - _units Be. Sarium01007 23 - ,ug/L _ TOC'o0eao 2.4 mg/L Ca =Calcium oaste - mg/L ChlorideC0940 mg/L Cd-Cadmium 01o27.0.8 ug/L. Arsenicptno2 <50 _ug/L Chromium: Total01034 3.4 uglL Grease and Oils 00552 mg/L Cu - Copper om42; mg/L ORGANICS: (byGC, GC/MS, HPLC) Phenol 32730 ug/L Fe.- Iron oio45 _ 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) _pecifiic.Conductance 000gs µMhos. K- Potassiu171,00937 mg/L VOC 7e73r.,_ _ , method,# Total, Ammonia ooslo mg/L ' Mg- Magnesium oo927 mg/L method # (Ammonia Nitrogen; NH;asN;AmewmaNitrogen, Total) Mn- Manganese olo5s ug/L method# TKN as N 00525 mg/L Ni - Nickel 01007 ug/L , method # For RemediatiomSystems Only ,(Attach .Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal% Cad A. Gerhardstein, AVP Health, Environment, .&Sustainability Penmttee(or Authonzed Agent)Name and Title= Please: print or type - GW59 Rev, 212010 J C) QUALITY MONITORING:. PORT FORM 'Name:'. CSX Name (ifdifferer or Number: Ex harge VVQ000061 'DESK Other PE OF PERMITTED OPERATION BEING MONITORED ❑ Lagoon ❑ Remediation: Infiltration Gallery act. Person: Mike Gregory Telephone#: 910-205-6379 ❑ Rotary Distributor ❑ Land Application of Sludge Location/Site Name: See location map No, of wells to be sampled: 8 ❑ Water Source Heat Pump X Other: Monitoring wells rmmPermli PLING INFORMATION. - - -- - - - If WELT L ID'NUMBER (from Permit): MW-8 .Date sample collected::, 07/0212013 FIELDANALYSES: WAS Depth: 56s2 ft. Well Diameter. 2 in. pH 00400: 6.18 units Temp. 000la °C DRY at h.to Water' Level 82546:46.19 ft. below measuring point Screened Interval: to ft. Spec. Cord. 000e4: 290 µMhos time of :wring Point is. 405.69 ft. above land surface _ft. Relative M.P: Elevation: _ft. Odor00085: samplir check Tie of water pumped/bailed before sampling: gallons Appearance Ihere:r COD 00335 _ mg/L Coliform: MF Fecal 3161e /100mL Laboratory Name:. TestAmerica Nitrite (NOJ as N oo615 mg/L Nitrate ,(NO,)asN 0062010 mg/L Certification No., 269 Pb-Lead olosi<15 ug/L Zn- Zinc 01092 mg/L Coliform: MF Total 31504 /100mL Phosphorus: Total as P oose5 mg/L (Note: Use MPN me(had for highly turgid samples) Orthophosphate70507 mg/L. Other (Specify Compounds and Concentration Units): issolved Solids:Total 7030o 370 mg/L Al -Aluminum oilos mg/L PH (Lab) 00403 units Ba - Barium 0100750 _ ug/L TOC aosso 1.1 mg/L Ca - Calcium 00916 mg/L Chloride 00940 mg/L Cd-Cadmium.01027 <1.8 ug/L Arsenic 01002 <60 ug/L Chromium: Total o1o34 7.8 ug/L -Grease andOils oo552 ;mg/L Cu - Copper 01042 mg/L ORGANICS: (by GC, GC/MS; HPLC): Phenol 32730 ug/L. Fe- Iron o104e ug/L (Specify test and method #. ATTACH LAB REPORT.) Sulfate 00945 mg/L Hg - Mercury 71e00 ug/L. Lab Report Attached? ❑ Yes(l) ❑ No(0) Specific Conductance aooee pMhos K,- Potassium 00937 mg/L VOC 78732: ,.method # - Total Ammonia Dodo mg/L Mg -Magnesium 00e27 mg/L ,. method :# (Ammmie Nitrogen; NHaas N; Armrwnia Nitrogen, Total) Mn- Manganese olo55 ug/L _,.method# TKN as.N 00525 mg/L Nip -Nickel 01067 og/L , method # For Remediation: Systems. Only (Attach. Lab Reports):. Influent Total VOCs:. _ _ mg/L. Effluent Total VOCs: mg/L 'VOCRemoval% Carl A. Gerhardstein, AVP Health; Environment, 8, Sustainabil ty' Pem ittee (or Authorized Aaerd) Name and Title- Please print or type - GW-59 Rev; 212010 tw � Carl A. Gerhardstein Asst. Vice President Health, Environtnent & Sustainability Mr. Richard Nath Manager Environmental Programs CSX Transportation, Inc. 500 Water Street, J-275 . Jacksonville, FL 32202 Dear Mr. Nath, 500 Water Street J-275 Jacksonville, FL 32202 (904)366-4303 Fax(904)245-2828 c . _gerhardstein@csx.com April 1, 2013 You handle matters pertaining to compliance with Federal, State, and local environmental laws and regulations. One of your responsibilities is preparing permit applications, variance requests, report forms and certifications, and such other documents and papers as necessary to assure compliance with environmental laws'and regulations. Accordingly, I hereby authorize.you to sign the necessary environmental. documents on behalf of the Company to carry out your work.. Qinraraty 4. ,J SUBMIT FORM ON ONLY QUALITY MONITORING: Name: CSX Transportation- Hamlet Wastewater Treatment Facility Name (if different): Address: Box 191A Highway 177N NC 28345 County Richmond act Person: Mike Gregory - Telephone#: 910-205-6379 Location/Site Name: See location map No. of wells to be sampled: B 'ID NUMBER (from Permit): MW-1 eplh: 65 fL to Water Level 82546:56.21 ft below measuring point ring Point is 414.95 f . above land surface a of water pumped/bailed before sampling: Number: :haroe W0000061 Expiration Date: 0713112 UIC 'PE OF PERMITTED OPERATION.BEING MONITORED ❑ Lagoon ❑ Remediation: Infiltration Gallery ❑ Spray Field ❑ Remediation: ❑ Rotary Distributor ❑ Land Application of Sludge ❑ Water Source Heat Pump M.Other: Monitoring wells Date sample collected: 11/01/2012 FIELD ANALYSES: Well Diameter. 2 in. pH 00400: 5.51 units Temp. 0otim eC Screened Interval:_ft to _fL Spec. COnd. =94: µMhos Relative M.P. Elevation: , ft. °' Odor 000as: gallons ------ -- --r+e NO and field acidified:�x 1' ate sample analyzed:11/05112 Laboratory Name: -Rf low, 4RAMETERS NOTE: Values should reflect dissolved and colloidal concentratio COD 00335 Nitrite N �( V10Iah°t� Colfform: MF Fecal31616 mg/L /100ml- (NO,) as aosl Nitrate (NO3) as N oosz ,SvGmi)S�t� Who htAd kP` Colifonn: MF Total 31504 (Note: Use MPN meawd far Mgtty Mold sanges) /100mL Phosphorus: Total as P oos6 Mot,, 3�I� Orthophosphate 7oso ;solved Solids:Total 903ao 43 mg1L AI -Aluminum of tor_ PH (Lab) oo4o3 units Be - Barium 01007 <2000 ug/L TOO oo69o<1 mg/L Ca - Calcium 00916 mg/L Chloride oog4o mg/L Cd - Cadmium o1oz7 <1.8 uglL Arsenic 01002 <50 ug1L Chromium: Total oio34 3.6 ug/L Grease and Oils 00552 mg/L Cu- Copper 01042' mg/L Phenol 32730 ug/L Fe - Iron 01045 vg/L Sulfate 0645 mg/L Hg- Mercury 71500 . uglL �ecMc Conductance 000ss 58 µMhos K- Potassium oo937 mg/L Total Ammonia oo6lo mg/L Mg - Magnesium 00927 mg/L (remwnia Mt egam NRsas N; Ammonia Nl4ogen, Wel) Mn - Manganese gloss ug/L TKN as N oo625 mg/L Ni - Nickel o1o67 ug/L For Remediation Systems Only (Attach Lab Reports): Influent Total Cad A. Gemardstein, AVP Environmental Systems and Sustamability Peanittes (or Authorized Agent) Name and Title - Please print or type GW-59— Rev.2/2010 Effluent Certification No. 269 'o1a51 <15 ug/L 01092 mg/L .recify, Compounds and Concentration WATER U ORGANIC T�IF�,G 15JNG UNIT (Specify test and method #. ATTACH LAB REPORT.) Lab Report Attached? ❑ Yes (1) ❑ No (0) VOC 78732t. , method # method # method # method # ital VOCs:. mq/L VOC Removal% at of 2013 SUBMIT FORM ON YELLOW PAPER ONLY GROUNDWATER QUALITY MONITORING: COMPLIANCE REPORT FORM aacility Name: CSX Transportation- Hamlet Wastewater Treatment Facility -ermit Name (if different): 'acility Address: Box 191A Highway 177N Hamlet lsl`0pq NC 28345 County Richmond act Person: Mike Gregory Telephone#: 910-205-6379 Location/SiteName: See location map - No. of wells to be sampled: 8 LID NUMBER (from Permit): MW-2 Depth: 50 ft. 1 to Water Level 82546:39.90 ft. below measuring point Turing Point is 422.29 ft. above land surface ne of water pumped/bailed before sampling: COD 00335 mg/L Coliform: MF'Fecal 31616 /100mL Coliform: MF Total 31504 /100mL (Note: Use MPN mallodfor hlgNy tN0l4 sanmlos) ,solved Solids:Total 70300 64 mg/L pH (Lab) oo4o3 units TOG oasao 1.2 mg/L Chloride 00940 mg/L Arsenic otoo2<50 ug/L Grease and Oils 00552 mg/L Phenol 32730 ug/L Sulfate oom mg/L IeciFlc Conductance 00095 85 'µMhos Total Ammonia ocslo mg/L (Amod-N k6 ffl: NNaas N;A aNitrWM Total) TKN as N 00625 mg/L Date sample collected: 11101/2012 Well Diameter. 2 in. Screened Interval:_fL to _ft. Relative M.P. Elevation: ft. NO .RMIT Number: m-Discharge WQ000061 Expiration Dale: 07/3112017 UIC IDES Other 'PE OF PERMITTED OPERATION BEING MONITORED ❑ Lagoon ❑ Remediation: Infiltration Gallery ❑ Spray Field ❑ Remediation: 11 Rotary Distributor ❑ Land Application of Sludge ❑ Water Source Heat Pump ❑® Other. Monitoring wells FIELD ANALYSES: pH 00400: 5.21 units Spec. Cond. 00094_ Odor aoaas: Appearance Temp. 00010: aC DRY at µMhos- time of Laboratory Name: TestAmerica Certification No. 269 and colloidal concentrations. Nitrite (NO2) as N 00615 mg/L Pb -Lead 01051 <15 ug/L Nitrate (NO3) as N 00620 1.1 mg/L Zn -Zinc 01092 mg/L Phosphorus: Total as P cosas mg/L Orthophosphate 7007 mg/L Other (Specify Compounds and Concentration Units): At -Aluminum atlas mg/L Be - Barium a1oo7 2.6 ug/L Ca - Calcium 00916 mg/L Cd- Cadmium o1o27<1.8 ug/L Chromium: Total oio34 12 - ug/L Cu-Copper 01042 mg/L ORGANICS: (by GC, GC/MS, HPLC) Fe- Iron o1o4s - ug/L (Specify test and method #. ATTACH LAB REPORT.) Hg - Mercury 71900 ug/L Lab Report Attached? ❑ Yes (1) ❑ No (0) K-Potassium 00937 mg/L VOC 79732' ,method# Mg - Magnesium 00927 mg/L ,method# Mn - Manganese gloss ug/L , method # NI - Nickel olos7 ug/L , method # For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal% Carl A. Gerhardslein, AVP Environmental Systems and Sustainability Penninee (or Authodred Agent) Name and Title -Please prim ortype GW-59 Rev. 212010 SUBMIT FORM ON YELLOW YAHtK UNLr 3R QUALITY MONITORING: REPORT FORM Facility Name: CSX Transportation- Hamlet Wastewater Treatment Facility Permit Name (if different): Facility Address: Box191AHighway177N Hamlet (See°o NC 28345 County Richmond act Person: Mike Gregory Telephone#: 910-205-6379 - LorationlSite Name: See location map No. of wells to be sampled: 8 Expiration Date: n-Dlscharge W00000601 UIC 'DES Other PE OF PERMITTED OPERATION BEING MONITORED ❑ Lagoon _ ❑ Remediation: Infiltration Gallery ❑ Spray Field ❑ Remediation: ❑ Rotary Distributor ❑ Land Application of Sludge ❑ Water Source Heat Pump O Other. Monitoring wells L ID NUMBER (from Permit): MW-3 Date sample collected: 11/02112 FIELD ANALYSES: Depth: 50 ft. Well Diameter. 2 in. pH o0400: 4.55 units Temp. 00010: °C If to Water Level 82s46:42.21 fL below measuring point Screened Interval:_ft. to _ ft. Spec. Cond. 00094: µMhos curing Point is 415.80 fL above land surface Relative M.P. Elevation: ft. Odor 000ss: me of water pumped/bailed before sampling: gallons Appearance ate sample analyzed: 11105/12 Laboratory Name: TestAmerica 4RAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. COD 00335 mg/L . Nitrite (NO,) as N o0sis mglL Coliform: MF Fecal 31616 /100mL Nitrate (NO3) as N 00620 1.0 mg/L Coliform: MF Total 31504 /100mL Phosphorus: Total as P-ooees mg/L (Note: UsehlPNmsmeefor N9NYtmbidsamples) Orthophosphate 706o7 mg/L isolved Sollds:Total 7o3o0 65 mg/L AI -Aluminum ollo5 mg/L pH (Lab) 00403 units Be -Barium 01007 10 ug/L TOC aasso 1.2 mg/L Ca- calcium 00916 mg/L Chloride o0940 mg/L Cd -Cadmium 01o27 <1.8 ug1L Arsenic 01002 <50 uglL Chromium: Total 01o34 7.7 ugll Grease and Oils o0552 mg/L Cu - Copper 01042 mg/L Phenol 3273o uglL Fe- Iron o1o4s ug/L Sulfate 00945 mg1L Hg- Mercury 71900 ug/L )ecific Conductance 0009s 71 µMhos K- Potassium 00937 mg/L Total Ammonia Dodo mg/L Mg - Magnesium 00927 mg/L wmloNa Meogen: NHsas N;AnmoNa Mtro9en, Tote9 Mn-Manganese 01055 ug/L TKN as N oos2a mg/L Ni - Nickel 01067 ug/L Certification No. 269 Pb-Leadolosl <15 uglL Zn- Zinc 01092 mg/L Other (Specify Compounds and Concentration Units): ORGANICS: (by GC, GC/MS, HPLC) (Specify test and method #. ATTACH LAB REPORT.) Lab Report Attached? ❑ Yes (1) ❑ No (0) VOC 79732: , method # method # method # method # For Remediation systems only (Artacn Lao Reporxs): Influent WWI vuw. 9•� �• ��• �•� —� - - - - ---- - Cad A. Gerhardsteln, AVP Environmental Systems andSustainabTty Pennittee (or Authorized Agent) Name and Title- Please print or type GW-59 Rev. 2P1010. at of SUBMIT FUKM UN Yi,LLVyy rArmn vw,, -R QUALITY MONITORING: REPORT FORM IT MrVKNIAr rVN Name: CSX Transportation- Hamlet Wastewater Treatment Facility Name (if different): Address: Box 191A Highway 177N rsi,ee) NC 28345 County Richmond act Person: Mike Gregory Telephone#. 910.205-6379 Location/Site Name: See location map No. of wells to be sampled: 8 .-v.,,n" Expiration •W0000061 IDES I Other 'PE OF PERMITTED OPERATION BEING MONITORED ❑ lagoon ❑ Remediation: Infiltration Gallery ❑ Spray Field ❑ Remediation: ❑ Rotary Distributor ❑. Land Application of Sludge ,❑ Water Source Heat Pump 9 Other.' Monitoring wells LID NUMBER (from Permit): MW- Date sample collected: 11/02112 FIELD ANALYSES: °C RY at DRY Depth: 55 ft. Well Diameter. 2 in. pH 00400: 5.86 units Temp. 00010: time of h to Water Level e2s46:39.48 ' fL below measuring point Screened Interval: _ft, to _ ft. Spec. Cond. 00094: µMhos samplin ;wring Point is 413.20 ft above land surface Relative M.P. Elevation: ft. Odor 00065: check me of water pumpedibailed before sampling: gallons Appearance here:r L mine s.r ena+n1a imam entlonwd unfiltered: r✓I YES ❑ NO and field acidified: OYES ❑.NO ate sample analyzed: 11105/12Laboratory Name: TestAmerica %RAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. COD 00335 mg/L Nitrite (NO,) as N oasis mg/L Coliform: MF Fecal 31616 /100ml. Nitrate (NO,) as N ooe20 0.42 mg/L Colifonn: MF Total 31504 1100mL Phosphorus: Total as P 00665 mg/L (Note: Uso MPN Mftd for hlgtdy lwaid samples) Orthophosphate 70507 mg/L ;solved Solids:Total 70300 81 mg/L AI -Aluminum o11as mg/L pH (lab) 00403 units Be -Barium 01007 2.1 uglL TOC 00680 1.3 mg/L Ca - Calcium 00916 mg/L Chloride 00940 mg/L Cd - Cadmium 01027 <1.8 ug/L Arsenic o1oo2 <50 ug/L Chromium: Total 01034 9.5 uglL Grease and Oils 00552 mg/L Cu - Copper 01042 mg/L Phenol32730 uglL Fe- Iron 01o4s ug/L Sulfate 00945 mg/L Hg- Mercury 71900 ug/L )ecific Conductance 00095 123 µMhos K- Potassium 00937 mglL Total Ammonia 00610 mg/L Mg - Magnesium 00927 mg/L Vmmnle Nftgen; NRsas M. AW01a Nltmgeq TOO Mn- Manganese o1o55 ug/L TKN as.N 00625 mg/L Ni- Nickel 01067 ug/L For Remediation Systems only (Auacn Lao Kepores); nmuens Cad A. Gerhardstein, AVP Environmental Systems andSustainabiiity Permlttee (orAuthcrized Agent) Name and The - Please print or type GW-59 Rev. 2J2010 Certification No. 269 Pb - Lead olosl <15 ug/L Zn-Zinc 01092 mg/L Other (Specify Compounds and Concentration Units): ORGANICS: (by GC, GCIMS, HPLC) (Specify test and method #. ATTACH LAB REPORT.) Lab Report Attached? ❑ Yes (1) ❑ No (0) VOC 78732: , method # method # method# method 4 nr.Tw SUBMIT FORM ON YELLOW PAPER ONLY Name: CSX Transportation- Hamlet Wastewater Treatment Facility Name (if different): Address: Box 191A Highway 177N NC 28345 County Richmond act Person: Mike Gregory Tale phone#. 910-205-6379 Location/Site Name: See location map No. of wells to be sampled: 5 Re P�Mn LID NUMBER (from Permit): MW-5 Depth: 60 ft 1 to Water Level 82546:48.13 R below measuring point wring Point is 411.39 fL above land surface ne of water pumped/bailed before sampling: _ gall 31es for metals were collected unfiltered: m YES ❑ NO Number: Expiration harge W0000061 UIC- 'DES Other 'PE OF PERMITTED OPERATION BEING MONITORED ❑ lagoon ❑ Remediatlon: Infiltration Gallery ❑ Spray Field - '❑ Remediatlon: ❑ Rotary Distributor ❑ Land Application of Sludge ❑ Water Source Heat Pump 9 Other. MODit0l ing Wells Date sample collected: 11/01/12 FIELD ANALYSES: Well Diameter. 2 in. pH 00400: 5,68 units Temp. 00010: eC Screened Interval: _fL to _fL Spec. Cord. 00094: µMhos Relative M.P. Elevation: ft. Odor 000ss: ,s Appearance de sample analy2ed:11105f 22 Laboratory Name: TestAmerica tRAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. COD 00335 mg/L Nitrite (NO,) as N goals mg/L Colifdrrn: MF Fecal 31616 /100mL Nitrate (NO3) as N 00820 3.1 mg/L Coliforrn: MF Total 31504 /100mL Phosphorus: Total as P oo6es mg/L (Note: use MPN=trSufwRgriywnidsaves) Orthophosphate 70507 mg/L Certification No. 269 Pb-Lead olosl <15 ug/L Zn - Zinc 01092 mg/L Other (Specify Compounds and Concentration Units): at of issolved Solids:Total 70300100 mg/L AI -Aluminum o110s - mg/L pH (Lab) 00403 units Be - Barium 01007 17 ug/L TOC 006801.5 mg/L Ca - Calcium Goals mg/L Chloride 00940 mg/L Cd-Cadmium 01027<1.8 ug/L Arsenic 01002 <50 ug/L Chromium: Total o1o34 7.8 ug/L Grease and Oils 00552 mg/L Cu - Copper oto42 mg/L ORGANICS: (by GC, GC1MS, HPLC) Phenol 32730 ug/L Fe- Iron o1045 ug1L (Speclfy test and method #. ATTACH LAB REPORT.) Sulfate 00945 mg/L Hg - Mercury 71900 ug/L Lab Report Attached? ❑ Yes (1) ❑ No (0) pecific Conductance 00095 148 µMhos K -Potassium oo937 mg/L VOC 78732: , method # Total Ammonia 00616 mg/L Mg - Magnesium 00927 mg/L , method # (AmneNa Nitrogen: NH3as R Amona Nitrogen, Total) Mn- Manganese oios5 ug/L ,method# TKN as N 00625 mg/L Ni - Nickel o1o67 ug/L , method # For Remediation Systems Only (Attach lab Reports):- Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal% Carl A. Gerhardstein, AVP Environmental Systems and Sustainability, Pennittee (of Authorized Agent) Neme and True - Please print or type GW-59 Rev. 22010 FORM ON YELLOW PAPER ONLY -R QUALITY MONITORING: REPORT FORM cacility Name: CSX Transportation- Hamlet Wastewater Treatment Facility Permit Name (if different): Facility Address: Box191A Highway 177N Hamlet _ (a,w) NC 28345 County Richmond act Person: Mike Gregory_ Telephon,'k. 910-205-6379 LocafiordSite Name: See location map No. of wells to be sampled: 8 LID NUMBER (from Permit): MW-7 Depth: 60 R to Water Level 82546:39AS fL below measuring point (ring Point is 385.14 It. above land surface e of water pumped/bailed before sampling: - COD 0033s mg/L Colifoun: MF Fecal31616 /100mL Colifonn: MF Total 31504 /100mL (Nate: Use MPNmemedr°rN"NroldserWes) ;solved Solids:Total 70300 99 mg/L pH (Lab) 00403 units TOC costo 1.4 mg/L Chloride 00940 mg1L Arsenic 01002 <50 ug/L Grease and Oils 00552 mg/L Phenol 32730 ug/L Sulfate 00945 mg1l. 3ecific Conductance 00095 150 µMhos Total Ammonia oosto mg/L (A=oNe Mvagw; N)bas N; Ae rda mngen, ...I TKN as N 00625 mg/L WQ000061 UIC Other PE OF PERMITTED OPERATION BEING MONITORED ❑ Lagoon . ❑ Remediation: Infiltration Gallery ❑ Spray Field ❑ Remediation: ❑ Rotary Distributor ❑ Land Application of Sludge ❑ Water Source Heat Pump A Other. Monitoring wells Date sample collected: 12/02/12 FIELD ANALYSES: Well Diameter. 2 in. pH 0040o: 5.78 units Temp. 000to: °C Screened lnterval:_ft to —ft. Spec. Cond. 00094: µMhos Relative M.P. Elevation: ft. - Odor 000ss: Laboratory Name: TestAm9dca and colloidal concentrations.. Nitrite (NO2) as N costs mg/L Nitrate (NO3) as N 00620 2.5 mg/L Phosphorus: Total as P costs mg1L Orthophosphate 70e07 mg/L AI -Aluminum oleos mg/L Be - Barium o10o7 23 ug/L Ca - Calcium 00916 mg/L Cd- Cadmium 0102741.8 ug/L Chromium: Total olo34 4.5 uglL Cu-Copper 01042 mg/L Fe - Iron moos ug/L Hg- Mercury 71900 ug/L K-Potassium 00937 mg/L Mg - Magnesium 00927 mg/L Mn - Manganese oioss NI- Nickel 01067 For Remediation Systems Only (Attach Lab Reports): Influent Total Carl A. Gerhardstein, AVP Environmental Syslems and Sustainabiiity Permittee(orAu Owed Agerm Name and Tdle-Pleesa print or type GW-59 Rev.=010 ug/L ug1L Appearance _ Certification No. 269 Pb -Lead 01051 <15 ug/L Zn-7Jnc 01092 mg/L Other (Specify Compounds and Concentration Units): ORGANICS: (by GC, GC/MS, HPLC) (Specify test and method #. ATTACH LAB REPORT.) Lab Report Attached? ❑ Yes (1) ❑ No (0) VOC 78732: Effluent Total VOCs: method # method # method # method # moll- VOC Removal%_ at of runm :R QUALITY MONITORING: REPORT FORM . (Facility Name: CSX Transportation - Hamlet Wastewater Treatment Facility Permit Name (if different): Facility Address: Box 191A Highway 177N Hamlet m[m,.f NO 28345 County Richmond act Person: Mike Gregory Telephone* 910-205-6379 Location/Site Name: Sea location map No. of wells to be sampled: e :RMIT Number: Expiration Date: 07/312017 )n-Discharge WO000061 UIC IDES - Other IFE OF PERMITTED OPERATION BEING MONITORED ❑ lagoon ❑ Remediation: Infiltration Gallery ❑ Spray Feld ❑ Remediation: ❑ Rotary Distributor ❑ Land Application of Sludge ❑ Water Source Heat Pump -9 Other. Monitoring Wells L ID NUMBER (from Permit): MW-e Date sample collected: 12/0212 FIELD ANALYSES: °C DRY DRY at Depth: 5s.ez R Well Diameter. 2 in. _ H o040o: 521 units Temp. 110,0: P - time of h to Water Level 82646:46.89 R below measuring point Screened Interval: fL to _fL _ Spec. Cond. 00094: µMhos sam lin P tuning Point is 405.69 fL above land surface Relative M.P. Elevation: ft. Odor 000e5: check meof waterpumped!bailed-beforesampling: gallons Appearance here:(— L nfne rnr mptnfc worn enlrnctpd urditterpd- l,%1 YES ❑ NO and field acidified: ® YES 0 NO ate sample analyzed:ll/o5/12 Laboratory Name: TestAmedca 4RAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. COD 00335 mg/L Nitrite (NO,) as N o0615 mg/L Coliform: MF Fecal 31616 /100mL Niirale (NO3) as N 00620 9.7 mg/L Colifonn: MF Total 31504 11OOmL Phosphorus: Total as P oo66s mg/L (Note: Use MM method for highly tondo SXM10) Orthophosphate 70507 mg/L ;solved Solids:Total 70300 200 mg/L AI -Aluminum oi1o5 mg/L pH (Lab) 00403 units Be - Barium 01007 40 ug/L TOO ocsso 1.7 mg/L Ca - Calcium 0091e mg/L Chloride 00940 mg/L Cd -Cadmium 01027 <1.8 ug/L Arsenic 01002 450 ug/L Chromium: Total 01o34 2.7 ug/L Grease and Oils 00552 mg/L Cu - Copper 01042 mg/L Phenol 32730 ug/L Fe-Iron01045 ug1L Sulfate oo945 mg/L Hg - Mercury 71900 ug/L aecific Conductance 000gs 232 µMhos K- Potassium 00937 mg/L Total Ammonia 00610 mg/L Mg - Magnesium 00927 mg/L (Nmnda Mtmgen: NH�ss N:Ammohla Nitrogen TOW) Mn- Manganese olo55. ug/L TKN as N o0625 mg/L Ni - Nickel 01067 ug/L Certification No. 268 Pb-Lead o10s1<Is uglL Zn-Zinc 01092 mgfL Other (Specify Compounds and Concentration Units): ORGANICS: (by GC, GC/MS, HPLC) (Specify test and method #. ATTACH LAB REPORT.) Lab Report Attached? • ❑ Yes (1) ❑ No (0) VOC 78732: , method # method # method # method # For Remediation Systems Only (Attach Lab Reports): mnuent joust vws: •y-� � ��• • �••^• ----• - Cad A. Gerhardstein, AVP Environmental Systems and Sustainability Pennittee (orAuthodzed Agent) Name and 7iUe= Please print ortyoe GW59 Rev. 22010 GN,Vr_59A COMPLIANCE REPORT FORM Permit # W0000061 tSubmit mee each monitoring period with GIV-59 fnnnc) 1 Enter date monitoring results were due. (0412812013) Will this monitoring report (GW-59 and GW-59A) YES NO be submitted after the established due date? X 2 Was any required information missing on the GW-59 report forms? YES NO X 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 "Yes", contact the Regional Ofcejorguidance. X 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. X If the answerto question 4 is "YES" list the affected wells individually with constituent(s) 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 samewell(s) in the last two years? If the answer to question 5 is "NO" skip to section 8. X If the answer to question 5 is "YES", list in the space provided below, each well with constituent(s) exceeding standards, concentrations) reported, and sample collection date for each occurrence (for the last two•years). 6 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 maybe occurring. CONTACT THE REGIONAL X 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? X 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 reuauired to determine the impact the waste disposal system is havina at the review and compliance boundaries surroundina this facility. Failure todo so may subiect the permittee to a Notice of Violation, fines. and/or penalties. g' The person completing this portion (G W-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. 1`herd acknowledge thatthan ove' #onnat on was evaluated adilahe information submitted- this T' eport eport _ true and completelo the best of my, knowledge r of Ddro-tte r ed Agent) Da GNt'-59A 12/8/2003