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HomeMy WebLinkAboutWQ0018708_GW Monitoring_20131231.� GW-59A COMPLIANCE REPORT FORM Permit # UJQ 001 S9 059 (Submit one each monitoring period with GW-59 forms.) 1 Enter date monitoring results were due. ( A-31- i� Will this monitoring report (GW-59 and GW-59A) YES O 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.)7If the answer is "Yes", contact the Regional Office for guidance. 4 Are any monitored constituents equal to or above the established standards? ES 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. Mud -3 (�N 4, � MW-a H NW-5 5. (a 5 For the constituents identified in question 4 above, have standards been exceeded previously for the ES 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 s mple collection date for each occurrence (for the last two years). Nov I d jgCtr i'3 0 Mu}i 14.5. +5 •F, f tAW A 4. to 4. + 4-.4 M w3 4 cl 6.0 '--'7 rlj Are the monitoring wells listed in section 5 located at or beyond the review boundary? YES NO If the answer is "YES". a groundwater qualify problem maybe 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 da s• an evaluation may be reciuired to determine the impact the waste disposal s ste s a wand com liance boundaries surrounding this facility. Failure to do so m fill$ r i to a A!qw-of li4 lion, ` fines, and/or penalties. MAV 0 Z 0% APR 30 2314 � WATEk(jU LgyQ ECTO®O' I '9^�f1k�Ail{iiiflklo��9nP e�a�ttAei�9rT 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 the top of the current GW-59 form. rI he'reby acknowledgeahatthe above information was'evaluated and the. information ubtnitted in this �xeport (Compliance Re ortLLGW-59A) is true and complete to the best of my knowledge w N 1 •3 •DUI Signature of Perms ee (or Authorized Agent) Date GW-59A 12/8/2003 SUBMIT FORM ON YELLOWRAPER ONLY GROUNDWATER QUALITY MONITORING: COMPLIANCE REPORT FORM FACILITY INFORMATION Please Ptlnt clearly or Type Facility Name:. Baytree Lakes Permit Name (if different): Lake Creek Corp-Baytree Lakes Facility Address: 33 West Bay Ridge Road Harrells (street) NC 28444 County Bladen act Person: Heather Adams Telephone#: 2522354900 Location/Site Name: MW 1, No. of wells to be sampled: 4 WENT &NATURAL RESOURCES ITY-INFORMATION PRbcEsSiNG .UNI,T., PERMIT Number: WQ0018708 Expiration Date: 6/30/2016 Non -Discharge X 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 - WELL ID NUMBER (from Permit): MW 1 Date sample collected: 11/06/2013 Well Depth: 25 ft. Well Diameter: 2 in. Depth to Water Level 82546: 9.32 ft. below measuring point., 'Screened Interval: ft. to ft. Measuring Point is 3 ft. above land surface Relative M.P. Elevation: ft. Volume of water pumped/bailed before sampling: 3.5 gallons Samples for metals were collected unfiltered: ❑ YES ❑ NO and field acidified: ❑ YES ❑ NO Date sample analyzed: 11/06-11/11/2013 Laboratory Name: Environment 1 PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. COD.00335 mg/L Nitrite (NO2) as N oos15 mg/L Coliform: MF Fecal 31616 <i /100mL Nitrate (NO3) as N 00620 <0.04 mg/L Coliform: MF Total 31504 /100mL Phosphorus: Total as P 00665 <0.04 mg/L (Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L issolved Solids:Total 703oo 34. mg/L AI -Aluminum 01105 mg/L pH (Lab) oo403 units Ba - Barium o1007 ug/L' TOC 006so 3.10 mg/L Ca - Calcium oo916 mg/L. Chloride 00940 8 mg/L- Cd - Cadmium 01027 ug/L Arsenic 01002 ug/L. Chromium: Total 01034 ug/L Grease and Oils 00'552 mg/L Cu - Copper,01042 mg/L Phenol 32736 ug1L Fe -Iron 01045 ug/L Sulfate 00945 mg/L Hg - Mercury 71900 ug/L pecific Conductance 0oo95 . µMhos K - Potassium 00931 mg/L Total Ammonia 00610 0.14 mg/L Mg - Magnesium 00927 mg/L .(Ammonia Nitrogen; NH3 as N; Ammonia Nitrogen, Total) Mn -Manganese o1os5 ug/L TKN as N 00625 mg/L Ni - Nickel 01067 ug/L FIELD ANALYSES: pH 00400: 4.4 . units, Temp. 000lo: 21 °C Spec. Cond. 00094: µMhos Odor. 00085: Appearance Certification No. 10 Pb - Lead o1o51 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 (1) N1 No (0) VOC 7s732: method # 6200C method # method # method # ­...QUW1I Oysrerns unry kAuacn Lao meports): mnuent I otal vUcs: mg/L Effluent Total. VOCs: mg/L VOC Removal% Heather Adams,'Director of Operations, Erivirolink, Inc. Perrnittee (or Authorized Agent) Name and Title - Please print or type GW-59 Rev. 2/2o10 WELL at Of 107 SUBMIT FORM ON YELLOW PAPER ONLY GROUNDWATER QUALITY MONITORING: COMPLIANCE REPORT FORM Print C/eadv or Facility Name: Baytree Lakes Permit Name (if different): Lake Creek Corp-Baytree Lakes Facility Address: 33 West Bay Ridge Road Harrells islroet) NC 28444 County Bladen (City; {state) i1z Contact Person: Heather Adams Telephone#: 2522354900 Well Location/Site Name: MW 2 No. of wells to be sampled: 4 (from PertnAl DEPARTMENT OF ENVIRONMENT & NATURAL RE90URCES .' .. DIVISION ;OF WATER QUALITY -INFORMATION PROCEsSINCs UNIT, 1617 MAIL SERVICE cENTE1t,;RALEI6H,'NC 276994617 - Phone: (919).733-3221 PERMIT Number: W00018708 Expiration Date: 6/30/2016 Non -Discharge X 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: L ID.NUMBER (from Permit): MW2 Date sample collected: 11/06/2013 Depth: 27.9 ft, Well Diameter: 2 in. i to Water Level 62546: 8.10 ft. below measuring point Screened Interval: ft. to , ft. luring Point is 3 ft. above land surface Relative M.P. Elevation: - ft. ne of water pumped/bailed before sampling: 3.5 gallons ales for metals were collected unfiltered: ❑ YES ❑ NO and field acidified: ❑ YES ❑ NO Date sample analyzed:11/06-11/11/2013 Laboratory Name: Environment 1 PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. COD 00335 mg/L Nitrite (NO2) as N 00615 mg/L Coliform: MF Fecal 31616 <1 /100mL Nitrate (NO3) as N. 00620 <0.04 mg/L Coliform: MF Total 31504. /100ml- Phosphorus: Total as P 00665 <0.04 mg/L (Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L )issolved Solids:Total 70300 35 mg/L AI - Aluminum 01105 mg/L OH -(Lab) 00403.. units Ba - Barium 01007 ug/L TOC 0066o 3.69 mg/L Ca - Calcium 00916 m /L g Chloride 00940 10 tng/L Cd -Cadmium 01027 ug/L Arsenic 01002 ug/L Chromium: Total 01034 ug/L Grease and Oils 00552 mg/L Cu - Copper 01042 mg/L Phenol 32730 ug/L Fe - Iron 01045 ug/L Sulfate 00945 mg/L Hg - Mercury 71900 ug/L Specific Conductance o0095 µMhos K - Potassium oo937 mg/L Total Ammonia 00610 0.10 mg/L Mg - Magnesium 00927 mg/L (Ammonia Nitrogen; NH3 as N; Ammonia Nitrogen, Total) Mn - Manganese 01055 u 9./L TKN as N 00625 mg/L Ni - Nickel 01067 ug/L. If WELL FIELD ANALYSES: WAS pH oo400: 4.4 units Temp. 000lo: 21 °C DRY at Spec. Cond. 00094: µMhos time of sampling, Odorr00065: check Appearance - here:❑ Certification No. 10 Pb - Lead oios1 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 (1) © No (0) VOC 78732: , method # 6200C method # method # method # I certify that, to the best of my knowledge and belief, the information submitted in this repoit is true, aocurate, and complete, and that the laboratory afiafytical data was produced using approved methods of analysis by a D1NQ oertified Laboratory. I aril awaretHat there aresignific�nt j5�(taftiefor Su6rnitti'ngiafs inFolm�fiofi, (n`cliidinyth� ptiSsiliil(ty of fine'""s a"ttd (rr�irisbn'itien'toi kisowing viotaiion�.,, Heather Adams, Director of Operations, Envirolink,. Inc. Pemtittee (or Authorized Agent) Name and Tale - Please print or type GW-59 Rev.2/2010 12/31•/2013 SUBMIT FORM ON YELLOW PAPER ONLY ROUNDWATER QUALITY MONITORING: OMPLIANCE REPORT FORM Facility Name: Baytree Lakes Permit Name (if different): Lake Creek Corp-Baytree Lakes Facility Address: 33 West Bay Ridge Road Harrells (Street) NC 28444 County Bladen _ tCilyt (State) t2ipi . Contact Person: Heather Adams Telephone#:-2522354900 Well Location/Site Name: MW 3 No. of wells to be sampled:.4 1RTMENT OF ENVIRONMENT a;NATURAL RESOURCES >ION OF WAiMR QUAUTY•INFORMATION PROCESSINGWNIT MAIL SERVICE CENTER, RALEIGH, NC 27699A617 Phone: (9191.733 221 Number: W00018708 Expiration Date: :harge X UIC IDES Other 'PE OF PERMITTED OPERATION BEING MONITORED ❑.Lagoon ❑ Remediation: Infiltration Gallery ® Spray Field ❑ Remediation.- ❑ Rotary Distributor ❑ Land Application of Sludge ❑ Water Source Heat Pump ❑ Other: �r Ivly "13"1 a'arvrcmM t tvry If WELL WELL ID NUMBER (from Permit): MW3 Date sample collected: 1 V06/2013 -FIELD ANALYSES: WAS Well Depth: 25 " ft. Well Diameter. 2 in. pH 00400: 4.7 units Temp. 000lo: 21 °C DRY at Depth to Water Level 82546: 7.13 ft. below measuring point Screened Interval: ft. to ft. Spec. Cond. 00094: µMhos time of MeasuringPoint is 3.5 ft. above surface Relative M.P. Elevation: _ ft. Odor 00085: sampling, check Volume of water pumped/bailed before sampling: 3.5 gallons Appearance here: a Samples for metals were collected unfiltered: ❑ YES ❑ NO and field acidified: ❑ YES ❑ NO Date sample analyzed: 11/06-11/11/2013 Laboratory Name: Environment 1 Certification No. 10 PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. COD 00335 mg/L Nitrite (NO2) as N 00615 mg/L Pb - Lead olos1 ug/L • Coliform: MF Fecal .31616 <1 /100mL Nitrate (NO3) as N 00626 0.08 mg/L Zn : Zinc 01092 mg/L Coliform: MF Total 31504 /100mL Phosphorus: Total as P 00665 <0.04 mg/L (Note: Use MPN method for highly turbid samples) Orthophosphate70507 mg/L Other (Specify Compounds and Concentration Units): issolved Solids:Total 70300 5,7 mg/L Al - Aluminum 01105 mg/L PH (Lab) 00403 units Ba - Barium 01007 ug/L, TOC oomo 1.74 mg/L Ca- Calcium 00916 mg/L Chloride 00940 17 mg/L Cd - Cadmium 01027 ug/L Arsenic 01002 ug/L Chromium: Total 01034 ug/L Grease and 011s 00552 mg/L Cu - Copper 01042 mg/L ORGANICS:' (by GC, GC/MS, HPLC) Phenol 32730 ug/L Fe -Iron oloas ug/L (Specify test and method #. ATTACH LAB REPORT.) Sulfate 00945 mg/L Hg - Mercury 71900 ug/L Lab ReportAttached? ❑ Yes-(1) ® No(0) Specific Conductance o0095 µMhos K - Potassium 00937 mg/L VOC 76732: ,method # 6200C Total Ammonia oosl o 0.04 mg/L Mg - Magnesium oo927 mg/L , method # (Ammonia Nitrogen; NH3as N; Ammonia Nitrogen, Total) Mn - Man Manganese o1055 g ug/L. , method #. TKN as N 00625 mg/L Ni - Nickel o1067 tiglL ,method # • �• •��• .�ya�curs vnry trivacn Sao rtepor[s/: inrluent i oial vut;s: mg/L Effluent Total VOCs: mg/L VOC Removal% Vvv- rRCV. L/LUIU ' SUBMIT FORM ON YELLOW PAPER ONLY GROUNDWATER QUALITY MONITORING: COMPLIANCE REPORT FORM FACILITY INFORMATION rtease rnnr weany or type Facility Name: Baytree Lakes Permit Name (if different): Lake Creek Corp-Baytree Lakes Facility Address: 33 West Bay Ridge Road Harrells (street~ NC 28444 . ^ County Bladen act Person: Heather Adams Telephone#: 2522354900 Location/Site Name: MW 5 No. of wells to be sampled: 4 LID NUMBER (from Permit): MW5 Date sample collected: 11/06/2013 Depth: 25 ft. Well Diameter: 2 in. i to Water Level 82546: 8.54 ft. below measuring point Screened Interval: ft. to luring Point is 3.0 ft. above land surface Relative M.P. Elevation: ft. ne of water pumped/bailed before sampling: 3.5 gallons ales for metals were collected unfiltered: ❑ YES ❑ NO and field acidified: ❑ YES ❑ NO tENT,OF'ENVIRONMENT 8r NATURAL RESOURCES OFWATER'QUAUI Y-INFORMATION PROCESSING -UNIT SERVICE CENTER, RALEIGt'f NC 27698 1617 Phone (919)733-3221, r PERMIT Number: WQ0018708 Expiration Date: 6/30/2016 Non -Discharge X 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: ft. FIELD ANALYSES: OH 00400: 5.6 units Spec. Cond. 00094: Odor o0085: Temp. 0oolo: 21 °C DRY at µMhos time of Appearance I here: ❑ Date sample analyzed:11/06-11/1112013 Laboratory Name: Environment 1 Certification No. 10 PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. COD 00335 mg/L Nitrite (NO2) as N 00615 mg/L Pb - Lead olo51 uglL Coliform: MF Fecal 31616 <1 /100mL Nitrate (NO3) as N 00620 0.36 mg/L Zn - Zinc 01092 mg/L Coliform: MF Total 31504 /100mL Phosphorus: Total as P oos65 <0.04 mg/L (Note: Use MPN method for highly turbid samples) Orthophosphate 76507 mg/L Other (Specify Compounds and Concentration Units): issolved Solids:Total 70300 56 mg/L Al - Aluminum o11o5 mg/L pH (Lab), 00403' units Ba - Barium 01007 ug/L TOC oosso <1.00 mg/L Ca —Calcium 00916 mg/L Chloride 0094o 20 mg/L Cd - Cadmium 01027 ug/L Arsenic 01002 ug/L Chromium: Total 01 .034 ug/L Grease and Oils 00552 mg/L Cu - Copper 01042 mg/L ORGANICS: (by GC, GC/MS, HPLC) Phenol 32730 ug/L Fe - Iron 01045 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) peck Conductance 00095 µMhos K - Potassium 00937 mg/L VOC 78732: , method # 6200C Total Ammonia.00610 0.06 mg/L Mg - Magnesium oo927 mg/L , method # (Ammonia Nitrogen; NH3 as N; Ammonia Nitrogen, Total) Mn - Manganese.01055 ug/L• , method # TKN as N 00625 mg/L Ni'_ Nickel 01067 ug/L , method # I -or Kemematlon Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal% Heather Adams, Director of Operations, Envirolink,-Inc. Perrnittee (or Authorized Agent) Name and Title - Please print or type GW-59 Rev.2/2010 OW-59A COMPLIANCE REPORT FORM Permit # W&,(4 3r1 O S (Submit are each monitoring period with GW-59 forms.) (x y- g Enter date monitoring results were due. ( - 00-W I WIII this monitoring report (GW-59 and GW-59A) YES NO be submitted after the' established due date? Was any required information missing on the GW-59 report forms? YES O 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. Are any of the monitor wells in need of repair or maintenance (damaged c `' If is "Yes", m �k1,, , OL. 3 YES O identification plate, area overgrown, etc.)? the answer contact � I Are any monitored constituents equal to or above the established s i If the answer to question 4 is "NO", skip to section 8. l i "YES" 4 Y S NO If the answer to question 4 is list the affected wells individually t, s) exceeding standards in the space provided below. MU—) — I P W 4.5 M LA) nnw - a 14 4.4- rnvw- 5 pli-I UIC 5 For the constituents identified in question 4 above, have standards been exceeded previously for the ES 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 B. 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). Al W 4 4.5 4.6 14.5 sm us A d4. 3 �• (o 4. 4 ern L03 5.0 5 .o m w 5 g ,�� � r q is 6 Are the monitoring welfs 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 O 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 subject the permittee to�a Notice of Violation, fines, and/or penalties. SEP 16 2013 8� 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 the top of the current GW-59 form. #I hereby acknovdledge that the above,mformat�on was evaluated and the information-submitted}m'tFis report.(Com, .fiance Report W 59A),is true and: complete to the best:of;my_Yknowiedge_ „_ :.�, .. Sig "aiure of Permittee (or Authorized Agent) Date GW-59A 12/8/2003 SUBMIT FORM ON YELLOW PAPER ONLY ROUNDWATER QUALITY MONITORING: OMPLIANCE REPORT FORM or Facility Name: Baytree Lakes Permit Name (if different): Lake Creek Corp-Baytree Lakes Facility Address: 33 West Bay Ridge Road Harrells iSlreatl NC 28444 County Bladen rr;p1;. (Stara) 0P) act Person: Heather Adams Telephone#: 2522354900 Location/Site Name: MW 1 No. of wells to be sampled: 4 IT,:.I:. q,(999),733=3221 ;,.' PERMIT Number: WQ0018708 Expiration Date: 6/30/2016 Non -Discharge X UIC• NPDES Other TYPE OF PERMITTED OPERATION BEING MONITORED ❑ Lagoon ❑ Remediation: Infiltration Gallery 9 Spray Field ❑ Remediation: ❑ Rotary Distributor ❑ Land Application of Sludge ❑ Water Source Heat Pump ❑ Other: WELL ID NUMBER (from Permit): MW 1 Date sample collected: 7/31/2013 P Well Depth: 25 ft. Well Diameter: 2 in. Depth to Water Level 82546: 7.66 ft. below measuring point Screened Interval: ft. to ft. Measuring Point is 3 ft. above land surface Relative M.P. Elevation: ft. Volume of water um ed/bailed before sampling: 3.5 P P p g: gallons Samples for metals were collected unfiltered: El YES NO and field acidified: El YES NO FIELD ANALYSES: pH o0400: 4.5 units Temp. oaolo: 21 C Spec. Cond. 00094: µMhos Odor 00085: Appearance It WAS �� DRY at time of sampling, check here: ® LABORATORY INFORMATION Date sample analyzed: 7/31-8i8i2013 Laboratory Name: Environment 1 Certification No. 10 PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. COD 00335 mg/L Nitrite (NO2) as N oo615 mg/L Pb - Lead o1o51 ug/L Coliform: MF Fecal 31616 1 1100mL Nitrate. (NO3) as N 00620 <0.04 mg/L Zn - Zinc 01092 mg/L Coliform: MF Total 31504 /100mL Phosphorus: Total as P, 00665 <0.04 mg/L (Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units): issolved Solids:Total 703oo 25 mg/L Al -Aluminum 01105 mg/L pH (Lab) 00403 units Ba - Barium 01007 ug/L TOC oo68o 3.36 mg/L Ca -Calcium oo916 mg/L Chloride 0094o 4 mg/L Cd - Cadmium 01027 ug/L Arsenic 01002 ug/L Chromium: Total 01034 ug/L Grease and Oils 00552 mg/L Cu - Copper 01042 mg/L ORGANICS: (by GC, GC/MS, HPLC) Phenol 32730 ug/L Fe - Iron 01045 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) Specific Conductance 60095 µMhos K - Potassium 00937 mg/L . VOC 78732: method # 6200C Total Ammonia 00610 0.19 mg/L Mg - Magnesium 00927 mg/L method # (Ammonia Nitrogen; N%as N; Ammonia Nitrogen, Total) Mn -Manganese o1055 ug/L ,method TKN as N 00625 mg/L - Ni - Nickel 01067 ug/L , method # For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal% ASMIMIa - . wig-1 IINHeather Adams, Director of Operations, Envirolink, Inc. Permittee (or Authorized Agent) Name and Title - Please print or type 8/30/2013 Signature of Permittee (or Au orized Agent) (Date) GW-59 Rev, 212010 SUBMIT FORM ON YFI I nw PGPPRO nnu v GROUNDWATER QUALITY MONITORING: COMPLIANCE REPORT FORM t-AGI I_l I Y INFORMATION rtease t-nnr weany or Type Facility Name: Baytree Lakes Permit Name (if different): Lake Creek Corp-Baytree Lakes Facility Address: 33 West Bay Ridge Road Harrells "I`��t1 NC 28444 County Bladen ntact Person: Heather Adams Telephone#: 2522354900 A Location/Site Name: MW 2 No. of wells to be sampled: 4 WELL ID NUMBER (from Permit): MW 2 Date sample collected: 7/31/2013 Well Depth: 27.9 ft. Well Diameter: 2 in. Depth to Water Level 8254s: 6.50 ft. below measuring point Screened Interval: ft. to ft. Measuring Point is 3 ft. above land surface Relative M.P. Elevation: -ft. Volume of water pumped/bailed before sampling: 3.5 gallons Samples for metals were collected unfiltered: ❑ YES ❑ NO and field acidified: ❑ YES ❑ NO LABORATORY INFORMATION . Date sample analyzed: 7/31-8/8/2013 Laboratory Name: Environment 1 PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. COD oo335 mg/L Nitrite (NO2) as N oo615 mg/L Coliform: MF Fecal 31616 <1 /100ml- Nitrate (NO3) as N 00520 <0.04 mg/L Coliform: MF Total 31504 /100ml- Phosphorus: Total as P 00665 <0.04 mg/L (Note: Use MPN method for highly turbid samples) Orthophosphate 70507 m9 /L issolved Solids:Total 703oo 33 mg/L Al -Aluminum o1105 mg/L pH (Lab) 00403 units Ba - Barium 01007 ug/L TOC 00680 2.40 mg/L Ca - Calcium 00915 m9 /L Chloride 00940 8 mg/L Cd - Cadmium 01027 ug/L Arsenic 01002 ug/L Chromium: Total 01034 ug/L Grease and Oils 00552 mg/L Cu - Copper 01042 mg/L Phenol 32730 ug/L Fe - Iron 01045 ug/L Sulfate 00945 mg/L Hg - Mercury 71900 ug/L pecific Conductance 000m µMhos K - Potassium 00937 mg/L Total Ammonia 00610 0.14 mg/L. Mg - Magnesium 00927 mg/L (Ammonia Nitrogen; NH3 as N; Ammonia Nitrogen, Total) i Mn -Manganese o1o56 ug/L TKN as N 00625 mg/L Ni - Nickel 01057 ug/L Fnr Rcmorlia+inn Cvc+n A.J., /A"--" r _� M___s :RMIT Number: WQ0018708 Expiration Date: 6/30/2016 In -Discharge X UIC IDES Other 'PE OF PERMITTED OPERATJON BEING MONITORED ❑ Lagoon ❑ Remediation: Infiltration Gallery 0 Spray Field ❑ Remediation: ❑ Rotary Distributor ❑ Land Application of Sludge ❑ Water Source Heat Pump ❑ Other: FIELD ANALYSES: pH 00400: 4.4 units Spec.-Cond. 00094: Odor 000m: Appearance Temp. 000lo: 21 °C µMhos Certification No. 10 Pb - Lead o1o51 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 (1) 0 No (0) VOC 78732: method # 6200C method # method # method # -- --_ •. r„•-rr• t.,.a, ��+��. rngn- cutuent iota) vUGs: Heather Adams, Director of Operations, Envirolink, Inc. >Permittee (or Authorized Agent) Name and Title - Please print or type - GW-59 Rev.2/2010 mg/L VOC Removal% 8/30/2013 WELL DRY at time of sampling, check here:❑ SUBMIT FORM ON YELLOW PAPER ONLY GROUNDWATER QUALITY MONITORING: ' - � �crwrcrmctvL4vttsCNY11LW�11NENT7rirNATUtiALRESOURCES .'�.I DI�/I�SION OF WATER QUALITY-4NFORMAtON PROCESSING 11NIT COMPLIANCE REPORT FORM " a �aeras,ceov,re°n�.,ree FACILITY INFORMATION measePnnrclearly orType PERMIT Number: WQ0018708 Expiration Date: 6/30/2016 Facility Name: Baytree Lakes Non -Discharge x UIC Permit Name (if different): Lake Creek Corp-Baytree Lakes NPDES Other Facility Address: 33 West Bay Ridge Road TYPE OF PERMITTED OPERATION BEING MONITORED Harrells (Street) NC 28444 County Bladen ❑ Lagoon ❑ Remediation: Infiltration Gallery ® Spray Field ❑ Remediation: (Contact Person: Heather Adams Telephone#: 2522354900 ❑ Rotary Distributor El Land Application of Sludge Well Location/Site Name: MW 3 No. of wells to be sampled: 4 ❑ Water Source Heat Pump ❑ Other: WELL ID NUMBER (from Permit): MW3 Date sample collected: 7/31/2b1.3 Well Depth: 25 ft. Well Diameter: 2 in. Depth to Water Level 92546: 5.45 ft. below measuring point Screened Interval: ft. to ft. MeasuringPoint is 3.5 ft. above land surface Relative M.P. Elevation: ft. Volume of water pumped/bailed before sampling: 3.5 gallons Samples for metals were collected unfiltered: ❑ YES ❑ NO and field acidified: ❑ YES ❑ NO FIELD ANALYSES: pH 00400: 5.7 units Temp. 000lo: 21 °C Spec. Cond. 00094: µMhos Odor 000as: Appearance WAS DRY at time of sampling, checkhere: ❑ LABORATORY INFORMATION Date sample analyzed: 7/31-6/8/2013 Laboratory Name: Environment 1 Certification No. 10 PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. COD oo336 mg/L Nitrite (NO2) as N 00615 mg/L Pb - Lead o1051 ug/L Coliform: MF Fecal 31616 <1 /100mL Nitrate (NO3) as N 00620 0.14 mg/L Zn - Zinc 01092 mg/L Coliform: MF Total 31504 /100mL Phosphorus: Total as P om65 0.08 mg/L (Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units): issolved Solids:Total 7030o 77 mg/L -Al -Aluminum 01105 mg/L pH (Lab) 00403 units Ba - Barium o1007 ug/L TOC 00680 5.89 mg/L Ca - Calcium 00916 mg/L Chloride 00940 13 mg/L Cd - Cadmium 01027 ug/L Arsenic 01002 ug/L Chromium: Total 01034 ug/L Grease and Oils 00552 mg/L Cu - Copper 01042 mg/L ORGANICS: (by GC, GC/MS, HPLC) Phenol 32730 ug/L Fe - Iron 01045 ug/L (Specify test and method #. ATTACH LAB REPORT.) Sulfate 00945 mg/L Hg - Mercury 71900 ug/L Lab Report Attached? ❑ Yes (1) 0 No (0) pecific Conductance 00095 µMhos K - Potassium 00937 mg/L VOC 78732: method # 6200C Total Ammonia 00610 0.12 mg/L Mg - Magnesium oo927 mg/L method # (Ammonia Nitrogen; NH3 as N; Ammonia Nitrogen, Total) Mn - Manganese o1o5s 9 ug1L ,method # TKN as N 00625 mg/L Ni - Nickel 01067 ug/L a method # _,_._.... _..., �Wt,,,,Lc1, uniuCnL rutat vvt✓s: mg/L tttwent Iotal vuGs: mg/L VOC Removal% Heather Adams, Director of Operations, Envirolink, Inc. Pemiittee (or Authorized Agent) Name and Title - Please print or type (�. GW-59 Rev. 2/2010 oumvn i rumivi Ury YtLLUVV PAPEK ONLY GROUNDWATER QUALITY MONITORING: COMPLIANCE REPORT FORM FACILITY INFORMATION Please PnntCleadyorType Facility Name: Baytree Lakes Permit Name (if different): Lake Creek Corp-Baytree Lakes Facility Address: 33 West Bay Ridge Road Harrells NC 28444 County Bladen (state) (Zip) Contact Person: Heather Adams Telephone#: 2522354900 Well Location/Site Name: MW 5 No. of wells to be sampled: 4 T PERMIT Number: WQ0018708 Expiration Date: 6/30/2016 Non=Discharge X 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: WELL ID NUMBER (from Permit): MW5 Date sample collected: 7/31/2013 FIELD ANALYSES• If WELL WAS Well Depth: 25 ft, Well Diameter: 2 in. pH oo4lo: 6.0 units Temp. 000lo: 20 °C DRY at Depth to Water Level 82546: 7.74 ft. below measuring point Screened Interval: ft. to ft. Spec. Cond. 00094: µMhos time of MeasuringPoint is 3.0 ft. above land surface Relative M.P. Elevation: ft. Odor 000ss: sampling, Volume of water pumped/bailed before sampling: 3.5 gallons Appearance check here: Samples for metals were collected unfiltered: ❑ YES ❑ NO and field -acidified: ❑ YES ❑ NO Certification No. 10 Pb - Lead o1o51 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 (1) ® No (0) VOC 78732: , method # 6200C method # method # ,method # P-1 Onm iaiinn n—k. /wu....� I -�--- a ^�w�•� �� .�cNv� Wt. uuweni WWI vUI.s: mg/L Ettluent Total VOCs: mg/L VOC Removal% ..Heather Adams, Director of Operations, Envirolink Inc. 8/30/2013 Permittee (or Authorized Agent) Name and Title - Please print or type Signat re of Permtttee (or uthonzed Agent) (Date) ,,,13*59 Rev, MR GW-59A COMPLIANCE REPORT FORM Permit # Wa 0010 1C>P "tl • (Submit one each nionitoring.period with Gll- 59 forms.) 7 1 Enter date monitoring results were due. ( ) Will this monitoring report (GW-59 and G 9A) NO be submitted after the established due date? 2 t1 0 201 0 Was any required information missing on the GW-59 report forms? JUL YES NO IF the answer to question 1 or 2 is "YES", list in the space provided below the well identification numbers a 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 Office for guidance. 4 Are any monitored constituents equal to or above the established standards? ES 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: n .- I PI-1 Lf-.5 . ()')LC-5 P►j 5.D m Lu - 3, pH 14.4 -( P N 5 .q 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 for each occurrence (for the last two years). 11VI IW 1 rr1 WL 4.3 fl1 W `2 .O L{. cj -- - --- 1�14l'4 6 Are the mon toring wells liste 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 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 subject the permittee to a Notice of Vlolaq fines, and/or penalties. JUN 2 4 2013 WATER QUALITY SECTION INFORMATiON PROCESSING UNI g The person completing this -portion (GIN--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 information was evaluated and the information submitted in this. report (Compliance Report GW-59A) is true -and complete to the best of my knowledge. Signature of Permittee (or Authorized Agent) Date GNAT-59.A 12/8/2003 SUBMIT FORM' ON YELLOW PAPER ONLY •• 4EPARTMENICOF;ENVIRONMENT&NATURAL)2ESOU 'ES ; >, GROUNDWATER QUALITY MONITORING: •- •• DIVISION OF WATER QUALITY INFORMATION PROCES GUNIT t�. REPORT FORM7 ... MAILSERVICECENTER RALEIGH ;NC2769916i7 .,COMPLIANCE Phone: (919) 733.3221 '.. FACILITY INFORMATION Please Print Clearly or Type )�'II PERMIT Number: W00018708 Expiration Dat : 6/3012016 Facility Name: Baytree Lakes PfI. I� Non -Discharge X UIC Permit Name (if different): Lake Creek Corp-Baytree Lakes NPDES Other FacilityAddress: 33 West Bay Ridge Road Y 9 11I; ,�,:,�� TYPE OF PERMITTED OPERATION BEING Mo 4ITORED Harrells (Street) NC 28444, Count Bladen y ❑Lagoon ❑ R'emediatio .Infiltration Gallery (�.itl (Scala! (Zipt ,_ 'i.•�I , r - � Spray Field ❑ Remediatio Contact Person: Heather Adams Telephone#: 2522354900 ❑ Rotary Distributor ❑ Land Appli( ition of Sludge Well Location/Site Name: MW 1 No.'of wells to be sampled: 4 ❑ Water Source Heat Pump ❑ Other. (from Permit) ' SAMPLING INFORMATION If WELL WELL ID NUMBER (from Permit): MW 1 Date sample collected: 3/4/13 FIELD ANALYSES: WAS Well Depth: 25 ft. Well Diameter: 2 in. pH 00400: 4.5 units Temp. 000lo: 16 °C DRY at Depth to Water Level 825a6: 7.72 p ft. below measuring point Screened Interval: ft. to ft. � Spec. Cond. 000s4:- µ Mh time of �s Measuring Point is 3 ft. above land surface Relative M.P. Elevation: ft. Odor 00085: _sampling, check ' Volume of water pumped/bailed before sampling: 9.6 gallons Appearance j here: ❑ Samples for metals were collected unfiltered: ❑ YES ❑ NO and Feld acidified: ❑ YES ❑ NO I LABORATORY INFORMATION Date sample analyzed: 11/13-11/15/2012 Laboratory Name: Environment 1 Certification No. 10 PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. COD 00335 mg/L Nitrite (NOZ) as N oo615 mg%L Pb - Lead 01051 Coliform: MF fecal 31516 <1 /100ml- Nitrate (NO3) as N 00620. <0.04 mg/L Zn -Zinc 01.09.2 mg/ Coliform: MF Total 31504 /100mL. Phosphorus: Total as P 00665 <0.04 mg/L (Note: Use MPN method for highly turbid samples) Orthopho,sphate 70507 mg/L . , Other (Specify Compounds and Concentration Units)': issolved Solids'.Total 7030o 23_ mg/L All -Aluminum o11o5 mg/L pH (Lab) 00403 " units Ba - Barium 01007 ug/L -_ TOC 00680 3.40 mg/L Ca - Calcium 00916 mg/L Chloride-00940 19 mg/L Cd - Cadmium 01027 ug/L ,Arsenic 01002 ug/L Chromium: Total 01034 ug/L Grease and Oils 00552 mg/L ' Cu - Copper 01042 = mg/L ORGANICS: (by GC, GC/MS, HPLC) Phenol 32730 ug/L Fe - Iron 01045 ug/L (Specify test and method #. ATTACH LA REPORT.) Sulfate o0945. mg/L Hg -'Mercury 71900 ug/L Lab Report Attached? ❑ Ye§ 'M EI No (0) Specific Conductance 00095 µMhos K - Potassium 6093i- mg/L VOC 78732: method # 6200 Total Ammonia 00610 0.26. mg/L Mg - Magnesium'00927' mg/L ,method # ' (Ammonia Nitrogen; NH3as N; Ammonia Nitrogen, Total) Mn - Manganese olo5s' ug/L method # TKN as N 00625 mg/L Ni - Nickel 0106T ug/L method # rvr MUM"Ur4►wn aysiems unry (Attacn LaD Kepons): Innuent I otal VUcs: ^ ! mg/L Effluent Total VOCs: mg/L ' VCj4; Removal% ��' Permdtee (or Authorized Agent) Name and Title -Please print or type Signature of Permittee or Authorized Agent), 9 ( 9 GW-59 Rev.2/2010 l +i: Il r SUBMIT FORM ON YELLOW PAPER ONLY DEPARTMENT OF,ENVIRONMENT &NATURAL'RESOUR S ( , GROUNDWATER QUALITY MONITORING: DIVISION OF WATER QUALITY INFORMATION PROCESE ING UNIT.- r ' COMPLIANCE REPORT FORM 1617 MAIL SERVICE CENTER "A EIdH NC,27699 1617 Phone:,(919) 733-3221 FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: WQ0018708 Expiration Dat 6/30/2016 i Facility Name: Baytree Lakes Non -Discharge X UIC Permit Name (if different): Lake Creek Corp-Baytree Lakes NPDES Other Facility Address: 33 West Bay Ridge Road TYPE OF PERMITTED OPERATION BEING MONITORED Harrells (5' ` i) NC 28444 County Bladen El Lagoon ElRemediatio � Infiltration Gallery (i�llJl tslake) (Zipl ®❑ Spray Field ❑ Remediatio i : Ition of Sludge Contact Person: Heather Adams Telephone#: 2522354900 ❑ Rotary Distributor ElLand Appli Well Location/Site Name: MW 2 No. of wells to be sampled: 4 ❑ Water Source Heat Pump ❑ Other: (from Permit) ` SAMPLING INFORMATION If WELL WELL ID NUMBER (from Permit): MW 2 Date sample collected: 314/13 FIELD ANALYSES: WAS Well Depth: 27.9 ft. Well Diameter: 2 in. pH 00400: 4.5 units Temp. 000lo: 15 eC DRY at Depth to Water Level e2546: 6.61 • ft. below measuring point Screened Interval: ft. to Spec. Cond. 000sa: µMh DIs time of _ft. sampling, Measuring Point is 3 ft. above land surface Relative M.P. Elevation: ft. Odor 00085: Check Volume of water pumped/bailed before sampling: 10.2 gallons ",; Appearance { here: Samples for metals were collected unfiltered: ❑ YES ❑ NO and field acidified: ❑ YES ❑ NO LABORATORY INFORMATION Date sample analyzed: 11/13-11/15/2012 Laboratory Name:. Environment 1 Certification No. 10 PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. COD 00335 mg/L Nitrite (NO2) as N 00615, rng/L Pb - Lead o1o51 ug/ Coliform: MF Fecal 31616 <1 /100mL Nitrate (NO3) as N 00626, <0.04 mg/L Zn - Zinc 01092 mg/ Coliform: MF Total 31504 /100mL Phosphorus: Total as P 006se' <0.04 rng/L (Note: Use MPN method for highly turbid samples) Orthophosphate 70587,, mg/L Other (Specify Compounds and Concentra ion Units): dissolved Solids:Total 70300 18 mg/L Al -Aluminum 01110"5',", mg/L pH (Lab) 00403 units ` Ba - Barium o10.Az:0�1 ug/L TOC 0068o•2.91 mg/L Ca - Calcium 00s;Ir"6 mg/L Chloride 00940 12 mg/L Cd - Cadmium 01027I1 ug/L Arsenic 01002 ug/L P' Chromium: Total o1o3al ug/L Grease and Oils 00552 mg/L Cu - Copper o1o4'21 mg/L ORGANICS: (by GC, GC/MS, HPLC) Phenol 32730 ug/L Fe - Iron 61o45 ug/L (Specify test and method #. ATTACH LA3 REPORT.) Sulfate 00945 mg/L Hg - Mercury 71900 ug/L Lab Report Attached? ❑ Yes (1) E No (0) Specific Conductance 00095 µMhos K - Potassium 00937 mg/L VOC 78732: , method # 6200 Total Ammonia 00610 0.09 mg/L Mg - Magnesium 00927 mg/L method # (Ammonia Nitrogen; NH3asN; Ammonia Nitrogen, Total) Mn - Manganese 01055 ug/L , method # TKN as N 00625 mg/L Ni - Nickel 01067 ug/L method # For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L V C Removal% ' Permittee (or Authorized Agent) Name and Title - Please print or type GW-59 Rev.2/2010 t4_ of Permittee (or Authorized Agent) (Date) 10, SUBMIT FORM ON YELLOW PAPER ONLY j iI . . , DEPARTMENT OF'ENVIRONMENT &,NATURAL RESOUR JI UNDWATER QUALITY MONITORING: it DIVISION OF WATER QUALITY INFORMATION PROCE$ I PLIANCE REPORT FORM- i' • • , • 1617 MAIL SERVICECENTER°RALEIGH, NC27699 1617. Facility Name: Baytree Lakes Permit Name (if different): Lake Creek Co Facility Address: 33 West Bay Ridge Road Lakes or RMIT Number: WQ0018708 Expiration n-Discharge X UIC_ DES Other_ PE OF PERMITTED OPERATION BEING Harrells 'sl t' NC 28444 County Bladen El Lagoon ❑ Remedi t` "') (Slag' "'p1 9 Spray Field ❑ Remedi Contact Person: Heather Adams Telephone#: 2522354900 ❑ Rotary Distributor ❑ Land AF Well Location/Site`Name: MW 3 No. of wells to be sampled:, 4 ❑ Water Source Heat. Pump .❑ Other: _ (from Permit) SAMPLING INFORMATION WELL ID NUMBER (from Permit),: MW3 Date sample collected: 3/4/13 --FIELD ANALYSES: Well Depth: 25 ft. Well Diameter: 2 in. pH 00400: 5.0 units_ Temp. oamo: Depth to Water Level 82546: 5.59 ft. below measuring point Screened Interval: ft.' to ft. Spec. Cond. 00094: u Measuring Point is 3.6 ft. above land surface Relative M.P. Elevation: - -ft. Odor 000e5: Volume of water pumped/bailed before sampling: 10.5 " gallons Appearance Samples for metals were collected unfiltered: ❑ YES ❑ NO and field acidified: ❑ YES ❑ NO LABORATORY INFORMATION Date sample analyzed:11/13-11/15/2012 Laboratory Name: Environment 1 PARAMETERS . NOTE: Values should reflect dissolved and colloidal concentrations. 6/30/2016 ITORED Infiltration Gallery pli dtion of Sludge If WELL WAS 17 °C DRY at ..,..I- time of Certification No. 10 f j _COD 00335 mg/L Nitrite (NO2) as N 00615 mg/L Pb - Lead o1051 ug! Coliform: MF Fecal 31616 <1 /100ml- Nitrate (NO3) as N 00620 0.07 mg/L Zn - Zinc 01092 mg! Coliform: MF Total 31504 /100mL Phosphorus: Total as 00665 <0.04 - mg/L ; (Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentra lion Units): issolved Solids:Total 703oo 36 mg/L AI -Aluminum 01105 mg/L _ pH (Lab) 00403 units 'Ba - Barium o10o7 ug/L TOC 0068o 2.91 mg/L Ca.- Calcium 00916 mg/L Chloride 00940 17 mg/L Cd - Cadmium 01027 ug/L Arsenic 01002 ug/L Chromium: Total 01034 ug/L Grease and Oils • 00552 mg/L Cu - Copper 01042 mg/L ORGANICS: (by GC, GC/MS, HPLC) Phenol 32730 Sulfate 00945 ug/L mg/L Fe - Iron 01045 Hg - Mercury 71900 ug/L ug/L (Specify test and method #. ATTACH ILP Lab Report Attached? ❑ Yes (1) E B REPORT.) I No (0) Specific Conductance 00095 µMhos K = Potassium 00937 mg/L VOC 78732: method # 620C q Total Ammonia 00610 <0.04 mg/L Mg - Magnesium 0092i ---mg/L method # - (Ammonia Nitrogen; NH3as N; Ammonia Nitrogen, Total) -- Mn - Manganese olo55: ug/L method # TKN as N 00625 mg/L Ni - Nickel olosz" tig/L ` method # For Remediation Systems Only (Attach Lab Reports):, Influent Total VOCs: it r mg/L Effluent Total VOCs: J mg/L V C Removal% .. . • i'- , Permittee (or Authorized Agent) Name and Title -Please print or type i Signature of Permittee (or Authorized Agent) (Date) GW-59 Rev. 2/2010 �ti, l I (here: ❑ j G RI IRMIT IMPM ON YFI I nW PAPFR nNLY i 0 . . DEPARTMENT OF ENVIRONMENT & NATURAL RESOUR, ,'=S , GROUNDWATER QUALITY MONITORING: DIVISION OF WATER,(3UALITY INFORMATION PROCESS G UNIT : t COMPLIANCE REPORT FORM 1617,MAILSERVICECENTER,RALEIGH NC.276991617` ]Phone:(919)733=3221 FACILITY INFORMATION -Please Print Clearly or Type PERMIT Number: W00018708 Expiration Date 6/30/2016 Facility Name: Baytree Lakes. Non -Discharge -x UIC 1 Permit Name (if different): Lake Creek Corp-Baytree Lakes NPDES Other NITORED Facility Address: 33 West Bay Ridge Road TYPE OF PERMITTED OPERATION BEING MC Harrells (slreeO NC 28444 County Bladen ❑ Lagoon ❑Remediatio Infiltration Gallery • is r iZip1 _ , ❑® Spray Field ❑Remediatio Contact Person: Heather Adams Telephone#: 2522354900 ❑ Rotary.Distributor El Land. Appli tion of Sludge Well Location/Site_ Name: MW 5 No.� of wells to be sampled: 4 El Water Source Heat Pump ❑ Other: - - (from Permit) SAMPLING INFORMATION I If WELL WELL ID NUMBER (from Permit): - MW5 Date sample collected: 3/4/13 FIELD ANALYSES: ) WAS Well Depth: 25 ft. Well Diameter: 2 - in.' pH 00400: 5.9 units Temp. oco1_ o: 16 °C DRY at Depth to Water Level 82546: 7.61 ft. below measuring point _. Screened Interval: ft. to ft-. Spec. Cond. 00094: µ Mh time of. sampling, Measuring Point is 3.0 ft. above land surface Relative M.P. Elevation: ft. Odor 000a5: check Volume of water pumped/bailed before sampling: 9.6 gallons"_,; Appearance here: Samples for metals were collected unfiltered: ❑ YES ❑ NO and field acidified: ❑ YES ❑ NO - El- LABORATORY'INFORMATION Date sample analyzed: 11/13-11/15/2012- Laboratory Name: ,i Environment 1 Certification No: 10 PARAMETERS ,\NOTE: Values should reflect dissolved and colloidal concentrations. j COD 00335 mg/L• Nitrite (NO2) as N 006151 mg/L Pb - Lead 0105.1 ug/L ' Coliform: MF Fecal 31616 <1. /100mL —Nitrate (NO3) as N 00620 0.72 mg/L Zn -Zinc 01092 mg/ Coliform: MF Total 31504 /100mL Phosphorus: Total as P 00665• <0.04 mg/L (Note: use MPN method for highly turbid samples) Orthophosphate 70507) mg/L .. Other -(Specify Compounds and Concentra ion Units): issolved Solids:Tota1703oo 36 mg/L Al -Aluminum o1io5 mg/L , pH (Lab) 00403 - _ units Ba = Barium 01007ii1 ug/L I TOC 00680 1.73 mg/L ir.i Ca -Calcium ooels mg/L I . Chloride 0094o 20 mg/L !F Cd - Cadmium o1027I • ug/L Arsenic 01002 ug/L 'II!°I Chromium: Total 01034 ug/L Grease and Oils 00552 mg/L ij •�I Cu - Copper 010421 - mg/L ORGANICS: (by GC,, GC/MS, HPLC) Phenol 32730 ug/L Fe - Iron 01045 ug/L (Specify test and method #. ATTACH B REPORT.) Sulfate 00945 mg/L Hg = Mercury 71900 ug/L Lab Report Attached? ❑. Yes (1) No-(0) Specific Conductance 00095 µMhos K - Potassium 00937 mg/L VOC 78732: method # 6200fff Total Ammonia oo610 <0.04 mg/L Mg -Magnesium 00927 mg/L method # (Ammonia Nitrogen; NH3as N; Ammonia Nitrogen, Total) Mn -Manganese 01055 -ug/L method # r _ TKN as N 00625 mg/L Ni - Nickel 01067 ug/L method # For Remediation Systems Only Reports): Total• I certify that, to the best of my knowledge and belief, the information submitted in this report is true, accur9te,�a••r- LID WQ-certified laboratory. I am aware that there are significant penalties for submitting false information„incl•lS�II GW-59 Rev. 7 Permittee (or Authorized Agent) Name and Title -Please print or type Effluent_ • and that the laboratory analytical data was f tility of fines and imprisonment for knowing mg/L V00 Removal%