NC001406_GW Monitoring_20050908

(711
rOMRi
Facility Name:5
Permit Name (if
SUBMIT FORM ON YELLOW PAPER ONLY
A TER''QUALItY'
• 'OIVISION:OF.YYATEIi'QUAL�TY'
,.. MONITORING.,.; } , >�,� °• .
.,.; „ , .:. ,. a3R0UND1�1!(TEf>1:SECTION:• PERMITS=AND co
RE ORM 5' MPLIANCEUnit..
�� PORT: F F IGN zs7a272_
.:
ATION E 'NC tit3=0578 910) 7
:Ptiono. 39-3221.1
Please Print clearly or Type AL
Contact Person:-P-J—)
Well Location/ Site Na
,a1 4.i County.,lzr/��PN� T j�
Telephone #: ©.- `d—e
No. of Wells to be Sampled:
Well Identificalion Number (from Permit):
Well Depth: I�S_ ft. Well Diameter: y` in.
Screened Interval: ft. to ft
Depth to Water Level: ft. below measuring point.
Measuring Point Is 0 ft. above land surface.
Gallons of water pum ed/bailed before sampling: X a
Field analysis: pH r , Specific Conductance
For Groundwater Treatment Systems
Check One:
❑ Influent
❑ Effluent
Temp. 2-L._°C, Odor Appearance
L.uMhos
PERMIT #: / EXPIRATION DATE:
Non -Discharge UIC
NPDESN C' e,C/-)
IYE-12EHMILLE,D OPERATION BEING MONITORED
sc
Lagoon Remediallon: Infiltration Gallery
Spray Field Remedlatlon:
Rotary Distributor Land Application of SludgtA
Other:,
(98) NOTE: Values should reflect dissolved and o ez
(99) colloidal concentrations. cn
� 31� Date sample co.11ecte . . Dale same, le analyzed:—
,Laboratory Name: Z
Certification No. -
PARAMETERS (Samples for metals were collected unfiltered f/ YES NO
and field acidified
COD
Coliform: MF Fecal
mg/I
/100ml
Nitrite (NO2) as U.
Nitrate (NO3) as N
mg/F.
mg/I
Coliform: MF Total
/100m1
Phosphorus: Total as P
.
mg/I, a
(Note: Use MPN method for highly turbid samples)
Dissolved Splids: Total - / 7 9
mg/I
Orthoph05phate
Al Aluminum
m /I •'
9. •i
pH (when analyzed)
units
-
Ba - Barium
mg/I;TOC "
Chloride '
mg/I
Ca - Calcium
mg/F
mg/I
Arsenic
mg/f
mg/I
Cd -Cadmium
Chromium: Total
mg/I .,
Grease and Oils
mg/I
Cu - Copper
mg/I
mg/I
Phenol
Sulfate
mg/I
Fe - Iron_ d. D
mg/I
Specific Conductance 3
mg/I
uMhos
Hg - Mercury
K - Potassium
mg/I I
Total Ammonia
m /I
,,,t M
mg/l
YES NO)
Ni - Nickel m91F f
Pb - Lead _
Zn - Zinc mg
Ammonia Nitrogena=--- m g/l
Other (Specify Compounds and �Concent alion Unit) r,';` '
ORGANICS: (GC,GC/MS,I-IPLC)
(Specify test and method #. Attach lab report.)
Report Attached? Yes (1). . No Im
TKN as N g • 9 - agneslum mg/I VOC :method if =
mg/I Mn - Manganese__ 1`'0 mg/I method #
method # =
s?j

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER:QUALI
;`COMP AANCE REPORT:
FACILITY INFORMATION
Facility Name: 4-jjLl�=T, �e_ ,C
Permit Name (if different):
Facility Address: _o 9 o__�- -
Faf:IVIC
*ORM
Please Print Clearly or Type
�i/�� �sv� t �I County I&ALK/✓e %'7
Contact Person: Telephone #: D _4
Well Location/ Site Name: - 2- No. of Wells to be Sampled:
Well Identification Number (from Permit):
Well Depth: _' 2 G • S' For Groundwater Treatment Systems
P ft. Well .Diameter: _� In, Check One:
Screened Interval: ft: to ft.
Depth to Water Level: El Influent (98)
ft. below measuring point. ❑
Measuring Point Is d ft. above land surface. Effluent (99)
Gallons of water pumped/bailed before sampling: l ae v
Field analysis: pH ` , Specific C nductance `? uMhos
Temp. 2.2�_°C, Odor . Appearance CL&A
Ph auALITY:.
EOTION:'ii C0MPLIANCE,t1NIT.
28=0578 :' one. (91flj 739-3221
PERMIT M EXPIRATION DATE:
Non -Discharge UIC
NPDES g_0_/,—
TY— P}�PERN11�Ep OPERATION BEING MONITORED
Lagoon Remedialion: Infiltration Gallery
Spray Field Remedlallon:
Rotary Distributor Land Application of Sludge
Other:
NOTE: Values should reflect dissolved and -moo
colloidal concentrations.Ln
u
����
Date sample collected: Date sam le anal d:
Laboratory Name: err, Ae-1 L v c ;
Certification No, n?
PARAMET9J S (Samples for metals were collected unfiltered YES NO
COD
and field acidified
YES No)
rn /I
Coliform: MF Fecal g
/10Uml
Nitrite NO as N
( 2)
Nitrate (NO3) as;N
mg/I
Ni - Nickel
mg/1
Colitorm: MF Total /100ml
Phosphorus: Total as P
mg/I
mg/I
Pb -Lean
Zn -Zinc
m /l
g
(Note: Use MPN method for highly turbid samples)
Dissolved -Splids: Total _ �f mg/I
Orthophosphate
At - Aluminum
mg/I
Ammonia Nitrogen
mg/1
9
pH (when analyzed) units
Ba - Barium
mg/I
/1
Other (Specify Compounds and concentration Units)
TOC
Chloride
- mg/I
Ca - Calcium'
mg
mg/I,
Arsenic
mg/1
Cd - Cadmium
mg/I
Grease 'and Oils
mg/l
mg/1
Chromium: Total
Cu - Copper
mg/I
Phenol
Sulfate �
mg/I
mg/I
`�
Hg -Mercury -Iron
HR
mg/I
mg/I
`t, ORGANICS: (GC,GC/MS,I-IPLC)
Specific Conductance
Total
UM
K - Potassium -^
mhoS g /I
(Specify test and method #. Attach lab report.)
Ammonia
TKN as N
mg/I
i�.1g -Magnesium
mg/i
g/I
.,Report Attached? Yes (1) No (0)
VOC
mg/1
Mn - Man anese_ , 2
g
mg/I
:method #
4:
method #:=
method #'
Permitlee (or Authorized Agenl) Name and Title - Ple se print or typo
GW-59 Rev. 4198
. Innalwa nl P a

SUBMIT FORM ON YELLOW PAPER ONLY
Facility Name:Ga'
Permit Name (if
Well Location/ Site
well Idenlilicalion NAmber (from'Permit):
Well Depth: /-25 ft. Well Diameter: in.
Screened Interval: ft. to ft:
Depth to Water Level:. / je ft. below measuring point.
Measuring Point Is ft. above land surface.
Gallons of water pumped/bailed before sampling:
Field analysts: pH_ r D , Specific Conductance - S i - 'uMhos
Temp. —19 °C, Odor tl� Anriaarannn
colloidal concentrations
Date sample collect
Laboratory Name:
Certification No. —
PARAMETERS (Samples for metals were collected unfiltered—YES
YES NO
COD -
and field acldifled
Coliform: MF Fecal
mg/I
/100m1
Nitrite NO as N
2)
Nitrate (NO3) as N
mg/I d
Coliform: MF Total
Use
/100ml .
Phosphorus: Total as P
mg/I.
m /I
(Note: MPN method for highly turbid samples)
Dissolved Splids: Total - 31 Y
Orthophosphate
mg/I ?
when anal mgll
pH ( analyzed)
pH units
Al -Aluminum
Ba -Barium
mg/I
Chloride
mg/I
Ca - Calcium
mg/I
mg/I
Arsenic
mg/I
m9/I
Cd -Cadmium
Chromium: Total
mg/I
Grease and Oils
Phenol
mg/I
Cu - Copper
mg/I
m /I
g
Sulfate
mg/I
mg/I
Fe - Iron
Hg - Mercury
mg/I.
Specific Conductance
p
AmmoniaKN
uMhos
K - Potassium
mg/I
mg/I
Total
N
mg/l
9
Nig - Magnesium
Mn - Mangariese__��",2
mg/I
mg/I
GW-59 Rev. 4/98
YES NO)
Ni - Nickel mg/I
Pb - Lean mg/I
Zn - Zinc mg/I
Ammonia Nitroge _ �mg/IT
Other (Specify Comp unds andCon e'nlraliori Units)
)'ORGANICS: (GC,GC/MS,I-IPLC)
(Specify test and method #. Attach lab report.)
Report Attached? Yes (1) No (0)
;JI VOC method II
method #
melhnci'a
Permiltee (or Authorized Argeni) Nam_ a and Tills - leaso'print or type

SUBMIT FORM ON YELLOW PAPER ONLY
Un
- YES,. NO)
Ni - Nickel mg/l
Pb Leaf ., mg/I
Zn -Zinc mg/1
Ammonia Nitro mg/I
Other (Sp eci(y Compounds and Concentration Units)
ORGANICS: (GC,GC/MS,I-IPLC)
(Specify test and method #. Attach lab report.)
Report Attached? Yes (1I Kin in►
Facility Name:J 11
Permit Name (if d
Facility Address:_
ME
Contact Person:L2
Well Location/ Site
Please Print Clearly or Type
County
Telephone #: 0V O—
No. of Wells to be Sampled:
n�m -milli
Well Identification-N bef (from Permit): For Groundwater Treatment Systems
Well'Depth: 1. 5 ft. Well'Diameter: in. Check One:
Screened Interval:ft. to it.
Depth to Water Levu ft, below measuring point. Influent.. (98) .
Measuring Point Is 19 ft. above land surface. Effluent (99)
Gallons of water pumped/bailed before sampling: G
Field analysis: pH Specific CQqnductance . �f__ uMlios
Temp °C, Odor Vd L A a earance LOtld�
PP �
PERMIT
Non -Disc
NPDES
V Lagoon
Spray Field
Rotary Distributor
Olher:
Efi.QUALlTY _ a
IECTION PERMITS ANDCOMPLIANGE.LINIT.
62t3 0578 " ; Phone;'f91fl) 733 3221 ry'
EXPIRATION DATE:
UIC
OPERATION BEING MONITORED
Remediatlon: Infiltration Gallery
Remedlallon: 0.
Land Application of Sludge 91
NOTE: Values should reflect dissolved and
colloidal concentrations.,
Date sample�collecte ���� Date sa
Laboratory Name: GAJ t/
Certification No. —
PARAMETERS (Samples for metals were coilected unfiltered YES NO and field acidified
COD
Coliform: MF Fecal
mg/I
/100m1
Nitrite (NO2') as N
Nitrate (NO3) as N
m ll
mg%I
Coliform: MF Total
/100ml
Phosphorus: Total as P
mg%l
.(Note: Use MPN method for highly turbid samples)
Dissolved Splids: Total— 3 a0
-
Orthophosphate
m %I
g'
pH (when analyzed)
mg/I
: units
At - Aluminum
Ba - Barium
mg/,l _
TOC
Chloride
mg/I
Ca - Calcium
/
mI
g'
Arsenic
mg/I.
mg/I
Cd - Cadmium
Chromium: Total
mg/1
mg/I
Grease and Oils
mg/I
Cu - Copper
m /I
g
Phenol
Sulfate
mg/I �
Fe =Iron _ �,
�'
mg/Lj.
Specific Conductance 2
mg/1 •
uMhos
Hg - Mercury
K - Potassium
mg/l;
mg/14
Total Ammonia
mg/I
Mg - Magnesium
mg/I j
TKN as N
1`1119/1
Mn - Manganese ,

SUBMIT FORM ON YELLOW PAPER ONLY
Al
Facility Name:
Permit Name (if dif
Facility Address:_
Contact Person: i t
Well Location/ Site Name:
Please Print Clearly or Type
County
Telephone #: 0— YLO
No. of Wells to be Sampled:
Well Identification Number (from Permit): _ _ For Groundwater Treatment Systems
Well Depth: ft. Well Diameter: In. Check One:
Screened Interval: ft. to ft. [j Influent (98)
Depth to Water Level: ft. below measuring point. Effluent (99)
Measuring Point Is 0 ft. above land surface.
Gallons of waterpumped/bailed before sampling: (ICI
Field analysis: pH ,Specific C�op�� nugt nce u hos
Temp. °C, Odor a--�—Appearance
PERMIT M EXPIRATION DATE: -
Non -Discharge UIC •�
NPDES C- C�
TYPE OPERATION BEING MONITORED CD
Lagoon Rernediallon: Inlillrallon Gallery
Spray Field . Remediatlon:
Rotary Distributor Land Applicall of S u
Other: CEO
NOTE: Values should reflect dissolved andl OCT 8 — 2004
collo.ldal concentrations.
DENR-FAYETf1:VILLE GI
Date sample collecte Date sa p
LaboratoryName: f
Certification No.
PARAMETERS (Samples for metals were collected unfiltered YES NO
and field-acidlfied
COD
mg/I
Nitrite (NO2) as N
mg/I'
Coliform: MF Fecal
/100ml
Nitrate. (NO3) as N
mg/l
Coliform: MF Total
/100ml
Phosphorus: Total as P
mg/I
(Note: Use MPN method for highly turbid samples)
Dissolved Splids: Total / �(_ mg/l
Orthophosphate
Al - Aluminum
mg/l
mg/I
pH (when analyzed)
units
Ba - Barium
mg/I
TOC
mg/l
Ca - Calcium
mg/I .
Chloride
mg/l
Cd - Cadmium
mg/I
Arsenic
mg/I
Chromium: Total
mg/I
Grease and Oils
mg/I .
'Cu - Copper
mg/I
:.YES I NO)
Ni - Nickel ;
mg/I
Pb - Lead
mg/I
Zn - Zinc
mg/f
Ammonia Nitrogen
-I=mg/I
Other (Specify Compounds and Con7tratio6qls
Phenol mg/l
Fe - Iron f
-
mg/I
: c ..Q
•ORGANICS: (GC,GC/MS,IIPLC) cs,::D
Sulfate mg/I
7
Hg - Mercury
mg/I
(Specify test and method H. Attach labt port,
Specific Conductance -9 uMhos
K - Potassium
mg/I
Report Attached? Yes (1) N )
Total Ammonia mg/I
TKN as N mg/I,
Mg - Magnesium
Mn - Manganese_
mg/I
VOC method It =
_
.mg/I
: _method # _
method # _

SUBMIT FORM ON YELLOW PAPER'ONLY
01 e
Facility Name:`
Permit Name (if di er
Facility Address:
Contact Person: T( U
Well Location/ Site Name:
Please Print Clearly or Type
Telephone #: 2— 7d
No. of Wells to be Sampled:
Well Identificallo arnber (from Permit):
Well Depth: it. Well Diameter: =F— In.
Screened interval: ft. to ft.
'Depth to Water Level: ft. below measuring point..
Measuring Point Is ft. above land surface.
Gallons of water pumpe bailed before sampling:
Field analysis: pH , Specific `tance
For Groundwater Treatment Systems
Check One:
❑ Influent (98)
❑ Effluent (991
Temp. D�C'°C, Odor 'v Appearance
PERMIT #: EXPIRATION DATE:
Non -Discharge UIC.
NPDES 000
TYPE QAPERMITTEJ2 OPERATION BEING MONITORED
Lagoon . RemediatlomInfiltration Gallery
Spray Field Remedlallon:
Rotary Distributor Land Application of Sludge
Other: - --
NOTE: Values should reflect dissolved and
colloidal concentrations.
. Date sample collec d: - S�-O Date s m le analy2ed:. ®� Z 2 A
hos Laboratory Name: C = P2-
Certification No.
PARAMETERS (Samples for metals were collected unfiltered YES NO
and field acidified
COD
moll
Nitrite (NO2) as N
mg/l
Coliform: MF Fecal
/100ml
.Nitrate (NO3) as N
moll
Coliform: MF Total
/100ml
Phosphorus: Total as P
moll
(Note: Use MPN method for highly turbid samples
Orthophosphate
moll
Dissolved Solids: Total
moll
At - Aluminum
moll
pH (when analyzed)
units
Ba - Barium-
moll
TOC
moll
Ca - Calcium
mg/I
Chloride
mg/l .
Cd - Cadmium
mg/I
Arsenic
moll
Chromium: Total
moll
Grease and Oils
-mg/I
Cu - Copper
moll
Phenol
moll
Fe - Iron
moll
Sulfate
moll
Hg - Mercury
moll
Specific Conductance
uMhos
K - Potassium
mg/I
Total Ammonia
moll
-,Mg'- Magnesium
mg/I
TKN as N
moll
Mn - Manganese
moll
GW-59 Rev. 4/98
YES NO)
Ni - Nickel- mg/l
Pb - Lead mg/I
A monREIREI-01-_
orer (Specify Compounds and
nPT o _
nnno-
ORGANICS: (GC,GC/MS,14PLC) w ',
(Specify test and method H. Attach lab port.)"'
Report Attached?. Yes (1) No (0)
VOC method It
method #
method it
ermitfee (orAulhorized Agenq am Ne andT le - Please print or type
y n.-► . A /ram I f A. /ate

SUBMIT. FORM ON . ELLOW PAPER ONLY
Facility Name%5WI IZ
Permit Name (if different):_
Fachty Address: - J? b—
Contact Person:
Well Location/ Site Name:
Z
5A
Please Print Clearly or Type
County '
Telephone #: O- O --e
No. of Wells to be Sampled:
Well Identification Number (from Permit): For GroundwalerTrealmenl Systems
Well Depth: ft.. Well Diameter: _ in. Check One:
Screened Interval:ft. to , ft.
Depth to Water level: ' ❑Influent (98)
p 3 ft. below measuring point. ❑ Effluent (99)
Measuring Point Is ft. above land surface- .
Gallons of water pumped/bailed before sampling: J
Field analysis: pH br 0 , Specific Conductance t�; _ um s
Temp.. -r �°C, OdorAppearance � ��—���
PERMIT #: EXPIRATION DATE:
Non -Discharge UIC_
NPDES 4d-C_gf:�, O 6 �� ff`
TYPE OF PERMITTED OPERATION BEING MONITORED
Lagoon, Remedialion: Infiltration Gallery
Spray Field Remedlallon: Ca
Rotary Distributor Land Applicallon:of Sludcge.
Other•'. -
NOTE: Values should, reflect dissolved and
colloidal concentrations.,
4-rya.
Dale sample collecte}i: Date�ampl analyzed: ,
Laboratory Name: FG� �Ne�
Certification No.
PARAMETERS (Samples for metals were collected unfiltered YES NO and field acidified
COD
mg/I
Nitrite (NO2) as N .
mg/I
Coliform: MF Fecal
/100ml
Nitrate (NO3) as N
mg/I
Coliform: MF Total
/100ml
Phosphorus: Total as P
mg/l
(Note: Use MPN method for highly turbl se
le
Orthophosphate _
mg/I
Dissolved-Splids: Total
mg/l
Al -Aluminum
mg/I
pH (when analyzed) -
units
8a - Barium
mg/I
TOC
mg/I
Ca = Calcium
mg/I
Chloride
trig/I
Cd - Cadmium
mg/I
Arsenic
mg/I
Chromium: Total
mg/I
Grease and Oils
mg/I
Cu - Copper
mg/I: ,
Phenol
mg/I
Fe -'Iron
mg/I
Sulfate
mg/I
Hg - Mercury
mg/I
Specific Conductance
—uMhos .
K - Potassium
mg/I
Total Ammonia
--Mg - Magnesium
mg/I
TKN as N`
.mg/I
m/I
Mn =Manganese 6i _ 7
mg/I
YES NO)
Ni.- Nickel mg/I
Pb - Lear) mg/I
Zn - Zinc: mg/I
Ammonia Nitrogen Jf
Othe nntinda and Concer tion to
rn rr-r,
on
(Specify test and method. #: Attach lab re ec'ds
Report Attached? Yes (1) No (0)
VOC method it =
method -it
method tt =

SUBMIT FORM ON YELLOW PAPER ONLY
Facility Name:,�! LL(_Z
Permit Name (if different):
Contact Person: ;✓ / W
Well Location/ Site Name:
P1easO Print Clearly or Type
County 4 ��N�-1 �
Telephone #: 910—_E90
No. of Wells to be Sampled,:
Well, Identification Numb from Permit):- For Groundwater Treatment Systems
Well Depth: , ft. Wellbiameter: __,1r_.in• Check One:
Screened Interval: ft. to ft.
Depth to Water -Level: ' , � ft. below measuring point. � Influent (98)
C] Effluent . (99)'
Measuring Point Is' D ft. above land surface.
Gallons, of water pumped/la d before sampling: C
Field analysis: pH , Specific Conductan e� uMhos
Temp. �C, Odor Appearance
PERMIT #: EXPIRATION DATE:
Non -Discharge UIC ems+
NPDES
TYPE - OPERATION BEING MONITORED
agoon Remediallon: Infiltration Gallery =-?
Spray Field Remedlallon: __ Q
Rotary Distributor Land Application Of,Sludge
Other•
NOTE: Values should reflect dissolved and
colloidal concentrations:
�z-
Date sample collect Date sample nalyzed:
Laboratory Name:
Certification No.
PARAMETERS (Samples for metals were collected unfiltered- YES NO
-and field acidified
YES NO)'
COD
mg/I
Nitrite (NO2) as N
mg/I
Ni - Nickel
mg/1
Coliform: MF Fecal
/100ml
Nitrate (NO3) as N
mg/l
Pb - Lean
mg/I
Coliform: MF Total
/100ml
Phosphorus: Total as P
mg/I
Zn - Zinc
mg/I
(Note: Use MPN method for highly turbid samples)
Dissolved SQlids:,Total 3�f�
mg/l
Orthophosphate
Al - Aluminum
mg/i
mg/I
Ammonia Nitrogen
I
contratio
pH (when analyzed)
units :
Ba -Barium .
mg/I
Mffo�
r s)
V
TOC
mg%I
Ca - Calcium
mg/l
Chloride
mg/l
Cd - Cadmium
mg/I
OCT 8Ems
'
Arsenic
mg/I .
Chromium: Total
mg/I
Grease and Oils
mg/l
Cu - Copper
mg/I
Phenol
mg/I
Fe - Iron
mg/IIPLC
)
Sulfate �.
mg/1
Hg - Mercury,
pig/1.
(Specify test and method
It. Attach lab rort.)
Specific Conductance ®
uMhos
X - Potassium
mg/I
Report Attached? Yes
(1) No�_.(0
Total Ammonia _
mg/l
"Mg.- Magnesium
mg/l
VOC method # =
TKN as N mg/l Mn - Mangan.ese_ E mg/l
method # _
method II =
:ase orint-or tvc
GW-59 Rev. 4/98j// 4 A�