HomeMy WebLinkAboutWQ0001284_Monitoring - 06-2024_20240812SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENTAL QUALITY - DIV. OF WATER RESOURCES
GROUNDWATER QUALITY MONITORING:
INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
� � �
�
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699.1617 Phone: 919-807-6306
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: Expiration Date:
Facility Name: Town of Conway
Non -Discharge WQ0001284 UIC
NPDES Other
Permit Name (if different):
Facility Address: PO Box365 Conway NC
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
PO Box365 Conway NC County Northampton
❑■ Spray Field ❑ Remediation:
Contact Person: Jeffrey Long
Telephone#: 252-585-0488
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: South End
No. of wells to be sampled: 3
❑ Water Soures Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): 1
Date sample collected: 06-26-2024
FIELD ANALYSES:
WAS
Well Depth: 30 ft.
Well Diameter: 4 in.
pH 00400: units Temp. 000lo: °C
DRY at
Depth to Water Level 82546:4.2 ft. below measuring point Screened Interval: ft. to
ft. Spec. Cond. 00094: µMhos
time ofsampling,
Measuring Point is 2 ft. above land surface
Relative M.P. Elevation: ft.
Odor 00085: None
check
Volume of water pumped/bailed before sampling:
4.0
gallons
Appearance Clear
here:❑
Samples for metals were collected unfiltered: ❑■ YES
❑ NO and field acidified: ❑ YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 06-26-2024
Laboratory Name: Waypoint
_ Certification No. 993135
PARAMETERS NOTE: Values should reflect
dissolved
and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615
mg/L
Pb - Lead o11151 ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 17.1
mg/L
Zn - Zinc 010.12 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 1.16
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds centration Units):
issolved Solids:Total 70300 500
mg/L
Al - Aluminum 01105
mg/Lr
,���%��
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 00680 10.5
mg/L
Ca - Calcium 00916
mg/L �" r
Chloride 00940 455
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 00095
µMhos
K - Potassium 00937
mg/L VOC 7873 method #
Total Ammonia 00610 0.02
mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen; NH3 as N; Ammonia Nitrogen, Total)
Mn - Manganese 01055
ug/L , method #.4
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs:
Jeffrey Long ORC
Permittee (or Authorized Agent) Name and Title - Please print or type
mg/L Effluent Total VOCs: _ mg/L VOC Removal%
GW-59 Rev.3-1-2016
SUBMIT FORM ON YELLOW PAPER ONLY
• •
DEPARTMENT OF ENVIRONMENTAL QUALITY - DIV. OF WATER RESOURCES
GROUNDWATER QUALITY MONITORING:
INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: 919-807.6306
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: Expiration Date:
Facility Name: Town of Conway
Non -Discharge WQ0001284 UIC
Permit Name (if different):
NPDES Other
Facility Address: PO Box365 Conway NC
TYPE OF PERMITTED OPERATION BEING MONITORED
PO Box365 Conway NC
County Northampton
❑ Lagoon ❑ Remediation: Infiltration Gallery
❑■ Spray Field El Remediation:
Contact Person: Jeffrey Long
Telephone#: 252-585-0488
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: South East
No. of wells to be sampled: 3
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): 3
Date sample collected: 06-26-2024
FIELD ANALYSES:
WAS
Well Depth: 30 ft.
Well Diameter: 4 in.
pH 00400: units Temp. 000lo: °C
DRY at
Depth to Water Level 82546:4 4 ft. below measuring point Screened Interval: ft. to
_ft.
Spec. Cond. 00094: µMhos
time ofsampling,
Measuring Point is 2 ft. above land surface
Relative M.P. Elevation: ft.
Odor 00085: None
check
Volume of water pumped/bailed before sampling:
3.2
gallons
Appearance Clear
here:❑
Samples for metals were collected unfiltered: ❑■ YES
❑ NO and field acidified: ❑ YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 06-26-2024
Laboratory Name: Waypoint
Certification No. 993135
PARAMETERS NOTE: Values should reflect
dissolved
and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615
mg/L Pb - Lead o1o51 ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 7.70
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 1.47
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 490
mg/L
Al - Aluminum 01105
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 00680 10.7
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 475
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 00095
EtMhos
K - Potassium 00937
mg/L VOC 7873 method #
Total Ammonia 00610 0.03
mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen; N113as N; 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 • • • • •
I certify that, to the best of my knowledge and belief, the information sudmitted in this report is true, accurate, and complete, and that the laboratory analytical data was produced using approved methods of analysis by a
DWR-certified laboratory. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations.
Jeffrey Long ORC U � Q% — Z q —
Permittee (or Authorized Agent) Name and Title - Please print or type Signature of WrmjRak (or
(Date)
GW-59 Rev.3-1-2016
SUBMIT FORM ON YELLOW PAPER ONLY
•
DEPARTMENT OF ENVIRONMENTAL QUALITY - DIV. OF WATER RESOURCES
GROUNDWATER QUALITY MONITORING:
INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: 919-807.6306
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: Expiration Date:
Facility Name: Town of Conway
Non -Discharge W00001284 UIC
Permit Name (if different):
NPDES Other
Facility Address: PO Box365 Conway NC
TYPE OF PERMITTED OPERATION BEING MONITORED
PO Box365 ConwayC `r e1
y
Northampton
County P
❑Lagoon El Remediation: Infiltration Gallery
❑■ Spray Field El Remediation:
Contact Person: Jeffrey Long
Telephone#: 252-585-0488
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: South
No. of wells to be sampled: 3
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): 4
Date sample collected: 06-26-2024
FIELD ANALYSES:
WAS
Well Depth: 22 ft.
Well Diameter: 4 in.
pH 00400: units Temp. 000lo: °C
DRY at
Depth to Water Level 82546: 4.4 ft. below measuring point Screened Interval: ft. to
_ft.
Spec. Cond. 00094: µ Mhos
time of
sampling,
Measuring Point is 2 ft. above land surface
Relative M.P. Elevation: ft.
Odor 000m: None
check
Volume of water pumped/bailed before sampling:
NA
gallons
Appearance Clear
here:❑
Samples for metals were collected unfiltered: ❑■ YES
❑ NO and field acidified: ❑ YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 06-26-2024
Laboratory Name: Waypoint
Certification No. 993135
PARAMETERS NOTE: Values should reflect
dissolved
and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615
mg/L Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616 NA
/100mL.
Nitrate (NO3) as N 00620 NA
mg/L
Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 NA
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 NA
mg/L
Al - Aluminum 01105
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 00680 NA
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 NA
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 00095
µMhos
K - Potassium 00937
mg/L VOC 7873 method #
Total Ammonia 00610 NA
mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen; NH3as N; 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
I certify that, to the best of my knowledge and belief, the information submitted in this report is true, accurate, and complete, and that the laboratory analytical data was produced using approved methods of analysis by a
DWR-certified laboratory. 1 am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations.
Jeffrey Long ORC
Permittee (or Authorized Agent) Name and Title - Please print or type
(Date)
GW-59 Rev.3-1-2016