WQ0000088_Monitoring - 11-2023_20240408

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
(VISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
•
617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION Please Print
Clearly or Type
PERMIT Number: Expiration Date: 7-31-2023
Facility Name: Governors Club
Non -Discharge W00000088 UIC
NPDES Other
Permit Name (if different):
Facility Address:
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
Chapel Hill NC County Chatham
® Spray Field ❑ Remediation:
Contact Person: Wesley Bishop
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name:
No. of wells to be sampled: 4
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-1A
Date sample collected: 11/28/23
FIELD ANALYSES:
WAS
Well Depth: 45.03 ft.
Well Diameter: 2 in.
pH 6.74 units Temp. 16.7 °C
DRY at
Depth to Water Level: 20.89 ft. below measuring point
Screened Interval: ft.
to
ft. Spec. Cond. µMhos
time of
sampling,
Measuring Point is 0 ft. above land surface
Relative M.P. Elevation:
ft.
Odor
check
Volume of water pumped/bailed before sampling:
3 gallons
Appearance
here: ❑
Samples for metals were collected unfiltered: ❑YES
❑ NO and field acidified: ❑ YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed: 11/30/23-12/10/24
Laboratory Name: Waypoint Analytical
Certification No. 10
PARAMETERS NOTE: Values should reflect dissolved
and colloidal concentrations.
Nitrite N
D�
COD mg/1
(NO2) as
mg/I
Pb - Lead mg/I
Coliform: MF Fecal <1 .00 /100ml
Nitrate (NO3) as N
0.191 mg/I
Zn - Zinc mg/I
Coliform: MF Total /100ml
Phosphorus: Total as P
0.15 mg/I
APR 0 S LUO
(Note Use MPN method for highly turbid samples)
Orthophosphate
mg/I
Concentration Units):
Dissolved Solids: Total 2140 mg/I
Al - Aluminum
mg/I
_qyd
pH (when analyzed) 7.2 units
Ba - Barium
mg/I
.2024
TOC 12.1 mg/I
Ca - Calcium
mg/I
Chloride 815 mg/I
Cd - Cadmium
mg/I
� '
yam- _•_ +
Arsenic mg/I
Chromium: Total
mg/I
Kip
Grease and Oils mg/I
Cu - Copper
mg/I
ORGANICS: (by GC, GC/MS, HPLC)
Phenol mg/I
Fe - Iron
mg/I
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate mg/I
Hg - Mercury
mg/I
Report Attached? ❑ Yes (1) ® No (0)
Specific Conductance µMhos
K - Potassium
mg/I
VOC method #
Total Ammonia 0.051 mg/I
Mg - Magnesium
mg/I
method #
(Ammonia Nitrogen; NH3as N, Ammonia Nitrogen, Total)
Mn -Manganese
mg/I
,method #
TKN as N mg/I
Ni - Nickel
mg/I
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
Wesley Bishop - Field Supervisor
Permittee (or Authorized Aqent) Name and Title - Please print or type
AV
Siqnature of Permittee (or Authorized Agent) (Date)
GW-59 Rev.1/2007

SUBMIT FORM ON YELLOW PAPFR ONLY
EPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
Im617
(VISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION Please Print Cleady or Type
PERMIT Number: Expiration Date: 7-31-2023
Facility Name: Governors Club
Non -Discharge WQ0000088 UIC
NPDES Other
Permit Name (if different):
Facility Address:
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
Chapel Hill NC County Chatham
® Spray Field ❑ Remediation:
Contact Person: Wesley Bishop
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name:
No. of wells to be sampled: 4
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-3A
Date sample collected: 11/28/23
FIELD ANALYSES:
WAS
Well Depth: 44.56 ft.
Well Diameter: 2 in.
pH 6.71 units Temp. 16.3 °C
DRY at
Depth to Water Level: 25.59 ft. below measuring point
Screened Interval: ft.
to
ft. Spec. Cond. µMhos
time of
Measuring Point is 0 ft. above land surface
Relative M.P. Elevation:
ft.
Odor
sampling,
check
Volume of water pumped/bailed before sampling:
1.5 gallons
Appearance
here: ❑
Samples for metals were collected unfiltered: El YES
❑ NO and field acidified: El YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed: 11 /30/23-12/13/23
Laboratory Name: Waypoint Analytical
Certification No. 10
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD mg/I
Nitrite (NO2) as N
mg/1
Pb - Lead mg/I
Coliform: MF Fecal <1.00 /100ml
Nitrate (NO3) as N
<0.04 mg/I
Zn - Zinc mg/1
Coliform: MF Total /100ml
Phosphorus: Total as P
0.847 mg/I
(Note: Use MPN method for highly turbid samples)
Orthophosphate
mg/I
Other (Specify Compounds and Concentration Units):
Dissolved Solids: Total 162 mg/I
Al - Aluminum
mg/I
pH (when analyzed) 6.8 units
Ba - Barium
mg/I
TOC 3.53 mg/I
Ca - Calcium
mg/I
Chloride 6.28 mg/I
Cd - Cadmium
mg/I
Arsenic mg/I
Chromium: Total
mg/I
Grease and Oils mg/I
Cu - Copper
mg/I
ORGANICS: (by GC, GC/MS, HPLC)
Phenol mg/I
Fe - Iron
mg/I
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate mg/I
Hg - Mercury
mg/I
Report Attached? ❑ Yes (1) ® No (0)
Specific Conductance µMhos
K - Potassium
mg/I
VOC method #
Total Ammonia 1.06 mg/I
Mg - Magnesium
mg/I
method #
(Ammonia Nitrogen; NH�as N; Ammonia Nitrogen, Total)
Mn - Manganese
mg/I
, method #
TKN as N mg/I
Ni - Nickel
mg/I
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Renrl
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
DWQ-certified laboratory. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations.
Wesley Bishop - Field Supervisor
Permittee (or Authorized Agent) Name and Title - Please print or type
M� 312c)/27
Siqnature of Permittee (or Authorized Aqent) (Date)
GW-59 Rev.1/2007

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
�'6117
EPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
[VISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION Please Print
PERMIT Number: Expiration Date: 7-31-2023
Facility Name: Governors Club
Non -Discharge WQ0000088 UIC
Permit Name (if different):
NPDES Other
Facility Address:
TYPE OF PERMITTED OPERATION BEING MONITORED
Chapel Hill NC
County Chatham
❑ Lagoon ❑ Remediation: Infiltration Gallery
® Spray Field ❑ Remediation:
Contact Person: Wesley Bishop
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name:
No. of wells to be sampled: 4
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-7
Date sample collected: 11/28/2023
FIELD ANALYSES:
WAS
Well Depth: 30.21 ft.
Well Diameter: 2 in.
pH 6.54 units Temp. 12.5 eC
DRY at
Depth to Water Level: 24.62 ft. below measuring point
Screened Interval: ft.
to
ft. Spec. Cond. µMhos
time of
Measuring Point is 0 ft. above land surface
Relative M.P. Elevation:
ft.
Odor
sampling,
check
Volume of water pumped/bailed before sampling:
1.0 gallons
Appearance
here: ❑
Samples for metals were collected unfiltered: EYES
❑ NO and field acidified: ❑ YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed: 11/30/23-12/13/23
Laboratory Name: Waypoint Analytical
Certification No. 10
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD mg/I
Nitrite (NO2) as N
mg/I
Pb - Lead mg/I
Coliform: MF Fecal <1 .0 /100ml
Nitrate (NO3) as N
<.04 mg/I
Zn - Zinc mg/I
Coliform: MF Total /loom]
Phosphorus: Total as P
1.85 mg/I
(Note- Use MPN method for highly turbid samples)
Orthophosphate
mg/I
Other (Specify Compounds and Concentration Units):
Dissolved Solids: Total 740 mg/I
Al - Aluminum
mg/I
Total Suspended Residue: 484 mg/1
pH (when analyzed) 6.8 units
Ba - Barium
mg/I
TOC 13.5 mg/I
Ca - Calcium
mg/I
Chloride 64.8 mg/I
Cd - Cadmium _
mg/I
Arsenic mg/I
Chromium: Total
mg/I
Grease and Oils mg/I
Cu - Copper
mg/I
ORGANICS: (by GC, GC/MS, HPLC)
Phenol mg/I
Fe - Iron
mg/I
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate mg/I
Hg - Mercury
mg/I
Report Attached? ❑ Yes (1) ® No (0)
Specific Conductance µMhos
K - Potassium
mg/I
VOC method #
Total Ammonia <0.04 mg/I
Mg - Magnesium
mg/I
method #
(Ammonia Nitrogen; NH3as N, Ammonia Nitrogen, Total)
Mn - Manganese
mg/I
, method #
TKN as N mg/I
Ni - Nickel
mg/I
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
Wesley Bishop - Field Supervisor
Permittee (or Authorized Aqent) Name and Title - Please print or type
/l.J 312-9 /z y
Siqnature of Permittee (or Authorized Aqent) (Date)
GW-59 Rev.1/2007

SUBMIT FORM ON YELLOW PAPER ONI Y
GROUNDWATER QUALITY MONITORING:
-E
1
=1617
EPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
IVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION Please Print
Clearly or Type
PERMIT Number: Expiration Date: 7-31-2023
Facility Name: Governors Club
Non -Discharge W00000088 UIC
Permit Name (if different):
NPDES Other
Facility Address:
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
Chapel Hill NC County Chatham
® Spray Field ❑ Remediation:
Contact Person: Wesley Bishop
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name:
No. of wells to be sampled: 4
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-9
Date sample collected: 11/28/2023
FIELD ANALYSES:
WAS
Well Depth: 32.09 ft.
Well Diameter: 2 in.
pH 7.03 units Temp. 15.9 °C
DRY at
Depth to Water Level: 5.30 ft. below measuring point
Screened Interval: ft.
to
ft. Spec. Cond. µMhos
time of
Measuring Point is 0 ft. above land surface
Relative M.P. Elevation:
—
ft.
Odor
sampling,
check
Volume of water pumped/bailed before sampling:
12 gallons
Appearance
here: ❑
Samples for metals were collected unfiltered: El YES
❑ NO and field acidified: ❑ YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed: 11 /30/23-12/13/23
Laboratory Name: Waypoint Analytical
Certification No. 10
PARAMETERS NOTE: Values should reflect dissolved
and colloidal concentrations.
COD mg/I
Nitrite (NO2) as N
mg/I
Pb - Lead mg/I
Coliform: MF Fecal <1 ,0 /100ml
Nitrate (NO3) as N
<0.04 mg/I
Zn - Zinc mg/I
Coliform: MF Total /100ml
Phosphorus: Total as P
0.027 mg/I
(Note: Use MPN method for highly turbid samples)
Orthophosphate
mg/I
Other (Specify Compounds and Concentration Units):
Dissolved Solids: Total 678 mg/I
Al - Aluminum
mg/I
Total Suspended Residue: 102 mg/I
pH (when analyzed) 7.2 units
Ba - Barium
mg/I
TOC 3.14 mg/I
Ca - Calcium
mg/I
Chloride 213 mg/I
Cd - Cadmium
mg/I
Arsenic mg/I
Chromium: Total
mg/I
Grease and Oils mg/I
Cu - Copper
mg/I
ORGANICS: (by GC, GC/MS, HPLC)
Phenol mg/I
Fe - Iron
mg/I
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate mg/I
Hg - Mercury
mg/I
Report Attached? ❑ Yes (1) ® No (0)
Specific Conductance µMhos
K - Potassium
mg/I
VOC method #
Total Ammonia <0.04 mg/I
Mg - Magnesium
mg/I
method #
(Ammonia Nitrogen, NH3as N, Ammonia Nitrogen, Total)
Mn -Manganese
mg/I
,method #
TKN as N mg/I
Ni - Nickel
mg/I
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
Wesley Bishop - Field Supervisor
Permittee (or Authorized Aqent) Name and Title - Please print or Noe
3/10 /2
Signature of Perrnitt6e (or Authorized Aqent) (Date)
GW-59 Rev.1/2007