HomeMy WebLinkAboutWQ0001861_Monitoring - 09-2016_20161007 (2)DWATER QUALITY MONITORING:
Name: _G
Name (if different):
Address:
IG.IIYI 64 ')1 County _ tiX1�A'G
P)
(slate) Qi
nn
act Person: /Or. KoA wA VAWS)1N Telephone: oy-6-11t-
Location/Site
11 -Location/Site Name: No. of wells to. be sampled:
^..v
LINUMBER (from Permit): W' Z Date sample collected: 7-z246
Depth:
11 ft. Well Diameter: ,�_in.
I to Water Level: 4 , 57 ft. below measuring point Screened Interval: _ ft. to V. y -- ft.
wring Point is ! • s ft. above land surface Relative'M.P. Elevation:_. ft.
ne of water pumped/bailed before sampling: -9 gallons
sample analyzed: q -23 . C{ - 2 6
(vmt rEKS NOTE: Values should reflect dissoly
COD
mg/l
Coliform: MF Fecal
/100ml
Coliform: MF Total'
/100m1
(Note: Use MPN method for highly ,turbid samples) -
Cu - Copper _
Dissolved Solids: Total 1 C)_2 000_ -,q IL
to
PH (when analyzed)
units
TOC
mg/I
Chloride
mg/I
Arsenic
mgA
Grease and Oils
mg/I
Phenol
mg/I
Sulfate
mg/I
Specific Conductance
µMhos
Total Ammonia
mg/I
(Ammonia Nitrogen: NH, as N; Ammonia Nitrogen, Total)
TKN as N _ mg/I
For Remediation
t5
nEee..tor Autnonzed Agent) Name and Title -
GW -59 Rev. 1/2007
UNIT
1317 Phone: (919) 733-3221
ERMIT Number: Expiration Date:
m -Discharge W6Z coo 1861 UIC
'DES Other
rPE.OF PERMITTED OPERATION BEING MONITORED
%'Lagoon ❑iRemediation- Infiltration Gallery
Spray Field ❑ Remediation:
Rotary Distributor ❑ Land Application of Sludge
El Water Source Heat Pump ❑ Other:
FIELD ANALYSES:
14
PH 4 - % units H Temp. ;2Y,8 -C
Spec. Cond, µMhos
Odor
Appearance
LaboratoryName: Ems; ronWebg- l 5Cr'o1. fe 42.-A Certification No. 3 7.5
colloidal concentrations.
Nitrite (NO2) as N mg/I Pb - Lead
Nitrate (NO3) as N mg/I Zn -Zinc mg/DCT 7
Phosphorus: Total as P mg/I
21095
at
Of
Orthophosphate IV D mg/I Other (Specify Compounds and Concentratiti�106C%)3
AI - Aluminum mg/I _ 1? fimT dial 7 " n`itorn l
Ba -Barium
mg/I
Ca - Calcium
mg/I
Cd - Cadmium
mg/l
Chromium: Total
mg/I
Cu - Copper _
mg/I
Fe -'Iron _
- mg/I
Hg - Mercury
mg/I
K- Potassium
mg/I
Mg - Magnesium
mg/I
Mn - Manganese
mg/I
Ni - Nickel
mg/I
Lab Reports): Influent Total VOCs:
M RAs Nn
Or T r �nTn
ORGANICS: (by GC, GC/MS, HPLC)
(Specify test and method #- ATTACH LAB REPORT.)
Report Attached? W Yes (1) ❑ No (0)
VOC : ND method # Zy0
-- , method #
method #
method #
Effluent Total VOCs:
VOC
MONITORING:
Name:
Name (if different):
Address:
r®nom NU _e,64154 County .biffiklrre.
fCayl f56va1' (ZiP)
A nn 1
�
RctPerson: _ _ SIF Kolywt;t 1%rty�1^N_ Telephone#: t><? -G1{',_-
Location/Site Name: No. of wells to be sampled:
Number: " -Expiration Date:
:harge W. At V I+S' If UIC
NPDES Other
TYPEOF OPERATIONBEING-MONITORED
EX -Lagoon ' ❑,Remediation: Infiltration Gallery
0 Spray -Field ❑ Remediation:
El° Rotary'Distnbutor ❑'Land Application of Sludge
EI ' WaterSource'Heat Pump ❑ Other: -
WELL ID NUMBER (from Permit): /\A W-3
—
Data sample- collected: q - 2 2 - %6
p
� Pui p OfD Certification No. 3 71
if WELL
Well Depth: 1 7 _ft
Depth to Water �.
��
Well Diameter: In.
FIELD: ANALYSES- u �
PH S. /units Temp. Z 3 ,S eC
WAS.
DRY at
Level: - ft. below measuring point-
Screened Interval: -7 ft. to L2� ft.
Spec: Cond. µMhos
time of
Measuring Point is Z . . above land surface
d
M.P, Elevation: _ ft,
Odor
4*
'Dissolved Solids: Total / 3 g D170 �
Volume ofwater pumped/bail before sampling: � allonRelative
g-
s
,sampling,
-
check.
_
Sam les for,metals were collected unaltered: DYES ❑ NO
and field acidified: OYES ❑ NO
Appearance
here:
LABORATORY w:nRMATtntu
_ . _
TOC mg/I
Ca -Calcium
e sample analyzed 9-Z3r q-Z6i q -t.1_/6 Laboratq Name: _
tAMETERS' 'NOTE: Values should reflect dissolved"and`collolda-1 E_
mg/I
� Pui p OfD Certification No. 3 71
COD mgfi
Coliform: MF Fecal /i00m1
concentrations,
Nitrite.(NO2) as'N
mg/I
;Pb -Lead _ mg/I
mg/I
Nitrate (NO3) as N
mg[l
Zn - Zino mg/l
/1'OOmI
(Note: Use a MPNAirn3thodtfor hi hi lui•bld samples)
g r
Phosphorus: Total as P -
Orthophosphate N
mg/1
(Ammonia Nitrogen; NH3 as N; I4rxtwnie Nitrogen, Total) -
4*
'Dissolved Solids: Total / 3 g D170 �
mgll
AI
Other '(Specify `Compounds and Concentration UFiits).
otal VON,:—, _ -
-Aluminum
mgry.
pH (when analyzed) units
BaBarium
- -
mg/i
M BA 5 = IN
TOC mg/I
Ca -Calcium
mg/F
„ • r
I b 6 L u 6
Chloride
mg/I
Arsenic
mg/I
Grease and Oils
mg/I
Phenol
mg/I
Sulfate
mg/I
Specific Conductance
µMhos
Total Ammonia
mg/l,
(Ammonia Nitrogen; NH3 as N; I4rxtwnie Nitrogen, Total) -
mg/I
TKN as N mg/I
For Remediation systems Only (Attach Lab
Cd:- Cadmium
-Chromium: Total
mg/I
Cu - Copper
mgll
Fe - Iron
- mg/I
Hg .-.Mercury,
mg/I
K -Potassium
mg/I"
Mg,- Magnesium
mg/I
Mn -,Manganese
mg/I
Ni - Nickel
_ mgll
otal VON,:—, _ -
mo/L "Ffnria
ORGANICS; (by'GC, GC/MS, HPLC).
(Specify test and method #i ATTACH LAB REPORT.)
'Report Attached? Q9 Yes (1) ❑ No -(0)
VOC -= N� , method # 62oo
- , method #
method #
method #
Total VOCs:
VOC
Irl Wa15 L L 5 5
dtee (or Authorized Agent) Name and Title --Please print or type - --- -
�--� Signature of Permittee (or Authorized Agent) (Date)
GW -59 Rev. 112007
QUALITY MONITORING:
ity Name:
lit Name (if different):
ity Address:
I.—,a14y,. [
Isar, c a�.I County ._ .15tutnsW�'t IC
-
nn Rio)
act Person: A _ Telephone# _Ro-a-0/-721
Location/Site Name: No. of wells.to l* sampled:
Number:Expiration Date:
:hargeW.' (R Vty JRj17 UIC
,uts Other
fPE OF PERMITTED OPERATION BEING"MONITORED
EX -Lagoon 1 Remediation: 'infiltration Gallery
0 Spray Field ❑ Remediation:
Rotary Distributor ❑ Land Application of Sludge
❑' Water -Source Heat -Pump ❑ Other: _
L ID NUMBER (from Permit): Dat® sample collected: 7-22-16
Depth: 12,6 ft, FIELD ANALYSES:
Well Diameter:.In.
�H S�unitsTemp. °C
sN Z y 6
I to Water Level:S, 8_ft. below measuring point Screened, Interval: ft. to p
_ _ it. Spec. Cond. µMhos
uring Point is 2,1 ft. above land surface Relative M:P. Elevation: ` _-ft. Odor
ne of water pumped/balled before sampling:C7 allons
,tom s.,..-... r --- -- -- �—,-9 Appearance
sample
COD
mg/l
Coliform: MF Fecal
/1.00m1
Coliform: MF Total,_--/1.00ml
--mg/I
(Nola;- Use MW method for highly,turbid'aamMes)
mg/I
Dissolved Solids: Total 192 Ot7(7 ug 1L
R
pH (when analyzed) —units
mg/I
TOC
mg/I
Chloride
mg/I
Arsenic
mgn
Grease and Oils
mg/l
Phenol
mg/I
Sulfate
mg/i
Specific Conductance
µMhos
Total Ammonia
mg/I
.(Ammonia Nitrogen; NH3asA Ammonia. Nitrogen, Total)
TKN as N mg/I
For Remediation Systems Only;(Attach Lab
Ls
GW -59 Rev. 1/2007
Laboratory Name: _. r A-V"r44MO,. S e r'vH fe 60:rp Certification No. 3 75
nidal concentrations.
Nitrite (N%).as=N. mg/I Pb - Lead mg/I
Nitrate (NO3) as N mg/l Zn - Zinc ma/I
Phosphorus: Total as P
mg/I
Orthophosphate IV Q
mg/l
AI - Aluminum
--mg/I
Ba -:Barium
mg/I
Ca - Calcium
mg/I
Cd - Cadmium
mg/I
Chromium: Total
rrigll"
Cu - Copper
mg/I
Fe - Iron
mg/I
Hg - Mercury
mg/I
K - Potassium,
n!gA
Mg' Magnesium - - - mg/I
'Mn --'Manganese mg/I
Ni.- Nickel mg/I
Total VOCs: _md/L Ffe„
Other (Specify Compounds and,Concentration,Units):
- - n r
ORGANICS: (by GC, GC/MS, HPLC)
(Specify testiand method #. ATTACH LAB REPORT.)
Report Attached? §Z Yes (1) ❑ No (0)
VOC N1� , method # 62uiv R
method #
- , method `#
method #
at
Of'
x
Permit # W CI tw 10V
(Submit one each monitoring period with GiV-59 forms.)
GW -59A 12/8/2003
Enter date monitoring results were due. ( ((D - / 6 Will this monitoring report (GW -59 and GW -59A)
YES
NO
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 numbers) 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 Officefor guidance.
-WVJ-Z 1 croaej cc^ /@ Q u Wu ' i 40 o r a,'
4
Are any monitored constituents equal to or above the establis ed stands s?
YES
IYO
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.,
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 constituent(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
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 maybe
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.
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.
Ihereby acknowledge that the above inforTnatlon was evaluated and the tnfocmation sutimjtted
report (Complianpe Report GW 59A) Is true antl complQte to the best of my kpowledg®,..,,,,;"
'Devi
q �/6
""�
Signature of Permittee (or Authorized Agent) Date
GW -59A 12/8/2003