WQ0003687_Monitoring - 11-2016_20161202 (2)

SUBMIT FORM ON YELLOW PAPER ONLY
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs:
John Ciolino
Permittee (or Authorized Agent) Name and Title - Please print or type,
GW -59 Rev. 2/2010
mg/L Effluent Total VOCs:
mg/L VOC Removal%a
Signature of Permittee (or Authorized Agent) (Date)
DEPARTMENT OF ENVIRON►` EW & NAtUkAL RESOURCES.
GROUNDWATER QUALITY MONITORING:
DIVISION, OFWATER at auiYhhiORr ATI6NPROCESSINGUNIT
COMPLIANCE REPORT FORM
1617MAILSERVIQkQ,, NiFi'R4i IGH N 276 9 9-1 6 1 Rhone;mojnoro 21 0"
FACILITY INFORMATION
Please PnntCleadyorType
PERMIT Number: WQ00003687 Expiration Date: 9/30/20
Facility Name: Gold Hill Airpark
Non -Discharge UIC
Permit Name (if different):
NPDES Other
Facility Address: 285 Aviation Ln
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon L1 Remediation: Infiltration Gallery
Gold Hill !Street) NC 28071 County Rowan
9 Spray Field ❑ Remediation:
Contact Person: John Ciolino
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Gold Hill Airpark
No. of wells to be sampled: 3
❑ Water Source Heat Pump ❑ Other:
_ (from Permit)
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW -1
Date sample collected: 11/8/16
FIELD ANALYSES:
WAS
Well Depth: 16 ft.
Well Diameter: 2 in.
pH 00400: 4 units Temp. 000lot 1.6 °C
DRY at
Depth to Water Level 82546:15 _ ft. below measuring point Screened Interval 6 ft. to
16 ft. Spec. Cond. 00094: µMhos
time
sampling,
Measuring Point is 1.4 ft. above land surface
Relative M.P. Elevation: _ ft.
Odor 00085: None
check
Volume of water pumped/bailed before sampling:
1
gallons
Appearance Cloudy
here: ❑
Samples for metals were collected unfiltered: 0 YES
❑ NO and field acidified: ® YES - ❑ NO
O _
LABORATORY INFORMATION
Date sample analyzed: 11/8/16
Laboratory Name: Pace Analytical
Certification No. 12
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 1 v?O�
Coliform: MF Fecal 31616 3.0
I1OOmL
Nitrate (NO3) as N 00620 .36
mg/L Zn - Zinc 01092 _ mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665_
mg/L
(Note; Use MPN method for highly turbid samples)r
Orthophosphate 70507
mg/L Other (Specify Compoun Concentration Units):
L LEC
issolved Solids:Total 70300 157
mg/L
Al -Aluminum o1105
mg/L 1 2n9F
pH (Lab) 00403 6.4
units
Ba - Barium 01007
ug/L
TOC 00680 13.6
mg/L
Ca - Calcium oos16
mg/L
Chloride 0094o 6.7
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? 6 Yes (1) ❑ No (0)
Specific Conductance 00095
µMhos
K - Potassium 00937
mg/L VOC 78732:- method #
Total Ammonia o0610 ND
mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen; NH, as N; Ammonia Nitrogen; Total)
Mn - Manganese o1o55
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:
John Ciolino
Permittee (or Authorized Agent) Name and Title - Please print or type,
GW -59 Rev. 2/2010
mg/L Effluent Total VOCs:
mg/L VOC Removal%a
Signature of Permittee (or Authorized Agent) (Date)

SUBMIT FORM ON YELLOW PAPER ONLY
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs:
John Ciolino
Permittee (or Authorized Agent) Name and Title - Please print or type
GW -59 Rev. 2/2010
mg/L Effluent Total VOCs:
Signature of Permittee (or Authorized Agent)
mg/L VOC Removal%
DEPARTMENT OF ENVIRONMENT & NATURAL ki Stb JRQES .;,:-
GROUNDWATER QUALITY MONITORING:
�1417
Ofvf%01 QF WATER QUAUTY4NK0RMATI0N'PR0CESSINGUNIT
COMPLIANCE REPORT FORM
Mkt SlERViCECENTER; RALEIGH;NC27599-161T 'Pltofis'09107333221
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: WQ00003687 Expiration Date: 9130/20
Facility Name: Gold Hill Airpark
Non -Discharge UIC
Permit Name (if different):
NPDES Other
Facility Address: 285 Aviation Ln
TYPE OF PERMITTED OPERATION BEING MONITORED
X Lagoon El Remediation: Infiltration Gallery
;Strzet)
Gold Hill NC 28071. County Rowan
(Cur) fS!zty
SZip';
X Spray Field El Remediation: _
Contact Person: John Ciolino
_
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Gold Hill Airpark
No. of wells to be sampled: 3
❑ Water Source Heat Pump ❑ Other:.
(from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW -2
Date sample collected: 11/8/16
FIELD ANALYSES:
WAS
Well Depth: 12 ft.
Well Diameter. 2 in.
pH 0040o: 4 units Temp. 000lo: 14 °C
DRY at
Depth to Water Level 82546:13 ft. below measuring point Screened Interval: 2 ft. to
12 ft. Spec. Cond. 00094: µ
time ofMhos sampling,
Measuring Point is 1.4 ft, above land surface
Relative M -P. Elevation: _ ft.
Odor 00085: None
check
Volume of water pumped/bailed before sampling:
1
gallons
Appearance Cloudy
here:❑
Samples for metals were collected unfiltered: 91 YES
❑ NO and field acidified: W YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 1118116
Laboratory Name: Pace Analytical
Certification No. 12
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 NO
/100mL
Nitrate (NO3) as N 00620 6.4
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665
mg/L
(Note:. Use MPN method for highly turbid samples)
Orthophosphate 70507 _mg/L
Other (Specify Compounds and Concentration Units):
DEC
issolved Solids:Total 70300 94
mg1L
Al -Aluminum o11o5
mg/L _ r /1 r
pH (Lab) 00403 5.1
units
Ba - Barium 01007
ug/L D16
TOC 00680 1.4
mg/L
Ca - Calcium oo916
mg/L
Chloride 0094o 7.6
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? 11V Yes (1) ❑ No (0)
Specific Conductance 00095
µMhos
K - Potassium 00937
mg/L VOC 78732: method #
Total Ammonia 00610 ND
mg/L
Mg - Magnesium 00927
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 #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs:
John Ciolino
Permittee (or Authorized Agent) Name and Title - Please print or type
GW -59 Rev. 2/2010
mg/L Effluent Total VOCs:
Signature of Permittee (or Authorized Agent)
mg/L VOC Removal%

e� �onn�r ¢noon nn� vc� � n�ni on oto non v
IGROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
FACILITY INFORMATION Please PnntClearlyorType
Facility Name: Gold Hill Airpark
Permit Name (if different):
Facility Address: 285 Aviation Ln
(Street;.
Gold Hill NC 28071 County -Rowan
act Person: John Ciolino Telephone#: [phone]
Location/Site Name: Gold Hill Airpark No. of wells to be sampled: 3
PERMIT Number: 1N000003687 Expiration Date:
Non -Discharge UIC
NP -DES Other
TYPE OF PERMITTED OPERATION BEING MONITORED
Lagoon ❑ Remediation: Infiltration. Gallery
© Spray Field 0 Remediation:
El Rotary Distributor ❑ Land Application of Sludge
El Water Source Heat Pump 0 Other:
:LL ID NUMBER (from Permit): MW'3 Date sample collected: 1118/16&11/1,5/16
II Depth: 25 ft. Well Diameter: 2 in. .
3th to Water Level 82546:24 ft. below measuring point Screened Interval: 15 ft. to 25 ft.
asuring Point is 1.2 ft. above land surface Relative M.P. Elevation: ft..
ume of water pumped/bailed before sampling: 1 _ galions
nples for metals were collected ,unfiltered: I1 YES ❑ NO and field acidified: W1 YES ❑ NO
FIELD ANALYSES:
WAS
pH 00400: 4 units Temp. 000lo; 14 °C
DRY at
Spec. Gond. 00094; JiMhos
time ofsamplir
Chloride 00940 2.6
mg/L
Odor 00085;.. None _
check
Appearance Cloudy
here: --
ate sample analyzed:1128/16; fecal coliforms on 11/15/16 Laboratory Name: Pace Analytical Certification No. 12
\RAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD oo335 rng/L Nitrite (NOZ) as N oo615 mg/L Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616 6 /100ML Nitrate (N0;) as N 00620 .72 mg/L Zn - Zinc 01092 mg/L 05'
Coliform: MF Total 31504 _ /1 OOmL Phosphorus: Total as P 00665 mg/L 2016!
(Note: use MPN method for highly turbid samples) O _ h h h/L 'f
Ived Solids:Total 70300 88.0
mg/L
pH (Lab) 00403 ,5.4_
units
TOC oo68o 3.8
mg/L
Chloride 00940 2.6
mg/L
Arsenic 01002
ug1L
Grease and Oils 00552
mg/L
Phenol 32730
ug/L
Sulfate 00945
mg/L
fic Conductance oo095
µMhos.
Total Ammonia 00610 ND
mg/L
(Ammonia Nitrogen; NH3 as N, Ammonia Nitrogen, Total)
mg/L
TKN as, N 00625 mg/L
rt op osp ate 70507
mg
AI -Aluminum oiio5
mg/L
Ba - Barium 01007
_ug/L
Ca —Calcium oogi6
mg/L
Cd - Cadmium 01027
ug/L
Chromium: Total 01034
ug/L
Cu - Copper 01042
mg/L
Fe - Iron 01045
ug/L
Hg - Mercury 71900
ug/L
K = Potassium 00937
mg/L
Mg - Magnesium 00927
mg/L
Mn - Manganese o1o55
ug1L
Ni - Nickel 01067
vg/L.
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs:
Other (Spec) y Compounds and. Goncentratlon units
ORGANICS: (by GC, GC/MS, HPLC)
(Specify test and method #. ATTACH LAB REPORT,)
Lab Report Attached? 0 Yes (1) ❑ No (0).
VOC 78732: method #
Method #
method #
method #
mg/L Effluent Total VOCs:
mg/L VOC Removal%o
John Ciolino
Permittee (or Authorized Agent) Name and Title—Please print or type Signature=of Permittee (or Authorized Agent) (Date)
GVV-59 Rev, 2/2010