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Home My WebLink AboutWQ0022384_Monitoring - 10-2016_20161207 (2)GW -59A COMPLIANCE REPORT FORM Permit #k Z % (Submit one each monitoring period with GW =.59 forms) I Enter date monitoring results were due. I iP Will this monitoring report (GW -59 and GW -59A) ;ES NO be submitted after the established due date? P 2 Was any required information missing on the GW -59 report forms? YES IF the answer to question 1 or 2 is "YES", list in the space provided below the well identification number(s) and explain the problems encountered in obtaining the required info ation. -The OamplfS(4L CGIIfdeC( the Ia�ida�Y o� he frorrFh duf+o l IooCilflg ThC HOU 116 WQ(e not rfuMo0, ram 4 -he Cornmel'60 lab Untlil li-3o41,0 (hl5ha5bee>dlxuboedu)IW 14CIOEOP/DwO0�(a)- 3 Are any of the monitor wells in need of repair or maintenance (damaged casing, unlocked or missing cap, missing YES identification plate, area overgrown, etc.)? Ijthe answer is 'Yes ", contact the Regional Ofce for guidance. `NO/ Y 4 Are any monitored constituents equal to or above the established standards? YES N0 If the answer to question 4 is "NO', skip to section B. 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 I "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). Are the monitoring wells listed In section 5 located at or beyond the review boundary? YES NO H the answer is "YES", a groundwater quality problem maybe occurring. CONTACT THE REGIONAL OFFICE IMMEDIATELY FOR GUIDANCE. If the answer is "NO", monitoring wells maybe 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 aVions in the space provided below. If the answer to question 7 is "NO", contact the R� iona/ Officewilthin 90 days; an evaluation may be required to determine the impact the waste disD241 system is ins at the review and compliance boundaries surrounding this facility. Failure to d&so maTsubIT& the permittee to a Notice of Violation, fines. and/or Penalties. Z: z� � � m Z O f -i � LJ g The person completing this portion (GIN -59A) of t port should sign below and submit this -Fess form with GW -59 forms for required wells to the ads provided at the top of the current GW -59 form. 1 hereby acknowledge that the above Information was evaluated and the information submitted in this report (Compliance Report GW -69A) is true and complete to the best of my knowledge. in ince 6x.(t Q-1-4 Signature of Permittee (or Authorized Agent) Date GW' -59A 12/8/2003 GROUNDWATER QUALITY MONITORING: COMPLIANCE REPORT FORM or Name: —L= Name (if different): Address: CVY1 SUBMIT FORM ON YELLOW PAPER ONLY County Pitt act Person: f�ynep-6M 14) Telephone#: Z.1 [- �JZ4- Location/Site Name: E (17f1ef O i- &ne * 1 O No. of wells to be sampled: L ID NUMBER (from Permit): Date sample collected: Depth: 5? ft. Well Diameter: Z. in. 1 to Water Level 82546: Lo ft. below measuring point Screened Interval:=ft. to ift. ,unng Point is &-;3 ft. above land surface Relative M.P. Elevation: ft. ne of water pumped/bailed before sampling: 17 gallons Iles for metals were collected unfiltered: ® YES ❑ NO and field acidified: 19 YES ❑ NO DEPARTMENT OF ENVIRONMENTAL QUALITY -DIV. OF WATER RESOURCI INFORMATION PROCESSING UNIT 7 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: 919.807-6306 '.RMIT Number: Expiration Date: .5Z3 7L)1W n -Discharge LYr`0Q2L6V4 UIC -DES )-.i0003705) Other 'PE OF PERMITTED OPERATION BEING MONITORED ❑ Lagoon ❑ Remediation: Infiltration Gallery Spray Field ❑ Remediation: ❑ Rotary Distributor ❑ Land Application of Sludge ❑ Water Source Heat Pump ❑ Other: FIELD ANALYSES: PH oo4004.53 units Temp. 00010: ID eC Spec. Cond. oo094: 50,•5 µMhos Odor000es: rK3ne Appearance GOUCy rte sample analyzed: I -jl-Ilp Laboratory Name: EnV I (G'1(T161� Z� InC 1RAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. COD 00335 mg/L Nitrite (NO2) as N oo615 mg/L Pb - Lead o1o51 Coliform: MF Fecal 31616 < I /100mL Nitrate (NO3) as N 00620 0.440 mg/L Zn - Zinc 01092 Coliform: MF Total 31504 /100mL Phosphorus: Total as P 00665 mg/L Certification No. i_ ug/L mg/L (Note use MPN memod W NgNy mad samples) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units): solved Solids:Totai 70300 Ct In mg/L AI - Aluminum o11o5 mg/L 0�6 PH (Lab) oo403 y.53 units Be - Barium 01007 ug/L TOC 00680 6.93 mg/L Ca - Calcium 00916 mg/L Chloride oos4o mg/L Cd - Cadmium 01027 ug/L Arsenic 01002 ug/L Chromium: Total oto34 ug/L Grease and Oils 00552 mg/L Cu - Copper 01042 <Q, p )Q mg/L ORGANICS: (by GC, GC/MS, HPLC) Phenol 32730 ug/L Fe - Iron o1o4s ug/L (Specify test and method #. ATTACH LAB REPORT.) Sulfate oo945 mg/L Hg - Mercury 71900 uglL Lab Report Attached? N Yes (1) ❑ No (0) pacific Conductance 00095 5 Sj . 5 pMhos K - Potassium 00937 mg/L VOC 7873 , method # C G Total Ammonia ooslo <Q.OLi mg/L Mg - Magnesium 00927 mg/L , method # (Aeu 18 Nitrogen: NH3as N: Ammons Nemgen, 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): 'lhIfi,1aau ((( GW -59 Rev. 3-1-2016 Influent Total VOCs: Effluent Total VOCs. mg/L VOC Removal% at Of