WQ0031030_Monitoring - 11-2016_20161228 (2)

~ .- SUBMIT FORM ON YELLOW PAPER ONLY
ROUNDWATER QUALITY MONITORING:
DMPLIANCE REPORT FORM
Name:
Name (N
Address:
act Person: William G. Freed
Location/Site Name:Tefephone#: 252 207 5853
Surrounds holding pond No. of wells to bebe samp�_
Identification Numha, rs....., e__u.. tea'
Well Deptt 21.9
ft.
-- -'
Well Diamete 2 In.
lf WELL WAS DRY
3me
Screened Interyal:
it.
to 157 ft.
at of sampling. Check here
Depth to Water Level: 5.5
ft.
below measuring point.
Sample is from system:
❑ Influent
Measuring Point is 1.5 0
Gallons of water pumped before
It.
sampling
above land surface.
10.0
I
Relative M.P. Elevation in
ph 7.34
Date collected sample
Tamp ._16.5_°C
23'8
Odornone
apperance clear 2
OfMION OF WATER OUALRYaNFORMATION PROCESSING UNIT
1317 MAILSERVICE C:NTER
DATE:
U1[40
OF PERMITTED OPERATION BEING MONITORED
Lagoon
_ Remetllation: Infllaation Gallery
_Spm? Feld
Remediation:
_Rotary DlstiNitor
—Land Application of Sludge
_Water source Heat Pump
--
Other.
Cd - Cadmium -
-- _••• cnivenr unly (Attach Lab
Int mg/L (Total VOC Concentration)
ent mgfL (Total VOC Concgmmtlon)
Removal %
Name:
PARAMETERSSam lfor metals were collected unFlltered Certification No.
as P
( _YES
NOTE: Values should reflect dissolved and colloidal concentrations. — NO and field acidified _N0.)
COD
ColiformMF Fecal mgn Nitrite (NO2) as N --mgA
: <t /100mi Nitrate (NO,) as N
Coliform: MF Total
Phosphorus: Total as P
�......
mgn
/lo0ml
(Note. ilea MPN mHnoE lar ngnry MNE eemoies)
A I- Aluminum_mgn
��—mg/I
Dissolved Solids: Total
271
Ca - Calcium
pH (when analyzed)
Cd - Cadmium -
mg/I
TOC
mgn
units
Chloride
5.86
mgn
Arsenic
23'8
mgll
Grease and Oils
Mg - Magnesium
mgn
Phenol
mg/I
Sulfate
mgn
Specific Conductance
mgn
Total Ammonia
uMhos
(Ammonia Nt6ogen; NHt as N; Ammonta NMogen,
<1
Total)
mgn
TKN as N
mgfl
Phosphorus: Total as P
�......
mgn
Orthophosphate
A I- Aluminum_mgn
��—mg/I
Be -Barium
Ca - Calcium
mgn
Cd - Cadmium -
mgn
O
Chromium: Total
mgn
Cu -Copper
—mgA
Fe - Iron
mgn
Hg - Mercury
mg/I
K - Potassium
mgn
Mg - Magnesium
mgn
Mn - Manganese—mgn
mgn
Ni - Nickel n
Pb - Lead > mg/I
Zn -Zinc
mgfl
� mgn
Other (Specify Compounds and
C ttratim?Unitop
(Specify test and method #. ATTACH U& REPORT.)
Report Attached? Yes_(1) No_x_ (0)
VOC method is 6200 '
M—

Is
Name:
Name (if
Address:
QUALITY MONITORING:
REPORT FORM
elem
or
ON YELLOW PAPER ONLY
DMSION OF WKMR QUALITY -INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER
uIC
-••._rs---
-
....,.nq wnuucR
TYPE OF PERMITTED OPERATION BEING MONITORED
Contact Person: William G. Freed
Well Locatwn/Site Name.
Telephone#: [phone]
Lagoon Remediation: Infiltration Gallery
spray
surrounds holding pond
No. of wells to be Sampled., led: 3
Field _Remeala6on:
Well Identification Number (from Permit): mw2
1�
st
Rotary Distributor Land Application of Sludge
Water Source Heat Pump
Well De tt 21.9
P ft. Well e 2 1n.
If WELL WAS DRY
at Uma of sampling, Check here
X others
•�
Screened Interval: ft. to 15_2" ft.
7 ft.
Depth to Water Level: 5.1 ft. below measuring point.For
Sample is from system:
❑ Influent ffluent
Remediation System Influenummuent Only (Attach Lab Reports.)
Measuring Point p 1.5 0 ft. above land surface.
Gallons of water pumped before sampling 10.0
Relative M.P. Elevation in ft.
Influent "MAL (Total VOC Concentration)
Effluent m I11L (Total VOC Concentration)
ph 6.47
Date collected sample 11/17/2016
VOC Removal__%
Temp._17.6_'C Odor none a
pperance clear 2
Date sample analyzed:
-
Laboratory Name: UNIVERSAL LABS
PARAMETERS (Samples for metals were
Certification No. 543
collected unfiltered_YES _ NO and field acidified _YES
NOTE: Values should reflect dissolved and colloidal
COD
concentrations.
_N0.)
Coliform: MF Fecal <1mg/I
mg/I
Nitrite (NO2) as N
Ni -Nickel.°sx
D�
Coliform: MF Total
/100m1
Nitrate (NO3) as N <1
mg/I Pb - Lead/100ml
Use MPN me1hW yrhghlytw samples)
Phosphorus: Total as 'P
Orthophosphate
/l
mg Zn - Zinc -
.'
Dissolved Solids: Total 253
mg/I
A I- Aluminumunits
mg/I -
pH (when analyzed)
Ba -Barium
mgA Ober (Specify Compounds and Concentration Units)
'€
TOC 6.91
Chlodde
mg/I
Ca - Calcium
mgA
mg/I
-
279
Arsenic
mg/I
Cd - Cadmium
mgA
Grease and Oils
mgA
Chromium: Total
mgn
Phenol
mg/I
Cu - Copper
mg/I
Sulfate
ge
mg/1
Iron Mercu
Hg Mercury
mg/I ORGANICS: (by GC, GC/MS, HPLC)
Specific Conductance
uM11os
K - Potassium
mg/I (specify test and method #. ATTACH LAB REPORT.)
Total Ammonia <1
mg/I
Mg -Magnesium
mg/I Report Attached? Yes x_ (0)
(1) No_
�k
-
(Ammonia Nitrogen; NH, as N; Ammonia Nitrogen, Total)VOC
TKN N
Mn - Manganese
method #= 6200
as
mgll
mg/I
— : method #_
-
: method #=
rwwlranwn�
method A ­—
GW -59
Rev. 1112005
Agent)

DWATER QUALITY MONITORING:
REPORT FORM
Name: North
Name (if different): North el
Address:
act Person: William G. Freed
Location/Site Name: surrounds holding pond
Well Deptt 22.1
Screened Interval:
Depth to Water Level: 12
Measuring Point is 1.5 0
ft. Well Diamete 2 in.
ft. to 157 ft.
ft. below measuring point,
ft. above land surface.
sampling 10.0
ON
IZ
Telephone#: [phone]
No. of wells to be sampled: 3
Of sampling, Check here
PAPER ONLY
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER -
RALEMH. NC 27699-1617 Phe": (911 '1334921
ERMIT No. Wg0031030 EXPIRATION DATE: 1y1
Jon -Discharge UIC
VPDES
OF PERMITTED OPERATION BEING MONITORED
_Lagoon
_Remedlation: Infiltration Gallery
_Spray Field
mg/I
_ Rotary Distributor
_Remediation:
Land Application of Sludge
Water Source Heat Pump
Y80
Other:
ant mg/L (Total VOC Concentration)
ant mgfL (Total VOC Concentration)
Removal %
Temp._16.7_eC Odor none a Date sample analyzed:
pperance clear Laboratory Name:
Certification No
PARAMETERS ERS (Samples for metals were collected unfiltered YES _ NO and field acidified
_YES
NOTE: Values should reflect dissolved and colloidal concentrations. _NO.)
COD mg/I Nitrite (NO,) as N
Coliform. MF Fecal <1 )
Colmg/I Ni -Nickel
It00ml Nitrate as N <mg/I Pb - Lead
Coliform:rm: MF Total /1 00m1 Phosphorusoras: T tel
(Nate: Useoahyturpltlsamples)
o as P
Orthophosphate
mg/I
Zn - Zinc
Dissolved Solids: Total
Y80
mg/I
pH (when analyzed)
mg/I
units
A I- Aluminum
Be - Barium
m9�
Other (Specify Compounds and Concentration Units)
TOC
Chloride
11 3
mg/I
Calcium Ca -C
i
-
Arsenic
8
mg/I
Cd - Cadmium
mg/I
mg/I
-
Grease and 011s
mg/I
Chromium: Total
mg/I
Phenol
mg/I
Cu - Copper
mg/I
O
Sulfate
mg/I
mg/I
9
Fe - Iron
N g - Maroury
mg/I
ORGANICS: by GC, GC/MS, HPLC)
Specific Conductance
Total
uMhos
K- Potassium
mg/I
(Specify test and method #. ATTACH LAB REPORT.)
Ammonia
`1
mg/I
Mg - Ma nesium
mg/I
Report Attached? Ye3_(1) No(0)
Nitrogen; NHe as N; Ammonia NiWgen. Total)
Mn - Manganese
mg/I
_x_
VOC : method #= 6200
_ _
`
TKN as N
mg/1
mg/I
: method#=
_
method #=
•
method #=
arm ee or o :
gent time an t e -
eaae p nor
GW -59
/ z -
Z _ C
Rev. 11/2005
signature Pon
(o A nhori ed Agent)
T
_,
�1