HomeMy WebLinkAboutWQ0002428_Monitoring - 11-2016_20161230 (2)GW -59A COMPLIANCE REPORT FORM Permit 4 V400029Z3
(Submit one each monitoring period with GIV-39 Jorma)
I
Enter date monitoring results were due. Z J r< Will this monitoring report (GW -59 and GW -59A)
be submitted after the established due date?
YES
NO
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 number(s) 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
identification plate, area overgrown, etc.)? If the answer is "Yes", contact the Regional O lice for guidance.
YES
NO
4
Are any monitored constituents equal to or above the established standards?
YES
NO
If the answer to question 4 is "NO" skip to section 8.
If the answer to question 4 is "Vii- 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
same constituent(s) in the same well(s) in the last two years?
YES
NO
If the answer to question 5 is "NO" skip to section 8.
If the answer to question 5 is "YES", list in theB PI�OJg tJ (ell with constituent(s) exceeding
standards, concentration(s) reported, and sample collectiofiftM:r*K,qWh occurrence (for the last two years).
9lOC 0 S J30
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 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 actions in the space provided below.
N the answer to question 7 is "NO", contact the Regional Office within 90 days; an evaluation may be
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.
DJ
JAN 1 1 2017
8
The person completing this portion (GW -59A) of the monitoring report should sign be/ow and submit this
form with GW -59 forms for required wells to the address provided at the top of the current GW -59 form.
111 p da infprmalt0rl sub 00h
1d•ttts' myknowtedge
S nature of Permittee (or Authorized Agent) Date
GW -59A 12/8/2003
SUBMIT FORM ON YELLOW PAPER ONLY
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs
DOUt;��� W �ioedw(w ffAZNE?Y M4,d�/,F?
Permi9ee (or Authorized Agent) Name and Title - Please print or type
GW -59 Rev 2/2010
mg/L Effluent Total VOCs
mg/L VOC
i6
DEPARTMENT OF ENVIRONMENT 6 NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1917 MAIL SERVICE CENTER, RALEIGH, INC 27999-1917 Phone: (919)733-3221
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: W00002428 Expiration Date / -T ZO
Facility Name: Mountaire/Mt. Vernon
Non -Discharge x UIC
NPDES Other
Permit Name (if different): A4dUI^F7A¢E F4aA4s INC
Facility Address: 175 Foust Road
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
Siler City NO 27344 County Chatham
(city) (statin
Rol
Spray Field ❑ Remediation'.
Contact Person: Doug Goodwin
Telephone#: 919-548-5024
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name Mountaire Mt. Vernon
No. of wells to be sampled: 4
❑ Water Source Heat Pump ❑ Other:
rmm Pe mt
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW -2
Date sample collected, 11/08/16
FIELD ANALYSES:
WAS
Well Depth: 16 ft.
Well Diameter: 4 in.
pH oo400. 6.71 units Temp. 000lo 18.5 °C
DRY at
Depth to Water Level 132546: 6.2 ft. below measuring point
Screened Interval: _ft. to
ft Spec. Cord. 00094. µMhos
of
sam sampling,
9,
Measuring Point is 3 ft. above land surface
Relative M.P. Elevation: ft.
Odor 000a5:
check
Volume of water pumped/bailed before sampling:
13
gallons
Appearance
here: L1
Samples for metals were collected unfiltered: ❑ YES X
NO and field acidified, ❑ YES ® NO
LABORATORY INFORMATION
Date sample analyzed. 11/08.15116
Laboratory Name. Cameron Testing Services Certification No. #654
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO,) as N 00615
mg/L Pb - Lead olo51 ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO,) as N 00620 0.139
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/1 OOmL Phosphorus: Total as P oo665
mg/L
(Nae
Orthophosphate 70501
mg/L Other (Specify Compounds and Conon Units).
issolved Solids: Total 70300 173
mg/L
Al - Aluminum o11o5
ni
pH (Lab) 00403
units
Ba - Barium 01007
ug/L � 't IN 112 G 1!
TOC 00680 <1.00
mg/L
Ca - Calcium oo916
mg/L
Chloride oo94o 10.3
mg/L
Cd - Cadmium 01027
uglL
Arsenic 01002
ug/L
Chromium: Total 01034
ug/L
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg/L ORGANICS: (by GQ GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron o1o45
uglL (Specify test and method #. ATTACH LAB REPORT.)
Sulfate oo945
mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? X Yes (1) ❑ No (0)
Specific Conductance 00095
µMhos
K - Potassium 00937
mg/L VOC 78732. . method # 8260B
Total Ammonia 00610 <0.100
mg/L
Mg - Magnesium 00927
mg/L method #
(MYIONa NVotfen NFyas N, Annwn,a Niyogen, Taep
Mn - Manganese 01055
uglL .method#
TKN as N 00625
ri
Ni - Nickel 01067
ug/L method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs
DOUt;��� W �ioedw(w ffAZNE?Y M4,d�/,F?
Permi9ee (or Authorized Agent) Name and Title - Please print or type
GW -59 Rev 2/2010
mg/L Effluent Total VOCs
mg/L VOC
i6
SUBMIT FORM ON YELLOW PAPER ONLY
For Remedlation Systems Only (Attach Lab Reports):
Influent Total VOCs.
mg/L Effluent Total VOCs.
mg/L VOC Removal%
GW -59 Rev. 2/2010
DEPARTMENT OF ENVIRONMENT 6 NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1917 MAIL SERVICE CENTER RALEIGH, NC 27999-1917 Phone: (219) 733-3221
FACILITY INFORMATION
Presse Print Clearly or Type
PERMIT Number: WQ0002428 Expiration Date:
Facility Name: Mountaire/Mt. Vernon
Non -Discharge X UIC
NPDES Other
Permit Name (if different): Aoud7 t,44F f4/7MS /NC
Facility Address: 175 Foust Road
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
Siler City (Beis) NC 27344 County Chatham
(cey) (Saxe)
(zlp)
® Spray Field ❑ Remediation:
Contact Person: Doug Goodwin
Telephone#: 919-548-5024
❑ Rotary Distributor ❑ Land Application of Sludge
Well LocatiordSite Name: Mountaire Mt. Vemon
No. of wells to be sampled: 4
❑ Water Source Heat Pump ❑ Other:
horn Pxnil
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW -3
Date sample collected: 11/08116
FIELD ANALYSES:
WAS
Well Depth. 15 ft.
Well Diameter: 4 in.
pH oo400: 6.91 units Temp. 00010: 18.2 OC
DRY at
Depth to Water Level e2546: 6.7 ft. below measuring point
Screened Interval: _ft. to
_ft.
Spec. Cond. 00094, p Mhos
time of
sampling,
Measuring Point is 3 ft. above land surface
Relative M.P. Elevation: ft.
Odor 000e5:
check
Volume of water pumped/bailed before sampling:
11
gallons
Appearance
here: ❑
Samples for metals were collected unfiltered: ❑ YES ®
NO and field acidified: ❑ YES ®NO
LABORATORY INFORMATION
Date sample analyzed: 11109-15/16
Laboratory Name: Cameron Testing Services
Certification No. #654
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615
mg/L Pb - Lead olos1 ug/L
Coliform: MF Fecal 31616 6
/100ml-
Nitrate (NO3) as N 00620 <0.05
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/iOOmL Phosphorus: Total as P 00665
mg/L
(Nae: Use MPN melMehx highly Wn,id samples)
Orthophosphate 70507
mg/L Other (Specify Compound�oncentration Units):
issolved Solids:Total 70300 472
mg/L
All - Aluminum oT1os
mg/L DD
pH (Lab) 00403
units
Be - Barium 01007
ug/L
TOC ooseo <100
mg/L
Ca -Calcium 00916
mg/L
Chloride oog4o 5.63
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 olo4s
ug/L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate oD945
mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance 00095
µMhos
K - Potassium 00937
mg/L VOC 78732: , method # 8260B
Total Ammonia 0o610 <0.100
mg(L
Mg - Magnesium 00927
mg/L , method #
(Armd+a Nitrogen: NH3asN. Ammonia Nibogen. Tole)
Mn - Manganese moss
ug/L method #
TKN as N oo625
mg/L
Ni - Nickel 01067
ug/L method #
For Remedlation Systems Only (Attach Lab Reports):
Influent Total VOCs.
mg/L Effluent Total VOCs.
mg/L VOC Removal%
GW -59 Rev. 2/2010
SIIRMIT FORM ON YELLOW PAPER ONLY
For Remediation Systems Only (Attach Lab Reports):
Influent Total VOCs
mg/L
Effluent Total VOCs
mg/L
OC Removal%
DOL)CLAs W (oo)w N4 /417C0ee4 />,lfN9GE4
Permittee (or Aulhoraed Agent) Name and Tille - Please print or type
GW -59 Rev 2/2010
DEPARTMENT OF ENVIRONMENT 6 NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1917 MAIL SERVICE CENTER, RALEIGH, NC 27899-1817 Phone: (919)733-3221
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: W00002428 Expiration Date' U / La 2 0
Facility Name: Mountaire/Mt. Vernon
Non -Discharge X UIC
NPDES Other
Permit Name (if different): dre UNr4 dE r4omS /4uC
FacilityAddress175 Foust Road
TYPE OF PERMITTED OPERATION BEING MONITORED
Cl Lagoon ❑ Remediation: Infiltration Gallery
Siler City (st'ea') NC 27344 County Chatham
(city) (81.1.)
(ZVI
M Spray Field ❑ Remediation.
Contact Person Doug Goodwin
Telephone#: 919-548-5024
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Mountaire Mt. Vernon
Noof wells to be sampled: 4
❑ Water Source Heat PUMP ❑ Other.
Imm Parmr
If WELL
SAMPLING INFORMATION
WAS
WELL ID NUMBER (from Permit): MW -4
Date sample collected: 11/08/16
FIELD ANALYSES:
Well Depth: 17 ft_
Well Diameter. 4 in.
pH 00400: 6.71 units Temp. 000lo. 18.3 OC
DRY at
time of
Depth to Water Level 82546: 6.9 ft. below measuring point
Screened Interval _ft. to
_ft. Spec. Cond. o0094_ p Mhos
sampling,
Measuring Point is 3 ftabove land surface
Relative M.P. Elevation'. ft.
Odor 00085-
check
Volume of water pumped/bailed before sampling:
20
gallons
Appearance
here:❑
Samples for metals were collected unfiltered: ❑ YES ON
NO and field acidified. ❑ YES NO
LABORATORY INFORMATION
#654
Date sample analyzed: 11108-15/16
Laboratory Name: Cameron Testing Services Certification No.
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (1402) as N 00615
mg/L Pb - Lead olos1 ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 5.36
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 samWes)
Orthophosphate 70507
mg/L Other (Specify Compounds arDjcentration Units)
T.
issolved Solids Total 70300 245
mg/L
AlAI - Aluminum o11os
mg/L �/�
pH (Lab) 00403
units
Be - Barium 01007
ug/L
TOCoo68o <1'00
mg/L
Ca - Calcium 00916
r
mg/L
Chloride oog4o 1.90
mg/L
Cd - Cadmium 01027
uglL
Arsenic 01002
ug/L
Chromium: Total oio34
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 oo945
mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? N Yes (1) ❑ No (0)
Specific Conductance 0009s
µMhos
K - Potassium 00937
mg/L VOC 78732 method # 8260B
Total Ammonia 00610 -0.100
mg/L
Mg - Magnesium 00927
mg/L method #
(Amm a Nitrogen. NHsas N. Arm ei Nitrogen. TOO)
Mn - Manganese o1o55
uglL , method #
TKN as N oo625
mg/L
Ni - Nickel 01067
ug/L method #
For Remediation Systems Only (Attach Lab Reports):
Influent Total VOCs
mg/L
Effluent Total VOCs
mg/L
OC Removal%
DOL)CLAs W (oo)w N4 /417C0ee4 />,lfN9GE4
Permittee (or Aulhoraed Agent) Name and Tille - Please print or type
GW -59 Rev 2/2010
SUBMIT FORM ON YELLOW PAPER ONLY
ROUNDWATER QUALITY MONITORING:
OMPLIANCE REPORT FORM
:ILITY INFORMATION rreaee runt cieany or t ype
:ility Name: Mountaire/Mt. Vernon
mit Name (if different): MoJN .-7rRE MRMJ 1nI4
:ility, Address: 175 Foust Road
Siler City (s�) NC 27344 County Chatham
act Person: Doug Goodwin Telephone#: 919-546-5024
Location/Site Name: Mountaire Mt, Vernon No. of wells to be sampled: 4
OF WATER GUAUTY4NFORMATION PROCESSING UNIT
RMIT Number: W00002428 Expiration Date: /0/3,/ cd LO
n -Discharge X UIC
DES Other
PE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
0 Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
L ID NUMBER (from Permit): MW -1A Dale sample collected: 11/08/16 FIELD ANALYSES:
Depth: 30 ft. Well Diameter: 2 in. pH o0400: 6.70 units Temp. 000lo: 17.3 eC
h to Water Level 82546: 18.7 ft. below measuring point Screened Interval: _ft. to _ft. Spec. Cond. 00094: µMhos
:wring Point is 3 ft. above land surface Relative M.P. Elevation: ft. Odor 000as:
ne of water pumped/bailed before sampling: 5.75 gallons Appearance
YES ® NO
ite sample analyzed: 11/08-15/16
Laboratory Name:
Cameron Testing Services
4RAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615
mg/L
Coliform: MF Fecal 31616 <1
/1OOmL
Nitrate (NO3) as N 00620
4.34 mg/L
Coliform: MF Total 31504
/1DOmL
Phosphorus: Total as P 00665
mg/L
(Note Use MPNnvt eWNgMyt idsempes)
Orthophosphate 70507
mg/L
solved Solids:Total 7o3oo 314
mg/L
AI -Aluminum o11o5
mg/L
pH (Lab) 00403
units
Be - Barium 01007
ug/L
TOC ooeso 0.00
mg/L
Ca - Calcium 00916
mg/L
Chloride oos4o 2.15
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
Phenol 32730
ug/L
Fe - Iron o1o45
ug/L
Sulfate oo945
mg/L
Hg - Mercury 71900
ug/L
ecific Conductance 00095
µMhos
K - Potassium 00937
mg/L
Total Ammonia oo610 <0.100
mg/L
Mg - Magnesium 00927
mg/L
(A is NiVo , WN w N: N a Nitrogen, T")
Mn - Manganese 01055
ug/L
TKN as N Oo625
mg/L
Ni - Nickel 01067
ug/L
For Remediation Systems Only (Attach Lab Reports):
Goo nw 1a
GW -59 Rev. 2/2010
Certification No. #654
Pb - Lead oto51 ug/L
Zn - Zinc 01092 mg/L
Other (Specify Compounds and Concentration Unit_ s):
:ANI1701?
ORGANICS: (by GC, GC/MS, HPLC)
(Specify test and method #. ATTACH LAB REPORT.)
Lab Report Attached? ❑ Yes (1) ❑ No (0)
VOC 78732: , method # 82608
method #
method #
method #
Influent Total VOCs: mg/L Effluent Total VOCs:
mg/L VOC Removal°/
at
Of