WQ0005849_Monitoring - 11-2016_20170103

TER QUALITY MONITORING:
E REPORT FORM
Or
Name: ez/ &g; 5 4L
Name (if different):
Address: lU9S— /�!./✓ S
SUBMIT FORM ON
PAPER ONLY
act Person: y «4,we„- Telephone#: g/D-3.7'7-o2�ra
Location/Site Name: ti;�Li 5Ce -ot 17 No, of wells to be sampled: 1
Well Depth: oQQ'
Screened Interval:
Depth to Water Level:
Measuring Point
Gallons of water oumoed/ba
Well Diameter: zX in.
fl. to R.
ft. below measuring point.
ft. above land surface.
time of sampling, Check here
Specific Condulance uMhos
aC Odor NOME_ Appearance L JGAL
DWISION OF WATER GUALITY-INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER
UIC
OF PERMITTED OPERATION BEING MONITORED
_ Lagoon Remediation: Ingitration Gallery
_Spray Field _Remediation'
_Rotary Distributor _Land Application of Sludge
Water Source Heat Pump
Other:
mg/L (Total VOC Concentration)
mg(L (Total VOC Concentration)
Name:
Only (Attach
PARAMETERS (Samples for metals Were collected unfiltered ____
YES _ NO and field acidified YES _NO.)
NOTE: Values should reflect dissolved and colloidal concentrations.
COD mg/I Nitrite (NO,) as N mgA Ni - Nickel mg/I
Coliform: MF Fecal /100ml Nitrate (NO3) as N <p CA mg/I Pb - Lead mg/I
Coliform: MF Total 41
/100ml
(Nola: Use MPN method for highly sabot sampan
mg/1
Dissolved Solids: Total
Y79 mg/I
pH (when analyzed)
units
TOC �y-�
mg/I
Chloride
27 mg/I
Arsenic
mg/I
Grease and Oils
mg/I
Phosphorus: Total as P
mgA
Orthophosphate
mg/1
A I- Aluminum
mg/I
Ba - Barium
mg/I
Ca - calcium
11
Cd - Cadmium
uMhos
Chromium: Total
mgll
Cu - Copper
mg)I
Zn - Zinc p mg/I
Other (Specify Compounds andJCAon 0nt ti vrits)
\ l 000 (
Phenol
mgA
Fe - Iron
mg//I I
At
ORGANICS: (by GC. GC/MS, HPLC)
Sulfate
mg/I
Hg - Mercury pp
m
Q�g
(Specify test and method #. ATTACH LAB REPORT.)
Specific Conductance
uMhos
K - Potassium
Report Attached?Yes(7) No(0)
Total Ammonia G V. �,
mg/I
Mg -Magnesium
m%/1
VOC : method #=
(Ammonia Nitrogen; NH3 as N; Ammonia Nitrogen, Total)
Mn - Manganese
mg/1
: method#=
TKN as N
mg/I
method #=
method #=
Rev. 11/2005

QUALITY MONITORING:
REPORTFORM
or
Name:/�/L.2 ' s 4L C
Name (if different):
Address: /09c- tFrii
SUBMIT FORM ON YELLOW PAPER ONLY
act Person:f1�Lr Telephone#: g/�-,�'
Location7Site Name:_ 61`„ ��r/ .y6 y No. of wells to be sampled: !
Well Depth: I-TrI ft. Well Diameter: .-A atrime of sampling, Check here
Screened Interval: ft. to it. Sample is from system:
Depth to Water Level: ft. below measuring point. ❑ Influent ifluen
Measuring Point is ft. above land surface. Relative M.P, Elevation in ft.
Gallons of water pumped/bailed before sampling; Date sample collected: i/—
7.
FIELD ANALYSIS. pH !o__ -__I Specific Conductance
uMhos
Temp. /11.l °C Odor vqcAIP Appearance��.u,.(r}h
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER
RALEIGH, NC 27699-1617 Phone: [phone]
rERMIT No. L� SS- V9 EXPIRATION DATE:
OF PERMITTED OPERATION BEING MONITORED
_Lagoon
_ Remediation: InBHrallon Gallery
_Spray Field
mg9ll
_ Rotary Distributor
_Remediation:
_ Land Application of Sludge
-Water Source Heal Pump
units
Other:
ni
ml mg/L (Total VOC Concentration)
-nt mg/L (Total VOC Concentration)
Removal __%
Name:
i No.
PARAMETERS (Samples for metals were collected unfiltered_YES_ NO and field acidified _NG.)
NOTE; Values should reflect dissolved and colloidal concentrations, _
COD mg/I Nitrite (NO2) as N mg/l Ni - Nickel
Coliform: MF Fecal /700m1 Nitrate (NO,) as N <O -Liaft
11 Pb L ad
Coliform: MF Total G 1
/100ml
(Nal-: We MPN method for hlaht, turbid aamgen
mg9ll
Dissolved Solids: Total y y
mgA
PH (when analyzed)
units
TOC ti y
ni
Chloride _ / 'K?
mg/I
Arsenic
mg/I
Grease and 011s
mg/I
Phenol
mg/I
Sulfate
mg/l
Specific Conductance
uMhos
Total Ammonia c-)
mg/I
(Ammonia Nitrogen; NHS as N; Ammonia Nitrogen, Total)
mall
TKN as N
mg/I
Phosphorus: Total as P
r 9
m /1
Orthophosphate
mg9ll
A N Aluminum
mg/I
Be - Barium
mg/l
Ca - Calcium
mg/I
Cd - Cadmium
mg/I
Chromium: Total
mg/l
Cu - Copper
mg/I
Fe - Iron
mg/I
Hg - Mercury
mg/I
K - Potassium
mg/I
Mg - Magnesium
mg/I
Mn - Manganese _
mall
-e
Zn - Zinc
Other (Specify Compounds and Concentration Units)
ORGANICS: (by GC, GC/MS, HPLC)
(Specify test and method A ATTACH LAB REPORT.)
Report Attached? Yes_(1) No (0)
VOC : method#=
method #_
method #=
mg/I
mg/I
mg/I

SUBMIT FORM ON YELLOW PAPER ONLY
TER QUALITY MONITORING:
E REPORT FORM
Name:/G.iz-s 41-.c-
Name
LC
Name (if different):
Address: /o9r /.kii
act Person: �grt�Y /% 'te Telephone#: &I,Z27_a51g.Q
Location/Site Name: tifpi, I <-x No. of wells to ba sampled:
Well Depth: 19
Screened Interval:
Depth to Water Level:
Measuring Point is Y -9 -
ft. Well Dlameter:_�, InIn.
R. to ft.
ft. below measuring point.
ft. above land surface.
Check here
Temp. 3. 7 °C Odor nloJE Appearance _ rjee4,2
DIVISION OF WATER OUALITY4NFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER
DATE: /n - V c
UIC
OF PERMITTED OPERATION BEING MONITORED
_Lagoon
_ Remadlalbn: Inllilralion Gallery
_Spray FWW
mgA
- Rotary oistdbulor
_Remediallon:
_ Land Application or Sludge
-Water Source Heal Pump
units
Other:
mgA
Int m91L (Total VOC Concentration(
ant mg/L (Total VOC Concentration)
Removal y,
Name:
t No.
PARAMETERS (Samples for metals were collected unfiltered—YES _ NO and field acidified—YES _NO.)
NOTE: Values should reflect dissolved and colloidal concentrations.
COD mgA Nitrite (NO2) as N mgA Ni - Nickel
Coliform: MF Fecal NOOmI Nitrate (NOa) as., mg/I
GLS m A Pb L
Coliform: MF Total G 1
/100ml
IN°M: the MPN melhed N, Ng* 1.dW aempba)
mgA
Dissolved Solids: Total .%�01
mgA
pH (when analyzed)
units
TOC G O
mgA
Chloride 7T
mg/I
Arsenic
mg/I
Grease and Oils
mg/I
Phenol
mg/I
Sulfate
mg/I
Specific Conductance
uMhos
TotalAmmonia G . �-
mg/I
(Ammonia Nitrogen; NH3 as N; Ammonia NI rogen, Total)
mg/I
TKN as N
mg/I
Phosphorus: Total asp
uals 9
mg/l
Orthophosphate
mgA
A I- Aluminum
gA
m
Ba - Barium
mg/I
Ca - Calcium
mg/I
Cd - Cadmium
mg/I
Chromium: Total
mg/I
Cu - Copper
mg/I
Fe - Iron
mg/I
Hg - Mercury
mg/I
K - Potassium
mg/I
Mg - Magnesium
mg/l
Mn -Manganese
mg/I
- ea. mg/I
Zn - Zinc . AN n—mg/I
Other (Specify Compounds and Concentrates nits)L 017
ORGANICS. ( by GC, GC/MS, HPLC)
(Specify test and method A ATTACH LAB REPORT.)
Report Attached? Yes _(1) No— (0)
VOC : method #=
method #=
ma}brae M.

ROUNDWATER QUALITY MONITORING:
OMPLIANCE REPORT FORM
or
Name:
Name (if
Address:
SUBMIT FORM ON YELLOW PAPER ONLY
act Person: 1&�IdY 1/0 Telephone#: c}/r) _ 3,7_ 5-,L
Location/Site Name: FO ems' pp„/ No. of wells to be sampled: I
I .m n t
Well Depth: P5?, ft. Well Diameter:_ In, at time of sampling, Check here _
Screened Interval: ft. to ft. Sample is from systema
Depth to Water Level: ft. below measuring point. ❑ Influent ffluen
Measuring Point is /D• kr ft. above land surface. Relative M.P. Elevation in ft.
Gallons of water pumped/bailed before sampling:_ Date sample collected:
FIELD ANALYSIS. pH &_ Specific Conductance uMhos
Temp.iQ %" °C Odor,L�p Appearance ,54i.icfu T
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER
2AL2GH, N0 27699-1617 Phone: [phone]
'ERMIT No. I-lJGjCYY�Sa-</ EXPIRATION DATE:
UIC
OF PERMITTED OPERATION BEING MONITORED
_Lagoon
_ Remedialbn: Infiltration Gallery
—Spray Field
Remedlaticn:
Rotary Distributor
_ Land Application of Sludge
_ Water Source Heat Pump
COD mg/I
Other:
mg/I
Int mg/l. (Total VOC Concentration(
ant mg/L (Total VOC Concentration)
Removal
Name:
r No.
PARAMETERS (Samples for metals were collected unfiltered
/100ml
(Neta; Use MPN method for Ngby wrbid wmplee)
m9/I
--YES _ NO and field acidified
NOTE: Values should reflect dissolved and colloidal concentrations.
YES
_NO.)
COD mg/I
Nitrite (NO2) as N
mg/I
Ni -Nickel
Coliform: MF Fecal /100ml
_
Nitrate (NO3) as N p V �
m9 /I
Pb L
Coliform: MF Total G /
/100ml
(Neta; Use MPN method for Ngby wrbid wmplee)
m9/I
Dissolved Solids: Total _ a& cf
mg/I
PH (when analyzed)
units
TOC / S!
mg/I
Chloride
mg/l
Arsenic
mg/I
Grease and Oils
mg/I
Phenol
mg/I
Sulfate
mg/I
Specific Conductance
uMhos
Total Ammonia V ._
mg/I
((Ammonia Nitrogen; NH, as N; Ammonia Nitrogen, Total)
mall
TKN as N
mg/I
Phosphorus: Total as P
d
m /I
Mg
Orthophosphate
m9/I
A I -Aluminum
MilliBe
- Barium
mg/I
Ca - Calcium
mg/I
Cd - Cadmium
mg/I
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
mall
- ead
Zn - Zinc
Other (Specify Compounds and Concentration Units)
mg/I
mg/I
ORGANICS: ( by GC, GC/MS, HPLC)
(Specify test and method #. ATTACH LAB REPORT.) E
Report Attached? Yes_(1) No (0)
VOC : method#=
method #
' method dl=

GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
Name:
Name (if
Address:
C_
SUBMIT FORM ON YELLOW PAPER ONLY
act Person: Azlb ejf I -lea Telephone#: r) -3J 7- S/QL
Location/Site Name: i No. of wells to be sampled:
Well Depth: /k'
Screened Interval:
Depth to Water Level:
Measuring Point is/ ' q"
ft. Well Diameter: in.
ft. to ft.
ft. below measuring point.
ft. above land surface,
time Of sampling, Check here
DIVISION OF WATER QUALITY4NFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER
DATE'.
UIC
OF PERMITTED OPERATION BEING MONITORED
_Lagoon
_ Remedlatim: Infiltration Gallery
_Spray Field
N00m1
Rotary Distributor
_Remediallon:
_ Land Application of Sludge
Water Source Heat Pump
mgA
rm mg/L (Total VOC Concentration)
ant mg/L (Total VOC Concentration)
Removal
Tem /9 �r=yam �V��L+a11Ge A uMhos Date sample anal
R ,.1 aC Odor A/vdr Appearance e1va2 Laboratory Name:
Certification No
PARAMETERS (Samples for metals were collected unfiltered—YES _ NO and field acidified
_YES NO.)
NOTE: Values should reflect dissolved and colloidal concentrations.
COD mg/I Nitrite (NO,) as N
Coliform: MF Fecal
/100ml
Coliform: MF Total _ 141
N00m1
(Hale: u.e NPN method ler Nabi, lerbid eamges)
mg/I
Dissolved Solids: Total
mgA
PH (when analyzed)
units
TOC_ /
7 rtg/I
Chloride
5 9 mgt
Arsenic
mg/I
Grease and 011s
mg/I
Phenol
mg/I
Ni - Nickel mg/I
Pb - Lead mg/I
Zn - Zinc mg/I
Other (Specify Compounds and Concentration Units)
Sulfate
Mg.
Nitrate (NO,) as N O. Q,Z
mgA
Phosphorus: Total as P
mg/I
Orthophosphate
mg/I
A I- Aluminum
mg/I
Be - Barium
mg/I
Ca - Calcium
mg/I
Cd - Cadmium
mg/I
Chromium: Total
mgA
Cu - Copper
mg/I
Ni - Nickel mg/I
Pb - Lead mg/I
Zn - Zinc mg/I
Other (Specify Compounds and Concentration Units)
Sulfate
mgR
mg1lhos
Fe - Iron
- Mercury
mgp
ORGANICS. (by GC, OC/NIS, HPLC)
Specific Conductance
u
K9
mg/I
(Specify test and method #. ATTACH LAB REPORT.)
Total Ammonia . LO
mg/I
Mg -Magnesium
m9/I
Report Attached? Yes_(1) No (0)
(Ammonia Nitrogen; NH+ as N; Ammonia Nitrogen, Total)
Mn - Manganese
mg/I
VOC : method #=
TKN as N
m9ll
mg/
: method #_
method #=
_
method #=
_ _ _ _
tT.�R11RlT!lwwwwwr�ll
■■

GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
Name:
Name (if
Address:
C
SUBMIT FORM ON YELLOW PAPER ONLY
act Person: f�,q�+y. /,!�#a.� Telephone#:
Location/Site Name.��;,,rl 1iZT' 't�DN No. of wells to be sampled: 1
....... ••••• urnvor prom rermrtg7
Well Depth; 14 ' ft. Well Olameter:-� in.
g WELL WAS DRY
'I time of sampling, ChacN here
Screened Interval:
It.
toft.
Sample is from system:
Depth to Water Level:
ft.
below measuring point.
❑ Influent
Measuring Point is ' i"
ft.
above land surface.
Relative MPFlevarin,.
C Odor A)nirF Appearance I:0 TAR
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER
RALEIGH, NC 27699-0617 Phatre: [phone]
sERMIT No. tc•YGrv)S"Sr�f9 EXPIRATION DATE:
UIC
OF PERMITTED OPERATION BEING MONITORED
_Lagoon
_ Remediation: Intimation Gallery
_ Spray Field
Remedialion:
_ Rotary Distributor
_Lentl Appllwllon of Sludge
_ Water Source Heat Pump
mg/I
Other:
units
mg/L (Total VOC Concentration)
mg/L (Total VOC Concentration)
Name:
r No.
PARAMETERS (Samples for metals were collected unfiltered_YES _ NO and field acidified_YES _NO.)
NOTE: Values should reflect dissolved and colloidal concentrations.
COD
Coliform: MF Fecal
/100ml
Coliform: MF Total 41
/100ml
(Nors: Wo MPN meamd for MablY Wrbid sarlo.11
Pb - Lead
Dissolved Solids: Total 34/9
mg/I
PH (when analyzed)
units
TOC _ /7(;k
mg/I
Chloride _ 7p
mg/l
Arsenic
mg/I
Grease end 011s
mg/I
Phenol
mg/1
Sulfate
mg/I
Specific Conductance
uMhos
Total Ammonia _ „r
mg/I
(Ammonia Nitrogen: NHS as N; Ammonia Nitrogen, Total)
Cu - Copper
TKN as N
mg/I
mgn
Ni - Nickel mg/1
Nitrate (NO3) as N
<D,r)$ mgll
Pb - Lead
Phosphorus: Total as P
mg/I
mg11
Zn - Zinc
Orthophosphatemgll
mg/I
A I -Aluminum
mg/I
Other (Specify Compounds and Concentration Units)
Ba -Barium
mgll
Ca - Calcium
mg/I
Cd - Cadmium
mg/t
JAN
Chromium: Total
mgll
1)
Cu - Copper
mgn
Fe - Iron
mg/I
ORGANICS: ( by GC, GC/MS, HPLC) fir IVII:
Hg - Mercury
mg/1
(Specify test and method #. ATTACH LAB REPORT.)
K - Potassium
mg/1
Report Attached? Yes No (0)
Mg-Magnesium_(1)
mg/I
VOC method #=
Mn -Manganese
mg/l
:method #_
method 8=

GW -59A COMPLIANCE REPORT FORM Permit #
(Submit one each monitoring period with 611 i 9 forma)
1
1
Enter date monitoring results were due. ( 1 Will this monitoring report (GW -59 and GW -59A)
YES
O
be submitted after the established due date?
2
Was any required information missing on the GW -59 report forms?
YES
N
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
YES
NO
identification plate, area overgrown, etc.)? If the answer is "Yes ", contact the Regional face for guidance.
4
Are any monitored constituents equal to or above the established standards?5
NO
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 conslituent(s) and concentrations)
exceeding standards in the space provided below.,
[.cert/ — ph &.1 ,dei/¢lv--ph (a.K
well +t 3 —,v h &.i heli -`7 .— Ph b, I)
'ell 1 s-- rah U, i
5
For the constituents identified in question 4 above, have standards been exceeded previously for the
S
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 B.
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).
See A-14-4cha:� ShPe%
Are the monitoring wells listed in section 5 located at or beyond the review boundary?
YES
NO
If the answer is "YES", a groundwater qualityproblem may be occurring. CONTACT THE REGIONAL
OFFICE IMMEDIATELY FOR GUIDANCE. N 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
O
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 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.
8
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.
I hereby acknowledge that the above information was evaluated and the information submitted in this
report (Compliance Report GW -59A) is true and co pl the best of my knowledge.
/z
2
,
Signature of Permittee (or Autho Agent) Date
GW -59A 12/8/2003

2013 2014 2015 2016
MARCH JULY NOV. MARCH JULY NOV. MARCH JULY NOV. MARCH JULY NOV.
WELL I
TDS
529
517
503
PH
6.61
5.3
6
6.1
6.4
6.1
6.3
6.1
WELL 3
TDS
598
517
571
522
PH
5.9
5.9
5.4
5.5
6
5.8
6.1
6
6.1
WELL 4
TDS
PH
5
5.8
4.5
4.4
5.1
5.3
5
5.2
5.2
WELL 5
TDS
DRY
DRY
DRY
PH
5.4
DRY
DRY
DRY
5.8
6.2
6.1
6.1
WELL 6
TDS
PH
6.4
5.9
5.7
5.7
6.1
6.4
5.9
6.4
6.4
6.4
WELL 7
TDS
PH 1
1 6
1 6.2 1
5.3 1
1 5.4 1 1
5.6
6.1
5.5
6.2
6
6