HomeMy WebLinkAboutWQ0024577_Monitoring - 12-2016_20170127Enter date monitoring results were due_ 1 -I D VFtill this monitoring report (GWI-58 and GW-59A)
'' NO
be submitted after the established dace date?
i.
Z
Was :soy required information missing on the CiV-59 report forms?
YES
NO
1F the answer to question 1 or 2 is 'YES, list in the space provided below the well tnfiliication number(s) and
explain the problems encountered in obtaining the required informayaq.CD
J'1�,
1
z
�
cin
B Ow
wa
3
:Are any of the monitor wells in need of repair or maintenance (datnag 'as , un or missing cap, missing
VES
NO
identification plate, area overgrown, etc.)?Ytheaimseris"Yes",con[. e fon ceforgrrilance_
4
Are any monitored constituents equal to or above the establis
Yrs
NO
rstandards.o
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 constituenconcentration(s)
W
exceeding standards in the space provided below.
JAN 2 7 ZOV
5
For the constituents identified in question 4 above, have standards been exceeded previously for the
VES
NO
same constituent(s) in the same well(s) in the last two Mears?
If the answer to question 5 is "NO; skip to section 8_
!f the answer to question 5 is "YES". list in the space provided below, each well with conslituent(s) exceeding
standards, concentration(s) reported, and sample collection date for each occurrence (for the last two years)_
1
6
Are the monitoring wells listed in section 5 located at or beyond the review boundary?
YES
\O
if the answer is "YES", a groundwater quality problem may be occurring. CONTACT THE REGIONAL
OFFICE ti911MEDIATEL Y FOR GUIDANCE. If the answer is "A10", monitoring wells .may be irnproperly
located; contact the Regional Office-
7
Is the permittee implementing previously approved actions required by the Division involving this
'MS
NO
groundwater quality problem?
i
If the answer to question 7 is 'YES", describe those actions in the space provided below.
If the answer to question 7 is `NO ;
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
FACILITY INFORMATION Plei
Facility Name:---4�Q&g,dl y�i2f-y
Permit Name (if different):
Contact Person:
ell Location/Site Name:
SUBMIT FORM ON
or
County
----���f�---- --- --- -- --__ .__ — Telephone#: -- .7--- -- --- ____
No. of wells to be sampled:
L ID NUMBER (from Permit):
Depth: ft.
h to Water Level 82546.'.Z10 ft. below measuring point
luring Point is _ _ ft. above land surface
ne of water pumped/bailed before sampling:
Ass for metals were collected unfiltered: ❑ YES n
sample analyzed: / a /'
',METERS NOTE: Values should reflect disso
CdD 00335 mg/L
PAPER ONLY
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: (919) 733-3221
PERMIT Number&/'Ill° : 77F-xpiration Date: `– - �.
Non -Discharge UIC
NPDES Other
TYPES Q_F PERMITTED OPERATION BEING MONITORED
L'_.7_La oon,___ ___ _.___ , --_p.Remediation: Infiltration-6alfe --
Spray Field ❑ Remediation:
n ❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
Date sample collected: /�, -"3d -�J� FIELD ANALYSES: 11 WAS t_
Well Diameter: in. pH 00400: units Temp, 000lo. °C DRY at
Screened Interval: ft. to ft. Spec. Cond. 00094; µMhos time of
Relative M.P. Elevation: ft. Odor owes: sampling,
gallons check
®
NO and field acidified: El YES p NO Appearance here:
Laboratory Name:.o�s�pp�-�E f X Certification No.f.,;e`V fD
colloidal concentrations.
Nitrite (NO,) as N oo61s mn/1 Ph _ I amyl n4nu
f
mg/L- - • V3C AS Removal°%
SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING: • DEPARTMENT OF ENVIRONMENT & NATURAL' RESOURt
COMPLIANCE REPORT FORM . • • • DIVISION OF WATER QUALITY -INFORMATION PROCES
1617 MAIL SERVICE CENTER, RALEIGH NO 27699.1817 7333221
FACILITY INFORMATION Please Fdht Cieady or Type
Facility Name: PERMIT Numbera°4IQ �5e' 7 Expiratioh DatCj
C/�'� Non -Discharge UIC
Permit Name (if different);. Non-Discharge
Other
Facility Address: �° '� �e ��� �r2�/i
TYPE O PERMITTED OPERATION BEING MONITORED
County Lagoon ❑ RemediatioGallery.' "/ pray Field ❑ Remediatio
Contact Person: c�� ,rte! Telephone#: �-
0 Rotary Distributor ❑Land Application of Sludge
well LocatioNSite Nam : '
No. of wells, to be sampled: [T Water Source Heat Pump Q Other:
SAMPLING INFORMATION' �romPerm(t
WELL ID NUMBER (from Permit):. Date sample collected: If
Well Depth: WAS
UVELL
�} � � � 3� ��� FIELD ANALYSES:
Well Diameter: in.
Depth to Water Level 82546' bQ ft. below measuring point Screened Interval: ft. to ft. SpPH ec. 4nits Temp. 0oo10 1 C DRY at
p µMhos time of
Measuring Pointisft, above land.surface sampling,
Relative M.P. Elevation. ft. �_ Odor 000as> � •°�
Volume of -water pumped/bailed before sampling: allons`��c check
g
Samples for metals were collected unfiltered; ❑ YES ❑ NO Appearance here:
and field acidified: ❑YES ❑NO
LABORATORY INFORMATION _
Date sample analyzed —*O Laboratory Name:
PARAMETRRS- _t!10TE Values should-ref_lepi dissolved and colloid - , — --- —
ertificafion Vo: l -
al conte oira whi
-COD 00335 mgj(, Nitrite (NO2) as N oasts
mg/L Pb - Lead most
Coliform: MF Fecal 31616— ug/L
f /900mL Nitrate,(NO3)as N .00320_ �� �� mg/L Zn -Zinc 01o92
� mg/
Total 31500 /100mL Phosphorus: Total as P ao ss
- -
Coliform: MF Ton• -3 -
� -
Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units):
Issolved Solids:Total 70300 g Al Aluminum 01105-
ma
g/L
-
-TOGooaaO = . mg/La�Calcium oos 6
__.
if
ofide-00900"__
6—Cadmium—o-1oe _ _ -
-' Arsenic oaoo,-ugfL_ _ Chramiarts Tota o1o3r-- a-"
Grease and Oils ,00552 mg/L Cu - Copper ugiL-
Pp oloaz mg/L ORGANIC$: (by GC, GC/MS, HPLC]
Phenol 32730 ug/L Fe Iron 01043
Sulfate 00945 mg/L u9/L (Specify test and method A ATTACH LAB REPORT,).
Hg -Mercury 71900 ug/L Lab Report Attached? ❑ Yes 1
pecific Conductanceoaos5 µMhos K:- Potassium oagaa7--- - - O No (0)
Total Ammonia oo610 -e �� mg/L method #
_-�-•�-:-.-- �Zr=�ni�stH�a N=y+mrnonia-�7it�o i_ --,,. �� ,� _ � rng
-` Mn Manganese o1655�
_1 as NCO , , e - - - -
- 1- iC 01a67�
-
ua/L
—
�_
-Method..
-dor-Femediation-Systems-Only-(AffacW-L-= i`ti'RejsoTts-j--`—lnf a f'fotal VOCs m�—
M91 L=_ Effluegt-Total.VQ
/t Vt3C=(rrlo�rai°T_-._
-
!
SUBMIT FORM ON
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
I.14 Name. -- { � rs�i.I t - elf/ tri hew
nit Name (if different):
fifty Address:
'3 County
act Person:
Location/Site
"telephone#:&L-M
No. of wells to be sampled:
PAPER
[r�
PROCESSINGUNIT
PERMIT Number: Expiration. Date:
Non -Discharge ��7% UIC
NPDES Other
TY,P�,.E, OF PERMITTED OPERATION BEING MONITORED
LJ!I'Lagoon _ _ - , . -_ 0 -Remediation: Infiltration -GE
- �praYy Field ❑ Remediation:
ED Rotary Distributor ❑ Land Application of Sludge
1 Water Source Heat Pump ❑ Other:
L ID NUMBER (from Permit): Date sample collected:
Depth' C23 ft. Well Diameter: -G�- in.
h ri Water Level sz546:� ft, below measuring point Screened interval; ft, to ft.
Turing Point is �ft. above land surface Relative M.P. Elevation: ft.
ne of water pumped/bailed before sampling: gallons
FIELD ANALYSES: WAS -
pH 00400: units Temp:_ 000lo: le °C DRY at
Spec. Cond. o0os4: µMhos time of
Odor 000s5: samplin
Appearance, checkhere. r -
nate sample analyzed:_ [ C/(o 7 Laboratory Name:
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.-
_�,� Certification No.
COD 00935
Nitrite (NO,) as N 0060...
., ..rt
&' A
t otlTOm1: Mh FeGal 31616 J/ /100mL
^----...
Nitrate.(NO3)s N 00620
( 3)
a _
.mg/L
V !L
Zn -Zinc 01092
Coliform: MF Total 31504 /1oOmL
{ (Note: Usg PhPN.method'fothfghly turaid sampfes) ..
t '
Phosphorus: Total as P 00655- rri
., .--_ t � g
lissolved Solids:Total 70300 mg/L
Orthophosphate 70507
Al
mg/L
Other (Specify Compounds and Concentration Units):
-Aluminum 01105
mg/L
pH (Lab) 00403F� units
Ba - Barium 01007
ug /L
TOC oo6so mg/L
Ca - Calcium 00916
mg/L
Chloride oag4o mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002 ug/L
Chromium: Total 01034
uglL
Grease and Oils 00652 mg/L
Cu -Copper 01042
mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730 ug(L
Fe - Iron 01045
u /L
_
(Specify, test and AJ.TA'CH.LAB..REP-ORT,) _
Total Ammoniaoo61oe-'0,,Lq mg(L
(Amnonia Nitrogen; NH, as N; A---ni'a lFit.q.n, Total)
TKN as N 00625 mg/L
For Remediation Systems Only (Attach Lab Reports):
K - Potassium 00937 mg/L VOC 78732: method
Mg - Magnesium 00927 mg/L
method
Mn - Manganese gloss ug/L method #
Ni- Nickel 01067 ug/L method
Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal°!e
a