WQ0006254_Monitoring - 03-2020_20200511

GW-59A COMPLIANCE REPORT FORM Permit # fJ QG �U(Q Z
(Submit one each monitoring period with GW-S9 forins.)
?,30.70
1
Enter date monitoring results were due. ( ) Will this monitoring report (GW-59 and GW-59A)
YE
N
be submitted after the established due date?
2
Was any required information missing on the GW-59 report forms?
YEK
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
YES
NO
identification plate, area overgrown, etc.)? If the answer is "Yes", contact the Regional Officefor guidance.
4
Are any monitored constituents equal to or above the established standards?
YES
NO
c�
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 constitu6nt(s) d4concentration(s)
exceeding standards in the space provided below:
,.: ua CL
.—+ c,3 n.
> a
C1 rM f=
LL
5
For the constituents identified in question 4 above, have standards been MeWed previously for the
YES
rNd
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 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).
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 may be occurring. CONTACT THE REGIONAL
OFFICE IMMEDIATELY FOR GUIDANCE. If 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
NO
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/orpenalties.
0
�c
g
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 complete to the best of my knowledge.
�z�i-tom,
Signature of Pernittes (or Authorized Agent) Date
GW-59A 12/8/2003

SUBMIT FORM ON BLUE PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
Print Clearly or
Facility Name: Corolla Light WWTP#1
Permit Name (if different):
Facility Address: 110: Hwy 12 Ocean Tr
Corolla (mp; NC 27927
(CRY) (State) (2ID)
act Person: Eddie Baldwin Telephone* 910-376-4175
Location/Site Name: NE of LPP No. of Wells to be Sampled:
Well Identification Number (from Permit): #4 4
Well Depth: 20 ft. Well Diamete 2 in.
Screened Interval: 18 ft. to 20 ft.
Mail Original DIVISION OF ENVIRONMENTAL HEALTH - OSWS
tO: GROUNDWATER DATA
1642 MAIL SERVICE CENTER
Raleigh, N.C. 27699-1642 PHONE: [phone]
PERMIT # WQ0006254 EXPIRATION DATE: 10/31/21
TYPE OF PERMITTED OPERATION BEING MONITORED
Conventional Drainfield
X Low Pressure Pipe Drainfield
Drip Irrigation Drainfield
Other:
Pretreatment System:
NOTE: Values should reflect dissolved and
Depth to Water Level: 4.7 ft. below measuring point. colloidal concentrations.
Measuring Point is 2.0 ft. above land surface. Date sample collected: 3/2/20 Date sample analyze 3/2/2o
Gallons of water pumped/bailed before samplinc 5 Laboratory Name: Environmental Chemists, Inc.
Field analy pH 7.3 Specific Conductance uMhos Certification No. 37729
Temp. 17 oC, Odor none Appearance clear
PARAMETERS (Samples for metals were collected unfiltered YES NO and field acidified YES NO)
COD mg/I Nitrite (NO2) as N <0.02 mg/I Ni - Nickel
mg/I
Conform: MF Fecal
/100ml
Nitrate (NO3) as N
0.48 mg/I
Pb - Lead mg/I
Coliform: MF Total
<1 /100ml
Phosphorus: Total as P
1.79 mg/I
Zn - Zinc mg/I
(Note: Use MPN method for highly turbid samples)
Orthophosphate
mg/I
Ammonia Nitrogen mg/I
Dissolved Solids: Total
536 mg/I
A I- Aluminum
mg/I
Other (Specify Compounds and Concentration Units
pH (when analyzed)
7.3 units
Ba - Barium
mg/1
TOC
15.3 mg/I
Ca - Calcium
mg/I
Chloride
164 mg/I
Cd - Cadmium
mg/I
Arsenic
mg/I
Chromium: Total
mg/I
Grease and Oils
mg/I
Cu - Copper
mg/I
Phenol
mg/I
Fe - Iron
mg/I
ORGANICS: (GC,GC/MS,HPLC)
Sulfate
mg/1
Hg - Mercury
mg/I
(Specify test and method #. Attach lab report)
Specific Conductance
uMhos
K - Potassium
mg/I
Report Attached? Yes (1) No x (0)
Total Ammonia
0.6 mg/I
Mg - Magnesium
mg/I
_
: method #=
TKN as N
mg/1
Mn - Manganese
mg/I
: method #=
method #=
I certify that, to the best of my knowledge
and belief, the information
submitted in this report is true, accurate, and complete,
and that the laboratory analytical data was produced
using approved methods of analysis by a
North Carolina DWQ (formerly DEM) certified laboratory. I am aware that there are
significant penalties for submitting false information,
Including the possibility of lines and imprisonment for knowing violations.
ermit ee or u omAgent)
a e ana I File
ease print or type
OSWS GW-59 030808 Signature of Permittee (or Authorized Agent) (Date)

SUBMIT FORM ON BLUE PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
FACILITY INFORMATION Please Print Clearly or
Facility Name: Corolla Light WW P#1
Permit Name (if different):
Facility Address: 110. Hwy 12 Ocean Trail
Corolla NC 27927 County Cu
(City) (state) (Zip)
act Person: Eddie Baldwin Telephone#: [phone]
Location/Site Name: West of LPP No. of Wells to be SamDled:
umber
Original DIVISION OF ENVIRONMENTAL HEALTH - OSWS
to: GROUNDWATER DATA
1642 MAIL SERVICE CENTER
Raleigh, N.C. 27699-1642 PHONE: [phone]
IPERMIT # WQ0006254 EXPIRATION DATE: 10/31
PERMITTED OPERATION BEING MONITORED
Conventional Drainfield
Low Pressure Pipe Drainfield
Drip Irrigation Drainfield
Other:
Pretreatment System:
Well Depth: 20
ft.
Well Diamete 2 in.
Screened Interval: 18
ft.
to 20 ft.
NOTE: Values should reflect dissolved and
Depth to Water Level: 4.9
ft.
below measuring point.
colloidal concentrations.
Measuring Point is 2.0
ft.
above land surface.
Date sample collected: 3/3/20 Date sample analyze 3/3/20
Gallons of water pumped/bailed before samplini 5
Laboratory Name: Environmental Chemists, Inc.
Field analy pH 8.1
,
Specific Conductance uMhos
0
Certification No. 37729
Temp. 15.9 C, Odor Appearance brown/green
PARAMETERS (Samples for metals were collected unfiltered YES NO and field acidified YES NO)
COD mg/I Nitrite (NO2) as N <0.02 mg/1 Ni - Nickel
Coliform: MF Fecal
/100ml
Coliform: MF Total
<1
/100ml
(Note: Use MPN method for highly turbid samples)
Dissolved Solids: Total
859
mg/I
pH (when analyzed)
8.10
units
TOC
14
mg/I
Chloride
114
mg/I
Arsenic
mg/1
Grease and Oils
mg/I
Nitrate (NO3) as N
<0.02 mg/1
Phosphorus: Total as P
3.61 mg/I
Orthophosphate
mg/I
A I- Aluminum
mg/I
Ba - Barium
mg/1
Ca - Calcium
mg/I
Cd - Cadmium
mg/I
Chromium: Total
mg/I
Cu - Copper
mg/I
mg/I
Pb - Lead mg/I
Zn - Zinc mg/I
Ammonia Nitrogen mg/I
Other (Specify Compounds and Concentration Units
Phenol mg/I Fe - Iron mg/I ORGANICS: (GC,GC/MS,HPLC)
Sulfate mg/I Hg - Mercury mg/I (Specify test and method #. Attach lab report.)
Specific Conductance uMhos K - Potassium mg/I Report Attached? Yes _ (1) No x (0)
Total Ammonia 1.1 mg/I Mg - Magnesium mg/I : method #=
TKN as N mg/1 Mn - Manganese mg/I : method #=
method #=
I certify that, to the best of my knowledge and belief, the information submitted in this report is true, accurate, and complete, and that the laboratory analytical data was produced
using approved methods of analysis by a North Carolina DWQ (formerly DEM) certified laboratory. I am aware that there are significant penalties for submitting false information,
Including the possibility of lines and imprisonment for knowing violations.
erml ee or Auth0nZea Agent)ame andI itle - Please print or type
OSWS GW-59 030808 Signature of Permittee (or Authorized Agent) (Date)

SUBMIT FORM ON
PAPER ONLY
SUBSURFACE SYSTEM
Mail Original DIVISION OF ENVIRONMENTAL HEALTH - OSWS
GROUNDWATER QUALITY MONITORING:
tO: GROUNDWATER DATA
COMPLIANCE REPORT FORM
1642 MAIL SERVICE CENTER
Raleigh, N.C. 27699-1642 PHONE: [phone]
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT # WQ0006254 EXPIRATION DATE: 10/31/21
Facility Name: Corolla Li ht WWTP#1
Permit Name (if different):
Facility Address: 1102 Corolla Village Rd
Corolla is`r": NC 27927
County Currituck
TYPE OF PERMITTED OPERATION BEING MONITORED
(city) (ta1e) (zip)
Conventional Drainfield
Contact Person: Eddie Baldwin
Telephone#: [phone]
X Low Pressure Pipe Drainfield
Well Location/Site Name: NW of LPP
No. of Wells to be Sampled:
7
Drip Irrigation Drainfield
mm erm
Other:
Pretreatment System:
Well Identification Number (from Permit): #6
Well Depth: 20 ft. Well Diamete
2 in.
NOTE: Values should reflect dissolved and
Screened Interval: 18 ft. to 20 ft.
Depth to Water Level: 5.9 ft, below measuring point. colloidal concentrations.
Measuring Point is 3.0 ft. above land surface. Date sample collected: 3/3/20 Date sample analyze 3/3/20
Gallons of water pumped/bailed before samplin< 5 Laboratory Name: Environmental Chemists, Inc.
Field analy pH 8 Specific Conductance uMhos Certification No. 37729
Temp. 15.3 °C, Odor None Appearance _green/brn
PARAMETERS (Samples for metals were collected unfiltered YES NO and field acidified YES NO)
COD
mg/I
Coliform: MF Fecal /100ml
Coliform: MF Total <1 /100ml
Nitrite (NO2) as N _
Nitrate (NO3) as N
Phosphorus: Total as P
<0.02 mg/I
0.03 mg/I
2.99 mg/I
Ni - Nickel
mg/I
Pb - Lead
mg/I
Zn - Zinc
rng/I
(Note: Use MPN method for highly turbid samples)
Orthophosphate
mg/I
Ammonia Nitrogen mg/I
Dissolved Solids: Total
938 mg/I
A I- Aluminum
mg/I
Other (Specify Compounds and Concentration Units
pH (when analyzed)
8.00 units
Ba - Barium
mg/I
TOC
2.7 mg/I
Ca - Calcium
mg/I
Chloride
142 mg/I
Cd - Cadmium
mg/I
Arsenic
mg/I
Chromium: Total
mg/I
Grease and Oils
mg/I
Cu - Copper
mg/I
Phenol
mg/I
Fe - Iron
mg/I
ORGANICS: (GC,GC/MS,HPLC)
Sulfate
mg/I
Hg - Mercury
mg/I
(Specify test and method #. Attach lab report.)
Specific Conductance
uMhos
K - Potassium
mg/I
Report Attached? Yes (1) No x (0)
Total Ammonia
2 mg/I
Mg - Magnesium
mg/I
_
: method #=
TKN as N
mg/I
Mn - Manganese
mg/I
: method #=
method #=
I certify that, to the best of my knowledge
and belief, the information
submitted in this report is true,
accurate, and complete,
and that the laboratory analytical data was produced
using approved methods of analysis by a
North Carolina DWQ (formerly DEM) certified laboratory.
I am aware that there are
significant penalties for submitting false information,
Including the possibility of lines and imprisonment for knowing violations.
erml ee or Authorized Agent)Name and Title -
Please print or type
OSWS GW -59 030808
Signature of Permittee (or Authorized Agent)
(Date)