WQ0023634_Monitoring - 08-2020_20200930

GW-59A COMPLIANCE REPORT FORM Permit # W k O O Z 3 4 3 y
(Submit one each monitoring period with G W-59 forms.)
1
Enter date monitoring results were due. ( -'3) — Will this monitoring report (GW-59 and GW-59A)
YES
NO
be submitted after the established due date?
Was any required information missing on the GW-59 report forms?
CO
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 Office for guidance.
4
Are any monitored constituents equal to or above the established standards?
YES
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 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 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).
6
Are the monitoring wells listed in section 5 located at or beyond the review boundary?
YES
NO
It 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.
If the answer to question 7 is "NO", contact the Re Tonal Office within 90 days; an evaluation may be
required to determine the impact Me waste disposal system is having at the review and compliance
boundaries surrounding this facility, Failure to do so may sub'ect the permittee to a Notice of Violation
fines. and/or penalties.
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.
Signature of Permittee (or Authoriz Agent) Date
GW-59A 12/8/2003

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number. W00023634 Expiration Date: 2/28/23
Facility Name: Waterside Villages WWTP
Nan -Discharge UIC
Permit Name (if different):
NPDES Other
Facility Address: 100 Pirate Quay
TYPE OF PERMITTED OPERATION BEING MONITORED
Grandy NC NC
27939 County Currituck
❑ Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
Contact Person: Rod Holley
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Waterside Villages
No. of wells to be sampled: 15'
❑ Water Source Heat Pump © Other: Infiltration
(from Pennit)
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW10
Date sample collected: 8113/20
FIELD ANALYSES:
WAS
Well Depth: 16 ft.
Well Diameter: 3 in.
pH 00400: 7.8 units Temp, 000le: 21.6 °C
DRY at
Depth to Water Level 82546:10.8 ft. below measuring point Screened Interval: 12 ft. to
17 ft. Spec. Cond. 00094: µMhos
time of
sampling,
Measuring Point is 2 ft. above land surface
Relative M.P. Elevation: ft.
Odor 000m: none
check
Volume of water pumped/bailed before sampling:
5
gallons
Appearance brown/red
here: ❑
Samples for metals were collected unfiltered: Z YES
El NO and field acidified: ❑ YES El NO
LABORATORY INFORMATION
Date sample analyzed:8/13/20
Laboratory Name: Enviro Chem
Certification No. 94
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615 <0.02
mg1L Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616 <1
1100mL
Nitrate (NO3) as N 00520 .05
mglL Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
1100mL
Phosphorus: Total as P 00665 •36
mg/L
(Nate: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 703oo 301
mg/L
AI - Aluminum o11o5
mg/L
PH (Lab) 00403 7.8
units
Ba - Barium 01007
ugfL
TOC oo6so 11.3
mg/L
Ca - Calcium 00916
mg/L
Chloride 0094o 37
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total 01034
uglL
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg/L ORGANICS: (by GC, GCIMS, HPLC)
Phenol 32730
ug1L
Fe - Iron 01045
ug1L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg/L
Hg - Mercury 71900
ugfL Lab Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance 00095
gMhos
K - Potassium 00937
mg/L VOC 7873z: method #
Total Ammonia om10 .3
mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen; NH, as N; Ammonia Nitrogen, Total)
Mn - Manganese o1o55
ug/L , method #
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L method #
For Remodiation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg1L VOC Removal%,
Rod Holley
Permittee (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev, 2/2010

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699.1617 Phone: [phone]
FACILITY INFORMATION
Tease Print Clearly or Type
PERMIT Number: WQ0023634 Expiration Date: 2/28/23
Facility Name: Waterside Villages WWfP
Non -Discharge UIC
Permit Name (if different):
NPDES Other
Facility Address: 100 Pirate Quay
TYPE OF PERMI I f ED OPERA I ION BEING MONI I ORED
Grandy NC NC
27939 County Currituck
❑ Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
Contact Person: Rod Holley
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well LocationlSite Name: Waterside Villages
No. of wells to be sampled: 0 5
❑ Water Source Heat Pump ❑! Other: Infiltration
(from Permit)
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW11
Date sample collected: 8113/20
FIELD ANALYSES:
WAS
Well Depth: 16 ft.
Well Diameter: 3 in.
pH 0040o: 7.8 units Temp. 000lo: 19.8 °C
DRY at
Depth to Water Level 82546:9.7 ft. below measuring point Screened Interval; 12 ft.
to 17 ft. Spec. Cond. 00094: µMhos
time of
T
sampling,:
Measuring Point is 2 ft. above land surface
Relative M.P. Elevation:
ft. Odor oo0e5none
check
Volume of water pumped/bailed before sampling:
5-0
gallons
Appearance clear
here: ❑
Samples for metals were collected unfiltered: [0 YES
❑ NO and field acidified: El YES El NO
LABORATORY INFORMATION
Date sample analyzed:8113120
Laboratory Name: Enviro Chem
Certification No. 94
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615 a0.02
mg/L Pb - Lead olo51 ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 1.26
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total $1504
/100ml-
Phosphorus: Total a$ P 00665 A 5
mg/L
(Note: use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 7o3oo 439
mg/L
Al -Aluminum oil o5
mg/L
PH (Lab) 00403 7.8
units
Be - Barium 01007
ug/L
TOC oo6so 3.7
mg/L
Ca - Calcium oogle
mg/L
Chloride 00940 153
mg/L
Cd - Cadmium 01027
ug1L
Arsenic 01002
ug/L
Chromium; Total 01034
ug/L
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg/L ORGANICS: (by GC, GCIMS, HPLC)
Phenol 32730
ug/L
Fe - Iron olo45
ug/L (Specify test and method #. ATTACH LAB REPORT,)
Sulfate o0945
mg/L
Hg - Mercury 71900
ug1L Lab Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance 0o095
pMhos
K - Potassium 00937
mg/L VOC 76732: method #
Total Ammonia o0610 <0.2
mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen, NH3 as N; Ammonia Nitrogen, Total)
Mn -Manganese o1055
uglL ,method #
TKN as N 00625
mg/L
Ni - Nickel 01067
ug1L method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluont Total VOCa: mg/L VOC Removal%
Rod Holley
Permittee (or Authorized Agent) Name and Title - Please print ar type
GW-59 Rev.212010

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENT d, NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION
please print Cfearfy or Type
PERMIT Number: WQ0023634 Expiration Date: 2/28123
Facility Name: Waterside Villages WWTP
Non -Discharge UIC
Permit Name (if different):
NPDES Other
Facility Address: '100 Pirate Quay
TYPE OF PERMITTED OPERATION BEING MONITORED
Grandy NC NC
27939 County Currituck
❑ Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
Contact Person: Rod Holley
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Waterside Villages
No. of wells to be sampled:,#
❑ Water Source Heat Pump ❑■ Other: Infiltration
from Pen}
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW12
Date sample collected: 8/13/20
FIELD ANALYSES:
WAS
Well Depth: 1E fit.
Well Diameter: 3 in.
pH 00400: 7•8 units Temp. oaaalo: 20.9 C
DRY at
Depth to Water Level 82546:9A ft. below measuring point Screened Interval: 12 ft. to
17 ft. Spec. Cond. 00094: µMhos
time of
Measuring Point is 2 ft. above land surface
Relative M.P. Elevation: ft.
Odor 000as: none
sampling,check
Volume ofwater pumped/bailed before sampling:
5-0
gallons
Appearance clear
here:❑
Samples for metals were collected unfiltered: W] YES
❑ NO and field acidified: ❑ YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed:8/13/20
Laboratory Name: Enviro Chem
Certification No. 94
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD oo335
mg/L
Nitrite (NO2) as N 00615 <0.02
mg/L Pb - Lead o1o51 ug/L
Coliform: MF Fecal 3161s <1
1100ml-
Nitrate (NO3) as N 00620 .42
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100ml-
Phosphorus: Total as P ooe65 .13
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 92
mgiL
Al -Aluminum o11o5
mgiL
pH (Lab) ao4o3 7.8
units
Ba - Barium 01007
ug/L
TOC ammo 1.1
mgiL
Ca - Calcium 00916
mgiL
Chloride 00940 14
mgiL
Cd - Cadmium 01027
ug/L
Arsenic a1002
ug/L
Chromium: Total 01034
ug/L
Grease and Oils 00552
mgiL
Cu - Copper 01042
mgiL ORGANICS: (by GC, GCIMS, HPLC)
Phenol 32730
ug/L
Fe - Iron 01045
ug/L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate oo945
mgiL
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes (1) ❑ No (0)
pecific Conductance oao95
µMhos
K - Potassium 00937
mg1L VOC 78732: method #
Total Ammonia ooslo <0.2
mg/L
Mg - Magnesium 00927
mgiL method #
(Ammonia Nitrogen; NH,as N. Ammonia Nitrogen, Totaf)
Mn -Manganese o1o55
ug1L ,method #
TKN as N 00525
mgiL
Ni - Nickel 01067
ug/L method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mgiL Effluent Total VOC& mg/L VOC Removal%
GW-59 Rev.2/2010

SUBMIT FORM ON YELLOW PAPER ONLY
►
DEPARTMENT OF ENVIRONMENT $ NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OF WATER OUALITY4NFORMAT1ON PROCESSING UNIT
COMPLIANCE REPORT FORM
►
• ►
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone. [phone]
FACILITY INFORMATION
Please Print ClearlyvrType
PERMIT Number: WQ0023634 Expiration Date: 2/28/23
W
Facility Name: Waterside Villages WTP
Non -Discharge UIC
Permit Name (if different):
NPDES Other
Facility Address: 100 Pirate quay
TYPE OF PERMITTED OPERATION BEING MONITORED
Grandy NC NC
27939 County Currituck
❑ Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
Contact Person: Rod Holley
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Waterside Villages
No. of wells to be sampled: 5
❑ Water Source Heat Pump © Other: Infiltration
-
(from Permit)
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW13
Date sample collected: 8/13120
FIELD ANALYSES:
WAS
Well Depth: 16 ft.
Well Diameter: 3 in.
pH 00400: 7.8 units Temp. 000lo: 21.4 °C
DRY at
Depth to Water Level 82546:8•5 ft. below measuring point Screened Interval: 12 ft.
to 17 ft. Spec. Cond. 00094: µMhos
time of
sampling,check
Measuring Point is 2 ft. above land surface
Relative M.P. Elevation:
ft. Odor 00065- none
Volume of water pumped/bailed before sampling:
5.0
gallons
Appearance clear
here:
❑
Samples for metals were collected unfiltered: 91 YES
El NO and field acidified: El YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed:8113120
Laboratory Name: Enviro Chem
Certification No. 94
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615 <0.02
mg/L Pb - Lead olos1 yg/L
Coliform: MF Fecal 31616 <1
1100mL
Nitrate (NO3) as N 6062o 2.82
mg/L Zn -Zinc olo92 mg/L
Coliform: MF Total 31504
1100mL
Phosphorus: Total as P oo665 0.06
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 98
mg/L
Al -Aluminum o11os
mg/L
pH (Lab) 00403 7-8
units
Ba - Barium 61007
uglL
TOC 00660 1.1
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 11
mg/L
Cd - Cadmium 01027
uglL
Arsenic 01002
uglL
Chromium: Total o1o34
uglL
Grease and Oils 00552
mglL
Cu - Copper 01042
mg/L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug1L
Fe - Iron 01045
uglL (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg/L
Hg - Mercury 71900
uglL Lab Report Attached? ❑ Yes (1) ❑ No (0)
pecific Conductance 00095
µMhos
K- Potassium 00937
mg/L VOC 78732: method #
Total Ammonia oo610 <p-2
mg/L
Mg - Magnesium 00927
mg/L method #
(Ammcnfa Nitrogen; NH3asN-, Ammonia Nitrogen, Total)
Mn -Manganese 01o55
UglL ,method #
TKN as N 00625 -mg/L
Ni - Nickel 01067
uglL method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs. inglL VOC Removal%
Rod Holley
Permittee (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev.2/2010

SUBMIT FORM ON YELLOW PAPER ONLY
EPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
W21617
IVISION OF WATER QUAUTY4NFORMA'nON PROCESSING UNIT
COMPLIANCE REPORT FORM
MAIL SERVICE CENTER, RALEIGH. NC 27699-1617 Phone: [phone]
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: WQ0023634 Expiration Date: 2128123
Facility Name: Waterside Villages VWVTP
Non -Discharge UIC
Permit Name (if different):
NPDES Other
Facility Address: 100 Pirate Quay
TYPE OF PERMITTED OPERATION BEING MONITORED
Grandy NC NC
27939 County Currituck
❑ Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
Contact Person: Rod Holley
Telephone#; 252-232-6065
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Waterside Villages
No. of wells to be sampled: 5
❑ Water Source Heat Pump © Other: Infiltration
(From Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW14
Date sample collected: 8113120
FIELD ANALYSES:
WAS
Well Depth: 16 ft.
Well Diameter: 3 in.
pH 00400: 7.8 units Temp. 000to: 20.7 °C
DRY at
Depth to Water Level 82546:9.0 ft. below measuring point Screened interval: 12 ft.
to 17 ft, Spec. Cond. 00094: µMhos
time of
sampling,
Measuring Point is 2 ft. above land
surface
Relative M.P. Elevation:
ft. Odor 000w none
check
Volume of water pumped/bailed before sampling: 5.0
gallons
Appearance clear
here:❑
Samples for metals were collected unfiltered:
m YES
❑ NO and field acidified: ❑ YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed:3113120
Laboratory Name: Enviro Chem
Certification No. 94
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335
mg1L
Nitrite (NO2) as N 00615 <0.02
mg/L Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 <0.02
mg/L Zn - Zinc 01092 mg/L
Caliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 0.13
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 7030o 237
mg1L
Al -Aluminum o11o5
mg/L
pH (Lab) 00403 7-8
units
Ba - Barium 01007
ug/L
TOC 00680 1.8
mg1L
Ca - Calcium 00916
mg/L
Chloride 0004o 31
mg/L
Cd - Cadmium 01027
ug/L
Arsenic olom
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 01045
ug/L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg/L
Hg - Mercury 71gm
ug/L Lab Report Attached? ❑ Yes (1) ❑ No (0)
pecific Conductance o0o95
µMhos
K - Potassium 00937
mg1L VOC 78732: method #
Total Ammonia oo610 <0.2
mg/L
Mg - Magnesium 00927
mg1L method #
(Ammonia Nitrogen; NH,as N, Ammonia Nitrogen, Total)
Mn - Manganese o1o55
ug]L method #
TKN as N 00625
mg/L
Ni - Nickel oio67
ug/L method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L L.ffluent total VQCs: mg/L VOC Removal%
GW-59 Rev .212010