WQ0023634_Monitoring - 12-2020_20210131 (2)

GW-59A COMPLIANCE REPORT FORM Permit # o 0 23
(Submit one each monitoring period with GW-59 forms )
Enter date monitoring results were due. (1211?1112,1 Will this monitoring report (GW-59 and GW-59A)
YES
NO
be submitted after the established due date?
2
Was any required information missing on the GW-59 report forms?
YES
O
1F 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 (damagcd 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
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
YES
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 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 `,,ES", describe those actions in the space provided below.
If the answer to question 7 is "NO", contact the Regional Office within 90 dam;an evaluation may be
required to determine the impact the waste disposal system is havina at the review and com fiance
boundaries surrounding this facilitj& 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 Au orixed Agent) Date
GW-59A 12/8/2003

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
DEPARTMENT OPENVIRONMENT & NATURAL RESOURCES
DIVISION oP WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
s
1617 MAIL SERVICE CENTER; RALEIGH, NC 27699-1817 Phone: [phone]
FACILITY INFORMATION
please PrintCleadyorType
PERMIT Number: WQ0023634 Expiration Date: 2/28/23
Facility Name: Waterside Villages WWrP
Non -Discharge UIC
Permit Name (if different):
NPDES Other
Facility Address: 100 Pirate Quay
TYPE OF PERMITTED OPERATION BEING MONITORED
` `"'
Grand NCNC
Y
27939 County Currituck
❑Lagoon ❑Remediation; Infiltration Gallery
❑ Spray Field ❑ Remediation:
Contact Person: Rod Holley
Telephone#: [phone]
❑ Rotary Distributor ElLand Application of Sludge
Well Location/Site Name: Waterside Villages
No. of wells to be sampled: 4
❑ Water Source Heat Pump ® Other: Infiltration
hcm Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW10
Date sample collected: 12/18/20
FIELD ANALYSES:
WAS
Well Depth: 16 ft.
Well Diameter: 3 in.
pH 00400: 7.0 units Temp, 000lo: 18•2 eC
DRY at
Depth to Water Level 52546: 10.0 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 00065: none
sampling,check
Volume of water pumpedlbailed before sampling:
3
gallons
Appearance Tan
here:❑
Samples for metals were collected unfiltered: ® YES
❑ NO and field acidified: ❑ YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed:12118120
Laboratory Name: Enviro Chem
Certification No. 94
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD oo33s
mg/L
Nitrite (NO2) as N 00615 <0.02
mg/L Pb - Lead o1os1 ug1L
Coliform: MF Fecal 31616 <1
1100ml-
Nitrate (NO3) as N 00620 .12
mg/L Zn - Zinc o1o92 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P oo665 .14
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
Dissolved Solids:Total 703oo 352
mg/L
Al -Aluminum o11os
mg1L
PH (Lab) 00403 7.0
units
Ba - Barium 01007
ug1L
TOC 00660 12.6
mg/L
Ca - Calcium 00916
mg/L
Chloride 0094o 31
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, GCIMS, HPLC)
Phenol 32730
ug/L
Fe - Iron o1o45
lug/L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg/L
Hg - Mercury 71900
ug1L Lab Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance 00095
µMhos
K - Potassium 00937
mg/L VOC 78732: method #
Total Ammonia oo610 .3
mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen; NH3 as N; Ammonia Nitrogen, Total)
Mn - Manganese o1055
ug/L method #
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs:
Rod Holley
Permittee (or Authorized Agent) Name and Title - Please print or type
mg/L Effluent Total VOCs:
Signature
mg/L VOC Removal%
1 /29121
(Date)
GW-59 Rev.212010

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTWIENT.OF ENVIRONMENT:B NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
01
DIVISION of WATER QUALITY INFORMATION. PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617. Phone. [phone]i
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: W00023634 Expiration Date: 2/28/23
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 NO " " NC
27939 County Currituck
❑ Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
Contact Person: Rod Halley
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Waterside Villages
No. of wells to be sampled: 4
❑ Water Source Heat Pump ® Other: Infiltration
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW11
Date sample collected: 12/18/20
FIELD ANALYSES:
WAS
Well Depth: 16 ft.
Well Diameter: 3 in.
pH o040o: 6.9 units Temp. 000io: 17.8 °C
DRY at
Depth to Water Level 62546:9.4 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 00085: none
check
Volume of water pumped/bailed before sampling:
4.0
gallons
Appearance Clear
here:❑
Samples for metals were collected unfiltered: 21 YES
❑ NO and fe[d acidified: ❑ YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed:12/18120
Laboratory Name: Enviro Chem
Certification No. 94
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N oo615 <0.02
mg/L Pb - Lead olo51 ug/L
Coliform: MF Fecal 31616 <1
1100mL
Nitrate (NO3) as N ao62o .68
mg/L Zr) - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 <0.04
mg/L
(Note: Use MPN method for highly turbid sates)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 7o3oo431
mg/L
Al -Aluminum oilos
mg/L
pH (Lab) 00403 6.9
units
Ba - Barium 01a07
ug/L
TOC oo6ao 3.3
mg1L
T
Ca - Calcium oog16
mg/L
Chloride 00940131
mglL
Cd - Cadmium 01027
ug/L
Arsenic oia02
ug/L
Chromium: Total 01034
ug/L
Groaso and Oila oamb2
mg1L
Cu Copper 01042
mg1L ORGAN [CS t (by GC, CC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron a1045
ug/L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg1L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance 00095
µMhos
K - Potassium 00937
mg1L VOC 78732: method #
Total Ammonia oo6lo <•2
mg/L
Mg - Magnesium U0927
mg/L method #
(Ammonia Nitrogen; NH3as N; Ammonia Nitrogen, Total)
Mn - Manganese oio55
ug1L method #
TKN as N 00625
mg/L
Ni - Nickel 01067
ug1L method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs:
Rod Holley
Permittee (or Authorized Agent) Name and Title - Please print or type
mg/L Effluent Total VOCs:
mg/L VOC Removal%
1 /29/21
GW-59 Rev.2/2010

SUBMIT FORM ON YELLOW PAPER ONLY
©EPARTMENTOF: ENVIRONMENT &:NATURAL: RESOURCES
GROUNDWATER QUALITY MONITORING:
N OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH, NC 276994617 Phone:`[phone]
FACILITY INFORMATION
Please PrintCleartyvrType
PERMIT Number: WQ0023634 Expiration Date: 2/28123
Facility Name: Waterside Villages WWTP
Non -Discharge UIC
NPDES Other
Permit Name (if different):
Facility Address: 100 Pirate Quay
TYPE OF PERMITTED OPERATION BEING MONITORED
Grandy NC "` '' NC
27939 County Currituck
❑Lagoon El 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: 4
❑ Water Source Heat Pump © Other: Infiltration
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW12
Date sample collected: 12/18/20
FIELD ANALYSES:
WAS
Well Depth: 16 ft.
Well Diameter: 3 in,
pH 00400: 5.9 units Temp. 00010: 17.6 aC
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 00085: none
Volume of water pumpedlbailed before sampling:
3.5
gallons
Appearance Clear
here:❑
Samples for metals were collected unfiltered: m YES
❑ NO and field acidified: ❑ YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed:12/18120
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 o1051 ug1L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620.63
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
1100mL
Phosphorus: Total as P 00665.15
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 7a507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 98
mg/L
Al -Aluminum 01105
mg/L
pH (Lab) 00403 5•9
units
Ba - Barium 01007
ug1L
TOC 006801.1
mg/L
Ca - Calcium oo916
mg/L
Chloride o094o 14
mg/L
Cd - Cadmium 01027
uglL
Arsenic 01002
uglL
Chromium: Total 01034
uglL
Grease and Oils 00652
mg/L
Cu Coppor 01042
mg/L ORGANIC& (by CC, CC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron 01045
ug/L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg/L
Hg - Mercury 719oo _ug1L
Lab Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance oo095
µMhos
K - Potassium 00937
mg/L VOC 78732: method #
Total Ammonia oo610 <•2
mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen; NH,as N; Ammonia Nitrogen, Total)
Mn - Manganese o1 o55
ug/L method #
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs:
Rod Holley
Permittee (or Authorized Agent) Name and Title - Please print or type
mg/L Effluent Total VOCs:
mg1L VOC Removal%
1 /29/21
GW-69 Rev.2/2010

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
DEPARTMENT OF ENVIRONMENT &NATURAL RESOURCES
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1WMAIL SERVICE CENTER, RALEIGH, NC 276994617 Phone: [phone]
FACILITY INFORMATION
Please PrrntClearly orType
PERMIT Number: WQ0023634 Expiration Date: 2/28/23
Facility Name: Waterside Villages WVvTP
Non -Discharge UIC
Permit Name (if different):
NPDES Other
Facility Address: too Pirate Quay
TYPE OF PERMITTED OPERATION BEING MONITORED
Grandy NC "`' NC
27939 County Currituck
El Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
Contact Person: Rod Holley
Telephone#: [phone]
ElRotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Waterside villages
No. of wells to be sampled: 4
❑ Water Source Heat Pump M Other: Infiltration
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW13
Date sample collected: 12/18/20
FIELD ANALYSES:
WAS
Well Depth: 16 ft.
Well Diameter: 3 in.
pH 0040o; 6.9 units Temp. 000io: 18.6 °C
DRY at
Depth to Water Level 82546:7•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 0008s: none
check
Volume of water pumped/bailed before sampling:
4.0
gallons
Appearance Clear
here:❑
Samples for metals were collected unfiltered: m YES
❑ NO and field acidified: ❑ YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed:12118120
Laboratory Name: Enviro Chem
Certification No. 94
PARAMETERS NOTE: Values should reflect
dissolved
and colloidal concentrations.
COD o0335
mg/L
Nitrite (NO2) as N 00615 <0,02
mg/L Pb - Lead o1o5i uglL
Coliform: MF Fecal 31616 <1
1100mL
Nitrate (NO3) as N oos20 2.28
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P G0665 0.06
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 703ao 208
mg/L
AI - Aluminum 01105
mg/L
pH (Lab) 00403 6.9
units
Ba - Barium 01007
ug/L
TOC 00680 1.3
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 9
mg1L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug1L
Chromium: Total 01034
ug/L
Grease and Oils 00562
mg1L
Cu - Copper 01042
mg/L ORGANIC& (by GC, CC/MS, HPLC)
Phenol 32730
ug1L
Fe - Iron oio4s
ug/L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg1L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance 0009s
µMhos
K - Potassium 00937
mg/L VOC 78732: method #
Total Ammonia 00610 <•2
mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen; N1,13as N; Ammonia Nitrogen, Total)
Mn -Manganese o1o55
uglL ,method #
TKN as N OG625
mg/L
Ni - Nickel 01067
ug/L method #
For Remediation Systems Only (Attach Lab Reports):
Rod Holley
Permittee (or Authorized Agent) Name and Title - Please print or type
GW-59
Rev. 2/2010
Influent Total VOCs:
mg/L Effluent Total VOCs:
mg1L
VOC Removal%

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
•
DEPARTmENT OF, ENVIRONMENT& NATURAL RESOURCES
DIVISION OF WATER ouALtTY-INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
a
7617 [AIL SERVICE CENTER, RALEIGH,.NC 27699.1617 Phone: [phone]
FACILITY INFORMATION
Please Print Cleerly or Type
PERMIT Number: WQ0023634 Expiration Date: 2128/23
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
"p
❑ 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: 4
❑ Water Source Heat Pump ® Other: Infiltration
mom Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW14
Date sample collected: 12/18/20
FIELD ANALYSES:
WAS
Well Depth: 16 ft.
Well Diameter: 3 in.
pH 00400: 6.4 units Temp. 000lo: 18A °C
DRY at
Depth to Water Level 62546:8.2 ft, below measuring point Screened Interval: 12 ft.
to 17 ft. Spec. Cond. 00094: gMhos
time of
Measuring Point is 2 ft. above land surface
Relative M.P. Elevation:
ft. Odor o0065: none
sampling,check
Volume of water pumped/bailed before sampling:
4.0
gallons
Appearance Clear
here:❑
Samples for metals were collected unfiltered: ® YES
❑ NO and field acidified: ❑ YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed:12/18/20
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
mg/L Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616 <1
/100ml-
Nitrate (NO3) as N 00620 0.11
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 315o4
/100ml-
Phosphorus: Total as P oo685 0.08
mg/L
(Note: Use MPN rrmlhod for hlghiy turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 194
mg/L
Al -Aluminum o1105
mg/L
pH (Lab) 00403 6.4
units
Be - Barium 01007
ug/L
TOC oo6so 1.6
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 25
mg/L
Cd - Cadmium 01027
uglL
Arsenic 01002
ug/L
Chromium: Total 01034
ug/L
Grease and Oils 00562
mg/L
Cu Coppor o1042
mg/L ORCANICS: (by GC, GC/MS, I IPLC)
Phenol 32730
ug/L
Fe - iron 01045
ug/L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate oo945
mg/L
Hg - Mercury 71900
uglL Lab Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance 00095
gMhos
K - Potassium 00937
mg/L VOC 76732: method #
Total Ammonia ooslo <.2
mg/L
Mg - Magnesium oo927
mg/L method #
(Ammonia Nitrogen; NH3asN; Ammonia Nitrogen, Total)
Mn - Manganese w o55
ug/L method #
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L method #
For Remedlation Systems Only (Attach Lab Reports):
Rod Holley
Pemtittee (or Authorized Agent) Name and Title - please print or type
GW-59
Rev. 212010
Influent Total VOCs:
mg/L
Effluent Total VOCs:
mg/L VOC Removal%