WQ0006254_Monitoring - 03-2021_20210430

Monitoring Report Submittal
............................................................................................................................................
Permit Number #* WQ0006254
Name of Facility:*
Month:* March
Report Information
Type *
GW-59
Corolla Light WWTP #1
Confirmation Email Address:*
Name of Submitter:*
Signature:
Date of submittal:
Initial Review
Year:* 2021
Upload Document*
CL MW MAR21 Report 15.15MB
Signed.pdf
FDF a,ly
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
[e-mail]
Travis Tucker
p�" 11 �'Y, 9ut
Reviewer: Williams, Kendall N
4/30/2021
This will be filled in automatically

Is the project number correct?* WQ0006254
Is the monitoring report t: Yes r No
accepted?*
Regional Office* Washington
Accepted Date: 5/4/2021

GW-59A COMPLIANCE REPORT FORM Permit
(Submit one each monitoring period with GW-59 forms) l
I Enter date monitoring results were due. -- Will this monitoring report (GW-59 and GW-59A) YES
be submitted after the established due dat ?
NO
X
2 Was any required information missing on the GW-59 report forms?
YES
1F the answer to question I or 2 is "YES', list in the space provided below the well identification numbers) 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
identification plate, area overgrown, etc.)? If the is "Yes",
NO
answer contact the Regional Office for guidance.
4 Are any monitored constituents equal to or above the established standards?
S
If the answer to question 4 is "NO" skip to section 8.
NO
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:
C,�/( 1,�%l. ,�71 �' l L--- Ewa .d i - ..3.�`� ^`tc/ l L--•
JlM-� I�1�%^/
�f1�� �?_Je�o
7/u94 W 4�"
L G �+ �. j
i !
5 For the constituents ide oquestion 4 above, have standartis been exceeded previously for the YES
same constituent(s) in the same well(s) in the last two
NO
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, concentrations) reported, and sam le collection date for
each occurrence (for the last two years).
w
ie
Are the monitoring wells listed in section 5 located at or beyond the review boundary? YES
Xif
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
groundwater quality problem?
NO
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
maybe
required to determine the impact the waste disposal system is havmcr at the review and compliance
boundaries surroundmg this facility. Failure to do so may subject the
permittee to a Notice of Violation
fines• and/or penalties
g he person completing this portion (GW-59A) of the monitoring report should sign below and submit this
orm with GW-59 forms for required wells to the
address provided at the top of the current GW-59 form.
ti
hereby acknowledge that the above information was evaivated and the information submitted in this
port (Compliance Report GW-59A) is true and comQ(p,te tRft,0est of my knowledge.
Dana Hill L, [,, Y r 39 2 52 Ztim h Hill `=tlana h ll@ arolinawal rvicenc com
F.At Pha,t,,POF Version'. 10.1.3
Signature of Permittee (or Authorized Agent) Date
GW-59A 12/8/2003

Ground Water Data
Corolla Light WWTP #1
Permit # WQ0006254
Permit Limit:
500
1.5
MW #
Collection
Date
TDS
mg/I
Total
Ammonia
mg/I
1
3/14/2019
532
3.5
1
7/8/2019
541
3.3
1
11/18/2019
543
2.9
1
3/2/2020
596
2.2
1
7/13/2020
580
3.5
1
11/10/2020
736
3.4
1
12/18/2020
712
3.6
1
1/21/2021
640
3.5
1
3/4/2021
571
3.4
4
3/14/2019
537
<Limit
4
7/8/2019
560
<Limit
4
11/18/2019
554
<Limit
4
3/2/2020
536
<Limit
4
7/13/2020
524
<Limit
4
11/10/2020
641
<Limit
4
12/18/2020
577
<Limit
4
1/21/2021
553
<Limit
41
3/4/2021
526
<Limit
Dana Hill
Permit Limit:
500
1.5
MW #
Collection
Date
TDS
mg/l
Total
Ammonia
mg/I
5
3/14/2019
762
<Limit
5
7/8/2019
706
<Li m it
5
11/18/2019
771
<Limit
5
3/2/2020
859
<Limit
5
7/13/2020
803
<Limit
5
11/10/2020
1000
<Limit
5
12/18/2020
758
<Limit
5
1/21/2021
722
<Limit
5
3/4/2021
795
<Limit
6
3/14/2019
974
5.2
6
7/8/2019
935
2.6
6
11/18/2019
881
1.8
6
3/2/2020
938
2.0
6
7/13/2020
948
2.0
6
11/10/2020
1080
1.7
6
12/18/2020
1040
1.8
6
1/21/2021
926
2.0
6
3/4/20211
8641
1.9
Digitally signed by Dana Hill
DN: C=US, O=CWSNC, CN=Dana Hill, E=[e-mail]
Reason: I am the author of this document
Location: your signing location here
Date: 2021.04.30 12:52:21-04'00'
Foxit PhantomPDF Version: 10.1.3
Signature of Permittee (or Authorized Agent) Date

SUBMIT FORM OKI YFI I nW PAPIPP nnu v
GROUNDWATER QUALITY MONITORING: ' OEPARTMENT OF ENVIRONMENTAL QUALITY - DIV. OF WATER RESOURCES
i 0 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: Expiration Date: 10/31/21
Facility Name: Corolla Light WWTP#1 Non -Discharge W00006254 UIC
Permit Name (if different): NPDES Other
Facility Address: 1102 Corolla Village Road, Corolla, NC 27927 TYPE OF PERMITTED OPERATION BEING MONITORED
1102 Corolla Village Road, Corolii� 'NC 27927 County Dare ❑ Lagoon
g ❑Remediation: Infiltration Gallery
Spray Field ❑ Remediation:
Contact Person Anthony Chilton Telephone#: [phone] Rotary Distributor ❑Land Application of Sludge
Well Location/Site Name: Southwest of WWTP No. of wells to be sampled: 7 ❑ Water Source Heat Pump FN Other: LPP Field
WELL ID NUMBER (from Permit): MW#1 Date sample collected: 3/4/21
Well Depth: 20 ft. Well Diameter: 2 in.
Depth to Water Level 82546:12.0 ft. below measuring point Screened Interval: 18 ft.
Measuring Point is 2 ft. above land surface Relative M.P. Elevation:
Volume of water pumped/bailed before sampling: 5.0 gallons
Samples for metals were collected unfiltered: ❑ YES ❑ NO and field acidified: ❑ YES
to 20 ft.
ft.
❑ NO
FIELD ANALYSES:
pH 00400: 6.78 units Temp, 000lo: 15.5 °C
Spec. Cond. 00094: µMhos
Odor 00085: Sulfur
Appearance Grey
If WELL
WAS
DRY at
time of
sampling,
check
here:❑
LABORATORY INFORMATION
Date sample analyzed: March 4,8,9,10,11,15, 2021
Laboratory Name: Environmental Chemists,
Inc. Certification No. 37729
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L
Nitrite (NO2) as N 00615 <0.02
mg/L
Pb - Lead o1o51 ug/L
Caliform: MF Fecal 31616 <1 /100mL
Nitrate (NO,) as N 00620 <0.02
mg/L
Zn - Zinc 01092 mg/L
Coliform: MF Total 31504 /100mL
Phosphorus: Total as P 00665 2.48
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 571 mg/L
Al -Aluminum o11o5
mg/L
pH (Lab) 004o3 6.8 units
Ba - Barium 01007
ug/L
TOC 00680 9.5 mg/L
Ca - Calcium 00916
mg /L
Chloride 0094o 201 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, 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 71900
ug/L
Lab Report Attached? ❑ Yes (1) RE-1 No (0)
pecific Conductance o0095 µMhos
K - Potassium 00937
mg/L
VOC 7873 method # SM 6200B
Total Ammonia oo610 3.4 mg/L
Mg - Magnesium 00927
mg/L
method #
(Ammonia Nitrogen; NH3 as N; Ammonia Nitrogen, Total)
Mn - Manganese 01055
9
ug/L
,method #
TKN as N 00625 mg/L
Ni - Nickel 01067
ug/L
method #
Fnr Mckmarlinfi— Cv.+e A.. 1.. /A6a__b. i
- - ---_.. -- r.,. ter• u� „ Vta vv��. myiL r-muent I otai vacs: mg/L VOC Removal%
Iwwr�w -- —__
Dana Hill, Director o p e ra ions Digitally signed by Dana Hill
DN: C=US, O=CWSNC, CN=Dana Hill, 10/31/21
Permittee (or Authorized Agent) Name and TE=dana.h ll o)carolinawaterservicenc.com itle -Please print or type gn u r t e r Au dl Reason: I am the author of this document (Date)
GW-59 Rev. 05-02-2017 Location: your signing location here
Date: 2021.04.30 12:53:08-04'00'
Foxit PhantomPDF Version: 10.1.3

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
•H
DEPARTMENT OF ENVIRONMENTAL QUALITY - DIV. OF WATER RESOURCES
INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1647 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phones 919-807-f406
FACILITY INFORMATION
Please PdnrcreadyorType
PERMIT Number: Expiration Date: 10/31/21
Facility Name: Corolla Light WWTP#1
Non -Discharge WQ0006254 UIC
Permit Name (if different):
NPDES Other
Facility Address: 1102 Corolla Village Road, Corolla, NC 27927
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
1102 Corolla Village Road, Corolla; NC 27927 County Dare
❑■ Spray Field ❑ Remediation:
Contact Person: Anthony Chilton
Telephone#: [phone]
W Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Northwest of WWTP
No. of wells to be sampled: 7
❑ Water Source Heat Pump N Other: LPP Field
(from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW#2
Date sample collected: 3/4/21
FIELD ANALYSES:
WAS
Well Depth: 20 ft.
Well Diameter: 2 in.
pH 00400: 6.60 units Temp. 000lo: 15.8 °C
DRY at
Depth to Water Level 82546:16.0 ft. below measuring point Screened Interval: 18 ft.
to 20
ft. Spec. Cond. 00094: µMhos
time of
Measuring Point is 2 ft. above land surface
Relative M.P. Elevation:
ft.
Odor 00085: None
sampling,check
Volume of water pumped/bailed before sampling:
5.0
gallons
Appearance Semi Clear
here:❑
Samples for metals were collected unfiltered: ❑ YES
❑ NO and field acidified; ❑ YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed: March 4,8,9,10,11,15, 2021
Laboratory Name: Environmental Chemists, Inc. Certification No. 37729
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 31616 <1
/100ml-
Nitrate (NO3) as N 00620 0.27
mg/L
Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 3.89
mg/L
(Note: Use MPNmethod for highly turbid samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
issolved Solids:Total 703oo 364
mg/L
At -Aluminum o11o5
mg/L
pH (Lab) 00403 6.6
units
Ba - Barium 01007
ug/L
TOC 0068o 2.9
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 140
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, GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron o1o45
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg/L
Hg - Mercury 71900
ug/L
Lab Report Attached? ❑ Yes (1) A No (0)
Specific Conductance o0o95
µMhos
K - Potassium 00937
mg/L
VOC 7873 method # SM 6200B
Total Ammonia o0610 <0.2
mg/L
Mg - Magnesium 00927
mg/L
method #
(Ammonia Nitrogen; NH3 as N; Ammonia Nitrogen, Total)
Mn - Manganese 01056
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: mg/L Effluent Total VOCs: mg/L VOC Removal%
Dana Hill, Director of Operations
Permittee (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev.05-02-2017
Digitally signed by Dana Hill
DN: C=US O=CWSNC CN=Dana Hill 10/31/21
�u�fP�itte or At hori III E=[e-mail] (Date)
Reason: I am the author of this document
Location: your signing location here
Date: 2021.04.30 12:54:05-04' 00'
Foxit PhantomPDF Version: 10.1.3

SUBMIT FORM ON YELLOW PAPER ONLY
ROUNDWATER QUALITY MONITORING:
OMPLIANCE REPORT FORM
Please Print Clearly or Type
Facility Name: Corolla Light WWTP#1
Permit Name (if different):
Facility Address: 1102 Corolla Village Road, Corolla, NC 27927
1102 Corolla Village Road, Corolla zNC 27927 County Dare
3ontactPerson: Anthony Chilton Telephone#:[phone]
&ell Location/Site Name: Northeast of WWTP No. of wells to be sampled: 7
LL ID NUMBER (from Permit): MW#3
II Depth: 20 ft.
ith to Water Level 82546:6.2 ft. below measuring point
tsuring Point is 2 ft. above land surface
ime of water pumped/bailed before sampling: 5.0
1ples for metals were collected unfiltered: ❑ YES ❑
t/ADATn OV 11IGYI OIIAATIA�'��'-�
va"Am tMCN! ur CNvtKUNMENTAL QUALITY - DIV. OF WATER RESOURC1:S
INFORMATION PROCESSING UNIT'
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone. [phone]
PERMIT Number: Expiration Date: 10/31/21
Non -Discharge WQ0006254 UIC
NPDES Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
❑■ Spray Field ❑ Remediation:
Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump 1111111111 Other: LPP Field
Date sample collected: 3/4/21
Well Diameter: 2 in.
Screened Interval: 18 ft. to 20 ft.
Relative M.P. Elevation: ft.
gallons
NO and field
■ •
FIELD ANALYSES:
pH 00400: 6.74 units
Spec. Cond. 00094:
Odor 00085: None
Appearance Semi Clear
Date sample analyzed: March 4,8,9,10,11,15, 2021
PARAMETERS
Laboratory Name: Environmental Chemists,
Inc. Certification No. 37729
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 <0.02
mg/L
Zn - Zinc 01092
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 1.55
mg/L
m9 /L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
issolved SolidS:TOtal 7o3oo 367
mg/L
Al -Aluminum o11o5
mg/L
pH (Lab) 00403 6.7
units
Ba - Barium 01007
ug/L
TOC 00680 8.9
mg/L
Ca - Calcium oo916
mg/L
Chloride 00940 64
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, GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron oio45
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate oo945
mg/L
Hg - Mercury 71900
ug/L
Lab Report Attached? ❑ Yes (1) IN No (0)
pecific Conductance o0095
µMhos
K - Potassium 00937
mg/L
VOC 7873 method # SM 6200B
Total Ammonia 00610 1.3
mg/L
Mg - Magnesium 00927
mg/L
method #
(Ammonia Nitrogen; NH3asN; Ammonia Nitrogen, Total)
Mn - Manganese o1o55
ug/L
TKN as N oo625
mg/L
Ni - Nickel 01067
ug/L
method #
method #
For Remediation Systems Only (Attach Lab Reports):
Influent Total VOCs: mg/L
Effluent Total VOCs: mg/L VOC Removal%
Dana Hill, Director of Operations Digitally signed by Dana Hill
Permittee (or Authorized Agent) Name and Title-Pleaseprint ortypeDana
DN: C=US O=CWSNC, CN=Dana Hill, 10/31/21
natureo rmittee (orHill
Reason:
author
of this cenc.comdocument (Date)
GW-59 Rev. 05-02-2017 Reason: I am the author of this document
Location: your signing location here
Date: 2021.04.30 12:54:44-04'00'
Foxit PhantomPDF Version: 10.1.3
WAS
Temp. 000lo: 15.6 °C DRY at
Whos time of
[a

JUt lVII I t-UKNI U14 YLLLUW VAF tzK UNLY
r . e a - DEPARTMENTOF ENVIRONMENTAL QUALITY - DIV. OF WATER RESOURCES
GROUNDWATER QUALITY MONITORING: INFORMATION pRt10E$S►NCa UNIT
COMPLIANCE REPORT FORM 1617 MAIL SERVICE CENTER, RAL,EIGH, NC 27$99-1617 Phone: 919-sal-s3a6
FACILITY INFORMATION Please Print CleariyorType PERMIT Number: Expiration Date: 10/31/21
Facility Name: Corolla Light WWTP#1 Non -Discharge WQ0006254 UIC
Permit Name (if different): NPDES Other
Facility Address: 1102 Corolla Village Road, Corolla, NC 27927 TYPE OF PERMITTED OPERATION BEING MONITORED
1102 Corolla Village Road, Corolla,- NC 27927 County Dare ❑ Lagoon ❑ Remediation: Infiltration Gallery
0 Spray Field ❑ Remediation:
Contact Person: Anthony Chilton Telephone#: [phone] A Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Northwest of WWTP/East of LPP No. of wells to be sampled: 7 ❑ Water Source Heat Pump ON Other: LPP Field
WELL ID NUMBER (from Permit): MW#4 Date sample collected: 3/4/21
Well Depth: 20 ft. Well Diameter: 2 in.
Depth to Water Level 82546:3.6 ft. below measuring point Screened Interval: 18 ft.
Measuring Point is 2 ft. above land surface Relative M.P. Elevation:
Volume of water pumped/bailed before sampling: 5.0 gallons
Samples for metals were collected unfiltered: ❑ YES ❑ NO and field acidified: ❑ YES
to 20 ft.
ft.
❑ NO
FIELD ANALYSES:
pH 00400: 7.15 units Temp. 000lo: 15.8 °C
Spec. Cond. 00094: µMhos
Odor 00085: Sulfur
Appearance Grey
WAS
DRY at
time of
sampling,check
here:❑
LABORATORY INFORMATION
Date sample analyzed: March 4,8,9,10,11,15, 2021
Laboratory Name: Environmental Chemists, Inc. Certification No. 37729
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 31516 <1
/100mL
Nitrate (NO,) as N 00620 <0.02
mg/L
Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P oo665 2.25
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
issolved Solids:Total 703oo 526
mg/L
Al - Aluminum oil o5
mg/L
pH (Lab) 00403 7.2
units
Ba - Barium 01007
ug/L
TOC oosao 3.5
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 159
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, 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 71900
ug/L
Lab Report Attached? ❑ Yes (1) © No (0)
Specific Conductance 00095
µMhos
K - Potassium 00937
mg/L
VOC 7873 method # SM 6200B
Total Ammonia ooslo 1.2
mg/L
Mg - Magnesium 00927
mg/L
method #
(Ammonia Nitrogen; NH, as N; Ammonia Nitrogen, Total)
Mn -Manganese 01055
ug/L
method #
TKN as N oo62s
mg/L
Ni - Nickel 01067
ug/L
method #
V. u W auvu yaaa:141a vary Lruaacu 1-du meporls/. lnitueni I vial vvus: mg/L tttluent Total VOCs: mg/L VOC Removal%
Dana Hill, Director of Operations Digitally signed by Dana Hill 10/31/21
DN:.C=i is n-r�nicnir rra_n,na Hill
Permittee (or Authorized Agent) Name and Title -Please print or type ture of PermitteeKI
E=[e-mail] (Date)
GW-59 Rev. 05-02-2017 Dgna I I Reason: I am the author a this document
Location: your signing location here
Date: 2021.04.30 12:55:24-04'00'
Foxit PhantomPDF Version: 10.1.3

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
or
Facility Name: Corolla Light WWTP#1
aermit Name (if different):
=acility Address: 1102 Corolla Village Road, Corolla, NC 27927
1102 Corolla Village Road, Corolfa,''NC 27927 county Dare
act Person: Anthony Chilton Telephone#: [phone]
Location/Site Name:West of WWfP/Southwest of LPP No. of wells to be sampled: 7
WELL ID NUMBER (from Permit): MW#5 Date sample collected: 3/4/21
Well Depth: 20 ft. Well Diameter: 2 in.
Depth to Water Level 82546:4.2 ft, below measuring point Screened Interval: 18 ft, to 20 ft.
Measuring Point is 2 It. above land surface Relative M.P. Elevation:
Volume of water pumped/bailed before sampling: 5.0 gallons
Samples for metals were collected unfiltered: ❑ YES ❑ NO and field acidified: F-1 YFs r-t run
c "'r'Lvn'ntlV 1 AL, QUALITY -DIV. OF WATER RESOURCE
INFORMATION PROCESSING UNIT'
17 MAIL SERVICE CENTER, RALEIGK NO 27$99-1617 Phone: 91g.g07-6306
=RM1T Number: Expiration Date: 10/31/21
)n-Discharge W00006254 UIC
'DES Other
'PE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
Spray Field ❑ Remediation:
© Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump X Other: LPP Field
FIELD ANALYSES:
pH 00400: 7.95 units
Spec. Cond. 00094:
Odor 00085: Sulfur
Appearance Grey
If
Temp. 000io: 15.3 °c DRY at
AMhos time of
Date sample analyzed: March 4,8,9,10,11,15, 2021
Laboratory Name: Environmental Chemists, Inc.
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
Certification No. 37729
COD oo335
Coliform: MF Fecal 31616 <2
mg/L
Nitrite (NO2) as N o0615 <Q,02
mg/L Pb -Lead 01051
ug/L
/100mL
Nitrate (NO3) as N 00620 <0.02
mg1L Zn -Zinc o�092
Coliform: MF Total 31504
(Note: Use MPN
/100mL
Phosphorus: Total as P 00665 2.54
mg/L
mg/L
method for highly turbid samples)
)issolved Solids:Total 7030o 795
mg/L
Orthophosphate 70507
At
mg/L Other (Specify Compounds and Concentration Units):
-Aluminum oilo5
mglL
pH (Lab) 00403 8.0
units
Ba - Barium 01007
ug/L
TOC oo68o 6.4
mg/L
Ca - Calcium oos16
mg/L
Chloride oos4o 178
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total oto34
ug/L
Grease and Oils 00652
mg/L
Cu - Co
Phenol 32730
uglL
pper o —
mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Sulfate o0945
Fe -Iron oToaS
ug/L
(Specify test and method A ATTACH LAB REPORT.)
specific Conductance 00095
mg/L
µMhos
Hg - Mercury 71900
ug/L
Lab Report Attached? ❑ Yes (1) W No (0)
Total Ammonia oo610 1.4
mglL
K - Potassium 00937
Mg -Magnesium 00927
mg/L
VOC 7a73 method # SM 6200B
(Ammonia Nitrogen; NH3as N; Ammonia Nitrogen, Total)
mg/L
method #
Mn -Manganese c1o55
ug/L
,
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L
,method #
moth-4 if
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs:
mg/L Effluent Total VOCs:
mg/L VOC Removal%
Dana Hill, Director of Operations Digitally signed by Dana Hill
Permittee(orAuthorizedAgent)NameandTitle-Please print or type DN: C=US, O=CWSNC, CN=Dana Hill, aro 10/31/21
Dana Igreermi e( III Reason: i the
GW-59 Rev. 05-02-2017 Reason: I am the author of this document (Date)
Location: your signing location here
Date: 2021.04.30 12:56:03-04'00'
Foxit PhantomPDF Version: 10.1.3
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here:❑

SUBMIT FORM ON YELLOW PAPER ONLY
• •
DEPARTMENT OF ENVIRONMENTAL QUALITY - DIV. OF WATER RESOURCES
GROUNDWATER QUALITY MONITORING:
INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phones 919•$07.6306
FACILITY INFORMATION
Please Print Cleady or Type
PERMIT Number: Expiration Date: 10/31/21
Facility Name: Corolla Light WWTP#1
Non -Discharge WQ0006254 UIC
NPDES Other
Permit Name (if different):
Facility Address: 1102 Corolla Village Road, Corolla, NC 27927
TYPE OF PERMITTED OPERATION BEING MONITORED
1102 Corolla Village Road, Corolla, NC 27927
County Dare
❑ Lagoon ❑ Remediation: Infiltration Gallery
A Spray Field ❑ Remediation:
Contact Person: Anthony Chilton
Telephone#: [phone]
© Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: West of WWTP/Northwest of LPP No. of wells to be sampled: 7
❑ Water Source Heat Pump © Other: LPP Field
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW#6
Date sample collected: 314/21
FIELD ANALYSES:
WAS
Well Depth: 20 ft,
Well Diameter: 2 in.
pH 00400: 7.86 units Temp. 000lo; 15.8 °C
DRY at
Depth to Water Level 82546:5.8 ft, below measuring point Screened Interval: 18 ft.
to 20
ft. Spec. Cond. 00094: µMhos
time of
Measuring Point is 2 ft, above land surface
Relative M.P. Elevation:
ft.
Odor 000s5: Sulfur
sampling,
check
Volume of water pumped/bailed before sampling:
5.0
gallons
Appearance Grey
here:
Samples for metals were collected unfiltered: ❑ YES
❑ NO and field acidified: ❑ YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed: March 4,8,9,10,11,15, 2021
Laboratory Name: Environmental Chemists, Inc. Certification No. 37729
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615 <0.02
mg/L Pb - Lead o1o51 ug/L
Coliform: MF Fecal 31616 <5
/100mL
Nitrate (NO3) as N 00620 <0,02
mg/L Zn - Zinc o1o92 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P oo665 5.03
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 864
mg/L
All - Aluminum 01105
mg/L
pH (Lab) 00403 7.9
units
Ba - Barium 01007
ug/L
TOC 00680 12.5
mg/L
Ca - Calcium oo916
mg/L
Chloride 00940 134
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, 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 71900
ug/L
Lab Report Attached? ❑ Yes (1) 7 No (0)
Specific Conductance 00095
µMhos
K - Potassium 00937
mg/L VOC 7873 method # SM 6200B
Total Ammonia oo6lo 1.9
mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen; NHsas 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: mg/L Effluent Total VOCs: mg/L VOC Removal%
Dana Hill, Director of Operations
Permittee (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev.05-02-2017
Digitally signed by Dana Hill 10l31/21
DN: C=I IS 0=CW4NC. CN=Dana Hill.
ature of Permittee (or tho z• E=[e-mail] (Date)
a n a I Reason: I am the author of this document
Location: your signing location here
Date: 2021.04.30 12:59:42-04'00'
Foxit PhantomPDF Version: 10.1.3

SUBMIT FORM ON YELLOW PAPER ONLY 'Weil Not Accessible on 1/21/21. . See note on GW-59A Form.
GROUNDWATER QUALITY MONITORING: • ' DEPARTMENT OF ENVIRONMENTAL QUALITY -DIV. OF WATER RESOURCES
COMPLIANCE REPORT FORM ��1617 INFORMATION PROCESSING UNIT
MAIL SERVICE CENTER, RALEIGH, NC 27699.1617 Phone: [phone]
FACILITY INFORMATION Please Print dearly or type PERMIT Number: Expiration Date: 10/31/21
Facility Name: Corolla Light WWTP#1 Non -Discharge WQ0006254 UIC
Permit Name (if different): NPDES Other
Facility Address: 1102 Corolla Village Road, Corolla, NC 27927 TYPE OF PERMITTED OPERATION BEING MONITORED
1102 Corolla Village Road, Cordlla `NC 27927 County Dare ❑ Lagoon ❑ Remediation: Infiltration Gallery
0 Spray Field El Remediation:
�ontact Person: Anthony Chilton Telephone#: [phone] Rotary Distributor ❑Land Application of Sludge
Nell Location/Site Name: Southeast of VVWTP No. of wells to be sampled: 7 ❑ Water Source Heat Pump 0 Other: LPP Field
WELL ID NUMBER from Permit): MW#7
( )
Date sample collected: 3/4/21
FIELD ANALYSES:
If WELL
Well Depth: 20 ft.
Well Diameter: 2 in.
pH 00400: 6.64 units Temp. 000lo: 15.5 °C
WAS
DRY at
Depth to Water Level 82546:5.3 ft. below measuring point Screened Interval: 18 ft.
to 20 ft.
Spec. Cond. 00094: µMhos
time of
Measuring Point is 2 ft, above land surface
Relative M.P. Elevation:
ft. —
Odor 00085: Sulfur
sampling,
Volume of water pumped/bailed before sampling:
5.0
gallons
g
Appearance Semi Clear
check
-
Samples for metals were collected unfiltered: ❑ YES
❑ NO and field acidified: ❑ YES
❑ NO
here
LABORATORY INFORMATION
Date sample analyzed: March 4,8,9,10,11,15, 2021
Laboratory Name: Environmental Chemists,
Inc. Certification No. 37729
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00336
mg/L
Nitrite (NO2) as N 00615 <0.02
mg/L
Pb - Lead o1o51 ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 <0.02
mg/L
Zn - Zinc olo92
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 0.81
mg/L
mg /L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
)issolvedSolids:Total70300165
mg/L.
All -Aluminum oiim
mg/L
pH (Lab) 00403 6.6
units
Ba - Barium 01007
ug/L
TOG oosao 4.5
mg/L
Ca - Calcium 00916
mg/L
Chloride 0094o 22
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, 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 71900
ug/L
Lab Report Attached? ❑ Yes (1) 0 No (0)
specific Conductance 00095
µMhos
K - Potassium 00937
mg/L
VOC 7873 method # SM 6200B
Total Ammonia oo610 1.1
(Ammonia Nitrogen; NH3 as N; Ammonia Nitrogen, Total)
mg/L
Mg - Magnesium 00927
mg/L
method #
Mn - Manganese o1o55
ug/L
method #
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L
methnd it
For Remediation Systems Only (Attach Lab Reports):
Dana Hill, Director of Operations
Permittee (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev.05-02-2017
Influent Total VOCs:
mg/L Effluent Total VOCs:
mg/L
VOC Removal%
Digitally signed by Dana Hill
Signature of PermitteHillLocation:
DN: ('=1 IS O=CWSNC CN=Dana Hill 10/31/21
Dana Reason:hell@che author ofthis document (Date)
Reason: I am the author of this document
your signing location here
Date: 2021.04.30 13:00:24-04'00'
Foxit PhantomPDF Version: 10.1.3