WQ0035049_Monitoring - 07-2021_20210913

GW-59A COMPLIANCE REPORT FORM Permit # It 000350L1 1
(Submit one each monitoring period with GW-59 forms.)
1
Enter date monitoring results were due. ( I Z ) Will this monitoring report (GW-59 and GW-59A)
'ES
NO
be submitted after the established due date?
2
Was any required information missing on the GW-59 report forms?
YES
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 informatl n.
�pQ ws 20 l o n� �r>rMs
EX�i(`a�i an jai-e— o� ��r";i �. _L,5 1 n �or-rcoi�� r`o
f(1(J--L) N)W-3 � Alw`f• Corr-e t4,u, i5 ZOGIv ad kct- been
3
Are any of the monitor wells in need of repair or maintenance (damaged casing, unlocked or missing cap, missing
YES
O
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
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).
6
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 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 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/or penalties.
8
The person completing this portion (G W-59A) of the monitoring report should sign below and submit this
form with G W-59 forms for required wells to the address provided at the top of the current G W-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 Perrnittee (or Authorized Agent) Date
GW-59A 12/8/2003

C) cc a)
C%j 0 0)
Cl) 0
CO
qV
i.
gg ca
CLCL
Zu-
E E
L
0
m
(D M
w Ix _3
0
x
LU
OZOODO
CD
CL
E
Cl)
CL
o
0
co
CD
C3
w
17
(D
0
0
E
=
iT-
0
cc
z
t A
a.
U-
0
00)
ca a. o
of
m
2
w 9c:
w 0
CL z
CD
ow
a-
z
TL
_3 U)
El 9 11
D
tL
0
0
Al
CD
LO
,It
00
m�0
E E
ccoo a
19
CO
—
A
CT
Cl)
o
E
(>D
IC
(D
E
ac)
ca
V)
>
cu
CD
M
c
w cc
0
z
Li
CL
0)
c
'r-
=3
a)
()
a
LU
cn
co
4!
—
a)
E
:3
El
0
a-
6
m
a)E
�
0
cu
_0
a)
-0
C,
co
10
F
0
cq
M
4E.
fo
E
D1
w
E
CD
m
—
�o
CL
0
0
CD
,
d)
w
=E'
c
0
E
LU 0
w z
El
EL,-E -Ooos oo
4 T >- ::= =
E E E E
o ❑
C,
E =4)
S
F
S
m m
ni
I
I IZ
it
(L N
0
0
xg g
m!
M M
E E
E E E 0
E 0 o E a
E E>>
w
(D
c
N
E
r-
2
c
w th v C)
c �o 0 0 1-- U) to r- Cq U) o r- t-- 'n t-
bi .2 (o o 0 Lo co
E
m 0 0 o n o 0 0 0 0 0 o r-_ 0 0 (D m
Z r- Z Z CL 2 E E E E -ffi o E E 2 75
cviu) - .2 cc =3 S: 0=) 2 2 a)cYi
0 c M -- -E-
o ca -0
0 m
0 0 rn E LL =0
0
.0R Z z~0. C'co u E 0 m z
lu 0
.2 2 =
0 0
0 Z
O CL
0
O -i -J -J 0
a -. -. -6 -6 6t —0) —a.
E E E E E E E E
(D
C, -
N E
0 .2
U)
4) C14
C; ;t cl Lq 0) C)
w v Z to T to — V
> O w -;r p O m CD o cj N o in U) a U)
C-0 I C00D o LO n 0
C') 0 0 2z: C,
0 15 -EU Eo -ffi C.) CD .0 D 4) 41 CC H Z
Z o o 6 z cc o :2 a -- -E
c) QL) 0. 0 0
T
U) 7 1 E
LL LL U) 3: a 0 z z
ca E w �e
<'E F-
a) UJ 2" U) rn
75 CD
E
E UJ Z' O
-0
—0
CD 0
16 < U) CL
0 CL fn
I
0
76
CD
0
CL
J2
tu
C
0
CA
E
0
U.
z
z
LU
z
w
LU
V)
W
C)
0
w
CL
cn
UJ
2
a
N
ai
0)
19
3:
(D

z
0
ry
0
-j I
W
z
0
3;
rr
0
LL
co
Z)
U)
6
z
R
0
OM
mw
�o
LL
D 0
a. LLJ
w w
w
L)
z
na
z -i
"n 0.
0 m
w 0
0 ()
CJ
C)
a)
0
R
U)
:21
9
!9
1 OC
mz
16
0
k�
.0
=
E m
.0
=
o
M
oz
Ag
'a)
12
0 ,
5
L
M
M
E
4)
E '0 (D
0
x
z
Of A 0
w
0
El
El El El
0)
E
0 Cf) U 0)
") I*
C)
M
:3
il
0
0
uj
Z:
(D
Es
V; 0
i5
ari)
E 21
w
0
IL
ca
z =
0
a-
U.
0
a
0� 0 co
Ln
Cl)
o
_3
CZ cc 3
9g
u'
El
M n 0
!wL
ca -6
O
LL L)
F- C/)
z CL
ca
0
M L
C.0
0
Cl)
0
LL w
a) (D
E E
m cu
z Z <
= Z,
E
a)
LL U- a- LL
W
co
Ir
nt
Lo
�r
co
N
III
w
0
0
0 N
uj
2 E
< ca
z
2
0
o
0
CU -J
0
C-)
0.
E
a)
1w,
El
C*4
cM
W
N
ay
- - C c
i>
E0
F
a)
m
0
a)
0-
3
C
a:
E
fn
L)
4)
(D
a)
,
co
C
O
mco
z
-E
❑
c
0
CL
U)
N
0
CL
E
0
M
.00
m
p
Cj
N
(D
tU
CL
—
CR
E
0
CM
CO
'a
loa.
E
WID
co
a)
a)
(:n3
E
LU
a)
75_
cc
2 .
0
E
f
>
ui 0
w z
o
El
IM
(D
0
-j
L I--
ca
C) El E E E E
- - - -
L) _0
0
a
E
E =0
0
o -0 U
>, r- 4!
N
F4
CD
0 0
CL
0>
a. N 0
o N
Ag
E
E
E
E E
E
E
E
E
E
a
2
c\i
W
0 C5 v
c)
1-- n
0
so'
hi .2
E
cc
(coo 0
0
0
cn
g
0
MLo
S
8
(D
m
I-.
C)
0
a
0
0
C)
0
n0
0 0
0
z E z
z
Q- .2
E
E
E
E
-ffi
Z5
c,
2'
E
E
ci,) ug
(n
co
Men m
=
=3
=
E
cL
CL
=3
.2
in c
r
- —
Co 0 p
— a
Cc to
0
t
m
Co
-0
m
0
m
0)
z
0 0 0
Z
0
z
LL
0
c
m
Om
-F--
2
L)
.2
z
t-
2
0 0
c
Z:
CL
0
n
>
0
07
'E
M
CD
0)
0)
N
E
E
E
: E
CD
,a-
to
m
V
'gr
V)
-:
It
—
Cl)
> 'n
(0
g
0
0
Cl
C,
0
0
00
0
9
C'4
0
C',
U)
U)
0
m
LO
to
a)
0
CD
to
N
C2
5
c)
co
cv)
0
r-
"t
0
C)
cc)
0
C)
0
m
C,
0
m
f�
m
a
0
a
o Z
C,
7900
N Z 0
'U
C)
-6
-2
SD
z
2, (
tV
a)
LL
Z:�
I'D
12
Sm
o
E
co
C: w
M
LL
LL
(n
CL
7
0
<
E
z
W
-6
<
CL E-
E W
0
U)
'D
to
ca
0
E
E
m
&)
0 ,
!t-
-6
a)
0
0
o
L)
0
0
z
z
w
F-
z
w
W
D
0
F-
0
af
LL
0)
LU
2
CD
C)
C_4
cz

(3
2z
0
02
2w
0
U.
DO
Or WIL
w
w w
w
z
<
Z.j
In rL
02
m 0
(D U
q
C14
0
Cli
CY)
:q
�
�
I. I--
4i
z 0
g g
a
,
D
ui
OE 13
a
i-:
(1)
0
a) 0)
w w 3
:5
0
x
w
0z
0000
m
ECL
O
LO
ce)
a
CL
0 C,
c,
0
c)
a
lu
:3
(D
MO
E 82
Lculz
- io
, L,
0
(n
= ca
z =
U.
0 s
Co CL 0
�
cu
0
m
—1 cl) fr
w
Ow
Tu
El W El n
uj 0
0-
>-
IL z
z
I--
c
0
LL
11 00
'a
O
0
CO
go
w
0
0
0 C?
Of
a. 2
CO io
LU
E
< ca
Z
a)
c U)
0
0
ca
c Z
0
5
_ _ �;
0
- E
E m
1= cn
ct=
C) I
N 0
0 z
mi
C11
0
CO
Cl)
w
ii
0
❑
t
ca
(0
U
CO
a)
>
�CD
0
-a 0
cm Z
O.
ZA
rn
O
UJ
co
E
3:
0
CL
M
E
0
-0
co
_0
(00
70
Cl)
U
-
CL
"
6to 0
E
0
cq �O
2
00
w
E
z
is
CO
—0
0
0
(D
fn
CD
Jos
E
-a
w
5:
S
=
-6
>
E
w
U)
r_
0
E
CD
IM 0
ix z
-0 -0 0 0
(6 E E E E
0
C�
.0
E
C)
L) 0
O 0
CD
110
N 0 3 >
a)
0) CD 0) 0) 0) 0, 0) 0, 0) CM CM 0)
E E E E E 5 E = 5 E 5 5 E E 5 5
uj
E
CD
E
c
2 c,4
c 6 -:
uj bi v 0
bi .2 NQwD 0
E oo C) o 0 0 S C' M ,
0 0 0 r.- 0 0 0 0 00 0 t.. c' 0 c) 0 Z z z CL E E E E m Z5 c 2!, E E m 75
L, 4) (0 U) U) CL .=3 R , -ld
0 ca (a•CL U) w c
c cL E m 0 E 8
coo rn z
0 N0 0 0 0) C 2
Ca Ca
0- mE
L)-0
2
0 0
0 Z := =
u Z CL
0
a.
>
E E
0 0 J -4 .4 - -0 � ---� -j =J
C) 0
"6 0) cp 'a 0) =2
E E E E 0 E 5 E R E E
CN
0
CA
CIJ Cq E
N(q CO OQ MC') -a v
> In (0
.. Cl) 9 —� 0 NLu CO T S , M ,t Co CD M r, cn 0 to
0 T 0 C� n CD 0 C, a 0
C) C', m 0 C� f� 0 0 CS m0 Z 0
NN wa 8 0 -ffi -(0 a)-6 Nz 0 E e Z
U. g
m 0 75 09 C'
c U) U_ LL 0) 0 E Z
M W 2 2 =�) 20 ca E �e
2 w .. o a) F-
U) C< O OE
m0 z 70
2 w ca E
= 0 a) 1-04
0 > O
.2
ca
0 IL Ln 0.
fn
0
ca
CD
Ell
0
0
C,j
v

N A
I
C) cc
Cli
01.11C- 10
z
0
o .0
CL
<
00�5zm
5
;.:
0 'O(D
ED
0
co
C
cr ly _3 0
x
uj
0z
El El El El
LO
CL
E
a.
2 0
0
c)
a
w
3�
2CD
E
Ix
LU
0 co
o
m
-C z 0
IL
LL
0
F CL 0 ca
A
cn
0
3(D X 3:
w
Lu
El H El El
z
0
of
w
CL
01
C) (D
—
ui
4 -j
I-
0
I CO
w m .
Lo
a
mz
w
0
IL 0) to
m
0 o
0 = 0
co
CL CD z6
ti
Cj
E
co
00
c
2
m
0)
0 CL
0 E
U hi
0
0
CL
E
9
4=
0
al
c
0
Z
C\l
CD
.2
E
M
(D
i5
a:
E
U)
Q)
ca
co
6
'a
c
O
0
CD Z
1 15
Li
0
a
03
c
Im,
0
ui
a)
E
to
6)
0
M
CL 0
E Q
0
.0
m r
0
ol�
� m
C-4
CL
q).
E
N
C)
0
OL
z
>
E
M
ui
0-
S!
E
0
16 —0
C3 om
U)
CD
0
a)
. -2—
c
0
LU 0
w z
co
❑
❑ E E E E
70 0
m a
Fjr-
co
iri
a)
CD0
m
L)
0
N
o
0
a)
E E
E E E o E 3 o
E o o
E
L)
75
E
c
2
.5
C,
Lu
--
--
-
to-
-
-
-
-
i6 o -to
0
Lo 'o
E
ca
10, CD
0 r-
0
ca
0
0
CD
0
0
r=
0
0 0 0
z E. z
z
CL .2
E
E
E
E
-6
-
�
cc
c''
E
E w 73
4 c
to
um) cu
c:3
=1
=3
6
CML
.5
0=
.;R
.2 (D -oe
.2 r-
W 0
'6
MO
Go) MO)
1 0 0
0
m -a �;,
0
z
00-
9
E
2
cm
2
0 -C:
t:
0
C)
0 Z
u
0-
0
0
>
J
E
J
E
to
0 -1
0
00
0
-C
-1
20E----
c,
E=SEE=E=E=LE
E
0
2
'a
ClJ
O
0
E
to
.0
CO
M
a
(D
> to
co
n
c)
0
0
N
cm
0
U)
to
O
to�
ED
Cd ")
�
co
to
m
-0
r--
.
CO04
10
CD
0
-
0
I
-a *
a
[.-
-ca
O
<D
0
cD
0
0
0
0
04
m
0
(D
0
cD
M M 0
0 z c)
(D 0
N Z 0
E
cc
L)
0
0)
'a
T j:5 Z
W
(D
LL
r-
o
0)
-5
B
o
E -
C: V)
m w
LL
LL 0
w
:2
7:
CLa
0
:3
z Z
E 0
2
in
<
0.1-w
E W
E m
-D
vmi
o
E
co
-0
z
S6
12 <
0
>
!E
o
0
co
0
a)
E
0
0
r=
c
E.
0
0
fr
CL
(D
w
Kt
0
I 0
d)
al
R

envirochem
SM
ANALYTICAL & CONSULTING CHEMISTS
Environmental Chemists, Inc.
6602 Windmill Way, Wilmington, NC 28405 • 910.392.0223 Lab • 910.392.4424 Fax
710 Bowsertown Road, Manteo, NC 27954 • 252.473.5702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax
info,a environmentalchemists.com
Pender County Utility Operations Date of Report: Jul 12, 2021
Post Office Box 995 Customer PO #:
Burgaw NC 28425 Customer ID: 08100095
Attention: Chris Pickett Report #: 2021-10936
Project ID: Maple Hill WWTF (Monitoring Wells)
Lab ID Sample ID: Collect Date/Time Matrix Sampled by
21-27210 Site: MW-1 7/3/2021 12:00 PM Water JCB/Envirochem
Test Method Results Date Analyzed
Color
Color
Depth to water, ft.
Depth to Water, Ft.
Ammonia Nitrogen
EPA 350.1, Rev.2.0, 1993
Gallons bailed before sampling
Gallons Bailed before sampling
Odor
Qualitative
Total Dissolved Solids (TDS)
SM 2540 C-2011
Temperature
SM 2550 B-2010
pH
SM 4500 H B-2011
Total Organic Carbon (TOC)
SM 5310 B-2011
Fecal Coliform
SM 9222 D-2006 MF
Chloride
SM4500 Cl E-2011
Nitrate Nitrogen (Calc)
Nitrite Nitrogen
EPA353.2
Nitrate+Nitrite-Nitrogen
EPA 353.2
Nitrate Nitrogen
Subtraction Method
Tan
07/03/2021
8.3 feet
07/03/2021
< 0.2 mg/L
07/08/2021
10 gallons
07/03/2021
None
07/03/2021
54 mg/L
07/06/2021
19.6 C
07/03/2021
4.3 units
07/03/2021
6.5 mg/L
07/06/2021
<1 Colonies/100mL
07/03/2021
19 mg/L
07/06/2021
< 0.02 mg/L
0.12 mg/L
0.12 mg/L
07/03/2021
07/07/2021
07/12/2021
Report #: 2021-10936 Page 1 of 5

envirochem
SN
ANALYTICAL & CONSULTING CHEMISTS
Pender County Utility Operations
Post Office Box 995
Burgaw NC 28425
Attention: Chris Pickett
Environmental Chemists, Inc.
6602 Windmill Way, Wilmington, NC 28405 • 910.392.0223 Lab • 910.392.4424 Fax
710 Bowsertown Road, Manteo, NC 27954 • 252.473.5702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax
info.a environmentalchemists.com
Date of Report: Jul 12, 2021
Customer PO #:
Customer ID: 08100095
Report #: 2021-10936
Project ID: Maple Hill WWTF (Monitoring Wells)
Lab ID Sample ID:
21-27211 Site: MW-2
Test
Collect Date/Time
7/3/2021 12:15 PM
Method
Matrix Sampled by
Water JCB/Envirochem
Results Date Analyzed
Color
Color
Tan
07/03/2021
Depth to water, ft.
Depth to Water, Ft.
8.2 feet
07/03/2021
Ammonia Nitrogen
EPA 350.1, Rev. 2.0, 1993
0.6 mg/L
07/08/2021
Gallons bailed before sampling
Gallons Bailed before sampling
10 gallons
07/03/2021
Odor
Qualitative
Sulfur
07/03/2021
Total Dissolved Solids (TDS)
SM 2540 C-2011
446 mg/L
07/06/2021
Temperature
SM 2550 B-2010
19A C
07/03/2021
pH
SM 4500 H B-2011
5.6 units
07/03/2021
Total Organic Carbon (TOC)
SM 5310 B-2011
41.9 mg/L
07/06/2021
Fecal Coliform
SM 9222 D-2006 MF
<1 Colonies/100mL
07/03/2021
Chloride
SM4500 CI E-2011
31 mg/L
07/06/2021
Nitrate Nitrogen (Calc)
Nitrite Nitrogen
EPA 353.2
< 0.02 mg/L
07/03/2021
Nitrate+Nitrite-Nitrogen
EPA 353.2
0.13 mg/L
07/07/2021
Nitrate Nitrogen
Subtraction Method
0.13 mg/L
07/12/2021
Report a 2021-10936 Page 2 of 5

-.-7
Environmental Chemists, Inc.
envirochem6602 Windmill Way, Wilmington, NC 28405 • 910.392.0223 Lab • 910.392.4424 Fax
SM 710 Bowsertown Road, Manteo, NC 27954 • 252.473.5702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax
ANALYTICAL & CONSULTING CHEMISTS info'a environmentalchemists.com
Pender County Utility Operations
Post Office Box 995
Burgaw NC 28425
Attention: Chris Pickett
Date of Report: Jul 12, 2021
Customer PO #:
Customer ID: 08100095
Report #: 2021-10936
Project ID: Maple Hill WWTF (Monitoring Wells)
Lab ID Sample ID:
Collect Date/Time Matrix Sampled by
21-27212 Site: MW-3
7/3/2021
12:30 PM Water JCB/Envirochem
Test
Method
Results Date
Analyzed
Color
Color
Tan
07/03/2021
Depth to water, ft.
Depth to water, Ft.
5.8 feet
07/03/2021
Ammonia Nitrogen
EPA 350.1, Rev. 2.0, 1993
< 0.2 mg/L
07/08/2021
Gallons bailed before sampling
Gallons Bailed before sampling
10 gallons
07/03/2021
Odor
Qualitative
Sulfur
07/03/2021
Total Dissolved Solids (TDS)
SM 2540 C-2011
281 mg/L
07/06/2021
Temperature
SM 2550 B-2010
17.9 C
07/03/2021
pH
SM 4500 H B-2011
6.2 units
07/03/2021
Total Organic Carbon (TOC)
SM 5310 B-2011
8.6 mg/L
07/06/2021
Fecal Coliform
SM 9222 D-2006 ME
<1 Colonies/100mL
07/03/2021
Chloride
SM4500 Cl E-2011
32 mg/L
07/06/2021
Nitrate Nitrogen (Cale)
Nitrite Nitrogen
EPA 353.2
< 0.02 mg/L
07/03/2021
Nitrate+Nitrite-Nitrogen
EPA 353.2
0.13 mg/L
07/07/2021
Nitrate Nitrogen
Subtraction Method
0.13 mg/L
07/12/2021
Report # 2021-10936 Pape 3 of 5

Environmental Chemists, Inc.
envirochem
6602 Windmill Way, Wilmington, NC 28405 • 910.392.0223 Lab • 910.392.4424 Fax
S4
710 Bowsertown Road, Manteo, NC 27954 • 252.473.5702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax
ANALYTICAL & CONSULTING CHEMISTS
info'a environmentalchemists.com
Pender County Utility Operations
Date of Report: Jul 12, 2021
Post Office Box 995
Customer PO #:
Burgaw NC 28425
Customer ID: 08100095
Attention: Chris Pickett
Report #: 2021-10936
Project ID: Maple Hill WWTF (Monitoring Wells)
Lab ID Sample ID:
Collect Date/Time Matrix Sampled by
21-27213 Site: MW-4
7/3/2021 12:45 PM Water JCB/Envirochem
Test
Method Results Date Analyzed
Color
Color Tan/Clear 07/03/2021
Depth to water, ft.
Depth to Water, Ft 6.9 feet 07/03/2021
Ammonia Nitrogen
EPA 350.1, Rev. 2.0, 1993 0.5 mg/L 07/08/2021
Gallons bailed before sampling
Gallons Bailed before sampling 10 gallons 07/03/2021
Odor
Qualitative Slight Sulfur 07/03/2021
Total Dissolved Solids (TDS)
SM 2W C-2011 378 mg/L 07/06/2021
Temperature
SM 2550 B-2010 17.4 C 07/03/2021
pH
SM 4500 H B-2011 6.0 units 07/03/2021
Total Organic Carbon (TOC)
SM 5310 B-2011 11.8 mg/L 07/06/2021
Fecal Coliform
SM 9222 D-2006 MF <1 Colonies/100mL 07/03/2021
Chloride
SM4500 Cl E-2011 29 mg/L 07/06/2021
Nitrate Nitrogen (Calc)
Nitrite Nitrogen
EPA 353.2 0.03 mg/L 07/03/2021
Nitrate+Nitrite-Nitrogen
EPA 353.2 0.14 mg/L 07/07/2021
Nitrate Nitrogen
subtraction Method 0.11 mg/L 07/12/2021
Report #. 2021-10936 Page 4 of 5

SM
ANALYTICAL & CONSULTING CHEMISTS
Pender County Utility Operations
Post Office Box 995
Burgaw NC 28425
Attention: Chris Pickett
Environmental Chemists, Inc.
6602 Windmill Way, Wilmington, NC 28405 . 910.392.0223 Lab . 910.392.4424 Fax
710 Bowsertown Road, Manteo, NC 27954 . 252.473.5702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 . 910.347.5843 Lab/Fax
[e-mail]
Date of Report: Jul 13, 2021
Customer PO #:
Customer ID: 08100095
Report #: 2021-10936
Project ID: Maple Hill WWTF (Monitoring Wells)
Lab ID Sample ID:
21-27214 Site: Effluent
Test
Collect Date/Time
7/3/2021 11 A0 AM
Method
Matrix Sampled by
Water JCB/Envirochem
Results Date Analyzed
Ammonia Nitrogen
EPA 350.1, Rev 20, 1993
2.2 mg/L
07/08/2021
Total Dissolved Solids (TDS)
SM 2540 C-2011
618 mg/L
07/06/2021
Temperature
SM 2550 B-2010
28.5 C
07/03/2021
pH
SM 4500 H B-2011
6.8 units
07/03/2021
Total Organic Carbon (TOC)
SM 5310 B-2011
17.4 mg/L
07/06/2021
Fecal Coliform
SM 9222 D-2006 MF
<1 Colonies/100ml-
07/03/2021
Chloride
SM4500 CI E-2011
62 mg/L
07/06/2021
Nitrate Nitrogen (Calc)
Nitrite Nitrogen
EPA 3532
5.35 mg/L
07/03/2021
Nitrate+Nitrite-Nitrogen
EPA 353.2
6 1. 9 mg/L
07/07/2021
Nitrate Nitrogen
Subtraction Method
56.6 mg/L
07/12/2021
Comment:
Reviewed by:
Reporl # 2021-10936 Page 5 of 5

Dite; 4-1511,
Pacifica Name; CertMication 4 94
Anahst:
pH Permit g .j
Refer. re Vevhadd
o- TI e Ca'B1.fr4r5 c es —J,-je T F, 0 5 u Chezk 5Lf7w-7 Su
......... .
C*-:!.,k- hff:7 Inz.
I PH uni:30,
S,-, b Ricca 200 H320 E,\, Ygon 7 s:i burftr Lor- Ricca 2003993 Es, 7 �R,=10-017Y1 72021
- _7 4"--
Ti. U". S u Co: -me 4s D=
b P--,tn.. 3:73', 5CS z rr-!,vh! Sa. -j
PH f 'It 5, c 1
C ';I su a,.j t_ C,
Total Residual Chlorine (j'RQ
iD1 C Tinnt: -----------
S-1
I T R C R t:
f `etCc—..— Da�l
A i
A n, a:,, z A,. r,-2 I
C ur m!!
jl�
a:;-" docunI.oj a rcaMtn!
Pf FrLparej!
D isso N-ed Oxygen (DO)
S,%: 'i, - " r 0 G,2j:
V 7- oNr Sjl,:a,-. I
T
Va:uc ma L Va:jt rrz L
t e Ild, rot, %Oieo jjerF)rajh-; ,I iorificatimi in,read of
mA L
iii 07 -3
or 0, S
I! h a .,O-t ( a,
Temperiture
L
Turt TiMe
/IQ. 46
IL.Ve lit ..w C,-
444. //V1
,1 5 t 3rj,t Ze An
a, te,. a.
Field Personnel N,)te;
Q

Environmental Chemist, Inc., Wilmington, NC Lab #94
6602 Windmill Way
Wilmington, NC 28405
910.392.0223
sample -Receipt -Checklist --
Client: i'�Mnf C (7S Date: Report Number: 2021-
�Q M� I k, - --7.1 �, 1 2-1 --
Receipt of sample:
ECHEM Pickup Client Delivery 0 ]
UPS ❑ FeclEx 0 Other 0
0 YES
0
--- NO
N/A 11 . Were custody seals present on the cooler?
0 YES
N/A 11 If custody seals were present, were they intact/unbroken?
2
Original temperature upon receipt C ------- I Cprrected temperature upon receipt QC
.How temperature taken:
11 Temperature Blank Against Bottles
IR Gun ID: Thomas Traceable S/N 192511657 IR Gun Correction Factor OC: 0.0
YES
10
NO 13.
If temperature of cooler exceeded 6°C, was Project Mgr./QA notified?
YES
10
NO
4. Were proper custody procedures (relinquished/received) followed?
YES
113
NO
S. were sample ID's listed on the COC?
YES
ID
NO
6. were samples ID's listed on sample containers?
YES
10
NO
7. Were collection date and time listed on the COC?
YES
10
NO
8. Were tests to be performed listed on the COC?
YES
10
NO
9. Did samples arrive in proper containers for each test?
YES
113
NO
10.-'Did samples arrive in good condition for each test?
YES
10
NO 11, Was adequate sample volume availableT
YES 113
NO 12, Were samples received within proper holding time for requested tests?
YES 113
NO 113. Were acid preserved samples received at a PH of <2?
13 YES 10
NO 114. Were cyanide samples received at a pH >12.7
P YES 11:1
NO 15. Were sulfide samples received at a PH >9?
YES
0
NO 16. Were NH3;7TKN/Phenol received at a chlorine residual of <0.5 m/L?
YES
0
NO 17. Were Sulfide/Cyanide received at a chlorine residual of <0.5 m/L?
0 YES 113
NO 18. Were orthophosphate samples filtered in the field within 15 minutes?
TOC/Volatiles are pH checked at time of analysis and recorded on the benchsheet.
Bacteria samples are checked for Chlorine at time of analysis and recorded on the benchsheet.
Sample Preservation: (Must be completed for any sample(s) incorrectly preserved or with headspace-)
Sample(s)
by adding (circle one):
Time of preservation:.
H2SO4
were received incorrectly preserved and were adjusted accordingly
HNO3 HCI NaOH
If more than one preservative is needed, notate in comments below
Note: Notify customer service immediately for incorrectly preserved samples. Obtain a new sample or
notify the state lab if directed to analyzed by the customer. Who was notified, date and time: I
Samp
COMMENTS:
were received with headspace
DOC. QA.002 Rev 1

in
E
0
z C)
L:
0) E 0
0
r -I--
9 E
cli
im
(6
vj
0
l
az 0
C?
a)
0
L.L
ro
j2
11
0 LL
w 0
0
U)
co
z
1�
0
z
w
Z
NaHlo
CL
0
V)
01H.L
LU 0 u
Z
con
z
HOVN
N
>
w
UJ
CONH
z
U)
Uj
trOSZH
x
0
0
0
CL
-13H
0
c
U-
1�-
0
S
-
RNON
x
ME t�
w
It
D
g w M
jL w
wt
LU0
L)
uaswnN
-
-j
LL
0
1
Ix
(D
01 HV'l
0
116W
bC
f:ZN
.J zU
CL
z
>.
JO d)
(E)lnuoo
CL
a.
a.
z
ui
Joum
Z 0
a.
o
z
z
UJ
jo
C)
C)
0
0
U
(D
C-)
0
0
0
U
c)
allsodui0o
ir
W
ul
H
Z
I
ow
u
J
o
z
R
m
adA
Ct
o
w
IL
0
L)
w
MI
0
ldweS
9
6
z
w
>
z z
wO
FMT
C
0 .
0
ad
V
CL
in
M
z
w
ix
CL
C:
E
0
cn
CL
0
m
O
4)
E
E
a
z
X
r
im
Q.
o
E
a)

N
spy
M 4 E
cm 0
cn
'?
c U)
o CD E
c
—
Lu
f'-
0 c
m
0
al
w
W
:3
c1q
0
M
E
Id
cn
w
z
'o
..
0
- E
N
(n
I
Of
C6
0
w
a
-.1
0)
0
E
U)
RJ
0 LL
w 0
0
w
z
AS
0
0
z
5
Z
—
.—
2
—
s3HIO
0.
0
m
to
UJ
0
(L
X
CL
E
4)
if
z
ojHj
U
z9�
HOVN
CONN
CY
M
It
W
&% *
U) z
fm
c
w
ui
VOSZH
—
x
0
6m p
>-
r-
01
r-
w
IL
-ION
a
U)
a
0—L
:1e
c
0
3NON
x
L0
2
uj
It
Ir
III
jL
w
LU
*X
)j3swnN
LL
0
ai QV'I
0
3:
Z
If
-116W
z
L)
CL
w
Z
U)
I.- >-
(o JO
a.
C7
m
0
cL
0
0_
z
e
w
o
Z
z
LUU
O
z
z
0
2
qejg
—W
Jo
I
2 i=
Ir
w
w
<
I'-
apsodwoo
III
_j
0
Z
0
M
>(L-
adA.L
w
0
w
0
aidLueS
(1Z
z z
'I*-
ui
0
—I--
m
z
CA o
cr �z
IM
CL
>
4)
E
m
Q
a)
t1t
`a
E
0
0
o
ol
4)
0 U)
a.
V
a)
j
3:
m
I;:
< z
w
0:
O�
W
Z
LLI
:3
13 in
E
t
Cl
0
0
'a)
Ru I
m
CL
0

AcId E
V4 0
m L!
C?
U
CA
w
CN
0
L.
w
0
E, LL
0
cjJIx
C4 4a
C)
C? E U)
Of C 1
M 11
0
0
z
'ffi
u
t3l.
0
C? E
>
a)
LL
iv
z
0
F-
C4 U.
= 0 LL 6 -- 0
to
z
U.
w ::
0 z z
HgRio
T-
w o X E 11
12
Z
co
01141
X
a. IL w
z
HOVN
>
CONH
ti
Im
z 3'-
w
tOSZH
x
0
0
a
CL
-13H
o c
0
BNON
sm W, n ul
uj uaaewnN
o U.
0
U) z c
E
71
3: dt -
GUP0143
CL IL
cl
Z
(9 JO d)
CL
m
CL
o-
CL
(L (L
n z cr
,au
UJ g z z 0 2
qi?jE)
I- I.- <
V)
jo
()
(9
0
0
L)
ZL—L
Oa w
8]4sodtuo:)
UJ
ZLU _j n
IL) _j 0 Z (L
GdAj.
0 w 0 w 0
oldweS
z
CL
In
> w
E
z zF
zi
LLJ
.2
fn
on
E
E
0
0
L:
i-i
1,j
kAo
C
CL
U)
ui
CL
m
z
w
CL
E
E
m
OL
CLI
"0
0

In
C, le
04
st
sCDv 4 E
C'4 0
Ch
----- -----
9 E
c
>
r uj a
3: u
rq X
cz LL.
to 0
ID
6
z
I--
L-
ow
6 M
Z
--
CL
z 0
w
0 X
E
ml
a. a.
4)
C.)
z
sum
U)Z
E-
lms. 9
a 0 -i
U)
>.
a
0
c
M. LL
w
1._
ca
M
0
2
CL
W 0
co)
i
(.)
0LL
0
z
X
U
At
aYs
0.
Z ro-
uj
z
2
z
z
w
W
OF
z W
C,
_j
_j
0
*n
0
z
0
I 'o
do
U
COL
>w
a
zU
z
LU
rn
cn
75
0
0
m
IL
w
z
ul
U
KC
71"
(D
Lli
cn
N
E
to
ILI
0
cli
0
z
LL
12
H3"10
OIHI
z
�mwm
mmmm
mma
IN
ME
mmm
WE
WIN
IN
ME
ME
10E
OEM
OEM
ct v
E y.
E
if
c
0
co
m
0
z
ca

L
w
0
E
0
0
Cli
E
w
0
Co
JOR
M
w
z
C:
0:
Ci
Co
C6
C)
z
z
(D
0
LL
io
z
0
0
crs
Z
OIHI
U)
HOVN
CONH
w
VOSER
0:
1 L
.5
:3
BNON
iC
m
II
.r
m3awnN
ai av-1
E
kn
7
—
OUP0143
to
LLI
IL
>-
F-
(9 JO d)
(L
0
CL
(9
a-
C)
CL
(D
EL
C)
(L
0
Ul.
Jaule4uoo
CL
qL-jq
jo
allsodwoo
0
0
L)
(D
U
(D
C)
(D
0
(D
0
(D
(D
adAl
oldweS
OL
E
.0
•
0
4) Lia
E
rf
.2
0
P
E
2�
.0
L:
a)
.(D
0
tt:�
0
C)
Cm
C.
0
e I.lp

Monitoring Report Submittal
............................................................................................................................................
Permit Number #* WQ0035049
Name of Facility:* Maple Hill WWTP
Month:* July Year:* 2021
Report Information
Type* Upload Document*
Revised - GW-59 July2021_GroundwaterRepo... 4.1 MB
FDF Only
Revised - NDMR, NDAR-1, NDAR-2, July2021_NDMR_NDAR1_re... 7.42MB
NDML R FDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
Confirmation Email Address:* [e-mail]
Name of Submitter:* Kenny Keel
Signature:
Date of submittal: 9/13/2021
This will be filled in automatically
Initial Review

Reviewer:
Giri, Poonam a
Is the project number correct?*
WQ0035049
Is the monitoring report
Yes r No
accepted?*
Regional Office*
Wilmington
Accepted Date: 9/14/2021