HomeMy WebLinkAboutWQ0023634_Monitoring - 12-2021_20220131 (2)DWR - NonDischarge Monitoring Report Submittal
NORTH CAROLINA
Environmental Qualify
Monitoring Report Submittal
Permit Number#*
Name of Facility: *
Month:* December
Report Information
WQ0023634
Waterside Villages WWTP
Year:* 2021
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR
Confirmation Email Address: *
Name of Submitter: *
Signature:
Waterside Villages DMR_01312022... 790.08KB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
rod.holley@currituckcountync.gov
Rod Holley
Date of submittal: 1 /31 /2022
This will be filled in automatically
Initial Review
Reviewer: Gerald, Wanda
Is the project number correct?*
WQ0023634
Is the monitoring report accepted?* Yes No
Regional Office* Washington
Accepted Date: 3/21/2022
GW-59A COMPLIANCE REPORT FORM Permit # IA Q 00 Z 3 3 `-I
(Submit cure each monitoring period with GW-59 forams.)
}
Ernte- date monitoring results were due. ( / /3, /ZZ) Will this monitoring report (GW-59 and GW-59A)
YES
NO
`4
be submitted after the established due cate?
2
Was any required information missing on the GW-59 report forms?
YES
F the answer to question 1 cr 2 is "YES", last in the space provided below the well dentification number(s) and
explai7 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
inent£cation plate, area overgrown. etc.)? If the answer is "Yes-, contact the Regional Office for guidance.
YES
',
4
Are any monitored constituents equal tc or above the established standards?
YES
NO
i 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 constluent(s) and concentration's)
exceeding standards in the space provided below:
5
For the constituents identified it question 4 above, have standards been exceeded previously for the
same constituent(s) in the same well(s) n the last two years?
YES
NO
If the answer to question 5 is "VO , skip ro section 8.
'f 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 may be occurring. CONTACT THE REGIONAL
CFFICE IMMEDIATELY FOR GUIDANCE. If the answer is "NO", monitoring wells may be improperly
Located; contact the Regional Office.
'
Is the permittee implementing previously approved actions required by the Division involving this
groundwater quality problem?
YES
NO
e the answer to question 7 is `YES", describe those actions in the space provided below.
If the answer to question 7 is "ND", contact the Regional Office within 90 days; an evaluation may be
regutred to determine the impact the waste disposal system is having at the review and compliance
t unciaries surrounding this facility. Failure to do so may subject the permittee to a Notice of Violation,
fines. and/or penalties.
8
7 e person completing this port?on (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 nereby acknowledge that the above information was evaluated and the information submitted in this
report (Compliance Report GW-59A) is t-ue and complete to the best of my knowledge.
Signature of Permittee (or Iguthorized Agent) Date
GW-59A 12/8/2003
SUBMIT FORM ON YELLOW PAPER ONLY
Mail Original DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING: DIVISION OF WATER QUALITY INFORMATION PROCESSING UNIT
and 1: copy to
COMPLIANCE REPORT FORM 1617276991617 Phone: (919) 733-3221 , =:
,MAIL SERVICE CENTER, RALEIGH, NC
I ACILI I Y INI ORMAI ION Please Print ('.ready or Type
PERMIT Number: W00023034 Expiration Date: 2/28/23
Facility Name. Waterside Villages WWFP
Nun-Dlscllarye UIC
Permit Name (if different):
Facility Address: 100 Pirate Quay
NPDES Other
TYPE OF PERMITTED OPERATION BEING MONITORED
Grandy NC (streat) NC 27939 CountyCurrituck
■Lagoon • Remediation: Infiltration Gallery
jOity} (siutel (,-iir)
Contact Person: Rod Holley Telephone#: 252-232-6065
• Spray Field • Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Waterside Villages No. of wells to be sampled: 4
• Water Source Heat Pump 0 Other: Infiltration
(from Permit)
SAMPLING INFORMATION
FIELD ANALYSES:
pH 00400: 6.9 units Temp. 00010: 18.4 °C
If WELL
WAS
DRY at
time of
sampling,
check
WELL ID NUMBER (from Permit): MW10 Date sample collected: 12/6/21
Well Depth: 16 ft. Well Diameter: 3 in.
to 17
Depth to Water Level 82646:12 1 ft. below measuring point Screened Interval: 12 ft.
ft. Spec. Cond. 00094. ItMhos
Measuring Point is 2 ft. above land surface Relative M.P. Elevation:
ft. Odor 00085: None
Volume of water pumped/bailed before sampling: 4.0 gallons
Appearance Rust
here:
Samples for metals were collected unfiltered: tI YES ❑ NO and field acidified: • YES
• NO
LABORATORY INFORMATION
Certification No. 94
Date sample analyzed: 12/6/21 Laboratory Name: Enviro Chem
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 04335 mg/L Nitrite (NO2) as N 00615 <0.02
mg/L Pb - Lead o1os1 uglL
Coliform: MF Fecal 31616 <1 /100mL Nitrate (NO3) as N noszo 0.03
mg/L Zn - Zinc 01092 mg/L
Conform: MF Total 31504 /100mL Phosphorus: Total as P o0665 0.16
mg/L
Other (Specify Compounds and Concentration Units):
(Note: Use MPN method for highly turbid samples) Orthophosphate 70507
mg/L
Dissolved Solids:Total 743v0 183 mg/L Al - Aluminum a1105
mg/L
pH (Lab) 00403 6.9 units Ba - Barium 01007
ug/L
TOC 00680 8.3 mg/L Ca - Calcium yogis
mg/L
Chloride 00940 15 mg/L Cd - Cadmium 01027
ug/L
Arsenic o14o2 ug/L Chromium: Total 01034
ug/L
Grease and Oils 00552 mg/L Cu - Copper 01042
mg/L
ug/L
ORGANICS: (by GC, GC/MS, HPLC)
(Specify test and method #. ATTACH LAB REPORT.)
Phenol 32730 ug/L Fe - Iron o1a45
Sulfate 00945 mg/L Hg - Mercury 71900
ug/L
Lab Report Attached? • Yes (1) ❑ No (0)
VOC 78732: , method #
Specific Conductance mom i.IMhos K - Potassium 00937
mg/L
Total Ammonia o0610 0.7 mg/L Mg - Magnesium 00927
mg/L , method #
(Ammonia Nitrogen: NH3as N: Ammonia Nitrogen, Total) Mn -Manganese 01055
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 VOCe:
mg/L VOC Removal%
I.certify that, to the best of my knowledge and belief, Ilia information submitted m this r.epotl is true accurate, and complete, and Shot the laboratory arralyhi ai data was produced using approved methods of analysis by a
DUN codified laboratory. I am aware that lhoro aro significant ponaltlos tar submitting false information, including the possibility of lines and imprisonment for.linowing violations.
Rod Holley
Permittee (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev. 2/2010
Auth
1/28/22
Signature of Permiltee (or 'zed Agent)
(Date)
SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
Mail original
and 1 copy to
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
DIVISION OF WATER QUALITY INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER, RALEIGH NC 27699 1617. Phone`:(919) 733-3221
FACILITY INFORMATION Hoes& Prlrrf
CIRarly or Typ
PERMIT
Non
NPDES
TYPE
Number. WQ0023634
-Discharge
Expiiatiuli Date. 2/28/23
Facility Name: Waterside Villages WWTP
UIC
Permit Name (if different):
Facility Address: 100 Pirate Quay
Other
BEING MONITORED
OF PERMITTED OPERATION
Grandy NC Istreen NC 27939 County Currituck
• Lagoon
• Spray pray Field
❑ Rotary Distributor
• Water Source Heat Pump
• Remediation: Infiltration Gallery
❑Remediation:
(City) (State) {Zip)
Contact Person: Rod Holley
Telephone#: 252-232-6065
• Land Application of Sludge
❑ Other: Infiltration
Well Location/Site Name: Waterside Villages
No. of wells to be sampled: 4
{from Permit)
SAMPLING INFORMATION
Date sample collected: 12/6/21
ft.
FIELD ANALYSES:
pH 00400: 7.0 units
Temp. 00o10: 18.6 °C
If WELL
WAS
DRY at
time of
sampling,
check
WELL ID NUMBER (from Permit): MW11
Well Depth: 16 ft. Well Diameter: 3 in.
17
Depth to Water Level 82540:11.3 ft. below measuring point Screened Interval: 12 ft. to
Spec. Cond. 00094.
1.tMho9
Measuring Point is 2 ft. above land surface
Relative M.P. Elevation: ft.
Odor 00085: None
Volume of water pumped/bailed before sampling: 4.5
gallons
Appearance Clear
here. ■
Samples for metals were collected unfiltered: ® YES
D NO and field acidified: ❑ YES ❑ NO
LABORATORY INFORMATION
Laboratory Name: Enviro Chem
Certification No. 94
Date sample analyzed: 12/6/21
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L Nitrite (NO2) as N 00615 <0.02
mg/L
mg/L
mg/L
mg/L
mg/L
ug/L
mg/L
ug/L
ugfL
moll
uglL
uglL
mglL
mglL
ug/L
ug/L
Pb - Lead 01os1
uglL
Coliform: MF Fecal 31616 <1 /100mL
Nitrate (NO3) as N 00620 0.45
Zn - Zinc at092
mg/L
Coliform: MF Total 31504 /100mL
Phosphorus: Total as P 00665 0.06
Other (Specify Compounds and Concentration Units):
(Note: Use MPN method for highly turbid samples)
Dissolved Solids:Total 70300 310 mg/L
Orthophosphate 70507
Al - Aluminum 01105
pH (Lab) 00403 7.0 units
Ba - Barium 01007
TOC cow 2.6 mg/L
Ca - Calcium 00916
Chloride 00940 83 mg/L
Cd - Cadmium 01027
Arsenic 01002 ug/L
Chromium: Total 01034
Grease and (Oils 00552 molt
Cu - Copper 01042
ORGANICS: (by GC, GC/MS,
(Specify test and method
Lab Report Attached?
VOC 78732:
HP( C)
#. ATTACH LAB REPORT.)
Phenol 3273a uglL
Fe - Iron 01045
Sulfate 00945 mg/L
Hg - Mercury 71900
• Yes (1) • No (0)
, method #
Specific Conductance 00095 µMhos
K - Potassium 00937
Total Ammonia costa <0.2 mg/L
Mg - Magnesium 00927
, method #
(Ammonia Nitrogen: NH3as N: Ammonia Nitrogen, Total)
TKN as N 00625 mg/L
Mn -Manganese 01055
,method #
Ni - Nickel 01067
, method #
for Remediation Systems Only (Attach Lab Reports):
Influent Total VOCa•
mg/L
rffltient Total VOC,a:
mg/I. VOC Removal%
I cortify that, to thn but of my knowledgo and bailor, !ha information subrnitiod in thi! roport ir, trim, accurate, and complain, and Mat tho laboratory analytical data waw pruducpd ueing approved methods of an alyefs by
DWG) certified laboratory, l am aware that there are significant penalties for submitting false information, Including the possibility of fines and imprisonment for knowing violations.'
Rod Holley
Permiltee (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev. 2/2010
et.
Signature of Pennittee (or Authorize Agent)
0
1/28/22
(Date)
SUBMIT FORM ON YELLOW PAPER ONLY
Mail original
GROUNDWATER QUALITY MONITORING: ar'Id 4;copy to
COMPLIANCE REPORT FORM
DFPARTMFNT OF F.NVIRCINMFNT& NATURAL RFSOURCES
DIVISION OF WATERQUALITY INFORMATION PROCESSING UNIT:,
1617 MAIL SERVICE CENTER RALEIGH NC 27699-1617�' Phone: (919) 733-3221
FACILITY INFORMATION Flua+r.F'rrrrfCkaailvorType.
PERMIT Number: WQ0023631 Exptlabort Date. 2128/23
Facility Name: Waterside Villages WWTP
Non -Discharge UIC
Permit Name (if different):
NPDES Other
TYPE OF PERMITTED OPERATION BEING MONITORED
Facility Address: 100 Pirate Quay
Grandy NC (Street) NC 27939 County Currituck
■ Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Field • Remediation:
(cm tsldle) (70
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: 4
• Water Source Heat Pump D Other: Infiltration(from
Permit)
SAMPLING INFORMATION
FIELD ANALYSES:
pH 00400: 6.6 units Temp. 00010: 18.2 °C
If WELL
WAS
DRY at
Limo of
sampling,
check
here:
WELL ID NUMBER (from Permit): MW12 Date sample collected: 12/6/21
Well Depth: 16 ft. Well Diameter: 3 in.
le 17
Depth to Water Level 02546.10.8 ft. below INULiburirig poirit Screened Inter vol. 12 ft.
Il. Speo. Cond. 00094. (Mhos
Measuring Point is 2 ft. above land surface Relative M.P. Elevation:
ft. Odor 0oo85: None
Volume of water pumped/bailed before sampling: 4.0 gallons
Appearance Clear
Samples for metals were collected unfiltered: ® YES ❑ NO and field acidified: 0 YES
• NO
LABORATORY INFORMATION
Certification No. 94
Date sample analyzed: 12/6/21 Laboratory Name: Enviro Chem
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L Nitrite (NO2) as N 00615 <0.02
mg/L Pb - Lead elos1 uglL
Coliform: MF Fecal 31616 <1 /100mL Nitrate (NO3) as N Dom 0.41
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504 /100mL Phosphorus: Total as P 00665 0.18
mg/L
Other (Specify Compounds and Concentration Units):
(Note: Use MPN method for highly turbid samples) Orthophosphate 70507
mg/L
Dissolved Solids:Total 70300 106 mg/L Al - Aluminum 01105
mg/L
pH (Lab) 00403 6.6 units Ba - Barium 01007
ug/L
TOC 00650 4.4 mg/L Ca - Calcium 00916
mg/L
Chloride 00940 11 mg/L Cd - Cadmium 01027
ug/L
Arsenic 01002 uglL Chromium: Total 01034
uglL
Grease and Oils 00552 mg/L Cu - Copper 01042
mg/L
ORGANICS: (by GC, GC/MS, HPLC)
(Specify test and method #. ATTACH LAB REPORT.)
Lab Report Attached? 0 Yes (1) ❑ No (0)
VOC 78732: , method #
Phenol 3273o ug!L Fe - Iron o1045
ug/L
Sulfate 00945 mg/L Hg - Mercury 71900
ug!L
Specific Conductance 00095 µMhos K - Potassium 00937
mg/L
Total Ammonia o0610 <0.2 mg/L Mg - Magnesium 00927
mg/L , method #
(Aminoriia Nitrogen, NH3as N, Ammonia Nitrogen, Total) Mn - Manganese 01055
ug1L , method #
TKN as N 00625 mg/L Ni - Nickel 01067
ug1L , method #
For Remediation Systems Only (Attach Lab Reports):
Influent Total VOCs:
mg/I.
Effluent Total VOCs:
mg/L VOC Removal%
r r f molten ti to in t� t ru tt is hut), a ccuiar and co ti tutu aitt3 that the 1 buratoi :analytical data ward roduced.ut.in approved rnetliad>'uf.dnal ik by'a
I;tiortdy llrai;'au tiro btrgt c f my legtwlcrd,in .ntcl t alurT,lltu lii ul &ubrt l d t t pU t . <� ... U I ... ! N < ... Y I? 41 uP.,.,, `1�
DWQ-certified laboratory. I am ayraro that ltiore are slgniflcant penalties for submitting false Inrormotion, Including the possibility of fines and imprisonment for knowing violaltonar
Rod Holley
Permittee (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev. 2/2010
Signature of Permittee (or Author i d Agent)
1/28/22
(Date)
SUBMIT FORM ON YELLOW PAPER ONLY
Mail original
GROUNDWATER QUALITY MONITORING: and 1 copy to
COMPLIANCE REPORT FORM
DEPARTMENT. OF ENVIRONMENT'8. NATURAL RESOURCES
DIVISION OF WATER QUALITY INFORMATION PROCESSING UNIT
1617MAIL SERVICE CENTER, RALEIGH, NC 27699 1617. Phone:(919) 733;3221
FACILITY INFORMATION Pipast, Rini e•1r.Twly w Type
PERMIT Number: W00023034 Expiration Dale: 2/28/23
racility Name: Watersido Villago€ WWTP
Non Discharge UIC
Permit Name (if different):
NPDES Other
_
Facility Address: 100 Pirate Quay
TYPE OF PERMITTED OPERATION BEING MONITORED
Grandy NC (Sheet) NC 27939 County Currituck
■ Lagoon • Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
(Lily) `slag) PP)
Contact Person: Rod Holley Telephone#: 252-232-6065
❑ Rotary Distributor • Land Application of Sludge
• Water Source Heat Pump 0 Other: Infiltration
Well Location/Site Name: Waterside Villages No. of wells to be sampled: 4
{from Permit)
SAMPLING INFORMATION
FIELD ANALYSES:
pH 00400: 7.0 units Temp. 00o10: 19.7 °C
If WELL
WAS
DRY at
timo of
sampling,
check
WELL ID NUMBER (from Permit): MW13 Date sample collected: 12/6/21
Well Depth: 16 ft. Well Diameter: 3 in.
Depth to Water Level 82546:10.0 ft. below measuring point Screened Interval 12 ft. to 17 ft. Spec. Cond. 00094: µ Mhos
Measuring Point is 2 ft. above land surface Relative M.P. Elevation: ft. Odor 00085: None
Volume of water pumped/bailed before sampling: 4.5 gallons Appearance Clear
here:
Samples for metals were collected unfiltered: M YES ❑ NO and field acidified: ❑ YES ❑ NO
LABORATORY INFORMATION
Certification No. 94
Date sample analyzed: 12/6/21 Laboratory Name: Enviro Chem
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 00s20 1.77 mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504 /100mL Phosphorus: Total as P 00665 <0.04 mg/L
Other (Specify Compounds and Concentration Units):
(Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L
Dissolved Solids:Total 70300 103 mg/L Al - Aluminum 01105 mg/L
pH (Lab) 00403 7.0 units Ba - Barium 01007 ug/L
TOC 006s0 1.1 mg/L Ca - Calcium 00910 mg/L
Chloride 00940 5 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/I.
. ORGANICS: (by GC, GC/MS, HPLC)
(Specify test and method #. ATTACH LAB REPORT.)
Phenol 32730 ug1L Fe - Iron 01045 ug/L
Sulfate 00945 mg/L Hg - Mercury 71900 ug/L
Lab Report Attached? ❑ Yes (1) • No (0)
VOC 78732: , method #
Specific Conductance moss [Mhos K - Potassium 00937 mg/L
Total Ammonia 0os10 <0.2 mg/L Mg - Magnesium 00927 mg/L , method #
(Ammonia Nitrogen; NH3as N; Ammonia Nitrogen, Total) Mn - Manganese 01055 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 Effluent Total VOCs:
mg/L VOC Removal%
I codify that, to tho bust of my knowledge and belief, the information subntittod in this report is true, accurate, and coniplolo, and that the laboratory analytical data was produced using approved methods of analysis by a
DWc1-certified laboratory. I am award that there aro significant penalties for submitting false information, irioluding the possibility of fines and imprisonment for I nowing violations.
Rod Holley
Permittee (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev. 2/2010
ell
Signature of Permitlee (or Auth/zed Agent)
1/28/22
(Date)
SUBMIT FORM ON YELLOW PAPER ONLY
Mail original
GROUNDWATER QUALITY MONITORING: -and 1 copy to
COMPLIANCE REPORT FORM
DFPARTMFNTOF ENVIRONMENT & NATURAL. RESOURCES
DIVISION OF WATER QUALITY INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER,RALEIGH, NC 27699 1617 Phone: (919).723.3221
FACILITY INFORMATION Proatv Print Coady su Typt,
PERMIT Number. WQ0023634 Expiration Date. 2/28/23
Fac:lllty Name: Waterside Villages WWTP
Non-Dlscharge UIC
Permit Name (if different):
NPDES Other
Facility Address: 100 Pirate Quay
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray field El Remediation:
Grandy NC (sines) NC 27939 County Currituck
(City) (Slate) (Zip)
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: 4
• Water Source Heat Pump 0 Other: Inf itration
(from Permit)
SAMPLING INFORMATION
FIELD ANALYSES:
pH 00400: 6.5 units Temp. 00010: 18.4 °C
If WELL
WAS
DRY at
time of
sampling,
check
WELL ID NUMBER (from Permit): MW14 Date sample collected: 12/6/21
Well Depth: 16 ft. Well Diameter: 3 in.
to 17
De tll lU Water Level 82546.10.3 R. below me ieurin 12 ft.
u y point Suruuriud Interval.
R. Spou. Cond. 00094. [Mhos
Measuring Point is 2 ft. above land surface Relative M.P. Elevation:
ft, Odor 00085: None
Volume of water pumped/bailed before sampling: 4.5 gallons
Appearance Clear
here:
Samples for metals were collected unfiltered: 0 YES 0 NO and field acidified: ■ YES
• NO
LABORATORY INFORMATION
Certification No. 94
Date sample analyzed: 12/6/21 Laboratory Name: Enviro Chem
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 0.04
mg/L Zn - Zinc o1os2 mg/L
Coliform: MF Total 31504 /100mL Phosphorus: Total as P 00665 0.20
mg/L
Other (Specify Compounds and Concentration Units):
(Note: Use MPN method for highly turbid samples) Orthophosphate 70507
mg/L
Dissolved Solids:Total 70300 256 mg/L Al - Aluminum o1105
mg/L
pH (Lab) 00403 6.5 units Ba - Barium 01007
TOC 00680 2.3 mg/L Ca - Calcium 00916
ug/L
mg/L
Chloride 00940 26 mg/L Cd - Cadmium 01027
ug/L
Arseriic 01002 uylL CIitulniuin. Total 61034
ug1L
Grease and Oils 00562 mglL Cu - Copper o1042
mg/1
- ORGANICS: (by GC, GC/MS, HPL.C)
(Specify test and method #. ATTACH LAB REPORT.)
Phenol 32730 uglL Fe - Iron 01045
ug1L
Sulfate 00945 mg/L Hg - Mercury 71900
ug/L
Lab Report Attached? 0 Yes (1) • No (0)
VOC 78732: . method #
'Specific Conductance 00095 iuMhos K - Potassium 00937
mg/L
Total Ammonia o0s10 0.2 mg/L Mg - Magnesium 00927
mg/L , method #
(Ammonia Nitrogen; NH1as N; Ammonia Nitrogen, Total) Mn - Manganese 01055
ug!L , method #
TKN as N 00625 mg/L Ni - Nickel 01067
ug/L , method #
For Retnediallon Systems Only (Attach 1 ab Reports)•
influent Total VOfg•
mg/1
Effluent Total V005-
m f1/t VOC Removal%
'certify/that, to the boat of myknowlndgo and holiof, tho information submitlod in this roport fr true, aoeurato,.and complete, and That tho.laboratory anolytionl'dnta was prodcseod;tieing approved methods of anolyaio by a
L)WQ-certified laboratory I am aware that there are significant penallies for submitting false information, including the possibility of fines: and imprisonment for knowing violations.
Rod Holley
Permittee (or Authorized Agent) Name and Title . Please print or type
GW-59 Rev. 2/2010
1/28/22
Signature of Permittee (or Authorizgli Agent)
(Date)