WQ0002571_Monitoring - 03-2022_20220509

GW-59A COMPLIANCE REPORT FORM Permit#a/ 2,9 Op25"/
(Submit one each monitoring period with GW-59 forms.)
j Enter date monitoring results were due.(/40 a 2- ) 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 1�Q
IF the answer to question 1 or 2 is"YES',list in the space provided below the well identification number(s)and J�
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. ®A
4 Are any monitored constituents equal to or above the established standards? YES SiQ,
If the answer to question 4 is "NO", skip to section 8. x
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 may be 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.
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8 The person completing this portion(GW. A)of the monitoring report should sign below and submit this
form with GW-59 forms for required welly"fb 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.
OhxA 6t - ,79 4,2 .2,1-
Signature of Permittee(or Authorized Agent) Date
GW-59A 12/8/2003

SUBMIT FORM ON YELLOW PAPER ONLY
Mail original aEPARTMENT OF ENVIRONMENT&NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING: and 1 copy to •IVISION 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: Expiration Date: 30 Sep 24
Facility Name: Village Oaks MHP Non-Discharge WQ0002571 UIC
Permit Name(if different): NPDES Other
Facility Address: 164 Harris Creek Rd. TYPE OF PERMITTED OPERATION BEING MONITORED
Jacksonville NC 28540 County Onslow © Lagoon ❑Remediation: Infiltration Gallery
City) (state) ® Spray Field ❑Remediation:
Contact Person: Allen W. Rhue Telephone#: [phone] ❑ Rotary Distributor ❑Land Application of Sludge
Well Location/Site Name: Backside of lagoon No.of wells to be sampled: 3 ❑ Water Source Heat Pump ❑Other:
(from Permit)
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): MW- 1 Date sample collected: 30 Mar 22 FIELD ANALYSES: WAS
Well Depth: 13ft. Well Diameter: 2 in. pH 6.72 units Temp. 15.8 °C DRY at
Depth to Water Level: 6' 10":ft. below measuring point Screened Interval: 8ft. to 13ft. Spec. Cond. µMhos time of
sampling,
Measuring Point is 1.83 ft.above land surface Relative M.P. Elevation: ft. Odor N/A check
Volume of water pumped/bailed before sampling: 5gallons Appearance Clear here:
Samples for metals were collected unfiltered: OYES ❑ NO and field acidified: ❑YES ❑NO
LABORATORY INFORMATION 94
Date sample analyzed: 30 Mar- 13 Apr 22 Laboratory Name: Envirochem Certification No.
PARAMETERS NOTE:Values should reflect dissolved and colloidal concentrations.
COD mg/I Nitrite(NO2)as N mg/I Pb-Lead mg/I
Coliform: MF Fecal <1 /100m1 Nitrate(NO3)as N 0.03 mg/I Zn-Zinc mg/I
Coliform: MF Total /100m1 Phosphorus:Total as P 0.47 mg/I
(Note: Use MPN method for highly turbid samples) Orthophosphate mg/I Other(Specify Compounds and Concentration Units):
Dissolved Solids:Total 464 mg/I Al-Aluminum mg/I
pH(when analyzed) units Ba-Barium mg/I DJ
TOC 3.0 mg/I Ca-Calcium mg/I
Chloride 34 mg/I Cd-Cadmium mg/I
Arsenic mg/I Chromium:Total mg/I
Grease and Oils mg/I Cu-Copper mg/I ORGANICS:(by GC,GC/MS, HPLC)
Phenol mg/I Fe-Iron mg/I (Specify test and method#.ATTACH LAB REPORT.)
Sulfate mg/I Hg-Mercury mg/I Report Attached? ❑ Yes(1) ❑ No(0)
Specific Conductance µMhos K-Potassium mg/I VOC __ , method#
Total Ammonia <0.2 mg/I Mg-Magnesium mg/I ,method#
(Ammonia Nitrogen;NH3as N;Ammonia Nitrogen,Total) Mn-Manganese mg/I method#
TKN as N mg/I Ni-Nickel mg/I ,method#
For Remediation Systems Only(Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
I certify that,to the best of my knowledge and belief,the information submitted in this report is true,accurate,and complete,and that the laboratory analytical data was produced using approved methods of analysis by a
DWQ-certified laborator . I am aware that there are sir nificant penalties for submittin false information,includin.the ossibilit of fines and in ..risonment for knowin.violations.BOBBY WILLIAMS and IRIS WILLIAMS/OWNER W.1%lLe0/4- o9 4fi2 0402
Permittee(or Authorized Agent)Name and Title-Please print or type Signature of Permittee(or Authorized Agent) 'Date)
GW-59 Rev. 1/2007

SUBMIT FORM ON YELLOW PAPER ONLY
Mail original DEPARTMENT OF ENVIRONMENT&NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING: and 1 copy to 'IVISION OF WATER QUALITY-INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM 617 MAIL SERVICE CENTER,RALEIGH,NC 27699-1617 Phone:[phone]
FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date: 30 Sep 24
Facility Name: Village Oaks MHP Non-Discharge WQ0002571 UIC
Permit Name(if different): NPDES Other
Facility Address: 164 Harris Creek Rd. TYPE OF PERMITTED OPERATION BEING MONITORED
Jacksonville Stfec' NC 28540 County Onslow © Lagoon ❑Remediation: Infiltration Gallery
f:ty) rs,:.;,.,
® Spray Field CI Remediation:
Contact Person: Allen W. Rhue Telephone#: [phone] ❑ Rotary Distributor ❑Land Application of Sludge
Well Location/Site Name: Southside of Sprayfield No.of wells to be sampled: 3 ❑ Water Source Heat Pump ❑Other:
(from Permit)
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): MW-3 Date sample collected: 30 Mar 22 FIELD ANALYSES: WAS
Well Depth: 27ft. Well Diameter: 2 in. pH 6.26 units Temp. 15.6 °C DRY at
Depth to Water Level: 9'4eft. below measuring point Screened Interval: 17 ft. to 27ft. Spec.Cond. µMhos time of
N/A sampling,
Measuring Point is 2 ft.above land surface Relative M.P. Elevation: ft. Odor check
Volume of water pumped/bailed before sampling: 5 gallons Appearance Reddish here:
Samples for metals were collected unfiltered: DYES ❑NO and field acidified: ❑YES ❑NO
LABORATORY INFORMATION 94
Date sample analyzed: 30 Mar- 14 Apr 22 Laboratory Name: Envirochem Certification No.
PARAMETERS NOTE:Values should reflect dissolved and colloidal concentrations.
COD mg/I Nitrite(NO2)as N mg/I Pb-Lead mg/I
Coliform: MF Fecal <1 /100m1 Nitrate(NO3)as N 0.03 mg/I Zn-Zinc mg/I
Coliform: MF Total /100m1 Phosphorus:Total as P 3.81 mg/I
(Note: Use MPN method for highly turbid samples) Orthophosphate mg/I Other(Specify Compounds and Concentration Units):
Dissolved Solids:Total 57 mg/I Al-Aluminum mg/I DJ
pH(when analyzed) units Ba-Barium mg/I
TOC 2.8 mg/I Ca-Calcium mg/I Y 1 0
Chloride 6 mg/I Cd Cadmium mg/I
Arsenic mg/I Chromium:Total mg/I
Grease and Oils mg/I Cu-Copper mg/I ORGANICS:(by GC,GC/MS, HPLC)
Phenol mg/I Fe-Iron mg/I (Specify test and method#.ATTACH LAB REPORT.)
Sulfate mg/I Hg-Mercury mg/I Report Attached? ❑ Yes(1) ❑ No(0)
Specific Conductance µMhos K-Potassium mg/I VOC ,method#
Total Ammonia 2.2 mg/I Mg-Magnesium mg/I , method#
(Ammonia Nitrogen;NH3as N;Ammonia Nitrogen,Total) Mn-Manganese mg/I , method#
TKN as N mg/I Ni-Nickel mg/I , method#
For Remediation Systems Only(Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
I certify that,to the best of my knowledge and belief,the information submitted in this report is true,accurate,and complete,and that the laboratory analytical data was produced using approved methods of analysis by a
DWQ-certified laboreto . I am aware that there are si nificant enables for submittin false information,includin.the )ossib'li of fines and im risonment for knowin.violations. /�
BOBBY WILLIAMS and IRIS WILLIAMS/OWNER ,JA24 � W 9 ui a-/-
Permittee(or Authorized Agent)Name and Title-Please print or type Signature of Permittee(or Authorized Agent) Date)
GW-59 Rev. 1/2007

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING: Mail original DEPARTMENT OF ENVIRONMENT&NATURAL RESOURCES
and 1 Copy to: '•IVISION 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: Expiration Date: 30 Sep 24
Facility Name: Village Oaks MHP Non-Discharge WQ0002571 UIC
Permit Name(if different): NPDES Other
Facility Address: 164 Harris Creek Rd. TYPE OF PERMITTED OPERATION BEING MONITORED
Jacksonville NC 28540 County Onslow ® Lagoon ❑Remediation: Infiltration Gallery
'��'" ® Spray Field E Remediation:
Contact Person: Allen W. Rhue Telephone#: [phone] ❑ Rotary Distributor ❑Land Application of Sludge
Well Location/Site Name: Backside of Sprayfield No.of wells to be sampled: 3 E Water Source Heat Pump ❑Other:
(from Permit)
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): MW-4 Date sample collected: 30 Mar 22 FIELD ANALYSES: WAS
Well Depth: 27ft. Well Diameter: 2 in. pH 7.92 units Temp. 16.9 °C DRY at
Depth to Water Level: 17„3"ft.below measuring point Screened Interval: 17ft. to 27ft. Spec. Cond. µMhos time of
sampling,
Measuring Point is 2 ft. above land surface Relative M.P. Elevation: ft. Odor N/A check
Volume of water pumped/bailed before sampling: 5 gallons Appearance Tan here:
Samples for metals were collected unfiltered: OYES E NO and field acidified: ❑YES ❑NO
LABORATORY INFORMATION
Date sample analyzed: 30 Mar-Apr 22 Laboratory Name: Envirochem Certification No. 94
PARAMETERS NOTE:Values should reflect dissolved and colloidal concentrations.
COD mg/I Nitrite(NO2)as N mg/I Pb-Lead mg/I
Coliform: MF Fecal <1 /100m1 Nitrate(NO3)as N 0.10 mg/I Zn-Zinc mg/I
Coliform: MF Total /100m1 Phosphorus:Total as P 2.96 mg/I
(Note. Use MPN method for highly turbid samples) Orthophosphate mg/I Other(Specify Compounds and Concentration Units):
Dissolved Solids:Total 263 mg/I Al-Aluminum mg/I
pH(when analyzed) units Ba-Barium mg/I DJ
TOC 0.7 mg/I Ca-Calcium mg/I
Chloride 9 mg/I Cd-Cadmium mg/I
Arsenic mg/I Chromium:Total mg/I
Grease and Oils mg/I Cu-Copper mg/I ORGANICS:(by GC, GC/MS, HPLC)
Phenol mg/I Fe-Iron mg/I (Specify test and method#.ATTACH LAB REPORT.)
Sulfate mg/I Hg-Mercury mg/I Report Attached? ❑ Yes(1) ❑ No(0)
Specific Conductance µMhos K-Potassium mg/I VOC , method#
Total Ammonia <0.2 mg/I Mg-Magnesium mg/I , method#
(Ammonia Nitrogen;NH,as N;Ammonia Nitrogen,Total) Mn-Manganese mg/I , method#
TKN as N mg/I Ni-Nickel mg/I , method#
For Remediation Systems Only(Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
I certify that,to the best of my knowledge and belief,the information submitted in this report is true,accurate,and complete,and that the laboratory analytical data was produced using approved methods of analysis by a
DWQ-certified laborator . I am aware that there are si nificant enalties for submittin false information,includin the possibilit of fines and im-risonment for knowin violations. , ""
BOBBY WILLIAMS and IRIS WILLIAMS/OWNER ft,14. W . / , . a9Aft za-
Permittee(or Authorized Agent)Name and Title-Please print or type Signature of Permittee(or Authorized Agent) ;Date)
GW-59 Rev. 1/2007