WQ0023634_Monitoring - 05-2023_20230630 (3)

Monitoring Report Submittal
Permit Number#*
Name of Facility:*
Month: * May
Report Information
Type *
GW-59
Confirmation Email Address:
Name of Submitter: *
Signature:
Date of submittal:
Initial Review
WQ0023634
Waterside Villages WWTP
Year:* 2023
Upload Document*
Waterside Villages GW59.pdf 257.91KB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
[e-mail]
Rod Holley
Reviewer: Wanda.Gerald
6/30/2023
This will be filled in automatically

Is the project number correct?* WQ0023634
Is the monitoring report accepted?* Yes No
Regional Office* Washington
Reviewer: _anonymous
Review Date: 7/11/2023

GW 59A COMPLIANCE REPORT FORM Permit # 140 0-0 2a- G3 Y
(Submit one each monitoring period with GIV-59 forms.)
I
Enter date monitoring results were due. 3 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
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 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.)? lfthe 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 S.
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:
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 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 subiect 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 G W-59 form.
�I hereby acknowledge that the aboves�nformation was evaluated and the information submitted In`thls ; �t
report (Compliance R�apo�t GW 59A)u�s,true and,complfate io`the best,of my knowledge z.�„t �;��ti,�...��`��N�d
izo 3� z3
Signature of Permittee (orAuth rued Agent) Date
GW-59A 12/8/2003

SUBMIT FORM ON YELLOW PAPER ONLY
• .
DEPARTMENT OF ENVIRONMENT &NATURAL RESOURCES _ r -
GROUNDWATER QUALITY MONITORING:
• . •
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNPr
- r
COMPLIANCE REPORT FORM
,,"�i�'s"'- /,�^�""``"c'...% /� ;arc r r'�ti" ,, >�^ r. r✓ G,=
161�7;�AILS�RVICE'frE�fTER RAlpEtGH,NC2�fi99�6j]�Phone (919�7�3-3221`�'
FACILITY INFORMATION
Please Print CloadyorTypo
PERMIT Number: WQ0023634 Lxpiration 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 NC (street) NC
27939
CountyCurrituck
El Lagoon ❑Remediation: Infiltration Gallery
(city) {State)
(zip)
❑ 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: 5
❑ Water Source Heat Pump 0 Other: Infiltration
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW10
Date sample collected: 5/10/23
FIELD ANALYSES:
WAS
Well Depth: 16 ft.
Well Diameter: 3 in.
pH 00400: 7.2 units Temp, 000lo: 18.6 °C
DRY at
Depth to Water Level 82546:10.7 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: 3.0
gallons
Appearance Rust
here:❑
Samples for metals were collected unfiltered: ® YES ❑
NO and field acidified: ❑ YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed:5110/23
Laboratory Name: Enviro Chem
Certification No. 94
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD oa335
mg/L
Nitrite (NO2) as N oo615 <0.02
mg/L Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616 <1
/100ml-
Nitrate (NO3) as N 00620 0.07
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100ml- Phosphorus:
Total as P 00665 1.11
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 703oo 226
mg/L
Al - Aluminum oil o5
mg/L
pH (Lab) 00403 7.2
units
Ba - Barium 01007
ug/L
TOC 0068o 29.4
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 16
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 000gs
µMhos
K - Potassium 00937
mg/L VOC 78732: method #
Total Ammonia oo610 <0.2
mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen; NH3 as 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 .. •Total• •
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 laboratory., I am aware that there are significant penalties for submitting false information, including the possibility of Tines and imprisonment for knowing violations.'
Rod Holley Wastewater Superintendent
Permittee (or Authorized Agent) Name and Title - Please print or type
6/30123
(Date)
GW-59 Rev.212010

SUBMIT FORM ON YELLOW PAPER ONLY
r
DEPARTMENTOF ENVIRONMENT & NATU RAC RESOURCES `
GROUNDWATER QUALITY MONITORING:
D1VISION OF, WATER Qi7ALtTYFORIUTATtON UNrr
COMPLIANCE REPORT FORM
PROCESSING
16MAfI SEF3VfCEGEITER�,,RALEIGH,lJC276991617 Phone t91793221==
FACILITY INFORMATION
Please Print Clearly 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 (street) NC
27939
CountyCurrituck
El Lagoon El Remediation: infiltration Gallery
(city) (State)
(zip)
❑ 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: 5
❑ Water Source Heat Pump O Other: Infiltration
(from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW11
Date sample collected: 5/10/23
FIELD ANALYSES:
WAS
Well Depth: 16 ft.
Well Diameter: 3 in.
pH 00400: 7.1 units Temp. 00010: 19.1 °C
DRY at
Depth to Water Level 82546:10.2 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 pumped/bailed before sampling: 4.0
gallons
Appearance Clear
here:❑
Samples for metals were collected unfiltered: 21 YES ❑
NO and field acidified: ❑ YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed:5/10/23
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 o1o51 uglL
Coliform: MF Fecal 31616 <1
1100mL
Nitrate (NO3) as N 00620 1.13
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL Phosphorus: Total as P 00665 0.30
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 703oo 323
mg/L
AI - Aluminum ol1o5
mg/L
pH (Lab) 00403 7.1
units
Ba - Barium oloo7
ug/L
TOC 0o680 2.4
mg/L
Ca - Calcium oo916
mg/L
Chloride 00940 80
mg/L
Cd - Cadmium 01027
uglL
Arsenic 01002
uglL
Chromium: Total 01034
uglL
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg/L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
uglL
Fe - Iron 01045
uglL (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg/L
Hg - Mercury 719oo
uglL Lab Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance 00095
µMhos
K - Potassium 00937
mg/L VOC 78732: method #
Total Ammonia oo610 0.3
mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen; NH3as N; Ammonia Nitrogen, Total)
Mn - Manganese o1o55
uglL method #
TKN as N 00625
mg/L
Ni - Nickel 01057
ug/L method #
For Remediation Systems Only (Attach Lab Reports):
Influent Total VOCs:
mg/L
Effluent Total VOCs:
mg/L VOC Removal%
GW-59 Rev.2/2010

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
• •
DEPARTMENT F ENVIRONMENT & NATURAL RESOt1RCE5
DlvlsloNnFwATeR�ttul►i ITtralloRMA,noNa;RocEsslNG�uNITN-
COMPLIANCE REPORT FORM
• •
x1ON
"''
161�1[TAIL`ER;VICE,CENTER�RALEiGH;NFtC276991617 Phone �9�9)�i33322'lt.
FACILITY INFORMATION
Please Print
Clearly or Type
PERMIT Number: WQ0023634 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
El Lagoon ❑ Remediation: Infiltration Gallery
Grandy NC (street) NC 27939 CountyCurrituck
(city) (state)
(zip)
❑ 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: 5
❑ Water Source Heat Pump ❑■ Other: Infiltration
(from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW12
Date sample collected: 5/10123
FIELD ANALYSES:
WAS
Well Depth: 16 ft.
Well Diameter: 3 in,
pH 00400: 7.2 units Temp. 000lo: 19.5 °C
DRY at
Depth to Water Level 82546:9.8
p ft. below measuring point Screened Interval: 12 ft. to
17
ft. Spec. Cond. 00094: µ Mhos
time of
sampling,check
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
El NO and field acidified: ❑ YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed:5110123
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 01051 ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 0.15
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 0.06
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 112
mg/L
Al - Aluminum ollo5
mg/L
pH (Lab) 00403 7.2
units
Ba - Barium 01007
ug/L
TOC 0o68o 2.4
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 16
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 78732: method #
Total Ammonia 00610 <0.2
mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen: NH3asN; 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 VOCs:
Rod Holley Wastewater Superintendent
Permittee (or Authorized Aqent) Name and Title - Please print or type
(&C 116_
Siqnature of Permittee (or Author z9 Agent)
mg/L VOC Removal%
6/30/23
(Date)
GW-59 Rev.2/2010

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
QEPARTM�N OF ENVIRONMENT 8 NATl1RAL RESOURCES
Qv�sloNoFwarra�mraN�q���+r�ot�proe�sslrrcuNl��
COMPLIANCE REPORT FORM
�s,NiailsEIccErTR�ter�t�;e;�zissg6j�Pnone
�sr?sa2z1
FACILITY INFORMATION
PleasePlitil Cleatly ot Type
PERMIT Number: WQ0023634 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
❑Lagoon El Remediation: Infiltration Gallery
Grandy NC (street) NC 27939 CountyCurrituck
(city) (State)
(zip)
❑ 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: 5
❑ Water Source Heat Pump N Other: Infiltration
from Permit)
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW13
Date sample collected: 5110/23
FIELD ANALYSES:
WAS
Well Depth: 16 ft.
Well Diameter: 3 in.
pH 00400: 6.8 units Temp. 0o01o: 17.3 eC
DRY at
Depth to Water Level 82546:9.0 ft, below measuring point
Screened Interval: 12 ft. to
17 ft. Spec. Cond. 00094: FrMhos
time ofsampling,
Measuring Point is 2 ft. above land surface
Relative M.P. Elevation: ft.
Odor 000w None
check
Volume of water pumped/bailed before sampling:
3.5
gallons
Appearance Clear
here: El
Samples for metals were collected unfiltered: ® YES ❑
NO and field acidified: ❑ YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed:5110/23
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 (1903) as N 00620 2.21
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL Phosphorus:
Total as P 00665 0.14
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 125
mg/L
Al - Aluminum o11o5
mg/L
pH (Lab) 00403 6.8
units
Ba - Barium 01007
ug/L
TOC oomo 1.0
mg/L
Ca - Calcium 00916
mg/L
Chloride 0094o 7
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
uglL
Fe - Iron 01045
uglL (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
pMhos
K - Potassium 00937
mg/L VOC 78732: method #
Total Ammonia oo610 0.3
mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen; NHaas N; Ammonia Nitrogen, Total)
Mn -Manganese 01055
uglL , 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 Wastewater Superintendent
Permittee (or Authorized Agent) Name and Title - Please print or type
mg/L Effluent Total VOCs:
mg/L VOC Removal%
6/30/23
GW-59 Rev.2/2010

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
�D!V
DEPARTMENT OF ENVIRONMENT'8� NATURAL RESOURCES
It =oFwRQUAtrnrfNMgTiohRocsslHooT ��
COMPLIANCE REPORT FORM
e1_MAtLSER\11CCNTER;RAL`EtGH�Ijs99�f817Phe?(819)3s-3221
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
El Lagoon ❑ Remediation: Infiltration Gallery
Grandy NC (street) NC 27939 CountyCurrituck
(city) (State)
(zip)
❑ 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: 5
❑ Water Source Heat Pump © Other: Infiltration
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW14
Date sample collected: 5/10/23
FIELD ANALYSES:
WAS
Well Depth: 16 ft.
Well Diameter: 3 in.
pH 00400: 6.9 units Temp. 000lo: 19.0 °C
DRY at
Depth to Water Level 82646:9.3 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:
3.5
gallons
Appearance Clear
here:
❑
Samples for metals were collected unfiltered: RI YES
El NO and field acidified: ❑ YES
El NO
LABORATORY INFORMATION
Date sample analyzed:5/10/23
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 ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 0.04
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100ml-
Phosphorus: Total as P 00665 0.11
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 7030o 295
mg/L
Al -Aluminum o1105
mg/L
pH (Lab) 00403 6.9
units
Ba - Barium 01007
ug/L
TOC o068o 2
mg/L
Ca - Calcium 0o916
mg/L
Chloride 0094o 48
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)
pecific Conductance 000m
µMhos
K - Potassium 00937
mg/L VOC 78732: method #
Total Ammonia 00610 <0.2
mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen; NH3 as N; Ammonia Nitrogen, Total)
Mn - Manganese 01055
uglL 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%
Rod Holley Wastewater Superintendent
Permiltee (or Authorized Agent) Name and Title - Please print or type
14TIT&I l
Rev. 212010