WQ0000185_Monitoring - 02-2020_20200401

GW-59A COMPLIANCE REPORT FORM Permit # N 000 a 1 K
(Suhinit one each monitoring period with GIB'--59 forms.)
1
Enter date monitoring results were due.( 3 - 31. 2A) Will this monitoring report (GW-59 and GW-59A)
NO
be submitted after the established due date?
2
Was any required information missing on the GW-59 report forms?
YES
6
1F 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, missies
YES
NO
identification plate, area overgrown, etc.)? !f the answer is "Yes", contact the Regional ice for guidance.
4
Are any monitored constituents equal to or above the established standards?
S
NO
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 constituents) and concentration(s)
exceeding standards in the space provided below:
mwo G
Tps - IZ4D
5
For the constituents identified in question 4 above, have standards been exceeded previously for the
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)
}}
7Q 5 C�r�� ft MIAs btt,u irMC.� ineS 00, µ�+tl:, /,0 ft g;Nct f)Ca,%bCC 7011
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
S
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 ge tonal Office within 90 da an evaluation may be
required to determine the im ct the waste disposal system is having at the review and com llance
boundaries surrounding this facility. Failure to do so may subiect the permittee to a, Notice of Violation.
fines, and/or penalties.
Wr+Fdi'A"'A d/ 'lu ftsn4 s trwN��2rN v�k.5/)rn +�+� + ba+l,n+� moat
�M
c� S
S^o-- flc ev-111'rJ1 ea�id�c 6l0. 4- wl4i oQ
S44%Ic -64AS Iri 4 w*l U S
g
The person completing this portion ( W-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 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.
j 12
�z JL 3.3Zv
Signature of Permittee (or Authori d Agent) Date
GW-59A 12/8/2003

SUBMIT FORM ON YELLOW PAPER ONLY
,
.,
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
;
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
•
•,
1617 MAIL SERVICE CENTER, RALEIGH, NC 27609-1617 Phone: [phone]
FACILITY INFORMATION
Please Print Cleady or Type
PERMIT Number: WQ0000185 Expiration Date: 6-30-2024
Facility Name: Ocean Sands
Non -Discharge UIC
Permit Name (if different):
NPDES Other
Facility Address: 741 Ocean Trail
TYPE OF PERMITTED OPERATION BEING MONITORED
Corolla NC
27927 County Currituck
❑ Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
Contact Person: Rod Holley
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Ocean Sands
No. of wells to be sampled, 5
❑ Water Source Heat Pump © Other: Infiltration
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW4
Date sample collected: 2-17-20
FIELD ANALYSES:
WAS
Well Depth: 17.6 ft.
Well Diameter: 3 in.
pH 00400:6.69 units Temp. 000lo: 16.4 °C
DRY at
Depth to Water Level 82546:8.3 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 000es: 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
Date sample analyzed:1-16-20
Laboratory Name: Envira Chem
Certification No. 94
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N oo615 .03
mg/L Pb - Lead o1o51 ug/L
Coliform: MF Fecal 3161610
1100mL
Nitrate (NO3) as N 00620 3.29
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
1100mL
Phosphorus: Total as P oo6e5 1.35
mg1L
(Note. Use MPN method for Nighty turbid samples}
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Sollds:Total 70300 396
mg1L
All - Aluminum o11os
mg/L
pH (Lab) OD403 6.69
units
Ba - Barium 01007
ug/L
TOC ooeso 5.0
mg/L
Ca - Calcium oo916
mg/L
Chloride oog4o 112
mg/L
Cd - Cadmium 01027
ug/L
Arsenic D11}D2
ug/L
Chromium: Total 01034
ug/L
Grease and Oils 00652
mg/L
Cu - Copper 01042
mg/L ORGANICS: (by GC, GCIMS, HPLC)
Phenol 32730
ug/L
Fe - Iron 01045
ug/L (Specify test and method M ATTACH LAB REPORT.)
Sulfate 00945
mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance 000m
µMhos
K - Potassium 00937
mg/L VOC 78732: method #
Total Ammonia 000lo •3
mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen; NH,, as N; Ammonia Nitrogen, Total)
Mn -Manganese a1o5s
uglL ,method #
TKN as N 00625
mg/L
Ni - Nickel 01067
uglL method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs
Rod Holley Utilities Superintendent Trainee
Pennittee (or Authorized Agent) Name and Title - Please print or type
mg/L Effluent Total •
iplete. and that the laboratory analytical data
possibility of fines and imprisonment for knc
mg1L VOC Removal%
3-31-2020
(Date)
GW-69 Rev.2/2010

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
o1VISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
,
_ ,
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION
Please Print CleadyorType
PERMIT Number: WQ0000185 Expiration Date: 6-30-2024
Facility Name: Ocean Sands
Non -Discharge UIC
Permit Name (if different):
NPDES Other
Facility Address: 741 Ocean Trail
TYPE OF PERMITTED OPERATION BEING MONITORED
Corolla NC
27927 County Currituck
❑Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
Contact Person: Rod Holley
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Ocean Sands
No. of wells to be sampled: 5
❑ Water Source Heat Pump © Other: Infiltration
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW5
Date sample collected: 2-17-20
FIELD ANALYSES:
WAS
Well Depth: t7.6 ft.
Well Diameter. 3 in.
pH 00400: 7.03 units Temp. oomo: 16.0 °C
DRY at
Depth to Water Level 62546:6,2 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 000m: none
check
Volume of water pumped/bailed before sampling:
5.0
gallons
Appearance Clear
here:❑
Samples for metals were collected unfiltered: 91 YES
❑ NO and field acidified: ❑ YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed:1-16-20
Laboratory Name: Enviro Chem
Certification No. 94
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COO 00335
mgiL
Nitrite (NO2) as N oo6i5 .06
mg/L Pb - Lead 010si ug/L
Coliform: MF Fecal 31616 2
1100mL
Nitrate (NO,) as N 00620 .28
mg/L Zn - Zinc 01092 mgfL
Coliform: MF Total 315o4
110omL
Phosphorus: Total as P oos65 5.55
mgiL
(Note: Use MPNmethod for highiyturbid samples)
Orthophosphatem5w
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 333
mgiL
Al - Aluminum of ios
mgiL
PH (Lab) oo4o3 7.03
units
Sa - Barium 01007
ug/L
TOC omm 12.0
mgiL
Ca - Calcium 00916
mg/L
Chloride oog4o 126
mgiL
Cd - Cadmium 01027
ug/L
Arsenic o1oo2
ug/L
Chromium: Total oio34
ug/L
Grease and Oils 00552
mgiL
Cu - Copper 01042
mgiL ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron 01045
ug/L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mgiL
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes (1) ❑ No (0)
pecific Conductance oo095
µMhos
K - Potassium 00937
mgiL VOC 78732: method #
Total Ammonia aoslo 1.2
mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen; NH3as N; Ammonia Nitrogen, Total)
Mn - Manganese oioss
ug/L , method #
TKN as N 00625
mgiL
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 Utilities Superintendent Trainee
Permittee (or Authorized Agent) Name and Title - Please print or type
Signature
3-31-2020
GW-59 Rev.212010

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENT &NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
�1617
DIVISION OF WATER QUALITY•INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phorre: [phone]
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: WQ0000185 Expiration Date: 6-30-2024
Facility Name: Ocean Sands
Non -Discharge UIC
Permit Name (if different):
NPDES Other
Facility Address: 741 Ocean Trail
TYPE OF PERMITTED OPERATION BEING MONITORED
Corolla NC
27927 County Cunituck
❑ Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
Contact Person: Rod Holley
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Ocean Sands
No. of wells to be sampled: 5
❑ Water Source Heat Pump Other: Infiltration
rrom Parmil
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW6
Date sample collected: 2-17-20
FIELD ANALYSES:
WAS
Well De the 17.6 ft.
p
Well Diameter: 3 in.
pH a0ao0: 6.52 16.8 °C
units Temp. 00010:
DRY at
Depth to Water Level 82546:6.2 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 0oo85: none
check
Volume of water pumped/bailed before sampling:
3.5
gallons
Appearance Clear
here:❑
Samples for metals were collected unfiltered: ® YES
❑ NO and field acidified: ❑ YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed:1-16-20
Laboratory Name: Enviro Chem
Certification No. 94
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335
mgiL
Nitrite (NO2.) as N 00615 <,02
mgiL Pb - Lead olm ug/L
Coliform: MF Fecal 316161
1100mL
Nitrate (NO3) as N 00620 1.57
mgiL Zn - Zinc 01092 mgiL
Coliform: MF Total 31504
1100mL
Phosphorus: Total as P 00665 4.25
mgiL
(Note: Use MPN method for highly lurhSd samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 1240
mgiL
Ai -Aluminum o11o5
mgiL
PH (Lab) 00403 6•52
units
Be - Barium 01007
ug/L
TOC 0008o 6.1
mgiL
Ca - Calcium oo916
mg1L
Chloride oog4o 619
mgiL
Cd - Cadmium 01027
ug/L
Arsenic 01002
ugJL
Chromium: Total 01034
ug/L
Grease and Oils oo552
mg/L
Cu - Copper 01042
mg/L ORGANICS: (by GC, GC1MS, HPLC)
Phenol 32730
ug/L
Fe - Iron o1o45
ug/L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg/L
Hg - Mercury 71900
ugJL Lab Report Attached? ❑ Yes(l) ❑ No (0)
Specific Conductance 000ss
µMhos
K - Potassium 00937
mg/L VOC 7s732: method #
Total Ammonia 00610.3
mg/L
Mg - Magnesium 00927
mgiL method #
(Ammonia Nitrogen, NK3as N: Ammonia Nitrogen, Total)
Mn -Manganese o1055
ug1L ,method #
TKN as N 00625
mgiL
Ni - Nickel 01067
ugJL method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mgiL Effluent Total VOCs: mgiL VOC Removal%
Rod Holley Utilities Superintendent Trainee
Permittee (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev. 212010

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING.'
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
,
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699.1617 Phone: t919j 733.3221
FACILITY INFORMATION
Please Print CleadyorType
PERMIT Number: WQ0000185 Expiration Date: 6-30-2024
Facility !Name: Ocean Sands
Non -Discharge UIC
NPOES Other
Permit Name (if different):
Facility Address: 741 Ocean Trail
TYPE OF PERMITTED OPERATION BEING MONITORED
Corolla INC
27927 County Currituck
❑ Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
Contact Person: Rod Holley
Telephone#; 252-232-6065
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Ocean Sands
No. of wells to be sampled: 5
❑ Water Source Heat Pump Other: Infiltration
from Pe"t
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW7
Date sample collected: 2-17-20
FIELD ANALYSES:
WAS
Well Depth: 17.6 ft.
Well Diameter: 3 in.
pH 00400:6.19 units Temp. 000io: 15.3 °C
DRY at
Depth to Water Level 82546:4.2 ft. below measuring point Screened Interval: 12 ft.
to 17 ft. Spec. Cond. 00094: gMhos
time of
sampling,
Measuring Point is 2 ft. above land surface
Relative M.P. Elevation:
ft. Odor 000ss: none
check
Volume of water pumpedlbailed before sampling:
4.0
gallons
Appearance Clear
here:
❑
Samples for metals were collected unfiltered: ® YES
❑ NO and field acidified: ❑ YES
[I NO
LABORATORY INFORMATION
Date sample analyzed:1-16-20
Laboratory Name: Enviro Chem
Certification No. 94
PARAMETERS NOTE: Values should reflect
dissolver) and colloidal concentrations.
COD 00335
mg/L
Nitrite (NOZ) as N 00615 <,02
mglL Pb - Lead oio5i ug/L
Coliform: MF Fecal 31616 1
/100mL
Nitrate (NO3) as N 00620 .93
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 .72
mg/L
(Nate: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 96
mg/L
AI - Aluminum oilm
mg/L
pH (Lab) 00403 6.19
units
Sa - Barium 01007
ug/L
TOC 006a0 3.6
mg/L
Ca - Calcium oo9i6
mg/L
Chloride oog40 30
mg1L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total o1o34
ug/L
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg/L ORGANICS: (by GC, GCIMS, HPLC)
Phenol 32730
ug/L
Fe - Iron o1045
ug/L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg/L
Hg - Mercury 71900
ug1L Lab Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance 000g5
µMhos
K - Potassium 001a37
mg/L VOC 78732: method #
Total Ammonia 00610 <2
mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen; NH3as N; Ammonia Nitrogen, Total)
Mn - Manganese o1o55
ug/L , method #
TKN as N 00625
mg/L
Ni - Nickel 01067
ug1L method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mglL Effluent Total VOCs: mg/L VOC Removal%
Rod Holley Utilities Superintendent Trainee
Permittee (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev.2/2010

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 WAIL SERVICE CENTER, RALEIGH, NC 27699.1617 Phons: [phone]
FACILITY INFORMATION
Please Print ciearfy or Type
PERMIT Number: WQ0000185 Expiration Date: 6-30-2024
Facility Name: Ocean Sands
Non -Discharge UIC
Permit Name (if different):
NPDES Other
Facility Address: 741 Ocean Trail
TYPE OF PERMITTED OPERATION BEING MONITORED
Corolla NC
27927 County Currttuck
❑ Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
Contact Person: Rod Holley
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Ocean Sands
No. of wells to be sampled: 5
❑ Water Source Heat Pump X Other: Infiltration
from Perini
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW9
Date sample collected: 2-17-20
FIELD ANALYSES:
WAS
Well Depth: 17.6 ft.
Well Diameter: 9 in.
pH ooaoo: 6.60 units Temp. 000lo: 16.3 °C
DRY at
Depth to Water Level 82546:6.3 ft. below measuring point Screened Interval: 12 ft.
to 17 ft. Spec. Cond. 000e4: µMhos
time of
sampling,
Measuring Point is 2 ft. above land surface
Relative M.P. Elevation:
ft. Odor 000m: none
check
Volume of water pumped/bailed before sampling:
4.0
gallons
Appearance Clear
here: ❑
Samples for metals were collected unfiltered: m YES
❑ NO and field acidified: ❑ YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed:1-16-20
Laboratory game: Enviro Chem
Certification No. 94
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO?) as N 00615 .02
mg/L Pb - Lead o1091 ug/L
Coliform: MF Fecal 31616 1
/100mL
Nitrate (NO3) as N 00620 .05
mg1L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 2-95
mg/L
(Note: use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
lissolved Solids:Totat 703ao 335
mg/L
Al - Aluminum ot105
mg/L
pH (Lab) 00403 6.60
units
Ba - Barium 01007
uglL
TOC oo6so 10.8
mg/L
Ca - Calcium 00916
mg1L
Chloride oos4o 125
mg/L
Cd - Cadmium 01027
ug1L
Arsenic 01002
ug/L
Chromium: Total o1o34
ug1L
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg/L ORGANICS: (by GC, GCIMS, HPLC)
Phenol 32730
ug/L
Fe - Iron 01045
ug/L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate oo94s
mg/L
Hg - Mercury 71goo
ug/L Lab Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance 00095
µMhos
K - Potassium 00937
mg1L VOC 78732: method #
Total Ammonia oo610 <.2
mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen; NH, as N: Ammanla Nitrogen, Tatal)
Mn -Manganese a1o55
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%
Rod Holley Utilities Superintendent Trainee
Permittee (or Authorized Agent) Name and Title - Please print or type
of Permittee (or AuthorizeA Agent)
3-31-2020
GW-59 Rev.212010