WQ0009267_Monitoring - 03-2020_20200424

GW-59A COMPLIANCE REPORT FORM Permit #_WQ0009267
(Submit one each monitoring period with GW-59 forms.)
I
Enter date monitoring results were due. (4130/2020) Will this monitoring report (GW-59 and GW-59A) be
YES
NO
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.)? If the answer is "Yes", contact the Regional Office for guidance.
4
Are any monitored constituents equal to or above the established standards?
YES
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 constituent(s) and concentration(s) exceeding standards in the space provided below:
MW 10 — TDS 618 mg/L
5
For the constituents identified in question 4 above, have standards been exceeded previously for the same
YES
NO
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).
MW10 — all TDS—3/2018(645.5 mgll), 6/2018 (707 mg/L), 9/2018 (642 mg/L), 12/2018 (661 mg/L), 312019
(676.5), 6/2019 (648 mg/l), 9/2019 (643 mg/L), 12/2019 (568.5 mg/L)
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 may be improperly located; contact
the Regional Office.
7
Is the permittee implementing previously approved actions required by the Division involving this groundwater
YES
NO
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 penmittee to a Notice of Violation, fines, and/or penalties.
MW10 — high background TDS — noted in current permit
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 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
Z. 4/21/2020
Signature of Petmittee(or Authorized Agent) Date

SUBMIT FORM ON YELLOW PAPER ONLY
, a•
DEPARTMENT OF ENVIRONMENT 8 NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
;
:
DIVISION OF WATER RESOURCES - INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
r
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: Expiration Date: 4/30/2022
Facility Name: City of Jacksonville Land Treatment System
Non -Discharge W00009267 UIC
NPDES Other
Permit Name (if different):
Facility Address:
716 Firetower Road
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
Jacksonville NC 28540 County Onslow
(City) (state)
(7jp)
X Spray Field ❑ Remediation:
Contact Person: Amy Palaschak
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name MW-1
No. of wells to be sampled: 17
❑ Water Source Heat Pump ❑ Other:
an Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): III
Date sample collected: 3/11/2020
FIELD ANALYSES:
WAS
Well Depth: 16.6 ft.
Well Diameter: 2 in.
pH 00400: 5.2 units Temp. 000lt 15.6 eC
DRY at
Depth to Water Level 82546: 4.8 ft. below measuring point Screened Interval: 3 ft. to
13 ft. Spec. Cord. 00094: µMhos
time of
sampling,
Measuring Point is 3.2 ft. above land surface
Relative M.P. Elevation: 1.6 ft.
Odor 000a5:
check
Volume of water pumped/bailed before sampling:
5.66
gallons
Appearance
here,❑
Samples for metals were collected unfiltered: X
YES
❑ NO and field acidified: X YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 43901
Laboratory Name: 1. Jacksonville 2.
Environmental Chemists Certification No. 1. 128 2. 94
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N oo615 <0.02
mg/L Pb - Lead olo51 ug/L
Colifonn: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 0.13
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 <0.2
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolvedSolids:Total70300 141.5
mg/L
AI - Aluminumolim
mg/L
pH (Lab) 00403 5.15
units
Ba - Barium oio07
ug/L
TOC oo66o 14.3
mg/L
Ca - Calcium 00916
mg/L
Chloride oo94o 46
mg/L
Cd - Cadmium li=7
ug/L
Arsenic 01002
ug/L
Chromium: Total olo34
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 14
mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes (1) ® No (0)
pecific Conductance 00095
µMhos
K - Potassium oo937
mg/L VOC 7673 method # SM 6200C
Total Ammonia o0610 <0.1
mg/L
Mg - Magnesium oo927
mg/L , method #
(Ammonia Nitrogen; NHsas N; Ammonia Nitrogen, Total)
Mn - Manganese o1055
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: ni Effluent Total VOCs: mg/L VOC Removal
William E. Brown - ORC
Permittee (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev. 812013
(Date)

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENT 8 NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OF WATER RESOURCES - INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
r r
1617 MAIL SERVICE CENTER, RALEIGH, INC 27699-1617 Phone: [phone]
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: Expiration Date: 4/30/2022
Facility Name: City of Jacksonville
Land Treatment System
Non -Discharge W00009267 UIC
NPDES Other
Permit Name (if different):
Facility Address:
716 Firetower
Road
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
Jacksonville NO 28540 County Onslow
(city) (Stale)
(DO
X Spray Field ❑ Remediation:
Contact Person: Amy Palaschak
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name MW-2
No. of wells to be sampled: 17
❑ Water Source Heat Pump ❑ Other:
(from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-2
Date sample collected: 3/11/2020
FIELD ANALYSES:
WAS
Well Depth: 17.0 ft.
Well Diameter: 2 in.
pH 00400: 4.9 units Temp. 000lr 11.4 eC
DRY at
Depth to Water Level 82546: 5 ft. below measuring point Screened Interval: 3 ft. to
13 ft. Spec. Cond. 00094: µMhos
—
time of
sampling,
Measuring Point is 2.4 ft. above land surface
Relative M.P. Elevation: 2.6 ft.
Odor ocoa5:
check
Volume of water pumped/bailed before sampling:
5.76
gallons
Appearance
here:❑
Samples for metals were collected unfiltered: X
YES
❑ NO and field acidified: X YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 43901
Laboratory Name: 1. Jacksonville 2.
Environmental Chemists Certification No. 1. 128 2. 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 olo51 ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 <0.02
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P oo665 <0.2
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 183
mg/L
AI - Aluminum olim
mg/L
pH (Lab) 00403 4.92
units
Ba - Barium 01007
ug/L
TOC oo680 7.3
mg/L
Ca - Calcium oo916
mg/L
Chloride 00940 67
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total oto34
ug/L
Grease and Oils 00652
mg/L
Cu - Copper 01042
mg/L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron o1o45
ug/L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945 15
mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes (1) ® No (0)
pecific Conductance 00095
µMhos
K - Potassium 00937
mg/L VOC 7873 method # SM 6200C
Total Ammonia 0o6lo <0.1
mg/L
Mg - Magnesium oo927
mg/L method #
(Ammonia Nitrogen; NH3asN; Ammonia Nitrogen, Total)
Mn - Manganese oio55
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
GW-59 Rev. 8/2013

SUBMIT FORM ON YELLOW PAPER ONLY
• •
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING;
DIVISION OF WATER RESOURCES -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
• • •
• 1617 MAIL SERVICE CENTER, RALEIGH, INC 27699-1617 Phone: [phone]
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: Expiration Date: 4/30/2022
Facility Name: City of Jacksonville
Land Treatment System
Non -Discharge W00009267 UIC
NPDES Other
Permit Name (if different):
Facility Address:
716 Firetower
Road
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
Jacksonville NC 28540 County Onslow
(City) (State)
Rip)
X Spray Field ❑ Remediation:
Contact Person: Amy Palaschak
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name MW-3
No. of wells to be sampled: 17
❑ Water Source Heat Pump ❑ Other:
hom Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-3
Date sample collected: 3/10/2020
FIELD ANALYSES:
WAS
Well Depth: 17.0 ft.
Well Diameter: 2 in.
pH o0400: 4.7 units Temp. 000lt 19.9 °C
DRY at
Depth to Water Level 82546: 4.7 ft. below measuring point Screened Interval: 3 ft. to
—
13 ft. Spec. Cond. 00094: µMhos
time of
sampling,
Measuring Point is 3.2 ft. above land surface
Relative M.P. Elevation: 1.5 ft.
Odor 00085:
check
Volume of water pumped/bailed before sampling:
5.90
gallons
Appearance
here:❑
Samples for metals were collected unfiltered: X
YES
❑ NO and field acidified: X YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 43900
Laboratory Name: 1. Jacksonville 2.
Environmental Chemists Certification No. 1. 128 2. 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 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 <0.2
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 32
mg/L
Al - Aluminum o11o5
mg/L
pH (Lab) oe4m 4.69
units
Ba - Barium 01007
ug/L
TOC oomo 4.2
mg/L
Ca - Calcium oogi6
mg/L
Chloride 00940 9
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
111
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 o1o45
ug/L (Specify test and method A ATTACH LAB REPORT.)
Sulfate 00945 <5
mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes(l) ® No(0)
pecific Conductance 00095
µMhos
K - Potassium 00937
mg/L VOC 7873 , method # SM 6200C
Total Ammonia 00610 <0.1
mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen; NHsas N; Ammonia Nitrogen, Total)
Mn - Manganese oloss
ug/L , method #
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L , method #
Fnr Remediation Svstams Only (Attarh Lah Renortsl- Influent Total VOCs: ma/L Effluent Total VOCS: mq/L VOC Removal%
GW-59 Rev. 8/2013

SUBMIT FORM ON YELLOW PAPER ONLY
• •
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OF WATER RESOURCES - 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: 4/30/2022
Facility Name: City of Jacksonville Land Treatment System
Non -Discharge WQ0009267 UIC
NPDES Other
Permit Name (if different):
Facility Address:
716 Firetower
Road
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
Jacksonville NC 28540 County Onslow
(City) (state)
(zip)
X Spray Field ❑ Remediation:
Contact Person: Amy Palaschak
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name MWA
No. of wells to be sampled: 17
❑ Water Source Heat Pump ❑ Other:
(from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MWA
Date sample collected: 3/10/2020
FIELD ANALYSES:
WAS
Well Depth: 16.0 ft.
Well Diameter: 2 in.
pH oo400: 5 units Temp. 000lc 20.2 °C
DRY at
Depth to Water Level 82546: 4.2 ft. below measuring point Screened Interval: 5.8 ft. to
—
14 ft. Spec. Cond. 00094: µMhos
time of
sampling,
Measuring Point is 2.68 ft. above land surface
Relative M.P. Elevation: 1.52 ft.
Odor 00085:
check
Volume of water pumped/bailed before sampling:
5.66
gallons
Appearance
here:❑
Samples for metals were collected unfiltered: X
YES
❑ NO and field acidified: X YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 43900
Laboratory Name: 1. Jacksonville 2.
Environmental Chemists Certification No. 1. 128 2. 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 most ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 <0.02
mg/L Zn -Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 <0.2
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70607
mg/L Other (Specify Compounds and Concentration Units):
ssolved Solids:Total 70300 125.5
mg/L
Al - Aluminum o1105
mg/L
pH (Lab) 00403 5.01
units
Ba - Barium 01007
ug/L
TOC omlla 1.5
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 42
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 60
mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes (1) ® No(0)
pecific Conductance 000m
µMhos
K - Potassium 00937
mg/L VOC 7873 , method # SM 6200C
Total Ammonia o06lo <0.1
mg/L
Mg - Magnesium oog27
mg/L , method #
(Ammonia Nitrogen: NH3as IN: Ammonia Nitrogen, Total)
Mn - Manganese 01055
ug/L , method #
TKN as N 00625
mg/L
Ni - Nickel o1067
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. 8/2013

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OF WATER RESOURCES - INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
a
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: 919-807E306
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: Expiration Date: 4/30/2022
Facility Name: City of Jacksonville Land Treatment System
Non -Discharge W00009267 UIC
NPDES Other
Permit Name (if different):
Facility Address:
716 Firetower
Road
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
Jacksonville NC 28540 County Onslow
(city) (state)
(zip)
X Spray Field ❑ Remediation:
Contact Person: Amy Palaschak
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name MW-5
No. of wells to be sampled: 17
❑ Water Source Heat Pump ❑ Other:
imm Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-5
Date sample collected: 3/10/2020
FIELD ANALYSES:
WAS
Well Depth: 18.1 ft.
Well Diameter: 2 in.
pH oo400: 5.3 units Temp. 000lc 17 eC
DRY at
Depth to Water Level 82546: 4.4 ft. below measuring point Screened Interval: 5 ft. to
—
15 ft. Spec. Cond. 00094: µMhos
time of
sampling,
Measuring Point is 2.57 ft. above land surface
Relative M.P. Elevation: 1.83 ft.
Odor 00085:
check
Volume of water pumped/bailed before sampling:
6.58
gallons
Appearance
here:❑
Samples for metals were collected unfiltered: X
YES
❑ NO and field acidified: X YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 43900
Laboratory Name: 1. Jacksonville 2.
Environmental Chemists Certification No. 1. 128 2. 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 ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 <0.02
mg/L Zn - Zinc 01092 mg/L
Colifonn: MF Total 31504
/100mL
Phosphorus: Total as P 00665 <0.2
mg/L
(Note: use MPN method for highly luroid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 10
mg/L
Al -Aluminum 01105
mg/L
pH (Lab) 00403 5.27
units
Ba - Barium 01007
ug/L
TOC 00680 <0.5
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 5
mg/L
Cd - Cadmium o1o27
ug/L
Arsenic 01002
ug/L
Chromium: Total olo34
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 o1045
ug/L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945 <5
mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes (1) ® No (0)
pecific Conductance 00095
µMhos
K - Potassium 00937
mg/L VOC 7873 method # SM 6200C
Total Ammonia 00610 <0.1
mg/L
Mg - Magnesium 00927
mg/L , method #
(Ammonia Nitrogen; N%ss N; Ammonia Nitrogen, Total)
Mn - Manganese o1055
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%
William E. Brown - ORC Li1�L��L ! �, vet 4/21/2020
Pennittee (or Authorized Agent) Name and Title - Please print or Npe Siqnature of Per`mittee (or Authorized Aqent) (Date)
GW-59 Rev. 8/2013

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENT 8 NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OF WATER RESOURCES -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: 4/30/2022
Facility Name: City
of Jacksonville Land Treatment System
Non -Discharge W00009267 UIC
NPDES Other
Permit Name (if different):
Facility Address:
716 Firetower Road
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
Jacksonville NC 28540 County Onslow
(city)
(scale) (zip)
❑ Spray Field ❑ Remediation:
Contact Person: Amy Palaschak
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name
MW-6
No. of wells to be sampled: 17
❑ Water Source Heat Pump ❑ Other:
Imam Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit):
MW-6
Date sample collected: 3/10/2020
FIELD ANALYSES:
WAS
Well Depth: 16.8 ft.
Well Diameter: 2 in.
pH 00400: 5.5 units Temp. 000lc 18.6 °C
DRY at
Depth to Water Level 82546: 3.1 ft. below measuring point Screened Interval: 3.5 ft. to
14 ft. Spec. Cond. 00094: µMhos
time sampling,
Measuring Point is 2.65 ft. above land surface
Relative M.P. Elevation: 0.45 ft.
Odor 000e5:
check
Volume of water pumped/bailed before sampling:
6.58
gallons
Appearance
here:❑
Samples for metals were collected unfiltered:
X YES
❑ NO and field acidified: X YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 43900
Laboratory Name: 1. Jacksonville 2.
Environmental Chemists Certification No. 1. 128 2. 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 <0.02
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 <0.2
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 237.5
mg/L
At -Aluminum ollo5
mg/L
pH (Lab) 00403 5.48
units
Be - Barium 01007
ug/L
TOC oo6so 7.2
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 30
mg/L
Cd - Cadmium 01027
ug/L
Arsenic olom
ug/L
Chromium: Total
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 o1045
ug/L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945 31
mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes(l) ® No(0)
pecific Conductance o0095
µMhos
K - Potassium oo937
mg/L VOC 7673 m , ethod # SM 6200C
Total Ammonia o06lo <0.1
mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen; NHsas N; Ammonia Nitrogen, Total)
Mn - Manganese 01055
ug/L method #
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L method #
GW-59 Rev. 8/2013

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OF WATER RESOURCES -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION
Please Prmt Clearly or Type
PERMIT Number: Expiration Date: 4/30/2022
Facility Name: City of Jacksonville
Land Treatment System
Non -Discharge W00009267 UIC
NPDES Other
Permit Name (if different):
Facility Address:
716 Firetower
Road
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
Jacksonville NC 28540 County Onslow
(City) (state)
(zip)
X Spray Field ❑ Remediation:
Contact Person: Amy Palaschak
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name MW-7
No. of wells to be sampled: 17
❑ Water Source Heat Pump ❑ Other:
(fiom Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-7
Date sample collected: 3/10/2020
FIELD ANALYSES:
WAS
Well Depth: 15.0 ft.
Well Diameter: 2 in.
pH oo400: 4.5 units Temp. cool[ 19.1 eC
DRY at
Depth to Water Level 62546: 3 ft. below measuring point Screened Interval: 2.5 ft. to
13 ft. Spec. Cord. 000m: µMhos
time of
sampling,
Measuring Point is 3 ft. above land surface
Relative M.P. Elevation: 0 ft.
Odor 000as:
check
Volume of water pumped/bailed before sampling:
5.76
gallons
Appearance
here:❑
Samples for metals were collected unfiltered: X
YES
❑ NO and field acidified: X YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 43900
Laboratory Name: 1. Jacksonville 2.
Environmental Chemists Certification No. 1. 128 2. 94
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N o0615 <0.02
mg/L Pb - Lead o1051 ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 0.02
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100ni
Phosphorus: Total as P oo665 <0.2
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 141
mg/L
AI- Aluminum o11o5
mg/L
pH (Lab) 00403 4.52
units
Be - Barium 01007
ug/L
TOC 00680 5.6
mg/L
Ca - Calcium oo916
mg/L
Chloride oomo 36
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total wom
ug/L
Grease and Oils 00552
mg/L
Cu - Copper o1o42
mg/L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron oto45
ug/L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945 50
mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes (1) ® No(0)
Specific Conductance 00095
µMhos
K - Potassium 00937
mg/L VOC 7673 , method # SM 6200C
Total Ammonia oo6lo <0.1
mg/L
Mg - Magnesium 00927
mg/L , method #
(Ammonia Nitrogen; NHsas N; Ammonia Nitrogen, Total)
Mn - Manganese aloes
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%
William E. Brown - ORC 2" 4/21/2020
Permiftee (or Authorized Agent) Name and Title - Please pant or type Signature of Penniftee (or Authorized Agent) (Date)
GW-59 Rev. 812013

SUBMIT FORM ON YELLOW PAPER ONLY
• •
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OF WATER RESOURCES - 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: 4/3012022
Facility Name: City of Jacksonville Land Treatment System
Non -Discharge W00009267 UIC
NPDES Other
Permit Name (if different):
Facility Address:
716 Firetower Road
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
Jacksonville NC 28540 County Onslow
(City) (stale)
(zip)
X Spray Field ❑ Remediation:
Contact Person: Amy Palaschak
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name MW-8
No. of wells to be sampled: 17
❑ Water Source Heat Pump ❑ Other:
imam Penntt
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-8
Date sample collected: 3/12/2020
FIELD ANALYSES:
WAS
Well Depth: 12.1 ft.
Well Diameter: 2 in.
pH 00400: 3.7 units Temp. 000lt 18.8 aC
DRY at
Depth to Water Level 82546: 5.4 ft. below measuring point Screened Interval: 3 ft. to
9 ft. Spec. Cond. 00094: µMhos
time of
sampling,
Measuring Point is 3 ft. above land surface
Relative M.P. Elevation: 2.4 ft.
Odor 000a5:
check
Volume of water pumped/bailed before sampling:
3.22
gallons
Appearance
here:❑
Samples for metals were collected unfiltered: X
YES
❑ NO and field acidified: X YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 43902
Laboratory Name: 1. Jacksonville 2.
Environmental Chemists Certification No. 1. 128 2. 94
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N og615 <0.02
mg/L Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 <0.02
mg/L Zn -Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P ooe65 <0.2
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 344
mg/L
Al -Aluminum oilm
mg/L
pH (Lab) 00403 3.74
units
Ba - Barium 01007
ug/L
TOC ooseo 3.6
mg/L
Ca - Calcium 00916
mg/L
Chloride 0og4o 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/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 196
mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes (1) ® No (0)
pecifc Conductance 00095
µMhos
K - Potassium 00937
mg/L VOC 7873 method # SM 6200C
Total Ammonia 00610 <0.1
mg/L
Mg - Magnesium 00927
mg/L , method #
(Ammonia Nitrogen; NHaas N; Ammonia Nitrogen, Total)
Mn - Manganese olo55
ug/L , method #
TKN as N 00625
mg/L
Ni - Nickel 01087
ug/L method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
Permittee (or Authorized Agent) Nan
GW-59 Rev. 812013

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
• •
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
DIVISION OF WATER RESOURCES - 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: 4/30/2022
Facility Name: City of Jacksonville
Land Treatment System
Non -Discharge W00009267 UIC
NPDES Other
Permit Name (if different):
Facility Address: 716 Firetower Road
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
Jacksonville NC 28540 County Onslow
(City) (Stale) (Zip)
X Spray Field ❑ Remediation:
Contact Person: Amy Palaschak
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name MW-9
No. of wells to be sampled: 17
❑ Water Source Heat Pump ❑ Other:
mm Pennit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-9
Date sample collected: 3/12/2020
FIELD ANALYSES:
WAS
Well Depth: 14.0 ft.
Well Diameter: 2 in.
pH 00400:_ units Temp. 000lo: nC
DRY at
Depth to Water Level 82546: 5.2 ft. below measuring point Screened Interval: 7 ft. to
11 ft. Spec. Cond. 00094: µMhos
time of
Measuring Point is 2.55 ft. above land surface
Relative M.P. Elevation: 2.65 ft.
Odor 00085:
sampling,
check
Volume of water pumped/bailed before sampling: 4.22
gallons
Appearance
here:®
Samples for metals were collected unfiltered: X YES
❑ NO and field acidified: X YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 43902
Laboratory Name: 1. Jacksonville 2.
Environmental Chemists Certification No. 1. 128 2. 94
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L
Nitrite (NO2) as N 00615
mg/L Pb - Lead o1o51 ug/L
Colifonn: MF Fecal 31616 /100mL
Nitrate (NOS) as N 00620
mg/L Zn - Zinc 01092 m9 /L
Coliform: MF Total 31504 /100mL
Phosphorus: Total as P ooe6s
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 mg/L
AI -Aluminum of lo5
mg/L
pH (Lab) 00403 units
Ba - Barium 01007
ug/L
TOC oo68o mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 mg/L
Cd - Cadmium oio27
ug/L
Arsenic 01002 ug/L
Chromium: Total oio34
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 oo937
mg/L VOC 7873 , method # SM 6200C
Total Ammonia oo6lo 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 VOCs: mg/L VOC Removal%
GW-59 Rev. 812013

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OF WATER RESOURCES -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: 4/30/2022
Facility Name: City of Jacksonville Land Treatment System
Non -Discharge W00009267 UIC
NPDES Other
Permit Name (if different):
Facility Address:
716 Firetower
Road
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
Jacksonville NC 28540 County Onslow
(City) (slate)
(zip)
X Spray Field ❑ Remediation:
Contact Person: Amy Palaschak
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name MW-110
No. of wells to be sampled: 17
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): Milt
Date sample collected: 3/12/2020
FIELD ANALYSES:
WAS
Well Depth: 30.1 ft.
Well Diameter: 2 in.
pH 00400: 6.4 units Temp. 000lr 23 eC
DRY at
Depth to Water Level 82546: 6.2 ft. below measuring point Screened Interval: 17 ft. to
27 ft. Spec. Cond. 00094: µMhos
time sampling,
Measuring Point is 2.9 ft. above land surface
Relative M.P. Elevation: 3.3 ft.
Odor 000ss:
check
Volume of water pumped/bailed before sampling:
11.47
gallons
Appearance
here:❑
Samples for metals were collected unfiltered: X
YES
❑ NO and field acidified: X YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 43902
Laboratory Name: 1. Jacksonville 2.
Environmental Chemists Certification No. 1. 128 2. 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 ug/L
Coliform: MF Fecal 31616 <1
/100ml-
Nitrate (NO3) as N 00620 0.02
mg/L Zn - Zinc 01092 mg/L
Coliformn: MF Total 31504
/100mL
Phosphorus: Total as P 00665 1.56
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
ssolved Solids:Total 70300 618
mg/L
AI - Aluminumoilm
mg/L
pH (Lab) 00403 6.42
units
Ba - Barium olo07
ug/L
TOC o0660 2.3
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 15
mg/L
Cd - Cadmium olo27
ug/L
Arsenic 01002
ug/L
Chromium: Total oiam
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 o1045
ug/L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate oo945 182
mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes(l) ® No(0)
pecific Conductance 00095
µMhos
K - Potassium 00937
mg/L VOC 7873 , method # SM 6200C
Total Ammonia oomo <0.1
mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen; NHaas 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 VOCs: mg/L VOC Removal%
GW-59 Rev. 8/2013

SUBMIT FORM ON YELLOW PAPER ONLY
. �.:
DEPARTMENT OF ENVIRONMENT 8 NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
;
DMSION OF WATER RESOURCES - INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
•
1617 MAIL SERVICE CENTER, RALEIGH, NC 27899.1617 Phone: [phone]
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: Expiration Date: 4/30/2022
Facility Name: City of Jacksonville
Land Treatment System
Non -Discharge WQ0009267 UIC
NPDES Other
Permit Name (if different):
Facility Address:
716 Firetower Road
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
Jacksonville NC 28540 County Onslow
(city) (State)
0P)
X Spray Field ❑ Remediation:
Contact Person: Amy Palaschak
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name MW-11
No. of wells to be sampled: 17
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-11
Date sample collected: 3/11/2020
FIELD ANALYSES:
WAS
Well Depth: 22.2 ft.
Well Diameter: 2 in.
pH 00400: 4.5 units Temp. 000lc 16.4 °C
DRY at
Depth to Water Level 82546: 6.3 ft. below measuring point Screened Interval: 5 ft. to
20 ft. Spec. Cond. 00094: µMhos
time of
sampling,
Measuring Point is 2.25 ft. above land surface
Relative M.P. Elevation: 4.05 ft.
Odor 000s5:
check
Volume of water pumped/bailed before sampling:
7.63
gallons
Appearance
here:❑
Samples for metals were collected unfiltered: X
YES
❑ NO and field acidified: X YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 43901
Laboratory Name: 1. Jacksonville 2.
Environmental Chemists Certification No. 1. 128 2. 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 aio51 uglL
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 1.08
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100ml-
Phosphorus: Total as P 00665 <0.2
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids: Total 70300 22
mg/L
Al - Aluminum 01105
mg/L
pH (Lab) 00403 4.53
units
Be - Barium 01007
ug/L
TOC oo6ao <0.5
mg/L
Ca - Calcium 00916
mg/L
Chloride oo94o <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/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 <5
mg/L
Hg - Mercury 71900
ug/L Lab ReportAttached? ❑ Yes (1) ® No (0)
pecific Conductance ooa95
µMhos
K - Potassium 00937
mg/L VOC 7873 , method # SM 6200C
Total Ammonia 00610 <0.1
mg/L
Mg - Magnesium 00927
mg/L , method #
(Ammonia Nitrogen; NH.as N; Ammonia Nitrogen, Total)
Mn - Manganese oio55
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%
William E. Brown - ORC
Permittee (or Authorized Agent) Name and Title - Please print or Npe
GW-59 Rev. 8/2013

SUBMIT FORM ON YELLOW PAPER ONLY
• •
DEPARTMENT OF ENVIRONMENT 8, NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OF WATER RESOURCES -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: 4/30/2022
Facility Name: City of Jacksonville
Land Treatment System
Non -Discharge W00009267 UIC
NPDES Other
Permit Name (if different):
Facility Address:
716 Firetower Road
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
Jacksonville NC 28540 County Onslow
(City) (stale)
(zip)
X Spray Field ❑ Remediation:
Contact Person: Amy Palaschak
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name MW-12
No. of wells to be sampled: 17
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-12
Date sample collected: 3/10/2020
FIELD ANALYSES:
WAS
Well Depth: 18.3 ft.
Well Diameter: 2 in.
pH 0040o: 5.4 units Temp. 000lc 19.6 eC
DRY at
Depth to Water Level 82546: 4.7 ft. below measuring point Screened Interval: 5 ft. to
15 ft. Spec. Cond. 00094: µMhos
—
time of
sampling,
Measuring Point is 3.04 ft. above land surface
Relative M.P. Elevation: 1.66 ft.
Odor 000s5:
check
Volume of water pumped/bailed before sampling:
6.53
gallons
Appearance
here:❑
Samples for metals were collected unfiltered: X
YES
❑ NO and field acidified: X YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 43900
Laboratory Name: 1. Jacksonville 2.
Environmental Chemists Certification No. 1. 128 2. 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 ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO,) as N ooezo <0.02
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 <0.2
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 101
mg/L
Al -Aluminum ollo5
mg/L
pH (Lab) oo im 5.4
units
Be - Barium 01007
ug/L
TOC 00680 16.4
mg/L
Ca - Calcium 00916
mg/L
Chloride oo94o 7
mg/L
Cd - Cadmium wo27
ug/L
Arsenic 01002
ug/L
Chromium: Total olo34
ug/L
Grease and Oils 00552
mg/L
Cu - Copper oio42
mg/L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron oio45
ug/L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945 20
mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes(l) ® No(0)
pecific Conductance 00095
µMhos
K - Potassium oo937
mg/L VOC 7873 method # SM 6200C
Total Ammonia oo610 <0.1
mg/L
Mg - Magnesium oo927
mg/L method #
(Ammonia Nitrogen; NHsas 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 VOIDS: mg/L Effluent Total VOCs: mg/L VOC Removal%
GW-59 Rev. 8/2013

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OF WATER RESOURCES -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: 4/30/2022
Facility Name: City of Jacksonville
Land Treatment System
Non -Discharge W00009267 UIC
NPDES Other
Permit Name (if different):
Facility Address:
716 Firetower
Road
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
Jacksonville NC 28540 County Onslow
(CnY) (state)
(zip)
X Spray Field ❑ Remediation:
Contact Person: Amy Palaschak
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name MW-13
No. of wells to be sampled: 17
❑ Water Source Heat Pump ❑ Other:
(from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-13
Date sample collected: 3/12/2020
FIELD ANALYSES:
WAS
Well Depth: 23.2 ft.
Well Diameter: 2 in.
pH 00400: 4.6 units Temp. 000lc 19.4 eC
DRY at
Depth to Water Level 82546: 13 ft. below measuring point Screened Interval: 10.5 ft. to
23.2 ft. Spec. Cond. 000s4: µMhos
time sampling,
Measuring Point is 2.75 ft. above land surface
Relative M.P. Elevation: 9.86 ft.
Odor 00085:
check
Volume of water pumped/bailed before sampling:
5.09
gallons
Appearance
here:❑
Samples for metals were collected unfiltered: X
YES
❑ NO and field acidified: X YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 43902
Laboratory Name: 1. Jacksonville 2.
Environmental Chemists Certification No. 1.128 2.94
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N oo615 <0.02
mg/L Pb - Lead o1o51 ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 <0.02
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P oo665 <0.2
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
ssolved Solids:Total 70300 74
mg/L
Al -Aluminum o11o5
mg/L
pH (Lab) oo4o3 4.55
units
Bat - Barium 01007
ug/L
TOC 00680 3.6
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 21
mg/L
Cd - Cadmium oio27
ug/L
Arsenic 01002
ug/L
Chromium: Total olo34
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 o1045
ug/L (Specify test and method M ATTACH LAB REPORT.)
Sulfate 00945 9
mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes(l) ® No(0)
pecific Conductance 00095
µMhos
K - Potassium oo937
mg/L VOC 7870 , method # SM 6200C
Total Ammonia oo6lo <0.1
mg/L
Mg - Magnesium oo927
mg/L , method #
(Ammonia Nitrogen: NHsas N; Ammonia Nitrogen. Total)
Mn - Manganese 01055
ug/L method #
TKN as N oa625
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
GW-59 Rev. 8/2013

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
• •
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
• •
•
DIVISION OF WATER RESOURCES -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH, INC 27699-1617 Phone: [phone]
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: Expiration Date: 4/30/2022
Facility Name: City of Jacksonville
Land Treatment System
Non -Discharge WQ0009267 UIC
NPDES Other
Permit Name (if different):
Facility Address:
716 Firetower Road
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
Jacksonville NC 28540 County Onslow
(cay) (state)
(zip)
X Spray Field ❑ Remediation:
Contact Person: Amy Palaschak
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name MW-14
No. of wells to be sampled: 17
❑ Water Source Heat Pump ❑ Other:
(from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-14
Date sample collected: 3/12/2020 FIELD ANALYSES:
WAS
Well Depth: 17.9 ft.
Well Diameter. 2 in.
pH oo400: 4.8 units Temp. 000lc 16.5 °C
DRY at
Depth to Water Level 82548: 11 ft. below measuring point Screened Interval: 5 ft. to
15 ft. Spec. Cond. 00094: µMhos
time
Measuring Point is 3.2 ft. above land surface
Relative M.P. Elevation: 7.9 ft.
Odor 000a5:
sampling,
check
Volume of water pumped/bailed before sampling:
3.26
gallons
Appearance
here:❑
Samples for metals were collected unfiltered: X
YES
❑ NO and field acidified: X YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 43902
Laboratory Name: 1. Jacksonville 2.
Environmental Chemists Certification No. 1. 128 2. 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 ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 <0.02
mg/L Zn -Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 <0.2
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 42.5
mg/L
AI - Aluminum o11o5
mg/L
pH (Lab) 00403 4.76
units
Ba - Barium 01007
ug/L
TOC oo68o 8.7
mg/L
Ca - Calcium 00916
mg/L
Chlodde oo94o 14
mg/L
Cd - Cadmium o1o27
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 <5
mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes (1) ® No(0)
pecific Conductance 00095
µMhos
K - Potassium 00937
mg/L VOC 7673 method # SM 6200C
Total Ammonia 00610 0.913
mg/L
Mg - Magnesium oo927
mg/L , method #
(Ammonia Nitrogen; NH�as N; Ammonia Nitrogen, Total)
Mn - Manganese o1o55
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
William E. Brown - ORC 'e (
Permittee (or Authorized Aqent) Name and Title - Please print or type Signature of Permittee (or Authorized Agent)
GW-59 Rev. 82013

SUBMIT FORM ON YELLOW PAPER ONLY
• •
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OF WATER RESOURCES - 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: 4/30/2022
Facility Name:
City of Jacksonville
Land Treatment System
Non -Discharge WQ0009267 UIC
NPDES Other
Permit Name (if different):
Facility Address:
716 Firetower
Road
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
Jacksonville NC 28540 County Onslow
(City)
(state) (2p)
X Spray Field ❑ Remediation:
Contact Person:
Amy Palaschak
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name
MWAS
No. of wells to be sampled: 17
❑ Water Source Heat Pump ❑ Other:
them Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit):
MW-15
Date sample collected: 3/11/2020
FIELD ANALYSES:
WAS
Well Depth: 15 ft.
Well Diameter: 2 in.
pH 0040o: 4.9 units Temp. o0o1r 13.7 eC
DRY at
Depth to Water Level 62546: 3.5
ft. below measuring point Screened Interval: 5 ft. to
15 ft. Spec. Cond. 00094: µMhos
time sampling,
Measuring Point is 2.9 ft.
above land surface
Relative M.P. Elevation: 0.6 ft.
Odor 000e6:
check
Volume of water pumped/bailed before sampling: 5.52
gallons
Appearance
here:❑
Samples for metals were collected unfiltered: X YES
❑ NO and field acidified: X YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed:
43901
Laboratory Name: 1. Jacksonville 2.
Environmental Chemists Certification No. 1. 128 2. 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
Coliforrn: MF Fecal 31616
<1 /1 OOmL
Nitrate (NO,) as N 00620 1.28
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 <0.2
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300
103.5 mg/L
At -Aluminum 01105
mg/L
pH (Lab) 00403
4.85 units
Ba - Barium tHoo7
ug/L
TOC ooe8o
0.9 mg/L
Ca - Calcium 00916
mg/L
Chloride o094o
40 mg/L
Cd - Cadmium 01oz7
ug/L
Arsenic 01002
ug/L
Chromium: Total olo34
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 oio45
ug/L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
<5 mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes (1) ® No (0)
pecihc Conductance 00095
µMhos
K - Potassium 00937
mg/L VOC 7872 method # SM 6200C
Total Ammonia emio
<0.1 mg/L
Mg - Magnesium oo927
mg/L , method #
(Ammonia Nitrogen; NH3 as N; Ammonia Nitrogen, Total)
Mn - Manganese oio5s
ug/L method #
TKN as N 00625
mg/L
Ni - Nickel 01067
uglL method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal
William E. Brown -ORC 4/�6GLY� C. 4/21/2020
Permitlee (or Authorized Agent) Name and Title - Please print or type Signature of Permittee (or Authorized Anent) (Date)
GW-59 Rev. 82013

SUBMIT FORM ON YELLOW PAPER ONLY
- • •
DEPARTMENT OF ENVIRONMENT 8 NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OF WATER RESOURCES -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: 4/30/2022
Facility Name: City of Jacksonville
Land Treatment System
Non -Discharge WQ0009267 UIC
NPDES Other
Permit Name (if different):
Facility Address:
716 Firetower Road
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
Jacksonville NC 28540 County Onslow
(city) (State)
(zip)
X Spray Field ❑ Remediation:
Contact Person: Amy Palaschak
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name MWA S
No. of wells to be sampled: 17
❑ Water Source Heat Pump ❑ Other:
(from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-16
Date sample collected: 3/11/2020
FIELD ANALYSES:
WAS
Well Depth: 25 ft.
Well Diameter: 2 in.
pH omoo: 4.7 units Temp. 000lc 20.6 °C
DRY at
Depth to Water Level 82546: 7.3 ft. below measuring point Screened Interval: 15 ft. to
20 ft. Spec. Cond. 00094: µMhos
time of
sampling,
Measuring Point is 2.4 ft. above land surface
Relative M.P. Elevation: 4.9 ft.
Odor 000e5:
check
Volume of water pumped/bailed before sampling:
8.50
gallons
Appearance
here:❑
Samples for metals were collected unfiltered: X
YES
❑ NO and field acidified: X YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 43901
Laboratory Name: 1. Jacksonville 2.
Environmental Chemists Certification No. 1. 128 2. 94
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N oo615 <0.02
mg/L Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NOS) as N 00620 <0.02
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 <0.2
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 59.5
mg/L
Al - Aluminum olim
mg/L
pH (Lab) 00403 4.69
units
Be - Barium 01007
ug/L
TOC 00680 1.4
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 25
mg/L
Cd - Cadmium oio27
ug/L
Arsenic 01002
ug/L
Chromium: Total olo34
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 oto45
ug/L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945 9
mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes (1) ® No (0)
Specific Conductance otiom
µMhos
K - Potassium 00937
mg/L VOC 7673 method # SM 6200C
Total Ammonia oo610 <0.1
mg/L
Mg - Magnesium 00927
mg/L , method #
(Ammonia Nitrogen; NHsas N; Ammonia Nitrogen, Total)
Mn - Manganese 01055
ug/L , method #
TKN as N 00625
mg/L
Ni - Nickel 01067
uglL , method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
William E. Brown - ORC
Pennittee (or Authorized Agent) Name and Tide - Please print or Noe
GW-59 Rev. 812013

SUBMIT FORM ON YELLOW PAPER ONLY
•
DEPARTMENT OF ENVIRONMENT 6 NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OF WATER RESOURCES- 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: 4/30/2022
Facility Name: City of Jacksonville
Land Treatment System
Non -Discharge WQ0009267 UIC
NPDES Other
Permit Name (if different):
Facility Address:
716 Firetower
Road
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
Jacksonville NC 28540 County Onslow
(City) (State)
(zip)
X Spray Field El Remediation:
Contact Person: Amy Palaschak
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name MW-17
No. of wells to be sampled: 17
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-17
Date sample collected: 3/11/2020
FIELD ANALYSES:
WAS
Well Depth: 25 ft.
Well Diameter: 2 in.
pH oD40o: 4.3 units Temp. 000lc 17.2 eC
DRY at
Depth to Water Level 62546: 5.6 ft. below measuring point Screened Interval: 15 ft. to
20 ft. Spec. Cond. 00094: µMhos
time of
sampling,
Measuring Point is 1.9 ft. above land surface
Relative M.P. Elevation: 3.7 ft.
Odor 0008s:
check
Volume of water pumped/bailed before sampling:
9.31
gallons
Appearance
here:❑
Samples for metals were collected unfiltered: X
YES
❑ NO and field acidified: X YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 43901
Laboratory Name: 1. Jacksonville 2.
Environmental Chemists Certification No. 1. 128 2. 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 (NO3) as N 00620 <0.02
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P o0665 <0.2
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 80.5
mg/L
Al - Aluminum olim
mg/L
pH (Lab) 00403 4.3
units
Ba - Barium 01007
ug/L
TOC oemo 0.7
mg/L
Ca - Calcium oogl6
mg/L
Chloride oomo 31
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total wom
ug/L
Grease and OiIS 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 oo945 9
mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes(l) ® No (0)
pecific Conductance 00095
µMhos
K - Potassium 00937
mg/L VOC 7873 method # SM 6200C
Total Ammonia 00610 <0.1
mg/L
Mg - Magnesium 00927
mg/L , method #
(Ammonia Nitrogen; NHsas 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 VOCs: mg/L VOC Removal%
William E. Brown - ORC
Permiftee (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev. 8/2013