WQ0028785_Monitoring - 03-2020_20200430 (3)

ROUNDWATER QUALITY MONITORING:
OMPLIANCE REPORT FORM
1CI LITY tN FnRMATInAI Please Prim Clearly or
T
Name:
Name (if different):
Address:
)psail Beach
SUBMIT FORM ON YELLOW OW PAPER ONLY
Queens Grant Rec Association
Queen's Grant Phase - Il
926 North Anderson Blvd
NC 28445 County
Pender
act Person: Darrell J. Covington Telephone#: [phone]
Location/Site Name: MW 1 No. of wells to be sampled:
L ID NUMBER (from Permit): MW-1
Depth: 22 ft,
1 to Water Level: 10' 4"ft. below measuring point
3
Date sample collected: 03/02/20
Well Diameter: 2 in.
Screened Interval: 2 ft.
luring Point is ft, above land surface Relative M.P. Elevation:
ne of water pumped/bailed before sampling: 5 gallons
)Ies for metals were collected unfiltered: ❑ YES ❑ NO and field Aridifie& F
4
1RTMENT OF ENVIRONMENT & NATURAL RESOURCES
ION OF WATER QUALITY -INFORMATION PROCESSING UNIT
MAIL SERVICE CENTER, RALEIGH. NC 27699.1617 Phone: [phone]
PERMIT Number:
Expiration Date: 02/28/2025
Non -Discharge WQ0028785
UiC
NPDES
Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon
❑ Remediation: Infiltration Gallery
❑ Spray Field
❑ Remediation:
❑ Rotary Distributor
❑ Land Application of Sludge
❑ Water Source Heat Pump
® Other: Surface Drip Irrigation
to 22 ft.
ft,
NO
FIELD ANALYSES.
pH 7.56 units
Spec. Cond.
Odor Clear
Appearance None
Temp. 16.6 °C DRY at
µMhos I time of
Date sample analyzed: 03102/20-03/16/20
Laboratory Name:
Environmental Chemist, Inc. Certification No. 22
PARAMETERS NOTE- Values should reflect dissolved and colloidal concentrations.
COD
mg/I
Nitrite (NO2) as N
mg11
Pb - Lead mg/I
Coliform: MF Fecal
<1 /100m1
Nitrate (NO3) as N
7.15 mg/1
Zn -Zinc mg/I
Coliform: MF Total
/100ml
Phosphorus: Total as P
0.15 mg/I
(Note: Use tdPN method for highly turbid samples)
Orthophosphate
mg/I
Other (Specify Compounds and Concentration Units):
Dissolved Solids: Total
428 mgll
Al - Aluminum
mg/I
pH (when analyzed)
units
Ba - Barium
mg/I
TOC
4.6 mg/I
Ca - Calcium
mgll
Chloride
47 mg1l
Cd - Cadmium
mg/I
Arsenic
mgp
Chromium: Total
mg/I
Grease and Oils
mg11
Cu - Copper
mgll
ORGANICS: (by GC, GC/MS, HPLC)
Phenol
mg/I
Fe - iron
mg/I
(Specify test and method A ATTACH LAB REPORT.)
Sulfate
mg/I
Hg - Mercury
mg/I
Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance
µMhos
K - Potassium
mg/1
VOC method # 7873
Total Ammonia <0.2 mgll
(Ammonia Nitrogen; NH,as N; Ammonia Nitrogen, Totai)
Mg - Magnesium
mg/I
method #
Mn -Manganese
mg/I
method #
TKN as N
mg/I
Ni - Nickel
mg/I
method #
For Remedlation Systems Only (Attach Lab Reports):
Influent Total VOCs:
mg/L Effluent Total VOCs: mg/L VOC Removal%
Y
Pennittee for Authorized Aqent) Name and Title - Please print or type Sian re or Permittee for Authorized
GW-59 Rev.112007
C

SUBMIT FORM ON)TI LQ](1i. PAPER ONLY
NDWATER QUALITY MONITORING:
LIANCE REPORT FORM
ILITY INFORMATION Please Print Clearly or Type
ity Name: Queens Grant Rec Association
tit Name (if different): Queen's Grant Phase - Il
Address: 926 North Anderson Blvd
sail Beach NC 28445 County
Pender
act Person: Darrell J. Covignton Telephone#: [phone]
Location/Site Name: MW-2 No. of wells to be sampled:
:LL ID NUMBER (from Permit): MW 2
sll Depth: 17ft,
oth to Water Level: 63": ft. below measuring point
asuring Point is 3 ft. above land surface
Lima of water pumped/bailed before sampling:
nples for metals were collected unfiltered: El YES
4
Date sample collected: 03/02/20
Well Diameter: 2 in.
Screened Interval: 2ft. to
Relative M.P. Elevation: 12.12 ft.
gallons
NO and field acidified: ❑
17 ft.
°ARTMENT OF ENVIRONMENT & NATURAL RESOURCES
ISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
7 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: (919) 733,221
Number: Expiration Date:
;harge WQ0028785 UIC
Other
PE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ® Other: Surface Drip Irrigation
WELL
FIELD ANALYSES:
pH 7.35 units
Spec. Cond.
Odor none
41 rCliR
Appearance __.Light amber here: ❑
Temp. 16.7 °C DRY at
uMhos time of
a sample analyzed: 03/02/20-03/16/20
Laboratory Name:
Environmental Chemist, Inc Certification No. 22
tAMETERS NOTE: Values should reflect dissolved and
colloidal concentrations.
COD
mg/I
Nitrite (NO2) as N
mgll
Pb - Lead mg/I
Coliform: MF Fecal
<1 /100ml
Nitrate (NOs) as N
<0.02 mg/I
Zn - Zinc mg/I
Coliform: MF Total
/100m1
Phosphorus: Total as P
0.28 mgll
(Noce: Use MPN method for highly turbid samples)
Orthophosphate
mg/l
Other (Specify Compounds and Concentration Units):
Dissolved Solids: Total
6506 mg/i
Al - Aluminum
mgll
pH (when analyzed)
units
Ba - Barium
mgA
TOG
5 mg/I
Ca - Calcium
mgA
Chloride
101 mgll
Cd - Cadmium
mg/l
Arsenic
mgll
Chromium: Total
mgA
Grease and Oils
mg/I
Cu - Copper
mg/I
ORGANICS: (by GC, GC/MS, HPLC)
Phenol
mgll
Fe - Iron
mgA
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate
mg/I
Hg - Mercury
mgH
Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance
µMhos
K - Potassium
mg/I
VOC method # 71373
Total Ammonia •5 mgA
(Ammonia Nitrogen; NH3 as N; Ammonia Nitrogen, Total)
Mg - Magnesium
mg/I
method #
Mn -Manganese
mg/I
,method #
TKN as N
mgtI
Ni - Nickel
mgA
method #
For Remediation Systems Only (Attach Lair Reports): Influent Total VOCs:
ittee (or Authorized Aqent) Name and Title - Please print or type
GW-59 Rev.112007
Effluent Total VOCs;
(or Author "zed
mg/L VOC
i3b
f Date)

SUBMIT FORM ON)TILOAPAPER ONLY
T
DWATER QUALITY MONITORING:
ANCE REPORT FORM
Name:
Name (if different):
Address:
))Sail Beach
reease rrrnr Uleany or 1 ype
Queens Grant Rec Assiciation
Queen's Grant Phase -11
926 North Anderson Blvd
NC 28445
County Pender
act Person: Darrell J. Covington Telephone#: [phone]
Location/Site Name: MW-3 No_ of wells to be sampled:
n
DEPARTMENT OF ENVIRONMENT A NATURAL RESOURCES
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
PERMIT Number:
Expiration Date: 02/28/2025
Non -Discharge WQ0028785
UIC
NPDES
Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon
❑ Remediation: Infiltration Gallery
❑ Spray Field
❑ Remediation:
❑ Rotary Distributor
❑ Land Application of Sludge
❑ Water Source Heat Pump
® Other: Surface Drip Irrigation
WELL ID NUMBER (from Permit). MW-3
Date sample collected:
03/02/20
FIELD ANALYSES;
If WELL
WAS
Well Depth: 17f1.
Well Diameter.
2 in.
pH 7.66 units Temp. 17.5 °C
DRY at
Depth to Water Level: 10' 7"ft. below measuring point
Screened Interval:
2ft. to 17ft.
Spec. Cond. µMhos
time of
MeasuringPoint is 3 ft. above land surface
Relative M.P. Elevation:
ft.
Odor Gear
sampling,
Volume of water pumped/balled before sampling:
5 gallons
Appearance Sulfur
check
here:
,Samples for metals were collected unfiltered: ❑
LA130HAIORY INFORMATION
El NO and field acidified: ❑ YES ❑ NO
..Slight
❑
Date sample analyzed: 03/02/20-03116/20
Laboratory Name:
Environmental Chemist, Inc. Certification No, 22
PARAMETERS NOTE: Values should reflect dissolved
and colloidal concentrations.
COD mg/I
Nitrite (NO2) as N
mg/I
Pb - Lead mg/I
Coliform: MF Fecal <1 /t00ml
Nitrate (NO3) as N
1.54 mg/I
Zn - Zinc mgll
Coliform: MF Total /100mi
Phosphorus: Total as P
0.13 mg/I
(Nate: Use MPN method for NgWy tvrbEd samples}
Ortha hos hate
P P
mglf
Other (Specify Compounds and Concentration Units):
Dissolved Solids: Total 280 mg/i
AI - Aluminum
mg/I
pH (when analyzed) units
Ba - Barium
mgll
TOC 0.7 mg/I
Ca - Calcium
mg/I
Chloride 46 mg/I
Cd - Cadmium
mg/l
Arsenic mg/I
Chromium: Total
mg1l
Grease and Oils mgll
Cu - Copper
mg/I
ORGANICS: (by GC, GC/MS, HPLC)
Phenol mg/I
Fe - Iron
mgh
(Specify test and method A ATTACH LAB REPORT.)
Sulfate mg/I
Hg - Mercury
mg/l
Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance µMhos
K - Potassium
mg/I
VOC method # 7873
Total Ammonia <0.2 mg/I
(Ammonia Nitrogen; NH3as N; Ammonia Nitrogen, Total)
Mg - Magnesium
mg/I
method #
Mn -Manganese
mgA
,method #
TKN as N mg/i
Ni - Nickel
mglf
method #
For Remediation Systems Only (Attach Lab Reports):
Influent Total VOCs:
m,q/L Effluent Total VOCs: mglL VDC Removal%
St,,y
rrnittee (or
GW-59
)rized Anent) Name and Title
Rev. 112007
EAU OTTI-f
h'Iease pant qr type
(or
3aIZozD

SUBMIT FORM ON YELLOW PAPER ONLY
NDWATER QUALITY MONITORING:
LIANCE REPORT FORM
lity Name:
nit Name (if different):
Please Ftn7rt clearly or Type
Queens Grant Rec Association
Queen's Grant Phase - Il
lity Address: 926 North Anderson Blvd
Topsail Beach NC 28445 County Pender
act Person: Darrell J Covington Telephone#: [phone]
Location/Site Name: MW 4 No. of wells to be sampled: 4
L ID NUMBER (from Permit): MW-4
Depth: 17 ft,
i to Water Level: 9' 6"ft. below measuring point
uring Point is 3 ft. above land surface
ne of water pumped/bailed before sampling:
lies for metals were collected unfiltered: ❑YES
Date sample collected: 03/02/20
Well Diameter: 2 in.
Screened Interval: 2ft. to 17ft.
Relative M.P. Elevation: 11.77 ft.
5 gallons
J NO and field
PARTMENT OF ENVIRONMENT & NATURAL RESOURCES
IISION OF WATER QUALITY411IFORMATION PROCESSING UNIT
17 MAIL SERVICE CENTER, RALEIGH. NC 27699.1617 Phone: (919) 733,3221
:RMIT Dumber:
Expiration Date: 02/2812025
In -Discharge WQ0028785
UIG
'DES
Other
'PE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon
❑ Remediation: Infiltration Gallery
❑ Spray Field
❑ Remediation:
❑ Rotary Distributor
❑ Land Application of Sludge
❑ Water Source Heat Pump
® Other: Surface Drip Irrigation
If WELL
FIELD ANALYSES: WAS
pH T08 units Temp. 17.1 °C DRY at
Spec. Cond. µMhos time of
Odor none
sampling,
check
Appearance light amber There: 1-1
sample analyzed: 03/02/20.03/16120
Laboratory Name:
Environmental Chemist, Inc. Certification No. 22
tAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD
mg/I
Nitrite (NO2) as N
mg/l
Pb- Lead mg/I
Conform: MF Fecal
<1 /10Uml
Nitrate (NO3) as N
0.35 mg/i
Zn - Zinc mg/I
Conform: MF Total
/loom]
Phosphorus: Total as P
0.24 mg/l
(Note: Use MPN method for highly turbid samples)
Orthophosphate
mgR
Other (Specify Compounds and Concentration Units):
Dissolved Solids: Total
349 mgll
AI - Aluminum
mg/l
pH (when analyzed)
units
Sal - Barium
mg/I
TOG
3.4 mg/I
Ca - Calcium
mg/I
Chloride
64 mg/1
Cd - Cadmium
mg/I
Arsenic
mgll
Chromium: Total
mg/t
Grease and Oils
mgll
Cu - Copper
mg/l
ORGANICS: (by GC, GCIMS, HPLC)
Phenol
mg/I
Fe - Iron
mg/1
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate
mg/1
Hg - Mercury
mg/I
Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance
µMhos
K - Potassium
mg/1
VOC method # 7873
Total Ammonia
<0.20 mgll
Mg - Magnesium
mg/I
method #
(Ammonia Nitrogen; NHaas NT Ammonia Nitrogen, Total)
Mn -Manganese
mg/l
TKN as N
mg/I
Ni - Nickel
mg/I
,method #
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs:
iittee (or Authorized Agent) Name
GW-59 Rev.112007
- Please print or type
4SN Mrsec
Effluent Total VOCs:
Perrmittee {or Authorized Anent)
mg/L VOC Removal%
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