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Home My WebLink AboutWQ0002520_Monitoring - 11-2019_20200309SUBMIT FORM ON YELLOW PAPER ONLY • • DEPARTMENT OF ENVIRONMENTAL QUALITY - DIV. OF WATER RESOURCES GROUNDWATER QUALITY MONITORING: INFORMATION PROCESSING UNIT COMPLIANCE REPORT FORM • • 1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: 919-807-6306 FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date: 4/30/22 Facility Name: Town of Bath Non -Discharge WQ0002520 UIC Permit Name (if different): NPDES Other Facility Address: TYPE OF PERMITTED OPERATION BEING MONITORED 9 Lagoon ❑ Remediation: Infiltration Gallery County Beaufort A Spray Field ❑ Remediation: Contact Person: Sonny Grant Telephone#: 252/945-8734 ❑ Rotary Distributor ❑ Land Application of Sludge Well Location/Site Name: Possum Hill RD. No. of wells to be sampled: 6 ❑ Water Source Heat Pump ❑ Other: (from Permit) SAMPLING INFORMATION If WELL WELL ID NUMBER (from Permit): #1 Date sample collected: 11/13/19 FIELD ANALYSES: WAS Well Depth: 16 ft. Well Diameter: 2 in. pH 00400 units Te p. ooio: °C DRY at Depth to Water Level 82546:9 3 ft. below measuring point Screened Interval: ft. to _ ft. Spec. Cond. 00094: µMhos time of sampling, Measuring Point is 2 ft. above land surface Relative M.P. Elevation: ft. Odor 00085: check Volume of water pumped/bailed before sampling: 1 gallons Appearance MAR 1 2020 here: Samples for metals were collected unfiltered: ❑ YES ❑ NO and field acidified: ❑ YES ❑ NO LABORATORY INFORMATION Date sample analyzed: Laboratory Name: Environment 1 INC. Certification No. 373 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 Coliform: MF Fecal 31616 <1 /100mL Nitrate (NO3) as N 00620 0.05 mg/L Zn - Zinc 01092 mg/L Coliform: MF Total 31504 /100mL Phosphorus: Total as P 00665 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 oilo5 mg/L ''� pH (Lab) 00403 units Ba - Barium 01007 ug/L ° —' V E_ TOC 00680 4.68 mg/L Ca - Calcium oo916 mg/L MAR aT'in�n Chloride 0094o 29 mg/L Cd - Cadmium 01027 ug/L Arsenic 01002 ug/L Chromium: Total 01034 ug/L c'n r�•^Lira Ur.:( Grease and Oils 00552 mg/L Cu - Copper 01042 mg/L ORGANICS: (by GC, GC/MS, H� 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 7873 method # Total Ammonia 00610 0.17 mg/L Mg - Magnesium 00927 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% I GW-59 Rev.05-02-2017 SUBMIT FORM ON YELLOW PAPER ONLY • . DEPARTMENT OF ENVIRONMENTAL QUALITY - DIV. OF WATER RESOURCES GROUNDWATER QUALITY MONITORING: • • iNFORMATGONPROCESSING UNIT COMPLIANCE REPORT FORM • • 16,17 MAIL SERVICE CENTER, RALEIGH, NO 270994617 Phone.,910-8074306 FACILITY INFORMATION Please Print Clearly or Type PERMIT Number. Expiration Date: 4/30/22 Facility Name: Town of Bath Non -Discharge WQ0002520 UIC Permit Name (if different): NPDES Other Facility Address: TYPE OF PERMITTED OPERATION BEING MONITORED County Beaufort 0 Lagoon ❑ Remediation: Infiltration Gallery ■❑ Spray Field ❑ Remediation: Contact Person: Sonny Grant Telephone#: 252/945-8734 ❑ Rotary Distributor ❑ Land Application of Sludge Well Location/Site Name: Possum Hill RD. No. of wells to be sampled: 6 ❑ Water Source Heat Pump ❑ Other: Nom Permit) SAMPLING INFORMATION If WELL WELL ID NUMBER (from Permit): #4 Date sample collected: 11/13/19 FIELD ANALYSES: WAS Well Depth: 16 ft. Well Diameter: 2 in. pH 00400: units Temp. 000lo: °C DRY at Depth to Water Level 82546:10.25 ft. below measuring point Screened Interval: ft. to ft, Spec. Cond. 00094: µMhos time of 2 sampling, Measuring Point is ft. above land surface Relative M.P. Elevation: ft. Odor 000m: check Volume of water pumped/bailed before sampling: 1 gallons Appearance here: Samples for metals were collected unfiltered: ❑ YES ❑ NO and field acidified: ❑ YES ❑ NO LABORATORY INFORMATION Date sample analyzed: Laboratory Name: Environment 1 INC. Certification No. 373 PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. COD 00335 mg/L Nitrite (NO2) as N oo615 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 oo665 mg/L (Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other (Specify Compounds and-6yor>�entration Units): issolved Solids:Total 70300 mg/L Al - Aluminum o11o6 mg/L pH (Lab) 00403 units Ba - Barium 01007 ug/L TOC 00680 1.30 mg/L Ca - Calcium 00916 mg/L '.zon Chloride 00940 64 mg/L Cd - Cadmium 01027 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 mg/L Hg - Mercury 71900 ug/L Lab Report Attached? ❑ Yes (1) ❑ No (0) Specific Conductance 00095 µMhos K - Potassium 00937 mg/L VOC 7873 method # Total Ammonia oo610 0.10 mg/L Mg - Magnesium 00927 mg/L method # (Ammonia Nitrogen, NH3asN; Ammonia Nitrogen, Total) Mn - Manganese o1o55 ug/L , method # TKN as N 00625 mg/L Ni - Nickel 01067 ug/L method # RemediationFor Only r p.rts): Influent Total• ./L Effluent Total VOCs:• • 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 DWR-certified laboratory. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. - Garland Samuel Grant Ill Permittee (or Authorized Agent) Name and Title - Please print or type 4/30/22 Signature of Permittee (or Authorized Agent) (Date) GW-59 Rev.05-02-2017 SUBMIT FORM ON YELLOW PAPER ONLY DEPARTME T OF ENVIRONMENTAL QUALITY - DIV. OF WATER RESOURCES GROUNDWATER QUALITY MONITORING: INFORMATION PROCESSING UNIT COMPLIANCE REPORT FORM 1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: 919-807-6306 FACILITY INFORMATION Please Print Clearfy or Type PERMIT Number: Expiration Date: 4/30/22 Facility Name: Town of Bath Non -Discharge WQ0002520 UIC Permit Name (if different): NPDES Other Facility Address: TYPE OF PERMITTED OPERATION BEING MONITORED 0 Lagoon ❑ Remediation: Infiltration Gallery County Beaufort Spray Field ❑ Remediation: Contact Person: Sonny Grant Telephone#: 252/945-8734 ❑ Rotary Distributor ❑ Land Application of Sludge Well Location/Site Name: Possum Hill RD, No. of wells to be sampled: 6 ❑ Water Source Heat Pump ❑ Other: (from Permit) SAMPLING INFORMATION If WELL WELL ID NUMBER (from Permit): #4 Date sample collected: 7/30/19 FIELD ANALYSES: WAS Well Depth: 16 ft. Well Diameter: 2 in. pH 00400 units Temp. 000lo: °C DRY at Depth to Water Level e2546:10.25 ft. below measuring point Screened Interval: ft. to _ft. Spec. Cond. 000sa µMhos time ofsampling, Measuring Point is 2 ft. above land surface Relative M.P. Elevation: ft. Odor 00085: check Volume of water pumped/bailed before sampling: 1 gallons Appearance here: ❑ Samples for metals were collected unfiltered: ❑ YES ❑ NO and field acidified: ❑ YES ❑ NO LABORATORY INFORMATION Date sample analyzed: Laboratory Name: Environment 1 INC. Certification No. 373 PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. COD 00335 mg/L Nitrite (NO2) as N 00615 mg/L Pb - Lead olo51 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 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 Al - Aluminum oil o5 mg/L pH (Lab) 00403 units Ba - Barium 01007 ug/L TOC oosao 1.30 mg/L Ca - Calcium 00916 mg/L Chloride 0094o 64 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 7873 method # Total Ammonia 00610 0.10 mg/L Mg - Magnesium 00927 mg/L method # (Ammonia Nitrogen, NH3as N. Ammonia Nitrogen, Total) Mn - Manganese olo55 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% Garland Samuel Grant III Permittee (or Authorized Agent) Name and Title - Please print or type GW-59 Rev.05-02-2017 SUBMIT FORM ON YELLOW PAPER ONLY DEPARTMENT OF,ENVIRONMENTAL QUALITY - DIV. OF WATER RESOURCES GROUNDWATER QUALITY MONITORING: INFORMATION PROCESSING UNIT COMPLIANCE REPORT FORM 1817 MAIL SERVICE CENTER, RALEIGH, NC 27699-1817 Phone: 919.807.6306 FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date: 4/30122 Facility Name: Town of Bath Non -Discharge WQ0002520 UIC Permit Name (if different): NPDES Other Facility Address: TYPE OF PERMITTED OPERATION BEING MONITORED ❑■ Lagoon ❑ Remediation: Infiltration Gallery County Beaufort IN Spray Field ❑ Remediation: Contact Person: Sonny Grant Telephone#: 2521945-8734 ❑ Rotary Distributor ❑ Land Application of Sludge Well Location/Site Name: Possum Hill RD. No. of wells to be sampled: 6 ❑ Water Source Heat Pump ❑ Other: (from Permit) SAMPLING INFORMATION If WELL WELL ID NUMBER (from Permit): #5 Date sample collected: 11 /13119 FIELD ANALYSES: WAS Well Depth: 16 ft. Well Diameter: 2 in. pH 00400: units Temp. 000lo: °C DRY at Depth to Water Level 82546:9 4 ft. below measuring point Screened Interval: ft. to _ft. Spec. Cond. 00094: µ Mhos time of sampling, Measuring Point is 2 ft. above land surface Relative M.P. Elevation: ft. Odor 00085: check Volume of water pumped/bailed before sampling: 1 gallons Appearance here:❑ Samples for metals were collected unfiltered: ❑ YES ❑ NO and field acidified: ❑ YES ❑ NO LABORATORY INFORMATION Date sample analyzed: Laboratory Name: Environment 1 INC. Certification No. 373 PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. COD 00335 mg/L Nitrite (NO2) as N 00615 mg/L Pb - Lead 01051 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 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 Al - Aluminum o11o5 mg/L %) 1 pH (Lab) 00403 units Ba - Barium 01007 ug/L TOC 00680 1.18 mg/L Ca - Calcium oo916 mg/L Chloride 00940 113 mg/L 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, 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 0009s µMhos K - Potassium 00937 mg/L VOC 7873 method # Total Ammonia 00610 0.38 mg/L Mg - Magnesium 00927 mg/L method # (Ammonia Nitrogen; NH3asN; Ammonia Nitrogen, Total) Mn - Manganese olo55 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% Garland Samuel Grant III Pennittee (or Authorized Agent) Name and Title - Please print or type GW-59 Rev.05-02-2017 4/30/22 Signature of Permittee (or Authorized Agent) (Date) SUBMIT FORM ON YELLOW PAPER ONLY GROUNDWATER QUALITY MONITORING: COMPLIANCE REPORT FORM or Name: Town of Bath Name (if different): _ Address: County Beaufort act Person: Sonny Grant Telephone#: 252/945-8734 Location/Site Name: Possum Hill RD. No. of wells to be sampled: 6 L ID NUMBER (from Permit): #5 Depth: 16 ft. i to Water Level 82546:9-4 ft. below measuring point ,uring Point is 2 ft. above land surface ne of water pumped/bailed before sampling: 1 )les for metals were collected unfiltered: ❑ YES C Date sample collected: 7/30/19 Well Diameter: 2 in. Screened Interval: ft. Relative M.P. Elevation: gallons NO and field acidified: ❑ YES DEPARTMENT OF ENVIRONMENTAL QUALITY - DIY. OF WATER RESOURCES IWORMATION PROCESSING UNIT 1617 MAIL SERVICE CENTER, RALEIGH, NC 27699.1817 Phone: 919-807. 306 PERMIT Number: Expiration Date: 4/30/22 Non -Discharge WQ0002520 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: to _ ft. ft. [kilo] FIELD ANALYSES: pH 00400: units Spec. Cond. 00094: Odor 00085: Appearance Temp. 000lo: °C DRY at uMhos time of Date sample analyzed: Laboratory Name: Environment 1 INC. Certification No. 373 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 Coliform: MF Fecal 31616 <1 /100mL Nitrate (1403) as N 00620 <0.04 mg/L Zn - Zinc 01092 mg/L Coliform: MF Total 31504 /100mL Phosphorus: Total as P 00665 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 All - Aluminum 01105 mg/L pH (Lab) 00403 units Ba - Barium 01007 ug/L TOC 006801.18 mg/L Ca - Calcium 00916 mg/L Chloride 00940 113 mg/L Cd - Cadmium 01027 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 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 # Total Ammonia ooslo 0.38 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 o1o67 ug/L method # For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal% check here: El GW-59 Rev.05-02-2017 SUBMIT FORM ON YELLOW PAPER ONLY • • DEPARTMENT OF ENVIRONMENTAL QUALITY - DIV. OF WATER RESOURCES GROUNDWATER QUALITY MONITORING: INFORMATION PROCESSING UNIT COMPLIANCE REPORT FORM • • • • 1617 MAIL SERVICE CENTER, RALEIGH, NC 27699.1617 Phone: 919-807-6306 FACILITY INFORMATION Please Print Cleariy or Type PERMIT Number: Expiration Date: 4/30/22 Facility Name: Town of Bath Non -Discharge WQ0002520 UIC Permit Name (if different): NPDES Other Facility Address: TYPE OF PERMITTED OPERATION BEING MONITORED 0 Lagoon ❑ Remediation: Infiltration Gallery County Beaufort RE-1 Spray Field ❑ Remediation: Contact Person: Sonny Grant Telephone#: 252/945-8734 ❑ Rotary Distributor ❑ Land Application of Sludge Well Location/Site Name: Possum Hill RD. No. of wells to be sampled: 6 ❑ Water Source Heat Pump ❑ Other: (from Permit) SAMPLING INFORMATION If WELL WELL ID NUMBER (from Permit): #10 Date sample collected: 11/13/19 FIELD ANALYSES: WAS Well Depth: 30 ft. Well Diameter: 4 in. pH 00400: units Temp. 000lo: °C DRY at Depth to Water Level 82546:10.0 ft. below measuring point Screened Interval: ft, to ft. Spec. Cond. 00094: µMhos time of sampling, Measuring Point is 2 ft. above land surface Relative M.P. Elevation: ft. Odor 00085: check Volume of water pumped/bailed before sampling: 1 gallons Appearance here:❑ Samples for metals were collected unfiltered: ❑ YES ❑ NO and field acidified: ❑ YES ❑ NO LABORATORY INFORMATION Date sample analyzed: Laboratory Name: Environment 1 INC. Certification No. 373 PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. COD 00335 mg/L Nitrite (NO2) as N 00615 mg/L Pb - Lead 01051 ug/L Coliform: MF Fecal 31616 <1 /100mL Nitrate (1103) as N 00620 0.07 mg/L Zn - Zinc 01092 mg/L Coliform: MF Total 31504 /100mL Phosphorus: Total as P 00665 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 Al - Aluminum oil o5 mg/L pH (Lab) 00403 units Ba - Barium 01007 ug/L TOC oo68o <1.00 mg/L Ca - Calcium 00916 mg/L Chloride 00940 19 mg/L Cd - Cadmium 01027 ug/LT�� 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 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 # Total Ammonia oo6lo 0.13 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.05-02-2017 SUBMIT FORM ON YELLOW PAPER ONLY • • DEPARTMENT OF ENVIRONMENTAL QUALITY - DIV. OF WATER RESOURCES GROUNDWATER QUALITY MONITORING: INFORMATION PROCESSING UNIT COMPLIANCE REPORT FORM • • 1617 MAIL SERVICE CENTER, RALEIGH, NC 27699.1617 Phone: 919-807-6306 FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date: 4/30/22 Facility Name: Town of Bath Non -Discharge WQ0002520 UIC NPDES Other Permit Name (if different): Facility Address: P.O. Drawer 6A NC 27808 TYPE OF PERMITTED OPERATION BEING MONITORED FE] Lagoon ❑ Remediation: Infiltration Gallery P.O. Drawer 6A NC 27808 County Beaufort ❑K Spray Field ❑ Remediation: Contact Person: Sonny Grant Telephone#: 252/945-8734 ❑ Rotary Distributor ❑ Land Application of Sludge Well Location/Site Name: Possum Hill RD, No. of wells to be sampled: 6 ❑ Water Source Heat Pump ❑ Other: from Permit SAMPLING INFORMATION If WELL WELL ID NUMBER (from Permit): #11 Date sample collected: 11/13/19 FIELD ANALYSES: WAS Well Depth: 30 ft. Well Diameter: 4 in. pH 00400 units Temp. 000lo °C DRY at Depth to Water Level e2546:10.0 ft. below measuring point Screened Interval: ft. to _ft. Spec. Cond. 000sa µMhos time ofsampling, Measuring Point is 2 ft. above land surface Relative M.P. Elevation: ft. Odor 00085, check Volume of water pumped/bailed before sampling: 1 gallons Appearance here: ❑ Samples for metals were collected unfiltered: ❑ YES ❑ NO and field acidified: ❑ YES ❑ NO LABORATORY INFORMATION Date sample analyzed: Laboratory Name: Environment 1 INC. Certification No. 373 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 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 oo665 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 Al -Aluminum o1105 mg/L pH (Lab) 00403 units Ba - Barium 01007 ug/L TOC 00680 <1.00 mg/L Ca - Calcium 00916 mg/L Chloride 00940 16 mg/L 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, 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 7873 method # Total Ammonia 00610 0.09 mg/L Mg - Magnesium 00927 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% Garland Samuel Grant III Permittee (or Authorized Agent) Name and Title - Please print or type �) r) GW-59 Rev.05-02-2017 SUBMIT FORM ON YELLOW PAPER ONLY • • DEPARTMENT OF ENVIRONMENTAL QUALITY - DIV. OF WATER RESOURCES GROUNDWATER QUALITY MONITORING: INFORMATION PROCESSING UNIT COMPLIANCE REPORT FORM • • • • 1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: 919-807-6306 FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date: 4/30/22 Facility Name: Town of Bath Non -Discharge WQ0002520 UIC Permit Name (if different): NPDES Other Facility Address: P.O. Drawer 6A NC 27808 TYPE OF PERMITTED OPERATION BEING MONITORED 9 Lagoon ❑ Remediation: Infiltration Gallery P.O. Drawer 6A NC 27808 County Beaufort 0 Spray Field ❑ Remediation: Contact Person: Sonny Grant Telephone#: 252/945-8734 ❑ Rotary Distributor ❑ Land Application of Sludge Well Location/Site Name: Possum Hill RD. No. of wells to be sampled: 6 ❑ Water Source Heat Pump ❑ Other: (from Permit SAMPLING INFORMATION If WELL WELL ID NUMBER (from Permit): #12 Date sample collected: 11/13/19 FIELD ANALYSES: WAS Well Depth: 30 ft. Well Diameter: 4 in. pH 00400: units Temp. 000lo: °C DRY at Depth to Water Level 82546:10.0 ft. below measuring point Screened Interval: ft. to ft. Spec. Cond. 00094: µMhos time of sampling, Measuring Point is 2 ft. above land surface Relative M.P. Elevation: ft. Odor 00085: check Volume of water pumped/bailed before sampling: 1 gallons Appearance here:❑ Samples for metals were collected unfiltered: ❑ YES ❑ NO and field acidified: ❑ YES ❑ NO LABORATORY INFORMATION Date sample analyzed: Laboratory Name: Environment 1 INC. Certification No. 373 PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. COD 00335 mg/L Nitrite (NO2) as N oo615 mg/L Pb - Lead o1o5i ug/L Coliform: MF Fecal 31616 <1 /100mL Nitrate (NO3) as N 00620 0.05 mg/L Zn - Zinc 01092 mg/L Coliform: MF Total 31504 /100mL Phosphorus: Total as P 00665 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 Al -Aluminum o11o5 mg/L R P ! Y Fn pH (Lab) 00403 units Ba - Barium o1oo7 ug/L TOC 00680 <1.00 mg/L Ca - Calcium 00916 mg/L - Chloride 0094o 32 mg/L Cd - Cadmium 01027 ug/L Arsenic 01002 ug/L Chromium: Total 01034 ug/L r#NWOG 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 7873 method # Total Ammonia o0610 0.17 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 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.05-02-2017