WQ0031030_Monitoring - 03-2020_20200511

--? f _�t IAJ()()(),3
j
Enter date monitoring results were due. 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
0-
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
O
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.
5
For the constituents identified in question 4 above, have standards been exceeded previously for the
YES
NO
same constituent(s) in the same well(s) in the last two years?
If the answer to question 5 is "NO", skip to section 8.
If the answer to question 5 is "YES", list in the space provided below, each well with constituent(s) exceeding
standards, concentration(s) reported, and sample collection date for each occurrence (for the last two years).
Are the monitoring wells listed in section 5 located at or beyond the review boundary?
YES
NO
If the answer is "YES", a groundwater quality problem may be occurring. CONTACT THE REGIONAL
OFFICE IMMEDIATELY FOR GUIDANCE. If the answer is "NO", monitoring wells maybe improperly
located; contact the Regional Office.
7
Is the permittee implementing previously approved actions required by the Division involving this
YES
NO
groundwater quality problem?
If the answer to question 7 is "YES", describe those actions in the space provided below.
If the answer to question 7 is "NO", contact the Regional Office within 90 days; an evaluation may be
required to determine the impact the waste disposal system is having at the review and compliance
boundaries surrounding this facility. Failure to do so may subject the permittee to a Notice of Violation
fines, and/or penalties.
g
The person completing this portlo G W-59A) of the monitoring report should sign below and submit this
form with GW-59 forms for requiret6wells to the address provided at the top of the current GW-59 form.
1 hereby acknowledge that the above information was evaluated and the information submitted in this
report ( Hance Report GW-59A) is true and complete to the best of my knowledge.
Sign ure of Per ittee (or Authorized Agent) Dat

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
I-AULI 1 T INI-UKMA 1 IUN mease rant cleany or l ype
Facility Name: North elem
Permit Name (if different): North elem
Facility Address:
shawborow (sveel' NC 23976 County Currituck
Contact Person: Randall Marrs Telephone#: [phone]
Well Location/Site Name: surrounds holding pond No. of wells to be sampled: 7
om elm
um
11
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER
RALEIGH, NC 27699-1617 Phone: [phone]
DERMIT No. wg0031030 EXPIRATION DATE: 12/1/2015
Jon -Discharge UIC
ES
OF PERMITTED OPERATION BEING MONITORED
—Lagoon _ Remediation: Infiltration Gallery
—Spray Field _ Remediation:
_Rotary Distributor _Land Application of Sludge
Water Source Heat Pump
Other:
Well Deptt 21.9 ft. Well Diamete 2 In.
at time of sampling, Check here
Screened Interval: ft. to 162" ft.
Sample Is from system:
For Remediation System Influent/Effluent Only (Attach Lab Reports.)
Depth to Water Level: 5.2 ft. below measuring point.
❑ Influent ffluent
Influent mg/L (Total VOC Concentration)
Measuring Point is 1.5 0 ft. above land surface.
Relative M.P. Elevation in ft.
Effluent mg/L (Total VOC Concentration)
Gallons of water pumped before sampling 10.0
Date collected sample 3/5/2020
VOC Removal %
ph 6.5
Date sample analyzed:
Temp._15.2 °C Odor none apperance tan 4
r7
Laboratory Name: UNIVERSAL LABS
Certification No. 543
PARAMETERS (Samples for metals were collected unfiltered
YES NO and field acidified
YES NO.)
NOTE: Values should reflect dissolved and colloidal concentrations.
COD mg/I
Nitrite (NO2) as N
mg/I Ni - Nickel mg/I
Coliform: MF Fecal <1 /100ml
Nitrate (NO3) as N 0.97
mg/I Pb - Lead mg/I
Coliform: MF Total /100ml
Phosphorus: Total as P <1
mg/I Zn - Zinc mg/I
(Note: Use MPN method for highly turbid samples)
Orthophosphate
mg/I
Dissolved Solids: Total 229 mg/I
A I- Aluminum
mg/I Other (Specify Compounds and Concentration Units)
pH (when analyzed) units
Ba - Barium
mg/I
TOC mg/I
Ca - Calcium
mg/I
Chloride 16.9 mg/I
Cd - Cadmium
mg/I
Arsenic mg/I
Chromium: Total
mg/I
Grease and Oils mg/I
Cu - Copper
mg/I
Phenol mg/I
Fe - Iron
mg/I ORGANICS: (by GC, GC/MS, HPLC)
Sulfate mg/I
Hg - Mercury
mgll (Specify test and method #. ATTACH LAB REPORT.)
Specific Conductance uMhos
K - Potassium
mg/I Report Attached? Yes (1) No_x_ (0)
Total Ammonia <1 mg/I
Mg - Magnesium
mg/l VOC method #= 6200
(Ammonia Nitrogen; NH3 as N; Ammonia Nitrogen, Total)
Mn - Manganese
mg/I method #=
TKN as N mg/I
method #=
method #=
9
GW-59 Sign ureIf iermittWor Authorized Agent)
Rev. 11 /2005

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
FACILITY INFORMATION Please Print Clearly or Type
Facility Name: North elem
Permit Name (if different): North elem
Facility Address:
shawborow (st°t) NC 23976 County Currituck
act Person: Randall Marrs Telephone#: [phone]
Location/Site Name: surrounds holding pond No. of wells to be sampled:
(ft— e m
vven Igentlilcatlon Number (from Yermlt): mwZ
Well Depth 21.9 ft. Well Diamete 2 in.
Screened Interval: ft. to 157' ft.
Depth to Water Level: 4.8 ft. below measuring point.
Measuring Point is 1.5 0 ft. above land surface.
Gallons of water pumped before sampling 10.0
ph 6.36
Temp._15.3 °C Odor none
If WELL WAS UKY
at time of sampling, Check here
Sample is from system:
❑ Influent [
Relative M.P. Elevation in
Date collected sample
apperance tan 4
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER
RALEIGH, NC 27699-1617
PERMIT No. wg0031030 EXPIRATION DATE: 12/1/2015
Non -Discharge UIC
Phone: [phone]
OF PERMITTED OPERATION BEING MONITORED
—Lagoon Remediation: Infiltration Gallery
_Spray Field Remediation:
—Rotary Distributor Land Application of Sludge
Water Source Heat Pump
Other:
For Remediation System Influent/Effluent
]Effluent Influent mg1L (Total VOC Concentration)
Effluent mg1L (Total VOC Concentration)
3/5/2020 VOC Removal %
Laboratory Name:
Certification No.
PARAMETERS (Samples for metals were collected unfiltered YES NO and field acidified YES NO.)
NOTE: Values should reflect dissolved and colloidal concentrations.
COD
mg/I
Nitrite (NO2) as N
Coliform: MF Fecal <1
/100ml
Nitrate (NO3) as N
Coliform: MF Total
/100ml
Phosphorus: Total as P_
(Note: Use MPN method for highly turbid samples)
Orthophosphate _
Dissolved Solids: Total 233
mg/I
A I- Aluminum
pH (when analyzed)
units
Ba - Barium
TOC
mg/I
Ca - Calcium
Chloride 22.7
mg/I
Cd - Cadmium
Arsenic
mg/I
Chromium: Total
Grease and Oils
mg/I
Cu - Copper
<1
0.13
mg/I
mg/I
mg/I
mg/I
mg/I
mg/I
mg/I
mg/I
mg/I
mg/I
Ni - Nickel
Pb - Lead
Zn - Zinc
(Attach Lab
UNIVERSAL LABS
Other (Specify Compounds and Concentration Units)
Phenol
mg/I
Fe - Iron
mg/I
ORGANICS: (by GC, GC/MS, HPLC)
Sulfate
mg/I
Hg - Mercury
mg/I
(Specify test and method #. ATTACH LAB REPORT.)
Specific Conductance
uMhos
K - Potassium
mg/I
Report Attached? Yes_(I) No_x` (0)
Total Ammonia <1
mg/I
Mg - Magnesium
mg/I
VOC : method #= 6200
(Ammonia Nitrogen; NH3 as N; Ammonia Nitrogen, Total)
Mn - Manganese
mg/I
: method #=
TKN as N
mg/I
method #=
method #=

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
INFORMATION
Facility Name:
Permit Name (if different):
Facility Address:
shawborow
Please Print Clearlv or
North elem
North elem
NC 23976 County Currituck
Contact Person: Randall Marrs Telephone#: [phone]
Well Location/Site Name: surrounds holding pond No. of wells to be sampled: 7
�oT mom{
Well Identification Number (from Permit): mw3
Well Deptr 22.1 ft. Well Diamete 2 in.
Screened Interval: ft. to 15'2" ft.
Depth to Water Level: 4.9 ft. below measuring point.
Measuring Point is 1.5 0 ft. above land surface.
Gallons of water pumped before sampling 10.0
ph 6.07
WELL WAS DRY
time of sampling, Check here
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER
RALEIGH, INC 27699.1617 Phone: [phone]
wg0031030
Discharge
EXPIRATION DATE: 12/112015
UIC
TYPE OF PERMITTED OPERATION BEING MONITORED
Lagoon Remediation: Inflitration Gallery
Spray Field Remediation:
Rotary Distributor Land Application of Sludge
Water Source Heat Pump
X Other
Sample is from system: For Remediation System Influent/Effluent Only (Attach Lab Reports.)
❑ Influent ffluent Influent mg/L (Total VOC Concentration)
Relative M.P. Elevation in ft. Effluent mg/L (Total VOC Concentration)
Date sample collected: 3/5/2020 VOC Removal %
Temp.-1 5.2 °C Odor none apperance none
Date sample analyzed:
Laboratory Name: UNIVERSAL LABS
Certification No. 543
PARAMETERS (Samples for metals were collected unfiltered
YES NO and field acidified
YES
NO.)
NOTE: Values should reflect dissolved and colloidal concentrations.
COD
mg/I
Nitrite (NO2) as N
mg/I
Ni - Nickel
Coliform: MF Fecal <1
/100ml
Nitrate (NO3) as N <1
mg/I
Pb - Lead
Coliform: MF Total
/100ml
Phosphorus: Total as P 0.05
mg/I
Zn - Zinc
(Note: Use MPN method for highly turbid samples)
Orthophosphate
mg/I
Dissolved Solids: Total 146
mg/I
A I- Aluminum
mg/I
Other (Specify Compounds and Concentration Units)
pH (when analyzed)
units
Ba - Barium
mg/I
TOC
mg/I
Ca - Calcium
mg/I
Chloride 27.7
mg/I
Cd - Cadmium
mg/I
Arsenic
mg/I
Chromium: Total
mg/I
Grease and Oils
mg/1
Cu - Copper
mg/I
Phenol
mg/I
Fe - Iron
mg/I
ORGANICS: (by GC, GC/MS, HPLC)
Sulfate
mg/I
Hg - Mercury
mg/I
(Specify test and method #. ATTACH LAB REPORT.)
Specific Conductance
uMhos
K - Potassium
mg/I
Report Attached? Yes (1) No_x_ (0)
Total Ammonia <1
mg/l
Mg - Magnesium
mg/I
VOC : method #= 6200
(Ammonia Nitrogen; NH3 as N; Ammonia Nitrogen, Total)
Mn - Manganese
mg/I
method #=
TKN as N
mg/I
method #=
method #=
A
GW-59 t re ofPorrilittee (or Authorized Agent) (Date)
Rev. 11 /2005

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
INFORMA'
or Type
=acility Name: North elem.
permit Name (if different): North elem
:acility Address:
shawborow Street) NC 23976 County Currituck
a
3ontact Person: Randall Marrs Telephone#: [phone]
Nell Location/Site Name: surrounds holding pond No. of wells to be sampled: 7
(from —'Pemmi)
Nell Identification Number (from Permit): PZ2 lif WELL WAS DRY
Nell Deptf 20 ft. Well Diamete 1 in. at time of sampling, Check here
Screened Interval: 4 ft. to 20 ft. rSa7mp-le—is from system:
Depth to Water Level: 5.2 ft. below measuring point. ❑ Influent
Measuring Point is 1.5 0 ft. above land surface. Relative M.P. Elevation in
3allons of water pumped before sampling Date collected sample
Temp. °C Odor none apperance
3/5/2020
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER
RALEIGH, NC 27699-1617 Phone: [phone]
IT No. wg0031030
Non -Discharge
NPDES
EXPIRATION DATE: 7/31/2021
UIC
E OF PERMITTED OPERATION BEING MONITORED
_ Lagoon Remediation: Infiltration Gallery
_Spray Field Remediation:
—Rotary Distributor Land Application of Sludge
Water Source Heat Pump
Other
For Remediation System Influent/Effluent Only (Attach Lab Reports.,
Influent mg/L (Total VOC Concentration)
Effluent mg/L (Total VOC Concentration)
VOC Removal %
Date sample anal,,
Laboratory Name:
Certification No.
UNIVERSAL LABS
543
3ARAMETERS (Samples for metals were collected unfiltered
YES NO and field acidified
YES
NO.)
VOTE: Values should reflect dissolved and colloidal concentrations.
,OD
mg/I
Nitrite (NO2) as N
mg/I
Ni - Nickel
�oliform: MF Fecal
/100ml
Nitrate (NO3) as N
mg/I
Pb - Lead
�oliform: MF Total
/100ml
Phosphorus: Total as P
mg/I
Zn - Zinc
Note: Use MPN method for highly turbid samples)
Orthophosphate
mg/I
Dissolved Solids: Total
mg/I
A I- Aluminum
mg/I
Other (Specify Compounds and Concentration Units)
)H (when analyzed)
units
Ba - Barium
mg/I
FOC
mg/I
Ca - Calcium
mg/I
chloride
mg/I
Cd -Cadmium
mg/I
4rsenic
mg/I
Chromium: Total
mg/I
3rease and Oils
mg/I
Cu - Copper
mg/I
'henol
mg/I
Fe - Iron
mg/I
ORGANICS: (by GC, GC/MS, HPLC)
Sulfate
mg/I
Hg - Mercury
mgll
(Specify test and method #. ATTACH LAB REPORT.)
Specific Conductance
uMhos
K - Potassium
mg/I
Report Attached? Yes (1) No_x_ (0)
Total Ammonia
mg/I
Mg - Magnesium
mg/I
VOC : method #= 6200
(Ammonia Nitrogen; NH3 as N; Ammonia Nitrogen, Total)
Mn - Manganese
mg/l
method #=
rKN as N
mg/I
method #=
method #=
3W-59 Signat O Permitttwfor Authorized Agent)
Rev. 11 /2005 \ /

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
FACILITY INFORMATION
or
Facility Name: North elem
Permit Name (if different): North elem
Facility Address:
shawborow (Street) NC 23976 County Currituck
(City) (State) (Zp)
Contact Person: Randall Marrs Telephone#: [phone]
Well Location/Site Name: surrounds holding pond No. of wells to be sampled: 7
(from Permit)
Well Identification Number (from Permit): PZ3 If WELL WAS DRY
VVell Depti- 20 ft. Well Diametei 1 In. at time of sampling, Check here
Screened Interval: 4 ft. to 20 ft. Sample is from system:
Depth to Water Level: 5.3 ft. below measuring point. ❑ Influent
Measuring Point is- 1.5 0 ft. above land surface. Relative M.P. Elevation in
3allons of water pumped before sampling Date sample collected:_
M,
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER
MLGIV n, 11V LI VD.'! -IV 1/ r11U110.
NO. wg0031030
DES
1.71 1J4-0 L1
EXPIRATION DATE:
UIC
OF PERMITTED OPERATION BEING MONITORED
Lagoon
Spray Field
Rotary Distributor
Water Source Heat Pump
Other:
Remediation: I nflitratiol
Remediation:
Land Application of Slu
For Remediation System Influent/Effluent Only (Attach Lab
Influent mg/L (Total VOC Concentration)
Effluent mg/L (Total VOC Concentration)
VOC Removal %
Date sample analyzed:
Temp. °C Odor none apperance none Laboratory Name: UNIVERSAL LABc
Certification No. 543
PARAMETERS (Samples for metals were collected unfiltered
YES NO and field acidified
YES
NO.)
NOTE: Values should reflect dissolved and colloidal
concentrations.
:,OD
mg/I
Nitrite (NO2) as N
mg/I
Ni - Nickel
:�oliform: MF Fecal
/100ml
Nitrate (NO3) as N
mg/l
Pb - Lead
:�oliform: MF Total
/100ml
Phosphorus: Total as P
mg/I
Zn - Zinc
Note: Use MPN method for highly turbid samples)
Orthophosphate
mg/I
Dissolved Solids: Total
mg/I
A I- Aluminum
mg/I
Other (Specify Compounds and Concentration Unit
:)H (when analyzed)
units
Ba - Barium
mg/I
I-OC
mg/I
Ca - Calcium
mg/I
chloride
mg/l
Cd - Cadmium
mg/I
4rsenic
mg/I
Chromium: Total
mg/I
3rease and Oils
mg/I
Cu - Copper
mg/I
phenol
mg/I
Fe - Iron
mg/I
ORGANICS: (by GC, GC/MS, HPLQ
Sulfate
mg/I
Hg - Mercury
mg/I
(Specify test and method #. ATTACH LAB REPC
Specific Conductance
uMhos
K - Potassium
mg/I
Report Attached? Yes (1) No_x_ (0)
Fotal Ammonia
mg/I
Mg - Magnesium
mg/I
VOC : method #= 6200
(Ammonia Nitrogen; NH3 as N; Ammonia Nitrogen, Total)
Mn - Manganese
mg/I
: method #=
FKN as N
mg/1
method #=
3W-59
Rev. 11 /2005

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: [phone]
FACILITY INFORMATION Please Print Clearly or Type
PERMIT No. wg0031030 EXPIRATION DATE: 7131/2021
Facility Name: North elem
Non -Discharge UIC
permit Name (if different): North elem
NPDES
Facility Address:
shawborow (Street) NC 23976
County Currituck
TYPE OF PERMITTED OPERATION BEING MONITORED
(City) (rate) (zip)
Lagoon Remediation: Inflitration Gallery
�ontact Person: Randall Marrs
Telephone#: [phone]
Spray Field Remediation:
Nell Location/Site Name: surrounds holding pond
No. of wells to be sampled: 7
Rotary Distributor Land Application of Sludge
(from Permit)
Water Source Heat Pump
X other:
(Nell Identification Number (from Permit): PZ4
If WELL WAS DRY
Nell Deptl• 20 ft. Well Diamete 1 In.
at time of sampling, Check here
For Remediation System Influent/Ef luent Only (Attach Lab Reports.)
Screened Interval: 4 ft. to 20 ft. Sample is from system:
Depth to Water Level: 5.4 ft. below measuring point.
❑ Influent Dffluent
Influent mg/L (Total VOC Concentration)
Vleasuring Point is 1.5 0 ft. above land surface.
3allons of water pumped before sampling
Relative M.P. Elevation in ft.
Date sample collected:_3/5/2020
Effluent mg/L (Total VOC Concentration)
VOC Removal %
Date sample analyzed:
Temp. °C Odor none apperance
none
Laboratory Name: UNIVERSAL LABS
Certification No. 543
DARAMETERS (Samples for metals were collected unfiltered YES NO and field acidified,
VOTE: Values should reflect dissolved and colloidal concentrations.
SOD
mg/I
Nitrite (NO2) as N
'oliform: MF Fecal
/100m1
Nitrate (NO3) as N
;oliform: MF Total
/100ml
Phosphorus: Total as P
Note: Use MPN method for highly turbid samples)
Orthophosphate
Dissolved Solids: Total
mg/I
A I- Aluminum
)H (when analyzed)
units
Ba - Barium
roc
mg/I
Ca - Calcium
YES NO.)
mg/I
mg/I
mg/I
mg/I
mg/I
mg/I
mg/I
Ni - Nickel
Pb - Lead
Zn - Zinc
Other (Specify Compounds and Concentration Units)
;hloride
mg/I
Cd - Cadmium
mg/1
arsenic
mg/I
Chromium: Total
mg/I
3rease and Oils
mg/I
Cu - Copper
mg/I
'henol
mg/I
Fe - Iron
mg/I
ORGANICS: (by GC, GC/MS, HPLC)
Sulfate
mg/I
Hg - Mercury
mg/I
(Specify test and method #. ATTACH LAB REPORT.)
Specific Conductance
uMhos
K - Potassium
mg/I
Report Attached? Yes (1) No_x_ (0)
total Ammonia
mg/I
Mg - Magnesium
mg/I
VOC : method #= 6200
(Ammonia Nitrogen; NH3 as N; Ammonia Nitrogen, Total)
Mn - Manganese
mg/I
method #=
rKN as N
mg/I
: method #=
method #=
Permittee
IkVr/A W4 - it -
me and Title - Please print or type
U1M
3W-59 Signa re ojPermittw(or Authorized Agent)
Rev. 11 /2005
(Date)