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Home My WebLink AboutWQ0001664_Monitoring - 03-2020_20200511SUBMIT FORM ON YELLOW PAPER ONLY GROUNDWATER QUALITY MONITORING: COMPLIANCE REPORT FORM Print Clearly or Type Facility Name: Belvedere Plantation Permit Name (if different): Facility Address: 130 Fairway Dr Hampstead N.C. 28443 County Pender S a!e} ;Zip) Contact Person: Greg Spillman Telephone#: 252-241-0661 Well Location/Site Name Between Basin B & C No. of wells to be sampled: 0 WTMtyNT OF ENVIRONMENT & NATURAL RESOURCES ,1014OF WATER RESOURCES - IWOOMATION PROCESSING UNIT MAIL $ERvICE CENTER, RALSIGK NC 27$99.1617 Phone: Si9-07.630$ PERMIT Number: Expiration Date: 1/31/2020 Non -Discharge WQ0001664 U►C 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: INFILTRATION BASINS WELL ID NUMBER (from Permit): MW15 Date sample collected: 3/6/2020 FIELD ANALYSES: If WELL WAS Well Depth: 18 ft. Depth to Water Level Well Diameter: 2 in. pH 00400: 4.6 units Temp. 000ic 16.2 °C DRY at 82546: 16 Screened Interval: 5 ft. to 15 ft. Spec. Cond. 00094: µMhos time of Measuring Point is 3 ft. above land surface Relative M.P. Elevation: ft. Odor 00085: Sulfur sampling, Volume of water um ed/bailed before sampling.- 5 p p p 9' gallons check Samples for metals were collected unfiltered: ❑ YES ❑ NO and field acidified: ❑ YES ❑ NO Appearance here:❑ LABORATORY INFORMATION Date sample analyzed: 3/6/2020 Laboratory Name: PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. Environmental Chemists, Inc. Certification No. 94 COD 00335 mg/L Nitrite (NO2) as N 00615 0.02 mg/L Pb - Lead 01051 u /L g Coliform: MF Fecal 31616 <1 1100mL Nitrate (NO3) as N 00620 0.06 mg/L Zn -Zinc 01092 mg/L Coliform: MF Total 31504 /100mL Phosphorus.- Total as P 00665 0.63 mg/L (Note: Use MPN method for highly turbid samples) lissolved Solids:Total 70300 248 Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units): mg/L Al -Aluminum oilos mg/L pH (Lab) 00403 4.6 units Ba - Barium 01007 ug/L TOC oo6so mg/L Ca - Calcium 00916 mg/L Chloride 00940 12 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 ORGA��,f RLC) Phenol 32730 ug/L Fe -Iron 01045 u /L g (Specify test and method #. ATTACH LAB REPORT.) Sulfate 00945 pecific Conductance 00095 mg/L µMhos Hg - Mercury 71900 ug/L Lab Report Attached? ❑ Yes (1) ❑ No (0) Total A K - Potassium 00937 mg/L VOC 7873 method # mmonla o0610 <U.2 mg/L Mg - Magnesium 00927 mg/L (Ammonia Nitrogen; NH3 as N, Ammonia Nitrogen, Total) Mn -Manganese o1055 ug/L TKN as N 00625 mg/L Ni - Nickel 01067 ug/L For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: method # method # _ method # mg/L VOC Removal% Permittee (or Authorized Acient) Name ancr itle Pleas6 pant or type Signature of Permittee (or Authorized Aqent) (Date) GW-59 Rev.8/2013 SUBMIT FORM ON YELLOW PAPER ONLY GROUNDWATER QUALITY MONITORING: COMPLIANCE REPORT FORM Print Clearly or Facility Name: Belvedere Plantation Permit Name (if different): Facility Address: 130 Fairway Dr Hampstead N.C. 28443 County Pender tact Person: Greg Spillman Telephone#: 252-241-0661 1 Location/Site Name # 3 Green No. of wells to be sampled: M. t3EPARTMENT OF ENVIRONMENT a NATURAL RESOURCES — DIVISION OF WATER RESOURCES - INFORMATION PROCESSING UNIT 160 AWL SERVICE CENTER, RALEIGK NC 27699-1617 Phratte: 919407-63o6 PERMIT Number: Expiration Date: 1/31/2020 Non -Discharge WQ0001664 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: INFILTRATION BASIN WELL ID NUMBER from Permit): MW7 ( ) Date sample collected: 3/6/2020 FIELD ANALYSES: If WELL WAS Well Depth: 17 ft. Well Diameter: Depth to Water Level 82546: 3.2 ftbelow measuring Screened 2 in. pH 00400: 6.1 units Temp. 000lc 13.9 °C DRY at Measuring Point is 3 point Interval: 5 ft. to 15 ft. Spec. Cond. 00094: µMhos time of ft. above land surface Relative M.P. Elevation: ft. Odor 00085: None sampling, Volume of water um ed/bailed before sampling.- 5 p p p g' gallons check Samples for metals were collected unfiltered: ❑ YES ❑ NO and field acidified: ❑ YES ❑ NO Appearance None here:❑ LABORATORY INFORMATION Date sample analyzed: 3/6/2020 Laboratory Name: PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. Environmental Chemists, Inc. Certification No. 94 COD 00335 mg/L Coliform: MF Fecal 31616 Nitrite (NO2) as N 00615 <0.02 mg/L Pb - Lead 01051 u /L g <5 /100mL Nitrate (NO3) as N 00620 0.87 mg/L Zn -Zinc 01092 mg/L Coliform: MF Total 31504 /100mL Phosphorus: Total as P 00665 0.91 mg/L (Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units): issolved Solids:Total 70300 65 mg/L Al -Aluminum oiim mg/L pH (Lab) 00403 6.1 units Ba - Barium 01007 ug/L TOC 00680 mg/L Ca - Calcium 00916 mg/L Chloride 00940 12 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 ug1L Lab Report Attached? ❑ Yes (1) ❑ No (0) pecific Conductance 00095 µMhos K - Potassium 00937 mg/L VOC 7873 method # Total Ammonia 00610 <0.2 mg/L (Ammonia Nitrogen; NH3 as N; Ammonia Nitrogen, Total) Mg - Magnesium 00927 mg/L method # Mn -Manganese 01055 ug/L # TKN as N 00625 mg/L Ni - Nickel 01067 ug/L ,method method # For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal% e (or Authorized Agent) Nar GW-59 Rev.8/2013 Title - . s e print or type -: �11 -! y-Z Siqnature of Permi tee (or Authorized Aqent) (Date) SUBMIT FORM ON YELLOW PAPER ONLY GROUNDWATER QUALITY MONITORING: ' COMPLIANCE REPORT FORM • • FACILITY INFORMATION Please Print Clearly or Type Facility Name: Belvedere Plantation Permit Name (if different): Facility Address: 130 Fairway Dr Hampstead N.C. 28443 County Pender Contact Person: Greg Spillman Telephone#: 252-241-0661 Well Location/Site Name # 7 Green No. of wells to be sampled: 9 P6PARTMENt OF ENVIRONMENT & NATURAL RESOURCES SION Off` WATER RESOURCES. INFORMATION PROCESSING UNIT WI MAX $EAVICE CENTER, RALEIGH, NC 274994617 Phone.919- 67�M6 PERMIT Number: Expiration Date: 1/31/2020 Non -Discharge WQ0001664 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: INFILTRATION BASINS WELL ID NUMBER (from Permit): MW8 Date sample collected: 3/6/2020 FIELD ANALYSES: If WELL WAS Well Depth: 18 ft. Well Diameter: 2 in. pH 00400: 6.2 units Temp. 000lt: 157 °C DRY at Depth to Water Level 82546. 6.9 Screened Interval: 5 ft. to 15 ft. Spec. Cond. 00094: µMhos time of Measuring Point is 3 ft. above land surface Relative M.P. Elevation: ft. Odor 00085: None sampling, Volume of water pumped/bailed before sampling: 5 P 9 gallons check Samples for metals were collected unfiltered: ❑ YES ❑ NO and field acidified: ❑ YES ❑ NO Appearance None here:❑ LABORATORY INFORMATION Date sample anal zed 3/6/2 Y 020 Laboratory Name: PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. Environmental Chemists, Inc. Certification No. 94 COD 00335 mg/L Nitrite (NO2) as N 00615 0.1 mg/L Pb - Lead 01051 ug/L Coliform: MF Fecal 31616 <1 /100mL Nitrate (NO3) as N 00620 02 mg/L Zn - Zinc 01092 m9 /L Coliform: MF Total 31504 /100mL Phosphorus: Total as P 00665 1.86 mg/L (Note: use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units): issolved Solids:Total 70300 41 mg/L Al - Aluminum oil o5 mg/L pH (Lab) 00403 6.2 units Ba - Barium 01007 ug/L TOC 00680 mg/L Ca - Calcium 00916 mg/L Chloride 00940 8 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) pecific Conductance 00095 µMhos K - Potassium 00937 mg/L VOC 7873 method # Total Ammonia o0610 <0.2 (Ammonia Nitrogen; NH3 as N; Ammonia Nitrogen, Total) mg/L Mg - Magnesium 00927 mg/L method # Mn - Manganese 01055 ug/L # TKN as N 00625 mg/L Ni - Nickel 01067 ug/L ,method 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 5lgnature of Nermittee (or Authorized Agent) (Date) SUBMIT FORM ON YELLOW PAPER ONLY GROUNDWATER QUALITY MONITORING: COMPLIANCE REPORT FORM r"l-ILIIY INFORMATION Please Print Clearly orType Facility Name: Belvedere Plantation Permit Name (if different): Facility Address: 130 Fairway Dr Hampstead N.C. 28443 County Pender itact Person: Greg Spillman Telephone#: 252-241-0661 II Location/Site Name # 3 Green near woods No. of wells to be sampled: 0 WELL ID NUMBER (from Permit): MW9 Date sample collected: 3/6/2020 Well Depth: 23 ft. Well Diameter: 2 in. Depth to Water Level 82546: 16 Screened Interval: 5 ft. to Measuring Point is 3 ft. above land surface Relative M.P. Elevation: ft. Volume of water pumped/bailed before sampling. 5 gallons Samples for metals were collected unfiltered: ❑ YES ❑ NO and field acidified: ❑ YES ❑ NO ARn5ATnov r.��.r,...�.,... _. DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES T 6VISWN OF WATER RESOURCES . INFORMATION PROCESSING UNIT 1107 MAX SERVICE CENTER, RALEMK NC 27699-1617 Pho"w 919 8tI7-62tI6 PERMIT Number: Expiration Date: 1/31/2020 Non -Discharge WQ0001664 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: INFILTRATION BASINS 15 ft. FIELD ANALYSES: pH 00400: 5.5 units Spec. Cond. 00094: Odor 000m: Appearance Temp. 000lc 16' °C uMhos None None Date sample analyzed: 3/6/2020 Laboratory Name: PARAMETERS NOTE: Values should reflect dissolved and colloidal Environmental Chemists, Inc. Certification No. 94 COD 00335 Coliform: MF Fecal 31616 mg/L concentrations. Nitrite (NO2) as N 00615 0.08 mg/L Pb - Lead 01051 u /L g <1 /100mL Nitrate (NO3) as N 00620 0.05 mg/L Zn - Zinc o1092 mg/L Coliform: MF Total 31504 (Note: Use /100mL Phosphorus: Total as P 00665 0.92 mg/L MPN method for highly turbid samples) issolved Solids:Total 70300 100 Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units): mg/L Al -Aluminum 01105 mg/L pH (Lab) 00403 5.5 units Ba - Barium 01007 ug/L TOC 00680 mg/L Ca - Calcium 00916 mg/L Chloride 00940 30 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 Sulfate 00945 ug/L Fe - Iron 01045 ug/L (Specify test and method #. ATTACH LAB REPORT.) pecific Conductance 00095 mg/L µMhos Hg - Mercury 71900 ug/L Lab Report Attached? ❑ Yes (1) ❑ No (0) Total Ammonia 00610 <0.2 mg/L K - Potassium 00937 Mg - Magnesium 00927 mg/L VOC 7873 method # (Ammonia Nitrogen; NH3 as N; Ammonia Nitrogen, Total) m /L g method # TKN as N 00625 Mn -Manganese 01055 ug/L ,method # mg/L Ni - Nickel 01067 ug/L method # For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Total VOCs: _Effluent mg/L VOC Removal% '1411/t e (or Authorized Agent) Nar GW-59 Rev.8/2013 L.-`tl s = Please print or type Signature of Permittee (or Authorized Agent) (Date) If WELL WAS DRY at time of sampling, check here:❑ SUBMIT FORM ON YELLOW PAPER ONLY Belvedere Plantation GROUNDWATER QUALITY MONITORING: COMPLIANCE REPORT FORM =ACILITY INFORMATION Please Print Clearly or Facility Name: Permit Name (if different): Facility Address: 130 Fairwav Dr Hampstead N C 28443 CountyPender ,Skate',iz:F) Contact Person: Greg Spillman Telephone#: 252-241-0661 Well Location/Site Name # 3 green near tee box No. of wells to be sampled. 9 01VOM OPWA M RESOU m � wFoRMAnoN PRoemSiNG uNir f 7 �V1M,C0" RALEIGH, NC 27699.1617 Phony: 949-807.6306 PERMIT Number: Expiration Date: 1/31/2020 Non -Discharge WQ0001664 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: INFILTRATION BASINS WELL ID NUMBER (from Permit): MW10 Date sample collected: 3/6/2020 FIELD ANALYSES: If WELL WAS Well Depth: 18 ft. Well Diameter: Depth to Water Level 82546: 2.3 ft. below measuring Screened 2 in. pH 00400: 5.5 units Temp. motr 14 °C DRY at Measuring Point is 3 point Interval: 5 ft. to 15 ft. Spec. Cond. 00094: µMhos time of ft. above land surface Relative M.P. Elevation: ft. Odor 00085: None sampling, Volume of water pumped/bailed before sampling: 5 gallons check Samples for metals were collected unfiltered: ❑YES ❑ NO and field acidified: ❑YES ❑ NO Appearance None here:❑ LABORATORY INFORMATION Date sample analyzed: 3/6/2020 Laboratory Name: PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. Environmental Chemists, Inc. Certification No. 94 COD 00335 mg/L Coliform: MF Fecal 31616 Nitrite (NO2) as N oo615 <0.02 mg/L Pb - Lead 01051 /L u g 2 /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 0.4 mg/L (Note: Use MPN method for highly turbid samples) issolved Solids:Total 70300 Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units): 192 mg/L Al - Aluminum 01105 mg/L pH (Lab) 00403 5.5 units Ba - Barium 01007 ug/L TOC 00680 mg/L Ca - Calcium 00916 mg/L Chloride 00940 82 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 pecific Conductance 00095 µMhos Hg - Mercury 71900 ug/L Lab Report Attached? ❑ Yes (1) ❑ No (0) Total Ammonia oo6io <0.2 mg/L K - Potassium 00937 Mg - Magnesium 00927 mg/L VOC 7873 method # (Ammonia Nitrogen; NH3 as N; Ammonia Nitrogen, Total) mg/L method # Mn - Manganese 01055 ug/L # TKN as N 00625 mg/L Ni - Nickel 01067 ug/L ,method method # For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal% Permittee (or Authorized Agent) Name and Title -Pease print or type GW-59 Rev.8/2013 Siqnature of Permittee (or Authorized Agent) (Date) SUBMIT FORM ON YELLOW PAPER ONLY GROUNDWATER QUALITY MONITORING: ' • PARTMENT OF ENVIRONMENT & NATURAL RE -SOURCES • • • ISI€3N OF WATER RESOURCES - INFORMATION PROCESSING UNIT COMPLIANCE REPORT FORM • 1$117 MAIL SERVICE CENTER, RALEMIGK NC 27699.1647 Phone, 911s-07-63" FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date: 1/31/2020 Facility Name: Belvedere Plantation Non -Discharge WQ0001664 UIC Permit Name (if different): NPDES Other Facility Address: 130 Fairway Dr Hampstead N.C. 28443 TYPE OF PERMITTED OPERATION BEING MONITORED County Pender ❑ Lagoon ❑ Remediation: Infiltration Gallery ❑ Spray Field ❑ Remediation: Contact Person: Greg Spillman Telephone#: 252-241-0661 ❑ Rotary Distributor ❑ Land Application of Sludge Well Location/Site Name Basin A right corner No. of wells to be sampled: 9 ❑ Water Source Heat Pump ❑ Other: INFLITRATION BASINS SAMPLING INFORMATION WELL ID NUMBER (from Permit): MW11 Date sample collected: 3/6/2020 Well Depth: 15 ft. Well Diameter: 2 in_ Depth to Water Level 82546: 13 ft. below measuring point Screened Interval: 5 ft. to 15 ft. Measuring Point is 3 ft. above land surface Relative M.P. Elevation: ft. Volume of water pumped/bailed before sampling: 5 gallons Samples for metals were collected unfiltered: ❑ YES ❑ NO and field acidified: ❑ YES ❑ NO LABORATORY INFORMATION Date sample analyzed: 4R 3/6/2020 Laboratory Name: Environmental Chemists, Inc. AMETERS NOTE: Values should reflect dissolved and colloidal concentrations. COD 00335 mg/L Nitrite (NO2) as N 00615 <0.02 mg/L Coliform: MF Fecal 31616 <1 /100mL Nitrate (NO3) as N 00620 0.03 mg/L Coliform: MF Total 31504 /100mL Phosphorus: Total as P 00665 0.29 mg/L (Note: Use MPN method for highly turbid samples) Orthophosphate 70507 m9 /L solved Solids:Total 70300 42 mg/L AI - Aluminum 01105 mg/L pH (Lab) 00403 4.5 units Ba - Barium 01007 ug/L TOC 00680 mg/L Ca - Calcium 00916 mg/L Chloride 00940 17 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 Phenol 32730 ug/L Fe - Iron 01045 ug/L Sulfate 00945 mg/L Hg - Mercury 71900 ug/L Icific Conductance 00095 µMhos K - Potassium 00937 mg/L Total Ammonia 00610 <0.2 mg/L Mg - Magnesium 00927 mg/L (Ammonia Nitrogen; NH3 as N; Ammonia Nitrogen, Total) Mn -Manganese 01055 ug/L TKN as N 00625 mg/L Ni - Nickel 01067 ug/L FIELD ANALYSES: pH 0040o: 4.5 units Spec. Cond. 00094: Odor 00085: Appearance Pb - Lead 01051 Zn - Zinc 01092 Temp. 000lt 16.9 oC DRY at µMhos time of Sulfur sampling, check None here:❑ Certification No. 94 ug/L mg/L Other (Specify Compounds and Concentration Units): ORGANICS: (by GC, GC/MS, HPLC) (Specify test and method #. ATTACH LAB REPORT.) Lab Report Attached? ❑ Yes (1) ❑ No (0) VOC 7873 method # method # method # method # For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal% e (or Authorized Aqent) Name and Title -Please print ortype Signature of Permittee (or Authorized Agent) (Date) GW-59 Rev.8/2013 SUBMIT FORM ON YELLOW PAPER ONLY GROUNDWATER QUALITY MONITORING: man ' COMPLIANCE REPORT FORM and I cop) FACILITY INFORMATION Please Print Clearly or Type Facility Name: Belvedere Plantation Permit Name (if different): Facility Address: 130 Fairway Dr Hampstead N.C. 28443 County Pender .a+ Contact Person: Greg Spillman Telephone#: 252-241-0661 Well Location/Site Name Back of Basin B No. of wells to be sampled: 0 DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES DMSION OF WATER RESOURCES, INFORMATION PROCESSING UNIT' 1617 MAIL SERV= CENTER, RALEiGK NC 276994617 Phone: 919-807-6306 PERMIT Number: Expiration Date: 1/31/2020 Non -Discharge WQ0001664 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: INFILTRATION BASINS WELL ID NUMBER (from Permit): MW12 Well Depth: 15 ft. Depth to Water Level 82546: 10 Measuring Point is 3 ft. above land surface Volume of water pumped/bailed before sampling: 5 P 9 Samples for metals were collected unfiltered: ❑ YES LABORATORY INFORMATION Date sample collected: 3/6/2020 Well Diameter: 2 in. Screened Interval: 5 ft. to 15 ft. Relative M.P. Elevation: ft. gallons ❑ NO and field acidified: ❑ YES ❑ NO FIELD ANALYSES: pH 00400: 5.3 units Temp. 000l( 16 °C Spec. Cond. 00094: µMhos Odor 00085: Sulfur Appearance None If WELL WAS DRY at time of sampling, check here:❑ Date sample anal zed' / Y PARAMETERS NO6/2020 Laboratory Name: Environmental Chemists, Inc. Certification No. 94 3 TE. Values sh ould reflect dissolved and colloidal concentrations. COD 00335 mg/L Nitrite (NO2) as N 00615 0.06 mg/L Coliform: MF Fecal 31616 <1 /100mL Nitrate (NO3) as N 00620 <0.02 m9 /L Coliform: MF Total 31504 /100mL Phosphorus: Total as P 00665 0.63 mg/L (Note: use MPN method for highly turbid samples) Orthophosphate 70507 m9 /L lissolved Solids:Total 70300 142 mg/L Al - Aluminum 01105 mg/L pH (Lab) 00403 5.3 units Ba - Barium 01007 ug/L TOC 00680 mg/L Ca - Calcium 00916 mg/L Chloride 00940 50 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 Phenol 32730 ug/L Fe - Iron 01045 ug/L Sulfate 00945 mg/L Hg - Mercury 719oo ug/L pecific Conductance 00095 µMhos K - Potassium 00937 mg/L Total Ammonia oo610 0.6 mg/L Mg - Magnesium 00927 mg/L (Ammonia Nitrogen; NH3asN; Ammonia Nitrogen, Total) Mn -Manganese 01055 ug/L TKN as N 00625 mg/L Ni - Nickel 01067 ug/L For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: Pb - Lead 01051 ug/L Zn - Zinc 01092 mg/L Other (Specify Compounds and Concentration Units): M ORGANICS: (by GC, GC/MS, HPLC) (Specify test and method #. ATTACH LAB REPORT.) Lab Report Attached? ❑ Yes (1) ❑ No (0) VOC 7873 method # method # method # method # mg/L Effluent Total VOCs: mg/L VOC Removal% GW-59 Rev. 812013 Signature of Permittee (or For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: Pb - Lead 01051 ug/L Zn - Zinc 01092 mg/L Other (Specify Compounds and Concentration Units): M ORGANICS: (by GC, GC/MS, HPLC) (Specify test and method #. ATTACH LAB REPORT.) Lab Report Attached? ❑ Yes (1) ❑ No (0) VOC 7873 method # method # method # method # mg/L Effluent Total VOCs: mg/L VOC Removal% GW-59 Rev. 812013 Signature of Permittee (or SUBMIT FORM ON YELLOW PAPER ONLY Belvedere Plantation GROUNDWATER QUALITY MONITORING: COMPLIANCE REPORT FORM FACILITY INFORMATION Please Print Clearly or Facility Name. - Permit Name (if different): Facility Address: 130 Fairwa Dr Hampstead N C 28443 County Pender ;State' Contact Person: - Greg Spillman Telephone#: 252-241-0661 Well Location/Site Name 1st Basin C near front right corner No. of wells to be sampled: 9 WELL ID NUMBER (from Permit): MW13 Date sample collected: Well Depth: 15 ft. Well Diameter: Depth to Water Level 82546: 14 ft. below measuring point Screened Interval: Measuring Point is 3 ft. above land surface Relative M.P. Elevation. - Volume of water pumped/bailed before sampling: 5 gallons Samples for metals were collected unfiltered: ❑ YES ❑ NO and field acidified: ❑ 3/6/2020 k"IWNT OF ENVIRONMENT & NATURAL RESOURCES RON OF WAi'E)~2 RESOURCES - INFORMATION PROCESSING UNIT MAIL SERVICE CENTER> RALEIGK NC 2 609-1617 Phones 1404 t PERMIT Number: Expiration Date: 1/31/2020 Non -Discharge WQ0001664 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: INFILTRATION BASINS 2 in. 5 ft. to 15 ft. ft. YES ❑ NO FIELD ANALYSES: PH 00400: 4.8 units Spec. Cond. 00094: Odor 00085: Appearance Temp. 000ic t ' °C uMhos Light Sulfur None Date sample analyzed. 3/6/2020 Laboratory Name: PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. Environmental Chemists, Inc. Certification No. 94 COD 00335 Coliform: MF Fecal 31616 mg/L Nitrite (NO2) as N 00615 <0.02 mg/L Pb - Lead 01051 ug/L <1 /100mL Nitrate (NO3) as N 00620 <0.02 mg/L Zn - Zinc 01092 m9 /L Coliform: MF Total 31504 /100mL Phosphorus: Total as P 00665 0.49 mg/L (Note: Use MPN method for highly turbid samples) lissolved Solids:Total 70300 33 Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units): mg/L Al - Aluminum 01105 mg/L PH (Lab) 00403 4.8 units Ba - Barium 01007 ug/L TOC 00680 mg/L Ca - Calcium 00916 mg/L Chloride 00940 6 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 pecific Conductance 00095 mg/L µMhos Hg - Mercury 71900 ug/L Lab Report Attached? ❑ Yes (1) ❑ No (0) Total Ammonia 00610 <0.2 mg/L K - Potassium 00937 Mg - Magnesium 00927 mg/L VOC 7873 method # (Ammonia Nitrogen; NH3 as N; Ammonia Nitrogen, Total) m /L g method # Mn -Manganese oloss ug/L # TKN as N 00625 mg/L Ni - Nickel 01067 ug/L ,method method # For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal% Permlttee (or Authorized Agent) Name and Title -Please pant or type Signature of Permlttee (or Authorized Agent) GW-59 Rev.8/2013 (Date) WAS DRY at time of sampling, check here:❑ SUBMIT FORM ON YELLOW PAPER ONLY GROUNDWATER QUALITY MONITORING: ' COMPLIANCE REPORT FORM • • • • FACILITY INFORMATION Please Print Clearly or TVDe Facility Name: Belvedere Plantation Permit Name (if different): Facility Address: 130 Fairway Dr Hampstead N.C. 28443 County Pender Contact Person: Greg Spillman Telephone#: 252-241-0661 Well Location/Site Name Basin left corner. No. of wells to be sampled: 9 V ran 1 MENT OF ENVIRONMENT & NATURAL RESOURCES 31VISIONOF WATER RESOURCES - INFORMATION PROCESSING UNIT tIl't UML SERVICE CIENT R, RALl IGM, NC 276"4$17 Phdnr. 01104 7,006, PERMIT Number: Expiration Date: 1/31/2020 Non -Discharge W00001664 UIC NPDES Other TYPE OF PERMITTED OPERATION BEING MONITORED ❑ Lagoon ❑ Remediation: Infiltration Gallery ❑ Spray Field ❑ Remediation.- El Rotary Distributor ❑ Land Application of Sludge ❑ Water Source Heat Pump ❑ Other: INFILTRATION BASINS WELL ID NUMBER (from Permit): MW14 Date sample collected: 3/6/2020 FIELD ANALYSES: Well Depth: 15 ft. Well Diameter: 2 in. pH 00400: 5.1 units Temp. 000ic 151 °C Depth to Water Level 82546: 11 ft. below measuring point Screened Interval: 5 ft. to 15 ft. Spec. Cond. 00094: µMhos Measuring Point is 3 ft. above land surface Relative M.P. Elevation: ft. Odor 00085: Sulfur Volume of water pumped/bailed before sampling: 5 gallons Appearance None Samples for metals were collected unfiltered: ❑ YES ❑ NO and field acidified: ❑ YES ❑ NO LABORATORY INFORMATION Date sample analyzed: 3/6/2020 Laboratory Name: PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. Environmental Chemists, Inc. Certification No. 94 COD 00335 Coliform: MF Fecal 3161s mg/L Nitrite (NO2) as N 00615 0.03 mg/L Pb - Lead o1o51 u /L g 1 /1 00mL Nitrate (NO3) as N 00620 0.03 mg/L Zn - Zinc 01092 mg/L Coliform: MF Total 31504 /100mL Phosphorus: Total as P 00665 0.97 mg/L (Note: Use MPN method for highly turbid samples) iissolved Solids:Total 70300 119 Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units): mg/L Al - Aluminum 01105 mg/L pH (Lab) 00403 5.1 units Ba - Barium 01007 ugiL TOC oo68o mg/L Ca - Calcium 00916 mg/L Chloride 00940 41 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 pecific Conductance 00095 mg/L µMhos Hg - Mercury 71900 ug/L Lab Report Attached? ❑ Yes (1) ❑ No (0) Total Ammonia 00610 0.4 mg/L K - Potassium 00937 Mg - Magnesium 00927 mg/L VOC 7873 method # (Ammonia Nitrogen; NH3 as N; Ammonia Nitrogen, Total) m /L g method # TKN as N 00625 Mn -Manganese oloss ug/L ,method # 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% Permittee (or Authorized Agent) Name and Title - PI se print or tvpe Signature of Permdtee (or Authorized Agent) GW-59 Rev.8/2013 (Date) If WELL WAS DRY at time of sampling, check here:❑