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HomeMy WebLinkAboutWQ0002829_Monitoring - 01-2020_20200306GW-59A COMPLIANCE REPORT FORM Permit # Q 4o?c3 (Submit one each monitoring period with GIV forms.) 2 3 4 5 Enter date monitoring results were due. (.? be submitted after the established due date? Will this monitc ALe- L�� 5 t�C Was any required information missing on the GW-59 report forms? report (GW-59 a IF the answer to question 1 or 2 is "YES', list in the space provided below the well identification explain the problems encountered in obtaining the required information. Are any of the monitor wells in need of repair or maintenance (damaged casing, unlocked or missing cap, missing identification plate, area overgrown, etc.)? If the answer is "Yes", contact the Regional Office for guidance. Are any monitored constituents equal to or above the established standards? 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: Ci,✓,F KII7WA-Tt _ JAI•Lj For the constituents identified in question 4 above, have standards been exceeded previously for the same constituent(s) in the same well(s) in the last two years? If the answer to question 5 is "NO'; skip to section B. If the answer to question 5 is "YES" list in the space provided below, each well with c td' uontQ e standards, concentration(s) reported, and sample collection date for each occurrence (forsiwo stvgye�el 6 I Are the monitoring wells listed in section 5 located at or beyond the review 7 YES MpR 0 3 2020 Informraacn Pr^=cQ.c74^c,• Ur o lary? YES 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. Is the permittee implementing previously approved actions required by the Division involving this 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 hav►ng at the review and compliance boundaries surrounding this fat-.t,fi. c� MAK 16 2020 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. (or Authorized Agent) 011 NO YES I NO GW-59A 12/8/2003 SUBMIT FORM ON YELLOW PAPER ONLY DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES GROUNDWATER QUALITY MONITORING: E01617 DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT COMPLIANCE REPORT FORM MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: (919) 733-3221 FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date: 8/31/2022 Facility Name: KDHWWTP Non -Discharge WQ0002829 UIC NPDES Other Permit Name (if different): Facility Address: 801 W OCEAN BAY BLVD TYPE OF PERMITTED OPERATION BEING MONITORED KILL DEVIL HILLS ""Pet) NC 27948 CountyDARE El Lagoon ❑Remediation: Infiltration Gallery (City) (State) (Zip) ❑■ Spray Field ❑Remediation: Contact Person: William G. Freed Telephone#: 252-491-5277 ❑ Rotary Distributor ❑ Land Application of Sludge Well Location/Site Name: 36 0.469N - 75 40.386W CW-A No. of wells to be sampled: 7 ❑ Water Source Heat Pump ❑■ Other: COnjuntive Reuse from Permit) SAMPLING INFORMATION If WELL WELL ID NUMBER (from Permit): CW-A Date sample collected: 1-23-2020 FIELD ANALYSES: WAS Well Depth: 15 ft. Well Diameter: 2 in. pH 0040o: 6.5 units Temp. 000lo: 16.1 °C DRY at Depth to Water Level 82546: 4 ft. below measuring point Screened Interval: 5 ft. to 15 ft. Spec. Cond. 000sa: µMhos time ofsampling, Measuring Point is 1 ft. above land surface Relative M.P. Elevation: ft. Odor 00085: None check Volume of water pumped/bailed before sampling: 6 gallons Appearance Clear here: ❑ Samples for metals were collected unfiltered: El YES El NO and field acidified: El YES El NO LABORATORY INFORMATION Date sample analyzed: Laboratory Name: Environmental Chemist Certification No. 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 00665 0.35 mg/L (Note. Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units): issolved Solids:Total 70300 211 mg/L Al - Aluminum 01105 mg/L pH (Lab) 00403 units Ba - Barium 01007 ug/L TOC 0068o 8.6 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 ug/L Lab Report Attached? ❑ Yes (1) ❑ No (0) Specific Conductance 00095 µMhos K - Potassium 00937 mg/L VOC 78732: method # Total Ammonia 00610 0.2 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% William g Freed President of Envirotech by Authority Permittee (or Authorized Agent) Name and Title - Please print or type Signature of Agent) (Date) GW-59 Rev.2/2010 SUBMIT FORM ON YELLOW PAPER ONLY DEPARTMENT OF ENVIRONMENT &NATURAL RESOURCES GROUNDWATER QUALITY MONITORING: �16117 DIVISION OF WATER QUALITY-1NFORMATIONPROCESSINGUNIT COMPLIANCE REPORT FORM MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: (919) 733.3221 FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date: 8/31/2022 Facility Name: KDHWWTP Non -Discharge WQ0002829 UIC NPDES Other Permit Name (if different): Facility Address: 801 W OCEAN BAY BLVD TYPE OF PERMITTED OPERATION BEING MONITORED ❑ Lagoon ❑ Remediation: Infiltration Gallery KILL DEVIL HILLS (Street) INC 27948 County DARE (city) (Stata) !7 p ■❑ Spray Field Remediation: Contact Person: William G. Freed Telephone#: 252-491-5277 ❑ Rotary Distributor ❑ Land Application of Sludge Well Location/Site Name: 36 0.476N - 75 40.181 W CW-B-1 No. of wells to be sampled: 7 ❑ Water Source Heat Pump ❑■ Other: Conjuntive Reuse from Permit SAMPLING INFORMATION If WELL WELL ID NUMBER (from Permit): CW-B-1 Date sample collected: 1-23-2020 FIELD ANALYSES: WAS Well Depth: 14 ft. Well Diameter: 2 in. pH 00400: 6.97 units Temp. 000lo: 17.1 °C DRY at Depth to Water Level 82546: 7 ft. below measuring point Screened Interval: 4 ft. to 14 ft. Spec. Cond. 00094: µMhos — time of sampling, Measuring Point is 3 ft. above land surface Relative M.P. Elevation: ft. Odor 00085: Slight check Volume of water pumped/bailed before sampling: 5 gallons Appearance Clear here: ❑ Samples for metals were collected unfiltered: ❑ YES ❑ NO and field acidified: ❑ YES ❑ NO LABORATORY INFORMATION Date sample analyzed: Laboratory Name: Environmental Chemist Certification No. 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 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 138 mg/L Al - Aluminum 01105 mg/L pH (Lab) 00403 units Ba - Barium 01007 ug/L TOC 0068o 4.4 mg/L Ca - Calcium 00916 mg/L Chloride 0094o 24 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 78732: method # Total Ammonia 00610 0.7 mg/L Mg - Magnesium 00927 mg/L method # (Ammonia Nitrogen, N1­13as 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 G Freed President of Envirotech by Authority Permittee (or Authorized Agent) Name and Title - Please print or type Signature Agent) (Date) GW-59 Rev.2/2010 SUBMIT FORM ON YELLOW PAPER ONLY GROUNDWATER QUALITY MONITORING: COMPLIANCE REPORT FORM Facility Name: KDHWWTP Permit Name (if different): Facility Address: 801 W OCEAN BAY BLVD KILL DEVIL HILLS (street) (ay) Please Print Clearly or Type NC 27948 County DARE itact Person: William G. Freed II Location/Site Name: 30 0.469 N - 75 40.386 W C W-C Telephone#: 252-491-5277 No. of wells to be sampled: 7 DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT 1617 MAIL SERVICE CENTER, RALEIGH, NC 27699.1617 Phone: (919) 733-3221 PERMIT Number: Expiration Date: 8/31/2022 Non -Discharge WQ0002829 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 0 Other: COnjuntive Reuse WELL ID NUMBER (from Permit): CW-C Date sample collected: 1-23-2020 Well Depth: 16 ft. Well Diameter: 2 in. Depth to Water Level 82546: 8 ft. below measuring point Screened Interval: 6 ft. to 16 ft Measuring Point is 3 ft. above land surface Relative M.P. Elevation: ft. Volume of water pumped/bailed before sampling: 4 gallons Samples for metals were collected unfiltered: ❑ YES ❑ NO and field acidified: ❑ YES ❑ NO LABORATORY INFORMATION Date sample analyzed: Laboratory Name: Environmental Chemist PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations: COD 00335 mg/L Nitrite (NO2) as N 00615 0.09 Coliform: MF Fecal 31616 <1 /100mL Nitrate (NO3) as N 00620 13.2 Coliform: MF Total 31504 /100mL Phosphorus: Total as P 00665 0.06 (Note: Use MPN method for highly turbid samples) Orthophosphate 70507 issolved Solids:Total 703oo 312 mg/L All -Aluminum 01105 pH (Lab) 00403 units Ba - Barium 01007 TOC 00680 8.2 mg/L Ca - Calcium 00916 Chloride 00940 88 mg/L Cd - Cadmium 01027 Arsenic 01002 ug/L Chromium: Total 01034 Grease and Oils 00552 mg/L Cu - Copper 01042 Phenol 32730 ug/L Fe - Iron 01045 Sulfate 00945 mg/L Hg - Mercury 71900 Specific Conductance 00095 µMhos K - Potassium 00937 Total Ammonia 00610 <0.2 mg/L Mg - Magnesium 00927 (Ammonia Nitrogen, NH3as N. Ammonia Nitrogen, Total) Mn -Manganese 01055 TKN as N 00625 mg/L Ni - Nickel 01067 mg/L mg/L mg/L mg/L mg/L ug/L mg/L ug/L ug/L mg/L ug/L ug/L mg/L mg/L ug/L ug/L FIELD ANALYSES: pH 00400: 6.14 units Spec. Cond. 00094: Odor 00085: None Appearance Clear Temp. 000lo: 17.5 °C µMhos Certification No. Pb - Lead 01051 ug/L Zn - Zinc 01092 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 78732: , method # method # method # method # For Remediation Systems Only -•.. • • • 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 DWQ-certified laboratory. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. William G Freed President of Envirotech by Authority Permittee (or Authorized Agent) Name and Title - Please print or type GW-59 Rev.2/2010 Of (Date) If WELL DRY at time of sampling, here: ❑ SUBMIT FORM ON YELLOW PAPER ONLY DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES GROUNDWATER QUALITY MONITORING: EM1617 DIVISION OF WATER QUALITY • IN FORMATION PROCESSING UNIT COMPLIANCE REPORT FORM MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: (919) 733-3221 FACILITY INFORMATION Please Print Cleady or Type PERMIT Number: Expiration Date: 8/31/2022 Facility Name: KDHWWTP Non -Discharge WQ0002829 UIC NPDES Other Permit Name (if different): Facility Address: 801 W OCEAN BAY BLVD TYPE OF PERMITTED OPERATION BEING MONITORED KILL DEVIL HILLS (Street) NC 27948 County DARE ❑ Lagoon ❑ Remediation: Infiltration Gallery (city) (State) (=P) Spray Field El Remediation: Contact Person: William G. Freed Telephone#: 252-491-5277 ❑ Rotary Distributor ❑ Land Application of Sludge Well Location/Site Name: 36 0.415 N - 75 40.316 W CW-D No. of wells to be sampled: 7 ❑ Water Source Heat Pump ❑■ Other: Conjuntive Reuse from Permit SAMPLING INFORMATION If WELL WELL ID NUMBER (from Permit): CW-D Date sample collected: 1-23-2020 FIELD ANALYSES: WAS Well Depth: 17 ft. Well Diameter: 2 in. pH 00400: units Temp. 000lo: °C DRY at Depth to Water Level 82546: ft. below measuring point Screened Interval: 7 ft. to 17 ft. Spec. Cond. 000sa: µMhos time ofsampling, Measuring Point is 3 ft. above land surface Relative M.P. Elevation: ft. Odor 00085: None check Volume of water pumped/bailed before sampling: gallons Appearance Clear here: Samples for metals were collected unfiltered: ❑ YES ❑ NO and field acidified: ❑ YES ❑ NO LABORATORY INFORMATION Date sample analyzed: Laboratory Name: Environmental Chemist Certification No. 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 /100mL Nitrate (NO3) as N 00620 mg/L Zn - Zinc 01092 mg/L Coliform: MF Total 31504 /100mL Phosphorus: Total as P o0665 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 01105 mg/L pH (Lab) 00403 units Ba - Barium 01007 ug/L TOC 00680 mg/L Ca - Calcium 00916 mg/L Chloride 00940 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 78732: method # Total Ammonia 00610 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 --.. • • • 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 DWQ-certified laboratory I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. William G Freed President of Envirotech by Authority Permittee (or Authorized Agent) Name and Title - Please print or type Agent) - -2 —Z (Date) GW-59 Rev.2/2010 SUBMIT FORM ON YELLOW PAPER ONLY DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES GROUNDWATER QUALITY MONITORING: �16117 DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT COMPLIANCE REPORT FORM MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: (919) 733.3221 FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date: 8/31/2022 Facility Name: KDHWWTP Non -Discharge WQ0002829 UIC NPDES Other Permit Name (if different): Facility Address: 801 W OCEAN BAY BLVD TYPE OF PERMITTED OPERATION BEING MONITORED KILL DEVIL HILLS ;street) NC 27948 County DARE ❑ Lagoon EJ Remediation: Infiltration Gallery city) .,,.34e) Op' 0 Spray Field ❑ Remediation: Contact Person: William G. Freed Telephone#: 252-491-5277 ❑ Rotary Distributor ❑ Land Application of Sludge Well Location/Site Name: 36 0.393 N 75 40.515 W CW-E-1 No. of wells to be sampled: 7 ❑ Water Source Heat Pump 0 Other: COnjuntive Reuse from Permit SAMPLING INFORMATION If WELL WELL ID NUMBER (from Permit): CW-E-1 Date sample collected: 1-23-2020 FIELD ANALYSES: WAS Well Depth: 13 ft. Well Diameter: 2 in. pH 00400: 6.64 units Temp. 000lo: 17 °C DRY at time of Depth to Water Level 82546: 6.5 ft. below measuring point Screened Interval: 5 ft. to 13 ft. Spec. Cond. 00094: µMhos sampling, Measuring Point is 3 ft. above land surface Relative M.P. Elevation: ft. Odor 00085: None check Volume of water pumped/bailed before sampling: 6 gallons Appearance Clear here: ❑ Samples for metals were collected unfiltered: ❑ YES ❑ NO and field acidified: ❑ YES ❑ NO LABORATORY INFORMATION Date sample analyzed: Laboratory Name: Environmental Chemist Certification No. PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations: COD 00335 mg/L Nitrite (NO2) as N 00615 0.06 mg/L Pb - Lead olo51 ug/L Coliform: MF Fecal 31616 <1 /100mL Nitrate (NO3) as N 00620 0.41 mg/L Zn - Zinc 01092 mg/L Coliform: MF Total 31504 /100mL Phosphorus: Total as P 00665 0.6 mg/L (Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units): issolved Solids:Total 7030o 372 mg/L All -Aluminum 01105 mg/L pH (Lab) 00403 units Ba - Barium 01007 ug/L TOC 0068o 8 mg/L Ca - Calcium 00916 mg/L Chloride 00940 128 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 78732: method # Total Ammonia 00610 <0.2 mg/L Mg - Magnesium 00927 mg/L method # (Ammonia Nitrogen, N113as 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 VUL; rtemoval io William G Freed President of Envirotech by Authority Permittee (or Authorized Agent) Name and Title - Please print or type Authorized Agent) (Date) GW-59 Rev.2/2010 SUBMIT FORM ON YELLOW PAPER ONLY DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES GROUNDWATER QUALITY MONITORING: EN1617 DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT COMPLIANCE REPORT FORM MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: (919) 733-3221 FACILITY INFORMATION Please Pnnt Cleany or Type PERMIT Number: Expiration Date: 8/31/2022 Facility Name: KDHWWTP Non -Discharge WQ0002829 UIC NPDES Other Permit Name (if different): Facility Address: 801 W OCEAN BAY BLVD TYPE OF PERMITTED OPERATION BEING MONITORED KILL DEVIL HILLS (Stfeet) NC 27948 County DARE ❑ Lagoon ❑ Remediation: Infiltration Gallery (City) (State) (Zip? ❑■ Spray Field El Remediation: Contact Person: William G. Freed Telephone#: 252-491-5277 ❑ Rotary Distributor ❑ Land Application of Sludge Well Location/Site Name: 36 0.322 N 75 40.478 W CW-F No. of wells to be sampled: 7 ❑ Water Source Heat Pump ❑■ Other: Conjuntive Reuse from Permit SAMPLING INFORMATION If WELL WELL ID NUMBER (from Permit): CW-F Date sample collected: 1-23-2020 FIELD ANALYSES: WAS Well Depth: 15 ft. Well Diameter: 2 in. pH 00400: 6.68 units Temp. 000lo: 17.4 °C DRY at Depth to Water Level e2546: 5 ft. below measuring point Screened Interval: 5 ft. to 15 ft. Spec. Cond. 000sa: µMhos time ofsampling, Measuring Point is 3.5 ft. above land surface Relative M.P. Elevation: ft. Odor 00085: None check Volume of water pumped/bailed before sampling: 5 gallons Appearance Clear here: ❑ Samples for metals were collected unfiltered: ❑ YES ❑ NO and field acidified: ❑ YES ❑ NO LABORATORY INFORMATION Date sample analyzed: Laboratory Name: Environmental Chemist Certification No. PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations: COD 00335 mg/L Nitrite (NO2) as N 00615 0.03 mg/L Pb - Lead 01051 ug/L Coliform: MF Fecal 31616 <1 /100mL Nitrate (NO3) as N 00620 14.4 mg/L Zn - Zinc 01092 mg/L Coliform: MF Total 31504 /100mL Phosphorus: Total as P 00665 5.46 mg/L (Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units): issolved Solids:Total 7030o 378 mg/L Al - Aluminum 01105 mg/L pH (Lab) 00403 units Ba - Barium 01007 ug/L TOC 0068o 3.1 mg/L Ca - Calcium 00916 mg/L Chloride 00940 120 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 78732: method # Total Ammonia 00610 <0.2 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. 2/2010 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: (919) 733-3221 FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date: 8/31/2022 Facility Name: KDHWWTP Non -Discharge W00002829 UIC Permit Name (if different): NPDES Other Facility Address: 801 W OCEAN BAY BLVD TYPE OF PERMITTED OPERATION BEING MONITORED KILL DEVIL HILLS (Street) NC 27948 County DARE ❑ Lagoon ❑ Remediation: Infiltration Gallery (City) iSta'e) i-ipi ■❑ Spray Field ❑ Remediation: Contact Person: William G. Freed Telephone#: 252-491-5277 ❑ Rotary Distributor ❑ Land Application of Sludge Well Location/Site Name: LAT. 36 0.373 N LON. 75 40.522 W CW-G No. of wells to be sampled: 7 ❑ Water Source Heat Pump X Other: Conjuntive Reuse from Permit SAMPLING INFORMATION If WELL WELL ID NUMBER (from Permit): CW-G Date sample collected: 1-23-2020 FIELD ANALYSES: WAS Well Depth: 14.6 ft. Well Diameter: 2 in. pH 00400: 6.71 units Temp. 000lo: 18 °C DRY at time ofsam Depth to Water Level 82546: 4 ft. below measuring point Screened Interval: 5 ft. to 14.6 ft. Spec. Cond. 00094: µMhos sampling, g, Measuring Point is 1 ft. above land surface Relative M.P. Elevation: ft. Odor 00085: None check Volume of water pumped/bailed before sampling: 7 gallons Appearance Clear here: ❑ Samples for metals were collected unfiltered: ❑ YES ❑ NO and field acidified: ❑ YES ❑ NO LABORATORY INFORMATION Date sample analyzed: Laboratory Name: Environmental Chemist Certification No. PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations: COD 00335 mg/L Nitrite (NO2) as N 00615 0.28 mg/L Pb - Lead o1o51 ug/L Coliform: MF Fecal 31616 <1 /100mL Nitrate (NO3) as N 00620 30.2 mg/L Zn - Zinc 01092 mg/L Coliform: MF Total 31504 /100mL Phosphorus: Total as P 00665 2.73 mg/L (Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units): issolved Solids:Total 70300 495 mg/L Al -Aluminum 01105 mg/L pH (Lab) 00403 units Ba - Barium 01007 ug/L TOC 0068o 3 mg/L Ca - Calcium 00916 mg/L Chloride 00940 122 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 78732: method # Total Ammonia 00610 <0.2 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 VUtr Kemovat io William G Freed President of Envirotech by Authority Permittee (or Authorized Agent) Name and Title - Please print or type (or a C GW-59 Rev.2/2010