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Home My WebLink AboutWQ0004823_Monitoring - 03-2020_20200511GW-59A COMPLIANCE REPORT FORM Permit # WQ &VOW43 (Submit one each monitoring period with GW-59 forms.) 1 Enter date monitoring results were due. (4L30LZe1z9 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 rffl 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. I 3 Are any of the monitor wells in need of repair or maintenance (damaged casing, unlocked or missing cap, missing YES 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 CO) 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: I � I 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). i 6 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 �I OFFICE IMMEDIATELY FOR GUIDANCE. If the answer is "NO", monitoring wells may be improperly located; contact the Regional Office. i i 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 s stem is having at the review gfj compliance boundaries surrounding this facility. Failure to do so may subiect the permittee to a f Violation fines, and/or pemllties. z-- JUN X3242 o� � mo � g The person comple�iiF thi�o (GW-59A) of the monitoring report should sign below and submit this form with GW-59 fo&s for requiigd wells to the address provided at the top of the current GW-59 form. c 1 hereby acknowledguithat 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. &:�� - e' z,) ' Signature Permitte (or Authorized Agent) Date GW-59A 12/8/2003 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: 2-28-2024 Facility Name: Pine Island - Currituck Club LLC Non -Discharge WQ0004823 UIC NPDES Other Permit Name (if different): Facility Address: Old Stoney Rd. TYPE OF PERMITTED OPERATION BEING MONITORED Corolla (Street) NC 27927 County Currituck ❑ Lagoon ❑ Remediation: Infiltration Gallery (City) (State) (Zip) ❑■ Spray Field ❑ Remediation: Contact Person: Tina Gee Telephone#: 252-491-5277 ❑ Rotary Distributor ❑ Land Application of Sludge Well Location/Site Name: PICC MW#1 No. of wells to be sampled: 4 ❑ Water Source Heat Pump ❑ Other: from Permit SAMPLING INFORMATION If WELL WELL ID NUMBER (from Permit): PI-MW-1 Date sample collected: 3/19/2020 FIELD ANALYSES: WAS Well Depth: 23 ft. Well Diameter: 2 in. pH 00400: 6.77 units Temp. 000lo: 18.9 °C DRY at Depth to Water Level 82546: 10 ft. below measuring point Screened Interval: 12 ft. to 22 ft. Spec. Cond. 00094: µMhos time of sampling, Measuring Point is 2.25 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: Universal Laboratories Certification No. 543 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 <0.1 mg/L Zn - Zinc 01092 mg/L Coliform: MF Total 31504 /100mL Phosphorus: Total as P 00665 3.14 mg/L (Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units): issolved Solids:Total 7030o 381 mg/L Al -Aluminum 01105 mg/L pH (Lab) 00403 units Ba - Barium 01007 ug/L TOC 0068o 7.9 mg/L Ca - Calcium 00916 mg/L Chloride 00940 140 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) ❑0 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 on file in office method # (Ammonia Nitrogen; NH3as N; Ammonia Nitrogen, Total) Mn -Manganese 01055 uglL ,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: ON1617 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: 2-28-2024 Facility Name: Pine Island - Currituck Club LLC Non -Discharge WQ0004823 UIC NPDES Other Permit Name (if different): Facility Address: Old Stoney Rd. TYPE OF PERMITTED OPERATION BEING MONITORED ❑ Lagoon ❑ Remediation: Infiltration Gallery Corolla (street) NC 27927 County Currituck (City) (State) (71p) K Spray Field ❑Remediation: Contact Person: Tina Gee Telephone#: 252-491-5277 ❑ Rotary Distributor ❑ Land Application of Sludge Well Location/Site Name: PICC MW #2 No. of wells to be sampled: 4 ❑ Water Source Heat Pump ❑ Other: (from Permit SAMPLING INFORMATION If WELL WELL ID NUMBER (from Permit): PI-MW-2 Date sample collected: 3/1912020 FIELD ANALYSES: WAS Well Depth: 23 ft. Well Diameter: 2 in. pH 00400: 6.34 units Temp. 000lo: 18.1 °C DRY at Depth to Water Level 82546: 11 ft. below measuring point Screened Interval: 12 ft. to 22 ft. Spec. Cond. 00094: µMhos time of sampling, Measuring Point is 2.1 ft. above land surface Relative M.P. Elevation: ft. Odor 00085: Faint check Volume of water pumped/bailed before sampling: 5 gallons Appearance Light here: ❑ Samples for metals were collected unfiltered: ❑ YES ❑ NO and field acidified: ❑ YES ❑ NO LABORATORY INFORMATION Date sample analyzed: Laboratory Name: Universal Laboratories Certification No. 543 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 <0.1 mg/L Zn - Zinc 01092 mg/L Coliform: MF Total 31504 /100mL Phosphorus: Total as P 00665 2.62 mg/L (Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units): issolved Solids:Total 70300 169 mg/L Al -Aluminum 01105 mg/L pH (Lab) 00403 units Ba - Barium 01007 ug/L TOC 00680 12.0 mg/L Ca - Calcium 00916 mg/L Chloride 0094o 31.45 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 on file in office method # (Ammonia Nitrogen; NH3asN. 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) !-gig Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal% Jlmniq 61:4'eA ®RC Permittee (or Authorized Age t) Name and Title - Please print or type 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: 2-28-2024 Facility Name: Pine Island - Currituck Club LLC Non -Discharge W00004823 UIC Permit Name (if different): NPDES Other Facility Address: Old Stoney Rd. TYPE OF PERMITTED OPERATION BEING MONITORED Corolla (Street) NC 27927 County Currituck El Lagoon El Remediation: Infiltration Gallery (City) (State) (ZiP) K Spray Field El Remediation: Contact Person: Tina Gee Telephone#: 252-491-5277 ❑ Rotary Distributor ❑ Land Application of Sludge Well Location/Site Name: PICC MW #4 No. of wells to be sampled: 4 ❑ Water Source Heat Pump ❑ Other: :LL ID NUMBER (from Permit): PI-MW-4 III Depth: 20 ft. pth to Water Level 82546: 5.5 ft. below measuring point !asuring Point is 2.1 ft. above land surface lume of water pumped/bailed before sampling: 7 moles for metals were collected unfiltered: ❑ YES Date sample collected: 3/19/2020 Well Diameter: 2 in. Screened Interval: 10 ft. Relative M.P. Elevation: to 20 ft. ft. _gallons ❑ NO and field acidified: ❑ YES ❑ NO FIELD ANALYSES: pH 00400: 6.92 units Spec. Cond. 00094: Odor 00085: Faint Appearance Light Temp. 000lo: 18.1 °C µMhos tte sample analyzed: Laboratory Name: Universal Laboratories Certification No. 543 \RAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. - COD 00335 mg/L Nitrite (NOZ) as N 00615 mg/L Pb - Lead o1o51 ug/L Coliform: MF Fecal 31616 <1 /100mL Nitrate (NO3) as N 00620 <0.1 mg/L Zn - Zinc 01092 mg/L Coliform: MF Total 31504 /100mL Phosphorus: Total as P 00665 1.36 mg/L (Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units): solved Solids:Total 7030o 279 mg/L Al - Aluminum 01105 mg/L pH (Lab) 00403 units Ba - Barium 01007 ug/L TOC 00680 13.2 mg/L Ca - Calcium 00916 mg/L Chloride 0094o 70.67 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) ,ecific Conductance 00095 µMhos K - Potassium 00937 mg/L VOC 78732: method # Total Ammonia o0610 1.24 mg/L Mg - Magnesium 00927 mg/L on file in office 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 VOG Removal /o r �, i f_ _r 1 n''` =Frc� a _ i FI'• 1� �f_irt 1� l _CF�(1�3Le �fl_r( t�� ut.,ir��tl�iE 1, ling. JIMMI� yen 2?- 7--) Pormitice (or Authorized Agent Name and Title - Please print or type Signature of Per ' tee (or Authtfrized Agent) (Date) GW-59 Rev.2/2010 If WELL DRY at time of sampling, check here: ❑ 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 orType PERMIT Number: Expiration Date: 2-28-2024 Facility Name: Pine Island - Currituck Club LLC Non -Discharge WQ0004823 UIC Permit Name (if different): NPDES Other Facility Address: Old Stoney Rd. TYPE OF PERMITTED OPERATION BEING MONITORED Corolla (Street) NC 27927 CountyCurrituck El Lagoon El Remediation: Infiltration Gallery (City) (State) (Zip) K Spray Field El Remediation: Contact Person: Tina Gee Telephone#: 252-491-5277 ❑ Rotary Distributor ❑ Land Application of Sludge Well Location/Site Name: PICC MW #5 No. of wells to be sampled: 4 ❑ Water Source Heat Pump ❑ Other: from Permit SAMPLING INFORMATION If WELL WELL ID NUMBER (from Permit): PI-MW-5 Date sample collected: 3/19/2020 FIELD ANALYSES: WAS Well Depth: 13 ft. Well Diameter: 2 in. pH 0040o: 6.35 units Temp. 000lo: 18.4 °C DRY at Depth to Water Level 82546: 4 ft. below measuring point Screened Interval: 5 ft. to 13 ft. Spec. Cond. 00094: µMhos time ofsampling, Measuring Point is 1.8 ft. above land surface Relative M.P. Elevation: ft. Odor 00085: Faint check Volume of water pumped/bailed before sampling: 6 gallons Appearance Light here: ❑ Samples for metals were collected unfiltered: ❑ YES ❑ NO and field acidified: ❑ YES ❑ NO LABORATORY INFORMATION Date sample analyzed: Laboratory Name: Universal Laboratories Certification No. 543 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 <0.1 mg/L Zn - Zinc 01092 mg/L Coliform: MF Total 31504 /100mL Phosphorus: Total as P 00665 .5 mg/L (Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units): dissolved Solids:Total 7o3oo 53 mg/L All - Aluminum 01105 mg/L pH (Lab) 00403 units Ba - Barium 01007 ug/L TOC 0068o 6.26 mg/L Ca - Calcium 00916 mg/L Chloride 0094o 4.846 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 1.34 mg/L Mg - Magnesium 00927 mg/L on file in office 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: Jlm,,,q C - Formittee (or Authorized A_ ent) Name and Title - Please print or type GW-59 Rev.212010 mg/L Effluent Total VOCs: Signature of Agent) mg/L VOC Removal% 2 -2v