WQ0009267_Monitoring - 06-2020_20200728

GW-59A COMPLIANCE
REPORT FORM
Permit #_W00009267
(Submit one
each monitoring period
with GW-59
forms.)
1
Enter date monitoring results were due. (7/31//2020) Will this monitoring report (GW-59 and GW-59A) be
YES
NO
submitted after the established due date?
2
Was any required information missing on the GW-59 report forms?
YES
to)
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
NO
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:
MW 10 — TDS 596.5 mg/L
5
For the constituents identified in question 4 above, have standards been exceeded previously for the same
YES
NO
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).
MW70 — all TDS 4/2018 (707 mg/L), 912018 (642 mg/L), 1212018 (661 mg/L), 312019 (676.5), 6/2019 (648
mg/1), 912019 (643 mg/L), 12/2019 (568.5 mg/L), 312020 (618 mg/L)
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 OFFICE
IMMEDIATELY FOR GUIDANCE. If the answer is "NO", monitoring wells may be improperly located; contact
the Regional Office.
7
Is the permiltee implementing previously approved actions required by the Division involving this groundwater
YES
NO
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 permiltee to a Notice of Violation, fines, and/or penalties.
MW10 — high background TDS — noted in current permit
8
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
7�/1.�1ra✓� 1.GBZ✓� 7/28/2020
Signature of Permittee(or Authorized Agent) Date

SUBMIT FORM ON YELLOW PAPER ONLY
°R QUALITY MONITORING:
REPORT FORM
or
lity Name: City of Jacksonville Land Treatment System
mit Name (if different):
ility Address: 716 Firetower Road
Jacksonville NC 28540 County Onslow
act Person:
Amy Palaschak
Telephone#:
[phone]
Location/Site Name
MW1
No. of wells to
be sampled: 17
L ID NUMBER (from Permit): MW-1
Depth: 16.6 ft.
h to Water Level 82546: 5 ft. below measuring point
curing Point is 3.2 ft above land surface
me of water pumped/bailed before sampling: 5.57
ales for metals were collected unfiltered: X YES El
Date sample collected: 6/25/2020
Well Diameter. 2 in.
Screened Interval: 3 ft.
Relative M.P. Elevation: 1.8
gallons
NO and field acidified: X YES
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
DIVISION OF WATER RESOURCES - INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
PERMIT Number: Expiration Date: 4/30/2022
Non -Discharge WQ0009267 UIC
NPDES Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
X Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump El Other
to 13 ft.
ft.
FIELD ANALYSES:
pH o040o: 6.1 units
Spec.
Cond. 00094:
Odor 00085: _
Appearance
Date sample analyzed: 6/25/2020 Laboratory Name: 1. Jacksonville 2. Environmental Chemists
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD
00335
mg/L
Nitrite (NO2) as N
oosls
<0.02 mg/L
Coliform: MF Fecal
31616
<1
/100mL
Nitrate (NO3) as N
00620
<0.02 mg/L
Coliform: MF Total
315o4
/100mL
Phosphorus: Total as P
oo665
<0.2 mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate
70507
mg/L
)issolved Solids:Total
70300
200
mg/L
Al - Aluminum
oil o5
mg/L
pH (Lab)
00403
6.13
units
Ba - Barium
oloo7
ug/L
TOCoo6ao
12.4
mg/L
Ca- Calcium
oogl6
mg/L
Chloride
oog4o
47
mg/L
Cd - Cadmium
01027
ug/L
Arsenic
01002
ug/L
Chromium: Total
01034
ug/L
Grease and Oils
00552
mg/L
Cu - Copper
o1042
mg/L
Phenol
32730
ug/L
Fe - Iron
o1045
ug/L
Sulfate
o0945
16
mg/L
Hg - Mercury
71900
ug/L
ipecific Conductance
000gs
µMhos
K - Potassium
oog37
mg/L
Total Ammonia
ooelo
<0.1
mg/L
Mg - Magnesium
oo927
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
For Remediation Systems Only (Attach Lab Reports): Influent Total
William E. Brown - ORC
Permiltee (or Authorizetl ApeM) Name and Toe -Please print or type
GW-59 Rev. 8/2013
Temp.
00010: 24 °C
µMhos
Certification No.1. 128 2. 9�
Pb -Lead 01os1 ug/L
Zn - Zinc o1o92 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 # SM 6200C
method #
method #
method #
mg/L Effluent Total VOCs:
mg/L VOC Removal
DRY at
time of
sampling,
check
here:❑

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
or
Facility Name: City of Jacksonville Land Treatment System
Permit Name (if different):
Facility Address: 716 Firetower Road
Jacksonville NC 28540 County Onslow
act Person:
Amy Palaschak
Telephone#:
[phone]
Location/Site Name
MW-2
No. of wells to
be sampled: 17
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
DIVISION OF WATER RESOURCES - INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
PERMIT Number: Expiration Date: 4/30/2022
Non -Discharge WQ0009267 UIC
NPDES Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
X Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other.
L ID NUMBER (from Permit): MW-2 Date sample collected: 6/25/2020
Depth: 17.0 ft. Well Diameter. 2 in.
1 to Water Level 82546: 5.4 ft. below measuring point Screened Interval: 3 ft. to 13 ft.
uring Point is 2.4 ft. above land surface Relative M.P. Elevation: 3 ft.
ne of water pumped/bailed before sampling: 5.57 gallons
les for metals were collected unfiltered: X YES ❑ NO and field acidified: X YES El NO
FIELD ANALYSES: WAS
pH o0400: 5.3 units Temp. 00010: 23.3 eC DRY at
Spec. Cord. 00094: TM time of
Odor 000as: samplin
check
Appearance Ihere:r
ate
sample analyzed: 6/25/2020 Laboratory Name: 1. Jacksonville 2. Environmental Chemists
\RAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD
oo33s
mg/L
Nitrite (NO2) as N
oosls
<0.02 mg/L
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs:
Certification No.1. 128 2. 94
Pb -Lead o1os1
ug/L
Zn - Zinc o1o92 mg/L
Other (Specify Compounds and ConcenVation Units):
ORGANICS: (by GC, GC/MS, HPLC)
(Specify test and method #. ATTACH LAB REPORT.)
Lab Report Attached? El Yes (1) ® No (0)
VOC 7873 , method # SM 6200C
method #
method #
method #
mg/L Effluent Total VOCS:
mg/L VOC
Permittee (or Authorized A0ent1 Name and Title- Please print or type Signature of Permittee (or Authorized Agent)
GW-59 Rev. 812013

SUBMIT FORM ON YELLOW PAPER ONLY
?R QUALITY MONITORING:
REPORT FORM
lity Name: City of Jacksonville Land Treatment System
mit Name (if different):
ilityAddress: 716 Firetower Road
Jacksonville NC 28540 County Onslow
act Person:
Amy Palaschak
Telephone#:
[phone]
Location/Site Name
MW-3
No. of wells
to be sampled: 17
L ID NUMBER (from Permit): MW3 Date sample collected: 6/23/2020
Depth: 17.0 ft. Well Diameter: 2 in.
h to Water Level 82546: 4.8 ft. below measuring point Screened Interval: 3 ft. to 13 ft.
luring Point is 3.2 ft. above land surface Relative M.P. Elevation: 1.6 ft.
ne of water pumped/bailed before sampling: 5.86 gallons
les for metals were collected unfiltered: X YES ❑ NO and field acidified: X YES ❑ NO
PARTMENT OF ENVIRONMENT & NATURAL RESOURCES
VISION OF WATER RESOURCES - INFORMATION PROCESSING UNIT
17 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
ERMIT Number: Expiration Date: 4/30/2022
on -Discharge W00009267 UIC
PDES Other
YPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
X Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
FIELD ANALYSES:
pH o040o: 5.3 units
Spec.
Cond. 00094:
Odor ooces: _
Appearance
ate sample analyzed: 6/23/2020 Laboratory Name: 1. Jacksonville 2. Environmental Chemists
4RAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
Temp.
00010: 24.2 °C
µMhos
Certification No.1. 128 2. 94
COD
00335
mg/L
Nitrite (NO2) as N
oosls
<0.02
mg/L
Pb - Lead o1o51
ug/L
Coliform: MF Fecal
31616
<1
/100mL
Nitrate (NO$) as N
00620
mg/L
Zn -Zinc olo92
mg/L
0.04
Coliform: MF Total
31504
/100mL
Phosphorus: Total as P
00665
<0.2
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate
7o5o7
mg/L
Other (Specify Compounds and Concentration Units):
issolved Solids:Total70300
<10
mg/L
Al -Aluminum
o11o5
mg/L
pH (Lab)
o04o3
5.3
units
Be - Barium
01007
ug/L
TOC
oo68o
5.4
mg/L
Ca - Calcium
oost6
mg/L
Chloride
00940
12
mg/L
Cd -Cadmium
01027
ug/L
Arsenic
01002
ug/L
Chromium: Total
01034
ug/L
Grease and Oils
oos52
mg/L
Cu - Copper
01042
mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Phenol
3273o
ug/L
Fe - Iron
01045
ug/L
(Specify test and method #. ATTACH
LAB REPORT-)
Sulfate
00945
11
mg/L
Hg - Mercury
71900
ug/L
Lab Report Attached? ElYes (1)
® No (0)
pecific Conductance
Total Ammonia
(Ammonia Nitrogen;
TKN as N
00095
oo610 <0.1
NHsas N; Ammonia Nitrogen, Total)
oos25
µMhos
mg/L
mg/L
K - Potassium
Mg - Magnesium
Mn - Manganese
Ni - Nickel
oo937
oo927
01055
01067
mg/L
mg/L
ug/L
ug/L
VOC 7873 , method #
, method #
, method #
, method #
SM 6200C
For Remediation Systems Only
(Attach Lab
Reports):
Influent Total VOCs:
mg/L
Effluent
Total VOCs: mg/L
VOC Removal
WAS
DRY at
time of
sampling,
check
here:❑
GW-59 Rev. B/2013

SUBMIT FORM ON YELLOW PAPER ONLY
=R QUALITY MONITORING:
REPORT FORM
or
inty Name: City of Jacksonville Land Treatment System
mit Name (if different):
ility Address: 716 Firetower Road
Jacksonville NC 28540 County Onslow
act Person:
Amy Palaschak
Telephone#:
[phone]
Location/Site Name
III
No. of wells to
be sampled: 17
--cPARTMENT OF ENVIRONMENT 8 NATURAL RESOURCES
IVISION OF WATER RESOURCES - INFORMATION PROCESSING UNIT
117 MAIL SERVICE CENTER, RALEIGH, INC 27699-1617 Phone: [phone]
ERMIT Number: Expiration Date: 4/30/2022
on- Discharge WQ0009267 UIC
PDES Other
YPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
X Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
ELL ID NUMBER (from Permit): MW4
ell Depth: 16.0 ft.
Date sample collected:
Well Diameter:
6/24/2020
2 in.
FIELD ANALYSES:
pH oo400: 4.9 units
Temp. 000lo:
24.3 IC
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal
William E. Brown - ORC
Permdtee (or Authorized Aaenfl Name antl TiBe -Please print or ripe
GW-59 Rev. 8/2013
at
of

SUBMIT FORM ON YELLOW PAPER ONLY
=R QUALITY MONITORING:
REPORT FORM
Facility Name: City of Jacksonville Land Treatment System
Permit Name (if different):
Facility Address: 716 Firetower Road
Jacksonville NC 28540 County Onslow
act Person:
Amy Palaschak
Telephone#:
[phone]
Location/Site Name
Mw-s
No. of wells
to be sampled: 17
L ID NUMBER (from Permit): MW-s Date sample collected: 6/23/2020
Depth: 18.1 ft. Well Diameter. 2 in.
to Water Level e2s46: 4.4 ft. below measuring point Screened Interval: 5 ft. to 15 ft
uring Point is 2.57 fL above land surface Relative M.P. Elevation: 1.83 ft.
ne of water pumped/bailed before sampling: 6.58 gallons
les for metals were collected unfiltered: X YES ❑ NO and field acidified: X YES 1-1NO
(Date sample analyzed:
6/23/2020
.PARAMETERS NOTE: Values
should reflect
dissolve
COD
00335
mg/L
Coliform: MF Fecal
31616
<1
/100mL
Coliform: MF Total
31504
/100mL
(Note: Use MPN method for highly WrWd samples)
)issolved Solids:Tota170300
24
mg/L
pH (Lab)
00403
4.97
units
TOC
ooeaa
2.4
mg/L
Chloride
00940
6
mg/L
Arsenic
oioo2
ug/L
Grease and Oils
oo5s2
mg/L
Phenol
32730
ug/L
Sulfate
oo94s
<5
mg/L
Specific Conductance
0009s
µMhos
Total Ammonia
oo610
<0.1
mg/L
(Ammonia Nitrogen; NH3 as N; Ammonia Nitrogen, Total)
TKN as N
00625
mg/L
For Remediation Systems Only (Attach Lab Reports)
:PARTMENT OF ENVIRONMENT 8 NATURAL RESOURCES
VISION OF WATER RESOURCES - INFORMATION PROCESSING UNIT
17 MAIL SERVICE CENTER, RALEIGH, NC 27699A617 Phone; 919-807-6306
ERMIT Number: Expiration Date: 4/30/2022
on- Discharge W00009267 UIC
PDES Other
t'PE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
X Spray Field ElRemediation:
❑ Rotary Distributor El Land Application of Sludge
❑ Water Source Heat Pump El Other.
FIELD ANALYSES:
pH o0400: 5 units
Spec. Cond. 00094:
Odor 000es: _
Appearance
Temp.
00010: 21.3 °C DRY at
µMhos time of
Laboratory Name: 1.
Jacksonville
2. Environmental Chemists Certification No.1.
128 2. 94
and colloidal concentrations.
Nitrite (NO2) as N
00615
<0.02
mg/L
Pb - Lead o1o51
ug/L
Nitrate (NO3) as N
00620
<0.02
mg/L
Zn -Zinc 01092
mg/L
Phosphorus: Total as P
oo665
<0.2
mg/L
Orthophosphate
70507
mg/L
Other (Specify Compounds and Concentration Units):
AI-Aluminumollos
mg/L
Ba - Barium
oioo7
ug/L
Ca - Calcium
00916
mg/L
Cd - Cadmium
o1o27
ug/L
Chromium: Total
olo34
ug/L
Cu - Copper
01042
mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Fe - Iron
o1o4s
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Hg - Mercury
71900
ug/L
Lab Report Attached? ❑ Yes(l)
® No (0)
K - Potassium
Mg - Magnesium
Mn - Manganese
Ni - Nickel
oo937
oo927
01055
01067
mg/L
mg/L
ug/L
ug/L
VOC 7673 , method #
, method #
method #
method #
SM 6200C
Influent Total VOCs:
mg/L
Effluent Total VOCs: mg/L
VOC Removal%
William E. Brown - ORC �j(/j�jy �sI f ��-�y7 7/28/2020
Permittee (or Authorized AOenq Name antl TRIe-Please print or Npe Sionature of Permittee (or Authorized Aoentl (Date)
GW-59 Rev. 8/2013

SUBMIT FORM ON YELLOW PAPER ONLY
°R QUALITY MONITORING:
REPORT FORM
iiny Name: City of Jacksonville Land Treatment System
mit Name (if different):
lity Address: 716 Firetower Road
Jacksonville NC 28540 County Onslow
act Person:
Amy Palaschak
Telephone#:
(910)9383620
Location/Site Name
MW-6
No. of wells
to be sampled: 17
LID NUMBER (from Permit): MW-6 Date sample collected: 6/23/2020
Depth: 16.8 ft. Well Diameter. 2 in.
to Water Level 32546: 3.2 ft. below measuring point Screened Interval: 3.5 ft. to 14 ft.
curing Point is 2.65 ft. above land surface Relative M.P. Elevation: 0.55 ft.
The of water pumped/bailed before sampling: 6.53 gallons
les for metals were collected unfiltered: X YES ❑ NO and field acidified: X YES 1-1NO
PARTMENT OF ENVIRONMENT & NATURAL RESOURCES
rISION OF WATER RESOURCES - INFORMATION PROCESSING UNIT
17 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
:RMIT Number: Expiration Date: 4/30/2022
n-Discharge WQ0009267 UIC
'DES Other
PE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon El Remediation: Infiltration Gallery
X Spray Field El Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other.
FIELD ANALYSES:
pH o040o: 5.5 units
Spec. Cond.00094:
Odor 000es: _
Appearance
If WELL
Temp.
00010: 24.9 °C DRY at
µMhos time of
ate sample analyzed:
6/23/2020
Laboratory Name: 1.
Jacksonville
2. Environmental Chemists Certification No.
1. 128 2. 94
\RAMETERS NOTE: Values
should reflect
dissolved and colloidal concentrations,
CODoo33s
mg/L
Nitrite (NO2) as N
oo615
0.09
mg/L
Pb - Lead o1o51
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
ooss5
<0.2
mg/L
(Note: Use MPN method for highly turoid samples)
Orthophosphate
70507
mg/L
Other (Specify Compounds and Concentration Units):
solved Solids:Tota170300
179.5
mg/L
Al
Al -uminum
o11os
mg/L
pH (Lab) 00403
5.53
units
Be - Barium
01007
ug/L
TOC ooeso
9.4
mg/L
Ca -Calcium
oo9l6
mg/L
Chloride 00940
28
mg/L
Cd - Cadmium
o1o27
ug/L
Arsenic otoo2
ug/L
Chromium: Total
o1o34
ug/L
Grease and Oils 00552
mg/L
Cu - Copper
o1o42
mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron
o1o45
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
29
mg/L
Hg - Mercury
71900
ug/L
Lab Report Attached? ❑ Yes(l)
® No (0)
acific Conductance 00095
µMhos
K - Potassium
00937
mg/L
VOC 7873 method #
SM 6200C
Total Ammonia 00610
<0.1
mg/L
Mg - Magnesium
oo927
mg/L
,
method #
(Ammonia Nitrogen; NH3 as N; Ammonia Nitrogen, Total)
Mn - Manganese
cross
ug/L
,
#
TKN as N oo625
mg/L
Ni - Nickel
01067
ug/L
,method
method #
,
For Remediation Systems Only (Attach Lab Reports):
Influent Total
mg/L
Effluent Total VOCs:
William E. Brown - ORC ����yy� f ��
Permittee (or Authorized Apentl Name and Title -Please print or type Signature of Pennitlee (or Authorizetl Agent)
GW-59 Rev. 8/2013
VOC Removal

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
Facility Name: City of Jacksonville Land Treatment System
Permit Name (if different):
Facility Address: 716 Firetower Road
Jacksonville NC 28540 County Onslow
act Person:
Amy Palaschak
Telephone#:
[phone]
Location/Site Name
MW-7
No. of wells
to be sampled: 17
DIVISION OF WATER RESOURCES - INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
PERMIT Number: Expiration Date: 4/30/2022
Non -Discharge W00009267 UIC
NPDES Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
X Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other.
L ID NUMBER (from Permit): MW-7 Date sample collected: 6/24/2020
Depth: 15.0 ft. Well Diameter: 2 in.
h to Water Level 82546: 3 ft. below measuring point Screened Interval: 2.5 ft. to 13 ft.
>uring Point is 3 ft. above land surface Relative M.P. Elevation: 0 ft.
re of water pumped/bailed before sampling: 5.76 gallons
ales for metals were collected unfiltered: X YES ❑ NO and field acidified: X YES ❑ NO
FIELD ANALYSES:
pH o040o: 4.5 units
Spec. Cond. 00094:
Odor 000as: _
Appearance
00010: 27.7 °C
Temp.
ate sample analyzed:
6/24l2020
Laboratory Name: 1.
Jacksonville
2. Environmental Chemists Certification No.
1. 128 2. 94
4RAMETERS NOTE: Values
should reflect
dissolved and colloidal concentrations.
COD
00335
mg/L
Nitrite (NO2) as N
oo615
<0.02
mg/L
Pb - Lead o1o51
ug/L
Coliform: MF Fecal
31616
<1
/100mL
Nitrate (NO3) as N
oo620
<0.02
mg/L
Zn -Zinc 01092
mg/L
Coliform: MF Total
31504
/100mL
Phosphorus: Total as P
00665
<0.2
mg/L
highly sa (Note: Use MPN method for hly turbid mples)
Orthophosphate
70507
mg/L
Other (Specify Compounds and Concentration Units):
solved Solids:Total
70300
154.5
mg/L
Al -Aluminum
ollo5
mg/L
pH (Lab)
00403
4.45
units
Ba - Barium
o1oo7
ug/L
TOC
0o690
7.4
mg/L
Ca - Calcium
oo916
mg/L
Chloride00940
40
mg/L
Cd -Cadmium
o1o27
ug/L
Arsenic
01002
ug/L
Chromium: Total
01034
ug/L
Grease and Oils
oo552
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
40
mg/L
Hg - Mercury
71900
ug/L
Lab Report Attached? ElYes (1)
® No (0)
ecific Conductance
00095
µMhos
K - Potassium
00937
mg/L
VOC 7873 method #
SM 6200C
Total Ammonia
oo610
<0.1
mg/L
Mg - Magnesium
00927
mg/L
,
method #
(Ammonia Nitrogen;
NH3 as N; Ammonia Nitrogen, Total)
Mn - Manganese
oloss
ug/L
,
method #
TKN as N
00625
mg/L
Ni - Nickel
o1o67
ug/L
,
method #
,
r Remediation Systems Only (Attach Lab Reports): Influent Total VOCs:
Fo
William E. Brown - ORC
Permittee (or AUMorized Apenq Name and Title -Please print or lvoe
GW-59 Rev. 812013
mg/L
Effluent Total VOCs
:
mg/L VOC Removal
DRY at
time of
sampling,
check
here:❑

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
or
Facility Name: City of Jacksonville Land Treatment System
Permit Name (if different):
Facility Address: 716 Firetower Road
Jacksonville NC 28540 County Onslow
act Person:
Amy Palaschak
Telephone#:
[phone]
Location/Site Name
MW-8
No. of wells to
be sampled: 17
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
DIVISION OF WATER RESOURCES - INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
PERMIT Number: Expiration Date: 4/3012022
Non -Discharge W00009267 UIC
NPDES Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
X Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
L ID NUMBER (from Permit): MW-8
Date sample collected:
6/24/2020
FIELD ANALYSES:
Depth: 12.1 ft.
Well Diameter:
2 in.
pH oo400: 4.3 units Temp. 000lo: 26.2 °C
1 to Water Level 825a6: 5.5 ft. below measuring point
Screened Interval:
3 ft. to 9 ft.
Spec. Cond. 00094: µMhos
,uring Point is 3 ft. above land surface
Relative M.P. Elevation:
2.5 ft
Odor 00085:
ne of water pumped/bailed before sampling: 3.17
gallons
Appearance
las for metals were collected unfiltered: X YES ❑
NO and field acidified: X
YES ❑ NO
ate sample analyzed:
6/24/2020
Laboratory Name: 1.
Jacksonville
2. Environmental Chemists Certification No.1.
128 2. 94
\RAMETERS 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
0.08
mg/L
Zn - Zinc olo92
mg/L
Coliform: MF Total
31504
/100mL
Phosphorus: Total as P
09665
<0.2
mg/L
(Note: Use MPN method for highly Wroid samples)
Orthophosphate
70507
mg/L
Other (Specify Compounds and Concentration Units):
solved Solids:Total
70300
331.5
mg/L
AI- Aluminum
01105
mg/L
pH (Lab)
00403
4.26
units
Ba - Barium
01007
ug/L
TOC
00680
4.2
mg/L
Ca - Calcium
00916
mg/L
Chloride
00940
6
mg/L
Cd - Cadmium
o1o27
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
oo945
189
mg/L
Hg - Mercury
71900
ug/L
Lab Report Attached? ❑ Yes (1)
® No (0)
ecific Conductance
Total Ammonia
(Ammonia Nitrogen:
TKN as N
00095
oo610 <0.1
NHaas N: Ammonia Nitrogen, Total)
oo625
µMhos
mg/L
mg/L
K - Potassium
Mg - Magnesium
Mn - Manganese
Ni - Nickel
00937
00927
01055
o1o67
mg/L
mg/L
ug/L
ug/L
VOC 7873 method #
method #
, method #
method #
SM 6200C
For Remediation Systems Only (Attach Lab Reports):
Influent Total VOCs:
William E. Brown - ORC
Permittee (or Authorizetl Aaentl Name and TiOe -Please print or NPe
GW-59 Rev. B/2013
mg/L
Effluent Total VOCs:
VOC Removal

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
or Type
Facility Name: City of Jacksonville Land Treatment System
Permit Name (if different):
Facility Address: 716 Firetower Road
Jacksonville NC 28540 County Onslow
(City) (State) (Zip)
Contact Person: Amy Palaschak Telephone#: [phone]
Well Location/Site Name MW-9 No. of wells to be sampled: 17
L ID NUMBER (from Permit): MW3
Depth: 14.0 ft
h to Water Level 62546: 5.3 ft. below measuring point
luring Point is 2.55 it. above land surface
The of water pumped/bailed before sampling: 4.18
les for metals were collected unfiltered: X YES n
DEPARTMENT OF ENVIRONMENT 8 NATURAL RESOURCES
DIVISION OF WATER RESOURCES - INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
PERMIT Number: Expiration Date: 4/30/2022
Non -Discharge W00009267 UIC
NPDES Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
X Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other.
Date sample collected: 6/24l2020
Well Diameter. 2 in.
Screened Interval: 7 ft. to 11 ft.
Relative M.P. Elevation: 2.75 ft.
acidified: X YES
FIELD ANALYSES:
pH o0400: 3.9 units
Spec. Cond. 00094:
Odor 000us: _
Appearance
ocolo: 25.5 °C
µMhos
Temp.
ate sample analyzed: 6/24/2020 Laboratory Name: 1. Jacksonville 2. Environmental Chemists Certification No.1. 128 2. 94
4RAMETERS 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 oo620 <0.02 mg/L Zn -Zinc 01092 mg/L
Coliform: MF Total 31504 /100mL Phosphorus: Total as P ooms <0.2 mg/L
(Note: Use MPN method for highly turbidsamples) Orthophosphate70507 mg/L Other (Specify Compounds and Concentration Units):
solved Solids:Total 70300 153 mg/L AI- Aluminum otlo5 mg/L
pH (Lab) 00403 3.89 units Ba - Barium 01007 ug/L
TOC oo66o 3.6 mg/L Ca - Calcium oo916 mg/L
Chloride 00940 9 mg/L Cd -Cadmium 01027 ug/L
Arsenic olooz ug/L Chromium: Total olo34 ug/L
Grease and Oils 00552mg/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 97 mg/L Hg - Mercury 71900 ug/L Lab Report Attached? El Yes (1) ® No (0)
ecific Conductance 00095 µMhos K - Potassium 00937 mg/L VOC 7873 , method # SM 6200C
Total Ammonia 00610 <0.1 mg/L Mg - Magnesium 00927 mg/L , method #
(Ammonia N"en; NH, a$ N; Ammonia Nitrogen. Total)
Mn -Manganese oloss ug/L ,method #
TKN as N oo625 mg/L Ni - Nickel 01067 ug/L , method #
For Remediation Systems Only (Attach Lab Reports):
Influent Total
VOC Removal
DRY at
time of
sampling,
check
here:❑
William E. Brown - ORC <����'�y�J � 56�7�? 7/28/2020
Permdtee (or Authodzetl Agent) Name and Tdle -Please print or type Signature of Permittee (or Authorized Agent) (Date)
GW-59 Rev. 8/2013

SUBMIT FORM ON YELLOW PAPER ONLY
°R QUALITY MONITORING:
REPORT FORM
:ility Name: City of Jacksonville Land Treatment System
mit Name (if different):
:ility Address: 716 Firetower Road
Jacksonville NC 28540 County Onslow
act Person:
Amy Palaschak
Telephone#.
[phone]
Location/Site Name
MW-10
No. of wells
to be sampled: 17
:PARTMENT OF ENVIRONMENT & NATURAL RESOURCES
VISION OF WATER RESOURCES - INFORMATION PROCESSING UNIT
17 MAIL SERVICE CENTER, RALEIGH, INC 27699-1617 Phone: [phone]
ERMIT Number: Expiration Date: 4/30/2022
on -Discharge WQ0009267 UIC
PDES Other
YPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
X Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
ELL ID NUMBER (from Permit): MW-10 Date sample collected: 6/24/2020 FIELD ANALYSES: WAS
all Depth: 30.1 ft. Well Diameter: 2 in. pH oo400: 6.4 units Temp. 00010: 23 IC DRY at
:pth to Water Level 8254e: 6.2 f . below measuring point Screened Interval: 17 ft. to 27 ft. Spec. Cond. 00094: µMhos time of
sampling,
:asuring Point is 2.9 ft. above land surface Relative M.P. Elevation: 3.3 ft. Odor 000as: check
Ilume of water pumped/bailed before sampling: 11.47 gallons Appearance here:❑
mples for metals were collected unfiltered: X YES ❑ NO and field acidified: X YES ❑ NO
iBORATORY INFORMATION
de sample analyzed: 6/24/2020 Laboratory Name: 1. Jacksonville 2. Environmental Chemists Certification No. 1. 128 2. 94
1RAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD
00335
mg/L
Nitrite (NOZ) as N
o0615
<0.02 mg/L
Pb -Lead 01051 ug/L
Zn - Zinc 01092 ri
Other (Specify Compounds and Concentration Units):
ORGANICS: (by GC, GC/MS, HPLC)
(Specify test and method #. ATTACH LAB REPORT.)
Lab Report Attached? ElYes (1) ® No (0)
VOC 7873 , method # SM 6200C
method #
method #
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal
William E. Brown-ORC
Pennittee (or Au0lorized Auent) Name and Title -Please print or type
GW-59 Rev. 812013

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
Facility Name: City of Jacksonville Land Treatment System
Permit Name (if different):
Facility Address: 716 Firetower Road
Jacksonville NC 28540 County Onslow
act Person: Amy Palaschak
Location/Site Name MW-11
Telephone#: [phone]
No. of wells to be sampled: 17
L ID NUMBER (from Permit): MW-11 Date sample collected: 6/25/2020
Depth: 22.2 ft. Well Diameter. 2 in.
h to Water Level 82546: 6.1 ft. below measuring point Screened Interval: 5 ft. to 20 ft.
luring Point is 2.25 ft. above land surface Relative M.P. Elevation: 3.85 ft.
Tie of water pumped/bailed before sampling: 7.73 gallons
les for metals were collected unfiltered: X YES ❑ NO and field acidified: X YES 1-1NO
PARTMENT OF ENVIRONMENT & NATURAL RESOURCES
VISION OF WATER RESOURCES - INFORMATION PROCESSING UNIT 17 MAIL SERVICE CENTERRALEIGH, NC 27699-1617 Phone: [phone]
ERMIT Number: Expiration Date: 4/30/2022
on- Discharge WQ0009267 UIC
PDES Other
yPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon El Remediation: Infiltration Gallery
X Spray Field El Remediation:
❑ Rotary Distributor El Land Application of Sludge
❑ Water Source Heat Pump ❑ Other.
FIELD ANALYSES:
pH o0400: 5 units
Spec. Cond. 00094:
Odor 000as: _
Appearance
If WELL
Temp.
000lo: 21.7 °C DRY at
µMhos time of
ate sample analyzed:
6/25/2020
Laboratory Name: 1.
Jacksonville
2. Environmental Chemists Certification No.1.
128 2. 94
\RAMETERS NOTE: Values
should reflect
dissolved and colloidal concentrations,
COD00335
mg/L
Nitrite (NO,) as N
oo61s
<0.02
mg/L
Pb - Lead olos1
ug/L
Coliform: MF Fecal
31616
<1
/100mL
Nitrate (NO3) as N
00620
0.9
mg/L
Zn -Zinc 01092
mg/L
Coliform: MF Total
31504
/100mL
Phosphorus: Total as P
oo665
<0.2
mg/L
(Note: Use MPN method for highly Wmid samples)
Orthophosphate
70507
mg/L
Other (Specify Compounds and Concentration Units):
solved Solids:Total
70300
16.5
mg/L
Al -Aluminum
o11o5
mg/L
pH (Lab)
oo4o3
4.96
units
Be - Barium
oloo7
ug/L
TOC
oo68o
2.2
mg/L
Ca - Calcium
00916
mg/L
Chloride
oogao
5
mg/L
Cd - Cadmium
o1o27
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
<5
mg/L
Hg - Mercury
71900
ug/L
Lab Report Attached? ElYes (1)
® No (0)
ecific Conductance
00095
µMhos
K - Potassium
00937
mg/L
VOC 7873 method #
SM 6200C
Total Ammonia
ooslo
<0.1
mg/L
Mg - Magnesium
00927
mg/L
,
method #
(Ammonia Nitrogen; NH3as N; Ammonia Nitrogen, Total)
Mn - Manganese
oloss
ug/L
,
#
TKN as N
00625
mg/L
Ni - Nickel
oio67
ug/L
,method
method #
,
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs:
William E. Brown - ORC
Permittee (or Authorizetl AgenO Name and Title -Please odnt or Noe
GW-59 Rev. 812013
mglL
Effluent Total VOCs:
mg/L
VOC Removal%

SUBMIT FORM ON YELLOW PAPER ONLY
TER QUALITY MONITORING:
E REPORT FORM
or
Facility Name: City of Jacksonville Land Treatment System
Permit Name (if different):
Facility Address: 716 Firetower Road
Jacksonville NC 28540 County Onslow
act Person:
Amy Palaschak
Telephone#:
[phone]
Location/Site Name
MW-12
No. of wells
to be sampled: 17
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
DIVISION OF WATER RESOURCES - INFORMATION PROCESSING UNIT
7617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
PERMIT Number: Expiration Date: 4/30/2022
Non -Discharge W00009267 UIC
NPDES Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
X Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other.
L ID NUMBER (from Permit): MW-12 Date sample collected: 6/23/2020
Depth: 18.3 ft. Well Diameter: 2 in.
h to Water Level 82646: 4.7 ft. below measuring point Screened Interval: 5 ft. to 15 ft.
curing Point is 3.04 ft. above land surface Relative M.P. Elevation: 1.66 ft.
Tie of water pumped/bailed before sampling: 6.53 gallons
and field acidified: X YES ❑ NO
FIELD ANALYSES:
pH o0400: 5.5 units
Spec. Cond. 00094:
Odor 000ss:
Appearance
WELL
Temp. 000to: 26.8 °C DRY at
µMhos time of
Date sample analyzed:
6/23/2020
Laboratory Name: 1.
Jacksonville
2. Environmental Chemists Certification No.1.
128 2. 94
PARAMETERS NOTE: Values
should reflect
dissolved and colloidal concentrations.
COD
00335
mg/L
Nitrite (NO2) as N
oo61s
0.02
mg/L
Pb - Lead oio5i
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 Nrisid samples)
Orthophosphate
70507
mg/L
Other (Specify Compounds and Concentration Units):
)issolved Solids:Total
70300
108.5
mg/L
AI- Aluminum
otto6
mg/L
pH (Lab)
00403
5.47
units
Ba - Barium
01007
ug/L
TOC
00680
20.6
mg/L
Ca - Calcium
oo91e
mg/L
Chloride
oo940
8
mg/L
Cd - Cadmium
01027
ug/L
Arsenic
01002
ug/L
Chromium: Total
oto34
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
17
mg/L
Hg - Mercury
71900
ug/L
Lab Report Attached? ❑ Yes (1)
® No (0)
ipecific Conductance
00095
µMhos
K - Potassium
oo937
mg/L
VOC 7873 method #
SM 6200C
,
Total Ammonia
oo610
<0.1
mg/L
Mg - Magnesium
oo927
mg/L
, method #
(Ammonia Nilrogen;
NHsas N; Ammonia Nitrogen. Total)
Mn - Manganese
otoss
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 h
William E. Brown - ORC
Permittee (or Authorized AGent) Name and Title -Please print or tWe
GW-59 Rev. 8/2013

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
L
Facility Name: City of Jacksonville Land Treatment System
Permit Name (if different):
Facility Address: 716 Firetower Road
Jacksonville NC 28540 County Onslow
(Cdy) (state) (zp)
Contact Person: Amy Palaschak Telephone#: [phone]
Well Location/Site Name MW-13 No. of wells to be sampled: 17
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
DMSION OF WATER RESOURCES - INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
PERMIT Number: Expiration Date: 4/30/2022
Non -Discharge W00009267 UIC
NPDES Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
X Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other.
L ID NUMBER (from Permit): MW-13 Date sample collected: 6/24/2020
Depth: 23.2 ft. Well Diameter: 2 in.
h to Water Level 82546: 12 ft. below measuring point Screened Interval: 10.5 ft. to 23.2 ft.
>unng Point is 2.75 ft. above land surface Relative M.P. Elevation: 9.45 ft.
ne of water pumped/bailed before sampling: 5.28 gallons
les for metals were collected unfiltered: X YES ❑ NO and field acidified: X YES ❑ NO
FIELD ANALYSES:
pH o040o: 4.7 units
Spec.
Cond. 00094:
Odor 000ss: _
Appearance
Temp.
000lo: 21.8 °C DRY at
µMhos time_of
Date sample analyzed:
6/24/2020
Laboratory Name: 1.
Jacksonville
2. Environmental Chemists Certification No.1.
128 2. 94
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations,
COD00335
mg/L
Nitrite (NO,) as N
oo615
<0.02
mg/L
Pb - Lead 01051
ug/L
Coliform: MF Fecal 31616
<1
/100mL
Nitrate (NO3) as N
ooszo
<0.02
mg/L
Zn - Zinc olosz
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:Total70300
24.5
mg/L
At -Aluminum
D11o5
mg/L
pH (Lab) 00403
4.73
units
Be - Barium
01007
ug/L
TOC oos8o
8.6
mg/L
Ca - Calcium
00916
mg/L
Chloride 00940
24
mg/L
Cd - Cadmium
01027
ug/L
Arsenic oioo2
ug/L
Chromium: Total
olo34
ug/L
Grease and Oils oo5s2
mg/L
Cu - Copper
o1D42
mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron
01045
uglL
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
<5
mg/L
Hg - Mercury
71900
ug/L
Lab Report Attached? ❑ Yes(l)
® No (0)
Specific Conductance 00095
µMhos
K - Potassium
00937
mg/L
VOC 7873 method #
SM 6200C
Total Ammonia oo610
0.11
mg/L
Mg - Magnesium
0o927
mg/L
method #
(Ammonia Nitrogen; N1-13as N:
Ammonia Nitrogen, Total)
Mn - Manganese
01055
ug/L
,
method #
TKN as N ooszs
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
check
here:❑
William E. Brown - ORC !/f/l��l;,ryr�/�', C 7/28/2020
Pennittee (or Authorized ApenO Name and TNe-Please print or type Spnature of Permittee (or Authorized Agent) (Date)
GW-59 Rev. 8/2013

SUBMIT FORM ON YELLOW PAPER ONLY
=R QUALITY MONITORING:
REPORT FORM
.ility Name: City of Jacksonville Land Treatment System
mit Name (if different):
.ility Address: 716 Firetower Road
Jacksonville NC 28540 County Onslow
act Person:
Amy Palaschak
Telephone#:
[phone]
Location/Site Name
MW-14
No. of wells to
be sampled: 17
LID NUMBER (from Permit): MW-14 Date sample collected: 6/24/2020
Depth: 17.9 ft. Well Diameter: 2 in.
1 to Water Level s2s46: 9.3 ft. below measuring point Screened Interval: 5 ft. to 15 ft.
wring Point is 3.2 ft. above land surface Relative M.P. Elevation: 6.1 ft.
ne of water pumped/bailed before sampling: 4.13 gallons
les for metals were collected unfiltered: X YES ❑ NO and field acidified: X YES n NO
Date sample analyzed:
6/24/2020
PARAMETERS NOTE: Values
should reflect
dissoly(
COD
oo33s
mg/L
Coliform: MF Fecal
31616
<1
/100mL
Coliform: MF Total
31504
/100mL
(Note: Use MPN method for highly turbid samples)
)issolved Solids Total
70300
32
mg/L
pH (Lab)
00403
4.77
units
TOG
oo68o
13
mg/L
Chloride
o0940
14
mg/L
Arsenic
oloo2
ug/L
Grease and Oils
ooe52
mg/L
Phenol
32730
ug/L
Sulfate
00945
<5
mg/L
Specific Conductance
00095
µMhos
Total Ammonia
oo6lo
0.96
mg/L
(Ammonia Nitrogen: NHsas N: Ammonia Nitrogen, Totaii
TKN as N
oo625
mg/L
For Remediation Systems Only (Attach Lab Reports):
PARTMENT OF ENVIRONMENT & NATURAL RESOURCES
VISION OF WATER RESOURCES - INFORMATION PROCESSING UNIT
77 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
ERMIT Number: Expiration Date: 4/30/2022
on- Discharge WQ0009267 UIC
PDES Other
YPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ElRemediation: Infiltration Gallery
X Spray Field ❑ Remediation:
❑ Rotary Distributor El Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
FIELD ANALYSES:
pH o0400: 4.8 units
Spec. Cond. 00094:
Odor 000e5: _
Appearance
Temp. 00010: 23.3 °C DRY at
µMhos time of
Laboratory Name: 1.
Jacksonville
2. Environmental Chemists Certification No.1.
128 2. 94
and colloidal concentrations,
Nitrite(NO2) as N
oo615
<0.02
mg/L
Pb - Lead o1os1
ug/L
Nitrate (NO3) as N
oo62o
0.03
mg/L
Zn -Zinc 01092
mg/L
Phosphorus: Total as P
oo665
<0.2
mg/L
Orthophosphate
70607
mg/L
Other (Specify Compounds and Concentration Units):
AI - Aluminumoiios
mg/L
Be - Barium
oloo7
ug/L
Ca - Calcium
oo916
mg/L
Cd- Cadmium
o1o27
ug/L
Chromium: Total
01034
ug/L
Cu - Copper
01042
mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Fe - Iron
olo4s
ug/L
(Specify test and method #- ATTACH LAB REPORT-)
Hg - Mercury
71900
ug/L
Lab Report Attached? ❑ Yes(l)
® No (0)
K - Potassium
Mg - Magnesium
Mn - Manganese
Ni - Nickel
00937
00927
01055
01067
mg/L
mg/L
ug/L
ug/L
VOC 7873 , method #
, method #
, method #
, method #
SM 6200C
Influent Total VOCs:
mg/L
Effluent Total VOCs:
mg/L VOCRemoval%
GW-59 Rev. 8/2013

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING: DIVISION OF WATER RESOURCES - INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM 1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION Please Print C/earlyorType PERMIT Number: Expiration Date: 4/30/2022
Facility Name: City of Jacksonville Land Treatment System Non -Discharge W00009267 UIC
Permit Name (if different): NPDES Other
Facility Address: 716 Firetower Road TYPE OF PERMITTED OPERATION BEING MONITORED
Jacksonville NC 28540 County Onslow ❑ Lagoon ❑ Remediation: Infiltration Gallery
(Cly) (cat (zip) X Spray Field ❑ Remediation:
Contact Person: Amy Palaschak Telephone#: [phone] ❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name MW-15 No. of wells to be sampled: 17 ❑ Water Source Heat Pump ❑ Other.
mm Pam
SAMPLING INFORMATION If WELL
WELL ID NUMBER (from Permit): MW-15 Date sample collected: 6/25/2020 FIELD ANALYSES: WAS
Well Depth: 15 ft. Well Diameter. 2 in. pH 00400: 4.7 units Temp. 000lo: 22.2 eC DRY at
Depth to Water Level 82546: 3.6 ft. below measuring point Screened Interval: 5 ft. to 15 ft. Spec. Cond. 00094: µMhos time Sampling,
Measuring Point is 2.9 ft. above land surface Relative M.P. Elevation: 0.7 ft. Odor 000es: check
Volume of water pumped/bailed before sampling: 5.47 gallons Appearance here:
❑
Samples for metals were collected unfiltered: X YES ❑ NO and field acidified: X YES El NO
COD
0o33s
mg/L
Coliform: MF Fecal
31616
<1
/100ml-
Colifonn: MF Total
31504
/100mL
(Note: Use MPN method for highy turbid samples)
solved Solids:Tota170300
67
mg/L
pH (Lab)
00403
4.68
units
TOC
o068o
6.4
mg/L
Chloride
oomo
46
mg/L
Arsenic
01002
ug/L
Grease and Oils
00552
mg/L
Phenol
32730
ug/L
Sulfate
oo945
<5
mg/L
ecific Conductance
00095
µMhos
Total Ammonia
00610
<0.1
mg/L
(Ammonia Nitrogen;
NH3as N; Ammonia Nitrogen, Total)
TKN as N
00625
mg/L
Laboratory Name: 1.
Jacksonville
2. Environmental Chemists Certification No.1.
128 2. 94
and colloidal concentrations.
Nitrite (NO2) as N
oo615
<0.02
mg/L
Pb - Lead o1o51
ug/L
Nitrate (NO3) as N
oos2o
2.85
mg/L
Zn -Zinc 01092
mg/L
Phosphorus: Total as P
oos65
<0.2
mg/L
Orthophosphate
70507
mg/L
Other (Specify Compounds and Concentration Units):
Al -Aluminum
01105
mg/L
Ba - Barium
oioo7
ug/L
Ca - Calcium
oo916
mg/L
Cd - Cadmium
oio27
ug/L
Chromium: Total
o1o34
ug/L
Cu - Copper
01042
mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Fe - Iron
01045
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Hg - Mercury
71900
ug/L
Lab Report Attached? El Yes (1)
® No (0)
K - Potassium
00937
mg/L
VOC 7673 , method #
SM 6200C
Mg - Magnesium
Mn - Manganese
Ni - Nickel
oo927
01055
o1o67
mg/L
ug/L
ug/L
, method #
, method #
, method #
Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal
For Remediation Systems Only (Attach Lab Reports):
William E. Brown - ORC
Pennittee (or Authorized ACent) Name and Title -Please orint or Npe
GW-59 Rev. 8/2013

SUBMIT FORM ON YELLOW PAPER ONLY
°R QUALITY MONITORING:
REPORT FORM
ility Name: City of Jacksonville Land Treatment System
mit Name (if different):
ility Address: 716 Firetower Road
Jacksonville NC 28540 County Onslow
(CRY) (Sia.F: (zip)
(tact Person: AmyPalaschak Telephone#: (910)93"620
II Location/Site Name MW-16 No. of wells to be sampled: 17
L ID NUMBER (from Permit): MW-16
Depth: 25 ft.
1 to Water Level 82546: 7.2 ft. below measuring point
wring Point is 2.4 ft. above land surface
ne of water pumped/bailed before sampling: 8.54
les for metals were collected unfiltered: X YES ❑
Date sample collected: 6/25/2020
Well Diameter: 2 in.
Screened Interval: 15 ft. to 20 ft.
Relative M.P. Elevation: 4.8 ft.
gallons
:PARTMENT OF ENVIRONMENT & NATURAL RESOURCES
VISION OF WATER RESOURCES - INFORMATION PROCESSING UNIT
17 MAIL SERVICE CENTER, RALEIGH, INC 27699A617 Phone: 91IM07-6306
ERMIT Number: Expiration Date: 4/30/2022
on -Discharge W00009267 UIC
PDES Other
YPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
X Spray Field ❑ Remediation:
❑ Rotary Distributor El Land Application of Sludge
❑ Water Source Heat Pump ❑ Other.
FIELD ANALYSES:
pH oo400: 5.1 units Temp. 00010: 21.5
Spec. Cond. 00094: µMhos
QdOf 00085,
Appearance
DRY at
time of
°C
Date sample analyzed:
6/25/2020
Laboratory Name: 1.
Jacksonville
2. Environmental Chemists Certification No.
1.
128 2. 94
PARAMETERS NOTE: Values
should
reflect dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N
oo61s
<0.02
mg/L
Pb - Lead o1o51
ug/L
Coliform: MF Fecal 31616
<1
/100mL
Nitrate (NO3) as N
00620
mg/L
Zn -Zinc o1o92
mg/L
<0.02
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
48.5
mg/L
At - Aluminum
01105
mg/L
pH (Lab) 00403
5.14
units
Ba - Barium
01007
ug/L
TOC oo68o
4.6
mg/L
Ca - Calcium
oo916
mg/L
Chloride oog4o
23
mg/L
Cd - Cadmium
olo27
ug/L
Arsenic 01002
ug/L
Chromium: Total
oio34
ug/L
Grease and Oils 00552
mg/L
Cu - Copper
o1o42
mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron
o1o45
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate oo945
6
mg/L
Hg - Mercury
71900
ug/L
Lab Report Attached? ElYes (1)
® No (0)
Specific Conductance 000gs
µMhos
K - Potassium
oo937
mg/L
VOC 7873 method #
SM 6200C
,
Total Ammonia oo610
<0.1
mg/L
Mg - Magnesium
00927
mg/L
method #
(Ammonia Nitrogen; NH3 as N; Ammonia Nitrogen,
Total)
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: mq/L
VOC Removal
GW-59 Rev. 8/2013

SUBMIT FORM ON YELLOW PAPER ONLY
ER QUALITY MONITORING:
REPORT FORM
m
Facility Name: City of Jacksonville Land Treatment System
Permit Name (if different):
Facility Address: 716 Firetower Road
Jacksonville NC 28540 County Onslow
act Person:
Amy Palaschak
Telephone#:
[phone]
Location/Site Name
MW-17
No. of wells
to be sampled: 17
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
DIVISION OF WATER RESOURCES - INFORMATION PROCESSING UNIT
1fi17 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
PERMIT Number: Expiration Date: 4/30/2022
Non -Discharge W00009267 UIC
NPDES Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
X Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
L ID NUMBER (from Permit): MW-77 Date sample collected: 6/25/2020
Depth: 25 ft. Well Diameter: 2 in.
to Water Level 82546: 5.5 ft. below measuring point Screened Interval: 15 ft. to 20 ft
uring Point is 1.9 ft above land surface Relative M.P. Elevation: 3.6 ft.
ne
of water pumped/bailed before sampling:
9.36
gallons
les
for metals were collected unfiltered: X
YES ❑
NO and
Date sample analyzed:
6/25l2020
PARAMETERS NOTE: Values
should reflect dissolve
COD 00335
mg/L
Coliform: MF Fecal 31616
<1
/100mL
Coliform: MF Total 31504
/100mL
(Note: Use MPN method for highly turbid
issolved Solids:Total 70300
94.8
mg/L
pH (Lab) 00403
4.52
units
TOC oo68o
2.9
mg/L
Chloride oog4o
37
mg/L
Arsenic o1002
ug/L
Grease and Oils oo552
mg/L
Phenol 32730
ug/L
Sulfate 00945
10
mg/L
Specific Conductance 00095
µMhos
Total Ammonia 00610
<0.1
mg/L
(Ammonia Nitrogen; NHaas N; Ammonia Nitrogen, Totzl)
TKN as N oo62s
mg/L
For Remediation Systems Only (Attach Lab Reports)
FIELD ANALYSES:
pH o0400: 4.5 units Temp. 00010: 21 °C
Spec. Cond. 00094: µMhos
Odor 00085:
Appearance
Laboratory Name: 1.
Jacksonville
2. Environmental Chemists Certification No.1.
128 2. 94
I and colloidal concentrations.
Nitrite (NO,) as N oo61s
<0.02
mg/L
Pb - Lead oio51
ug/L
Nitrate (NO3) as N 00620
<0.02
mg/L
Zn -Zinc 01092
mg/L
Ph
Influent Total VOCs:
William E. Brown - ORC
Pennittee (or Authorized A9enU Name and Toe -Please print or type
GW-59
Rev. 812013
mg/L
Effluent Total VOCs:
mg/L VOCRemoval%