WQ0000185_Monitoring - 06-2020_20200803 (2)

GW-59A COMPLIANCE REPORT FORM Permit ## W 4 D v o v 1
(Submit one ench monitoring period with GW--59 forms.)
I
Enter date monitoring results were due.( I - 3 /- i Will this monitoring report (GW-59 and GW-59A)
YES
O
be submitted after the established due date?
2
Was any required information missing on the GW-59 report forms?
YES
O
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
NO
identification plate, area overgrown, etc.)? If the answer is "Yes", contact the Regional ice for guidance.
4
Are any monitored constituents equal to or above the established standards?
YE
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 .-q n103
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) repotted, and sample collection date for each occurrence (for the last two years).
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 IMMEDIA TEL Y FOR GUIDANCE. If the answer is "NO", monitoring wells may be improperly
located; contact the Regional Office.
7
Is the permittee implementing previously approved actions required by the Division involving this
YES
NO
groundwater quality problem?
If the answer to question 7 is "YES", describe those actions in the space provided below.
If the answer to question 7 is "NO", contact the Regional Office within 90 days: an evaluation may be
r ulred to determine the impact the waste dis osal sigtem is having at the review and compliance
boundaries surrounding this_facflity. Failure to do so may sub,Lect the permittee to a Notice of Violation,
fines, and/or penalties.
g
The person completing this portion 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.
/Zo j 14 4 -7 --'3 / - 2,L)
Signature of Permittee (or Auth fized Agent) Date
GW-59A 12/8/2003

SUBMIT FORM ON YELLOW PAPER ONLY
©EPARTMENT OF ENVIRONMENT:& NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
i31V13[ON OF WATER QUALITY•INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
'
1617 MAILSERVICE CENTEk RAI EIGH, KC. '27699-18i7 Phone [phone]
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: WL14000185 Explration Date: 6/30/2024
Facility Name: Ocean Sands
Non -Discharge UIC
Permit Name (if different):
NPDES Other
Facility Address: 741 Ocean Trail
TYPE OF PERMITTED OPERATION BEING MONITORED
Corolla NC
27927 County Currituck
❑ Lagoon ❑ Remediation; Infiltration Gallery
`c"v' �`"°'
�'P`
❑ Spray Field ❑ Remediation:
Contact Person: Rod Holley
Telephone#: [phone]
ElRotary Distributor ElLand Application of Sludge
Well Location/Site Name: Ocean Sands
No. of wells to be sampled: 5
❑ Water Source Hea: Pump ® Other: Infiltration
warn Panni
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW4
Date sample collected: 6/8/2020
FIELD ANALYSES:
WAS
Well Depth: 17.6 ft.
Well Diameter: 3 in.
pH oo400: 6.74 units Temp. 000ia: 21.8 aC
DRY at
Depth to Water Level 02546:6.4 ft. below measuring point Screened Interval: 12 ft. to
17 ft. Spec. Cond. ooa94; µMhos
�
time of
sampling,
Measuring Paint is 2 ft. above land surface
Relative M.P. Elevation: ft.
Odor 000es: none
check
Volume of water pumped/bailed before sampling:
5.0
gallons
Appearance clear
here:❑
Samples for metals were collected unfiltered: ® YES
❑ NO and field acidified: ❑ YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 618/2020
Laboratory Name: Enviro Chem
Certification No. 94
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335
mg1L
Nitrite (NO2) as N 00615 0,02
mg1L Pb - Lead o1051 ug/L
Coliform; MF Fecal 31616 C1
/100mL
Nitrate (NO3) as N 00620 .49
mg/L Zn - Zinc o1092 mg1L
Coliform: MF Total 31504
1100mL
Phosphorus: Total asp 00665 8•0
mg/L
(Nate: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
Dissolved Solids:Total 703oo 431
mg/L
Al -Aluminum o11os
mg/L
pH (Lab) oo4o3 6.74
units
Ba - Barium olao7
ug1L
TOC 00660 5.7
mg/L
Ca - Calcium oosls
mg/L
Chloride 00940138
mg/L
Cd - Cadmium olo27
ug/L
Arsenic 01002
ug1L
Chromium: Total 01034
ug1L
Grease and Oils 00552
mg/L
Cu - Copper ol04z
mg/L ORGANICS: (by GO, GCIMS, HPLC)
Phenol 32730
ug1L
Fe - Iron 01045
ug1L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg1L
Hg - Mercury 71900
ug1L Lab Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance 00095
Mhos
K - Potassium 00937
mg/L VOC 76732: method #
Total Ammonia 00610 •$
mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonfa Nitrogen: NH,as N: Ammonia Nitrogen, Total)
Mn -Manganese 0to55
ug1L method #
TKN as N 00625
mg/L
Ni- Nickel 01067
ug1L method #
For Remediation Systems Only (Attach Lab Reports):
Influent Total VOCs:
Rod Holley Wastewater Superintendent Trainee
Permitlee (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev.212010
mg1L Effluent Total VOCs:
mg/L VOC Removal%

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF:ENVIRONMENT &'NATURALRESOURCES
GROUNDWATER QUALITY MONITORING:
,
DIVISION OF WATER Qt1ALITv INFORMAnoN pRi7CE331Nt"r UNIT.
COMPLIANCE REPORT FORM
1617'MAIL SERVICE CENTER, RAIEIGH, NC'$7695.16'17 Phono, 1914733.3221
FACILITY INFORMATION
Please PrtntCleadyorType
PERMIT Number: WOOGOO185 Expiration Date: 6/30/2024
Facility Name: Ocean Sands
Non -Discharge UIC
NPDES Other
Permit Name (if different):
Facility Address: 741 Ocean Trail
TYPE OF PERMITTED OPERATION BEING MONITORED
❑Lagoon El Remediation: Infiltration Gallery
Corolla NC 27927 County Currituck
�s�„•
«,o
Elfc,yi Spray Field ❑ Remediation:
Contact Person: Rod Holley
Telephone#: [phone]
❑ Rotary Distributor ❑ LEnd Application of Sludge
Well Location/Site Name: Ocean Sands
No. of wells to be sampled: 5
❑ Water Source Heat Pump ® Other: Infiltration
from PenTwo
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW5
Date sample collected: 6/8/2020
FIELD ANALYSES:
WAS
Well Depth: 17.6 ft,
Well Diameter: 3 in.
°
pH 00400; 6.44 units Temp. 00o1•r. 23.8 C
DRY at
Depth to Water Level 82546:3.2 ft. below measuring point Screened Interval: 12 ft, to
17 ft. Spec. Cond. 00094: µMhos
time of
sa
Measuring Point is 2 ft. above land surface
Relative M.P. Elevation: ft.
Odor 000ss: none
checpling,
Volume of water pumped/balled before sampling:
5,0
gallons
Appearance clear
here:❑
Samples for metals were collected unfiltered: ® YES
❑ NO and field acidified: El YES El NO
LABORATORY INFORMATION
Date sample analyzed: 6/8/2020
Laboratory Name: Enviro Chem
Certification No. 94
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
rng/L
Nitrte (NO2) as N oos15 <0,02
mg/L Pb - Lead oiosi ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 006201.37
mg/L Zn - Zinc oio92 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 3.50
mg/L
(Note: Use MPN method for hfghly turNd samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 390
mglL
All -Aluminum oil os
mglL
pH (Lab) 00403 6.44
units
Ba - Barium oloo7
ug1L
TOC 00680 6.6
mg/L
Ca - Calcium oo916
mg1L
Chloride oo94o 172
mg/L
Cd - Cadmium oi027
ug1L
Arsenic 01002
ug1L
Chromium: Total 01034
uglL
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg/L ORGANfCS: (by GO, GCIMS, HPLC)
Phenol 32730
ug/L
Fe - Iron oio45
ug1L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg1L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance 0o095
µMhos
K - Potassium oo937
mg/L VOC 78732; method #
Total Ammonia ooslo <.2
mg/L
Mc - Magnesium 00927
mg/L method #
(Ammonia Nitrogen; NH3as N; Ammonia Nitrogen, Tolal)
Mn - Manganese 01055
uglL method #
TKN as N 00625
mg/L
Ni - Nickel oio67
uglL method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs:
Rod Holley Wastewater Superintendent Trainee
Permittee (or Authorized Agent) Name and Title - Please print or type
mg/L Effluent Total VOCs:
mg/L VOC Removal%
� ZZ
GW-59 Rev.212010

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
FACILITY INFORMATION crease enni vieany or type
Facility Name: Ocean Sands
Permit Name (if different):
Facility Address: 741 Ocean Trail
Corolla `StrcO" NC 27927 County Curriluck
Ec.'ry �_"pE
act Person: Rod Holley
Location/Site Name: Ocean Sands
Telephone#: [phone]
No. of wells to be sampled: 5
WELL ID NUMBER (from Permit): MW6 Date sample collected: 6/8/2020
Well Depth: 17.6 ft. Well Diameter: 3 in.
Depth to Water Level e2546:4.4 ft. below measuring point Screened Interval: 12 ft.
Measuring Point is 2 ft. above land surface Relative M.P. Elevation:
Volume of water pumped/bailed before sampling: 1.5 gallons
Samples for metals were collected unfiltered: m YES ❑ NO and field acidified: ❑ YES
PERMIT Number: WQ0004185 Expiration Date: 6/30/2024
Non -Discharge UIC
NPDES Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Hea: Pump IN other: Infiltration
to 17 ft.
ft.
m
FIELD ANALYSES:
pH 00400: 6.62 units
Spec. Cond. 000s4:
Odor 000a5: none
Appearance clear
Temp. 000i3: 23.5 °C DRY at
µMhos Time of
ate sample analyzed: 6/8/2020
Laboratory Name: Enviro Chem
Certification No. 94
%RAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N oo6i5 <0.02
mglL
Pb - Lead o1o5i ug/L
Coliform: MF Fecal 31616 <1
1100mL
Nitrate (NO3) as N 00620 ,10
mg/L
Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
1100mL
Phosphorus: Total as P 00665 2.10
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
.solved Solids:Total 703oo 367
mg/L
Al - Aluminum of ios
mg/L
pH (Lab) 00403 6.62
units
Ba - Barium o1007
ug/L
TOC 00680 5.5
mg/L
Ca - Calcium oogi6
mg/L
Chloride 00940 163
mg/L
Cd - Cadmium 01027
ug1L
Arsenic 01002
ug/L
Chromium: Total 01034
ug/L
Grease and Oils oo552
mg/L
Cu - Copper 01042
mg/L
ORGANICS: (by GC, GCIMS, HPLC)
Phenol 32730
ug/L
Fe - Iron 01045
ug1L
(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 000gs
µMhos
K - Potassium 00937
mg/L
VOC 78732: method #
Total Ammonia ooslo <•2
mg/L
Mg - Magnesium 00927
mg/L
method #
(Ammonia Nitrogen; NHsas N; Ammonia Nitrogen, Total)
Mn - Manganese of 055
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:
mglL
Effluent Total VOCs:
mg/L VOC Removal%
101
GW-59 Rev.212010

SUBMIT FORM ON YELLOW PAPER ONLY
pEPARTMENTOF:ENVIRONMENT&'NATURAL,RESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1B17 MAIL SERVICE CENTER, RALMGH, NC 27699A617 Phon® [phone]
FACILITY INFORMATION
Please PrintCleadyorType
PERMIT Number: WQODD0186 Expiration Date: 6/30/2024
Facility Name: Ocean Sands
Non -Discharge UIC
NPDES Other
Permit Name (if different):
Facility Address: 741 Ocean Trail
TYPE OF PERMITTED OPERATION BEING MONITORED
Corolla NC
27927 County Curriluck
[I Lagoon ❑ Remediation: Infiltration Gallery
fSr.n_}
rZni
Elr['tyl
Spray Field 0 Remediation:
Contact Person: Rod Holley
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Ocean Sands
No. of wells to be sampled: 5
❑ Water Source Heat Pump ® Other: Infiltration
Erom Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW7
Date sample collected: 6/8/2020
FIELD ANALYSES:
WAS
Well Depth: 17.6 ft.
Well Diameter: 3 in.
°
pH ao400; 6.35 units Temp. ooalx 23.0 C
DRY at
Depth to Water Level 82546:3•0 ft. below measuring point Screened Interval: 12 ft.
to 17 ft. Spec. Cond. doom: µMhos
time of
sampling,
Measuring Point is 2 ft. above land surface
Relative M.P. Elevation:
ft. Odor 000as: none
check
Volume of water pumped/bailed before sampling.
5.0
gallons
Appearance clear
here:
Samples for metals were collected unfiltered: ® YES
❑ NO and field acidified: ❑ YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 6/8/2020
Laboratory Name: Enviro Chem
Certification No. 94
PARAMETERS NOTE: Values should reflect
dissolved
and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615 <0,02
mg/L Pb - Lead o1a51 ug/L
Coliform: MF Fecal 31616 <1
/100ml-
Nitrate (NO3) as N 00820 5.48
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
1100mL
Phosphorus: Total as P a0665•61
mg/L
(Note: Use MPN method for highly turbid samples)
0-thophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 205
mg/L
Al -Aluminum o110s
mglL
pH (Lab) 00403 6.36
units
Ba - Barium 01007
ug1L
TOC 006ao 2.9
mg/L
Ca - Calcium 00916
mg/L
Chloride oo94o 80
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, GCIMS, 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 oo610 <.2
mg1L
Mg - Magnesium oo927
mg/L method #
(Ammonia Wrogen; N%as N; Ammonia Nitrogen, Total)
Mr - Manganese 01o55
uglL method #
TKN as N 00625
mg/L
Ni - Nickel 01067
uglL method #
For Remediation Systems Only (Attach Lab Reports):
Influent Total VOCs:
mcilL Effluent Total VOCs:
mg/L VOC Removal%
GW-59 Rev.2/2010

SUBMIT FORM ON YELLOW PAPER ONLY
• •
DEPARTME=NTOF:ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OF WATEWMAI-ITY-INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
•
• • •
1617 MAWSERVICE CENTER, RAL;EIGH, NC°27699-1677 Phone '[phone] r`.
FACILITY INFORMATION
Please PrintClaar,yorType
PERMIT Number: WQ0000185 Expiration Date: 6/30/2024
Facility Name: Ocean Sands
Non -Discharge UIC
Permit Name (if different):
NPDES Other
Facility Address: 741 Ocean Trail
TYPE OF PERMITTED OPERATION BEING MONITORED
❑Lagoon ❑ Remediation: Infiltration Gallery
Corolla `s" °-" NC 27927 County Cuni#uck
C'M '
"'�"
❑ Spray Field ❑ Remediation:
Contact Person: Rod Halley
Telephone#; 252-232-6065
ElRotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Ocean Sands
No. of wells to be sampled: 5
❑ Water Source Heat Pump ® Other: Infiltration
from Pemdt
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MVW 9
Date sample collected: 6/8/2020
FIELD ANALYSES:
WAS
Well Depth: 17.6 ft.
Well Diameter: 3 in,
pH o0400: 6.64 units Temp. 00010: 21.5 °C
DRY at
Depth to Water Level 82546:3.8 ft. below measuring
point Screened Interval: 12 ft.
to 17
ft. Spec. Cond. 00094: µMhos
time of
sampling,
Measuring Point is 2 ft. above land surface
Relative M.P. Elevation:
ft.
Odor Doom: none
check
Volume of water pumped/bailed before sampling:
6.0
gallons
Appearance clear
here:
❑
Samples for metals were collected unfiltered: ® YES
❑ NO and field acidified: ❑ YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 6/8/2020
Laboratory Name: Enviro Chem
Certification No. 94
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD o0335
mg/L
Nitrite (NO2) as N oo615 <0.02
mg/L Pb - Lead o1051 ug/L
Coliform: MF Fecal 31615 <1
/100mL
Nitrate (NO3) as N 00620 ,73
mg/L Zn -Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P oo665 1.52
mg/L
(Nate: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
Dissolved Solids:Total 70300466
mg/L
Al -Aluminum oilo5
mg/L
pH (Lab) 00403 6.64
units
Ba - Barium 01007
ug1L
TOG oo6eo 6.5
mg/L
Ca - Calcium oo916
mg/L
Chloride ooa4o 197
mg/L
Cd - Cadmium oio27
ug1L
Arsenic 01002
ug1L
Chromium: Total oio34
ug1L
Grease and Oils 00552
mg/L
Cu - Capper 01042
mg1L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug1L
Fe - Iron 01045
ug1L
(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 oo937
mg/L
VOC 78732: method #
Total Ammonia o0510 1.3
mg1L
Mg - Magnesium 00927
mg/L
method #
(Ammonia Nitrogen; NH,as N; Ammonia Nitrogen, Totao
Mn - Manganese 01055
ug/L
method #
TKN as N 00025
mg/L
Ni - Nickel 01067
ug1L
method #
For Remediation Systems Only (Attach Lab Reports): Infuent Total VOCs:
Rod Holley Wastewater Superintendent Trainee
Permittee for Authorized Agent) Name and Title - Please print or type
mg/L Effluent Total VOCs:
piete and' chat the ta6ortatary analytrcaf date
i; possibi4lty o(tipes and tmppsolin%merit tar:kr�S
mg/L VOC Removal%
- 3 % `2,1)
GW-59 Rev.212010