WQ0003044_Monitoring - 03-2020_20200428 (2)

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SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
FACILITY INFORMATION Please Print Clearly or Type
Facility Namerl�o„rie 5�'!_Q
Permit Name (if different):
Contact Person: v N," f
Well Locatiorl Site Name:
Telephone #: JKk4-S:1%,19
No. of Wells to be Sampled:
Well Identification Number (from Permit): For Groundwater Treatment Systems
Well Depth: _ 1` fi. Well Diameter- �_ in. Check One: ❑ Influent (98)
Screened Interval: ft. to it. ❑ Effluent (99)
Depth to Water Level: T A� ft. below measuring point.
Measuring Point (M.P.) is: ft. above land surface. Pelative M.P. Elevation in ft.:
Gallons of water pumped/bailed before sampling: . `? Date sample collected:
Field analysis: pH n %-1 , Specific Conductance _ uMhos
Temp. _�C, Odor Appearance
DEPARTMEN'r OF ENVIRONMENT & NATURAL RESOURCES
WATER QUALITY DIVISION, GROUNDWATER SECTION
1636 MAIL SERVICE CENTER
PERMIT #: EXPIRATION DATE:
Non-DischargeUIC
NPDES
TYPE: OF PERMITTED OPERATION BEING MONITORED
— Lagoon __Remediation: Infiltraton Gallery
_ Spray Field
Rotary Distributor
Other:
Remediation:
Land Application of Sludge
N TE; Values should reflect dissolved and .
colloidal concentrations.
Date sample analyzed:
Laboratory Name:
Certification No. ^_
PARAMETERS (Samples for metals were collected unfiltered YES NO and field acidified
COD
mg/I
Nitrite (NO2) as N _
mg/I
C oliform: MF Fecal i
/100ml
Nitrate (NO3) as N _I-Ske _
mg/i
Coliform: MF Total
/100ml
Phosphorus: Total as P LO, i l(a -_
mg/I
(Note: Use MPN method for highly turbid samples)
Orthophosphate _ _
mg/I
Dissolved Solids: Tom 3S. `
mg/I
Al - Aluminum _ _
mg/I
pH (when analyzed)
units
Ba - Barium _
mg/I
TOC J . i 'L
mg/I
Ca - Calcium _
mg/I
Chloride _ 3 '�
mg/I
Cd - Cadmium_ _
mg/I
Arsenic —
mg/I
Chromium: Total _ _
mg/I
Grease and Oils
mg/1
Cu - Copper.
mg/I
Phenol _
mg/I
Fe - Iron _
mg/I
Sulfate
mg/I
Hg - Mercury _
mg/I
Specific Conductance
uMhos
K - Potassium _
mg/I
Total Ammonia
mg/I
Mg - Magnesium _
mg/1
TKN as N _
mg/I
Mn - Manganese-
mg/I
YES NO)
Ni - Nickel mg/I
Pb - Lean mg/I
Zn - Zinc mg/I
Ammonia Nitrogen 0.04 mg/I
Other (Specify Comppand Concentration Units)
ORGANICS: (GC,GC/MS,HPLC)
(Specify test and method #. Attach lab report.)
Report Attached? Yes _(1) No ' (0)
VOC : methcd # =
methcd # =
method # =
rermi7e (or Autrforiz d Agent) Narne-prid Title -'Please prjfit or type
GW-
Rev. 03/2000 Signature of a ittee (or Authorized Agent) ' (D te)
Rev.

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
FACILITY INFORMATION Please Print Clearly or Type
Facility
Permit Name (if different):
Facility Address:• -
Contact Person:y �3k f
Well Locatiorl Site Name:
County �� r� - r,4i--�
Telephone #:�},Sot
No. of Wells to be Sampled:
Well Identification Number (from Permit): For Groundwater Treatment Systems
Well Depth: _ �i, ft. Well Diameter: _I in. Check One: ❑ Influent (98)
Screened Interval: ft. to ft. ❑ Effluent (99)
Depth to Water Level:'77.,kT ft. below measuring point.
Measuring Point (M.P.) is: ft. above land surface. Relative M.P. Elevation in ft.:
Gallons of water pure ed./,baifed before sampling:,_ Date sample collected: '3
Field analysis: pH_ , Specific Conductance - uMhos
Temp. OLO 'C, Odor Appearance
PARAMETEf s (Samples for metals were collected unfiltered
COD mg/I Nitri
Coliform: MF Fecal A /100ml Nitr
Coliform: MIF Total /100ml Pho
(Note: Use MPN method for highly turbid samples)
Dissolved Solids: TOW- & mg/I
pH (when analyzed) units
TOC 3 � a t mg/I
Chloride _ 41rQ mg/I
Arsenic — mg/I
Grease and Oils mg/I
Phenol _ mg/I
Sulfate mg/l
Specific Conductance uMhos
Total Ammonia mg/I
TKN as N
Rev. 0312000
YES NO)
Ni - Nickel mg/I
Pb - Lead mg/I
Zn - Zinc mg/I
Ammonia Nitrogen o• 011 mg/I
Other ( Specify Compounds and Concentration Units)
ORGANICS: (GC,GC/MS,HPLC)
(Specify test and method C Attach lab roport.)
Report Attached? Yes _(1} No ��!!// - (0)
VOC : method # =
PERMIT #:
DEPARTMEN'' OF ENVIRONMENT & NATURAL RESOURCES
WATER QUALITY DIVISION, GROUNDWATER SECTION
1636 MAIL SERVICE CENTER
EXPIRATION DATE:
Non -Discharge Zgk444 UIC
NPDE:S
TYPE: OF PERMITTED OPERATION BEING MONITORED
Lagoon ,_Remediation: InfiltraLon Gallery
_ Spray Field _! Remediation:
_e_ Rotary Distributor __ Land Application of Sludge
_.Other:
NOTE, Values should reflect dissolved and .
colloidal concentrations.
Date sample analyzed: -
Laboratory Name: �' n��'. ns�' yr n
Certification No. IQ)
YES NO and field acidified
to (NO2) as N _ mg/I
ate (NO3) as N _ mg/I
sphorus: Total as P n, I Cl _ mg/I
Orthophosphate _ — mg/I
Al - Aluminum — _ mg/I
Ba - Barium — mg/I
Ca - Calcium _ mg/I
Cd - Cadmium_ _ mg/l
Chromium: Total _ _ mg/I
Cu - Copper. mg/I
Fe - Iron _ mg/I
Hg - Mercury — mg/I
K - Potassium _ mg/I
Mg - Magnesium _ _ mg/I
mg/I Mn - Manganese_ _ mg/I : method # =
: method # =

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
FACILITY INFORMATION Please Print Clearly or Type
Facility Name']�o ,Ue�c�k'Q1
Permit Name (if different):
Facility Address:
Contact Person: \3 ZI, I
Well Locatiorl Site Name:
County�cLr� r-k`�
Telephone #: Z%4
No. of Wells to be Sampled:
Well Identification Number (from Permit): For Groundwater Treatment Systems
Well Depth: _ I,� ft. Well Diameter: E in. Check One: ❑ Influent (98)
Screened Interval: ft. to ft. ❑ Effluent (99)
Depth to Water Level: -:14 ft. below measuring point.
Measuring Point (M.P.) is: ft. above land surface. Relative M.P. Elevation in ft.:
Gallons of water pumped/bailed before sampling: 3, iZ�)— Date sample collected':
Field analysis;: pH 7), ";: , Specific Conductance _ uMhos
Temp._-C, Odor Appearance
PERMIT #:
DEPARTMEN'i OF ENVIRONMENT & NATURAL RESOURCES
WATER QUALITY DIVISION, GROUNDWATER SECTION
1636 MAIL SERVICE CENTER
EXPIRATION DATE:
Non -Discharge -,Q�C'`%25,YA Z!iti4 UIC
NPDES
TYPE: OF PERMITTED OPERATION BEING MONITORED
_ Lagoon __Remediation: Infiltraton Gallery
_ Spray Field Remediation:
Rotary Distributor Land Application of Sludge
_ Other:
NOTE: Values should reflect dissolved and .
colloidal concentrations.
Date sample analyzed: `
Laboratory Name: 52E% '_r ram}
Certification No. t t
PARAMETERS (Samples for metals were collected unfiltered YES
NO and field acidified
COD
mg/I
Nitrite (NO2) as N
_ mg/I
Coliform: MF Fecal
/100ml
Nitrate (NO3) as N
O. 09 _ mg/i
Coliform: M F Total
/100ml
Phosphorus: Total as
P to � _ mg/I
(Note: Use MPN method for highly turbid samples)
Orthophosphate
mg/I
Dissolved Solids: T040
mg/I
AI - Aluminum _
_
_ mg/I
analyzed)
units
Ba - Barium
— mg/I
TpH OCwhen
2�°<O
mg/I
Ca - Calcium
_ mg/I
Chloride _ `1 ►
mg/I
Cd - Cadmium—
_ mg/I
Arsenic —
mg/I
Chromium: -Total _
_ mg/I
Grease and Oils
mg/I
Cu - Copper
_ mg/I
Phenol _
mg/I
Fe - Iron
mg/I
Sulfate
mg/l
Hg - Mercury
_ mg/I
Specific Conductance
uMhos
K - Potassium
_ mg/I
Total Ammonia
mg/I
Mg - Magnesium _
_ mg/I
TKN as N _
mg/I
Mn - Manganese-
_ mg/I
YES NO)
Ni - Nickel mg/I
Pb - Lead mg/I
Zn - Zinc mg/I
Ammonia Nitrogen ` - 0 mg/I
Other (:specify Compounds and Concentration Units)
ORGANICS: (GC,GC/MS,HPLC)
(Specify test and method #. Attach lab report.)
Report Attached? Yes _(1) No �<_ (0)
VOC : methcd # =
methcd # =
method # =
�6
Rev. 03/2000

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
FACILITY INFORMATION Please Print Clearly or Type
Facility Namei�t w ter- ��
Permit Name (if different):
Facility Address: "As
1 reel y r , r �4 r.rt
o�L�c I 1 Count
( ily) istaw) (zip) -
Contact Person= Zk k fir& fr` Telephone #: 44- S-fr; 3�
Well Locatiorl Site Name: Q No. of Wells to be Sampled: t-
_ (from e.miq
Well Identification Number (from Permit): For Groundwater Treatment Systems
Well Depth: _ 1 ft. Well Diameter, �_ in. Check One: ❑ Influent (98)
Screened Interval: ft. to ft. 11 Depth to Water Level:.? g point.
is ft. below measuring Effluent (99)
Measuring Point (M.P.) is:.4_ ft. above land surface. Felative M.P. Elevation in It.:
Gallons of water pump�d/bailed before sampling: I - S Date sample collected':�lj�
Field analysis: pH _ .0 , Specific Conductance - uMhos
Temp. VS.-0C, Odor Appearance
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
WATER QUALITY DIVISION, GROUNDWATER SECTION
1636 MAIL SERVICE CENTER
PERMIT #: EXPIRATION DATE:
Non-Discharge.�1 UIC _
NPDES
TYPE: OF PERMITTED OPERATION BEING MONITORED
— Lagoon __Remediation: Infiltrat on Gallery
_ Spray Field Remediation:
_&eo_ Rotary Distributor Land Application of Sludge
Other:
NOTE; Values should reflect dissolved and
colloidal concentrations.
Date sample analyzed: —
Laboratory Name:
Certification No. 11Z)
PARAMETERS (Samples for metals were collected unfiltered YES
NO and field acidified
COD
mg/I
Nitrite (NO2) as N
_ mg/I
Coliform: IMF Fecal �
/100ml
Nitrate (NO3) as N 2.t 23 _ mg/i
Coliform: MF Total
/100mi
Phosphorus: Total as P_ n . ,l ,0 _ mg/I
(Note: Use MPN method for highly turbid samples)
Orthophosphate _
_ mg/I
Dissolved Solids: TO;W _ _ mg/I
Al - Aluminum _
mg/I
pH (when analyzed)
units
Ba - Barium
— mg/1
TOC
mg/I
Ca - Calcium
_ mg/1
Chloride -��`f
mg/I
Cd - Cadmium—
_ mg/I
Arsenic
mg/I
Chromium: 'total _
mg/I
Grease and Oils
mg/I
Cu - Copper
_ mg/I
Phenol —
mg/I
Fe - Iron
_ mg/I
Sulfate ,
mg/I
Hg - Mercury
_ mg/I
Specific Conductance
uMhos
K - Potassium
_ mg/I
Total Ammonia
mg/I
Mg - Magnesium _
_ mg/I
TKN as N _
mg/l
Mn - Manganese_
` mg/I
YES NO)
Ni - Nickel mg/I
Pb - Lead mg/I
Zn - Zinc mg/1
Ammonia Nitrogen_CLr2'7 mg/I
Other (:specify Compounds and Concentration Units)
ORGANICS: (GC,GC/MS,HPLC)
(Specify test and method #. Attach lab report.)
Report Attached? Yes _(1) No -X-- (0)
VOC : methcd # =
methcd # =
method # _

[��doQo��c��� Flo ��c�oQpoQa�c�d
114 OAKMONT DRIVE
GREENVILLE, N.C. 27858
ID#: 556
Drinking Water ID: 37715
Wastewater ID: 10
PHONE [phone]
FAX [phone]
DUNESCAPE (HYDROTECH)
ATTN: DON O'MARA
HYDROTECH DATE COLLECTED: 03/02/20
P.O. BOX 4602 DATE REPORTED : 03/13/20
EMERALD ISLE ,NC 28594
REVIEWED BY:
MW-1 MW-4 MW-5 MW-6 Analysis Method
PARAMETERS Date Analyst Code
PH (field measurement), Units 7.7 7.7 7.5 7.0 03/02/20 SEB 4500HB-11
Fecal Coliform (MF), /100 Mls < 1 < 1 < 1 < 1 03/02/20 HJO 9222D-06
Ammonia Nitrogen as N, mg/l <0.04 <0.04 <0.04 0.07 03/03/20 BLD 350.1 R2-93
Nitrate Nitrogen as N, mg/l 2.96 0.12 0.09 2.23 03/03/20 DTL 353.2 R2-93
Total Phosphorus as P, mg/l 0.16 0.18 1.62 0.20 03/04/20 AKS 365.4-74
Total Organic Carbon, mg/l 2.12 3.91 2.90 9.76 03/03/20 SEJ 531OC-11
Chloride, mg/l 33 46 71 184 03/09/20 KDS 4500CLB-11
Total Dissolved Residue, mg/l 301 366 455 573 03/03/20 HJO 2540C-11
Static Water Level, feet 8.95 7.28 8.76 5.35 03/02/20 SEB
Water Bailed, Gals. 2.0 3.0 3.0 1.5 03/02/20 SEB