WQ0009772_Monitoring - 03-2020_20200511

GW-59A COMPLIANCE REPORT FORM Permit # WQ0009772
(Submit one each monitoring GW--59 4.1
period with forms.)
j
Enter date monitoring results were due.( ) Will this monitoring report (GW-59 and GW-59A) YES NO
be submitted after the established due date?
2
Was any required information missing on the GW-59 report forms? ✓
IYES NQ
F the answer to question 7 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.
re;anyhe monitor wells in need of repair or maintenance (damaged casing, unlocked or missing cap,missing YES NO
denn plate, area overgrown, etc.)? Ifthe is "Yes",
4re
answer
contact the Regional Ofcefor guidance.nitored constituents equal to or above the established standard ?
;ym;o
co YES N
z
the answer to question 4 is NO", skip to section 8.
o z co
If the answer to question 4 is "YES" list the affected wells individually with con§titu6V(s) a►d poncentration(s)
exceeding
standards in the space provided below.,
tx
sU
11 r
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?
5
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).
Are the monitoring wells listed in section 5 located at or beyond the review boundary? YES NO
If the answer is "YES", a groundwater qualitg.y waCONTACTRE
eALOFFICE IMMEDIATELY FOR GUIDANCE. Ifteanseris NO", monitoringwel smaybempropylocated; 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 Reaiona/ Office within on r/we•
g The person completing this portion (GW-59A) of the monitoring report should sign below and submit this
form with GW-59 forms for required wells to the address provided at the top of the current GW-59 form.
I hereby acknowledge that the above information was evaluated and the information submitted In this
report (Compliance Report GW-59A) is true and complete to the best of my knowledge.
Signature of Permittee (or Authorized Agent) Date
GW-59A 12/8/2003

SUBMIT FORM ON YELLOW PAPER ONLY
ROUNDWATER QUALITY MONITORING:
ARTMENT OF ENVIRONMENT & NATURAL RESOURCES
OMPLIANCE REPORT FORM
"MIN
ISION OF WATER QUALITY•INFORMATION PROCESSING UNIT
7 MAIL SERVICE CENTER, RALEIGN, NC
CILITY INFORMATION Please Print Clearly or Type
[Permit
27B99-1617 Phone: [phone]
cility Name: Monteray Shores WNTP
RMIT Number: Expiration Date: 04/30/2021
Name (if different):
n-Discharge WQ0009772 UIC
Facility Address: 819 M8118 Drive
NPDES Other
Corolla `�tmp"l NC 27927
TYPE OF PERMITTED OPERATION BEING MONITORED
County CurrituCk
® Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
Contact Person: Anthony Chilton
Telephone#:[phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name:
No. of wells to be sampled: 2
❑ Water Source Heat Pump ❑ Other:
SAMPLING INFORMATION
from Perm°
WELL 1D NUMBER from Permit): MW#13 EAST
( )
Date sample collected: 03.02.20
If WELL
FIELD ANALYSES:
Well Depth: 11.0ft.
Well Diameter: 2 in.
WAS
pH 7.3 units Temp. 20 °C DRY at
Depth to Water Level: 4.4ft. below measuring point
Screened Interval: ft.
to ft. Spec. Cond. µMhos time of
Measuring Point is 2.3 ft. above land surface
Relative M.P. Elevation:
ft.
Odor sampling,
olume of water pumped/bailed before sampling:
4 gallons
check
Appearance CLEAR
Samples for metals were collected unfiltered: DYES
LABORATORY INFORMATION
❑ NO and field acidified: ❑YES
❑ NO
here: ❑
Date sample analyzed: 03.20.20 Laboratory Name: Environmental Chemists,lnc. Certification No. #37729
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD mg/I
Nitrite (NO2) as N
<0.02 mg/I
Pb - Lead mg/I
Coliform: MF Fecal <1 /100ml
Nitrate (NO3) as N
0.10 mg/I
Zn - Zinc mg/I
Coliform: MF Total /100ml
Phosphorus: Total as P
0.82 mg/1
(Note: Use MPN method for highly turbid samples)
Orthophosphate
mg/I
Other (Specify Compounds and Concentration Units):
Dissolved Solids: Total 362 mg/I
AI - Aluminum
mg/I
pH (when analyzed) 7.3 units
Ba - Barium
mg/I
TOC 3.3 mg/I
Ca - Calcium
mg/I
Chloride 130 mg/I
Cd - Cadmium
mg/I
Arsenic mg/I
Chromium: Total
mg/I
Grease and Oils mg/1
Cu - Copper
mgll
ORGANICS: (by GC, GC/MS, HPLC)
Phenol mg/1
Fe - Iron
mg/I
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate mg/l
Specific Conductance µMhos
Hg - Mercury
mg/I
Report Attached? ❑ Yes (1) ® No (0)
K - Potassium
mg/I
VOC method # SM 6200C
Total Ammonia 0.3 mg/I
(Ammonia Nitrogen, NH3as N; Ammonia Nitrogen, Total)
Mg - Magnesium
mg/I
method #
Mn - Manganese
mg/I
method #
TKN as N mg/I
Ni - Nickel
mg/I
method #
For Remedlation Systems Only (Attach Lab Reports):
Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
Permittee (or Authorized Agent) Name an itle - Pleas6 print or tvpe
- 7�. 2'
Signature of Permittee (or Authorized Agent)
GW-59 Rev.112007
(Date)

SUBMIT FORM ON Y 1 I OW PAPER ONLY
.TER QUALITY MONITORING:
E REPORT FORM
AW61 I I I NPURMATION rtease rnnt Wearly or Type
acility Name: Monteray Shores WWTP
'ermit Name (if different):
acility Address: 819 Malia Drive
corolla (Street) NC 27927
County Currituck
act Person: Anthony Chilton Telephone#:[phone]
Location/Site Name: No. of wells to be sampled: 2
1RIMENT OF ENVIRONMENT & NATURAL RESOURCES
ION OF WATER QUALITY -INFORMATION PROCESSING UNIT
MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
PERMIT Number: Expiration Date:
Non -Discharge W00009772 UIC
NPDES Other
'PE OF PERMITTED OPERATION BEING MONITORED
® Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
:LL ID NUMBER from Permit): MW#12 WEST
( )
II Depth: 12.3ft.
)th to Water Level: 6.1 ft. below measuring point
3suring Point is 2.3 ft. above land surface
Lime of water pumped/bailed before 9
sampling:
P
n les for metals were collected unfiltered: DYES
30RATORY
Date sample collected: 03.02.20
Well Diameter: 2 in.
Screened Interval: ft. to _ft.
Relative M.P. Elevation: ft.
5 gallons
❑ NO and field acidified: DYES ❑ NO
FIELD ANALYSES:
pH 7.6 units Temp. 17.1 °C
Spec. Cond. µMhos
Odor
Appearance CLEAR
If WELL
AS
DRY at
time of
sampling,
check
here:
INFORMATION
e sample analyzed: 03.20.20 LaboratoryName: Environmental Chemists, Inc. Certification No. #37729
ZAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD mg/I
Nitrite (NO2) as N
<0.02 mg/I
Pb - Lead mg /I
Coliform: MF Fecal <1 /100ml
Nitrate (NO3) as N
m
0.1 9/I
Zn -Zinc mg/I
Coliform: MF Total /100ml
Phosphorus: Total as P
2.22 mg/1
(Note: Use MPN method for highly turbid samples)
Orthophosphate
mo
Other (Specify Compounds and Concentration Units):
Dissolved Solids: Total 357 mg/I
AI - Aluminum
mg/I
pH (when analyzed) 7.6 units
Ba - Barium
mg/I
TOC 3.5 mg/I
Ca - Calcium
mg/I
Chloride 120 mg/I
Cd - Cadmium
mg/I
Arsenic mg/I
Chromium: Total
mg/I
Grease and Oils mg/I
Cu - Copper
mg/I
ORGANICS: (by GC, GC/MS, HPLC)
Phenol mg/I
Fe - Iron
mg/I
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate mg/1
Specific Conductance µMhos
Hg - Mercury
mg/I
Report Attached? ❑ Yes (1) W No (0)
Total Ammonia 0.4 mg/I
K - Potassium
Mg
mg/I
VOC method # SM 6200C
(Ammonia Nitrogen, NH3 as N: Ammonia Nitrogen, Total)
- Magnesium
mg/I
method #
TKN as N
Mn -Manganese
mg/I
method #
mg/I
Ni - Nickel
m9ll
methrxi At
For Remediation Systems
GW-59 Rev.1/2007
(Attach Lab Reports):
Effluent Total VOCs:
Signature of Permittee (or Authorized Agent) ' (Date)