WQ0000185_Monitoring - 05-2020_20200911

GW-59A COMPLIANCE REPORT FORM Permit # IV 0 0 0 0
(Submit one each monitoring period with GW-59 forms.)
o /col 6�w
1
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?
YES
--NO,
1F the answer to question I 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.)? lfthe answer is "Yes", contact the Regional ice 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.
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, concentrations) reported, 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 IMMEDIATELY FOR GUIDANCE If the answer is "NO", monitoring wells maybe 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
required to determine the imbact the waste disposal system is having at the review_ and compliance
boundaries surrounding this facility. Failure to do so may subiect the-ermittee to a Notice of Violation,
fines, and/or penalties.
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.
M
9/1a zo
Signature of Permittee (or Aut rized Agent) Date
GW-59A 12/8/2003

e
4 /! 0 /za SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
QEF'RRTMENT;OF;ENVIRONMENT&'NATURAL`RESOURCES -
d1VISION OF WATER WALITY4NEORMATION PROCESSiNR UNIT
COMPLIANCE REPORT FORM
e r
9617 >IIAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phoee: 1919) 733-3221
FACILITY INFORMATION
Please Prrnt Clearly Or type
PERMIT Number: W00000185 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
Corolla "°°" NC
27927 County Gurrituck
El Lagoon ❑Remediation: Infiltration Gallery
`S ''°'
" 1"'
❑ Spray Field ❑ Remediation:
Contact Person: Rod Holley
Telephone#: [phone]
❑ Rotary Distributor ElLand Application of Sludge
Well Location/Site Name: Ocean Sands
No, of wells to be sampled: 5
❑ Water Source Heat Pump ® Other: Infiltration
h'am Pemtit
SAMPLING INFORMATION
If WELL
WELL !D NUMBER (from Permit): MW4
Date sample collected: 5/4/2020
FIELD ANALYSES:
WAS
Well Depth: 17.6 ft.
Well Diameter 3 in,
pH 00400: 7.01 units Temp. 00010: 20.1 eC
DRY at
Depth to Water Level 82546:11.6 ft. below measuring point Screened Interval: 12 ft, to
17
ft. Spec. Cond. 00094: µMhos
time of
T
sampling,
Measuring Point is 2 ft. above land surface
Relative M.P. Elevation: ft.
Odor 000es: none
check
Volume of water pumped/bailed before sampling:
4.5
gallons
Appearance clear
here:❑
Samples for metals were collected unfiltered: ® YES
❑ NO and field acidified: ❑ YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 5/4/2020
Laboratory Name: Enviro Chem
Certification No. 94
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 9o335
mg1L
Nitrite (NO2) as N 00616 0.04
mg/L Pb - Lead o1o51 ug/L
Coliform: MF Fecal 31616 <1
1100ml-
Nitrate (NO3) as N 0062o 2.94
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
1100mL
Phosphorus: Total as P oo6e5 7.91
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 440
mg/L
Al - Aluminum 01105
mg/L
pH (Lab) 00403 7.39
units
Bat - Barium o1ow
ug/L
TOC 00680 5.4
mg1L
Ca - Calcium oosls
mg/L
Chloride 00940 141
mg/L
Cd - Cadmium oto27
ug1L
Arsenic ai=
ug1L
Chromium: Total 01034
ug1L
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg/L
ORGANICS: (by GC, GCIMS, HPLC)
Phenol 32730
ug/L
Fe - Iron o1o4s
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate oos4s
mg/L
Hg - Mercury 719oo
uglL
Lab Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance 00095
µMhos
K - Potassium oos37
mg/L
VOC 73732: method #
Total Ammonia ooelo •9
mg/L
Mg - Magnesium 00927
mg/L
method #
(Ammonla Nitrogen; NH. as N; Ammonia Nitrogen, Total)
Mn - Manganese 01055
ug/L
method #
TKN as N 00625
mg/L
N! - Nickel 01os7
ug/L
method #
For Remediation Systems Only (Attach Lab Reports):
Influent Total VOCs:
Rod Holley Wastewater Superintendent Trainee
Perrrlittee (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev.2/2010
mg/L
Effluent Total VOCs:
mg/L VOC Removal%

sL S !// D/7-i SUBMIT FORM ON YELLOW PAPER ONLY
e
DEPARTMENTOF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OF WATEitQUALITYdNFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
+
161,7 MAIL SERVICE CENTER, RALEIGH, NO 27699-1617 . Phone: [phone]
FACILITY INFORMATION
Please Print Clearly or Type
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
El Lagoon ❑Remediation: Infiltration Gallery
Corolla 5E"" NC 27927 County Currituck
C,iv> Sra�ei
ripsEl
Spray Field El Remediation:
Contact Person: Rod Holley
Telephone*: 252-232-6065
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Ocean Sands
No. of wells to be sampled: 5
❑ Water Source Heat Pump X Other. Infiltration
rr«„ Peru
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW5
Date sample collected: 5/4/2020
FIELD ANALYSES:
WAS
Well Depth: 17.6 ft.
Well Diameter: 3 in,
pH oo40o: 7.39 units Temp. 000la: 19.7 °C
DRY at
Depth to Water Level 82546:6.6 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 00085: none
check
Volume of water pumped/bailed before sampling:
&0
gallons
Appearance clear
here:❑
Samples for metals were collected unfiltered: m YES
❑ NO and field acidified: ❑ YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 5/412020
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 0.03
mg/L Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00e2o 2.39
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 315o4
/100mL
Phosphorus: Total as P poses 5•27
mg/L
(Note: Use MPH method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 471
mg/L
Al -Aluminum oil o5
mg1L
pH (Lab) 00403 7.39
units
Ba - Barium 01007
ug1L
TOC 00680 11,1
mg/L
Ca - Calcium oog16
mg/L
Chloride 00940175
mg/L
Cd - Cadmium 01027
ug1L
Arsenic 01002
ug/L
Chromium: Total 01034
ug1L
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg/L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug1L
Fe - Iron olo45
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 a0095
µMhos
K - Potassium 00937
mg/L VOC 78732; method #
Total Ammonia oo610 .3
mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen; NH3as N; Ammonia Nitrogen, Total)
Mn - Manganese ofo55
ug/L
method #
TKN as N 00625
mg/L
Ni - Nickel 01067
uglL
method #
For Remediation Systems Only (Attach Lab Reports):
Influent Total VOCs:
Rod Holley Wastewater Superintendent Trainee
Permittee (or Authorized Agent) Name aid Title - Please print or type
GW-59 Rev.2/2010
mg/L Effluent Total VOCs:
mg1L
VOC Removal%

/" a s &A c 1l,9 A ( SUBMIT FORM ON YELLOW PAPER ONLY
• .
DEr�AELTMENT;OFENVIRONMENT&NATURAL `RESOURCES "
GROUNDWATER QUALITY MONITORING:
nt�rrSl3NOFWAirERQuAUTY1NFORMATIONPROCESSING NIT "
COMPLIANCE REPORT FORM
•
76(714AILSERYICECFNYER,RAiEIGH,NC.27689-1617 "Phone[phone] .
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: WQ0000185 Expiration Date: 6/30/2024
Facility Name: Ocean Sands
Non -Discharge UIC
Permit Name (if different):
NFDES Other
Facility Address: 741 Ocean Trail
TYPE OF PERMITTED OPERATION BEING MONITORED
Corolla "`A" NC
27927 County Currituck
❑Lagoon ❑Remediation: Infiltration Gallery
❑ Spray Field ❑ 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 OE Other: Infiltration
hom Perrot
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW6
Date sample collected: 5/4/2020
FIELD ANALYSES:
WAS
Well Depth: 17.6 ft.
Well Diameter: 3 in.
pH 00400: 7.26 units Temp. 00010: 22.2 °C
DRY at
Depth to Water Level 82546:3•9 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 00065: none
check
Volume of water pumped/bailed before sampling:
4•0
gallons
Appearance clear
here:
Samples for metals were collected unfiltered: m YES
❑ NO and field acidified: ❑ YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 5/4/2020
Laboratory Name: Enviro Chem
Certification No. 94
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD oo335
mg/L
Nitrite (NO2) as N 00615 <0.02
mg/L Pb - Lead mosi ug/L
Coliform: MF Fecal 31616 61
/100mL
Nitrate (NO3) as N 00620 1.27
mg/L Zn - Zinc o1o92 mg1L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P o0665 7.28
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 566
mg/L
At - Aluminum o11os
mg/L
pH (Lab) 00403 7.26
units
Ba - Barium 01007
ug/L
TOC 006Bo 21.1
mg/L
Ca - Calcium 00916
mg/L
Chloride oomo 180
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 71soo
ug/L Lab Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance 0009s
µMhos
K - Potassium oa937
mg/L VOC 76732: method #
Total Ammonia o0610 < 0.2
mg/L
Mg - Magnesium oo927
mg/L method #
(Arrmnia Nitrogen: NH,as N: Ammsnia Nitrogen, Total)
Mn - Manganese olos5
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:
Rod Holley Wastewater Superintendent Trainee
Permittee (or Authorized Agent) Name and Title - Please print or type
mg/L Effluent Total VOCs:
Signature of PermMee (or
mg/L VOC Removal%
(Date)
o12-o
GW-59 Rev.2/2010

SUBMIT FORM ON YELLOW PAPER ONLY
o
DEPARTMENT OFENVIRONMENT NATURAL RESOURCES .
GROUNDWATER QUALITY MONITORING:
€3IVISIOIq OF WATER QUALITY INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
, f
1817MAIL SERVICE CENTER ,RALEIGH,NC27699.1617 Phone.[phone].
FACILITY INFORMATION
Please PAM Cleady or Type
PERMIT Number: WQC000165 Expiration Date: 6/30/2024
Facility Name: Ocean Sands
Non -Discharge UIC
Permit Name Of different):
NPDES Other
Facility Address: 741 Ocean Trail
TYPE OF PERMITTED OPERATION BEING MONITORED
Corolla "`'" NC
27927 County Currituck
❑ Lagoon ❑ Remediation: Infiltration Gallery
CC ifYI i5ta1a1
is �i)
❑ Spray Field El Remediation:
Contact Person: Rod Holley
Telephone#: [phone]
❑ notary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Ocean Sands
No. of wells to be sampled: 5
❑ Water Source Heat Pump ® Other: Infiltration
hom Pem�it
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW7
Date sample collected: 5/4/2020
FIELD ANALYSES:
WAS
Well Depth: 17.6 ft.
Well Diameter. 3 in.
pH 00400: 6.91 units Temp. 000% 19.6 °C
DRY at
Depth to Water Level 82546:3•9 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 000e5: none
check
Volume of water pumpedibailed before sampling:
6.0
gallons
Appearance clear
here:0
Samples for metals were collected unfiltered: m YES
❑ NO and field acidified: ❑ YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 5/4/2020
Laboratory Name: Enviro Chem
Certification No. 94
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD oo335
mg/L
Nitrite (NO2) as N oasis <0,02
mg/L Pa - Lead 01051 ug/L
Coliform: MF Fecal 31616 <1
1100mL
Nitrate (NO3) as N 00620 .43
mg/L Zn - Zinc oio92 mg/L
Collform: MF Total 31504
1100mL
Phosphorus: Total as P 00665 .70
mg/L
(Note: Use MPN method for highly trirbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300120
mg/L
Al - Aluminum oilos
mg/L
pH (Lab) 00403 7.35
units
Ba - Barium 01007
ug1L
TOC oo6eo 4.4
mg/L
Ca - Calcium oo916
mg/L
Chloride 00940 43
mg1L
Cd - Cadmium oio27
u91L
Arsenic oioo2
ug/L
Chromium: Total oio34
uglL
Grease and Oils 00552
mg1L
Cu - Copper 01042
mg/L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron olo45
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 000gs
µMhos
K - Potassium 00937
mg/L VOC 76732: method #
Total Ammonia oo6ia <0.2
mg/L
Mg -Magnesium 00927
mg/L method #
(Ammonia Nitrogen; NH3as N; Ammonia Nitrogen, Total)
Mn - Manganese oio55
ug/L method #
TKN as N 00625
mg/L
Ni - Nickel oio67
ug/L 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:
(or
mg1L VOC Removal%
//L) 12 e-)
GW-59 Rev.212010

less 4ho/zo (e SUBMIT FORM ON YELLOW PAPER ONLY
r •
E3E2ARTMENTOF;;EN.VIRONMENT&`NATURALAESOURCES
GROUNDWATER QUALITY MONITORING:
E3lwls[ON oFWATERQUALITY INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
r r r
r
1$ t7 AlAIL SERVICE CENTER, RALEIGH, NC 27699.7697 phono: (912) 7334221,
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: WQOOOO185 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
Corolla "' NC
27927 County Currituck
❑ Lagoon ❑ Remediation: Infiltration Gallery
00
❑ Spray Field ❑ 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
rrom Para
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW9
Date sample collected: 5/4/2020
FIELD ANALYSES:
WAS
Well Depth: 17.6 ft.
Well Diameter: 3 in,
pH 00400: 7.35 units Temp. 000lo: 19,5 oC
DRY at
Depth to Water Level 82546:6.0 ft. below measuring point Screened Interval: 12 ft. to
17
----
ft, Spec. Cond. 0o0s4: µMhos
time of
sampling,
Measuring Point is 2 ft, above land surface
Relative M.P. Elevation: ft.
Odor Danes: none
check
Volume of water pumped/bailed i,efore sampling:
5.0
gallons
Appearance tan
here:❑
Samples for metals were collected unfiltered: ® YES
❑ NO and field acidified: ❑ YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 5/4/2020
Laboratory Name: Enviro Chem
Certification No. 94
PARAMETERS NOTE: Values should reflect
dissolved
and colloidal concentrations.
COD oo33s
mg/L
Nitrite (NOZ) as N omi5 0.06
mg/L Pb - Lead 01o51 ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 <,02
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
1100mL
Phosphorus: Total as P oosss 3.55
mg/L
(Note: Use MPN method for highly wrrotd sampies)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 7030o 267
mg1L
Al - Aluminum o11o5
mg/L
pH (Lab) 004o3 7.35
units
Ba - Barium 01007
ug/L
TOC 006e0 7.4
mg/L
Ca - Calcium 00916
mg1L
Chloride 00940 85
mg/L
Cd - Cadmium 01027
ug/L
Arsenic oioo2
ug1L
Chromium: Total oio34
ug1L
Grease and Oils 00552
mg/L
Cu - Copper 01042
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
mg/L
Hg - Mercury 71soo
ug1L
Lab Report Attached? ❑ Yes(l) ❑ No (0)
Specific Conductance o0095
µMhos
K - Potassium 00937
mg/L
VOC 78732: method #
Total Ammonia 00610 0,7
mg/L
Mg - Magnesium 00927
mg/L
method #
(Ammonla Nitrogen; NH3 as N; Ammonia Nitrogen, TOM)
Mn - Manganese olo55
ug/L
method #
TKN as N 00625
mg/L
Ni - Nickel o1o67
ug/L
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs:
Rod Holley Wastewater Superintendent Trainee
Permittee (or Authorized Agent) Nance and Title - Please print or type
mg1L Effluent Total VOCs:
Signature of Permittee (or Authorized
mg/L VOC Removal%
GW-59 Rev.2/2010