WQ0000165_Monitoring - 07-2020_20200914

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GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
FACILITY INFORMATION Please Print Clearly or Type
Facility Name: "73 `Ar \.� " \\o_.
Permit Name (if different):
Facility Address: _ !CocN s s-jr. -\'-,A .
t Person:
Well Locatiord Site Name:
Telephone #: —n5
No. of Wells to be Sampled:
Well Identification Number (from Permit): For Groundwater Treatment Systems
Well Depth: _.N H_ft. Well Diameter- _�_ in. Check One: ❑ Influent (98)
Screened Intorval: ft. to ft. ❑ Effluent (99)
Depth to Water Level: ft. below measuring point.
Measuring Point (M.P.) is: ft. above land surface_ Relative M.P. Elevation n ft_:
Gallons of weter pumped/bailed before sampling: 1 i 7j Date sample collected:
Field analysis: pH_ , Specific Conductance _ uMhos
Temp. _°C, Odor Appearance
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
WATER QUALITY DIVISION, GROUNDWATER SECTION
1636 MAIL SERVICE CENTER
RALEIGH. NC 27699-1636 Phone: [phone]:
PERMIT #: EXPIRATION DATE:
Non -Discharge ,— UIC
NPDES
TYPE OF PERMITTED OPERATION BEING MONITORED
Lagoon
Spray Field
A: 'Rotary Distributor
Other
Remediation: Infiltration Gallery
Remedialion:
Land Application of Sludge
NOTE_ Values should refle,-t dissolved and
colloidal concentra'.ions.
Date sample analyzed: _
Laboratory Name: __ ' I
Certification No. _ k C3
PARAMETEFLa (Samples for metals were collected unfiltered YES NO and field acidified YES NO)
COD mg/I
Coiiform: MF Fecal 1 /100ml
Coliform: MF Total /100ml
(Note: Use MPN method for highly turbid samples)
Dissolved -;olids: Total
mg/I
pH (when analyzed)
units
TOC
mg/I
Chloride _ �,�
mg/l
Arsenic _
mg/l
Grease anc Oils
mg/1
Phenol
mg/l
Sulfate
mg/l
Specific Co iductance
uMhos
Total Ammonia
mg/I
TKN as N _
mg/I
Nitrite (NO2) as N _ mg/I
Nitrate (NO3) as N _ mg/l
Phosphorus: Total as P _ mg/I
Orthophosphate _
_ mg/I
Al - Aluminum _
_mg/I
Ba - Barium
_ mg/l
Ca - Calcium
_ mg/l
Cd - Cadmium_ �_;
= mg/I
Chromium: Total _
_ mg/I
Cu - Copper
_ mg/I
Fe - Iron
` mg/1
Hg - Mercury
_ mg/1
K - Potassium
mg/I
Mg - Magnesium _
_ mg/I
Mn - Manganese_
_ mg/I
Ni - Nickel mg/I
Pb - Lead_ mg/I
Zn - Zinc mg/I
Ammonia Nitrogen s22 Qom- mg/I
Other (Specify Compounds and Concentration Units)
J
r�
ORGANICS: (GC,GC/MS,HF'LC)
(Specify test and method #. Attach tab report.)
Report Attached? Yes _(1) No(0)
VOC : method # =
r
Agent tKrne and Title : Please print or
G Vd-59
Signature of Permitlee (or Authorized Agent)
Rev. 03/2000
method # =
method # =

GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
FACILITY INFORMATION Please Print Clearly or Type
Facility Name: �� `Arse
Permit Name (if different):
Well Location/ Site Name: Li
No. of Wells to be Sampled:
Well Identification Number (from Permit):
Well Depth: _ Cft. Well Diameter: _
Screened Interval: u� it. tD ft.
Depth to Water Level. __L! i1Zft. below measuring point.
Measuring Point (M.P.) is: ft. above land surface. F
Gallons of water pumped/bailed before sampling:
Field analysis: pH.. J L`� , Specific Conductance _
Temp. 17 OC, Odor A
For Groundwater Treatment Systems
in. Check0ne:❑ Influent (98)
❑ Effluent (99)
lelative M.P. Elevation n ft.: �—
Date sample collected: �i it AI
uMhos
:)pearance
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
WATER QUALITY DIVISION, GROUNDWArER SECTION
1636 MAIL SERVICE CENTER
RALEIGH. NC 27699-1636 Phone: [phone];
PERMIT #: EXPIRATION DATE:
Non -Discharge UIC _
NPDES
TYPE OF PERMITTED OPERATION BEING MONITORED
_ Lagoon
_ Spray Field
if�'_Rotary Distributor
Other:
Remediation: Infiltration Gallery
Remediation:
Land Application of Sludge
NOTE_ Values should reflect dissolved and
colloidal concentra':ions.
Date sample analyzed:
Laboratory Name:
Certification No. _ A
PARAMETEFL$ (Samples for metals were collected unfiltered YES NO and field acidified
COD mg/I Nitrite (NO2) as N _ mg/I
Conform: MF Fecal _ /100ml Nitrate (NO3) as N _ + Y _ mg/I
Coliform: MF Total /100ml Phosohorus: Total as P 1, I'B ma/1
(Note: Use MPN method for highly turbid samples)
Dissolved solids: Total-
mg/I
pH (when analyzed
units
TOC
mg/I
Chloride _ L + 1
mg/I
Arsenic _
mg/l
Grease anc Oils
mg/I
Phenol
mg/I
Sulfate
mg/I
Specific Co iductance
uMhos
Total Ammonia
mg/I
TKN as N _
mg/I
Rev. 03/2000
Orthophosphate _
_ mg/I
Al - Aluminum —
_ mg/I
Ba - Barium
_ mg/I
Ca - Calcium
_ mg/I
Cd - Cadmium_
—mg/I
Chromium: Total _
_ mg/I
Cu - Copper
_ mg/I
Fe - Iron
_ mg/I
Hg - Mercury
_ mg/I
K - Potassium_
_ mg/I
Mg - Magnesium _
_ mg/I
Mn - Manganese_
_ mg/1
YE:3 NO)
Ni - Nickel mg/I
Pb - Lead mg/I
Zn - Zinc mg/I
Ammonia Nitrogen_n�� mg/I
Other (Specify Compounds and Concentration Units)
ORGANICS: (GC,GC/MS,HF'LC)
(Specify test and method #. Attach lab report)
Report Attached? Yes _(1) No (0)
VOC method # =
method # =
method # =

GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
FACILITY INFORMATION Please Print Clearly or Type
Facility Name: 'Z�
Permit Name (if different) -
Facility Address: 'FE7Y�'< Mac .-,r\ _'�kA
Contact Person:
Well Locatiord Site Name:
Telephone #: —aS �A=7-,�
No. of Wells to be Sampled:
Well Identification Number (from Permit): For Groundwater Treatment Systems
Well Depth: _ `y ft. Well Diameter: _)_ in. Check One: ❑ Influent (98)
Screened lntorval: ft. t:) ft. ❑ Effluent (99)
Depth to Watar Level:4,40 ft. below measuring point.
Measuring Point (M.P.) is: ft. above land surface. Relative M.P. Elevation n ft.:
Gallons of weter pum ed/bailed before sampling: Z10 Date sample collected:
Field analysis: pH � , Specific Conductance _ uMhos
Temp. IL—°C, Odor Appearance
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
WATER OUALITY DIVISION, GROUNDWATER SECTION
1636 MAIL SERVICE CENTER
RALEIGH. NC 27699-1636 Phone: [phone]:
PERMIT #: EXPIRATION DATE:
Non -Discharge Lj��LL A& ",�_ UIC _
NPDES
TYPE OF PERMITTED OPERATION BEING MONITORED
_ Lagoon
Spray Field
L. Rotary Distributor
Other:
Remediation: Infiltration Gallery
Remediation:
Land Application of Sludge
NOTE_ Values should reflect dissolved and
colloidal concentrations.
Date sample analyzed: _
Laboratory Name: act,
Certification No. T�
PARAMETEFila (Samples for metals were collected unfiltered YES NO and field acidified
COD mg/I
Coliform: MF Fecal _ � /100ml
Coliform: IMF Total /100ml
(Note: Use MPN method for highly turbid samples)
Dissolved Solids: Total
���,�mg/l
pH (when analyzed) --�Z
units
TOC
mg/I
Chloride _
�ti mg/I
Arsenic _
mg/I
Grease anc Oils
mg/l
Phenol
mg/l
Sulfate
mg/l
Specific Co iductance
uMhos
Total Ammonia
mg/l
TKN as N _
mg/l
Rev. 03/2000
Nitrite (NO2) as N mg/l
Nitrate (NO3) as N n . n L4 _ mg/l
Phosphorus: Total as P n,9 ,__ mg/I
Orthophosphate _
^ mg/I
Al - Aluminum _
_ mg/l
Ba - Barium
_ mg/l
Ca - Calcium
_ mg/I
Cd - Cadmium_
_ mg/l
Chromium: Total _
_ mg/I
Cu - Copper
_ mg/l
Fe - Iron
_ mg/l
Hg - Mercury
_ mg/l
K - Potassium_
_ mg/1
Mg - Magnesium _
_ mg/I
Mn - Manganese_
_ mg/1
YES NO)
Ni - Nickel mg/I
Pb - Lean mg/I
Zn - Zinc mg/l
Ammonia Nitrogen; �� mg/l
Other (Specify Compounds and Concentration Units)
ORGANICS: (GC,GC/MS,HF'LC)
(Specify test and method #. Attach lab report.)
Report Attached? Yes _(1) No )�_— (0)
VOC : method # =
method # =
method # =

GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
FACILITY INFORMATION Please Print Clearly or Type
Facility Name: 'n s'c�ds
Permit Name (if different):
Facility Address- 1C7%r_\_ `(VNEIC —1k A
t Person:
Well Locatiord Site Name:
ON
Telephone #: - L�,
No. of Wells to be Sampled:
Well Identification Number (from PE.rmit): 0 For Groundwater Treatment Systems
Well Depth: � ft. Well Diameter:_ in. Check One: ❑ Influent (98)
Screened Interval: ft. t:) ft. ❑ Effluent (99)
Depth to Water LeveL•CgL2LO—ft. below measuring point.
Measuring Point (M.P.) is. ft. above land surface. Relative M.P. Elevation n ft.:
Gallons of water pumped/baited before sampling: JJQ Date sample collected: ]jIq 11
Field analysis: pH '::) , k , Specific Conductance _ uMhos
Temp. ')j °C, Odor Appearance
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
WATER QUALITY DIVISION, GROUNDWATER SECTION
1636 MAIL SERVICE CENTER
RALFIGH_ NC 97699-1636 Phone: [phone]
PERMIT #: EXPIRATION DATE:
Non -Discharge _UIC _
NPDES
TYPE OF PERMITTED OPERATION BEING MONITORED
Lagoon _-_-_Remediation: Infiltration Gallery
_ Spray Field
Lf�—__Rolary Distributor
Other:
Remediarlon:
Land Application of Sludge
NOTE_ Values should reflect dissolved and
colloidal concentra':ions.
Date E ample analyzed:
Laboratory Name: nt'lL
Certification No. _ <_
PARAMETEU (Samples for metals were collected unfiltered YES NO and field acidified
COD mg/1 Nitrite (NO2) as N _ mg/1
Coliform: IMF Fecal 1--/100ml Nitrate (NO3) as N _ mg/i
Coliform: MF Total /100ml -Phosphorus: Total as P 1, mn/l
(Note: Use MPN method for highly turbid samples)
Dissolved Solids: Total Li�r`1
mg/I
pH (when analyzed
units
TOC , In
mg/I
Chloride _ 1 �j
mg/I
Arsenic _
mg/I
Grease anc Oils
mg/1
Phenol
mg/I
Sulfate
mg/l
Specific Co iductance
uMhos
Total Ammonia
mg/I
TKN as N _
mg/I
Rev. 03/2000
Orthophosphate _
— mg/I
Al - Aluminum —
_ mg/I
Ba - Barium
_ mg/I
Ca - Calcium
_ mg/I
Cd - Cadmium_
_ mg/l
Chromium: Total _
_ mg/1
Cu - Copper _
_ mg/I
Fe - Iron
— mg/I
Hg - Mercury
_ mg/1
K - Potassium_
_ mg/I
Mg - Magnesium _
_ mg/I
Mn - Manganese-
_ mq/1
YES NO)
Ni - Nickel mg/l
Pb - Lean mg/1
Zn - Zinc mg/I
Ammonia Nitrogen,_ mg/I
Other (Specify Compounds and Concentration Units)
ORGANICS: (GC,GC/MS,HF'LC)
(Specify test and method #. Attach lab report.)
ReportAttached? Yes -(1) No � (0)
VOC : method # _
method # =
: method # =

Emwohimmid Flo hmqwn" %do
114 OAKMONT DRIVE
GREENVILLE, N.C. 27858
SANDS VILLA (HYDROTECH)
DON O'MARA
HYDROTECH
P.O. BOX 4602
EMERALD ISLE ,NC 28594
Drinking Water ID: 37715
Wastewater ID: 10
PHONE [phone]
FAX [phone]
ID#: 559
DATE COLLECTED: 07/14/20
DATE REPORTED : 07/23/20
REVIEWED BY:
MW-3
MW-4
MW-5
MW-6
Analysis
Method
PARAMETERS
Date
Analyst
Code
PH (field measurement), Units
7.0
7.0
7.0
7.2
07/14/20
SEB
4500HB-11
Fecal Coliform (MF), /100 Mls
< 1
< 1
< 1
< 1
07/14/20
HJO
9222D-06
Ammonia Nitrogen as N, mg/1
<0.04
0.75
0.30
<0.04
07/15/20
TM
350.1 R2-93
Nitrate Nitrogen as N, mg/1
0.05
<0.04
<0.04
5.90
07/15/20
TLH
353.2 R2-93
Total Phosphorus as P, mg/1
0.09
7.18
0.92
2.57
07/21/20
TLH
365.4-74
Total Organic Carbon, mg/l
4.70
8.28
7.72
4.63
07/16/20
SEJ
531OC-11
Chloride, mg/1
25
61
44
79
07/20/20
JMS
4500CLB-11
Total Dissolved Residue, mg/I
290
402
322
469
07/16/20
HJO
2540C-11
Static Water Level, feet
6.25
4.18
4.40
6.30
07/14/20
SEB
Water Bailed, Gals.
1.5
2.0
2.0
2.0
07/14/20
SEB