WQ0004230_Monitoring - 08-2020_20200915

SUBMIT FORM ON YELLO'A PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
f=AGILITY fNFOdR�MA�T"iON Please Print Clearly or Type
Facility Name: e � � c e-
Permit Name (if different):
Facility Address:VEgW`�V DNM( 1_1r"I
l ly) S L. State] lz. County zxx-!�g —"c
Contact Telephone 4: Z x IS 4
Well Location/ Site Name: I No. of Wells to be Sampled:
'✓dell Identification Number (from Permit): _IFor Groundwater Treatment Systems
Well Depth: —1 S ft. Well Diameter. _L_ in.
�-- Check One: ❑ Influent (ES)
Screened Interval: 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 in ft.: _
Gallons of water pump d/bailed before sampling:.X-0 Date sample collected:
Field analysis: pH_,,_� , Specific Conductance _uMhos
Temp. _3_°C, Odor — Appearance _
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
WATER QUALITY DIVISION, GROUNDWATER SECTION
1636 MAIL SERVICE CENTER
PERMIT #: EXPIRATION DATE:
Non-Discharge.�.k)j;
NPDES _
TYPE OF PERMITTED OPERATION BEING MONITORED
Lagoon Remediation: infiltration Gallery
Spray Field Remediation:
Rotary C)istributor Land Application of Sludge
_ _ Other.
N TE: Values should reflect dissolved and
colloidal concentrations. S E P 15 2020
Date sample analyzed:
Laboratory Name:
Certification No. _
PARAMETERS (Samples for metals were collected unfiltered_._._YES NO
and field acidified
COD
— mg/l
Nitrite (,NO2) as .; -
mg/l
Coliform: MF Fecal 1 /100ml
Nitrate ,,NO3) as N _�,1.- Oke mg/I
Coliform: MF Total _
/100ml
Phosphorus: Total as P_
mg/I
(Note: Use MPN method for highly too: Id samples
Orthophospha+p .__ _
m I
Dissolved Solids: Total
_ mg/I
AI - Alurninum
mg/l
9
pH (when analyzed)
_units
Ba - Barium
mgA
TOC o
_ mg/I
Ca - Calcium
mg/I
Chloride r e t
_ mg/l
Cd - Cadmium
mg/I
Arsenic
_ mg/I
Chromium: Total
mg/I
Grease and Oils_
_ mg/I
Cu - Copper
mg/l
Phenol
_ mg/I
Fe - Iron
mg/l
Sulfate
_ mg/I
Hg - Mercury
mg/l
Specific Conductance
uMhos
K - Potassium
mg/I
Total Ammonia
_ mg/I
Mg - Magnesium
mg/l
TKN as N
_ mg/I
Mn - Manganese
mg/l
YES _ __ N01
Ni - Nickel — mg/l
Pb - Lead—_ _ mg/I
Zn - Zinc _ mg/I
Ammonia "�: - en n .DS _ mg/I
Other (Specify Compounds and Concentration Units)
__2If_.
— .t ZZ % . t
ORGANICS: (G(',GC/MS,HPLC)
(Specify test and method #. Attach lab report.)
Report Attached? Yes (1) NX (0)
VOC _: method # =
method # =
method # =
('emir tee (or Authorized Agent) Maddi tte-ease print or type
G'tN-59
Ray.0312000 tg ture of Permittee f or Aulhotizge
.. - . - ed A
— -- _ ..

��doQo��c��� Flo D�c�oQpoQa�c�d
114 OAKMONT DRIVE
GREENVILLE, N.C. 27858
A PLACE AT THE BEACH III(HYDROTECH)
DON O'MARA
HYDROTECH
P.O. BOX 4602
EMERALD ISLE ,NC 28594
MW-1
Analysis
Method
PARAMETERS
Date Analyst
Code
PH (field measurement), Units
7.3
08/20/20
SEB
4500HB-11
Fecal Coliform (MF), /100 Mls
< 1
08/20/20
HJO
9222D-06
Ammonia Nitrogen as N, mg/l
0.05
08/27/20
TCW
350.1 R2-93
Nitrate Nitrogen as N, mg/I
11.06
08/20/20
DTL
353.2 R2-93
Total Organic Carbon, mg/l
3.98
08/26/20
KDS
531OC-11
Chloride, mg/I
65
08/31/20
KDS
4500CLB-11
Total Dissolved Residue, mg/l
439
08/25/20
TMR
2540C-11
Static Water Level, feet
2.82
08/20/20
SEB
Water Bailed, Gals.
2.0
08/20/20
SEB
r
Drinking Water ID: 37f15
Wastewater ID: 1b
PHONE [phone]
FAX [phone]
ID#: 552
DATE COLLECTED: 08/20/20
DATE REPORTED : 09/03/20
REVIEWED BY: