WQ0009772_Monitoring - 07-2020_20200918

GW-59A COMPLIANCE REPORT FORM Permit #
(Submit one each monitoring period with GW-59 forms.)
I
Enter date monitoring results were due. Z 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
IF the answer to question 1 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
identification plate, area overgrown, etc.)? If the answer is "Yes ", contact the Regional Office for guidance.
4
Are any monitored constituents equal to or above the established standards?
YES
O
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.
ff the answer to question 5 is "YES", list in the space provided below, each well with constituent(s) exceeding
standards, concentration(s) repotted, 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 may be 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.
ff the answer to question 7 is "NO" contact the Regional Office within 90 days; an evaluation may be
re uired to determine the Impact the waste dis osai system is having at the review and compliance
boundaries surrounding this fact y. Failure to-JUb so may subject the aermittee to a Notice of Violation,
fines. and/or penalties. A -� (
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The person completing this portion ( -59A)of a 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.
t
Signature of Perm�ittee (or Authorized Agent) Date
GNV-59A 12/8/2003

SUBMFT FORM ON YELLOW PAPER ONLY
PARTMENT OF ENVIRONMENT& NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
EIW6%17-
ISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION Please Print Clearly or Type
PERMIT Number: Expiration Date: 04/30/2021
Facility Name: Monteray Shores WWTP
Non -Discharge W00009772 UIC
Permit Name (if different):
NPDES Other
Facility Address: 819 Malia Drive
TYPE OF PERMITTED OPERATION BEING MONITORED
Corolla NC 27927 County Currituck
® Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
Contact Person: Anthony Chilton
Telephone#:[phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well LocatiorVSite Name:
No. of wells to be sampled: 2
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW#12 WEST
Date sample collected: 07.13.20
FIELD ANALYSES:
WAS
Well Depth: 12.3ft.
Well Diameter: 2 in.
pH 6.9 units Temp. 25.36 °C
DRY at
Depth to Water Level: 3.8ft. below measuring point
Screened Interval: ft.
to _ft.
Spec. Cond. µMhos
time of
sampling,
Measuring Point is 2•3 ft. above land surface
Relative M.P. Elevation:
ft.
Odor
check
Volume of water pumped/bailed before sampling:
4•5gallons
Appearance TAN/CLEAR
here: ❑
Samples for metals were collected unfiltered: ❑YES
❑ NO and field acidified: ❑ YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed: 07.13.20
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
<0,02 mg/I
Zn - Zinc mg/I
Coliform: MF Total /100ml
Phosphorus: Total as P
1.07 mg/I
(Note: Use MPN method for highly turbid samples)
Orthophosphate
mg/I
Other (Specify Compounds and Concentration Units):
Dissolved Solids: Total 401 mg/I
Al - Aluminum
mg/I
pH (when analyzed) 6.9 units
Ba - Barium
mg/I
TOC 5.5 mg/I
Ca - Calcium
mg/I
Chloride 165 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/1
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate mg/i
Hg - Mercury
mg/l
Report Attached? ❑ Yes (1) ® No (0)
Specific Conductance µMhos
K - Potassium
mg/I
VOC method # SM 6200C
Total Ammonia <0.2 mg/I
Mg - Magnesium
mg/I
method #
(Ammonia Nitrogen, NH3as N. Ammonia Nitrogen, Total)
Mn -Manganese
mg/l
,method #
TKN as N mg/I
Ni - Nickel
mg/I
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
Permittee (or Authorized Agent) Name and Title - Please print or type
zj
Signature of Permittee (or Authorized Agent) (Date)
GW-59 Rev.1/2007

SUBMIT FORM ON YELLOW PAPER ONLY
PARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
I=:
ISION OF WATERQUALRY-INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
7MAILSERVICECENTER,RALEIGH,NC27699-1617 Phone:[phone]
FACILITY INFORMATION Please Print Clearly or Type
PERMIT Number: Expiration Date: 04/30/2021
Facility Name: Monteray Shores WWTP
Non -Discharge W00009772 UIC
Permit Name (if different):
NPDES Other
Facility Address: 819 Malia Drive
TYPE OF PERMITTED OPERATION BEING MONITORED
Corolla NC 27927 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:
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW#13 EAST
Date sample collected: 07.13.20
FIELD ANALYSES:
WAS
Well Depth: 11 .0ft.
Well Diameter: 2 in.
pH 6.6 units Temp. 27.9 °C
DRY at
Depth to Water Level: 1.3ft. below measuring point
Screened Interval: ft.
to _ft.
Spec. Cond. µMhos
time of
sampling,
Measuring Point is 2•3 ft. above land surface
Relative M.P. Elevation:
ft.
Odor
check
Volume of water pumped/bailed before sampling:
4•5gallons
Appearance CLEAR
here: ❑
Samples for metals were collected unfiltered: EYES
❑ NO and field acidified: ❑ YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed: 7/13/20
Laboratory Name: Environmental Chemists,inc. Certification No. #37729
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD mgA
Nitrite (NO2) as N
<0.02 mg/I
Pb - Lead mg/I
Coliform: MF Fecal <1 /100ml
Nitrate (NO3) as N
<0.02 mg/I
Zn - Zinc mg/I
Coliform: IMF Total /100ml
Phosphorus: Total as P
0.76 mg/I
(Note: Use MPN method for highly turbid samples)
Orthophosphate
mg/I
Other (Specify Compounds and Concentration Units):
Dissolved Solids: Total 363 mg/I
AI - Aluminum
mg/I
PH (when analyzed) 6.6 units
Ba - Barium
mgA
TOC 7.3 mg/I
Ca - Calcium
mg/I
Chloride 158 mg/I
Cd - Cadmium
mg/I
Arsenic mg/I
Chromium: Total
mg/I
Grease and Oils mgA
Cu - Copper
mg/I
ORGANICS: (by GC, GC/MS, HPLC)
Phenol mg/I
Fe - Iron
mg/I
(Specifytest and method #. ATTACH LAB REPORT.)
Sulfate mg/I
Hg - Mercury
mg/I
Report Attached? ❑ Yes (1) ® No (0)
Specific Conductance µMhos
K - Potassium
mg/I
VOC method # SM 6200C
Total Ammonia <0.2 mg/I
Mg - Magnesium
mg/I
method #
(Ammonia Nitrogen. NH jas N. Ammonia Nitrogen, Total)
Mn - Manganese
mg/I
, method #
TKN as N mg/I
Ni - Nickel
mg/I
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
Permittee (or Authorized Agent) Name and Title - Please print or type
b•ts • z
Signature of Permittee (or Authorized Agent) (Date)
GW-59 Rev.1/2007