HomeMy WebLinkAboutWQ0000185_Monitoring - 10-2020_20201202GW-59A COMPLIANCE REPORT FORM Permit # &)Q (;yvy
(Subinit one each monitoring period with GfJ`-54,fortns.)
1
Enter date monitoring results were due. ( /is? - 3i -�) 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
IF tt*e 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
NO
ident�7cation plate, area overgrown, etc.)? if the answer is "Yes ", contact the Regional Officefor 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.
M k•` L% 191 i.) S /l1 It to - 7 1/ ct'
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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, concentration(s) reported, and sample collection date for each occurrence (fgcthe last two years).
m m w s m vv i� ,�yi a ��'
Tl) = 76 S
ry
6
Are the monitoring wells listed in section 5 located at or beyond the review boundg?
YES
N0)
If the answer is "YES", a groundwater quality problem may be occurring. CONTACT THE REGIONAL
OFFyCE IMMEDIATELY FOR GUIDANCE. If the answer is "NO" monitoring wells may be improperly
located, • contact the Regional Office. kvvs
�unc�c7 l��t �.. �k �„i,o
L�.- 4- W S .
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 impact the waste disposal system is having at the review and compliance
boundaries surrounding this facility. Failure to do so may subject the permittee to a Notice of Violation,
Fines. and'or penalties. I G\ G� /�
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8
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.
Aj k
J e,- e -� /%-3D- 2-_-)
Signature of Permittee (or Authori d Agent) Date
v
,WL.V
G%V-59A 12/8/2003
SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENTOF,ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DNISION OF WATER QUALITYdNFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
16l7 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: 1919) 7333221
FACILITY INFORMATION
Please Print CfearfyorType
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
Corolla S"`o1 NC
27927
County Currituck
El Lagoon Remediation: Infiltration Gallery
❑ Spray Field 11 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 WE Other: Infiltration
from Permit
SAMPLING INFORMATION
If WELL
WELL 1D NUMBER (from Permit): MW4
Date sample collected: 10/15/2020
FIELD ANALYSES:
WAS
Well Depth: 17.6 ft.
Well Diameter: 3 in.
pH 00400: 6.89 units Temp. 00010: 25.8 °C
DRY at
Depth to Water Level 62546:9•0 ft. below measuring point Screened Interval: 12 ft. to
17 ft. Spec. Cond. ooasa: µMhos
time ofsampling,
Measuring Point is 2 ft. above land surface
Relative M.P. Elevation: ft.
Odor 00065: sulfur
check
Volume of water pumped/bailed before sampling:
5.0
gallons
Appearance semi clear
here:❑
Samples for metals were collected unfiltered: m YES
❑ NO and field acidified: ❑ YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 10/15/2020
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 <0,02
mg/L Pb - Lead oleo1 ug/L
Coliform: MF Fecal 31616 >600
/100mL
Nitrate (NO3) as N 00620 <0.02
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 6.12
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 703oo 611
mg/L
At - Aluminum oleos
mg/L
pH (Lab) 00403 6.89
units
Ba - Barium o1oo7
ug/L
TOC 006eo 6.8
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 246
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total oio34
ug/L
Grease and Oils ooss2
uig/L
Cu - Cupper u•lo42
trig/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 71goo
ug/L Lab Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance 00095
µMhos
K - Potassium 00937
mg/L VOC 78732: method #
Total Ammonia oo610 0.5
mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen; NH3 as N. Ammonia Nitrogen, Total)
Mn - Manganese oicss
ug/L method #
TKN as N 00625
my/L
Ni - Nickel wow
ug/L method #
For Remediation Systems Only (Attach Lab Reports): influent Total VOCs:-T-._--- • , mg/L Effluent Total VOCs: mq/L VOC Removal%
Rod Holley Wastewater Superintendent Trainee
Permittee (or Authorized Agent) Name and Title - Please print or type
Signature
��
GW-59 Rev. 2/2010
SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
rwru vry 1Lr1Cn0Kswr1^L1 Please Print Clearly or
Facility Name: Ocean Sands
Permit Name (if different):
Facility Address: 741 Ocean Trail
Corolla "``'' NC 27927 County Currituck
d_y'-I it' 'Zr,-)
(Contact Person: Rod Holley Telephone#: 252-232-6065
Well Location/Site Name: Ocean Sands No, of wells to be sampled: 5
WELL ID NUMBER (from Permit): MW5 Date sample collected: 10/15/2020
Well Depth: 17.6 ft. Well Diameter: 3 in.
Depth to Water Level 82546:5•0 ft. below measuring point Screened Interval; 12 ft. to 17 ft.
Measuring Point is 2 ft. above land surface Relative M.P. Elevation: ft.
Volume of water pumped/bailed before sampling: 5.0 gallons
Samoles for metals were collected unfiltered: [Z] YES ❑ NO and field acidified: ❑ YES ❑ NO
PARTM ENT OFENVIRONMENT NATURAL RESOURCES
IIS(ON OF WATER QUALITY -INFORMATION PROCESSING UNIT
17 MAIL SERVICE CENTER, RALEIGH, INC 27699-1617 Phone: (919) 733-3221
:RMIT Number: WQOOOOI85 Expiration Date: 6/30/2024
in -Discharge UIC
IDES 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: Infiltration
FIELD ANALYSES:
pH 00400: 6.90 units
Spec. Cond, 00094:
Odor 000a5: none
Appearance clear
Temp. 000lo: 24.8 °C
µMhos
tte sample analyzed: 10/15/2020
Laboratory Name: Enviro Chem
Certification No. 94
►RAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615 <0,02
mg/L
Pb - Lead o1o51 ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 .30
mg/L
Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 3.16
mg/L
(Nate: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
solved Solids:Total 70300 672
mg/L
Al - Aluminum 01105
mg/L
pH (Lab) 00403 6.89
units
Be - Barium 01007
uglL
TOC o06eo 4.7
mg/L
Ca - Calcium oo916
mg/L
Chloride 00940 255
mg/L
Cd - Cadmium 01027
uglL
Arsenic 01002
ug/L
Chromium: Total 01034
ug/L
Grease and Oils 00552
mg/L
Cu - Copper o1o42
mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron o1o45
uglL
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg/L
Hg - Mercury 71900
ug1L
Lab Report Attached? ❑ Yes (1) ❑ No (0)
ecific Conductance 00095
µMhos
K - Potassium 00937
mg/L
VOC 79732: method #
Total Ammonia 00610 4.5
mg/L
Mg - Magnesium 00927
mg/L
method #
(Ammonia Nitrogen, NH3as N; Ammonia Nitrogen, Total)
Mn - Manganese 01055
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: mg/L Effluent Total VOCs: mg1L VOC Removal%
DRY at
time of
sampling,
check
here: ❑
GW-59 Rev.2/2010
SUBMIT FORM ON YELLOW PAPER ONLY
.
.
DEPARTMENT OF ENVIRONMENT,& NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OF WATER QUALITY4NFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699.1617 Phone: (919) 733-3221
FACILITY INFORMATION
Please Print Cleady or Type
PERMIT Number: WQOOOOI85 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
_;�i ._��•�
�ot
❑ Spray Field 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 Other: Infiltration
from Pemdl
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW6
Date sample collected: 10/15/2020
FIELD ANALYSES:
WAS
Well Depth: 17.6 ft.
Well Diameter: 3 in,
pH 00400: 7.01 units Temp. 00010: 25.8 eC
DRY at
Depth to Water Level 82546:5.4 ft. below measuring point Screened Interval: 12 ft, to
17 ft. Spec. Cond. 00094: µMhos
time ofsampling,
Measuring Point is 2 ft. above land surface
Relative M.P. Elevation: ft.
Odor ocoss: none
check
Volume of water pumped/bailed before sampling:
5.0
gallons
Appearance clear
here: ❑
Samples for metals were collected unfiltered: 91 YES
❑ NO and field acidified: ❑ YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 10/15/2020
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 <0.02
mg1L Pb - Lead o1051 ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 .21
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P oo665 3.15
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 7030o 793
mg/L
Al - Aluminum o11o5
mg/L
pH (Lab) 00403 7.01
units
Ba - Barium 01007
ug/L
TOC 00680 4.5
mg/L
Ca - Calcium oos16
mg/L
Chloride 00040 324
mg/L
Cd - Cadmium 0-1027
ug/L
Arsenic 01002
ug/L
Chromium: Total 01034
ug/L
Grease and Oils ooss2
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 71900
ug/L Lab Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance o0095
µMhos
K - Potassium 00937
mg/L VOC 78732: method #
Total Ammonia oo610 7•0
mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen; NH3 as N; Ammonia Nitrogen, Total)
Mn - Manganese 01o55
ug/L method #
TKN as N o0025
mg/L
Ni - Nickel 01087
ug/L method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
Rod Holley Wastewater Superintendent Trainee
Permittee (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev.2/2010
SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT Of ENVIRONMENT & NATURAL RESOURCES '
GROUNDWATER QUALITY MONITORING:
DIVISION OF WATER CIUALITY-INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1647 NIAILSERVICE CENTER, RALEIGH, NC 27699-4617 Phona: (919) 7333221
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
Corolla ``t``"h NC
27927
County Curriiuck
❑Lagoon ❑Remediation: Infiltration Gallery
`0"'"
`°"
❑ Spray Field ❑ 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 ® Other: Infiltration
from Pemdt
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW7
Date sample collected: 10/15/2020
FIELD ANALYSES:
WAS
Well Depth: 17.6 ft.
Well Diameter: 3 in.
pH 00400: 6.25 units Temp. 0001o: 24.1 °C
DRY at
Depth to Water Level 82546:4•0 ft, below measuring point Screened Interval: 12 ft. to
17 ft. Spec. Cond. 00094: µMhos
time ofsampling,
Measuring Point is 2 ft, above land surface
Relative M.P. Elevation: ft.
Odor aooss: none
check
Volume of water pumped/bailed before sampling:
5.0
gallons
Appearance clear
here:a
Samples for metals were collected unfiltered: 0 YES
❑ NO and field acidified: ❑ YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 10/15/2020
Laboratory Name: Enviro Chem
Certification No. 94
PARAMETERS NOTE: Values should reflect
dissolved
and colloidal concentrations.
COD 00335
mg/L
Nitrite (NOZ) as N 00615 <0.02
mg/L Pb - Lead oio51 ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 0.05
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 1.60
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 705G7
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 491
mg/L
Al - Aluminum o11o5
mg/L
pH (Lab) 00403 6•25
units
Ba - Barium woa7
uglL
TOC oo680 6.7
mg/L
Ca - Calcium oo916
mg/L
Chloride oo940 229
mg/L
Cd - Cadmium 01027
ug/L
Arsenic oi=
ug/L
Chromium. Total olo34
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 oo945
mg/L
Hg - Mercury 719oo
ug/L Lab Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance o0095
µMhos
K - Potassium 00937
mg/L VOC 78732: method #
Total Ammonia oo610 <0.2
mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen: NH3 as N; Ammonia Nitrogen, Total)
Mn - Manganese oio55
ug/L method #
TKN as N 00025
mg/L
Ni - Nickel olo6T
ug/L rrlethod #
For Remediation Systems Only (Attach Lab Reports):
Influent Total VOCs:
mq/L Effluent Total VOCs:
mg/L VOC Removal%
GW-59 Rev.2/2010
SUBMIT FORM ON YELLOW PAPER ONLY
• •
DEPARTMENT,OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OF WATER QUALITY -INFORMATION pROCE$SING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: (919) 7333221
FACILITY INFORMATION Please Print 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 Curlituck
❑Lagoon ❑Remediation: Infiltration Gallery
171 Spray Field 0 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 ® Other: Infiltration
(from Permit)
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW9
Date sample collected: 10/15/2020
FIELD ANALYSES:
WAS
Well Depth: 17.6 ft.
Well Diameter: 3 In.
pH 00400: 6.70 units Temp. 0001o: 24.0 °C
DRY at
Depth to Water Level 82546:4.8 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 00095: none
check
Volume of water pumped/bailed before sampling: 5.0 gallons
Appearance clear
here:❑
Samples for metals were collected unfiltered: ❑ YES ❑ NO
and field acidified: ❑ YES ❑ NO
Ite sample analyzed: 10/15/2020
Laboratory Name: Enviro Chem
Certification No. 94
kRAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615 <0.02
mg/L
Pb - Lead olos1 ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 <0.02
mg/L
Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P oobss 2.96
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
;solved Solids:Total 703oo 744
mg/L
Al -Aluminum o11o5
mg/L
pH (Lab) 00403 6.70
units
Ba - Barium 01007
ug/L
TOC oo6so 6.6
mg/L
Ca - Calcium oo916
mg/L
Chloride 00940 278
mg/L
Cd - Cadmium 01021
ug/L
Arsenic 01002
ug/L
Chromium: Total 01034
ug/L
Grease and Oils ows2
mg/L
Cu - Copper 01042
mg/L
ORGANICS: (by GC, GC/MS, HPL.C)
Phenol 32730
ug/L
Fe - Iron 01046
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)
ecific Conductance 0009s
µMhos
K - Potassium oo937
mg/L
VOC 76732: method #
Total Ammonia 00610 3•0
mg/L
Mg - Magnesium 00927
mg/L
method #
(Ammonia Nitrogen; NHzas N; Ammonia Nitrogen, Total)
Mn - Manganese o1o55
ug/L
method #
TKN as N oo62a
rrty/L
Ni - Nickel uriubt
ug/L
method #
For Romodintion Sy9tem9 Only (Attach Lab Reports)., Influent Total VOCa, _ mrd/L Fffitiont Total VOOer mp/L V00 Removal%u
GW-59 Rev.2/2010