WQ0000185_Monitoring - 01-2021_20210301

GW-59A COMPLIANCE REPORT FORM Permit # W R O D oo c j
(Submit one each monitoring period with GW-SI formes.)
1
Enter date monitoring results were due. l r 1 2 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 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
NO
identification 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?
YE
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 W .4 p► W in so- (• fh 0i
i�S 4 j$D 7as ~yy$ i ©S- `�`)q
2SY i.IacAt
L:li�aa}�ic -Z(,cl
2. 'i - z ,
5
For the constituents identified in question 4 above, have stan Ards been exceeded previously for the
YE
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 (for the last two years).
mW-z1 mwj.5 mW-L- Mry J-j
r()S-- � 3 0
C,i tor2,`k" Z�Y �v+Uc ?
q
Are the monitoring wells listed in section 5 located at or beyond the review boundary?
YES
O
If the answer is "Y1WS"I a groundwater quafity 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 Ofltce
7
Is the permittee implementing previously approved actions required by the Division involving this
S
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
r im required to determine the act the waste disposal system is havlao at the review and com fiance
boundaries surrounding this facility, Failure to do so may subject the ermittee to a Notice of Violation
fines and/or vensitties. 4,,r A- �'-t � WSJ" ,f. s c1S
l`uF�l �+E,y �
2A�i �Fn1� b� �3 W�
Wi�S ryJ.A�11�r'n1 E1niG �'E4trni4r Wt*�V+ 5 Ro 4"� i4t kI'�C�7l�2�I,�v'f.
l
o tr c, ,v c C-W [ ! D aft 3 AhA (o rs'SS . O I RS Co cV �;,-j A17 C 41
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g
The person completing this portion (GW-59A) of the monitoring report should sign below and submit this
form with OW-59 forms for required wells to the address provided at the top of the current GW-59 form.
I hereby acknowiedge 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.
VC-41/
�� o / zh? 2-f
Signature of Permittee (or Auth rized Agent) Date
GW-59A 12/$12003

SUBMIT FORM ON YELLOW PAPER ONLY
e a
DEPARTMENT .OF:ENVIRONMENT&'NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING.
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1817 Phone. 1949} 733 3224
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: WQ00o0185 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
`Stjt,,'
``ol
❑ Spray Field ❑ Remediation:
Contact Person: Rod Holley
Te ephone#: 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 117 Other: Infiltration
ham PemFtt
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW4
Date sample collected: 1/14/21
FIELD ANALYSES:
WAS
Well Depth: 17.6 ft.
Well Diameter: 3 in.
p. 000lo: 17•2 aC
pH o04o0; 6.82 units Temp.
DRY at
Depth to Water Level 82.546:7•5 ft. below measuring paint 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: sulfur
check
Volume of water pumped/bailed before sampling:
5.0
gallons
Appearance tan
here:❑
Samples for metals were collected unfiltered: 21 YES
❑ NO and field acidified: ❑ YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed:1114/21
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 olo54 ug/L
Coliiform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 0,57
mg1L Zn - Zinc 01092 mg1L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 7.65
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 580
mg/L
Al - Aluminum o44o5
mg/L
pH (Lab) 00403 6.80
units
Ba - Barium 01007
ug1L
TOG 00680 5.5
mg/L
Ca - Calcium 00916
mg1L
Chloride 00940 1$5
mg/L
Cd - Cadmium 01027
ug1L
Arsenic 01002
ug/L
Chrom um: Total 01034
ug/L
Grease and Oils 00552
mg/L
CL. - 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 71900
ug/L Lab Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance o0095
µMhos
K - Potassium 00937
mg/L VOC 78732: method #
Total Ammonia o0s4o 0.7
mg/L
Mg - Magnesium 00927
mg1L method #
(Ammonla Nitrogen; NHaas N; Ammonia Nitrogen, Total)
Mn - Manganese 01o55
ug/L method #
TKN as N 00625
mg/L
Ni - Mickel 01067
ug/L method #
For Remediation Systems Only (Attach Lab Reports):
Influent Total VOCs:
mg/L Effluent Total VOCs: mg/L
VOC Removal%
GW-59 Rev.212010

SUBMIT FORM ON YELLOW PAPER ONLY .
ROUNDWATER QUALITY MONITORING:
OMPLIANCE REPORT FORM
FACILITY INFORMATION Please Print Cleady or Type
Facility Name: Ocean Sands
Permit Name (if different):
Facility Address: 741 Ocean Trail
Corolla """" NC 27927
County Currlluck
act Person: Rod Holley Tefeahone#: 252-232-6065
LocationlSite Name: Ocean Sands No. of wells to be sampled: 5
PERMIT Number: W00000165 Expiration Date: 6/30/2024
Non -Discharge UIC
NPDES Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ®other: Infiltration
WELL ID NUMBER (from Permit): MW5 Date sample collected: 1/14121
Well Depth: 17.6 ft. Well Diameter: 3 in.
Depth to Water Level 82546:5.3 ft. below measuring point Screened Interval: 12 ft.
Measuring Point is 2 ft. above land surface Relative M.P. Elevation:
Volume of water pumped/bailed before sampling: 5.0 gallons
Samples for metals were collected unfiltered: m YES ❑ NO and field acidified: ❑ YES
to 17 ft.
ft.
❑ NO
FIELD ANALYSES:
°
pH 0o4a0; 6.89 units Temp. 000io: 15.5 C
Spec. Cond. 00094: µMhos
Odor ooa85: None
Appearance Clear
WAS
DRY at
time of
sampling,
check
here:
LABORATORY INFORMATION
Date sample analyzed:1/14/21
Laboratory Name: Enviro Chem
Certification No. 94
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD oo335
mglL
Nitrite (NO2) as N 00615 <0.02
mg1L
Pb - Lead oiosf uglL
Coliform: MF Fecal 316i6 <1
1100mL
Nitrate (NO3) as N oo620 3.66
mglL
Zn - Zinc olo92 mg/L
Coliform: MF Total 31$a4
110DmL
Phosphorus: Tctal as P 00665 3.96
mglL
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg1L
Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 593
mglL
Al - Aliminum olive
mg1L
pH (Lab) 00403 6.89
units
Ba - Barium 01007
uglL
TOG oo6so 11.5
mglL
Ca - Calcium oo916
mglL
Chloride 0094o 218
mglL
Cd - Cadmium 01027
uglL
Arsenic 01002
uglL
Chromium: Total 01034
uglL
Grease and Oils 00552
mg/L
Cu - Copper 01042
mglL
ORGANICS: (by GC, GC/MS, HPLC)
Phenol $2730
uglL
Fe - Iron 01045
ug1L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate oo945
mglL
Hg - Mercury 71900
uglL
Lab Report Attached? ❑ Yes(l) ❑ No(0)
Specific Conductance 0009s
µMhos
K - Potassium oo937
mglL
VOC 78732: method #
Total Ammonia o0610 0.8
mg1L
Mg - Magnesium 00927
mglL
method #
(Ammonia Nitrogen; NH,as N; Ammonia Nitrogen. Total)
Mn - Manganese 01055
ug1L
method #
TKN as N 00625
mglL
Ni - Nickel 01067
uglL
method #
For Remediation Systems Only (Attach Lab Reports): Influent To:a VOCs: mglL Effluent Total VOCs: mglL VOC Removal%
Rod Holley Wastewater Superinteneent 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&NATURALRESOURCES
GROUNDWATER QUALITY MONITORING:
•
• • •
DIVISION OF VYATER QiIALfTY INFORMATION PROCESSING UNIT.
COMPLIANCE REPORT FORM
16171NAIL SERVICE CENTER RALEIGN NC 27699-16,17 .Phone: t9191 733 3221" .;:.:;
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 " NC
27927 County Currituck
❑ Lagoon ❑ Remediation: Infiltration Gallery
IU411 "'"''"
''�'
❑ Spray Field ❑ Remediation:
Contact Person: Rod Holley
Telephone#: [phone]
❑ Rotay 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): MW6
Date sample collected: 1/14/21
FIELD ANALYSES:
WAS
Well Depth: 17.6 ft,
Well Diameter: 3 in,
pH 00400: 7.00 units Temp. 000lo: 15.6 °C
DRY at
Depth to Water Level 62546:3.7 ft. below measuring point Screened Interval: 12 ft.
to 17
ft. Spec. Cond. 000s4: gMhos
time of
sampling,
Measuring Point is 2 ft. above land surface
Relative M.P. Elevation:
ft,
Odor 000e5: None
check
Volume of water pumped/bailed before sampling:
5.0
gallons
Appearance Clear
here:❑
Samples for metals were collected unfiltered: m YES
❑ NO and field acidified: ❑ YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed:11114/21
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 0.03
mg/L Pb - Lead 01051 ug/L
Coliform. MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 5.24
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 0o665 3.47
mglL
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Othe- (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 783
mg/L
At -Aluminum o11o5
mg/L
PH (Lab) 00403 7.00
units
Ba - Barium 01007
ug/L
TOC 00660 6.1
mg/L
Ca - Calcium 00916
mg1L
Chloride 0094o 258
mg/L
Cd - Cadmium 01027
ug1L
Arsenic 01002
ug/L
Chromium: Total 01034
ug/L
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg/L ORGANICS: (by GC, GCIMS, HPLC)
Phenol 32730
ug/L
Fe - Iron 01045
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 00095
µMhos
K - Potassium 00937
mg/L VOC 78732: method #
Total Ammonia 00610 2•4
mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen; NN3as N; Ammonia Nitrogen. Total)
Mn - Manganese o1o55
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 Superintenaent Trainee
Permittee (or Authorized Agent) Name and Title - Please print or type
mg/L Effluent Total VOCs:
Signature of Permittee (or
mg/L VOC Removal%
2/27/21
GW-59 Rev.212010

SUBMIT FORM ON YELLOW PAPER ONLY
•
DEPARTMENT:OF ENVIRONMENT ;aNATURAL. RESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OFWATER QUALITY INFORMATION PROCESSING UNIT.......
COMPLIANCE REPORT FORM
MAIL SERVICE CENTER, RALEIGH, NC 27B99-1617 Phone: [phone]
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: WQOD0o185 Expiration Date: 6/30/2024
Facility Name: Ocean Sands
Non -Discharge UtC
Permit Name (if different):
NPDES Other
Facility Address: 741 Ocean Trail
TYPE OF PERMITTED OPERATION BEING MONITORED
Corolla (S" Oml NC
27927 County Currituck
❑ Lagoon D Remediation: Infiltration Gallery
tr_Oyi "
`"'
❑ 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
from Pemli
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW9
Date sample collected: 1/14/21
FIELD ANALYSES:
WAS
Well Depth: 17.6 ft,
Well Diameter: 3 in,
pH 004= 6•84 units Temp. 000lo: 16.4 °C
DRY at
Depth to Water Level 62546:5.8 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 Doom: None
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:1/14121
Laboratory Name: Enviro Chem
Certification No. 94
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 0oeis <0,02
mg/L Pb - Lead oimi ug/L
Coliform: MF Fecal 31616 <1
1100mL
Nitrate (NO3) as N 00620.61
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
1100mL
Phcsphorus: Total as P oo665 3.03
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total70300 749
mg/L
Al -Aluminum olios
mg/L
pH (Lab) 00403 6•84
units
Ba - Barium 01007
ug/L
TOC oo68o 6.4
mg/L
Ca - Calcium oo916
mg1L
Chloride oo94o 269
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug1L
Chromium: Total 01034
ug/L
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg/L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug1L
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 oo095
µMhos
K - Potassium 00937
mg/L VOC 76732: method #
Total Ammonia ooslo 2.77
mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonla Nitrogen; NH3as N; Ammonia Nitrogen, Total)
Mn - Manganese o1055
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 Superintencent Trainee
Permittee (or Authorized Agent) Name and Title - Please print or type
mg/L
Effluent Total VOCs:
mglL
VOC Removal%
GW-59 Rev.212010