WQ0013348_Monitoring - 11-2020_20210105 (2)

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OF WATER RESOURCES - INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: Expiration Date: 8/31/2024
Facility Name:
Bay
River MSD
Non -Discharge WQ0013348 UIC
NPDES WQ0013348 Other
Permit Name (if different):
Facility Address:
101 North
Fourth Street
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
B y` oro "C 1851' County Pamlico
_ 111 I-� "...
-P
■ Spray Field ❑ Remediation.-
Contact Person: Chris Venters
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Arapahoe spraysite
No. of wells to be sampled:
17
ElWater Source Heat Pump ElOther:
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-1
Date sample collected: 11/19/2020 FIELD ANALYSES:
WAS
Well Depth: 20 ft.
Well Diameter: 2 in.
pH 00400: 5.73 units Temp. 000lc 16.9 °C
DRY at
Depth to Water Level 82546: 4.7 ft. below measuring point
Screened Interval: 3 ft.
to 15 ft. Spec. Cond. 00094: µMhos
time of
Measuring Point is 2 ft. above land surface
Relative M.P. Elevation:
ft. Odor 00085: none
sampling,
check
Volume of water pumped/bailed before sampling:
1.5
gallons
Appearance clear
here:
Samples for metals were collected unfiltered:
YES
❑ NO and field acidified: YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed: 11/19/2020
Laboratory Name:
Environment 1 Certification No. 10
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615
mg/L Pb - Lead o1o51 ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 <.04
mg/L Zn - Zinc 01092 mg/L
Coliform: IMF Total 31504
/100mL
Phosphorus: Total as P 00665 0.13
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
_mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 536
mg/L
Al - Aluminum 01105
a�jj'tg/L
pH (Lab) 00403
units
Ba - Barium 01007�
ug/L
TOC 00680 ILO -4
mg/L
Ca - Calcium 00916
4 mg/L
Chloride 00940 D
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total 01034
ug/L
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg/L ORGAN ICS:.(by-GC; GC/MS,
Phenol 32730
ug/L
Fe - Iron 01045
ug/L (Specify test and method #. ATTACHiAB 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 7873 method # 6200c
Total Ammonia 00610 0.64
mg/L
00927
mg/L method #
(Ammonia Nitrogen, NH3asN; 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: mg/L VOC Removal%
GW-59 Rev.8/2013

SUBMIT FORM ON YELLOW PAPER ONLY
-
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OF WATER RESOURCES - INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1917 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: Expiration Date: 8/31/2024
Facility Name:
Bay River MSD
Non -Discharge WQ0013348 UIC
NPDES WQ0013348 Other
Permit Name (if different):
Facility Address:
101 North Fourth Street
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
Baybow NC' 28e15 County Pamlico
-
-'""
■ Spray Field ❑ Remediation:
Contact Person: Chris Venters
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Arapahoe spraysite
No. of wells to be sampled: 17
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-2
Date sample collected: 11/19/2020
FIELD ANALYSES:
WAS
Well Depth: 20 ft.
Well Diameter: 2 in.
pH 00400: 5.53 units Temp. 000lc 14 °C
DRY at
Depth to Water Level 82546: 5.9 ft. below measuring point Screened Interval: 3 ft. to
15 ft. Spec. Cond. 00094: µMhos
time of
Measuring Point is 2 ft. above land surface
Relative M.P. Elevation: ft.
Odor 00085: sulphur
sampling,
check
Volume of water um ed/bailed before sampling:
P P P 9�
1.5
gallons
9
Appearance light milky
here:
Samples for metals were collected unfiltered:
YES
❑ NO and field acidified: YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 11/19/2020
Laboratory Name: Environment 1 Certification No. 10
PARAMETERS NOTE: Values should reflect dissolved
and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615
mg/L Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 <.04
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 0.07
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
Dissolved Solids:Total 70300 26
mg/L
Al - Aluminum 01105
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 00680 2.6
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 5
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total 01034
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 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 7873 method # 6200c
Total Ammonia 00610 0.04
mg/L
00927
mg/L method #
(Ammonia Nitrogen; NH3 as 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: mg/L VOC Removal%
Chris Venters
(or Authorized Aqent) Name and Title - Please print or twe
Siqnature of Permittee (or Authorized Aqent) #9atefV4U
GW-59 Rev.8/2013

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OF WATER RESOURCES - INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: Expiration Date: 8/31/2024
Facility Name:
Bay
River MSD
Non -Discharge WQ0013348 UIC
NPDES WQ0013348 Other
Permit Name (if different):
Facility Address:
101 North Fourth Street
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
Uayboro NC 28518 County Pamlico
N Spray Field ❑ Remediation:
Contact Person: Chris Venters
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Arapahoe spraysite
No. of wells to be sampled: 17
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-3
Date sample collected: 11/19/2020
FIELD ANALYSES:
WAS
Well Depth: 20 ft.
Well Diameter: 2 in.
pH 00400: 6.3 units Temp. 000lc 16.8 °C
DRY at
Depth to Water Level 82546: 4.2 ft. below measuring point Screened Interval: 3 ft. to
15 ft. Spec. Cond. 00094: µMhos
time of
Measuring Point is 2 ft. above land surface
Relative M.P. Elevation: ft.
Odor 00085: none
sampling,
check
Volume of water um ed/bailed before sampling:
p p p 9�
1.5
gallons
9
Appearance light milky
here:
Samples for metals were collected unfiltered:
YES
❑ NO and field acidified: YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 11/19/2020
Laboratory Name: Environment 1 Certification No. 10
PARAMETERS NOTE: Values should reflect
dissolved
and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615
mg/L Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616 8
/100mL
Nitrate (NO3) as N 00620 <.04
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 0.19
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
Dissolved Solids:Total 70300 270
mg/L
Al - Aluminum oil o5
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 00680 14.72
mg/L
Ca - Calcium 00916
mg/L
Chloride oo94o 35
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total 01034
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 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 7873 method # 6200c
Total Ammonia 00610 0.27
mg/L
00927
mg/L method #
(Ammonia Nitrogen; NH3 as 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 •
I certify that, to the best of my knowledge and belief, the information submitted in this report is true, accura
DWR-certified laboratory. I am aware that there are significant penalties for submitting false information, ii
AuthorizedChris Venters
Permittee (or •.
•8/2013
mg/L Effluent Total VOGs:
mg/L VU(: Removal mo
C--•G-�1�P�'�-` DEC Q Y 20
20
Sionature of Permittee (or Authorized Aoent) (Date)

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OF WATER RESOURCES - INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: Expiration Date: 8/31/2024
Facility Name:
Bay
River MSD
Non -Discharge WQ0013348 UIC
NPDES W00013348 Other
Permit Name (if different):
Facility Address:
101 North
Fourth Street
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
Bayboro NC 28515 County Pamlico
11 "t't,
W
■ Spray Field ❑ Remediation:
Contact Person: Chris Venters
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Arapahoe spraysite
No. of wells to be sampled:
17
❑ Water Source Heat Pump ElOther:
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-C4R
Date sample collected: 11/19/2020 FIELD ANALYSES:
WAS
Well Depth: 20 ft.
Well Diameter: 2 in.
pH 0040o: 4.6 units Temp. 000lc 16 °C
DRY at
Depth to Water Level 82546: 6.7 ft. below measuring point Screened Interval: 3 ft.
to 15 ft. Spec. Cond. 00094: µMhos
time of
Measuring Point is 2 ft. above land surface
Relative M.P. Elevation:
ft. Odor 00085: none
sampling,
check
Volume of water pumped/bailed before sampling:
1.5
gallons
Appearance light milky
here:
Samples for metals were collected unfiltered:
YES
❑ NO and field acidified: YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed: 11/19/2020
Laboratory Name:
Environment 1 Certification No. 10
PARAMETERS NOTE: Values should reflect dissolved
and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615
mg/L Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 <.04
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 0.07
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids -.Total 70300 69
mg/L
Al - Aluminum 01105
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 00680 9.14
mg/L
Ca - Calcium 00916
mg/L
Chloride oo94o 26
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total 01034
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 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 7873 method # 6200c
Total Ammonia 00610 0.07
mg/L
00927
mg/L method #
(Ammonia Nitrogen, NH3 as 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: mg/L VOC Removal%
GW-59 Rev.8/2013

SUBMIT FORM ON YELLOW PAPER ONLY
• •
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OF WATER RESOURCES - INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
.
. • •
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: Expiration Date: 8/31/2024
Facility Name:
Bay
River MSD
Non -Discharge WQ0013348 UIC
NPDES WQ0013348 Other
Permit Name (if different):
Facility Address:
101 North
Fourth Street
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
Bityboro NC 28515 County Pamlico
■ Spray Field ❑ Remediation:
Contact Person: Chris Venters
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Arapahoe spraysite
No. of wells to be sampled:
17
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-5
Date sample collected: 11/19/2020 FIELD ANALYSES:
WAS
Well Depth: 20 ft.
Well Diameter: 2 in.
pH 00400: 5.39 units Temp. 000lc 172 °C
DRY at
Depth to Water Level 82546: 5.3 ft. below measuring point
Screened Interval: 3 ft.
to 15 ft. Spec. Cond. 00094: µMhos
time of
Measuring Point is 2 ft. above land surface
Relative M.P. Elevation:
ft. Odor 00085: light iron
sampling,
check
Volume of water um ed/bailed before sampling:
p p P 9�
1.5
gallons
9
Appearance light gray
here:
Samples for metals were collected unfiltered:
YES
❑ NO and field acidified: YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed: 11/19/2020
Laboratory Name:
Environment 1 Certification No. 10
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615
mg/L Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 <.04
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 0.14
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 269
mg/L
Al - Aluminum 01105
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 00680 2.23
mg/L
Ca - Calcium 00916
mg/L
Chloride oo94o 119
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total 01034
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 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 7873 method # 6200c
Total Ammonia 00610 0.18
mg/L
00927
mg/L method #
(Ammonia Nitrogen; NH3 as 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:
certify that, to the best of my knowledge and belief, the information submitted in this report is true, accura
DWR-certified laboratory. I am aware that there are significant penalties for submitting false information, i
Chris Venters
Permittee (or Authorized
• Rev.1
mg/L Effluent Total VOCs:
OF +.
Siqnature of Permittee (or Authorized Agent)
mg/L VOC Removal%
I O�V 22020
(Date)

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OF WATER RESOURCES - INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
• • •
•
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: Expiration Date: 8/31/2024
Facility Name:
Bay River MSD
Non -Discharge W00013348 UIC
NPDES WQ0013348 Other
Permit Name (if different):
Facility Address:
101 North
Fourth Street
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
0,,yb ' NC 26515 County Pamlico
Spray Field ❑ Remediation:
Contact Person: Chris Venters
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Arapahoe spraysite
No. of wells to be sampled: 17
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-6
Date sample collected: 11/19/2020
FIELD ANALYSES:
WAS
Well Depth: 20 ft.
Well Diameter: 2 in.
pH 00400: 5.5 units Temp. 000lc 176 °C
DRY at
Depth to Water Level 82546: 4.8 ft. below measuring point
Screened Interval: 3 ft. to
15 ft. Spec. Cond. 00094: µMhos
time of
sampling,
Measuring Point is 2 ft. above land surface
Relative M.P. Elevation: ft.
Odor 00085: light iron
check
Volume of water um ed/bailed before sampling:
p p P 9�
1.5
gallons
9
Appearance light gray
here:
Samples for metals were collected unfiltered:
YES
❑ NO and field acidified: YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 11/19/2020
Laboratory Name: Environment 1 Certification No. 10
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615
mg/L Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 <.04
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 0.14
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
Dissolved Solids:Total 70300 161
mg/L
Al - Aluminum 01105
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 00680 2.56
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 75
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total 01034
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 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 7873 method # 6200c
Total Ammonia oo6lo <.04
mg/L
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:
1 certify that, to the best of my knowledge and belief, the information submitted in this report is true, accura
DWR-certified laboratory. I am aware that there are significant penalties for submitting false information, iPermiftee (or Authorized Aaent) Name and Title - Please orint or tyne
Chris Venters
mg/L Effluent Total VOCs:
Signature of Permittee (or Authorized Aqent)
mg/L VOC Removal%
(Date)

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OF WATER RESOURCES - INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: Expiration Date: 8/31/2024
Facility Name:
Bay
River MSD
Non -Discharge WQ0013348 UIC
NPDES WQ0013348 Other
Permit Name (if different):
Facility Address:
101 North Fourth Street
TYPE OF PERMITTED OPERATION BEING MONITORED
N Lagoon ❑ Remediation: Infiltration Gallery
Baybwo N` 2t515 County Pamlico
❑ Spray Field ❑ Remediation:
Contact Person: Chris Venters
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Bayboro Treatment Plant
No. of wells to be sampled: 17
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-7
Date sample collected: 11/5/2020
FIELD ANALYSES:
WAS
Well Depth: 20 ft.
Well Diameter: 2 in.
pH 00400: 6.78 units Temp. 000lc 6.81 °C
DRY at
Depth to Water Level 82546: 5.7 ft. below measuring point Screened Interval: 3 ft. to
15 ft. Spec. Cond. 00094: µMhos
time of
Measuring Point is 2 ft. above land surface
Relative M.P. Elevation: ft.
Odor 00085: irony
sampling,
check
Volume of water pumped/bailed before sampling:
1.5
gallons
Appearance clear
here:
Samples for metals were collected unfiltered:
YES
❑ NO and field acidified: YES ElNO
LABORATORY INFORMATION
Date sample analyzed: 11/5/2020
Laboratory Name: Environment 1 Certification No. 10
PARAMETERS NOTE: Values should reflect
dissolved
and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615
mg/L Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616 16
/100mL
Nitrate (NO3) as N 00620 0.17
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 0.36
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
Dissolved Solids:Total 70300 1200
mg/L
AI - Aluminum 01105
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 00680 7.35
mg/L
Ca - Calcium 00916
mg/L
Chloride oo94o 34
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total 01034
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 71900
ug/L Lab Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance 00095
µMhos
K - Potassium 00937
mg/L VOC 7873 method # 6200c
Total Ammonia 00610 0.3
mg/L
00927
mg/L method #
(Ammonia Nitrogen, NH, as 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: mg/L VOC Removal%
Chris Venters
Permittee (or Authorized Acient) Name and Title - Please print or type
GW-59 Rev.8/2013

SUBMIT FORM ON YELLOW PAPER ONLY
OR==DEPARTMENT
OF ENVIRONMENT &NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OF WATER RESOURCES - INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
-
K617
MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: Expiration Date: 8/31/2024
Facility Name:
Bay
River MSD
Non -Discharge WQ0013348 UIC
NPDES W00013348 Other
Permit Name (if different):
Facility Address:
101 North Fourth Street
TYPE OF PERMITTED OPERATION BEING MONITORED
0 Lagoon ❑ Remediation: Infiltration Gallery
Baiyhoro NC 28515 County Pamlico
,it, �,'
�
❑ Spray Field ❑ Remediation:
Contact Person: Chris Venters
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Bayboro Treatment Plant
No. of wells to be sampled: 17
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-8
Date sample collected: 11/5/2020
FIELD ANALYSES:
WAS
Well Depth: 20 ft.
Well Diameter: 2 in.
pH 00400: 6.63 units Temp. 000lc 21,1 °C
DRY at
Depth to Water Level 82546: 6.6 ft. below measuring point Screened Interval: 3 ft. to
15 ft. Spec. Cond. 00094: µMhos
time of
sampling,
Measuring Point is 2 ft. above land surface
Relative M.P. Elevation: ft.
iron
Odor 000s5: y
check
Volume of water pumped/bailed before sampling:
1.5
gallons
Appearance light milky orange
here:
Samples for metals were collected unfiltered:
YES
❑ NO and field acidified: YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 11/5/2020
Laboratory Name: Environment 1 Certification No. 10
PARAMETERS NOTE: Values should reflect
dissolved
and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615
mg/L Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616 2
/100mL
Nitrate (NO3) as N 00620 0.08
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100ml-
Phosphorus: Total as P 00665 0.3
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
Dissolved Solids:Total 70300 583
mg/L
Al - Aluminum 01105
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 00680 2.9
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 45
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total 01034
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 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 7873 method # 6200c
Total Ammonia 00610 0.12
mg/L
00927
mg/L method #
(Ammonia Nitrogen, NH3 as 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: mg/L VOC Removal%
Chris Venters
Permittee (or Authorized Agent) Name and Title - Please print or twe
offxt
Siqnature of Permittee (or Authorized Agent)
(Date)
20
GW-59 Rev.8/2013

SUBMIT FORM ON YELLOW PAPER ONLY
.
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OF WATER RESOURCES - INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: Expiration Date: 8/31/2024
Facility Name:
Bay
River MSD
Non -Discharge WQ0013348 UIC
NPDES WQ0013348 Other
Permit Name (if different):
Facility Address:
101 North Fourth Street
TYPE OF PERMITTED OPERATION BEING MONITORED
E Lagoon ❑ Remediation: Infiltration Gallery
B.,yboro NC 28515 County Pamlico
"�
❑ Spray Field ❑ Remediation:
Contact Person: Chris Venters
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Bayboro Treatment Plant
No. of wells to be sampled: 17
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-9
Date sample collected: 11/5/2020
FIELD ANALYSES:
WAS
Well Depth: 20 ft.
Well Diameter: 2 in.
pH 00400: 5.78 units Temp. 000lc 22.2 eC
DRY at
Depth to Water Level 82546: 6.1 ft. below measuring point Screened Interval: 3 ft. to
15 ft. Spec. Cond. 00094: µMhos
time of
Measuring Point is 2 ft. above land surface
Relative M.P. Elevation: ft.
Odor 00085: none
sampling,
check
Volume of water pumped/bailed before sampling:
1.5
gallons
Appearance light gray
here:
Samples for metals were collected unfiltered:
YES
❑ NO and field acidified: YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 11/5/2020
Laboratory Name: Environment 1 Certification No. 10
PARAMETERS NOTE: Values should reflect
dissolved
and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615
mg/L Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616 5
/100mL
Nitrate (NO3) as N 00620 <.04
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 0.05
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
Dissolved Solids -.Total 70300 138
mg/L
Al - Aluminum 01105
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC oo68o 2.4
mg/L
Ca - Calcium oo916
mg/L
Chloride 00940 16
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total 01034
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 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 7873 method # 6200c
Total Ammonia oo6lo <.04
mg/L
00927
mg/L method #
(Ammonia Nitrogen, NH3 as 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: mg/L VOC Removal%
of Permittee (or Authorized Agent)
GW-59 Rev.8/2013

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
iffli
DIVISION OF WATER RESOURCES - INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: Expiration Date: 8/31/2024
Facility Name:
Bay
River MSD
Non -Discharge WQ0013348 UIC
NPDES WQ0013348 Other
Permit Name (if different):
Facility Address:
101 North Fourth Street
TYPE OF PERMITTED OPERATION BEING MONITORED
■ Lagoon ❑ Remediation: Infiltration Gallery
B.,yboro NC Dads County Pamlico
❑ Spray Field ❑ Remediation:
Contact Person: Chris Venters
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Bayboro Treatment Plant
No. of wells to be sampled: 17
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-10
Date sample collected: 11/5/2020
FIELD ANALYSES:
WAS
Well Depth: 20 ft.
Well Diameter: 2 in.
pH 00400: 7.01 units Temp. 000l( 239 °C
DRY at
Depth to Water Level 82546: 5.1 ft. below measuring point Screened Interval: 3 ft. to
15 ft. Spec. Cond. 00094: µMhos
time of
Measuring Point is 2 ft. above land surface
Relative M.P. Elevation: ft.
Odor 00085: none
sampling,
check
Volume of water um ed/bailed before sampling:
P P P 9�
1.5
gallons
9
Appearance clear
here:
Samples for metals were collected unfiltered:
YES
❑ NO and field acidified: YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 11/5/2020
Laboratory Name: Environment 1 Certification No. 10
PARAMETERS NOTE: Values should reflect
dissolved
and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615
mg/L Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 0.08
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 0.11
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 480
mg/L
Al - Aluminum 01105
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 00680 3.06
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 33
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total 01034
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 71900
ug/L Lab Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance 00095
µMhos
K - Potassium 00937
mg/L VOC 7873 method # 6200c
Total Ammonia oo610 0.17
mg/L
00927
mg/L method #
(Ammonia Nitrogen; NH3 as 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: mg/L VOC Removal%
Chris Venters
Permittee (or Authorized Aqent) Name and Title - Please print or Noe
GW-59 Rev.8/2013

SUBMIT FORM ON YELLOW PAPER ONLY
• •
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OF WATER RESOURCES - INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
. • •
•
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: Expiration Date: 8/31/2024
Facility Name:
Bay
River MSD
Non -Discharge WQ0013348 UIC
NPDES WQ0013348 Other
Permit Name (if different):
Facility Address:
101 North Fourth Street
TYPE OF PERMITTED OPERATION BEING MONITORED
0 Lagoon ❑ Remediation: Infiltration Gallery
Bayboro NC 28515 County Pamlico
,_Ity�
❑ Spray Field El Remediation:
Contact Person: Chris Venters
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Bayboro Treatment Plant
No. of wells to be sampled: 17
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-11
Date sample collected: 11/5/2020
FIELD ANALYSES:
WAS
Well Depth: 20 ft.
Well Diameter: 2 in.
pH 00400: 6.91 units Temp. 0001C 234 °C
DRY at
Depth to Water Level 82546: 5.4 ft. below measuring point Screened Interval: 3 ft. to
15 ft. Spec. Cond. 00094: µMhos
time of
Measuring Point is 2 ft. above land surface
Relative M.P. Elevation: ft.
Odor 00085: none
sampling,
check
Volume of water um ed/bailed before sampling:
P P P 9�
1.5
gallons
9
Appearance light gray
here: El
Samples for metals were collected unfiltered:
YES
❑ NO and field acidified: YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 11/5/2020
Laboratory Name: Environment 1 Certification No. 10
PARAMETERS NOTE: Values should reflect
dissolved
and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615
mg/L Pb - Lead o1o51 ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 <.04
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 0.15
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 478
mg/L
Al - Aluminum 01105
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 00680 3.24
mg/L
Ca - Calcium oog16
mg/L
Chloride 00940 23
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total 01034
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 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 7873 method # 6200c
Total Ammonia oo6lo 0.14
mg/L
00927
mg/L method #
(Ammonia Nitrogen; NH3 as 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:
I certify that, to the best of my knowledge and belief, the information submitted in this report is true, accura
DWR-certified laboratory. I am aware that there are significant penalties for submitting false information, iChris Venters
Pernnittee (or Authorized Aaent) Name and Title - Please Drint or twe
GW-59 Rev. 8/2013
mg/L Effluent Total VOCs:
Signature of Permittee (or Authorized Aqent)
mg/L VOC Removal%
ALL 2 Y 2020
(Date)

SUBMIT FORM ON YELLOW PAPER ONLY
0 .
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OF WATER RESOURCES - INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
=
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: Expiration Date: 8/31/2024
Facility Name:
Bay
River MSD
Non -Discharge WQ0013348 UIC
NPDES WQ0013348 Other
Permit Name (if different):
Facility Address:
101 North Fourth Street
TYPE OF PERMITTED OPERATION BEING MONITORED
0 Lagoon ❑ Remediation: Infiltration Gallery
Dayboro "c 28515 County Pamlico
i �z'
"
❑ Spray Field ❑ Remediation:
Contact Person: Chris Venters
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Bayboro Treatment Plant
No. of wells to be sampled: 17
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-12
Date sample collected: 11/5/2020
FIELD ANALYSES:
WAS
Well Depth: 20 ft.
Well Diameter: 2 in.
pH 00400: 7.12 units Temp. 000lc 21 8 °C
DRY at
Depth to Water Level 82546: 6 ft. below measuring point Screened Interval: 3 ft. to
15 ft. Spec. Cond. 00094: µMhos
time of
Measuring Point is 2 ft. above land surface
Relative M.P. Elevation: ft.
Odor 00085: none
sampling,
check
Volume of water pumped/bailed before sampling:
1.5
gallons
Appearance light gray
here:
Samples for metals were collected unfiltered:
YES
❑ NO and Feld acidified: YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 11/5/2020
Laboratory Name: Environment 1 Certification No. 10
PARAMETERS NOTE: Values should reflect
dissolved
and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615
mg/L Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616 12
/100mL
Nitrate (NO3) as N 00620 <.04
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 0.33
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
Dissolved Solids:Total 70300 444
mg/L
Al - Aluminum 01105
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 00680 1.65
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 66
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total 01034
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 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 7873 method # 6200c
Total Ammonia 00610 0.09
mg/L
00927
mg/L method #
(Ammonia Nitrogen, NH3 as 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: mg/L VOC Removal%
Chris Venters
Permittee (or Authorized Agent) Name and Title - Please print or Noe
GW-59 Rev.8/2013

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OF WATER RESOURCES - INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: Expiration Date: 8/31/2024
Facility Name:
Bay
River MSD
Non -Discharge WQ0013348 UIC
NPDES W00013348 Other
Permit Name (if different):
Facility Address:
101 North Fourth Street
TYPE OF PERMITTED OPERATION BEING MONITORED
0 Lagoon ❑ Remediation: Infiltration Gallery
Hayboro NC 2�s516 County Pamlico
❑ Spray Field ❑ Remediation:
Contact Person: Chris Venters
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Bayboro Treatment Plant
No. of wells to be sampled: 17
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-13
Date sample collected: 11/5/2020
FIELD ANALYSES:
WAS
Well Depth: 20 ft.
Well Diameter: 2 in.
pH 00400: 6.92 units Temp. 000lc 23.1 oC
DRY at
Depth to Water Level 82546: 4.1 ft. below measuring point Screened Interval: 3 ft. to
15 ft. Spec. Cond. 00094: µMhos
time of
Measuring Point is 2 ft. above land surface
Relative M.P. Elevation: ft.
Odor 00085: none
sampling,
check
Volume of water um ed/bailed before sampling:
p p P 9�
1.5
gallons
9
Appearance clear
here:
Samples for metals were collected unfiltered:
YES
❑ NO and field acidified: YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 11/5/2020
Laboratory Name: Environment 1 Certification No. 10
PARAMETERS NOTE: Values should reflect
dissolved
and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615
mg/L Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616 1
/100mL
Nitrate (NO3) as N 00620 <.04
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 0.12
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 594
mg/L
Al - Aluminum 01105
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 00680 3.02
mg/L
Ca - Calcium oo916
mg/L
Chloride oo94o 56
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total 01034
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 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 7873 method # 6200c
Total Ammonia 00610 0.22
mg/L
00927
mg/L method #
(Ammonia Nitrogen; NH3 as 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: mg/L VOC Removal%
Chris Venters
Permittee (or Authorized Aqent) Name and Title - Please print or tvPe
GW-59 Rev.8/2013

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OF WATER RESOURCES - INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: Expiration Date: 8/31/2024
Facility Name:
Bay
River MSD
Non -Discharge WQ0013348 UIC
NPDES WQ0013348 Other
Permit Name (if different):
Facility Address:
101 North Fourth Street
TYPE OF PERMITTED OPERATION BEING MONITORED
0 Lagoon ❑ Remediation: Infiltration Gallery
Wyboro NC 2851e County Pamlico
❑ Spray Field ❑ Remediation:
Contact Person: Chris Venters
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Bayboro Treatment Plant
No. of wells to be sampled: 17
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-14
Date sample collected: 11/5/2020
FIELD ANALYSES:
WAS
Well Depth: 20 ft.
Well Diameter: 2 in.
pH 00400: 6.28 units Temp. 000lc 22A oC
DRY at
Depth to Water Level 82546: 4.6 ft. below measuring point Screened Interval: 3 ft. to
15 ft. Spec. Cond. 00094: µMhos
time of
Measuring Point is 2 ft. above land surface
Relative M.P. Elevation: ft.
Odor 00085: none
sampling,
check
Volume of water pumped/bailed before sampling:
1.5
gallons
Appearance clear
here:
Samples for metals were collected unfiltered:
YES
ElNO and field acidified: YES ElNO
LABORATORY INFORMATION
Date sample analyzed: 11/5/2020
Laboratory Name: Environment 1 Certification No. 10
PARAMETERS NOTE: Values should reflect
dissolved
and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615
mg/L Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 0.76
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 0.07
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 486
mg/L
Al - Aluminum oil o5
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 00680 4.8
mg/L
Ca - Calcium 00916
mg/L
Chloride oo94o 29
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total 01034
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 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 7873 method # 6200c
Total Ammonia oo6lo <.04
mg/L
00927
mg/L method #
(Ammonia Nitrogen; NH3 as 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: mg/L VOC Removal%
Chris Venters
(or Authorized Aqent) Name and Title - Please print or tvoe
L014
Siqnature of Permittee (or Authorized Agent)
(Date)
(,UI.0
GW-59 Rev.8/2013

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OF WATER RESOURCES - INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
• •
•
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: Expiration Date: 8/31/2024
Facility Name:
Bay
River MSD
Non -Discharge WQ0013348 UIC
NPDES WQ0013348 Other
Permit Name (if different):
Facility Address:
101 North Fourth Street
TYPE OF PERMITTED OPERATION BEING MONITORED
0 Lagoon ❑ Remediation: Infiltration Gallery
Bayboro NC 28515 County Pamlico
❑ Spray Field ❑ Remediation:
Contact Person: Chris Venters
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Oriental Treatment Plant
No. of wells to be sampled: 17
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-15
Date sample collected: 11/5/2020
FIELD ANALYSES:
WAS
Well Depth: 20 ft.
Well Diameter: 2 in.
pH 00400: 7.04 units Temp. 000lc 21.6 °C
DRY at
Depth to Water Level 82546: 3.5 ft. below measuring point Screened Interval: 3 ft. to
15 ft. Spec. Cond. 00094: µMhos
time of
sampling,
Measuring Point is 2 ft. above land surface
Relative M.P. Elevation: ft.
Odor 00085: light sulphur
check
Volume of water um ed/bailed before sampling:
p p P 9�
1.5
gallons
9
Appearance clear
here:
Samples for metals were collected unfiltered:
YES
❑ NO and field acidified: YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 11/5/2020
Laboratory Name: Environment 1 Certification No. 10
PARAMETERS NOTE: Values should reflect
dissolved
and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615
mg/L Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 <.04
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 0.2
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 569
mg/L
Al - Aluminum 01105
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 00680 3.55
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 47
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total 01034
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 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 7873 method # 6200c
Total Ammonia 00610 0.11
mg/L
00927
mg/L method #
(Ammonia Nitrogen; NH, as 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:
certify that, to the best of my knowledge and belief, the information submitted in this report is true, accura
DWR-certified laboratory. I am aware that there are significant penalties for submitting false information, ii
Chris Venters
Permittee (or Authorized , 1- -and - Print or .-
GW-59 Rev. 1
mg/L Effluent Total VOCs:
mg/L VOC Removal%
AIM
Siqnature of Permittee (or Authorized Aqent) (Date)

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OF WATER RESOURCES - INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: Expiration Date: 8/31/2024
Facility Name:
Bay
River MSD
Non -Discharge WQ0013348 UIC
NPDES WQ0013348 Other
Permit Name (if different):
Facility Address:
101 North Fourth Street
TYPE OF PERMITTED OPERATION BEING MONITORED
Lagoon ❑ Remediation: Infiltration Gallery
(3iryboro NC 2rs515 County Pamlico
❑ Spray Field ❑ Remediation:
Contact Person: Chris Venters
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Oriental Treatment Plant
No. of wells to be sampled:
17
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-15
Date sample collected: 11/18/2020 FIELD ANALYSES:
WAS
Well Depth: 20 ft.
Well Diameter: 2 in.
pH 00400: 7.04 units Temp. 000ll: 21.6 °C
DRY at
Depth to Water Level 82546: 3.5 ft. below measuring point Screened Interval: 3 ft.
to 15 ft. Spec. Cond. 00094: µMhos
time of
Measuring Point is 2 ft. above land surface
Relative M.P. Elevation:
ft. Odor 00085: light sulphur
sampling,
check
Volume of water pumped/bailed before sampling:
1.5
gallons
Appearance clear
here:
Samples for metals were collected unfiltered:
YES
❑ NO and field acidified: YES
ElNO
LABORATORY INFORMATION
Date sample analyzed: �f�J$[2020
Laboratory Name:
Environment 1 Certification No. 10
PARAMETERS NOTE: Values shotAd feflect
dissolved
and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615
mg/L Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 <.04
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 0.2
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
Dissolved Solids:Total 70300 569
mg/L
Al - Aluminum 01105
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 00680 3.55
mg/L
Ca - Calcium oo916
mg/L
Chloride 00940 47
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total 01034
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 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 7873 method # 6200c
Total Ammonia 00610 0.11
mg/L
00927
mg/L method #
(Ammonia Nitrogen; NH3 as 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: mg/L VOC Removal%
Hefmlttee (or Autnorized AQent) Name ano I life - mease print or type
GW-59 Rev.8/2013

SUBMIT FORM ON YELLOW PAPER ONLY
10=Ml
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OF WATER RESOURCES - INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: Expiration Date: 8/31/2024
Facility Name:
Bay
River MSD
Non -Discharge WQ0013348 UIC
NPDES WQ0013348 Other
Permit Name (if different):
Facility Address:
101 North Fourth Street
TYPE OF PERMITTED OPERATION BEING MONITORED
IN Lagoon ❑ Remediation: Infiltration Gallery
Bayboro NC 28515 County Pamlico
❑ Spray Field El Remediation:
Contact Person: Chris Venters
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Oriental Treatment Plant
No. of wells to be sampled:
17
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-16
Date sample collected: 11/18/2020 FIELD ANALYSES:
WAS
Well Depth: 20 ft.
Well Diameter: 2 in.
pH 00400: 6.59 units Temp. 000lc 20.4 0C
DRY at
Depth to Water Level 82546: 4.1 ft. below measuring point Screened Interval: 3 ft.
to 15 ft. Spec. Cond. 00094: µMhos
time of
Measuring Point is 2 ft. above land surface
Relative M.P. Elevation:
ft. Odor 00085: none
sampling,
check
Volume of water pumped/bailed before sampling:
1.5
gallons
Appearance clear
here:
Samples for metals were collected unfiltered:
YES
❑ NO and field acidified: YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed: 11/18/2020
Laboratory Name:
Environment 1 Certification No. 10
PARAMETERS NOTE: Values should reflect dissolved
and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615
mg/L Pb - Lead o1o51 ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 <.04
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 0.24
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
Dissolved Solids:Total 70300 660
mg/L
Al - Aluminum 01105
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 00680 7.74
mg/L
Ca - Calcium oo916
mg/L
Chloride 00940 49
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total 01034
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 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 7873 method # 6200c
Total Ammonia oo610 0.15
mg/L
00927
mg/L method #
(Ammonia Nitrogen, NH, as 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: mg/L VOC Removal%
Chris Venters
(or Authorized Agent) Name and Title - Please print or type
Signature of Permittee (or Authorized Aaent) (uate)
GW-59 Rev.8/2013

SUBMIT FORM ON YELLOW PAPER ONLY
•
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OF WATER RESOURCES - INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: Expiration Date: 8/31/2024
Facility Name:
Bay
River MSD
Non -Discharge WQ0013348 UIC
NPDES WQ0013348 Other
Permit Name (if different):
Facility Address:
101 North Fourth Street
TYPE OF PERMITTED OPERATION BEING MONITORED
E Lagoon ❑ Remediation: Infiltration Gallery
Bayhoro NC 28515 County Pamlico
❑ Spray Field ❑ Remediation:
Contact Person: Chris Venters
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Oriental Treatment Plant
No. of wells to be sampled:
17
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-17
Date sample collected: 11/18/2020 FIELD ANALYSES:
WAS
Well Depth: 20 ft.
Well Diameter: 2 in.
pH 00400: 6.82 units Temp. 000ic 193 °C
DRY at
Depth to Water Level 82546: 7.3 ft. below measuring point Screened Interval: 3 ft.
to 15 ft. Spec. Cond. 00094: µMhos
time of
sampling,
Measuring Point is 2 ft. above land surface
Relative M.P. Elevation:
ft. Odor 00085: none
check
Volume of water pumped/bailed before sampling:
1.5
gallons
Appearance clear
here:
Samples for metals were collected unfiltered:
YES
❑ NO and field acidified: YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed: 11/18/2020
Laboratory Name:
Environment 1 Certification No. 10
PARAMETERS NOTE: Values should reflect
dissolved
and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615
mg/L Pb - Lead o1o5i ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 <.04
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 0.34
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 712
mg/L
Al - Aluminum 01105
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 00680 6.53
mg/L
Ca - Calcium oo916
mg/L
Chloride 00940 8
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total 01034
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 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 7873 method # 6200c
Total Ammonia 00610 0.18
mg/L
00927
mg/L method #
(Ammonia Nitrogen, NH3 as 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 . ..rts): Influent Total VOCs:
1 certify that, to the best of my knowledge and belief, the information submitted in this report is true, accura
DWR-certified laboratory. I am aware that there are significant penalties for submitting false information, ii
Chris Venters
Permittee (or Authorized Acient) Name and Title - Please orint or tvDe
mg/L Effluent Total VOCs:
Siqnature of Permittee (or Authorized Agent)
mgiL VOC Removai-/o
(Date)
21 2020