WQ0000165_Monitoring - 11-2020_20210105 (2)

GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
FACILITY INFORMATION Please Print Clearly or Type
Facility Name: �73 st& \3 '_ \\c-
Permit Name (if different):
Facility Address:
�C7h �rnC7.SlCti (zip) - - - -,
Contact Person: Telephone #: -Z �A - 7SC
Well Location/ Site Name: No. of Wells to be Sampled:
Well Identification Number (from Permit): For Groundwater Treatment Systems
Well Depth: - 1 ft. Well Diameter: -,)L_ in. Check One: ❑ Influent (98)
Screened Interval: ft. to ft, ❑ Effluent (99)
Depth to Water Level: (,:� ft. below measuring point.
Measuring Point (M.P.) is: ft. above land surface. Relative M.P. Elevation in ft.:
Gallons of water pumped/bailed before sampling: I S Date sample collected:
Field analysis: pH t Specific Conductance uMhos
Temp. ,—�C, Odor Appearance
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
WATER QUALITY DIVISION, GROUNDWATER SECTION
1636 MAIL SERVICE CENTER
RALEIGH. NC 27699-1636 Phone: [phone],
PERMIT #:
EXPIRATION DATE:
Non -Discharge
UIC
NPDES
TYPE OF PERMITTED OPERATION BEING MONITORED
Lagoon
Remediation: Infiltration Gallery
Spray Field
Rernediation:
Afff'Rotary Distributor
Land Application of Sludge
Other:
NOTE: Values should reflect dissolved and
colloidal concentrations.
Date sample analyzed:
Laboratory Name: rjx'1! '� 1
Certification No. _ 1.
PARAMETERS (Samples for metals were collected unfiltered YES NO and field acidified
COD mg/I Nitrite (NO2) as N mg/I
Coliform: MF Fecal _ i - /100ml Nitrate (NO3) as N mg/I
Coliform: MF Total /100ml -Phosphorus: Total as P n,,D un mg/I
(Note: Use MPN method for highly turbid samples)
Dissolved Solids: Total _2�1 1 'IN mg/I
pH (when analyzed) 7
units
TOC Sc ►7
mg/I
Chloride �5Z' �
mg/!
Arsenic
mg/l
Grease and Oils
mg/I
Phenol
mg/l
Sulfate
mg/I
Specific Conductance
uMhos
Total Ammonia
mg/I
TKN as N
mg/I
Orthophosphate mg/I
Al - Aluminum
mg/I
Ba - Barium
mg/I
Ca - Calcium
mg/I
Cd - Cadmium
mg/I
Chromium: Total
mg/I
Cu - Copper
imp/l
Fe - Iron
mg/I
Hg - Mercury
'mg/I
K - Potassium
mg/I
Mg - Magnesium
1 T 4
Mn - Manganese
MVI'
YES NO)
Ni - Nickel mg/I
Pb - Lead mg/I
Zn - Zinc mg/I
Ammonia Nitrogen d.1 1 mg/I
Other (Specify Compounds and Concentration Units)
` t1
ORGANICS: (GC,GC/MS,HPLC)
(Specify test and method #. Attach lab report.)
ReportAttached? Yes+ (1) No (0)
VOC method # = C- Nt�
method # =
method # =

GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
FACILITY INFORMATION Please Print Clearly or Type
Facility Name: 117� str & k1 " �xa,—
Permit Name (if different):
Well Location/ Site Name: L I No. of Wells to be Sampled:- �--:
Well Identification NLImber (from Permit): �4 — For Groundwater Treatment Systems
Well Depth: 1 9 ft. Well Diameter: -,�— in. Check One: ❑ Influent (98)
Screened Interval: ft. to ft. ❑ Effluent (99)
Depth to Water Level: "-t, I R ft. below measuring point.
Measuring Point (M.P.) is: ft. above land surface. Relative M.P. Elevation in tL:
Gallons of water pumped/bailed before sampling: I 6 Date sample collected: Z 14 O
Field analysis: pH 7% • C) , Specific Conductance
Temp.'C, Odor Appearance _
uMhos
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
WATER QUALITY DIVISION, GROUNDWATER SECTION
1636 MAIL SERVICE CENTER
RALEIGH. NC 27699-1636 Phone: [phone]:
PERMIT #: EXPIRATION DATE:
Non -Discharge --UIC
NPDES
TYPE OF PERMITTED OPERATION BEING MONITORED
Lagoon
Spray Field
+lRotary Distributor
Other:
Remediation: Infiltration Gallery
Remediation:
Land Application of Sludge
NOTE: Values should reflect dissolved and
colloidal concentrations.
Date sample analyzed:
Laboratory Name: rn'l��M4�_''�
Certification No. _ A.9
PARAMETERS (Samples for metals were collected unfiltered YES NO and field acidified YES NO)
COD mg/I
Coliform: MF Fecal /100ml
Coliform: MF Total /100ml
(Note: Use MPN method for highly turbid samples)
Dissolved Solids: Total . Ll Ske
mg/I
pH (when analyzed)
units
TOC -I
mg/I
Chloride
mg/I
Arsenic
mg/I
Grease and Oils
mg/I
Phenol
mg/I
Sulfate
mg/I
Specific Conductance uMhos
Total Ammonia
mg/I
TKN as N
mg/I
Rev. 03/2000
Nitrite (NO2) as N
mg/1
Nitrate (NO3) as N to ,In 4
mg/i
-Phosphorus: Total as P.
mg/I
Orthophosphate
mg/I
Al - Aluminum
mg/I
Ba - Barium
mg/I
Ca - Calcium
mg/I
Cd - Cadmium
mg/I
Chromium: Total
mg/I
Cu - Copper
mg/I
Fe - Iron
mg/I
Hg - Mercury
mg/I
K - Potassium
mg/I
Mg - Magnesium
mg/1
Mn - Manganese
mg/I
Ni - Nickel mg/I
Pb - Lead mg/I
Zn - Zinc mg/I
Ammonia Nitrogen mg/I
Other (Specify Compounds and Concentration Units)
ORGANICS: (GC,GC/MS,HPLC)
(Specify test and method #. Attach lab report.)
Report Attached? Yes +--(1) No (0)
VOC : method # =
method # =
method # =

,) GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
FACILITY INFORMATION Please Print Clearly or Type
Facility Name: _Izs S) AS \3A\a_
Permit Name (if different):
Well Location/ Site Name: -mil No. of Wells to be Sampled:
Well Identification Number (from Permit): -7
Well Depth: , 1 t-I ft. Well Diameter:_ in
Screened Interval: ft. to ft:
Depth to Water Level: ft. below measuring poi
Measuring Point (M.P.) is: ft. above land surface.
Gallons of water pum ed/bailed before sampling:
Field analysis: pH ' I , Specific Conductance
Temp. j-°C, Odor
nt
For Groundwater Treatment Systems
Check One: ❑ Influent (98)
❑ Effluent (99)
Relative M.P. Elevation in ft.:
_ Date sample collected:
uMhos
Appearance
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
WATER QUALITY DIVISION, GROUNDWATER SECTION
1636 MAIL SERVICE CENTER
RALEIGH. NC 27699-1636 Phone: [phone]:
PERMIT #: EXPIRATION DATE:L
Non -Discharge UIC
NPDES
TYPE OF PERMITTED OPERATION BEING MONITORED
Lagoon Remediation: Infiltration Gallery
Spray Field
Rotary Distributor
Other:
Remediation:
Land Application of Sludge
NOTE: Values should reflect dissolved and
colloidal concentrations.
Date sample analyzed:
Laboratory Name:yti�„Q�'�
Certification No. _._1 1
PARAMETERS (Samples for metals were collected unfiltered YES NO and field acidified
COD mg/I
Coliform: MF Fecal /100ml
Coliform: MF Total /100ml
(Note: Use MPN method for highly turbid samples)
Dissolved Solids: Total 21�1
mg/I
pH (when analyzed)
units
TOC Co cl I.
mg/I
Chloride
mg/I
Arsenic
mg/I
Grease and Oils
mg/l
Phenol
mg/l
Sulfate
mg/I
Specific Conductance
uMhos
Total Ammonia
mg/I
TKN as N
mg/I
Rev. 03/2000
Nitrite (NO2) as N
mg/I
Nitrate (NO3) as N 0,0L1
mg/I
Phosphorus: Total as P ,�, 7
mg/I
Orthophosphate
mg/I
Al - Aluminum
mg/I
Ba - Barium
mg/I
Ca - Calcium
mg/I
Cd - Cadmium
mg/I
Chromium: Total
mg/I
Cu - Copper
mg/I
Fe - Iron
mg/I
Hg - Mercury
mg/I
K - Potassium
mg/I
Mg - Magnesium
mg/I
Mn - Manganese
mg/I
YES NO)
Ni - Nickel mg/I
Pb - Lead mg/I
Zn - Zinc mg/I
Ammonia Nitrogen Q r S 3 mg/I
Other (Specify Compounds and Concentration Units)
ORGANICS: (GC,GC/MS,HPLC)
(Specify test and method #. Attach lab report.)
Report Attached? Yes L-'-(1) No (0)
VOC method #=
method # =
method # =

GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
FACILITY INFORMATION Please Print Clearly or Type
Facility Name: _ZS S12 S
Permit Name (if different):
Facility Address:
Contact Person: Telephone #:
Well Location/ Site Name: No. of Wells to be Sampled:
Well Identification Number (from Permit): cn For Groundwater Treatment Systems
Well Depth: � q ft. Well Diameter: �_ in. Check One: ❑ Influent (98)
Screened Interval: ft. to ft. El Effluent (99)
Depth to Water Level: (Q. LIO ft. below measuring point.
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
WATER QUALITY DIVISION, GROUNDWATER SECTION
1636 MAIL SERVICE CENTER
RALEIGH. NC 27699-1636 Phone: [phone]:
PERMIT #: EXPIRATION DATE:
Non -Discharge v�.7 t��1��>`�� UIC
NPDES
TYPE OF PERMITTED OPERATION BEING MONITORED
Lagoon
Spray Field
Rotary Distributor
Other:
Remediation: Infiltration Gallery
Retnediation:
Land Application of Sludge
NOTE: Values should reflect dissolved and
colloidal concentrations.
Measuring Point (M.P.) is: ft. above land surface. Relative M.P. Elevation in ft.:
Gallons of water pumped/bailed before sampling: _ Date sample collected: Date sample analyzed:
Field analysis: pH , Specific Conductance uMhos Laboratory Name: Eml � A� '49 )ft-N
Temp. TCI 'C, Odor Appearance Certification No. A .Ck
PARAMETERS (Samples for metals were collected unfiltered
COD mg/I Nitri
Coliform: MF Fecal _ /100ml Nitr
Coliform: MF Total /100ml -Pho
(Note: Use MPN method for highly turbid samples)
Dissolved Solids: Total S: n
mg/I
pH (when analyzed)
units
TOC is, + ^ IT
mg/I
Chloride 1-I
mg/I
Arsenic
mg/I
Grease and Oils
mg/I
Phenol
mg/l
Sulfate
mg/l
Specific Conductance
uMhos
Total Ammonia
mg/l
TKN as N
mg/I
YES NO and field acidified YES NO)
to (NO2) as N mg/I
ate (NO3) as N l 1 mg/I
sphorus: Total as P 3 i 1 4 mg/I
Orthophosphate mg/1
Al - Aluminum mg/I
Ba - Barium mg/I
Ca - Calcium mg/I
Cd - Cadmium mg/1
Chromium: Total mg/I
Cu - Copper mg/I
Fe - Iron mg/I
Hg - Mercury mg/I
K - Potassium mg/I
Mg - Magnesium mg/I
Mn - Manganese mg/l
Ni - Nickel mg/I
Pb - Lead_ mg/I
Zn - Zinc mg/I
Ammonia Nitrogen mg/I
Other (Specify Compounds and Concentration Units)
ORGANICS: (GC,GC/MS,HPLC)
(Specify test and method #. Attach lab report.)
Report Attached? Yes !! 1' No (0)
VOC method #
method ## =
method # =
r mme r 14Authorized
JA i ,e(Agent) � mt Titlee and Please print or type V W 59 LoLOU
ermittee or Aut razed Agent) (Date)
Rev. 0312000 St nature o

EEW'OnERM Flo ��c�or�poQa�c�d
114 OAKMONT DRIVE
GREENVILLE, N.C. 27858
SANDS VILLA (HYDROTECH)
DON O'MARA
HYDROTECH
P.O. BOX 4602
EMERALD ISLE ,NC 28594
Drinking water ID: 37715
wastewater ID: 10
PHONE [phone]
FAX [phone]
ID#: 559
DATE COLLECTED: 11/03/20
DATE REPORTED : 11/20/20
REVIEWED BY:
MW-3
MW-4
MW-5
MW-6
Analysis
Method
PARAMETERS
Date
Analyst
Code
PH (field measurement), Units
7.1
7.0
7.1
7.2
11/03/20
PJC
4500HB-11
Fecal Coliform (MF), /100 Mls
<1
<1
<1
<1
11/03/20
HJO
9222D-06
Ammonia Nitrogen as N, mg/l
0.13
0.85
0.40
0.13
11/05/20
DTL
350.1 112-93
Nitrate Nitrogen as N, mg/l
0.23
< 0.04
< 0.04
4.11
11 /04/20
DTL
353.2 112-93
Total Phosphorus as P, mg/1
0.76
6.77
2.78
3.12
11/12/20
KES
365.4-74
Total Organic Carbon, mg/1
8.31
7.67
6.72
5.05
11/09/20
SEJ
531OC-11
Chloride, mg/1
82
77
46
94
11/09/20
JMS
4500CLB-11
Total Dissolved Residue, mg/1
312
456
332
540
11/05/20
TMR
2540C-11
Static Water Level, feet
6.30
4.18
4.34
6.40
11/03/20
PJC
Water Bailed, Gals.
1.5
2.0
2.0
2.0
11/03/20
PJC

[��doQo��c��� alp D�c�or�poQa�c�d
114 OAKMONT DRIVE
GREENVILLE, N.C. 27858
CLIENT: SANDS VILLA (HYDROTECH)
DON O'MARA
HYDROTECH
P.O. BOX 4602
EMERALD ISLE, NC
228594
REVIEWED BY:
VOLATILE ORGANICS
STD. METHODS 620OC-11
Drinking Water ID: 37715
Wastewater ID: 10
PHONE [phone]
FAX [phone]
CLIENT ID: 559
ANALYST: DTL
DATE COLLECTED: 11/03/20 Page: 1
DATE ANALYZED: 11/15/20
DATE REPORTED: 11/20/20
PARAMETERS, ug/1
MW-3
MW-4
MW-5
MW-6
1. Benzene
<0.50
<0.50
<0.50
<0.50
2. Bromobenzene
<0.50
< 0.50
< 0.50
< 0.50
3. Bromochloromethane
<0.50
<0.50
<0.50
<0.50
4. Bromodichloromethane
< 0.50
< 0.50
< 0.50
< 0.50
5. Bromoform
<0.50
<0.50
<0.50
<0.50
6. Bromomethane
<0.50
<0,50
<0.50
<0.50
7. N-Butylbenzene
<0.50
<0.50
<0.50
<0.50
8. Sec-Butylbenzene
<0.50
<0.50
<0.50
<0.50
9. Tert-Butylbenzene
< 0.50
< 0.50
< 0.50
< 0.50
10. Carbon Tetrachloride
<0.50
<0.50
<0.50
<0.50
11. Chlorobenzene
<0.50
<0.50
<0.50
<0.50
12. Chloroethane
<0.50
<0.50
<0.50
<0.50
13. Chloroform
<0.50
<0.50
<0.50
<0.50
14. Chloromethane
<0.50
< 0.50
< 0.50
< 0.50
15. 2-Chlorotoluene
<0.50
<0.50
<0.50
<0.50
16. 4-Chlorotoluene
<0.50
<0.50
<0.50
<0.50
17. Dibromochloromethane
<0.50
<0.50
<0.50
<0.50
18. 1,2-Dibromo-3-Chloropropane
<0.50
<0.50
<0.50
<0.50
19. 1,2-Dibromoethane
<0.50
<0.50
<0.50
<0.50
20. Dibromomethane
< 0.50
< 0.50
< 0.50
< 0.50
21. 1,2-Dichlorobenzene
<0.50
<0.50
<0.50
<0.50
22. 1,3-Dichlorobenzene
< 0.50
< 0.50
< 0.50
< 0.50
23. 1,4-Dichlorobenzene
<0.50
<0.50
<0.50
<0.50
24. Dichlorodifluoromethane
< 0.50
<0.50
< 0.50
< 0.50
25. 1,1-Dichloroethane
<0.50
<0.50
<0.50
<0.50
26. 1,2-Dichloroethane
<0.50
<0.50
<0.50
<0.50
27. 1,1-Dichloroethene
<0.50
<0.50
<0.50
<0.50
28. Cis-1,2-Dichloroethene
<0.50
<0.50
<0.50
<0.50
29. trans-1,2-Dichloroethene
<0.50
<0.50
<0.50
<0.50
30. 1,2-Dichloropropane
< 0.50
<0.50
< 0.50
< 0.50
31. 1,3-Dichloropropane
< 0.50
< 0.50
< 0.50
< 0.50
32. 2,2-Dichloropropane
<0.50
<0.50
<0.50
<0.50
33. 1,1-Dichloropropene
<0.50
<0.50
<0.50
<0.50
34. Cis-1,3-Dichloropropene
<0.50
<0.50
<0.50
<0.50
35. trans- l,3-Dichloropropene
<0.50
<0.50
<0.50
<0.50
36. Ethylbenzene
<0.50
<0.50
<0.50
<0.50
37. Hexachlorobutadiene
<0.50
<0.50
<0.50
<0.50
38. Isopropylbenzene
<0.50
<0.50
<0.50
<0.50
39. 4-Isopropyltoluene
<0.50
<0.50
<0.50
<0.50
40. Methylene Chloride
<0.50
<0.50
<0.50
<0.50
41. Naphthalene
<0.50
<0.50
<0.50
<0.50
42. Propylbenzene
< 0.50
< 0.50
< 0.50
< 0.50
43. Styrene
<0.50
<0.50
<0.50
<0.50
44. 1,1,1,2-Tetrachloroethane
<0.50
<0.50
<0.50
<0.50
45. 1,1,2,2-Tetrachloroethane
< 0.50
< 0.50
<0.50
< 0.50
46. Tetrachloroethene
< 0.50
< 0.50
< 0.50
< 0.50
47. Toluene
<0.50
<0.50
<0.50
<0.50
48. 1,2,3-Trichlorobenzene
<0.50
<0.50
<0.50
<0.50

Enw,ommu(IM Flo hcupumbd
114 OAKMONT DRIVE
GREENVILLE, N.C. 27858
CLIENT: SANDS VILLA (HYDROTECH)
DON O'MARA
HYDROTECH
P.O. BOX 4602
EMERALD ISLE, C 28594
REVIEWED BY:
VOLATILE ORGANICS
STD. METHODS 620OC-11
Drinking Water ID: 37715
Wastewater ID: 10
PHONE [phone]
FAX [phone]
CLIENT ID: 559
ANALYST: DTL
DATE COLLECTED: 11/03/20
DATE ANALYZED: 11/15/20
DATE REPORTED: 11/20/20
PARAMETERS, ug/l
MW-3
MW-4
MW-5
MW-6
49. 1,2,4-Trichlorobenzene
<0.50
<0.50
<0.50
<0.50
50. 1,1,1-Trichloroethane
<0.50
<0.50
<0.50
<0.50
51. 1,1,2-Trichloroethane
<0.50
<0.50
<0.50
<0.50
52. Trichloroethene
<0.50
<0.50
<0.50
<0.50
53. Trichlorotluoromethane
<0.50
<0.50
<0.50
<0.50
54. 1,2,3-Trichloropropane
<0.50
<0.50
<0.50
<0.50
55. 1,2,4-Trimethylbenzene
<0.50
<0.50
<0.50
<0.50
56. 1,3,5-Trimethylbenzene
<0.50
<0.50
<0.50
<0.50
57. Vinyl Chloride
<0.50
<0.50
<0.50
<0.50
58. Total Xylenes
< 1.00
< 1.00
< 1.00
< 1.00
59. Methyl Tert Butyl Ether
< 1.00
< 1.00
< 1.00
< 1.00
Page: 2