WQ0002571_Monitoring - 11-2020_20210113 (2)

GW-59A COMPLIANCE REPORT FORM Permit #aj 4-0
e
(Submit one each monitoring period with GW-59 forms.)
I
Enter date monitoring results were due. W #20 Will this monitoring report (GW-59 and GW-59A)
YES
NO
be submitted after the established due date?
2
Was any required information missing on the GW-59 report forms?
YES
IF the answer to question 1 or 2 is "YES", list in the space provided below the well identification number(s) and
explain the problems encountered in obtaining the required information.
3
Are any of the monitor wells in need of repair or maintenance (damaged casing, unlocked or missing cap, missing
YES
1�iQ
identification plate, area overgrown, etc.)? If the answer is "Yes ", contact the Regional Office for guidance.
4
Are any monitored constituents equal to or above the established standards?
YES
If the answer to question 4 is "NO" skip to section 8.
If the answer to question 4 is "YES" list the affected wells individually with constituent(s) and concentration(s)
exceeding standards in the space provided below.
5
For the constituents identified in question 4 above, have standards been exceeded previously for the
YES
NO
same constituent(s) in the same well(s) in the last two years?
If the answer to question 5 is "NO", skip to section 8.
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).
Are the monitoring wells listed in section 5 located at or beyond the review boundary?
YES
NO
If the answer is "YES", a groundwater quality problem may be occurring. CONTACT THE REGIONAL
OFFICE IMMEDIATELY FOR GUIDANCE. If the answer is "NO", monitoring wells may be improperly
located; contact the Regional Office.
7
Is the permittee implementing previously approved actions required by the Division involving this
YES
NO
groundwater quality problem?
If the answer to question 7 is "YES" describe those actions in the space provided below.
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. -
C—
'J
N
8
The person completing this portion (GIN--59A) of the monitoring repast should sign below and submit this
form with GW-59 forms for required wells to the address provided R—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 GIN-59A) is true and complete to the best of my knowledge.
3/Drc.2a
Signature ermittee (or Authorized Agent) Date
GW-59A 12/8/2003

SUBMIT FORM ON YELLOW PAPER ONLY
EPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
IVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION Please Print Clearly or Type
PERMIT Number: Expiration Date: 30 Sep=
Facility Name: Village Oaks MHP
Non -Discharge W00002571 UIC
Permit Name (if different):
NPDES Other
Facility Address: 164 Harris Creek Rd.
TYPE OF PERMITTED OPERATION BEING MONITORED
Jacksonville NC 28540 County Onslow
® Lagoon ❑ Remediation: Infiltration Gallery
® Spray Field ❑ Remediation:
Contact Person: Alien W. Rhue
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Backside of lagoon
No, of wells to be sampled:
3
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW - 1
Date sample collected: 30 Nov 20
FIELD ANALYSES:
WAS
Well Depth: 13ft.
Well Diameter: 2 in.
pH 7.01 units Temp. 19.7 °C
DRY at
Depth to Water Level: 6'3"ft. below measuring point
Screened Interval: 8ft.
to 13ft.
Spec. Cond. µMhos
time of
sampling,
Measuring Point is 1.83 ft, above land surface
Relative M.P. Elevation:
ft.
Odor NSA
check
Volume of water pumped/bailed before sampling:
5 gallons
Appearance Clear
here:
Samples for metals were collected unfiltered: El YES
❑ NO and field acidified: ❑ YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed: 30 Nov - 14 Dec 20
Laboratory Name: Enyirochem
Certification No. 94
PARAMETERS NOTE: Values should reflect dissolved
and colloidal concentrations.
COD mg/l
Nitrite (NO2) as N
mg/I
Pb - Lead mg/I
Coliform: MF Fecal <1 /100ml
Nitrate (NO3) as N <0.02 mg/l
Zn - Zinc mg/I
Coliform: MF Total /100ml
Phosphorus: Total as P
0.23 mg/I
(Note: Use MPN method for highly turbid samples)
Orthophosphate
mg/I
Other (Specify Compounds and Concentration Units):
Dissolved Solids: Total 300 mg/i
Al - Aluminum
mg/I
pH (when analyzed) units
Ba - Barium
mg/1
TOC 2.0 mg/I
Ca - Calcium
mg/I
Chloride 16 mg/I
Cd - Cadmium
mg/I
Arsenic mg/I
Chromium: Total
mg/I
Grease and Oils mg/I
Cu - Copper
mg/I
ORGANICS: (by GC, GC/MS, HPLC)
Phenol mg/I
Fe - Iron
mg/1
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate mg/I
Hg - Mercury
mg/I
Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance µMhos
K - Potassium
mg/l
VOC method #
Total Ammonia 0.12 mg/I
Mg - Magnesium
mg/I
method #
(Ammonia Nitrogen; NH3 as N; Ammonia Nitrogen, Total)
Mn - Manganese
mg/I
method #
TKN as N mg/I
Ni - Nickel
mg/I
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
GW-59
Rev. 1 /2007

SUBMIT FORM ON YELLOW PAPER ONLY
OUNDWATER QUALITY MONITORING:
MPLIANCE REPORT FORM
;ILITY INFORMATION Please Print Gleerly or Type
:ility Name: Village Oaks MHP
mit Name (if different):
:ility Address: 164 Harris Creek Rd.
Jacksonville NC 28540 County Onslow
ict Person: Allen W. Rhue Telephone#: [phone]
Location/Site Name: Southside of Sprayfield No. of wells to be sampled: _
3
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
PERMIT Number: Expiration Date: 30 Sep
Non -Discharge W00002571 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:
L ID NUMBER (from Permit): MW-3 Date sample collected: 30 Nov 20
Depth: 27ft. Well Diameter: 2 in.
i to Water Level: 6'3eft. below measuring point Screened Interval: 17ft. to 27ft.
Turing Point is 2 ft. above land surface Relative M.P. Elevation: ft.
ne of water pumped/bailed before sampling: 5 gallons
FIELD ANALYSES:
pH 6.49 units
Spec. Cond.
Odor N/A
Appearance Clear
WELL
Temp. 20.1 °C DRY at
uMhos time of
iples for metals were collected unfiltered: El YES
❑ NO and field acidified:
❑ YES ❑ NO
1ORATORY INFORMATION
? sample analyzed: 30 Nov - 14 Dec 20
Laboratory Name:
Envirochem
Certification No. 94
IAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD mg/I
Nitrite (NO2) as N
mg/I
Pb - Lead mg/I
Coliform: MF Fecal <1 /100ml
Nitrate (NO3) as N
<0.02 mg/I
Zn - Zinc mg/1
Coliform: MF Total /100ml
Phosphorus: Total as P
0.23 mg/I
(Note: Use MPN method for highly turbid samples)
Orthophosphate
mg/I
Other (Specify Compounds and Concentration Units):
Dissolved Solids: Total 69 mg/I
Al - Aluminum
mg/I
pH (when analyzed) units
Ba - Barium
mg/I
TOC 8.2 mg/I
Ca - Calcium
mg/I
Chloride 59 mg/1
Cd - Cadmium
mg/I
Arsenic mg/I
Chromium: Total
mg/I
Grease and Oils mg/1
Cu - Copper
mg/I
ORGANICS: (by GC, GC/MS, HPLC)
Phenol mg/1
Fe - Iron
mg/1
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate mg/I
Hg - Mercury
mg/I
Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance µMhos
K - Potassium
mg/I
VOC method #
Total Ammonia <0.1 mg/I
Mg - Magnesium
mg/I
method #
(Ammonia Nitrogen; NH3as N; Ammonia Nitrogen, Total)
Mn - Manganese
mg/I
method #
TKN as N mg/1
Ni - Nickel
mg/I
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
GW-59
)rized Agent) Name and Title - Please print or tvpe
Rev. 1 /2007
(or Authorized Agent)

SUBMIT FORM ON YELLOW PAPER ONLY
EPARTMENT OF ENVIRONMENT 3 NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
s
(VISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
617 MAIL SERVICE CENTER, RALEIGH, NC 27699.1617 Phone: [phone]
FACILITY INFORMATION Please Print Clearly or Type
PERMIT Number: Expiration Date: 30 Sep 2
Facility Name: Village Oaks MHP
Non -Discharge WQ0002571 UIC
Permit Name (if different):
NPDES Other
Facility Address: 164 Harris Creek Rd.
TYPE OF PERMITTED OPERATION BEING MONITORED
Jacksonville NC 28540 County Onslow
® Lagoon ❑ Remediation: Infiltration Gallery
® Spray Field ❑ Remediation:
Contact Person: Allen W. Rhue
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
ell Location/Site Name: Backside of Sprayfield
No, of wells to be sampled:
3
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-4
Date sample collected: 30 Nov 20
FIELD ANALYSES:
WAS
Well Depth: 27ft.
Well Diameter: 2 in.
pH 6.34 units Temp. 20.1 °C
DRY at
Depth to Water Level: 12'8°ft. below measuring point
Screened Interval: 17ft.
to 27ft. Spec. Cond. µMhos
time of
sampling,
Measuring Point is 2 ft. above land surface
Relative M.P. Elevation:
ft.
Odor N/A
check
Volume of water pumped/bailed before sampling:
5 gallons
Appearance Tan
here: ❑
Samples for metals were collected unfiltered: ❑YES
❑ NO and field acidified: ❑ YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed: 30 Nov - 14 Dec 20
Laboratory Name: Enyirochem
Certification No. 94
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD mg/I
Nitrite (NO2) as N
mg/I
Pb - Lead mg/I
Coliform: MF Fecal <1 /100m1
Nitrate (NO3) as N
<0.02 mg/I
Zn - Zinc mg/I
Coliform: MF Total /100ml
Phosphorus: Total as P
3.99 mg/I
(Note: Use MPN method for highly turbid samples)
Orthophosphate
mg/I
Other (Specify Compounds and Concentration Units):
Dissolved Solids: Total 232 mg/I
Al - Aluminum
mg/I
pH (when analyzed) units
Be - Barium
mg/I
TOC 3.8 mg/I
Ca - Calcium
mg/I
Chloride 55 mg/I
Cd - Cadmium
mg/1
Arsenic mg/I
Chromium: Total
mg/I
Grease and Oils mg/I
Cu - Copper
mg/I
ORGANICS: (by GC, GC/MS, HPLC)
Phenol mg/I
Fe - Iron
mg/I
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate mg/I
Hg - Mercury
mg/I
Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance µMhos
K - Potassium
mg/I
VOC method #
Total Ammonia <0.1 mg/I
Mg - Magnesium
mg/I
method #
(Ammonia Nitrogen; N1­13as N; Ammonia Nitrogen, Total)
Mn - Manganese
mg/I
method #
TKN as N mg/I
Ni - Nickel
mg/I
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
GW-59 Rev.1/2007