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Home My WebLink AboutWQ0007569_Monitoring - 11-2020_20210113GW-59A COMPLIANCE REPORT FORM Permit # WQ0007569 (Submit one each monitoring period with GW-59 forms.) I Enter date monitoring results were due.( November) Will this monitoring report (GW-59 and GW-59A) YES NO be submitted after the established due date? X 2 Was any required information missing on the GN1'-59 report forms? YES NO x 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 1 es ". conicicr the Regional Office_for guidance. X 4 Are any monitored constituents equal to or above the established standards? YES NO x 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: See Attachment 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? X If the answer to question 5 is WO", 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). See Attachment 6 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 maybe 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? x 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 subiect'the permittee to a Notice of Violation, fines, and/or penalties. !V a3te t7 ry g The person completing this portion (GW-59A) of the monitoring report should sign below and submit this form with GW-59 forms for required wells to the address provided at the top of the current GW-59 form. I hereby acknowledge that the above information was evaluated and the information submitted in this report (Compliance Report GW-59A) is true and complete to the best of my knowledge. Signature of Permittee (or Authorized Agent) Date (AV-59A 12/8/2003 SUBMIT FORM ON YELLOW PAPER ONLY DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES GROUNDWATER QUALITY MONITORING: �1617 DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT COMPLIANCE REPORT FORM MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: (919) 733-3221 FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date: 1-31-2017 Facility Name: Brandywine Bay WW[P Non -Discharge W00007569 UIC NPDES Other Permit Name (if different): Facility Address: 5058 Hwy. 70 West Ridge Center N2A TYPE OF PERMITTED OPERATION BEING MONITORED ❑ Lagoon ❑ Remediation: Infiltration Gallery Morehead City (Street) NC 28557 County Carteret (city) (State) (zip) ❑■ Spray Field ❑ Remediation: Contact Person: Stacy A Goff Telephone#: 252-808-5955 ❑ Rotary Distributor ❑ Land Application of Sludge Well Location/Site Name: VW TP No. of wells to be sampled: 6 ❑ Water Source Heat Pump ❑ Other: from Permit SAMPLING INFORMATION If WELL WELL ID NUMBER (from Permit): MW-2 Date sample collected: 11/12/20 FIELD ANALYSES: WAS Well Depth: 20 ft. Well Diameter: 2 in. pH 00400: 6.8 units Temp. 000lo: °C DRY at Depth to Water Level 82546:4.46 ft. below measuring point Screened Interval: 5 ft. to 20 ft. Spec. Cond. 000sa: µMhos time ofsampling, Measuring Point is 1.5 ft. above land surface Relative M.P. Elevation: ft. Odor 00085: None check Volume of water pumped/bailed before sampling: 3. gallons Appearance clear here:❑ Samples for metals were collected unfiltered: ❑ YES ❑■ NO and field acidified: ❑ YES NO LABORATORY INFORMATION Date sample analyzed:11/12/20 to 11/20/20 Laboratory Name: Environment 1, Inc. 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 o1051 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 .12 mg/L (Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units): issolved Solids:Total 703oo 312 mg/L Al -Aluminum 01105 mg/L pH (Lab) 00403 units Ba - Barium 01007 ug/L TOC 00680 15.4 mg/L Ca - Calcium 00916 mg/L Chloride 0094o 30 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 o0095 µMhos K - Potassium 00937 mg/L VOC 78732: method # Total Ammonia 00610 .17 mg/L Mg - Magnesium 00927 mg/L method # (Ammonia Nitrogen, NH3as N. Ammonia Nitrogen, Total) Mn - Manganese 01055 ug/L , method # TKN as N 00625 mg/L Ni - Nickel 01067 ug/L method # For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Eff luent Total VOCs: mg/L VOC Rernoval% 1 certify that, to the best of my knowledge and belief, the information submitted in this report is true, accurate, and complete, and that the laboratory analytical data was produced using approved methods of analysis by a DWO-certified laboratory. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. Dana Hill, Director of Operations Permittee (or Authorized Agent) Name and Title - Please print or type Signature of Permittee (or Authorized Agent) (Date) GW-59 Rev.2/2010 SUBMIT FORM ON YELLOW PAPER ONLY • • DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES GROUNDWATER QUALITY MONITORING: • DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT COMPLIANCE REPORT FORM • • • 1617 MAIL SERVICE CENTER, RALEIGH, NC 27699.1617 Phone: (919) 733.3221 FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date: 1-31-2017 Facility Name: Brandywine Bay WWtP Non -Discharge WQ0007569 UIC NPDES Other Permit Name (if different): Facility Address: 5058 Hwy. 70 West Ridge Center N2A TYPE OF PERMITTED OPERATION BEING MONITORED Morehead City (street) NC 28557 County Carteret ❑ Lagoon ❑ Remediation: Infiltration Gallery (City) (State) (zip) ❑■ Spray Field ❑ Remediation: Contact Person: Stacy A Goff Telephone#: 252-808-5955 ❑ Rotary Distributor ❑ Land Application of Sludge Well Location/Site Name: WWrP No. of wells to be sampled: 6 ❑ Water Source Heat Pump ❑ Other: (from Permit SAMPLING INFORMATION If WELL WELL ID NUMBER (from Permit): MW-4 Date sample collected: 11/12/20 FIELD ANALYSES: WAS Well Depth: 20 ft. Well Diameter: 2 in. pH 0040o: 7 units Temp. 000lo: °C DRY at Depth to Water Level 82546:5.02 ft. below measuring point Screened Interval: 5 ft. to 20 ft. Spec. Cond. 000sa: µMhos time ofsampling, Measuring Point is 1.5 ft. above land surface Relative M.P. Elevation: ft. Odor 00065: None check Volume of water pumped/bailed before sampling: 2.5 gallons Appearance Clear here: ❑ Samples for metals were collected unfiltered: ❑ YES ❑■ NO and field acidified: ❑ YES 0 NO LABORATORY INFORMATION Date sample analyzed:11/12/20 to 11/20/20 Laboratory Name: Environment 1, Inc 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 .11 mg/L (Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units): issolved Solids:Total 703oo 711 mg/L Al -Aluminum 01105 mg/L pH (Lab) 00403 units Ba - Barium 01007 ug/L TOC 0068o 31.8 mg/L Ca - Calcium 00916 mg/L Chloride 0094o 250 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 76732: method # Total Ammonia 00610 8.68 mg/L Mg - Magnesium 00927 mg/L method # (Ammonia Nitrogen, NH3as N; Ammonia Nitrogen, Total) Mn - Manganese 01055 ug/L , method # TKN as N 00625 mg/L Ni - Nickel 01067 ug/L method # For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L 1Li� I certify that, to the best of my knowledge and belief, the information submitted in this report is true, accurate, and complete, and that the laboratory analytical data was produced using approved methods of analysis by a DWQ-certified laboratory. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. Dana Hill, Director of Operations Permittee (or Authorized Agent) Name and Title - Please print or type IZ •3 1-2, Signature of Permittee (or Authorized Agent) (Date) GW-59 Rev.2/2010 SUBMIT FORM ON YELLOW PAPER ONLY DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES GROUNDWATER QUALITY MONITORING: DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT COMPLIANCE REPORT FORM --owl617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: (919) 733.3221 FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date: 1-31-2017 Facility Name: Brandywine Bay WWtP Non -Discharge W00007569 UIC NPDES Other Permit Name (if different): Facility Address: 5058 Hwy. 70 West Ridge Center N2A TYPE OF PERMITTED OPERATION BEING MONITORED ❑ Lagoon ❑ Remediation: Infiltration Gallery Morehead City (Street) NC 28557 County Carteret (City) (State) (zip) n Spray Field ❑ Remediation: Contact Person: Stacy A Goff Telephone#: 252-808-5955 ❑ Rotary Distributor ❑ Land Application of Sludge Well Location/Site Name: WWrP No. of wells to be sampled: 6 ❑ Water Source Heat Pump ❑ Other: (from Permit) SAMPLING INFORMATION If WELL WELL ID NUMBER (from Permit): MW-5 Date sample collected: 11/12/20 FIELD ANALYSES: WAS Well Depth: 20 ft. Well Diameter: 2 in. pH 00400: 7.1 units Temp. 000lo: °C DRY at Depth to Water Level 82546:3.59 ft. below measuring point Screened Interval: 5 ft. to 20 ft. Spec. Cond. 000sa: µMhos time ofsampling, Measuring Point is 1.5 ft. above land surface Relative M.P. Elevation: ft. Odor 00085: none check Volume of water pumped/bailed before sampling: 4 gallons Appearance Clear here:❑ Samples for metals were collected unfiltered: ❑ YES ❑■ NO and field acidified: ❑ YES ❑■ NO LABORATORY INFORMATION Date sample analyzed:11/12/20 to 11/20/20 Laboratory Name: Environment 1, Inc 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 .10 mg/L (Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units): issolved Solids:Total 703oo 551 mg/L Al -Aluminum 01105 mg/L pH (Lab) 00403 units Ba - Barium 01007 ug/L TOC 00680 12.98 mg/L Ca - Calcium 00916 mg/L Chloride 00940 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 78732: method # Total Ammonia 00610 1.17 mg/L Mg - Magnesium 00927 mg/L method # (Ammonia Nitrogen: NH3as N. Ammonia Nitrogen, Total) Mn - Manganese 01055 ug/L , method # TKN as N 00625 mg/L Ni - Nickel 01067 ug/L method # For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Eff luent Total VOCs: — mg/L VOC Removal% I certify that, to the best of my knowledge and belief, the information submitted in this report is true, accurate, and complete, and that the laboratory analytical data was produced using approved methods of analysis by a DWQ-certified laboratory. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. Dana Hill, Director of Operations Permittee (or Authorized Agent) Name and Title - Please print or type Signature of Permittee (or Authorized Agent) (Date) GW-59 Rev.2/2010 SUBMIT FORM ON YELLOW PAPER ONLY • • DEPARTMENT OF ENVIRONMENT $NATURAL RESOURCES GROUNDWATER QUALITY MONITORING: DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT COMPLIANCE REPORT FORM • • • • 1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: (919) 733-3221 FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date: 1-31-2017 Facility Name: Brandywine Bay WWtP Non -Discharge W00007569 UIC NPDES Other Permit Name (if different): Facility Address: 5058 Hwy. 70 West Ridge Center N2A TYPE OF PERMITTED OPERATION BEING MONITORED Morehead City (Street) NC 28557 CountyCarteret El Lagoon ❑Remediation: Infiltration Gallery (City) (State) (Zip) X Spray Field ❑Remediation: Contact Person: Stacy A Goff Telephone#: 252-808-5955 ❑ Rotary Distributor ❑ Land Application of Sludge Well Location/Site Name: WWTP No. of wells to be sampled: 6 ❑ Water Source Heat Pump ❑ Other: (from Permit SAMPLING INFORMATION If WELL WELL ID NUMBER (from Permit): MW-8 Date sample collected: 11/12/20 FIELD ANALYSES: WAS Well Depth: 20 ft. Well Diameter: 2 in. pH 0040o: 6.9 units Temp. 000lo: °C DRY at Depth to Water Level 82546:5.0 ft. below measuring point Screened Interval: 5 ft. to 20 — ft. Spec. Cond. 00094: µMhos time of sampling, Measuring Point is 1.5 ft. above land surface Relative M.P. Elevation: ft. Odor 00085: none check Volume of water pumped/bailed before sampling: 3 gallons Appearance clear here:❑ Samples for metals were collected unfiltered: ❑ YES ❑K NO and field acidified: ❑ YES K NO LABORATORY INFORMATION Date sample analyzed: 11 /12/20 to 11/20/20 Laboratory Name: Environment 1, Inc 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 .10 mg/L (Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units): issolved Solids:Total 703oo 688 mg/L All -Aluminum 01105 mg/L pH (Lab) 00403 units Ba - Barium 01007 ug/L TOC 0068o 27.8 mg/L Ca - Calcium 00916 mg/L Chloride 0094o 235 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? N Yes (1) ❑ No (0) Specific Conductance 00095 µMhos K - Potassium 00937 mg/L VOC 78732: method # Total Ammonia 00610 mg/L Mg - Magnesium 00927 mg/L method # (Ammonia Nitrogen; NH3asN; Ammonia Nitrogen, Total) Mn - Manganese 01055 ug/L , method # TKN as N 00625 5.65 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% Dana Hill, Director of Operations Permittee (or Authorized Agent) Name and Title - Please print or type Signature of Permittee (or Authorized Agent) Iz.-S1 zo (Date) GW-59 Rev.2/2010 SUBMIT FORM ON YELLOW PAPER ONLY DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES GROUNDWATER QUALITY MONITORING: NMI DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT COMPLIANCE REPORT FORM 617 MAIL SERVICE CENTER, RALEIGH, NC 27699.1617 Phone: (919) 733-3221 FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date: 1-31-2017 Facility Name: Brandywine Bay WWtP Non -Discharge WQ0007569 UIC NPDES Other Permit Name (if different): Facility Address: 5058 Hwy. 70 West Ridge Center N2A TYPE OF PERMITTED OPERATION BEING MONITORED Morehead City (street) NC 28557 CountyCarteret El Lagoon El Remediation: Infiltration Gallery (City) (State) (zip) X Spray Field ❑ Remediation: Contact Person: Stacy A Goff Telephone#: 252-808-5955 ❑ Rotary Distributor ❑ Land Application of Sludge Well Location/Site Name: WWTP No. of wells to be sampled: 6 ❑ Water Source Heat Pump ❑ Other: from Permit SAMPLING INFORMATION If WELL WELL ID NUMBER (from Permit): MW-9 Date sample collected: 11/12/20 FIELD ANALYSES: WAS Well Depth: 21.18 ft. Well Diameter: 2 in. pH 00400: 5.4 units Temp. 000lo: °C DRY at Depth to Water Level 82546:4.8 ft. below measuring point Screened Interval: 5 ft. to 21A8 — ft. Spec. Cond. 00094: µMhos time of sampling, Measuring Point is 1.5 ft. above land surface Relative M.P. Elevation: ft. Odor 00085: none check Volume of water pumped/bailed before sampling. 3 gallons Appearance clear here:❑ Samples for metals were collected unfiltered: ❑ YES NO and field acidified: ❑ YES ■❑ NO LABORATORY INFORMATION Date sample analyzed:11/12/20 to 11/20/20 Laboratory Name: Environment 1, Inc 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 <.04 mg/L (Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units): issolved Solids:Total 703oo 77 mg/L Al -Aluminum 01105 mg/L pH (Lab) 00403 units Ba - Barium 01007 ug/L TOC 0068o 7.5 mg/L Ca - Calcium 00916 mg/L Chloride 0094o 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 78732: method # Total Ammonia 00610 .48 mg/L Mg - Magnesium 00927 mg/L method # (Ammonia Nitrogen, NH3as N: Ammonia Nitrogen, Total) Mn - Manganese 01055 ug/L , method # TKN as N 00625 mg/L Ni - Nickel 01067 ug/L method # For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal% Dana Hill, Director of Operations Permittee (or Authorized Agent) Name and Title - Please print or type Signature of Permittee (or Authorized Agent) (Date) GW-59 Rev.2/2010 SUBMIT FORM ON YELLOW PAPER ONLY DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES GROUNDWATER QUALITY MONITORING: DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT COMPLIANCE REPORT FORM 1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: (919) 733.3221 FACILITY INFORMATION Please Print Clearly orType PERMIT Number: Expiration Date: 1-31-2017 Facility Name: Brandywine Bay WWtP Non -Discharge WQ0007569 UIC Permit Name (if different): NPDES Other Facility Address: 5058 Hwy. 70 West Ridge Center N2A TYPE OF PERMITTED OPERATION BEING MONITORED ❑ Lagoon ❑ Remediation: Infiltration Gallery Morehead City (street) NC 28557 County Carteret (City) (State) (zip) ❑■ Spray Field ❑ Remediation: Contact Person: Stacy A Goff Telephone#: 252-808-5955 ❑ Rotary Distributor ❑ Land Application of Sludge Well Location/Site Name: WWTP No. of wells to be sampled: 6 ❑ Water Source Heat Pump ❑ Other: (from Permit) SAMPLING INFORMATION If WELL WELL ID NUMBER (from Permit): MW-10 Date sample collected: 11/12/20 FIELD ANALYSES: WAS Well Depth: 26.81 ft. Well Diameter: 2 in. pH 00400: 4.9 units Temp. 000lo: °C DRY at time of Depth to Water Level 82546:5.58 ft. below measuring point Screened Interval: 5 ft. to 26_81 ft. Spec. Cond. 00094: µMhos sampling, Measuring Point is 1.5 ft. above land surface Relative M.P. Elevation: ft. Odor 00085: none check Volume of water pumped/bailed before sampling: 3.5 gallons Appearance Clear here:❑ Samples for metals were collected unfiltered: ❑ YES NO and field acidified: ❑ YES ■❑ NO LABORATORY INFORMATION Date sample analyzed:11/12/20 to 11/20/20 Laboratory Name: Environment 1, Inc 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 <.04 mg/L (Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units): issolved Solids:Total 70300 139 mg/L Al -Aluminum 01105 mg/L pH (Lab) 00403 units Ba - Barium 01007 ug/L TOC 00680 1.58 mg/L Ca - Calcium 00916 mg/L Chloride 0094o 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) pecific Conductance 00095 µMhos K - Potassium 00937 mg/L VOC 78732: method # Total Ammonia 00610 .04 mg/L Mg - Magnesium 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 vuL; Removal io Dana Hill, Director of Operations Permittee (or Authorized Agent) Name and Title - Please print or type 11•3 t.a-- Signature of Permittee (or Authorized Agent) (Date) GW-59 Rev.2/2010