WQ0009772_Monitoring - 11-2020_20210113

GW-59A COMPLIANCE REPORT FORM Permit # WQ0009772
(Submit one each monitoring period with GW-59 forms.)
1
Enter date monitoring results were due. ) 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
O
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
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?
S
NO
If the answer to question 4 is "NO", skip to section 8.
If the answer to question 4 is "YES" list the affected wells individually with constent(Vpand concentration(s)
exceeding standards in the space provided below:
MW #13 EAST Total Dissolved Solids (TDS) 584 mg/L permit da max = 500 mg/L
MIN #12 WEST Total Dissolved Solids (TDS) 589 mg/L permit dai max = 500 mg/L
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 Wi b 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.
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 G W-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
GW-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, INC 27699-1617 Phone: [phone]
FACILITY INFORMATION Please Print CtearfyorType
PERMIT Number: Expiration Date: 04/30/2021
Facility Name: Monteray Shores WWTP
Non -Discharge WQ0009772 UIC
NPDES Other
Permit Name (if different):
Facility Address: 819 Malia Drive
TYPE OF PERMITTED OPERATION BEING MONITORED
© Lagoon ❑ Remediation: Infiltration Gallery
Corolla (street) NC 27927 County Currituck
(City) (State) (zip)
❑ Spray Field ❑ Remediation:
Contact Person: Anthony Chilton
Telephone#:[phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name:
No. of wells to be sampled: 2
❑ Water Source Heat Pump ❑ Other:
from Permit)
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW#13 EAST
Date sample collected: 11/17/20
FIELD ANALYSES:
WAS
Well Depth: 11.0ft,
Well Diameter: 2 in.
pH 6.7 units Temp. 22.0 °C
DRY at
time of
Depth to Water Level: 2.7ft. below measuring point
Screened Interval: ft.
to
ft. Spec. Cond. µMhos
sampling,
Measuring Point is 2•3 ft. above land surface
Relative M.P. Elevation:
ft.
Odor NONE
check
Volume of water pumped/bailed before sampling:
5.0 gallons
Appearance CLEAR
here: ❑
Samples for metals were collected unfiltered: DYES
❑ NO and field acidified: ❑ YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed: 11/17/20
Laboratory Name: Environmental Chemists, Inc. Certification No. #37729
PARAMETERS NOTE: Values should reflect dissolved
and colloidal concentrations.
COD mg/I
Nitrite (NO2) as N
<0,02 mg/I
Pb - Lead mg/I
Coliform: MF Fecal 19 /100ml
Nitrate (NO3) as N
<0,02 mg/I
Zn - Zinc mg/I
Coliform: MF Total /100ml
Phosphorus: Total as P
1.22 mg/I
(Note: Use MPN method for highly turbid samples)
Orthophosphate
mg/I
Other (Specify Compounds and Concentration Units):
Dissolved Solids: Total 584 mg/I
Al -Aluminum
mg/I
pH (when analyzed) 6.7 units
Ba - Barium
mg/I
TOC 3.4 mg/I
Ca - Calcium
mg/I
Chloride 195 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/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 # SM 6200C
Total Ammonia <0.2 mg/I
Mg - Magnesium
mg/I
method #
(Ammonia Nitrogen, NH3as 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 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.
Permittee (or Authorized Aqent) Name and Title - Please print or type Siqnature of Permittee (or Authorized Aqent) ;Date)
GW-59 Rev.1/2007

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: [phone]
FACILITY INFORMATION Please Print Clearly or Type
PERMIT Number: Expiration Date: 04/30/2021
Facility Name: Monteray Shores WWTP
Non -Discharge W00009772 UIC
NPDES Other
Permit Name (if different):
Facility Address: 819 Malia Drive
TYPE OF PERMITTED OPERATION BEING MONITORED
© Lagoon El Remediation: Infiltration Gallery
Corolla (Street) NC 27927 County CurrltuCk
(City) (State) (zip)
❑ Spray Field ❑ Remediation:
Contact Person: Anthony Chilton
Telephone#:[phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name:
No. of wells to be sampled: 2
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW#12 WEST
Date sample collected: 11/17/20
FIELD ANALYSES:
WAS
Well Depth: 12.3ft.
Well Diameter: 2 in.
pH 6.8 units Temp. 23.7 °C
DRY at
Depth to Water Level: 5.8ft. below measuring point
Screened Interval: ft.
to _ft.
Spec. Cond. µMhos
time of sampling,
Measuring Point is 2•3 ft. above land surface
Relative M.P. Elevation:
ft.
Odor Sulfur
check
Volume of water pumped/bailed before sampling:
5 gallons
Appearance SEMI -CLEAR
here: ❑
Samples for metals were collected unfiltered: ❑YES
❑ NO and field acidified: ❑ YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed: 11/17/20
Laboratory Name: Environmental Chemists, Inc. Certification No. #37729
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD mg/I
Nitrite (NO2) as N
<0.02 mg/I
Pb - Lead mg/I
Coliform: MF Fecal 8 /100ml
Nitrate (NO3) as N
<0,02 mg/I
Zn - Zinc mg/I
Coliform: MF Total /100ml
Phosphorus: Total as P
1.15 mg/I
(Note: Use MPN method for highly turbid samples)
Orthophosphate
mg/I
Other (Specify Compounds and Concentration Units):
Dissolved Solids: Total 589 mg/I
Al -Aluminum
mg/I
pH (when analyzed) 6.8 units
Ba - Barium
mg/I
TOC 4.4 mg/I
Ca - Calcium
mg/I
Chloride 207 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/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 # SM 6200C
Total Ammonia 0.3 mg/l
Mg - Magnesium
mg/I
method #
(Ammonia Nitrogen; NH3as N; Ammonia Nitrogen, Total)
Mn -Manganese
mg/I
,method #
TKN as N mg/I
Ni - Nickel
mg/I
method #
For Remedlation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Eff luent Total VOCs: — _mg/L VOC Rernoval%
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.
Permittee (or Authorized Agent) Name and Title - Please print or type Signature of Permittee (or Authorized Agent) 'Date)
GW-59 Rev.1/2007