WQ0000185_Monitoring - 02-2021_20210401 (2)

GW-59A COMPLIANCE REPORT FORM Permit # inj v 000 1
(Submit one each monitoring period with CW-54 forms.)
1
Enter date monitoring results were due.( 27-Z1 WIII this monitoring report (GW-59 and GW-59A)
YES
NO
G W-59A 12/8/2003

SUBMIT FORM ON YELLOW PAPER ONLY
s .
gEPARTMENTOF ENVIRONMENT 8 NATEiRAL RESOLiRCES
GROUNDWATER QUALITY MONITORING:
DIVE.' NOFWATERLiUALITY*ibi'Ni ib PROCf`5SINGUNfT
COMPLIANCE REPORT FORM
•
• 1¢17MAII_SERVECE CENTER, RALEtG1i NC27699 T61T Phone (919};7333221 ,
FACILITY INFORMATION
Please Print Cleady or Type
PERMIT Number: W00000185 Expiration Date: 6/30/2024
Facility Name; Ocean Sands
Non -Discharge UIC
Permit Name (if different):
NPDES Other
Facility Address: 741 Ocean Trail
TYPE OF PERMITTED OPERATION BEING MONITORED
Corolla csr'C°" NC
27927 County Currituck
❑Lagoon ❑Remediation: Infiltration Gallery
,01yl IstatQr
❑ Spray Field ❑ Remediation:
Contact Person: Rod Holley
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Ocean Sands
No. of wells to be sampled: 5
❑ Water Source Heat Pump ® Other: Infiltration
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (front Permit): MW4
Date sample collected: 214/21
FIELD ANALYSES:
WAS
Well Depth: 17.6 ft.
Well Diameter: 3 in.
pH oo400: 6.90 units Temp. 000io: 15.8 °C
DRY at
Depth to Water Level 82546:8.5 ft. below measuring point Screened Interval: 12 ft. to
17 ft. Spec. Cond. 00094: pMhos
time of
sampling,
Measuring Point is 2 ft. above land surface
Relative M.P. Elevation: ft.
Odor 00085: sulfur
check
Volume of water pumped/bailed before sampling:
5.0
gallons
Appearance clear
here:❑
Samples for metals were collected unfiltered: ® YES
❑ NO and field acidified: ❑ YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed:214/21
Laboratory Name: Enviro Chem
Certification No. 94
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615 0.03
mg/L Pb - Lead olo51 ug/L
Coliform: MF Fecal 31616 <1
1100mL
Nitrate (NO3) as N 00620 0.02
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100ml-
Phosphorus: Total as P o0665 5,85
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 7030o 684
mg/L
Al - Aluminum oilo5
mg1L
pH (Lab) 00403 6.90
units
Ba - Barium 01007
ug1L
TOC oo66o 5.0
mg/L
Ca - Calcium oo916
mg/L
Chloride oog4o 257
mg/L
Cd - Cadmium 01027
ug1L
Arsenic 01002
ug/L
Chromium: Total oio34
ug1L
Grease and Oils oo562
mg/L
Cu - Copper olo42
mg/L ORGANICS: (by GC, GCIMS, HPLC)
Phenol 32730
ug/L
Fe - Iron oio45
ug/L (Specify test and method #. ATTACH LA13 REPORT,)
Sulfate oo94s
mg1L
Hg - Mercury 71900
ug1L Lab Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance 00095
µMhos
K - Potassium 00937
mg/L VOC 78732: method #
Total Ammonia ooslo 0.7
mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen: NH3as N; Ammonia Nitrogen, Total)
Mn - Manganese 01055
ug1L method #
TKN as N ooe25
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.212010

SUBMIT FORM ON YELLOW PAPER ONLY
o =PARTMrZNT OF ENVIROtiMPhtT BNATURAL Rt St7URCE5
GROUNDWATER QUALITY MONITORING:
pNI$ION OF WAIERQUAE 1iY-I4FOFiMATtON PROCESS�iG UNrr
COMPLIANCE REPORT FORM
• •
•
1617MAlL SEEiVIGP CNiER RALEIGN NGR769s,1617„ Phone, {91,9) 733 3221, .:
FACILITY INFORMATION
Please PdntClearly orType
PERMIT Number: WQ0000185 Expiration Date: 6/30/2024
Facility Name: Ocean Sands
Non -Discharge UIC
Permit Name (if different):
NPDES Other
Facility Address: 741 Ocean Trail
TYPE OF PERMITTED OPERATION BEING MONITORED
Corolla {5' `-" NC
27927 County Currituck
❑ Lagoon ❑ Remediation: Infiltration Gallery
iG {} (Blat�j
(Lim
❑ Spray Field ❑ Remediation:
Contact Person: Rod Holley
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Ocean Sands
No. of wells to be sampled: 5
❑ Water Source Heat Pump ® Other: Infiltration
from Parmit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW5
Date sample collected: 214121
FIELD ANALYSES:
WAS
Well Depth: 17.6 ft.
Well Diameter: 3 in.
pH oo400: 7.00 units Temp. 000lo: 11.4 °C
DRY at
Depth to Water Level 82546:5.2 ft. below measuring point Screened Interval: 12 ft. to
17 ft. Spec. Cond. 00094: µMhos
time of
sampling,check
Measuring Point is 2 ft. above land surface
Relative M.P. Elevation: ft.
Odor o0085: N/D
Volume of water pumped/bailed before sampling:
5.0
gallons
Appearance clear
here;
❑
Samples for metals were collected unfiltered: RI YES
❑ NO and field acidified: ❑ YES El NO
LABORATORY INFORMATION
Date sample anslyzed:214/21
Laboratory Name: Enviro Chem
Certification No. 94
PARAMETERS NOTE; Values should reflect
dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N O11615 0.02
mg/L Pb - Lead oio51 ug/L
Coliform: MF Fecal 31616 <1
1100mL
Nitrate (NO3) as N 00620 3.69
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
1100ml-
Phosphorus: Total as P oo665 4.07
mg/L
(Note: Use MPN method For highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 572
mg/L
Al -Aluminum oila5
mg/L
pH (Lab) 00403 7.00
units
Ba - Barium 01007
uglL
TOC 006Bo 12.2
mg1L
Ca - Calcium oosis
mg/L
Chloride 00940 198
mg/L
Cd - Cadmium 01027
ug1L
Arsenic 01002
ug1L
Chromium: Total o1om
ug/L
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg/L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iran a1045
ug/L (Specify test and method #. ATTACK LAB REPORT.)
Sulfate 00945
mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance 000ss
µMhos
K - Potassium 00937
mg/L VOC 78732: method #
Total Ammonia aosio 1.1
mg1L
Mg - Magnesium 00927
mg/L method #
(Ammonla Nitrogen: NH3as N; Arnrnonla Nitrogen. Total)
Mn - Manganese o1o55
ug1L method #
TKN as N 00625
mg/L
Ni - Nickel olo67
ug/L method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
Rod Holley Wastewater Superintendent Trainee
Permitiee (or Authorized Agent) Name and Title - Please print or type
GW-59
Rev. 212010

SUBMIT FORM ON YELLOW PAPER ONLY
s s
IfEPAliTAAt_PtT OF ENVIROl4MENT'& NAFURAL RFSflt]RC£S
GROUNDWATER QUALITY MONITORING:
- s
s s s
a1Vi510Pt OF WATER QUWirrY INFORMATION PftOCE55tNG UNIT
COMPLIANCE REPORT FORM
1697;;MAILS�RVICECENTE,R,32ALEIGH,Fiq;276s9.16E7 Phane (919)733$229
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: W00000185 Expiration Date: 6/30/2024
Facility Name: Ocean Sands
Non -Discharge UIC
Permit Name (if different):
NPDES Other
Facility Address: 741 Ocean Trail
TYPE OF PERMITTED OPERATION BEING MONITORED
El Lagoon ❑ Remed"ration: Infiltration Gallery
Corolla iStrccl) NO 27927 County Currituck
iC-I.' ``IW)
tzip;
❑ Spray Field ❑ Remediation:
Contact Person: Rod Holley
Telephone#: [phone]
ElRotary Distributor ElLand Application of Sludge
Well Location/Site Name: Ocean Sands
No. of wells to be sampled: 5
❑ Water Source Heat Pump ® Other: Infiltration
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW6
Date sample collected: 2/4121
FIELD ANALYSES:
WAS
Well Depth; 17.6 ft.
Well Diameter; 3 in,
pH o0400: 7.10 units Temp. 0o01o: 13.8 °C
DRY at
Depth to Water Level 92546:6.0 ft. below measuring point Screened Interval. 12 ft.
to 17 ft. Spec. Cond. 0009C µMhos
time of
sampling,
Measuring Point is 2 ft. above land surface
Relative M.P. Elevation:
ft. Odor =85: N/D
check
Volume of water pumped/bailed before sampling:
5.0
gallons
Appearance clear
here:❑
Samples for metals were collected unfiltered: ® YES
❑ NO and field acidified: ❑ YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed:214121
Laboratory Name: Enviro Chem
Certification No. 94
PARAMETERS NOTE: Values should reflect
dissolved
and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615 <0.02
mg1L Pb - Lead 01051 ug1L
Coliform: MF Fecal 31616 <1
1100mL
Nitrate (NO3) as N 00620 3.52
mg1L Zn - Zinc 01092 mg/L
Coliform: MF Total si sm
1100mL
Phosphorus: Total as P 0o665 3.08
mg1L
(Note: use MPN method for highly turbid samples)
Orthophosphate 70507
mg1L Other (Specify Compounds and Concentration Units):
issolved SoliftTotal 70300 825
mg/L
Al - Aluminum 01105
mg/L
pH (Lab) 00403 7.10
Units
Ba - Barium 01007
ug1L
TOC 0o68o 7.1
mg/L
Ca - Calcium 00916
mg/L
Chloride 0094o 304
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug1L
Chromium: Total o1034
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 o0945
mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance 000m
µMhos
K - Potassium 00937
mg/L VOC 78732: method #
Total Ammonia 0o610 4.2
mg1L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nilrogen; N143as N; Ammonia Nitrogen. Total)
Mn - Manganese 01055
uglL method #
TKN as N 00625
mg1L
Ni - Nickel 01067
uglL method #
For Remedlation Systems Only (Attach Lab Reports); Influent Total VOCs:
Rod Holley Wastewater Superintendent Trainee
Permittee (or Authorized Aqent) Name and Title - Please print or type
TotalmglL Effluent
tpleie an i that ttio;laboratory analytical data
posit ility of r€€nes and imprisanm>?nt in( km
Vmwmmn
mg/L VOC Removal%
3/30/21
(Date)
GW-59 Rev.212010

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT"Of ENIAROMMENT:& NATURAL RESOURCES '
GROUNDWATER QUALITY MONITORING:
DNt$tON Of WATERQUALfrY 1NF.ORMATtE}N PROCESSING UNIT
COMPLIANCE REPORT FORM
! •
•
1fit7;lwAtLSERVEC,ECEtiTER,RAt>r1Gii NC2,T,6S91fi17 „Phone„t9t9)733J221, ; ,>:
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: WQ0000185 Expiration Date: 6/30/2024
Facility Name: Ocean Sands
Non -Discharge UIC
Permit Name (if different):
NPDES Other
Facility Address: 741 Ocean Trail
TYPE OF PERMITTED OPERATION BEING MONITORED
Corolla sty°�' NC
27927 County Currituck
❑ Lagoon ❑Remediation: Infiltration Gallery
c,rl (Stat.t
z ,
❑ Spray Field ❑ Remediation:
Contact Person: Rod Holley
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Ocean Sands
No. of wells to be sampled: 5
❑ Water Source Heat Pump ® Other: Infiltration
(from Pam it
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW7
Date sample collected: 214/21
FIELD ANALYSES:
WAS
Well Depth: 17.6 ft,
Well Diameter: 3 in.
pH oo400: 6.20 units Temp. 000lo: 10.0 °C
DRY at
Depth to Water Level 82546:4.1 ft. below measuring point Screened Interval: 12 ft. to
17 ft. Spec. Cond. 00094: µMhos
time of
sampling,
Measuring Point is 2 ft. above land surface
Relative M.P. Elevation: ft.
Odor 000w N1D
check
Volume of water pumped/bailed before sampling:
5.0
gallons
Appearance clear
here:❑
Samples for metals were collected unfiltered: ® YES
❑ NO and field acidified: ❑ YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed:2J4/21
Laboratory Name: Enviro Chem
Certification No. 94
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mglL
Nitrite (NO2) as N oasis <0,02
mglL Pb - Lead olo5i uglL
Coliiorm: MF Fecal 31616 <1
1100mL
Nitrate (NO3) as N 00620 0.02
mg1L Zn - Zinc 01092 mg/L
Collform: MF Total 31504
1100mL
Phosphorus: Total as P 00665 0.78
mglL
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids.Total 703oo 231
mglL
Al - Aluminum oilo5
mglL
pH (Lab) 00403 6.20
units
Ba - Barium 01007
ug1L
TOC 006B0 6.1
mglL
Ca - Calcium oo916
mg1L
Chloride oo94o 108
mglL
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug1L
Chromium: Total oio34
ug1L
Grease and Oils 00552
mg/L
Cu - Copper olo42
mg/L ORGANICS; (by GC, GCIMS, HPLC)
Phenol 32730
ug/L
Fe - Iron 01045
uglL (Specify test and method #. ATTACH LAB REPORT.)
Sulfate oo945
mg1L
Hg - Mercury 71900
uglL Lab Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance 00095
µMhos
K - Potassium oo937
mg1L VOC 76732: method #
Total Ammonia 006lo 0.4
mg1L
Mg - Magnesium 00927
mg1L method #
(Ammonla Nitrogen: NH3 as N: Ammonia Nitrogen. Total)
Mn - Manganese o1 o55
ug1L method #
TKN as N 00625
mg/L
NI - Nickel 01067
ug1L method #
For Remediation Systems Only (Attach Lab Reports):
Influent Total VOCs:
Rod Holley Wastewater Superintendent Trainee
Permtttee (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev.2l2010
mg1L Effluent Total VOCs:
mg/L VOC Removal%

SUBMIT FORM ON YELLOW PAPER ONLY
r s
DEPARTMENT OF ENVIRONMENT &NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
r s s
©ntlsloN aF V1lATER auAl mraNs oRMArION PRocsslNG tiPilr
COMPLIANCE REPORT FORM
1517iNAILSERViCE.CENiE(2, I2ALl 1GH NC 27699, 1617 „Phot%e (S19j 7333221,
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: WQ0000185 Expiration Date: 6/30/2024
Facility Name: Ocean Sands
Non -Discharge UIC
Permit Name (if different):
NPDES Other
Facility Address: 741 Ocean Trail
TYPE OF PERMITTED OPERATION BEING MONITORED
Corolla tst`c`lt NC
27927 County Currituck
❑Lagoon El Remediation: Infiltration Gallery
`c"" 1'51W)
fbp)
❑ Spray Field ❑ Remediation:
Contact Person: Rod Halley
Telephone#; 252-232-6065
ElRotary Distributor ElLand Application of Sludge
Well Location/Site Name: Ocean Sands
No. of wells to be sampled: 5
❑ Water Source Heat Pump ❑i Other: Infiltration
from Pormlt
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit). MW9
Date sample collected: 214/21
FIELD ANALYSES:
WAS
Well Depth: 17.6 ft,
Well Diameter: 3 in.
pH 00400: 6.80 units Temp. 000lo: 13.5 °C
DRY at
Depth to Water Level 82546:4.7 ft. below measuring point Screened Interval: 12 ft.
to 17 ft, Spec. Cond. 00094: µMhos
time of
sampling,
Measuring Point is 2 ft. above land surface
Relative M.P. Elevation:
ft. Odor 00085: N1D
check
Volume of water pumped/bailed before sampling:
5.0
gallons
Appearance semi -clear
here: ❑
Samples for metals were collected unfiltered: ® YES
❑ NO and field acidified: ❑ YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed:214121
Laboratory Name: Enviro Chem
Certification No. 94
PARAMETERS NOTE: Values should reflect
dissolved
and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615 <0.02
mg1L Pb - Lead 01051 ug1L
Coliform: MF Fecal 31616 a1
/100mL
Nitrate (NO3) as N 00620 0.04
mglL Zn - Zinc 01092 mg/L
Coliform: MF Total 31604
/100mL
Phosphorus: Total as P 00665 2.39
mg1L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg1L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 742
mg1L
Al - Aluminum o11o5
mg/L
pH (Lab) oo403 6.80
units
Ba - Barium 01007
ug1L
TOC o%8o 7.0
mg/L
Ca - Calcium 00916
mg1L
Chloride 0084o 283
mg/L
Cd - Cadmium 01027
ug1L
Arsenic o1002
ug1L
Chromium: Total olo34
ug1L
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg1L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug1L
Fe - Iron 01045
ug1L (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 3.9
mg/L
Mg - Magnesium 00927
mg1L method #
(Ammonia Nitrogen; N1­13as N; Ammonia Nitrogen. Total)
Mn - Manganese 01055
uglL method #
TKN as N 00625
mg1L
Ni - Nickel oio67
ug1L method #
For Remediation Systems Only (Attach Lab Reports):
Influent Total VOCs:
Rod Halley Wastewater Superintendent Trainee
Permittee (or Authorized Agent) Name and Title - Please print or type
mg1L Effluent Total VOCs:
mg1L VOC Removal%
GW-59 Rev.2/2010