WQ0001664_Monitoring - 03-2021_20210416 (2)

Monitoring Report Submittal
............................................................................................................................................
Permit Number #* WQ0001664
Name of Facility:*
Month:* March
Report Information
Type *
GW-59
Belvedere Plantations
Confirmation Email Address:*
Name of Submitter:*
Signature:
Date of submittal:
Initial Review
Year:* 2021
Upload Document*
march gw 59.pdf 20.31 MB
FDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-t, NDAR-2, NDMLR, GW-59).
[e-mail]
Greg Spillman
t r�allr
Reviewer: Williams, Kendall
4/15/2021
This will be filled in autorratically

Is the project number correct? * WQ0001664
Is the monitoring report r Yes r No
accepted?*
Regional Office * Wilmington
Accepted Date: 4/16/2021

Z�'Uptfr 1 r-t n<w1 tjrJ Yk14.VV_ HAFLN UNLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT DORM
Print c/e'?Ay or
Facility Name Belvedere Plantation
Permit Name (if different)
Facility Address: _ 130 Fairway Dr Hampstead N.0 28443 _
County Pender
Contact Person: Grecq._Spillman
Telephone#: [phone]
Well Location/Site Name_ # 3 Green No of wells to be sampled 9
�t> r s►ir€.irf cir � owii ntr a NKA A1: P ��ia�sij
VISION OF WATER RESOD cts - iWQR%gjUN PR°fit ' Ufc1(l
1617 <iriti.3EiiWfCE c� NIER, itAt_!_x3H, NC 21699 i8i iF Aa: $4} of rjr
PERMIT Number:
Expiration Date 1/31/2020
Non -Discharge - TW00001664 UIC
NPDES Other _
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation Infiltration Gallery
rU Spray Field ❑ Remediation
EJ Rotary Distributor C1 Land Application of Sludge
❑ Water Source Heat Pump ❑ Other T INFILTRATION BASIN
WELL ID NUMBER (from Permit): _ MW7 Date sample collected: 3/8/2021
Well Depth 17 ft. Well diameter. 2 in.
Depth to Water Level a2546:_ 5 Screened Interval: _ 5 ft to 15 ft
Measuring Point is 3 ft above land surface Relative M P Elevation
Volume of water pumped/bailed before sampling: 5 ft
P g � gallons
Samples for metals were collected unfiltered 0 YES [a NO and field acidified: ❑ YES ❑ NO
IABORATdRY INPf119UAT1^K1 —
FIELD ANALYSES:
pH 00400 5.9 units
Spec. Cond o io94
Temp 000i( 54 °C
µMhos
Odor 0008s None
Appearance light tan T
ate sample analyzed. _ 3/8/2021 __ LaboratoryName
4RAMETERS NOTE: Values $houid reflect dissolved and colloidal concentrations. --Environmental Chemists, Inc.
COD 00335 mg/I- Nitrite (NO;,) as N oos15
Coliform MF Fecal 3lsisF Q 12 mg/L Pb Lead oio92
<1 , I100mL Nitrate (NO3) as N 00e20 4.79 mglL Zn - Zinc o1os2
Coliform MF T t 1 -
o a 315114
/100mL
(Note Use MPN me tluxf Ins higltry to bid 5arnples)
issolved Solids:Total7oa0o 85
_mg/1_
pH (Lab) 00403� 5.9
units
TOC oo68o
mg/1
Chloride 00040 7 �T
mg/L
Arsenic 01002
ug/L
Grease and Oiis 00552.
mg/L
Phenol 32730
ug/L
Sulfate 00945
_ mg/L
pecific Conductance 00095
ItMhos
Total Ammonia orlslo <0,2
mg/L
(nmmaua Ndrtxjmi: Nf iias N; Funmooa Nitrogen, Tt;tarl
TKN as N o0sz5
mg/L
For Remediation Systems Only (Attach Lab Reports):
Phosphorus l otal as P oo665
Orthophosphate i05w
Al, Aluminum oi105
Ba - Barium 01007
Ca - Calcium oo91s
Cd - Cadmium 01027
Chromium Total oio34
Cu - Copper 01042
Fe - Iron 01045
fig, Mercury 719oo
K - Potassium 00937
Mg - Magnesium 00927
Mn - Manganese 01055
Ni Nickel01067
Influent Total VOCs:
204
mg/L
rng/L
mg/L
ug/L
mg/L
ug/L
ug/L
mg/L.
ug/L
ug/L
mg/t
mg/L
ug/L
ug/L
Certification No. 94
ug/L
rng/L
Other (Specify Compounds and Concentration Units):
ORGANICS: (by GC, GC/MS, HPLC)
(Specify test and method #. ATTACH LAB REPORT.)
Lab Report Attached? L 1 Yes (1) C1 No (o)
VOC 7873 method #
method # T
method #
method #
mg/L Effluent Total VOCs.
mg/L VOC Removal%
Dana Hill, Director of Operations_ Dana Hill
Perrntltee {or AW11+;•rized Agent) Name at id Tale Please print or NuH — - -- -�—�'— "'" ° ° T�__,.�(5 _ z I
GW-59 Rev.8;2013 SiclnatureofPenmttes;orAuttxmzed.Aoenfl
If WELL
WAS
DRY at
time of
sampling,
check
here,EI

aubml t t VKNI Ul"I YkILtJW t'At'tit UNL
ROUNDWATER QUALITY MONITORING:
OMPLIANCE REPORT FORM
or
Facility Name: Belvedere Plantation
Permit Name (if different): -�
Facility Address _ 130 Fairway Dr Hampstead N.C. 28443 _
--- County _ Pender T
act Person . Greg Spillman Telephone#: [phone]
Location/Site Name # 7 Green _ Noof wells to be sampled:
9
WELL ID NUMBER (from Permit): -� MW8 Date sample collected: 3/8/2021
Well Depth 18 ft Well Diameter 2 in
Depth to Water Level e2W:_7 4 Screened Interval _ 5 ft to 15 ft
Measuring Point is 3 ft. above land surface Relative M P Elevation: _ _ ft _�
Volume of water pumped/bailed before sampling 5 gallons
Samples for metals were collected unfiftered: El YES EJ NO and field acidified: G YES 1, 7 NO
Date: 1/31/2020
m-Discharge _ WQ0001664 _^ UIC
'DES Other _ �-
'PE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon La Remediation Infiltration Gallery
G Spray Field CJ Remediation: _
❑ Rotary Distributor ❑ Land Application of Sludge
Water Source Heat Pump C7 Otfter INFILTRATION BASINS
FIELD ANALYSES:
pH 004GO 6.6 units
Spec Cond 00094.
Odor o0085
Appearance
Date sample analyzed _ 3/8/221 Laboratory Name Environmental Chemists, Inc.
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD oo335 mg/L Nitrite (NOS) as N ooe15 0.62 mg/L Pb - Lead o)osi
Coliform: MF Fecal 31616 <1 /100mL Nitrate (NO;1) as N 00620 0.64 �mg/L Zn - Zinc 01092
Coliform MF Total 31504 /100ML. Phosphorus Total as P rimb5 3.95 mglL.
(Note Ulle MPN moll M to tughty turbid sarnWes) OrthO h0S hate 70507 nigIL- Other (Specify Compounds and Concentration Units)
.___�
p p _
)issolved Solids Total �0-x)0 ')An—"-"
Temp 000i(_ 47 nC DRY at
tlMhos time of
_ None sampling,
- check
Tan here: jj�'
LA
_v mg/L
Al - Aluminum o11o5
nig/L
pH (Lab) 00403
6.6 units
Ba - Barium 01007
ug/L
TOC ooeo
mg/L
�7
Ca - Calcium oo916
_
mg/L ~�
Chloride oo044o
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium Total oio34
_
ug/L
Grease and Oils ao552
/L
Certification No. 94
ug/L
mg/L
mg
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 oo945
mg/L
Hg - Mercury 71goo
ug/L
Lab Report Attached? (. -1 Yes (1) EJ No (0)
specific Conductance oo(m5
µMhos
K - Potassium 00937
mg/L
VOC 787,q method #
Total Ammonia ooslo <0 2
mg/L
Mg - Magnesium 00927
mg/L
(Ammm onua NitrvWn. NH, R Ammonia Ntrogen, Total)
Mn - Manganese o loss
.method #
TKN as N oos25
mg/L
Ni Nickel 01052
ug/L
ug/L
.method #
_
�^ _ method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCS
mg/L Effluent Total VOCs:
mg/L VOC Removal%
_ _ _ Dana Hill __
Dana Hill, Director of Operations
aC°s°,w.
r.:., a w,�as v.�,aa , q
Permittee (or Authorized Anent) Name and Title -Please print or Nrre _._._ Swi+ature ref Permrttee ;qr AT1it•6ri28�Ad�nli - ---
Date)
G4V-59 Rev 812013

JJlAH r i-VKIVI tjN
rr..L i,it (.)rvt Y
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
o,
Facility Name._ Belvedere Plantation
Permit Name (if different)
Facility Address: _ 130 Fairway Dr ,__ Hammpstead N. C 28443
-- —------- �_ County Pender
Contact Person: Greg Spillman _ Telephone#: [phone] _
Nall Location/Site Name..-- _i# 3 Green near woods No. of wells to be sampled: 9
WELL ID NUMBER (from Permit):
Well Depth 23 ft.
Depth to Water Level 825463: 16
limililiew or
Id dNA'rilftAr.rt#:S<}t1FtC�a
tort cip wA> r + - N¢F013! ATlprf 0W)pgt*j► 0 t(j�Il-r
mAtl s4o r<:f. Caw' lia,, PAURZH NC x7699 1
�,I< t , I W.��a� ;
PERMIT Number:
Expiration Date 1/31/2020 _
Non -Discharge W00001664
UIC '
NPDES
Other
TYPE OF PERMITTED OPERATION BEING MONITORED11
Lagoon
[ 7 Remediation: Infiltration Gallery
C] Spray Field
❑ Remediation.
11 Rota Distributor
Rotary
'^ _
Land Application of Sludge
❑ Water Source Heat Pump
C] Other INFILTRATION BARwc
Date sample collected: 3/8/2021
Well Diameter 2 in
Screened Interval: 5 ft to 15 ft
Measuring Point is 3 _ ft. above land surface Relative M P. Elevation:
ore sampling: _ 5 gallons
VOlume of water pumped/bailed bef
Sam les for metals were collected unfiltered C 1 YES (T) NO and field acidified: 0YES ❑ NO
t ARIf10A4Abv utt�nuaTa...- "`"^^'—^-- acidified:
MW9
FIELD ANALYSES:
pH 00400 5.5 units
Spec. Cond 00094
Odor 00085 `
Temp. 000u ' ° °C
ttMhos
None
Appearance Tan
Date sample analyzed 3/8/2021 _ _ Laboratory Name _ Environmental Chemists, Inc.
PARAMETERS NOTE: Values should reflect dissolved and Colloidal concentrations.
COG 00335 _ mq/L Nitrite (NO2) as N 00615 0.17 mg/L Pb - Lead ofost
Cohform MF Fecal 31616 <1 T/100mL Nitrate (NO3) as N oo62o_ 0.05 mg/L Zn •Zinc 01092
COhlorm: MF Total 31504 /100mL Phosphorus Total as P ooes5 1.48
!Note Use Mr'N maaiod for highly turb,d samples)
Orthophosphate 70507
waved Solids Total 70300 __� 131 mg/L Al Aluminum 0f 105
pH (Lab) 00403 5.5
units
TOC oosso
_
mg/L
Chloride oos4o 32
_ mg/L
Arsenic 01002
ug/L
Grease and Oils 00552
mg/L
Phenol 32730
ug/L
Sulfate 00945
mg/L
fic Conductance 00095
ttMhos
Total Ammonia oo6lo <0,2
mg/L
(tunrnorna Nitrogen. NH, as N, Ammonia Nitrogen, Total)
TKN as N 00825___
mg/L
For Remediation Systems Only (Attach Lab Reports):
Ba - Barium 01007
Ca - Calcium 00916
Cd - Cadmium 01027
Chromium Total olo34
Cu - Copper 01042
Fe - Iron 01045
fig - Mercury 719oo
K - Potassium 00937
Mg Magnesium 00927
Mn Manganese oios5
Ni - Nickel 01067
influent hotai vOCs:
Dana Hill, Director of Operations _ Dana Hill
Permaitee for Authonzed Agenn Name and TRI9 - Pk ase onnt a rive
GIN-59 - Rev 812013
mg/L
mg/L
mq/L
uglL
mg/l.
ug/L
ug/L
mg/t
ug/L
ug/L
mg/t.
mg/L
ug/L
uglL
Certification No. 94
ug/L
mg/L
Other (Specify Compounds and Concentration Units)
ORGANICS: (by GC GC/MS, HPLC)
(Specify test and method #. ATTACH LAB REPORT)
Lab Report Attached? C_] Yes (1) Cl No (0)
VOC 7873 _ method #
_ method #
method #
method #
mg/L Effluent Total VOCs
mg/L VOC Removal%
_ I zi
(ogtei
DRY at
time of
sampling.
check
here: ((__....ii
t__J

:)Vor.nl l rut%i u1V
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
Of
Facility Name
Permit Name (if different)
Facility Address 130 Fairway Dr Hampstead N C 28443
_ County Pender
Belvedere Plantation
Contact Person Grey Skillman Telephone# [phone]
Well Location/Site Name.--- # 3 green near tee box No of wells to be sampled: 9
W)IN OF WAlft RESOURCES -INFORMATIONFtt(xF:M9(iiJ
�MIt
MA1 SE14VICE CENTCR, �dAik?liH,
IMIT Number: Expiration Date. T 1/T�31/2020
-Discharge W00001664 UIC
NPDES Other T
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon CJ Remediation Infiltration Gallery
❑ Spray Field EJ Remediation
Rotary Distributor ❑ Land Application of Sludge
ge
I� Water Source Heat Pump ❑ Other INFILTRATION BASINS
WELL ID NUMBER (from Permit): MW10 Date sample collected 3/8/2021
Well Depth. 18 ft. Well Diameter: 2 in
Depth to Water level 82546 3.2 ft below measuring point Screened Interval 5 ft to 15 ft
Measuring Point is __ 3 —ft. above land surface Relative M.P Elevation ft.
Volume of water purnped/bailed before sampling: 5 gallons ^
Sam les for metals were collected unfiltered ❑ YES ❑ NO and field acidified ❑ YES ❑ NO
I ARARATr'fi7Y ItUCAOu�rtn►t
FIELD ANALYSES:
pH o0400 5.8 units Temp 000 t c 4 ' °C
Spec Cond. 000g4 (tMhos
Odor 000e5 None
Appearance
Date sample analyzed 3/8i2021 Laboratory Name I
PARAMETERS Environmental Chemists, Inc
NOTE V
a ues should reflect dissolved and colloidal concentrations.
COD 0033
Coliform: MF Fecal 31616
mg/L
Nitrite (NO.,) as N oo6i5 004
mg /L
<1
/100mL
Nitrate (NO-,) as N oos2o_ 0.27
-__ mgJt
Coliform: MF Total 31504 _ _
Mole Usa MFN Rtathnd 1tX highly tinbiA 5.'lnlj)feS)
/100mL
Phosphorus: Total as P ooess 0.62
---- --
rng/L
Orthophosphate 70507
mg/L
4ssoived Solids Total 70300 82
rng/L
AI - Aluminum of io5
pH (Lab) 00403 5.8
units
Ba - Barium oioo7 -- ---�
-_ ug/L
TOC ooem
mg/L
Ca - Calcium 00916
rng/L
Chloride oos4o 10
_ mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002 _ _ _
ug/L
Chromium Total 01034
ug/L
Grease and Oils 00552
rng/t.
_
Cu - Copper 01042
mg/l.
Phenol 32730
ug/L
Fe - Iron 01045
ug/L
Sulfate 0004s _
mg/L
Hg - Mercury 71900
ug/L
pecific Conductance o0005
itMhos
K Potassium 00937
mg/L
Total Ammonia oceto _ -0.2
IAmrnunta
mg/L
Mg - Magnesium 00927
mg/L
Nitrogen. NH, as N; Atnmot»a Nitrogen, Total)
Mn - Manganese oto55
ug/L
TKN as N 00525
mg/L
Ni - Nickel 01067
ug/L
For Remediation Systems Only (Attach Lab Reports): Influent Total VO(:a
Dana Hill, Director of Operations Dana Hill
t ermrttee (or Alithonzed Agent) Name and Title • Please print or type
GW-59 Rev, 8/2013
light orange
Certification No 94
Pb - Lead olost ug/L
Zn ,. Zinc 01092 mg/L
Other (Specify Compounds and Concentration Units)
ORGANICS: (by GC, GC/MS, HPLC)
(Specify test and method #. ATTACH LAB REPORT.)
Lab Report Attached? [I Yes (1) [) No (0)
VOC 7873 method #
method #
_ method # _
method #
--It ru,..__1 r_._ �.. —
VOC Removal%
2.1
Signature of Permittee (or Authored Agent' (Date)
►RY at
me of
check
here E

us'stwl I r-kjvwl urn rq,.L>r�')vv rrgr eK
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
Please flnnt Clearly or Type
Facility Name Belvedere Plantation
Permit Name (if different): -
FacilityAddress _ � 130FairwayDr—Hampstead Dr—Hampstead-N.C. 28443 _
_ County Pender _
Contact Person Greg Spillman _ Telephone#: [phone]
Well Location/Site Name Basin A ri ht corner
No of wells to be sampled 9
Expiration Date: 1/31/2020
Non -Discharge WQ0001664 UIC --1
NPOES Other_ _
TYPE OF PERMITTED OPERATION BEING MONITORED ^^
L__l Lagoon (_) Remediation: Infiltration Gallery
0 Spray Field C) Remediation:
Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump 0 Other:_ INFLITRATION BASINS
WELL ID NUMBER (from Permit): _ MW11 Date sample collected: 3/8/2021 _
Well Depth 15 fi. Well Diameter: 2 in. _
Depth to Water Level 82546 13 _ft below measuring point Screened Interval. 5 ft to 15 ft.
Measuring Point is - __ 3 ____ ft above land surface Relative M P Elevation ft
Volume of water pumped/bailed before sampling: 5 gallons
Samples for metals were collected unfiltered ❑ YES ❑ NO _ and field acidified: ❑ YES ❑ NO
If WELL
FIELD ANALYSES:
WAS
pH 00400 4 5 units Temp wou 7$ 3 °C
DRY at
Spec Cond. 0009_4_ 1)Mhos��
time of
Odor orio135 _ None
sampling,
Appearance light brown
_
check
here. r _
Date sample analyzed _ 3/8_ /2021 _ Laboratory Name _ Environmental Chemists, Inc
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations---
COD 00335 mg/L Nitrite (NO.) as N ooe15 <0 02 mg/L Pb - Lead oio51
Coliform MF Fecal 31e1e <1 /100mL Nitrate (NO3) as N 00620 10.02 mg/L Zn - Zinc 01092'
Coliform. MF Total 31504
/100mL
iNote Use MPN method fix NONY tumid "inples)
issolved Solids Total 70300 _ _46
mg/L
pH (Lab) 00403 4.5
units
TOC ooeso
mg/L
Chloride oog4o.20
_ mg/L
Arsenic 01002
ug/L
Grease and Oils 00552
mg/I_
Phenol 32730
ug/L
Sulfate 00945 T
^ mg/L.
Specific Conductance 00095 _ _
_
trMhos
Total Ammonia (>Q610 <0,2
mg/L.
1Ammomn Nitrogen NH. as N. Fun;mxm Nitrogen. 1 otsi)
'-
TKN as N W625 _
mg/1-
For Remediation Systems Only (Attach Lab Reports):
Phosphorus: Total as P ooem _
<0 04 _ mg/L.
Orthophosphate 70507
mg/L
Al - Aluminum 01105
i_ fng/L
Ba - Barium 01007
ug/L
Ca - Calcium 00916
mg/L
Cd - Cadmium 01027
ug/L
Chromium Total 01034
ug/L
Cu - Copper 01042
fng/t-
Fe - Iron 01045
ug/L
Hg - Mercury 71goo
_ ug/L
K - Potassium 00937
mg/L.
Mg - Magnesium 00e27
_ mg/L
Mn - Manganese olom
_ T ug/L
Ni - Nickel 41067
ug/L
Influent Total VOCs
Dana Hill, Director of Operations _ Dana Hill
T'ei rn'94 fsx Authar zed Agen) Name to i TiVe 1'iewe print or type ^�
GW-59 Rev 8/201:3
Certification No 94
ug/L
mg/L
Other (Specify Compounds and Concentration Units)
ORGANICS: (by GC, GC/MS, HPLC)
(Specify test and method #. ATTACH LAB REPORT.)
Lab Report Attached? C..1 yes (1) 11 No (0)
VOC 787a method #
_ method #
_ method #
-__ - method #
mg/L Effluent Total VOCs
Slonature of Perm, ittee for
VOC Removal%
Mate)

JVtNVq 1 1-%)rtly1 iJ14 YAYK:t[ ONL Y
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
Of
Facility Name _-_- - Belvedere Plantation
Permit Name (if different) '-
Facility Address. - 130 Fairway Dr _-Ham .stead N.C. 28443
----- �--- - _ County
Contact Person Greg SpillmanTelephone# 252-241-0661
Well Location/Site Name__ Back of Basin B--�- No. of wells to be sampled
WELL ID NUMBER (from Permit):
Well Depth 15 ft.
Depth to Water Level 92546 11
Date sample collected:
Well Diameter:
Screened Interval.
Measuring Point is _ 3 _ ft. above land surface Relative M P Elevation
Volume of water pumped/bailed before sampling: 5 _ gallons
Samples for metals were collected unfiltered ❑ YES El NO a
MW12
I
PERMIT Number. Expiration bate __- 1/31/2 Z0
Non -Discharge _- WQ00016CA UIC
NPDES Other
TYPE OF PERMITTED OPERATION BEING MONITORED
C7 Lagoon [.7 Remediation Infiltration Gallery
Spray Field [ Remediation _
❑ Rotary Distributor ❑ Land Application of Sludge
[.l Water Source Heat Pump 1:1 Other 4_ INFILTRATION BASINS
3/8/2021
2 in.
5 ft to 15 ft.
field acidified. Cl YES ❑ NO
FIELD ANALYSES:
pH 00400. 5.2 units
Spec. Cond. 00094
Odor 000m _-
Appearance
Temp 000l( 13 e °C
µMhos �-
!- ---
Slight
light brown
ate sample sample analyzed _ ____ 3/8/2021 __ Laboratory Name
ARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
Environmental Chemists, Inc Certification No 94
--��'---------
COD 00335
�-
mg/l.
Nitrite (NO2) as N owl
0.21 mg/L
Pb - Lead olosl
Conform MF Fecal 31616
/100mL
--
Nitrate (NOS) as N 00620�
<0.02 mg/L
ug/L
Zn - Zinc 01092
Coliform MF Total s1e04
'Note
/100mL
Phosphorus Total as P ooc65 _ _
_ 0.57 -� mg/L-
mg/L
U�� MPN nxllhot7 tur highly urtb�d �npk+e)
--------
Orthophosphate 70507
----
5solved Solids Total 70300 122
mg/t-
Al
mg/L
Other (Specify Compounds and Concentration Units):
-_
- Aluminum 01105
mg/L
pH (Lab) oo4o3 - - 5.2
units
Ba - Barium 0100;
--------
-
ug/L
TOC ooaao �____
mg/L
Ca - Calcium ooete
mg/I_
- _ ---
Chloride oocAo 37
mg/L
Cd - Cadmium 01027
ug/L
a -�-`—
Arsenic 01002
- ug/L
Chromium: Total 01034
_ -
ug/L
Grease and Oils 00552
mg/L
Cu - Copper ol042--
_
--—�Tmy/l.
ORGANICS; (by GC. GC/MS, HPLC)--+----_-^
Phenol 32730 ^
ug/L
Fe - Iron mw
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate oo945
ecific Conductance 00095 �~
mg/L
)iMhos
Hg - Mercury 71900
ug/L
�-
Lab Report Attached? F- _-1
Yes (1) CNo (0)
Total Ammonia oos,o �0.02
mg/L
K - POtaSSiUm 0093-1
Mg - Magnesium 00927
mg/t.
VOC 7873 method #
!Mimonia N"en. Nl IIas N. Ammonia W".,,. Tolal)
Mn - Manganese o1os5!_
rn /f.
-.-- g
_ method #
TKN as N 00825 —
mg/L
Ni - Nickel 01067�---
� ug/L
ug/L
method #
method #
For Remediation Systems Only (Attach Lab Reports):
Influent Total VOCs.
Dana Hill, Director of Operations Dana Hill'
Perrnittee for Authorized Aaent) Name and Title - Please print
GW-59 Rev 8!2013
mg/L Effluent Total VOCs.
mg/L VOC Removal%
If WELL
WAS
DRY at
time of
sampling,
here: I_
l-_J
Siano+ F' mi --_— ---..�— 1 z L-ti e; ttee for Authorized Agent) (Date)

avnmr r ? VKNI Ul"I yG.LLUYV eAl"LK UNL Y
GROUNDWATER QUALITY MONITORING,
COMPLIANCE REPORT FORM
FACILITY INFORMATION �� Please Print ryp® - -
Facility Name Belvedere Plantation
Permit Name (if different): _
Facility Address _� 130 Fairway Dr Hampstead N.C. 28443
County �- Pender-- T
Contact Person _____ Greg Spillman _ Telephone#: [phone]
Well Location/Site Name_ 1 st Basin C near front right corner No. of wells to be sampled
art=r#•�
PERMIT Number:
Expiration Date 1/31/7.020
Non -Discharge W00001664
--
_
UIC -- -
NPDE S
Other
TYPE OF PERMITTED OPERATION BEING MONITORED -
11 Lagoon
C.J Remediation Infiltration Gallery
0 Spray Field
F-1 Remediation
L 1 Rotary Distnbutor
_
CJ Land Application of Sludge _
Cl Water Source Heat Pump
1-1 Other: INFILTRATION BASit
WELL ID NUMBER from Permit): MW13
( ) �._
Date sample collected.
3/8l2021
FIELD ANALYSES:
If WELL
Well Depth: 15 ft
Depth to Water Level 8254e -14
Well Diameter
_ 2 in
pH 00400 _4.6 units Temp. 000i( ' Jc
WAS
DRY at
Measuring Point is __3_ ft. above land surface
Screened Interval
Relative M P. Elevation
5 ft to 15 ft
ft
Spec Cond. 00094 µMhos
time of
sampling,
Volume of water pumped/bailed before sampling: 5
gallons
- __
Odor 00085 slight
--
check
`
als were collected unfiltered 0 YES
-
M=MFORMATION
CJ NO and field acidified: [] YES ❑ NO
Appearance fight brown
�____
here:{- l
l
Date sample analyzed __ ___3/8/2021 _ Laboratory Name _
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
Environmental Chemists. Inc Certification No 94
- ---
COD 00335 --- mg/L
Coliform MF Fecal 3ts�e _
Nitrite (NO;) as N owi5
--
0.05 rng/I-
__ _ --
Pb - Lead otosi ug/L
�- <1 /100mL
_
Nitrate (NO3) as N 00620
-
<0 02 mg/L
Zn - Zinc 01,092
Coliform: MF Total 31504 /100mL
�
Phosphorus Total as P ooss5
018 mg/L
~�
!Note U.:s Mf'N mCtl7gd for ni(rniy Lirtd9 SarnUh's)
----
Orthophosphate 70507
----
issolved Solids Total 70300 26 n �L
_
AI
mg/l_
Other (Specify Compounds and Concentration Units)
- Alunmun oatn5
mg/L
p (Lab) 00403 4.6 _ __-- traits
Ba Barium 01007
A
ug/L
��----
TOC oomo rng/L
Ca - Calcium 00916
mg/L
A T
Chloride oomo T �_-_- 5 - mg/L
Cd - Cadmium 01027
ug/L
Arsenic otooz ug/L
Chromium Total 01034
-- ug/L
_ _
Grease and Oils 00552 mg/t_
Cu - Copper 01042
mg/L
ORGANICS: (by GC, GC/MS, HPI-C) ---__
Phenol 32730-__._.---ug/L
Fe - Iron 01045 _
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945 mg/L
pecific Conductance n0095tiMhos
Hg - Mercury 71900
ug/L
Lab Report Attached? [.-I Yes (1) ( L.J No 0)
--�—�..--�
Total Ammonia 0oato _ _ _<p.2 mg/t.
K - PotassiumC
oo937
Mg -Magnesium o0927
mg/L
VO rs'r3 method #
__ _-� --
(Ammonia Nitrogen NH :as ivnmon,a Nitrogen, Total)
Mn Manganese Dross
mgll.
-
method #
TKN as N 00625 -- mg/L
Ni - Nickel oiw7
_ ug/L
�- ug/L
method #
- -�
method #
For Remediation Systems Only (Attach Lab Reports):
Influent Total VOCs:
mg/L Effluent Total VOCs:
mq/t_ VOC Removal%
_ Dana Hill�F4�.�
Dana Hill, Director of Operations
wp(Y Vwuw q 3
Permiflee {or Authorized Agee;l Name and Ti+Je Please Dcint or tvrie Signature of Permittee (or Atdhoraed Aopnt) �' — -'-
c:,W 59 Rev 8/2013 rDatei

..._. ....._.�.—..-..�._.._.._._,.... 0U01 11 rvhiviUN rc t'At-tr<+.J+vi_r
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM '....<
_AGILITY FOf ,i ?jQMPlOase Pnnr Cloddy of Type PERMIT Number: Expiration Date' 1/31/2020
Facility Name Belvedere Plantation _ Non- Discharge W00001664 UIC T~-
Permit Name (if different) _ _^ NPDES Other
Facility Address: 130 Fairway Dr Hampstead N.C. 28443 TYPE OF PERMITTED OPERATION BEING MONITORED
County Pender _ (_J Lagoon [] Remediation Infiltration Gallery
Contact Person:
Spray Field ❑ Remediation:
Gre�Spillman _ Telephone# [phone] ❑ Rotary Distributor ❑ Land Application of Sludge
JVell Location/Site Name _ Basin left corner No of wells to be sampled 9 C7 Water Source Heat Pump ❑ Other INFILTRATION BASINS
WELL ID NUMBER (from Permit): MW14
Date sample collected.
3/8/2021
FIELD ANALYSES:
If WELL
WAS
Well Depth: - 15 ft. Well Diameter.
Depth to Water Level 82546 12 below measuring Screened
2 in
pH o0400 5.8 units Temp 000ic °C
DRY at
_ _ft
point Interval
5 ft.
to 15 ft
Spec Cond, 00094 µMhos
time of
Measuring Point is 3 _ ft. above land surface
Relative M P Elevation:
ft
Odor 000s5 _ No
sampling,
Volume of water pumped/bailed before sampling 5
gallons
Appearance light brown
Samples for metals were collected unfiltered: Q YES
C_I NO and field acidified. C7
YES
❑ NO
_
here:
...ABORATORY INFORMATION
Date sample analyzed__ 3/8l2Q21 Laboratory Name _
'ARAMETERS NOTE: Values should reflect dissolved and colloidal concentrationsg.�
Environmental Chemists, Inc Certification No 94
COD oo335 mg/L
Nitrite (NO,) as N oo615
05
mg/L
Pb - Lead oio51 ug1L
Coliform: MF Fecal 31616 <1 1100mL
Nitrate (NO3) as N 00620 y'
_0
<0.02
mg/L
Zn -Zinc 01092
Coliform. MF Total 315o4 _ /100mL
Phosphorus Total as P t)0665
Q23
mglL
m IL
9
(Note� Use MPN mettxxt tpr highly turbid sarnNles)
Orthophosphate �Os07
_._ T
mg/L.
Other (Specify Compounds and Concentration Units)
issolved Solids.Total 70300 59 _ mg/L
At Aluminum 01105 �^
mg/L
pH (L.ab) oo4o:i _ _ 58 units
Ba - Barium otoo7
_
ug/L
TOC or166o_ _ mg/L
Ca - Calcium oo916
mg/L
Chloride 00940 � 11 �^ mg/L
Cd - Cadmium 01027
ug/L
Arsenic ojoo2 A T ug/L
Chromium Total 01034
=
ug/L
Grease and Oils o0552� mg/L
Cu - Copper 011042`
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 00946 m /L
- — 9
H - Mercu ;1
9 N 90o
+�
u
_ ug/L
La b Report Attached? C) Yes(l) I—] No(0)
pecific Conductance 000ss µMhos
K - Potassium 00937 ,
mg/L
VOC 7673 method #
Total Ammonia oo610 02 mg/L
(Jtrnmave
Mg Magnesium 00927
mg/L
method
Nitrogen: Nl 1, as N. Ananonia Ndrogen, Total)
--
Mn - Manganese wom
ug/L
— _
TKN as N 00625 mg/L
Ni - Nickel oixs,
method #
ug/L
method #
For Remedlation Syatems Only (Attach Lab Reports): Influent Total VOCs.
mg/L Effluent Total VOCs:
mg/L VOC Removal°/,
Dana Hill
.mr.wsrs.am.r
Dana Hill, Director of Operations
Per niilse for Authorise 1 tleetd) Nar»E 8nC Tithe Pease rxint or type -- Signature or FermitleE (or Authorized Anent)
GW•59 Rev 812013 !Date)

-1UUM1 i 1-UNIA ON YLLLUW PAPU►-2 OWLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
Please Print Clearly f- Type
Facility Name Belvedere Plantation
Permit Name (if different)
Facility Address —_ 130 Fairway �Dr_ Hampstead N.C. 28T� 443 TR�
-- _ _- County_ Pender
Contact Person: Grin Spillman Telephone# _ 252-241-0661
Well location/Site Name. Between Basin 8 & C No of wells to be sampled: P
IWELL ID NUMBER (from Permit): --__ MW 15 Date sample collected: 302021
Well Depth 18 ft. Well Diameter: 2 1n 4
Depth to Water Level 82546 12 Screened Interval: 5 ft to 15 ft
Measuring Point is 3 ft, above land surface Relative M.P Elevation ft _
Volume of water pumped/bailed before sampling. S gallons
Samples for metals were collected unfiltered. ❑ YES C] NO and field acidified ❑ YES [� NO
1 A!]Aeo ••raw.. ...ww�... .-..--..--...,.`_..--
�YIAtdC>1�M�tiT � kA rt aAt fdES�3i1F:C E:i .• ••. _-_ . 4 _ � _ _....-.
ME* ;. INVXWIAiibN P140CE113sil O UNif
cEti'; ��t, e:zt_�iG#3, NC 778�$•as1� Prlp�te: �tt�.aor,ttaos
--RMfT Number:
Expiration Date ii„ i,�
m-Discharge W(40001664
UIC_..�___------
'PE OF PERMITTED OPERATION BEING MONITORED _
C_7 Lagoon
❑ Remediation Infiltration Gallery
El Spray Field
G.-.) Remediation
El Rotary Distributor
__
� Land Application of Sludge
Water Source Heat Pump
❑ OtherINFILTRATION BASINS
FIELD ANALYSES:
pH 00400 4.4 units
Spec. Cond 00094
Odor 00085:
Appearance
oats sample analyzed _ 3/§,2021 Laboratory Narne. Environmental Chemists. Inc.
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335 mg& Nitrite (NO2) as N oow 5 0,08 mg/L Pb - Lead o1o51
Coliform: MF Fecal 3 16 16 _ <j /100mL Nitrate (NO,,) as N 00s20 _ _ <0 02 __ mgft_ Zn - Zinc 01092'
_—
crm. Total 31504
(Note use WN 1„e1W loi rughly turbW san,jAes
/100mL.
Phosphorus' Total as P oo665 T
071 _ mg/L
Orthophosphate 2o5o/
mg/L.
solved Solids 'Total 70300 44 ,
mg/L
Al - Aluminum o11o5
_
mg/L
PH (Lab) oo4w 44
units
Ba - Barium 01007
�
ug/L
TOC omw
ing/L
Ca - Calcium 00916
mg/[ -
Chloride 00e40 13
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01W2
ug/L
Chromium Total 01014
�
Grease and Oils 00552
mg/l_
Cu Copper 01042 _
—ug/L
�� mg/l.
Phenol 32730
ug/L
Fe - Iron 01045
�—�
ug/L
Sulfate ooms _
mg/L
Hg - Mercury 71900 �~
_
ug/L
cific Conductance 00095 _
ttMhos
K Potassium 00937
mg/L
Total Ammonia ooelo 0.3
mg/L
Mg - Magnesium 00927
mg/L
(Arrariom Nrhogen. NH,as N, Ammonia Nitrogen. row(
—
Mn Manganese o1o5sug/L
---
TKN as N 00625
mg/1-
Ni - Nickel 01067 _
ug/L
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs
Temp. 000lc 'Q' °C DRY at
_ ttMhos time of
None sampling,
-- check
light brown, T here:r
Certification No _ 94 T
ug/L
mg/L
Other (Specify Compounds and Concentration Units)
ORGANICS: (by GC, GC/MS, HPLC) _
(Specify test and method #. ATTACH LAB REPORT.)
Lab Report Attached? ❑ Yes (1) ❑ No (0)
VOC 7873 method #
method #
method # _
mg/L Effluent Total VOCs.
method #
VOC Removal%
__ Dana Hill
Dana Hill, Director of Operations
o;„a^
Perm ttee for Authonzcd Agenll Narne and Title P1Fase print or type Signature of Pemottee (or Authorized Agent; ' �+ "" _J__.. 5_ ZI -
CiW-59 Rev FU2013 {Dalet ) _