WQ0009772_Monitoring - 03-2021_20210430

Monitoring Report Submittal
............................................................................................................................................
Permit Number #* WQ0009772
Name of Facility:*
Month:* March
Report Information
Type *
GW-59
Monteray Shores WWTP
Confirmation Email Address:*
Name of Submitter:*
Signature:
Date of submittal:
Initial Review
Year:* 2021
Upload Document*
MS MW MAR21 Report 4.1 MB
Signed.pdf
IPDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
[e-mail]
Travis Tucker
p�" 11 �'Y, 9ut
Reviewer: Williams, Kendall N
4/30/2021
This will be filled in automatically

Is the project number correct?* WQ0009772
Is the monitoring report t: Yes r No
accepted?*
Regional Office* Washington
Accepted Date: 5/4/2021

rW-59A COMPLIANCE REPORT FORM Permit 4 077
Submit ane each numitaring period frith GIY-59fiornls.)
r
1
Enter date monitoring results were due. Z Will this monitoring report (GW-69 and GW-59A)
YES
NO
be submitted after the established due dat ?
2
Was any required information missing on the GW-59 report forms?
YES
IF the answer to question I 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 "Yes ", contact the Regional Office for guidance.
y
4
Are any monitored constituents equal to or above the established standards?
YES
O
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).
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?
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 Aermittee 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 GW-59 form.
1
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.
D91�IIv 9 abyDn HII
Dana Hill L... o , 9 303 .,b, h04 eHF_b a b @�,o awa.e,=ery e om
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Signature of Permittee (or Authorized Agent) Date
i

SUBMIT FORM ON YELLOW PAPER ONI Y
NT ()F ENVIRONMENT &NATt1RAL Ettx50UftCES
GROUNDWATER QUALITY MONITORING:
fPART1M1EW
l$rON€_ATERQUALITY-t(uFORMATIONPROCE$SINcuNIT
COMPLIANCE REPORT FORM
7 MAIL: SERutCECENTER, RALBIOH, NG 27699.1617 Phone: igla> 7a3-3s21
FACILITY INFORMATION Please Print Cleariy or Type
PERMIT Number: Expiration Date: 10/21/26
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 NC 27927 County Currltuck
❑ 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: 3/4/2021
FIELD ANALYSES:
WAS
Well Depth: 12.3ft.
Well Diameter: 2 in.
pH 6.72 units Temp. 17.0 °C
DRY at
Depth to Water Level: 4.2ft. below measuring point
Screened Interval: ft.
to
ft. Spec. Cond. µMhos
time of
Measuring Point is 2•3 ft. above land surface
Relative M.P. Elevation:
ft,
Odor None
sampling,
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: March 4 8 9 10 11 15 18 2021
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/1
Pb - Lead mg/I
Coliform: MF Fecal <1 /100m1
Nitrate (NO3) as N
Q.03 mg/I
Zn - Zinc mg/I
Coliform: MF Total /100ml
Phosphorus: Total as P
1.50 mg/I
(Note: Use MPN method for highly turbid samples)
Orthophosphate
mg/I
Other (Specify Compounds and Concentration Units):
Dissolved Solids: Total 312 mg/I
Al -Aluminum
mg/1
pH (when analyzed) 6.7 units
Ba - Barium
mg/I
TOC 4.8 mg/I
Ca - Calcium
mg/I
Chloride 99 mg/I
Cd - Cadmium
mg/l
Arsenic mg/I
Chromium: Total
mg/I
Grease and Oils mg/I
Cu - Copper
mg/I
ORGANICS: (by GC, GC/MS, HPLC)
Phenol mgfl
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 0.5 mg/I
Mg - Magnesium
mg/I
method #
(Ammonia Nitrogen; NH3as N: Ammonia Nitrogen, Total)
Mn - Manganese
g
mgtl
,method #
TKN as N mg/I
Ni - Nickel
mg/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
Parmittee (or Authorized Aqent) Name and Title- Please print or type
(7+VV-)q Rev 1/2007
D'eofPermittee(orAuthorized Aq t)na'I
Digitally signed by Dana Hill
DN:-C= - a -
E=[e-mail]
Reason: I am the author of this document
Location: your signing location here
Date: 2021.04.30 13:03:46-04'00'
Foxit PhantomPDF Version: 10.1.3

oUr3rvuir-JMlviUvLlz tAIVHANCKUNLY
HPARTMENT OF ENVIRONMENT a NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING: IVIStON OF WATER QUALITY-114FORMATIO,N PROCESSING UNIT
COMPLIANCE REPORT FORM 617 MAIL SERVICE CENTER, i ALEIGH, NO27699.1617 Phonic (819)7a3.6221
FACILITY FORMATION Please Print Clearly or Type
PERMIT Number: Expiration Date: 10/21/26
Facility Name: Monteray Shores WWTP Non -Discharge WQ0009772 UIC
Permit Name (if different): NPDES Other
Facility Address: 819 Malla Drive TYPE OF PERMITTED OPERATION BEING MONITORED
Corolla NC 27927 County CUrrltuck © Lagoon ❑ Remediation: Infiltration Gallery
❑ 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:
WELL ID NUMBER (from Permit): MW#13 EAST
Date sample collected: 3/4/2021
FIELD ANALYSES:
If WELL
WAS
Well Depth: 11.Oft,
Well Diameter: 2 in.
pH 6,53 units Temp.
14.7 °C
DRY at
Depth to Water Level: 1.2ft- below measuring point
Screened Interval: ft.
to
Spec. Cond.
µMhos
time of
Measuring Point is 2.3 ft. above land surface
Relative M.P. Elevation:
�ft.
ft.
Odor Sulfur
sampling,check
Volume of water pumped/bailed before sampling:
5.0gallons
Appearance Semi Clear
here:
Samples for metals were collected unfiltered: ❑YES
❑ NO and field acidified: ❑YES
❑ NO
❑
LABORATORY INFORMATION
Date sample analyzed: March 4 8 9 10 11,15 18 2021
Laboratory Name: Environmental Chemists, Inc. Certification No.
#37729
PARAMETERS NOTE: Values should reflect dissolved
and colloidal concentrations.
COD mg/I
Nitrite (NO,) as N
0.05 mg/I
Pb - Lead
mgdl
Coliform: MF Fecal 4 /100ml
Nitrate (NO3) as N
<0,02 mg/1
Zn - Zinc
mg/I
Coliform: MF Total /100ml
Phosphorus: Total as P
0.85 mg/I
(Note: Use MPN method for highly turbid samples)
Orthophosphate
rn /I
9
Other (Specify
(p fv Compounds and Concentration Units):
Dissolved Solids: Total 361 mg/I
Al - Aluminum
mg/I
PH (when analyzed) 6.5 units
Ba - Barium
mg/I
TOC 4.7 mg/I
Ca - Calcium
mg/I
Chloride 128 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, H PLC)
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
VOID method # SM 6200C
Total Ammonia
0-3 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 #
rvr mciweuiatrun systems vrny tr ttaun t-aD meportsl: lnnuent I omi vuus: mg/L Effluent Total VOCs: mg/L VOC Removal%
Dana Hill, Director of Operations
Digitally signed by Dana Hill
Permittee (or Authorized Anent) Name and Title - Please print or type
GW-69 Rev.1/2D07
[Ire of Permittee (or Authorized AH
ana i
DN:-C- — a �1 — ,
E=[e-mail]
Reason: I am the author of this document
Location: your signing location here
Date: 2021.04.30 13:04:18-04'00'
Foxit PhantomPDF Version: 10.1.3