WQ0002829_Monitoring - 04-2021_20210528

Monitoring Report Submittal
............................................................................................................................................
Permit Number #* WQ0002829
Name of Facility:* KDHWWTP LLC
Month:* April
Report Information
Type *
GW-59
Confirmation Email Address:*
Name of Submitter:*
Signature:
Date of submittal:
Initial Review
Year:* 2021
Upload Document*
WQ0002829 APR21.pdf 3.09MB
FDF only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
TGEE@ATLANTICSEWAGE. COM
TINA GEE
Reviewer: Williams, Kendall N
5/28/2021
This will be filled in autorratically

Is the project number correct? * WQ0002829
Is the monitoring report r Yes r No
accepted?*
Regional Office * Washington
Accepted Date: 6/1/2021

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
0=1617
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: Expiration Date: 6/30/2022
Facility Name: KDHWWTP
Non -Discharge WQ0002829 UIC
Permit Name (if different):
NPDES Other
Facility Address: 801 W OCEAN BAY BLVD
TYPE OF PERMITTED OPERATION BEING MONITORED
KILL DEVIL HILLS (street) NC
27948 County DARE
❑ Lagoon ❑ Remediation: Infiltration Gallery
(City) (State)
(zip)
❑■ Spray Field El Remediation:
Contact Person: Tina Gee
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: CW-E-1
No. of wells to be sampled: 7
❑ Water Source Heat Pump ❑■ Other: Conjuntive Reuse
(from Permit)
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): CW-E-1
Date sample collected: 4-27-2021
FIELD ANALYSES:
WAS
Well Depth: 13 ft.
Well Diameter: 2 in.
pH 00400: 6.86 units Temp. 00010: 17.8 °C
DRY at
Depth to Water Level 82546: 6 ft. below measuring point Screened Interval: 5 ft. to
13 ft. Spec. Cond. 00094: µMhos
time ofsampling,
Measuring Point is 3 ft. above land surface
Relative M.P. Elevation: ft.
Odor 00085: Slight
check
Volume of water pumped/bailed before sampling:
5
gallons
Appearance Light Yellow
here:
Samples for metals were collected unfiltered: ❑ YES
❑ NO and field acidified: ❑ YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed:
Laboratory Name: Envirochem
Certification No.
PARAMETERS NOTE: Values should reflect dissolved
and colloidal concentrations:
COD 00335
mg/L
Nitrite (NO2) as N 00615 <0.02
mg/L Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 <0.02
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 0.69
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 703oo 356
mg/L
Al -Aluminum 01105
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 00680 10.7
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 90
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 <0.2
mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen, NH, as 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:
TINA GEE - O&M MGR
Permittee (or Authorized Agent) Name and Title - Please print or type
mg/L Effluent Total VOCs:
nature
mg/L VOC Removal%
05/28/21
GW-59 Rev.2/2010

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
0=1617
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: Expiration Date: 6/30/2022
Facility Name: KDHWWTP
Non -Discharge WQ0002829 UIC
Permit Name (if different):
NPDES Other
Facility Address: 801 W OCEAN BAY BLVD
TYPE OF PERMITTED OPERATION BEING MONITORED
KILL DEVIL HILLS (street) NC
27948 County DARE
❑ Lagoon ❑ Remediation: Infiltration Gallery
(City) (State)
(zip)
❑■ Spray Field El Remediation:
Contact Person: Tina Gee
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: CW-D
No. of wells to be sampled: 7
❑ Water Source Heat Pump ❑■ Other: Conjuntive Reuse
(from Permit)
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): CW-D
Date sample collected: 4-27-2021
FIELD ANALYSES:
WAS
Well Depth: 17 ft.
Well Diameter: 2 in.
pH 00400: units Temp. 00010: °C
DRY at
Depth to Water Level 82546: 16.5 ft. below measuring point Screened Interval: 7 ft. to
17 ft. Spec. Cond. 00094: µMhos
time ofsampling,
Measuring Point is 3 ft. above land surface
Relative M.P. Elevation: ft.
Odor 00085:
check
Volume of water pumped/bailed before sampling:
gallons
Appearance
here:
Samples for metals were collected unfiltered: ❑ YES
❑ NO and field acidified: ❑ YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed:
Laboratory Name: Envirochem
Certification No.
PARAMETERS NOTE: Values should reflect dissolved
and colloidal concentrations:
COD 00335
mg/L
Nitrite (NO2) as N 00615
mg/L Pb - Lead o1o51 ug/L
Coliform: MF Fecal 31616
/100mL
Nitrate (NO3) as N 00620
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300
mg/L
Al -Aluminum 01105
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 00680
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
mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen, NH, as 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:
TINA GEE - O&M MGR
Permittee (or Authorized Agent) Name and Title - Please print or type
nature
mg/L VOC Removal%
05/28/21
GW-59 Rev.2/2010

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
0=1617
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: Expiration Date: 6/30/2022
Facility Name: KDHWWTP
Non -Discharge WQ0002829 UIC
Permit Name (if different):
NPDES Other
Facility Address: 801 W OCEAN BAY BLVD
TYPE OF PERMITTED OPERATION BEING MONITORED
KILL DEVIL HILLS (street) NC
27948 County DARE
❑ Lagoon ❑ Remediation: Infiltration Gallery
(City) (State)
(zip)
❑■ Spray Field El Remediation:
Contact Person: Tina Gee
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: CW-C
No. of wells to be sampled: 7
❑ Water Source Heat Pump ❑■ Other: Conjuntive Reuse
(from Permit)
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): CW-C
Date sample collected: 4-27-2021
FIELD ANALYSES:
WAS
Well Depth: 16 ft.
Well Diameter: 2 in.
pH 00400: 6.37 units Temp. 00010: 16.7 °C
DRY at
Depth to Water Level 82546: 10.5 ft. below measuring point Screened Interval: 6 ft. to
16 ft. Spec. Cond. 00094: µMhos
time ofsampling,
Measuring Point is 3 ft. above land surface
Relative M.P. Elevation: ft.
Odor 00085: None
check
Volume of water pumped/bailed before sampling:
5
gallons
Appearance Clear
here:
Samples for metals were collected unfiltered: ❑ YES
❑ NO and field acidified: ❑ YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed:
Laboratory Name: Envirochem
Certification No.
PARAMETERS NOTE: Values should reflect dissolved
and colloidal concentrations:
COD 00335
mg/L
Nitrite (NO2) as N 00615 <0.02
mg/L Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 10.1
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 0.53
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 703oo 290
mg/L
Al -Aluminum 01105
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 00680 14.8
mg/L
Ca - Calcium 00916
mg/L
Chloride 0094o 50
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 <0.2
mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen, NH, as 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:
TINA GEE - O&M MGR
Permittee (or Authorized Agent) Name and Title - Please print or type
mg/L Effluent Total VOCs:
nature
mg/L VOC Removal%
05/28/21
GW-59 Rev.2/2010

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
0=1617
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: Expiration Date: 6/30/2022
Facility Name: KDHWWTP
Non -Discharge WQ0002829 UIC
Permit Name (if different):
NPDES Other
Facility Address: 801 W OCEAN BAY BLVD
TYPE OF PERMITTED OPERATION BEING MONITORED
KILL DEVIL HILLS (street) NC
27948 County DARE
❑ Lagoon ❑ Remediation: Infiltration Gallery
(City) (State)
(zip)
❑■ Spray Field El Remediation:
Contact Person: Tina Gee
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: CW-A
No. of wells to be sampled: 7
❑ Water Source Heat Pump ❑■ Other: Conjuntive Reuse
(from Permit)
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): CW-A
Date sample collected: 4-27-2021
FIELD ANALYSES:
WAS
Well Depth: 15 ft.
Well Diameter: 2 in.
pH 00400: 6.9 units Temp. 00010: 16.5 °C
DRY at
Depth to Water Level 82546: 4 ft. below measuring point Screened Interval: 5 ft. to
15 ft. Spec. Cond. 00094: µMhos
time ofsampling,
Measuring Point is 1 ft. above land surface
Relative M.P. Elevation: ft.
Odor 00085: None
check
Volume of water pumped/bailed before sampling:
5
gallons
Appearance Clear
here:
Samples for metals were collected unfiltered: ❑ YES
❑ NO and field acidified: ❑ YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed:
Laboratory Name: Envirochem
Certification No. 94
PARAMETERS NOTE: Values should reflect dissolved
and colloidal concentrations:
COD 00335
mg/L
Nitrite (NO2) as N 00615 <0.02
mg/L Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 0.06
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 1.1
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 105
mg/L
Al -Aluminum 01105
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 00680 11.2
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 9
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 0.5
mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen, NH, as 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:
TINA GEE - O&M MGR
Permittee (or Authorized Agent) Name and Title - Please print or type
mg/L Effluent Total VOCs:
nature
mg/L VOC Removal%
05/28/21
GW-59 Rev.2/2010

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
0=1617
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: Expiration Date: 8/31/2022
Facility Name: KDHWWTP
Non -Discharge WQ0002829 UIC
Permit Name (if different):
NPDES Other
Facility Address: 801 W OCEAN BAY BLVD
TYPE OF PERMITTED OPERATION BEING MONITORED
KILL DEVIL HILLS (street) NC
27948 County DARE
❑ Lagoon ❑ Remediation: Infiltration Gallery
(City) (State)
(zip)
❑■ Spray Field El Remediation:
Contact Person: TINA GEE
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: 36 0.476N - 75 40.181 W
CW-B-1
No. of wells to be sampled:
7
❑ Water Source Heat Pump ❑■ Other: Conjuntive Reuse
(from Permit)
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): CW-B-1
Date sample collected: 4-27-2021
FIELD ANALYSES:
WAS
Well Depth: 14 ft.
Well Diameter: 2
in.
pH 00400: 6.88 units Temp. 00010: 17.4 °C
DRY at
Depth to Water Level 82546: 7 ft. below measuring point Screened Interval: 4
ft. to 14
ft. Spec. Cond. 00094: µMhos
time ofsampling,
Measuring Point is 3 ft. above land surface
Relative M.P. Elevation:
ft.
Odor 00085: Slight
check
Volume of water pumped/bailed before sampling:
5
gallons
Appearance Clear
here:
Samples for metals were collected unfiltered: ❑ YES
❑ NO and field acidified: ❑ YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed:
Laboratory Name: Environmental Chemist
Certification No.
PARAMETERS NOTE: Values should reflect dissolved
and colloidal concentrations:
COD 00335
mg/L
Nitrite (NO2) as N 00615 0.02
mg/L Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 0.04
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 <0.04
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 189
mg/L
Al -Aluminum 01105
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 00680 7.3
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 17
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 0.3
mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen, NH, as 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:
TINA GEE - O&M MGR
Permittee (or Authorized Agent) Name and Title - Please print or type
mg/L Effluent Total VOCs:
nature
mg/L VOC Removal%
05/28/21
GW-59 Rev.2/2010

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
0=1617
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: Expiration Date: 6/30/2022
Facility Name: KDHWWTP
Non -Discharge WQ0002829 UIC
Permit Name (if different):
NPDES Other
Facility Address: 801 W OCEAN BAY BLVD
TYPE OF PERMITTED OPERATION BEING MONITORED
KILL DEVIL HILLS (street) NC
27948 County DARE
❑ Lagoon ❑ Remediation: Infiltration Gallery
(City) (State)
(zip)
❑■ Spray Field El Remediation:
Contact Person: Tina Gee
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: CW-F
No. of wells to be sampled: 7
❑ Water Source Heat Pump ❑■ Other: Conjuntive Reuse
(from Permit)
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): CW-F
Date sample collected: 4-27-2021
FIELD ANALYSES:
WAS
Well Depth: 15 ft.
Well Diameter: 2 in.
pH 00400: 6.69 units Temp. 00010: 16 °C
DRY at
Depth to Water Level 82546: 4 ft. below measuring point Screened Interval: 5 ft. to
15 ft. Spec. Cond. 00094: µMhos
time ofsampling,
Measuring Point is 3 ft. above land surface
Relative M.P. Elevation: ft.
Odor 00085: None
check
Volume of water pumped/bailed before sampling:
6
gallons
Appearance Clear
here:
Samples for metals were collected unfiltered: ❑ YES
❑ NO and field acidified: ❑ YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed:
Laboratory Name: Envirochem
Certification No.
PARAMETERS NOTE: Values should reflect dissolved
and colloidal concentrations:
COD 00335
mg/L
Nitrite (NO2) as N 00615 <0.02
mg/L Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 5.33
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 2.85
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 703oo 307
mg/L
Al -Aluminum 01105
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 00680 4.2
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 84
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 <0.2
mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen, NH, as 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:
TINA GEE - O&M MGR
Permittee (or Authorized Agent) Name and Title - Please print or type
mg/L Effluent Total VOCs:
nature
mg/L VOC Removal%
05/28/21
GW-59 Rev.2/2010

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
0=1617
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: Expiration Date: 6/30/2022
Facility Name: KDHWWTP
Non -Discharge WQ0002829 UIC
Permit Name (if different):
NPDES Other
Facility Address: 801 W OCEAN BAY BLVD
TYPE OF PERMITTED OPERATION BEING MONITORED
KILL DEVIL HILLS (street) NC
27948 County DARE
❑ Lagoon ❑ Remediation: Infiltration Gallery
(City) (State)
(zip)
❑■ Spray Field El Remediation:
Contact Person: Tina Gee
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: CW-G
No. of wells to be sampled: 7
❑ Water Source Heat Pump ❑■ Other: Conjuntive Reuse
(from Permit)
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): CW-G
Date sample collected: 4-27-2021
FIELD ANALYSES:
WAS
Well Depth: 14.6 ft.
Well Diameter: 2 in.
pH 00400: 7.62 units Temp. 00010: 16.9 °C
DRY at
Depth to Water Level 82546: 3 ft. below measuring point Screened Interval: 5 ft. to
14.6 ft. Spec. Cond. 00094: µMhos
time ofsampling,
Measuring Point is 1 ft. above land surface
Relative M.P. Elevation: ft.
Odor 00085: None
check
Volume of water pumped/bailed before sampling:
6
gallons
Appearance Clear
here:
Samples for metals were collected unfiltered: ❑ YES
❑ NO and field acidified: ❑ YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed:
Laboratory Name: Envirochem
Certification No.
PARAMETERS NOTE: Values should reflect dissolved
and colloidal concentrations:
COD 00335
mg/L
Nitrite (NO2) as N 00615 0.14
mg/L Pb - Lead o1o51 ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 1.47
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 2.56
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 703oo 380
mg/L
Al -Aluminum 01105
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 0068o 3.7
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 116
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 <0.2
mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen, NH, as 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:
TINA GEE - O&M MGR
Permittee (or Authorized Agent) Name and Title - Please print or type
mg/L Effluent Total VOCs:
nature
mg/L VOC Removal%
05/28/21
GW-59 Rev.2/2010