WQ0009267_Monitoring - 06-2021_20210729 (2)

Monitoring Report Submittal
............................................................................................................................................
Permit Number #* WQ0009267
Name of Facility:* City of Jacksonville Land Treatment System
Month:* June Year:* 2021
Report Information
Type* Upload Document*
GW-59 WQ0009267 June 2021 GW- 18.33MB
59 MW Report.pdf
IPDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
Confirmation Email Address:* [e-mail]
Name of Submitter:* Amy Palaschak
Signature:
Date of submittal: 7/29/2021
This will be filled in automatically
Initial Review
Reviewer: Saunders, Erickson G

Is the project number correct?* WQ0009267
Is the monitoring report t: Yes r No
accepted?*
Regional Office* Wilmington
Accepted Date: 8/4/2021

GW-59A COMPLIANCE REPORT FORM Permit #_WQ0009267
(Submit one each monitoring period with GW-59 forms.)
I
Enter date monitoring results were due. (07/31/2021) Will this monitoring report (GW-59 and GW-59A) be
YES
NO
submitted after the established due date?
2
Was any required information missing on the GW-59 report forms?
YES
NO
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
NO
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?
YES
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 constituent(s) and concentrations) exceeding standards in the space provided below:
MW 10 — TDS 657 mg/L
5
For the constituents identified in question 4 above, have standards been exceeded previously for the same
YES
NO
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).
MW10 — all TDS—3/2019 (676.5), 612019 (648 mg/1), 912019 (643 mg/L), 12/2019 (568.5 mg/L),
3/2020 (618 mg/L), 612020 (596.5 mg/L), 9/2020 (628 mg/L), 1212020 (579 mg/L), 312021 (683 mg/L)
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 may be improperly located; contact
the Regional Office.
7
Is the permittee implementing previously approved actions required by the Division involving this groundwater
YES
NO
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.
MW10 — high background TDS — noted in current permit
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.
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
4/Qw,-
7-29-2021
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:
DIVISION OF WATER RESOURCES - 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: 4/30/2022
Facility Name: City of Jacksonville
Land Treatment System
Non -Discharge WQ0009267 UIC
NPDES Other
Permit Name (if different):
Facility Address:
716 Firetower
Road
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
.;acksonville NC County Onslow
(City) (State;
X Spray Field ❑Remediation:
Contact Person: Amy Palaschak
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name MW-1
No. of wells to be sampled: 17
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-1
Date sample collected: 6/28/2021
FIELD ANALYSES:
WAS
Well Depth: 16.6 ft.
Well Diameter: 2 in.
pH 00400: 5.2 units Temp. 0001E 24.2 °C
DRY at
Depth to Water Level a2546: 6.2 ft. below measuring
point Screened Interval: 3 ft. to
13 ft. Spec. Cond. 00094: µMhos
time of
sampling,check
Measuring Point is 3.2 ft. above land surface
Relative M.P. Elevation: 3 ft.
Odor 00085:
Volume of water pumped/bailed before sampling:
4.99
gallons
Appearance
here:
❑
Samples for metals were collected unfiltered: X
YES
❑ NO and field acidified: X YES El NO
LABORATORY INFORMATION
Date sample analyzed: 6/28/2021
Laboratory Name: 1. Jacksonville 2.
Environmental Chemists Certification No. 1. 128 2. 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 0.04
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 <0.2
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 379.5
mg/L
Al - Aluminum ollo5
mg/L
pH (Lab) 00403 5.17
units
Ba - Barium 01007
ug/L
TOC 00680 11
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 54
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 12
mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes (1) ® No (0)
pecific Conductance 00095
µMhos
K - Potassium 00937
mg/L VOC 7873 method # SM 6200C
Total Ammonia 00610 <0.1
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 o0625
mg/L
Ni - Nickel 01067
ug/L method #
For Remediation Systems Only • ..rts): Influent Total•
I certify that, to the best of my knowledge and belief, the information submitted in this report is true, accura
DWR-certified laboratory. I am aware that there are significant penalties for submitting false information, it
BrownWilliam E. •'
Permittee (or Authorizedc and print or tviDe
GUI-59 Rev. 1
mg/L Effluent Total VOCs:
nature of Permittee (or Authorized Apent)
mg/L VOC Removal%
(Date)
7/29/2021

SUBMIT FORM ON YELLOW PAPER ONLY
••
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
:
I
DVISION OF WATER RESOURCES - 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: 4/30/2022
Facility Name: City of Jacksonville Land Treatment System
Non -Discharge W00009267 UIC
Permit Name (if different):
NPDES Other
Facility Address:
716 Firetower Road
TYPE OF PERMITTED OPERATION BEING MONITORED
.iacksonville NC
28540 County Onslow
❑ Lagoon ❑ Remediation: Infiltration Gallery
(City) (State)
(Zip)
X Spray Field ❑Remediation:
Contact Person: Amy Palaschak
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name MW-2
No. of wells to be sampled: 17
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-2
Date sample collected: 6/28/2021
FIELD ANALYSES:
WAS
Well Depth: 17.0 ft.
Well Diameter: 2 in.
pH 00400: 5.4 units Temp. 0001c 22.6 °C
DRY at
Depth to Water Level 82546: 5.3 ft. below measuring point Screened Interval: 3 ft. to
13 ft. Spec. Cond. 00094: µMhos
time of
sampling,
Measuring Point is 2.4 ft. above land surface
Relative M.P. Elevation: 2.9 ft.
Odor 00085:
check
Volume of water pumped/bailed before sampling:
5.62
gallons
Appearance
here:❑
Samples for metals were collected unfiltered: X
YES
❑ NO and field acidified: X YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 6/28/2021
Laboratory Name: 1. Jacksonville 2.
Environmental Chemists Certification No. 1. 128 2. 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 01051 ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 0.05
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 <0.2
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 363
mg/L
Al -Aluminum 01105
mg/L
pH (Lab) 00403 5.39
units
Ba - Barium 01007
ug/L
TOC 00680 7.1
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 59
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 8
mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes (1) ® No (0)
pecific Conductance 00095
µMhos
K - Potassium 00937
mg/L VOC 7873 method # SM 6200C
Total Ammonia 00610 <0.1
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: 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
DWR-certified laboratory. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations.
William E. C • • ' �i;e /7/29/2021
Permittee (or Authorized Aqent) Name and Title - Please print or type Sicinature of Permittee (or Authorized Aqent) (Date)
1812013

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OF WATER RESOURCES - INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
161 r MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: Expiration Date: 4/30/2022
Facility Name: City of Jacksonville Land Treatment System
Non -Discharge WQ0009267 UIC
Permit Name (if different):
NPDES Other
Facility Address:
716 Firetower Road
TYPE OF PERMITTED OPERATION BEING MONITORED
jacksonville NC
28540 County Onslow
❑ Lagoon ❑ Remediation: Infiltration Gallery
(City) (State)
(Zip)
X Spray Field EJ Remediation:
Contact Person: Amy Palaschak
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name MW-3
No. of wells to be sampled: 17
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-3
Date sample collected: 6/29/2021
FIELD ANALYSES:
WAS
Well Depth: 17.0 ft.
Well Diameter: 2 in.
pH 00400: 4.7 units Temp. 000lc 23 °C
DRY at
Depth to Water Level 82546: 6 ft. below measuring point Screened Interval: 3 ft. to
13 ft. Spec. Cond. 00094: µMhos
time of
sampling,check
Measuring Point is 3.2 ft. above land surface
Relative M.P. Elevation: 2.8 ft.
Odor 00085:
Volume of water pumped/bailed before sampling:
5.28
gallons
Appearance
here:❑
Samples for metals were collected unfiltered: X
YES
❑ NO and field acidified: X YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 6/29/2021
Laboratory Name: 1. Jacksonville 2.
Environmental Chemists Certification No. 1. 128 2. 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 olo51 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 <0.2
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 33.5
mg/L
Al - Aluminum oilo5
mg/L
pH (Lab) 00403 4.69
units
Ba - Barium 01007
ug/L
TOC 00680 3.8
mg/L
Ca - Calcium oo916
mg/L
Chloride 00940 13
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 <5
mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes (1) ® No (0)
pecific Conductance 00095
µMhos
K - Potassium 00937
mg/L VOC 7873 method # SM 6200C
Total Ammonia oo6lo <0.1
mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen; NH3 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: mg/L VOC Removal%
William E. Brown - ORC
Permittee (or Authorized Aqent) Name and Title - Please print or type
Siqnature of Permittee (or Authorized Aqent) (Date)
GW-59 Rev.8/2013

SUBMIT FORM ON YELLOW PAPER ONLY
, �.
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
:
I
DVISION OF WATER RESOURCES - 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: 4/30/2022
Facility Name: City of Jacksonville Land Treatment System
Non -Discharge WQ0009267 UIC
Permit Name (if different):
NPDES Other
Facility Address:
716 Firetower Road
TYPE OF PERMITTED OPERATION BEING MONITORED
Jacksonville
28540 County Onslow
❑ Lagoon ❑ Remediation: Infiltration Gallery
(City) -._ .0
(Zip)
X Spray Field El Remediation:
Contact Person: Amy Palaschak
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name MW-4
No. of wells to be sampled: 17
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-4
Date sample collected: 6/29/2021
FIELD ANALYSES:
WAS
Well Depth: 1&0 ft.
Well Diameter: 2 in.
pH 00400: 4.8 units Temp. 0001( 22.8 °C
DRY at
Depth to Water Level 82546: 5.6 ft. below measuring point Screened Interval: 5.8 ft. to
14 ft. Spec. Cond. 00094: µMhos
time of
sampling,check
Measuring Point is 2.68 ft. above land surface
Relative M.P. Elevation: 2.92 ft.
Odor 00085:
Volume of water pumped/bailed before sampling:
4.99
gallons
Appearance
here:❑
Samples for metals were collected unfiltered: X
YES
❑ NO and field acidified: X YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 6/29/2021
Laboratory Name: 1. Jacksonville 2.
Environmental Chemists Certification No. 1. 128 2. 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 <0.02
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 <0.2
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 116
mg/L
Al - Aluminum 01105
mg/L
pH (Lab) 00403 4.84
units
Ba - Barium 01007
ug/L
TOC oo68o 1
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 37
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 30
mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes (1) ® No (0)
Specific Conductance 00095
µMhos
K - Potassium 00937
mg/L VOC 7873 method # SM 6200C
Total Ammonia 00610 <0.1
mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen; NH3 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: mg/L VOC Removal%
GW-59 Rev.8/2013

SUBMIT FORM ON YELLOW PAPER ONLY
• •
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OF WATER RESOURCES - 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: 4/30/2022
Facility Name: City of Jacksonville
Land Treatment System
Non -Discharge W00009267 UIC
NPDES Other
Permit Name (if different):
Facility Address:
716 Firetower Road
TYPE OF PERMITTED OPERATION BEING MONITORED
ElLagoon ❑ Remediation: Infiltration Gallery
acksonville 28540 County Onslow
(city)
X Spray Field ❑ Remediation:
Contact Person: Amy Palaschak
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name MW-5
No. of wells to be sampled: 17
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-5
Date sample collected: 6/23/2021
FIELD ANALYSES:
WAS
Well Depth: 18.1 ft.
Well Diameter: 2 in.
pH 0040o: 5.5 units Temp. 0001( 21.6 °C
DRY at
Depth to Water Level 82546: 6.5 ft. below measuring point Screened Interval: 5 ft. to
15 ft. Spec. Cond. 00094: µMhos
time of
sampling,check
Measuring Point is 2.57 ft. above land surface
Relative M.P. Elevation: 3.93 ft.
Odor 00085:
Volume of water pumped/bailed before sampling:
5.57
gallons
Appearance
here:❑
Samples for metals were collected unfiltered: X
YES
❑ NO and field acidified: X YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed. 6/23/2021
Laboratory Name: 1. Jacksonville 2.
Environmental Chemists Certification No. 1. 128 2.94
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615 <0.02
mg/L Pb - Lead oio51 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 <0.2
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
Dissolved Solids:Total 70300 39
mg/L
Al -Aluminum 01105
mg/L
pH (Lab) 00403 5.48
units
Ba - Barium 01007
ug/L
TOC 00680 0.3
mg/L
Ca - Calcium oo916
mg/L
Chloride 00940 <5
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 <5
mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes (1) ® No (0)
Specific Conductance 00095
µMhos
K - Potassium 00937
mg/L VOC 7873 method # SM 6200C
Total Ammonia 00610 <0.1
mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen, NH3asN, Ammonia Nitrogen, Total)
Mn - Manganese o1o55
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: mg/L VOC Removal%
GW-59 Rev.8/2013

SUBMIT FORM ON YELLOW PAPER ONLY
0.
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
:
DIVISION OF WATER RESOURCES - INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
,•
1917 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION
Please Print
Clearly or Type
PERMIT Number: Expiration Date: 4/30/2022
Facility Name:
City of Jacksonville
Land Treatment System
Non -Discharge WQ0009267 UIC
NPDES Other
Permit Name (if different):
Facility Address:
716 Firetower
Road
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
,acksonville 28540 County Onslow
(city)
i- (zip)
X Spray Field ❑ Remediation:
Contact Person:
Amy Palaschak
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name
MW-6
No. of wells to be sampled: 17
ElWater Source Heat Pump ElOther:
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit):
MW-6
Date sample collected: 6/23/2021
FIELD ANALYSES:
WAS
Well Depth: 16.8 ft.
Well Diameter: 2 in.
pH 00400: 5.8 units Temp. 0001c 23.6 °C
DRY at
Depth to Water Level 82546: 3.1
ft. below measuring point Screened Interval: 3.5 ft. to
14 ft. Spec. Cond. 00094: µMhos
time of
Measuring Point is 2.65 ft. above land surface
Relative M.P. Elevation: 0.45 ft.
Odor 00085:
sampling,check
Volume of water pumped/bailed before sampling: 6.58
gallons
Appearance
here:
❑
Samples for metals were collected unfiltered: X YES
❑ NO and field acidified: X YES El NO
LABORATORY INFORMATION
Date sample analyzed:
6/23/2021
Laboratory Name: 1. Jacksonville 2.
Environmental Chemists Certification No. 1. 128 2. 94
PARAMETERS NOTE: Values should
reflect dissolved
and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615 0.1
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 <0.2
mg/L
(Note: Use MPN method for highly turbid
samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300
338.5 mg/L
Al - Aluminum 01105
mg/L
pH (Lab) 00403
5.76 units
Ba - Barium 01007
ug/L
TOC 00680
14 mg/L
Ca - Calcium 00916
mg/L
Chloride 00940
14 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
21 mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes (1) ® No (0)
Specific Conductance 00095
µMhos
K - Potassium 00937
mg/L VOC 7873 method # SM 6200C
Total Ammonia 00610
<0.1 mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen; NH3as 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: mg/L VOC Removal%
Permittee (or Authorized Agent) Nar
GW-59 Rev.8/2013

SUBMIT FORM ON YELLOW PAPER ONLY
• •
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OF WATER RESOURCES - 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: 4/30/2022
Facility Name: City of Jacksonville Land Treatment System
Non -Discharge WQ0009267 UIC
Permit Name (if different):
NPDES Other
Facility Address:
716 Firetower Road
TYPE OF PERMITTED OPERATION BEING MONITORED
Jacksonville NC
28540 County Onslow
❑ Lagoon ❑ Remediation: Infiltration Gallery
(City) (State)
(Zip)
X Spray Field ❑Remediation:
Contact Person: Amy Palaschak
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name MW-7
No. of wells to be sampled: 17
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-7
Date sample collected: 6/23/2021
FIELD ANALYSES:
WAS
Well Depth: 15.0 ft.
Well Diameter: 2 in.
pH 00400: 4.1 units Temp. 000lo: °C
DRY at
Depth to Water Level 82546: 3.1 ft. below measuring point Screened Interval: 2.5 ft. to
13 ft. Spec. Cond. 00094: µMhos
time of
sampling,check
Measuring Point is 3 ft. above land surface
Relative M.P. Elevation: 0.1 ft.
Odor 00085:
Volume of water pumped/bailed before sampling:
5.71
gallons
Appearance
here:❑
Samples for metals were collected unfiltered: X
YES
❑ NO and field acidified: X YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 6/23/2021
Laboratory Name: 1. Jacksonville 2.
Environmental Chemists Certification No. 1. 128 2. 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 oio51 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 <0.2
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 153
mg/L
Al -Aluminum 01105
mg/L
pH (Lab) 00403 4.12
units
Ba - Barium 01007
ug/L
TOC 00680 8.9
mg/L
Ca - Calcium oo916
mg/L
Chloride 00940 70
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 47
mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes (1) ® No (0)
Specific Conductance 00095
µMhos
K - Potassium 00937
mg/L VOC 7873 method # SM 6200C
Total Ammonia 00610 <0.1
mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen; NH3 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'. 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
DWR-certified laboratory. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations.
William E. Brown - ORC
Permittee (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev.8/2013
Signature
i
Eed Agent)
(Date)
7/29/2021

JUtilVll I t-UKIVI UIV YLLLUVV I`AI'LK UNLY
• •
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OF WATER RESOURCES - 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: 4/30/2022
Facility Name: City of Jacksonville Land Treatment System
Non -Discharge WQ0009267 UIC
Permit Name (if different):
NPDES Other
Facility Address: 716 Firetower Road
TYPE OF PERMITTED OPERATION BEING MONITORED
Jacksonville County Onslow
❑ Lagoon ❑ Remediation: Infiltration Gallery
(city)
X Spray Field ❑ Remediation:
Contact Person: Amy Palaschak Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name MW-8 No. of wells to be sampled: 17
❑ Water Source Heat Pump ❑ Other:
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-8
Date sample collected:
6/23/2021
FIELD ANALYSES:
WAS
Well Depth: 12.1 ft.
Well Diameter:
2 in.
pH 00400: 4.3 units Temp. 0001c 21.5 °C
DRY at
Depth to Water Level 82546: 6.9 ft. below measuring point
Screened Interval:
3 ft. to
9 ft. Spec. Cond. 00094: µMhos
time of
Measuring Point is 3 ft. above land surface
Relative M.P. Elevation:
3.9 ft.
Odor 00085:
sampling,check
Volume of water pumped/bailed before sampling: 2.50 gallons
Appearance
here:[]
Samples for metals were collected unfiltered: X YES ❑ NO
and field acidified: X
YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 6/23/2021
Laboratory Name: 1. Jacksonville 2.
Environmental Chemists Certification No. 1. 128 2. 94
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615 <0.02
Coliform: MF Fecal 31616
<1
/100mL
Nitrate (NO3) as N 00620 <0.02
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 <0.2
(Note: Use MPN method for highly
turbid samples)
Orthophosphate 70507
issolved Solids:Total 70300
392.5
mg/L
Al - Aluminum 01105
pH (Lab) 00403
4.28
units
Ba - Barium 01007
TOC 00680
3.5
mg/L
Ca - Calcium 00916
Chloride 00940
<5
mg/L
Cd - Cadmium 01027
Arsenic 01002
ug/L
Chromium: Total 01034
Grease and Oils 00552
mg/L
Cu - Copper 01042
Phenol 32730
ug/L
Fe - Iron 01045
Sulfate 00945
139
mg/L
Hg - Mercury 71900
pecific Conductance 00095
µMhos
K - Potassium 00937
Total Ammonia 00610
<0.1
mg/L
Mg - Magnesium 00927
(Ammonia Nitrogen; NH, as N; Ammonia
Nitrogen, Total)
Mn -Manganese 01055
TKN as N 00625
mg/L
Ni - Nickel 01067
mg/L
mg/L
mg/L
mg/L
mg/L
ug/L
mg/L
ug/L
ug/L
mg/L
ug/L
ug/L
mg/L
mg/L
ug/L
ug/L
Pb - Lead o1o51
Zn - Zinc 01092
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 # SM 6200C
method #
method #
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs. mg/L VOC Removal%
William E. Brown - ORC
Permittee (or Authorized Aqent) Name and Title - Please print or type
GW-59 Rev.8/2013
Siqnature of Permittee (or
Agent)

SUBMIT FORM ON YELLOW PAPER ONLY
• •
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OF WATER RESOURCES - 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: 4/30/2022
Facility Name: City of Jacksonville Land Treatment System
Non -Discharge WQ0009267 UIC
Permit Name (if different):
NPDES Other
Facility Address:
716 Firetower Road
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
Jacksonville County Onslow
(city)
X Spray Field ❑ Remediation:
Contact Person: Amy Palaschak
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name MW-9
No. of wells to be sampled: 17
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-9
Date sample collected: 6/23/2021
FIELD ANALYSES:
WAS
Well Depth: 14.0 ft.
Well Diameter: 2 in.
pH 00400: 3.2 units Temp. 000lo: °C
DRY at
Depth to Water Level 82546: 7.2 ft. below measuring point Screened Interval: 7 ft. to
11 ft. Spec. Cond. 00094: µMhos
time of
Measuring Point is 2.55 ft. above land surface
Relative M.P. Elevation: 4.65 ft.
Odor 00085:
sampling,check
Volume of water pumped/bailed before sampling:
3.26
gallons
Appearance
here:❑
Samples for metals were collected unfiltered: X
YES
❑ NO and field acidified: X YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed 6/23/2021
Laboratory Name: 1. Jacksonville 2.
Environmental Chemists Certification No. 1. 128 2. 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 <0.02
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P oo665 <0.2
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
Dissolved Solids:Total 70300 287.5
mg/L
Al - Aluminum oilo5
mg/L
pH (Lab) 00403 3.19
units
Ba - Barium 01007
ug/L
TOC 00680 2.3
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 6
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 102
mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes (1) ® No (0)
Specific Conductance 00095
µMhos
K - Potassium 00937
mg/L VOC 7873 method # SM 6200C
Total Ammonia 00610 <0.1
mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen; NH, as N, Ammonia Nitrogen, Total)
Mn - Manganese olo55
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: mg/L VOC Removal%a
Permittee (or Authorized Aqent) Name and Title - Please print or tVPe Siqnature of Permittee (or Authorized Agent) (Date)
GW-59 Rev.8/2013

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
• •
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
DIVISION OF WATER RESOURCES - 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: 4/30/2022
Facility Name: City of
Jacksonville
Land Treatment System
Non -Discharge WQ0009267 UIC
NPDES Other
Permit Name (if different):
Facility Address:
716 Firetower Road
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon El Remediation: Infiltration Gallery
Jacksonville - County Onslow
(city)
X Spray Field ❑ Remediation:
Contact Person: Amy Palaschak
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name MW-10
No. of wells to be sampled: 17
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-10
Date sample collected: 6/23/2021
FIELD ANALYSES:
WAS
Well Depth: 30.1 ft.
Well Diameter: 2 in.
pH 00400: 6.4 units Temp. 000lc 22.1 °C
DRY at
Depth to Water Level 82546: 7.7 ft. below measuring point Screened Interval: 17 ft. to
27
ft. Spec. Cond. 00094: µMhos
time of
Measuring Point is 2.9 ft. above land surface
Relative M.P. Elevation: 4.8 ft.
Odor 000ss:
sampling,check
Volume of water pumped/bailed before sampling:
10.75 gallons
Appearance
here:[]
Samples for metals were collected unfiltered: X
YES
❑ NO and field acidified: X YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 6/23/2021
Laboratory Name: 1. Jacksonville 2.
Environmental Chemists Certification No. 1. 128 2.94
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 0.04
mg/L
Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 0.65
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 657
mg/L
Al - Aluminum oil o5
mg/L
pH (Lab) 00403 6.4
units
Ba - Barium 01007
ug/L
TOC 00680 2
mg/L
Ca - Calcium oo916
mg/L
Chloride 00940 14
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 167
mg/L
Hg - Mercury 71900
ug/L
Lab Report Attached? ❑ Yes (1) ® No (0)
Specific Conductance 00095
µMhos
K - Potassium 00937
mg/L
VOC 7873 method # SM 6200C
Total Ammonia 00610 <0.1
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: mg/L VOC Removal%
William E. Brown - ORC
Permittee (or Authorized Aqent) Name and Title - Please print or type
GW-59 Rev.8/2013

SUBMIT FORM ON YELLOW PAPER ONI Y
GROUNDWATER QUALITY MONITORING:
, •,
:
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
DIVISION OF WATER RESOURCES - 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: 4/30/2022
Facility Name: City of Jacksonville Land Treatment System
Non -Discharge WQ0009267 UIC
Permit Name (if different):
NPDES Other
Facility Address:
716 Firetower Road
TYPE OF PERMITTED OPERATION BEING MONITORED
Jacksonville NC
28540 CountyOnslow
❑ Lagoon ❑ Remediation: Infiltration Gallery
(City) (state)
(zip)
X Spray Field ❑ Remediation:
Contact Person: Amy Palaschak
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name MW-11
No. of wells to be sampled: 17
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MWA 1
Date sample collected: 6/29/2021
FIELD ANALYSES:
WAS
Well Depth: 22.2 ft.
Well Diameter: 2 in.
pH 00400: 4.8 units Temp. 0001( 20.5 °C
DRY at
Depth to Water Level 82546: 8.8 ft. below measuring point Screened Interval: 5 ft. to
20
ft. Spec. Cond. 00094: µMhos
time of
Measuring Point is 2.25 ft. above land surface
Relative M.P. Elevation: 6.55 ft.
Odor 0008s:
sampling,
check
Volume of water pumped/bailed before sampling:
6.43
gallons
Appearance
here-0
Samples for metals were collected unfiltered: X
YES
❑ NO and field acidified: X YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 6/29/2021
Laboratory Name: 1. Jacksonville 2.
Environmental Chemists Certification No. 1. 128 2. 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 0.46
mg/L Zn -Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 <0.2
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 56
mg/L
Al -Aluminum 01105
mg/L
pH (Lab) 00403 4.76
units
Ba - Barium 01007
ug/L
TOC 00680 <0.5
mg/L
Ca - Calcium oo916
mg/L
Chloride 00940 6
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 <5
mg/L
Hg - Mercury 71900
ug/L
Lab Report Attached? ❑ Yes (1) ® No (0)
pecific Conductance 00095
µMhos
K - Potassium 00937
mg/L
VOC 7873 method # SM 6200C
Total Ammonia 00610 <0.1
mg/L
Mg - Magnesium 00927
mg/L
method #
(Ammonia Nitrogen; NH3as N; Ammonia Nitrogen, Total)
Mn - Manganese 01055
ug/L
method #
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L
method #
For Remedlation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
William E. Brown - ORC
Permittee (or Authorized Aqent) Name and Title - Please print or type
GW-59 Rev.8/2013

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
• •
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
DIVISION OF WATER RESOURCES - 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: 4/30/2022
Facility Name: City of Jacksonville Land Treatment System
Non -Discharge WQ0009267 UIC
Permit Name (if different):
NPDES Other
Facility Address:
716 Firetower Road
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
Jacksonville NC 28540 County Onslow
(city) (State)
(zip)
X Spray Field ❑ Remediation:
Contact Person: Amy Palaschak
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name MW-12
No. of wells to be sampled: 17
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-12
Date sample collected: 6/23/2021
FIELD ANALYSES:
WAS
Well Depth: 18.3 ft.
Well Diameter: 2 in.
pH 00400: 5.3 units Temp. 0001c 24.5 °C
DRY at
Depth to Water Level 82546: 5.1 ft. below measuring point Screened Interval: 5 ft. to
15 ft. Spec. Cond. 00094: µMhos
time of
Measuring Point is 3.04 ft. above land surface
Relative M.P. Elevation: 2.06 ft.
Odor 000ss:
sampling,check
Volume of water pumped/bailed before sampling:
6.34
gallons
Appearance
here:❑
Samples for metals were collected unfiltered: X
YES
❑ NO and field acidified: X YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 6/23/2021
Laboratory Name: 1. Jacksonville 2.
Environmental Chemists Certification No. 1.128 2.94
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615 0.03
mg/L Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 0.07
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 <0.2
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 166.5
mg/L
Al - Aluminum 01105
mg/L
pH (Lab) 00403 5.31
units
Ba - Barium 01007
ug/L
TOC 00680 20.1
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 5
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 12
mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes (1) ® No (0)
Specific Conductance 00095
µMhos
K - Potassium 00937
mg/L VOC 7873 method # SM 6200C
Total Ammonia 00610 <0.1
mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen; NH, as N; Ammonia Nitrogen, Total)
Mn -Manganese oloss
uglL ,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: mg/L VOC Removal%
William E
Permittee (or Authorized Agent) Name and Title -
GW-59 Rev.8/2013

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
• •
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
• •
DIVISION OF WATER RESOURCES - 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: 4/30/2022
Facility Name: City of
Jacksonville
Land Treatment System
Non -Discharge WQ0009267 UIC
NPDES Other
Permit Name (if different):
Facility Address:
716 Firetower Road
TYPE OF PERMITTED OPERATION BEING MONITORED
El Lagoon ❑ Remediation: Infiltration Gallery
Jacksonville County Onslow
(city)
X Spray Field ❑ Remediation:
Contact Person: Amy Palaschak
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name MW-13
No. of wells to be sampled: 17
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-13
Date sample collected: 6/23/2021
FIELD ANALYSES:
WAS
Well Depth: 23.2 ft.
Well Diameter: 2 in.
pH 00400: 4.6 units Temp. 000lc 21.7 °C
DRY at
Depth to Water Level 82546: 14 ft. below measuring point Screened Interval: 10.5 ft. to
23.2 ft. Spec. Cond. 00094: µMhos
time of
Measuring Point is 2.75 ft. above land surface
Relative M.P. Elevation: 11.35 ft.
Odor 00085:
sampling,check
Volume of water pumped/bailed before sampling:
4.37
gallons
Appearance
here:❑
Samples for metals were collected unfiltered: X
YES
❑ NO and field acidified: X YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 6/23/2021
Laboratory Name: 1. Jacksonville 2.
Environmental Chemists Certification No. 1. 128 2.94
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD00335
mg/L
Nitrite (NO2) as N 00615 <0.02
mg/L Pb - Lead 01051 u9 /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 <0.2
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 45
mg/L
Al - Aluminum oilo5
mg/L
pH (Lab) 00403 4.61
units
Ba - Barium 01007
ug/L
TOC oo68o 1.7
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 22
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 <5
mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes (1) ® No (0)
Specific Conductance 00095
µMhos
K - Potassium 00937
mg/L VOC 7873 method # SM 6200C
Total Ammonia 00610 0.13
mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen; NH, as N, Ammonia Nitrogen, Total)
Mn -Manganese oloss
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: mg/L VOC Removal%
William E. Brown - ORC
Permittee (or Authorized Aqent) Name and Title - Please print or type
GW-59 Rev.8/2013

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
• •
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
DIVISION OF WATER RESOURCES - 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: 4/30/2022
Facility Name: City of Jacksonville
Land Treatment System
Non -Discharge WQ0009267 UIC
NPDES Other
Permit Name (if different):
Facility Address:
716 Firetower Road
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
acksonville NC County Onslow
(city) (State)
(zip)
X Spray Field ❑ Remediation:
Contact Person: Amy Palaschak
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name MW-14
No. of wells to be sampled: 17
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-14
Date sample collected: 6/23/2021
FIELD ANALYSES:
WAS
Well Depth: 17.9 ft.
Well Diameter: 2 in.
pH 00400: 4.7 units Temp. 0001c 22.3 °C
DRY at
Depth to Water Level 82546: 10 ft. below measuring point Screened Interval: 5 ft. to
15 ft. Spec. Cond. 00094: µMhos
time of
Measuring Point is 3.2 ft. above land surface
Relative M.P. Elevation: 6.9 ft.
Odor 00085:
sampling,check
Volume of water pumped/bailed before sampling:
3.74
gallons
Appearance
here:❑
Samples for metals were collected unfiltered: X
YES
❑ NO and field acidified: X YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 6/23/2021
Laboratory Name: 1. Jacksonville 2.
Environmental Chemists Certification No. 1. 128 2. 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 0.03
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 <0.2
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids -.Total 70300 56
mg/L
Al -Aluminum 01105
mg/L
pH (Lab) oo403 4.7
units
Ba - Barium 01007
ug/L
TOC 00680 15.1
mg/L
Ca - Calcium oo9i6
mg/L
Chloride 00940 11
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 <5
mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes (1) ® No (0)
Specific Conductance 00095
µMhos
K - Potassium 00937
mg/L VOC 7873 method # SM 6200C
Total Ammonia 00610 1.46
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: mg/L VOC Removal%
William E. Brown - ORC
Permittee (or Authorized Aqent) Name and Title - Please print or type
GW-59 Rev.8/2013
of Permittee (or Authorized Aqent)
water

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
FACILITY INFORMATION Please Print Clearly or Type
Facility Name: City of Jacksonville Land Treatment System
Permit Name (if different):
Facility Address: 716 Firetower Road
Jacksonville INC 28540 County Onslow
(City) (State`. (zip)
Contact Person: Amy Palaschak Telephone#: [phone]
Well Location/Site Name MW-15 No. of wells to be sampled: 17
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
DIVISION OF WATER RESOURCES - INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
PERMIT Number: Expiration Date: 4/30/2022
Non -Discharge W00009267 UIC
NPDES Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
X Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-15
Date sample collected:
6/28/2021
FIELD ANALYSES:
WAS
Well Depth: 15 ft.
Well Diameter:
2 in.
pH 00400: 4.7 units Temp. 000lc 23 oC
DRY at
Depth to Water Level 82546: 3.8 ft. below measuring point
Screened Interval:
5 ft. to 15 ft.
Spec. Cond. 00094: µMhos
time of
Measuring Point is 2.9 ft. above land surface
Relative M.P. Elevation:
0.9 ft.
Odor 00085:
sampling,check
Volume of water pumped/bailed before sampling: 5.38 gallons
Appearance
here:
❑
Samples for metals were collected unfiltered: X YES ❑ NO
and field acidified: X
YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 6/28/2021 Laboratory Name: 1. Jacksonville 2. Environmental Chemists Certification No. 1. 128 2. 94
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615 <0.02
Coliform: MF Fecal 31616
<1
/100mL
Nitrate (NO3) as N 00620 3.41
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 <0.2
(Note: Use MPN method for highly
turbid samples)
Orthophosphate 70507
)issolved Solids:Total 70300
81
mg/L
Al -Aluminum 01105
pH (Lab) 00403
4.73
units
Ba - Barium 01007
TOC 00680
0.9
mg/L
Ca - Calcium oo916
Chloride 00940
35
mg/L
Cd - Cadmium 01027
Arsenic 01002
ug/L
Chromium: Total 01034
Grease and Oils 00552
mg/L
Cu - Copper 01042
Phenol 32730
ug/L
Fe - Iron 01045
Sulfate 00945
<5
mg/L
Hg - Mercury 71900
Specific Conductance 0009s
µMhos
K - Potassium 00937
Total Ammonia 00610
<0.1
mg/L
Mg - Magnesium 00927
(Ammonia Nitrogen; NH. as N; Ammonia
Nitrogen, Total)
Mn -Manganese 01055
TKN as N 00625
mg/L
Ni - Nickel 01067
mg/L
mg/L
mg/L
mg/L
mg/L
ug/L
mg/L
ug/L
ug/L
mg/L
ug/L
ug/L
mg/L
mg/L
ug/L
ug/L
Pb - Lead 01051
Zn - Zinc 01092
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 # SM 6200C
method #
method #
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
William E. Brown - ORC
Permittee (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev.8/2013
of Nermttee (or Authorized Aqent)

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
AM
M.DIVISION
EPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
OF WATER RESOURCES - INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
17 MAIL SERVICE CENTER, RALEIGH, INC 27699-1617 Phone: [phone]
FACILITY INFORMATION
Please Print
Clearly or Type
PERMIT Number: Expiration Date: 4/30/2022
Facility Name:
City of Jacksonville Land Treatment System
Non -Discharge WQ0009267 UIC
Permit Name (if different):
NPDES Other
Facility Address:
716 Firetower Road
TYPE OF PERMITTED OPERATION BEING MONITORED
El Lagoon El Remediation: Infiltration Gallery
Jacksonville 28540 County Onslow
(city)
(Zip)
X Spray Field ❑ Remediation:
Contact Person:
Amy Palaschak
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name
MW-16
No. of wells to be sampled: 17
❑ Water Source Heat Pump ❑ Other:
from Permit)
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit):
MW-16
Date sample collected: 6/29/2021
FIELD ANALYSES:
WAS
Well Depth: 25 ft.
Well Diameter: 2 in.
pH 00400: 4.9 units Temp. 0001c 23.8 °C
DRY at
Depth to Water Level 82546: 8.6
ft. below measuring point Screened Interval: 15 ft. to
20
ft. Spec. Cond. 00094: µMhos
time of
Measuring Point is 2.4 ft. above land surface
Relative M.P. Elevation: 6.2 ft.
Odor 000ss:
sampling,check
Volume of water pumped/bailed before sampling: 7.87
gallons
Appearance
here:❑
Samples for metals were collected unfiltered: X YES
❑ NO and field acidified: X YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed:
6/29/2021
Laboratory Name: 1. Jacksonville 2.
Environmental Chemists Certification No. 1. 128 2. 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 olo51 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 <0.2
mg/L
(Note: Use MPN method for highly turbid
samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300
67 mg/L
Al -Aluminum oilo5
mg/L
pH (Lab) oo403
4.85 units
Ba - Barium 01007
ug/L
TOC oo6so
0.8 mg/L
Ca - Calcium 00916
mg/L
Chloride 00940
20 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
7 mg/L
Hg - Mercury 71900
ug/L
Lab Report Attached? ❑ Yes (1) ® No (0)
pecific Conductance 00095
µMhos
K - Potassium 00937
mg/L
VOC 7873 method # SM 6200C
Total Ammonia 00610
<0.1 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: mg/L VOC Removal%
rerminee (or mutnorizea /Agent) IVame ana I me
GW-59 Rev.8/2013

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
•
•
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
DIVISION OF WATER RESOURCES - 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: 4/30/2022
Facility Name: City of Jacksonville Land Treatment System
Non -Discharge WQ0009267 UIC
Permit Name (if different):
NPDES Other
Facility Address:
716 Firetower Road
TYPE OF PERMITTED OPERATION BEING MONITORED
Jacksonville NC
28540 County Onslow
❑ Lagoon ❑ Remediation: Infiltration Gallery
(City) (state)
(zip)
X Spray Field ❑ Remediation:
Contact Person: Amy Palaschak
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name MW-17
No. of wells to be sampled: 17
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-17
Date sample collected: 6/29/2001
FIELD ANALYSES:
WAS
Well Depth: 25 ft.
Well Diameter: 2 in.
pH 00400: 4.5 units Temp. 0001c 22.8 °C
DRY at
Depth to Water Level 82546: 6.3 ft. below measuring point
Screened Interval: 15 ft. to
20 ft. Spec. Cond. 00094: µMhos
time of
Measuring Point is 1.9 ft. above land surface
Relative M.P. Elevation: 4.4 ft.
Odor 000ss:
sampling,check
Volume of water pumped/bailed before sampling:
8.98
gallons
Appearance
here:[]
Samples for metals were collected unfiltered: X
YES
❑ NO and field acidified: X YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed. 6/29/2001
Laboratory Name: 1. Jacksonville 2.
Environmental Chemists Certification No. 1. 128 2. 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 o1o51 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 <0.2
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 133.5
mg/L
Al -Aluminum 01105
mg/L
pH (Lab) 00403 4.53
units
Ba - Barium 01007
ug/L
TOC 00680 1.2
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 25
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 8
mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes (1) ® No (0)
Specific Conductance 00095
µMhos
K - Potassium 00937
mg/L VOC 7873 method # SM 6200C
Total Ammonia 00610 <0.1
mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen; NH3 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: mg/L VOC Removal%
William E. Brown - ORC
Permittee (or Authorized Aqent) Name and Title - Please print or type
GW-59 Rev.8/2013