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DWR - NonDischarge Monitoring Report Submittal •4 ..
NORTH CAROLINA
Enrlranmenlel QHaflly
Monitoring Report Submittal
..............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
Permit Number#* WQ0031030
Name of Facility:* Shawboro Elementary
Month:* July Year:* 2021
Report Information
Type* Upload Document*
GW-59 07-2021 Signed.pdf 574.41 KB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2,NDMLR,GW-59).
Confirmation Email Address:* rmanning@envirolinkinc.com
Name of Submitter:* Rebecca Manning
Signature:
Date of submittal: 10/12/2021
This will be filled in automatically
Initial Review
.............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
Reviewer: Mokashi, Poorva
Is the project number correct?* WQ0031030
Is the monitoring report accepted?* Yes No
Regional Office* Washington
Accepted Date: 10/16/2021
SUBMIT FORM ON YELLOW PAPER ONLY
Mail original DEPARTMENT OF ENVIRONMENTAL QUALITY-DIV.OF WATER RESOURCES
GROUNDWATER QUALITY MONITORING: INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM and 1 copy to: 1617 MAIL SERVICE CENTER,RALEIGH,NC27699-1617
FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date: 7/31/2021
Facility Name: Shawboro(North Elementary) Non-Discharge W00031030 UIC
Permit Name (if different): NPDES Other
Facility Address: TYPE OF PERMITTED OPERATION BEING MONITORED
Shawboro - NC 23976 County Currituck ❑ Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
Contact Person: John Pruitt Telephone#: 252-245-6632 ❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name:MW1 surrounds holding pond No. of wells to be sampled: 2 ❑ Water Source Heat Pump ❑■ Other:
(from Permit)
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): MW1 Date sample collected: 7/20/2021 FIELD ANALYSES: WAS
Well Depth: 21.9 ft. Well Diameter: 2 in. pH 00400: units Temp. 00010: 21.6 °C DRY at
Mhos time of
Depth to Water Level 82546:5.7 ft. below measuring point Screened Interval: ft. to 15.2 ft. Spec. Cond. 00094: µ sampling,
Measuring Point is 1.5 ft. above land surface Relative M.P. Elevation: ft. Odor 00085: None check
Volume of water pumped/bailed before sampling: 5 gallons Appearance Brown/Tan here:
Samples for metals were collected unfiltered: •YES ❑ NO and field acidified: •YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed:8/4/2021 Laboratory Name: Environmental Chemist 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 <1.0 /100mL Nitrate (NO3)as N 00620 0.13 mg/L Zn-Zinc o1092 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):
Dissolved Solids:Total 70300 332 mg/L Al-Aluminum 01105 mg/L
pH (Lab)00403 6.4 units Ba-Barium 01007 ug/L
TOC 00680 5.8 mg/L Ca-Calcium 00916 mg/L
Chloride 00940 15 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 7873 , method#
Total Ammonia 00610 <0.20 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 possib Vof fines and imprisonment for knowing violations.
Rebecca Manning, Compliance Coordinator _ Atf J/ 10/11/2021
Permittee(or Authorized Agent)Name and Title-Please print or type Signatur of ermittee(or Au-orized Ager ' � (Date)
GW-59 Rev.06-07-2018
SUBMIT FORM ON YELLOW PAPER ONLY
Mail original DEPARTMENT OF ENVIRONMENTAL QUALITY-DIV.OF WATER RESOURCES
GROUNDWATER QUALITY MONITORING: INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM and 1 copy to: 1617 MAIL SERVICE CENTER,RALEIGH,NC 27699-1617
FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date: 7/31/2021
Facility Name: Shawboro(North Elementary) Non-Discharge W00031030 UIC
Permit Name (if different): NPDES Other
Facility Address: TYPE OF PERMITTED OPERATION BEING MONITORED
Shawboro - NC 23976 County Currituck ❑ Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
Contact Person: John Pruitt Telephone#: 252-245-6632 ❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name:MW2 surrounds holding pond No. of wells to be sampled: 2 ❑ Water Source Heat Pump ❑■ Other:
(from Permit)
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): MW2 backside of upset pond Date sample collected: 7/20/2021 FIELD ANALYSES: WAS
Well Depth: 21.9 ft. Well Diameter: 2 in. pH 00400: units Temp. 00o10: 21.0 °C DRY at
Mhos time of
Depth to Water Level 82546:5.7 ft. below measuring point Screened Interval: ft. to 15.2 ft. Spec. Cond. 00094: µ sampling,
Measuring Point is 1.5 ft. above land surface Relative M.P. Elevation: ft. Odor 00085: None check
Volume of water pumped/bailed before sampling: 5 gallons Appearance Tan here:
Samples for metals were collected unfiltered: ■❑YES ❑ NO and field acidified: ■❑YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed:8/14/2021 Laboratory Name: Environmental Chemist 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 2.0 /100mL Nitrate (NO3)as N 00620 0.08 mg/L Zn-Zinc o1092 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):
Dissolved Solids:Total 70300 157 mg/L Al-Aluminum 01105 mg/L
pH (Lab)00403 6.0 units Ba-Barium 01007 ug/L
TOC 00680 4.4 mg/L Ca-Calcium 00916 mg/L
Chloride 00940 180 mg/L Cd-Cadmium 01027 ug/L
Arsenic 01002 ug/L Chromium: Total 01034 ug/L
Grease and Oils oossz 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 7873 , method#
Total Ammonia 00610 <0.20 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 ity of fines and imprisonment for knowing violations.
Rebecca Manning, Compliance Coordinator .I I �_ �� ii kil _ 10/11/2021
Permittee(or Authorized Agent)Name and Title-Please print or type Signa lire of Permittee(or Autho ed A en)3 A (Date)
GW-59 Rev.06-07-2018
SUBMIT FORM ON YELLOW PAPER ONLY
Mail original DEPARTMENT OF ENVIRONMENTAL QUALITY-DIV.OF WATER RESOURCES
GROUNDWATER QUALITY MONITORING: INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM and 1 copy to: 1617 MAIL SERVICE CENTER,RALEIGH,NC27699-1617
FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date: 7/31/2021
Facility Name: Shawboro(North Elementary) Non-Discharge W00031030 UIC
Permit Name (if different): NPDES Other
Facility Address: TYPE OF PERMITTED OPERATION BEING MONITORED
Shawboro ' NC 23976 County Currituck ❑ Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
Contact Person: John Pruitt Telephone#: 252-245-6632 ❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name:MW3 surrounds holding pond No. of wells to be sampled: 2 ❑ Water Source Heat Pump ❑■ Other:
(from Permit)
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): MW3 Date sample collected: 7/20/2021 FIELD ANALYSES: WAS
Well Depth: 22.1 ft. Well Diameter: 2 in. pH 00400: units Temp. 00o10: 21.2 °C DRY at
Mhos time of
Depth to Water Level 82546:5.4 ft. below measuring point Screened Interval: ft. to 15.2 ft. Spec. Cond. 00094: µ sampling,
Measuring Point is 1.5 ft. above land surface Relative M.P. Elevation: ft. Odor 00085: None check
Volume of water pumped/bailed before sampling: 5 gallons Appearance Clear/Cloudy here:
Samples for metals were collected unfiltered: ■❑YES ❑ NO and field acidified: ■❑YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed:8/4/2021 Laboratory Name: Environmental Chemist 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 5.0 /100mL Nitrate (NO3)as N 00620 0.02 mg/L Zn-Zinc o1092 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):
Dissolved Solids:Total 70300 87 mg/L Al-Aluminum 01105 mg/L
pH (Lab)00403 6.2 units Ba-Barium 01007 ug/L
TOC 00680 2.1 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 oossz 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 7873 , 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: 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-fie ptgsility of fines and imprisonment for knowing violations.
Rebecca Manning, Compliance Coordinator F ' __ �� nAi 10/11/2021
Permittee(or Authorized Agent)Name and Title-Please print or type Sign-lure of Permittee(or Authorized '..en (Date)
GW-59 Rev.06-07-2018