HomeMy WebLinkAboutWQ0000185_Monitoring - 09-2021_20211031Monitoring Report Submittal
Permit Number #* WQ0000185
Name of Facility:* Ocean Sands Wastewater Treatment Plant
Month: * September Year: * 2021
Report Information
Type* Upload Document*
Revised - GW-59 Oceans Sands 286.8KB
G W 59_ 10312021141000. pd f
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
Confirmation Email Address:* rod.holley@currituckcountync.gov
Name of Submitter: * Rod Holley
Signature:
Date of submittal: 10/31/2021
This will be filled in automatically
Initial Review
Reviewer: Saunders, Erickson G
Is the project number correct?* WQ0000185
Is the monitoring report accepted?* Yes No
Regional Office* Washington
Accepted Date: 11/1/2021
GW-59A COMPLIANCE REPORT FORM Permit # • ' O L c7 c�
(Submit one each monitoring period with GW--59 forms.)
Enter date monitoring results were due. 2-Will this monitoring report (GW49 and GW-59A)
YES
NO`
be 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 I or 2 is 'YES", list in the space provided below the well identfcation number(s) and
explain the problems encountered in obtaining the required information.
3
Are any of the moultor 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 concentration(s)
exceeding standards in the space provided below.
mW-7 trait?"1
t%�3.� Z'a T05 " (al Z Nllij, t� N1�3
6f�
� '
- 1
5
For the constituents identified in question 4 above, have standards been exceeded previously for the I
YES
NO
same constituent(s) in the same well(s) in the last two years?
If the answer to question 5 is "NO", skip to section 8.
If the answer to question 5 is "YES" list in the space provided below, each well with constituent(s) exceeding
standards, concentration(s) reported, and sample collection date for each occurrence (for the last two years),
In12-
6
Are the monitoring wells listed in section 5 located at or beyond the review boundary?
YES
.0
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
NO
groundwater quality problem?
If the answer to question 7 is "YES", describe those actions in the space provided below.
if the answer to question 7 is "NO" contact the 92al7onal Office within 90 days: an evaluation may be
reyuMed to determine the impact the waste disposal system is having at the review and compliance
boundaries surrounding this facility, Failure to do so maz sub ect the penniffee to a Notice of Violation
Imes, andlor penalties. 4 � t�j D O 1 �� � Q A CN 4; � h �
[tom Y)� i kv &lk f+,4 � Co rat C:EC,�aty`
S
The person completing this portion (GIN--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.
l heraby.ackhowledge that the,above informatiah was evaluated and the inforrttatcon submitted In this
report,(Contpllance_Report GW-69A) [s use anti complete io tha best, of,my_knowledge. .
10 -z9- Z/
Signature of Permittee (orAuthorized Agent) Date
GW-59A 12/8/2003
SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
• .
DEPARTMENT OF i^N111R4NAAENT &:NATURAL RESOURCE$
DtvisloN t)F WAiER QUALtTYdNFQRMATiON;PR�E8SiN®UNIT
COMPLIANCE REPORT FORM
t617A9AILSPRYICEG�NiTE�t iY,4LllGN NCL769s,181/. hona,t89g) i31y221
FACILITY INFORMATION
Please PAW claarlyorType
PERMIT Number: WQ0000185 Expiration Date: 6/30/2024
Facility Natrle. Ocean Sands
Non -Discharge UIC
Permit Name (if different):
NPDES Other
Facility Address: 741 Ocean Trail
TYPE OF PERMITTED OPERATION BEING MONITORED
Corolla s""' NC
27927 County Currituck
❑ Lagoon ❑ Remediation: Infiltration Gallery
��tlty„
=zi,o
❑ Spray Feld ❑ Remediation:
Contact Person: Rod Holley
Telephone#: 252-232-6065
❑ Rotary Distributor ElLand Application of Sludge
Well Location/Site Name: Ocean Sands
No. of wells to be sampled: 5
❑ Water Source Heat Pump ® Other: Infiltration
from Pemrll
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit); MW4
Date sample collected: 9/17/21
FIELD ANALYSES:
WAS
Well Depth: 17.6 ft,
Well Diameter: 3 in.
pH 00400: 7.0 units Temp. 000lo: 25.6 eC
DRY at
Depth to Water Level 82546:9.3 ft. below measuring point Screened Interval: 12 ft.
to 17 ft. Spec. Cond. 00094: gMhos
time of
Measuring Point is 2 ft. above land surface
Relative M.P. Elevation:
ft. Odor ooam: none
sampling,
shack
Volume of water pumped/bailed before sampling:
5.0
gallons
Appearance Clear
here:❑
Samples for metals were collected unfiltered: ® YES
❑ NO and field acidified: ❑ YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed:9/17121
Laboratory Name: Enviro Chem
Certification No. 94
PARAMETERS NOTE: Values should reflect
dissolved
and colloidal concentrations.
COD 00335
mglL
Nitrite (NO2) as N 00615 a0.02
mg/L Pb - Lead wo51 ug/L
Coliform: MF Fecal 31616 119
1100mL
Nitrate (NO3) as N 00620 ,16
mg/L Zn - Zinc 01092 mglL
Coliform: MF Total 315o4
/100mL
Phosphorus: Total as P oo665 2.96
mg/L
(Nolo: Use MPN method for highly turbld sates)
Orthophosphate 70507
mg1L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 7o3oo 601
mg1L
Al - Aluminum olim
mg/L
pH (Lab) 00403 7,0
units
Be - Barium 01007
ug/L
TOC 006eo 4.3
mglL
Ca - Calcium oogie
mg/L
Chloride 0094o 202
mg/L
Cd - Cadmium 01027
uglL
Arsenic 01002
ug/L
Chromium: Total 01034
ug/L
Grease and Oils 00552
mg1L
Cu - Copper 01042
mglL ORGANICS: (by GC, GCIMS, HPLC)
Phenol 32730
ug/L
Fe - Iron of o45
ug/L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate oo945
mg/L
Hg - Mercury 71900
ug1L Lab Report Attached? ❑ Yes(l) ❑ No (0)
Specific Conductance 00095
µMhos
K - Potassium 00937
mg/L VOC 78732: method #
Total Ammonia 00610 2.7
mg1L
Mg - Magnesium 00927
mglL method #
(Ammonia Nitrogen; NHsas N; Ammoraa Nitrogen. Total)
Mn - Manganese o1 o55
ug/L method #
TKN as N 00625
mg/L
Ni - Nickel 01067
uglL method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs:
Rod Holley Wastewater Superintendent Trainee
Permittee (or Authorized Agent) Name and Title - Please print or type
mg1L Effluent Total VOCs:
t�
ure of Permittee
mg/L VOC Removai%
10/29/21
GW-59 Rev.2/2010
SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
DEPARTMENT OF EMViR4NMl=N r &;NATURAL RESOUriCE8
DIVtSIONQFINATERQUALITY-INFORNIAIiONPROCESSIN[iUNIf
COMPLIANCE REPORT FORM
1si;: AIL,sERNICE GEN7eR, At apt NCR 591l 1a r p'ltnne` (st8) T33 32z1
FACILITY INFORMATION
Please PAntClearfyorTypo
PERMIT Number: WQ0000185 Expiration Date: 6/30/2024
Facility Name: Ocean Sands
Non -Discharge UIC
Permit Name (if different):
NPDES Other
Facility Address: 741 Ocean Trail
TYPE OF PERMITTED OPERATION BEING MONITORED
Coroila ts""i' NC
27927 County Currifuck
❑Lagoon ElRemediatlon: infiltration Gallery
(Cil-yi lSL7l�.?7
lZ�g1
❑ Spray Field ❑ Remediation:
Contact Person: Rod Holley
Telephone#: 252-232-6065
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Ocean Sands
No. of wells to be sampled: 5
❑ Water Source Heat Pump ® Other: Infiltration
from Penn€t)
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW5
Date sample collected: 9117/21
FIELD ANALYSES:
WAS
Well Depth: 17.6 ft.
Well Diameter: 3 in,
pH 00400: 6.8 units Temp. oo01o: 26A °C
DRY at
Depth to Water Level s2546:4.6 ft. below measuring point Screened Interval: 12 ft.
to 17 ft. Spec. Cond. Doo94: µMhos
time of
MeasuringPoint is 2 ft. above land surface
Relative M.P. Elevation:
ft. Odor o00as: none
sampling,
check
Volume of water pumpedlballed before sampling:
5.0
gallons
Appearance Clear
here:❑
Sam les for metals were collected unfiltered: ® YES
❑ NO and field acidified: ❑ YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed:9/17121
Laboratory Name: Enviro Chem
Certification No. 94
PARAMETERS NOTE: Values should reflect
dissolved
and colloidal concentrations.
COD o0335
mg1L
Nitrite (NO2) as N 00615 <0.02
mg/L Pb - Lead 01051 ug1L
Coliform: MF Fecal $1616 <1
1100mL
Nitrate (NO3) as N oo62o 0.05
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
1100mL
Phosphorus: Total as P ow65 1.62
mg1L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:TOtal 703oo 612
mg/L
AI - Aluminum 01105
mg/L
pH (Lab) 00403 6.8
units
Be - Barium 01007
ug1L
TOC ooea0 8.9
mg/L
Ca - Calcium oogm
mg1L
Chloride oo94o 250
mg1L
Cd - Cadmium 01027
ug1L
Arsenic 01002
ug/L
Chromium: Total 01034
ug1L
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg/L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron 01045
ug1L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate oo94s
mg/L
Hg - Mercury 71900
ug1L Lab Report Attached? ❑ Yes(l) ❑ No (0)
Specific Conductance 000ss
µMhos
K - Potassium Do9E7
tng/L VOC 78732: method #
Total Ammonia 00610 1.4
mg1L
Mg - Magnesium 00927
mg1L method #
(Ammonia Nitrogen; NH3as N: Ammonia Nitrogen, Total)
Mn -Manganese o10s5
ug1L ,method #
TKN as N 00625
mg/L
Ni - Nickel 01067
ug1L method #
For Remediation Systems Only (Attach Lab Reports):
Influent Total VOCs:
Rod Halley Wastewater Superintendent Trainee
Permittee (or Authorized Agent) Name and Title - Please print or type
GW-59
Rev. 212010
mg1L Effluent Total VOCs:
mglL
VOC Removal%
SUBMIT FORM ON YELLOW PAPER ONLY
l]EPARrIiiIENT QF t?NV]RONTAENT $ NATtiRAi: R£SOIfRCES
GROUNDWATER QUALITY MONITORING:
OIV1$IUN OF{NATER QU,ALifY-]kFbk IATiON PROCi=3Sli�G UNiT
COMPLIANCE REPORT )FORM
ie17 klAli 9ERVIC� eE:NTER ttALEIOH, N8'S189916i7 ishcme ;[si19j 7931
FACILITY INFORMATION
Please Print Clearly or type
PERMIT Number: WQ0000185 Expiration Date: 6/30/2024
Facility Name: Ocean Sands
Non -Discharge UIC
Permit Name (if different),
NPDES Other
Facility Address: 741 Oc,esart Ttall
I YPF_ OF PE,RMI I f E.0 UPERAT IUN BEINU MONI f URED
Corolla ' rccu NC
27927 County Currituck
❑ Lagoon ❑ Remediatlon: Infiltration Gallery
(Ciig) (St*eo
(Z,;3I
❑ Spray Field ❑Remediation:
Contact Person: Rod Holley
Telephone#: 252-232-6065
ElRotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Ocean Sands
No. of wells to be sampled: 5
❑ Water Source Heat Pump ® Other: Infiltration
(from Pam*
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW6
Date sample collected: 9/17/21
FIELD ANALYSES:
WAS
Well Depth: 17.6 ft.
Well Diameter: 3 in.
pH 00400: 6.8 units Temp. 00010: 25.5 eC
DRY at
Depth to Water Level 82546:5.9 ft. below measuring point Screened Interval: 12 ft. to
17 ft. Spec. Cond. 00094: µMhos
time of
sampling,check
Measuring Point is 2 ft. above land surface
Relative M.P. Elevation: ft.
Odor Ooom: none
Volume of water pumpedibailed before sampling:
4.0
gallons
Appearance Clear
here:❑
Samples for metals were collected unfiltered: ® YES
❑ NO and field acidified: ❑ YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed:9117/21
Laboratory Name: Enviro Chem
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 01o51 ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO,) as N 00620 0.27
mg/L Zn - Zinc 01092 mg/L
Coliforrn: MF Total 31504
/100mL
Phosphorus: Total as P 006651.78
mg/L
(Note; Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 7030o 493
mg/L
Al - Aluminum o11o5
mg/L
pH (Lab) 00403 6.8
units
Sa - Barium o1007
ug/L
TOC 00660 7.0
mg/L
Ca - Calcium 00916
mg/L
Chloride 0o94o 236
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, GCIMS, HPLC)
Phenol 3273o
ug/L
Fe - Iron o1o45
ug/L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate o0945
mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance 00095
µMhos
K - Potassium 00937
mg/L VOC 76732: , method #
Total Ammonia 006to 5.1
mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen: NH3 as N: Ammonia Nitrogen, Total)
Mn - Manganese oiom
ug1L method #
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L , method #
For Remediation Systems Only (Attach Lab Reports):
Influent Total VOCs:
Rod Holley Wastewater Superintendent Trainee
Permittee (or Authorized Agent) Name and Ti@e - Please print or type
GW-59 Rev.212010
mg/L
Effluent Total VOCs:
mg/L
VOC Removal%
SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING.
"M9
DEPARTARENT OF ENYEROtdIdENT 8 NATtlRAL RE8flUi2CES
DI1nSIDN OFINATER QUALiTYdNFORMATioN PROCESSING UNIT
COMPLIANCE REPORT FORM
i61T Al CP_NT,RRALEtr;H, NC-27898 1617; Phone[s1$) 733 3111
FACILITY INFORMATION
Pie asePrintCteadyorTypa
PERMIT Number: WOOOD0185 Expiration Date: 6/30/2024
Facility Name: Ocean Sands
Non -Discharge uIC
Permit Name (if different):
NPDES Other
Facility Address: 741 Ocean Trall
TYPE OF PERMITTED OPERATION BEING MONITORED
Corolla s" ' NC
27927 County Curriluck
❑ Lagoon ❑Remediation: Infiltration Gallery
iCi€y3 (.+latni
(7ei
❑ Spray Field ❑ Remediation:
Contact Person: Rod Holley
Telephone#: 252-232-6065
❑ Rotary Distributor ElLand Application of Sludge
Well Location/Site Name: Ocean Sands
No. of wells to be sampled: 5
❑ Water Source Heat Pump ® Other: Infiltration
rr m Perm
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (front; Permit): MW7
Date sample collected: 9/17/21
FIELD ANALYSES:
WAS
Well Depth: 17.6 ft.
Well Diameter: 3 in.
pH omoo; 6.8 units Temp. oonlo: 25.0 °C
DRY at
Depth to Water Level 82546:4.3 ft. below measuring point Screened Interval: 12 ft,
to 17 ft. Spec. Cond. 00094: µMhos
time of
Measuring Point is 2 ft. above land surface
Relative M.P. Elevation:
ft. Odor 000m: none
sampling,check
Volume of water pumped/bailed before sampling:
5.0
gallons
Appearance Clear
here: ❑
Samples for metals were collected unfiltered: ® YES
❑ NO and field acidified: ❑ YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed:9117/21
Laboratory Name: Enviro Chem
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 o1o51 ug1L
Coliform: MF Fecal 31616 <1
1100mL
Nitrate (NO$) as N 00620 5,48
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
1100ml-
Phosphorus: Total as P oo66s 2.08
mg/L
(Note: Use MPN method nor highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 565
mg/L
Al - Aluminum o11os
mg/L
pH (Lab) 00403 6.8
units
Ba - Barium 01007
ug/L
TOG 00680 5.1
mg/L
Ca - Calcium 00916
mg/L
Chloride oo94o 181
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, GCIMS, HPLC)
Phenol 32730
ug/L
Fe - Iron 01045
ug/L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate oos45
mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance o0095
µMhos
K - Potassium oo937
mg/L VOC 78732: method #
Total Ammonia 00610 <0.2
mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonla Nitrogen; NH3 as N; Ammonla Nitrogen, Total)
Mn - Manganese o1o5s
ug/L method #
TKN as N 00625
mg/L
Ni - Nicker 01067
ug/L method #
For Remediation Systems Only (Attach Lab Reports):
Influent Total VOCs:
Rod Holley Wastewater Superintendent Trainee
Permittee (or Authorized Agent) Name and Tree - Please print or type
GW-59 Rev.212010
mg/L Effluent Total VOCs:
mg/L VOC Removal%
SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
t7EPARTMENT OF ENV(tiONMENT B NATURAL REBOtlRCE8
DIViS10tdOFWAiEFtQUALt71'[NPORINATiONPROC£881N0UAiIT
COMPLIANCE REPORT FORM
1617::WlAIL,S tv c� ciwNri , NAt E1GH, NL f 99 1811- Phone;;{939j.733r3221
FACILITY INFORMATION
Please PrintCleadfyorType
PERMIT Number: WQp00D185 Expiration Date: 6/30/2024
Facility Name: Ocean Sands
Non -Discharge UIC
Permit Name (if different):
NPDES Other
Facility Address: 741 Ocean Trail
TYPE OF PERMITTED OPERATION BEING MONITORED
Corolla cs" " NC
27927 County Currituck
❑Lagoon ❑Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
Contact Person: Rod Holley
Telephone#: 252-232-6065
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Ocean Sands
No. of wells to be sampled: 5
❑ Water Source Heat Pump ® Other: Infiltration
from permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW9
Date sample collected: 9/17/21
FIELD ANALYSES;
WAS
Well Depth: 17.6 ft.
Well Diameter: 3 in.
pH 00400: 6.7 units Temp. 000lo: 24.3 °C
DRY at
Depth to Water Level 82546:6.0 ft. below measuring point Screened Interval: 12 ft. to
17 ft. Spec. Cond. doom: µMhos
time of
Measuring Point is 2 ft. above land surface
Relative M.P. Elevation: ft.
Odor o0065: none
sampling,
cheek
Volume of water pumped/bailed before sampling:
5.0
gallons
Appearance Clear
here:
❑
Sam les for metals were collected unfiltered: ® YES
❑ NO and field acidified: [I YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed:9/17/21
Laboratory Name: Enviro Chem
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 oio51 ug/L
Coliform: MF Fecal 31616 <1
11OOmL
Nitrate (NO3) as N OD620 7.22
mg/L Zn - Zinc oio92 mg/L
Coliform: MF Total 31504
/1OOmL
Phosphorus: Total as P 00665 1.67
mg/L
(Note: Use MPN method for highly tur6ld samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 565
mg/L
AI - Aluminum o1105
mg/L
PH (Lab) 00403 6.7
units
Ba - Barium 01007
ug/L
TOG oo66o 2.8
mg/L
Ca - Calcium 00916
mg/L
Chloride oo94o 166
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, GCIMS, HPLC)
Phenol 32730
ug/L
Fe - Iron o1045
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 006101.6
mg/L
Mg - Magnesium 00927
mg/L , method #
(Ammonia Nitrogen: NH3 as N: Ammonia Nitrogen, Total)
Mn - Manganese oioss
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:
Rod Holley Wastewater Superintendent Trainee
Perm€ttee (or Authorized Agent) Name and Tide - Please print or type
mg/L Effluent Total VOCs:
Permitiee (or
mg/L VOC Removal%
10/29/21
GW-59 Rev.2/2010