WQ0037287_Monitoring - 11-2021_20211222 (2)

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DWR - NonDischarge Monitoring Report Submittal y. •4 ..
NORTH CAROLINA
Enrlranmenlel QHaflly
Monitoring Report Submittal
..............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
Permit Number#* WQ0037287
Name of Facility:* Pluris Hampstead
Month:* November Year:* 2021
Report Information
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR Hampstead DMR NOV 8.06MB
2021.pdf
PDF 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:* Randy R Hoffer
Signature:
Date of submittal: 12/22/2021
This will be filled in automatically
Initial Review
...................
Reviewer: Mokashi, Poorva

Is the project number correct?* WQ0037287
Is the monitoring report accepted?* Yes No
Regional Office* Wilmington
Accepted Date: 1/21/2022

FORM:NDMR 10-13 NON-DISCHARGE MONITORING REPORT(NDMR) Page l of
6
Permit No.: WQ0037287 Facility Name: PLURIS HAMPSTEAD County: Pender Month: November Year: 2021
PPI: 001 Flow Measuring Point: ❑Influent E]Effluent ❑No flow generated Parameter Monitoring Point: ❑Influent Effluent ❑Groundwater Lowering Surface Water
Parameter Code -4. 50050 00310 00940 31616 00610 00625 00620 00600 00400 00665 70300 00530 50060
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to 0 R m ` a v
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m n a c d m W
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o o rnrT = 2s co E --2o2 0. oQ
24-hr hrs GPD mg/L mglL #/100 mL mg/L mg/L mg/L mg/L su mg!L mg/L mg/L mg/L
1 7:00am 8hrs 241,370 <2 <1 <0.2 <0.5 2.84 2.8 7.71 1.47 <2.5 0
2 7:00am 8hrs 225,847 7.61 0.05
3 7:00am 8hrs 218,186 <2 r <1 <0.2 1.1 4.17 5.3 7.3 1.57 <2.5 0.01
4 7:00am 8hrs 232,095 7.32 0.05
5 7:00am 8hrs 220,255 7.67 0.05
6 212,621
7 227,387
8 7:00am 8hrs 228,717 <2 59 <1 <0.2 1.1 2.22 3.3 7.55 1.25 396 <2.5 0.03
9 7:00am 8hrs 227,793 7.63 0.03
10 7:00am 8hrs 214,328 <2 <1 <0.2 0.8 0.03 0.8 7.54 0.24 <2.5 0.03
11 7:00am 8hrs 219,072
12 7:00am 8hrs 214,403 7.55 0.04
13 205,087
14 226,232
15 7:00am 8hrs 237,077 <2 <1 <0.2 0.8 2.92 3.7 7.6 0.07 <2.5 0.02
16 7:00am 8hrs 224,081 7.59 0.03
17 7:00am 8hrs 217,767 <2 <1 <0.2 1 0.57 1.6 7.57 0.88 <2.5 0.02
18 7:00am 8hrs 228,543 7.57 0.08
19 7:00am 8hrs 218,812 7.66 0.06
20 210,396
21 223,090
22 7:00am 8hrs 215,808 <2 <1 <0.2 0.9 4.16 5.1 7.57 1.07 <2.5 0.02
23 7:00am 8hrs 215,231 7.58 0.06
24 7:00am 8hrs 211,323 <2 <1 <0.2 0.8 0.44 1.2 7.63 1.15 <2.5 0.02
25 7:00am 8hrs 198,947
26 7:00am 8hrs 190,141
27 202,063
28 221,089
29 7:00am 8hrs 224,553 <2 <1 <0.2 0.8 5.05 5.8 7.66 0.62 <2.5 0.01
30 7:00am 8hrs 231,567 7.58 0.03
31 7:00am 8hrs
Average: 219,463 0.00 59.00 1.00 0.00 0.81 2.49 3.29 0.92 396.00 0.00 0.03
Daily Maximum: 241,370 2.00 59.00 _ 1.00 0.20 1.10 5.05 5.80 7.71 1.57 396.00 2.50 0.08
Daily 11/1inimum: 190,141 2.00 59.00 1.00 0.20 0.50 0.03 0.80 7.30 0.07 396.00 2.50 0.00
Sampling Type: Composite Composite Grab Composite Composite Composite Composite Grab Composite Composite Composite grab
Monthly Avg.Limit: 500,000 10 14 4 10 4 2 15
Daily Limit:
Sample Frequency: continous 2 x week 3 x year 2 x week 2 x week 2 x week 2 x week 2 x week 5 x week 2 x week 3 x year 2 x week 5 x week

i
FORM:NDMR 10-13 NON-DISCHARGE MONITORING REPORT(NDMR) Page 2 of
Sampling Person(s) Certified Laboratories
Name: KRISTION KING Name: ENVIRONMENTAL CHEMIST, INC
Name: Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? 0Compliant ill Non-Compliant
If the facility is non-compliant,please explain in the space below the reason(s)the facility was not in compliance. Provide in your explanation the date(s)of the non-compliance and describe the corrective
action(s)taken.Attach additional sheets if necessary.
Operator in Responsible Charge(ORC)Certification Permittee Certification
ORC: KRISTION KING Permittee: MAURICE GALLARDA
Certification No.: 1002807 Signing Official: RANDY HOFFER
Grade: 4 Phone Number: 910-327-2880 Signing Official's Title: REGIONAL MANAGER
Has the ORC changed since the previous NDMR? ❑Yes Ei No Phone Number: 910-327-2880 Permit Expiration: 1/31/2026
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A. / �v 7 l��aC t �� �/.
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Signature Date ' Igfiature Date
By Ibis i. ature,I certify that this report is accurrate and complete to the best of my knowledge. I certify,under penalty of law,that this document and all attachments were prepared under my direction or supervision in
accordance with a system designed to assure that all qualified personnel properly gathered and evaluated the information
submitted.Based on my inquiry of the person or persons who manage the system,or those persons direly responsible for
gathering the information,the information submitted is,to the best of my knowledge and belief,true,accurate,and complete.I am
aware that there are significant penalties for submitting false information,including the possibility of fines and imprisonment for
knowing violations.
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

FORM:NDMR 10-13 NON-DISCHARGE MONITORING REPORT(NDMR) Page 3 of (j
Permit No.: WQ0037287 Facility Name: PLURIS HAMPSTEAD County: Pender Month: November Year: 2021
PPI: 002 Flow Measuring Point: ❑Influent ❑Effluent ❑No flow generated Parameter Monitoring Point: ❑Influent ❑Effluent 0 Groundwater Lowering ❑Surface Water
Parameter Code --► 50050 00940 31616 00610 00620 00600 00400 00665 70300
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24-hr hrs GPD mg/L #/100 mL mg/L mg/L mg/L su mg/L mg/L
1 7:00am 8hrs <1 <0.2 8.97 9.5 7.55 1.81
2 7:00am_ 8hrs 7.57
3 7:00am 8hrs 7.39
4 7:00am 8hrs 7.66
5 7:00am 8hrs 7.66
6
7
8 7:00am 8hrs 79 7.61 409
9 7:00am 8hrs 7.68
10 7:00am 8hrs 7.61
11 7:00am 8hrs
12 7:00am 8hrs 7.57
13
14
15 7:00am 8hrs <1 <0.2 3.6 4.3 7.58 0.54
16 7:00am 8hrs 7.58
17 7:00am 8hrs 7.63
18 7:00am 8hrs 7.57
19 7:00am 8hrs 7.68
20
21
22 7:00am 8hrs 7.62
23 7:00am 8hrs 7.63
24 7:00am 8hrs 7.65
25 7:00am 8hrs
26 7:00am 8hrs
27
28
29 7:00am 8hrs 7.65
30 7:00am 8hrs 7.73
31 7:00am 8hrs
Average: #DIV/01 79.00 1.00 0.00 6.29 6.90 1.18 409.00
Daily Maximum: 0 79.00 1.00 0.20 8.97 9.50 7.73 1.81 409.00
Daily Minimum: 0 79.00 1.00 0.20 3.60 4.30 7.39 0.54 409.00
Sampling Type: Grab Grab Grab Grab Grab Grab Grab Grab
Monthly Avg.Limit: 250 1.5 10 500
Daily Limit: 6.5 to 8.5
Sample Frequency: 3 x year 2 x month 2 x month 2 x month 2 x month 5 x week 2 x month 3 x year

FORM:NDMR 10-13 NON-DISCHARGE MONITORING REPORT(NDMR) Page 7 of t�
Sampling Person(s) Certified Laboratories
Name: KRISTION KING Name: ENVIRONMENTAL CHEMIST,INC
Name: Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? 0 Compliant ❑Non-Compliant
If the facility is non-compliant, please explain in the space below the reason(s)the facility was not in compliance. Provide in your explanation the date(s)of the non-compliance and describe the corrective
action(s)taken.Attach additional sheets if necessary.
Operator in Responsible Charge(ORC)Certification Permittee Certification
ORC: KRISTION KING Permittee: MAURICE GALLARDA
Certification No.: 1002807 Signing Official: RANDY HOFFER
Grade: 4 Phone Number: 910-3272880 Signing Official's Title: REGIONAL MANAGER
Has the ORC changed since the previous NDMR? ❑Yes 0 No Phone Number: 910-327-2880 Permit Expiration: 1/31/2026 ,
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// ,/ _______, ___,------/---/--/--;_i _/-// � / f 7/2l �7 1/-7- i `/
/ `Signature Date L, f, Slg y /s Date
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By this sign re,I certify that this report is accurrate and complete to the best of my knowledge. I certify,under penalty of law,that this document and all attachments were prepared under my direction or supervision in
accordance with a system designed to assure that all qualified personnel properly gathered and evaluated the information
submitted.Based on my inquiry of the person or persons who manage the system,or those persons directly responsible for
gathering the information,the information submitted is,to the best of my knowledge and belief,true,accurate,and complete.I am
aware that there are significant penalties for submitting false information,including the possibility of fines and imprisonment for
knowing violations.
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

FORM:NDAR-2 08-11 NON-DISCHARGE APPLICATION REPORT(NDAR-2) Page $ of
Permit No.: WQ0037287 Facility Name: PLURIS HAMPSTEAD WWTP [ county: Pender Month: November Year: 2021
Did infiltration occur at Site Name: hri 1 Site Name: hri 2 Site Name: Site Name:
this facility? Area(acres): 0.13 Area(acres): 0.13 Area(acres): Area(acres):
❑Q YES ❑NO
Rate(GPD/ft2): 44.5 Rate(GPD/ft2): 44.5 Rate(GPD/ft2): Rate(GPD/ft2):
Weather Freeboard Site Infiltrated? 0 YES ❑NO Site Infiltrated? []YES ❑NO Site infiltrated? ❑YES ❑NO Site Infiltrated? ❑YES ❑NO
. Ha> gc. Fy° = d a �O,
2 0 .42 m L y co 3 a m -a ed Cl Oc, rn 3
a o m .cci .cg c Ow � m c E d m ;c a m Ea o
c a > a �> = , mp m a c = a i c g m
E ma. ¢ C > a C N > Q d > a
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°F in ft ft gal min GPD/ft2 ft gal min GPD/ft2 ft gal min GPD/ft2 ft gal min GPD/ft2 ft
1 C 46 153604 1440 27.13 4.1 90,665 1440 16.01 3.60
2 C 50 145908 1440 25.77 4.1 84,796 1440 14.97 3.60
3 C 48 138553 1440 24.47 4.1 79,260 1440 14.00 3.60
4 C 63 150669 1440 26.61 2.9 87,791 1440 15.50 3.40
5 C 43 190301 1440 33.61 4 81,757 1440 14.44 3.60
6 PC 62 190630 1440 33.66 80,322 1440 14.18
7 R 60 198787 1440 35.10 86,108 1440 15.21
8 C 50 0.4" 190922 1440 33.72 4.1 85,456 1440 15.09 3.60
9 C 48 191436 1440 33.81 4.1 92,506 1440 16.34 3.60
10 C 72 191710 1440 33.85 3.9 79,078 1440 13.96 3.50
11 C 74 191846 1440 33.88 83,366 1440 14.72
12 C 68 192241 1440 33.95 4.1 82,715 1440 14.61 3.60
13 C 74 191551 1440 33.83 77,462 1440 13.68
14 C 66 191096 1440 33.75 86,237 1440 15.23
15 C 45 0.3" 190862 1440 33.70 4 58,844 1440 10.39 3.50
16 C 34 191103 1440 33.75 4.2 63,798 1440 11.27 3.70
17 C 69 191607 1440 33.84 3.9 64,297 1440 11.35 3.50
18 C 60 191995 1440 33.90 4.1 64,695 1440 11.42 3.60
19 C 50 190928 1440 33.72 4 63,610 1440 11.23 3.50
20 C 63 190519 1440 33.64 63,205 1440 11.16
21 C 72 191438 1440 33.81 64,118 1440 11.32
22 C 53 191193 1440 33.76 4 63,876 1440 11.28 3.60
23, C 44 189975 1440 33.55 3.8 62,676 1440 11.07 3.50
24 C 37 189912 1440 33.54 4.00 62,609 1440 11.06 3.60
25 C 64 190568 1440 33.65 63,285 1440 11.18
26 C 62 189216 1440 33.41 62,931 1440 11.11
27 C 55 190174 1440 33.58 62,878 1440 11.10
28 C 68 190972 1440 33.72 63,698 1440 11.25
29 C 44 190288 1440 33.60 4.10 62,980 1440 11.12 3.60
30 C 33 190383 1440 33.62 4.10 63,102 1440 11.14 3.60
31
Monthly Loading(GPD/ft2): 12.88AlkiPri\;::;:'''':1 #DIV/0! #DIV/0! 40141
Year to Date Loadin. (GPD/ftZ: °"

FORM:NDAR-2 08-11 NON-DISCHARGE APPLICATION REPORT(NDAR-2) Page S of :.
Did the application rates exceed the limits in Attachment B of your permit? 0 Compliant ❑Nor-Compliant
If not a basin, were the sites kept free of vegetation and raked? 2 Compliant ❑Nor-Compliant
If not a basin, were there any instances of effluent ponding in or runoff from the sites? 2 Compliant ❑Nor-Compliant
If a basin, were there any instances of breakout from the berms? (J Compliant ❑Nor-Compliant
Was the onsite automatically activated standby power source tested and operational? Q Compliant ❑Nor-Compliant
If the facility is non-compliant, please explain in the space below the reason(s)the facility was not in compliance. Provide in your explanation the date(s)of the non-compliance and describe the corrective
action(s)taken.Attach additional sheets if necessary.
Operator in Responsible Charge(ORC)Certification Permittee Certification
ORC: Kris king Permittee: MAURICE GALLARD
Certification No.: 1002807 Signing Official: RANDY HOFFER
Grade: 4 Phone Number: Signing Official's Title: REGIONAL MANAGER
Has the ORC changed since the previous NDAR-2? ❑Yes 2 No Phone Number: 910-327-2880 ,Permit Exp.: 1/31/26
,
i
nature / Date Dtte
By this signal re,I cell that this report is accurrate and complete to the best of my knowledge. I certify,under penalty of law,that this docu ment and all attachments were prepared under my direction or supervision in accordance
with a system designed to assure that all qualified personnel properly gathered and evaluated the information submitted.Based on my
inquiry of the person or persons who manage the system,or those persons directly responsible for gathering the information,the
information submitted is,to the best of my knowledge and belief,true,accurate,and complete.I am aware that here are significant
penalties for submitting false information,including the possibility of fines and imprisonment for knowing violations.
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

SUBMIT FORM ON YELLOW PAPER ONLY
1 ailaangina DEPARTMENT OF ENVIRONMENTAL RUMMY-M OF WATER RESOURCES
GROUNDWATER QUALITY MONITORING:
ocopy-to: tFoMATscsREssl ur
COMPLIANCE REPORT FORM ��s 1617 L,SERVICE C G 1. 27599-617 Phoneme 19-e07-s3MM
FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date: 1-31-26
Facility Name: PLUMS HAMPSTEAD WWTF Non-Discharge WQ0037287 UIC
Permit Name(if different): NPDES Other
Facility Address: 9795 HOGANS TRASIL HAMPSTEAD NC 28443 TYPE OF PERMITTED OPERATION BEING MONITORED
9795 HOGANS TRASIL HAMPSTEAD NC 28443 County PENDER El Lagoon 0 Remediation:Infiltration Gallery
0 Spray Field ❑Remediation:
Contact Person: RANDY HOFFER Telephone#: [phone] , 0 Rotary Distributor ❑Land Application of Sludge
Well Location/Site Name:south west side of hri pond No.of wells to be sampled: 3 ❑ Water Source Heat Pump ❑Other:
(from Permet
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): MW-2 Date sample collected: 11-8-21 FIELD ANALYSES: WAS
Well Depth: 31 ft. Well Diameter: 2 in. pH 00400:6.48 units Temp.00010:23.0 °C DRY at
Depth to Water Level 82546:6.75 ft.below measuring point Screened Interval: ft. to _ft. Spec.Cond.00094: µMhos time of
sampling,
Measuring Point is 2.5 ft.above land surface Relative M.P, Elevation: ft. Odor 00085: NONE check
Volume of water pumped/bailed before sampling: gallons Appearance very light tan here:
Samples for metals were collected unfiltered: ❑YES ❑ NO and field acidified: 0 YES ❑NO
LABORATORY INFORMATION
Date sample analyzed:11/821 Laboratory Name: Certification No.
PARAMETERS NOTE:Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L Nitrite(NO2)as N 00515<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
Caliform:MF Total 31504 1100mL Phosphorus:Total as P 00665 <0.04 mg/L
(Note Use MPN method 10 highly turbid samples) Orthophosphate 70507 mg/L Other(Specify Compounds and Concentration Units):
issoived Solids:Total 70300 306 mg/L Al-Aluminum 01105 mg/L
pH(Lab)00403 units Ba-Barium 01007 uglL
TOC 00680 21.1 mglL Ca-Calcium 00916 mg/L
Chloride 00940 62 mg/L Cd-Cadmium 01027 ug/L
Arsenic 01002 uglL 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 uglL (Specify test and method#.ATTACH LAB REPORT.)
Sulfate 00945 mg/L Hg-Mercury 71900 ug/L Lab Report Attached? ❑ Yes(1) 0 No(0)
pecific Conductance 00095 µMhos K-Potassium 00937 mglL VOC 7873 ,method#
Total Ammonia 00610<0.04 mg/L Mg-Magnesium 00927 mg/L ,method#
(Ammonia Nitrogen;NH3 as N;Ammonia Nitrogen Total) Mn-Manganese 01055 uglL ,method r'
TKN as N 00625 mg/L Ni-Nickel 01067 ug/L ,method#
For Remediation Systems Only(Attach Lab Reports): Influent Total VOCs: mglL Effluent Total VOCs: mg/L VOC Removal%
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Permittee(or Authorized Agent)�Title-Please print or type Signature of Perri a{or � (Date)
GW 59 Rev.05-02-2017 €te # —

SUBMIT FORM ON YELLOW PAPER ONLY
� a Tail orilginal DEPARTMENT OF ENVIRONMENTAL QUAL1' -OW.OF WATER RESOURCES
'GROUNDWATER QUALITY MONITORING: a t F tto € E r
COMPLIANCE REPORT FORM -an �`-``b 1617 LSERVCECEr R,RALEIG , C276s0-1817 Phone:$1s- 7 06
FACILITY INFORMATION Please Print Clead.i'or Type PERMIT Number: Expiration Date: 1-31-26
Facility Name: PLUMS HAMPSTEAD WWTF .Non-Discharge WQ0037287 UIC
Permit Name(if different): NPDES Other
Facility Address: 9795 HOGANS TRAIL HAMPSTEAD NC 28443 TYPE OF PERMITTED OPERATION BEING MONITORED
9795 HOGANS TRAIL HAMPSTEAD NC 28443 County PENDER Q Lagoon 0 Remediation:Infiltration Gallery
0 Spray Field 0 Remediation:
'Contact Person: RANDY HOFFER Telephone#: [phone] 0 Rotary Distributor 0 Land Application of Sludge
Well Location/Site Name:south side of hri pond inside fence No.of wells to be sampled:3 ❑ Water Source Heat Pump 0 Other
(from Pam o)
SAMPLING INFORMATION If WELL
'WELL ID NUMBER(from Permit): MW-4 Date sample collected: 11/8/21 FIELD ANALYSES: WAS
Well Depth: 30 ft. Well Diameter 2 in. pH 00400: 5.78 units Temp.00010: 21.7 °C DRY at
Mhos time of
'Depth to Water Level 82546:8.5 ft.below measuring point Screened Interval: ft. to _ft. Spec.Cond.00094: µ sampling,
Measuring Point is 5.0 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: 0 YES 0 NO
LABORATORY INFORMATION
Date sample analyzed:11f&21 Laboratory Name: 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 uglL
Coliform:MF Fecal 31616 <1 /100mL Nitrate(NO3)as N 00620<0.02 mg/L Zn-Zinc 01ogz mglL
Coliform:MF Total 31504 /100mL Phosphorus:Total as P 0066s <0.04 mg/L
(Note_Use MPN method far highly turbid samples) Orthophosphate 70507 mg/L Other(Specify Compounds and Concentration Units):
Dissolved Solids:Total 70300 185 mg/L AI-Aluminum 01105 mg/L
pH(Lab)00403 units Ba-Barium 01007 uglL
TOC 00680 1.7 mg/L Ca-Calcium 00916 mg/L
Chloride 00940 58 mg/L Cd-Cadmium 01027 uglL
Arsenic 01002 uglL Chromium:Total 01034 uglL
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 uglL Lab Report Attached? 0 Yes(1) 0 No(0)
peciftc Conductance 00095 µMhos K-Potassium 00937 mg/L VOC 7873 ,method#
Total Ammonia 00610 <0.2 mglL Mg-Magnesium 00927 mg/L ,method#
(Ammonia NiErogen:NH5 as N.Ammonia Nitrogen,Total) Mn-Manganese 01055 ucg!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%
arc _# €wF�n g i � ly € a � [a n ac�� ldata d ed using . �sSe d3m
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Permittee(or Authori-zed Agent)Name.,: li,-Please print or type / Signature of Permittee(or1 o i zed Ag 1) _ (Date)
GW-59 Rev.05-02-2017 1 �' /- - °

SUBMIT FORM ON YELLOW PAPER ONLY
original DEPARTMENT OFENVIRONMENTAL QUAM D .OF
WATER
RESOURCES
GROUNDWATER QUALITY MONITORING: t- Mail INFORMATION PROCESSINGU T-- _COMPLIANCE REPORT FORM � 1617 MAILSERVICE CENTER,RALEIGH,'NC276994617 Phony 619-397-6396
Please Print Clearly or Type PERMIT Number. Expiration FACILITY INFORMATION Expiation Date: 1-31-26
Facility Name: PLUMS HAMPSTEAD WWTF Non-Discharge WQ0037287 UIC
Permit Name(if different): NPDES Other
Facility Address: 9795 HOGANS TRAIL HAMPSTEAD NC 28443 TYPE OF PERMITTED OPERATION BEING MONITORED
9795 HOGANS TRAIL HAMPSTEAD NC 28443 County PENDER Ig Lagoon 0 Remediation:Infiltration Gallery
0 Spray Field ❑Remediation:
Contact Person: RANDY HOFFER Telephone#:[phone] 0 Rotary Distributor 0 Land Application of Sludge
Well Location/Site Name:north east side of hri pond across driveway No.of wells to be sampled: 3 ❑ Water Source Heat Pump 0 Other:
(from Permit)
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): MW-3 Date sample collected: 11/8/21 FIELD ANALYSES: WAS
Well Depth: 26 ft. Well Diameter: 2 in. pH 00400:5.07 units Temp.o0010:22.7 °C DRY at
Depth to Water Level 82546:8.16 ft.below measuring point Screened Interval: ft. to ft. Spec.Cond.00094: }Mhos time of
sampling,
Measuring Point is 2.25 ft.above land surface Relative M.P.Elevation: ft. Odor 00085: NONE check
Volume of water pumped/bailed before sampling: 5 gallons Appearance light tan here:
Samples for metals were collected unfiltered: ❑YES ❑ NO and field acidified: 0 YES ❑NO .
LABORATORY INFORMATION
Date sample analyzed:11/66.21 Laboratory Name: 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 uglL
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 314 mg/L Al-Aluminum of 105 mg/L
pH(Lab)00403 units Ba-Barium 01007 uglL
TOC 0os8o 43.2 mg/L Ca=Calcium 00916 mg/L
Chloride 00940 154 mg/L Cd-Cadmium 01027 uglL
Arsenic 01002 ug/L Chromium:Total 01os4 uglL
Grease and Oils 00552 mg/L Cu-Copper 01042 mg/L ORGANICS:(by GC,GC/MS,HPLC)
Phenol 32730 ug/L Fe-Iron o1045 ucg/L (Specify test and method#.ATTACH LAB REPORT.)
Sulfate 00945 mg/L Hg-Mercury 71900 ug/L Lab Report Attached? 0 Yes(1) 0 No(0)
+pecific Conductance 00095 }Mhos K-Potassium 00937 mg/L VOC 7873 ,method#
Total Ammonia posit)0.4 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 NOV ug/L ,method#
For Rernediation Systems Only(Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
_ e .-or _e, produced -- _
- my-knowledge-and�� `o c er7� r cca L t� � aT � using-Approved ��
-DWR,credified laboratory,:i-am-amate_thatthete are stgnificant perfalttes for subruntingfals.e information including thw-posatbilrty_of fires-andimpfisonrnentforknowing-violatiOnsz =,, -_- -, zi---=_ -;= - _m-___-_, .-_i- _--_ _
Permittee(or Authorized Agent)flame and Title-Please print or type Signature of Pe ea(or•uth d-,. g- (Date)
GW-59 Rev.05-02-2017 7

AT'N;(;E RI;',PORT FORNI Permit 4 wq0037287
(S"le!Hui,one ew nllonliori ng period with 9Jmno
f
Enter date monitoring results were due.( 12/3112i Will this monitoring report(GW-59 and GW-59A) YES NO
be submitted after the established due date? X
2 Was any required information missing on the GW-59 report forms? YES rT
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 Arc 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 ''I'es", contact the Regional Office for guidance. X
4 Are any monitored constituents equal to or above the established standards? 1r NO
If the answer to question 4 is WO", 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#2 below ph limit, mw#3 below ph limit, mw#4 below ph limit
5 For the constituents identified in question 4 above, have standards been exceeded previously for the YES NO
same constituent(s)In the same well(s)in the last two years? X
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).
mw#2 below ph limit, mw#3 below ph limit, mw#4 below ph limit, tracking form attached
6 Are the monitoring wells listed in section 5 located at or beyond the review boundary? YES NO
X
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 YES NO
groundwater quality problem? X
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 haying at the review and compliance
boundaries surroundinqthis facility. Failure to do so may subject the permittee to a Notice of Violation,
fines, and/or penalties.
required to monitor, track and attach tracking form to reports
8 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 GVV-59,11s true and complete to the best of my knowledge. ,
///#
( .
Signaturkp Permitte0Outliorized Agent) Date'
( 11, 2/8/2

2018 2019 2020 2021
MARCH JULY NOV 1-Mar July nov march July nov march july nov
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TDS
PH 4.9 3.03 5 5.7 6 5.56 5.15 5.11 5.19 5.3
NH3
. .�: ...\ ;, \ ... \.s \' \\\ \\ems 4 S. .\ �. ,.:..�;
TDS
PH 5.2 5.02 5.8 6.1 5.82 5.91 5.84 6.2 6.01 6.07 6.02 6.46
NH3
TDS
PH 4.5 4.45 4.8 5.5 5.43 5.59 5.23 4.78 5,04 4.67 5.4 5.07
NH3
s
s.. ,..,y ..�_ a �- - ; -ems_ ,d , c E AV�A '�= ,, , t �y � \ ���� \ �V�V Ay
TDS ,
PH 5.99 5.75
NH3 E
7 t
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TDS
PH
NH3 .
l
TDS
PH
NH3
I