WQ0001817_Monitoring - 11-2021_20211221 (3)

ti
DWR - NonDischarge Monitoring Report Submittal
'
•4 ..
NORTH CAROLINA
Enrlranmenlel QHaflly
Monitoring Report Submittal
..............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
Permit Number#* WQ0001817
Name of Facility:* Albemarle Utility Company
Month:* November Year:* 2021
Report Information
..................................................................................................................................................................................................................................................................................................
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR November MR's.pdf 8MB
PDF Only
GW-59 Monitor Wells November.pdf 24.34MB
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:* Danny S Perry
Signature:
c ,y
Date of submittal: 12/21/2021
This will be filled in automatically
Initial Review
..............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................

Reviewer: Mokashi, Poorva
Is the project number correct?* WQ0001817
Is the monitoring report accepted?* Yes No
Regional Office* Washington
Accepted Date: 1/27/2022

SUBMIT FORM ON YELLOW PAPER ONLY
Mail original DEPARTMENT OF ENVIRONMENTAL QUALITY-DIV.OF WATER RESOURCES
GROUNDWATER QUALITY MONITORING: INFORMATION PROCESSING UNIT
9=Opc to:
COMPLIANCE REPORT FORM 1617 MAIL SERVICE CENTER,RALEIGH,NC 27699-1617
FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date: 05-31-2025
Facility Name: Albemarle Utility Comapany Non-Discharge W00001817 UIc
Permit Name(if different): NPDES Other
Facility Address: 862 Holiday Island RD TYPE OF PERMITTED OPERATION BEING MONITORED
Hertford N.0 27944 County Pergimans El Lagoon ❑Remediation: Infiltration Gallery
0 Spray Field ❑Remediation:
Contact Person: Danny Shelton Perry ORC Telephone#:[phone] ❑ Rotary Distributor ❑Land Application of Sludge
Well Location/Site Name: North of Holding Lagoon No,of wells to be sampled: 10 ❑ Water Source Heat Pump ❑Other:
(from Permit)
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): MW-1 Date sample collected: 11/19/2021 FIELD ANALYSES: WAS
Well Depth: 20 ft, Well Diameter: 2 in. pH 00400:5.0 units Temp.0o010: 15.7 °c DRY at
Depth to Water Level 82546: 13.3 ft.below measuring point Screened Interval: -5 ft. to -20 ft, Spec.Cond.00094: pMhos time of
sampling,
Measuring Point is 3 ft.above land surface Relative M.P. Elevation: ft. Odor 00085: None check
Volume of water pumped/bailed before sampling: 4.0 gallons Appearance Tan/Turb here:
Samples for metals were collected unfiltered: ❑YES © NO and field acidified: ❑YES I NO
LABORATORY INFORMATION
Date sample analyzed:11/19/2021 Laboratory Name: Environmental Chemists, Inc 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
Co€iform:MF Fecal 31616 <1 /100mL Nitrate(NO3)as N 00620 0.17 mg/L Zn-Zinc 01092 mg/L
Coliform:MF Total 31504 /100mL Phosphorus:Total as P 00665 mg/L
(Note: Use tv1PN method for highly turbid samples) Orthophosphate 70507 mg/L Other(Specify Compounds and Concentration Units).
Dissolved Solids:Totai 70300 360 mg/L Al-Aluminum o1105 mg/L
pH(Lab)00403 5.0 units Ba-Barium 01007 ug/L
TOC 00680 3.9 mg/L Ca-Calcium 00916 mg/L
Chloride 00940 10 mg/L Cd-Cadmium 01027 ug/L
Arsenic 01002 ug/L Chromium:Total o1034 ug/L
Grease and Oils 00552 mg/L Cu-Copper 01042 mg/L ORGANICS:(by GC,GC/MS, HPLC)
Phenol 32730 ugh_ 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) El No(0)
Specific Conductance 00095 µMhos K-Potassium 00937 mg/L VOC 7873 ,method#
Total Ammonia 00610 1 mg/L Mg-Magnesium 00927 mg/L , method#
{Amrreria 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%
[€ r te-tot ebe'ste ykne as et tbeY'etormaaieow is ordis _ _and eor l �t ff elaboratonyattalAda]c-ratawas dZc � appr-eved t diet- alysta_bya
WR-8erkta -t-ag iarwlt eares€oftc tpaoatties arg#ats4n € z udi tNbe-giss b>tt _ watt=impctsetwwte€refe keetpn viotattees _ - _ „i-
if i
Shayne Lamb Corporate Secretary _ 7 1. - L- y , ( 1 )
Per mitee(or Authorized Agent)Name and Title-Please print or type Sign tare o,Pernitte (or Authorized Agent) 4 tDat-
OW-59 Rev.06-07-2018

'i',' I °hill Illiorri III Bilim,1 ,
,,, 00,1041401,0111111111111111111 0010IIIIII
,,,„ __IL11100,1,,„ (:111,-1 \ 7 ro-\\I HI,,,,,,,,,,„,,-,,,,,,, .t 11 i,,,,,, , i iii el 1,„ t,,,,,,,,,,
viatilki:1:011essesseempoth,,,,
4,0ijnisoiremb
(602 Windruult,
,L wrlipm
I 1811111111111111111111111111111111111111111111111111111111111111112mor I I,
ANAT"(TECAL.8,CONSULTING CH.MSTS
Albe,,larle Utility Date of Report: Dec 06, 2021
862 Holiday Island Road Customer PO#:
1 ertford NC 27944 Customer ID: 09110024
Attention: Report#: 2021-20623
Project ID: Monitoring Wells
La1 ID Sample ID: Collect Date/Time Matrix Sampled by
2'1-51662 Site: MW-1 11/19/2021 Water Jay Baker
Test Method Results Date Analyzed
.......___. ..,..... . ..______. . ._ . _
Color color Tan/Turbid 11/19/2021
Depth to water, ft. Depth to Water,R. 13.3 feet 11/19/2021
Ammonia Nitrogen EPA 350.1,Rev.2.0, 1993 1 pg/L 11/29/2021
Gallons bailed before sampling Gallons Bailed before sampling 4 (dry)gallons 11/19/2021
Odor Qualitative None 11/19/2021
Total Dissolved Solids (TDS) SM 2540 C-2015 360 mg/L. 11/23/2021
"temperature SM 2550 8-2010 15.7C 11/19/2021
pH SM 4500 H B-2011 5.0 units 11/19/2021
Total Organic Carbon (TOC) SM 5310 8-2014 3.9 mg/L 11/22/2021
1112-Tetrachloroethane SM 6200 B-2011 <0.5 pg/L 11/24/2021
1,1,1-Trichloroethane SM 8200 6-2011 <0,5 pg/L 11/24/2021
1,1,2,2-Tetrachloroethane SM 6200 B-2011 <0.5 pg/L 11/24/2021
1,1,2-Trichloroethane SM 6200 B-2011 <0.5 pg/11.. '11/24/2021
11-Dichloroethane SM 6200 B-2011 <0.5 pg/L 11/24/2021
1,1-Dichloroethene SM 6200 B-2011 <0.5 pg/L 11/24/2021
1,1-Dichloropropene SM 6200 B-2011 <0,5 pg/L 11/24/2021
1,2,3-Trichlorobenzene SM 6200 B-2011 <0.5 pg/L 11/24/2021
1,2,3-Trichloropropane SM 6200 6-2011 <0.5 pg/L 11/24/2021
124-1 richlorobenzene SM 6200 0-2011 , <0.5 pg/L. 11/24/2021
1,2,4-Trimethylbenzene SM 6200 B-2011 <0.5 pg/L 11/24/2021
1,2-Dibromo-3-Chloropropane SM 6200 B-2011 <0.5 pg/L 11/24/2021
1,2-Dibromoethane SM 6200 B-2011 <0.5 pg/L, 11/24/2021
1,2-Dichlorobenzene SM 6200 B-2011 <0.5 pg/L 11/24/2021
11,2- 'ichloroethane SM 6200 B-2011 <0.5 pg/L 11/24/20211
1,2-Dichloropropane SM 6200 0-2011 <0.5 pg/L 11/24/2021
1,3,5-Trimethylbenzene SM 6200 6-2011 <0.5 pg/L 11/24/2021
Report 4:: 2021-20623 Page 1 of 30

.
E octv'o..1,,,,,,1:„Ii,i at,0,,Jo e,,!,!,,,,..:t 111,,,,,„ :,,,:„,,s,
' Fr -
datimorms am IL o„,..iimp,„\m,',,
Riligiii1d1111[49%,,
''tt qibilw1011''''''!Villii,llni,v,viumiliiin insom,,,,,,,y,!:!quilloi,It4t
1444101,411111111 Of h OP 7
'0414,111011111111,1,111110:11,
i'111141111111..31111't''' 17'
29
'710 Nigi,,wiiti:10 i.,/n Riiii di 1'1,A iin teo, 1tici:2
255.(''t Wilmington 11-ii.,i;hwiiy„ 'Jackson villei NIC 28'340 . 9 1,0 3.;3,7 5813 1,293.i..0,1
ANALYTICAL&CONSULTING CHEMISTS mfb@onv'Form-ft:T[1 a.ic Hen 1JTT.,,,TT.Tn
...'T:TT.:TT ' • . „„„TT._ .. .................:.......... . ' ' . '. ... ....... .... .. . .. ... T... . „
Albemarle Utility Date of Report: Dec 06, 2021
862 Holiday Island Road Customer PO#:
Hertford NC 27944 Customer ID: 09110024
Attention: Report#: 2021-20623
Project ID: Monitoring Wells
enumowirniudoirn .11.0....M.M.K.MIMMINMIIIIPMEMAIK.1.1.1NOMINVFMAISMOMMIMIMIIMPORM101......,,•711.01.1M110%.4.1,16,11..u.rn,
1,3-Dichlorobenzene SM 6200 B-2011 <0.5 pg/L. 11/24/2021
1,3-Dichloropropane SM 6200 B-2011 <0.5 pg/L 11/24/2021
1,4-Dichlorobenzene SM 6200 B-2011 <0.5 pg/L 11/24/2021
2,2,-Dichloropropane SM 6200 B-2011 <0.5 pg/L 11/24/2021
2-Chiorotoluene SM 6200 B-2011 <0.5 pg/L 11/24/2021
4-Chlorotoluene SM 6200 B-2011 <0.5 pg/L 11/2,4/2021
Benzene SM 6200 B-2011 <0.5 pg/L 11/24/2021
Bromobenzene SM 6200 B-2011 <0.5 pg/L 1 /24/2021
Bromochioromethane SM 6200 B-2011 <0.5 pg/L 11/24/2021
Bromodichloromethane SM 6200 B-2011 <0.5 pg/L 11/24/2021
Bromoform SM 6200 B-2011 <0.5 pg/L 11/24/2021
Brorno!',.ethane sm 6200 B-2011 <0.5 pg/L 11/24/2021
Carbon tetrachloride SM 6200 B-2011 <0.5 pg/L 11/24/2021
Chlorobenzene SM 6200 9-2011 <0.5 pg/L 11/24/2021
Chloroethane SM 6200 B-2011 <0.5 pg/L, 11/24/2021
Chloroform SM 6200 B-2011 <0.5 pg/L 11/24/2021
Chloromethane SM 6200 9-2011 <0.5 pg/L 11/24/2021
cis-1,2-Dichloroethene SM 6200 B-2011 <0,5 pg/L 11/24/2021
cis-1,3-Dichloropropene SM 6200 0-2011 <0.5 pg/L 11/24/2021
Dibromochloromethane SM 6200 0-2011 <0.5 pg/L 11/24/2021
Dibromomethane SM 6200 0-2011 <0,5 pg/L 11/24/2021
Dichlorodifluoromethane SM 6200 B-2011 <0.5 pg/L. 11/24/2021
Ethylbenzene SM 6200 B-2011 :`' <0.5 pg/L 11/24/2021
Hexachlorobutadiene SM 6200 B-2011 <0.5 pg/L 11/2412021
lsopropylbenzene SM 6200 B-2011 <0.5 pg/L 11/24/2021
M+P Xylene SM 6200 B-2011 <1.0 pg/L. 11/24/2021
Methylene chloride SM 6200,B-2011 <0.5 pg/L 11/24/2021
Naphthalene SM 6200 B-2011 <0.5 pg/L 11/24/2021
n-Butylbenzene SM 6200 B-2011 <0.5 pg/L 11/24/2021
n-Propylbenzene SM 6200. 8-2011 <0.5 pg/L 11/24/2021
Report#:: 2021-20623 Page 2 of 30

„Intiii,1 i („11,,:11,e„, ,1„,„,„„„„„ ” -,lit'H„.
ii --1 „„. ,,,
Eli)", tit,„I"i itii.'iiiii'•all Iiiii ,, , Itir; „, . IL '. "' '' ' ' ''''''IY1'1111HH111:::111'1H1:11:1'11H11:HI11111111 liliiiiiiiiiii11111111111EMEEK„„„„3„„„„4..,L1111,
4401\1111111111111111111111111111111111111111111111111111111111111111111.41:11:11111101ililililililililinialk
6(...)02 Milk:in-6H 0,),.' y, 'Nil rt kin.gi:yr,,,,,..N0::
li ''''rl1.31.64,1,s40-011111111111 11111111,1„11„„„„„„111„1„1,19,14101'
AfillOPPgralEMPOI111110110 „I','''',e901p. p, 11111111111111
10111111110161hoppeo 710
255-A, \A,TirrtHgton Highy,,ay.Jack,,x)nvi,11,2,
ANALYTVCAL&CONSUL:PNG CHEMISTS irirolerpirorlmeWalchCiruSIS ccim
Albemarle Utility Date of Report: Dec 06, 2021
862 Holiday Island Road Customer PO#:
Hertford NC 27944 Customer ID: 09110024
Attention: Report#: 2021-20623
Project ID: Monitoring Wells
ortho-Xylene SM 6200 B-2011 <0.5 pg/L 11/24/2021
p-lsopropyltoluene SM 6200 B-2011 <0.5 pg/L 11/24/2021
sec-Butylbenzene SM 6200 8-2011 <0„5 pg/L 11/24/2021
Styrene SM 6200 8-2011 <0,5 ig/L 11/24/2021
tert-Butylbenzene SM 6200 B-2011 <0.5 pg/L 11/24/2021
Tetrachioroethene SM 6200 B-2011 <0.5 pg/L 11/24/2021
Toluene SM 6200 8-2011 4.15 pg/L 11/24/2021
Trans-1 2-Dichloroethene
SM 6200 8-2011 <0.5 pgfl- 11/24/2021
,
Trans-1 3-dichloropropene SM 8200 B-2011 <0,5 pg/L 11/24/2021
,
T chloroethene SM 6200 B-2011 <0.5 pg/L 11/24/2021
ri
Tr chlorofluoromethane SM 8200 0-2011 <0,5 pg/L 11/24/2021
Vinyl chloride SM 620.0 B-2011 <0,5 pg/L 11/24/2021
Fecal Coliform SM 9222 0-2015 MF <1 Coionies/100mL 11/19/2021
Chloride SM4500 CI E-2011 10 mg/L 11/24/2021
Nitrate Nitrogen (Calc)
Nitrite Nitrogen EPA 355.2,Rev.2 0,1993 0.02 mg/L. 11/19/2021
Nitrate+Nitrite-Nitrogen EPA 353.2,Rev 2 0,1993 0,19 mg/L 11/24/2021
Nitrate Nitrogen Subtraction Method 0.17 mg/L 12/03/2021
.,....
..—_,........_ ........._„..............—
.— — .........._—____,_--
„
Page 3 of 30
Report Y$„ 2021-20623

SUBMIT FORM ON YELLOW PAPER ONLY
Mail original DEPARTMENT OF ENVIRONMENTAL QUALITY-DIV.OF WATER RESOURCES
GROUNDWATER QUALITY MONITORING: d INFORMATION PROCESSING UNIT
7 anCOMPLIANCE REPORT FORM 1617 MAIL SERVICE CENTER,RALEIGH,NC 27699-1617
FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date: 05-31-2025
Facility Name: Albemarle Utility Company Non-Discharge WO0001817 UIC
Permit Name(if different): NPDES Other
Facility Address: 862 Holiday Island Rd TYPE OF PERMITTED OPERATION BEING MONITORED
Hertford NC 27944 County Perquimans El Lagoon ❑Remediation: Infiltration Gallery
El Spray Field ❑Remediation:
Contact Person: Danny Shelton Perry ORC Telephone#: [phone] ❑ Rotary Distributor ❑Land Application of Sludge
Well Location/Site Name:East of Baffle Lagoon No.of wells to be sampled: 10 ❑ Water Source Heat Pump ❑Other:
(from Permit)
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): MW-2 Date sample collected: 11/19/2021 FIELD ANALYSES: WAS
Well Depth: 12 ft. Well Diameter 2 in. pH 00400: 5.8 units Temp.0001a: 15.9 °C DRY at
-2 ft. to -12 ft. Spec. iMhos time of
Depth to Water Levelz54s: 7.6 ft.below measuring point Screened Interval: Conti.00094: F sampling,
Measuring Point is 3 ft.above land surface Relative M.P. Elevation: ft. Odor 00085: Sulfur check
Volume of water pumped/bailed before sampling: 3.0 gallons Appearance Tan/Turbid here:
Samples for metals were collected unfiltered: ❑YES © NO and field acidified: ❑YES ®NO
LABORATORY INFORMATION
Date sample analyzed:1 1 11 9/202 1 Laboratory Name: Environment Chemists, Inc 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 colonies /100mL Nitrate(NO3)as N 00620 0.14 mg/L Zn-Zinc 01092 mg/L
Coliform:MF Total 31504 /100mL Phosphorus.Total as P 00665 mg/L
(Note: Use MPN method for highly turbid samples) Orthophosphate?o5oi mg/L Other(Specify Compounds and Concentration Units):
Dissolved Solids:Total 70300 263 mg/L Al-Aluminum 01105 mg/L
pH(Lab)00403 5.8 units Ba-Barium 01007 ug/L
TOC 00680 19. mg/L Ca-Calcium 00916 mg/L
Chloride 00940 12 mg/L Cd-Cadmium 01027 ug/L
Arsenic 01002 ug/L Chromium:Total o1034 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 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%
5xestify that,lo-�ebest oZ any knowledge anc-b t tte nfo33 atic ubruttt ert Tlis Ts Vises accurate.-artd complete.at that-the laboratory ar lytical data wasprad€ed rsi a rav -metes of-analysts_by a
t1WR- 1 ritooj 7 traware Uheraa€e nficaet a si€r tt t ere u_dtngitae ssibtlsy tSeeseboa1ptiwyn ,t cu unt idle ns ,=_ _
Shayne Lamb Corporate Secretary r<�
Permittee(or Authorized Agent Name and Title-Please print or type Sic e e r. ittee/ Authorized Agent' (Date)
G'A`-59 Rev.06-07-2018

,+10,4‘,‘+Vkldlialtitiallt .
t1k110,4*'oillimmiligit,,, 1,1,11.+4 Ili 011 V I,1... I„Ilol 9,9,,, , VAI!,','1,',.'„,7,)1,1, 0'„ ilii ""1!! I ':':9,L;9j, 00:, „ 9,, ,9,,, 9 1.'(„9„,9
,' , , t 99 Ili :,,,::' i ,,,„„,„, 1 i s t s it 1
flpu I ,0
,,OplIIIIIIHHHHHHIIHIlltii,,,,,,u4.11kk,
s, 110 i 1,,a ,,Hio,„,„,„11,1,1,,,,,„ ,,,,,,,,10w,
,„02 lNinchnill 'Noy, VVJIlmn}clot ,,N4, 2/N+0+,
I 0( Ill,Ilkc,,,u,NII7IIIIl'l'Il loll lii 6 lullill\Holll III 1 All„ollItl,
l ll:V010111401110111111111111IIIIIIIIIIIIIIIIIIIII,M10101401l „ 71() Bs,\A'wil.m6 I'l kloacIL I'v1,6[11e6),NC 229S4 . 2' ,,?ilIT'l IlII2u2l, I ,,'lI, ,,
154IIIIIMINIPIPP4II lll I ' 295 A Wiloungton 1-fy,hk+,',o)+,farly,Nur0,,,Ill++,
ANALYTICAL,&CONSUL nNG CHEMISTS wfu(c/,(,';),,Irrinrucill--KlcibyHw,l,,,miii
Albemarle Utility Date of Report: Dec 06, 2021
862 Holiday Island Road Customer PO #:
Hertford NC 27944 Customer ID: 09110024
ttention: Report#: 2021-20623
Project ID: Monitoring Wells
Lab II,l Sample ID: Collect Date/Time Matrix Sampled by
21-51663 Site: MW-2 11/19/2021 Water Jay Baker
Test Method Results Date Analyzed
Color Color Tan/Turbid 11/19/2021
Depth to water, ft. Depth to Water,Ft, 7,6 feet 11/19/2021
Ammonia Nitrogen EPA 350.1,Rev.2,0, 1993 1 pg/L 11/29/2021
Gallons bailed before sampling Gallons Bailed before sampling 3 (dry)gallons 11/19/2021
Odor Qualitative Sulfur 11/19/2021
Total Dissolved Solids (TDS) SM 2540 C-2015 263 mg/L, 11/23/2021
Temperature SM 2550 B-2010 1590 11/19/2021
p H SM 4500 I-1 B-2011 5.8 units 11/19/202'1
Total Organic Carbon (TlOC) SM 5310 B-2014 19,0 mg/L 11/22/2021
1,1,1,2-Tetrachloroethane SM 6200 9-2011 <0.5 pg/L 11/24/2021
1,1 1-Trichloroethane SM 6200 B-2011 <0.5 pg/L 11/24/2021
1,1,2,2-Tetrachloroethane SM 6200 B-2011 <0,5 ug/L, 11/24/2021
1,1,2-Trichloroethane SM 6200 8-2011 <0.5 pg/L 11/24/2021
1,1-Dichloroethane SM 6200 B-2011 <0,5 Pg/L 11/24/2021
1,1-Dichloroethene SM 6200 B-2011 <0.5 pg/L 1'1/24/202'1
1,1-Dichloropropene SM 6200 B-2011 <0.5 pg/L 11/24/2021
1,2,3-Trichlorobenzene SM 6200 B-2011 <0.5 pg/L 11/2412021
1,2,3-Trichloropropane SM 6200 B-2011 <0.5 pg/L '11/24/2021
1,2,4-Trichlorobenzene SM 6200 B-2011 <0,5 pg/L 11/24/2021
1,2,4-Trimethylbenzene SM 6200 B-2011 <0.5 pg/L 11/24/2021
11,2-Dibromo-3-Chloropropane SM 6200 B-2011 <0.5 pg/L 11/24/2021
1,2-Dibrornoethane SM 6200 B-2011 <0,5 pg/L 11/24/2021
1,2-Dichlorobenzene SM 6200 B-2011 <0.5 pg/L 11/24/2021
1,2-Dichloroethane SM 6200 B-2011 <0.5 pg/L 11/24/2021
1,2-Dichloropropane SM 6200 B-2011 <0.5 pg/L 11/24/2021
1,3,5-Trimethylbenzene SM 6200 B-2011 <0.5 pg/L 11/24/2021
Report if:. 2021-20623 Page 4 of 30

,iii,a1c,M14111111111111111111111.“„,,„,n ,
"Iv r„,,,IL:, ::1'1'D,1,1:„10'il,1,1,1,!,!,,,,, ri 10111,„'al DI 13,,,,,,,, ,„,,:2'11,1,1 is 0 „„:, I
64-1H121,N1rrWritll \Nov, VvIkrongtow;11,4( ‘).1.,101, . 91(1392 H2127i.1,HH ,, 1) 1,131)7. 141;14 L'i,r
roc'r ,
'441 11 011 01 11 101011g 11 11 11 1111;I 200"'81 '^
o ielltil,1411;p?I'l'I'l'I'l'ip,',Y,=',70'
oil
ANALYTICAL&CONSULTING CHEMIST'S mkPo'crr,rp,mincill,,d(AlcHwd,,,con,
Albemarle Utility Date of Report: Dec 06, 2021
862 Holiday Island Road Customer PO #:
Hertford NC 27944 Customer ID: 09110024
Attention: Report#: 2021-.20623
Project ID: Monitoring Wells
...
1,3-Dichlorobenzene SM 6200 B-2011 <0.5 pg/L 11/24/2021
1,3-Dichloropropane SM 6200 B-2011 <0.5 pg/L. 11/24/2021
1,4-Dlchlorobenzene SM 6200 8-2011 <0.5 pg/L 11/24/2021
2,2-Dichloropropane SM 6200 B-2011 <0.5 pg/L 11/24/2021
2-Chlorotoluene SM 6200 B-2011 <0,5 pg/L 11/24/2021
4-Chlorotoluene SM 6200 B-2011 <0.5 pg/L 11/24/2021
Benzene SM 6200 B-2011 <0,5 pg/L 11/24/2021
Bromobenzene SM 6200 8-2011 <0,5 pg/L 11/24/2021
Bromochiorornethane SM 6200 B-2011 <0.5 pg/L. 11/24/2021
Bromodichloromethane SM 6200 B-2011 <0.5 pg/L 11/24/2021
Bromoform SM 6200 8-2011 <0.5 pg/L 11/24/2021
Brornomethane SM 6200 8-2011 <0.5 pg/L 11/24/2021
Carbon tetrachloride SM 6200 8-2011 <0:5 pg/L 11/24/2021
Chlorobenzene SM 6200 B-2011 <0.5 pg/L 11/24/2021
Chioroethane SM 6200 B-2011 <0.5 pg/L 11/24/2021
Chloroform SM 6200 6-2011 <0.5 pg/L 11/24/2021
Chloromethane SM 6200 6-2011 <0.5 pg/L 11/24/2021
cis-1.2-Dichloroethene SM 6200 B-2011 <0.5 pg/L 11/24/2021
cis-1,3-Dichloropropene SM 6200 6-2011 <0.5 pg/L 11/24/2021
Dlbromochloromethane SM 6200 B-2011 <0.5 pg/L 11/24/2021
Dibromomethane SM 6200 B-2011 <0.5 pg/L 11/24/2021
Dichlorodifluoromethane SM 6200 8.2011 <0.5 pg/L 11/24/2021
Ethylbenzene SM 6200 8-2011 ''' <0.5 pg/L 11/24/2021
Hexachlorobutadiene SM 6200 6-2011 <0,5 pg/L 11/24/2021
Isopropylbenzene SM 6200 B-2011 <0.5 pg/L 11/24/2021
M+P Xylene SM 6200 8-2011 <1.0 pg/L 11/24/2021
Methylene chloride SM 6200 6-2011 <0.5 pg/L 11/24/2021
Naphthalene SM 6200 82011 <0.5 pg/L 11/24/2021
n-Butylbenzene SM 6200 6-2011 <0.5 pg/L 11/24/2021
n-Propylbenzene SM 6200 8-2011 <0.5 pg/L 11/24/2021
.-.............-...-.....
Report#; 2021-20623 Page 5 of 30

i ',,,,r,„,,,,,.10111.11111111111111111111111111111111111111111111111111111115mogroptoioplooll,„„,,
*II*
' 14001111 111,111101000110,01,11,,,,,,
255,A WCUrrjrigton Hia,0way„ fack,,,qq1w0e„A( a8),la 4 , "„,
ANALYTR.CAL&CONSULTING CH EMVSTE'i POO(C0,1,V1Y 0 In1,11:Nf.icheari;st ,Qn
Albemarle Utility Date of Report: Dec 06, 2021
862 Holiday Island Road Customer PO#:
Hertford NC 27944 Customer ID: 09110024
Attention: Report#: 2021-20623
Project ID: Monitoring Wells
ortho-Xylene SM 6200 9.2011 <0.5 pg/L 11/24/2021
olsoorogyltoluene SM 6200 B.2011 <0.5 i,ig/L 11/24/2021
sec-Butylbenzene SM 6200 B-2011 <0.5 pg/L. 11/24/2021
Styrene SM 6200 B-2011 <0.5 pg/L 11/24/2021
tert-Butylgenzene SM 6200 B-2011 <0,5 pg/L 11/24/2021
Tetrachloroethene SM 6200 B.2011 <0.5 pg/L 11/24/2021
Toluene sm 6200 B.2011 6.78 pg/L 11/24/2021
Trans-1„2-Dichlorgethene SM 6200 B-2011 <0.5 pg/L 11/24/2021
Trans-1,3-dichloropropene SM 6200 B-2011 <0.5 pg/L 11/24/2021
Trichloroethene SM 6200 8-2011 <0.5 pg/L 11/24/20211
Trichloroffporomethane SM 6200 B-2011 <O.,5 pg/L 11/24/2021
Vinyl chloride SM 6200 B-2011 <0.5 pg/L 11/24/2021
Fecal Coliform SM 9222 D-2015 ME <1 Colonies/100mL 11/19/2021
Chloride 5M4.500 CI E-2011 12 mg/L 11/24/2021
Nitrate Nitrogen (Cale)
Nitrite Nitrogen EPA 353.2,Rev,2.0,1993 < 0.02 mg/L 11/1912021
itrate+Nitrite-Nitrogen EPA 353.2,Rev,2.0,1993 0.14 mg/L 11/24/2021
Nitrate Nitrogen Subtraction Method 0.14 mg/L 12/03/2021
INIMMINIMMPAMBUINIMINM OXIMM IMMIIIMINIWIMI INNI MIMIMMUMM 1 ImaMNIMMIUMIIIMMIIIIMMIWIM
2021,20623 Page^3 of 0)

SUBMIT FORM ON YELLOW PAPER ONLY
Mail origin-al DEPARTMENT OF ENVIRONMENTAL QUALITY-DIV.OF WATER RESOURCES
GROUNDWATER QUALITY MONITORING: to:and INFORMATION PROCESSING UNIT
i -1:oopy
COMPLIANCE REPORT FORM 1617 MAIL SERVICE CENTER,RALEIGH,NC 27699-1617
FACILITY INFORMATION Please Pent Clearly or Type PERMIT Number: Expiration Date: 05-31-2025
Facility Name: Albemarle Utility Company Non-Discharge WQ0001 81 7 UIC
Permit Name(if different): NPDES Other
Facility Address: 862 Holiday Island Rd TYPE OF PERMITTED OPERATION BEING MONITORED
Hertford NC 27944 County Perquimans n Lagoon Ei Remediation: Infiltration Gallery
El Spray Field 0 Remediation:
Contact Person: Danny Shelton Perry ORC Telephone#: [phone] 0 Rotary Distributor 0 Land Application of Sludge
Well Location/Site Name: South East of Spray field No.of wells to be sampled: 10 0 Water Source Heat Pump Ell Other:
(from Perm U
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): MW-3 Date sample collected: 11/19/2021 FIELD ANALYSES: WAS
Well Depth: 12 ft, Well Diameter: 2 in. pH 00400: 6-0 units Temp.00010: 16.0 °C DRY at
tirne of
Depth to Water Level 82546: 7-9 ft.below measuring point Screened Interval: -2 ft. to -12 ft. Spec.Cond.00094: 8Mhos
sampling,
Measuring Point is 3 ft.above land surface Relative M.P. Elevation: ft. Odor 00085: Sulfur check
Volume of water pumped/bailed before sampling: 2 gallons Appearance Brown here:
Samples for metals were collected unfiltered. 0 YES El NO and field acidified: 0 YES Ill NO -
LABORATORY INFORMATION
Date sample analyzed:11/19/2021 Laboratory Name: Environmental Chemists, Inc Certification No, 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 ugh.
Conform:MF Fecal 31616 <1 colonies /100mL Nitrate(NO3)as N 00620 0.03 mg/L Zn-Zinc 01092 mg/L
Conform: MF Total 31504 /100mL Phosphorus:Total as P 00665 mg/L
(Note: Use MPN method for highly hired samples) Orthophosphate 70507 mg/L Other(Specify Compounds and Concentration Units):
Dissolved Solids:Total 70300 845 mg/L Al-Aluminum ot 185 mg/L
pH(Lab)00403 6.0 units Ba-Barium 61507 uglL
TOC 00680 47.2 mg/L Ca-Calcium 00916 mg/L
Chloride 00940 ' 15 mg/L Cd-Cadmium 01027 ugfL
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? El Yes(1) Ei No(0)
Specific Conductance 00095 vt Mhos K-Potassium 00937 mg/L VOC 7873 ,method#
Total Ammonia 00610 15 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 ot 067 ug/L , method#
For Remediation Systems Only(Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
=ont(sittiat.eto thO:bast of_frtyiknowledgeanti'betief_The-Inforhi-albn rttitgliktatVnAllis rd-ptor14s1tu actleate,arici_=Ocirnpiete and That tht-ibtfrOton,arndlylic_aWal:iv,Wprolzitieeci esing-gort,Ve8 inetNods of abalysis by a
14WR-tOwittie0-1,444:41W,taele'll141110Tere-e$49Plifi6404-Pke_411i005T*4:Yrt3a6944500f-91-6-14§;#;_IntiVditi0301aPs77075:4-7745ftqfithe-41-40--k000119,x1018114:2-Mieli,,
Loil
Shayne Byrum- Corporate Secretary iii , il; I 1,%71,4,4---). I j I 4 1 ,
.,...,
Permittee or Authorized Agent)Name and Title-Please mint or type Sign ore of ermitte for Authorized Agent) f Date)
GVV-59 Rev,06-07-2018

. A
„lh,;4,,;„), \g„1,,i,,,1„11,,,,,,,i,,,Ligilichr,4 1,47,,„111,111 v-;lo,,-,,,,,t,,„:01„,“ii,001„e 114, , ,,,or ,ists„
0, ,,,,,,,,,,,,,,,,,I1
or
00, ,,,,,,,,,,,,,,,, o ,,14,6,
I
0411110teg4146,rdimmulpipv et, v ii) li(,,L\-,ertHLA,rn Road Ivi,trII0,).. NIX 27954 ,, 2'52 ,1:7:1,
),,0,110110401,01 4,0 „,,,
'"I 3441100141111 pH. u-MI.I I 255,A WIluuqpri
ANALYIKAL&CONSULTING CHEMISTS H\I(,4cimiorimoNdtIclIc:in[st,,cow
Albemarle Utility Date of Report: Dec 06, 2021
862 Holiday Island Road Customer PO#:
ertford NC 27944 Customer ID: 09110024
Attention: Report#: 2021-20623
Project ID: Monitoring Wells
Lab ID Sample ID: Collect Date/Time Matrix Sampled by
21-51664 Site: MW-3 11/19/2021 Water Jay Baker
Test Method Results Date Analyze
....
Color Color Brown 11/19/2021
Depth to water, ft. Depth to Water,Ft. 7,9 feet 11/19/2021
Ammonia Nitrogen EPA 350.1,Rev.2.0,1993 15 pg/L. 11/30/2021
Gallons bailed before sampling Gallons Bailed before sampling 2 (dry)gallons 11/19/2021
Odor Qualitative Sulfur 11/19/2021
Total Dissolved Solids (TDS) SM 2540 C-2015 845 mg/L 11/23/2021
Temperature SM 2550 B-2010 16,0 C 11/19/2021
pH SM 4500 H 6-2011 6,0 units 11/19/2021
Total Organic Carbon (TOC) SM 5310 8.2014 47,2 mg/L 11/22/2021
1,1,1,2-Tetrachloroethane SM 6200 8-2011 <0.5 pg/L 11/24/2021
1,1,1-Trichloroethane SM 6200 8-2011 <0.5 pg/L 11/24/2021
1,1,2,2-Tetrachloroethane SM 6200 8-2011 <0.5 pg/L 11/24/2021
1,1,2-Trichloroethane SM 6200 8-2011 <0.5 pg/L 11/24/2021
1,1-Dichloroethane SM 6200 8-2011 <0.5 pg/L 11/24/2021
1,1-Dichloroethene SM 6200 8-2011 <0.5 pg/L 11/24/2021
1,1-Dichloropropene SM 6200 8-2011 <0.5 pg/L 11/24/2021
1,2,3-Trichlorobenzene SM 8200 8-2011 <0.5 pg/L 11/24/2021
1,2,3-Trichloropropane sm 6200 13-2011 <0,5 pg/L 11/24/2021
1,2,4-Trichlorobenzene SM 6200 8-2011 <0,5 pg/L 11/24/2021
1,2,4-Trimethylbenzene sm 6200 f3-2011 <0.5 pg/L 11/24/2021
1,2-Dibromo-3-Chloropropane SM 6200 B-2011 <0.5 pg/L 11/24/2021
1,2-Dibromoethane SM 6200 8-2011 <0.5 pg/L, 11/24/2021
1,2-Dichlorobenzene SM 8200 8-2011 <0.5 pg/L 11/24/2021
1,2-i Ichloroethane SM 6200 8-2011 <0.5 pg/L 11/24/2021
1,2-Dichloropropane SM 6200 8-2011 <0.5 pg/L 11/24/2021
1,3,5-Trimethylbenzene SM 6200 8-2011 <0,5 pg/L 11/24/2021
RE.)ort# 2021-20623 Page 7 of 30

oIlp„604,11,1I'
Cr ok 0114 IllOr'' 1111 III',—4!,nvi.oo III n,111 ,
(61i2 Wit,c_i 1 I 1/41,1y, \Ntirri If 14,0,M l,NC 28405 '" '410°.Y'l'„021n
'', 11A(Iillitilpitillriglial11111111111111111M
1 1 MO 7 10 5,oo.,,,,c rk/,,Vfl k', kj4d,MrIrrlou ":',,K ,795d . 2'-i.:'
'k*MR011111111)61111110011111111111111111111111110MPO'' ",,,
255-A V\iluiVIly;t1N1 HO r/v4y, I ocksonv tIlr,
ANALYTVCAL&CONSULTING OLIIEIMIS'IrS Lniu0,.'fivu()HT-ncHalf Iwynr,,I6, 01r,
Ali emarle Utility Date of Report: Dec 06, 2021
862 Holiday Island Road Customer PO#:
Hertford NC 27944 Customer ID: 09110024
Attention: Report#: 2021-20623
Project ID: Monitoring Wells
1,3-Dichiorobenzene SM 6200 B-2011 <0,5 pg/L 11/24/2021
1,3-Dichloropropane SM 6200 B-2011 <0.5 pg/L 11/24/2021
1,4-Dichlorobenzene SM 6200 B-2011 <0.5 pg/L 11/24/2021
2,2-Dichloropropane SM 6200 8-2011 <0.5 pg/L 11/24/2021
2-Chlorotoluene SM 6200 B-2011 <0.5 pg/L 11/24/2021
4-Chlorotoluene SM 8200 B-2011 <0.5 pg/L 11/24/2021
Benzene SM 6200 B-2011 <0.5 pg/L 11/24/2021
Bromobenzene SM 6200 B-2011 <0.5 pg/L 11/24/2021
Brornochloromethane SM 6200 B-2011 <0.5 pg/L 11/2 /2021
Bromodichloromethane SM 6200 B-2011 <0.5 pg/L 11/24/2021
Brornoform SM 6200 8-2011 <0,5 pg/L. 11/24/2021
Bromornethane SM 6200 B-2011 <0,5 pg/L 11/24/2021
Carbon tetrachloride SM 6200 B-2011 <0.5 pg/L 11/24/2021
Chlorobenzene SM 6200 B-2011 <0,5 pg/L 11/24/2021
Chloroethane SM 6200 B-2011 <0.5 pg/L 11/24/2021
Chloroform SM 6200 B-2011 <0.5 pg/L 11/24/2021
Chloromethane SM 6200 B-2011 <0,5 pg/L 11/24/2021
cis-1,2-Dichloroethene SM 6200 B-2011 <0,5 pg/L 11/24/2021
cis-1,3-Dichloropropene SM 6200 8-2011 <0.5 pg/L 11/24/2021
Dibromochloromethane SM 6200 8-2011 <0,5 pg/L 11/24/2021
Dibromomethane SM 6200 B-2011 <0.5 pg/L 11/24/2021
Dichiorodifluoromethane SM 6200 8-2011 <0.5 pg/L 11/24/2021
Ethylbenzene SM 6200 8-2011 ''' <0.5 pg/L 11/24/2021
Hexachiorobutadiene SM 6200 8-2011 <0.5 pg/L 11/24/2021
lsopropyibenzene SM 6200 B-2011 <0.5 pg/L 11/24/2021
11/1-+P Xylene SM 6200 8-2011 <1.0 pg/L 11/24/2021
Methylene chloride SM 6200 B-2011 <0,5 pg/L 11/24/2021
iaphthalene SM 6200 8-2011 <0.5 pg/L. 11/24/2021
n-,"utylbenzene SM 8200 8-2011 <0.5 pg/L 11/24/2021
n-Propylbenzene SM 6200 B-2011 <0,5 pg/L, 11/24/2021
Report#:: 2021-20623 Page 0 of 30

I. 0 lo
, ,k r 01,,,, islio
, , 0 mommiummon„lir
, ,04,, E in viro',11 ,111,,,, .(:„;:l i t,I1 11'!„„,,,„1 Loll,111111,,,,I,:', A i st s in e
, ‘,40, 10014,1,1,1,1,50,,i,o,,,„,
,p,
'11.="—iiiiiirowoo,
‘, ,ilmottly, („ 2 w,ndwi H Woy, Wilimnow NC
1LH: %'' '"11111 Illolol1111117111H1,,, :10 i',,O, 71(1 How,,ei f m,.,1 Pi,,,o,,L Mai OW, ni(- .22,,, ,4 Nosoolp,,,,..7
"4',1 IIII'll$P '
' '' '" 255,,A Wd!IV(rci iigll\A n'i y, I,“k!,ilti lo,.. NC l'4'',1(`
ANALYTICAL&CONSULTING CHEMISTS Ltiro(o,emLN-nninew; lclicirwTscon)
Albemarle Utility Date of Report: Dec 06, 2021
862 Holiday Island Road Customer PO#:
Hertford NC 27944 Customer ID: 09110024
Attention. Report#: 2021-20623
Project ID: Monitoring Wells
ortho-Xylene SM 8200 B-2011 <0,5 pg/L 11/24/2021
p-Isopropyltoluene SM 6200 B-2011 <0.5 pg/L 11/24/2021
sec-Butylbenzene SM 6200 B-2011 <0.5 pg/L 11/24/2021
Styrene SM 8200 8-2011 <0.5 pg/L 11/24/2021
tert-Butylbenzene SM 6200 B-2011 <0.5 pg/L 11/24/2021
Tetrachloroethene SM 6200 6-2011 <0,5 pg/L 11/24/2021
Toluene SM 6200 6-2011 1360 pg/L 11/24/2021
Trans-1,2-Dichloroethene SM 6200 6-2011 <0.5 pg/L 11/24/2021
Trans-1,3-dichloropropene SM 6200 6-2011 <0.5 pg/L 11/2,4/2021
Trochioroethene SM 6200 8-2011 <0.5 pg/L. 11/24/2021
Trich lorofluoromethane SM 6200 8-2011 <0.5 pg/L 11/24/2021
Vinyl chloride SM 6200 6-2011 <0.5 pg/L 11/24/2021
Fecal Coliform SM 9222 D-2015 MF <1 Colonies/100mL 11/19/2021
Chloride siviasoo CI E-2011 15 mg/L 11/24/2021
Nitrate Nitrogen (Calc)
Nitrite Nitrogen EPA 353.2,Rev,2.0, 1993 0.03 mg/L 11/19/2021
Nitrate+Nitrite-Nitrogen EPA 353.2,Rev.2.0,1993 0.06 mg/L 11/24/2021
Nitrate Nitrogen subtraction Method 0,03 mg/L 12/03/2021
....
Mtumnogammoaragra NM11111104
Report At:: 2021-20623 Page 9 of,"to

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 1617 MAIL SERVICE CENTER,RALEIGH,NC 27699-1617
FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date: 05-31-2025
Facility Name: Albemarle Utility Company Non-Discharge WQ0001817 UIC
Permit Name(if different): NPDES Other
Facility Address: 862 Holiday Island Rd TYPE OF PERMITTED OPERATION BEING MONITORED
Hertford NC 27944 County Perquimans 0 Lagoon ❑Remediation: Infiltration Gallery
0 Spray Field ❑Remediation:
Contact Person: Danny Shelton Perry ORC Telephone#: [phone] ❑ Rotary Distributor ❑Land Application of Sludge
Well Location/Site Name: South West of Spray field No.of wells to be sampled: 10 ❑ Water Source Heat Pump ❑Other:
(from Permit)
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): MW-4 Date sample collected: 1 1/1 912021 FIELD ANALYSES: WAS
Well Depth: 12 ft. Well Diameter: 2 in. pH 00400:5.8 units Temp.0001c: 17.5 °C DRY at
time of
Depth to Water Level 82546: 8.2 ft.below measuring point Screened Interval: -2 ft. to -12 ft. Spec.Cond.00094: ftMhos sampling,
Measuring Point is 3 ft.above land surface Relative M.P. Elevation: ft. Odor 00085: None check
Volume of water pumped/bailed before sampling: 3.0 gallons Appearance Tan/Clear here: -
Samples for metals were collected unfiltered: ❑YES 0 NO and field acidified: ❑YES ®NO
LABORATORY INFORMATION
Date sample analyzed:11/1912021 Laboratory Name: Environmental Chemists, Inc 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 3161e <1 colonies /100mL Nitrate(NO3)as N 00620 0,10 mg/L Zn-Zinc 01092 mg/L
Coliform:MF Total 31504 /100mL Phosphorus:Total as P 00665 mg/L
Note: Use MPN method for highly turbid samples, Orthophosphate 70507 mg/L Other(Specify Compounds and Concentration Units).
Dissolved Solids:Total 70300 202 mg/L Al-Aluminum 01105 mg/L
pH(Lab)00403 5.8 units Ba-Barium 01007 ug/L
TOC 00680 23.9 mg/L Ca-Calcium 00916 mg/L
Chloride 00940 6 mg/L CO-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 Ha-Mercury 71900 ug/L Lab Report Attached? ❑ Yes(1) ❑ No(0)
Specific Conductance 00095 uMhos K-Potassium 00937 mg/L VOC 7873 ,method#
Total Ammonia 00610 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%
teetlitrtbnal,to-lb€ties o y1cno ip a e e€the rgialkom silb-rniftectiAltiise-reP-oitLtrt,ze.accu€ate=and te#e and t#at e laber ry al tes€-eatawas-radu_cc_6d usirapproved me- tod5 of analysts ya
?WRet-Oift*f rotor a L_amiateLJ g rcw en es tit q fa e- fsz)alto je6lugingAtfeTiessitafitv offinwamt spa 1c3r# kL
Shayne Lamb-Corporate Secretary 3� I3 �,� ,
Permittee(or Authorized Agent)Name and Title-Please print or type Sign e€ P ra to Apr Authorized Agent) i (Ddte
GW-59 Rev.06-07-2018

IN,,
mill,
1°"I'!!!1'illl!!!!!!II IIIIIIIIHIIIIIIIMIII!!!4!
lilei 1!!!!!iIIIIIIIIIIIIIIIIIMMEMOIIIII4,4,, 4riv1r0lt,,:“',',,,,,„1:0)1,err !'! AC 1 1114 I 1 ati ell,wirli11.a-4' 19
,;,,),I,II,I, "1111,'.,,,,,,, '''''',..." d Jit.;4111,I 75 11?ZI)151 ,1, 14,,„ 999,
!4991IIIIIIIMIlmene1101900000000011111111111111111111111111111111111IIII!IIIIIIMO!!!
1111111134p!
WInlifiNII I!/\,' ,/,VI,'!Ir!Ilfigt(111
li0j111000'1!'"piiiiiiiiiii,NMI V\ 7!c1 11999,/!!!!!(.9.ric944,!II 1'6'44(1
' ,410010441111011111111111111411,41,04p,„,, ,,,,,
Ir4AMMIIIIIIIIIHMIII oli 255 A Wirningtu,n I[y5,!'r\\23.,, Jd(1,5,515,5110,, 5,:( 2.8540 r, 510 3,r/ '')';,1"' 1.Jr,'1'5,,
ANALYTICAL&CONSULING CHEMISTS inlivow!!vIro/urienull!,9kwn!!!!!! c99114
Albemarle Utility Date of Report: Dec 06, 2021
862 Holiday Island Road Customer PO#:
Fiertford NC 27944 Customer ID: 09110024
Attention: Report#: 2021-20623
Project ID: Monitoring Wells
a.m.
Lab ID Sample ID: Collect Date/Time Matrix Sampled by
21-51665 Site: MW-4 11/19/2021 Water Jay Baker
Test Method Results Date Anallyzel
Color Color Tan/Clear 11/19/2021
Depth to water, ft. Depth to Water,Ft. 8.2 feet 11/19/2021
Ammonia Nitrogen EPA 350.1,Rev.2,0,1993 1 pg/L 11/29/2021
Gallons bailed before sampling Gallons Balled before sampling 3 (dry)gallons 11/19/2021
Odor Qualitative None 11/19/2021
Total Dissolved Solids (TDS) SM 2540 C-2015 202 mg/L 11/23/2021
Temperature SM 2550 B-2010 17,5 C 11/19/2021
pH SM 4500 H B-2011 5,8 units 11/19/2021
Total Organic Carbon (TOC) SM 5310 8-2014 23.9 mg/L 11/22/2021
1,1,1,2-Tetrachloroethane SM 6200 B-2011 <0.5 pg/L 11/24/2021
1,1,1-Trichloroethane SM 6200 B-2011 <0.5 pg/L 11/24/2021
1,1,2,2-Tetrachloroethane SM 6200 B-2011 <0.5 pg/L 11/24/2021
1,1,2-Trichloroethane SM 6200 6-2011 <0.5 pg/L 11/24/2021
1,1-Dichloroethane SM 6200 B-2011 <0.5 pg/L 11/24/2021
1,1-Dichloroethene SM 6200 0-2011 <0.5 pg/L 11/24/2021
1,1-Dichloropropene SM 6200 B-2011 <0.5 pg/L 11/24/2021
1,2,3-Trichlorobenzene SM 6200 8-2011 <0.5 pg/L 11/24/2021
1,2 a'rT ri c h I o ro p ro p a n e SM 6200 0-2011 <0.5 pg/L 11/24/2021
1,2,4-Trichlorobenzene SM 6200 B-2011 <0.5 pg/L 11/24/2021
,-,
1,2,4-Trirnethylbenzene SM 6200 8-2011 <0.5 pg/L 11/24/2021
1,2-Dibromo-3-Chloropropane SM 6200 B-2011 <0.5 pg/L 11/24/2021
1,2-Dibrornoethane SM 6200 B-2011 <0.5 pg/L 11/24/2021
1,2-Dichlorobenzene SM 6200 B-2011 <0.5 pg/L. 11/24/2021
1,2-Dichloroethane SM 6200 B-2011 <0.5 pg/L 11/24/2021
1,2-Dichloropropane SM 6200 B-2011 <0.5 pg/L 11/24/2021
1,3,5-Trimethylbenzene SM 6200 B-2011 <0.5 pg/L 11/24/2021
Report#:: 2021-20823 Page 10 of 30

i 411401RILOIROM1
0 1111111111111111110101111111101011111111110100101VIW, Atk,,Ldi!ji!j,,1, 10:!!!1,,. „Ij!j nil.,,,I,Itico:11,11,11:,1,1,,,;a 0„,„.„,:,,1,,„ 11,4„„„,,,,,„1,1,,,„!„.„,;, :,)11.!)!!!,
'(1 ic#1,111,10111000,0014,11,1,1,1„1,0,0,00 040411
i 14 0 1 MIIVINPRIIIII1''Fini hivook6
„), 1t1.ri4,,,,f4'1,00 (.602 ,,,,iit,, ,, ! v,,,,ty, MIT.ning;h.)11,N,,K7 2)3405 ' 910 39.2 0223
At,'
1, 0,410000001 °!°00110000 Oh 0 00 0 0041,„114 01 '°/'I 0 Bow 0;02 00-f.03'•00v r°0 10'0(.0 a 001 NI 001 01 t0.0900,N C 29;000 054 "r 2 52.4 02 3 5702 0 0.0 0.0 i 0 200 00,0
‘000004111101000004100010m0=2000000001101°° 5,
'°'°°0°01101400004101.01100011110IHI''° 2 55-l'0, '0/V 0 1 rl,0001 to 1 I Highway, 'Jakil,ggg1.2 le,NC 28540 "v 'HO 32,1215S,13 ',ilih'ihr,,.
A NA LYT0CA 02&CONSULTING C E MIS TS 0 0"0 nit!f200iIi.0009003r00:00nte (..o.m
Albemarle Utility Date of Report: Dec 06, 2021
862 oliday Island Road Customer PO#:
Hertford NC 27944 Customer ID: 09110024
Attention: Report#: 2021-20623
Project ID: Monitoring Wells
ulMorammonumem .........01.,....„ ,,.,,.., .v,,.,,goornmEaulamalutimi•mommoM ..,......................,.y, ogwagry,.....,.....,..,„„„...,,,,,„,,m„,„,,,,,,,,„,,„,m,,n,,,,..
1„3-Dichlorobenzene SM 6200 8.2011 <0.5 pg/L 11/24/2021
1,3-Dichioropropane SM 6200 B-2011 <0,5 pg/L 11/24/2021
1,4-Dichlorobenzene SM 6200 B-2011 <0:5 pg/L 11/24/2021
2,2-Dichloropropane SM 6200 B-2011 <0.5 pg/L 11/24/2021
2-Chiorotoluene SM 6200 B-2011 <0.5 pg/L 11/24/2021
4-Chiorotoluene SM 6200 8-2011 <0.5 pg/L 11/24/2021
Benzene SM 6200 B-2011 <0.5 pg/L 11/24/2021
Zromobenzene SM 6200 B-2011 <0.5 pg/L 11/24/2021
Bra i,ochloromethane sm.6200 B-2011 <0.5 pg/t. 11/24/2021
Bromodichloromethane SM 6200 B-2011 <0.5 pg/L 11/24/2021
Bromoform SM 6200 B-2011 <0.5 pg/L 11/24/2021
Bromomethane SM 6200 8-2011 <0.5 pg/L, 11/24/2021
Carbon tetrachloride SM 6200 B-2011 <0.5 pg/L 11/24/2021
Chlorobenzene SM 6200 B-2011 <0.5 pg/L 11/24/2021
Chloroethane SM 6200 B-2011 <0.5 pg/L 11/24/2021
Chloroform SM 6200 B-2011 <0.5 pg/L 11/24/2021
Chloromethane SM 6200 B-2011 <0.5 pg/L 11/24/2021
cis-1,2-Dichloroethene SM 6200 B•2011 <0.5 pg/L 11/24/2021
cis-1,3-Dichloropropene SM 6200 B-2011 <0.5 pg/L 11/24/2021
Dibromochloromethane SM 6200 B-2011 <0.5 pg/L 11/24/2021
Dibromomethane SM 6200 B-2011 <0.5 pg/L 11/24/2021
Dichlorodifluoromethane SM 6200 B-2011 <0,5 pg/L 11/24/202'1
Ethylbenzene SM 6200 B-2011 '' <0.5 pg/L 11/24/2021
Hexachlorobutadiene SM 6200 B-2011 <0.5 pg/L. 11/24/2021
isopropyibenzene SM 6200 B-2011 <0.5 pg/L 11/24/2021
M+P Xylene SM 6200 B-2011 <1,0 pg/L 11/24/2021
Methylene chloride SM 6200 B-2011 <0.5 pg/L 11/24/2021
Naphthalene SM 6200 B-2011 <0.5 pg/L 11/24/2021
n-Butylbenzene SM 6200 B-2011 <0.5 pg/L 11/24/2021
n-Propylbenzene SM 6200 B-2011 <0.5 pg/L 11/24/2021
Report iV 2021-20623 Page 11 of 30

471 t,4/(0#o71r4\11 1/,1 4;t'9‘,i„„18W 14 4Iil1())114l 1411110!\ill 0, p1!1v011i„1P11114*T10,,1't,1 q 4,
I,v,i e 23 I sdIt t
,S7
, nMo 202
it
I ,,
tJ))ii;Y 141,701g,I1011774 - 1011'1Ip,v4,,,
I'I '400,041,7717°frilii,vkiholl7 mom
I onnowl04:00' , 710 Iiowdortt tw 1 i i‘td,yatl, ,M,ditk-1 d "..",,IC 27trt-4 t- 2'>I2 4/I'
I ,14,040,111111111116010,1,1,1,10,,,Roldo,,,),, ,A
2IIIIt A Wdtmt4t,tt)t1 t-H,2tro,,ttio,/, H k-tltn'ttrdlit, NIII 28'140 ,t 91I) ty,1,/ tt-It4I
, §1;tr47770,1,1,1,1,1,1,1,v,o,v,v,W,10,1,1,1,0doo 1
ANALTI I CAL i'S,CONSULTING CHEMISTS HO u/tot,troiirttrmAttnalctlit-HdtHt,cHdH
Albemarle Utility Date of Report: Dec 06, 2021
862 Holiday Island Road Customer PO #:
Hertford NC 27944 Customer lD: 09110024
Attention: Report#: 2021-20623
Project ID: Monitoring Wells
......
ortho-Xylene SM 6200 0-2011 <0,5 pg/L 11/24/2021
p-Isopropyltoluene SM 6200 B-2011 <0.5 pg/L 11/24/2021
sec-Butylbenzene SM 6200 8-2011 <0„5 pg/L 11/24/2021
Styrene SM 6200 B-2011 <0.5 pg/L 11/24/2021
tert-Butylbenzene SM 6200 B-2011 <0.5 pg/L 11/24/2021
Tetrachloroethene SM 6200 B-2011 <0.5 pg/L 11/24/2021
Toluene SM 6200 B-2011 <0.5 pg/L 11/24/2021
Trans-12-Dichloroethene SM 6200 B-2011 <0.5 pg/L 11/24/2021
Trans-1,3-dichloropropene SM 6200 8-2011 <0.5 pg/L 11/24/2021
Trichloroethene SM 6200 B-2011 <0.5 pg/L 11/24/2021
Trichlorofluoromethane SM 6200 B-2011 <0:5 pg/L 11/24/2021
Vinyl chloride SM 6200 B-2011 <0.5 pg/L 11/24/2021
Fecal Coliform SM 9222 0-2015 MF <1 Colonies/100mL 11/19/2021
Chloride SM4500 CI E-2011 6 mg/L 11/24/2021
Nitrate Nitrogen (Calc)
Nitrite Nitrogen EPA 353.2,Rev.2.0,1993 < 0.02 mg/L 11/19/2021
Nitrate+Nitrite-Nitrogen EPA 353.2,Rev.2.0, 1993 0.10 mg/L 11/24/2021
Nitrate Nitrogen Subtraction Method 0.10 mg/L 12/03/2021
Repoli iii 2021-20623 Paw f 2 Di itl)

SUBMIT FORM ON YELLOW PAPER ONLY
Mail origin-1 DEPARTMENT OF ENVIRONMENTAL QUALITY-DIV.OF WATER RESOURCES
GROUNDWATER QUALITY MONITORING: INFORMATION PROCESSING UNIT
topytof
COMPLIANCE REPORT FORM 1617 MAIL SERVICE CENTER,RALEIGH,NC 27699-1617
FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date: 05-31-2025
Facility Name: Albemarle Utility Company Non-Discharge WQ0001817 DIC
Permit Name(if different): NPDES Other
Facility Address: 862 Holiday Island Rd TYPE OF PERMITTED OPERATION BEING MONITORED
Hertford NC 27944 County Perquimans © Lagoon ❑Remediation: Infiltration Gallery
El Spray Field LI Remediation:
Contact Person: Danny Shelton Perry ORC Telephone#: [phone] ❑ Rotary Distributor ❑Land Application of Sludge
Well Location/Site Name: South West of Sprayfleld No-of wells to be sampled: 10 ❑ Water Source Heat Pump ❑Other:
prom Permit)
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): kW-5 Date sample collected: 11/19/2021 FIELD ANALYSES: WAS
Well Depth: 15 ft. Well Diameter: 2 in. pH 00400: 5-9 units Temp.000io: 18.1 °C DRY at
Depth to Water Level 82546: 8.5 12 Mhos time of
p ft. below measuring pointScreened Interval: ft. to 2 ft. Spec.Cond.ogosa: u
sampling,
Measuring Point is 3 ft.above land surface Relative M.P. Elevation: ft. Odor 00085: Sulfar check
Volume of water pumped/bailed before sampling: 5.0 gallons Appearance Tan/Clear here: 1
Samples for metals were collected unfiltered: ❑YES ® NO and field acidified: ❑YES ®NO
LABORATORY INFORMATION
Date sample analyzed:11/19/2021 Laboratory Name: Environmental Chemists, Inc 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 colonies /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 mg/L
(Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other(Specify Compounds and Concentration Units):
Dissolved Solids:Total 70300 312 mg/L Al-Aluminum 01105 mg/L
pH(Lab)00403 5.9 units Ba-Barium 01007 ug/L
TOC 00680 4.6 mg/L Ca-Calcium 00916 mg/L
Chloride 00940 64 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 uMhos K-Potassium 00937 mg/L VOC 7873 ,method#
Total Ammonia 00610 0 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%
�ceflifyla o be afory4mottedge,and IDekef.ttie rmatiet t t in thesepo€MMs true accw .-a c t1ete t a1 the4ah_z aCorfat€al data4ms orb-dated-using-approvedgtthods=ofanalysis b}r
O € c t #ama 2:tal- a€ srg a attt biiet$t al atton miusii:ngit p i of fu-c'Sand`i€ een ertt forte r v p _i _ _ a=_
Shayne Lamb - Corporate Secretary , - 7 , ( 1
Permdttee ter Authorized Agent1 Name and Title-Please Print or type Sten u.e of Perm4tteQ or Authorized Agent? gate
GVV-59 Rev.06 0f-2018

wall Ilhotiilitillil III ihimi 1 1 Illt,,
v 7 ro0000,0000 0 00 00 0,0000H!,00 010 00, 000 f0111000 ..„0 00
00 )00 e 000 100 11;3 s t;00,00z,„,0 0,330e,
0.0,00„„0001000000,0000000001,00,„,„,,,,0
' ,14#10,0010,4q11501000,„, 710 51Av,,erIc‘AA,r .1.,,: i0c , VI-011 ,,4 T,,;( 2Y,,,c),I . Ps2 F!'i''r/U?
'4013010001gri!li,10110M 0' ' 25) A Wilmil[Won I'IT,I1 ',t ,3(k54,M1V1Hci, ''',1(
ANALYTICAL&CONSULTING CHEMISTS ilip,)(px10,mormwr)Td(IwHosis ciim
•lbemarle Utility Date of Report: Dec 06, 2021
862 Holiday Island Road Customer PO#:
Hertford NC 27944 Customer ID: 09110024
Attention. Report#: 2021-20623
Project ID: Monitoring Wets
Lab ID Sample ID: Collect Date/Time Matrix Sampled by
21-51666 Site: MW-5 11/19/2021 Water Jay Baker
Test Method Results Date Analyzed
.. ....... .., .
Color Color Tan/Clear 11/19/2021
Depth to water, ft. Depth to Water,Ft. 8.5 feet 11/19/2021
Ammonia Nitrogen EPA 350,1,Rev,2,0,1993 0 pg/L 11/29/2021
Gallons bailed before sampling Gallons Bailed before sampling 5.0 gallons 11/19/2021
Odor Qualitative Sulfur 11/19/2021
Total 1 issolved Solids(TDS) SM 2540 C-2015 312 mg/L 11/23/2021
'Temperature SM 2550 8-2010 18.1 C 11/19/2021
pH SM 4500 H 8-2011 5,9 units 11/19/2021
Total Organic Carbon (TOO) SM 5310 8-2014 4,6 mg/L 11/22/2021
1,1,1,2-Tetrachforoethane SM 6200 B-2011 <0.5 tig/L 11/24/2021
1,1,1-Trichloroethane SM 6200 B-2011 <0.5 pg/L 11/24/202'1
1,1,2,2-T-trachloroethane SM 6200 8-2011 <0,5 pg/L 11/24/2021
1,1,2-Trichloroothane SM 6200 8-2011 <0.5 pg/L 11/24/2021
1,1-Dichloroethane SM 6200 8-2011 <0.5 pg/L 11/24/2021
1,1-Dichloroethene SM 6200 B-2011 <0.5 pq/L 11/24/2021
1,1-Dichioropropene SM 6200 8-2011 <0.5 pg/L 11/24/2021
1,2,3-Trichlorobenzene SM 6200 8-2011 <0.5 pg/L 11/24/2021
1,2,3-Trichloropropane SM 6200 8-2011 <0.5 pg/L 11/24/2021
1,2,4-Trichlorobenzene SM 6200 8-2011 <0,5 pg/L 11/24/2021
1,2,4-Trimethylbenzene SIV16200 B-2011 <0.5 pg/L 11/24/2021
1,2-Dibrorno-3-Chloropropane SM 8200 8-2011 <0.5 pg/t_ 11/24/2021
1,2-Dibromoethane SM 6200 8-2011 <0.5 pg/L 11/24/2021
1,2-Dichlorobenzene SM 8200 B-2011 <0.5 pg/L 11/24/2021
1,2-Dichioroethane SM 8200 B-2011 <0.5 pg/L 11/24/2021
1,2-Dichloropropane SM 6200 B-2011 <0,5wg/t., 11/24/2021
1,13,5-Trimethylbenzene SM 6200 B-2011 <0,5 pg/L 11/24/2021
Report# 2021-20823 Page 13 of 30

stom006401,111003,011111„,,i ,
111'1114 'lll„ '.'1,"1),',41,,,,'11111.1(11L,111".9(1,1„rit a;;1 ii, i,,,,1,11,,,,,,,,!;„1
'40000,01011,1,1,11Plit111000,,,
(,,t,u2 v,,,,d,,,di 14A/ y,"1,MIntow ',.n,NJ( 21S11-.. .. 91(092
10'\10101110111111111140114114161411111111111001100' 1,17112 ir2NNI l'esc> i,N12n5,5, NR' 275r5,1 . 252 1715702 1,i1,,/1
''''''1#06•1601PI,V,1,1,1MINIMMEN OW 0,''''' AA
"\1"qt;;N illiMirrrP5' 255 A Vidfnuir,N)r) Nfigi.12N5v, Jr.w12,,mrh.511t,„NR 2t-155.1Ti ',, .) 0 ',15.2 5)2.,11, 121h,l.,,
ANALYTICAL&CONSULTNO CHEmIsTs 511'wc,^1ww.HonincHtak,,itviiocom
Albemarle utility Date of Report: Dec 06, 2021
862 Holiday Island Road Customer PO#:
Hertford NC 27944 Customer ID: 09110024
Attention: Report#: 2021-20623
Project ID: Monitoring Wells
1,3-Dichlorobenzene SM 6200 B-2011 <0.5 pg/L 11/24/2021
1,3-Dichloropropane SM 6200 B-2011 <0.5 pg/L 11/24/2021
1,4-Dichlorobenzene SM 6200 B-2011 <0.5 pg/L 11/24/2021
2,2-Dichloropropane SM 6200 B-2011 <0.5 pg/L 11/24/2021
2-Chlorotoluene SM 6200 B-2011 <0.5 pg/L 11/24/2021
4-Chlorotoluene SM 6200 B-2011 <0.5 pg/L 11/24/2021
Benzene SM 6200 B-2011 <0.5 pg/L 11/24/2021
Bromobenzene SM 6200 B-2011 <0.5 pg/L 11/24/2021
Bromochloromethane SM 6200 8-2011 <0.5 pg/L 11/24/2021
Brornodichlorornethane SM 8200 B-2011 <0.5 pg/L 11/24/2021
Bromoform SM 6200 B-2011 <0.5 pg/L 11/24/2021
Bromomethane SM 8200 B-2011 <0.5 pg/L 11/24/2021
Carbon tetrachloride SM 6200 B-2011 <0.5 pg/L 11/24/2021
Chlorobenzene SM 6200 B-2011 <0.5 pg/L 11/24/2021
Chloroethane SM 6200 B-2011 <0,5 pg/L 11/24/2021
Chloroforrn SM 6200 B-2011 <0.5 pg/L 11/24/2021
Chloromethane SM 6200 B-2011 <0.5 pg/L 11/24/2021
cis-1,2-Dichloroethene SM 6200 B-20/1 <0,5 pg/L 11/24/2021
cis-1,3-Dichloropropene SM 6200 B-2011 <0.5 pg/L 11/24/2021
Dibromochloromethane SM 6200 B-2011 <0.5 pg/L 11/24/202,1
Dlbromomethane SM 6200 B-2011 <0,5 pg/L 11/24/2021
Dichlorodifluoromethane SM 6200 B-2011 <0.5 pg/L 11/24/2021
Ethylbenzene SM 8200 B-2011 4 <0.5 pg/L 11/24/2021
Hexachlorobutadiene SM 8200 0-2011 <0.5 pg/L 11/24/2021
lsopropylbenzene sm 6200 B-2011 <0,5 pg/L 11/24/2021
M+P Xylene SM 6200 0-2011 <1.0 pg/L. 11/24/2021
Methylene chloride SM 6200 B-2011 <0.5 pg/L 11/2:4/2021
Naphthalene SM 6200 B-2011 <0.5 pg/L 11/24/2021
n4 utylbenzene SM 6200 B-2011 <0.5 pg/L 11/24/2021
n-Propylbenzene SM 6200 B-2011 <0.5 pg/L 11/24/2021
Report#:: 2021-20823 Page 14 of 30

iiiiii10101,11114.E.101.11'Pe. „k4 'I,'!'„ l'I'''''',A 1i:"1$„:,''il,'1 iil I,IT ' ilh'nt‘;',d, (/ 1e
t:',s,rogg,01,1ilisposph,k,OW",
7 il,„1100,41,1,41,1,1,10,1,1,,Iiilly11111111g1111111111111111111111111111111111111101,0T,
, k 1,1L,,:rum ,,,shrayomplquilhu .#‘1,040 Alsit,
;I 1 R 0,1110,,' 66(12 \AlilAhrali Way, IlAhlisAAA An, SA 2840'r 0 910 AA', 0223 ) TA 0 ') ii'T,A) AST 1 A
' fli4,4:10014,000101,11.1,41001,' 7',0 Bs\AAA;ism.1 .i,A r,,u1,NiLudN)., N',,"2119:11 . 21/2.4.11.1.1',"/O2 1,11)71,),),
'4014011111,0011101VIVIVIVIIIIVIvivv,v,v,v,v,v,v,v,v1900''"' 'v 2'15-A Miiirunp1mt.1 iThway.Lwk,wiriv1He, NA ",''S'‘,040 0 9 i 0 'A't) SA,IA 1 LTA I L,
,A so vogivRoplopou ,.
ANALYTICAL&CONSSJITNG CHEMISTS miASAAAArAirmenT0S,N,LATL 0 siA
Albemarle Utility Date of Report: Dec 06, 2021
862 Holiday Island Road Customer PO#:
Hertford NC 27944 Customer ID: 09110024
Attention: Report#: 2021-20623
Project ID: Monitoring Wells
oftho-Xylene SM 6200 8-2011 <0.5 pg/L 11/24/2021
o-lsogrogyltoluene SM 6200 6-2011 <0.5 pg/L 11/24/2021
sec-Butylbenzene SM 6200 6-2011 <0.5 pg/L 11/24/2021
Styrene SM 6200 8-2011 <0.5 pg/L 11/24/2021
tert-Butylbenzene SM 6200 6-2011 <0,5 pg/L 11/24/2021
Tetrachloroethene SM 6200 8-2011 <0.5 pg/L 11/24/2021
Toluene SM 6200 8-2011 <0.5 pg/L 11/24/2021
Trans-1,2-Dichlorgethene SM 6200 6-2011 <0.5 pg/L. 11/24/2021
Trans-13-dichloroprobene SM 6200 8-2011 <0.5 pg/L 11/24/2021
'trichlorcethene SM 6200 8-2011 <0.5 pg/L 11/24/2021
Trionlorofluoromethane SM 6200 8.2011 <0.5 pg/L 11/24/2021
Vinyl chloride SM 6200 8-2011 <0,5 pg/L 11/24/2021
Fecal Coliform SM 9222 D-2015 ME <1 Colonies/100mL 11/19/2021
Chloride SM4500 CI E-2011 64 mg/L 11/24/2021
Nitrate Nitrogen (Cale)
Ntrite Nitrogen EPA 353.2,Rev.2,0,1993 < 0.02 mg/L 11/19/2021
Nitrate+Nitrite-Nitrogen EPA 353.2,Rev.2,0,1993 0.03 mg/L 11/24/2021
Nitrate Nitrogen Subtraction Method 0.03 mg/I. 12/03/2021
th .., . ,
MOOMMIIIIRMIMMOMMIA ........wommwmprnm . MI#1#11###I#MMONNIMMIKIWOMMAIIIIMMIIMIMI#16#0.############111111011.2###00100#01#01#4
R######' 2021 02'0823 Pag0 11,ry ac

SUBMIT FORM ON YELLOW PAPER ONLY
Ian-0-n--- i J DEPARTMENT OF ENVIRONMENTAL QUALITY-DIV.OF WATER RESOURCES
GROUNDWATER QUALITY MONITORING: INFORMATION PROCESSING UNIT
ArPri t£ y
COMPLIANCE REPORT FORM 1617 MAIL SERVICE CENTER,RALEIGH,NC 27699-1617
FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date: 05-25-2025
Facility Name: Albemarle Utility Company Non-Discharge WQ0001817 UIC
Permit Name(if different): NPDES Other
Facility Address: 862 Holiday island Rd TYPE OF PERMITTED OPERATION BEING MONITORED
Hertford NC 27944 County Perquimans © Lagoon LI Remediation: Infiltration Gallery
E Spray Field ❑Remediation:
Contact Person: Danny Shelton Perry ORC Telephone#: [phone] 0 Rotary Distributor El Land Application of Sludge
Well Location/Site Name: West Of Spray Field No.of wells to be sampled: 10 Li Water Source Heat Pump 0 Other.
(from Permit)
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): MW - 6 Date sample collected: 1 1/1 91202 1 FIELD ANALYSES: WAS
Well Depth: 12 ft. Well Diameter: 2 in. pH 00400: 5.8 units Temp.00010: 1 7.9 °C DRY at
Depth to Water Level 82546: 11.7 -12 ft. Spec.Cond.00094: uMhos
time of
p ft.below measuring point Screened Interval: -2 ft. tosampling,
P 9.
Measuring Point is 3 ft.above land surface Relative M.P. Elevation: ft. Odor 00085: None check
Volume of water pumped/balled before sampling: 5,0 gallons Appearance Grey/Turbid here:
Samples for metals were collected unfiltered: ❑YES 0 NO and field acidified: El YES E NO
LABORATORY INFORMATION
Date sample analyzed:11/19/2021 Laboratory Name: Environmental Chemists, Inc 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 o3051 ug/L
Coliform.MF Fecal 31616 <1 colonies /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 mg/L
rate: Use MPN method for highly turbid samples) Orthophosphate 705o7 mg/L Other(Specify Compounds and Concentration Units):
Dissolved Solids:Total 70300 562 mg/L Al-Aluminum 01105 mg/L
pH(Lab)00403 5.8 units Ba-Barium 01007 ug/L
TOC 00680 3.6 mg/L Ca-Calcium 00916 mg/L
Chloride 00940 " 132 mg/L Cd-Cadmium o1027 uglL
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 uglL Fe-Iron o1045 ug/L (Specify test and method#.ATTACH LAB REPORT.)
Sulfate 00945 mg/L Hg-Mercury 71900 ug/L Lab Report Attached? El Yes(1) El No(0)
Specific Conductance 00095 uMhos K-Potassium 00937 mg/L VOC 7873 .method#
Total Ammonia Qom 0 mg/L Mg-Magnesium 00927 mg/L , method#
(Ammonia Nitrogen;NH3 as\;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%
VcOilify that tothe teest O sy ktta edge d tt the aofatrtatian sututrc'ttedhn this tmpert is trum,_acc-tr€a and re plete and tIhat the tabor4tary yttcat tiaa vas € is -fig g a{ medsnethods of analysis:bp?:
i of y._I a elfio,t c-E st +zaMpan4tte saw 1s )ft#t) l tr seihthtyit em r:tttr rtsaa€ r7 1C v_ a is _t _= -
Shayne Lamb - Corporate Secretary 7 t t -LA2t �� =1, o-
Permittee(or Authorized Agent)Name and Title-Pease pant or type Siena ure of P mittee t_r Authorized Agent) t(Date)
`O4r'-59 Rev.06-07-2018 `

„moliCioj 010 OM NH i 1 irl'l .II',,,,011 i 44.-1-H
;v1 „, 1,11:,„,„1 tit rtit„,,: u' Ito,„11„ jhli,o ,,,,,,„ 0,,„,,,„,00„„ 0„„,,,,1„„,,
Alkillill
111111111111114
041 ,V,191'111111110F)14kinta;' ' lit
\NNH,IlutEH \",loy,, I , II
'1i;'i):11%,',Oill'illiftl'NKR.. Tor 4 1,1„,1 ‘,01,11100111111100.,1,,,i,;,,,,„6,011,1
7,(1 FK/WhefThWI', i Alimr,,,,,,Nr,, nr.,4' .
‘)'''14110010411111111111111111111i1111Wileill `'..
",,44,94100,01F01,,,:,:,:,),\„„, V 1''',5 A 'Ailmingtoli 1.-fighw,,,y, H`rr fr,Norrolk., NC' 28f)eft1 . , 1() ,,I,'/
ANAILYIVCAL&CONSUL:NI',I,43 CHENUSTS iw',V(Iwyp.,HomiN,,uNlichL.INN,
Albe ,Dario Utility Date of Report: Dec 06, 2021
862 Holiday Island Road Customer PO#:
Hertford NC 27944 Customer ID: 09110024
Attention: Report#: 2021-20623
Project ID: Monitoring Wells
Lab ID Sample ID: Collect Date/Time Matrix Sampled by
21-51667 Sit : MW-6 11/19/2021 Water Jay Baker
Test Method Results Date Analyze.
Color Color Grey/Turbid 11/19/2021
Depth to water, ft, Depth to Water,Ft. 1 1.7 feet 11/19/2021
Ammonia Nitrogen EPA 350.1,Rev,2.0, 1993 0 pg/L 11/30/2021
Gallons bailed before sampling Gallons Bailed before sampling 5,0 gallons 11/19/2021
Odor Qualitative None 11/19/2021
Total Dissolved Solids (TDS) SM 2540 C-2015 562 mg/L 11/23/2021
Temperature SM 2550 B-2010 17,9 C 11/19/2021
pH SM 4500 H 8-2011 5.8 units 11/19/2021
Total Organic Carbon (TOC) SIV15310 B-2014 3,6 mg/L 11/22/2021
1,1,1,2-Tetrachloroethane SM 6200 B-2011 <0.5 pg/L 11/24/2021
1,1,1-Trichloroethane SM 6200 B-2011 <0.5 pg/L 11/24/2021
1,1,2,2-Tetra,chloroethane SM 6200 B-2011 <0.5 pg/L 11/24/2021
1,1,2-Trichloroethane SM 6200 B-2011 <0.5 pg/L 11/24/2021
1,1-i ichloroethane SM 6200 B-2011 <0.5 pg/L 11/24/2021
1,1-Dichloroethene SM 6200 6.2011 <0.5 i.ig/L 11/24/2021
1,1-Dichloropropene SM 6200 0.,2011 <0.5 pga, 11/24/2021
1,2,3-Trichlorobenzene SM 6200 B-2011 <0.5 pg/L 11/24/2021
1,2,3-Trichloropropane SM 6200 B-2011 <0.5 pg/L 11/24/2021
1,2,4-Trichlorobenzene SM 6200 B-2011 <0.5 pg/L 11/24/2021
1,2,4-Trimethylbenzene SM 6200 B-2011 <0.5 pg/L 11/24/2021
1,2-Dibromo-3-Chloropropane SM 6200 B-2011 <0.5 pg/L 11/24/2021
1,2-Dibromoethane SM 6200 B-2011 <0.5 pg/L 11/24/2021
1,2-Dichlorobenzene SM 6200 B-2011 <0.5 pg/L 11/24/2021
1,2-Dichloroethane SM 6200 B-2011 <0.5 pg/L 11/24/2021
1,2-Dichioropropane SM 6200 B-2011 <0.5 pg/L 11/24/2021
1,3,5-Trimethylbenzene SM 6200 B-201/ <0.5 pg/L 11/24/2021
Report rr: 2021-20623 Page 16 of 30

$
!011litilti1111111111 7,, „,
100101""'"1"10mlogiiiiIIII1111111111111111M,4-, ,u
'101,171 1„"$„-a,1,111111„'11,1,„o';,,,111,1,1,1 e„,I J t;i„iiiiill I, 111,',„ „ , ,,,,,,,,,,,,''',',$11.1111,S t,S „ ,,,,,,1,J,
101,40,1,1,p„,1„11,1,41,11),Iiliplor,01111\111,10,101„ililil,lililivilililili joili1,11,0111110,,,,ogit,,,,It,
6,07 .kuni Way, Mlin,ligtur),1,,k 2r1)1H)1 )))) ())](0'+2,1)))22J
"*100111140101111,14411100' 71(1 Ff‘ov,),»,eric))):,)q) R)))acl Ma nt).,),),!''...)(`270,1 ))), 2))2.47)1,)))2()))2
'')IWIIIII!!!!!!0)4MPIIHNOo'1114061') '^),
))1u1 1,1,11441014,4111pomm 1 iii, 255-1 WnTHElj,:,,t0C1 H1g1LW,iy,.1.aC',,w,r,vWc, 1\1( 78c))))40 ))) 'i' u )),)17 Hrr),47) i„)))));) )1),
ANALYTICAL&CONSULTIING CHE',ISTS ItlIr0(0VIMCOrInEt!ht,ik hCMISIS(OM
lbemarle Utility Date of Report: Dec 06, 2021
862 Holiday Island Road Customer PO#:
Hertford NC 27944 Customer ID: 09110024
Attention: Report#: 2021-20623
Project ID: Monitoring Wells
1,3-Dichlorobenzene SM 6200 B-2011 <0.5 pg/L 11/24/2021
1,3-Dichloropropane SM 6200 8-2011 <0.5 pg/L 11/24/2021
1,4-Dichlorobenzene SM 6200 B-2011 <0.5 pg/L 11/24/2021
2,2-Dichloropropane SM 6200 8-2011 <0.5 pg/L 11/24/2021
2-Chlorotoluene SM 6200 B-2011 <0,5 pg/L, 11/24/202.1
4-C hlorotoluene SM 6200 B-2011 <0.5 pg/L 11/24/2021
Benzene SM 6200 B-2011 <0,5 pg/L 11/24/2021
Bromobenzene SM 6200 8-2011 <0,5 pg/L 11/24/2021
Bromochloromethane SM 6200 B-2011 <0,5 pg/L 11/24/2021
Bromodichloromethane SM 6200 B-2011 <0.5 pg/L 11/24/2021
Bromoform SM 6200 8-2011 <0.5 pg/L 11/24/2021
Bromomethane SM 8200 8-2011 <0.5 pg/L, 11/24/2021
Carbon tetrachloride SM 6200 B-2011 <0.5 pg/L 11/24/2021
Chlorobenzene SM 6200 B-2011 <0.5 pg/L 11/24/2021
Chloroethane SM 6200 8-2011 <0.5 pg/L 11/24/2021
Chloroform SM 6200 B-2011 <0.5 pg/L 11/24/2021
Chloromethane SM 6200 B-2011 <0.5 pg/L 11/24/2021
cis-1„2-Dichloroethene SM 6200 B-2011 <0.5 pg/L 11/24/2021
cis-1,3-Dichloropropene SM 8200 B-2011 <0,5 pg/L 11/24/2021
Dibromochloromethane SM 6200 8-2011 <0.5 pg/L 11/24/2021
Dibromomethane SM 8200 B-2011 <0.5 pg/L 11/24/2021
Dichlorodifluoromethane SM 6200 B-2011 <0.5 pg/L 11/24/2021
Ethylbenzene SM 6200 B-2011 <0.5 pg/L 11/24/2021
Hexachlorobutadiene SM 6200 8-2011 <0.5 pg/L 11/24/2021
isopropylbenzene SM 6200 8-2011 <0.5 pg/L 11/24/2021
M+P Xylene SM 6200 B-2011 <1.0 pg/L 11/24/2021
Methylene chloride SM 6200 B-2011 <0,5 pg/L 11/24/2021
Naphthalene SM 6200 8-2011 <0.5 pg/L 11/24/2021
n-Butylbenzene SM 6200 B-2011 <0.5 pg/L 11/24/2021
n-Propylbenzene SM 8200 B-2011 <0,5 pg/L 11/24/2021
Report#:; 2021-20623 Page 17 of 30

„iir wail liiii...1.1101....1111 .,, 1111.111111-1 ,,, ,vi-1, 1-1,,,,,,,,,,ii„ 1111, 1„,1 1„11 e„,,11 „1„1,1 ,,,',,,,,,,,, ,,,i, 7 - u, ,.,,,_„,t,u...
I.f„,,,,?1,14 1 11111111 j17,k,„75 5
"a401,10, 01:111:111111141111111111111111111111111,01,: ,,,
1,01,01101
yi, ,11,,4 ,60„,?,?110,10,11111111,10161.111111111140000*,,
i von '10; ,1''1 vi'irrro, r 1”, ,,1,so
,,
,
cl.NrIC Wtcl...fmtll \Ai,..y, ..Nrir....„.clton,."...,... 2,-iIi(I.. 'cl .. 117..cl2;022,i I L.Icl cicl (NCI ..9.' 1.1.'cl IN.
'cl ' '',1. I!ilcl.11NI.......11. 1.'
IC.11,\40.4,11,11;'.1.11,11111111111000011111111401. ,„ 710 IlioNcl...N..c.Nwr. cl....N.Ld,Nlocl......cl,N., N/N-34 - 2H2. LT'.`.../..2 . ..1./k.,..
ky
ANALYTIICAL 8,CONSUL:FONG CHEMISTS
Albemarle Utility Date of Report: Dec 06, 2021
862 Holiday Island Road Customer PO#:
Hertford NC 27944 Customer ID: 09110024
Attention: Report#: 2021-20623
Project ID: Monitoring Wells
ortho-Xylene SM 6200 8-2011 <0.5 pg/L 11/24/2021
p-isopropyltoluene SM 6200 0-2011 <0.5 pg/L 11/24/2021
sec-Butylbenzene SM 6200 6-2011 <0,5 pg/L 11/24/2021
Styrene SM 6200 6-2011 <0,5 pg/L 11/24/2021
tert-Butylbenzene SM 6200 0-2011 <0.5 pg/L 11/24/2021
Tetrachloroethene SM 6200 B-2011 <0,5 pg/L 11/24/2021
Toluene SM 6200 8-2011 <0.5 pg/L. 11/24/2021
Trans-12-Dichloroethene SM 6200 6-2011 <0.5 pg/L. 11/24/2021
Trans-1,3-dichloropropene SM 6200 8-2011 <0:5 pg/L 11/24/2021
Trichloroethene SM 6200 6-2011 <0.5 pg/L 11/24/2021
Trichiorofluoromethane SM 6200 B-2011 <0.5 pg/L 11/24/2021
Vinyl chloride SM 6200 8-2011 <0,5 pg/L 11/24/2021
Fecal Coliform SM 9222 D-2015 ME <1 Colonies/100mL 11/19/2021
Chloride SM4500 CI E-2011 132 mg/L 11/24/2021
Nitrate Nitrogen (Calc)
Nitrite I 'itrogen EPA 353.2,Rev.2.0,1993 < 0.02 mg/L 11/19/2021
Nitrate+1,litrite-Nitrogen EPA 353.2,Rev.2.0,1993 0,03 mg/L 11/24/2021
Nitrate Nitrogen Subtraction Method 0.03 mg/L 12/03/2021
H ci,per it "./W1-2062a Page la o111:10

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING: INFORMATION
originalDEPARTMENT CFINFORMATIONENVIRONMENTAL
OF
WATER RESOURCES
PROCESSING UNIT
itoy
COMPLIANCE REPORT FORM 1617 MAIL SERVICE CENTER,RALEIGH,NC 27699-1617
FACILITY INFORMATION Please Pant Clearly or Type PERMIT Number: Expiration Date: 05-31-2025
Facility Name Albemarle Utility Company Non-Discharge WQ0001817 UIC
Permit Name(if different): NPDES Other
Facility Address: 862 Holiday Island Rd TYPE OF PERMITTED OPERATION BEING MONITORED
Hertford NC 27944 County Perquimans © Lagoon ❑Remediation: Infiltration Gallery
Q Spray Field ❑Remediation:
Contact Person: Danny Shelton Perry ORC Teiepbone#: 252-426-1007 ❑ Rotary Distributor ❑Land Application of Sludge
Well Location/Site Name: West of Baffle lagoon No.of wells to be sampled: 10 ❑ Water Source Heat Pump ❑Other:
((from Perms)
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): MW -7 Date sample collected: 11/19/2021 FIELD ANALYSES: WAS
Well Depth: 16.9 ft. Well Diameter. 2 in. pH 00400: 5.3 units Temp.00010: 17.0 °C DRY at ,
Depth to Water Level 82546: 5.1 ft. below measuring point Screened interval: 11.9 ft. to 16.9 ft, Spec.Cond.00094: uMhos 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: 5.0 gallons Appearance Reddish/Tan here:
Samples for metals were collected unfiltered: ❑YES Q NO and field acidified: ❑YES I NO
LABORATORY INFORMATION
Date sample analyzed:11/19/2021 Laboratory Name: Environmental Chemists, Inc Certification No,94
PARAMETERS NOTE:Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L Nitrite(NO3)as N 00615 <0.02 mg/L Pb-Lead 01051 ug/L
Coliform:ME Fecal 31616 <1 colonies 1100mL Nitrate(NO3)as N 00620 0.02 mg/L Zn-Zinc 01092 mg/L
Coliforrrm:ME Total 31504 /100mL Phosphorus:Total as P 00665 mg/L
(Note Use MPN method for highly tur5d samples) Orthophosphate 70507 mg/L Other(Specify Compounds and Concentration Units):
)issolved Solids:Total 70300 247 mg/L Al-Aluminum 01105 mg/L
pH(Lab)004c3 5.3 units Ba-Barium 01007 ug/L
TOC 00680 9.3 mg/L Ca-Calcium 00916 mg/L
Chloride 00940 29 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 uMhos K-Potassium 00937 mg/L VOC 7873 , method#
Total Ammonia 00610 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%
4eefy/ the bestof yvd��Vie#tie o best#o � et-as -atew� n4c�� -..1 ra acat data was p€oduce sap a ndoda ofao s1 y rt .a a w
lust re.`3 a ye. feot tag � r die[r armatio iu�i� it€ eof fit_ De em —_e w _e F
Shayne Lamb - Corporate Secretary r' ' _ _ ,- - - r
Permittee(or Authorized Agent)Name and Title-Please a-?nt or type Signet..e o Per. ittee( r Authorized Agent) t( at s -
GW-59 Rev.06-07-2018 il

t,\IV1),„1,01,,, niiiii illilh11111„„„„,[1„,i,,,,!„„, or.
pl,,,,l,„1„, 11:11,,v 1,I,,ri,,,,ni. '1,,i D,„ 1, '1111iHi2;tli;al 01?; illi,' „,„1„11,,,u1n,:„,, ,,, i s!'s, ,r)ii.,!,,,
40 0 L,,,111,01046„„11111,!11111IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII,,11111111111111111111111111111111111111111111111111111111111111,wir 0 ,
I ‘ '
0,02 VVI.rwcillull, Wu,. VvIlimn)gh)Ji, ,ii: .184(.17, . .t W:','+2 c:2,?.:,' I
1 i`,c i ,111i1,1,,,,6411Mlito 11,11,!p'10'
O'Atilail°1111111110111111111101110010 l' i10 Hro;',,!.("t()C,,," '/ .kci“L '441...m.h.). n"4,; 22(64 ,' ,4"42 •C'4'CH I .b71 ,14
'''''0,161alliirAcoliONERMIIIIIII040 '' 255 A Willnulv,T,N .1-kgicw, y, loa.niv)Il .N.I( 274541(1 . '4RJ 44/
ANALYFIGN. &CONSULTING Cl 4EIMISIIII S wk.(ocA.c.inicnclIch(.1i14 ,0;rn
Albemarle Utility Date of Report: Dec 06, 2021
862 Holiday Island Road Customer PO#:
Hertford NC 27944 Customer ID: 09110024
Attention: Report#: 2021-20623
Project ID: Monitoring Wells
Lab ID Sample ID: Collect Date/Time Matrix Sampled by
21-5'1668 Site: MW-7 11/19/2021 Water Jay Baker
Test Method Results Date Analyze,i
Color color Reddish/Tan 11/19/2021
Depth to water, ft, Depth to Water,Ft. 5.1 feet 11/19/2021
Ammonia Nitrogen EPA 350.1,Rev,2.0,1993 1 pg/L 11/30/2021
Gallons bailed before sampling Gallons Bailed before sampling 5,0 gallons 11/19/2021
Odor Qualitative None '11/19/2021
Total Dissolved Solids(TDS) SM 2540 C.2015 247 mg/L 11/23/2021
Temperature SM 255013.2010 17.0 C 11/19/2021
pH SM 4500 H B-2011 5.3 units 11/19/2021
Total Organic Carbon (TOC) SM 5310 B-2014 9.3 rng/L 11/22/2021
1,1,1,2-Tetrachloroethane SM 6200 B-2011 <0.5 pg/L 11/24/2021
1,1,1-Trichloroethane SM 6200 8-2011 <0,5 pg/L 11/24./2021
1,1,2,2-Tetrachloroethane SM 6200 B-2011 <0.5 pg/L 11/24/2021
1,1,2-Trichloroethane SM 6200 8-2011 <0.5 pg/L. 11/24/2021
1,1-Dichloroethane SM 6200 B-2011 <0.5 pg/L 11/24/2021
1,1-Dichloroethene SM 6200 B-2011 <0.5 lig/L 11/24/2021
1,1-Dichloropropene SM 6200 B-2011 <0,5 pg/L 11/24/2021
1,2,3-Trichlorobenzene SM 6200 B-2011 <0.5 pg/L 11/24/2021
1,2,3-Trichloropropane SM 6200 B-2011 <0.5 pg/L 11/24/2021
1,2,4-Trichlorobenzene SM 8200 B-2011 <0.5 pg/L 11/24/2021
1„2,4-Trimethylbenzene SM 6200 B-2011 <0.5 pg/L 11/24/2021
1,2-Dibromo-3-Chloropropane SM 6200 8-2011 <0.5 pg/L 11/24/2021
1,2-Dibromoethane SM 6200 8-2011 <0,5 pg/L 11/24/2021
1,2-Dichlorobenzene SM 8200 8-2011 <0,5 pg/L 11/24/2021
1,2-Dichloroethane SM 6200 B-2011 <0.5 pg/L. 11/24/2021
1,2-Dichloropropane SM 6200 8.2011 <0.5 pg/L 11/24/2021
1,3,5-Trimethylbenzene SM 6200 B-2011 <0.5 pg/L 11/24/2021
Report tr': 2021-20623 Page 19 of 30

All 111 111111111.. „
' A LI1 Ili l'TIIIII tilioNit's '1 ' i"II 1 11111'1,,,chi HI ii ji,--ir s„ if, de 3, ',e, ; „„ cfrf . re,,,, 9
\Q Al 011 toill111111101''' 111;1114,,i1011.104,4,,1,1
,' 1001,40,0 01,11141140,, 6(4)2 WGI{diVVIn Mly, WHIT-111)0AI,, '1'`,;(, 28405 ' I H1','.12 Te112:111,,th ' 91f;999). 'e4111 .1f
f' r r 4'',109V1111011111 711111rA;999frIffewe9.1e1rfod„1\499fier r,79K 919.29591 '" 1,152,971',119/112 1 di./kr,
14,11,001,1111„,,,,,,,,,Jarm7..o100 .
' 1941011111•00111,11,1,1,11,1,1,1,1,1,11,1,111111411, ,,
2.51 A ',A/ilutiowNn riyi,T),Tyv,IT(T',L1rIvilk, INC":, ",..4-(i
ANALYTICAL&CONSULTING CHENRSTS P„IfoM,:w„qr(rtirn,tmmkjwinrsf:„.„-olk
AlHemarle Utility Date of Report: Dec 06, 2021
862 Holiday Island Road Customer PO#:
Hertford NC 27944 Customer ID: 09110024
Attention: Report#: 2021-20623
Project ID: Monitoring Wells
1,3-Dichlorobenzene SM 6200 6-2011 <0.5 pg/L 11/24/2021
1,3-Dichloropropane SM 6200 6-2011 <0.5 pg/L. 11/24/2021
1,4-Dichlorobenzene SM 6200 B-2011 <0.5 pg/L 11/24/2021
2,2-Dichloropropane SM 6200 B-2011 <0.5 pg/L 1'1/24/2021
2-Chtorotoluene SM 6200 B-2011 <0.5 pg/L 11/24/2021
4-Chiorotoluene SM 8200 s-zoi-i <0.5 pg/L 11/24/2021
Benzene SM 6200 6-2011 <0.5 pg/L 11/24/2021
Bromobenzene SM 6200 B-2011 <0.5 pg/L 11/24/2021
Bromochloromethane SM 6200 B-2011 <0.5 pg/L 11/24/2021
Brorriodichlorornethane SM 6200 B-2011 <0.5 pg/L 11/24/2021
Brornoform SM 6200 B-2011 <0.5 pg/L 11/24/2021
Bra::omethane SM 6200 B-2011 <0.5 pg/L 11/24/2021
Carbon tetrachloride SM 6200 8-2011 <0.5 pg/L. 11/24/2021
Chlorobenzene SM 6200 8-2011 <0.5 pg/L 11/24/2021
Chioroethane SM 8200 8-2011 <0.5 Pg/L 11/24/2021
Chloroform SM 6200 0-2011 <0,5 pg/L 11/24/2021
Chloromethane SM 6200 8-2011 <0.5 pg/L 11/24/2021
cis-1,2-Dichlorbethene SM 6200 B-2011 <0.5 pgiL 11/24/2021
cis-1,3-Dichloropropene SM 6200 8-2011 <0,5 pg/L 11/24/2021
Dibra;:ochloromethane SM 6200 B-2011 <0.5 pg/L 11/24/2021
Dibromomethane SM 6200 8-2011 <0,5 pg/L 11/24/2021
Dichiorodifluoromethane SM 6200 B-2011 <0.5 pg/L 11/24/2021
Ethylbenzene SM 6200 B-2011 1 <0.5 pg/L 11/24/2021
Hexachlorobutadiene SM 6200 6-2011 <0.5 pg/L 11/24/2021
Isopropylbenzene SM 6200 8-2011 <0.5 pg/L 1'1/24/2021
M+P Xylene SM 6200 B-2011 <1.0 pg/L 11/24/2021
Methylene chloride SM 6200 B-2011 <0.5 pg/L 11/24/2021
Naphthalene SM 6200 6-2011 <0.5 pg/L 11/24/2021
n-Butylbenzene SM 8200 8-2011 <0.5 pg/L 11/24/2021
n-Propytbenzene SM 6200 B-2011 <0.5 pg/L 11/24/2021
Repoli#.: 2021-20623 Page 20 Of 30

,11,kit
it' m M 00$ LIllio t,,,
ottoodlr„„
loom Hol,lis „1,,, ,„11',\;„„ r 1,1„,;,,.1,10„)1 ,„,,e;,„!,,',,ili 1,1,1,1,1, „,„ i 1 ClC J, „, 1t:,,9, „1,1,1!,(11,„
movroopoly.,Nhil0410,,,,„0,,,Olilumoki,111,1,1,1,1,,INioulmons 10\i'i\' 1,,
6f,o2 vVIrldMI Di VV,wy, A'011nirt0041'010 '00,0(0,l 02D I,J00, ' `JItt 70)2 J01/4 J 0J,'4k000,4‘1041!iyilioliiitillivivilli 110 Volj,,Vi
"/JO 0 tJ),\.,000-000000v0000t0 Tt.00Jtct.,Mant00100, NC 2?',0°j0.010 " 152
40111100,04111111110111,v,vivoli Imp, ,1 2,H5-A Wilmtt0gttl 0 E-ittt,ito/v,00,i, J000000000 Jir,0110, ",,,j(t, 285.4(1
ANALNTHCAL&CONSULTING CHEMISTS 001f0000)(0t00,000J0100.0ttaldnoist0com
Altemarle Utility Date of Report: Dec 06, 2021
862 Holiday Island Road Customer PO#:
Hertford NC 27944 Customer ID: 09110024
Attention: Report#: 2021-20623
Project ID: Monitoring Wells
ortho-Xylene SM 6200 B-2011 <0.5 pg/L 11/24/2021
p-lsopropyltoluene SM 6200 B-2011 <0,5 pg/L 11/24/2021
sec-Butylbenzene SM 6200 B-2011 <0.5 pg/L 11/24/2021
Styrene SM 6200 B-2011 <0.5 pg/L. 11/24/2021
tert-Butylbenzene SM 6200 B-2011 <0.5 pg/L 11/24/2021
Tetrachloroethene SM 6200 B-2011 <0.5 pg/L 11/24/2021
Toluene SM 6200 B-2011 <0.5 pg/L 11/24/2021
Trans-1,2-Dichloroethene SM 6200 6-2011 <0,5 pg/L 11/24/2021
Trans-13-dichloropropene SM 6200 B-2011 <0.5 pg/L. 11/24/2021
Trichloroethene SM 6200 B-2011 <0.5 pg/L 11/24/2021
Trichlorofluoromethane SM 6200 B-2011 <0.5 pg/L 11/24/2021
Vinyl chloride SM 6200 B-2011 <0,5 pg/L 11/24/2021
Fecal Coliform SM 9222 0-2015 MF <1 Colonies/100mL 11/19/2021
Chloride SM4500 CI E-2011 29 mg/L 11/24/2021
Nitrate Nitrogen (Cale)
Nitrite Nitrogen EPA 353.2,Rev.2.0, 1993 < 0.02 mg/L 11/19/2021
Nitrate+Nitrite-Nitrogen EPA 353.2,Rev.2.0,1993 0.02 mg/L 11/24/2021
Nitrate Nitrogen Subtraction Method 0.02 mg/L 12/03/2021
— ____............
_„_-- .........—.....—__ , _.,„..,......,,,„„,, ...........—___—„,—...._—_...--_„—
r'2.eRCIrt# 2021-200623 0,0,0.0t)EJ 2.0 t 07)t tjit

SUBMIT FORM ON YELLOW PAPER ONLY
Mail I:Wig-in-al DEPARTMENT OF ENVIRONMENTAL QUALITY-DIV.OF WATER RESOURCES
GROUNDWATER QUALITY MONITORING: INFORMATION PROCESSING UNIT
''',COMPLIANCE REPORT REPORT FORM 1617 MAIL SERVICE CENTER,RALEIGH,NC 27699-1617
FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date: 05-31-2025
Facility Name: Albemarle Utility Company Non-Discharge W0001 81 7 UIC
Permit Name(if different): NPDES Other
Facility Address. 862 Holiday Island Rd TYPE OF PERMITTED OPERATION BEING MONITORED
Hertford NC 27944 County Perguimans 0 Lagoon El Remediation: Infiltration Gallery
ill Spray Field 0 Remediation:
Contact Person: Danny Shelton Perry ORC Telephone#: [phone] 0 Rotary Distributor 0 Land Application of Sludge
Well Location/Site Name: East of Spray Field No.of wells to be sampled: 10 El Water Source Heat Pump 0 Other:
dram Permit) ....
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): MW - 8 Date sample collected: 11/19/2021 FIELD ANALYSES: WAS
Well Depth: 15 ft. Well Diameter: 2 in. pH 00400: 6.3 units Temp.000lo: 17.2 5C DRY at
time of
Depth to Water Level 82546: 6.7 ft.below measuring point Screened Interval: 5 ft. to 15 ft. Spec.Cond.00094: [Mhos
sampling,
Measuring Point is 3 ft.above land surface Relative M.P. Elevation: ft. Odor 00085: Sulfur check
Volume of water pumped/bailed before sampling: 5.0 gallons Appearance Tan/Clear here:
Samples for metals were collected unfiltered: 0 YES III NO and field acidified: u YES II NO
LABORATORY INFORMATION
Date sample analyzed:11/19/2021 Laboratory Name: Environmental Chemists, Inc 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
Colitorm.MF Fecal 31616 12 colonies /100mL Nitrate(NO3)as N 00620 0.29 mg/L Zn-Zinc 01092 mglL
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 401 mg/L Al-Aluminum di 105 mg/L
pH(Lab)00403 6.3 units Ba-Barium o1007 ug/L
TOC 00680 6.5 mg/L Ca-Calcium 00916 mg/L
Chloride 00940 129 mg/L Cd-Cadmium 01027 ug/L
Arsenic 01002 ug/L Chromium:Total 01034 ug/L
Grease and Oils 00552 mg/L Cu-Copper o1042 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? El Yes(1) 0 No(0)
Specific Conductance 00095 0Mhos K-Potassium 00937 mg/L VOC 7873 , method#
Total Ammonia 00610 0 mg/L Mg-Magnesium 00927 mg/L ,method#
Ammonm Nitrogen;NH T as N.Ammonia Nitrogen.Total)
Mn-Manganese oi 055 ug/L ,method#
TKN as N 00625 mg/L Ni-Nickel n1067 ug/L ,method#
For Remediation Systems Only(Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
lerAifffy tat-to_lhebtstuef-my-kn:Miedgearrabetiokthe:infortfiatiamsubrrittedit):=Mia_-rgptrrfisiArue.-;:=a_caxrat%,ad- omptzw-attcKtyanh-e 4 awfaitbly-arlaIyttoixtata wao_pfixittegoitsing,approvo=metigNW-ptarT4WalayA
pW13:4Wailiediatft-M004177Awar-C*41::41:1410,aek:signiftWINVO'ailiWtokSVOWOUsifOlpffirntztOritiOft fhgp-WiNitityfOttirle$:-AtiditgpkWagfteptia*OMMAPITAAMiS=„1,1:A;t2ilaMea-U4,_ISALZ„K,.zi=_72, --z-iti Luz
Shayne Lamb - Corporate Secetary .f 4 A„.1 f i flt,i,
_„_„-----i =A, „,I ff . - A_.v ,
i I I
Permittee for Authorized Agent)Name and Title-Please print or type Sid, e of Permittee r Authorized Agent) I ( ate'
GW-59 Rev.06-07-2018 V

,,,,,100111 '1 111,1 111000 Ill'111I 1 ot,00011,11111110.091096,11 4 1 11 "1 Or
E,,,i1,,,'111,,,,,'",,'"70 r Aii,,,n,111,11,1'R1,,'Ili' ''' 11,10 t;,,',11,1,1,j„ 111111111 ,,,,11,11 1st;'„e,,110) SI III
(01410160111110114,,,
6hCl2 Wind null lNdy, Wilmm,,,'t4)il, ''','(.'2b,/0 6 . (nu ,V)2
''''''1'ki$0,110,1,000haiiik000‘
10,
7111 I,.r),,,'-,ert own 16), d,,Hvlalt,:,o,..M 21934
r,##Olilll#1.0115118mmompoilllpil -,r,,
1 Hl l 111,11111[111111111111,11111,111,11,111,111111111111,11111 1 , 2 A Vv'il'ini,00n Lii0o,vay, L),,l,Q,,onvillt,, ,,,g'78',40
ANALYTICAL &CONSULTING CHEMISTS inrorri,ccr,uollmrulalcIicmist';(onl
Albemarle Utility Date of Report: Dec 06, 2021
862 Holiday Island Road Customer PO#:
Hertford NC 27944 Customer ID: 09110024
Attention: Report#: 2021-20623
Project ID: Monitoring Wells
Lab ID Sample ID: Collect Date/Time Matrix Sampled by
21-51669 Site: MW-8 11/19/2021 Water Jay Baker
Test Method Results Date Analyzed
--- _.. .. .
Color Color Tan/Clear 11/19/2021
Depth to water, ft, clew to Water,Ft. 6.7 feet 11/19/2021
Ammonia Nitrogen EPA 350,1,Rev.2.0,1993 0 pg/L 11/30/2021
Gallons bailed before sampling Gallons Bailed before sampling 5.0 gallons 11/19/2021
Odor Qualitative Sulfur 11/19/2021
Total Dissolved Solids (TDS) SM 2540 C-2015 401 mg/L 11/23/2021
Temperature sm 2550 B-2010 17,2 C 11/19/2021
pH SM 4500 H B-2011 6.3 units 11/19/2021
Total Organic Carbon (TOO) SM 5310 B-2014 6.5 mg/L 11/22/2,021
1,1,1,2-Tetrachloroethane SM 6200 8-2011 <0,5 pg/L 11/24/2021
1,1,1-Trichloroethane SM 6200 8-2011 <0.5 pg/L 11/24/2021
1,1,2,2-Tetrachloroethane SM 6200 8.2011 <0.5 pg/L 11/24/2021
1,1,2-Trichloroethane SM 6200 8.2011 <0.5 pg/L 11/24/2021
1,1-Dichloroethane SM 6200 B-2011 <0.5 pg/L 11/24/2021
1,1-Dichloroethene SM 6200 8-2011 <0.5 pg/L 11/24/2021
1,1-Dichloropropene SM 6200 8rr2011 <0,5 pg/L 11/24/2021
1,2,3-Trichlorobenzene SM 6200 B-2011 <0.5 pg/L 11/24/2021
1,2,3-Trichloropropane SM 6200 8-2011 <0.5 pg/L 11/24/2021
1,2,4-Trichlorobenzene SM 6200 6-2011 <0,5 pg/L 11/24/2021
1,2,4-Trimethylbenzene SM 6200 B-2011 <0,5 pg/L 11/24/2021
1.2-Dibromo-3-Chloropropane SM 6200 8.2011 <0,5 pg/L 11/24/2021
1,2-Dibromoethane SM 6200 8-2011 <0.5 pg/L 11/24/2021
1,2-Dichlorobenzene SM 6200 B-2011 <0,5 pg/L 11/24/2021
1,2-Dichloroethane SM 6200 B-2011 <0.5 pg/L 11/24/2021
1,2-Dichloropropane SM 6200 8-2011 <0.5 pg/L 11/24/2021
1,3,5-Trimethylbenzene SM 8200 6-2011 <0,5 pg/L 11/24/2021
MIAMM.11•1100.0111M•01111•111MIMMOODMDMI I.M12.illn......M.MIMCIARIMOINOIMMUIMUMmimiK),..M.X111..1.111?I.
Report# 2021-20623 Page 22 of 30

,,,,,,,„„„, ,,,,,,„,,,,,,,,,t,,, , .
,,,00siiimmr, E 1,)ILV1r,,,,,,,,,“„,,,,,',n, „„„„,,,,,e1,,,,,,,itia, C71„„loo e ii oo“,,,,,,,,,, „0„„,,,, ,,,
istc,N
401, "5,711,1400,000,,,„,4 ,
ooKliculJ,,Imi
2 Wu)Nhwil \N",/, y,WIIMIUgtOn, N',R, 2:74405
''7141101ligillilliklik 010 MO M 1 El INAIOW
'Isletit),11,1,1,1,1,1),OpoRR9T90,,i, , -/1H H,,,,,,,,I,,,,,, k,,,,dm,,,,t,,,,, ),,,R'27'6,1
259,A 0,61rouNgtom i hfcv,,N,ey,,
ANALYTIICAL&CONSflicroNG CHEMarS mfora;cm, ronnwmaicficmi ,cow
Albemarle Utility Date of Report: Dec 06, 2021
862 Holiday Island Road Customer PO#:
Hertford NC 27944 Customer ID: 09110024
Attention: Report#: 2021-20623
Project ID: Monitoring Wells
1,3-Dichlorobenzene SM 6200 B-2011 <0.5 pg/L 11/24/2021
1,3-Dichloropropane SM 6200 8-2011 <0,5 pg/L 11/24/2021
1.4-Dichlorobenzene SM 6200 B-2011 <0,5 pg/L 11/24/2021
2,2-Dichloropropane SM 6200 B-2011 <0.5 pg/L 11/24/2021
2-Chlorotoluene SM 6200 8-2011 <0.5 pg/L 11/24/2021
4-Chlorotoluene SM 6200 8-2011 <0.5 pg/L 11/24/2021
Benzene SM 6200 B-2011 <0.5 pg/L., 11/24/2021
rorpobenzene SM 6200 B-2011 <0,5 pg/L 11/24/2021
Bromochioromethane SM 6200 B-2011 <0.5 pg/L 11/24/2021
Bromodichloromethane SM 6200 B-2011 <0.5 pg/L 11/24/2021
Bromoform SM 6200 8-2011 <0.5 pg/L 11/24/2021
Bromomethane SM 6200 B-2011 <0.5 pg/L 11/24/2021
Carbon tetrachloride SM 8200 B-2011 <0.5 pg/L 11/24/2021
Chlorobenzene SM 6200 B-2011 <0,5 pg/L 11/24/2021
Chloroethane SM 6200 B-2011 <0.5 pg/L 11/24/2021
Chloroform SM 6200 B-2011 <0.5 pg/L 11/24/2021
Chloromethane SM 6200 8-2011 <0.5 pg/L 11/24/2021
cis-12-Dichloroethene SM 6200 B-2011 <0.5 pg/L 11/24/2021
cis-1,3-Dichloropropene SM 6200 B-2011 <0.5 pg/L 11/24/2021
Dibromochloromethane SM 6200 B-2011 <0.5 pg/L 11/24/2021
Dibromomethane SM 6200 B-2011 <0.5 pg/L 11/24/2021
Dichiorodifluoromethane SM 6200 8-2011 <0.5 pg/L 11/24/2021
Ethylbenzene SM 6200 B-2011 ', <0.5 pg/L., 11/24/2021
Hexachlorobutadiene SM 0200 B-2011 <0.5 pg/L 11/24/2021
lsopropylbenzene SM 6200 B-2011 <0.5 pg/L 11/24/2021
M+IP Xylene SM 8200 B.-2011 <1,0 pg/L 11/24/2021
Methylene chloride SM 6200 B-2011 <0.5 pg/L 11/24/2021
Naphthalene SM 6200 B-2011 <0.5 pg/L 11/24/2021
n-Butylbenzene SM 6200 B-2011 <0,5 pg/L 11/24/2021
n-Piopylbenzene SM 6200 B-2011 <15 pg/L. 11/24/2021
Reporti#: 2021-20623 Page 23 af 30

li,„,„,,,„,„n„un,,11111111111moi
itliiiii011999119911,40 ,(,
9911991999999 ism „,[11,!,„,,„411 .11„„, 1)!I'' 0.,1''' ,',11. i
9' IiiN019990990999111.1116999999#4,919
1 iii,1141iliartaltal 111111111111111111111111111111IPIIMoik,, 91'1,,..„-1„,,,,III,11,0111,tr 499, ,
( Wil,,,,,, Wftt(irctill \Noy,. li)mgtoti, ';',,,i(.2 2)'',41,)") , qi().:
b Yq2.022,i 1,,a', '' 51U 999 i9,„9 i i,,(9919199,9 i
,9 99999 9 909I 999900
9''' B ,,,,,,r..-rt(')IA'n kood„ M.,arl'co1"\.1('7.,;(6,1
' ''14041111110181 1100° ,
NO pulitororentropow 255-A V1,/ilmmgt5f1 Hi:K[5\AT',1y, Id(lc,(111),)W6,,, NI",'28540 , '510 2,17'''',. ‘1,,,, ,0),'5,,,,,
ANAM,YTICAL &CONSULTING CHEMISTSCTI,,,11"(119M01'1111Ut),;11e11111,tS.1,;01n
Alliemarl:, Utility Date of Report: Dec 06, 2021
862 Holiday Island Road Customer PO#:
Hertford NC 27944 Customer ID: 09110024
Attention: Report#: 2021-20623
Project ID: Monitoring Wells
—......,
ortho-Xylene SM 6200 B-2011 <0,5 pg/L. 11/24/2021
p-lsopropyltoluene SM 6200 B-2011 <0.5 pg/L 11/24/2021
sec4,utylbenzene SM 6200 B-2011 <0.5 pg/L 11/24/2021
Styrene SM 6200 B-2011 <0.5 pg/L 11/24/2021
tert-Butylbenzene SM 8200 B-2011 <0.5 pg/L 11/24/2021
Tetrachloroethene SM 6200 B-2011 <0.5 pg/L 11/24/2021
Toluene SM 6200 B-2011 <0.5 pg/L 11/24/2021
Trans-12-Dichloroethene SM 6200 B-2011 <0.5 pg/L, 11/24/2021
Trans-1,3-dichloropropene SM 6200 B-2011 <0.5 pg/L 11/24/2021
Trichloroethene SM 6200 8-2011 <0.5 pg/L 11/24/2021
Trichlorofluorornethane SM 8200 B-2011 <0.5 pg/L 11/24/2021
Vinyl chloride SM 6200 B-2011 <0,5 pg/L 11/24/2021
Fecal Conform SM 9222 0-2015 MF 12 Colonies/10OrnL 11/19/2021
Chloride SM4500 CI E-2011 129 mg/L 11/24/2021
Nitrate itrogen (Calc)
Nitrite Nitrogen EPA 353.2,Rev.2 0, 1993 < 0.02 mg/L 11/19/2021
, ,itrate+Nitrite-Nitrogen EPA 353.2,Rev,2 0, 1993 0.29 mg/L 11/24/2021
Nitrate Nitrogen Subtraction Method 0.29 mg/L 12/03/2021
IMIM2141.11.1nIMMUM.1211111M1941111.1W INIMMINIMIII 11 .......... NUMILmnimnmialoMMOORMMIVIMMOCKOWNIMAIMMERVITMUMAI„pl MIIIW.11,
ROPOlt 4 2021-20623 RIgrt,,24/14 M

SUBMIT FORM ON YELLOW PAPER ONLY
/- ---_--Itilail original DEPARTMENT OF ENVIRONMENTAL QUALITY-DIV.OF WATER RESOURCES
GROUNDWATER QUALITY MONITORING: INFORMATION PROCESSING UNIT
_oopyto:
COMPLIANCE REPORT FORM 1617 MAIL SERVICE CENTER,RALEIGH,NC 27699-1617
FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date: 05-31-2025
Facility Name: Albemarle Utility Company Non-Discharge W00001817 UIC
Permit Name(if different): NPDES Other
Facility Address: 862 Holiday Island Rd TYPE OF PERMITTED OPERATION BEING MONITORED
Hertford NC 27944 County Perquimans CI Lagoon 0 Remediation: infiltration Gallery
0 Spray Field 0 Remediation:
Contact Person: Danny Shelton Perry ORC Telephone#: [phone] 0 Rotary Distributor 0 Land Application of Sludge
Well Location/Site Name: West of Spray Field No,of wells to be sampled: 10 Li- Water Source Heat Pump 0 Other.
jrorn Permit)
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): MW - 9 Date sample collected: 11/19/2021 FIELD ANALYSES: WAS
Wet Depth: 15 ft. Well Diameter: 2 in. pH wilco: 5.5 units Temp,000to: 17.8 ac DRY at
Depth to Water Level 82546: 8.2 ft.below measuring point Screened Interval: 4 ft, to 14 ft. Spec.Cond.odoe4: pMhos time of
sampling.
Measuring Point is 3 ft.above land surface Relative M.P. Elevation: ft. Odor 00085: Sulfur check
Volume of water pumped/bailed before sampling: 5.0 gallons Appearance Clear 'here:
Samples for metals were collected unfiltered: 0 YES RI NO and field acidified: 0 YES X NO
LABORATORY INFORMATION
Date sample analyzed:11/19/2021 Laboratory Name: Environmental Chemists, Inc 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 61051 ug/L
Coliform: ME Fecal 31616 <1 colonies /100mL Nitrate(NO3)as N 00620 0,06 mg/L Zn-Zinc 01092 mg/L
Coliform:ME Total 31504 /100mL Phosphorus:Total as P 00665 mg/L
(Note: Use MPN method for highly turbd samples)
Orthophosphate 70507 mg/L Other(Specify Compounds and Concentration Units):
Dissolved Solids:Total 70300 64.0 mg/L Al-Aluminum Pt 105 mg/L
pH(Lab)00403 5.5 units Ba-Barium 01007 ug/L
TOC 00680 0.9 mg/L Ca-Calcium 00916 mg/L
Chloride 00940 ' 7 mg/L Cd-Cadmium 01027 ug/L
Arsenic 01002 ug/L Chromium:Total 01034 ug/L
Grease and Oils 00552 mg/L Cu-Copper 01o42 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 009,45 mg/L Hg-Mercury itaoo ug/L Lab Report Attached? D Yes(1) 0 No(0)
Specific Conductance 00095 uMhos K-Potassium 00937 mg/L VOC 7873 .method#
Total Ammonia 00610 0 mg/L Mg-Magnesium 00927 mg/L ,method#
(Ammoma Narogen,NI- N:Ammonia Narogen,Total)
Mn-Manganese 01055 ug/L , method#
TKN as N 00625 mg/L Ni-Nickel 0i0e7 ug/L ,method#
For Remediation Systems Only(Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
6#44that748 tbeteetray=krmile-cl-wand7664M.,11-16-4-11-0ffnation-51italratto-cfiwithistwortitri.lepaccurate-7attdt-oirt#1ere..-analhat-theratory2dri6.11418arciatawcItiON6N-60=usirtg7aporeve,toiettols 9farl4tysis bye/
zalWR-tte7r17iffdaalla---1A- 1,141,141Wg7111-7.44117047aks4g—Flika171:71110*-110117 114404151Q174,10iTha1- 110-P;11-141- - -ck09707CN-W1411Y(407-137014111:1- 011- *157'0- -glee-- 11-0041t1N----11174-4:1111:4171:-V_;iDel'z=4,77=1-67=!-76:-7-4724-e77771:7;_71717 -i6:717,210f=7217:2=_A
if 17/171)„I 1/ ,T __---3 I ji iv __..
i,,, i --) ..1
Shayne Lamb - Corporate Secretary ., 3----I i 11 i I -I 1 Ffrvr L--- 2 i . / -
= - - - 1 /-
Permittee(or Autho-ized Agent)Name and Title-Please AAAt or type Sio7.":.e o Peruittee ,Authorized Apent) ,(Date)l i =
I
GW-59 Rev.06-07-2018 -

,
,10,11,4,,i,,,,,p,,,,,,,, „„,,
11,,,i1,,,:,,t,,,,,i , 4:i))1,i !,,,:„,, „ , ,,f,,,,,a lit 1;A, ,I, ,ho,dri !,1,,,,,i., :t,s,„) .,1„111(,,!,,,
6iiit4, ,,1101,1001,0010,000,00,,,i ,
'$irloilhol,,,,mulareolutp,„,
,,,,o,,,,,„„,„,11, \(,,,tioli, 00,1,1; \\;, i,i „ow INtntinuill \Nzty V\illiiinitm .,:(. 78407 . (f 10 702 0222 I ,11) . '+ ft7'7) i 177} ,
'' II;i'l'hiii'\ ''il,A Uldill'1,11„i 1.0„,711 I tie
' ''':°) 11111\47*\011101610111111100, V,, '710 i')0v,'!,0riov,,TI koad, %,1,1r0,20, 'N,f',2 A VV lt li' 4 , 25%•17" '7/02
''AMAWlOPPOOliN1J6''''' 55 jitto,thtn t f4w,,ty,Jot ttym,t).110, l'., 28H•li I t, ,tilt )t.,t2 Vtrt. 01;,,,j,d;,
ANALYHCAIL,&CONSUL:MG CHEMIlaTS inl(dojvmAr(tIttticrnmlchttn ,;r',trri
Albe, arle Utility Date of Report: Dec 06, 2021
862 Holiday Island Road Customer PO #:
Hertford NC 27944 Customer ID: 09110024
Attention: Report#: 2021-20623
Project ID: Monitoring Wells
. .
Lab BD Sample ID:, Collect Date/Time Matrix Sampled by
21-51670 Site: MW-9 11/19/2021 Water Jay Baker
Test Method Results Date Analyzed
........_
Color Color Clear 11/19/2021
Depth to water, ft. Depth to Water,Ft. 8.2 feet 11/19/2021
Ammonia Nitrogen EPA 350,1,Bey.2.0,1993 < 0 pg/L '11/30/2021
Gallons balled before sampling Gallons Bailee before sampling 5:0 gallons 11/19/2021
Odor Qualitative Sulfur 11/19/2021
Total Dissolved Solids(IDS) SM 2540 C-2015 64.0 mg/L 11/23/2021
Temperature sm 2550 B-2010 17.8 C 11/19/2021
pH SM 45001113-2011 5,5 units 11/19/2021
Total Organic Carbon (TOC) SM 5310 B-2014. 0.9 mg/L 11/22/2021
1,1,1,2-Tetrachloroethane SM 6200 B-2011 , <0.5 pg/L, 11/2,4/2021
1,1,1-Trichloroethane SM 6200 6.2011 <0.5 pg/L 11/24/2021
1,1,2,2-Tetrachloroethane SM 6200 B-2011 <0.5 pg/L 11/24/2021
1,1,2-Trichloroethane sm 6200 B-2011 <0.5 pg/L 11/2,4/2021
1,1-Dichloroethane SM 6200 B-2011 <0.5 pg/L 11/24/2021
1,1-Dichloroethene SM 6200 B-2011 <0.5 pg/L 11/24/2021
1,1-Dichloropropene SM 6200 B-2011 <0.5 pg/L 11/24/2021
1,2,3-Trichlorobenzene SM 6200 B-2011 <0.5 pg/L 11/24/2021
1,2,3-Trichloropropane SM 6200 B-2011 <0.5 pg/L 11/24/2021
1,2,4-Trichlorobenzene SM 6200 B-2011 <0.5 pg/L 11/24/2021
1,2,4-Trimethylbenzene SM 6200 B.2011 <0.5 pg/L 11/24/2021
1,2-Dibromo-3-Chloropropane SM 6200 0-2011 <0.5 pg/L. 11/24/2021
1,2-Dibromoethane SM 6200 B-2011 <0.5 pg/L 11/24/2021
1,2-Dichlorobenzene SM 6200 B-2011 <0.5 pg/L 11/24/2021
1,2-Dichloroethane SM 6200 B-2011 <0.5 pg/L 11/24/2021
1,2-Dichloropropane SM 6200 B2011 <0.5 pg/L 11/24/2021
1,3,5-'Tril 'ethylbenzene SM 6200 B-2011 <0.5 pg/L 11/24/2021
Report 14:: 2021-20623 Page 25 of 30

\ Wilbiiml,,,„ 1
' "lr'll'Ill!INOI111111111111.1010glially i IR; i!1,'11 "'%„;.'"11,iii “,,,,Icru I: ,(,,,,,,,„„,1 It al I,:,„,ill eni is t s 9 41,0110111111111111k16011T 0004
1 loll o I ION*
lt10411p1
hIlli ug 1 on, ',4(,:284()5 , („bla A92 0223 Lab ,' 9110 392 1-124 lOttx
'' 4)r011ilOiLvifilK1101100.00' TNO rt310v,tsettown' Road t IVIan tec),NC 27954 r, 252 473 5702, ( abj Fax
11111,1111101111IIIIIIII
1 liAiiii!IIII40111111 lal l'' ' 25,5-A INii.rni 4:0 on H i0 way,
A0"44ALY"riCAL&CONSULTING CHEMISTS iido(p;envuonmentak.hAfrbsts corn
Albemarle Utility Date of Report: Dec 05, 2021
862 Holiday Island Road Customer PO#:
Hertford NC 27944 Customer ID: 09110024
Attention: Report#: 2021-20623
Project ID: Monitoring Wells
1,3-Dichlorobenzene SM 6200 B-2011 <0,5 pg/L 11/24/2021
1,3-Dichloropropane SM 6200 B-2011 <0.5 pg/L 11/24/2021
1,4-Dichlorobenzene SM 6200 B-2011 <0.5 pg/L 11/24/2021
2,2-Dichloropropane SM 6200 B-2011 <0,5 pg/L 11/24/2021
2-Chlorotoluene SM 6200 B-2011 <0.5 pg/L 11/24/2021
4-Chforotoluene SM 6200 B-2011 <0.5 pg/L 11/24/2021
Benzene SM 5200 B-2011 <0.5 pg/L 11/24/2021
Bromobenzene SM 6200 B-2011 <0.5 pg/L 11/24/2021
Bromochloromethane SM 6200 B-2011 <0,5 pg/L 11/24/2021
Bromodichloromethane SM 6200 B-2011 <0.5 pg/L 11/24/2021
Bromoform SM 6200 B-2011 <0.5 pg/L 11/24/2021
Bromomethane SM 6200 B-2011 <0.5 pg/L 11/24/2021
Carbon tetrachloride SM 6200 B-2011 <0.5 pg/L 11/24/2021
Chlorobenzene SM 6200 B-2011 <0.5 pg/L 11/24/2021
Chloroethane SM 620013-2011 <0.5 pg/L 11/24/2021
Chloroform SM 6200 B-2011 <0.5 pg/L. 11/24/2021
Chloromethane SM 6200 B-2011 <0.5 pg/L 11/24/2021
cis-1,2-Dichloroethene SM 6200 B-2011 <0.5 pg/L 11/24/2021
cis-1,3-Dichloropropene SM 6200 B-2011 <0.5 pg./L 11/24/2021
Dibromochloromethane SM 6200 8-2011 <0.5 pg/L 11/24/2021
Dibromomethane SM 5200 B-2011 <0.5 pg/L 11/24/2021
Dichlorodifluoromethane SM 6200 B-2011 <0.5 pg/L 11/24/2021
Ethylbenzene SM 8200 B-2011 ' <0.5 pg/L 11/24/2021
Hexachlorobutadiene SM 6200 B-2011 <0.5 pg/L 11/24/2021
lsopropylbenzene SM 0200 B-2011 <0.5 pg/L 11/24/2021
M+P Xylene SM 6200 B-2011 <1.0 pg/L 11/24/2021
Methylene chloride SM 6200 B-2011 <0,5 pg/L 11/24/2.021
(2.aphthalene SM 6200 B-2011 <0.5 pg/L 11/24/2021
n-Butylbenzene SM 5200 B-2011 <0.5 pg/L 11/24/2021
n-Propylbenzene SM 6200 B-2011 <0.5 pg/L 11/24/2021
Report 4:: 2021-20623 Page 26 of 30

011 1 ii,I(1. ,, t ii,9,i,i,
‘1,011111iiisi4,2Egiogismolo,,,
'''P'Y'01110101111101 di 10101,PV
'\1140101C 710 BMA,,A,,a-tc,\,kin RANT '',LANALL N.C, 27954 L 2AT CALLAN I LH NA
NI1111016,100=111,,,,,wprilipopp ' 'A
,,h1,111„,,,,,:::n:40,11010110,,,,,02 255 A 1/4/Wrung:Am LONNA&J L NANA&AL,NA'ALN2141 ''' () 0 247 AAT', ! .2 A'YL,
ANALYTICAL.&CONSULTING CHI SS ATANALNALLANAYALNALLNL ANN
Alb,;.made Utility Date of Report: Dec 06, 2021
862 Holiday Island Road Customer PO#:
Hertford NC 27944 Customer ID: 09110024
Attention: Report#: 2021-20623
Project ID: Monitoring Wells
ortho-Xylene SM 6200 8-2011 <0.5 pg/L 11/24/2021
p-lsoprobyltoluene SM 6200 8-2011 <0.5 pgit 11/24/2021
sec-Butylbenzene SM 6200 B.2011 <0.5 pg/L 11/24/2021
Styrene SM 6200 8-2011 <0,6 pg/L 11/24/2021
ten-Butylbenzene SM 6200 B-2011 <0.5 pg/L 11/24/2021
Tetrachloroethene SM 6200 B-2011 <0,5 pg/L 11/24/2021
Toluene SM 6200 B-2011 <0.5 pg/L 11/24/2021
Trans-1,2-Dichloroethene SM 6200 8.2011 <0.5 pg/L. 11/24/2021
Trans-1,3-dichlorogrobene SM 5200 0-2011 <0.5 pg/L 11/24/2021
Trichloroethene SM 6200 8-2011 <0.5 pg/L 11/24/2021
Trichlorotboromethane SM 6200 0-2011 <0.5 pg/L 11/24/2021
Vinyl chloride SM 6200 8-2011 <0.5 pg/L 11/24/2021
Fecal Conform SM 9222 0-2015 ME <1 Colonies/100mL 11/19/2021
Chloride 5M4500 Ct E-2011 7 mg/L 11/24/2021
Nitrate iltrogen (Calc)
l' trite Nitrogen EPA 353.2,Rev.2.0, 1993 < 0,02 mg/L 11/19/2021
Nitrate+Nitrite-Nitrogen EPA 353.2,Rev.2.0, 1993 0.06 mg/L 11/24/2021
Nitrate Nitrogen Subtraction Method 0.06 mg/L 12/03/2021
....._ _ .
OMMOMMIMMIMMOIMMMMMI IIMMMMIMIMAIWIMIMIAMMIMMMUMMIUNIMMEMIrnifonliiimolOM
Report 8:: 2021-20623 Page 27 of 30

SUBMIT FORM ON YELLOW PAPER ONLY
Mail original DEPARTMENT OF ENVIRONMENTAL QUALITY-DIV.OF WATER RESOURCES
GROUNDWATER QUALITY MONITORING: INFORMATION PROCESSING UNIT
It troll;0-owt-01
COMPLIANCE REPORT FORM 1617 MAIL SERVICE CENTER,RALEIGH,NC 27699-1617
FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date: 05-31-2025
Facility Name: Albemarle Utility Company Non-Discharge WQ001817 JIG
Permit Name Of different): NPDES Other
Facility Address: 862 Holiday Island Rd TYPE OF PERMITTED OPERATION BEING MONITORED
Hertford N,C. 27944 County Perquimans 0 Lagoon 0 Remediation: Infiltration Gallery
IA Spray Field Q Remediation:
Contact Person: Danny Shelton Perry ORC Telephone#: [phone] ❑ Rotary Distributor U Land Application of Sludge
Well Location/Site Name: South of Spray Field No.of wells to be sampled: 10 0 Water Source Heat Pump 0 Other:
(Porn Permit)
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): MW-10 Date sample collected: 11/19/202€ FIELD ANALYSES: WAS
Well Depth: 15 ft, Well Diameter: 2 in. pH 00400: 5.7 units Temp.00010: 1 M °c DRY at
Depth to Water Level 82546: 12.1 ft.below measuring point Screened Interval: 5 ft. to 14 ft. Spec.Cond.00094: p.Mhos time of
sampling,
Measuring Point is 3 ft.above land surface Relative M.P. Elevation: ft. Odor 00085: None check
Volume of water pumped/bailed before sampling: 5-0 gallons Appearance Clear •here:
Samples for metals were collected unfiltered: 0 YES it NO and field acidified: 0 YES •NO
LABORATORY INFORMATION
Date sample analyzed:11/1912021 Laboratory Name: Environmental Chemists„ Inc 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 uglL
Coliform:MF Fecal 31616 <1 colonies /100mL Nitrate(NO3)as N 00620 0.09 mg/L Zn-Zinc 01092 mg/L
Coll€orm: 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:T otal 70300 255 mg/L Al-Aluminum 01105 mg/L
pH(Lab)00403 5.7 units Ba-Barium 01007 ug/L
TOC 00680 1.3 mg/L Ca-Calcium 00916 mg/L
Chloride 00940 ' 107 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 ug1L Fe-Iron 01045 ug/L (Specify test and method#.ATTACH LAB REPORT.)
Sulfate 00945 mg/L Hg-Mercury 71900 ug/L Lab Report Attached? 0 Yes(1) ❑ No(0)
Specific Conductance 00095 Athos K-Potassium 00937 mg/L VOC 7873 ,method#
Total Ammonia 00610 <0 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%
tom_ isms€9f edg i �sa# die 1nt .r-e olrjs1 ; eat t md "�5 i §in l c -was3w € c€ A q 1-riarys+s
f rittraldftL a at_4/pgirtaYtfs t s� tor gltv gs)-64i e ithprrsoa t r r atin s ii _ = �
Shayne Lamb Corporate Secretary _ f 2 ,
Permittee(or Authorized Agent)Name and Title-Please print or type Sian .e f Perm ,eefor Authorized A ent, ( ate)
GW-59 Rev.06=07=2018

,19 iiii,941140918 iill hi 1,„1,,
,„oly,100 ,Nimplumnioliiirl,, 4 0-1 1 Cl „ „,,,,c,„ nt il,..-,if,L, I rt 4,,,,,
,!11,,,,,,D1L;;'i,;‘,,i4, , `IL./,dr,(i,„,,,,,',,llii,, 1,AO llii i17,7 9 ,iiiiii„,„,„4,199 9,
ittli,4,901,01161691Miiiiiituni,„„„„„0,1,9 iOli?9i,
(9 r06990"091m199,00199990A041
2 W Iltdmi)1. vv,iy, vv-drnuTton„i',,,,.;c 2840') , ' 11,)',,92
j 10,11,110,06,11,0',A, 7I(i PA(r- Nin
' 04011000114N'* ''''' 25'; 7 Viiiiirimvtimi I-Itp„ii,v,(,(iiv Hcic(ii(iiivilli(,NC 28';i11.1 i, 91i
ANAL YTiCAL&CONSULTING UHF MS iiilo((o(covirimiricli((iJciwriiHk,L(iiil
Albemarle Utility Date of Report: Dec 06, 2021
862 Holiday Island Road Customer PO#:
Hertford NC 27944 Customer ID: 09110024
Attention: Report#: 2021-20623
Project ID: Monitoring Wells
...... ., , _ —
Lab ID Sample ID: Collect DaterTime Matrix Sampled by
21-51671 Site: MW-10 11/19/2021 Water Jay Baker
Test Method Results Date Analyzed
.......
Color Color Clear 11/19/2021
Depth to water, ft. Depth to Water,Ft 12,1 feet 11/19/2021
AI monia Nitrogen EPA 350.1,Rev.2 0,1993 < 0 pg/L 11/30/2021
Gallons bailed before sampling Gallons Balled before sampling 5.0 gallons 11/1912021
Odor Qualitative None 11/19/2021
Total Dissolved Solids (TDS) SM 2540 C-2015 255 mgfL 11/23/2021
Temperature SM 2550 B-2010 13,6 C 11/19/2021
pH SM 4500 11 8-2011 5.7 units 11/19/2021
Total Organic Carbon (TOC) SM 5310 B-2014 1.3 mg/L 11/22/2021
1,41,1,2-Tetrachloroethane SM 6200 B-2011 <0,5 pg/L. '11/24/2021
1,1,1-Trichloroethane SM 6200 B-2011 <0,5 pg/L. 11/24/2021
1,1,2,2-Tetrachloroethane SM 6200 5-2011 <0.5 pg/L 11/24/2021
1.1.2-Trichloroethane SM 6200 B-2011 <0.5 pg/L 11/24/2021
1,1-Dichloroethane SM 6200 5-2011 <0.5 pg/L 11/24/2021
1,1-Dichloroethene SM 6200 B-2011 <0.5 pg/L 11/24/2021
1,1-Dichloropropene SM 8200 5-2011 <0,5 pg/L 11/24/2021
1,2,3-Trichlorobenzene SM 8200 5-2011 <0.5 pg/L 11/24/2021
1,2,3-Trichloropropane SM 6200 5-2011 <0.5 pg/L, 11/24/2021
1,2,4-Trichlorobenzene SM 8200 B-2011 <0.5 pg/L 11/24/2021
1,2,4-Trimethylbenzene SM 6200 5-2011 <0,5 pg/L 11/24/2021
1,2-Dibromo-3-Chloropropane SM 6200 8-2011 <0,5 pg/L 11/24/2021
'I,2-Dibromoethane SM 6200 B-2011 <0.5 pg/L 11/24/2021
1,2-Dichlorobenzene SM 6200 8-2011 <0,5 pg/L 11/24/2021
11,2-Dichloroethane SM 6200 8-2011 <0.5 pg/L 11/24/2021
1,2-Dichloropropane SM 8200 5-2011 <0.5 pg/L 11/24/2021
1,3,5-Trimethylbenzene SM 6200 B-2011 <0.5 pg/L 11/24/2021
Report ft.: 2021-20623 Page 28 of 30

OIL.
,ouiloolooloolillukaidoili,,, El„ ,11,vil,::: ii .1 (..,,111„1, 11,)„11
),,v' .t a 1111 i („,„,I „1 (-:,,)1111 111, 1 u As,
‘,0'114041,01100011111inuommingui00,,, ,
/4iiiqopill*romplict,110106010
Wu iciTrulif VV1t,y, \MIrrI.Inghq , '',,,C 23:,','ifi3 ' '.,+' 0 .'+1.(12[(
1,411kallion#111111iiiiiiiAmiiiii111\PONIOIV 7 I() IHK,,,,,,,,r c.),vvi P .1,s,1,1 t\,%titt.,,,,E l,4. , 1.1147
l'Y'Wli„I'l,\1110111004.11111.41111111111111111111160 6'1 ,v
'''01011"Riv!19.°1',,,?,,,,, 2,'-6 A MInolq;turi I itg [,,,,'„Iy,„ f,rcl., ,f, „ I, ,..:',, 2,5F,./k1 4 ‘.Y)ir';4/
AN/JOY FVCAL&GoNsucriNG Clf ilEMSTS tiol rio,,,nyrr,mtlwitl,tinhclru,r,,(.cm
Albemarle Utility Date of Report: Dec 06, 2021
862 Holiday Island Road Customer PO#:
Hertford NC 27944 Customer ID: 09110024
Attention: Report#: 202120623
Project ID: Monitoring Wells
-
1,3-Dichlorobenzene SM 8200 13.2011 <0,5 pg/L 11/24/2021
1,3-Dichloropropane SM 8200 6-2011 <0,5 pg/L 11/24/2021
1,4-Dichlorobenzene SM 6200 B-2011 <0.5 pg/L 11/24/2021
2,2-Dichloropropane SM 6200 9-2011 <0,5 pg/L 11/24/2021
2-Chlorotoluene SM 6200 B-2011 <0.5 pg/L 11/24/2021
4-Chlorotoluene SM 6200 B-2011 <0,5 pg/L 11/24/2021
Benzene SM 8200 B-2011 <0,5 pg/L 11/24/2021
Brornobenzene SM 82no B-201/ <0.5 pg/L 11/24/2021
Bromochloromethane SM 6200 8-2011 <0,5 pg/L 11/24/2021
Bromodichloromethane SM 6200 B-2011 <0,5 pg/L 11/24/2021
Bromoform SM 6200 B-2011 <0,5 pg/L. 11/24/2021
Bromomethane SM 6200 B-2011 <0.5 pg/L 11/24/2021
Carbon tetrachloride sm 6200 B-2011 <0,5 pg/L 11/24/2021
Chlorohenzene SM 6200 13-2011 <0,5 pg/L 11/24/2021
Chloroethane SM 6200 B-2011 <0.5 pg/L 11/24/2021
Chloroform SM 6200 B-2011 <0.5 pg/L 11/24/2021
Chlorornethane SM 6200 B-2011 <0,5 pg/L 11/24/2021
cis-1,2-Dichloroethene SM 6200 8-2011 <0,5 pg/L 11/24/2021
cis-1,3-Dichloropropene SM 6200 B-20/1 <0.5 pg/L 11/24/2021
Dibromochloromethane SM 6200 B-2011 <0,5 pg/L 11/24/2021
Dibromomethane SM 6200 B-2011 <0.5 pg/L 11/24/2021
Dichlorodifluorornethane SM 6200 B-2011 <0,5 pg/L 11/24/2021
Ethylbenzene SM 6200 B-2011 ''' <0,5 pg/L 11/24/2021
1-lexachlorobLitadiene SM 8200 B-2011 <0.5 pg/L 11/24/2021
Isopropylbenzene SM 6200 8-2011 <0,5 pg/L 11/24/2021
M+P Xylene SM 6200 B-2011 <1.0 pg/L 11/24/2021
Methylene chloride SM 6200 8-2011 <0.5 pg/L 11/24/2021
! 'aphthalene SM 6200 B-2011 <0,5 pg/L. 11/24/2021
n-Butylbenzene SM 6200 B-2011 <0.5 pg/L 11/24/2021
n-Propylbenzene SM 5200 B-2011 <0.5 pg/L 11/24/2021
Report#' 2021-20823 Page 29 of 30

,
DI I 01411111111111111111111niolloiloillohN , A “"" '''' 1.I ';11.1 11°' ' : ,
En,,,,c1,"; kii,,,,i,„,J;,1;1:11,111.$1,1:,,;,,,le',1,',,'!':;,i;t;i„.A.,1 11„ „ ,,,;; !;!;;,;,,c,„,„,,„,,,,„„ s t,;,_ow; I rt ic.
,,,,o(111„,11,11111111'1111,i111111111,1„1„11,111,,,,,,,11,11,11,11,11,11,11,11,11,11,111111:1:11i1„!;01,,,„,11,11,11,11,11,11,11,11,111„1„1,11,111,111,111,111,111,111,111,111,111,111,111,111,111,111,111,111,111,111,111,111,111,111,111,111,111,111,111,,11,1,11,11,111,111,111s,„;,
101,11,$6,1
02 , . 2
,
410\q„rqhililji'llihgillijijJI'jujM 40101,v
711,1 :.40-0,,scnrHAvr,, P;cy,td ,v1<troc ;,.., , /,
'4040111111q11111111111111,111,111,111111111111111,111,11111,1111111111111111111111111111111111111111111111111111111111111111111111110 14 P
21',5-A. Wdnimom Hi,,,H,vav11(ks(,ro,,,i1H, Nit,,, 28',4U ,r, ')Hi
ANALYTICAL&CONSULTING cHEmasis flf,,(,,,,:,),,,,r0,,,,,,,,,)Iak 4e!Ju,r,
Albemarle Utility Date of Report: Dec 06, 2021
862 Holiday island Road Customer PO#:
Hertford NC 27944 Customer ID: 09110024
Attention: Report#: 2021-20623
Project ID: Monitoring Wells
ortho-Xylene SM 6200 0-2011 <0.5 pg/L 11/24/202'1
p-isopropyltoluene SM 6200 B-2011 <0.5 pg/L 1 1/24/202 1
sec-Butylbenzene SM 6200 B-2011 <0,5 pg/L 11/24/2021
Styrene SM 6200 B-2011 <0.5 pg/L 11/24/2021
tent Butylbenzene SM 6200 B-2011 <0.5 pg/L 11/24/2021
Tetrachloroethene SM 6200 B-2011 <0.5 pg/L. 11/24/2021
Toluene SM 6200 B-2011 <0.5 pg/L 11/24/2021
Trans-1,2-Dichloroethene SM 6200 B-2011 <0.5 pg1L 11/24/2021
Trans-1,3-dichloropropene SM 6200 B-2011 <0,5 pg/L 11/24/2021
Trichloroethene SM 6200 B-2011 <0.5 pg/L 11/24/2021
Trichlorofluoromethane SM 6200 B-2011 <0.5 pg/L 11/24/2021
Vinyl chloride SM 6200 B-2011 <0,5 pg/L 11/24/2021
Fecal Coliform SM 9222 D-2015 MF <1 Colonies/100ml. 11/19/2021
Chloride SM4500 Cl E-2011 107 mg/L 11/24/2021
itrate Nitrogen (Calc)
Nitrite Nitrogen EPA 353.2,Rev.2 0 1993 < 0.02 mg/L 11/19/2021
Nitrate+Nitrite-Nitrogen EPA 353.2,Rev 2 0, 1993 0.09 mg/L 11/24/2021
Nitrate Nitrogen Subtraction Method 0.09 mg/L 12/03/2021
........ ,... _ _ . ....__
Comment ,,
Reviewed by: i
RePOrt 9. 2021.206n Page 3U of 30

59A 'OM P I A NC OF` RE PORT FORM Pe oriiwt t4 ce)) / 7
(Siebmi gne eila'h uudttiort HA,period rol ni (,1,V-50 forms°
100`,
1 Enter date monitoring results were due. (1,4- -A# ) Will this monitoring report(GW-59 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 N()
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.)?lithe 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: -
Tr" ;,;j• ,,--ft?A'7„,.."1: 7-
,
I I i)± , i
' 41_
-
- ,
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?
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).
aa I
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 YS
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 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.
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 GW/-59A) is true and complete to the best of my know dge.
,
ll/fL
1,•' 7 1' 2
'sr a' r o Pe1 tee(or Authorized Agent) Date
-59A 1218/2ffiV3

)
L.,
) ))))))) )9 )' )),),))
/
/4 "11,11
'417 4)) ))-')
,
f) (:\C)
•1 1 e7).
lisPLikl")01 Oil
Y' S-
1
5-4?
44,
5- -- 5 9
-- 3
'I - 5"
5'. 7

,
'
, •
„
,
„.,
'
r

0%.
„„„„

. _
e
,
e
, , ,