WQ0000185_Monitoring - 02-2021_20210314

GA—59A COMPLIANCE REPORTFORM 0 000 V$S.
SvInnir one er. -h irtaii oritw period r.*h
1
Enter date monitoring results were due. ( 2 Z' Z I 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
NO
IF the answer to question 1 or 2 is "YES", list in the space provided below the well identification number(s) and
explain the problems encountered in obtaining the required information.
i
Are any of the monitor wells in need of repair or maintenance (damaged casing, unlocked or missing cap, missing
YES
NO
identification plate, area overgrown, etc.)? If the answer is "Yes", contact the Regional Office for guidance.
4
Are any monitored constituents equal to or above the established standards?
YES
NO
If the answer to question 4 is "NO" skip to section 8.
If the answer to question 4 is "YES" list the affected wells individually with constituent(s) and concentration(s)
exceeding standards in the space provided below:
WoaA,e- .'LS7 ibS - YZ5 ?fJS - 7yZ
?sJS S 72 U•110"At, `3�`l C�+/o :dc - ZY 3
2L 11
A ,,A — 4. Am v,r.a - 3.
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, concentrations) reported, and sample collection date for each occurrence (for the last two years).
Ckio,1,;
Y�
6
Are the monitoring wells listed in section 5 located at or beyond the�view 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
YES,
NO
groundwater quality problem?
if the answer to question 7 is "YES" describe those actions in the space provided below.
If the answer to question 7 is "NO", contact the 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 surroundin this facility. Failure to do so may subject the ermittee to a Notice of Vi lation
fines, a
nd/orpenalties. j G� ] ).,v > '�. �t i S v �
A,.'
At, C �uC�.i/.i�,V, , w�
MAY 14 2021
g
The person completing this portion (GW-59A) of the monitoring report should sign below and submit this
form with GW-59 forms for required wells to the address provided at the top of the current GW-59 form.
I hereby acknowledge that the above information was evaluated and the information submitted in this
report (Compliance Report GW-59A) is true and complete to the best of my knowledge.
i/ 3)-z-1
Signature of Permittee (or Aut orized Agent) Date

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENT,& NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DNISEONOFtNATERQtJAUiYINFORMATIONPROCSSUJGUNri
COMPLIANCE REPORT FORM
• , a
16lZMAIL_SERVICE,CENTER, RALEIGH, NC 27699:161T. Phone (919),783 3221, .'
FACILITY INFORMATION
Please Print clearly or Type
PERMIT Number: W00000185 Expiration Date: 6/30/2024
Facility Name: Ocean Sands
Non -Discharge UIC
Permit Name (if different):
NPDES Other
Facility Address: 741 Ocean Trail
TYPE OF PERMITTED OPERATION BEING MONITORED
Corolla 5to°" NC
27927 CountyCk
unituc
El Lagoon ❑Remediation: Infiltration Gallery
c�yl st�t�;
za,
❑ Spray Field ❑ Remediation:
Contact Person: Rod Holley
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Ocean Sands
No. of wells to be sampled: 5
❑ Water Source Heat Pump © Other: Infiltration
from PermR
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW4
Date sample collected: 2/4/21
FIELD ANALYSES:
WAS
Well Depth: 17.6 ft.
Well Diameter: 3 in.
pH 00400: 6.90 units Temp. 00010: 15.8 eC
DRY at
Depth to Water Level 132546:8.5 ft. below measuring point Screened Interval: 12 ft.
to 17 ft. Spec. Cond. 00094: µMhos
time ofsampling,
Measuring Point is 2 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:a
Samples for metals were collected unfiltered: ® YES
❑ NO and field acidified: ❑ YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed:214/21
Laboratory Name: Enviro Chem
Certification No. 94
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615 0.03
mg/L Pb - Lead o1051 ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 0.02
mg1L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P oo665 5.85
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 684
mg/L
Al - Aluminum 01105
mg/L
pH (Lab) 00403 6.90
units
Ba - Barium 01007
ug/L
TOC oosso 5.0
mg/L
Ca - Calcium o0916
mg/L
Chloride 00940 257
mg/L
Cd - Cadmium 01027
ug/L
Arsenic oioo2
ug/L
Chromium: Total olo34
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 olo45
ug/L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg/L
Hg - Mercury 719oo
ug/L Lab Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance 00095
µMhos
K - Potassium 00937
mg/L VOC 78732: method #
Total Ammonia oosso 0.7
mg1L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen; NH3 as N; Ammonia Nitrogen, Total)
Mn - Manganese 01055
ug/L , method #
TKN as N o0625
mg/L
Ni - Nickel 01067
ug/L method #
For Remediation Systems Only (Attach Lab Reports):
Influent Total VOCs
Rod Holley Wastewater Superintendent Trainee
Permittee (or Authorized Agent) Name and Title - Please print or type
mg/L
Effluent Total VOCs:
mg/L VOC Removal%
GW-59 Rev.2/2010

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENT'S NATURAL RESOURCES +
GROUNDWATER QUALITY MONITORING:
AIVISION OF WATER QUALITY INFORMATION PROCESSNG UNIT
COMPLIANCE REPORT FORM
1B17`MAIL,SEI2VICEOENTER RALEtGH, NC;27699.,1617, Phope, (919);733-3221 >;
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: WQ0000185 Expiration Date: 6/30/2024
Facility Name: Ocean Sands
Nan -Discharge UIC
Permit Name (if different):
NPDES Other
Facility Address: 741 Ocean Trail
TYPE OF PERMITTED OPERATION BEING MONITORED
Corolla (S"`-!' NC
27927
County Currituck
❑ Lagoon ❑ Remediation: Infiltration Gallery
(Cal) (State)
ILpI
❑ Spray Field El Remediation:
Contact Person: Rod Holley
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Ocean Sands
No. of wells to be sampled: 5
❑ Water Source Heat Pump © Other: Infiltration
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW5
Date sample collected: 2/4121
FIELD ANALYSES:
WAS
Well Depth: 17.6 ft.
Well Diameter: 3 in.
pH oo400: 7.00 units Temp. 000lo: 11.4 °C
DRY at
Depth to Water Level 82546; 5.2 ft. below measuring point Screened Interval: 12 ft. to
17 ft. Spec. Cond. 00094: µMhos
time ofsampling,
Measuring Point is 2 ft. above land surface
Relative M.P. Elevation: ft.
Odor 00085: N/D
check
Volume of water pumped/bailed before sampling:
5.0
gallons
Appearance clear
here: ❑
Samples for metals were collected unfiltered: ® YES
❑ NO and field acidified: ❑ YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed:2/4/21
Laboratory Name: Enviro Chem
Certification No. 94
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615 0.02
mg/L Pb - Lead oio51 ug/L
Coliform: MF Fecal 31616 <1
1100mL
Nitrate (NO3) as N 00620 3.69
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100ml-
Phosphorus: Total as P006654.07
mg/L
(Note: Use MPN method for hlghly turbld samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 572
mg/L
AI - Aluminum ollo5
mg/L
pH (Lab) 00403 7.00
units
Ba - Barium 01007
ug/L
TOC 00680 12.2
mg/L
Ca - Calcium oo916
mg/L
Chloride 00940 198
mg/L
Cd - Cadmium 01027
ug/L
Arsenic D1002
ug/L
Chromium: Total olom
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)
pecific Conductance 00095
µMhos
K - Potassium 00937
mg/L VOC 78732: method #
Total Ammonia 00610 1.1
mgiL
Mg - Magnesium 00927
mg/L method #
(Ammonlo Nitrogen; NH3 as N; Ammonla 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%
Rod Holley Wastewater Superintendent Trainee
Permittee (or Authorized Agent) Name and Tide - Please print or type
GW-59 Rev.2/2010

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENTOF F_NV(RONMENT & NATURAL RFSOt1F2CES
GROUNDWATER QUALITY MONITORING:
DIVtS1dN dF WATERQUAUTY INFORMATSON PRdCESSING UNiT
COMPLIANCE REPORT FORM
1617-MAIL,SERViCE CEN7E,R, l2AL EiGH, NC';27688.1fi17 PhoRe., (919) 7333221
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: W00000185 Expiration Date: 6/30/2024
Facility Name: Ocean Sands
Non -Discharge UIC
Permit Name (if different):
NPDES Other
Facility Address: 741 Ocean Trail
TYPE OF PERMITTED OPERATION BEING MONITORED
Corolla Stfc-`i NC
27927
County Currituck
El Lagoon ❑Remediation: Infiltration Gallery
;c,ty;
❑ Spray Field ❑ Remediation:
Contact Person: Rod Holley
Telephone#: [phone]
ElRotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Ocean Sands
No, of wells to be sampled: 5
❑ Water Source Heat Pump © Other: Infiltration
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW6
Date sample collected: 2/4/21
FIELD ANALYSES:
WAS
Well Depth: 17.6 ft.
Well Diameter: 3 in,
pH 0040o: 7.10 units Temp. 00010: 13.8 °C
DRY at
Depth to Water Level 82546:6.0 ft. below measuring point
Screened Interval: 12 ft.
to 17 ft. Spec. Cond. 00094: µMhos
^
time of
sampling,
Measuring Point is 2 ft, above land surface
Relative M.P. Elevation:
ft. Odor 00065: N/D
check
Volume of water pumped/bailed before sampling:
5.0
gallons
Appearance clear
here:
❑
Samples for metals were collected unfiltered: ® YES ❑
NO and field acidified: El YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed:2/4/21
Laboratory Name: Enviro Chem
Certification No, 94
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD o0335
mg/L
Nitrite (NO2) as N 00615 <0.02
mg/L Pb - Lead o1o51 ug1L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 3,52
mg/L Zn - Zinc olo92 mg/L
Coliform: MF Total 315o4
/100mL Phosphorus: Total as P oos65 3.08
mg1L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 825
mg/L
Al -Aluminum 01105
mg/L
pH (Lab) Q0403 7.10
units
Ba - Barium 01007
uglL
TOC 00690 7.1
mg/L
Ca - Calcium 00916
mg/L
Chloride 0094o 304
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 oo945
mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes (1) ❑ No (0)
pecific Conductance doom
µMhos
K - Potassium 00937
mg/L VOC 78732: method #
Total Ammonia 00610 4.2
mg1L
Mg - Magnesium 00927
mg/L method #
(Ammonla Nitrogen; NH3 as N; Ammonia Nitrogen, Total)
Mn - Manganese 01055
ug/L method #
TKN as N 00625
mg/L
Ni - Nickel 01067
ug1L method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs:
Rod Holley Wastewater Superintendent Trainee
Permittee (or Authorized Agent) Name and Title - Please print or type
and that the laboratoiyanalytical data
nlity'nf tines and imprisonment for knr
.1:r'L-I.II
mg/L VOC Removal%
3/30/21
GW-59 Rev.212010

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENTOF ENVIRONMENT-& NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DiVISIONOFWATERQUALLTY-1NFORMATIONPROCESSINGUNIT
COMPLIANCE REPORT FORM
mT MAIL„SERVICE CENTER, RALEIGH NC 27699.1617.,, Phor a l; 919),7333221 ,
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: WQ0000185 Expiration Date: 6/30/2024
Facility Name: Ocean Sands
Non -Discharge UIC
NPDES Other
Permit Name (if different):
Facility Address: 741 Ocean Trail
TYPE OF PERMITTED OPERATION BEING MONITORED
❑Lagoon ❑Remediation: Infiltration Gallery
Corolla (st'O") NC 27927 County Currituck
ic"Vl (stato)
(LP)
❑ Spray Field ❑ Remedlation:
Contact Person: Rod Holley
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Ocean Sands
No. of wells to be sampled: 5
❑ Water Source Heat Pump 0 Other: Infiltration
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW7
Date sample collected: 2l4/21
FIELD ANALYSES:
WAS
Well Depth: 17.6 ft.
Well Diameter: 3 in.
pH oo400: 6.20 units Temp. 00010: 10.0 °C
DRY at
Depth to Water Level 82546:4.1 ft. below measuring point Screened Interval: 12 ft,
to 17
ft. Spec. Cond. 00094: µMhos
time of
sampling,
Measuring Point is 2 ft. above land surface
Relative M.P. Elevation:
ft.
Odor 00085: N/D
check
Volume of water pumped/bailed before sampling:
5.0
gallons
Appearance clear
here:❑
Samples for metals were collected unfiltered: ® YES
❑ NO and field acidified: ❑ YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed:2/4121
Laboratory Name: Enviro Chem
Certification No. 94
PARAMETERS NOTE: Values should reflect dissolved
and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615 <0.02
mg/L Pb - Lead olo51 ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 0.02
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 0.78
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 703oo 231
mg/L
Al - Aluminum o11os
mg/L
pH (Lab) 00403 6.20
units
Ba - Barium 01007
ug/L
TOC oo68o 6.1
mg/L
Ca - Calcium 00916
mg/L
Chloride oo94o 108
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total olo34
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)
pecific Conductance 00095
µMhos
K - Potassium 00937
mg/L VOC 78732: method #
Total Ammonia oo610 0.4
mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonla Nitrogen; NH3 as N: Ammonia Nitrogen, Total)
Mn - Manganese of o55
ug/L
, method #
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L
method #
For Remediation Systems Only (Attach Lab Reports):
Influent Total VOCs:
Rod Holley Wastewater Superintendent Trainee
Permittee (or Authorized Agent) Name and Tide - Please print or type
GW-59 Rev.2/2010
mg/L
Effluent Total VOCs:
mg/L
VOC Removal%

ouumi i r umna viV TCLLUYY r mi-cm UNLi
OUNDWATER QUALITY MONITORING:
MPLIANCE REPORT FORM
Facility Name: Ocean Sands
Permit Name (if different):
Facility Address: 741 Ocean Trail
Corolla (st'ccf)
NC 27927
1513to) (Z.P)
or Type
County Currituck
Contact Person: Rod Holley Telephone#: [phone]
Well Location/Site Name: Ocean Sands No. of wells to be sampled: 5
PERMIT Number: WQ0000185 Expiration Date: 6/30/2024
Non -Discharge UIC
NPDES Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump R Other: Infiltration
SAMPLING INFORMATION
WELL ID NUMBER (from Permit). MW9 Date sample collected: 214/21
Well Depth: 17.6 ft. Well Diameter: 3 in.
Depth to Water Level 82546:4.7 ft. below measuring point Screened Interval: 12 ft.
Measuring Point is 2 ft, above land surface Relative M.P. Elevation:
Volume of water pumped/bailed before sampling: 5.0 gallons
Samples for metals were collected unfiltered: ®YES ❑ NO and field acidified: ❑ YES
to 17 ft.
ft.
❑ NO
FIELD ANALYSES:
pH 004o0: 6.80 units Temp. 000lo: 13.5 °C
Spec. Cond. 00094: µMhos
Odor o0085: N/D
Appearance semi -clear
If WELL
WAS
DRY at
time ofsampling,
check
here:a
LABORATORY INFORMATION
Date sample analyzed:2/4/21
Laboratory Name: Enviro Chem
Certification No. 94
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615 <0.02
mg/L
Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 0.04
mg/L
Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P006652.39
mg/L
(Note: Use MPN method for highly turbld samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
issolved Solids:Total 7030o 742
mg/L
At - Aluminum o11o5
mg/L
pH (Lab) 00403 6.80
units
Ba - Barium 01007
ug/L
TOC oo68o 7.0
mg/L
Ca - Calcium oo916
mg/L
Chloride 0094o 283
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total olo34
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 719ao
ug/L
Lab Report Attached? ❑ Yes (1) ❑ No (0)
pecific Conductance aoo95
µMhos
K - Potassium 00937
mg/L
VOC 78732: method #
Total Ammonia 00610 3.9
mg/L
Mg - Magnesium 00927
mg/L
method #
(Ammonia Nitrogen; NH3 as N; Ammonia Nitrogen. Total)
Mn - Manganese 01055
uglL
,method #
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
GW-59 Rev.2/2010