WQ0007507_Monitoring - 01-2022_20220210 (3)

ti
DWR - NonDischarge Monitoring Report Submittal •4 ..
NORTH CAROLINA
Enrlranmenlel QHaflly
Monitoring Report Submittal
..............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
Permit Number#* WQ0007507
Name of Facility:* Pasquotank County Industrial Park
Month:* January Year:* 2022
Report Information
Type* Upload Document*
GW-59 GW59A Jan 2022.pdf 3.04MB
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:* Michael L. Harris
Signature:
Date of submittal: 2/10/2022
This will be filled in automatically
Initial Review
.............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
Reviewer: Gerald,Wanda

Is the project number correct?* WQ0007507
Is the monitoring report accepted?* Yes No
Regional Office* Washington
Accepted Date: 3/14/2022

SUBMIT FORM ON YELLOW PAPER ONLY
Mail original DEPARTMENT OF ENVIRONMENT&NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING: and I copy to: DIVISION OF WATER QUALITY-INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM 1617 MAIL SERVICE CENTER,RALEIGH,NC 27699-1617 Phone:[phone]
FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date: June 30,2028
Facility Name: Pasquotank County Industrial Park Non-Discharge WQ0007507 UIC
Permit Name(if different): NPDES Other
Facility Address: P.O.Box 39 TYPE OF PERMITTED OPERATION BEING MONITORED
Elizabeth City =t) NC 27909 County Pasquotank ■❑ Lagoon ❑Remediation: Infiltration Gallery
`ii sta` ) .u' ❑■ Spray Field ❑Remediation:
Contact Person: Michael L.Harris Telephone#: [phone] ❑ Rotary Distributor ❑Land Application of Sludge
Well Location/Site Name:WWTP-Northside Road No.of wells to be sampled: 6 ❑ Water Source Heat Pump ❑Other:
(from Permit)
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): MW-1 Date sample collected:01/20/2022 FIELD ANALYSES: WAS
Weil Depth: 20 ft. Well Diameter: 2 in. pH 00400:5.9 units Temp.moo: °C DRY at
Depth to Water Level 82546:6.67 ft.below measuring point Screened Interval: 15 ft. to 20 ft. Spec. Cond.00094: µMhos time of
sampling,
Measuring Point is 2 ft.above land surface Relative M.P.Elevation: 13.53 _ ft. Odor 00085: check
Volume of water pumped/bailed before sampling: 2.5 gallons Appearance here:❑
Samples for metals were collected unfiltered: ❑YES ❑ NO and field acidified: ❑YES ❑NO
LABORATORY INFORMATION
Date sample analyzed: Laboratory Name: Environment 1,Inc. Certification No. 10
PARAMETERS NOTE:Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L Nitrite(NO2)as N 00615 mg/L Pb-Lead oios1 ug/L
Coliform: MF Fecal 31616 <1 /100mL Nitrate(NO3)as N 00620 .09 mg/L Zn-Zinc 01092 mg/L
Coliform: MF Total 31504 /100mL Phosphorus:Total as P 00665 0.13 mg/L
(Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other(Specify Compounds and Concentration Units):
3issolved Solids:Total 70300 140 mg/L Al-Aluminum 01105 mg/L
pH (Lab)00403 units Ba-Barium o1007 ug/L
TOC won 3.00 mg/L Ca-Calcium o0916 mg/L
Chloride 00940 23 mg/L Cd-Cadmium 01027 ug/L
Arsenic o1o02 uglL Chromium:Total 01034 ug!L
Grease and Oils o0552 mg/L Cu-Copper 01042 mg/L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730 uglL 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 }tMhos K-Potassium 00937 mg/L VOC 78732: , method#
Total Ammonia o0610 0.17 mg/L Mg-Magnesium 00927 mg/L , method#
(Ammonia Nitrogen;Nli3as N;Ammonia Nitrogen,Total) Mn-Manganese 01055 ug/L. , method#
TKN as N 00625 mg/L Ni-Nickel 01067 ug/L , method#
For Remediation Systems Only(Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
I certify that,to the best of my knowledge and belief,the information submitted in this report is true,accurate,and complete,and that the laboratory analytical data was produced using approved methods of analysis by a
DWQ-certified laboratory. I am aware that there are significant penalties for submitting false information,including the possibility of fines and imprisonment for knowing violations.
Sparty Hammett,County Manager /J°L1i '— f0 -A
Permittee(or Authorized Agent)Name and Title-Please print or type Signature i ee(or Authorized Agent) (Date)
GW-59 Rev.2/2010 --

SUBMIT FORM ON YELLOW PAPER ONLY
Mail original DEPARTMENT OF ENVIRONMENT&NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING: and 1 Copy to DIVISION OF WATER QUALITY-INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM 1617 MAIL SERVICE CENTER,RALEIGH,NC 27699-1617 Phone:[phone]
FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date: June 30, 2028
Facility Name: Pasquotank County Industrial Park Non-Discharge W00007507 UIC
Permit Name(if different): NPDES Other
Facility Address: P.O.Box 39 TYPE OF PERMITTED OPERATION BEING MONITORED
Elizabeth City (sliee) NC 27909 County Pasquotank III Lagoon ❑ Remediation: Infiltration Gallery
<cityi 'Sure) (zip,
❑■ Spray Field ❑ Remediation:
Contact Person: Michael L.Harris Telephone#: [phone] ❑ Rotary Distributor ❑Land Application of Sludge
Well Location/Site Name:WWTP-Northside Road No.of wells to be sampled: 6 ❑ Water Source Heat Pump ❑Other:
(from Permit)
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): MW-2 Date sample collected: 01/20/2022 FIELD ANALYSES: WAS
Well Depth: 18 ft. Well Diameter: 2 in. pH 00400: 6.4 units Temp.00010: °C DRY at
Depth to Water Level 82546:7.64 ft.below measuring point Screened Interval: 15 ft. to 20 ft. Spec.Cond.00094: µMhos time of
sampling,
Measuring Point is 2 ft.above land surface Relative M.P. Elevation: 12.85 ft. Odor 00085: check
Volume of water pumped/bailed before sampling: 2.0 gallons Appearance here:❑
Samples for metals were collected unfiltered: ❑YES ❑ NO and field acidified: ❑YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: Laboratory Name: Environment 1,Inc. Certification No. 10
PARAMETERS NOTE:Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L Nitrite(NO2)as N 00615 mg/L Pb-Lead o1051 ug/L
Coliform: MF Fecal 31616 <1 /100mL Nitrate(NO3)as N 00620 0.52 mg/L Zn-Zinc 01092 mg/L
Coliform: MF Total 31504 /100mL Phosphorus:Total as P 00665 0.06 mg/L
(Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other(Specify Compounds and Concentration Units):
Dissolved Solids:Total 70300 290 mg/L Al-Aluminum 01105 mg/L
pH (Lab)00403 units Ba-Barium 01007 ug/L
TOC ooeao 1.43 mg/L Ca-Calcium 00916 mg/L
Chloride 00940 79 mg/L Cd-Cadmium o1027 ug/L
Arsenic o1002 uglL Chromium:Total 01034 ug/L
Grease and Oils 00552 mg/L Cu-Copper 01042 mg/L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730 ug/L Fe-Iron 01045 ug/L (Specify test and method#.ATTACH LAB REPORT.)
Sulfate 00945 mg/L Hg-Mercury 71900 ug/L Lab Report Attached? ❑ Yes(1) ❑ No(0)
Specific Conductance 00095 µMhos K-Potassium 00937 mg/L VOC 78732: ,method# _
Total Ammonia 00610 <0.04 mg/L Mg-Magnesium 00927 mg/L , method#
/Ammonia Nitrogen;NH3as N;Ammonia Nitrogen,Total) Mn-Manganese 01055 ug/L , method#
TKN as N 00625 mg/L Ni-Nickel 01067 ug/L , method#
For Remediation Systems Only(Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
I certify that,to the best of my knowledge and belief,the information submitted in(his report is true.accurate,and complete,and that the laboratory analytical data was produced using approved methods of analysis by a
DWO-certified laboratory. I am aware that there are significant penalties for submitting false information,including the possibility of fines and imprisonment for knowing violations,
Sparty Hammett,County Manager 5' - `] _I U cl
Permittee(or Authorized Agent)Name and Title-Please print or type Signa ure o r ittee(or Authorized Agent) (Date)
GW-59 Rev.2/2010

SUBMIT FORM ON YELLOW PAPER ONLY
Mail original DEPARTMENT OF ENVIRONMENT&NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING: and copy to: DIVISION OF WATER QUALITY-INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM 1617 MAIL SERVICE CENTER,RALEIGH,NC 27699-1617 Phone:[phone]
FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date: June 30, 2028
Facility Name: Pasquotank County Industrial Park Non-Discharge W00007507 UIC
Permit Name(if different): NPDES Other
Facility Address: P.O.Box 39 TYPE OF PERMITTED OPERATION BEING MONITORED
Elizabeth City `�t'"it NC 27909 CountyPasquotank 9 uotank
❑■ Lagoon ❑ Remediation: Infiltration Gallery
{c,ly, P,..te) (/0 ID Spray Field ❑ Remediation:
Contact Person: Michael L. Harris Telephone#: [phone] D Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name:WWTP-Northside Road No.of wells to be sampled: 6 ❑ Water Source Heat Pump ❑Other:
(from Permit)
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): MW-3 Date sample collected:01/20/2022 FIELD ANALYSES: WAS
Well Depth: 20 ft. Well Diameter: 2 in. pH 00400:6.4 units Temp. 00010: °C DRY at
Depth to Water Level 82546:4.07 ft. below measuring point Screened Interval: 15 ft. to 20 ft. Spec,Cond.00094: µMhos time of
sampling,
Measuring Point is 2 ft.above land surface Relative M.P. Elevation: 11.11 ft. Odor 00085: check
Volume of water pumped/bailed before sampling: 2.5 gallons Appearance here:❑
Samples for metals were collected unfiltered: ❑YES ❑ NO and field acidified: ❑YES ❑NO
LABORATORY INFORMATION
Date sample analyzed: Laboratory Name: Environment 1,Inc. Certification No. 10
PARAMETERS NOTE:Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L Nitrite(NO2)as N 00615 mg/L Pb-Lead 01051 uglL
Coliform: MF Fecal 31616 <1 /100mL Nitrate(NO3)as N 00620 2.94 mg/L Zn-Zinc 01092 mg/L
Coliform: MF Total 31504 /100mL Phosphorus:Total as P 00665 .10 mg/L
(Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mglL Other(Specify Compounds and Concentration Units):
dissolved Solids:Total 70300 310 mg/L Al-Aluminum o1105 mg/L
pH(Lab)00403 units Ba-Barium 01007 ug/L
TOC oo6a0 1.08 mg/L Ca-Calcium 00916 mg/L
Chloride 00940 119 mglL Cd-Cadmium 01027 uglL
Arsenic 01002 ug/L Chromium:Total 01034 ug/L
Grease and Oils ooss2 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 mglL Hg-Mercury 71900 ug/L Lab Report Attached? ❑ Yes (1) ❑ No(0)
Specific Conductance 00095 }iMhos K-Potassium 00937 mg/L VOC 78732: , method#
Total Ammonia 00610.18 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%
I certify that,to the best of my knowledge and belief,the information submitted in this report is true,accurate,and complete,and that the laboratory analytical data was produced using approved methods of analysis by a
DWQ-certified laboratory. I am aware that there are significant penalties for submitting false information,including the possibility of fines and imprisonment for knowing violations.
A ,
Sparty Hammett,County Manager a,— +(j—i
Permittee(or Authorized Agent)Name and Title-Please print or type Signatur rmittee(or Aut prized Agent) (Date)
GW-59 Rev.2/2010

SUBMIT FORM ON YELLOW PAPER ONLY
Mail original DEPARTMENT OF ENVIRONMENT&NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING: and 1 Copy to: DIVISION OF WATER QUALITY-INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM 1617 MAIL SERVICE CENTER,RALEIGH,NC 27699.1617 Phone:[phone]
FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date: June 30,2028
Facility Name: Pasquotank County Industrial Park Non-Discharge WQ0007507 UIC
Permit Name(if different): NPDES Other
Facility Address: P.O.Box 39 TYPE OF PERMITTED OPERATION BEING MONITORED
Elizabeth City (s'rEou NC 27909 CountyPasquolank q uolank
❑■ Lagoon ❑ Remediation: Infiltration Gallery
trust tst,tt) ci9i ❑■ Spray Field ❑Remediation:
Contact Person: Michael L.Harris Telephone#: [phone] ❑ Rotary Distributor ❑Land Application of Sludge
Well Location/Site Name:WWTP-Northside Road No.of wells to be sampled: 6 ❑ Water Source Heat Pump ❑Other:
(from Permit)
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): MW-4 Date sample collected:01/20/2022 FIELD ANALYSES: WAS
Well Depth: 20 ft. Well Diameter: 2 in. pH 00400:6.5 units Temp.00010: °C DRY at
Depth to Water Level 82546:3-59 ft.below measuring point Screened Interval: 15 ft. to 20 ft. Spec.Cond.00094: µMhos time of
sampling,
Measuring Point is 2 ft.above land surface Relative M.P. Elevation: 10.65 ft. Odor 00085: check
Volume of water pumped/bailed before sampling: 3.0 gallons Appearance here:❑
Samples for metals were collected unfiltered: LI YES ❑ NO and field acidified: ❑YES ❑NO
LABORATORY INFORMATION
Date sample analyzed: Laboratory Name: Environment 1,Inc. Certification No. 10
PARAMETERS NOTE:Values should reflect dissolved and colloidal concentrations.
COD 00335 rng/L Nitrite(NO2)as N 00615 mglL Pb-Lead 01051 ug/L
Coliform: MF Fecal 31616 .<1 /100mL Nitrate(NO3)as N 00620 1.00 mg/L Zn-Zinc 01092 mg/L
Coliform:MF Total 31504 /100mL Phosphorus:Total as P 00665 0.05 mg/L
(Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other(Specify Compounds and Concentration Units):
)issolved Solids:Total 70300 200 mg/L Al-Aluminum 01105 mg1L
pH (Lab)00403 units Ba-Barium 01007 _ uglL
TOC 00680 1.57 mg/L Ca-Calcium oo916 mg/L
Chloride 00940 34 mg/L Cd-Cadmium 01027 ug/L
Arsenic 01002 ug/L Chromium:Total 01034 ug/L
Grease and Oils 00552 mg/L Cu-Copper 01D42 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 78732: ,method#
Total Ammonia o0610.1 mg/L Mg-Magnesium 00927 mg/L , method#
(Ammonia Nitrogen,NH3as N;Ammonia Nitrogen,Total) Mn-Manganese 01055 ug/L ,method#
TKN as N 00625 mg/L Ni-Nickel 01067 uglL ,method#
For Remediation Systems Only(Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
I certify that,to the best of my knowledge and belief,the information submitted in this report is true,accurate,and complete.and that the laboratory analytical data was produced using approved methods of analysis by a
DWQ-certified laboratory. I am aware that there are significant penalties for submitting false information,including the possibility of fines and imprisonment for knowing violations.
Sparty Hammett,County Manager ow _ �•� —rc,-, .
Permittee(or Authorized Agent)Name and Title-Please print or type Signature.til ittee(or Authorized Agent) (Date)
GW-59 Rev.2/2010

SUBMIT FORM ON YELLOW PAPER ONLY
Mail original DEPARTMENT OF ENVIRONMENT&NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING: and 1 copy to: DIVISION OF WATER QUALITY-INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM 1617 MAIL SERVICE CENTER,RALEIGH,NC 27699-1617 Phone:[phone]
FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date: June 30,2028
Facility Name: Pasquotank County Industrial Park Non-Discharge WQ0007507 UIC
Permit Name(if different): NPDES Other
Facility Address: P.O.Box 39 TYPE OF PERMITTED OPERATION BEING MONITORED
Elizabeth City ('tfe`0 NC 27909 CountyPasquotank ■
El Lagoon ❑ Remediation: Infiltration Gallery
(City) t6ttaL^) op)
❑■ Spray Field ❑ Remediation:
Contact Person: Michael L.Harris Telephone#: [phone] ❑ Rotary Distributor ❑Land Application of Sludge
Well Location/Site Name:WWTP-Northside Road No.of wells to be sampled: 6 ❑ Water Source Heat Pump ❑ Other:
(from Permit)
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): MW-5 Date sample collected:01/20/22 FIELD ANALYSES: WAS
Well Depth: 20 ft. Well Diameter: 2 in. pH 00400:6.3 units Temp.coat0; °C DRY at
Depth to Water Level 82546:5.61 1 Mhos time of
p ft.below measuring point Screened Interval: 5 ft. to 20 ft. Spec. Cond. 00094: µ sampling,
Measuring Point is 2 ft.above land surface Relative M.P. Elevation: 10.65 ft. Odor 00085: check
Volume of water pumped/bailed before sampling: 2.5 gallons Appearance here:❑
Samples for metals were collected unfiltered: ❑YES ❑ NO and field acidified: ❑YES 0 NO
LABORATORY INFORMATION
Date sample analyzed: Laboratory Name: Environment 1,Inc. Certification No. 10
PARAMETERS NOTE:Values should reflect dissolved and colloidal concentrations.
COD 00335 mgtL Nitrite(NO2)as N a0615 mg/L Pb-Lead o1051 ug/L
Coliform: MF Fecal 31616 <1 /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<0.04 mg/L
(Note: Use MPN method for highly turbid sampled Orthophosphate 70507 mg/L Other(Specify Compounds and Concentration Units):
Dissolved Solids:Total 70300 200 mg/L Al-Aluminum 01105 mg/L
pH (Lab)00403 units Ba-Barium a1007 uglL
TOC oosso<1.00 mg/L Ca-Calcium 00916 mg/L
Chloride 00940 45 mg/L Cd-Cadmium cloy ug1L
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) 0 No(0)
Specific Conductance moss pMhos K-Potassium 00937 mg/L VOC 78732: , method#
Total Ammonia 00610 <0.04 mg/L Mg-Magnesium 00927 mg/L , method#
(Ammonia Nitrogen:NH,as N;Ammonia Nitrogen,Total) Mn-Manganese 01055 ug/L method#
TKN as N 00625 mg/L Ni-Nickel 01067 ug/L ,method#
For Remediation Systems Only(Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
I certify that,to the best of my knowledge and belief,the information submitted in this report is true,accurate,and complete,and that the laboratory analytical data was produced using approved methods of analysis by a
MVO-certified laboratory. I am aware that there are significant penalties for submitting false information,including the possibility of fines and imprisonment for knowing viofaiions.
1 r
Sparty Hammett,County Manager ' ' — ( 0
Permittee(or Authorized Agent)Name and Title-Please print or type Signa ur e mittee(or Authorized Agent) (Date)
GW-59 Rev.2/2010

SUBMIT FORM ON YELLOW PAPER ONLY
Mail original DEPARTMENT OF ENVIRONMENT&NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING: and 1 copy to- DIVISION OF WATER QUALITY-INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM 1617 MAIL SERVICE CENTER,RALEIGH,NC 27699-1617 Phone:[phone]
FACILITY INFORMATION Please Pont Clearly or Type 'PERMIT Number: Expiration Date: June 30,2028
Facility Name: Pasquotank County Industrial Park Non-Discharge WQ0007507 UIC
Permit Name(if different): NPDES Other
Facility Address: P.O.Box 39 TYPE OF PERMITTED OPERATION BEING MONITORED
Elizabeth City tst,'1 NC 27909 CountyPasquotank q uotank ❑ Lagoon ❑ Remediation: Infiltration Gallery
(Oily) tsl3te} ON ❑■ Spray Field ❑ Remediation:
Contact Person: Michael L.Harris Telephone#: [phone] ❑ Rotary Distributor ❑Land Application of Sludge
Well Location/Site Name:WWTP-Northside Road No. of wells to be sampled: 6 ❑ Water Source Heat Pump ❑Other:
(from Permit)
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): MW-6 Date sample collected: 01/20/2022 FIELD ANALYSES: WAS
Well Depth: 18 ft. Well Diameter: 2 in. pH 00400:5.6 units Temp.00010: °C DRY at
Depth to Water Level 82646:9.02 ft.below measuring point Screened Interval: 15 ft. to 20 ft. Spec.Cond.00094: µMhos time of
sampling,
Measuring Point is 2 ft. above land surface Relative M.P. Elevation: 14.64 ft. Odor 00085: check
Volume of water pumped/bailed before sampling: 2.0 gallons Appearance here:❑
Samples for metals were collected unfiltered: ❑YES ❑ NO and field acidified: ❑YES ❑NO
LABORATORY INFORMATION
Date sample analyzed: Laboratory Name: Environment 1,Inc. Certification No. 10
PARAMETERS NOTE:Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L Nitrite(NO2)as N 00615 mg/L Pb-Lead 0,1051 ug/L
Coliform: MF Fecal 31616 <1 /100mL Nitrate(NO3)as N 00620<0.04 mg/L Zn-Zinc 01092 mg/L
Coliform:ME Total 31504 /100mL Phosphorus:Total as P 00665<0.04 mg/L
(Note, use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other(Specify Compounds and Concentration Units):
Dissolved Solids:Total 7030o 120 mg/L Al-Aluminum 01105 mg/L
pH (Lab)00403 units Ba-Barium 01007 ug/L
TOC 00680 2.47 mg/L Ca-Calcium 00916 mg/L
Chloride 0094o 15 mg/L Cd-Cadmium 01027 ug/L
Arsenic o1002 ug1L Chromium:Total 01034 uglL
Grease and Oils 00552 mg/L Cu-Copper 01042 mg/L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730 ug/L Fe-Iron 01045 ug/L (Specify test and method#.ATTACH LAB REPORT.)
Sulfate 00945 mg/L Hg-Mercury 71900 ug/L Lab Report Attached? ❑ Yes(1) ❑ No(0)
Specific Conductance 00095 µMhos K-Potassium 00937 mg/L VOC 78732: , method#
Total Ammonia ooslo <0.04 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%
I certify that,to the best of my knowledge and belief,the information submitted in this report is true,accurate,and complete,and that the laboratory analytical data was produced using approved methods of analysis by a
DWO-certified laboratory. I am aware Thal there are significant penalties for submitting false information.including the possibility of fines and imprisonment for knowing violations.
Sparty Hammett,County Manager I `
V t —(6,-,-1,-;.,
Permittee(or Authorized Agent)Name and Tide-Please print or type Sipnatur of P it e(or Authorize.Agent) � (Date)
GW-59 Rev.2/2010 l�