WQ0000185_Monitoring - 12-2021_20220131 (2)

Monitoring Report Submittal
Permit Number #*
Name of Facility:*
Month: * December
Report Information
Type *
GW-59
WQ0000185
Ocean Sands WWTP
Confirmation Email Address:*
Name of Submitter: *
Signature:
Date of submittal:
Initial Review
Year:* 2021
Upload Document*
Ocean Sands 714.35KB
G W 59_01312022173847. pdf
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
[e-mail]
Rod Holley
Reviewer: Gerald, Wanda
1/31/2022
This will be filled in automatically

Is the project number correct?* WQ0000185
Is the monitoring report accepted?* Yes No
Regional Office* Washington
Accepted Date: 3/22/2022

GW-59A COMPLIANCE REPORT FORM Permit # �JQ 0 goo S
(Submit ore each monitoring period with GW-59 forms.)
1
Ester date monitoring results were due. (_ i 2 Will this monitoring report (GW-59 and GW-59A)
i S O
be submitted after the established due date?
Was any required information missing on the GW-59 report forms?
NO
IF the answer to questior 1 or 2 is "YES" list in the space provided below the well identification number(s) and
explain the problems encounrered in obtaining the required information.
z
=re any of the monitor wells in need of rerair or maintenance (damaged casing, unlocked or missing cap, missing
Y S" NO
idiLntification pla-e, area or'ergrowr.., etc.)? # the ansiver is "Yes ", contact the Regional Oflice.fcr guiflance.
4
Are any monitored constituents equal to or above the established standards?
YES , NO
F Me answer to questior 4 is "NO', skip to section B.
IF the answer to question 4 is "YES" list Me affected wells individually with constituent(s) and concentration(s)
exceeding standards in the space provided below,
� ���y �yAi� � 3 rb� 1, �C' '-To Z3�r
C'�'
,�'- 0,14 m v�,q � ��j0 ode - �I7
). �
For the constituents identified in question 4 above, have standards been exceeded previously for the
j-SJ NO
same constituents) in the same well(s) in the last two years?
F the answer to questior. 5 is "NO', skip to section 8.
if the answer to question 5 is "YES", fst in the space provided below, each well with constituent(s) exceeding
st=-naards, concentratior(s) reported, and sample collection date for each occurrence (for the last two years).
rr, VJ
�iwl� G►,1��l.ak CW C�1p
�y-vlrt o� i�mmcs,r,c�
6
Are the monitoring wells listed in section 5 located at or beyond the review boundary?
YES O
F the answer is "YES", a groundwater gaality problem may be occurring. CONTACT THE REGIONAL
OFFICE IMMEWATELY FOR GU!DANCE. If the answer is "NO", monitoring wells may be improperly
located, contact the Regional Office.
Is the permittee implementing previously_ approved actions required by the D vision involving this
YES`_ NO
groundwater qL ality problem?
*Me answer to questior 7 is "YES", describe those actions in the space provided below.
*the answer to question 7 is `NO", contact the Regional Office within 90 dabs: an evaluation may be
required to determine the impact the waste disposal system is having at the review and compliance
boundaries surroundirg this facility. Failure to do so maV subject thepermit-fee to a Notice of Violation
fin -es, and/or penalties. h v
Gi,L' -ri �,n ")' � �rV
,7ri4
D_b��, vS
C cm n.,�ss MF b �4Rm -1ZI�.t V,e, 1,wdi
A av A-,,l rL 2AfJL } v�s,.i -,6 PC �.
piS4
8
he person completing this portion (G W-59A) of the monitoring report should sign below and submit this
€crm 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.
� C� � f7)4xf ) - ZY - 22
Signature of Permittee (or utherized Agent) Date
GW-59A 121812003

SUBMIT FORM ON YELLOW PAPER ONLY
:
a a
DEPARTMENT,nF ENVIRONMENT& NATURAL RESOURCF$
GROUNDWATER QUALITY MONITORING:
61VISIPNOFWATFRQUAl1TY1NFORMATIDNPROCFSSINGUNIT.
COMPLIANCE REPORT FORM
1617,MAIL'SERVICECENTER,RALE=IGH;NC276991617 Phone.;(9i9}7333221 ,
FACH ITY INFORMATION
Maw Print Clearly or Type
PERMIT Numbor• W(.I000018', Fxplrallon r)alv6/R0I2024
Facility Narrie: Ocean Sands
Non -Discharge UIC:
NPDES Other
Permit Name (if different):
Facility Address: 741 Ocean Trail
TYPE OF PERMITTED OPERATION BEING MONITORED
Corolla (Street) NC
27927 County Currituck
❑ Lagoon ❑ Remediation: Infiltration Gallery
(uIty!
(J Spray Field (J 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: lnfiltralion
(from Permit)
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit). MW4
Date sample collected: 12/6/21
FIELD ANALYSES:
WAS
Well Depth: 17.6 ft.
Well Diameter, 3 in.
pH 0040a: 7.4 units Temp. 00010: 18.3 °C
DRY at
Depth to Water Level 82540.10.6 ft. below reasuring poitrl &;leerled Iltlerval. 12 rL.
to 17
rL Spec;. Curtd. 00094. µMhos;
time of
sampling,
Measuring Point is 2 ft. above land surface
Relative M.P. Elevation:
ft.
Odor 00085: none
check
Volume of water pumped/bailed before sampling:
4.0
gallons
Appearance Clear
here:
❑
Samples for metals were collected unfiltered: ®YES
❑ NO and field acidified: ❑ YES
El NO
LABORATORY INFORMATION
Date sample analyzed:1216/21
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 a0.02
mg1L Pb - Lead 01051 uglL
Coliform: MF Fecal 31616 <1
1100mL
Nitrate (NO3) as N 00520 <0,02
mg1L Zn - Zinc 01092 mglL
Coliform: MF Total 315a4
/100mL
Phosphorus: Total as P006654.78
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg1L Other (Specify Compounds and Concentration Units):
Dissolved Solids:Total 70300 511
mg/L
Al - Aluminum of 1o5
mg1L
PH (Lab) 004o3 7.4
units
Ba - Barium 01007
ug1L
TOC oo68o 5.2
mg/L
Ca - Calcium oo916
mg1L
Chloride 00940 163
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug1L
Chromium: Total 01034
ug1L
Grease and Oils oo�,;.Fa
mg/1
Ou - Copper 01042
-mg/1
ORGANICS- (by GO, GONS, HPl 0)
Phenol 32730
uglL
Fe - Iron 01045
ug/L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg1L
Hg - Mercury 71900
uglL Lab Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance 00095
µMhos
K - Potassium 00937
mg/L VOC 78732. method #
Total Ammonia oo610 0.8
mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen: NH3 asN: Ammonia Nitrogen, Total)
Mn -Manganese 01055
uglL ,method #
TKN as N 00625
mg1L
N! - Nickel 01067
ug/L method #
For Reinudiatiari Sys.torns; Only (Attach L air Repoi ts.) IrtlltleiiL T(Ital VO0s
Rod Holley Wastewater Superintendent Trainee
Permitlee (or Authorized Apent) Name and Title - Please print or type
mull Efflucrt it Total VOC s
ing/L VOC Removal%
1128122
GW-59 Rev.212010

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT:;OF ENVIRONMENT & NATURALRES.OURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OFiVATER QUALITY INFORMATION. PROCESSING UNIT
COMPLIANCE REPORT FORM
1697 MAIL. SERVICE CENTER,-RI1LEIGH, NC'27694-1617 Phone;:{914) 733 3221
FACILITY INFORMATION
PrtaasePilnt 1770allYtu TYPO
PERMIT Nuinbot. WQ0000165 Expliallun Datu. 0/30/2024
Facility Name: Ocean Sands
Nan -Discharge U[CU
NPDES Other
Permit Name (if different):
Facility Address: 741 Ocean Trail
TYPE OF PERMITTED OPERATION BEING MONITORED
El Lagoon ❑Remediation: Infiltration Gallery
Corolla tstreet) NC 27927 CountyCurrituck
(CEIy) t31ate3
(tip)
Ll Spray Field LI 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 Pamoit}
SAMPLING INFORMATION
if WELL
WELL ID NUMBER (from Permit): MW5
Date sample collected: 1216121
FIELD ANALYSES:
WAS
Well Depth: 17.6 ft.
Well Diameter: 3 in.
pH 0040o: 7.4 units Temp. 000lo: 16.8 °C
DRY at
Depth to Watei Level 82546.5.8 ft. below trtoasuring point Sotut:nr d I111(:IVbI. 12 ft. lu
17 rL Spf:u_ Cond. 00094. ItMhns
time of
sampling,
Measuring Point is 2 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: © YES
❑ NO and field acidified: ❑ YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed:12/6121
Laboratory Name: Enviro Chem
Certification No. 94
PARAMETERS NOTE: Values should reflect
dissolved
and colloidal concentrations.
COD 00335
mg1L
Nitrite (NO2) as N 00615 <0.02
mglL Pb - Lead oio51 ug1L
Coliform: MF Fecal 31616 <1
1100mL
Nitrate (NO3) as N 00620 0.16
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
1100mL
Phosphorus: Total as P 00665 3.51
mglL
(Nate: Use MPN method for higWy turbid samples)
Orthophosphate 70507
mglL Other (Specify Compounds and Concentration Units):
issolved Solids:Tota[ 70300 627
mglL
Al - Aluminum 01105
mglL
pH (Lab) 00403 7A
units
Ba - Barium oloo7
ug(L
TOC oomo 7.2
mg1L
Ca - Calcium 00916
mglL
Chloride 0094o 258
mglL
Cd - Cadmium 01027
ug1L
Argenic 01002
ucdlt
Chromium- Total 01034
uglt
Crease and OiIS 00552
mglL
C:u - Copper 01042
mall ORGANICS: (by GC, GGIMS, HPL C)
Phenol 32730
uglL
Fe - Iron 01045
ug1L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg1L
Hg - Mercury 71900
ug1L Lab Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance 00095
VMhos
K - Potassium 00937
mg1L VOC 78732: method #
Total Ammonia o0610 10.4
mg1L
Mg - Magnesium 00427
mg1L method #
(Ammonia Nitrogen; NH, as N; Ammonia Nitrogen, Total)
Mn - Manganese 01055
ug1L , method #
TKN as N 00625
mg1L
Ni Nickel oloG7
uglL method #
For Remediation Systems Only (Attach Lab Reports):
Influent Total VOCs
Rod Holley Wastewater Superintendent Trainee
Perfnittee (or Authorized Agent) Name and Title - Please print or type
mg/L
Effluent Total VOCs:
mglL
VOC Removal%
GW-59 Rev.2/2010

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT:OF ENVIRONMENT $ NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION'OFwATERQUALITY INFORMATIONPROCESSINGUNIT
COMPLIANCE REPORT FORM
1,617.,MAll SERVICE CENTER, RAL�IGH, NC 27699461 Phone;: [phone]
FACILITY INFORMATION
Plovw Pdof Clearly u) Type
PERMIT Numboi . WQOOOO 186 Expli atluii Dalu. 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 (Street) NC
27927 County Currituck
❑ Lagoon ❑ Remediation: Infiltration Gallery
(City) {State)
(zip)
El�, spray Field El Remediation:
Contact Person: Rod Holley
Telephonem 252-232-6065
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Ocean Sands
No. of wells to be sampled: 5
❑ Water Source Heat Pump X Other: Infiltration
(from Permit)
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW6
Date sample collected: 1216/21
FIELD ANALYSES:
WAS
Well Depth: 17.6 ft.
Well Diameter: 3 in.
pH 0040o: 7.6 units Temp. 000lo: 17.7 °C
DRY at
Depth to Water Level 8254o:7.3 ft. below measuring point Scrooned Intorval: 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: none
check
Volume of water pumped/bailed before sampling:
3.5
gallons
Appearance Clear
here: El
Samples for metals were collected unfiltered: R] YES
❑ NO and field acidified: ❑ YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed:1216/21
Laboratory Name: Enviro Chem
Certification No. 94
PARAMETERS NOTE: Values should reflect dissolved
and colloidal concentrations.
COD 00335
mg1L
Nitrite (NO2) as N 00615 <0.02
mg/L Pb - Lead 01051 ug1L
Coliform: MF Fecal 31616 <1
/100ml-
Nitrate (NO3) as N 00620 4.47
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100ml-
Phosphorus: Total as P oo665 4.16
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 7030o 778
mg/L
Al - Aluminum 011a5
mg/L
pH (Lab) 00403 7.6
units
Ba - Barium 01007
ug1L
TOC 0068o 6.1
mg/L
Ca - Calcium 009%
mg/L
Chloride 0094o 378
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total 01034
ug/L
Grease and Oils 0D552
malt
Cu - Copper 01042
mall ORGANICS: (by GO, C'CIMS. HPt C)
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
pMhos
K - Potassium 00937
mg/L VOC 78732: method #
Total Ammonia oo610 13.4
mg/L
Mg - Magnesium 00927
mg/L method #
{Ammonia Nilrogen; NH,as N: Ammonia Nilrogen, Total)
Mn - Manganese 01065
ug/L , method #
TKN as N 00625
mg/L
Ni- Nickel 01067
uglL method #
ror Remediation Systems Only (Attach t ab Reports) -
Influent Total VOCs
Rod Holley Wastewater Superintendent Trainee
Permittee (or Authorized Aqent) Name and Title - Please print or type
malt
Effluent Total V00s,
mq/L
VOG Removsl%
GW-59 Rev.2/2010

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF.ENVIRONMENT&.:NATURALRESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OF WATERQUALITY INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617,MA1L,5ERVICECEN?ER,RALEIGH NCZ7649-1617 Phone [phone]
EMILUY INFORMATION
Plt+nSe Prh,t 01anlly ut Type
PERMIT Nutnber: WQ0000185 Expiialion Dale. 6/30/2024
Facility Name: Ocean Sands
Non -Discharge UIC
NPDES Other__
Permit Name (if different):
Faclllty Address: 741 Oceaii Trail
TYPE OP PERMITTRD OPERATION BEING MONITORED
❑ Lagoon ❑Remediation: Infiltration Gallery
Corolla (sireep NC 27927 County Currituck
(My)
❑ 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 Permit)
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW7
Date sample collected: 12/6121
FIELD ANALYSES:
WAS
Well Depth: 17.6 ft.
Well Diameter: 3 in.
pH 00400: 7.5 units Temp. 000lo: 15.9 °C
DRY at
Depth to Water Level 82540:5.2 ft. below measuring point Screened Interval: 1? ft.
to 17 ft. Spec. Cond. 00094: tlk+lhos
time of
sampling,
Measuring Point is 2 ft. above land surface
Relative M.P. Elevation:
ft. Odor 00085: none
check
Volume of water pumped/bailed before sampling:
4.0
gallons
Appearance Clear
here:
❑
Samples for metals were collected unfiltered: © YES
El NO and field acidified: El YES
El NO
LABORATORY INFORMATION
Date sample analyzed:1216/21
Laboratory Name: Enviro Chem
Certification No. 94
PARAMETERS NOTE: Values should reflect
dissolved
and colloidal concentrations.
COD oo335
mg/L.
Nitrite (NO2) as N 00615 a0.02
mglL Pb - Lead o1o51 uglL
Coliform: MF Fecal 31616 c1
1100mL
Nitrate (NO3) as N 00620 4.74
mglL Zn -Zino 01092 mg1L
Coliform: MF Total 31504
1100mL
Phosphorus: Total as P oo665 2.48
mglL
(Note: Use MPN method fnr highly turbid samples)
Orthophosphate 70507
mg1L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 630
mg1L
Al - Aluminum oil o5
mg1L
pH (Lab) 00403 7.5
units
Ba - Barium 01007
uglL
TOC oo68o 6.2
mg1L
Ca - Calcium oog16
mglL
Chloride 0094o 317
mg1L
Cd - Cadmium 01027
uglL
Arsenic 01Q02
ug/L
Chromium- Total 01034
ug/L
Grease and Oils 00552
mglL
Cu - Copper 01042
mg1L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
uglL
Fe - Iron 01045
uglL (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mglL
Hg - Mercury 719oo
ug1L Lab Report Attached? ❑ Yes (1) ❑ No (0)
pecific Conductance 00096
uMhos
K - Potassium 00937
mg/L VOC 78732: method #
Total Ammonia 00610 <0.2
mg/L
Mg - Magnesium 00927
mglL method #
(Ammonia Nitrogen; N1­13as N; Ammonia Nitrogen, Total)
Mn - Manganese 01055
ug1L , method #
TKN as N 00625
mglL
Ni - Nickel 01067
ug1L method #
For Remediation Systems Only (Attach Lab Reports):
Influent Total VOCs:
Rod Holley Wastewater Superintendent Trainee
Perm€ttee (or Authorized Apenl) Name and Title - Please print or type
mg1L
Effluent Total VOCs:
mg1L VOC Removal%
GW-59 Rev.212010

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
mil
DIVISION OF WATER QUALITY4NFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
i v MAIL SERVICE CENTER RALEIGH, NG.27699 7617 Phone; [phone]
FACILITY INFORMATION
tilt+rr ,f1intClearlyV11ypo
PERMIT Number: Wi.I0000i85 ExpirationUala 6/30/2024
Facility Name: Ocean Sands
Non -Discharge UIU
NPDES Other
Permit Name (if different):
Facility Address: 741 Ocean Trail
TYPE OF PERMITTED OPERATION BEING MONITORED
Corolla (street) NC
27927 County Currituck
❑ Lagoon ❑Remediation: Infiltration Gallery
(L,ity) (Wake)
(AP)
LI Spray Field ❑ Remediation:
Contact Person: Rod Holley
Telephone#: [phone]
ElRotary Distributor ElLand 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): MW9
Date sample collected: 12/6/21
FIELD ANALYSES:
WAS
Well Depth: 17.6 ft.
Well Diameter: 3 in.
pH 00400: 7.5 units Temp. 000lo: 17.0 °C
DRY at
Depth to Water Level 02540:6•9 ft. below measuring point Screened hitewbi. 12 ft. to
17 11. Spec. Cored. 00094. µMhos
—
time of
sampling,
Measuring Point is 2 ft. above land surface
Relative M.P. Elevation: ft.
Odor 00085: none
check
Volume of water pumped/balled before sampling:
5.0
gallons
Appearance Clear
here:❑
Samples for metals were collected unfiltered: 0 YES
❑ NO and field acidified: ❑ YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed:1216/21
Laboratory Name: Enviro Chem
Certification No. 94
PARAMETERS NOTE: Values should reflect dissolved
and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615 <0.02
mg/L Pb - Lead o1o51 uglL
Coliform: MF Fecal 31616 <1
1100mL
Nitrate (NO3) as N 00620 3.33
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
1100mL
Phosphorus: Total as P oo665 1.66
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 521
mg/L
At -Aluminum oiio5
mg/L
pH (Lab) 00403 7.5
units
Ba - Barium 01007
ug/L
TOC 06so 4.7
mg1L
Ca - Calcium oo916
mg/L
Chloride 0094o 328
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug1L
Chromium: Total 01034
ug1L
Grease and Oil, 00652
mg/L
Cu - Copper 01042
mg1L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
uglL
Fe - Iran 01045
ug1L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg1L
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 1.6
mg/L
Mg - Magnesium 00927
mg1L method #
(Ammonia Nitrogen; NHzas N; Ammonia Nitrogen, Total)
Mn - Manganese o1o55
ug1L , method #
TKN as N 00625
mg1L
Ni - Nickel 01067
ug1L method #
Far Reinedialiun Systems Only (Attach Lab Reports). Influent Total VOCs. mg/L Efrluelit Tolal VOC%.
Rod Holley Wastewater Superintendent Trainee
Permittee (or Authorized Agent) Name and Title - Please print or type
Permittee (orAulhyfized Agent)
ing/L VOC Removal%
1128/22
(Date)