WQ0001817_Monitoring - 03-2021_20210419 (3)

ri
SUBMIT FORM ON YELLOW PAPER ONLY
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 Comapany
Non -Discharge WQ0001817 UIC
NPDES Other
Permit Name (if different):
Facility Address: 862 Holiday Island RD
TYPE
OF PERMITTED OPERATION BEING MONITORED
® Lagoon ❑ Remediation: Infiltration Gallery
_
Hertford N.0 27944 County Perqimans
IN 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
El Water Source Heat Pump ❑ Other:
__..__.__.. from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW -1
Date sample collected: 3/26i2021
FIELD ANALYSES:
WAS
Well Depth: 20 ft.
Well Diameter: 2 in.
pH oo400: 6.67 units Temp. 00olo. 15.9 °C
DRY at
Depth to Water Level 82546: 9-4 ft. below measuring point Screened Interval: -5 ft. to
-20 ft.
s
Spec. Cond. 00094: µMhos
time ofsampling,
Measuring Point is 3 ft. above land surface
Relative M.P. Elevation: ft.
Odor 000,5: Strong Sulfur
check
Volume of water pumped/bailed before sampling:
5-0
gallons
Appearance White/Tan/Turb
here:❑
Samples for metals were collected unfiltered: ❑ YES
® NO and field acidified: ❑ YES ® NO
LABORATORY INFORMATION
Date sample analyzed:3/26/2021
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 0.13
mg/L
Pb - Lead o1o51 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
mg/L
(Note:. Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 269
mg/L
Al - Aluminum of lo5
mg/L
pl-I (Lab) 00403 6.67
units
Ba - Barium 01007
ug/L
_KH
TOC oow
mg/L
Ca - Calcium 00916
mg/L
Chloride oo94o 22
mg/L
Cd - Cadmium wo � 1L
_
Arsenic 01002
ug/L
Chromium: Total 01o34
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 _
uug/L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate oo945
mg/L
-
Hg - Mercury WRMATIGNPROGEMOM
Lab Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance 00095
µMhos
K - Potassium 00937
mg/L
VOC 7873 method #
Total Ammonia oo6lo <0.2
mg/L
Mg - Magnesium 00927
mg/L
method #
(Ammonia Ndrogen: NH, as N. Ammmia Nitrogan. Total)
Mn - Manganese 01055
ug/L
. method #
TKN as N 00625
mg/(_
Ni - Nickel 01067
ug/L
method #
For Remediation Systefn.s Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
Shayne Byrom Corporate Secretary
Permittrc: (or Authorized Aflent) Name and Title - Please Printer type
GdV-59 Rev. 05-07-2018

Albemarle Utility Date of Report: Apr 05. 2021
862 Holiday Island Road Customer PO #:
Hertford NC 27944 Customer ID: 09110024
Attention: Anita Elliott Report #: 2021-04977
Project ID: Monitoring Wells
Lab ID Sample ID: Collect DatelTime Matrix Sampled by
21-12324 Site: MW-1 3/26/2021 9:10 AM Water Jay Baker
Test Method Results Date Analyzed
Color
Color
White/Tan(Turb
03126/2021
Depth to water, ft.
Depth to water, Ft.
9.4 feet
03/26/2021
Ammonia Nitrogen
EPA 350.1
< 200 pg/L
04101 /2021
Gallons bailed before sampling
Gallons Bailed before sampling
5.0 gallons
03;26/2021
Odor
Qualitative
Strong Sulfur
03/26/2021
Total Dissolved Solids (TDS)
SM 2540 C
269 mg/L
03/29/2021
Temperature
SM 2550 B
15.9 C
03/26/2021
Chloride
SM 4500 Cl E
22 mg/L
03/29/2021
pH
SM 4500 H B
6.67 units
03126/2021
Total Organic Carbon (TOC)
SM 5310 B
mg/L
Fecal Coliform
SM 9222D MF
<1 Colonies/100mL
03/26/2021
Nitrate Nitrogen (Ca1c)
Nitrite Nitrogen
EPA 353 2
0.13 mg/L
03/26/2021
Nitrate+Nitrite-Nitrogen
EPA 353 2
0.10 mg/L
03/30/2021
Nitrate Nitrogen
Subtraction Method
<0.02 mg/L
04/05/2021
iepor.A M1.0497/

SUBMIT FORM ON YELLOW PAPER ONLY
UN`IDWA.TER QUALITY MONITORING:
PLIANCE REPORT FORM
Facility Name: Albemarle Utility Company
Permit Name (i(different):
Facility Address: 862 Holiday Island Rd
Hertford NC
Please Print Clearly or Type
27944
County Perquimans
act Person: Danny Shelton Perry ORC _ Telephone#: [phone]
Location/Site Name: East of Baffle Lagoon No. of wells to be sampled: 10
f m
DEPARTMENT OF ENVIRONMENTAL QUALITY - DIV. OF WATER RESOURCES
INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617
PERMIT Number:
Expiration Date: 05-31-2025
Non -Discharge WQ0001817
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
❑ Other:
SAMPLING INFORMATION
WELL ID NUMBER (from Permit): MW-2 Date sample collected: 3/26/2021
Well Depth: 12 ft. Well Diameter: 2 in.
Depth to Water Level 82546: 3.3 ft. below measuring point Screened Interval: -2 ft. to -12 ft.
Measuring Point is 3 ft. above land surface Relative M.P. Elevation: ft.
Volume of water pumped/bailed before sampling: 5.0 gallons
Samples for metals were collected unfiltered: ❑ YES ® NO and field acidified: ❑ YES ® NO
FIELD ANALYSES:
pH o0400: 5.60 units Temp. 000lo. 16.1 °C
Spec. Cond. 000sa: itMhos
Odor 00065: Strong Sulfur
Appearance Tan/Brown
If WELL
WAS
DRY at
time ofsampling,
check
here:l-•—I
LABORATORY INFORMATION
Date sample analyzed:3/26/2021
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 oo615 0.09
mg/L
Pb - Lead olo51 ug/L
Coliform: MF Fecal 31616 <1 colonies
/100mL
Nitrate (NO3) as N D0620 <0.02
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):
issolved Solids:Total 7o3oo 194 _
mg/L
Al - Aluminum oilo5
mg/L
pH (Lab) 00403 5.60
_ units
Ba - Barium 01007
ug/L
TOC oo68o
mg/L
Ca - Calcium 00916
mg/L
Chloride oo94o _ 38
mg/L
Cd - Cadmium 01027 _
ug/L
Arsenic 01002
ug/L
Chromium: Total olo34
ug/L
_
Grease and Oils oo55
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 0009s Y!
_ itMhos
K -Potassium 00937
mg/L
VOC 7873 method #
Total Ammonia 00610 <0.2
mg/L
Mg - Magnesium 00927
mg/L
method #
(Arrnomla Nitrogen. NH, as N; &,Trronfa 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%---_—_
1�vvre r"e .vo-v,-nr�c

Albemarle Utility Date of Report: Apr 05, 2021
862 Holiday Island Road Customer PO #:
Hertford NC 27944 Customer ID: 09110024
Attention: Anita Elliott Report #: 2021-04977
Project ID: Monitoring Wells
Lab ID Sample ID: Collect DatefTime Matrix Sampled by
21-12325 Site: MW-2 3/26/2021 9:20 AM Water .lay Baker
Test Method Results Date Analyzed
Color
Color
Tan/Brown
03/26/2021
Depth to water, ft.
Depth to water, Ft
3.3 feet
03/26/2021
Ammonia Nitrogen
EPA 350 1
< 200 pg/L
04/01 /2021
Gallons bailed before sampling
Gallons Bailed before sampling
5 (dry) gallons
03/26/2021
Odor
Qualitative
Strong Sulfur
03,126/2021
Total Dissolved Solids (TDS)
SM 2540 c
194 mg/L
03/29/2021
Temperature
SM 2550 B
16.1 C
03/26/2021
Chloride
SM 4500 Cl E
38 mg/L
03/29/2021
pH
SM 4500 H B
5.60 units
03/26/2021
Total Organic Carbon (TOC)
SM 5310 B
mg/L
Fecal Coliform
SM9222DMF
<1 Colonies/100ml-
03/26/2021
Nitrate Nitrogen (Calc)
Nitrite Nitrogen
EPA 353.2
0.09 mg/L
03/26/2021
Nitrate+Nitrite-Nitrogen
EPA353.2
0.09mg/L
03/30/2021
Nitrate Nitrogen
Subtraction Method
<0.02 mg/L
04/05/2021
4 202!.0497,

SUBMIT FORM ON YELLOW PAPER ONLY
• •
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
NPDES Other
Permit Name (if different):
Facility Address. 862 Holiday Island Rd
TYPE OF PERMITTED OPERATION BEING MONITORED
A Lagoon ❑ Remediation: Infiltration Gallery
Hertford NC 27944 County Perquimans
A Spray Field ❑ Remediation:
Contact Person: Danny Shelton Perry ORC
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: South East 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 - 3
Date sample collected: 3/26/2021
FIELD ANALYSES:
WAS
Well Depth: 12 ft.
Well Diameter: 2 in.
pH 00400 5.81 units Temp. 000lo: 1 5.0 °C
DRY at
Depth to Water Level 82546: 2.6 ft. below measuring point Screened Interval: 2 ft to
12
,
ft. Spec. Cond. 0oo94 f Mhos
time ofsampling,
Measuring Point is 3 ft. above land surface
Relative M.P. Elevation: ft.
Odor 00085: Slight Sulfur
check
Volume of water pumped/bailed before sampling:
3 _
gallons
Appearance Brown/Turbid _
here'D
Samples for metals were collected unfiltered. ❑ YES
® NO and field acidified: ❑ YES tN NO
LABORATORY INFORMATION
94
Date sample analyzed:3/26/2021
Laboratory Name. Environmental Chemists, Inc Certification No.
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615 0.76
mg/L Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616 72 colonies
/100mL
Nitrate (NO,) as N 00620 <0.02
mg/L
Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
1100mi_
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):
isso!ved Solids:Total 70300 961
mg/L
Al - Aluminum o11o5
mg/L _
pH (Lab) 00403 5.81
units
Ba - Barium 01007 _
ug/L
i
TOG oo680
mg/L
Ca - Calcium oo916
mg/L
Chloride oo940 15
mg/L
Cd - Cadmium 01027
ug;L
Arsenic 01002
ug/L
Chromium: Total 01034
ug/L
G,ease and Oils 00552
mg/1
Cu - Copper 01042
mg/L
ORGANICS: (by GC, GC/MS, HPI-C)
Phenol 32730
ug/L
Fe - Iron 0104.5
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg?L
Fig - Mercury 71900
ug/L
Lab Report Attached? ❑ Yes (1) ❑ No (0)
pw_ :ific Conductance 00095^
µMhos
K - Potassium 00937
mg/L
VOC 7873 _, method #
Total Ammonia omio <0.02
mg/L
Mg - Magnesium 00927
ma/L method #
_
(A mron:a Nirege.n. Nti,is N. Ammonia Nitrogen. Total -
Mn - Manganese 01055
ug/L
, method #
TKN as N occ25
mg/L
Ni - Nickel 01067
ug/L
i method #
For Remediation Systems Only (Attach Lab Reports)
Shayne Fly uni - Corporate Secretary
Pennittee (oi AuY:orizAd Aaen0 Name and Title Please print cr type
Influent Total VOCs: •
in this report is true, accurate, and complete, and that the laboratory analytical data
Omitting false information, including the posslh-lity of fi.ies and imprisonment for kn(
mg/L VOC Removal%
59 r. )ii- ;%- 013

Albemarle Utility Date of Report: Apr 05, 2021
862 Holiday Island Road Customer PO #:
Hertford NC 27944 Customer ID: 09110024
Attention: Anita Elliott Report #: 2021-04977
Project ID: Monitoring Wells
Lab ID Sample ID: Collect DatelTime Matrix Sampled by
21-12326 Site: MW-3 3/26/2021 9:35 AM Water Jay Baker
Test Method Results Date Analyzed
Color
color
Brown/Turbid
03/26/2021
Depth to water, ft.
Depth to water. Ft.
2.6 feet
03/26/2021
Ammonia Nitrogen
EPA 350.1
< 200 pg/L
04/01/2021
Gallons bailed before sampling
Gallons Bailed before sampling
3 (dry) gallons
03/26/2021
Odor
Qualitative
Slight Sulfur
03/26/2021
Total Dissolved Solids (TDS)
SM 2540 C
961 mg/L
03/29/2021
Temperature
SM 2550 B
15.0 C
03/26/2021
Chloride
SM 4500 C" E
15 mg/L
03/29/2021
pH
SM 4500 H B
5.81 units
03/26/2021
Total Organic Carbon (TOC)
SM 5310 B
mg/L
Fecal Coliform
SM 9222D MF
72 Colonies/100mL
03/26/2021
Nitrate Nitrogen (Cale)
Nitrite Nitrogen
EPA 353.2
0.76 mg/L
03/26/2021
Nitrate+Nitrite-Nitrogen
EPA 353.2
0.55 mg/L
03/30/2021
Nitrate Nitrogen
subtraction Method
<0.02 mg/L
041105/2021
Reporta 2021-GM77

SUBMIT FORM ON YELLOW PAPER ONLY
• •
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
NPDES Other
Permit Name (if different): _
Facility Address: 862 Holiday Island Rd
TYPE OF PERMITTED OPERATION BEING MONITORED
© Lagoon ❑ Remediation: Infiltration Gallery
Hertford NC 27944 County Perquimans
® 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: 3/26/2021
FIELD ANALYSES:
WAS
Well Depth: 12 ft.
Well Diameter: 2 in.
pH 00400: 6.12 units Temp. 000lo: 14.6 °C
DRY at
Depth to Water Level 92546: 2-9 ft. below measuring point Screened Interval: -2 ft. to
-12
ft. Spec. Cond. 00094: µMhos
time of
sampling,
Measuring Point is 3 ft. above land surface
Relative M.P. Elevation: ft.
Odor 000m: Slight/Sulfur
check
Volume of water pumped/bailed before sampling:
3.0
gallons
Appearance Brown/Turbid
here:❑
Samples for metals were collected unfiltered: ❑ YES
IR NO and field acidified: ❑ YES ® NO
LABORATORY INFORMATION
Date sample analyzed:3/26/2021
Laboratory Name: Environmental Chemists, Inc Certification No. 94
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO?) as N 00615 0.05
mg/L Pb - Lead o1o51 ug/L
Coliform: MF Fecal 31616 <1 colonies
/100mL
Nitrate (NO3) as N o0620 0.16
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mi-
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):
issolved Soiids:Totai 70300 192
mg/L
Al -Aluminum o11o5
mg/L
pH (Lab) 00403 6.12
units
Ba - Barium 01007
ug/L
TOC 0o6m
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 6 _
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01c02
ug/L
Chromium: Total 01034
ug/L
Grease and Oils oo552
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� _
ItMhos
K - Potassium 00937
mg/L
VOC 7873 method # v
Total Ammonia 00610 <0.2
mg/L
Mg - Magnesium 00927
mg/L
method #
(Am+,ion-a M!tr,4jcn. NFI, as N: Ammonia Nitrogen, Tr:al;
Mn - Manganese olo55
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%
GW-59 Rev.06-07-2018

Albemarle Utility
862 Holiday Island Road
Hertford NC 27944
Attention: Anita Elliott
Date of Report: Apr 05, 2021
Customer PO #:
Customer ID: 09110024
Report #: 2021-04977
Project ID: Monitoring Wells
Lab ID Sample ID:
Collect Date/Time Matrix Sampled by
21-12327 Site: MW-4
3/26/2021
9:47 AM Water Jay Baker
Test
Method
Results Date Analyzed
Color
Color
Brown/Turbid
03/26/2021
Depth to water, ft.
Depth to Water, Ft
2.9 feet
0312612021
Ammonia Nitrogen
EPA 350 1
< 200 pg/L
04/01/2021
Gallons bailed before sampling
Gallons Bailed before sampling
3 (dry) gallons
03/26/2021
Odor
qualitative
Slight Sulfur
03i26/2021
Total Dissolved Solids (TDS)
SM 2540 C
192 mg/L
03/29/2021
Temperature
SM 2550 B
14.6 C
03/26/2021
Chloride
SM 4500 Cl E
6 mg/L
03/29/2021
ID
SM 4500 H B
6.12 units
03/2612021
Total Organic Carbon (TOC)
SM 5310 B
mg/L
Fecal Coliform
SM 9222D MF
<1 Colonies/100mL
03/26/2021
Nitrate Nitrogen (Calc)
Nitrite Nitrogen
EPA 353 2
0.05 mg/L
03/26/2021
Nitrate+Nitrite-Nitrogen
EPA 353.2
0.21 mg/L
03/30/2021
Nitrate Nitrogen
Subtraction Method
0.16 mg/L
04/05/2021
:Reporttt 2021.04977 +. ,.,.
Page 4 of 10

SUBMIT FORM ON YELLOW PAPER ONLY
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
© Lagoon ❑ Remediation: Infiltration Gallery
A
Hertford NC 27944 County Perquimans _
H Spray Field ❑ Remediation:
Contact Person: Danny Shelton Perry ORC
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: South West of Sprayfield
No. of wells to be sampled: 10
❑ Water Source Heat Pump ❑ Other:
from Pernut
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW - 5
Date sample collected: 3/26/2021
FIELD ANALYSES:
WAS
Well Depth: 15 ft
Well Diameter 2 in.
pH 00400: 6.59 units Temp. 000lo: 1 4.7 nC
DRY at
Depth to Water Level 82546: 4.5 ft. below measuring point Screened Interval: 12 ft. to
2
it. Spec. Cond. 00094: µMhos
time ofsampling,
Measuring Point is 3 ft. above land surface
Relative M.P. Elevation: ft.
Odor oo085: None
check
Volume of water pumped/bailed before sampling:
5.0
gallons
Appearance Tan/Turbid
here:
❑
Samples for metals were collected unfiltered: ❑ YES
® NO and field acidified: ❑ YES ® NO
LABORATORY INFORMATION
Date sample analyzed:3126/2021
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 oo615 <0.02
mg/L Pb - Lead o1o51 ug/L
Coliform: MF Fecal 31616 <1 colonies
/100mL
Nitrate (NO3) as N 00620 0.08
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31,904
/10omL
Phosphorus: Total as P 00665
mg/L
lNote: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 365
mg/L
Al - Aluminum o1105
mg/L
pH (Lab) 00403 6.59
units
Ba - Barium 01007
ug/L
TOC oo68o
mg/L
Ca - Calcium oo916
mg/L
Chloride oo94o 68
rng/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total 01034 yug/L
Grease and OiIS 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)
Specific Conductance 00095
µMhos
K - Potassium 00937
mg/L
VOC 7873 method # _
Total Ammonia 00610 <0.2
mg/L
Mg - Magnesium 00927
mg/L
method # _
(Ammonia Nitrogen: NH. as N; Ammonia Nitrogen, Total)
Mn - Manganese 01 o55
ug/L
, method #
TKN as N 00625
mg It.
Ni - Nickel 01067
ug/L
method # _ v
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%

Albemarle Utility
862 Holiday Island Road
Hertford NC
Attention: Anita Elliott
Lab ID Sample ID:
21-12328 Site: MW-5
Test
Date of Report: Apr 05, 2021
Customer PO #:
27944 Customer ID: 09110024
Report #: 2021-04977
Project ID: Monitoring Wells
Color
Depth to water, ft.
Ammonia Nitrogen
Gallons bailed before sampling
Odor
Total Dissolved Solids (TDS)
Temperature
Chloride
pH
Total Organic Carbon (TOC)
Fecal Coliform
Nitrate Nitrogen (Ca1c)
Nitrite Nitrogen
Nitrate+N itrite-N itrog en
Nitrate Nitrogen
Collect Date/Time Matrix
3/26/2021 10:00 AM Water
Method
cow
Depth to Water, Ft.
EPA 350.1
Gallons Bailed before sampling
Qualitative
SM 2540 C
SM 2550 B
SM 4500 Cl E
SM 4500 H B
SM 5310 8
SM 9222D MF
EPA 353.2
EPA 353.2
Subtraction Method
Results
Sampled by
Jay Baker
Date Analyzed
Tan/Turbid
03/26/202"
4.5 feet
03/26/2021
< 200 pg/L
04101 /2021
5.0 gallons
03/26/2021
None
03/26/2021
365 mg/L
03/29/2021
14.7 C
03/26/2021
68 mg/L
03/29/2021
6.59 units
03/26/2021
mg/L
<1 Colonies/100mL
03/26/2021
< 0.02 mg/L
03/26/202",
0.08 mg/L
03/30/2021
0.08 mg/L
04/05/2021
i� ac 7 2c2•..04,
Page t ..

SUBMIT FORM ON YELLOW PAPER ONLY
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: 05-25-2025
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 ❑ 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: West Of Spray Field
No. of wells to be sampled: 10
❑ Water Source Heat Pump ❑ Other:
from Pemdt
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (fron, Permit): MW -
6
Date sample collected: 3/26/2021
FIELD ANALYSES:
WAS
Well Depth: 12 ft.
Well Diameter: 2 in.
pH 00400: 6.50 units Temp. 000lo: 14.8 °C
DRY at
Depth to Water Level 82546: 4.4 ft. below measuring point Screened Interval: 2 ft. to
-12
ft. Spec. Cond. 000sa: uMhos
time ofsampling,
Measuring Point is 3 ft. above land surface
Relative M.P. Elevation:! ft.
Odor 00085: Strong Sulfur
check
Volume of water pumped/bailed before sampling:
5.0
gallons
Appearance Tan/Clear
here:
Samples for metals were collected unfiltered: ❑ YES
® NO and field acidified: ❑ YES ® NO
LABORATORY INFORMATION
Date sample analyzed:3/26/2021
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 omis 0.04
mg/L Pb - Lead o1o51 ug/L
Coliform: MF Fecal 31616 <1 colonies
/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
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids.Total 70300 952
mg/L
Al - Aluminum 01105
mg/L
pH (Lab) 00403 6.50
units
Ba - Barium 01007—
ug/L
TOC 00680
mg/L
Ca - Calcium 00916
mg/L i
Chloride 00940 363
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 _
mgtL
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 oo610 <0.2
mg/L
Mg - Magnesium 00927
mg/L
method #
(Ammonia Nitrogen: NH,as N: Ammonia Nitrogen, Total)
Mn - Manganese oio55
ug/L
method #
TKN as N 00626
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%
Shayne Secretary - Corporate Secretary
Perrrittee (or Authorized Agent) Name and Title - Please print or type
Authorized Agent)
GW-59 Ray.06-07-2018

Albemarle Utility Date of Report: Apr 05, 2021
862 Holiday Island Road Customer PO #:
Hertford NC 27944 Customer ID: 09110024
Attention: Anita Elliott Report #: 2021-04977
Project 1D: Monitoring Wells
Lab ID Sample ID: Collect Date/Time Matrix Sampled by
21-12329 Site: MW-6 3/26/2021 10:14 AM Water Jay Baker
Test Method Results Date Analyzed
Color
color
Tan/Clear
03/26/2021
Depth to water, ft.
Depth to water, R.
4.4 feet
03/26/2021
Ammonia Nitrogen
EPA 350.1
< 200 pg/L
04/01/2021
Gallons bailed before sampling
Gallons Bailed before sampling
5.0 gallons
03/26/2021
Odor
Qualitative
Strong Sulfur
03/26/2021
Total Dissolved Solids (TDS)
SM 2540 c
952 mg/L
03/29/2021
Temperature
SM 2550 B
14.8 C
03/26/2021
Chloride
SM 4500 c+ E
363 mg/L
03/29/2021
pH
SM 4500 H B
6.50 units
03/26/2021
Total Organic Carbon (TOC)
SM 5310 B
mg/L
Fecal Coliform
SM 92220 MF
<1 Colonies/100mL
03/26/2021
Nitrate Nitrogen (Calc)
Nitrite Nitrogen
EPA 353 2
0.04 mg/L
03/26/2021
Nitrate+Nitrite-Nitrogen
EPA 353 2
0.04 mg/L
03/30/2021
Nitrate Nitrogen
Subtraction Method
<0.02 mg/L
04/05/2021

` f JBP I'f I-ORM ON YELLOW PAPER ONLY
--�
• .
DEPARTMENT OF ENVIRONMENTAL QUALITY - DIV.OFWATERRESOURCES
GROUNDWATER QUALITY MONITORING:
INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
..
1617 MAIL SERVICE CENTER, RALEIGH, NC 276t19-1617
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: Expiration Date: 05-31-2025
Facility Name: Albemarle Utility Company
Non -Discharge WQ0001817 UIC
NPDES Other
Permit Name (if different):
Facility Address: 862 Holiday Island Rd
TYPE OF PERMITTED OPERATION BEING MONITORED
Lagoon ❑ Remediation: Infiltration Gallery
Hertford NC 27944 County Perquimans
© Spray Field ❑ Remediation:
Contact Person: Danny Shelton Perry ORC
Telephone#: [phone]
❑ 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 Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW - 7
Date sample collected: 3/26/2021
FIELD ANALYSES:
WAS
Well Depth: 16.9 ft.
Well Diameter: 2 in.
pH 00400: 7.03 units Temp. 000lo: 23.6 °C
DRY at
Depth to Water Level 82546. 0.5 ft. below measuring point Screened Interval: 11.9
p g po ft.
to 16.9
ft. Spec. Cond. 00094 µ Mhos
time of
sampling,
Measuring Point is 2•5 ft. above land surface
Relative M.P. Elevation:
ft.
Odor 00065: None
check
Volume of water pumped/bailed before sampling:
10
gallons
Appearance Red/Tan
here:❑
Samples for metals were collected unfiltered: ❑ YES
X NO and field acidified: ❑ YES ® NO
LABORATORY INFORMATION
Date sample analyzed:3/2612021
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 oo615 0.04
mg/L Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616 <1 colonies
1100ml-
Nitrate (NO3) as N 00620 <0.02
mg/L
Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665
mg/L
(Note: Use MPN mothod for highly turbid samples)
Orthophosphate 70507
— mg/L
Other (Specify Compounds and Concentration Lit tits):
,isso!ved Solids:Total 70300 359
mg/L
Al - Aluminum oilo5
mg/L
pH (Lab) 00403 7.03 _
units
Ba - Barium 01007
ug/L
_
TOC 0css0�
mg/L
Ca - Calcium 00916 _—_mg/L
Chloride ooswo 49 T_
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total 01034
ug/L
_
Grease and Oils 00552 _
Y
mg/L
Cu - Copperp1042
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
mgiL
VOC 7873 method #
Total Ammonia 00610 <0.2
mg/L
Mg - Magnesium 00927
mg/L
method #
(Ammorn2 Nitrogen, NH, as N: Ammonia Nitrogen, Total)
Mn - Manganese olo55 _v
_ 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%
Shayne Byrum - Corporate Secretary
Pe rrittoe. (or Authorized Agent) Name ana 1 itle - Please priri cr i, pa
Age n:1
t,V---59 Rev 06-G72018

Environmental
Albemarle Utility Date of Report: Apr 05, 2021
862 Holiday Island Road Customer PO #:
Hertford NC 27944 Customer ID: 09110024
Attention: Anita Elliott Report #: 2021-04977
Project ID: Monitoring Wells
LabID Sample ID: Collect Date/Time Matrix Sampled by y
21-12330 Site: MW-7 3/26/2021 8:55 AM Water Jay Baker
Test Method Results Date Analyzed
Color
Color
Red/Tan
03/26/2021
Depth to water, ft.
Depth to water, Ft.
0.5 feet
03/26/2021
Ammonia Nitrogen
EPA 350.1
< 200 pg/L
04101 /2021
Gallons bailed before sampling
Gallons Bailed before sampling
10 gallons
03/26/2021
Odor
Qualitative
None
03/26/2021
Total Dissolved Solids (TDS)
SM 2540 C
359 mg/L
03129/2021
Temperature
SM 2550 8
23.6 C
03/26/2021
Chloride
SM 4500 C' E
49 mg/L
03129/2021
pH
SM 4500 H B
7.03 units
03/26/2021
Total Organic Carbon (TOC)
SM 5310 8
mg/L
Fecal Coliform
SM 9222D MF
<1 Colonies/100ml-
03/26/2021
Nitrate Nitrogen (Cale)
Nitrite Nitrogen
EPA 353.2
0.04 mg/L
03/26/2021
Nitrate+Nitrite-Nitrogen
EPA 353.2
< 0.02 mg/L
03/30/2021
Nitrate Nitrogen
Subtraction Method
<0.02mg/L
04/05/2021

SUBMIT FORM ON YELLOW PAPER ONLY
nR�
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 WQ001817 UIC!
Permit Name (if different):
NPDES Other
Facility Address: 862 Holiday Island Rd
TYPE OF PERMITTED OPERATION BEING MONITORED
IN Lagoon ❑ Remediation: Infiltration Gallery
Hertford NC 27944 County Perquimans
® Spray Field ❑ Remediation:
Contact Person: Danny Snelton Petry ORC
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: East 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 - 8
Date sample collected: 3/26/2021
FIELD ANALYSES:
WAS
Well Depth: 15 ft.
Well Diameter: 2 in.
pH 00400: 6.31 units Temp. 000lo: 1 5.6 °C
DRY at
Depth to Water Level 825 6: 4.2 ft. below measuring point Screened Interval: 5 ft. to
15
ft. Spec. Cond. 000sa: f tMhos
time of
sampling,
Measuring Point is 3 ft. above land surface
Relative M.P. Elevation: ft.
Odor 000m: None _ _
check
Volume of water pumped/bailed before sampling:
5.0
gallons
Appearance Tan/Clear
here:❑
Samples for metals were collected unfiltered: ❑ YES
® NO and field acidified: ❑ YES ® NO
_
LABORATORY INFORMATION
Date sample analyzed:3/26/2021
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 0.43
mg/L
Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665
rng/L
(Note'. Use MPN method for highly turbid samples)
Orthophosphate 70507 _
_ mg/L
Other (Specify Compounds and Concentration Units):
issolved Solids:Total 703CO 447
mg/L
At - Aluminum o1105
mg/L
pH (Lab) 00403 6.31
units
Ba - Barium oioo7
ug/L
TOC o0660
mg/L
Ca - Calcium 00916
mg/L
Chloride 0o94o 142
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total 01034 ^_
ug/L
Grease and Oils 005,52 _
mg/L
Cu - Copper 01042 _
mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Pheno! 32730._
- ug/L
Fe - Iron m45
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)
_
Specific Conductance 0o085
µMhos
K - Potassium 00937
mg1L
VOC 7873 method # _
Total Ammonia oo610 <0.2
mg/L
Mg - Magnesium 00927 __
mg/L
_ method #
(Arn+:tr•ia Nitrogen. Nrt;as M: .Ammonia Nitrogen. Total)
Mn - Manganese o1o55
ug/L
method #
TKN as N 0625Y
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%

Eig
ANALYTICAL & CONSULTING CHEMISTS
Environmental (.`hemists, fiV,
Albemarle Utility Date of Report: Apr 05, 2021
862 Holiday Island Road Customer PO #:
Hertford NC 27944 Customer ID: 09110024
Attention: Anita Elliott Report #: 2021-04977
Project ID: Monitoring Wells
Lab ID Sample ID: Collect DatetTime Matrix Sampled by
21-12331 Site: MVV-8 3/26/2021 10:30 AM Water Jay Baker
Test Method Results Date Analyzed
Color
Color
Tan/Clear
03126/202 1
Depth to water, ft.
Depth to Water. Ft.
4.2 feet
03/26/2021
Ammonia Nitrogen
EPA 350 1
< 200 pg/L
04/01/2021
Gallons bailed before sampling
Gallons Bailed betore sampling
5.0gallons
03126/2021
Odor
Qualitative
None
03/26/2021
Total Dissolved Solids (TDS)
SM 2540 C
447 mg/L
03/29/2021
Temperature
SM 2550 B
15,6 C
03/26/2021
Chloride
SM 4500 C1 E
142 mg/L
03129/2021
pH
SM 4500 H B
6.31 units
0312612021
Total Organic Carbon (TOC)
SM 5310 8
mg/L
Fecal Coliform
SM 9222D MF
<1 Colonies/100ml-
03/2612021
Nitrate Nitrogen (Calc)
Nitrite Nitrogen
EPA 353 2
< 0.02 mg/L
03/26/2021
Nitrate+Nitrite-Nitrogen
EPA 353.2
0.43mg/L
03/3012021
Nitrate Nitrogen
Subtraction Method
0.43 mg/L
04/0512021

SUBMIT FORM ON YELLOW PAPER ONLY
• •
DEPARTMENT OF ENVIRONMENTAL QUALITY - DIV. OF WATER RESOURCES
GROUNDWATER QUALITY MONITORING:
INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
• s •
•
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617
FACILITY INFORMATION
Please Print Clearly orType
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
® Lagoon ❑ Remediation: Infiltration Gallery
Hertford NC 27944 County Perquimans
© Spray Field ❑ Remediation:
Contact Person: Danny Shelton Perry ORC
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: West of Spray Field
No. of wells to be sampled: 10
❑ Water Source Heat Pump ❑ Other: __ T
_
tram Permit)
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW - 9
Date sample collected: 3/26/2021
FIELD ANALYSES:
WAS
Well Depth: 15 ft.
Well Diameter: 2 in.
pH 00400: 6.37 units Temp. 000lo: 14.9 °C
DRY at
Depth to Water Level szsas: 4.3 ft, below measuring point Screened interval: 4 ft. to
14
ft. Spec. Cond. 0o0s4: µMhos
time ofsampling,
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/Tan
here:
Samples for metals were collected unfiltered: ❑ YES
® NO and field acidified: ❑ YES NO
LABORATORY INFORMATION
Date sample analyzed:3/26/2021
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 o1o51 ug/L
Coiiform: MF Fecal 31616� <1 colonies
/100mL
Nitrate (NO3) as N 00620 0.09
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):
issolved Solids:Totaf 70300 67
mg/L
Ai - Aluminum 01105
mg/L
pH (Lab) 00403 6.37
units
Ba - Barium 01007
ug/L
TOG omw
_ mg!L
Ca - Calcium 00916
mg/L
Chloride 00940_ 6
mg/L
Cd - Cadmium 01027
ug/L
MTM
Arsenic 01002
ug/L
Chromium: Total olo34
ug/L
Grease and Gill 005524�
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? ElYes (1) ElNo (0)
Specific Conductance 00095___
;tMhos
K - Potassium 00937
mg/L
VOC 7873 method # -
Total Ammonia oosso <02
mg/L
Mg - Magnesium 00927
mg/L
method #
(Arm omia Nit.orgen; NHas N; Amnxmia Nitrogen. Total)
Mn - Manganese o1o55
ug/L
,'method #
T KN 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%
Shayne Byrum , Corporate Secretary
Permfttee (or Authorized Agent) Name and Title - PRease print or lype

Albemarle Utility
862 Holiday Island Road
Hertford NC
Attention: Anita Elliott
Lab ID Sample ID:
21-12332 Site: MW-9
Test
L' llvi roxi m-eti, t al C" h, en-tv, i s ts. I t-tt'%
Date of Report: Apr 05, 2021
Customer PO #:
27944 Customer ID: 09110024
Report #: 2021-04977
Project ID: Monitoring Wells
Color
Depth to water, ft.
Ammonia Nitrogen
Gallons bailed before sampling
Odor
Total Dissoived Solids (TDS)
Temperature
Chloride
pH
Total Organic Carbon (TOC)
Fecal Coliform
Nitrate Nitrogen (Calc)
Nitrite Nitrogen
Nitrate+Nitrite-Nitrogen
Nitrate Nitrogen
Collect DaterTime Matrix
3/26/2021 11: 00 AM Water
Method
Color
Depth to Water Ft
EPA 350.1
Gallons Bailed before sampling
Qualitative
SM 2540 C
SM 2550 B
SM 4500 Cl E
SM 4500 H B
SM 5310 B
SM 92220 MF
EPA 353 2
EPA 353.2
Subtraction Method
Results
Sampled by
Jay Baker
Date Analyzed
Clear/Tan
03/26/202'
4.3 feet
03126/202'
< 200 pg/L
04/01/202',
5.Ogallons
03,26/2021
None
03/2612021
67 mg/L
03/29/2021
14.9 C
03126/2021
6 mg/L
03129/2021
6.37 units
03/2612021
mg/L
<1 Colonies/100ml-
03/2612021
< 0-02 mg/L 03/2612021
0.09 mg/L 03/30/2021
0.09mg/L 04/05/2021
2021 04977

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENTAL QUALITY -DIV. OF WATER RESOURCES
GROUNDWATER QUALITY MONITORING:
B19
INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: 0 Expiration Date: 05-31-2025
Facility Name: Albemarle Utility Company
_
Non -Discharge WQ001817 UIC
NPDES Other
Permit Name (if different): _
Facility Address: 862 Holiday Island Rd
TYPE OF PERMITTED OPERATION BEING MONITORED
® Lagoon ❑ Remediation: infiltration Gallery
Hertford N.C. 27944 County Perquimans
® Spray Field ❑ Remediation:
Contact Person: Danny Shelton Perry ORC
Telephone#: [phone] u
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: South 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-10
Date sample collected: 3/26/2021
FIELD ANALYSES:
WAS
Well Depth: 15 ft.
Well Diameter: 2 in.
_
pH 00400: 6.48 units Temp. 000lo: 15.1 ^C
DRY at
Depth to Water Level 62546: 6.0 . ft. below measuring point Screened Interval: 5 ft. to
14
ft. Spec. Cond. 00094: µMhos
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/tan
here:
Samples for metals were collected unfiltered: ❑ YES
® NO and field acidified: ❑ YES ® NO
LABORATORY INFORMATION
Date sample analyzed:3126/2021
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 olos1 ug/L 4
Colitcrm: MF Fecal 31616 <1 colonies
/100mL
Nitrate (NO3) as N 00620 0.59
mg/L Zn - Zinc 01092 mg/L i
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665
mg/L '
i
(Notes Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units).
isso!ved Solids:Total 70300 140 _
mg/L
Al - Aluminum oil o5
mg/L
pH (Lab) 00403 6,48
units
Ba - Barium oloot
ug/L
TOC oo680
mg/L
Ca - Calcium 00916
mg/L
Chloride oo94o 35
mg/L
Cd - Cadmium 01027
uglL
_
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 olo45
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 <0.2
mg?L
Mg - Magnesium 00927
mg/L method #
(F.mrrx;nia Nitrogen; NH, as N; Ammonia Nitrogen. Total)
Mn - Manganese olo55
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%
S7ayne Byrum Corporate Secretary
Pernuftee (or Authon7-J Agent) Name and Title - Please print or tvpe
(or /4jorized Agent)
GW-59 r:ev.06-07-2016

y
t .s'
S
ANALYTICAL R CONSULTING CHEMISTS
Albemarle Utility
Date of Report:
Apr 05, 2021
862 Holiday Island Road
Customer PO #:
Hertford NC
27944
Customer ID:
09110024
Attention: Anita Elliott
Report #:
2021-04977
Project ID: Monitoring
Wells
Lab ID Sample ID:
Collect Date/Time Matrix
Sampled by
21-12333 Site: MW-10
3/26/2021 10:45 AM Water
Jay Baker
Test
Method Results Date Analyzed
Color
Color
Clear/Tan
03/26/2021
Depth to water, ft.
Depth to Water. Ft
6.0 feet
03/26/2021
Ammonia Nitrogen
EPA350.1
< 200pg/L
04/01/2021
Gallons bailed before sampling
Gallons Bailed before sampling
5.0 gallons
03/26/2021
Odor
Qualitative
None
03/26/2021
Total Dissolved Solids (TDS)
SM 2540 c
140 mg/L
03/29/2021
Temperature
SM 2550 B
15.1 C
03/26/2021
Chloride
SM 4500 Cl E
35 mg/L
03/29/2.021
pH
SM 4500 H B
6.48 units
03/26/2021
Total Organic Carbon (TOC)
SM 5310 B
mg/L
Fecal Coliform
SM 9222D MF
<1 Colonies/100mL
03/26/2021
Nitrate Nitrogen (Calc)
Nitrite Nitrogen
EPA 3532
< 0.02mg/L
03/26/2021
Ni*rate+Nitrite-Nitrogen
EPA 3532
0.59mg/L
03/30/2021
Nitrate Nitrogen
Subtraction Method
0.59 mg/L
04/D5/2021
Comment:
Reviewed by
`gem-" Z ..C21-G49, 7

( N-59A COMPLI.XNCT REPORT FORM
-5'tchrnit eme crach monitoring periwd �, itlr Gb#,torn".
i
Enter date monitoring results were due. Will this monitoring report (GW-59 and GW-59A) Y LS (D
be submitted after the established due date?
Was any required information missing on the GW-59 report forms? YES NO_
2
i
�
_--_
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
I
3
Are any of the monitor wells in need of repair or maintenance (damaged casing, unlocked or missing cap, missing
YES
NU
identification plate, area overgrown, etc.)? Ijthe ansvver is "Yes ", contact the Regional Of iceJor guidance.
4
Are any monitored constituents equal to or above the established standards?-- — - — —
YE
O
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)
I I
exceeding standards in the space provided below
`-
rs
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?
l--
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).
C4
listed in 5 located d the bou
I
wells section atorbe anreview nds ry?---
If the answer is "YES", a groundwater quality problem may be occurring. CONTACT THE REGIONAL �—
YESArethemontorin
-
tiU
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
I
VF,S
i
6 O
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
I
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.
t
i
I f
g
The person completing this portion (GW-59A) of the monitoring report should sign below and submit this
I
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.
fe of Perm!"be (or Authorized Agent) ate
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