WQ0019907_Monitoring - 03-2022_20220422 (3)

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DWR - NonDischarge Monitoring Report Submittal •4
NORTH CAROLINA
Enrlranmenlel QHaffly
Monitoring Report Submittal
..............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
Permit Number#* WQ0019907
Name of Facility:* Onslow Water and Sewer Authority-Holly Ridge WWTP
Month:* March Year:* 2022
Report Information
Type* Upload Document*
GW-59 Holly Ridge WQ0019907 4.81MB
GW59 March 2022.pdf
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:* Sherry A Jones
Signature:
Date of submittal: 4/22/2022
This will be filled in automatically
Initial Review
..............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
Reviewer: Gerald,Wanda

Is the project number correct?* WQ0019907
Is the monitoring report accepted?* Yes No
Regional Office* Wilmington
Accepted Date: 4/26/2022

SUBMIT FORM ON YELLOW PAPER ONLY
�-\ P
�\�\at original DEPARTMENT OF ENVIRONMENT&t�ATtst�AL.RESOURCES
GROUNDWATER QUALITY MONITORING: � IVISION OF WAT DUALITY-INFORMATION PR SSI UNIT
�ti �s-
GOMPLIANCE REPORT FORM ���\��oi s 1617 MAIL=SERVICE CENTER,RALEIDN;NC r6ss-1617 Phone:MO)7 -3221
FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date: 2-28-2022
Facility Name: Holly Ridge WWTP&Surface Irrigation Facility Non-Discharge WQ0019907 UIC
Permit Name(if different): Onslow Water&Sewer Authority NPDES Other
Facility Address: 220 Dolph Everett Road TYPE OF PERMITTED OPERATION BEING MONITORED
Holly Ridge NC 28445 County Onslow ❑ Lagoon 0 Remediation: Infiltration Gallery
❑ Spray Field ❑Remediation:
Contact Person: Kary Hemdon Telephone#: [phone] ❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name:North side zone 1 No.of wells to be sampled: 4 ❑ Water Source Heat Pump 0 Other:
(from Permit) __
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): MW 1 Date sample collected: 3/1/2022 FIELD ANALYSES: WAS
Well Depth: 23 ft, Well Diameter: 2 in. pH 00400: 5.04 units Temp.00o10: 15.4 °C DRY at
Depth to Water Level 82546:7 ft.below measuring point Screened Interval: 13 ft, to 23 ft. Spec.Cond.00094: µMhos time of
sampling,
Measuring Point is 2.3 ft.above land surface Relative M.P. Elevation: ft. Odor 00085: None check
Volume of water pumped/bailed before sampling: 5 gallons Appearance Cloudy here:l--i
Samples for metals were collected unfiltered: ❑YES CI NO and field acidified: CI YES Cl NO
(�
LABORATORY INFORMATION
Date sample analyzed:3/1/2022-3/7/2022 Laboratory Name: ONWASA Laboratory I Envirochem Certification No. 539/94
PARAMETERS NOTE:Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L Nitrite(NO2)as N 00615 mg/L Pb-Lead 01051 ug/L
Coliform:MF Fecal 31616 /100mL Nitrate(NO3)as N 00620 <0.250 mg/L Zn-Zinc a1a92 mg/L
Coliform:MF Total 31504 <2.50 /100mL Phosphorus:Total as P 00665 <0.150 mg/L
(Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other(Specify Compounds and Concentration Units):
Dissolved Solids:Total 70300 42 mg/L Al-Aluminum a1105 mg/L
pH(Lab)00403 5.04 units Ba-Barium 01007 ug/L
TOC 00680 mg/L Ca-Calcium ao916 mg/L
Chloride 00940 19.3 mg/L Cd-Cadmium o1027 ug/L
Arsenic a1002 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 o1045 ug/L (Specify test and method#.ATTACH LAB REPORT.)
Sulfate 00945 mg/L Hg-Mercury 71900 ug1L Lab Report Attached? ❑ Yes(1) ❑ No(0)
Specific Conductance 00095 µMhos K-Potassium 00937 mg/L VOC 78732: ,method# SM 6200E
Total Ammonia 00610<0.500 mg/L Mg-Magnesium 00927 mg/L ,method#
(Ammonia Nitrogen;NH,as N,Ammonia Nitrogen,Total) Mn-Manganese 01o5s ug/L method#
TKN as N 00625 mg/L Ni-Nickel 01067 ugiL ,method#
For Remediation Systems Only(Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
. _ ` e
certify-that.3za. Aso, �x edg _ a o � -true,� `a t = a� � caa -�
L � � � �? am � �� � analysis -
DWQ-carlified laboratory.\, aware r are � n osubmittingTali d �:�possibility o e _ - ,���.\� ,� �� ���
'Inv
Dave Mohr,Chief Operations Officer 4I ,, /
20'Va.
Permittee(or Authorized Agent)Name and Title-Please print or type Signature of Permittee(or Authorized Agent) (I-te)
GW-59 Rev.2/2010

SUBMIT FORM ON YELLOW PAPER ONLY
\\� Mall my'DEPARTMENT OP E tIR ENT'&NATURAL RE
\ �T�rlgDn��
GROUNDWATER QUALITY MONITORING: n c DIVISION OF WATER QUAI.M.INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM \ fel/ AIL SERVICE CENTER,BALOGH,NC Ts -1617 Phone:M0)7334221
FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date: 2-28-2022
Facility Name; Holly Ridge WWTP&Surface Irrigation Facility Non-Discharge WQ0019907 UIC
Permit Name(if different): Onslow Water&Sewer Authority NPDES Other
Facility Address: 220 Dolph Everett Road TYPE OF PERMITTED OPERATION BEING MONITORED
Holly Ridge NC 28445 County Onslow ❑ Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Field 0 Remediation:
Contact Person: Kary Herndon Telephone#: [phone] 0 Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name:Southeast comer of zone 2 No.of wells to be sampled: 4 ❑ Water Source Heat Pump ❑Other:
(from Permit)
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): MW-3 Date sample collected: 3/1/2022 FIELD ANALYSES: WAS
Well Depth: 22 ft. Well Diameter: 2 in. pH 00400:4.01 units Temp.00010: 14.3 °C DRY at
Depth to Water Level 82546:9 ft.below measuring point Screened Interval: 12 ft. to 23 ft. Spec.Cond.00094: llMhos time of
sampling,
Measuring Point is 3.3 ft.above land surface Relative M.P.Elevation: ft. Odor 00085: Yes check
Volume of water pumped/bailed before sampling: 5 gallons Appearance Cloudy here:®
Samples for metals were collected unfiltered: ❑YES ❑ NO and field acidified: ❑YES ❑NO
LABORATORY INFORMATION
Date sample analyzed:3/1/2022-3/7/2022 Laboratory Name: ONWASA Laboratory/Envirochem Certification No. 539/94
PARAMETERS NOTE:Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L Nitrite(NO2)as N 00615 mg/L Pb-Lead 01051 ug/L
Coliform: MF Fecal 31616 /100mL Nitrate(NO3)as N oos2o <0.250 mg/L Zn-Zinc o1092 mg/L
Coliform:ME Total 31504 <5.00 /100mL Phosphorus:Total as P Doss 0.170 mg/L
(Note. Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other(Specify Compounds and Concentration Units):
Dissolved Solids:Total 70300 98 mg/L Al-Aluminum 011os mg/L
pH(Lab)00403 4.01 units Ba-Barium 01007 ug/L
TOC 00s80 mg/L Ca-Calcium o0916 mg/L
Chloride 00940 25.1 mg/L Cd-Cadmium 01027 ug/L
Arsenic 01002 ug/L Chromium:Total 01034 ug/L
Grease and Oils 00552 mg/L Cu-Copper 01042 mg/L ORGANICS:(by GC,GC/MS, HPLC)
Phenol 32730 ug/L Fe-Iron 01045 ug/L (Specify test and method#.ATTACH LAB REPORT.)
Sulfate 00945 mg/L Hg-Mercury 71900 ug/L Lab Report Attached? ❑ Yes(1) ❑ No(0)
Specific Conductance 00095 µMhos K-Potassium 00937 mg/L VOC 78732: ,method# SM 6200B
Total Ammonia oosio <0.500 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 -.: the best of my-knowledge' \ the-laboratoryt , a the o l e f _ tot - 1=
Dave Mohr,Chief Operations Officer a -6-- 14 Z.
Permittee for Authorized Agent)Name and Title-Please print or type Signature of Permittee(or Authorized Agent (Dat
GW-59 Rev.2/2010

SUBMIT FORM ON YELLOW PAPER ONLY
Mail o- DEPARTMENT ENVIRONMENT a NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING: ? F tDIvM IONNOFWATER OUALITY4NFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM .-_ ,t_.- ' 1617 .1-8EvicE CENTER,RALEIGH,NC 279-1617 is{xix =221�;
FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date: 2-28-2022
Facility Name: Holly Ridge VVWTP&Surface Irrigation Facility Non-Discharge WQ0019907 UIC
Permit Name(if different): Onslow Water&Sewer Authority NPDES Other
Facility Address: 220 Dolph Everett Road TYPE OF PERMITTED OPERATION BEING MONITORED
Holly Ridge _ NC 28445. County Onslow Hi Lagoon ❑ Remediation:Infiltration Gallery
❑ Spray Field ❑ Remediation:
Contact Person: Kary Herndon Telephone#: [phone] ❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name:South side zone 2 No.of wells to be sampled: 4 0 Water Source Heat Pump ❑Other:
(from Permit)
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): MW-4 Date sample collected: 3/1/2022 FIELD ANALYSES: WAS
Well Depth: 23 ft. Well Diameter: 2 in. pH 00400:4.57 units Temp.00010: 13.9 °C DRY at
Depth to Water Level 8254s:8.5 ft.below measuring point Screened Interval: i3 ft. to 23 ft. Spec.Cond.00094: !Athostime of
sampling,
Measuring Point is 3.0 ft.above land surface Relative M.P. Elevation: ft. Odor 00085: None check
Volume of water pumped/bailed before sampling: 5 gallons Appearance Cloudy here:
Li
Samples for metals were collected unfiltered: ❑YES ❑ NO and field acidified: ❑YES ❑NO
LABORATORY INFORMATION
Date sample analyzed:3/1/2022-3/7/2022 Laboratory Name: ONWASA Laboratory/Envirochem Certification No. 539/94
PARAMETERS NOTE:Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L Nitrite(NO2)as N 00615 mg/L Pb-Lead o1os1 ug/L
Coliform:MF Fecal 31616 /100mL Nitrate(NO3)as N oas20 <0.250 mg/L Zn-Zinc 01092 mg/L
Coliform:MF Total 31504 <2.50 /100mL Phosphorus:Total as P oosss 0.233 mg/L
(Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other(Specify Compounds and Concentration Units):
Dissolved Solids:Total 70300 125 mg/L Al-Aluminum altos mg/L
pH(Lab)00403 4.57 units Ba-Barium 01007 ug/L
TOC 00680 mg/L Ca-Calcium 00916 mg/L
Chloride 00940 37 mg/L Cd-Cadmium 01027 ug/L
Arsenic 01002 ug/L Chromium:Total 01034 ug/L
Grease and Oils 00552 mg/L Cu-Copper o1042 mg/L ORGANICS:(by GC,GC/MS, HPLC)
Phenol 32730 ug/L Fe-Iron 01045 ug/L (Specify test and method#.ATTACH LAB REPORT.)
Sulfate 00945 mg/L Hg-Mercury 71900 ug/L Lab Report Attached? ❑ Yes(1) ❑ No(0)
Specific Conductance 00095 µMhos K-Potassium 00937 mg/L VOC 75732: ,method# SM 6200B
Total Ammonia 00610 <0.500 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%
t g tr1 ` ��� t;5 a T �� ?3= i�n�
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�. e�-:� � .a �. -.��a a3- � - �t- tltca� - t� �o�-br�sl�tt3 rya mt�� cs��#if f3tre�tm i- �a:fm_�,b 1�.-3��a�rss-� �1`_���������� �
Dave Mohr,Chief Operations Officer 1/ z
Permittee(or Authorized Agent)Name and Title-Please print or type Signature of Permittee(or Authorized Agent Gate)
GW-59 Rev.2/2010

SUBMIT FORM ON YELLOW PAPER ONLY
i[origina, DEPARTMENT OF ENVIRONMENT a NATURAL RESOURCES
-i ,, ` DIVISIONOF WATER DUALITY-INFORMATION PRO ESSI s LI T GROUNDWATER QUALITY MONITORING: � —:�
COMPLIANCE REPORT FORM ]-=- 1817 AIL SE VICE CENTER,RALEIGH,NC276 61T,Phone:[phone]
FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date: 2-28-2022
Facility Name: Holly Ridge WWTP&Surface Irrigation Facility Non-Discharge WQ0019907 UIC
Permit Name(if different): Onslow Water&Sewer Authority NPDES Other
Facility Address: 220 Dolph Everett Road TYPE OF PERMITTED OPERATION BEING MONITORED
Holly Ridge NC 28445 County Onslow ❑ Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Field ❑Remediation:
Contact Person: Kary Herndon Telephone#: [phone] ❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name:East side zone 3 No.of wells to be sampled: 4 ❑ Water Source Heat Pump ❑Other:
(from Permit)
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): MW-2 Date sample collected: 3/1/2022 FIELD ANALYSES: WAS
Well Depth: 23 ft. Well Diameter: 2 in. pH 00400: 5.29 units Temp.soots: 14.2 °C DRY at
Depth to Water Level 82546:5.6 ft.below measuring point Screened Interval: 13 ft. to 23 ft. Spec.Cond.00094: µMhos time of
sampling,
Measuring Point is 2.3 ft.above land surface Relative M.P. Elevation: ft. Odor 00085: Yes check
Volume of water pumped/bailed before sampling: 5 gallons Appearance Cloudy here:®
Samples for metals were collected unfiltered: ❑YES ❑ NO and field acidified: ❑YES ❑NO
LABORATORY INFORMATION
Date sample analyzed:3/1(2022-317/2022 Laboratory Name: ONWASA Laboratory/Envirochem Certification No. 539/94
PARAMETERS NOTE:Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L Nitrite(NO2)as N 00615 mg/L Pb-Lead 01051 ug/L
Coliform: MF Fecal 31616 /100mL Nitrate(NO3)as N 00620 <0.250 mg/L Zn-Zinc 01092 mg/L
Coliform:MF Total 31504 <2.50 /100mL Phosphorus:Total as P 00665 <0.150 mg/L
(Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other(Specify Compounds and Concentration Units):
Dissolved Solids:Total 70300 180 mg/L Al-Aluminum o11o5 mg/L
pH(Lab)00403 5.29 units Ba-Barium 01007 ug/L
TOO 00680 mg/L Ca-Calcium owls mg/L
Chloride 00940 39.9 mg/L Cd-Cadmium 01027 ug/L
Arsenic 01002 ug/L Chromium:Total 01034 ugiL
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 'Mhos K-Potassium 00937 mg/L VOC 78732: , method# SM 6200B
Total Ammonia 00610 <0.500 mg/L Mg-Magnesium 00927 mg/L ,method#
(Ammonia Nitrogen;NH3as 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: mg/L Effluent Total VOCs: mg/L VOC Removal%
`amod —mo t
3. � d_ Ott:' �'� 3 t �� �. o �tv - `�d,
Dave Mohr,Chief Operations Officer 4 'Z Z.
Permittee(or Authorized Agent)Name and Title-Please print or type Signature of Permittee(or Authorized Agent) f ' (D.e)
GW-59 Rev.2/2010

ONWASA Laboratory
228 Georgetown Road
Jacksonville NC 28540
[phone]
March 11, 2022
Kary Herndon
Holly Ridge Spray Field
220 Dolph Everest Rd
Holly Ridge, NC 28445
RE: Holly Ridge Triennial
Enclosed are the results of analyses for samples received by our laboratory on 3/1/2022. If you
have any questions concerning this report, please feel free to contact me.
Sincerely,
y '`
` gym v
Todd A. Roberts For Kary Herndon
ORC

•III^11
Holly Ridge Spray Field Project: Holly Ridge Triennial
220 Dolph Everest Rd Project Number: Reported:
Holly Ridge,NC 28445 Project Manager: Kary Hemdon 03/11/2022 11:09
Sample Results •
Sample: HR Effluent Composite Q221003-01(WW)
001
Reporting Date Analyst
Analyte Result Qual Limit Units Analyzed Initials Method
Biological Oxygen Demand ;,16.8 2.00 . mg/L 03/
07/2022., ; .;DMN SM 5210 B
Chloride 54.2 5.00 mg/L 03/03/2022 DMN SM 4500 CLDE-E
/
Chlorine <0.0500 %' 0.0500mg/1
, .
mg L '=p3/gi/2022 :; = KH SM 4500 Cl G
Temperature 13.4 0.00 deg C 03/01/2022 KH SM 2550 B
Ammonia-N 22.6. 0.500 mg/Le 03/02/2022 DMK ,: EPA 350.1
Nitrate <0.250 0.250 mg/L 03/01/2022 DMK EPA 353.2
Nitrate+Nitrite-Nitrogen <0.250 0:250, "' mg/L-. 03/01/2022%�": DMK"-�EPA 353.2
Total Phosphorus 4.49 0.150 mg/L 03/03/2022 DMK EPA 365.1
Total Dissolved lids 432 - 2 50 nog/L 03/03/2022 DMN SM 2540 C
Total Kjeldahl Nitrogen 25.3 3.00 mg/L 03/03/2022 DMN Hach 10242
Total Nitrogen = : : 25.3 3.25 mg/L 03/03/2022 DMN (CALL]
Total Suspended Solids 17.2 2.50 mg/L 03/01/2022 DMN SM 2540 D
Sample Results
Sample: HR Effluent Grab Q221003-02(WW)
Reporting Date Analyst
Analyte Result Qual Limit Units Analyzed Initials Method
Fecal Coliform 61.3 1.00 "::MPN/100m1 03/02/2022 " > -OHM -> Colilert.9223 B
Chlorine <0.0500 0.0500 mg/L 03/01/2022 KH SM 4500 CI G
Temperature ,: 13.4. 0.00 deg
03/01/2022.- "` ":KH " -SM 2550 B
Sample Results
Sample: HR MW 1 Q221003-03(WW)
Reporting Date Analyst
Analyte Result Qual Limit Units Analyzed Initials Method
Chloride " . :. ,19.3 5.00 - -r'- ,rng/L„. .. 03/03/2022 DMN SM 4500 CLDE-E
Fecal Coliform <2.50 2.50 #/100m1 03/02/2022 DMN SM 9222 D(MF)
Color YES Cloudy 1.00 NA 03/01/2022 KH = Field Mtd
Field Depth 7.00 Ft 03/01/2022 KH Field Mtd
pH .': -5.04.. 0.100. au, 03/01/2022,: KH SM 4500 H B
Odor NO No Odor 1.00 NA 03/01/2022 KH Field Mtd
Temperature 1.5.4 - 0.00 deg C 03/01/2022 KH SM 2550 B
Ammonia-N <0.500 0.500 mg/L 03/02/2022 DMK EPA 350.1
Nitrate .. <0.250 0,250; mg/L 03/01/2022 DMK EPA 353.2
The contents of this report apply to the sample(S)analyzed in accordance with the chain of custody document.
No duplication of this report is allowed,except in its entirety. Page 2 of 5

52r µ7),
l
Holly Ridge Spray Field Project: Holly Ridge_Triennial
220 Dolph Everest Rd Project Number: Reported:
Holly Ridge,NC 28445 Project Manager: Kary Hemdon 03/11/2022 11:09
Sample Results
(Continued)
Sample: HR MW 1 (Continued) Q221003-03(WW)
Reporting Date Analyst
Analyte Result Qual Limit Units Analyzed Initials Method
Total Phosphorus <0.150 0.150 mg/L 03/03/2022 DMK EPA 365.1
Total Dissolved Solids 42.0, ' '2.50; mg/1- 03/0
312022.': �- -DMN SM 2540 C "
Cloudy Cloudy,apparent color of MW matrix at collection.
No Odor No apparent smell of MW matrix at collection.
Sample Results
Sample: HR MW 2 Q221003-04(WW)
Reporting Date Analyst
Analyte Result Qual Limit Units Analyzed Initials Method
Chloride :; =39.9 5.00" % :frig/L. 03/03/2022 .' DMN SM 4500 CLDE-E,
Fecal Coliform <2.50 2.50 #/100m1 03/02/2022 DMN SM 9222 D(MF)
Color - YES;Cloudy 00,' NA „03/01/2022 - KH Field Mtd
Field Depth 5.60 Ft 03/01/2022 KH Field Mtd
d. .
5.29 0100> SU 03/01/2022` KH SM.4500 H B
Odor YES Smell 1.00 NA 03/01/2022 KH Field Mtd
Temperature. 14.2
p � "" �� "- ; �' � �:::' � � : ��, ... �0.00 : "�' deg CB
� " 03/01/2022'.� :, KH;. SM 2550;Ammonia-N <0.500 0.500 mg/L 03/02/2022 DMK EPA 350.1
Nitrate. <0.250 . :. 0.250 mg/L 03/01/2022 DMK EPA 353.2
Total Phosphorus <0.150 0.150 mg/L 03/03/2022 DMK EPA 365.1
Total Dissolved Solids :: = 180 .: 2.50 . ;:; .-:mg/L; . 03/03/2022 .' DMN SM 2540 C
Cloudy Cloudy,apparent color of MW matrix at collection.
Smell MW matrix has an apparent smell,such as,rotten egg smell.
Sample Results
Sample: HR MW 3 Q221003-05(WW)
Reporting Date Analyst
Analyte Result Qual Limit Units Analyzed Initials Method
Chloride 25.1 5.00 mg/I . : .,03/03/2022 DMN ''SM 4500 CLDE-E
Fecal Coliform <5.00 5.00 #/100m1 03/02/2022 DMN SM 9222 D(MF)
Cola YES;Cloudy': 1,00 NA 03/01/2022 KH.. ;.Field Mtd"
Field Depth 9.00 Ft 03/01/2022 KH Field Mtd
pH . 4.01 0,100 z au 03/01/202.2 " KH SM 4500 H B'
Odor YES Smell 1.00 NA 03/01/2022 KH Field Mtd
14.3 .00 deg C , 03/01/2022 KH. "SM 2550 E
Teroperytrire s,: "
Ammonia-N <0.500 0.500 mg/L 03/02/2022 DMK EPA 350.1
Nitrate <0.250. 0,25Q mg/L 03/01/2022 DMK EPA 353.2
The contents of dris report apply to the sample(s)analyzed in accordance with the chain of custody document
No duplication of this report is allowed,except In its entirety.
Page 3 of 5

Holly Ridge Spray Field Project: Holly Ridge Triennial
220 Dolph Everest Rd Project Number: Reported:
Holly Ridge,NC 28445 Project Manager: Kary Herndon 03/11/2022 11:09
Sample Results
(Continued)
Sample: HR MW 3 (Continued) Q221003-05 (WW)
Reporting Date Analyst
Analyte Result Qual Limit Units Analyzed Initials Method
Total Phosphorus 0.170 0.150 mg/L 03/03/2022 DMK EPA 365.1
Total Dissolved Solids 98.0 2.50 � - mg/L. 03/03/2022 DMN SM 2540 C
Cloudy Cloudy,apparent color of MW matrix at collection.
Smell MW matrix has an apparent smell,such as,rotten egg smell.
Sample Results
Sample: HR MW 4 Q221003-06(WW)
Reporting Date Analyst
Analyte Result Qual Limit Units Analyzed Initials Method
Chloride �, ,, ,37,0 ' 500. mg/L 03/03/2022 DMN SM 4500 CLDE-E
Fecal Coliform <2.50 2.50 #/100m1 03/02/2022 DMN SM 9222 0(MF)
Color .,, YES Cloudy 1.00 .NA 03/01/2022 KH 'Field Mtd
Field Depth 8.50 Ft 03/01/2022 KH Field Mtd
pH 4.57 0.100 su. ,: 03/01/2022 ; KH= 'SM 4500 8,
Odor YES Smell 1.00 NA 03/01/2022 KH Field Mtd
Temperature ,., .13,9 4 00 :, deg C� 03/01/2022= KH =� SM 2550.8.,;. .
Ammonia-N <0.500 0.500 mg/L 03/02/2022 DMK EPA 350.1
Nitrate '<0.250. 0.250 mg/L 03/01/2022 DMK EPA353,2
Total Phosphorus 0.233 0.150 mg/L 03/03/2022 DMK EPA 365.1
Total Dissolved Solids :125 150. mg/L: 03/03/2022 DMN; SM 2540 C
Cloudy Cloudy,apparent color of MW matrix at collection.
Smell MW matrix has an apparent smell,such as,rotten egg smell.
The contents of this report apply to the sample(s)analyzed in accordance with the chain of custody document.
No duplication of this report is allowed,except in its entirety. Page 4 of 5

111111... Alit "11CHAIN OF CUSTODY 1 ll ii
, ONWASA Laboratory
,i 228 Georgetown Road Page 1 of 1 Q 2 21 0 0 3
�""' 12-- ', ~ Jacksonville,North Carolina 28540
Phone:[phone] COC Number
Fax:[phone] Lab Work Order Number 0221003
'Meet Name 'Project Name AegUestelAnalyses held Analysis ItequoltrdtureAMMO
Holly Ridge Spray Field Holly Rldge Triennial
Client Contact Project Number
Rush requests subject to additional
Nary Herndon (none] re char
Address Project Description 10Rush requests subject to lab
220 Dolph Everest Rd
City PO Number 0. -0 approval,
Holly Ridge ° c a ma
z e c m �
State/tip Shipped By � a In` 3 ^ Standard(days)
NC,28445 Ai a N`
Phone/Fax O O a 10
Tracking Number ,.,.
[phone]/ cc o' m --0 m o n r, Bxpaatced(days)
Sampler Sampler Sig'atu e u ,t 3 3 3 in a Due Date
Kary Herndon / �� • ; ,0 g a ao °� g 3/11/2022 0:00
„t* Preservation Code
Sample type Mate,n Container
Sample Name or Field 10 Sampled Date Sampled Time Code Code Count Pub PuS P::C Pun Pgli Sample Comments
HR Etf!uertt Composite 3/1/2022 7:15 C WW 2 1 0 0 1 0 7.43 0 13.4
HR Effluent Grab 3/1/2022 7:15 G WW 1 0 0 1 0 0 7.43 0 13.4
HR MW 1 3/1/2022 7:36 G GW 3 0 1 1 0 1 5.04 15.4 Cloudy/No Odor
HR MW 2 3/1/2022 7:55 G GW 3 0 1 1 0 1 5.29 14.2 Cloudy/Odor
HR MW 3 3/1/2022 8:15 G GW 3 0 1 1 0 1 5.01 14.3 Cloudy/Odor
HR MW 4 3/1/2022 8:40 • G GW 3 0 1 1 0 1 4.57 13.9 Cloudy/Odor
Relinquished By Date/Time 31 j/L't, Received By /j-eTr7 f /S4a_ Date/time 3//' 0D+
Nary Herndon 1 o t. /0 G
Relinquished By Date/Time 3 4/;2'1. Received By Date/Time Comments
t n
�✓ —! er �,�,`rd Icd W jilt// . f/.`at/ LiMs:
Relinquished Ay Date/Thee Received By Bate/Time 1-Clear 2-Cloudy
V-Odor N-No Odor
cooler Numbers and Temperatures
Default Cooler Receive Temp: `1 °C pH: ,• ..- Intials: rjhl/P(,,,
Matrix Codes: GW-GW,WW.WW ' Prescrv,Codes: A=Cool 6 degC,B=Cool 6 degC 112504<2 pH,C=0.0003%Na2S203
•Indicates Field Test Analysts Cont.Codes P=120 Sterile No25203,P-2L Naigene,P.P 250 rnl,P=P 250 ml H2SO4

i m e )) "01 "PLIANCE REPORT FOR,m B Penh # W00019907
(Submit sire each monitoring period with G"IV 91ormc.)
Enter date monitoring results were due.(March 2022) Will this monitoring report(GW-59 and GW-59A) YES CM
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.
3 Are any of the monitor wells in need of repair or maintenance(damaged casing,unlocked or missing cap,missing YES On
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? YE
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:
I): pH ► 7-/
5 For the constituents identified in question 4 above,have standards been exceeded previously for the (Yq NO
same constituent(s)in the same well(s)in the last two years?
If the answer to question 5 is"NO", skip to section 8.
If the answer to question 5 is"YES';list in the space provided below, each well with constituent(s)exceeding
standards, concentration(s)reported, and sample collection date for each occurrence(for the last two years).h
6 Are the monitoring wells listed in section 5 located at or beyond the review boundary? YES
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
groundwater quality problem?
If the answer to question 7 is"YES", describe those actions in the space provided below.
If the answer to question 7 is"NO';contact the Regional Office within 90 days;an evaluation may be
required to determine the impact the waste disposal system is having at the review and compliance
boundaries surrounding this facility. Failure to do so may subject the permittee to a Notice of Violation,
fines,and/or penalties.
8 The person completing this portion(GW-59A)of the monitoring report should sign below and submit this
form with GW-59 forms for required wells to the address provided at the top of the current GW-59 form.
I hereby acknowledge that the above information was evaluated and the information submitted In this
report(Compliance Report GW-59A)is true and complete to the best of my knowledge.
Signature of Permittee(or Authorized Age.) Dote
Q W-s9 I.2/II/2003