WQ0028785_Monitoring - 11-2021_20211229 (2)

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Please I'rrnl Clearly or Type PERMIT Number. _-- (spire;ur.bale: -L[c.4'":11 _ - --
FACILITY INFORMATION
Facility Name: Queens Grant Rec Association Non-Discharge W00028785 UIC
Permit Name(if different):
Queen's Grant Phase-II NPDES Other
Facility Address: 926 North Anderson Blvd TYPE OF PERMITTED OPERATION BEING MONITORED
Topsail Beach NC 28445 County Pender ❑ Lagoon ❑Remediation: Infiltration Gallery
0 Spray Field 0 Remediation:
ontact Person: Darrell J.Covington Telephone#: [phone] 0 Rotary Distributor 0 Land Application of Sludge
Well Location/Site Name:
MW-1 No.of wells to be sampled: 4 0 Water Source Heat Pump ®Other: Surface Drip Irrigation
(Iron Pernnp
IrwEu
SAMPLING INFORMATION MW-1 11/23/21 FIELD ANALYSES: WAS
WELL ID NUMBER(from Permit): Date sample collected: at
DRY
ell Depth: 22ft, Well Diameter: 2 in. pH 8.2 units Temp. 18.1 cc m
Depth to Water Level: S ft,below measuring point Screened Interval: 2 ft. to 22ft. Spec.Cond. ytvlhos
sampling,
Measuring Point is 3 ft.above land surface Relative M.P.Elevation: ft. Odor NONE check
Volume of water pumped/bailed before sampling: 5gallons Appearance CLEAR here:I I
Samples for metals were collected unfiltered: DYES 0 NO and field acidified: ❑YES 0 NO
LABORATORY INFORMATION
Date sample analyzed: 11/23/21-11/29-21 Laboratory Name: Environmental Chemist, Inc. Certification No, 22
PARAMETERS NOTE:Values should reflect dissolved and colloidal concentrations.
COD mg/I Nitrite(NO2)as N <0.02 mg/I Pb-Lead mg/I
Coliform:MF Fecal <1/100m1 Nitrate(NO3)as N 0.18 mg/I Zn-Zinc mg/I II
�'w
Coliform:MF Total /100m1 Phosphorus:Total as P 0.39 mg/I �„j ��tiei
(Nob Use MPN method for highly turbid samples) Orthophosphate mg/I Other(Specify Compounds and Concentration nits
Dissolved Solids:Total 530 mg/I Al-Aluminum mg/ ,!
pH(when analyzed) units Ba-Barium
TOC 3.9 mg/I Ca-Calcium g/I
Chloride 87 mg/I Cd-Cadmium c. (719(I r(s� \Y\
Arsenic mg/I Chromium:Total '�g/1 e�"
Grease and Oils mg/I Cu-Copper ,fie Esc `"ORGANICS:(by GC,GC/MS,HPLC)
Phenol mg/I Fe-Iron ><ott� g1g�1 (Specify test and method#.ATTACH LAB REPORT.)
Sulfate mg/I Hg-Mercury \s, mg/I Report Attached? 0 Yes(1) 0 No(0)
Specific Conductance pMhos K-Potassium mg/I VOC ,method# 7873
Total Ammonia <0.2 mg/I Mg-Magnesium mg/I , method#
tar.rorra""`°°°°'""'°°"'nmmon a Nitrogen.Total) Mn-Manganese mg/I ,method#
TKN as N mg/I Ni-Nickel mg/I , method#
For Remediation Systems Only(Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
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SUBMIT FORM ON YELLOW PAPER ONLY
Mail original DEPARTMENT OF ENVIRONMENT&NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING: and i copy to: 'IVISION 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: 02/28/2025
Facility Name: Queens Grant Rec Association Non-Discharge WQ0028785 UIC
Permit Name(if different): Queen's Grant Phase-II NPDES Other
Facility Address: 926 North Anderson Blvd TYPE OF PERMITTED OPERATION BEING MONITORED
Topsail Beach NC 28445 County Pender 0 Lagoon ❑Remediation: Infiltration Gallery
0 Spray Field ❑Remedlation:
Contact Person: Darrell J. Covington Telephone#: [phone] 0 Rotary Distributor 0 Land Application of Sludge
Well Location/Site Name: MW-1 No.of wells to be sampled: 4 0 Water Source Heat Pump ®Other: Surface Drip Irrigation
(tram Permit(
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): MW-1 Date sample collected: 11/210/21 FIELD ANALYSES: WAS
Well Depth: 22ft, Well Diameter: 2 in. pH 8,2 units Temp. 18.1 °C DRY at
Depth to Water Level: 5'ft.below measuring point Screened Interval: 2ft. to 22ft. Spec.Cond. µMhos time of
sampling,
Measuring Point is 3 ft.above land surface Relative M.P.Elevation: ft, Odor NONE check
Volume of water pumped/bailed before sampling: 5 gallons Appearance CLEAR here:
Samples for metals were collected unfiltered: DYES ❑NO and field acidified: ❑YES 0 NO
LABORATORY INFORMATION . A
Date sample analyzed: 11/23/21-11/29-21 Laboratory Name: Environmental Chemist, Inc. Certification No. 22 t NI
PARAMETERS NOTE:Values should reflect dissolved and colloidal concentrations. r 20t
COD mg/I Nitrite(NO2)as N <0.02 mg/I Pb-Lead mg/I JAt1 2 I
Coliform: MF Fecal <1 /10om1 Nitrate(NO3)as N 0.18 mg/I Zn-Zinc mg/I
Coliform: MF Total /100m1 Phosphorus:Total as P 0.39 mg/I
(Nolo. Uso MPN method(or highly turbid samples) Orthophosphate mg/I Other(Specify Compounds and Concentration Units):
Dissolved Solids:Total 530 mg/I Al-Aluminum mg/I -
pH(when analyzed) units Ba-Barium mg/I
TOC 3.9 mg/1 Ca-Calcium mg/I DEC 2 9
204
Chloride 87 mg/I Cd-Cadmium mg/I
Arsenic mg/I Chromium:Total mg/I
Grease and Oils mg/I Cu-Copper mg/I ORGANICS:(by GC,GC/MS,HPLC)
Phenol mg/I Fe-Iron mg/I (Specify test and method#.ATTACH LAB REPORT.)
Sulfate mg/I Hg-Mercury mg/I Report Attached? 0 Yes(1) 0 No(0)
Specific Conductance µMhos K-Potassium mg/I VOC ,method# 7873
Total Ammonia <0.2 mg/I Mg-Magnesium mg/I , method#
(Ammonia Nitrogen;NH,as N;Ammonia Nitrogen,Total) Mn-Manganese mg/I ,method#
TKN as N mg/I Ni-Nickel mg/I ,method#
For Remedlation 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 rnelliods of analysis b;r a
DWO-eurtifled Iaborator . I am aware that them are significant penalties for subrrittlrr false information,including the )ssibIl t cr limn^,and'">risonment for knowin' violations.
Trill(-Li AM 're 14 ..SIOtAjr r is
Permittee(or Authorized Anent)Name and Title-Please print or Woe —mature of Permlttee(or Authorized Agent) (Date)
GW-59 Rev. 1/2007

I
SUBMIT FORM ON YEI LOW PAPER ONLY
Mail original DEPARTMENT OF ENVIRONMENT&NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING: and 1 copy to;'*IVISION OF WATER QUALITY-INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM 1617 MAIL SERVICE CENTER,RALEIGH,NC 27699-1617 Phone: [phone]
EA,_ILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date: 02/28/2025
Facility Name: Queens Grant Rec Association Non-Discharge WQ0028785 uIC
Permit Name(if different): Queen's Grant Phase-II NPDES Other
Facility Address: 926 North Anderson Blvd TYPE OF PERMITTED OPERATION BEING MONITORED
Topsail Beach NC 28445 County Pender ❑ Lagoon ❑Remediation: Infiltration Gallery
❑ Spray Field ❑Remediation:
Contact Person. Darrell J. Covignlon Telephone#: [phone] Ca Rotary Distributor ❑Land Application of Sludge
Well Location/Site Name: MW-2 No.of wells to be sampled: 4 ❑ Water Source Heat Pump Other: Surface Drip Irrigation
(from Permit)
SAMPLINGJNFORMATION If WELL
WELL ID NUMBER(from Permit): MW-2 Date sample collected: 11/23/21 FIELD ANALYSES: WAS
Well Depth: 22 ft Well Diameter: 2 in. pH 8.2 units Temp. 18.1 °C DRY at
Depth to Water Level: 5ft.below measuring point Screened Interval: 2ft. to 17ft. Spec. Cond. µMhos time of
sampling,
Measuring Point is 3 ft,above land surface Relative M.P.Elevation: 12.12 ft. Odor none check
Volume of water pumped/bailed before sampling: 5gallons Appearance NONE here:r-i
Samples for metals wore collected unfiltered: EYES ❑NO and field acidified: ❑YES ❑NO
1,AL}QRAT9RY INFORMATION
Date sample analyzed: 11/23/21-11/29/21 Laboratory Name: Environmental Chemist, Inc Certification No. 22
PARAMETERS NOTE:Values should reflect dissolved and colloidal concentrations.
COD mg/I Nitrite(NO2)as N <0.02 mg/I Pb-Lead mg/I
Coliform:MF Fecal <1 /100m1 Nitrate(NO3)as N <0.04 mg/I Zn-Zinc mg/I
Coliform: MF Total /100m1 Phosphorus:Total as P 0.42 mg/I
(Note. Use MPN method for highly turbid samples) Orthophosphate 111g/I Other(Specify Compounds and Concentration Units):
Dissolved Solids:Total 473 mg/1 Al-Aluminum mg/I
pH (when analyzed) units Ba-Barium mg/I
TOC 5.5 mg/I Ca-Calcium mg/I
Chloride 91 mg/I Cd-Cadmium mg/I
Arsenic mg/I Chromium:Total mg/I
Grease and Oils mg/I Cu-Copper mg/I ORGANICS:(by GC, GC/MS,HPLC)
Phenol mg/I Fe-Iron _-mg/I (Specify test and method#,ATTACH LAB REPORT.)
Sulfate mg/I Hg-Mercury mg/I Report Attached? ❑ Yes(1) ❑ No(0)
Specific Conductance IiMhos K-Potassium mg/I VOC , method it 7873
Total Ammonia 0,7 mg/I Mg-Magnesium mg/I , method#
(Ammonia Nitrogen,Ntt,,as N;Ammonia Nitrogen,total) Mn-Manganese mg/I mottled ft
TKN as N mg/I Ni-Nickel mg/I , method##
For Remediation Systems Only(Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
I certify teal,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
DM-certified laboratar. I am aware that there are si niticant.enalties for submitlin false informalion,includln the•ossibili of naps and lavrtsonment for knowin.violations.
/f l It
;ram , did-A— h. ( r
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Permlttee for Authorized Agent)Name and tie-Please print or type mature of Permiltee for Authorized Anent) (Da of
GW-59 Rev.1/2007
1

SUBMIT FORM ON YFl 1 OW PAPER ONLY
Mail original .EPARTMENT OF ENVIRONMENT&NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING: and 1 copy to: .[VISION OF WATER QUALITV4NFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM 617 MAIL SERVICE CENTER,RALEIGH,NC 27699-1617 Phone:(919)T33.3221
FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date: 02/28/2025
Facility Name: Queens Grant Rec Assiciation Non-Discharge WQ0028785 UIC
Permit Name(if different): Queen's Grant Phase-II NPDES Other
Facility Address: 926 North Anderson Blvd TYPE OF PERMITTED OPERATION BEING MONITORED
Topsail Beach NC 28445 County Pander El Lagoon ❑Remediation: Infiltration Gallery
❑ Spray Field ❑Remediation:
Contact Person: Darrell J. Covington Telephone#: [phone] 0 Rotary Distributor ❑Land Application of Sludge
Well Location/Site Name: MW-3 No, of wells to be sampled: 4 ❑ Water Source Heat Pump ®Other: Surface Drip Irrigation
(from Permit)
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): MW-3 Date sample collected: 11/23/21 FIELD ANALYSES: WAS
Well Depth: 17ft. Well Diameter: 2 in. pH 7.7 units Temp. 18.1 °C DRY at
Depth to Water Level: 5ft.below measuring point Screened Interval: 2 ft. to 17ft. Spec.Cond. )tMhos time of
sampling,
Measuring Point is 3 ft,above land surface Relative M.P,Elevation: ft. Odor SMELLS check
Volume of water pumped/bailed before sampling: 5gallons Appearance AMBER here:
Samples for metals were collected unfiltered: OYES ❑NO and field acidified: ❑YES 0 NO
LABORATORY INFORMATION
Date sample analyzed: 11/23/21-11/29/21 Laboratory Name: Environmental Chemist, Inc. Certification No. 22
PARAMETERS NOTE:Values should reflect dissolved and colloidal concentrations.
COD mg/I Nitrite(NO2)as N 0.05 mg/1 Pb-Lead mg/I
Coliform:MF Fecal <1/100m1 Nitrate(NO3)as N 4.57 mg/I Zn-Zinc mg/I
Coliform: MF Total /100m1 Phosphorus:Total as P 0.45 mg/I
(Note; Uso MPN method for highly turbid samples) Orthophosphate mg/I Other(Specify Compounds and Concentration Units):
Dissolved Solids:Total 532 mg/I Al-Aluminum mg/I
pH(when analyzed) units Ba-Barium mg/I
TOC 4.1 rng/I Ca-Calcium mg/I
Chloride 111 rng/I Cd-Cadmium mg/I
Arsenic mg/I Chromium:Total mg/1
Grease and Oils mg/I Cu-Copper mg/I ORGANICS:(by GC,GC/MS,HPLC)
Phenol mg/I Fe-Iron mg/I (Specify test and method#.ATTACH LAB REPORT.)
Sulfate mg/I Hg-Mercury mg/I Report Attached? 0 Yes(1) ❑ No(0)
Specific Conductance i.tMhos K-Potassium mg/I VOC , method# 7873
Total Ammonia <0.2 mg/I Mg-Magnesium mg/I , method#
(Ammonia Nitrogen,NH;,as N;Ammonia Nitrogen,Total) Mn-Manganese mg/I , method it
TKN as N mg/1 Ni-Nickel mg/1 , 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 arid belief,the information submitted In this report is true,accurate,and complete,and that the laboratory analytical data was produced using approved methods of ancnlysis by a
DWO-certified laborator . I are aware that there are ei nificant:enalties for submitting false information,including the o,sibilit'of lines and irn riscnmerr for knowin•violations.
al .,,� affiffifir
. �sie � f1..W.
. -mil
Pemilttee(or Authorized 'gent)Name and (the-Please print or tvoe S one ure of Permiltee(or Authorized Agent)` (Date)
GW-59 Rev. 1/2007
L. _ J

I
l .
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: 02/28/2025
Facility Name: Queens Grant Rec Association Non Discharge W00028785 UIC
Permit Name(if different): Queen's Grant Phase-II NPDES Other
Facility Address: 926 North Anderson Blvd TYPE OF PERMITTED OPERATION BEING MONITORED
Topsail Beach NC 28445 County Pender ❑ Lagoon ❑Remediation: Infiltration Gallery
0 Spray Field 0 Remediation:
Contact Person: Darrell J Covington Telephone#: [phone] 0 Rotary Distributor 0 Land Application of Sludge
Well Location/Site Name: MW-4 No.of wells to be sampled: 4 ❑ Water Source Heat Pump ®Other: Surface Drip Irrigation
(from Permit)
SAMPLING INFORMATION. If WELL
WELL ID NUMBER(from Permit): MW-4 Date sample collected: 11/23/21 FIELD ANALYSES: WAS
Well Depth: 17ft, Well Diameter: 2 in. pH 8.12 units Temp. 19.6 °C DRY at
Depth to Water Level: 10 ft.below measuring point Screened Interval: 2 ft. to 17 ft. Spec.Cond. µMhos time of
sampling,
Measuring Point is 3 ft,above land surface Relative M.P,Elevation: 11.77 ft, Odor none check
Volume of water pumped/hailed before sampling: 5gallons Appearance CLEAR here:
Samples for metals were collected unfiltered: OYES El NO and field acidified; ❑YES 0 NO
LABORATORY INFORMATION
Date sample analyzed: 11/23/21-11/29/21 Laboratory Name: Environmental Chemist, Inc. Certification No, 22
PARAMETERS NOTE:Values should reflect dissolved and colloidal concentrations.
COD mg/I Nitrite(NO2)as N <0.02 mg/I Pb-Lead mg/I
Collform:MF Fecal <1/100m1 Nitrate(NO3)as N 1.22 mg/I Zn-Zinc mg/I
Coliform: MF Total /100m1 Phosphorus:Total as P 0.26 mg/I
(Note. Use MPN method for highly turbid samples) Orthophosphate mg/I Other(Specify Compounds and Concentration Units):
Dissolved Solids:Total 405 mg/i Al-Aluminum mg/I
pH(when analyzed) units Ba-Barium mg/I
TOC <0.5 mg/I Ca-Calcium mg/I
Chloride 104 mg/I Cd-Cadmium mg/I
Arsenic mg/I Chromium:Total mg/I
Grease and Oils mg/I Cu-Copper mg/I ORGANICS:(by GC,GC/MS,HPLC)
Phenol mg/I Fe-Iron mg/I (Specify test and method#.ATTACH LAB REPORT.)
Sulfate mg/I Hg-Mercury mg/I Report Attached? ❑ Yes(1) 0 No(0)
Specific Conductance µMhos K-Potassium mg/I VOC ,method# 7873
Total Ammonia <0.2 mg/i Mg-Magnesium mg/I , method#
(Ammonia Nitrogen,Nt-1 s N,Ammonia Nitrogen,Total) Mn-Manganese mg/I , method#
TKN as N mg/I Ni-Nickel mg/I , 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 end belief,the information submitted In this report is tnte,accurate,and eonip)ete.and that the I:,horatory analytical data was produced using approved methods of analysis by a
DWQ-certifled laboralor . I am aware that there are si.nificant penalties for subntittin false information,including the po eebilit of foesnot im^rsonment for knowing violation,
/ ), I 1"i,1 - �`c �'/
Permlttee(or Authorized Agent)Name and Title-Please print or type S gnature of Permittee(or Authorized Agent) (Date)
GW-59 Rev.1/2007
L_ I