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DWR - NonDischarge Monitoring Report Submittal
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NORTH CAROLINA
Enrlranmenlel QHaflly
Monitoring Report Submittal
..............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
Permit Number#* WQ0015053
Name of Facility:* Moyock Commons WWTP
Month:* March Year:* 2022
Report Information
Type* Upload Document*
GW-59 Moyock Commons GW59.pdf 119.59KB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2,NDMLR,GW-59).
Confirmation Email Address:* rod.holley@currituckcountync.gov
Name of Submitter:* Rod Holley
Signature:
Date of submittal: 4/30/2022
This will be filled in automatically
Initial Review
.............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
Reviewer: Gerald,Wanda
Is the project number correct?* WQ0015053
Is the monitoring report accepted?* Yes No
Regional Office* Washington
Accepted Date: 5/17/2022
•
Emer date monitoring results were due.( kl/30/z2) Will this monitoring report(GW-59 and GW-59A) YES NO
be submitted after the established due date?
2 Wm any required information missing on the GW-59 report forms? YES IO)
OF the answer to question 9 or 2 is"YES" lhst'n the space provided below The well identcation numbers)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 missf.ng cap,missing YES (NO)
idenefir ttion plate,area overgrown,etc.)?I;•the answer is "Yes",contact the Regional O„ikce for guidance.
4 Are an-y monitored constituents equal to or above the established standards? YES NOS
d!the answer to question 4 is"NO', skip to section 8.
IF the answer to question 4 is "YES"list the affected wells individually w.'th constiti.eni(s)and concentration(s)
exearg standards in the space provideo below:
5 For the constituents identified in question 4 above,have standards been exceeded previously for the YES NO
same cxstituent(s) in the same well(s)in the last two years?
d�fhe answer to question 5 is"NO",skip to section 8.
If the answer to question 5 is "YES",tlsr in the space provided below, each well with constituent(s)exceeding
standards, concentration(s)reported, and sample collection date for each occurrence(for the past twoyears),
6 Are the monitoring wells listed in section 5 located at or beyond the review boundary? YES NO
If the answer is "YES",a groundwater quality problem maybe occurring. CONTACT THE REGIONAL
OF JCE IMMEDIATELY FOR GUIDANCE.If the answer is "NO",monitoring wells may be improperly
locatea;contact the Regional Office.
7 Is the permittee implementing previously approved actions required by the Division involving this YES NO
grv.unciater quality problem?
;rife a-'swerto question 7 is"YES" descooe those actions in the space provided below.
ff the answer to question 7 is "NO",contact the Regional Office within 90 days:an evaluation maybe
reauirert to determine the impact the waste disposal system is having at the reviews,and compliance
boundaries surrounding this facility. Failure to do so may subject the permlttee to a Notice of Violation,
fines, and/or penalties.
s he 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 irue and complete to the best of my knowledge
"//z,/2z
SignatureDate
of Permittee(or l�ithorized Agent)
SUBMIT FORM ON YELLOW PAPER ONLY
Mail original DEPARTMENT OF ENVIRONMENT&NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING: DIVISION OF WATER QUALITY INFORMATION PROCESSING UNIT
and.1 copy to
COMPLIANCE REPORT FORM IS IT MAILSEIWICE CENTER,RALEIGII,NC:Z7699 161T: r+hone (91n)r333281 ;:
FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: WQ0015053 Expiration Date: 11/30/22
Iacility Name: Currituck County Moyock Commons Non-Dischargo X UIC
Permit Name(if different): NPDES Other
Facility Address: 446 Maple Rd TYPE OF PERMITTED OPERATION BEING MONITORED
Maple (Street) NC 27956 County Currituck ❑� Lagoon ❑ Remediation: Infiltration Gallery
(Lily) l5ta€el )Zip) ( I Spray Field I. I Remediation'
Contact Person: Rod Holley Telephone#:2522326065 ❑ Rotary Distributor ❑Land Application of Sludge
Well Location/Site Name:Currituck County Moyock Commons No.of wells to be sampled:2 El Water Source Heat Pump ❑Other:
(from Permit)
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): MW1 Date sample collected:317/22 FIELD ANALYSES: WAS
Well Depth: 18 ft. Well Diameter: 2 in. pH 00400:6.8 units Temp.00010: 16.0 °C DRY at
Depth to Water Level 82546:6.7 ft.below measuring point Screened Interval: 12 ft. to 18 ft Spec Cond 000a4• µMhos time of
sampling,
Measuring Point is 2 ft.above land surface Relative M.P. Elevation: 2 ft. Odor 00085: none check
Volume of water pumped/bailed before sampling: 4•0 gallons Appearance Clear here:❑
Samples for metals were collected unfiltered: Iia YES ❑ ND and field acidified: El YES El NO
LABORATORY INFORMATION
Date sample analyzed:317122 Laboratory Name: Environmental Chemists Certification No. 94
PARAMETERS NOTE:Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L Nitrite(NO2)as N 00615<0.02 mglL Pb-Lead 010s1 uglL
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 2.90 mg/L
(Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other(Specify Compounds and Concentration Units):
Dissolved Solids:Total 70300 431 mg/L Al-Aluminum v119s mg/L
pH (Lab)00403 6.8 units Ba-Barium 01007 ug/L
TOC 00680 11.2 mg/I Ca-Calcium 00916 mg/L
Chloride 00940 80 mg/L Cd-Cadmium 01027 uglL
Aisenic u19oz uglL Clnurnium.Total 01034 uglL
Grease and Oils 00552 mglL Cu-Copper 01042 mglL ORGANICS: (by GC, GC/MS,HPLC)
Phenol 32730 ug1L Fe-Iron 01045 ugfL (Specify test and method#.ATTACH LAB REPORT.)
Sulfate 00945 mglL Hg-Mercury 71900 ug1L Lab Report Attached? El Yes(1) ❑ No(0)
Specific Conductance 00095 µMhos K-Potassium 00937 mg/L VOC 78732: ,method#
Total Ammonia 00s10 3.2 mg/L Mg-Magnesium 00927 mg/L ,method#
(Ammonia Nitrogen;NI-13es N;Ammonia Nitrogen,Total) Mn-Manganese 01055 ugiL , method#
TKN as N 00625 mall Ni-Nickel 01067 uglL ,method#
For Remediation Systems Only(Attach Lab Reports): Influent Total VOCs: mglL Fffluent Total VOCs• mgll VOC Removal%
r f t t, m idcd in lhl..,io otl le,two uoouielo and coin loto and that the leboiator`anal boat date wan produced u61rf approved tuelhods of enel yais L a
r.cErllfy thaC;tolh�Lo:il of rnyausuwh:¢gc and holi[.f,lire:IEr U1lnU tar auUr 1 _.. f� P Y y N 9..,kU Y y.
MVO certified laboratory. I am aware.that there are eignifionnl penullioo lot oubrniliirig faleu information,including the poaeibility of fin)oc and impriconmont for knowing violat€onc.
C
Rod Holley Wastewater Superintendent Trainee ,; 4/29/22
Permiltee(or Authorized Agent)Name and Title-Please print or type Signature of Permittee(or Authorized gent) (Date)
GW-59 Rev.212010
SUBMIT FORM ON YELLOW PAPER ONLY
Mail original DEPARTMENT OF ENVIRONMENT&NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING: DIVISION OF WATER QUALITY INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM and 1 copy to:
' t,61 l MA[l.&E[iV1GE(.EN fEN,ft.4LE[OH N41fGi18 EGI I' F+hwre (g l fi}1.13'att l
FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: WQ0015053 Expiration Date: 11/30/22
Facility Name: Currituck County Moyock Commons Non-Discharge X UIC
Permit Name(if different): NPDES Other
Facility Address: 446 Maple Rd TYPE OF PERMITTED OPERATION BEING MONITORED
Maple (street} NC: 27956 County Currituck [1 Lagoon [1 Remediation: Infiltration Gallery
(4€tY) (Slate] (tip)
U Spray Field a Remediation:
Contact Person: Rod Holley Telephone#:2522326065 ❑ Rotary Distributor ❑Land Application of Sludge
Well Location/Site Name:Currituck County Moyock Commons No.of wells to be sampled:2 ❑ Water Source I feat Pump ❑Other:
(from Permit)
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit). MW3 Date sample collected.3/7/22 FIELD ANALYSES: WAS
Well Depth: 18 ft. Well Diameter: 2 in. pH 00400:7.5 units Tomp.00010: 16.1 °C DRY at
Depth to Water Level 82646:5.5 ft.below measuring point Screened Interval: 12 ft. to 18 ft. Spec.Cond.00094: µMhos time of
sampling,
Measuring Point is 2 ft.above land surface Relative M.P.Elevation: 2 ft. Odor 00085: none check
Volume of water pumped/bailed before sampling: 4 5 gallons Appearance Tan here:❑
Samples for metals were collected unfiltered: ®YES ❑ NO and field acidified: ❑YES ❑NO
LABORATORY INFORMATION
Date sample analyzed:3/7/22 Laboratory Name: Environmental Chemists Certification No. 94
PARAMETERS NOTE:Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L Nitrite(NO2)as N 00615<0.02 mglL Pb-Lead oto51 ug!L
Coliform: MF Fecal 31616 <1 /100mL Nitrate(NO3)as N 00620 0.03 mg/L Zn-Zinc 01092 mg/L
Coliform: MF Total 31504 /100mL Phosphorus:Total as P oosss 2.99 mg/L
(Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other(Specify Compounds and Concentration Units):
Dissolved Solids:Total 70300 185 mg/L Al-Aluminum 01105 mg/L
pH(Lab)00403 7.5 units Ba-Barium 01007 ug/L
TOC 006b0 8.0 mg/L Ca-Cetici(frn 00a i0 my/L
Chloride 00940<5 mglL Cd-Cadmium 01027 ug/L
Arsenic 01002 ug1L Chromium:Total 01034 ug/L
Grease and Oils 00552 mglL Cu-Copper 01042 mg/L ORGANICS: (by GC,GC/MS, HPLC)
Phenol 32730 ug/L Fe-Iron 01045 uglL (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 oe937 mg/L VOC 78732: ,method#
Total Ammonia 00610 1.4 mglL 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 r.ettily that,to the best of my Icnowtcdge end 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 n
MMW(7.enrtifted Iaboralory. Iam aware that there are sianiflcant penalties for submitting false information,including the possibility of fines and imprisonment for knowlno violations,
Rod Holley Wastewater Superintendent Trainee �iI 4/29/22
Permittee(or Authorized Agent)Name and Title-Please print or type Signature of Permittee(or Authorized A ent) (Date)
GW-59 Rev.2/2010