WQ0009267_Monitoring - 03-2022_20220429

Monitoring Report Submittal
Permit Number #*
Name of Facility:*
Month: * March
Report Information
Type *
GW-59
WQ0009267
City of Jacksonville WWTF
NDMR, NDAR-1, NDAR-2, NDMLR
Confirmation Email Address: *
Name of Submitter: *
Signature:
Date of submittal:
Year:* 2022
Upload Document*
WQ0009267 March 2022 20.88MB
GW-59 MW Report.pdf
PDF Only
WQ0009267 March 2022.pdf 7.55MB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
[e-mail]
Amy Palaschak
LF.14�mow
4/29/2022
This will be filled in automatically

Initial Review
Reviewer: Gerald, Wanda
Is the project number correct?* WQ0009267
Is the monitoring report accepted?* Yes No
Regional Office* Wilmington
Accepted Date: 5/24/2022

GW-59A COMPLIANCE REPORT FORM Permit #_WQ0009267
(Submit one each monitoring period with GW-59 forms.)
I
Enter date monitoring results were due. (4/30/2022) Will this monitoring report (GW-59 and GW-59A) be
YES
NO
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
NO
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?
YES
NO
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:
MW 10 — TDS 607.5 mg/L
5
For the constituents identified in question 4 above, have standards been exceeded previously for the same
YES
NO
constituents) 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).
MW10 — all TDS — 3/2020 (618 mg/L), 6/2020 (596.5 mg/L), 9/2020 (628 mg/L), 1212020 (579 mg/L), 312021
(683 mg/L), 6/2021 (657 mg/L), 912021 (675 mg/L), 12/2021 (633 mg/L)
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 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 groundwater
YES
NO
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.
MW10 — high background TDS — noted in current permit
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
4/28/2022
Signatur o ermittee(or Authorized Agent) Date
GW-59A 12/8/2003

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
CArn iTV 1K1Cn0nenT1nn1 Please Print Clearly or
Facility Name. City of Jacksonville Land Treatment System
Permit Name (if different):
Facility Address: 716 Firetower Road
Jacksonville NC 28540 County Onslow
ICdy) i�5Iatei i
Contact Person: Amy Palaschak
Well Location/Site Name MW-1
LING INFORMATION
ID NUMBER (from Permit):
Well Depth: 16.6 ft.
Depth to Water Level 82546: 8 ft. below measuring point
Measuring Point is 3.2 ft. above land surface
Volume of water pumped/bailed before sampling:
Samoles for metals were collected unfiltered: X
YES
Telephone#: [phone]
No. of wells to be sampled: 17
(from Permit)
Date sample collected: 3/23/2022
Well Diameter: 2 in.
Screened Interval: 3 ft. to
Relative M.P. Elevation: 4.8 ft.
4.13 gallons
❑ NO and field acidified
IEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
IIVISION OF WATER RESOURCES - INFORMATION PROCESSING UNIT
617 MAIL SERVICE CENTER, RALEIGH, NC 27699=1617 Phone: [phone]
PERMIT Number: Expiration Date: 4/30/2022
Non -Discharge WQ0009267 UIC
NPDES Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
X Spray Field ❑ Remediation:
❑ Rotary Distributor El Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
13 ft.
FIELD ANALYSES:
pH o040o: 5.4 units
Spec. Cond. 00094:
Odor 000as:
Appearance
Date sample analyzed: 3/23/2022 Laboratory Name: 1. Jacksonville 2. Environmental Chemists
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L Nitrite (NO2) as N 00615 <0.02
Coliform: MF Fecal 31616 <1 /100mL Nitrate (NO3) as N 00620 0.06
Coliform: MF Total 31504 /100mL Phosphorus: Total as P 00665 <0.1
(Note: Use MPN method for highly turbid samples) Orthophosphate 70507
issolved Solids:Total 70300 151 mg/L Al -Aluminum 01105
pH (Lab) 00403 5,37 units Ba - Barium 01007
TOC 00680 16A mg/L Ca - Calcium oo916
Chloride 00940 26 mg/L Cd - Cadmium 01027
Arsenic 01002 ug/L Chromium: Total 01034
Grease and Oils 00552 mg/L Cu - Copper 01042
Phenol 32730 ug/L Fe - Iron 01045
Sulfate 00945 15 mg/L Hg - Mercury 71900
pecific Conductance 00095 µMhos K - Potassium 00937
Total Ammonia 00610 <0.2 mg/L Mg - Magnesium 00927
(Ammonia Nitrogen; NH3as N; Ammonia Nitrogen, Total)
Mn -Manganese oloss
TKN as N 00625 mg/L Ni - Nickel 01067
For Remediation Systems Only (Attach Lab Reports):
Wally Hansen -Public Services Director
Permittee (or Authorized Agent) Name and Title -Please print or tvoe
GW-59 Rev.8/2013
Influent Total VOCs:
mg/L
mg/L
mg/L
mg/L
mg/L
ug/L
mg/L
ug/L
ug/L
mg/L
ug/L
ug/L
mg/L
mg/L
ug/L
ug/L
Temp.
000lc 17.9 °C
µMhos
Certification No. 1. 128 2. 94
Pb -Lead o1os1 ug/L
Zn - Zinc 01092 mg/L
Other (Specify Compounds and Concentration Units):
ORGANICS: (by GC, GC/MS, HPLC)
(Specify test and method #. ATTACH LAB REPORT.)
Lab Report Attached? El Yes (1) ® No (0)
VOC 7873 method # SM 6200C
method #
method #
method #
mg/L Effluent Total VOCs:
(or Authorized Agent)
mg/L VOC Removal%
(Date)
If WELL
DRY at
time of
sampling,
check
here:❑
4/28/2022

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
FACILITY INFORMATION Please Print Clearly or Type
Facility Name: City of Jacksonville Land Treatment System
Permit Name (if different):
Facility Address: 716 Firetower Road
Jacksonville NC 28540 County Onslow
rcayi �sr3ie, r"1rj
Contact Person: Amy Palaschak
Well Location/Site Name MW-2
WELL ID NUMBER (from Permit):
Well Depth: 17.0 ft.
�IDepth to Water Level szsas: 5.9 ft. below measuring point
Measuring Point is 2.4 ft. above land surface
Volume of water pumped/bailed before sampling: 5,33
Samples for metals were collected unfiltered: X YES El
Telephone#: [phone]
No. of wells to be sampled: 17
Date sample collected:
Well Diameter:
Screened Interval:
Relative M.P. Elevation:
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
DIVISION OF WATER RESOURCES - INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
PERMIT Number: Expiration Date: 4/30/2022
Non -Discharge WQ0009267 UIC
NPDES Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation-:Infiltration Gallery
X Spray Field ❑ Remediation:
❑ Rotary Distributor El Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
3/23/2022
2 in.
3 ft. to 13 ft.
3.5 ft.
gallons
NO and field acidified: X YES
❑ NO
FIELD ANALYSES:
pH ooaoo: 5.2 units
Spec.
Cond, 00094:
Odor 000s5:
Appearance
Temp.
000lc 17.3 °C
µMhos
(Date sample analyzed: 3/23/2022 Laboratory Name: 1. Jacksonville 2. Environmental Chemists Certification No. 1. 128 2. 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 /100mL Nitrate (NO3) as N 00620 0,07 mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504 /100mL Phosphorus: Total as P 00665 <0.1 mg/L
(Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 157 mg/L Al - Aluminum 01105 mg/L
pH (Lab) 00403 5,24 units Ba - Barium 01007 ug/L
TOC 00680 2.4 mg/L Ca - Calcium oo916 mg/L
Chloride 00940 63 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 <5 mg/L Hg - Mercury 71900 ug/L Lab Report Attached? ❑ Yes (1) ® No (0)
pecific Conductance 00095 µMhos K - Potassium 00937 mg/L VOC 7873 , method # SM 6200C
Total Ammonia 00610 <0.2 mg/L Mg - Magnesium 00927 mg/L , method #
(Ammonia Nitrogen; N1­13as 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:
Wally Hansen -Public Services Director
Permittee (or Authorized Agent) Name and Title -Please print or type
GW-59 Rev.8/2013
mg/L Effluent Total VOCs:
(or Authorized Agent)
mg/L VOC Removal%
If WELL
WAS
DRY at
time of
sampling,
check
here: ❑

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
Facility Name:
Permit Name (if different):
Facility Address:
Jacksonville
(City,
NC
Please Print Clearly or Type
of Jacksonville Land Treatment
716 Firetower Road
28540 County
Onslow
Contact Person:
Amy Palaschak
Telephone#:
[phone]
Well Location/Site Name
MW-3
No. of wells to
be sampled: 17
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
DIVISION OF WATER RESOURCES - INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699A617 Phone: [phone]
PERMIT Number:
Non -Discharge
NPDES
Expiration Date: 4/30/2022
W00)09267 UIC
Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
X Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
WELL ID NUMBER (from Permit): MW-3 Date sample collected: 3/22/2022
Well Depth: 17.0 ft. Well Diameter: 2 in.
Depth to Water Level 82546: 8.9 ft. below measuring point Screened Interval: 3 ft. to 13 ft.
Measuring Point is 3.2 ft. above land surface Relative M.P. Elevation: 5.7 ft.
Volume of water pumped/bailed before sampling: 3.89 gallons
Samples for metals were collected unfiltered: X YES ❑ NO and field acidified: X YES ❑ NO
LABORATORY INFORMATION
FIELD ANALYSES:
pH o0400: 4.7 units
Spec. Cond, 00094:
o0085: Odor
Appearance
Date sample analyzed: 3/22/2022 Laboratory Name: 1. Jacksonville 2. Environmental Chemists
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L Nitrite (NO2) as N 00615 <0.02
Coliform: MF Fecal 31616 <1 /100mL Nitrate (NO3) as N 00620 0.08
Coliform: MF Total 31504 /100mL Phosphorus: Total as P 00665 <0.1
(Note: Use MPN method for highly turbid samples) Orthophosphate 70507
)issolved Solids -.Total 70300 93 mg/L Al - Aluminum 01105
pH (Lab) 00403 4.65 units Ba - Barium 01007
TOC 00680 1.6 mg/L Ca - Calcium 00916
Chloride 00940 14 mg/L Cd - Cadmium 01027
Arsenic 01002 ug/L Chromium: Total 01034
Grease and Oils 00552 mg/L Cu - Copper 01042
Phenol 32730 ug/L Fe - Iron 01045
Sulfate 00945 21 mg/L Hg - Mercury 71900
Specific Conductance 00095 µMhos K - Potassium 00937
Total Ammonia 00610 <0.2 mg/L Mg - Magnesium 00927
(Ammonia Nitrogen; NH3as N; Ammonia Nitrogen, Total)
Mn -Manganese 01055
TKN as N 00625 mg/L Ni - Nickel 01067
mg/L
mg/L
mg/L
mg/L
mg/L
ug/L
mg/L
ug/L
ug/L
mg/L
ug/L
ug/L
mg/L
mg/L
ug/L
ug/L
Pb -Lead o1051
Zn - Zinc 01092
Temp. 000lc 17.9 °C
ttMhos
Certification No. 1. 128 2. 94
Other (Specify Compounds and Concentration Units):
ORGANICS: (by GC, GC/MS, HPLC)
(Specify test and method #. ATTACH LAB REPORT.)
Lab Report Attached? ❑ Yes (1) ® No (0)
VOC 7873 method # SM 6200C
method #
method #
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
Wally Hansen -Public Services Director
Permittee (or Authorized Aqent) Name and Title -Please print or Npe
GW-59 Rev.8/2013
(or Authorized Aqent)
(Date)
If WELL
WAS
DRY at
time of
sampling,
check
here:❑
4/28/2022

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
Please Print Clearly or Type
Facility Name: City of Jacksonville Land Treatment System
Permit Name (if different):
Facility Address: 716 Firetower Road
Jacksonville NC 28540 County Onslow
(City)
(State) l7_iPJ
Contact Person: Amy Palaschak
Well Location/Site Name MW4
WELL ID NUMBER (from Permit):
Well Depth: 16.0 ft.
Depth to Water Level
82546:
5.5
ft. below measuring point
Measuring Point is
2.68
ft. above land surface
Volume of water pumped/bailed before sampling
Telephone#: [phone]
No. of wells to be sampled: 17
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
DIVISION OF WATER RESOURCES - INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: 919-807=6306
PERMIT Number: Expiration Date: 4/30/2022
Non -Discharge WQ0009267 UIC
NPDES Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ElRemediation: Infiltration Gallery
X Spray Field El Remediation:
❑ Rotary Distributor ElLand Application of Sludge
❑ Water Source Heat Pump ElOther:
Date sample collected: 3/22/2022
Well Diameter: 2 in.
Screened Interval: 5.8 ft. to 14 ft.
Relative M.P. Elevation: 2.82 ft.
5.04 gallons
FIELD ANALYSES:
pH ooaoo: 4.9 units
Spec. Cond. 00094:
Odor o0085:
Appearance
Samples for metals were collected unfiltered: X YES El NO and field acidified: X YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 3/22/2022 Laboratory Name: 1. Jacksonville 2, Environmental Chemists
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L Nitrite (NO2) as N 00615 <0.02 mg/L
Coliform: MF Fecal 31616 <1 /100mL Nitrate (NO3) as N 00620 <0.02 mg/L
Coliform: MF Total 31504 /100mL Phosphorus: Total as P 00665 <0.1 mg/L
(Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L
Dissolved Solids:Total 70300 148.5 mg/L Al -Aluminum 01105 mg/L
pH (Lab) 00403 4.88 units Ba - Barium 01007 ug/L
TOC 00680 1.4 mg/L Ca - Calcium 00916 mg/L
Chloride 00940 47 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
Phenol 32730 ug/L Fe - Iron 01045 ug/L
Sulfate 00945 34 mg/L Hg - Mercury 71900 ug/L
pecific Conductance 00095 µMhos K - Potassium 00937 mg/L
Total Ammonia oo6lo <0.2 mg/L Mg - Magnesium 00927 mg/L
(Ammonia Nitrogen; NH3as N; Ammonia Nitrogen, Total) Mn - Manganese 01055 ug/L
TKN as N 00625 mg/L Ni - Nickel 01067 ug/L
For Remediation Systems Only (Attach Lab Reports):
Wally Hansen -Public Services Director
Permittee (or Authorized Agent) Name and Title -Please print or type
GW-59 Rev.8/2013
Influent Total VOCs:
mg/L
Temp.
000lc 19 °C
uMhos
Certification No. 1. 128 2. 94
Pb -Lead o1051 ug/L
Zn - Zinc 01092 mg/L
Other (Specify Compounds and Concentration Units):
ORGANICS: (by GC, GC/MS, HPLC)
(Specify test and method #. ATTACH LAB REPORT.)
Lab Report Attached? ❑ Yes (1) ® No (0)
VOC 7873 method # SM 6200C
Effluent Total VOCs:
method #
method #
method #
mg/L
VOC Removal%
If WELL
WAS
DRY at
time of
sampling,
check
here:❑

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
Facility Name:
Permit Name (if different):
Facility Address:
Jacksonville
y
City of Jacksonville Land Treatment
716 Firetower Road
NC 28540 County
iState r3p�
Onslow
IEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
IIVISION OF WATER RESOURCES - INFORMATION PROCESSING UNIT
617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
PERMIT Number: Expiration Date: 4/30/2022
Non -Discharge WQ0009267 UIC
NPDES
El
Contact Person: Amy Palaschak Telephone#: [phone]
Well Location/Site Name MW-5 No. of wells to be sampled: 17
from Permit
SAMPLING INFORMATION
WELL ID NUMBER (from Permit): MW-5 Date sample collected: 3/22/2022
Well Depth: 18.1 ft. Well Diameter: 2 in.
Depth to Water Level 82546: 9.3 ft. below measuring point Screened Interval: 5 ft. to 15 ft.
Measuring Point is 2.57 ft. above land surface Relative M.P. Elevation: 6,73 ft.
Other
f'PE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
X Spray Field El Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
Source Heat Pump ❑ Other:
FIELD ANALYSES:
pH o0400: 5.3 units
Spec. Cond, 00094:
Odor 00085:
Volume of water pumped/bailed before sampling: 4.22 gallons Appearance
Samples for metals were collected unfiltered: X YES ElNO and field acidified: X YES El NO
LABORATORY INFORMATION
Date sample analyzed: 3/22/2022 Laboratory Name: 1. Jacksonville 2. Environmental Chemists
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L Nitrite (NO2) as N 00615 <0.02
Coliform: MF Fecal 31616 <1 /100mL Nitrate (NO3) as N 00620 0.03
Coliform: MF Total 31504 /100mL Phosphorus: Total as P 00665 <0.1
(Note: Use MPN method for highly turbid samples) Orthophosphate 70507
Dissolved Solids:Total 70300 20 mg/L Al -Aluminum 01105
pH (Lab) 00403 5.3 units Ba - Barium 01007
TOC 00680 <0.5 mg/L Ca - Calcium 00916
Chloride 00940 <5 mg/L Cd - Cadmium 01027
Arsenic 01002 ug/L Chromium: Total 01034
Grease and Oils 00552 mg/L Cu - Copper 01042
Phenol 32730 ug/L Fe - Iron 01045
Sulfate 00945 <5 mg/L Hg - Mercury 71900
pecific Conductance 00095 µMhos K - Potassium 00937
Total Ammonia 00610 <0.2 mg/L Mg - Magnesium 00927
(Ammonia Nitrogen; NH3as N; Ammonia Nitrogen, Total) Mn - Manganese 01055
TKN as N 00625 mg/L Ni - Nickel 01067
For Remediation Systems Only (Attach Lab Reports)
Wally Hansen -Public Services Director
Permittee (or Authorized Agent) Name and Title -Please print or type
GW-59 Rev.8/2013
Influent Total VOCs:
mg/L
mg/L
mg/L
mg/L
mg/L
ug/L
mg/L
ug/L
ug/L
mg/L
ug/L
ug/L
mg/L
mg/L
ug/L
ug/L
Temp.
000lc 15.9 °C
µMhos
Certification No. 1. 128 2. 94
Pb -Lead o1051 ug/L
Zn - Zinc 01092 mg/L
Other (Specify Compounds and Concentration Units):
ORGANICS: (by GC, GC/MS, HPLC)
(Specify test and method #. ATTACH LAB REPORT.)
Lab ReportAttached? ElYes (1) ® No(0)
VOC 7873 method # SM 6200C
method #
method #
method #
mg/L Effluent Total Cs:
Authorized Agent)
mg/L VOC Removal%
(Date)
If WELL
DRY at
time of
sampling,
check
here: ❑
4/28/2022
Other
f'PE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
X Spray Field El Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
Source Heat Pump ❑ Other:
FIELD ANALYSES:
pH o0400: 5.3 units
Spec. Cond, 00094:
Odor 00085:
Volume of water pumped/bailed before sampling: 4.22 gallons Appearance
Samples for metals were collected unfiltered: X YES ElNO and field acidified: X YES El NO
LABORATORY INFORMATION
Date sample analyzed: 3/22/2022 Laboratory Name: 1. Jacksonville 2. Environmental Chemists
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L Nitrite (NO2) as N 00615 <0.02
Coliform: MF Fecal 31616 <1 /100mL Nitrate (NO3) as N 00620 0.03
Coliform: MF Total 31504 /100mL Phosphorus: Total as P 00665 <0.1
(Note: Use MPN method for highly turbid samples) Orthophosphate 70507
Dissolved Solids:Total 70300 20 mg/L Al -Aluminum 01105
pH (Lab) 00403 5.3 units Ba - Barium 01007
TOC 00680 <0.5 mg/L Ca - Calcium 00916
Chloride 00940 <5 mg/L Cd - Cadmium 01027
Arsenic 01002 ug/L Chromium: Total 01034
Grease and Oils 00552 mg/L Cu - Copper 01042
Phenol 32730 ug/L Fe - Iron 01045
Sulfate 00945 <5 mg/L Hg - Mercury 71900
pecific Conductance 00095 µMhos K - Potassium 00937
Total Ammonia 00610 <0.2 mg/L Mg - Magnesium 00927
(Ammonia Nitrogen; NH3as N; Ammonia Nitrogen, Total) Mn - Manganese 01055
TKN as N 00625 mg/L Ni - Nickel 01067
For Remediation Systems Only (Attach Lab Reports)
Wally Hansen -Public Services Director
Permittee (or Authorized Agent) Name and Title -Please print or type
GW-59 Rev.8/2013
Influent Total VOCs:
mg/L
mg/L
mg/L
mg/L
mg/L
ug/L
mg/L
ug/L
ug/L
mg/L
ug/L
ug/L
mg/L
mg/L
ug/L
ug/L
Temp.
000lc 15.9 °C
µMhos
Certification No. 1. 128 2. 94
Pb -Lead o1051 ug/L
Zn - Zinc 01092 mg/L
Other (Specify Compounds and Concentration Units):
ORGANICS: (by GC, GC/MS, HPLC)
(Specify test and method #. ATTACH LAB REPORT.)
Lab ReportAttached? ElYes (1) ® No(0)
VOC 7873 method # SM 6200C
method #
method #
method #
mg/L Effluent Total Cs:
Authorized Agent)
mg/L VOC Removal%
(Date)
If WELL
DRY at
time of
sampling,
check
here: ❑
4/28/2022

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
FACILITY INFORMATION
Facility Name:
Permit Name (if different):
Facility Address:
Jacksonville
Please Print Clearly or Type
of Jacksonville Land Treatment
716 Firetower Road
NC 28540 County
iCrty7 iStale) iLiPi
Onslow
Contact Person:
Amy Palaschak
Telephone#:
[phone]
Well Location/Site Name
MW-6
No. of wells to
be sampled: 17
WELL ID NUMBER (from Permit): MW-6
Well Depth: 16.8 ft.
Date sample collected:
Well Diameter:
3/22/2022
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
DIVISION OF WATER RESOURCES - INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
PERMIT Number: Expiration Date: 4/30/2022
Non -Discharge WQ0009267 UIC
NPDES Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon El Remediation: Infiltration Gallery
X Spray Field El Remediation:
❑ Rotary Distributor El Land Application of Sludge
❑ Water Source Heat Pump El Other
Depth to Water Level s25as: 4.3 ft. below measuring point Screened Interval: 3.5 ft. to 14 ft.
Measuring Point is 2.65 ft. above land surface Relative M.P. Elevation: 1.65 ft.
Volume of water pumped/bailed before sampling: 6.00 gallons
Samples for metals were collected unfiltered: X YES ❑ NO and field acidified: X YES ❑ NO
FIELD ANALYSES:
pH o0400: 5.8 units
Spec. Cond, 00094:
Odor 00085:
Appearance
Date sample analyzed: 3/22/2022 Laboratory Name: 1. Jacksonville 2. Environmental Chemists
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L Nitrite (NO2) as N 00615 0.11 mg/L
Coliform: MF Fecal 31616 <1 /100mL Nitrate (NO3) as N 00620 <0.02 mg/L
Coliform: MF Total 31504 /100mL Phosphorus: Total as P 00665 <0.1 mg/L
(Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L
)issolved Solids:Total 70300 225 mg/L Al - Aluminum 01105 mg/L
pH (Lab) oo403 5.81 units Ba - Barium 01007 ug/L
TOC 00680 6.4 mg/L Ca - Calcium 00916 mg/L
Chloride 00940 23 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
Phenol 32730 ug/L Fe - Iron 01045 ug/L
Sulfate 00945 17 mg/L Hg - Mercury 71900 ug/L
Specific Conductance 00095 µMhos K - Potassium 00937 mg/L
Total Ammonia 00610 <0.2 mg/L Mg - Magnesium 00927 mg/L
(Ammonia Nitrogen; N1­13as N; Ammonia Nitrogen, Total) Mn - Manganese 01055 ug/L
TKN as N 00625 mg/L Ni - Nickel 01067 ug/L
For Remediation Systems Only (Attach Lab Reports):
Hansen -Public Services Director
Influent Total VOCs:
mg/L
000lc 16.2 °C
µMhos
Temp.
Certification No. 1. 128 2. 94
Pb -Lead o1051 ug/L
Zn - Zinc 01092 mg/L
Other (Specify Compounds and Concentration Units):
ORGANICS: (by GC, GC/MS, HPLC)
(Specify test and method #. ATTACH LAB REPORT.)
Lab Report Attached? El Yes (1) ® No (0)
VOC 7873 method # SM 6200C
method #
method #
method #
Effluent Total VOCs:
mg/L
VOC Removal%
If WELL
WAS
DRY at
time of
sampling,
check
here: ❑
4/28/2022
Permittee (orAu1
GW-59
=.d Agent) Name and Title -Please print or type
Rev. 8/2013
(or
Agent)
(Date)

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING.
COMPLIANCE REPORT FORM
FACILITY INFORMATION
Facility Name:
Permit Name (if different):
Facility Address:
Jacksonville
(city)
NC
Please Print Clearly or Type
of Jacksonville Land Treatment
716 Firetower Road
28540 County Onslow
Contact Person:
Amy Palaschak
Telephone#:
[phone]
Well Location/Site Name
MW-7
No. of wells
to be sampled: 17
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
DIVISION OF WATER RESOURCES - INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699A617 Phone: [phone]
PERMIT Number: Expiration Date: 4/30/2022
Non -Discharge WQ0009267 UIC
NPDES Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
X Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
SAMPLING INFORMATION
WELL ID NUMBER (from Permit): MW-7 Date sample collected: 3/22/2022 FIELD ANALYSES:
Well Depth: 15.0 ft. Well Diameter: 2 in. pH 00400: 4.1 units Temp. 000lc 17A °C
Depth to Water Level 82546: 6.9 ft. below measuring point Screened Interval: 2.5 ft. to 13 ft. Spec. Cond. 00094: µMhos
Measuring Point is 3 ft. above land surface Relative M.P. Elevation: 3.9 ft. Odor 00085:
Volume of water pumped/bailed before sampling: 3,89 gallons Appearance
Samples for metals were collected unfiltered: X YES ❑ NO and field acidified: X YES El NO
LABORATORY INFORMATION
Date sample analyzed: 3/22/2022 Laboratory Name: 1. Jacksonville 2. Environmental Chemists Certification No, 1, 128 2, 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 /100mL Nitrate (NO3) as N 00620 0.03 mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504 /100mL Phosphorus: Total as P 00665 <0.1 mg/L
(Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units):
dissolved Solids:Total 70300 211.5 mg/L AI - Aluminum 01105 mg/L
pH (Lab) 00403 4.09 units Ba - Barium 01007 ug/L
TOC oo68o 5.5 mg/L Ca - Calcium oog16 mg/L
Chloride 00940 62 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 58 mg/L Hg - Mercury 71900 ug/L Lab Report Attached? El Yes (1) ® No (0)
Specific Conductance 00095 µMhos K - Potassium 00937 mg/L VOC 7873 , method # SM 6200C
Total Ammonia 00610 <0.2 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)
Wally Hansen -Public Services Director
Permittee (or Authorized Agent) Name and Title -Please print or type
GW-59 Rev.8/2013
Influent Total VOCs:
mg/L Effluent Total VOCs:
(or Authorized Agent)
mg/L VOC Removal%
(Date)
If WELL
WAS
DRY at
time of
sampling,
check
here:
❑
4/28/2022

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
(FACILITY
Please Print Clearly or
Facility Name: City of Jacksonville Land Treatment System
Permit Name (if different):
Facility Address: 716 Firetower Road
Jacksonville NC 28540 County Onslow
ncityi �si;liEl rin)
Contact Person: Amy Palaschak
Well Location/Site Name MW-8
WELL ID NUMBER (from Permit):
Well Depth: 12.1 ft.
Depth to Water Level 82546: 8.9 ft. below measuring point
Measuring Point is 3 ft. above land surface
Telephone#: [phone]
No. of wells to be sampled: 17
Date sample collected:
Well Diameter:
Screened Interval:
Relative M.P. Elevation:
Volume of water pumped/bailed before sampling: 1.54 gallons
IEPARTMENT OF ENVIRONMENT 8 NATURAL RESOURCES
IIVISION OF WATER RESOURCES - INFORMATION PROCESSING UNIT
617 MAIL SERVICE CENTER, RALEIGH, NC 27699=1617 Phone: [phone]
PERMIT Number: Expiration Date: 4/30/2022
Non -Discharge WQ0009267 UIC
NPDES Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
X Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
3/22/2022
2 in.
3 ft. to 9 ft.
5.9 ft.
FIELD ANALYSES:
pH o0400: 5.1 units
Spec. Cond. 00094:
Odor 000as:
Appearance
µMhos
Temp. 000lc 17.4 °C
Samples for metals were collected unfiltered: X YES El NO and field acidified: X YES LJ NO
LABORATORY INFORMATION
Date sample analyzed: 3/22/2022 Laboratory Name: 1. Jacksonville 2. Environmental Chemists Certification No, 1. 128 2, 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 /100mL Nitrate (NO3) as N 00620 0,15 mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504 /100mL Phosphorus: Total as P 00665 <0.1 mg/L
(Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 233.5 mg/L AI - Aluminum 01105 mg/L
pH (Lab) 00403 5,05 units Ba - Barium 01007 ug/L
TOC 00680 2.3 mg/L Ca - Calcium oo916 mg/L
Chloride 00940 <5 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 117 mg/L Hg - Mercury 71900 ug/L Lab Report Attached? El Yes (1) ® No (0)
pecific Conductance 00095 µMhos K - Potassium 00937 mg/L VOC 7873 , method # SM 6200C
Total Ammonia o0610 <0.2 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 #
hc
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs:
Rev.8/2013
Wally Hansen -Public Services Director
Permittee (or Authorized Agent) Name and Title -Please print or tvge
mg/L Effluent Total VOCs:
nature oi�Rer�nittee (or Authorized Agent)
mg/L VOC Removal%
(Date)
If WELL
here:❑
4/28/2022

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING.
COMPLIANCE REPORT FORM
FACILITY INFORMATION Please Print Clearly or Type
Facility Name: City of Jacksonville Land Treatment System
Permit Name (if different):
Facility Address: 716 Firetower Road
Jacksonville NC 28540 County Onslow
iutyi S)L iLni
Contact Person:
Amy Palaschak
Telephone#:
[phone]
Well Location/Site Name
MW-9
No. of wells
to be sampled: 17
SAMPLING INFORMATION
WELL ID NUMBER (from Permit): MW-9
Well Depth: 14.0 ft.
Depth to Water Level 82546: 9.5 ft. below measuring point
Measuring Point is 2.55 ft. above land surface
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
DIVISION OF WATER RESOURCES - INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER, RALEIGH, NC 276994617 Phone: [phone]
PERMIT Number: Expiration Date: 4/30/2022
Non -Discharge WQ0009267 UIC
NPDES Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon El Remediation: Infiltration Gallery
X Spray Field ❑ Remediation:
❑ Rotary Distributor El Land Application of Sludge
❑ Water Source Heat Pump El Other:
Date sample collected: 3/22/2022
Well Diameter: 2 in.
Screened Interval: 7 ft. to 11 ft.
Relative M.P. Elevation: 6.95 ft.
FIELD ANALYSES:
pH o0400: 3.7 units
Spec. Cond. 00094.
Odor 00085:
Volume of water pumped/bailed before sampling: 2.16 gallons Appearance
Samples for metals were collected unfiltered: X YES ❑ NO and field acidified: X YES ElNO
Date sample analyzed: 3/22/2022 Laboratory Name: 1. Jacksonville 2. Environmental Chemists
Temp.
000lc 15.8
°C
µMhos
Certification No. 1. 128 2. 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 /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 <0.1 mg/Lmp (Note: Use MPN method for highly turbid sales) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units):
Dissolved Solids:Total 70300 264 mg/L Al - Aluminum 01105 mg/L
pH (Lab) 00403 3.66 units Ba - Barium 01007 ug/L
TOC 00680 2.2 mg/L Ca - Calcium 00916 mg/L
Chloride 00940 6 mg/L Cd - Cadmium 01027 ug/L
Arsenic o1002 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 107 mg/L Hg - Mercury 71900 ug/L Lab Report Attached? ElYes (1) ® No(0)
pecific Conductance 00095 µMhos K - Potassium 00937 mg/L VOC 7873 , method # SM 6200C
Total Ammonia oo610 <0.2 mg/L Mg - Magnesium 00927 mg/L , method #
(Ammonia Nitrogen; N1­13as 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:
Wally Hansen -Public Services Director
Permittee (or Authorized Agent) Name and Title -Please print or type
GW-59 Rev, 8/2013
mg/L
Effluent Total VOCs:
for Hutnonzeo Hgentl
mg/L
VOC Removal%
If WELL
WAS
DRY at
time of
sampling,
check
here:❑

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
Please Print Clearly or Type
Facility Name: City of Jacksonville Land Treatment System
Permit Name (if different):
Facility Address: 716 Firetower Road
Jacksonville NC 28540 County Onslow
icnyl �sl:ae) ,.pir.I
Contact Person: Amy Palaschak
Well Location/Site Name MW-10
Telephone#: [phone]
No, of wells to be sampled: 17
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
DIVISION OF WATER RESOURCES - INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
PERMIT Number:
Non -Discharge
NPDES
WQ0009267
Expiration Date
UIC
Other
4/30/2022
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
X Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
SAMPLING INFORMATION
WELL ID NUMBER (from Permit): MW-10 Date sample collected: 3/22/2022 FIELD ANALYSES:
Well Depth: 30.1 ft. Well Diameter: 2 in. pH 00400: 6.4 units Temp. 000lc 18A °C
Depth to Water Level 82546: 11 ft. below measuring point Screened Interval: 17 ft. to 27 ft. Spec. Cond. 00094: µMhos
Measuring Point is 2.9 ft. above land surface Relative M.P. Elevation: 7.6 ft. Odor 000m:
Volume of water pumped/bailed before sampling: 9.41 gallons Appearance
Samples for metals were collected unfiltered: X YES ElNO and field acidified: X YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 3/22/2022 Laboratory Name: 1. Jacksonville 2, Environmental Chemists Certification No. 1. 128 2. 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 /100mL Nitrate (NO3) as N 00620 0A mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504 /100mL Phosphorus: Total as P 00665 1.5 mg/L
(Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units):
issolved Solids -,Total 70300 607.5 mg/L Al - Aluminum 01105 mg/L
pH (Lab) 00403 6.42 units Ba - Barium 01007 ug/L
TOC om8o 2.1 mg/L Ca - Calcium 00916 mg/L
Chloride 00940 17 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 149 mg/L Hg - Mercury 71900 ug/L Lab Report Attached? ElYes (1) ® No (0)
pecific Conductance 00095 µMhos K - Potassium 00937 mg/L VOC 7873 , method # SM 6200C
Total Ammonia 00610 <0.2 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 #
here:
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs:
Hansen -Public Services Director
mg/L Effluent Total VOCs:
mg/L VOC Removal%
If WELL
WAS
DRY at
time of
sampling,
check
❑
4/28/2022
Permittee (or Authorized Agent) Name and Title -Please print or type
GW-59 Rev.8/2013
of Flerfnitte� (or Authorized Apent)
(Date)

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
FACILITY INFORMATION Please Print Clearly or Type
Facility Name: City of Jacksonville Land Treatment System
Permit Name (if different):
Facility Address: 716 Firetower Road
Jacksonville NC 28540 County Onslow
ttact Person:
II Location/Site Name
Palaschak
MW-11
Telephone#: [phone]
No. of wells to be sampled: 17
(WELL ID NUMBER (from Permit): MW-11 Date sample collected:
Well Depth: 22.2 ft. Well Diameter:
Depth to Water Level 82546: 12 ft. below measuring point Screened Interval:
Measuring Point is 2.25 ft. above land surface Relative M.P. Elevation:
3/23/2022
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
DIVISION OF WATER RESOURCES - INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699=1617 Phone: [phone]
PERMIT Number:
Non -Discharge
NPDES
Expiration Date: 4/30/2022
WQ0009267 UIC
Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
X Spray Field El Remediation:
❑ Rotary Distributor El Land Application of Sludge
❑ Water Source Heat Pump El Other:
2 in.
5 ft. to 20 ft.
9.65 ft.
FIELD ANALYSES:
pH o040o: 4.9 units
Spec. Cond. 00094:
Odor 00085:
(Volume
of
water pumped/bailed before sampling:
4.94 gallons Appearance
Samples
for
metals were collected unfiltered: X
YES ❑ NO and field acidified: X YES ElNO
Date sample analyzed: 3/23/2022 Laboratory Name: 1. Jacksonville 2. Environmental Chemists
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L Nitrite (NO2) as N 00615 <0.02
Coliform: MF Fecal 31616 <1 /100mL Nitrate (NO3) as N 00620 0.4
Coliform: MF Total 31504 /100mL Phosphorus: Total as P 00665 <0.1
(Note: Use MPN method for highly turbid samples) Orthophosphate 70507
Dissolved Solids:Total 70300 23.5 mg/L Al - Aluminum 01105
pH (Lab) 00403 4.86 units Ba - Barium 01007
TOC 00680 <0.5 mg/L Ca - Calcium 00916
Chloride 00940 <5 mg/L Cd - Cadmium 01027
Arsenic 01002 ug/L Chromium: Total 01034
Grease and Oils 00552 mg/L Cu - Copper 01042
Phenol 32730 ug/L Fe - Iron 01045
Sulfate 00945 <5 mg/L Hg - Mercury 71900
pecific Conductance 00095 µMhos K - Potassium 00937
Total Ammonia 00610 <0.2 mg/L Mg - Magnesium 00927
(Ammonia Nitrogen; NH3as N; Ammonia Nitrogen, Total)
Mn - Manganese 01055
TKN as N 00625 mg/L Ni - Nickel 01067
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs:
Wally Hansen -Public Services Director
Permittee (or Authorized Agent) Name and Title -Please print or type
GW-59 Rev.8/2013
mg/L
ug/L
ug/L
mg/L
ug/L
ug/L
mg/L
mg/L
mg/L
mg/L
mg/L
ug/L
mg/L
ug/L
ug/L
mg/L
000lc 21.3 °C
µMhos
Temp.
Certification No. 1. 128 2. 94
Pb -Lead o1os1 ug/L
Zn - Zinc 01092 mg/L
Other (Specify Compounds and Concentration Units):
ORGANICS: (by GC, GC/MS, HPLC)
(Specify test and method #. ATTACH LAB REPORT.)
Lab Report Attached? ❑ Yes (1) ® No (0)
VOC 7873 method # SM 6200C
method #
method #
mg/L Effluent Total VOCs:
(or Authorized Agent)
. method #
mg/L VOC Removal%
(Date)
If WELL
WAS
DRY at
time of
sampling,
check
here: ❑
4/28/2022

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
FACILITY INFORMATION Please Print Clearly or Type
Facility Name:
Permit Name (if different):
Facility Address:
Jacksonville NC
city,
of Jacksonville Land Treatment
716 Firetower Road
28540 County
f S�P�01 IL'I�7)
Onslow
Contact Person:
Amy Palaschak
Telephone#:
[phone]
Well Location/Site Name
MW-12
No. of wells to
be sampled: 17
SAMPLING INFORMATION
WELL ID NUMBER (from Permit): MW-12 Date sample collected:
Well Depth: 18.3 ft. Well Diameter:
Depth to Water Level 82546: 7.2 ft, below measuring point Screened Interval:
Measuring Point is 3.04 ft. above land surface Relative M.P. Elevation:
Volume of water pumped/bailed before sampling: 5,33 gallons
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
DIVISION OF WATER RESOURCES - INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699=1617 Phone: [phone]
PERMIT Number: Expiration Date: 4/30/2022
Non -Discharge WQ0009267 UIC
NPDES Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
X Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
3/22/2022
2 in.
5 ft. to 15 ft.
4.16 ft.
Samoles for metals were collected unfiltered: X YES El NO and field acidified: X YES
❑ NO
FIELD ANALYSES:
pH o040o: 5.6 units
Spec.
Cond. 00094:
o0085:
Odor
Appearance
Temp.
000lc 18.7 °C
uMhos
Date sample analyzed: 3/22/2022 Laboratory Name: 1. Jacksonville 2. Environmental Chemists Certification No. 1. 128 2. 94
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L Nitrite (NO2) as N 00615 0.03 mg/L Pb - Lead o1o51 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 00665 <0.1 mg/L
(Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units):
)issolved Solids:Total 70300 129.5 mg/L Al -Aluminum 01105 mg/L
pH (Lab) 00403 5.57 units Ba - Barium 01007 ug/L
TOC oo68o 21.7 mg/L Ca - Calcium oo916 mg/L
Chloride 00940 5 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 8 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 # SM 6200C
Total Ammonia 00610 <0.2 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%
Wally Hansen -Public Services Director
Permittee (or Authorized Aoent) Name and Title -Please print or type
G13 Rev.8/2013
nature oi.Pelmlttee (or Authorized Agent)
(Date)
If WELL
WAS
DRY at
time of
sampling,
check
here: ❑
4/28/2022

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
FACILITY INFORMATION Please Print Clearly or Type
Facility Name: City of Jacksonville Land Treatment System
Permit Name (if different):
Facility Address: 716 Firetower Road
Jacksonville NC 28540 County Onslow
(City) StDte) ziri
)tact Person: Amy Palaschak Telephone#: [phone]
II Location/Site Name MW-13 No. of wells to be sampled: 17
SAMPLING INFORMATION
WELL ID NUMBER (from Permit): MW-13
Well Depth: 23.2 ft.
Depth to Water Level 82546: 16 ft. below measuring point
Measuring Point is 2.75 ft. above land surface
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
DIVISION OF WATER RESOURCES - INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER, RALEIGH, NC 276994617 Phone: [phone]
PERMIT Number:
Non -Discharge
NPDES
W00009267
Expiration Date
UIC
Other
4/30/2022
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ElRemediation: Infiltration Gallery
X Spray Field ElRemediation:
❑ Rotary Distributor ElLand Application of Sludge
❑ Water Source Heat Pump ElOther:
Date sample collected: 3/22/2022
Well Diameter: 2 in.
Screened Interval: 10.5 ft. to 23.2 ft.
Relative M.P. Elevation: 13.15 ft.
Volume of water pumped/bailed before sampling: 3.50 gallons
Samples for metals were collected unfiltered: X YES ❑ NO and field acidified: X YES ❑ NO
LABORATORY INFORMATION
FIELD ANALYSES:
pH ooaoo: 4.4 units
Spec. Cond, 00094:
Odor 000e5:
Appearance
Temp.
000lc 16.6 °C
µMhos
Date sample analyzed: 3/22/2022 Laboratory Name: 1. Jacksonville 2. Environmental Chemists Certification No. 1. 128 2. 94
PARAMETERS NOTE: Values should reflect dso islved and colloidal concentrations.
COD 00335 mg/L Nitrite (NO2) as N 00615
Coliform: MF Fecal 31616 <1 /100mL Nitrate (NO3) as N 00620
Coliform: MF Total
31504
/100mL Phosphorus: Total as P oosss
Orthophosphate 70507
mg/L Al - Aluminum 01105
units Ba - Barium 01007
mg/L Ca - Calcium 00916
mg/L Cd - Cadmium 01027
ug/L Chromium: Total 01034
mg/L Cu - Copper 01042
ug/L Fe - Iron 01045
mg/L Hg - Mercury 71900
µMhos K - Potassium 00937
mg/L Mg - Magnesium 00927
Mn - Manganese 01055
mg/L Ni - Nickel 01067
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs:
Wally Hansen -Public Services Director
Permittee (or Authorized Agent) Name and Title -Please print or tvoe
GW-59 Rev.8/2013
<0.02
<0.02
<0.1
mg/L
mg/L
mg/L
mg/L
mg/L
ug/L
mg/L
ug/L
ug/L
mg/L
ug/L
ug/L
mg/L
mg/L
ug/L
ug/L
Pb -Lead o1os1
Zn -Zinc 01092
Other (Specify Compounds and Concentration Units):
ORGANICS: (by GC, GC/MS, HPLC)
(Specify test and method #. ATTACH LAB REPORT.)
Lab ReportAttached? ❑ Yes(l) ® No(0)
VOC 7873 method # SM 6200C
method #
method #
method #
mg/L Effluent Total VOCs:
I V I f1U 11 lul IGcu /1yCl I l l
mg/L VOC Removal%
If WELL
WAS
DRY at
time of
sampling,
check
here:❑

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
Please Print Clearly or Type
Facility Name: City of Jacksonville Land Treatment System
Permit Name (if different):
Facility Address: 716 Firetower Road
Jacksonville NC 28540 County Onslow
fCity I iSteteI G'ip)
Contact Person:
Amy Palaschak
Telephone#:
[phone]
Well Location/Site Name
MW-14
No. of wells to
be sampled: 17
SAMPLING INFORMATION
EPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
(VISION OF WATER RESOURCES - INFORMATION PROCESSING UNIT
617 MAIL SERVICE CENTER, RALEIGH, NC 276994617 Phone: 919-807=6306
PERMIT Number: Expiration Date: 4/30/2022
Non -Discharge WQ0009267 UIC
NPDES Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
X Spray Field ElRemediation:
❑ Rotary Distributor ElLand Application of Sludge
❑ Water Source Heat Pump ElOther:
WELL ID NUMBER (from Permit): MW-14 Date sample collected: 3/22/2022
Well Depth: 17.9 ft. Well Diameter: 2 in.
Depth to Water Level 82546: 13 ft, below measuring point Screened Interval: 5 ft. to 15 ft.
Measuring Point is 3.2 ft. above land surface Relative M.P. Elevation: 9.3 ft.
Volume of water pumped/bailed before sampling: 2.59 gallons
Samples for metals were collected unfiltered: X YES ❑ NO and field acidified: X YES ❑ NO
LABORATORY INFORMATION
FIELD ANALYSES:
pH ooaoo: 5.1 units
Spec. Cond, 00094:
Odor 00085:
Appearance
Date sample analyzed: 3/22/2022 Laboratory Name: 1. Jacksonville 2. Environmental Chemists
Temp. 000lc 16.7 °C
µMhos
Certification No. 1. 128 2. 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 /100mL Nitrate (NO3) as N 00620 0.13 mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504 /100mL Phosphorus: Total as P 00665 <0.1 mg/L
(Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 46.5 mg/L Al - Aluminum 01105 mg/L
pH (Lab) 00403 5.08 units Ba - Barium 01007 ug/L
TOC oosso 11.7 mg/L Ca - Calcium oo91s mg/L
Chloride 00940 9 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 ol045 ug/L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945 <5 mg/L Hg - Mercury 71900 ug/L Lab Report Attached? ElYes (1) ® No (0)
pecific Conductance 00095 µMhos K - Potassium 00937 mg/L VOC 7873 , method # SM 6200C
Total Ammonia oosso 0.97 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%
GW-59 Rev, 8/2013
Wally Hansen -Public Services Director
Permittee (or Authorized Agent) Name and Title -Please print or type
(or Authorized Agent)
(Date)
If WELL
WAS
DRY at
time of
sampling,
check
here:❑
4/28/2022

SUBMIT FORM ON YELLOW PAPER ONLY
• DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING. DIVISION OF WATER RESOURCES - 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: 4/30/2022
Facility Name: City of Jacksonville Land Treatment System
Permit Name (if different):
Facility Address: 716 Firetower Road
Jacksonville NC 28540 County Onslow
ICrtyi iStatci iLpi
Contact Person:
Amy Palaschak
Telephone#:
[phone]
Well Location/Site Name
MW-15
No. of wells to
be sampled: 17
Non -Discharge WQ0009267 UIC
NPDES Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
X Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
WELL ID NUMBER (from Permit): MW-15 Date sample collected: 3/23/2022
Well Depth: 15 ft. Well Diameter: 2 in.
Depth to Water Level 82546: 3.5 ft. below measuring point Screened Interval: 5 ft. to 15 ft.
Measuring Point is 2.9 ft, above land surface Relative M.P. Elevation: 0.6 ft.
FIELD ANALYSES:
pH oaaoo: 4.7 units
Spec. Cond. 00094:
Odor 00085:
Volume of water pumped/bailed before sampling: 5.52 gallons Appearance
Samples for metals were collected unfiltered: X YES ❑ NO and field acidified: X YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 3/23/2022 Laboratory Name: 1. Jacksonville 2. Environmental Chemists
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L Nitrite (NO2) as N 00615 <0.02 mg/L
Coliform: MF Fecal 31616 <1 /100mL Nitrate (NO3) as N 00620 2.83 mg/L
Coliform: MF Total 31504 /100mL Phosphorus: Total as P 00665 <0.1 mg/L
(Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L
issolved Solids:Total 70300 107.5 mg/L Al -Aluminum 01105 mg/L
pH (Lab) 00403 4,65 units Ba - Barium 01007 ug/L
TOC 00680 0.6 mg/L Ca - Calcium oo916 mg/L
Chloride 00940 47 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
Phenol 32730 ug/L Fe - Iron 01045 ug/L
Sulfate 00945 <5 mg/L Hg - Mercury 71900 ug/L
pecific Conductance 00095 µMhos K - Potassium 00937 mg/L
Total Ammonia 00610 <0.2 mg/L Mg - Magnesium 00927 mg/L
(Ammonia Nitrogen; NH3as N; Ammonia Nitrogen, Total) Mn - Manganese 01055 ug/L
TKN as N 00625 mg/L Ni - Nickel 01067 ug/L
Temp. 000lc 16.2 °C
µMhos
Certification No. 1. 128 2. 94
Pb -Lead o1os1 ug/L
Zn - Zinc 01092 mg/L
Other (Specify Compounds and Concentration Units):
ORGANICS: (by GC, GC/MS, HPLC)
(Specify test and method #. ATTACH LAB REPORT.)
Lab ReportAttached? ElYes (1) ® No(0)
VOC 7873 method # SM 6200C
method #
method #
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
If WELL
WAS
DRY at
time of
sampling,
check
here: ❑
Wally Hansen -Public Services Director 4/28/2022
Permittee (or Authorized Agent) Name and Title -Please print or type (gnat a of P matte (or Authorized Agent) (Date)
GW-59 Rev.8/2013

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
w�
Facility Name: City of Jacksonville Land Treatment System
Permit Name (if different):
Facility Address: 716 Firetower Road
Jacksonville NC 28540 County Onslow
rGty� isi:,a-i �zq)i
ttact Person:
II Location/Site Name
Palaschak
SAMPLING INFORMATION
WELL ID NUMBER (from Permit): MW-16
Well Depth: 25 ft.
Depth to Water Level 82546: 10 ft, below measuring point
Measuring Point is 2A ft. above land surface
Telephone#: [phone]
No. of wells to be sampled: 17
Date sample collected:
Well Diameter:
Screened Interval
Relative M.P. Elevation
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
DIVISION OF WATER RESOURCES - INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699A617 Phone: [phone]
PERMIT Number: Expiration Date: 4/30/2022
Non -Discharge WQ0009267 UIC
NPDES Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
X Spray Field El Remediation:
❑ Rotary Distributor El Land Application of Sludge
❑ Water Source Heat Pump El Other:
3/23/2022
2 in.
15 ft. to 20 ft.
8 ft.
Volume of water pumped/bailed before sampling: 7.01 gallons
Samples for metals were collected unfiltered: X YES ❑ NO and field acidified: X YES
❑ NO
FIELD ANALYSES:
pH o0400: 4.7 units
Spec.
Cond. 00094:
Odor 0008s:
Appearance
Date sample analyzed: 3/23/2022 Laboratory Name: 1. Jacksonville 2. Environmental Chemists
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L Nitrite (NO2) as N 00615 <0.02 mg/L
Coliform: MF Fecal 31616 <1 /100mL Nitrate (NO3) as N 00620 0.29 mg/L
Coliform: MF Total 31504 /100mL Phosphorus: Total as P 00665 <0.1 mg/L
(Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L
)issolved Solids:Total 70300 84.5 mg/L Al - Aluminum 01105 mg/L
pH (Lab) 00403 4,71 units Ba - Barium 01007 ug/L
TOC 00680 1.3 mg/L Ca - Calcium 00916 mg/L
Chloride 00940 35 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
Phenol 32730 ug/L Fe - Iron 01045 ug/L
Sulfate 00945 5 mg/L Hg - Mercury 71900 ug/L
Specific Conductance 00095 µMhos K - Potassium 00937 mg/L
Total Ammonia 00610 <0.2 mg/L Mg - Magnesium 00927 mg/L
(Ammonia Nitrogen; N1­13as N; Ammonia Nitrogen, Total) Mn - Manganese 01055 ug/L
TKN as N 00625 mg/L Ni - Nickel 01067 ug/L
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs:
Wallv Hansen -Public Services Director
Pb -Lead o1os1
Zn - Zinc 01092
Temp.
000lc 19.9 °C
µMhos
Certification No. 1. 128 2. 94
Other (Specify Compounds and Concentration Units):
ORGANICS: (by GC, GC/MS, HPLC)
(Specify test and method #. ATTACH LAB REPORT.)
Lab Report Attached? ❑ Yes (1) ® No (0)
VOC 7873 method # SM 6200C
mg/L Effluent Total
VOCs:
_
method #
method #
method #
mg/L VOC Removal%
If WELL
WAS
DRY at
time of
sampling,
check
here: ❑
4/28/2022
Permittee (or Authorized Aqent) Name and Title -Please print or tvoe Sf4rf�ture f Pe ee"(or Authorized Aoent) (Date)
GW-59 Rev.8/2013

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
FACILITY INFORMATION
Facility Name:
Permit Name (if different):
Facility Address:
Jacksonville NC
iGtyi
Please Print Clearly or Type
of Jacksonville Land Treatment
716 Flretower Road
28540 County
Onslow
Contact Person:
Amy Palaschak
Telephone#:
[phone]
Well Location/Site Name
MW-17
No, of wells to
be sampled: 17
WELL ID NUMBER (from Permit):
Well Depth: 25 ft.
Depth to Water Level 82546: 7.5
ft. below measuring point
Date sample collected:
Well Diameter:
Screened Interval
3/23/2022
2 in.
IEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
IIVISION OF WATER RESOURCES - INFORMATION PROCESSING UNIT
617 MAIL SERVICE CENTER, RALEIGH, NC 276994617 Phone: [phone]
PERMIT Number: Expiration Date: 4/30/2022
Non -Discharge WQ0009267 UIC
NPDES Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ElRemediation: Infiltration Gallery
X Spray Field ElRemediation:
❑ Rotary Distributor ElLand Application of Sludge
❑ Water Source Heat Pump ❑ Other:
15 ft. to 20 ft.
Measuring Point is 1.9 ft. above land surface Relative M.P. Elevation: 5.6 ft.
Volume of water pumped/bailed before sampling: 8.40 gallons
Samples for metals were collected unfiltered: X YES ❑ NO and field acidified: X YES ❑ NO
LABORATORY INFORMATION
FIELD ANALYSES:
pH o0
Spec. Cond. 00094:
00085:
Odor
40o: 4.6 units
Appearance
Date sample analyzed: 3/23/2022 Laboratory Name: 1. Jacksonville 2. Env
ironmental Chemists
Temp. 000lc 20.5 °C
µMhos
Certification No. 1. 128 2. 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 /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 <0.1 mg/L
(Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units):
Dissolved Solids:Total 70300 76 mg/L Al -Aluminum 01105 mg/L
pH (Lab) 00403 4.56 units Ba - Barium 01007 ug/L
TOC 00680 0.6 mg/L Ca - Calcium 00916 mg/L
Chloride 00940 30 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 10 mg/L Hg - Mercury 71900 ug/L Lab Report Attached? ElYes (1) ® No(0)
pecific Conductance 00095 µMhos K - Potassium 00937 mg/L VOC 7873 , method # SM 6200C
Total Ammonia o0610 <0.2 mg/L Mg - Magnesium 00927 mg/L , method #
(Ammonia Nitrogen; N1­13as 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)
Rev.8/2010
Wally Hansen -Public Services Director
Permittee (or Authorized Agent) Name and Title -Please print or type
GW-59
Influent Total VOCs:
mg/L Effluent Total VOCs:
Authorized Agent)
mg/L VOC Removal%
(Date)
If WELL
DRY at
time of
sampling,
check
here: ❑
4/28/2022