HomeMy WebLinkAboutWQ0007507_Monitoring - 04-2022_20220510 (3) n ..
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DWR - NonDischarge Monitoring Report Submittal
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NORTH CAROLINA
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Monitoring Report Submittal
..............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
Permit Number#* WQ0007507
Name of Facility:* Pasquotank County Industrial Park
Month:* April Year:* 2022
Report Information
Type* Upload Document*
GW-59 GW59 GW59A.pdf 3.4MB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1,NDAR-2,NDMLR,GW-59).
Confirmation Email Address:* Harrism@co.pasquotank.nc.us
Name of Submitter:* Michael L. Harris
Signature:
Date of submittal: 5/10/2022
This will be filled in automatically
Initial Review
.............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
Reviewer: Gerald,Wanda
Is the project number correct?* WQ0007507
Is the monitoring report accepted?* Yes No
Regional Office* Washington
Accepted Date: 6/6/2022
SUBMIT FORM ON YELLOW PAPER ONLY
Mail original DEPARTMENT OF ENVIRONMENT&NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING: and copy t0: DIVISION OF WATER QUALITY-INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM 1617 MAIL SERVICE CENTER,RALEIGH,NC 27699-1617 Phone:(919)733-3221
FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date: December 31,2021
Facility Name: Pasquotank County Industrial Park Non-Discharge W00007507 UIC
Permit Name(if different): NPDES Other
Facility Address: P.O.Box 39 TYPE OF PERMITTED OPERATION BEING MONITORED
Elizabeth City (Street) NC 27909 County Pasquotank ❑■ Lagoon ❑Remediation: Infiltration Gallery
(City) (State) (Zip) ❑■ Spray Field ❑Remediation:
Contact Person: Michael L.Harris Telephone#: 252-330-4006 ❑ Rotary Distributor ❑Land Application of Sludge
Well Location/Site Name:WWTP-Northside Road No.of wells to be sampled: 6 ❑ Water Source Heat Pump ❑Other:
(from Permit)
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): MW-1 Date sample collected:04/04/22 FIELD ANALYSES: WAS
Well Depth: 20 ft. Well Diameter: 2 in. pH 00400:6.2 units Temp.o0010: °C DRY at
time of
Depth to Water Level 82546:5.75 ft.below measuring point Screened Interval: 15 ft. to 20 ft. Spec.Cond.00094: µMhos sampling,
Measuring Point is 2 ft.above land surface Relative M.P.Elevation: 13.53 ft. Odor 00085: check
Volume of water pumped/bailed before sampling: 2.5 gallons Appearance here:❑
Samples for metals were collected unfiltered: ❑YES ❑ NO and field acidified: ❑YES ❑NO
LABORATORY INFORMATION
Date sample analyzed: Laboratory Name: Environment 1,Inc. Certification No. 10
PARAMETERS NOTE:Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L Nitrite(NO2)as N 00615 mg/L Pb-Lead o1051 ug/L
Coliform:MF Fecal 31616 <1 /100mL Nitrate(NO3)as N o0620 <0.04 mg/L Zn-Zinc o1092 mg/L
Coliform: MF Total 31504 /100mL Phosphorus:Total as P 00665 0.71 mg/L
(Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other(Specify Compounds and Concentration Units):
Dissolved Solids:Total 70300 170 mg/L Al-Aluminum o11os mg/L
pH(Lab)00403 units Ba-Barium 01007 ug/L
TOC 0668o 9.77 mg/L Ca-Calcium 00916 mg/L
Chloride o0940 19 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 mg/L Hg-Mercury 71900 ug/L Lab Report Attached? ❑ Yes(1) ❑ No(0)
Specific Conductance 00095 µMhos K-Potassium o0937 mg/L VOC 78732: , method#
Total Ammonia 00610 0.10 mg/L Mg-Magnesium 00927 mg/L ,method#
(Ammonia Nitrogen;NH,asN;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 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 methods of analysis by a
DWQ-certified laboratory. I am aware that there are significant penalties for submitting false information,including the possibility of fines and imprisonment for knowing violations.
Sporty Hammett,County Manager "— ,
•,� /0
Permittee(or Authorized Agent)Name and Title-Please print or type Signalúre ¡0 ittee(or Authorized Agent) (Date)
GW-59 Rev.2/2010
SUBMIT FORM ON YELLOW PAPER ONLY
Mail original DEPARTMENT OF ENVIRONMENT&NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING: and copy to: DIVISION OF WATER QUALITY-INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM 1617 MAIL SERVICE CENTER,RALEIGH,NC 27699-1617 Phone:(919)733-3221
FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date: December31,2021
Facility Name: Pasquotank County Industrial Park Non-Discharge WQ0007507 UIC
Permit Name(if different): NPDES Other
Facility Address: P.O.Box 39 TYPE OF PERMITTED OPERATION BEING MONITORED
Elizabeth City (streat) NC 27909 CountyPasquotank q uotank
❑■ Lagoon ❑Remediation: Infiltration Gallery
(City) (si�:te) (Zip) ❑■ Spray Field ❑Remediation:
Contact Person: Michael L.Harris Telephone#: 252-330-4006 ❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name:WWTP-Northside Road No.of wells to be sampled: 6 E Water Source Heat Pump ❑Other:
(from Permit)
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): MW-2 Date sample collected:04/04/22 FIELD ANALYSES: WAS
Well Depth: 18 ft. Well Diameter: 2 in. pH 00400:6.9 units Temp.00010: °C DRY at
time of
Depth to Water Level 82546:8.00 ft. below measuring point Screened Interval: 15 ft. to 20 ft. Spec.Cond.00094: µMhos sampling,
Measuring Point is 2 ft.above land surface Relative M.P. Elevation: 12.85 ft. Odor 00085: check
Volume of water pumped/bailed before sampling: 2.0 gallons Appearance here:❑
Samples for metals were collected unfiltered: ❑YES ❑ NO and field acidified: E YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: Laboratory Name: Environment 1,Inc. Certification No. 10
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 <1 /100mL Nitrate(NO3)as N 00620 0.47 mg/L Zn-Zinc 01092 mg/L
Coliform:MF Total 31504 /100mL Phosphorus:Total as P 00665 0.07 mg/L
(Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other(Specify Compounds and Concentration Units):
Dissolved Solids:Total 70300 300 mg/L Al-Aluminum 01105 mg/L _
pH (Lab)00403 units Ba-Barium 01007 ug/L
TOC 00680 1.29 mg/L Ca-Calcium 00916 mg/L
Chloride 0094o 88 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#
Total Ammonia 00610 <0.04 mg/L Mg-Magnesium 00927 mg/L ,method#
(Ammonia Nitrogen;NH,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 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 methods of analysis by a
DWQ-certified laboratory. I am aware that there are significant penalties for submitting false information,including the possibility of fines and imprisonment for knowing violations.
Sparty Hammett,County Manager 4
Permittee(or Authorized Agent)Name and Title-Please print or type Sipnattire of érrr ittee(or Authorized Ape t) (Date)
GW-59 Rev.2/2010 t_I
SUBMIT FORM ON YELLOW PAPER ONLY
Mail original DEPARTMENT OF ENVIRONMENT&NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING: and Copy t0: DIVISION OF WATER QUALITY-INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM 1617 MAIL SERVICE CENTER,RALEIGH,NC 27699-1617 Phone:(919)733-3221
FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date: December 31,2021
Facility Name: Pasquotank County Industrial Park Non-Discharge WQ0007507 UIC
Permit Name(if different): NPDES Other
Facility Address: P.O.Box 39 TYPE OF PERMITTED OPERATION BEING MONITORED
Elizabeth City (Street) NC 27909 County Pasquotank El Lagoon ❑Remediation:Infiltration Gallery
(City) (Stale) (Zip) El Spray Field ❑Remediation:
Contact Person: Michael L.Harris Telephone#: 252-330-4006 ❑ Rotary Distributor ❑Land Application of Sludge
Well Location/Site Name:WWTP-Northside Road No.of wells to be sampled: 6 ❑ Water Source Heat Pump ❑Other:
(from Permit)
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): MW-3 Date sample collected:04/04/22 FIELD ANALYSES: WAS
Well Depth: 20 ft. Well Diameter: 2 in. pH 00400:6.7 units Temp.onto: °C DRY at
Depth to Water Level 82546:4.32 ft.below measuring point Screened Interval: 15 ft. to 20 ft. Spec.Cond.00094: µMhos time of
sampling,
Measuring Point is 2 ft.above land surface Relative M.P.Elevation: 11.11 ft. Odor 00085: check
Volume of water pumped/bailed before sampling: 2.5 gallons Appearance here:❑
Samples for metals were collected unfiltered: ❑YES ❑ NO and field acidified: ❑YES ❑NO
LABORATORY INFORMATION
Date sample analyzed: Laboratory Name: Environment 1,Inc. Certification No. 10
PARAMETERS NOTE:Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L Nitrite(NO2)as N 00615 mg/L Pb-Lead o1051 ug/L
Coliform: MF Fecal 31616 <1 /100mL Nitrate(NO3)as N 00620 1.59 mg/L Zn-Zinc 01092 mg/L
Coliform:MF Total 31504 /100mL Phosphorus:Total as P 00665.05 mg/L
(Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other(Specify Compounds and Concentration Units):
)issolved Solids:Total 70300 330 mg/L Al-Aluminum o1105 mg/L
pH(Lab)00403 units Ba-Barium 01007 ug/L
TOC oosao 1.04 mg/L Ca-Calcium 00916 mg/L
Chloride 00940 112 mg/L Cd-Cadmium o1027 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) E No(0)
Specific Conductance 00095 µMhos K-Potassium o0937 mg/L VOC 78732: ,method#
Total Ammonia 90610 <0.04 mg/L Mg-Magnesium 00927 mg/L ,method#
(Ammonia Nitrogen:NH,as N;Ammonia Nitrogen,Total) Mn-Manganese o1055 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 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 methods of analysis by a
DWQ-certified laboratory. I am aware that there are significant penalties for submitting false information,including the possibility of fines and imprisonment for knowing violations.
Sparty Hammett,County Manager A. < 1 G dA
Permittee(or Authorized Agent)Name and Title-Please print or type Sig atu Zermittee(or Authorized Agent) (Date)
GW-59 Rev.2/2010
SUBMIT FORM ON YELLOW PAPER ONLY
Mail original DEPARTMENT OF ENVIRONMENT&NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING: and Copy t0: DIVISION OF WATER QUALITY-INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM 1617 MAIL SERVICE CENTER,RALEIGH,NC 27699-1617 Phone:(919)733-3221
FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date: December 31,2021
Facility Name: Pasquotank County Industrial Park Non-Discharge WQ0007507 UIC
Permit Name(if different): NPDES Other
Facility Address: P.O.Box 39 TYPE OF PERMITTED OPERATION BEING MONITORED
Elizabeth City (Street) NC 27909 County Pasquotank 0 Lagoon E Remediation: Infiltration Gallery
(City) (State) (Zip) ❑■ Spray Field ❑Remediation:
Contact Person: Michael L.Harris Telephone#: 252-330-4006 ❑ Rotary Distributor ❑Land Application of Sludge
Well Location/Site Name:WWTP-Northside Road No.of wells to be sampled: 6 ❑ Water Source Heat Pump ❑Other:
(from Permit)
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): MW-4 Date sample collected:04/04/22 FIELD ANALYSES: WAS
Well Depth: 20 ft. Well Diameter: 2 in. pH 00400:6.9 units Temp.00010: °C DRY at
time of
Depth to Water Level 82546:4.13 ft.below measuring point Screened Interval: 15 ft. to 20 ft. Spec.Cond.00094: µMhos sampling,
Measuring Point is 2 ft.above land surface Relative M.P.Elevation: 10.65 ft. Odor 00085: check
Volume of water pumped/bailed before sampling: 2.5 gallons Appearance here:❑
Samples for metals were collected unfiltered: ❑YES ❑ NO and field acidified: ❑YES ❑NO
LABORATORY INFORMATION
Date sample analyzed: Laboratory Name: Environment 1,Inc. Certification No. 10
PARAMETERS NOTE:Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L Nitrite(NO2)as N 00615 mg/L Pb-Lead o1051 ug/L
Coliform:MF Fecal 31s1s <1 /100mL Nitrate(NO3)as N 00620.67 mg/L Zn-Zinc o1092 mg/L
Coliform:MF Total 31504 /100mL Phosphorus:Total as P 00665<0.04 mg/L
(Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other(Specify Compounds and Concentration Units):
Dissolved Solids:Total 70300 230 mg/L Al-Aluminum otitis mg/L
pH (Lab)00403 units Ba-Barium o1007 ug/L
TOC oosao 1.30 mg/L Ca-Calcium 00916 mg/L
Chloride o0940 58 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 o0945 mg/L Hg-Mercury 71900 ug/L Lab Report Attached? ❑ Yes(1) ❑ No(0)
Specific Conductance o0095 µMhos K-Potassium o0937 mg/L VOC 78732: ,method#
Total Ammonia o0610 <0.04 mg/L Mg-Magnesium 00927 mg/L ,method# _
(Ammonia Nitrogen;N1-13as N;Ammonia Nitrogen,Total) Mn-Manganese o1os5 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 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 methods of analysis by a
DWQ-certified laboratory. I am aware that there are significant penalties for submitting false information,including the possibility of fines and imprisonment kr knowing violations.
Sparty Hammett,County Manager / ,4 5 —I¿'--.A
Permittee(or Authorized Agent)Name and Title-Please print or type Signatere r ltee(or utioorized Agent) (Date)
GW-59 Rev.2/2010
SUBMIT FORM ON YELLOW PAPER ONLY
Mail original DEPARTMENT OF ENVIRONMENT&NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING: and copy t0: DIVISION OF WATER QUALITY-INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM 1617 MAIL SERVICE CENTER,RALEIGH,NC 27699-1617 Phone:(919)733-3221
FACILITY INFORMATION Please Pnnt Clearly or Type PERMIT Number: Expiration Date: December31,2021
Facility Name: Pasquotank County Industrial Park Non-Discharge WQ0007507 UIC
Permit Name(if different): NPDES Other
Facility Address: P.O.Box 39 TYPE OF PERMITTED OPERATION BEING MONITORED
Elizabeth City (street) NC 27909 County Pasquotank ❑■ Lagoon ❑ Remediation: Infiltration Gallery
(City) (State) (Zip) ❑■ Spray Field ❑ Remediation:
Contact Person: Michael L.Harris Telephone#: 252-330-4006 ❑ Rotary Distributor ❑Land Application of Sludge
Well Location/Site Name:WWTP-Northside Road No.of wells to be sampled: 6 ❑ Water Source Heat Pump ❑Other:
(from Permit)
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): MW-5 Date sample collected:04/04/22 FIELD ANALYSES: WAS
Well Depth: 20 ft. Well Diameter: 2 in. pH 00400:6.7 units Temp.00010: °C DRY at
time of
Depth to Water Level 82546:5.30 ft.below measuring point Screened Interval: 15 ft. to 20 ft. Spec.Cond.00094: µMhos sampling,
Measuring Point is 2 ft.above land surface Relative M.P. Elevation: 10.65 ft. Odor 00085: check
Volume of water pumped/bailed before sampling: 2.5 gallons Appearance here:❑
Samples for metals were collected unfiltered: ❑YES LI NO and field acidified: E YES E NO
LABORATORY INFORMATION
Date sample analyzed: Laboratory Name: Environment 1,Inc. Certification No. 10
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 <1 /100mL Nitrate(NO3)as N oo6zo 0.12 mg/L Zn-Zinc 01092 mg/L
Coliform: MF Total 31504 /100mL Phosphorus:Total as P 00665 0.05 mg/L
(Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other(Specify Compounds and Concentration Units):
Dissolved Solids:Total 70300 200 mg/L Al-Aluminum o1105 mg/L
pH (Lab)00403 units Ba-Barium o1007 ug/L
TOO o0680 1.48 mg/L Ca-Calcium 00916 mg/L
Chloride 00940 48 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 uglL Fe-Iron o1045 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 000ss µMhos K-Potassium 00937 mg/L VOC 78732: , method#
Total Ammonia o0610 <0.04 mg/L Mg-Magnesium 00927 mg/L , method#
(Ammonia Nitrogen;NH,as N;Ammonia Nitrogen,Total) Mn-Manganese moss uglL , 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%
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 methods of analysis by a
DWQ-certified laboratory. I am aware that there are significant penalties for submitting false information,including the possibility of fines and imprisonment for knowing violations.
Sparty Hammett,County Manager 5. —/(• á
Permittee(or Authorized Agent)Name and Title-Please print or type Signature-of itt (or Authorized Agent) (Date)
1
GW-59 Rev.2/2010
SUBMIT FORM ON YELLOW PAPER ONLY
Mail original DEPARTMENT OF ENVIRONMENT&NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING: and 1 copy t0: DIVISION OF WATER QUALITY-INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM 1617 MAIL SERVICE CENTER,RALEIGH,NC 27699-1617 Phone:(919)733-3221
FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date: December 31,2021
Facility Name: Pasquotank County Industrial Park Non-Discharge WQ0007507 UIC
Permit Name(if different): NPDES Other
Facility Address: P.O.Box 39 TYPE OF PERMITTED OPERATION BEING MONITORED
Elizabeth City (Street) NC 27909 CountyPasquotank q uotank ❑ Lagoon ❑Remediation: Infiltration Gallery
cuy) siato) (Zip) Í] Spray Field ❑Remediation:
Contact Person: Michael L.Harris Telephone#: 252-330-4006 LI Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name:WWTP-Northside Road No.of wells to be sampled: 6 ❑ Water Source Heat Pump ❑ Other:
(from Permit)
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): MW-6 Date sample collected:04/04/22 FIELD ANALYSES: WAS
Well Depth: 18 ft. Well Diameter: 2 in. pH 00400:6.0 units Temp.o0010: °C DRY at
Depth to Water Level 82546:8.30 ft. below measuringMhos time of
point Screened Interval: 15 ft. to 20 ft. Spec.Cond.00094: µ sampling,
Measuring Point is 2 ft.above land surface Relative M.P. Elevation: 14.64 ft. Odor 00085: _ check
Volume of water pumped/bailed before sampling: 2.0 gallons Appearance here:❑
Samples for metals were collected unfiltered: ❑YES ❑ NO and field acidified: ❑YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: Laboratory Name: Environment 1,Inc. Certification No. 10
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 <1 /100mL Nitrate(NO3)as N o0620 0.24 mg/L Zn-Zinc 01092 mg/L
Coliform:MF Total 31504 /100mL Phosphorus:Total as P 00665<0.04 mg/L
(Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other(Specify Compounds and Concentration Units):
Dissolved Solids:Total 70300 130 mg/L Al-Aluminum 01105 mg/L
pH(Lab)00403 units Ba-Barium 01007 ug/L
TOC oosao 1.88 mg/L Ca-Calcium 00916 mg/L
Chloride o0940 13 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 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#
Total Ammonia o0610 <0.04 mg/L Mg-Magnesium 00927 mg/L , method#
(Ammonia Nitrogen;NH,as 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%
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 methods of analysis by a
DWQ-certified laboratory. I am aware that there are significant penalties for submitting false information,including the possibility of fines and imprisonment for,knowing violations.
Sparty Hammett,County Manager 5,_,1 I �'( '-Permittee(or Authorized Agent)Name and Title-Please print or type Sign.ture. m- ttee( horized Agent) (Date)
GW-59 Rev.2/2010
il,..