WQ0002128_Monitoring - 03-2022_20220502

Non-Discharge Monitoring Report (NDMR)
Permit No.: WQ0002128 I Facility Name: Pebble Beach (County: Carteret Month: March I Year: 2022
PPI: 002 Flow Measuring Point: Effluent Parameter Monitoring Point: Effluent
Parameter Code 50050 00400 00310 00610 00530 31616 00620 00625 00630 00600 00940 70295 50060 00076 665
to
m
0« O 4, E a0+ .0 c 4 C 0 0 0 O•G " O
Ze a' F y 3 = 0 0 0 E 0 0 0 V 0 y m rn 00 m . �2 0 a 0 a m r
Day U i C O W a m E 12 N N Li o Z ,2 d o -'2 F o L t- N(/I 12 w L 3 ~ O
O C to U Y 2 2 Z u 0 m U .2 =a
24-hr hrs GPD su mg/L mg/L mg/L #/100 mL rng/L mglL mglL mglL mglL mg/L ma/L ntu mn/I
1 8:05 0.5 8000 7.32 6.40 1.01 18.00 1.00 '1.07 2.07 11.36 13.43 120.00 440.00 3.97
2 7:07 0.5 8000 7.36
3 7:45 0.5 12000 7.39
4 8:17 0.5 8800 7.42
5 8:04 0.4 10200
6 8:37 0.2 13000
7 7:57 0.5 6208 7.37
8 7:45 0.5 12600 7.34
9 7:44 0.5 8200 7,42
10 7:59 0.5 8000 7.44
11 7:48 0.5 11000 7.45 _
12 8:44 0.3 14500
13 12:37 0.3 13500
14 8:31 0.5 9000 7.36
15 7:16 0.5 10000 7.18
16 8:39 0.5 3500 7.24
17 7:56 0.5 12000 7.22
18 12:40 0.3 10300 7.23
19 9:27 0.3 10200
20 15:23 0.3 16500
21 11:29 0.4 12500 7.28
22 8:13 0.5 9000 7.57 3.50 0.04 2.60 1.00 1.22 1.64 1.24 2.88 0.77
23 7:28 0.5 10000 7.55
24 11:32 0.3 7500 7.59
25 7:19 0.4 9000 7.58
26 8:59 0.3 9500
27 8:50 0.3 12500
28 10:11 0.4 10500 7.55
29 7:45 0.5 10500 7.51
30 8:37 0.5 16000 7.48
31 10:38 0.4 10000 7.51
Average: 10403 7.41 4.95 0.53 10.30 1.00 6.15 1.86 6.30 8.16 120.00 440.00 2.37
Daily Maximum: 12000 7.42 6.40 1.01 18.00 1.00 11.07 2.07 11.36 13.43 120.00 440.00 0.00 0.00 3.97 0.00 0
Daily Minimum: 3500 7.18 3.50 0.04 2.60 1.00 1.22 1.64 1.24 2.88 120.00 440.00 0.00 0.00 0.77 0.00 0
Sampling Type:
Monthly Limit: 70000 10 4 20 14 10
Daily Limit:
Sample Frequency:

• FORM:NDMR 03-12 NON-DISCHARGE 1VIONITORING REPORT(NDMR) Page of
Sampling Person(s) Certified Laboratories
Name: Stanley E. Buck HI Name: Environment 1, Inc.
Name: Name: •
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? rnplia t Non-Compliant
If the facility is non-compliant,please explain in the space below the reason(s)the facility was not in compliance. Provide in your explanation the date(s)of the non-compliance and describe the corrective
action(s)taken.Attach additional sheets if necessary.
Operator in Responsible Charge(ORC)Certification Permittee Certification
ORC: Stanley E. Buck HI Permittee: �A6g 66,
Certification No.: 993396 Signing Official: 0 1.4 roe/7 Ci/-��I✓I�✓��
Grade: 3 Phone Number. 252-503-5307 Signing Officials Title: A5S D C / ai<
Has the ORC changed since the previous NDMR? ❑ Yes D No Phone Number: j_,?(j5#40,50 Permit Expiration:
Signature Date Sign Date
By this signature,I certify that this report is accurrate and complete to the best of my knowledge. I certify,under penalty of law,that this' t and all attachments were prepared under my direction or supervision in
accordance with a system designed to assure that all qualified personnel properly gathered and evaluated the information
submitted.Based on my inquiry of the person or persons who manage the system,or those persons directly responsible far
gathering the information,the information submitted is,to the best of my knowledge and belief,true,accurate,and complete.I am
aware that there are significant penalties for submitting false information,including the possibility of fines and Imprisonment for
knowing violations.
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh,North Carolina 27699-1617

4
•
NON-DISCHARGE APPLICATION REPORT(NDAR-2)
Permit No.: WQ0002128 Facility Name: Pebble Beach County: Carteret Month: March Year: 2022
Did infiltration occur at this facility? Site Name: 1 Site Name: 2 Site Name: 3 Site Name:
Area(acres) 0.880 Area(acres) 0.880 Area(acres) #N/A Area(acres)
✓ Yes No Facility Name: High Rate Field 1 Facility Name: High Rate Field 2 Facility Name: #N/A Facility Name:
Rate(GPD/ft2); 10 Rate(GPDIft2): 10 Rate(GPDIft2): Rate(GPD/ft2):
Weather Freeboard Site Infiltrated? 10 Site Infiltrated? \, Site Infiltrated? #NIA Site Infiltrated?
m «_ y 9 T=a N a O rn c i. m d VI lG G T d v m m '° t S, a m a CO
t0 R.. c0 d d` aC O. _ N d` TC O.in_ Q� N` C O.__ N N« O O T
d a� ao CT« ❑ u0 �n ✓ m a as m � E a �" ma d m0 =a E 3ml d m0 � E. Ez` Tic m `°O
.0-aE oa uiaa oa I-w ❑ C ar0� oc - . c 22 oa r». ❑ o mm d Hw ❑ o dm
3 o H a m m m >Q 5 J U.V >Q �5 -J u.`- >a _c J U. >Q 5 J U.
p U 1F in ' ft ft gal min GPD/ft2 ft gal min GPDIft2 ft gal 1 min 'GPD/ft2 ft gal min GPD/ft2 ft
1 C 4000 0.10 4000 r 0.10
2 C 4000 0.10 4000 0.10
3 C 6000 0.16 6000 0.16
4 C 4400 0.11 4400 0.11
5 PC 5100 0.13 5100 0.13
6 ' 6500 0.17 6500 0.17
7 C 3100 0.08 3100 0.08
8 PC 6300 0.16 6300 0.16
9 R 4100 0.11 4100 0.11
10 R 4000 0.10 4000 0.10
11 CL 5500 0.14 5500 0.14
12 , R 7250 0.19 7250 0.19
13 6750 0.18 6750 0.18
14 C 4500 0.12 4500 0.12
15 PC 5000 0.13 5000 0.13
16 R ' 4750 0.12 '.1750 0.05
17 R 6000 0.16 6000 0.16
18 C 5150 0.13 5150 0.13
19 PC 5100 0.13 5100 0.13
20 , C 8250 0.22 8250 0.22
21 C 6250 0.16 6250 0.16
' 22 PC 4500 0.12 4500 0.12
23 PC 5000 0.13 5000 0.13
24 R 3750 0.10 3750 0.10
25 C 4500 0.12 4500 0.12
26 C 4750 0.12 4750 0.12
27 C 6250 0.16 E 250 0.16
28 C 5250 0.14 E250 0.14
29 PC 5250 0.14 10500 0.27
30 CL 8000 0.21 E000 0.21
31 PC 5000 0.13 E000 0.13
Monthly Loading(GPD/ft2): 0.14 0.14 #DIV/0!
Year to Date Loading(GPD/ft2):

I. +
FORM NOAR-210-13 NON-DISCHARGE APPUCATION REPORT(NDAR-
Did the application rates exceed the limits in Attachment B of your permit? ❑�
If not a basin,were the kept free of vegetation and raked?
DcornpiartDCompilant DMA-Compliant
If not a basin,were there any instances of effluent ponding in or runoff from the sites?
0 pit
If a basin,were there any instances of breakout from the berms?
Was the onsite automatically activated standby power source tested and operational?
If the facility is non-compliant,please explain in the space below the reason(s)the facility was not in camph nce. Provide in your explanation the date(s)of the non-compriance and desathethe commence
action(s)taken.Attach additional sheets if necessary.
Pendllee Certification
Operator in Responsible Charge(ORC)Certification
ORC: Stanley Buds Permitter:r: / MI-v 4 t 1
Certification No.: 993396 Signing O dsk Tr;h r 4. / Ceti et 0.,I,"
Phone Number: 252-5035307 Signing()faders 11d e - C' A 4r7
Grade: 3 y /,;
Has the ORC changed since the previous NDAR-2? El Yes Q� Plane Number.]? ' '5 - Y 5 9 permit Exp.:
l'/-6 47-2_
� Li I .� � J L Dab
signature Date
, Signature
I calk tod rpwdgrorw4 Vat Ns dsareart and at attadimenta sere t under my*adOn or Barad on my
,, Fry this signature,I
ceAtr+ this accurate and completeware Crest of my ervision In accordance
wit a afalrar dryndto asses fort al q.ried personnel propedy and autMred the dla uasar
MipryafMmeowpemmeatemtrmothesplem,artosepersonsdredMltrespond*fer gathering the wonm n,the
informationsubedited is,to the best darpM_Misadbold,true,accurate,and complete.I am mem test them lire ablikani
penmen tr.suland os lies ionamon,Selledkie es pessleSSartinesandhnpdwsnnrttarimainpvieidons.
Mail Original and Two Copies to:
Division of Water Resources
information Processing Unit
1617 Mall Service Center
Raleigh,North Carolina 27699.1617

GROUNDWATER QUALITY MONITORING: Mail Original DEPARTMENT OF ENVIRONMENT&NATURAL RESOURCES
to: WATER QUALITY DIVISION,GROUNDWATER SECTION
COMPLIANCE REPORT FORM 1636 MAIL SERVICE CENTER
FACILITY INFORMATION RALEIGH,NC 27699-1636 Phone:[phone]
Please Print Clearly or Type
Facility Name:���j�rj�-Q �Q� PERMIT#: EXPIRATION DATE:
Permit Name(if different): Non-Discharge `j, IX -1 1 UIC
Fa 'ity Address' C-oa -4s-- cY��d-- '`Ec)... NPDES •
�» sn Coun CMI*fla
� TYPE OF PERMITTED OPERATION BEING MONITORED
Contact Person. (bp)
tY
r Telephone#: �'1 —�(�q Lagoon Remediation:Infiltration Gallery
Well Location/Site Name: 1 No.of Wells to be Sampled: Li Spray Field Remediation:
(tr Permit) �, Rotary Distributor Land Application of Sludge
Well Identification Number(from Permit): 1 For Groundwater Treatment Systems Other.
Well Depth: 1 ft. Well Diameter:_al.-in. Check One:❑ Influent (98)
Screened Interval: ft. to ft. 0 NOTE: Values should reflect dissolved and
Depth to Water Level: '(S-•(2 AL.-below measuring point. Effluent (99) MAY 0 9 2022
Measuring Point(M.P.)is: ft.above land surface. Relative M.P. Elevation in ft.: colloidal concentrations.
Gallons of water pumped/bailed before sampling: 1 •5 Date sample collected 1.2;_, 10Z2. Date sample analyzed:
Field analysis: pH , Specific Conductance uMhos Laboratory Name: 7 nt.v'vr•.rs.o•lk' t , .4LL.
•
Temp. _ C, Odor Appearance Certification No. I 0
•
PARAMETERS (Samples for metals were collected unfiltered YES NO and field acidified YES NO)
COD mg/I Nitrite (NO2) as N mg/ Ni - Nickel mg/I
Coliform: MF Fecal I /100m1 Nitrate (NO3) as N 0 .1 I mg/ Pb - Lead mg/I
Coliform: MF Total /100m1 Phosphorus: Total as P . 0;31_ mg/ Zn -Zinc mg/I
(Note:Use MPN method for highly torpid `'samples) Orthophosphate mg/ Ammonia Nitrogen 0 i O i f mg/I
Dissolved Solids: Total J-• mg/I Al - Aluminum m9/ Other (Specify Co
pH (when analyzed) units Ba - Bariumm ounds and Concentration Units)
TOC Li • ti mg/I Ca - Calcium mg/ F�<<� I 4, �25 �� I
Chloride m
c1 mg/I Cd - Cadmium mg/
Arsenic mg/I Chromium: Total mg/
Grease and Oils mg/I Cu - Copper ,v mg/
Phenol mg/I Fe - Iron � mg/ ORGANICS: (GC,GC/MS,HPLC)
Sulfate mg/I Hg - Mercury
Specific Conductance uMhos K - Potassium MAY 02 2022.. mg/ (Specify test and method U.Attach lab report)
S Ammonia mg/ Report Attached? Yes (1) No (0)
mg/I Mg - Magnesium NA iGT mg/ VOC : method#=
TKN as N mg/I Mn - Mangane a lG ' mg/
: method#=
. : method#=
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 North Carolina DWO(formerly DEM)certified laboratory.I am aware that there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations. !'j
Permittee(or onzed Agent)Name and Title•Please print or type
.a W-59
Rev.03/2000 Signature P mittee(o�uthorized Agent) e)

•
'GROUNDWATER QUALITY MONITORING: Mail Original DEPARTMENT OF ENVIRONMENT&NATURAL RESOURCES
to: WATER QUALITY DIVISION,GROUNDWATER SECTION
COMPLIANCE REPORT FORM 1636 MAIL SERVICE CENTER
FACILITY INFORMATION RALEIGH,NC 27699-1636 Phone:[phone]
_ Please Print Clearly or Type
Facility Name:��Yj` �p`� �Qct�c�('� PERMIT#: EXPIRATION DATE:
Permit Name(if different): Non-Discharge a-1 UIC
Fa 'i Address: C.i� DES •
ry COtJR!!i Y V6_W.c7 - s
cay) Stat Count `` e-` *- TYPE OF PERMITTED OPERATION BEING MONITORED
(Zip)
Y Cfi ti'�Q
Contact Person. a Lagoon Remediation:Infiltration Gallery��r` Telephone#: �S2"1.1.5-,1.(.Z�f 9
Well Location/Site Name: No.of Wells to be Sampled: Spray Field Remediation:
(trQ Permit) ''C, Rotary Distributor Land Application of Sludge Well Identification Number(from Permit): 1 For Groundwater Treatment Systems Other.
Well Depth: 1 ft. Well Diameter:_ ,in. Check One:❑ Influent (98)
Screened Interval: ft. to ft. NOTE: Values should reflect dissolved and
Depth to Water Level: 1 O .3C ft. below measuring point, Effluent (99)
Measuring Point(M.P.)is: ft.above land surface. Relative M.P. Elevation in ft.: colloidal concentrations.
Gallons of water pume�e,d/bL fled before sampling: .,," Date sample collectealdila. Date sample analyzed:
Field analysis: pH , Specific Conductance uMhos Laboratory Name: ' rw,.tror.y-►.4.1k` t, ..�"..L
Temp. 11 °C, Odor Appearance Certification No. 10
PARAMETERS (Samples for metals were collected unfiltered YES NO and field acidified YES NO)
COD mg/ Nitrite (NO2) as N mg/ Ni - Nickel mg/I
Coliform: MF Fecal 1 /100m Nitrate (NO3) as N 4, k 1 mg/ Pb - Lead mg/I
Coliform: MF Total /100m Phosphorus: Total as P . I. (45 mg/ Zn -Zinc mg/I
(Note:Use MPN method for highly turbid samples) Orthophosphate mg/ Ammonia Nitrogen 0 a 1 0 mg/I
Dissolved Solids: Total 3') 0 mg/ Al - Aluminum mg/ Other (Specify Compounds and Concentration Units)
pH (when analyzed) units Ba - Barium mg/ ki c,` \ O 1 \CIS ma()1 1
TOC 3. (4 Z. mg/ Ca - Calcium mg/
Chloride 1 \ C mg/ Cd - Cadmium mg/
Arsenic mg/ Chromium: Total mg/
Grease and Oils mg/ Cu - Copper mg/
Phenol mg/ Fe - Iron mg/ ORGANICS: (GC,GC/MS,HPLC)
Sulfate mg/ Hg - Mercury mg/Specific Conductance 9/ (Specify test and method#.Attach lab report.)
p uMhos K- Potassium mg/ Report Attached? Yes (1) No 4-----(b)
Total Ammonia mg/ Mg - Magnesium mg/ VOC : method#=
TKN as N mg/ Mn - Manganese mg/ : method#=
• : method#=
!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 North Carolina DWQ(formerly DEM)certified laboratory.lam aware that there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations.
Per irprittee(or Autho' t)Nan*and Title- ease print or type
a W-59 Z-
Rev. 03/2000 Signature of Perk ee(or Authorized Agent) �( 1e)

GROUNDWATER QUALITY MONITORING: Mail Original DEPARTMENT OF ENVIRONMENT&NATURAL RESOURCES
to: WATER QUALITY DIVISION,GROUNDWATER SECTION
COMPLIANCE REPORT FORM 1636 MAIL SERVICE CENTER
FACILITY INFORMATION RALEIGH,NC 27699-1636 Phone:[phone]
Please Print Clearly or Type
Facility Name:�0q�j�.� cQ� PERMIT#: EXPIRATION DATE:
Permit Name(if different): Non-Discharge uj.3 1 L , UIC
Fa 'ity Address: C-O� r7�p,�d, "�- NPDES •
City) t ell Slat Count 0-t-�- t4Q� TYPE OF PERMITTED OPERATION BEING MONITORED
trip) Y
Contact Person( i ri c— Telephone#: AS2—1.t,S--,L1.2.1 Lagoon Remediation: Infiltration Gallery
Well Location/Site Name: 3 No.of Wells to be Sampled: Spray Field Remediation:
mil,Permit) ‘/C Rotary Distributor Land Application of Sludge
Well Identification Number(from Permit): j For Groundwater Treatment Systems Other.
Well Depth: f l—_A1Tft. Well Diameter:__...a...in. Check One: ❑ Influent (98)
Screened Interval: ft. to ft. 0 Effluent (99) NOTE: Values should reflect dissolved and
Depth to Water Level: J'(CS ft. below measuring point. colloidal concentrations.
Measuring Point(M.P.)is: ft.above land surface. Relative M.P. Elevation in ft.:
Gallons of water pumped/bailed before sampling: a..5 Date sample collected; ..?) 1,;4 Date sample analyzed:
Field analysis: pH -1 I7 , Specific Conductance uMhos Laboratory Name: Z. vv.krcr..r..o."t Io11L
Temp. I ) °C, Odor Appearance Certification No. ll 0 .
PARAMETERS (Samples for metals were collected unfiltered YES NO and field acidified YES NO)
COD mg/ Nitrite (NO2) as N mg/ Ni - Nickel mg/I
Coliform: MF Fecal I /100m Nitrate (NO3) as N 0. I(o mg/ Pb - Lead mg/I
Coliform: MF Total /100m Phosphorus: Total as P . 0 , t-Il(. mg/ Zn _Zinc mg/I
(Note:Use MPN method for highly turbid samples) Orthophosphate mg/I Ammonia Nitrogen 0 A I ?ti mg/I
Dissolved Solids: Total 300 mg/ Al - Aluminum mg/ Other (Specify Compounds and Concentration Units)
pH (when analyzed) units Ba - Barium mg/ 16L. l ci nC) / t,,,.c) l/
TOC 11, LI tZ mg/ Ca - Calcium mg/
Chloride .1,5 mg/ Cd - Cadmium mg/
Arsenic mg/ Chromium: Total pJ mg/
Grease and Oils g
m /
mg/ Cu - Copper ,;,-,<; -
Phenol
mg/ Fe - Iron mg/ ORGANICS: (GC,GC/MS,HPLC)
Sulfate mg/ Hg - Mercury m9� (Specify test and method#.Attach lab report.)
p uMhos K - Potassium mg/ Report Attached? Yes (1) No___. (0)
Total Ammonia mg/ Mg - Magnesium mg/ VOC : method#=
TKN as N mg/ Mn - Manganese mg/ : method#=
: method#=
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 North Carolina DWQ(formerly DEM)certified laboratory.lam aware that there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations. . '
Permittee(or Authorized Agent)NAO.Title-Please p' t or type /
3W-59 � 1
Rev. 03/2000 Signature of Permittee(or Ault),riz••Agent) (Date)

GROUNDWATER QUALITY MONITORING: Mail Original DEPARTMENT OF ENVIRONMENT&NATURAL RESOURCES
to: WATER QUALITY DIVISION,GROUNDWATER SECTION
COMPLIANCE REPORT FORM1636 MAIL SERVICE CENTER
FACILITY 1Nt ORMATION RALEIGH,NC 27699-1636 Phone:[phone]
Please Print Clearly or Type
Facility Name:��b�`4 CQv�c PERMIT#: EXPIRATION DATE:
Permit Name(if different): Non-Discharge L�.'�(no xi 1{) UIC
Fa 'ity Address: C0Wit' (I NPDES
a» Sta, CountyQ4 t T TYPE OF PERMITTED OPERATION BEING MONITORED
Contact Person. e_ iZwt
�0 ri Telephone#: 2—1 —,11.2.1 Lagoon Remedialion: Infiltration Gallery
Well Location/Site Name' No.of Wells to be Sampled: zj Permit)
Spray Field Remediation:
Well Identification Number(from Permit): L(
t'` Rotary Distributor Land Application of Sludge
Well Depth: For Groundwater Treatment Systems Other.
P ,Z.Q ft. Well Diameter:, . in. Check One: ❑ Influent (98)
Screened Interval: ft. to ft.
Depth to Water Level:-7(Co L. ft. below measuring point. El
(99) NOTE: Values should reflect dissolved and
Measuring Point(M.P.)is: ft.above land surface. Relative M.P. Elevation in ft.; colloidal concentrations.
Gallons of water pumped/bailed before sampling: )1/4, ' Date sample collected:3 1.2.-`6 121— Date sample analyzed:
Field analysis: pH Specific Conductance uMhos Laboratory Name: Z 11cc..✓0n.r74C�` V.-i\L
Temp. I °C, Odor Appearance Certification No. i 0
PARAMETERS (Samples for metals were collected unfiltered YES NO and field acidified YES NO)
COD mg/I Nitrite (NO2) as N mg/I Ni - Nickel mg/I
Coliform: MF Fecal /100m1 Nitrate (NO3) as N (. 39 mg/I Pb - Lead mg/I
Coliform: MF Total /100m1 Phosphorus: Total as P . f�o� mg/I Zn _Zinc mg/I
(Note:Use MPN method for highly turbid samples) Orthophosphate mg/ Ammonia Nitrogen Q • Q LI mg/I
Dissolved Solids: Total 3 i' g/ Other (Spe ' Compounds and Concentration Units)
� mg/I AlAI -Aluminum
pH (when analyzed). units Ba - Barium g- Ni c\ ct� g b �� 1 t
TOC mg/I Ca - Calcium
Chloride 1 a..1 mg/I Cd - Cadmium mg/
Arsenic m9/
mg/I Chromium: Total mg/
Grease and Oils mg/I Cu - Copper DJ mg/
•
Phenol mg/I Fe - Iron
mg/ ORGANICS: (GC,GC/MS,HPLC)
Sulfate mg/I Hg - Mercury 2 (Specify test and method #.Attach lab report.)
Specific Conductance uMhos K - Potassium MAY 0 9 202
Total Ammonia mg/ Report Attached? Yes (1) No �0)
mg/I Mg - Magnesium mg/ VOC : method It=
TKN as N mg/I Mn - Manganese mg/9 : method#=
• : method#=
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 North Carolina DWO(formerly DEM)certified laboratory.I am aware that there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations. pr „op
Permi e or Au orized Agent)Name and Title-Please print or type
3W-59
GeV.03/2000 Signature of Permittee4-0
horized Agent) (Date)"

y�y(/7❑ ,
E IJ\:1�TEDHLLJ_�LFO'R 11, _lJ CCDT LJ[FW j&@r, Drinking Water ID: 37715
Wastewater ID: 10
114 OAKMONT DRIVE PHONE [phone]
GREENVILLE, N.C. 27858 FAX [phone]
ID#: 287 B
PEBBLE BEACH (HYDROTECH)
ATTN: DON O'MARA
HYDROTECH DATE COLLECTED: 03/28/22
P.O. BOX 4602 DATE REPORTED : 04/12/22
EMERALD ISLE, NC 28594
REVIEWED BY: ��.0 �--��
Well #1 Well #2 Well #3 Well #4 Analysis Method
PARAMETERS Date Analyst Code
PH (field measurement), Units 7.7 7.4 7.7 7.7 03/28/22 PJC 4500HB-11
Fecal Coliform (MF), /100 Mls <1 <1 <1 2 03/28/22 CAW 9222D-15
Ammonia Nitrogen as N, mg/I <0.04 0.10 0.12 0.04 03/30/22 KES 350.1 R2-93
Nitrate Nitrogen as N, mg/I 0.71 4.11 0.16 6.34 03/30/22 BMD 353.2 R2-93
Total Phosphorus as P, mg/I 0.32 1.65 0.46 2.07 03/31/22 TRJ 365.4-74
Total Organic Carbon, mg/I 4.04 3.62 17.48 2.79 03/30/22 JMS 5310C-14
Chloride, mg/I 19 115 25 121 03/30/22 HCE 4500CLB-11
Total Dissolved Residue, mg/I 230 370 300 395 03/29/22 CAW D5907-13
Sodium, ug/I 14568 101195 19001 86780 04/01/22 LFJ EPA200.7
Static Water Level, feet 15.62 10.30 8.65 7.62 03/28/22 PJC
Water Bailed, Gals. 1.5 2.5 2.5 2.5 03/28/22 PJC