WQ0000795_Monitoring - 03-2022_20220420 (3)

GW-59A COMPLIANCE REPORT FORM Permit r f q'S 1� j�
(Submit one each monitoring jieriod with GW-59 farms.) 't"
n
j Enter date monitoring results were due. ( ill this monitoring report(GW-59 and GW-59A) YES NO
be submitted after the established due date
2 Was any required information missing on the GAY-59 report forms? YES V
IF the answer to question 1 or 2 is"YES", list in the space provided below the well identification number(s)and V
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.)?tithe answer is "Yes", contact the Regional Office for guidance. `(/
4 Are any monitored constituents equal to or above the established standards? YA 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 g /below: Q i �) 1 I 114 q
163- (As Iv it--rO,S I W CJ PIT `l.�
PW 5;3 ( 1( eQ.2 CU 7,i-, , Lc 12 f f-1 5.7
Cko(de 3'-tS c ) to PP (1 .5 /
5 For the constituents identified in question 4 above, have standards been exceeded previously for the YES NO
same constituent(s)in the same well(s)in the last fWo 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 ow, ea h w ith constituent(s)exceeding
standards, concentration(s)reported, and sample collection date f h odrr (for the last two years).
ii
6 011- c.i 5 ( ��.dshe 11
0
N
Are the monitoring wells listed in section 5 located at or beyon _e review fri tdary? YES Nq'
if the answer is "YES", a groundwater quality problem maybe orrring. CONTACT THE REGIONAL
OFFICE IMMEDIATELY FOR GUIDANCE.If the answer is "NO", monitoring wells me be improperly
located;contact the Regional Office.
f
7 Is the permittee implementing previously approved actions required by the Division involving this YES NO/
ground! aater quality problem? `(I
If the answer to question 7 is "YES", describe those actions in the space provided below.
If the answer to question 7 is "NA)"; contact the Regional Office within 90 days;an evaluation mibe
required to determine the impact the waste disposal system is having at the review and compliance
boundaries surrounding this tdcility. Failure to do so may subject the permittee to a Notice of Violation
fines and/or penalties.
-o
70
per,
8 The person completing this portion(GY 59A)of the monitorin jre i should sign below and submit this
form with Gl' '59 forms for required v'`ells to the address prov`a d at the top of the current GW-59 form.
r
N
I hereby acknowledge that the above info bon was evaluated and the informAtion submitted in this
report(Com fiance Report e'1= is 'u d complete to the liesi:of my kndwledge.
1 /.7
--___ ( A 44 (992-2_,,
Sign re o er ttee(or Authorized Agent) / p e .
G\V'-59,1 I2/8/2003

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER (QUALITY MONITORING: Matl original DEPARTMENT OF ENVIRONMENT&NATURAL'RESOURCES
and I copy to: "IVISIOi OF WATER QUALITY-INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM '1617MlAIL SERVICE CENTER,RALEIGH,NC 27699-1617 Phone:[phone]
FACILITY INFORMATION Please Pant Clearly or Type PERMIT Number: W00000795 Expiration Date: 2/28/22
Facility Name: Surf City W.W.T.P Non-Discharge UIC
Permit Name•(if different): NPDES Other
Facility Address: PO Box 2475 TYPE OF PERMITTED OPERATION BEING MONITORED
Surf City NC 28445 County Onslow ❑ Lagoon ❑Remediation: Infiltration Gallery
�. Spray Field ❑Remediation:
Contact Person: Zachary Butler Telephone#: [phone] ❑ Rotary Distributor ❑Land Application of Sludge
Well Location/Site Name:zone 1 No. of wells to be sampled: 1 ❑ Water Source Heat Pump ❑Other:
(from Permit)
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): well 3 Date sample collected: 3/18/22 FIELD ANALYSES: WAS
Well Depth: 18.2 ft. Well Diameter: 2 in. pH 00400 5.3 units Temp. 000io: 16.4 °C DRY at
Depth to Water Level 82546:6.1Mhos time of
p ft. below measuring point Screened Interval: 17 ft. to 18.2 ft. Spec. Cond.00094: µ sampling,
Measuring Point is 3.4 ft. above land surface Relative M.P. Elevation: ft. Odor 00085: none check
Volume of water pumped/bailed before sampling: 5.0 gallons Appearance It tan I mild turbid here:! i
Samples for metals were collected unfiltered: ❑YES ❑ NO and field acidified: ❑YES Li NO
u
LABORATORY INFORMATION
Date sample analyzed:see report Laboratory Name: Envirochem Certification No. 94
PARAMETERS NOTE:Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L Nitrite(NO2)as N oos15 <0.02 mg/L Pb-Lead o1os1 ug/L I;
Coliform:MF Fecal 31616 <1 /100mL Nitrate(NO3)as N 00620 0.16 mgiL Zn-Zinc 01092 mg/L a I
Coliform: MF Total 31504 /100mL Phosphorus: Total as P 00665 0.15 mg/L
(Note. Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other(Specify Compounds and Concentration Units):
Dissolved Solids:Total 7o3oa 520 mg/L Al-Aluminum o1105 mg/L
pH(Lab)00403 units Ba-Barium 01007 ug/L
TOC 00680 5.4 mg/L Ca-Calcium oos16 mg/L
Chloride o0940 244 mg/L Cd-Cadmium 01027 .ag/L
Arsenic 01602 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 mgiL Hg-Mercury 71900 ,ttg/L Lab Report Attached? ❑ Yes(1) ❑ No(0)
Specific Conductance 00095 µMhos K-Potassium oos37 mg/L VOC 78732: , method#_
Total Ammonia 0os10 <0.2 mg/L Mg-Magnesium 00927 mg/L , method#
(Ammonia Nitrogen;NH,as N,Ammonia Nitrogen,Total) Mn-Manganese Q1055 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 belts{,theinform-t'on auto-::'ad in this report Is true,accurate,and complete and that the laboratory analytical data was prodtirad using approved methods of analysis by a
DWG certified laboratory. I at-: a::ate that there art--s:y';"^ant penalties for submitting false information,including the possibility of fines a."imrtitt -nme.:`nkn.^winn via'at:ons
{
Zachary Butler ORC . 4/5/22
Permittee(or Authorized Agent)Name and Title-Please print or type Sign Hof Per Sttee or Authorized Agent (Date)
GW-59 Rev.2/2010

Environmental Chemists, Inc.
envirochem 6602 Windmill Way,Wilmington,NC 28405 • 910.392.0223 Lab • 910.392.4424 Fax
710 Bowsertown Road,Manteo,NC 27954 • 252.473.5702 Lab/Fax
spa 255-A Wilmington Highway,Jacksonville,NC 28540 • 910.347.5843 Lab/Fax
ANALYTICAL&CONSULTING CHEMISTS [e-mail]
Town of Surf City Date of Report: Mar 30, 2022
Post Office Box 2475 Customer PO#:
Surf City NC 28445 Customer ID: 08110024
Attention: Report#: 2022-05065
Project ID: Sarge Martin MWs
Lab ID Sample ID: Collect Date/Time Matrix Sampled by
22-12131 Site: MW-3 3/18/2022 9:25 AM Water McHomeylDiab
Test Method Results Date Analyzed
Color Color Lt Tan/Mild Turb 03/18/2022
Depth to water, ft. Depth to Water,Ft. 6.1 feet 03/18/2022
Ammonia Nitrogen EPA 350.1,Rev.2.0.1993 <0.2 mg/L 03/24/2022
Gallons bailed before sampling Gallons Bailed before sampling 5.0 gallons 03/18/2022
Odor Qualitative None 03/18/2022
Total Dissolved Solids(TDS) SM 2540 C-2015 520 mg/L 03/21/2022
Temperature SM 2550 B-2010 16.4 C 03/18/2022
pH SM 4500 H B-2011 5.3 units 03/18/2022
Total Phosphorus SM 4500 P(F-H)-2011 0.15 mg/L 03/29/2022
Total Organic Carbon (TOC) SM 5310 B-2014 5.4 mg/L 03/21/2022
Fecal Coliform SM 9222 D-2015 MF <1 Colonies/100mL 03/18/2022
Chloride SM4500 Cl E-2011 244 mg/L 03/21/2022
filtrate Nitrogen (Cale)
Nitrite Nitrogen EPA 353 2,Rev.2.0,1993 < 0.02 mg/L 03/18/2022
Nitrate+Nitrite-Nitrogen EPA 353.2,Rev.2.0,1993 0.16 mg/L 03/23/2022
Nitrate Nitrogen Subtraction Method 0.16 mg/L 03/30/2022
Report#. 2022.05085 Page 1 of 4

SUBMIT FORM ON YFI.I OW PAPER ONLY
Mail original IDEPARTMIWT OF ENVIROUMENT& NATURAL RESOURCES
GROUNDWATER QUALITY MONfTORING: 9 copy to, IDIVISION OF WATER QUALITY-INFORMATION PROCESSING UNIT
d
COMPLIANCE REPORT FORM 1617 MAIL SERVICE CENTER,RALEIGI,NC 27699-1617 Phone:[phone] I
FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: WQ0000795 Expiration Date: 2/28/22
Facility Name: Surf City W.W.T.P Non-Discharge UIC
Permit Name(if different): FNPDES Other
Facility Address: PO Box 2475 -TYPE OF PERMITTED OPERATION BEING MONITORED
Surf City NC 28445 County Onslow ❑ Lagoon g El Infiltration Gallery
L Spray Field ❑Remediation:
Contact Person: Zachary Butler Telephone#: [phone] ❑ Rotary Distributor ❑Land Application of Sludge
Well Location/Site Name:zone 1 No.of wells to be sampled: 1 ❑ Water Source Heat Pump 0 Other:
(from Permit)
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): well 4 Date sample collected: 3/18/22 FIELD ANALYSES: WAS
Well Depth: 18.4 ft. Well Diameter: 2 in. pH 00400: 6.2 units Temp.00o10: 16.8 °C DRY at
Depth to Water Level 82546:4.2 ft. below measuring point Screened Interval: 16.4 ft. to 18.4 ft. Spec.Cond.00094: µMhos time of
MeasuringPoint is 2.2 sampling,
ft. above land surface Relative M.P. Elevation: ft. Odor 00085: none check
Volume of water pumped/bailed before sampling: 5.0 gallons Appearance mostly clear here:0
Samples for metals were collected unfiltered: ❑YES ❑ NO and field acidified: ❑YES ❑NO
LABORATORY INFORMATION
Date sample analyzed:see report Laboratory Name: Envirochem Certification No. 94
PARAMETERS NOTE:Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L Nitrite(NO2)as N owls <0.02 mg/L Pb-Lead oiosi ug/L
Coliform: MF Fecal 31616 <1 /100mL Nitrate(NO3)as N oos2o 0.15 mg/L Zn-Zinc 01092 mg/L
Coliform:MF Total 31se4 /100mL Phosphorus:Total as P miss <0.04 mg/L I.
(Note Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other(Specify Compounds and Concentration Units): I
)issolved Solids:Total 70300 793 mg/L Al-Aluminum o1105 mg/L
pH(Lab)00403 units Ba-Barium o1007 ug/L _ I
TOC oosso 4.7 mg/L Ca-Calcium owls mg/L
Chloride oos4o 345 mg/L Cd-Cadmium 01027 ug/L
Arsenic 01002 ug/L Chromium:Total 01034 ug/L
Grease and Oils 00552 mg/L Cu-Copper o1042 mg/L ORGAIJICS:(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? 0 Yes(1) ❑ No(0)
Specific Conductance 000ss µMhos K-Potassium 00937 mg/L VOC 78732: , method#
Total Ammonia owl() <0.2 mg/L Mg-Magnesium 00927 mg/L ,method#
(Ammonia Nitrogen,NH,as N,Ammonia Nitrogen,Total) Mn-PManganese 01055 ug/L , method#
TKN as N oe625 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 kr.owiedge and belief,the information submitted in this report is true,accurate,and complete,and that the laboratory analytical data was produced using apsroveo met`_ds of analysis by a
e` --Gill *1 t-,.r tory, m-w r the th re ii' •--.....-t peno..—for s,,f.::,° -m r;113e information,including the possibility of fines and irnpris^rment for kr.-':b?viols.-o-
Zachary Butler ORG '� . j.r / ` _ 4/5/22
Permittee(or Authorized Agent)Name and Title-Please print or type Sig • ure,nf P' itte- or Authorized Agent) (Date)
GW-59 Rev.2/2010

i
e v roche n r
Environmental Chemists, Inc,
6602 Windmill Way,Wilmington,NC 28405 • 910.392.0223 Lab • 910.392.4424 Fax
710 Bowsertown Road,Manteo,NC 27954 • 252.473.5702 Lab/Fax
SM 255-A Wilmington Highway,Jacksonville,NC 28540 • 910.347.5843 Lab/Fax
•
ANALYTICAL&CONSULTING CHEMISTS [e-mail]
Town of Surf City Date of Report: Mar 30, 2022
Post Office Box 2475 Customer PO#:
Surf City NC 28445 Customer ID: 08110024
Attention: Report#: 2022-05065
Project ID: Sarge Martin MWs
Lab ID Sample ID: Collect Date/Time Matrix Sampled by
22-12132 Site: Mw-4 3/18/2022 9:35 AM Water McHorney/Diab
Test Method Results Date Analyzed
Color Color Mostly Clear 03/18/2022
Depth to water,ft. Depth to Water,Ft 4.2 feet 03/18/2022
Ammonia Nitrogen EPA 350.1,Rev.2 0,1993 <0.2 mg/L 03/24/2022
Gallons bailed before sampling Gallons Balled before sampling 5.0 gallons 03/18/2022
Odor Qualitative None 03/18/2022
Total Dissolved Solids(TDS) SM 2540 C-2015 793 mg/L 03/21/2022
Temperature SM 2550 B-2010 16.8 C 03/18/2022
pH SM 4500 H B-2011 6.2 units 03/18/2022
Total Phosphorus SM 4500 P(F-H)-2011 <0.04 mg/L 03/29/2022
Total Organic Carbon (TOC) SM 5310 B-2014 4.7 mg/L 03/21/2022
Fecal Coliform SM 9222 D-2015 MF <1 Colonies/100mL 03/18/2022
Chloride SM4500 CI E-2011 345 mg/L 03/21/2022
Nitrate Nitrogen(Calc)
Nitrite Nitrogen EPA 353.2,Rev.2.0,1993 < 0.02 mg/L 03/18/2022
Nitrate+Nitrite-Nitrogen EPA 353.2,Rev.2.0,1993 0.15 mg/L 03/23/2022
Nitrate Nitrogen Subtraction Method 0.15 mg/L 03/30/2022
Report#. 2022-05055
Page 2 of 4

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
original DEPARTMENT OF ENVIRONMfN'T&NATURAL RESOURCES
and I Co3y to: %DIVISION OF WATER QUALITY-INFORMATION PROCESSING IYIl'T
COMPLIANCE REPORT FORM 41617 MAIL SERVICE CENTER,RALEIGH,NC 27699-1617 Phone:[phone]
FACILITY INFORMATION P/ease Pont Clearly or Type PERMIT Number: WQ0000795 Expiration Date: 2/28/22 if
Facility Name: Surf City W.W.T.F Non Discharge UIC 1
Permit Name(if different): NPDES Other I
Facility Address. PO Box 2475 TYPE OF PERMITTED OPERATION' BEWIG MONITORED 1
Surf City NC 28445
County Onslow ❑ Lagoon
❑ Remediation: Infiltration Gallery
if Spray Field ❑Remediation:
Contact Person: Zachary Butler Telephone#: [phone] ❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name:zone 15 No.of wells to be sampled: 1 ❑ Water Source Heat Pump ❑Other:
(from Permit)
SAMPLING INFORMATION IM1 ELL
WELL ID NUMBER(from Permit): well 7 Date sample collected: 3/18/22 FIELD ANALYSES: WAS
Well Depth: 28.2 ft. Well Diameter: 2 in. pH o0400: 6.9 units Temp. 00010: 15.3 °C DRY at
Depth to Water Level 82546:0.0 ft.below measuringpoint Screened Interval: 26.2 ft. to 28.2 time of
ft. Spec. Cond. oao94: µMhos
Measuring Point is 1.7 ft. above land surface Relative M.P. Elevation: ft. Odor 00085- none chck ng,�i
check
Volume of water pumped/bailed before sampling: 5 gallons Appearance clear here:'esam L
Samples for metals were collected unfiltered: ❑YES ❑ NO and field acidified: ❑YES ❑NO L_P
LABORATORY INFORMATION
Date sample analyzed:see report Laboratory Name: Envirochem Certification No. 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 o10s1 ug/L
Coliform. MF Fecal 3161e <1 /100mL Nitrate(NO3)as N oo6zo 0.10 mg/L Zn-Zinc 01092 mg/L
Coliform: MF Total 31504 /100mL Phosphorus: Total as P oases 0.18 mg/L
(Note Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other(Specify Compounds and Concentration Units):
Dissolved Solids:Total 7o3oa 238 mg/L Al-Aluminum oiios mg/L
li
pH(Lab)00403 units Ba-Barium 01007 ug/L
TOC 00680 1.9 mg/L Ca-Calcium o0916 mg/L
Chloride 00940 7 mg/L Cd-Cadmium 01027 ug/L '
Arsenic 01002 ug/L Chromium: Total 01034 ug/L
Grease and Oils 00552 mg/L Cu-Copper o1042 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 oosio 0.2 mg/L Mg-Magnesium oos27 mg/L , method#
(Ammonia Nitrogen,Nil3as 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 Remnnal%
I certify that,to the best of my knowledge and belief the infonllation submitted in this report is true,accurate,and compete,and that the labcxa'ary analytical data was produced using approved me:".--is of analysis by a
DWO•certified laboratory. I am aware t.-t tt-.ers ere significant penalties for submit..": fr t to iri' rmation,including the co tt"t,of fin:, and imprisonmelt for know',ig vb2 1-o1-
Zachary Butler ORC � ,� 4/5/22
Permittee(or Authorized Agent)Name and Title-Please print or type Sig lure of P--'nee(or Authorzeti Age (Date)
GW-59 Rev.2/2010
r

SUBMIT FORM ON YELLOW PAPER ONLY
—
Mail original mEPARTAFENT OF ENVIRONMENT&NATURAL'RESOURCES
GROUNDWATER QUALITY MONITORING: DIVISION OF WATEP.QUALITY-INFO/1e W IATti PROCESSING UNIT
•
and 1 copy to
COMPLIANCE REPORT FORM 1817 MAIL SERVICE CENTER,RALEIGH,NC 27699-1617 Phone:[phone]
FACILITY INFORMATION Please Print Clearly or Type PERMITI`Number: WQ0000795 Expiration Date: 2/28/22 I
Facility Name: Surf City W.W.T.P Non-Discharge UIC
Permit Name(if different): NPDES Other 1)
Facility Address: PO Box 2475 TYPE OF PERMITTED OPERATION BEING MONITORED
Surf City NC 28445 County Onslow ❑ Lagoon ❑Remediation: Infiltration Gallery
01 Spray Field ❑Remediation:
Contact Person: Zachary Butler Telephone#: [phone] ❑ Rotary Distributor ❑Land Application of Sludge
Well Location/Site Name:zone 6 No. of wells to be sampled: 1 ❑ Water Source Heat Pump ❑Other:
(from Permit _
SAMPLING INFORMATION y If WELL
WELL ID NUMBER(from Permit): well 8 Date sample collected: 3/18/22 FIELD ANALYSES: W/AS
Well Depth: 5.2 ft. Well Diameter: 2 in. pH o0400: 4.3 units Temp. 000to: 15.2 °C DRY at
Depth to Water Level 82546 5.1 ft. below measuringMhos time of
point Screened Interval: 4-99 ft. to 9.99 ft. Spec.Cond.00094: µ sampling,
Measuring Point is 3.0 ft. above land surface Relative M P. Elevation: ft. Odor 00085: none check
Volume of water pumped/bailed before sampling: 2 gallons Appearance tan/turbid here:u
Samples for metals were collected unfiltered: ❑YES ❑ NO and field acidified: ❑YES ❑NO
LABORATORY INFORMATION
Date sample analyzed:see report Laboratory Name: Envirochem Certification No. 94
PARAMETERS NOTE:Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L Nitrite(NO2)as N 00615 0.05 mgtL 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 1.25 mg/L
(Note. Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other(Specify Compounds and Concentration Units):
dissolved Solids:Total 70300 80 mg/L Al-Aluminum 01105 mg/L
pH(Lab)00403 units Ba-Barium 01007 ug/L
TOC 00680 3.3 mg/L Ca-Calcium 00916 mg/L
Chloride 00940 31 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 uglL Lab Report Attached? ❑ Yes(1) Ell No(0)
Specific Conductance 00095 µMhos K-Potassium 00937 mg/L VOC 78732: ,method#_
Total Ammonia wet <0.2 mg/L Mg-Magnesium 00927 mg/L , method# (
(Ammonia Nitrogen;Nit asN;Ammonia Nitrogen,Total) II
Mn-Manganese 01055 ug/L , method#
TKN as N 00625 mg/L Ni-Nickel 01067 uglL , 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 belie',the information submitted in this report is true,accurate,and complete,and that the labcscaory anal Item data was pro a::od using approved methods of analysts by a .'
DWQ-certifled tat:oratory. I am aware that there are significant penalties for submitting false inform-a:rn,irr'i:-ir-ter r "'"',,of f:d r..,9 and irnr„i onmenr fnr kno,r no violations.
Zachary Butler ORC Y , I^ . / 4/5/22
Permittee(or Authorized Agent)Name and Title-Please print or type Sign-.• -of P- ( e(or'uthorized Agent) " (Date)
GW-59 Rev.2/2010 1!

SUBMIT FORM ON YELLOW PAPER ONLY
Mail original DEPARTMENT OF ENVIRONMENT&NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING: and 1 copy to: DIVISION OF WATER QUALITY-INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM 1617 MAIL SERVICE CENTER,RALEIGH,NC 27699-1617 Phone:[phone]
FACILITY INFORMATION Please Print Cleary or Type PERMIT Number: W00000795 Expiration Date: 2/28/22
Facility Name: Surf City W.W.T.P Non-Discharge UIC
Permit Name(if different): NPDES Other
Facility Address: PO Box 2475 TYPE OF PERMITTED OPERATION BEING MONITORED
Surf City NC 28445 County Onslow U Lagoon ❑Remediation: Infiltration Gallery
Q Spray Field ❑Remediation:
Contact Person: Zachary Butler Telephone#: [phone] ❑ Rotary Distributor ❑Land Application of Sludge
Well Location/Site Name:zone H No.of wells to be sampled: 1 ❑ Water Source Heat Pump ❑Other:
(from Permit)
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): MW-9 Date sample collected: 3/18/22 FIELD ANALYSES: WAS
Well Depth: 12 ft. Well Diameter: 2 in. pH 00400: 4.0 units Temp.0001o: 15.5 °C DRY at
time of
Depth to Water Level 82546:2.7 ft. below measuring point Screened Interval: 2 ft. to 12 ft. Spec.Cond.00094: µMhos sampling,
Measuring Point is 2.5 ft. above land surface Relative M.P. Elevation: ft. Odor 00085: none check
Volume of water pumped/bailed before sampling: 5 gallons Appearance clear/brown solids here:Li
Samples for metals were collected unfiltered: ❑YES ❑ NO and field acidified: ❑YES ❑NO
LABORATORY INFORMATION
Date sample analyzed:see report Laboratory Name: Envirochem Certification No. 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°t051 ug/L
Coliform: MF Fecal 31616 <1 /100mL Nitrate(NO3)as N 00620 0.19 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 358 mg/L Al-Aluminum 01105 mg/L
pH (Lab)00403 units Ba-Barium 01007 ug/L
TOC oos8o 9.4 mg/L Ca-Calcium 00916 mg/L
Chloride 00940 203 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 ow 0.5 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%
I certify that,to the best of my knowledge and belief,the information submitted in this report is hue,accurate,and complete,and that the laboratory analytical data was produced using approved methods of analysis by a
0WO-certified laboratory_ I am aware that there are significant penalties for submitting false Information,including the possibility of fines and imprisonment rcr Knowing t.alations.
- r ,
irr
Zachary Butler ORC 4/5/22
Permittee(or Authorized Agent)Name and Title-Please print or type Signature.• -ermittee or Authorized Agent) (Date)
GW-59 Rev.2/2010 /

Environmental Chemists, Inc.
n 'irohenn 6602 Windmill Way,Wilmington,NC 28405 • 910.392.0223 Lab • 910.392.4424 Fax
srn 710 Bowsertown Road,Manteo,NC 27954 • 252.473.5702 Lab/Fax
255-A Wilmington Highway,Jacksonville,NC 28540 • 910.347.5843 Lab/Fax
ANALYTICAL&CONSULTING CHEMISTS [e-mail]
environmentalchemists.com
Town of Surf City Date of Report: Mar 30, 2022
Post Office Box 2475 Customer PO#:
Surf City NC 28445 Customer ID: 08110024
Attention: Report#: 2022-05065
Project ID: Sorge Martin MWs
Lab ID Sample ID: Collect Date/Time Matrix Sampled by
22-12133 Site:MW-7 3/18/2022 9:55 AM Water McHorney/Diab
Test Method Results Date Analyzed
Color Color Clear 03/18/2022
Depth to water, ft. Depth to Water,Ft. 0.0 feet 03/18/2022
Ammonia Nitrogen EPA 350.1,Rev.2.0,1993 0,2 mg/L 03/24/2022
Gallons bailed before sampling Gallons Bailed before sampling 0.50 gallons 03/18/2022
Odor Qualitative None 03/18/2022
Total Dissolved Solids(TDS) SM 2540 C-2015 238 mg/L 03/21/2022
Temperature SM 2550 B-2010 15.3 C 03/18/2022
pH SM 4500 H B-2011 6.9 units 03/18/2022
Total Phosphorus SM 4500 P(F-H)-2011 0.18 mg/L 03/29/2022
Total Organic Carbon (TOC) SM 5310 8-2014 1.9 mg/L 03/21/2022
Fecal Coliform SM 9222 D-2015 MF <1 Colonies/100mL 03/18/2022
Chloride SM4500 CI E-2011 7 mg/L 03/21/2022
NitratS NitroS'en (Cale)
Nitrite Nitrogen EPA 353.2,Rev.2.0,1993 < 0.02 mg/L 03/18/2022
Nitrate+Nitrite-Nitrogen EPA 353.2,Rev.2.0,1993 0.10 mg/L 03/23/2022
(`Nitrate Nitrogen Subtraction Method 0.10 mg/L 03/30/2022
Report# 2022-05085 Page 3 of 4

Environmental Chemists, Inc.
e:nvirochein 6602 Windmill Way,Wilmington,NC 28405 • 910.392.0223 Lab • 910.392.4424 Fax
710 Bowsertown Road,Manteo,NC 27954 • 252.473.5702 Lab/Fax
sM 255-A Wilmington Highway,Jacksonville,NC 28540 • 910.347.5843 Lab/Fax
ANALYTICAL&CONSULTING CHEMISTS [e-mail]
Town of Surf City Date of Report: Mar 30, 2022
Post Office Box 2475 Customer PO#:
Surf City NC 28445 Customer iD: 08110024
Attention: Report#: 2022-05065
Project ID: Sarge Martin MWs
Lab ID Sample ID: Collect Date/Time Matrix Sampled by
22-12134 Slte: MW-8 3/18/2022 9:15 AM Water McHorney/Diab
Test Method Results Date Analyzed
Color Color Tan/Turbid 03/18/2022
Depth to water, ft. Depth to Water,Ft 5.1 feet 03/18/2022
Ammonia Nitrogen EPA 350.1,Rev.2 0,1993 <0.2 mg/L 03/24/2022
Gallons bailed before sampling Gallons Bailed before sampling 2.0 gallons 03/18/2022
Odor Qualitative I'l ne 03/18/2022
Total Dissolved Solids(TDS) SM 2540 C-2015 80 mg/L 03/21/2022
Temperature SM 2550 B-2010 15.2 C 03/18/2022
pH SM 4500 H B-2011 4.3 units 03/18/2022
Total Phosphorus SM 4500 P(F-H)-2011 1.25 mg/L 03/29/2022
Total Organic Carbon (TOC) SM 5310 B-2014 3.3 mg/L 03/21/2022
Fecal Coliform SM 9222 D-2015 MF <1 Colonies/100mL 03/18/2022
Chloride SM4500 CI E-2011 31 mg/L 03/21/2022
Nitrate Nitrogen (Cale)
Nitrite Nitrogen EPA 353.2,Rev.20,1993 0.05 mg/L 03/18/2022
Nitrate+Nitrite-Nitrogen EPA 353.2,Rev.2.0,1993 0.05 mg/L 03/23/2022
Nitrate Nitrogen Subtraction Method <0.02 mg/L 03/30/2022
Comment:
Reviewed by: k JO A_kit 1A2ACia-''
Report# 2022-05065
Page 4 of 4

Date: 's r i / ).4"'
Facility Name: Certification# 94
(��
Analyst: -/�b �"rT044.+-�
/! Permit 1:
PH
Reference Method:SM4500 F1=B-2011 Instrument ID:
Calibration Time Cal Buffer 4.0 s.u. Cal Buffer 10.0 s.u. Check Buffer 7.0 s.u. Comments
-----"d
`pH check buffer must read within±0.1 pH units of the buffer's true value.
4 su buffer Lots/: Ricca 4112869 Exp 1 I/22 7 su buffer Lot=/: Ricca 2112A38 Exr.12/23 10 su buffer Lott RICCA 2112750 Eao.5/23
Sample location Sample Collection Sample Analysis pH Result )-Post-analysis Buffer
Time* Time♦ s.0 Check rabic s.u. I CommentsiData Qualifiers
Ael W- 3 I q: S"r'1�-- '
w: ../ I t Tr. 01:374--. (Q. #P
, w- 'I 'i:s-s~A 9'5 6. &9
Mw-$ 1:/1A-- I:/74--- q. 3•0
I►Post analysis buffer check is required uhen performing analyses at multiple sampllnQ locations and must be a:thin.0...unit of the buffer's true saluc
All pH salves in pH units(i.e,s u) Record all data to the nearest 0 01 s u and report to the nearest 0.1 s u
Total Residual Chlorine(TRC)
Reference method.S\!4500 CI-G20I I: Hach S 16 7 HR: (Please circle applicable Method Instrument ID
Daily Check Post-anal}sic
Time check Sample 5am 1 p
Check StdSample Sample TR('Result
Standard Result Standard . Collection Analysis
u�T r r mg'L (ts hen anal!.tine Location Agri.or m�l ( :mments U.=a Qualifier,
at slot esitest �nalyzcd Time Time =
fRt Daily Check Standard true salue uorL or mg 1 acceptance rrn_ee tie 1 or mu l y . .._
Check standards must recess Cr a ithtn=10%of the check standard•a true value
Annual Calibration Curse Verification Date: L0W- 1DEXX 2109792 Esp.Date 0 /31/22
Rea:at Blank Value _ (When applicable.Anuly,e and document a reagent blank a hen standard;,sample dilution,or P 1 Sample.,are prepared)
Dissolved Oxygen (DO)
Reference Method:S\l45000G.201I Instrument ID.
Cal.b.a.iu n Calibntr-n u ariable _ Post-analysis calibration _ _ _ .., s _ ,
♦Post-anal
\lever rea:itne s,,.
e:r': att'n I or`c etrieten I ucriticati n(is hen recesstn) I
! I.•.r tile;.•,
i Time I Bar,nte:ric f after calibration ���
Temperature - Teeretical Calculated
.............. re,sure _S'alnr mttT k alue moL
II '_~ �t
i I
t;e this rim uhen ill t fomning a serilination im[cad of
calibration
Sample Lecanen Sample Collection -Sample Analysis DO reading
����...�.� Time TM*.
Mg CommeraData Qualifiers
I '
♦When performing analyses at multiple locations,the meter must be recalibrated at each site before analysis or a post-analysis calibration serification must be performed.
-l.',an-71:is:-c a .. d�- _ t ....r er itc.'ri •l
.'ti 2C' 1 f: ti7:C Stet_ :j w,i•I be record.::t i_'S A !:that the:.are mCa:_.2.1 jr 5•.. i t».TCl-
Temperature
Reference Method:SM 2550 B 20,1IL— Instrument ID: .®
Sample ! tee.v
`Sample Temperature
Sample Location Collection }(! Analysis 'C Comments.Data Qualifiers
"�"�"-. ' "" Time Tftpe
r r �MM -I ru�..��
/M he - 3 gR.11 s-4 n ,--I , ,A.,, , --�---
Mw - a I:s ' `3: 07,r- 1t'.3
M os g fqs fr,_ 7:t7,�... fry
'I-,:atrc'c': -Clvn'-'!.1 . - ^a-an, - es: ,a •1
Annual Verification Date -e cunet,: ` - - r.-�;_rt'.
Field Personnel Note:
(PAN

Environmental Chemist, Inc., Wilmington, NC Lab#94
6602 Windmill Way
Wilmington, NC 28405
910.392.0223
.` Sample Receipt Checklist
Clien W Date: 3Ji&J Report Number:_ -- (, OI .S/ J
p
Receipt of sample: ECHEM PickupClient Delivery 0 tJPS❑ FedEx© Other 0
❑ YES 10 NO If N/A 1. Were custody seals present on the cooler?
❑ YES 0 NO N/A 2. If custody seals were present, were they intact/unbroken?
Original temperature upon receipt . .5 °C Corrected temperature upon receipt °C
How temperature taken: 0 Temperature Blank 0 Against Bottles
IR Gun ID:Thomas Traceable S/N 192511657 IR Gun Correction Factor°C:0.0
❑ YES 0 NO 3. If temperature of cooler exceeded 6°C, was Project Mgr./QA notified?
1k1 YES 0 NO 4. Were proper custody procedures (relinquished/received)followed?
YES 0 NO 5. Were sample ID's listed on the COC?
kYES 0 NO 6. Were samples ID's listed on sample containers?
YES 0 NO 7. Were collection date and time listed on the COC?
YES 0 NO 8. Were tests to be performed listed on the COC?
RYES 0 NO 9. Did samples arrive in proper containers for each test?
64 YES 0 NO 10. Did samples arrive in good condition for each test?
XI YES '❑ NO 11. Was adequate sample volume available?' (
1. YES 0 NO 12. Were samples received within proper holding time for requested tests?
YES ❑ NO 13. Were acid preserved samples received at a pH of<2?*
❑ YES 0 NO 14. Were cyanide samples received at a pH>12?
❑ YES 0 NO 15. Were sulfide samples received at a pH>9?
.-lp' YES ❑ NO 16. Were NH3/TKN/Phenol received at a chlorine residual of<0.5 mil?**
❑ YES 0 NO 17. Were Sulfide/Cyanide received at a chlorine residual of<0.5 m/L?
❑ YES 0 NO 18. Were orthophosphate samples filtered in the field within 15 minutes?
* TOC/Volatiles are pH checked at time of analysis and recorded on the benchsheet.
** Bacteria samples are checked for Chlorine at time of analysis and recorded on the benchsheet.
_ foommo'
Sample Preservation:
(Must be completed for any sample(s)incorrectly preserved or with headspace)
Sample(s) were received incorrectly preserved and were adjusted accordingly
by adding(circle one): H2504 HNO3 HCI NaOH
Time of preservation: If more than one preservative is needed,notate in comments below
Note:Notify customer service immediately for incorrectly preserved samples.Obtain a new sample or
notify the state lab if directed o an iyzed by the cust er.Who was notified,datg an time:
Volatiles Sample(s)— _were received with headspace '��- �~
COf RENTS;
DOC. QA.002 Rev 1

ind
illWay
ilmington,NC
envirochern ENVIRONMENTAL CH E M IT'S , I N' + OFF C`E 910'392 0223 FAX [phone]
Analytical&Consulting Chemists NCDEJ4R: MVO CERTIFICATION#94EI1CDHHS: DLS CERTIFICATION#37729 [e-mail]
COLLECTION AMID CHg W OF CUS1UIDY
!CLIENT: Town of Surf City PROJECT WAME: SargelMartinM'NN's REPORTIIO: , L - C)w
ADDRESS: CONTACT b4AM E: PO NO:
REPORT TO: PgyHODE_7FX :
I COPY TO: email:
Sampled B : c4 .,,ft't(-(s,r�GJ••.,w. 4,-..4 SAMPLE TYPE: I =Influent, E=Effluent,W=Well,ST=Stream, SO=Soil, SL=Sludge, Other:
Collection w PREiERVATIEN
Sample Identification E r a o 2 " c J g m e z
- E c ° v g ? o o N o ° 0 z ANALYSIS REQUESTED
cn 0 oa
Date Time Temp 0 Z z = Z a
f C P
MW# Iftrf,L g:,/-'ci-- 1L.-`( G G /)/ t/ X Chloride, TDS
C P rf c.� .
Gallons Bailed: S G G �.5 X N/03, TP, NH3
ti C P -t
Depth to Water: -7K G G TOC
Color: i/1.,'ttl-L.A. G Fecal
. r 1 C •
Odor: tie' %Ta�" G VOC (November)
C
pH (field) S=33 G
C
i
i G,
C
L G G
Transfer Relinquished By: Date/Time Received By: Date/Time
fl
t2.
Temperature when Received°C: 7. c Aecepted: V' Rejected: Resample Regyiested:
Delivered By: Z .e—,-.: Received By: ^:'-!�� Die: Wi RI--).:-', Tine!: /2' 2.e,d--
Com m ents: T liRtrAtRO .N tD:

0Way ilmington,NC 28405
ENVIRONMENTAL CHEMISTS, Iyy�j OF
FC'E 9901t392-0223 FAX [phone]
NCDENR:DWQ CERTIFICATION#94 NCDHHS:DLS CERTIFICATION#37729 [e-mail]
Analytical&Consulting Chemists
COLLECTIO ' AND CHAIN' OF CUSTODY
CLIENT: Town of Surf City PROJECT MAM1flE: Sarge Martin M`W's I RtEPORT NO: ' O Co
ADDRESS: CONTRACT INANE: PO NO:
REPORT TO: PHONE/FAX:
COPY TO: email:
Sampled By: € ..144-1{. c"✓a.ljc..- ttim 3 SAMPLE TYPE: I =Influent, E=Effluent,V'=Well,ST=Stream,SO=Soil, SL=Sludge,Other:
Collection r
N . PRESERWTIGhl
Sample Identification Is.
a Q o b CO o m
N F o t5 o a L E g g '' d ,o„ o 0 0 = ANALYSIS REQUESTED
,1 Date Time Temp " Z T z o
'I j [ C P
MW# 31tp/ . 'ct'3rit..i ft® .2' G G I„.1-/ 31 X
Chloride, TDS
C P p/-,Li
Gallons Bailed:S--- G G • X NO3, TP, NH3
I.
C P
Depth to Water: S G G X. TOC
'3{L' c.Le..,- C P
Color. - G G X Fecal
C P
Odor: N4^e- G G X VOC (November)
pH (field) &. S I C P
G G
C P
G G
C P
G G
C P
G G
Transfer Relinquished By: Date/Time Received By: Date/Time
1.
2.
Temperature when Received ° : e3-V' Accepted: of Rejected: Resariplj Re uested:
Delivered By:�,,,•....—'-- Received Bay: ._. " ft�f J.Date: Time:l' 3:P^--
Comments: TUWAROUND:

envirochern ENVIRONMENTAL CHEMISTS INC6602 Windmill
, OFFICE: 910392-0223mF7kX910-39 44 45
Analytical&Consulting Chemists NCDENR:DWQ CERTIFICATION#94 NCDHHS: DLS CERTIFICATION#37729 [e-mail]
COLLECTION' AND CHAN C CUSTODY
CLIENT: Town of Surf City PROJECT NAME: Sarge MartinM'W's REPORT NO: 7- - S74- C )---
ADDRESS: CONTACT NAME: POMJO:
REPORT TO: PHONE/FAX:
COPY TO: email:
Sampled By:_ vac.gs- JJJ �ft�.4_..,l SAMPLE TYPE: I=Influent, E=Effluent,W'=Well,ST=Stream,SO=Soil, SL=Sludge, Other:
Collection o
i m _ PRESERVATION
Sample Identification E a a _ b • g = o m
cn ~ o c� o a r E g j z u N o 0 o z ANALYSIS REQUESTED
Date Time Temp u u — z =° S = Z o
// C P
MW# 7 34711- ' :517--. I 3 G G t1.1 f 33 X Chloride, TDS
Gallons Bailed: a_ G G ' , X t ell-NO3, TP, NH3
<< C P
Depth to Water: b G G X TOC
C
C P
Color: G�"'' G G X Fecal
C P
Odor: j1.)o--*-t G G
X VOC (November)
C P
pH (field) r _ G G _ -
C P
G G
C P
G G
C P - ._
G G
Transfer Relinquished By: Date/Time Received By: Date/Time
1.
2.
Temperature when Received °C: 5. C Accepted: f-- Rejected: Resanpile Re ested:
Delivered By: [' , �' Receiired B / �A-.- /r
/ Y G Q�te: ��} Time: 1. '4'--
Comments:
TUR/JAROEMD:

envirotem: ENVIRONMENTAL CH EIVI ISTi S INC 6602 WindmillWJay Wilmington,NC 28405
9. OFFICE: 910-392-0223 FAX [phone]
Analytical&Consulting Chemists NCDEHR: IIWANQ CERTIFICATION'#94 NCDHHS: DLS CERTIFICATION#37729 [e-mail]
COLLECTION AVID CHQJUI OF CUSTODY
CLIENT: Town of Surf City PROJECTR1iAi711E: SergeWartin MVV"s REPtER;TN(O: 1- - 'S L {,
ADDRESS: CONTACT NAME: POltO:
REPORT TO: PHONE/FA(-:
COPY TO: email:
Sampled By: trylr -�4'"`^-� � !�'a o
SAMPLE TYPE: I=Influent, E=Efflueit_,W=Wreli,ST=Stream, SO=Soil, SL=Sludge, Other:
Collection
IL _ = a PRESS 'ATION
Sample Identification ° :; . " ` - -m
E a t� e a t E m.; o � `4ii o o O w Yt4JALYSIS REQUESTED
Date Time Temp 0 �2 ° _ _ = z o
MW# ? Ig/. . ':(a,,. /$,'� G G / I 3V X Chloride, TDS
C P \ f
Gallons Bailed: 2- G G X N63, TP,,dIH3
ff � if C P
Depth to Water: (PK� G G X TOC
04,,e6t1 C P
'' —
Color: G G X Fecal
C P -
Odor: k)C2•..� G G X VOC (November)
pH (field) ���3J C P G G
C P '�'
G G
-C P
G G
C P
G G
Transfer Relinquished By: Date/Time Received BY� Date/Time
1
2. _
Temperature when Received °C• ' . S Accepted: / Reject ;: Resam ieR muested:
Delivered By: ,- Received By: 0-e-e- Date: '' (�'r Time: I ' 7 5-P----
Comments: /l
TURZAROLNID:

Environmental Chemists, Inc.
envirochem 6602 Windmill Way,Wilmington,NC 28405 • 910.392.0223 Lab • 910.392.4424 Fax
710 Bowsertown Road,Manteo,NC 27954 • 252.473.5702 Lab/Fax
sM 255-A Wilmington Highway,Jacksonville,NC 28540 • 910.347.5843 Lab/Fax
ANALYTICAL&CONSULTING CHEMISTS [e-mail]
Town of Surf City Date of Report: Mar 30, 2022
Post Office Box 2475 Customer PO#:
Surf City NC 28445 Customer ID: 08110024
Attention: Steve Smith Report#: 2022-05067
Project ID: Juniper Site MWs
Lab ID Sample ID: Collect Date/Time Matrix Sampled by
22-12138 Site:MW-9 3/18/2022 10:50 AM Water McHorney/Diab
Test Method Results Date Analyzed
Color Color Clear/Brn.solids 03/18/2022
Depth to water, ft. Depth to Water,Ft. 2.7 feet 03/18/2022
Ammonia Nitrogen EPA 350,1,Rev.2.0,1993 0.5 mg/L 03/24/2022
Gallons bailed before sampling Gallons Balled before sampling 5.0 gallons 03/18/2022
Odor Qualitative None 03/18/2022
Total Dissolved Solids(TDS) SM 2540 C-2015 358 mg/L 03/21/2022
Temperature SM 2550 B-2010 15.5 C 03/18/2022
pH SM 4500 H B-2011 4.0 units 03/18/2022
Total Phosphorus SM 4500 P(F-H)-2011 < 0.04 mg/L 03/29/2022
Total Organic Carbon (TOC) SM5310B-2014 9.4mg/L 03/21/2022
Fecal Coliform SM 9222 D-2015 MF <1 Colonies/100mL 03/18/2022
Chloride SM4500 CI E-2011 203 mg/L 03/21/2022
Nitrate Nitrogen(Cate)
Nitrite Nitrogen EPA 353.2,Rev.2.0,1993 < 0.02 mg/L 03/18/2022
Nitrate+Nitrite-Nitrogen EPA 353.2,Rev.2.0,1993 0.19 mg/L 03/23/2022
Nitrate Nitrogen Subtraction Method 0.19 mg/L 03/30/2022
Report# 2022-05067 Page 1 of 4

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING: Mail original DEPARTMENTO ENVIRONMENT&NATURAL RESOURCES
and 1 copy to: DIVISION OF WATER QUALITY-INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM 1617 MAIL SERVICE CENTER,RALEIGH,NC 27699-1617 Phone:[phone]
FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: WQ0000795 Expiration Date: 2/28/22
Facility Name: Surf City W.W.T.P Non-Discharge UIC
Permit Name(if different): NPDES Other
Facility Address: PO Box 2475 TYPE OF PERMITTED OPERATION BEING MONITORED
Surf City NC 28445 County Onslow ❑ Lagoon ❑Remediation: Infiltration Gallery
0 Spray Field ❑Remediation:
Contact Person: Zachary Butler Telephone#: [phone] ❑ Rotary Distributor ❑Land Application of Sludge
Well Location/Site Name:zone D No. of wells to be sampled: 1 ❑ Water Source Heat Pump ❑Other:
(from Permit)
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): MW-10 Date sample collected: 3/18/22 FIELD ANALYSES: WAS
Well Depth: 12 ft. Well Diameter: 2 in. pH woo. 4.5 units Temp. 00o10: 16.5 °C DRY at
Mhos time of
Depth to Water Level 82546:6.6 ft. below measuring point Screened Interval: 2 ft. to 12 ft. Spec.Cond.00094: µ sampling,
Measuring Point is 2.5 ft. above land surface Relative M.P. Elevation: ft. Odor 00085: none check
Volume of water pumped/bailed before sampling: 5 gallons Appearance It tan/mild turbid here:0
Samples for metals were collected unfiltered: ❑YES ❑ NO and field acidified: ❑YES ❑NO
LABORATORY INFORMATION
Date sample analyzed:see report Laboratory Name: Envirochem Certification No. 94
PARAMETERS NOTE:Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L Nitrite(NO2)as N o0615 <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 o1os2 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):
)issolved Solids:Total 70300 109 mg/L Al-Aluminum o1105 mg/L
pH(Lab)00403 units Ba-Barium 01007 ug/L
TOC 00680 0.7 mg/L Ca-Calcium 00916 mg/L
Chloride 00940 44 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 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 moss µMhos K-Potassium 00937 mg/L VOC 78732: ,method#
Total Ammonia oo610 <0.2 mg/L Mg-Magnesium 00927 mg/L ,method#
(Ammonia Nitrogen;NH3as 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 pcssitulity of and imprisonment knowing violations.
Zachary Butler ORC ,- C If 4/5/22
Permittee(or Authorized Agent)Name and Title-Please print or type Sig ure of P. ittee(or Authorized Agent) (Date)
GW-59 Rev.2/2010

Environmental Chemists, Inc.
nv rochem 6602 Windmill Way,Wilmington,NC 28405 • 910.392.0223 Lab • 910.392.4424 Fax
710 Bowsertown Road,Manteo,NC 27954 • 252.473.5702 Lab/Fax
su 255-A Wilmington Highway,Jacksonville,NC 28540 • 910.347.5843 Lab/Fax
ANALYTICAL&CONSULTING CHEMISTS [e-mail]
Town of Surf City Date of Report: Mar 30, 2022
Post Office Box 2475 Customer PO#:
Surf City NC 28445 Customer ID: 08110024
Attention: Steve Smith Report#: 2022-05067
Project ID: Juniper Site MWs
Lab ID sample ID: Collect Data/Time Matrix Sampled by
22-12139 Site: MW-10 3/18/2022 11:10 AM Water McHorney/Diab
Te;t Method Results Date Analyzed
Color Color Lt Tan/Mild Turb 03/18/2022
Depth to water,ft. Depth to Water,Ft 6.6 feet 03/18/2022
Ammonia Nitrogen EPA 350 1,Rev 2 0,1993 <0.2 mg/L 03/24/2022
Gallons bailed before sampling Gallons Bailed before sampling 5.0 gallons 03/18/2022
Odor Qualitative None 03/18/2022
Total Dissolved Solids(TDS) SM 2540 C-2015 109 mg/L 03/21/2022
Temperature SM 2550 B-2010 16.5 C 03/18/2022
pH SM 4500 H B-2011 4.5 units 03/18/2022
Total Phosphorus SM 4500 P(F-H)-2011 <0.04 mg/L 03/29/2022
Total Organic Carbon (TOC) SM 5310 B-2014 0.7 mg/L 03/21/2022
Fecal Coliform SM 9222 D-2015 MF <1 Coloniesl100mL 03/18/2022
Chloride SM4500 Cl E-2011 44 mg/L 03/21/2022
hitratb hitro)9tn (Calc)
Nitrite Nitrogen EPA 353.2,Rev.2.0,1993 < 0.02 mg/L 03/18/2022
Nitrate+Nitrite-Nitrogen EPA 353.2,Rev.2.0,1993 0.02 mg/L 03/23/2022
Nitrate Nitrogen Subtraction Method 0.02 mg/L 03/30/2022
Report# 2022-05087 Page 2 of 4

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING: Mail original IDEPAR1NEPN1"OF'E..NVIROMI.4ENT&NATURAL RESOURCES l
and I Copy to DIVISION OF WATER QUALITY-INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM MAIL SERVICE CENTER,RALEIGH,NC 27699-1617 Phone:[phone]
FACILITY INFORMATION Piease Pont Cleady or Type PERMITNJumber: WQ0000795 Expiration Date: 2/28/22
Facility Name: Surf City W.W.T.P Non-Discharge UIC I
Permit Name(if different): tNPDES Other I.
Facility Address: PO Box 2475 TYPE OF PERMITTED OPERATION BEING MONITORED
Surf City NC 28445
County Onslow ❑ Lagoon ❑Remediation: Infiltration Gallery
Q Spray Field ❑Remediation:
Contact Person: Zachary Butler Telephone#: [phone] ❑ Rotary Distributor ❑Land Application of Sludge
Well Location/Site Name:zone C No. of wells to be sampled: 1 ❑ Water Source Heat Pump ❑Other:
(from Permit)
SAMPLING INFORMATION ''If WELL
WELL ID NUMBER(from Permit): MW-11 Date sample collected: 3/18/22 FIELD ANALYSES: WAS
Well Depth: 12 ft. Well Diameter: 2 in. pH 00400: 4.9 units Temp.00010: 15.2 °C DRY at '
Depth to Water Level 82546:2.8 time of
P ft.below measuring point Screened Interval: 2 ft. to 12 ft. Spec.Cond.00094: µMhos
MeasuringPoint is 3 sampling,
ft. above land surface Relative M.P. Elevation: ft. Odor 00085: none check
Volume of water pumped/bailed before sampling: 5 gallons Appearance clear here:l-7 ,
Samples for metals were collected unfiltered: ❑YES ❑ NO and field acidified: ❑YES ❑NO (..1+
LABORATORY INFORMATION
Date sample analyzed:see report Laboratory Name: Envirochem Certification No. 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 o1051 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 <0.04 mg/L
(Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other(Specify Compounds and Concentration Units):
5issolved Solids:Total 70300 146 mg/L Al-Aluminum o1105 mg/L
pH(Lab)00403 units Ba-Barium 01007 ug/L
TOC oos8o 1.7 mg/L Ca-Calcium 00916 mg/L I
Chloride 00940 31 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 uglL (Specify test and method#.ATTACH LAB REPORT.)
Sulfate 00945 mg/L Hg-Mercury 71900 ug/L Lab Report Attached? ❑ Yes(1) ❑ No(0)
Specific Conductance 00095 µMhos K-Potassium 00937 mg/L VOC 78732: , method#
Total Ammonia 00610 <0.2 mg/L Mg-Magnesium 00927 mg/L , method#
(Ammonia Nitrogen;NH3as N;Ammonia Nitrogen,Total) Mn-Man anew 01055
9 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
I certify that,to the best of my knowledge and beef.the infc::;..tion submitted in this report is true,accurate,and compete,and that the laboratory anal- al data was produced using approved methods of analysis by a
DWQ-certified laboratory. I a-i a:sre N+at there are significant penalties for si_ -:rat' -fr.-Inn icf rroi on,including the possibility of fine^an'.im,ri moment for knrsing violations
Zachary Butler ORC , ,,•_lI�C�Mirrier
4/5/22
Permittee(or Authorized Agent)Name and Title-Please print or type Sign:. re of Per re(or Authorized Agent) (Date)
GW-59 Rev.2/2010
r'

Environmental Chemists, Inc.
envirochem 6602 Windmill Way,Wilmington,NC 28405 • 910.392.0223 Lab • 910.392.4424 Fax
710 Bowsertown Road,Manteo,NC 27954 • 252.473.5702 Lab/Fax
sM 255-A Wilmington Highway,Jacksonville,NC 28540 • 910.347.5843 Lab/Fax
ANALYTICAL&CONSULTING CHEMISTS [e-mail]
Town of Surf City Date of Report: Mar 30, 2022
Post Office Box 2475 Customer PO#:
Surf City NC 28445 Customer ID: 08110024
Attention: Steve Smith Report#: 2022-05067
Project ID: Juniper Site MWs
Lab ID Sample ID: Collect Date/Time Matrix Sampled by
22-12140 Site: MW-11 3/18/2022 11:20 AM Water McHorney/Diab
Test Method Results Date Analyzed
Color Color Clear 03/18/2022
Depth to water, ft. Depth to Water,Ft. 2.8 feet 03/18/2022
Ammonia Nitrogen EPA 350.1,Rev.2.0,1993 <0.2 mg/L 03/24/2022
Gallons bailed before sampling Gallons Bailed before sampling 5.0 gallons 03/18/2022
Odor Qualitative None 03/18/2022
Total Dissolved Solids (TDS) SM 254D C-2015 146 mg/L 03/21/2022
Temperature SM 2550 B-2010 15.2 C 03/18/2022
pH SM 4500 H 8-2011 4.9 units 03/18/2022
Total Phosphorus SM 4500 P(F-H)-2011 < 0.04 mg/L 03/29/2022
Total Organic Carbon (TOC) SM 5310 B-2014 1.7 mg/L 03/21/2022
Fecal Coliform SM 9222 D-2015 MF <1 Colonies/100mL 03/18/2022
Chloride SM4500 CI E-2011 31 mg/L 03/21/2022
Nitrate Nitrogen (Call)
Nitrite Nitrogen EPA 353.2,Rev.2.0.1993 <0.02 mg/L 03/18/2022
Nitrate+Nitrite: ltrogen EPA 353.2,Rev.2.0,1993 0.03 mg/L 03/23/2022
Nitrate Nitrogen Subtraction Method 0.03 mg/L 03/30/2022
Report# 2022-05067
Page 3 of 4

SUBMIT FORM ON YELLOW PAPER ONLY
Mail original DEPARTMENTDF'ENVIRONMENT&NATURAL RESOURCES I'
GROUNDWATER QUALITY MONITORING: and 1 copy to' DIVISION OF WATER QUALITY-INFORMATICS!.PROCESSING UNIT
COMPLIANCE REPORT FORM11617 MAIL SERVICE CENTER,RALEIGH,NC 27699-1617 Phone:[phone]
FACILITY INFORMATION Please Pnnf Clearly or Type FPERQIJT Number: WQ0000795 Expiration Date: 2/28/22
Facility Name: Surf City W.W.T.P ,Non-Discharge UIC
Permit Name(if different): NPDES Other
Facility Address: PO Box 2475 TYPE OF PERMITTED OPERATION BEING MONITORED
Surf City NC 28445 County Onslow ❑ Lagoon ❑Remediation: Infiltration Gallery
LF Spray Field ❑Remediation:
Contact Person: Zachary Butler Telephone#: [phone] ❑ Rotary Distributor ❑Land Application of Sludge
Well Location/Site Name:zone A No.of wells to be sampled: 1 ❑ Water Source Heat Pump ❑Other:
from Permit)
SAMPLING INFORMATION IftWELL
WELL ID NUMBER(from Permit): MW-12 Date sample collected: 3/18/22 FIELD ANALYSES: WAS
Well Depth: 12 ft. Well Diameter: 2 in. pH 00400: 5-7 units Temp.00010: 14.6 °C DRY at
Depth to Water Level 82546:4.2time of
P ft.below measuring point Screened Interval: 2 ft. to 12 ft. Spec.Cond.00094: µMhos sampling,
Measuring Point is 3 ft. above land surface Relative M.P. Elevation: ft. Odor 00085: none check
Volume of water pumped/bailed before sampling: 5 gallons Appearance orangelturbid here:Q
Samples for metals were collected unfiltered: ❑YES ❑ NO and field acidified: ❑YES ❑NO
LABORATORY INFORMATION
Date sample analyzed:see report Laboratory Name: Envirochem Certification No. 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 o1051 ug/L
Coliform:MF Fecal 31616 60 /100mL Nitrate(NO3)as N oos2o 0.19 mg/L Zn-Zinc 01092 mg/L
Coliform:MF Total 31504 /100mL Phosphorus:Total as P oosss 0.18 mg/L
(Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other(Specify Compounds and Concentration Units):
)issolved Solids:Total 70300 488 mg/L Al-Aluminum altos mg/L
pH(Lab)00403 units Ba-Barium 01007 ug/L
TOC 00680 17 mg/L Ca-Calcium 00916 mg/L
Chloride 0094o 217 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 ORGkIl CS:(by GC, GC/MS, HPLC)
Phenol 32730 ug/L Fe-Iron o1045 ug/L (Specify test and method#.ATTACH LAB REPORT.)
Sulfate 00945 mg/L Hg-Mercury 71900 ug/L Lab Report4:ttached? ❑ Yes(1) ❑ No(0)
Specific Conductance 00095 µMhos K-Potassium 00937 mg/L VOC 78732: ,method#
Total Ammonia 00610 0.3 mg/L Mg-Magnesium 00927 mg/L ,method#_
(Ammonia Nitrogen;NH,as N;Ammonia Nitrogen,Total) Mn-Manganese()loss 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 infcrration sutr..°tted in this report is true,accurate.and complete,and that the lab=rotory anai}ticat data was produced using approved methods of analysis by a
DWQ-certified laboratory. I am a::=_re thata`ere are s'vr:f,'izian'penalties for submitting false information,including the pos^iit:,of fin^r and imrpirionment for knowing violations.
Zachary Butler CRC C 4/5/22
Permittee(or Authorized Agent)Name and Title-Please print or type Signa .of Permi (or Authorized Agent) (Date)
GW-59 Rev.2/2010

Environmental Chemists, Inc.
envirocheni 6602 Windmill Way,Wilmington,NC 28405 • 910.392.0223 Lab • 910.392.4424 Fax
710 Bowsertown Road,Manteo,NC 27954 • 252.473.5702 Lab/Fax
sM 255-A Wilmington Highway,Jacksonville,NC 28540 • 910.347.5843 Lab/Fax
ANALYTICAL&CONSULTING CHEMISTS [e-mail]
Town of Surf City Date of Report: Mar 30, 2022
Post Office Box 2475 Customer PO#:
Surf City NC 28445 Customer ID: 08110024
Attention: Steve Smith Report#: 2022-05067
Project ID: Juniper Site MWs
Lab ID Sample ID: Collect Date/Time Matrix Sampled by
22-12141 Site: MW-12 3/18/2022 11:35 AM Water McHorney/Diab
Test Method Results Date Analyzed
Color Color Orange/Turb 03/18/2022
Depth to water,ft. Depth to Water,Ft. 4.2 feet 03/18/2022
Ammonia Nitrogen EPA 350.1,Rev.2.0,1993 0.3 mg/L 03/24/2022
Gallons bailed before sampling Gaitons Bailed before sampling 5.0 gallons 03/18/2022
Odor Qualitative None 03/18/2022
Total Dissolved Solids(TDS) SM 2540 C•2015 488 mg/L 03/21/2022
Temperature SM 2550 B-2010 14.6 C 03/18/2022
pH SM 4500 H B-2011 5.7 units 03/18/2022
Total Phosphorus SM 4500 P(F-H)-2011 0.18 mg/L 03/29/2022
Total Organic Carbon (TOC) SM 5310 8-2014 17.0 mg/L 03/21/2022
Fecal Coliform SM 9222 D-2015 MF 60 Colonies/100mL 03/18/2022
Chloride SM4500 CI E-2011 217 mg/L 03/21/2022
Nitrate Nitroebn (Caic)
Nitrite Nitrogen EPA 353 2,Rev 2 0.1993 < 0.02 mg/L 03/18/2022
Nitrate+Nitrite-Nitrogen EPA 353.2,Rev 20,1993 0.19 mglL 03/23/2022
Nitrate Nitrogen Subtraction Method 0.19 mg/L 03/30/2022
Comment: d
Reviewed by: 1` i ` _ _
IMOIMO
Report# 2022-05067 Page 4 of 4

Date: g/ ia/"-- ��rieri
�fcaflon# 94
FacllLty Name:I . e
11� Cr +jpcA(w j
Aaalvst: -l�.b "rT�w-f -- �ry
!1 Permitk: CJjLE
pH
Reference Method:SM4500 H+13-2011 Instrument ID
Calibration Time Cal Buffer 4.0 s u Cal Buffer 10.0 s.u. Check Buffer 7.0 s.u. Comments
- 0-ila-4.- y.6) < COt o .D s (�r� -r co (A`) st; _ 9,9-7
0
*pH check buffer must read within±0.1 pH units of the buffer's true value. Y
4 su buffer Lot#/: Ricca 4112869 Exp 11/22 7 su buffer Lott/: Ricca 21 I2A38 Exn.12/23 10 su buffer Lot`: RICCA 2112750 Exp.5/23
Sample Collection Sample Analysis pH Result Post-anal sis Buffer Sample location Ti me* Time• s.0 Check value + Comments/Data Qualifiers
s.u.
AId-ec.) //:/uAN- 1/:i.)./1-- YVf -
A+ w•I/ /l:,LA._ t•!=A.,a.,¢..., y,9 3
, Aim—/ !/'7>rAt- 1/1r73-4.-- S-? 3
►Post analysis buffer check is required is hen performing anal}ses at multiple sampling locations and must he w ithin±0.1 units of the buffer's true s aloe
All pH values in pH units(t e,s u) Record all data to the nearest 0.01 s u and report to the nearest 0 I s u
Total Residual Chlorine(TRC)
Reference Method SM 431'CI-G201 I Hach S167 HR: (Please circle a.plicahle Method Instrument ID.
Dad!.Check PCheck 5tdi\ i lime check
y Sample
Sample Sample
Standard Result Standard TRC Result (ammcnts lla Qualifiers
(whenana' �in" Location Collection Analysis ua'l.ormu pg I .-r mg I. at multiple sites'; I Anal}zed Time lime -
l
i.
IR( Dail!. (.117:1.Stindtrdtru,•ta:v_ part ormoL- acceptance ranee uo1.ornieI
Check standard,mu,t recover within=l0°b of the check standard's true value
Annual Caltbratnsn Cull e%cnficat:onDate: LOl ?_DEXX 2109792 Exp.Date. 08.31 22 _
R•agent BI ink Vito• i When appli,_abl:-.Analyse and document a reagent blank is hen standard:,sample dilution,or P1 Samples are pr:p.tt ed
Dissolved Oxygen(DO)
�._, „__ Reference Method-SM4500 0 G 201 I Instrument ID.
C a h a i n Calibration sariabie \let r r acne
•1 ast aital sl calibration
tcnftewi•n:Ahe (le.
.,.a._ i — repay r-a�.e-t i
1 C ani
se::,.
Time I Bar,rr�1 aft::r calibrator:
lempera:ureicoretical Calculated
I csaur: l.a{drm+�l \aluetl}�j
I I .—.� 1
I
II se thi.now when pet forming a terifrcation iu•re:rl of I
calibration
Sample le Collection -Sam le Analysis DO reading T
•
Sample Location Time Time mgt Comment;Data Qualifier
,irk I
i
I
•When performing analyses at multiple locations,the meter must be recalibrated at each site before analysis or a pest-analysis calibration verification must be performed.
-I'...It-pi,::s rice_ :'ti a , 1-t{'e. a. - 'n.h tTe anal..is V. _t.l he rec r_z.1'.:itt_7.,-Evart e- art men=:ire1't.s'1 ..ri-27C1'e1:
Temperature
Reference Method:SM 2550 B-2010 Instrument ID:••.
Sample ^Sample Temperature
Sample Location Collection Analysis °C Comments.Data Qualifiers
Ti r+'e Tlbte .
Ai • 9 10 rs'a.ti /a:54- /S. s'
- w - /o /1 :10.,tom. 1, /J, ", f fi► .5
Aw - /A- 1/:3rot:, 1/:?77' /Y.1�'"
'i•s ,s:'.. cis ice Date _ -•-,::•:...-:-r'.• .---i to • .1- e�• -, ,. '^C-cc r. ...e'La: . • t:. .. ...r_
Annual --
Field Personae!Note:
Q-1.00t

Environmental Chemist, Inc., Wilmington, NC Lab#94 6602 Windmill Way
Wilmington, NC 28405
910.392.0223
�j,�,,,�� ' Sample Receipt Checklist
Cliers S{., ' L%l t LA)1V Date3 JJ8JCIA, Report Number: o./c -- 0 So 4 7
Receipt of sample: _ ECHEM Pickup' Client Delivery 0 UPS 0 FedEx 0 Other 0
❑ YES 0 NO N/A 1. Were custody seals present on the cooler?
0 YES 0 NO N/A 2. If custody seals were present, were they intact/unbroken?
Original temperature upon r eipt ' °C Corrected temperature upon receipt °C
How temperature taken; 0 Temperature Blank 0 Against Bottles
IR Gun ID:Thomas Traceable 5/N 192511657 IR Gun Correction Factor°C:0.0
❑ YES 0 NO 3. If temperature of cooler exceeded 6°C, was Project Mgr./QA notified?
RI YES 0 NO 4. Were proper custody procedures(relinquished/received)followed?
1 YES ❑ NO 5. Were sample ID's listed on the COC?
YES 0 NO 6. Were samples ID's listed on sample containers?
YES 0 NO 7. Were collection date and time listed on the COC?
I, YES 0 NO 8. Were tests to be performed listed on the COC?
YES 0 NO 9. Did samples arrive in proper containers for each test?
54 YES 0 NO 10. Did samples arrive in good condition for each test?
1 YES Li NO 11. Was adequate sample volume available?' I
YES 0 NO 12. Were samples received within proper holding time for requested tests?
YES 0 NO 13. Were acid preserved samples received at a pH of<2?*
YES 0 NO 14. Were cyanide samples received at a pH>12?
yf YES 0 NO 15. Were sulfide samples received at a pH>9?
YES 0 NO 16. Were NH3/TKN/Phenol received at a chlorine residual of<0.5 m/L? **
❑ YES 0 NO 17. Were Sulfide/Cyanide received at a chlorine residual of<0.5 m/L?
❑ YES 0 NO 18. Were orthophosphate samples filtered in the field within 15 minutes?
* TOC/Volatiles are pH checked at time of analysis and recorded on the benchsheet.
** Bacteria samples are checked for Chlorine at time of analysis and recorded on the benchsheet.
i
Sample Preservation; (Must be completed for any sample(s) incorrectly preserved or with headspace)
Sample(s) were received incorrectly preserved and were adjusted accordingly
by adding(circle one): H2SO4 HNO3 HCI NaOH
Time of preservation: If more than one preservative is needed,notate in comments below
Note:Notify customer service immediately for incorrectly preserved samples.Obtain a new sample or
notify the state lab if directed to analyzed by the customer.Who was notified,date and time:
Volatiles Sample(s) were received with headspace
COMMENTS:
DOC.QA.002 Rev 1

envirochera ENVIRONMENTAL CHEMISTS, INC 6602 Windmill Way Wilmington,NC 28405
OFFICE: 910-392-0223 FAX [phone]
Analytical&Consulting Chemists NCDENR: DWQ CERTIFICATION#94 NCDHHS:DLS CERTIFICATION#37729 [e-mail]
COLLECTION AND CHAIN OF CUSTODY
CLIENT: Town of Surf City PROJECT NAME: Juniper MW's REPORT NO: ... ..),-- - STh G —7 .
ADDRESS: CONTACT NAME: PO NO:
REPORT TO: PHONE/FAX:
COPY TO: email:
_
Sampled By: ftruit1le-444.-.4-4.-/Gas,(k-A-- b..-....6 SAMPLE TYPE: I=Influent, E=Effluent,W=Well,ST=Stream,SO=Soil, SL=Sludge, Other:
Collection
..
PRESERVATION
Sample Identification 2 .., o ti, ANALYSIS REQUESTED
z z
Date Time Temp 0 u x2r z - c,
C P
MW# 9 :ildill-, 10: A-.: i t-S— _ G G 0-1,?8 . X , Chloride,TDS, NO2
. _
( C P N
Gallons Bailed:Bailed: C G G <,3 X NO3, TP, NH3
C
1.1 P
Depth to Water: 5.4. G G X TOC
cle , ..,.../ Lersore.N. C P
Color: c.,,i;t) _ G G X Fecal
1 C P
Odor: )1/4.)e.'AA' Gc G X VOC (November)
.. P
pH (field) 1-4-o` '...• v G G
_ . .
C P
G G
C P
G G
C P ,
G G
Transfer Relinquished By: Date/Time Received By: Date/Time
1.
2.
Temperature when Received °C: '3 S"-- Accepted: v".7 Rejected: ResamplyRegyested:
Delivered By:Z_..--- e,____e- 7Z- Received By:_./2---e---e--'17 -1 — Date: r tF.-/ J-4_, Time: / ---
Comments: TURNAROUND:

envirochern ENVIRONMENTAL CHEMISTS, INC 6602 Windmill Way Wilmington,NC 28405
OFFICE: 910-392-0223 FAX [phone]
Analytical&Consulting Chemists NCDENR:DWQ CERTIFICATION#94 NCDHHS: DLS CERTIFICATION#37729 [e-mail]
COLLECTION AND CHAIN OF CUSTODY
CLIENT: Town of Surf City PROJECT NAME: Juniper MW's REPORT NO: ..),).. - SMQ,-7
ADDRESS: CONTACT NAME: PO NO:
REPORT TO: PHONE/FAX:
COPY TO: email:
Sampled By: (.....4,-)44. (1-......-1/4.4.14.,-A .46 SAMPLE TYPE: 1=Influent,E=Effluent,W=Well, ST=Stream, SO=Soil, SL=Sludge, Other:
Collection PRESERVATION
•-?--' 'a; — 4. ,, CC
c:2. al g 42 . CD E. ...I =.1 U-I
Sample Identification E g-, 6. t5 J 8 8 4,, 03 (B ul _, 3 ,, x 0 1 ANALYSIS REQUESTED
,,_ 7 E t g t) ., 2 ,2 .
e, — 0 z z x '2 . z ,-- 8 Date Time Temp o
C P
rviw# (o TAW3.). 1140/4.; 1(9-"S-- G G 1,1 Oct X Chloride, TDS, NO2
-<.c-
P C
Gallons Bailed: S G G X NO3, TP, NH3
-
C P
Depth to Water: 11 1' , G G X TOC
L4e. or" C P
Color:ft lid"C....6. G G X Fecal
....
C P
Odor: AT c."R- G G X VOC (November)
C P
pH (field) e4.3-lf V NJ G G
.
C . P
G G
. , C P
G G
C P
G G
_ — — -
Transfer Relinquished By: Date/Time Received By: Date/Time
1.
2.
Temperature when Received ' : —5 ..5-- Accepted: i7--- Rejected: Resample Req9ested:
Delivered By: Z.....--e--e.---/ Received By: .4.../-4._ce, I)._ Date: 48-1)4- Time: Jr
Comments: TURNAROUND:

envirochem ENVIRONMENTAL CHEMISTS , INC OFFICE:910-1 392-0223 FhrillmingtonAX 910-392-4424
Analytical&Consulting Chemists EICDENR:DWQ CERTIFICATION#94 NCDHHS:DLS CERTIFICATION#37729 [e-mail]
COLLECTION AND CC-iA,IN OF CUSTODY
CLIENT: Town of Surf City PROJECT NAME: JuniperM`AC"s REPO _TIfJO: ::),I— B O(6.7
ADDRESS: CONTACT NAME: POF O:
REPORT TO: PHOilIE/ForX :
COPY TO: le,mail:
Sampled By:£"r-i"A`4'" /i"-iixec-t e-A SAVI LE TYPE: I=Influent, E=Effluent,W=Wielf,ST=Stream, SO=Soil,SL=Sludge, Other:
Collection ce PRESERI'A,TION
ad o a co c � ow
Sample Identification E r a `0 19 1° _`o c m w o ^ = o w ANALYSIS REQUESTED
m . E 6- r a t E g z d m o a g x
Date Time Temp w v v — v 2 2 x = 2 2 o
C P
MW# (I 744 alai" IS') G G IJ-1to X Chloride, TDS, NO2
IC P � J Pcfcd
Gallons Bailed: G G X. 11.403, TP, NH3
t. C P
Depth to Water: " G G X TOC
C P
Color: �`t-�� G G X Fecal
,�f C P
y Odor: -1"t- G G X. VOC (November)
t C P
pH (field) �"I - 3
t/J i�r G G
C P
G G
C P
G G
C P _
G G
Transfer Relinquished By: Date/Time Receii ed By: Date/Time
1.
2.
Temperature when Received °C: `ems .i" Accepted: �` Re> icted: Resample a ested:
Delivered By: Z/--" -1 Received By: �- Date: i� 4 Time: =3�%0
Comments: TUR tICiROUND:

602
Wi
Way Wilmington,NC 28405
envirochern ENVIRONMENTAL CHEMISTS, INC OFFI En9r10392Q223 FAX 91U-3 2-4424
Analytical&Consulting Chemists NCDENR:DWQ CERTIFICATION#94 NCDHHS: DLS CERTIFICATION#37729 [e-mail]
COLLECTION AND CHAIN OF CUSTODY
CLIENT: Town of Surf City PROJECT NAME: Juniper MW's REPORT NO: a-a--- G '7
ADDRESS: CONTACT NAME: PO NO:
REPORT TO: PHONE/FAX:
COPY TO: email:
Sampled By: ct ,F.. 4.10.-th-c.- A•o.6 SAMPLE TYPE: I=Influent, E=Effluent,W=Well,ST=Stream,SO=Soil, SL=Sludge, Other:
Collection 2 PRESERVATION
Sample Identification a '8 o CO = J o m
E 0 8 r E m 2 z o 0 0 0 ANALYSIS REQUESTED
Date Time Temp (3 a 0 g z zz = = = z o
C P
MW# i - 74/3 1-, I I=3 J-- ( ` -(e G G rJ(`-/( X Chloride, TDS, NO2
C P
Gallons Bailed: c G G •• X NO3, TP NH3
k% C P
Depth to Water: S t G G X TOC
tira..-it. C P
Color: 1 j b.Cvt- G G
X Fecal
C P
Odor: N4."4,- G G _ X VOC (November)
pH (field) c C P
G G V
C P
G G
C P
G G
C P
G G
Transfer Relinquished By: Date/Time Received By: Date/Time
1.
2.
Temperature when Received °C: '3 . S Accepted: Rejecte : Resample/Regyested:
Delivered By: ('�.-.----c._. Received By: f�,,� -/ Date: ./e 6 /,:)-4— Time: / 3 �,/4 —
Comments: TURNAROUND:

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING: Mail original DEPARTMENT OF ENVIRONMENT&NATURAL RESOURCES
and 1 copy to "VISION OF WATER QUALITY-INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM 1617 MAIL SERVICE CENTER,RALEIGH,NC 27699.1617 Phone:[phone]
FACILITY INFORMATION Please Pont Clearly or Type PERMIT Number: Expiration Date: 2/28/22
Facility Name: Surf City W.W.T.P. Non-Discharge W00000795 UIC
Permit Name(if different): NPDES Other
Facility Address: P.O.BOx 2475 TYPE OF PERMITTED OPERATION BEING MONITORED
Surf City NC 28445 County Onslow ❑ Lagoon ❑Remediation: Infiltration Gallery
Li Spray Field ❑Remediation:
Contact Person: Zachary Butler Telephone#: [phone] ❑ Rotary Distributor ❑Land Application of Sludge
Well Location/Site Name:30 Acre Storage Pond No. of wells to be sampled: 1 ❑ Water Source Heat Pump ❑Other:
(from Pen e)
r
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): PZ-13 Date sample collected: 3/18/22 FIELD ANALYSES: WAS
Well Depth: 25 ft. Well Diameter: 2 in. pH 00400: units Temp. Moto. °C DRY at
Depth to Water Level 82546:17 ft.below measuringMhos time of
p point Screened Interval: 10 ft. to 25 ft. Spec. Cond.00094: µ sampling,
Measuring Point is 2 ft. above land surface Relative M.P. Elevation: ft. Odor 00085: check
Volume of water pumped/bailed before sampling: gallons Appearance here:Li
Samples for metals were collected unfiltered: ❑YES ❑ NO and field acidified: ❑YES ❑NO
LABORATORY INFORMATION
Date sample analyzed: Laboratory Name: Envirochem Certification No. 94
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L Nitrite(NO2)as N costs mg/L Pb-Lead et051 ug/L
Conform:MF Fecal 31616 /100mL Nitrate(NO3)as N 00620 mg/L Zn-Zinc oi092 mg/L
Coliform: MF Total 31504 /100mL Phosphorus: Total as P 00665 mg/L
(Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other(Specify Compounds and Concentration Units):
3issolved Solids:Total 70300 mg/L Al-Aluminum 01105 mg/L
pH (Lab)00403 units Ba-Barium 01007 ug/L
TOC 00680 mg/L Ca-Calcium 00916 mg/L
Chloride oes4o mg/L Cd-Cadmium 01027 ug/L
Arsenic 01002 ug/L Chromium:Total 01034 ug/L
Grease and Oils 00552 mg/L Cu-Copper o1042 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 oest0 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 o10s7 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 knnrrrng violations
Zachary Butler ORC 3/24/22
Permittee(or Authorized Agent)Name and Title-Please print or type Sign-it re of Per -ee(or Authorized A.en) (Date)
GW-59 Rev.2/2010

SUBMIT FORM ON YELLOW PAPER ONLY
Moil origh oaf tDEPARTMENT-OF ENVIRONMENT&NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING: and 1 copy to:-DIVISION OF WATER QUALITY-INFORMAnoN PROCESSING UNIT
,COMPLIANCE REPORT FORM 41617 WAIL SERVICE CENTER,RALEIGH,NC 27699-1617 Phone:01'19)733-3221
FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date: 2/28/22
Facility Name: Surf City W.W.T.P. Non-Discharge W00000795 UIC
Permit Name(if different): NPDES Other
Facility Address: P.O.box 2475 TYPE OF PERVll:TTED I 3ERATION BEINGMIONITORED
Surf City NC 28445 County Onslow ❑ Lagoon ❑Remediation: Infiltration Gallery
Q Spray Field ❑ Remediation:
Contact Person: Zachary Butler Telephone#: [phone] v ❑ Rotary Distributor ❑ Land Application of Sludge t
Well Location/Site Name:30 Acre Storage Pond No. of wells to be sampled: 1 ❑ Water Source Heat Pump ❑Other:
(from Pemu))
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): PZ-14 Date sample collected: 3/18/22 FIELD 1ttJiALYSES: YWAS
Well Depth: 25 ft. Well Diameter: 2 in. pH 00400 units Temp. 00o10: °C DRY at
Depth to Water Level 82546: 18.8 1Mhos time of
p ft. below measuring point Screened Interval: 0 ft. to 2� ft. Spec. Cond.00094: µ sampling,
Measuring Point is 2 ft. above land surface Relative M.P. Elevation: ft. Odor 00085: check
Volume of water pumped/bailed before sampling: gallons Appearance _ here:+ 1
LII
Samples for metals were collected unfiltered: ❑YES ❑ NO and field acidified: Cl YES ❑NO
LABORATORY INFORMATION
Date sample analyzed: Laboratory Name: Envirochem Certification No. 94
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L Nitrite(NO2)as t&00615 mg/L Pb-Lead 01051 ug/L
Coliform: MF Fecal 31616 /100m1 Nitrate(NO3)as N 00620 mg/L Zn-Zinc 01092 mg/L
Coliform: MF Total 31504 /100mL Phosphorus: Total as P 00665 mg/L
(Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other(Specify Compounds and Concentration Units):
dissolved Solids:Total 70300 mg/L Al-Aluminum 01105 mg/L
pH(Lab)00403 units Ba-Barium 01007 ug/L
TOC 00680 mg/L Ca-Calcium 00916 mg/L
Chloride 00940 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 Attach-td? ❑ Yes(1) ❑ No(0)
Specific Conductance moss NMhos K-Potassium 00937 mg/L VOC 78732: , method#
Total Ammonia oos10 mg/L Mg-Magnesium 00927 mg/L , method#
(Ammonia Nitrogen;NH3as N,Ammonia Nitrogen,Totai)
Mn-Manganese otos5 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 belied,the information submitted in this report is true,accurate,and compete,and that the laboratory analytical data was produced using approved methods of analysis by a
DWO-certified laboratory. I am aware that there are significant peneltss tors_`-""ng fa(7_°,^fr.r-•;3scn,irr!urfing the possib';ay of fines and imprisonment for knowing violations.
Zachary Butler ORC I i r 3/24/22
Permittee(or Authorized Agent)Name and Title-Please print or type Sig re of P a ttee(or Authorizett'AgerTfI (Date)
GW-59 Rev.2/2010 � (

SUBMIT FORM ON YELLOW PAPER ONLY
Mail original DEPARTMENT OF ENVIRONMENT&NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING: and 1 copy to: DIVISION OF WATER QUALITY-INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM 1617 MAIL SERVICE CENTER,RALEIGH,NC 27699.1617 Phone:[phone]
FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date: 2/28/22
Facility Name: Surf City W.W.T.P. Non-Discharge WQ0000795 UIC
Permit Name(if different): NPDES Other
Facility Address: P.O.box 2475 TYPE OF PERMITTED OPERATION BEING MONITORED
Surf City NC 28445 County Onslow ❑ Lagoon ❑Remediation: Infiltration Gallery
© Spray Field ❑Remediation:
Contact Person: Zachary Butler Telephone#: [phone] 0 Rotary Distributor ❑Land Application of Sludge
Well Location/Site Name:30 Acre Storage Pond No,of wells to be sampled: 1 ❑ Water Source Heat Pump ❑Other:
(from Permit)
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): PZ-15 Date sample collected: 3/18/22 FIELD ANALYSES: WAS
Well Depth: 25 ft. Well Diameter: 2 in. pH 00400: units Temp. 00010: °C DRY at
Mhos time of
Depth to Water Level 82546:19 ft. below measuring point Screened Interval: 10 ft. to 25 ft. Spec.Cond.00094: µ sampling,
Measuring Point is 2 ft. above land surface Relative M.P. Elevation: ft. Odor 00085: check
Volume of water pumped/bailed before sampling: gallons Appearance here:❑
Samples for metals were collected unfiltered: ❑YES ❑ NO and field acidified: ❑YES 0 NO
LABORATORY INFORMATION
Date sample analyzed: Laboratory Name: Envirochem Certification No, 94
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 /100mL Nitrate(NO3)as N ooszo mg/L Zn-Zinc 01092 mg/L
Coliform: MF Total 31504 /100mL Phosphorus:Total as P 00565 mg/L
(Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other(Specify Compounds and Concentration Units):
)issolved Solids:Total 70300 mg/L Al-Aluminum 011os mg/L
pH(Lab)00403 units Ba-Barium 01007 ug/L
TOC 00680 mg/L Ca-Calcium 00916 mg/L
Chloride 0o94o mg/L Cd-Cadmium o1o27 ug/L
Arsenic olooz 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? 0 Yes(1) ❑ No(0)
Specific Conductance 00095 µMhos K-Potassium 00937 mg/L VOC 78732: ,method#
Total Ammonia open 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 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
D a-certified laboratory I am aware that there are significant penalties for submitting false information,including the possibility of fines and imprisonment for knowing violations.
Zachary Butler ORC / - Ar 3/24/22
Permittee(or Authorized Agent)Name and Title-Please print or type Sign re of Per ee(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 I copy t0: DIVISION OF WATER QUALITY-INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM 1617 MAIL SERVICE CENTER,RALEIGH,NC 27699.1617 Phone:[phone]
FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date: 2/28/22
Facility Name: Surf City W.W.T.P. Non-Discharge WQ0000795 UIC
Permit Name(if different): NPDES Other
Facility Address: P.O.box 2475 TYPE OF PERMITTED OPERATION BEING MONITORED
Surf City NC 28445 County Onslow ❑ Lagoon ❑Remediation: Infiltration Gallery
CI Spray Field ❑Remediation:
Contact Person: Zachary Butler Telephone#: [phone] ❑ Rotary Distributor 0 Land Application of Sludge
Well Location/Site Name:30 Acre Storage Pond No.of wells to be sampled: 1 ❑ Water Source Heat Pump ❑Other:
(from Permit)
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): PZ-16 Date sample collected: 3/18/22 FIELD ANALYSES: WAS
Well Depth: 25 ft. Well Diameter: 2 in. pH 00400: units Temp. 00010: °C DRY at
Depth to Water Level 82546:14.8Mhos time of
p ft.below measuring point Screened Interval: 10 ft. to 25 ft. Spec.Cond.00094: µ sampling,
Measuring Point is 2 ft. above land surface Relative M.P. Elevation: ft. Odor 00085: check
Volume of water pumped/bailed before sampling: gallons Appearance here:❑
Samples for metals were collected unfiltered: ❑YES ❑ NO and field acidified: ❑YES ❑NO
LABORATORY INFORMATION
Date sample analyzed: Laboratory Name: Envirochem Certification No. 94
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 /100mL Nitrate(NO3)as N 00620 mg/L Zn-Zinc 01092 mg/L
Coliform:MF Total 31504 /100mL Phosphorus:Total as P rims mg/L
(Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other(Specify Compounds and Concentration Units):
)issolved Solids:Total 70300 mg/L Al-Aluminum 01105 mg/L
pH(Lab)00403 units Ba-Barium 01007 ug/L
TOC 00680 mg/L Ca-Calcium floats mg/L
Chloride 00940 mg/L Cd-Cadmium 01027 ug/L
Arsenic o1o02 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 o0095 µMhos K-Potassium 00937 mg/L VOC 78732: , method#
Total Ammonia o0610 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%
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-certdied laboratory I am aware that there are significant penalties for submitting false information imluding the possibility of fines and imprisonment for knnwinn violations
Zachary Butler ORC - / ,�Z, / 3/24/18
Permittee(or Authorized Agent)Name and Title-Please print or type Sig = • e of Per"ee(or Authorized Agent) (Date)
GW-59 Rev.2/2010 / 1

Environmental Chemists, Inc.
envirochein 6602 Windmill Way,Wilmington,NC 28405 • 910.392.0223 Lab • 910.392.4424 Fax
710 Bowsertown Road,Manteo,NC 27954 • 252.473.5702 Lab/Fax
sm
255-A Wilmington Highway,Jacksonville,NC 28540 • 910.347.5843 Lab/Fax
ANALYTICAL&CONSULTING CHEMISTS info,a environmentalchemistscom
Town of Surf City Date of Report: Mar 22, 2022
Post Office Box 2475 Customer PO#:
Surf City NC 28445 Customer ID: 08110024
Attention: Report#: 2022-05069
Project ID: Juniper Site Piezometer
Lab ID Sample ID: Juniper Piezometers �lect Date/Time Matrix Sampled by
22-12143 Site: PZ-13 3/18/2022 12:00 PM Water Eric McHorney
Test Method Results Date Analyzed
Depth to water, ft. Depth to Water,Ft 17.0 feet 03/18/2022
Lab ID Sample ID:Juniper Piezometers Collect Date/Time Matrix Sampled by
22-12144 Site: PZ-14 3/18/2022 11:55 AM Water Eric McHorney
Test Method Results Date Analyzed
Depth to water, ft. Depth to Water,Ft 18.8 feet 03/18/2022
Lab ID Sample ID: Juniper Piezometers Collect Date/Tillie Ma riX Sampled by
22-12145 Site:PZ-15 3/18/2022 11:50 AM Water Eric McHorney
Test Method Results Date Analyzed
Depth to water, ft. Depth to Water,Ft 19.0 feet 03/18/2022
Lab ID San►ple ID:Juniper Piezometers Collect Date/Time Matrix Sampled by
22-12146 Site: PZ-16 3/18/2022 11:45 AM Water Eric McHorney
Test Method Results Date fetnal}faed
Depth to water, ft. Depth to Water,Ft. 14.8 feet 03/18/2022
Comment: IL04.4Q60
Reviewed by:
Report# 2022-05069
Page 1 of 1

6602
l Way
ton
2840
ertvarocherrl ENVIRONMENTAL C N E M IST S, I I w V OFFI E:910`J392-02231FAXg910,NC
392 A424 6
Analytical Consulting Chemists NCDENR:DWWI CERTIFICATION#94 NCDHHS:DLS CERTIFICATIONN#37729 Info%envIronmentalchemists.com COLLECTION )7114111 CHAIN OF C'1ISJODY
Client:Tow►of Surf Citty PRO,JICT NAME: Juniper Site-Plezometer REPORT NO: Z�- - OG, ,t
ADDRESS: CONTACT NAME: PO J O:
REPIOR•TTO: PHOWE/FAX:
/j
COPY TO; email:
Samr____ led B : .f�ta,Il�i4"-- SAMWLE TYPE:I=.Influent, E=Effluent,'I/J=Well,ST=Stream,SO=Soil,SL=Sludge,Other:
__
m
c lt�ction •• PRESERVATION
m q a c C) c _, O W
Santple Ider_ltitation F o o a i S o o ANALYSIS REQUESTED
Date Time Termp u' - z z = s o
i C P
iPZ-13 ' U2 4- l '74- G G /b-1q3 Depth to Water:
C P
PZ-14 433-.I -11-f i G G , lot l K`-r Depth to Water: -'�l
t ' C P ti
PZ-15 3/I Ffre-h G G tJS-(' Depth to Water:,,-�
C P t
1116
,"�('1 1` (�_ =fig► G G ( �� Depth to Water:�_•
I rI 1
C P
G G
G G
C P
~ G G
C P
G G
G G
Transfer Relinquished By: Date/Time Received By: Date/Time
;1.
2. /,
Temperature ihtten Received: Accepted: L-- r Rejected: Resample Re, ue ed:
Delivered By:_ i..-- - _may Received By: _6r— e__c_ Date: 14 .F/ - Time: /f S' D P--
Coi ninents: / a / TURNAROUND:

total
Fecal dissolved Chloride
Parameters Date mpn/100 solids 500 Ph 6,5-8.5 250 Nitrate 10
Well 3 7/1/2006 <1 255 6.01 104 0.025
11/1/2006 <1 238 5.92 103 0.02
3/1/2007
zone 4 7/1/2007 <1 264 6.04 107 0.02
11/1/2007 <1 266 5.83 114 0.02
3/1/2008 <1 285 6.18 117 0.1
7/1/2008 <1 317 5.65 141 0.02
11/1/2008 <1 244 6.25 116 0.03
3/1/2009
7/1/2009 <1 367 5.92 130 0.02
11/1/2009 <1 347 5.64 142 0.5
3/1/2010 <1 401 6.06 177 0.03
7/1/2010 <1 389 5.72 164 0.05
11/1/2010 <1 385 5.68 176 0.19
3/1/2011 <1 441 6.15 181 0.13
7/1/2011 <1 450 5.86 191 0.02
11/1/2011 <1 468 6.17 201 0.15
3/1/2012 <1 446 6.12 187 <.02
7/1/2012 <1 450 6.07 196 0.09
11/1/2012 <1 487 6.11 188 <.02
3/1/2013 <1 471 5.98 251 <.02
7/22/2013 <1 540 6.41 211 0.08
11/14/2013 <1 436 5.83 198 0.05
3/14/2014 <1 490 6.34 242 0.05
7/18/2014 9 560 5.67 198 0.04
11/3/2014 <1 485 5.88 169 0.04
3/9/2015 2 554 5.92 239 <.02
7/22/2015 <1 134 6.5 15 0.44
11/16/2015 9 221 6.73 132 <.02
3/17/2016 <1 622 5.66 283,<.02
7/19/2016 5 141 6.46 23 0.09
11/10/2016 4 138 6.67 19 <.02
3/10/2017 1 431 5.8 181 0.1 •
7/14/2017 10 208 6.92 24 <.02
11/2/2017 3 255 6.46 34 <.02
3/26/2018 <1 575 5.95 229 0.32
7/30/2018 1400 142 6.13 17 0.05
11/14/2018 <1 549 6.06 245 <.02
3/19/2019 2 547 6.02 209 <.02
7/18/2019 <1 552 5.34_ 228 0.08
11/21/2017 <1 536 6.11 194 0.13
3/17/2020 <1 530 6 217 0.11
7/23/2020 3 350 6.4 132 0.15
11/5/2020 1 357 6.6 130, 0.09
3/11/2021 4 763, 6.1 182 0.16
7/15/2021 1 415 6.3 175 0.19
11/15/2021 <1 305 6.4 98 0.17
3/18/2022 <1 520 5.3 244 <0.02

total
Fecal dissolved Chloride
Parameters Date mpn/100 solids 500 Ph 6.5-8.5 250 Nitrate 10
Well 4 7/1/2006 <1 285 6.13 118 0.025
11/1/2006 2 348 5.39 154 1.14
3/1/2007
zone 1 7/1/2007 <1 389 5.42 190 0.45
_
11/1/2007 <1 _ 384 5.19 186 0.12
3/1/2008 <1 370 5.53 193 0.63
7/1/2008 <1 333 5.33 212 0.81
11/1/2008 <1 356 5.73 218 1.41
3/1/2009
7/1/2009 <1 484 5.47 376 0.35
11/1/2009 <1 649 5.53 300 0.02
3/1/2010 <1 631 5.75 300 0.24
7/1/2010 <1 589 5.79 298 0.21
11/1/2010 < 1 _ 621 5.64 350 0.2
3/1/2011 <1 664 5.73 289 0.67
7/1/2011 <1 580 5.68 280 0.24
11/1/2011 <1 577 5.85 279 0.11
3/1/2012 <1 553 5.81 248 <.02
7/1/2012 <1 625 5.73 258 0.02
11/1/2012 <1 590 5.76 249 0.06
3/1/2013 <1 593 5.52 329 <.02
7/22/2013 <1 614 5.88 280 0.02
11/14/2013 <1 581 5.39
3/14/2014 <1 769 5.92 373 <.02
7/18/2014 <1 T 779 5.26 331 <.02
11/3/2014 <1 738 5.3 272 <.02
3/9/2015 <1 758 5.44 287 <.02
7/22/2015 <1 602 5.08 326 <.02
11/16/2015 <1 596 6.12 233 <.02
3/17/2016 <1 559 5.34 241 <.02
7/19/2016,<1 519 5.18 232 <.02
11/10/2016 <1 474 6.02 192 <.02
3/10/2017 <1 452 5.17 206 0.03
7/14/2017 <1 504 5.97 191 <.02
11/2/2017 <1 515 6.73 210 <.02
3/26/2018 <1 514 5.51 214 0.05
7/30/2018 4 565 5.76 191 0.1
11/14/2018 <1 582 5.78 248 <.02
_ 3/19/2019 <1 578 5.85 248 <.02
7/18/2019 <1 576 5.87 218 <.02
11/21/2019 <1 582 6.27 240 <.02
3/17/2020 <1 629 6 281 0.08
7/23/2020 <1 604 6.2 271 0.1

11/5/2020 <1 621 6.9 230 0.17
3/11/2021 <1 754 6.2 199 0.12
7/15/2021 <1 297 6.4 486 0.07
11/15/2021 <1 825 6.6 381 0.24
3/18/2022 <1 793 6.2 345 0.15

total
Fecal dissolved Chloride
Parameters Date mpn/100 solids 500 Ph 6.5-8.5 250 Nitrate 10
Well 7 7/1/2006 <1 222 7.41 10.8 0.025
11/1/2006 <1 218 7.06 10.9 0.02
3/1/2007
zone 15 7/1/2007 <1 230 7.24 14 0.02
11/1/2007 <1 241 5.87 12 0.02
3/1/2008 <1 221 6.93 13 0.1
7/1/2008 <1 223 6.88 13 0.02
11/1/2008 <1 _ 205 7.34 13 0.02
3/1/2009
7/1/2009 <1 242 6.47 11 0.02
11/1/2009 <1 245 6.61 245, 0.02
3/1/2010 <1 244 7.42 8 0.2
7/1/2010 <1 239 7.07 7 0.04
11/1/2010 40 247 6.88 8 0.06
3/1/2011 <1 252 6.79 8 ,04
7/1/2011 <1 240 6.79 6 <.02
11/1/2011 <1 241 6.29 9 0.02
3/1/2012 <1 234 6.93 6 <.02
7/1/2012, 2 251 6.8 11 0.02
11/1/2012 <1 249 5.93 7 0.13
3/1/2013 <1 255 7.4 17 <.02
7/22/2013 <1 261 7.31 8 <.02
11/14/2013 <1 243 7.35 5 <.02
3/14/2014 <1 249 7.08 9 0.03
7/18/2014 <1 253 6.64 7 <.02
11/3/2014 <1 256 6.91 8 <.02
3/9/2015 <1 247 7.17, 10 <.02
7/22/2015 <1 35 6.85 6 <.02
11/16/2015 <1 230 7.38 7 <.02
3/17/2016 <1 239 7.07 8 <.02
7/19/2016 <1 239 7.35 7 <.02
_
11/10/2016 <1 254 7.36 7 <.02
3/10/2017 <1 233 7.28 8 <.02
7/14/2017 <1 249 7.21 8 <.02
11/2/2017 <1 244 6.98 6 <.02
3/26/2018 <1 250 6.8 7 0.07
7/30/2018 <1 251 6.9 7 0.03
11/14/2018 <1 241 7.04 8 <.02
3/19/2019 <1 247 7.31 7 <.02
7/18/2019 4 241 7.87 7 0.08
11/21/2019 <1 248, 7.42 7 <.02
3/7/2020 <1 248 7.3 8 <.02
7/24/2020 <1 234 7.4 8 <.02

11/5/2020 <1 234 7.4 7 <.02
3/11/2021 <1 258 7.4 9 0.04
7/15/2021 <1 262 7.4 10 <.02
11/15/2021 <1 252 7.1 13 0.08
3/18/2022 <1 238 6.9 7 0.1