WQ0000193_Monitoring - 03-2021_20210504

GW-59A COMPLIANCE REPORT FORM Permit#WQ0000193
(Submit one each monitoring period with GW-59 forms.)
Enter date monitoring results were due.(313112021)Will this monitoring report(GW-59 and GW-59A)
be submitted after the established due date? YES
2 Was any required information missing on the GW-59 report forms? YES
If the answer to question 1 or 2 is"YES",list in the space provided below the well identification number(s)and
explain the problems encountered in obtaining the required information.The PH or temperature could not be recorded
on well#7 due to battery issues.
3 Are any of the monitoring wells in need of repair or maintenance(damaged casing,unlocked or missing cap, NO
identification plate,area overgrown,etc.)?If the answer is "YES", contact the Regional Office for guidance.
4 Are any monitored constituents equal to or above the established standards? 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 induvidually with constituent(s)and concentration(s)
exceeding standards in the space provided below:
5 For the constituents in question 4 above, have standards been exceeded previously for the
same constituent(s)in the same well(s)in the past two years?
If the answer to question 5 is "NO", skip to section 8.
If the answer to question 5 is "YES", list in the space provided below, each well with constituent(s)exceeding
standards. concentration(s)reported,and sample collection date for each occurrence(for the last two years).
P\AY 042p21
Sti00FSSI14G 111
t+ CIO ROc�-
6 Are the monitoring wells listed in section 5 located at or beyond the review boundary?4!'1, tt
If the answer is "YES",a groundwater quality problem may be occurring. CONTACT THE REGIONAL
OFFICE IMMEDIATELY FOR GUIDANCE.If the answer is "NO",monitoring wells may be improperly
located:contact the REGIONAL OFFICE.
7 Is the permittee implementing previously approved actions required by the Division involving this
grounwater quality problem?
If the answer to question 7 is "YES", describe those actions in the space provided below.
If the answer to question 7 is "NO", contact the Regional office within 90 days;an evaluation may be
required to determine the impact the waste disposal system is having at the review and compliance
boundaries surrounding this facility.Failure to do so may subject the permittee to a Notice of Violation,
fines,and/or penalties.
Natural Accuring Contaminates.
8 The person completing this portion(GW-59A)of the monitoring report should sign below and submit this
form with GW-59.forms for required wells to the address provided at the top of the current GW-59 form
I hereby acknowledge that the above information was evaluated and the information submitted in this
report(Compliance Report GW-59A)is true and complete to the best of my knowledge.
Signatur f Per ittee(or Authorized Agent) to
GW-59A 12/8/2003
MAY X7202/

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING: Mail original EPARTMENT OF ENVIRONMENT&NATURAL RESOURCES
and 1 copy to 'MSION OF WATER QUALITY-INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM 617 MAIL SERVICE CENTER,RALEIGH,NC 27699•1617 Phone:[phone]
FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date: May/31 2027
Facility Name: The Village of Bald Head Island Non-Discharge WQ0000193 UIC
Permit Name(if different): NPDES Other
Facility Address: 256 Edward Teach Ext. TYPE OF PERMITTED OPERATION BEING MONITORED
Bald Head Island NC 28461 County Brunswick On Lagoon ❑Remediation: Infiltration Gallery
❑ Spray Field ❑Remediation:
Contact Person: David Suther Telephone#:[phone] ❑ Rotary Distributor ❑Land Application of Sludge
Well Location/Site Name:Discharge Lagoons No.of wells to be sampled: 5 ❑ Water Source Heat Pump ❑Other:
(from Permit)
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): #1 Date sample collected: 3/17/2021 FIELD ANALYSES: WAS
Well Depth: 20 ft. Well Diameter: 2 in. pH 7.5 units Temp. 18.5 °C DRY at
time of
Depth to Water Level: 6.7ft.below measuring point Screened Interval: ft. to ft. Spec.Cond. ' µMhos sampling,
Measuring Point is 2.6 ft.above land surface Relative M.P.Elevation: ft. Odor no check
Volume of water pumped/bailed before sampling: 6.5 gallons Appearance clear here:
Samples for metals were collected unfiltered: ®YES ❑NO and field acidified: ®YES ❑NO
LABORATORY INFORMATION
Date sample analyzed: 3/17/2021 Laboratory Name: Environmental Chemists Certification No. 94
PARAMETERS NOTE:Values should reflect dissolved and colloidal concentrations.
COD mg/I Nitrite(NO2)as N mg/I Pb-Lead mg/I
Coliform: MF Fecal <1 /100m1 Nitrate(NO3)as N .33 mg/I Zn-Zinc mg/I
Coliform: MF Total /100m1 Phosphorus:Total as P .23 mg/I
(Note: Use MPN method for highly turbid samples) Orthophosphate mg/I Other(Specify Compounds and Concentration Units):
Dissolved Solids:Total 498 mg/I Al-Aluminum mg/I
pH(when analyzed) 7.5 units Ba-Barium mg/I
TOC 6.0 mg/I Ca-Calcium mg/I
Chloride 65 mg/I Cd-Cadmium mg/I
Arsenic mg/I Chromium:Total mg/I
Grease and Oils mg/I Cu-Copper mg/I ORGANICS:(by GC,GC/MS, HPLC)
Phenol mg/I Fe-Iron mg/I (Specify test and method#.ATTACH LAB REPORT.)
Sulfate mg/I Hg-Mercury mg/I Report Attached? ❑ Yes(1) ❑ No(0)
Specific Conductance µMhos K-Potassium mg/I VOC , method#
Total Ammonia <.2 mg/I Mg-Magnesium mg/I ,method#
(Ammonia Nitrogen,NH3 as N;Ammonia Nitrogen,Total) Mn-Manganese mg/I , method#
TKN as N mg/I Ni-Nickel mg/I ,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 laborato . I am aware that there are significant penalties for submitting false information,including the possibility of fines and imprisonment for knowing violations.
JP MCcanntUtiIit ec Director o bl l'C 5e r ce � � � M c -_ uP2--q/Z'OT�/Permittee(or Authorized Agent)Name and Title-Please print or type Signatur Perm ttee(or Authorized Agent) ( )
GW-59 Rev.1/2007

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING: Mail original "EPARTMENTOF ENVIRONMENT&NATURAL RESOURCES
and 1 copy to: "N N MSIO OF WATER QUALITY-INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM 617 MAIL.SERVICE CENTER,RALEIGH,NC 27699.1617 Phone:[phone]
FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date: May 31/2021
Facility Name: The Village of Bald Head Island Non-Discharge WQ0000193 UIC
Permit Name(if different): NPDES Other
Facility Address: 256 Edward Teach Ext. TYPE OF PERMITTED OPERATION BEING MONITORED
Bald Head Island NC 28461 County Brunswick ® Lagoon ❑Remediation: Infiltration Gallery
❑ Spray Field ❑Remediation:
Contact Person: David Suther Telephone#:[phone] ❑ Rotary Distributor ❑Land Application of Sludge
Well Location/Site Name:Discharge Lagoons No.of wells to be sampled: 5 ❑ Water Source Heat Pump ❑Other:
(from Permit)
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): #3 Date sample collected: 3/17/2021 FIELD ANALYSES: WAS
Well Depth: 20 ft. Well Diameter: 2 in. pH 7.8 units Temp. 16.7 °C DRY at
Depth to Water Level: 8.4ft. below measuring point Screened Interval: ft. to ft. Spec. Cond. ' µMhos time of
sampling,
Measuring Point is 11 ft.above land surface Relative M.P. Elevation: ft. Odor no check
Volume of water pumped/bailed before sampling: 5•6gallons Appearance clear here:
Samples for metals were collected unfiltered: ®YES Cl NO and field acidified: ®YES ❑NO
LABORATORY INFORMATION
Date sample analyzed: 3/17/2021 Laboratory Name: Environmental Chemists Certification No. 94
PARAMETERS NOTE:Values should reflect dissolved and colloidal concentrations.
COD mg/I Nitrite(NO2)as N mg/I Pb-Lead mg/I
Coliform: MF Fecal <1 /100m1 Nitrate(NO3)as N .11 mg/I Zn-Zinc mg/I
Coliform: MF Total /100m1 Phosphorus:Total as P 1.89 mg/I
(Note: Use MPN method for highly turbid samples) Orthophosphate mg/I Other(Specify Compounds and Concentration Units):
Dissolved Solids:Total 283 mg/I Al-Aluminum mg/I
pH(when analyzed) 7.8 units Ba-Barium mg/I
TOC 4.4 mg/I Ca-Calcium mg/I
Chloride 40 mg/I Cd-Cadmium mg/I
Arsenic mg/I Chromium:Total mg/1
Grease and Oils mg/1 Cu-Copper mg/I ORGANICS:(by GC, GC/MS, HPLC)
Phenol mg/I Fe-Iron mg/I (Specify test and method#.ATTACH LAB REPORT.)
Sulfate mg/I Hg-Mercury mg/I Report Attached? 0 Yes(1) ❑ No(0)
Specific Conductance µMhos K-Potassium mg/I VOC ,method#
Total Ammonia .34 mg/I Mg-Magnesium mg/I ,method#
(Ammonia Nitrogen,NH3as N;Ammonia Nitrogen,Total)
Mn-Manganese mg/I , method#
TKN as N mg/I Ni-Nickel mg/I ,method#
For Remediation Systems Only(Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
I certify that,to the best of my knowledge and belief,the information submitted in this report is true,accurate and complete,and that the laboratory analytical data was produced using approved methods of analysis by a
DWQ-certified laboratory. I am aware that there are significant penalties for submitting false information,including the possibility of fines and imprisonment for knowing violations.
JP Mdinn/i4tilities Director Qbilc, SivICt$ -P tuT6 r.._., L( 17A ( ��Permittee(or Authorized Agent)Name and Title-Please print or type Signature of itt a(or Authorized Agent) IDtel
GW-59 Rev.1/2007

SUBMIT FORM ON YELLOW PAPER ONLY
Mail original I mamma OF ENVIRONMENT&NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING: and 1 copy t0: •IYISION OF WATER QUALITY-INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM 617 MAIL SERVICE CENTER,RALEIGH,NC 27699-1617 Phone:[phone]
FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date: May 31 2027
Facility Name: The Village of Bald Head Island Non-Discharge W00000193 UIC
Permit Name(if different): NPDES Other
Facility Address: 256 Edward Teach Ext. TYPE OF PERMITTED OPERATION BEING MONITORED
Bald Head Island NC 28461 County Brunswick © Lagoon ❑Remediation: Infiltration Gallery
0 Spray Field 0 Remediation:
Contact Person: David Suther Telephone#:[phone] ❑ Rotary Distributor 0 Land Application of Sludge
Well Location/Site Name:Discharge Lagoons No.of wells to be sampled: 5 0 Water Source Heat Pump 0 Other:
(from Permit)
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): #5 Date sample collected: 3/17/2021 FIELD ANALYSES: WAS
Well Depth: 20 ft. Well Diameter: 2 in. pH 7.6 units Temp. 20.2 °C DRY at
Depth to Water Level: 11.6ft. below measuring point Screened Interval: ft. to ft. Spec.Cond. ' µMhos time of
sampling,
Measuring Point is 2.6 ft.above land surface Relative M.P. Elevation: ft. Odor no check
Volume of water pumped/bailed before sampling: 4•1 gallons Appearance clear here:
Samples for metals were collected unfiltered: ®YES 0 NO and field acidified: IZIYES El NO
LABORATORY INFORMATION
Date sample analyzed: 3/17/2021 Laboratory Name: Environmental Chemists Certification No. 94
PARAMETERS NOTE:Values should reflect dissolved and colloidal concentrations.
COD mg/I Nitrite(NO2)as N mg/I Pb-Lead mg/I
Coliform: MF Fecal <1 /100m1 Nitrate(NO3)as N .33 mg/I Zn-Zinc mg/I
Coliform: MF Total /100m1 Phosphorus:Total as P 1.49 mg/I
(Note: Use MPN method for highly turbid samples) Orthophosphate mg/I Other(Specify Compounds and Concentration Units):
Dissolved Solids:Total 482 mg/I Al-Aluminum mg/I
pH(when analyzed) 7.6 units Ba-Barium mg/I
TOC 6.4 mg/I Ca-Calcium mg/I
Chloride 55 mg/I Cd-Cadmium mg/I
Arsenic mg/I Chromium:Total mg/I
Grease and Oils mg/I Cu-Copper mg/I ORGANICS:(by GC,GC/MS, HPLC)
Phenol mg/I Fe-Iron mg/I (Specify test and method#.ATTACH LAB REPORT.)
Sulfate mg/I Hg-Mercury mg/I Report Attached? 0 Yes(1) 0 No(0)
Specific Conductance µMhos K-Potassium mg/I VOC ,method#
Total Ammonia 1.34 mg/I Mg-Magnesium mg/I , method#
(Ammonia Nitrogen,NH,as N;Ammonia Nitrogen,Total) Mn-Manganese mg/I , method# _.
TKN as N mg/I Ni-Nickel mg/I ,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 si.nificant penalties for submitting false information,includin.the.ossibility of fines and imprisonment for knowing violations.
JP MCcann/I.141+tiee-Director ?S \IliSCrV)L�S - 1-1 I L1
Permittee(or Authorized Agent)Name and Title-Please print or type Signature of Pe ee(o Authorized Agent) (D�te)
GW-59 Rev. 1/2007

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING: Mail original 'EPARTMENTOF ENVIRONMENT&NATURAL RESOURCES
and 1 copy to: OF WATER QUALITY-INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM 617 MAIL SERVICE CENTER,RALEIGH,NC 276994617 Phone:{919)733-3221
FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date: May/31/2027
Facility Name: The Village of Bald Head Island Non-Discharge WQ0000193 uIC
Permit Name(if different): NPDES Other
Facility Address: 256 Edward Teach Ext. TYPE OF PERMITTED OPERATION BEING MONITORED
Bald Head Island NC 28461 County Brunswick ® Lagoon 0 Remediation: Infiltration Gallery
❑ Spray Field 0 Remediation:
Contact Person: David Suther Telephone#:[phone] ❑ Rotary Distributor 0 Land Application of Sludge
Well Location/Site Name:Discharge Lagoons No.of wells to be sampled: 5 0 Water Source Heat Pump ❑Other:
(from Permit)
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): #7 Date sample collected: 3/17/2021 FIELD ANALYSES: WAS
Well Depth: 20 ft, Well Diameter: 2 in. pH units Temp. °C DRY at
Depth to Water Level: 7.8ft. below measuring point Screened Interval: ft. to _ft. Spec.Cond. ' µMhos time of
MeasuringPoint is 2.6sampling,
ft.above land surface Relative M.P. Elevation: ft. Odor no check
Volume of water pumped/bailed before sampling: 6.0 gallons Appearance clear here:
Samples for metals were collected unfiltered: ®YES ❑NO and field acidified: ®YES ❑NO
LABORATORY INFORMATION
Date sample analyzed: 3/17/2021 Laboratory Name: Environmental Chemists Certification No. 94
PARAMETERS NOTE:Values should reflect dissolved and colloidal concentrations.
COD mg/I Nitrite(NO2)as N mg/I Pb-Lead mg/I
Coliform: MF Fecal <1 /100m1 Nitrate(NO3)as N .18 mg/I Zn-Zinc mg/I
Coliform: MF Total /100m1 Phosphorus:Total as P 1.18 mg/I
(Note. Use MPN method for highly turbid samples) Orthophosphate mg/I Other(Specify Compounds and Concentration Units):
Dissolved Solids:Total 200 mg/I Al-Aluminum mg/I
pH(when analyzed) units Ba-Barium mg/I
TOC 1.3 mg/I Ca-Calcium mg/I
Chloride 12 mg/I Cd-Cadmium mg/I
Arsenic mg/I Chromium:Total mg/I
Grease and Oils mg/I Cu-Copper mg/I ORGANICS:(by GC,GC/MS, HPLC)
Phenol mg/I Fe-Iron mg/I (Specify test and method#.ATTACH LAB REPORT.)
Sulfate mg/I Hg-Mercury mg/I Report Attached? ❑ Yes(1) ❑ No(0)
Specific Conductance µMhos K-Potassium mg/I VOC ,method#
Total Ammonia 1.22 mg/I Mg-Magnesium mg/I , method#
(Ammonia Nitrogen,NH3 as N:Ammonia Nitrogen,Total)
Mn-Manganese mg/I ,method#
TKN as N mg/I Ni-Nickel mg/I , 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 lam aware that there are si.nificant penalties for submitting false information,includin.the possibility of fines and imprisonment for knowing violations.
JP MCcann/44tilities-Director RA0)tk Srdica 7 iU ,`� - (t /zziz.ii
• Permittee(or Authorized Agent)Name and Title-Please print or type Signature of rmitt�e(or Authorized Agent) ,Date)
GW-59 Rev.1/2007

SUBMIT FORM ON YELLOW PAPER ONLY
Mail original ' PARTMENT OF ENVIRONMENT&NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING: and 1 copy to 'VISION OF WATER QUALM-INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM 617 MAIL SERVICE CENTER,RALEIGH,NC27699.1617 Phone:[phone]
FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date: May/31 2027
Facility Name: The Village of Bald Head Island Non-Discharge WQ0000193 UIC
Permit Name(if different): NPDES Other
Facility Address: 256 Edward Teach Ext. TYPE OF PERMITTED OPERATION BEING MONITORED
Bald Head Island NC 28461 County Brunswick ® Lagoon 0 Remediation: Infiltration Gallery
❑ Spray Field ❑Remediation:
Contact Person: David Suther Telephone#:[phone] ❑ Rotary Distributor ❑Land Application of Sludge
Well Location/Site Name:Discharge Lagoons No.of wells to be sampled: 5 ❑ Water Source Heat Pump ❑Other:
(from Permit)
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): #8 Date sample collected: 3/17/2021 FIELD ANALYSES: WAS
Well Depth: 20 ft. Well Diameter: 2 in. pH 8.3 units Temp. 16.9 °C DRY at
time of
Depth to Water Level: 8.7ft.below measuring point Screened Interval: ft. to _ft. Spec. Cond. ' µMhos sampling,
Measuring Point is 2.6 ft.above land surface Relative M.P. Elevation: ft. Odor no check
Volume of water pumped/bailed before sampling: 5•5gallons Appearance clear here:
Samples for metals were collected unfiltered: ®YES ❑NO and field acidified: ®YES ❑NO
LABORATORY INFORMATION
Date sample analyzed: 3/17/2021 Laboratory Name: Environmental Chemists Certification No. 94
PARAMETERS NOTE:Values should reflect dissolved and colloidal concentrations.
COD mg/I Nitrite(NO2)as N mg/I Pb-Lead mg/I
Coliform: MF Fecal <1 /100m1 Nitrate(NO3)as N .40 mg/I Zn-Zinc mg/I
Coliform: MF Total /100m1 Phosphorus:Total as P 1.03 mg/I
(Note: Use MPN method for highly turbid samples) Orthophosphate mg/I Other(Specify Compounds and Concentration Units):
Dissolved Solids:Total 426 mg/I Al-Aluminum mg/I
pH(when analyzed) 8.3 units Ba-Barium mg/I
TOC 6.2 mg/I Ca-Calcium mg/I
Chloride 53 mg/I Cd-Cadmium mg/I
Arsenic mg/I Chromium:Total mg/I
Grease and Oils mg/I Cu-Copper mg/I ORGANICS:(by GC, GC/MS, HPLC)
Phenol mg/I Fe-Iron mg/I (Specify test and method#.ATTACH LAB REPORT.)
Sulfate mg/I Hg-Mercury mg/I Report Attached? ❑ Yes(1) ❑ No(0)
Specific Conductance µMhos K-Potassium mg/I VOC , method#
Total Ammonia <.20 mg/I Mg-Magnesium mg/I ,method#
(Ammonia Nitrogen;NH3as N;Ammonia Nitrogen,Total) Mn-Manganese mg/I , method#
TKN as N mg/I Ni-Nickel mg/I ,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 laborato . I am aware that there are significant penalties for submitting false information.including the possibility of fines and imprisonment for knowing violations.
JP MCcann/Utilities-Director PJhkk(., SeerV ' KATgAvI t f/I of/z,IL!
' Permittee(or Authorized Agent)Name and Title-Please print or type Signature of P itte (or Authorized Agent) ;Date)
GW-59 Rev.1/2007