WQ0003044_Monitoring - 03-2021_20210504

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING: Mail Original DEPARTMENT OF ENVIRONMENT&NATURAL RESOURCES
to: WATER QUALITY DIVISION, GROUNDWATER SECTION
COMPLIANCE REPORT FORM 1636 MAIL SERVICE CENTER
RALEIGH, NC 27699-1636 Phone:[phone]
FACILITY INFORMATION Please Print Clearly or Type
Facility Name_�1tre-N�=tk-V--' PERMIT#: EXPIRATION DATE:
Permit Name (if different): Non-Discharge Cx:`�`�3�z°-1. UIC
.-, NPDES
a
Facility Address: Sl `i TYPE OF PERMITTED OPERATION BEING MONITORED
t-.,v� i C c2 c<C � I v�> air] B 1. County �./,:_"'f"'1e I"'Set
1 4Y) (SWIe) (ZIP)
Contact Person�+•. f4-tr c . �. Lagoon Remediation:infiltration Gallery
� Telephone #:�'�l-��S �
Well Location/Site Name: No. of Wells to be Sampled: 1{ Spray Field Remediation:
or.„-,-,_.„) ✓' Rotary Distributor Land Application of Sludge
Well Identification Number(from Permit):_ 1 For Groundwater Treatment Systems Other:
Well Depth: �CA ft. Well Diameter: 4.. in- Check One: El Influent (98)
Screened Interva: ft. to ft. ❑ Effluent (99) NOTE: Values should reflect dissolved and
Depth to Water Level:°(t(.a_ ft. below measuring point. colloidal concentrations.
Measuring Point(M.P.)is: ft. above land surface. Relative M.P. Elevation in ft.:
Gallons of water pumped/bailed before sampling: t t 5 Date sample collected:3 jA5()...1 Date sample analyzed:
Field analysis: pH n 4 1 , Specific Conductance uMhos Laboratory Name: 2.1."'.r6,rr-r'Y' YA V—
Temp. \ 1 °C, Odor Appearance Certification No. 1t
PARAMETERS (Samples for metals were collected unfiltered YES NO and field acidified YES NO)
COD mg/I Nitrite (NO2) as N mg/I Ni - Nickel mg/I
Coliform: MF Fecal i /100m1 Nitrate (NO3) as N l , mg/i Pb - Lead mg/I
Coliform: MF Total /100m1 Phosphorus: Total as P a li mg/ Zn - Zinc irtg/l
(Note:Use MPN method for highly turbid samples) Orthophosphate mg/ Ammonia Nitrogen OJC3Li mg/I
Dissolved Solids: Total 1.51 0 mg/I Al - Aluminum mg/ Other (Specify Compounds and Concentration Units)
pH (when analyzed) units Ba - Barium R(7 11 -f g/ ;
TOC az 5 S mg/I Ca - Calcium }h.mg/ v G
Chloride ),j mg/I Cd - Cadmium MAY 0 4 20?1mg/
Arsenic mg/I Chromium: total mg/ MAY ?J� a
Grease and Oils mg/I Cu - Copper f n A UV't); ;LC i IUN m /
Phenol mg/I Fe - Iron ORGANICS:ORGANICS: (GC,GC/MS,HPLC)
Sulfate mg/I Hg - Mercury mg/ (Specify test and method It. Attach lab rep )
Specific Conductance uMhos K - Potassium mg/ Report Attached? Yes (1) No (0)
Total Ammonia mg/I Mg - Magnesium mg/ VOC : method#_
TKN as N mg/I Mn - Manganese mg/ : method# =
: method # --
I certify that,to the best of my knowledge and belief,the information submitted in this report is true,accurate,and complete,and that the laboratory analytical data was produced
using approved methods of analysis by a North Carolina DWQ(formerly DEM)certified laboratory. I am aware that there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations. 6.4 M f--0 i • v-
Permittee(or Authorized e t)Name and Title-Please print or rype•
,�j
GW59 `� API 4C /7f Signature of Permitte o uthorized Agent) (Date)
Rev. 03/2000

SUBMIT FORM ON YELLOW PAPER ONLY
Mail Original DEPARTMENT OF ENVIRONMENT&NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING: to: WATER QUALITY DIVISION, GROUNDWATER SECTION
1636 MAIL SERVICE CENTER
COMPLIANCE REPORT FORM RALEIGH,NC 27699-1636 Phone:[phone]
FACILITY INFORMATION Please Print Clearly or Type
PERMIT#: EXPIRATION DATE:
Facility Name: t\ -5c_rOR Q.-- Non-Discharge CN.,r :N-44 UIC
Permit Name (if different): NPDES
Facility Address: 'ate•-- Si#
1 ree
f) TYPE OF PERMITTED OPERATION BEING MONITORED
t1idri ,� c�..r�r. tie) d� S t 1 County C� ,� r �
� „yl ts�e> op) Lagoon Remediation: Infiltration Gallery
Contact Person'+LL �Cgf4. Telephone#:as-Li-s-_,1`�l
Well Location/ Site Name: 1 No. of Wells to be Sampled: Spray Field Remediation:
(tr°" emit) ✓ Rotary Distributor _ Land Application of Sludge
Well Identification Number(from Permit): Lt For Groundwater Treatment Systems Other:
Well Depth: 1 ?.. E
ft. Well Diameter: lin. Check One:0 Influent (98)
Screened Interval: ft. to ft. 0 Effluent (99) NQTE: Values should reflect dissolved and
Depth to Water Level: '7,kA ft. below measuring point. colloidal concentrations.
Measuring Point(M.P.)is: ft. above land surface. Relative M.P. Elevation in ft.:
©
Gallons of water pumped bailed before sampling: �:�� Date sample collected:31,(9 .L.I Date sample analyzed: '
Field analysis: pH •—I 1 , Specific Conductance uMhos Laboratory Name: e\�\‘rJr- ytik
Temp. I O °C, Odor Appearance Certification No. OD
PARAMETERS (Samples for metals were collected unfiltered YES NO and field acidified YES NO)
COD mg/I Nitrite (NO2) as N mg/I Ni - Nickel mg/I
Coliform: MF Fecal 1 /100m1 Nitrate (NO3) as N 0 ..Cl mg/I Pb - Lead mg/I
Coliform: MF Total /100m1 Phosphorus: Total as P 0. IS mg/I Zn - Zinc mg/I
(Note:Use MPN method for highly turbid samples) Orthophosphate mg/I Ammonia Nitrogen Q.rvi- mg/I
Dissolved Solids: To)ial 430 mg/I Al - Aluminum mg/I Other (Specify Compounds and Concentration Units)
pH (when analyzed) units Ba - Barium mg/I
TOC 5 s (Jo J mg/I Ca - Calcium mg/I
Chloride Ca_l mg/I Cd - Cadmium mg/I
Arsenic mg/I Chromium: total mg/I
Grease and Oils mg/I Cu - Copper mg/I
Phenol mg/I Fe - Iron mg/I ORGANICS: (GC,GC/MS,HPLC)
Sulfate mg/I Hg - Mercury mg/I (Specify test and method#. Attach lab repo it.)
Specific Conductance uMhos K - Potassium mg/I Report Attached? Yes _ (1) No (0)
Total Ammonia mg/I Mg - Magnesium mg/I VOC : method# =
TKN as N mg/I Mn - Manganese mg/I : method# =
: method # _
I certify that,to the best of my knowledge and belief,the information submitted in this report is true,accurate,and complete,and that the laboratory analytical data was produced
Using approved methods of analysis by a North Carolina DWG (formerly DEM)certified laboratory. I am aware that there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations. Crotif-A-e- yG_fL-
Permittee(or Authorized Agent)Name and Title-Please print or type
GW-59 Signature of Permittee(or Autho' e Agent) (Dale)
Rev. 03/2000

SUBMIT FORM ON YELLOW PAPER ONLY
QUALITY MONITORING:[GROUNDWATERMalt Original DEPARTMENT OF ENVIRONMENT&NATURAL RESOURCES
to: WATER QUALITY DIVISION,GROUNDWATER SECTION
COMPLIANCE REPORT FORM 1636 MAIL SERVICE CENTER
RALEIGH, NC 27699-1636 Phone:[phone]
FACILITY INFORMATION Please Print Clearly or Type
Facility Name~ �1'..e-E =rA PERMIT#: EXPIRATION DATE:
Permit Name (if different): Non-Discharge �s`3 ' =4 UIC
Facility Address: ��1 �6 NPDES
.�,,, Gree) N _ OLlc 11 CountyTYPE OF PERMITTED OPERATION BEING MONITORED
icily> "� l tst�te) tzo Lagoon Remediation: Infiltration Gallery
Contact Person AKA U. Ckrr Telephone #: q-5v_3`i
Well Location! Site Name: No. of Wells to be Sampled: Spray Field Remediation:
p (from-rem-kit) i/ Rotary Distributor Land Application of Sludge
Well Identification Number(from Permit): . 4 For Groundwater Treatment Systems Other:
Well Depth: h ft. Well Diameter:_. __ in. Check One: ❑ Influent (98)
Screened Interval: ft. to ft. ❑ Effluent (99) NOTE: Values should reflect dissolved and
Depth to Water Level:Si5 I ft. below measuring point. colloidal concentrations.
Measuring Point(M.P.)is: ft.above land surface. Relative M.P. Elevation in ft.:
Gallons of water pumped/bailed before sampling: "�,,Y Date sample collected: Date sample analyzed:
Field analysis: pH )'Li7 , Specific Conductance uMhos Laboratory Name: mac' r\\\,ram rr n�
Temp. Ls °C, Odor Appearance Certification No. t..
PARAMETERS (Samples for metals were collected unfiltered YES NO and field acidified YES NO)
COD mg/I Nitrite (NO2) as N mg/I Ni - Nickel mg/I
Coliform: MF Fecal I /100m1 Nitrate (NO3) as N 3,9.75 mg/i Pb - Lead mg/I
Coliform: MF Total /100m1 Phosphorus: Total as P ,,"1 L mg/ Zn - Zinc mg/I
(Note:Use MPN method for highly turbid samples) Orthophosphate mg/ Ammonia Nitrogen CD-C`f mg/I
Dissolved Solids: To0.1 HMO mg/I Al - Aluminum mg/ Other (Specify Compounds and Concentration Units)
pH (when analyzed) units Ba - Barium mg/
TOC Li. l i mg/I Ca - Calcium mg/
Chloride CO 0 mg/I Cd - Cadmium mg/
Arsenic mg/I Chromium: total mg/
Grease and Oils mg/I Cu - Copper mg/
Phenol mg/I Fe - Iron mg/ ORGANICS: (GC,GC/MS,HPLC)
Sulfate mg/I Hg - Mercury mg/ (Specify test and method#. Attach lab report.)
Specific Conductance uMhos K - Potassium mg/ Report Attached? Yes (1) No X (0)
Total Ammonia mg/I Mg - Magnesium mg/ VOC : method#=
TKN as N mg/I Mn - Manganese mg/ : method # =
: method # =
I certify that,to the best of my knowledge and belief,the information submitted in this report is true,accurate,and complete,and that the laboratory analytical data was produced
using approved methods of analysis by a North Carolina DWQ(formerly DEM)certified laboratory. I am aware that there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations. Cia A. &I'Gek- �t
Permittee(or Authorized Agent)Name and T{i/e-Please print or type
GW-59 4(3J72
Signature of Permittee(or Authorized A. (Date)
Rev. 03/2000

SUBMIT FORM ON YELLOW PAPER ONLY
Mail Original DEPARTMENT OF ENVIRONMENT&NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING: to: WATER QUALITY DIVISION,GROUNDWATER SECTION
163COMPLIANCE REPORT FORM RALEIGH,L IL NC 27699-1636E CENTER
NC Phone:[phone]
FACILITY INFORMATION Please Print Clearly or Type
Facility Name: d1..4 �r'1t:.� PERMIT#: EXPIRATION DATE:
Permit Name (if different): Non-Discharge-:+1 1n".3 °-r4 UIC
�v�t; . NPDES
Facility Address ( ee — TYPE OF PERMITTED OPERATION BEING MONITORED
< \c.�� � � ��«c1r:_ I� -' t - County CAM r•cz
1 iiy) (State) (Zip)
Contact Person()L. -.►'PCs 7V r Telephone#:��t-S kaci Lagoon Remediation: Infiltration Gallery
Well Location/Site Name: ( No. of Wells to be Sampled: Spray Field Remediation:
Q p (Irom ,,,it)
_ f Rotary Distributor Land Application of Sludge
Well Identification Number(from Permit): (p For Groundwater Treatment Systems Other:
Well Depth: 1 .. ft_ Well Diameter: `d- in" Check One: ❑ Influent (98) '
Screened Interval: ft. to ft. ❑ Effluent (99) NOTE: Values should reflect dissolved and
Depth to Water Level: iO.03 ft. below measuring point. colloidal concentrations.
Measuring Point(M.P.)is: ft. above land surface. elative M.P. Elevation in ft.:
Gallons of water pumped/bailed before sampling: Date sample collected:3 t A.9A1 Date sample analyzed:
Field analysis: pH C7 '2 , Specific Conductance uMhos Laboratory Name: 2--hJ,ry•.•rwD r. a
Temp. t(. °C, Odor Appearance Certification No. I_L1
PARAMETERS (Samples for metals were collected unfiltered YES NO and field acidified YES NO)
COD i mg/I Nitrite (NO2) as N mg/I Ni - Nickel mg/I
Coliform: MF Fecal 1 /100ml Nitrate (NO3) as N d,-4 I mg/i Pb - Lead mg/I
Coliform: MF Total /100mI Phosphorus: Total as P .2.'O0 mg/I Zn - Zinc mg/I
(Note:Use MPN method for highly turbid samples) Orthophosphate mg/I Ammonia Nitrogen O-E7 c� mg/I
Dissolved Solids: Total 7v mg/I Al - Aluminum mg/I Other (Specify Compounds and Concentration Units)
pH (when analyzed) units Ba - Barium mg/I
TOC 2v1 fv mg/I Ca - Calcium mg/I
Chloride i,� mg/I Cd - Cadmium mg/I
Arsenic mg/I Chromium: Total mg/I
Grease and Oils mg/I Cu - Copper mg/I
Phenol mg/I Fe - Iron mg/I ORGANICS: (GC,GC/MS,HPLC)
Sulfate mg/I Hg - Mercury mg/I (Specify test and method#. Attach lab report.)
Specific Conductance uMhos K - Potassium mg/1 Report Attached? Yes (1) No ?c• (0)
Total Ammonia mg/I Mg - Magnesium mg/I VOC : method#=
TKN as N mg/I Mn - Manganese mg/I : method #=
: method # =
I certify that,to the best of my knowledge and belief,the information submitted in this report is true,accurate,and complete,and that the laboratory analytical data was produced
using approved methods of analysis by a North Carolina DWQ(formerly DEM)certified laboratory. I am aware that there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations. to Lit'Pi1/Be.,_
Permittee(or Authorized Agent)Name and Titl -Please print or type
GW-59 , ' Ju
di
Signature of Permittee(or A ed Agent) (Dale)
Rev. 03/2000

IEitt Flo BEcoTpoTffR@d.
•
„, „ , ,..••., , * , , .., • .,•
- ,,..„,„ _ /, . r , , '''' ' , ' ' ' ,,VP',.fi`74 4:4411A-,4,,,,,,,,va, •- .','• „ * ,
114 OAKMONT DRIVE PHONE [phone]
GREENVILLE, N.C. 27858 FAX [phone]
ID#: 556
DUNESCAPE (HYDROTECH)
ATTN: DON O'MARA
HYDROTECH DATE COLLECTED: 03/29/21
P.O. BOX 4602 DATE REPORTED : 04/08/21
EMERALD ISLE ,NC 28594
REVIEWED BY: ,�✓ \
MW-1 MW-4 MW-5 MW-6 Analysis Method
PARAMETERS Date Analyst Code
PH (field measurement), Units 7.7 7.7' 7.6 7.2 03/29/21 PJC 4500HB-11
Fecal Coliform (MF), /100 Mls <1 <1 <1 <1 03/29/21 JMS 9222D-06
Ammonia Nitrogen as N, mg/I <0.04 <0.04 <0.04 0.08 03/30/21 DTL 350.1 R2-93
Nitrate Nitrogen as N, mg/I 1.28 0.09 3.98 2.41 03/31/21 DTL 353.2 R2-93
Total Phosphorus as P, mg/I 0.21 0.15 1.76 2.06 04/07/21 DTL 365.4-74
Total Organic Carbon, mg/I 2.55 5.61 4.11 22.16 04/01/21 KDS 5310C-11
Chloride, mg/I 21 61- 60 128 04/05/21 BLV 4500CLB-11
Total Dissolved Residue, mg/I 290 430 440 870 03/30/21 JMS D5907-13
Static Water Level, feet 9.60 7.68 9.51 10.03 03/29/21 PJC
Water Bailed, Gals. 1.5 7.8 7.8 1.2 03/29/21 PJC