WQ0033770_Monitoring - 03-2021_20210504

Ql IRUlT t:n0KA nKj vCr r V.-Anco nw v
GROUNDWATER QUALITY MONITORING:
DEPARTMENT OF ENVIRONMENTAL QUALITY - DIV. OF WATER RESOURCES
COMPLIANCE REPORT FORM
• • •
•
INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617
FACILITY INFORMATION Please Print Clearly orType
PERMIT Number: W00033770 Expiration Date: 12/31/21
Facility Name: Carolina plantation WWTP
Non -Discharge UIC
Permit Name (if different):
NPDES Other Infiltration system
Facility Address: 100 Carolina Plantation Road
)acksonville ..a, Nc
TYPE OF PERMITTED OPERATION BEING MONITORED
28540
County
El Lagoon ❑ Remediation: Infiltration Gallery
El Spray Field El Remediation:
Jeff Jarman
Contact Person:
910-330-8167
Telephone#:
❑ Rotary Distributor Land Application of Sludge
❑
Well Location/Site Name: Carolina Plantation
No. of wells to be sampled: 3
p Q Other: underdrains
❑ Water Source Heat Pump
(from Permit)SAMPLING
INFORMATION
��
If WELL
WELL ID NUMBER (from Permit): — j
Date sample collected: 3 %
Z/
FIELD ANALYSES:
WAS
Well Depth: ) n.
Well Diameter: �•Lfin. --C—
pH ooaoo: units Temp. 000ro: °C
DRY at
Depth to Water Level 82546: ft. below measuring point Screened Interval:15—ft. to
Spec. Cond. 00094. µMhos
time of
Measuring Point is above land surface
Relative M.P. Elevation: ft.
_ft.
Odor 000a5:
sampling,
_ft.
Volume of water pumped/bailed before sampling: _
gallons
Appearance
check
here:❑
Samples for metals were collected unfiltered: ® YES
❑ NO and field acidified: ® YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed:
Laboratory Name:
Certification No.
PARAMETERS NOTE: Values should reflect dissolved
and colloidal concentrations.
COD 00335 mg/L
Nitrite (NOZ) as N 00615
mg/L Pb - Lead o1o51 ug/L
Coliform: MF Fecal 31616 /100mL
Nitrate (NO,) as N 00620
mg/L Zn - Zinc: o1o92 mg/L
Coliform: MF Total 31504 /100mL
Phosphorus: Total as P 00665
mg/L
(Note Use MPN me7wtl for hghly tur0id samples)
Orthophosphate 70507
mg/L Other S ( pecrfy Compounds and Concentration Units):
issolved Solids:Total 70300 mg/L
Al - Aluminum o11o5
mg/L
pH (Lab) 00403 units
Ba - Barium 01007
ug/L
TOC ooseo mQ/L
Ca - Calcium oos16
mg/L
,� p• ('► I
Chloride 00940 mg/L
Cd -Cadmium 01027
nglL nr
Arsenic 01002 ug/L
Chromium: Total o1o34
t WIL mm
Grease and Oils 00552 my/L
Cu - Copper 01042
mg/L ORGANICS: (by GC, ,HPLC))�c
Phenol 32730 ug/L
Fe - Iron o1o45
ug/L (Specify test a �H LAB REPORT.)
Sulfate 00945 mg/L
Hg - Mercury 719M
uglL
Lab Report Yes (1) ❑ No (0)
Specific Conductance 00095 µAthos
K - Potassium 00937
mg/L VOC 7673 method #
Total Ammonia oo610 mg/L
Mg - Magnesium 00927
mg/L method #
(Ammorma Nitrogen, NH, as N. Anmorna 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%

StIRM1T FORM ON YFI_I CM PAPER ONLY
• •
DEPARTMENT OF ENVIRONMENTAL QUALITY - DIV. OF WATER RESOURCES
GROUNDWATER QUALITY MONITORING:
INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
•
• •
•
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617
FACILITY INFORMATION Please Pnnt Clearly or Type
PERMIT Number: W00033770 Expiration Date: 12/31/21
Facility Name: Carolina plantation WWTP
Non -Discharge UIC
Permit Name (if different):
NPDES Other Infiltration system
Facility Address: 100 Carolina Plantation Road
TYPE OF PERMITTED OPERATION BEING MONITORED
Jacksonville NC 28540
County
❑Lagoon ❑ Remediation: Infiltration Gallery
-1,
❑ Spray Field ❑ Remediation:
Contact Person: Jeff Jarman
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Carolina Plantation
No. of wells to be sampled:
❑ Water Source Heat Pump Mother: underdrai ns
(fmm Pwn*
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): " Z
Date sample collected:
c /
FIELD ANALYSES:
WAS
Well Depth:ft.
Well Diameter: l.L1in.
pH oo400_ units Temp. 000lo: °C
DRY at
Depth to Water Level 82546: _ft. below measuring point
Screened Interval: / S` ft.
to
_ft.
Spec. Cond, 00094: µ Mhos
time of
sampling,
Measuring Point is Zft. above land surface
Relative M.P. Elevation:
ft.
Odor 000as:
check
Volume of water pumped/bailed before sampling:
gallons
Appearance
here: El
Samples for metals were collected unfiltered: ® YES ❑
NO and field acidified: ® YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed:
Laboratory Name:
Certification No.
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L
Nitrite (NO2) as N oo61s
mg/L Pb - Lead o1o51 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 oo66s
mg/L
(Note Use MPN m•mod for rd" aso,d samples)
Orthophosphate 70507
m Other S mg/L (pacify Compounds and Concentration Units).
issolved Solids:Total 70300 mg/L
Al - Aluminum o11os
mg/L
pH (Lab) 00403 units
Ba - Barium olo07
ug/L
TOC omm mg/L
Ca - Calcium oo916
mg/L
Chloride oog4o mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002 ug/L
Chromium: Total oio34
ug/L
Grease and Oils 00552 mg/L
Cu - Copper 01042
mg/L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730 uglL
Fe - Iron olo4s
ug/L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945 mg/L
Hg - Mercury 71900
uglL Lab Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance 00095 µMhos
K - Potassium 00937
mg/L VOC 7873 method #
Total Ammonia 00610 mg/L
Mg - Magnesium 00927
mg/L method #
(Ammona MtroW; NHS as N; Ammonia N&ow. Total)
Mn - Manganese 01055
uglL , method #
TKN as N 00625 mg/L
Ni - Nickel 01067
u91L method #
For Remediation Svstems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mv/L VOC Removal%

SI IRMIT FORM ON YELLOW PAPER ONLY
• .
DEPARTMt?fT OF ENVIRONMENTAL GUAUTY - W. OF WATER RESOURCES
GROUNDWATER QUALITY MONITORING:
INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
• • •
•
1617 MAIL SERVICE CENTER, RALEIGK NC 276694617
FACILITY INFORMATION
PW&se Pnn( Crearfy or Type
PERMIT Number: W00033770 Expiration Date: 12/31/21
Facility Name: Carolina plantation WWTP
Non -Discharge UIC
Permit Name (if different):
NPDES Other Infiltration system
Facility Address: 100 Carolina Plantation Road
TYPE OF PERMITTED OPERATION BEING MONITORED
Jacksonville NC
28540
County
❑ Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
Contact Person: Jeff Jarman
Telephone#: [phone]
❑ Rotary Distributor •❑ Land Application of Sludge
Well Location/Site Name: Carolina Plantation
No. of wells to be sampled: 3
❑ Water Source Heat Pump ©other. underdrai ns
ifran Pemw)
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit):�'.�
Date sample collected: 3 2
FIELD ANALYSES:
WAS
Well Depth: IQ-ft.
Well Diameter: /.Z in.
pH 00400- units Temp. 000lo: °C
DRY at
Depth to Water Level 62546:_ft. below measuring point Screened Interval: I S—ft. to
_ft.
Spec. Cond. 00094 µMhos
time of
sampling,
Measuring Point is 2 ft. above land surface
Relative M.P. Elevation: ft.
Odor 000ss.
check
Volume of water pumped/bailed before sampling:
gallons
Appearance
here:®
Samples for metals were collected unfiltered: ® YES
❑ NO and field acidified: 0 YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed:
Laboratory Name:
Certification No.
PARAMETERS NOTE: Values should reflect dissolved
and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N oo615
mg/L Pb - Lead mo61 U91L
Coliform: MF Fecal 31616
/100mL
Nitrate (NO3) as N oo62o
mg& Zn - Zinc o1092 mg&
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665
mg/L
(Note Use MPN meemod for NgNy tutWd swVes)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300
mg/L
AI - Aluminum o11os
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC oo66o
mg/L
Ca - Calcium 00916
mg/L
Chloride 0o94o
mg/L
Cd - Cadmium 01027
ug/L
Arsenic o1om
ug/L
Chromium: Total =34
ug/L
Grease and Oils o0552
mg/L
Cu - Copper 01042
mg/L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
U91L
Fe - Iron o104s
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
µMilos
K - Potassium W937
mg/L VOC 7873 method #
Total Ammonia 00610
mg/L
Mg - Magnesium W927
mg/L method #
(Ammnrna Nitrogen, N143a• N: AMMIS 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 tmuent I otai vut;s: mgfL vuc itsmoval-A

SUBMIT FORM ON YFI I OW PAPFR ONI Y
GROUNDWATER QUALITY MONITORING:
• •
DEPARTMENT OF ENVIRONMENTAL OUAUTY - DIV, OF WATER RESOURCES
COMPLIANCE REPORT FORM
• •
•
INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617
FACILITY INFORMATION Please Print
Clearly or Type
w00033770 12/31/21
PERMIT Number: Expiration Date:
Facility Name: Carolina plantation wwTP
Non -Discharge UIC
Permit Name (if different):
NPDES Other Infiltration system
Facility Address. 100 carol ina Plantation Road
Jacksonville I
TYPE OF PERMITTED OPERATION BEING MONITORED
NC 28540
County
El Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
Jeff Jarman
Contact Person:
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Locabon/Site Name: Carolina Plantation
No. of wells to be sampled: 3
❑ Water Source Heat Pump © Other: underdrai ns
iom P•rmp
SAMPLING INFORMATION
%
If WELL
WELL ID NUMBER (from Permit): Q L — y
Date sample collected: // is /
FIELD ANALYSES:
WAS
Well Depth: /S- ft.
Well Diameter: / tin.
pH oo400 units Temp. 000io: °C
DRY at
Depth to Water Level 82546:1—ft. below measuring point Screened Interval: / y ft. to
Spec. Cond. 00094. µMhos
time of
Measuring Point is _ft. above land surface
Relative M.P. Elevation: ft.
_ft.
Odor 0008s:
sampling,
Icheck
Volume of water pumped/bailed before sampling:
gallons
Appearance
here:®
Samples for metals were collected unfiltered: ® YES
❑ NO and field acidified: 0 YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed:
Laboratory Name:
Certification No.
PARAMETERS NOTE: Values should reflect dissolved
and colloidal concentrations.
COD 00335 mg/L
Nitrite (NO2) as N 00615
mg/L Pb - Lead mo51 ug/L
Coliform: MF Fecal 31616 /100mL
Nitrate (NO3) as N 00620
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31s04 /100mL
Phosphorus: Total as P oo665
mglL
(Note'. Use MPN mealod for h * Wrdd sar Ales)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 mg/L
AI - Aluminum 01105
mg/L
pH (Lab) 00403 units
Ba - Barium 01007
ug/L
TOC 00680 mg/L
Ca - Calcium 00916
mg/L
Chloride oo94o mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002 ug/L
Chromium: Total olo34
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 oo095 µMhos
K - Potassium 00937
mg/L VOC 7873 method #
Total Ammonia oo610 mg/L
Mg - Magnesium 00927
mg/L method #
(Affrnma Nitrogen. NHIas N, AntnIXMa Nitrogen, Total)
Mn - Manganese oloss
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%
or two
GW-59 Rev 06-07-2018
of Pennittee (or
0

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
• •
DEPARTMENT OF ENVIRONMENTAL QUALITY - DIV. OF WATER RESOURCES
COMPLIANCE REPORT FORM
•
•
INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER, RALEtGK NC 27699-1617
FACILITY INFORMATION Please Pnnt CJearfy or Type
W00033770 12/31/21
PERMIT Number: Expiration Date:
Facility Name. Carolina plantation WVrP
Non -Discharge UIC
Permit Name (if different):
NPDES Other infiltration system
Facility Address: 100 Carolina plantation Road
TYPE OF PERMITTED OPERATION BEING MONITORED
Jacksonville NC 28S40
County
❑Lagoon ❑ Remediation Infiltration Gallery
❑ Spray Field ❑ Remediation.
Contact Person: Jeff Jarman
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Carolina Plantation
No. of wells to be sampled: 3
❑ Water Source Heat Pump © Other: underdrains
OMM Pa
SAMPLING INFORMATION
WELL ID NUMBER (from Permit): Z—
Date sample collected: 1 FIELD ANALYSES:
If WELL
WAS
Well Depth: lkk.
Well Diameter: L_�n.
pH oo400. units Temp. 000lo °C
DRY at
Depth to Water Level 62546:_ft. below measuring point Screened Interval:lY--
to
ft. Spec. Cond. 0009a: µMhos
time offt.
Measuring Point is ft. above land surface
Relative M.P. Elevation:
ft.
Odor o0085:
sampling,
check
Volume of water pumped/bailed before sampling:
gallons
Appearance
here:
❑
Samples for metals were collected unfiltered: IN YES
El NO and field acidified: M YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed:
Laboratory Name:
Certification No.
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L
Nitrite (NO2) as N 00615
mg/L Pb - Lead olos1 ug/L
Coliform: MF Fecal 31616 /100mL
Nitrate (NOS) as N oo62o
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 315o4 /100mL
Phosphorus: Total as P oo665
mg/L
(Note Use MPN method for NgtNy twbMd sanytes)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 mg/L
Al - Aluminum 01105
mg/L
pH (Lab) o0403 units
Ba - Barium 01007
uglL
TOC oo66o mg/L
Ca - Calcium W916
mg/L
Chloride oo94o mg/L
Cd - Cadmium 01027
ug/L
Arsenic w002 ug/L
Chromium: Total o1o34
ug/L
Grease and Oils oos52 mg/L
Cu - Copper 01042
mg/L ORGANICS: (by GC, GCfMS, HPLC)
Phenol 32730 ug/L
Fe - Iron oio45
ug/L (Specify test and method S. ATTACH LAB REPORT.)
Sulfate 00945 mg/L
Hg - Mercury 719oo
ug/L
Lab Report Attached? ❑ Yes (1) ❑ No (0)
pecific Conductance 00095 µMhos
K - Potassium 00937
mg/L VOC 7673 method #
Total Ammonia oo610 mg/L
Mg - Magnesium 00927
mg/L method #
(Anvwnta Nitrogen. NH)w N. Armnaa Nitrogen. Totai)
Mn - Manganese o1om
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: ng/L VOC Remavat%

SUBMIT FORM ON Y LL W PAPER ONLY
DEPARTMENT OF ENVIRONMENTAL QUALITY - DIV. OF WATER RESOURCES
GROUNDWATER QUALITY MONITORING:
INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617
FACILITY INFORMATION
PleaseFWntClearly orType
PERMIT Number: wQ0033770 Expiration Date. 12/31/21
Facility Name: Carolina plantation WWTP
Non -Discharge UIC
Permit Name (if different):
NPDES Other infiltration system
Facility Address: 100 Carolina Plantation Road
TYPE OF PERMITTED OPERATION BEING MONITORED
Jacksonville NC
28540
County
❑ Lagoon ❑ Remediation: Infiltration Gallery
p
❑ Spray Field ❑ Remediation:
Contact Person: Jeff Jarman
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Carolina Plantation
No. of wells to be sampled: 3
❑ Water Source Heat Pump © Other: underdrai ns
ifibn+P6(Rpt)
SAMPLING INFORMATION
—�
A�
If WELL
WELL ID NUMBER (from Permit): ' L
Date sample collected: /
FIELD ANALYSES:
WAS
Well Depth: ft.
Well Diameter: LP-fi.
pH oo400 units Temp. 000lo °C
DRY at
-L
Depth to Water Level 82546:ft. below measuring point Screened Interval: /I'- ft
to
_ft.
Spec. Cond. aoosa µ Mhos
time of
sampling,
Measuring Point is Z It. above laird surface
Relative M.P. Elevation:
ft.
Odor 000es
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:
Certification No
PARAMETERS NOTE: Values should reflect
dissolved
and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N tio61s
mg/L Pb - Lead olos1 ug/L
Coliform: MF Fecal 31616
/100mL
Nitrate (NO3) as N oos2o
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P Doses
mg/L
(Note Use MPN .,011 fa hgMy bwbd Mff0es)
Orthophosphate 70507
m /L Other S Compounds
g (Specify pounds and Concentration Units):
issolved Solids:Total 70300
mg/L
Al - Aluminum o11os
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC oo6ao
mg/L
Ca - Calcium oo916
mg/L
Chloride 00940
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total o1o34
ug/L
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ugfL
Fe - Iron 01o4s
uglL (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg/L
Hg - Mercury 71900
ug1L Lab Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance 00095
µMhos
K - Potassium 00937
mg/L VOC 7673 method #
Total Ammonia oo610
mg/L
Mg - Magnesium 00927
mg/L method #
(ammonia NiUvpen, NH, as N. Amrorua Mtragen. ToW)
Mn - Manganese 01055
ug/L , method #
TKN as N 00625
mg/L
Ni - Nickel 01067
1611911L method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCsj mg/L VOC Removal%
ntee ox Authonzed Agent) Name and Title - Please print or
GW-59 Rev 06-07-2018
'ermdlee (or AuthonzW ACM
i