WQ0033770_Monitoring - 03-2022_20220627

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING: Mail original P�TM+�►T�INFORMATiON� OF WATER RESOURCES
COMPLIANCE REPORT FORM and 1 copy UNIT
to: 1817 MAIL SERVICE CENTER RALEIGH,NC 21s9s-1617
FACILITY INFORMATION Please PrintGeanyorType PERMIT Number:wQ0033770 Expiration Date: 12/31/2026
Facility Name: Carolina Plantation Non-Discharge UIC
Permit Name(if different): NPDES Other Infiltration System
Facility Address: Carolina Plantation Road TYPE OF PERMITTED OPERATION BEING MONITORED
Jacksonville. NC 28540 County Onslow El Lagoon 0 Remediation:Infiltration Gallery
0 Spray Field 0 Remediation: - -
Contact Person: Jeff Jarman Telephone#: [phone] 0 Rotary Distributor 0 Land Application of Sludge
Well Location/Site Name:Carolina Plantation wwTP No.of wells to be sampled: 6 0 Water Source Heat Pump El Other underdrai ns
(from Perms)
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Pem1ft): P 7 A.) — / Date sample collected: 3 ad/ZZ FIELD ANALYSES: WAS
Well Depth: 18 ft. Well Diameter:1.25 in. pH oo4005 7 units Temp.00o1o: Z.0 oC DRY at
h to Water Level 82546: 18.(a'7 ft.below measuringtime of
Dep
th point Screened Interval: 15 ft. to _ft. Spec.Cond.00094: µMS sampling,
Measuring Point is 2 ft.above land surface Relative M.P.Elevation: ft. Odor owes: check
Volume of water pumped/bailed before sampling: j. gallons Appearance here:0
Samples for metals were collected unfiltered: ®YES 0 NO and field acidified: MI 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 01051 ug/L
Coliform:MF Fecal 31616 < i /100mL Nitrate(NO3)as N o0620 4, 0 y mg/L Zn-Zinc 01092 mg/L
Coliform:MF Total 31504 /100mL Phosphorus:Total as P 00665 , 0 7 mg/L
(Note: Um,MPN method for highly turbid temples) Orthophosphate 70507 mg/L Other(Spe Compounds and Concentration Units):
Dissolved Solids:Total 70300 mg/L Al-Aluminum o1105 mg/L Ch bOtt,d C Z. 1-
pH(Lab)00403 ' -r=7' 3 units Ba-Barium met., ': r ug/L Tb k 2.$e /37 q/<
TOC ooeeo 5, ell_ mg/L Ca-Calcium 0091e. r1 7 mg/L
Chloride oo94o '. ../.- 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 ooe45 mg/L Hg-Mercury 71900 ug/L Laplort Attached? ❑ Yes(1) El No(0)
Specific Conductance 00095 µMhos K-Potassium 00937 mg/L VOC 7873 ,method#
Total Ammonia ooelo r 32 mg/L Mg-Magnesium 00927 mg/L J UN 2 A 2 z j ,method#
(Ammonia Nitrogen;NH,es N;Ammonia 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%
I certify that.to,he 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
DWP.certited laboratory I are aware that there are significant penalties for submitting fa'se information including the possibility of fines and imprisonment for knowing violations
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Permittee(or Authorized Agent)Name and Title-Please print or type Signature of ee(or Authorized Agent) (Date
GW-59 Rev.06-07-2018

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING: Mail original DEPARTMENT Of ENVIRO 4 m TALQUA+ -°V.OF WATERSOURCES
and 1 copy to: INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM 1617 MAUL SERVICE CENTER,RAL ,NC va s-u+7
FACILITY INFORMATION Please Print Clearly of Type PERMIT Number:wQ0033770 Expiration Date: 12/31/2026
Facility Name: Carolina Plantation Non-Discharge UIC
Permit Name(If different): NPDES Other Infiltration system
Facility Address: Carolina Plantation Road TYPE OF PERMITTED OPERATION BEING MONITORED
Jacksonville, NC 28540 County Onslow ❑ Lagoon 0 Remediation:Infiltration Gallery
❑ Spray Field 0 Remediation: r
Contact Person: Jeff Jarman Telephone#: [phone] 0 Rotary Distributor 0 Land Application of Sludge
Well Location/Site Name:Carol i na Plantation wwTP No.of wells to be sampled: 6 ❑ Water Source Heat Pump El Other underdrai ns
(from Psrml)
SAMPLING INFORMATION If WELL
✓n
WELL ID NUMBER(from Permit): /•r f-l) — 2— Date sample collected: 3 1s'1ZZ FIELD ANALYSES: WAS
Well Depth: 18 ft. Well Diameter:1'25 in. pH 00400:5 y units Temp.00010. 2-0 °C DRY at
Depth to Water Level 82548: //.q ft.below measuring point Screened Interval: 15 ft. to _ft. Spec.Cond.o0094: pMttos time of
sampling,
Measuring Point is 2 ft.above land surface Relative M.P.Elevation: ft. Odor 00086: check
Volume of water pumped/bailed before sampling: 1- -$ gallons Appearance here:Ei
Samples for metals were collected unfiltered: I♦YES 0 NO and field acidified: I♦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 oiosi ug/L
Coliform:MF Fecal 31616 1 /100mL Nitrate(NO3)as N 00e20 mg/L Zn-Zinc 01092 mg/L
Coliform:MF Total 31504 /100mL Phosphorus:Total as P oases /6-/ mg/L
(Note:Use MPN method for highly turbid singes) Orthophosphate 70507 mg/L Other(Specify Compounds and co ncentration Units):
)issolved Solids:Total 70300 mg/L AI-Aluminum 01105 mg/L TO 5 `fl s ell 9/c
pH(Lab)00403 *"T� units Ba-Barium 01007 ug/L
TOC cameo . .0.53 mg/L Ca-Calcium oos16 mg/L
Chloride 0o940 8 mg/L Cd-Cadmium 01027 ug/L
Arsenic o1002 ug/L Chromium:Total 01034 ug/L
Grease and Oils 00652 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 oos45 mg/L Hg-Mercury 71900 ug/L Lab Report Attached? 0 Yes(1) 0 No(0)
Specific Conductance 000a6 µMhos K-Potassium 00937 mg/L VOC 7873 ,method#
Total Ammonia 00810 . 12. mg/L Mg-Magnesium 00927 mg/L ,method#
(Ammonia Nitrogen;NH,as N;Ammonia Nitrogen.Total) Mn-Manganese Moss ug/L ,method#
TKN as N 0oe25 mg/L Ni-Nickel 01067 ug/L ,method#
For Remediatlon 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 kno.v.'edye 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
DWR-cert'fed Iadoratory I am snare that there are s6crmfcant penalties for sohrmmng fa:se information ;n_'.,dmg the possibility of fines ana imcnsonmeilt for knowing violations
Oc-Nk-- W-C7C)OCCk\ . t \Ni\a,CN(29-Q a 44 . 4./ 472.s .
Pennittee(orAWhorized Apenfi Name and Title-Pisan print or type Signature of Penn',.-. Authorized Agent) (Date)
GW-59 Rev.06-07-2018

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING: Mail original DEPARTMENT OF It?NROIMTTONPRO �WATER RESOURCES
COMPLIANCE REPORT FORM and 1 copy to: 1817 MAIL SERVICE CENTER,RALEMH,NC27saHf17
FACILITY INFORMATION Please Print Clearly orType PERMT Number:wp0033770 Expiration Date: 12/31/2026
Facility Name: Carolina Plantation Non-Discharge UIC
Permit Name(if different): NPDES Other Infiltration system
Facility Address: Carolina Plantation Road TYPE OF PERMITTED OPERATION BEING MONITORED
Jacksonville. NC' ' 28540 County Onslow 0 Lagoon 0 Remediation:Infiltration Gallery
0 Spray Field 0 Remediation: .-
Contact Person: Jeff Jarman Telephone#: [phone] 0 Rotary Distributor ❑Land Application of Sludge
Well Location/Site Name:Carolina Plantation imirrp No.of wells to be sampled: 6 0 Water Source Heat Pump El Other: underdrai ns
(torn Pew)
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): 1)?W — 3 Date sample collected: 3/8/l)2•Z. FIELD ANALYSES: WAS
Well Depth: 18 ft. Well Diameter:1.25 in. pH 00400: 5•"units Temp.00010: .2/ °C DRY at
Depth to Water Level az54e: ji•cie ft.below measuring point Screened Interval: i5 ft. to ft. Spec.Cond.00094: µMhos time of
sampling,
Measuring Point is 2 ft.above land surface Relative M.P.Elevation: ft. Odor 000es: check
Volume of water pumped/bailed before sampling: 2 .5" gallons Appearance here
Samples for metals were collected unfiltered: II YES 0 NO and field acidified: In 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 00815 mg/L Pb-Lead 01651 ug/L
Coilform:MF Fecal 31816 < j_ /100mL Nitrate(NO3)as N 00820 G.o py mg/L Zn-Zinc 01092 mg/L
Coliform:MF Total 31504 /100mL Phosphorus:Total as P noses • aZ g mg/L
(Nob: Use MPN method for highly turbid aamgee) Orthophosphate 70507 mg/L Other(Specify Compounds and Concentration Units):
Dissolved Solids:Total 70300 mg/L Al-Aluminum o11o5 mg/L 7 V..S .. Q0
pH(Lab)00403 -1 units Ba-Barium 01007 ug/L
TOC mesa 3. c7$ mg/L Ca-Calcium coals mg/L
Chloride 00940 •7 d 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 P.ATTACH LAB REPORT.)
Sulfate 00945 mg/L Hg-Mercury 71900 ug/L Lab Report Attached? 0 Yes(1) 0 No(0)
Specific Conductance 00095 µMhos K-Potassium 00937 mg/L VOC 7873 ,method#
Total Ammonia ooelo , /q mg/L Mg-Magnesium 00927 mg/L ,method#
(Ammonia Nitrogen;NFyee N;Ammonia Nitrogen,Total) Mn-Manganese 0105s ug!L ,method#
TKN as N 00525 mg/L Ni-Nickel 01087 ug/L ,method#
For Remedlatlon Systems Only(Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
I certify that.to:he best of my knowledge. • ' - - - - ,_.:orate.and complete and that the laboratory analytical data.N as prcduced using appro,ed methods of analysis by a
DAR-certified laboratory lam aware that tIr c are s gnd.•_- .rues fo intt r I':n_•minrmat,on including the possib fit,of fines and impnsonment for Lro.vng notations.
Permittee(or Authorized Agent)Name and Title-Please print or type Signature of Pe , 'Authorized Agent) (Date)
G W-59 Rev.06-07-2018

Environment 1, Incorporated
--- Drinking Natal ID. 17715
Wastewater ID. 10
PHONE[phone]
P.O.BOX 7085,114 OAKMONT DRIVE FAX[phone]
GREENVILLE,N.C.27835-7085
ID#: 361 E
CAROLINA PLANTATIONS (ONSWC)
OLD NORTH STATE WATER
3212 6TH AVENUE S DATE COLLECTED: 03/08/22
STE 200 DATE REPORTED c 03/23/22
BIRKINGHAX, AL 35222 l () I, \,
REVIEWED B c 0
MW-1 MW-2 MW-3 Analysis Method
PARAMETERS Date Analyst Code
PH (field measurement), Units 5.7 5.9 5.8 03/08/22 PJC 450011B-11
Fecal Coliform (MF), /100 MIs <1 <1 <1 03/08/22 BCE 9222D-15
Ammonia Nitrogen as N, mg/I 0.32 0.12 0.19 03/10/22 TRJ 350.1 R2-93
Nitrate Nitrogen as N, mg/1 <0.04 <0.04 <0.04 03/09/22 KES 353.2 R2-93
Total Phosphorus as P, mg/I 0.07 0.26 03/17/22 TRJ 365.4-74
Total Phosphorus as P, mg/I 16.10 03/22R2 TRJ 365.4-74
Total Organic Carbon, mg/I 5.92 20.53 3.48 03/15/22 1D41M 5310C-14
Chloride, mg/I <1 7 03/09/22 BLV 4500CLB-11
Chloride, mg/I 8 03/14/22 DU 4500CLB-11
Total Dissolved Residue, mg/I 280 45 590 03/10/22 DNS D5907-13
Static Water Level, feet 18.67 14.90 11.98 03/08/22 JWT
Water Bailed, Gals. 1.0 1.5 2.5 03/08/22 PJC