WQ0018992_Monitoring - 04-2022_20220526

GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
r-AUILI I T INF-UHMA I IUN Please Print Clearly or Type
Facility Name: S'')"--kL.1 n
Permit Name (if different):
Telephone #:
Well Location/ Site Name: -- No. of Wells to be Sampled:
Well Identification Number (from Permit): I For Groundwater Treatment Systems
Well Depth: IS' ft. Well Diameter: in.
—� Check One: ❑ Influent (98)
Screened Interval: ft. to ft. ❑ Effluent (99)
Depth to Water Level:' 2.'O ft. below measuring point.
Measuring Point (M.P.) is: ft. above land surface. Relative M.P. Elevation in ft.- �—
Gallons of water pumA d.,/�bailed before sampling: IX' Date sample collected:I
Field analysis: pH , Specific Conductance uMhos
Temp. _°C, Odor Appearance
DEPARTMENT OF ENVIRONMENT b NATURAL RESOURCES
WATER QUALITY DIVISION, GROUNDWATER SECTION
1636 MAIL SERVICE CENTER
PERMIT #: EXPIRATION DATE:
Non -Discharge Wl l pcl t'R S ci 2 UIC
NPDES
TYPE OF PERMITTED OPERATION BEING MONITORED
Lagoon Remediation: Infiltration Gallery
_ Spray Field
_ Rotary Distributor
Other. y
Remediation:
Land Application of Sludge
NOTE: Values should reflect dissolved and
colloidal concentrations.
Date sample analyzed:
Laboratory Name: r\6
Certification No. t3
PARAMETERS (Samples for metals were collected unfiltered YES NO and field acidified
COD mg/I Nitrite (NO2) as N mg/I
Coliform: MF Fecal 1 /100ml Nitrate (NO3) as N H mg/I
Coliform: MF Total /100m1 Phnsnhnrus- Total ac P mrti/I
(Note: Use MPN method for highly turbid samples)
Dissolved Solids: Total -ISO mg/I
pH (when analyzed)
units
TOC
mg/I
Chloride '� 3
mg/I
Arsenic
mg/I
Grease and Oils
mg/I
Phenol
mg/I
Sulfate
mg/I
Specific Conductance
uMhos
Total Ammonia
mg/I
TKN as N
mg/I
Rev. 03/2000
Orthophosphate
mg/I
Al - Aluminum
mg/I
Ba - Barium
mg/I
Ca - Calcium
mg/I
Cd - Cadmium MMONaftm mg/I
Chromium: Total
- mg/I
Cu - Copper
mg/I
Fe - Iron
- mg/I
Hg - Mercury
mg/I
K - Potassium
_,mg/I
m I
Mg - Magnesium
v y mg/I
Mn - Manganese
mq/I
YES NO)
Ni - Nickel mg/I
Pb - Lead mg/I
Zn Zinc mg/I
Ammonia Nitrogen r�.0 1 mg/I
Other (Specify Compounds and Concentration Units)
ORGANICS: (GC,GC/MS,HPLC)
(Specify test and method #. Attach lab report.)
ReportAttached? Yes (1) No)C—(0)
VOC : method # =
method # =
method # =

GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
f-AUILt I T IN[-UHMA I ION Please Print Clearly or Type
Facility Name: � L 1 nt�S
Permit Name (if different):
Contact Person:
Well Location/ Site Name:
County �--n t,- .�
Telephone #: 1 ,
No. of Wells to be Sampled:
Well Identification Number (from Permit): 4 For Groundwater Treatment Systems
Well Depth: d ft. Well Diameter:---).,— in. Check One: ❑ Influent (98)
Screened Interval: ft. to ft. ❑ Effluent (99)
Depth to Water Level: f011- ft. below measuring point.
Measuring Point (M.P.) is: ft. above land surface. Relative M.P. Elevation in ft.:
Gallons of water pumped/bailed before sampling: ( •0 Date sample collected: 1 i
Field analysis: pH "7 1 L- , Specific Conductance uMhos
Temp. (q 'C, Odor Appearance
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
WATER QUALITY DIVISION, GROUNDWATER SECTION
1636 MAIL SERVICE CENTER
RALEIGH. NC 27699-1636 Phone: [phone],
PERMIT #: EXPIRATION DATE:
Non -Discharge JQC� Ex. t X 5 ci 2 UIC
NPDES
TYPE OF PERMITTED OPERATION BEING MONITORED
Lagoon Remediation: Infiltration Gallery
Spray Feld Remediation:
—Rotary Distributor Land Application of Sludge
✓ Other. —D__r 'L 1) Al
NOTE: Values should reflect dissolved and
colloidal concentrations.
Date sample analyzed:
Laboratory Name: ,r Nr. xvhL.,-1t
Certification No. t�
PARAMETERS (Samples for metals were collected unfiltered YES NO and field acidified
COD mg/I
Coliform: MF Fecal S' /100ml
Coliform: MF Total /100ml
(Note: Use MPN method for highly turbid samples)
Dissolved Solids: Total HID mg/1
PH (when analyzed) units
TOC mg/I
Chloride
mg/I
Arsenic
mg/I
Grease and Oils
mg/I
Phenol
mg/1
Sulfate
mg/I
Specific Conductance
uMhos
Total Ammonia
mg/I
TKN as N
mg/I
GW-59
Rev. 03/2000
Nitrite (NO2) as N
mg/I
Nitrate (NO3) as N
mg/1
Phosphorus: Total as P .
mg/1
Orthophosphate
mg/I
Al - Aluminum
mg/I
Ba - Barium
mg/I
Ca - Calcium
mg/1
Cd - Cadmium
mg/I
Chromium: Total
mg/I
Cu - Copper
mg/I
Fe - Iron
mg/I
Hg - Mercury
mg/I
K - Potassium
mg/I
Mg - Magnesium
mg/I
Mn - Manganese
mg/I
YES NO)
Ni - Nickel mgA
Pb - Lead mg/I
Zn Zinc mg/I
Ammonia Nitrogen _tel mg/I
Other (Specify Compounds and Concentration Units)
Di
ORGANICS: (GC,GC/MS,HPLC)
(Specify test and method #. Attach lab report.)
Report Attached? Yes (1) Nd� (0)
VOC method # =
method # =
.,, I q_C&QN k 94A.&a A- /ASSoC'f A1%16 M V
Permrttee (or Authorized Agent) Name and Title - Please print or type
method # =

GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
FACILITY INFORMATION Please Print Clearly or Type
Facility Name: 7SI-)
Permit Name (if different):
Faci& Address: �C ` � � h - \
Contact Person:-- Ix rD
Well Location/ Site Name:
County S- r U 4xC--0
Telephone #:
No. of Wells to be Sampled:
Well Identification Number (from Permit): i For Groundwater Treatment Systems
Well Depth: ';' w ft. Well Diameter: _ in. Check One: ❑ Influent (98)
Screened Interval: ft. to ft. 0 Effluent (99)
Depth to Water Level: i `. g l ft. below measuring point.
Measuring Point (M.P.) is: ft. above land surface. Relative M.P. Elevation in ft.:
Gallons of water pum aifed before sampling: 1 • S Date sample collected: �
Field analysis: pH li? , Specific Conductance uMhos
Temp. —15 -C, Odor Appearance
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
WATER QUALITY DIVISION, GROUNDWATER SECTION
1636 MAIL SERVICE CENTER
PERMIT #: EXPIRATION DATE:
Non-Discharge,lC Da t S S 2 UIC
NPDES
TYPE OF PERMITTED OPERATION BEING MONITORED
Lagoon Remediation: Infiltration Gallery
_ Spray Field Remediation:
—Rotary Distributor Land Application of Sludge
Other r . tl a
NOTE: Values should reflect dissolved and
colloidal concentrations.
Date sample analyzed:
Laboratory Name: -,zk I , 3 r\—
Certification No. t�
PARAMETERS (Samples for metals were collected unfiltered YES NO
and field acidified
COD
mg/I
Nitrite (NO2) as N
mg/I
Coliform: MF Fecal 1
/100ml
Nitrate (NO3) as N _��+7
mg/I
Coliform: MF Total
/100ml
Phosphorus: Total as P .
mg/I
(Note: Use MPN method for highly turbid samples)
Dissolved Solids: Total mg/I
Orthophosphate
Al - Aluminum
mg/I
mg/I
pH (when analyzed)
units
Ba - Barium
mg/I
TOC
mg/I
Ca - Calcium
mg/I
Chloride _ S
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
Sulfate
mg/I
Hg - Mercury
mg/I
Specific Conductance
uMhos
K - Potassium
mg/I
Total Ammonia
mg/I
Mg - Magnesium
mg/1
TKN as N
mg/I
Mn - Manganese
mg/I
GW-59
Rev. 03/2000
YES NO)
Ni - Nickel mg/I
Pb - Lead mg/I
Zn Zinc mg/I
Ammonia Nitrogen 0 -may mg/I
Other (Specify Compounds and Concentration Units)
Di
ORGANICS: (GC,GC/MS,HPLC)
(Specify test and method #. Attach lab report.)
Report Attached? Yes_(1) No _y_(0)
VOC : method # =
method # =
method # =

114 OAKMONT DRIVE
GREENVILLE, N.C. 27858
SOUTHWINDS (HYDROTECH)
DON O'MARA
HYDROTECH
P.O. BOX 4602
EMERALD ISLE, NC 28594
vast avator SDe16
PHONE [phone]
FAX [phone]
ID#: 562 A
DATE COLLECTED: 04/07/22
DATE REPORTED : 04/13/22
REVIEWED BY: ,
MW-1
MW-2
MW-3
Analysis
Method
PARAMETERS
Date Analyst
Code
PH (field measurement), Units
7.0
7.2
7.5
04/07/22
PJC
4500HB-11
Fecal Coliform (MF), /100 Mls
< 1
5
< 1
04/07/22
JMS
9222D-15
Ammonia Nitrogen as N, mg/i
<0.04
<0.04
<0.04
04/11/22
BMD
350.1 R2-93
Nitrate Nitrogen as N, mg/l
0.74
0.54
1.75
04/07/22
KES
353.2 112-93
Chloride, mg/l
73
106
35
04/13/22
HCE
4500CLB-11
Total Dissolved Residue, mg/l
450
490
250
04/12/22
DNS
D5907-13
Static Water Level, feet
7.00
16.20
11.81
04/07/22
PJC
Water Bailed, Gals.
1.5
1.0
1.5
04/07/22
PJC