WQ0001817_Monitoring - 07-2022_20220830 (2)

Monitoring Report Submittal
Permit Number #* WQ0001817
Name of Facility:* Albemarle Utility Company
Month: * July Year: * 2022
Report Information
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR July MR's 2022.pdf 8.89MB
PDF Only
GW-59 July MW's2022.pdf 14.69MB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-7, NDAR-2, NDMLR, GW-59).
Confirmation Email Address:* [e-mail]
Name of Submitter: * Danny S Perry
Signature:
Date of submittal: 8/30/2022
This will be filled in automatically
Initial Review

Reviewer: Gerald, Wanda
Is the project number correct?* WQ0001817
Is the monitoring report accepted?* Yes No
Regional Office* Washington
Reviewer: _anonymous
Review Date: 9/26/2022

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SUBMIT FORM ON YELLOW PAPER ONLY
h 0 DEPARTMENT OF ENVIRONMENTAL QUALITY - DIV. OF WATER RESOURCES
GROUNDWATI ER QUALITY MONIII'ORING: 1INFORMATION PROCESSING UNIT COMPLIANCE REPORT FORM 01 1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617
FACILITY INFORMATION Please Print Gleamy orType PERMIT Number: Expiratic-i Date: 05-31-2025
Facility Name: Albemarle Utility Company Non -Discharge WQ0001817 UIC
Pe;rnit game (if different): NPDES Other
Facility Address: 862 Holiday Island Rd TYPE OF PERMITTED OPERATION BEING MONITORED
He,fford NC 27944 County Perquimans X Lagoon 0 Remediation: Infiltration Gallery
FEI Spray Field El Remediation:
Contact Person: Danny Shelton Perry ORC Telephone#: [phone] El Rotary Distributor 0 Land Application of Sludge
Well Lecation./Sife Name: South West of Spray field No. of wells to be sampled-. 10 El Water Source Heat Pump 0 Other:
SAMPLING INFORMATION
I If WELL
WELL ID NUMBER (from Permit': MW-4
Date sample collected- 7/21/2022
FIELD ANALYSES:
WAS
Well Depth: 12 ft,
Well Diameter: 2 in.
DH 00400: 6.1 units Temp.000lo: 22-1 -c
DRY at
-
Den'tt to Water •� eve! 82546: 7.5 ft. below measuring point
11
-
Screened Interval: -2 fL to -12ft
Spec. Cond. 00094 ftMhos
time of
-
sampling,
3
Mie-asurino Point is - fl- above land surface
Relative M.P, Elevation: ft.
Odor 00085: Slight/Sulfur
check
volu-me of water eumped/bailed before sampling: 10 gallons
Appearance ClearNellow
here:
Samples for metals were collected unfiltered: D. YES NO
and field acidified: D, YES NO
Date sample artalyzed:7/21/2022
Laboratory Name:
Environmental Chemists, Inc
Certification No. 94
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615
0.04 mg1L
Pb - Lead oimi ug/L
Coliform: MF Fecal 311316 <1 colonies
/100mL
Nitrate (NO3) as N 00620
0A2 mg/L
Zn - Zinc 01092 mg/L
Coliforrn: MF Total 31504
/100mL
Phosphorus: Total as Po0665
mg/L
!Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
d olids:Totai 7(),3()0 209
mq/L
A! - Aluminum o1io5
mg/L
pH (Lab) 00403 6.1
units
Ba - Barium 01007
ug/L
TOC 00680 32.5
mg/L
Ca - Calcium 00916
mg/L
Chloride oomc 6
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total 01034
ug/L
Grease and 011S 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 M ATTACH LAB REPORT.)
Sulfate 00945
mg,,L
Hg - Mercury 71900
ug/L
Lab Report Attached? 0 Yes (1) El No (0)
3pecific Conductance o0095
--
uMhos
K - Potassium 00937
mg/L
VOC 7873 method #
Fetal Ammonia m610 <0.2
mgil-
Mg - Magnesium 00927
mg/L
method #
mi��nia Wrogen NH3 �s N; Amirionia Nitrogen, -clial I ,A
Mn - Manganese 01055
ug/L
method #
TKN as N 00625
mc/L
Ni - Nickel 1011067
ug/L
method #
For Remediation Systems Only (Attach Lab Reports):
Influent Total VOCs:
mg/L Effluent Total VOCs: mg/L VOC Removal%-
Shayne Lamb - Corporate Secretary 1Z LA
Fernllftee (or Autborized Aqegt) Name aria Tifle -Please ant or type Signature of Pe.-ni.ittEW(or Authorized Agent?
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SUBMIT. FORM uml���p��owa
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 Print Clearly or Type
PERMIT Number: Expiration Date: 05-31-2025
Facility Name: Albemarle Utility Company Non -Discharge WQ0001817 UIC
Permit Name (if different): NPDES Other
Facility Address: 862 Holiday Island Rd TYPE OF PERMITTED OPERATION BEING MONITORED
Hertford NC 27944 County Perquimans A Lagoon E] Remediation: Infiltration Gallery
WN Spray Field El Remediation:
G a elephone.#: 252-426-1007 El Rotary Distributor El Land Application of Sludge
en! ci Person: Danny Shelton Perry ORC T
.Well Location/Site Name: South West of Sprayfield No. of wells to be sampled: 10 El water Source Heat Pump El Other:
JWELLID NUMBER (from Permit): MW - 5 Date sample collected: 7/21/2022
Depth to Water Level 82b46: 9,6 ft. below measuring point Screened 'interval: 12 ft, to 2 ft,
jMeasurinq Point is 3 ft. above land surface Relative M.P. Elevation: ft.
Volume of water pumped/bailed before sampling: 5O qallons
Samples for metals were collected unfiltered: El YES 0 NO and field acidified: F-1 YES IN NO
FIELD ANALYSES:
Spec. Cond. 00094: plillhos
Odor 0008,,: None
Appearance Clear/Tan
WAS
time of
check
h
'LABORATORY INFORMATION
IDate sample analyzed: 7/21/2022
Laboratory Name: Environmental Chemists, Inc
Certification No- 94
IPARAMETERS NOTE: Values should reflect dissolved and colloidal concentration—s.
Coliform: MF Total 31504
1100ml-
Phosphorus: Total as P00665
mg/L
kNote Use M.PN method fo� highly turbid samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
� TOCnmo
5�9 mO/L
Ca Cabiumne10
mg/L
Cmondeumwo '
113 mg/L
Cd Cadmiumn1mn
ug/L
xmenicm00o
yQ&
Chromium: Total o/um
ug/L
Grease and Oils oonoz
mg/L
Cu Coppe,o1o*z
mg/L
ORGANICS: (by GC, oc8Wo.HPLo)
Phenol uc/oo
wg/L
Fe <mno1o*s
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
S"nm/*numo
mn/L
Mg-Mvourynouu
Lab Report Attached? [] Yvu(i) [] wo(0)
Specific Conductance ouusn
xMh«a
K-Potaaniumooyur
mg/L
VOCrara method#
Total Ammonia oms10
<0.2 mg/L
mO-Maqnon|umoomo
mg/L
.method #
�
iAm"°m°n.trogen�mo'""w�' *""°"."w.."m�"
� ��v
Mn Mangenonao1ma
ug/L
.methou#
TnwonNnoazn
mg/L
Ni-Nickel n1oe
ug/L
.method #
For mwv`wmatiunSystems Only (Attach Lab n*pvrto):
Influent Total V0Cv:mg/L
Effluent Total voCs: mg/L vOCR*mo,a|%_______

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SUBjvhT FORM CN YELLOW PAPER ONLY
Please Print Clearly or Type
Facility Name: Albemarle Utility Company
Penmit Name (if =different):
Facility Address: 862 Holiday Island Rd
Hertford NC 27944
act Person: Danny Shelton Ferry ORC
Location/Site [name: West Of Spray Field
County Perguimans
Telephone#: [phone]
No. of wells to be sampled: 10
DEPARTMENT OF ENVIRONMENTAL QUALITY - DIV. OF WATER RESOURCES
INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617
:RMIT Number: Expiration gate: 05-25-2025
,n-Discharge W00001817 UIC
'DES Other
PE OF PERMITTED OPERATION BEING MONITORED
M Lagoon -❑ Remediation: Infiltration Gallery
Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat pump ❑ Other:
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW - 6
Date sample collected: 7121/2022
FIELD ANALYSES:
WAS
Well Depth: 12 ft.
Well Diameter: 2 in.
pH 00400: 6.1 units Te€np. 0001G: 19.9 °C
DRY at
D` oth o Water Level s2546: 10.0 ! � a
ft. below measJr;ng porn, Screened Interval: -2 ft. to 12 ft.
Spec. Conti. 0oos4: f (Mhos
time of
-�
�
Sampling,
Measuring Point is 3 ft. above land surface
Relative M.P. Elevation: ft.
Odor 00085: Slight Sulfur
check
Volume of water pur;ped/bailed before sampling: 5.0
gallons
Appearance ClearlTan
here:
Samples for metals Were collected unfiltered: El YES
NO and field acidified: El YES NO
rate sample analyzed:7/21/2022 Laboratory Name: Environmental Chemists, Inc
'ARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615 0.08
Co iform: MF Fecal 31616
2 colonies
1100mL
Nitrate (NO3) as €v 00620 0.06
Coliform: MF Total 31504
!100mL
Phosphorus: Total as P 00665
;Note; Use MPv method for highly
turbid samples;
Orthophosphate 70507
ssol>-ed Solids:Total 70300
599
mg/L
Al - Aluminum oil o5
pH (Lab) 00403
6.1
units
Ba - Barium 01007
TOC 00680
3.4
mg/L
Ca - Calcium 00916
Chloride 00940
155
mg/L
Cd - Cadmium 01027
Arsenic 01002
ug/L
Chromium: Total 01034
Grease and Oils 00552
mg/L
Cu - Copper 01042
Phenol 3273E
ug/L
Fe - Iron 01045
Sulfate oo945
mg/L
Hg - Mercury 71900
pecific Conductance 00095
pMhos
K - Potassium 00937
.Total Ammonia 0061E
<0 2
mg/L
Mg - Magnesium 00921
'Ammonia NilragerNIH,as N:
Ammonia Nitrogen, Total;
Mn - Manganese 01055
TKN as N 00625
mg/L
Ni - Nickel 01067
For Remediation Systems Only (Attach Lab Reports)
GlA-59 Rev.06-07.2018
influent Total VOCs:
mg/L
mg/L
mg/L
mg/L
mg/L
ug/L
mg/L
ug/L
ug/L
mg/L
ug/L
ug/L
mg/L
mg/L
ug/L
ug/L
Pb - Lead 01051
Zn - Zinc 01092
Certification No. 94
ug/L
mg/L
Other (Specify Compounds and Concentration Units):
ORGANICS: (by GC, GC/MS. HPLC)
(Specify test and method #. ATTACH LAB REPORT.)
Lab Report Attached? ❑ Yes (1) ❑ No (0)
VOC 7873 method #
method #
method #
method #
mg/L Effluent Total VOCs:
5ignatu,e of
mg/L VOC Removal%

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SIUBMItT FORA" ON YELLO`,N PAPER ONLY
s . DEPARTMENT OF ENVIRONMENTAL QUALITY - DIV. OF WATER RESOURCES
GROUNDWATER QUALITY MONITORING: INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM s s e 1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617
FACILITY INFORMATION Please Pnnt Clew y or Hype PERMIT Number: Expiration Date: 05-31-2025
Facil€tv Name: Albemarle Utility Company- b Non -Discharge 00001817 UIC
Permit Name (if d fferent?: u _ NPDES Other
Facility, Address: 862 Holiday Island Rd TYPE OF PERMITTED OPERATION BEING MONITORED
Hertford NC 27944 County Perquimans � A Lagoon El Remediation: Infiltration Gallery
Spray Field Remediation:
Contact Person: Danny Shelton Perry ORC Telephone#: [phone] El Rotary Distributor ❑ Land Application of Sludge
Well LocationiSite Narre: 'Vest of Baffle lagoon No. of wells to be sampled: 10 Water Source Heat Pump Q Other:
WELL ID NUMBER (from Per-mit): Mu't' - 7 Date sample collected: 7/21/2022
Well Depth: 's 6.9 it, Well Diameter: 2 in.
Depth to Water Level 82546: 4. ft. below mearuri g point Screened Interval: 11.9 ft. to 16.9 ;t,
Measuring Point is 2.5 ft. above land surface Relative M.P. Elevation: ft.
Volume of water pumped/ ailed before sampling: _ 5.0 gallons
Samples for metals were collected unfiltered: Ej YES NO and field acidified: EYES K NO
Date sample analyzed:7/2112022 Laboratory Name: Environmental Chemists, Inc
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615
0,04 mg/L
C ofiforr : MIF Fecal 3161E
<1 colonies
/100;rtL
Nitrate (NO.) as N 00620
0,04 mg/L
Golifor m: MF T otal 31504
/100mL
Phosphorus: Total as P 00665
mg/L
(Note: Use MPN method f- highly
turbid samples)
Orthophosphate 70507
mg/L
,issolved Solids:Total 70300
368
mg/L
Al - Aluminum olio=5
mg/L
PH (Lab) C-0403
5.7
units
Be - Barium 01007
ug/L
TOG om8o
13.8
mg/L
Ca - Calcium oo916
mg/L
Chloride 00940
39
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
Phenol 32730
ug/L
Fe - Iron 01045
ug/L
Sulfate 00945__�
mg/'.
Hg - Mercury 71900
ug1L
specific conductance 00095
uMhos
It - Potassium 00937
mg/L
otal Ammonia 00610
<0.2
mg/L
Mg -Magnesium 00927
mg/L
(Ammonia Nitrogen, NH3 as N. Ammonia
Nitrogen. Totajj
Mn - Manganese 01055
ugfL
TkN as N 00625
mg/L
Ni - Nickel 01067
ug/L
FIELD ANALYSES:
PH 00400: 5=7 units
Spec- Gorki. 00094:
Odor 00085: Sulfur
Appearance Clear/Tan
Temp. aoolo: 19. °C DRY at
uMhos
time of
Certification No. 94
Pb - Lead mo5! ug/L
Zn - Zinc o1092 mg/L
Other (Specify Compounds and Concentration Units):
ORGANICS: (by GC, GC/MS, HPLG)
(Specify test and method #. ATTACH LAB REPORT.)
Lab Report Attached? ® Yes (1) 01 No (0)
VOG 7873 method #
method #
method #
method #
For Reme€tlation Systems Only (Attach Lab Reports)- influent Total VOCs: mg1L Effluent Total VOCs: mg/L VOC Removal%
Shayne Lamb - Corporate Secretary
nerr ntt e (or Aufl7odzed t ye.i `) Name and Title P.ease prinor type
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SUBMIT FORM ON YELLOW PAPER ONLY
UNDWATER QUALITY MONITORING:
PLIANCE REPORT FORM
17V 1K1CnDRAAT1f1K1 Please Print Cleariv or
Facility, Name. Albemarle Utility Company
Permit Name (if different):
Facility Address: 862 Holiday Island Rd
Hertford NC 27944
Contact Person: Danny Shelton Perry ORC
Well Location/Site Name: East of Spray Field
County Perquimans
Telephone#: [phone]
No. of wells to be sampled: 10
DEPARTMENT OF ENVIRONMENTAL QUALITY - DIV. OF WATER RESOURCES
INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617
ERMIT Number:
Expiration Date: 05-31-2025
on -Discharge WQ001817
UIC
PDES
Other
YPE OF PERMITTED OPERATION BEING MONITORED
Ful Lagoon
E] Remediation: Infiltration Gallery
A Spray Field
El Remediation:
El Rotary Distributor
El Land Application of Sludge
0 Water Source Heat pump
El Other:
WELL ID NUMBER (from Permit): MW - 8 Date sample collected: 7/21/2022 FIELD ANALYSES: IWAS
Well Depth: 15 ft. Well Diameter: 2 in. pH 00400: 6-3 units Temp. 000lo: 20A °c I DRY at
--- - time of
Depth to Water Level 8254663: 7.3 ft. below measuring point Screened Interval: 5 fL to 15 fL Spec. Cond. 00094: liMhos sampling,
Measuring Point is 3 ft. above land surface Relative M.P. Elevation-. - I'L i Odor 00085: None check
Volume of water pumpedibailed before sampling: 5.0 gallons Appearance Clear[Yellow here:
Samples for metals were collected unfiltered: El YES K NO and field acidified: El YES 01 NO 1:1
ite sample analyzed: 7/21/2022
Laboratory Name:
Environmental Chemists, Inc
Certification No. 94
kRAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615
0.06 mg/L
Pb - Lead 01051 ug/L
Cofiform: NIF Fecal 31616 3400 colonies
/100mL
Nitrate (NO3) as N 00620
0.59 mg/L
Zn - Zinc 01092 mg/L
Colitorm: MF Total315c4
/100mL
Phosphorus: Total as P00665
mg/L
(Note Use MPN method for highly turbid samples)
Orthophosphate 70507
mq/L
Other (Specify Compounds and Concentration Units):
solved Solids:Tota; 70300 381
mq/L
Al - Aluminum 01105
mg/L
pH (Lab) 00403 &3
units
Ba - Barium 01007
ug/L
TOC 00680 39.4
mg/L
Ca - Calcium 00916
mq/L
Chloride 00940 47
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total 01034
ug/L
Grease and Oils 00552
mq/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
mq/L
Hg - Mercury 71900
ug/L
Lab Report Attached? 0 Yes (1) El No (0)
acific Conductance C-0095
pMhos
K - Potassium 00937
mg/L
VOC 7873 method #
Total Ammonia 00610 < 0.2
mg/L
Mg - Magnesium 00927
mg/L
method #
Nitrogen; NH,_ as N; Ammonia Nitrogen, Dotal)
Mn - Manganese 01055
Uq/L
method #
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L
method #
l=nP'T==tF_RMWWj�j mguj��, ,
Shayne Lamb - Corporate Secetary
_Fe_r,�,.;ttee tor Authorized A—genn —Name and Title - Please print or type
GW-59 Rev- 06-11.7-2018
Influent Total VOCs:
mg/L Effluent Total VOCs:
mg/L VOC Removall%

illy
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y II
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SUBMIT FORM ON YELLOW PAPER ONLY
a DEPARTMENT OF ENVIRONMENTAL QUALITY - DIV. OF WATER RESOURCES
GROUNDWATER LIT MONITORING: INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM a ®e a 1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617
FACILITY INFORMATION Please Print Clear'; or Type PERMIT Number: Expiration Date: 05-31-2025
Facility Name: Albemarle Utility Company Non -Discharge WQ0001817 UIC
Permit Ware (if different): NPDES Other
Facility Address: 862 Holiday Island Rd � TYPE OF PERMITTED OPERATION BEING MONITORED
HerVord NC 27944 County Perquimans 10-1 Lagoon Ej Remediation: Infiltration Gallery
W Spray Field 0 Remediation:
Contact Person: Danny Shelton Perry ORC Telephone#: [phone] � 01 Rotary Distributor ® Land Application of Sludge
Weil Location/Site Dame: Vilest of Spray Field No. of wells to be sampled: 10 ® Water Source Pleat Pump Ij Other:
WELL ID NUMBER (from Permit): MW - 9
if,=`e'! Depth: 15 ft.
Depth to Water Level 82546: S.3 ft. below measuring point
Measuring `Clint is 3 ft. above'and surFace
Volute of .orates pumped/bailed before sampling: 5.0
Samples for metals were collected unfiltered: 0 YES
Date sample collected: 7/21/2022
Well Diameter: 2 in.
Screened Interval: 4 ft.
Relative M.P. Elevation:
gallons
to 14 ft.
NO and field acidified: DYES 00 NO
Date sample analyzed:7/2112022 Laboratory Name: Environmental Chemists, Inc
PARAMETERS NOTE: Valdes should reflect dissolved and colloidal concentrations.
COD 90335
mg/L
Nitrite (NO2) as N oo615 <0.02
oiifarm: MF Fecal 31616
01 colonies
; i00mL
Nitrate (NO3) as N 00620 0.21
Coblerm: MF Total 31504
/100m.L
Phosphorus: Total as P 00665
'Note: Use N1PN method for highly
turbid samples;
Orthophosphate 70507
)issolved Sclids:Tetal 70300
9&0
rnq L
Al - Aluminum 01105
pH (Lab) 00403�
6.4
units
Ba - Barium 01007
TOC oo68o
8A
mglL
Ca - Calcium oost6
Chloride oo940
�� 6
mg/L
Cd - Cadmium 01027
Arsenic 01002
a /L
Chromium: Total 01034
Grease and Oils 00552
mg/L
Cu - Copper 01042
Phenol 32730
Ug/L
Fe - Iron o1045
Sulfate OOS45
mg/L
Hg - Mercury 71900
3peeific Conductance 00095
itMhos
I< - Potassium 00937
Total Ammonia owc,
<0.2
mg/L
Mg - Magnesium 00927
in_.mmc�ia Nitrogen: NH, as N: Ammonia Wroogen. Total)
Mn - Manganese 01055
TK;z,' as N 00625
mg/L.
Ni - Nickel 01067
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs:
Shayne Lamb - Corporate Secretary
Pe-m t ee tc; Authorized Acent, Name and Tgle - Please print or type
IN - 59 Rev.06-07-2018
X
mg/L
mg/L
mg/L
mg/L
mg/L
ug/L
mg/L
Ug/L
ug/L
mg/L
ug/L
sag/L
mg/L
mg/L
sag/L
sag/L
FIELD ANALYSES:
pH 00400: 6.4 units
Spec. Cond. 00094:
Odor 00085:
Appearance
Pb - Lead 01051
Zn - Zinc 01092
If WELL
Temp. 000lo: 20-5 °C DRY at
uMhos I time of
None
Clear
Certification No. 94
a
Other (Specify Compounds and Concentration Units):
ORGANICS: (by GC, GC/MS, HPLC)
(Specify test and method #. ATTACK LAB REPORT.)
Lab Report Attached? ® Yes (1) No (0)
VOC 7873 method #
method #
method #
method #
mg/L Effluent Total VOCs:

'WO f pj lig Iri
"">V""AI SCS
AlwymVe
Mly
OW of Repow
I or 0 230,
�944
Reped A
rr" p ' e
count
...... .... . ... . .
n 7 540191
42150n
Am 2mo R To 0
WWMHW�'
AM AT 0 0 2W
KM9N2UTW5W
mmso A F TA I
54 W? R" AQ WO
U A 35 1 Rn 2 A 4 U
9 OTOW vmW

SUBMIT FORM ON YELLOW PAPER ONLY
T • •
DEPARTMENT OF ENVIRONMENTAL QUALITY - DIV. OF WATER RESOURCES
GROUNDYVAT ER QUALITY MONITORING:
INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM • • •
•
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617
FACILITY INFORMATION Please Prat Cfearry er ; ype
PERMIT Number: Expiration Date: 05-31-2025
auil fi: NaE,=e: Albemarle Utility Co??paf y A �K
Non -Discharge WQ001817 UIC
Penmit `1an'e (if different):
NPDES Other
Faciiity Address: 362 Holiday island Rd
TYPE OF PERMITTED OPERATION BEING MONITORED
Herl#`Cisd N.C. 27944 County, Perguimans
Lagoon ❑ Remediation: Infiltration Gallery
© Spray Field ❑ Remediation:
Contact Person: Danny Shelton Perry ORC Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: South of Spray Field No. of wells to be sampled: 10
❑ 'Water Source Heal Pump El Other:
SAMPLING INFORMATION
WELL ID NUMBER (from Permit): M -10 Date sample collected: 7/21/2022
Wall Depth: 15 ft, Well Diameter: 2 in.
Depth to Water Level s2546: 10.3 14
p' ft, below measuring point Screened Interval: 5 ft. $o ft.
Measuring Pohl$ is 3 ft. above land surface Kelative M.P, Elevation: ft,
Volume of ;.rater pumped/bailed before sampling: 5.0 gallons
Samples for ,,metals were collected unfiltered: ❑ YES X NO and field acidified, ❑ YES N NO
FIELD ANALYSES:
pH 00400: 5-9 units Temp. oo01o: 19.5 °C
Spec. Cond. 00094: f` Mhos
Odor 00085: None
Appearance Clean'Tan
If WELL
WAS
DRY at
time li
Sampling,
check
here:
LABORATORY INFORMATION
Date sample analyzed:7/21/2022
Laboratory Name: Environmental
Chemists„ Inc
Certification No. 94
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615 < 0.02
mg/L
Pb - Lead o1o5s ug/L
Coliform: ME Fecal 34616 10 colonies
/100mL
Nitrate (NO3) as N 00620 0.65
mg/L
Zn - Zinc o1092 mgiL
Col€form: MF Total 31504 �/100ml-
Phosphorus: Total as P 00665
mg/L
(Note: Use WN meuhod for highly turbid sampies)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
)issolved Solids:Total 70300 310
mgiL
AI - Aluminum 01105
mg/L
pH (Lab) 00403 5.0
units
Ba - Barium 01007
ug/L
TOC 00680 1.3
mgiL
Ca - Calcium 00916
mgiL
Chloride oo94o 102
mgiL
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total 01034
ug/L
Grease and Oils 00552
rng/L
Cu - Copper 01042
mgiL
ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron 01045
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945a
mgiL
Hg - Mercury 71900
ug/L
Lab Report Attached? ❑ Yes (1) ❑ No (0)
3peei=ic Conductance 00095
µMhos
K - Potassium 00937
mg/L
VOC 7873 method #
Total Ammonia 00610 <0.2
mg/L
Mg - Magnesium 00927
mg/L
_
method #
iA�-mnia Nitrogen: etas N; .Ammonia Nitrogen, Tout)
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:
GYYr-59 Rey.,_ 06-07-2018
mg/L Effluent Total VOCs:
3M300NNSCE=

comlect Daterrhim MaNx
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GW,59A COMM:JANCE REPOR'"I" 111""ORM Pea-init
6'Os Pnii, oAne each moniforin penod P0th GK'59fi)rpnsj
-- 9
I
Enter date monitoring results were due. Will this monitoring report (GW-59 and G%
YES
N6 I
be submitted after the established due date?
2
Was any required information missing on the GW-59 report forms?
IF the answer to question I 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.
Are any of the monitor wells in need of repair or maintenance (damaged casing, unlocked or missing cap, missing
"Yes"
YES
UO
identification plate, area overgrown, etc.)? If the answer is contact the Regional Office.1br guidance.
4
Are any monitored constituents equal to or above the established standards?
S
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 individually with constituent(s) and concentration (s)
exceeding standards in the space provided below: 14 15' 4 Tf
For the constituents illentifled in question 4 above, have standards been exceeded previously for the
YES
NO
same constituent(s) in the same well(s) in the last 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),
6Are
the monitoring wells listed in section 5 located at or beyond the review boundary?
YES
NO
If the answer is "YES", a groundwater quality problem maybe occurring, CONTACT THE REGIONAL
OFFICE IMMEDIATELY FOR GUIDANCE. If the answer is "NO", monitoring wells maybe improperly
located; contact the Regional Office.
f--7----I-s--t-h--e--pe-rmi—ttee-i—m,p-l-e—me--nting—pre"v—ious—iy
approved actions required by the Division involving this
groundwater quality problem?
YES
QN: C)
-question
lithe answer to 7 i7i 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 subiect the Permittee to a Notice of Violations
fines. and/or penalties.
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.
2-2-
Sign tur. ureof ermittee for Authorized Agent) Date

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