HomeMy WebLinkAboutWQ0000185_Monitoring - 10-2022_20221130Monitoring Report Submittal
Permit Number #*
Name of Facility:*
Month: * October
Report Information
Type *
GW-59
WQ0000185
Ocean Sands WWTP
Confirmation Email Address:*
Name of Submitter: *
Signature:
Date of submittal:
Initial Review
Year:* 2022
Upload Document*
Ocean Sands 251.93KB
GW59_11302022174948.pdf
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
rod.holley@currituckcountync.gov
Rod Holley
Reviewer: Gerald, Wanda
11 /30/2022
This will be filled in automatically
Is the project number correct?* WQ0000185
Is the monitoring report accepted?* - Yes NO
Regional Office* Winston-Salem
Reviewer: _anonymous
Review Date: 12/13/2022
GW-59A COMPLIANCE REPORT FORM Permit # 0CQ 0 000 f 3r
(Submit one each monitoring period with GW-59 forms.)
Enter date monitoring results were due. 1 3l z. Will this monitoring report (GW-59 and GW-59,4)
YES
Q03
be submitted after the established due date?
2
Was any required information missing on the GW-59 report forms?
YES
N
IF the answer to question I or 2 is "YES", lisf in the space provided below the well identification number(s) arc
explain the problems encountered in obtaining the required information.
3
Are any of the monitor wells in need of repair or maintenance (damaged casing, unlocked or missing cap, missing
YES
LaO.,
identification plate, area overgrown, etc.)? ff the answer is "Yes'; contact the Regional Office for guidance.
4
Are any monitored constituents equal to or above the established standards?
Y>JS
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 constituents) and concentratiop(s)
exceeding standards in the space provided below. m m W , g
5, M►d1"1.
Myu
— i TAD S- �'z�l ills S9J
jA
5
For the constituents identified in question 4 a ove-, 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 i-7 the space provided below, ea�h well with constituent(s) exceeding
standards, concentration(s) reported, and sample collection date for each occurrence (for the last two years).
6
Are the monitoring wells listed in section 5 ocated at or beyond the review boundary?
YES
O'
If the answer is "YES", a groundwater quality problem may be occurring. CONTACT THE REGIONAL
OFFICE 1MMEDIATELYFOR GUIDANCE. If the answer is "NO", monitoring wells may be improperly
located; contact the Regional Office.
7
Is the permittee implementing previously approved actions required by the Division involving this
YES
NO
groundwater quality problem?
If the answer to question 7 is "YES", 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 surroundina this facility, Failure to do so may sub°ect the permittee to a Notice of Violation
fines, and/or penalties` � l � 4V PAL
L 0E-L }-4,C.4
bk,,
;� iLY�M✓K r�l�s b145 J A.DJb��IrE.Cf C7 h fJ/iCvJ:�1 ��E�/L
8
The person completing this portion (GIN--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 fora.:
1 hereby acknowledge chat the above Information was evaluated and the Informatlonsubmltted In this
report (Compliance Report GW ;59A) Es trtts and complete to the best of my knowledge, „
Signature of Permittee (or Aut prized Agent) Date
GW-59A 1218/2003
SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENS OF ENVIR{3NMENT NATURAL RESOURCES
GROUNDWATFR QUAI ITY MONITORING
DIVISInN (iF WATER QUALITY INFCIRiNATION;PROCESS[NG lIN1T
COMPLIANCE REPORT FORM
1s77 RBAILS„ERVICE EENTER,,RALEIGH, NCZ76991817; Rhone, (St8}_733 322t „ _
FACILITY INFORMATION
Please Print Cleady or Type
PERMIT Number: WQ0000185 Expiration Date: 6/30/2024
Facility Name: Ocean Sands
Non -Discharge UIC
Permit Name (if different):
NPDES Other
Faoility Addrogg, 741 Ocean Trail
TYPE or PrRMITTCil OPERATION Dr-ING MONITORED
Corolla (�Areey NC
27927 County Curriiuck
❑ Lagoon ❑ Remediation: Infiltration Gallery
(city) (stale)
(zip)
❑ Spray Field ❑ Remediation:
Contact Person: Rod Holley
Telephone#: 252-232-6065
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Ocean Sands
No. of wells to be sampled: 5
❑ Water Source Heat Pump❑ Other: Infiltration
(from Permit)
SAMPLING INFORMATION
if WELL
WELL ID NUMBER (from Permit): MW4
Date sample collected: 10/20/22
FIELD ANALYSES:
WAS
Well Depth: 17.6 ft.
Well Diameter: 3 in.
pH 00400: 7.3 units Temp. 000lo: 22.7 °C
DRY at
Depth to Water Level B2546:3.8 ft. below measuring point Screened Interval: 12 ft. to
17 ft. Spec. Cond. 00094: gMhos
time of
sampling,
Measuring Point is 2 ft. above land surface
Relative M.P. Elevalion. ft.
Odor 000m. Nono
check
Volume of water pumped/balled before sampling: 4.5
gallons
Appearance Clear
here:
❑
Samples for metals were collected unfiltered: 21 YES
❑ NO and field acidified: El YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed:10/20122
Laboratory Name: Enviro Chem
Certification No. 94
PARAMETERS NOTE: Values should reflect
dissolved
and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615 0.03
mg/L Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616 <1
1100mL
Nitrate (NO3) as N 00620 <0.02
mg1L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
1100mL
Phosphorus: Total as P oo665 2.12
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
Dissolved Solids:Total 703oo 704
mg1L
Al - Aluminum ollo5
mg/L
pH (Lab) 004m 7.3
units
Ba - Barium 01007
ug/L
TOC 00680 5.3
mg1L
Ca - Calcium 00916
mg/L
Chloride 0094o 201
mg1L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug1L
Chromium: Total 01034
ug/L
Grease and Oils 0039E
Ing/L
Cu - Copper 0104z
rnglL ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
u911-
Fe - Iron 01045
uglL (Specify test and method A ATTACH LAB REPORT.)
Sulfate 00945
mg1L
Hg - Mercury 71900
ug1L Lab Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance 00095
IiMhos
K - Potassium 00937
mg1L VOC 78732: , method #
Total Ammonia 00610 2.0
mg/L
Mg - Magnesium o0927
mg1L method #
{Ammonia Nitrogen: N113as N: Ammonia Nitrogen, Total)
Mn - Manganese 01055
ug1L , method #
TKN as N 00625
mg1L
Ni - Nickel 01067
ug[L method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs:
Rod Holley Wastewater Superintendent Trainee
Perrnittee (or Authorized Agent) Name and Title - Please print or type
mg/L Effluent Total VOCs:
Signature of Permittee (or Authijitrized Agent)
mg/L VOC Removal%
11/30/22
(Date)
GW-59 Rev.212010
SUBMIT FORM ON YELLOW PAPER ONLY
Dl pARiMENT pF ENV1RONMr=NT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DlvtstaN a1 WATER QUW ITY INFORMATrOw PROCESSING uNl7
COMPLIANCE REPORT FORM
f•
•
1617MAtLSE,RVICE,CENTER�RALEIGH;NC,27689i617 Rhonn,;;(B49j7333221
FACILITY INFORMATION
Please Print CteadyorType
PERMIT Number: WQ0000185 Expiration Date: 6/30/2024
Facility Name: Ocean Sands
Non -Discharge UIC
NPDES Other
Permit Name (if different):
Facllity Addrol;g' 741 Ocean Trail
TYPE OF PERMITTED OPERATION BEING MONITORED
Corolla (slreeq NC
27927 County Currituck
❑ Lagoon El Remediation: Infiltration Gallery
(oily) (state)
(zip)
❑ Spray Field ❑ Remediation:
Contact Person: Rod Holley
Telephone#: 252-232-6065
ElRotary Distributor ElLand Application of Sludge
Well Location/Site Name: Ocean Sands
No. of wells to be sampled: 5
(...J Water Source Heat Pump U Other: Infiltration
(from Permit)
SAMPLING INFORMATION
If WELL
WELL 1D NUMBER (from Permit): MW5
Date sample collected: 10/20/22
FIELD ANALYSES:
WAS
Well Depth: 17.5 ft.
Well Diameter: 3 in.
pH 00400: 7.0 units Temp. 00010: 21.0 eC
DRY at
Depth to Water Level 82546:5.0 ft. below measuring point Screened Interval: 12 ft. to
17 ft. Spec. Cond. 00094: µMhos
time of
sampling,
Measuring Point is 2 ft. above land surface
Relative M.P. Elevation: ft.
Odor oows: None
check
Volume of water pumped/bailed before sampling:
5.0
gallons
Appearance Clear
here:❑
Samples for metals were collected unfiltered: ® YES
❑ NO and field acidified: ❑ YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed:10120/22
Laboratory Name: Enviro Chem
Certification No. 94
PARAMETERS NOTE: Values should reflect
dissolved
and colloidal concentrations.
COD oo335
mg1L
Nitrite (NO2) as N 00615 a0.02
mg/L Pb - Lead most ug1L
Coliform: MF Fecal 31616 <1
1100mL
Nitrate (NOA as N 00620 <0.02
mglL Zn - Zinc 01092 mglL
Coliform: MF Total 31504
1100mL
Phosphorus: Total as P 00665 5.27
mglL
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg1L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 629
mg1L
Al - Aluminum 01105
mg1L
pH (Lab) oo4o3 7.0
units
Ba - Barium 01007
ug1L
TOC oosao 15.0
mg1L
Ca - Calcium 00916
mg1L
Chloride 0094o 221
mg1L
Cd - Cadmium OIa27
ug1L
Arsenic 01002
uglL
Chromium: Total 01034
ug1L
Grease and Oils 00552
mglL
Cu - Copper 01042
mglL ORGANICS: (by GC, GCIMS, HPLC)
Phenol 32730
ug/L
Fe - Iron 01045
ug/L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg1L
Hg - Mercury 71900
uglL Lab Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance 00095
µMhos
K - Potassium 00937
mglL VOC 78732: method #
Total Ammonia ooslo 26•9
mg1L
Mg - Magnesium 00927
mglL method #
(Ammonia Nitrogen; NH3as N; Ammonia Nitrogen, Total)
Mn - Manganese o1055
ug/L , method #
TKN as N 00625
mglL
Ni - Nickel oios7
uglL method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs:
Rod Holley Wastewater Superintendent Trainee
Permittee (or Authorized Agent) Name and Title -Please print or type
mg/L Effluent Total •
iplete. and that the laboratory analytical data
§ possibility of fines and imprisonment for kni
mg1L VOC Removal%
11 /30/22
(Date)
GW-59 Rev.212010
SUBMIT FORM ON YELLOW PAPER ONLY
bEPARTMFNT 015 �NVtt2dNMi=NT 8 NATURAL FiESt7li12CES
GROUNDWATER QUALITY MONITORING:
s
DiVIStbN OF 4VATfiRQUALiTY INFORMATION p120CESS[NG 1iN17
COMPLIANCE REPORT FORM
1617_AAAILSERI!iCECENTE(t�RALtGH,NC,276881617 Rhona;,(818j733,3221 ,
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: WQ0000186 Expiration Date: 6/30/2024
Facility Name: Ocean Sands
Non -Discharge UIC
NPDES Other
Permit Name (if different):
Facility Address- 741 0cean'Irail
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
Corolla (Street) NC 27927 County Currituck
(city) (state)
(rn)
❑ Spray Field ❑ Remediation:
Contact Person: Rod Holley
Telephone#: 252-232-6065
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Ocean Sands
No. of wells to be sampled: 5
U Water Source Heat Pump Al Other: Infiltration
(from Permit)
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW6
Date sample collected: 10/20/22
FIELD ANALYSES:
WAS
Well Depth: 17.6 ft.
Well Diameter: 3 in.
PH 00400: 7.4 units Temp. onolo: 21.5 °C
DRY at
Depth to Water Level 92546:5.9 ft. below measuring point Screened Interval: 12 ft.
to 17 ft. Spec. Cond. 00094: µMhos
time of
sampling,
Measuring Point is 2 ft. above land surface
Relative M.P. Elevation:
ft. Odor 00085: None
check
Volume of water pumped/balled before sampling: 10
gallons
Appearance Clear
here:
❑
Samples for metals were collected unfiltered: ® YES
El NO and field acidified: El YES
El NO
LABORATORY INFORMATION
Date sample analyzed:10120122
Laboratory Name: Enviro Chem
Certification No. 94
PARAMETERS NOTE: Values should reflect dissolved
and colloidal concentrations.
COD oma5
mglL
Nitrite (NO2) as N 00615 <0.02
mglL Pb - Lead oio51 ugfL
Coliform: MF Fecal 31616 <1
1100mL
Nitrate (NO3) as N 00620 <0.02
mglL Zn - Zinc 01092 mg1L
Coliform: MF Total 31504
1100mL
Phosphorus: Total as P 00665 2.78
mglL
(Note: Use MPH method for highly turbid samples)
Orthophosphate 70507
mglL Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 661
mg(L
AI - Aluminum o11o5
mg1L
pH (Lab) 00403 7A
units
Ba - Barium 01007
uglL
TOC o068o 10.0
mglL
Ca - Calcium 00916
mg1L
Chloride 00940 306
mglL
Cd - Cadmium 01027
ug1L
Arsenic 01002
uglL
Chromium: Total 01034
ug1L
Grease and Oils 00552
mglL
Cu - Copper 01042
mg1L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron 01045
ug/L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mglL
Hg - Mercury 71900
ug1L Lab Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance 00095
µMhos
K - Potassium 00937
mglL VOC 78732: method #
Total Ammonia o0610 32.7
mglL
Mg - Magnesium 00927
mglL method #
(Ammonia Nitrogen; N%as N; Ammonia Nitrogen, Total)
Mn - Manganese o1 oss
uglL , method #
TKN as N 00625
mg/L
Ni - Nickel 01067
uglL method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs:
Rod Holley Wastewater Superintendent Trainee
Permittee (or Authorized Agent) Name and Title - Please print or type
mglL Effluent Total VOCs:
signature of Permittee (or Authorized
mglL VOC Removal%
11130/22
GW-59 Rev.212010
SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRQNMENT & NATURAiL RESOUE;CES
GROUNDWATER QUALITY MONITORING:
UIVI5tON OF YIfATt R QUALITYdNFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERYICis CEsNTER, RALEIGH, EEC 27599 E61,7 Phone (919) 733.3221
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: WQ0000185 Expiration Date: 6/30/2024
Facility Name: Ocean Sands
Non -Discharge UIC
Permit Name (if different):
NPDES Other
FacilityAddrrase: 141 Ocean frail
TYPF OF PERMITTED OPERATION BEING MONITORED
ElLagoon ❑ Remediation: Infiltration Gallery
Corolla (st'eet) NC 27927 County Currituck
icily) (State)
(Zlpl
❑ Spray Field El Remediation:
Contact Person: Rod Halley
Telephone#: 252-232-6065
ElRotary Distributor ElLand Application of Sludge
Well Location/Site Name: Ocean Sands
No. of wells to be sampled: 5
❑ Water Source Heat Pump [J Other: Infiltration
(from Permit)
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW7
Date sample collected: 10/20/22
FIELD ANALYSES:
WAS
Well Depth: 17.6 ft,
Well Diameter: 3 in.
pH 004o0: 7.3 units Temp. 000ia: 19.7 °C
DRY at
Depth to Water Level 82546:4.3 ft. below measuring point Screened Interval: 12 ft.
to 17 ft. Spec. Cond. 00094: µMhos
time of
sampling,
Measuring Point is 2 ft. above land surface
Relative M.P. Elevation:
ft. Odor 00085: None
check
Volume of water pumped/bailed before sampling:
5.0
gallons
Appearance Clear
here:❑
Samples for metals were collected unfiltered: ® YES
❑ NO and field acidified: ❑ YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed:10120122
Laboratory Name: Enviro Chem
Certification No. 94
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335
mglL
Nitrite (NO2) as N 00615 <0.02
mglL Pb - Lead 01051 uglL
Coliform: MF Fecal 31616 <1
1100ml-
Nitrate (NO3) as N 00620 0.58
mglL Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
1100ml-
Phosphorus: Total as P 00665 0.86
mglL
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg1L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 7030o 624
mg1L
AI - Aluminum 01 sos
mglL
pH (Lab) 00403 7.3
units
Ba - Barium 01007
ug/L
TOC owso 5.1
mglL
Ca - Calcium 0o916
mglL
Chloride 00940 188
mg1L
Cd - Cadmium 01027
uglL
Arsenic 01002
ug1L
Chromium: Total 01034
uglL
Grease and Oils 00552
mglL
Cu - Copper 01042
mg1L ORGANICS: (by GC, GC1MS, HPLC)
Phenol 32730
ug1L
Fe - Iran 01045
uglL (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mglL
Hg - Mercury 71900
uglL Lab Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance 00096
µMhos
K - Potassium 00937
mg1L VOC 78732: method #
Total Ammonia o0610 <0.2
mg1L
Mg - Magnesium 00927
mg1L method #
(Ammonia Nitrogen; NH3as N; Ammonia Nitrogen, Total)
Mn - Manganese o1o55
uglL , method #
TKN as N 00625
mg1L
Ni - Nickel 01067
uglL method #
For Remediation Systems Only (Attach Lab Reports)
Influent Total VOCs:
Rod Holley Wastewater Superintendent Trainee
Permittee (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev.2/2010
mglL Effluent Total VOCs:
mg/L VOC Removal%
SUBMIT FORM ON YELLOW PAPER ONLY
s
DEPARTMENT OF ENVIRONMENT & NATURAL All?9OURCES
QUALITY MONITORING-
DIV4tnNOWAQTYNF(GROINnWATER RMATIO. N PROCFSSINCa UNIT
COMPLIANCE REPORT FORM
iG17EVlAILSERVEC£CENTER;RALEIGH�NC_27613oi617 Rhona;(919],7333227, .._.my?
FACILITY INFORMATION
Please Print
Cleady or Type
PERMIT Number: WQ0000185 Expiration Date: 6/30/2024
Facility Name: Ocean Sands
Non -Discharge UIC
NPDES Other
Permit Name (if different):
Facility Addrespr t4 l Ocean I rail
TYPE OF PERMITTED OPERATION DFING MONITORED
Corolla (&wet) NC
27927 CountyCurrituck
El Lagoon ❑Remediation: Infiltration Gallery
(City) state)
(zip)
❑ Spray Field ❑ Remediation:
Contact Person: Rod Holley
Telephone#: 252-232-6065
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Ocean Sands
No. of wells to be sampled: 5
❑ Water Source Heat Pump K Other: Infiltration
(from Permit)
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW9
Date sample collected: 10/20/22
FIELD ANALYSES:
WAS
Well Depth: 17.6 ft.
Well Diameter: 3 in.
pH oo4ao: 7.4 antis Temp. oomo� 20,2 °C
DRY at
Depth to Water Level 82546:6.2 ft. below measuring point Screened Interval: 12 ft.
to 17 ft. Spec. Cond. 00094: µMhos
time of
sampling,
Measuring Point is 2 ft. above land surface
Relative M.P. Elevation:
ft. Odor 000m: None
check
Volume of water pumped/hailed before sampling:
5.0
gallons
Appearance Clear
here:
❑
Samples for metals were collected unfiltered: ® YES
El NO and field acidified: El YES
El NO
LABORATORY INFORMATION
Date sample analyzed:10120122
Laboratory Name: Enviro Chem
Certification No. 94
PARAMETERS NOTE: Values should reflect dissolved
and colloidal concentrations.
COD 00335
mglL
Nitrite (NO2) as N 00615 <0.02
mg1L Pb - Lead o1o5t ug1L
Coliform: MF Fecal 31616 <1
1100mL
Nitrate (NO3) as N 00620 0.15
mg1L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
1100ml-
Phosphorus: Total as P oo6m 1.22
mg1L
(Note: Use MPH method for highly turbid samples)
Orthophosphate 70507
mg1L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 7030o 591
mglL
AI - Aluminum 01105
mg1L
pH (Lab) 00403 7.4
units
Ba - Barium olow
ug1L
TOC oo6ao 7.2
mglL
Ca - Calcium oo916
mg1L
Chloride 0094o 216
mglL
Cd - Cadmium 01027
ug1L
Arsenic 01002
uglL
Chromium: Total 01034
ug1L
Grease and Oils 00552
mg1L
Cu - Copper 01042
mg1L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug1L
Fe - Iron 01045
ug/L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg1L
Hg - Mercury 71900
ug1L Lab Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance 00095
µMhos
K - Potassium 00937
mglL VOC 78732: method #
Total Ammonia o0510 14.5
mg1L
Mg - Magnesium 00927
mglL method #
(Ammonia Nitrogen; NH, as N; Ammonia Nitrogen, Total)
Mn - Manganese o1o55
ug/L , method #
TKN as N 00625
mg1L
Ni - Nickel 01067
uglL method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs
Rod Holley Wastewater Superintendent Trainee
Permittee (or Authorized Agent) Name and Title - Please print or type
mg1L Effluent Total VOCs:
Permi€tee
mglL VOC Removal%
11/30/22
(Dale)
GW-59 Rev. 212010