WQ0013348_Monitoring - 07-2022_20220901 (2)

SUBMIT FORM ON YELLOW PAPER ONLY
IIKM•
•
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OF WATER RESOURCES - INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
•
• • •
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: Expiration Date: 8/31/2024
Facility Name:
Bay
River MSD
Non -Discharge WQ0013348 UIC
NPDES WQ0013348 Other
Permit Name (if different):
Facility Address:
101 North
Fourth Street
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
Bayboro NC 28515 County Pamlico
((Ay) (State)
`ZIP)
■ Spray Field ❑ Remediation:
Contact Person: Eric Harper
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name Arapahoe spraysite
No. of wells to be sampled:
17
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-1
Date sample collected: 7/21/2022 FIELD ANALYSES:
WAS
Well Depth: 20 ft.
Well Diameter: 2 in.
pH 00400: 6 units Temp. 0001c 23.8 °C
DRY at
Depth to Water Level 82546: 4.6 ft. below measuring
point Screened Interval: 3 ft.
to 15 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:
1.5
gallons
Appearance light tan
here:❑
Samples for metals were collected unfiltered:
YES
❑ NO and field acidified: YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed: 7/21/2022
Laboratory Name:
Environment 1 Certification No. 10
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 <1
/100mL
Nitrate (NO3) as N 00620 <.04
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 0.13
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and ConcentratioielbitTvn:
issolved Solids:Total 70300 410
mg/L
Al - Aluminum olim
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L SEP 0 2 2f 22
TOC 00680 106.6
mg/L
Ca - Calcium 00916
Chloride 00940 62
mg/L
Cd - Cadmium 01027
u
Arsenic 01002
ug/L
Chromium. Total 01034
rTu
Grease and Oils 00552
mg/L
Cu - Copper 01042
mgYJ� ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug/L
Fe -Iron 01045 I *g/6—_ (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg/L
Hg - Mercury 71900
g/ Lab Report Attached? ❑ Yes (1) El No (0)
Specific Conductance 00095
µMhos
K - Potassium 00937
iV-Mg VOC 7873 method # 6200c
Total Ammonia 00610 0.64
mg/L
00927
Mgt' method #
(Ammonia Nitrogen; NH3 as N; Ammonia 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%
GW-59 Rev.8/2013

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OF WATER RESOURCES - INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: Expiration Date: 8/31/2024
Facility Name:
Bay
River MSD
Non -Discharge WQ0013348 UIC
Permit Name (if different):
NPDES WQ0013348 Other
Facility Address:
101 North Fourth Street
TYPE OF PERMITTED OPERATION BEING MONITORED
Bayboro NC 28515
County Pamlico
❑ Lagoon ❑ Remediation: Infiltration Gallery
'city' ''ate'
='u'
■ Spray Field ❑ Remediation:
Contact Person: Eric Harper
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name Arapahoe spraysite
No. of wells to be sampled: 17
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-2
Date sample collected: 7/21/2022
FIELD ANALYSES:
WAS
Well Depth: 20 ft.
Well Diameter: 2 in.
pH 00400: 6.2 units Temp. 0001c 22.6 IC
DRY at
Depth to Water Level 82546: 6.1 ft. below measuring point Screened Interval: 3 ft. to
15 ft. Spec. Cond. 00094: µMhos
time of
sampling,
Measuring Point is 2 ft. above land surface
Relative M.P. Elevation: ft.
Odor 00085: rotten a gg
Check
Volume of water pumped/bailed before sampling:
1.5
gallons
Appearance clear
here:❑
Samples for metals were collected unfiltered:
YES
❑ NO and field acidified: YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 7/21/2022
Laboratory Name: Environment 1 Certification No. 10
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 <1
/100mL
Nitrate (NO3) as N 00620 <.04
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 0.06
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 140
mg/L
Al - Aluminum 01105
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 00680 14.63
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 38
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 00945
mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes(l) ❑ No(0)
pecific Conductance 00095
µMhos
K - Potassium 00937
mg/L VOC 7873 method # 6200c
Total Ammonia 00610 0.22
mg/L
00927
mg/L method #
(Ammonia Nitrogen; NH3 as N; Ammonia 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%
GW-59 Rev.8/2013

SUBMIT FORM ON YELLOW PAPER ONLY
• •
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OF WATER RESOURCES - INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
• • •
•
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: Expiration Date: 8/31/2024
Facility Name:
Bay
River MSD
Non -Discharge WQ0013348 UIC
Permit Name (if different):
NPDES WQ0013348 Other
Facility Address:
101 North Fourth Street
TYPE OF PERMITTED OPERATION BEING MONITORED
Bayb°r° NC 28515
County Pamlico
❑ Lagoon ❑ Remediation: Infiltration Gallery
CAyi (State'
'."p)
■ Spray Field El Remediation:
Contact Person: Eric Harper
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name Arapahoe spraysite
No. of wells to be sampled: 17
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-3
Date sample collected: 7/21/2022
FIELD ANALYSES:
WAS
Well Depth: 20 ft.
Well Diameter: 2 in.
pH 00400: 6.1 units Temp. 0001C 22.7 °C
DRY at
Depth to Water Level 82546: 4.1 ft. below measuring
point Screened Interval: 3 ft. to
15 ft. Spec. Cond. 00094: µMhos
time of
sampling,
Measuring Point is 2 ft. above land surface
Relative M.P. Elevation: ft.
Odor 00085: rotten egg
check
Volume of water pumped/bailed before sampling:
1.5
gallons
Appearance clear
here:❑
Samples for metals were collected unfiltered:
YES
❑ NO and field acidified: YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed. 7/21/2022
Laboratory Name: Environment 1 Certification No. 10
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615
mg/L Pb - Lead o1o51 ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 <.04
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 . J (0
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 300
mg/L
Al - Aluminum 01105
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 00680 11.7
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 51
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 00945
mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes (1) ❑ No (0)
pecific Conductance 00095
µMhos
K - Potassium 00937
mg/L VOC 7873 method # 6200c
Total Ammonia 00610 0.19
mg/L
00927
mg/L method #
(Ammonia Nitrogen, NH3as N; Ammonia 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%
GW-59 Rev.8/2013

SUBMIT FORM ON YELLOW PAPER ONLY
• •
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OF WATER RESOURCES - INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
• • •
•
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699.1617 Phone: [phone]
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: Expiration Date: 8/31/2024
Facility Name:
Bay
River MSD
Non -Discharge WQ0013348 UIC
Permit Name (if different):
NPDES WQ0013348 Other
Facility Address:
101 North Fourth Street
TYPE OF PERMITTED OPERATION BEING MONITORED
Bayboro NC 28515
County Pamlico
❑ Lagoon ❑ Remediation: Infiltration Gallery
"31i'"
"[1,
■ Spray Field ❑ Remediation:
Contact Person: Eric Harper
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name Arapahoe spraysite
No. of wells to be sampled: 17
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-C4R
Date sample collected: 7/21/2022
FIELD ANALYSES:
WAS
Well Depth: 20 ft.
Well Diameter: 2 in.
pH 00400: 7.1 units Temp. 0001c 22.5 °C
DRY at
Depth to Water Level 82546: 6.6 ft. below measuring
point
Screened Interval: 3 ft. to
15 ft. Spec. Cond. 00094: µMhos
time of
sampling,
Measuring Point is 2 ft. above land surface
Relative M.P. Elevation: ft.
sulphur
Odor 00085: sul p
check
Volume of water pumped/bailed before sampling:
1.5
gallons
Appearance clear
here:❑
Samples for metals were collected unfiltered:
YES
❑ NO and field acidified: YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed. 7/21/2022
Laboratory Name: Environment 1 Certification No. 10
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 1
/100mL
Nitrate (NO3) as N 00620 <.04
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 0.09
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 74
mg/L
Al - Aluminum 01105
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 00680 16.77
mg/L
Ca - Calcium oo916
mg/L
Chloride 00940 18
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 00945
mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes (1) ❑ No (0)
pecific Conductance 00095
µMhos
K - Potassium 00937
mg/L VOC 7873 method # 6200c
Total Ammonia 00610 0.06
mg/L
00927
mg/L method #
(Ammonia Nitrogen; NH3 as N; Ammonia 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):
Eric Harper
Permittee (or Authorized Aqent) Name and Title - Please print or type
GW-59 Rev.8/2013
Influent Total VOCs:
•/L Effluent Total•
ate, and that the laboratory analytical data wai
fssibility of fines and imprisonment for knowir
WA
mg/L VOC Removal%

SUBMIT FORM ON YELLOW PAPER ONLY
• •
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OF WATER RESOURCES -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
• • •
•
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: Expiration Date: 8/31/2024
Facility Name:
Bay
River MSD
Non -Discharge WQ0013348 UIC
Permit Name (if different):
NPDES WQ0013348 Other
Facility Address:
101 North Fourth Street
TYPE OF PERMITTED OPERATION BEING MONITORED
Bayboro NC 28515
County _ Pamlico
ElLagoon ElRemediation: Infiltration Gallery
)(;ity) i',tatel
",p)
■ Spray Field El Remediation:
Contact Person: Eric Harper
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name Arapahoe spraysite
_
No. of wells to be sampled: 17
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-5
Date sample collected: 7/21/2022
FIELD ANALYSES:
WAS
Well Depth: 20 ft.
Well Diameter: 2 in.
pH 00400: 6.6 units Temp. 0001c 23.e oC
DRY at
Depth to Water Level 82546: 6 ft. below measuring point
Screened Interval: 3 ft. to
15 ft. Spec. Cond. 00094: µMhos
time of
sampling,
Measuring Point is 2 ft. above land surface
Relative M.P. Elevation: ft.
Odor o0065 rotten egg
check
Volume of water pumped/bailed before sampling:
1.5
gallons
Appearance clear
here:❑
Samples for metals were collected unfiltered:
YES
❑ NO and field acidified: YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 7/21/2022
Laboratory Name: Environment 1 Certification No. 10
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 <1
/100mL
Nitrate (NO3) as N 00620 <.04
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 0.08
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate - 0507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids -.Total 70300 290
mg/L
AI -Aluminum 01105
mg/L
pH (Lab) 00403
units
Ba - Barium 111007
ug/L
TOC 00680 3.11
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 117
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total )1034
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 00095
µMhos
K - Potassium 00937
mg/L VOC 7873 method # 6200c
Total Ammonia 00610 0.21
mg/L
00927
mg/L method #
(Ammonia Nitrogen; NH3 as N; Ammonia 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%
GW-59 Rev.8/2013

SIIRMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENT 8, NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OF WATER RESOURCES - INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: Expiration Date: 8/31/2024
Facility Name:
Bay
River MSD
Non -Discharge WQ0013348 UIC
Permit Name (if different):
NPDES WQ0013348 Other
Facility Address:
101 North Fourth Street
TYPE OF PERMITTED OPERATION BEING MONITORED
Bayboro NC 28515
County Pamlico
❑ Lagoon ❑ Remediation: Infiltration Gallery
'�Ity,
■ Spray Field ❑ Remediation:
Contact Person: Eric Harper
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name Arapahoe spraysite
No. of wells to be sampled: 17
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-6
Date sample collected: 7/21/2022
FIELD ANALYSES:
WAS
Well Depth: 20 ft.
Well Diameter: 2 in.
pH 00400: 6.1 units Temp. 0001c 21.9 °C
DRY at
Depth to Water Level 82546: 6.2 ft. below measuring
point Screened Interval: 3 ft. to
15 ft. Spec. Cond. 00094: µMhos
time of
sampling,
Measuring Point is 2 ft. above land surface
Relative M.P. Elevation: ft.
Odor 000m: irony
check
Volume of water pumped/bailed before sampling:
1.5
gallons
Appearance rusty
here:❑
Samples for metals were collected unfiltered:
YES
❑ NO and field acidified: YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 7/21/2022
Laboratory Name: Environment 1 Certification No. 10
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 <1
/100mL
Nitrate (NO3) as N 00620 <.04
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 0.08
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 240
mg/L
Al -Aluminum olim
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 00680 2.26
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 63
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 00945
mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance 00095
µMhos
K - Potassium 00937
mg/L VOC 7873 method # 6200c
Total Ammonia 00610 <.04
mg/L
00927
mg/L method #
(Ammonia Nitrogen; NH3 as N; Ammonia 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%
GW-59 Rev.8/2013

RI IRMIT FORM ON YFI I OW PAPFR ONLY
• • •
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OF WATER RESOURCES - INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
• • •
•
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: Expiration Date: 8/31/2024
Facility Name:
Bay
River MSD
Non -Discharge WQ0013348 UIC
Permit Name (if different):
NPDES WQ0013348 Other
Facility Address:
101 North Fourth Street
TYPE OF PERMITTED OPERATION BEING MONITORED
eayboro NC 28515
County Pamlico
■ Lagoon ❑ Remediation: Infiltration Gallery
)city) ;state)
(Zip)
❑ Spray Field ❑ Remediation:
Contact Person: Eric Harper
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name Bayboro Treatment Plant
No. of wells to be sampled: 17
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-7
Date sample collected: 7/12/2022
FIELD ANALYSES:
WAS
Well Depth: 20 ft.
Well Diameter: 2 in.
pH 00400: 7.2 units Temp. 000lc 25 °C
DRY at
Depth to Water Level 82546: 8.7 ft. below measuring point Screened Interval: 3 ft. to
15 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:
1.5
gallons
Appearance clear
here:❑
Samples for metals were collected unfiltered:
YES
❑ NO and field acidified: YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 7/12/2022
Laboratory Name: Environment 1 Certification No. 10
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615
mg/L Pb - Lead o1o51 ug/L
Coliform: MF Fecal 31616 2
/100mL
Nitrate (NO3) as N 00620 <.04
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 0.27
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids.Total 70300 980
mg/L
Al -Aluminum 01105
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 00680 4.92
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 35
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 00945
mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes (1) ❑ No (0)
pecific Conductance 00095
µMhos
K - Potassium 00937
mg/L VOC 7873 method # 6200c
Total Ammonia 00610 0.28
mg/L
00927
mg/L method #
(Ammonia Nitrogen; NH3asN: Ammonia 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%
GW-59 Rev.8/2013

SUBMIT FORM ON YELLOW PAPER ONLY
• •
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
•
DIVISION OF WATER RESOURCES - INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
• • •
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: Expiration Date: 8/31/2024
Facility Name:
Bay
River MSD
Non -Discharge WQ0013348 UIC
Permit Name (if different):
NPDES WQ0013348 Other
Facility Address:
101 North Fourth Street
TYPE OF PERMITTED OPERATION BEING MONITORED
Bayboro NC 28515
County Pamlico
■ Lagoon ❑ Remediation: Infiltration Gallery
(City) )Stale)
)Zip)
❑ Spray Field El Remediation:
Contact Person: Eric Harper
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name Bayboro Treatment Plant
No. of wells to be sampled: 17
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-8
Date sample collected: 7/12/2022
FIELD ANALYSES:
WAS
Well Depth: 20 ft.
Well Diameter: 2 in.
pH 00400: 7.2 units Temp. 0001c 24.1 °C
DRY at
Depth to Water Level 82546: 10 ft. below measuring
point Screened Interval: 3 ft. to
15 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:
1.5
gallons
Appearance light orange
here:❑
Samples for metals were collected unfiltered:
YES
❑ NO and field acidified: YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 7/12/2022
Laboratory Name: Environment 1 Certification No. 10
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N oo615
mg/L Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616 10
/100mL
Nitrate (NO3) as N 00620 <.04
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 0.91
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 600
mg/L
Al - Aluminum 01105
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 00680 2.32
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 43
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 00945
mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance 00095
µMhos
K - Potassium 00937
mg/L VOC 7873 method # 6200c
Total Ammonia 00610 0.16
mg/L
00927
mg/L method #
(Ammonia Nitrogen; NH3 as N; Ammonia 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%
GW-59 Rev.8/2013

SUBMIT FORM ON YELLOW PAPER ONLY
• •
DEPARTMENT OF ENVIRONMENT 8, NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OF WATER RESOURCES - INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
• • •
•
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699.1617 Phone: [phone]
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: Expiration Date: 8/31/2024
Facility Name:
Bay
River MSD
Non -Discharge WQ0013348 UIC
Permit Name (if different):
NPDES WQ0013348 Other
Facility Address:
101 North Fourth Street
TYPE OF PERMITTED OPERATION BEING MONITORED
Bayboro NC 28515
County Pamlico
■ Lagoon ❑ Remediation: Infiltration Gallery
(City) lJ'talal
Zpl
❑ Spray Field El Remediation:
Contact Person: Eric Harper
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name Bayboro Treatment Plant
No. of wells to be sampled: 17
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-9
Date sample collected: 7/12/2022
FIELD ANALYSES:
WAS
Well Depth: 20 ft.
Well Diameter: 2 in.
pH 00400: 7.4 units Temp. 0001c 23.1 °C
DRY at
Depth to Water Level 82546: 8.7 ft. below measuring
point Screened Interval: 3 ft. to
15 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:
1.5
gallons
Appearance rusty
here:❑
Samples for metals were collected unfiltered:
YES
❑ NO and field acidified: YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 7/12/2022
Laboratory Name: Environment 1 Certification No. 10
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 1
/100mL
Nitrate (NO3) as N 00620 <.04
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 <.04
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 320
mg/L
AI - Aluminum 01105
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 00680 2.55
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 24
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 00945
mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes (1) ❑ No (0)
pecific Conductance 00095
µMhos
K - Potassium 00937
mg/L VOC 7873 method # 6200c
Total Ammonia oo6lo <.04
mg/L
00927
mg/L method #
(Ammonia Nitrogen; NH3 as N; Ammonia Nitrogen, Total)
Mn - Manganese o1o55
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%
Eric Harper
Permittee (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev.8/2013

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OF WATER RESOURCES - INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: Expiration Date: 8/31/2024
Facility Name:
Bay
River MSD
Non -Discharge WQ0013348 UIC
Permit Name (if different):
NPDES WQ0013348 Other
Facility Address:
101 North Fourth Street
TYPE OF PERMITTED OPERATION BEING MONITORED
Bayboro NC 28515
County Pamlico
■ Lagoon ❑ Remediation: Infiltration Gallery
((Ay) (state)
(zip)
❑ Spray Field ❑ Remediation:
Contact Person: Eric Harper
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name Bayboro Treatment Plant
No. of wells to be sampled: 17
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-10
Date sample collected: 7/12/2022
FIELD ANALYSES:
WAS
Well Depth: 20 ft.
Well Diameter: 2 in.
pH 00400: 7.2 units Temp. 000lc "' oC
DRY at
Depth to Water Level 82546: 5.9 ft. below measuring point Screened Interval: 3 ft. to
15 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:
1.5
gallons
Appearance clear
here:❑
Samples for metals were collected unfiltered:
YES
❑ NO and field acidified: YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 7/12/2022
Laboratory Name: Environment 1 Certification No. 10
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615
mg/L Pb - Lead o1o51 ug/L
Coliform: MF Fecal 31616 1
/100mL
Nitrate (NO3) as N 00620 0.07
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 0.12
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 510
mg/L
Al - Aluminum 01105
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 00680 3.45
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 37
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 00945
mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes (1) ❑ No (0)
pecific Conductance 00095
µMhos
K - Potassium 00937
mg/L VOC 7873 method # 6200c
Total Ammonia 00610 0.08
mg/L
00927
mg/L method #
(Ammonia Nitrogen; NH3 as N; Ammonia 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%
GW-59 Rev.8/2013

SUBMIT FORM ON YELLOW PAPER ONLY
• •
DEPARTMENT OF ENVIRONMENT 8. NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
•
DIVISION OF WATER RESOURCES - INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
• •
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: Expiration Date: 8/31/2024
Facility Name:
Bay
River MSD
Non -Discharge WQ0013348 UIC
Permit Name (if different):
NPDES WQ0013348 Other
Facility Address:
101 North Fourth Street
TYPE OF PERMITTED OPERATION BEING MONITORED
■ Lagoon ❑ Remediation: Infiltration Gallery
Bayboro NC 28515 County Pamlico
(I:,ty)
!."P,
❑ Spray Field ❑ Remediation:
Contact Person: Eric Harper
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name Bayboro Treatment Plant
No. of wells to be sampled: 17
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-11
Date sample collected: 7/12/2022
FIELD ANALYSES:
WAS
Well Depth: 20 ft.
Well Diameter: 2 in.
pH 00400: 7.1 units Temp. 000lc 23.e oC
DRY at
Depth to Water Level 82546: 5.8 ft. below measuring
point Screened Interval: 3 ft. to
15 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/bailed before sampling:
1.5
gallons
Appearance rusty
here:❑
Samples for metals were collected unfiltered:
YES
❑ NO and field acidified: YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 7/12/2022
Laboratory Name: Environment 1 Certification No. 10
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 4
/100mL
Nitrate (NO3) as N 00620 <0.04
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 0.12
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids.Total 70300 560
mg/L
Al -Aluminum 01105
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 00680 3.45
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 34
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 00945
mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes (1) ❑ No (0)
pecific Conductance 00095
µMhos
K - Potassium 00937
mg/L VOC 7873 method # 6200c
Total Ammonia o0610 0.08
mg/L
00927
mg/L method #
(Ammonia Nitrogen; NH3 as N; Ammonia 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%
GW-59 Rev.8/2013

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENT 8, NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OF WATER RESOURCES - INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: Expiration Date: 8/31/2024
Facility Name:
Bay
River MSD
Non -Discharge WQ0013348 UIC
Permit Name (if different):
NPDES WQ0013348 Other
Facility Address:
101 North Fourth Street
TYPE OF PERMITTED OPERATION BEING MONITORED
Bayboro NC 28515
County Pamlico
■ Lagoon ❑ Remediation: Infiltration Gallery
(City' (State'
'`ip'
❑ Spray Field 11 Remediation:
Contact Person: Eric Harper
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name Bayboro Treatment Plant
No. of wells to be sampled: 17
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-12
Date sample collected: 7/12/2022
FIELD ANALYSES:
WAS
Well Depth: 20 ft.
Well Diameter: 2 in.
pH 00400: 7.3 units Temp. 000lc 22.5 °C
DRY at
Depth to Water Level 62546: 7 ft. below measuring point Screened Interval: 3 ft. to
15 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:
1.5
gallons
Appearance gray
here:❑
Samples for metals were collected unfiltered:
YES
❑ NO and field acidified: YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 7/12/2022
Laboratory Name: Environment 1 Certification No. 10
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 <1
/100mL
Nitrate (NO3) as N 00620 <0.04
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 1.89
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 490
mg/L
Al -Aluminum 01105
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 00680 2.24
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 67
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 00945
mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes (1) ❑ No (0)
pecific Conductance 00095
µMhos
K - Potassium 00937
mg/L VOC 7873 method # 6200c
Total Ammonia o0610 0.09
mg/L
00927
mg/L method #
(Ammonia Nitrogen; NH3 as N; Ammonia 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%
GW-59 Rev.8/2013

SUBMIT FORM ON YELLOW PAPER ONLY
• •
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OF WATER RESOURCES - INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
• • •
•
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: Expiration Date: 8/31 /2024
Facility Name:
Bay
River MSD
Non -Discharge WQ0013348 UIC
NPDES WQ0013348 Other
Permit Name (if different):
Facility Address:
101 North Fourth Street
TYPE OF PERMITTED OPERATION BEING MONITORED
Bayboro NC 28515
County Pamlico
■ Lagoon ❑ Remediation: Infiltration Gallery
(City IStatel
i 1nl
❑ Spray Field El Remediation:
Contact Person: Eric Harper
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name Bayboro Treatment Plant
No. of wells to be sampled: 17
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-13
Date sample collected: 7/12/2022
FIELD ANALYSES:
WAS
Well Depth: 20 ft.
Well Diameter: 2 in.
pH 00400: 7.3 units Temp. 000lc 24.1 °C
DRY at
Depth to Water Level 82546: 4 ft. below measuring
point Screened Interval: 3 ft. to
15 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:
1.5
gallons
Appearance light gray
here:❑
Samples for metals were collected unfiltered:
YES
❑ NO and field acidified: YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed. 7/12/2022
Laboratory Name: Environment 1 Certification No. 10
PARAMETERS NOTE: Values should reflect dissolved
and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615
mg/L Pb - Lead o1o51 ug/L
Coliform: MF Fecal 31616 19
/100mL
Nitrate (NO3) as N 00620 0.05
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 0.14
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 630
mg/L
Al -Aluminum 01105
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 00680 2.91
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 51
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 00945
mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes (1) ❑ No (0)
pecific Conductance 00095
µMhos
K - Potassium 00937
mg/L VOC 7873 method # 6200c
Total Ammonia 00610 0.55
mg/L
00927
mg/L method #
(Ammonia Nitrogen; NH3as N; Ammonia 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%
GW-59 Rev.8/2013

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
00INPDES
DIVISION OF WATER RESOURCES - INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: Expiration Date: 8/31/2024
Facility Name:
Bay
River MSD
Non -Discharge WQ0013348 UIC
Permit Name (if different):
WQ0013348 Other
Facility Address:
101 North Fourth Street
TYPE OF PERMITTED OPERATION BEING MONITORED
Bayboro NC 28515
County Pamlico
■ Lagoon ❑ Remediation: Infiltration Gallery
":'`y' " St"It,'
'''Pi
❑ Spray Field ❑ Remediation:
Contact Person: Eric Harper
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name Bayboro Treatment Plant
No. of wells to be sampled: 17
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-14
Date sample collected: 7/12/2022
FIELD ANALYSES:
WAS
Well Depth: 20 ft.
Well Diameter: 2 in.
pH 00400: 7.3 units Temp. 000lc 23.4 oC
DRY at
Depth to Water Level 82546: 4.6 ft. below measuring
point Screened Interval: 3 ft. to
15 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:
1.5
gallons
Appearance clear
here:❑
Samples for metals were collected unfiltered:
YES
❑ NO and field acidified: YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed. 7/12/2022
Laboratory Name: Environment 1 Certification No. 10
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 27
/1 OOmL
Nitrate (NO3) as N 00620 <.04
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 0.45
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 660
mg/L
Al - Aluminum 01105
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 00680 4.1
mg/L
Ca - Calcium oo916
mg/L
Chloride 00940 47
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 00945
mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes(l) ❑ No (0)
pecific Conductance 00095
µMhos
K - Potassium 00937
mg/L VOC 7873 method # 6200c
Total Ammonia o0610 0.16
mg/L
00927
mg/L method #
(Ammonia Nitrogen; NH3 as N; Ammonia 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%
Permittee (or Authorized Aqent) Name and Title - Please print or type
GW-59 Rev.8/2013
Siqnature of Permittee (or

SUBMIT FORM ON YELLOW PAPER ONLY
• •
DEPARTMENT OF ENVIRONMENT 8 NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OF WATER RESOURCES - INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
• • •
•
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: Expiration Date: 8/31/2024
Facility Name:
Bay
River MSD
Non -Discharge WQ0013348 UIC
NPDES WQ0013348 Other
Permit Name (if different):
Facility Address:
101 North Fourth Street
TYPE OF PERMITTED OPERATION BEING MONITORED
8ayboro NC 28515
County Pamlico
■ Lagoon ❑ Remediation: Infiltration Gallery
,C,ty, state,
(zlh)
❑ Spray Field El Remediation:
Contact Person: Eric Harper
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name Oriental Treatment Plant
No. of wells to be sampled: 17
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-15
Date sample collected: 7/20/2022
FIELD ANALYSES:
WAS
Well Depth: 20 ft.
Well Diameter: 2 in.
pH 00400: 7 units Temp. 0001c 25.5 oC
DRY at
Depth to Water Level 82546: 6.8 ft. below measuring
point Screened Interval: 3 ft. to
15 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:
1.5
gallons
Appearance clear
here:❑
Samples for metals were collected unfiltered:
YES
❑ NO and field acidified: YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 7/20/2022
Laboratory Name: Environment 1 Certification No. 10
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 1
/100mL
Nitrate (NO3) as N 00620 <.04
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 0.34
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 790
mg/L
Al - Aluminum 01105
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 00680 4.37
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 73
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 00945
mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes (1) ❑ No (0)
pecific Conductance 00095
µMhos
K - Potassium 00937
mg/L VOC 7873 method # 6200c
Total Ammonia 00610 0.13
mg/L
00927
mg/L method #
(Ammonia Nitrogen; NH3as N; Ammonia 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%
GW-59 Rev.8/2013

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
il
DIVISION OF WATER RESOURCES - INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
•
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: Expiration Date: 8/31/2024
Facility Name:
Bay
River MSD
Non -Discharge WQ0013348 UIC
Permit Name (if different):
NPDES WQ0013348 Other
Facility Address:
101 North Fourth Street
TYPE OF PERMITTED OPERATION BEING MONITORED
Bayboro NC 28515
County Pamlico
■ Lagoon ❑ Remediation: Infiltration Gallery
(City) (:,tste)
izip)
❑ Spray Field El Remediation:
Contact Person: Eric Harper
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name Oriental Treatment Plant
No. of wells to be sampled: 17
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-16
Date sample collected: 7/20/2022
FIELD ANALYSES:
WAS
Well Depth: 20 ft.
Well Diameter: 2 in.
pH 00400: 6.4 units Temp. 000lc "' oC
DRY at
Depth to Water Level 82546: 7.3 ft. below measuring
point Screened Interval: 3 ft. to
15 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:
1.5
gallons
Appearance clear
here. -
Samples for metals were collected unfiltered:
YES
❑ NO and field acidified: YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 7/20/2022
Laboratory Name: Environment 1 Certification No. 10
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 <1
/100mL
Nitrate (NO3) as N 00620 <.04
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 0.16
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 750
mg/L
Al - Aluminum 01105
mg/L
pH (Lab) oo403
units
Ba - Barium 01007
ug/L
TOC 00680 7.06
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 81
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 00945
mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes (1) ❑ No (0)
pecific Conductance 00095
µMhos
K - Potassium 00937
mg/L VOC 7873 method # 6200c
Total Ammonia o0610 0.17
mg/L
00927
mg/L method #
(Ammonia Nitrogen; NH3as N; Ammonia 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%
GW-59 Rev.8/2013

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
DIVISION OF WATER RESOURCES - INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: Expiration Date: 8/31/2024
Facility Name:
Bay
River MSD
Non -Discharge WQ0013348 UIC
Permit Name (if different):
NPDES W00013348 Other
Facility Address:
101 North Fourth Street
TYPE OF PERMITTED OPERATION BEING MONITORED
N Lagoon ❑ Remediation: Infiltration Gallery
Bayboro NC 28515 County Pamlico
'C'`y' `Stare)
''p'
❑ Spray Field El Remediation:
Contact Person: Eric Harper
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name Oriental Treatment Plant
No. of wells to be sampled: 17
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-17
Date sample collected: 7/20/2022
FIELD ANALYSES:
WAS
Well Depth: 20 ft.
Well Diameter: 2 in.
pH 00400: 6.7 units Temp. 0001( 23.1 °C
DRY at
Depth to Water Level 82546: 10 ft. below measuring
point Screened Interval: 3 ft. to
15 ft. Spec. Cond. 00094: µMhos
time of
sampling,
Measuring Point is 2 ft. above land surface
Relative M.P. Elevation: ft.
Odor 00085: irony
check
Volume of water pumped/bailed before sampling:
1.5
gallons
Appearance milky orange
here:❑
Samples for metals were collected unfiltered:
YES
❑ NO and field acidified: YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed. 7/20/2022
Laboratory Name: Environment 1 Certification No. 10
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 <1
/100mL
Nitrate (NO3) as N 00620 <.04
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 0.19
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 740
mg/L
Al - Aluminum 01105
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 00680 7.19
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 13
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 00945
mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes (1) ❑ No (0)
pecific Conductance 00095
µMhos
K - Potassium 00937
mg/L VOC 7873 method # 6200c
Total Ammonia 00610 0.15
mg/L
00927
mg/L method #
(Ammonia Nitrogen; NH, as N; Ammonia 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%
GW-59 Rev.8/2013