WQ0009267_Monitoring - 09-2022_20221104

Monitoring Report Submittal
Permit Number#*
Name of Facility:*
Month: * September
Report Information
Type *
GW-59
WQ0009267
City of Jacksonville WWTP
Confirmation Email Address: *
Name of Submitter: *
Signature:
Date of submittal:
Initial Review
Year:* 2022
Upload Document*
WQ0009267 September 2022 GW-59 MW 33.12MB
Report.pdf
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
[e-mail]
Amy Palaschak
11 /4/2022
This will be filled in automatically
Reviewer: Wanda.Gerald

Is the project number correct?* W00009267
Is the monitoring report accepted?* Yes NO
Regional Office* Wilmington
Reviewer: _anonymous
Review Date: 3/13/2023

GW-59A COMPLIANCE REPORT FORM Permit #_WQ0009267
(Submit one each monitoring period with GW-59 forms.)
1
Enter date monitoring results were due. (10/31/2022) Will this monitoring report (GW-59 and GW-59A) be
YES
NO
submitted after the established due date?
2
Was any required information missing on the GW-59 report forms?
YES
NO
IF the answer to question 1 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.
3
Are any of the monitor wells in need of repair or maintenance (damaged casing, unlocked or missing cap, missing
YES
NO
identification plate, area overgrown, etc.)? If the answer is "Yes", contact the Regional Office for guidance.
4
Are any monitored constituents equal to or above the established standards?
YES
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:
MW 10 — TDS 560.5 mg/L
5
For the constituents identified in question 4 above, have standards been exceeded previously for the same
YES
NO
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, concentrations) reported, and sample
collection date for each occurrence (for the last two years).
MW10 — all TDS — 9/2020 (628 mg/L), 12/2020 (579 mg/L), 3/2021 (683 mg/L), 612021 (657 mg/L), 9/2021
(675 mg/L), 1212021 (633 mg/L), 3/2022 (607.5 mg/L), 612022 (577 mg/L)
6
Are 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 may be occurring. CONTACT THE REGIONAL OFFICE
IMMEDIATELY FOR 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 groundwater
YES
NO
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 surrounding this facility.
Failure to do so may subject the permittee to a Notice of Violation, fines, and/or penalties.
MW10 — high background TDS — noted in current permit
g
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
/ I e-/1e2 Z
Signature Permittee(or Authorized Agent) Date
GW-59A 12/8/2003

JUtSNII I f UKM UN YtLLUVV F Hf tK UNLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
FACILITY INFORMATION Please Print Clearly or Type
Facility Name: City of Jacksonville Land Treatment System
Permit Name (if different):
Facility Address: 716 Firetower Road
Jacksonville NC 28540 County Onslow
Cityi �,atei iZu
Contact Person: Amy Palaschak Telephone#: [phone]
Well Location/Site Name MW-1 No. of wells to be sampled: 17
(from Permit)
SAMPLING INFORMATION
WELL ID NUMBER (from Permit): MW-1 Date sample collected: 9/29/2022
Well Depth: 16.6 ft. Well Diameter: 2 in.
Depth to Water Level 82546: 6 ft. below measuring point Screened Interval: 3 ft. to
Measuring Point is 3.2 ft. above land surface Relative M.P. Elevation: 2.8 ft.
Volume of water pumped/bailed before sampling: 5.09 gallons
Samples for metals were collected unfiltered: X YES ❑ NO and field acidified: X YES ❑ NO
LABORATORY INFORMATION
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
DIVISION OF WATER RESOURCES - INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
PERMIT Number:
Expiration Date: 4/30/2022
Non -Discharge W00009267
UIC
NPDES
Other
TYPE OF PERMITTED OPERATION
BEING MONITORED
❑ Lagoon
❑ Remediation: Infiltration Gallery
X Spray Field
❑ Remediation:
❑ Rotary Distributor
❑ Land Application of Sludge
13 ft.
❑ Water Source Heat Pump ❑ Other
FIELD ANALYSES:
pH 00400: 4.7 units
Spec. Cond. 00094:
Odor 00085:
Appearance
Temp. 000lc 19 °C
wvtftos
Date sample analyzed:
9/29/2022
Laboratory Name: 1. Jacksonville
2. Environmental Chemists Certification No. 1. 128 2. 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 01051 ug/L
Coliform: MF Fecal 31616
<1
/100mL
Nitrate (NO3) as N 00620 0.12
mg/L
Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 <0.2
mg/L
(Note: Use MPN method for highly
turbid samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
dissolved Solids:Total 70300
121
mg/L
Al -Aluminum 01105
mg/L
pH (Lab) 00403
4.73
units
Ba - Barium 01007
ug/L
TOC 00680
13.8
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
16
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 # SM 6200C
Total Ammonia 00610
<0.2
mg/L
Mg - Magnesium 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%
Wally Hansen - Public Services Director
Permittee (or Authorized Aqent) Name and Title - Please print or twe
GW-59 Rev.8/2013
If WELL
WAS
DRY at
time of
sampling,
check
here:❑

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: 4/30/2022
Facility Name: City of Jacksonville
Land Treatment System
Non -Discharge WQ0009267 UIC
NPDES Other
Permit Name (if different):
Facility Address:
716 Firetower Road
TYPE OF PERMITTED OPERATION BEING MONITORED
Jacksonville NC
28540 County Onslow
❑ Lagoon ❑ Remediation: Infiltration Gallery
(Clt,p Stn!,-,
I_'',P
X Spray Field Remediation:
Contact Person: Amy Palaschak
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name MW-2
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: 9/29/2022
FIELD ANALYSES:
WAS
Well Depth: 17.0 ft.
Well Diameter: 2 in.
pH 0040o: 5.5 units Temp. 000lc 17.4 °C
DRY at
Depth to Water Level 82546: 6.8 ft. below measuring point Screened Interval: 3 ft. to
13 ft. Spec. Cond. 00094: µMhos
time of
sampling,
Measuring Point is 2.4 ft. above land surface
Relative M.P. Elevation: 4.4 ft.
Odor 00085:
check
Volume of water pumped/bailed before sampling:
4.90
gallons
Appearance
here:❑
Samples for metals were collected unfiltered: X
YES
❑ NO and field acidified: X YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 9/29/2022
Laboratory Name: 1. Jacksonville 2.
Environmental Chemists Certification No. 1. 128 2. 94
PARAMETERS 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
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 0.13
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 <0.2
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 234
mg/L
Al -Aluminum 01105
mg/L
pH (Lab) 00403 5.47
units
Ba - Barium 01007
ug/L
TOC o0630 19.5
mg/L
Ca - Calcium oo916
mg/L
Chloride 00940 68
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 11
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 # SM 6200C
Total Ammonia omio 0.35
mg/L
Mg - Magnesium 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%
Wally Hansen - Public Services Director
Permittee (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev.8/2013
of
Aoent)

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: 4/30/2022
Facility Name: City of Jacksonville
Land Treatment System
Non -Discharge WQ0009267 UIC
NPDES Other
Permit Name (if different):
Facility Address:
716 Firetower Road
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
Jacksonville NC 28540 County Onslow
X Spray Field ❑ Remediation:
Contact Person: Amy Palaschak
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name MW-3
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: 9/28/2022
FIELD ANALYSES:
WAS
Well Depth: 17.0 ft.
Well Diameter: 2 in.
pH 00400: 4.8 units Temp. 000lc 23.2 °C
DRY at
Depth to Water Level 82546: 5.9 ft. below measuring point
Screened Interval: 3 ft. to
13 ft. Spec. Cond. 00094: µMhos
time of
sampling,check
Measuring Point is 3.2 ft. above land surface
Relative M.P. Elevation: 2.7 ft.
Odor 00085:
Volume of water pumped/bailed before sampling:
5.33
gallons
Appearance
here:❑
Samples for metals were collected unfiltered: X
YES
❑ NO and field acidified: X YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 9/28/2022
Laboratory Name: 1. Jacksonville 2.
Environmental Chemists Certification No. 1. 128 2. 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 oio51 ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 0.13
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 <0.2
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids -.Total 70300 59
mg/L
Al - Aluminum 01105
mg/L
pH (Lab) oo403 4.83
units
Ba - Barium 01007
ug/L
TOC 00680 3.2
mg/L
Ca - Calcium oo916
mg/L
Chloride 00940 11
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 <5
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 # SM 6200C
Total Ammonia oo6lo <0.2
mg/L
Mg - Magnesium 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%
Wally Hansen - Public Services Director
Permittee (or Authorized Aqent) Name and Title - Please print or type
GW-59 Rev.812013

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: 4/30/2022
Facility Name: City of Jacksonville
Land Treatment System
Non -Discharge WQ0009267 UIC
NPDES Other
Permit Name (if different):
Facility Address:
716 Firetower Road
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
Jacksonville NC 28540 County Onslow
"C'`v' SL1e,
zip'
X Spray Field ❑ Remediation:
Contact Person: Amy Palaschak
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name MW-4
No. of wells to be sampled: 17
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-4
Date sample collected: 9/28/2022
FIELD ANALYSES:
WAS
Well Depth: 16.0 ft.
Well Diameter: 2 in.
pH 00400: 4.6 units Temp. 000lc 22.3 °C
DRY at
Depth to Water Level 82546: 6.5 ft. below measuring point Screened Interval: 5.8 ft. to
14 ft. Spec. Cond. 00094: µMhos
time of
sampling,
Measuring Point is 2.68 ft. above land surface
Relative M.P. Elevation: 3.82 ft.
Odor 00085:
check
Volume of water pumped/bailed before sampling:
4.56
gallons
Appearance
here:❑
Samples for metals were collected unfiltered: X
YES
❑ NO and field acidified: X YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 9/28/2022
Laboratory Name: 1. Jacksonville 2.
Environmental Chemists Certification No. 1. 128 2. 94
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N oo615 <0.02
mg/L Pb - Lead 01051 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 <0.2
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids -.Total 70300 213
mg/L
Al -Aluminum 01105
mg/L
pH (Lab) oo403 4.62
units
Ba - Barium 01007
ug/L
TOC 00680 1.9
mg/L
Ca - Calcium oo916
mg/L
Chloride 00940 63
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
uglL
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 53
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 # SM 6200C
Total Ammonia oo6lo <0.2
mg/L
Mg - Magnesium 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%
Wally Hansen - Public Services Director
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: 4/30/2022
Facility Name: City of Jacksonville
Land Treatment System
Non -Discharge WQ0009267 UIC
NPDES Other
Permit Name (if different):
Facility Address:
716 Firetower
Road
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
Jacksonville NC 28540 County Onslow
"'` "` "
""
X Spray Field ❑ Remediation:
Contact Person: Amy Palaschak
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name MW-5
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: 9/28/2022
FIELD ANALYSES:
WAS
Well Depth: 18.1 ft.
Well Diameter: 2 in.
pH 00400: 4.6 units Temp. 000lc 19.9 °C
DRY at
Depth to Water Level 82546: 9.5 ft. below measuring point Screened Interval: 5 ft. to
15 ft. Spec. Cond. 00094: µMhos
time of
sampling,check
Measuring Point is 2.57 ft. above land surface
Relative M.P. Elevation: 6.93 ft.
Odor 00085:
Volume of water pumped/bailed before sampling:
4.13
gallons
Appearance
here:❑
Samples for metals were collected unfiltered: X
YES
❑ NO and field acidified: X YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 9/28/2022
Laboratory Name: 1. Jacksonville 2.
Environmental Chemists Certification No. 1. 128 2. 94
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N oo615 <0.02
mg/L Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 0.02
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 <0.2
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
Dissolved Solids:Total 70300 23
mg/L
Al -Aluminum 01105
mg/L
pH (Lab) 00403 4.61
units
Ba - Barium 01007
ug/L
TOC oomo <0.5
mg/L
Ca - Calcium oog16
mg/L
Chloride 00940 5
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 <5
mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes (1) ® No (0)
pecific Conductance oco95
µMhos
K - Potassium 00937
mg/L VOC 7873 method # SM 6200C
Total Ammonia 00610 <0.2
mg/L
Mg - Magnesium 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%
VVV-JJ r[CV. O/LO 1J

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: 4/30/2022
Facility Name: City of Jacksonville
Land Treatment System
Non -Discharge W00009267 UIC
NPDES Other
Permit Name (if different):
Facility Address: 716 Firetower Road
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
Jacksonville NC 28540 County Onslow
""'Ityl Stat" `°
X Spray Field ❑ Remediation:
Contact Person: Amy Palaschak
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name MW-6
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: 9/28/2022
FIELD ANALYSES:
WAS
Well Depth: 16.8 ft.
Well Diameter: 2 in.
pH 00400: 5.6 units Temp. 000lc 23.6 °C
DRY at
Depth to Water Level 82546: 5.3 ft. below measuring point
Screened Interval: 3.5 ft. to
14 ft. Spec. Cond. 00094: µMhos
time of
sampling,check
Measuring Point is 2.65 ft. above land surface
Relative M.P. Elevation: 2.65 ft.
Odor 00085:
Volume of water pumped/bailed before sampling: 5.52
gallons
Appearance
here:
❑
Samples for metals were collected unfiltered: X YES
❑ NO and field acidified: X YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 9/28/2022
Laboratory Name: 1. Jacksonville 2.
Environmental Chemists Certification No. 1. 128 2. 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 o1o51 ug/L
Coliform: MF Fecal 31616 <1 /100mL
Nitrate (NO3) as N 00620 0.21
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504 /100mL
Phosphorus: Total as P 00665 0.44
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 477.5 mg/L
Al -Aluminum 01105
mg/L
pH (Lab) 00403 5.58 units
Ba - Barium 01007
ug/L
TOC ooeao 8.5 mg/L
Ca - Calcium oo916
mg/L
Chloride 00940 52 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 14 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 # SM 6200C
Total Ammonia 00610 <0.2 mg/L
Mg - Magnesium 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%

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
FACILITY INFORMATION Please Print Clearly or Type
Facility Name: City of Jacksonville Land Treatment
Permit Name (if different):
Facility Address:
Jacksonville NC
iCuyi !atei
716 Firetower Road
I "P,
28540 County Onslow
Contact Person: Amy Palaschak Telephone#: [phone]
Well Location/Site Name MW-7 No. of wells to be sampled: 17
DEPARTMENT OF ENVIRONMENT 8 NATURAL RESOURCES
DIVISION OF WATER RESOURCES - INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
PERMIT Number: Expiration Date: 4/30/2022
Non -Discharge WQ0009267 UIC
NPDES Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
X Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
SAMPLING INFORMATION
WELL ID NUMBER (from Permit): MW-7 Date sample collected:
Well Depth: 15.0 ft. Well Diameter:
Depth to Water Level 82546: 7.2 ft. below measuring point Screened Interval:
Measuring Point is 3 ft. above land surface Relative M.P. Elevation:
Volume of water pumped/bailed before sampling: 3.74 gallons
Samples for metals were collected unfiltered: X YES ❑ NO and field acidified: X
9/28/2022
2 in.
2.5 ft. to 13 ft.
4.2 ft.
YES ❑ NO
FIELD ANALYSES:
pH 00400: 3.8 units Temp. 000lc 24.5 oC
Spec. Cond. 00094: µMhos
Odor 00085:
Appearance
If WELL
WAS
DRY at
time of
sampling,check
here:❑
LABORATORY INFORMATION
Date sample analyzed: 9/28/2022
Laboratory Name: 1. Jacksonville 2.
Environmental Chemists Certification No. 1. 128 2. 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 01051 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
<0.2
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 238.5
mg/L
Al - Aluminum oil o5
mg/L
pH (Lab) 00403 3.84
units
Ba - Barium 01007
ug/L
TOC oosao 6.8
mg/L
Ca - Calcium oo916
mg/L
Chloride 00940 56
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 93
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 # SM 6200C
Total Ammonia 00610 <0.2
mg/L
Mg - Magnesium 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%
Wally Hansen - Public Services Director
Permittee (or Authorized Aqent) Name and Title - Please print or type
GW-59 Rev.8/2013
(or Authorized Agent)
104zleon

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: 4/30/2022
Facility Name: City of Jacksonville
Land Treatment System
Non -Discharge WQ0009267 UIC
NPDES Other
Permit Name (if different):
Facility Address:
716 Firetower Road
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
Jacksonville NC 28540 County Onslow
CtyY '`e1
ZIP,
X Spray Field ❑ Remediation:
Contact Person: Amy Palaschak
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name MW-8
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: 9/27/2022
FIELD ANALYSES:
WAS
Well Depth: 12.1 ft.
Well Diameter: 2 in.
pH 00400: 4.8 units Temp. 000l( 26.2 °C
DRY at
Depth to Water Level 82546: 9.1 ft. below measuring point Screened Interval: 3 ft. to
9 ft. Spec. Cond. 00094: µMhos
time of
sampling,check
Measuring Point is 3 ft. above land surface
Relative M.P. Elevation: 6.1 ft.
Odor 00085:
Volume of water pumped/bailed before sampling:
1.44
gallons
Appearance
here:❑
Samples for metals were collected unfiltered: X
YES
❑ NO and field acidified: X YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 9/27/2022
Laboratory Name: 1. Jacksonville 2.
Environmental Chemists Certification No. 1. 128 2. 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 01051 ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 0.06
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P o0665 <0.2
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 214.5
mg/L
Al - Aluminum 01105
mg/L
pH (Lab) 00403 4.82
units
Ba - Barium 01007
ug/L
TOC oo68o 3.2
mg/L
Ca - Calcium oo916
mg/L
Chloride 00940 5
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 105
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 # SM 6200C
Total Ammonia omio <0.2
mg/L
Mg - Magnesium 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: 4/30/2022
Facility Name: City of Jacksonville
Land Treatment System
Non -Discharge WQ0009267 UIC
Permit Name (if different):
NPDES Other
Facility Address:
716 Firetower Road
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
Jacksonville NC 28540 County Onslow
,,"ty'
`Ir"
X Spray Field ❑ Remediation:
Contact Person: Amy Palaschak
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name MW-9
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: 9/27/2022
FIELD ANALYSES:
WAS
Well Depth: 14.0 ft.
Well Diameter: 2 in.
pH 00400: 4.2 units Temp. 000ic 26.9 oC
DRY at
Depth to Water Level 82546: 9.6 ft. below measuring point
Screened Interval: 7 ft. to
11 ft. Spec. Cond. 00094: µMhos
time of
sampling,check
Measuring Point is 2.55 ft. above land surface
Relative M.P. Elevation: 7.05 ft.
Odor 00085:
Volume of water pumped/bailed before sampling:
2.11
gallons
Appearance
here:❑
Samples for metals were collected unfiltered: X
YES
❑ NO and field acidified: X YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 9/27/2022
Laboratory Name: 1. Jacksonville 2.
Environmental Chemists Certification No. 1. 128 2. 94
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N oo615 <0.02
mg/L Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616 <1
/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 <0.2
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 231.5
mg/L
Al -Aluminum 01105
mg/L
pH (Lab) 00403 4.19
units
Ba - Barium 01007
ug/L
TOC oo68o 2.5
mg/L
Ca - Calcium oo916
mg/L
Chloride 00940 10
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 99
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 # SM 6200C
Total Ammonia 00610 <0.2
mg/L
Mg - Magnesium 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%
MAIA'�� j
_UQ vice l0

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENT 8< NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:DIVISION
N Iffli
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: 4/30/2022
Facility Name: City of Jacksonville
Land Treatment System
Non -Discharge WQ0009267 UIC
Permit Name (if different):
NPDES Other
Facility Address:
716 Firetower Road
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
Jacksonville NC 28540 County Onslow
cqv St�]!(.,
zihi
X Spray Field ❑Remediation:
Contact Person: Amy Palaschak
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name MW-10
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: 9/27/2022
FIELD ANALYSES:
WAS
Well Depth: 30.1 ft.
Well Diameter: 2 in.
pH 00400: 6.5 units Temp. 000lc 32.3 °C
DRY at
Depth to Water Level 82546: 10 ft. below measuring point
Screened Interval: 17 ft. to
27 ft. Spec. Cond. 00094: µMhos
time of
sampling,check
Measuring Point is 2.9 ft. above land surface
Relative M.P. Elevation: 7.3 ft.
Odor 00085:
Volume of water pumped/bailed before sampling:
9.55
gallons
Appearance
here:❑
Samples for metals were collected unfiltered: X
YES
❑ NO and field acidified: X YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 9/27/2022
Laboratory Name: 1. Jacksonville 2.
Environmental Chemists Certification No. 1. 128 2. 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 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 1.4
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 560.5
mg/L
Al -Aluminum 01105
mg/L
pH (Lab) oo403 6.46
units
Ba - Barium 01007
ug/L
TOC 00680 2.1
mg/L
Ca - Calcium oo91a
mg/L
Chloride 00940 20
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 140
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 # SM 6200C
Total Ammonia oo6lo <0.2
mg/L
Mg - Magnesium 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: 4/30/2022
Facility Name: City of Jacksonville Land Treatment System
Non -Discharge WQ0009267 UIC
Permit Name (if different):
NPDES Other
Facility Address:
716 Firetower
Road
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
Jacksonville NC 28540 County Onslow
X Spray Field ❑ Remediation:
Contact Person: Amy Palaschak
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name MW-11
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: 9/29/2022
FIELD ANALYSES:
WAS
Well Depth: 22.2 ft.
Well Diameter: 2 in.
pH 00400: 3.7 units Temp. 000lc 19 °C
DRY at
Depth to Water Level 82546: 12 ft. below measuring point Screened Interval: 5 ft. to
20 ft. Spec. Cond. 00094: µMhos
time of
sampling,
Measuring Point is 2.25 ft. above land surface
Relative M.P. Elevation: 9.35 ft.
Odor 00085:
check
Volume of water pumped/bailed before sampling:
5.09
gallons
Appearance
here:❑
Samples for metals were collected unfiltered: X
YES
❑ NO and field acidified: X YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 9/29/2022
Laboratory Name: 1. Jacksonville 2.
Environmental Chemists Certification No. 1. 128 2. 94
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N oo615 <0.02
mg/L Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 0.58
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 <0.2
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 20.5
mg/L
Al -Aluminum 01105
mg/L
pH (Lab) 00403 3.71
units
Ba - Barium 01007
ug/L
TOC oomo <0.5
mg/L
Ca - Calcium oo916
mg/L
Chloride 00940 6
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 <5
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 # SM 6200C
Total Ammonia o0610 <0.2
mg/L
Mg - Magnesium 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%

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: 4/30/2022
Facility Name: City of Jacksonville
Land Treatment System
Non -Discharge WQ0009267 UIC
NPDES Other
Permit Name (if different):
Facility Address:
716 Firetower
Road
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
Jacksonville NC 28540 County Onslow
COY:
Zip
X Spray Field Remediation:
Contact Person: Amy Palaschak
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name MW-12
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: 9/27/2022
FIELD ANALYSES:
WAS
Well Depth: 18.3 ft.
Well Diameter: 2 in.
pH 00400: 5.5 units Temp. ocolc 24.4 oC
DRY at
Depth to Water Level 82546: 8.1 ft. below measuring point Screened Interval: 5 ft. to
15 ft. Spec. Cond. 00094: µMhos
time of
sampling,check
Measuring Point is 3.04 ft. above land surface
Relative M.P. Elevation: 5.06 ft.
Odor 00085:
Volume of water pumped/bailed before sampling:
4.90
gallons
Appearance
here:❑
Samples for metals were collected unfiltered: X
YES
❑ NO and field acidified: X YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 9/27/2022
Laboratory Name: 1. Jacksonville 2.
Environmental Chemists Certification No. 1. 128 2. 94
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N oo615 0.1
mg/L Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 <0.02
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 <0.2
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 135
mg/L
Al -Aluminum 01105
mg/L
pH (Lab) 00403 5.52
units
Ba - Barium 01007
ug/L
TOC oomo 30.5
mg/L
Ca - Calcium 00916
mg/L
Chloride o0940 9
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 7
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 # SM 6200C
Total Ammonia oo6lo <0.2
mg/L
Mg - Magnesium 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%
Wally Hansen - Public Services Director
Permittee (or Authorized Acient) 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
N iffl,
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: 4/30/2022
Facility Name: City of Jacksonville
Land Treatment System
Non -Discharge WQ0009267 UIC
NPDES Other
Permit Name (if different):
Facility Address:
716 Firetower
Road
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
Jacksonville NC 28540 County Onslow
Z'r'
X Spray Field El Remediation:
Contact Person: Amy Palaschak
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name MW-13
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: 9/28/2022
FIELD ANALYSES:
WAS
Well Depth: 23.2 ft.
Well Diameter: 2 in.
pH 00400: 4.6 units Temp. 000lc 19.3 °C
DRY at
Depth to Water Level 82546: 15 ft. below measuring point Screened Interval: 10.5 ft. to
23.2 ft. Spec. Cond. 00094: µMhos
time of
sampling,
Measuring Point is 2.75 ft. above land surface
Relative M.P. Elevation: 11.95 ft.
Odor 00085:
check
Volume of water pumped/bailed before sampling:
4.08
gallons
Appearance
here:❑
Samples for metals were collected unfiltered: X
YES
❑ NO and field acidified: X YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 9/28/2022
Laboratory Name: 1. Jacksonville 2.
Environmental Chemists Certification No. 1. 128 2. 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 01051 ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 <0.02
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 <0.2
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 61
mg/L
Al - Aluminum 01105
mg/L
pH (Lab) oo403 4.55
units
Ba - Barium 01007
ug/L
TOC oo6so 1
mg/L
Ca - Calcium oo916
mg/L
Chloride 00940 23
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 <5
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 # SM 6200C
Total Ammonia omio <0.2
mg/L
Mg - Magnesium 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%
ovv-5a
mev. uizu i o

SUBMIT FORM ON YELLOW PAPER ONLY
I • •
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: 4/30/2022
Facility Name: City of Jacksonville
Land Treatment System
Non -Discharge WQ0009267 UIC
NPDES Other
Permit Name (if different):
Facility Address:
716 Firetower
Road
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
Jacksonville NC 28540 County Onslow
,_ Y' stele,
Z''"
X Spray Field El Remediation:
Contact Person: Amy Palaschak
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name MW-14
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: 9/28/2022
FIELD ANALYSES:
WAS
Well Depth: 17.9 ft.
Well Diameter: 2 in.
pH 00400: 5.1 units Temp. 000lc 21.6 eC
DRY at
Depth to Water Level 82546: 12 ft. below measuring point Screened Interval: 5 ft. to
15 ft. Spec. Cond. 00094: µMhos
time of
sampling,
Measuring Point is 3.2 ft. above land surface
Relative M.P. Elevation: 9 ft.
Odor 00085:
check
Volume of water pumped/bailed before sampling:
2.74
gallons
Appearance
here:❑
Samples for metals were collected unfiltered: X
YES
❑ NO and field acidified: X YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 9/28/2022
Laboratory Name: 1. Jacksonville 2.
Environmental Chemists Certification No. 1. 128 2. 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 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 <0.2
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 54
mg/L
Al -Aluminum 01105
mg/L
pH (Lab) 00403 5.08
units
Ba - Barium 01007
ug/L
TOC o068o 13
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 <5
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 # SM 6200C
Total Ammonia oo610 1.18
mg/L
Mg - Magnesium 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%
Wally Hansen - Public Services Director
Permittee (or Authorized Aqent) 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: 4/30/2022
Facility Name: City of Jacksonville
Land Treatment System
Non -Discharge WQ0009267 UIC
NPDES Other
Permit Name (if different):
Facility Address:
716 Firetower
Road
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
Jacksonville NC 28540 County Onslow
"'''y, stet '
1pP
X Spray Field ❑ Remediation:
Contact Person: Amy Palaschak
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name MW-15
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: 9/29/2022
FIELD ANALYSES:
WAS
Well Depth: 15 ft.
Well Diameter: 2 in.
pH 00400. 4.7 units Temp. 000lc 19.1 °C
DRY at
Depth to Water Level 82546: 3.8 ft. below measuring point Screened Interval: 5 ft. to
15 ft. Spec. Cond. 00094: µMhos
time of
sampling,
Measuring Point is 2.9 ft. above land surface
Relative M.P. Elevation: 0.9 ft.
Odor 00085:
check
Volume of water pumped/bailed before sampling:
5.38
gallons
Appearance
here:❑
Samples for metals were collected unfiltered: X
YES
❑ NO and field acidified: X YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 9/29/2022
Laboratory Name: 1. Jacksonville 2.
Environmental Chemists Certification No. 1. 128 2. 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 01051 ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 2.24
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 <0.2
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 112
mg/L
Al -Aluminum 01105
mg/L
pH (Lab) 00403 4.68
units
Ba - Barium 01007
ug/L
TOC oo6so 0.9
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 50
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 <5
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 # SM 6200C
Total Ammonia 00610 <0.2
mg/L
Mg - Magnesium 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%
17V V-JZI MUV. 0/4u IJ

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: 4/30/2022
Facility Name: City of Jacksonville
Land Treatment System
Non -Discharge WQ0009267 UIC
NPDES Other
Permit Name (if different):
Facility Address:
716 Firetower
Road
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
Jacksonville NC 28540 County Onslow
Sty``'
`'°'
X Spray Field ❑ Remediation:
Contact Person: Amy Palaschak
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name MW-16
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: 9/29/2022
FIELD ANALYSES:
WAS
Well Depth: 25 ft.
Well Diameter: 2 in.
pH 00400: 4.8 units Temp. 000lc 19.1 °C
DRY at
Depth to Water Level 82546: 9.7 ft. below measuring point Screened Interval: 15 ft. to
20 ft. Spec. Cond. 00094: µMhos
time of
sampling,check
Measuring Point is 2.4 ft. above land surface
Relative M.P. Elevation: 7.3 ft.
Odor 00085:
Volume of water pumped/bailed before sampling:
7.34
gallons
Appearance
here:❑
Samples for metals were collected unfiltered: X
YES
❑ NO and field acidified: X YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 9/29/2022
Laboratory Name: 1. Jacksonville 2.
Environmental Chemists Certification No. 1. 128 2. 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 01051 ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 0.17
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 <0.2
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 78
mg/L
Al - Aluminum o11o5
mg/L
pH (Lab) 00403 4.75
units
Ba - Barium 01007
ug/L
TOC 00680 2
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940 32
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 10
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 # SM 6200C
Total Ammonia oo6lo <0.2
mg/L
Mg - Magnesium 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%
Wally Hansen - Public Services Director
Permittee (or Authorized Agent) Name and Title - Please print or Noe
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: 4/30/2022
Facility Name: City of Jacksonville
Land Treatment System
Non -Discharge WQ0009267 UIC
NPDES Other
Permit Name (if different):
Facility Address:
716 Firetower
Road
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
Jacksonville NC 28540 County Onslow
.latyl i stffi61
71,
X Spray Field 0 Remediation:
Contact Person: Amy Palaschak
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name MW-17
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: 9/29/2022
FIELD ANALYSES:
WAS
Well Depth: 25 ft.
Well Diameter: 2 in.
pH 00400: 4.5 units Temp. 000lc 19 °C
DRY at
Depth to Water Level 82546: 6.8 ft. below measuring point Screened Interval: 15 ft. to
20 ft. Spec. Cond. 00094: µMhos
time of
sampling,
Measuring Point is 1.9 ft. above land surface
Relative M.P. Elevation: 4.9 ft.
Odor 00085:
check
Volume of water pumped/bailed before sampling:
8.74
gallons
Appearance
here:❑
Samples for metals were collected unfiltered: X
YES
❑ NO and field acidified: X YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 9/29/2022
Laboratory Name: 1. Jacksonville 2.
Environmental Chemists Certification No. 1. 128 2. 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 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 <0.2
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids. -Total 70300 77.3
mg/L
Al -Aluminum 01105
mg/L
pH (Lab) 00403 4.45
units
Ba - Barium 01007
ug/L
TOC 00680 1
mg/L
Ca - Calcium oo916
mg/L
Chloride 00940 36
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 9
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 # SM 6200C
Total Ammonia 00610 <0.2
mg/L
Mg - Magnesium 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%
Wally Hansen - Public Services Director
Permittee (or Authorized Aoent) Name and Title - Please print or type