WQ0002128_Monitoring - 03-2023_20230419 (3)

Monitoring Report Submittal
Permit Number#*
Name of Facility:*
Month: * March
Report Information
Type *
GW-59
Confirmation Email Address:
Name of Submitter: *
Signature:
Date of submittal:
Initial Review
WQ0002128
Pebble Beach
Year:* 2023
Upload Document*
March Form GW 59.pdf 3.39MB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
[e-mail]
Barbara Parson
Reviewer: Wanda.Gerald
4/19/2023
This will be filled in automatically

Is the project number correct?* W00002128
Is the monitoring report accepted?* Yes NO
Regional Office* Wilmington
Reviewer: _anonymous
Review Date: 6/14/2023

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
Print Clearly or Type
Facility Name:_
Permit Name (if
Rw
cmt County
Contact Person: Telephone # I' L
Well Location/ Site Name: No. of Wells to be Sampled:
Well Identification Number (from Permit): A For Gt wWwaW Treatment Systems
Well Depth: ft. Well Diameter-. _ in. Cho* ow ❑ Influent (98)
Screened Interval: ft. to ft- Q Effluent (99)
Depth to Water Level: i Skit. below measuring point
Measuring Point (M.P.) is: ft. above land surface. Relative M.P. Elevation in ft.:
Gallons of water pumped/bwled before sampling: i -I Date sample colfected:.
Field analysis: pH , Specific Conductance " uMhos
Temp. 4-C-A-C, Odor Appearance
DEPARTMENT OF ENVIRONMENT & NATURAL. RESOURCES
WATER DUALITY DIVISION, GROUNDWATER SECTION
1636 MAIL SERVICE CENTER
PERMIT C EXPIRATION DATE:
Non -Discharge LA-1 toc Co Z.t 1 j� UIC
NPDES
DTE OF PERMITTED OPERATION BEING MONITORED
Lagoon fiemediation: Infiltration Gallery
Spray Field Aemedrau
Rotary Distributor Land Application of Sludge
Other.
NOTE: Values should reflect dissolved and .
colloidal concentrations.
Date sample analyzed:
Laboratory Name: �'► �n�
Certification No. 1
PARAMETERS (Samples for metals were collected unfiftered YES NO and field acidified
COD
mg/l
Nitrite (NO2) as N
mg/I
Coliform: MF Fecal
/100ml
Nitrate (NO3) as N . Z
mg/l
Coliform: MF Total
/100ml
Phosphorus: Total as P C) •
mg/I
(Note: Use MPN method for highly turbid samples)
Orthophosphate
mg/l
Dissolved Solids: Total S mgA
AI - Aluminum
mg/I
pH (when analyzed)
units
Ba - Barium
mgA
TOC L4. L4
mg/l
Ca - Calcium
mg/l
Chloride
mg/I
Cd - Cadmium
mg/l
Arsenic
mg/I
Chromium: Total
mg/I
Grease and Oils
mg/l
Cu - Copper
mg/l
Phenol
mg/I
Fe - Iron
mg/I
Sulfate
mg/I
Hg - Mercury
mg/I
Specific Conductance
uMhos
K - Potassium
mg/l
Total Ammonia
mg/l
Mg - Magnesium
mg/l
TKN as N
mg/I
Mn - Manganese
mg/l
GW-59
Rev. 0312000
YES NO)
Ni - Nickel mg/I
Pb - Lead mgA
Zn - Zinc mg/l
Ammonia Nitrogen 1"-) mg/I
Other (Specify Compounds and Concentration Units) l J
tti Ccd C.s� l ��r �c3
ORGANICS: (GC,GCIMS,HPLC)
(Specify test and method #. Attach lab reporL)
Report Attached? Yes (1) No
VOC method # =
: method # =
: method # =

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
Print Clearly or Type
Facifity Name:_
Permit Name (if
a+v) County
Contact Person: Telephone # 11—
Well Location/ Site Name: No. of Wells to be Sampled:
Well Identification Number (from Permit): 1 For Gmundwater Treatment Systems
Well Depth: ,LA-- ft. Well Diameter-. _ in_ check one- 0 Influent (98)
Screened Interval: ft. to ft_ ❑ Effluent (99)
Depth to Water Level ft. below measuring point
Measuring Point (M.P.) is: ft. above land surface. Relative M.P. Elevation in fL:
Gallons of water pumppd/bailed before sampling: Date sample collected: 3 i.Z,i 12 �
Field analysis: pH _C 0 - L , Specific Conductance ' uMhos
Temp._-C, Odor Appearance
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
WATER QUALITY DIVISION, GROUNDWATER SECTION
1636 MAIL SERVICE CENTER
PERMIT #: EXPIRATION DATE:
Non -Discharge CQSOI01_1 L -2) WC
NPDES
TYPE OF PERMITTED OPERATION BEING MONITORED
Lagoon Remediation: Infiltration Gallery
Spray Feld Remedaton:
—L17 Rotary Distributor Land: Application of Sludge
Other.
NOTE: Values should reflect dissolved and .
colloidal concentrations.
Date sample analyzed:
Laboratory Name:
Certification No.
PARAMETERS (Samples for metals were collected unfiltered YES NO and field acidified
COD
mg/l
Nitrite (NO2) as N
mg/l
Coliform: MF Fecal 1
A 00ml
Nitrate (NO3) as N _
mg/l
Coliform: MF Total
/100ml
Phosphorus: Total as P
mg/l
(Note: Use MPN method for highly turbid samples)
Orthophosphate
mg/i
Dissolved Solids: Total 14 -y
mg/l
Al - Aluminum
mg/I
pH (when analyzed)
units
Ba - Barium
mg/l.
TOC A I (,0_q
mg/l
Ca - Calcium
mg/I
Chloride It 473
mg/!
Cd - Cadmium
mg/i
Arsenic
mg/l
Chromium: Total
mg/l
Grease and Oils
mg/l
Cu - Copper
mg/l
Phenol
mg/l
Fe - Iron
mg/l
Sulfate
mg/l
Hg - Mercury
mg/l
Specific Conductance
uMhos
K - Potassium_
mg/l
Total Ammonia
mg/l
Mg - Magnesium
mg/l
TKN as N
mg/l
Mn - Manganese
mg/l
GW-59
Rev. 0312000
YES NO)
Ni - Nickel
mg/l
Pb - Lead
mg/l
Zn - Zinc
mg/t
Ammonia Nitrogen 05
mg/l
Other (Specify Compounds and Concentration U�its)
ORGANICS: (GC,GC/MS,HPLC)
(Specify test and method #. Attach lab report.)
Report Attached? Yes (1) No _,� (0)
VOC : method # =
method # _
method # _

GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
Facility Name:_
Permit Name (if
Well Location! Site Name:
SUBMIT FORM ON YELLOW PAPER ONLY
Please Print Clearly or Type
County
Telephone #-. 155 LD 25,—'
No. of Wells to be Sampled:
Well Identification Number (from Permit): For Groundwater Treatment Systems
Well Depth: Wiz, fL Well Diameter _ in. Check One: ❑ Influent (98)
Screened Interval: ft. to K- ❑ Effluent (99)
Depth to Water Level: I ft. below measuring point
Measuring Point (M.P.) is: fL above land surface. Relative M.P. Elevation in fL•
Gallons of water pumped/bailed before sampling: �S Date sample collected:3. 112
Field analysis: pH Specific Conductance " uMhos
Temp. c °C, Odor Appearance
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
WATER QUALITY DIVISION, GROUNDWATER SECTION
1636 MAIL SERVICE CENTER
PERMIT #: EXPIRATION DATE:
Non -Discharge 0L 1 Q tQQQ Lt I �h UIC
NPDES
TYPE OF PERMITTED OPERATION BEING MONITORED
Lagoon Rernedialion: Infitration Gallery
Spray Feld Remediation-
j Rotary Distributor Land Application of Sludge
Other.
NOTE: Values should reflect dissolved and .
colloidal concentrations.
Date sample analyzed:
Laboratory Name: E ,,E)C: \e-n--T
Certification No. 1 D
PARAMETERS (Samples for metals were collected unfittered YES NO and field acidified
COD
mg/I
Nitrite (NO2) as N
mg/I
Coliform: MF Fecal i
/100ml
Nitrate (NO3) as N i �i"7
mg/I
Coliform: MF Total
/100ml
Phosphorus: Total as P L4 3
mg/I
(Note: Use MPN method for highly turbid samples)
Dissolved Solids: Total ��C� mg/I
Orthophosphate
Al - Aluminum
mgli
mg/I
pH (when analyzed)
units
Ba - Barium
mg/I
TOC t"7� S is�
mg/I
Ca - Calcium
mg/I
Chloride -
mg/t
Cd - Cadmium
mgll
Arsenic
mg/l
Chromium: Total
mg/I
Grease and Oils
mg/I
Cu - Copper
mg11
Phenol
mg/I
Fe - Iron
mg/l
Sulfate
mg/I
Hg - Mercury
mg/I
Specific Conductance
uMhos
K - Potassium
mg/I
Total Ammonia
mg/l
Mg - Magnesium
mg/I
YES NO)
Ni - Nickel
mg/I
Pb - Lear+
mg/l
Zn - Zinc
mg/l
Ammonia Nitrogen
Q A i 5 mg/l
Other (Specify Co
ands and Concentration Units)
ORGANICS: (GC,GCIMS,HPLC)
(Specify test and method #. Attach lab report)
Report Attached? Yes (1) No L-� (0)
VOC : method # =
TKN as N mg/I Mn - Manganese mg/l : method # =
method # _
/ Ol-lNi✓ ui
or type
0 0
'r,7pf?
GW-59
Rev. 0312000

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
Print Clearly or Type
Facility Name:_
Permit Name (if
County
Contact Person: Telephone # IS L
Well Location/ Site Name: No. of Wells to be Sampled:
Well Identification Number (from Permit): For Groundwater Treatment Systems
Well Depth: Z. i� ft Well Diameter_ in. Check One: ❑ Influent (98)
Screened Interval: c ft. to ft. ❑ Effluent (99)
Depth to Water Level: ft. below measuring point
Measuring Point (M.P.) is: ft. above land surface. Relative M.P. Elevation in ft.
Gallons of water pumped/bailed before sampling:.3 -( Date sample collected: � l
Field analysis: pH_ , Specific Conductance uMhos
Temp. ? , -C, Odor Appearance
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
WATER QUALITY DIVISION, GROUNDWATER SECTION
1636 AWL SERVICE CENTER
PERMIT #: EXPIRATION DATE:
Non -Discharge «1 toc)o x.i I 2� UIC
NPDES
TYPE OF PERMITTED OPERATION BEING MONITORED
Lagoon Remediation: Infiltration Gallery
Spray Field Remedlafion:
Rotary Distributor Land Application of Sludge
Other.
NOTE: Values should reflect dissolved and .
colloidal concentrations.
Date sample analyzed:
Laboratory Name: 4L► 'M —T-��—
Certification No. 1 b
PARAMETERS (Samples for metals were collected unfiftered YES
NO and field acidified
COD
mg/l
Nitrite (NO2) as N
mg/l
Coliform: MF Fecal I
/100ml
Nitrate (NO3) as N
9 O mg/l
Coliform: MF Total
/100ml
Phosphorus: Total as P_ mg/l
(Note: Use UPN method for highly turbid samples)
Orthophosphate
mg/l
Dissolved Solids: Total 1-4 7 O
mg/I
Al - Aluminum
mg/I
pH (when analyzed)
units
Ba - Barium
mg/I
TOC e "7
mg/l
Ca - Calcium
mg/l
Chloride (Li 0
mg1l
Cd - Cadmium
mg/I
Arsenic
mg/I
Chromium: Total
mg/I
Grease and Oils
mg/I
Cu - Copper
mg/I
YES NO)
Ni - Nickel
mg/l
Pb - Lear
mg/l
Zn - Zinc
mg/l
Ammonia Nitrogen
mg/l
Other (Specify Compounds and Concentration Units)
L\l C-A
Phenol
mg/l
Fe - Iron
mg/I
ORGANICS: (GC,GC/MS,HPLC)
Sulfate
mgA
Hg - Mercury
mg/l
(Specify test and method #. Attach lab report)
Specific Conductance
uMhos
K - Potassium
mg/l
Report Attached? Yes (1) No _'�C- (0)
Total Ammonia
mg/l
Mg - Magnesium
mg/I
VOC : method # =
TKN as N
mg/l
Mn - Manganese
mg/I
: method # =
: method # =
e,
remuaee for EwpMzecr Ageuptarne and Title -Please print or typeGW-
Rev. 03/2000 Signature of Permittee �Autt=izedAgent) (Date)
Rev.

WayPAointti
NALYTICAL
Drinking Water ID: 37715
114 OAKMONT DRIVE PHONE [phone]
GREENVILLE, N.C. 27858 FAX [phone]
*** THIS IS A CORRECTED COPY OF PREVIOUSLY REPORTED DATA ***
ID#: 287 B
PEBBLE BEACH (HYDROTECH)
******************************
EMAIL DATA & COC
NO MAILED COPY
DATE COLLECTED: 03/27/23
DATE REPORTED : 04/05/23
REVIEWED BY:
Well #1
Well #2
Well #3
Well #4
Analysis
Method
PARAMETERS
Date
Analyst
Code
PH (field measurement), Units
8.8
6.2
5.9
10.3
03/27/23
PJC
4500HB-11
Fecal Coliform (MF), /100 Mls
< 1
< 1
< 1
< 1
03/27/23
BNC
9222D-15
Ammonia Nitrogen as N, mg/l
0.08
0.09
0.15
0.16
03/29/23
AMC
350.1 R2-93
Nitrate Nitrogen as N, mg/1
9.28
13.30
0.27
9.90
03/29/23
TRJ
353.2 R2-93
Total Phosphorus as P, mg/l
0.37
2.33
1.43
2.00
03/30/23
BMD
365.4-74
Total Organic Carbon, mg/I
4.48
2.64
17.56
d 2.87
03/29/23
HMM
531OC-14
Chloride, mg/1
46
123
72
140
04/03/23
HMV
4500CLB-11
Total Dissolved Residue, mg/t
L 350
L 470
L 290
L 470
03/28/23
ADR
D5907-13
Sodium, ug/I
16136
103110
19334
109360
04/03/23
MTM
EPA200.7
Static Water Level, feet
15.65
10.73
8.81
7.50
03/27/23
PJC
Water Bailed, Gals.
1.5
6.3
2.5
3.6
03/27/23
PJC
All QC requirements were not met: d Duplicate data not within established limits.
L Laboratory control Sample exceeded control limits.