WQ0002128_Monitoring - 11-2022_20230109

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GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
Facility Name: -
Permit Name (if
Contait Person: X-JCA'
Well Location/ Site Name:
.IAN 0 5 2022
SUBMIT FORM ON YELLOW PAPER ONLY
Print Clearly or Type
County ,
Telephone t
No. of Wells to be Sampled:
Well Identification Number (from Permit): , '
-- —t--- For 13mmidweter Tmillment Systems
Well Depth: _ I ft. Well Diameter in. Check One: ❑ Influent (98)
Screened Interval: it. 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 pumped/tiaUed before sampling: � Date sample collected.
Field analysis: pH Specific Conductance uMhos
Temp. J�oC, Odor Appearance
DEPARTMENT OF ENVIRONMENT A NATURAL
WATER QUALITY DIVISION, GROUNDWATER SI
1636 MAIL SERVICE CENTER
PERMIT #: EXPIRATION DATE:
Non -Discharge t_ 1© coon 1 j� UIC
NPDES
TYPE OF PERMITTED OPERATION BEING MONITORED
lagoon Remediation: Infiltration Gallery
Spray Field Remedialion:
_-� Rotary Distributor land Application of Sludge
Other:
NOTE: Values should reflect dissolved and
colloidal concentrations.
Date sample analyzed:
Laboratory Name:
Certification No. 1
PARAMETERS (Samples for metals were collected unfiltered YES NO and field acidified
COD
mg/I
Nitrite (NO2) as N
mg/I
Coliform: MF Fecal
/100ml
Nitrate (NO3) as N
1-7- L,, ,�j mgA
Coiiform: MF Total
/100mi
Phosphorus: Total as P
mg/I
(Note: Use MPH method for highly tumid samples)
Orthophosphate
mgf I
Dissolved Solids: Total L-1 `i
mg/I
AI - Aluminum
mg/I
pH (when analyzed)
units
Ba - Barium
mg/I
TOC q 4
mg/I
Ca - Calcium Pin IC
��
f• + mgA
? 1, c
mg/l
Cd - Cadmium
T'' mgA
Arsenic
mg/I
Chromium: Total
mg/I
Grease and Oils
mg/i
Cu - Copper
mg/I
YES NO)
Ni - Nickel mg/1
Pb - lead mg/I
Zn - Zinc Mgt[
Ammonia Nitrogen 0 C)1t mgA
Other (Specify Compounds and Concentration Units)
lc)/ �'cy _ A I !
ci
Phenol
m �
Fe - Iron ' "y n�;�,
— mg/!
ORGANICS: (GC,GC/Ms,HPLC)
Sulfate
m g/l
H Mercu )I Fr�L� s6+
g - i `Z0
+
mg/I
(Specify test and method #. Attach lab report.)
Specific Conductance
uMhos
K - Potassium
mg/i
Report Attached? Yes �(1) No (0)
Total Ammonia
mg/I
Mg - Magnesium
mgA
VOC : method # =(a k )4) C=-
TKN as N
mg/l
Mn - Manganese
mg/I
method # =
method #

GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
Facility Name:_
Permit Name (if
Contact Person: t�cf
Well Location/ Site Name:
SUBMIT FORM ON YELLOW PAPER ONLY
Print Clearly or Type
County
Telephone #:- No. of Wells to be Sampled:
Well Identification Number (from Permit): For Groundwater Treatment Systems
Well Depth: ft. Well Diameter in. check one. ❑ Influent (98)
Screened Interval: it to fL ❑ Effluent (99)
Depth to Water Level: I J . 4, 7 ft. below measuring point.
Measuring Point (M.P.) is: ft. above land surface. Relative M.P. Elevation in It.:
Gallons of water pumpited before sampling: ''�'' - T Date sample collected: '�12
Field analysis: pH jj�S� _ , Specific Conductance uMhos
Temp. OC, Odor Appearance
DEPARTMENT OF ENVIRONMENT ri NATURAL RESOURCES
WATER QUALITY DIVISION, GROUNDWATER SECTION
1636 MAIL SERVICE CENTER
PERMIT #: EXPIRATION DATE:
Non -Discharge L,0 O t)op .i _�6 UIC
NPDES
TYPE OF PERMITTED OPERATION BEING MONITORED
Lagoon Remedialion: Infiltration Gallery
Spray Fell Remedetion:
—� Rotary Distributor Land Application of Sludge
Other.
NOTE: Values should reflect dissolved and .
colloidal concentrations.
Date sample analyzed:
Laboratory Name:
Certification No. 1
PARAMETERS (Samples for metals were collected unfiltered YES
NO and field acidified
COD
mg/l
Nitrite (NO2) as N
mgA
Coliform: MF Fecal A .%
A 00ml
Nitrate (NO3) as N
mg/I
Coliform: MF Total
A 00ml
Phosphorus: Total as P 'L. 1- mg/I
(Note: Use MIPN method for highly turbid samples)
Orthophosphate
mg/1
Dissolved Solids: Total
mg/I
Al - Aluminum
mg/I
pH (when analyzed)
units
Ba - Barium
mg/I
TOC �i-10
mg/I
Ca - Calcium
mg/I
Chloride i sS `?
mgA
Cd - Cadmium
mg/1
Arsenic
mgA
Chromium: Total
mg/I
Grease and Oils
mg/I
Cu - Copper
mg/I
Phenol
mgA
Fe - Iron
mg/I
Sulfate
mgA
Hg - Mercury
mgA
Specific Conductance
uMhos
K - Potassium
mgA
Total Ammonia
mg/I
Mg - Magnesium
mg/I
YES
NO)
Ni - Nickel
mg/I
Pb - Leari
mg/I
Zn - Zinc
mg/I
Ammonia Nitrogen 1` i , Q L4 mg/I
Other (Specify
Compounds and Concentration Units)
ORGANICS: (GC,GC/MS,HPLC)
(Specify test and method #. Attach lab report.)
Report Attached? Yes (1) No (0)
VOC method # _ (o1r) /
TKN as N mg/I Mn - Manganese mg/I : method # =
: method #
Rev. 03/2000

GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
Facility Name: —
Permit Name (if
Well Location/ Site Name:
SUBMIT FORM ON YELLOW PAPER ONLY
Print Clearly or Type
County
Telephone C.
No. of Welts to be Sampled:
Well Identification Number (from Permit): i For Groundwater Tmaanent Systems
Well Depth: ft. Well Diameter -I— in. check one: ❑ Influent (98)
Screened Interval: ft. to It. ❑ 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 pumpled before sampling: ,, Date sample collected: i
Field analysis: pH , Specific Conductance uMhos
Temp. '�_L _OC, Odor Appearance
DEPARTMENT OF ENVIRONMENT 3 NATURAL RESOURCES
WATER QUALITY DIVISION, GROUNDWATER SECTION
1636 MAIL SERVICE CENTER
PERMIT C EXPIRATION DATE:
Non -Discharge A3 Cl 00011) YS UIC
NPDES
TYPE QF PE13MITTED OPERATION BEING MONITORED
Lagoon Remediation: Infiltration Gallery
Spray Field Remedialion:
-- 7 Rotary Distributor Land Application of Sludge
Other.
NOTE: Values should reflect dissolved and .
colloidal concentrations.
Date sample analyzed:
Laboratory Name: ►1Cf� e;� v�— Sn_�
Certification No.
PARAMETERS (Samples for metals were collected unfiltered YES NO
and field acidified
COD
mg/l
Nitrite (NO2) as N
mg/I
Coliform: MF Fecal i
A 00ml
Nitrate (NO3) as N e'er , :S mg/I
Coliform: MF Total
/100ml
Phosphorus: Total as P
mg/1
(Note: Use MPN method for highly turbid samples)
Orthophosphate
mgA
Dissolved Solids: Total 1400 mg/I
Al - Aluminum
mg/I
pH (when analyzed)
units
Ba - Barium
mg/I
TOC
_ mg/I
Ca - Calcium
mg/t
Chloride n cl
mg/I
Cd - Cadmium
mg/I
Arsenic
mg/I
Chromium: Total
mg/I
Grease and Oils
mg/l
Cu - Copper
mg/I
Phenol
mgA
Fe - Iron
mg/l
Sulfate
mg/I
Hg - Mercury
mg/I
Specific Conductance
uMhos
K - Potassium
mg/I
Total Ammonia
mg/I
Mg - Magnesium
mg/I
TKN as N
mg/I
Mn - Manganese
mg/I
Rev. 03/2000
YES NO)
Ni - Nickel
mg/I
Pb - Lead
mg/I
Zn - Zinc
mg/I
Ammonia Nitrogen n . t--�)
mg/l
Oth=fy Compounds and Concentration Units)
ORGANICS: (GC,GC/MS,HPLC)
(Specify test and method #. Attach lab report.)
Report Attached? Yes 1) No (0)
VOC : method # C- k
method # =
method #

GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
Facility Name:_
Permit Name (if
Contact Person:--'—�
Well Location/ Site Name:
SUBMIT FORM ON YELLOW PAPER ONLY
Print Cieariy or Type
County
Telephone If: IS L
No. of Wells to be Sampled:
Well Identification Number (from Permit): ` _ For Groundwater Treatment System
Well Depth: h ft. Well Diameter in. Check One: ❑ Influent (98)
Screened Interval: �— ft. to It. Q Effluent (99)
Depth to Water Level: `� I t 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: _ Date sample coliected:' i
Field analysis: pH x • , Specific Conductance uMhos
Temp. _�- %--C, Odor Appearance
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
WATER OUALITY DIVISION, GROUNDWATER SECTION
1636 MAIL SERVICE CENTER
PERMIT #: EXPIRATION DATE:
Non-Discharges,AJ1P40Q0 t Z 2 UIC
NPDES -
TYPE OF PERMITTED OPERATION BEING MONITORED
Lagoon Remedatiom Infiltration Gallery
Spray Field Remediation:
—;7- Rotary Distributor Land Application of Sludge
Other.
NOTE: Values should reflect dissolved and .
colloidal concentrations.
Date sample analyzed:
Laboratory Name: Tom_►�'� r — T r��
Certification No. ---
PARAMETERS (Samples for metals were collected unfiltered YES NO and field acidified
COD
Coliform: MF Fecal 1
mg/l
1100m1
Nitrite (NO2) as N
Nitrate (NO3) as N 0 -C) L4
m9n
mg/f
Coliform: MF Total
/100mf
Phosphorus: Total as P i
mg/I
(Note: Use MPN method for highly turbid samples)
Orthophosphate
mg/1
mg/I
Dissolved Solids: Total 17713
mgll
Al - Aluminum
mg/I
pH (when analyzed)
units
m
TOC
Chloride a�
mg/I
mgA
Ca - Calcium
Cd - Cadmium
mg/I
_
Arsenic
mg/I
Chromium: Total
mg/I
mg/I
Grease and Oils
mg/1
Cu - Copper
mg/I
Phenol
Sulfate
mg/I
mg/l
Fe - Iron
Hg - Mercury
m�
Specific Conductance
uMhos
K - Potassium
m
mg/I
Total Ammonia
mg/l
Mg - Magnesium
m
YES NO)
Ni - Nickel
rrtg/1
Pb - Lead
mg/I
Zn - Zinc
IT /1
Ammonia Nitrogen t'�, �6
mg/I
Other (Specify Compounds and Concentration Unitts)
ORGANICS: (GC,GC/MS,HPLC)
(Specify test and method #. Attach lab report!)
Report Attached? Yes (1) No (0)
VOC method # = 1 0 1h(7 1
method #
method#=
onrl that tha 1nhnrntnn7 nnalvtical data tivas produced
Name Irnd Tt�e - Please print or type
r
GW-59

114 OAKMONT DRIVE
GREENVILLE, N.C. 27858
PEBBLE BEACH (HYDROTECH)
ATTN: DON O'MARA
HYDROTECH
P.O. BOX 4602
EMERALD ISLE, NC 28594
PARAMETERS
PH (field measurement), Units
Fecal Coliform (MF), /100 Mls
Ammonia Nitrogen as N, mg/l
Nitrate Nitrogen as N, mg/1
Total Phosphorus as P, mg/l
Total Organic Carbon, mg/l
Total Organic Carbon, mg/l
Chloride, mg/l
Total Dissolved Residue, mg/l
Sodium, ug/1
Static Water Level, feet
Water Bailed, Gals.
Drinking Water ID: 37715
Wastewater ID: 10
PHONE [phone]
FAX [phone]
ID#: 287 B
DATE COLLECTED: 11/15/22
DATE REPORTED : 12/12/22
/ 1 v
REVIEWED BY: _ ✓-'/--
Well #1
Well #2
Well #3
Well #4
Analysis
Method
Date Analyst
Code
7.8
8.0
7.8
9.9
11/15/22
PJC
4500HB-11
< 1
10
< 1
< 1
11/15/22
JDJ
9222D-15
0.10
<0.04
0.28
<0.04
11/16/22
BMD
350.1 112-93
6.53
5.56
<0.04
17.60
11/16/22
TRJ
353.2 R2-93
0.41
2.29
1.21
2.42
11/17/22
TRJ
365.4-74
3.48
2.40
4.62
11/18/22
HMM
531OC-14
3.44
11/19/22
HMM
531OC-14
69
157
27
124
11/16/22
BNC
4500CLB-11
400
380
270
440
11/17/22
JDJ
D5907-13
23190
91328
16855
101200
11/21/22
MTM
EPA200.7
15.70
10.67
9.11
7.77
11/15/22
PJC
1.5
6.3
2.5
2.0
11/15/22
PJC

�RAUMRH(W t h(�(mowt%do
114 OAKMONT DRIVE
GREENVILLE, N.C. 27858
Drinking Water ID: 37715
Wastewater ID: 10
PHONE [phone]
FAX [phone]
CLIENT: PEBBLE BEACH (HYDROTECH) CLIENT ID: 287 B
ATTN: DON O'MARA
HYDROTECH ANALYST: JAP
P.O. BOX 4602 DATE COLLECTED: 11/15/22 Page: 1
EMERALD ISLE, NC 28594 DATE ANALYZED: 11/28/22
��� DATE REPORTED: 12/12/22
REVIEWED BY: >�-
VOLATILE ORGANICS
STD. METHODS 620OC-11
PARAMETERS, ug/l
Well #1
Well #2
Well #3
Well #4
1. Benzene
< 0.50
< 0.50
< 0.50
< 0.50
2. Bromobenzene
< 0.50
< 0.50
< 0.50
< 0.50
3. Bromochloromethane
< 0.50
< 0.50
< 0.50
< 0.50
4. Bromodichloromethane
<0.50
<0.50
<0.50
<0.50
5. Bromoform
<0.50
<0.50
<0.50
<0.50
6. Bromomethane
< 0.50
< 0.50
< 0.50
< 0.50
7. N-Butylbenzene
< 0.50
< 0.50
< 0.50
< 0.50
8. Sec-Butylbenzene
< 0.50
< 0.50
< 0.50
< 0.50
9. Tert-Butylbenzene
< 0.50
< 0.50
< 0.50
< 0.50
10. Carbon Tetrachloride
< 0.50
< 0.50
< 0.50
< 0.50
11. Chlorobenzene
< 0.50
< 0.50
< 0.50
< 0.50
12. Chloroethane
< 0.50
< 0.50
< 0.50
< 0.50
13. Chloroform
< 0.50
< 0.50
< 0.50
< 0.50
14. Chloromethane
< 0.50
< 0.50
< 0.50
< 0.50
15. 2-Chlorotoluene
< 0.50
< 0.50
< 0.50
< 0.50
16. 4-Chlorotoluene
< 0.50
< 0.50
< 0.50
< 0.50
17. Dibromochloromethane
<0.50
<0.50
<0.50
<0.50
18. 1,2-Dibromo-3-Chloropropane
<0.50
<0.50
<0.50
<0.50
19. 1,2-Dibromoethane
< 0.50
< 0.50
< 0.50
< 0.50
20. Dibromomethane
< 0.50
< 0.50
< 0.50
< 0.50
21. 1,2-Dichlorobenzene
< 0.50
< 0.50
< 0.50
< 0.50
22. 1,3-Dichlorobenzene
< 0.50
< 0.50
< 0.50
< 0.50
23. 1,4-Dichlorobenzene
< 0.50
< 0.50
< 0.50
< 0.50
24. Dichlorodifluoromethane
< 0.50
< 0.50
< 0.50
< 0.50
2.5. l ,1-Dirhloroethene
< 0.50
< 0.50
< 0.50
< 0.50
26. 1,2-Dichlor^ethane
<0.50
1 <0.50
<0.50
<0.50
27. 1,1-Dichloroethene
<0.50
<0.50
<0.50
<0.50
28. Cis-1,2-Dichloroethene
<0.50
<0.50
<0.50
<0.50
29. trans-1,2-Dichloroethene
< 0.50
< 0.50
< 0.50
< 0.50
30. 1,2-Dichloropropane
< 0.50
< 0.50
< 0.50
< 0.50
31. 1,3-Dichloropropane
<0.50
<0.50
<0.50
<0.50
32. 2,2-Dichloropropane
<0.50
<0.50
<0.50
<0.50
33. 1,1-Dichloropropene
<0.50
<0.50
<0.50
<0.50
34. Cis-1,3-Dichloropropene
<0.50
<0.50
<0.50
<0.50
35. trans-1,3-Dichloropropene
< 0.50
< 0.50
< 0.50
< 0.50
36. Ethylbenzene
< 0.50
< 0.50
< 0.50
< 0.50
37. Hexachlorobutadiene
< 0.50
< 0.50
< 0.50
< 0.50
38. Isopropylbenzene
< 0.50
< 0.50
< 0.50
< 0.50
39. 4-Isopropyltoluene
< 0.50
< 0.50
< 0.50
< 0.50
40. Methylene Chloride
< 0.50
< 0.50
< 0.50
< 0.50
41. Naphthalene
< 0.50
< 0.50
< 0.50
< 0.50
42. Propylbenzene
< 0.50
< 0.50
< 0.50
< 0.50
43. Styrene
< 0.50
< 0.50
< 0.50
< 0.50
44. 1,1,1,2-Tetrachloroethane
< 0.50
< 0.50
< 0.50
< 0.50
45. 1,1,2,2-Tetrachloroethane
<0.50
<0.50
<0.50
<0.50
46. Tetrachloroethene
< 0.50
< 0.50
< 0.50
< 0.50
47. Toluene
< 0.50
< 0.50
< 0.50
< 0.50
48. 1,2,3-Trichlorobenzene
< 0.50
< 0.50
< 0.50
< 0.50

EEW'Dmimmid Flo lumpumNo
114 OAKMONT DRIVE
GREENVILLE, N.C. 27858
CLIENT: PEBBLE BEACH (HYDROTECH)
ATTN: DON O'MARA
HYDROTECH
P.O. BOX 4602
EMERALD ISLE, NC 28594
REVIEWED BY: o ��
VOLATILE ORGANICS
STD. METHODS 620OC-11
f ,
Drinking Water ID: 37715
Wastewater ID: 10
PHONE [phone]
FAX [phone]
CLIENT ID: 287 B
ANALYST: JAP
DATE COLLECTED: 11/15/22
DATE ANALYZED: 11/28/22
DATE REPORTED: 12/12/22
PARAMETERS, ug/l
Well #1
Well #2
Well #3
Well #4
49. 1,2,4-Trichlorobenzene
<0.50
<0.50
<0.50
<0.50
50. 1,1,1-Trichloroethane
<0.50
<0.50
<0.50
<0.50
51. 1,1,2-Trichloroethane
< 0.50
< 0.50
< 0.50
< 0.50
52. Trichloroethene
< 0.50
< 0.50
< 0.50
< 0.50
53. Trichlorofluoromethane
<0.50
< 0.50
< 0.50
< 0.50
54. 1,2,3-Trichloropropane
<0.50
<0.50
<0.50
<0.50
55. 1,2,4-Trimethylbenzene
<0.50
<0.50
<0.50
<0.50
56. 1,3,5-Trimethylbenzene
<0.50
<0.50
<0.50
<0.50
57. Vinyl Chloride
<0.50
<0.50
<0.50
<0.50
58. Total Xylenes
< 1.00
< 1.00
< 1.00
< 1.00
59. Methyl Tert Butyl Ether
< 1.00
< 1.00
< 1.00
< 1.00
Page: 2