WQ0000795_Monitoring - 11-2022_20221216 (3)

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
•
'DEPARrUIEWr OF ENVIROWEENT 3 NATUR;AL RESOURCES
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
•
• • •
817 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION
PleasePrinfCleariyOrType
PER WIIT Number: Expiration Date: 3/31/29
Facility Name: Surf City W.W.T.P.
Non -Discharge W00000795 UIC
Permit Name (if different):
NPDES Other
Facility Address: P•O. BOx 2475
TYPE OF PERMITTED OPERATION BEINGM`.IOIF'TORED
Surf City NC
28445 County Onslow
❑ Lagoon ❑ Remediation: Infiltration Gallery
K Spray Field ❑ Remediation:
Contact Person: Zachary Butler
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: 30 Acre Storage Pond
No. of wells to be sampled: 1
❑ Water Source Heat Pump ❑ Other:
(from P•rm �
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): PZ-13
Date sample collected: 11/18/22
FIELD ANALYSES:
WAS
Well Depth: 25 ft.
Well Diameter: 2 in.
pH 00400: units Temp. 000lo: °C
DRY at
Depth to Water Level 82546: 17.2 ft. below measuring
point Screened Interval: 10 ft.
to 25
ft. Spec. Cond. 00094, ltutt',1os
time of
Measuring Point is 2 ft, above land surface
Relative M.P. Elevation:
ft.
Odor 00085
sampling,
cheg4
Volume of water pumped/bailed before sampling:
gallons
Appearance
here:
❑Samples
for metals were collected unfiltered: El YES
El NO and field acidified: El YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed:
Laboratory Name: Envirochem
Certification No. 94
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N ooe15
mg/L
Pb - Lead o1o51 u9 /L
Coliform: MF Fecal 31616
/100mL
Nitrate (NO3) as N 00620
mg/L
Zn - Zinc 01092 m9 /L
Coliform: IMF Total 31504
/100mL
Phosphorus: Total as P 00665
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
issolved Solids Total 70300
mg/L
Al - Aluminum ol1o5
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC ooe8o
mg/L
Ca - Calcium 00916
mg/L
Chloride 00940
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 mettrud #. ATTACH LAB REPORT.)
Sulfate 00945
mg/L
Hg - Mercury 71900
ug/L
Lab Report Attached? ❑ Yes (1) ❑ No (0)
3pecific Conductance 00095
µMhos
K - Potassium 00937
mg/L
VOC 78732 method #
Total Ammonia ooelo
mg/L
Mg - Magnesium 00927
mg/L
method #
(Ammonia estrogen; NH3 as N; Ammonia Nitrogen, Total)
Mn - Manganese 01055
ug/L
method #
TKN as N 00625
mg/L
Ni - Nickel 01067
yt
ag/L
method #
ror rcemeolatlon systems Unty (Attach Lab Reports): influent Total mg/L Effluent Total VOCs: mg/L WOC Remty;al%
Zachary Butler ORC
Permittee (or Authorized Agent) Name and Tale - Please print or type
11 /28/22
GW-59 Rev.2/2010

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORIING:
COMPLIANCE REPORT FORM
FArII ITY INPC)PAAATInN Please
Facility Name: Surf City W.W.T.P.
Permit Name (if different):
Facility Address: P.O. box 2475
Surf City
NC
ontact Person: Zachary Butler
fell Location/Site Name: 30 Acre Storage Pond
-nnr uieany or type
28445 County Onslow
Telephone#: [phone]
No. of wells to be sampled: 1
EPARNtF2NT UFENVIRONMENT & NATURAL RESOURCES
[VISION OFWATER QUALITY-INFOTMIATItN PROCESSNC3 UNIT
5171VlAIL SERVICE CIEN'TER, RALEIGH, NO 27699-1617 Phone ;[phone]
(PER JT Number:
Expiration Date: 3/31/29
PVon-Discharge WQ0000795
UIC
�VPDES
Other
TYPE OF PERMITTED OPERATION' BEINGVItDNITORED
❑ Lagoon
❑ Remediation: Infiltration Gallery
K Spray Field
❑ Remediation:
❑ Rotary Distributor
❑ Land Application of Sludge
❑ Water Source Heat Pump
❑ Other:
..� , .� ...W. m "-"I
If WEL' L '
WELL tD NUMBER (from Permit): PZ-14
Date sample collected: 11/18/22
FIELD AWLYSES:
WAS
Well Depth: 25 ft.
Well Diameter: 2 in.
pH 00400: units Temp. 000io: °C
DRY at
Depth to Water Level 82546: 19.8 ft. below measuring point
Screened Interval: 10 ft. to 25 ft.
Spec. Cond. 00094 µMhos
time of
Measuring Point is 2 ft. above land surface
Relative M.P. Elevation: ft.
Odor 00085
sampling, .
check
Volume of water pumped/bailed before sampling: gallons
Appearance
here:
,Samples for metals were collected unfiltered: ❑YES ❑ NO
and field acidified: ❑YES ❑ NO
r
)ate sample analyzed: Laboratory Name: Envirochem
'ARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615
mg/L
Coliform: MF Fecal 31616
/100mL
Nitrate (NO3) as N 00620
mg/L
Coliform: MF Total 31504
/100ml-
Phosphorus: Total as P oo665
mg/L
(Note: Use MPN rnethoo for highly turbid samples)
Orthophosphate 70507
mg/L
issolved Solids:Total 70300
mg/L
Al - Aluminum ollo5
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 00680
mg/L
Ca - Calcium oo916
mg/L
Chloride 00940
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
Phenol 32730
ug/L
Fe - Iron 01045
ug/L
Sulfate 00945
mg/L
Hg - Mercury 71900
ug/L
oecific Conductance 00095
µMhos
K - Potassium 00937
mg/L
Total Ammonia o0610
mg/L
Mg - Magnesium 00927
mg/L
(Ammonia Nitrogen; NHaas N. Ammonia Nitrogen, Total)
Mn -Manganese o1055
uglL
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L
Certification No. 94
Pb - Lead o1o51 ug/L
Zn - Zinc 01092 mg/L
Other (Specify Compounds and Concentration Units):
ORGANICS: (by GC, GC/MS, HPLC)
(Specify test and method #. ATTACH LAB REPORT.)
Lab Report Attached? ❑ Yes (1) ❑ No (0)
VOC 78732. method #
method #
method #
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
Zachary Butler ORC ` "' 11/28/22
Permittee (or Authorized Agent) Name and TrIle - Please print or type Signat Perrr 1t (or Author zed Agenfl (Date)
GW-59 Rev.2/2010

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
• ,
DEPAR1lMIENTOF ENVIRO#AMBd^T& NPATUEk6UN2.ESOURCES
•DIVISION OF WATER OUALITY4NFOR AA%TION PROCESSINGANUT
COMPLIANCE REPORT FORM
1617RUAIL SERVICE CENTER, RALEIGH, NC 27699.1617 Phone: [phone]
FACILITY INFORMATION
Please Print Clearly or Type
PEWIT Number: Expiration Date: 3/31/29
Facility Name: Surf City W,W.T.P.
Non -Discharge W00000795 UIC
NPDES Other
Permit Name (if different):
Facility Address: P.O. box 2475
TYPE OF PERMITTED OPERATI(NJ BEINGMIONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
Surf City NC 28445 County Onslow
IC Spray Field ❑ Remediation:
Contact Person: Zachary Butler
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: 30 Acre Storage Pond
No. of wells to be sampled: 1
❑ Water Source Heat Pump ❑ Other:
(lrom Pannip
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): PZ-15
Date sample collected: 11/18/22
FIELD ANALYSES: 'WAS
Well Depth: 25 ft,
Well Diameter. 2 in.
pH 00400: units Temp. 000lo: °C
DRY at
Depth to Water Level 62546: 20.5 ft. below measuring
point Screened Interval: 10 ft.
to 25
ft. Spec. Cond. 000sa: ltMhos
time ofsampling,
Measuring Point is 2 ft. above land surface
Relative M.P. Elevation:
ft.
Odor 00085:
check
Volume of water pumped/bailed before sampling:
gallons
Appearance
here++�
Samples for metals were collected unfiltered: El YES
❑ NO and field acidified: El YES
❑ NO
L 1r
LABORATORY INFORMATION
Date sample analyzed:
Laboratory Name: Envirochem
Certification No. 94
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
1100mL
Nitrate (NO3) as N 00620
mg/L
Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665
mg/L
(Note. Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300
mg/L
Al -Aluminum olio5
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC oo68o
mg/L
Ca - Calcium oo916
mg/L
Chloride 00940
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/Z
Fe - Iron 01045
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg/L
Hg - Mercury 71900
uglL
Lab) Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance 00095
µMhos
K - Potassium 00937
mg/L
VOC 78732: method #
Total Ammonia oo610
mg1L
9vtg - Magnesium 00927
mg/L
method #
(Ammonia Nitrogen. NH,as N, Ammonia Nitrogen, Total)
Mn -Manganese 01055
uglL
,method #
TKN as N 00625
mg/L
Ni - Nickel 01067
ug1L
method #
t-or Kemeolation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Rarn-oval%
Zachary Butler ORC
Permittee (or Authorized Agent) Marne and Title - Please print or type
GW-59 Rev.2/2010
(or
11 /28/22
(Date)

SUBMIT FORM ON YELLOW PAPER ONLY
OUNDWATER QUALITY MONITORING:
MPLIANCE REPORT FORM
Facility Name: Surf City W.W.T.P.
Permit Name (if different):
Facility Address: P.O. box 2475
Surf city
Print Cleariv or
NC 28445 County Onslow
act Person: Zachary Butler Telephone#: [phone]
Location/Site Name: 30 Acre Storage Pond No, of wells to be sampled: 1
L ID NUMBER (from Permit): P4-16 Date sample collected: 11/18/22
Depth: 25 ft. Well Diameter: 2 in.
i to Water Level 82546: 16.4 ft. below measuring point Screened Interval: 10 ft. to 25 ft.
.uring Point is 2 ft. above land surface Relative M.P. Elevation: ft.
ne of water pumped/bailed before sampling: gallons
Iles for metals were collected unfiltered. ❑ YES ❑ NO and
CXVISiON OF WATER QUALITY41SIF01MIATION PROCESSING UNIT
'1617ACIAIL SERVICE aK TER, RALEIGH, NC 27699-1617 Phone: [phone]
FPERNIJTNJumber.
Expiration Date: 3/31/29
INon-Discharge W00000795
UIC
NPDES
Other
TYPE OF PERMITTED OPERATION BEINGUCIINJITORED
❑ Lagoon
❑ Remediation: Infiltration Gallery
® Spray Field
❑ Remediation:
❑ Rotary Distributor
❑ Land Application of Sludge '
❑ Water Source Heat Pump
❑ Other: I
ate sample analyzed:
Laboratory Name: Envirochem
CRAMETERS NOTE: Values should reflect dissolved and coiloidA concentrations.
COD 00335
mg/L
Nitrite (NO2) as N o0615
mg/L
Coliform: MF Fecal 31616
/100mL
Nitrate (NO3) as N 00620
mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P oo665
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
m9 /L
solved Solids:Total 70300
mg/L
Al -Aluminum 01105
mg/L
pH (Lab) oo4o3
units
Ba - Barium oloo7
ug/L
TOC ooeao
mg/L
Ca - Calcium 00916
mg/L
Chloride oo94o
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
Phenol 32730
ug/L
Fe - Iron 01045
ug/L
Sulfate 00945
mg/L
Hg - Mercury 71900
ug/L
bcific Conductance o0095
µMhos
K - Potassium 00937
mg/L
Total Ammonia oo6lo
mg/L
Mg - Magnesium 00927
mg/L
(Ammonia Nitrogen; NH3 as R Ammonia Nitrogen, Total)
Mn -Manganese oloss
ug/L
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L
i-or rtemeoiation Systems Only (Attach Lab Reports): Influent Total VOCs:
Zachary Butler ORC
Permittee (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev.2/2010
FIELD ANALYSES:
pH oo400: units
Sparc. Cond. 00094:
Odor 00065:
Appearance
Temp. 000lo: °C
µMhos
Certification No. 94
Pb - Lead o1051 ug/L
Zn - Zinc 01092 mg/L
Other (Specify Compounds and Concentration Units):
ORGMIICS: (by GC, GC/MS, HPLC)
(Specify test and method #. ATTACh LAB REPORT.)
Lab Report Attached? ❑ Yes (1) ❑ No (0)
VOC 78732: method #
method #
method #
method #
mg/L Effluent Total VOCs:
Of
mg/L VOC Removal%
11 /28/22
If WELL
DRY at
time of
sampling,
check
here:I 1

Environmental Chemists, Inc.
enviroch
6602 Windmill Way, Wilmington, NC 28405 - 910.392.0223 Lab - 910.392.4424 Fax
sM 710 Bowsertown Road, Manteo, NC 27954 - 252.473.5702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 - 910.347.5843 Lab/Fax
ANALYTICAL & CONSULTING CHEMISTS [e-mail]
Town of Surf City Date of Report: Nov 22, 2022
Post Office Box 2475 Customer PO #:
Surf City NC 28445 Customer ID: 08110024
Attention: Report #: 2022-23152
Project ID: Juniper Site Piezometer
Lab ID Sample ID: Collect Datefrime MbtriX Sampled by
22-56937 Site: PZ-13 11/18/2022 12:30 PM Water House/McHorney
Test Method Results Date Analyzed
Depth to water, ft.
Lab ID SAMple ID:
22-56950 Site: PZ-14
Test
Depth to water, ft.
Ob ID Sample ID:
22-56951 Site: PZ-15
Test
Depth to Water, Ft
Collect Date/Time Matrix
11/18/2022 12:25 PM Water
Method
Depth to Water, Ft
Method
17.2 feet 11/18/2022
Results
Collect Date/Time Matrix
11/18/2022 12:20 PM Water
Sampled by
House/McHorney
Date Analyzed
19.8 feet 11/18/2022
Results
Sampled by
House/McHorney
r1at4 ertal..�eri
Depth to water, ft. Depth to water, Ft 20.5 feet 11/18/2022
Lab ID Sample ID: Collect Date/Time Matrix Sampled by
22-56952 Site: PZ-16 11/18/2022 12:15 PM Water House/McHorney
Test Method Result§ Date QrIalyzed
Depth to water, ft. Depth to water. Ft 16.4 feet 11/18/2022
Comment:
Reviewed by:
Report #:: 2022-23152 -_
Page 1 of 1

ENVIRONMENTAL CHEMJSTSx w
Analytical & Consulting Chemists NCDENR: DWQ CERTIFICATION # 94 NCDHHS: DLS CERTIFICATIM # 37729
('r)I I FCTIr11U A,Mn M41ANI I nc rl10rnnv
6602Wi indmill Way WllmingtonN'JC 28406
OFFICE: 910-392-0223 F8t.910-392-4424
[e-mail]
Client: Town of Surf City
PROJECTRAME: Juniper Sbe-P'iezometer
REPORTNIO: 1
'
ADDRESS:
CONTACT NAME:
POWO:
REPORT TO:
PHMJE/FAX:
COPYT O;
email:
1,
aampletl tsYf Lia,., 5 lh�res e 1ae e celua� G TVDc• 1 — l s,.. _. _ r.,.-� ..
Sample Identification
Collection
E r
m
Q o e
E 0
m _
w o
o a
„
o a
c E
"
mtu
z
.r — r.vn, a 1 = sueam,
P'RESi33tVATION
su = son, SL = Sludge, Other:
ANALYSIS REQUESTED
Date
Time
TempU
W
z
z_
o
x
oz
o
w
o
PZ-13
C
P
I `��j
Depth to Water: ? 07
! / ,� 1
! }ja
G
G
PZ-14
C
P
_
Depth to Water: T JI
��
I,�.J
G
G
PZ-15
C
P
11
U95 I
Depth to Water: .2-`�'
/�:�s p..
G
G
PZ-16 _
C
P
Depth to Water:
„2:l5P
G
G
C
P
_Iq-
G
G
C
P
G
G
C
P
G
G
G
G
C
P
G
G
Transfer
Relinquished By:
Datelrime
Received B :
Daterfime
s.
ZPIYfnarafnro
fezample Re ues ed:
Delivered BY: Received By. G-K 1,,9 O ,._ __ ,Date: (`623---Time:
Comments; TUiW ROtNtO:

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORINGJIM :MEPARTMENTOF
COMPLIANCE REPORT FORM • • • •
FACILITY INFORMATION Please Print Clearly or Type
Facility Name: Surf City W.W.T.P
Permit Name (if different):
Facility Address: PO Box 2475
Surf City NC 28445 County Onslow
Contact Person: Zachary Butter Telephone#: [phone]
Well Location/Site Name: zone 1 No. of wells to be sampled: 1
(rnrt�rAermit
ENVIRONMENrB NATURAL RESAURCES j
01VISION OF WATER QUALITY-INFOWNA1711W PROCESSING UNIT i
"1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
ERMIT Number: WQ0000795 Expiration Date: 3/31/29
FVon-Discharge UIC
NPDES Other
TYPE OF PERMITTED OPERATION BEING MONITORED
El 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): well 3
Date sample collected: 11/18/22
FIELD ANALYSES:
1tWELL
WAS
Well Depth: 18.2 ft.
Well Diameter: 2 in.
pH 00000: 6.3 units Temp. 000lo: 19.8 °C
DRY at '
Depth to Water Level 82546: 6.1 ft. below measuring
point Screened Interval: 17 ft.
to 18.2
ft. Spec. Cond. 00094: µMhos
time of
Measuring Point is 3.4 ft. above land surface
Relative M.P. Elevation:
ft.
Odor 00085: n/d
sampling,
Volume of water pumped/bailed before sampling:
5.0
gallons
Appearance brown
check
here:
Samples for metals were collected unfiltered: ❑ YES
❑ NO and field acidified: ❑ YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed: see report
Laboratory Name: Envirochem
Certification No. 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 o1o51 ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate W03) as N 00620 0.77
mg/L
Zn - Zinc 01092 mg/L �)
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 0.17
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 333
mg/L
Al - Aluminum 01105
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 0068o 31.6
mg/L
Ca - Calcium 00916
mg/L
Chloride oo94o 121
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.) I
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 78732: method #
Total Ammonia 00610 <0.2
mg/L
Mg - Magnesium 00927
mg/L
method #
(Ammonia Nitrogen; NH3ae 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%
Zachary Butler ORC _
Permittee (or Authorized Agent) Name and Title - Please print or type 12i14/22
Sig a of Per ' ee th ized etlt) (Date)
GW-59 Rev.2/2010

777
F77
Environmental Chemists, Inc.
envirl,ochem 6602 Windmill Way, Wilmington, NC 28405 ' 910.392.0223 Lab ' 910.392.4424 Fax
710 Bowsertown Road, Manteo, NC 27954 ' 252.473.5702 Lab/Fax
sM; 255-A Wilmington Highway, Jacksonville, NC 28540 ' 910.347.5843 Lab/Fax
ANALYTICAL & CONSULTING CHEMISTS info(a environmentalchemists.com
Town of Surf City Date of Report: Dec 12, 2022
Post Office Box 2475 Customer PO #:
Surf City NC 28445 Customer ID: 08110024
Attention: Repoli #: 2022-23162
Project ID: Sarge Martin MWs
Lab ID Sample ID: Collect Date(Time Matrix Sampled by
22-56953 Site: MW-3 11/18/2022 9:45 AM Water House/McHorney
Test Method Results Date Analyzed
Color
Depth to water, ft.
Ammonia Nitrogen
Gallons bailed before sampling
Odor
Total Dissolved Solids (TDS)
Temperature
pH
Total Phosphorus
Total Organic Carbon (TOC)
Fecal Coliform
Chloride
1,1,1, 2-Tetrachloroethane
1,1,1-Trichloroethane
1,1, 2,2-Tetrachloroethane
1,1,2-Trichloroethane
1, 1 -Dichloroethane
1,1-Dichloroethene
1, 1 -Dichloropropene
1, 2, 3-Trichlorobenzene
1,2,3-Trichloropropane
1, 2,4-Trichlorobenzene
1, 2,4-Trimethylbenzene
1, 2-Dibromo-3-Chloropropane
1,2-Dibromoethane
1,2-Dichlorobenzene
Report #:: 2022-23162
Color
Brown
11118/2022
Depth to Water, Ft.
6.1 feet
11/18/2022
EPA 350.1, Rev. 2.0,1993
< 0.2 mg/L
12/01/2022
Gallons Bailed before sampling
5.0 gallons
11/18/2022
Qualitative
None
11/18/2022
SM 2540 c-2015
333 mg/L
11/19/2022
SM 2550 B-2010
19.8 C
11/18/2022
SM 4500 H B-2011
6.3 units
11/18/2022
SM 4500 P (F-H)-2011
0.17 mg/L
12/02/2022
SM 5310 B-2014
31.6 mg/L
11/21/2022
SM 9222 D-2015 MF
<1 Colonies/100mL 11/18/2022
SM4500CIE-2011
121 mg/L
11/21/2022
SW 846 Method 8260D150308
< 0.50 pg/L
11/24/2022
SW 846 Method 8260D/5030B
< 0.50 pg/L
11/24/2022
SW 846 Method 8260D/50308
< 0.50 pg/L
11/24/2022
SW 846 Method 826OD150308
< 0.50 pg/L
11 /24/2022
SW 846 Method 8260D/50308
< 0.50 pg/L
11/24/2022
SW 846 Method 8260D/50308
< 0.50 pg/L
11/24/2022
SW 846 Method 8260DIS0308
< 0.50 pg/L
11/24/2022
SW 846 Method 8260D/5030B
< 0.50 pg/L
11/24/2022
SW 846 Method 8260D/50308
< 0.50 pg/L
11/24/2022
SW 846 Method 8260D/50308
< 0.50 pg/L
11/24/2022
SW 846 Method 826OD15030B
< 0.50 pg/L
11/24/2022
SW 846 Method 8260D/5030B
< 0.50 pg/L
11/24/2022
SW 846 Method 8260D/50306
< 0.50 Ng/L
11/24/2022
SW 646 Method 82600/5030B
< 0.50 pg/L
11/24/2022
Page 1 of 12

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QUOIVII I rUMIVI Uli T LLLVYV VIAVtK UNLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
Facility Name: Surf City W.W.T,P
Permit Name (if different):
Facility Address, PO Box 2475
Surf City
tact Person: Zachary Butler
Location/Site Name: zone 1
Please Print Clearly or
NC 28445
County Onslow
Telephone#: [phone]
No. of wells to be sampled: 1
IEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
lIVISION OF WATER QUALITY -INFORMATION
PROCESSING UNIT
617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phono: [phone]
'ERMIT Number: W00000795
Expiration Date: 3/31/29
Jon -Discharge
UIC
IPDES
Other
YPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon
0 Remediatiom infiltration Gallery
Spray Field
IJ Rernediation:
❑ Rotary Distributor
El Land Application of Sludge
0 Water Source Heat Pump
El Other:
WELL ID NUMBER (from Permit): well Date sample collected: 11/18/22
Well Depth: 18.4 ft. Well Diameter: 2 in.
Depth to Water Level 82546: 4.3 ft. below measuring point Screened Interval: 16.4 ft,
Measuring Point is 2.2 ft- above land surface Relative M.P. Elevation:
Volume of water pumped/bailed before sampling: 5.0 gallons
Samples for metals were collected unfiltered: 0_YES El NO and field acidified: El YES
to 18A ft�
ft.
D NO
FIELD ANALYSES:
pH 00400: 6.8 units Temp. 000io: 20.8 oc
Spec. Cond. 00094: pMhos
Odor coo85: n/d
Appearance clear
If WELL
WAS
DRY at
time of
sampling,
check
here:
EJ
LABORATORY INFORMATION
Date sample analyzed: see report
Laboratory Name: Envirochem
Certification No. 94
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mg1L
Nitrite (NO2) as N 00615 <0.02
mg1L
Pb - Lead oio51 ug/L
Coliform: MF Fecal 31616 <1
/1 OOmL
Nitrate (NO3) as IN 00620 0.08
mg/L
Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P oo665 0,06
mg1L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507 -
mg/L
Other (Specify Compounds and Concentration Units):
)issolved SolidsTotal 70300 612
mg/L
Al - Aluminum 01105
mg/L
pH (Lab) 00403 -
-units
Ba - Barium 01007
ugIL
TOC oo68o 5.4
mg/L
Ca - Calcium 00916
mg/L
Chloride 0094o 275
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
ug1L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg/L
Hg - Mercury 71900
ug/L
Lab Report Attached? 1:1 Yes (1) El No (0)
Specific Conductance 00095
pMhos
K - Potassium 00937
mg/L
VOC 78732: method #
Total Ammonia omio <0.2
mg/L
Mg - Magnesium 00927
mg/L
method #
(Ammonia Nitrogen, NH3as N, Anirnonia Nitrogen, Total)
Mn - Manganese 01055
ug/L
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L
method #
method #
—".y "au rNVjjU1tZ>/.
Zachary Butler ORC
Permittee (or Authorized Agent) Name and Title . Please print or type
GW-59 Rev. 212010
aMuent i oiai vuLs:
mg/L Effluent Total VOCs:
mg1L VOC Rernoval%

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SUBMIT FORM ON YELLOW PAPER ONLY
UNDWATER QUALITY MONITORING:
PLIANCE REPORT FORM
FACILITY INFORMATION Please PnntCleanyorType
Facility Name: Surf City W.W.T.P
Permit Name (if different):
Facility Address: PO Box 2475
Surf City NC 28445
County Onsiow
act Person: Zachary Butler
Location/Site Name: zone 15
L ID NUMBER (from Permit): well 7
Depth: 28.2 ft.
i to Water Level 82546: 0.5 ft. below measuring point
uring Point is 1.7 ft. above land surface
ne of water pumped/bailed before sampling: 5 gallon
des for metals were collected unfiltered: ❑ YES ❑ NO
Telephone#: [phone]
No. of wells to be sampled
Date sample collected: 11/18/22
Well Diameter: 2
Screened Interval: 26.2
Relative M.P. Elevation:
and
YES
�RTMENT OF ENVIRONMENT & NATURAL RESOURCES
ION OF WATER QUALITY -INFORMATION PROCESSING UNIT
MAIL SERVICE CENTER, RALEIGy, NC 27699-1617 Phone: [phone]
PERMIT Number: WQ0000795 Expiration Date: 3/31129
Non -Discharge UIC
NPDES Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
K Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
in.
ft. to 28.2 ft.
ft.
FIELD ANALYSES:
PH 00400: 7.5 units
Spec. Cond. 00094:
Odor 00085: n/d
Appearance clear
Temp. 000lo: 15.4 °C
uMhos
INtf/ELL
WAS
DRY at
time of
samOinal.
Date sample analyzed: see report
Laboratory Name: Envirochem
Certification No. 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 o1o5i ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 0.37
mg/L
Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
1100mL
Phosphorus: Total as P oo665 0.05
m /L
If
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
issolved Solids:Total 703oo 224
mg/L
Al - Aluminum ollo5
mg/L
PH (Lab) 00403
units
Ba - Barium 01007
ug1L
TOC oo68o 2
mg/L
Ca - Calcium 00916
mg/L
Chloride 0094o 7
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) i
Specific Conductance 00095
µMhos
K - Potassium 00937
mg/L
VOC 78732: method #
Total Ammonia 00610 <0.2
mg/L
Mg - Magnesium 00927
mg/L
method #
(Ammonia Nitrogen; NH3as N: Ammonia Nitrogen, Total)
Mn -Manganese o1055
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: mg1L VOC Removal%a `
Zachary Butler ORC / I
_ 12/14/22
Permittee (or Authorized Agent) Name and Title - Please print or type Signa Per a (or u hodzed Agetltl (Date)
GW-59 Rev.2/2010

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SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:utFAMPattNT OF ENVIRONMENT& NATURAL RESOURCES
• • • • DIVISION OF WATER QUALITY -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: WQ0000795 Expiration Date: 3/31122
Facility Name: Surf City W.W.T.P Non -Discharge UIC
Permit Name (if different): NPDES Other
Facility Address: PO Box 2475 TYPE OF PERMITTED OPERATION BEING MOIFTORED
Surf City `' NC 28445
County Onslow ❑ Lagoon g ❑Remediation: Infiltration Gallery
Spray Field ❑Remediation:
Contact Person: Zachary Butler Telephone#: [phone] El Rotary Distributor Ell -and Application of Sludge
Well Location/Site Name: zone 6 No. of wells to be sampled: 1 I ❑ Water Source Heat Pump ❑ Other:
LL ID NUMBER (from Permit): well 8 Date sample collected: 11/18/22
I Depth: 5.2 ft. Well Diameter: 2 in.
nth to Water Level 82546: 6-3 ft. below measuring point Screened Interval: 4.99 ft.
isuring Point is 3.0 ft. above land surface Relative M.P. Elevation:
lme of water pumped/bailed before sampling: 5 gallons
1ples for metals were collected unfiltered: ❑ YES ❑ NO <
to 9.99 ft.
ft.
field acidified: ❑ YES ❑ NO
FIELD ANALYSES:
PH 00400: 4A units
Spec. Cond. 00094:
Odor 00085: n/d
Appearance Lt.tan
Temp. 000lo: 17.4 °C
µMhos
ate sample analyzed: see report
Laboratory Name: Envirochem
Certification No. 94
ARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N oo615 0.06
mg/L
Pb - Lead olo51 ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 0.24
mg/L
Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 0A 1
mg/L
(NoteUse MPN method for highly turbid samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
ssolved Solids:Total 70300 169
mg/L
All -Aluminum oilo5
mg/L
PH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 00680 2.1
mg/L
Ca - Calcium 00916
mg/L
Chloride oo94o 94
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)
ecific Conductance 00095
µMhos
K - Potassium 00937
mg/L
VOC 78732: method #
Total Ammonia 00610 <0.2
mg/L
Mg - Magnesium 00927
mg/L
method #
(Ammonia Nitrogen; NH, as N: Ammonia Nitrogen, Total)
Mn - Manganese o1o55
ug/L
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L
,method #
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
Zachary Butler ORC C, � %ff 12/14/22
Permittee (or Authorized Agent) Name and Title -Please print or type Sign re of Per tee (or Authorized Agent ,�`� (Date)
GVV-59 Rev.212010
If WELL
DRY at
time of
sampling,
check
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ENVIRONMENTAL CHEMISTS INC
6602 Windmill Way Wilmington, NC 28405
Analytical & Consulting Chemists
NCDENR: DWQ CERTIFICATION # 94 NCDIAHS: DLS CERTIFICATION # 37729
CE: 910-392-0223 FAX
OF nlfo@envvirronment ichem sts com424
COLLECTION AND CHAIN OF CUSTODY
CLIENT: Town of Surf City
PROJECT NAME: Sarge Martin MW's REPORT NO:
ADDRESS:
CONTACT NAME:
PO NO:
REPORT TO: PHONE/FAX:
Sampled By: r+i .. e
COPY TO: email:
5
C..t SAMPLE TYPE: I = influent, E = Effluent, W = Well, ST = Stream,
Collection
SO = Soil, SL = Sludge, Other:
Sample Identification
d p _ d x PRESERVATION
a o p o w
c o t `o o
Date
inm w <
N E Z E z o g o o
Time Temp U a U 3 z $ N
z
ANALYSIS REQUESTED
O
MW# 3 tt t� J1=`i
C P
�a1 G G�gS3
Gallons
X
C P
Chloride, TDS
Bailed:
G G
X
C
�z<� 1, NO3, TP, NH3
�t
Depth to Water: � �
P
}d _
�$�""' 1"'` as'
G G X
C
TOC
t 7
Color: cAA,.c,,i
P
G G
X
Fecal
Odor: No,-4-
C p
G G X
VOC (November)
:)H (field) . �`�
C P
G G
C P
G G
C P
G G
C P
G G
Transfer Relinquished By: Date/Time
I Received By: Date/Time
2.
Temperature when Received °C: 7 ( Acce ted:
p Rejected: Resample Req ested:
Delivered By: �.- -�-� Received B �....-.G . ,,�,�
Comments: y' �I Date: f� tf- Time: 3 r2-.Wo_
TURNAROUND:

6602OUindmill Way Wilmington, NC 28405
ENVIROWIEWTAL CKEWSTS JNC OFFICE: 910-392-0223 FAX [phone]
NCDENR: 0WQ CERTIFICATION # 94 NCDHHS: DLS CERTIFICATION # 37729 [e-mail]
Analytical & Consulting Chemists
COLLECTION NWID CHMIN OF CUSTODY
CLIENT: Town of Surf City
PROJECTUAM.E: SarqeM artin WW's
REPORT NO: r)-
ADDRESS:
CONTACT NAME:
PO NO:
REPORT TO:
PHO)4E/FAX:
COPY TO:
email:
Sampled By:,C ko—'s A o-x%AAerne SAMPLE TYPE: I = Influent, E = Effluent, W = Well, ST = Stream, SO = Soil, SL = Sludge, Other:
Sample Identification
Collection
E cL
2
0 m
151- Do
0
0 a.
U
'F E
LU
co
2
Z)
z
PRESERVATION
ANALYSIS REQUESTED
Date
Time
Temp
T.
0
x
z
c,
0
MW#
C
P
sl�
,
_x
Chloride, TDS
1111al
10,0d"­Qt
G
G_
Gallons Bailed.-
C
P
x
POk'-1 NO3, TP, NH3
G
G
Depth to Water:
C
P
x
TOC
G
G
,,'63N(+J
Color: lu,-(,,k
C
P
x
Fecal
G
G
Odor: Na � 4L
C
P
x
VOC (November)
G
G
pH (field)
C
P
G
G
C
P
G
G
C
P
G
G
C
P
G
G
Transfer
Relinquished By:
DatefTime
Received By:
Date/Time
2.
Temperature when Received 'C: a 1 Accepted: Rejected: Resample Req ested,
Delivered By: Received By: /Z�1_ Date:_/4 1-1 Time:
Comments: f TURNAROUND:

ington
ENVIRONMENTAL C "EM IISTS I INC � C OFFICE: 910 I392-0 23rFAX 910-392-4424
Analytical & Consulting Chemists NCDENR: DWQ CERTIFICATION' # 94 NCDHHS: DLS CERTIFICATION # 37729 [e-mail]
COLLECTION AU O CHAIN OF CUSTODY
CLIENT: Town of Surf City
PROJECT V AM,E: Sarge Martin MWs
REPORT NO:a—
ADDRESS:
CONTACT NAXIE:
PO NO:
REPORT TO:
FhIONE/FAX:
COPY TO:
email:
Sampled By: C y H%o- rR - v-L-" SAUPLE TYPE: I = Influent. E = Effluent.W.' = Well- ST = Strr am Sn = Soil cl = sta.rt.,o rich.,:
p le Identification
Collection
a
T.2--Ets
_
C
c°
==
E
UO
Q wSam
QmQ ii
z
PRESER\AX TIOh'
ANALYSIS REQUESTED
Date
Time
TempU
Z
o
="
O
z
=
o
4
Z
o
x
~
wo
o
MW #-7
C
P
SZ��Srb
X
Chloride, TDS
/i/gr .t
G
G
Gallons Bailed:
C
P
X
NO3, TP, NH3
G
G
Depth to Water: 0• S
C
P
X
TOC
G
I G
Color 1"e C`'�
C
P
X
Fecal
G
G
Odor: P-D 4 tz
C
P
X
VOC (November)
G
G
pH (field) —1•.,44
FTC
P
G
G
C
P
G
G
C
P
G
G
C
P
G I
G
Transfer
Relinquished By:
Date/Time
Received By:
Date/Time
1.
2.
a
Temperature when Receiv C: `3. Accepted: Rejected: Resample equested:
Delivered By: - -� �_4 . Received By: Date: lJ ria .—Time:
s=
Comments: TURNAROUND:

ngton
ENVIRONMEWTAL C HEIAIST'S', INC OFF CE• 9r10-3 2a0 23 FIAX 910-392-44245
Analytical & Consulting Chemists NCDENR: DWQ CERTIFICATION # 94 NCDHHS: DLS CERTIFIMTION # 37729 [e-mail]
COLLECTI04f AND CKQN OF CUSTODY
?CLIENT: Town of Surf City
ADDRESS:
PROJECT NAUIE: Sarge MartinM'W's
CONTAACT NAME:
REPORG NO:
PO'plO:
REPORT TO:
PHOI EIF/K_:
COPY TO:
email:
Sampled By: kq-c'S i�wit �.0 �G tl r SAMPLE TYPE: 1 = Influent E = Effluent W = Well ST = Stream SO = Soil SL = Slud a Other
Sample Identification
p
Collection
E a
�
w
o°
_
ro `�
c°
o a
0`
L E
U
g�
m�
z
PRESERVATION
g
ANALYSIS RELRUESTED
Date
Time
Temp
o
Z
_
e
o
="
o
a
z
o
=
o
MW # �:
1-1. �1
C
P
X
Chloride, TDS
iF i l
y= 3A
G
G
Gallons Bailed: s
C
P
.s
X
NO3, TP, NH3
G
G
Depth to Water:
7rZ
C
P
X.
TOC
G
G
L,t .t l.'lc� -i'u ..b.
Color:
C
P
X.
Fecal
G
G
Odor:
C
P
X
VOC (November)
G
G
pH (field)
C
P
f
G
G
C
P
~
G
G
C
P
G
G
G
G
Transfer
Relinquished By:
Date/Time
Received By:
Date/Time
_
-- - -
!2
i emperature when Kecel ea -V: Jr. f Accepted: ✓ Rejected: Resample eqtipated:
Delivered By: G-^r Received By: C� , Date: .+'/ / .t' ' Time:
Comments: TURNKtROUVD:
.7 r Ilb-1- --

SUBMIT FORM ON YELLOW PAPER ONLY
ROUNDWATER QUALITY MONITORING: 0EfAkRTMENTOF ENVIRONMENT& NATURAL RESOURCES
• • * • CXVIS11N OF WATER QUALITY -INFORMATION PROCES5N4G UNIT
OMPLIANCE REPORT FORM '1617MIAIL SERVICE aRT.TER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION Please Print Clearly or Type FPERNI'IT Number: WQ0000795 Expiration Date: 3131129
Facility Name: Surf City W.W.T.P Non -Discharge UIC
Permit Name (if different): NPDES Other
Facility Address: PO Box 2475 TYPE OF PERMITTED OPERATION BEING MONITORED
Surf City - NC 28445
County Onslow ❑Lagoon
❑ Remediation: Infiltration Gallery
© Spray Field ❑ Remediation:
Contact Person: Zachary Butler Telephone#: [phone] El Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: zone H No. of wells to be sampled: 1 ❑ Water Source Heat Pump ❑ Other: 1.
WELL ID NUMBER (from Permit): MW-9 Date sample collected: 11/18/22
Well Depth: 12 ft, Well Diameter: 2 in.
Depth to Water Level 82546: 5.0 ft. below measuring point Screened Interval: 2 ft.
MeasuringPoint is 2.5 ft. above land surface Relative M.P. Elevation:
Volume of water pumped/bailed before sampling: 5.0 gallons
Samples for metals were collected unfiltered: ❑ YES ❑ NO and field acidified: ❑ YES
to 12 ft.
ft.
❑ NO
FIELD ANALYSES:
H oo4o0: 4.1
p units Temp. 000lo: 17.1 °C
Spec. Cond. 00094: µMhos
Odor o0065: n/d
Appearance Lt. Orange
It WELL li
WAS
DRY at
time of
sampling,
check
here:❑
LABORATORY INFORMATION_
Date sample analyzed: see report
Laboratory Name: Envirochem
Certification No. 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 olo51 ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 0.28
mg/L
Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P oo665 <0.04
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 392
mg/L
Al -Aluminum o11o5
mg/L
pH (Lab) 00403
units
Ba - Barium oloo7
ug/L
TOC 00660 9.2
mg/L
Ca - Calcium 00916
mg/L
Chloride 0094o 263
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total o1o34
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 testa nd method #. ATTACH LAB REPORT.)
'
Sulfate 00945
mg/L
Hg - Mercury 71900
ug/L
Lab Report Attached? ❑ Yes (1) ❑ No (0)
1)
Specific Conductance 00095
µMhos
K - Potassium 00937
mg/L
VOC 78732: method #
Total Ammonia oo6lo 0.5
mg/L
Mg - Magnesium 00927
mg/L
method #
(Ammonia PMrogen; NH, 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%
Zachary Butler ORC - Y- 19A61j 12/14/22
Permittee (or Authorized Agent) Name and Title - Please print or type Signature ermiti Aunt no zed Agent (Date)
GW-59 Rev, 2/2010 !

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JUtSivll I rU MIVI VIV t;j LVVV t-Art:K UNLI
Facility Name: Surf City W.W.T.P
Permit Name (if different):
Facility Address: PO Box 2475
Surf City
NC 28445
or Type
County Onslow
act Person: Zachary Butler Telephone#: [phone]
Location/Site Name: zone D No. of wells to be sampled: 1
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
DIVISION OF WATER QUALITY -INFORMATION
PROCESSING UNIT
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
PERMIT Number: WQ0000795
Expiration Date: 3/31/29
Non -Discharge
UIC
NPDES
Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon
❑ Remediation: Infiltration Gallery
® Spray Field
❑ Remediation:
❑ Rotary Distributor
❑ Land Application of Sludge
❑ Water Source Heat Pump
❑ Other:
If WELL
WELL ID NUMBER (from Permit): MW-10 Date sample collected: 11/18/22
Well Depth: 12 ft. Well Diameter: 2 in.
Depth to Water Level 82546: 9.7 ft. below measuring point Screened Interval: 2 ft,
Measuring Point is 2.5 ft. above land surface Relative M.P. Elevation:
Volume of water pumped/bailed before sampling: 5 gallons
Samples for metals were collected unfiltered: El YES El NO and field acidified: ❑ YES
to 12 ft.
ft.
El NO
FIELD ANALYSES:
pH 00400: 4.8 units Temp. 000lo 19.3 °C
Spec. Cond. o0094: µMhos
Odor 00085, n/d
Appearance orange
WAS
DRY at
time of
sampling,check
here:
❑
LABORATORY INFORMATION
Date sample analyzed: See report
Laboratory Name: Envirochem
Certification No. 94
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N oo815 0,05
mg/L
Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616 el
/100mL
Nitrate (NO3) as N 00620 0.24
mg/L
Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 0.24
mg/L
(Note. Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
issoived Solids:Total 70300 101
mg/L
Al - Aluminum 01105
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC omao 1-1
mg/L
Ca - Calcium oo916
mg/L
Chloride 00940 53
mg/L
CA - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total 01034
i lL
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
mglL
Hg - Mercury 719oo
ug/L
Lab Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance 00095
}Mhos
K - Potassium 00937
mg/L
VOC 78732: method #
Total Ammonia 00610 <0 2
mg/L
Mg - Magnesium 00927
mg/L
method #
(Ammonia Nitrogen, NH3asN, Ammons 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%a
Zachary Butler ORC 12/14/22
Permittee (or Authorized Agent) Name and Title - Please print or type Si ure of P itt (or Authori ed Agent) (Date)
GW-59 Rev.2/2010

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