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Home My WebLink AboutWQ0009772_Monitoring - 11-2023_20231231Monitoring Report Submittal Permit Number#* Name of Facility:* Month: * November Report Information Type * GW-59 Confirmation Email Address: Name of Submitter: * Signature: Date of submittal: Initial Review WQ0009772 Monteray Shores WWTP Year:* 2023 Upload Document* MS MW NOV 2023 Report Signed.pdf 9.62MB PDF Only Please upload one PDF containing all applicable monitoring reports (i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59). Travis.Tucker@carolinawaterservicenc.com Travis Tucker Reviewer: Wanda.Gerald 12/31 /2023 This will be filled in automatically Is the project number correct?* W00009772 Is the monitoring report accepted?* Yes NO Regional Office* Washington Reviewer: _anonymous Review Date: 1/24/2024 GW-59A COMPLIANCE REPORT FORM Permit # t,-) 7� (Submit one each monitoring period with GW--59 forms.) j Enter date monitoring results were due. Will this monitoring report (GW-59 and GW-59A) be submitted after the established due date. YES NO 2 Was any required information missing on the GW-59 report forms? YES N fF the answer to question I or 2 is "YES" list in the space provided below the weft 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.)? ff the answer is "Yes", contact the Regional Office for guidance. X 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 l the space, provided below: 5 For the constituents identified in question 4 ab , have standards been exceeded previously for the YES NO same 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, concentration(s) reported, and sample collection date for each occurrence (for the last two years). 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 maybe 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 YES NO groundwater 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 maybe 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 penrittee to a Notice of Violation fines, and/or penalties. 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. Dlgi,ally signed by Tony Konsul DN: I,n. rector, State Operations", O=Carolina Water Service of North m approvinW tills document Tony Ko n s u I Real ^ I am appy Konsul, d Tony Konsul@carolinawalerservicenc com 20 312, Rairvie Read, cnadene NC 28299 D— Dete'. 2023 12.31 19'19'20-OS'00' 12/31 /2023 Signature of Permittee (or Authorized Agent) Date GW-59A 12/8/2003 Ground Water Data Monteray Shores WWTP Permit # WQ0009772 Permit Limit: MW # Collection Date TDS mg/I Tota I Ammonia mg/I 5 11/8/2021 701. 1 5 4/7/2022 791 1.0 5 7/14/2022 960 <0.2 5 11/17/2022 818 <0.2 5 3/9/2023 770 0.3 5 7/6/2023 844 3.2 5 11/8/2023 704 <0.2 6 11/8/2021 892 6 4/7/2022 968 6 7/14/2022 1030 3-11 6 11/17/2022 939 33 6 3/9/2023 984 6 7/6/20231 1060 , 6 11/8/20231 876 << Permit Limit: s 15 MW # Collection Date TDS mg/I Tota I Ammonia mg/I 12 11/8/2021 453 0.5 12 3/2/2022 468 0.8 12 7/20/2022 496 0.3 12 11/17/2022 393 0.4 12 3/9/2023 401 0.5 12 7/11/2023 475 <0.2 12 11/9/2023 432 w. Digitally signed by Tony Konsul DN: OU="Director, State Operations", O=Carolina Water Service of North Tony Ko n s u I Carolina Tony Konsul E=Tony Konsul@carolinawate ervicenc com Reason: am am approving this document Location: 5821 Fairview Road, Charlotte NC 28209 Dale: 2023.12.31 19'.19:58-05'00' EmdLPDF Reader Version: 12.1 2 Signature of Permittee (or Authorized Agent) Date SUBMIT FORM ON YELLOW PAPER ONI Y • DEPARTMENT OF ENVIRONMENTAL QUALITY - DIV. OF WATER RESOURCES GROUNDWATER QUALITY MONITORING: INFORMATION PROCESSING UNIT COMPLIANCE REPORT FORM' 11317 MAIL SERVICE CENTER, RALEIGH, NC 27689.1617 Phone: 819507-6306 FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date: 10/21/26 Facility Name: Monteray Shores WWTP Non -Discharge W00009772 UIC Permit Name (if different): NPDES Other Facility Address: 819 Malia Drive, Corolla, NC 27927 TYPE OF PERMITTED OPERATION BEING MONITORED 819 Malia Drive, Corolla, NC 27927 County Currituck ❑■ Lagoon g ❑Remediation: Infiltration Gallery ❑ Spray Field ❑ Remediation: Contact Person: Tony Konsul Telephone#: 704-576-1685 ❑ Rotary Distributor ❑ Land Application of Sludge Well Location/Site Name: MW 12 West of Infiltration Pond No. of wells to be sampled: 5 ❑ Water Source Heat Pump IN Other: LPP Field WELL ID NUMBER (from Permit): MW#12 West Date sample collected: 11/9/23 Well Depth: 12.3 ft. Well Diameter: 2 in. Depth to Water Level 82546:6.8 ft. below measuring point Screened Interval: ft. Measuring Point is 2.3 ft. above land surface Relative M.P. Elevation: Volume of water pumped/bailed before sampling: 3.5 gallons Samples for metals were collected unfiltered: ❑ YES ❑ NO and field acidified: ❑ YES to ft. ft. ❑ NO FIELD ANALYSES: pH 00400: 6.92 units Temp. 000lo 24.1 oC Spec. Cond. 00094 µMhos Odor 00085 Appearance Clear DRY at time of sampling,check here:❑ LABORATORY INFORMATION Date sample analyzed: Nov. 9,13,15,17,22 and Dec. 11, 2023 Laboratory Name: Environmental Chemists, Inc. Certification No. 37729 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 3.10 mg/L (Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units): issolved Solids:Total 703oo 432 mg/L Al - Aluminum 01105 mg/L pH (Lab) 00403 6.9 units Ba - Barium D1007 ug/L TOC oo6m 4.5 mg/L Ca - Calcium 00916 mg/L Chloride 00940 194 mg/L Cd - Cadmium 01027 ug/L Arsenic 01002 ug/L Chromium: Total 01034 ug/L Grease and Oils 00552 mg/L Cu - Copper o1o42 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) acific Conductance 00095 µMhos K - Potassium 00937 mg/L VOC 7873 , method # SM 6200B Total Ammonia oo6lo 3.4 mg/L Mg - Magnesium 00927 mg/L method # (Ammonia Nitrogen; NH3 as N; Ammonia Nitrogen, Total) Mn - Manganese 01055 U /L g ,method # TKN as N 00625 mg/L Ni - Nickel 01067 ug/L method # _..__... _.__._.. _, ._... ....., tom.,_. tea., 1,n1UC:1: WWI VUUS: mgiL ttttuent Iotal VOCS: mg/L VOC Removal% Tony Konsul, Director, State Operations Permittee (or Authorized Aqent) Name and Title - Please print or type GW-59 Rev.05-02-2017 -TonKonsulpd( Signature of rmittee (or Authorized AYi� 2 SUBMIT FORM ON YELLOW PAPFR ONI Y DEPARTMENT OF ENVIRONMENTAL QUALITY - DIV. OF WATER RESOURCES GROUNDWATER QUALITY MONITORING: INFORMATION PROCESSING UNIT COMPLIANCE REPORT FORM 1617 MAIL SERVICE CENTER, RALEK3H, NC 27699-1817 Phone: 919-807-6308 FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date: 10/21/26 Facility Name: Monteray Shores WWTP Non -Discharge WQ0009772 UIC Permit Name (if different): NPDES Other Facility Address: 819 Malia Drive, Corolla, NC 27927 TYPE OF PERMITTED OPERATION BEING MONITORED 819 Malia Drive, Corolla, NC 27927' County Currituck 0 Lagoon ❑ Remediation: Infiltration Gallery ❑ Spray Field ❑ Remediation: Contact Person: Tony Konsul Telephone#: 704-576-1685 ❑ Rotary Distributor ❑ Land Application of Sludge Well Location/Site Name: MW 13 East of Infiltration Pond No. of wells to be sampled: 5 ❑ Water Source Heat Pump K Other: LPP Field WELL ID NUMBER (from Permit): MW#13 East Date sample collected: 11/9/23 Well Depth: 11 ft. Well Diameter: 2 in. Depth to Water Level 82546:3.2 ft. below measuring point Screened Interval: ft. Measuring Point is 2.3 ft. above land surface Relative M.P. Elevation: Volume of water pumped/bailed before sampling: 3.0 gallons Samples for metals were collected unfiltered: ❑ YES ❑ NO and field acidified: ❑ YES to ft. ft. ❑ NO FIELD ANALYSES: pH 00400: 7.11 units Temp. 000lo: 22.5 °C Spec. Cond. 00094 µMhos Odor 00085: Appearance Clear WAS ~_ DRY at time of sampling,check here:❑ LABORATORY INFORMATION Date sample analyzed: Nov. 9,13,15,17,22 and Dec. 11, 2023 Laboratory Name: Environmental Chemists, Inc. Certification No. 37729 PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. COD 00335 mg/L Nitrite (NOZ) as N 00615 <0.02 mg/L Pb - Lead o1o51 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 00665 1.84 mg/L (NoteUse MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units): Dissolved Solids:Total 7030o 429 mg/L Al - Aluminum 01105 mg/L pH (Lab) 00403 7.1 units Ba - Barium 01007 ug/L TOC 0068o 3.7 mg/L Ca - Calcium 00916 mg/L Chloride 00940 193 mg/L Cd - Cadmium 01027 ug /L Arsenic 01002 ug/L Chromium: Total 01034 ug/L Grease and Oils 00552 mg/L Cu - Copper o1o42 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? ElYes (1) ® No (0) pecific Conductance 00095 µMhos K - Potassium 00937 mg/L VOC 7873 method # SM 6200B Total Ammonia oo6lo 0.3 mg/L Mg - Magnesium 00927 mg/L method # (Ammonia Nitrogen, N113as N; Ammonia Nitrogen, Total) Mn -Manganese 01055 uglL ,method # TKN as N 00625 mg/L Ni - Nickel 01067 ug/L method # �• �• -•• -•• w�•�•••...•••y �Qv MWlivnal. innuerR total vv�..s: mg/L Etnuent I otaI VOCs: mg/L VOC Removal% Tony Konsul, Director, State Operations Permittee (or Authorized Agent) Name and Title - Please print or type GW-59 Rev.05-02-2017 2 "=7 SUBMIT FORM ON YFLI OW PAPER nNl v • • _ DEPARTMENT OF ENVIRONMENTAL QUALITY-DIV. OF WATER RESOURCES GROUNDWATER QUALITY MONITORING: INFORMATION PROCESSING UNIT COMPLIANCE REPORT FORM 41617 MAIL SERVICE CENTER, RALEIGH, NC 27688.1617 Phone; 918-807-6306 FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date: 10/21/26 Facility Name: Monteray Shores WWTP Non -Discharge WQ0009772 UIC Permit Name (if different): NPDES Other Facility Address: 819 Malia Drive, Corolla, NC 27927 TYPE OF PERMITTED OPERATION BEING MONITORED 819 Malia Drive, Corolla, NC 27927 County Currituck 0 Lagoon g ❑Remediation: Infiltration Gallery ❑ Spray Field ❑ Remediation: Contact Person: Tony Konsul Telephone#: 704-576-1685 ❑ Rotary Distributor ElLand Application of Sludge Well Location/Site Name: East of LP No. of wells to be sampled: 5 ❑ Water Source Heat Pump ❑f Other: LPP Field WELL ID NUMBER (from Permit): MW*4 Date sample collected: 11/8/23 Well Depth: 20 it. Well Diameter: 2 in. Depth to Water Level 82546:6.3 ft. below measuring point Screened Interval: 18 ft. to 20 ft Measuring Point is 2 ft. above land surface Relative M.P. Elevation: ft. Volume of water pumped/bailed before sampling: 4.5 gallons Samples for metals were collected unfiltered: ❑ YES ❑ NO and field acidified: ❑ YES ❑ NO FIELD ANALYSES: pH 0040o 7.22 units Spec. Cond. 00094: Odor 00085 None Appearance Clear Temp. 000lo 20.0 °C µMhos Date sample analyzed: Nov. 8,9,10,14,15,16,20, 2023 Laboratory Name: Environmental Chemists, Inc. Certification No. 37729 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 0.21 mg/L Zn - Zinc 01092 mg/L Coliform: MF Total 31504 /100mL Phosphorus: Total as P 00665 2.22 mg/L (Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units): issolved Solids:Total 7030o 357 mg/L Al - Aluminum oilo5 mg/L pH (Lab) 00403 7.2 units Ba - Barium 01007 uglL TOC 0068o 5.0 mg/L Ca - Calcium oo916 m9 /L Chloride 00940 118 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 olo45 ug1L (Specify test and method #. ATTACH LAB REPORT.) Sulfate 00945 mg/L Hg - Mercury 71900 ug/L Lab Report Attached? ❑ Yes (1) ® No (0) Specific Conductance 00095 µMhos K - Potassium 00937 mg/L VOC 7873 method # SM 6200B Total Ammonia 00610 <0.2 mg/L Mg - Magnesium 00927 m /L g method # (Ammonia Nitrogen, NH3asN, Ammonia Nitrogen, Total) Mn- Manganese 01055 uglL , ,method # TKN as N 00625 mg/L Ni - Nickel 01067 ug/L method # I..rrr ,��.N�,�.�+. pIII- „ ,ura, vv�_s, mg/L ttt[uent Iota[ Vuus: mg/L VOC Removal% Tony Konsul, Director, State Operations Permittee (or Authorized Aqent) Name and Title - Please print or type GW-59 Rev.05-02-2017 DRY at time of sampling, ul nsT_K e FPo Tony Ko,vesooa�a� �. zeo9 ,merveo, o a� a Siqnature of P&rnittee (or Authorized Agenl� (Date) SUBMIT FORM ON YELLOW PAPER ONLY UNDWATER QUALITY MONITORING: PLIANCE REPORT FORM Please Print Clearly or Facility Name: Monteray Shores WWTP Permit Name (if different): Facility Address: 819 Malia Drive, Corolla, NC 27927 819 Malia Drive, Corolla, NC 27" 7 ` County Currituck act Person: Tony Konsul Telephone#: 704-576-1685 Location/Site Name: Southwest of LPP No. of wells to be sampled: 5 DEPARTMENT OF ENVIRONMENTAL QUALITY - DIV. OF WATER RESOURCES INFORMATION PROCESSING UNIT 1817 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: 91M07-6306 PERMIT Number: Expiration Date: 10121/26 Non -Discharge W00009772 UIC NPDES Other TYPE OF PERMITTED OPERATION BEING MONITORED X Lagoon ❑ Remediation: Infiltration Gallery ❑ Spray Field ❑ Remediation: ❑ Rotary Distributor ❑ Land Application of Sludge ❑ Water Source Heat Pump M Other: LPP Field WELL ID NUMBER (from Permit): MW#5 Date sample collected: 11/8/23 p Well Depth: 20 ft. Well Diameter: 2 in. Depth to Water Level 82546:4.7 ft. below measuring point Screened Interval: 18 ft. Measuring Point is 2 ft. above land surface Relative M.P. Elevation: Volume of water pumped/bailed before sampling: 3.0 gallons Samples for metals were collected unfiltered: ❑ YES ❑ NO and field acidified: ❑ YES to 20 ft. ft. ❑ NO FIELD ANALYSES:WAS pH 00400: 7.12 units Temp. 000lo: 20.5 eC Spec. Cond. 00094: µMhos Odor 00085 Swanpy Appearance Tan/Green L-1- DRY at time of sampling,check here:❑ LABORATORY INFORMATION Date sample analyzed: Nov. 8,9,10,14,15,16,20, 2023 Laboratory Name: Environmental Chemists, Inc. Certification No. 37729 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 2.37 mg/L (Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units): Dissolved Solids:Total 703oo 704 mg/L AI -Aluminum 01105 mg/L pH (Lab) 00403 7.1 units Ba - Barium 01007 uglL TOC 00680 15.4 mg/L Ca - Calcium oo916 mg/L Chloride 00940 106 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 mgiL ORGANICS: (by GC, GC/MS, HPLC) Phenol 32730 ug/L Fe - Iron 01045 ug/L (Specify test and method #. ATTACH LAB REPORT.) Sulfate 00945 mg/L Hg - Mercury 71900 ug/L Lab Report Attached? ❑ Yes (1) ® No (0) Specific Conductance 00095 µMhos K - Potassium 00937 mg/L VOC 7873 , method # SM 6200B Total Ammonia 00610 3.2 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 c mg/L Ni - Nickel 01067 ug/L method # -- •--•• _._-•—•• —I---• — ., r,^--w 11111 11L [u:dI vUks. mg/L tttiuent total VUGs: mg/L VOC Removal% Tony Konsul, Director, State Operations Permittee (or Authorized Agent) Name and Title - Please print or type GW-59 Rev.05-02-2017 Signature of .I log: 1.21 a �a - z Agen1@Qao a aagarv)a e�mo,�o a� a _ — d° a,one zazos / jPorR a" (Date) SUBMIT FORM ON YELLOW PAPER ONLY GROUNDWATER QUALITY MONITORING: • • DEPARTMENT OF ENVIRONMENTAL QUALITY - DIV. OF WATER RESOURCES INFORMATION PROCESSING UNIT COMPLIANCE REPORT FORM 1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: 919.807-moo FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date: 10/21/26 Facility Name: Monteray Shores WWTP Non -Discharge W00009772 UIC Permit Name (if different): NPDES Other Facility Address: 819 Malia Drive, Corolla, NC 27927 TYPE OF PERMITTED OPERATION BEING MONITORED ❑■ Lagoon ❑ Remediation: Infiltration Gallery 819 Malia Drive, Corolla, NC 27927 ' County Currituck ❑ Spray Field ❑ Remediation: Contact Person: Tony Konsul Telephone#: 704-576-1685 ❑ Rotary Distributor ❑ Land Application of Sludge Well Location/Site Name: Northwest of LP No. of wells to be sampled: 5 ❑ Water Source Heat Pump M Other: LPP Field (from Permit) SAMPLING INFORMATION If WELL WELL ID NUMBER (from Permit): MW#6 Date sample collected: 11/8/23 FIELDANALYSES: WAS Well Depth: 20 ft. Well Diameter: 2 in. pH oo400: 7.80 units Temp. 000lo: 19.5 °C DRY at Depth to Water Level 82546:5.9 ft. below measuring point Screened Interval: 18 ft. to 20 ft. Spec. Cond. 00094 µMhos time of Measuring Point is 2 ft. above land surface Relative M.P. Elevation: ft. Odor 00085: Swampy sampling,check Volume of water pumped/bailed before sampling: 3.5 gallons Appearance Gray/Green here: Samples for metals were collected unfiltered: ❑ YES ❑ NO and field acidified: ❑ YES ❑ NO ❑ LABORATORY INFORMATION Date sample analyzed: Nov. 8,9,10,14,15,16,20, 2023 Laboratory Name: Environmental Chemists, Inc. Certification No. 37729 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 u9 /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 3.19 mg/L (Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units): issolved Solids:Total 70300 876 mg/L All - Aluminum 01105 mg/L pH (Lab) 00403 7.8 units Ba - Barium 01007 ug/L TOC 00680 15.3 mg/L Ca - Calcium oo916 mg/L Chloride 00940 130 mg/L Cd - Cadmium 01027 ug1L 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 ugiL Fe - Iron o1o45 ug/L (Specify test and method #. ATTACH LAB REPORT.) Sulfate 00945 mg/L Hg - Mercury 71900 ugiL Lab Report Attached? ❑ Yes (1) ® No (0) Specific Conductance 00095 µMhos K - Potassium 00937 mg/L VOC 7873 method # SM 6200B Total Ammonia 00610 1.8 mg/L Mg - Magnesium 00927 mg/L method # (Ammonia Nitrogen; NH3asN, Ammonia Nitrogen, Total) Mn - Manganese 01055 g ugtL ,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% Tony Konsul, Director, State Operations Permittee (or Authorized Agent) Name and Title - Please print ortype Tony Kom I RN OU servoeI —.a 7.1, K.1.1 Signature of Permittee (or Authorized Agent) 3 (Date) GW-59 Rev.05-02-2017