WQ0000185_Monitoring - 02-2024_20240331

Monitoring Report Submittal
Permit Number#*
Name of Facility:*
Month: * February
Report Information
Type *
GW-59
Confirmation Email Address:
Name of Submitter: *
Signature:
Date of submittal:
Initial Review
WQ0000185
Ocean Sands WWTP
Year:* 2024
Upload Document*
Ocean Sands GW59.pdf 272.5KB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
Rod. [e-mail]
Rod Holley
Reviewer: Wanda.Gerald
3/31 /2024
This will be filled in automatically

Is the project number correct?* W00000185
Is the monitoring report accepted?* Yes NO
Regional Office* Washington
Reviewer: _anonymous
Review Date: 4/26/2024

Cif'-59A COMPLIANCE REPORT FORM Permit #44LQ D aOD 1 fS
(Suhmil one each monitoring period with GW-59 forms.)
I
Enter date monitoring results were due. (_Z Z9 " Will this monitoring report (GW-59 and GW-59A)
YES
NO
be 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)
ejlx�cedin standards f s ce provided below: alW
N43-?•3 N'14-s_)&,q 3-ll,,c7 iuA3 3
5
For the constituents identified in question 4 above, 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).
Mlj-y rn� rn-ZU-41
N14%-�,1p iiJS� �3Z M43-F.D —Jos -S-/q
J,1143- lo.�
At l..7
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
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 may be
required to determine the impact the waste disposal s stem is havinq at the review and compliance
boundaries surrounding this facility. Failure to do so may subject th�epermittee to a Notice of Violation
fines and/or penalties. �� �✓Zti, �t`�+ � �d-`o � � �r�y� � %�_
n11,r �o /�f 5 F`( a( S /do c� ry+ rh i it r
�
�y
�
GtO
a � c r �� 2s 1.'LI 0u'i�-t �:✓il ��'�
g
The person completing this portion (G W-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 be of my_knowledge_
001 a J/ttj 5/2 F
Signature of Permittee (or Autho(aed Agent} Date
GW-59A 12/8/2003

SUBMIT FORM ON YELLOW PAPER ONLY
• .
DEPAiRTMENTOF:ENVIRONMENT'& NATURAL,RESOURCES ,
GROUNDWATER QUALITY MONITORING:
DIVISION OF.WAATER".QUALITY-INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
• •
•
1617MAIL,SERVICECENtER,F6 LEIGN,A1C,27B9B•i81Z„ Phone`(9i,9}733-3221 ,,,
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: WQ0000185 Expiration Date: 6/30/2024
Facility Name: Ocean Sands
Non -Discharge UIC
Permit Name (if different):
NPDES Other
Facility Address: 741 Ocean Trail
TYPE OF PERMITTED OPERATION BEING MONITORED
Corolla "" NC
27927 CountyCurrituck
❑Lagoon El Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
Contact Person: Rod Holley
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Ocean Sands
No. of wells to be sampled: 5
❑ Water Source Heat Pump © Other: Infiltration
(from Permit)
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW4
Date sample collected: 2/20124
FIELD ANALYSES:
WAS
Well Depth: 17.6 ft.
Well Diameter: 3 in.
pH 00400: 6.9 units Temp. 00010: 15.4 °C
DRY at
Depth to Water Level 82546:10.3 ft. below measuring point Screened Interval: 12 ft. to
17 ft. Spec. Cond. 00094: µMhos
time of
sampling,
Measuring Point is 2 ft. above land surface
Relative M.P. Elevation: ft.
Odor 00085: None
check
Volume of water pumped/bailed before sampling:
5.0
gallons
Appearance Tan
here:
❑
Samples for metals were collected unfiltered: RI YES
❑ NO and field acidified: I -] YES❑ NO
LABORATORY INFORMATION
Date sample analyzed:2120124
Laboratory Name: Enviro Chem
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 uglL
Coliform: MF Fecal 31616 <1
1100mL
Nitrate (1103) as N OD620 0.22
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
1100mL
Phosphorus: Total as P 00665 7.70
mg1L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg1L Other (Specify Compounds and Concentration Units):
Dissolved Solids:Total 70300 546
mg/L
Al - Aluminum o11o5
mg/L
pH (Lab) 00403 6.9
units
Ba - Barium 01007
uglL
TOC 0D6so 6.1
mg/L
Ca - Calcium oog16
mg/L
Chloride OD940 191
mg/L
Cd - Cadmium 01027
ug1L
Arsenic 01002
ug/L
Chromium: Total 01034
uglL
Grease and Oils OD552
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? ❑ Yes (1) ❑ No (0)
Specific Conductance OD095
µMhos
K - Potassium 00937
mg/L VOC 78732: method #
Total Ammonia oo610 8.3
mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen: NH3 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:
Rod Holley Wastewater Superintendent Trainee
Permiltee (or Authorized Agent) Name and Title - Please print or type
mg/L Effluent Total VOCs:
Signature of Permittee (or Authorized Agent)
mg/L VOC Removal%
3/28/24
(Date)
GW-59 Rev.2/2010

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
DEPARTMENT OF, ENVIRONMENT &' NATURAIL RESOURCES
DiVISIONOF;WATEROUALITYINFORMATIONPROCESSING UNIT.
COMPLIANCE REPORT FORM
..
1617-IfAt1t1 SERVICE CENTER, RALEjGH,,NC 27699-i6i7 Phgtie:j(9i9),733.3221 '.',
FACILITY INFORMATION
Please Print Clearly orType
PERMIT Number: WQ0000185 Expiration Date: 6/30/2024
Facility Name: Ocean Sands
Non -Discharge UIC
NPDES Other
Permit Name (if different):
Facility Address: 741 Ocean Trail
TYPE OF PERMITTED OPERATION BEING MONITORED
Corolla "' NC
27927 County Currituck
❑ Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
Contact Person: Rod Holley
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Ocean Sands
No. of wells to be sampled: 5
❑ Water Source Heat Pump ❑® Other: Infiltration
(from Permit)
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW5
Date sample collected: 2/20/24
FIELD ANALYSES:
WAS
Well Depth: 17.6 ft.
Well Diameter: 3 in.
H 0040o: 7.0
p units Temp. 00010: 14.5 °C
DRY at
Depth to Water Level 82546:5.7 ft. below measuring point Screened Interval: 12 ft.
to 17
ft. Spec. Cond. 00094: µMhos
time of
sampling,
Measuring Point is 2 ft. above land surface
Relative M.P. Elevation:
ft.
Odor 000m: None
check
Volume of water pumped/bailed before sampling:
5.0
gallons
Appearance Clear
here:❑
Samples for metals were collected unfiltered; © YES
❑ NO and field acidified: ❑ YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed:2/20124
Laboratory Name: Enviro Chem
Certification No. 94
PARAMETERS NOTE: Values should reflect
dissolved
and colloidal concentrations.
COD OD335
mg/L
Nitrite (NO2) as N 00615 <0.02
mg/L Pb - Lead oio51 u9 /L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 13.0
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 1.07
mg1L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 7030o 618
mg/L
Al - Aluminum oil o5
mg/L
pH (Lab) 00403 7.0
units
Ba - Barium 01007
ug1L
TOC 0068o 4.6
mg/L
Ca - Calcium o0916
mg/L
Chloride 00940 171
mg/L
Cd - Cadmium 01027
ug1L
Arsenic 01002
ug1L
Chromium: Total 01034
ug/L
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg/L ORGANICS: (by GC, GCIMS, HPLC)
Phenol 32730
ug1L
Fe - Iron 01045
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg/L
Hg - Mercury 71900
ug1L
Lab Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance 00095
µMhos
K - Potassium 00937
mg/L VOC 78732: method #
Total Ammonia oo610 16.4
mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen; NH3as N; Ammonia Nitrogen, Total)
Mn - Manganese o1 o55
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:
Rod Holley Wastewater Superintendent Trainee
Permiltee (or Authorized Agent) Name and Title - Please print or type
mg/L Effluent Total VOCs:
ao 10
Signature of Permittee (or
mg1L VOC Removal%
3/28/24
(Date)
GW-59 Rev.212010

SUBMIT FORM ON YELLOW PAPFR ONE Y
GROUNDWATER QUALITY MONITORING:
AEPAftTMENTAF ENVIRONMENT -A NATURAL RESOURCES
blvlsl )N:OF WATER QUALITY -INFORMATION PRocEsSING UNlr":
COMPLIANCE REPORT FORM
S6t7Mk SERViCE`CNT R RALRIGH NC27689,1517 ,Ahone:'j9t9)733.3221, ,'
FACILITY INFORMATION
Please Pnnt
Clearly or Type
PERMIT Number: WQ0000185 Expiration Date: 6/30/2024
Facility Name: Ocean Sands
Non -Discharge UIC
NPOES Other
Permit Name (if different):
Facility Address: 741 Ocean Trail
TYPE OF PERMITTED OPERATION BEING MONITORED
Corolla NC
27927 County Currituck
La
❑ Lagoon
g ❑Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
Contact Person: Rod Holley
Telephonem 252-232-6065
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Ocean Sands
No. of wells to be sampled: 5
❑ Water Source Heat Pump ■❑ Other: Infiltration
from Permit)
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW6
Date sample collected: 2/20/24
FIELD ANALYSES:
WAS
Well Depth: 17.6 ft.
Well Diameter: 3 in.
H 00400: 6.9
p units Temp. 00010: 14.6 °C
DRY at
Depth to Water Level 82546:6.9 ft. below measuring point Screened Interval: 12 ft.
to 17
ft. Spec. Cond. 00094: µMhos
time of
Measuring Point is 2 ft. above land surface
Relative M.P. Elevation:
ft.
Odor 00085; None
sampling,check
Volume of water pumped/bailed before sampling:
3.5
gallons
Appearance Tan
here:
Samples for metals were collected unfiltered: 21 YES
❑ NO and field acidified: ❑ YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed:2/20/24
Laboratory Name: Enviro Chem
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 01051 ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 5,58
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100ml-
Phosphorus: Total as P oo665 5.89
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 518
mg/L
Al -Aluminum ol1o5
mg/L
PH (Lab) 00403 6.9
units
Ba - Barium o1007
ug/L
TOC oo68o 4.3
mg/L
Ca - Calcium 00916
mg/L
Chloride 0094o 213
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
uglL
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 78732: method #
Total Ammonia 00610 16.0
mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen; NH3as N: Ammonia Nitrogen, Total)
Mn - Manganese 01055
uglL
, method #
TKN as N 00625
mg/L
Ni - Nickel 01067
uglL
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs:
Rod Holley Wastewater Superintendent Trainee
Permiltee (or Authorized Aqent) Name and Title - Please print or type
mg/L Effluent Total VOCs:
Signature of
mg/L VOC Removal%
3128/24
(Date)
GW-59 Rev.2/2010

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRO,NMENTA NATURAL: RESOURCES
GROUNDWATER QUALITY MONITORING:
g1V1StN;OFWATERQUAtITYINF.ORMATION;PROCESSINGUNIT ,
COMPLIANCE REPORT FORM
i6ii hlf4EL,SERV1cE CEf13ER, RAtIG}i NC 27699.1817, Pfiane:'{879)'733=3221 ..
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: WQ0000185 Expiration Date: 6/30/2024
Facility Name: Ocean Sands
Non -Discharge UIC
Permit Name (if different):
NPDES Other
Facility Address: 741 Ocean Trail
TYPE OF PERMITTED OPERATION BEING MONITORED
Corolla "''' NC
27927 County Currituck
❑ Lagoon ❑ Remediation: Infiltration Gallery
"'
"'
❑ Spray Field ❑ Remediation:
Contact Person: Rod Holley
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Ocean Sands
No, of wells to be sampled: 5
❑ Water Source Heat Pump ❑® Other: Infiltration
(from Permit)
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW7
Date sample collected: 2/20/24
FIELD ANALYSES:
WAS
Well Depth: 17.6 ft.
Well Diameter: 3 in.
pH 00400: 6.8 units Temp. 000io: 13.5 °C
DRY at
Depth to Water Level 82546:4.8 ft. below measuring point Screened Interval: 12 ft.
to 17 ft. Spec. Cond. 00094: µMhos
time of
sampling,
Measuring Point is 2 ft. above land surface
Relative M.P. Elevation:
ft. Odor 00065; None
check
Volume of water pumpedlbailed before sampling:
5.0
gallons
Appearance Tan
here:❑
Samples for metals were collected unfiltered: 0 YES
❑ NO and field acidified: ❑ YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed:2/20/24
Laboratory Name: Enviro Chem
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 2.88
mg/L Zn -Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 0.93
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:TOtal 703oo 458
mg1L
Al - Aluminum 01105
mg/L
pH (Lab) 00403 6.8
units
Ba - Barium 01007
ug/L
TOC 0068o 4.6
mg/L
Ca - Calcium oo916
mg1L
Chloride 00940 11
mg1L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total 01034
ug1L
Grease and Oils 00552
mg1L
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
mg1L
Hg - Mercury 71900
ug1L Lab Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance 00095
µMhos
K - Potassium 00937
mg/L VOC 78732: method #
Total Ammonia 00610 0.3
mg1L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen; I41-13as N; Ammonia Nitrogen, Total)
Mn - Manganese oio55
uglL , method #
TKN as N 00625
mg1L
Ni - Nickel 01067
ug1L method #
For Remediation Systems Only (Attach Lab Reports):
Influent Total VOCs:
Rod Holley Wastewater Superintendent Trainee
Permittee (or Authorized Aqent) Name and Title - Please print or type
mg/L Effluent Total VOCs:
mg/L
VOC Removal%
GW-59 Rev.2/2010

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
Offil
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
DIVISION OFWATERQUAl.ITY-INFORMAT ION PROCESSING UNIT
COMPLIANCE REPORT FORM
617144W'SEIRVICE, CENTFR,.RALEfGH,,NC,2769S=16EZ Rho neC;(919j733.3221,
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: WQOOGO185 Expiration Date: 6/30/2024
Facility Name: Ocean Sands
Non -Discharge UIC
Permit Name (if different):
NPDES Other
Facility Address: 741 Ocean Trail
TYPE OF PERMITTED OPERATION BEING MONITORED
El Lagoon El Remediation: Infiltration Gallery
Corolla NC 27927 County Currituck
❑ Spray Field ❑ Remediation:
Contact Person: Rod Holley
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Ocean Sands
No. of wells to be sampled: 5
❑ Water Source Heat Pump ❑® Other: Infiltration
(from Permit)
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW9
Date sample collected: 2/20124
FIELD ANALYSES:
WAS
Well Depth: 17.6 ft.
Well Diameter: 3 in.
pH 00400: 6.5 units Temp. 000lo: 14.6 °C
DRY at
Depth to Water Level 82546:6.7 ft. below measuring point
Screened Interval: 12 ft.
to 17 ft. Spec. Cond. 00094: µMhos
time of
Measuring Point is 2 ft. above land surface
Relative M.P. Elevation:
ft. Odor 000m: None
sampling,check
Volume of water pumped/bailed before sampling:
5.0
gallons
Appearance Clear
here:❑
Samples for metals were collected unfiltered: © YES
❑ NO and field acidified: ❑ YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed:2120/24
Laboratory Name: Enviro Chem
Certification No. 94
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N oom5 <0.02
mg/L Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 0.54
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00565 1.48
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 556
mg/L
AI - Aluminum oilm
mg/L
pH (Lab) 00403 6.5
units
Ba - Barium 01007
ug/L
TOC oo68o 4.8
mg1L
Ca - Calcium oo916
mg/L
Chloride o0940 9
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
uglL
Fe - Iron 01045
uglL (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg1L
Hg - Mercury 7190o
ug/L Lab Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance 00095
µMhos
K - Potassium oo937
mg/L VOC 78732: method #
Total Ammonia 00610 1.3
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:
Rod Holley Wastewater Superintendent Trainee
Permittee (or Authorized Aqent) Name and Title - Please print or type
mg/L Effluent Total VOCs:
Siqnature of
Aqent)
mg/L VOC Removal%
3/28/24
GW-59 Rev.212010