WQ0018708_GW Monitoring_20140830

r SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATE QUALITY MONITORING: DEPj
Dlvl:
COMPLIANCE REPORT FORM 1617
FACILITY INFORMATION Please Print Clearly or Type PEF
:acility Name: Baytree Lakes
Ni
'ermit Name (if different): Lake Creek Corp-Baytree Lakes
NI
:acility Address: 33 West Bay Ridge Road
T'
Harrells "'``'" NC
28444 County Bladen
contact Person: Heather Adams
Telephone#: [phone]
Nell Location/Site Name: MW 1
No. of wells to be sampled: 4
(from Permit)
SAMPLING INFORMATION
NELL ID NUMBER (from Permit): MW 1
Date sample collected: 07/15/2614
Nell Depth: 25 ft.
Well Diameter: 2 in.
Depth to Water Level 82546: 8.40 ft. below measuring
point Screened Interval: ft. to
ft.
Measuring Point is 3 ft. above land surface
Relative M.P. Elevation: ft.
✓olume of water pumped/bailed before sampling:
3.5
gallons
Samples for metals were collected unfiltered: ❑ YES
❑ NO and field acidified: ❑ YES ❑ NO
-ABORATORY INFORMATION
Date sample analyzed: 07115-07/21/2014
Laboratory Name: Environment 1
'ARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N oo615
mg/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 <0.04
mg/L
'Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 <0.04
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L
lissolved Solids:Total 7030o 26
mg/L
AI -Aluminum o1105
mg/L
pH (Lab) oo403
units
Ba - Barium 01007
ug/L
TOC oo68o 2.57
mg/L
Ca - Calcium 00916
mg/L
Chloride 0094o 45
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total P1034
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
ipecific Conductance 00095
µMhos
K - Potassium 00937
mg/L
Total Ammonia 00610 0.13
mg/L
Mg - Magnesium 00927
mg/L
(Ammonia Nitrogen; NH3asN; Ammonia Nitrogen, Total)
Mn - Manganese o1o55
ug/L
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L
IENT OF ENVIRONMENT & NATURAL RESOURCES
OF WATER QUALITY -INFORMATION PROCESSING UNIT
SERVICE CENTER, RALEIGH, NC 27699=1617 'Phone:
Number: WQ0018708 Expiration Date: 6/30/2016
harge X UIC
'DES Other
'PE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
❑m Spray Field ElRemediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
FIELD ANALYSES:
pH 00400: 4.6 units
Spec. Cond. 00094:
Odor 00085:
Temp. 000lo: 22 °C
µMhos
at
of.
pling,
U1lUUK
Appearance ��, here:❑
Pb - Lead 01051
Zn - Zinc 01092
Certificatio No. � 0 2014
DENR-FAYEfTEMkWREGIONAL OFFICE
mg/L
Other (Specify Compounds OP
B14IRR`�EOTI9�!
INFORMATION PROCESSING UNIT
ORGANICS: (by GC, GC/MS, HPLC)
(Specify test and method #. ATTACH LAB REPORT.)
Lab Report Attached? ❑ Yes (1) X No (0)
VOC 78732: , method # 6200C
method #
, method #
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOC%s: mg/L Effluent Total VOCs: mg/L VOC Removal% .
Heather Adams, Director of Operations, Envirolink, Inc. _ 08/30/2014
goldPermittee (or Authorized Agent) Name and Title - Please print or type Signature of Permitted (or Authorized Agent) (Date)
GW-59 Rev.2/2010

RI IRAAIT Fr1RIMA r1M VGI I nMAI oeor=o nnii v
OFENVIRONMENT &NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING: �YrFAKTMENT
OF WATER ENVIRONMENT
N (TURN PROCESSING UNIT
COMPLIANCE REPORT FORM 1617MAILSERVICECENT
ER,RALEIGH,.NC276991617 Phone;,(919p733-3221,_.:
FACILITY INFORMATION Please Print Clearly or Type Facility Name: Baytree Lakes PERMIT Number: WQ0018708 Expiration Date: 6/30/2016
Non -Discharge X UIC
Permit Name (if different): Lake Creek Corp-Baytree Lakes NPDES , Other
Facility Address: 33 West Bay Ridge Road TYPE OF PERMITTED OPERATION BEING MONITORED
Harrells ''`� '' NC 28444
County Bladen El Lagoon ❑Remediation: Infiltration Gallery
0 Spray Field ❑ Remediation:
Contact Person: Heather Adams Telephone#: [phone] ❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: MW 2 No. of wells to be sampled: 4 ❑ Water Source Heat Pump ❑ Other:
WELL ID NUMBER (from Permit): MW 2 Date sample collected: 7/15/2014
p
Well Depth: 27.9 ft. Well Diameter: 2 in.
Depth to Water Level 82546: 7.22
p ft. below measuring point Screened Interval: ft. to
Measuring Point is 3 -ft. above land surface Relative M.P. Elevation: ft.
Volume.of water pumped/bailed before sampling: -3.5 gallons
Samples for metals were collected unfiltered: ❑ YES ❑ NO and field acidified: ❑ YES ❑ NO
ft.
FIELD ANALYSES:
pH 0040o: 4.3 units Temp. 000lo: 21 °C
Spec. Cond. 000sa: µMhos
Odor 00085:
Appearance
If WELL
WAS
DRY at
time of
sampling,
k
check here
LABORATORY INFORMATION
Date sample analyzed: 07/15-7/21/2014
Laboratory Name: Environment 1
Certification No. 10
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations. -
COD 00335
mg/L
Nitrite (N%) as N 00615
mg/L
Pb - Lead o1051 ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 <0.04
mg/L
Zn - Zinc.01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 <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 703oo 29
mg/L
All -Aluminum 01105
mg/L
PH (Lab) 00403
units
Ba - Barium 01007 '
ug/L
TOC basso 4.24
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? El Yes (1) No (0)
Specific Conductance 000s5
µMhos
K - Potassium 00937
mg/L
VOC 78732: method # 6200C
Total Ammonia ooslo 0.12
mg/L
Mg - Magnesium 00927
mg/L
method #
(Ammonia Nitrogen; NH3as N; Ammonia Nitrogen, total)
Mn - Manganese 01055
ug/L
method #
TKN as N 00625
mg/L
Ni - Nickel o1067
ug/L
method #
r•v1 'f%t:111Cu1aL10n aysiems unry tAuacn Lap Keports): innuent I otal vu(;s: mg/L Effluent Total VOCs: mg/L VOC Removal%
GW-59 Rev.2/2010

aueslvu I runts UN YtLLU1N PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
FACILITY INMPMATinN . Please
=acility Name: Baytree Lakes
3ermit Name (if different): Lake Creek Corp-Baytree Lakes
=acility Address: 33 West Bay Ridge Road,
Harrells NC 28444
County Bladen
;ontact Person: Heather Adams Telephone#: [phone] '
Nell Location/Site Name: MW 3. No. of wells to be sampled: 4
WATER ,QUALITY -INFORMATION PROCESSING<UNIT I
cRVICE CENTER, RALEIGH,14C-27699 1697 Phone: [phone]
PERMIT Number: WQ0018708 . Expiration Date:.6/30/2016
Non -Discharge X UIC
NPDES Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery -
0 Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
WELL ID NUMBER (from Permit): MW3
Date sample collected: 01/16/2014
-
FIELD ANALYSES:
If WELLWAS
Well Depth: 25 ft.
Well Diameter: 2- in.
pH 00400: 4.9 units Temp. 000lo: 22 oC
DRY at
Depth to Water Level 82546: 6.23 ft. below measuring point
.Screened Interval: ft. to
ft. Spec. Cond. 00094: µMhos
time of
Measuring Point is 3.5 ft. above land surface
Relative M.P. Elevation: ft.
Odor 000a5:
sampling,
Volume of water pumped/bailed before sampling: 3.5 gallons
Appearance
check
here:
Samples for metals were collected unfiltered: ❑ YES El NO
and field acidified: ElYES ❑ NO
tte sample analyzed: 07/15-7/2112014 Laboratory Name: 'Environment 1
kRAMETERS • NOTE: Values should reflect dissolved and colloidal concentrations.
COD o0335
mg/L
Nitrite (NO2) as N 00615.
mg/L
Coliform: MF Fecal 31s16 <1
/100mL
' ' Nitrate (NO3) as N 00620 0.27
mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as•P 00665 <0.04
mg/L
(Note: use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L
solved Solids:Total 703oo 38
mg/L
Al -Aluminum o11o5
mg/L
PH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 00680 1.33
mg/L.
Ca - Calcium 00916
m9 /L
Chloride 0094o 23
mg/L
Cd - Cadmium 01027
u9 /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
ecific Conductance 000m
µMhos
K - Potassium 00937
mg/L-
Total Ammonia oo6lo <0.04-
mg/L
Mg - Magnesium 00927
mg/L
(Ammonia Nitrogen; NH3 as N; Ammonia Nitrogen. Total)
Mn -Manganese 01055
u9 /L
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L
Certification No. 10 .
Pb - Lead 01051 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) X No (0)•
VOC 78732: method # 62000
method #
method #
method #
- -- — —•• —�---..._ _...� �.•••-�•• r.....��. nuJUVIR JvLat vwa. mgiL trnuent Iota) vucs: mg/L VOC Removal%.
tavv-oa nev. uzulu

SUBMIT FORM ON YFI I nw PAPER nnu v
(GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
FACILITY INFORMATION measePant CfeattyorType
Facility Name: Baytree Lakes
Permit Name (if different): Lake Creek Corp-Baytree Lakes
Facility Address: 33 West Bay Ridge Road
Harrells ""''" NC 28444
County Bladen .
act Person: Heather Adams:
Location/Site Name: MW 5
Telephone#: [phone]
No. of wells to be sampled:
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UMT
1617 MAIL SERVICE CENTER, RALEIGH; NC 27699-1617 F fhorie: [phone]
PERMIT Number: WQ0018708 Expiration Date: 6/30/2016
Non -Discharge X• 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:
WELL ID NUMBER (from Permit):: MW5
Date sample collected: 7/15/2014
Well Depth: 25 ft.
Well Diameter: 2 in.
Depth•to Water Level 82546: 8.21 ft. below measuring point Screened Interval: ft.
to ft.
Measuring Point is 3.0 ft. above land surface
Relative M.P. Elevation:
ft.
Volume of water pumped/bailed before sampling:
3.5
gallons
Samples for metals were collected unfiltered: ❑ YES
❑ NO • and field acidified: ❑ YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 07/16-7121/2014
Laboratory. Name: Environment 1
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N o0515
mg/L,
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 0.07
mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665"<0.04
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L
issolved Solids:Total 7030o 53
mg/L
All - Aluminum oil
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC.0058o <1.00
mg/L
Ca - Calcium 00916
mg/L
Chloride 0094o 32
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 o1045
ug/L
Sulfate 00945
mg/L
Hg - Mercury 71900
ug/L
Specific Conductance 00095
µMhos
K - Potassium 00931
mg/L
Total Ammonia 00610 0.07
mg/L
Mg -Magnesium 00927
mg/L
(Ammonia Nitrogen; NH3 as N; Ammonia Nitrogen, Total)
Mn -Manganese 01055
U9 /L
TKN-as N 00625
mg/L
Ni - Nickel 01067
ug/L .
For Remediation Systems Only (Attach Lab Reports): Influent Total
FIELD ANALYSES:
pH 00400: 5.7 units
Spec. Cond. 00094:
Odor 00085:
Appearance
Temp. 000lo: 22 °C DRY at
µMhos time of
Certification No. 10
Pb - Lead olo51 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) 0 No (0)
VOC 78732: method # 6200C
method #
method #
method #
mr7/l Pfflnant Tntml \/r)r'_c• --/I vnr
here: 0
UVV-O`J mev. L2U-1U - -

_ MT10g �
GW 59A COMPLIANCE REPORT FORM Permit # � Q
r (Submit one each monitoring period with GW-59 forms.)
1
Enter date monitoring results -were due. 50 1 Will this monitoring report (GW-59 and GW=59A)
ES
NO
be submitted after.the established due date
2
Was any required information missing on the GW-59 report forms?
YES
O
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
ENO
identification plate, area overgrown, etc.)? If the answer is "Yes", contact the Regional Officefor 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)
exceeding standards in the space provided below:
M(.U-1 q.5 Mf,v-3 5.L4
5
For the constituents identified in question 4 above, have standards been exceeded previously for the
( YES
NO
same constituents) 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).
'Mar 13 >UOv (3 Mar Ili
5 y-. 4 9-.5
Nl LL) a �M L4. In
MLoS o s.t, 5.
Are the monitoring wells listed in section 5 located at or beyond -the review boundary?
YES
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
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 system is having at th a iew and compliance
boundaries surrounding this facility. Failure to do so may subject the permitree to Notice df Violation
fines, and/or penalties.
APR 3 0 2014
ZdIT
WATERauALMSECTION
I r��8na�'��� �esnrveoosno� r Ib111
Nile
8
The person completing this portion (GW-59A) of the mom ing 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.
.... _.._.... __. .. _..__ _
f hereby'acknowledge that the above information was evaluated and'ahe informationlsub'mitted ui this, •-.
repo rt (Compliance Repo GVI/-59A) is: true and.:complete to the best.of my ,kriowledge.
ig ture of Per itt a (or Authorized Agent) Date
GW-59A 12/8/2003

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
PAi'll ITY INRnPUATInAI' Please PrfntCleadvor
Facility Name: IBaytree Lakes
Permit Name (if different):. Lake Creek Corp-Baytree Lakes
Facility Address: 33 West Bay Ridge,Road
Harrells air.>i, NC 28444 '
County 'Bladen,
act Person: .Heather Adams Telephone#: [phone]
Location/Site Name: MW 1 No. of wells to be sampled: 4
DEPARTMENT OF.,, ENVIRONMENT & NATURAL RESOURCES::
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
1617-MAIL SERVICE CENTER, RALEIGH; NC 276994617 - Phone: [phone]
PERMIT Number:,WQ0018708' Expiration, Date: 6/30120.16
Non -Discharge ' X " 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:
VI'1mr1..0 /y u`f VRItIMIIVIY ,
WELL ID NUMBER (from Permit): MW 1 Date sample
le collected: 03/03/2014 .
Well Depth: 25 ft. Well Diameter: 2 in.
Depth .to Water Level 82546: 7.79 ft. below measuring point Screened Interval: ft. to ft.
Measuring Point is 3 ft. above land surface Relative M.P. Elevation: ft.
Volumeof water pumped/bailed before sampling: 3.5.. gallons
Samples for metals were collected- unfiltered: ❑ YES ❑ NO and.field acidified: ❑ YES ❑ NO
FIELD ANALYSES:
pH ooaoo: 4:5 units Temp. oo010: 15 °`'.
Spec. Cond. 00094: µMhos
Odor 000as:
Appearance_
If WE L
WAS
DRY at
time -of
sampling,
check
here:
LABORATORY INFORMATION
Date sample analyzed: 03/03/2014-03/1012014
Laboratory Name. Environment 1
Certification No. 10
PARAMETERS NOTE: Values should -reflect
dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615
rng/�
Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate (NO3) as N 00620 <0.04
mg/L
Zn= Zinc 01092 mg/L
Coliform.` MF Total 31504 -
/100mL .
Phosphorus: Total as P 00665 <0.04
mg/L
(Note: use MPN method for nigrlry turbid samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
.
issolved Solids:Total 703o0' 26 '
mg/L`
AI -Aluminum o11'os
mg/L
pH (Lab) 06403
units,
Ba - Barium 01007 ",
ug/L
TOC 0068c 3.11
mg/L
`Ca - Calcium oo91s :
mg/L
Chloride 0094o 7
mg/L
Cd - Cadmium 01627
ug/L
Arsenic 01002
ug1L
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 oloas
ug/L
(Specify test, and method #. ATTACH LAB -REPORT.)
Sulfate 00945
mg/L
Hg - Mercury 71900
ug1L
Lab Report Attached? ❑ Yes (1) K No (0)
Specific Conductance 0009s
µMhos
K - Potassium 00937
mg/L
VOC 78732: method # 6200C
.Total Ammonia oosla 0.09
mg/L
Mg - Magnesium 00927
and/L
method #
(Ammonia Nitrogen; NH3 as N; Ammonia Nitrogen, Total)
Mn -Manganese o1055
u IL
g
method #
TKN as.N 00625
mg/L
Ni - Nickel 01067
ug1L
, method #
mmueni ,i oiai vul;s:
Heather Adams, Director of Operations, Envirolink, Inc.
Permlttee (or Authorized Agent) Name and Title - Please print or type Sign ture of Pe
GW-59 Rev.2/2010.
mg/L VOC Removal%

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
DEPARTMENT:OF. ENVIRONMENT & NATURAL RESOURCES.;
DIVISION OF WATER QUALITYINFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
-
1.617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 . Phone: [phone]
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: WQ0018708 Expiration Date: 6/30/2016
Facility Name: Baytree Lakes
Non -Discharge X UIC "
Permit Name (if different): Lake Creek Corp-Baytree Lakes
NPDES Other
Facility Address: 33 West Bay Ridge Road
TYPE. OF PERMITTEDOPERATIONBEING MONITORED
Harrells iS1` i' NC
28444 Count Bladen
Y
❑ 'Lagoon ElRemediation: Infiltration Gallery
0 " Spray Field • ❑' Remebiation:
Contact Person: Heather Adams
Telephone#:.[phone] -
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: MW 2
No. of wells to be sampled:• 4
El Water Source Heat Pump El Other.
- (from Permit)
- - -
SAMPLING INFORMATION
IfWELL
WELL ID NUMBER (from"Permit): MW 2
_ Date:sample collected: 03/08/2014.
FIELD ANALYSES: '
WAS •"
Well Depth: 27.9. ft,
.'Well Diameter: 2 in..
'pH 0040o: 4.6 units Temp. 00010: 14 oC
DRY at
Depth to Water Level 62546: 6.57 ft. below measuring point Screened Interval: ft. to
ft: Spec. Cond. 00094':" µMhos
time of
Measuring_Pointis 3 ft. above land surface
.'-Relative M.P. Elevation:" ft.
Odor 90065:
sampling,check
Volume of water pumped/bailed before sampling:
3.5
gallons
Appearance
Samples for metals were collected unfiltered..❑ YES
❑•NO and field acidified:. ❑ YES ONO
LABORATORY INFORMATION
Date sample analyzed: 03/03/2014-03110/2014
Laboratory Name:. Environment 1
Certification No. 10
PARAMETERS NOTE: Values should reflect
dissolved -and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615
rpg/L Pb -Lead olo51 ug/L
Coliform: MF Fecal,31616 <1
1100mL
Nitrate (NO3) as N 00620. <0.04
mg/L Z.n =Zinc olo92 mg/L
Coliform: MF Total 31504 /100mL
Phosphorus: Total as P 00665 <0.04
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
Dissolved Solids:Total 703o0 36
mg/L
AI -Aluminum oil o5
mg/L
PH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 00680 4.09
mg/L _
Ca - Calcium 00916.
mg/L.
Chloride oo64o 7
mg/L.
Cd - Cadmium 01M7
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) Fail -No (0)
Specific Conductance 00095
µMhos "
K - Potassium o0937
mg/L VOC 78732: method #. 6200C
Total Ammonia ooslo 0.12
mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen; NH3asN; Ammonia Nitrogen, Total)
Mn -Manganese 01055
ug/L ,method #
TKN as N o0625 -
mg/L
Ni - Nickel 6067 '_
ug/L method #
mg/L Effluent Total VOCs:
t rectify;hat; to the 6e§t p,,. My knoyule oe and i� It6fLth r()farm t pq s�ubrpltt l r 1 us t is #r(d arc
DWQ-certifiedlaboratory.iarrrawarethattherearesignificantpenaltiesforsubmittingfalseinformahon!l
Adams,Heather •.mittee (or Authod Agent) Name and Title - Please pdnt or type
-
mg/L V.00 Removal%

SUBMIT FORM ON YELLOW PAPER ONLY '
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES,
GROUNDWATER QUALITY MONITORING:
DIVISION°OF WATER QUALITY -INFORMATION PROCESSING UNIT ".
COMPLIANCE REPORT FORM
1s1'i MAIL sERVICE'CENTER,`RALEIGK NC 27699-1617 i ;Phone: [phone] ,
FACILITY INFORMATION
PleasePdntClearly orType
PERMIT Number: WQ0018708 Expiration Date: 6/30/2016
Facility Name: Baytree Lakes
Non -Discharge x UIC
Permit Name (if different): Lake Creek Carp-Baytree Lakes
NPDES Other
Facility Address: 33 West Bay Ridge Road
TYPE OF PERMITTED OPERATION BEING MONITORED
"i`F n
Harrells NC
.28444 y " Bladen
Count
El Lagoon - ❑ Remediation: Infiltration Gallery
© Spray Field ❑ Remediation:
Contact Person: Heather Adams
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well "Location/Site Name: MW 5
'No. of wells to be sampled: 4
❑ Water Source Heat Pump ❑ Other:
(from Permit
- _
SAMPLING INFORMATION
If WELL
WELL ID.NUMBER (from Permit):MW5
-Date sample collected: 3/3%2014
FIELD ANALYSES:
WAS
Well Depth: 25 ft.
Well Diameter: 2 in.
pH 00460: 5.9 units Temp. 000lo: 16 °C
DRY at
Depth to Water Level 82546:7.66 ft. below measuring point Screened']nterval: ft. to'
ft. Spec. Cond. 00094: µMhos
time of
Measuring Point is 3.0 ft. above land surface
Relative M.P. Elevation: ft.
Odor,00065:
sampling,
check
Volume of water pumped/bailed before sampling:
'3.5 , -
gallons
Appearance
here:
Samples for metals were'collected ,unfiltered: ❑ YES
❑ NO and field acidified:. ❑ YES " ❑ NO .
LABORATORY -INFORMATION
Date sample analyzed: 03/0312014-03/10/2014
Laboratory Name: Environment 1
Certification No. 10
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NOZ) as, N 00615
mg/L Pb - Lead o1051 ug/L
Coliform: MF Fecal 31616 <1
/100mL
Nitrate,(NO3) as'N oos20 0.23
mg/L Zn -Zinc 01092 mg/L
Coliform: MF Total 31504
%100mL
Phosphorus: Total as P 00665 <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 7030o 53
mg/L
AI -Aluminum o1105
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L .
TOC 00660 1.17
mg/L
Ca - Calcium 00916
mg/,L
Chloride 00940 15
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)
Specific-Conductance00095
µMhos
.K - Potassium 00937
mg/L. VOC 78732: method # 6200C
Total Ammonia 00610 0.23
mg/L
Mg - Magnesium oos27
mg/L method #
(Ammonia Nitrogen; N1­13as N; Ammonia Nitrogen, Total)
Mn - Manganese m055
ug/L method #
TKN as N 00625
mg/L
Ni'- Nickel 01067
ug/L. method#
ror Kemeumuon systems only (Attacn Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs:- mg/L VOC Removal%
r.
. GW-59 Rev.2/2010

SUBMIT FnRM nN vFi i ntAI vnor=a nnn v
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM , ' -
FACILITY INFORMATION Please Print Clearly or Type
Facility Name: Baytree Lakes
Permit Name (if different): -Lake Creek Corp-Baytree Lakes
Facility Address: 33 West Bay Ridge Road
Harrells NC 28444
County Bladen
act Person: Heather Adams
Location/Site Name: MW 3
Telephone#: [phone]
No. of wells to be sampled: 4
L'ID NUMBER (from Permit): MW3 Date sample collected: 03/03/2014
Depth: 25 ft. Well Diameter: 2 in.
h to Water Level 82546: 5.64 ft. below measuring point Screened Interval: ft. to ft.
wring Point is 3.5 ft. above land,surface Relative M.P. Elevation: ft.
ne of water pumped/balled before sampling: 3.5 gallons.,
Dies for metals were collected unfiltered: ❑ YES ❑ NO and field acidified: ❑ YES ❑ NO
RTMENT OF ENVIRONMENT & NATURAL RESOURCES' -
ON OF-WATER.QUALITY-INFORMATION PROCESSING UNIT
RAIL SERVICE CENTER, RALEIGH, NC27699r1677 -,`'Phone: (919)
NIT Number: WQ0018708 Expiration Date: 6/30/2016
Discharge x UIC
vt� Other
'PE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ ,Remediation: Infiltration Gallery
2 Spray Field ❑ Remediation:
❑. Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
FIELD ANALYSES:
PH 00400: 5.4 units Temp. 000lo: 16
Spec. Cond. 00094: µMhos
Odor 000m:
Appearance =
ite sample analyzed: 313/2014-3/10/2014 Laboratory Name: Environment 1 Certification No. 10
kRAMETERS , NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L Nitrite (NO2) as'N 00615 mg/L Pb - Lead oimi ug/L
Coliform:.MF Fecal 31616 <1 /100mL Nitrate (NO3) as N .00620 0.09 mg%L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504 /100mL Phosphorus: Total as P 00665 <0.04 mg/L
(Note: Use MPN method for highly turbid samples)
Ived Solids: Total 70300 73
mg/L
PH (Lab) 00403
units
TOC 00680 4.38 -
mg/L
Chloride 00940 16
mg/L
Arsenic 01002
ug/L
Grease and Oils 00552
mg/L
Phenol 32730
ug/L
Sulfate 00945
nig/L
fic Conductance 00095
µMhos
Total Ammonia 00610 0.14
mg/L
(Ammonia Nitrogen; NH3as N; Ammonia Nitrogen, Total)
.
TKN as N 00625 mg/L
Orthophosphate 70507
mg/L
Al - Aluminum 01105
mg/L
Ba - Barium 01007
ug/L
Ca -Calcium 00916
mg/L
Cd - Cadmium o1o27
ug/L
Chromium: Total 01034
ug/L
Cu - Copper 01042
mg/L
Fe - Iron 01045
ug/L
Hg - Mercury 71900
ug/L
K - Potassium o0937
mg/L
Mg.- Magnesium oo927
mg/L
-Mn- Manganese o1o55
ug/L
Ni - Nickel 01067
ug/L
°C DRY at
— time of "
Other (Specify" Compounds and Concentration Units):
ORGANICS: (by GC, GC/MS, HPLC) -
(Specify test and method #. ATTACH LAB REPORT.)
Lab Report Attached? ❑ Yes (1) 2 No (0)
VOC 78732: method # 6200C
method #
method #
method #
N _ �..
_..,
1& �fYth t toitdabe tofm}CkfiR f ,� � ti i 11 f ihal9iQ(ma�ti "sh8� ftl(tihtSt Qttt %9X106,r�nAd�rompl, �Q4 t( ,t hQrator!' nal0to—git
DWQ-certified laboratory. tarn aware that there are'significant penalties for submitting false information, including the`posstbhty of finesyand imprisonment for kn
Heather Adams, Director of Operations, Envirolink, Inc.
ittee (or Authorized Agent) Name and Title - Please print or type
mg/L VOC Removal%
check
here:❑