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Home My WebLink AboutWQ0002829_Monitoring - 09-2016_20161101 (3)GW -59A COMPLIANCE REPORT FORM Permit # nM Z9 (Submit one each monitoring period with GW -59 jorms.) I Enter date monitoring results were due. UD- t- (o ) Will this monitoring report (GW -59 and GW -59A) YES 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 f 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 YE N identification plate, area overgrown, etc.)? If the answer is "Yes". contact the Regional Ofcefor guidance. 4 Are any monitored constituents equal to or above the established standards? If the answer to question 4 is "NO', skip to section 8. " If to 4 Is "YES"list the wells individually with constituentAhnd)iapce4kilon(s) the answer question affected exceeding standards in the s ace provided below: Yj o3 �� C < -�v,/-G- -.3.3LL ho3 )5-� taF n05 �r-`� CvvC, no3 is•7 Z Ln LL 5 For the constituents identified in question 4 above, have standards been exceeded qMiously forYE 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 B. N 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 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 maybe improperly located; contact the Regional Office. 7 Is the permittee implementing previously approved actions required by the Division involving this YE NO groundwater quality problem? If the answer to question 7 is "YES", describe those actions in the space provided below. 8 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 the review and compliance boundaries surrounding this facifl(K. Failure to do so may subiect the permittee 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. 1 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. -'z 1 /6.2s- /10 Signature of Pe or Authorized Agent) Date GW -59A 12/8/2003 �Yr,_ 171. SUBMIT FORM ON YELLOW PAPER ONLY GROUNDWATER QUALITY MONITORING: mg/L DEPARTMENT OF ENVIRONMENT b NATURAL RESOURCES COMPLIANCE REPORT FORM Coliform: MF Fecal 31616 <t DIVISION OF WATER QUALITY414FORMATION PROCESSING UNIT Nitrate (NO3) as N 00620 <0.1 mg/L 1617 MAIL SERVICE CENTER, RALEIGH, NC 27660.1617 Phon•:(616)733.3t31 FACILITY INFORMATION Please Print Clearly or Type Phosphorus: Total as P o0665 0.60 PERMIT Number: Expiration Date: 8/31/2018 Facility Name: KDHWWTP Non -Discharge WO0002829 UIC Permit Name (H different): ;solved Solids:Total 70300 118 NPDES Other Facility Address: 801 W OCEAN BAY BLVD mg/L TYPE OF PERMITTED OPERATION BEING MONITORED KILL DEVIL HILLS NC 27948 County DARE Ba - Barium 01007 ❑ Lagoon ❑ Remediation: Infiltration Gallery - ` mg/L N Spray Field ❑ Remediation: Contact Person: William G. Freed Telephone#: 252-491-5277 Chloride oog4o 7.557 ❑ Rotary Distributor ❑ Land Application of Sludge Well Location/Site Name: CW -A No. of wells to be sampled: 7 ug/L ❑ Water Source Heat Pump N Other: Conjuntive Reuse LID NUMBER (from Permit): CW -A Depth: 15 ft, 1 to Water Level 82546: 325 ft. below measuring point luring Point is 1 ft. above land surface ne of water pumped/bailed before sampling: 7 Aes for metals were collected unfiltered: ❑ YES ❑ Date sample collected: 9-27-2016 Well Diameter: 2 in. Screened Interval: 5 ft. to 15 ft. Relative M.P. Elevation: ft. YES L7 NO rte sample analyzed: 4-24-2012 Laboratory Name: Universal Labs \RAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. COD 00335 mg/L Nitrite (NO2) as N oos15 mg/L Coliform: MF Fecal 31616 <t /100mL Nitrate (NO3) as N 00620 <0.1 mg/L Coliform: MF Total 31504 /100ml- Phosphorus: Total as P o0665 0.60 mg/L g (Note: Use MPN nethod for highly turbid samples) Orthophosphate 70507 mg/L ;solved Solids:Total 70300 118 mg/L AI - Aluminum otitis mg/L pH (Lab) 00403 units Ba - Barium 01007 ug/L TOC ooeeo 17.5 mg/L Ca - Calcium 00916 mg/L Chloride oog4o 7.557 mg/L Cd - Cadmium 01027 ug/L Arsenic D1002 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 uglL ,ecific Conductance o0ass pMhos K - Potassium 00937 mg/L Total Ammonia o0610 <0.1 mg/L Mg - Magnesium 00927 mg/L (Ammonia Nitrogen; 1,1113as N; Hmonia Nitrogen, Total) Mn -Manganese gloss ug/L TKN as N 00625 mg/L Nt - Nickel 01067 ug/L For Remadiation Systems Only • I certify that, to the best of my knowledge and belief the information submitted in this report is true acc DWO-cemhed laboratory. I am aware that there are significant penalties for submitting false mformatioi GW -59 GW -59 Rev. 2/2010 FIELD ANALYSES: pH o0400: 6.06 units Temp. 000lo: 21.4 Spec. Cond. 00094- µMhos Odor 000ss: None Appearance Clear Pb - Lead oics1 Zn - Zinc o1092 Certification No. 94 ug/L mg/L OC IDRY at time of Other (Specify Compotisnd Concentration Units): ORGANICS: (by GQ GC/MS, HPLC) (Specify test and method #. ATTACH LAB REPORT.) Lab Report Attached? ❑ Yes (1) X No (0) VOC 78732: method # method # method # method # mg/L Effluent Total VOCs. mg/L VOC ?R QUALITY MONITORING: REPORT FORM =acility Name: KDHWWTP 0ermit Name ('If different): =acility Address: 801 W OCEAN BAY BLVD KILL DEVIL HILLS NC 27948 SUBMIT FORM ON YELLOW PAPER ONLY County DARE act Person: William G. Freed Telephone#: 252-491-5277 Location/Site Name: CW -B-1 No. of wells to be sampled: 7 LID NUMBER (from Permit): CW -B-1 Date sample collected: 9-27-2016 Depth: 14 ft, Well Diameter: 2 in. 1 to Water Level 82546: 6 ft. below measuring point Screened Interval: 4 ft, to 14 ft. curing Point is 3 ft. above land surface Relative M.P. Elevation: ft. ne of water pumped/bailed before sampling: 5 gallons Hes for metals were collected unfiltered: ❑ YES ❑ NO and held acidified: ❑ YES ❑ NO rte sample analyzed: 024-2012 Laboratory Name: Universal Labs \RAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. COD 00335 mg/L Nitrite (NO2) as N 00615 mg/L Coliform: MF Fecal 31616 <1 /100mL Nitrate (NO3) as N 00620 <0.1 mg/L Coliform: MF Total 31504 /100ml- Phosphorus: Total as P ooe6s 0.24 mg/L (Note: Use MPN �.MW for Ngmy turbid sarnpiee) ❑ Water Source Heat Pump Orthophosphate 70507 mg/L ,solved Solids:Total 70300 198 mg/L AI -Aluminum 01105 mg/L pH (Lab) 00403 units Be - Barium 01007 ug/L TOC oo6so 17.4 mg/L Ca - Calcium 00916 mg/t. Chloride oog4o 25.32 mg/L Cd - Cadmium 01027 ug/L Arsenic 01002 ug/L Chromium: Total 01034 uglL Grease and Oils 00552 mg/L Cu - Copper 01042 mg/L Phenol 32730 ug/L Fe - Iron oio4s ug/L Sulfate oo945 mg/L Hg - Mercury 71900 ug/L ecific Conductance 0009s pMhos K - Potassium 00937 mg1l. Total Ammonia oo6to 0.43 mg/L Mg - Magnesium 00927 mg/L (N N. MV.W; NH�a N; A Nft.Nft. n, Total) Mn - Manganese 01055 uglL TKN as N 00625 mg/L Ni - Nickel 01067 ug/L 1SION OF WATER QUALITYaNFORMATION PROCESSING UNIT 7 MAIL SERVICE CENTER, RALEIGH, RC 2759&1617 Phone: (919) 733-27 RMIT Number: Expiration Date: 8/31/2018 n -Discharge W00002829 UIC 'DES Other 'PE OF PERMITTED OPERATION BEING MONITORED ❑ Lagoon ❑ Remediation: Infiltration Gallery M Spray Field ❑ Remediation: ❑ Rotary Distributor ❑ Land Application of Sludge ❑ Water Source Heat Pump ® Other: Conjuntive Reuse FIELD ANALYSES: DH 0040o: 5.89 units Temp. 000io: 22.6 Spec, Cond. 0oo94: µMhos Odor 000ss: None Appearance Clear Certification No. Pb - Lead o1o51 ug2 Zn - Zinc 01092 mg/L OC DRY at time of Other (Specify Compounds and Concentration Units): i) J 1G ORGANICS: (by GC, GC/MS, HPLC) (Specify test and method X. ATTACH LAB REPORT.) Lab Report Attached? ❑ Yes (1) M No (0) VOC 78732: , method # method # method # method # For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: G GW -59 Rev. 2/2010 mg/L VOC 7 2R QUALITY MONITORING: REPORT FORM Facility Name: KDHWWTP Permit Name (if different): Facility Address: 801 W OCEAN BAY BLVD KILL DEVIL HILLS S", , I act Person: William G. Freed Location/Site Name: CW -C NC 27948 LID NUMBER (from Permit): CW -C Depth: 16 ft. Ito Water Level $2546: 10 ft. below measuring point luring Point is 3 ft. above land surface the of water pumped/bailed before sampling: 5 Nes for metals were collected unfiltered: ❑ YES r SUBMIT FORM ON YELLOW PAPER ONLY County DARE Telephone#: 252-491-5277 No. of wells to be sampled: 7 Date sample collected: 9-27-2016 Well Diameter: 2 in. Screened Interval: 6 ft to 16 ft. Relative M.P. Elevation: ft. YES rte sample analyzed: 4-24-2012 Laboratory Name: Universal Labs I RAMETERS NOTE: Values should reflect dissolved and colloidal concentrations, COD 00335 mg/L Nitrite (NO2) as N oo615 mg/L Coliform: MF Fecal 31616 3 I10omL Nitrate (NO3) as N 00620 15.9 mg/L Coliform: MF Total 31504 I100ML Phosphorus: Total as P oos65 0.12 mg/L (Note: Use MPN method for highly tumid samples) ❑ Water Source Heat Pump Orthophosphate 70507 mglL -solved Solids:Total 70300 355 mg/L AI - Aluminum o11os mg/L pH (Lab) 0o4o3 units Be - Barium 01007 uglL TOC oo6so 15.3 mg/L Ca - Calcium oog16 mg/L Chloride oos4o 65.98 mg/L Cd - Cadmium 01027 ug/L Arsenic 01002 uglL Chromium: Total o1o34 uglL 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 ugf _ etc Conductance 000ss µMhos K - Potassium 00937 mg/L Total Ammonia oo610 <0.1 mg/L Mg - Magnesium 00927 mg/L (Amnonla Ntrogen; Miss Ii Nmugen, Total) Mn - Manganese 01o55 UgIL TKN as N 00625 ri lL Ni - Nickel 01067 uglL For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs WiLcxjn 6 r Pz::s '6'V E7'7_l+ PemrU" (or Avlhonzed Agent) Name and The - Please print or type GW -59 Rev2/2010 OF WATER CUALITY4NFORMATION PROCESSING UNIT SERVICE CENTER, RALEIGH, NC 276911617 Phona: (6161737.3221 iRMIT Number: Expiration Date: 8/3112018 ,n -Discharge W00002829 UIC 'DES Other 'PE OF PERMITTED OPERATION BEING MONITORED ❑ Lagoon ❑ Remediation: Infiltration Gallery ® Spray Field ❑ Remediation: ❑ Rotary Distributor ❑ Land Application of Sludge ❑ Water Source Heat Pump ® Other: Conjuntive Reuse FIELD ANALYSES: pH oo400: 5.87 units Temp. 000to: 212 Spec. Cord. 000s4: µMhos Odor 0008s: None Appearance Clear Certification No. Pb - Lead otosl Zn - Zinc 01092 ug1L mglL oC IDRY at time of Other (Specify Compounds �C f ncentration Units): ORGANICS: (by GC, GC/MS, HPLC) (Specify test and method #. ATTACH LAB REPORT.) Lab Report Attached? ❑ Yes (1) A No (0) VOC 78732 method # method # method # method # mg/L Effluent Total VOCs. mg/L VOC -Ds - i< ER QUALITY MONITORING: REPORTFORM =acility Name: KDHWWTP 'ermit Name (R different): -acility Address: 801 W OCEAN BAY BLVD KILL DEVIL HILLS - NC 27948 :onlact Person: William G. Freed Nell Location/Site Name: CW -D L ID NUMBER (from Permit): CW -D Depth: 17 ft. h to Water Level 82546:15.5 ft. below measuring point luring Point is 3 ft. above land surface ne of water pumped/bailed before sampling: 3 pies for metals were collected unfiltered: ❑ YES ❑ SUBMIT FORM ON YELLOW PAPER ONLY County DARE Telephone#: 252-491-5277 No. of wells to be sampled: 7 Date sample collected: 9-27-2016 Well Diameter: 2 in. Screened Interval: T --ft. Relative M.P. Elevation: gallons NO and field its sample analyzed: 4-24-2012 Laboratory Name: Universal Labs tRAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. 1SION OF WATER QUAUTY4NFORMATION PROCESSING UNIT 7 MNL SERVICE CENTER, RALEIGH, NC 27696.1617 Phone: (919) 733322 RMIT Number: Expiration Date: 8/31/2018 n -Discharge W00002829 UIC 'DES Other PE OF PERMITTED OPERATION BEING MONITORED ❑ Lagoon ❑ Remediation: Infiltration Gallery N Spray Field ❑ Remediation: ❑ Rotary Distributor ❑ Land Application of Sludge ❑ Water Source Heat Pump ® Other: COnjuntive Reuse FIELD ANALYSES: pH oo400: 6.15 units Temp. 0oolo: 20.1 eC to 17 ft. Spec. Cond. 00094: µMhos ft. Odor 00085: None Appearance Clear COD 00335 m91L Nitrite (NO2) as N oo615 mg/L Coliform: MF Fecal 31616 Q /100mL Nitrate (NO3) as N 00620 2.55 mg/L Coliform: MF Total 31504 1100mL Phosphorus: Total as P oo665 0.11 m 2 g (Note: Use MM method for highly Nrhid saMlaB Orthophosphate 70507 mglL solved Solids:Total 7030D 223 mg/L AI - Aluminum of lo5 mg/L pH (Lab) oo4o3 units Be - Barium 01007 ugfL TOC ooeao 6.34 mg/L Ca - Calcium oo91s mg/L Chloride oo94o 59.42 mg/L Cd - Cadmium o1027 ug/L Arsenic 01002 ug/L Chromium: Total olo34 ug/L Grease and Oils 00552 mg/L Cu - Copper 01042 mg/L Phenol 32730 ug/L Fe- Iron oio15 ugfL Sulfate 00945 mg/L Hg - Mercury 71900 ug/L ecific Conductance 0009s µMhos K - Potassium 00937 mg/L Total Ammonia oos1D <0.1 mg/L Mg - Magnesium 00927 mg/L (Ammonia Nitrogen; NHses IT, Armnonia Nitrogen, Total) Mn - Manganese 01055 uglL TKN as N DD625 mg/L Ni - Nickel 01067 ug/L For Remediation Systems Only (Attach lab Reports): Influent Total VOCs: Certification No. Pb - Lead olos1 ug/L Zn - Zinc 01092 mg/L Other (Specify CompouNd Concentration Units). ORGANICS: (by GC, GC/MS, HPLC) (Specify test and method #. ATTACH LAB REPORT.) Lab Report Attached? ❑ Yes (1) N No (0) VOC 78732: , method # method # method # method # Effluent Total VOCs: VOC Removal W111-1401 G r>ea-i fQ-�' Ed vl!': rILT 1 2i � !G '15, -/0;- Panndtee (or Authorized Agent) Name and Title - Please pont or type Signature of Perm (or Authorized Agent) (Date) GW -59 Rev. 212010 at of SUBMIT FORM ON YELLOW PAPER ONLY GROUNDWATER QUALITY MONITORING: mg/L DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT COMPLIANCE REPORT FORM Coliform: MF Fecal 31616 11 1617 MAIL SERVICE CENTER, RALEIGH, NC 27699.1617 Phone: (919)733-3221 FACILITY INFORMATION Please Print Clearly or Type ni PERMIT Number: Expiration Date: 8/31/2018 Facility Name: KDHWWTP mg/L Non -Discharge W00002829 UIC Permit Name (if different): mg/L NPDES Other Facility Address: 801 W OCEAN BAY BLVD mg/L TYPE OF PERMITTED OPERATION BEING MONITORED KILL DEVIL HILLS NC 27948 County DARE Be - Barium 01007 ❑ Lagoon ❑ Remediation: Infiltration Gallery mg/L Ca - Calcium oog16 C] Spray Field ❑ Remediation: Contact Person: William G. Freed Telephone#: 252-491-5277 Cd - Cadmium 01027 ❑ Rotary Distributor ❑ Land Application of Sludge Well Location/Site Name: CW -E No. of wells to be sampled: 7 Chromium: Total 01034 ❑ Water Source Heat Pump X Other: Conjuntive Reuse LID NUMBER (from Permit): CW -E Date sample collected: 9-27-2016 Depth: 13 ft, Well Diameter: 2 in. 1 to Water Level 82546: 3.25 ft, below measuring point Screened Interval: 5 ft. to 13 ft. luring Point is 3 ft. above land surface Relative M.P. Elevation: R. re of water pumped/bailed before sampling: 6 gallons Aes for metals were collected unfiltered: ❑ YES ❑ NO and field acidified: ❑ YES ❑ NO vile sample analyzed: 4-24-2012 Laboratory Name: Universal Labs 1RAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. COD 00335 mg/L Nitrite (NO2) as N oo615 mg/L Coliform: MF Fecal 31616 11 1100mL Nitrate (NO3) as N 00620 0.13 ni Coliform: MF Total 31504 /100mL Phosphorus: Total as P oo665 0.66 mg/L (Note. Use MPN method for highly WNld Samples) Orthophosphate 70507 mg/L .solved Solids:Total 7030o 377 mg/L AI - Aluminum oil os mg/L pH (Lab) 00403 units Be - Barium 01007 ug/L TOC oo68o 11 mg/L Ca - Calcium oog16 mg/L Chloride 0094o 131.6 mg/L Cd - Cadmium 01027 uglL Arsenic 01002 uglL Chromium: Total 01034 uglL Grease and Oils 00552 mg/L Cu - Copper 01042 ni Phenol 32730 ug/L Fe - Iron 01045 ug/L Sulfate 00945 mg/L Hg - Mercury 71900 uglL fecific Conductance 0ooe8 µMhos K - Potassium 00937 mg/L Total Ammonia ooelo 0.31 mg/L Mg - Magnesium 00927 mg/L (Nmpnia Nitrogen: NH..as M. NarNitrogen, Total) Mn -Manganese 01055 ug/L TKN as N 00625 mg/L Ni - Nickel oloe7 ug/L For Remediation Systems Only (Attach tab Reports): Influent Total VOCs. W 1LLIAM li r7 L2� 011'3 GW-59 Rev. 212010 FIELD ANALYSES: pH oo400: 6.06 units Spec. Cond. 00094: Odor 00085: None Appearance Clear Temp. 00010: 22.8 °C DRY at µMhos time of Certification No. Pb - Lead o1os1 uglL Zn - Zinc 01092 mg/L Other (Specify Compoun bi Concentration Units): ORGANICS: (by GC, GC/MS, HPLC) (Specify test and method #. ATTACH LAB REPORT,) Lab Report Attached? ❑ Yes (1) N No (0) VOC 78732: , method # method # method # method # mg/L Effluent Total VOCs. mg/L VOC Removal here: F-1 SUBMIT FORM ON YELLOW PAPER ONLY GROUNDWATER QUALITY MONITORING: - DEPARTMENT OF ENVIRONMENT 8 NATURAL RESOURCES COMPLIANCE REPORT FORM DIVISION OF WATER OUALITY411FORMATION PROCESSING UNIT 1617 MAIL SERVICE CENTER, RALEIGH, NC 27699.1617 Phone: (916) 733-3221 FACILITY INFORMATION Please Print pearly or Type PERMIT Number: Expiration Date: 8/31/2018 Facility Name: KDHWWTP Non -Discharge W00002829 UIC Permit Name (if different): NPDES Other Facility Address: 801 W OCEAN BAY BLVD TYPE OF PERMITTED OPERATION BEING MONITORED El Lagoon ❑Remediation: Infiltration Gallery KILL DEVIL HILLS ^ "' NC 27948 County DARE - ® Spray Field ❑ Remediation: Contact Person: William G. Freed Telephone#: 252-4915277 ❑ Rotary Distributor ❑ Land Application of Sludge Well Location/Site Name: CW -F No. of wells to be sampled: 7 ❑ Water Source Heat Pump M Other: Conjuntive Reuse fipn PemW SAMPLING INFORMATION If WELL WELL ID NUMBER (from Permit): CW -F Date sample collected: 9-27-2016 FIELD ANALYSES: WAS Well Depth: 15 ft. Well Diameter: 2 in. pH 00400: 6.46 units Temp. 00010: 21.3 °C DRY at _ Depth to Water Level 82546: 3 ft. below measuring point Screened Interval: 5 ft. to 15 ft. Spec. Cord. 00094: µMhos time of Measuring Point is 3 ft. above land surface Relative M.P. Elevation: ft. Odor 000es None sampling, check Volume of water pumped/bailed before sampling: 6 gallons Appearance Clear here;❑ Sam les for metals were collected unfiltered: ❑ YES ❑ NO and field acidified: ❑ YES ❑ NO LABORATORY INFORMATION Date sample analyzed: 4-24-2012 Laboratory Name: Universal Labs Certification No. 94 PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. COD 00335 mg/L Nitrite (NO2) as N oo61s mg/L Pb- Lead o1os1 ugiL Coliform: MF Fecal 31616 ct /100ml- Nitrate (NO3) as N 00620 25.4 mg/L Zn - Zinc 01092 mg/L Coliform: MF Total 31504 /100mL Phosphorus: Total as P oo665 5.33 mg/L g (Nota: Use MPN Mil for highly WMId "MI.) Orthophosphate 70507 mg/L Other (Specify Compounds aprjncentration Units): issolved Solids:Total 703oo 617 mg/L AI - Aluminum of im mg/L pH (Lab) 00403 units Be - Barium 01007 ugfL N (A` ;") 3 16 TOC 0068o 7.61 mg/L Ca - Calcium oo9t6 mg/L Chloride 00940 171.3 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 o104s ug/L (Specify test and method #. ATTACH LAB REPORT.) Sulfate 00945 mg/L Hg - Mercury 71900 ug/L Lab Report Attached? ❑ Yes (1) N No (0) pecific Conductance 00095 µMhos K - Potassium 00937 mg/L VOC 78732: , method # Total Ammonia oo610 <0.1 mg/L Mg - Magnesium 00927 mg/L , method # (Amrgnia Mtro"n; NNras N; Amnonla Nitrogen. Total) Mn -Manganese 01055 uglL ,method # TKN as N 00625 mg/L Ni - Nickel 01067 ug/L , method # For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs. W)LI-l9m t�r'(ece;i 665 CAV)APJT-t11 Permlhee (or Authorized Agent) Name and Title - Please IMM or type GW -59 Rev. 212010 mg/L Effluent Total VOCs. mg/L VOC Removal :R QUALITY MONITORING: REPORT FORM =acility Name: KDHWWTP permit Name (if different): utility Address: 801 W OCEAN BAY BLVD KILL DEVIL HILLS act Person: William G. Freed Location/Site Name: CW -G NC 27948 SUBMIT FORM ON YELLOW PAPER ONLY County DARE Telephone#: 252-491-5277 No, of wells to be sampled: 7 LID NUMBER (from Permit): CW -G Date sample collected: 9-27-2016 Depth: 14.6 ft, Well Diameter: 2 in. 1 to Water Level 82546: 2 ft. below measuring point Screened Interval: 5 ft. to 14.6 ft. ,uring Point is 1 ft. above land surface Relative M.P. Elevation: ft. ne of water pumped/bailed before sampling: 6 gallons 8es for metals were collected unfiltered: ❑ YES ❑ NO and field acidified: ❑ YES Fl NO 1te sample analyzed: 4-24-2012 Laboratory Name: Universal Labs 1RAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. COD 00335 mg/L Nitrite (NO2) as N 00615 mg/L Coliform: MF Fecal 31616 <i /100ml- Nitrate (NO3) as N 00620 23.8 mg/L Colfonn: MF Total 31504 /100ml- Phosphorus: Total as P 00665 3.93 mg/L (Note; Use MPN memo i for highly turbid samples) ❑ Water Source Heat Pump Orthophosphate 70507 mg/L ,solved Solids:Total 70300 570 mg/L AI - Aluminum 01105 mg/L pH (Lab) 00403 units Be - Barium 01007 ug/L TOC Do68o 7.32 mg/L Ca - Calcium 00916 mg/L Chloride D0940 183.7 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 Phenol 32730 ug/L Fe - Iron o1o45 ug/L Sulfate 00945 mg/L Hg - Mercury 71 goo ug/L Iecific Conductance 00095 pMhos K - Potassium 00937 mg/L Total Ammonia oo610 <0.1 mg/L Mg - Magnesium 00927 m9 /L (Amrrgnia Nihogan; NN�as N: Nrcnonia Nitrogen, Total) Mn -Manganese otoss ug/L TKN as N 00625 mg/L Ni - Nickel 01067 ug/L For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs. 'ISION OF WATER QUALITY -INFORMATION PROCESSING UNIT 17 MAIL SERVICE CENTER, RALEIGH, NC 27669.1617 Pharr. (8191731-322 iRM1T Number: Expiration Date: 8131/2018 an -Discharge W00002829 UIC 'DES Other 'PE OF PERMITTED OPERATION BEING MONITORED ❑ Lagoon ❑ Remediation: Infiltration Gallery Spray Field ❑ Remediation: ❑ Rotary Distributor ❑ Land Application of Sludge ❑ Water Source Heat Pump X Other: Conjuntive Reuse FIELD ANALYSES: pH 00400. 6.54 units Temp, 000lo: 21.9 Spec. Cond. 00094: µMhos Odor otioils: None Appearance Clear Pb - Lead oios1 Zn - Zinc 01092 Certification No. 94 ug/L mg/L oC DRY at lime 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) 9 No (0) VOC 78732: method # method # method # method # mg/L Effluent Total VOCs mg/L VOC Removal% 41 )1, L pg." G 112�2�J FRCS d►lV,ko lz�l+ -%i— X TT Mee (or Authorized Agent) Name and Title - Please print or type SI aWre of ermmee Authonzed Agent) (Date) GW -59 Rev. 212010