WQ0004230_Monitoring - 11-2016_20170104

SUBMIT FORM ON YELLOW PAPER ONLY
.0
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
Please Print Clearly or Type
Facility Name:(14� e r'/.f�y -4.o Ra \T\
Permit Name (if different):
Well Location/ Site
County. L �'Ne r-�
Telephone #: d„C1 -_i Sq
No. of Wells to be Sampled:
Well Identification Number (from Permit): For Groundwater Treatment Systems
Well Depth: \ S ft. Well Diarheter: �` in. Check One: ❑ Influent (98)
Screened interval: ft. to It.
Depth to Water Level: $ , 1 � ft, below measuring point. 0 Effluent (99)
Measuring Point (M.P.) is:_ ft. above land surfac . Relative M.P. Elevation in ft.:
Gallons of water pum d/bailed before sampling: 1 Date sample collected: _tt l� j�
Field analysis: pH Specific Conductance uMhos T'
Temp. I—°C, Odor Appearance
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
WATER OUALITY DIVISION, GROUNDWATER SECTION
1636 MAIL SERVICE CENTER
PERMIT #: EXPIRATION DATE:
Non -Discharged y£ii�1�3� UIC
NPDES
TYPE OF PERMITTED OPERATION BEING MONITORED
Lagoon Remediation: Infiltration Gallery
Spray Field _ Remediation:
�Rolary Distributor =Land Application gLgiludoe
—_ Other.
NOTE: Values should reflect dissolved and . JAN - 4 201)
colloidal concentrations.
SECTION
Date sample analyzed: NFORMq lON pROCfSSIN
Laboratory Name: rw r��pa� G UNIT
Certification No. —10
PARAMETERS (Samples for metals were collected unfiltered YES _NO
COD
and field acidified
mg/l
Coliform: MF Fecal /� OOml
Nitrite (NO2) aS 11. _
Nitrate (NO3) as N �.
m I
`� I
Coliform: MF Total
/100ml
Phosphorus: Total as P
mg/I
mg/I
(Note: Use MPN method for highly torid samples)
Dissolved Solids: Total
mg/I
Orthophospha+•P ...__ .. _ `
Al Aluminum
mg/I
—�`t_]_—
pH (when analyzed)
units
-
Ba - Barium
mg/I
mg/I
TOC V.�D
mg/I
Ca - Calcium
mg/I
g/I
Chloride
5:
Arsenic
mg/I
Cd - Cadmium
mg/)
Grease and Oils
mg/I
mg/l
Chromium: Total
Cu -Copper
ml
g/
mg/I I
Phenol
Sulfate
mg/I
Fe - Iron
ml
Specific Conductance
mg/I
uMhos
Hg - Mercury
K - Potassium
mg/I
mg/I
Ammonia
mg/I
Mg - Magnesium
mg/I
TotalKN N
mg/I
Mn - Manganese
mg/I
GW -59
Rev. 03/2000 -_ -
YES __ NOI
Ni - Nickel
mg/I
Pb - Lead
mg/I
Zn - Zinc
mg/I
Ammonia"" _
.=n
Other (Specify Compounds and Concentration Units)
IAN 95 20V
ORGANICS: (GC,GC/MS,HPLC)
(Specify test and method #. Attach lab report.)
Report Attached? Yes f/(1) No _ (0)
VOC method#=
method # =
method # =

[��do�o��c��� alp D��orrporra��d
6
P.O. BOX 7085, 114 OAKMONT DRIVE
GREENVILLE, N.C. 27835-7085
A PLACE AT THE BEACH III(HYDROTECH)
DOH O'MARA
HYDROTECH
P.O. BOX 4602
EMERALD ISLE ,HC 28594
ling Matas Iat 57
Maetevater ID: 30
PHONE [phone]
FAX [phone]
ID#: 552
DATE COLLECTED: 11/11/16
DATE REPORTED : 12/14/16
REVIRMED BY: Y�/
MW -1
MW -2
MW -3
MW -6
Analysis
Method
PARAMETERS
Date Analyst
Code
PH (field measurement), Units
7.7
7.4
7.1
7.5
11/11/16
TB
4500HB-00
Fecal Coliform (ME), /100 MIs
<1
<1
<1
<1
11/11/16
MAR
9222D-97
Ammonia Nitrogen as N, mgA
<0.04
0.84
<0.04
3.06
11/28/16
AKS
350.1 112-93
Nitrate Nitrogen as N, mgA
2.41
<0.04
4.79
5.62
11/16/16
RAJ
353.2 112-93
Total Organic Carbon, mgA
4.30
6.30
3.49
2.88
11/14/16
SEJ
531OC-00
Chloride, mgA
53
58
31
158
11/14/16
MAR
4500CLB-97
Total Dissolved Residue, mgA
441
474
322
678
11/15/16
MAR
254OC-97
Static Water Level, feet
5.15
5.94
5.68
6.34
11/11/16
TB
Water Balled, Gals.
1.5
1.5
1.0
2.5
11/11/16
TB

��doQo����� alp D�c�orrpoQa�c�d
nriakiny •aa.r xn, a77
naateve[ai ID: 10
P.O. BOX 7085, 114 OAKMONT DRIVE
GREENVILLE, N.C. 27835-7085
PHONE [phone]
FAX [phone]
CLIENT: A PLACE AT THE BEACH III(HYDROTECH) CLIENT ID: 552
DON O'MARA
HYDROTECH ANALYST: MAO
P.O. BOX 4602 DATE COLLECTED: 11/11/16 Page: 1
EMERALD ISLE, NC 28594 DATE REPORTED: 12/14/16
REVIE4fED BY:
VOLATILE ORGANICS
STD. METHODS 6200C (97)
Date Analyzed:
PARAMETERS, ug/1
11/19/16
MW -1
11/19/16
MW -2
11/22/16
MW -3
11/22/16
MW -6
1. Benzene
<0.50
<0.50
<0.50
<0.50
2. Bromobenzene
<0.50
<0.50
<0.50
<0.50
3. Bromochloromethane
<0.50
<0.50
<0.50
<0.50
4. Bromodichloromethane
<0.50
<0.50
<0.50
<0.50
5. Bromoform
<0.50
<0.50
<0.50
<0.50
6. Bromomethane
<0.50
<0.50
<0.50
<0.50
7. N-Butylbenzene
<0.50
<0.50
<0.50
<0.50
8. Sec-Butylbenzene
<0.50
<0.50
<0.50
<0.50
9. Tert-Butylbenzene
<0.50
<0.50
<0.50
<0.50
10. Carbon Tetrachloride
<0.50
<0.50
<0.50
<0.50
11. Chlorobenzene
<0.50
<0.50
<0.50
<0.50
12. Chloroethane
<0.50
<0.50
<0.50
<0.50
13. Chloroform
<0.50
<0.50
<0.50
3.20
14. Chloromethane
<0.50
<0.50
<0.50
<0.50
15. 2-Chlorotoluene
<0.50
<0.50
<0.50
<0.50
16. 4-Chlorotoluene
<0.50
<0.50
<0.50
<0.50
17. Dibromochloromethane
<0.50
<0.50
<0.50
<0.50
18. 1,2-Dibromo-3-Chloropropane
<0.50
<0.50
<0.50
<0.50
19. 1,2-Dibromoethane
<0.50
<0.50
<0.50
<0.50
20. Dibromomethane
<0.50
<0.50
<0.50
<0.50
21. 1,2 -Dichlorobenzene
<0.50
<0.50
<0.50
<0.50
22. 1,3 -Dichlorobenzene
<0.50
<0.50
<0.50
<0.50
23. 1,4 -Dichlorobenzene
<0.50
<0.50
<0.50
<0.50
24. Dichlorodifluoromethane
<0.50
<0.50
<0.50
<0.50
25. 1,1-Dichloroethane
<0.50
<0.50
<0.50
<0.50
26. 1,2-Dichloroethene
<0.50
<0.50
<0.50
<0.50
27. 1,1-Dichloroethene
<0.50
<0.50
<0.50
<0.50
28. Cis-1,2-Dichloroethene
<0.50
<0.50
<0.50
<0.50
29. trans-1,2-Dichloroethene
<0.50
<0.50
<0.50
<0.50
30. 1,2-Dichloropropane
<0.50
<0.50
<0.50
<0.50
31. 1,3-Dichloropropaoe
<0.50
<0.50
<0.50
<0.50
32. 2,2-Dichloropropane
<0.50
<0.50
<0.50
<0.50
33. 1,1-Dichloropropene
<0.50
<0.50
<0.50
<0.50
34. Cis-1,3-Dichloropropene
<0.50
<0.50
<0.50
<0.50
35. trans-1,3-Dichloropropene
<0.50
<0.50
<0.50
<0.50
36. Ethylbenzene
<0.50
<0.50
<0.50
<0.50
37. Hexachlorobutadiene
<0.50
<0.50
<0.50
<0.50
38. Isopropylbenzene
<0.50
<0.50
<0.50
<0.50
39. 4-Isopropyltoluene
<0.50
<0.50
<0.50
<0.50
40. Methylene Chloride
<0.50
<0.50
<0.50
<0.50
41. Naphthalene
<0.50
<0.50
<0.50
<0.50
42. Propylbenzene
<0.50
<0.50
<0.50
<0.50
43. Styrene
<0.50
<0.50
<0.50
<0.50
44. 1,1,1,2 -Tetrachloroethane
<0.50
<0.50
<0.50
<0.50
45. 1,1,2,2 -Tetrachloroethane
<0.50
<0.50
<0.50
<0.50
46. Tetrachloroethene
<0.50
<0.50
<0.50
<0.50
47. Toluene
<0.50
<0.50
<0.50
<0.50

C��doQo��c��� Flo D��oQpoQat��d
.. Dr12 aq Matas ID: 31
Wastewater ID: 10
y
P.O. BOX 7085, 114 OAKMONT DRIVE PHONE [phone]
GREENVILLE, N.C. 27835-7085 FAX [phone]
CLIENT: A PLACE AT THE BEACH III(HYDROTHCH) CLIENT ID: 552
DON O-MARA
HYDROTECH ANALYST: MAO
P.O. BOX 4602 DATE COLLECTED: 11/11/16
EMERALD ISLE, NC 28594 DATE REPORTED: 12/14/16
REVIEWED BY: ZL
iv VOLATILE ORGANICS
STD. METHODS 6200C (97)
Date Analyzed:
PARAMETERS, ug/1
11/19/16
MW -1
11/19/16
MW -2
11/22/16
MW -3
11/22/16
MW -6
48. 1,2,3-Trichlorobenzene
<0.50
<0.50
<0.50
<0.50
49. 1,2,4-Trichlorobenzene
< 0.50
< 0.50
< 0.50
<0.50
50. 1,1,1 -Trichloroethane
<0.50
<0.50
<0.50
<0.50
51. 1,1,2 -Trichloroethane
< 0.50
< 0.50
< 0.50
<0.50
52. Trichloroethene
< 0.50
< 0.50
< 0.50
<0.50
53. Trichlorolluoromethane
<0.50
<0.50
<0.50
<0.50
54. 1,2,3-Trichloropropane
<0.50
<0.50
<0.50
<0.50
55. 1,2,4-Trimethylbenzene
<0.50
<0.50
<0.50
<0.50
56. 1,3,5-Trimethylbenzene
<0.50
<0.50
<0.50
<0.50
57. Vinyl Chloride
<0.50
<0.50
<0.50
<0.50
58. Total Xylenes
< 1.00
< 1.00
< 1.00
< 1.00
59. Methyl Tert Butyl Ether
<1.00
<1.00
<1.00
<1.00
Page: 2

GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
Facility Name:r
Permit Name (if
Well Location/ Site Name:
SUBMIT FORM ON YELLOW PAPER ONLY
Please Print Clearly or Type
County
Telephone #: \Sl I 4
No. of Wells to be Sampled:
Well Identification Number (from Permit): rForeGroundwaler Treatment Systems
WellDepth:\ ft. WellDiarheter: �_ in. One: ❑ Influent (98)
Screened Interval: ft. to ft.
Depth to Water Level: t,99 ft. below measuring point 0 Effluent (99)
Measuring Point (M.P.) is:_ ft. above land surface. Relative M.P. Elevation in ft.:
Gallons of water Pumped/bailed before sampling: % -S Date sample collected:t l �T
Field analysis: PH ::] &�_ , Specific Conductance uMhos
Temp. ._°C, Odor Appearance
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
WATER QUALITY DIVISION, GROUNDWATER SECTION
1636 MAIL SERVICE CENTER _
PERMIT #: EXPIRATION DATE:
Non-DischargeUIC
NPDES
TYPE OF PERMITT D OPERATION BEING MONITORED
Lagoon _Remediation: Infiltration Gallery
Spray Field _Remediation:
—Rotary Distributor Land Application of Sludoe
NOTE: Values should reflect dissolved and
colloidal concentrations.
Date sample analyzed:
Laboratory Name: —�1 ir�nrt o
Certification No. it)
PARAMETERS (Samples for metals were collected unfiltered YES _NO and field acidified —YES
COD
Coliform: MF Fecal t,
mg/I
/100ml
Nitrite (NO2) aS . _
Nitrate (NO3) as N 07.04
mg/I
rngA
Coliform: MF Total
A00ml
Phosphorus: Total as Pr
mg/I
(Note: Use MPN method for highly to,: .id samples)
Dissolved Solids: Total 4"14
Orthophosphates..-. __.
mg/I
PH hen analyzed)
mg/I
AI - Aluminum
Ba - Barium
mg/1
TOC (A�—units
mg/I
Ca - Calcium
mg/I
mg/I
Chloride
,A
Arsenic
mgA
Cd - Cadmium
mg/I
Grease and Oils
mg/I
mg/I
Chromium: Total
Cu -Copper
mg/I
mg/I
Phenol
Sulfate
mg/I
Fe - Iron
m /I
/l
mg
Specific Conductance
uMhos
Hg - Mercury_
K - Potassium
mg/I
mg/1
AmmoniaKN
mg/1
Mg - Magnesium
mg/1
Total
as N
mg/I
Mn - Manganese
mg/I
GW -59
Rev. 03/2000 – -
Ni - Nickel
mg/I
Pb - Lead
mg/I
Zn - Zinc
mg/I
Ammonia "ti: --.::an
mg/I
Other (Specify Compounds and Concentration Units)
ORGAN : (GC,GC/MS,HPLC)
(Specify test and method If. Attach lab report.)
Report Attached? Yes &—(1) No
VOC : method # = (p k11�
: method # =
: method If =
6

GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT Fr)PM
Facility Name: t
Permit Name (if
Well Location/ Site Name:
SUBMIT FORM ON YELLOW PAPER ONLY
Print
or Type
County_�
Telephone #: Z2$ I - 4
No. of Wells to be Sampled:
Well Identification Number (from Permit):
Well Depth: For Groundwater Treatment Systems
p S ft. Well Diameter: I in. Check One: ❑ Influent (98)
Screened interval: ft. to ft.
Depth to Water Level: T, log ft. below measuring point. Effluent (99)
Measuring Point (M.P.) is:_ ft. above land surface. Relative M.P. Elevation in ft.:
Gallons of water Pumped/bailed before sampling: L . O Date sample collected:. �t
Field analysis: pH 7. 1Specific Conductance uMhos
Temp. l ^C, Odor Appearance
PERMIT #:
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
WATER QUALITY DIVISION, GROUNDWATER SECTION
1636 MAIL SERVICE CENTER
EXPIRATION DATE:
Non-Discharge,.�CpDZ)4jZt, UIC
NPDES
TYPE OF PERMITTED OPERATION BEING MONITORED
Lagoon _Remediation: Infiltration Gallery
Spray Field _Remediation:
Rotary Distributor ._Land Application of Sludge
_ _ Other.
TE' Values should reflect dissolved and .
colloidal concentrations.
Date sample analyzed:
Laboratory Name: ; ,� .- k
Certification No. t n
PARAMETERS (Samples for metals were collected unfiltered YES _NO
COD
and field acidified
Coliform: MF Fecal ,_/1
mg/I
/100m1
Nitrite(NO2)
( 2) as .. _
Nitrate (NOg) as N
i
Coliform: MF Total
/100ml
Phosphorus: Total as P
ml
mil
(Note: Use MPN method for highly tui: ad samples)
Dissolved Solids: Total 3
mg/I
Orthophosphate .__. _., _ `
Al Aluminum
mg/I
hen analyzed) 1. f
units
-
Ba - Barium
my/I
TOC 3 `l9
mg/I
Ca - Calcium
mg/I
mg/I
Chloride
t
Arsenic
mg/I
Cd - Cadmium
mg/I
Grenoe and Oils
mg/I
mg/I
Chromium: Total
Cu - Copper
mg/I
mg/I
Fe - Iron IAM U 5
mg/I
9 mgA
Sulfate Yate
S
Specific Conductance
mg/I
uMhos
Hg - Mercury
K - PotassiumTota
m I
TKNI s Noma
mg/I
VME
Mg - Magnesium
mil
mg/I
mg/I
Mn - Manganese
mg/I
GW-59
Rev. 0341M
_YES --NO)
Ni - Nickel
mg/I
Pb - Lean
mg/I
Zn - Zinc
mg/I
Ammonia ^d - =nn. T)!/
mg/I
Other (Specify Compounds and Concentration
Units)
C.—
ORGANICS: (GC,GC/MS,HPLC)
(Specify test and method #. Attach lab report.)
ReportAttached? Yes _i-,-(`!) No _ (0)
VOC method # = Ln yi11,1_
method # =
method # =

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FnRnn
1.1111. r uYrvnmg i iury Please Print Clearly or Type
Facility Name:pk� `G.t e
Permit Name (if different):
Well Locatiord Site Name:
County
Telephone #: ,) S1 __i 4
No. of Wells to be Sampled:
Well identification (dumber (from Permit): ZeFor Groundwater Treatment Systems
Well Depth: DO ft. Well Diameter: k in. Check One: ❑ Influent (98)
Screened Interval: ft. to ft. ❑ Effluent (99)
Depth to Water Level: ce 3 y _ft, below measuring point.
Measuring Point (M.P.) is: ft. above land surface. Relative M.P. Elevation in ft.:
Gallons of water pumped/bailed before sampling: .),.i_ Date sample collected: \\ �\
Field analysis: pHf_ , Specific Conductance uMhos
Temp. �.� °C, Odor Appearance
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
WATER QUALITY DIVISION, GROUNDWATER SECTION
1636 MAIL SERVICE CENTER
PERMIT #: EXPIRATION DATE:
Non-Discharge.11C�62L4,A'iSZ) UIC
NPDES
TYPE OF PERMITTED OPERATION BEING MONITORED
Lagoon Remediation: Infiltration Gallery
Spray Field Remedialion:
Rotary Distributor Land Application of Sludge
Other:
N TE� Values should reflect dissolved and .
colloidal concentrations.
Date sample analyzed:
Laboratory Name: Er��i nro
Certification No. 1 IN _
PARAMETERS (Samples for metals were collected unfiltered YES _NO and field acidified —YES
COD mg/I Nitrite (NO2) aS IN! _ mg/I
Coliform: MF Fecal > /100mi Nitrate (NO3) as N S• tp mg/I
Coliform: MF Total /100m1 Phosnhnnrc- Tntal no p --/I
(Note: Use MPN method for highly tu;: ad samples)
Dissolved Solids: Total
mg/I
pH (when analyzed)
units
TOC _ 1.BP
mg/I
Chloride 1 SR
mg/i
Arsenic
mg/I
Grease and Oils
mg/I
Phenol
mg/I
Sulfate
mg/I
Hg - Mercury
mg/I
Specific Conductance
uMhos
Total Ammonia
mg/I
TKN as N
mg/l
GW -59
Rev. 0=000
Orthophosphn+n `
mg/I
AI - Aluminum
mg/I
Ba - Barium
mg/I
Ca - Calcium
mg/I
Cd - Cadmium
mg/I
Chromium: Total - JAN Q 5
2917 mg/I
Cu - Copper
mg/I
Fe - Iron
mg/I
Hg - Mercury
mg/I
K - Potassium
mg/I
Mg - Magnesium
mg/I
Mn - Manganese
moll
__1,101
Ni - Nickel
mg/I
Pb - Lead
mg/I
Zn - Zinc
mg/I
Ammonia N",-
. -n mg/I
Other (Specify Compounds and Concentration Units)
ORGANICS: (GC,GC/MS,HPLC)
(Specify test and method If. Attach lab report.)
ReportAttached? Yes_Zfl) No_(0)
VOC : method#=
: method # =
: method # =