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Home My WebLink AboutWQ0010528_Monitoring - 12-2020_20210212Monitoring Report Submittal ............................................................................................................................................ Permit Number #* WQ0010528 Name of Facility:* Month:* December Report Information Type * GW-59 Town of Ramseur SDU Confirmation Email Address:* Name of Submitter:* Signature: Date of submittal: Initial Review Year:* 2020 Upload Document* GW59 December 2020.pdf 1.18MB PDF Only Please upload one PDF containing all applicable monitoring reports (i.e., NDMR, NDAR-t, NDAR-2, NDMLR, GW-59). t.lewaIlen@townoframseur.org Terry Lewallen Reviewer: Williams, Kendall 2/12/2021 This will be filled in autorratically Is the project number correct? * WQ0010528 Is the monitoring report r Yes r No accepted?* Regional Office * Winston-Salem Accepted Date: 2/12/2021 G«-59A COMPLIANCE REPORT FORM Permit # WR VDIV57i (.Subrnit one each monitoring period moth GId=59 forms.) 1 Enter date monitoring results were due. ( 12 -30-70) Will this monitoring report (GW-59 and GW-59A) YE 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. I k, ujc,� [ 44, - pla'. F ha'5 AZ d csvw 10":4c- a t( ��►. t�e,.r..e� �' SS lc�S �wd of �v��il v6�- rece-'cue rA(I lab 3 Are any of the monitor wells in need of repair or maintenance (damaged casing, unlocked or missing cap, missing YES N 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 O 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: 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). 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 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 system is having at the review and compliance boundaries surrounding this facility. Failure to do so may subject 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. 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. 2-((-2- Signature of Per Tittee (or Authorized Agent) Date GW-59A 12/8/2003 SUBMIT FORM ON YELLOW PAPER ONLY GROUNDWATER QUALITY MONITORING: COMPLIANCE REPORT FORM FACILITY INFORMATION Please Print Clearly or Type Facility Name: ® fd.1n b Ra m -5,p- L o, D U Permit Name (if different): w Q U o b 5 2 8 Facility Address: -13 -J RaUh e C) Ra V" 5 eu r :` `:" GII . 213 (6 County &0LV-' O 1 P 4 Contact Person: Te V-V- l-� w a 4 l�h Telephone#: 33 rn- t7 Z 3 1 Well Location/Site Name: 11 \01 35 o ti3,i 8.Z71ff No. of wells to be sampled: WELL ID NUMBER (from Permit): Date sample collected: I Z "I7-70 Well Depth: ft. Well Diameter: in. Depth to Water Level 82546:C,) _ft. below measuring point Screened Interval:2 Lft. to33 ft. Measuring Point is 3 ft. above land surface Relative M.P. Elevation: ft. Volume of water pumped/bailed before sampling: 15 gallons Samples for metals were collected unfiltered: ❑■ YES ❑ NO and field acidified: X YES ❑ NO DEPARTMENT OF ENVIRONMENTAL QUALITY - DIV. OF WATER RESOURCES INFORMATION PROCESSING UNIT 1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 IT Number: Expiration Date: ischarge W a ad 1067-19 UIC 3 I�IC oo�6S�5 Other 'PE OF PERMITTED OPERATION BEING MONITORED ff agoon ❑ Remediation: Infiltration Gallery ❑ Spray Field ❑ Remediation: ❑ Rotary Distributor ❑ Land Application of Sludge ❑ Water Source Heat Pump ❑ Other: FIELD ANALYSES: WAS pH 00400: (5,36units Temp. 000lo: �rj. °C DRY at Spec. Cond. 000sa: µMhos time ofsampling, Odor 00085: NOv,e check Appearance GI-e(X✓' here:❑ %Ull I Vr\I IIYI VI\".-1 v ite sample analyzed: 1-5-7-1 LaboratoryName: Fv % U r VC) wren I Certification No. 10 kRAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. IV COD 00335 �� mg/L Nitrite (NO2) as N 00615 p. pc% mg/L Pb - Lead o1051 IVIA ug/L Coliform: MF Fecal 31616 a /100mL Nitrate (NO3) as N 00620 b , Z mg/L Zn - Zinc 01092 ///,-mg/L Coliform: MF Total 31504 /100mL Phosphorus: Total as P 00665 �w.�1 5 mg/L (Note: Use MPN method for highly turbid samples) Ortho hos hate 70507 mg/L ved Solids:Total 70300 Zb 3 mg/L pH (Lab) 00403 units TOC 00680 I b ( mg/L Chloride 00940 rJ mg/L Arsenic 01002 �(/ /� ug/L Grease and Oils 00552 114(A mg/L Phenol 32730 N/ A ug/L Sulfate 00945 tN I A mg/L fic Conductance 00095 (�(�(� µMhos Total Ammonia 00610 b, 0 mg/L (Ammonia Nitrogen; N113as N; Ammonia Nitrogen, Total) TKN as N 00625 mg/L p p All -Aluminum 01105 91A mg/L Ba - Barium 01007 'At f A ug/L Ca - Calcium 00916 mg/L Cd - Cadmium 01027 ug/L Chromium: Total 01034 N A ug/L Cu - Copper 01042 N/A mg/L Fe - Iron 01045 A(Z 4 ug/L Hg - Mercury 71900 N/ A ug/L K - Potassium 00937 N/ mg/L Mg - Magnesium 00927 it! /�� mg/L Mn - Manganese 01055 �!' ug/L Ni - Nickel 01067 ri/%k ug/L Other (Specify Compounds and Concentration Units) ORGANICS: (by GC, GC/MS, HPLC) (Specify test and method #. ATTACH LAB REPORT.) Lab Report Attached? 0_ Yes (1) ❑ No (0) VOC 7873 method # method # method # method # For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VUL; Kenr l io Permittee (or AuthoriAed Agent) Name GW-59 Rev.06-07-2018 r l l--Q n - D K and Title - Please print or type �� VV (.4,? Signature of Agent) (Date)