WQ0029346_Monitoring - 11-2021_20211209

Monitoring Report Submittal
Permit Number #*
Name of Facility:*
Month: * November
Report Information
Type *
GW-59
WQ0029346
Blue Ridge Mountain Club
Confirmation Email Address:*
Name of Submitter: *
Signature:
Date of submittal:
Initial Review
Year:* 2021
Upload Document*
November 2021 Gw59 and 2.95MB
59A report.pdf
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
[e-mail]
Dale Holman
Reviewer: Saunders, Erickson G
12/9/2021
This will be filled in automatically

Is the project number correct?* WQ0029346
Is the monitoring report accepted?* Yes No
Regional Office* Winston-Salem
Accepted Date: 12/22/2021

GW-59A COMPLIANCE REPORT FORM Permit # _w L/
(Submit one each monitoring period with GW-59 forms.)
I
Enter date monitoring results were due. ( 11 ) Will this monitoring report (GW-59 and GW-59A)
be submitted after the established due date?
YES
NO
2
Was any required information mussing 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
identification plate, area overgrown, etc.)? If the answer is "Yes", Regional
YES
NO
contact the Of, j"ice for guidance.
4
Are any monitored constituents equal to or above the established standards?
YES
NO -
If the answer to question 4 is ' 0", 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).
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 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
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 comp/lance
boundaries surroundlng this facrhty Failure to do so may subiect the permittee to a Notice of Violation
fines, and/or penalties.
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.
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Signature of Pennittee (or Authorized Agent) Date
GW-59A 12/8/2003

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GROUNDWATER QUALITY MONITORING: ` • • DEPARTMENT OF ENVIRONMENTAL QUALITY -DIV. OF WATER RESOURCES
COMPLIANCE REPORT FORM INFORMATION PROCESSING UNIT
FACILITY INFORMATION Please Print Clearly or Type
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617
• • • PERMIT Number: Expiration Date: 5/ 1/2022
Facility Name: Blue Ridge Mountain Club Non -Discharge WQ0029346 UIC
Permit Name (if different): NPDES Other
Facility Address: P.O. Box 1727 TYPE OF PERMITTED OPERATION BEING MONITORED
Blowing Rock N.C. 28605 County Wilkes ❑ Lagoon
g ❑Remediation: Infiltration Gallery
0 Spray Field ❑ Remediation:
Contact Person: Dale Holman Telephone#: [phone] ❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: MW-1 No. of wells to be sampled: 1 ❑ Water Source Heat Pump ❑ Other:
WELL ID NUMBER (from Permit): MW-1
Date sample collected: 11/10/2021
FIELD ANALYSES:
If WELL
WAS
Well Depth: 21.0 ft.
Well Diameter: 2 in.
pH 00400: units Temp. 000lo: eC
DRY at
Depth to Water Level 82546: ft. below measuring
point Screened Interval: ft.
to ft.
Spec. Cond. 00094: µMhos
time of
Measuring Point is ft. above land surface
Relative M.P. Elevation:
ft.
Odor 00085:
sampling,
Volume of water pumped/bailed before sampling:
gallons
check
Samples for metals were collected unfiltered: © YES
❑ NO and field acidified: © YES ❑
NO
Appearance
here:❑
LABORATORY INFORMATION
Date sample analyzed: Laboratory Name:
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
Certification No.
COD 00335
mg/L
Nitrite (NO2) as N 00615
mg/L
Pb - Lead o1o51 u9 /L
Coliform: MF Fecal 31616
/100mL
Nitrate (NO3) as N 00620
mg/L
Zn - Zinc 01092 m9 /L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300
mg/L
Al - Aluminum 01105
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
TOC 00680
mg/L
Ca - Calcium 00916
mg/L
_
Chloride 00940
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 Conductance 00095
µMhos
K - Potassium 00937
mg/L
VOC 7873 method #
Total Ammonia oo6lo
(Ammonia Nitrogen: NH3as N, Ammonia Nitrogen, Total)
mg/L
Mg - Magnesium 00927
mg/L
method #
Mn - Manganese 01055
U /L
g
#
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L
,method
method #
For Remediatinn Auctumc n..I., /Af" " 1 -9
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