WQ0010528_Monitoring - 11-2021_20211230

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DWR - NonDischarge Monitoring Report Submittal
NORTH CAROLINA
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Monitoring Report Submittal
.............................
Permit Number#* WQ0010528
Name of Facility:* TOWN OF RAMSEUR WWTP
Month:* November Year:* 2021
Report Information
Type* Upload Document*
Revised-GW-59 doc20211230151228.pdf 1.58MB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1,NDAR-2,NDMLR,GW-59).
Confirmation Email Address:* [e-mail]
Name of Submitter:* Terry Lewallen
Signature:
Date of submittal: 12/30/2021
This will be filled in automatically
Initial Review
Reviewer: Gerald,Wanda

Is the project number correct?* WQ0010528
Is the monitoring report accepted?* • Yes No
Regional Office* Winston-Salem
Accepted Date: 3/8/2022

GW-59A COMPLIANCE REPORT FORM Permit 4 b]G . 00 j b 5Z
(Submit one each monitoring period with Gl 59 forms.)
1 Enter date monitoring results were due.(IZ 3O 21) Will this monitoring report(GW-59 and GW-59A) YES 1 NO
be submitted after the established due date? f'
•
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,
3 Are any of the monitor wells in need of repair or maintenance(damaged casing,unlocked or missing cap,missing YES / 0
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 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:
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 maybe 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 subtect the permittee to a Notice of Violation,
fines, and/or penalties.
8 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.
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Signature of Per ittee(or Authorized Agent) Date
1
GW-59A 12/8/2003

SUBMIT FORM ON YELLOW PAPER ONLY
Mail original DEPARTMENT OF ENVIRONMENTAL
OF WATER RESOURCES
GROUNDWATER QUALITY MONITORING: INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM and 1 copy to: 1617 MAIL SERVICE CENTER,RALEIGH,NC 27699-1 61 7
FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date: ' j- /t'z'(;
Facility Name: "verW h ac (Pawls 1u, S DU. Non-Discharge ILA V D 1 a sic/ UIC
Permit Name(if different): U) tit tJO tt7 2 . NPDES NC. O?)Z bs“- Other
•Q
Facility Address: Q.0 Rd TYPE OF ERMITTED OPERATION BEING MONITORED
ROI( j..c'vlt� 7i 6 County R Lagoon ❑ Remediation: Infiltration Gallery
ist,,r: 1-.5!
❑ Spray Field ❑ Remediation:
Contact Person: ‘ rry , Le L_-) _Uto k `I Telephone*. 3(a_e z y-3939 ❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name:M i'i►.� 1.... 3 � No.of wells to be sampled: I ❑ Water Source Heat Pump D Other:
CI Ct - I .` r ULr (fromPem-0)
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): t,L ( Date sample collected: 1 1-/Ic -2 1 f FIELD ANALYSES: WAS
Well Depth: 3_ft. Well Diameter: b in. pH 00400: b.5 units Temp.0ooio: L °C DRY at
time of
Depth to Water Level 82546: '30 ft. below measuring point Screened Interval:Z`_ ft. to 3ci ft. Spec.Cond.00094: µMhos sampling,
Measuring Point is 3 ft. above land surface Relative M.P. Elevation: ft. Odor 00085: NC)ni? check
Volume of water pumped/bailed before sampling: 5 gallons Appearance [strut I( here:n
Samples for metals were collected unfiltered: It YES ❑ NO and field acidified: ❑M YES ❑NO _
LABORATORY INFORMATION
Date sample analyzed: 1 k--L -iJ i ? --tn -,'! Laboratory Name: �h� I t/'C1 0,,tr _in 4 Certification No. i a
PARAMETERS NOTE: Values s/h,ould reflect dissolved and colloidal concentrations.
COD 00335 r,/, mg/L Nitrite(NO2)as N 00615 0 , Zg) mg/L Pb-Lead 01051 / ug/L
Coliform: MF Fecal 31616 C j /100mL Nitrate(NO3)as N 00620 Q, 1( mg/L Zn-Zinc 01os2 N f mg/L
Coliform: MF Total 31504 /100mL Phosphorus:Total as P 00665 0,1( mg/L 1
(Note Use MPN method for highly turbid samples) Orthophosphate 70507 14/ mg/L Other(Specify Compounds and Concentration Units):
)issolved Solids:Total 70300 fir)30 mgfL Al-Aluminum 01105 A mglL
pH(Lab)00403 units Ba-Barium 01007 IA uglL
TOC 00680 1 itQ3 mg/L Ca-Calcium 0os1s f�(j�� mg/L
Chloride 00940 10-- mglL Cd-Cadmium 01027 L+ Aug/L
Arsenic 01002 Wll.• uglL Chromium:Total 01034 / A uglL
Grease and Oils 00552 K if mg/L Cu-Copper o1042 /a mg/L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730 WA-A- uglL Fe-Iron 01045 Nil+ uglL (Specify test and method#.ATTACH LAB REPORT.)
Sulfate 00945 f j k mg/L Hg-Mercury 71soo fs/A- ug/L Lab Report Attached? s(1) ❑ No(0)
Specific Conductance 00095 (/ µMhos K-Potassium 00937 /V/A- mg/L VOC 7873 , method#
Total Ammonia 00610 0, 1 1 mg/L Mg-Magnesium 00927 fk- mg/L , method#
(Ammonia Nitrogen:NH3as N:Ammonia Nitrogen,Total) Mn-Manganese 01055 uglL method#
TKN as N 00625 mg/L Ni-Nickel 01067 ) i\ ug/L , method#
For Remediation Systems Only(Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
I certify that.to the best of my knowledge and belief.the information submitted in this report is true,accurate,and complete.and that the laboratory analytical data was produced using approved methods of analysis by a
DWR-certified laboratory. I am aware that there are significant penalties for submitting false information,including the possibility of fines and imprisonment for knowing violations.
—VT' ;- tti U.A 141 V\ �— 0 'R - - , sr f 2-�0 ,Z II
Permittee(or Authorized A nt)Name and Title-Please print or type Signatureofermitt-e(or Authorized Agent) (Dale)
GW-59 Rev.06-07-2018

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114 OAI\:
ff '.V I ? I //i ! 'L )Nt rr'r 'I)(
Off EAViLLE, N.G. 27i1'.�11 FAX [phone].
CLIENT: RAMSEUR (WELLS) CLIENT ID: 460
724 LIBERTY STREET
PO BOX 545 ANALYST: JAP
RAMSE'UR, NC 27316 DATE COLLECTED; 11/16/21 Page: 1
DATE ANALYZED: 11/24/21
DATE REPORTED: 12/08/21
REVIEWED BY
VOLATILE ORGANICS
STD. METHODS 6 2 0 0 C-11
MW-1
PARAMETERS, ughl
1. Benzene <0.50
2. Broneobenzenc <0.50
3. Bromachloromethane <0.50
4. Bromodichloromethane <0.50
5. Bromoform <0.50
6. Bromomethane <0.50
7. N-llutylbenzene <0.50
S. Sec-Bntylbenzene <0.50
9. Tert-Butyibenzene <0.50
10. Carbon Tetrachloride <0.50
11. Chlorobenzene <0.50
12, Chloroethane <0..50
13. Chloroform <0.50
14. Chloromethane <0,50
15. 2-Chlorotoluene <0.50
16. 4-Chlorotoluene <0.50
17. Dibrmuochloromethane <0.50
18. 1,2-Dibromo-3-Chloropropane <0.50
19. 1,2-Dibromoethane <0.50
20. Dibromomethane <0.50
21. 1,2-Dichlorobenzene <0.50
22. 1,3-Dichlorobenzene <0.50
23. I,4-Dichlorabenzene <0.50
24. Dichlorotlilluoromethane <0.50
25. 1,1-Dichloroelhane <0.50
26. 1,2-Dichloroethane <0.50
27. 1,1-❑icliloroetheie <0,50
28. Cis-1,2-Dichloroethene <0.50
29. trans-1,2-Dichloroethene <0,50
30. 1,2-Dichloropropane <0.50
31, 1,3-Dichloropropane <0.50
32. 2,2-Dichloropropane <0.50
33, 1,1-Dichloropropene <0.50
34. Cis-1,3-Dichloropropene <0.50
35. trans-.1,3-Dichloropropene <0.50
36. Ethylbenzene <0.50
37. Hexachlorabutadiene <0,50
38. Isopropyibenzene <0.50
39. 4-Isopropyltohiene <0.50
40. Methylene Chloride <0.50
41. Naphthalene <0,50
42. Propylbenzene <0.50
43. Styrene <0.50
44. 1,1,1,2-Tetrachlorocthane <0.50
45. 1,1,2,2-`l'etrachloroethane <0.50
46. Tetrachloroethene <0.50
47. Toluene <0.50
48. 1,2,3-Trichlorobenzene <0.50

wont vatic• D; Ia
114 OAKMON DRIVE PHONE [phone]
GREENVILLE, N.C. 27858 FAX [phone]
CLIENT: RAMSEUR (WELLS) CLIENT ID: 460
724 LIBERTY STREET
PO BOX 545 ANALYST: JAP
RAMSEUR, NC 27316 DATE COLLECTED: 11/16/21 Page: 2
DATE ANALYZED: 11/24/21
DATE REPORTED: 12/08/21
REVIEWED BY: �✓ L`t
VOLATILE ORGANICS
STD. METHODS 6200C-11
MW-1
PARAMETERS, ugh!
49. 1,2,4-'l'richlorobenzene <0.50
50. 1,1,1-Trichloroethane <0.50
51. 1,1,2-Trichloroethane <0.50
52. Trichloroethene <0.50
53. Trichlorofluoromethane <0.50
54. 1,2,3-Trichloropropane <0.50
55. 1,2,4-Triniethylbenzene <0.50
56. 1,3,5-Trimethylbenzene <0.50
57. Vinyl Chloride <0.50
58. Total Xylenes <1,00
59. Methyl Tert Butyl Ether <1.00

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Wastewater ID, 14
114OAKMONI DRIVE PHONE.(262) i56-62O8
GREENVILLE, N.C. 27858 FAX [phone]
ID#: 460
RAMSEUR (WELLS)
724 LIBERTY STREET
PO BOX 545 DATE COLLECTED: 11/16/21
RAMSEUR, NC 27316 DATE REPORTED : 12/08/21
REVIEWED 8Y:
MW-1 Analysis Method
PARAMETERS Date Analyst Code
Teeal Coliform (MF), /100 MIs <1 11/16/21 ,IMS 9222D-15
_Annnonia Nitrogen as N, mg/i 0.11 11/22/21 KES 350.1 R2-.93
Nitrate Nitrogen as N, mg/1 0.28 11/17/21 KES 353.2 R2-93
—Total Phosphorus as P, ing/I 0.70 11/23/21 BMD 365.4-74
Total Organic Carbon, mg/I 1,63 11/23/21 HMM 5310C-I4
'Chloride, :ng/I 63 11/22/21 BLV 4500CLB-11
�.1ata1 Dissolved Residue, mg/1 630 11/18/21 D1.1 D5907-13

Environment 1.Ine. CHAIN OF CUSTODY RECORD
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Greenville.NC 27858 — Page L +'�
environmentlinc.com DISINFECTION / [
Phone[phone]•Fax (?5')756-0633 CHLORINE NELITRALIZEUATCOLLECTION
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CLIENT: 460 Week:48 h Ca� �a '� pH CHECK(((LAB)
RAMSEUR(WELLS) ❑ \� NE ; P P p P P P P G G G G CONTAINER TYPE,RG
724 LIBERTY STREET i
PO BOX 545 ❑ 1 CHEMICAL PRESERVATION
RAMSEUR NC 27316 Q C ACC A, A E E E E
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PLEASE READ Instructions for completing this form on the reverse side. Sampler must place a"C"for composite sample or a"G"for N° 392395
FORM M5 Grab sample in the blocks above for each parameter requested.