WQ0007026_Monitoring - 03-2021_20210501

Monitoring Report Submittal
............................................................................................................................................
Permit Number #* WQ0007026
Name of Facility:*
Month:* March
Report Information
Type *
GW-59
Sanford Health & Rehabilitation
Confirmation Email Address:* [e-mail]
Name of Submitter:* Randall C Jarrell
Signature:
Year:* 2021
Upload Document*
SHR GW-59, 3-10-21.pdf
FDF only
2.3MB
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-t, NDAR-2, NDMLR, GW-59).
Date of submittal: 5/1/2021
This will be filled in &Aormticaly
Initial Review
Reviewer: Williams, Kendall N

Is the project number correct? * WQ0007026
Is the monitoring report r Yes r No
accepted?*
Regional Office * Raleigh
Accepted Date: 5/4/2021

SUBMIT FORM ON YELLOW PAPER ONLY
11171.
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING;
IVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
..
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION Please Print Clearly or Type
PERMIT Number: Expiration Date:
Facility Name: Sanford Health & Rehabiitation
Non -Discharge WQ0007026 UIC
NPDES Other
Permit Name (if different): WQ0007026
Facility Address: 4400 Ferrell Road
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
Sanford NC 27330 County Lee
® Spray Field ❑ Remediation:
Contact Person: Randall Jarrell
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Lee County
No. of wells to be sampled:
3
❑ Water Source Heat Pump ❑ Other:
from Permit)
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-1
Date sample collected: 3-10-21
FIELD ANALYSES:
WAS
Well Depth: 100 ft.
Well Diameter:2
in.
pH 5.81 units Temp. 16.3 °C
DRY at
Depth to Water Level: 4.75ft. below measuring point
Screened Interval:
ft. to
ft. Spec. Cond. µMhos
time ofsampling,
Measuring Point is 3 ft. above land surface
Relative M.P. Elevation:
ft.
Odor
check
Volume of water pumped/bailed before sampling:
25 gallons
Appearance
here: ❑
Samples for metals were collected unfiltered: DYES
❑ NO and field acidified: [--]YES
❑ NO
LABORATORY INFORMATION
591
Date sample analyzed: 3/10/21 - 3/17/21
Laboratory Name: ENCO
Certification No.
PARAMETERS NOTE: Values should reflect dissolved
and colloidal concentrations.
COD mg/I
Nitrite (NO2) as N
<0.032 mg/1
Pb - Lead mg/I
Coliform: MF Fecal 3.0 /100ml
Nitrate (NO3) as N
3.7 mg/1
Zn - Zinc mg/I
Coliform: MF Total /100ml
Phosphorus: Total as P
mg/I
(Note: Use MPN method for highly turbid samples)
Orthophosphate
mg/I
Other (Specify Compounds and Concentration Units):
Dissolved Solids: Total mg/I
Al - Aluminum
mg/I
pH (when analyzed) units
Ba - Barium
mg/I
TOC 0.64 mg/I
Ca - Calcium
mg/1
Chloride 6•4 mg/I
Cd - Cadmium
mg/1
Arsenic mg/I
Chromium: Total
mg/1
Grease and Oils mg/I
Cu - Copper
mg/I
ORGANICS: (by GC, GC/MS, HPLC)
Phenol mg/I
Fe - Iron
mg/I
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate mg/I
Hg - Mercury
mg/I
Report Attached? ❑ Yes (1) ® No (0)
Specific Conductance µMhos
K - Potassium
mg/I
VOC method #
Total Ammonia <0.045 mg/1
Mg - Magnesium
mg/I
method #
(Ammonia Nitrogen; NH3as N; Ammonia Nitrogen, Total)
Mn - Manganese
mg/I
, method #
TKN as N mg/I
Ni - Nickel
mg/I
method #
For Remediation Systems Only Total•Total• •
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
DWQ-certified laboratory._ I am aware that there are significant penalties for submitting false information, including the possibility of fines and im risonment for knowing violations.
Randall Jarrell - ORC
Permittee (or Authorized Agent) Name and Title - Please print or tVPe
Siqnature of Permittee (o Authorized Agent) (Date)
GW-59 Rev.1/2007

SUBMIT FORM ON YELLOW PAPER ONLY
���R'6117
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
(VISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION Please Print Clearly or Type
PERMIT Number: Expiration Date:
Facility Name: Sanford Health & Rehabiitation
Non -Discharge WQ0007026 UIC
NPDES Other
Permit Name (if different): WQ0007026
Facility Address: 4400 Ferrell Road
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
Sanford NC 27330 County Lee
® Spray Field ❑ Remediation:
Contact Person: Joe Ryan
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Lee County
No. of wells to be sampled:
3
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW - 4
Date sample collected: 3-10-21
FIELD ANALYSES:
WAS
Well Depth: 32•8 ft.
Well Diameter:2
in.
pH 6.58 units Temp. 15.7 oC
DRY at
Depth to Water Level: 7.0ft. below measuring point
Screened Interval:
ft. to —
ft. Spec. Cond. µMhos
time of
sampling,
Measuring Point is 3 ft. above land surface
Relative M.P. Elevation:
ft.
Odor
check
Volume of water pumped/bailed before sampling:
16 gallons
Appearance
here: El
Samples for metals were collected unfiltered: ❑YES
❑ NO and field acidified: ❑ YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed: 3/10/21 - 3/17/21
Laboratory Name: ENCO
Certification No. 591
PARAMETERS NOTE: Values should reflect dissolved
and colloidal concentrations.
COD mg/1
Nitrite (NO2) as N
<0.017 mg/I
Pb - Lead mg/I
Coliform: MF Fecal <1.0 /1ooml
Nitrate (NO3) as N
0.28 mg/I
Zn - Zinc mg/I
Coliform: MF Total /loom[
Phosphorus: Total as P
mg/1
(Note: Use MPN method for highly turbid samples)
Orthophosphate
mg/1
Other (Specify Compounds and Concentration Units):
Dissolved Solids: Total mg/1
All - Aluminum
mg/1
pH (when analyzed) units
Ba - Barium
mg/I
TOC 1.1 mg/I
Ca - Calcium
mg/I
Chloride 31 mg/I
Cd - Cadmium
mg/I
Arsenic mg/I
Chromium: Total
mg/I
Grease and Oils mg/I
Cu - Copper
mg/I
ORGANICS: (by GC, GC/MS, HPLC)
Phenol mg/I
Fe - Iron
mg/I
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate mg/I
Hg - Mercury
mg/I
Report Attached? ❑ Yes (1) ® No (0)
Specific Conductance µMhos
K - Potassium
mg/1
VOC method #
Total Ammonia <0.045 mg/I
Mg - Magnesium
mg/I
method #
(Ammonia Nitrogen; NH3 as N; Ammonia Nitrogen, Total)
Mn -Manganese
mg/I
,method #
TKN as N mg/I
Ni - Nickel
mg/I
method #
For Remediation Systems Only Total• • . • •
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
DWQ-certified laboratory. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations.
Randall Jarrell - ORC
Permittee (or Authorized Aqent) Name and Title - Please print or type
Signature of Permittee (or Authorized
4I3>�2t
(Date)
GW-59 Rev.112007

SUBMIT FORM ON YELLOW PAPER ONLY
jj
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
j• &
(VISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION Please Print Clearly or Type
PERMIT Number: Expiration Date:
Facility Name: Sanford Health & Rehabiitation
Non -Discharge WQ0007026 UIC
NPDES Other
Permit Name (if different): WQ0007026
Facility Address: 4400 Ferrell Road
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
Sanford NC 27330 County Lee
® Spray Field ❑ Remediation:
Contact Person: Randall Jarrell
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Lee County
No. of wells to be sampled:
3
❑ Water Source Heat Pump ❑ Other:
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-5
Date sample collected: 3-10-21
FIELD ANALYSES:
WAS
Well Depth: 29.5 ft.
Well Diameter:2
in.
pH 6.69 units Temp. 15.0 °C
DRY at
Depth to Water Level: 6.5ft. below measuring point
Screened Interval:
ft. to _ft.
Spec. Cond. µMhos
time ofsampling,
Measuring Point is 3 ft. above land surface
Relative M.P. Elevation:
ft.
Odor
check
Volume of water pumped/bailed before sampling:
20 gallons
Appearance
here: ❑
Samples for metals were collected unfiltered: DYES
❑ NO and field acidified: ❑ YES
❑ NO
LABORATORY INFORMATION
591
Date sample analyzed: 3/10/21 - 3/17/21
Laboratory Name: ENCO
Certification No.
PARAMETERS NOTE: Values should reflect dissolved
and colloidal concentrations.
COD mg/I
Nitrite (NO2) as N
<0.017 mg/I
Pb - Lead mg/I
Coliform: MF Fecal <1.0 /100ml
Nitrate (NO3) as N
<0.041 mg/I
Zn - Zinc mg/I
Coliform: MF Total /loom[
Phosphorus: Total as P
mg/I
(Note: Use MPN method for highly turbid samples)
Orthophosphate
mg/I
Other (Specify Compounds and Concentration Units):
Dissolved Solids: Total mg/I
Al - Aluminum
mg/I
pH (when analyzed) units
Ba - Barium
mg/I
TOC 2.8 mg/I
Ca - Calcium
mg/I
Chloride 210 mg/I
Cd - Cadmium
mg/I
Arsenic mg/I
Chromium: Total
mg/I
Grease and Oils mg/I
Cu - Copper
mg/I
ORGANICS: (by GC, GC/MS, HPLC)
Phenol mg/I
Fe - Iron
mg/I
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate mg/I
Hg - Mercury
mg/I
Report Attached? ❑ Yes (1) ® No (0)
Specific Conductance µMhos
K - Potassium
mg/I
VOC method #
Total Ammonia <0.045 mg/I
Mg - Magnesium
mg/I
method #
(Ammonia Nitrogen; NH3as N; Ammonia Nitrogen, Total)
Mn -Manganese
mg/I
,method #
TKN as N mg/I
Ni - Nickel
mg/I
method #
For Remediation Systems Only Total• • . • •
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
DWQ-certified laboratory. I am aware that there are significant penalties for submitting false information, including the possibility of fines and im dsonment for knowing violations.
Randall Jarrell- ORC
Permittee (or Authorized Aqent) Name and Title - Please print or type Siqnature of Permittee (or Authorized
(Date)
121
GW-59 Rev.1/2007