WQ0014565_Monitoring - 07-2021_20210818 (2)

Monitoring Report Submittal
Permit Number #*
Name of Facility:*
Month:* July
Report Information
Type *
GW-59
wg0014565
Pilgrims
Confirmation Email Address:*
Name of Submitter:*
Signature:
Date of submittal:
Initial Review
Year:* 2021
Upload Document*
mon wells july 21.pdf 479.97KB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-t, NDAR-2, NDMLR, GW-59).
[e-mail]
Tina Pedley
T14,2 P&IC-111
Reviewer: Saunders, Erickson G
8/18/2021
This will be filled in automatically

Is the project number correct? * wg0014565
Is the monitoring report r Yes r No
accepted?*
Regional Office * Raleigh
Accepted Date: 8/31/2021

GW-59A COMPLIANCE REPORT FORM Permit # V1Q Ool y SOS
(Submit one each monitoring period with GIV-59 forms.)
1
Enter date monitoring results were due. M. It WIII this monitoring report (GIN-59 and GW-69A)
YES
UO
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($) and
explain the problems encountered in obtaining the required information.
3
Are any of the monitor wells in need of repair or maintenance (damaged casing, unlocked or missing cap, missing
YES
NO
identification plate, area overgrown, etc.)? if the answer is "Yes", contact the Regional Officefor guidance
4
Are any monitored constituents equal to or above the established standards?
ES
NO
If the answer to question 4 is 'NO", skip to section 8.
If the answer to question 4 Is "YES" list the affected wells individually with constituent(s) and concentration(s)
exceeding standards in the space provided below.
MW- ( pH (..41 MW - y pH (r,IS
MW -3 PH S.RI mw- 4 pK 5.-?9
5
For the constituents Identified In question 4 above, have standards been exceeded previously for the
ES
NO
same constituent(s) in the same well(s) in the last two years?
If the answer to question 5 is 'NO', skip to section 8.
If the answer to question 51s "YES" list in the space provided below, each well with constituent(s) exceeding
standards, concentration(s) reported, and sample collection date for each occurrence (for the last two years).
Ail pH MW_1 4. b4 Mh!—I S.35 MW I to ��li 5-% nwl�
rawvlgµW
��
'46
mw•3 S•09 tA%f-3 S.?1, J ,ZV ALUij S.S�i i�{p,d,'ZafuaJj 5149 MAY
M+�-4 'i.4'1 ► bv20 -lo "t'f
4t1
7Son12i Alai-+4 g.KWf 5.to µwq 01
MW-111 4,45 lkw-gyp j,$O Alin4 T.,o
6
Are the monitoring wells listed in section 5 located at or beyond the review boundary?
YES INO
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
O
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
re ! determinea Im act thew Is osal al2tern Is having at the review and comallange
boundaries ndin this facility, Failure so may ub ect thenermittee to a Notice of Violation
tines, anWarvenaldes.
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
riP99"*,Plianse Report GW-59A) lg trq!t a nd complete t . � best of my knowledge.
Signat re of Permittee (or Authorized Agent) D to
GW-59A 12/8/2003

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