HomeMy WebLinkAboutWQ0009772_Monitoring - 07-2021_20210831Monitoring Report Submittal
............................................................................................................................................
Permit Number #* WQ0009772
Name of Facility:*
Month:* July
Report Information
Type *
GW-59
Monteray Shores WWTP
Confirmation Email Address:*
Name of Submitter:*
Signature:
Date of submittal:
Initial Review
Year:* 2021
Upload Document*
MS MW JUL21 Report 10.72MB
Signed.pdf
IPDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
Travis.Tucker@carolinawaterservicenc.com
Travis Tucker
p�" 11 �'Y, 9ut
Reviewer: Lloyd, Chloe D
8/31 /2021
This will be filled in automatically
Is the project number correct?* WQ0009772
Is the monitoring report t: Yes r No
accepted?*
Regional Office* Washington
Accepted Date: 9/10/2021
GW-59A COMIPIAAACE REPORTFORIVII Perin it -Al�
04117ffidt -QUe e,R* period 'Hyffif G94V,59fbrrP1,V)
Enter date monitoring results were due' (5 Will this monitoring report (GVV:F9—and 3W-69A)
be submitted after the established due date? 1
-VE—,S
NO
Was any required information missing on the GW-59 report forms?
YES
IF the answer to question I 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.
Are any of the monitor wells in need of repair at' maintenance (damaged casing, unlocked or missing cap, missing
identification plate, area overgrown, etc.)? I
f the answer is "Yes", contact the Regional Office guidance.
YES
NO
X
4
Are any monitored constituents equal to or above the established standards?
YES
NO
ff 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)
exceedingstare r sin the gpiace provVe t below:
A-
For the constituents identified in question 4 above, have standards been exceed6d previously For the
same constituent(s) in the same well(s) in the last two years?
YESNo
7--
—5 —'NO—",
TI theanswer—loquestion is 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 c flection date for each occurrence (for the last two years).
5
6
Are the monitoring wells listed in section 5 located at or beyond the review boundary?
YES
NO
'K
If the answer is "YES" a groundwater quality problem maybe occurring. CONTACT THE REGIONAL—
OFFICE IMMEDIA TEL Y FOR GUIDANCE. If the answer is "NO", monitoring wells may be improperly
located; contact the Regional Office.
Is the permittee implementing previously approved actions required by the Division involvinj-t—hls
-VE—S
—
-No
groundwater quality problem?
if the answer to question T is "YES', describe those aotions in the space provided below.
If the answer to question 7 is "NO", maybe
rewired �to determine the t the waste dtsposa/system is having at ties review and e
�imact
boundaries surroundingthistac—
— — —
--------------
The person completing this--ft—lon
0 GW f t mo gr po ts
P ( 59A 0 he monitoring report houldsign beloand ubmitthis
w
form with G5
ID th.9forms for required wells to the address ided at the he an _,5,
I S prov e top oftcurrent
GI; 9 form
I hereby acknowledge that the above information was evaluated and the information submitted in this
report (Compliance Report -5 A) is true and core L),%,tyjt9bt4A kpat of my knowledge.
[N. C=US O=CWSNC CN=D111 Hill E=da,,,hilip�ll,nmate,,,,i�,,,rem
R I — th—th , f this d—srt
Hill
L= Y_ sigh rg 1—tron here
Dana Da. 20 1 08 31 08 17 07-04'00'
F..it PDF Editor Version'. 11 0 0
Signature of Penn ittee (or Authorized Agent) ®ate
-59A 12/8/2003
Ground Water Data
YNYTY
Permit # WQ0009772
Collection
TDS
Date
m
11:mg/l
2020
7/13/2020
Dana Hill
Signature of Permittee (or Authorized Agent)
Collection
ate
Digitally signed by Dana Hill
DIN: C=US, O=CWSNC, CN=Dana Hill, E=dana.hiII@carolinawaterservicenc.com
Reason: I am the author of this document
Location:
your signing location here
Date: 2021.08.31 08:17:33-04'00'
Foxit PDF Editor Version: 11.0.0
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