WQ0007026_Monitoring - 03-2022_20220425

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DWR - NonDischarge Monitoring Report Submittal
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NORTH CAROLINA
Enrlranmenlel QHaflly
Monitoring Report Submittal
..............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
Permit Number#* WQ0007026
Name of Facility:* Sanford Health&Rehabilitation
Month:* March Year:* 2022
Report Information
Type* Upload Document*
GW-59 SHR MW's 3-22-22.pdf 2.62MB
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:* Randall C Jarrell
Signature:
Date of submittal: 4/25/2022
This will be filled in automatically
Initial Review
.............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
Reviewer: Gerald,Wanda

Is the project number correct?* WQ0007026
Is the monitoring report accepted?* Yes No
Regional Office* Raleigh
Accepted Date: 5/9/2022

SUBMIT FORM ON YELLOW PAPER ONLY
Mail original DEPARTMENT OF ENVIRONMENT&NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING: and Icon to 'IVISION OF WATER QUALITY-INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM 617 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
Permit Name(if different): WQ0007026 _ _ NPDES Other
Facility Address: 4400 Ferrell Road TYPE OF PERMITTED OPERATION BEING MONITORED
Sanford NC 27330 County Lee ❑ Lagoon ❑Remediation: Infiltration Gallery
® 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: 3-22-22 FIELD ANALYSES: WAS
Well Depth: 100 ft. Well Diameter:2 in. pH 5.39 units Temp. 17.9 °C DRY at
Depth to Water Level: 6.5ft.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: 25gallons Appearance here:
Samples for metals were collected unfiltered: OYES ❑ NO and field acidified: ❑YES ❑NO
LABORATORY INFORMATION
Date sample analyzed: 3/22/22 -4/14/22 Laboratory Name: ENCO Certification No. 591
PARAMETERS NOTE:Values should reflect dissolved and colloidal concentrations.
COD mg/I Nitrite(NO2)as N_ 0.022 mg/I Pb-Lead mg/I
Coliform: MF Fecal <1.0/100m1 Nitrate(NO3)as N 2.5 mg/I Zn-Zinc mg/I
Coliform:MF Total /100m1 Phosphorus:Total as P <0.025 mg/I
(Note: Use MPN method for highly turbid samples) Orthophosphate mg/I Other(Specify Compounds and Concentration Units):
Dissolved Solids:Total 140 mg/I Al-Aluminum_ mg/I
pH (when analyzed) units Ba-Barium mg/I
TOC 3.7 mg/I Ca-Calcium mg/I
Chloride 9.0 mg/I Cd-Cadmium mg/I
Arsenic mg/I Chromium:Total_ mg/I
Grease and Oils mg/I Cu-Copper mg/1 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 <0.0098 mg/I Mg-Magnesium mg/I , method#
(Ammonia Nitrogen;NHras N;Ammonia Nitrogen,Total)
Mn-Manganese mg/I , method#
TKN as N mg/I Ni-Nickel mg/I , 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
DWQ-certified laborato . I am aware that there are si.nificant penalties for submittin.false information,includin.the possibili of fines and im.risonment
for knowin./ violations.
Randall Jarrell -ORC [.,v (/ 4(2-�Zz
Permittee(or Authorized Agent)Name and Title-Please print or type Signature of Permittee(or Authori d Agent) ;Date)
GW-59 Rev. 1/2007

SUBMIT FORM ON YELLOW PAPER ONLY i
Mail original DEPARTMENT OF ENVIRONMENT&NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING: and l copy to 'IVISION OF WATER QUALITY-INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM 617 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 W00007026 UIC
Permit Name(if different): W00007026 NPDES Other
Facility Address: 4400 Ferrell Road TYPE OF PERMITTED OPERATION BEING MONITORED
Sanford NC 27330 County Lee ❑ Lagoon ❑Remediation: Infiltration Gallery
® 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-4 Date sample collected: 3-22-22 FIELD ANALYSES: WAS
Well Depth: 32.8 ft. Well Diameter:2 in. pH 6.39 units Temp. 16.6 °C DRY at
Depth to Water Level: 6.25ft.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:
Samples for metals were collected unfiltered: EYES ❑NO and field acidified: ❑YES ❑NO
LABORATORY INFORMATION
Date sample analyzed: 3-22-22-4/14/22 Laboratory Name: ENCO Certification No. 591
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 <1.0/100m1 Nitrate(NO3)as N 0.063 mg/I Zn-Zinc mg/I
Coliform: MF Total /100m1 Phosphorus:Total as P 0.048 mg/I
(Note: Use MPN method for highly turbid samples) Orthophosphate mg/I Other(Specify Compounds and Concentration Units):
Dissolved Solids:Total 350 mg/I Al-Aluminum mg/I
pH (when analyzed)- units Ba-Barium mg/I
TOC 0.92 mg/I Ca-Calcium mg/I
Chloride 23 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 0.040 mg/I Mg-Magnesium mg/I ,method#
(Ammonia Nitrogen:NH,as N;Ammonia Nitrogen,Total) Mn-Manganese mg/I ,method#
TKN as N mg/I Ni-Nickel mg/I ,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
DWQ-certified laborato . I am aware that there are si.nificant.enalties for submittin.false information,includin.the.ossibili of fines and im.risonment for knowin.violations.
r
Randall Jarrell - ORC / 1/t 4I.24I-.).
Permittee(or Authorized Agent)Name and Title-Please print or type Signature of Permittee(or Authorized (gent) ;Date)
GW-59 Rev. 1/2007

SUBMIT FORM ON YELLOW PAPER ONLY
Mail original DEPARTMENT OF ENVIRONMENT&NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING: and I con"t0: '(VISION OF WATER QUALITY-INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM 617 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
Permit Name(if different): WQ0007026 NPDES Other
Facility Address: 4400 Ferrell Road TYPE OF PERMITTED OPERATION BEING MONITORED
Sanford NC 27330 County Lee ❑ Lagoon ❑Remediation: Infiltration Gallery
® 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: 3-22-22 FIELD ANALYSES: WAS
Well Depth: 29.5 ft. Well Diameter:2 in. pH 6.40 units Temp. 15.1 °C DRY at
Depth to Water Level: 7.Oft. 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: 20gallons Appearance here:
Samples for metals were collected unfiltered: DYES ❑NO and field acidified: ❑YES ❑NO
LABORATORY INFORMATION
Date sample analyzed: 3/22/22-4/14/22 Laboratory Name: ENCO Certification No. 591
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 <1.0/100m1 Nitrate(NO3)as N 0.14 mg/I Zn-Zinc mg/I
Coliform: MF Total /100m1 Phosphorus:Total as P 0.15 mg/I
(Note: Use MPN method for highly turbid samples) Orthophosphate mg/I Other(Specify Compounds and Concentration Units):
Dissolved Solids:Total 350 mg/I Al-Aluminum mg/I
pH (when analyzed) units Ba-Barium mg/I
TOC 1.5 mg/1 Ca-Calcium mg/I
Chloride 49 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 <0.0098 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(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
DWQ-certified laborato . I am aware that there are si•nificant penalties for submitin•false information,includin.the.ossibili of fines and imprisonment for knowin.violations.
Randall Jarrell-ORC glzs4zz
Permittee(or Authorized Agent)Name and Title-Please print or type Signature of Permittee(or Authorize.Agent) :Date)
GW-59 Rev. 1/2007