WQ0010528_Monitoring - 07-2022_20220829

Monitoring Report Submittal
Permit Number #*
Name of Facility:*
Month: * July
Report Information
Type *
GW-59
WQ0010528
Town of Ramseur
Confirmation Email Address:*
Name of Submitter: *
Signature:
Date of submittal:
Initial Review
Year:* 2022
Upload Document*
doc20220829125158.pdf 1.28MB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
[e-mail]
Debbie Rhamy
Reviewer: Gerald, Wanda
8/29/2022
This will be filled in automatically

Is the project number correct?* WQ0010528
Is the monitoring report accepted?* Yes No
Regional Office* Winston-Salem
Reviewer: _anonymous
Review Date: 9/20/2022

SUBMIT FORM ON YELLOW PAPER ONI Y
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
FACILITY INFORMATION Please Print Clearly or Type
Facility Name: 7j-) IA.;' V, O'C R11 Y+�A3 e tA V- SIRL
Permit Name (if different): k_*_) C)
Facility Address: KCILIKilt-n-P Kri-
7 2416
County
act Person: Telephone*- 8,7 Ct
Location/Site NamefirtW1. No'. of wells to be sampled:_
PERMIT Number: Expiration Date: Z00,
Non -Discharge W &, o C) I C) 5-28 U ic
NPDES IVr L *)C)2 _A' b5 Other
TYPE OF PERMITTED OPERATION BEING MONITORED
�-05`goon E] Remediation: Infiltration Gallery
0 Spray Field EJ Remediation:
El Rotary Distributor n and Application of Sludge
El Water Source Heat Pump Other:!SiLq,,4co
WELL ID NUMBER (from Permit):
Date sample collected: 7—
FIELD ANALYSES:
If WELL
WAS
Well Depth: �,q ft.
Well Diameter.in.
PH 00400: (o,q units Temp. 000lo: J'J,j -C
DRY at
Depth to Water Level 82546 -ya--ft. below measuring point
Screened Interval: ft. to 3113ft.
Spec. Cond. 00094: pMhos
time of
Measuring Point is 3 ft. above land surface
Relative M.P. Elevation: ft.
Odor 00o8s:
sampling,
Volume of water pumped/bailed before sampling: gallons
Appearance
check
here:
,Samples for metals were collected unfiltered: X YES El NO
and field acidified: X YES ❑ NO
ite sample analyzed: 7- 7j-?-?- 1-72-72-117-25 7°
kRAMETERS NOTE: Values should refiLdct djss�blvf'
COD 00335 mg/L
Coliform: MF Fecal 31616 C /1 OOmL
Coliform: MF Total 31504 /100mL
(Note: Use MPN method for highly turbid samples)
solved Solids:Total 70300 (D Z0 mg/L
PH (Lab) 00403
units
TOC oG68o
mg1L
Chloride 00940
mg/L
Arsenic 01002
ug/L
Grease and Oils 00552%+mg/L
Phenol 32730_—t)YA
ug/L
Sulfate oo945
mq1L
3cific Conductance 00095 pMhos
Total Ammonia oo610 ---- 'D. Oq-
mg/L
(Arnmonia Nitrogen: NH.as N: Ammonia Nitrogen, Total)
TKN as N 00625
mg/L
`kj-J-Maboratory Name:
&U 11-0 Certification No,
afrid colloidal concentrations.
Nitrite r02) as N 00615 <_0.0 Y mg/L Pb - Lead olo-51 ug/L
Nitrate {03) as N 00620 <-- 0, O!E mg/L Zn - Zinc 01092 mg/L
r.
Phosphorus: Total as P 00665 mg1L
Orthophosphate 70507 N mg/L Other (Specify Compounds and Concentration Units):
Al - Aluminum 01105 mg/L
Ba - Barium 01007 H/A- ug/L
Ca - Calcium 00916 mg/L
Cd - Cadmium 01027 ug/L
Chromium: Total 01034 ug/L
Cu - Copper 01042 _mg/L ORGANICS: (by GC, GC/MS, HPLC)
Fe - Iron 01045 uglL (Specify test and method #. ATTACH LAB REPORT.)
Hg - Mercury 71900 ug/L Lab Report Attached? I-q---Yes (1) 0 No (0)
K - Potassium 00937 mg/L VOC 7873 method #
Mg - Magnesium 00927 —mg/L method #
Mn - Manganese olos5 W-A—ug/L method #
Ni - Nickel o1o67 A/A ug1L method #
11-UVIII lUU31 VJ,_b. . Mq/L tmuent i otai vacs:
mg/L VOC Removal%
&
ittee (or Auth rized Agent) Name and Title - Please print or type Signature of iltVe (or Authorized Agent) (Date)
(;W-59 11Rev, 06-07-2018 tm

GW-59A COINIPLIANCE RETORTFORM Pul-11.1411 WQCab 1.05Z-6
(� Ilhmil one each Irtonitorim" period with
I
Enter date monitoring results were due. W-
M this monitoring report (GW-59 and GW-59A)
(XE S
NO
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 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,
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 "I'es", contact the Regional Officefor 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 concentrations)
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 bounclary?
YES
NO
If the answer is "YES", a groundwater quality problem may be occurring. CONTACT 'TIME REGIONAL
OFFICE IMMEDIATELY FOR GUIDANCE. If the answer is "NO", monitoring wells maybe 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 b
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 subject the l2ermittee to a Notice of Violation,
fines.,andlor 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-5,9A) is true and complete to the best of my knowledge.
Signature t f Pormittee (or Authorized Agent) Date
CW'-59A 12/8/2003

C.�'J�Ef-kJVHJ-E, I'j.C. 2i'858
RAMSEUR (WELLS)
724 LIBERTY STREET
PO BOX 545
RAMSEUR, NC 27316
PARAMETERS
Fecal Coliform (W), 1100 Mls
Ammonia Nitrogen as N, mg/l
Nitrate Nitrogen as N, ing/l
Total Phosphorus as P, mg/1
Total Organic Carbon, mg/l
Chloride, mg/l
Total Dissolved Residue, mg/l
Y Drin715
Wastewater IDi 10
MW-1 Analysis Method
Date Analyst Code
<1 07/21122
<0,04x 07129/22
< 0,04 07/22122
1,78 08/09/22
2,13--- 07/26/22
66- 07/25/22
620/ 07/25/22
DNS
9222D-15
TRJ
350.1 112-93
ICES
353.2 R2-93
BMD
365.4-74
HMM
531OC-14
HMV
4500CLB-11
JDJ
D5907-13
FAX [phone],6��'1�3
iD# : 460
DATE COLLECTED: 07/21/22
DATE REPORTED ; 08/10/22
REVIEWED BY;

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