WQ0010528_Monitoring - 03-2022_20220510 (2)

Monitoring Report Submittal
Permit Number #*
Name of Facility:*
Month: * March
Report Information
Type *
GW-59
WQ 0010528
TOWN OF RAMSEUR
Confirmation Email Address:*
Name of Submitter: *
Signature:
Date of submittal:
Initial Review
Year:* 2022
Upload Document*
GW-59A 4-30-22.pdf 941.22KB
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
Te��� Cer�alle�
Reviewer: Gerald, Wanda
5/10/2022
This will be filled in automatically

Is the project number correct?* WQ 0010528
Is the monitoring report accepted?* Yes No
Regional Office* Winston-Salem
Reviewer: _anonymous
Review Date: 12/7/2022

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
DEPARTMENT OF ENVIRONMENTAL QUALITY,- DIV. OF WATER RESOURCES
INFORMATI I ON PROCESSING UNIT
COMPLIANCE REPORT FORM
1617,MAIL SERVICE CENTER, RALEIGH, NC 27699-1617
FACILITY INFORMATION Please Pfint Clearly or Type
PERMIT Number: Expiration Date: Id- 31 - 7z 0z[1
Facility Name- -71-6 L-U;-, C) r Rn wv�e, Lk V-
Non -Discharge VoLoo It"'52-f" UIC
Permit Name (if different): LA -)a 00105z-1'
NPDES /,/C Other
Facility Address: L"3-7
TYPE OFITTED OPERATION BEING MONITORED
Ray -As C'o, tl� - G, . 7-
County_
7 3 1 K 42 t-,
EKagoon Remediation: Infiltration Gallery
El
El Spray Field ❑ Remediation:
Contact Person: -Tc r I- - to L':-;'1- 1 1'e'l
—Telephone#:
El Rotary Distributor Ej Land Application of Sludge
Well Location/Site Name: j7lwa 775C-o'�t&zvl/v
No. of wells to be sampled:_
El Water Source Heat Pump 2'Other: 15L, v-akc
4114
(from Permit)
SAMPLING INFORMATION
WELL ID NUMBER (from Permit):
Date sample collected:--3 - 0 C1, Z- Z-
FIELD ANALYSES:
If WELL
WAS
aft.
Well Depth: -2;1
Well Diameter: 69 in.
pH 00400: (n lunits Temp. 00010: 1 (,q oc
DRY at
Depth to Water Level 82546:3 C) ft. below measuring point Screened Interval:z -Lft. to
ft. Spec. Cond. 00094: pMhos
time of
Measuring Point is ft. above land surface
Relative M.P. Elevation: ft.
-
Odor 000135: 0
sampling,
check
Volume of water pumped/bailed before sampling: gallons
Appearance 1k/7A 44
here:
Samples for metals were collected unfiltered: X YES
El NO and field acidified: X YES El NO
LABORATORY INFORMATION
Date -3-z-j1--z-z- '3-30--zz'
sample anal 3-31-22
0
Laboratory Name: it—ft'A U i- 1- C-1 04
Certification No.
PARAMETERS NOTE: Values should reflect dis6olved and colloidal concentrations.
COD 00335 NIA mg/L
Nitrite (NO2) as N oo615 b It, mg/L Pb - Lead o1051 IV/ ug/L
Coliform: MF Fecal 31616 /100mL
Nitrate (NO.) as N 00620 4 (Dy mg/L Zn - Zinc 01092 mg/L
Coliform: ME Total 31504 110OmL
Phosphorus-, Total as P 00665 27 mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507 NzLA —mg/L Other (Specify Compounds and Concentration Units):
)issolved Solids:Total 70300 mg/L
At -Alurninum ol 105 NIA mg/L
pH (Lab) 00403 units
Ba - Barium ol 007 f ug/L
TOC 00680 1 c 12, mg/L
eft
Ca - Calcium 00916 mg/L
Chloride 00940 mg/L
Cd - Cadmium 01027 ug/L
Arsenic 01002 NZ A _ug1L
Chromium: Total o1o34 A ug/L
Grease and Oils 00552 K/A mg/L
Cu - Copper 01042 mg/L ORGANICS: (by GC, GCIMS, HPLC)
Phenol 32730 N/ A ug[L
Fe - Iron 01045 A ug/L
(Specify test and method #. ATTTAQH LAB REPORT.)
Sulfate 00945 •& / I t! mg/L
Hg - Mercury 71900 p f tlA —ug[L
Lab Report Attached? 51--'re-s (1) El No (0)
Specific Conductance 00095 jV'1A [tMhos
K - Potassium 00937 "ZtA _mg/L VOC 7873 method #
Total Ammonia oo61o < 0 , 0 mg/L
Mg - Magnesium 00927 AY A —mg/L
method #
(Ammonia Nitrogen, NH, as N; Ammonia Nitrogen, Total)
Mn - Manganese o1055 &� I ug/L
method #
TKN as N 00625 mg/L
Ni - Nickel 01067 )tt,11fi —ug/L
method #
For Remediation Systems Only (Attach Lab Reports):
Permittee (or Authoriziltd Agent) Name and Title - Please print or type
Influent Total VOCs:
mg/L Effluent Total VOCs:
mg/L
VOC Rernoval%

M-59A it-W
(Siihmif my, each mw7in?rhi.,,, period with GJJ '-59fiorms.)
r-
I
Enter date monitoring results were due. (�t, - �72) Will this monitoring report (GW-59 and GW-59A)
NO
be submitted after the established due date?
2
Was any required information missing on the GW-59 report forms?
YES
to
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 "Yes", contact the Regional Officeforguidance.
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 concentration(s)
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 constituient(s) in the same well(s) in the last two years?
If the answer to question 5 is "NO", skip to section B.
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 boundary?
YES
NO
If the answer is "YES", a groundwater quality problem maybe 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
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 IWO" contact the Regional Office within 90 days: an evaluation may b
re wired to determine the impact the waste disposal system is having at the review and compliance
boundaries surrounding this facllity,. Failure todosomay.subject the permittee to a Notice of Violation,
fines, and/or 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-59A) is true and complete to the best of my knowledge.
15
Signature 07 armittee (or Authorized Agent) Date
( IW-59A 12 18/211113

114 (DA K, NA 0 N 1 1) R I V E
(�IHE-'ENVILI E, N,C, 27858
RAMSEUR (WELLS)
724 LIBERTY STREET
PO BOX 545
RAMSEUR, NC 27316
Fecal Coliform (MT), /100 Mls
Ammonia Nitrogen as N, mg/1
Nitrate Nitrogen as N, mg/1
Total Phosphorus as P, mg/1
Total Organic Carbon, mg/1
Chloride, mg/l
Total Dissolved Residue, mg/1
Mw-1 Analysis Method
Date Analyst Code
<1
03/29/22
BL,V
9222D-15
< 0.04
03/30/22
KES
350.1 112-93
0,10
03/30/22
BMD
353.2 R2-93
0.27
03/31/22
TRJ
365.4-74
1.12
03/31/22
JMS
5310C-14
62
03M0/22
HCE
4500CLB-11
340
0,3/31122
HCE
D5907-13
wap%;eway.er xjjK 4v
f)110NE [phone]
FA,X [phone]
ID#: 460
DATE COLLECTED: 03/29/22
DATE REPORTED ; 04/04/22
REVIEWED BY: