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Home My WebLink AboutWQ0007144_Monitoring - 11-2022_20221228Monitoring Report Submittal Permit Number #* Name of Facility:* Month: * November Report Information Type * Revised - GW-59 WQ0007144 Camp Seafarer Confirmation Email Address:* Name of Submitter: * Signature: Date of submittal: Initial Review Year:* 2022 Upload Document* GW-59 November 2022.pdf 415.91 KB PDF Only Please upload one PDF containing all applicable monitoring reports (i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59). stan.eudy@seagull-seafarer.org Stanley Eudy Reviewer: Gerald, Wanda 12/28/2022 This will be filled in automatically Is the project number correct?* WQ0007144 Is the monitoring report accepted?* Yes No Regional Office* Washington Reviewer: _anonymous Review Date: 1/18/2023 SUBMIT FORM ON YELLOW PAPER ONLY DEPARTMENT OF 04VIRONMENTAL QUALITY - DIV OF WATER RESQIIRCIcS GROUNDWATER QUALITY MONITORING: PP0c5SS1NG.utS1lr COMPLIANCE REPORT FORM 1617 M,4EL SERVICE CENTER, RALEIGH; NC 27699-t,617' Phone 919-807-8306 FACILITY INFORMATION Please PrintCleadyorType PERMIT Number: Expiration Date: Facility Name: Camp Seafarer Non -Discharge WQ0007144 UIC Permit Name (if different): YMCA of the Triangle Area, INC. NPDES Other Facility Address: 2744 Seafarer Rd Arapahoe NC 28510 TYPE OF PERMITTED OPERATION BEING MONITORED 2744 Seafarer Rd Arapahoe istreat)NC 28510 county Pamlico EK Lagoon ❑Remediation: Infiltration Gallery (ciHi (stas) (zip) ❑ Spray Field ❑ Remediation: Contact Person: Mike Askew Telephone#: 252-249-1212 ❑ Rotary Distributor ❑ Land Application ofSludge Well Location/Site Name: Lagoon No. of wells to be sampled: 5 ❑ Water Source Heat Pump ❑ Other: (from Permit) SAMPLING INFORMATION ) % If WELL WELL ID NUMBER (from Permit): Well 2 Date sample collected: 1 f 13I FIELD ANALYSES: ] �" WAS Well Depth: 20 . ft. Well Diameter: 2 in. pH 00400:t3 `� 6 units Temp. 0001c: r /oC DRY at p ft. below measuring Dint Depth to Water Level 82546: g p Screened Interval 10 ft. to 20 ft. p Mhos Spec. Gand. 00094: "L�� time li sampling, Measuring Paint is 1.9 ft above land surface Relative M.P. Elevation: 24•2 ft, Odor 000e5: Np / check Volume of water pumpedlbailed before sampling: —U/i r gallons Appearance C<CZ here:❑ Samples for metals were collected unfiltered: ❑ YES ❑ NO and field acidified: ❑ YES ❑ NO LABORATORY INFORMATION Date sample analyzed: j� 1 LaboratoryName: .L m i( / Certification No, PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. COD 00335 mg/L Nitrite (NO2) as N oo615 mg/L Pb - Lead o1051 ug1L Conform: MF Fecal 31616 1100ml- Nitrate (NO3) as N ooe2o 0 s G mg/L Zn -Zinc 01092 mg/L Coliform: MF Total $1504 ` /100mL Phosphorus: Total as P ooees O i �% mg/L (Note: Use MPNmethod for highlyturbid samples) Orthophosphate70507 mg/L Other (Specify Compounds and Concentration Units): Dissolved Sclids:Total 70300 ft mg/L AI - Aluminum o11o5 mg/L PH (Lab) 004D3 '7, units Ba - Barium 01c07 ug1L COC ooE3o mg/L Ca - Calcium costs mg/L Chloride 00840 3 mg/L Cd - Cadmium c1o27 ug/L Arsenic 01002 ug/L Chromium: Total 01034 ug1L Grease and Oils 00552 mg/L Cu - Copper c' o42 mg/L ORGANICS: (by GC, GC/MS, HPLC) Phenol 32730 ug/L Fe - Iron 01045 ug/L (Specify test and method #. ATTACH LAB REPORT.) Sulfate oe&45 -mg/L Hg - Mercury 71900 ug1L Lab Report Attached? ❑ Yes (1) ❑ No (0) Specific Conductance oaoes µMhos K - Potassium 00937 mg/L VOC 7673 method # Total Ammonia coslo < G : Q mg/L Mg - Magnesium DD927 mg/L method # (Ammonia Nitrogen; NH,as N: Ammonia Nitrogen, Total) Mn - Manganese o1o55 ug/L method # TKN as N cos25 mg/L Ni - Nickel 01067 ug1L method # For Remediation Systems Only • s • l 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 DWR-certified laboratory..) am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. Mike Askew, Director of Facilities and Boating Operations Permittee (or Authorized Agent) Name and Title - Please print or type GW 59 Rev. 05-02-2017 I- Signature of Permittee (or Authorized Agent) 12 - 2, 3 - 2;z- SUBMIT FORM ON YELLOW PAPER ONLY DEPARTMENT OF'ENVIRONMENTAL QUALITY-DIVOF WATER RESOURCES GROUNDWATER QUALITY MONITORING: INFORMATIONPROCESSINGIINiT COMPLIANCE REPORT FORM , 1617 M.AILSERV10E CENTER RALEIGH, NC27699-1617: Phone,:'919=807-6306 FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date' .3 Facility Name: Camp Seafarer Non -Discharge WQ0007144 UIC NPDES Other Permit Name (if different): YMCA of the Triange Area, INC. Facility Address: 2744 Seafarer Rd -Arapahoe NC 28510 TYPE OF PERMITTED OPERATION BEING MONITORED 27445eafarerRd Arapahoe cStreei) NC 28610 County Pamlico ❑ Lagoon ❑ Remediation: Infiltration Gallery (city) (Slate) (L'p) Spray Field ❑Remediation: Contact Person: Mike Askew Telephone#: 252-249-1212 ❑ Rotary Distributor ❑ Land Application of Sludge Well Location/Site Name: Spray Field 3 No_ of wells to be sampled: 5 ❑ Water Source Heat Pump ❑ Other (from Permit) SAMPLING INFORMATION Permit): WELL 5 r Date collected: �l f ^ FIELD ANALYSJE�S: if WELL WAS WELL ID NUMBER (from sample l g 3 °C DRY at Well Depth: 20 ft. Well Diameter: 2 in. pH 00400:�p 7units Temp. ocolo: ( time Depth to Water Level B2545:� ft. below measuring point Screened Interval: 10 ft. to 20 ft. p Spec. Cond. 00o94: p.Mhos ofsampling, Measuring Point is 2.2 ft. above land surface Relative M.P. Elevation: 27.7 ft. Odor D0085: � check Volume of water pumped/balled before sampling: R [ gallons Appearance /ZL) IS ]2 here: El Samples for metals were collected unfiltered: ❑ YES ❑ NO - and field acidified: ❑ YES ❑ NO LABORATORY INFORMATION J j Date sample analyzed: 1 �I Laboratory Name: Enviroment 1,1NC. Certification No. PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. COD 00335 mg/L Nitrite (NO2) as N ooe15 mg/L Pb- Lead o'io51 ug1L Coliform: MF Fecal 31616 1100ml- Nitrate (NO3) as N om20 Or G mg/L Zn - Zinc ol092 mg/L Coliform: MF Total 31504 1 1100ml- Phosphorus: Total as P 00665 C O •_ _ mg/L (Note: Use MPN method for highlyturbld samples) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units): issolved Sc11ds:Total703Do13-b mg1L AI -Aluminum 011os. mg/L pH (Lab) 00403 ,��, units Ba - Barium 01007 uglL TOG coe60 mg/L Ca - Calcium oo916 mg/L Chloride 00940 j ( mg1L Cd - Cadmium o1027 ug1L Arsenic o1oo2 ug1L Chromium: Total 01034 ug/L Grease and Cils oo552 mg1L Cu - Copper o1o42 mg/L ORGANICS: (by GC, GC/MS, HPLC) Phenol $2730 . uglL Fe - Iron 01045 ug1L (Specify test and method #. ATTACH LAB REPORT.) Sulfate 00945 mg/L Hg - Mercury 71900 ug1L Lab Report Attached? ❑ Yes (1) - ❑ No (0) Specific. Conductance oocs5 ).LMhos K - Potassium o0937 mg/L VOC 7872 method # - Total Ammonia ooslo �, O `] rng/L Mg - Magnesium oo927 mg/L method # {Ammonia Nitrogen; NHaas N; Ammonia Nitrogen, Total) Mn - Manganese o1os5 uglL , method # " TKN as N oos25 mg/L Ni - Nickel o1o67 ug/L method # For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg1L Effluent Total VOCs: mg/L . VOC Removal% Mike Askew,D€rector of Facilities and Boating Operations Permlttee (orAtfthcrized Agent) Name and Title - Please print or type GW-69 Rev.05-o2-2p17 SUBMIT FORM ON YELLOW PAPER ONLY GROUNDWATER QUALITY MONITORING: • • DEPARTMENT OF; ENVIRONMENTAL DUALITY - DIV: OF WATERRESOURCES INFORMATION PROCESSING"UNIT. COMPLIANCE REPORT FORM ' 1617,MAILSERVICE CENTER, RALEIGH, NC'27699 iSIT: .Phone: 9t9 Ba7 fi30fi FACILITY INFORMATION. Please Print Clearly or Type PERMIT Number: Expiration Date-.dZ 2Z 1.2, Facility Name: Camp Seafarer Nan-Disoharge WQ0007144 UIC Permit Name (if different): YMCA of the Triangle Area, INC. NPDES Other Facility Address: 2744 Seafarer Rd Arapahoe NC 26510 TYPE OF PERMITTED OPERATION BEING MONITORED El Lagoon ❑Remediation: Infiltration Gallery 2744 Seafarer Rd Arapahoe (Sired) NC 28510 county Pamlico (ct:y) (siaie) (zip) -9 Spray Field ❑ Remediation: Contact Person: Mike Askew Telephone#: 252-249-1212 ❑ Rotary Distributor ❑ Land Application of Sludge Well Location/Site Name: Spray Field 3 No. of wells to be sampled: 5 ❑ Water Source Heat Pump ❑ Other: (from Permit) SAMPLING INFORMATION j If WELL WELL ID NUMBER (from Permit): Well 6 Date sample collected: E I,a FIELD ANALYSES: 5,3nits � °C WAS DRY at Well Depth: 20 ft. Well Diameter: 2 in. pH 00400:�-, Temp. o0old i-a p � ft. below measuring pint Screened Interval: 10 ft: to 20 Depth to Water Level 62546: g p ^ p G �, . 7 µMhos ft. Sec. Cond. 000a4: time of sampling, Measuring Point is 2.75 ft. above land surface Relative M.P. Elevation: 20.2 ft. Odor o0065: check Volume of water pumped/balled before sampling: 10 gallons Appearance C L CG here:❑ Samples for metals were collected unfiltered: ❑ YES ❑ NO and field acidified: ❑ YES ❑ NO LABORATORY INFORMATION �7 // 3 /,� Date sample analyzed: a 2 Laboratory Name: Enviroment 1,INC. Certification No. � PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. COD co335 mg/L Nitrite (NO2) as N omis mg/L Pb - Lead oio5i ug/L Coliform: MF Fecal 31616 1100mL Nitrate (NO3) as N oo62o C G, C, g-+ mg/L Zn - ZinC 01082 mg/L Coliform: MF Total 31504 1100mL Phosphorus: Total as P oom5 0 mg/L (Note: Use MPNmethod for highly turbidsamples) Orthophosphate 70507 mg1L Other (Specify Compounds and Concentration Units): d ISsolved Solids:Totfl170300 mg/L Al -Aluminum olios mg/L pH (Lab) 00403 S. units Ba - Barium 01007 ug1L TOC oo6ao mg/L Ca - Calcium co9i6 mg/L Chloride 00940 3 S mg/L Cd - Cadmium oio27 ug1L Arsenic 01002 uglL Chromium: Total o1o34 uglL Grease and Oils 00552 mg/L Cu - Copper 01042 mg/L ORGANICS: (by GC, GCIMS, HPLC) Phenol 32730 ugfL Fe - Iron 01045 ug/L (Specify test and method #. ATTACH LAB REPORT.) Sulfate 00945 mg/L Hg - Mercury 71900 ug/L Lab Report Attached? ❑ Yes (1) ❑ No (0) Specific Conductance aooe5 µMhos K - Potassium oog37 mg1L VOC 7873 method # Total Ammonia oosio < O.O mg/L Mg - Magnesium 00927 mg/L method # (Ammonia Nitrogen; NHyas N: Ammonia Nitrogen, Total) Mn - Manganese oims ug/L method # TKN as N o0625 mg/L Ni - Nickel 01067 ug/L method # For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg1L Effluent Total VOCs: mg/L VOC Removal% Mike Askew, Director of Facilities and Boating Operations Perrnittee (or Authorized Agent) (Name and Title - Please print or type Perrnittee for Authorized Agent) (Date) —aZ7z, GVV-59 Rev.05-02-2017 SUBMIT FORM ON YELLOW PAPER ONLY DEPARTMENT:OFENVIRONMENTALQUALITY - DIV OF WATER RESOURCES GROUNDWATER QUALITY MONITORING: INFORMAnol"PROCEs51NG UNIT COMPLIANCE REPORT FORM 18i7.MAtLSERVICE"CENTER,RALEIGH NC276999697 Phone:919-6p7-63p6 FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date: Q-Z Facility Name: Camp Seafarer Non -Discharge WQ0007144 UIC Permit Name (if different): YMCA OF THE Triangle Area, INC. NPDES Other Facility Address: 2744 Seafarer Rd Arapahoe NC 28510 TYPE OF PERMITTED OPERATION BEING MONITORED ❑ Lagoon ❑ Remediation: Infiltration Gallery 2744 Seafarer Rd Arapahoe tstraet) NC 28510 County Pamlico icar' (Stale) czip) 0 Spray Field ❑ Remediation: Contact Person: Mike Askew Telephone#: 252-249-1212 ❑ Rotary Distributor ❑ Land Application of Sludge Well Location/Site Name: Spray Field 2 No, of wells to be sampled: 5 ❑ Water Source Heat Pump ❑ Other: (from Permit) SAMPLING INFORMATION if WELL WELL ID NUMBER (from Permit): WELI- 7 Date sample collected: r!>/,3 -- )— FIELD ANALYSES: WAS Well Depth: 12 ft. Well Diameter: 2 in. y -pH o040o:Ll0units Tem . 00010: r! ! ' DRY at Depth to Water Level 82546: ]G . p f ' ft. below measuring point 2 Screened Interval: it. to 1 2 ft. Spec. Cond. ooa94: �"�� Mhos time of sampling, Measuring Point is 1 . ft. above land surface Relative M.P. Elevation: 25.8 ft. Odor 00085: check Volume of water pumped/bailed before sampling: gallons Appearance C GL-L here:❑ Samples for metals were collected unfiltered: ❑ YES ❑ NO and field acidified: ❑ YES ❑ NO LABORATORY INFORMATION Date sample analyzed: it / 3 /`)_�_ Laboratory Name: Enviroment 1,INC. Certification No. 10 PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. COD oozs5 mg/L Nitrite (NO2,) as N oas15 mg/L Pb - Lead cio5i ug/L Coliform: MF Fecal 31616 /100mL Nitrate (NO3) as N 00620 C' P . mg/L Zn - Zinc =92 m9 /L Coliform: MF Total 31504 IF /100mL Phosphorus: Total as P oo6s5 C . G mg/L {Note: Use MPNmethod for highlyturbid samples) Orthophosphate 70507 mg/L Other (Specify Compounds and Concentration Units): j g issclved Solids:Total 70300 mg/L Al - Aluminum 01105 mg/L PH (Lab) 00403 5 , 7 units Ba - Barium olo07 ug/L TCC ocsso mg/L Ca - Calcium oo916 mg/L Chloride OCS40 3 mg/L Cd - Cadmium o1o27 ug/L Arsenic 01002 ug/L Chromium: Total 01034 ug/L Grease and Oils 00552 mg/L Cu - Copper 01042 mg/L ORGANICS: (by GC, GC/MS, HPLC) Phenol 32730 ug/L Fe - Iron 01045 ug/L (Specify test and method #. ATTACH LAB REPORT.) Sulfate 00945 mg/L' Hg - Mercury 71900 ug1L Lab Report Attached? ❑ Yes (1) ❑ No (0) Specific Conductance eoo95 �tMhos K - Potassium 00937 mg/L VOC 7873 method # Total Ammonia omio C C) • O mglL Mg - Magnesium cc927 mg/L, method # (Ammonia Nitrogen; NH3 as N; Ammonia Nitrogen, Total Mn - Manganese c1055 ug1L , method # TKN as N D0625 mg/L Ni - Nickel 01087 ug1L method # For Remediati6n Systems Only Reports): - .. • Cs: mg/L Effluent Total• • certify that, to the best of myknowledge and belief, the 'inforrnatidn submitted in this repW is true; accurate, and complete and that the laboratory analytical data was produced.using approved methods of analysis by a INVR-certified laboratory,-1 am aware that there are significant penalties for submitting. false information, including the possibility of fines and imprisonment for.knowing violations. Mike Askew, Director of Facilities and Boating Operations jJr Permittee (or Authorized Agent) Name and Title - Please print or type Signature of (or Authorized Agent) (Date) GW-59 Rev.05-02-2017 SUBMIT FORM ON YELP = PAPER ONLY GROUNDWATER QUALITY MONITORING: GOMPI_.IANCE REPORT FORM FACII-1TY INFORMATION Please Pant Clearly or Type Facility Name: Camp Seafarer Permit Name (€f different), YMCA of the Triangle Area, INC. Faril€ty Address: 2744 Seafarer Rd i ahP oe_ NC 25510 County Pamlico iot Person: Mike Askew Telephone#:252-249-1111 LocationlSite Name: Spray Field 2 No, of wells to be sampled: 5 >ARTMENT OF ENVIRONMENT & NATURAL RESOURCES ISION OF WATER QUA€:IT'(4MFORMATION PROCESSING'UNIT 7:MAICSERVICE;CENTER,.RAL'E[GH;NC27699=1617."Phone::,(919);733:3221 -" ': PERMIT Number: Expiration Date: Non-Dischargel'�"Coo '7/1'fl U€C NPnFS Other PE OF PERMITTED OPERATION BEING MONITORED ❑ Lagoon ❑ Remediation: infiltration Gallery 91 Spray Field ❑ Remediation: ❑ Rotary Distributor ❑ Land Application of Sludge ❑ Water Source Heat Pump ❑ Other: ............. SAMPLING INFORMATIOLL it 3 j a z WELL ID NUMBER (from Permit): Well 8 Date sample collected: Well Depth: 12ft. Well Diameter. 2 in. Depth to Water Level: j 1 r7 ---ft. below measuring point Screened Interval: 2 ft. to 2 fit. Measuring Point is 1 ft. above land surface v Relative M.P. Elevation: 15.3 ft. Volume of water pumped/ba€ied before sampling: 2,r ��iL gallons Samples for metals were collected unfiltered: DYES ❑ NO and field acidified: ❑ YES ❑ NO FIELD ANALYSES- V. pH �' C' units Tezp I °G {� Spec. Cond. z' j O ' µMhos Odor Appearance If _ LL WAS DRY at time of sampling, here: ❑ LABORATORY INFORMAILQR ,�! 3 % 2y� Date sample analyzed:_ ! I Laboratory Name: Environment 1, Inc. Cert€ficat€on No. PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. COD Mgt] Nitrite (NO,) as N mg/1 Pb - Lead Mgt] Coliform: MF Fecal 1100ml Nitrate (NO3) as N < O, O Mgt[ Zn -Zinc Mgt[ Coliform: MF Total ZF-.—t- �_ 1 _1100mi Phosphorus. Total as P -::� O 4 G mg!] (Note: Use MPNmethod for highly turbid samples) Orthophosphate mgll - Other (Specify Compounds and Concentration Units): Dissolved Solids: Total zT CJ mgll Al - Aluminum Mgt] pH (when analyzed) units Ba - Barium mg![ --L_ TOC mgll Ca - Calcium mg1l Chloride Z mgll Cd - Cadmium mg!] Arsenic Mgt] Chromium: Total mgll Grease and Oils mgll Cu - Copper mgll ORGANICS: (by GC, GClMS, HPLC) Phenol mgll Fe - Iron mg![ (Specify test and method #. ATTACH LAB REPORT.) Sulfate mgh Hg - Mercury mgll Report Attached? ❑ Yes (1) ❑ ND (0) Specific Conductance µMhos K - Potassium mgll VOC method # Total Ammonia C5 "L __ _mgll Mg - Magnesium mgll method # (Ammonle Nitrogen; NHaas N; Ammonia Nitrogen, 7=1a Mn - Manganese- mgl[ , method # TKN as N mg/1 Ni - Nickel mg/l method # For Remediation Systems Only (Attach Lab Reports): i"4rrr IU— for nElll lul iGcu ny III I I) ivai I tc ca,- GW-69 Rev.112007 Influent Total VOCs: mg1L Effluent Total VOCs: VOC Removal% GW-59A COMPLIANCE REPORT FORM Permit it WQ o d a 7 (Submilone each inonitoring.period idth GIV-59forins.) 1 Enter date monitoring results were due. ( Will this monitoring report (GIN-59 and GW-59A) YES NO be submitted after the established due data. 2 Was any required information missing on the GW-59 report farms? YESwr 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 N identification plate, area overgrown, etc.)? If the answer is "Yes", contact the Regional Offica far guidance. 4 Are any monitored constituents equal to or above the established standards? NO If the answer to question 4 is "NO", skip to section B. 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: ),v,�L t° L� �,� p�� d , S 3 tM��C 4 � - Lot- PIS G.�� '1S�� CG "C f4 1 4 u L P14 .5-, 3 1- a r7 5- For the constituents identified In question.4 above,.haye standards been, exceeded_ previously for the .. , ..YES in the in the last two NO. same constituent(s) same well(s) 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, concentratio (s) reported, and sample collection date for each oc urre ce (for the last two years), rd.�31� 711 �3��z 1 S Cc, A1't 31 2- 7aa11 a � �P, �3 �� # $ z�% z G Are the monitoring wells listed in section locat d at or bey nd the review boundary? YES NO 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 he 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 maV 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 maVsubiect the permittee to a Notice of Violation, fines and/or ponalties. j�-L- OUR �jl� PH ��- >k�rvlwnir- ►�-�tc -to V1 cr-Gn v—/ r--f rye `1q S G FI Ct` 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 report (Compliance Report GW-59A) is true and complete to the best of my knowledge. /J. 3 � Signature of Fermittee (or Auttforized Agent) Hate r l G'1'V-59A 12/8/2003