WQ0007026_Monitoring - 06-2023_20230801

Monitoring Report Submittal
Permit Number#*
Name of Facility:*
Month:* June
Report Information
Type *
GW-59
WQ0007026
Sanford Health & Rehabilitation
Confirmation Email Address: * [e-mail]
Name of Submitter: * Randall Jarrell
Signature:
Year:* 2023
Upload Document*
SHR MW 6-6-23.pdf
PDF Only
2.58 M B
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
Date of submittal: 8/1/2023
This will be filled in automatically
Initial Review
Reviewer: Wanda.Gerald

Is the project number correct?* WQ0007026
Is the monitoring report accepted?* Yes No
Regional Office* Raleigh
Reviewer: _anonymous
Review Date: 8/1/2023

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
ISM11W,617
EPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
[VISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
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
NPDES Other
Permit Name (if different): WQ0007026
Facility Address: 4400 Ferrell Road
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
Sanford NC 27330 County Lee
® 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: 6-6-23
FIELD ANALYSES:
WAS
Well Depth: 100 ft.
Well Diameter:2 in.
pH 5.01 units Temp. 18.1 °C
DRY at
Depth to Water Level: 7.50ft. below measuring point
Screened Interval: ft.
to
ft. Spec. Cond. µMhos
time of
Measuring Point is 3 ft. above land surface
Relative M.P. Elevation:
ft.
Odor
sampling,
check
Volume of water pumped/bailed before sampling:
25 gallons
Appearance
here: ❑
Samples for metals were collected unfiltered: ❑YES
❑ NO and field acidified: ❑ YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed: 6/6/23 - 6/15/23
Laboratory Name: Eurofins
Certification No. 591
PARAMETERS NOTE: Values should reflect dissolved
and colloidal concentrations.
COD mg/I
Nitrite (NO2) as N
0.11 mg/I
Pb - Lead mg/I
Coliform: MF Fecal 4.1 /100ml
Nitrate (NO3) as N
1.1 mg/I
Zn -Zinc mg/I
Coliform: MF Total /100ml
Phosphorus: Total as P
0.036 mg/I
(Note: Use MPN method for highly turbid samples)
Orthophosphate
mg/I
Other (Specify Compounds and Concentration Units):
Dissolved Solids: Total 78 mg/I
Al - Aluminum
mg/I
pH (when analyzed) units
Ba - Barium
mg/I
TOC 0.53 mg/I
Ca - Calcium
mg/I
Chloride 10 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 0.12 mg/I
Mg - Magnesium
mg/I
method #
(Ammonia Nitrogen; NH3as 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%
GW-59 Rev.1/2007

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 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
NPDES Other
Permit Name (if different): W00007026
Facility Address: 4400 Ferrell Road
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
Sanford NC 27330 County Lee
® 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: 6-6-23
FIELD ANALYSES:
WAS
Well Depth: 32.85 ft.
Well Diameter:2
in.
pH 6.66 units Temp. 17.3 oC
DRY at
Depth to Water Level: 8.5ft. below measuring point
Screened Interval:
ft. to
ft. Spec. Cond. µMhos
time of
Measuring Point is 3 ft. above land surface
Relative M.P. Elevation:
ft.
Odor
sampling,
check
Volume of water pumped/bailed before sampling:
15 gallons
Appearance
here:
Samples for metals were collected unfiltered: ❑YES
❑ NO and field acidified: ❑ YES
❑ NO
❑
LABORATORY INFORMATION
Date sample analyzed: 6/6/23 - 6/15/23
Laboratory Name: Euroflns
Certification No. 591
PARAMETERS NOTE: Values should reflect dissolved
and colloidal concentrations.
COD mg/I
Nitrite (NOZ) as N
<0.017 mg/I
Pb - Lead mg/I
Coliform: MF Fecal <1.0 /100ml
Nitrate (NO3) as N
0.092 mg/I
Zn - Zinc mg/I
Coliform: MF Total /100ml
Phosphorus: Total as P
<0.041 mg/I
(Note: Use MPN method for highly turbid samples)
Orthophosphate
mg/I
Other (Specify Compounds and Concentration Units):
Dissolved Solids: Total 230 mg/I
Al - Aluminum
mg/I
pH (when analyzed) units
Ba - Barium
mg/I
TOC <0.50 mg/1
Ca - Calcium
mg/I
Chloride 26 mg/I
Cd - Cadmium
mg/I
Arsenic mg/I
Chromium: Total
mg/1
Grease and Oils mg/I
Cu - Copper
mg/I
ORGANICS: (by GC, GC/MS, HPLC)
Phenol mg/I
Fe - Iron
mg/1
(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/1
VOC method #
Total Ammonia <0.10 mg/I
Mg - Magnesium
mg/I
method #
(Ammonia Nitrogen; NH3as N; Ammonia Nitrogen, Total)
Mn -Manganese
mg/I
, method #
TKN as N mg/1
Ni - Nickel
mg/I
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
r-ermatee (or Auinorizea Agent) Name and I life - riease pint or type
GW-59 Rev.1/2007
signature of Permittee (or Authorized Agent)
;Date)

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
IWM[617
PARTMENT OF ENVIRONMENT & NATURAL RESOURCES
VISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
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
NPDES Other
Permit Name (if different): WQ0007026
Facility Address: 4400 Ferrell Road
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
Sanford NC 27330 County Lee
© 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: 6-6-23
FIELD ANALYSES:
WAS
Well Depth: 29•5ft.
Well Diameter:2
in.
pH 6.46 units Temp. 16.7 °C
DRY at
Depth to Water Level: 8.0ft. below measuring point
Screened Interval:
ft. to
ft. Spec. Cond. µMhos
time of
Measuring Point is 3 ft. above land surface
Relative M.P. Elevation:
ft.
Odor
sampling,
check
Volume of water pumped/bailed before sampling:
16 gallons
Appearance
here: ❑
Samples for metals were collected unfiltered: DYES
❑ NO and field acidified: ❑ YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed: 6/6/23 - 6/15/23
Laboratory Name: Eurofins
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
0.13 mg/I
Zn - Zinc mg/I
Coliform: MF Total /100ml
Phosphorus: Total as P
0.067 mg/I
(Note: Use MPN method for highly turbid samples)
Orthophosphate
mg/I
Other (Specify Compounds and Concentration Units):
Dissolved Solids: Total 280 mg/I
Al - Aluminum
mg/1
pH (when analyzed) units
Ba - Barium
mg/I
TOC 0.85 mg/I
Ca - Calcium
mg/I
Chloride 50 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 <0.10 mg/I
Mg - Magnesium
mg/I
method #
(Ammonia Nitrogen; NH3as 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%
Randall Jarrell - ORC
Permittee (or Authorized Agent) Name and Title - Please print or tvpe
--? 116-3
GW-59 Rev.1/2007
Siqnature of Permittee (or Au
(Date)