WQ0010528_Monitoring - 07-2023_20230911

DWR - NonDischarge Monitoring Report Submittal
NORTH CAROLINA
Environmental Quality
Monitoring Report Submittal
Permit Number#*
Name of Facility: *
Month:* July
Report Information
Type*
GW-59
GW-59
WQ0010528
Town of Ramseur
Confirmation Email Address: *
Name of Submitter: *
Signature:
Date of submittal:
Initial Review
Year: *
2023
Upload Document*
doc20230911104822.pdf 1.11MB
PDF Only
doc20230911104853.pdf 134.23KB
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
,erw//eve
9/11/2023
This will be filled in automatically

Reviewer: Wanda.Gerald
Is the project number correct?* WQ0010528
Is the monitoring report accepted? * Yes No
Regional Office* Winston-Salem
Reviewer: _anonymous
Review Date: 9/19/2023

GW-59A COMPLIANCE REPORT FORM PCr1111t 4 W IV 00 JbljZ$
(S1111"til one each nmnilorirl;period ivilh G1f'-i 1 foryn.c.)
1 Enter date monitoring results were due. ( ) Will this monitoring report(GW-59 and GW-59A) GS NO
be submitted after the established due date?
2 Was any required information missing on the CNV-59 report forms? v E S 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 "Yes",contact the Regional Office for 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 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 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 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 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 "NO", contact the Regional Office within 90 days;an evaluation may be
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 permittee to a Notice of Violation,
fines, and/or penalties.
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 G W-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.
(4/1 tj—� 6? -Tt- 7—-�
Signature I
ermittee(or Authorized Agent) Date
G1V-59A 12/8/2003

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