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Home My WebLink AboutWQ0002096_Monitoring - 02-2024_20240321 (2)Monitoring Report Submittal ..................................................... Permit Number#* WQ0002096 Name of Facility:* Month: * February Report Information Ahoskie Assisted Living Year:* 2024 Type* Upload Document* NDMR, NDAR-1, NDAR-2, NDMLR February 2024 NDMR.pdf 264.57KB PDF Only GW-59 February 2024 Compliance Report Form.pdf 2.61 MB PDF Only Please upload one PDF containing all applicable monitoring reports (i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59). Confirmation Email Address: * armstrongmgt2@gmail.com Name of Submitter: * Paula Armstrong Signature: Date of submittal: 3/21/2024 This will be filled in automatically Initial Review Reviewer: Wanda.Gerald Is the project number correct?* WQ0002096 Is the monitoring report accepted?* Yes No Regional Office* Washington Reviewer: _anonymous Review Date: 5/21/2024 (-'V'W,-59A C".0MIPLIANCE lnHad �ahfh,, GN monitoring report (GW�11 and GW-59A) YES �'NO Enter date monitoring results were d be submitted after the established due date? 2 Was any required informatioP rnissing on the W-59 report forms? swell identification number() and IF the answer to question 1 or 2 is ,yEs,,, list in the space provided below the explain the problems encountered in obtaining the required information. j--,;�r—eany the monitor wells in need of repair or maintena nee, (damaged casing, unlocked or missing cap, missin". YES contact the J?egional Of uidance. identific tion plate, area overgrown, etc.)? �f the answer is " yes g , ) NO Are any monitored constituents equal to or above the establishedstandards? YES,, If the answer to qUestion 4 is "NO", skip to section 8. individually with constituents) and concentration (s) If the answer to question 4 is "YES" list the affected wells in exceeding Standards in the space provided below. ( For the constituents identified question 4 above, have standards been exceeded! previously for the YES NO 5 same constituent(s) in the same well(s) in the last two years,? s wo,,, sj<jp to section 8. it the answer to question 5 i If the answer to question 5 is "YES", list in the space provided below, each well with constituent(s) exceeding standards, concentrations) repo ad, and sample collection date for each occurr nceflor the last two years). I-T w YENO S 6 Are the monitoring wells listed in section 5 located at or beyond the revieboundary? if the answer is ")�E�, a groundwater quality problem may be occurr ing. COWT—ACT HERbGIONAL OFFICE IMMEDIA TELY FOR GUIDANCE. If the answer is "NO", monitoring welts may be improperly located; contact the Regional office. YES; NO 7 Is the per ee implementing previ( groundwater quality problern? those actions in the space provide below, Ow, if the answer to question 7 Ti Y,�§, �descri�bj� Moira! Office within 90 daysL an evaluatigapay be It the answer to question 7 is "NO", contact the Re fho rpvipw and comolianc—P M fines, andlor�renalties. 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 -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. --7 5,g�,,tr, j �p,�rmit�teor Authorized Agent) SUBMIT FORM ON YELLOW PAPER ONLY GROUNDVITATER 0MUTY MONITORING: M LI> N I REP RT FORM acuity Name: ermit Name (if different): aridity Address: Tu act Person: l \ Location/Site Name: - Please Print Clearly or Type County Telephone# A - F No. of wells to be sampled SAMPLING INFORMATION WELL ID NUMBER (from P rmit). � r�Y Date sample collected: l Well Depth: -ft, Well Diameter: 17 in Depth to Water Level 82546: t. below measuring point Screened Interval; ft. Measuring Paint is ON = ft. above land surface Relative M.P. Elevation: Volume of water pumped/bailed before sampling: _ z`_ gallons Samples for metals were collected unfiltered: YES ❑ NO and field acidified: ❑ YES INFORMATION PROCESSING UNIT 617 BrIAIL SEFVICE CENTER, RALEIGH, NC 27699-1617 PERMIT Number, Expiration DaW Non -Discharge $ UIC NPDES Other TYPE OF PERMITTED OPERATION BEING MONITORED ❑ Lagoon ❑ Remediation: Infiltration Gallery Er Spray Field ❑ Remediation: ❑ Rotary Distributor ❑ Land Application of Sludge ❑ Water Source Heat Pump ❑ Other: FIELD ANALYSES: pH 00400 1 •j units to LLL ft. Spec. Cond. 00094. ft. Odor o0O85: AppearanceI NO _- LABORATORY INFORMATION � � � � t' Date sample analyzed I ' : - . .lu= Laboratory Name ,, r PARAMETERS NOTE, 1lalues should reflect dissolved and colloidal concentrations COD 00335 mg/L Nitrite (NO2) as N 00615 mg/L Pb - Lead 01051 Coliform: MF Fecal 31616 $, - /100rmL Nitrate (NO3) as N 00620 mgiL Zn - Zinc 01092 Coliform` MF Total 31504 1100mL Phosphorus: Total as P O0665 mg1L Temp. 00010: °c DRY at Mhos time of sampling, Certification No. (Note: use MPN method for highly turbid samples) Orthophosphate 70507 mgiL Other (Specify Compounds and Concentration Units) )issolved Solids:Total 70300111 t LJfit mg1L AI - Aluminum 01105 mg/L + f co r� pH (Lab) 00403 units Ba - Barium O1007 ug] � � �' I ' d� ��y^ � � TOC 00530 mg/L Ca - Calcium 00916 mg1L , Chloride 00940 mg/L Cd - Cadmium 01027 ug/L U '_£ °# , �c 9 t Arsenic 01002 ug/L Chromium: Total 01034 ug/L Grease and Oils o0552 mg/L Cu - Copper 01042 mg1L ORGANICS: (by GC, GC1MS, HPLC) Phenol 32730 ug/L Fe - Iron 01045 ug/L (Specify test and method . ATTACH LAB REPORT,) Sulfate 00945 mg1L Hg - Mercury 719100 ug/L Lab Report Attached? ❑ Yes (1) ❑ No (0) pec°sfic Conductance 00095 µMhos K - Potassium 00937 mg1L VOC 7873 method # Total Ammonia 00610 mg/L Mg - Magnesium 00927 rng/L method # (Ammonia Nitrogen„ NH4 as id; Ammonia Nitrogen, Total) Mn - Manganese 01055 ug/L , method # TKN as N 00625 mg/L Ni - Nickel 01067 ug/L method #/ For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mgiL VOC Removal% SUBMIT FORM ON YELLOW PAPER ONLY P int Clearly or Facility Name: Permit Flame (if different):. Facility Address: t :,, ict Person: (1 j L 1 I Location/Site Name: County Telephone# i = a No, of wells to be sampled. t7699A617 r � PERMIT Dumber:, Expiration Date:=E'er m* Non -Discharge ' ' ? f' �1 UIC NPDES Other TYPE OF PERMITTED OPERATION BEING MONITORED 0 Lagoon Remediation: Infiltration Gallery ff'Spray Field Remediation: Rotary Distributor ❑ Land Application of Sludge M Water Source Heat Pump Other: SAMPLING INFORMATION WELL ID NUMBER (from Permit): 0i 4 IJ s Date sample collected: Zt Well Depth: ft. Well Diameter: in. Depth to Water Level 82546. ft. below measuring point Screened Interval: eft. to ft. Measuring Point is 3 f j ft. above land surface Relative M.P. Elevation: ft. Volume of water pumped/bailed before sampling: gallons FIELD ANALYSES: pH 00400 - � units L-LSpec. Cond. 00094: Odor 000m: Temp.00010: °C uMhos Appearance [ F ` Samples for metals were collected unfiltered: M1 YES NO and field acidified: YES NO LABORATORY INFORMt AWN t t I Date sample analyzed: 4 . 1 , 1 Laboratory Name a _ � r PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. y I COD 00335 mg/L Nitrite (NO2) as N 00615 mg/L Pb - Lead o1o51 Coliform: MF Fecal 31616 1 11100mL Nitrate (NO3) as N 00620 ._ , mg/L Zn 4 zinc 01092 Caliform- MF Total 31504 /1 QgmL Phosphorus: Total as P 00665 c mg/L Certification No. ug/L mg/L DRY at time of sampling, check here:E] (Note: use MPN method for highly twbid �ampies) Orthophosphate 70507 mg/L Other Specify Compounds and Concentration Units): )issolved Solids -Total 70300 r = mg/L At - Aluminum 01105 mg pH (Lab) 00403 units Ba - Barium 01007 ug/L l i 4 t d t X TOC o0680 g/L Ca = Calcium oos16 mg/L 1 , r t Chloride 00940 � mg/L Cd - Cadmium 01027 ug/L Arsenic 01002 ug/L Chromium: Total 01034 ug/L Grease and Mils 00552 mg/L Cu - Copper 01042 mg/L ORGANICS: (by GC, GCIMS, HPLC) Phenol 32730 ug/L Fe - Iron 01045 ug/L (Specify test and method #. ATTACH LAB REPORT.) Sulfate 00945 mg/L Hg - Mercury 71900 ug/L Lab Report Attached? El Yes (1) El No (0) Specific Conductance 00095 9Mhos K - Potassium 00937 mg1L VOC 7873 method # Total Ammonia oaslo mg/L Mg -Magnesium 00927 mg/L method # (Ammonia Nitrogen: NH3 as N; Ammonia Nitrogen, fatal) Mn - Manganese 01065 ug/L , method # TKN as N 00625 mg/L Ni - Nickel 01067 uglL method # For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mod/L VOC Removal% SUBMIT FORM ON YELLOW PAPER ONLY GROUNDWATER QUALITY MONITORING, COMPLIANCE REPORT O> PAr-tl [TV &9t.i&TF§!'J Facility game: _€ Permit Name (if different): Facifitv Address: CIAce` l antact Person: i ell Location/Site y or type ii County Telephone# " No. of wells to be sampled' PERMIT Number Expiration Date k # r a ,`'fit= UIC Non -Discharges Q - NPDES Other TYPE OF PERMITTED OPERATION BEING MONITORED ❑ Lagoon ❑ Remediation: Infiltration Gallery pray Field ❑ Remediation: ❑ Rotary Distributor ❑ Land Application of Sludge ❑ Water Source Heat Pump ❑ Other: if VdELL PL[Nis ]Nt-4)KMAI IL)N 3 i L ID NUMBER (from Permit): a t - Date sample collected: .. • - Depth: ft. Well Diameter: r in. 1 to Water Level 82546: ft. below measuring point Screened Interval: ft. to Ift. wring Point is ft, above land surface Relative M.P. Elevation_ ft. e of water pumpedibailed before sampling: gallons FIELD ANALYSES: pH 00400: units Spec. Cond. 00094: Odor 00085: Appearance3 Temp. 00010: °C DRY at pMhos time of 1--li, Samples for metals were collected unfiltered: ❑ YES ❑ NO and field_ acidified: N YES ❑ NO LABORATORY INFORMATION 11 l Date sample analyzed ;r;� �'_ 11111 _ Laboratory Name V V �� E _ � 1 , r 11 �;� , . Certification No. ' - , , _ PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations. COD 00335 mg/L Nitrite (NO2) as N 00615 mg/L Pb - Lead o1o5i ug/L Coll€orm: ME Fecal 31615 ( 1100mL Nitrate (NO3) as N 00620 mg/L Zn - Zinc 01092 mg/L Coliform: MF Total 31,504 /100mL Phosphorus: Total as P 00665 �= mg/L here:L___I (Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg1L Other (Specify Compounds and Concentration Units): Dissolved Sol ds:Total 70300 'i mg/L Al -Aluminum o1 i05 mg1L - 1 = f `` ' pH (Lab) 00403 units Ba -Barium o1007 ug/L (11 D i TOC oasso _ mglL Ca - Calcium oo916 mg/L &1� Chloride 00940 mg1L Cd - Cadmium 01027 ug/L ;1 e1 Arsenic 01002 ug/L Chromium: Total 01034 ug/L V 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 ug/L Lab Report Attached? ❑ Yes (1) ❑ No (0) Specific Conductance 00095 pMhos K - Potassium 00937 mg1L VOC 7873 method # Total Ammonia 00610 mg/L Mg - Magnesiuma0927 mg/L method # (Ammonia Nitrogen, NHS as N; Ammonia Nitrogen, Total) Mn - Manganese oio55 ug/L method ## TILN as N 00625 mg/L Ni - Nickel 01067 ug/L method # =— @—A—f;— riMu rnt+nrh E ah r pnnrt�z1- Inf ilent Total VOCs: mp/L Effluent Total VOCs: mg/L VOC Removal% Drinking Water IDi 37715 Wantewater ID: ID PHONE (252) 756-08 FAX (252) 756-0633 AHOSKIE ASSISTED LIVING 240 SOUTH EARLY STATION RD. ,AHOSKIE, NC 27910 REVIEWED BY: Zia -------- Efflnent Well #4 Well #5 Well #7 Analysis Method PARAMETERS Date Analyst Code BOD, Ing/l 17 02/08/24 JMS 521013-16 Fecal Coliform (MM,du/100 1111,s 210 <1 <1 <1 02/08/24 HMV 922211-15 'T(,,)tal Suspended Residue, ing/l 44 02/09/24 BNC 2540D-15 Ainnionia Nitrogen as N, mg/l 2.1.8 0.09 0.0,6 0.05 02/12/24 AMC 350,1 R2-93 Total lqe1dahl Nitrogen as N'Ing/l 11.00 02/15/24 BMD 351.2 R2-93 Nitrate-F Nitrite its N, mg/l (Cale) 0.12 353,2 R2-93 Nitrate Nitrogen as N, ing/1 0,04 t12/08/24 TRJ 353.2 R2-93 Nitrate Nitrogen as N, mg/1 < 0,04 <0,04 0.05 02/09/24 TRJ 353.2 R2-93 Nitrite Nitrogen as N, mg/l 0.08 02/08/24 BMT) 3512 R2-93 Total, Phosphorus as P, ing/l 0.59 0.12 0,05 < 0.04 02/15/24 TRJ 365,4-74 Total Organic Carbon, mg/l 1.85 14.43 < 1.00 02/09124 Bl,'V .5310C-14 Chloride, ung/l 36 42 2 95 02/19/24 B,NC 4500CLB-1 I 11otal Dissolved Residue, mg/l M 290 M 100 M t80 M 230 02/13/24 BBC" D5907-13 Total Nitrogen, mg/l, (cafe) 1.1.12 Al2 OC requirejAenta were net amens. M Blank redu2t exceeded method constant weight Waypc4nt. nNasvaicnt Waypoint Azialytical - Greenville Page __ of _ I i4 iiahmone ur. 3reenville, NC 27858 DISINFECTION 'yp CHLORINE CHECK (LAB) Nww.WaypointAnalyticaLcom a0.5 mg/L - Yes M or No (N) ?hone (252) 756-6208 • Fax (252) 756-0633 Ij CHLORINE CLIENT: 377 Week: 11 pH CHECK (S.U.) (LAB) Ij UV �FIOSHIE ASSISTED LIVING NONE P 11 P P P P P P P P P CONTAINER TYPE, PIG :40 SOUTH EARLY STATION 12D. CHEMICAL PRESERVATION �FiOSHIE NC 27910 C C A A co A -NONE D-NAOH a,z o ;252) 2874153 z � LU B-HNO, E HCL �o o c� cco U a ¢ w f— C - HzSOa F -ZINC ACETATE/NAOF COLLECTION o o '� Ei U gcc U F G-NATHIOSULFATE SAMPLE LOCATION DATE TIME �� . '; f CLASSIFICATION: Effluent v t, , ] 7 WASTEWATER (NPDES) Well #4i s� '� ; 6 ., s $`' Well #5 ,� f U . 6 tI;,': DRINKINGWATER DWRIGW Well #7� �.5 6 >Y; SOLID WASTE SECTION CHAIN OF CUSTODY (SEAL) MAINTAINEE DURIUIPMENT/DE LIVERY N SAMPLES COLLECTED BY: (Please Print) c[IG�� PcLr K-cr f SAMPLES RECEIVED IN LAB AT (SAMPLER) DATEMME ��% 'REC BY (1 .} ATFJf3ME COMMENTS: SAMPLES RECEIVED ON ICE 4REISH SHED BY (SIG.} DATEMME RE IVED BY (SIG.) DATEIiI E RELINpIIISHED BY (SIG.) DATEMME RECEIVED BY (SIG.) DATE MME PLEASE READ Instructions for coal letirtg Grab sample in the blocks above for each parameter requested, this form on the reverse side. Sampler must place a "C" for composite sample or a "G' for p - FOI�n� ��