WQ0005603_Groundwater Monitoring Report April 2020_20200519

GW-59A COMPLIANCE REPORT FORM
Permit # !� . 83
(Srtbinit one each monitoring period with G -59 fortn.r.)
1
Enter date monitoring results were due. ( ) Will this monitoring report (GW-59 and GW-59A)
be submitted after the established due date?
YES
NO
I
Was any, required information missing on the GW-59 report forms?
YES
NO
iF the answer to 1 "YES"
question or 2 is 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
identification plate, area overgrown, etc.)? If the answer is -}'es ",
YES
NO
contact the Regional Office forgnidance.
4
Are any monitored constituents equal to or above the established standards?
YES
N9
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 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 maybe 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 Wjthin 90 days; an evaluation may be
required to determine the impact the waste disposal system is hiFVin-q at the r 'ew and compliance
boundaries surrounding this facility. Failure to do so may su JeW the ermit to a Notice of Violation
fines,
and/or penalties.
rn ca
C� N
rn
N N rn0
N Z 0
g
The person completing this portion (GW-59A) of the monitoring re,�rt should sign below and submit this
form with GW-59 forms for required wells to the address provided the top of the current GW-59 form.
l hereby acknowledge that the above Information was evaluatezd and the inforTnat(an.submitfed Jn this
report (Complianleport GW-59A) is ,true d complete to,the best of m krnowled a '
... . Y g ..,.....
7
- Z - 2 0,2c�
SignatL&6f Permittee Authorize Agent) Date
GNP'-59A 12/8/2003

woolirrRinrCH
.Inc.
POST OFFICE BOX 1056 • #5 PINEWOOD PLAZA DR.
GRANITE FALLS, NORTH CAROLINA 28630
[phone]
SAMPLE: Coats America (MW#10) COLLECTION DATE:
4/7/2020
PERMIT #: COLLECTION TIME:
08:00
ADDRESS: Coats America (Wells) RECEIVED DATE:
4/7/2020
P.O. Box 368
RECEIVED TIME:
15:15
Marion, NC 28752
REPORTED:
5/7/2020
ANALYSIS
ANALYSIS
RESULTS
UNITS
DATE
ANALYST
TDS
58
mg/L
4/8/20
lag
Chloride
<5.0
mg/L
4/15/20
lag
T. Phosphorus
<0.16
mg/L
4/27/20
jdg
TOC
<1.0
mg/L
419/20
Sulfate
<10
mg/L
4/17/20
metals
see attached
pH
6.6
su's
4/7/20
lag
Alkalinity
45
mg/L
4/9/20
lag
Conductivity
104
umhoslcm
4/9/20
jrg
Turbidity
0.35
ntu
4/8/20
lag
LOG ID: 2004-102 REPORTED BY: NC CERTIFIED LAB # 50
fw� *
Tony Gragg, Lab Supervisor
;ar

RESEARC A1YT1CA1 Report of Analysis
.:a LA O RAT Ri ESQ INC. 4/28/2020
v Rit{4IRllfllr,
For: Water Tech Labs, Inc.�
P.Q. BOX 1056 w4V ;.{ 4. Cy,�•
W '� i FiJQ7
Granite Falls, NC 28630 NC 934
NC437701 =
Attn:
�•� �', � Oft �4'�c���+�
Client Sample iD:
Coats America MW-10
Lab Sample ID:
80792-01
Site:
water Tech
Collection Date:
4/7/2020
8:00
Parameter
Mothod
Rfivft
Units
Re 1-jimlt nal st Analysis Date/Time l
Aluminum, Total
EPA 200.7
<0,025
mg/L
0,025
SK
4/14/2090
Antimony, Total
EPA 200.7
<0.005
mg/L
0,005
SK
4/14/2020
Arsenic, Total
EPA 200.7
<0.005
mg/L
0,005
SK
4/14/2020
Barium, Total
EPA 200.7
<0.005
mg/L
0.005
SK
4/14/2020
Beryllium, Total
EPA 200.7
<0,001
mg/L
0,001
SK
4/14/2020
Boron, Total
EPA 200.7
<0.1
mg/L
0.1
SK
4/27/2020
Cadmium, Total
EPA 200.7
<0.002
mg/L
0.002
SK
4/1412020
Calcium, Total
EPA 200,7
<0.5
mg1L
0.5
SK
4/14/2020
Chromium, Total
EPA 2001
<0.005
mg/L
0,005
SK
4/14/2020
Cobalt, Total
EPA 200.7
<0.005
mg/L
0.005
SK
4/14/2020
Copper, Total
EPA 200.7
<0.005
mg/L
0.005
SK
4/14/2020
Iran, Total
EPA 200.7
0.038
mg/L
0.025
SK
4/14/2020
Lead, Total
EPA 200.7
<0.005
mg/L
0.005
SK
4/14/2020
Magnesium, Total
EPA 200.7
<0.5
mg/L
0.5
SK
4/14/2020
Manganese, Total
EPA 200.7
<0.005
mg/L
0,005
SK
4/14/2020
Mercury, Total
EPA 245.1
<0.0002
mg/L
0.0002
MM
4/21/2020
Molybdenum, Total
EPA 200.7
<0.005
mg/L
0,005
SK
4/14/2020
Nickel, Total
EPA 200.7
<0.005
mg/L
0,005
SK
4/1412020
P.O. 13ox,I73 106 Short Street Kernersville, North Carolina 27284
Tel: [phone]
Fax: [phone] www.randalabs,com
Page 1
r�i Coa i'��sic vt�i

RESEARCh&ANAIYTICAI
Report of Analysis
`f LA ORATORIES, INC.
4/28/2020
r.
Client Sample ID: Coats America MW-10
Lab Sample ID:
80792-01
Site: water Tech
Collection Date:
4/7/2020
8:00
[Da�rr Methgd
Result
Un is
Re Ur -nit Anal s Analysis Date/Time
Potassium, Total EPA 200.7
<0.5
mg/L
0.5
SK
4/14/2020
Selenium, Total EPA 200.7
<0.005
mg/L
0,005
SK
4/14/2020
Sodlurn, Total EPA 200.7
21.7
mg/L
0.5
SK
4/14/2020
Strontium, Total EPA 200.7
<0,01
mg/L
0.01
SK
4/14/2020
Sulfate SM 4500 SO4 E-2011
<10
mg/L
10
EK
4/1712020
Thallium, Total EPA 200.7
<0.005
mg/L
0,005
SK
4/14/2020
Total Organic Carbon SM 5310 N-2011
<1,0
mg/L
1
MG
4/912020
Vanadium, Total EPA 200.7
<0.005
mg/L
0,005
SK
4/14/2020
Zinc, Total EPA 2003
<0.01
mg/L
0.01
SK
4/14/2020
NA = not analyzed
P.O. Box 473 106 Short. Street Kernersvllle, North Carolina 27284 Tel: [phone] Fax: [phone] www.randatabs.com Page 2

E
WIVITERiTSCH ,11C.
POST OFFICE BOX 1056 • #5 PINEWOOD PLAZA DR.
GRANITE FALLS, NORTH CAROLINA 28630
[phone]
SAMPLE: Coats America (MW#16) COLLECTION DATE:
4/7/2020
PERMIT #: COLLECTION TIME:
08:30
ADDRESS: Coats America (Wells) RECEIVED DATE:
4/7/2020
P.O. Box 368
RECEIVED TIME:
15:15
Marion, NC 28752
REPORTED:
5/7/2020
ANALYSIS
ANALYSIS
RESULTS
UNITS
DATE
ANALYST
TDS
240
mg/L
4/8/20
lag
Chloride
22
mg/L
4/15/20
lag
T, Phosphorus
<0.16
mg/L
4/27/20
jdg
TOC
<1.0
mg/L
4/9/20
Sulfate
45.5
mg/L
4/17/20
metals
see attached
pH
7.8
su's
4/7/20
lag
Alkalinity
115
mg/L
4/9/20
lag
Conductivity
398
umhos/cm
4/9/20
jrg
Turbidity
0.35
ntu
4/8/20
lag
LOG 1D: 2004-103 REPORTED BY: NC CERTIFIED LAB # 50
fv� (%a"
Tony Gragg, Lab Supervisor

RESEARCh&ANAIYTICAI Depart of Analysis
AORATORiES, INc®
4/28I2020
��& �Yrl I r}
For: Water Tech Labs, Inc. ••`""" 'otr
P.O. BOX 1056
Granite Falls, NC 28630 cc:Nc##34 .IWO
NC t#37701. «
Attn: i W�
Client Sample 110: Coats Americal MW-16 Lab Sample ID: 80782-02
Site: water Tech Collection Date: 4/7/2020 8:30
[pai;MterLL
Method Resul Uni l Reg Limit Analys Analysis Date/Time
Aluminum, Total EPA 200.7 <0.025 mg/L 0.025 SK 4/14/2020
Antimony, Total EPA 2007 <0.005 mg/L 0.005 SK 4/1412020
Arsenic, Total EPA 200.7 <0.005 mg/L 0.005 SK 4/14/2020
Barium, Total EPA 200.7 0.041 mg/L 0.005 SK 4/14/2020
Beryllium, Total EPA 200.7 <0,001 mg/L 0.001 SK 4/14/2020
Boron, Total EPA 200.7 <0.1 mg/L 0.1 SK 4/27/2020
Cadmium, Total EPA 200.7 <0.002 mg/L 0,002 SK 4/1412020
Calcium, Total EPA 200.7 37.3 mg/L 0.6 SK 4/14/2020
Chromium, Total EPA 200.7 <0,005 mg/L 0,006 SK 4/14/2020
Cobalt, Total EPA 200.7 <0.005 mg/L 0.005 SK 4/14/2020
Copper, Total EPA 200.7 <0.005 mg/L 0.005 SK 4/1412020
Iron, Total EPA 200.7 0.048 mg/L 0.025 SK 4/14/2020
Lead, Total EPA 200.7 <0.005 mg/L 0.005 SK 4/14/2020
Magnesium, Total EPA 200.7 17.3 mg/L 0.5 SK 4/14/2020
Manganese, Total EPA 200.7 0.006 mg/L 0.005 SK 4/14/2020
Mercury, Total EPA 245.1 <0.0002 mg/L 0.0002 MM 4/21/2020
Molybdenum, Total EPA 200.7 <0.005 mg/L 0,006 SK 4/14/2020
Nickel, Total EPA 200.7 <0.005 mg/L 0.005 SK 4/14/2020
P.O. Box 473 106 Short Street Kernersville, North Carolina 27284 Tel: [phone] Fax: [phone] www.randalabs.com Page 1
ral cC^ ba3ic yid

RESEARCh&ANAIYTiCAI
LAORATORNES, INC©
<ry
Report of Analysis
4/28/2020
Client Sample ID: Coats Americal MW-16
Lab Sample ID:
80792-02
Site: water Tech
Collection Date:
4/7/2020
8:30
Parameter
Metho
Result
Units
Rep Limit Analyst Analysjs Date/Time
Potassium, Total
EPA 200.7
2.50
mg/L
0.5
SK
4/1412020
Selenium, Total
EPA 200,7
<0.005
mg/L
0.005
SK
4/14/2020
Sodium, Total
EPA 200.7
17.3
mg/L
0.5
SK
4/14/2020
Strontium, Total
EPA 200.7
0.384
mg/L
0.01
SK
4/14/2020
Sulfate
SM 4500 SO4 E-2011
45.5
mg/L
10
FK
4/1712020
Thallium, Total
EPA 200.7
<0.005
mg/L
0.005
SK
4/14/2020
Total Organic Carbon
SM 5310 N-2011
<1.0
mg/L
1
MG
4/9/2020
Vanadium, Total
EPA 200.7
<0.005
mg/L
0.005
SK
4/14/2020
Zinc, Total
EPA 200.7
<0.01
mg/L
0.01
SK
4/14/2020
NA = not onaly7.ed
P.O. Box 473 106 Short Street Kernersville, North Carolina 27284 Tel: [phone] Fax: [phone] www.randalabs.com Page 2
? c:oa b�i�iiC a 1:1

awn[WirecHmiss
lltc.
POST OFFICE BOX 1056 • #5 PINEWOOD PLAZA DR.
GRANITE FALLS, NORTH CAROLINA 28630
[phone]
SAMPLE: Coats America (MW#17) COLLECTION DATE.
4/7/2020
PERMIT #: COLLECTION TIME:
09:00
ADDRESS: Coats America (Wells) RECEIVED DATE:
4/7/2020
P.O. Box 368
RECEIVED TIME:
15:15
Marion, NC 28752
REPORTED:
5/7/2020
ANALYSIS
ANALYSIS
RESULTS
UNITS
DATE
ANALYST
TDS
273
mg/L
4/8/20
lag
Chloride
23.5
mg/L
4/15/20
lag
T. Phosphorus
<0.16
mg/L
4/27/20
jdg
TOC
<1.0
mg/L
419/20
Sulfate
48.6
mg/L
4/17/20
metals
see attached
pH
7.8
su's
417/20
lag
Alkalinity
130
mg/L
4/9/20
lag
Conductivity
453
umhos/cm
4/9/20
jrg
Turbidity
4.4
ntu
4/8/20
lag
LOG 1D: 2004-104 REPORTED BY: NC CERTIFIED LAB # 50
fl� *
Tony Gragg, Lab Supervisor

ESEARCh ANA[y1ri A Report of Analysis
LAboRATORiES, INC. 4/28/2020
�1{11JtMl►J�
For: Water Tech Labs, Inc.Cly
•'� ..,•"`""''••.,4rr�
P.O. Box 1056
ia44i �ln� ; •»
Granite Falls, NC 28630
`� NC1134
3�v�
S NC 1137701 r• '�
= 4
Attn:+"
J
JJii3i11
Client Sample ID: Coats Americal MW-17
Lab Sample iD:
80792.03
Site: water Tech
Collection Date:
4/7/2020 9.00
Parameter
Methog
Rosult
Unit
Rep Limit Analys, Analysis Date/Time
Aluminum, Total
EPA 200.7
<0.025
mg/L
0.025
SK 4/14/2020
Antimony, Total
EPA 200.7
<0.005
mg/L
0.005
SK 4/14/2020
Arsenic, Total
EPA 200.7
<0.005
mg/L
0.005
SK 4/14/2020
Barium, Total
EPA 200.7
0.050
mg/L
0.005
SK 4/14/2020
Beryllium, Total
EPA 200.7
<0.001
mg/L
0.001
SK 4/14/2020
Boron, Total
EPA 200.7
<0.1
mg/L
0.1
SK 4/27/2020
Cadmium, Total
EPA 200.7
<0,002
mg/L
0.002
SK 4/14/2020
Calcium, Total
EPA 200.7
36.8
mg/L
0.5
SK 4/14/2020
Chromium, Total
EPA 200.7
<0.005
mg/L
0.005
SK 4114/2020
Cobalt, Total
EPA 200.7
<0.005
mg/L
0.005
SK 4/14/2020
Copper, Total
EPA 200.7
<0.005
mg/L
0.005
SK 4/14/2020
Iron, Total
EPA 200.7
0.938
mg/L
0.025
SK 4/1412020
Lead, Total
EPA 200.7
<0,005
mg/L
0.005
SK 4114/2020
Magnesium, Total
EPA 200.7
18.5
mg/L
0.5
SK 4/14/2020
Manganese, Total
EPA 200.7
0,135
mg/L
0.005
SK 4/14/2020
Mercury, Total
EPA 245.1
<0.0002
mg/L
0.0002
MM 4/17/2020
Molybdenum, Total
EPA 200.7
<0.005
mg/L
0.005
SK 4/14/2020
Nickel, Total
EPA 2001
<0.005
mg1L
0.005
SK 4/14/2020
P.O. Box 473 106 Short Street Kernersville, North Carolina 27284 Tel: [phone] Fax: [phone] www.randalabs.com Page 1
1 a; Cosa W"i : v id

v
ESEARCH & ANAIYTiCAI
Report of
Analysis
:F:. .. LIB ORATORiE5, INC.
4/28/2020
q.
Client Sample lD; Coats Americal MW-17
Lab Sample ID;
80792-03
Site: water Tech
Collection Date:
4/7/2020
9:00
Parameter a ho _
e ult
Ur to
RgI2 Umit al st Analysis
AgtotTime
Potassium, Total EPA 200.7
2.19
mg/L
0.5
SK
4/14/2020
Selenium, Total EPA 200.7
<0,005
mg/L
0,005
SK
4/1.4/2020
Sodium, Total EPA 200.7
27.5
mg/L
0.5
SK
4/14/2020
Strontium, Total EPA 200.7
0.284
mg/L
0,01
SK
4/14/2020
Sulfate SM 4500 304 E-2011
48.6
mg/L
10
FK
4/17/2020
Thallium, Total EPA 200.7
<0.005
mg/L
0.005
SK
4/14/2020
Total Organic Carbon SM 5310 N-2011
<1.0
mg/L
1
MG
4/9/2020
Vanadium, Total EPA 200.7
<0.005
mg/L
0.005
SK
4/14/2020
Zinc, Total EPA 200.7
<0.01
mg/L
0.01
SK
4/14/2020
NA = not analyzed
PA, Box 473 106 Short Street Kernersville, North Carolina 27284 Tel: [phone] Fax: [phone] www.randalabs.com Page 2
r31 coa basic; Id

CHAIN OF CUSTODY - Analytical Request
Client Namc: Q Cq.
Address: - n ow f]�xzIu —
UL ZL-
Rcport. to: PW i L1_f P ffff1nA-AJ
Thane: 2ZF� 7 Sb 1 arc f 33Lk
PO Numhcr:
WATER TECH LABS, INC.
PO BOA: 1056
GRANITE FALLS, NC 28630
PHONE: [phone]
Project Name:
Project Number:
Reauested Analvses
pH Checked Upon Receipt
Preservatives
Cl2 < 0.2 mg/1 Upon Receipt
-n Sample
Identification
N �
N
cjQ
f7-I
N O m
O
N
Field Temp. (C") Comments
• . . .
.. •
• -•
• ..
t_•
71M
Ai6cepted By
._
Date
'Time
Temperature (°C)
r
Received on Ice:
/ N
Sealed Cooler:
Y / N
Samples Intact
Y / N
Additional Comments:
�pR-
%�urs
(� �L
Sampler Name
_ • •
-
Date
/�-S
AI,Sb,AS Ba, Be, B,
Cd, Ca,
t
Printed Name of Sampler:
DEC
Signature of Sampler:
Cr.Co.Cu,Fe,Pb,MQ,Mn,Hg,
Mo, N i, K, Se, Na, Sr, TI, V, Zn

SUBMIT FORM ON YELLOW PAPER ONLY
ROUNDWATER QUALITY MONITORING:
OMPL!ANCE REPORT FORM
or
Facility Name: COATS AMERICAN
Permit Name (if different):
Facility Address: 630 AMERICAN THREAD RD MARION NC 28752
630 AMERICAN THREAD RD MARIOkNC28752
tact Person: PHILLIP C PITTMAN
I Location/Site Name: BACKGROUND
County MCDOWELL
Te I eph one#: 8287564111
No. of wells to be sampled: 3
PERMIT Number: Expiration Date:.ZG
Non -Discharge W00005603 UIC
NPDES Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑■ Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW10
Date sample collected: 4/7/20
FIELD ANALYSES:
WAS
Well Depth: 18 ft.
Well Diameter: 2 in.
pH ooaoo: 7.96 units Temp. 00010: / Z o C
DRY at
Depth to Water Level 82546:15.2 ft. below measuring point
Screened Interval: N/A ft. to
N/A ft.
Spec. Cond. 00094: µMhos
time ofsampling,
Measuring Point is 2.5 ft. above land surface
Relative M.P. Elevation: ft.
Odor 00085: NONE
check
Volume of water pumped/bailed before sampling:
3
gallons
Appearance CLEAR
here:
❑
Samples for metals were collected unfiltered: 9 YES
❑ NO and field acidified: ❑ YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: SEE BELLOW
Laboratory Name: WATER TECH
Certification No. 50
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615
mg/L
Pb -Lead 01051 <0.005 4/14/20 ug/L
Coliform: MF Fecal 3i6i6
/100mL
Nitrate (NO3) as N 00620
mg/L
Zn - Zinc 01092 <0.01 4/14/20 mg/L
Coliform: MF Total 3i504
/100mL
Phosphorus: Total as P 00665 <0.16 4/27/20
mg/L
(Note: Use WIN method for highly turbid samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 58 4/8/20
mg/L
AI -Aluminum o11o5 <0.025 4/14/20
mg/L
ALKALINITY 45 4/19/20 MG/L
pH (Lab) 00403 6.6 4/7/20
units
Ba - Barium 01007 <0.005 4/14/20
ug/L
TURBIDITY 0.35 4/8/20 MG/L
TOC 00680 <10 4/9/20
mg/L
Ca - Calcium 00916 <0.5 4/14/20
mg/L
ANTIMONY <0.005 4/14/20 MG/L
Chloride 00940 <5.0 4/15/20
mg/L
Cd - Cadmium 01027 <0.002 4/14/20
ug/L
BERYLLIUM <0.001 4/14/20 MG/L
Arsenic 01002 <0.005 4/14/20
ug/L
Chromium: Total 01034 <0.005 4/14/20
ug/L
BORON <0.1 4/27/20 MG/L
Grease and Oils 00552
mg/L
Cu - Copper 01042 <0.005 4/14/20
mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron 01045 0.038 4/14/20
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate oo9a5 <10 4/17/20
mg/L
Hg - Mercury 71900 <0.0002 4/21/20
ug/L
Lab Report Attached? ❑■ Yes (1) ❑ No (0)
Specific Conductance 00095 104 4/9/20
µMhos
K - Potassium 00937 <0.5 4/14/20
mg/L
VOC 7873 method #
Total Ammonia 00610
mg/L
Mg - Magnesium 00927 <0.5 4/14/20
mg/L
method #
(Ammonia Nitrogen. NH3 as N, Ammonia Nitrogen, Total)
Mn -Manganese 01055 <0.005 4/14/20
ug/L
method #
TKN as N 00625
mg/L
Ni - Nickel 01067 <0.005 4/14/20
ug/L
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
PHILLIP C PITTMAN ORC
Permittee (or Authorized Agent) Na
GW-59 Rev.3-1-2016
Title - Please print or type

SUBMIT FORM ON YELLOW PAPER ONLY
(GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
Facility Name: COATS AMERICAN
Permit Name (if different):
Facility Address: 630 AMERICAN THREAD RD MARION NC 28752
630 AMERICAN THREAD RD MARIONNC'28752
sta e
tact Person: PHILLIP C PITTMAN
I Location/Site Name: BACK GROUND
or
County MCDOWELL
Te leph one#: 8287564111
No. of wells to be sampled: 3
WELL ID NUMBER (from Permit): MW10 Date sample collected: 4/7/20
Well Depth: 18 ft. Well Diameter: 2 in
Depth to Water Level 82546:15.2 ft. below measuring point Screened Interval: N/A ft.
Measuring Point is 2.25 ft. above land surface Relative M.P. Elevation:
Volume of water pumped/bailed before sampling: 3 gallons
Samples for metals were collected unfiltered: ❑■ YES ❑ NO and field acidified: ❑ YES
to N/A ft.
ft.
❑ NO
ERMIT Number: Expiration Date: 2,"26
on -Discharge WQ0005603 UIC
PDES Other
YPE OF PERMITTED OPERATION BEING MONITORED
❑■ Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
FIELD ANALYSES:
pH 00400: 7.75 units
Spec. Cond. 00094:
Odor 00085: NONE
Appearance CLEAR
If WELL
WAS
Temp. 00010: % Z �C DRY at
uMhos time of
check
here:
Date sample analyzed: SEE BELLOW
Laboratory Name: WATER TECH
Certification No. 50
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615
mg/L
Pb - Lead 01051 ug/L
Coliform: MF Fecal 3i6i6
/100mL
Nitrate (NO3) as N 00620
mg/L
Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300
mg/L
Al -Aluminum 01105
mg/L
COBALT <0.005 4/14/20 MG/L
pH (Lab) 00403
units
Ba - Barium 0i007
ug/L
STRONTIUM <0.01 4/14/20 MG/L
TOC 00680
mg/L
Ca - Calcium 00916
mg/L
MOLYBDENUM <0.005 4/14/20 MG/L
Chloride 00940
mg/L
Cd - Cadmium 01027
ug/L
SELENIUM <0.005 4/14/20 MG/L
Arsenic 01002
ug/L
Chromium: Total 01034
ug/L
SODIUM 21.7 4/14/20 MG/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
ug/L
Lab Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance o0095
µMhos
K - Potassium 00937
mg/L
VOC 7873 method #
Total Ammonia 00610
mg/L
Mg - Magnesium 00927
mg/L
method #
(Ammonia Nitrogen, NH3as N; 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)
PHILLIP C PITTMAN ORC
Permittee (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev.3-1-2016
Influent Total VOCs:
Effluent.. •
tplete, and that the laboratory analytical data
possibility of fines and irripr,sonment for knc
mg/L VOC Removal%.
- `/Z - z0211
(Date)

SUBMIT FORM ON YELLOW PAPER ONLY
(GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
Please Print Clearly or Type
Facility Name: COATS AMERICAN
Permit Name (if different):
Facility Address: 630 AMERICAN THREAD RD MARION NC 28752
630 AMERICAN THREAD RD MARIOkNC 78752 County MCDOWELL
act Person: PHILLIP C PITTMAN
Location/Site Name: BACK GROUND
WELL ID NUMBER (from Permit): MW10
Well Depth: 18 ft.
Depth to Water Level 82546:15.2 ft. below measuring point
Measuring Point is 2.25 ft. above land surface
Telephone#: [phone]
No. of wells to be sampled: 3
Date sample collected: 4/7/20
Well Diameter: 2 in
Screened Interval: N/A ft.
Relative M.P. Elevation:
PERMIT Number: Expiration Date: 12-.31- 2 b ZE
Non -Discharge W00005603 UIC
NPDES Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑■ Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
to N/A ft.
ft.
Volume of water pumped/bailed before sampling: 3 gallons
Samples for metals were collected unfiltered: ❑■ YES ❑ NO and field acidified: ❑ YES ❑ NO
FIELD ANALYSES:
pH 00400: 7.75 units
Spec. Cond. 00094:
Odor 00085: NONE
Appearance CLEAR
Temp. 000lo: % 2. °C
µMhos
Date sample analyzed: SEE BELLOW
Laboratory Name: WATER TECH
Certification No. 50
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615
mg/L
Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616
/100mL
Nitrate (NO3) as N 00620
mg/L
Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300
mg/L
Al -Aluminum 01105
mg/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
THALLIUM <0.005 4/14/20 MG/L
TOC 00680
mg/L
Ca - Calcium 00916
mg/L
VANADIUM <0.005 4/14/20 MG/L
Chloride 00940
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01002
ug/L
Chromium: Total o1o34
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
ug/L
Lab Report Attached? ❑ Yes (1) ❑ No (0)
pecific Conductance 00095
µMhos
K - Potassium 00937
mg/L
VOC 7873 method #
Total Ammonia 00610
mg/L
Mg - Magnesium 00927
mg/L
method #
(Ammonia Nitrogen, N1­13as N, 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: mg/L VOC Removal%
PHILLIP C PITTMAN ORC
Permittee (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev.3-1-2016
If WELL
DRY at
time of
sampling,
check
here: ❑
S= i, .-2o 20

SUBMIT FORM ON YELLOW PAPER ONLY
(GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
Please Print Clearly or Type
Facility Name: COATS AMERICAN
Permit Name (if different):
Facility Address: 630 AMERICAN THREAD RD MARION NC 28752
630 AMERICAN THREAD RD MARIOkNC'28752 County MCDOWELL
act Person: PHILLIP C PITTMAN
Location/Site Name: SOUTH OF CLAFIER 2
Telephone#: [phone]
No. of wells to be sampled: 3
WELL ID NUMBER (from Permit): MW16 Date sample collected: 4/7/20
Well Depth: 15 ft. Well Diameter: 2
Depth to Water Level 82546:5.8 ft. below measuring point Screened Interval: N/A
Measuring Point is 2.4 ft. above land surface Relative M.P. Elevation:
Volume of water pumped/bailed before sampling: 3 gallons
Samples for metals were collected unfiltered: ❑■ YES ❑ NO and field acidified: ❑ YES
PERMIT Number: Expiration Date: S24
Non -Discharge W00005603 UIC
NPDES Other
TYPE OF PERMITTED OPERATION BEING MONITORED
❑■ Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
in.
ft. to N/A ft.
ft.
❑ NO
FIELD ANALYSES:
pH 00400: 7.96 units
Spec. Cond. 00094:
Odor 00085:
Appearance
% � °C
Temp. 00010
uMhos
Date sample analyzed: SEE BELLOW
Laboratory Name: WATER TECH
Certification No. 50
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615
mg/L
Pb - Lead 01051 <0.005 4/14/20 ug/L
Coliform: MF Fecal 31616
/100mL
Nitrate (NO3) as N 00620
mg/L
Zn - Zinc 01092 <0.01 4/14/20 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 <0.16 4/27/20
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
issolved Solids:Total 703oo 240 4/8/20
mg/L
Al -Aluminum 01105 <0.025 4/14/20
mg/L
ALKALINITY 115 4/9/20 MG/L
pH (Lab) 00403 7.8
units
Ba - Barium 01007 0.041 4/14/20
ug/L
TURBIDITY 0.35 4/8/20 NTU
TOC 00680 <1.0 4/9/20
mg/L
Ca - Calcium 00916 37.3 4/14/20
mg/L
ANTIMONY <0.005 4/14/20 MG/L
Chloride 00940 22 4/15/20
mg/L
Cd - Cadmium 01027 <0.002 4/14/20
ug/L
BERYLLIUM <0.001 4/14/20 MG/L
Arsenic 01002 <0.005 4/14/20
ug/L
Chromium: Total o1o34 <0.005 4/14/20
ug/L
BORON <0.1 4/27/20 MG/L
Grease and Oils 00552
mg/L
Cu - Copper 01042 <0.005 4/14/20
mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron 01045 0.048 4/14/20
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945 45.5 4/1/20
mg/L
Hg - Mercury 71900 <0.0002 4/21/20
ug/L
Lab Report Attached? ❑■ Yes (1) ❑ No (0)
pecific Conductance 00095 398 4/9/20
µMhos
K - Potassium 00937 2.50 4/14/20
mg/L
VOC 7873 method #
Total Ammonia 00610
mg/L
Mg - Magnesium 00927 17.3 4/14/20
mg/L
method #
(Ammonia Nitrogen, NH3as N, Ammonia Nitrogen, Total)
Mn -Manganese 01055 0.006 4/14/20 _
ug/L
method #
TKN as N 00625
mg/L
Ni - Nickel 01067 <0.005 4/14/20
ug/L
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
PHILLIP C PITTMAN ORC
Permittee (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev.3-1-2016
If WELL
DRY at
time of
sampling,
5 ✓Z -Zc? z�7
0

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
Print Clearly or Type
Facility Name: COATS AMERICAN
Permit Name (if different):
Facility Address: 630 AMERICAN THREAD RD MARION NC 28752
630 AMERICAN THREAD RD MARION NC 28752
act Person: PHILLIP C PITTMAN
Location/Site Name: SOUTH OF CLAFIER 2
County MCDOWELL
Teleph one#: 8287564111
No. of wells to be sampled: 3
WELL ID NUMBER (from Permit): MW16 Date sample collected: 4/7/20
Well Depth: 15 ft. Well Diameter: 2 in
Depth to Water Level 82546:5.8 ft. below measuring point Screened Interval: N/A ft.
Measuring Point is 2.4 ft. above land surface Relative M.P. Elevation:
Volume of water pumped/bailed before sampling: 3 gallons
Samples for metals were collected unfiltered: AYES ❑ NO and field acidified: ❑ YES
to N/A ft.
ft.
❑ NO
ERMIT Number: Expiration Date:
on -Discharge WQ0005603 UIC
PDES Other
YPE OF PERMITTED OPERATION BEING MONITORED
❑■ Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
FIELD ANALYSES:
pH 00400: 7•96 units
Spec. Cond. 00094:
Odor 00085:
Appearance
Temp. 000lo: /y °C
µMhos
Date sample analyzed: SEE BELLOW
Laboratory Name: WATER TECH
Certification No. 50
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615
mg/L
Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616
/100mL
Nitrate (NO3) as N 00620
mg/L
Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
Dissolved Solids:Total 70300
mg/L
Al - Aluminum 01105
mg/L
COBALT <0.005 4/14/20 MG/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
MOLYBDENUM <0.005 4/14/2 MG/L
TOC 00680
mg/L
Ca - Calcium 00916
mg/L
SELENIUM<0.005 4/14/20 MG/L
Chloride 00940
mg/L
Cd - Cadmium 01027
ug/L
SODIUM 17.3 4/14/20 MG/L
Arsenic 01002
ug/L
Chromium: Total 01034
ug/L
STRONTIUM 0.384 4/14/20 MG/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
ug/L
Lab Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance 00095
µMhos
K - Potassium 00937
mg/L
VOC 7873 method #
Total Ammonia 00610
mg/L
Mg - Magnesium 00927
mg/L
method #
(Ammonia Nitrogen, NH,as N. 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: mg/L VOC Removal%
If WELL
DRY at
time of
sampling,
check
here: 11
GW-59 Rev.3-1-2016

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRdNME,NTAL,CIUALITY, DIV. OF WATER RESOURCES
GROUNDWATER QUALITY MONITORING:
INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617MAJL SERVICE CENTER, RALEIGH, NC, 27699-1617 Phone: [phone]
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: Expiration Date: 3j 2CJ `?e
Facility Name: COATS AMERICAN
Non -Discharge W00005603 UIC
Permit Name (if different):
NPDES Other
Facility Address: 630 AMERICAN THREAD RD MARION NC 28752
TYPE OF PERMITTED OPERATION BEING MONITORED
630 AMERICAN THREAD RD MARION'NC'28752
County MCDOWELL
❑■ Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
Contact Person: PHILLIP C PITTMAN
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: SOUTH OF CLAFIER 2
No. of wells to be sampled: 3
❑ Water Source Heat Pump ❑ Other:
from Permit)
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW16
Date sample collected: 4/7/20
FIELD ANALYSES:
WAS
Well Depth: 15 ft.
Well Diameter: 2 in.
pH 00400: 7.96 units Temp. 000lo: °C
DRY at
Depth to Water Level 82546:5.8 ft. below measuring point Screened Interval: N/A ft. to
N/A
ft. Spec. Cond. 000sa: µMhos
time ofsampling,
Measuring Point is 2.4 ft. above land surface
Relative M.P. Elevation: ft.
Odor 00085:
check
Volume of water pumped/bailed before sampling:
3
gallons
Appearance
here: ❑
Samples for metals were collected unfiltered: ❑■ YES
❑ NO and field acidified: ❑ YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: SEE BELLOW
Laboratory Name: WATER TECH
Certification No. 50
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615
mg/L Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616
/100mL
Nitrate (NO3) as N 00620
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300
mg/L
Al -Aluminum oilo5
mg/L MOLYBDENUM <0.005 4/14/20 MG/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
THALIUM <0.005 4/17/20 MG/L
TOC 00680
mg/L
Ca - Calcium 00916
mg/L VANADIUM <0.005 4/14/20 MG/L
Chloride 00940
mg/L
Cd - Cadmium 01027
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
ug/L Lab Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance 00095
µMhos
K - Potassium 00937
mg/L VOC 7873 method #
Total Ammonia 00610
mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen; NH, as N; 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: mg/L VOC Removal%
GW-59 Rev.3-1-2016

SUBMIT FORM ON YELLOW PAPER ONLY
(GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
Please Print Clearlv or
Facility Name: COATS AMERICAN
Permit Name (if different):
Facility Address: 630 AMERICAN THREAD RD MARION NC 28752
630 AMERICAN THREAD RD MARIOMNC 28752
ontact Person: PHILLIP C PITTMAN
tell Location/Site Name: NORTH OF CLAFIER 2
County MCDOWELL
Telephone#: [phone]
No. of wells to be sampled: 3
ERMIT Number: Expiration Date: .rj = 3l - 2 2C3
on -Discharge W00005603 UIC
PDES Other
YPE OF PERMITTED OPERATION BEING MONITORED
❑■ Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW17
Date sample collected: 4/7/20
FIELD ANALYSES:
WAS
Well Depth: 15 ft.
Well Diameter: 2 in.
pH 00400: 8.31 units Temp. 000lo: /2,g oC
DRY at
Depth to Water Level 82546:6.8 ft. below measuring point
Screened Interval: N/A ft. to N/A ft.
Spec. Cond. 00094: µ
time OfMhos sampling,
Measuring Point is 2.7 ft. above land surface
Relative M.P. Elevation: ft.
Odor 00085: NONE
check
Volume of water pumped/bailed before sampling: 3 gallons
Appearance CLEAR
here:
❑
Samples for metals were collected unfiltered: ❑■ YES ❑ NO
and field acidified: ❑ YES ❑ NO
Date sample analyzed: SEE BELLOW
Laboratory Name: WATER TECH
Certification No. 50
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615
mg/L
Pb - Lead 01051 <0.005 4/14/20 ug/L
Coliform: MF Fecal 31616
/100mL
Nitrate (NO3) as N 00620
mg/L
Zn - Zinc 01092 <0.01 4/14/20 MG/L mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665 <0.16 4/27/20
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
issolved Solids:Total 703oo 273 4/8/20
mg/L
Al -Aluminum 01105 <0.025 4/14/20
mg/L
ALKALINTY 130 4/9/20 MG/L
pH (Lab) 00403 7.8 4/7/20
units
Ba - Barium 01007 0.050 4/14/20
ug/L
TURBIDITY 4.4 4/8/20
TOC 00680 <1.0 4/9/20
mg/L
Ca - Calcium 00916 36.8 4/14/20
mg/L
ANTIMONY <0.005 4/14/20 MG/L
Chloride 00940 23.5 4/15/20
mg/L
Cd - Cadmium 01027 <0.002 4/14/20
ug/L
BERYLLIUM <0.001 4/14/20 MG/L
Arsenic 01002 <0.005 4/14/20
ug/L
Chromium: Total 01034 <0.005 4/14/20
ug/L
BORON <0.1 4/27/20 MG/L
Grease and Oils 00552
mg/L
Cu - Copper 01042 <0.005 4/14/20
mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron 01045 0.938 4/14/20
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945 48.6 4/17/20
mg/L
Hg - Mercury 71900 <0.0002 4/17/20
ug/L
Lab Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance 00095 453 4/9/20
µMhos
K - Potassium 00937
mg/L
VOC 7873 method #
Total Ammonia 00610
mg/L
Mg - Magnesium 00927 18.5 4/14/20
mg/L
method #
(Ammonia Nitrogen, NH,as N. Ammonia Nitrogen, Total)
Mn - Manganese 01055 0.135 4/17/20
ug/L
, method #
TKN as N 00625
mg/L
Ni - Nickel 01067 <0.005 4/14/20
ug/L
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
PHILLIP C PITTMAN ORC
Permittee (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev.3-1-2016
,5=/7-2O2d

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
Please Print Clearly or Type
Facility Name: COATS AMERICAN
Permit Name (if different):
Facility Address: 630 AMERICAN THREAD RD MARION NC 28752
630 AMERICAN THREAD RD MARI0K'Niff'28752
act Person: PHILLIP C PITTMAN
Location/Site Name: NORTH OF CLAFIER 2
County MCDOWELL
Telephone#: [phone]
No. of wells to be sampled: 3
ERMIT Number:
Expiration Date: 3 i -2U C'
on -Discharge W00005603
UIC
PDES
Other
YPE OF PERMITTED OPERATION BEING MONITORED
❑■ Lagoon
❑ Remediation: Infiltration Gallery
❑ Spray Field
❑ Remediation: jft
❑ Rotary Distributor
❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW17
Date sample collected: 4/7/20
FIELD ANALYSES:
WAS
Well Depth: 15 ft.
Well Diameter: 2 in.
pH 00400: 8.31 units Temp. 000lo: °C
DRY at
Depth to Water Level 82546:6 8 ft. below measuring
point Screened Interval: N/A ft. to N/A ft.
Spec. Cond. 000sa: µMhos
time ofsampling,
Measuring Point is 2.7 ft. above land surface
Relative M.P. Elevation: ft.
Odor 00085: NONE
check
Volume of water pumped/bailed before sampling: 3
gallons
Appearance CLEAR
here: ❑
Samples for metals were collected unfiltered: 0 YES
❑ NO and field acidified: ❑ YES ❑ NO
Date sample analyzed: SEE BELLOW
Laboratory Name: WATER TECH
Certification No. 50
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615
mg/L
Pb - Lead oio5i ug/L
Coliform: MF Fecal 31616
/100mL
Nitrate (NO3) as N 00620
mg/L
Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665
mg/L
(Note: Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300
mg/L
Al -Aluminum 01105
mg/L
COBALT <0.005 4/14/20 MG/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
MOLYBDENUM <0.005 4/14/20 MG/L
TOC 00680
mg/L
Ca - Calcium 00916
mg/L
SELENIUM <0.005 4/14/20 MG/L
Chloride 00940
mg/L
Cd - Cadmium 0i027
ug/L
SODIUM 27.5 4/14/20 MG/L
Arsenic 01002
ug/L
Chromium: Total 01034
ug/L
THALLIUM <0.005 4/14/20 MG/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
ug/L
Lab Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance 00095
µMhos
K - Potassium 00937
mg/L
VOC 7873 method #
Total Ammonia 00610
mg/L
Mg - Magnesium 00927
mg/L
method #
(Ammonia Nitrogen, NH3as N, 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: mg/L VOC Removal%
uvv-oa Kev..s-l-Zu10

SUBMIT FORM ON YELLOW PAPER ONLY
(GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
Please Print Clearly or Type
Facility Name: COATS AMERICAN
Permit Name (if different):
Facility Address: 630 AMERICAN THREAD RD MARION NC 28752
630 AMERICAN THREAD RD MARIOfd NC' 28752
st> -
ontact Person: PHILLIP C PITTMAN
fell Location/Site Name: NORTH OF CLAFIER 2
:LL ID NUMBER (from Permit): MW17
II Depth: 15 ft.
)th to Water Level 82546:6.8 ft. below measuring point
asuring Point is 2.7 ft. above land surface
ume of water pumped/bailed before sampling: 3
noles for metals were collected unfiltered: ❑■ YES C
County MCDOWELL
Telephone#: [phone]
No. of wells to be sampled: 3
Date sample collected: 4/7/2020
Well Diameter: 2 in.
Screened Interval: N/A ft.
Relative M.P. Elevation:
gallons
NO and field acidified: ❑ YES
to N/A ft.
ft.
❑ NO
ERMIT Number: Expiration Date: S-3/' Za 2e)
on -Discharge WQ0005603 UIC
PDES Other
YPE OF PERMITTED OPERATION BEING MONITORED
❑■ Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
❑ Rotary Distributor ❑ Land Application of Sludge
❑ Water Source Heat Pump ❑ Other:
FIELD ANALYSES:
pH 00400: 8.31 units
Spec. Cond. 00094:
Odor 00085: NONE
Appearance CLEAR
If WELL
Temp.000lo: 12f8 °C DRY at
uMhos time of
Date sample analyzed: SEE BELLOW
Laboratory Name: WATER TECH
Certification No. 50
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615
mg/L
Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616
/100mL
Nitrate (NO3) as N 00620
mg/L
Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665
mg/L
(Note. Use MPN method for highly turbid samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300
mg/L
Al -Aluminum 01105
mg/L
STRONTIUM 0.284 4/14/2020 MG/L
pH (Lab) 00403
units
Ba - Barium 01007
ug/L
THALLIUM <0.005 4/14/20 MG/L
TOC 00680
mg/L
Ca - Calcium 00916
mg/L
VANADIUM <0.005 4/14/20 MG/L
Chloride 00940
mg/L
Cd - Cadmium 01027
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
ug/L
Lab Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance 00095
µMhos
K - Potassium 00937
mg/L
VOC 7873 method #
Total Ammonia 00610
mg/L
Mg - Magnesium 00927
mg/L
method #
(Ammonia Nitrogen, NH3 as N, 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: mg/L VOC Removal%
PHILLIP C PITTMAN ORC
Permittee (or Authorized Agent) Name and Title - Please print or type Signat$re of Per mitt r Author ed Agent) (Date)
GW-59 Rev.3-1-2016
here: ❑