WQ0000962_Monitoring - 03-2021_20210408 (2)

oti
GW-59A COMPLIANCE REPORT FORM "��,., I' # WQ0000962
(Submit one each monitoring ueriodA t4��1 ff
1
Enter date monitoring results were due. (4-30-21) i this monillgj report (GW-
Yes
No
59 and GW-59A) be submitted after the established due date?
X
2
Yes
NO
Was any required information missing on the GW-59 report forms?
X
1F the answer to question 1 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
Yes
NO
or missing cap, missing identification plate, area overgrown, etc.)? Ifthe answer is "Yes",
X
contact the Regional Once jor 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:
See Attached Listing
5
For the constituents identified in question 4 above, have standards been exceeded
Yes
No
previously for the same constituent(s) in the same well(s) in the last two years?
X
f 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 we// with
constituent(s) exceeding standards, concentration(s) reported, and sample collection
date for each occurrence (for the last two years).
See Attached Listing
6
Are the monitoring wells listed in section 5 located at or beyond the review
Yes
No
boundary?
X
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
Yes
No
Division involving this groundwater quality problem?
X
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.
Treatment lagoons were closed. Monitoring of groundwater beneath the former lagoons
continues.
g
The person completing this portion (G W-59A) of the monitoring report should sign
below and submit this form with G W-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
com let�to the best 9 my knowledge.
Sigriaturb of Permittee or AuthorizedAgent) D to

e nki VCI i n1A1 DAD1=0 M11 V
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
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: 11/30/2021
Facility Name: Culp Ticking
Non -Discharge UIC
Permit Name (if different):
NPDES Other WQ0000962
Facility Address: 7209 Highway 158
TYPE OF PERMITTED OPERATION BEING MONITORED
Stokesdale NC
27357 County Guilford
❑ Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
Contact Person: Chris Miles
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Culp Ticking
No. of wells to be sampled: 2
❑ Water Source Heat Pump Other: Closed Logoon
from
Permit)
If WELL
SAMPLING INFORMATION
WELL ID NUMBER (from Permit): MW-4
Date sample collected: 3/24/2021
FIELD ANALYSES:
WAS
Well Depth: 28 ft.
Well Diameter: 2 in.
pH 00400: 6.4 units Temp. 000lo: °C
DRY at
time of
Depth to Water Level 62546: 6.42 ft. below measuring point Screened Interval: 18 ft.
to 28 ft. Spec. Cond. 00094: µ Mhos
sampling,
Measuring Point is 0 ft. above land surface
Relative M.P. Elevation: 93.95
ft. Odor doom:
check
Volume of water pumped/bailed before sampling:
2
gallons
Appearance
here: ❑
Samples for metals were collected unfiltered: 7 YES
❑ NO and field acidified: ® YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 3/30/21
Laboratory Name: Meritech
Certification No. 165
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 0.14
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 1190
mg/L
Al -Aluminum o11o5
mg/L
pH (Lab) 00403 6.4
units
Ba - Barium 01007
ug/L
TOC 0068o 2.28
mg/L
Ca - Calcium 00916
mg/L
Chloride 0094o 323
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 109000
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 78732: method #
Total Ammonia 00610
mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen; NH,as N, Ammonia Nitrogen, Total)
Mn - Manganese 01055 2750
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 vuC, hRemoval i°
GW-59 Rev.2/2010

ct DRAIT cnRan not YI=I I nw PAPER nNI Y
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
• • •
•
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: 11/30/2021
Facility Name: Culp Ticking
Non -Discharge UIC
Permit Name (if different):
NPDES Other WQ0000962
Facility Address: 7209 Highway 158
TYPE OF PERMITTED OPERATION BEING MONITORED
Stokesdale NC
27357
County Guilford
❑ Lagoon ❑ Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
Contact Person: Chris Miles
Telephone#: [phone]
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Culp Ticking
No. of wells to be sampled: 5
❑ Water Source Heat Pump ❑■ Other: Closed Logoon
from P.—
If WELL
SAMPLING INFORMATION
WAS
WELL ID NUMBER (from Permit): MW-5
Date sample collected: 3/24/2021
FIELD ANALYSES:
Well Depth: 13.5 ft.
Well Diameter: 2 in.
pH 00400: 6.0 units Temp. 000lo: °C
DRY at
time of
Depth to Water Level 82546: 5.17 ft. below measuring point Screened Interval: 3.5 ft. to
13.5 ft. Spec. Cond. 00094: µMhos
sampling,
Measuring Point is 0 ft. above land surface
Relative M.P. Elevation: 96.98 ft.
Odor 00085:
check
Volume of water pumped/bailed before sampling:
2
gallons
Appearance
here: ❑
Samples for metals were collected unfiltered: m YES
❑ NO and field acidified: ® YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 3/30/2021
Laboratory Name: Meritech
Certification No. 165
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 1.77
mg/L Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
/100mL
Phosphorus: Total as P 00665
mg/L
(NoteUse MPN method for highly turbid samples)
Orthophosphate 70507
mg/L Other (Specify Compounds and Concentration Units):
issolved Solids:Total 70300 171
mg/L
Al -Aluminum o11o5
mg/L
pH (Lab) 00403 6.0
units
Ba - Barium 01007
ug/L
TOC 00680 1.09
mg/L
Ca - Calcium 00916
mg/L
Chloride 0094o 21.7
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 1730
ug/L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg/L
Hg - Mercury 71900
ug/L Lab Report Attached? ❑ Yes (1) X No (0)
Specific Conductance 00095
µMhos
K - Potassium 00937
mg/L VOC 78732: method #
Total Ammonia 00610
mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen: NH, as N: Ammonia Nitrogen, Total)
Mn - Manganese 01055 39
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%
H. Derr Leonhardt II - Authorized Agent
Permittee (or Authorized Agent) Name and Title - Please print or type
GW-59 Rev.2/2010

Historical Groundwater Monitoring Data
Form GW-59A
Culp Ticking facility
Permit No. WQ0000962
standard sampling event sampling event sampling event sampling event sampling event sampling event sampling event units
March, 2021 November, 2020 July, 2020 March, 2020 November, 2019 July, 2019 March, 2019
MW-2
iron
0.3
NS
6.11
NS
NS
6.69
NS
NS
mg/I
manganese
0.05
NS
0.178
NS
NS
0.239
NS
NS
mg/I
TDS
500
NS
37
NS
NS
43
NS
NS
mg/I
chloride
250
NS
22
NS
NS
11
NS
NS
mg/I
nitrate
10
NS
0.21
NS
NS
0.2
NS
NS
mg/I
TOC
10
NS
<1.0
NS
NS
<1.0
NS
NS
mg/I
pH
6.5-8.5
NS
5.0
NS
NS
5.4
NS
NS
su
MW-3
Up -Gradient Well
iron
0.3
NS
49
NS
NS
22.5
NS
NS
mg/I
manganese
0.05
NS
1.31
NS
NS
0.603
NS
NS
mg/I
TDS
500
NS
32
NS
NS
11
NS
NS
mg/I
chloride
250
NS
2
NS
NS
1
NS
NS
mg/I
nitrate
10
NS
0.73
NS
NS
0.78
NS
NS
mg/I
TOC
10
NS
<1.0
NS
NS
<1.0
NS
NS
mg/I
pH
6.5-8.5
NS
5.4
NS
NS
5.3
NS
NS
su
MW-4
iron
0.3
109
92.1
80.4
145
66.3
72.5
211
mg/I
manganese
0.05
2.75
3.34
2.72
2.37
2.13
2.32
2.33
mg/I
TDS
500
1190
1350
1160
1030
907
947
922
mg/I
chloride
250
323
<0.5
250
162
142
95
200
mg/I
nitrate
10
0.14
<0.10
<0.10
<0.10
0.16
<0.10
<0.10
mg/I
TOC
10
2.28
2.09
2.33
2.78
3.87
5.57
4.38
mg/I
pH
6.5-8.5
6.4
5.9
6.2
6.7
6.5
6.5
5.3
su

Historical Groundwater Monitoring Data
Form GW-59A
Culp Ticking facility
Permit No. WQ0000962
standard sampling event sampling event sampling event sampling event sampling event sampling event sampling event units
March, 2021 November, 2020 July, 2020 March, 2020 November, 2019 July, 2019 March, 2019
M W-5
iron
0.3
1.73
3.35
0.370
0.939
0.873
0.394
0.986
mg/I
manganese
0.05
0.039
0.138
0.077
0.116
0.082
0.036
0.064
mg/I
TDS
500
171
167
193
166
161
161
159
mg/I
chloride
250
21.7
25.5
26.5
22
27
25
20
mg/I
nitrate
10
1.77
3.35
1.8
1.69
2.64
1.57
1.43
mg/I
TOC
10
1.09
2.26
<1.0
<1.0
2.88
<1.0
1.1
mg/I
pH
6.5-8.5
6.0
6.0
6.3
6.4
6.8
6.3
5.4
su
MW-6
iron
0.3
NS
21.6
NS
NS
6.33
NS
NS
mg/I
manganese
0.05
NS
0.26
NS
NS
0.125
NS
NS
mg/I
TDS
500
NS
219
NS
NS
217
NS
NS
mg/I
chloride
250
NS
32
NS
NS
37
NS
NS
mg/I
nitrate
10
NS
2.46
NS
NS
2.6
NS
NS
mg/I
TOC
10
NS
1.09
NS
NS
<1.0
NS
NS
mg/I
pH
6.5-8.5
NS
5.4
NS
NS
5.2
NS
NS
su
NS - Not Sampled

Meritech, Inc.
Environmental Laboratory
Laboratory Certification No.165
Client: Culp Ticking
7209 Hwy 158 E
Stokesdale NC 27357
Report Date: 4/8/2021
Date Sample Rcvd: 3/24/2021
Meritech Work Order # 03242131 Sample: MW-4 Grab
3/24/21
Parameters
Result
Analysis Date
Reporting Limit
Method
Total Dissolved Solids
1190 mg/L
3/30/21
10 mg/L
SM 2540 C
Chloride
323 mg/L
3/29/21
0.5 mg/L
SM4500 Cl C
Nitrate, Nitrogen
0.14 mg/L
3/24/21
0.10 mg/L
EPA 353.2
Iron, total
109 mg/L
4/7/21
0.025 mg/L
EPA 200.7
Manganese, total
2.75 mg/L
4/7/21
0.005 mg/L
EPA 200.7
TOC
2.28 mg/L
3/29/21
1.0 mg/L
SW846 9060A
pH
6.4 S.U.
3/24/21
1.0 - 14.0 S.U.
SM 4500-H B
Well Depth
6'5" -
3/24/21
-
-
I hereby certify that I have reviewed and approve these data.
Laboratory Representative
642 Tamco Road, Reidsville, North Carolina 27320
tel.[phone] fax.[phone]

Chain of Custody Record (COC)
MERITECH INC.
Environmental Laboratories
A Division of Water Technology and Control, Inc.
642 Ta►rico Rd Phone [phone]
Reidsville, NC Fax: [phone]
27320 Email: wtclab(dl�bellsoutli.net
Web Site: www.rneritech-labs.coin
Sample Sampling Dates & Times
Location/ID # START END
Date Time Date Time
M Vl 01 # 14 3 J et _-,i TI�C_ta_-7
Method -of Shipment:
UPS
Fed Ex
Hand Delivery
Other
omments:
Will thes6 resul
be used for regulatory purposes?
Yes
No
Relinqulshe
Date.
Relinquished by:
Date:
Relinquished by:
Date:
Client: Culp
Address:
Attention:
Person Taking Sample (Signature):
comp? #or Tests Required
Grab? Collis.
G �-� TOC (H3PO4)
Fe,MN (w(H2SO4)
NO3.TDS
10
pH b �f
� it
Water Level
NPDES il:
Phone:
Fax
Email:
Project:
PO #:
µ___Turn
Around Time'
Std (10 days)
3 5 Day
-�
24 - 48 Hr
Lab Use Only
On pH OK?
Ice? C12 OK?
*RUSH work must he approved prior to submitting samples.
Tlme: Received by: Date: Time:
Time: Received by: Date: Time:
Tbne: Rece a �y. r��_ -9a1 `' Ira L Timei `) h C

Meritech, Inc.
Environmental Laboratory
Laboratory Certification No. 165
Client: Culp Ticking
7209 Hwy 158 E
Stokesdale NC 27357
Report Date: 4/8/2021
Date Sample Rcvd: 3/24/2021
Meritech Work Order # 03242132 Sample: MW-5 Grab 3/24/21
Parameters Result Analvsis Date Renortine Limit Method
Total Dissolved Solids
171 mg/L
3/30/21
10 mg/L
SM 2540 C
Chloride
21.7 mg/L
3/29/21
0.5 mg/L
SM4500 Cl C
Nitrate, Nitrogen
1.77 mg/L
3/24/21
0.10 mg/L
EPA 353.2
Iron, total
1.73 mg/L
4/7/21
0.025 mg/L
EPA 200.7
Manganese, total
0.039 mg/L
4/7/21
0.005 mg/L
EPA 200.7
TOC
1.09 mg/L
3/29/21
1.0 mg/L
SW846 9060A
pH
6.0 S.U.
3/24/21
1.0 - 14.0 S.U.
SM 4500-H B
Well Depth
5'2" -
3/24/21
-
-
I hereby certify that I have reviewed and approve these data.
Laboratory Representative
642 Tamco Road, Reidsville, North Carolina 27320
tel.[phone] fax.[phone]

Client: Culp
NPDES#:
Phone:
Chain of Custody Record COC
MERI'T'ECH INC.
Environmental Laboratories
Fax
t
A Division of Water Technology and Control, Inc.
Address:
_
Elnall:
Project:
642 Tamco Rd Phone [phone]
PO#:
�
Turn Around Time*
Reidsville, NC Fax: [phone]
Attention:
Std (10 days) 3 5 Day=-48
27320
Elnail: wtclab(�bellsotlth.net
Web Site: www.meritech-labs.com
Lab use only
Sample
Sampling Dates & Times
� p g
Person Taking Sample (Signature):
Location/ID #
START END
Comp? It of
Grab? Cotits.
-
Tests Required
On hH OK?
Ice? C12OK?
Dale Time
Date Time
l•
M We!! # !�
� �y1a l O 9�j�
G
TOC (H3PO4)
Fe,MN (wtH2SO4)
NO3,TDS
G
pH . V
Comments:
t`''' 1�
Water Level J ,4 1)
Method of Shipment:
---
UPS
Will thes resift he used for regulatory purposes?
*RUSH work must be approved
prior to submitting samples.
E] Fed Ex
Yes No
Rellnqulshe by: Dat Time;
Received by:
Date:
Timo:
Hand Delivery
� .1y ��
IG �0
Relinquished by: Date:
Time:
Received by:
Date:
Tlme:
Other
Relinquished by: Date:
Time:
Rece' al lab Y:�� r--
, J ,l
J
L Ti (i. D C
Il tom.