WQ0002905_GW Monitoring - 06-2022_20220708

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
FACILITY INFORMATION Please Print Clearly or Type
Facility Name: Addis Cates Company, Inc.
Permit Name (if different):
Facility Address: 2640 McIver Road _
Parkton, tom 1 28371 County Robeson
(cryt (sine) Rv)
Contact Person: John Cates Telephone #:
Well Location/ Site Name: Irrigation Field No. of Wells to be Sampled: ffir 4v.1t
Well Identification N ber (from Permit): 0AV I For Groundwater Treatment Systems
Well Depth: ft. Well Diameter: in. Check One: ❑ Influent (98)
Screened Interval: ft. to It. ❑ Effluent (99)
Depth to Water Level: Iv ft. below measuring point.
Measuring Point (M.P.) is: ft. above land surface. Relative M.P. Elevation in
�
Gallons of water pumped/bailed before sampling: Date sample collected:
Field analysis: pH Specific Conductance uMhos
Temp. °C, Odor Appearance
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
WATER OUALITY DIVISION, GROUNDWATER SECTION
1636 MAIL SERVICE CENTER
PERMIT C
Non -Discharge V�0002905
EXPIRATION DATE:
UIC
NPDES
TYPE OF PERMITTED OPERATION BEING MONITORED
Lagoon Remediation: Infiltration Gallery
x Spray Field Remediation:
Rotary Distributor Land Application of Sludge
Other:
N T & Values should reflect dissolved and
colloidal concentrations.
Date sample analyzed:
Laboratory Name: —
Certification No.
PARAMETERS (Samples for metals were collected unfiltered YES NO
and field acidified
COD
mg/I
Nitrite (NO2) as N
mg/I
Coliform: MF Fecal
/100MI
Nitrate (NO3) as N
mg/l
Coliform: MF Total
/100ml
Phosphorus: Total as P
mg/I
(Note: Use MPN method for highly turbi s
les)
Orthophosphate
Aluminum
mg/I
mg/I
Dissolved Solids: Total
mg/I
Al -
pH (when analyzed)
units
Ba - Barium
mg/I
TOC -
mg/I
Ca - Calcium
mg/l
Chloride
mg/I
Cd - Cadmium
mg/I
Arsenic
mg/I
Chromium: Total
mg/I
Grease and Oils
mg/I
Cu - Copper
mg/I
Phenol
mg/I
Fe - Iron
mg/I
Sulfate
mg/I
Hg - Mercury
K FT mg/I
Specific Conductance l
u lhos
K - Potassium
m9/1
5 2C�2
Total Ammonia
mg/I
Mg - MagnesiumJUL
mg/I
YES NO)
Ni - Nickel mg/I
Pb - Lead Mg/l
Zn - Zinc mg/I
Ammonia Nitrogen mg/I
Other (Specify Compgrris-aAd onGen�batipc,Units)
i a ti_-)
f
ORGANICS: (GC,GC/MS,HPLC)
(Specify test and method C Attach lab report.)
Report Attached? Yes (1) No (0)
VOC : method # =
TKN as N mg/I Mn - Manganese mg/I method # =
method # =

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING:
COMPLIANCE REPORT FORM
FACILITY INFORMATION
Please Print Clearly or Type
Facility Name: Addis Cates Company, Inc.
Permit Name (if different): _ - - - —
Facility Address: 2640 McIver Road
Parkton, AIT"O 28371
County Robeson
(co') WDI
Contact Pers(state)on: John Cates
Telephone #:
Well Location/ Site Name: Irrigation Field
No. of Wells to be Sampled: 40.
�� '1
Well Identification Number (from Permit):
Well Depth: 79 ft. Well Diameter: —'in.
For Groundwater Treatment Systems
Check One: ❑ Influent (98)
Screened Interval: ft. to ft.
❑ Effluent (99)
Depth to Water Level: ft. below measuring point.
Measuring Point (M.P.) is: ft. above land surface.
Relative M.P. Elevation in ft.: L.j._
Gallons of water pumped/bailed before sampling:
Date sample collected: b) y
Field analysis: pH , Specific Conductance
uMhos
Temp. °C, Odor
Appearance
DEPARTMENT OF ENVIRONMENT 6 NATURAL RESOURCES
WATER OUALITY DIVISION, GROUNDWATER SECTION
1636 MAIL SERVICE CENTER
PERMIT C
Non -Discharge WQ0002905
NPDES
EXPIRATION DATE:
UIC
TYPE OF PERMITTED OPERATION BEING MONITORED
Lagoon Remedialion: Infiltration Gallery
x Spray Field Remediation:
Rotary Distributor Land Application of Sludge
Other:
N T 4 Values should reflect dissolved and
colloidal concentrations.
Date sample analyzed:
Laboratory Name: —
Certification No.
PARAMETERS (Samples for metals were collected unfiltered YES NO
and field acidified
COD
mg/l
Nitrite (NO2) as N
mg/I
Coliform: MF Fecal
/100ml
Nitrate (NO3) as N
mg/I
Coliform: MF Total
/100ml
Phosphorus: Total as P
mg/I
(Note: Use MPN method for highly turbid s mples)
Orthophosphate
mg/I
Dissolved Solids: Total 99
mg/I
Al - Aluminum
mg/I
pH (when analyzed)
units
Ba - Barium
mg/I
TOC
mg/I
Ca - Calcium
mg/I
Chloride 0
mg/I
Cd - Cadmium
mg/I
Arsenic
mg/I
Chromium: Total
mg/I
Grease and Oils
mg/I
Cu - Copper
mg/I
Phenol
mg/I
Fe - Iron
mg/I
Sulfate
mg/I
Hg - Mercury
mg/I
Specific Conductance
uMhos
K - Potassium
mg/I
Total Ammonia
mg/I
Mg - Magnesium
mg/1
TKN as N
m(1/1
Mn - Manganese
mg/I
YES NO)
Ni - Nickel mg/I
Pb - Lead mg/I
Zn - Zinc mg/I
Ammonia Nitrogen mg/I
Other (Specify Compounds and Concentration Units)
ORGANICS: (GC,GC/MS,HPLC)
(Specify test and method #. Attach lab report.)
Report Attached? Yes (1) No (0)
VOC method # =
method # =
method # _

GW-59A COMPLIANCE REPORT FORM Permit #
(Submit one each monitoring period with Gib-59 jorms.)
A<-,\
1
Enter date monitoring results were due. ( 1 Will this monitoring report (GW-59 and GW-59A)
be submitted after the established due date?
YES
NO
2
Was any required information missing on the GW-59 report forms?
YES
NO
IF 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 or missing cap, missing
Identification plate, area overgrown, etc.)? ljlhe answer is -Y'es "", contact the Regional Once for guidance.
YES
NOi
4
Are any monitored constituents equal to or above the established standards?
TES/
NO
If the answer to question 4 is 'WO", skip to section B.
If the answer to question 4 is "YES" list the affected wells individually with cons,ti1tuents) 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
same constituent(s) in the same well(s) in the last two years?
YES
, NO
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
O
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.
Is the permittee implementing previously approved actions required by the Division involving this
groundwater quality problem?
YES
NO
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
reaulred 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. ✓��+Q� Gk'E�l�ily �V i 1 f3N �fu►�1 L1 `(� .
1�-L\ tivvkN�itU ti l
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 GW-59 form.
Thereby acknowledge that the above information was evaluated and thelrifotmat(on subtn ttetl is"`v
report (Compll nce Report GW-59A) Is_.true,,a d, complete to the best of my.knpwled a '
gnat a of a ittee (or Authorized Agent) bate
GW-59A 12/8/2003

GW-59A Compliance Report Addis Cates Company, Inc.
Attachment
Date TDS Chlorides
5. Well No. 1 Sept. 2020
2010
952
Dec. 2021
2050
1140
March 2021
1990
1120
June 2021
1910
1040
Sept. 2021
1860
1000
Dec. 2021
1840
1010
Mar. 2022
1890
1120
June 2020
1790
1080
Well No. 24 Sept. 2020
1120
483
Dec.2020
2250
641
March 2021
1000
546
June 2021
830
516
Sept. 2021
800
423
Dec.2021
780
409
Mar.2022
944
537
June2022
834
484

VMICROBAC'
Microbac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
K2F0295
Analytical Testing Parameters
Client Sample ID: M/W #1
Sample Matrix: Aqueous Collected By: Client
Lab Sample ID: K2F0295-01 Collection Date: 06/17/2022 12:30
Inorganics Total
SM 2510 B-2011
Conductivity (at 25°C)
SM 2540 C-2015
Total Dissolved Solids (TDS)
SM 4500-H+ B-2011
pH (at 25°C)
Inorganics Total
EPA 300.0, Rv. 2.1 (1993)
Chloride
Analyses Performed by: Microbac Laboratories, Inc. - Fayetteville
Result RL Units DF Note Prepared
Analyzed
Analyst
3.35 2.00 umhos/cm 1 06/22/22 1537
06/22/22 1552
KNL
1790 100 mg/L 2
06/21/22 1033
SXH
5.8 1.0 S.U. 1 H
06/21/22 1321
SXH
Analyses Performed by: Microbac Laboratories, Inc., Maryville
Result RL Units DF Note Prepared
Analyzed
Analyst
1080 20.0 mg/L 100 M2 06/22/22 0050 CSE
Client Sample ID: M/W #24
Sample Matrix: Aqueous Collected By: Client
Lab Sample ID: K2F0295-02 Collection Date: 06/17/2022 11:45
Analyses Performed by: Microbac Laboratories, Inc. - Fayetteville
Inorganics Total
Result RL Units DF Note Prepared
Analyzed
Analyst
SM 2510 B-2011
Conductivity (at 25°C)
1580 2.00 umhos/cm 1 06/22/22 1537
06/22/22 1552
KNL
SM 2540 C-2015
Total Dissolved Solids (TDS)
834 100 mg/L 2
06/21/22 1033
SXH
SM 4500-H+ B-2011
pH (at 25°C)
5.8 1.0 S.U. 1 H
06/21/22 1321
SXH
Analyses Performed by: Microbac Laboratories, Inc., Maryville
Inorganics Total
Result RL Units DF Note Prepared
Analyzed
Analyst
EPA 300.0, Rv. 2.1 (1993)
Chloride
484 10.0 mg/L 50
06/22/22 0207
CSE
Microbac Laboratories, Inc.
2592 Hope Mills Rd I Fayetteville, NC 28306 1910.864.1920 p I www.microbac.com Page 3 of 7