WQ0000962_Monitoring - 11-2020_20201204

GW-59A COMPLIANCE REPORT FORM Permit # W00000962
(Submit one each nronitorim., neriod with GJV=59 foiwis.)
1
Enter date monitoring results were due. (12-31-20) Will this monitoring report
Yes
No
(GW-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?
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.
The lab did not take samples from wells MW-2, MW-5, or MW-6 in November as required the
permit. Samples will be taken from those wells as soon as possible.
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.)? Lfthe answer is "Yes",
X
contact the Regional Of
ice or guidance.
4
Yes
No
Are any monitored constituents equal to or above the established standards?
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
Yes
No
exceeded previously for the same constituent(s) in the same well(s) in the last
X
two ears?
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 well 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 (GW-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
informatio submitted in this report (Compliance Report GW-59A) is true and
com I e to a best y knowledge.AO
Lf /
Al
Signattire of Permittee or Authorized Agent) ate

SUBMIT FORM ON YELLOW PAPER ONLY
DEPARTMENT OF ENVIRONMENT 8c 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 WQ00000962
Facility Address: 7209 Highway 158 TYPE OF PERMITTED OPERATION BEING MONITORED
Stokesdale ""'`'' NC 27357
County Guilford El 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
SAMPLING INFORMATION If WELL
WELL ID NUMBER (from Permit): MW-3 Date sample collected: 11120/2020 FIELD ANALYSES: WAS
Well Depth: 31 ft. Well Diameter: 2 in. pH 0040o: 5.4 units Temp. 000lo: °C DRY at
time of
Depth to Water Level 82546: 14.17 ft. below measuring point Screened Interval: 10 ft. to 31 ft. Spec. Cond. 00094: µMhos sampling,
Measuring Point is 0 ft. above land surface Relative M.P. Elevation: 117.45 ft. Odor 00085: check
Volume of water pumped/bailed before sampling: 2 gallons Appearance here:
Samples for metals were collected unfiltered: 91 YES ❑ NO and field acidified: ® YES ❑ NO
ate sample analyzed: 11/30/2o Laboratory Name: Meritech Certification No. 165
\RAMETERS 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 0.73 mg/L Zn - Zinc o1092 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):
solved Solids:Total 703oo 32 mg/L Al - Aluminum 01105 mg/L
pH (Lab) 00403 5.4 units Ba - Barium 01007 ug/L
TOC 00680 <1.0 mg/L Ca - Calcium 00916 mg/L
Chloride 0094o 2.0 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 49000 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)
ecific Conductance 00095 µMhos K - Potassium 00937 mg/L VOC 78732: method #
Total Ammonia 00610 mg/L Mg - Magnesium 00927 mg/L method #
(Ammonia Nitrogen; NH3as N; Ammonia Nitrogen, Total) Mn - Manganese 01055 1310 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:
H. Derr Leonhardt II -Authorized Agent
Permittee (or Authorized Apent) Name and Title -Please print or type
GW-59 Rev.2/2010
and that the laboratory analytical data was produced using approved methods of analysis by a
ility of roes and imprisonment for knowing violations.
Ir� JI,
�� - s -

SUBMIT FORM ON YELLOW PAPER ONLY
• 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 El Lagoon Remediation: Infiltration Gallery
"'p' ❑ Spray Field ❑ Remediation:
Contact Person: Chris Miles Telephone#: [phone] El 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
WELL ID NUMBER (from Permit): MW-4 Date sample collected: 11/20/2020 FIELD ANALYSES:
Well Depth: 28 ft. Well Diameter: 2 in. pH 00400: 5.9 units Temp. o0010: °C
Depth to Water Level 82546: 5.5 ft, below measuring point Screened Interval: 18 ft. to 28 ft. Spec. Cond. 00094: µMhos
Measuring Point is 0 ft. above land surface Relative M.P. Elevation: 93.95 ft. Odor 00085:
Volume of water pumped/bailed before sampling: 2 gallons Appearance
Samples for metals were collected unfiltered: YES ❑ NO and field acidified: 0 YES El NO
LABORATORY INFORMATION
Date sample analyzed: 11/30/2020 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 o1o51 ug/L
Coliform: MF Fecal 31616 /100mL Nitrate (NO3) as N 00620 <0.10 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 1350 mg/L Al - Aluminum 01105 mg/L
pH (Lab) 00403 5.9 units Ba - Barium 01007 ug/L
TOC 0068o 2.09 mg/L Ca - Calcium 00916 mg/L
Chloride 00940 <0.5 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 92100 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; NH3as N; Ammonia Nitrogen, Total) Mn - Manganese 01055 3340 ug/L , method #
TKN as N 00625 mg/L Ni - Nickel 01067 ug/L , method #
For Remediation Systems Only (Attach Lab Reports)
H. Derr Leonhardt II -Authorized Aaent
GW-59
Rev.2/2010
Influent Total VOCs:
mg/L
Effluent Total VOCs:
mg/L
VOC Removal%
If WELL
WAS
DRY at
time of
sampling,
check
here:

Historical Groundwater Monitoring Data
Form GW-59A
Culp Ticking facility
Permit No. WO0000962
standard sampling event
sampling event
sampling event
sampling event
sampling event
sampling event
sampling event units
November, 2020
July, 2020
March, 2020
November, 2019
July, 2019
March, 2019
November, 2018
iron
0.3
NS
NS
NS
6.69
NS
NS
1.77
mg/I
manganese
0.05
NS
NS
NS
0.239
NS
NS
0.063
mg/I
TDS
500
NS
NS
NS
43
NS
NS
47
mg/I
chloride
250
NS
NS
NS
11
NS
NS
16
mg/I
nitrate
10
NS
NS
NS
0.2
NS
NS
0.23
mg/I
TOC
10
NS
NS
NS
<1.0
NS
NS
<1.0
mg/I
pH
6.5-8.5
NS
NS
NS
5.4
NS
NS
6.2
su
MW-3
Up -Gradient Well
iron
0.3
49
NS
NS
22.5
NS
NS
25.5
mg/I
manganese
0.05
1931
NS
NS
0.603
NS
NS
0.65
mg/I
TDS
500
32
NS
NS
11
NS
NS
47
mg/I
chloride
250
2
NS
NS
1
NS
NS
10
mg/I
nitrate
10
0.73
NS
NS
0.78
NS
NS
1.06
mg/I
TOC
10
<1.0
NS
NS
<1.0
NS
NS
<1.0
mg/I
pH
6.5-8.5
5.4
NS
NS
5.3
NS
NS
5.8
su
MW-4
iron
0.3
92.1
80.4
145
66.3
72.5
211
43.4
mg/I
manganese
0.05
3.34
2.72
IV
2.13
2.32
2.33
2.12
mg/I
TDS
500
1350
1160
1030
907
947
922
908
mg/I
chloride
250
<0.5
250
162
142
95
200
100
mg/I
nitrate
10
<0.10
<0.10
<0.10
0.16
<0.10
<0.10
0.21
mg/I
TOC
10
2.09
2.33
2.78
3.87
5.57
4.38
5.77
mg/I
pH
6.5-8.5
5.9
6.2
6.7
6.5
6.5
5.3
6.2
su

Historical Groundwater Monitoring Data
Form GW-59A
Culp Ticking facility
Permit No. WQ0000962
M W-5
iron
manganese
TDS
chloride
nitrate
TOC
pH
MW-6
iron
manganese
TDS
chloride
nitrate
TOC
pH
NS -Not Sampled
standard sampling event
sampling event
sampling event
sampling event
sampling event
sampling event
sampling event units
November, 2020
July, 2020
March, 2020
November, 2019
July, 2019
March, 2019
November, 2018
0.3
NS
0.370
0.939
0.873
0.394
0.986
2.38
mg/I
0.05
NS
0.077
0.116
0.082
0.036
0.064
0.222
mg/I
500
NS
193
166
161
161
159
164
mg/I
250
NS
26.5
22
27
25
20
15
mg/I
10
NS
1.8
1.69
2.64
1.57
1.43
3.09
mg/I
10
NS
<1.0
<1.0
2.88
<1.0
1.1
1.84
mg/I
6.5-8.5
NS
6.3
6.4
6.8
6.3
5.4
6.2
su
0.3
NS
NS
NS
6.33
NS
NS
1.11
mg/I
0.05
NS
NS
NS
0.125
NS
NS
0.086
mg/I
500
NS
NS
NS
217
NS
NS
135
mg/I
250
NS
NS
NS
37
NS
NS
45
mg/I
10
NS
NS
NS
2.6
NS
NS
0.97
mg/I
10
NS
NS
NS
<1.0
NS
NS
<1.0
mg/I
6.5-8.5
NS
NS
NS
5.2
NS
NS
6.4
su

Meritech, Inc.
Environmental Laboratory
Laboratory Certification No. 165
Client: Culp Ticking
7209 Hwy 158 E
Stokesdale NC 27357
Meritech Work Order # 11202008
Parameters
Total Dissolved Solids
Chloride
Nitrate, Nitrogen
Iron, total
Manganese, total
TOC
pH
Well Depth
Result
Sample: MW-3 Grab
32
mg/L
2.0
mg/L
0.73
mg/L
49.0
mg/L
1.31
mg/L
<1.0
mg/L
5.4
S.U.
14'2"
-
Analysis Date
11/24/20
11/24/20
11/20/20
11/30/20
11/30/20
11/26/20
11/20/20
11/20/20
Report Date: 12/3/2020
Date Sample Rcvd: 11/20/2020
Reporting Limit
10
mg/L
0.1
mg/L
0.10
mg/L
0.025
mg/L
0.005
mg/L
1.0
mg/L
1.0 - 14.0
S.U.
11/20/20
Method
SM 2540 C
SM4500 Cl C
EPA 353.2
EPA 200.7
EPA 200.7
SW846 9060A
SM 4500-H B
I hereby certify that I have reviewed and approve these data. �(��NQnCl�I�J
ahoratory Representative
642 Tamco Road, Reidsville, North Carolina 27320
tel.[phone] fax.[phone]

Chain
of Custody Record COC
NPDES #:
MERI`rECH INC.
Client:
Culp
Phone:
•
>
Environmental Laboratories
A Division of Water Technology and Control, Inc,
Address:
Fax
Email:
Project:
642 TamCo Rd
Phone [phone]
PO
Turn
Around Time*
Reidsville, NC
Fax: [phone]
Std (10 days)
3 - 5 Day
24 - 48 Hr
27320 Email: wtclabCcDbellsouth.net Attention:
Web Site: www.Ineritech-labs.coin
Sample
Sampling Dates & Times
Person
Taking Sample
(Signature):
Lab Use Only
LocationllD #
START
END
Comp?
Grab?
#of
Cents.
Tests Required
?
lee? ee
pHOK??
C120?
Doa
Time
Date
Time
M Well # 3
V�ao ao
�o:aq
G
TOC (H3PO4)
G
Fe,MN (w1H2SO4)
NO3,TDS ,LI
G
pH 5• y
Water Level f (t a
Comments:
Methad-of Shipment:
UPS
Fed Ex
Will thesepskilts be used for regulatory purposes?
Yes No
*RUSH work must be approved prior to
submitting samples.
Hand Delivery
Relinquishe b Date:
l\ 70 vzO
Time:
tk 10
Received by:
Date:
Time:
Relinquished by: Dale:
Time:
Received by:
Date:
Time:
Other
Relinquished by: Date:
Time:
Rec d at IaU
D to:
Time:

Meritech, Inc.
Environmental Laboratory
Laboratory Certification No. 165
Client: Culp Ticking
7209 Hwy 158 E
Stokesdale NC 27357
Meritech Work Order # 11202009
Parameters
Total Dissolved Solids
Chloride
Nitrate, Nitrogen
Iron, total
Manganese, total
TOC
pH
Well Depth
Result
Sample: MW-4 Grab
1350 mg/L
<0.5 mg/L
<0.10 mg/L
92.1 mg/L
3.34 mg/L
2.09 mg/L
5.9 S.U.
5'6" -
Analysis Date
11/24/20
11/24/20
11/20/20
11/30/20
11/30/20
11/26/20
11/20/20
11/20/20
Report Date: 12/3/2020
Date Sample Rcvd: 11/20/2020
Reporting Limit
10
mg/L
0.5
mg/L
0.10
mg/L
0.025
mg/L
0.005
mg/L
1.0
mg/L
1.0 - 14.0
S.U.
11/20/20
Method
SM 2540 C
SM4500 Cl C
EPA 353.2
EPA 200.7
EPA 200.7
SW846 9060A
SM 4500-H B
I hereby certify that 1 have reviewed and approve these data. ��r Dt1 X )
aboratory Representative
642 Tamco Road, Reidsville, North Carolina 27320
tel.[phone] fax.[phone]

Chain of Custody Record COC
NPDES #:
l
MERI`I'ECH INC.
Client:
Culp
Phone:
; '.
Environmental Laboratories
Fax
007
A Division of Water Technology and Control, Inc.
Address:
Email:
Project:
642 Tamco Rd
Phone [phone]
PO a:
Reidsville, NC
Fax: [phone]=1522
Turn
Around Time*
27320
Email: wtclab(aDbellsouth.net
Attention:
Std (to days)
3 - 5 Day 24 - 48 Hr
Web Site: www,meritech-labs.com
Sample
Sampling Dates & Times
Person Taking Sample
(Signature):
Lab Use Only
LocationllD #
START END
Date Time Dale Time
Comp' got
Grab? Conts.
Tests Re
Ired
On pHOK?
Ice? C72OK?
M Well #
go 0)0
1 0.1`i
G
TOC (H3PO4)
w
Fe,MN (wIH2SO4)
NO3,MC--
pH
WaterG
Comments:
Method -of Shipment:
UPS
Will the a re ults be used for regulatory purposes?
*RUSH work must be
approved prior to
submitting samples,
Fed Ex
Y s No
Rellnqu he Dale. I Time:
% ]� 1ao I l�
Received by:
Date:
Time:
Hand Delivery
Relinquished Dale:
Time:
Received by:
Date:
Time:
E] Other
Relinquished by: Date:
Time:
ROP41ved at labb.
Date:'
�LI�
;ii�e`