WQ0000962_Monitoring - 11-2020_20201204 (2)

0
0
CV
v
W
C=)
GW-59A COMPLIANCE REPORT FORM Permit 9 W00000962
(,Vnhwit ant each nionitvrin<_k neriod with GW-59 form.0
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?
X
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.)? 1f the ansirer is ")es",
X
contact the Regional Office for 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
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
o
constituent(s) exceeding standards, concentration(s) reported, and sample collection ( d
N
date for each occurrence (for the last two years).
Cq
See Attached Listing
6
Are the monitoring wells listed in section 5 located at or beyond the review
Yes
No
boundary?
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
informati submitted in this report (Compliance Report GW-59A) is true and
COMMla e to he best y knowledge.
Si nat re of Permittee •r Authorized Agent) ate

CI IRMIT Fr)RM nN YFI 1 OW 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 W000000962
Facility Address: 7209 Highway 158
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
Stokesdale NC 27357 County Guilford
-
❑ 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 ❑0 Other: Closed Logoon
(from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-3
Date sample collected: 11/20/2020
FIELD ANALYSES:
WAS
Well Depth: 31 ft.
Well Diameter: 2 in.
pH 00400: 5.4 units Temp. 000lo: °C
DRY at
time of
Depth to Water Level 62546: 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 00065:
check
Volume of water pumped/bailed before sampling:
2
gallons
Appearance
here:
Samples for metals were collected unfiltered: 0 YES
❑ NO and field acidified: 21 YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 11/30/20
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 oio51 ug/L
Coliform: MF Fecal 31616
/100mL
Nitrate (NO3) as N 00620 0.73
mg/L Zn - Zinc 01092 Ti
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 703oo 32
mg/L
Al -Aluminum oilo5
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) A No (0)
pecific Conductance 00095
µMhos
K - Potassium 00937
mg/L VOC 78732: method #
Total Ammonia 00610
mg/L
Mg - Magnesium oo927
mg/L method #
(Ammonia Nitrogen. NH3 as N: Ammonia Nitrogen, Total)
Mn - Manganese olo55 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: 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
Agent)
/L
GW-59 Rev.2/2010

SI IRMIT 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 NO
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 0 Other: Closed Logoon
from Permit
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-4
Date sample collected: 11/20/2020 FIELD ANALYSES:
WAS
Well Depth: 28 ft.
Well Diameter: 2 in.
pH 00400: 5.9 units Temp. 000lo: °C
DRY at
time ofsampling,
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:
check
Volume of water pumped/bailed before sampling:
2
gallons
Appearance
here:
Samples for metals were collected unfiltered: 21 YES
❑ NO and field acidified: ® YES
❑ 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 oo615
mg/L Pb - Lead 01051 ug/L
Coliform: MF Fecal 31616
/100mL
Nitrate (NO3) as N 00620 <0.10
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):
Dissolved Solids:Total 70300 1350
mg/L
Al - Aluminum of lo5
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) ❑E No (0)
Specific Conductance 00095
µMhos
K - Potassium 00937
mg/L VOC 78732: method #
Total Ammonia oo6lo
mg/L
Mg - Magnesium 00927
mg/L method #
(Ammonia Nitrogen, NH, as N; Ammonia Nitrogen, Total)
Mn - Manganese olo55 3340
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 Aqent) 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
November, 2020 July, 2020 March, 2020 November, 2019 July, 2019 March, 2019 November, 2018
M W-2
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/l
manganese
0.05
1.31
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
M W-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
2.37
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. 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
MW-5
iron
0.3
NS
0.370
0.939
0.873
0.394
0.986
2.38
mg/I
manganese
0.05
NS
0.077
0.116
0.082
0.036
0.064
0.222
mg/I
TDS
500
NS
193
166
161
161
159
164
mg/I
chloride
250
NS
26.5
22
27
25
20
15
mg/I
nitrate
10
NS
1.8
1.69
2.64
1.57
1.43
3.09
mg/I
TOC
10
NS
<1.0
<1.0
2.88
<1.0
1.1
1.84
mg/I
pH
6.5-8.5
NS
6.3
6.4
6.8
6.3
5.4
6.2
su
M W-6
iron
0.3
NS
NS
NS
6.33
NS
NS
1.11
mg/I
manganese
0.05
NS
NS
NS
0.125
NS
NS
0.086
mg/I
TDS
500
NS
NS
NS
217
NS
NS
135
mg/I
chloride
250
NS
NS
NS
37
NS
NS
45
mg/I
nitrate
10
NS
NS
NS
2.6
NS
NS
0.97
mg/I
TOC
10
NS
NS
NS
<1.0
NS
NS
<1.0
mg/I
pH
6.5-8.5
NS
NS
NS
5.2
NS
NS
6.4
su
NS - Not Sampled

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

Chain of Custody Record COC
Client: Culp
Address:
Attention:
NPDES #:
Phone:
Fax
Email:
Project:
PO #:
MERITECH INC.
Environmental Laboratories
1 A Division of Water Technology and Control, Inc.
'
642 Tamco Rd Phone [phone]
Reidsville, NC Fax: [phone]
27320 Email: wtclabAbellsouth.net
Web Site: www.meritech-labs.coin
Turn Around Time*
Std (10 days)
U
3 - 5 DayL24
48 Hr
Sample
p
Location/ID #
Sampling Dates & Times
p 5
Person Taking Sample (Signature):
�z
Lab Use Only
START
END
Comp?
Grab?
ftot
Conts.
Tests Required
On pH OK?
Ice? C12OK?
Date
Time
Dale
Tlme
M We -!I # 3
�` �� ao
�O;ail
G
TOC (1-13PO4) G
Fe,MN (w/1-12SO4)
NO3,TDS . C,I
v
G
pH 5 y
t Water Level (,A
—
Method of Shipment:
Comments:
Will these Its be used for regulatory purposes? *RUSH work must be approved prior to submitting samples.
Yes No
Relinquislte b Dale:1 Time: Received by: Date: Time;
I `�� � Lt to
Relinquished by: Date: Time: Received by: Date: Time:
❑ UPS
Fed Ex
Hand Delivery
Other
Relinquished by: Date: Time: Rec (I at lab D te: Time:
Ic

Meritech, Inc.
Environmental Laboratory
Laboratory Certification No.165
Client: Culp Ticking
7209 Hwy 158 E
Stokesdale NC 27357
Report Date: 12/3/2020
Date Sample Rcvd: 11/20/2020
Meritech Work Order # 11202009 Sample: MW-4 Grab
11/20/20
Parameters
Result
Analysis Date
Reporting Limit
Method
Total Dissolved Solids
1350 mg/L
11/24/20
10 mg/L
SM 2540 C
Chloride
<0.5 mg/L
11/24/20
0.5 mg/L
SM4500 Cl C
Nitrate, Nitrogen
<0.10 mg/L
11/20/20
0.10 mg/L
EPA 353.2
Iron, total
92.1 mg/L
11/30/20
0.025 mg/L
EPA 200.7
Manganese, total
3.34 mg/L
11/30/20
0.005 mg/L
EPA 200.7
TOC
2.09 mg/L
11/26/20
1.0 mg/L
SW846 9060A
pH
5.9 S.U.
11/20/20
1.0 - 14.0 S.U.
SM 4500-H B
Well Depth
5'6" -
11/20/20
-
-
I hereby certify that I have reviewed and approve these data. JEQW2Ci(--LAn20k) -
aboratory Representative
642 Tamco Road, Reidsville, North Carolina 27320
tel.[phone] fax.[phone]

Chain of Custody Record COC
Client: Culp
Address:
Attention:
NPDES #:
Phone:
Fax
Email:
Project:
PO #:
MERITECH INC.
�.,. Environmental Laboratories
Nt
f A Division of Water Technology and Control, Inc.
642 Tamco Rd Phone [phone]
Reidsville, NC Fax: [phone]
27320 Email: wtclati65ftllsouth.net
Web Site: www.meritech-labs.coin
Turn Around Time*
Std (10 days)
3.5 Day
E== I
24 - 48 Hr
Sample
p
LocationllD #
Sampling Dates & Times
p g
Person Taking Sample (Signature):
Lab Use Only
START
END
Comp?
Grab?
It of
Conts.
Tests Re fired
On
Ice?
pH OK?
C12OK?
Date
Time
Date
Time
M Well #
�� aO
I 1
G
TOC (1-13PO4)
L
Fe,MN (wI1-12SO4)
NO3,TDS . L`
G
pH
Water Level
Method of Shipment:
Comments:
EJ UPS
Fed Ex
Hand Delivery
Other
Will the e re ults be used for regulatory purposes? *RUSH work must be approved prior to submitting samples.
Y s No
Relinqui he Date. I Time: Received by: Date: Time:
\! 1ao I \ to
Rellnqulslied Date: Time: Received by: Date: Time:
Relinquished by: Date: Time: Re ved at lab h •ter_
.
Date: Time: