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GW-59A COMPLIANCE REPORT FORM Permit#i�12_0313&79
(Submit toa, each mm..imoiagperiml w111, OH'-59,fanray.)
an
1
Enter date monitoring results were due. ( -1l7— ) Will this monitoring report (GIN-59 and GW-59A)
YES
NO
be submitted after the established due date?
2
Was any required infsrmationmissing on ties GW-59 report forms?
YES
IF the answer to question I or 2 is "YES, list in the space provided below the well identification numerals) 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
YES
NO
identification plate, area overgrown, etc.)? Ifthe answer is "Yes", contact the Regional Og"e for guidance.
I.
4
Are any monitored constituents equal to or above the established standards?
YES
N
if the answer to question 4 is "NO", skip to section 8.
If the answerto question 4 is "YES" Itst the affected wells individually with constiment(s) and concentmtion(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 8.
If the answer M question 5 is "YES", list in the space provided below, each well with constituent(s) exceeding
standards, concentration(s) reported, and sample collection data 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 qualityproblem may be occurring. CONTACT THE REGIONAL
OFFICE IMMEDIATELY FOR GUIDANCE. If me answeris "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.
Ifthe answer to question 7 is "NO", contact the Regional Office within 90 days� an evaluation may be
required to determine the t the t disposalsestem, is having t the tl commullanc
boundaries surround' this facility, Fallen, ho do so may subia.tth Tt to a Notice ofViolation,
fines, and/ornenahies.
g
The person completing this portion (G W-59A) of the monitoring reportshould sign below and submit this
form with OW-59 forms for required wells to the address provided at the top of the current G W-59 form.
I hereby acknowledge that the above information was evaluated and the ]information submitted in this
report (Compliance Reporortt GW,59A)istrue. and complete to the best of my knowledge. `.
Cad j
7�/ t.Y
signature Pe Ittee(or Authorized Agent) Date
GW-59A 12/g/2903
1+ pfrKR r CH LR®f.INc.
POST OFFICE BOX 1056 • #5 PINEWOOD PLAZADR.
GRANITE FALLS, NORTH CAROLINA 28630
(828)396-4444
SAMPLE: Case Farms -Hatchery COLLECTION DATE:
3/26/2024
COLLECTION TIME:
12:45
PERMIT*
ADDRESS: Case Farms Hatchery RECEIVED DATE:
3/26/2024
RECEIVED TIME:
15:00
oconoTFn
AIF19024
ANi4GYSIS
EFFLUENT -
UNITS
DATE
ANALY51-
ANALYSIS
277
mg/1-
N26/2024
lag
BOD
m91L
3/28/24
ire
TSS
125
m91L
3/28/24
lr9
NH3
34.62
3I28/24
lsg
Fecal Conform
<1
/100mL
497
umhoslcm
3/29/24
Isg
C.nduNO3-N tivlly
m91L
4112124
lsg ,
NO3-N
1.32
lag
66.50
mglL
4/1/24
TKN
m9lL
4/12124
Ia9
T. Nitrogen
67.82
Iag
4.47
mglL
411 /24
T. Phosphorus
World.
meritech
TD3
meritech
LOG ID: 2403-347 REPOKIhUnx:
i
!R I isR479C Lfif-.Inc.
POST OFFICE BOX 1056 - #5 PINEWOOD PLAZA DR.
GRANITE FALLS, NORTH CAROLINA 28630
(828)396-4444
SAMPLE: Case Farms-Hatchery-MW#3 COLLECTIONDATE:
3/26/2024
PERMIT #: COLLECTION TIME:
11:30
ADDRESS: Case Farms Hatchery RECEIVED DATE:
3/26/2024
RECEIVED TIME:
15:00
REPORTED:
4/5/2024
ANALIYSI$
RESULTS
UNITS
DATE
ANALYST
FANALYSIS
mDnld"<1.0
3128/24
Ir9
?7
m9/L
Conform
<1 ✓.
/100mL
3/26/24
Isg
Metals
merltech
f
mg/L
4/12/24
Is9
NO3-N Al:Pft
3.47
TWIN
<1.0 ✓
mg/L
4/1124
Id9
T, Nitrogen
3.47✓
m9/L
4/12/24
Idg
T. Phosphorus
0.72,//
m9/L
4/1124
Id9
Chloride
meritec
Tee
merilech
LOG ID: 2403-348 REPORTED BY: NC CERTIFIED LAB 9 50
T,.,.., a—oo r.ah Snnervisor
LR®R.Inc.
"fiT
rRijriCR
POST GRANITE FALLS, CAROLOOD INA 286L30 DR.
NORTH
(828)396-4444
COLLECTION DATE:
3126/2024
SAMPLE: Case Farms-Hatchery-MV`1#4
COLLECTION TIME:
12:20
PERMIT #:
RECEIVED DATE:
312612024
ADDRESS: Case Farms Hatchery RECEIVED TIME:
15:00
REPORTED:
4/612024
ANALYSES ANALYST
ANALYSIS RESULTS
UNITS .DATE
3128124
lrg
��y0 I OL
<1.0
mglL
jsg
NH3
1100ml-
3/26/24
Fecal Coliform
48
Metals
meritech
258
d
mg-
4112124
jsg
jdg
NO3-N N
.
mg1L
124
gry124
<1.0�
jdg
TKN
2.58✓
mgh-
4112124
T. Nitrogen
� /
0.49
mg1L
411124
Jog
T. Phosphorus
Chloride
meritech
meritech
TOS
REPORTED BY: NC CERTIFIED LAB # 50
LOG ID: 2403-349 f%�
_ T-1 e".�..,a..icnr
W# jrX jv 'rff CH LOOM Inc.
POSTGRANITE FALLS, NORTH CAROLIOD PLAZA OR
NA 28 30
(828)396-4444
SAMPLE: Case Farms-Hatchery-MW#5 COLLECTIONDATE: 3/26/2024
COLLECTION TIME: 12:35
PERMIT #:
RECEIVED DATE3/26/2024
ADDRESS: Case Farms Hatchery
:
RECEIVED TIME: 15:00
REPORTED: 4/5/2024
.ANALYSIS.. I
NH3
Fecal Coliform
Metals
NO3-N
TKN
T. Nitrogen
T. Phosphorus
Chloride
TDS
unnTs DATE
ANALYST
mglL
3128124
1rg
<1.0�
f
'I100mL
3126124
Isg
1
meritech
Is9
mg/L
4J12124
4.01V
mg/L
4/124
ltlg
mgll
4112124
69
01%/
4.01�
/
411124
dg
0.3T `T
mglL
-
meritech
meritech
REPORTED BY:: NC CERTIFIED LAB # 50
LOG ID: 2403-350
ontact: Cathy Gragg
Client: Water Tech Labs, Inc
5 Pinewood Plaza Drive
Granite Falls, NC 28630
Order #
rameters
ud Dissolved Solids
I -AA,.
Meritech, Inc.
Environmental Laboratory
Laboratory Certification No. 165
Sample: Case Farms-�"
R s "I Analvsis Dal-e
159 mg/L 3/29/24
42.8 me/L 4/1/24_
�-
teritech Work Order #
03282459 Sampl
it m rers
� S II
96 mg/L
aal Dissolved Solids
18.1 mg/L `%
iloride
<0.010 mg/L✓
rsenic, total
0.065 mg/L�
azium, total
<0.002 mg/L✓
upper, total
,ppertal
0.033 mg/L✓/
-on, total
<0.005 mg/L✓
,total
langan se.tott
V
odi1.79
8.37 mg/L
mg/L
potassium, total
mg/L�p
<<5
:Inc, total
.00 mg/Ls/
'00
COC
<0.25 mg/LJ/
Case Farms-MW #3 Grab
Ana V is Date
3/29/24
4/1/24
4/2/24
4/2/24
4/2/24
4/2/24
4/2/24
4/2/24
4/2/24
4/2/24
3/29/24
4/2/24
Page 1
Report Date: 4/4/2024
Date Sample Rcvd: 3/28/2024
Hoff tinat imit et il
10 mg/L SM Z540C
0.5 mg/L SM 4500 Cl B
ROMIine Limit
10 mg/L
0.5 mg/L
0.010 mg/L
0.002 mg/L
0.002 mg/L
0.025 mg/L
0.005 mg/L
0.200 mg/L
0.700 mg/L
0.010 mg/L
1.00 mg/L
0.25 mg/L
formaldehyde
Sample:
Case Farms-MW #4 Grab
Meritech Work Order #
03282460
e auL
Analvsis Date
Parameters
58 mg/L
3 29/24
/
Total Dissolved Solids
9.05 mg/W
Chloride
<0.010 mg/L/
4�2�24
Arsenic, total
0.068 mg/L✓
4/2/24
Barium, total
<0,002 mg/L'�j
4/2/24
Copper, total
1.35 mg/L
4/2/24
Iron, total
0.042 mg/L�
4/2/24
Manganese, total
5.26 mg/L `�
4/2/24
Sodium, total
1,15 mg/L✓
4/2/24
Potassium, total
mg/L',
4/2/24
Zinc, total
<0.010
<1.00 mg/L V/
3/29/24
TOC
<0.25 mg/L
4/2/24
Formaldehyde*
R
10 mg/L
0.5 mg/L
0.010 mg/L
0.002 mg/L
0.002 mg/L
0.025 mg/L
0.005 mg/L
0.200 mg/L
0.200 mg/L
0.010 mg/L
1.00 mg/L
0.25 mg/L
3/26/24
to
SM 2540C
SM 4500 Cl B
EPA 200.7
EPA 200.7
EPA 200.7
EPA 200.7
EPA 200.7
EPA 200.7
EPA 200.7
EPA 200.7
SM 5310C
N3500
3/26/24
Metho
SM 2540C
SM 4500 Cl B
EPA 200.7
EPA 200.7
EPA 200.7
EPA 200.7
EPA 200.7
EPA 200.7
EPA 200.7
EPA 200.7
SM 5310C
N3500
642'ramc, Road, Reidsville, North Carolina
tel.(336)342 427320
748 fax.(33 )342-1522
Meritech, Inc.
Environmental Laboratory
Laboratory Certification No. 165
Page 2
Contact: Cathy Gragg Report Date: 4/4/2024
Client: Water Tech Labs, Inc
5 Pinewood Plaza Drive Date Sample Rcvd: 3/28/2024
Granite Falls NC 28630
Meritech Work Order # 03282461 Sample: Case Farms-MW #5 Grab 3 /26 /24
larameters ResuI Ana +siilDate_ Rgoortine Lfmft Method
107 m ✓ 3/29/24 10 mg/L SM 2540C
fetal Dissolved Solids g/L ✓ 4 1 24 0.5 mg/L SM 4500 Cl B
:hloride 20.5 mg/L / / EPA 200.7
arsenic, total <0.010 mg/L•✓ 4/2/24 0.010 mg/L
3arium, total 0A34 mg/L-i 4/2/24 0.002 mg/L EPA 200.7
<0.002 mg/LV 4/2/24 0.002 mg/L EPA200.7
� to total 0.025 mg/L EPA 200.7
Iroon,n, total 1.95 mg/L V' 4/2/24 EPA 200.7
Manganese, total 0.054 mg/L✓ 4/2/24 0.005 mg/L
9.76 mg/L ✓ 4/2/24 0.200 mg/L EPA 200.7
Sodium, total EPA 200.7
Potassium, total 1.79 mg/L✓ 4/2/24 0.2D0 mg/L
<0.010 mg/L ✓ 4/2/24 0.010 mg/L EPA 200.7
Zinc, total �% 1.00 mg/L SM 5310C
TOC
<1.00 mg/L 3/29/24
Formaldehyde* - 0.43 mg/L 4/2/24 0.25 mg/L N3500
* Results not for regulatory purposes
r In f In r rx_�_
1 hereby certify that have reviewed and approve these data. Laboratory Representative
642 Tamco Road, Reidsville, North Carolina 27320
tel.(336)342-4748 fax.(336)342-1522
w
Contact: Cathy Gragg
Client: Water Tech Labs, Inc
5 Pinewood Plaza Drive
Granite Falls, NC 28630
Meritech, Inc.
Environmental Laboratory
Laboratory Certification No. 165
Report Date: 4/4/2024
Date Sample Rcvd: 3/28/2024
Meritech Work Order # 03282404 Sample: Case Farms Well #3 3/26/24
Parameters Result / Analysis Date Reporting Lind Method
MBAS (as LAS 340) <0.10 mg/L V 3/28/24 0.10 mg/L SM 5540 C
Meritech Work Order #
03262405 Sample: Case Farms Well #4
3/26/24
Parameters
Res It
Analysis Date
Reporting Limit
Method
MBAS (as LAS 340)
<0.10 mg/L t/
3/28/24
0.10 mg/L
SM 5540 C
Meritech Work Order #
03282406 Sample:
Case Farms Well #5
3/26/24
Parameters
Resldt
Analysis Date
Reporting Limit
Method
MBAS (as LAS 340)
4,10 mg/L
3/28/24
0,10 mg/L
SM SS40 C
I hereby certify that have reviewed and approve these data Yi-�Yl0..fK�0.���CUf1LC)P-i(.�
Laboratory Representative
642'rainco Road, Reidsville, North Carolina 27320
._, .notion rv_AOAo Fnv C11A) ad2_157.2
W : w� R T .�',C.11A� ,', IN, C•:
5 Pinewood Plaza Drive • P.O. Box 1056
Granite Falls, NC 28630
Phone (828) 396-4444
CHAIN OF CUSTODY
CLIENT: Case Farms Hatchery PERMITM
TYPE SAMPLE: ''--rr-- I
SAMPLER NAME.ILL rI Qv I ck l Er; C
PHONE #: 828-438-6900
Sample Collection Information
TYPE
CONTAINERS
ANALYSIS REQUIRED
Sample Location Grab/
DATE TIME TEMP. °C
Facilit Name compoalte
Plastic/
No.
Glass
Effluent
3/a�44 JQ:( f_
j a
Grab
8
P
SOD, TSS, TDS, Fecal
1) 1i
1'
I'
1,
h G
Cond, Cl, NO3, NH3, TKN
M. Well #3
a���/[
I I; �Q
I S
Grab
12
P16
TDS, Cl, MSAS, Formalde
h II
II
h
h
PIG
AS,Cu,K,Zn,Na,Ba,Fe,Mn
NH3, NO3, LP, Fecal, TOC
M. Well #4
'S(� I a: a�1
(tr'
Grab
12
PIG
Same as #3
M. Well #5
/'1b'oa(I r , a:
°4 i"
I (.�j
Grab
12
PIG
Same as #3
Relin !shed By:
elinquished By:
D te:
3�l
Date:
Time:
ISp
Time:
Race" ,, y:
Received
Date:
Date:
Time:
It�
Time:
PRESERVATION:
Cool 6oC If IHNO3
jH2SO4 [�JDechlonnatingAgent
�j NaOH [ ] Other
SAMPLE TEMP. @ LAB (°C) 0 NC CERTIFIED LAB # 50
1 -Chlorine Residual <_ - mg/I