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HomeMy WebLinkAboutNCG140448_MONITORING INFO_20200122/mR/o STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. DOC TYPE ❑ HISTORICAL FILE f MONITORING REPORTS DOC DATE ❑ Ii V YYYYMMDD ANNUAL SUMMARY DISCHARGE MONITORING REPORT (DMR) — STORMWATER SUBMIT TO CENTRAL OFFICE* General Permit No. NCG140000 I %AWL_°" Calendar Year ZUI g JAN 2 2 2020 'Report ALL STORMWATER monitoring data on this form (include "No Flow"/"No DischfflaR f L - k Exceedances) from the previous calendar year to the DEQ by MARCH 1 of eac year Certificate of Coverage No. NCG140448 Facility Name: MacLeod Construction, Inc. — North Pointe Business Park Concrete Batch Plant County: Mecklenburg Phone Number: 704-483-3580 Total no. of SDOs monitored Certified Laboratory PACr RNAt`I TL(14-( Lab # E ' Stormwater Discharge Outfall (SDO) No. D P 1 VMA Outfall? Yes ❑ No CoM&A06 Is this outfall current) in Tier 2 for an 57VkmviIArW y y parameter? Yes ❑ No { Wg51EWRTEi Was this outfall ever in Tier 2 during the past year? Yes ❑ No If this outfall was in Tier 2 last year, was monthly monitoring discontinued? Yes, enough consecutive samples below benchmarks to decrease frequency ❑ Yes, received approval from DEMLR to reduce monitoring frequency ❑ Other ❑ Outfall No. Total Rainfall, inches Total Suspended Solids (TSS), m /I pH, SU Non -polar O&G (EPA Method 1664 (SGT-HEM)), mg/I (VMA) Irappllcable New Motor Oil Usage (gal/mo.) Irappllcable Stormwater Benchmarks Indicate Ncable I aPP/icable Glrci nchmarh 100 0 6.0-9.0 15 '55 gNon-pevmrage mgWreai55 and Non -polar 080 monitoring Date Sample Collected, mo/dd/yr 67 99,11q >S3" OB r e % ✓3 > tt �e- t3 92,6 7,,Z V, �S — Permit Date 61112017 — 6/3012022 Certificate of Coverage No. NCG140448 CERTIFICATION "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." [Required by 40 CFR §122,22] />1GEv✓� GnJ3TnuU2u✓cn/c 6y Signature Date O Mail Annual Summary Stormwater DMR to the NCDEQ Central Office: Note the address is correct — Central Files is housed in DWR (not DEMLR) N.C. Department of Environmental Quality (DEQ) Division of Water Resources Attn: DWR Central Files C 1617 Mail Service Center Raleigh, NC 27699-1617 Central Files Telephone (919) 807-6300 Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at: (919)707-9220 Permit Date 81112017 — 6/3012022 Last Revised 8-22-2015 PROCESS WASTEWATER —Discharge Monitoring Report GENERAL PERMIT NO. NCG140000 CERTIFICATE OF COVERAGE NO. NCG140448 FACILITY NAME: MacLeod Construction Inc. — North Pointe Plant SAMPLE COLLECTOR: &SEX CERTIFIED LABORATORY: fl#qCC 40JA-(- y7lC4t Lab # Lab # LIMIT VIOLATIONS? YES ❑ NO 2- Part A: Wastewater Monitoring Requirements JAN 2 2 2020 A N I �L FILES SAMPLE COLLECTION YEAR: �/9 WR SECTION SAMPLE PERIOD: July -December anuary-June SAMPLE FREQUENCY: Quarterly a Semi-annually O COUNTY: Mecklenburg PHONE NO.: 704-483-3580 ADD TO USTSERVE? OYES ONO EMAIL: DISCHARGING TO CLASS: OSA OHQW OPNA OTrout ®Other C OPTIONAI HUM - Settleable Date Sample Outfall No. Collected c Type of Wastewater Total Suspended - H P P Solids (mUl) Non -Polar Oil 8: Grease Discharge Total Flow . (gallons da Y) / (mm/dd/yr) (VE, RM, MD)z Solids (standard) (Not usingmethod Duration (Not (mg/L) Applicable for 16645GT-HEM6 (minutes) Applicable for MacLeod) (mg/L) MaicLeod) 303,5.. S'.... (15)6 - -1 02 !Z t9CVfA1AjGWv 4y.g 7zo f wastewater systems have not discharged in this quarter— report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above. teport the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum leanout (MD). Report more than one type if the waste -stream is commingled. rmit Date: 8/1/2017-06/30/2022 Last Revised 08/09/17 Page 1 of 2 'If an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DEMLR RO staff notifies you to continue monitoring. < pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters. 5 TSS limits are 20 mg/L for wastewater discharges to HOW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications. 6 Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater, but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action. 7 Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HOW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A NCAC 02B .0224. Permittees who discharge wastewater to HOW waters shall obtain a Summer 7Q10 flow and report this information to DEMLR. If the permittee cannot obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DEMLR, and the DEMLR Regional Office may require an annual flow report on a case -by -case basis. MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY INCLUDING ALL "NO FLOW'"NO DISCHARGE" WITHIN 30 DAYS OF RECEIPT OF SAMPLE OR AT END OF MONITORING PERIOD IN CASE OF "NO FLOW") TO: Division of Water Resources Attn: DWR Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 [919) 807-6379 OU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to ssure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or lose persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and amplete. I am aware that there are significant penalties for submitting false Information, Including the possibility of fines and imprisonment for knowing olations." (Signature of Permittee) !rmit Date:8/1/2017-06/30/2022 (Date) Last Revised 08/09/17 Page 2 of 2 C ace Analytical wwwpscelabxara February 25, 2019 Mr. Michael Houser MacLeod Construction PO Box 320 4304 N. Pointe Ind Charlotte Denver, NC 28037 RE: Project: 02/12/2019 Pace Project No.: 92417490 Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Dear Mr. Houser: Enclosed are the analytical results for sample(s) received by the laboratory on February 12, 2019. The results relate only to the samples included in this report. Results reported herein conform to the most current, applicable TNI/NELAC standards and the laboratory's Quality Assurance Manual, where applicable, unless otherwise noted in the body of the report. If you have any questions concerning this report, please feel free to contact me. Sincerely, Angela Baioni angela.baioni@pacelabs.com (704)875-9092 Project Manager Enclosures REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC. Page 1 of 12 C C �5ace Analytical e wewparela6s.com Project: 02/12/2019 Pace Project No.: 92417490 Charlotte Certification IDs 9800 Kincey Ave. Ste 100, Hunlersville, NC 28078 Louisiana/NELAP Certification # LA170028 North Carolina Drinking Water Certification #: 37706 North Carolina Field Services Certification #: 5342 North Carolina Wastewater Certification #: 12 Asheville Certification IDs 2225 Riverside Drive, Asheville, NC 28804 Flonda/NELAP Certification #: E87648 Massachusetts Certification #: M-NC030 North Carolina Drinking Water Certification #: 37712 CERTIFICATIONS South Carolina Certification #: 99006001 Flonda/NELAP Certification #: E87627 Kentucky UST Certification#: 84 YrginiaNELAP Certification #: 460221 North Carolina Wastewater Certification #: 40 South Carolina Certification #: 99030001 VrginiaNELAP Certification #: 460222 Pace Analytical Services, LLC 9800 Kincey Ave, Suite 100 Huntersville, NC 28078 (704)875-9092 REPORT OF LABORATORY ANALYSIS This report shall not 6e reproduced, except in full, without the written consent of Pace Analytical Services, LLC. Page 2 of 12 aceAnalytical e (/ wwwpacelabscam C Pace Analytical Services, LLC 9800 Kincey Ave. Suite too Huntersville. NC 28078 (704)875-9092 SAMPLE ANALYTE COUNT Project: Pace Project No.: 02/12/2019 92417490 Analytes Lab ID Sample ID Method Analysts Reported Laboratory 92417490001 DP-1 EPA 1664E JMS 1 PASI-C SM 2540D-2011 CRV 1 PASI-A SM 254OF-2011 CEH 1 PASI-A REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC, Page 3 of 12 aceAnalytical e .paca'ab&ro C C Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Hunlersville, NC 28078 (704)875-9092 ANALYTICAL RESULTS Project: 02112/2019 Pace Project No.: 92417490 Sample: DP-1 Lab ID: 92417490001 Collected: 02/12/19 15:09 Received: 02/12/19 15:35 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Oual Field Data Analytical Method: Collected By JA 1 02/12/19 03:11 pH 6.80 Std. Units 0.10 1 02/12/19 03:11 Temperature 11.1 deg C 0.50 1 02/12/19 03:11 HEM, Oil and Grease Analytical Method: EPA 1664E Oil and Grease NO mg/L 4.8 1 02/25/19 07:02 2540D Total Suspended Solids Analytical Method: SM 254OD-2011 Total Suspended Solids NO mg/L 2.5 1 02/14/19 13:50 254OF Total Settleable Solids Analytical Method: SM 254OF-2011 Total Settleable Solids NO mL/L/hr 0.10 1 02/13/19 03:00 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Dale: 02/25/2019 04:45 PM without the written consent of Pace Analytical Services, L-C. Page 4 of 12 aceAnalytical " wwwpeceleb:corn QUALITY CONTROL DATA Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Project: 02/12/2019 Pace Project No.: 92417490 OC Batch: 459887 Analysis Method: EPA 1664B OC Batch Method: EPA 1664E Analysis Description: 1664 HEM, Oil and Grease Associated Lab Samples: 92417490001 METHOD BLANK: 2505906 Matrix: Water Associated Lab Samples: 92417490001 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Oil and Grease mg/L NO 4.8 02/25/19 06:47 LABORATORY CONTROL SAMPLE: 2505907 Spike LCS LCS % Reo Parameter Units Conc. Result %Rec Limits Qualifiers Oil and Grease mg/L 38.5 38.8 101 78-114 MATRIX SPIKE SAMPLE: 2505908 92417400008 Spike MS MS % Rec Parameter Units Result Conc. Result % Rec Limits Qualifiers COil and Grease mg/L NO 38.5 37.9 87 78-114 Results presented on this page are in the units Indicated by hire "Units" column except wherean alternate unit Is presented to the right of the result. /1 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 02/25/2019 04:45 PM without the written consent of Pace Analytical Services, LLC. Page 5 of 12 aceAnalytical. wwwpacelabs.com CI QUALITY CONTROL DATA Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Project: 02/12/2019 Pace Project No.: 92417490 QC Batch: 458192 Analysis Method: SM 254OD-2011 QC Batch Method: SM 254OD-2011 Analysis Description: 2540D Total Suspended Solids Associated Lab Samples: 92417490001 METHOD BLANK: 2498171 Matrix: Water Associated Lab Samples: 92417490001 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Total Suspended Solids mg/L NO 2.5 02/14/19 13:41 LABORATORY CONTROL SAMPLE: 2498172 Spike LCS LCS e/ Rec Parameter Units Conc. Result %Rec Limits Qualifiers Total Suspended Solids mg/L 251 240 96 90-110 SAMPLE DUPLICATE: 2498173 92417550001 Dup Parameter Units Result Result RPD Qualifiers CTotal Suspended Solids mg/L <5.0 NO SAMPLE DUPLICATE: 2498174 92417382002 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mg/L NO NO Results prosented on this page are In the units Indicated by the'!JIMW column except where an alternate unit Is presented to the right of the result. (\ REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 02/25/2019 04:45 PM without the written consent of Pace Analytical Services, LLC. Page 6 of 12 C aceAnalytical wwwpxela0.tcam QUALITY CONTROL DATA Project: 02/12/2019 Pace Project No.: 92417490 QC Batch: 457784 Analysis Method: SM 254OF-2011 QC Balch Method: SM 254OF-2011 Analysis Description: 2540F Total Sellable Solids Associated Lab Samples: 92417490001 , METHOD BLANK: 2496535 Matrix: Water Associated Lab Samples: 92417490001 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Total Settleable Solids mL/Uhr NO 0.10 02/13/19 03:00 SAMPLE DUPLICATE: 2496536 92417492001 Dup Parameter Units Result Result RPD Qualifiers Total Settleable Solids mL/L/hr NO NO Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Results presented on This page are in the units Intl lcated by the "Units" column except where an altemate unit Is presented to the tight of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 02125/2019 04:45 PM without the written consent of Pace Analytical Services, LLC. Page 7 of 12 Pace Analytical Services, LLC Kincey Ave, Suite 100 acemalytical o BBOOHunte sville, NC 200778 .aacerabs.mm (704)875-9092 C QUALIFIERS Project: 02/12/2019 Pace Project No.: 92417490 DEFINITIONS DF - Dilution Factor, if reported, represents the factor applied to the reported data due to dilution of the sample aliquot. ND - Not Detected at or above adjusted reporting limit. TNTC - Too Numerous To Count J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit. MDL- Adjusted Method Detection Limit. PQL - Practical Ouantitation Limit. RL - Reporting Limit - The lowest concentration value that meets project requirements for quantitative data with known precision and bias for a specific analyte in a specific matrix. S - Surrogate 1,2-Diphenylhydrazine decomposes to and cannot be separated from Azobenzene using Method 8270. The result for each analyte is a combined concentration. Consistent with EPA guidelines, unfounded data are displayed and have been used to calculate e/ recovery and RPD values. LCS(D) - Laboratory Control Sample (Duplicate) MS(D) - Matrix Spike (Duplicate) OUP - Sample Duplicate RPD - Relative Percent Difference NC - Not Calculable. SG - Silica Gel - Clean -Up C U - Indicates the compound was analyzed for, but not detected. Acid preservation may not be appropriate for 2 Chloroethylvinyl ether. A separate vial preserved to a pH of 4-5 is recommended in SW846 Chapter 4 for the analysis of Acrolein and Acrylonitrile by EPA Method 8260. N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported for each analyte is a combined concentration. Pace Analytical is TNI accredited. Contact your Pace PM for the current list of accredited analytes. TNI - The NELAC Institute. LABORATORIES PAST -A Pace Analytical Services -Asheville PASI-C Pace Analytical Services - Charlotte C REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Dale: 02/25/2019 04:45 PM without the written consent of Pace Analytical Services, LLC. Page 8 of 12 aceAnalXical e ewxperelebAtvn C C QUALITY CONTROL DATA CROSS REFERENCE TABLE Project: 02/12/2019 Pace Project No.: 92417490 Lab ID Sample ID QC Batch Method 92417490001 DP-1 92417490001 DP-1 EPA 1664E 92417490001 DP-1 SM 2540D-2011 92417490001 DP-1 SM 254OF-2011 Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 QC Batch Analytical Method 459887 458192 457784 Analytical Batch Date: 02/25/2019 04:45 PM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC. Page 9 of 12 C C Document Name: Document Revised: February7, 2011 ceAnalyBCal' Sample Condition Upon Recei t(SCUR) Page 1 of 2 Document No.: Issuing Authority: F-CAR-CS-033-Rev-06 Pace Carolinas Quality Office Laboratory receiving samples: Asheville ❑ Eden[] Greenwood ❑ Huntersville Raleigh[]Mechanicsville[]Mechanicsville Client Name: kfc �`''`S{`JC'I ` eJ ` �} WO# : 92417490 Courier: ❑ Fed Ex UPS ❑USPS ❑Commercial ❑Pate ❑Other:_ Custody Seal Present? Yes to Seals Intact? Yes Client IIBi101111111elllll111 92411 90 L ' Dale/Initials Person Examining Contents: �� Z'- I PackingMaterial:—[]Bubble Wrap — bible Bags -__❑None _-❑_Other_____— Biological Tis rozen? 11Yes ❑Noel/A Thermomm 92TO48 Typeoflce: Bet ❑Blue I Gun ID: 7( � Cooler Tp'C): em.S./I Correction Factor:Add/Subtract('C) 0.0 Cooler Temp Corrected ('C): 4' 7) USDA Regulated 56 N/A, water sample) Did sample rl aterhs.-aa qu�lrantine zone within the United States: CA, NY, or SC (check maps)? n,,... ❑Ncne Temp should be above freezing to 6'C ❑Samples out of tamp criteria. Samples on Ice, cooling process has begun Did samples originate from a foreign source (inte tonally, rnrfiiAnv Nawall and Puerto Ricol) ayes D ' Comments/Discrepant : Chain of Custody Present? 'es ONO ❑rI/A 1. Samples Arrived within Hold Time? Yet ONO ❑N/A 2. Short Hold time Analysis 02 hr.)? ❑Yes o ❑N/A 3. Rush Turn Around Time Requested? ❑Yes No ❑N/A 4. Sufficient Volume? & ONO ❑N/A S. Correct Containers Used? -Pace Containers Used? tiYes ONO ONO ❑N/A ❑N/A 6. Containers intact? es ONO ❑N/A 7. Dissolved analysis; Samples Field Filtered? Elves ONO N/A 8. Sample Labels Match COC? -Includes Date/rme/ID/Analysis Matrix: AY" ONO ❑N/A 9. Headspace in VOAVials(>S-fimm)? Oyes ONO N/A 10. Trip Blank Present? TripBlank Custody Seals Present? ❑Yes Oyes ONO ❑NO A IA 11. CONIMENTS/SAMPLE DISCREPANCY Field Data Required? []Yes ❑NO Lot ID of split containers: CLIENT NOTIFICATION/RESOLUTION Person contacted: Project Manager SCURF Review: Project Manager SRF Review: Datefl-ime: y11l� Date:'^III/� Date: Page 10 of 12 C C Document Name: Sample Condition U on Rec CBM21yhC2j Document No.: F-CAR-CS-033-Rev.1 `Check mark top half of box if pH and/or dechlorination is verified and within the acceptance range for preservation samples. Exceptions: Yox,Califorin TOC, Oil and Grease, DRO/3015 (water) DOC, LLHS **Bottom half of box is to list number of bottle 7; 2018 Projectti W0# : 9247.7490 PM: RMB Due Date: 02/26/19 CLIENT: 92—MACLEOD • Q a Q q C1 q i0 U O _ _�_ _j_ _y__Z. v z E v x N. xa i R= A N z z x x 2 x Y m n c e 0 O Q O Z O jE yO� Z Z V_ x u n w EHE i J nD w a a O O 0 a¢Y —n a o a ni > >> E E o E E E `u E' E O E a E N E N tm� E E E E i i YEi a \ �aE, O O N 1/E� N = G Q O 7 7 7 iLA F R i O O n n m a Y 6 6 6 6 6 6 6 6 ea to 1 t 2 3 4 5 6 7 8 9 10 11 12 pH Adjustment Sample lD Type of Preservative pH upon receipt Log for Yreserveo :iamptes Date preservation adjusted Time preservation Ameontoff"es rvative Lotq adlumd added ...ne,r.f,,.mwnu.—,'n the elnrth Carolina DEHNR CenillaGon Office {i.e. Note: whenever there is a olSUepan[y an eun�a ^Y�•" `^•"••..• ..........--- _• - . . . Out of hold, Incorrect preservative, out of temp, Incorrect containers. Page 11 of 12 0 ,PaceAnalj6cal eireee ele s.wm CHAIN -OF -CUSTODY / Analytical Request Document The Chair a6Custody IS a LEGAL DOCUMENT. All relevant fields must be completed accurately. O N i6 Section A Section B Section C PaUs: of G. Roo, Client Information: Required Pnew Information: Invoce lnfompurm Y: , .. Reid Tp Alldnlbn 2268735 Add .6'lx Copy To: Cartpanv Name ' /J[J /J�y(L•' -� REGULATORY AGENCY C --.7 A(W S 3" �„� - (- NPDES i- GROUNDWATER F- DRINKING WATER Emne 0: Purchase Older No.: Pna QWc Rnnn,an,; (- UST i- RCRA F- OTHER P on" — J., J� Faa: Prolud Name: P. P, L Mina: Site Location Requested Dun D.0 rTAT: Protest Numbe[ p� prep e. STATE: Requested Analysis Filtered (Y/N) Section 0 Mamx Codes iZ 2 ear.I.0 .0 nuox,.n.m Haan, r cone Ig COLLECTED Preservatives i Drn,mg Wnler DW OU O �, Water WT Y�Y a O o WTSawrl., WW caNveytE CWPOti11F G PrWuo P SL I es..rua cxtn.uwn w -r Z SAMPLE ID WilmOa OL 0-91.) Air AR m < Z ve tJ O /bb is C Sample IDS MUST BE UNIOUE T.S. TS p o- Other OT U Z F Z N 2 y QC U a f k w n a O O m n O O m i? r is \A 1_ ` m y �1 C. l., / ��' ~ O ZSoS i C Q ' ` 1',✓ 1 rn DAJE TIME DATE TIME w S 2 S Z Z 2 O y K Pace Project NOJ Lab I.D. top -1 iz 3:c4 z 3 i I t 3 a 5 6 ! 7 ! e ! 9 10 11 ! 12 1 ! ADDITIONAL COMMENTS RELINDUISNED BY /AFFIWTON DATE TIME ACCEPTED BY/AFFILIATION DATE TIME Nh 6.5' ,Y �i ll./' '1 SAMPLE CONDITIONS '1 4 l - z iz n IS I SAMPLER NAME AND SIGNATURE L PRINT Name of SAMPLER: / �O .�:-•1': ::`b1'. ° iV o6z nz ry = L3 E SIGNATURE of SAMPLE / DDAATE Slgnod 'in—.Naee 6Y J^NIIM Iwm YPY vo vo: �Ng P.Yn)M1ET'JO dT/N)rrLN 4.m5 Sb.yltt'h4 blM N.mmiN 155 mr mx ILIMIDDmI: L % m m y 0-10v.D0. 09N' '17 CHAIN-OF-CU:�DY / Analytical Request Document 11!ace A alyfiCal - The Chainof-Custody is a LEGAL DOCUMENT. All relevant fields must be Completed accurately. .pinala4•.mm iection A Section B Section C Page: of lequired Client Information: Required Project Information. Invoice Information' Report To, Attention: :a am :.�;STV 2268735 f_ dddre /^(nc Copy To: Com nyry �U( vJ .-7JL r0 1<- REGULATORY AGENCY -. �.7 rest r NPDES r GROUNDWATER r DRINKING WATER r UST r RCRA r OTHER !ma To' - Er IP Purchase Omer No.: Pete Ou !� (..ram Reference �e J pppe: Fan: Project Name: Pace Project Site LOLdtl00 )L tl Manage[ STATE: requested Due DateRAT; Project Numeer Paco Profile x. Requested Analysis Filtered (YIN) Section D Matrix Codes — z Regwreacriem mformammn MATRIX I CODE — a, COLLECTED Preservatives i • Drinking Water DW a 0 zz J Water WT Waste Water WW COMPoSITE COMPoSIT[ V L'I _ PlOd11C1 P m m ee STPRi ENn/GRA9 J r'� z SoiYSolitl SL g Eps p y r } SAMPLE ID wipe = , w N c WOL (A-Z, 0-91.) Air AR p o w la mil' o Sample IDs MUST BE UNIDUE Tissue TS O w o w w m "� V U Other or o X w T11TETl1E T.AT�TIIE ,- W z 0 2 N O C>t m d O Q O In re L at'-O D E E LL O c rD Z U m <a v 0 L - < y¢ Pace Project NO.I Lab I.D. 2 3 G 6 6 )r 7 a g 1 JPVATE 2 ADDITIONAL COMMENTS RELINQUIISHED BY I AFFILIATION DATE TIME ACCEPTED BY I AFFILIATIO TIME SAMPLE CONDITIONS O! \ 7 / ; �° 4'k SAMPLER NAME AND SIGNATURE U o Li ( )1 c ? ^ — - PRINT Name of SAMPLER: ? r.�Stl2 E o— O w v E SIGNATURE of SAMPL R I, �`�� J V DATE Signed - r (MM/DDIYY): !; ' % i. /I PROCESS WASTEWATER —Discharge Monitoring Report GENERAL PERMIT NO. NCG140000 CERTIFICATE OF COVERAGE NO. NCG140448 FACILITY NAME: MacLeod Construction Inc. — North Pointe Plant SAMPLE COLLECTOR:AICIIAE� F}pWOQ— CERTIFIED LABORATORY: Lab q Lab d LIMIT VIOLATIONS? YES []NO 2r Part RECEIVED JAN 2 2 2020 CEN I!�AL FILES SAMPLE COLLECTION YEAR: _ QL7 DWR SECTION SAMPLE PERIOD: []July -December �nuary-June SAMPLE FREQUENCY: Quarterly 52r Semi-annually[] COUNTY: Mecklenburg PHONE -NO.: 704-483-3580 ADD TO LISTSERVE? AYES []NO EMAIL: DISCHARGING TO CLASS: []SA []HQW []PNA []Trout ®Other C j OPTIONAL INFO: - Settleable Date Sample Outfall No. Collected' Type of Wastewater Total Suspended pH Solids Non -Polar Oil &Grease (mm/dd/yr) (VE, RM, MD)' (standard) Solids (ML/L) (Not using method (mg/L) Applicable for 1664SGT--HEM6 _ - MacLeod) (mg/L) 3� 303$ '. = $a 11516 Discharge Duration (minutes) Total Flow , (gallons/day)7 (Not Applicable for MacLeod) ' If wastewater systems have not discharged in this quarter— report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above. a Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum Cleanout (MD). Report more than one type if the waste -stream is commingled. Permit Date: B/1/2017-OG/30/2022 last Revised 08/09/17 Page 1 of 2 a notifies you to continue monitoring. 'If an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DEMLR RO staff < pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters. s TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications. s Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewat but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action. ' Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A NCAC 02B .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DEMLR. If the permittee cannot obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DEMLR, and the DEMLR Regional Office may require an annual f report on a case -by -case basis. AT END OF MONITORING PERIOD IN CASE OF "NO FLOW-) TO: Division of Water Resources Attn: DWR Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 (919)807-6379 YOU MUST SIGN THIS CERTIFIC4TION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision In accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the Information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, Including the possibility of fines and Imprisonment for knowing violations." (Signature of Permittee) Permit Date: 8/1/2017-06/30/2022 Last Revised 08/09/17 Page 2 of 2 PROCESS WASTEWATER —Discharge Monitoring Report GENERAL PERMIT NO. NCG140000 CERTIFICATE OF COVERAGE NO. NCG140448 FACILITY NAME: MacLeod Construction North Pointe Plant SAMPLE COLLECTOR: X /[y.�A rL N ON1 E?Z CERTIFIED LABORATORY: PA(E Lab g r-iab LIMIT VIOLATIONS? YES ❑ NO [v� JAN 2 2 2020 Part A: Wastewater Monitorinn Rem;iremnntc f l C _ Y� SAMPLE COLLECTION EAR: 20 SAMPLE PERIOD: COLLECTION ❑January-June SAMPLE FREQUENCY: Quarterly [r Semi-annually ❑ COUNTY: Mecklenburg PHONE NO.: 704-483-3580 ADD TOLISTSERVE? DYES ❑NO EMAIL: DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout ❑X Other C OPTIONAL INFO: Settleable Date Sample Outfall No. 3 Type of Wastewater p H Total Sus ended P Solids (mUL) Non -Polar Oil &Grease Total Flow Discharge (gallons/day) Collected (mm/dd/yr) (VE, RM, MD)' (standard) Solids (Not usin method 9 Duration Not (mg/L) Applicable for 26645GT--HEM c (minutes) Applicable for MacLeod) (mg/L) MacLeod) _ _ _ .. _93,. 303s ."-i;53... (15I6 - - �iy , --- OB /Y /9 (n/I)/nIGL�Y1 R 7 c < a r ' If wastewater systems have not discharged in this quarter —report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above. 2 Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum Cleanout (MD). Report more than one type if the waste -stream is commingled. Permit Date: 8/1/2017-06/30/2022 Last Revised 03/09/17 Page 1 of 2 w 'If an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DEMLR RO staff notifies you to continue monitoring. 4 pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters. 5 TSS limits are 20 mg/L for wastewater discharges to HOW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications. 6 Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater, but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action. 7 Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A NCAC 02B .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DEMLR. If the permittee cannot obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DEMLR, and the DEMLR Regional Office may require an annual flow report on a case -by -case basis. MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW" "NO DISCHARGE") WITHIN 30 DAYS OF RECEIPT OF SAMPLE (OR AT END OF MONITORING PERIOD IN CASE OF NO FLOW") TO: Division of Water Resources Attn: DWR Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 (919)807-6379 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "1 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." lucta)n rn)sadjanA) yic (Signature of Permittee) (Date) Permit Date: 8/1/2017-06/30/2022 Last Revised 08/09/17 Page 2 of 2 FaceAnalytical www.paceLiOs.can August 28, 2019 Mr. Michael Houser ' MacLeod Construction PC Box 320 4304 N. Pointe Ind Charlotte Denver, NC 28037 RE: Project: North Plant Pace Project No.: 92441237 Dear Mr. Houser: Pace Analytical Services, LLC 9800 Kincey Ave, Suite 100 Huntersville, NC 28078 (704)875-9092 Enclosed are the analytical results for sample(s) received by the laboratory on August 14, 2019. The results relate only to the samples included in this report. Results reported herein conform to the most current, applicable TNI/NELAC standards and the laboratory's Quality Assurance Manual, where applicable, unless otherwise noted in the body of the report. If you have any questions concerning this report, please feel free to contact me. Sincerely, Tyriek Hooks tyriek.hooks@pacelabs.com (704)875-9092 Project Manager Enclosures Q luccR I REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services. LLC. Page 7 of 9 rdl� �FaceAnalytical aww.P3ceWm= Project: North Plant Pace Project No.: 92441237 Charlotte Certification IDs 9800 Kincey Ave. Ste 100, Huntersville, NC 28078 LouisianalNELAP Certification # LA170028 North Carolina Drinking Water Certification #: 37706 North Carolina Field Services Certification #: 5342 North Carolina Wastewater Certification #: 12 Asheville Certification IDs 2225 Riverside Drive, Asheville, NC 28804 Florida/NELAP Certification #: E87648 Massachusetts Certification #: M-NC030 North Carolina Drinking Water Certification #: 37712 CERTIFICATIONS South Carolina Certification #: 99006001 Florida/NELAP Certification #: E87627 Kentucky UST Certification #: 84 VirginiaNELAP Certification #: 460221 North Carolina Wastewater Certification #: 40 South Carolina Certification #: 99030001 VirginiafVELAP Certification #: 460222 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, -LC. Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 ,(704)875-9092 Page 2 of 9 FaceMalytical e / •"Paceblxcmn Project: North Plant Pace Project No.: 92441237 Lab ID Sample ID 92441237001 DP-1 Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Hunlersville, NC 28078 (704)875-9092 SAMPLE ANALYTE COUNT Analytes Method Analysts Reported Laboratory EPA 1664E JMS 1 PASI-C SM 254OD-2011 JP1 1 PASI-A REPORT OF LABORATORY ANALYSIS This report shall not be reprooucec, except in full, without the wnften consent of Pace Analytical Services, LLC. Page 3 of 9 / Pace Analytical Services, LLC �FaceMalyticals 9800 nceyAve. Suite 100 Huntersville, NC 28078 (704)875-9092 mvwpacelaDS[pn FA Z'LPirl[9_1R3:&YI1ISI9 Project: North Plant Pace Project No.: 92441237 Sample: DP-1 Lab ID: 92441237001 Collected: 08114/1908: 15 Received: 08114/1908:36 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No, Qual Field Data Analytical Method: Collected By JJQ 1 08/14/19 08:45 Collected Date 08114119 1 08/14/19 08:45 Collected Time 08:45 1 08/14/19 08:45 pH 8.7 Sid. Units 0.10 1 08/1411908:45 Temperature 14.1 deg C 0.50 1 08/14/19 08:45 HEM, Oil and Grease Analytical Method: EPA 1664E Oil and Grease ND mg/L 4.9 1 08/23/19 06:09 2540D Total Suspended Solids Analytical Method: SM 254OD-2011 Total Suspended Solids 44.5 mg/L 12.5 1 08/19/19 23.11 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 08/28/2019 05:00 PM without the written consent of Pace Analytical Services, LLC. Page 4 of 9 i FaceAnalytical" tmrpace4aCs.can Project: North Plant Pace Project No.: 92441237 QC Batch: 494047 QC Batch Method: EPA 1664E Associated Lab Samples: 92441237001 METHOD BLANK: 2662718 Associated Lab Samples: 92441237001 Parameter Units Oil and Grease mg/L LABORATORY CONTROL SAMPLE: 2662719 Parameter Units Oil and Grease mg/L Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville. NC 28078 (704)875.9092 QUALITY CONTROL DATA Analysis Method: EPA 16640 Analysis Description: 1664 HEM, Oil and Grease 3 Matrix: Water Blank V Reporting Result Limit Analyzed Qualifiers ND 4.8 08123/1906:07 Spike LCS LCS % Rec Conc. Result %Rec Limits Qualifiers 38.5 38.3 99 78-114 MATRIX SPIKE SAMPLE: 2662720 92442137001 Spike MS MS % Rec Parameter Units Result Conc. Result %Rec Limits Qualifiers Oil and Grease mg/L NO 38.8 37.8 94 78-114 Results presented on this page are In the units Indicated by the "Units" column except where an alternate unit is presented to the right of the result REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 0812812019 05:00 PM without the written consent of Pace Analytical Services, LLC. Page 5 of 9 io�q -�FaceAnalytical o wvnrpacefabs.core Project: North Plant Pace Project No.: 92441237 UC Batch: 493263 QC Batch Method: SM 2540D-2011 Associated Lab Samples: 92441237001 METHOD BLANK: 2658707 Associated Lab Samples: 92441237001 Parameter Units Total Suspended Solids - mg/L LABORATORY CONTROL SAMPLE: 2658708 Parameter Units Total Suspended Solids mg/L SAMPLE DUPLICATE: 2658709 Parameter Units Total Suspended Solids mg/L SAMPLE DUPLICATE: 2658710 Parameter Total Suspended Solids Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 ,(704)875-9092 QUALITY CONTROL DATA Analysis Method: SM 2540D-2011 Analysis Description: 2540D Total Suspended Solids Matrix: er Blank Reporting Result Limit Analyzed Qualifiers ND 2.5 08/19/1923:08 Spike 1-CS LCS % Rec Cone. Result %Rec Limits Qualifiers 250 242 97 90-110 92441655001 Dup Result Result RPD Qualifiers 260 257 1 92441374002 Dup Units Result Result mg/L 43.0 47.0 RPD Qualifiers 9 D6 Results presented on this page are In the on Its Indicated by the "Units" column except where an ahem ate unit Is presented to the right of the result REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 08/28/2019 05:00 PM without the written consent of Pace Analytical Services, LLC. Page 6 of 9 r� Faceklalytical" wsw.Wceraas.carn QUALIFIERS Project: North Plant Pace Project No.: 92441237 DEFINITIONS OF - Dilution Factor, if reported, represents the factor applied to the reported data due to dilution of the sample aliquot. ND - Not Detected at or above adjusted reporting limit. TNTC -Too Numerous To Count J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit. MDL-Adjusted Method Detection Limit. PQL- Practical Quantitation Limit. Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 RL - Reporting Limit - The lowest concentration value that meets project requirements for quantitative data with known precision and bias for a specific analyte in a specific matrix. S - Surrogate 1,2-Diphenylhydrazine decomposes to and cannot be separated from Azobenzene using Method 8270, The result for each analyte is a combined concentration. Consistent with EPA guidelines, unfounded data are displayed and have been used to calculate % recovery and RPD values. LCS(D) - Laboratory Control Sample (Duplicate) MS(D) - Matrix Spike (Duplicate) DUP- Sample Duplicate RPD - Relative Percent Difference NC - Not Calculable. SG - Silica Gel - Clean -Up U - Indicates the compound was analyzed for, but not detected. Acid preservation may not be appropriate for 2 Chloroethylvinyl ether. A separate vial preserved to a pH of 4-5 is recommended in SW846 Chapter 4 for the analysis of Acrolein and Acrylonitrile by EPA Method 8260. N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported for each analyle is a combined concentration. Pace Analytical is TNI accredited. Contact your Pace PM for the current list of accredited analytes. TNI - The NELAC Institute. PASI-A Pace Analytical Services -Asheville PASI-C Pace Analytical Services - Charlotte ANALYTE QUALIFIERS D6 The precision between the sample and sample duplicate exceeded laboratory control limits. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 08/28/2019 05:00 PM without the written consent of Pace Analytcal Services, LLC. Page 7 of 9 i� FaceAnalj6cal / wuwpace/aUtcan QUALITY CONTROL DATA CROSS REFERENCE TABLE Project: North Plant Pace Project No.: 92441237 Lab ID Sample ID - QC Batch Method 92441237001 DPA 92441237001 DP-1 EPA 1664B 92441237001 DPA SM 2540D-2011 Date: 08/28/2019 05:00 PM Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersvifle, NC 28078 (704)875-9092 QC Batch Analytical Method 494047 493263 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the nden consent of Pace Analytical Services, LLC. Analytical Batch Page 8 of 9 WO# : 92441237 p CHAIN -OF -CUSTODY Analytical Request Document •PaceAnalytical" Chain -of -Custody is a LEGAL DOCUMENT - Complete all relevent fields LAB USE ONLY- AffixN m Is - 92441237 a ALLSHi, Container Preservative T oe " Lab Project Manager: Company: Billing information Address: n Report To: EmaiIT ^ - f l ;% :e-, C- C' --Preservativ¢Types:Ili (6) methanol, (CI ammonium (7) sodium hydroxide, bisulfate, nines amd,(2)sulluricadd.l3) (0) TSP, (8) sodium (U) Unprewtvcd. thiosulfate, (0) hydrochloric (9) Other hexane. - acid, lx) sodium hydroxide. Is) tine atrune, (A) ascorbic acid, (a) ammonium sulfate, Lab Profile/Line: Copy To: - Ste ColledoJ$j�Info/AddrC55: a r✓ fYf N'I?� Analyses Customer Project Name/Number ' /tJ,, ')4!F.pr State: County/City: Time Zone Collected: I I I PT I I MT I I CT (4ET v% Y ! r7�" Z (J n ' �y • C7 - C G Lab sample Receipt Checklist: /l custody seals Present/Intact Y N NA CollCustect r Signatur Present Y N�NA Collector signature Present Y(I 1"A Battles Intnc[ �Y N PA Correct Bottles Y N'NA sufficient volume tY)NNA somplos Received On ICC U N NA VOA - Neadspace Acceptable Y N flA T USDA Regulated soils Y N (U) Samplesesin in Holding Time CY)�N'1 RA Rnnidual chlorine Present Ytn/NA Clstrips: Sample pH Acceptable Y N NA Ptl Strips: Sulfide Present Y N NA Lead Acetate Strips: LAB USE ONLY: Lab sample N / comments:L G'7 f L�"I Phone:(]'�Y q�- --;f l6' Email' Site/Facility,1D#: 1.r Compliance Monitoring? I I YCs ( IN. Collected By (print): Purchase Order#: Quote#: DW PWS ID fB DW Location Code: Collected By (signature]: Turnaround Date Required: Imme Fate y PBc a on ice: I )Yes I ]No Sample Disposal: ( I Dispose as appropriate l I Return l I Archive: ( INoid: Rush: I I Same Day I I Next Day I 12 Day 113 Da 4 Da S Da Y I I v I l v (Expetlite Charges Apply) l Field. Filtered (if applicable): I. ]Yes I ] NO ' Matrix Codes (Insert in Matrix box below): Drinking Water (DW), Ground Water (GW), Wastewater (W W), Product (P), Soil/Solid (SQ, Oil (OL), Wipe (WP), Air (AR), Tissue ITS), Bioassay (B), Vapor IV), Other (OT) Customer Sample ID Matrix' Comp % Grab Collected (or Composite Ti Composite End Res Cl k of Ctns Date Timeme Date Time Customer Remarks / Special Conditions / Possible Hazards: �7 O G�.D :{ /y,/ G CJ e ly,,,r •s 4 fM�L p� kr¢ O-14r- Type of Ice Used: ( Wet .Blue Dry None SHORT HOLDS PRESENT (<72 hours): Y (N) N/A Lab Sample Temperature Info: Temp Blank Received: t Y CNI NA ThermlD#: Lf(, l0 `�+ Cooler 1 Temp Upon Receipt:/dy4 of Cooler l Therm Corr. Factor; O Of Cooler I Corrected Temp: On, 4 oe Comments: Packing Material Used: �nnn(r hI g 1111 /IA I� lab Tracking u: 2338813 - if (/ Radchem sample(s) screened (<500 clam): Y N NA Samples received via: FEDEX UPS Client Courier Pace Courier Relin ,//shoed _)by/Company: (Sig turel u'74V'D 1 Date/Time: 7/Ck Received by/Company: (Signature) ,(?A / - �- 4'GLIL/ Date/fine: �� C%I� MTJL LAB USE ONLY Table#: Rellrculshed by/Company((Signature) Datenime: Received by/TmpTy:(S nature) Datenime: Template: Prelogin: Trip Blank Received: Y No NA HCL MCOH TSP Other Relinquished by/Company: (Signature) Datenime: Received by/Company: (Signature) Date/Time: PM: PB, Non Confor ance(s): Page: YES /�Nt� of: PROCESS WASTEWATER —Discharge Monitoring Report GENERAL PERMIT NO. NCG140000 CERTIFICATE OF COVERAGE NO. NCG140448 SAMPLE COLLECTION YEAR: ZQ 1 FACILITY NAME: MacLeod Construction Inc. — North Pointe Plant SAMPLE PERIOD: July -December ❑January -June SAMPLE COLLECTOR: SAMPLE FREQUENCY: Quarterly 2/ Semi-annually ❑ CERTIFIED LABORATORY: Lab # COUNTY: Mecklenbure q^ � , PHONE NO.: 704-483-3580 LIMIT VIOLATIONS? YES ❑ NO ( t r C i� ADD TO LISTSERVE? ❑YES ❑NO EMAIL: JAN 2 2 2020 DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ©Other C ❑Trout OPTIONAL INFO: Part A: Wastewater MonitorinReiments ren!'rR I FI 5 DWR SECTIOP) Settleable T e of Wastewater PH Solids Non -Polar Total Suspended Oil &Grease Dischar e (mUL) g Total Flow 7 (gallons/day)(VE, RM, MD)z (standard) EKYP Solids using method Duration (Not16645GT-HEM116Applicable Not (mg/L) for (minutes) Applicable for acLeod) (mg/L) MacLeod) (15)6 z ZZ. 6 U R S 'If wastewater systems have not discharged in this quarter— report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above. z Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum Cleanout (MD). Report more than one type if the waste -stream is commingled. Permit Date: 8/1/2017-06/30/2022 Last Revised OSJ09/17 Page 1 of 2 'If an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DEMLR RO staff \ notifies you to continue monitoring. 4 pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters. s Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VIVA areas. TPH does TSS limits are 20 mg/L for wastewater discharges to HOW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications. s but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action. not have a limit for wastewater, ' Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall beset to 50% of the Summer 7Q10 Flow as per 15A NCAC 02B .0224, Permittees who discharge wastewater to HOW waters shall obtain a Summer 7Q10 flow and report this information to DEMLR. If the permittee cannot obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DEMLR, and the DEMLR Regional Office may require an annual flow report on a case -by -case basis. AT END OF MONITORING PERIOD IN CASE OF NO FLOW") TO Division of Water Resources Attn: DWR Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 (919)807-6379 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED• "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my Inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of Permittee) Permit Date: 8/1/2017-06/30/2022 (Date) Last Revised 08/09/17 Page 2 of 2 1 aceAnalytical a1MW.pawahzom le November 26, 2019 Mr. Michael Houser MacLeod Construction PO Box 320 4304 N. Pointe Ind Charlotte Denver, NC 28037 RE: Project: NORTH POINTE Pace Project No.: 92453328 Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Dear Mr. Houser: Enclosed are the analytical results for sample(s) received by the laboratory on November 12, 2019. The results relate only to the samples included in this report. Results reported herein conform to the most current, applicable TNI/NELAC standards and the laboratory's Quality Assurance Manual, where applicable, unless otherwise noted in the body of the report. If you have any questions concerning this report, please feel free to contact me. Sincerely, Tyriek Hooks tyriek.hooks@pacelabs.com (704)875-9092 Project Manager Enclosures PCCgE� ? �O . �OHA�aQl REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, -LC. Page 1 of 10 aceAnalytical msrm.pacalabssom Project: NORTH POINTE Pace Project No.: 92453328 Pace Analytical Services Charlotte Pace Analytical Services, LLC 9800 KinceyAve. Suite 100 Huntersville, NC 28078 (704)875-9092 9800 Kincey Ave. Ste 100, Huntersville, NC 28078 Louisiana/NELAP Certification # LA170028 North Carolina Drinking Water Certification #: 37706 North Carolina Field Services Certification #: 5342 North Carolina Wastewater Certification #: 12 Pace Analytical Services Asheville 2225 Riverside Drive, Asheville, NC 28804 Florida/NELAP Certification #: E87648 Massachusetts Certification #: M-NC030 North Carolina Drinkinq Water Certification #: 37712 CERTIFICATIONS South Carolina Certification #: 99006001 Florida/NELAP Certification #: E87627 Kentucky UST Certification #: 84 VirginiaNELAP Certification #: 460221 North Carolina Wastewater Certification #: 40 South Carolina Certification #: 99030001 Virginia/VELAP Certification #: 460222 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC. Page 2 of 10 lacjmna' lytical anm•Dacalabsxw SAMPLE ANALYTE COUNT Project: NORTH POINTE Pace Project No.: 92453328 Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Analytes Lab ID Sample ID Method Analysts Reported Laboratory 92453328001 DP-1 EPA 1664E HH 1 PASI-C SM 254OD-2011 MJP 1 PASI-A EPA 9040C SMK 1 PASI-A REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, I.I.C. Page 3 of 10 aceAnalytical W".pacelabsa:onl ANALYTICAL RESULTS Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersvilla, NC 28078 (704)875-9092 Project: NORTH POINTE Pace Project No.: 92453328 Sample: DP-1 Lab ID: 92453328001 Collected: 11/12/1900:00 Received: 11/12/1912:33 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Oual HEM, Oil and Grease Analytical Method: EPA 16648 Oil and Grease NO mg/L 5.0 1 11/25/19 11:59 2540D Total Suspended Solids Analytical Method: SM 254OD-2011 Total Suspended Solids 22.6 mg/L 7.1 1 11/14/19 11:48 9040 pH Analytical Method: EPA 9040C pH at 25 Degrees C 7.2 Std. Units 0.10 1 11/24/19 15:40 H3 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 11/26/2019 07:24 AM without the written consent of Pace Analytical Services, LLC. Page 4 of 10 /- aceAnalytical` 1 sim.pcelabnca l Project: NORTH POINTE Pace Project No.: 92453328 QC Batch: 511562 QC Batch Method: EPA 1664B Associated Lab Samples: 92453328001 METHOD BLANK: 2743969 Associated Lab Samples: 92453328001 Parameter Units Oil and Grease mg/L LABORATORY CONTROL SAMPLE: 2743970 Parameter Units Oil and Grease mg/L Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersvilie, NC 28078 (704)875-9092 QUALITY CONTROL DATA Analysis Method: EPA 1664E Analysis Description: 1664 HEM, Oil and Grease Matrix: Water Blank Reporting Result Limit Analyzed Qualifiers NO 5.0 1112511911:57 Spike LCS LCS %Rec Cone. Result % Rec Limits Qualifiers 40 35.9 90 78-114 MATRIX SPIKE SAMPLE: 2743971 92453418001 Spike MS MS % Rec Parameter Units Result Cone. Result %Rec Limits Qualifiers Oil and Grease mg/L 1.3J 40 37.8 91 78-114 Results presented on this page are In the units Indicated by the "Units" column except wherean alternate unit Is presented lathe fight of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 11/26/2019 07:24 AM without the written consent of Pace Analytical Services, LLC. Page 5 of 10 aceAnalytical tnnf isectlalls.com QUALITY CONTROL DATA Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Project: NORTH POINTE Pace Project No.: 92453328 QC Batch: 509528 Analysis Method: SM 254OD-2011 QC Batch Method: SM 2540D-2011 Analysis Description: 2540D Total Suspended Solids Associated Lab Samples: 92453328001 METHOD BLANK: 2734380 Matrix: Water Associated Lab Samples: 92453328001 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Total Suspended Solids mg/L NO 2.5 11/14/19 11:43 LABORATORY CONTROL SAMPLE: 2734381 Spike LCS LCS %Rec Parameter Units Conic. Result %Rec Limits Qualifiers Total Suspended Solids mg/L 250 248 99 90-110 SAMPLE DUPLICATE: 2734382 92453406001 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mg/L 320 331 3 SAMPLE DUPLICATE: 2734383 92453262001 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mg/L 118 120 2 Results presentetl on this page are In the units Indicated by We "Units" column except where an alternate unit Is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 11/26/2019 07:24 AM without the written consent of Pace Analytical Services, LLC. Page 6 of 10 ZaAna'llj4ical rww•pacdabs.com QUALITY CONTROL DATA Project: NORTH POINTE Pace Project No.: 92453328 QC Batch: 511439 Analysis Method: EPA9040C QC Batch Method: EPA9040C Analysis Description: 9040 pH Associated Lab Samples: 92453328001 SAMPLE DUPLICATE: 2743493 Parameter pH at 25 Degrees C SAMPLE DUPLICATE: 2743494 Parameter pH at 25 Degrees C 92453233003 Dup Units Result Result Sid. Units 4.0 3.9 92453407001 Dup Units Result Result Std. Units 5.7 5.2 RPD Qualifiers 1 H3 RPD Qualifiers 10 D6,H3 Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Results presented on this page are In the units Indicated by gie "Unds" column except where an alternate unit Is presentee to the right of the result. REPORT OF LABORATORY ANALYSIS This report shallnot to reproduced, except in full, Dale: 11 /26/2019 07:24 AM without the wnmm consent of Pace Analytical Services, I.I.C. Page 7 of 10 WMnalytical. w".Vautabasraa QUALIFIERS Project: NORTH POINTE Pace Project No.: 92453328 DEFINITIONS OF - Dilution Factor, if reported, represents the factor applied to the reported data due to dilution of the sample aliquot. NO - Not Detected at or above adjusted reporting limit. TNTC - Too Numerous To Count J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit. MOL- Adjusted Method Detection Limit. Pace Analytical Services; LLC 9800 KinceyAve. Sure 100 Huntersviller,, NC 28078 (704)875-9092 POL- Practical Quantitation Limit. RL - Reporting Limit - The lowest concentration value that meets project requirements for quantitative data with known precision and bias for a specific analyte in a specific matrix. S - Surrogate 1,2-Diphenylhydrazine decomposes to and cannot be separated from Azobenzene using Method 8270. The result for each analyte is a combined concentration. Consistent with EPA guidelines, unrounded data are displayed and have been used to calculate % recovery and RPD values. LCS(D) - Laboratory Control Sample (Duplicate) MS(0) - Matrix Spike (Duplicate) OUP- Sample Duplicate RPD - Relative Percent Difference NC - Not Calculable. SG - Silica Gel - Clean -Up U - Indicates the compound was analyzed for, but not detected. Acid preservation may not be appropriate for 2 Chloroethylvinyl ether. A separate vial preserved to a pH of 4-5 is recommended in SW846 Chapter 4 for the analysis of Acrolein and Acrylonitrile by EPA Method 8260. N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported for each analyte is a combined concentration. Pace Analytical is TNI accredited. Contact your Pace PM for the current list of accredited analytes. TNI - The NELAC Institute. LABORATORIES PASI-A Pace Analytical Services -Asheville PASI-C Pace Analytical Services - Charlotte ANALYTE QUALIFIERS D6 The precision between the sample and sample duplicate exceeded laboratory control limits. H3 Sample was received or analysis requested beyond the recognized method holding time. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 11/26/2019 07:24 AM without the written consent of Pace Analytical Services, LLC. Page 8 of 10 aceAnalj6cal vvmw.DSGlabs.sere QUALITY CONTROL DATA CROSS REFERENCE TABLE Project: NORTH POINTE Pace Project No.: 92453328 Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Lab ID Sample ID QC Batch Method QC Batch Analytical Method 92453328001 DPA EPA 1664B 511562 92453328001 DP-1 SM 254OD-2011 509528 92453328001 DP-1 EPA 9040C 511439 Dale: 11126/2019 07:24 AM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC. Analytical Batch Page 9 of 10 W®+• :9�2 53323 —� v•', CHAIN -OF -CUSTODY Analytical Request Document LAB USE ONLY -Affix Worl . �' PaceAnalytica!" '- Chain-ql-Custody is LEGAL DOCUMENT. Complete all relevent fields Coinpany: Billing Information: ALL SHAD- 92453328 7._ X -,ref-W; • tY A - 1 Container PreservativeT b" - Lab'Pf jelt Manager: - Report To: ' Enta"I To: • •• Preservative types:(11 niuic acid,(2)sudurlcacid.(3) hydrochloric idd, 4)¢odium hydroxiM.(1)ein, ncewte. '/ C<n (6) melhanW, (7) sbtlium bisulfatq (8) sodium lhiasulfale. (9) hexane, (Al a corbic acid, (0) ammonium sulfate, Copy To: Site CollCcOn Into/ ddress:, .-. (C) ammonium hydruude, (0) TSP. (U) Unpreserved. (0) Other - / y lj•- /� Analyses Lab Pr file/Line: ��Il CLLs�•piner Pro}�CtP1tmnC/NINnbW:�U LT)*s't:rr'.6u� State: County/City: Time Zone Collected: Lau Sample Receipt Clteck=—L PT I I MT I I CT I JET �� Phone:g'7tS'-ians ..JSS•G Site/Facility ID It: _ Compliance Monitoring? Cus;ody Cus Seals Pret,eot/In Lact Y©t1A ody Signatures Present Y NIP Email: •( _„Ci_ I I Yes f ]No Col ector Signature Present Y )NA Collected By (print): r Purchase Order N: DW PWS to it: 1 v Boc Cpr lcs intact see BotelCs N IIA N NA Quote U: DW Location Code: �/) ,�j Sufficient volumes N Collected By (signature): Turnaround Date Required: q Imme la[eyvac ed onlce: p `` . Samits VOA Received on Ice Y Nn ileadspa<e Acceptable Y 11Yes I ]No _C f'( US[P, 8ati Fugulated Sailu tes in Bolding Time ``YNY��y�r)..,,,�. Sample Disposal: Rush: Field filtered (if applicable): . .Ran (y/N .dual'Cblorinc eruecnr, x N ' I pisppsc as appropriate I I Return I ]Same Day f l Nex[ Day I I YCs I I No Cl trips: I I Archive: I 1 2 Day ( 13 Day 114 Day ( 15 Day Sam le p1 Acceptable Y N I (Hold: (Expedite Charges APM/) AnalYsis:C�, PH trips: v_ ' Matrix Codes (Insert in Matrix box below): Drinking Water (DW), Ground Water (GW), Wastewater (WW), 4 Sul Lea iidp Pianept Y N NA ncetace-Strips: Product (P), Soil/Solid (Sit, Oil (OL), Wipe (WP), Air (AR), Tissue (TS), Bioassay,(B), Vapor IV). Other (OT) - J 1-1 ! LAB USE ONLY: Comp/ Collected (or Composite End Res \ Lab Sample b [.Commence: Customer Sample ID Matrix' Grab Composite Start) Ct NCIO�ls Date Time Date Time - ��y�3✓� Customer RemarksIS1pecial Conditio /s ,14sosslble Hazards: 7c Z Z 0140'lo pA3� z qZ0 Type of lie Used`..- Wet -Blue Dry one SHORT HOLDS PRESENT(<72. hours): Y N N/A Lab Sample. Temperature Info: Temp Blank�R�e?ce�iwe—d�s VAN 19> ale °T mp Upon pe<elp[; -J' C Cooled Therm Corr. Factor: oC Cooler l Corrected Temp:i C 'Comments: Packing Material Used: J Lab Tracking 2417200 9 ' Radchem sample(s)screened.(<500 cprn): V N NA Samples received via: ", FEDEX UPS. Clleeb Courier Pace,Courier- Relinquished by/Cieriany:(Signamre) Date/Time: eccivgd byXympany.(Signature) Date/Time.: MTIL LAB.USE ONLY (Signature) Template:. Trip Blank Received: Y N Ci Prelogin: HCL McOH TSP Other PM: Non Center (s): Page:_ Pe: - YES /ms •. of: