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HomeMy WebLinkAboutNCG030240_MONITORING INFO_20190409 (2)STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. DOC TYPE. ❑HISTORICAL FILE �(,MONITORING REPORTS DOC DATE o any oa o9 YYYYMMDD Stormwater Discharge Monitoring Report for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG030000 Date submitted 4/9/2019 CERTIFICATE OF COVERAGE NO. NCG03 0 2 4 0 FACILITY NAME Deere -Hitachi Construction Machinery Corporation COUNTY Forsyth PERSON COLLECTING SAMPLES Aaron Paschal, Tommy Smith LABORATORY R 8 A Lab Lab Cert. # 34 Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2019 SAMPLE PERIOD Q Jan -June ❑ July -Dec or ❑ Monthly' _ (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow ❑Water Supply ❑SA QOther WS-111 PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 ❑ No discharge this period?2 Outfall No. Date Sample Collected l (mo/dd/yr) 24-hour rainfall amount, Inches3 Total Suspended Solids p H, Standard units Total Copper Total Lead Total Zinc Non -Polar O&G/ _Total Petroleum Hydrocarbons Total c Organnicicss Benchmarks _ - 100 mg/L or SO mg/V 6.0 -- 9.0 0.010 mg/L 0.075 mg/L 0.126 mg/L 15 mg/L 1 mg/L Parameter Code - 46529 C0530 OD400 01119 01051 01094 00552 78141 SDO-1 3/8/2019 .13" <XX mg1L 7.55 0.012 <XX mg/L 0.103 <XX m91L NA ' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. 2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. a See General Permit, Section B,,Table 1 to identify the especially sensitive receiving water classifications where the more protective benchmark applies. s Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray tube manufacture use the definition found in 40 CFR 469.31). Permit Date: 11/1/2018-05/31/2021 SWU-245, last revised 11/1/2018 Page 1 of 3 Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." Sean Marshall Name (Print name) Manufacturing Engineering Manager Title (Print title) Signature Date Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical format. When results are below the applicable limits, ihey must be reported in the format "<XX m L" where XX is the numerical value of the detection Ilmit, reporting limit, etc. in mg/L. Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. ❑ No discharge this period?z Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches' New Motor Oil or Hydraulic Oil Usage Non -Polar O&G/ Total Petroleum Hydrocarbons Total Suspended Solids Benchmarks - - - 15 mg/L 100 mg/L or 50 mg/L4 Parameter Code - 46529 NCOIL 00S52 C0530 Footnotes from Part A also apply to Part B Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Permit Date: 11/1/2019-05/31/2021 SWU-245, last revised 11/1/2018 Page 2 of 3 FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑ IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an original copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of monitoring period in the case of "No_ Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 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 thatthere are significant penalties fpr submitting false information, including the possibility of fines and imprisonment for knowing violations." Signature of Permittee Permit Date: 11/1/2018-05/31/2021 Date SWU-245, last revised 11/1/2018 Page 3 of 3 w REgEA11Ch & NA1YT@CA Report of Analysis LAORATO Ri ES, I lyce 3/21/2019 t'1110121/1+S,' 6 YT -P'�. For: Deere Hitachi ,` ,%,�0.•••".: *i P.O. Box 1187 : �`�.•'_�� Kernersville, NC 27285 C :3o� N 0 NC �34 .! y: r Attn: Debbie Randleman �:•=37701 j Client Sample ID: MC-SD01 In creek @ South end of Parking Lot Lab Sample ID: 63945-01 Site: Deere Hitachi Collection Date: 3/8/2019 10:08 Parameter Method Result Units Rep Limit Analyst Analysis DaterTime Copper, Total EPA 200.7 0.012 mg/L 0.005 JF 3/12/2019 Hydrocarbon Q&G EPA 1664 Revision i3/Silica Gel <5 mg/L 5 EE 3/14/2019 Lead, -total EPA 2003 <0.005 mg/L 0.005 JF 3/12/2019 Total Suspended Solids (TSS) SM 2540 D-1997 <5 mg/L 5 AW 3/12/2019 Zinc, Total EPA 200.7 0.103 mg/L 0.01 JF 3/12/2019 NA = not anaiyzed P.Q. Box 473 106 Short Street Kemersville, !North Carolina 27284 Tel: 336-996-2841 Fax: 336-996-0326 www.raridalabs.com Page 1 JOHN DEERE i HITACHI Deere -Hitachi Construction Machinery Corp. P.O. Box 1187 1000 Deere -Hitachi Road (27284) Kernersville, NC 27285-1187 7013 0600 0000 1865 8801 7013 0600 0000 1865 8801 T a ma 33 15 c a a y }c m N �I C m'� am fpT m m m �Q (A 14 r nZOV-10-1 I �P_ uality riles enter lina J4HN DEERE I HITACHI Deere -Hitachi Construction Machinery Corp. P.O. Box 1187 1000 Deere -Hitachi Road (27284) Kemersville, NC 27285-1187 Phone: 336-996-8100 Fax: 336-996-8201 Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, NC 27699-1617 Re: 20191n Period NPDES Stormwater Report "Main Campus/East Campus SDO-1" Deere -Hitachi Construction Machinery Corp. Permit # NCG030000 Certificate of Coverage No. NCGO30240 Stormwater Section: April 09, 2019 C7 tf � p,QR � 2 �p19 Certified Mail: 7013 0600 00DUl$iaw EN pWR SE Enclosed you will find the original and a copy of the 2019 1n period semi-annual Main/East Campus SDO-1 Report of Analysis and Discharge Monitoring Reports. If you have any questions or comments, please contact Debbie Randleman, Environmental Coordinator, at (336) 996-8100 at your convenience. Sincerely, r' Sean Marshall Manufacturing Engineering Manager Stormwater Discharge Monitoring Report for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG030000 Date submitted 112212019 CERTIFICATE OF COVERAGE NO. NCG03 0 2 4 0 FACILITY NAME Deere -Hitachi Construction Machinery Corporation COUNTY Forsyth PERSON COLLECTING SAMPLES Aaron Paschal LABORATORY R & A Lab Lab Cert. # 34 Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2018 SAMPLE PERIOD ❑ Jan -June Q July -Dec or ❑ Monthly' month DISCHARGING TO CLASS ❑ORW ❑HCIW ❑Trout ❑PNA ❑Zero -flow ❑Water Supply ❑SA ❑■ Other ws-111 RE(_,F1\1F-D PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 JI N % 5 ZW9 rr=NTV<AL FILE:;' ❑ No discharge this period:' Outfall No. Date Sample Collected) (mo/dd/yr) 24-hour rainfall amount, Inches3 Total Suspended Solids PH, Standard units Total Copper Total Lead Total Zinc Non -Polar O&G/ Total Petroleum Hydrocarbons Total Toxic prganicss Benchmarks _ - 100 mg/L or 50 mg/L' 6.0 -- 9.0 0.010 mg/L 0.075 mg/L 0.126 mg/L 15 mg/L 1 mg/L Parameter Code - 46529 C0530 00400 01119 01051 01094 00552 79141 SDO-1 12/20/2018 2.09" <XX mg/L 7.89 <XX mg/L <XX mg/L 0.035 mg/L <XX mg/L NA 1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. Z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. See General Permit, Section B, Table 1 to identify the especially sensitive receiving water classifications where the more protective benchmark applies. 5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray tube manufacture use the definition found in 40 CFR 469.31). Permit Date: 11/1/2018-05/31/2021 SWU-245, last revised 11/1/2018 Page 1 of 3 Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." Jonathan Chase Name (Print name) President & CEO Title (Print title) ig lure Dat Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical format. When results are below the applicable limits, they must be reported in the format, "<XX me/L", where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > SS gal of new oil per month. ❑ No discharge this period ?2 Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches' New Motor Oil or Hydraulic Oil Usage Non -Polar O&G/ Total Petroleum Hydrocarbons Total Suspended Solids Benchmarks - - - 15 mg/L 100 mg/L or 50 mg/O Parameter Code - 46529 NCOiL 00552 C0530 Footnotes from Part A also apply to Part B Note: If you report a sample value in excess of the benchmark, you must Implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Permit Date: 11/1/2018-05/31/2021 SWU-245, last revised 11/1/2018 Page 2 of 3 FOR PART A AND PART 8 MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDANCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑ IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an original copy of this DMR including al! "No Dischar e" re arts within 30 days of rece! t of the lab results or at end of monitorinperiod in the case o["No Discharge" reuortsl to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 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." L --- ( i --�- Date Permit Date: 11/1/2018-05/31/2021 SWU-245, last revised 11/1/2018 Page 3 of 3 FOR PART A AND PART B MONITORING RESULTS: • 'A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES ❑ NO REGIONAL OFFICE CONTACT NAME: Mail an original copy of this DMUnduding all "No Discharge" reports, within 30 days of receipt of the lab results Lor at end of monitoring period In the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 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." 6w Signature k Z -z Date Permit Date: 11/1/2018-05/31/2021 SWU-245, last revised 11/1/2018 Page 3 of 3 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Resources General Permit No. NCG030000 Date submitted 11/912018 CERTIFICATE OF COVERAGE NO. NCG03_aa L Q FACILITY NAME Deere -Hitachi Construction Machinery Corporation COUNTY Forsvth PERSON COLLECTING SAMPLES Aaron Paschal LABORATORY Research & Analytical Lab, Inc. Lab Cert. # 34 Comments on sample collection or analysis: Tw umpY wu oobtl.tl Nrrtlon ravrtn xYomulnn l�anle�rpp,q Orniq 9�W�mNw nn nmhN on �Onu�e D..�«Mbda wl ed.e .ronr ump. Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2018 SAMPLE PERIOD ❑ Jan -June ❑■ July -Dec or ❑ Monthly' (month) DISCHARGING TO CLASS ❑ORW ❑HCtW ❑Trout ❑PNA ❑Zero -flow []WaterSupply []SA ❑■ Other ws-111 PLEASE REMEMBER TO SIGN ON PAGES Z AND/OR 3 4 ❑ No discharge this period?2 Outfall No. Date Sample Collected (mo/dd/yr) 24-hour rainfall amount, Inches3 Total Suspended Solids pH, Standard units Copper Lead Zinc Non -Polar 0&G/ Total Petroleum Hydrocarbons Total Toxic s Organics Benchmarks -=-> _ - 100 mg/L or 50 mg/L 610 — 9.0 '0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L SDO - 01 10/16/2018 .091, <XX mg/L 7.18 <XX mg/L <XX mg/L 0.035 mg/L <XX mg/L NA 1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. 'For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 3 The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies. 5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray tube manufacture use the definition found in 40 CFR 469.31). Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 1 of 3 Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or Stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." Jonathan Chase Name (Print name) President & CEO Title (Print title) �24�Aa,,__ 11 /9/18 t0ture) (Date) Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical format. When results are below the applicable limits, they must be re artd in the format "<XX m L" where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. ❑ No discharge this period?' Outfall No. " Date Sample Collected, (mo/dd/yr) 24-hour rainfall amount, .: Inche53 Nan -polar O&G/TPH by EPA 1664.(5GT-HEM) Total Suspended"5olids pH benchmarks »=.=> _ - 15 mg/L 100 mg/L or 50 mg/L* .. 6.0 — 9.0 SU Footnotes from Part A also apply to this Part B * See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2 of 3 Note: If you report a somple value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS, SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results for at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Resources Attn: DWR Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 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." 111912018 (Date) Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Resources General Permit No. NCG030000 Date submitted 11/9/2018 CERTIFICATE OF COVERAGE NO. NCG03jaa� Q, FACILITY NAME Deere -Hitachi Construction Machinery Corporation COUNTY Forsyth PERSON COLLECTING SAMPLES Aaron Paschal LABORATORY Research & Analytical Lab, Inc, Lab Cert. # 34 Comments on sample collection or analysis: rM annpY .... W W.a e.a.a on r.w.� Ymnwan tan vM.NrNM�rpeum- or.r pup lrawp. umm� m 1a1�na. D. HUCN"ww � . wk Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2018 SAMPLE PERIOD ❑ Jan -June ❑■ July -Dec or ❑ Monthly' (month) DISCHARGING TO CLASS ❑ORW ❑HQW []Trout ❑PNA ❑Zero -flow ❑Water Supply ❑SA Mother ws-111 PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 No discharge this period?z Outfall No. Date Sample Collected' (mo/dd/yr) 24hour rainfall amount, Inches3 Total Suspended Solids pH, Standard units Copper Lead Zinc Non -Polar O&G/Total Total Petroleum Hydrocarbons Toxic Organics5 Benchmarks ===> - - 100 mg/L or 50 mg/L 6.0 — 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L 5DO - 01 10h6/2018 .09" <XX mg/L 7.18 <XX mg/L <XX mg/L 0,035 mg/L <XX mg/L NA ' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. "See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies. 5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray tube manufacture use the definition found in 40 CFR 469.31). Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 1 of 3 Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." Jonathan Chase Name (Print name) President & CEO Title (Print title) 4��WA c 11 /9/18 ( Ig ture) I (Date) Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical format. When results are below the applicable limits, they must be reported in the format,,,'<XX me/h". where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. ❑ No discharge this period?' Outfail Na. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, a Inches Non -polar O&G/TPH by EPA 166a (SGT-HEM) Total Suspended Solids pH Benchmarks ==-> _ - 15 mg/L 100 mg/L or 50 mg/L* 6.0 — 9.0 SU Footnotes from Part A also apply to this Part B * See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2 of 3 Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. FOR PART A AND PART B MONITORING RESULTS: + A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an original and one in the case of "No Discha this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end L)ivislon of water Resources Attn: DWR Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 to: 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." 11/912018 (Date) Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 RESEARCh & ANA[yTICA[ Report of Analysis OQ LAbORATORIES, INC. 10125/2018 BOO For: Deere Hitachi P.O. Box 1187 Kernersville, NC 27285 sC-0 NC #34 z:• Attn: Debbie Randleman NC#37701 r :rir ��13FCT�Q;.f`y Client Sample ID: MC-SD01 Creek near south parking tot Lab Sample ID. 57926-01 Sits: Deere Hitachi Collection Date: 10/16/2018 17:49 Parameter Method Result Units Re Limit Analyst Analysis Date/Time Copper, Total EPA 200.7 <0.005 mg/L 0.005 JF 10/22/2018 Hydrocarbon O&G EPA 1664 Revision B/Silica Gel <S mg/L 5 EE 10/23/2018 Lead, Total EPA 200.7 <0.005 mg/L 0.005 JF 1012212018 Total Suspended Solids (TSS) SM 2540 D-1997 <5 mg/L 5 AW 10/23/2018 Zinc, Total EPA 200.7 0.035 mg/L 0.01 JF 10/22/2018 NA = not analyzed P.O. Box 473 106 Short Street Kemersville, North Carolina 27284 Tel: 336-996-2841 Fax: 336 996 0326 www.randalabs.com Page 1 rat coo basic vid `kESEARCh & ANA1yTiCA1 LAbORATORIESI INC. Analytical 1 Process Consultations Phone 1336) 996-2841 CHAIN OF CUSTODY RECORD WATER 1 WASTEWATER I MISC. COMPANY l)EE'►�E 1 T/9C'H) JOB NO. _ W z �;� yj o, Z,% S= ��•�y1 O.t. �¢ g0•,���� sry �' 0 a r�ti� ��• �O `o Op m° �, CP V C9 m a` (2 �v 'b N� ti� ^ ^ " ^ yam REQUESTED ANALYSIS STREETADDRESS PROJECT Z. CITY, STATE, ZIP ��n�r�s✓� 11� �1fC SAMPLER NAME PLEASE PRINT} h CONTACT PHONE C),k lS 2. SAMPLER SIGNATURE SAMPLE HGMBER (LAB 11SEONLY) GATE TIME CblIP CeRAB TEMP 'C RESMpTwx CI (YaN) (act" SAMPLE LOCATION 1I.D. o 4 ;ate l.G,r L c-_Gid C� r RELINQUISHED BY DATEMME RECEIVED BY REMARKS: SAMPLE TEMPERATURE AT RECEIPT & I °C RELINQUISHED BY DATIPTIME RECEIVED BY .JOHN DEERS I HITACHI Deere -Hitachi Construction Machinery Corp. P.O. Box 1187 1000 Deere -Hitachi Road (27284) Kemersvilie, NC 27285-1187 Phone: 336-996-8100 Fax: 336-996-8201 Attn: DWQ Central Files Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 Re: 2018 2nd Period NPDES Stormwater Report "Main Campus SDO-1" Deere -Hitachi Construction Machinery Corp. Permit # NCG030000 Certificate of Coverage No. NCG030240 Stormwater Section: November 09, 2018 REMVEU Nov 16 Zola cc CENT S CT ON Certified Mail: 7013 0600 0000 1865 9587 Enclosed you will find the original and a copy of the 2018 2"d period semi-annual Main/East Campus Discharge Monitoring Reports for our Kernersville facility. The sample from SDO-1 was collected prior to the 72-hour period without rainfall. This information was reported to the Winston-Salem Environmental Specialist on November 9, 2018. If possible, Deere -Hitachi will collect an additional sample during the remaining 2nd period of 2018. Results will be submitted accordingly. If you have any questions or comments, please contact Derek Morrison, Facilities & Environmental Engineer (336) 996-8100 at your convenience. Sincerely, ` ct ­ Jonathan Chase President Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Resources General Permit No. NCG030000 Date submitted June 04, 2018 CERTIFICATE OF COVERAGE NO. NCG030 a 4y FACILITY NAME Deere -Hitachi Construction Machinery Corporation COUNTY Forsyth PERSON COLLECTING SAMPLES Debbie Randleman LABORATORY R & A Laboratories Lab Cert. # 34 Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2018 SAMPLE PERIOD Q Jan -June ❑ July -Dec or ❑ Monthly) month DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA []Zero -flow ❑Water Supply []SA OOther wS-111 PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 -) ❑ No discharge this period?z outfall No. Date Sample Collected) (mo/dd/yr) 24-hour rainfall amount, Inches3 Total Suspended Solids pH, Standard units Copper Lead Zinc Non -Polar OW Total Petroleum Hydrocarbons Total Toxic Organics5 Benchmarks =__> _ - 100 mg/L or 50 mg/L 6.0 — 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L SDO - 01 05/16/18 1.8 13.2 7.13 0.021 <0.005 0.095 <5 - 1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. 4 See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies. 5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray tube manufacture use the definition found in 40 CFR 469.31). Permit Date:11/1/2012-10/31/2017 5WU-245, last revised 10/25/2012 Page 1 of 3 Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." Jon Chase Name (Print name) President Title (Sign e) 6/4/2018 (Date) Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical format. When results are below the applicable limits, they must be reported in the format. "<XX me/L where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. ❑ No discharge this period?z Outfail No. Date Sample Collected, (mo/dd/yr) 24-hour rainfall amount, Inches3 Non -polar 0&G/TPH by EPA 1664 (SGT-HEM) Total Suspended Solids pH Benchmarks ===> _ - 15 mg/L 100 mg/L or 50 mg/L* 6.0 — 9.0 SU Footnotes from Part A also apply to this Part B * See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2 of 3 Nate: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART it SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO 0 IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an original and one covv of this DMR, includina all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of rr in the case of "No Discharge" reports) to: Division of Water Resources Attn: DWR Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 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." 6/4/2018 (Signaturek P,Armittee) (Date) Permit Date: 11/1/2012-10/31/2017 5WU-245, last revised 10/25/2012 Page 3 of 3 r Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Resources General Permit No. NCG030000 Date submitted June 04. 2018 CERTIFICATE OF COVERAGE NO. NCG030 Q r+ 0 FACILITY NAME Deere -Hitachi Construction Machinery Corporation COUNTY Forsvth PERSON COLLECTING SAMPLES Debbie Randleman LABORATORY R a A laboratories Lab Cert. # 34 Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR tote SAMPLE PERIOD Q Jan -June ❑ July -Dec or ❑ Monthly( (month) DISCHARGING TO CLASS ❑ORW ❑HCEW []Trout ❑PNA ❑Zero -flow ❑Water Supply ❑SA ❑■ Other ws-1 1 t PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 ❑ No discharge this period?2 Outfall No. Date Sample Collected) (mo/dd/yr) 24-hour rainfall amount, Inches3 Total Suspended Solids pH, Standard units Copper Lead Zinc Non -Polar 0&G/ Total Petroleum Hydrocarbons Total Toxic 1 Organics Benchmarks ===> - - 100 mg/L or 50 mg/L 6.0 — 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L SDO - 01 05/16/18 1.8 13.2 7.13 0.021 <0.005 0.095 <5 - 1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. 2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 3 The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. 4 See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies. 5 Total Toxic Organics sampling is applicable only for those facHities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray tube manufacture use the definition found in 40 CFR 469.31). Permit Date:11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 1 of 3 Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the Stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." Jon Chase Name (Print name) President Title G.. 6/4/2018 (Sign e) (Date) Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical format. When results are below the applicable limits, they must be reported in the format, "<XX mg/L", where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 1, or Tier 3 responses. See General Permit text. Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. ❑ No discharge this period?z Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches Non -polar O&G/TPH by EPA 1664 (SGT-HEM) Total Suspended Solids pH Benchmarks =__> _ - 15 mg/L 100 mg/L or 50 mg/L" 6.0 — 9.0 5U Footnotes from Part A also apply to this Part B. * See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2 of 3 Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑■ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Resources Attn: DWR Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 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 bellef, 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." I rake 6/4/2018 (Signature f P rmittee) (Date) Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 RESEARCh & ANA[Y CAI LABORATORIES, INC. Analytical / Process Consultations Phone (336) 996-2841 CHAIN OF CUSTODY RECORD WATER ! WASTEWATER I MI5C. COMPANY I 4eere- 141figC�i f JOB NO. �vlfr-aP e� a ��`�0. o� °b .~ Z� �� G" m'� �a"�`���y� p,2• �Q ti y0' `Orj VOA ¢� v 0 o F Q• O Q' Q' Q' c tv rytr ti ry�� v v v ,� y�Q REQUESTED ANALYSIS STREETADURESS f'O00 pCC�rP— H � 1�r!'�i /CGJ. PROJECT S'i-O/'M 'tiC7e/ �4,iyl � CITY. STATE, ZIP leelwP"Sv;1& a7.? $S SAMPLER NAME (PLEASE PRINT) [l� Diq 1 Pi CONTACT -� PHONE 336 Q4 gn ?S�? SAMPL.FR NATURE z SAMPLE NUMBER (LAB USE ONLY) DATE TIME C04p GARB TEMP .G RES ��l C110pitt fy-REMONeu "u•KE IMAI�wI 5A LE LOGATION II.D. W - SAo/ C,eek a T I f Toy,, W,�Tr,, .SI ,,,10/rx $ov7f, A,Kt;, for — 0, rP RELIN Y DATWIME RECEIVED BY REMARKS: SAMPLE TEMPERATURE AT RECEIPT °C RELINQ ISHED BY T) 4ME /I RECEIVED BY RESEARCh & ANA[yTlCAL • v� LABORATORIES, INC• For: Deere Hitachi P.O. Box 1187 Kernersville, NC 27285 Attn: Debbie Randleman Report of Analysis 5/24/2018 1*tllltli10 f1 �LrTi �rq NC t134� fn NC H37701 i Client Sample ID: MC-SD01 Lab Sample ID: 50710-01 Site: Deere Hitachi Collection Date: 5/16/2018 6:34 Parameter Method Result Units Rep Limit An_ ailyst Analysis Daterfime Copper, Total EPA 2003 0,021 mg/L 0.005 KL 5/21/2018 Hydrocarbon O&G EPA 1664 Revision B/Silica Gel <5 mg/L 5 AW 5/1712018 Lead, Total EPA 200.7 <0.005 mg/L 0.005 KL 5/21/2018 Total Suspended Solids (TSS) SM 2540 D-1997 13.2 mg/L 5 AA 5/21/2018 1000 Zinc, Total EPA 200.7 0.095 mglL 0.01 KL 5/21/2018 NA = not analyzed P.O. Sox 473 106 Short Street Kernersville, North Carolina 27284 Tel: 336-996-2841 Fax: 336-996-0326 www.randalabs.com Page 1 4' JOHN DEERE Deere -Hitachi Construction Machinery Corp. HITACHI P.O. Box 1187 1000 Deere -Hitachi Road (27284) Kernersville, NC 27285-1187 Phone: 336-996-8100 Fax: 336-996-8201 Attn: DWQ Central Files Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 Re: 2018111 Period NPDES Stormwater Report "Main Campus SDO-1" Deere -Hitachi Construction Machinery Corp. Permit # NCG030000 Certificate of Coverage No. NCG030240 Stormwater Section: June 04, 2018 RECE ,r ED 1u1413 jm, CC -VW Certified Mail: 7013 0600 0000 1865 9570 Enclosed you will find the original and a copy of the 2018 1st period semi-annual Main/East Campus Discharge Monitoring Reports for our Kernersville facility. If you have any questions or comments, please contact Derek Morrison, Facilities Ft Environmental Engineer {336} 996-8100 at your convenience. Sincerely, "146w Jonathan Chase President Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted _07/10/2017_ CERTIFICATE OF COVERAGE NO, NCG030240 FACILITY NAME Deere -Hitachi Construction Machinery Corporation COUNTY Forsyth PERSON COLLECTING SAMPLES Tommy Webster, Nick Dineer, Aaron Paschal LABORATORY R & A Laboratories Lab Cert. # 34 Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2017 SAMPLE PERIOD ® Jan -June ❑ July -Dec RECEIVED or ❑ Monthly' rmonthl JUL 1 ,� QLStCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ZlUU rl ❑Zero -flaw ❑Water Supply ❑SA CENTRAL FILES ®Other WS-111 DWR SECTION PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 No discharge this period?' outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches3 Total Suspended Solids pH, Standard units Copper Lead Zinc Non -Polar O&G/ Total Petroleum Hydrocarbons Total Toxic Organics' Benchmarks =__> _ - 100 mg/L or 50 mg/L" 6.0 — 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L i mg/L MC SDO - 1 06/05/2017 .74 13.6 7.39 0.013 <0.005 0.084 <5 - MC SDO - 2 06/05/2017 .74 <5 7.83 0.010 <0.005 0.174 <5 - MC SDO - 3Rep 06/05/2017 .74 29.1 6.8 0.009 <0.005 0.034 <5 - MC SDO - 411ep 1 06/05/2017 1 .74 6.2 6.77 0.008 1 <0.005 0.056 <5 - ' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. 4 See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies. 5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray tube manufacture use the definition found in 40 CFR 469.31). Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 1 of 3 Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the solvent management plan included in the stormwater Pollution Prevention Plan." Jonathan Chase Name (Print name) President Title (Print title) 07/10/2017 (Sign e) (Date) Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical format. When results are below the applicable limits, they _must be reported in the format "<XX mdl.", where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: If you report a sample value In excess of the benchmark, you must implement Tier 1, Tier Z, or Tier 3 responses. See General Permit text. Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. ❑ No discharge this period?Z Outfall No. Hate sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches3 Non -polar O&G/TPH by EPA 1664 (5GT-HEM) Total Suspended solids pH Benchmarks = _> _ - 15 mg/L 100 mg/L or 50 mg/L* 6.0 — 9.0 5U Footnotes from Part A also apply to this Part B * See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2 of 3 Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See Genera! Permit text. FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: " i_., 30 days of receipt of the lab results tor at end of monitoring period Marl an original an one copy of this DMR, including all No Discharge re orts, within h„ in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 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 Perm Permit Date:11/1/2012-10/31/2017 7 10 2017 (Date) SWU-245, last revised 10/2-5/2012 Page 3 of 3 `-ASEARCh & ANA1yT(CA1 LABORATORIES, INC. Analytical / Process Consultations Phone 1336) 996-2641 CHAIN OF CUSTODY RECORD WATER ! WASTEWATER MISC. COMPANY (�ee3rc - /-(i -Tar I,, JOB NO. C2017-0 1 � `u 90 z � �� �„ Os y �Q _Z' y0' f� P �•• `., `O `o ��04�c, `� O� � �� c� a �Q� c� c� I Q. �, . � nY va 4 ,�� r�tim REQUESTED ANALYSIS ti ry N STREET ADDRESS i000 Deere - HJ-acIli Rcl . PROJECTS 5 ibrmcaitrr S,im fin CITY, STATE, ZIP j r Kerner'&VJ I!e I Nc' c% 7'� �S'�S SAMPL�R NAM (PLEASE PRINT) fOh A34JJ1.2 CONTACT PHONE Ike bbig Randle man 336- 4/0�/-'1 �,5� PLER SIGNATURE �','K SAMPLE NUMBER (LAB USE ONLY) DATE TIME COUP GRAB TEMP •C RES CI pEpX per N1 i6 n X SAMPLE LOCATION f I t}, 5-17 6'3jim X q.d !ti/ W MC-50ol - Ppco Creek 3 1 I 50«fl) parking 10f. —1 1 , X _ )J.v N vv Me-51)Ml - Lr C-= creek I t I i ai rail 5 Ur. �17 6:q(,a X .zl•I N VV MC•SW3 — Op,,, CL11✓C1t _ 3 — — 1 — 1 Crease next 4. LdArCi h0lAIC I"o _ Lead, 1','S CuA2vr 6:Y)a X 21-L N IA/ PIC-5004- Corner `ME , 4o,m1Jc2Trr cfICk c'Cc�da�{,r lot. — @t 15HED BY DATEff1ME 5 r 7:ca RECEIVED 9Y (\ MARKS: SAMPLE TEMPERATURE AT RECEIPT _ °C RELINQUISHED BY DATE/TIME RECEIVED BY RESEARCh & ANA yTICA1 Report of Analysis LAboRATORiES� INC. 6i15f2017 For: Deere Hitachi C �• P.O. Box 1187 : �� ' Kemersville, NC 27285 r 0. NC #34 C Z' Attn: Debbie Randleman ! NC#37701 ;r C O'R�� Client Sample ID: SD01 Pipe at creek South parking lot Lab Sample ID: 35460-01 Site: Deere Hitachi Collection Date: 6/5/2017 6:33 Parameter Method Result Units Rep Limit Anal s Analysis Date/Time Copper, Total EPA 200.7 0.013 mg/L 0.005 SK 6f7/2017 Hydrocarbon O&G EPA 1664 Revision B/Silica <5 mg/L 5 JF 6I13f2017 Gel Lead, Total EPA 200.7 <0.005 mg/L 0.005 SK 6/7/2017 Total Suspended Solids (TSS) SM 2540 0-1997 13.6 mg/L. 5 AA 6f7/2017 Zinc, Total EPA 200.7 0.084 mg1L 0.01 SK 6/7/2017 Client Sample ID: S002 Pipe at creek Real spur Lab Sample ID: 35460-02 Site: Deere Hitachi Collection Date: 6/5f2017 7:24 Parameter Method Result Units Rep Limit Analyst Analysis Date/Time Copper, Total EPA 200.7 0.010 mg/L 0.005 SK 6/7/2017 Hydrocarbon O&G EPA 1664 Revision B/Silica <5 mg/L 5 JF 6/13/2017 Gel Lead, Total EPA 200.7 <0.005 mg/L 0,005 SK 6/7/2017 Total Suspended Solids (TSS) SM 2540 D-1997 <5 mg/L 5 AA 6f7/2017 Zinc, Total EPA 200.7 0.174 mg/L 0.01 SK 6/7/2017 Client Sample ID: SD03 Open culvert next to Guard House #10 Lab Sample ID: 35460-03 Site: Deere Hitachi Collection Date: 6/5/2017 6:46 Parameter Method Result Units Rea Limit Analyst Analysis Da Rime Copper, Total EPA 200.7 0.009 mg/L 0,005 SK 6f7/2017 i P.O. Box 473 1 t}6 Short Street Kemersvil[e, North Carolina 272$4 Tel: 336-996-2841 Fax: 335-996-0326 www.randalabs.com Page 1 ra! wa basic v,d RESEARCh & ANA[yTICA1 Report of Analysis LA ORATORIES, INC. 6/15/2017 Client Sam pie ID: SD03 Open culvert next to Guard House #10 Lob Sample 10: 36460-03 Site: Deere Hitachi Collection Date: 6/52017 6:46 Parameter Method Result Units RM Lim Ana lrrs Anahrsis Date/Time Hydrocarbon O&G EPA 1664 Revision B/Silica t5 mg/L 5 JF 6/1312017 Gel Lead, Total EPA 200.7 40.005 mg1L 0.005 SK 6/72017 Total Suspended Solids (TSS) SM 2540 D-1997 29.1 mg/L 5 AA W2017 Zinc, Total EPA 200.7 0.034 mg/L 0.01 SK 6/7/2017 Client Sample ID: SD04 NE Comer Stomrsater ditch at Lab Sample 10: 35460434 Excavator lot Site: Deere Hitachi Collection Date: 61WO17 6:35 Parameter Method Result Unft Rep Umit Ana] Analysis Datemme Copper, Total EPA 200.7 0.008 mg/L 0.005 SK 6/7/2017 Hydrocarbon 08G EPA 1664 Revision B/Silica <5 mg/L 5 JF 6/13/2017 Gel Lead, Total EPA 200.7 <0.005 mg/L 0.005 SK 6172017 Total Suspended Solids (TSS) SM 2640 D-1997 6.2 mg/L 5 AA 617/2017 Zinc, Total EPA 200.7 0.056 mg/L 0.01 SK 6/72017 NA = not onchaed P.O. Box 473 106 Short Street KernersviHe, North Carolina 27264 Tel: 336-996-2841 Fax 336-996-M26 www.randatabs.com Page 2 ral coo basic vid Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted _07/10/2017_ CERTIFICATE OF COVERAGE NO. NCG030240 FACILITY NAME Deere -Hitachi Construction Machine Corporation COUNTY Forsyth PERSON COLLECTING SAMPLES Aaron Paschal LABORATORY R & A Laboratories Lab Cert. # 34 Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2017 SAMPLE PERIOD ❑ Jan -June ® July -Dec or ❑ Monthly' (month) q- CHARGING TO CLASS ❑ORW []HQW ❑Trout ❑PNA 'RECEIVE' ❑Zero -flow ❑Water Supply []SA NOV 17 Z017 ®Other WS-111 CENTRAL FILES PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 DWR SECTION ❑ No discharge this period?' Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches3 Total Suspended Solids pH, Standard units Copper Lead Zinc Non -Polar O&G/ Total Petroleum Hydrocarbons Total Toxic Organics' Benchmarks ===> - - 100 mg/L or 50 mg/O 6.0 — 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L' 15 mg/L 1 mg/L MC SDO -1 10/23/2017 1.57 36.9 7.21 0.028 0.008 0.267 <5 - MC 5DO - 2 10/23/2017 1,57 7 7.32 0.033 <0.005 0.780 <5 - MC $DO - 311ep 10/23/2017 1,57 16.6 7.33 0.006 <0.005 0.022 <5 - MC SDO - 411ep 10/23/2017 1.57 28.6 7.49 0.027 1 0.007 1 0.399 1 <5 I- 1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. a See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies. s Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor manufacture use the definition as found in 40 CFR 469,12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray tube manufacture use the definition found in 40 CFR 469.31). Permit Date: 11/1/2012-10/31/2017 5WU-245, last revised 10/25/2012 Page 1 of 3 Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement: I "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." Jonathan Chase Name (Print name) President Title (Print title) Q_�A 11/10/2017 (Sin ure) (Date) Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical format. When results are below the applicable limits, they must be reported in the format, "<XX mg/L", where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note. if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. ❑ No discharge this period?z Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches3 Non -polar O&G/TPH by EPA 1664 (SGT-HEM) Total Suspended Solids pH Benchmarks ===> _ - 15 mg/L 100 mg/L or 50 mg/L* 6.0 — 9.0 SU Footnotes from Part A also apply to this Part B * See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2 of 3 Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART 11 SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an on inal and one copy of this DMR including all "No Dischar e" reports, within 30 days of receipt of the lab results or at end of monitoring eriod in the case of "No Discharge" regorts) to. Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 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." of Permitteej Permit Date:11/1/2012-10/31/2017 11/10/2017 (Date) SWU-245, last revised 10/25/2012 Page 3 of 3 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted �07/10/2017_ CERTIFICATE OF COVERAGE NO. NCG030240 FACILITY NAME Deere -Hitachi Construction Machinery Corporation COUNTY Forsyth PERSON COLLECTING SAMPLES Aaron Paschal LABORATORY R & A Laboratories Lab Cert. # 34 Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2017 SAMPLE PERIOD ❑ Jan -June ® July -Dec or ❑ Monthly'_ _(month) DISCHARGING TO CLASS ❑ORW []HQW ❑Trout ❑PNA ❑Zero -flow ❑Water Supply ❑SA ®Other WS-111 PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 --> El No discharge this period?2 Out#all No. Date Sample p Collected) (mo/dd/yr) 24-hour rainfall amount, Inches; Total Suspended Solids p an Standard d units Copper Lead Zinc Non -Polar O&G/ Total Petroleum Hydrocarbons Total Toxic Organics s Benchmarks =__> _ - 100 mg/L or 50 mg/L4 6.0 — 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L MC SDO - 1 10/23/2017 1.57 36.9 7.21 0.028 0.008 0.267 <5 - MC SDO - 2 10/23/2017 1.57 7 7.32 0.033 <0.005 0.780 <5 - MC SDO - 311ep 10/23/2017 1.57 16.6 7.33 0.006 <0.005 0.022 <5 - MC SDO - 411ep 10/23/2017 1.57 28.6 7.49 0.027 0.007 0.399 <5 - ' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. 4 See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies. 5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray tube manufacture use the definition found in 40 CFR 469.31). Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 1 of 3 Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." Jonathan Chase Name (Print name) President Title (Print title) r) A, �_ l 11 10 2017 (5(pn ure) (Date) Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical format. When results are below the applicable limits, they must be reported in the format, "<XX ms/L", where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. ❑ No discharge this period?2 Outfall No. pate Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches Non -polar O&G/TPH by EPA 1664 (SGT-HEM) Total Suspended Solids pH Benchmarks ==_> - - 15 mg/L 100 mg/L or 50 mg/L* 6.0 — 9.0 SU Footnotes from Part A also apply to this Part 8 * See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2 of 3 Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART 11 SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OLITFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OLITFALL? YES ❑ NO IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an original and one copy of this DMR, including ail "No Discharge" reports, within 30 days -of recefpt of the lab results (or at end of monitoring period in the case o "No Discharge" re arts) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 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. am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of Perm! Permit Date: 11/1/2012-10/31/2017 11/10/2017 (Date) SWU-245, last revised 10/25/2012 Page 3 of 3 in RESEARCh & ANA1yTiCA1 LABORATORIES, INC. Analytical I Process Consultations Phone (336) 996-2841 CHAIN OF CUSTODY RECORD I WATER 1 WASTE: WATER MI ISC_ COMPANY JOB NO. � �P•c 2` �ti �� Na' wy" ��wyti p'2' 93r �,�• \,, ,�O �p Qp• we �p r� � � REQUESTED ANALYSIS 1 MEET ADDRESS I � ... � � ['., - -�i �,—Lld� PROJECT .S'1'c �!>�t )C�.r .ScZ1'i.�+�•Nci CITY. S f'ATE. ZIP .c-n pliEr_'CcLi� ��-;L-7«2 Y:-5 SAMPLER NAME (PLEASE= PRINT") � ( —Awn-,!-i?3CA ,.. CONTACT PHONE^ `bb Can, D � `R J1�,+�G� 33� SAMPLER SIGNATURr 0 SAMPLE NUMUER JLA13 USE ONLY) DATE TIME COUP GRAD TEMP ,C TIES Cl Cmu ,:,i R114G D s- t IPAMA14t SAMPI.ELOCATION fI.0. .'J y r e t 'i}?�z. J� — — — — — — — rltt �r' e J L Ia 3 19 - -� = �t I J)j PL IJCS7 Cc &,je L� — — — — — ` — L_.P41.. �, N C7".!'_.L"'.� �—"'""" ...- — — — — RELfN 15 D R DATE{TIME RECEIVED BY REMARKS: SAMPL TEMPERATURE AT RECEIPT °C RELINQUISHED BY (' R o 1�-) ECEIVED BY RESEARCh & ANA1YTiCAl LAb®RATORiESP INC. Report of Analysis 11 /7/2017 {{tliat�tlalj�+yl,E For: Deere Hitachi •••,,�4G` .••••C•••,!'+•,� P.O. Box 1187 Kernersville, NC 27285 w: " • CO) NC #34 D • [n Attn: Debbie Randleman NC#37701 rrrt10*1�0 Client Sample ID: SD01 Pipe at creek South Parking Lot Lab Sample ID: 41830-01 Site: Deere Hitachi Collection Date: 10/23/2017 6:33 Parameter Method Result Units Rep Limit Analyst Analysis Dateaime Copper, Total EPA 200.7 0.028 mg/L 0.005 KL 10/26/2017 Hydrocarbon O&G EPA 1664 Revision BISilica <5 mg/L 5 AW 10/31/2017 Gel Lead, Total EPA 200.7 0,008 mg/L 0.005 KL 10/2612017 Total Suspended Solids (TSS) SM 2540 D-1997 36.9 mg/L 5 AA 10/24/2017 Zinc, Total EPA 2007 0.267 mg/L 0.01 KL 10/26/2017 Client Sample ID: SD02 Pipe at creek Rail Spur Lab Sample ID: 41830-02 Site: Deere Hitachi Collection Date: 10/23/2017 7:24 Parameter Method Result Units Rep Limit Analyst Analysis Dateffirne Copper, Total EPA 200.7 0.033 mg/L 0.005 KL 10/26/2017 Hydrocarbon O&G EPA 1664 Revision B/Silica <5 mg/L 5 AW 10/31/2017 Gel Lead, Total EPA 200.7 <0.005 mg/L 0,005 KL 10126/2017 Total Suspended Solids (fSS) SM 2540 D-1997 7.0 mg/L 5 AA 10/24/2017 Zinc, Total EPA 200.7 0.780 mg/L 0.01 KL 10/2612017 Client Sample ID: SD03 Rep -Open Culvert next to Guard house Lab Sample ID: 41830-03 #10 Site: Deere Hitachi Collection Date: 10/23/2017 6:46 Parameter Method Result Units Rep Limit Analyst Analysis Date/Time Copper, Total EPA 200.7 0.006 mg/L M 0.005 KL 1012612017 P.O. Box 473 106 Short Street Kemersville, North Carolina 27284 Tel: 336-996-2841 Fax: 336-996-0326 www.randalabs.tom Page t RESEARCh & ANA1YTICA1 Report of Analysis LA ®RAT®RiBr INC. 11/7/2017 Client Sample ID: SD03 Rep -Open Culvert next to Guard house Lab Sample ID: 41830-03 #10 Site: Deere Hitachi Collection Date: 10/23/2017 6:46 Parameter Method Result Units Rep Limit Analyst Analysis Datt ime Hydrocarbon O&G EPA 1664 Revision B/Silica <5 mg/L 5 AW 10/31/2017 Gel Lead, Total EPA 200.7 <0.005 mg/L 0.005 KL 10/26/2017 Total Suspended Solids (TSS) SM 2540 D-1997 16.6 mg/L 5 AA 10/24/2017 Zinc, Total EPA 200.7 0.022 mg/L 0.01 KL 10/26/2017 Client Sample ID: SD04 Rep -Double Pipe West of Gate 10 Lab Sample ID: 41830-04 Site: Deere Hitachi Collection Date: 10/23/2017 6:39 Parameter Method Result Units Rep Limit Analyst Analysis Date7Time Copper, Total EPA 200.7 0.027 mg/L 0.005 KL 10/26/2017 Hydrocarbon O&G EPA 1664 Revision BISilica <5 mg/L 5 AW 10/31/2017 Gel Lead, Total EPA 200.7 0.007 mg/L 0.005 KL 10/26/2017 Total Suspended Solids (CSS) SM 2540 D-1997 28.6 mg/L 5 AA 10/24/2017 Zinc, Total EPA 200.7 0.399 mg/L 0.01 KL 10/26/2017 NA = no; onalyzed P.O. Sax 473 105 Short Street Kernersviiie, North Carolina 27284 Tel: 336-996-2841 Fax: 336-996-0326 www.randatabs.com Page 2 raf coo h;35cc vid / .10HN DEERE Deere -Hitachi Construction Machinery Corp. HITACHI P.O. Box 1187 1000 Deere -Hitachi Road (27284) Kemersville, NC 27285-1187 Phone: 336-996-8100 Fax: 336-996-8201 November 10, 2017 Attn: DWQ Central Files Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 Re: 2017 2"d Period NPDES Stormwater Report "Main/East Campus SDO-1, SDO-2, SD0-3 Rep, SDO-4 Rep" Deere -Hitachi Construction Machinery Corp. Permit # NCG030000 Certificate #: 30240 Certified Mail: 7013 0600 0000 1865 9655 Stormwater Section: Enclosed you will find the original and a copy of the 2017 2"d period semi-annual Main/East Campus Discharge Monitoring Reports for our Kernersvitle facility. If you have any questions or comments, please contact Brandon Hitt, Lead Facilities Ft Environmental Engineer (336) 423-5517 at your convenience. Sincerely, J athan Chase President Semi-annual Stormwater Discharge Monitoring -Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted _10/31/2016_ CERTIFICATE OF COVERAGE NO. NCG030240 FACILITY NAME Deere -Hitachi Construction Machinery Corporation COUNTY Forsyth PERSON COLLECTING SAMPLES Tommy Webster LABORATORY R & A Laboratories Lab Cert. -# 34 Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2016 SAMPLE PERIOD ❑ Jan -June ® July -Dec or ❑ Monthly' tmonth) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA RECEIVED ❑Zero -flow ❑Water Supply ❑SA ®Other WS-111 NOV 07 2016 CENTRAL FILES PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 DWR SECTION No discharge this period?' .e 't Date Sample ` X., h .' rainfall, r ' ,xc H, �.,; .�-� i z r ,�,.;., . u geG :Non -Polar 0 / a . r .. ;Total Toxic= Outfal} No:.. s . ;y Collected 1 :;24-hour amount,; Total Suspended Solids. ; a, ; , p. ...:,..: Standard units # Copper r„ Lead ; - ::. ,Zlnc s Tota# Petroleum iR a , x H drocarbons :.. 5. t Organics FY: E- t- Iriches3�1�.=tk a (mo/ild/yr) Benchmarks =__> _ r 100 rrig/L,or.50 mg10. " 9 0 0!007�mg4 0.03 mg/L-- 0.067 jpg/L ! 15 mg/L` lYmg/L , .. ;,6Ar MC SDO - 1 10/7/2016 .38 5.2 7.67 0.012 <0.005 0.335 <5 - MC SDO - 2 10/7/2016 .38 <5 7.8 <0.005 <0.005 0.057 <5 - MC SDO - 311ep 10/7/2016 .38 18.0 6.9 0.015 <0.005 0.584 <5 - MC SDO - 411ep 10/7/2016 .38 14.8 7.27 0.010 0.005 0.073 1 <5 - 1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 3The total precipitation must be recorded using data from an on -site rain gauge. Unattended site a Fli iblpffr i rof he rain gauge requirement. "See General Permit, Table 3 identifying the especially sensitive receiving water classifications wh mere p iv c ifark applies. to 5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishin p tiorma �� sem onductors, manufacture electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray tube manufacture use the definition found in 40 CFR 469.31). _10Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 1 of 3 Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." Alan Seeba Name (Print name) President Title (Print title) 10 31 2016 (Signature) (bate) Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical format. When results are below the applicable limits, they must be reported in the format. "<XX me/L", where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: If you report a sample value in excess of the benchmark, you must Implement Tier 1, Tier 2, or Tier, 3 responses. See General Permit text. Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. ❑ No discharge this period?' Outfall No. Date Sample Collected' mo/dd/ r) Z4-hour rainfall amount, Inches' i Non -polar O&G/TPH by, EPA 1664 (SGT=HEM) " Total -Suspended Solids pW Benchmarks =-3> _ - I 15 mg/L 100 mg/L or 50 mg/L• 6.0 — 9.0 SU Footnotes from Part A also apply to this Part B * See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2 of 3 Note: If you report a sample value in excess of the benchmark, you must Implement Tier 1, Tier 2, or Tier 3 responses. See Genera! Permit text. Y. FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART it SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an original and one copy o his DMR, Includin all "No Discharge"reports, within 30 days of recel t of the lab results or at end of monitorin eriad in the case of "No Discharge'".reparts! to: Division of water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 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." (Signature of Permittee) 10 31 2016 ( Date) -'hermit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted _6/03/2016 CERTIFICATE OF COVERAGE NO. NCG030240 SAMPLE COLLECTION YEAR 2016 FACILITY NAME _Deere -Hitachi Construction Machinery Corp SAMPLE PERIOD ❑ Jan -June ❑ July -Dec COUNTY Forsyth I. or ® Monthly' May (month] PERSON COLLECTING SAMPLES — Aaron Paschal DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA LABORATORY R & A Laboratories❑Zero-flow ❑Water Supply []SA_ Lab Cert. # 34 RECEIVED ®Other WS-111 Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SUN 0 8 21LEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 CENTRAL FILES DWR SECTION ❑ No dischgtge''this period?z Non -Polar O&G/ outfall No. Date Sample 24-hour rainfall Total Suspended Solids PH Copper Lead Zlnc� Total Petroleum Total Toxic Collected' amount, Standard units r �Hyd arbans Organics (mo/dd/yr) inches' Benchmarks ===> 100 mg/L or 50 mg/L° 6.0 — 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L il34mg/ 1 mg/L 5DO-1 05/17/2016 .72 NA 7.43 0.009 NA 0.096- SDO-2 05/17/2016 .72 NA 7.72 0.012 NA 0.317 NAO' - SDO-3 Rep 05/17/2016 .72 NA 6.93 0.018 NA 0.107 NA - SDO-4 Rep 1 05/17/2016 1 .72 1 NA 7.02 0.011 1 NA 0.186 NA - 1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. 4 See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies, 5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray tube manufacture use the definition found in 40 CFR 469.31). Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement: Permit Date: 11/1/2012-10/31/2017 5WU-245, last revised 10/25/2012 Page 1 of 3 "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or ` stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the solvent management plan included in the stormwater Pollution Prevention Plan." Alan Seeba Name (Print name) President Title (Print title) June 3. 2016 (Signature) (Date) Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical format. When results are below the applicable limits, they must be reported in the format, "<XX meh.", where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. ❑ No discharge this period?Z Outfall No. Date Sample ; Collected' (mo/dd/yr) . 24-hour rainfall amount, Inches3 Non -polar 0&G/TPH by EPA 1664 (SGT-HEM) Total Suspended Solids pH Benchmarks =__> _ - 15 mg/L 200 mg/L or 50 mg/L* 6.0 — 9.0 SU Footnotes from Part A also apply to this Part B * See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2 of 3 FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • Z EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS, SEE PERMIT PART II SECTION B. • ' TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL7 YES ® NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ® NO ❑ REGIONAL OFFICE CONTACT NAME: Glen White Mail an ari inal and one copy of this DMR, Including -all "No Discharae" reports within 30 days of receipt of the lab results or at end monitorina period in the case o "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 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 passibility of fines and imprisonment for knowing violations." [Signature of Permittee] 6/3/2016 (Date) Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 Semi-annual Stormwater Discharge Monitoring -Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted ^5/06/2016 CERTIFICATE OF COVERAGE NO. NCG030240 FACILITY NAME Deere -Hitachi Construction Machinery Corp COUNTY _ Forsyth PERSON COLLECTING SAMPLES — Aaron Paschal / David Heath LABORATORY R & A Laboratories_ Lab Cert. # 34 Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2016 SAMPLE PERIOD ❑ Jan -June ❑ July -Dec or ® Monthly' April (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow ❑Water Supply ❑SA ®Other WS-111 PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 --> ® No discharge this period?' Date Sample 24-hour rainfall pH, Non -Polar 0&G/ Total Toxic Outfall No. Collected' amount, Total Suspended Solids Standard units Copper Lead Zinc Total Petroleum Organics5 (mo/dd/yr) Inches3 Hydrocarbons Benchmarks ===> - - 100 mg/L or 50 mg/L° 6.0 -- 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L SDO-1 04/12/2016 .14 NA 7.25 0.016 NA 0.239 NA - SDO-3 Rep 04/12/2016 .14 31.4 6.9 .005 <0.005 0.036 <5 - SDO-4 Rep 04/12/2016 .14 NA 6.8 0.020 NA 0.406 NA - SDO-2 04/22/2016 .40 9.0 8.80 0.034 1 0.008 0.839 <5 - 1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. 4 See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies. 5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor manufacture use the definition as found in 40 CFR 469,12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray tube manufacture use the definition found in 40 CFR 469.31). Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement: Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 1 of 3 "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." Alan Seeba Name (Print name) President Title (Print tit' May 6, 2016 (Signature) (Date) Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical format. When results are below the applicable limits, they must be reported in the format, "<XX me/L", where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. ❑ No discharge this period?' Outfall No. pate Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches Non -polar O&G/TPH by EPA 1664 (SGT-HEM) Total Suspended Solids pH Benchmarks =__> _ - 15 mg/L 100 mg/L or 50 mg/L* 6.0 — 9.0 SU Footnotes from Part A also apply to this Part B * See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2 of 3 FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. + TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ® NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ® NO ❑ REGIONAL OFFICE CONTACT NAME: Glen White Mail an oridtnal and one copy o f this DMR, Including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end -of monitoring period in the case o "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 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:11/1/2012-10/31/2017 5/6/2016 (Date) SWU-245, last revised 10/25/2012 Page 3 of 3 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted 5/06/2016 CERTIFICATE OF COVERAGE NO. NCG030240 FACILITY NAME _Deere -Hitachi Construction Machinery Corp COUNTY Forsyth PERSON COLLECTING SAMPLES — Aaron Paschal / David Heath LABORATORY R & A Laboratories Lab Cert. # 34 Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2016 SAMPLE PERIOD ❑ Jan -June ❑ July -Dec or ® Monthly' April lmonthj DISCHARGING TO CLASS ❑ORW ❑HQW []Trout ❑PNA ❑Zero -flow ❑Water Supply ❑SA 00ther WS-111 PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 No discharge this period ?z -'Outfall'No. Date Semple 24-hour rainfall Total Suspended Solids pH,. Capper r plead Zinc Non -Polar O&G/ Total Petroleum Total Toxic Collected' amount,, Standard units 0rganlcs5 (mo/dd/yr) Inche' O s Hydrocarbons Benchmarks =__> - - 100 mg/L or 50 mg/L° 6.0 — 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L SDO-1 04/12/2016 .14 NA 7.25 0.016 NA 0.238 NA - SDO-3 Rep 04/12/2016 .14 31.4 6.9 .005 <0.005 0.036 <5 - SDO-4 Rep 04/12/2016 .14 NA 6.8 0.020 NA 0.406 NA - SDO-2 04/22/2016 .40 9.0 8.80 0.034 0.008 0.839 <5 - ' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. 2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. A See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies. 5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray tube manufacture use the definition found in 40 CFR 469.31). Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement: Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 1 of 3 "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TiO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. 1 further certify that this facility is implementing the all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." Alan Seeba Name (Print name) President Title (Print tiftlak __& U May 6. 2016 (Signature) (Date) Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical format. When results are below the applicable limits, they must be reported in the format, "<XX mg/L", where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. ❑ No discharge this period?Z Outfalf No. Date Sample Collected' .: (rrio/dd/yr) ' ' 24-hour rainfall amount, Inches3 Nan -polar O&G/TPH by EPA 1664 (SGT-HEM) Total Suspended Solids j PH ; Benchmarks 15 mg/L 100 mg/L or 50 mg/L* 6.0 — 9.0 SU Footnotes from Part A also apply to this Part B * See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Permit Date:11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2 of 3 FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ® NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ® NO ❑ REGIONAL OFFICE CONTACT NAME: Glen White Mall an original and one copV of this DMR includin all "No Discharge-" reports, within 30 days of receipt of the lab results or at end otmanitoring period in the case of "No Discharge" reportst to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 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. am aware that there are significant penalties for submitting false information, including the passibility of fines and imprisonment for knowing violations." (Signature of Permittee) Permit Date: 11/1/2012-10/31/2017 5/6/2016 (Date) SWU-245, last revised 10/25/2012 Page 3 of 3 RESEARCh & ANA1yTiCA1 LAboRATWES, INC. Analytical 1 Process Consultations Phone (336) 996-2841 CHAIN OF CUSTODY RECORD WATER 1 WASTEWATER I MI9C. COMPANY �p JOB NO. � �' Z , pV V `Qm � � O p `� ry��` r ^v v ^v .�Q. ° REQUESTED ANALYSIS STREET ADDRESS 1000 De,6RE-111;r, ICNI Rd. PROJECT 5�1ORMWIT6k 56MPUAJG CITY, STATE, ZIP KCA�NrRSVII-tE, NC a a�'S SAMPLER NAME (PLEASE PRINT) AAROA) PASC'H194 CONTACT PHONE SAMPLER SIGNATURE SAMPLE NUMBER (IaRusFarul_r) BATE TIME COME GRAB EN c RE5 cl RENOOVEEDD nWHl MAI= Aea� SAMPLE LOCATION! LD. LL Y1241Kg j 19-11 Al W t!= P►PE [J MR rK I zwc. SOUTH PRRtUNG e.or !b 41,IAP X ICY N W I SDO3 - vPeN CUAvekr 3 1 f l T5s Ou t Cpk&r 'F, NfXf rD GU0FkD dOUISeiO METi7/.5 .c.�A1D, � c 0s06 ha:Oc XC 1-70 N W S00- 50urO SigC LpT'� I CC�ApE,3 , Ii.uc w4:ST of GangD 5TnTrav !u crkeeK VELINQREUUISHED BY D T IME RECEIVED BY REMARKS: SAMPLE TEMPERATURE AT RECEIPT, � °C UISHED BY 1 D EmME RECEIVED BY R ESEARCh & ANA1yTf CA1 Report of Analysis LAbo RATO Ri ES, INC. 4/26/2016 For: Deere Hitachi G ......1,,,�.-;1•�`•4f'I'.�'+♦, `�'�►' P.O. Box 1187 Kemersville, NC 27285 = 1 �` C a4 NC #34 - w Z.. Attn: Debbie Randleman =• NClt37701 .0 _.0 r �: Client Sample lD: SD01 Pipe at Creek South Parking Lot Lab Sample ID: 17514-011 Site. Deere Hitachi Collection Date: 4/122016 11:51 Parameter Method Result Units Ren Limit Analyst Analysis DateCl•ime Copper, Total EPA 200.7 0.016 mg/L 0.005 KL 4/20/2016 Zinc, Total EPA 200.7 0.238 mg1L 0.01 KL 4/20/2016 Client Sample ID: SD03 Open Culvert next to Guard House 10 Lab Sample ID: 17514-02 Site: Deere Hitachi Collection Date: 4/12/2016 12:12 Parameter Method Result Units Rep Limit Analyst Analysis Datel7ime Copper, Total EPA 200.7 0.005 mg/L 0.005 KL 4/20/2016 Hydrocarbon O&G EPA 1664 Revision B/Silica <5 mg/L 5 ON 4/20/2016 Gel Lead, Total EPA 200.7 <0.005 mg/L 0.005 KL 4/20/2016 Total Suspended Solids (TSS) SM 2540 D-1997 31.4 mg/L 5 JB 411512016 Zinc, Total EPA 200.7 0.036 mg/L 0.01 KL 4202016 Client Sample ID: SD04 South Side lot West of Guard Station 10 Lab Sample ID: 17514-03 at the creek Site: Deere Hitachi Collection Date: 4/122016 12:00 Parameter Method Result Units Rep Limit Analyst Analysis Datemme Copper, Total EPA 200.7 0.020 mg/L 0.005 KL 4/20/2016 Zinc, Total EPA 200.7 0.406 mg/L 0.01 KL 4120/2016 NA = not analyzed P_0. Box 473 106 Short Street Kemersville, North Carolina 27284 Tel: 33&996-2841 Fax: 336-996-0326 www.randalabs.com Page 1 rat coa basic vld RESEARCh & ANALYTiCAL LAboRATORiES, INC. Analytical 1 Process Consultations Phone (336) 996-2841 CHAIN OF CUSTODY RECORD WATER 1 WASTEWATER I Misc. COMPANY i • • r I 1 . ,•FA • • • • • • ANALYSIS STREETADDRESSPROJECT ter• ,, Cfvf, STATE, ZIP .• ��Y ,• CONTACT PHONE I l�J • ®m®®®®m , f :r _ 11 �� y ■©�■©© - ■■■■■CIO■d ■■■■■ • ■���■■■■■■ ■■■■■■■ ■ M■ ■■■r ■ ■■■■■■■■■■ m■■■■■ m ■■o■■■M■■■moons _�-m■■■■■■ ■■■.■■■■■Mon ■n ■�mm■■■■■m■���MEN oMMMMMM■ ■■ ■_--■■■nM■ ■■■ ■■■■■■■■■■■ ■■■■■■■■■■■i ■■■ ■■■■■■■■ ■■■ m■■■■■■■ m Is ■n■ ■■■■■■■ mm■■■n■■ ■■■■■■■■ ■Monson ■■�■■■■■■■■n■■■ n�■■ M■■n■nMM■nnn ■M■ ■�■�■■■■■■■■�■ Monson ■■�■■■■■■■ Monson ..:C) F-IMM w.r RECEIVE BY REMARKS, RESEARCH & ANA[yTICAI I-AboRATORI Es, INC. For: Deere Hitachi P.O. Box 1187 Kemersvifle, NC 27285 Attn: Debbie Randleman Report of Analysis 5/6/2016 ,fir -11 r , � l,.cy�. ; � 24 NC#34 Zi I NC#37701 Client Sample ID: SD02 Pipe at Creek beside Rail Spur Lab Sample ID: 1805641 Site: Deere Hitachi Collection Date: 4/22/2016 8:35 parameter ems Result Units Rep Umit Analyst Anahmis DateMme Copper, Total EPA 200.7 0.034 mg/L 0.005 KL 5152016 Hydrocarbon O&G EPA 1664 Revision B/Siilica <5 mg/L 5 ON 4/27/2016 Gel Lead, Total EPA 200.7 0.008 mg/L 0.005 KL 5/5/2016 Total Suspended Solids (TSS) SM 2540 D-1997 9.0 mg/L 5 JB 4/272016 Zinc, Total EPA 200.7 0.839 mg/L 0.01 KL 515/2-016 NA = not analyzed P.O. Box 473 106 Short Street Kerranwille, North Carolina 27284 Tel: 336-996-2841 Fwc 336-996-0326 www.randalabs.00m Page 1 rai coa baste vld JOHN DEERE I HITACHI Deere -Hitachi Construction Machinery Corp. P.O. Box 1187 1000 Deere -Hitachi Road (27284) Kernersville, NC 27285-1187 Phone: 336-996-8100 Fax: 336-996-8201 May 6, 2016 Attn: DWQ Central Files Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 Re: April 2016 Tier III NPDES Stormwater Report "MC- SDO1, MC- SD02, MC-SD03 Rep Et MC-SD07 Rep" Deere -Hitachi Construction Machinery Corp. Permit # NCG030000 Certificate #:30240 Certified Mail: 7013 0600 0000 1865 8016 Stormwater Section: Enclosed you will find the original and a copy of the TIER III analyticals performed on "MC- SD01, MC- SD02, MC-SD03 Reo ft MC-SD04 Rep".ow Discharge Monitoring report for "MC- SD03 REP" April 2016 for our Kernersville facility. If you have any questions or comments, please contact Debbie Randleman, Environmental Coordinator, (336) 996-8144 at your convenience. Sincerely, a&A_L&,__ Alan Seeba President R"ECEI VED MAY .13 2616 O WR FW irk S N Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted _03/08/16 CERTIFICATE OF COVERAGE No. NCG030240 FACILITY NAME _Deere -Hitachi Construction Machinery Corp. COUNTY _ Forsyth PERSON COLLECTING SAMPLES _NA LABORATORY Lab Cert. # Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR _2016 SAMPLE PERIOD ❑ Jan -June ❑ July -Dec or ® Monthly) February (manthl DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA RCc �r I� D ®Zero -flow ❑Water Supply ❑SA G V []Other MAR.15 2016 CENTRAL. FILES PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 DWR SECTION ® No discharge this period?Z Outfall No. Date Sample Collected) (mo/dd/yr) 24-hour rainfall amount, Inches Total Suspended Solids pH, Standard units Copper Lead ° Zinc Non -Polar O&G/ Total Petroleum Hydrocarbons Total Toxic Organics Benchmarks 100 mg/L or 50 mg/L4 6.0 — 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L SDO-1 NA SDO-2 NA SDO-3 Rep NA SDO-4 Rep NA 1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. Z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. 4 See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies. 5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray tube manufacture use the definition found in 40 CFR 469.31). Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 1 of 3 Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General 'Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the Stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." Alan Seeba Name (Print name) President Title (Print title) 3I616 a6- -0+401— (Signature) (Date) Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical format. When results are below the applicable limits, they must be reported in the format, "<XX ms/L", where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. !Vote: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text Part 13: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. ❑ No discharge this period?z Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches3 Non -polar O&G/TPH by EPA 1664 (SGT-HEM) Total Suspended Solids pH Benchmarks 15 mg/L 100 mg/L or 50 mg/L* 6.0 — 9.0 SU Footnotes from Part A also apply to this Part B * See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2 of 3 Note: If you report a sample value In excess of the benchmark, you must implement Tier 1, Tier 1, or Tier 3 responses. See General Permit text. FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an on inal and one -copy-of-copy-of this DMR including all "No Discharge" reports, within 30 da s of receipt of the lab results for at end of monitoring eriod in the case of "No Discharge" reports to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 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] 3/8/2016 (Date) Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted �3/08/2016 CERTIFICATE OF COVERAGE NO. NCG030,240J FACILITY NAME Deere -Hitachi Construction Machinery Corp COUNTY Forsyth PERSON COLLECTING SAMPLES — Aaron Paschal LABORATORY R & A Laboratories_ Lab Cert. # 34 Comments on sample collection or analysis: SAMPLE COLLECTION YEAR 2016 SAMPLE PERIOD ❑ Jan -June ❑ July -Dec or ® Monthly'_ March (month) PrblSCH� G NG TO CLASS ❑ORW ❑HQW [:]Trout❑PNA ❑Zero -flow ❑Water Supply ❑SA Hr� 2 Zfl16 ®Other WS-111 IMFOR�44Tlo R 1,710N PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 -i UNIT Part A: Stormwater Benchmarks and Monitoring Results ® No discharge this period?' Non -Polar O&G/ Date Sample 24-hour rainfall pH, Total Toxic Outfall No. Collected1 amount, Total Suspended Solids Total Standard units Copper Lead Zinc Total Petroleum Organ (mo/dd/yr) Inches3 Hydrocarbons Benchmarks =__> _ - 100 mg/L or 50 mg/L4 6.0 — 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L SDO-1 03/02/2016 .14 5.4 9.23 0.007 <0.005 0.065 <5 - 5DO-2 03/02/2016 .14 5.2 8.30 0.015 <0.005 0.342 <5 - SDO-4 Rep 03/02/2016 .14 12.6 7.13 0.011 <0.005 0.133 <5 - SDO-3 Rep No Flow I I I I I - 1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 3 The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies. 5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray tube manufacture use the definition found in 40 CFR 469,31). Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement: Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 1of3 "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." Jeff Rowan Name (Print name) Facilities & Manufacturing Planning Supervisor Title {P t. ) March 8, 2016 (Sign ure) (Date) Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical format. When results are below the applicable limits, they must be reported in the format, "<XX me/L", where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier Z or Tier 3 responses. See General Permit text. Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. ❑ No discharge this period?' Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches' Non -polar O&G/TPH by EPA 1664 (SGT-HEM) Total Suspended Solids pH Benchmarks ===> _ - 15 mg/L 100 mg/L or 50 mg/L* 6.0 — 9.0 SU Footnotes from Part A also apply to this Part B * See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2 of 3 FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ® NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ® NO ❑ REGIONAL OFFICE CONTACT NAME: Glen White Mail an original and one copy of this DMR, including "No Discharge" reports, within 30 days of receipt of the lab results for at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 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 si0ficant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of 3/8/2016 (Date) Permit Date. 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted 3/08/2016 CERTIFICATE OF COVERAGE NO. NCG030240 FACILITY NAME _Deere -Hitachi Construction Machinery Corp COUNTY Forsyth PERSON COLLECTING SAMPLES —Aaron Paschal LABORATORY R & A Laboratories_ Lab Cert. ># 34 Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2016 SAMPLE PERIOD ❑ Jan -June ❑ July -Dec or ® Monthly' March month DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flaw ❑Water Supply ❑SA ®Other WS-111 PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 3 ® No discharge this period?' ' - 'Nan Polary0&G/� '+ Outfall No. Date Sample 1 24 hour rainfall p ' Total Suspended Solids•: pH, Copper Lead �; Fir Zinc 9 Total Petroleum Total Toxi& Collected amount,' -..,, Standard units v h r' y H ra arb n Y C O 5 ,Organic r (ma/dd/yr) Inches3 - �, ,�;, , � � , .r . Benchmarks = => - ` :' 100 mg/L or 50 mg/L° 6.0 — 9.0.: 0.007 rng/L 0:03 mg/L ' 0.067'mg/L SDO-1 03/02/2016 .14 SA 8.23 0.007 <0.005 0.065 <5 - SDO-2 03/02/2016 .14 5.2 8.30 0.015 <0.005 0.342 <5 - SDO-4 Rep 03/02/2016 .14 12.6 7.13 0.011 <0.005 0.133 <5 - SDO-3 Rep No Flow I - 1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies. 5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray tube manufacture use the definition found in 40 CFR 469.31). Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement: Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 1 of 3 "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." Jeff Rowan Name (Print name) Facilities & Manufacturing Planning Supervisor Title ( t' ) March 8. 2016 (Sign ure) (Date) Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical format. When results are below the applicable limits, they must be reported in the format, "<XX mg L where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. ❑ No discharge this period22 Outfall No: Date Sample . ' Collected (mo/dd/yr) 24-hour rainfall r amoun3, Inches ' + l r MNon-polar 0&d/TPH by EPA'd664',(SGT-HEM) < . _ ,; `Total Suspended Solids. ,.. . d�,: pH t+� # Benchmarks =__> _ , s .. ^ . 15 mg/L + 100 mg/L or 50' mg/L* 6.0'- 9.0 SU Footnotes from Part A also apply to this Part B * See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Note: if you report a sample value In excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2 of 3 FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ® NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ® NO ❑ REGIONAL OFFICE CONTACT NAME: Glen White Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lob results (or at end of monitoring period in the case of "No Discharge" reports) to: Division of Water QualityT Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 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 siViificant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of 3/8/2016 (Date) Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 LTIFAA —A= +�"� NCDENR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling out this farm, please visit: htW:Ilportal.ncdenr.orglweb/wg./ws./sulnpdessw#tab-4 Permit No.: N/C/ G/ 3 / 0/ 0 / 0 / 0 /�/or Certificate of Coverage No.: Facility Name: Deere Hitachi Construction Machinery Corp County: For h Phone No. (336)996-8100_ Inspector: Nick Dinger Date of Inspection: _03 02/2016 Time of Inspection: 12:55 AM Total Event Precipitation (inches): .21" Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) ® Yes ❑ No Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or "measureable storm event" (requirements vary, depending on the permit). Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event" or during a "measureable storm event." However, some permits do not have this requirement. Please refer to these definitions, if applicable. A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. A "measurable storm event" is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the permittee obtains approval from the local DWQ Regional Office. By this sig tu�I certify that this report is accurate and complete to the best of my knowledge: of Permittee or Designee) Page 1 of 2 SWU-242, Last modified 10/25/2012 1. Outfall Description: Outfall No. SDO1 Pipe draining to creek near culvert which runs under Deere -Hitachi Rd. Receiving Stream: Unnamed tributaa to Kerners Mill Creek Describe the industrial activities that occur within the outfall drainage area:Parts and equipment .Storage . truck traffic and employee parking _ 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: Clear 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): None 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy- 0 2 3 4 5 S. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: 0 2 3 4 5 b. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: 7. 8. 4. 1O 2 3 Is there any foam in the stormwater discharge? 4 5 Yes Is there an oil sheen in the stormwater discharge? Yes Is there evidence of erosion or deposition at the outfall? Yes No 10. Other Obvious Indicators of Stormwater Pollution: List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 SWU-242, Last modified 10/25/2012 I FA A A. 5" �i�"� NCDENR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filing out this form, please visit. h rtal.nc nr. r w w ws Jsu n de sw# b-4 Permit No.: N/C/ G/ 3 / 0/ 0 / 0 / 0 /—/or Certificate of Coverage No.: Facility Name: Deere Hitachi Construction Machinery+ Corp County: Forsyjb Phone No. 33 996-8100 Inspector: Nick Dinger Date of Inspection: 03.102.12016 _ Time of Inspection: 1:03 AM Total Event Precipitation (inches): .21" Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) ® Yes ❑ No Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or "measureable storm event" (requirements vary, depending on the permit). Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event" or during a "measureable storm event" However, some permits do not have this requirement. Please refer to these definitions, if applicable. A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall 3 and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than E 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. A "measurable storm event" is a storm event that results in an actual discharge from the ipermitted site outfall. The previous measurable storm event must have been at least 72 hours 3k prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the permittee obtains approval from the local DWQ Regional Office. By this siggftpre/certify that this report is accurate and complete to the best of my knowledge: (Signaturgkf Permittee or Designee) Page 1 of 2 5wU-242, Last modified 10/75/2012 1. Outfall Description: Outfall No. SD02 Pipe draining to creek from truck scales Receiving Stream: Unnamed tributary to Kerners Mill Creek Describe the industrial activities that occur within the outfall drainage area: E ui ment tora e truck traffic, and transporting parts. 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: Clear 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): None 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 1O 2 3 4 5 S. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: O2 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: lO 2 3 4 5 7. Is there any foam in the stormwater discharge? Yes S 8. Is there an oil sheen in the stormwater discharge? Yes No 9. Is there evidence of erosion or deposition at the outfall? Yes No 10. Other Obvious Indicators of Stormwater Pollution: List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 SWU-242, last modified 10/25/2012 NCDENR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Forguidance on filling out this form, please visit: hto:llportal.ncdenr.org/web/wg/ws/sulnpdessw#tab-4 Permit No.: N/C/ G/ 3 / 0/ 0 / 0 / 0 /_/or Certificate of Coverage No.: Facility Name: Deere Hitachi Construction Machine Corp County: Forsh Phone No. (36)996-8100 Inspector: Nick Dinger Date of Inspection. 03 02 2016 Time of Inspection: 1:09 PM Total Event Precipitation (inches): Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) ® Yes ❑ No Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or "measureable storm event" (requirements vary, depending on the permit). Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event" or during a "measureable storm event." However, some permits do not have this requirement. Please refer to these definitions, if applicable. A "representative storm event' is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. A "measurable storm event" is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the permittee obtains approval from the local DWQ Regional Office. By this s1gaguA,1 certify that this report is accurate and complete to the best of my knowledge: of Permittee or Designee) Page 1 of 2 SWU-242, last modified 10/25/2012 1. Outfall Description: Outfall No. SD04 Re r sentative 60" pipes located on the south side of the plant near guard station 10 and Outfall 2. Receiving Stream: Unnamed tributary to Kerners Mill Creek Describe the industrial activities that occur within the outfall drainage area:Equipment storage. trans ort'n arts and trucktraffic 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: _Light brown _ 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): None 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: O2 3 4 5 5. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: O2 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: Ol 2 3 4 5 7. Is there any foam in the stormwater discharge? Yes No 8. Is there an oil sheen in the stormwater discharge? Yes No 9. Is there evidence of erosion or deposition at the outfall? Yes No 10. Other Obvious Indicators of Stormwater Pollution: List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 sWU-242, Last modified 10/25/2012 RESEARCh & ANA1yTICA[ LkoRATORIES, INC. Analytical / Process Consultations Phone (336) 996-2841 CHAIN OF CUSTODY RECORD WATER 1 WASTEWATER I MISC. COMPANY � Deere- �1e4; JOB NO. 0/6- or � � &S" yam• O^ N * " ", •, � y0, \Q�,v r6 ��, as r� �d \��0' I,� V ( v v v v �r � ry ry ry `� � � +� y REQUESTED ANALYSIS STREET ADDRESS /000 l�a^e .Af ve41 PROJECT C �%carts wS7ri -'9M �i ` CITY, STATE, ZIP G ;t 7 SAMPLER NAME (PLEASE PRINT) N1c* 0L CONTACT PHONE }} SAMPLER GNATURE SAMPLE NUMBER (I" USE ONLY DATE TIMrIEr COMA GRM TEMP RES C, CHLORINE RE �o 6AlTRIX j6 a� 6AAApLEdLO�1C LOCATION J I.D. 44 �^.fC spo r� crepK ,�, 3; /G Oo,, r3 7 xJ kJ SOO -- KAI, QE 3 I ��ek, liej�d rTsS d se 3-a- ►.', �., X !O►p N 0 S - rep McTv! of 57k Z+ G RELINQUISHED BY DATEITIME RECEIVED BY REMARKS: SAMPLE TEMPERATURE AT RECEIPT , )•� °C RELINQUISHED BY DATEMME RECEIVED BY RESEARCh & ANA1yT[CAL LABORATORIES, INC. For: Deere Hitachi P.O. Box 1187 Kemersville, NC 27285 Attn: Debbie Randleman Report of Analysis 3/14/2016 NC#34 zz. NC #37701 : Client Sample ID: SD01 Pipe at Creek South Parking lot Lab Sample ID: 15687-01 Site: Deere Hitachi Collection Date: 3/2/2016 0:55 Parameter Method Result Units Rea Limit Analys Analysis Date/Time Copper, Total EPA 200.7 0.007 mg/L 0.005 AA 3/8/2016 Hydrocarbon O&G EPA 1664 Revision B/Silica <5 mg/L 5 DN 3/2/2016 Gel Lead, Total EPA 200.7 <0.005 mglL 0.005 AA 3/8/2016 Total Suspended Solids (TSS) SM 2540 D-1997 5.4 mg/L 5 JB 3/4/2016 Zinc, Total EPA 200.7 0.065 mg/L 0.01 AA 3/8/2016 Client Sample ID: S002 Pipe at Creek Beside rail spur Lab Sample ID: 15687-02 Site: Deere Hitachi Collection Date: 3/2/2016 1:03 Parameter Method Result Units Rep Limit Analys{ Analysis Dateff Copper, Total EPA 200.7 0.015 mg/L 0.005 AA 3/8/2016 Hydrocarbon O&G EPA 1664 Revision B/Silica <5 mg/L 5 DN 3/2/2016 Gel Lead, Total EPA 200.7 <0.005 mg/L 0.005 AA 3/8/2016 Total Suspended Solids (TSS) SM 2540 D-1997 5.2 mg/L 5 JB 3/4/2016 Zinc, Total EPA 2M7 0.342 mg/L 0.01 AA 3/8/2016 Client Sample ID: SD04 Representative South side lot, west of Lab Sample ID: 15687-03 Guard Station 10 at the creek Site: Deere Hitachi Collection Date: 3/2/2016 1:09 Parameter Method Result Units Rep Limit Analyst Analysis Dat !Time Copper, Total EPA 200.7 0.011 mg/L 0.005 AA 3/8/2016 P.Q. Box 473 106 Short Street Kemersville, North Carolina 27284 Tel: 336-996-2841 Fax: 336-996-0326 www.randalabs.com Page 1 ral coa basic Od RESEARCh & ANAtyTICAt Report of Analysis LA O RATO RI ESP INC. 3/14/2016 Client Sample ID: SD04 Representative South side lot, west of Lab Sample ID: 15687-03 Guard Station 10 at the creek Site: Deere Hitachi Collection Date: 3/2/2016 1:09 Parameter Method Result Units Rep Limit Analyst Analysis DatelTt�ne Hydrocarbon 0&G EPA 1664 Revision B/Silica <5 rng/L 5 DN 3/2/2016 Gel Lead, Total EPA 200.7 a0.005 mg/L 0.005 AA 3/8/2016 Total Suspended Solids (TSS) SM 2540 D-1997 12.6 mg/L 5 JB 3/4/2016 Zinc, Total EPA 200.7 0.133 mg/L 0.01 AA 3/8/2016 NA = not analyzed P.Q. Box 473 106 Short Street Kemersville, North Carolina 27284 Tel: 336-996-2841 Fax: 336-996-0326 www.randalabs.com Page 2 ral coo basic Od Semi-annual Stormwater Discharge Monitoring Report flL for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted �2/08/2-016 CERTIFICATE OF COVERAGE NO. NCG030240 FACILITY NAME Deere -Hitachi Construction Machinery Corp COUNTY —Forsyth _ PERSON COLLECTING SAMPLES —Aaron Paschal LABORATORY R & A Laboratories_ Lab Cert. # 34 Comments on sample collection or analysis: SAMPLE COLLECTION YEAR 2016 SAMPLE PERIOD ❑ Jan -June ❑ July -Dec or ® Monthly' Jan (month) DISCHARGING TO CLASS ❑ORW ❑HQW []Trout ❑PNA ❑Zero -flow ❑Water Supply ❑SA ®Other WS-111 PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 -) Part A: Stormwater Benchmarks and Monitoring Results ❑ No discharge this period?2 Date Sample 24-hour rainfall pH, Non -Polar O&G/ Total Toxic Outfall No. Collected'. . amount, Total Suspended Solids Standard units Copper Lead Zinc Total Petroleum Organicss (mo/dd/yr) Inches3 Hydrocarbons Benchmarks =__> _ - 100 mg/L or 50 mg/L° 6.0 — 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L SDO-1 1/15/2016 .13 NA 6.81 0.022 NA 0.186 NA - SDO-2 1/15/2016 .13 NA 9.47 0.016 NA 0.388 NA - SDO-4 Rep 1/15/2016 .13 NA 7.10 0.035 NA 0.118 NA - SDO-3 Rep No Flow I I I I I I - ' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. 2 For sampling periods with no discharge at any single outfali, you must still submit this discharge monitoring report with a checkmark here. 3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. ° See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies. 5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray tube manufacture use the definition found in 40 CFR 469.31). Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring _may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement: Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 1 of 3 "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics 4 (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." Alan Seeba Name (Print name) President Title (Print title) �61� IJE�� db� February 8 2016 (Signature) (Date) Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical format. When results are below the applicable limits, they must be reported in the format, "<XX mg/L", where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. ❑ No discharge this period?' Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches Non -polar O&G/TPH by EPA 1664 (SGT-HEM) Total Suspended Solids pH Benchmarks =__> _ - 15 mg/L 100 mg/L or 50 mg/L* 6.0 — 9.0 SU Footnotes from Part A also apply to this Part B * See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2 of 3 FOR PART A AND PART 8 MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION 8. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an on inal and one copy of this DMR including all "`No Discharge" reports, within 30 days of receipt of the lab results Lor at end of monitoring eriod in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 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: 11/1/2012-10/31/2017 2/8/2016 (Date) SWU-245, last revised 10/25/2012 Page 3 of 3 RESEARCh & ANA1yTICA[ LAbORATOOES, INC. Analytical / Process Consultations Phone (336) 996-2841 CHAIN OF CUSTODY RECORD WATFO) wACTFWATCO I wcn COMPA '! 111711CHI JOB NO. '9cI - o I z ���o• O^ t" .�r `d ry` ti �a �o�a �� �� y REQUESTED ANALYSIS STREET ADDRESS /Ow t ERE•H�71�cM1 fed PROJECT S7aRmwRf S imAtl�clb CITY, STATE, ZIP AA C . �a � SAMPLER NAME (PLEASE PRINT) ROB✓ IASCIY&I- CONTACT PHONE SAMPLER SIGNATURE (LAB USE ONLY) DATE TIME COYPOPA9TE'C RCS n � ro Un SAMPLE LOCATIONII.D. 13 -O 1 /Sig I;,�ops, K 1,0 N cJ SODI P e. Q C?tWK $C1r.�TN laAitkl►�Ca �o � -�Z /hs,, I:57a,, X 6.0 n1 a) $Oo-2 AI coo cwe4 i ZINL $asipe R1111. SPua _ p 15�IG �-**, X 7.11 1 o Sp04 (, 0aw A+Re wesr or GAririo %N:QUIS E,D/c1B DLjj fIAT�,(TJ1t f 1� RECEIVED BY REMARKS: SAMPLE TEMPERATURE AT RECEIPT °C RE NQUISHED BY DATEITME R I D Y RESEARC 1 & ANA yTICA LABORATORIES, INC. For: Deere Hitachi P.O. Box 1187 Kemersville, NC 27285 Attn: Debbie Randleman Report of Analysis 1 /29/2016 ,,1;%6111#PJA W. ap NC #34 : N % NC 937701 f Client Sample ID: SD01 Pipe @ Creek South Parking Lot Lab Sample ID: 13980-01 Site: Deere Hitachi Collection Date: 1/15/2016 13:40 Parameter Method Result Units Rep Limit Analyst Analysis Date/Tim� Copper, Total EPA 200.7 0.019 mg/L 0.005 AA 1/26/2016 Zinc, Total EPA 200.7 0.161 mg1L 0.01 AA 1/26/2016 Client Sample 1D: SD02 Pipe @ Creek Beside rail spur Lab Sample ID: 13980-02 Site: Deere Hitachi Collection Date: 1/15/2016 13:57 Parameter Method Result Units Rep Limit Analyst Analysis Da =mime Copper, Total EPA 200.7 0.062 mg/L 0.005 AA 1/26/2016 Zinc, Total EPA 200.7 1.31 mg/L 0.01 AA 1/26/2016 Client Sample ID: SD04 Double Pipe West of Gate 10 Lab Sample ID: 13980-03 Site: Deere Hitachi Collection Date: 1/1512016 14:03 Parameter Method Result Units Rep Limit Analyst Analvsis Date/Time Copper, Total EPA 200.7 0.020 mg/L 0.005 AA 1/26/2016 Zinc, Total EPA 200.7 0.363 mg/L 0.01 AA 1/26/2016 NA = not analyzed P.O. Box 473 106 Short Street Kemersville, North Carolina 27284 Tel: 336-996-2841 Fax: 336-996-0326 www.randalabs.com Page 1 ral cca basic vtd X-!HN DEERE HITACH[ Deere -Hitachi Construction Machinery Corp. P.O. Sox 1187 1000 Deere -Hitachi Road (27284) Kernersville, NC 27285-1187 Phone: 336-996�100 Fax: 336-996-8201 February 8, 2016 Attn: DWQ Central Files Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 Re: January 2016 Tier Il NPDES Stormwater Report "Tier 11 MC- SDO1, MC- SD02 & MC-SD04 REP & No Flow MC-SD03 REP" Deere -Hitachi Construction Machinery Corp. Permit # NCG030000 Certificate #:30Z40 Certified Mail: 7013 0600 0000 1865 7910 Stormwater Section: Enclosed you will find the original and a copy of the Tier II January 2016 for SDO-1, SDO-2, It SDO-4 Rep and SDO-3 Rep "No Flow" Discharge Monitoring Reports for our Kernersvilte facility. If you have any questions or comments, please contact Debbie Randleman, Environmental Coordinator, (336) 996-8144 at your convenience. Sincerely, Uj, Alan Seeba President RECEIVED FEB 17 2016 DENR-VNDjQUAiJTY STORMW ,q,ERl > RMI3-NNG• Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted _01/14/16 CERTIFICATE OF COVERAGE NO. NCG030646 FACILITY NAME Deere -Hitachi Construction Machinery Corp. COUNTY Forsyth PERSON COLLECTING SAMPLES _NA LABORATORY Lab Cert. ii Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2015 SAMPLE PERIOD ❑ Jan -June ® July -Dec or ❑ Monthly' (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ®Zero -flow ❑Water Supply []SA ❑Other PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 M No discharge this period?' r! iV �,`, �i _ 'y .-� _ �[i' �!'?. ' rk �i Pl��. 1t 71 it sSi' � `i7'+; ��,i. r��i?,b (i"'!y a• Nan-Polary.^ry ek:i b .,.-. 'yi"� Date Sample 24-h6ur rainfall n pH, 7;d.. f =� E sl+_i ' , 4 Total Toxic• Outfall No. 1 - .. Total Suspended Solids. <, Standard Copper Lead a 'Zinc Tota11 troleum n, l Collected' amount y z units" - `•,a t .w n Organics (mo/dd/yr) Inches3 w Hydrocarbons u, s Benchmarks,,100 mg/L or 50 mg/O,- 6 0 -- 9 0 ;;0.007 mg/L-' 0.03'mg/L;- ; 0.067 mg/L " L r l mg/L �; .,^ .15'rh SDO-1 NA SDO-2 NA SDO-3 NA 1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. 4 See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies. 5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray tube manufacture use the definition found in 40 CFR 469.31). Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 L. Page 1 of 3 Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." Alan Seeba Name (Print name) President Title (Print title) & 1,&� 01 14 16 (Signature) (Date) Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical format. When results are below the applicable limits, they must be reported in the format. "<XX me/L", where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. !Vote: If you report a sample value in excess of the benchmark, you must implement Tier I, Tier 2, or Tier 3 responses. See General Permit text. Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. ❑ No discharge this period?z Outfall No. ' `Date Sam ple Collected' (mo/dd/yrj 24-hour, rainfall ��='amount, r Inches •Non- olar'0&G TPH b EPAp1664'(SGT-HEM?y Total Suspen11, ded Solids r {' Benchmarks =__� {, , _ -15 fhg/LF V100' mg/L" or 50mg/L* ' . '6.0 = 9.'0 sU ,'.o Footnotes from Part A also apply to this Part B * See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2 of 3 Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See Genera! Permit text FOR PART A AND PART B MONITORING RESULTS: A BENCHMARK EXCEEDANC£ TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART 11 SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an original and one copyf this DMR including all "No Discharge" reports, within 30 days of receipt of the lab results for at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "l 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) 1/14/2016 (Date) Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 Semi-annual Stormwater Dischange Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted �01/14/16 CERTIFICATE OF COVERAGE NO. NCG030240 FACILITY NAME _Deere -Hitachi Construction Machinery Corp. COUNTY Forsyth PERSON COLLECTING SAMPLES _NA LABORATORY Lab Cert. # Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2015 SAMPLE PERIOD ❑ Jan -June ❑ July -Dec or ® Monthly' December (month) DISCHARGING TO CLASS ❑ORW ❑HQW []Trout ❑PNA ®Zero -flow ❑Water Supply []SA ❑Other PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 ® No discharge this periodP2 Date Sample- 24-hour rainfall . pHp. Nan Polar" 0&G/. •�� � t� Total Toxic. Outfall No. Collected' amount, F Total Suspended Solids Standard units Copper Lead Zinc Total Petroleum „ Or anlcs. g S (mo/dd/yr) Inches3. Hydrocarbons,.. Benchmarks =__> - - 100 mg/L or 50 mg/L° 6.0 — 9.0 0.007 mg/L, 0.03 mg/L ; .0.067 mg/L.. N_ r . 15 SDO-1 NA SDO-2 NA SD0-3 Rep NA SD0-4 Rep NA Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. 4 See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies. 5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CPR 433.11; for semiconductor manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CPR 469.22; and for cathode ray tube manufacture use the definition found in 40 CPR 469.31). Permit Date: 11/1/2012-10/31/2017 5WU-245, last revised 10/25/2012 Page 1 of 3 Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." Alan Seeba Name (Print name) President Title (Print titla�, e ^ O1 14 16 (Signature) ( Date) Note: Results must be reported In numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical format. When results are below the applicable limits, they must be reported -in the format, "<XX me/L", where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Part B. Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. n No discharge this period?z Outfall No.. �IDate Sample I Collected' i'(mo/dd/yr)., , 24=hour'rainfall amoun3, , Inches Non -polar O&G/TPH by c EPA•-1.664"(SGT-HEM) , Total;Suspeniled Solids' ' r + r" �` pH$;,'eF� Benchmarks _ Footnotes from Part A also apply to this Part B * See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Permit Date: 11/1/2012-10/31/2017 5WU-245, last revised 10/25/2012 Page 2 of 3 Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART It SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO ED IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results !or at end of monitoring period in the case of "No Discharge" reports? to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 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. am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of Permittee) 1/14/2016 (Date) Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 . JOHN DEERE I HITACHI `hC�03aa�� a-oi 5 Attn: DWQCentraI Files Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 Deere -Hitachi Construction Machinery Corp. P.O. Box 1187 1000 Deere -Hitachi Road (27284) Kemersville, NC 27285-1187 Phone: 336-996-8100 Fax: 336-996-8201 Re: 2015 2nd Period NPDES Stormwater Report "MC- SDO1, MC- SD02, MC-SD03 REP, MC-SD04 REP WC-SDO1, WC-SD02, WC-SD03" Deere -Hitachi Construction Machinery Corp. Permit # NCG030000 Certificate #:30240 Certificate #: 30646 Stormwater Section: January 14, 2016 RECEIVED JAN 2 0 2016 CENTRAL FILES DWR SECTION Certified Mail: 7013 0600 0000 1865 7309 Enclosed you will find the original and a copy of the 2nd half semi-annual stormwater and December 2015 "No Flow" Discharge Monitoring Reports for our Kernersville facility for 2015. If you have any questions or comments, please contact Debbie Randleman, Environmental Coordinator, (336) 996-8144 at your convenience. Sincerely, Alan Se ba President Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted �01/14/16 CERTIFICATE OF COVERAGE NO. NCG030240 FACILITY NAME _Deere -Hitachi Construction Machinery Corp. COUNTY Forsyth PERSON COLLECTING SAMPLES _NA LABORATORY Lab Cert. # Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR _2015 SAMPLE PERIOD ❑ Jan -June ❑ July -Dec or ® Monthly' December (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ®Zero -flow ❑Water Supply [:]SA ❑Other PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 ® No discharge this period?' outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches3 Total Suspended Solids pH, Standard units copper Lead Zinc Non -Polar O&G/Total Total Petroleum Hydrocarbons Toxic Organicss Benchmarks ===> _ - 100 mg/L or 50 mg/L° 6.0 — 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L SDO-1 NA SDO-2 NA SDO-3 Rep NA SD0-4 Rep NA 1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. 2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. ° See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies. 5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor manufacture use the definition as found in 40 CFR 469,12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray tube manufacture use the definition found in 40 CFR 469.31). Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 1 of 3 Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. F'or those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), 1 certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." Alan Seeba Name (Print name) President Title (Print title 01 14 16 (Signature) (Date) Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical format. When results are below the applicable limits, they must be reported in the format "<XX mg/L" where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: If you report a sample value in excess of the benchmark, you must Implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. ❑ No discharge this period?2 Outfall No. date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches3 Non -polar O&G/TPH by EPA 1664 (SGT-HEM) Total Suspended Solids pH Benchmarks =__> _ - 15 mg/L 100 mg/L or 50 mg/L* 6.0 — 9.0 SU Footnotes from Part A also apply to this Part B * See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2 of 3 Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART li SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an original and one copy of this DMR, Including all "No Discharge" reports, within 30 days of receipt of the lab results for at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 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: 11/1/2012-10/31/2017 1/14/2016 (Date) SWU-245, last revised 10/25/2012 Page 3 of 3 Semi-annual Stormwater Discharge MonitoringReport for North Carolina Division of Water Quality General Permit No. NCG03000 Date submitted _12/21/2015 CERTIFICATE OF COVERAGE NO. NCG030240 FACILITY NAME _Deere -Hitachi Construction Machinery Corp COUNTY Forsyth PERSON COLLECTING SAMPLES - Nick Dinger LABORATORY R & A Laboratories_ Lab Cert. # 34 Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2015 , lip? SAMPLE PERIOD ❑ Jar; -June Z July -Dec or ❑ Monthly! (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow ❑Water Supply ❑SA ®Other WS-111 RECEIVED PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 DEC 2 9 2015 CENTRAL FILES ❑ No discharge this period?2 Non -Polar O&G/Total outfall No. Date Sample 24-hour rainfall Total Suspended Solids pH, Copper Lead Zinc Total Petroleum Toxic Collected' amount, Standard units organics' . (mo/dd/yr) Inches3 Hydrocarbons Benchmarks ===> - - 100 mg/L or 50 mg/L° 6.0 — 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L i mg/L SDO-1 11/17/2015 .05 18.2 7.85 0.022 0.019 0.186 45.0 - SDO-2 11/17/2015 .22 5.6 8.31 0.016 0.012 0.388 <5.0 - S130-3 Rep 11/17/2015 .40 165 7.38 0.035 0.012 0.128 <5.0 - SDO-4 Rep 11/17/2015 .32 1 25.2 1 7.82 1 0.019 1 0.020 1 0.212 1 <5.0 - ' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. 2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 3 The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. ° See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies. 5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray tube manufacture use the definition found in 40 CFR 469.31). Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger sl,aii sign the following ccrtificati;;r� statement: Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 1 of 3 .'.'t ased upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." Alan Seeba _ Name (Print name) President Title {print title 12/21/2015 (Signature) (Date) Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical format. When results are below the applicable limits, they must be reported in the format. "<XX m /L where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. . u• Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. 9 Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. ❑ No discharge this period?' Outfall No. . 1]ate Sample' ` Collected1 (mo/dd/yr) 24-hour rainfall amount, Inches3 Non -polar O&G/TPH by EPA 1664 (SGT-HEM) Total Suspended Solids pH Benchmarks =__> _ - 15 mg/L 100 mg/L or 50 mg/L* 6 0'-,9.0 SU Footnotes from Part A also apply to this Part B * See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2 of 3 FOR PART A AND PART B MONITORING RESULTS: • ABENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. ' • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL7 YES ❑ NO IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mall an original and one copy of this DMR including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of monitoring period in the case o'No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 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.:) 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: 11/1/2012-10/31/2017 12/21/2015 (Date) SWU-245, last revised 10/25/2012 Page 3 of 3 r, NCDENR Stormwater Discharge Outfali (SDO) Qualitative Monitoring Report For guidance on filling out thisform, please visit: htW:.I/nortal.ncdenr.org/web/wit wslsu/npdessw#tab-4 Permit No.: N/C/ G/ 3 / 0/ 0 / 0 / 0 /_/or Certificate of Coverage No.: Facility Name: Deere Hitachi Construction Machinery Corp County: Forsy1h Phone No. (336)996-8100 Inspector: Nick Din er Date of Inspection: 11.117.12015 Time of Inspection: 11:05 PM Total Event Precipitation (inches): .48" Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) ® Yes ❑ No Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or "measureable storm event" (requirements vary, depending on the permit). Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event" or during a "measureable storm event." However, some permits do not have this requirement. Please refer to these definitions, if applicable. A "representative storm event' is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. A "measurable storm event' is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the permittee obtains approval from the local DWQ Regional Office. By this signature,.] certify that this report is accurate and complete to the best of my knowledge: (Signature of Permittee or Designee) SWU-242, East modified 10/25/2012 Pagel of 2 4. Outfall Description: Outfall No. SD01 Pipe draining to creek near culvert wh"ch runs under Deere -Hitachi Rd. Receiving Stream: Unnamed tributary to Kerners Mill Creek Describe the industrial activities that occur within the outfall drainage area:Parts and equipment storage, truck traffic and employee parking 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: Clear 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): None 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: Q2 3 4 5 S. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: O2 3 4 5 5. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: O2 3 4 5 7. Is there any foam in the stormwater discharge? Yes No 8. Is there an oil sheen in the stormwater discharge? Yes No 9. Is there evidence of erosion or deposition at the outfall? Yes No 10. Other Obvious Indicators of Stormwater Pollution: List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 SWU-242, Last modified 10/25/2012 NCDENR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on flling out this form, please visit: htW:1.112ortal.ncdenr.org/weblwq/ws/�—u/npdessw#tab-4 Permit No.: N/C/ G/ 3 / D/ 0 / 0 / 0 /,/or Certificate of Coverage No.: Facility Name: Deere Hitachi Construction Machinery Corp _ County: Forsy1h Phone No. 3 996-8100 Inspector: Nick Dineen Date of Inspection: 11117.12015 _ Time of Inspection: 11:20 PM Total Event Precipitation (inches): .48" Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) ® Yes ❑ No Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or "measureable storm event" (requirements vary, depending on the permit). Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event" or during a "measureable storm event." However, some permits do not have this requirement. Please refer to these definitions, if applicable. A "representative storm event' is a storm event that measures greater than 01 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. A "measurable storm event' is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the permittee obtains approval from the local DWQ Regional Office. By this signature, I certify that this report is accurate and complete to the best of my knowledge: (Signature of Permittee or Designee) Page 1 of 2 SWU-242, Last modified 10/25/2012 .1. Outfall Description: Outfall No. SD02 —Pipe draining to creek from truck scales Receiving Stream: Unnamed tributary to Kerners Mill Creek Describe the industrial activities that occur within the outfall drainage area: Equipment storage. truck traffic, and transporting parts. 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: Clear 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): None 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 0 2 3 4 5 S. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: lO 2 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: 0 2 3 4 5 7. Is there any foam in the stormwater discharge? Yes No 8. Is there an oil sheen in the stormwater discharge? Yes No 4. Is there evidence of erosion or deposition at the outfall? Yes No 10. Other Obvious Indicators of Stormwater Pollution: List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 SWU-242, Last modified 10/25/2012 NCDENR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling out thisform, please visit: http://portal.ncdenr.ore/web-/wq./wsjsujnndessw#tab-4 Permit No.: N/C/ G/ 3 / 0/ 0 / 0 / 4 /, /or Certificate of Coverage No.: Facility Name: Deere Hitachi Construction Machinery Cor.12 _ County: Forsyjh Phone No. (3336)996-8100 Inspector: Nick Dinger Date of Inspection: 11/17/2015 Time of Inspection: 11.35 PM Total Event Precipitation (inches): .48 Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) ® Yes ❑ No Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or "measureable storm event" (requirements vary, depending on the permit). Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event" or during a "measureable storm event." However, some permits do not have this requirement. Please refer to these definitions, if applicable. A "representative storm event' is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. A "measurable storm event" is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the permittee obtains approval from the local DWQ Regional Office. By this signature, I certify that this report is accurate and complete to the best of my knowledge: (Signature of Perrnittee or Designee) Pagel of 2 5WU-242, Last modified 10/25/2012 11. Outfall Description: outfall No. SD03 Stone lined ditch on Lot #1 drainaee to creeLc beside Guard Receiving Stream: Unnamed tributary to Kerners Mill Creek Describe the industrial activities that occur within the outfall drainage area:Parts and equipment storage ruck traffic & transporting parts 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: Light red 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): None 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: Q2 3 4 5 S. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids- 0 2 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy.- 0 2 3 4 5 7. Is there any foam in the stormwater discharge? Yes No B. Is there an oil sheen in the stormwater discharge? Yes No 9. Is there evidence of erosion or deposition at the outfall? Yes No 10. Other Obvious Indicators of Stormwater Pollution: List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 SWU-242, Last modified 10/25/2012 AS w� A NCDENR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Forguidance on filling out this farm, please visit: http:.Ilportal.ncdenr.org/wtb/wq/ws/suinpdessw#tab-4 Permit No.: N/C/ G/ 3 / 0/ 0 / 0 / 0 /_/or Certificate of Coverage No.: Facility Name: Deere Hitachi Construction Machine Corp County: Forsyjh Phone No. (336)996-8100 Inspector: Nick Dinger Date of Inspection: 11.1.1172015 _ Time of Inspection: 11:33 PM. Total Event Precipitation (inches): .48 Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) ® Yes ❑ No Please verify whether Qualitative Monitoring must be performers during a "representative storm event" or "measureable storm event" (requirements vary, depending on the permit). j Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be 1 performed during a "representative storm event" or during a "measureable storm event." However, some permits do not have this requirement. Please refer to these definitions, if applicable. A "representative storm event' is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than € 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no i precipitation. A "measurable storm event" is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter j interval is representative for local storm events during the sampling period, and the permittee j obtains approval from the local DWQ Regional Office. By this signature, I certify that this report is accurate and complete to the best of my knowledge: OtxO,—UM— (Signature of Permittee or Designee) Pagel of 2 SWU-242, East modified 10/25/2012 1. Outfall Description: Outfall No. SD03 Representative Creek beside Guard Station #10 just below Outfall 3 Receiving Stream: Unnamed tributary to Kerners Mill Creek Describe the industrial activities that occur within the outfall drainage area:Parts and equipment storage, and truck traffic Run-off from Outfalls 3.4.5.6 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: Light brown 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): None 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: O2 3 4 5 5. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: O2 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: it B. 9 O2 3 Is there any foam in the stormwater discharge? 4 5 Yes Is there an oil sheen in the stormwater discharge? Yes Is there evidence of erosion or deposition at the outfall? Yes S 10. Other Obvious Indicators of Stormwater Pollution: List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may he indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 5WU-242, Last modified 10/25/2012 A&'A NCDENR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling out this form, please visit: htt://portal.ncdenr.org/web/wq/ws/su/ni2dessw#tab-4 Permit No.: N/C/ G/ 3 / 0/ 0 / 0 / 0 /_/or Certificate of Coverage No.: Facility Name: Deere Hitachi Construction Machinery Corn County: Forsyjh Phone No. 336 996-8100 Inspector: Nick Diaper Date of Inspection: 11.117/201S Time of Inspection: 11:45 PM Total Event Precipitation (inches): .48 Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) ® Yes ❑ No Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or "measureable storm event" (requirements vary, depending on the permit). Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event" or during a "measureable storm event." However, some permits do not have this requirement. Please refer to these definitions, if applicable. A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. A "measurable storm event" is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the permittee obtains approval from the local DWQ Regional Office. By this signature, I certify that this report is accurate and complete to the best of my knowledge: (Signature of Permittee or Designee) Page 1 of 2 SWU-242, Last modified 10/25/2012 1. Outfall Description: Outfall No. SD04 Basin located on the north side -of the plant_and near the PSL trailer before it goes into the bypass. Receiving Stream: Unnamed tributary to Kerners Mill Creek Describe the industrial activities that occur within the outfall drainage area:Equipment storage, and truck traffic 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: Light red 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): None 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 0 2 3 4 5 S. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: lO 2 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: 1O 2 3 4 5 7. Is there any foam in the stormwater discharge? Yes No 8. is there an oil sheen in the stormwater discharge? Yes No 9. Is there evidence of erosion or deposition at the outfall? Yes No 10. Other Obvious Indicators of Stormwater Pollution: List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 SWU-242, Last modified 10/25/2012 IVA NCDENR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Forguidance on filling out this form, please visit: hap/ o.EWI.ncdenr.org/web/wa /ws /su/sulnpdessw#tab-4 Permit No.: l/C/ G/ 3 / 0/ 0 / 0 / U /_/or Certificate of Coverage No.: N1/G/ 0/ 3 / 0 / 2/ 4/ 0 / Facility Name: Deere Hitachi Construction Machinery Corp County: Forsy1h Phone No. (336)996-8100 Inspector: Nick Dinger Date of Inspection: 11117/2015 Time of Inspection: 11:25 PM Total Event Precipitation (inches): .48 Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) ® Yes ❑ No Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or "measureable storm event" (requirements vary, depending on the permit). Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event" or during a "measureable storm event." However, some permits do not have this requirement. Please refer to these definitions, if applicable. A "representative storm event' is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. A "measurable storm event" is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the permittee obtains approval from the local DWQ Regional Office. By this signature, I certify that this report is accurate and complete to the best of my knowledge: (Signature of Permittee or Designee) Pagel of 2 SWU-242, Last modified 10/25/2012 1. Outfall Description: Outfall No. SDO4 Representative 60" pipes located on the south side of the plant near guard station 10 and Outfall 2. Receiving Stream: Unnamed tributary to Kerners Mill Creek Describe the industrial activities that occur within the outfall drainage area:Equipment storage, transporting parts and trucktraffic 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: Light tan 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): None 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: Q 2 3 4 5 5. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: O 2 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: 0 2 3 4 5 7. Is there any foam in the stormwater discharge? Yes No 8. Is there an oil sheen in the stormwater discharge? Yes No 9. is there evidence of erosion or deposition at the outfall? Yes No 10. Other Obvious Indicators of Stormwater Pollution: List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 SWU-242, Last modified 10/25/2012 NCDENR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling out this form, please visit: http:././pprtal.ncdenr.org/web/wq/ws/su/npdessw#tab-4 Permit No.: N/C/ G/ 3 / 0/ 0 / 0 / 0 /_/or Certificate of Coverage No.: Facility Name: Deere Hitachi Construction Machinery Corp County: Forsh Phone No. (336)996-8100 Inspector: Nick Dinger Date of Inspection: 11 17 2015 Time of Inspection: 11:40 PM Total Event Precipitation (inches): .48 Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) ® Yes ❑ No Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or "measureable storm event" (requirements vary, depending on the permit). Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event" or during a "measureable storm event." However, some permits do not have this requirement. Please refer to these definitions, if applicable. A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. A "measurable storm event" is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the permittee obtains approval from the local DWQ Regional Office. By this signature, I certify that this report is accurate and complete to the best of my knowledge: (Signature of Permittee or Designee) Pagel of 2 SWU-242, Last modified 10/25/2012 1. Outfall Description: Outfall No. SD05 Discharge from East Campus Pond _ Receiving Stream: Unnamed tributary to Iterners Mill Creek Describe the industrial activities that occur within the outfall drainage area: Equipment storage, truck traffic, excavator test pad and employee parking _ 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: Clear 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): None 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: IO 2 3 4 5 S. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: 0 2 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: 0 2 3 4 5 7. Is there any foam in the stormwater discharge? Yes No 8. Is there an oil sheen in the stormwater discharge? Yes No 9. Is there evidence of erosion or deposition at the outfall? Yes No 10. Other Obvious Indicators of Stormwater Pollution: List and describe Page 2 of 2 SWU-242, Last modified 10/25/7012 Note:. Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may he indicative of pollutant exposure. These conditions warrant further investigation. Page 3 of 2 SWU-242, Last modified 10/25/2012 NCDENR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling out this form, please visit: hUp://aortal.ncdenr.org/webJw%Jws/su/nodessw#tab-4 Permit No.: N/C/ G/ 3 / 0/ a / d / 0 /_/or Certificate of Coverage No.: Facility Name. Deere Hitachi Construction Machinery Corp _ County: Fors h Phone No. 336)996-8100 Inspector: Debbie Randleman _ Date of Inspection: 11/17/2015 Time of Inspection: 11:30 PM Total Event Precipitation (inches): .48 Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) M Yes ❑ No Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or "measureable storm event" (requirements vary, depending on the permit). Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event" or during a "measureable storm event." However, some permits do not have this requirement. Please refer to these definitions, if applicable. A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. A "measurable storm event" is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the permittee obtains approval from the local DWQ Regional Office. By this signature, I certify that this report is accurate and complete to the best of my knowledge: (Signature of Permittee or Designee) Page i of 2 $WU-242, Last modified 10/25/2012 • 1. Outfall Description: Outfall No. S Ob Basin located on East side on South Paint building Receiving Stream: Unnamed tributary to Kerners Mill Creek Describe the industrial activities that occur within the outfall drainage area: Equipment storage, 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: Light Red 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): None 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: Ol 2 3 4 5 S. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: O2 3 4 5 b. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: 1O 2 3 4 5 7. Is there any foam in the stormwater discharge? Yes No B. Is there an oil sheen in the stormwater discharge? Yes No 9. Is there evidence of erosion or deposition at the outfall? Yes No 10. Other Obvious Indicators of Stormwater Pollution: List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 SWU-242, Last modified 10/25/2012 JOHN DEERE I HITACHI Deere -Hitachi Construction Machinery Corp. P.O. Box 1187 1000 Deere -Hitachi Road (27284) Kemersville, NC 27285-1187 Phone: 336-996-8100 Fax: 336-996-8201 August 12, 2014 Attn: DWQ Central Files NC Dept. Environmental Quality Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 Re: 2014— SDO-1, SDO-2, SD-3, SDO-3 REP, SDO-4, SDO-4 REP & SDO-6 Stormwater Report Deere -Hitachi Construction Machinery Corp. Permit # NCG030240 Stormwater Section: Enclosed are the stormwater monitoring reports for Kernersville facility for November 17, 2015. Four stormwater discharge outfalls (SDO-1, SDO-2, SDO-3 REP and SDO-4 REP) were sampled in November 2015. The water sampling was done by Nick Dinger (Environmental Technicians) Deere -Hitachi, (336) 996-8100. The sample analysis was completed by REtA Laboratories, 106 Short Street, Kernersville, NC. The samples were analyzed for TSS, Oil Ft Grease, Lead, Copper and Zinc. Temperature and pH was performed in-house by Nick Dinger. The monitoring results are shown on form SWU-245. If you have any questions or comments, please contact Debbie Randleman, Environmental Coordinator, (336) 996-8144 at your convenience. Sincerely, Alan Seeba President * . • ..,_.% Semi-annual Stormwater Discharge_ Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted _07/01/2015 CERTIFICATE OF COVERAGE NO. NCG030240 FACILITY NAME _Deere -Hitachi Construction Machinery Corp COUNTY _Forsyth PERSON COLLECTING SAMPLES - Aaron Paschal / Nick Dinger LABORATORY R & A Laboratories_ Lab Cert. # 34 Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2015 SAMPLE PERIOD ® Jan -June ❑ July -Dec or ❑ Monthly' (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA RC� {' ❑Zero -flow []Water Supply ❑SA C EI V ED ®Other WS-111 JUL 09 zor�P CANT LEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 ILE OWRCTlpN ❑ No discharge this period?' Date Sample 24-hour rainfall pH, Non -Polar O&G/Total Toxic Outfall No. Collected' amount, Total Suspended Solids Standard units Copper Lead Zinc Total Petroleum Organicss (mo/dd/yr) Inches3 Hydrocarbons Benchmarks 100 mg/L or 50 mg/L 6.0 — 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L SDO-1 06/08/15 .25 6.00 7.50 0.013 <0.005 0.132 <5.0 - SDO-2 05/29/15 .33 10.4 8.00 0.013 <0.005 0.401 <5.0 - SDO-3 Rep 05/29/15 .33 122 8.75 0.026 0.009 0.117 <5.0 - S130-4 Rep 1 06/08/15 J .25 25.2 7.30 1 0.018 1 <0.005 0.28 1 <5.0 - 1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. 2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 3 The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. " See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies. 5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray tube manufacture use the definition found in 40 CFR 469.31). Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement: Permit Date: 11/1/2012-10/31/2017 5WU-245, last revised 10/25/2012 Page 1 of 3 "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (770), i certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." Alan Seeba Name (Print name) President Title (Print title) Opavl�_Iik 07/012015 (Signature) (Date) Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical format. When results are below the applicable limits, they must be reported in the format. "<XX mg/L", where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. ❑ No discharge this period?z Outfall No. Date Sample 247hour rainfall: Collected • amount, Non -polar O&G/TPH by a Total Suspended Solids pH (mo/dd/yr) Inches EPA 2664 (SGT-HEM) Benchmarks-> 15 mg/L 100 mg/L or SO mg/L* 6.0 - 9.0 5U Footnotes from Part A also apply to this Part B " See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2 of 3 F-0A PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. + TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an adainal and one coov of this DMR, Including aN "No Discharge" reuorts, within 30_ days of receipt of the lab results (or at end of monitoring period in the case o "No Discharge" re orts to, Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 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 7/1/2015 (Date) Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 I AZ-- * I "A NCDENR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Forguidance on filling out this farm, please visit: http//portal.ncdenr.orgf web/wg/wslsu/`npdessw#tab-4 Permit No.: N/C/ G/ 3 / 0/ D / 0 / 0 /T/or Certificate of Coverage No.: Facility Name: Deere Hitachi Construction Machinery Corp County: Forsyjh Phone No. f336 996-8100 Inspector: Nick Dinger Date of Inspection: 6-8-2015 Time of Inspection: 8:30 PM Total Event Precipitation (inches): .25" Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) RECEIVED ® Yes ❑ No ,JUL 0 9 2015 CENTRAL FILES Please verify whether Qualitative Monitoring must be performed during a "repiQYdiW&WTMW event" or "measureable storm event" (requirements vary, depending on the permit). Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event" or during a "measureable storm event." However, some permits do not have this requirement. Please refer to these definitions, if applicable. A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. A "measurable storm event" is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the permittee obtains approval from the local DWQ Regional Office. By this signature, I certify that this report is accurate and complete to the best of my knowledge: (Signature of Permittee or Designee) Page 1 of 2 SWU-242, fast modified 10/25/2012 I. Outfall Description: Outfall No. SDO1 Pipe draining to creek near culvert which runs under Deere -Hitachi Rd. Receiving Stream: Unnamed tributa1y to Kerners Mill Creek Describe the industrial activities that occur within the outfall drainage area:Parts and equipment storage, truck traffic and emplo.yee narking 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: Light red 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): None 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 0 2 3 4 5 S. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: 1O 2 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: lO 2 3 4 5 7. is there any foam in the stormwater discharge? Yes No 8. Is there an oil sheen in the stormwater discharge? Yes No 9. Is there evidence of erosion or deposition at the outfall? Yes No 10. Other Obvious Indicators of Stormwater Pollution: List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 SWU-242, Last modified 10/25/2012 jFA awi.w NCDENR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Forguidance on filling out thisform, please visit. hn:I/oortalmcdenr.org/web/wq/wsf suinndessw#tab-4 Permit No.: N/C/ G/ 3 / 0/ 0 / ©/ 0 /_/or Certificate of Coverage No.: N/C/ j/ 0/ 3 / Facility Name: Deere Hitachi Construction Machinery Corp County: Forsyth Phone No. f336)996-8100 Inspector: Nick Dinger Date of Inspection: 0 /08/2015 Time of Inspection: $•30PM Total Event Precipitation (inches): .25 Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) ® Yes ❑ No Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or "measureable storm event" (requirements vary, depending on the permit). Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event" or during a "measureable storm event." However, some permits do not have this requirement. Please refer to these definitions, if applicable. A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. A "measurable storm event" is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior, The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the permittee obtains approval from the local DWQ Regional Office. By this signature, I certify that this report is accurate and complete to the best of my knowledge: (Signature of Permittee or Designee) Page 1 of 2 SWU-242, Last modified 10/25/2012 1. Outfall Description: Outfall No. SD04 Representative 60" pipes located on the south side of the plant near guard station 10 and Outfall 2. Receiving Stream: Unnamed tributaEy to Kerners Mill Creek Describe the industrial activities that occur within the outfall drainage area:Eauipment storage, and truck traffic 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: Light red 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): None 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: O2 3 4 5 5. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: lO 2 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: O2 3 4 5 7. Is there any foam in the stormwater discharge? Yes No 8. Is there an oil sheen in the stormwater discharge? Yes No 9. Is there evidence of erosion or deposition at the outfall? Yes No 10. Other Obvious Indicators of Stormwater Pollution: List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 SWU-242, Last modified 10/25/2012 NCDENR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Forguidance on filling out this form, please visit: http:./lnortalmcdennore/web/wq/ws/suInndessw#tab-4 Permit No.: !V/C/ G/ 3 / 0/ 0 / 0 / 0 /_/or Certificate of Coverage No.: N/C/G/ 0/ 3 / 0 / 2/ 4/ 0 / Facility Name: Deere Hitachi Construction MachineEy Corp County: Forsy1h Phone No. (336)996-8100 Inspector: Aaron Paschal Date of Inspection: 05.129.115 Time of Inspection: 2.56 PM Total Event Precipitation (inches): .33" Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) ® Yes ❑ No Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or "measureable storm event" (requirements vary, depending on the permit). Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event" or during a "measureable storm event." However, some permits do not have this requirement. Please refer to these definitions, if applicable. A "representative storm event' is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. A "measurable storm event' is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the permittee obtains approval from the local DWQ Regional Office. By this signature, I certify that this report is accurate and complete to the best of my knowledge: (Signature of Permittee or Designee) Page 1 of 2 SWU-242, last modified 10/25/2012 1. Outfall Description: Outfall No. SD02 Pipe draining to creek from truck scales Receiving Stream: Unnamed tributaU to Kerners Mill Creek Describe the industrial activities that occur within the outfall drainage area:Equil2ment storage, and truck traffic 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: Light red _ 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): None 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: Q2 3 4 5 S. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: 2 3 4 5 b. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: O2 3 4 5 7. Is there any foam in the stormwater discharge? Yes No 8. is there an oil sheen in the stormwater discharge? Yes No 9. Is there evidence of erosion or deposition at the outfall? Yes No 10. Other Obvious Indicators of Stormwater Pollution: List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 SWU-242, Last modified 10/25/2012 NCDENR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling out this form, please visit. htW: //portal.ncdenr.org/web jwn /ws/su/nadessw#tab-4 Permit No.: N/C/ G/ 3 / 0/ 0 / 0 / U /�/or Certificate of Coverage No.: Facility Name: Deere Hitachi Construction Machinery Corp County: Forsh Phone No. 336 996-8100 Inspector: Debbie Randleman Date of Inspection: 5/29. 2015 Time of Inspection: 3:00 PM Total Event Precipitation (inches): .33 Was this a `Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or "measureable storm event" (requirements vary, depending on the permit). Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event" or during a "measureable storm event." However, some permits do not have this requirement. Please refer to these definitions, if applicable. A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. A "measurable storm event" is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the permittee obtains approval from the local DWQ Regional Office. By this signature, I certify that this report is accurate and complete to the best of my knowledge: (Signature of Permittee or Designee) Page 1 of 2 SWU-242, Last modified 10/25/2012 I. Outfall Description: Outfall No. SD03 Stone lined ditch on Lot #1 drainage to creek beside Guard Station #10. Receiving Stream: Unnamed tributary to Kerners Mill Creek Describe the industrial activities that occur within the outfall drainage area:Parts and equipment storage. and truck traffic , 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: Light red 3. Odor: Describe any distinct odors that the discharge may have (Le., smells strongly of oil, weak chlorine odor, etc.): None 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 0 2 3 4 5 S. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: 0 2 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: lO 2 3 4 5 7. Is there any foam in the stormwater discharge? Yes No 8. Is there an oil sheen in the stormwater discharge? Yes S 9. Is there evidence of erosion or deposition at the outfall? Yes No 10. Other Obvious Indicators of Stormwater Pollution: List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 SWU-242, Last modified 10/25/2012 �`�, NCDENR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Forguidance on filling out this form, please visit: hUp://portat.ncdenr.org/web/wq/ws/su/npdessw#tab-4 Permit No.: N/�/ G/ 3 /�/ 0 / 0 / 0 /_/or Certificate of Coverage No.: Facility Name: Deere Hitachi Construction Machinery Corp County: Forsy1h Phone No. 336 996-8100 Inspector: Debbie Randleman Date of Inspection: 0512912015 Time of Inspection: _3:05 PM Total Event Precipitation (inches): .33 Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) ® Yes ❑ No Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or "measureable storm event" (requirements vary, depending on the permit). Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event" or during a "measureable storm event." However, some permits do not have this requirement. Please refer to these definitions, if applicable. A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. A "measurable storm event" is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the permittee obtains approval from the local DWQ Regional Office. By this signature, I certify that this report is accurate and complete to the best of my knowledge: (Signature of Permittee or Designee) Page 1 of 2 SWU-242, Last modified 10/25/2012 1. Outfall Description: Outfall No. SD04 Basin located on the north side of the Qlant and near the PSL trailer before it goes into the bypass. _ Receiving Stream: Unnamed tributary to Kerners Mill Creek Describe the industrial activities that occur within the outfall drainage area:Equipment storage, and truck traffic 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: Light red 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): None 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: lO 2 3 4 5 5. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: lO 2 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: O2 3 4 5 7. Is there any foam in the stormwater discharge? Yes No 8. Is there an oil sheen in the stormwater discharge? Yes No 9. Is there evidence of erosion or deposition at the outfall? Yes No 10. Other Obvious Indicators of Stormwater Pollution: List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 SWU-242, Last modified 10/25/2012 A� NCDENR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Forguidance on filling out this form, please visit. h ortal.nc enr. r web /wq jws Isu n es w# -4 Permit No.: N/C/ G/ 3 / 0/ 0 / 0 / 0 /_/or Certificate of Coverage No.: Facility Name: Deere Hitachi Construction Machine Corp County: Forsy1h Phone No. (336)996-8100 Inspector: Debbie Randleman Date of Inspection: 5/29/2015 Time of Inspection: 3.10 PM Total Event Precipitation (inches): .33 Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) ® Yes ❑ No Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or "measureable storm event" (requirements vary, depending on the permit). Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event" or during a "measureable storm event" However, some permits do not have this requirement. Please refer to these definitions, if applicable. A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. A "measurable storm event' is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the permittee obtains approval from the local DWQ Regional Office. By this signikture, I certify that this report is accurate and complete to the best of my knowledge: (Signature of Permittee or Designee) Page 1 of 2 SWU-242, East modified 10/25/2012 1. outfall Description: Outfall No. SD05 Discharge from East Campus Pond Receiving Stream: Unnamed tributaoLto Kerners Mill Creek Describe the industrial activities that occur within the outfall drainage area: Equipment storage. truck traffic excavator test pad and employee parking 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: Clear 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): None 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 0 2 3 4 5 5. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: 0 2 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: O2 3 4 5 7. Is there any foam in the stormwater discharge? Yes No B. is there an oil sheen in the stormwater discharge? Yes No 9. Is there evidence of erosion or deposition at the outfall? Yes No 10. Other Obvious Indicators of Stormwater Pollution: List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 M-242, Last modified 10/25/2012 ALIV iNA NCDENR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Forguidance on filling out this form, please visit: httR//portal.ncdenr.org/web/wq/ws/suInodessw#tab-4 Permit No.: N/C/ G/ 3 / 0/ 0 / 0 / 0 /_/or Certificate of Coverage No.: Facility Name: Deere Hitachi Construction Machinery Corp _ County: Forsy1h Phone No. 336 996-8100 Inspector: Debbie Randleman Date of Inspection: 05 29 2015 Time of Inspection: 3.15PM Total Event Precipitation (inches): .33 Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) ® Yes ❑ No Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or "measureable storm event" (requirements vary, depending on the permit). Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event" or during a "measureable storm event." However, some permits do not have this requirement Please refer to these definitions, if applicable. A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. A "measurable storm event" is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the permittee obtains approval from the local DWQ Regional Office. By this signature, I certify that this report is accurate and complete to the best of my knowledge: (Signature of Permittee or Designee) Pagel of 2 SWU-242, last modified 10/25/2012 1. Outfall Description: Outfall No. SD06 _Basin located on East side on South Paint building Receiving Stream: Unnamed tributary to Kerners Mill Creek Describe the industrial activities that occur within the outfall drainage area: Equipment storage, truck traffic 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: Light Red 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): None 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: O 2 3 4 5 S. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: O2 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: O2 3 4 5 7. Is there any foam in the stormwater discharge? Yes No 8. Is there an oil sheen in the stormwater discharge? Yes No 9. Is there evidence of erosion or deposition at the outfall? Yes No 10. Other Obvious Indicators of Stormwater Pollution: List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 SWU-242, Last modified 10/25/2012 RESEARCh & ANAIyTICAL UboRATOR!ES, INC. Report of Analysis 6/17/2015 For: Deere Hitachi . �,I,,,�•1% P.O. Box 1187 ��•���* �+ .C� Kemersville, NC 27285 ' o ov NC #34 Z Attn: Debbie Randleman NC #37701 : % ` ....... I � �� Client Sample ID: MC-SDO-01 Pipe at Creek South Parking Lot Lab Sample ID: 5153-01 Site: Deere Hitachi Collection Date: 6/8/2015 20:30 Parameter Method Result Units Ren limit Analyst Analysis Date/Time Copper, Total EPA 200.7 0.013 mg/L 0.005 AA 6/11/2015 Hydrocarbons, Oil & Grease EPA 1664 Revision A/Silica <5 mg/L 5 JB 6/11/2015 Gel Lead, Total EPA 200.7 <0.005 mg/L 0.005 AA 6/11/2015 Total Suspended Solids (rSS) SM 2540 D-1997 6.0 mg/L 5 JB 6/11/2015 Zinc, Total EPA 200.7 0.132 mg/L 0.01 AA 6/16/2015 Client Sample ID: MC-SDO-04 NE Comer Stormwater Ditch at Excavator Lot Site: Deere Hitachi lab Sample ID: Collection Date: 5153-02 6/8/2015 20:40 Parameter Method Result Units RepLiimit Analyst Analysis Date/Time Copper, Total EPA 2003 0.018 mg/L 0.005 AA 6/11/2015 Hydrocarbons, Oil & Grease EPA 1664 Revision A/Silica <5 mg/L 5 JB 6/11/2015 Gel Lead, Total EPA 200.7 <0.005 mg/L 0.005 AA 6/11/2015 Total Suspended Solids (TSS) SM 2540 D-1997 25.2 mg/L 5 JB 6/11/2015 Zinc, Total EPA 200.7 0.280 mg/L 0.01 AA 6/16/2015 NA = not analyzed P.O. Box 473 106 Short Street Kemersville, North Carolina 27284 Tel: 336-996-2841 Fax: 336-996-0326 www.randalabs.com Page 1 ral coa basic Ltd RESEARCh & ANAIYACA[ LABORATORIES, INC. Analytical / Process Consultations Phone (336) 996-2841 CHAIN OF CUSTODY RECORD WATER I WASTEWATER I M1SC. COMPANYn � Ue�re- /T �' JOB N0. o�OI� z u� t� v a Q Q Q ry ry ry ti �� ^' +" REQUESTED ANALYSIS STREET ADDRESS PROJECTZN CITY, SPATE, ZIP _ AA J t✓ SAMPLER NAME (PLE�SE PRINT) + Ce ONTACTHONE &Lkoa Qndlera� �7Y'2 IC SAMPLER SIGN U EC✓ $AMPLE ONLY) (LAB US ONLY) DATE TIME COMP GRAB EMIP .0 RES CI MORINE r �o SAMPLE M X SAMPLE LOCATION I I.D. S i S --ci G, rs `30 �, �kjMc - SDO- o 1 A'oe aT- e-'w 3 j ! Sro w ,- 9 9., P/� S'o�i r�erlPs'i.+ JoT 1 S►53 '—oZ (-S-JS VWY ,�C SAo-0�� N� �ernoi- :3 Aar! S� sib• 7�r- f)"rC-r o-1St C re S c va7�� /dT Legoi Ca a+� ELI , QUIS E DATErT1ME b]�!f 5�ila RECEIVED 8Y y t REMARKS: �N�e (-CJ— SAMPLE TEMPERATURE AT RECEIPT OC RELINQUISHED BY DATMIME RECEIVED BY RESEARCh & ANA1YTICA[ LAWRATOR1ES, INC. For: Deere Hitachi P.O. Box 1187 Kemersville, NC 27285 Attn: Debbie Randleman Report of Analysis 6/8/2015 `*itse1r1rii �-- psi O NC #34 z* NC #37701 �r♦�i�,,qp�,,,a,_��4 S"�' 1 �? +fir Client Sample ID: SD02 Lab Sample ID: 4823-01 Site: Deere Hitachi Collection Date: 5/29/2015 14:56 Parameter �:. Method' Y Result Rep Lrmit Aral st Analysis flate/Time Copper, Total EPA 200.7 0.013 mg/L 0.005 AA 6/2/2015 Hydrocarbons, Oil & Grease EPA 1664 Revision A/Silica <5 mg/L 5 JB 6/1/2015 Gel Lead, Total EPA 200.7 <0.005 mg/L 0.005 AA 6/2/2015 Total Suspended Solids (TSS) SM 2540 D-1997 10.4 mg/L 5 YJ 6/1/2015 Zinc, Total EPA 200.7 0,401 mg/L 0.01 AA 6/2/2015 Client Sample ID: SD03 (Rep) lab Sample ID: 4823-02 Site: Deere Hitachi Collection Date: 5/29/2015 14:48 "Rararheter _ Method Dnits_ 7Rep Limit_�Ana€ # `Arialys�s Dat2Ciiri�e' Copper, Total EPA 200.7 0.026 mg/L 0.005 AA 6rM015 Hydrocarbons, Oil & Grease EPA 1664 Revision A/Silica <5 mg1L 5 JB 6/1/2015 Gel Lead, Total EPA 200.7 0.008 mg/L 0.005 AA 6/2/2015 Total Suspended Solids (fSS) SM 2540 D-1997 122 mg/L 5 YJ 6/1/2015 Zinc, Total EPA 200.7 0.117 mg/L 0.01 AA 6/2/2015 NA = not analyzed P.O. Box 473 106 Short Street Kernersville, North Carolina 27284 Tel: 336-996-2841 Fax: 336-996-0326 www.randalabs.com Page i �81 wOG ua9fCi Vij RESEARCh & ANAIY CAI LABORATORIES, INC. Analytical / Process Consultations Phone 1336) 996-2841 CHAIN OF CUSTODY RECORD WATFR ! 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(See information below.) ® Yes ❑ No Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or "measureable storm event" (requirements vary, depending on the permit). Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event" or during a "measureable storm event" However, some permits do not have this requirement. Please refer to these definitions, if applicable. A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. A "measurable storm event" is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the permittee obtains approval from the local DWQ Regional Office. By this signature, I certify that this report is accurate and complete to the best of my knowledge: (Signature of Permittee or Designee) Pagel of 2 5WU-242, Last modified 10/25/2012 1. Outfall Description: Outfall No. SD03 Representative Creek be ide Guard Station #10 Just below Out -fall 3 Receiving Stream: Unnamed tributary to Kerners Mill Creek Describe the industrial activities that occur within the outfall drainage area:Parts and equipment storage, and truck traffic (Run-off from „Outfalls 3.4.5.6) Z. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors:. Light brown 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): None 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 0 2 3 4 5 S. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: 0 2 3 4 5 G. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: 0 2 3 4 5 7. is there any foam in the stormwater discharge? Yes No 8. Is there an oil sheen in the stormwater discharge? Yes No 9. Is there evidence of erosion or deposition at the outfall? Yes No 10. Other Obvious Indicators of Stormwater Pollution: List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 SWU-242, Last modified 10/25/2012 Semi-annual_ Stormwater Discharge Monitoring_ Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted 10-04-ZO14 CERTIFICATE OF COVERAGE NO. NCG030240 FACILITY NAME ^Deere -Hitachi Construction Machinery Corp COUNTY Forsyth _ PERSON COLLECTING SAMPLES - Aaron Paschal / Nick Dinger LABORATORY R & A Laboratories_ Lab Cert. # 34 Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2014 SAMPLE PERIOD ❑ Jan -June ® July -Dec or ® Monthly' September (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow ❑Water Supply [:]SA ®Other WS-111 PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 No discharge this period?' Non -Polar 0&G/ Date Sample 24-hour rainfall pH, Total Toxic Outfall No. Collected' amount, Total Suspended Solids Standard units Copper Lead Zinc Total Petroleum Organics (mo/dd/yr) -inches3 Hydrocarbons Benchmarks - - 100 mg/L or 50 mg/L 6.0 — 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L SDO-1 09/04/14 .35 9.62 8.89 0.030 <0.005 0.120 <5.0 - SDO-2 09/04/14 .35 13.3 8.88 0.013 <0.005 0.044 <5.0 - SDO-3 09/04/14 .35 69.4 7.54 0.031 <0.005 0.367 <5.0 - SD0-4 09/04/14 .35 33 8.63 0.031 <0.005 0.367 1 <5.0 - 1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfali. Z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. 4 See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies. 5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray tube manufacture use the definition found in 40 CFR 469.31). Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement: Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 1 of 3 "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), 1 certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." Alan Seeba Name (Print name) President Title (Print title) OJ6I&.O,, 10-02-2014 (Signature) (Date) Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical format. When results are below the applicable limits, theymust be reported in the format, "<XX mg/L where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. ❑ No discharge this period?' Outfall No. Pate Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches Non -polar O&G/TPH by EPA 1664 (SGT-HEM) Total Suspended Solids pH Benchmarks =__> _ - 15 mg/L 100 mg/L or 50 mg/L* 6.0 — 9.0 SU Footnotes from Part A also apply to this Part B * See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2 of 3 FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART li SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES NO REGIONAL OFFICE CONTACT NAME: _.PV-V\!a ! Or T Mail an original and one copy of this DMR including a!1 "No Discharge" reports, within 30 days o receipt a the lab results or at end o monitoringeriod in the case o "No Discharge" re arts to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 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." _! gym � 10/2/2014 (Signature of Permitteej (Date) Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted 10-04-2014 CERTIFICATE OF COVERAGE NO. NCG030240 FACILITY NAME Deere -Hitachi Construction Machinery Corp COUNTY Forsyth PERSON COLLECTING SAMPLES - Aaron Paschal / Nick Dinger LABORATORY R & A Laboratories_ Lab Cert. # 34 Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2014 SAMPLE PERIOD ❑ Jan -June ® July -Dec or ® Monthly'_ September (month) DISCHARGING TO CLASS ❑ORW ❑HQW []Trout ❑PNA []Zero -flow []Water Supply ❑SA ®Other WS-111 PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 ❑ No discharge this period?' Outfall;No' ;Date Sample 1 Collected (mo/dd/yr) 24 hour ralnfalli� .. amount, Inches Jotaf5uspended Solids pH, Standard units Copper Lead Zinc Non -Polar O&G/ Total Petroleum Hydrocarbons Total Toxic Organics s Benchrriarks _-> <. ... 100 mg/L or 50 mg/L° 6.0 — 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L SDO-1 09/04/14 .35 9.62 8.89 0.030 <0.005 0.120 <5.0 - 5DO-2 09/04/14 .35 13.3 8.88 0.013 <0.005 0.044 <5.0 - SDO-3 09/04/14 .35 69.4 7.54 0.031 <0.005 0.367 <5.0 - SDO-4 09/04/14 .35 33 1 8.63 1 0.031 <0.005 1 0.367 1 <5.0 - 1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. h See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies. 5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and For cathode ray tube manufacture use the definition found in 40 CFR 469.31). Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement: Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Pagel of 3 "Based upon my inquiry of the person or persons directly responsible. for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." Alin Seeba Name (Print name) President Title {Print title 10-02-2014 (Signature) (Date) Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical format. When results are below the applicable limits, they must be reported in the format, "<XX mjg/l.", where XX is the numerical value of the detection limit, reporting limit, etc, in mg/L. Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. ❑ No discharge this period?Z Outfall No r,. Date Sample r Collected. (mo/dd%yr) 24-hour rainfall •. amount, Inches Non-polar O&G/TPH by EPA '1664 (SGT-HEM) Total Suspended Solids pH Benchmarks =__> - 15 mg/L 100 mg/L or 50 mg/L* 6.0 — 9.0 SU Footnotes from Part A also apply to this Part B * See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2 of 3 FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART lI SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ®.NO REGIONAL OFFICE CONTACT NAME: __A \C.�-CC.lr10� " S{h,-C4ti Mai! an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the Jab results for at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 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) 10/2/2014 (Date) Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 `T`�A` NCDENR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling out this farm, please visit: hqp://portal.ncdenr.org/web/wglws/sulnpdessw##tab-4 Permit No.: N/C/ G/ 3 / 0/ 0 / 0 / 0 /_/or Certificate of Coverage No.: Facility Name: Deere Hitachi Construction Machinery Corp County: Fors Phone No. (336)996-8100 Inspector: Debbie Randleman Date of Inspection: 9-4-2014 Time of Inspection: 3:06 PM Total Event Precipitation (inches): Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) ® Yes ❑ No Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or "measureable storm event" (requirements vary, depending on the permit). f Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event" or during a "measureable storm event." However, some permits do not have this requirement. Please refer to these definitions, if applicable. 3 t i A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall 3 j i and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation, i j A "measurable storm event" is a storm event that results in an actual discharge from the j permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the permittee 3 1 obtains approval from the local DWQ Regional Office. By this signature, 1 certify that this report is accurate and complete to the best of my knowledge: (Signature of Permittee or Designee) Page 1 of 2 5WU-242, Last modified 10/25/2012 1. Outfall Description: Outfall No. SDO1 Pipe draining to creek near culvert which runs under Deere -Hitachi Rd. Receiving Stream: Unnamed tributary to Kerners Mill Creek Describe the industrial activities that occur within the outfall drainage area:Parts and equipment storage . truck traffic and employee parking 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: Light red 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): None 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: O2 3 4 5 5. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: O2 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: lO 2 3 4 5 7. Is there any foam in the stormwater discharge? Yes No S. Is there an oil sheen in the stormwater discharge? Yes No 9. Is there evidence of erosion or deposition at the outfall? Yes No 10. Other Obvious Indicators of Stormwater Pollution. - List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2of2 SWU-242, Last modified 10/25/2012 AG�� NCDENR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Forguidance on filling out this form, please visit: http://portal.ncdenr.org-tweb/wa/ws/su/npde.5sw#tab-4 Permit No.: N/C/ G/ 3 / 0/ 0 / 0 / 0 /_/or Certificate of Coverage No.: Facility Name: Deere Hitachi Construction Machine Corp County: Forsh Phone No. (335)996-8100 Inspector: Debbie Randleman Date of Inspection: 09/04114 Time of Inspection: 3:21 PM Total Event Precipitation (inches): .34" Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) ® Yes ❑ No Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or "measureable storm event" (requirements vary, depending on the permit). Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event" or during a "measureable storm event." However, some permits do not have this requirement. Please refer to these'definitions, if applicable. A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 01 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. A "measurable storm event" is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the permittee obtains approval from the local DWQ Regional Office. By this signature, I,certify that this report is accurate and complete to the best of my knowledge: (Signature of Permittee or Designee) Page 1 of 2 SWU-242, Last modified 10/25/2012 1. Outfall Description: Outfall No. SD02 Pine draining to creek from truck scales Receiving Stream: Unnamed tributary to Kerners Mill Creek Describe the industrial activities that occur within the outfall drainage area: Equipment storage, and truck traffic 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: Light red 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): None 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: Q2 3 4 5 5. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: 0 2 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: lO 2 3 4 5 7. Is there any foam in the stormwater discharge? Yes No B. is there an oil sheen in the stormwater discharge? Yes No 4. Is there evidence of erosion or deposition at the outfall? Yes No 10. Other Obvious Indicators of Stormwater Pollution: List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 SWU-242, Last modified 10/25/2012 ArIPIA NCDENR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling out this form, please visit: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4 Permit No.: N/C/ G/ 3 / 0/ 0 / 0 / 0 /^/or Certificate of Coverage No.: Facility Name: Deere Hitachi Construction Machinery Corp County: ForsAh Phone No. (336)996-8100 Inspector: Debbie Randleman Date of Inspection: 9/4/2014 Time of Inspection: 3:41 PM Total Event Precipitation (inches): .35 Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) ® Yes ❑ No Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or "measureable storm event" (requirements vary, depending on the permit). Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event" or during a "measureable storm event." However, some permits do pot have this requirement. Please refer to these definitions, if applicable. A "representative storm event' is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. A "measurable storm event" is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the permittee obtains approval from the local DWQ Regional Office. By this signature, I certify that this report is accurate and complete to the best of my knowledge: (Signature of Permittee or Designee) Pagel o€ 2 SWU-242, Last modified 10/25/2012 1. Outfall Description: Outfall No. SD03 Representative Creek beside Guard Station #10 just below Outfall 3 Receiving Stream: Unnamed tributary to Kerners Mill Creek Describe the industrial activities that occur within the outfall drainage area:Parts and a ui meat storage, and truck traffic (Run-off from Outfalls 3,4,5.6) rn 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: Light red 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): None 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 1O 2 3 4 5 S. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: O2 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: O2 3 4 5 7. Is there any foam in the stormwater discharge? Yes No 8. Is there an oil sheen in the stormwater discharge? Yes No 9. Is there evidence of erosion or deposition at the outfall? Yes No 10. Other Obvious Indicators of Stormwater Pollution: List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 Swil-242, Last modified 10J25/2012 NCDENR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on fining out this form, please visit. hqpi //portal.ncdenr.org/web/wq/wsjsa/npdessw#tab-4 Permit No.: N/C/ G/ 3 / 0/ 0 / 0 / 0 /_/or Certificate of Coverage No.: Facility Name: Deere Hitachi Construction Machinery Corp County: Forsyth Phone No. (336)996-8100 Inspector: Debbie Randleman Date of Inspection: 09104/2014 Time of Inspection: 3:29PM Total Event Precipitation (inches): .35 Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) ® Yes ❑ No Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or "measureable storm event" (requirements vary, depending on the permit). Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event" or during a "measureable storm event." However, some permits do not have this requirement. Please refer to these definitions, if applicable. A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. A "measurable storm event" is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the permittee obtains approval from the local DWQ Regional Office. By this signature, I certify that this report is accurate and complete to the best of my knowledge: (Signature of Permittee or Designee) Pagel of 2 SWU-242, Last modified 10/25/2012 1. Outfall Description: Outfall No. SD04 Representative 60" pipes located on the south side of the plant near guard station 10 and Outfall 2. Receiving Stream: Unnamed tributary to Kerners Mill Creek Describe the industrial activities that occur within the outfall drainage area: Equipment storage, and truck traffic 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: Light red I Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): None 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: O2 3 4 5 5. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: O2 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: lO 2 3 4 5 7. Is there any foam in the stormwater discharge? Yes No 8. Is there an oil sheen in the stormwater discharge? Yes No 9. Is there evidence of erosion or deposition at the outfall? Yes No 10. Other Obvious Indicators of Stormwater Pollution: List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 SWU-242, Last modified 10/25/2012 ��A NCDENR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling out this farm, please visit: http:llpor-tal.ncdenr.org/wrb/wq ws u n dessw#tab-4 Permit No.: N/C/ G/ 3 / 0/ 0 / Q / 0 /_/or Certificate of Coverage No.: Facility Name: Deere Hitachi Construction Machinery Corte County: Forsy1h Phone No. (336)996-8100 Inspector: Debbie Randleman Date of Inspection: 9/412014 _ Time of Inspection: 3:45 PM Total Event Precipitation (inches): .35 Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) A Em Please verify whether Qualitative Monitoring must be performed during a `representative storm event" or "measureable storm event" (requirements vary, depending on the permit). Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event" or during a "measureable storm event." However, some permits do not have this requirement. Please refer to these definitions, if applicable. A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. A "measurable storm event" is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the permittee obtains approval from the local DWQ Regional Office. By this signature, I certify that this report is accurate and complete to the best of my knowledge: (Signature of Permittee or Designee) Pagel of 2 SWU-242, Last modified 10/25/2012 1. Outfall Description: Outfall No. SD03 Stone lined ditch on Lot #1 drainage to creek beside Guard Station #10. Receiving Stream: Unnamed tributary to Kerners Mill Creek Describe the industrial activities that occur within the outfall drainage area:Parts and equipment storage and truck traffic 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: Light red 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): None 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 0 2 3 4 5 S. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: lO 2 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: O2 3 4 5 7. Is there any foam in the stormwater discharge? Yes No 8. Is there an oil sheen in the stormwater discharge? Yes No 9. Is there evidence of erosion or deposition at the outfall? Yes No 10. Other Obvious Indicators of Stormwater Pollution: List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 SWu-242, Last modified 10/25/2012 Ata NCDENR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling out this form, please visit: htt / /portal.ncdenr.org/web/wgfws/su/npdessw#tab-4 Permit No.: N/C/ G/ 3 / Q/ 0 / 0 / 0 /_/or Certificate of Coverage No.: Facility Name: Deere Hitachi Construction Machinery Corp County: Fors h Phone No. 336 996-8100 Inspector: Debbie Randleman Date of Inspection: 09,10412014 Time of Inspection: 3:55 PM Total Event Precipitation (inches): .35 Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) ® Yes ❑ No Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or "measureable storm event" (requirements vary, depending on the permit). Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event" or during a "measureable storm event." However, some permits do not have this requirement. Please refer to these definitions, if applicable. A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. A "measurable storm event" is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the permittee obtains approval from the local DWQ Regional Office. By this signature, I certify that this report is accurate and complete to the best of my knowledge: (Signature of Permittee or Designee) Page 1 of 2 SWU-242, Last modified 10/25/2012 1. Outfall Description: Outfall No. SD04 Basin located on the north side of the plant and near the PSL trailer before it goes into the bypass. Receiving Stream: Unnamed tributary to Kerners Mill Creek Describe the industrial activities that occur within the outfall drainage area: Equipment storage, and truck traffic 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: Light red 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): None 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: O2 3 4 5 S. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: lO 2 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: lO 2 3 4 5 7. Is there any foam in the stormwater discharge? Yes No 8. Is there an oil sheen in the stormwater discharge? Yes S 9. Is there evidence of erosion or deposition at the outfall? Yes No 10. Other Obvious Indicators of Stormwater Pollution: List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 SWU-242, Last modified 10; 25/2012 NCDENR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Forguidance on filling out this form, please visit: hUD:I jportal.ncdennorg/web/wq jws/suf nndessw#tab-4 Permit No.: N/C/ G/ 3 / 0/ 0 / 0 / 0 /_/or Certificate of Coverage No.: Facility Name: Deere Hitachi Construction Machinery Corp County: Forsy1h Phone No. (336)996-8100 Inspector: Debbie Randleman Date of Inspection: 9 f 4/2014 Time of Inspection: 4:00 PM Total Event Precipitation (inches): .3S Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) ® Yes ❑ No Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or "measureable storm event" (requirements vary, depending on the permit). Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event" or during a "measureable storm event." However, some permits do not have this requirement. Please refer to these definitions, if applicable. A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. A "measurable storm event" is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the permittee obtains approval from the local DWQ Regional Office. By this signature, I certify that this report is accurate and complete to the best of my knowledge: (Signature of Permittee or Designee) Pagel of 2 SM-242, Last modified 10/25/2012 I. Outfall Description: Outfall No. SDO5 Discharge from East Campus Pond Receiving Stream: Unnamed tributary to Kerner5Mill Creek Describe the industrial activities that occur within the outfall drainage area: Equipment storage truck traffic, excavator test pad and employee parking_ _ 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: Clear 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): None 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: O2 3 4 5 5. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: O 2 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: O2 3 4 5 7. Is there any foam in the stormwater discharge? Yes No 8. Is there an oil sheen in the stormwater discharge? Yes S 9. Is there evidence of erosion or deposition at the outfall? Yes No 10. Other Obvious Indicators of Stormwater Pollution: List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 5WU-242, Last modified 10/25/2012 ja NCDENR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling out this form, please visit: http://oortal.ncdenr.org/web/wqf ws/sulnpdessw#tab-4 Permit No.: N/C/ G/ 3 / 0/ 0 / 0 / 0 /_/or Certificate of Coverage No.: Facility Name: Deere Hitachi Construction Machined Corp County: Fors h Phone No. (336)996-8100 Inspector: Debbie Randleman Date of Inspection: 09/04/2014 Time of Inspection: 3:50 PM Total Event Precipitation (inches): .35 Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) ® Yes ❑ No Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or "measureable storm event" (requirements vary, depending on the permit). Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event" or during a "measureable storm event." However, some permits do not have this requirement. Please refer to these definitions, if applicable. A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. A "measurable storm event" is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the permittee obtains approval from the local DWQ Regional Office. By this signature, I certify that this report is accurate and complete to the best of my knowledge: (Signature of Permittee or Designee) Pagel of 2 SWU-242, Last modified 10/2S/2012 1. Outfall Description: Outfall No. SD06 Basin located on East side on South Paint building Receiving Stream: Unnamed tributary to Kerners Mill Creek Describe the industrial activities that occur within the outfall drainage area: Equipment storage, 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: Light Red 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): None 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 0 2 3 4 5 5. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: 0 2 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: O2 3 4 5 7. Is there any foam in the stormwater discharge? Yes No 8. Is there an oil sheen in the stormwater discharge? Yes No 9. Is there evidence of erosion or deposition at the outfall? Yes No 10. Other Obvious Indicators of Stormwater Pollution: List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 SWU-242, Last modified 10/25/2012 RESEARCh & ANAIY CA1. LAbORATOOES, INC. Analytical I Process Consultations Phone 1336) 996-2841 CHAIN OF CUSTODY RECORD WATER 1 WASTEWATER I misc. • '• •; • L • • • _ • • • w- REQUESTED ANALYSIS STREET ADDRESS -PROJECT .r CONTACT• SAMPLE LOCATION I LID. 4 =■11�OM M. - . ■■■■■eo■er■■ ■�s ... mmmo■■■■m _ ■■■■■■■■■■■■ ■■■ - ._.. ■■■m■■■■■■■■ ,,.... _ ■■■■■■■■■■■■ ■■■ .. m_■■■■■■�V t r. ■■■■■■■■■.■■ ■■■ a L m-■■■■-■ + * ■■■■■■■■■.■■ ■■■ 111mmma■■■■�■ . ■■■i■ee■e■■■ ■■■ _m■■■■-- , 1 f, fa► _ ■■■■■■■■■.■■ ■■■� ■■e■■■■■■■■■ . ....:■■■■■■■■■�■■ ■■■� a■■■■■■■■■■ . .. .... ■■■■■■■■■■■■ ■■■� �■■mmmmm■■■ ■■■■■■■■■■■■ ■■■�■►r■■■ ■= ■■■■■■ ■■■■■■■■■■■■ ■■■��� ■ mmmm■mm ■■■■■■■■■m■■ ■■■ RELINQUISHED : 1 : -. RESEARCh & ANA[yTICA1 LABORATORIES, INC. Analytical/Process Consultations Deere Hitachi P.O. Box 1187 Kernersville, NC 27285 Attn: Debbie Randleman Date Sample Collected Date Sample Received Date Sample Analyzed Date of Report Analyses Performed by Lab Sample Number -------------------- 793992 Parameter Storet # Results TSS (00530) 9.62 mg/1 Oil & Grease (00556) <5.0 mg/1 Lead,Tot (01051) <0.005 mg/l Copper,Tot (01042) 0.030 mg/1 Zinc,Tot (01092) 0.120 mg/l -------------------- Clients Sample Source SD01-PIPE AT CREEK Number SOUTH PARKING LOT M Time Collected (Hrs) 1506 09/04/14 09/05/14 09/05/14 09/15/14 SK -JP -AA P.O. Box 473 • 106 Short Street • Kernersville, North Carolina 27284 • 336-996-2841 • Fax 336-996-0326 www,randalabs.com RESEARCh & ANAIYACA1 LABORATORIES, INC. Analytical/Process Consultations Deere Hitachi P.O. Box 1187 Kernersville, NC 27285 Attn: Debbie Randleman Date Sample Collected Date Sample Received Date Sample Analyzed Date of Report Analyses Performed by Lab Sample Number -------------------- 793993 Parameter Storet 4 Results TSS (00530) 13.3 mg/l Oil & Grease (00556) <5.0 mg/l Lead,Tot (01051) <0.005 mg/l Copper,Tot (01042) 0.013 mg/l Zinc,Tot (01092) 0.044 mg/l -------------------- Clients Sample Source SD02-PIPE AT CREEK Number BESIDE RAIL SPUR (MA Time Collected (Hrs) 1521 g ANALyp 10 .......1 NCZ. i34 vp AIA 09/04/14 09/05/14 09/05/14 09/15/14 SK -JB -AA P.O. Box 473 • 106 Short Street • Kernersville, North Carolina 27264 • 336-996-2841 • Fax 336-996-0326 wnvw.randalabs.com RESEARCh & ANA1yTICAL LkORATWES, INC. Analytical/Process Consultations Deere Hitachi P.O. Box 1187 Kernersville, NC 27285 Attn: Debbie Randleman Date Sample Collected Date Sample Received Date Sample Analyzed Date of Report Analyses Performed by Lab Sample Number -------------------- 793994 Parameter Storet # Results TSS (00530) 69.4 mg/l Oil & Grease (00556) c5.0 mg/l Lead,Tot {01051) c0.005 mg/l Copper,Tot (01042) 0.031 mg/l Zinc,Tot (01092) 0.367 mg/l -------------------- Clients Sample Source SD03-CULVER (CREEK) Number FAST SIDE OF GUARD S Time Collected (Hrs) 1541 09/04/14 09/05/14 09/05/14 09/15/14 SK -JP -AA R 0. Box 473 • 106 Short Street • Kernersville. North Carolina 27284 • 336-996-2841 • Fax 336-996-0326 www.randalabs.corn RESEARCh & ANA1YTICA[ LABORATORIES, INC. Analytical/Process Consultations Deere Hitachi Date Sample Collected 09/04/14 P.O. Sox 1187 Date Sample Received 09/05/14 Kernersville, NC 27285 Date Sample Analyzed 09/05/14 Attn: Debbie Randleman Date of Report 09/15/14 Analyses Performed by SK -JP -AA Lab Sample Number -------------------- 793995 Parameter Storet # Results TSS (00530) 33.0 mg/l Oil & Grease (00556) c5.0 mg/1 Lead,Tot (01051) <0.005 mg/l Copper,Tot (01042) 0.031 mg/l Zinc,Tot (01092) 0.367 mg/l -------------------- Clients Sample Source SD04-PIPE LOCATED ON Number WESTSIDE OF GUARD ST Time Collected (Hrs) 1529 P.O. Box 473 • 106 Short Street • Kernersville, North Carolina 27264 • 336-996-2841 • Fax 336-996-0326 www randalabs.com JOHN DEERS I HITACHI Deere -Hitachi Construction Machinery Corp. P.O. Box 1187 1000 Deere -Hitachi Road (27284) KemersviAe, NC 27285-1187 Phone: 336-996-8100 Fax: 336-996-8201 October 02, 2014 Attn: DWQ Central Files i J Division of Water Quality �,F r w_ 1617 Mail Service Center Raleigh, NC 27699-1617 LNR. 0 7 2014 1i R P RMIT7 PERMITTING Re: 2014 2" d Period NPDES Stormwater Report "MC-SDOi, MC-SD02, MC-SD03 [Representative], MC-SD04 [Representative]" Qualitative Monitoring Reports — "MC-SD03, MC-SD04, MC-SDOS, MC-SD06 Deere -Hitachi Construction Machinery Corp. Permit # NCG030240 Stormwater Section: Enclosed are the semi-annual stormwater monitoring reports for our Kernersville facility for 2014. Four stormwater discharge outfalls (MC-SDO1, MC-SD02, MC-SD03 [Representative] and MC-SD04 [Representative]) were sampled on September 04, 2014. The water sampling was done by Debbie Randleman (Environmental Coordinator) Et Charles Bingman (Environmental Technician) Deere -Hitachi, (336) 996-8100. The sample analysis was completed by R&A Laboratories, 106 Short Street, Kernersville, NC. The samples were analyzed for TSS, Oil Et Grease, Copper and Zinc. Temperature and pH was performed in-house by Debbie Randleman and Charles Bingman. The monitoring results are shown on form SWU-245. You will also find Qualitative Monitoring Reports for MC-SD03, MC-SD04, MC-SD05 and MC-SD06. Please see attached documents. If you have any questions or comments, please contact Barry Chipman, EHS General Supervisor, (336) 996-8177 at your convenience. Sincerely, oin, 1, � Aw— Alan Seeba President 1 Deere -Hitachi Construction Machinery Corp. JOHN DEERE I H ITACH! P.O. Box 1187 1000 Deere -Hitachi Road (27284) Kemersville, NC 27285-1187 Phone: 336-996-8100 Fax: 336-996-8201 August 12, 2014 RECEIVED Attn: DWQ Central Files AUG 1 Department of Environment and Natural Resources 4 2014 Division of Water Quality CENTRAL FILES 1617 Mail Service Center DWQ/BOG Raleigh, NC 27699-1617 Re: 2014— SDO-1, SDO-2, SD-3, SDO-4 & SDO-6 Stormwater Report Deere -Hitachi Construction Machinery Corp. Permit # NCG030240 Stormwater Section: Enclosed are the stormwater monitoring reports for Kernersville facility for August 1'2014. Four stormwater discharge outfalls (SDO-1, SDO-2, SDO-4 and SDO-6) were sampled in August 2014 in response to the exceedances reported in June 2014. The water sampling was done by Aaron Paschal St Nick Dinger (Environmental Technicians) Deere -Hitachi, (336) 996-8100. The sample analysis was completed by R&A Laboratories, 106 Short Street, Kernersville, NC. The samples were analyzed for TSS, Copper and Zinc. Temperature and pH was performed in- house by Aaron Paschal Ft Nick Dinger. The monitoring results are shown on form SWU-245. You will also find a "No Flow" report for SDO-3. We have begun monthly monitoring of the following outfalls due to exceedences in Copper Et Zinc. Please see attached document. If you have any questions or comments, please contact Barry Chipman, EHS General Supervisor, (336) 996-8177 at your convenience. Sincerely, �.. 1wWK Alan Seeba President Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted CERTIFICATE OF COVERAGE NO. NCG030240 FACILITY NAME _Deere -Hitachi Construction Machinery Corp COUNTY Forsyth _ PERSON COLLECTING SAMPLES - Aaron Paschal / Nick Dinger LABORATORY R & A Laboratories_ Lab Cert. # 34 Comments on sample collection or analysis: Part A: 5tormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2014 SAMPLE PERIOD ❑ Jan -June ❑ July -Dec or ® Monthly' August (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑zero -flow ❑Water Supply ❑SA ®Other WS-111 PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 El No discharge this period?z Date Sample 24=hour rainfall pH, Non -Polar O&G/Total Toxic Outfall No. Collected' amount, Total Suspended Solids Standard units Copper Lead Zinc Total Petroleum Organics$ (mo/dd/yr) Inches3 Hydrocarbons Benchmarks =__> _ - 100 mg/L or 5o mg/L 6.0 — 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L SDO-1 08/01/14 1.39 2.33 8.14 .008 - - - - SDO-2 08/01/14 1.39 - 7.85 - - 1.22 - - SDO-4 08/01/14 1.39 9.0 7.68 0.010 - 1.00 - - SDO-6 08/01/14 1.39 - 7.73 0.010 - - I- I- ' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. 2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. 4 See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies. 5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray tube manufacture use the definition found in 40 CFR 469.31). Facilities that incorporate a solvent management plant into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement: Permit Date: 11/l/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 1 of 3 "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." A(See�lx Name (Print name) Pry Title (Print title) A (Signature) .2-IZ-114 (Date) Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical format. When results are below the applicable limits, they must be reported in the format, "<XX melt where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. ❑ No discharge this period?z Outfail No. Date'Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches3 Non -polar O&G/TPH by EPA 1664 (SGT-HEM) Total Suspended Solids pH Benchmarks =__> _ - 15 mg/L 100 mg/L or 50 mg/L* 6.0 — 9.0 SU Footnotes from Part A also apply to this Part B * See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2 of 3 FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results for at end of monitoring period in the case o "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 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:11/1/2012-10/31/2017 i a 2aiq (Date) SWU-245, last revised 10/25/2012 Page 3 of 3 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted CERTIFICATE OF COVERAGE NO. NCG030240 FACILITY NAME Deere -Hitachi Construction Machinery Corp COUNTY Forsyth PERSON COLLECTING SAMPLES LABORATORY R & A Laboratories_ Lab Cert. # 34 Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2014 SAMPLE PERIOD ❑ Jan -June ❑ July -Dec or ® Monthly) August _ (month) DISCHARGING TO CLASS ❑ORW ❑HQW [—]Trout ❑PNA ❑Zero -flaw ❑Water supply [:]SA ®Other WS-111 PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 N No discharge this period?2 Outfall'No: • : Date.Sample 1 .. '_.Collected (mo/d .d/yr) 24=hour rainfall amount, 'Inches� Total Suspended Solids pH, Standard units Copper Lead Zinc Non -Polar O&G/ Total Petroleum Hydrocarbons Total Toxic s Organics Benchmarks - _>' - - 100'mg/L or SO mg/L 6.0 — 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L -------------- SDO-3 8/1/14 No Discharge - 1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. 2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. 4 See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies. 5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray tube manufacture use the definition found in 40 CFR 469.31). Facilities that incorporate a solvent management plan into the Stormwater Pollution prevention Plan may so certify, and the requirement for Tf0 monitoring may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement: Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 1 of 3 "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my Knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." A(� j4a, Name (Print name) Title (Print title) f - _ _ zvl� (Signature) (Date) Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical format. When results are below the applicable limits, they -must be reported in the format, "<_XX me(L", where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. ❑ No discharge this period?2 Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches; Non -polar O&G/TPH by EPA 1664 (SGT-HEM) Total Suspended Solids pH Benchmarks===> _ - 15 mg/L 100 mg/L or 50 mg/L* 6.0 — 9.0 SU Footnotes from Part A also apply to this Part B * See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2 of 3 FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS, SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an on inal and one copy of this DMR including all "No Discharge" reports, within 30 days of recel t of the lab results Lor at end of monitoring period in the case o "No Discharge" reports to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 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. am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of Permittee) 1 Z A Zol (Date) Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 RESEARCh & ANA[YTICAI LABORATORIES, INC. Analytical 1 Process Consultations Phone (3361 996-2841 CHAIN OF CUSTODY RECORD WATER r WASTEWATER — MISC COMPANY JOB NO. o x Gjp, y0. y � o ry0 b a�v v4 v v �� i ti ti ry �`� REQUESTED ANALYSIS STREET ADDRESS loco PROJECT -S!arm WNTty CITY, STATE, ZIP tar t� lit " SAMPLER NAME (PLEASE " PRI�� Crd,VC � CONTACT PVIONE Qe Lke RQAjlem4*,l .33b�l0-If -425 '. , SAMPLER SIGt,AT SAMPLE NUMBER (LAD USE ONLY) DATE TIME COMP GRAB TEMP .0 RES CI REMOVED Is �rq SAMPLE LOCATION f I.D. G r� 9r08 i - `J 1 _ ,% asp ?occ,.k� f �'l►�_ SS J �INaUISHED 8Y >r 4ATE{fllvlE ell 1 RECEIVED BY REMARKS: SAMPLE TEMPERATURE AT RECEIPT �' 'C RELINQUQHED BY DATEmME RECEIVED B RESEARCI & ANA[YTICA[ LAbORATORES, INC. Analytical/Process Consultations Deere Hitachi Date sample Collected : o&/ol/14 P.O. Box 1187 Date Sample Received : 08/01/14 Kernersville, NC 27285 Date Sample Analyzed : 08/01/14 Attn: Debbie Randleman Date of Report : 08/07/14 Analyses Performed by : YJ -AA Lab Sample Number -------------------- 791485 Parameter Storet # Results TSS (00530) 2.33 mg/l Copper,Tot (01042) 0.008 mg/1 -------------------- Clients Sample Source SDO 1 PIPE Q CREEK Number SOUTH PARKING LOT Time Collected (Hrs) 0610 P.O. Jinx 473. 106 Short Street • Kernersville. North Carolina 27284 r 336-996-2841 r Fax 336-996-0326 www.randalabs.com RESEARch & ANA[YTICA[ LABORATORIES, INC. Analytical/Process Consultations Deere Hitachi P.O. Box 1187 Kernersville, NC 27284 Attn: Debbie Randleman Date Sample Collected Date Sample Received Date Sample Analyzed Date of Report Analyses Performed by Lab Sample Number -------------------- 791486 Parameter Storet 4 Results Zinc,Tot (01092) 1.22 mg/l -------------------- Clients Sample Source SD02 PIPE DRAINING Number FROM CREEK FROM TRUC Time Collected (Hrs) 1259 08/01/14 08/01/14 08/01/14 08/07/14 AA P.O. Box 473 • 106 Short Street • Kernersville, North Carolina 27284 r 336-996-2841 • Fax 336-996-0326 www.randalabs.com RESEARCh & ANA1YTICAL `''c�:� f'' �`� '� . LAbORATORiEs, INC. c* NC#34 z, Analytical/Process Consultations t 41,jE�IAP`,� Deere Hitachi Date Sample Collected 08/01/14 P.O. Box 1187 Date Sample Received 08/01/14 Kernersville, NC 27285 Date Sample Analyzed 08/01/14 Attn: Debbie Randleman Date of Report 08/07/14 Analyses Performed by YJ -AA Lab Sample Number -------------------- 791487 Parameter Storet n Results TSS (00530) 9.0 mg/l Copper,Tot (01042) 0.010 mg/1 Zinc,Tot (01092) 1.o0 mg/1 -------------------- Clients Sample Source SD04 BASIN ON NORTH Number SIDE NEW PSL TRAILER Time Collected (Hrs) 0808 P 0. Box 473 • 106 Short Street • Kernersville, North Carolina 27264 • 336-996-2841 • Fax 336-996-0326 vnvw.randalahs.com , . +`3*sIItIIIIpipei' RESEARch & ANA1yTICA UbORATORVS, INC. Cd .'W c��'ja 0 �• c�" NC#34 z: Analytical/Process Consultations Deere Hitachi Date Sample Collected 08/01/14 P.0- Box 1197 Date Sample Received 08/01/14 Kernersville, NC 27285 Date Sample Analyzed : 08/01/14 Attn: Debbie Randleman Date of Report 08/07/14 Analyses Performed by AA Lab Sample Humber -------------------- 791488 Parameter Storet # Results Copper,Tot (01042) 0.010 mg/l -------------------- Clients Sample Source SD06 BASIN LOCATED Number ON EAST SIDE OF SOUT Time Collected (T-irs) 1315 P.O. Box 473 . 106 Short Street • Kernersville. North Carolina 27284 • 336.996-2B41 • Fax 336-996.0326 vAm.randalabs.com NCDENR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Forguidance on filling out this form, please visit. http://p rtal.ncdgnr.orglweb./wg lws/su/npdessw#tab_4 Permit No.: N/C/ G/ 3 / 0/ 0 / 0 / 0 /�/or Certificate of Coverage No.: Facility Name: Deere -Hitachi Construction Machinery Corp County: Forsyjh Phone No. (336)996-8100 Inspector: DCbbie Randleman Date of Inspection: 811 /2014 Time of Inspection. 6:10 AM Total Event Precipitation (inches): _1.39 Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) ® Yes ❑ No Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or "measureable storm event" (requirements vary, depending on the permit). Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event" or during a "measureable storm event." However, some permits do not have this requirement. Please refer to these definitions, if applicable. A "representative storm event' is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. A "measurable storm event" is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the permittee obtains approval from the local DWQ Regional Office. By this signature] I certify that this report is accurate and complete to the best of my knowledge: (Signature of Permittee or Designee) Page 1 of 2 SWU-242, Last modified 10/25/2012 1. Outfall Description: Outfall No. SDO1 Pipe draining to creek near culvert which runs under Deere -Hitachi Rd. Receiving Stream: Unnamed tributary to Kerners Mill Creek Describe the industrial activities that occur within the outfall drainage area:Parts and equipment storage truck traffic and employee parking 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: Light red 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): None 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 1 O2 3 4 5 S. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: 1a 2 3 4 5 G. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: 7. B. 9. lO 2 3 Is there any foam in the stormwater discharge? 4 5 Yes Is there an oil sheen in the stormwater discharge? Yes No S Is there evidence of erosion or deposition at the outfall? Yes No 10. Other Obvious Indicators of Stormwater Pollution: List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 SWU-242, Last modified 10/25/2012 = KWI rAlv NCDENR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling out this form, please visit: htW://portal.ncdenr.org/web jwtt/ws/su/nndessw#ta} -4 Permit No.: N/C/ G/ 3 / 0/ 0 / 0 / 0 /�/or Certificate of Coverage No.: Facility Name: Deere Hitachi Construction Machinery Corp County: Forsyth Phone No. 336 996-8100 Inspector: Debbie Randleman Date of Inspection: 08/01114 Time of Inspection: 12:59 PM Total Event Precipitation (inches): 1.39 Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) ® Yes ❑ No Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or "measureable storm event" (requirements vary, depending on the permit). Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event" or during a "measureable storm event." However, some permits do not have this requirement. Please refer to these definitions, if applicable. i A "representative storm event' is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. A "measurable storm event" is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the permittee 3 obtains approval from the local DWQ Regional Office. By this signature, j certify that this report is accurate and complete to the best of my knowledge: (Signature of Permittee or Designee) Pagel of 2 5WU-242, Last modified 10/25/2012 1. Outfall Description: Outfali No. SD02 Pipe draining to creek from truck scales Receiving Stream: Unnamed tributary to KernersM, ,ill Creek Describe the industrial activities that occur within the outfall drainage area:Equipment storage, and truck traffic 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: Light red 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): None 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 1 (2 3 4 5 5. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: 1O 2 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: O2 3 4 5 7. is there any foam in the stormwater discharge? Yes No B. Is there an oil sheen in the stormwater discharge? Yes No 9. Is there evidence of erosion or deposition at the outfall? Yes No 10. Other Obvious Indicators of stormwater Pollution: List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 SM-242, Last modified 10/25/2012 NCDENR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Forguidanceonfilling out thisform,please visit. htt://portal.ncdenr.org/web/wq/ws%su/npdessw#tab-4 Permit No.: N/C/ G/ 3 / 0/ 0 / 0 / 0 /�/or Certificate of Coverage No.: Facility Name: Deere Hitachi Construction Machinery Corp County: Forsy1h Phone No. (336)996-8100 Inspector: Debbie Randleman Date of Inspection: 08 01 2014 Time of Inspection: 8:08 AM Total Event Precipitation (inches): 1 39 Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) ® Yes ❑ No Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or "measureable storm event" (requirements vary, depending on the permit). Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event" or during a "measureable storm event." However, some permits do not have this requirement. Please refer to these definitions, if applicable. A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. A "measurable storm event" is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the permittee obtains approval from the local DWQ Regional Office. By this signature, I cegify that this report is accurate and complete to the best of my knowledge: (Signature of Permittee or Designee) Page 1 of 2 SWU-242, Last modified 10/25/2012 1. Outfall Description: Outfall No. SDO4 Basin located on the north side of the plant and near the PSL trailer before it goes into the bypass. Receiving Stream: Unnamed tributary to Kerners Mill Creek Describe the industrial activities that occur within the outfall drainage area:Equipment storage, and truck traffic 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: Clear 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): None 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 1a 2 3 4 5 5. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: 1O 2 3 4 5 b. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: 1 O 3 4 5 7. Is there any foam in the stormwater discharge? Yes No S. Is there an oil sheen in the stormwater discharge? Yes No 9. is there evidence of erosion or deposition at the outfall? Yes No 10. Other Obvious Indicators of Stormwater Pollution: List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 SWU-242, Last modified 10/25/2012 NCDENR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Forguidance on filling out this form, please visit: h ortal.ncd nr.or web w ws u n dessw#tab-4 Permit No.: N/C/ G/ 3 / 0/ 0 / 0 / 0 /_/or Certificate of Coverage No.: Facility Name: Deere Hitachi Construction Machinery Corp County: Forsyth Phone No. (336)996-8100 Inspector: Debbie Randleman Date of Inspection: 08/01/2014 Time of Inspection: 1:15 PM Total Event Precipitation (inches): 1.39 Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) M Yes ❑ No Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or "measureable storm event" (requirements vary, depending on the permit). Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event" or during a "measureable storm event." However, some permits do not have this requirement. Please refer to these definitions, if applicable. A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. A "measurable storm event" is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the permittee obtains approval from the local DWQ Regional Office. By this signature,,i certify that this report is accurate and complete to the best of my knowledge: (Signature of Permittee or Designee) Page 1 of 2 5wU-242, Last modified 10/25/2012 1. Outfall Description: Outfall No. SD06 Basin located on East side on South Paint building Receiving Stream: Unnamed tributary to Kerners Mill Creek Describe the industrial activities that occur within the outfall drainage area: Equipment storage, truck traffic 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: Light Red 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): None 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 0 2 3 4 .5 S. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: O 2 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: Q2 3 4 5 7. Is there any foam in the stormwater discharge? Yes No 8. Is there an oil sheen in the stormwater discharge? . Yes S 9. Is there evidence of erosion or deposition at the outfall? Yes No 10. Other Obvious indicators of Stormwater Pollution: List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 SWU-242, Last modified 10/25/2012 Randleman, Debbie From: Kara Van Blarcum<Kara.VanBlarcum@anteagroup.com> Sent: Wednesday, July 16, 2014 3:36 PM To: Randleman, Debbie Cc: Tony Rossano Subject: Stormwater Sampling - Tiered Response Notes Attachments: Map.xlsx Debbie, Attached are the maps from the tiered response meeting. Kara J. Van Blarcum I Project Professional I USA Antea®Group 704-543-3938 8008 Corporate Center Drive, Ste 100, Charlotte, NC 28226 Skype: kvblarcum I kara.vanblarcumC&anteaeroup.com I www.anteagroup.com 0 ante6group Member of Inogen• I wwwJnogenet.com This e-mail is personal. For our full disclaimer, please visit littp://www.anteagroun.com/confident]ality. �1�w � r� f wi � • fulr�. .. t a' rss k% w`= SDO 1: Benchmark Exceedances: TSS, pH, and Copper FIGURE 1 - OUTFALL 1 TIERED RESPONSE PROJECT NO: O Deere -Hitachi Construction Machinery Corp. DATE: 7/16/2014 1000 Deere -Hitachi Road SCALE: NT5 HODS Corporate Center Drive, Suite 100 Kernersville, North Carolina DRAWN BY: KVB a ntea g ro u p Charlotte, North Carolina 28226 Source: Google Earth; April 5, 2013 New South Paint Building - Corrective Action: Verity building Galvanized? material SDO 2: Benchmark Exceedances: Zinc FIGURE 2 - OUTFALL 2 TIERED RESPONSE PROJECT NO: Deere -Hitachi Construction Machinery Corp. DATE: 7/16/2414 ✓ �`' 1000 Deere -Hitachi Road SCALE: NTS 8008 Corporate Center Drive, Suite 100 Kernersville, North Carolina DRAWN BY: KVB a me a g ro u p Charlotte, North Carolina 28226 Source: Google Earth; April 5, 2013 v :a -'" Concrete Area ^ ti New South. " Paint Building - ` ?� Galvanized? Ir #,. m.. ;: b~ Gravel Area " P� r nutfall3 y�amq... !! ''•.,� _ �. SDO 3: Benchmark Exceedances: TSS, Copper, and Zinc FIGURE 3 - OUTFALL 3 TIERED RESPONSE PROJECT Na: 0 Deere -Hitachi Construction Machinery Corp. DATE: 7/16/2014 1000 Deere -Hitachi Road SCALE: NTS 8008 Corporate Center Drive, Suite 100 Kernersville, North Carolina DRAWN BY: KVB a ntea'g ro u p Charlotte, North Carolina 28226 Source: Google Earth; April 5, 2013 Active Construction Concrete Area ,. Outfall b 01 New South 14�"-'"-"• n 1 e Paint Building- Galvanized? F - It. hW p 4. .. -t IVA ` Gravel Area 1.. I„ - Y -A SDO 6: Benchmark Exceedances: Copper FIGURE 5 - OUTFALL 6 TIERED RESPONSE PROJECT NO: L/ Deere -Hitachi Construction Machinery Corp. DATE: 7/16/2014 1000 Deere -Hitachi Road SCALE; NT5 8008 Corporate Center Drive, Suite 100 Kernersville, North Carolina DRAWN BY: KVB a ntea g ro u p Charlotte, North Carolina 28226 Source: Google Earth; April 5, 2013 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted �T,,\ S Zvi CERTIFICATE OF COVERAGE NO. NCG030240 SAMPLE COLLECTION YEAR 2014 FACILITY NAME _Deere -Hitachi Construction Machinery Corp SAMPLE PERIOD ® Jan -June ❑ July -Dec COUNTY Forsyth or ❑ Monthly' Lmor)th) PERSON COLLECTING SAMPLES Charles Bingman / Debbie Randleman_ DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA LABORATORY R & A Laboratories_ Lab Cert. # 34 ❑Zero -flow ❑Water Supply ❑SA Comments on sample collection or analysis: RECEIVED ®Other WS-111 JUL 18 2014 PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 Part A: Storrnwater Benchmarks and Monitoring Results CENTRAL FILES DWQjBQG ❑ No discharge this period?1 Outfall No. Date Sample p Collected' (mo/dd/yr) 24-hour rainfall amount, inches' Total Suspended Solids p H, Standard units Copper I Lead Zinc Non -Polar O&G/ Total Petroleum Hydrocarbons Total Toxic Organics Benchmarks =_-> _ - 100 mg/L or 50 mg/L 6.0 — 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L SDO-1 06/05/14 .29 103 9.5 .020 .007 .120 <5.0 - SDO-2 06/05/14 .29 40 7.55 .007 <.005 .208 <5.0 - SDO-3 OG/05/14 .29 268 8.6 .050 .011 .127 <5.0 SDO-4 06/05/14 .29 102 7.57 .020 .006 .118 <5.0 - SDO-5 06/05/14 .29 6 7.93 <.005 <.005 .029 <5.0 SDO-6 06/05/14 .29 56 7.5 .016 .005 O52 <5.0 - ' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. 4 See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies. 5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor manufacture use the definition as found in 40 CFR 469.12, for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray tube manufacture use the definition found in 40 CFR 469.31). Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 1 of 3 Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring" may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." Name (Print name) �rfs►dtA� Title (Print title) (Signature) I b tTu t 2414 (Date) Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical format. When results are below the applicable limits, they must be reported in the format, "<XX me/L", where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Part S: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. ❑ No discharge this period?' Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches; Non -polar O&G/TPH by EPA 1664 (SGT-HEM) Total Suspended Solids pH Benchmarks =__> _ - i5 mg/L 100 mg/L or 5o mg/L" 6.0 — 9.0 SU Footnotes from Part A also apply to this Part B * See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2 of 3 Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES []NOD 1F YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an original and one copy of this DMR includin all "No Discharge" reports, within 30 days of receipt of the lab results Lor at end pL monitoring eriod in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 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) 16 Su Z41`f ( Date) Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 1 ��A .= NCDENR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling out this form, please visit: http7//portal.ncdenr.orglwe6 wtl/ws suinpdessw#tab-4 Permit No.: N/C/ G/ 3 / 0/ 0 / 0 / 4 /_/or Certificate of Coverage No.: Facility Name: Deere Hitachi Construction Machine Corp County: Forsyjh Phone No. (336)996-8100 Inspector: Debbie Randleman Date of Inspection: _b/5/2014 Time of Inspection: 4:40 PM Total Event Precipitation (inches): .29 Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) M Yes ❑ No Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or "measureable storm event" (requirements vary, depending on the permit). Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event" or during a "measureable storm event." However, some permits do not have this requirement. Please refer to these definitions, if applicable. A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. A "measurable storm event" is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the permittee obtains approval from the local DWQ Regional Office. By this signature, I certify that this report is accurate and complete to the best of my knowledge: (Signature of Permittee or Designee) Page 1 of 2 SWU-242, Lastmodified 10/25/2012 1. Outfall Description: outfall No. SD01 Pipe draining to creek near culvert which runs under Deere -Hitachi Rd. Receiving Stream: Unnamed tributa to Kerners Mill Creek Describe the industrial activities that occur within the outfall drainage area:Parts and equipment storage, truck traffic and employee parking 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: Light red 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): None 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 1 O2 3 4 5 5. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: la 2 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: 0 2 3 4 5 7. Is there any foam in the stormwater discharge? Yes No 8. Is there an oil sheen in the stormwater discharge? Yes No 9. Is there evidence of erosion or deposition at the outfall? Yes No 10. Other Obvious Indicators of Stormwater Pollution: List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 SWU-242, Last modified 10/25/2012 NCDENR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Forguidance on filling out this form, please visit. http: /1portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4 Permit No.: N/C/ G/ 3 / 0/ 0 / 0 / 0 /_/or Certificate of Coverage No.: Facility Name: Deere Hitachi _Construction Machinery Corp County: Forsy1h Phone No. 336 996-8100 Inspector: Debbie Randleman Date of Inspection: 06/05/14 _ Time of Inspection: 4:49 PM Total Event Precipitation (inches): .29 Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) ® Yes ❑ No Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or "measureable storm event" (requirements vary, depending on the permit). Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event" or during a "measureable storm event." However, some permits do not have this requirement. Please refer to these definitions, if applicable. A "representative storm event' is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. A "measurable storm event' is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the permittee obtains approval from the local DWQ Regional Office. By this signature, I certify that this report is accurate and complete to the best of my knowledge: (Signature of Permittee or Designee) Pagel of 2 5WU-242, Last modified 10/25/2012 I. Outfall Description: Outfall No. SD02 Pipe draining to creek from truck scales Receiving Stream: Unnamed tributaYy to Kerners Mill Creek Describe the industrial activities that occur within the outfall drainage area:Equipment storage, and truck traffic 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: Light red 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): None 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 1 O2 3 4 5 S. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: O2 3 4 5 b. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: O2 3 4 5 7. Is there any foam in the stormwater discharge? Yes No 8. Is there an oil sheen in the stormwater discharge? Yes No 9. Is there evidence of erosion or deposition at the outfall? Yes No 10. Other Obvious Indicators of Stormwater Pollution: List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 SWU-242, last modified 10/25/2012 ��A NCDENR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling out this farm, please visit: http^/jportal.ncdenr.org/web/wq/ws[suInpdessw#tab-4 Permit No.: N/C/ G/ 3 / 0/ a / 0 / 0 /_/or Certificate of Coverage No.: Facility Name: Deere Hitachi Construction Machinery Corp County: Forsy1h Phone No. (336)996-8100 Inspector: Debbie Randleman Date of Inspection: 615/2014 Time of Inspection: 4:56 PM Total Event Precipitation (inches): 29 Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) ® Yes ❑ No Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or "measureable storm event" (requirements var)4 depending on the permit). Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event" or during a "measureable storm event." However, some permits do not have this requirement. Please refer to these definitions, if applicable. A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. A "measurable storm event" is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the permittee obtains approval From the local DWQ Regional Office. By this signature, I certify that this report is accurate and complete to the best of my knowledge: (Signature of Permittee or Designee) Pagel of 2 5WU-242, last modified 10/25/2012 1. Outfall Description: Outfall No. SD03 Stone lined ditch on Lot #1 drainage to creek beside Guard Station #2. Receiving Stream: Unnamed tributary to Kerners Mill Creek Describe the industrial activities that occur within the outfall drainage area:Parts and equipment storage, and truck traffic _ w 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: Light gray 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.). None 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 1 2 O 4 5 5. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: lO 2 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: 1O 2 3 4 5 7. Is there any foam in the stormwater discharge? Yes No 8. Is there an oil sheen in the stormwater discharge? Yes S 9. Is there evidence of erosion or deposition at the outfall? Yes No 10. Other Obvious Indicators of Stormwater Pollution: List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 SWU-242, Last modified 10/25/2012 NCDENR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling out thisform, please visit: http://portal.ncdenr.org/web/wq/ws/su/npdessw##tab-4 Permit No.: N/C/ G/ 3 / 0/ 0 / 0 / 0 /�/ar Certificate of Coverage No.: Facility Name: Deere Hitachi Construction Machinery Corp County: Forsyjh Phone No. (336)996-8100 Inspector: Debbie Randleman Date of Inspection: 06.10512014 Time of Inspection: 5:01 PM Total Event Precipitation (inches): .29 Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) ® Yes ❑ No Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or "measureable storm event" (requirements vary, depending on the permit). Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event" or during a "measureable storm event" However, some permits do not have this requirement. Please refer to these definitions, if applicable. A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 01 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. A "measurable storm event" is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the permittee obtains approval from the local DWQ Regional Office. By this signature, 1 certify that this report is accurate and complete to the best of my knowledge: (Signature of Permittee or Designee) Page 1 of 2 SWU-242, Last modified 10/25/2012 1. Outfall Description: Outfall No. SD04 Basin located on the north side of the plant and near the P5L trailer before it goes into the bypass. _ Receiving Stream: Unnamed tributary to Kerner Mill Creek Describe the industrial activities that occur within the outfall drainage area:Equipment storage, and truck traffic 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: Light red 3. Odor: Describe any distinct odors that the discharge may have (i.e-, smells strongly of oil, weak chlorine odor, etc.): None 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 1 2 0 4 5 S. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: O2 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: 1 O2 3 4 5 7. Is there any foam in the stormwater discharge? Yes No B. Is there an oil sheen in the stormwater discharge? Yes Na 9. Is there evidence of erosion or deposition at the outfall? Yes No 10. Other Obvious Indicators of Stormwater Pollution: List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2of2 SwU-242,Last modified 10/2S/201Z tAw.. NCDENR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling out this form, please visit: htt ortal.ncdenr.or web w ws sun des w#ta -4 Permit No.: N/C/ G/ 3 / 0/ 0 / 0 / 0 /_/or Certificate of Coverage No.: Facility Name: Deere Hitachi Construction Machined Corp County: Forsyjh Phone No. (336)996-8100 Inspector: Debbie Randleman Date of Inspection: 6/5/2014 Time of Inspection: 9:30 AM Total Event Precipitation (inches): .29 Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) M Yes ❑ No Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or "measureable storm event" (requirements vary, depending on the permit). Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event" or during a "measureable storm event." However, some permits do not have this requirement. Please refer to these definitions, if applicable. A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. A "measurable storm event" is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the permittee obtains approval from the local DWQ Regional Office. By this signature, I certify that this report is accurate and complete to the best of my knowledge: (Signature of Permittee or Designee) Page 1 of 2 SWU-242, Last modified 10/25/2012 1. Outfall Description: Outfall No. SD05 Discharge from East Campus Pond Receiving Stream: Unnamed tributary to Kerner Mill Creek Describe the industrial activities that occur within the outfall drainage area: Equipment storage, truck traffic, excavator test pad and employee parking 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: Clear 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): None 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: Q 2 3 4 5 5. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: 0 2 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: O 2 3 4 5 7. Is there any foam in the stormwater discharge? Yes No B. Is there an oil sheen in the stormwater discharge? Yes No 9. Is there evidence of erosion or deposition at the outfall? Yes No 10. Other Obvious indicators of stormwater Pollution: List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 SWU-242, Last modified 10/25/2012 A., V. a NCDENR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling out this form, please visit. httl):j/portal.ncdenr.org/web/wq/ws/su/`npdessw#tab-4 Permit No.: N/C/ G/ 3 / 0/ 0 / 0 / 0 /_/or Certificate of Coverage No.: Facility Name: Deere Hitachi Construction Machine Corp County: Forsy1h Phone No. (336)996-8100 Inspector: Debbie Randleman Date of Inspection: 06.10512014 Time of Inspection: 8:49 AM Total Event Precipitation (inches): .29 Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) ® Yes ❑ No Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or "measureable storm event" (requirements vary, depending on the permit). Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event" or during a "measureable storm event." However, some permits do not have this requirement. Please refer to these definitions, if applicable. A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 01 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. A "measurable storm event" is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the permittee obtains approval from the local DWQ Regional Office. By this signature, I certify that this report is accurate and complete to the best of my knowledge: (Signature of Permittee or Designee) Page 1 of 2 5WU-242, Last modified 10/25/2012 1. Outfall Description: Outfall No. SD06 Basin located on East side on South Paint building Receiving Stream: Unnamed tributary to Kerners Mill Creek Describe the industrial activities that occur within the outfall drainage area: Equipment storage, truck traffic 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: Medium Red 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): None 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 1 2 g 4 5 5. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: lO 2 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: 0 2 3 4 5 7. Is there any foam in the stormwater discharge? Yes No 8. Is there an oil sheen in the stormwater discharge? Yes No 9. Is there evidence of erosion or deposition at the outfall? Yes No 10. Other Obvious Indicators of Stormwater Pollution: List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 SWU-242, Last modified 10/25/2012 RESEARCh & ANALyTICAI I AbORATORiESI INC. Analytical 1 Process Consultations Phone (336) 996-2841 CHAIN OF CUSTODY RECORD WATER I WASTEWATER I 1i,t COMPANY JOB NO: ! i .% �, 'Q r �°' s"°w�� M1.;y' o� 2 \,,. 2ow°ad ,`O �' s , � .� 7 Q C? Q Q Q Al" t 4 � ��� ^" �" �" �" �`� REQUESTED ANALYSES STREET ADDRESS 1COC) UCere-la�•}�tci'i: f�c�. PROJECT $torm&kd.+cr CITY, STATE, ZIP ern e r'S v; !fc , NC. 2-72 v 5 NAME {PLEASE PRINT) C��- ,S CONTACT PHONE n� �c. �a� Sz D.= b b c SAMPL G ATURt± SAMPLE NUMUEii (L(At�3 USE ONLY) PATE TIME COMP GRAB TEMP C RES CI nCUW k IiFAIUVEG IY W NI SAIAItE iAA1PoX p v" SAMPLE LOCATION! Lp, S001 — Pi•G @ Creek I�wI J IE Sa.+� parkin lot y -S _ x 3• Z. IV Xj 5Do2- pjje. @ creek l 1 i9 ZE Edcd btsK[. r`at) 5 ur�� ? S /y `! SG.p x ! AlDd3 -- as,� s�-Slale 7S 5 — q uatrd .s Po L f)R y �l5& 5:22P X 2y - N6 Corner as!' 1 I 1 —OIL GR6AS6 -- _ ekind PSL Agdn PAN _ �5 6;3A X P.6 Spy_ ra;n L-a I l 1 — PER �LJAJC " ftEL I FiEa©Y aATE1TIME !l =�I RECEIVED BY �0 Lp�hL� AA tCff1kbbY REMARKS: l TEMPERATURE AT RECEIPT 1 °C RELINQUISHED BY DATEITIME I L.5AM tows 1r e �u RESEARCh & ANA[yTiCAI a •••' , S _ LABORATORIES INC. = yy •'2 p NCB z;r"R - Analytical/Process Consultations =; 'ro. �`78ANPt•`''� ♦„Sjiil► Deere -Hitachi Date Sample Collected : 06/05/14 P.O. Box 1187 Date Sample Received 06/06/14 Kernersville, NC 27285 Date Sample Analyzed 06/06/14 Attn: Debbie Randleman Date of Report 06/27/14 Analyses Performed by : YJ -JP -AA Lab Sample Number -------------------- 767141 Parameter Storet # Results TSS (00530) 103 mg/l Hydrocarbons, O. & G. <5.0 mg/l Lead,Tot (01051) 0.007 mg/l Cop_er,Tot (01042) 0,020 ma/l Zirc,Tot (01092) 0.120 mg/1 --------------------- Clients Sample Source PIPE G CREEY. Number SOUTH PARKING LOT S Time Collected (H_s; 1640 P.O. Box 473 • 106 Short Street • Kernersville, North Carolina 27284 • 336-996-2841 • Fax 336-996-0326 www.randalabs.com RESEARCh & ANA[yT1CA1 LABORATORIES INC. `��� ��'�• 14C #34 . -— Analytical/Process Consultations G i Deere Hitachi Date Sample Collected : 06/05/14 P.Q. Box 1187 Date Sample Received : 06/06/14 Kernersville, NC 27265 Date Sample Analyzed 06/06/14 Attn: Debbie Randleman Date of Report 06/27/14 Analyses Performed by YJ -JP -AA Lab Sample Number -------------------- 787142 Parameter Storet # Results TSS (00530) 40.0 mg/l Hydrocarbons, 0. & G. <5.0 mg/l Lead,Tot (01051) <0.005 mg/1 Copper,Tot (010421 O.007 mg/l Zinc,Tot (01092) O.208 mg/1 -------------------- Clients Sample Source PIPE @ CREEK Number BESIDE RAIL SPUR S Time Collected Mrs) 1649 5 ()0 2'- P 0. Box 473 • 106 Short Street • KernerSVM2, North Carolina 27284 • 336-996-2841 • Fax 336-996-0326 www,randalabs.com ,0iNur110011 � RESEARCh & ANA1YTiCA1 LABORATORIES INC. Ott;— V. NC #34 z Analytical/Process Consultations z :� • ♦ice %Q�G'�Q �c7 ,%�� Icy �AG64,i Deere Hitachi Date Sample Collected 06/05/14 P.O. Box 1187 Date Sample Received 06/06/14 Kernersville, NC 27285 Date Sample Analyzed 06/06/14 Attn-. Debbie Randleman Date of Report 06/27/14 Analyses Performed by YJ -JP -AA Lab Sample Number --------------------- 787143 Parameter Storet # Results TSS (00530) 268 mg/l Hydrocarbons, 0. & G. c5.0 mg/l Lead,Tot (01051) 0.011 mg/l Copper,Tot (01042) 0.050 mg/1 Zinc,Tot (01092) 0.127 mg/1 -------------------- Clients Sample Source BASIN EAST SIDE OF ?Number GUARD SHARK 2 SDO3 Time Collected (Hrs) 1656 P.O. Box 473 • 106 Short Street • Kernersville, North Carolina 27284 • 336-996-2841 • Fax 336-996-0326 www.randalabs.com RESEARCh & ANAlyTICAL .g% :Z'• r���'qf�`'• LABORATORIES, INC.; o V. c _ NC #34 AnaNtical/Process Consultations NED ANaj"'�•`'� Deere Hitachi Date Sample Collected 06/05/14 P.O. Box 1187 Date Sample Received 06/06/14 Kernersville, NC 27285 Date Sample Analyzed 06/06/14 Attn: Debbie Randleman Date of Report 06/27/14 Analyses Performed by YJ -SK -AA Lab Sample Number -------------------- 787144 Parameter Storet # Results TSS (00530) 102 mg/l Hydrocarbons, O. & G. a5.0 mg/1 Lead,Tct (01051) 0.006 mg/1 Copper,Tot (01042) 0.020 mg/1 Zinc,Tot (01092) 0.118 mg/l -------------------- Clients Sample Source NE CORNER BASIN Number BEHIND PSL AREA S Time Collected (Hrs) 1722 S p 0A P.O. Box 473 • 106 Short Street • Kernersville, North Carolina 27284 • 336-996-2841 • Fax 336-996-0326 wwwxandalahs.com t,���1Ufflllf' RESEARCh & ANA1yTICA `��� _ LAbORATORIES, INC. A. NC #34 Analytical/Process Consultations % V-7EDAtal�'�; ow Deere Hitachi Date Sample Collected 06/05/14 P.O. Box 1187 Date Sample Received 06/06/14 Kernersville, NC 27285 Date Sample Analyzed 06/06/14 Attn: Debbie Randleman Date of Report 06/27/14 Analyses Performed by YJ -JP -AA Lab Sample Number -------------------- 787145 Parameter Storet # Results TSS (00530) Hydrocarbons, O. & G. Lead,Tot (01051) Copper,Tot (01042) Zinc,Tot ,01092) Clients Sample Source Number Time Collected (Hrs) 6.0 mg/l <5.0 mg/l <0.005 mg/1 <0.005 mg/1 0.029 mg/1 -------------------- EAST CA14PUS POND DISCHARGE SDO 5 1711 P 0. Box 473 • 106 Short Street • Kernersville, North Carolina 27284 • 336-996-2841 • Fax 336-996-0326 www.randalabs.com RESEARCh & ANA1yTICA1 =. LAbORATORIES INC. 3- = Analytical/Process Consultations Deere Hitachi P.O. Box 1187 Kernersville, NC 27285 Attn: Debbie Randleman Date Sample Collected Date Sample Received Date Sample Analyzed Date of Report Analyses Performed by Lab Sample Number -------------------- 787146 Parameter Storet # Results TSS (00530) 56.0 mg/1 Hydrocarbons, O. & G. <5.0 mg/1 Lead,Tot (01051) 0.003 mg/l Copper,Tot !01042) 0.016 mg/l Zinc,Tot (01092) 0.052 mg/l -------------------- Clients Sample Source DRAIN AT EAST SIDE Number OF SOUTH POINT BUILD Time Collected (Hrs) 1737 S�a`P =pia' NC#34 z•�'' 1p i ,.• • ��'+%'QED AN�`�y�►```. : 06/05/14 06/06/14 06/06/14 06/27/14 YJ -AA -SK P D. Box 473 • 106 Short Street • Kernersville. North Carolina 27284 • 336-996-2B41 • Fax 336-996-0326 www.randalabs.cQm .JOHN DEERS I HITACHI Deere -Hitachi Construction Machinery Corp. P.O. Box 1187 1000 Deere -Hitachi Road (272844) Kernersville, NC 27285-1187 Phone: 336-996-8100 Fax: 336-996-8201 June 15, 2014 Attn: DWQ Central files Department of Environment and Natural Resources Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 Re: 2014 — SDO-1, SDO-2, SDO-3, SDO-4, SDO-5 & SDO-6 Stormwater Report Deere -Hitachi Construction Machinery Corp. Permit # NCG030240 Stormwater Section: Enclosed are the Stormwater monitoring reports for Kernersville facility for June 2014 (1st Period). Six stormwater discharge outfalls (SDO-1, SDO-2, SDO-3, SDO-4, SDO-5 and SDO-6) were sampled on May 5, 2014. The water sampling was done by Debbie Randleman [Environmental Coordinator] - Et Charles Bingman (Environmental Technician) Deere -Hitachi, (336) 996-8144. The sample analysis was completed by REtA Laboratories, 106 Short Street, Kernersville, NC. The samples were analyzed for TSS, Oil & Grease, Lead, Copper and Zinc. Temperature and pH was performed in-house by Charles Bingman. The monitoring results are shown on form SWIJ-245. We will begin monthly monitoring of the following outfalls due to exceedences in Copper Et Zinc. Please see attached document. If you have any questions or comments, please contact Barry Chipman, EHS General Supervisor, (336) 996-8177 at your convenience. Sincerely, Riffik !L& Alan Seeba President