NCG030614_COMPLETE FILE - HISTORICAL_20140915

STORMWATER DIVISION CODING SHEET
RESCISSIONS .
PERMIT NO.
�C U�� � Iy
DOC TYPE
0' COMPLETE FILE -HISTORICAL
DATE OF
RESCISSION
p 1-3 DI q U
YYYYMMDD

sI_
VSD
SEP 201
A FN 4
C
owR S�cFioN
Stormwater Discharge Outfall (SDQ)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: http://h2o.enr.state.ne.us/su/Forms_Documents.htm#miscforms
Permit No.: N/CI /_/ I_I I_I_l or Certificate of Coverage No.: N/C/GI O / 3 / 0/ G/ 1/ 4/
Facility Name: Static Control Components
Countv: Lee Phone No. (919) 7 7 4- 3 8 0 8
Inspector: Andrew Rodak
Date of Inspection: 1 f 1 0 f 1 4
Time of Inspection: 18 : 47
Total Event Precipitation (inches):
0.57
Was this a Representative Storm Event? (See information below) ® Yes ❑ No
Please check yoatrlrerntit to verifi if Qualitative Monitoring must be performed during a representative
storm event (requirements vary).
............... ............ ....................... ...... _.... ... ..... ...... ...... ... .......... ........ _.... ,.. ,_.._.... __...... -------- _------------------------
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.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
1
(Signature of Permittee or Designee)
1. Outfall Description:
OutfalI No. 001 Structure (pipe, ditch, etc.) Sheet flow
Receiving Stream: Gasters Creek
Describe the industrial activities that occur within the outfall drainage area:
Parking Lot, refuse storage (dumpsters), raw and waste material transfer
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: Yellowish/Brown with light tint
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): No distinctive odor
Page I of 2
S WU-242-1 t 2608

N�
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
1 O 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where I is no solids and 5 is the surface covered with floating solids:
Ol 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where I is no solids and 5 is extremely muddy:
1 2 03 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 pH (field -measured) : 6.69
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
S W U-242-112608

Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: http://h2o.enr.state.nc.us/su/Forms Documents. htm#miseforms
Permit No.: N/C/_/_/ 1 1 1 1 I or Certificate of Coverage No.: N/C/G/ 0/ 3/ 0/ 6/ 1./ 4/
Stack Control Components
Facility Name: P
County: Lee Phone No. (.919) 7 74 - 3 8 0 8
Inspector: Andrew Rodak
Date of Inspection: n 1 / 1 n / 14
Time of Inspection: 18 : 3 7
Total Event Precipitation (inches):
0.57
Was this a Representative Storm Event? (See information below) ® Yes ❑ No
Please check your permit to verify if Qualitative Monitoring must be performed during a representative
storm event (requirements vaty).
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.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
1. Outfall Description:
Outfall No. 002 Structure (pipe. ditch, etc.) Pipe discharge into ditch
Receiving Stream: Gasters Creek
Describe the industrial activities that occur within the outfall drainage area:
Waste storage
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: Yellowish/brown, light tint
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): No distinctive odor
Page l of 2
SWU-242-112609

4. Clarity: Choose the number which best describes the clarity of the discharge, where I 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 I 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 I is no solids and 5 is extremely muddy:
1 n 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 outfail? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe pH (field -measured): 6.60
Note: Low clarity, high solids, and/or the presence of foarn, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
S W U-242-112608

Permit Number: NCS or
Certificate of Coverage Number: NCG030614
STORMWATER DISCIIARGE OUTFALL (SDO)
MONITORING REPORT
SAMPLES COLLECTED DURING CALENDAR YEAR: 2014
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME Static Control Corn nonents-Plant 9 Maintenance Storaee & Plant 16 Toner Packaeine COUNTY Lee
PERSON COLLECTING SAMPLE(S) Andrew Rodak PHONE NO.( 919 ) 774-3808
CERTIFIED LABORATORY(S) Environmental Science Corporation Lab # ENV375
Lab 4
SIGNATURE OF PERMITI'EE OR DESIGNEE,
REQUIRED ON PAGE 2.
Part A: Specific Monitoring Requirements ^�
Outfall
Date
50050
No.
Sample
Collected
Total
Flow (if app.)
Total
Rainfall
Oil & Grease
TSS
Copper
pH
Zinc
Lead
moldd/ r
MG
inches
m L
m L
m L
m L
m L
001
01/10/14
0.57
< 1.2
72
0.0076
6.57
0.066
0.0041
002
01/10/14
0.57
< 1.2
22
<0.007
6.60
0.029
<0.002
003
01/10/14
0.57
< 1.2
43
<0.007
6.69
0.024
0.0032
004
01/10/14
0.57
< 1.2
74
0.013
7.22
0.065
0.0084
005
01/10/14
0.57
< 1.2
45
0.016
6.98
0.036
0.006
006
01/10/14
0.57
< 1.2
24
<0.007
6.44
0.064
0.0071
RECEIVED
SEP 15 2014
CENTRAL FILES
DWR SECTION
Form S W U-246, lost revised 21212012
Page 1 of 2

Y"'}
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes X no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activitv iilonitorinE Requirements
Outfall
Date
50050
00556
00530
00400
No.
Sample
Collected
Total Flow
(if applicable)
Total Rainfall
Oil & Grease
(if appl.)
Non -polar
O&G/TPH
(Method 1664
SGT-HEM), if
a �f.
Total
Suspended
Solids
pH
New Motor Oil .
Usage
mo/dd/ r
MG
inches
m /l
m /l
Unitsgal/Rio
STORM EVENT CHARACTERISTICS:
Date 01-10-14
Total Event Precipitation (inches): 2.04
Event Duration (hours): 5 (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
,Mail Original and one copy to:
Division of Energy, Mineral, and land Resources
Attn: Central Files
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
"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."
V\".OA 1�
(Signature of Permittee)
a/3/ 14
(Date)
Form SW U-246, last revised 21212012
Page 2 of 2

Q®CDEN
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
Pierre Lauffer
Static Control Components, Inc
2801 Lemon Springs Road
Sanford, NC 27332
Dear Mr. Lauffer:
John E. Skvarla, III
Secretary
May 15, 2014 RECEIVED
MAY 16 Z014
CENTRAL FILES
DWQI$OG
Subject: Rescission of NPDES Stormwater Permit
Certificate of Coverage Number NCG030614
Plant 9 Maintenance Storage & Plant 16 Toner Packaging
Lee County
On April 24, 2014, the Division of Energy, Mineral -and Land Resources received your request to rescind
your coverage under Certificate of Coverage Number NCG030614. In accordance with your request,
Certificate of Coverage Number NCG030614 is rescinded effective immediately.
Operating a treatment facility, discharging wastewater or discharging specific types of stormwater to waters
of the State without valid coverage under an NPDES permit is against federal and state laws and could result
in fines. If something changes and your facility would again require stormwater or wastewater discharge
permit coverage, you should notify this office immediately. We will be happy to assist you in assuring the
proper permit coverage.
If the facility is in the process of being sold, you will be performing a public service if you would inform the
new or prospective owners of their potential need for NPDES permit coverage.
If you have questions about this matter, please contact Julie Ventaloro at 919-807-6370, or the Stormwater
staff in our Raleigh Regional Office at 919-791-4200.
Sincerely,
for Tracy E. Davis, PE, CPM, Director
Division of Energy, Mineral and Land Resources
cc: Raleigh Regional Office — D. Parnell
Stormwater Permitting Program
Central Files - w/attachments
Division of Energy, Mineral, and Land Resources
Energy Section • Geological Survey Section • Land Quality Section
1612 Mail Service Center, Raleigh, North Carolina 27699-1612.919-707-9200 I FAX: [phone]
512 North Salisbury Street, Raleigh, North Carolina 27604 • Internet: http://portal.ncdenr.orglweblirl
An Equal Opportunity 1 Affirmative Action Employer— 50% Recycled 110% Post Consumer Paper

A",
• Division of Water Quality 1 Surface Water Protection
�®
CDENRNational Pollutant Discharge Elimination System
No~E^°uNN.er werv,°r RESCISSION REQUEST FORM
�aviugvrE,+T .Ho N/sva,e� ae5WACcs
FOR AGENCY USE ONLY
Date Received
Year Month
Day
Please fill out and return this form if you no longer need to maintain your NPDES stormwater permit.
1) Enter the permit number to which this request applies:
Individual Permit (or) Certificate of Coverage
'S z N C G• 0 3 0 1 6 1 4
2) Owner/Facility Information: * Final correspondence will be mailed to the address noted below
Owner/Facility Name Static Control Components, Inc.
Facility Contact Pierre Lauffer, EH&S Specialist
Street Address 2801 Lemon Springs Road
City Sanford State NC ZIP Code 2
County Lee E-mail Address pierrel@scc.
Telephone No. 919/774-3808, ext 1893 Fax: 919 / 776-3740
AP9 2 4 Z014
3) Reason for rescission request (This is required information. Attach separate sheet if necessary):
❑ Facility closed or is closing on 7-. All industrial activities have ceased such that no discharges of
stormwater are contaminated by exposure to industrial activities or materials.
❑ Facility sold to „irs :. on 774 7 . If the facility will continue operations under the new owner it
may -be -more -appropriate -to -request -an -ownership -change -to -reissue -to -permit -to the -new -owner.
® Other: Repeated sampling results to the property at 2801 Lemon Springs Road are above
benchmarks for constituents which Static Control does not manufacture, process, or store. Constituents
are believed to derive from owners/operations on neighboring property or from previous
owners/ operators of this property (see attached document for more detailed background information).
4) Certification:
I, as an authorized representative, hereby request rescission of coverage under the NPDES Stormwater Permit for the
subject facility. I am familiar with the information contained in this request and to the best of my knowledge and belief
such information is true, complete and accurate.
Signatu
ri
Date 4
L lawy�r_e- ' t� , t_P.'w t_�- - - v P 0 �`'� �u c�r� u�ti rtc;�__
Print or type name of person signing above Title
Please return this completed rescission request form to
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N. Salistury St Raleigh, North Carolina 27604
Phone: [phone] FAX: [phone] Customer Service: 1-877-623-6748
Internet: mm.nmaterquality.org
An Equal Opppounity 1 Affirmative Action Employer
SW NPDES Permit Coverage Rescission
Stormwater Permitting Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
NoirthCarolina
Natmallff
V-0

i- -v

From: Pierre i-auffer fmailto:PierreI(aSCC-INC.com]
Sent: Friday, March 21, 2014 8:13 AM
To: Parnell, David
Cc: Debbie Bigelow; Michael Stephens
Subject: Follow up Discussion of Stormwater at Static Control Components, Sanford, NC
David,
Thank you so much for agreeing to meet with us yesterday (Wednesday, 1/9/2014) to discuss our path
forward regarding our Stormwater Permit as we go through Tier 2 process at the 2801 and 2801-B
Lemon Springs Road property
As you saw yesterday, the property contains two facilities. Though the facilities are located adjacently
on one continuous property, Plant 9 and 16 are different in their processes. The activities at Plant 9
include in-house metal fabrication and equipment & parts painting, wood and plexi-glass carpentry, and
vehicle maintenance. They refurbish, upgrade, restore or repair machinery and equipment used
throughout the company. If necessary they will also fabricate HVAC system components and other
equipment or do carpentry. They conduct all truck repairs for Static Control. The Plant itself is
encompassed in a .28 acre (12,000 sq. ft.) sized building with most all activities occurring inside the
building with none of the materials used exposed to the outside environment.
Plant 16 is a 3.13 acre (135,124 sq.ft.) sized building involved in the mixing and packaging of toner.
There are two basic toners- a chemical type and a pulverized resin -based toner. These toners,
monochrome and color, are re -packaged in bottles, ranging from 10 -128 ounces, and boxes and bulk
drums, for shipment to customers. These finished goods are shipped out of the warehouse side of the
Plant to Static's Distribution Center. As with Plant 9, all activities at Plant 16 are in the building- never
exposed -to -the -outside -Further, -nothing -is -manufactured -in -Plant 16—The-toner-is-shipped-in-and
repackaged and then subsequently shipped back out.
The two buildings that currently encompass Plant 9 and 16 were purchased from Coleman Cable
Systems, Inc in 1998 which was the successor to Cable Communication, Inc. Prior to Coleman Cable, the
property was owned by a mobile home manufacturing company and prior to that, the property was a
tobacco warehouse. There are indications that industrial activities conducted during the predecessor
ownership have resulted in environmental impacts to the property for which we have no control over.
Based on the recommendations from our consultant, we initially selected 6 outfalls to be sampled
(Please see attached map showing outfalls). The results of the analysis from our initial sampling to
satisfy our Tier 1 requirements indicated the presence of copper at Outfalls 4 and 5 and zinc at Outfalls 4
and 6 (See attached summary of sampling events).
In response to the results from this sampling event, Static Control implemented a site -wide re -grading,
landscaping and re -ditching to improve drainage and stormwater quality (Please refer to attached map
showing these areas) and resampled the outfalls November 26, 2013.
Analysis results from this sampling event showed copper above the benchmark in water samples from
Outfalls 1, 2, and 5; zinc in samples from Outfalls 1, 4, 5 and 6; and lead in Outfall 5.

Sample Results Discussion
There is a question of the potential source(s) of these constituents. Static Control does not produce any
products that contain these sources of pollution nor do they use any of these constituents in the
manufacturing process. Moreover, Static Control spent over $ 70k to rectify potential problems in
response to the Tier I process. It seems that, as evident in the increase in the level of contamination
after the site re -grading and landscaping, the source of the pollution derived from the previous owners'
activities. The constituents were stabilized.in the soil after along period of existing in the soil and was
disturbed only after doing the re -grading work.
The previous property owners, Coleman Cable stored and used many electrical components (including
wiring, conducters, etc) that did contain copper, lead and zinc. Further, located adjacent, and uphill, to
this property is a Duke/Progress Energy site that could also be a source of these constituents.
Indications that this could be the case is illustrated with the laboratory results from the sample collected
from Outfall 6 which indicated the presence of zinc. Outfall 6 is actually up -gradient from both Plant 9
and 16 but is down -gradient and adjacent to the Duke/Progress Energy Property (See attached map).
Further, we realize that the North American Industry Classification Code System (NAICS) for this
property is listed as 335999 which fits nothing that takes place on the property. Static Control
manufactures nothing on site nor do they manufacture any electronic goods for retain nor wholesale
The closest NAICS code that would fit the activities on site would be 488991- Packing and Preparing
Goods for Shipping. Based on these findings, Static Control feels that it would be legitimate in asking
that the property located at 2801 Lemon Springs Road, Sanford, NC 27331 be allowed to be removed
from the stormwater permitting process. "
Pierre Lauffer
€nvironmen tol-Health_and-Safety_Specialist
Static Control Components, Inc.
919-774-3808 ext. 1893

STORMWATER DISCHARGE OUTFALL (SDO)
rMONlTORING REPORT
Permit Number: NCS or SAMPLES COLLECTED DURING CALENDAR YEAR: 2014
Certificate of Coverage Number: NCG030614 (This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME Static Control Components -Plant 9 Maintenance Storase & Plant 16'1'oner Packa¢ing COUNTY Lee
PERSON COLLECTING SAMPLE(S) Phillip Jones PHONE NO.( 919 ) 774-3808
CERTIFIED LABORATORY(S) Environmental Science Corporation Lab # ENV375
Lab #
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Part A: Specific Monitoring Requirements T
.Outfall
No.
Date
Sample
Collected
50050
Total
Flow (if app.)
Total
Rainfall
Oil &Grease
TSS
Copper
pH
Zinc
Lead
moldd/ r
MG
inches
m L
m L
m L
m L
m L
001
No discharge
0.24
002
No discharge
0.24
003
03/03/14
0.24
< 1.2
100
< 0.0053
6.70
0.037
< 0.0019
004
03/03/14
0.24
< 1.2
72
0.0057
7.08
0.043
0.003
005
03/03/14
0.24
< 1.2
260
0.021
6.75
0.064
0.0089
006
03/03/14
0.24
< 1.2
1.50
<0.0053
5.50
0.035
0.0026
MAR 2 i W4
DENR - WAVR CUAfIT"
WETLANDS AND STORrJAATEF 6K� NCH
Form S W U-246, last reviser! 21212012
Page I of 2

Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes X no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfall
Date
50050
00556
00530
00400
No.
Sample
Collected
Total Flow
(if applicable)
Total Rainfall
Oil & Grease
(if appl.)
Non -polar
O&GrITH
(Method 1664
SGT-HEM), if
appl.
Total
Suspended
Solids
pH
New Motor Oil
Usage
moldd/ r
LNIG
inches
m i
m l
Units
al/mo
STORM EVENT CHARACTERISTICS: Mail Original and one copy to:
Division of Energy, Mineral, and Land Resources
Date 03-03-14 Attn: Central Files
Total Event Precipitation (inches): 0.24 1612 Mail Service Center
Event Duration (hours): 1.5 (only if applicable — see permit.) Raleigh, North Carolina 27699-1612
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
"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. 1 am aware that there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
(Date)
Form SWU-246, last revised 2/2/2012
Page 2 of 2

STORMWATER DISCHARGE OUI'FALL (SDO)
(MONITORING REPORT
Permit Number: NCS or• SAA9PLES COLLECTED DUIZINC CALENDAR YEAIZ: 2014
Certificate of Coverage Number: NCG030614 (This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME Static Coucr•ol Components -Plant 9 iN7aintenance Storage & Plant I.6 Toner Pack t- ng COUNTI' Lee
PERSON COLLECTING SANIPLE(S) Phillip Jones PHONE NO.( 919 ) 774-3808
CERTIFIED LABORATORY(S) Environmental Science Corporation Lab # ENV375
Lab #
SIGNATURE OF PERNHITEE OR DESIGNEE
REQUIRED ON PACE 2.
Part A: Specific Monitoring Requirements
Outf.111
Date
56050
No.
Sample
-Collected
Total
Flow (if app.)
Total
Rainfall
Oi! & Grease
TSS
Copper
`
pII.
Zinc
Lead
mo/dd/ •r
MG
inches
rn /L
m 7L
m IL
m /L
rn /L
001
No discharge
0.24
002
No discharge
0.24
003
03/03/14
0.24
< 1.2
100
< 0.0053
6.70
0.037
< 0.0019
004
03/03/14
0.24
< L2
72
0.0057
7.08
0.043
0.003
005
03/03/14
0.24
< L2
260
0.021
6.75
0.064
0.0089
006
03/03/14
0.24
< 1.2
L50
<0.0053
5.50
0.035
0.0026
Form SWU-246, last revised 21212012
Page I of 2

Does this facility perform Vehicle Nlaintenance Activities using more than 55 gallons of new motor oil per month? _ yes X no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity i\Ionitorint' Renuirements
Outfall
Date
50050
00556
00530
00400
No.
Sample
Collected
Total Flow
(if applicable)
'Total Rainfall
Oil & Grease
(if :appl.)
Non -polar
O&G/TPII
(Method 1664
SGT-HEM), if
ap1.
Total
Suspended
Solids
pH
New Motor Oil
Usage
nao/ddlyr
MG
inches
m 11
m g/I
Units
al/mo
STORM EVENT CHARACTERISTICS:
Date 03-03-14
Total Event Precipitation (inches): 0.24
Event Duration (hours): 1.5 (only if applicable —see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only ifapplicable — see permit.)
Mail Original and one copy to:
Division of Energy, Mineral, and Land Resources
Attn: Central Files
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
"I certify, under penalty of law, that this document mitt :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) (Date)
Form SWU-246, Iasi revised 21212012
Page 2 of 2

Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidance on filing oufthis form, please visit: http://h2o,enr.state.nc.us/su/Forms Documents. htm#miscforms
Permit No.: N/C/—/_/�/ I_I—I I or Certificate of Coverage No.: N/C/G/ 0 / 3 / 0 / 6 / 1
Facility Name: Static Control Components
County: Lee Phone No. (-91 g) 7 7 4- 3 8 0 8
Inspector-. Phillip Jones
Date of Inspection: 0 3 (0 3 /4
Time of Inspection: 14.30
Total Event Precipitation (inches):
0.24
Was this a Representative Storm Event? (See information below) ® Yes ❑ No
Please check yourpermit to verify if Qualitative Monitoring must be performed during a representative
storm event (requirements vary).
------------- ---.---------- - --------------
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.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
1. Outfall Description:
Outfall No, O01 Structure (pipe, ditch, etc.) Sheet flow
Receiving Stream: Gasters Creek
Describe the industrial activities that occur within the outfall drainage area:
Parking Lot, refuse storage (dumpsters), raw and
waste material transfer
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: No discharge.
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): No discharge.
Page l of 2
5 WU-242-112608

4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear
and 5 is very cloudy:
1 2 3 4 5
5. P luating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where I is no solids and 5 is the surface covered with floating solids:
1 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where I is no solids and 5 is extremely muddy:
1 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 No discharge observed.
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-242-112608

Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: httn:/fh2o.enr.state.nc.us/su/Forms_Documents.htm#miscforms
Permit No.: NICI—I 1
Facility Name: Static Control
Countv: Lee
Inspector: Phillip Jones
Date of Inspection: 0 3/ 0 -3/ 14
Time of Inspection: 14 : 2 0
or Certificate of Coverage No.: N/C/G/ 0 / 3 l 0 / 6 / 1/ 4 /
Components
Total Event Precipitation (inches): 0 • 24
Phone No. [phone]
Was this a Representative Storm Event? (See information below) ® Yes ❑ No
Please check your permit to verify if Qualitative Monitoring must be performed during a representative
storm event (requirements vat ).
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.
By this signature, i certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
1. Outfall Description:
Outfall No. 002 Structure (pipe, ditch, etc.) Pipe discharge_into ditch
Receiving Stream: Gasters Creek
Describe the industrial activities that occur within the Outfall drainage area:
Waste storage
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: No discharge
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): No discharge
Page 1 of 2
S W U-242- t ! 2608

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
S. Fioating Solids: Choose the number which best describes the amount of fluting solids in the
stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 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:
1 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes No
3. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes No
14. Other Obvious Indicators of Stormwater Pollution:
List and describe No discharge observed
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- l 12608

Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on f lling out this form, please visit: http1th2o.enr. state, ne,us/su/Forms_Documents. htm#miscforms
Permit No.: NICI 1_I_I_I_I_I _ I or Certificate of Coverage No.: N/CIG/ 0 / 3 / 0/ 6 / 1/ 4 /
Facility Name: Static Control Components
County: Dee Phone No. (919} 774-3808
Inspector: Phillip Jones
Date of Inspection: 0 3 / Q 3 114 —
Time of Inspection: 14 : 10
Total Event Precipitation (inches): 0 .24
Was this a Representative Storm Event? (See information below) ® Yes ❑ No
Please check your permit to verify if Qualitative Monitoring must be performed during a representative
storm event (requirements vary).
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.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
1. Outfall Description;
Outfall No. 003 Structure (pipe, ditch, etc.) Pipe discharge into ditch
Receiving Stream: Casters Creek T
Describe the industrial activities that occur within the outfall drainage area:
Waste storage
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: Yellowish/brown, medium tint _
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): No distinctive odor
Page 1 of 2
SWU-242-112608

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 O 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:
l0 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 B
9. Is there evidence of erosion or deposition at the out€all? Yes EO)
M. Other Obvious Indicators of Stormwater Pollution:
List and describe lox (field -measured); 6.70
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
SNVU-242-112608

Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: htt :/lh2o.enr.state.nc.us/su/Forms Documents. htm#miseforms
Permit No.: NI/C/—/ / 1 1 1 1 1 or Certificate of Coverage No.: NICIGI 0 / 3 / 0 / 5 / 1./ 4 /
Facility Name: Static Control Components
County: Lee Phone No. (919) 7 74 - 3 8 0 8
Inspector: Phillip Jones
Date of Inspection:
Time of Inspection: 13 : 55
Total Event Precipitation (inches): 0.24
Was this a Representative Storm Event? (See information below) ® Yes ❑ No
Please check your permit to verify if Qualitative Monitoring must be performed during a representative
storm event (requirements vary).
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.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
1. Outfall Description:
Outfall No. 004 Structure (pipe, ditch, etc.) Sheet flow
Receiving Stream: - Gasters Creek
Describe the industrial activities that occur within the outfall drainage area:
Maintenance/Construction Supply Storage
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: YP1 1 nwi sh jhrnwn ,�liQht t i n
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): No distinctive odor
Page 1 of 2
SWU-242-1 12608

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 O 5
S. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where i is no solids and 5 is the surface covered with floating solids:
( os1} 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where I is no solids and 5 is extremely muddy:
0 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 (DO
1(). Other Obvious Indicators of Stormwater Pollution:
List and describe pH (field -measured): 7.08
some sediment deposit at end of pipe- about 10a of pipe diameter
Note: Low clarity, hieh 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-242-112608

Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: http:/1h2o.enr.state.nc.us/su/Forms Document s.htm#miscforms
Permit No.: N/C/_/ / 1 I I 1_I or Certificate of Coverage No.: N/C/GI 0 / 3 / 0/ 6/ 1/ 4/
Facility Name: Static Control Components
County: Lee Phone No. (g 1 9) 7 74 - 3 8 0 8
Inspector: Phillip Jones
Date of Inspection: 0 3 / 0 3 / 14
Time of Inspection: 13 : 3 0
Total Event Precipitation (inches):
0.24
Was this a Representative Storm Event? (See information below) ❑X Yes ❑ No
Please check your permit to verify if Qualitative Monitoring must be performed during a representative
storm event (requirements vary).
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.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
1. Outfall Description:
Outfall No. 005 Structure (pipe, ditch, etc.) _ Drop_ Inlet
Receiving Stream: Gasters Creek
Describe the industrial activities that occur within the outfall drainage area:
Maintenance/Construction Supply Storage
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: __Medium brown, medium tint
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): No distinctive odor
Page 1 of 2
5 W C1-242-112608

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 G
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:
1 0
3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where I is no solids and 5 is extremely muddy:
1 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 AH (field -measured); 6.75
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
S WU-242-1 12608

Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: http:/lh2o.enr.state.nc.us/su/Forms Documents. htm#miscform s
Permit No.: NICI_I_I 1 1 1 I_I or Certificate of Coverage No.: N/C/G/ 0 / 3 / 0 / 6 / 1 / 4 /
Facility Name:` Static Control Components
County: Lee Phone No. (919) 774-380$
Inspector: Phillip Jones
Date of Inspection: 03 /03 /14
Time of Inspection: 13 : 15
Total Event Precipitation (inches): 0.24
Was this a Representative Storm Event? (See information below) ❑X Yes ❑ No
Please check your permit to verify if Qualitative Monitoring must be performed during a representative
storm event (requirements vary).
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.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
1. 06619I1Aesct�i�lel,
,
Ups -
Outfall No. Structure (pipe, ditch, etc.) Drop Inle
Receiving Stream: Gasters Creek
Describe the industrial activities that occur within the outfall drainage area:
Maintenance/Construction Supply Storage
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: Brown, medium tint
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): No distinctive odor
Page 1 of 2
S WU-242-112608

4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear
and 5 is very cloudy:
1 2 3 4
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where I is no solids and 5 is the surface covered with floating solids:
1 2O 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 2 10
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 outfail? Yes i o
10. Other Obvious indicators of Stormwater Pollution:
List and describe pH (field -measured) : 6.30
?dote: Low clarity, high solids, andlor 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-242-112608

Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: http:/fh2o.enr.state.nc.us/su/Forms Documents.htm#miscforms
Permit No.: N/C/_I lwl_I 1_!_I or Certificate of Coverage No.: N/C/G/ 0 / 3 / 0 / 6 / 1 / 4 /
Facility Name: Static Control Components
County: Lee Phone No. (919 ) 7 74 - 3 8 0 8
Inspector: Phillip Jones
Date of Inspection: 0 3 / 0 3 / 14
Time of Inspection: 12.45
Total Event Precipitation (inches):
0.24
Was this a Representative Storm Event? (See information below) [Z Yes ❑ No
Please check your permit to verify if Qualitative Monitoring must be performed during a representative
storm event (requirements vary).
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.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
t. Outfall Description:
Outfall No. 006 Structure (pipe, ditch, etc.) Ditch
Receiving Stream: Gasters Creek
Describe the industrial activities that occur within the outfall drainage area:
Industrial operational equipment
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: _ Clear, light tint
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): No distinctive odor
Page 1 of 2
SWU-242-112508

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 I is no solids and S is the surface covered with floating solids:
Ol 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where I is no solids and 5 is extremely muddy:
LJ 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 Storni`vater Pollution:
List and describe PH (field -measured) : 5.50
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
51W-242-I12608

Static Control
IS09001:2008 and 14001:2004
Certified Management Systems
March 24, 2014
Division of Energy, Mineral, and Land Resources
Attn: Central Files
1612 Mail Service Center
Raleigh, NC.27699-1612
RE: Submission of the Stormwater Discharge Outfall Monitoring Report and Qualitative
Observations from the second monthly sampling event in the facility's Tier II program,
NCG030614
Dear Sir or Madam,
Please find enclosed the original and one (1) copy of the Stormwater Discharge Outfall (SDO)
Monitoring Report for Static Control Components, Plants 9 and 16, in Sanford, NC,
NCG030614. As required by the permit issued by NCDENR, we have maintained a copy for
review in our stormwater records.
Upon reviewing the results, one (1) of the outfall areas has contaminant levels that exceed the
benchmark value for Copper. We will continue Tier 1I actions, which now includes soil samples
collected from a total of 14 hand -auger borings in the areas of each Outfall. Each soil sample
will be advanced from 6 to 12 inches below land surface, transferred to laboratory -supplied
containers; containers will be labeled and placed into a cooler with ice for submittal to the
laboratory under chain -of -custody. The laboratory will test the samples for total Copper, Zinc,
and Lead. All records of Tier I and Tier II actions will be maintained by the Static Control
Environmental Health and Safety (EHS) Department.
If you have any questions about the matter, please contact Michael Stephens by phone at (919)
774-3808 x1496, or by e-mail at mst_ephensnscc-inc.com.
Sincerely,
Michael Stephens
EH&S Department
Enclosure: Original and one copy of "Stormwater Discharge Outfall Monitoring Report"
3010 Lee Avenue • PO Box 152 • Sanford, NC 27331-0152 • USICan 800.488.2426 • US/Can Fax [phone] • Int'I 919.774,3808 • Int'I Fax 919.774,1287

Static Control
IS09001:2008 and 14001:2004
Certified Management Systems
FEe
February 3, 2014
Division of Energy, Mineral, and Land Resources
Attn: Central Files
1612 Mail Service Center
Raleigh, NC 27699-1612
RE: Submission of the Stormwater Discharge Outfall Monitoring Report and Qualitative
Observations from the first monthly sampling event in the facility's Tier II program,
NCG030614
Dear Sir or Madam,
Please find enclosed the original and one (1) copy of the Stormwater Discharge Outfall (SDO)
Monitoring Report for Static Control Components, Plants 9 and 16, in Sanford, NC,
NCG030614. As required by the permit issued by NCDENR, we have maintained a copy for
review in our stormwater records.
Upon reviewing the results, three (3) of the outfall areas have contaminant levels that exceed the
benchmark value for Copper. We will continue Tier I1 actions, which will include surface runoff
samples from upstream locations in the drainage areas of Outfalls 001, 004, and 005 to identify
potential contributing source(s) of pollutants. These samples will be collected during the next
monitoring event. All records of Tier I and Tier II actions will be maintained by the Static
Control Environmental Health and Safety (EHS) Department.
If you have any questions about the matter, please contact Michael Stephens by phone at (919)
774-3808 x 1496, or by e-mail at mstephens�cr�,sce-inc.com.
Sincerely,
Michael Stephens
EH&S Department
Enclosure: Original and one copy of "Stormwater Discharge Outfall Monitoring Report"
3010 Lee Avenue • PO Box 152 • Sanford, NC 27331-0152 • US/Can 800.488.2426 • US/Can Fax [phone] • Int'I 919,774,3808 • Int'I Fax 919.774,1287

Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling our this font?, please visit: http:/lh2o.enr.state.nc.us/su/Forms Doc uments.htm#mi seforms
Permit No.: N/C/ / l 1 /_t_I 1I
Facility Name: Static ConroI
County: Lee
Inspector: Andrew Rodak
Date of Inspection: 01 / 10 / 14
Time of Inspection: 19 : 10
Total Event Precipitation (inches)
or Certificate of Coverage No.: NIC/G/ 0 / 3 / 0 / 6 / 1/ 4 /
Components
0.57
No. [phone]
Was this a Representative Storm Event? (See information below) X❑ Yes ❑ No
Please check your pennit to verify if Qualitative Monitoring must he performed during a representative
storm event (requirements vary).
- — - - - - - - - - - .... ... ......... .... _......
... ..........................
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. l inches has
occurred. A single storm event may contain up to 10 consecutive hours of no precipitation.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
1. Outfall Description:
Outfall No. 005 Structure (pipe, ditch, etc.) Drop Inlet
Deceiving Stream: Gasters Creek
Describe the industrial activities that occur within the outfall drainage area:
Maintenance/Construction Supply Storage
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: Brownish -gray, medium tint
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): No distinctive odor
Page 1 of' 2
S W U-242-1 12008

._.
4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear
and 5 is very cloudy: �
I 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:
1 2 O 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 outfalP Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe pH (field -measured): 6.98
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-242-112608

Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out dais form, please visir: http://h2o.enr.state.nc.us/su/Forms_Documents. htm#miseforms
Permit No.: N/C/_I_I I I I 1_I or Certificate of Coverage No.: N/C/G/ 0 / 3 / 0 / 6 / 1/ 4 /
Facility Name: Static Control Components
County: Lee Phone No. (919) 7 7 4- 3 8 0 8
Inspector: Andrew Rodak
Date of Inspection: 01 / 10 / 14
Time of Inspection: 19 : 25
Total Event Precipitation (inches): 0 . 5 7
Was this a Representative Storm Event? (See information below) ❑X Yes ❑ No
Please check your permit to verify if Qualitative Monitoring must be performed during a representaaive
storan event (requirements wary).
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.
$y this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
1. Outfall Description:
Outfall No. 006 Structure (pipe, ditch, etc.) Ditch
Receiving Stream: Gasters Creek
Describe the industrial activities that occur within the outfall drainage area:
Industrial operational equipment
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: Yellowish -brown, medium tint
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): No distinctive. odor
Page l of 2
5 W U-242-112608

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 l 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 2 V 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 outfalI? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe pH (field -measured): 6.44
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-242-112608

Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling our this form, please visit: httn://h2o.enr.state.nc.us/su/Forms_Documents,htm#miscforms
Permit No.: N/C/_/_/ I 1 1 1 I or Certificate of Coverage No.: N/C/G/ 0 / 3 / 0 / 6/ 1/ 4/
Static Control Components Facility Name: p
County: Lee Phone No. (919) 7 7 4- 3 8 0 8
Inspector: Andrew Rodak
Date of Inspection: 01 / 1 0 / 1 4
Time of Inspection: 18 : 4 7
Total Event Precipitation (inches):
0.57
Was this a Representative Storm Event? (See information below) ® Yes ❑ No
Please check your permit to verify if Qualitative Monitoring must he perfonned during a representative
storm event (reguirentenis vary).
_................................ ................ _...--...---............................... .
- - - -- - -- - - —
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.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
W\:� � ,_-
(Signature of Permittee or Designee)
1. Outfall Description:
Outfall No. 003 Structure (pipe, ditch, etc.) Pipe discharge into ditch
Receiving Stream: Gasters Creek
Describe the industrial activities that occur within the outfall drainage area:
Waste storage
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: Yellowish/brown, light tint
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): No distinctive odor _
Page l of 2
SWU-242-112608

4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
1 02 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:
I G
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
111. Other Obvious Indicators of Stormwater Pollution:
List and describe pH (field -measured) : 6.69
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
S W U-242-1 12608

;i-
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: http://h2o.enr.state.nc.us/sufForms_Documents.htm#miseforms
Permit No.: N/CI_I_/ 1_I_I 1_I or Certificate of Coverage No.: N/C/G/ 0 / 3 / 0/ 6/ l/ 4/
Facility Name: Static Control Components
County: Lee Phone No. [phone]
Inspector: Andrew Rodak
Date of Inspection:
Time of Inspection: 19 : 0 0
Total Event Precipitation (inches):
0.57
Was this a Representative Storm Event? (See information below) ® Yes ❑ No
Please check your pennit to verify if Qualitative Monitoring must be performed during a representative
scorn event (requirements vary).
— ---------------------------------- ---------------- __..__... ...__.....__..._...__... .. .........._.............._.._.........__..._...... __...... ... __...--- __ ..
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.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
1. Outfall Description:
OutfalI No. 004 Structure (pipe, ditch, etc.) Sheet flow
Receiving Stream: Gasters Creek
Describe the industrial activities that occur within the outfall drainage area:
Maintenance/Construction Supply Storage
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: YP1 1 nwi s;h f hrnwn , 1 i qht ti nt
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): No, distinctive odor
Page l of 2
SWU-242-1 12009

4..
A
i�
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
G 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where I is noG
solids and 5 is the surface covered with floating solids:
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:
I Q 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 pH (field -measured): 7.22
some sediment deposit at end of pipe- about 10% of pipe diameter
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
S W U-242-1 126U8

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number: NCS or SAMPLES COLLECTED DURING CALENDAR YEAR: 2014
Certificate of Coverage Number: NC6030614 (This monitoring report shall be received by the Division no later than 30 clays from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME Static Control Comnonents-Plant 9 Maintenance Storaec & Plant 16 Toner Packa2in2 COUNTY Lee
PERSON COLLECTING SAMPLE(S) Andrew Rodak PHONE NO.( 919 ) 774-3808
CERTIFIED LABORATORY(S) Environmental Science Corporation Lab # ENV375
Lab #
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Part A: Specific Monitoring Requirements
Outfall
Date '
50050
No.
Sample
Collected
Total
Flow (if app.)
Total
Rainfall,
Oil & Grease
TSS
Copper
pH
Zinc
Lead
moldd/vr.
MG
inches
,m L
m /L
m L
m /L
m L
001
No discharge
1.29
002
04/07/14
1.29
< 1.2
29
<0.0053
6.27
0.041
0.0036
003
04/07/14
1.29
< 1.2
29
< 0.0053
6.54
0.012
0.0054
004
04/07/14
1.29
< 1.2
110
0.020
6.76
0.066
0.012
005
04/07/14
1.29
< 1.2
58
0.014
6.75
0.028
0.0053
006
04/07/14
1.29
4.30
13
< 0.0053
5.88
0.031
0.0032
❑
0
z
�--F-
W
s
Q�
Or °�
w
z�
w
oc
ao
� Form S W U-24b, last revised 2/2/2012
Page I of 2

Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?_ yes X no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activitv Monitoring Requirements
Outfall
Date
50050
00556
00530
00400
No.
Sample
Collected
Total Flow
(if applicable)
Total Rainfall
Oil & Grease
(if appl.)
Non -polar
O&G/I'PH
(Method 1664
SGT-HEM), if
a tl.
Total
Suspended
Solids
pH
New Motor Oil
Usage
mo/dd/ r '
MG
inches
m I
m /l
Units
allmo
STORM EVENT CHARACTERISTICS:
Date 04-07-14
Total Event Precipitation (inches): 1.29
Event Duration (hours): 3.0 (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Energy, Mineral, and Land Resources
Attn: Central Files
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
"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. 1 am aware that there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
L'ry�-V4'(-
(Date)
Form S W U-246, Iasi revised 21212012
Page 2 oF2

Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on f lling out this form, please visit: http://h2o.enr.state.nc.us/su/Forms Documents. htm#miscforms
Permit No.: N/C/_/ / / / /_/�/ or Certificate of Coverage No.: N/C/G/ O / 3 / 0 / 6 / 1/ 4 /
FacilityName: Static Control Components
County: Lee Phone No. (919) 7 74 - 3 8 0 8
Inspector: Andrew Rodak
Date of inspection: _ _0 4 / 0 7 / 14
Time of Inspection: 12 : 5 0
Total Event Precipitation (inches)
1.29
Was this a Representative Storm Event? (See information below) ® Yes ❑ No
Please check your permit to verify if Qualitative Monitoring must be performed during a representative
storm event (requirements vary).
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.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
1. Outfall Description:
Outfall No. 001 Structure (pipe, ditch, etc.) Sheet flow
Receiving Stream: Casters Creek
Describe the industrial activities that occur within the outfall drainage area.
Parking Lot, refuse storage (dumpsters), raw and waste material transfer
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: No discharge.
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): No discharge.
Page 1 of 2
SWU-242-112608

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:
1 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where I is no solids and 5 is extremely muddy:
1 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:
I
List and describe No discharge observed.
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition maybe
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242-112608

Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: htt ://h2o.enr.state.nc,us/su/Forms Documents.htm#miscforms
Permit No.: NICI l—1 1 I 1_I_I or Certificate of Coverage No.: N/C/G/ 0 / 3 / 0 / 6 / 1 / 4 /
Facility Name: Static Control Components
County: Lee Phone No. 919) 7 74 - 3 8 0 B
Inspector: Andrew Rodak
Date of Inspection: 04 f 0 7 % 14
Time of Inspection: 12 : 55
Total Event Precipitation (inches):
1.29
Was this a Representative Storm Event? (See information below) ® Yes ❑ No
Please check your permit to verify if Qualitative Monitoring must be performed during a representative
storm event (requirements vary).
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.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
1. Outfall Description:
Outfall No. 002 Structure (pipe, ditch, etc.) Pipe discharge into ditch
Receiving Stream: Gasters Creek
Describe the industrial activities that occur within the outfall drainage area. -
Waste storage
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: Whitish -gray, medium tint
I Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): No distinct odor
Page 1 of 2
SWU-242-1 12609

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:
1 O 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 N�
S. Is there an oil sheen in the stormwater discharge? Yes (9
9. Is there evidence of erosion or deposition at the outfall? Yes E)
10. Other Obvious Indicators of Stormwater Pollution:
List and describe pH : 6 .27
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition maybe
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
S WU-242-112608

4y�'d.,a STA7Fp
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: httplfh2o.enr,state.nc.us/su/Forms Documents.htm#miscforms
Permit No.: NICI_I_I I I_I I I or Certificate of Coverage No.: NIC/G/ 0 131 0 / 6 / 1/ 41
Facility Name: Static Control Components
County: Lee Phone No. [phone]
Inspector: Andrew Rodak
Date of Inspection:, 04 f 0 7 / 14
Time of Inspection: 13 : 05
Total Event Precipitation (inches): 1.29
Was this a Representative Storm Event? (See information below) ® Yes ❑ No
Please check your permit to verify if Qualitative Monitoring must be performed during a representative
storm event (requirements vary).
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.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
1. Outfall Description:
Outfail No. 003 Structure (pipe, ditch, etc.) Pipe discharge into ditch
Receiving Stream: Gasters Creek ^
Describe the industrial activities that occur within the outfall drainage area:
Waste storage
2. r Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: Grayish/brown, medium tint
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): No distinctive odor
Page ! of 2
S W U-242-11260 B

4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear
and 5 is very cloudy:
1 2 V 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:
1 02 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 2 O3 4 5
7. Is there any foam in the stormwater discharge?
S. Is there an oil sheen in the stormwater discharge?
9. Is there evidence of erosion or deposition at the outfall?
to. Other Obvious Indicators of Stormwater Pollution:
List and describe pH (field -measured) : 6.54
Yes No
Yes No
Yes No
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition maybe
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242-112608

Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this farm, please visit. http://h2o.enr.state.nc.us/su/Forms Documents. him#miscforms
Permit No.: N/C/ I_l I l_l_I_l
Facility Name: Static Control
County: Lee
Inspector: Andrew Rodak
or Certificate of Coverage No.: N/C/G/ 0 / 3 / 0 / 6 / 1/ 4/
Components
No. [phone]
Date of Inspection:
Time of Inspection: , . 13.15
Total Event Precipitation (inches):
1.29
Was this a Representative Storm Event? (See information below) ® Yes ❑ No
Please check your permit to verify if Qualitative Monitoring must be performed during a representative
storm event (requirements vary).
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.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
1. Outfall Description:
Outfall No. 004 Structure (pipe, ditch, etc.) Sheet flow
Receiving Stream: Gasters Creek
Describe the industrial activities that occur within the outfall drainage area:
Maintenance/Construction Supply Storage
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: sight brows, medium tint -
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): No distinctive odor
Page l of 2
5WU-242- 112608

4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear
and 5 is very cloudy:
1 2 3 4O 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:
1 2 03 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where I is no solids and 5 is extremely muddy:
1 2 V 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 Storrnwater Pollution:
List and describe pH (field -measured): 6.76
some sediment deposit at: end of pipe- about 1o°s of pipe diameter
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-242-112609

Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: http/lh2o.enr.state.nc.us/sulForms Documents. htm#m isc forms
Permit No.: NICI_l_I l_I l_l�1 or Certificate of Coverage No..- N/C/G/ n / 3 / 0 / G/ 1/ 4/
Facility Name: static Control Components
County: Lee Phone No. (919) 7 74 - 3 8 0 8
Inspector: Andrew Rodak
Date of Inspection: 04 / 0 7 / 14
Time of Inspection: 13 : 3 0
Total Event Precipitation (inches): 1.29
Was this a Representative Storm Event? (See information below) 0 Yes ❑ No
Please check your permit to verify if Qualitative Monitoring must be performed during a representative
storm event (requirements vary).
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.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
1. Outfall Description:
Outfall No. 005 Structure (pipe, ditch, etc.) Drop zrzlet
Receiving Stream: Gasters Creek
Describe the industrial activities that occur within the outfall drainage area:
Maintenance/Construction Supply Storage
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: Brnwnishgray. medium tint
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): No distinctive odor
Page 1 of 2
SWU-242-112608

4. Clarity: Choose the number which best describes the clarity of the discharge, where I 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:
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:
I G
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 pH (field -measured) : 6.75
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-242-112608

. Sr
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: http://h2o.enr.stqte.nc.us/su/Forms Documents. htm# rniseforms
Permit No.: N/C/_/_/ 1 1_I l�l or Certificate of Coverage No.: NICIGI 0 / 3 / 0/ 6/ 1/ 4/
Facility Name: Stack Control Components
County: Lee Phone No. (919) 7 7 4- 3 8 0 8
Inspector: Andrew Rodak
Date of Inspection: 0 4 / 0 7 / 14
Time of Inspection: 13 : 45.
Total Event Precipitation (inches): 1.29
Was this a Representative Storm Event? (See information below) QX Yes ❑ No
Please check your permit to verify if Qualitative Monitoring must be performed during a representative
storm event (requirements vary).
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.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
1. Outfall Description:
Outfall No. 006 Structure (pipe, ditch, etc.) Ditch
Receiving. Stream: Gasters Creek
Describe the industrial activities that occur within the outfall drainage area. -
Industrial operational equipment
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: -
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): No distinctive odor
Page 1 of 2
S WU-242-112008

4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear
and 5 is very cloudy:
1 2 03 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where I is no solids and 5 is the surface covered with floating solids:
I 0 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where I is no solids and 5 is extremely muddy:
2 (D 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
to. Other Obvious Indicators of Stormwater Pollution:
List and describe pH (field -measured) - 5.88
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-242-112608