NCG030026_MONITORING INFO_20191223

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO. /v
DOC TYPE. ❑ HISTORICAL FILE
❑Y MONITORING REPORTS
DOC DATE ❑ 301
YYYYMMDD

Anchor QEA of North Carolina, PLLC � ANCHOR
231 Haywood Street
Asheville, North Carolina 28801 QEA -
828.281.33-0
December 19, 2019
Central Files
Division of Energy, Mineral, and Land Resources RECEIVED
North Carolina Department of Environmental Quality DEC 2 3 2019
1612 Mail Service Center C,� N'MAL FILE
Raleigh, North Carolina 27699-1612 L)'NR SECTIv,)
Re: Stormwater Sample Analytical Results, November 2019
TEAM Industries Andrews, Inc.
Andrews, Cherokee County, North Carolina
Certificate of Coverage No. NCG030026
To Whom It May Concern,
Anchor QEA of North Carolina, PLLC, is pleased to present the following stormwater sample analytical
results. On behalf of TEAM Industries Andrews, Inc. (TEAM), Anchor QEA collected two stormwater
samples on November 7, 2019, for the referenced facility covered by National Pollutant Discharge
Elimination System Stormwater General Permit No. NCG030000 (Stormwater General' Permit). In the
samples collected from outfalls SW -A and SW-B, one constituent concentration exceeded the
benchmark value specified in the Stormwater General Permit. All other constituent concentrations
detected were less than or within the acceptable ranges of the benchmark values specified in the
Stormwater General Permit. This letter provides background information and describes the methods,
findings, and conclusions regarding the stormwater sample collection and analysis.
Background
The most recent Stormwater General Permit for metal fabrication activities was issued by the
North Carolina Department of Environmental Quality with an effective date of November 1, 2018,
and it will expire at midnight on May 31, 2021. The sampling event described herein represents the
second sampling event under the current permit. Sample collection and reporting protocol for this
event followed the current permit requirements.
The Stormwater General Permit indicates that the permittee shall complete analytical sampling on a
semiannual schedule, once during the first half of the year (January 1 to June 30) and once during
the second half of the year (July 1 to December 31), at a minimum, allowing at least 60 days between
sample collection dates. This sampling event fulfills the compliance sampling requirement for the
second half of 2019.
\\ashevillel\Asheville\Projects\Team Ind\Environmerual Management\Sto,mwater\Semi-annual Stormwater Reports\Stom,water Sampling Event 2019-11-07\Stormwater
Sample Analytical Results 121919.dooa

December 19, 2019
Page 2
The general location of the facility is indicated in Figure 1. Samples have historically been collected
from the facility's two outfalls. The outfalls and sample locations are labeled SW -A and SW-B, as
identified in Figure 2.
Methods
On November 7, 2019, Anchor QEA mobilized to the TEAM facility to collect stormwater samples
during a measurable storm event of approximately 0.16 inches of rainfall.' There had not been a
measurable storm event in the 72 hours preceding this sampling event.
The stormwater samples were collected from outfalls SW -A and SW-B. Samples were collected as
indicated in the surface water sampling logs (Attachment 1) from the approximate center of the
discharge streams and were transferred to laboratory -supplied containers. The containers were
placed in a cooler on ice and delivered to Pace Analytical Services, Inc. (Pace), in Asheville, North
Carolina, for laboratory analyses. The pH measurement was obtained in the field by placing a probe
within the flow of the respective outfall. The pH measurement was recorded once stabilization
occurred. Anchor QEA's equipment documentation and instrument calibration data sheet is included
as Attachment 2.
Anchor QEA also performed a stormwater discharge outfall (SDO) qualitative monitoring event
during the stormwater analytical sampling event. The associated SDO qualitative monitoring reports
are included as Attachment 3.
Findings
The laboratory analytical results are summarized in the Semiannual Stormwater Discharge Monitoring
Report (Attachment 4). The samples contained concentrations lower than or within the range of the
specified benchmark values for all constituents analyzed by Pace with the exception of total
suspended solids (TSS) for SW -A. The TSS value of 114 milligrams per liter (mg/L) exceeds the
benchmark of 50 mg/L specified in the Stormwater General Permit for sites discharging to a water
body classified as a trout stream. Welch Mill Creek is designated as a trout stream.
The field measurements of pH for SW -A and SW B were within the acceptable benchmark value
range. The field measurement results are listed in the surface water sampling logs (Attachment 1),
and pH results are shown in Attachment 4. The Pace analytical report and chain -of -custody form are
included in Attachment S.
Since the sampling period in fall 2008, TEAM has implemented a toxic organic management plan,
which is monitored by the Town of Andrews (the entity that operates the publicly owned treatment
works). Once the toxic organic management plan was implemented, TEAM was no longer required to
analyze for total toxic organics during semiannual stormwater monitoring events.
' Rainfall depth was obtained from the Weather for You online database records for the Andrews -Murphy Airport gauge station.

December 19, 2019
Page 3
Conclusions
The stormwater sample results for outfalls SW -A and SW-B showed one benchmark exceedance for
TSS in SW -A. All other concentrations were less than or within the range of the benchmark values
specified in the general permit for all constituents, with the exception of TSS in the sample collected
from SW -A. Per the Stormwater General Permit, response activities included the following.
1. Conduct a stormwater management inspection of the facility within two weeks of receiving
sampling results (results were received November 20, 2019). A stormwater inspection was
completed on December 4, 2019.
2. Identify and evaluate possible causes of the benchmark value exceedance. This inspection did
not indicate any obvious source of TSS related to facility operations. However, elevated TSS
could be due to the introduction of cattle to the field behind the plant a few days before
the stormwater samples were collected.
3. Identify potential, and select the specific feasible: source controls, operational controls, or
physical improvements to reduce concentrations of the parameters of concern, and/or to bring
concentrations within the benchmark range. Due to the cause of this exceedance, new
controls should not be necessary.
4. Implement the selected feasible actions within two months of the inspection. Not applicable.
5. Record each instance of a Tier One response in the Stormwater Pollution Prevention Plan (SPPP).
Include the date and value of the benchmark exceedance, the inspection date, the personnel
conducting the inspection, the selected actions, and the date the selected actions were
implemented. This activity has been completed.
In accordance with the current Stormwater General Permit analytical sampling requirements,
Anchor QEA will perform the next analytical monitoring of stormwater discharges during another
representative rain event between January 1 and June 30, 2020.
If you would like additional information, please contact me at [phone] or
[e-mail], or contact Gregory Boehm at [phone].
Sincerely,
�14V�
Jennifer Verde
Project Manager
cc: Gregory Boehm, TEAM Industries Andrews, Inc.
Terry Yonce, TEAM Industries Andrews, Inc.
Duplicate, Central Files

December 19, 2019
Page 4
Attachments
Figure 1 Site Location Map
Figure 2 Stormwater Discharge Outfall Locations
Attachment 1 Surface Water Sampling Logs
Attachment 2 Equipment Documentation and Instrument Calibration Data Sheet
Attachment 3 Stormwater Discharge Outfall Qualitative Monitoring Reports
Attachment 4 Semiannual Stormwater Discharge Monitoring Report
Attachment 5 Laboratory Analytical Report and Chain -of -Custody Form

Figures

Publish pate: 2019111108. 1 G8 PM I User. cnatterson
Rlepath A\Projects\Team Intl\Envlmnmental Managemen1\St0rmwa1et\Semi annual Stormwater Reporls\S10 morater Sampling Event 2019 11-07\Figums\Figure 1 Site location Mapt.mxd
j� ANCHOR Figure 7
V..,r QE Site Location Map
Stormwater Sample Analytical Results, November 2019
TEAM Industries Andrews, Inc.

locations are approximate. 2. Parcels, streams, and roads:
L-1 Site Parcel Boundary Cherokee County GIS
3. Unnamed creek and drainage 0 150 300
-- Streams ditches are drawn in based on
Roads Anchor QEA field observations.
Feet
sews u:,, y...,
it i annn:,l �i,maae 6cVn iilsio wale :��,i it rvri.,
kzANCHOR Figure 2
QEA Stormwater Discharge Outfall Locations
Stormwater Sample Analytical Results, November 2019
TEAM Industries Andrews, Inc.

Attachment 1
Surface Water Sampling Logs

ANCHOR
QEA 4�
Surface Water Sampling Log
Anchor QEA of North Carolina, PLLC
231 Haywood Street
Asheville, North Carolina 28801
Project Name: TEAM J,i`��y,Irs /��nu.�SC'�v/ter Date: G2Gl9
Project Number.._�9�Lf1A a/ Weather-kafn ,ry°r �v r�carl
Sampling Personnel: CA,-/14/04 ALH&-Jon
Sample Name: SW -A
Comments: Rein e�irts �7.J�. �'fC[tZmu�R1_!U�_�d f/•l Jr"S V_I !n
Sample Method: Grab Syringe Pump
Bailer-Disp. Other.
. Time
Tem.mp (,q
.'DlssolveE .
Oltygen (mg/Lj
Spedflc Coed
�(p5/cm)
" • a
�pH1.,(SU)
report to 0 7 5 U
0lddatlori
Reductlo'n'
.Potential (m1n
Turbtdiry
(NTU)
a".' .
C0jtlment9
I
115.25
)3.7
6. 90
214 3
6.1�2
10.5. I
10. 0-)
'SemplingContaleer
NumbeiofContainers
-
.RequestedAnafysls
500 mL Plastic'-
I+
250 mL Plastic
j
I MOAN
125 mL Plastic
40 mL Glass
1 L Glass
Z ---
% P/� ' SG? "/•JEM
Other
%lartrc
S
'Vegetation: ye.t, OVCrq/'ewn Access: -F r
Sampling Personnel Signature: G / vV v Date: i/171.20J y
Notes:
Samples are analyzed Immediately upon collection.
'C: degrees Celsius
pS/cm: micro-Siemen per cubic centimeter
mg/L milligrams per liter
mv: millivolt
NTU: nephelometdc turbidity units
S.U.: standard units
memoo nererence:
Temperature: SM 2550 B-2010
Specific conductivity. EPA Method 120.1, Rev. 1982
DO: SM 4500 O G-2011
PH: SM 4500-H' B-2011
Page 1 of 1

tZANCHOR
QEA�
Surface Water Sampling Log
Anchor QEA of North Carolina, PLLC
231 Haywood Street
Asheville, North Carolina 28801
Project Name:
-TMM j, pS lj&IVI.611
I
els
Date: &714013�
Project Number.
—C Ill 4 4-1-- 01, 01
Weather,
Sampling Personnel:
01
Sample Name:
Comments:
kcm
055--: 0. m
Sample Method: Grab Syringe
Pump
Bailer-Disp. Other.
blitsolved
Spodfic Cpnd.
PH (S.M.)
-
71me
Temp VC
I10xygen (mgA)
report to
Po.t'enti.al (mV)
Cmmet
I;
-2 /8
0-00
,g _i_ktar
nta ners;
500 ml. Plastic
250 mL Plastic
1
Ael`zh-
125 mL Plastic
40 mL Glass
I L Glass
I Other
TSS
Vegetation: yrs. MbIm'.1
Sampling Pertumnel Signature:
Notes:
Samples are analyzed immediatel,/ upon collection.
'C: degrees Celsius
pS/cm: rmcro-Siemen per cubic centimeter
mg/L milligrams per liter
mv: millivolt
NTU nephelomemc turbidity units
S U.: standard units
Access: 00 0 J
61 I Date.
Method Reference:
Temperature: SM 2550 8-2010
Specific conduct' wity EPA Method 120, 1. Rev. 1982
1
DO: SM 45W 0 G-2011
I
PH: SM 4500-H' B-2011
Page 1 of 1

Attachment 2
Equipment Documentation and
Instrument Calibration Data Sheet

ANCHOR
QEA � i
Documentation and Instrument Calibration Data Sheet
Anchor QEA of North Carolina, PLLC
231 Haywood Street
Asheville, North Carolina 28801
_ CALIBRATION DOCUMENTATION nn
Project Name: /%¢vf'l rn o"asb-.rf A,fl)url .,Sormces Person Conducting Calibration: C�l.SJrA/e /"4 i1'�errpn
Project Numben_C:Y�*$Y Date of Calibration: ///'7 1U/
Project Location: �� lmtisr�C. Dale of Field Measurements:_/1/ 7Z20/P
Equipment or meters used to take measurements (e.g„ water level meters, survey equipment):
ui mend• ,
deiidl Nulittier:
.^'i:•Br6nd:==r;j
'-. Date of Uae,'-�,
150-ft Water Level
26154
Solinlst
150-ft Water. Level
22754
Solinlst
150-ft Water Level
150
Testwell
150-ft Drawdown
MP30-1527
QED
Other
Select Turbidimeter. CAP Hach 210DQ (s/n 151006045207)
HF Scientific MkroTPW (s/n 200601045)
Signature: 4�1 %� Data: ///7/.20/y 1
Notes
1. Electronic equipment calibrated according to the manufacturer's opera0on manual.
2 Specific ConductMor should be wribrated accordnq to "hies representa0w of historic ninge.
3. Order of Cahoraaon is as follows: Spealfic ConductMtg pH 7, pH 4, pH 10, DO. ORP, QC checks.
4. QC Acceptable Ranges pH ./- 0.1 S.U. and Specific Conductivity 10%of the true value. If QC readings are out of range the imlrumern needs to be mralibrated.
5.' Indicates that a OC check must W pedamcetl m the momirg, afternoon and the end of the day, or entry four hours.
6 •' Indicates m choose a Specific Conductivivity buffer of 1413, 447, 94, or 23 Ins which is closest to historical readings from the project location.
Method Reference: Temperature: SM 2550 B-2010 1 Spedfic conductivity: CPA Method 120. 1, Re¢ 1982 1 DO: SM45000 G-2017 I pH: SM 4500-H. 8.2011
Page 1 of 1

Attachment 3
Stormwater Discharge Outfall Qualitative
Monitoring Reports

KC-.
Envlronmenral
Quality
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance onft/ling out thisform, please visit https:Hdeq.ne.gov/about/divisions/energy-mineral-land-resources/
npdes-stomrwater-gps
PermitNo.: N/C/,O/,3(O1,0(0%0/,0/ or Certificate of Coverage No.: N/C/G/O/,3/.O/,0/2/6/
Facility Name: TEAM Industries Andrews, Inc.
County: Cherokee
Inspector: Christian Patterson
Date of Inspection: 11/7/2019
Time of Inspection: 1525 EST
Total Event Precipitation (inches): 0.16
No. 828-835-4000
All permits require qualitative monitoring to be performed during a "measurable storm event."
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 DEMLR
Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Penmittee or Designee)
1. Outfall Description:
Outfall No. SW -A
Structure (pipe, ditch, etc.): Pipe to ditch
Receiving Stream: Welch Mill Creek
Describe the industrial activities that occur within the outfall drainage area:
Material storage, container storage, and aboveground tank storage of petroleum products.
Page I of 2
SWU-242, Last modified 06/01/2018

2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: Clear to 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 I is clear
and 5 is very cloudy:
1 0j 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 Ili le surfare rnvvrarl with flnatino cnlirlc-
S
O2
i. Suspended Solids: Choose the number which
he stormwater discharge, where I is no solids and 5
1 0
Is there anv foam in the stormwater discharge?
I. Is there an oil sheen in the stormwater discharge?
I. Is there evidence of erosion or deposition at
0. Other Obvious Indicators of Stormwater
.isl and describe No indicators of stormwater pollution
4 5
best describes the amount of suspended solids in
is extremely muddy:
a 4 5
O Yes O No.
OYes ® No.
the outfall? O Yes o No.
Pollution,
were observed.
tote: Low clarity, high solids, and/or the presence
idicative of pollutant exposure. These conditions
Page 2
WU-242. Last modified 06/01/2018
of foam, oil sheen, or erosion/deposition may be
warrant further investigation.
of 2

N-C-0
En"=mental
Quality
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidance onfilling out thisform, please visit https://deq.nc.gov/about/divisions/energy-mineral-land-resources/
npd es-stormwater-gps
PermitNo.: N/C/.0/,3/.0/,0(0/,0/.0/ or Certificate of Coverage No.: N/C/G/,0/,3/,0/0(2(6/
Facility Name: TEAM Industries Andrews, Inc.
County: Cherokee
Inspector: Christian Patterson
Date of Inspection: 11/7/2019
Time of Inspection: 1535 EST
Total Event Precipitation (inches): 0.16
No. 828-835-4000
All permits require qualitative monitoring to be performed during a "measurable storm event."
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 DEMLR
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)
1. Outfall Description:
Outfall No. SW-13
Receiving Stream:
Welch Mill Creek
Structure (pipe, ditch, etc.): Pipe to ditch
Describe the industrial activities that occur within the outfall drainage area:
Ahnvparnimd tank storage of petrnlpnm products and o^nnanp and container storage
Page I of 2
S W U-242, Last modi lied 06/01 /2018

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 d
chlorine odor, etc.): None
4. Clarity: Choose the number which best des
and 5 is very cloudy:
1 O
5. Floating Solids: Choose the number which
stormwater discharge, where I is no solids and 5 is t
O 2
6. Suspended Solids: Choose the number win
the stormwater discharge. where 1 is tin snlidc and S
r
s
may have (i.e., smells strongly of oil, weak
the clarity of the discharge, where I is clear
4 5
st describes the amount of Floating solids in the
surface covered with floating solids:
4 5
best describes the amount of suspended solids in
rxtremaly m.ol W-
O2
Is there any foam in the stormwater dischar
1. Is there an oil sheen in the stormwater discharge?
Is there evidence of erosion or deposition at
0. Other Obvious Indicators of Stormwater
,ist and describe No indicators of stormwater pollutionlwere
3 4 5
le? O Yes ® No.
OYes ® No.
the outfall? O Yes o No.
Pollution:
observed.
tote: Low clarity, high solids, and/or the presence
idicative of pollutant exposure. These condition's
Page
wU-242, Last modified 06/01/2018
of foam, oil sheen, or erosion/deposition may be
warrant further investigation.
2 of 2

Attachment 4
Semiannual Stormwater Discharge
Monitoring Report

Stormwater Discharge Monitoring Report
for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG030000
Date submitted 12/19/2019
CERTIFICATE OF COVERAGE NO. N0003 0 0 2 6
FACILITY NAME TEAM Industries Andrews, Inc.
COUNTY Cherokee
PERSON COLLECTING SAMPLES Christian Patterson
LABORATORY Pace Analytical Lab Cert. # 37712
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2019
SAMPLE PERIOD ❑ Jan -June 0 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
No discharge this periodj2
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches'
Total Suspended Solids
pH
Standard units
Total Copper
Total Lead
Total Zinc
Non -Polar O&G/
Total Petroleum
Hydrocarbons
Total Toxic
Organics'
Benchmarks
_
-
100 mg/L or 50 mg/L4
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
78141
SW -A
1 11/07/19
0.16
114
6.12
<0.005
<0.005
0.0175
<5.0
NA
SW-B
11/07/19
0.16
4.0
6.02
<0.005
<0.005
0.0764
<5.0
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, Section B, Table 1 to identify the especially sensitive receiving water classifications where the more protective benchmark applies.
i 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

FOR PART A AND PART B MONITORING RESULTS'
• ABENCHMARK EXCEEDANCE TRIGGERS TIER I REQUIREMENTS. SEE PERMITF
• 2 EXCEE DANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFAO
• TIER3: HAS YOUR FACILITY HAD A OR MORE BENCHMARK EXCEEDENCES FOR
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES❑NO[
REGIONAL OFFICE CONTACT NAME:
case of'Wo Discharge"reports) to:
Division Of Water Quality
Attn: DWQ Central Files
1617 Mall Service Center
Raleigh, North Carolina 27699-1617
'Y Certify, under penally, of law, that this document and all attachments were prel
assure that qualified personnel properly gather and evaluate the Informallon sub
those persons directly responsible for gathering the Infosnsation, the Information
am aware that theP' are significant penalties for submitting false Information, in[
Signature of Permiltee
Permit Date: 11/1/2018 05/31/2021
AT II SECTION 8.
TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
TIE SAME PARAMETER AT ANY ONE OUTFALL? YES ©NOS
ader my dlrectlon or supervision In accordance with a system designed to
Based on my Inquiry of the person or persons who manage the system, or
Ited is, to the best of my knowledge and belief, true, accurate, and complete. I
the possibility of fines and Imprisonment for knowing vlolatlons!
Dale t�rr i
SWU-245, last revised 11/1/2018
Page 3 of 3

Facilities that Incorporate a solvent management plan Into the 5tormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring
maybe 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 cilrectly responsible for managing compliance with the permit monitoring requirement for total toxic organics
(110),1 certify that to the best of my knowledge and belief, no dumping of concentrated toxic organlcs Into the stormwater or areas which are exposed to rainfall or
stormwater nunaff 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."
//♦ `2
Name (print name)/
Title (Print e) l
'/
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,'OX mg1V where XX is the numerical value of the detection
limit, reporting limit, etc. In mg/L.
Note: If you report a somple value in excess of the benchmark you must Implement Tier 1, Tier 2, or Tier responses. See General Permit text.
Part 8: Vehicle Maintenance Area Monitoring Results: only for facilities averaging> SS gal of new all per month.
n No dlschoroe this perlod7t
Outell No.
Date Sample collected'
(mo/dd/yr)
24-hour rainfall amount,
Inchess
New Motor Oil or
Hydraulic Oil Usage
Non -Polar O&G/Total
Petroleum Hydrocarbons
Total suspended
Solids
Benchmarks
-
-
15 mg/L
100 mg/1 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 tire benchmark you must Implement Tier 1, Tler2, or T1er3 responses. See General Permit text.
Permit Date: 1111/2018-05/31/2021 SWU-245, last revised 11/1/2018
Page 2 of 3

Attachment 5
Laboratory Analytical Report and
Chain -of -Custody Form

ac"Analytical.
w .Pacalablrzm
November 20, 2019
Ms. Melanie Kemp
Anchor QEA
231 Haywood Street
Asheville, NC 28801
RE: Project: TEAM C91489-01.01 11-7-19
Pace Project No.: 92452877
Pace Analytical services, LLC
2225 Riverside Dr.
Asheville, NC 28804
[phone]
Dear Ms. Kemp:
Enclosed are the analytical results for sample(s) received by the laboratory on November 08, 2019.
The results relate only to the samples included in this report. Results reported herein conform to the
most current, applicable TNI/NELAC standards and the laboratory's Quality Assurance Manual,
where applicable, unless otherwise noted in the body of the report.
If you have any questions concerning this report, please feel free to contact me.
Sincerely,
Lord Patton
[e-mail]
1(828)254-7176
Project Manager
Enclosures
cc: Ms. Cassandra Harvey, Anchor QEA
*NORA100
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced. except in full,
without the written consent of Pace Analytical Services, LLC.
Page 1 of 13

(�55'OAnalyfical*
wwr.pr,ctl�0uan
CERTIFICATIONS
Project: TEAM C91489-01.01 11-7-19
Pace Project No.: 92452877
Pace Analytical Services, LLC
2225 Riverside Dr.
Asheville, NC 28804
[phone]
Pace Analytical Services Charlotte
9800 Kincey Ave. Ste 100, Huntersville, NC 28078
South Carolina Certification #: 99006001
Louisiana/NELAP Certification # LA170028
Florida/NELAP Certification #: E87627
North Carolina Drinking Water Certification #: 37706
Kentucky UST Certification #: 84
North Carolina Field Services Certification #: 5342
VirginiaNELAP Certification #: 460221
North Carolina Wastewater Certification #: 12
Pace Analytical Services Asheville
2225 Riverside Drive, Asheville, NC 28804
Florida/NELAP Certification #: E87648
Massachusetts Certification #: M-NC030
North Carolina Drinking Water Certification #: 37712
North Carolina Wastewater Certification #: 40
South Carolina Certification #: 99030001
VirginiaNELAP Certification #: 460222
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, -LC. Page 2 of 13

Pace Analytical Services, LLC
® 2225 Riverside Dr.
aceAnalytkal Asheville, NC 28804
rrr.pactlebtson [phone]
SAMPLE ANALYTE COUNT
Project:
Pace Project No.:
TEAM C91489-01.01 11-7-19
92452877
Analytes
Lab ID
Sample ID
Method
Analysts
Reported
Laboratory
92452877001
SW -A
EPA 1664B
HH
1
PASI-C
EPA 200.7 Rev 4.4 1994
SH1
3
PASI-A
SM 2540D-2011
MJP
1
PASI-A
92452877002
SW-B
EPA 1664B
HH
1
PASI-C
EPA 200.7 Rev 4.41994
SHt
3
PASI-A
SM 2540D-2011
MJP
1
PASI-A
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC. Page 3 of 13

(�5ace Analytical
ri+r.ptcnitCfcrm
ANALYTICAL RESULTS
Pace Analytical Services, LLC
2225 Riverside Dr.
Asheville, NC 28804
[phone]
Project: TEAM C91489-01.01 11-7-19
Pace Project No.: 92452877
Sample: SW -A Lab ID: 92452877001 Collected: 11/07/1915:25 Received: 11/08/1908:12 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
1664 SGT-HEM, TPH
Analytical Method: EPA 1664B
Total Petroleum Hydrocarbons
ND mg/L
5.0
1
11/19/19 1623
200.7 MET ICP
Analytical Method: EPA 200.7 Rev 4.4
1994 Preparation
Method: EPA 200.7 Rev 4.4 1994
Copper
ND ug/L
5.0
1
11/14/1901:51 11115/1919:00 7440-50-8
Lead
ND ug/L
5.0
1
11/14/19 01:51 11/15/19 19:00 7439-92-1
Zinc
17.5 ug/L
10.0
1
11/14/19 01:51 11/15/19 1900 7440-66-6
2540D Total Suspended Solids
Analytical Method: SM 2540D-2011
Total Suspended Solids
114 mg/L
6.2
1
11/13/19 11:22
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Dale: 11/20/2019 08:49 AM without the written consent of Pace Analytical Services, LLC. Page 4 of 13

aceAnalytical e
rrr.panllbitan
ANALYTICAL RESULTS
Pace Analytical Services, LLC
2225 Riverside Dr.
Asheville, NC 28804
[phone]
II Project: TEAM C91489-01.01 11-7-19
Pace Project No.: 92452877
Sample: SW-B Lab ID: 92452877002 Collected: 11/0711915:35 Received: 11/08/1908:12 Matrix: Water
Parameters Results Units Report Limit OF Prepared Analyzed CAS No. Dual
1664 SGT-HEM, TPH
Analytical Method: EPA 1664E
,.Total Petroleum Hydrocarbons
NO mg/L
5.0
1
11/19/19 16:24
200.7 MET ICP
Analytical Method: EPA 200.7 Rev 4.4
1994 Preparation
Method: EPA 200.7 Rev 4.4 1994
Copper
ND ug/L
5.0
1
11/14/1901:51 11115/1919:03 7440-50-8
,Lead
NO ug/L
5.0
1
11/14/1901:51 11/15/1919:03 7439-92-1
Zinc
76.4 ug/L
10.0
1
11/14/19 01:51 11/15/19 19:03 7440-66-6
I
12540D Total Suspended Solids
Analytical Method: SM 2540D-2011
'Total Suspended Solids
4.0 mg/L
2.5
1
11/13/19 11:22
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
'Dale: 11/20/2019 08:49 AM without the written consent of Pace Analytical Services, LLC. Page 5 of 13

(�55'ceAnalyficalt`
rwr.paoNab..can
QUALITY CONTROL DATA
Project: TEAM C91489-01.01 11-7-19
Pace Project No.: 92452877
QC Batch: 510455 Analysis Method: EPA 1664B
QC Batch Method: EPA 1664B Analysis Description: 1664 SGT-HEM, TPH
Associated Lab Samples: 92452877001, 92452877002
Pace Analytical Services, LLC
2225 Riverside Dr.
Asheville, INC 28804
[phone]
LABORATORY CONTROL SAMPLE:
2738770
Spike LCS
LCS
% Rec
Parameter
Units
Conc. Result
a/ Rec
Limits
Qualifiers
Total Petroleum Hydrocarbons
mg/L
20 15.5
78
64-132
MATRIX SPIKE SAMPLE:
2738771
92452645001 Spike
MS
MS
e/ Rec
Parameter
Units
Result Conc.
Result
% Rec
Limits Qualifiers
Total Petroleum Hydrocarbons
mg/L
23.6 20
18.5
-26
64-132 M1
Results presented on this page are In the units indicated by the "Units" column except where an alternate on It Is presentee to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 11/20/2019 08:49 AM without the written consent of Pace Analytical Services, LLC.
Page 6 of 13

(55'ceAnalyfical."
rralw.wcaleCfson
QUALITY CONTROL DATA
Project: TEAM C91489-01.01 11-7-19
Pace Project No.: 92452877
QC Batch: 509402 Analysis Method: EPA 200.7 Rev 4.4 1994
QC Batch Method: EPA 200.7 Rev 4.4 1994 Analysis Description: 200.7 MET
li
Associated Lab Samples: 92452877001, 92452877002
METHOD BLANK: 2733930
Associated Lab Samples: 92452877001, 92452877002
Parameter Units
Copper ug/L
Lead ug/L
Zinc ug/L
Matrix: Water
Blank Reporting
Result Limit Analyzed
NO 5.0 11/1511918:33
ND 5.0 1111511918:33
ND 10.0 11/15/19 18:33
Qualifiers
Pace Analytical Services, LLC
2225 Riverside Dr.
Asheville, NC 28804
[phone]
LABORATORY CONTROL SAMPLE:
2733931
Spike LIDS
LCS % Rae
Parameter
Units
Cone. Result
%Rec Limits Qualifiers
Copper
ug/L
500 482
96 85-115
Lead
ug/L
500 485
97 85-115
Zinc
ug/L
500 482
96 85-115
MATRIX SPIKE 8 MATRIX SPIKE DUPLICATE:
2733932
MS
92452684001
Spike
Parameter
Units
Result
Cone.
'Copper
ug/L
20.8
500
'ILead
ug/L
ND
500
Zinc
ug/L
0.046
500
mg/L
2733933
MSD
Spike MS MSD MS MSD % Rec
Cone. Result Result % Rec % Rae Limits RPD Qual
500 511 517 98 99 70-130 1
500 485 485 97 97 70-130 0
500 557 558 102 102 70-130 0
MATRIX SPIKE 8 MATRIX SPIKE DUPLICATE: 2733934 2733935
MS MSD
92453175002 Spike Spike MS MSD MS MSD %Rec
Parameter Units Result Cone. Cone. Result Result %Rec %Rec Limits RPD Qual
Copper ug/L NO 500 500 492 488 98 98 70-130 1
'Lead ug/L ND 500 500 487 488 97 97 70-130 0
Zinc ug/L ND 500 500 496 496 99 99 70-130 0
Results presented on thle page are in the units Indicated by the 'Units' column except where an alternate unit Is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 11/20/2019 08:49 AM without the written consent of Pace Analytical Services, LLC. Page 7 of 13

aceAnalytical e
we.gacalabstani
QUALITY CONTROL DATA
Pace Analytical Services, LLC
2225 Riverside Dr.
Asheville, NC 28804
[phone]
Project: TEAM C91489-01.01 11-7-19
Pace Project No.: 92452877
QC Batch: 509234
Analysis Method:
SM 254OD-2011
QC Batch Method: SM 254OD-2011
Analysis Description:
2540D Total Suspended Solids
Associated Lab Samples: 92452877001, 92452877002
METHOD BLANK: 2732997
Matrix: Water
Associated Lab Samples: 92452877001, 92452877002
Blank Reporting
Parameter
Units
Result Limit
Analyzed Qualifiers
Total Suspended Solids
mg/L
NO
2.5 11/13/19 11:20
LABORATORY CONTROL SAMPLE:
2732998
Spike LCS
LCS % Rec
Parameter
Units
Cone. Result
% Rec Limits Qualifiers
Total Suspended Solids
mg/L
250 238
95 90-110
SAMPLE DUPLICATE: 2732999
92452877001 Dup
Parameter
Units
Result Result
RPD Qualifiers
Total Suspended Solids
mg/L
114
134 16
SAMPLE DUPLICATE: 2733000
92452987002 Dup
Parameter
Units
Result Result
RPD Qualifiers
Total Suspended Solids
mg/L
242
296 20
Results presented on MIS page are In Me units Indicated by Me -Unite-column except where an anarrate unit Is presentee to Me right of the result.
REPORT OF LABORATORY ANALYSIS
This repon shall not be reproduced, except in full,
Date: 11/20/2019 08:49 AM without the written consent of Pace Analytical Services, LLC. Page 8 of 13

aceAnalytical.
rw.panl�Dfson
QUALIFIERS
Project: TEAM C91 489-01.01 11-7-19
Pace Project No.: 92452877
111MIJINHISUP
Pace Analytical Services, LLC
2225 Riverside Dr.
Asheville, NC 28804
[phone]
DF - Dilution Factor, if reported, represents the factor applied to the reported data due to dilution of the sample aliquot.
ND - Not Detected at or above adjusted reporting limit.
TNTC - Too Numerous To Count
J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit.
MDL -Adjusted Method Detection Limit.
PQL - Practical Quantitation Limit.
RL - Reporting Limit - The lowest concentration value that meets project requirements for quantitative data with known precision and
bias for a specific analyte in a specific matrix.
S - Surrogate .
1,2-Diphenylhydrazine decomposes to and cannot be separated from Azobenzene using Method 8270. The result for each analyte is
a combined concentration.
Consistent with EPA guidelines, unrounded data are displayed and have been used to calculate % recovery and RPD values.
LCSO) - Laboratory Control Sample (Duplicate)
MS(D) - Matrix Spike (Duplicate)
DUP - Sample Duplicate
RPD - Relative Percent Difference
NC - Not Calculable.
SG - Silica Gel - Clean -Up
U - Indicates the compound was analyzed for, but not detected.
Acid preservation may not be appropriate for 2 Chloroethylvinyl ether.
A separate vial preserved to a pH of 4-5 is recommended in SW846 Chapter 4 for the analysis of Acrolein and Acrylonitrile by EPA
!i Method 8260.
N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported for
each analyte is a combined concentration.
p Pace Analytical is TNI accredited. Contact your Pace PM for the current list of accredited analytes.
TNI -The NELAC Institute.
LABORATORIES
PASI-A Pace Analytical Services -Asheville
PASI-C Pace Analytical Services - Charlotte
ANALYTE QUALIFIERS
M1 Matrix spike recovery exceeded OC limits. Batch accepted based on laboratory control sample (LCS) recovery.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 11/20/2019 08:49 AM without the written consent of Pace Analytical Services, LLC.
Page 9 of 13

(�Ia?eAnalytical'
arrr.pacdatis<an
QUALITY CONTROL DATA CROSS REFERENCE TABLE
Project: TEAM C91489-01.01 11-7-19
Pace Project No.: 92452877
Lab ID Sample ID
92452877001
Still
92452877002
SW-B
92452877001
SW -A
92452877002
SW-B
92452877001
SW -A
92452877002
SW-B
Date: 11I20I2019 08:49 AM
QC Batch Method
EPA 1664B
EPA 1664E
EPA 200.7 Rev 4.4 1994
EPA 200.7 Rev 4.4 1994
SM 2540D-2011
SM 2540D-2011
Pace Analytical Services, LLC
2225 Riverside Dr.
Asheville, NC 28804
[phone]
Analytical
QC Batch Analytical Method Batch
510455
510455
509402 EPA 200.7 Rev 4.4 1994 509418
509402 EPA 200.7 Rev 4.4 1994 509418
509234
509234
REPORT OF LABORATORY ANALYSIS
This report Shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, -LC.
Page 10 of 13

Document Name:
Document Revised: February 7, 2018
-� aceAnalytical•
Sample Condition Upon Recelpt(SCUR)
Page 1 of 2
Document No.:
Issuing Authority:
F-CAR-CS-033-Rev.06
Pace Carolinas Quality Office
Laboratory receiving sa pies:
Asheville Eden[] Greenwood ❑ Huntersville❑ Raleigh❑ %Meegchanicsville❑
Client Name:
C��ft of Project # W® 5J2877
N�
Courier: ❑Fed Ex []UPS ❑LISPS ZIClient II�II� 1118�I��III II �II
❑ Commercial ❑Pace ❑Other:
82452877
Custody Seal Present? []Yes No Seals Intact? ❑Yes No, ^ , _
Date/Initials Person Examining Contents:
Packing Material: ❑Bubble Wrap Bubble Bags ❑None ❑ Other Biological Tissue Fr n?
Thermometer: ❑Yes ❑No /A
❑MG n ID. �� / O�, / Type of Ice: et ❑Blue —]none
Cooler Temp('C): —r/ Correction Factor: Add/Subtract ('C) L)'C)
S Temp should be above freezing to 6'C
Cooler Temp Corrected ('C): / ❑samples out of temp criteria. Samples on ice, cooling process
L/ has begun
USDA Regulated Soll`fn N/A,walersample)
Did samples originate in a quarantine zone within the United States: CA, NY, or 5C (check maps)? Dld samples originate from a foreign source (internationally,
11Yes nNo includine Hawaii and Puerto Rico)? ❑Yes []NO
Comments/Discrepancy:
Chain of Custody Present?
k3ye,
ONO
N/A
1.
Samples Arrived within Hold Time?
Yos
No
N/A
2.
Short Hold Time Analysis (02 hr.)?
❑Yes
No
N/A
3.
Rush Turn Around Time Requested?
EJYQs I
1711<0
N/A
4.
Sufficient Volume?
es
[IN.
N/A
5.
Correct Containers Used?
-Pace Containers Used?
- Yo
es
[IN.
❑No
❑N/A
❑N/A
6.
Containers Intact?
o
❑No
N/A
7.
Dissolved analysis: Samples Field Filtered?
❑Yes
ON.
/A
8.
Sample Labels Match COC?
-Includes Date/Time/ID/Analysis Matrix:
es
W
❑No
❑N/A
9.
Headspace In VOA Vials (s5-6mm)7
[JYCS
ONO
n4
10.
Trip Blank Present?
Trip Blank Custody Seals Present?
❑Yes
Yes
No
No
❑N/A
N/A
11.
COMMENTS/SAMPLE DISCREPANCY - Field Data Required? Dyes LJNo
Lot ID of split containers:
CLIENT NOTIFICATION/RESOLUTION
Person contacted: Date/Time:
Project Manager SCURF Review: Date: I ill
Project Manager SRF Review: Date: I /
Page 11 of 13

Document Name:
Document Revised: February 7, 2018
/r
'
Sample Condition Upon RecelptlSCUR)
Page 1 of 2
Document No.:
Issuing Authority:
/-_ .�CAna1XJCal
F-CAR-CS-033-Rev.06
Pace Carolinas Quality Office
*Check mark top half of box if pH and/or dechlorination is Project
verified and within the acceptance range for preservation
samples.
Exceptions: VOA, Coliform, TOC, Oil and Grease, DRO/8015 (water) DOC, LLHg
**Bottom half of box is to list number of bottle
WO# : 92452877
PM: UP Due Date: 11/20/19
CLIENT: 93—ALTAMONT
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pH Adjustment Log for Preserved Samples
Sample lD
Type of Preservative
pH upon receipt
Date preservation adjusted
Time preservation
adjusted
Amount of Preservative
added
Lotp
Note: Whenever there is a discrepancy affecting North Carolina compliance samples, a copy of this form will be sent to the North Carolina DEHNR Certification Office I.e.
Out of hold, incorrect preservative, out of temp, incorrect containers.
Page 12 of 13

1
aDM�
CHAIN -OF -CUSTODY / Analytical Request Document
The Chaitl-ol-Custody is a LEGAL DOCUMENT. All relevant fields must be wmpleled accurately.
Section A Settle. a Section C
Required Ctient lmomxron: Required Project Infomutlon: Invoice 1,40.6on:
Page: i Of 1
Company: ANCHOR OEA of NORTH CAROLINA
Report To: Melanie Kemp
lAtIent.,
Addreae: 231 Hayw Street
Copy To: 1.)t /'ia u}}#/hn
Company Name:
A dle. NC 29601
C A f)e/f9.1 ,uc/r ief+. •a`.o
Address:
RetuWa,-A e n
Ereev mkempprincoargea.mm
Put". Order 0.
P. Owte:
pM1one: (910)5e8.2t165 Fax
Project Name. TEAM
Pace Project Manager: lerri page eacel.b. co,
"Si f Locatiori - -
Recu uea Doo Dwo: $ n /
Projom p: /f} -Ol.p/
Pad Profile#: N32
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- ACCEPTED eY IAFF441TION
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SAMPLER NAME AND SIGNATURE- - - - -
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PRINT Name of SAMPLER:
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SIGNATURE of SAMPLER:
DATE Signed: //
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