NCG030469_MONITORING INFO_20190723

R U,o
STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/ (� 0 ?J D 'i
DOC TYPE
❑ HISTORICAL FILE
C� MONITORING REPORTS
DOC DATE
❑
YYYYMMDD

��A
NC®ENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidance on filling out this form, please visit: httm//­12ortal.iicdenrorg/wcb/"wu/ws/su/ni2dessw#tab-4
Permit No.: N/-C/G or Certificate of Coverage No.: N/.Q/Q/f/3j2/q/(a/9_/
Facility Name: _,�elhp5pra 401�:?TD�S—(Ai.r �16Kt`(1 CorytponerrM
County: tayeco
inspector: T4rCt1
Date of Inspection: -�Ejl9d ly
TimeofInspection: (0%d13pM
Total Event Precipitation (inches): 0.10
Phone No.
Was this a "Representative Storm Event" or "Measureabie Storm Event" as defined by the permit?
(See information below.)
xYes ❑ No ����C
Please verify whether Qualitative Monitoring R.itJ;l-pq k� IE&uig a "representative storm
event" or "measureahle storm event" (requirementy�,yar7l, depending on the permit).
JJUULL ZL 3 2019
Qualitative monitoring requirements vary. Wfflgglpv�ts pt1@L�g qualitative monitoring to be
performed during a "representative storm evd WR-ge"04teasureable storm event" However,
some permits do not have this requirement Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
Pagel of 2
SWII-242, List modified 10/25/2012

1. Outfall Description:
Outfall No. —�— Structure (pipe, ditch, etc.) _pipt
Receiving Stream: Tgr_F_IyRY
Describe the industrial activities that occur within the outfall drainage area:
Mwwfc C-lute 0 NVAC ovki of meta161tToY Sp5n0:oll cA J�Cij
3
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: _S1LC,YY4�bNW Y�
3. Odor: Describe any distinct odors that the,discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): wtoT1¢
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 © 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 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 2O 3 4 5
7. Is there any foam in the stormwater discharge? Yes 0
B. Is there an oil sheen in the stormwater discharge? Yes 00
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe cAlr1 i (QaVQ.S $tlf(Cd_lt(t ;n .tne oLk-Kwk he.C.ti(.u5e o +Ne
_�cli_n{9y_1�2�oi� �h�t.Yl._$OY'ne h�t0,'f1cY1e5,-lta.U�S o-Fhtr natures\ (Mani_
_t_fc_Presert3_1_n_the_vv w� r .
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
SWn-242, last modified 10/2S/2012

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted 7 11 to I I
CERTIFICATE OF COVERAGE NO. NCG03 b _(¢ q
FACILITY NAME We)
COUNTY f�. t2
PERSON COLL CTING SAMPLES Ti1_r o Carl(
r
LABORATORY Mt crobo c Lab Cert. tJ Kq,EP" 111
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLE ION YEAR 2019
SAMPLE PERIOD XJan-June ❑July -Dec
or ❑ Monthly' (month)
DISCHARGING TO CLASS ❑ORW ❑HQW [_]Trout ❑PNA
[]Zero -flow TSWater Supply ❑SA
❑Other
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
l] No discharge this period?'
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches'
Total Suspended Solids
pH,
Standard units
Copper
Lead
Zinc
Non -Polar O&G/
Total Petroleum
Hydrocarbons
Total Toxic
Organics s
Benchmarks
100 mg/L or 50 mg/L
6.0 - 9.0
0.007 mg/L
0.033 mg/L
0.067 mg/L
15 mg/L
1 mg/L
I
4 r9119
O.tO
2*3
(0,5
-c 0.050
0. 01 1
0. 3�4LP
< 6.00
' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceeaance for the same paramerer ar UM �4111C VU,1011.
' For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
" See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
s Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor
manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31).
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 1 of 3

Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring
may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General
Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement:
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics
(70), 1 certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or
stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the
solvent management plan included in the Stormwater Pollution Prevention Plan."
-Tara Carr
Name (Print name)
manufacturing CA inee-r
Title (Print title)
Sit— �'� L C �11 to I Ici
Signature} (Date)
Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical
format. When results are below the applicable limits, they must be reported in the format. "<XX mPJL", where XX is the numerical value of the detection
limit, reporting limit, etc. in mg/L.
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 1, or Tier 3 responses. See General Permit text.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period?'
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches'
Non -polar O&G/TPH by
EPA 1664 (SGT-HEM)
Total Suspended Solids
pH
Benchmarks =__>
-
-
15 mg/L
100 mg/L or 50 mg/L*
6.0 — 9.0 SU
Footnotes from Part A also apply to this Part B
' See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 2 of 3

Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART 8 MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENC S FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES XNOD
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES XNO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an oriainal and one copy of this DMR including all "No Discharge" reports within 30 days of receipt of the lob results (or at end of monitoring period
in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the Information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
Permit Date: 11/1/2012-10/31/2017
TIl.1e�1C1
(Date)
SWU-245, last revised 10/25/2012
Page 3 of 3

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted -4 11ta I Iq
CERTIFICATE OF COVERAGE NO. NCG03 0 4 -(p Q
FACILITY NAME
COUNTY Q4 be
PERSON COLLSAMPLES yq�q �qY Y
LABORATORY Mi Croba C, Lab Cert. # Kq.F 3�IJ.p2
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 20 )9 -
SAMPLE PERIOD�Jan-June ❑ July -Dec
or ❑ Monthly' (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
[]Zero -flow ISLWater Supply ❑SA
❑Other
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 ->
n No dischorae this oeriod?'
Outfali No.
Date Sample
Collected'
(mo/dd/yr)
124-hour rainfall
amount,
Total Suspended Solids
PH,
Standard units
Copper
Lead
Zinc
Non -Polar O&G/
Total Petroleum
Hydrocarbons
Total Toxic
Organics'
Benchmarks =<>
-
_Inches'-
-
_
100 mg/L or 50 mg/L
6.0 - 9.0
0.007 mg/L.
0.033 mg/L
0.067 mg/L
15 mg/L
1 mg/L
I
cetlgII9
0.t0
2-45
(0.5
-C0.050
0.011
0.34to
< 6.00
--'
I
` Monthly sampling (instead of semi-annual) must begin with Lhe 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 most be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
" See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
s Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor
manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31).
Permit Date: 11/1J2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 1 of 3

Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring
may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General
Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement:
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics
(TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or
stormwater runoff has occurred since fling 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."
;Lar.cL_Cct rr
Flame (Print name)
M4natoctAr0 Fn9ineev
Title (Print title)
�_I(OUC
Signature) (Date)
Note: Results must be reported in numerical format, Do not report Below Detection Limit; BDL, <PQL, Non -detect, ND, or other similar non -numerical
format. When results are below the applicable limits, they must be reported in the format "<XX m¢/L" where XX is the numerical value of the detection
limit, reporting limit, etc. in mg/L.
Mote; If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 1, or Tier 3 responses. See General Permit text.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging s 55 gal of new oil per month.
I—1 hr.. ;« ,. _,, 2
Outfall No.
Date Sample
24-hour rainfall
Collected'
amount,
Non -polar O&G/TPH by
(rno/dd/yr)
Inches'
EPA 1664 (SGT-HEM)
Total Suspended Solids
pH
Benchmarks =__>
_
-
15 mg/L
100 mg/L or 50 mg/L"
6.0 — 9.0 SU
Footnotes From Part A also apply to this Part B
' See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Permit Date: 11/l/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 2 of 3

Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A. BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION 8.
n 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
s TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENC S FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES XI NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES XNO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR including all "No Discharge" reports within 30 days of receipt of the lab results for at end of monitoring period
in the case of No Discharge" reports) to:
Division of Water Quality
.Attn: DWQ Central Files
1617 Mali Service Center
Raleigh, North Carolina 27699-1617 .
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, thaithis 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."
(Signatcre of Permittee)
Permit Date: 11/1/2012.10/31/2017
}J I4a�LQ
(Date)
SWU-245, last revised 10/25/2012
Page 3 of 3

(5�IMICROBAC"
Microbac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
K9F0341
Air System Components Project Name: Air System Components
Ms. Tara Carr Project / PO Number: MUST HAVE PO TO RELEASE
3301 N. Main Street Received: 06/24/2019
Tarboro, NC 27886 Reported: 07/11/2019
Analytical Testing Parameters
Client Sample ID: Stormwater. grab
Sample Matrix: Stormwater Collected By:, Carr
Lab Sample ID: K91`0341-01 Collection Date: 06/19/2019 18:10
Wet Chemistry Result RL Units Dilution Note Prepared Analyzed Analyst
EPA 1664 Rev. B
Oil 8 Grease (SGT-HEM) <5.00 5.00 mg/L 1 07/08/19 0955 TBM
SM 2540 D-2011
Total Suspended Solids
273 25.0
mg/L
1
06/25/19 1414
CLB
Metals
Result RL
Units
Dilution Note
Prepared
Analyzed
Analyst
Metals Aqueous/EPA 200.7 Rev 4.4 1994
Copper
<0.050 0.050
mg/L
1
06127/19 1436
06127/19 1436
TAB
Lead
0.011 0.010
mg/L
1 S1
06/27/19 1436
06127119 1436
TAB
Zinc
0.346 0.005
mg/L
1
06/27/19 1436
06/27/19 1436
TAB
Definitions
RL: Reporting Limit
St: Relative Percent Difference (RPD) outside accepted recovery limits
Project Requested Certification(s)
Microbac Laboratories, Inc. - Fayetteville
11 North Carolina DENR NPDES
Report Comments
Samples were received in proper condition and the reported results conform to
applicable accreditation standard unless othenvise noted.
The data and information on this, and other accompanying documents, represents
only the samples) analyzed. This report is incomplete unless all pages indicated
in the footnote are present and an authorized signature is included.
Reviewed and Approved By: .s.
�Y2GL/LX '� C/LrPiGdL�1��
Jeanne Overstreet
Client Relationship Specialist. Environmental
Reported. 07111 /2019 10:03
Microbac Laboratories, Inc.
2592 Hope Mills Rd I Fayetteville, NC 28306 1910.864.1920 p I www.microbac.com Page 1 O1 2

Fayetteville Division 2592 Hope Mills Road - Fayetteville, NC 28306 [phone] / 864-8774 fax ���gg Kpp9F��gg03IIp4'�1pppo-
MICROBACe 111111,111111gl'If
CHAIN OF CUSTODY RECORD
PAGE 1 OF 1
CLIENT HARE 6AODHE..:
Johnson Controls
3301 N Main St
Tarboro, NC 27886
POE
P"EJECT I LOCATION;
ODtfall 41
w
1-
O
la-
u
O
a
TYPE
OF
ANALYSIS
PRESERVATION (CODE)
1
y
F
-.
d
i3
V
m
2
�
m
v
a
m
O
CODE: A = None
B = HNO3 (pH-2)<<6•t.•
C = H2SO4 (pH<2) +<6'C
0 = NBOH - <6°C
E=ZN Aceute+<6°C
F = HCI
G= Sodium Trio
CONTACT PEASON;
Tara Can
PHONE:
(252 641-5993
swPLEo ev;
Tara Can
pATErnETHopoe sNenENT:
LAB ID
SAMPLE
TYPE
DATE
TIME
COMP
GRAB
PN
Raw
TEBPC
cN�oaixE
6ULnpE
Stormwater
6119/19
18:10
X
1
A
6.5
Stormwater
6/19/19
18:10
X
2
B
Stormwater
06/19/19
18:10
X
1
C
2
Lab
flit 12,11
2 1 i
TI.45
Rk.lNn &Z1712
G zl l
9 5
H. a ev:
a
�-74-19
Tbx
/ :MJ
R ..e q' noel y _
<
oN
1
R. .Eq:
Gak
rvx
ReuME q:lSquturtl
1—
6
Cm
Initials
Turnaround time: REGULAR BUSH
R VIE ED
Comments or Spedal HaRards'
V
ph Field: _ ph Field: Wrier Level Y1 IS DATA FOR REG. COMPLIANCE PURPOSE?
TernpFieldt Temp Field 2: Water Level e2 NO YES X AHICH: NCDENR
Page 2 of 2