NC0089508_Fact Sheet_20200714

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Fact Sheet
NPDES Permit No. NC0089508

Permit Writer/Email Contact: Derek Denard, [e-mail] Date:14Jul20 20
Division/Branch: NC Division of Water Resources/Water Quality Permitting Section
Compliance & Expediated Permitting Branch
Fact Sheet Template: Version 28Mar201 9

Permitting Action:
☒ Renewal ☐ Renewal with Expansion ☐ New Discharge ☐ Modification (Fact Sheet should be tailored to mod request)

See Permit Application Attachment A: NC0089508_Renewal Application_20181005

Complete applicable sections below. If not applicable, enter NA.

1. Basic Facility Information

Facility Information
Applicant/Facility Name: KIWS Property LLC/Kaba Access Controls (GW-REM Site)
Applicant Address: 2941 Indiana Avenue, Winston-Salem, NC 27105
Facility Address: 2941 Indiana Avenue, Winston-Salem, NC 27105
Permitted Flow: 0.0864 MGD
Facility Type/Waste: Groundwater remediation
Facility Class: Grade I Physical Chemical
Treatment Units: groundwater recovery wells; influent piping; air stripper; bag filter
system; anti-scalant system; electronics and controls [including alarms
and auto-shutdown devices]; discharge piping and effluent sample point
Pretreatment Program (Y/N) No
County: Forsyth
Region Winston -Salem

Briefly describe the proposed permitting action and facility background:
Facility Background
From 26Aug2014 Factsheet by Joe R. Corporon:
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The Kaba Ilco site, a former asphalt plant operated by APAC, Inc., has a long history of
groundwater remediation (soil-vapor and groundwater extraction) first characterized by
observation wells installed in 1992. The site currently has 36 groundwater wells used to monitor
contaminants of concern (COCs) including chlorinated hydrocarbons [TCE, PCE, 1-2 DCE].
Wells are located both on- and off-site on adjacent properties northeast, south, and southeast.
Local topography generally slopes south-southeast toward an unnamed tributary (UT) to Peters
Creek [Yadkin -Pee Dee River Basin], its headwaters located approximately 3,000 feet south of
the Kaba Ilco facility ….
2 . Receiving Waterbody Information:
Receiving Waterbody Information
Outfalls/Receiving Stream(s): Outfall 001/ UT to Peters Creek
Stream Segment: 12-94-12 -8
Stream Classification: C
Drainage Area (mi2): ~3.5
Summer 7Q10 (cfs) 0.0
Winter 7Q10 (cfs): 0.0
30Q2 (cfs): 0.0
Average Flow (cfs): 0.0
IWC (% effluent): 100% [to storm drain]
303(d) listed/parameter: No
Subject to TMDL/parameter: No
Basin/Sub -basin/HUC: Yadkin Pee Dee/03-07 -04/030401011305
USGS Topo Quad: Walkertown/Winston-Salem E, NC

3 . Effluent Data Summary
Effluent data for Outfall 001 is summarized below for the period of Nov2015 through May2019.
Table. Effluent Data Summary Outfall 001

Data MA DM
Parameter Max Min Average Count UoM
00400 - pH 7.02 6.23 6.73 36 su
50050 - Flow, in conduit or thru treatment plant 0.0487 0.0002 0.0228 1033 0.0432 mgd
MA = monthly average limit; DM = daily maximum limit; UoM = unit of measure
Note: Flow limit is increase to 0.0864 mgd for the renewal permit.
Not < 6.0 or > 9.0
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4 . Instream Data Summary
Instream monitoring may be required in certain situations, for example: 1) to verify model predictions
when model results for instream DO are within 1 mg/l of instream standard at full permitted flow; 2) to
verify model predictions for outfall diffuser; 3) to provide data for future TMDL; 4) based on other
instream concerns. Instream monitoring may be conducted by the Permittee, and there are also
Monitoring Coalitions established in several basins that conduct instream sampling for the Permittee (in
which case instream monitoring is waived in the permit as long as coalition membership is maintained).
If applicable, summarize any instream data and what instream monitoring will be proposed for this
permit action: NA.
Is this facility a member of a Monitoring Coalition with waived instream monitoring (Y/N): NA.
Name of Monitoring Coalition: NA.

5 . Compliance Summary
Summarize the compliance record with permit effluent limits (past 5 years): In Jan2019 8 daily maximum
flows were exceeded which resulted in a NOV. [See Attachment B: NC0089508_Monitoring Report
Violations_Jun2014_May2019 ]
Summarize the compliance record with aquatic toxicity test limits and any second species test results
(past 5 years): Passed toxicity tests since Oct2016 . [See Attachment C: WET Testing Summary_5-19 HQ
64]
Summarize the results from the most recent compliance inspection : The facility was compliant for the last
inspection conducted on 16Feb2016. [See Attachment D: NC0089508 Water Compliance Inspection
Report 20160216]

6 . Water Quality-Based Effluent Limitations (WQBELs)
Dilution and Mixing Zones
In accordance with 15A NCAC 2B.0206 , the following streamflows are used for dilution considerations
for development of WQBELs: 1Q10 streamflow (acute Aquatic Life); 7Q10 streamflow (chronic Aquatic
Life ; non-carcinogen HH ); 30Q2 streamflow (aesthetics); annual average flow (carcinogen, HH ).
If applicable, describe any other dilution factors considered (e.g., based on CORMIX model results): NA.
If applicable, describe any mixing zones established in accordance with 15A NCAC 2B.0204(b): NA.
Oxygen-Consuming Waste Limitations
Limitations for oxygen-consuming waste (e.g., BOD) are generally based on water quality modeling to
ensure protection of the instream dissolved oxygen (DO) water quality standard . Secondary TBEL limits
(e.g., BOD= 30 mg/l for Municipals) may be appropriate if deemed more stringent based on dilution and
model results.
If permit limits are more stringent than TBELs, describe how limits were de veloped: NA.

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Ammonia and Total Residual Chlorine Limitations
Limitations for ammonia are based on protection of aquatic life utilizing an ammonia chronic criterion of
1.0 mg/l (summer) and 1.8 mg/l (winter). Acute ammonia limits are derived from chronic criteria,
utilizing a multiplication factor of 3 for Municipals and a multiplication factor of 5 for Non-Municipals.
Limitations for Total Residual Chlorine (TRC) are based on the NC water quality standard for protection
of aquatic life (17 ug/l) and capped at 28 ug/l (acute impacts). Due to analytical issues, all TRC values
reported below 50 ug/l are considered compliant with their permit limit.
Describe any proposed changes to ammonia and/or TRC limits for this permit renewal: NA.

Reasonable Potential Analysis (RPA) for Toxicants
If applicable, conduct RPA analysis and complete information below.
Th e need for toxicant limits is based upon a demonstration of reasonable potential to exceed water quality
standards, a statistical evaluation that is conducted during every permit renewal utilizing the most recent
effluent data for each outfall. The RPA is conducted in accordance with 40 CFR 122.44 (d) (i). The NC
RPA procedure utilizes the following: 1) 95% Confidence Level/95% Probability ; 2) assumption of zero
background; 3) use of ½ detection limit for “less than” values; and 4) streamflows used for dilution
consideration based on 15A NCAC 2B.0206. Effective April 6, 2016, NC began implementation of
dissolved metals criteria in the RPA process in accordance with guidance titled NPDES Implementation of
Instream Dissolved Metals Standards, dated June 10, 2016.
A reasonable potential analysis was conducted on effluent toxicant data from the 126 Priority Pollutant
scans collected between Jun2015 and Jul2019. [See Attachments E, F, G, and H for addition information
requested and received.] Pollutants of concern included toxicants with positive detections and associated
water quality standards/criteria. Based on this analysis, the following permitting actions are proposed for
this permit:
• Effluent Limit with Monitoring. The following parameters will receive a water quality -based effluent
limit (WQBEL) since they demonstrated a reasonable potential to exceed applicable water quality standards/criteria: See Efflu ent Pollutant Scan Review below.
• Monitoring Only. The following parameters will receive a monitor-only requirement since they did
not demonstrate reasonable potential to exceed applicable water quality standards/criteria, but the
maximum predicted concentration was >50% of the allowable concentration: See Effluent Pollutant
Scan Review below.
• No Limit or Monitoring: The following parameters will not receive a limit or monitoring, since they
did not demonstrate reasonable potential to exceed applicable water quality standards/criteria and the
maximum predicted concentration was <50% of the allowable concentration: Arsenic, Beryllium, Cadmium, Chlorinated Phenolic Compounds, Total Phenolic Compounds, Chromium III, Cyanide,
Lead, Mercury, Nickel, Selenium, and Silver.
• Effluent Pollutant Scan Review: Four effluent pollutant scans were evaluated for additional pollutants
of concern.
o The following parameter(s) will receive a water quality -based effluent limit (WQBEL)
with monitoring, since as part of a limited data set, two samples exceeded the allowable
discharge concentration: None.
o The following parameter(s) will receive a monitor-only requirement, since as part of a limited data set, one sample exceeded the allowable discharge concentration: Total
Chromium, Hexavalent Chromium, Total Copper, and Total Zinc.

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If applicable, attach a spreadsheet of the RPA results [See Attachment I] as well as a copy of the
Dissolved Metals Implementation Fact Sheet for freshwater/saltwater [See Attachment J] to this Fact
Sheet. Include a printout of the RPA Dissolved to Total Metal Calculator sheet if this is a Municipality
with a Pretreatment Program.

Toxic ity Testing Limitations
Permit limits and monitoring requirements for Whole Effluent Toxicity (WET) have been established in
accordance with Division guidance (per WET Memo, 8/2/1999). Per WET guidance, all NPDES permits
issued to Major facilities or any facility discharging “complex” wastewater (contains anything other than
domestic waste) will contain appropriate WET limits and monitoring requirements, with several
exceptions. The State has received prior EPA approval to use an Alternative WET Test Procedure in
NPDES permits, using single concentration screening tests, with multiple dilution follow-up upon a test
failure.
Describe proposed toxicity test requirement: Chronic Toxicity - Whole Effluent Toxicity (WET) testing
using Ceriodaphnia dubia, P/F @ 90 %; during the months of January, April, July, and October [See
section A. (3.)].

Mercury Statewide TMDL Evaluation
There is a statewide TMDL for mercury approved by EPA in 2012. The TMDL target was to comply with
EPA’s mercury fish tissue criteria (0.3 mg/kg) for human health protection. Th e TMDL established a
wasteload allocation for point sources of 37 kg/year (81 lb/year), and is applicable to municipals and
industrial facilities with known mercury discharges. Given the small contribution of mercury from point
sources (~2% of total load), the TMDL emphasizes mercury minimization plans (MMPs) for point source
control. Municipal facilities > 2 MGD and discharging quantifiable levels of mercury (>1 ng/l) will
receive an MMP requirement. Industrials are evaluated on a case-by-case basis, depending if mercury is a
pollutant of concern. Effluent limits may also be added if annual average effluent concentrations exceed
the WQBEL value (based on the NC WQS of 12 ng/l) and/or if any individual value exceeds a TBEL
value of 47 ng/l
Describe proposed permit actions based on mercury evaluation: NA.

Other TMDL/Nutrient Management Strategy Considerations
If applicable, describe any other TMDLs /Nutrient Management Strategies and their implementation
within this permit: NA.

Other WQBEL Considerations
If applicable, describe any other parameters of concern evaluated for WQBELs: NA.
If applicable, describe any special actions (HQW or ORW) this receiving stream and classification shall
comply with in order to protect the designated waterbody: NA.
1. If applicable, describe any compliance schedules proposed for this permit renewal in accordance
with 15A NCAC 2H.0107(c)(2)(B), 40CFR 122.47, and EPA May 2007 Memo: A compliance
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schedule for the new limits has been added as permit Condition A. (2.). Compliance with these
limits shall commence on April 30, 2025, approximately 60 months from the permit effective
date.
If applicable, describe any water quality standards variances proposed in accordance with NCGS 143 -
215.3(e) and 15A NCAC 2B.0226 for this permit renewal: NA.

7 . Technology-Based Effluent Limitations (TBELs)
Groundwater remediation - NA.

8 . Antidegradation Review (New/Expanding Discharge):
The objective of an antidegradation review is to ensure that a new or increased pollutant loading will not
degrade water quality. Permitting actions for new or expanding discharge s require an antidegradation
review in accordance with 15A NCAC 2B.0201. Each applicant for a new/expanding NPDES permit
must document an effort to consider non-discharge alternatives per 15A NCAC 2H.0105( c)(2). In all
cases, existing instream water uses and the level of water quality necessary to protect the existing use is
maintained and protected.
If applicable, describe the results of the antidegradation review, including the Engineering Alternatives
Analysis (EAA) and any water quality modeling results : NA.

9 . Antibacksliding Review :
Sections 402(o)(2) and 303(d)(4) of the CWA and federal regulations at 40 CFR 122.44(l) prohibit
backsliding of effluent limitations in NPDES permits. These provisions require effluent limitations in a
reissued permit to be as stringent as those in the previous permit, with some exceptions where limitations
may be relaxed (e.g., based on new information, increases in production may warrant less stringent TBEL
limits, or WQBELs may be less stringent based on updated RPA or dilution).
Are any effluent limitations less stringent than previous permit (YES/NO): NO.
If YES, confirm that antibacksliding provisions are not violated: NA.

10. Monitoring Requirements
Monitoring frequencies for NPDES permitting are established in accordance with the following
regulations and guidance : 1) State Regulation for Surface Water Monitoring, 15A NCAC 2B.0500; 2)
NPDES Guidance, Monitoring Frequency for Toxic Substances (7/15/2010 Memo ); 3) NPDES Guidance,
Reduced Monitoring Frequencies for Facilities with Superior Compliance (10/22/2012 Memo); 4) Best
Professional Judgement (BPJ). Per US EPA (Interim Guidance, 1996), monitoring requirements are not
considered effluent limitations under Section 402(o) of the Clean Water Act, and therefore anti-
backsliding prohibitions would not be triggered by reductions in monitoring frequencies.
For instream monitoring, refer to Section 4.

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1 1 . Electronic Reporting Requirements
The US EPA NPDES Electronic Reporting Rule was finalized on December 21, 2015. Effective
December 21, 2016, NPDES regulated facilities are required to submit Discharge Monitoring Reports
(DMRs) electronically. Effective December 21, 2020, NPDES regulated facilities will be required to
submit additional NPDES reports electronically. Th is permit contains the requirements for electronic
reporting, consistent with Federal requirements.

1 2 . Summary of Proposed Permitting Actions:
A. Table. Current Permit Conditions and Proposed Changes – Outfall 001
Parameter Current Permit Proposed Change Basis for Condition/Change
Flow (MGD)
0.0432 0.0864 15A NCAC 2B .0505. Permittee
requested additional flow. The
system design has the capacity to
treat twice what was originally
permitted per the licensed
engineer.
pH (su) 6 – 9 SU No change WQBEL. State WQ standard, 15A
NCAC 2B .0200
Total Chro mium (µg/L) Not required Monitor & Report
Monthly
WQBEL. State WQ standards,
15A NCAC 2B .0200
Chromium, Hexavalent
(µg/L)
Not required Monthly:
MA 11.0 µg/L
DA 16.0 µg/L
WQBEL. State WQ standards,
15A NCAC 2B .0200
Total Copper (µg/L)
Not required Monthly:
MA 11.67 µg/L
DA 16.14 µg/L
WQBEL. State WQ standards,
15A NCAC 2B .0200
Total Zinc (µg/L)
Not required Monthly:
MA 185.5 µg/L
DA 185.5 µg/L
WQBEL. State WQ standards,
15A NCAC 2B .0200
Total Hardness(mg/L) Not required Monitor & Report
Monthly
WQBEL. State WQ standards,
15A NCAC 2B .0200
Volatile Organics (EPA
601)
Monitor & Report No change Parameters of Concern
Chronic Toxicity
Chronic Toxicity -
Whole Effluent Toxicity
(WET) testing using
Ceriodaphnia dubia, P/F
@ 90 %; during the
months of January,
April, July, and October.
No change WQBEL. No toxics in toxic
amounts. 15A NCAC 2B.0200
and 15A NCAC 2B.0500
Page 8 of 9

126 Priority Pollutants Annual No change 40 CFR 122
MGD – Million gallons per day, MA - Monthly Average , WA – Weekly Average, DM – Daily Max

The draft permit include d the following significant changes from the existing permit:
1. The facility map has been updated.
2. The facility classification Grade I Physical Chemical was added to the effluent page.
3. The permitted flow has been increased to 0.0864 MGD.

Please note that monitoring for TCE, PCE and 1, 2 -DCE were not included in the draft permit.
These parameters were removed for an April 26, 2016 permit modification to relax monitoring
frequency. Review of data had indicated that these parameters were not detected abo ve practical
quantitation limits (PQL). There was no reasonable potential to exceed water quality standards for
these parameters. A January 8, 2018 change of ownership to KIWS Property LLC inadvertently
included these parameters from an earlier version of the permit.

This final permit includes changes from the draft permit:

1. Based on review of 126 Priority Pollutants data and additional information received on October
30, 2019 for Total Hardness the following parameters have been added with limits and monthly
monitoring as indicated below:

EFFLUENT
CHARACTERISTIC
[PARAMETER CODES]
Monitoring Requirements
Monthly
Average
Daily
Maximum
Measurement
Frequency
Sample
Type
Sample
Location
Total Chromium (µg/L) CO034 Monitor & Report Monthly Composite Effluent
Chromium, Hexavalent (µg/L) 01032 11.0 µg/L 16.0 µg/L Monthly Composite Effluent
Total Copper (µg/L) CO042 11.67 µg/L 16.14 µg/L Monthly Composite Effluent
Total Zinc (µg/L) CO092 185.5 µg/L 185.5 µg/L Monthly Composite Effluent
Total Hardness(mg/L) 00900 Monitor & Report Monthly Composite Effluent

2. A compliance schedule for the new limits has been added as permit Condition A. (2.).
Compliance with these limits shall commence on May 31, 2024, on the permit expiration date.

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13. Public Notice Schedule:

Permit to Public Notice: 07/26/2019 [See Attachment L]

Per 15A NCAC 2H .0109 & .0111, The Division will receive comments for a period of 30 days following
the publication date of the public notice. Any request for a public hearing shall be submitted to the
Director within the 30 days comment period indicating the interest of the party filing such request and the
reasons why a hearing is warranted.

[For Comments See Attachments K]

14. Fact Sheet Addendum (if applicable):

Were there any changes made since the Draft Permit was public noticed (Yes/No): Yes.
If Yes, list changes and their basis below: See discussion above in part 12 of this factsheet.

15. Fact Sheet Attachments (list in order of reference):
A. NC0089508_Renewal Application_20181005, 77 p.
B. NC0089508_Monitoring Report Violations_Jun2014_May2019, 1p.
C. WET Testing Summary_5-19 HQ 64
D. NC0089508 Water Compliance Inspection Report 20160216, 5 p.
E. NC0089508 Additional Information Received 20190809 , 67p.
F. NC0089508 Add Info Hardness Data 2019, 3p. G. NC0089508 Additional Information Received 20191011 , 28p.
H. NC0089508 Additional Information Received 20191030 , 16p.
I. NC0089508 RPA, 14p.
J. Fact Sheet Memo FW, 4p.
K. Draft copied for comments_20190805 , 1p.
L. Affidavit of Publication_Winston-Salem Journal_20190716 , 2 p.
M. Electronic Transmittal Acknowledgment_Debbie Shelton_20200714_2p
N. N_Peer Review_Emily Phillips_20200414_1p
O. NC0089508 Review Checklist, 2p.

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ROY COOPER NORTH CAROLINA
001'
67740rEnvironmental
Quality
MICHAEL S_REG-AN
Secretory
LINDA CULPEPPER
Interim Director
October 05, 2018
Kristin M. Jarrett
KIWS Property, LLC
2941 Indiana Aveue
Winston Salem, NC 27105
Subject: Permit Renewal
Application No. NC0089508
Kaba Access Controls
Forsyth County
Dear Applicant:
The Water Quality Permitting Section acknowledges the October 5, 2018 receipt of your permit renewal application and
supporting documentation. Your application will be assigned to a permit writer within the Section's NPDES WW permitting
branch. Per G.S. 1506-3 your current permit does not expire until permit decision on the application is made.
Continuation of the current permit is contingent on timely and sufficient application for renewal of the current permit.The
permit writer will contact you if additional information is required to complete your permit renewal. Please respond in a
timely manner to requests for additional information necessary to allow a complete review of the application and renewal
of the permit.
Information regarding the status of your renewal application can be found online using the Department of Environmental
Quality's Environmental Application Tracker at:
https://deq.nc.gov/permits-regulations/permit-guidance/environmental-application-tracker
If you have any additional questions about the permit, please contact the primary reviewer of the application using the
links available within the Application Tracker.
Sincerely,
2r/leAUaCIRcl
Wren The ford
Administrative Assistant
Water Quality Permitting Section
cc: Central Files w/application
ec: WQPS Laserfiche File w/application
DEC:1?)
North Carolina Department of Environmental Quality I Division of Water Resources
1617 Mail Service Center I Raleigh,North Carolina 27699-1617
919-807-6300
PIEDMONT
GEOLOGIC
6003 145 Chapel Hill Rd.
Raleigh,NC 27607
P:919 854-9700 F.919-854-9532
SMART EARTH SOLUTIONS
www.piedmontgeologic.com
October 3,2018
Ms.Wren Thedford RECEIVED/DENR/DWR
Administrative Assistant
Division of Water Resources OCT 0 5 2018
North Carolina Department of Environmental Quality
1617 Mail Service Center Water Resources
Raleigh,NC 27699-1617 Permitting Section
RE: Request for Renewal of NPDES Permit NC0089508
KIWS Property LLC
2941 Indiana Ave.,Winston-Salem,North Carolina
IHSB Site Identification No.NCD024895864
Dear Ms.Thedford:
This letter presents a request for renewal of NPDES Permit NC0089508 for the KIWS Property LLC(KIWS)
formerly Kaba Ilco Corp.)site in Winston-Salem,North Carolina,which is scheduled to expire on May 31,2019.
The permit,originally issued in November 2014 and effective December 1,2014,is being used for discharges of
treated groundwater from a site groundwater extraction and treatment(GWE&T)system that began operating in
January 2015.
A completed and signed NPDES Permit Application—Short Form C—GW for the permit renewal is provided in
Attachment 1,along with a U.S.G.S topographic map showing the permit outfall. Summarized results of the last
three rounds of GWE&T system effluent monitoring for each monthly to quarterly monitoring parameter(i.e.,pH,
volatile organic compounds(VOCs),and toxicity)are provided in Attachment 2 along with the laboratory report of
analysis for the last-round of annual Priority Pollutants monitoring completed in June 2018. It is noted that no
VOCs or Priority Pollutants compounds have been detected in any historical GWE&T system effluent samples since
January 2015,and all toxicity tests have passed.
As listed under Section 8 of the permit renewal form in Attachment 1,it is requested that the allowable daily
discharge under the NPDES Permit be increased from 0.0432 MGD to 0.0864 MGD. This increase is in line with
the actual design capacity of the GWE&T system and will accommodate a pending expansion of the system that is
being completed at the request of the Inactive Hazardous Sites Branch(IHSB). A letter and information package in
support of this permit-modification request was previously sent to the Division of Water Resources on April 11,
2018. According to Mr.Joe Corporon(telephone conversation with undersigned on September 21,2018),the April
11,2018 letter/package was apparently not processed. Accordingly,the April 11,2018 letter/package is provided in
Attachment 3,again in support of the permit modification request.
Request for NPDES Permit Renewal
KIWS Property LLC
October 3,2018
If you have any questions or would like any additional information,please do not hesitate to call.
Sincerely,
Peter-J. Dreleae,L
Peter J.Dressel,P.G.
Project Manager
cc: Ed Lodics,KIWS
Kristin Jarrett,KIWS
Attachments
2
PIEDMONT GEOLOGIC,P.C.
Request for NPDES Permit Renewal
KIWS Property LLC
October 3,2018
ATTACHMENT 1
PERMIT RENEWAL FORM AND USGS MAP
PIEDMONT GEOLOGIC, P.C.
NPDES PERMIT APPLICATION - SHORT FORM C - GW
For discharges associated with groundwater treatment facilities.
Mail the complete application to:
N. C. Department of Environment and Natural Resources
Division of Water Quality / NPDES Unit
1617 Mail Service Center, Raleigh, NC 27699-1617
NPDES Permit Number NC0089508
If you are completing this form in computer use the TAB key or the up -down arrows to move from one
field to the next. To check the boxes, click your mouse on top of the box. Otherwise,please print or type.
1. Contact Information:
Owner Name KIWS Property LLC
Facility Name Kaba Access Controls
Mailing Address 2941 Indiana Avenue
City Winston-Salem
State / Zip Code NC 27105
Telephone Number 336)464-1348
Fax Number 336)464-1438
e-mail Address kristin.jarrettta,,dormakaba.com
2. Location of facility producing discharge:
Check here if same as above IZ
Street Address or State Road
City
State / Zip Code
County
3. Operator Information:
Name of the firm, consultant or other entity that operates the facility. (Note that this is not referring to the
Operator in Responsible Charge or ORC)
Name Piedmont Geologic, P.C.
Mailing Address 6003-145 Chapel Hill Road
City Raleigh
State / Zip Code NC 27607
Telephone Number 919)854-9700
Fax Number 919)854-9532
4. Ownership Status:
Federal 0 State 0 Private ® Public 0
Page 1 of 3 C-GW 03/05
NPDES PERMIT APPLICATION - SHORT FORM C - GW
For discharges associated with groundwater treatment facilities.
5. Products recovered:
Gasoline Diesel fuel Solvents ® Other
6. Number of separate discharge points: 1
Outfall Identification number(s) 001
7. Frequency of discharge: Continuous ® Intermittent
If intermittent:
Days per week discharge occurs: Duration:
8. Treatment System Design flow 0.0864 MGD
9. Name of receiving stream(s) (Provide a map showing the exact location of each outfall, including
latitude and longitude):
Peters Creek
10. Please list all additives to the treatment system, including chemicals or nutrients, that have
the potential to be discharged.
Anti-scalent additive AN-400A
11. Is this facility located on Indian country? (check one)
Yes No
12. Additional Information
All applicants (including renewals):
A USGS topographical map (or copy of the relevant portion) which shows all outfalls
A summary of the most recent analytical results (effluent data, if available) containing the
maximum values for each chemical detected
NEW Applicants only:
Engineering Alternative Analysis
Description of remediation treatment system components, capacities, and removal efficiency
for detected compounds.
If the treatment system will discharge to a storm sewer, written approval from the
municipality responsible for the sewer.
Y A list of any chemicals found in detectable amounts at the site, with the maximum observed
concentration reported for each chemical (the most recent sample must be collected less
than one year prior to the date of this application)
For petroleum-contaminated sites-Analyses for Volatile Organic Compounds (VOC) should
be performed. Analyses for any fuel additives likely to be present at the site and for phenol
and lead should also be performed.
For sites contaminated with solvents or other contaminants- EPA Method 624/625
analysis should be performed.
Page 2 of 3 C-GW 03/05
NPDES PERMIT APPLICATION - SHORT FORM C - GW
For discharges associated with groundwater treatment facilities.
13. Applicant Certification
I certify that I am familiar with the information contained in the application and that to the
best of my knowledge and belief such information is true, complete, and accurate.
K IsrIN to . lAt.REIT c12- OANNYM
Printed name of Person Signing Title
i(CS/hjv\, C`-Q .
Si ature of Applicant Date
North Carolina General Statute 143-215.6 (b)(2) provides that: Any person who knowingly makes any false
statement representation, or certification in any application, record, report, plan, or other document files or
required to be maintained under Article 21 or regulations of the Environmental Management Commission
implementing that Article, or who falsifies, tampers with, or knowingly renders inaccurate any recording or
monitoring device or method required to be operated or maintained under Article 21 or regulations of the
Environmental Management Commission implementing that Article, shall be guilty of a misdemeanor punishable
by a fine not to exceed $25,000, or by imprisonment not to exceed six months, or by both. (18 U.S.C. Section
1001 provides a punishment by a fine of not more than$25,000 or imprisonment not more than 5 years,or both,
for a similar offense.)
Page 3 of 3 C-GW 03/05
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Kaba Ilco Corp GW-REM Facility
Latitude: 36°07'38"N Longitude: 80°14'15"W Location
tream Class: C Receiving Stream: Peters Creek not to scale
segment Number: 12-94-12-8 State Grid: CI8SW/C18NW
Drainage Basin: Yadkin Pee Dee Permitted Flow: 0.044 MGD
Sub-Basin: 03-07-04 HUC: 03040101
USGS Quads: Walkertown,NC/Winston-Salem East,NC North NPDES Permit NC0089508North
Forsyth County
Request for NPDES Permit Renewal
KIWS Property LLC
October 3,2018
ATTACHMENT 2
SUMMARIES OF GWE&T SYSTEM EFFLUENT
MONITORING RESULTS
PIEDMONT GEOLOGIC', P.C.
TABLE 1
SUMMARIZED RESULTS OF LABORATORY ANALYSIS
VOLATILE ORGANIC COMPOUNDS
GWE&T SYSTEM EFFLUENT SAMPLES
KIWS Property LLC
2941 Indiana Ave.
Winston-Salem,North Carolina
Sample Date: 1/2/2018 4/5/2018 7/3/2018
EPA Method 601 (ug/L)
Bromodichloromethane 1.00 <1.00 <1.00
Bromoform 1.00 <1.00 <1.00
Bromomethane 1.00 <1.00 <1.00
Chlorobenzene 1.00 <1.00 <1.00
Chloroethane 1.00 <1.00 <1.00
1-Chloroethylvinyl ether 1.00 <1.00 <1.00
Chloroform 1.00 <1.00 <1.00
Chloromethane 1.00 <1.00 <1.00
Dibromochloromethane 1.00 <1.00 <1.00
1,2-Dichlorobenzene 1.00 <1.00 <1.00
1,3-Dichlorobenzene 1.00 <1.00 <1.00
1,4-Dichlorobenzene 1.00 <1.00 <1.00
Dichlorodifluoromethane 1.00 <1.00 <1.00
1,1-Dichloroethene 1.00 <1.00 <1.00
1,2-Dichloroethane 1.00 <1.00 <1.00
1,1-Dichloroethane 1.00 <1.00 <1.00
Trans-1,2-Dichloroethene <1.00 <1.00 <1.00
1,2-Dichloropropane 1.00 <1.00 <1.00
Cis-1,3-Dichloropropaene <1.00 <1.00 <1.00
Trans-1,3-Dichloropropene <1.00 <1.00 <1.00
Methylene Chloride 1.00 <1.00 <1.00
1,1,2,2-Tetrachloroethane <1.00 <1.00 <1.00
Tetrachloroethene 1.00 <1.00 <1.00
1,1,1-Trichloroethane 1.00 <1.00 <1.00
1,2,2-Trichloroethane 1.00 <1.00 <1.00
Trichloroethene 1.00 <1.00 <1.00
Trichlorofluoromethane 1.00 <1.00 <1.00
Vinyl Chloride 1.00 <1.00 <1.00
Cis-1,2-Dichloroethene 1.00 <1.00 <1.00
TABLE 2
SUMMARIZED RESULTS OF LABORATORY ANALYSIS
VOLATILE ORGANIC COMPOUNDS
pH
KIWS Property LLC
2941 Indiana Ave.
Winston-Salem,North Carolina
Sample Date: 6/5/2018 7/3/2018 8/15/2018
SM 4500(std.units)
pH 6.83 6.79 6.78
PIEDMONT GEOLOGIC, P.C.
Effluent Toxicity Report Form - Chronic Pass/Fail and Acute LC50 Date: 01/10/18
Facility: KABA ILCO NPDES#: NC0089508 Pipe#: 001 County: FORSYTH
Laborato Perform' g Tea : R & A LABORATORIES, INC.
Comments: Final Effluent
X Cm'1. '''71/11 - .T r-
r
Sig t1% o • ator 'ri Responsible Charge 44793-01
X
S g e of Laboratory Supervisor PASSED: 0.74% Reduction *
Work Order: 44695-01 Environmental Sciences Branch
MAIL ORIGINAL TO: Div. of Environmental Management
N.C. Dept. of EHNR
1621 Mail Service Ctr
Raleigh, North Carolina 27699-1621
North Carolina Ceriodaphnia
Chronic Pass/Fail Reproduction Toxicity Test Chronic Test Results
Calculated t = 0.290
Tabular t = 2.508
CONTROL ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 Reduction = 0.74
Mortality Avg.Reprod.
Young Produced 22123 25 21 23 21 25 21 24 23 22 22
0.00 22.67
Control Control
Adult (L)ive (D)ead L L L L L L L L L L L L
0.00 22.50
Treatment 2 Treatment 2
Effluent %: 90%
TREATMENT 2 ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 Control CV
6.333% PASS FAIL
Young Produced 23 21 25 21 22 24 23 21 23 21 24 22 % control orgs X
producing 3rd
brood Check One 1
Adult (L)ive (D)ead L L L L L L L L L L L L 100%
1st sample 1st sample 2nd sample Complete This For Either Test
pH Test Start Date: 01/03/18
Control 6.94 7.02 6.93 7.02 6.91 7.00 Collection (Start) Date
Sample 1: 01/02/18 Sample 2: 01/03/18
Treatment 2 7.18 7.25 6.76 6.85 6.75 6.84 Sample Type/Duration 2nd
1st P/F
s s s Grab Comp. Duration D
t e t e t e I S S
a n a n a n Sample 1 X hrs L A A
d r d r d U M M
t t t Sample 2 X hrs T P P
1st sample 1st sample 2nd sample
D.O. Hardness (mg/1) 47
Control 8.6 8.4 18.6 8.3 8.6 8.4
Spec. Cond. (µmhos) 187 242 216
Treatment 2 8.6 8.3 18.6 8.3 8.6 8.4
Chlorine(mg/1) 0.01 0.03
LC50/Acute Toxicity Test Sample temp. at receipt(°C) 3.2 3.1
Mortality expressed as %, combining replicates)
Note: Please
Concentration Complete This
Section Also
Mortality
start/end start/end
LC50 = Method of Determination Control
95% Co fTience Limits Moving Average Probit
Spearman Karber _ Other __ High
Conc.
pH D.O.
Organism Tested: Ceriodaphnia dubia Duration(hrs) :
Copied from DEM form AT-1 (3/87) rev. 11/95 (DUBIA ver. 4.32)
Effluent Toxicity Report Form - Chronic Pass/Fail and Acute LC50 Date: 04/11/18
Facility: KABA ILCO NPDES#: NC0089508 Pipe#: 001 County: FORSYTH
Laborato Performin Tes : R & A LABORATORIES, INC.
Comments: Final Effluent
X
d17
Sig ure f pe for in Responsible Charge 48830-01
X PASSED: 1.48 Reduction
S' na Laboratory Supervisor
Work Order: 48683-01
Environmental Sciences Branch
MAIL ORIGINAL TO: Div. of Environmental Management
N.C. Dept. of EHNR
1621 Mail Service Ctr
Raleigh, North Carolina 27699-1621
North Carolina Ceriodaphnia Chronic Test Results
Chronic Pass/Fail Reproduction Toxicity Test
Calculated t = 0.467
Tabular t = 2.508
CONTROL ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 Reduction = 1.48
Mortality Avg.Reprod.
Young Produced 21 23 21 25 23 24 23 21 25 22 21 22 0.00 22.58
Control Control
Adult (L) ive (D)ead L L L L L L L L L L L L
0.00 22.25
Effluent %: 90%
Treatment 2 Treatment 2
TREATMENT 2 ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 Coontroll CV6. PASS FAIL
Young Produced 19 25 24 21 22 24 25 21 22 21 23 20 pcontrol ors X
dproducing3r
brood Check One
j Adult (L)ive (D)ead L L L L L L L L L L L L 100%
1
1st sample 1st sample 2nd sample
Complete This For Either Test
pH
Test Start Date: 04/04/18
Control 6.95 7.03 6.94 7.03 6.97 7.05 CollecSample 1:
Dateion (Start)
1: 04/03/18 Sample 2: 04/05/18
d
Treatment 2 7.18 7.25 7.40 7.48 7.41 7.50 Sample Type/Duration
1st 2n2nd
s s s Grab Comp. Duration D
t
I S S
a a
n e t e
hrs L A
S
a n a n a n Sample 1 X
M
A
r d r d r d U
hrs T MPM M
t t t Sample 2 X
1st sample 1st sample 2nd sample
D.O.
Hardness(mg/1) 48
Control 18.6 8.4 1 18.6 183 8.6 8.4
Spec. Cond. (W1hos) 18 ' '' 220
Treatment 2 18.6 8.4 I 18.6 18.3 8.6 8.3
Chlorine(mg/1) 0.01 0.01
mmommommommor
LC50/Acute Toxicity Test
Sample temp. at receipt(°C) 3.0 3 .9
Mortality expressed as %, combining replicates)
Note: Please
tl
t % % % % % % % %
Concentration
CompleteAlhis
t% % % % % % % % % %
Mortality
start/end start/end
LC50 =
Method of Determination
Control
95% Confidence Limits Moving Average _ Probit -
Hi h
Spearman Karber _ Other
High.
PH D.O.
Organism Tested: Ceriodaphnia dubia Duration(hrs)
Copied from DEM form AT-1 (3/87) rev. 11/95 (DUBIA ver. 4.32)
Effluent Toxicity Report Form - Chronic Pass/Re Fail and Acute LC50 Date: 07/11/18
Facility: KIWS PROPERTY, LLC NPDES#: NC0089508 Pipe#: 001 County: FORSYTH
Laborat.ry Perfor ' T . R & A LABORATORIES, INC.
Comments: Final Effluent
x F-77471?-,r s=--
Si.
y
tur /v +.'.e or Responsible Charge 52853-01
XI
S'•natu e lIf Laboratory Supervisor PASSED: 1.45% Reduction *
Work Order: 52795-01 Environmental Sciences Branch
MAIL ORIGINAL TO: Div. of Environmental Management
N.C. Dept. of EHNR
1621 Mail Service Ctr
Raleigh, North Carolina 27699-1621
North Carolina Ceriodaphnia
Chronic Pass/Fail Reproduction Toxicity Test Chronic Test Results
Calculated t = 0.578
Tabular t = 2.508
CONTROL ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 Reduction = 1.45
Mortality Avg.Reprod.
Young Produced 24 25 21 23 22 21 22 25 22 23 25 22
0.00 22.92
Control Control
Adult (L)ive (D)ead L L L L L L L L L L L L
0.00 22.58
Treatment 2 Treatment 2
Effluent %: 90%
TREATMENT 2 ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 Control CV
6.567% PASS FAIL
Young Produced 22 23 21 22 24 23 24 25 21 22 21 23 % control orgs X
producing 3rd
brood Check One
Adult (L) ive (D)ead L L L L L L L L L L L L 100%
1st sample 1st sample 2nd sample Complete This For Either Test
pH Test Start Date: 07/04/18
Control 6.94 7.02 6.94 7.02 6.97 7.06 Collection (Start) Date
Sample 1: 07/03/18 Sample 2: 07/05/18
Treatment 2 6.45 6.53 6.34 6.42 6.37 6.45 Sample Type/Duration 2nd
1st P/F
s s s Grab Comp. Duration D
t e t e t e I S S
a n a n a n Sample 1 X hrs L A A
d r d r d U M M
t t t Sample 2 X hrs T P P
1st sample 1st sample 2nd sample
D.O. Hardness(mg/1) 1 48
Control 8.6 8.4 8.6 8.3 8.6 8.4
Spec. Cond. (pmhos) 190 196 207
Treatment 2 8.6 8.4 8.6 8.3 8.6 8.4
Chlorine(mg/1) 0.01 0.01
LC50/Acute Toxicity Test Sample temp. at receipt(°C) 3.1 3.1
Mortality expressed as %, combining replicates)
I
Note: Please
Concentration Complete This
Section Also
Mortality
start/end start/end
LC50 = Method of Determination Control
95% Confidence Limits Moving Average -- Probit -
Spearman Karber Other High
Conc.
pH D.O.
Organism Tested: Ceriodaphnia dubia Duration(hrs) :
7 rev. 11/95 (DUBIA ver.Copied from DEM form AT 1 (3/8 ) UB 4.32)
I
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LABORATORIES INC. i.(•
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Chemical Analysis for Selected Parameters and Water Samples Identified as Kaba Ileo
lA Piedmont Geolos'ic Project,collected 05 June 2018)
I. Volatile Organics Quantitation Effluent
EPA Method 8260 B Limit GW Remediation
Parameter limb) ppb)
Acetone 25 BQL
Acrolein 100 BQL
Acrylonitrile 100 BQL
Benzene 0.5 BQL
Bromobenzene 0.5 BQL
Bromochloromethane 0.5 BQL
Bromodichloromethane 0.5 BQL
Bromoform 1.0 BQL
Bromomethane 1.0 BQL
2-Butanone 25 BQL
Carbon Disulfide 5.0 SQL
Carbon Tetrachloride 0.5 BQL
Chlorobenzene 0.5 BQL
Chloroethane 1.0 BQL
2-Chloroethyl vinyl ether 5.0 SQL
Chloroform 0.5 BQL
Chloromethane 1.0 BQL
2-Chlorotoluene 0.5 BQL
4-Chlorotoluene 0.5 BQL
Cis-I.2-Dichloroc here 0.5 SQL
Cis-1.3-Dichloropmpene 0.5 BQL
1,2-Dibromo-3-Chloropropane(DBCP) 5.0 SQL
1,2-Dibromoethane(EDB) 0.5 SQL
Dibromochloromethane 0.5 BQL
Dibromomethane 0.5 BQL
1,2-Dichlorobenzene 0.5 BQL
1,3-Dichlorobenzene 0.5 BQL
1,4-Dichlorobenzene 0.5 BQL
I.1-Dichtoroethane 0.5 BQL
1.2-Dichtoroethane 0.5 BQL
1,I-Dichloroethene 0.5 BQL
Diehlorolouromethane 0.5 BQL
1,2-Dichloropropane 0.5 SQL
1,3-Dichloropropanc 0.5 BQL
2,2-Dichloropropanc 0.5 BQL
I,I-Dichloropropene 0.5 SQL
Ethyl Benzene 0.5 SQL
2-Heaanone 5.0 BQL
IPE 0.5 BQL
I-Propylbcnzene 0.5 SQL
4-Methyl-2-Pentanone 5.0 BQL
Methyl Iodide 1.0 BQL
Methylene Chloride 5.0 BQL
MTBE 0.5 BQL
Naphthalene 0.5 BQL
N-Butylbenzcnc 0.5 BQL
N-Propylbenzene 0.5 BQL
p-Isopropyltoluene 0.5 BQL
Sec-Butylbenzene 0.5 BQL
Styrene 0.5 BQL
Ten-Butylbenzene 0.5 BQL
1,I,1,2-Tetrachloroethane 0.5 BQL
1,1,2,2-Tetrachloroethane 0.5 BQL
Tetrachloroethene 0.5 BQL
Toluene 0.5 SQL
Trans-l,2-Dichloroethene 0.5 SQL
Trans-I,3-Dichloropropene 0.5 BQL
Trans-l,4-Dichloro-2-butene 5.0 BQL
1,2.3-Trichlorobrnzrne 0.5 BQL
1.2.4-Trichlorobenzene 0.5 BQL
I,I,1-Trichloroethane 0.5 BQL
1,1,2-Trichloroethane 0.5 BQL
Trichloroethene 0.5 BQL
Trichlorofluoromethane 0.5 BQL
1,2,3-Trichloropropane 0.5 BQL
1,2,4-Trimethylbenzene 0.5 BQL
1.3,5-Trimethytbenzene 0.5 BQL
Vinyl Acetate 1.0 BQL
Vinyl Chloride 0.5 SQL
Total Xylenes 1.0 SQL
Dilution Factor 1
Sample Number 51521-01
Sample Date 06/05/18
Sample Time(hrs) 0808
Date Analyzed 06/14/18
BQL - Below Quantitation Limit ppb=pans per billion
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RESEARCh & ANALYTICAL
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a:0 LABORATORIES, INC. i ^c»
LD Cl U Ancl Ical/Process Consultations 4.49ece9P'
Chemical Analysis for Selected Parameters and Water Samples Identified as Kaba Ileo
A Piedmont Geologic Project. collected 05 June 20181
ll, Semi-Volatile Organics Quantitation Effluent
EPA Method 8270 BNA Limit GW Remediation
Parameter f ppb) ppb)
4-Chloro-3-methylphenol 10.0 BQL
2-Chlorophenol 10.0 BQL
2,4-Dichlorophenol 10.0 BQL
2,4-Dimethylphenol 10.0 BQL
2,4-Dinitrophenol 50.0 BQL
2-Methy 1-4,6-di n itrophenol 50.0 BQL
2-Nitrophenol 10.0 BQL
4-Nitrophenol 50.0 BQL
Pentachlorophenol 50.0 BQL
Phenol 10.0 BQL
2,4,6-Trichlorophenol 10.0 BQL
Acenaphthene 10.0 BQL
Acenaphthylene 10.0 BQL
Anthracene 10.0 BQL
Benzidine 50.0 BQL
Bcnzo(a)anthracene 10.0 BQL
Benzo(a)pyrene 10.0 BQL
Benzo(b)fluoranthene 10.0 BQL
Benzo(ghi)perylene 10.0 BQL
Benzo(k)fluoranthene 10.0 BQL
Benzyl butyl phthalate 10.0 BQL
Bis(2-chloroethoxy)methane 10.0 BQL
B is(2-chloroethy l)ether 10.0 BQL
Bis(2-chloroisopropy I)ether 10.0 BQL
Bis(2-ethyl-hexyl)phthalate 10.0 BQL
4-Bromophenyl phenyl ether 10.0 BQL
2-Chloronaphthalene 10.0 BQL
4-Chlorophcnyl phenyl ether 10.0 BQL
Chrysene 10.0 BQL
Dibenzo(a,h)anthracene 10.0 BQL
I,2-Dichlorobenzene 10.0 BQL
1,3-Dichlorobenzene 10.0 BQL
1,4-Dichlorobenzene 10.0 BQL
3,3-Dichlorobenzidine 20.0 BQL
Diethyl phthalate 10.0 BQL
Dimethyl phthalate 10.0 BQL
Di-N-Butyl phthalate 10.0 BQL
2,4-Dinitrotoluene 10.0 BQL
2,6-Dinitrotoluene 10.0 BQL
Di-N-Octyl phthalate 10.0 BQL
1,2-Diphenylhydrazine 50.0 BQL
Fluoranthene 10.0 BQL
Fluorene 10.0 BQL
Hexachlorobenzene 10.0 BQL
Hexachlorobutadiene 10.0 BQL
Hexachlorocyclopentadiene 10.0 BQL
Hexachloroethane 10.0 BQL
Indeno(1 2.3-cd)pyrene 10.0 BQL
Isophorone 10.0 BQL
Naphthalene 10.0 BQL
Nitrobenzene 10.0 BQL
N-Nitrosodimethylamine 10.0 BQL
N-nitrosodi-n-propylamine 10.0 BQL
N-N itrosodi phenylamine 10.0 BQL
Phenanthrene 10.0 BQL
Pyrene 10.0 BQL
2,4-Trichlorobenzene 10.0 BQL
2-Methylnaphthalene 10.0 BQL
I-Methylnaphthalene 10.0 BQL
Dilution Factor 1
Sample Number 51521-01
Sample Date 06/05/18
Sample Time(hrs) 0808
Date Analyzed 06/17/18
Time Analyzed 1824
BNA=Base-Neutral Acid Extractables BQL = Below Quantitation Lima ppb - parts per billion
pf,,,,,,
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RESEARCH & ANALYTICAL• r".., """` 'LABORATORIES INC. zNCN3M1
1
Analytical/Process Consultations o,`.
X..................PED0 ;0%-
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Chemical Analysis for Selected Parameters and Sampling Location Identified as Kaba Ilco
A Piedmont Geologic Project, collected 05 June 2018)
III. Pesticides/PCB's Quantitation Elf
EPA Method 608 Limit GW Remediation
Parameter 10121 imp)
Aldrin 1.0 BQL
Alpha,BHC 1.0 BQL
Beta,BHC 1.0 BQL
Delta,BHC 1.0 BQL
Gamma,BHC 1.0 BQL
Chlordane 10.0 BQL
4-4'-DDD 1.0 BQL
4-4'-DDE 1.0 BQL
4-4'-DDT 1.0 BQL
Dieldrin 1.0 BQL
Endosulfan 1 1.0 BQL
Endosulfan 11 1.0 BQL
Endosulfan Sulfate 1.0 BQL
Endrin 1.0 BQL
Endrin Aldehyde 1.0 BQL
Heptachlor 1.0 BQL
Heptachlor epoxide 1.0 BQL
Methoxychlor 1.0 BQL
Toxaphene 20.0 BQL
PCB 1016 5.0 BQL
PCB 1221 5.0 BQL
PCB 1232 5.0 BQL
PCB 1242 5.0 BQL
PCB 1248 5.0 BQL
PCB 1254 5.0 BQL
PCB 1260 5.0 BQL
Sample Number 51521-01
Sample Date 06/05/18
Sample Time 0808
BQL =Below Quantitation Limits ppb = parts per billion
PCB=Polychlorinated Biphenyl
ElRESEARCh & ANALyTICAL Report of Analysis
LA ORATORIES, INC.6/21/2018
tovismilt&•
CYT;''.
For: Piedmont Geologic 4.,
6003-109 Chapel Hill Road
Cy
4%
Vt.
Raleigh, NC 27607 T.C s63 NC#34 z;cn
NC#37701
Attn: Pete Dressel
jED ANS`:;0-
Client Sample ID: Effluent Lab Sample ID: 51521-01
Site: Piedmont Geologic-Kaba Collection Date: 6/5/2018 8:08
Parameter Method Result Units Rep Limit Analyst Analysis Date/Time
Antimony,Total EPA 200.7 0.005 mg/L 0.005 KL 6/11/2018
Arsenic,Total EPA 200.7 0.005 mg/L 0.005 KL 6/11/2018
Beryllium,Total EPA 200.7 0.001 mg/L 0.001 KL 6/11/2018
Cadmium,Total EPA 200.7 0.002 mg/L 0.002 KL 6/11/2018
Chromium,Total EPA 200.7 0.021 mg/L 0.005 KL 6/11/2018
Copper,Total EPA 200.7 0.005 mg/L 0.005 KL 6/11/2018
Cyanide SM 4500 CN E-1999 0.005 mg/L 0.005 AW 6/8/2018
Lead,Total EPA 200.7 0.005 mg/L 0.005 KL 6/11/2018
Mercury,Total EPA 245.1 0.0002 mg/L 0.0002 KL 6/19/2018
Nickel,Total EPA 200.7 0.005 mg/L 0.005 KL 6/11/2018
pH SM 4500 H+B-2000 6.83 Std. Units 6/5/2018
Selenium,Total EPA 200.7 0.005 mg/L 0.005 KL 6/11/2018
Silver,Total EPA 200.7 0.005 mg/L 0.005 KL 6/11/2018
Temperature(Thermometric) SM 2550B 20.1 C 6/5/2018
Thallium,Total EPA 200.7 0.005 mg/L 0.005 KL 6/11/2018
Zinc,Total EPA 200.7 0.041 mg/L 0.01 KL 6/11/2018
NA=not analyzed
P.O. Box 473 106 Short Street Kernersville, North Carolina 27284 Tel:[phone] Fax:[phone] www.randalabs.com Page 1
Pace Analytical Services, Inc.
1700 Elm Street
T.l Minneapolis, MN 55414
ace Analytical Phone:[phone]
Fax:[phone]
www.pacelabs.com
i
Report Prepared for: Report Information:
Sid Champion Pace Project#: 10434397
Research & Analytical Laboratories, I Sample Receipt Date:06/07/2018
106 Short Street Client Project#: GW Remediation (June)
Kernersville NC 27284 Client Sub PO #: N/A
State Cert#: 27700
REPORT OF Invoicing& Reporting Options:
LABORATORY
The report provided has been invoiced as a Level 2
2,3,7,8-TCDD Report. If an upgrade of this report
ANALYSIS FOR package is requested,an additional charge may be
applied.
TCDD
Please review the attached invoice for accuracy and
forward any questions to Joanne Richardson,your
Pace Project Manager.
This report has been reviewed by:
June 19, 2018
Joanne Richardson,
612) 607-6453
612) 607-6444 (fax)
ffcci"..,—
Report of Laboratory Analysis
Report Prepared Date:
This report shouldn otbe reproduced,e xcept in full,
June 14,2018 withoutthewrittenconsentotPaceAnalyticalServices.inc.
Theresultsrelateoniytlath esamplesincluded inlbisreport.
Report No 10434397 8290TCDD DFR Page 1 of 13
Pace Analytical Services, Inc.
1700 Elm Street
aceAnalyticalry
Minneapolis, MN 55414
Phone:[phone]
Fax: [phone]
DISCUSSION
This report presents the results from the analysis performed on one sample submitted
by a representative of Research &Analytical Laboratories, Inc. The sample was
analyzed for the presence or absence of 2,3,7,8-tetrachlorodibenzo-p-dioxin
2,3,7,8-TCDD) using a modified version of USEPA Method 8290. The reporting limits
were set to correspond to the lowest calibration point and a nominal 1-Liter sample
amount.
The isotopically-labeled TCDD internal standard in the sample extract was recovered at
79%. All of the labeled standard recoveries obtained for this project were within the
40-135% target range specified in Method 8290. Also, since the quantification of the
native TCDD was based on isotope dilution, the data were automatically corrected for
recovery and accurate values were obtained.
A laboratory method blank was prepared and analyzed with the sample batch as part of
our routine quality control procedures. The results show the blank to be free of
2,3,7,8-TCDD at the reporting limit.
Laboratory spike samples were also prepared using clean reference matrix that had
been fortified with native standard material. The results show that the spiked native
TCDD was recovered at 103-106% with a relative percent difference of 2.9%. These
results were all within the target ranges for the method. Matrix spikes were not
prepared with the sample batch.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced,except in full,
without the written consent of Pace Analytical Services,Inc.
Report No 10434397_8290TCDD_DFR Page 2 of 13
Pace Analytical Services,LLC
T"" 1700 Elm Street-Suite 200
I"; a A , ` , / Minneapolis,MN 55414
Tel:[phone]
Fax:[phone]
Minnesota Laboratory Certifications
Authority Certificate# Authority Certificate#
A2LA 2926.01 Mississippi MN00064
Alabama 40770 Montana CERT0092
Alaska MN00064 Nebraska NE-OS-18-06
Alaska UST-078 Nevada MN00064
Arizona AZ0014 New Jersey (NE MN002
Arkansas 88-0680 New York(NEL 11647
CNMI Saipan MP0003 New hampshire 2081
California MNC0064 North Carolina 27700
Colorado MN00064 North Carolina 530
Connecticut PH-0256 North Dakota R-036
EPA Region 8 8TMS-L Ohio 41244
Florida(NELAP E87605 Ohio VAP CL101
Georgia(EDP) 959 Oklahoma 9507
Guam EPA 959 Oregon (ELAP) MN200001
Hawaii MN00064 Oregon (OREL MN300001
Idaho MN00064 Pennsylvania 68-00563
Illinois 200011 Puerto Rico MN00064
Indiana C-MN-01 South Carolina 74003001
Iowa 368 Tennessee TN02818
Kansas E-10167 Texas T104704192
Kentucky 90062 Utah (NELAP) MN00064
Louisiana 03086 Virginia 460163
Louisiana MN00064 Washington C486
Maine MN00064 West Virginia# 9952C
Maryland 322 West Virginia D 382
Michigan 9909 Wisconsin 999407970
Minnesota 027-053-137 Wyoming 8TMS-L
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced,except in full,
without the written consent of Pace Analytical Services,Inc.
Report No 10434397
Report No 10434397_8290TCDDDFR Page 3 of 13
Appendix A
Sample Management
Report No 10434397_8290TCD[Sa 'alytical Services, Inc.Page 4 of 13
LIMNresearch & Analytical VN 11424444U I
ti
Laboratories, Inc. IIIIIIIIIIIIIIIIIIIIII rN OF CUSTODY RExiAnalytical /Process Consultations CORD10434397
C Phone[phone]
0
I
Water/Wastewater Misc.Z Company Job No.0
Research&Analytical Laboratories,Inc
Street Address Project 6W 14t...%;eMon (.5u e e) p 106 Short Street
4.r: F.Jl Y OCO
Ci Stat Zip
s Teen'v oPSamplerName (Please Print) 0 Kernehsville,NC 27284 G Pei a u
1 Contact Phone Sampler Signature
G
5
x 15'] a
e.
ry Sid L Champion 336)996-2841 Q x - 6
0
co
o ac
dam'
o z Uiaga [
C7 SampkNomber Temp Res.'Chlorine Sample U as
l i O ,
q U a ,A
y
Date Time Com .Grab c z _, p' a
IC1 (
Lab Use Only) p
C
CLRemoved Matrix Sample Location/LD. E 7 p to 0 V 0 ..
YorN (SorW) z Q c o
p' A: a; a
SISJ1 -ol ,•5-18 oto X
N N N.... a ell Requested Anal'sis
4 Eccktftv _1 1 o a / D;oma„ ooi
ah 31-94 r - TcW
Ake4-6.a Sato
Relinquished By Date/T" a Received By Remarks
4 4-t1/1600
O
Relinquished By Datelri a Received By ^
o9.• t/
6
G`+'^~-' tj—P 4 !
6K
t'J,
WZ, CnIceISampleTemperatureatreceipt
Document Name: Document Revised:o2May2018
1 Sample Condition Upon Receipt Form Page 1 of 2
aceI.uIalyf1CaI Document No.: Issuing Authority:
F-MN-L-213-rev.23 Pace Minnesota Quality Office
Sample Conditionient Name: \Project#:
Upon Receipt K set,y
n,-_3 ty;c4,, WO# : 10434397
YJo TOr e Gh
Courier: Fed Ex UPS CUSPS ['Client PM: JMR Due Date: 06/21/18
ECommercial Pace SpeeDee Other:CLIENT: R & A LABS
Tracking Number: 11 20 CO 01 4 i-g t{ 3r 3
Custody Seal on Cooler/Box Present? Eyes, t_,fNo Seals intact? Yes ,]No
Optional: Proj.Due Date: Proj.Name:
r
Packing Material: ubbie Wrap Bubble Bags None Other: Temp Blank? Des Jlo
Thermometer G87A9170600254
Type of Ice: Wet ['Blue ['None Dry :Welted --__,
Used: 0-687A9155100842
pl/ACoolerTempRead(°C): 2 ° 1 Cooler Temp Corrected(°C): 2• 1 Biological Tissue Frozen? Des No
Temp should be above frzing to 6 C Correction Factor: 1 r u Q, Date and Initials of Person Examining Contents:
USDA Regulated Soil(DI N/A,water sample)
Did samples originate in a quarantine zone within the United States:AL,AR,CA,FL,GA,ID,LA.MS, Did samples originate from a foreign source(Internationally,
NC,NM,NY,OK,OR,SC,TN,TX or VA(check maps)? Oyes No including Hawaii and Puerto Rico)?Yes ONo
If Yes to either question,fill out a Regulated Soil Checklist(FMN-Q-338)and Include with SCUR/COC paperwork.
COMMENTS:
Chain of Custody Present? e. ONo 1.
Chain of Custody Filled Out? res ONO 2.
Chain of Custody Relinquished? es (]No 3.
Sampler Name and/or Signature on COC? es ONo N/A 4.
Samples Arrived within Hold Time? es ONo 5.
Short Hold Time Analysis(<72 hr)? 0Yes zfNo 6.
Rush Turn Around Time Requested? Dyes 'No 7.
Sufficient Volume? es No 8.
Correct Containers Used? 04 No 9.
Pace Containers Used? Dyes o
Containers Intact? Sf ns No 10.
Filtered Volume Received for Dissolved Tests? Des NoN/A 11. Note if sediment is visible in the dissolved container
Is sufficient Information available to reconcile thea mples to ,,Yes ONo 12.
the COC? Matrix: —/fit
All containers needing acid/base preservation have been
13. HNO3 H:SO4 NaOH
Positive for Res.
checked? Yes No g /A Chlorine? Y N
All containers needing preservation are found to be in Sample#
compliance with EPA recommendation?
HNO3,115504,<2pH, NaOH>9 Sulfide,NaOH>12 Cyanide) DYes No ((JN/A
Exceptions:VOA,Coliform,TCC/DOC Oil and Grease, Initial when Lot#of added
DRO/8015(water)and Dioxin/PFAS Des ONo A completed:, _ preservative:
Headspace in VOA Vials(>6mm)? Dyes [)NoA 14.
Trip Blank Present? Oyes ONo oA 15.
Trip Blank Custody Seals Present? Yes No
or
Pace Trip Blank Lot#(if purchased):, ,
r___ ,_, .
CLIENT NOTIFICATION/RESOLUTION Field Data Required? Eyes No
Person Contacted: Date/Time:
Comments/Resolution:
Project Manager Review: L ',,,• /
Date: 6/7/2018
Note: Whenever there is a discrepancy affecting orth Carolina com.Or incites,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). ,
I
Report No 10434397_8290TCDD_DFR Page 6 of 13
Pace Analytical Services,LLC
1700 Elm Street-Suite 200
Minneapolis,MN 55414
ace AnalyticalTel:612-607-1700
Fax:[phone]
Reporting Flags
A = Reporting Limit based on signal to noise
B = Less than 10x higher than method blank level
C = Result obtained from confirmation analysis
D = Result obtained from analysis of diluted sample
E = Exceeds calibration range
I = Interferencepresent
J = Estimated value
Nn = Value obtained from additional analysis
P = PCDEInterference
R = Recovery outside target range
S = Peak saturated
U = Analyte not detected
V = Result verified by confirmation analysis
X = %D Exceeds limits
Y = Calculated using average of daily RFs
SeeDiscussion
REPORT OF LABORATORY ANALYSIS
Report No 10434397
This report shall not be reproduced,except in full,
without the written consent of Pace Analytical Services,Inc.
Report No 10434397_8290TCDDDFR Page 7 of 13
Appendix B
Sample Analysis Summary
Report No 10434397_8290TCDC'
aalytical Services, Inc.Page 8 of 13
Pace Analytical Services,LLC
1700 Elm Street-Suite 200
Minneapolis,MN 55414
rM
ace AnalyticalTel:612-607-1700
Fax:[phone]
Method 8290 Sample Analysis Results
Client-Research &Analytical Laboratories, Inc.
Clients Sample ID 51521-01
Lab Sample ID 10434397001
Filename U180613A_08
Injected By SMT
Total Amount Extracted 927 mL Matrix Water
Moisture NA Dilution NA
Dry Weight Extracted NA Collected 06/05/2018 08:08
ICAL ID U180405 Received 06/07/2018 09:15
CCaI Filename(s) U180612B_16& U180614B_01 Extracted 06/08/2018 13:10
Method Blank ID BLANK-62839 Analyzed 06/13/2018 18:34
Native Conc EMPC RL Internal ng's Percent
Isomers pg/L pg/L pg/L Standards Added Recovery
2,3,7,8-TCDD ND — 10 2,3,7,8-TCDD-13C 2.00 79
Recovery Standard
1,2,3,4-TCDD-13C 2.00 NA
Cleanup Standard
2,3,7,8-TCDD-37CI4 0.20 93
Conc Concentration(Totals include 2,3,7,8-substituted isomers). ND=Not Detected
EMPC=Estimated Maximum Possible Concentration NA=Not Applicable
RL=Reporting Limit NC=Not Calculated
R=Recovery outside target range
E=Exceeds calibration range
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced,except in full,
without the written consent of Pace Analytical Services,Inc.
Report No 10434397_8290TCDD_DFR Page 9 of 13
Pace Analytical Services,LLC
1700 Elm Street-Suite 200
rM
Minneapolis,MN 55414
ace AnalyticalTel:612-607-1700
Fax:[phone]
Method 8290 Blank Analysis Results
Lab Sample Name DFBLKKL
Lab Sample ID BLANK-62839 Matrix Water
Filename U180612A_10 Dilution NA
Total Amount Extracted 1010 mL Extracted 06/08/2018 13:10
ICAL ID U180405 Analyzed 06/12/2018 17:24
CCaI Filename(s) U180612A_02& U180612A_18 Injected By SMT
Native Conc EMPC RL Internal ng's Percent
Isomers pg/L pg/L pg/L Standards Added Recovery
2,3,7,8-TCDD ND — 10 2,3,7,8-TCDD-13C 2.00 97
Recovery Standard
1,2,3,4-TCDD-13C 2.00 NA
Cleanup Standard
2,3,7,8-TCDD-37CI4 0.20 106
Conc=Concentration(Totals include 2,3,7,8-substituted isomers).
EMPC=Estimated Maximum Possible Concentration
RL=Reporting Limit
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced,except in full,
without the written consent of Pace Analytical Services,Inc.
Report No 10434397__8290TCDD_DFR Page 10 of 13
Pace Analytical Services,LLC
1700 Elm Street-Suite 200
Minneapolis,MN 55414
rm
aceAnallyt calTel:612-607-1700
Fax'612-607-6444
Method 8290 Laboratory Control Spike Results
Lab Sample ID LCS-62840
Filename U180612A_03 Matrix Water
Total Amount Extracted 981 mL Dilution NA
ICAL ID U180405 Extracted 06/08/2018 13:10
CCal Filename(s) U180612A_02& U180612A_18 Analyzed 06/12/2018 11:55
Method Blank ID BLANK-62839 Injected By SMT
Native Qs Qm Internal n9's Percent
Isomers ng) ng) Rec. Standards Added Recovery
2,3,7,8-TCDD 0.20 0.21 103 2,3,7,8-TCDD-13C 2.0 97
Recovery Standard
1,2,3,4-TCDD-13C 2.0 NA
Cleanup Standard
2,3,7,8-TCDD-37C14 0.20 103
Qs=Quantity Spiked Y=RF averaging used in calculations
Qm=Quantity Measured Nn=Value obtained from additional analysis
Rec.=Recovery(Expressed as Percent) NA=Not Applicable
R=Recovery outside of target range See Discussion
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced,except in full,
without the written consent of Pace Analytical Services,Inc.
Report No 10434397_8290TCDD_DFR Page 11 of 13
Pace Analytical Services,LLC
1700 Elm Street-Suite 200
Minneapolis,MN 55414
ace AnalyticalTel:612-607-1700
Fax:[phone]
1
Method 8290 Laboratory Control Spike Results
Lab Sample ID LCSD-62841
Filename U180612A_04 Matrix Water
Total Amount Extracted 1030 mL Dilution NA
ICAL ID U180405 Extracted 06/08/2018 13:10
CCaI Filename(s) U180612A_02& U180612A_18 Analyzed 06/12/2018 12:41
Method Blank ID BLANK-62839 Injected By SMT
Native Qs Qm Internal ng's Percent
Isomers ng) ng) Rec. Standards Added Recovery
2,3,7,8-TCDD 0.20 0.21 106 2,3,7,8-TCDD-13C 2.0 114
Recovery Standard
1,2,3,4-TCDD-13C 2.0 NA
Cleanup Standard
2,3,7,8-TCDD-37CI4 0.20 122
Qs=Quantity Spiked Y=RF averaging used in calculations
Qm=Quantity Measured Nn=Value obtained from additional analysis
Rec.=Recovery(Expressed as Percent) NA=Not Applicable
R=Recovery outside of target range See Discussion
REPORT O F LABORATORY ANALYSIS
This report shall not be reproduced,except in full,
without the written consent of Pace Analytical Services,Inc.
Report No 104343978290TCDD_DFR Page 12 of 13
Pace Analytical Services,LLC
1700 Elm Street-Suite 200
Minneapolis,MN 55414
nn
aceAnal icalTel612-607-1700
Fax:[phone]
Method 8290
Spike Recovery Relative Percent Difference (RPD) Results
Client Research&Analytical Laboratories, Inc.
Spike 1 ID LCS-62840 Spike 2 ID LCSD-62841
Spike 1 Filename U180612A_03 Spike 2 Filename U180612A_04
Spike 1 Spike 2
Compound REC REC RPD
2,3,7,8-TCDD 103 106 2.9
REC=Percent Recovered
RPD=The difference between the two values divided by the mean value
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced,except in full,
without the written consent of Pace Analytical Services,Inc.
Report No 10434397_8290TCDD_DFR Page 13 of 13
Research & Analytical
LaboratoriesInc. CIIAIN OF CUSTODY RECORD
Analytical /Process Consultations
t Phone[phone]
Water/Wastewater Misc.
Company Piedmont Geologic - Kana Job No.
Si reef Address Project GWReuredirrl to (Jni,e)
Priority Pollutants Testing v
City,State,Zip Sampler Name (1),1"1..... Print) i dLU_ a $ vi
L7P2//f {l CCS_
CI p "' 7 5 c p jContactPhoneSamplerSignaturero — x n ii R o
Pete f)ressel 919.417.5065 a L F . g h T. 0 '
Sample N bre Temp Res. Chlorine Sample a
Date Time ( amp Crab Removed Matrix Sample Location/I.D. o (. t3 a: % a: a: e: r.
Lab Use Only)C Cl. L! a K o v a a a a — `
Y or N (S or W) r' ra IV ra — r Requested Analysis
S15217_01_ _5../ts-. 0 c,a X W Effluent N1 k Priority Pollutants
vL TR 2 2 1B
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Relinquisher ty Da efl'ime Received By Remarks: ok e/.Z'1
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4*.. .. K/ ' 1ST\ 2v 1U 2 3l —C< -(
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Relinquished B}' Datefi'ime Received By ____J 1,'!) C Ol \n
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sample Cemiusrarre at receipt 3 1
T——
1
EMSL Analytical, Inc.
EMSL Order ID: 021803862
706 Gralin Street Kernersville, NC 27284 Customer ID:RAL50
Phone/Fax: [phone] Customer PO:44..http://www.EMSL.com/greensborolab(@emsl.com Project ID:
J
Attn: Sid Champion Phone: [phone]
Research&Analytical Labs Fax: [phone]
106 Short Street Collected: 06/05/2018
Kernersville,NC 27284 Received: 06/06/2018
Analyzed:06/11/2018
Proj: GW Remediation(June)/Priority Pollutants Testing
Test Report: Determination of Asbestos Structures >10pm in Drinking Water I
Performed by the 100.2 Method (EPA 600/R-94/134)
ASBESTOS
Sample Original Effective Asbestos
Sample ID Filtration Sample Vol. Filter Area
Fibers Analytical Concentration
Client/EMSL Date/Time Filtered Area Analyzed
Types Detected Sensitivity
Confidence
Limitsitsce
ml)mm') (mm')MFL(million fibers per liter)
51521-01 6/6/2018 100 1057 0.0650 None Detected
ND 0.16 0.16 0.00-0.60
021803862-0001 02:00 PM
Analysts)
Stephen Bennett 1)iiT
Stephen Bennett,Laboratory Manager
Any questions please contact Stephen Bennett. or Other Approved Signatory
r
Initial report from:06/11/2018 17:15:31
Sample coleceon and containers pronded by the chard.acceptable bott'e Wank eve/rs defined as 58.01 MFL>10um.ND=None Detected.The report may not be reproduced.except,n fWl.
without w lien perrnsvon by EMSL Analybcal.Inc.TTws report relates only to the samples reported above Samples recaned in good condrbon unless otherwoe noted.
Samples analyzed by EMSL Anaybcal.Inc Kemersvdlo.NC NC 37766
Toss Roport:TEM100.2-735 11 Printed.6/11/201805-.15PM Page 1 of 1
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Request for NPDES Permit Renewal
KIWS Property LLC
October 3,2018
ATTACHMENT 3
APRIL 11, 2018 PERMIT-MODIFICATION
REQUEST LETTER
PIEDMONT GEOLOGIC, P.C.
11
PIEDMONT 6003-145 Chapel Hill Rd.
GEOLOGIC
Raleigh,NC 27607
P 919-854-97 00 P 919-854-9532
www piedmontgeologic.com
SMART EARTH SOLUTIONS
April 11,2018
Mr.John Hennessy
Environmental Program Supervisor III
Division of Water Resources
North Carolina Department of Environmental Quality
1617 Mail Service Center
Raleigh,NC 27699-1617
RE: Request for Permit Modification—NPDES Permit NC0089508
KIWS Property LLC
2941 Indiana Ave.,Winston-Salem,North Carolina
IHSB Site Identification No.NCD024895864
Dear Mr. Hennessy:
This letter presents a request for a modification to NPDES Permit NC0089508 for the KIWS Property LLC(KIWS)
formerly Kaba Ilco Corp.)site in Winston-Salem,North Carolina. The permit,originally issued in November 2014
and effective December 1,2014,is being used for discharges of treated groundwater from a site groundwater
extraction and treatment(GWE&T)system that began operating in January 2015.
Introduction and Backeround Information
The site location and layout are shown in Figure 1 and 2(Attachment 1). The site is undergoing groundwater
remediation in accordance with a May 2014 Administrative Agreement between KIWS and the NCDEQ, erfund
Section, Inactive Hazardous Sites Branch(IHSB). The purpose of site groundwater remediation efforts is to control
and mitigate a distribution of groundwater chemicals of concern(COCs),consisting primarily of tetrachloroethene
PCE),originating at the KIWS property on Indiana Avenue and extending southwest across the Hanes-Lowrance
Middle School(HLMS)property and then south into a residential neighborhood(Figure 2). Groundwater extraction
GWE)wells are currently operating on the KIWS property and the FILMS property.
A January 19,2018 letter from IHSB to KIWS(Attachment 2)requested that KIWS develop a more aggressive
remediation approach for the residential neighborhood area south of the HLMS property,in response to increased
groundwater PCE concentrations in neighborhood monitoring wells. A March 14,2018 Workplan for Remediation
System Expansion,prepared by Piedmont Geologic,was submitted to IHSB for review and approval. IHSB
approval of the workplan was issued in a March 28,2018 letter from IHSB to Piedmont Geologic(Attachment 2).
As-built details for the site GWE&T system as currently constructed are provided in Attachment 3. The GWE&T
system(Figure 3)currently incorporates five GWE wells(GWE-1,GWE-2s,GWE-2d,GWE-3s,and GWE-3d).
Request for NPDES Permit Modification
KIWS Property LLC
April 11,2018
Four of the GWE wells are shallow/deep well pairs with well screen and open-hole intervals in overburden and
bedrock,respectively. One shallow/deep GWE well pair(GWE-3s/3d)is in the southern boundary area of the
KIWS property. The remaining GWE wells(GWE-1 and GWE-2s/2d)are on the HLMS property.
The GWE wells are equipped with submersible electric groundwater recovery pumps that are sized based on the
results of pumping tests. The groundwater treatment system,and GWE&T-system command and control center,is
in the southern boundary area of the KIWS property. The groundwater treatment system,which is sized to treat up
to 60 gallons per minute(gpm)of contaminated groundwater, includes a shallow-tray air stripper for primary
treatment of groundwater entering the system,two 1,500 pound granular activated carbon(GAC)filter vessels for
secondary treatment of groundwater after passing through the air strippers,two banks of bag filters to remove.
particulate matter from the groundwater treatment process stream(one upstream and one downstream of the air
stripper),plus transfer pumps,process switches,and associated telemetry/communication components. The
GWE&T system incorporates pressure/vacuum switches and high-level switches that automatically shut the system
down in response to various abnormal operating conditions. An underground piping and power/control system
conveys untreated groundwater from the GWE wells to the groundwater treatment system,conveys treated
groundwater from the treatment system to the permitted discharge point,and supplies electrical power and
commands to the submersible pumps in the GWE wells.
The GWE&T system NPDES permit allows for discharge of treated groundwater effluent to the unnamed tributary
of Peters Creek southwest of the site,via a storm sewer located adjacent to the site along Indiana Avenue. Approval
from the City of Winston-Salem to discharge the treated GWE&T-system effluent was received via a letter from the
City dated July 17,2014(Attachment 4). The NPDES permit specifies the following discharge limitations and
monitoring requirements.
Table 1: NPDES Permit Discharge Limitations and Monitoring Requirements
Parameter Monthly Daily Maximum Measurement Sample Sample
Average Frequency Type Location
Flow 43,200 gallons Continuous Recording Effluent
pH 6.0—9.0 6.0—9.0 Monthly Grab Effluent
VOCs(EPA 601) Surface water standard Quarterly Grab Effluent
Chronic Toxicity Pass @90% Quarterly Grab Effluent
126 Priority Pollutants Annually Grab Effluent
Whole Effluent Toxicity
No violations of NPDES-permit discharge limitations have occurred since the GWE&T-system startup in January
2015. The overall operating efficiency of the GWE&T system,in terms of system-operating time versus system-
down time,since January 2015 is approximately 90%.
The current groundwater-extraction rate of the GWE&T system utilizing all five GWE wells is approximately 15
gpm. Average extraction rates for the individual GWE wells from July-December 2017 are listed as follows.
2
PIEDMONT GEOLOGIC,P.C.
Request for NPDES Permit Modification
KI W S Property LLC
April 11,2018
Table 2: Average GWE Rates
GWE Well Avg.Groundwater
Recovery Rate(gpm)
GWE-1 9.2
GWE-2s 1.3
GWE-2d 0.7
GWE-3s 3.0
GWE-3d 0.8
The most-recent GWE&T-system influent-groundwater samples(i.e.,combined flow from all five GWE wells prior
to treatment)were collected for laboratory analysis in October 2017 and January 2018. Results of laboratory
analysis are summarized as follows.
Table 3: Results of Laboratory Analysis of GWE&T-System Influent Samples
Sample Date 10/10/17 1/3/18
EPA Method 8260(ug/L)(1)
cis-1,2-DCE 100 30.5
PCE 1,550 2,220
TCE 100 36.0
Total VOCs(ug/L) 1,550 2,287
1) Method compounds that were detected are listed.
Proposed GWE&T System Expansion
Based on the current delineated distribution of site groundwater PCE concentrations,the March 2018 GWE&T
system expansion workplan calls for the addition of two GWE-well pairs(GWE-4s/GWE-4d and GWE-5s/GWE-
5d),with each pair consisting of one shallow(overburden)and one deep(bedrock)GWE well (Figure 4). One pair
of GWE wells will be near monitoring-well MW-41,on Stokes Avenue,from which the highest groundwater PCE
concentrations in overburden-aquifer-zone groundwater samples have been recently detected. The second pair will
be near monitoring-well DMW-44,on E.27th Street near Ivy Avenue,from which the highest groundwater PCE
concentrations in bedrock-aquifer-zone groundwater samples have been recently detected.
The proposed GWE wells will be installed in accordance with 15A NCAC 2L.0108. The well borings will be
advanced utilizing a combination of hollow-stem auger drilling,mud-rotary drilling,and air-rotary drilling,as
required. The shallow proposed GWE-wells will be constructed using 6-inch inside diameter(I.D.),threaded and
flush-jointed,Schedule 40 PVC well casing and screen(Shur-SeaITM high-flow brand with 0.020-inch slots). A sand
pack will be installed in each shallow GWE-well annulus from the base of the well borings to a minimum of 2-feet
above the top of each well screen. A minimum 2-foot thick bentonite seal will be installed in each well annulus
above the sand pack,and the remaining annulus for each well will be grouted with Portland cement/bentonite slurry.
The wellheads will be completed within flush-mounted utility vaults set within concrete pads.
The proposed deep GWE wells will installed as open-hole wells in bedrock,unless borehole collapse necessitates
installation of well screen and casing,as discussed above. For each deep GWE well,6-inch I.D.carbon-steel casing
will be installed into the top of competent bedrock,the annulus for which will be grouted with Portland
cement/bentonite slurry. Following a minimum 24-hour waiting period,the open-hole section of the well(6-inch
diameter)will be advanced utilizing air-rotary drilling. The wellheads will be completed within flush-mounted
utility vaults set within concrete pads.
3
PIEDMONT GEOLOGIC,P.C.
Request for NPDES Permit Modification
KI W S Property LLC
April 11,2018
Pumping tests will be conducted for the new GWE wells to evaluate the expected groundwater yields of the wells
and to select the appropriate pump sizes. The pumping tests will be conducted for up to an approximately 8-hour
period utilizing electric submersible pumps equipped with variable-speed motor drives. The goal for drawdown in
each GWE well will be 80%of the standing height of groundwater in the well under non-pumping conditions. The
submersible pump speed will be adjusted until this condition is achieved,at which time the pump will be kept at that
motor speed through the duration of the test. At the end of each pumping test a sample of effluent groundwater will
be collected from the pump discharge line. The groundwater samples will be submitted to a North Carolina certified
laboratory and analyzed for VOCs by EPA Method 8260.
The additional GWE wells will be incorporated into the existing GWE&T system for processing,treatment,and
discharge of recovered groundwater. The existing groundwater treatment system is operating at only approximately
25%of its total capacity and,as a result,the new GWE wells are not expected to overload the collection and
treatment capacity of the system.
A conceptual,layout scheme for the proposed GWE&T-system expansion is shown in Figure 5. Groundwater
distribution piping and submersible-pump control wiring will be installed within conduits installed within subsurface
directional borings or surface trenches,as feasible and/or allowable under City permits,advanced from the GWE
wells to the location of GWE-1 on the HLMS property. At that point,the pumping/wiring will be consolidated and
routed to the existing GWE&T-system building utilizing spare subsurface conduits that were installed from GWE-1
to the system building during the original 2014 GWE&T-system construction. Electric power for the submersible
pumps will be derived from existing overhead powerlines at the new GWE-well locations. As an alternative,the
hard-wired control system may be replaced with a wireless control system for the new GWE wells.
Permit Modification Request
As listed in Table 1,above,the current NPDES permit allows for a daily maximum discharge of 43,200 gallons per
day,or 30 gpm. The GWE&T system as currently operating with five GWE wells is generating approximately 15
gpm of discharge. As shown in Table 2,current GWE-well production rates range from less-than 1 gpm to over 9
gpm,with approximately 60%of the current production coming from one GWE well(GWE-1). With the increase
in the number of GWE wells from five to nine,the total groundwater production rate may stay within the limit of 30
gpm specified under the current NPDES permit. However,if the additional GWE wells produce groundwater
toward the high end of the current production range for the existing five GWE wells,then the 30 gpm limit may be
exceeded.
The current GWE&T system is rated for 60 gpm process flow. The system has not experienced any upset conditions
over its 3-year history of operation,and no violations of NPDES-permit discharge limitations have occurred. To
account for both the four additional GWE wells to be incorporated into the GWE&T system under the March 2018
workplan,plus the possibility that one or more additional expansions of the system may be requested by IHSB in the
future,it is requested that the NPDES permit be modified to increase the allowable daily discharge maximum to
86,400 gallons per day,or 60 gpm,in accordance with the flow capacity of the groundwater treatment system.
4
PIEDMONT GEOLOGIC,P.C.
Request for NPDES Permit Modification
KIWS Property LLC
April 11,2018
Schedule for GWE&T System Expansion
Following is a preliminary schedule for the GWE&T-system expansion. The schedule is subject to change due to
delays in receiving access approvals,delays in receiving permits,or other delays outside the control of KIWS.
Table 4: Schedule for GWE&T-System Expansion
Activity Estimated Time
of Completion
Compilation of engineering-design package July 1,2018
Installation and development of GWE wells August 1,2018
Pump testing August 15,2018
Installation of remediation pumps,plumbing,wiring,controls October 1,2018
Final system connections,testing,and startup October 15,2018
Thank you for your consideration of this permit modification request. If you have any questions or would like any
additional information,please do not hesitate to call.
Sincerely,
Peter J. vree.L
Peter J. Dressel, P.G.
Project Manager
cc: Ed Lodics,KIWS
Kristin Jarrett,KIWS
Attachments
5
PIEDMONT GEOLOGIC, P.C.
Request for NPDES Permit Modification
KIWS Property LLC
April 11,2018
ATTACHMENT 1
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FIGURE 1
SITE LOCATION MAP
KABA ILCO -WINSTON-SALEM, NC
1
IMC/R GYster-Clark/AgriSAFum GertilizerPlants IIIa
MW-17 1?
ND2005-2011)•
MW-11
1
DMW-28 Waste
M ND76
1 p) Management
ND(2005-2009)
I2002-2011) p, • DMW-31
ND(2002-2009)
30th Street
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2002-2011) MW-t2 MW-8 ;,/,'N-6
i 88.
31
30.8
MW-18
MW-15ND(2002-2011) MW-2 26.9
MW-7
8• MW
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29
164 • (36.6)
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MW-24
DMW-27 GWE-3D •3.39
MW-19 (3.830)
GWE-3S
DMW-32•ND(200.
ND(2002-2011) °
M W-4
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Middle hool 14
NCD
D Southern Sit 41.
MW-36 • oundary Ar MW-25
m ND(2005-2011) GWE-2S D
i • ND
DMW-39 MW-21'
2006-2009)
Hone
MW-22 (
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Mitl
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28.4
intermittent creek
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ooDM}33MW-40• (190)
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28th Street MW-35 1121 (2
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LSU-/Il,`FJ-1'
D
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27th Sheet MW-O9 323•• J DMW-34 _ 0psi
DMW-44 -MW ,777.-'''-43ND(2003.2011) r—, r-
1.240)1.240) 2.94 . N
MW-30 I
ND(2001-2011)
7/
713
M W-51
10•
25th Street
DC
al
WS-20
0 DMW-48 ND(6/15.11/15)
432) .
ri
W-47•
572
24th Street 24th Street
WS-21
ND(6/15)
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WS-17
WS-22• ND(6/15,11/15)
ND(6/15.11115)
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clane '
197)
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n
B
m
p
P¢'"
sf reet
Cie's
Scale(ft.)
LEGEND
0 350 700
MW-1 Shallow monitoring well with groundwater bale
88.3 PCE concentration(pg/L) PIEDMONT
so EARTH SOLl1i1Gh6
or
Only Mete
6.6) Bedrock monitoring well groundwater PCE GEOLOGIC 9/28117
concentration(pglL)
Dro
e
Fig12dwg
3
M W-fl Decommissioned monitoring well Devine.
Seprolite Groundwater PCE Isoconoentration
GwE-t• GWE well PD Contour Map;September 2017
Bawled. elle. Prv1e< 7
100... PCE isoconcenbation contour(pg/L)
PD Kaba IIW Corpore1tion1700 4
ND PCE not detected Rack•a. I^''•I+•• 294t Indiana Avenue Nitre
PD Winston-Salem,North Carolina 2
DMW-37
Stormw\r Discharge Line
to Stormwater
8asin
w_
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Catch Basin \ \
M W_7 jyj //.
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O •
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MW-3
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1
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e /
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MW-20
9 `
NCDOT Ske 54IC
O O J2 I Vptod Map
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1
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L
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N
MW-25
LEGEND
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a — I i,/
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4c%\C 1 GWE-1® GWE well
I rd y
IL_ t
J MW-22x---x-- d9 Jt0
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Hanes junction box
Middle OO
C G
School 27 '
r 1
M 1 ;
oi1a
itoring wel
C'
4
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t
Grass
Remediation piping/conduit
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e11 Piping trench cross section(see
ie
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Tennis CourtsY ' Parking ' 1111 1101 I I I I I II
r
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0.
uit for
I I I I I I I I IIII I
g \futures
scale(ft.)
I Stora e
DMW-38 G=atlim ti.,,.,..-._. NMW-33
expansion as t
J5 0 120' Lou
needed)MW-35 GWE-1 MW-28
c.aine o.r
28tn Street
PIEDMONT
k,eer,
8
1I 1 1 1 r 1 Nwensl:
GEOLOGIC 1,251xCaanleFig10dwg
Groundwater Extraction and Treatment System Layout
PD
Detailed. Client. Project Na.:
Pu
KI W S Property LLC 1821
C4.oked. 4+,.tron. 2941 Indiana Avenue wear..
PC Winston•Salem North Carolina 3
IMC/Royster-Clark/A GUSAFertilizerPlant -num
y
MW-17 s IIIND2005-2011)•
i •MW-11
MW 16•
4
DMW-28
Mt
MW-23
1
ND 1.0) anagemenND(2005-2009)
2002-2011)
C •
DMW-31 IND(2002-2009)
30th Street
MIN 13 MW-10486
2002-22011) MW-t2 MW-8 i W- 68831
30.8
MW-18
MW-15ND(2002-2011) MW-2 26.9
MW-7
m 89.7 MW-14• DMW-29
164 (38.8)MWM24
DMW-27 `
C3/
7/ GWE-3D •3.399
MW-19 (3.860)
GWE-3S
DMW-32• ND(2001-2011)
ND(2002-2011) °
MW-4•
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Middle hoof 184
NCD
Southern Sit 4
III oundaryAr MW-25
MW-36 • 4. • ND
m ND(2005-2011) GWE-2S WE-2D .2008-2009)
c
DMW-39 MW-21
lane 5.850) 10 -9a
Mid MW-22 2,-
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28.4 ko
intermittent creek
DMW-38 Storage o
MW-40• (190) 1 DMW-33 pGWE-1
1.0 MW-26 io
28th Street MW-35 K r1
634
o ,IC -- — Proposed GWE Wells
MW-424 "\
oo
GWE- 4S/GWE-4D i t. "_
27/ J 8
45 n
MW-49 323
DMW-34 J0 f/MB —" __.
1.0
DMW-44---- MW-43 ND(2003-2011)-"""
1,240) QG 294 S
ND(2001-2011) I
Proposed GWE Wells
MW-46 GWE-5S/GWE-5D
713
MW-51
1.0•
25th Street
D
3 WS-20
DMW-46 ND(8/15.11/15)
432)
W-47•. --
572-572
24th Street 24th Street
WS-21
ND(6/15)
MW 52--"IDMW-54
7 (3.31)
WS-;'.'•
WS-17
ND(6/15 1' 141
ND(6/15,11/15)
MW-53
482
S DMW-55 Creek(tributary of Peters
cleans<
197)
Creek);perennial
D
e
3
Ply .`
21st Street
csCie
Scale(ft.)
LEGEND
MW-1 Shallow monitoring well with groundwater
0 350 700
eg.3 PCE concentration(pg/L.September 2017)
Gauging Dere:
38.61
Bedrock monitoring well groundwater PCE PIEDMONT
concentration(pg/L:September 20171 D^•114 Dale.
GEOLOGIC 1/25/16
ADD Me:M 123 Decommissioned monitoring well
FMSMART 91 SOU.t1t ..R F 12.dw9 9
GDVE-111. GWE well
DeeDOf4'
Proposed Locations of Additional GWE Wells
100 PCE isoconceneation contour 1pg/L) PD
Detailed: Chest Wore(No.:
D PCE not detectedPD KIWS Property LLC
1821
0 Proposed additional GWE well Nested: In••,•• 2941 Indiana Avenue iicure•
PD Winston-Salem,North Carolina 4
I-
7 I I I DMW-37
l 1 Stonnwater[ Discharge Line I
Catch `Q 111/V45.1—_, ',1yy 14 to Stormwater \
J1—? — II L I
asin _ \\ w_J— / Catch Basin \
LI
Q \
b\ate. MW-2711 \\ Groundwater •
Iri I Parking
AS/6\0 N/E-3D\ Treatment Myy_3y
ystem
gS 45\\SystemWE
I
Lowrance 9 /
p Middle School MW-20 NCDOT Site 54
0 I I r
f:3 O O qJ2
l
1 B •MW 38 GWE•2D< MW-25\
0 D EWE-20%11.2213 WI J3
J
DM/
W2-
39• 1
I ane- O/ C _: .. 4 \
1 c,...,.„--1
choo
CO, GrassGIl\ t D
1—1 J4 Grass
I m
OL J6(existing
r.conduit/piping Parkmg I=rn!s courts+
I-for system pl pl pl 1
AJ
J r 1 L[r'4-6
expansion)
DMW-38 _ lel 1
65
MW 3 411211 •
q MW-35 GWE-11 U MW-28
1S
28th Street I
d add
r QQ p'3CI' ; GI QrJ fL 04 a
r.N fit d 1
tti
J" 0 O GWE-4S 0 0 GWE-40
V
RN-4. L BMW-41!$e
O
ioiiiil
A , ji
P
1,
I
oI o a 4-'SP ] a-- 0 k
g
1."1I
o D_
oIdtl04
J1
I o I R
11 .
DMW-44 MW-43
El l^
l__I D r-1- 60 I • • CLO' g ?I I DM W 341
U lJ
5S U
GWE-SD Q MW-30
41171/I
f
I Q•6
o i
1
Q
W-48 -1 D
1 0
I •CJDIE .. O tiCIff.t
4EC—t
MW-50 MW-51•
25th Street
lu C' nal' I on
LEGEND
GWE-10 GWE well
GWE-4S O Proposed GWE well
J7 O Remediation piping/conduit
junction box
MW-1 Monitoring well
Scale(8.)
Remediation piping/conduit 0 120' 240'
installed in directional boring
Remediation piping/conduit
Gase.e ate.
installed in trench PIEDMONT
Proposed remediationpiping/piping/conduit GEOLOGIC 1;V;,8
to
8
to be installed in directional boring S!.14RFig1 P\xt!!SUMMONS 14.dwg
Proposed remediation piping/conduit to neegnnd:
be installed in surface trench or
Proposed GWEBT System Expansion Layout
directional boring PD
Conceptualized)
ri Piping trench cross section(see
ms ani. Project M-
P 9
PD
KIWS Property LLC
1821
A A.
as-bolts sheet E-4)
O b " 2941 Indiana Avenue •"rer
PD Winston-Salem,North Carolina 5
Request for NPDES Permit Modification
KI W S Property LLC
April 11,2018
ATTACHMENT 2
NCDEQ CORRESPONDENCE
PIEDMONT GEOLOGIC,P.C.
ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
Waste Management
MICHAEL E. SCOTT
ENVIRONMENTAL QUALITY
Director
January 19,2018
Mr.Ed Lodics
Kaba Ilco Corp./KIWS Property,LLC
2941 Indiana Avenue
Winston-Salem,NC 27105
Re: Remedial Action Progress Report:July-December 2017
Kaba Ilco Corp.(former Stewart-Warner Corp./Bassick-Sack Site)
2941 Indiana Ave.,Winston-Salem,North Carolina
IHSB Site Identification No.NCD024895864
Dear Mr.Lodics:
The North Carolina Superfund Section,Inactive Hazardous Site Branch(IHSB)has review the subject report,and
has the following comments:
1) The remediation systems are operating as designed and have significantly reduced the contaminants
concentrations in the groundwater under the facility property and the school property.
2) Several down gradient monitoring wells located in the residential area,south of the school property,
showed contaminant concentrations have increased for two consecutive sampling events. MW-41 had a
largest increase and is about 30%higher than the historic average.
3) Structure Vapor Intrusion(VI)potential evaluation was conducted in the residential area and the
contaminant concentrations in soil gas samples/indoor air samples were within the acceptable range.
However,VI evaluation needs to be conducted again near MW-41 since the groundwater concentration
has increased.Please submit a VI evaluation workplan for our review by February 15,2018.
4) A more aggressive remedial approach in the residential area should be considered,because current
operating remedial systems are not effectively control/reduce concentrations in the groundwater in the
area and these concentration levels still pose a potential health risk for the residents living there. Please
submit a remedial workplan addressing the groundwater plume in the residential area by March 20,2018.
If you have any questions or comments,please do not hesitate to contact me at(919)707-8213.
Sincerely,
Qu Qi,L.G.
Central Region Unit Supervisor
Inactive Hazardous Site Branch
ec: Peter Dressel—Piedmont Geologic
State of North Carolina I Environmental Quality I Waste Management
1646 Mail Service Center 1217 West Jones Street I Raleigh,NC 27699-1646
919 707 8200 T
ROY COOPER
Governor
MICHAEL S. REGAN
sriret,ty
Waste Management MICHAEL SCOTT
ENVIRONMENTAL QUALITY
Dire,ir,r
March 28,2018
Peter J. Dressel
Piedmont Geologic
6003-145 Chapel Hill Road
Raleigh,NC 27607
RE: Workplan for Groundwater Remediation System Expansion KIWS Property LLC,2941 Indiana Ave.,Winston-Salem,
North Carolina,IHSB Site Identification No.NCD024895864, Docket No. 14-SF-377
Dear Mr.Dressel:
We are writing to inform you of a recent organizational change within the NCDEQ Division of Waste Management Inactive
Hazardous Sites Branch(IHSB). On March 6,2018,all sites that were previously located in the IHSB Central Region were
reassigned to either the Western or Eastern regions. As such,the Central Region will be undertaking a new mission in the future as
was explained in March 6,2018 correspondence from the I HSB Head,Charlotte Jesneck. A copy of this correspondence,along
with a new IHSB regions map,will assist you with understanding where the respective counties fall within each region.
Regarding the subject site,we in the IHSB Western Region have now resumed direct oversight of the assessment and/or remedial
activities that will be occurring in the future. Until further notice,I will be serving as the project manager for the site and would
like to conduct a site visit in the very near future so I can become re-acquainted with it and be updated on the progress that has
been made since I was last project manager in August 2013.
On March 14,2018,the IHSB Winston-Salem Regional Office received the subject workplan as prepared by Piedmont Geologic. I
have reviewed the plan and am approving it as received.
Please contact me regarding all future issues as they arise for the subject site. Thanks for efforts that you and your client have
made over the years in terms of assessment and remediation of the site.
Sincerely,
Collin Day
Regional Supervisor
NCDEQ Superfund Section
IHSB Western Region
cc: Ed Lodics,KIWS
Kristin Jarrett,KIWS
IHSB Files
State of North Carolina I Environmental Quality I Waste Management
217 West Jones Street 11646 Mail Service Center I Raleigh,North Carolina 27699-1646
919 707 8200
Request for NPDES Permit Modification
KI WS Property LLC
April 11,2018
ATTACHMENT 3
GWE&T SYSTEM AS-BUILT
CONSTRUCTION DRAWINGS
PIEDMONT GEOLOGIC, P.C.
Groundwater Extraction and Treatment System:
As-Built Construction Details
Kaba Ilco Corporation
2941 Indiana Avenue
Winston-Salem, North Carolina
First Edition: January 2015
Prepared For:Prepared By:
Kaba Ilco Corporation Piedmont Geologic, P.C.
2941 Indiana Avenue 6003-145 Chapel Hill Road
Winston-Salem, North Carolina 27105 Raleigh, North Carolina 27607
Phone: [phone]
Fax: [phone]
Sheet Sheet Title Sheet Sheet Title Sheet Sheet I he
E.
ret enon xap Ina Terminal ueunmsns
ae Mae E n comet Layout
E egresses. • Rompomp Layout an an!.
pins Cross poonsEN OWE,Remote Panel Layout
Ppy Flevaanl Loss Secoon L«auons
EsusMB use Fume Sue lopOpopnY
vaoon Pot a van t
Pp E4eanon Ptoue-Pan
EBP 10 Legend
FAO P1.ID
E.II Of Ourbw•letatnB Layout
ean4 Remote Control Panel NW,GYVE-1
E 13 Wel ea.GWF-29 20 BO 30
E 14 carbon so Plamldt°paragons
E15 POwel us aonDoagrain
Control Panel
E•17 Coned n thematic
E 15 Cannel Panel
E 1BxB Terminal
o.Voltage Tempel Amours curient
oeanmo sO
Schema.
M
123175 I Filename
COVER Avg
IMC/Royster-Clark/Agr;umUSAFertilizerPlant
411111111'1/1111
p'. -----'''''''''-'*" - _
Lb
l •
I a
MW-17 j \
71:1M *It MW-11 Courtyar ,
D fl N./
area \
y°
nn 0 O MW-16 NV/• DMMW-
23InGIII
VN 6d Waste DMW-31 II77
71 1 d W-13 ii MW-10 Management
L,
th — o
nI ''
MW-8
BMW 6pm
MW-12•
O , r n MW-1 V
MW-18IIJn DMW\MW-7
MW-24L_'' "DMW-37 MW-14 \
LMa
DMW 27_ / UMW-3• \Kaba Ilco Property LineIDM:-32 MW-19 MW-4
Jt f Lowrance
Southern
ji iddle School •NCDOT
Side Yard
i--
X30
I Mk. 00 MW-20 Site 54 \
r I
Southern M/W-25
ao
MW-36• DMW-39
Bou dory '
ted
N. Ni •
7 I idd QO' MW-22 i MW21 6' ` u
Creekt 0 S ho.l
I-Iiit' MI
W-38 p :HHHMN ,DMW-33
Storage
Q!
MW-354- MW-26
h r
1) 1 jr"liJjn i -Q *ID O rilo Q -.0 G . t
Underground creek !4 46*
1, P -.. ,
o?? a a '' I
ticulvert AM t! 5 o I
IN
IP"-
a 0 0 _ J. J 1Jti ,o C .li. I!D _ I J
I ( ( rid i ! fHI-7(- L- 17'0_4_ I I*
6.
MW-30
LEGEND PIEDMONT
GEOLOGIC
Drawing Dale
1123/15
MW-1 Monitorin well
ACRD Fite:
9 I.U710NS E-2.dwg
MW-23
Designed:
o
Decommissioned monitoring well
Site Map
PD
Detailed: Client: Project No:
Scale(in ft-) Kaba Ilco Corporation
PD 1464
sami
Checked: Location: 2941 Indiana Avenue Figure:
PD Winston-Salem,North Carolina E-2
0 350' 700'
DMW-37
tormw\r Discharge Line
1:tch Stormwalersin
MW 7 W
Od//
BMW-t4
Catch Basin \ \
i(DMW\j Groundwater Treatment • ‘`
tli\
4,/,./...
a System
AS%$VE V S3D 9:,MW-3
System
I DMW-32 lr x
IL•
MW-19_,)
R i(/'MW-4
4-i LEGEND
Future ,
t. Jr-'x
GWE-1® GWE well
l L
Parking
MV 20 Stormwater
x
9 `
NCDOT Site 54\ \ J1
Remediation piping/conduit
J L V junction box
J20
MW-i Monitoring well
t
Remediation piping/conduit
I installed in directional boring
r t Remediation piping/conduit
MW 38~ GWE-2D a
B j 3 •Stormwaler\ MW-25
installed in trench
GWE-2S ®- n Piping trench cross section(see
a t as-builts sheet E-4)L_
A MW-22 •
DMW-39 t
ssl i
A A'
aMiddle C i C'
21
N \ Notes:
School c-' 1. Existing structures are faded and
I shown as dashed lines.
Future Building Addition
2. Future school improvements are
t shown as solid lines.
J4 3. GWE=Groundwater Extraction
0
II
1 I
Future Parking i
r. x x x—N.
I
I--..Existing Tennis courts -I 1 , 0.
Future Future. i r-II ii—ti rl -II II it ii -ll I
r 11 Ir li It-111 iri-ll lrn
t
J6(conduit for Pods Pods i
I t+A H+i4 14+4114+R a+e I i i Seale(ft
future system I t Storage
DMW-38 . l ( Stormwaler )'' liMW-33
expansion as
U J5 i-`. 0 120' 240
needed)MW-35
GWE-1 1--- MW-26
J
o Geurinr Deo:
PIEDMONT
28th Street
GEOLOGIC
D nr
23av:
n5
1ir
l rE 3 tlwg
De.lrned:
Remediation Well and Piping Layout
PD
Marled: Client. Proloel No.:
PD
Kada Ilco Corporation
1464
Checked. location: 2941 Indiana Avenue 'Nem
PU Winston-Salem.North Carolina E.3
N N tt
N 1.25"diameter SR-11 HDPE N
as Native Soil
407
low voltage conduit Native Soil
10 trace wire
1.25"diameter SR-11 HDPE
2"
tNati high voltage conduitschedulediameter80 PVC
2"diameter SR-11 HDPE Pipe
10 trace
wire0
outer containment for 1"
ve diameter groundwater pipe) See L.__
Soil1"diameter SR-11 HDPE notes
groundwater pipe
See notes Section E-E'
Section A-A'
coN 1.25"diameter control conduit
Native Soil / 1.25"diameter leak sensor
conduit
1.25"diameter SR-11 HDPE
Ille groundwater pipe
10 Are 1.25"diameter
trace wire SR-11 HDPE high
3"diameter SR-11 HDPE Pipe voltage conduit
outer containment for 1.25" NSW
diameter groundwater i e
4,-k-41•
1,,diameter SR-11 HDPE
groundwater pipe
1.25"diameter 2"diameter SR-11 HDPE Pipe
SR-11 HDPE Native (outer containment for 1"
low voltage conduit Soil diameter groundwater pipe)
See Notes
Section B-B'
0 i Notes:
1.25"diameter control conduit
Native Soil 1. Boring diameter to equal minimum 150%of
1.25"diameter leak sensor bundle diameter.
conduit 2. Bundle diameter to be determined in field.
10 trace wire
3"diameter SR-11 HDPE Pipe
41 outer
cogroundwater
for 1.25"
e)diameter groundwater pipe)
1.25"diameter SR-11 HDPE
Native groundwater pipe
Soil
See Notes
Section C-C'
Asphalt to match
existing
Scale(ft.)
1.25"diameter SR-11 HOPE riiiMI
low voltage conduit 0 1 2
v
N
1.25"diameter SR-11 HDPE
high voltage conduit
Gauging Date:
PIEDMONT
2"diameter SR-11 HDPE Pipe GEOLOGIC Drawing1/23/15
10 frac:wire
outer containment for 1"
diameter groundwater pipe)
ACRD File:
1\Itl'' \l+Tit• E-4.dwg
v' n Designed:
1"diameter SR-11 HDPE Piping Cross Sections
Native Soil groundwater pipe PD
Detailed: Client: Project No.:
F 18"min. PD
Kaba Ilco Corporation 1464
Section D-D'
Checked: Location: 2941 Indiana Avenue Figure.
PD Winston-Salem,North Carolina E-4
21 \
Stormwater Discharge Line
Catch to ater
II Basin MW------1..,/.BMW-14 Catch Basin \ \
DMW3\•
GWE 3'.; .,. •` Groundwater Treatment x\
t
I i
LParking
DMW-27)GWE-3D `,
System
MW 3 \ \
I AS/SVE ' .9WE-3S 1
I DMW-32 System
J1 xx \
L•
MW-19
MW 4 LEGEND Al
Z ice_ g—._v `._x GWE-1® GWE well
Remediation piping/conduit
1_
1
4 M 20$tormwater
J1
junction box
NCDOT Site 54ti• /''x' `
M.-1 Monitoring well
JJ20 0
l. Remediation piping/conduitCinstalledindirectionalboring
L
i
Remediation piping/conduit
I 1 installed in trench
1
MW-38•
y ThGWE-2D I W j? §t«mwater MW-25 Piping elevation cross section(see
GWE-2S®
J3®
X X'sheets E-7 and E-8)
L -_i•DMW-39 i 1_,....dz• v
MW-22 I x •-x— d Notes:
Middle
l'
s 1. Existing structures are faded and
School
21 shown as dashed lines.
1\ f 4
I•
1 2. Future school improvements are
Future Building Addition l shown as solid lines.
1 3. GWE=Groundwater Extraction
x
r
j X
J4
Dy Fe_ x x x —
r_xistiliy fitmMs Cdrk---1
Future Future- n n II H II n—n I •
n Irni um,blit 1E1-11 I I f
J6(conduit for Pods Pods r,.a H-H-I-ti tt+ti I
I I Scale(@.
future system u l i I
DMW-33
Storage I 1
ti
expansion as
DMW-38
1 •
l sw n, ,ner d J } o tza zao
needed) MW-35
Z
GWE-1—} C MW-26
ZZZ",
Gauging Dale:
tem Street
PIEDMONT
tro.,a D.1.:
GEOLOGIC--, [
WAD Cu.
23/15
1 1 ` M / (
E-S.owg
FT Dewed:
Piping Elevation Cross Section Locations
Pp
0.1.464: Mad: Prejeel ao..
Pp
Kaba Hoo Corporation 1484
cksk.4:'lac.bw: 2941 Inolana Avenue a nt4,4:
PD Winston-Salem,North Carolina E-5
t--- //' St.- -ter Discharge Line
I/tch ' to Stormwater4
F Basin `MW-14 Catch Basin
I /__ r, -',.\,•MW 7 DMW-37
1 i` GWE-3
Groundwater Treatment
II 1 111 System
vI, •
D4 -27) , .'r GWE-3D •MW-3 \ \
IIII r
GWE-3S
iIiI i
xistrr,f
I
i I 1 • . . I
S -tin. 0_ `W-4
s;
I
L.—,\H.II -•\
i
4"
r
x LEGEND
m r,-
0'' /
GWE-1®GWE well
h; MV`
x
40
NCDOTSite 54
J1 Remediation piping/conduit
1'f r- 1 0
1G2L
M'1•
11125•
l i installed in trench111fGWE-2
11;tl J3
I rry, I-'/ ` 4,=-j DMW-.,3_;7\\:-/
2,1/1—‘,
1_,"•,:/
39 ly, Piping trench cross section(see
yhlII C '`rte V MW-22 ' i \` 11 s d A A'
as-builts sheet E-4)
X11 -
7 T ' r-14-_I 9 \
4'll III
r d t i Hanes •Y 1 f e
91I j1 l i Middle / c, ,,- i
c ,I T9f
0D
Notes:
vitt\
IIII
f #) ;School \l(
V'/ i ji i
p.
1 '
J ti
r 1
dill Illj i I`
l Future Building Addition I i '
r'
q __-___ J
1
1. Existing structures are faded and
Ut IIII
I
7,-:',', shown as dashed lines.
XIII iljlj
1 x
2. Future school improvements are
SII\ lllll\ A F
v,ll\ 1)11 I 1' '1 7y E .. a", t /shown as solid lines.
I II 3. GWE=Groundwater Extraction
Ili IIII (ii/ f I'
U ,;
I r— I 1
iiv
v
vI /j) I I j1 Future Park i,
I d0 I \ ----
X
l
f
I IIIl Future, i ,Future 4,-:.1..211\\J°
I1
j
Pods
1 \
r Pods -•W.`I\, J6(conduit for arm \ I
1 t \ I lIILIJIit
Scale fl
future system l t I = y \
y.
9 tl 9 I bM 3
expansion as a,
QM 3 s ua(cr J
90 120 zao'
n)
I needed) - 15 fi
r_--‘' ...,:'.'--.,..
2_1__i_
zni '--,-,o. -- ,r'iGWE-1 _ m c=- '-`I C I\
N,
tieueloe Date
28th Street u,..,,,4 ate:
I I 1 (
GEOLOGIC1a3r16
41)ru.:
i \ M (F
E-6 deg
0..4s.a:
Existing and Future Site Topography
PD
0.0.11ed: Met: Project aa:
PD
Kala Ileo Corporalon 1464
Clucked: Waive: 2941 Indiana Avenue 'Nom
PD Winston-Salem,North Carolina E-6
974 —
J1
bN Legend
II 964 —
X J2 Existing surface elevation
a
f2
U) Future surface elevation
d954 — Remedialion piping conduit elevation
944 —
Cross Section U-U'
974 —974 —
b b GWE-2S
ii
1 ::
Cross Section V-V' Cross Section W-W'
974—
b -
Horizontal Scale(ft.)
964— 0 30' 60'
N
i4 c.npni Dale.
J3
4
OLOQ IC .
o File:
nwg
954- Designed:
Pipe Elevation Profile-Part 1
PD
Debated: Client: Project No.:
PD
Kaba Ileo Corporation 1464
Cross Section X-X' Checked: Location: oc.on: 2941 Indiana Avenue g
PD Winston-Salem,North Carolina E-7
974 —
0
964 —
J5 _ --------- -
d _GWE-1D
ati 954 — i
944 —
Cross Section Z-Z'
974 —
b
964 —
II
JS
cn -
J4/—'
n
Legend
954 — i
Existing surface elevation
Future surface elevation
944 —
Cross Section Y-Y'
Remediation piping conduit elevation
Googol Dale.
4 PIEDMONT
GEOLOGICDara
123/l5
kCkD rile:
SrvwKi vhlii r_n r rr E-B.dwg
Pipe Elevation Profile-Part 2
PD
Derailed:'turn, Propel No.:
H_____tel Scale(ft.) Kaba Ilco Corporation
PD 1464
0 30' 60' el'“k": lucatloo: 2941 Indiana Avenue 'Ewe:
PD Winston-Salem,North Carolina E-H
VALVE AND PIPING SYMBOLS GENERAL INSTRUMENT SYMBOLS PROCESS LINE ABBREVIATIONS
1 GLOBE VALVE FINER
AIH AIR ATMPOSPHERIC PRESSURE
ONE VARIABLE TWO VARIABLES
I
BW BACKWASH
Io 1^'GATE VALVE IT YPE STRAINER 0 W
LOCALLY MOUNTEDCA COMPRESSED AIR
G,
COW CONTAMINATED GROUNDWATER
PL
BUTTERFLY VALVE I1J INLINE SILENCER e ee PANEL MOUNTED
U DRAIN
N CHECK VALVE O SLEEVE COUPLING IM,1 B BB PEAR.OF.PANEL MOUNTED EFFXM EFFLUENTEXHAUST
K> RVG VALVE T HAWN RAIN! O INTERLOCK OW GROUNDWATER
PIN NON POTABLE WATER
Al SWAY VALVE T EQUIPMENT DRAIN
PURGE
PRODUCT
PW POTABLE WATER
Ig ANGLE VALVE CLEANOUT ICV) KS PLC FUNCTION BLOCK
S SANITARY
IffI BL SLUDGE
SP PORT
14, RELIEF OR SAFETY VALVE HI REMOVABLE PLUG VAPOR LME SS STORM SEWER
DI] BALL VALVE 1 REMOVABLE CAP
WATERLINE IF TOTAL FLUIDS
INTFRENSIC
VENT
CR GLOBE VALVE IBF BLIND FLANGE NINE VOLTAGE
VAI VAPOR
CCCC
i0W VOLTAGE
2 SELFCONTAIONGPRESSURE I EXHAUST TO ATMOSPHEREDNWUE) PIPING MATERIAL IDENTIFICATIONREGULATINGVANELINESYMBOLS
I EXHAUST TO ATMOSPHERE(OUTSIDE)
RI
D ,L nLUNIUFCARBONSTEEPOLErillKNIFEGATEVALVECS.
0
CN
STEL
PROCESS PIPES OR CHANNELS WP COPPER
CMP CORRUGATED METAL PIPE
Yfel BACKFLOWPREVENTER a REDUCER CIP CAST IRON PIPE
CONNECTION TO PROCESS MECHANICAL UIP DUCTILE WON PIPE
LINK OR INSTRUMENT SUPPLY FH FLEXIBLE HOSE
NO NORMALLY OPEN II UNION OAL GALVANIZED STEEL PIPE
NYL NYLON
NIC NORMALLY CLOSED C QUICK USCUNIIECI COUPLING
U ,// LEUMANC SIGNAL PEPP
POLYETHYLPE
POLYPROPYLENEENE
IPIPE
PVC POLYVINYL CHLORIDE PIPE
SAMPLE PORT
ELECTRICAL SIGNAL RCP REINFORCED CONCRETE PIPE
SP RUB RUBBER HOSE
SS STAINLESS STEEL PIPE
y1/y FLEXIBLE HOSE y_ DAMPER X X X CAPILLARY TUBING IFRLED SYSTEM) VITRIFIED CLAY PIPE
1 ) MOTOR DRIVEN 49O VARIABLE SPEW MOWN L L L HYDRAULIC SIGNAL
PROCESS PIPING IDENTIFICATION
FN ELECTROMAGNETIC)OR 801116 SIGITAL
VALVE OPERATOR SYMBOLS
V V WRIIn ,HINBII
4 SOLENOID DIAPHRAGM WITRPOSINUNER INSTRUMENT IDENTIFICATION TABLE
IALOES1
4
FIRST LETTER SUCCEEDING LETTERS
MOTOR.ELECT., T HANOWHEEL UR LEVER
MEASURED OR
MODIFIER
tAUOui OR
OUTPUT FUNGI MON MODIFIER
P7PE°I:AeM'E'TKER
ll Z
I DIAPHRAGM 9 CHAMVOIEEL
INITIATING VARIABLE PA65NE TORSION
A ANALYSIS ALARM
B BURNER FLAME INSULATION GLASS
CONDUCTIVITY CONTROL PIPING DESIGN TABLE HUMBER
PRIMARY ELEMENT SYMBOLS-FLOW D DIFFERENTIAL RIVE PROCESS LUNE ABBREVIATION
F VOL rAGEPRIMARY ELEMENT
B1— ORIFICE RATE FLUMt F FLOW HA,
I 1 INGOiAENBONAII GLASS INSTRUMENT IDENTIFICATION
I— PITOL TUBE 11-..... WEIR
O
HAND(MAHWL1 MOH 88E1
LLOO
4+
CURRENT INDICATEYy'y'
II AVERAGING PITOT TURtlINEURPRUPELLUR UFF.
L,1 TUBEP NUMBEROLSTATIONSUCCEEDINGLETTERS
H. ROTOMETER CI— MAGNETIC FLOW METER L• LEVEL 110111
IPNOII LOW FIRST LETTER
M MOISTURE OR HUMIDITY METER MIDDLE
TOIALMG FLOW METER
X
ORIFICE FUNCTIONAL ABBREVIATIONS
P PRESSURE PRESSURE
CAugln1 D.I..
CO DISSOLVED.n.,,EN PIEDMONTOQUANTOREVENTINTEGRATEFCFAILCLOSEDOOON.OFF(MAINTAINED)
exlDl DFLe:FAIL LOCKERIAIE ORP OXIDATION
GEOLOGICEQUIPMENTSYMBOLSRRADIOACTIVITYRECORDORPART
FL FAIL OSC OPEN STOP CLOSE(MOMENTARY) GEOLOGIC`.J I`
23/15
8 WEE GOR FRE° SAFETY SWITCH f0 FAL OPEN SS START.STOP IMOIIENTARYI ACRD Ale:
LOA HANOOFFAUIOMATIC HIGH SELECT E-9 OW903PUMPC3nSLOVENITEMPERATURETRANSMITMWNRENf•TU-C RLNENI • LOW SELECT
MUITIVApMBIE MULTIFUNCTION
IN CURRENltO-PNEUMATIC SQUARE ROOT Designed:
LEL LOW
L-REMOTE
LIMIT ADD OP TOTALIZE
A
VACUUM VALVE OR DAMPER LR LWALAEMUIE P81D Legend
II\ PIEUMATICOIAPHRAGM C1--- '/) AIN WMPNESSOR WEIGHT OR FORCE WELL PO
PVMP I I/
UNCLASSIFIED UNCLASSIFIED
Waded: Ch.: NordNP.:
RELAY OR COMPUTE PD
Kaba Ileo Corporation 1464
Z POSITDCN DRIVE ACTUATE CMcked. IncALlnn: 2941 Indiana Avenue Nuts
FL)Winston-Salem,North Carolina E-U
1
ANTI-SFHANT PUMP
r' — I
u '
ie.2.30 OraI, ie s
1.] JUNCTION ROXF$
ANTI-SCAIANT
1 703. N BD PVC
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1'BCNMPVC
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MMIl.A: ClMEet: Pr.}AE Re.:
Kaba Ileo Corporation
PD
1484'
I'd"' L'..'.. 2941 Indiana Avenue Nu —
pp Winston-Salem,North Carolina E-70
BUILDING lt.ILI,
OXIMEI
CC=ZE _
ceznal 10'X 32'WOOD BUILDING
3/4"PLYWOOD FLOOR 3'
liVIP*
r PVC TEES scH so
I I
TRUE UNION SCH SO PVC BALL VALVE
PAINTED EXTERIOR WITH T1-11 PANELSrenzmiimmoi111111IIIIIiiilligi2"SIGNET TEE
CONTROL ROOM IS GENERAL CLASSIFICATION 4Y
j 4 4 4
SIGNET Z551 NAG FLOW METER WITH
r REMOTE DISPLAY TRANSMITTER
Q PROCESS ROOM IS RATED FOR CLASS 1,DIV.2 HAZARDOUS LOCATION
11212111
ACK MOUNT PRESSURE GAUGE.0-11.10 PSI
I
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ITIMMIBTEITISI
TYLE CMECM VALVEIIIIMITITIMINIMMINIO
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T FAO INLET FROM GW PUMPS
TV MPUs ETERING PUMP
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DISCHARGE - '
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tale(h.)
GENERAL NOTES r
AIR STRIPPER DISCHARGE PIPING ON AIR SIDE IS TO HAVE:OF FALL BACK TOWARDS I HE AIR STRIPPER O 3 I.
PRM IS TO PROVIDE AN INDOOR VENT DUCT COVER PKV=1".".""
DRAW LINE FROM BAG FILTER DRAINS TO PUMP SUCTION
Sava,UweMANFLOWMETERSWILLHAVEAPPROPRIATEPIPELENGTHSBEFOREANDAFTERFONACCURATEREADINGS
PIEDMONTEACHMANFLOWMETERWILLHAVEAREMOTEREADOUTFORINSTANTANEOUSFLOWANTISCALANTFEEDLINE Mnew pM.
CARBON VESSELS A kE INTERCOM/CIE!,WITH IIIISE MALIR EASE III kLA1OVAI GEOLOGICGIC 1123/1$
I'THE MAG METERS WILL HE TOTALIZED WITH A METAL OUTPUT IIt1HE.PLT'.THE IMANSMIITEM WILL SERI/A WM
n1SAD
Elle:
I,
TO THE PLT'AIM I FOR INSTANTANEOUS FI OW THEME WILL BE A KEMITIE MISPLAY MIK EACH AUG
II lil INS E-11.dWg
in.,METER AT THE INLET MANIFOLD IOM INSTANTANEOUS ILIIW.IHE NMI WILL SNOW RI 1 H IN SI AN IAN EIIIIS AND Design .
TOTAL FLOW Groundwater Treabnent System Building Layout
INLET PLIIMRINIi TO THE I'AMHON MANIFOLD WILL HE OVERHEAD IO ALLOW MINIM FOM FU TORE FR:MAIM PD
Del.Iied: Client: Project Km:
Kaba Ilco Corporation 1464PD
Ot•RRRed: I.o.UPP. 2941 Indiana Avenue W"^'
PD Winston-Salem.North Carolina E-11
1
NOTES:
t Stanchion will be made of aluminum.
2. Stanchion legs will be 04"tall.
New 240V 100A service
with pole.meterbase and
disconnect
45
6'chainlink security
3"Aluminum
fence with 36"margateChannel
Control Panel
Variable Frequency Drive
J H...!
Control
3:1 slope vault 24"Vault 8 Panel
6"above grade - -3"Aluminum Channel
j7.77 1.25"Incoming Conduits
L_ 1 1 :
DE
1"Conductivity Probe Conduit
Well
I I
1 1 uricCap1"Pump Power Conduit
1 ...
I-
I .
11
1=IT Concrete
R
II FI
7
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1"Conduits
11E1'
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L= Z i 1L III 1
N6"Well
HDPE containment I1. 1=I-W-i=1 - . I-11
11=1 =W---W=LrW=LF=W-W-. i
El IE W-111-W W=W-W-W=i1 lIn
1.25"diameter SDR-11 1 EL. 1-W=W-W-I I1-W W_-W-. Ell
HOPE discharge X7111 i IIIWIIIfIIIWIIIfIIIIIIllQIII1 --iIII
Pump Power Cable:
Remote Control Panel
N GWE-1 Construction Details
Total depth=113 N below grade
Screen Interval=33-113 R below grade
Well screen/casing material=6"I.D.Sch 40 PVC
Screen-slot size=0.010 inch
GWE pump intake depth=105 ft below grade
Scale(Itl
0 2 4
Groundwater Pump
OrvalaC a.0
PIEDMONT
1
Drawing u
KOG1+
OLO(;I(
r11:
2:3/15
EE-12.dwg
1..Yaw:
Well and Remote Control Panel Details
GWE Well PD
GWE•1
Wailed: Meal 7n6ect Nu..
GWE-1 Kaba Ilco Corporatmn 1464PD
Check": toc.u.a: 2941 Indiana Avenue NM.
PD Winston-Salem.North Carolina E-12
24 x 24 x 24 locking
Aliftassistvault
1.25"HDPE 90
36"x 36"x 36"locking vault,
liquid tight,lib assist vault
Concrete
Waterproof box 1.25"brass union
3:1 slope vault with disconnect
6x6%4
6"above grade switch
1'HDPE
m
11/4"diameter
ebctric
L HDPE conduit Float switch I
Tran125Brass
gate valve
ya (
0Y111.) TrensBion faring
a
eI[I IiIiI• I
A','7 jig 1"HDPE
m l<r js 3"HDPE
0..
3"HDPE containment
rM <
sJKs3[[s3[[ 1.25"HDPE
k 1.25"HDPE conduit
2"HDPE
1.25"HDPE power
345. 7
fz3Ny tf
r. •;
metil
r
tifet
I ,' a
Washed stone
S[:i
Power cable
1.25'HDPE SR 11 Recovery Pipe
I'—6"— I- -- -- 36"
If
Junction(typical)
Groundwater pump
Notes:
1. Continuous sweep for 1 inch and 1.25 inch diameter recovery lines.
2. 2 inch and 3 inch containment piping daylight in vault
3. 2 inch concrete cover bottom of vault.
GWE Well Detail
Junction box and recovery well vaut elevations on Hanes-Lawrance Middle School property. GINE-2S,GWE-2D,GWE-3S,GWE-3D
Typical)
VAULT ELEVATION
J-2 961'
1-3 961'
J-4 962'
J-5 962' Well Construction Details
GWE-2S 963.5' Wet I.D.GWE-2S GWE-2D GWE-3S GWE-3D
GWE-2D 963.5' Total depth(ft below grade) 65 180 81 184
Gau::;ite.
Screen Interval(6 below grade) 3535 5141 YIEll
Well screen/casing material 6"I.D.Sch 40 PVC — 6"I.D.Sch 40 PVC — Drant<.
GEOLOGICM "
1'UN
Screen slot size(inches) 0.010 0.010
e:
Open-hole interval(8 below grade) 65-180 82-184
Surface-casing interval(ft below grade) — 0-65 0-82 Deequed:
Well Details
Surface-casing material 6"I.D.carbon steel — 6"I.D.carbon steel
PD
GWE-2S 2D.35.3D
Weller: Luta Project ii. -'
Kaba Ileo Corporation 1504
PD
Cs<WN: luc.auu:
2941 Indiana Avenue Fiore:
PD Winston-Salem.North Carolina E-13
Carbon Vessel Manifold Operations
A
FROM BAG FILTERS a__*'
I.1 1-1 TO/FROM
1101 co
IIIIB 11`ilc CARBON
DISCHARGE I
111'11 iJ!1.11
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11.0,1
11,11 D
10,i,11;11
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lllet!
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1111;11
Ill
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CARBON 2
SERIES FLOW WITH CARBON 1 AS PRIMARY BACKWASH CARBON 2 OPERTIONS
A-OPEN B-OPEN
E-OPEN D-OPEN
H-OPEN G-OPEN
ALL OTHERS CLOSED ALL OTHERS CLOSED
BACKWASH CARBON 1 OPERTIONS ew.w ae.
B-OPEN PIEDMONT
C OPEN GEOLOGIC aee.me1npglns
ACA/
7e:
14 dwg
F-OPEN
ALL OTHERS CLOSED Carbon vessel Mamlold Cperabone
PD
aeiade4; Went. Project Pio.:
Kaba leo Corporator 1464
PD
Cheekee: te.hee: 2941 Indiana Avenue 14n^,
PD Winston-Salem,North Carolina E-14
01 CONTINOE13P000 LINE 01 35
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3.1 tlePD
Kaba Ilco Corporation 1464
CONTINUED ON LINE 15
CMNMI:"t«.Wn: 2941 Indiana Avenue rig..
Notes.Dashed Bones indicate devices/connections,outside of this control panel.
PD Winston-Salem,North Carolina E-15
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LOW VOLTAGE TERMINALS JUMPER JUMPER
AMIN®LJ 24VDC POSITIVE O eai AST BLOWER VFD RUNNING
W a i.0 24VDC NEGATIVE-I M AST PUMP 1 VEU RUNNING
I e0`24VDC POSITIVE f O®I l&In AST MP 2 VFD RUNNING
i.0 24VDC NEGATIVE- 0 0 GWE-1 PUMP VI-L)RUNNING
TOP ROWI IC7M801 24VDC POSITIVE' DRY CONTACTS AlOSle®O GWE-2S PUMP VFD RUNNING
24 VDC POSITIVE' —CONTACTS 11
4J
e i . 24VDC NEGATIVE- 0 GYVE-0 PUMP VFD RUNNING
C7 eok 24VDC POSITIVE'
1=6)
4Qel ISM 4 GWEE-3S PUMP VFD RUNNING
CI i.0 24VDC NEGATIVE- 0 T GWE-3D PUMP VFD RUNNING
1
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24VDC POSITIVE+ Qel le®4 REMOTE SHUTDOWN
i.0 24VDC NEGATNE- YQ V 01
BOTTOM HOW: -/Q]U®'O1 24VDC POSITIVE,
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Kobe Roo Corporation 1464
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Request for NPDES Permit Modification
KIWS Property LLC
April 11,2018
ATTACHMENT 4
CITY OF WINSTON-SALEM
CONDITIONAL APPROVAL TO DISCHARGE
TREATED GROUNDWATER TO MS4
PIEDMONT GEOLOGIC,P.C.
1
4111111
1 LW
Winslnn-Salmi
July 17,2014
Public Works
Department
Mr. Ed Lodics
Stormwater/Erosion and
VP Manufacturing& Innovation ADS Americas
Sedimentation Control Program Kaba Ilco Corp.
City of Winston-Salem
2941 Indiana Avenue
P.O.Boa 2511 Winston-Salem,N.C. 27105
Winston-Salem.NC 27102
CitvLink 311(336.727.8000)
Fax [phone] RE: Conditional approval to discharge treated groundwater to Municipal
mini flo11MLYU rf,.art.COM Separate Storm Sewer System(MS4).
Dear Mr. Lodics:
Please consider this correspondence as conditional approval to discharge treated
groundwater to the Municipal Separate Storm Sewer System(MS4) in accordance
with the terms and conditions outlined below. It is our understanding that other
disposal options have been investigated(i.e. introduction to the POTW or land
application). However, it was determined that these options were not visible; leaving
discharge to the MS4 is the only option.Please note item #9 regarding termination of
the discharge.
In order to minimize stormwater pollution, the Stormwater Division is requesting
compliance of the following items:
The Stormwater Division reserves the right to access, inspect, sample, enforce,and
review documentation regarding the ground water treatment system at any time to
ensure compliance.
1. Kaba Ilco shall operate and maintain its groundwater remediation system in an
effective manner,as in accordance with operation manual,at all times. Failure to
operate and maintain the (GWRS) ground water treatment system shall result in the
immediatev letter.revocation of this approvalal Tette .
2. In accordance with Piedmont Geological engineered specifications,the effluent
limits in the NPDES Application for the groundwater remediation system shall be the
concentrate pollutants parameters less than 1 parts per billion(ppb). Kaba Ilco shall
sample the treated effluent in accordance with NCDNER'S wastewater permit.
Coy Comril:Mayor Allen Jona:Viman H.Burke.Mamr Pro kmpo:e.Nonhcia Ward;De iee D..Adam..North Wank-Dan Besse.Southway Ward:Robert C.Clark.Wen Wand;MEEIM
Nolle Leight.South Ward:Wanda Mcrtchel.Nonhwa W rd:t)rrwin L Montgomery. t Wand.lame Lyior.Jr..Southeast Ward;City Mauger:lar D.Corny
Call 311 or 336-727-8000
[e-mail]
2
3. Kaba Ilco shall furnish copies of all submitted environmental regulatory documentspgrY
e.g. completed DMR,permit renewal, etc.)to the Stormwater Division regarding the
GWRS) for file recordation purposes.
4. In the event of an Illicit discharge or bypass release exceeding effluent standards,
Kaba Ilco shall immediately notify the Stormwater Division within five days,Kaba
Ilco shall submit a written report to the Stormwater Division explaining the reasons of
said bypass/release,proposed corrective actions to permanently eliminate causes of
release, estimated volume and duration of release, and proposed time schedule to
implement proposed corrective actions. Kaba Ilco shall implement corrective actions
in order to prevent future releases. The groundwater remediation system shall remain
non-operational for the period of time from release until a NC certified laboratory
analyses confirms permit compliance.All effluent from the(GWRS)during the trouble
shooting period shall not be discharged to the MS4.
5. Once the (GWRS) has been installed and becomes operational, Kaba Ilco shall
have 14 days to troubleshoot the system.At the end of the 14 day-day period,the
effluent must be at or below effluent standards. The NC certified laboratory analyses
must be furnished to the Stormwater Division that validates effluent limits have been
obtained.
6. The Stormwater Division requires a 24 hour notice prior to taking the GWRS off or
online,Kaba Ilco shall notify the Stormwater Division.
7. The Stormwater Division reserves the right to terminate Kaba Ilco's effluent
connection to the MS4 in at its sole discretion. Prior to serving the effluent the
Stormwater Division will provide Kaba Ilco intent of termination.Reasons for
connection severance include(but not limited to) gross, improper operation of
GWRS,an established trend of effluent exceedences,failure to provide bypass
notification, environmental regulatory documentation,company updates, contact
information,system on/off-live status, and neglect of GWRS maintenance.
10. All of these requirements shall remain in force during the entire period of
discharge treated ground water being discharged to the MS4.
11. The Stormwater Division reserves the right to amend,notify, incorporate, increase
discharge conditions as it deems necessary.
Gip Council:Mayor:Allen tom,.%nun li Burka.Maroc Pm Tempore.Northeast Ward Deni.D.Adana.North Ward:Dan gesso.Southwest Ward:Robert C.Clark.West WadEMED
Molly Laght.South Ward,Wanda Menthe! Northwest Ward:Derwin L Montgomery.Fast Wad Jams Tudor.Jr..Southeast Ward:Cos Manager:Lev D.C:amty
Cal 311 or 336-727-8000
citylinku cityofws.org
3
The Stormwater Division of the City of Winston-Salem would like to thank you for
your time and professional courtesy regarding the reviewing of the NPDES discharge
application prepared for Kaba Ilco Corp.
If you have any questions,please feel free to contact me.
Sincerely,
tAi..,-",.".s.44 bt".°4
Ladonta Clark
Stormwater Inspector
Phone: [phone]
Mobile phone: [phone]
Fax: [phone]
Email: [e-mail]
MIEMB) Gty ComdL•Maven Allen Minn;Viwn H.Burke,Mune Pro Tempue.Northeast Wand;Defuse I),Adams.North Wand:Ian Jinx.Southwest Wand;Robert C.Clark West Ward
Molly Edgers South Wand:Wanda Mended,Northwest Ward;I h in L Montgomery, r Want:lama lavlor,Jr..Southeast Ward:CuManager.anager.Leo D.Garrity
Call 311 or 336-727-8000
citylinkai•cltyofws.org
MRs Between and Violation Category:Program Category:
Param Name County:Subbasin:%Violation Action:
Major Minor:%
Permit:
Facility Name:
Region:--NC0089508
%%
%
%
%%
%
6 2014 5 2019
MONITORING REPORT(MR) VIOLATIONS for:07/12/19Report Date:1Page:of 1
PERMIT:NC0089508 FACILITY:Kiws Property LLC - Kaba Access Controls COUNTY:Forsyth REGION:Winston-Salem
%
Over
UNIT OF
MEASURE VIOLATION ACTIONVIOLATION TYPECALCULATED
VALUELIMITFREQUENCYVIOLATION
DATEPARAMETERLOCATIONMONITORING
REPORT
Limit Violation
OUTFALL
01 - 2019 001 Effluent Flow, in conduit or thru
treatment plant
01/10/19 Continuous Daily Maximum
Exceeded
Proceed to NOV0.04840.0432mgd 12.0
01 - 2019 001 Effluent Flow, in conduit or thru
treatment plant
01/15/19 Continuous Daily Maximum
Exceeded
Proceed to NOV0.04870.0432mgd 12.7
01 - 2019 001 Effluent Flow, in conduit or thru
treatment plant
01/16/19 Continuous Daily Maximum
Exceeded
Proceed to NOV0.04870.0432mgd 12.7
01 - 2019 001 Effluent Flow, in conduit or thru
treatment plant
01/17/19 Continuous Daily Maximum
Exceeded
Proceed to NOV0.04780.0432mgd 10.6
01 - 2019 001 Effluent Flow, in conduit or thru
treatment plant
01/18/19 Continuous Daily Maximum
Exceeded
Proceed to NOV0.04780.0432mgd 10.6
01 - 2019 001 Effluent Flow, in conduit or thru
treatment plant
01/19/19 Continuous Daily Maximum
Exceeded
Proceed to NOV0.04470.0432mgd 3.5
01 - 2019 001 Effluent Flow, in conduit or thru
treatment plant
01/20/19 Continuous Daily Maximum
Exceeded
Proceed to NOV0.04820.0432mgd 11.6
01 - 2019 001 Effluent Flow, in conduit or thru
treatment plant
01/21/19 Continuous Daily Maximum
Exceeded
Proceed to NOV0.04420.0432mgd 2.3
Whole Effluent Toxicity Testing and Self Monitoring Summary KIWS Property GW‐REM SiteNC0089508/001Cerio 7dy PF Monit: 9Ceri7dPFBegin:1/8/2018Freq:QJan Apr Jul OctNonComp:County:ForsythRegion:WSROBasin:7Q10:IWC:SOC_JOC:PF:JFMAMJJASOND2016 ‐ ‐‐‐‐‐‐‐‐Pass‐‐2017 Pass ‐‐Pass‐‐Pass‐‐Pass‐‐2018 Pass ‐‐Pass‐‐Pass‐‐Pass‐‐2019 Pass ‐‐Pass‐‐‐‐‐‐‐‐Kobe Weiland Copper Products, LLCNC0035173/003Chr Lim: 90%Ceri7dPFBegin:11/1/2017Freq:QJan Apr Jul OctNonComp:County:StokesRegion:WSROBasin:ROA017Q10:NAIWC:100SOC_JOC:PF:NAJFMAMJJASOND2015 Pass ‐‐Pass‐‐Pass‐‐Pass‐‐2016 Pass ‐‐Pass‐‐Pass‐‐Pass‐‐2017 Pass ‐‐Fail>100>100Pass‐‐Pass‐‐2018 Pass ‐‐Pass‐‐Pass‐‐Pass‐‐2019 Pass ‐‐Pass‐‐‐‐‐‐‐‐Kobe Wieland Copper Products, LLCNC0035173/001Chr Lim: 34%Ceri7dPFBegin:11/1/2017Freq:QJan Apr Jul OctNonComp:SingleCounty:StokesRegion:WSROBasin:ROA017Q10:0.075IWC:34.05SOC_JOC:PF:0.025JFMAMJJASOND2015 Pass ‐‐Pass‐‐Pass‐‐Pass‐‐2016 Pass ‐‐Pass‐‐Pass‐‐Pass‐‐2017 Pass ‐‐PassPass‐Pass‐‐Pass‐‐2018 Pass ‐‐Pass‐‐Pass‐‐Pass‐‐2019 Pass ‐‐Pass‐‐‐‐‐‐‐‐K‐T FeldsparNC0000400/001chr lim: 6.0%Ceri7dPFBegin:6/1/2012Freq:QFeb May Aug NovNonComp:SingleCounty:MitchellRegion:AROBasin:FRB067Q10:44.0IWC:5.73SOC_JOC:PF:1.73JFMAMJJASOND2015 ‐ Pass‐‐Pass‐‐Pass‐‐Pass ‐2016 ‐ Pass‐‐Pass‐‐Pass‐‐Fail Pass >242017 >24 Pass‐‐Pass‐‐Pass‐‐Pass ‐2018 ‐ Pass‐‐Pass‐‐Pass‐‐Pass ‐2019 ‐ Pass‐‐Pass‐‐‐‐‐‐‐Lake Lure WWTP, town ofNC0025381/001Chr Monit:  19% @ 1Ceri7dPFBegin:8/1/2009Freq:QJan Apr Jul OctNonComp:County:RutherfordRegion:AROBasin:BRD017Q10:IWC:SOC_JOC:PF:0.995JFMAMJJASOND2015 Pass ‐‐Pass‐‐Pass‐‐Pass‐‐2016 Pass ‐‐Pass‐‐Pass‐‐Pass‐‐2017 Pass ‐‐Pass‐‐Pass‐‐Pass‐‐2018 Pass ‐‐Pass‐‐Pass‐‐Pass‐‐2019 Pass ‐‐Pass‐‐‐‐‐‐‐‐Page 64 of 125Legend:  P= Fathead minnow (Pimphales promelas), H=No Flow (facility is active), s = Split test between Certified Labs
EPA
United States Environmental Protection Agency
Washington, D.C. 20460
Water Compliance Inspection Report
Form Approved.
OMB No. 2040-0057
Approval expires 8-31-98
Section A: National Data System Coding (i.e., PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 N 52 NC0089508 16/02/16 C S31112171819 20
21 66
Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 QA ----------------------Reserved-------------------
N67707172 73 74 75 80
Section B: Facility Data
Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include
POTW name and NPDES permit Number)
Kaba Access Controls
2941 Indiana Ave
Winston Salem NC 271054425
Entry Time/Date Permit Effective Date
Exit Time/Date Permit Expiration Date
01:00PM 16/02/16 14/12/01
Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s)
///
Tammy Jo Jones/ORC/336-940-5200/
Other Facility Data
02:00PM 16/02/16 19/05/31
Name, Address of Responsible Official/Title/Phone and Fax Number
Kristin Jarrett,6161 E 75th St Indianapolis IN 46250//317-806-3202/Contacted
No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit Flow Measurement Operations & Maintenance Records/Reports
Self-Monitoring Program Facility Site Review Effluent/Receiving Waters Laboratory
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s) and Signature(s) of Inspector(s)Agency/Office/Phone and Fax Numbers Date
Ron Boone DWR/WSRO WQ/336-776-9690/
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page#1
NPDES yr/mo/day
16/02/16
Inspection Type
C3111218
1
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
Please refer to the attached inspection summary letter.
NC0089508 17
Page#2
Permit:NC0089508
Inspection Date:02/16/2016
Owner - Facility:
Inspection Type:
Kaba Access Controls
Compliance Evaluation
Operations & Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping?
Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable
Solids, pH, DO, Sludge Judge, and other that are applicable?
NoneComment:
Permit Yes No NA NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new
application?
Is the facility as described in the permit?
# Are there any special conditions for the permit?
Is access to the plant site restricted to the general public?
Is the inspector granted access to all areas for inspection?
NoneComment:
Record Keeping Yes No NA NE
Are records kept and maintained as required by the permit?
Is all required information readily available, complete and current?
Are all records maintained for 3 years (lab. reg. required 5 years)?
Are analytical results consistent with data reported on DMRs?
Is the chain-of-custody complete?
Dates, times and location of sampling
Name of individual performing the sampling
Results of analysis and calibration
Dates of analysis
Name of person performing analyses
Transported COCs
Are DMRs complete: do they include all permit parameters?
Has the facility submitted its annual compliance report to users and DWQ?
(If the facility is = or > 5 MGD permitted flow) Do they operate 24/7 with a certified operator
on each shift?
Is the ORC visitation log available and current?
Is the ORC certified at grade equal to or higher than the facility classification?
Is the backup operator certified at one grade less or greater than the facility classification?
Is a copy of the current NPDES permit available on site?
Page#3
Permit:NC0089508
Inspection Date:02/16/2016
Owner - Facility:
Inspection Type:
Kaba Access Controls
Compliance Evaluation
Record Keeping Yes No NA NE
Facility has copy of previous year's Annual Report on file for review?
NoneComment:
Effluent Pipe Yes No NA NE
Is right of way to the outfall properly maintained?
Are the receiving water free of foam other than trace amounts and other debris?
If effluent (diffuser pipes are required) are they operating properly?
NoneComment:
Flow Measurement - Effluent Yes No NA NE
# Is flow meter used for reporting?
Is flow meter calibrated annually?
Is the flow meter operational?
(If units are separated) Does the chart recorder match the flow meter?
NoneComment:
Laboratory Yes No NA NE
Are field parameters performed by certified personnel or laboratory?
Are all other parameters(excluding field parameters) performed by a certified lab?
# Is the facility using a contract lab?
# Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees
Celsius)?
Incubator (Fecal Coliform) set to 44.5 degrees Celsius+/- 0.2 degrees?
Incubator (BOD) set to 20.0 degrees Celsius +/- 1.0 degrees?
NoneComment:
Effluent Sampling Yes No NA NE
Is composite sampling flow proportional?
Is sample collected below all treatment units?
Is proper volume collected?
Is the tubing clean?
# Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees
Celsius)?
Page#4
Permit:NC0089508
Inspection Date:02/16/2016
Owner - Facility:
Inspection Type:
Kaba Access Controls
Compliance Evaluation
Effluent Sampling Yes No NA NE
Is the facility sampling performed as required by the permit (frequency, sampling type
representative)?
NoneComment:
Page#5
From:Peter Dressel
To:Denard, Derek
Cc:Kristin Jarrett; Jonathan Murphrey
Subject:FW: [External] RE: Draft NPDES Permit NC0089508 - Kaba Access Controls (GW-REM Site)
Date:Friday, August 09, 2019 3:51:51 PM
Attachments:0716-gwe effluent lab report.pdf
0717-gwe effluent lab report-VOCs.pdf
0719-gwe effluent lab report.pdf
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an attachment to [e-mail]
Mr. Denard,

Attached is the info you requested for the KIWS Property site.

Pete Dressel, P.G.
Piedmont Geologic, P.C.
6003-145 Chapel Hill Road
Raleigh, NC 27607
919-854-9700 (office)
919-854-9532 (fax)
919-417-5065 (cell)
www.piedmontgeologic.com

From: Jonathan Murphrey
Sent: Friday, August 09, 2019 3:47 PM
To: Peter Dressel <[e-mail]>
Subject: RE: [External] RE: Draft NPDES Permit NC0089508 - Kaba Access Controls (GW-REM Site)

See attached for all three reports.

Jonathan Murphrey, P.G.
Piedmont Geologic
6003-145 Chapel Hill Road
Raleigh, NC 27607
Office: 919-854-9700
Cell: 252-717-1085

From: Peter Dressel <[e-mail]>
Sent: Friday, August 09, 2019 3:40 PM
To: Jonathan Murphrey <[e-mail]>
Subject: FW: [External] RE: Draft NPDES Permit NC0089508 - Kaba Access Controls (GW-REM Site)

Jon,

Please e-mail me the below info to forward to DEQ. Thanks.

Pete Dressel, P.G.
Piedmont Geologic, P.C.
6003-145 Chapel Hill Road
Raleigh, NC 27607
919-854-9700 (office)
919-854-9532 (fax)
919-417-5065 (cell)
www.piedmontgeologic.com

From: Denard, Derek
Sent: Friday, August 09, 2019 3:36 PM
To: Kristin Jarrett <[e-mail]>
Cc: Peter Dressel <[e-mail]>
Subject: RE: [External] RE: Draft NPDES Permit NC0089508 - Kaba Access Controls (GW-REM Site)

Ms. Jarrett,

Could you please send me the 126 Priority Pollutant scan for 7/5/2016, 7/7/2017, and 7/2/2019? The 2015 and 2017 data was not included in the application.
Also I noticed the latest DMR indicated you have data for July 2019.

Thanks,

Derek C Denard
Environmental Specialist
Compliance & Expedited Permitting Unit
N.C. Division of Water Resources
N.C. Department of Environmental Quality

919 707 3618 office
919 707 9000 main DWR
[e-mail]

N. C. Division of Water Resources
Water Quality Permitting Section - NPDES
1617 Mail Service Center
Raleigh, NC 27699-1617

Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.

From: Kristin Jarrett <[e-mail]>
Sent: Wednesday, August 07, 2019 1:43 PM
To: Denard, Derek <[e-mail]>
Cc: Peter Dressel <[e-mail]>
Subject: [External] RE: Draft NPDES Permit NC0089508 - Kaba Access Controls (GW-REM Site)

CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an attachment to [e-mail]

Hello Derek,

We have reviewed the draft NPDES Permit and have no comments at this time. Please let me know if you have any additional questions. Thank you.

Kind Regards,

Kristin M. Jarrett
Sr. Manager, Environmental, Health & Safety
Access Solutions Americas Segment
[e-mail]

dormakaba USA Inc.
6161 E. 75th Street
Indianapolis, IN 46250
t 317.806.3202
m 317.586.1380

dormakaba.com

P Please consider the environment before printing this email
____________________________________________________________________________________________________________________
This email, its documents or attachments are intended solely for use by the individual or entity to whom this email is addressed. If you received this e-mail in error, please delete it from your system
without copying it and notify sender by reply e-mail so that our records can be corrected. The contents of this email are the property of dormakaba and are privileged, confidential and otherwise
exempt from disclosure. Reproduction or disclosure of this document or its attachments is expressly prohibited.

From: Denard, Derek <[e-mail]>
Sent: Monday, August 5, 2019 4:47 PM
To: Kristin Jarrett <[e-mail]>
Subject: Draft NPDES Permit NC0089508 - Kaba Access Controls (GW-REM Site)

Please see the attached draft NPDES Permit NC0089508 for Kaba Access Controls (GW-REM Site).

If you have any questions or comments, please contact me.

Sincerely,

Derek C Denard
Environmental Specialist
Compliance & Expedited Permitting Unit
N.C. Division of Water Resources
N.C. Department of Environmental Quality

919 707 3618 office
919 707 9000 main DWR
[e-mail]

N. C. Division of Water Resources
Water Quality Permitting Section - NPDES
1617 Mail Service Center
Raleigh, NC 27699-1617

Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.

RESEARCt1 & ANALYTICAL
LAbORATORIESF INC.
Analytical/Process Consultations
Chemical Analysis for Selected Parameters and Sampling Location Identified as %aba Ilco
(A Piedmont Geolovic Protect, collected 05 July 2016)
I. Volatile Organics
Quantitation
Effluent
EPA Method 8260 B
Limit
GW Remediation
Parameter
JRRbj
kpj
Acetone
25
BQL
Acrolein
100
BQL
Acrylonitrile
100
BQL
Benzene
0.5
BQL
Bromobeoune
0.5
BQL
Br mochlor=ctt ac
0.5
BQL
13n modichloromethane
0.5
BQL
Bromoform
1.0
BQL
Bromomethane
1.0
BQL
2-Butanone
25
BQL
Carbon Disulfide
5.0
BQL
Carbon Tetrachloride
0.5
BQL
Chlorobenzenc
0.5
BQL
Chloroethane
1.0
BQL
2-Chloroethyl vinyl ether
5.0
BQL
Chloroform
0.5
BQL
Chloromethene
1.0
BQL
2-Chlorctoluene
0.5
BQL
4-Chlorotoluene
0.5
BQL
Cis-1,2-Dichloroethene
0.5
BQL
Cis-1,3-Dichlaropropcne
0.5
BQL
1,2-Dibromo-3-Chloroprepane(DBCP)
5.0
BQL
1,2-Dibramoethane (EDB)
0.5
BQL
Dibromochloromcd=c
0.5
BQL
Dibromomethane
0.5
BQL
1,2-Dichlorobenzcne
0.5
BQL
1,3-Dichlorobenzene
0.5
BQL
1,4-Dichlorobenzene
0.5
BQL
1,1-Dichloroethane
0.5
BQL
1,2-Dichlaroethane
0.5
BQL
I,1-Dichloroethene
0.5
BQL
Dichlorotloummethene
0.5
BQL
1,2-Dichloropropene
0.5
BQL
1,3-Dichloropropane
0.5
BQL
2,2-Dichlomprepane
0.5
BQL
1,1-Dichlorapropene
0.5
BQL
Ethyl Benzene
0.5
BQL
2-Howson
5.0
BQL
IPE
0.5
BQL
1-Propylbenzene
0.5
BQL
4-Methyl-2-Pentanonc
5.0
BQL
Methyl Iodide
1.0
BQL
Methylene Chloride
5.0
BQL
MTBE
0.5
BQL
Naphthalene
0.5
BQL
N-Butylbenzene
0.5
BQL
N-Propylbenzene
0.5
BQL
p-Isepropyltalucne
0.5
BQL
Scc-Butylbcnzmc
0.5
BQL
Styrene
0.5
SQL
Tert-Butylbenzene
0.5
BQL
1.1,1,2-Tetrachloroethane
0.5
BQL
1,1,2,2-Tetmchloroethane
0.5
BQL
Tetrachloroethene
0.5
BQL
Toluene
0.5
BQL
Trans-1,2-Dichloroethene
0.5
BQL
Trans-1,3-Dichloropropene
0.5
BQL
Trans-1,4-Dichloro-2-butene
5.0
BQL
1,2,3-Trichlorobenzene
0.5
BQL
1,2,4-Trichlorobcnzenc
0.5
BQL
1,1,1-Trichlorocthane
0.5
BQL
1,1,2-Trichlorocthane
0.5
BQL
Trichlorocthcae
0.5
BQL
Trichlarofluoramcthane
0.5
SQL
1,2,3-Trichloropropane
0.5
BQL
1,2,4-Trimethylbeozene
0.5
BQL
1,3,5-Trimethylbeozene
0.5
BQL
Vinyl Acetate
1.0
BQL
Vinyl Chloride
0.5
BQL
Total Xylenes
1.0
BQL
Dilution Factor 1
Sample Number 21286-01
Sample Date 07/05/16
Sample Time (hrs) 1330
Date Analyzed 07/07/16
A
NC N34 s
s r
r
BQL - Below QuandUdon Limit ppb - pam per Milian

,t�{tttt/fff�I
+(1' RESEARCI.1 & ANA1yTICAt
� � r4?� t 1r
LAbORATORI E5� INC. N0#U s
Analytical/Process Consultations 'ss,�.�q�i?:• ��.•'
es seat
Chemical Analysis for Selected Parameters and Sampling Location Identified as Baba Rco
to Piedmont Geologic ProiQct.collected 05 .lulu 2016)
II. Semi -Volatile Organics
Quantitation
Effluent
EPA Method 8270 BNA
Limit
GW Remediation
Parameter
(nnb)
(AAb)
4-Chloro-3-methylphenol
10.0
BQL
2-Chlorophenol
10.0
BQL
2,4-Dichlorophenol
10.0
BQL
2,4-Dimethylphenol
10.0
BQL
2,4-Dinitrophenol
50.0
BQL
2-MethylA,6-dinitrophenol
50.0
BQL
2-Nitrephenol
10.0
BQL
4-Nitrophenol
50.0
BQL
Pentachlorophenol
50.0
BQL
Phenol
10.0
BQL
2,4,6-Trichlorophenol
10.0
BQL
Acenaphthene
10.0
BQL
Acenaphthylene
10.0
BQL
Anthntcene
10.0
BQL
Benzidine
50.0
BQL
Benzo(a)anthracene
10.0
BQL
Benzo(a)pyrene
10.0
BQL
Benzo(b)fluoranthene
10.0
BQL
Benzo(ghi)perylene
10.0
BQL
Benzo(k)fluoranthene
10.0
BQL
Benzyl butyl phthalate
10.0
BQL
Bis(2-chloroethoxy)methane
10.0
BQL
Bis(2-chloroethyl)ether
10.0
BQL
Bis(2-chloroisopropyl)ether
10.0
BQL
Bis(2-ethyl-hexyQphthalate
10.0
BQL
4-Bromophenyl phenyl ether
10.0
BQL
2-Chloronaphthalene
10.0
BQL
4-Chlorophenyl phenyl ether
10.0
BQL
Chrysene
10.0
BQL
Dfbenzo(a,h)xnthmcene
10.0
BQL
1,2-Dichlorobenzene
10.0
BQL
1,3-Dichlorobenzene
10.0
BQL
1,4-Dichlorobenzene
10.0
BQL
3,3-Dichlorobenzidine
20.0
BQL
Diethyl phthalate
10.0
BQL
Dimethyl phthalate
10.0
BQL
Di-N-Butyl phthalate
10.0
BQL
2,4-Dinitrotoluene
10.0
BQL
2,6-Dinitrotoluene
10.0
BQL
Di-N-Octyl phthalate
10.0
BQL
1,2-Diphenylhydrazine
50.0
BQL
Fluoranthene
10.0
BQL
Fluorene
10.0
BQL
Hexachlorobenzene
10.0
BQL
Hexachlorobutadiene
10.0
BQL
Hexachlorocyclopentadiene
10.0
BQL
Hexachloroethane
10.0
BQL
Indeno(1,2,3-ed) pyrene
10.0
BQL
Isophorone
10.0
BQL
Naphthalene
10.0
BQL
Nitrobenzene
10.0
BQL
N-Nitrosodimethylamine
10.0
BQL
N-nitrosodi-n-propylamine
10.0
BQL
N-Nitrosodiphenylamine
10.0
BQL
Phenanthrene
10.0
BQL
Pyrene
10.0
BQL
1,2,4-Trichlorobcnzene
10.0
BQL
2-Methylnaphthalene
10.0
BQL
I-Methylnaphthalene
10.0
BQL
Dilution Factor
1
Sample Number
21286-01
Sample Date
07/05/16
Sample Time (hrs)
1330
Date Analyzed
07/11/16
Time Analyzed 1451
BNA - Base -Neutral Acid Extractables BQL - Below Quantitation Limit ppb - parts per billion

RESEARCh&ANA[YTiCAt
LAbORATORiES� INC.
Analytical/Process Consultations
Chemical Analysis for Selected Parameters and Sampling Location Identified as Kaba Ilco
(A Piedmont Geologic Project, collected 05 Jul 2016)
III. Pesticides/PCB's
Quantitation
Eff
EPA Method 608
Limit
GW Remediation
Parameter
(nab)
Inabl
Aldrin
1.0
BQL
A1pha,BHC
1.0
BQL
Beta,BHC
1.0
BQL
Delta,BHC
1.0
BQL
Gamma,BHC
1.0
BQL
Chlordane
10.0
BQL
4-4'-DDD
1.0
BQL
4-4'-DDE
1.0
BQL
4-4'-DDT
1.0
BQL
Dieldrin
1.0
BQL
Endosulfan 1
1.0
BQL
Endosulfan 11
1.0
BQL
Endosulfan Sulfate
1.0
BQL
Endrin
1.0
BQL
Endrin Aldehyde
1.0
BQL
Heptachlor
1.0
BQL
Heptachlor epoxide
1.0
BQL
Methoxychlor
1.0
BQL
Toxaphene
20.0
BQL
PCB 1016
5.0
BQL
PCB 1221
5.0
BQL
PCB 1232
5.0
BQL
PCB 1242
5.0
BQL
PCB 1248
5.0
BQL
PCB 1254
5.0
BQL
PCB 1260
5.0
BQL
Sample Number 21286-01
Sample Date 07/05/16
Sample Time 1330
BQL = Below Quantitation Limits ppb = parts per billion
PCB = Polychlorinated Biphenyl

RESEARCh&ANA1YTiCA1
I.AboRATORiES, INC.
Analytical/Process Consultations
Chemical Analysis for Selected Parameters and Water Samples Identified as Kaba Ilco
(A Piedmont Geologic Proiect, collected 05 July 2016)
IV. Volatile Organics
Quantitation
Eff
EPA Method 601 Compounds
Limit
GW Remediation
Parameter
(ppb)
(npb)
Tetrachloroethene
1.00
BQL
Trichloroethene
1.00
BQL
Cis-1,2-Dichloroethene
1.00
BQL
Dilution Factor
1
Sample Number 21286-01
Sample Date 07/05/16
Sample Time 1330
Date Analyzed 07/07/16
ppb = part per billion BQL = Below Quantitation Limits

RESEARCh & ANAlyTICAI
LABORATORIES, INC.
For: Piedmont Geologic
6003-109 Chapel Hill Road
Raleigh, NC 27607
Attn: PETE DRESSEL
Report of Analysis
7/14/2016
C
NC#34
NC#37701
Client Sample ID:
Effluent
Lab Sample ID:
21286-01
Site:
Piedmont Geologic
Collection Date:
7/5/2016
13:30
Parameter
Method
Result
Units
Reo Limit Analyst Analysis Date/Time
Antimony, Total
EPA 200.7
<0.005
mg/L
0.005
KL
7/14/2016
Arsenic, Total
EPA 200.7
<0.005
mg/L
0.005
KL
7/8/2016
Beryllium,Total
EPA 200.7
<0.001
mg/L
0.001
KL
7/8/2016
Cadmium, Total
EPA 200.7
<0.002
mg/L
0.002
KL
7/8/2016
Chromium, Total
EPA 200.7
<0.005
mg/L
0.005
KL
7/8/2016
Copper, Total
EPA 200.7
<0.005
mg/L
0.005
KL
7/8/2016
Cyanide
SM 4500 CN E-1999
<0.005
mg/L
0.005
AW
7/8/2016
Lead, Total
EPA 200.7
<0.005
mg/L
0.005
KL
7/8/2016
Mercury, Total
EPA 245.1
<0.0002
mg/L
0.0002
KL
7/1112016
Nickel, Total
EPA 200.7
<0.005
mg/L
0.005
KL
7/8/2016
pH
SM 4500 H+B-2000
6.83
Std. Units
7/5/2016 1330
Selenium, Total
EPA 200.7
<0.005
mg/L
0.005
KL
7/8/2016
Silver, Total
EPA 200.7
<0.005
mg/L
0.005
KL
7/8/2016
Temperature (Thermometric) SM 2550B
22.4
°C
7/5/2016 1330
Thallium, Total
EPA 200.7
<0.005
mg/L
0.005
KL
7/8/2016
Zinc, Total
EPA 200.7
0.116
mg/L
0.01
KL
7/8/2016
NA = not analyzed
P.O, Box 473 106 Short Street Kernersville, North Carolina 27284 Tel: 3H-996.2841 Fax: [phone] www.randalabs.com Page 1
ral_coa_basic_O d

Research & Analytical
Laboratories, Inc.
Analytical / Process Consultations
Phone [phone]
CHAIN OF CUSTODY RECORD
Grater
/ Wastewater
Misc.
Company Piedmont Geologic - Kaba
Job No.
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Street Address
Project GWRemediation(June)
Priority Pollutants Testing
City, State, Zip
Sampler Name (Please Print)
y
Contact
Dressel
Phone
99.417.5065
Sampler Signature
M
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Sample Number
(Lab Use Only)
Date
Time
Comp
Grab
Temp
°C
Res.
CI.
Chlorine
Removed
Y or N
Sample
Matrix
S or
Sample Location / I.D.
-
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7 5-/(o
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17
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Temp: a o7. y G
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EMSLAnalytical, Inc.
706 Gralin Street Kentersville, NC 27284
Phone/Fax: [phone]
hfD://www.EMSL.com / greensborolabeemsl.com
Attn: Sid Champion
Research & Analytical Labs
106 Short Street
Kernersville, NC 27284
Proj: GW Remediation (June) Priority Pollutants Testing
EMSL Order ID: 021604360
Customer ID: RAL50
Customer PO:
Project ID:
Phone:
[phone]
Fax:
[phone]
Collected:
07/05/2016
Received:
07/06/2016
Analyzed:
07/14/2016
Test Report: Determination of Asbestos Structures > 10Nm in Water
Performed by the 100.2 Method (EPA 600IR-94/134)
ASBESTOS
Sample
Original
Effective
Asbestos
Fibers Analytical Concentration Confidence
Sample to
Filtration
Sample Vol.
Fitter
Area
Types
Detected
Client/EMSL
Dita?ime
Filtered
Area
Analyzed
Sensitivity Limits
(mil
(mma)
(mm)
MFL (million fibers per liter)
21266-01
3!//2016
50
1057
0.1300
None Detected
ND 0.16 <0.16 0,00-0.60
021604360-0001
09:00 AM
Analyst(s)
Stephen Bennett (1)
Any questions please contact Stephen Bennett.
Initial report from: 07/14/2016 15:12:18
Stephen Bennett, Laboratory Manager
or Other Approved Signatory
Semple mlletllon and cnmsinen p coded by the col awptaeb Cottle blank level is coMte as s0.011AF1,10pm. ND=None Detested. This sent may not be reproduced, except in Nil.
s loots admen pemllMkn by EMSLM911 icsl. Inc. This mince estate only to the sempksrepodedaboue.semplesre,x dingdodcoMNonunkssothomisenmed.
Samples anayaee by EMSLMa"cal, Inc. KemenaWlle. NC
Te9Io,,cn: TEM10a2-7.3ks11 PrMed:7111201603:12PM Page 1 of 1

Research & Analytical
Laboratories, Inc.
Analytical / Process Consultations
Phone [phone]
CHAIN OF CUSTODY RECORD
Water
Wastewater
Misc.
Company
Research & Analytical Laboratories, Inc.
Job No.
o.
U
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Street Address
106 Short Street
Project Gt,-� �Da..��ia>_le..
r:or: {o�� T
City, State, Zip
Kernen, ville, NC 27284
Sampler Name (Please Print)
e- i Ce
Contact
id L. Champion
Phone
[phone]
Sampler Signature
p
Sample dumper
b(Lab Use Onyy)
u
Dale
'Dime
'omp
:ra
Temp
aC
Res.
t_I•
Chlorine
Removed
Y
Sample
Matrix
Sample Location / LD.
s.U.,
c
ysis
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% Relinquished By
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Remarks
Relinquished By
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Analytical r'
www.pacelabs.com
Report Prepared for:
Sid Champion
Research & Analytical Laboratories, I
106 Short Street
Kernersville NC 27284
REPORT OF
1�0 i �����iJ ►� ■
ANALYSIS FOR
TCDD
Report Prepared Date:
July 11, 2016
Pace Analytical Services, Inc.
1700 Elm Street
Minneapolis, MN 55414
Phone: [phone]
Fax: [phone]
Report Information:
Pace Project #: 10354759
Sample Receipt Date: 07/07/2016
Client Project #: GW Remediation (June)
Client Sub PO #: N/A
State Cert #: 27700
Invoicing & Reporting Options:
The report provided has been invoiced as a Level 2
2,3,7,8-TCDD Report. If an upgrade of this report
package is requested, an additional charge may be
applied.
Please review the attached invoice for accuracy and
forward any questions to Joanne Richardson, your
Pace Project Manager.
This report has been reviewed by:
July 11, 2016
Joanne Richardson,
[phone]
[phone] (fax)
Report of Laboratory Analysis
This report should not be reproduced, except in full,
without the written consent of Pace Analytical services, Inc.
Report No ..... 10354759 8290
The results relate only to the samples included in this report.
Paqe 1 of 11

aceAnalyticalru
DISCUSSION
Pace Analytical Services, Inc.
1700 Elm Street
Minneapolis, MN 55414
Phone: [phone]
Fax: [phone]
This report presents the results from the analysis performed on one sample submitted
by a representative of Research & Analytical Laboratories, Inc. The sample was
analyzed for the presence or absence of 2,3,7,8-tetrachlorodibenzo-p-dioxin
(2,3,7,8-TCDD) using a modified version of USEPA Method 8290. The reporting limits
were set to correspond to the lowest calibration point and a nominal 1-Liter sample
amount.
The isotopically -labeled TCDD internal standard in the sample extract was recovered at
96%. All of the labeled standard recoveries obtained for this project were within the
40-135% target range specified in Method 8290. Also, since the quantification of the
native TCDD was based on isotope dilution, the data were automatically corrected for
recovery and accurate values were obtained.
A laboratory method blank was prepared and analyzed with the sample batch as part of
our routine quality control procedures. The results show the blank to be free of
2,3,7,8-TCDD at the reporting limit.
A laboratory spike sample was also prepared with the sample batch using clean water
that had been fortified with native standard material. The results show that the spiked
native TCDD was recovered at 80%. This result was within the target range for the
method. Matrix spikes were prepared with the sample batch using sample material
from a separate project; results from these analyses will be provided upon request.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc.
Report No ..... 10354759 8290 Page 2 of 11

f ■TM
Minnesota Laboratory Certifications
Pace Analytical Services, Inc.
1700 Elm Street - Suite 200
Minneapolis, MN 55414
Tel: [phone]
Fax: [phone]
Authority
Certificate #
Authority
Certificate #
A2LA
2926.01
Mississippi
MN00064
Alabama
40770
Montana
92
Alaska
MN00064
Nebraska
NE-OS-18-06
Arizona
AZ0014
Nevada
MN 00064 200
Arkansas
88-0680
New Jersey (NE
MN002
California
01155CA
New York (NEL
11647
Colorado
MN00064
North Carolina
27700
Connecticut
PH-0256
North Dakota
R-036
EPA Region 8
8TMS-Q
Ohio
4150
Florida (NELAP
E87605
Oklahoma
D9922
Georgia (DNR)
959
Oregon (ELAP)
MN200001-005
Guam
959
Oregon (OREL
MN300001-001
Hawaii
SLD
Pennsylvania
68-00563
Idaho
MN00064
Puerto Rico
MN00064
Illinois
200012
Saipan
MP0003
Indiana
C-MN-01
South Carolina
74003001
Indiana
C-MN-01
Tennessee
TNO2818
Iowa
368
Texas
T104704192-08
Kansas
E-10167
Utah (NELAP)
MN00064
Kentucky
90062
Virginia
00251
Louisiana
03086
Washington
C755
Maine
2007029
West Virginia #
9952C
Maryland
322
West Virginia D
382
Michigan
9909
Wisconsin
999407970
Minnesota
027-053-137
Wyoming
8TMS-Q
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Without the written consent of Pace Analytical Services, Inc.
Report No ..... 10354759 8290 Paqe 3 of 11

Appendix A
Sample Management
Report No ..... 10354759 8290 Pace Analytical Services, Inc. Paqe 4 of 11

Research & Analytical
Laboratories, Inc.
Analytical / Process Consultations
p Phone[phone]
CHAIN OF CUSTODY RECORD
Z
Water
/ Wastewater
Mise.
Company
esearch & Analytical Laboratories, Inc
Job No.
3
w
a
U
-a
m
¢
O
>
E
o
"'
U
c
'�
e
r
a
a
O
S
a
o
°
s$
O
z
m
x
z
,o
v
0
U
=
treet Address
06ShoriStreet
Project O(>
ity, State, Zip
ernersviae� NC 27284
Sampler Nam b (Please Print)
G n C P: C R
F
ontact
id L. Champion
Phone
[phone]
Sampler Signature
q
R
mber
Only)
F(LabUse
Date
Time
Comp
ra
Temp
°C
Res.
CI.
Chlorine
Removed
Y or N
Sample
Matrix
S or
Sample Location / I.D.
w
O
z
R nested Analysis
i
a - -r cD'a
ago
inquished By
k
Date/Time
%-(-f% .00
Received B ��01
Vi �%DS
emarks
inquished By
Date/Time
Received By
On Ice
Sample Temperature at receipt LI . °C

Document Name:
Document Revised: 04Apr2o16
- aceAna/ C8i
Sample Condition Upon Receipt Form
Page 1 of 1
Document No.:
Issuing Authority:
FMN-L-213-rev.l6
Pace Minnesota Quality Office
Client Name:
Project #:
Re- eLasel2 K- An�1,1�;c�al I e-B
Courier: ❑Fed Ex WrUPS ❑LISPS ❑Client
❑Commerclal ❑Pace ❑SpeeDee ❑Other:
Tracking Number.. 12, 2i 959 01 41295 1309
WO# :10354759
If II I I I I II iII iii III III
10354759
Custody Seal on Cooler/Box Present? ❑Yes WNo Seals Intact? []Yes 21No Optional: Praj. Due Date: Proj. Name:
Packing Material: ❑Bubble Wrap []Bubble Bags []None ®Other._w.oKUgp€�r.n,k-f'5 Temp Blank? E'Yes ❑No
Thermometer ❑ 151401163 Z11188A912167504 Type
Used: 0151401164 ❑B88MI43310098 �aIcLI' 7 Qwet ❑Blue []None❑Samples an ice, cooling process has begun
Cooler Temp Read ('C): Y, Coder Temp Corrected ('e): -f r T Biological Tissue Frozen? []Yes ❑No N/A
Temp should be above freezing to 6'C Correction Factor: +0 - D Date and Initials of Person Examining Contents: 6,5
!� ,6
USDA Regulated Soil (,H N/A, water sample)
Did samples originate In a quarantine zone within the United States: AL, AR, AZ, CA, FL, GA, ID, LA. Did samples originate from a foreign source (internatlonally,
MS, NC, NM, NY, OK, OR, SC, TN, TX or VA (check maps)? ❑Yes ❑No including Hawaii and Puerto Rico)? ❑Yes ❑No
If Yes to either question, RII out a Regulated Soil Checklist (FMN-Q-338) and Include with SCUR/COC paperwork.
COMMENTS:
Chain of Custody Present?
(2)Yes
No
❑N/A
1.
Chain of Custody Filled Out?
Yes
ONO
❑N/A
2.
Chain of Custody Relinquished?
ZYes
[]No
❑N/A
3.
Sampler Name and/or Signature on COV
Yes
(:]No
N/A
4.
Samples Arrived within Hold Time?
Yes
[:]No
N/A
S.
Short Hold Time Analysis (<72 hr)?
❑yes
No
N/A
6.
Rush Turn Around Time Requested?
❑Yes
ONO
N/A
7.
Sufficient Volume?
UTYeS
No
N/A
8.
Correct Containers Used?
-Pace Containers Used?
ZYes
[]Yes
❑No
ONO
❑N/A
N/A
9.
Containers Intact?
ZYes
Na
EINIA
10.
Filtered Volume Received for Dissolved Tests?
OYes
EINO
N/A
11. Note if sediment is visible in the dissolved container
Sample Labels Match COC?
-includes Date/Time/ID/Ana is Matrix: VT
[]Yes
ZNo
[]NIA
12. N c; Da'fe-
t tme ea CoixfaiAePs
All containers needing add/base preservation have been
checked?
All containers needing preservation are found to be in
compliance with EPA recommendation?
(HNO3, H2SO4, HCI42; NaOH>9 Sulfide, NaOH>12 Cyanide)
Exceptions: VOA, Collform, TOC, Oil and Grease,
DRO/8015 (water) DOC
❑Yes
❑Yes
❑Yes
❑No
[]No
❑No
IIN/A
JZWA
®N/A
23' ❑HNOa
Sample #
Initial when
com leted:preservative:
❑H2SO4 [:]NaOH [:]HCl
Lot # of added
Headspace in VOA Vials (>6mm)?
❑Yes
No
N/A
14.
Trip Blank Present?
Trip Blank Custody Seals Present?
Pace Trip Blank Lot#(if purchased):
❑Yes
❑Yes
❑No
❑No
J jN/A
JMN/A
15.
CLIENT NOTIFICATION/RESOLUTION
Person Contacted:
Comments/Resolution:
Project Manager Review: � .mot_ / j i , -/ )., , J - ; r
Note: Whenever there is a discrepancy affectl orth Carolina compliance samples, a copy
hold, Incorrect preservative, out of temp, incor ct contalnem).
Report No ..... 10354759 8290
Field Data Required? ❑Yes ❑No
Datetrime:
Date: 7-7-16
be sent to the North Carolina DEHNR Certification Office( Le out of
Paqe 6 of 11

TM
f f
Reporting Flags
A = Reporting Limit based on signal to noise
B = Less than 10x higher than method blank level
C = Result obtained from confirmation analysis
D = Result obtained from analysis of diluted sample
E = Exceeds calibration range
= Interference present
J = Estimated value
Nn = Value obtained from additional analysis
P = PCDE Interference
R = Recovery outside target range
S = Peak saturated
U = Analyte not detected
V = Result verified by confirmation analysis
X = %D Exceeds limits
Y = Calculated using average of daily RFs
* = See Discussion
Pace Analytical Services, Inc.
1700 Elm Street - Suite 200
Minneapolis, MN 55414
Tel: [phone]
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc.
Report No ..... 10354759 8290 Paqe 7 of 11

Appendix B
Sample Analysis Summary
Report No ..... 10354759 8290 Pace Analytical Services, Inc. Paqe 8 of 11

Pace Analytical Services, Inc.
1700 Elm Street - Suite 200
VaLcceAnal
Minneapolis, MN 55414
TM
Ical
Tel: -607-1
Fax:[phone]
Method 8290 Sample Analysis Results
Client - Research & Analytical Laboratories, Inc.
Client's Sample ID
21286-01
Lab Sample ID
10354759001
Filename
F16071 OB_19
Injected By
BAL
Total Amount Extracted
834 mL
Matrix Water
% Moisture
NA
Dilution NA
Dry Weight Extracted
NA
Collected 07/05/2016 13:30
ICAL ID
F160602
Received 07/07/2016 09:05
CCal Filename(s)
F16071OB 03 & F160710B 20
Extracted 07/08/2016 11:40
Method Blank ID
BLANK-50978
Analyzed 07/11/2016 00:65
Native
Conc EMPC RL
Internal ng's Percent
Isomers
pg/L pg/L pg/L
Standards Added Recovery
2,3,7,8-TCDD
ND 10
2,3,7,8-TCDD-13C 2.00 96
Recovery Standard
1,2,3,4-TCDD-13C 2.00 NA
Cleanup Standard
2,3,7,8-TCDD-37CI4 0.20 100
Conc = Concentration (Totals include 2,3,7,8-substituted isomers).
ND = Not Detected
EMPC = Estimated Maximum Possible Concentration
NA = Not Applicable
RL = Reporting Limit
NC = Not Calculated
R = Recovery outside target range
E = Exceeds calibration range
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Without the written consent of Pace Analytical Services, Inc.
Report No ..... 10354759 8290
Page 9 of 11

Anal,Aical'm
Pace Analytical Services, Inc.
1700 Elm Street - Suite 200
Minneapolis, MN 55414
Tel: [phone]
C-- 04 n on-V I I I
Method 8290 Blank Analysis Results
Lab Sample ID BLANK-50978 Matrix Water
Filename F160710B_12 Dilution NA
Total Amount Extracted 1020 mL Extracted 07/08/2016 11:40
ICAL ID F160602 Analyzed 07/10/2016 19:41
CCal Filename(s) F16071OB 03 & F16071OB 20 Injected By BAL
Native Conc EMPC RL Internal
Isomers pg/L pg/L pg/L Standards
ng's
Added
Percent
Recovery
2,3,7,8-TCDD ND 10 2,3,7,8-TCDD-13C
2.00
92
Recovery Standard
1,2,3,4-TCDD-13C
2.00
NA
Cleanup Standard
2,3,7,8-TCDD-37CI4
0.20
91
Conc = Concentration (Totals include 2,3,7,8-substituted isomers)
EMPC = Estimated Maximum Possible Concentration
RL = Reporting Limit
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc.
Report No ..... 10354759 8290 Paqe 10 of 11

Pace Analytical Services, Inc.
1700 Elm Street - Suite 200
Minneapolis, MN 55414
Method 8290 Laboratory Control Spike Results
Lab Sample ID
LCS-50979
Filename
Total Amount Extracted
U160710B 05
1020 mL
Matrix
Water
ICAL ID
CCal Filename(s)
U160204
U160710B_01 & U16071OB
Dilution
Extracted
18
NA
07/08/2016
11:40
Method Blank ID
BLANK-50978
Analyzed
07/10/2016
13:25
Injected By
BAL
Native
Isomers
as QM %
(ng) (ng)
Internal
ng's
Percent
Rec.
Standards
Added
Recovery
2,3,7,8-TCDD
0.20 0.16 80
2,3,7,8-TCDD-13C
2.0
101
Recovery Standard
1,2,3,4-TCDD-13C 2.0 NA
Cleanup Standard
2,3,7,8-TCDD-37CI4 0.20 108
Qs = Quantity Spiked Y = RF averaging used in calculations
Qm = Quantity Measured Nn = Value obtained from additional analysis
Rec. = Recovery (Expressed as Percent) NA = Not Applicable
R = Recovery outside of target range * = See Discussion
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc.
Report No ..... 10354759 8290 Pane 11 of 11

Piedmont Geologic
6003-109 Chapel Hill Road
Raleigh, NC 27607
Attention: AP/ Pete Dressel
KwTmrsvift North Gamine 27284
& ANAIyriCnl
LnboRnroais,lNc.
26 July 2017
TERMS: NET 30
"PAST DUE INVOICES ACCRUE
INTEREST AT 1 Y2 % INTEREST PER
MONTH UNTIL PAID
SHOULD COLLECTION BE REQUIRED,
CUSTOMER AGREES TO PAY
ALL EXPENSES INCURRED INCLUDING
ATTORNEY'S FEES"
RE:
Phst Offwe Boot 473 WMIO E NO. 142 5 9M Phone: [phone]
P1
P3
Sc
si
Cc
1:
Al
Tc
Tc

RESEARCh & ANAIyTICAL
LABORATORIES, INC.
Analytical/Process Consultallorm
Chemical Analysis jor Selected Parameters and Sampling Location Identified as Kaba Ilco
(A Piedmont Geologic Proiect. collected 07 July 20171
1. Volatile Organics
Quantitation
Effluent
EPA Method 8260 B
Limit
GW Remediation
Parameter
(Dab)
(nBb)
Acetone
25
BQI.
Acm air
too
BQL
Aeryloninile
too
BQL
Benzene
0.5
BQL
Bmmobenzene
0.5
BQL
Bmmochloromethme
0.5
BQL
Bmmodichlaromethanc
0.5
BQL
Bmmoform
1.0
BQL
Bmmornethme
1.0
BQL
2-Butanone,
25
BQL
Carbon Disulfide
5.0
BQL
Carbon Tetrachloride
0.5
BQL
Chlombmnne
0.5
BQL
Chlomethane
1.0
BQL
2-Chlomethyl vinyl ether
5.0
BQL
Chloroform
0.5
BQL
CMoromethane
1.0
BQL
2-Chlorotolaene
0.5
BQL
4-CTlomtolurne
0.5
BQL
Cis-1.2-Dichloroethene
0.5
BQL
Cis-1.3-Dichloropmpene
0.5
BQL
1,2-Dibromo-3-Chlompmpane(DBCP)
5.0
BQL
1,2-Dibromoethatic EDB)
0.5
BQL
Dibromochlorometbane
0.5
BQL
Dibromomethane
0.5
BQL
1,2-Dichloroberene
0.5
BQL
1.3-Dicblorob.ion,
0.5
BQL
1.4-Dichlorobetegme
05
BQL
I.1-Diebloroethane
0.5
BQL
1.2-Dichloroethane
0.5
BQL
LI-Dichloroethene
05
BQL
Dichloro0oummMhane
0.5
BQL
1,2-Dichloropropme,
0.5
BQL
1,3-Dichloropropane,
0.5
BQL
2,2-Dichloropropane
0.5
BQL
LI-Dichloropropene
0.5
BQL
Ethyl Benzene
0.5
BQL
2-Hesanone
5.0
BQL
IPE
0.5
BQL
I-Propylbenzene
0.5
BQL
4-Methyl-2-Pentsnone
5.0
BQL
Methyl Iodide
1.0
BQL
Methylene Chloride
5.0
BQL
MTBE
0.5
BQL
Naphthalene
0.5
BQL
N-Batylbenzene
0.5
BQL
N-Propylbeneene
0.5
BQL
pAsopropyholuene
0.5
BQL
Sec-Butylbenzene
0.5
BQL
styrene
0.5
BQL
Ten-Butylbenzene
0.5
BQL
1,1,1,2-Tetmchloroethane
0.5
BQL
I,1,2,2-Tenochloroethanc
0.5
BQL
Tebachloroethene
0.5
BQL
Toluene
0.5
BQL
Trans-1,2-Dichloroethene
0.5
BQL
Trans-1,3-Dichlompropene
0.5
BQL
Trans-1,4-Diebloro-2-butene
5.0
BQL
1,2,3-Trichlorobenzene
0.5
BQL
1,2.4-Trichlombmmnc
0.5
BQL
1,1,1-Trichlomedane
0.5
BQL
I, 1,2-Trichlomanhane
0.5
BQL
Trichloroethene
0.5
BQL
Trichloro0uoromethane
0.5
BQL
1,2.3-Trichloropropane
0.5
BQL
1,2,4-Trimethylbeneene
0.5
BQL
1,3,54rimethylbeneene
0.5
BQL
Vinyl Acetate
1.0
BQL
Vinyl Chloride
0.5
BQL
Total Xylenes
1.0
BQL
Dilution Factor I
Sample Number 36757-01
Sample Date 07/07/17
Sample Time (his) 0700
Date Analyzed 07/11/17
b lJIAL
Jy�y� H�1'•�y
�4• ll •OgEG?O..... O
••ED
BQL = Below Quan4tatim Limit ppb = parts per billion

.............
RESEARCh & ANA1yTICA1 ,' 6
E
,� _
LAbORATOR1Sr INC. NCn4
Analytical/Process Consultations .
....
/I'���EDrAN�a�N``�•
Chemical Analysis for Selected Parameters and Sampling Location Identified as Kaba Ilco
(A Piedmont Geolopic Praieet- collected 07.1u1v 2017)
11. Semi -Volatile Organics
Quantitalion
Effluent
EPA Method 8270 DNA
Limit
GW Remediation
Parameter
(nnb)
(onb)
4-Chloro-3-methylphenoi
10.0
BQL
2-Chlorophenol
10.0
BQL
2,4-Dichlorophenol
10.0
BQL
2,4-Dimethylphenol
10.0
BQL
2,4-Dininophenol
50.0
BQL
2-Melhyl4,64nitrophenol
50.0
BQL
2-Nitrophenol
10.0
BQL
4-Nitrophenol
50.0
BQL
Penlachlorophenol
50.0
BQL
Phenol
10.0
BQL
2,4,6-Tdchlorophenol
10.0
BQL
Acenaphthene
10.0
BQL
Acenaphthylene
10.0
BQL
Anthracene
10.0
BQL
Benzidine
50.0
BQL
Benzo(a)enthacene
10.0
BQL
Bcnzo(a)pyrene
10.0
BQL
Benzo(b)Buoanthene
10.0
BQL
Benzo(ghi)perylene
10.0
BQL
Benzo(k)0uoranthene
10.0
BQL
Benzyl butyl phthalate
10.0
BQL
Bis(2-chloroethoxy)methane
10.0
BQL
Bis(2-chloroethyl)ether
10.0
BQL
Bis(2-chluroisoprupyl)ether
10.0
BQL
Bis(2-ethyl-hexyl)phthalate
10.0
BQL
4-Bromophenyl phenyl ether
10.0
BQL
2-Chloronaphthalene
10.0
BQL
4-Chlorophenyl phenyl ether
10.0
BQL
Chrysene
10.0
BQL
Dibenzo(a,hamthracene
10.0
BQL
1,2-13ichlorobenzene
10.0
BQL
1,3-Dichlorobenzene
10.0
BQL
1,4-Dichlorobenzene
10.0
BQL
3,3-Dichlorobenzidine
20.0
BQL
Diethyl phthalate
10.0
BQL
Dimethyl phthalate
10.0
BQL
Di-N-Butyl phthalate
10.0
BQL
2,4-Dinitrotoluene
10.0
BQL
2,6-Dinitrotoluene
10.0
BQL
Di-N-Ocryl phthalate
10.0
BQL
1,2-Dipheny1hydazine
50.0
BQL
Fluoanthene
10.0
BQL
Fluorene
10.0
BQL
Hexachlorobenzene
10.0
BQL
Hexachlorobutadiene
10.0
BQL
Hexachloracyclopentadiene
10.0
BQL
Hexachloroethane
10.0
BQL
Indeno(I2,3-cd)pyrene
10.0
BQL
Isophorone
10.0
BQL
Naphthalene
10.0
BQL
Nitrobenzene
10.0
BQL
N-Ninosodimethylamine
10.0
BQL
N-nitrosodi-n-propylamine
10.0
BQL
N-Ninosodiphenylamine
10.0
BQL
Phenanthrene
10.0
BQL
Pyrene
10.0
BQL
1,2,4-Tdchlorobenzene
10.0
BQL
2-Melhylnaphthalene,
10.0
BQL
I-Methylnaphthalene
10.0
BQL
Dilution Factor
I
Sample Number
36757-01
Sample Date
07/07/17
Sample Time (hrs)
0700
Date Analyzed
07/13/17
Time Analyzed
BNA = Base -Neutral Acid Eanaclables BQL = Below Quantitation Limit ppb ^ pens per billion

RESEARCh & ANAtyTICAL
LAbORATORIESP INC.
Analytical/Process Consultations
Chemical Analysis for Selected Parameters and Sampling Location Identified as Kaba Hco
(A Piedmont Geologic Project, collected 07 July 2017)
III. pesticides/PCB's
Quantitation
Eff
EPA Method 608
Limit
GW Remediation
Parameter
(ppbl
(ppbl
Aldrin
1.0
BQL
Alpha,BHC
1.0
BQL
Beta,BHC
1.0
BQL
Delta,BHC
1.0
BQL
Gamma,BHC
1.0
BQL
Chlordane
10.0
BQL
4-4'-DDD
1.0
BQL
4-4'-DDE
1.0
BQL
4-4'-DDT
1.0
BQL
Dieldrin
1.0
BQL
Endosulfan 1
1.0
BQL
Endosulfan 11
1.0
BQL
Endosulfan Sulfate
1.0
BQL
Endrin
1.0
BQL
Endrin Aldehyde
1.0
BQL
Heptachlor
1.0
BQL
Heptachlor epoxide
1.0
BQL
Methoxychlor
1.0
BQL
Toxaphene
20.0
BQL
PCB 1016
5.0
BQL
PCB 1221
5.0
BQL
PCB 1232
5.0
BQL
PCB 1242
5.0
BQL
PCB 1248
5.0
BQL
PCB 1254
5.0
BQL
PCB 1260
5.0
BQL
Sample Number
36757-01
Sample Date
07/07/17
Sample Time
0700
BQL = Below Quantitation Limits ppb = parts per billion
PCB = Polychlorinated Biphenyl

RESEARCH & ANAtyTICA1
LAbORATORIES, INC.
Analytical/Process Consultations
Chemical Analysis for Selected Parameters and Water Samples Identified as Kaba Ilco
A Piedmont Geologic Project, collected 07 July 2017)
IV. Volatile Organics Quantitation Eff
EPA 8260 B
(EPA Method 601 Compounds) Limit GW Remediation
Parameter (vvb) jppb)
Tetrachloroethene 1.00 BQL
Trichloroethene 1.00 BQL
Cis-1,2-Dichloroethene 1.00 BQL
Dilution Factor
Sample Number
36757-01
Sample Date
07/07/17
Sample Time
0700
Date Analyzed
07/11/17
ppb = pan per billion BQL = Below Quantitation Limits

w WillRESEARCIi 8l ANA1yTICA1 Report of Analysis
LABORATORIES, INC. 7/18/2017
For: Piedmont Geologic .�`, brn'C
6003-109 Chapel Hill Road C aFiAE
Raleigh, NC 27607 a'CC NC1t34 Z
NC#37701 t
Attn: Pete Dressel - .. •i _
Client Sample ID: Effluent
Site: Piedmont Geologic -Kaba
Lab Sample ID:
Collection Date:
36757.01
7/7/2017
7:00
Parameter
Method
Result
Units
Rep Limit Anal s Analysis Date/Time
Antimony, Total
EPA 200.7
<0.005
mg/L
0.005
SK
7/12/2017
Arsenic, Total
EPA 200.7
<0.005
mg/L
0.005
SK
7/12/2017
Beryllium,Total
EPA 200.7
<0.001
mg/L
0.001
SK
7/12/2017
Cadmium, Total
EPA 200.7
<0.002
mg/L
0.002
SK
7/12/2017
Chromium, Total
EPA 200.7
<0.005
mg/L
0.005
SK
7/1212017
Copper, Total
EPA 200.7
0.020
mg/L
0.005
SK
7/12/2017
Cyanide
SM 4500 CN E-1999
<0.005
mg/L
0.005
AW
7/12/2017
Lead, Total
EPA 200.7
<0.005
mg/L
0.005
SK
7/12/2017
Mercury, Total
EPA 245.1
<0.0002
mg/L
0.0002
SK
7/14/2017
Nickel, Total
EPA 200.7
<0.005
mg/L
0.005
SK
7/12/2017
pH
SM 4500 H+13-2000
6.61
Std. Units
7/7/2017
Selenium, Total
EPA 200.7
<0.005
mg/L
0.005
SK
7/12/2017
Silver, Total
EPA 200.7
<0.005
mg/L
0.005
SK
7/12/2017
Temperature (Thermometric)
SM 2550B
23.9
°C
7/7/2017
Thallium, Total
EPA 200.7
<0.005
mg/L
0.005
SK
7/12/2017
Zinc, Total
EPA 200.7
0.052
mg/L
0.01
SK
7/12/2017
NA = not analyzed
P.O. Box 473 106 Short Street Kemersville, North Carolina 27284 - Tel: [phone] Fax: [phone] w—.randalabs.com Page 1
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EMSLAnalytical, Inc.
706 Gralin Street Kerersville, NC 27284
Phone/Fax: [phone]
hfp://www.EMSL.com / oreensborolab(Wemsl.com
EMSL Order ID: 021704112
Customer ID: RAL50
Customer PO:
Project ID:
Attn: Sid Champion
Phone:
[phone]
Research & Analytical Labs
Fax:
[phone]
106 Short Street
Collected:
07/07/2017
Kemersville, NC 27284
Received:
07/07/2017
Analyzed:
07/11/2017
Proj: G.W. Remediation (July)
Test Report: Determination of Asbestos Structures >10Nm in Drinking Water
Performed by the 100.2 Method (EPA 600/R-94/134)
ASBESTOS
Sample
Original
Effective
Asbestos
Fibers Analytical Concentration Confidence
Sample ID
Filtration
Sample Vol.
Filter
Area
Types
Detected Sensitivity Limits
ClientlEMSL
DataMme
Filtered
Area
Analyzed
(mQ
(mm)
(MMI)
MFL (million fibers per Ider)
36757-01
7/7/2017
100
1057
0.0650
None Detected
ND 0.16 <0.16 0.00 - 0.60
021704112-0001
03:30 PM
Analyst(s)
Stephen Bennett (1)
Any questions please contact Stephen Bennett.
Initial report from: 07/11/2017 16:36.08
Stephen Bennett, Laboratory Manager
or Other Approved Signatory
sample collection and contalnem pmvNeC by the chant, acceptable bmlle blank level is defined as A O1MFL>10um. Nn•None Detached. This repot may not he repoduced, esrapl In NO,
welmm whiten permission by EMSLMasylical. Inc This report relNes only le Ne samples repoded ab.,Samplas racaNed in good concision unleas,nhninumn ocled.
Samples analysed by EMSLAnalytical. Inc. Kennommis, NC NC Miss
Tod Repw1:TEM1002-735.11 Pdonso 7111401704:05PM Page 1 of 1

Research & Analytical
Laboratories, Inc.
Analytical / Process Consultations
Phnne t3361996-2Rdl
& D9
CHAIN OF CUSTODY RECORD
Water
/ Wastewater
Misc.
Company
Research & Analytical Laboratories, Inc.
Job No.
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City, State, Zip
ernersville, NC 27284
Sampler' N`ame (Please Print)
CD It n� r t✓ O
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Contact
id L. Champion
Phone
(336J 996-184/
Sampler Signature
q
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Sample Number
(Lab Use Only)
Date
Time
omp
re
Temp
° C
Res.
Cl.
Chlorine
Removed
Y or N
Sample
Matrix
S or
Sample [.ovation / I.D.
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Remarks
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Analytical
www.pacelabs.com
Report Prepared for:
Sid Champion
Research & Analytical Laboratories, I
106 Short Street
Kernersville NC 27284
REPORT OF
LABORATORY
ANALYSIS FOR
TCDD
Report Prepared Date:
July 24, 2017
Pace Analytical Services, Inc.
1700 Elm Street
Minneapolis, MN 55414
Phone: [phone]
Fax: [phone]
Report Information:
Pace Project #: 10395155
Sample Receipt Date: 07/11/2017
Client Project #: GW Remediation (July)
Client Sub PO #: N/A
State Cert #: 27700
Invoicing & Reporting Options:
The report provided has been invoiced as a Level 2
2,3,7,8-TCDD Report. If an upgrade of this report
package is requested, an additional charge may be
applied.
Please review the attached invoice for accuracy and
forward any questions to Joanne Richardson, your
Pace Project Manager.
This report has been reviewed by:
July 24, 2017
Joanne Richardson,
[phone]
[phone] (fax)
Report of Laboratory Analysis
This report should not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc.
The results relate only to the samples included in this report.
Report No ..... 10395155_8290 Page 1 of 13

aceAnalytical`
DISCUSSION
Pace Analytical Services, Inc.
1700 Elm Street
Minneapolis, MN 55414
Phone: [phone]
Fax: [phone]
This report presents the results from the analysis performed on one sample submitted
by a representative of Research & Analytical Laboratories, Inc. The sample was
analyzed for the presence or absence of 2,3,7,8-tetrachlorodibenzo-p-dioxin
(2,3,7,8-TCDD) using a modified version of USEPA Method 8290. The reporting limits
were set to correspond to the lowest calibration point and a nominal 1-Liter sample
amount.
The isotopically -labeled TCDD internal standard in the sample extract was recovered at
104%. All of the labeled standard recoveries obtained for this project were within the
40-135% target range specified in Method 8290. Also, since the quantification of the
native TCDD was based on isotope dilution, the data were automatically corrected for
recovery and accurate values were obtained.
A laboratory method blank was prepared and analyzed with the sample batch as part of
our routine quality control procedures. The results show the blank to be free of
2,3,7,8-TCDD at the reporting limit.
Laboratory spike samples were also prepared using clean reference matrix that had
been fortified with native standard material. The results show that the spiked native
TCDD was recovered at 94-97% with a relative percent difference of 3.1 %. These
results were all within the target ranges for the method. Matrix spikes were not
prepared with the sample batch.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc.
Report No ..... 10395155_8290 Page 2 of 13

TM
Minnesota Laboratory Certifications
Pace Analytical Services, Inc.
1700 Elm Street - Suite 200
Minneapolis, MN 55414
Tel: [phone]
Fax: [phone]
Authority Certificate # Authority Certificate #
A&A
2926.01
Montana
CERT0092
Alabama
40770
Nebraska
NE-OS-18-06
Alaska
MN00064
Nevada
MN00064
Alaska
UST-078
New Jersey (NE
MN002
Arizona
AZ0014
New York (NEL
11647
Arkansas
88-0680
New hampshire
2081
CNMI Saipan
MP0003
North Carolina
27700
California
MN00064
North Carolina
530
Colorado
MN00064
North Dakota
R-036
Connecticut
PH-0256
Ohio
41244
EPA Region 8
8TMS-L
Ohio VAP
CL101
Florida (NELAP
E87605
Oklahoma
9507
Georgia (EDP)
959
Oregon (ELAP)
MN200001
Guam EPA
959
Oregon (OREL
MN300001
Hawaii
MN00064
Pennsylvania
68-00563
Idaho
MN00064
Puerto Rico
MN00064
Illinois
200011
South Carolina
74003001
Indiana
C-MN-01
Tennessee
TNO2818
Iowa
368
Texas
T104704192
Kansas
E-10167
Utah (NELAP)
MN00064
Kentucky
90062
Virginia
460163
Louisiana
03086
Washington
C486
Louisiana
MN00064
West Virginia #
9952C
Maryland
322
West Virginia D
382
Michigan
9909
Wisconsin
999407970
Minnesota
027-053-137
Wyoming
8TMS-L
Mississippi
MN00064
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc.
Report No ..... 10395155
Report No ..... 10395155_8290 Page 3 of 13

Appendix A
Sample Management
Report No ..... 10395155_8290 Pace Analytical Services, Inc. Page 4 of 13

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Requested Anal sis
Company
Research & Andyticat Laboratories, Ina
Job No.
Street Address
106 Short Street
Project (;IA 75AO
?6 Q (-" Q,o uu �>r; �
City, State, Zip
Kernerspille,NC27284
Sampler Name (Please Print)
Contact
id L Champion
Phone
[phone]
Sampler Signature
SampleNumbcr
(Lab Use Only) Y)
Dale
Time
Comp
ra
Temp
°C
Res.
Cl.
Chlorine
Removed
Sample
McVix
Sample Location/LD.
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Received By
Remarks
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Sample'Cemperafure
at receipt
°C

AnalvficalTM
Reporting Flags
A = Reporting Limit based on signal to noise
B = Less than 1 Ox higher than method blank level
C = Result obtained from confirmation analysis
D = Result obtained from analysis of diluted sample
E = Exceeds calibration range
I = Interference present
J = Estimated value
Nn = Value obtained from additional analysis
P = PCDE Interference
R = Recovery outside target range
S = Peak saturated
U = Analyte not detected
V = Result verified by confirmation analysis
X = %D Exceeds limits
Y = Calculated using average of daily RFs
* = See Discussion
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc.
Report No ..... 10395155_8290
Pace Analytical Services, Inc.
1700 Elm Street - Suite 200
Minneapolis, MN 55414
Tel: [phone]
Fax: [phone]
Report No ..... 10395155
Page 7 of 13

Appendix B
Sample Analysis Summary
Report No ..... 10395155_8290 Pace Analytical Services, Inc. Page 8 of 13

Pace Analytical Services, Inc.
1700 Elm Street - Suite 200
Minneapolis, MN 55414
Tel: [phone]
Method 8290 Sample Analysis Results
Client - Research & Analytical Laboratories, Inc.
Client's Sample ID
36757-01
Lab Sample ID
10395155001
Filename
U170714A_08
Injected By
CVS
Total Amount Extracted
939 mL Matrix
Water
% Moisture
NA Dilution
NA
Dry Weight Extracted
NA Collected
07/07/2017 07:00
I CAL ID
U 170516 Received
07/11 /2017 09:15
CCal Filename(s)
U170714A 01 & U170714A 14 Extracted
07/12/2017 10:30
Method Blank ID
BLANK-56501 Analyzed
07/14/2017 16:04
Native
Conc EMPC RL Internal
ng's Percent
Isomers
pg/L pg/L pg/L Standards
Added Recovery
2,3,7,8-TCDD ND ---- 10
2,3,7,8-TCDD-13C 2.00 104
Recovery Standard
1,2,3,4-TCDD-13C 2.00 NA
Cleanup Standard
2,3,7,8-TCDD-37CI4 0.20 102
Conc = Concentration (Totals include 2,3,7,8-substituted isomers).
ND = Not Detected
EMPC = Estimated Maximum Possible Concentration
NA = Not Applicable
RL = Reporting Limit
NC = Not Calculated
R = Recovery outside target range
E = Exceeds calibration range
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc.
Report No ..... 10395155_8290
Page 9 of 13

TM
Analvtical
Lab Sample ID
Filename
Total Amount Extracted
ICAL ID
CCal Filename(s)
Native
Isomers
Method 8290 Blank Analysis Results
Pace Analytical Services, Inc.
1700 Elm Street - Suite 200
Minneapolis, MN 55414
Tel: [phone]
BLANK-56501 Matrix Water
U170714A_05 Dilution NA
1040 mL Extracted 07/12/2017 10:30
U170516 Analyzed 07/14/2017 13:39
U170714A 01 & U170714A 14 Injected By CVS
Conc EMPC RL Internal ng's Percent
pg/L pg/L pg/L Standards Added Recovery
2,3,7,8-TCDD ND ---- 10 2,3,7,8-TCDD-13C 2.00 90
Recovery Standard
1,2,3,4 TCDD-13C 2.00 NA
Cleanup Standard
2,3,7,8-TCDD-37CI4 0.20 105
Conc = Concentration (Totals include 2,3,7,8-substituted isomers).
EMPC = Estimated Maximum Possible Concentration
RL = Reporting Limit
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc.
Report No ..... 10395155_8290
Page 10 of 13

TM
auuAllaklcal
Method 8290 Laboratory Control Spike Results
Lab Sample ID
Filename
Total Amount Extracted
ICAL ID
CCal Filename(s)
Method Blank ID
Native
Isomers
Pace Analytical Services, Inc.
1700 Elm Street - Suite 200
Minneapolis, MN 55414
Tel. [phone]
LCS-56502
U170714A_02 Matrix Water
1020 mL Dilution NA
U170516 Extracted 07/12/2017 10:30
U170714A 01 & U170714A 14 Analyzed 07/14/2017 11:15
BLANK-56501 Injected By CVS
Qs Qm % Internal ng's Percent
(ng) (ng) Rec. Standards Added Recovery
2,3,7,8-TCDD 0.40 0.39 97 2,3,7,8-TCDD-13C 2.0 91
Recovery Standard
1,2,3,4-TCDD-13C 2.0 NA
Cleanup Standard
2,3,7,8-TCDD-37C14 0.20 99
Qs = Quantity Spiked
Qm = Quantity Measured
Rec. = Recovery (Expressed as Percent)
R = Recovery outside of target range
Y = RF averaging used in calculations
Nn = Value obtained from additional analysis
NA = Not Applicable
" = See Discussion
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc.
Report No ..... 10395155_8290
Page 11 of 13

TM
CeA nal iC
al
Method 8290 Laboratory Control Spike Results
Lab Sample ID
Filename
Total Amount Extracted
ICAL ID
CCal Filename(s)
Method Blank ID
Native
Isomers
Pace Analytical Services, Inc.
1700 Elm Street - Suite 200
Minneapolis, MN 55414
Tel: [phone]
LCSD-56503
U170714A_03 Matrix Water
1020 mL Dilution NA
U 170516 Extracted 07/12/2017 10:30
U170714A 01 & U170714A_14 Analyzed 07/14/2017 12:02
BLANK-56501 Injected By CVS
Qs Qm % Internal ng's Percent
(ng) (n9) Rec. Standards Added Recovery
2,3,7,8-TCDD 0.40 0.37 94 2,3,7,8-TCDD-13C 2.0 90
Recovery Standard
1,2,3,4-TCDD-13C 2.0 NA
Cleanup Standard
2,3,7,8-TCDD-37C14 0.20 93
Qs = Quantity Spiked
Qm = Quantity Measured
Rec. = Recovery (Expressed as Percent)
R = Recovery outside of target range
Y = RF averaging used in calculations
Nn = Value obtained from additional analysis
NA = Not Applicable
= See Discussion
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc.
Report No ..... 10395155_8290
Page 12 of 13

.aAnalvticalTM
Client
Spike 1 ID
Spike 1 Filename
Compound
Pace Analytical Services, Inc.
1700 Elm Street - Suite 200
Minneapolis, MN 55414
Tel: [phone]
Fax: [phone]
Method 8290
Spike Recovery Relative Percent Difference (RPD) Results
Research & Analytical Laboratories, Inc.
LCS-56502 Spike 2 ID LCSD-56503
U170714A 02 Spike 2 Filename U170714A 03
Spike 1 Spike 2
%REC %REC %RPD
2,3,7,8-TCDD 97 94 3.1
%REC = Percent Recovered
RPD = The difference between the two values divided by the mean value
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc.
Report No ..... 10395155_8290
Page 13 of 13

RESEARCh & ANA1yTICAL
LAbORATORIES, INC.
Analytical/Process Consultaflons
Chemical Analysis for Selected Parameters and Water Samples Identified as Baba Ilco
(A Piedmont Geologic Proiect. collected 02 luln 2019
I. Volatile Organics
Quantitation
Effluent
EPA Method 8260 B
Limit
GW Remediation
Parameter
fn b�
fnab)
Acetone
25
BQL
Acrolein
100
BQL
Acrylonitn7e
100
BQL
Benzene
0.5
BQL
Bromobenzene
0.5
BQL
Bromochloromethane
0.5
BQL
Bromodichloromethane
0.5
BQL
Bromoform
1.0
BQL
Bromomethane
1.0
BQL
2-Butanone
25
BQL
Carbon Disulfide
5.0
BQL
Carbon Tetrachloride
0.5
BQL
Chlorobenzene
0.5
BQL
Chloroethane
1.0
BQL
2-Chloroethyl vinyl ether
5.0
BQL
Chloroform
0.5
BQL
Chloromethane
1.0
BQL
2-Chlorotohune
0.5
BQL
4-Chlorotoluene
0.5
BQL
Cis- 1,2-Dichloroethene
0.5
BQL
Cis-1,3-Dichlorepropene
0.5
BQL
1,2-Dihromo-3-Chloropropane(DBCP)
5.0
BQL
1,2-Dibromoethane (EDB)
0.5
BQL
Dibromochloromethane
0.5
BQL
Dibromomethane
0.5
BQL
1,2-Dichlarobenzene
0.5
BQL
1,3-Dichlombenzene
0.5
BQL
1,4-Dichlarobenzene
0.5
BQL
1,1-Dichloroethane
0.5
BQL
1,2-Dichloroethane
0.5
BQL
1,1-Dichloroethene
0.5
BQL
Dichloroflouremethane
0.5
BQL
1,2-Dichloropropane
0.5
BQL
1,3-Dichloropropane
0.5
BQL
2,2-Dichloroprcpane
0.5
BQL
1,1-Dichlompropme
0.5
BQL
Ethyl Benzene
0.5
BQL
2-Hemone
5.0
BQL
IPE
0.5
BQL
I-Propylbenzene
0.5
BQL
4-Methyl-2-Pentanone
5.0
BQL
Methyl Iodide
1.0
BQL
Methylene Chloride
5.0
BQL
MTBE
0.5
BQL
Naphthalene
0.5
BQL
N-Butylbenzene
0.5
BQL
N-Propylbeozene
0.5
BQL
p-Isopropyltoluene
0.5
BQL
Sec-Butylbcnzene
0.5
BQL
Styrene
0.5
BQL
Tert-Butytbenzene
0.5
BQL
1.1.1,2-Tetrachloroethane
0.5
BQL
1,1.2,2-Tetrachloroethane
0.5
BQL
Tetrachloroethene
0.5
BQL
Toluene
0.5
BQL
Trans-1,2-Dichloroethene
0.5
BQL
Trans-l.3-Dichloropropene
0.5
BQL
Trans-l.4-Dichloro-2-butene
5.0
BQL
1.2,3-Trichlorobenzene
0.5
BQL
1,2,4-Trichlorobenzeae
0.5
BQL
1,1,1-Trichloroethane
0.5
BQL
1.1.2-Trithloroethane
0.5
BQL
Trichloroethenc
0.5
BQL
Trichlorofluoromethane
0.5
BQL
1,2,3-Trichloropropane
0.5
BQL
1,2,4-Trimethylbenzene
0.5
BQL
1,3,5-Trimethylbenzene
0.5
BQL
Vinyl Acetate
1.0
BQL
Vinyl Chloride
0.5
BQL
Total Xylenes
1.0
BQL
Dilution Factor 1
Sample Number 68843-01
Sample Date 07/02/19
Sample Time (brs) 0645
Date Analyzed 07/09/19
N-Ris
NBC M94
BQL - Below Quaatitadw Limit ppb - pampa Wim

RESEARCh & ANAlyTICAt
•
UbORATORI E5, INC.
Analytical/Process Consultations
Chemical Analysis for Selected Parameters and Water Samples Identified as Baba Ilco
(A Piedmont Geologic Prof t. collected 02 July 2019)
Il. Semi -Volatile Organics
Quantitation
Effluent
EPA Method 8270 BNA
Limit
GW Remediation
Parameter
(nnb)
(nubl
4-Chloro-3-methylphenol
10.0
BQL
2-Chlorophenol
10.0
BQL
2,4-Dichlorophenol
10.0
BQL
2,4-Dimethylphenol
10.0
BQL
2,4-Dinitrophenol
50.0
BQL
2-Methyl4,6-dinitrophenol
50.0
BQL
2-Nitrophenol
10.0
BQL
4-Nitrophenol
50.0
BQL
Pentachlorophenol
50.0
BQL
Phenol
10.0
BQL
2,4,6-Trichlorophenol
10.0
BQL
Acenaphthene
10.0
BQL
Acenaphthylene
10.0
BQL
Anthracene
10.0
BQL
Benzidine
50.0
BQL
Benzo(a)anthracene
10.0
BQL
Benzo(a)pyrene
10.0
BQL
Benzo(b)fluoranthene
10.0
BQL
Benzo(ghi)perylene
10.0
BQL
Benzo(k)fluoranthene
10.0
BQL
Benzyl butyl phthalate
10.0
BQL
Bis(2-chloroethoxy)methane
10.0
BQL
Bis(2-chloroethyl)ether
10.0
BQL
Bis(2-chloroisopropyl)ether
10.0
BQL
Bis(2-ethyl-hexyl)phthalate
10.0
BQL
4-Bromophenyl phenyl ether
10.0
BQL
2-Chloronaphthalene
10.0
BQL
4-Chlorophenyl phenyl ether
10.0
BQL
Chrysene
10.0
BQL
Dibenzo(a,h)anthracene
10.0
BQL
1,2-Dichlorobenzene
10.0
BQL
1,3-Dichlorobenzene
10.0
BQL
1,4-Dichlorobenzene
10.0
BQL
3,3-Dichlorobenzidine
20.0
BQL
Diethyl phthalate
10.0
BQL
Dimethyl phthalate
10.0
BQL
Di-N-Butyl phthalate
10.0
BQL
2,4-Dinitrotoluene
10.0
BQL
2,6-Dinitrotoluene
10.0
BQL
Di-N-Octyl phthalate
10.0
BQL
1,2-Diphenylhydrazine
50.0
BQL
Fluoranthene
10.0
BQL
Fluorene
10.0
BQL
Hexachlorobenzene
10.0
BQL
Hexachlorobutadiene
10.0
BQL
Hexachlorocyclopentadiene
10.0
BQL
Hexachloroethane
10.0
BQL
Indeno(1,2,3-cd) pyrene
10.0
BQL
Isophorone
10.0
BQL
Naphthalene
10.0
BQL
Nitrobenzene
10.0
BQL
N-Nitrosodimethylamine
10.0
BQL
N-nitrosodi-n-propylamine
10.0
BQL
N-Nitrosodiphenylamine
10.0
BQL
Phenanthrene
10.0
BQL
Pyrene
10.0
BQL
1,2,4-Trichlorobenzene
10.0
BQL
2-Methylnaphthalene
10.0
BQL
l-Methylnaphthalene
10.0
BQL
Dilution Factor
1
Sample Number
68843-01
Sample Date
07/02/19
Sample Time (hrs) 0645
Date Analyzed 07/06/19
Time Analyzed 1515
`�•rgarraraq• •
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NC OU
s
nvP f--
BNA = Base -Neutral Acid Extractables BQL - Below Quantitation Limit ppb = parts per billion

RESEARCh & ANA1yTICA[
LABORATORIES, INC.
Analytical/Process Consultations
Chemical Analysis for Selected Parameters and Sampling Location Identified as Kaba Ilco
(A Piedmont Geologic Project, collected 02 July 2019)
III. Pesticides/PCB's
Quantitation
Eff
EPA Method 608
Limit
GW Remediation
Parameter
JRRbj
Inobl
Aldrin
1.0
BQL
Alpha,BHC
1.0
BQL
Beta,BHC
LO
BQL
Delta,BHC
1.0
BQL
Gamma,BHC
LO
BQL
Chlordane
10.0
BQL
44-131313
1.0
BQL
44-DDE
1.0
BQL
4-4'-DDT
1.0
BQL
Dieldrin
1.0
BQL
Endosulfan 1
1.0
BQL
Endosulfan 11
1.0
BQL
Endosulfan Sulfate
1.0
BQL
Endrin
1.0
BQL
Endrin Aldehyde
1.0
BQL
Heptachlor
1.0
BQL
Heptachlor epoxide
1.0
BQL
Methoxychlor
1.0
BQL
Toxaphene
20.0
BQL
PCB 1016
5.0
BQL
PCB 1221
5.0
BQL
PCB 1232
5.0
BQL
PCB 1242
5.0
BQL
PCB 1248
5.0
BQL
PCB 1254
5.0
BQL
PCB 1260
5.0
BQL
Sample Number
68843-01
Sample Date
07/02/19
Sample Time
0645
BQL = Below Quantitation Limits ppb = parts per billion
PCB = Polychlorinated Biphenyl

RESEARCh all ANA1yTICAL
I.AbORATORIES, INC.
For: KIWS Property LLC
6003-109 Chapel Hill Road
Raleigh, NC 27607
Attn: Pete Dressel -
Report of Analysis
7/15/2019
Sri- •2t�'t !.- Ct%q�;
tto NCk34 z' N
z;
NC#37701
Client Sample ID: Effluent Lab Sample ID: 68843-01
Site: KIWS Properties Collection Date: 7/2/2019 6:45
Drinking*
Water Analysis
[Eararne r Method Result Units Standard Analyst Date Time I
Antimony, Total
EPA 200.7
<0.005
mg/L
JF
7/5/2019
Arsenic, Total
EPA 200.7
<0.005
mg/L
JF
7/5/2019
Beryllium, Total
EPA 200.7
<0.001
mg/L
JF
7/5/2019
Cadmium, Total
EPA 200.7
<0.002
mg/L
JF
7/5/2019
Chromium, Total
EPA 200.7
<0.005
mg/L
JF
7/5/2019
Copper, Total
EPA 200.7
<0.005
mg/L
JF
7/5/2019
Cyanide
SM 4500 CN E-1999
<0.005
mg/L
EE
7/9/2019
Lead, Total
EPA 200.7
<0.005
mg/L
JF
7/5/2019
Mercury, Total
EPA 245.1
<0.0002
mg/L
MM
7/10/2019
Nickel, Total
EPA 200.7
<0.005
mg/L
JF
7/5/2019
pH
SM 4500 H+B-2000
6.73
Std. Units
7/2/2019 0645
Selenium, Total
EPA 200.7
<0.005
mg/L
JF
7/5/2019
Silver, Total
EPA 200.7
<0.005
mg/L
JF
7/5/2019
Temperature (thermometric)
SM 2550B
21.0
°C
7/2/2019 0645
Thallium, Total
EPA 200.7
<0.005
mg/L
JF
7/5/2019
Zinc, Total
EPA 200.7
0.062
mg/L
JF
7/5/2019
P.O. Box 473 106 ShortStreet Kernersville, North Carolina 27284 Tel: [phone] Fax: [phone] www.randalabs.com Page 1

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EMSLAnalytical, Inc.
EMSL Order ID: 021904508
706 Gratin Street Kemersville, NC 27284 Customer ID: RAL50
Phone/Fax: [phone] Customer PO:
http://www.EMSL.ec)m/areensborolab(&emsi.com Project ID:
Attn: Sid Champion Phone: [phone]
Research & Analytical Labs Fax: [phone]
106 Short Street Received: 07/02/2019
Kemersville, NC 27284 Analyzed: 07/09/2019
GW Remediation (July) Priority Pollutants
Test Report: Determination of Asbestos Structures >10pm in Drinking Water
Performed by the 100.2 Method (EPA 600/R-94/134)
ASBESTOS
Sample
Original
Effective
Asbestos Fibers Analytical Concentration Confidence
Sample to
Filtration
Sample Vol.
Filter
Area
Types Detected Sensitivity Limits
Client/EMSL
Dame
Filtered
Area
Analyzed
(mQ
(mma)
(MM9
MFL (million fibers per liter)
68843-01
702019
100
1057
0.0650
None Detected NO 0.16 <0.16 0.00. 0.60
02190450E-0001
02:15 PM
Collection DateTme: 07/022019 06:45 AM
Analyst(s)
Stephen Bennett (1)
Stephen Bennett, Laboratory Manager
or Other Approved Signatory
Any questions please contact Stephen Bennett.
Initial report from: 07/092019 11:13:13
Sample celedbn and contains pavldecl by se dient accepu ble bal9e blank level is defined as Q.01MFL>10um. ND=Nana Deteded. TTb albeit may not be reproduced, except In full,
eduwvtwdilen permhekn by EMSLAnelybral, Inc. This repot elates any to gre samples MMo above.Sempim receyed In good wWJ unless seam noh .
Samples anal act by EMSLAnayaral, Inc. Keme eAlle, NC NC 3]nN
Tact Repast TEM1002-2 .02 vnmed: 7/09201911:13AM Page 1 of 1

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Research & Analytical
Laboratories, Inc.
Analytical / Process Consultations
Phone [phone]
CHAIN OF CUSTODY RECORD
Water
/ Wastewater
Misc.
Company Piedmont Geologic - KIWS
Job No.
V
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Street Address
Project GWRemediation Quarterly
(January /April / July / October)
City, State, Zip
Sampler Name (P Print) lrimeeozev M`c
�ie
Qi
Contact
Phone
Sampler Signature
r
U
Sample Number
(Lab Ilse Only)
Date
Time
Comp
Grab
Temp
°C
Res.
Cl.
Chlorine
Removed
Y or N
Sample
Matrix
S or W
Sample Location / I.D.
c
o
Requested Anal sis
a
X
W
Effluent
4
4
2
EPA 601, Chronic Toxicity
TB
2
2
1
1
TB
pH: %
Temp:
Reli
wish By
ate/Time
Ok�
Received By
Remarks:
Relinquished By
Date/Time
Received By
On Ice
Sample Temperature at receipt .2 _ t0 °C

Effluent Toxicity Report Form - Chronic Pass/Fail and Acute LC50 Date: 07/10/19
Facility: KIWS PROPERTY, LLC NPDES#: NCO089508 Pipe#: 001 County: FORSYTH
Laboratory Performing Test: R & A LABORATORIES, INC.
X Comments: Final;Effluent
Sign ur Operator in Responsible Charge A Piedmont Geologic Project
X 68970-01
SigftayukeCdf Laboratory Supervisor * PASSED: 6.14W Reduction
Work Order: 68839-01 Environmental Sciences Branch
MAIL ORIGINAL TO: Div. of Environmental Management
N.C. Dept. of EHNR '
1621•Mail Service Ctr
xaleign, North Caroiina 27699-1621
forth Carolina Ceriodaphnia
Chronic Pass/Fail Reproduction Toxicity Test Chronic test Results
Calculated t = 2.729
Tabular t = 2.508
:ONTROL ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 g Reduction = 6.14
# Young Produced 1123125122124122124121125124123123121
Adult (L)ive (D)ead JAL IL IL IL IL IL IL IL IL IL IL IL
affluent %-: 90%-
TREATMENT 2 ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12
# Young Produced{122123120123121122123121120123121121
Adult (L)ive (D)ead IIL IL IL IL IL IL IL IL IL IL IL IL
Mortality
Avg.Reprod.
0.00
23.08
Control
Control
0.00
21.67
Treatment 2
Treatment 2
Control CV
5.974%- PASS FAIL
t control orgsl X
producing 3rd j
brood Check One
100%
1st sample 1st sample 2nd sample Complete This For Either Test
pH Test Start Date: 07/03/19
Control 6.94 7.02 6.92 7.01 6.97 7.05 Collection (Start) Date
Sample 1: 07/02/19 Sample
Treatment 2 6.93 7.1 6.40 6.48 6.42 6.51 Sample '2: 07/15/19
Type/Duration 2nd
1st P/F
S s s Grab Comp. Duration D
t e t e t e I S S
a n a n a n Sample 1 X hrs L A A
r d r d r d U M M
t t t Sample 2 X hrs T P P
1st sample 1st sample 2nd sample
D. O. Hardnes s m 1 48 '"
.......... ..........
Control 8.6 8.4 8.6 8.3 8.6 8.4
Spec. Cond.(pmhos) 192 189 178
Treatment 2 8.6 8.4 8.6 8.3 8.6 8.4
Chlorine (mg/1) ;;;;;;;;;; <.01 0.01
..........
LC50/Acute Toxicity Test Sample temp. at receipt (°C) :;;:;;;;;: 2.9 3.0
(Mortality expressed as t, combining replicates)
Note: Please
Concentration Complete This
Section Also
Mortality
start/end start/end
LC50 = %. Method of Determination
95%, Con i ence Limits Moving Average Probit
%. -- %- Spearman Karber = Other
Control
High
pH
Organism Tested: Ceriodaphnia dubia Duration(hrs):
F o
Copied from DEM form AT-1 (3/87) rev. 11/95 (DUBIA ver. 4.32)

RESEARCH & ANA1yTICA1
=' l LZORATORIES, INC.
=� ;=
Analytical/Process Consultations
BIOASSAY CHAIN OF CUSTODY RECORD
Client: ► ,�J�'� `{ /�JP��rw?i`C — �L�A9� Count
y:_r t Pipe #:. 6W NPDES #:�_
Collector fP;intl:
Collector (Signature: Address:
Phone Number:
Sample Collection
Tem
Analysis
Lab # D Descrle iption Time Time ate/Tomp Sample Type No. of Upon Required
p ( C) containers Arrival
(RAL only) (see note') Started Ended End Comp. Grab (acute, chronic
AF sent (°C) bioassay)
2 Z-u
a CGLAr c
for Sample Description please use Effluent, Influent, Upstream, Post CIZ, Etc.
Relinquished by:
Relinquished by: (Signature)
Method of Shipment:
Received by: (Signature)
Received by: (Signature)
Logged in by:
Initials, I AL
Note: Original sent with shipment
Copy retained by collector
Dat /Ti e
Date/Time
Moved t bioassay dept. by:
Initials Date 7 3"f4
P 0. Box 473 • 106 Short Street • Kernersville, North Carolina 27284 • 336-996-2841 • Fax [phone]
www.randalabs.com

RESEARCh& AN,A1yTiCA[
LAORATORiE 1XV
• 3•. �A �1. '3.
Analytical/Process Consultations
.-I r TASSAY CHAIN Or CUSTODY RECORD
Client: �(/J � k��
County: 6E-��k Pipe �: Qd
Collector (Print) ; L oe7 �►, •
r 'DES
x
"ontact
Collector (Signature:
Address:
Phone Number:
Sample Collection
Sample Date/ Date/ Temp
Lab f Description Time Time (OC)
(R;,L only) (see note') Started Ended End
V-D 11 z 5 el 1-'
Relinquished by: (Sig
Sample Type No. of Temp Analysis
yPon Required
containers Arrival
Comp. Gras sent (,C) (acute, chronic
( t bioassay)
—L—
for Sample Description please use Effluent, Influent, Upstream, Post CI ,Etc.
Relinquished by: (Signature)
Received by: (Signature)
Received by: (Signature)
Method of Shipment: Logged in by:
04eA� Initials-4.NbL
Note: Original sent with shipment
Copy retained by collector
Date/Time
t
1�
Date/Time
Moved to bioassay dept. by: '1~
Initials--"M Date S =rct Time/Z,SO
P.O. Box 473 - 106 Short Street • Kernersville• North Carolina 27284.336-996-2841 - Fax 336-996_
www.randalabs.com 0326

ani11
Analytical r
www.pacelabs.com
Report Prepared for:
Sid Champion
Research & Analytical Laboratories, I
106 Short Street
Kernersville NC 27284
REPORT OF
LABORATORY
ANALYSIS FOR
TCDD
Report Prepared Date:
July 17, 2019
Pace Analytical Services, LLC.
1700 Elm Street
Minneapolis, MN 55414
Phone: [phone]
Fax: [phone]
Report Information:
PaceProject#:10481868
Sample Receipt Date: 07/03/2019
Client Project #: GW Remediation (July)
Client Sub PO #: N/A
State Cert #: 27700
Invoicing & Reporting Options:
The report provided has been invoiced as a Level 2
2,3,7,8-TCDD Report. If an upgrade of this report
package is requested, an additional charge may be
applied.
Please review the attached invoice for accuracy and
forward any questions to Joanne Richardson, your
Pace Project Manager.
This report has been reviewed by:
July 17, 2019
Joanne Richardson,
[phone]
[phone] (fax)
Report of Laboratory Analysis
T his reportshould no tbereproduced, except in full,
withoutt It ewrittenco as ento tYaceAnalyticalServices,Inc.
T he results relateonly to the samples included inthis report.
Report No ..... 10481868 8290TCDD DFR Paqe 1 of 13

aceAnalytical�
DISCUSSION
Pace Analytical Services, LLC.
1700 Elm Street
Minneapolis, MN 55414
Phone: [phone]
Fax: [phone]
This report presents the results from the analysis performed on one sample submitted
by a representative of Research & Analytical Laboratories, Inc. The sample was
analyzed for the presence or absence of 2,3,7,8-tetrachlorodibenzo-p-dioxin
(2,3,7,8-TCDD) using a modified version of USEPA Method 8290. The reporting limits
were set to correspond to the lowest calibration point and a nominal 1-Liter sample
amount.
The isotopically -labeled TCDD internal standard in the sample extract was ' recovered at
79%. All of the labeled standard recoveries obtained for this project were 'within the
40-135% target range specified in Method 8290. Also, since the quantification of the
native TCDD was based on isotope dilution, the data were automatically corrected for
recovery and accurate values were obtained.
A laboratory method blank was prepared and analyzed with the sample batch as part of
our routine quality control procedures. The results show the blank to be free of
2,3,7,8-TCDD at the reporting limit.
Laboratory spike samples were also prepared using clean reference matrix! that had
been fortified with native standard material. The results show that the spiked native
TCDD was recovered at 101-105% with a relative percent difference of 3.906. These
results were all within the target ranges for the method. Matrix spikes were not
prepared with the sample batch.
REPORT O F LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc.
Report No ..... 10481868 8290TCDD DFR Paqe 2 of 13

Pace Analytical Services, LLC
TM' 1700 Elm Street -Suite 200 fr.
�I
Minneapolis, MN 55414
Tel: [phone]
Fax: [phone]
Minnesota Laboratory Certifications
Authority
Certificate #
Authority
!Certificate #
A&A
2926.01
Minnesota - Pet
1240
Alabama
40770
Mississippi
IMN00064
Alaska - DW
MN00064
Missouri - DW
10100
Alaska - UST
17-009
Montana
CERT0092
Arizona
AZ0014
Nebraska
NE-OS-18-06
Arkansas - DW
MN00064
Nevada
MN00064
Arkansas - WW
88-0680
New Hampshire
2081
CNMI Saipan
MP0003
New Jersey (NE
MN002
California
2929
New York
11647
Colorado
MN00064
North Carolina
27700
Connecticut
PH-0256
North Carolina -
27700
EPA Region 8+
via MN 027-053
North Carolina -
530
Florida (NELAP
E87605
North Dakota
R-036
Georgia
959
Ohio - DW
41244
Guam
17-001 r
Ohio - VAP
CL101
Hawaii
MN00064
Oklahoma
9507
Idaho
MN00064
Oregon - Primar
MN300001
Illinois
200011
Oregon - Secon
MN200001
Indiana
C-MN-01
Pennsylvania
68-00563
Iowa
368
Puerto Rico
MN00064
Kansas
E-10167
South Carolina
74003
Kentucky - DW
90062
South Dakota
NA
Kentucky - WW
90062
Tennessee
TN02818
Louisiana - DE
03086
Texas
T104704192
Louisiana - DW
MN00064
Utah (NELAP)
MN00064
Maine
MN00064
Virginia
460163
Maryland
322
Washington
C486
Massachusetts
M-MN064
West Virginia -
382
Michigan
9909
West Virginia -
9952C
Minnesota
027-053-137
Wisconsin
999407970
Minnesota - De
via MN 027-053
Wyoming - UST
2626.01
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
withoutthe written consent of Pace Analytical Services, Inc.
Report No ..... 10481868
Report No ..... 10481868 8290TCDD DFR Paqe 3 of 13

Appendix
Sample Management
Report No ..... 10481868 8290TCD&a ialytical Services, Inc. I Paqe 4 of 13

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ftft
1-4 ps
W
❑'
+ a `�
d
No. of Containers
B2L G (BNA, Herb. / Pest.)
40 mi. Vials (VOA) HCL
eo 250 mi. G (TOX)
' 250 ml P (TOC) H2SO4 `
�r a IL P,G (BOD, TSS, Unperserved, etc.)
35
1L G (Phenol, Oil&Grease) H=SO4 '
1L P,G (COD, N. P) H2SO4 A
r�■i 1L P,G (Metals, Hardness) HNO3
---• 1L P,G (Cyanide) NaOH
■r
mphM Sterile P,G (Collform)
00 n b
O
A
n
o
t a
Re
O �,

Document Name:
Document Revised: 09May2019
Sample Condition U on Receipt Form
Page 1 of 1
Document No.:
Issuing Authority:
�, aeeAnalytua!
'
F-MN-i.-213-rev.28
Pace Minnesota Quality Office
Client Name:
Project M
Courier: []Fed Ex „KIPS ❑USPS ❑Client
[Pace ❑SpeeRee []commercial see Exception
Tracking Number: 'lid Gt,01 ❑
Wio#:
1(�4
/38/1
PM: OR
Due Date: 07
CLIENT: R A LRBS
Custody Seal on Cooler/Box Present? []Yes [,10 y Seals Intact? QYes [�o�r Biological Tissue Frozen? []Yes []No EWA
Packing Material: []Bubble Wrap ZBubble Bags ❑None []Other: Temp Blank? 01."s []No
❑ T1(0461) ❑ T2(1336), f3(0459)
Thermometer: T 0254 TS O489 Type of Ice: dEfWet []Blue ❑None []Dry []Melted
Note:. Each West Virginia Sample must have temp taken (no temp blanks)
Temp should be above freezing to G'C Cooler Temp Read w/temp blank: °C Average Corrected Temp see Exceptions
(no temp blank only): ❑
Correction Factor: Cooler Temp Corrected w/temp blank: I°C °C
USDA Regulated Soil: RTNIA, water sample/Other: ) Date/initials of Person Examining Contents: C:
Did samples originate in a quarantine zone within the United States: AL, AR, CA, FL, GA, Did samples originate from a foreign source (internationally, Including
ID, LA. MS, NC, NM, NY, OK, OR, SC, TN, TX or VA (check maps)? ©Yes [:]No Hawaii and Puerto Rlco)? ❑Yes []No
If Vac to althar numetinn. fill nut a Regulated Soil Checklist (F-MN•0-3381 and Include with SCUR/COC paperwork.
COMMENTS:
Chain of Custody Present and Filled Out?
Y
ONO
1.
Chain of Custody Relinquished?
RrYes
[]No
2.
Sampler Name and/or Signature on COC?
Yes
No
N/A
3.
Samples Arrived within Hold Time?
Yes
No
4.
Short Hold Time Analysis (<72 hr)?
❑Yes
'E!rN o
S. ❑Fecal Coliform ❑HPC []Total Coliform/E eoli ❑BOD/cROD ❑Hex Chrome
[]Turbidity Nitrate Nitrite ❑Ortho hos other
Rush Tum Around Time Requested?
EXes
o
6.
Sufficient Volume?
J2Fes
[:]No
7.
Correct Containers Used?
4!1;Zes
ONO
8.
-Pace Containers Used?
UYes
Elro
.
Containers Intact?
es
No
9.
Field Filtered Volume Received for Dissolved Tests?
[]Yes
[]No
,2i/A
10. Is sediment visible in the dissolved container?
Yes []No
is sufficient information available to reconcile the samples
11. If no, write ID/ Date/Time on Container Below:
See Exception
❑
to the COC?
,21es
❑No
Matrix: ater 0soll ❑0i1 ❑other
All containers needing acid/base preservation have been
❑Yes
❑No
.29/—A
12. Sample #
I
checked?
All containers needing preservation are found to be in
❑Yes
❑No
I/A
❑ NaOH ❑ HNO3 ❑HZS04
❑Zinc Acetate
compliance with EPA recommendation?
(HNO3, HZSO4, <2pH, NaOH >9 Sulfide, NaON>12 Cyanide)
Positive for Res. ❑Yes
See Exception
Exceptions: VOA, Coliform, TOC/DOC Oil and Grease,
❑Yes
ONO
'p4rA
Chlorine? ONo pH Paper Lot#
❑
DRO/8015 (water) and Dioxin/PFAS
Res. Chlorine
0-6 Roll
0-6 Strip
0.14 Strip
13.
See Exception
Heads ace in VOA Vials (greater than 6mm)?
[-)Yes
[]No
N
Trip Blank Present?
[]Yes
❑No
rJA
14.
Trip Blank Custody Seals Present?
Yes
No
Pace Trip Blank Lot # (if purchased).
CLIENT NOTIFICATION/RESOLUTION
Person Contacted:
Comments/Resolution:
Date/Time:
Field Data Required? ❑Yes ❑No
Project Manager Review:rIng
+,-r-e_ _11) C'h� tc� ���_ Date: 7-3-19
Note: Wheneverthere is a discrepancy arth Carolina compliance samples, a copy of this form will be sent to the North Carolina DEHNR Certification Office ( Le out of
hold, incorrect preservative, out of temp, containers).
Labeled by:
Report No ..... 10481868 8290TCDD DFR Page 6 of 13

Pace Analytical Services, LLC
1700 Elm Street - Suite 200
T Minneapolis, MN 55414
A
Ifa' tical
Fax*
612-607-1700
Reporting Flags
A = Reporting Limit based on signal to noise
B = Less than 1 Ox higher than method blank level
C = Result obtained from confirmation analysis
D = Result obtained from analysis of diluted sample
E = Exceeds calibration range
I = Interference present
J = Estimated value
L = Suppressive interference, analyte may be biased low
Nn = Value obtained from additional analysis
P = PCDEInterference
R = Recovery outside target range
S = Peak saturated
U = Analyte not detected
V = Result verified by confirmation analysis
X = %D Exceeds limits
Y = Calculated using average of daily RFs
SeeDiscussion
REPORT OF LABORATORY ANALYSIS
Report No ..... 10481868
This report shall not be reproduced, except in full,
withoutthe written consentof Pace Analytical Services, Inc.
Report No ..... 10481868 8290TCDD DFR Paqe 7 of 13

Appendix B
Sample Analysis Summary
Report No ..... 10481868 8290TCD&a ialytical Services, Inc. Paqe 8 of 13

Client's Sample ID
Lab Sample ID
Filename
Injected By
Total Amount Extracted
% Moisture
Dry Weight Extracted
ICAL ID
CCal Filename(s)
Method Blank ID
Native
Isomers
2,3,7,8-TCDD
TM
Aical
Method 8290 Sample Analysis Results
Client - Research & Analytical Laboratories, Inc.
68843-01
10481868001
F190716A 11
SMT
818 mL
Matrix
NA
Dilution
NA
Collected
F190620
Received
F190715B_27 & F190716A_18
Extracted
BLANK-71836
Analyzed
Conc EMPC RL
Internal
pg/L pg/L pg/L
Standards
M
10
Conc = Concentration (Totals include 2,3,7,8-substituted isomers).
EMPC = Estimated Maximum Possible Concentration
RL = Reporting Limit
R = Recovery outside target range
E = Exceeds calibration range
Pace Analytical Services, LLC
1700 Elm Street - Suite 200
MinnPanMic MN AFd1d
Water
NA
07/02/2019 06:45
07/03/2019 09:00
07/12/2019 11:50
07/16/2019 16:57
ng's
Added
Percent
Recovery
2,3,7,8-TCDD-13C 2.00 79
Recovery Standard
1,2,3,4-TCDD-13C 2.00 NA
Cleanup Standard
2,3,7,8-TCDD-37CI4 0.20 104
ND = Not Detected
NA = Not Applicable
NC = Not Calculated
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc.
Report No ..... 10481868 8290TCDD DFR
Page 9 of 13

Pace Analytical Services, LLC
1700 Elm Street - Suite 200
Minneapolis, MN 55414
Tel: [phone]
Method 8290 Blank Analysis Results
Lab Sample Name
DFBLKKC
Lab Sample ID
BLANK-71836
Matrix
Water
Filename
F190716A 16
Dilution
NA
Total Amount Extracted
957 mL
Extracted
07/12/2019 11:50
ICAL ID
F190620
Analyzed
07/16/2019 20:13
CCal Filename(s)
F190715B 27 & F190716A 18
Injected By
SMT
Native
Conc EMPC RL
Internal
ng s Percent
Isomers
pg/L pg/L pg/L
Standards
Added Recovery
2,3,7,8 TCDD
ND 10 2,3,7,8-TCDD-13C 2.00 77
Recovery Standard
1,2,3,4-TCDD-13C 2.00 NA
Cleanup Standard
2,3,7,8 TCDD-37CI4 0.20 112
Conc= Concentration (Totals include 2,3,7,8-substituted isomers).
EMPC = Estimated Maximum Possible Concentration
RL = Reporting Limit
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc.
Report No ..... 10481868 8290TCDD DFR
i
i
Paq e10of13

Pace Analytical Services, LLC
1700 Elm Street - Suite 200
Minneapolis, MN 55414
CeAna
Method 8290 Laboratory Control Spike Results
Tel: [phone]
Lab Sample ID
LCS-71837
Filename
F190716A 13
Matrix
Water
Total Amount Extracted
939 mL
Dilution
NA 1
ICAL ID
F190620
Extracted
07/12/2019
11:50
CCal Filename(s)
F190715B_27 & F190716A 18
Analyzed
07/16/2019
18:14
Method Blank ID
BLANK-71836
Injected By
SMT
Native
Qs Om %
Internal
ng's
Percent
Isomers
(ng) (ng) Rec.
Standards
Added
Recovery
2,3,7,8-TCDD
0.20 0.20 101
2,3,7,8-TCDD-13C
2.0
96
Recovery Standard
1,2,3,4-TCDD-13C
2.0
NA
Cleanup Standard
2,3,7,8-TCDD-37CI4
0.20
122
Qs = Quantity Spiked
Qm = Quantity Measured
Rec. = Recovery (Expressed as Percent)
R = Recovery outside of target range
Y = W averaging used in calculations
Nn = Value obtained from additional analysis
NA = Not Applicable
= See Discussion
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consentof Pace Analytical Services, Inc.
Report No ..... 10481868 8290TCDD DFR
Paqe 11 of 13

TM
Aical
Method 8290 Laboratory Control Spike Results
Pace Analytical Services, LLC
1700 Elm Street - Suite 200
Minneapolis, MN 55414
Tel: [phone]
Lab Sample ID
LCSD-71838
Filename
F190716A_14
Matrix
Water
Total Amount Extracted
949 mL
Dilution
NA 1
ICAL ID
F190620
Extracted
07/12/2019
11:50
CCal Filename(s)
F19071513_27 & F190716A_18
Analyzed
07/16/2019
18:53
Method Blank ID
BLANK-71836
Injected By
SMT
Native
as Qm %
Internal
ng's
Percent
Recovery
Isomers
(ng) (n9) Rec.
Standards
Added
2,3,7,8-TCDD
0.20 0.21 105
2,3,7,8-TCDD-13C
2.0
79
Recovery Standard
1,2,3,4-TCDD-13C
2.0
NA
Cleanup Standard
2,3,7,8-TCDD-37CI4
0.20
i
98
Qs = Quantity Spiked
Qm = Quantity Measured
Rec. = Recovery (Expressed as Percent)
R= Recovery outside of target range
Y = RF averaging used in calculations
Nn = Value obtained from additional analysis
NA = Not Applicable
" = See Discussion
REPORTOF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
withoutthe written consent of Pace Analytical Services, Inc.
Report No ..... 10481868 8290TCDD DFR 1 Paqe 12 of 13

Client
Spike 1 ID
Spike 1 Filename
Compound
Pace Analytical Services, LLC
1700 Elm Street - Suite 200
Minneapolis, MN 55414
Tel: [phone]
Spike Recovery Relative Percent Difference (RPD) Results
Research & Analytical Laboratories, Inc.
LCS-71837 Spike 2 ID LCSD-71838
F190716A 13 Spike 2 Filename F190716A 14
Spike 1 Spike 2
°/aREC %REC %RPD
2,3,7,8-TCDD 101 105 3.9
%REC = Percent Recovered
i
RPD = The difference between the two values divided by the mean value
REPORTOF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc.
Report No ..... 10481868 8290TCDD DFR
Page 13 of 13

North Carolina Department of Environmental Quality | Division of Water Resources
1617 Mail Service Center | Raleigh, North Carolina 27699-1617
919-707-3616
ROY COOPER
Governor

MICHAEL S. REGAN
Secretary

LINDA CULPEPPER
Director

CERTIFIED MAIL 7003 2260 0005 5380 5084
RETURN RECEIPT REQUESTED

Mr. Ed Lodics
KIWS Property, LLC
2941 Indiana Aveue
Winston Salem, NC 27105

Subject: Request for Additional Information
Draft NPDES Permit NC0089508
Kaba Access Controls (GW-REM Site)
Forsyth County

Dear Mr. Lodics:
The Division has reviewed your application, received on October 5, 2018, for renewal of NPDES permit
NC0089508. To enable us complete our review in accordance with N.C.G.S. 143-215.1 and 15A NCAC 2H.0105,
please provide additional or revised information to address the following comments:
1. Please provide five (5) days of Total Hardness (CaCO3 or (Ca + Mg)) data for the effluent.
2. Please provide a copy of the 126 Priority Pollutant scan for June 24, 2015.
The NC 2007-2014 Water Quality Standard (WQS) Triennial Review was approved by the NC Environmental
Management Committee (EMC) on November 13, 2014. The US EPA subsequently approved the WQS revisions
on April 6, 2016 with some exceptions. The NC Division of Water Resources is required to implement the new
dissolved metal standards in all permits public noticed after April 6, 2016.
The new standards for most metals include acute standards. Furthermore, the freshwater standards for several
metals are expressed as the dissolved form of the metals, and seven metals have hardness-dependent equations.
As a result, the Division will need site-specific effluent hardness data in order to calculate permit limitations.
Instream data will not be necessary because of the zero flow conditions (7Q10/30Q2 = 0) of the discharge. The
metals of concern for this permit renewal are Zinc, Copper and Chromium.
To evaluate dissolved Zinc, Copper and Chromium, a Reasonable Potential Analysis (RPA) was conducted using
data from the 2016, 2017, 2018, and 2019 126 Priority Pollutant Analyses. Results indicated a reasonable
potential to exceed the new dissolved metals standard for Copper, Zinc and Chromium VI. Consequently, the
following daily maximum limits (acute standard) and monthly average limits (in this case the acute standard) for
Total Copper, Total Zinc and Chromium VI could be applied for this permit renewal:
DocuSign Envelope ID: F74FF7F1-8604-4D2C-8D2B-165E07E38BBF
10/10/2019
Mr. Lodics
Page 2 of 2

Parameter Outfall Monthly Average Limit Daily Maximum Limit
Total Copper 001 7.88 µg/L 10.47 µg/L
Total Zinc 001 125.7 µg/L 125.7 µg/L

Chromium VI 001 11.0 µg/L 16.0 µg/L
Total Chromium 001 Monitoring Only Monitoring Only
Please note that the hardness-dependent water quality standard for zinc typically results in a more stringent permit
limit for the acute total allowable metal verses the chronic value. In this situation, we use the acute total allowable
metal concentration as the limitation for both the Daily Maximum and the Monthly Average. Please note
calculation of the limits for Chromium VI is not hardness dependent.
To calculate the limits above a default hardness of 25 mg/L was entered for both the effluent and upstream values.
Since this facility discharges under zero flow conditions a value of 0 was entered for all stream flow data for
Outfall 001. Please note that under zero flow conditions a default value of 25 mg/L will be used for the upstream
Total Hardness. Additionally, the flow limit of 0.0432 MGD for Outfall 001 was used as the effluent flow. Since
the discharge is effluent dependent, the increase in flow to 0.0864 MGD will not result in any relaxation of these
limits. Calculation of final Copper and Zinc limits will be dependent on the effluent hardness data that we have
requested. For a summary of this information, please see the attached “Dissolved to Total Metal Calculator”.
If no response is received within 60 calendar days [per 15A NCAC 2H.0107(b)], the permit will be renewed
without the benefit of the requested additional information. Therefore, a default effluent hardness of 25 mg/L will
be used to calculate effluent limits for Copper and Zinc as indicated above.
Please submit the additional information requested by one of the following:

Electronically: [e-mail]

Address For USPS: Physical Address for parcel packages:
Attention: Derek Denard Attention: Wren Tredford
Division of Water Resources Division of Water Resources
WQ Permitting Section – NPDES WQ Permitting Section – NPDES
1617 Mail Service Center 512 N. Salisbury Street
Raleigh, NC 27699-1617 (9th Floor-Archdale Bldg)
Raleigh, NC 27604

If you have any questions, please contact Derek Denard at 919-707-3618 or email at [e-mail].

Respectfully,

Linda Culpepper, Director
Division of Water Resources, NCDEQ

hc: Central Files
ec: Laserfiche
DWR/WSRO, Ron Boone [[e-mail]]
Kristen M. Jarrett [[e-mail]]
DocuSign Envelope ID: F74FF7F1-8604-4D2C-8D2B-165E07E38BBF
Date: 9/13/2019
FACILITY: Kaba Access Controls (GW-REM Site) Outfall 001
NPDES PERMIT: NC0089508

Rec. Stream NPDES
1Q10 Flow Limit
[MGD][MGD]
0.0000 0.0000 0.0000 0.0432 10 25.000 25.000 100.0000 100.0000 25 25
Upstream Hard Avg (mg/L) = 25
EFF Hard Avg (mg/L) = 25

Chronic Acute Chronic Acute
[ug/l][ug/l][ug/l][ug/l]
Cadmium (d) 0.15 0.82 0.252 0.59 3.24
Cd -Trout streams 0.15 0.51 0.252 0.59 2.01
Chromium III (d)(h)24 183 0.202 117.73 905.08
Chromium VI (d)11 16 1.000 11.00 16.00
Chromium, Total (t)N/A N/A
Copper (d)(h)2.7 3.6 0.348 7.88 10.47
Lead (d)(h)0.54 14 0.184 2.94 75.49
Nickel (d)(h)16 145 0.432 37.23 335.21
Ni - WS streams (t)25 N/A
Silver (d)(h,acute)0.06 0.30 1.000 0.06 0.30
Zinc (d)(h)36 36 0.288 126.73 125.71
Beryllium 6.5 65 1.000 6.5 65
Arsenic (d)150 340 1.000 150 340
(d) = dissolved metal standard. See 15A NCAC 02B .0211 for more information.(h) = hardness-dependent dissolved metal standard. See 15A NCAC 02B .0211 for more information.(t) = based upon measurement of total recoveable metal. See 15A NCAC 02B .0211 for more information.
Effluent
Hardness
Average
(mg/L)
Dissolved Metals
US EPA
Translators- using
Default Partition
Coefficients
(streams)
Maximum Allowable Effluent Concentration
(MAEC) as a Total Metal
=Dissolved Metal ÷ Translator
COMMENTS (identify parameters to PERCS Branch to maintain in facility's LTMP/STMP):
Receiving
Stream
summer
7Q10 (CFS)
Receiving
Stream
summer 7Q10
(MGD)
Total Suspended
Solids
-Fixed Value-
(mg/L)
Combined
Hardness
chronic
(mg/L)
Combined
Hardness
Acute
(mg/L)
Instream
Wastewater
Concentration
(Chronic)
Instream
Wastewater
Concentration
(Acute)
Dissolved to Total Metal Calculator
The Human Health standard for Nickel in Water Supply Streams is 25 mg/L which is Total Recoverable metal standard.
In accordance with Federal Regulations, permit limitations must be written as Total Metals per 40 CFR 122.45(c)
The Human Health standard for Arsenic is 10 µg/L which is Total Recoverable metal standard.
Upstream
Hardness
Average (mg/L)
PARAMETER

DocuSign Envelope ID: F74FF7F1-8604-4D2C-8D2B-165E07E38BBF
4/7/2020 Mail - Denard, Derek - Outlook
https://outlook.office365.com/mail/AAMkADdhYTVmZDBlLTE5ZDctNGI5MC04ZjliLWU4MjVhZTBhMmJkMgAuAAAAAADg3GZR8iZnTYW56l21cjmNA…1/2
[External] RE: Request for Additional Information - Draft NPDES Permit NC0089508 -
Kaba Access Controls (GW-REM Site)
Jonathan Murphrey <[e-mail]>
Fri 10/11/2019 3:43 PM
To: Denard, Derek <[e-mail]>
Cc: [e-mail] <[e-mail]>; Debbie Shelton <[e-mail]>;
Peter Dressel <[e-mail]>; Hudson, Gary <[e-mail]>; Graznak, Jenny
<[e-mail]>; Snider, Lon <[e-mail]>
2 attachments (2 MB)
Kaba Ilco - June 2015 eDMR Report (signed).pdf; NC0089508 - 080619 NPDES WW Permit Contacts Report (002).pdf;
CAUTION: External email. Do not click links or open aachments unless you verify. Send all suspicious email as an aachment
to [e-mail]
Derek

Thank you for taking the time to discuss this letter and clarifying the additional sampling needed to complete the
permit-limit modifications. As requested, we will collect the five additional system-effluent samples (likely over
five consecutive days), for laboratory analysis of total hardness. Once we have received those laboratory results we
will forward them to you.

I have attached the June 2015 eDMR submission packet which includes the requested 126 Priority Pollutant scan
report. I have also attached the “Permit Contacts” report showing that Debbie Shelton has replaced Ed Lodics as
the responsible official for the permit. Please address any future correspondences to her, rather than Ed (her email
address is [e-mail] and she is CCed on this message). Please let us know if you have any
additional questions or concerns.

Thank you,

Jonathan Murphrey, P.G.
Piedmont Geologic
6003-145 Chapel Hill Road
Raleigh, NC 27607
Office: 919-854-9700
Cell: 252-717-1085

From: Denard, Derek <[e-mail]>
Sent: Friday, October 11, 2019 11:42 AM
To: [e-mail]; Jonathan Murphrey <[e-mail]>; Peter Dressel
<[e-mail]>
Cc: Hudson, Gary <[e-mail]>; Graznak, Jenny <[e-mail]>; Snider, Lon
<[e-mail]>
Subject: Request for Addional Informaon - Dra NPDES Permit NC0089508 - Kaba Access Controls (GW-REM
Site)

Ms. Jarre,

Please see the aached addional informaon request. If you have any quesons, please contact Derek Denard at
919-707-3618 or email at [e-mail].

4/7/2020 Mail - Denard, Derek - Outlook
https://outlook.office365.com/mail/AAMkADdhYTVmZDBlLTE5ZDctNGI5MC04ZjliLWU4MjVhZTBhMmJkMgAuAAAAAADg3GZR8iZnTYW56l21cjmNA…2/2
Sincerely,

Derek C Denard
Environmental Specialist
Compliance & Expedited Permitting Unit
N.C. Division of Water Resources
N.C. Department of Environmental Quality

919 707 3618 office
919 707 9000 main DWR
[e-mail]

N. C. Division of Water Resources
Water Quality Permitting Section - NPDES
1617 Mail Service Center
Raleigh, NC 27699-1617

Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.

July 23, 2015
ATTENTION: Central Files/eDMR
Information Processing Unit
Division of Water Resources
North Carolina Department of Environment
And Natural Resources
1617 Mail Service Center
Raleigh, NC 27699-1617
RE:June 2015 eDMR
Kaba Ilco Corp.
2941 Indiana Ave., Winston-Salem, North Carolina
NPDES Permit No. NC0089508
To Whom it May Concern:
Enclosed is one original signed copy and one photocopy of the eDMR for the Kaba Ilco Corp. facility in Winston-
Salem, North Carolina, in accordance with the NPDES Permit referenced above.The reporting period is June 2015.
If you have any questions or would like any additional information, please do not hesitate to call.
Sincerely,
Peter J. Dressel
Peter J. Dressel, P.G.
Project Manager
cc:Ed Lodics, Kaba Ilco
enclosure
NPDES PERMIT NO.: NC0089508
FACILITY NAME: Kaba Access Control
OWNER NAME: Kaba Ilco Incorporated
GRADE: PC-I
eDMR PERIOD: 06-2015 (June 2015)
PERMIT VERSION: 1.0
CLASS: PC-1
ORC: Tammy Jo Jones
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Forsyth
ORC CERT NUMBER: 991409
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO
e s u
<ii = 50050 00400 78391 NCOl 78236 78389 77093
u ~ ~ = ~
"'6. ~ ;; 0 . ~ ~ ·E e . -~ ~· .. ~ ell "' < ~ <ii = Continuous Monthly Monthly Quarterly Monthly Monthly u E ~ 15 .. ... = " ~ " 0 ~ Recorder Grab Grab Grab Grab Grab Grab "' ~ ~ u E ii u
'5 " " "' "' !>ii " u .. 0 0 0 z FLOW PH TRlCLETE ANN POL SCAN ORGANICS, TOT TETCLETE C-l,2DCE
2400 Hrs 2400 Hrs YIBIN mgd SU ug/I yes=! no=O ug/I ug/I ug/I
1 1004 0.25 y 0.0223
2 0.0226
3 0.0274
4 0.0234
5 0.0229
6 0.0229
7 0.0133
8 1014 0.25 y 0.0179
9 No Flow
10 No Flow
11 No Flow
12 No Flow
13 No Flow
14 No Flow
15 No Flow
16 No Flow
17 No Flow
18 No Flow
19 No Flow
20 No Flow
21 No Flow
22 1043 0.25 y 0.0093
23 0.0105
24 0.0046 6.8 <I 1 0 <I <I
25 0.0106
26 0.015
27 0.0239
28 0.0239
29 0917 0.25 y 0.0236
30 0.0234
Monthly Average Limit:
Monthly Average: 0.018676 6.8 0 1 0 0 0
Daily Maximum: 0.0274 6.8 0 1 0 0 0
Daily Minimum: 0.0046 6.8 0 1 0 0 0
Monthly Avg% Removal (85%):
NPDES PERMIT NO.: NC0089508
FACILITY NAME: Kaba Access Control
OWNER NAME: Kaba Ilco Incorporated
GRADE:PC-1
eDMR PERIOD: 06-2015 (June 2015)
COMPLIANCE: Compliant
PERMIT VERSION: 1.0
CLASS: PC-1
ORC: Tammy Jo Jones
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE#: [phone]
PERMIT STATUS: Active
COUNTY: Forsyth
ORC CERT NUMBER: 991409
STATUS: Processed
SUBMISSION DATE: 07/22/2015
07/22/20IS
ORC/Certifier E-Mail: [e-mail] Phone #: 9 l 9-8S4-9700 Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within S days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time-table for improvements to be made as required by part II.E.6 of
the NPDES permit.
COMMENTS: The GWE system was offline from 6/9/15 through 6/22115 due to an electrical surge (caused by lightning), which damaged a PLC card on the unit.
07/22/20IS
Permittee/Submitter Signature:*** Jonathan D Murphrey E-Mail:[e-mail] Phone #: 9 l 9-8S4-9700 Date
Permittee Address: 2941 Indiana Ave Winston Salem NC 2710S442S Permit Expiration Date: OS/31/2019
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 managed 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.
LAB NAME: Research & Analytical Laboratories, Inc.
CERTIFIED LAB #: 34
PERSON(s) COLLECTING SAMPLES:
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdem.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
*No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
** ORC on Site?: ORC must visit facility and document visitation of facility as required per ISA NCAC 8G .0204.
* * * Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per I SA NCAC 2B
.OS06(b )(2)(D).
RESEARCh & ANA[yTICA[
LAbORATORIESr INC.
Analytical/Process Consultatlons
Chemical Analysis for Selected Parameters and Sampling Location Identified as Baba Ilco
(A Piedmont Geolorkf kQjpc t rillected 24 June 2015)
1. Volatile Organics
Quantitation
Eft
EPA Method 8260 B
Limit
GW Remediation
Parameter
1QAb)
fanbl
Acetone
25
BQL
Acrolein
100
BQL
Acrylonitrile
100
BQL
Benzene
0.5
BQL
Bromobenzenc
0.5
BQL
Bromocblorometbane
0.5
BQL
Bromodichloromcdme
0.5
BQL
Bromoform
1.0
BQL
Bromomethane
1.0
BQL
2-Butanone
25
BQL
Carbon Disulfide
5.0
BQL
Carbon Tetrachloride
0.5
BQL
Chlorobenzene
0.5
BQL
Chloroethane
1.0
BQL
2-Chlorocthyl vinyl ether
5.0
BQL
Chloroform
0.5
BQL
Chloromethane
1.0
BQL
2-Chlorotoluene
0.5
BQL
4-Chlorotoluene
0.5
BQL
Cis-1,2-DicWoroethene
0.5
BQL
Cis-1,3-Dichloropropene
0.5
BQL
1,2-Dibromo-3-Chlcropropane(DBCP)
5.0
BQL
1,2-Dibromoethane (EDB)
0.5
BQL
Dibromochloromethane
0.5
BQL
Dibror ethanc
0.5
BQL
1,2-Dichlorobenzene
0.5
BQL
1,3-Dich1arobcnzcnc
0.5
BQL
1,4-Dici lorobenzeae
0.5
BQL
1,1-Dichloroethane
0.5
BQL
1,2-Dichloroethane
0.5
BQL
1,1-Dichlomethcne
0.5
BQL
Dichloroflouromethane
0.5
BQL
1,2-Dichlompropaae
0.5
BQL
1,3-Dicl loropropanc
0.5
BQL
2,2-Dichloropropsne
0.5
BQL
1,1-Dichloropropene
0.5
BQL
Ethyl Benzene
0.5
BQL
2-Hexanone
5.0
BQL
WE
0.5
BQL
1-Propylbeazme
0.5
BQL
4-Methyl-2-Pentanone
5.0
BQL
Methyl Iodide
1.0
BQL
Mctbylcnc Chloride
5.0
BQL
MTBE
0.5
BQL
Naphthalene
0.5
BQL
N-Butylbenzene
0.5
BQL
N-Propylbcnzcne
0.5
BQL
p-Isoprepyltoluene
0.5
BQL
Sec-Butylbenzene
0.5
BQL
Styrene
0.5
BQL
Tat-Butylbenzene
0.5
BQL
1,1,1,2-Tetrachloroethane
0.5
BQL
1,1,2,2-TeMwWoroed=e
0.5
BQL
Tcoubloroethene
0.5
BQL
Toluene
0.5
BQL
Trans4,2-Dichlorocthcne
0.5
BQL
Trans-1,3-Dichloropropene
0.5
BQL
Trans-1,4-Dichloro-2-butenc
5.0
BQL
1,2,3-Trichlorobeounc
0.5
BQL
1,2,4-Trichlorcbeozcnc
0.5
BQL
1,1,1-Trichloroethane
0.5
BQL
1,1,2-Trichlowethane
0.5
BQL
Trichloroethene
0.5
BQL
Trichlorofiucromethane
0.5
BQL
IA3-Trichloropropane
0.5
BQL
1,2,4-Trimetby1benzmc
0.5
BQL
1,3,5-Trimcthylbcnzcnc
0.5
BQL
Vinyl Acetate
1.0
BQL
Vinyl Chloride
0.5
BQL
Total Xylcaes
1.0
BQL
Dilution Factor 1
Sample Number 5725-01
Sample Date 06/24/15
Sample Time (bra) 1000
Date Analyzed 07/01/15
BQL - Below Quantitation Limit ppb - parts per billion

RESEARCh & ANAtyTICAt ••sso'
LA b O RATO RI ES. INC. �� W04
Analyticol/Process Consultations
..,,r,,1g•E'�•,
gat
Chemical Analysis for Selected Parameters and Sampling Location Identified as Kaha Ilco
(A Piedmont Geologic Protect collected 24 June 2015)
II. Semi -Volatile Organics
Quantitation
Eff
EPA Method 8270 BNA
Limit
GW Remediation
Parameter
(aab)
[nab)
4-Chloro-3-methylphenol
10.0
BQL
2-Chlorophenol
10.0
BQL
2,4-Dichlorophenol
10.0
BQL
2,4-Dimethylphenol
10.0
BQL
2,4-Dinitrophenol
50.0
BQL
2-Methyl4,6-dinitrophenol
50.0
BQL
2-Nitrophenol
10.0
BQL
4-Nitrophenol
50.0
BQL
Pentachlorophenol
50.0
BQL
Phenol
10.0
BQL
2,4,6-Trichlorophenol
10.0
BQL
Acenaphthene
10.0
BQL
Acenaphthylene
10.0
BQL
Anthracene
10.0
BQL
Benzidine
50.0
BQL
Benzo(a)anthracene
10.0
BQL
Benzo(a)pyrene
10.0
BQL
Benzo(b)fluoranthene
10.0
BQL
Benzo(ghi)perylene
10.0
BQL
Benzo(k)fluoranthene
10.0
BQL
Benzyl butyl phthalate
10.0
BQL
Bis(2-chloroethoxy)methane
10.0
BQL
Bis(2-chloroethyl)ether
10.0
BQL
Bis(2-chloroisopropyl)ether
10.0
BQL
Bis(2-ethyl-hexyl)phthalate
10.0
BQL
4-Bromophenyl phenyl ether
10.0
BQL
2-Chloronaphthalene
10.0
BQL
4-Chlorophenyl phenyl ether
10.0
BQL
Chrysene
10.0
BQL
Dibenzo(a,h)anthracene
10.0
BQL
1,2-Dichlorobenzene
10.0
BQL
1,3-Dichlorobenzene
10.0
BQL
1,4-Dichlorobenzene
10.0
BQL
3,3-Dichlombenzidine
20.0
BQL
Diethyl phthalate
10.0
BQL
Dimethyl phthalate
10.0
BQL
Di-N-Butyl phthalate
10.0
BQL
2,4-Dinitrotoluene
10.0
BQL
2,6-Dinitrotoluene
10.0
BQL
Di-N-Octyl phthalate
10.0
BQL
1,2-Diphenylhydrazine
50.0
BQL
Fluoranthene
10.0
BQL
Fluorene
10.0
BQL
Hexachlorobenzene
10.0
BQL
Hexachlorobutadiene
10.0
BQL
Hexachlorocyclopentadiene
10.0
BQL
Hexachloroethane
10.0
BQL
Indeno(1,2,3-ed) pyrene
10.0
BQL
Isophorone
10.0
BQL
Naphthalene
10.0
BQL
Nitrobenzene
10.0
BQL
N-Nitrosodimethylamine
10.0
BQL
N-nitrosodi-n-propylamine
10.0
BQL
N-Nitrosodiphenylamine
10.0
BQL
Phenanthrene
10.0
BQL
Pyrene
10.0
BQL
1,2,4-Trichlorobenzene
10.0
BQL
2-Methylnaphthalene
10.0
BQL
1-Methylnaphthalene
10.0
BQL
Dilution Factor
l
Sample Number
5725-01
Sample Date
06/24/15
Sample Time (hrs)
1000
Date Analyzed
06/25/15
Time Analyzed 0118
BNA - Base -Neutral Acid Extractables BQL - Below Quantitation Limit ppb - parts per billion

RES1EARCh&ANA[YTiCA1
LAbORATORilES INC*
Analytical/Process Consultations
Chemical Analysis for Selected Parameters and Sampling Location Identified as Kaba Ilco
(A Piedmont Geologic Project, collected 24 June 2015)
III. Pesticides/PCB's
Quantitation
Eff
EPA Method 608
Limit
GW Remediation
Parameter
(ppb)
(oubl
Aldrin
1.0
BQL
A1pha,BHC
1.0
BQL
Beta,BHC
1.0
BQL
Delta,BHC
1.0
BQL
Gamma,BHC
1.0
BQL
Chlordane
10.0
BQL
4-4'-DDD
1.0
BQL
4-4'-DDE
1.0
BQL
4-4'-DDT
1.0
BQL
Dieldrin
1.0
BQL
Endosulfan 1
1.0
BQL
Endosulfan 11
1.0
BQL
Endosulfan Sulfate
1.0
BQL
Endrin
1.0
BQL
Endrin Aldehyde
1.0
BQL
Heptachlor
1.0
BQL
Heptachlor epoxide
1.0
BQL
Methoxychlor
1.0
BQL
Toxaphene
20.0
BQL
PCB 1016
5.0
BQL
PCB 1221
5.0
BQL
PCB 1232
5.0
BQL
PCB 1242
5.0
BQL
PCB 1248
5.0
BQL
PCB 1254
5.0
BQL
PCB 1260
5.0
BQL
Sample Number 5725-01
Sample Date 06/24/15
Sample Time 1000
cc
NC #34 x
���ii'�'ED ANP►�'�+`♦
BQL = Below Quantitation Limits ppb = parts per billion
PCB = Polychlorinated Biphenyl

RESEARCh&ANAIYTiCAI
LABORATORIES, INC.
Analytical/Process Consultations
Chemical Analysis for Selected Parameters and Water Samples Identified as Kaba Ilco
(A Piedmont Geolomic Project, collected 24 June 201 S)
IV. Volatile Organics
Quantitation
Eff
EPA Method 601
Limit
GW Remediation
Parameter
(Ppb)
(aab)
Tetrachloroethene
1.00
BQL
Trichloroethene
1.00
BQL
Cis-1,2-Dichloroethene
1.00
BQL
Dilution Factor
1
Sample Number 5725-01
Sample Date 06/24/15
Sample Time 1000
Date Analyzed 06/26/15
u��•••i
tom 0 1
a NOW
'rri•� AkP�'r►����
ppb = part per billion BQL = Below Quantitation Limits

RESEARCh & ANAlyTICAI
LABORATORIES, INC.
Report of Analysis
7/21 /2015
pu�an�h
For: Piedmont Geologic
p`G�`& ....
��,4.;1•+
6003-109 Chapel Hill Road
; 2��
Raleigh, NC 27607
¢ ey Nca3a zi cn
Attn: PETE DRESSEL
NCU37701
e
Client Sample ID: Effluent
Lab Sample ID: 5725-01
Site:
Collection Date: 6/24/2015 10:00
Parameter
Method
Result
Units
Rep Limit Analyst
Analysis Date7rime
Antimony, Total
EPA 200.7
<0.025
mg/L
0.025
AA
7!7/2015
Arsenic, Total
EPA 200.7
<0.005
mg/L
0.005
AA
7/1/2015
Beryllium,Total
EPA 200.7
<0.001
mg/L
0.001
AA
7/1/2015
Cadmium, Total
EPA 200.7
<0.002
mg/L
0.002
AA
7/1/2015
Chromium, Total
EPA 200.7
<0.005
mg/L
0.005
AA
7/1/2015
Copper, Total
EPA 200.7
<0.005
mg/L
0.005
AA
7/1/2015
Cyanide
SM 4500 CN E-1999
<0.005
mg/L
0.005
YJ
7/2/2015
Lead, Total
EPA 200.7
<0.005
mg/L
0.005
AA
7/1/2015
Mercury, Total
EPA 245.1
<0.0002
mg/L
0.0002
AA
7/1/2015
Nickel, Total
EPA 200.7
<0.005
mg/L
0.005
AA
7/1/2015
pH
SM 4500 H+13-2000
6.8
Std. Units
6/242015 1000
Selenium, Total
EPA 200.7
<0.005
mg/L
0.005
AA
7172015
Temperature (Thermometric)
SM 2550B
25.6
C
6/24/2015 1000
Thallium, Total
EPA 200.7
<0.005
mg/L
0.005
AA
7/7/2015
Zinc, Total
EPA 200.7
0.054
mg/L
0.01
AA
7/72015
NA = not analyzed
P.O. Box 473 106 Short Street Kernersville, North Carolina 27264 TeL [phone] Fax: [phone] v .randalabs.com Page 1

RESEARCh & ANA1yTiCA1
LAbORATORIES, INC.
Analytical / Process Consultations
Phone [phone]
CHAIN OF CUSTODY RECORD
WATER I WASTEWATER MISC.
COMPANY••
i
STREETADDRESS
TA
CONTACT PHONE
SAMPLE LOCATION I I D.
SON
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110111 0/�7-■■■■■■■■
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■■■
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EMSLAnalytical, Inc.
706 Gratin Street Kernersville, NC 27284
Phone/Fax: [phone]
htto://www.EMSL.com / greensborolabidemsl.com
Attn: Sid Champion
Research & Analytical Labs
106 Short Street
Kemersville, NC 27284
Proj: Kaloa Ilco
EMSL Order ID: 021503336
Customer ID: RAL50
Customer PO:
Project ID:
Phone:
[phone]
Fax:
[phone]
Collected:
06/24/2015
Received:
06/24/2015
Analyzed:
07/07/2015
Test Report: Determination of Asbestos Structures >10pm in Drinking Water
Performed by the 100.2 Method (EPA 600/R-94/134)
ASBESTOS
Sample
Original
Effective
Asbestos
Fibers Analytical Concentration Confidence
Sample to
Filtration
Sample Vol.
Filter
Area
Types
Detected
Client/EMSL
Datamme
Filtered
Area
Analyzed
Sensitivity Limits
(ml)
(mm')
(mma)
MFL (million fibers per liter)
5725-01
6/24/2015
100
1057
0.0650
None Detected
ND 0.16 <0.16 0.00-0.60
021503336-0001
05:15 PM
Analyst(s)
Stephen Bennett (1)
Any questions please contact Stephen Bennett.
Stephen Bennett, Laboratory Manager
or Other Approved Signatory
Initial report from: 07/07/2015 15:56:40
Semple cdlotlbn aM wmaNen pvided by the cues, acceptable Conte blank level is defined as 10.01MFU10um. No=None console. This report may so be reproduced, except in Nil,
wiMut wawa permission by EMSL Analytical, Inc. This asked mates only to the samples reported above Samples received N goad wMXlon unless othemise noted.
Samples analysed by EMSLMahagal, Inc. Kemenrille. NC NC 377M
Tag Repad: TEM100.bT.31.1 PnMe0: 7N7=1503'.WPM Page 1 of 1

Research & Analytical
Laboratories, Inc. (25
Analytical I Process Consullatwns
Phone[phone]
Ina
reet Address
16 Short Streel
ity, State, Zip
sraem,ne. NC 272S!
ontact Phone Jampter Wgaature
rd! Chenrad+r /J.36J 946 23II
Uu Only) I
Date
4y —
Temp ReS. Chlorine Sample
Time om to ,Cl Removed Matrix Sample Location l 1.
_.v.
rued 9y Remarks
4 Received e�y �
CHAIN OF CUSTODY RECORD
Wafer / Waslewater
Misr
Lee ` Sample Temperalure at receipt T
.1

AAnalyticalM
www.pacelabs.com
Report Prepared for:
Sid Champion
Research & Analytical Laboratories, I
106 Short Street
Kernersville NC 27284
REPORT OF
/3-All
ANALYSIS FOR
TCDD
Report Prepared Date:
July 16, 2015
Pace Analytical Services, Inc.
1700 Elm Street
Minneapolis, MN 55414
Phone: [phone]
Fax: [phone]
Report Information:
Pace Project #: 10312765
Sample Receipt Date: 07/01/2015
Client Project #: 5725-01
Client Sub PO #: N/A
State Cert #: 27700
Invoicing & Reporting Options:
The report provided has been invoiced as a Level 2
2,3,7,8-TCDD Report. If an upgrade of this report
package is requested, an additional charge may be
applied.
Please review the attached invoice for accuracy and
forward any questions to Joanne Richardson, your
Pace Project Manager.
This report has been reviewed by:
July 16, 2015
Joanne Richardson,
[phone]
[phone] (fax)
10 11A
A c c o 9oq
Q �
U r
U -a
¢ Y
Report of Laboratory Analysis
This report should not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc.
The results relate only to the samples included in this report.
Report No ..... 10312765 8290 Page 1 of 13

aceAnalytical'
DISCUSSION
Pace Analytical Services, Inc.
1700 Elm Street
Minneapolis, MN 55414
Phone: [phone]
Fax: [phone]
This report presents the results from the analysis performed on one sample submitted
by a representative of Research & Analytical Laboratories, Inc. The sample was
analyzed for the presence or absence of 2,3,7,8-tetrachlorodibenzo-p-dioxin
(2,3,7,8-TCDD) using a modified version of USEPA Method 8290. The reporting limits
were set to correspond to the lowest calibration point and a nominal 1-Liter sample
amount
The isotopically -labeled TCDD internal standard in the sample extract was recovered at
97%. All of the labeled standard recoveries obtained for this project were within the
40-135% target range specified in Method 8290. Also, since the quantification of the
native TCDD was based on isotope dilution, the data were automatically corrected for
recovery and accurate values were obtained.
A laboratory method blank was prepared and analyzed with the sample batch as part of
our routine quality control procedures. The results show the blank to be free of
2,3,7,8-TCDD at the reporting limit.
Laboratory spike samples were also prepared using clean water that had been fortified
with native standard material. The results show that the spiked native TCDD was
recovered at 101-102% with a relative percent difference of 1.0%. These results were
all within the target ranges for the method. Matrix spikes were not prepared with the
sample batch.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc.
Report No ..... 10312765 8290 Page 2 of 13

TM
Minnesota Laboratory Certifications
Pace Analytical Services, Inc.
1700 Elm Street - Suite 200
Minneapolls, MN 55414
Tel: [phone]
Fax: [phone]
Authority Certificate # Authority Certificate #
A21-A
2926.01
Mississippi
MN00064
Alabama
40770
Montana
92
Alaska
MN00064
Nebraska
Arizona
AZ0014
Nevada
MN 00064 200
Arkansas
88-0680
New Jersey (NE
MN002
Calbmia
01155CA
New York (NEL
11647
Colorado
MN00064
North Carolina
27700
Connecticut
PH-0256
North Dakota
R-036
EPA Region 8
8TMS-Q
Ohio
4150
Florida (NELAP
E87605
Oklahoma
D9922
Georgia (DNR)
959
Oregon (ELAP)
MN200001-005
Guam
959
Oregon (OREL
MN300001-001
Hawaii
SLD
Pennsylvania
68-00563
Idaho
MN00064
Puerto Rico
MN00064
Illinois
200012
Saipan
MP0003
Indiana
C-MN-01
South Carolina
74003001
Indiana
C-MN-01
Tennessee
TNO2818
Iowa
368
Texas
T104704192-08
Kansas
E-10167
Utah (NELAP)
MN00064
Kentucky
90062
Virginia
00251
Louisiana
03086
Washington
C755
Maine
2007029
West Virginia
9952C
Maryland
322
Wisconsin
999407970
Michigan
9909
Wyoming
8TMS-Q
Minnesota
027-053-137
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc.
Report No ..... 10312765
Report No ..... 10312765 8290 Page 3 of 13

Appendix A
Sample Management
Report No ..... 10312765 8290 Pace Analytical Services, Inc. Page 4 of 13

EIS
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No. L OfNContainers
G (BA, Herb. / Pest.)
2 40 mt. Vials (VOA) HCL
50 mi. G (TOX)
50 ml P (TOC) HiSOs
IL P,G (BOD, TSS, Unperserved, eta)
IL G (Phenol, 011&Grease)H2SO4
IL P,G (COD, N, P) HIS04
IL P,G (Metals, Hardness) HNOs
IL P,G (Cyanide) NAOH
Sterile P,G (Coliform)

Document Name:
Document Revised: 23Feb2015
r
C�A11a�ytlCc?I
Sample Condition Upon Receipt Form
Page 1 of 1
Document No.:
Issuing Authority:
F-MN-L-213-rev.13
Pace Minnesota Quality Office
ConditionSample Client Name: Project #:
Upon Receipt
Courier: []Fed Ex UPS ❑USPS []Client
[]Commercial []Pace ❑SpeeDee ❑Other:
Tracking Number - [2 201 a �fl0 141 gJ 4il17
Custody Seal on Cooler/Box Present? DYes ZNo Seals Intact? ❑Yes
,3: o • �Io�ah Prof. Due Date: Proj. Name:
Packing Material: rubble Wrap ❑Bubble Bags ❑None []Other: Temp Blank? [ Yes []No
Thermometer ❑ B88A9130S16413 raS8A912167504 Used: ❑ B88A0143310098 Type of Ice: 21i+vet ❑Blue ❑None ❑Samples on ice, cooling process has begun
Cooler Temp Read (•C): 3-Cooler Temp Corrected (°C): .. 'jam Biological Tissue Frozen? []Yes ❑No EfN/A
Temp should be above freOing to 60C Correction Factor: Date and Initials of person Examining Contents: rvl 7%/ fps'
USDA Regulated Soil [7/A, water sample)
Did samples originate In a quarantine zone within the United States: AL, AR, AZ, CA, FL, GA, ID, LA. Did samples originate from a foreign source (internationally,
MS, NC, NM, NY, OK, OR, SC, TN, TX or WA (check maps)? []Yes [:]No Including Hawaii and Puerto Rico)? ❑Yes []No
If Yes to either question, fill out a Regulated Soil Checklist (F-MN-Q-338) and include with SCUR/COC oauerwork.
COMMENTS:
Chain of Custody Present?
OYes
(:]No
❑N/A
1.
Chain of Custody Filled Out?
[ res
❑No
❑N/A
2.
Chain of Custody Relinquished?
es
❑No
❑N/A
3.
Sampler Name and/or Signature on COC?
Yes
[]No
❑N/A
4.
Samples Arrived within Hold Time?
Yes
[:]No
❑N/A
5.
Short Hold Time Analysis (<72 hr)?
❑Yes
(]'1�10
❑N/A
6.
Rush Turn Around Time Requested?
[]Yes
No
❑N/A
7.
Sufficient volume?
FeKes
[]No
(]N/A
8.
Correct Containers Used?
yaT;1;
❑No
[]N/A
9.
-Pace Containers Used?
Y s
[:)No
N/A
Containers Intact?
Yes
QNo
N/A
10.
Filtered Volume Received for Dissolved Tests?
QYes
No
eN/A
11. Note if sediment Is visible in the dissolved container
Sample Labels Match COC?
Yes
❑No
❑N/A
12.
r,,�
-Includes Date/Time/ID/Analysis Matrix: "" ,
All containers needing acid/base preservation have been
13. ❑HNO3
❑H2SOa ❑NaOW ❑MCI
Checked?
[:]Yes
❑N0NIA
All containers needing preservation are found to be in
Sample d
compliance with EPA recommendation?
(HNO3, H2SO4, HCI<2; NaOH >9 Sulfide, NaOH>12 Cyanide)
❑Yes
[]No
dA
Exceptions: VOA, Coliform, TOC, Oli and Grease,
Initial when
Lot # of added
DRO/8015 (water) DOC
[]Yes
No
0 N/A
completed:
preservative:
Headspace in VOA Vials ( >6mm)?
QYes
[]No
(;i/A
14.
Trip Blank Present?
[]Yes
[]No
15.
Trip Blank. Custody Seals Present?
❑Yes
❑No
[36/A
QN/A
Pace Trip Blank Lot # (if purchased):
CLIENT NOTIFICATION/RESOLUTION
Person Contacted:
Comments/Resolution:
Project Manager Review: :
Note: Whenever there is a discrepancy affecting North Carollni
hold, incorrect preservative, out of temp, incorrect containers).
Field Data Required? ❑Yes ❑No
Date/Time:
�JC ` Date: Jj-I 1 S
compliance samples, a copy of this form will be sent to the North Carolina DEHNR Certification Office ( Le out of
Report No ..... 10312765_8290 Page 6 of 13

Pace Analytical Services, Inc.
1700 Elm Street - Suite 200
Minneapolis, MN 55414
Tel: [phone]
A = Reporting Limit based on signal to noise
B = Less than 1 Ox higher than method blank level
C = Result obtained from confirmation analysis
D = Result obtained from analysis of diluted sample
E = Exceeds calibration range
I = Interference present
J = Estimated value
Nn = Value obtained from additional analysis
P = PCDE Interference
R = Recovery outside target range
S = Peak saturated
U = Analyte not detected
V = Result verified by confirmation analysis
X = %D Exceeds limits
Y = Calculated using average of daily RFs
* = See Discussion
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full, Report No ..... 10312765
without the written consent of Pace Analytical Services, Inc.
Report No ..... 10312765_8290 Page 7 of 13

Appendix B
Sample Analysis Summary
Report No ..... 10312765_8290 Pace Analytical Services, Inc. Page 8 of 13

Pace Analytical Services, Inc.
1700 Elm Street - Suite 200
Minneapolis, MN 55414
a ce A agj
rut
ical
07-1404
ax:61 -
Fax: [phone]
Method 8290 Sample Analysis Results
Client - Research & Analytical Laboratories, Inc.
Client's Sample I D
5725-01
Lab Sample ID
10312765001
Filename
F150711 B_15
Injected By
BAL
Total Amount Extracted
967 mL
Matrix
Water
% Moisture
NA
Dilution
NA
Dry Weight Extracted
NA
Collected
06/24/2015 10:00
ICAL ID
F150624
Received
07/01/2015 09:40
CCal Filename(s)
F150711A 19 & F15071113_18
Extracted
07/07/2015 13:40
Method Blank ID
BLANK-45942
Analyzed
07/12/2015 04:33
Native
Conc EMPC RL
Internal
ng's Percent
Isomers
pg/L pg/L pg/L
Standards
Added Recovery
2,3,7,8-TCDD ND — 10
2,3,7,8-TCDD-13C 2.00 97
Recovery Standard
1,2,3,4-TCDD-13C 2.00 NA
Cleanup Standard
2,3,7,8-TCDD-37CI4 0.20 94
Conc = Concentration (Totals include 2,3,7,8-substituted isomers).
ND = Not Detected
EMPC = Estimated Maximum Possible Concentration
NA = Not Applicable
RL = Reporting Umit.
NC = Not Calculated
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc.
Report No ..... 10312765 8290
Page 9 of 13

Lab Sample ID
Filename
Total Amount Extracted
ICAL ID
CCal Filename(s)
Native
Isomers
Pace Analytical Services, Inc.
1700 Elm Street - Suite 200
Minneapolis, MN 55414
rre
tal
Tel: [phone]
Fax: [phone]
Method 8290 Blank Analysis Results
BLANK-45942
F15071OC_06
1020 mL
F150624
F15071OC 01 & F15071OC 21
Conc EMPC RL
pg/L pg/L pg/L
Matrix Water
Dilution NA
Extracted 07/07/2015 13:40
Analyzed 07/10/2015 21:22
Injected By BAL
Internal ng's Percent
Standards Added Recovery
2,3,7,8-TCDD ND ---- 10 2,3,7,8-TCDD-13C 2.00 97
Recovery Standard
1,2,3,4-TCDD-13C 2.00 NA
Cleanup Standard
2,3,7,8-TCDD-37CI4 0.20 91
Conc = Concentration (Totals include 2,3,7,8-substituted isomers).
EMPC = Estimated Maximum Possible Concentration
RL = Reporting Limit
Y = Calculated using average of daily RFs
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc.
Report No ..... 10312765_8290
Page 10 of 13

TM
ffical
Method 8290 Laboratory Control Spike Results
Pace Analytical Services, Inc.
1700 Elm Street - Suite 200
Minneapolis, MN 55414
Tel: [phone]
Lab Sample ID
LCS-45943
Filename
F15071OC 02
Matrix
Water
Total Amount Extracted
996 mL
Dilution
NA
ICAL ID
F150624
Extracted
07/07/2015
13:40
CCal Filename(s)
F15071 OC_01 & F15071 OC 21
Analyzed
07/10/2015
18:52
Method Blank ID
BLANK-45942
Injected By
BAL
Native
Qs Qm %
Internal
ng's
Percent
Isomers
(ng) (ng) Rec.
Standards
Added
Recovery
2,3,7,8-TCDD
0.20 0.20 102
2,3,7,8-TCDD-13C
2.0
82
Recovery Standard
1,2,3,4-TCDD-13C
2.0
NA
Cleanup Standard
2,3,7,8-TCDD-37CI4
0.20
88
Qs = Quantity Spiked
Qm = Quantity Measured
Rec. = Recovery (Expressed as Percent)
R = Recovery outside of target range
Y = RF averaging used in calculations
Nn = Value obtained from additional analysis
NA = Not Applicable
* = See Discussion
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc.
Report No ..... 10312765 8290
Page 11 of 13

TM
9Lca
Method 8290 Laboratory Control Spike Results
Pace Analytical Services, Inc.
1700 Elm Street - Suite 200
Minneapolis, MN 55414
Tel: [phone]
Lab Sample ID
LCSD-45944
Filename
F15071 OC_03
Matrix
Water
Total Amount Extracted
1030 mL
Dilution
NA
ICAL ID
F150624
Extracted
07/07/2015 13:40
CCal Filename(s)
F15071OC_01 & F15071OC 21
Analyzed
07/10/2015 19:28
Method Blank ID
BLANK-45942
Injected By
BAL
Native
Qs Qm %
Internal
ng's Percent
Isomers
(n9) (n9) Rec.
Standards
Added Recovery
2,3,7,8-TCDD
0.20 0.20 101
2,3,7,8-TCDD-13C
2.0 91
Recovery Standard
1,2,3,4-TCDD-13C
2.0 NA
Cleanup Standard
2,3,7,8-TCDD-37CI4
0.20 90
Qs = Quantity Spiked
Om = Quantity Measured
Rec. = Recovery (Expressed as Percent)
R = Recovery outside of target range
Y = RF averaging used in calculations
Nn = Value obtained from additional analysis
NA = Not Applicable
* = See Discussion
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc.
Report No ..... 10312765 8290
Page 12 of 13

Client
Spike 1 ID
Spike 1 Filename
Compound
Pace Analytical Services, Inc.
1700 Elm Street - Suite 200
Minneapolis, MN 55414
Tel: [phone]
Spike Recovery Relative Percent Difference (RPD) Results
Research & Analytical Laboratories, Inc.
LCS-45943 Spike 2 ID LCSD-45944
F15071OC 02 Spike 2 Filename F15071OC_03
Spike 1 Spike 2
%REC %REC %RPD
2,3,7,8-TCDD 102 101 1.0
%REC = Percent Recovered
RPD = The difference between the two values divided by the mean value
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except In full,
without the written consent of Pace Analytical Services, Inc.
Report No ..... 10312765 8290
Page 13 of 13

North Carolina Department of Environmental Quality
Division of Water Resources
Winston Salem, NC 27105-4425
2941 Indiana Ave
Kaba Access Controls
Groundwater Remediation Discharge
NC0089508
Permit Type:
Facility Name:
Facility Address1:
Facility Address2:
City, State & Zip:
Permit Number:
*** Legally Responsible for Permit ***
Winston Salem, NC 27105
Owner Information Details:
Organization
Kiws Property LLC
Non-Government
336-725-1331 Ext. 1360
2941 Indiana Ave
Debbie Shelton
(Responsible corporate officer/principle executive officer or ranking elected official/general partner or proprietor;
or any other person with delegated signatory authority from the legally responsible person.)
MUST submit a Change of Name/Ownership form to DWR to make any changes to this Owner information.
(Click Here for "Change of Name/Ownership" Form)
Fax:
Title:
Owner Type Group:
Owner Name:
Owner Type:
Owner Affiliation:
Address1:
Address2:
Work Phone:
Email Address:
City, State & Zip:
EmailFaxAddressPhoneContact Name Title
Owner Contact Person(s)
EmailFaxPhoneAddressTitleContact Name
Facility Contact Person(s)
kristin.jarrett@dormakaba.c
om
317-806-32026161 E 75th St, Indianapolis, IN 46250Kristin Jarrett EHS Manager SR
EmailFaxPhoneAddressTitleContact Name
Permit Contact Person(s)
EmailFaxPhoneAddressTitleContact Name
Permit Billing Contact Person(s)
kristin.jarrett@dormakaba.c
om
317-806-32026161 E 75th St, Indianapolis, IN 46250Kristin Jarrett
EmailFaxPhoneAddressTitleContact NameType
Persons with Signatory Authority
pjdressel@piedmondgeolo
gic.com
919-854-9532919-854-97006003 Chapel Hill Rd Ste 145,
Raleigh, NC 27607-5153
PermitPermit Peter Joseph
Dressel
kristin.jarrett@dormakaba.
com
317-806-32026161 E 75th St, Indianapolis, IN
46250
EHS Manager SRPermitPermitKristin Jarrett
jmurphrey@piedmontgeol
ogic.com
919-854-97006003-145 Chapel Hill Rd,
Raleigh, NC 27607
PermitPermit Jonathan
Murphrey
919-854-97006003-145 Chapel Hill Rd,
Raleigh, NC 27607
PermitPermit Geoffrey Lee
Murphrey
Page 18/6/2019
Winston Salem, NC 27105-4425
2941 Indiana Ave
Kaba Access Controls
Groundwater Remediation Discharge
NC0089508
Permit Type:
Facility Name:
Facility Address1:
Facility Address2:
City, State & Zip:
Permit Number:
Designated Operators
If the designated operators listed below are incorrect or no longer associated with the collection system, the information can be updated by submitting a completed
"Operator Designation Form" (Click Here for ORC Designation Form). Please provide specific details as to the changes requested, including the addition/removal of
designated operators. For all other operator questions or issues, please call 919-807-6353.
PC1Facility Classification:
Operator Name Role Cert Type Cert Status Cert #Effective Date
Tammy Jo Jones ActivePC-1 991409ORC 12/1/2014
Peter Joseph Dressel ActivePC-1 987813Backup 12/1/2014
Geoffrey Lee Murphrey ActivePC-1 998584Backup 12/1/2014
Page 28/6/2019
1
Denard, Derek
From:Jonathan Murphrey <[e-mail]>
Sent:Wednesday, October 30, 2019 1:28 PM
To:Denard, Derek
Cc:[e-mail]; Debbie Shelton; Peter Dressel; Hudson, Gary; Graznak, Jenny; Snider,
Lon
Subject:[External] RE: Request for Additional Information - Draft NPDES Permit NC0089508 - Kaba Access
Controls (GW-REM Site)
Attachments:1019-gwe effluent samples for hardness calcs (NPDES permit).pdf
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an attachment to 
[e-mail] 

Derek

Attached is the laboratory report for effluent samples collected from KIWS groundwater remediation system from
10/17/19 through 10/23/19, and below is a table summarizing the results.

Sample
Date Hardness - as CaCo3
(mg/L)
10/17/19 41.9
10/18/19 37.1
10/21/19 41.1
10/22/19 34.4
10/23/19 43.4
Average: 39.6

If you need any additional information, please do not hesitate to call or email.

Thank you,

Jonathan Murphrey, P.G.
Piedmont Geologic
6003-145 Chapel Hill Road
Raleigh, NC 27607
Office: 919-854-9700
Cell: 252-717-1085

From: Jonathan Murphrey  
Sent: Friday, October 11, 2019 3:43 PM 
To: Denard, Derek <[e-mail]> 
Cc: [e-mail]; Debbie Shelton <[e-mail]>; Peter Dressel 
<[e-mail]>; Hudson, Gary <[e-mail]>; Graznak, Jenny 
<[e-mail]>; Snider, Lon <[e-mail]> 
Subject: RE: Request for Additional Information ‐ Draft NPDES Permit NC0089508 ‐ Kaba Access Controls (GW‐REM Site) 

Derek

2
Thank you for taking the time to discuss this letter and clarifying the additional sampling needed to complete the permit-
limit modifications. As requested, we will collect the five additional system-effluent samples (likely over five
consecutive days), for laboratory analysis of total hardness. Once we have received those laboratory results we will
forward them to you.

I have attached the June 2015 eDMR submission packet which includes the requested 126 Priority Pollutant scan report. I
have also attached the “Permit Contacts” report showing that Debbie Shelton has replaced Ed Lodics as the responsible
official for the permit. Please address any future correspondences to her, rather than Ed (her email address is
[e-mail] and she is CCed on this message). Please let us know if you have any additional
questions or concerns.

Thank you,

Jonathan Murphrey, P.G.
Piedmont Geologic
6003-145 Chapel Hill Road
Raleigh, NC 27607
Office: 919-854-9700
Cell: 252-717-1085

From: Denard, Derek <[e-mail]>  
Sent: Friday, October 11, 2019 11:42 AM 
To: [e-mail]; Jonathan Murphrey <[e-mail]>; Peter Dressel 
<[e-mail]> 
Cc: Hudson, Gary <[e-mail]>; Graznak, Jenny <[e-mail]>; Snider, Lon 
<[e-mail]> 
Subject: Request for Additional Information ‐ Draft NPDES Permit NC0089508 ‐ Kaba Access Controls (GW‐REM Site) 

Ms. Jarrett, 

Please see the attached additional information request. If you have any questions, please contact Derek Denard at 919‐
707‐3618 or email at [e-mail]. 

Sincerely, 

Derek C Denard
Environmental Specialist
Compliance & Expedited Permitting Unit
N.C. Division of Water Resources
N.C. Department of Environmental Quality 

919 707 3618 office
919 707 9000 main DWR
[e-mail]

N. C. Division of Water Resources
Water Quality Permitting Section - NPDES
1617 Mail Service Center
Raleigh, NC 27699-1617

Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.

3

ANALYTICAL REPORT
October 28, 2019
Piedmont Geologic
Sample Delivery Group:L1153750
Samples Received:10/25/2019
Project Number:1904
Description:Kaba Ilco - Winston-Salem
Site:WINSTON SALEM, NC
Report To:Mr. Pete Dressel
6003 Chapel Hill Road Suite 145
Raleigh, NC 27607
Entire Report Reviewed By:
October 28, 2019
[Preliminary Report]
Heather J Wagner
Project Manager
Results relate only to the items tested or calibrated and are reported as rounded values. This test report shall not be
reproduced, except in full, without written approval of the laboratory. Where applicable, sampling conducted by Pace
Analytical National is performed per guidance provided in laboratory standard operating procedures ENV-SOP-MTJL-0067 and
ENV-SOP-MTJL-0068. Where sampling conducted by the customer, results relate to the accuracy of the information provided,
and as the samples are received.
12065 Lebanon Rd Mount Juliet, TN 37122 615-758-5858 800-767-5859 www.pacenational.com
1 Cp
2 Tc
3 Ss
4 Cn
5 Sr
6 Qc
7 Gl
8 Al
9 Sc
ACCOUNT:PROJECT:SDG:DATE/TIME:PAGE:
Piedmont Geologic 1904 L1153750 10/28/19 15:19 1 of 13
October 30, 2019
Heather J Wagner
Project Manager
ACCOUNT:PROJECT:SDG:DATE/TIME:PAGE:
Piedmont Geologic 1904 L1153750 10/30/19 11:21 1 of 13
ONE LAB. NATIONWIDE.TABLE OF CONTENTS
Cp: Cover Page 1
Tc: Table of Contents 2
Ss: Sample Summary 3
Cn: Case Narrative 4
Sr: Sample Results 5
GW-1 EFFLUENT L1153750-01 5
GW-2 EFFLUENT L1153750-02 6
GW-3 EFFLUENT L1153750-03 7
GW-4 EFFLUENT L1153750-04 8
GW-5 EFFLUENT L1153750-05 9
Qc: Quality Control Summary 10
Wet Chemistry by Method 130.1 10
Gl: Glossary of Terms 11
Al: Accreditations & Locations 12
Sc: Sample Chain of Custody 13
1 Cp
2 Tc
3 Ss
4 Cn
5 Sr
6 Qc
7 Gl
8 Al
9 Sc
ACCOUNT:PROJECT:SDG:DATE/TIME:PAGE:
Piedmont Geologic 1904 L1153750 10/28/19 15:19 2 of 13
ACCOUNT:PROJECT:SDG:DATE/TIME:PAGE:
Piedmont Geologic 1904 L1153750 10/30/19 11:21 2 of 13
ONE LAB. NATIONWIDE.SAMPLE SUMMARY
Collected by Collected date/time Received date/time
GW-1 EFFLUENT L1153750-01 GW Geoffery Murphrey 10/17/19 10:05 10/25/19 08:30
Method Batch Dilution Preparation Analysis Analyst Location
date/time date/time
Wet Chemistry by Method 130.1 WG1369793 1 10/25/19 17:29 10/28/19 13:11 JER Mt. Juliet, TN
Collected by Collected date/time Received date/time
GW-2 EFFLUENT L1153750-02 GW Geoffery Murphrey 10/18/19 14:00 10/25/19 08:30
Method Batch Dilution Preparation Analysis Analyst Location
date/time date/time
Wet Chemistry by Method 130.1 WG1369793 1 10/25/19 17:29 10/28/19 13:12 JER Mt. Juliet, TN
Collected by Collected date/time Received date/time
GW-3 EFFLUENT L1153750-03 GW Geoffery Murphrey 10/21/19 08:30 10/25/19 08:30
Method Batch Dilution Preparation Analysis Analyst Location
date/time date/time
Wet Chemistry by Method 130.1 WG1369793 1 10/25/19 17:29 10/28/19 13:13 JER Mt. Juliet, TN
Collected by Collected date/time Received date/time
GW-4 EFFLUENT L1153750-04 GW Geoffery Murphrey 10/22/19 13:30 10/25/19 08:30
Method Batch Dilution Preparation Analysis Analyst Location
date/time date/time
Wet Chemistry by Method 130.1 WG1369793 1 10/25/19 17:29 10/28/19 13:14 JER Mt. Juliet, TN
Collected by Collected date/time Received date/time
GW-5 EFFLUENT L1153750-05 GW Geoffery Murphrey 10/23/19 07:30 10/25/19 08:30
Method Batch Dilution Preparation Analysis Analyst Location
date/time date/time
Wet Chemistry by Method 130.1 WG1369793 1 10/25/19 17:29 10/28/19 13:16 JER Mt. Juliet, TN
1 Cp
2 Tc
3 Ss
4 Cn
5 Sr
6 Qc
7 Gl
8 Al
9 Sc
ACCOUNT:PROJECT:SDG:DATE/TIME:PAGE:
Piedmont Geologic 1904 L1153750 10/28/19 15:19 3 of 13
ACCOUNT:PROJECT:SDG:DATE/TIME:PAGE:
Piedmont Geologic 1904 L1153750 10/30/19 11:21 3 of 13
ONE LAB. NATIONWIDE.CASE NARRATIVE
All sample aliquots were received at the correct temperature, in the proper containers, with the
appropriate preservatives, and within method specified holding times, unless qualified or notated within
the report. Where applicable, all MDL (LOD) and RDL (LOQ) values reported for environmental samples
have been corrected for the dilution factor used in the analysis. All Method and Batch Quality Control
are within established criteria except where addressed in this case narrative, a non-conformance form
or properly qualified within the sample results. By my digital signature below, I affirm to the best of my
knowledge, all problems/anomalies observed by the laboratory as having the potential to affect the
quality of the data have been identified by the laboratory, and no information or data have been
knowingly withheld that would affect the quality of the data.
[Preliminary Report]
Heather J Wagner
Project Manager
1 Cp
2 Tc
3 Ss
4 Cn
5 Sr
6 Qc
7 Gl
8 Al
9 Sc
ACCOUNT:PROJECT:SDG:DATE/TIME:PAGE:
Piedmont Geologic 1904 L1153750 10/28/19 15:19 4 of 13
Heather J Wagner
Project Manager
ACCOUNT:PROJECT:SDG:DATE/TIME:PAGE:
Piedmont Geologic 1904 L1153750 10/30/19 11:21 4 of 13
ONE LAB. NATIONWIDE.SAMPLE RESULTS - 01
L1153750
GW-1 EFFLUENT
Collected date/time: 10/17/19 10:05
Wet Chemistry by Method 130.1
Result Qualifier RDL Dilution Analysis Batch
Analyte ug/l ug/l date / time
Hardness (colorimetric) as CaCO3 41900 B 30000 1 10/28/2019 13:11 WG1369793
1 Cp
2 Tc
3 Ss
4 Cn
5 Sr
6 Qc
7 Gl
8 Al
9 Sc
ACCOUNT:PROJECT:SDG:DATE/TIME:PAGE:
Piedmont Geologic 1904 L1153750 10/28/19 15:19 5 of 13
ACCOUNT:PROJECT:SDG:DATE/TIME:PAGE:
Piedmont Geologic 1904 L1153750 10/30/19 11:21 5 of 13
ONE LAB. NATIONWIDE.SAMPLE RESULTS - 02
L1153750
GW-2 EFFLUENT
Collected date/time: 10/18/19 14:00
Wet Chemistry by Method 130.1
Result Qualifier RDL Dilution Analysis Batch
Analyte ug/l ug/l date / time
Hardness (colorimetric) as CaCO3 37100 B 30000 1 10/28/2019 13:12 WG1369793
1 Cp
2 Tc
3 Ss
4 Cn
5 Sr
6 Qc
7 Gl
8 Al
9 Sc
ACCOUNT:PROJECT:SDG:DATE/TIME:PAGE:
Piedmont Geologic 1904 L1153750 10/28/19 15:19 6 of 13
ACCOUNT:PROJECT:SDG:DATE/TIME:PAGE:
Piedmont Geologic 1904 L1153750 10/30/19 11:21 6 of 13
ONE LAB. NATIONWIDE.SAMPLE RESULTS - 03
L1153750
GW-3 EFFLUENT
Collected date/time: 10/21/19 08:30
Wet Chemistry by Method 130.1
Result Qualifier RDL Dilution Analysis Batch
Analyte ug/l ug/l date / time
Hardness (colorimetric) as CaCO3 41100 B 30000 1 10/28/2019 13:13 WG1369793
1 Cp
2 Tc
3 Ss
4 Cn
5 Sr
6 Qc
7 Gl
8 Al
9 Sc
ACCOUNT:PROJECT:SDG:DATE/TIME:PAGE:
Piedmont Geologic 1904 L1153750 10/28/19 15:19 7 of 13
ACCOUNT:PROJECT:SDG:DATE/TIME:PAGE:
Piedmont Geologic 1904 L1153750 10/30/19 11:21 7 of 13
ONE LAB. NATIONWIDE.SAMPLE RESULTS - 04
L1153750
GW-4 EFFLUENT
Collected date/time: 10/22/19 13:30
Wet Chemistry by Method 130.1
Result Qualifier RDL Dilution Analysis Batch
Analyte ug/l ug/l date / time
Hardness (colorimetric) as CaCO3 34400 B 30000 1 10/28/2019 13:14 WG1369793
1 Cp
2 Tc
3 Ss
4 Cn
5 Sr
6 Qc
7 Gl
8 Al
9 Sc
ACCOUNT:PROJECT:SDG:DATE/TIME:PAGE:
Piedmont Geologic 1904 L1153750 10/28/19 15:19 8 of 13
ACCOUNT:PROJECT:SDG:DATE/TIME:PAGE:
Piedmont Geologic 1904 L1153750 10/30/19 11:21 8 of 13
ONE LAB. NATIONWIDE.SAMPLE RESULTS - 05
L1153750
GW-5 EFFLUENT
Collected date/time: 10/23/19 07:30
Wet Chemistry by Method 130.1
Result Qualifier RDL Dilution Analysis Batch
Analyte ug/l ug/l date / time
Hardness (colorimetric) as CaCO3 43400 B 30000 1 10/28/2019 13:16 WG1369793
1 Cp
2 Tc
3 Ss
4 Cn
5 Sr
6 Qc
7 Gl
8 Al
9 Sc
ACCOUNT:PROJECT:SDG:DATE/TIME:PAGE:
Piedmont Geologic 1904 L1153750 10/28/19 15:19 9 of 13
ACCOUNT:PROJECT:SDG:DATE/TIME:PAGE:
Piedmont Geologic 1904 L1153750 10/30/19 11:21 9 of 13
ONE LAB. NATIONWIDE.QUALITY CONTROL SUMMARYWG1369793
Wet Chemistry by Method 130.1 L1153750-01,02,03,04,05
Method Blank (MB)
(MB) R3465906-1 10/28/19 12:56
MB Result MB Qualifier MB MDL MB RDL
Analyte ug/l ug/l ug/l
Hardness (colorimetric) as
CaCO3 8020 J 1430 30000
L1153673-01 Original Sample (OS) • Duplicate (DUP)
(OS) L1153673-01 10/28/19 13:08 • (DUP) R3465906-5 10/28/19 13:09
Original Result DUP Result Dilution DUP RPD DUP Qualifier DUP RPD
Limits
Analyte ug/l ug/l %%
Hardness (colorimetric) as
CaCO3 178000 176000 1 1.13 20
L1153755-01 Original Sample (OS) • Duplicate (DUP)
(OS) L1153755-01 10/28/19 14:24 • (DUP) R3465906-6 10/28/19 14:24
Original Result DUP Result Dilution DUP RPD DUP Qualifier DUP RPD
Limits
Analyte ug/l ug/l %%
Hardness (colorimetric) as
CaCO3 401000 425000 5 5.69 20
Laboratory Control Sample (LCS)
(LCS) R3465906-2 10/28/19 12:57
Spike Amount LCS Result LCS Rec.Rec. Limits LCS Qualifier
Analyte ug/l ug/l %%
Hardness (colorimetric) as
CaCO3 100000 101000 101 85.0-115
L1152291-02 Original Sample (OS) • Matrix Spike (MS) • Matrix Spike Duplicate (MSD)
(OS) L1152291-02 10/28/19 12:59 • (MS) R3465906-3 10/28/19 13:00 • (MSD) R3465906-4 10/28/19 13:01
Spike Amount Original Result MS Result MSD Result MS Rec.MSD Rec.Dilution Rec. Limits MS Qualifier MSD Qualifier RPD RPD Limits
Analyte ug/l ug/l ug/l ug/l %%%%%
Hardness (colorimetric) as
CaCO3 100000 115000 194000 190000 79.0 75.0 1 80.0-120 J6 J6 2.08 20
1 Cp
2 Tc
3 Ss
4 Cn
5 Sr
6 Qc
7 Gl
8 Al
9 Sc
ACCOUNT:PROJECT:SDG:DATE/TIME:PAGE:
Piedmont Geologic 1904 L1153750 10/28/19 15:19 10 of 13
ACCOUNT:PROJECT:SDG:DATE/TIME:PAGE:
Piedmont Geologic 1904 L1153750 10/30/19 11:21 10 of 13
ONE LAB. NATIONWIDE.GLOSSARY OF TERMS
Guide to Reading and Understanding Your Laboratory Report
The information below is designed to better explain the various terms used in your report of analytical results from the Laboratory. This is not
intended as a comprehensive explanation, and if you have additional questions please contact your project representative.
Results Disclaimer - Information that may be provided by the customer, and contained within this report, include Permit Limits, Project Name,
Sample ID, Sample Matrix, Sample Preservation, Field Blanks, Field Spikes, Field Duplicates, On-Site Data, Sampling Collection Dates/Times, and
Sampling Location. Results relate to the accuracy of this information provided, and as the samples are received.
Abbreviations and Definitions
MDL Method Detection Limit.
RDL Reported Detection Limit.
Rec.Recovery.
RPD Relative Percent Difference.
SDG Sample Delivery Group.
Analyte The name of the particular compound or analysis performed. Some Analyses and Methods will have multiple analytes
reported.
Dilution
If the sample matrix contains an interfering material, the sample preparation volume or weight values differ from the
standard, or if concentrations of analytes in the sample are higher than the highest limit of concentration that the
laboratory can accurately report, the sample may be diluted for analysis. If a value different than 1 is used in this field, the
result reported has already been corrected for this factor.
Limits
These are the target % recovery ranges or % difference value that the laboratory has historically determined as normal
for the method and analyte being reported. Successful QC Sample analysis will target all analytes recovered or
duplicated within these ranges.
Original Sample The non-spiked sample in the prep batch used to determine the Relative Percent Difference (RPD) from a quality control
sample. The Original Sample may not be included within the reported SDG.
Qualifier
This column provides a letter and/or number designation that corresponds to additional information concerning the result
reported. If a Qualifier is present, a definition per Qualifier is provided within the Glossary and Definitions page and
potentially a discussion of possible implications of the Qualifier in the Case Narrative if applicable.
Result
The actual analytical final result (corrected for any sample specific characteristics) reported for your sample. If there was
no measurable result returned for a specific analyte, the result in this column may state “ND” (Not Detected) or “BDL”
(Below Detectable Levels). The information in the results column should always be accompanied by either an MDL
(Method Detection Limit) or RDL (Reporting Detection Limit) that defines the lowest value that the laboratory could detect
or report for this analyte.
Uncertainty
(Radiochemistry)Confidence level of 2 sigma.
Case Narrative (Cn)
A brief discussion about the included sample results, including a discussion of any non-conformances to protocol
observed either at sample receipt by the laboratory from the field or during the analytical process. If present, there will
be a section in the Case Narrative to discuss the meaning of any data qualifiers used in the report.
Quality Control
Summary (Qc)
This section of the report includes the results of the laboratory quality control analyses required by procedure or
analytical methods to assist in evaluating the validity of the results reported for your samples. These analyses are not
being performed on your samples typically, but on laboratory generated material.
Sample Chain of
Custody (Sc)
This is the document created in the field when your samples were initially collected. This is used to verify the time and
date of collection, the person collecting the samples, and the analyses that the laboratory is requested to perform. This
chain of custody also documents all persons (excluding commercial shippers) that have had control or possession of the
samples from the time of collection until delivery to the laboratory for analysis.
Sample Results (Sr)
This section of your report will provide the results of all testing performed on your samples. These results are provided
by sample ID and are separated by the analyses performed on each sample. The header line of each analysis section for
each sample will provide the name and method number for the analysis reported.
Sample Summary (Ss)This section of the Analytical Report defines the specific analyses performed for each sample ID, including the dates and
times of preparation and/or analysis.
Qualifier Description
B The same analyte is found in the associated blank.
J The identification of the analyte is acceptable; the reported value is an estimate.
J6 The sample matrix interfered with the ability to make any accurate determination; spike value is low.
1 Cp
2 Tc
3 Ss
4 Cn
5 Sr
6 Qc
7 Gl
8 Al
9 Sc
ACCOUNT:PROJECT:SDG:DATE/TIME:PAGE:
Piedmont Geologic 1904 L1153750 10/28/19 15:19 11 of 13
ACCOUNT:PROJECT:SDG:DATE/TIME:PAGE:
Piedmont Geologic 1904 L1153750 10/30/19 11:21 11 of 13
ONE LAB. NATIONWIDE.
Pace National is the only environmental laboratory accredited/certified to support your work nationwide from one location. One phone call, one point of contact, one laboratory. No other lab is as
accessible or prepared to handle your needs throughout the country. Our capacity and capability from our single location laboratory is comparable to the collective totals of the network
laboratories in our industry. The most significant benefit to our one location design is the design of our laboratory campus. The model is conducive to accelerated productivity, decreasing
turn-around time, and preventing cross contamination, thus protecting sample integrity. Our focus on premium quality and prompt service allows us to be YOUR LAB OF CHOICE.
* Not all certifications held by the laboratory are applicable to the results reported in the attached report.
* Accreditation is only applicable to the test methods specified on each scope of accreditation held by Pace National.

State Accreditations
Alabama 40660 Nebraska NE-OS-15-05
Alaska 17-026 Nevada TN-03-2002-34
Arizona AZ0612 New Hampshire 2975
Arkansas 88-0469 New Jersey–NELAP TN002
California 2932 New Mexico ¹n/a
Colorado TN00003 New York 11742
Connecticut PH-0197 North Carolina Env375
Florida E87487 North Carolina ¹DW21704
Georgia NELAP North Carolina ³41
Georgia ¹923 North Dakota R-140
Idaho TN00003 Ohio–VAP CL0069
Illinois 200008 Oklahoma 9915
Indiana C-TN-01 Oregon TN200002
Iowa 364 Pennsylvania 68-02979
Kansas E-10277 Rhode Island LAO00356
Kentucky ¹ ⁶90010 South Carolina 84004
Kentucky ²16 South Dakota n/a
Louisiana AI30792 Tennessee ¹ ⁴2006
Louisiana ¹LA180010 Texas T104704245-18-15
Maine TN0002 Texas ⁵LAB0152
Maryland 324 Utah TN00003
Massachusetts M-TN003 Vermont VT2006
Michigan 9958 Virginia 460132
Minnesota 047-999-395 Washington C847
Mississippi TN00003 West Virginia 233
Missouri 340 Wisconsin 9980939910
Montana CERT0086 Wyoming A2LA

Third Party Federal Accreditations
A2LA – ISO 17025 1461.01 AIHA-LAP,LLC EMLAP 100789
A2LA – ISO 17025 ⁵1461.02 DOD 1461.01
Canada 1461.01 USDA P330-15-00234
EPA–Crypto TN00003
ACCREDITATIONS & LOCATIONS

¹ Drinking Water ² Underground Storage Tanks ³ Aquatic Toxicity ⁴ Chemical/Microbiological ⁵ Mold ⁶ Wastewater n/a Accreditation not applicable

Our Locations
Pace National has sixty-four client support centers that provide sample pickup and/or the delivery of sampling supplies. If you would like assistance from one of our support offices, please contact
our main office. Pace National performs all testing at our central laboratory.
1 Cp
2 Tc
3 Ss
4 Cn
5 Sr
6 Qc
7 Gl
8 Al
9 Sc
ACCOUNT:PROJECT:SDG:DATE/TIME:PAGE:
Piedmont Geologic 1904 L1153750 10/28/19 15:19 12 of 13
ACCOUNT:PROJECT:SDG:DATE/TIME:PAGE:
Piedmont Geologic 1904 L1153750 10/30/19 11:21 12 of 13
--
Billing Information:
AnalvsiR/Container/Pr
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Chain o/Custody Pagel of
Piedmont Geologic
Accounts Payable Pres
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6003 Chapel Hill Road Suite 145
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6003 Chapel Hill Road Suite 145
Raleigh, NC 27607
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Raleigh, NC 27607
12065 Lebanon Rd Q Q
Report to:
Email To-pjdressel@piedmontgeologiccom;
Mr. Pete Dressel
jmurphrey@piedmontgeologiccom
Mount Juliet,TN 51 C
Phone 1575ry 858 r
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SS -Soil AIR Air F- Filter
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Flow Other
COC Signed/Accurate: _7Y _N
Bottles arrive ✓Y _N
WW- WaSteWater
Correct bottles used: Vey
DW - Drinking Water
OT - Other
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Sufficient volume sent: %/Y _N
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REQUIRED DATA ENTRY
Name WQS Type Chronic Modifier Acute PQL Units
Facility Name Kaba Access Controls (GW-REM Site)Par01 Arsenic Aquactic Life C 150 FW 340 ug/L
WWTP/WTP Class PC-1 Par02 Arsenic Human Health
Water Supply C 10 HH/WS N/A ug/L
NPDES Permit NC0089508 Par03 Beryllium Aquatic Life NC 6.5 FW 65 ug/L
Outfall 001 Par04 Cadmium Aquatic Life NC 0.8349 FW 4.8381 ug/L
Flow, Qw (MGD)0.043 Par05 Chlorides Aquatic Life NC 230 FW mg/L
Receiving Stream UT to Peters Creek Par06 Chlorinated Phenolic Compounds Water Supply NC 1 A ug/L
HUC Number 030401011305 Par07 Total Phenolic Compounds Aquatic Life NC 300 A ug/L
Stream Class Par08 Chromium III Aquatic Life NC 171.5206 FW 1318.5835 ug/L
Par09 Chromium VI Aquatic Life NC 11 FW 16 µg/L
7Q10s (cfs)0.00 Par10 Chromium, Total Aquatic Life NC N/A FW N/A µg/L
7Q10w (cfs)0.00 Par11 Copper Aquatic Life NC 11.6698 FW 16.1448 ug/L
30Q2 (cfs)0.00 Par12 Cyanide Aquatic Life NC 5 FW 22 10 ug/L
QA (cfs)0.00 Par13 Fluoride Aquatic Life NC 1,800 FW ug/L
1Q10s (cfs)0.00 Par14 Lead Aquatic Life NC 4.9236 FW 126.3480 ug/L
Effluent Hardness 39.58 mg/L (Avg)Par15 Mercury Aquatic Life NC 12 FW 0.5 ng/L
Upstream Hardness 25 mg/L (Avg)Par16 Molybdenum Human Health NC 2000 HH ug/L
Combined Hardness Chronic 39.58 mg/L Par17 Nickel Aquatic Life NC 54.9182 FW 494.4502 µg/L
Combined Hardness Acute 39.58 mg/L Par18 Nickel Water Supply NC 25.0000 WS N/A µg/L
Data Source(s)Par19 Selenium Aquatic Life NC 5 FW 56 ug/L
Par20 Silver Aquatic Life NC 0.06 FW 0.6532 ug/L
Par21 Zinc Aquatic Life NC 187.0501 FW 185.5325 ug/L
Par22
Par23
Par24
Par25
.
Follow directions for data entry. In some cases a
comment menu list the available choices or a
dropdown menu will provide a list you may select
from. Error message occur if data entry does not
meet input criteria.
To appy a Model IWC %: Once the
"Flow, Qw (MGD)" and and the
"CHRONIC DILUTION FACTOR =
" values are entered, the 7Q10s
(cfs) flow is calculated and
displayed. Enter the calculated
"7Q10s (cfs)" flow value in Table 1.
Table 1. Project Information Table 2. Parameters of Concern
Freshwater RPA - 95% Probability/95% Confidence Using Metal Translators
MAXIMUM DATA POINTS = 58
NC01 - Annual Pollutant Scan [126 parameters] -
Lab Reports 06/24/2015, 07/05/2016, 07/07/2017,
06/05/2018, 07/02/2019. Effluent Hardness data
10/17/2019-10/23/2019.
C
CHECK IF HQW OR ORW WQS
CHECK TO APPLY MODEL
Apply WS Hardness WQC
NC0089508 RPA, input
4/8/2020
REASONABLE POTENTIAL ANALYSIS
H1 H2
Effluent Hardness Upstream Hardness
Date Data BDL=1/2DL Results Date Data BDL=1/2DL Results
1 10/17/2019 41.9 41.9 Std Dev.3.7171 1 25 25 Std Dev.N/A
2 10/18/2019 37.1 37.1 Mean 39.5800 2 Mean 25.0000
3 10/21/2019 41.1 41.1 C.V. (default)0.6000 3 C.V.0.0000
4 10/22/2019 34.4 34.4 n 5 4 n 1
5 10/23/2019 43.4 43.4 10th Per value 35.48 mg/L 5 10th Per value 25.00 mg/L
6 Average Value 39.58 mg/L 6 Average Value 25.00 mg/L
7 Max. Value 43.40 mg/L 7 Max. Value 25.00 mg/L
8 8
9 9
10 10
11 11
12 12
13 13
14 14
15 15
16 16
17 17
18 18
19 19
20 20
21 21
22 22
23 23
24 24
25 25
26 26
27 27
28 28
29 29
30 30
31 31
32 32
33 33
34 34
35 35
36 36
37 37
38 38
39 39
40 40
41 41
42 42
43 43
44 44
45 45
46 46
47 47
48 48
49 49
50 50
51 51
52 52
53 53
54 54
55 55
56 56
57 57
58 58
Use "PASTE SPECIAL-
Values" then "COPY"
. Maximum data
points = 58
Use "PASTE SPECIAL-
Values" then "COPY"
. Maximum data
points = 58
- 2 -NC0089508 RPA, data
4/8/2020
REASONABLE POTENTIAL ANALYSIS
Par01 & Par02
Arsenic
Date Data BDL=1/2DL Results
1 7/2/2019 <5 2.5 Std Dev.0.0000
2 6/5/2018 <5 2.5 Mean 2.5000
3 7/7/2017 <5 2.5 C.V.0.0000
4 7/5/2016 <5 2.5 n 5
5 6/24/2015 <5 2.5
6 Mult Factor =1.00
7 Max. Value 2.5 ug/L
8 Max. Pred Cw NO DETECTS ug/L
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
Use "PASTE SPECIAL-
Values" then "COPY" .
Maximum data points =
58
- 3 -NC0089508 RPA, data
4/8/2020
REASONABLE POTENTIAL ANALYSIS
Par03 Par04
Beryllium Cadmium
Date Data BDL=1/2DL Results Date Data BDL=1/2DL Results
1 7/2/2019 <1 0.5 Std Dev.0.0000 1 7/2/2019 <2 1 Std Dev.0.0000
2 6/5/2018 <1 0.5 Mean 0.5000 2 6/5/2018 <2 1 Mean 1.0000
3 7/7/2017 <1 0.5 C.V.0.0000 3 7/7/2017 <2 1 C.V.0.0000
4 7/5/2016 <1 0.5 n 5 4 7/5/2016 <2 1 n 5
5 6/24/2015 <1 0.5 5 6/24/2015 <2 1
6 Mult Factor =1.00 6 Mult Factor =1.00
7 Max. Value 0.50 ug/L 7 Max. Value 1.000 ug/L
8 Max. Pred Cw O DETECTS ug/L 8 Max. Pred Cw NO DETECTS ug/L
9 9
10 10
11 11
12 12
13 13
14 14
15 15
16 16
17 17
18 18
19 19
20 20
21 21
22 22
23 23
24 24
25 25
26 26
27 27
28 28
29 29
30 30
31 31
32 32
33 33
34 34
35 35
36 36
37 37
38 38
39 39
40 40
41 41
42 42
43 43
44 44
45 45
46 46
47 47
48 48
49 49
50 50
51 51
52 52
53 53
54 54
55 55
56 56
57 57
58 58
Use "PASTE SPECIAL-
Values" then "COPY"
. Maximum data
points = 58
Use "PASTE SPECIAL-
Values" then "COPY" .
Maximum data points =
58
- 4 -NC0089508 RPA, data
4/8/2020
REASONABLE POTENTIAL ANALYSIS
Par06 Par07
Chlorinated Phenolic Compounds Total Phenolic Compounds
Date Data BDL=1/2DL Results Date Data BDL=1/2DL Results
1 7/2/2019 <50 25 Std Dev.0.0000 1 7/2/2019 <10 5 Std Dev.0.0000
2 6/5/2018 <50 25 Mean 25.0000 2 6/5/2018 <10 5 Mean 5.0000
3 7/7/2017 <50 25 C.V.0.0000 3 7/7/2017 <10 5 C.V.0.0000
4 7/5/2016 <50 25 n 5 4 7/5/2016 <10 5 n 5
5 6/24/2015 <50 25 5 6/24/2015 <10 5
6 Mult Factor =1.00 6 Mult Factor =1.00
7 Max. Value 25.0 ug/L 7 Max. Value 5.0 ug/L
8 Max. Pred Cw NO DETECTS ug/L 8 Max. Pred Cw NO DETECTS ug/L
9 9
10 10
11 11
12 12
13 13
14 14
15 15
16 16
17 17
18 18
19 19
20 20
21 21
22 22
23 23
24 24
25 25
26 26
27 27
28 28
29 29
30 30
31 31
32 32
33 33
34 34
35 35
36 36
37 37
38 38
39 39
40 40
41 41
42 42
43 43
44 44
45 45
46 46
47 47
48 48
49 49
50 50
51 51
52 52
53 53
54 54
55 55
56 56
57 57
58 58
Use "PASTE SPECIAL-
Values" then "COPY" .
Maximum data points =
58
Use "PASTE SPECIAL-
Values" then "COPY" .
Maximum data points =
58
- 5 -NC0089508 RPA, data
4/8/2020
REASONABLE POTENTIAL ANALYSIS
Par08 Par09
Chromium III Chromium VI
Date Data BDL=1/2DL Results Date Data BDL=1/2DL Results
1 Std Dev.NO DATA 1 Std Dev.NO DATA
2 Mean NO DATA 2 Mean NO DATA
3 C.V.NO DATA 3 C.V.NO DATA
4 n 0 4 n 0
5 5
6 Mult Factor =N/A 6 Mult Factor =N/A
7 Max. Value N/A µg/L 7 Max. Value N/A µg/L
8 Max. Pred Cw N/A µg/L 8 Max. Pred Cw N/A µg/L
9 9
10 10
11 11
12 12
13 13
14 14
15 15
16 16
17 17
18 18
19 19
20 20
21 21
22 22
23 23
24 24
25 25
26 26
27 27
28 28
29 29
30 30
31 31
32 32
33 33
34 34
35 35
36 36
37 37
38 38
39 39
40 40
41 41
42 42
43 43
44 44
45 45
46 46
47 47
48 48
49 49
50 50
51 51
52 52
53 53
54 54
55 55
56 56
57 57
58 58
Use "PASTE SPECIAL-
Values" then "COPY"
. Maximum data
points = 58
Use "PASTE SPECIAL-
Values" then "COPY"
. Maximum data
points = 58
- 6 -NC0089508 RPA, data
4/8/2020
REASONABLE POTENTIAL ANALYSIS
Par10 Pa11
Chromium, Total Copper
Date Data BDL=1/2DL Results Date Data BDL=1/2DL Results
1 7/2/2019 <5 2.5 Std Dev.8.2735 1 7/2/2019 <5 2.5 Std Dev.7.8262
2 6/5/2018 21 21 Mean 6.2000 2 6/5/2018 <5 2.5 Mean 6.0000
3 7/7/2017 <5 2.5 C.V. (default)0.6000 3 7/7/2017 20 20 C.V. (default)0.6000
4 7/5/2016 <5 2.5 n 5 4 7/5/2016 <5 2.5 n 5
5 6/24/2015 <5 2.5 5 6/24/2015 <5 2.5
6 Mult Factor =2.32 6 Mult Factor =2.32
7 Max. Value 21.0 µg/L 7 Max. Value 20.00 ug/L
8 Max. Pred Cw 48.7 µg/L 8 Max. Pred Cw 46.40 ug/L
9 9
10 10
11 11
12 12
13 13
14 14
15 15
16 16
17 17
18 18
19 19
20 20
21 21
22 22
23 23
24 24
25 25
26 26
27 27
28 28
29 29
30 30
31 31
32 32
33 33
34 34
35 35
36 36
37 37
38 38
39 39
40 40
41 41
42 42
43 43
44 44
45 45
46 46
47 47
48 48
49 49
50 50
51 51
52 52
53 53
54 54
55 55
56 56
57 57
58 58
Use "PASTE SPECIAL-
Values" then "COPY"
. Maximum data
points = 58
Use "PASTE SPECIAL-
Values" then "COPY"
. Maximum data
points = 58
- 7 -NC0089508 RPA, data
4/8/2020
REASONABLE POTENTIAL ANALYSIS
Par12 Par14
Cyanide Lead
Date Data BDL=1/2DL Results Date BDL=1/2DL Results
1 7/2/2019 <5 5 Std Dev.0.0000 1 7/2/2019 <5 2.5 Std Dev.0.0000
2 6/5/2018 <5 5 Mean 5.00 2 6/5/2018 <5 2.5 Mean 2.5000
3 7/7/2017 <5 5 C.V.0.0000 3 7/7/2017 <5 2.5 C.V.0.0000
4 7/5/2016 <5 5 n 5 4 7/5/2016 <5 2.5 n 5
5 6/24/2015 <5 5 5 6/24/2015 <5 2.5
6 Mult Factor =1.00 6 Mult Factor =1.00
7 Max. Value 5.0 ug/L 7 Max. Value 2.500 ug/L
8 Max. Pred Cw NO DETECTS ug/L 8 Max. Pred Cw NO DETECTS ug/L
9 9
10 10
11 11
12 12
13 13
14 14
15 15
16 16
17 17
18 18
19 19
20 20
21 21
22 22
23 23
24 24
25 25
26 26
27 27
28 28
29 29
30 30
31 31
32 32
33 33
34 34
35 35
36 36
37 37
38 38
39 39
40 40
41 41
42 42
43 43
44 44
45 45
46 46
47 47
48 48
49 49
50 50
51 51
52 52
53 53
54 54
55 55
56 56
57 57
58 58
Use "PASTE SPECIAL-
Values" then "COPY" .
Maximum data points =
58
Use "PASTE SPECIAL-
Values" then "COPY" .
Maximum data points =
58
- 8 -NC0089508 RPA, data
4/8/2020
REASONABLE POTENTIAL ANALYSIS
Par15 Par17 & Par18
Mercury Nickel
Date Data BDL=1/2DL Results Date Data BDL=1/2DL Results
1 7/2/2019 <200 100 Std Dev.0.0000 1 7/2/2019 <5 2.5 Std Dev.0.0000
2 6/5/2018 <200 100 Mean 100.0000 2 6/5/2018 <5 2.5 Mean 2.5000
3 7/7/2017 <200 100 C.V.0.0000 3 7/7/2017 <5 2.5 C.V.0.0000
4 7/5/2016 <200 100 n 5 4 7/5/2016 <5 2.5 n 5
5 6/24/2015 <200 100 5 6/24/2015 <5 2.5
6 Mult Factor =1.00 6 Mult Factor =1.00
7 Max. Value 100.0 ng/L 7 Max. Value 2.5 µg/L
8 Max. Pred Cw NO DETECTS ng/L 8 Max. Pred Cw NO DETECTS µg/L
9 9
10 10
11 11
12 12
13 13
14 14
15 15
16 16
17 17
18 18
19 19
20 20
21 21
22 22
23 23
24 24
25 25
26 26
27 27
28 28
29 29
30 30
31 31
32 32
33 33
34 34
35 35
36 36
37 37
38 38
39 39
40 40
41 41
42 42
43 43
44 44
45 45
46 46
47 47
48 48
49 49
50 50
51 51
52 52
53 53
54 54
55 55
56 56
57 57
58 58
Use "PASTE SPECIAL-
Values" then "COPY" .
Maximum data points =
58
Use "PASTE SPECIAL-
Values" then "COPY" .
Maximum data points = 58
- 9 -NC0089508 RPA, data
4/8/2020
REASONABLE POTENTIAL ANALYSIS
Par19 Par20
Selenium Silver
Date Data BDL=1/2DL Results Date Data BDL=1/2DL Results
1 7/2/2019 <5 2.5 Std Dev.0.0000 1 7/2/2019 <5 2.5 Std Dev.0.0000
2 6/5/2018 <5 2.5 Mean 2.5000 2 6/5/2018 <5 2.5 Mean 2.5000
3 7/7/2017 <5 2.5 C.V.0.0000 3 7/7/2017 <5 2.5 C.V.0.0000
4 7/5/2016 <5 2.5 n 5 4 7/5/2016 <5 2.5 n 4
5 6/24/2015 <5 2.5 5
6 Mult Factor =1.00 6 Mult Factor =1.00
7 Max. Value 2.5 ug/L 7 Max. Value 2.500 ug/L
8 Max. Pred Cw NO DETECTS ug/L 8 Max. Pred Cw NO DETECTS ug/L
9 9
10 10
11 11
12 12
13 13
14 14
15 15
16 16
17 17
18 18
19 19
20 20
21 21
22 22
23 23
24 24
25 25
26 26
27 27
28 28
29 29
30 30
31 31
32 32
33 33
34 34
35 35
36 36
37 37
38 38
39 39
40 40
41 41
42 42
43 43
44 44
45 45
46 46
47 47
48 48
49 49
50 50
51 51
52 52
53 53
54 54
55 55
56 56
57 57
58 58
Use "PASTE SPECIAL-
Values" then "COPY" .
Maximum data points =
58
Use "PASTE SPECIAL-
Values" then "COPY" .
Maximum data points =
58
- 10 -NC0089508 RPA, data
4/8/2020
REASONABLE POTENTIAL ANALYSIS
Par21
Zinc
Date Data BDL=1/2DL Results
1 7/2/2019 62 62 Std Dev.29.4788
2 6/5/2018 41 41 Mean 65.0000
3 7/7/2017 52 52 C.V. (default)0.6000
4 7/5/2016 116 116 n 5
5 6/24/2015 54 54
6 Mult Factor =2.32
7 Max. Value 116.0 ug/L
8 Max. Pred Cw 269.1 ug/L
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
Use "PASTE SPECIAL-
Values" then "COPY"
. Maximum data
points = 58
- 11 -NC0089508 RPA, data
4/8/2020
Kaba Access Controls (GW-REM Site)≥Outfall 001
NC0089508 Freshwater RPA - 95% Probability/95% Confidence Using Metal Translators Qw = 0.0432 MGD
MAXIMUM DATA POINTS = 58
Qw (MGD) = 0.04 WWTP/WTP Class:PC-1 COMBINED HARDNESS (mg/L)
1Q10S (cfs) = 0.00 IWC% @ 1Q10S = 100 Acute = 39.58 mg/L
7Q10S (cfs) = 0.00 IWC% @ 7Q10S = 100 Chronic = 39.58 mg/L
7Q10W (cfs) = 0.00 IWC% @ 7Q10W = 100
30Q2 (cfs) = 0.00 IWC% @ 30Q2 = 100
Avg. Stream Flow, QA (cfs) = 0.00 IW%C @ QA = 100
Receiving Stream:Stream Class:C
PARAMETER RECOMMENDED ACTION
Chronic Applied
Standard Acute n # Det.Max Pred Cw
Acute (FW):340.0
Arsenic C 150 FW 340 ug/L
5 0 NO DETECTS Chronic (FW):150.0
Max MDL = 5
Arsenic C 10 HH/WS ug/L Note: n ≤ 9 Chronic (HH):10.0
Limited data set Max MDL = 5
Acute:65.00
Beryllium NC 6.5 FW 65 ug/L 5 0 NO DETECTS
Note: n ≤ 9 Chronic:6.50
Limited data set Max MDL = 1
Acute:4.838
Cadmium NC 0.8349 FW 4.8381 ug/L 5 0 NO DETECTS
Note: n ≤ 9 Chronic:0.835
Limited data set Max MDL = 2
Acute:NO WQS
Chlorinated Phenolic Compounds NC 1 A ug/L 5 0 NO DETECTS
Note: n ≤ 9 Chronic:1.0
Limited data set Max MDL = 50
Acute:NO WQS
Total Phenolic Compounds NC 300 A ug/L 5 0 NO DETECTS
Note: n ≤ 9 Chronic:300.0
Limited data set Max MDL = 10
Acute:1,318.6
Chromium III NC 171.5206 FW 1318.5835 µg/L 0 0 N/A
Chronic:171.5
Acute:16.0
Chromium VI NC 11 FW 16 µg/L 0 0 N/A
Chronic:11.0
Tot Cr value(s) < 50 and < Cr VI Allowable Cw
Chromium, Total NC µg/L 5 1 48.7
Note: n ≤ 9 Default C.V.
Limited data set
Acute:16.14
Copper NC 11.6698 FW 16.1448 ug/L 5 1 46.40
Note: n ≤ 9 Default C.V.Chronic:11.67
Limited data set 1 value(s) > Allowable CwPQLUNITSTYPE
(1)Allowable Cw
REASONABLE POTENTIAL RESULTSNC STANDARDS OR EPA CRITERIA
UT to Peters Creek HUC 030401011305
No detects
No detects
No detects
No detects
No detects
No detects
No detects
No detects
No detects
No detects
No detects
RP for Limited Dataset (n<8 samples) - apply
Quarterly Monitoring
Max reported value = 21
RP for Limited Dataset (n<8 samples) - apply
Quarterly Monitoring
c: Monitor Total Chromium and Chromium VI, along
with a limit for Chromium VI if any Total Chromium
sample is > the Chromium VI Allowable Cw but < the
Chromium III Allowable Cw.
Page 12 of 14 NC0089508 RPA, rpa
4/8/2020
Kaba Access Controls (GW-REM Site)≥Outfall 001
NC0089508 Freshwater RPA - 95% Probability/95% Confidence Using Metal Translators Qw = 0.0432 MGD
Acute:22.0
Cyanide NC 5 FW 22 10 ug/L 5 0 NO DETECTS
Note: n ≤ 9 Chronic:5.0
Limited data set Max MDL = 10
Acute:126.348
Lead NC 4.9236 FW 126.3480 ug/L 5 0 NO DETECTS
Note: n ≤ 9 Chronic:4.924
Limited data set Max MDL = 5
Acute:NO WQS
Mercury NC 12 FW 0.5 ng/L 5 0 NO DETECTS
Note: n ≤ 9 Chronic:12.0
Limited data set Max MDL = 200
Acute (FW):494.5
Nickel NC 54.9182 FW 494.4502 µg/L
5 0 NO DETECTS Chronic (FW):54.9
Note: n ≤ 9 Max MDL = 5
Nickel NC 25.0000 WS µg/L Limited data set Chronic (WS):25.0
Max MDL = 5
Acute:56.0
Selenium NC 5 FW 56 ug/L 5 0 NO DETECTS
Note: n ≤ 9 Chronic:5.0
Limited data set Max MDL = 5
Acute:0.653
Silver NC 0.06 FW 0.6532 ug/L 4 0 NO DETECTS
Note: n ≤ 9 Chronic:0.060
Limited data set Max MDL = 5
Acute:185.5
Zinc NC 187.0501 FW 185.5325 ug/L 5 5 269.1
Note: n ≤ 9 Default C.V.Chronic:187.1
Limited data set No value > Allowable Cw
No detects
No detects
No detects
No detects
No detects
No detects
No detects
No detects
No detects
RP for Limited Dataset (n<8 samples) - apply
Quarterly Monitoring
RP for Limited Dataset (n<8 samples) - apply
Quarterly Monitoring
No detects
No detects
No detects
No detects
Page 13 of 14 NC0089508 RPA, rpa
4/8/2020
Date: 4/8/2020
FACILITY: Kaba Access Controls (GW-REM Site) Outfall 001
NPDES PERMIT: NC0089508

Rec. Stream NPDES
1Q10 Flow Limit
[MGD][MGD]
0.0000 0.0000 0.0000 0.0432 10 39.580 39.580 100.0000 100.0000 25 39.58
Upstream Hard Avg (mg/L) = 25
EFF Hard Avg (mg/L) = 39.58

Chronic Acute Chronic Acute
[ug/l][ug/l][ug/l][ug/l]
Cadmium (d) 0.21 1.22 0.252 0.83 4.84
Cd -Trout streams 0.21 0.76 0.252 0.83 3.01
Chromium III (d)(h)35 267 0.202 171.52 1318.58
Chromium VI (d)11 16 1.000 11.00 16.00
Chromium, Total (t)N/A N/A
Copper (d)(h)4.1 5.6 0.348 11.67 16.14
Lead (d)(h)0.91 23 0.184 4.92 126.35
Nickel (d)(h)24 214 0.432 54.92 494.45
Ni - WS streams (t)25 N/A
Silver (d)(h,acute)0.06 0.65 1.000 0.06 0.65
Zinc (d)(h)54 53 0.288 187.05 185.53
Beryllium 6.5 65 1.000 6.5 65
Arsenic (d)150 340 1.000 150 340
(d) = dissolved metal standard. See 15A NCAC 02B .0211 for more information.(h) = hardness-dependent dissolved metal standard. See 15A NCAC 02B .0211 for more information.(t) = based upon measurement of total recoveable metal. See 15A NCAC 02B .0211 for more information.
Dissolved to Total Metal Calculator
The Human Health standard for Nickel in Water Supply Streams is 25 mg/L which is Total Recoverable metal standard.
In accordance with Federal Regulations, permit limitations must be written as Total Metals per 40 CFR 122.45(c)
The Human Health standard for Arsenic is 10 µg/L which is Total Recoverable metal standard.
Upstream
Hardness
Average (mg/L)
PARAMETER
Effluent
Hardness
Average
(mg/L)
Dissolved Metals
US EPA
Translators- using
Default Partition
Coefficients
(streams)
Maximum Allowable Effluent Concentration
(MAEC) as a Total Metal
=Dissolved Metal ÷ Translator
COMMENTS (identify parameters to PERCS Branch to maintain in facility's LTMP/STMP):
Receiving
Stream
summer
7Q10 (CFS)
Receiving
Stream
summer 7Q10
(MGD)
Total Suspended
Solids
-Fixed Value-
(mg/L)
Combined
Hardness
chronic
(mg/L)
Combined
Hardness
Acute
(mg/L)
Instream
Wastewater
Concentration
(Chronic)
Instream
Wastewater
Concentration
(Acute)

Permit No. NC0089508
Page 1 of 4

NPDES Implementation of In stream Dissolved Metals Standards – Freshwater Standards
The NC 2007-2015 Water Quality Standard (WQS) Triennial Review was approved by the NC
En vironmental Management Commission (EMC) on November 13, 2014. The US EPA subsequently
approved the WQS revisions on April 6, 2016 , with some exceptions. Therefore, metal limits in draft
permits out to public notice after April 6, 2016 must be calculated to protect the new standards - as
approved.
Table 1. NC Dissolved Metals Water Quality Standards/Aquatic Life Protection
Parameter Acute FW, µg/l
(Dissolved)
Chronic FW, µg/l
(Dissolved)
Acute SW, µg/l
(Dissolved)
Chronic SW, µg/l
(Dissolved)

Arsenic 340 150 69 36
Beryllium 65 6.5 --- ---
Cadmium Calculation Calculation 40 8.8
Chromium III Calculation Calculation --- ---
Chromium VI 16 11 1100 50
Copper Calculation Calculation 4.8 3.1
Lead Calculation Calculation 210 8.1
Nickel Calculation Calculation 74 8.2
Silver Calculation 0.06 1.9 0.1
Zinc Calculation Calculation 90 81
Table 1 Notes:
1. FW= Freshwater, SW= Saltwater
2. Calculation = Hardness dependent standard
3. Only the aquatic life standards listed above are expressed in dissolved form. Aquatic life
standards for Mercury and selenium are still expressed as Total Recoverable Metals due to
bioaccumulative concerns (as are all human health standards for all metals). It is still necessary
to evaluate total recoverable aquatic life and human health standards listed in 15A NCAC
2B.0200 (e.g., arsenic at 10 µg/l for human health protection; cyanide at 5 µg/L and fluoride at
1.8 mg/L for aquatic life protection).

Ta ble 2. Dissolved Freshwater Standards for Hardness -Dependent Metals The Water Effects Ratio (WER) is equal to one unless determined otherwise under 15A
NCAC 02B .0211 Subparagraph (11)(d)

Metal NC Dissolved Standard, µg/l
Cadmium, Acute WER*{1.136672-[ln hardness](0.041838)} ∙ e^{0.9151 [ln hardness]-3.1485}
Cadmium, Acute Trout waters WER*{1.136672-[ln hardness](0.041838)} ∙ e^{0.9151[ln hardness]-3.6236}
Cadmium, Chronic WER*{1.101672-[ln hardness](0.041838)} ∙ e^{0.7998[ln hardness]-4.4451}
Chromium III, Acute WER*0.316 ∙ e^{0.8190[ln hardness]+3.7256}
Chromium III, Chronic WER*0.860 ∙ e^{0.8190[ln hardness]+0.6848}
Copper, Acute WER*0.960 ∙ e^{0.9422[ln hardness]-1.700}
Copper, Chronic WER*0.960 ∙ e^{0.8545[ln hardness]-1.702}
Lead, Acute WER*{1.46203-[ln hardness](0.145712)} ∙ e^{1.273[ln hardness]-1.460}
Lead, Chronic WER*{1.46203-[ln hardness](0.145712)} ∙ e^{1.273[ln hardness]-4.705}
Nickel, Acute WER*0.998 ∙ e^{0.8460[ln hardness]+2.255}
Nickel, Chronic WER*0.997 ∙ e^{0.8460[ln hardness]+0.0584}
Permit No. NC0089508
Page 2 of 4

Silver, Acute WER*0.85 ∙ e^{1.72[ln hardness]-6.59}
Silver, Chronic Not applicable
Zinc, Acute WER*0.978 ∙ e^{0.8473[ln hardness]+0.884}
Zinc, Chronic WER*0.986 ∙ e^{0.8473[ln hardness]+0.884}

General Information on the R easonable Potential A nalysis (RPA)
The RPA process itself did not change as the result of the new metals standards. However, application of
the dissolved and hardness-dependent standards requires additional consideration in order to establish the
numeric standard for each metal of concern of each individual discharge.
The hardness-based standards require some knowledge of the effluent and instream (upstream) hardness
and so must be calculated case-by-case for each discharge.
Metals limits must be expressed as ‘total recoverable’ metals in accordance with 40 CFR 122.45(c). The
discharge-specific standards must be converted to the equivalent total values for use in the RPA
calculations. We will generally rely on default translator values developed for each metal (more on that
below), but it is also possible to consider case -specific translators developed in accordance with
established methodology.

RPA Permitting Guidance/WQBELs for Hardness-D ependent Metals - Freshwater
The RPA is designed to predict the maximum likely effluent concentrations for each metal of concern,
based on recent effluent data, and calculate the allowable effluent concentrations, based on applicable
standards and the critical low-flow values for the receiving stream.
If the maximum predicted value is greater than the maximum allowed value (chronic or acute), the discharge has reasonable potential to exceed the standard, which warrants a permit limit in most cases. If
monitoring for a particular pollutant indicates that the pollutant is not present (i.e. consistently below
detection level), then the Division may remove the monitoring requirement in the reissued permit.
1. To perform a RPA on the Freshwater hardness-dependent metals the Permit Writer compile s the
following information:
• Critical low flow of the receiving stream, 7Q10 (the spreadsheet automatically calculates
the 1Q10 using the formula 1Q10 = 0.843 (s7Q10, cfs) 0.993
• Effluent hardness and upstream hardness, site-specific data is preferred
• Permitted flow
• Receiving stream classification

2. In order to establish the numeric standard for each hardness-dependent metal of concern and for
each individual discharge, the Permit Writer must first determine what effluent and instream
(upstream) hardness values to use in the equations.

The permit writer review s DMR’s, Effluent Pollutant Scans, and Toxicity Test results for any
hardness data and contacts the Permittee to see if any additional data is available for instream
hardness values, upstream of the discharge.

If no hardness data is available, the permit writer may choose to do an initial evaluation using a
default hardness of 25 mg/L (CaCO3 or (Ca + Mg)). Minimum and maximum limits on the
hardness value used for water quality calculations are 25 mg/L and 400 mg/L, respectively.

If the use of a default hardness value results in a hardness-dependent metal showing reasonable
potential, the permit writer contacts the Permittee and requests 5 site-specific effluent and
upstream hardness samples over a period of one week. The RPA is rerun using the new data.

Permit No. NC0089508
Page 3 of 4

The overall hardness value used in the water quality calculations is calculated as follows:
Combined Hardness (chronic)
= (Permitted Flow, cfs *Avg. Effluent Hardness , mg/L) + (s7Q10, cfs *Avg. Upstream Hardness, mg/L)
(Permitted Flow, cfs + s7Q10, cfs)
The Combined Hardness for acute is the same but the calculation uses the 1Q10 flow.
3. The permit writer converts the numeric standard for each metal of concern to a total recoverable
metal, using the EPA Default Partition Coefficients (DPCs) or site -specific translators, if any
have been developed using federally approved methodology .

4. The numeric standard for each metal of concern is divided by the default partition coefficient (or
site-specific translator) to obtain a Total Recoverable Metal at ambient conditions.

In some cases, where an EPA default partition coefficient translator does not exist (ie. silver), the
dissolved numeric standard for each metal of concern is divided by the EPA conversion factor to
obtain a Total Recoverable Metal at ambient conditions. This method presumes that the metal is
dissolved to the same extent as it was during EPA’s criteria development for metals. For more
information on conversion factors see the June, 1996 EPA Translator Guidance Document.

5. The RPA spreadsheet uses a mass balance equation to determine the total allowable concentration
(permit limits) for each pollutant using the following equation:

Ca = (s7Q10 + Qw) (Cwqs) – (s7Q10) (Cb)
Qw
Where: Ca = allowable effluent concentration (µg/L or mg/L)
Cwqs = NC Water Quality Standard or federal criteria (µg/L or mg/L)
Cb = background concentration: assume zero for all toxicants except NH3 * (µg/L or mg/L)
Qw = permitted effluent flow (cfs, match s7Q10)
s7Q10 = summer low flow used to protect aquatic life from chronic toxicity and human
health through the consumption of water, fish, and shellfish from noncarcinogens (cfs)
* Discussions are on-going with EPA on how best to address background concentrations

Flows other than s7Q10 may be incorporated as applicable:
1Q10 = used in the equation to protect aquatic life from acute toxicity
EPA default partition coefficients or the “Fraction Dissolved” converts the value for
dissolved metal at laboratory conditions to total recoverable metal at in -stream
ambient conditions. This factor is calculated using the linear partition coefficients found in The Metals Translator: Guidance for Calculating a Total Recoverable
Permit Limit from a Dissolved Criterion (EPA 823 -B-96-007, June 1996) and the
equation:

_Cdiss __ = _______1_______________
Ctotal 1 + { [K po] [ss(1+a)] [10 -6 ] }

Where: ss = in-stream suspended solids concentration [mg/l], minimum of 10 mg/L used,
and
Kpo and a = constants that express the equilibrium relationship between dissolved
and adsorbed forms of metals. A list of constants used for each hardness-dependent
metal can also be found in the RPA program under a sheet labeled DPCs.

Permit No. NC0089508
Page 4 of 4

QA = used in the equation to protect human health through the consumption of water, fish, and shellfish from carcinogens
30Q2 = used in the equation to protect aesthetic quality

6. The permit writer enters the most recent 2 -3 years of effluent data for each pollutant of concern.
Data entered must have been taken within four and one -half years prior to the date of the permit
application (40 CFR 122.21). The RPA spreadsheet estimates the 95th percentile upper
concentration of each pollutant. The Predicted Max concentrations are compared to the Total allowable concentrations to determine if a permit limit is necessary. If the predicted max exceeds
the acute or chronic Total allowable concentrations, the discharge is considered to show
reasonable potential to violate the water quality standard, and a permit limit (Total allowable
concentration) is included in the permit in accordance with the U.S. EPA Technical Support
Document for Water Quality-Based Toxics Control published in 1991.

7. When appropriate, permit writers develop facility specific compliance schedules in accordance
with the EPA Headquarters Memo dated May 10, 2007 from James Hanlon to Alexis Strauss on
40 CFR 122.47 Compliance Schedule Requirements.

8. The Total Chromium NC WQS was removed and replaced with trivalent chro mium and
hexavalent chromium Water Quality Standards. As a cost savings measure, total chromium data
results may be used as a conservative surrogate in cases where there are no analytical results
based on chromium III or VI. In these cases, the projected maximum concentration (95th %) for
total chromium will be compared against water quality standards for chromium III and
chromium VI.

9. Effluent hardness sampling and instream hardness sampling, upstream of the discharge, are
inserted into all permits with facilities monitoring for hardness-dependent metals to ensure the
accuracy of the permit limits and to build a more robust hardness dataset.

10. Hardness and flow values used in the Reasonable Potential Analysis for this permit included:
Parameter Value Comments (Data Source)
Average Effluent Hardness (mg/L)
[Total as, CaCO3 or (Ca+Mg)]
39.58 October 2019 hardness data.
Average Upstream Hardness (mg/L)
[Total as, CaCO3 or (Ca+Mg)]
25 Default 7Q10/30Q2 = 0
7Q10 summer (cfs) 0 NPDES file and BIMS
1Q10 (cfs) 0 NPDES file and BIMS
Permitted Flow (MGD) 0.0432

Date: April 8, 2020

Permit Writer: Derek C. Denard
From:Denard, Derek
To:[e-mail]
Cc:Boone, Ron; Kinney, Maureen
Subject:Draft NPDES Permit NC0089508 - Kaba Access Controls (GW-REM Site)
Date:Monday, August 05, 2019 4:38:00 PM
Attachments:NC0089508 DRAFT 20190724.pdf
Please see the attached draft NPDES Permit NC0089508 for Kaba Access Controls (GW-REM Site).

If you have any questions or comments, please contact me.

Sincerely,

Derek C Denard
Environmental Specialist
Compliance & Expedited Permitting Unit
N.C. Division of Water Resources
N.C. Department of Environmental Quality

919 707 3618 office
919 707 9000 main DWR
[e-mail]

N. C. Division of Water Resources
Water Quality Permitting Section - NPDES
1617 Mail Service Center
Raleigh, NC 27699-1617

Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.

Winston-Salem Journal
Advertising Affidavit
P.O Box 3159
Winston-Salem, NC 27102
NCDENR/DWQ/POINT SOURCE BRANCH
1617 MAIL SERVICE CENTER
RALEIGH, NC 27699-1617
Account Number
3376309
Date
July 26, 2019
PO Number Order Category Description 771
public notice 0000583886 Legal Notices
North Carolina Environmental
Managemcnt commission/
NP"ES Unit
1617 Mail Service center
Raleigh NC 27699-1617
Notice of intent to Issue a
MP�ES Wastewater Permit
ThNorth Carolina Environmental
Management Commission proposes
to Issue a NPDES wastewater dis-
charge permit to the person(sa listed
below_ Written comments regarding
the proposed permit wlil- be accept-
ed until 30 days after the publish
date of this notice_ The Director of
the NC Division of Water Resources
(DWR) may hold a public hearing
should there be a significant degree
of pub/lc Interest_ Piease mail com-
ments and/or information requests
to OWR at the above address_ inter-
ested persons may visit the DWR at
S12 N_ Salisbury Street. Raleigh, NC
to review information n file_ Addi-
tional information on NPDES permits
and this notice may be found on our
websitec http://deq_nc_gov/about/di
v Tsions/water-resources/water-
resources-permits/wastewater-
branch/n pdes-wastewater/pu bl1 c-
notices.or by calling [phone]-
KIWS Property LLC. 2941 Indiana
Ave, Winston-Salem. Forsyth Coun-
ty, applied to r w NPDES per
(NCO089508) for a groundwater re -
mediation system discharging to Pe-
ters Creek. vadkin River Basin.
WSJ= July 26. 2019
PUBLIC NOTICE North Carolina Environmental Management Commission/ NPDES Unit 1617
Publisher of the
Winston-Salem Journal
Before the undersigned, a Notary Public of Guilford, North Carolina, duly commissioned,
qualified, and authorized by law to administer oaths, personally appeared the Publisher
Representative who by being duly sworn deposes and says: that he/she is the Publisher's
Representative of the Winston-Salem Journal, engaged in the publishing of a newspaper
known as Winston-Salem Journal, published, issued and entered as second class mail in the
City of Winston-Salem, in said County and State: that he/she is authorized to make this
affidavit and sworn statement: that the notice or other legal advertisement, a copy of which
is attached hereto, was published in the Winston-Salem Journal on the following dates:
07/26/2019
and that the said newspaper in which such notice, paper document, or legal advertisement
was published was, at the time of each and every such publication, a newspaper meetin all
the requirements and qualifications of Secti -597 of the General Statutes of h
Carolina and was a qualified newspaper I" in e meaning of Section 1-597 t the Gene ]
Statutes of North Carolina !l
Sworn to and subscribed before me the 30 day of July, 2019
LEA ANNE LAMB
' NOTARY PUBLIC
GUILFORD COUNTY, NC
My Commission Expires June 15, 2024
i .-
person making affidavit)
4�
(Notary Public)
THIS IS NOT A BILL. PLEASE PAY FROM INVOICE. THANK YOU

PUBLIC NOTICE
North Carolina Environmental
Management Commission/
NPOES Unit
1617 Mail Service Center
Raleigh, NC 276W1617
Notice of Intent to Issue a
NPI)E5 Wastewater Permit
The North Carolina Environmental
Management Commission proposes
to Issue a NPDES wastewater dis-
charge permit to the person(s) listed
below. Written comments regarding
the proposed permit will be accept-
ed until 30 days after the publish
date of this notice. The Director of
the NC Division of Water Resources
(DWR) may hold a public hearing
should there be a significant degree
of public interest. Please mail com-
ments and/or information requests
to DWR at the above address. Inter-
ested persons may visit the DWR at
512 N. Salisbury street, Raleigh, NC
to review Information on file. Addi-
tional information on NPDES permits
and this notice may be found on our
website: httpJ/deq.nc-cov/about/di
visions/water-resources/wa to r-
resou rces-perm its/wastewater-
branch/npdes-wastewater/public-
notices,or by calling [phone].
KIWS Property LLC, 2941 Indiana
Ave, Winston-Salem Forsyth Coun-
ty, applied to renew NPDES permit
(NC0089508) for a groundwate
MQW(W40
vet,a_
r re -
mediation system discharging to Pe- +\ aJ51 .p 5
ters Creek, Yadkin River Basin.
WSJ: Jury 26, 2019

11/2/2020 Mail - Denard, Derek - Outlook
https://outlook.office365.com/mail/search/id/AAQkADdhYTVmZDBlLTE5ZDctNGI5MC04ZjliLWU4MjVhZTBhMmJkMgAQAG0ZF6x4OtpKn%2FtzB5r84…1/2
[External] RE: Issuance of NPDES Permit NC0089508 - Kaba Access Controls (GW-REM
Site)
Debbie Shelton <[e-mail]>
Tue 7/14/2020 9:39 AM
To: Denard, Derek <[e-mail]>; [e-mail] <[e-mail]>; Jonathan
Murphrey <[e-mail]>
Cc: Graznak, Jenny <[e-mail]>; Headrick, Hannah <[e-mail]>; Moore, Cindy
<[e-mail]>; Weaver, Charles <[e-mail]>
CAUTION: External email. Do not click links or open aachments unless you verify. Send all suspicious email as an aachment
to [e-mail]
Hi Mr. Denard,

To my knowledge, receipt of this document via e-mail is acceptable. Thank you.

Best Regards,

Debbie Shelton
New Product Introduction Buyer

Kaba Access Control
2941 Indiana Avenue
Winston Salem, NC 27105

T: 336-725-1331 ext 1360

[e-mail]
www.dormakaba.com

From: Denard, Derek <[e-mail]>
Sent: Tuesday, July 14, 2020 9:33 AM
To: [e-mail]; Jonathan Murphrey <[e-mail]>; Debbie Shelton
<[e-mail]>
Cc: Graznak, Jenny <[e-mail]>; Headrick, Hannah <[e-mail]>; Moore,
Cindy <[e-mail]>; Weaver, Charles <[e-mail]>
Subject: Issuance of NPDES Permit NC0089508 - Kaba Access Controls (GW-REM Site)

Dear Ms. Shelton:

Please find the aached issuance of NPDES Permit NC0089508 - Kaba Access Controls (GW-REM Site).

11/2/2020 Mail - Denard, Derek - Outlook
https://outlook.office365.com/mail/search/id/AAQkADdhYTVmZDBlLTE5ZDctNGI5MC04ZjliLWU4MjVhZTBhMmJkMgAQAG0ZF6x4OtpKn%2FtzB5r84…2/2
In order to provide more convenience, control, and security to our permittees and assist them in
processing their transactions, the Division of Water Resources is currently transitioning towards
electronic correspondence. This will hopefully provide more efficient service to our permittees
and other partners and will allow us to more effectively process and track documents. We are
writing to ask you for your approval of the transmittal of documents related to your permitting
and related activities with the Division in an electronic format.  Documents will be emailed to
the appropriate contact person(s) in your organization in a PDF format. 

Please respond to me through email with verification that transmittal of your documents in an
electronic manner is acceptable to you.  

If you agree, also please respond to this email confirming that you received the attached
document(s), were able to open and view the document(s) and have saved/printed a copy for
your records.

If you have any questions, please feel free to contact me.

Sincerely

Derek Denard
Environmental Specialist
N.C. Division of Water Resources
N.C. Department of Environmental Quality

919 707 3618 office
919 707 9000 main DWR
[e-mail]

1617 Mail Service Center
Raleigh, NC 27699-1617

Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.

11/2/2020 Mail - Denard, Derek - Outlook
https://outlook.office365.com/mail/AAMkADdhYTVmZDBlLTE5ZDctNGI5MC04ZjliLWU4MjVhZTBhMmJkMgAuAAAAAADg3GZR8iZnTYW56l21cjmNA…1/1
RE: Peer Review NC0089508
Phillips, Emily <[e-mail]>
Tue 4/14/2020 8:53 AM
To: Denard, Derek <[e-mail]>
Thanks, and no worries. Looks good.

From: Denard, Derek <[e-mail]>
Sent: Saturday, April 11, 2020 2:39 PM
To: Phillips, Emily <[e-mail]>
Subject: Peer Review NC0089508

4 Peer Review

Emily,

See aached peer review. Let me know if you have anything for me to look at. Sorry I have been off the radar
lately.

Derek
NPDES PERMIT NEW / RENEWAL
DRAFT / FINAL
CHECK LIST
Permittee KIWS Property, LLC
Facility Kaba Access Controls (GW-REM Site)
Permit No. NC00 89508
Stream Class C
Regional Office WSRO
Permit Writer Derek Denard

Permit Drafting Initiated [BIMS Events] (review application for completeness) 07/15/2019
RO staff report requested [BIMS Events], sent email to:
DWR/WSRO, Ron Boone [[e-mail]] 08/05/2019
RO staff report received [BIMS Events]:

None
EAA Review (new or expanding) NA
Draft Permit 07/15/2019
Create/Edit GIS Map 07/22/2019
Update/ Create Permit Outfall (Lat/Lon, HUC code , etc.) [BIMS] 07/22/2019
Data/RPA Review 08/12/2019
Add. Info. Requested [BIMS Events]:

08/09/2019
10/18/2019
Add. Info. Received [BIMS Events]:
08/09/2019 – 126 PPA JUL2016, JUL2017, JUL2019; 10/11/2019 – 126 PPA JUN201 5
10/30/2019 – Effluent Hardness Data
08/0 9/2019
10/11/2019
10/30/2019
Complete Draft Permit 07/24/2019
Draft Fact Sheet & Fact Sheet Binder 04/09/2020
Draft Cover Letter 07/15/2019
Proof Read for Peer Review 04/09/2020
Submit Cover, Permit, Map, Factsheet Binder (includin g Application, Add . Info.) for Peer Review
by Emily Phillips
04/13/2020
Peer Review Completed 04/14/2020
Proof Read Draft for Public Notice 07/22/2019
Prepare Public Notice Statement 07/22/2019
Updated Public Notice System 07/22/2019
Submitted for Pub lic Notice on 07/24/2019
Region comments on draft requested to (see draft to whom list): DWR/WSRO, Ron Boone [[e-mail]] 08/05/2 019
Regio n comments on draft received from:
None
Draft to additional review ers ATB [BIMS Events]:
Didn ’t sen d Draft to ATB (th ere were no changes to toxicity monitoring)- I will send it anyway in
case they have a comment before it is signed.
04/09/2020
Draft from additional reviewe rs ATB [BIMS Events]: No comments none
Draft to additional reviewers WOCG [BIMS Events]:
[e-mail] 08/05/2019
Draft from additional reviewe rs WOCG [BIMS Event s]:
[e-mail] None
If stream class WS, Draft to addition al reviewers PWS (see draft to whom list) [BIMS Events]:
NA
If stream class WS, Draft form additional reviewers PWS [BIMS Events]:
NA
Other agency comments requested (see d raft to whom list, for S –DMF / Shellfish)[BIM S Events ]: NA
Other agency comments re ceived [BIMS Events]: NA
Newspaper Notice Received (add to factsheet binder)
Public notice published [BIMS Events] 07/26/2019

BIMS Scheduled Issuance Date [BIMS Events - automatic]
Perm it Effective Date for Final 06/01/2020
Exp iration Date 04/30/2025
Pre pare Fina l Permit 04/09/2020
Fin alize Factsheet & Binder 04/09/2020
Prepare Final Cover Letter 04/09/2020